Form Stok Opname Gudang Farmasi Tanggal 26 Desember 2022 HPP Sisa Id Barang (Jangan Diubah) Nama (Jangan Diubah) ED (Jangan Diubah)

FORM STOK OPNAME GUDANG FARMASI TANGGAL 26 DESEMBER 20
ID BARANG NAMA ED
HPP Sisa
(jangan diubah) (jangan diubah) (jangan diubah)
21 Abbocat 18 01/05/2027 7382 150
22 Abbocat 20 B BRAUN, PT 01/06/2027 7150 100
23 Abbocat 22 B BRAUN, PT 01/03/2027 7150 150
24 Abbocat 24 BSN 01/08/2027 7382 100
25 Abbocat 26 BSN 01/01/2027 7300.47 5
31 Acarbose 100 mg Tablet FAHRENHEIT 01/05/2024 1794.87 720
34 Acarbose 50 mg Tablet FAHRENHEIT, 30/09/2024 1062.27 1320
36 Acetylsistein 200 mg Kapsul Etercon 01/11/2024 666 300
47 Acyclovir 400 mg Tablet HEXPHARM 30/11/2024 1476.3 500
51 Adalat oros 30 mg Tablet BAYER IND 01/01/2025 3986 900
75 Alkohol 1 lt 70 % Cc BRATACO, PT 01/01/2027 25 3000
79 alkohol swab BSN 01/01/2027 145 7700
80 Alleron 4 mg Tablet MEGA ESA FARM 01/08/2027 111 2000
84 Allopurinol 100 mg Tablet HJ 31/10/2024 188.7 600
85 Allopurinol 300 mg Tablet HJ 31/08/2024 419.58 100
91 Alpara MOLEX AYUS, PT 30/10/2026 630.69 1050
102 Ambroxsol 30 mg Tablet 01/06/2024 238.96 1200
110 Aminoleban OTSUKA INDONESIA, PT 13/08/2022 73462.02 14
117 Amiodaron inj 50 mg Injeksi DARYA 13/08/2022 5550 15
120 Amlodipin 10 mg Tablet HEXPHARM J 31/10/2024 390.72 2300
122 Amlodipin 5 mg Tablet HEXPHARM JA 31/08/2024 199.8 3700
3203 amoxicillin 500 mg Tablet HJ 30/10/2024 393.91 600
132 Amoxsan 500 mg Kaplet SANBE FARM 01/08/2025 3113.55 200
131 Amoxsan SANBE FARMA, PT 01/06/2024 20424 30

137 Ampicillin 500 mg Tablet INDOFARMA 00/00/0000 499.5 30
143 Anbacim inj SANBE FARMA, PT 01/09/2024 37364.65 50
147 Antalgin 500 mg Tablet BERNOFARM, 30/09/2025 180.01 3500
152 Antasida tb 30/11/2026 85.01 300
3282 ANTIPAC NOVELL PHARMA, PT 01/05/2024 103785 8
158 Apron lengan panjang BSN 13/08/2022 19425 10
162 Aqua 25 Cc Cairan OTSUKA INDONESI 08/07/2025 2648.46 690
161 Aqua SANBE FARMA, PT 30/05/2027 19506.59 98
170 Arixtra 2.5 mg Injeksi GLAXO SMITHK 01/05/2024 216515.6 10
172 Arkine 2 mg Tablet 01/08/2025 494.17 2000
173 Armsling(S/M/L) BSN 01/01/2027 21000 9
178 Asam Folat / Starfolat PHAPROS, PT 15/07/2025 188.7 5700
179 Asam mefenamat 500 mg Tablet HE 30/10/2024 244.2 1100
183 Asam Tranexamat 500 mg Tablet BE 01/08/2024 1498.5 600
184 Asam Tranexamat INJ 500 mg Injeks 30/09/2024 4370.63 80
195 Aspilet 80 mg Tablet DARYA VARIA 09/01/2025 601.07 1500
215 Azitromycin 500 mg Tablet HEXPHAR 15/12/2026 3052.5 90
226 Becom C SANBE FARMA, PT 01/03/2024 1486.01 100
241 Berry vision SANBE FARMA, PT 01/09/2024 3223.44 400
249 Betahistin 6 mg Tablet DEXA MEDICA 01/09/2024 419.58 900
294 Bio ATP PHAPROS, PT 13/08/2022 2139.66 300
3218 BIOMETIS METISKA FARMA, PT. 31/07/2024 1198.8 400
300 Bionemi PT GRACIA PHARMINDO 01/08/2024 1776 500
313 Bisacodyl 5 mg Tablet Etercon Pharm 01/06/2024 301.92 30
316 Bisoprolol 2.5 mg Tablet HEXPHARM 31/10/2024 122.1 3300
317 Bisoprolol 5 mg Tablet HEXPHARM JA 31/10/2024 427.35 1650
331 Brainact inj 500 mg Ampul KALBE FA 30/06/2024 73593 5

356 Bupivakain inj NOVELL PHARMA, PT 01/08/2024 20868 15
392 Candesartan 16 mg Tablet HEXPHARM 31/10/2024 800.87 500
394 Candesartan 8 mg Tablet BERNOFARM 01/09/2024 832.5 1000
408 Captopril 25 mg Tablet ERRITA PH 13/08/2022 87 800
406 Captopril 12.5 mg Tablet 31/05/2026 172.36 300
412 Carbazochrome inj 50 mg/10 mL Amp 01/08/2024 11511.14 20
435 Catapres 13/08/2022 98651.25 10
447 Cealb 25% 100ml 100 ml Flash 31/05/2025 1604454.55 2
454 Cefadroxyl 500 mg Tablet HEXPHARM 01/07/2027 550.97 1200
455 Cefarin Inj 01/07/2024 86025 15
459 cefazolin inj BERNOFARM, PT 01/05/2024 44400 10
463 Cefim injeksi 01/07/2024 186480 19
464 Cefixim 100 mg Kapsul HEXPHARM JA 31/10/2024 721.5 1400
3209 Cefixime 200 mg Kapsul HJ 30/11/2024 2425.35 700
470 Cefoperazon sulbactam inj HEXPHAR 31/03/2024 44400 23
471 Cefotaxime inj HEXPHARM JAYA, PT 31/10/2024 4717.5 158
474 Ceftazidim inj 13/08/2022 32245.5 2
475 Ceftizoxime inj NOVELL PHARMA, PT 01/09/2024 88800 40
477 Ceftriaxone inj HEXPHARM JAYA, PT 30/04/2025 11100 474
3308 Celecoxib 100 mg Kapsul HEXPHARM 30/09/2025 2331 50
513 Cervical colar 01/01/2026 155000 2
516 cetirizine 10mg 10 mg Tablet HEXPH 31/10/2024 165.11 250
543 Ciprofloxacin 500 mg Tablet HEXPHA 30/09/2026 469.53 1300
548 Citicolin inj 250 mg Ampul HEXPHAR 31/08/2024 5449.05 125
550 Citicolin inj 500 mg Ampul HEXPHAR 31/08/2024 15984.01 120
549 Citicolin Tablet 500 mg Tablet HEXP 01/04/2027 3885 200
557 Clanexi inj SANBE FARMA, PT 01/08/2024 87290.4 18

