<table align="center" style=" width:60%" >

<tr>
<td align="center">
<big><span style="font-weight: bold;">
LPO - FARMASI POLINDES PILANGKENCENG<br>01-2023
</span></big>
</td>
</tr>
</table>

<table align="center" width="95%" border="1" style="border-collapse:collapse">

<tr class="row1" align="center">
<td class="garis" >No</td>
<td width="25%" class="garis" >Nama</td>
<td class="garis" >Sumber Dana</td>
<td width="7%"class="garis" >Satuan</td>
<td width="10%"class="garis" >Stok Awal</td>
<td width="10%"class="garis" >Penerimaan</td>
<td width="10%"class="garis" >Persediaan</td>
<td width="10%"class="garis" >Pengeluaran</td>
<td width="15%"class="garis" >Stok Akhir</td>
<td class="garis" >Stok Optimum</td>
<td class="garis" >Permintaan</td>
<td class="garis" >Pemberian</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
1 </td>
<td align="left" class="garis">ALAT SUNTIK SEKALI PAKAI 3 ML</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">PCS</td>

<td class="garis" >

80
</td>

<td class="garis" >

100 </td>

<td class="garis" >

180 </td>

<td class="garis" >

24 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
156 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
 </td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
2 </td>
<td align="left" class="garis">ALKOHOL SWAB</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">PCS</td>

<td class="garis" >

174
</td>

<td class="garis" >

100 </td>

<td class="garis" >

274 </td>

<td class="garis" >

24 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
250 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
3 </td>
<td align="left" class="garis">ALLOPURINOL TABLET 100 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

300 </td>

<td class="garis" >

300 </td>

<td class="garis" >

60 </td>
<td align="center" class="garis">
 <table width='100%'>
<tr>
<td align='left' >
240 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
4 </td>
<td align="left" class="garis">ALLOPURINOL TABLET 300 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

100 </td>

<td class="garis" >

100 </td>

<td class="garis" >

70 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
30 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
5 </td>
<td align="left" class="garis">AMLODIPINE TABLET 10 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>
 <td class="garis" >
590
</td>

<td class="garis" >

600 </td>

<td class="garis" >

1190 </td>

<td class="garis" >

330 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
860 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
6 </td>
<td align="left" class="garis">AMLODIPINE TABLET 5 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

1590
</td>

<td class="garis" >

900 </td>

<td class="garis" >

2490 </td>

<td class="garis" >

1140 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
1350 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
 <td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
7 </td>
<td align="left" class="garis">AMOXYCILLIN TABLET 500 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

174
</td>

<td class="garis" >

1000 </td>

<td class="garis" >

1174 </td>

<td class="garis" >

570 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
604 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
8 </td>
<td align="left" class="garis">ANTACIDA TABLET 400 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

48
</td>

<td class="garis" >

500 </td>

<td class="garis" >

548 </td>
 <td class="garis" >
390 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
158 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
9 </td>
<td align="left" class="garis">ASAM FOLAT 1 MG </td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

230
</td>

<td class="garis" >

</td>

<td class="garis" >

230 </td>

<td class="garis" >

30 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
200 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
10 </td>
<td align="left" class="garis">ASAM MEFENAMAT TABLET 500 MG</td>
<td align="left" class="garis">
 GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

600 </td>

<td class="garis" >

600 </td>

<td class="garis" >

300 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
300 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
11 </td>
<td align="left" class="garis">ASCORBIC ACID (VITAMIN C) TABLET 250
MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

216
</td>

<td class="garis" >

</td>

<td class="garis" >

216 </td>

<td class="garis" >

30 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
186 </td>
<tr>
</table>
 </td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
12 </td>
<td align="left" class="garis">ASPIRIN (ASETOSAL) TABLET 80 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

120
</td>

<td class="garis" >

</td>

<td class="garis" >

120 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
120 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
13 </td>
<td align="left" class="garis">ATTAPULGITE 630 MG / PULAREX</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

200 </td>
 <td class="garis" >
200 </td>

<td class="garis" >

60 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
140 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
14 </td>
<td align="left" class="garis">BEDAK SALISIL SERBUK 2 %</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">KOTAK</td>

<td class="garis" >

3
</td>

<td class="garis" >

12 </td>

<td class="garis" >

15 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
15 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
 <td align="left" class="garis">
15 </td>
<td align="left" class="garis">CALCIUM LACTATE TABLET 500 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

500 </td>

<td class="garis" >

500 </td>

<td class="garis" >

70 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
430 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
16 </td>
<td align="left" class="garis">CAPTOPRIL TABLET 12.5 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

440
</td>

<td class="garis" >

</td>

<td class="garis" >

440 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
 440 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
17 </td>
<td align="left" class="garis">CAPTOPRIL TABLET 25 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

600
</td>

<td class="garis" >

</td>

<td class="garis" >

600 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
600 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
18 </td>
<td align="left" class="garis">CEFADROXIL SIRUP 125 MG/5 ML</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">BOTOL</td>

<td class="garis" >

11
</td>
 <td class="garis" >
</td>

<td class="garis" >

11 </td>

<td class="garis" >

5 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
6 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
19 </td>
<td align="left" class="garis">CEFADROXIL TABLET 500 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">KAPSUL</td>

<td class="garis" >

10
</td>

<td class="garis" >

400 </td>

<td class="garis" >

410 </td>

<td class="garis" >

120 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
290 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
 </td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
20 </td>
<td align="left" class="garis">CHLORAMPHENICOL KAPSUL 250 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">KAPSUL</td>