564 Clindamycin 150 mg Tablet NOVELL 01/08/2024 683.09 150
565 Clindamycin 300 mg Kapsul NOVELL 01/10/2024 589.88 250
574 Clopidogrel 75mg 75 mg Tablet HEX 30/09/2024 1395.83 1250
691 Curcuma 10 mg Tablet SANBE FARMA 01/09/2024 849.15 600
3269 CVC SET : 2 LUMEN 12 FR X 20 CM 01/03/2027 1198800 3
3270 CVC SET: 2 Lumen 7 FR X 20 CM AGB 01/03/2024 666000 1
718 D 1/2 OGB 30/09/2025 10459.53 80
720 D 1/4 OGB 30/06/2025 10499.49 20
715 D 10 31/07/2024 7264.95 40
726 D 5 BB 30/08/2024 6687.75 40
841 D-VIT Tablet 01/08/2023 2308.8 60
722 D40 25 cc 12/07/2024 7064.04 38
727 D5 Piggi 13/08/2022 7664.55 40
763 Dexamethason 0.5mg 0.5 mg Tablet 01/10/2024 116.55 2000
764 Dexamethason inj BERNOFARM, PT 01/09/2024 1939.39 200
3359 Dexfen 25 mg/1 mL Ampul BERNOFA 01/12/2023 35797.5 10
767 Dexketoprofen 25 MG Tablet Tablet 01/10/2024 832.5 300
768 Dexketoprofen inj 25 Ampul Ampul 01/08/2025 14807.4 10
768 Dexketoprofen inj 25 Ampul Ampul 01/10/2025 14807.4 50
778 Diaformin XR 500 mg Tablet OTTO 31/07/2025 1465.2 200
786 Diazol / Metronidazol Infus 30/09/2024 13320 50
792 Digoxin Tablet 0.25 mg Tablet BERN 01/10/2024 137.09 1000
794 Diltiazem 30 mg Tablet KIMIA FARMA 01/09/2026 235.65 900
796 Dimenhidrinat 50 mg Tablet KIMIA 01/09/2024 166.5 500
802 Discofix 3 way 13/08/2022 4136.97 50
805 Diuvar inj 20 mg Ampul PT GRACIA 01/07/2024 10406.25 350
807 Divalproex Sodium 250 mg Tablet 01/10/2024 1037.85 400

808 Diviti injeksi 01/07/2023 242313 8
810 Dobutamin inj 01/09/2025 28826.7 10
811 Domperidon 10 mg Tablet HEXPHARM 31/10/2024 173.16 700
815 Donepezil Tablet 01/07/2024 4329 150
816 Dopamet 250 mg Tablet ACTAVIS, PT 01/07/2025 993.99 1100
834 Dumin rect 01/09/2025 19884.76 15
837 duradril cc PT GLOBAL MULTIPHAR 31/10/2025 304.7 900
851 Electrode ECG 50 00/00/0000 4000 50
3314 Emegran 3 mg Ampul KALBE FARMA, 31/07/2024 49950 10
875 Eperison 50 mg 50 mg Tablet Eterco 01/09/2024 940.17 300
878 Ephineprin inj 30/04/2024 1514.99 100
882 Erdostein 300 mg Kapsul Etercon Ph 01/10/2024 2697.3 300
897 Esomax injeksi 31/08/2025 116550 15
898 Esomeprazole injeksi 31/08/2025 49950 40
909 Etoricoxib 60 mg 60 mg Tablet 01/09/2024 3496.5 300
917 ETT 7 01/01/2025 77700 2
918 ETT 7,5 01/01/2027 77700 10
933 Farbivent nebu FAHRENHEIT, PT 01/09/2024 8880 50
946 Favipiravir 200mg 200 mg Tablet H 31/08/2023 16650 900
948 Fenofibrate 100 HEXPHARM JAYA, PT 31/07/2025 1776 60
949 Fenofibrate 300 HEXPHARM JAYA, PT 30/09/2024 3552 30
957 FG Troces MEIJI INDONESIA, PT 01/07/2025 1406 250
978 Fleet Enema Combhipar 19/04/2025 44366.7 3
980 Flexotide GSK 31/01/2025 14872 40
987 Flunarizin Tablet 5 mg Tablet BERNO 01/07/2024 1221 400
990 Fluzep OTTO PHARMACEUTICAL, PT 30/09/2024 1098.9 900
997 Folley cateter no 10 RUSH 13/08/2022 44622 10

1000 Folley cateter no 16 RUSH 01/01/2027 21494.04 60
1008 Foransi 20mg 20 mg Kapsul PT GRA 01/05/2025 4440 60
1017 FOSFOMYCIN 1 G BERNOFARM, PT 01/07/2027 72427.5 15
1020 Fosmicin 2 gr 2 gr Vial MEIJI INDONES 30/09/2024 188700 10
1026 Furosemid 40 mg Tablet YARINDO F 24/05/2026 199.8 7000
1030 Futrolit infus SANBE FARMA, PT 01/11/2025 39960 48
1043 garuk BSN 00/00/0000 6000 14
3288 Gelang manual 01/01/2027 975 200
1066 Gigasept 01/03/2025 1850925 1000
1067 Gigazym / cc 01/04/2025 3049.45 2000
1070 Gitas plus 30/06/2024 4495.5 200
1085 Glimepirid 3 mg Tablet HEXPHARM J 31/10/2026 666 1200
1086 Glimepirid 4 mg Tablet KIMIA FARMA 17/02/2026 754.8 350
1083 Glimepirid HEXPHARM JAYA, PT 30/11/2025 202.1 1100
1084 Glimepirid 2 mg Tablet HEXPHARM J 30/09/2026 244.2 2000
1092 Gliquidone 30mg 30 mg Tablet DEXA 01/08/2024 1336.94 500
1094 Gliserin 1 l 01/01/2027 79000 1
1095 gliserin guaikolat 30/11/2025 70.01 1000
1097 Glucosamin 250 mg 250 mg Kaplet 30/11/2024 710.4 600
1099 Glucosamine 500 mg Tablet 31/10/2027 1208.51 200
1102 Goflex 500 mg Tablet GUARDIAN P 01/04/2024 7215 90
1103 Goforan GUARDIAN PHARMATAMA, 01/05/2024 88245 17
1109 Gracef Inj 01/08/2024 116550 15
1113 Granicetron 3 mg Ampul OTTO PHAR 31/05/2025 39960 20
1129 Guide 9 airway 01/01/2026 30000 6
1133 Gypson 3 inch BSN 01/11/2024 30619.35 7
1134 Gypson 4 inch BSN 00/00/0000 42857.1 2

1135 Gypson 6 inch BSN 01/03/2025 56243.7 16
1147 Hansaplas Sachet PT. Beiersdorf Indo 01/01/2027 800 95
1160 Hepagusan inj 5000 IU Cc SANBE FA 01/11/2024 13469.85 450
1165 Herbeser inj 50 mg Vial 01/11/2023 165188.2 10
1166 Herbesser CD 100 13/08/2022 4791.87 400
1167 Herbesser CD 200 13/08/2022 5195.91 100
1181 Hipafix 13/08/2022 64.58 180000
1187 HS NITRIL 01/01/2027 1554 500
3355 HS non Steril non-powder 01/01/2027 1554 3000
1198 HYDROMAL INFUS 13/08/2022 49700.25 24
1210 Ibuprofen 400 mg Tablet TRIMAN P 01/11/2024 292.64 1000
1221 Imufor Tablet PT GRACIA PHARMIND 01/09/2023 5328 150
1242 Infus set Media B BRAUN, PT 01/04/2027 5247 100
1241 Infuset Pediatrik 01/01/2027 8500 20
1250 Injeksi 1 ml BD 01/01/2027 3045 300
3279 Injeksi 10 cc Gp Care 01/01/2027 1240.98 800
1251 Injeksi 20 ml 01/01/2027 1514.04 250
3242 Injeksi 3 Cc Gp Care 01/01/2027 900 900
1255 Injeksi 5 ml BD BSN 13/08/2022 2030 200
1256 Injeksi 5 ml Cozmo BSN 01/01/2027 968.72 1000
1254 Injeksi 50 ml Cosmomed 01/01/2027 8073.03 80
1272 Intrafix Air 01/05/2027 22992.54 20
1278 Iodin pov 1 ltr 01/01/2026 70000 1
1282 Iohexol 300/50mg 13/08/2022 166500 2
1289 Iremax Tablet GUARDIAN PHARMAT 01/10/2024 757.58 600
1292 ISDN 5mg 5 mg Tablet YARINDO FA 01/09/2025 146.32 900
1303 iv dressing 01/04/2027 2664 1000

1306 jelly/cc 13/08/2022 508 400
1391 K. Tali pusat 01/01/2026 3000 50
1309 Kaen 3A 14/10/2024 11605.05 40
1310 Kaen 3B 24/05/2024 11605.05 20
1317 Kalium Diklofenak 50 mg Tablet HE 30/09/2024 399.6 200
1330 Kapas 0,5 kg/1kg 01/01/2026 65000 1
1334 Kasa dus 16 x 16 steril( stoc/Box) 01/01/2027 4000 20
1335 Kasa gulung panjang 01/01/2027 95000 10
1339 Kassa gulung 10cm 01/01/2027 1440 100
1340 Kassa gulung 5cm /gulung 00/00/0000 450 100
1344 KCL 25ml 17/07/2024 3252.3 24
1352 Kertas EKG 80x30 01/01/2027 105000 8
3379 Ketanest/mg BERNOFARM, PT 01/03/2024 166.5 3
1358 Keto-G GUARDIAN PHARMATAMA, P 01/10/2024 4942.28 400
1359 Ketokonazole 200 mg Tablet HEXPHA 31/08/2024 432.35 400
1367 Ketoprofen 100 100 Tablet Tablet 01/09/2024 681.13 600
1368 ketoprofen 50mg 50 Tablet Tablet 01/08/2024 426.24 300
1368 ketoprofen 50mg 50 Tablet Tablet 01/10/2024 426.24 500
1372 Ketorolac 10 mg Tablet BERNOFARM, 01/06/2026 1404.15 120
1373 Ketorolac inj 30 mg Ampul HEXPHAR 31/05/2025 2623.66 816
1383 Kondom Katt s/m 01/01/2026 7500 40
1384 Korset lumbal 01/01/2027 110000 18
3271 KORSET LUMBAL XXL 01/01/2027 135000 3
1390 KSR 600 mg Kaplet MERCK INDONESI 00/00/0000 1858.75 100
3248 KTM/ mg GUARDIAN PHARMATAMA, 01/07/2024 147.91 3000
1404 KY jelly 01/01/2027 1015 400
1452 L - Bio LAPI LABORATORIES, PT 01/09/2024 6882 90

1416 Laktas Calcicus (Kalk) 500 mg Table 01/09/2027 215 800
1418 Lameson 8 mg Tablet LAPI LABORATO 01/07/2025 5328 100
1430 Lanzoprazole 30 mg Kapsul HEXPHAR 31/10/2024 499.5 3750
1431 Lapibal 500 Mcg Kapsul LAPI LABORA 01/09/2026 2220 400
1433 Lapibion 01/07/2024 1243.2 400
1495 Lethira 500 mg Tablet PHAROS INDO 01/10/2024 5050.5 280
1501 Leucoplast 7,5cm x 4,5 m besar 01/01/2027 65000 20
3214 LEVAZIDE PYRIDAM FARMA Tbk, PT 01/08/2024 3533.5 1200
1509 Levofloxacin 750mg Infus HEXPHARM 30/09/2023 124875 50
1510 Levofloxacin infus HEXPHARM JAYA, 31/07/2023 23310 40
1513 Levofloxaxin 500 mg Tablet NOVEL 01/08/2025 971.25 150
1519 Lidokain inj 2 % Ampul BERNOFARM, 01/09/2026 1165.5 400
1522 Lisinopril 10 mg Tablet OTTO PHARM 01/09/2027 585.53 180
1524 Lisinopril 5mg 5 mg Tablet OTTO PH 28/02/2025 350.76 480
1533 Lola (ORNISPAR) INJ 0.5 gr Ampul 01/04/2025 62160 15
1535 Lomatulle 01/01/2027 19000 22
1538 Loratadin 10mg 10 mg Tablet NOVE 31/10/2026 499.5 1000
1561 Manitol 11/10/2024 43894.95 52
1563 Masker PT. Intake Teknologi Indones 16/09/2027 280 2950
1569 Masker N95 01/01/2027 15000 20
1607 Meloxicam 7.5 mg Tablet OTTO PH 31/07/2026 340.06 50
1609 Meptin 0,05 SURYA DERMATO MEDI 07/10/2025 4136.3 1000
1615 Meropenem 1gr inj HEXPHARM JAYA, 31/07/2024 65934 25
1631 Methyl pednisolon inj 30/09/2024 29526 85
1633 Methyl Prednisolon 4 mg Tablet HE 30/09/2024 222.28 1100
1632 Methyl Prednisolone Tablet 16 mg Ta 01/09/2026 783.31 300
1628 Methylergometrine Inj 01/07/2024 3379.95 30

1636 Metil Prednisolone Tablet 8 mg Tab 01/10/2025 472.26 1200
1641 Metoclopramid 01/12/2025 206 600
1644 Metronidasol Bernofarm 01/10/2024 293.04 1100
1647 Meylon 25 cc 21/11/2023 6810.96 6
1648 MgSO4 20 % 25 cc 20/07/2024 3613.05 20
1649 MgSO4 40 % 25 cc 05/06/2024 4126.98 8
1662 Mikasin 250 mg 29/02/2024 103785 6
1796 N-hyocine inj OTTO PHARMACEUTICAL 31/05/2024 8991 30
1721 Na Diclofenac 50 50 mg Tablet Tabl 01/10/2025 275.28 450
1715 NaCl 3% Otsu SANBE FARMA, PT 13/08/2022 27549.42 20
1716 NaCl 500 ml SANBE FARMA, PT 01/06/2027 6862.02 380
1720 NaCl piggy BERNOFARM, PT 28/10/2024 6204.9 105
1724 Nairet 2.5 mg Tablet OTTO PHARMAC 31/03/2025 1398.6 2000
1725 Nairet inj OTTO PHARMACEUTICAL, P 30/11/2025 20979 60
1742 Nedle 26G BSN Medical, PT 13/08/2022 943.5 100
1743 Nedle no 23 BSN Medical, PT 31/12/2022 499.5 100
1744 Nedle no 24 (stoc/ pic) BSN Medical, 30/06/2027 425 700
1747 Needle novalet (stoc/ pic) BSN Medic 01/04/2027 2477.52 900
1752 Nefrofer inj KALBE FARMA, PT 31/08/2024 28758.99 50
3263 Neodex OP 100 Mcg Amp 30/09/2023 99900 10
1759 Nephrolit KALBE FARMA, PT 01/05/2024 474.53 500
1770 Neurodex DEXA MEDICA, PT 01/02/2024 579.98 600
1773 Neuromec PT MECOSIN INDONESIA 01/10/2024 0 1100
1779 Neurotropic PT GLOBAL MULTIPHA 01/04/2024 919.39 450
1784 NewdiaTablet 01/11/2024 227.05 400
1787 NGT 12 BSN Medical, PT 01/01/2027 33000 19
1789 NGT 16 01/01/2027 33000 52

1797 Nicardipine HCl Injeksi BERNOFARM, 01/07/2024 31746 10
1798 Nifedipin BERNOFARM, PT 13/08/2022 149.85 1000
1802 Nimodipin Inf BERNOFARM, PT 01/09/2024 135975 5
1807 Nitrokaf R 25mg KIMIA FARMA, PT 01/09/2024 1654.91 900
3310 Nocid KALBE FARMA, PT 01/03/2024 2886 -100
1809 Nonemi LAPI LABORATORIES, PT 01/07/2024 1687.2 300
1816 Norephineprine Bitartrate inj HEXP 31/08/2024 33300 50
1820 Norsec 40 mg/10 mL Ampul GUAR 01/03/2024 106782 10
1822 Nosirax METISKA FARMA, PT. 01/09/2024 4440 100
3243 Notisil 2 mg Tablet PT NOVELL 01/10/2024 765.9 500
1831 Nova T BSN Medical, PT 01/09/2025 300311.39 10
1832 Noveron inj CC NOVELL PHARMA, PT 01/06/2025 16650 60
1837 NRM dewasa BSN Medical, PT 01/01/2027 24975 26
3298 Nubac GUARDIAN PHARMATAMA, P 01/03/2024 132756 12
1839 Nubrex 100 mg Kapsul GUARDIAN 01/09/2025 3787.88 300
1843 Nulagyl Infus 500 mg/100 mL Flas 01/06/2024 54112.5 20
1846 Nursing cap BSN Medical, PT 01/01/2027 800 600
1849 Nutriflam TROPICA MAS PHARMACEUT 01/09/2024 11793.75 90
1853 Nystatin drop BERNOFARM, PT 01/07/2024 17094 20
1867 Ofloxacin Tablet 200 mg Tablet BER 01/06/2024 446.6 150
1871 Omeprazole Kapsul 20 mg Kapsul H 31/08/2024 226.62 1000
1877 Ondancetron 8 mg Tablet BERNOFAR 13/08/2022 1641.32 390
1876 Ondancetron inj 4 mg Ampul HEXPH 31/08/2024 16650 475
1878 Ondancetron inj 8 mg Ampul HEXPH 31/07/2024 23976 400
1894 Opsite Post 25x10 BSN Medical, PT 01/05/2027 37962 20

1903 Oseltamivir Tablet INDOFARMA, PT 13/08/2022 16650 100
1909 osteocal NICHOLAS LABORATORIES, P 31/08/2025 564.12 432
1924 Oxsitocin inj BERNOFARM, PT 01/07/2025 2414.25 20
1943 Panbio Covid-19 AG Rapid Test BSN M 13/08/2022 87690 475
1949 Pantoprazole inj 40 mg Vial BERNOF 30/09/2025 21498.48 70
1957 Paracetamol Infus BERNOFARM, PT 31/10/2024 15318 80
1961 Parasetamol strip 500 mg Tablet BE 01/12/2024 150.96 8200
1968 PD FIX CM BSN Medical, PT 01/08/2027 77.92 14000
1969 PD Gloves 7 BSN Medical, PT 01/12/2026 9990 100
1970 PD GLOVES 7,5 BSN Medical, PT 01/12/2026 9990 150
3251 PDT KIT 7 mm SINGLE STAGE PCS 01/03/2025 5328000 1
1977 Pehacain PHAPROS, PT 13/08/2022 6282.6 20
1987 Perfusor BSN Medical, PT 01/06/2027 37762.2 50
1989 Perhidrol 1ltr BSN Medical, PT 01/01/2027 51000 5000
1993 Pessarium 6.5 BSN Medical, PT 13/08/2022 149850 2
1995 Pessarium 7,5 BSN Medical, PT 13/08/2022 149850 1
2005 Phenytoin inj 100 mg/2 mL Ampul 21/07/2025 42385.61 10
2009 Pioglitazone 15 mg Tablet OTTO P 31/03/2024 2331 270
2010 Pioglitazone 30mg 31/07/2024 3108 390
2011 Piracetam 1200 mg Tablet HEXPHAR 01/08/2024 804.75 400
2012 Piracetam 12gr 01/08/2023 42735 25
2017 Piracetam 800 800 mg Tablet HEXPH 01/08/2024 583.42 400
2016 Piracetam inj 3 gr Ampul HEXPHARM 31/08/2024 10545 60
2054 PP test Onemed 01/01/2027 2200 100
3208 Pramiferol ER 0.375 0.375 Tablet T 01/08/2024 3050 300
2058 Pregabalin 75 mg Kapsul HEXPHARM 15/01/2026 4043.57 440
3283 PROINFARK 20 mg/1 mL Ampul PHAP 01/07/2026 13320 25

2091 Propanolol 10 mg Tablet DEXA MEDI 01/07/2027 84.89 800
2093 Propanolol 40 mg Tablet DEXA MEDI 01/05/2027 133.39 600
2096 Propofol inj 01/10/2024 666 500
3223 Prove Vit 757 mg Inj KALBE FARMA, 30/09/2024 183150 12
2116 PTU 100 mg Tablet DEXA MEDICA, PT 01/10/2026 500.9 1100
3361 Pulmicort Nebu 0.25 mg/0.5 Respul 31/08/2024 10573.25 75
2133 ramipril Tablet 10 mg Tablet 01/10/2024 1015.98 300
2133 ramipril Tablet 10 mg Tablet 01/11/2024 1015.98 30
2134 Ramipril Tablet 2.5 mg Tablet HEXP 01/10/2024 258.33 500
2135 Ramipril Tablet 5 mg Tablet BERNOF 01/10/2024 480.58 800
2136 Ranitidin 150mg 150 mg Tablet HEX 30/09/2024 191.48 900
2138 Ranitidin inj 25 mg/1 mL Ampul HE 15/08/2024 2074.72 450
2147 Rebamipid 100mg BERNOFARM, PT 01/10/2024 1370.85 900
3217 Renogen 2000 IU Syringe PT. Etana B 20/11/2024 54412.01 3
2159 Renxamin 30/09/2024 49790 2
2174 RHINOS SR Dexamedica 01/07/2024 5727.6 100
2177 Rifampicin 450 mg Tablet KIMIA FAR 03/06/2026 942.49 1800
2178 Rifampicin 600 13/08/2022 2997 300
2182 Ring AS SANBE FARMA, PT 01/11/2024 8879.29 240
2189 RL SANBE FARMA, PT 01/11/2025 7909.07 240
2193 Ropivell injeksi 01/10/2024 3996 100
2205 Sagestam injeksi SANBE FARMA, PT 01/09/2025 9102 50
2209 Salbutamol 2 mg Tablet YARINDO 30/11/2025 94.35 2200
2211 Salbutamol 4 mg Tablet YARINDO F 01/04/2024 129.87 500
2238 Sanmol 500 mg Tablet SANBE FARMA 01/07/2024 376.93 500
2253 Santagesik injeksi SANBE FARMA, PT 01/10/2025 5180.46 160
2266 Scot / Apron 01/01/2027 1942.5 250

2273 Selang O2 anak 01/01/2027 6055.05 50
2274 Selang O2 bayi 01/01/2027 6055.05 35
2275 Selang O2 dewasa 01/01/2027 6055.05 100
2278 Selang Section Cat 10 01/01/2027 3127.98 5
2279 Selang Section Cat 12 00/00/0000 3127.98 5
2301 Sevofluran NOVELL PHARMA, PT 01/10/2024 4848.48 500
3245 Sildenafil Citrate 50 mg Tablet NOV 01/07/2024 15540 60
2332 Simvastatin 10 30/09/2024 128.87 500
2333 Simvastatin 20 31/10/2024 828.8 1000
2335 Sistenol DEXA MEDICA, PT 01/08/2024 1953.6 660
2339 Skin traksi dws 01/07/2025 240059.7 2
2354 Sofband 3in BSN 01/12/2026 24175.8 12
2355 Sofband 4in BSN 01/12/2026 32800.5 12
2356 Sofband 6in BSN 01/12/2026 42757.2 2
2376 Spironolacton 25 mg Tablet OTTO 31/05/2025 430.68 500
2378 Spironolactone 100 mg Tablet OTTO 29/02/2024 1507.38 900
2387 Spongiostand 01/01/2027 65006.04 20
2393 Stardin 01/10/2025 164835 5
2423 Sulfas atropin 31/12/2024 1718 300
2427 Sumagesic 600mg 600 mg Tablet DA 01/09/2027 537.62 500
2428 Sungkup Dewasa/Anak 01/01/2027 16852.02 75
2446 Taping /cm 01/01/2027 114 7500
2463 Tensocrepe 3in 01/07/2027 66483.45 11
2464 Tensocrepe 4in 01/06/2027 80419.5 10
2465 Tensocrepe 6in 01/07/2027 105794.1 10
2466 Teosal DEXA MEDICA, PT 01/07/2025 210.9 1300
2470 Terastrach infus 30/09/2024 88800 10

2505 Tofedex inj LAPI LABORATORIES, PT 01/06/2024 42180 15
2517 Totilac 250 ml KALBE FARMA, PT 31/01/2024 86000 10
2543 Transfusi set TERUMO, PT 01/01/2027 29000 50
2548 Tremenza SANBE FARMA, PT 01/09/2025 1665 300
2559 Trifluoperazin Tablet 5 mg Table 30/04/2024 688.2 900
2563 Trilac / ML NOVELL PHARMA, PT 01/10/2025 19536 20
2585 Tutosol inf KALBE FARMA, PT 31/10/2024 37789.95 20
2598 Ulcan inj PT GRACIA PHARMINDO 01/09/2025 128760 20
2601 Ulsafate 500 mg/5ml Suspensi COM 16/08/2024 9390.6 350
2613 Urine bag 01/01/2027 4844.04 60
2618 Ursodeoxycholic Acid 250 mg Kaps 01/09/2024 3729.6 120
2618 Ursodeoxycholic Acid 250 mg Kaps 01/10/2024 3729.6 300
2650 V-bloc 6.25 mg Tablet KALBE FARMA, 30/09/2024 1036 1080
2661 Ventolin Nebu GLAXO SMITHKLINE, 31/05/2025 4799.97 215
2662 Verapamil 80 mg Tablet KIMIA FARM 23/02/2026 523.17 700
2692 Vit B 1 INDOFARMA, PT 01/08/2026 181.64 700
2695 Vit B1 inj PHAPROS, PT 31/07/2023 759.24 600
2694 Vit B12 PHAPROS, PT 01/09/2026 90.82 1200
2696 Vit B6 AFIFARMA LABORATORIES, PT 01/10/2026 123.61 400
2699 Vit C 1000 mg injeksi ETHICA, PT 01/09/2023 12987 30
2727 Winner adesive BSN 01/01/2027 32289.9 10
2741 Xephabion Metiska 01/03/2024 1554 300
2773 Zyfort inj Novell 01/09/2024 4467.75 60

TANGGAL 26 DESEMBER 2022
Kondisi
Stok Fisik No. Batch Keterangan
(Baik / Rusak)
150 Baik stok opname
5 Baik stok opname
720 1AE023 Baik stok opname
1320 1AI161 Baik stok opname
300 efk023 Baik stok opname
500 htacve26080 Baik stok opname
900 cm07902 Baik stok opname
2000 0108243 Baik stok opname
600 htaloc25116 Baik stok opname
100 HTALOD24105 Baik stok opname
1050 A06EO283 Baik stok opname
1200 F22030 Baik stok opname
14 Baik stok opname
15 Baik stok opname
2300 HTALNF25485 Baik stok opname
3700 htalne24604 Baik stok opname
600 TAMXB23654 Baik stok opname
200 ch6228 Baik stok opname
30 cf6047 Baik stok opname

30 Baik stok opname
50 cj4806a Baik stok opname
8 24e206 Baik stok opname
10 Baik stok opname
690 b77g52a Baik stok opname
10 3017a Baik stok opname
2000 HY130 Baik stok opname
9 Baik stok opname
1100 TMECB20164 Baik stok opname
600 tsj82951 Baik stok opname
80 ttaca20175-1 Baik stok opname
90 L14647J Baik stok opname
100 CC8637 Baik stok opname
400 cj2263b Baik stok opname
900 ef147 Baik stok opname
500 hh008 Baik stok opname
30 Baik stok opname
3300 htbspe25061 Baik stok opname
1650 HTBSPC25219 Baik stok opname
5 ibatc0080-3 Baik stok opname

15 24h198 Baik stok opname
500 htcntb25022 Baik stok opname
1000 tpk24651 Baik stok opname
300 F10770B Baik stok opname
20 24H295 Baik stok opname
10 Baik stok opname
2 k223a6872 Baik stok opname
1200 KPH33451 Baik stok opname
15 HG301 Baik stok opname
10 Baik stok opname
19 j7172 Baik stok opname
1400 kcfmc21434 Baik stok opname
700 TCETA20378 Baik stok opname
23 Baik stok opname
158 icfta20536 Baik stok opname
2 Baik stok opname
40 psk61250 Baik stok opname
474 ICFRA21902 Baik stok opname
50 kkcexa25018 Baik stok opname
2 Baik stok opname
250 HTCTRC25110 Baik stok opname
1300 htcfxc25316 Baik stok opname
125 ICTLA20082 Baik stok opname
120 ICTLB20082-1 Baik stok opname
200 tpe56051 Baik stok opname
18 ch4021 Baik stok opname

150 efg280 Baik stok opname
250 EFJ118 Baik stok opname
1250 htcplb25079 Baik stok opname
600 CJ0009 Baik stok opname
3 71f22d0501 Baik stok opname
1 71f22c2560 Baik stok opname
60 ph027 Baik stok opname
40 Baik stok opname
2000 TPL39851 Baik stok opname
200 PIK29351 Baik stok opname
10 pin27950 Baik stok opname
10 24g368 Baik stok opname
50 24i319 Baik stok opname
50 n046017b Baik stok opname
1000 A08622JZ Baik stok opname
900 J11516B Baik stok opname
500 t3722022 Baik stok opname
50 Baik stok opname
350 hg304 Baik stok opname
400 24k067 Baik stok opname

8 4711331an Baik stok opname
10 24I106 Baik stok opname
700 htdpdb25119 Baik stok opname
1100 b234401008 Baik stok opname
15 b2397140 Baik stok opname
50 Baik stok opname
10 iemgb20012 Baik stok opname
300 efi070 Baik stok opname
100 9622d0118a Baik stok opname
2 Baik stok opname
10 Baik stok opname
50 3a1025 Baik stok opname
900 ktfava26021 Baik stok opname
60 kkfnbc24015 Baik stok opname
30 KGBTB20010 Baik stok opname
40 gm7123 Baik stok opname
400 TPH02351 Baik stok opname
900 22J0973 Baik stok opname
10 Baik stok opname

60 Baik stok opname
60 HE008 Baik stok opname
15 PSH41251 Baik stok opname
7000 e20296b Baik stok opname
48 cl3038b Baik stok opname
14 Baik stok opname
200 T082L010 Baik stok opname
1200 HTGMPL25038 Baik stok opname
350 b20268j Baik stok opname
1100 HTGMPG26048 Baik stok opname
2000 HTGMPK25252 Baik stok opname
1 Baik stok opname
600 HTGLCB26030 Baik stok opname
15 hh301 Baik stok opname
20 22c6572 Baik stok opname
6 Baik stok opname
2 Baik stok opname

95 Baik stok opname
450 CL3425 Baik stok opname
10 xa011 Baik stok opname
24 Baik stok opname
1000 x22012 Baik stok opname
150 pj013 Baik stok opname
20 Baik stok opname
80 Baik stok opname
20 22f09k8121 Baik stok opname
1 Baik stok opname
2 Baik stok opname
900 a02303iz Baik stok opname

50 Baik stok opname
40 a83j52a Baik stok opname
20 a93e52a Baik stok opname
200 htdpsb25108 Baik stok opname
1 Baik stok opname
20 Baik stok opname
10 Baik stok opname
24 b86g52b Baik stok opname
8 Baik stok opname
3 pid4125 Baik stok opname
400 HTKCZB24267 Baik stok opname
300 EFG291 Baik stok opname
500 efj270 Baik stok opname
816 iktrb20493 Baik stok opname
40 Baik stok opname
18 Baik stok opname
3 Baik stok opname

800 IRR026095 Baik stok opname
100 q1122 Baik stok opname
3750 klspb20672 Baik stok opname
400 g1262 Baik stok opname
400 W7062 Baik stok opname
280 d2k391d Baik stok opname
20 Baik stok opname
1200 HY040 Baik stok opname
50 I021026A Baik stok opname
40 I020097B Baik stok opname
150 efh111 Baik stok opname
180 TPK19251 Baik stok opname
480 22B0284 Baik stok opname
15 24D109 Baik stok opname
22 Baik stok opname
1000 TLRTB20796 Baik stok opname
52 a80j52a Baik stok opname
2950 SSTANH2022041 Baik stok opname
20 Baik stok opname
50 22G6670 Baik stok opname
1000 d76j52a Baik stok opname
25 IMRPA21390 Baik stok opname
1100 HTMPSD25472 Baik stok opname

600 RL061G Baik stok opname
1100 tpl34051 Baik stok opname
6 B90K51A Baik stok opname
8 B74F52A Baik stok opname
6 imika00004 Baik stok opname
30 22e0406 Baik stok opname
20 Baik stok opname
105 A97J52A Baik stok opname
2000 22C6574 Baik stok opname
60 22L1035 Baik stok opname
50 kanfra24036 Baik stok opname
10 2110318c Baik stok opname
500 knhlc23156 Baik stok opname
400 rk1101 Baik stok opname
19 Baik stok opname
52 Baik stok opname

15 Baik stok opname
10 Baik stok opname
10 PIH83751 Baik stok opname
900 i20232b Baik stok opname
-100 Baik stok opname
300 w6082 Baik stok opname
50 INONA20003-1 Baik stok opname
100 t420400901 Baik stok opname
10 tu03k70 Baik stok opname
60 24E260 Baik stok opname
26 Baik stok opname
20 2201019 1 Baik stok opname
90 oi0231 Baik stok opname
20 sch25051 Baik stok opname
150 EFF016 Baik stok opname
1000 KOPZB20788 Baik stok opname
475 I0DSA20040 Baik stok opname
400 KT0DSB24355 Baik stok opname

20 24f425 Baik stok opname
70 VPALA20081 Baik stok opname
80 n027063a Baik stok opname
100 203147573SPZ Baik stok opname
150 203147573SPZ Baik stok opname
1 Baik stok opname
20 Baik stok opname
50 22f19k8411 Baik stok opname
5 Baik stok opname
2 Baik stok opname
1 Baik stok opname
400 tsj79851 Baik stok opname
25 pij77250 Baik stok opname
400 TSJ80351 Baik stok opname
60 Baik stok opname
300 bp182220a Baik stok opname
440 A20129J Baik stok opname

600 53f1022 Baik stok opname
500 24K363C Baik stok opname
12 vpria20017 Baik stok opname
1100 53I0110 Baik stok opname
75 sdyc Baik stok opname
30 efk052 Baik stok opname
900 htrntb25263 Baik stok opname
3 Baik stok opname
2 N002014D Baik stok opname
1800 F20977J Baik stok opname
240 CL3006A Baik stok opname
240 cl3116e Baik stok opname
100 24K316 Baik stok opname
50 CJ3445 Baik stok opname
2200 a08229kz Baik stok opname
500 cg8168 Baik stok opname
160 ck3419 Baik stok opname

50 Baik stok opname
35 Baik stok opname
5 Baik stok opname
5 Baik stok opname
60 24G381 Baik stok opname
500 HTSVND25689 Baik stok opname
1000 HTSVNE25171 Baik stok opname
500 22E0585 Baik stok opname
900 22B0250 Baik stok opname
20 Baik stok opname
300 9621M0363A Baik stok opname
75 Baik stok opname
10 N024010B Baik stok opname

15 u6182 Baik stok opname
10 N001001C Baik stok opname
50 Baik stok opname
300 cj2078 Baik stok opname
20 24i156b Baik stok opname
20 n030081a Baik stok opname
20 hj301 Baik stok opname
60 Baik stok opname
1080 ktvbck25045 Baik stok opname
215 xw1019 Baik stok opname
700 b10234b Baik stok opname
700 h30212 Baik stok opname
1200 i20206 Baik stok opname
400 j10201 Baik stok opname
10 Baik stok opname

Form Stok Opname Gudang Farmasi Tanggal 26 Desember 2022 HPP Sisa Id Barang (Jangan Diubah) Nama (Jangan Diubah) ED (Jangan Diubah)

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Form Stok Opname Gudang Farmasi Tanggal 26 Desember 2022 HPP Sisa Id Barang (Jangan Diubah) Nama (Jangan Diubah) ED (Jangan Diubah)

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FORM STOK OPNAME GUDANG FARMASI TANGGAL 26 DESEMBER 20

22 Abbocat 20 B BRAUN, PT 01/06/2027 7150 100

23 Abbocat 22 B BRAUN, PT 01/03/2027 7150 150

24 Abbocat 24 BSN 01/08/2027 7382 100

25 Abbocat 26 BSN 01/01/2027 7300.47 5

31 Acarbose 100 mg Tablet FAHRENHEIT 01/05/2024 1794.87 720

34 Acarbose 50 mg Tablet FAHRENHEIT, 30/09/2024 1062.27 1320

36 Acetylsistein 200 mg Kapsul Etercon 01/11/2024 666 300

47 Acyclovir 400 mg Tablet HEXPHARM 30/11/2024 1476.3 500

51 Adalat oros 30 mg Tablet BAYER IND 01/01/2025 3986 900

75 Alkohol 1 lt 70 % Cc BRATACO, PT 01/01/2027 25 3000

79 alkohol swab BSN 01/01/2027 145 7700

80 Alleron 4 mg Tablet MEGA ESA FARM 01/08/2027 111 2000

84 Allopurinol 100 mg Tablet HJ 31/10/2024 188.7 600

85 Allopurinol 300 mg Tablet HJ 31/08/2024 419.58 100

91 Alpara MOLEX AYUS, PT 30/10/2026 630.69 1050

102 Ambroxsol 30 mg Tablet 01/06/2024 238.96 1200

110 Aminoleban OTSUKA INDONESIA, PT 13/08/2022 73462.02 14

117 Amiodaron inj 50 mg Injeksi DARYA 13/08/2022 5550 15

120 Amlodipin 10 mg Tablet HEXPHARM J 31/10/2024 390.72 2300

122 Amlodipin 5 mg Tablet HEXPHARM JA 31/08/2024 199.8 3700

3203 amoxicillin 500 mg Tablet HJ 30/10/2024 393.91 600

132 Amoxsan 500 mg Kaplet SANBE FARM 01/08/2025 3113.55 200

131 Amoxsan SANBE FARMA, PT 01/06/2024 20424 30

143 Anbacim inj SANBE FARMA, PT 01/09/2024 37364.65 50

147 Antalgin 500 mg Tablet BERNOFARM, 30/09/2025 180.01 3500

152 Antasida tb 30/11/2026 85.01 300

3282 ANTIPAC NOVELL PHARMA, PT 01/05/2024 103785 8

158 Apron lengan panjang BSN 13/08/2022 19425 10

162 Aqua 25 Cc Cairan OTSUKA INDONESI 08/07/2025 2648.46 690

161 Aqua SANBE FARMA, PT 30/05/2027 19506.59 98

170 Arixtra 2.5 mg Injeksi GLAXO SMITHK 01/05/2024 216515.6 10

172 Arkine 2 mg Tablet 01/08/2025 494.17 2000

173 Armsling(S/M/L) BSN 01/01/2027 21000 9

178 Asam Folat / Starfolat PHAPROS, PT 15/07/2025 188.7 5700

179 Asam mefenamat 500 mg Tablet HE 30/10/2024 244.2 1100

183 Asam Tranexamat 500 mg Tablet BE 01/08/2024 1498.5 600

184 Asam Tranexamat INJ 500 mg Injeks 30/09/2024 4370.63 80

195 Aspilet 80 mg Tablet DARYA VARIA 09/01/2025 601.07 1500

215 Azitromycin 500 mg Tablet HEXPHAR 15/12/2026 3052.5 90

226 Becom C SANBE FARMA, PT 01/03/2024 1486.01 100

241 Berry vision SANBE FARMA, PT 01/09/2024 3223.44 400

249 Betahistin 6 mg Tablet DEXA MEDICA 01/09/2024 419.58 900

294 Bio ATP PHAPROS, PT 13/08/2022 2139.66 300

3218 BIOMETIS METISKA FARMA, PT. 31/07/2024 1198.8 400

300 Bionemi PT GRACIA PHARMINDO 01/08/2024 1776 500

313 Bisacodyl 5 mg Tablet Etercon Pharm 01/06/2024 301.92 30

316 Bisoprolol 2.5 mg Tablet HEXPHARM 31/10/2024 122.1 3300

317 Bisoprolol 5 mg Tablet HEXPHARM JA 31/10/2024 427.35 1650

331 Brainact inj 500 mg Ampul KALBE FA 30/06/2024 73593 5

392 Candesartan 16 mg Tablet HEXPHARM 31/10/2024 800.87 500

394 Candesartan 8 mg Tablet BERNOFARM 01/09/2024 832.5 1000

408 Captopril 25 mg Tablet ERRITA PH 13/08/2022 87 800

406 Captopril 12.5 mg Tablet 31/05/2026 172.36 300

412 Carbazochrome inj 50 mg/10 mL Amp 01/08/2024 11511.14 20

435 Catapres 13/08/2022 98651.25 10

447 Cealb 25% 100ml 100 ml Flash 31/05/2025 1604454.55 2

454 Cefadroxyl 500 mg Tablet HEXPHARM 01/07/2027 550.97 1200

455 Cefarin Inj 01/07/2024 86025 15

459 cefazolin inj BERNOFARM, PT 01/05/2024 44400 10

463 Cefim injeksi 01/07/2024 186480 19

464 Cefixim 100 mg Kapsul HEXPHARM JA 31/10/2024 721.5 1400

3209 Cefixime 200 mg Kapsul HJ 30/11/2024 2425.35 700