<td class="garis" >

180
</td>

<td class="garis" >

100 </td>

<td class="garis" >

280 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
280 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
21 </td>
<td align="left" class="garis">CHLORPHENIRAMINE MALEAT TABLET 4 MG
(CTM)</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

1000 </td>

<td class="garis" >

1000 </td>

<td class="garis" >

865 </td>
 <td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
135 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
22 </td>
<td align="left" class="garis">COTRIMOXAZOLE (DOEN I DEWASA) :
Sulfametoxazole 400 mg + Trimetoprim 80 mg tablet</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

50
</td>

<td class="garis" >

300 </td>

<td class="garis" >

350 </td>

<td class="garis" >

120 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
230 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
23 </td>
<td align="left" class="garis">COTRIMOXAZOLE SUSPENSI KOMBINASI:
SULFAMETOXAZOLE 200 MG + TRIMETROPIN 40 MG/5 ML</td>
<td align="left" class="garis">
 GFK </td>
<td class="garis">BOTOL</td>

<td class="garis" >

1
</td>

<td class="garis" >

</td>

<td class="garis" >

1 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
1 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
24 </td>
<td align="left" class="garis">DEXAMETHASONE 0.5 MG TABLET</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

600 </td>

<td class="garis" >

600 </td>

<td class="garis" >

160 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
440 </td>
<tr>
</table>
 </td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
25 </td>
<td align="left" class="garis">DIMENHYDRINATE TABLET 50 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

110
</td>

<td class="garis" >

300 </td>

<td class="garis" >

410 </td>

<td class="garis" >

130 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
280 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
26 </td>
<td align="left" class="garis">DIPHENHYDRAMINE INJEKSI 10 MG/ML</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">AMPUL</td>

<td class="garis" >

25
</td>

<td class="garis" >

30 </td>
 <td class="garis" >
55 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
55 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
27 </td>
<td align="left" class="garis">DOMPERIDONE TABLET 10 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

187
</td>

<td class="garis" >

300 </td>

<td class="garis" >

487 </td>

<td class="garis" >

200 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
287 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
 28 </td>
<td align="left" class="garis">DOXYCYCLINE TABLET 100 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">KAPSUL</td>

<td class="garis" >

30
</td>

<td class="garis" >

</td>

<td class="garis" >

30 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
30 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
29 </td>
<td align="left" class="garis">FITOMENADION (VIT. K1) 10 MG TABLET
SALUT GULA</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

100 </td>

<td class="garis" >

100 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
 100 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
30 </td>
<td align="left" class="garis">FUROSEMIDE TABLET 40 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

30
</td>

<td class="garis" >

</td>

<td class="garis" >

30 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
30 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
31 </td>
<td align="left" class="garis">GENTAMYCIN SULFAT DROPS 0.3 %( tetes
mata ) </td>
<td align="left" class="garis">
GFK </td>
<td class="garis">BOTOL</td>

<td class="garis" >

6
 </td>

<td class="garis" >

</td>

<td class="garis" >

6 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
6 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
32 </td>
<td align="left" class="garis">GLIBENCLAMIDE TABLET 5 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

290
</td>

<td class="garis" >

300 </td>

<td class="garis" >

590 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
590 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
 <td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
33 </td>
<td align="left" class="garis">GLIMEPIRIDE TABLET 2 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

710
</td>

<td class="garis" >

600 </td>

<td class="garis" >

1310 </td>

<td class="garis" >

750 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
560 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
34 </td>
<td align="left" class="garis">GLIMEPIRIDE TABLET 3 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

15
</td>

<td class="garis" >

</td>

<td class="garis" >

15 </td>

<td class="garis" >

</td>
 <td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
15 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
35 </td>
<td align="left" class="garis">GRISEOFULVIN TABLET 125 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

60
</td>

<td class="garis" >

</td>

<td class="garis" >

60 </td>

<td class="garis" >

60 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
0 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
36 </td>
<td align="left" class="garis">HIDROKORTISON CREAM 2,5%</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TUBE</td>
 <td class="garis" >
2
</td>

<td class="garis" >

100 </td>

<td class="garis" >

102 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
102 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
37 </td>
<td align="left" class="garis">IBUPROFEN TABLET 400 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

60
</td>

<td class="garis" >

1000 </td>

<td class="garis" >

1060 </td>

<td class="garis" >

350 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
710 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
 </td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
38 </td>
<td align="left" class="garis">KASA STERIL 16 X 16 CM (KOTAK)</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">KOTAK</td>

<td class="garis" >

7
</td>

<td class="garis" >

</td>

<td class="garis" >

7 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
7 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
39 </td>
<td align="left" class="garis">KLORAMFENIKOL TETES MATA 0.5% (Reco
TM)</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">BOTOL</td>

<td class="garis" >

10
</td>

<td class="garis" >

</td>

<td class="garis" >

 10 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
10 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
40 </td>
<td align="left" class="garis">KLORAMFENIKOL TETES TELINGA 1 %</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">BOTOL</td>

<td class="garis" >

0
</td>

<td class="garis" >

5 </td>

<td class="garis" >

5 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
5 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
41 </td>
 <td align="left" class="garis">LIDOCAINE INJEKSI 2%</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">AMPUL</td>

<td class="garis" >

23
</td>

<td class="garis" >

</td>

<td class="garis" >

23 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
23 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
42 </td>
<td align="left" class="garis">LORATADINE TABLET 10 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

100
</td>

<td class="garis" >

</td>

<td class="garis" >

100 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
100 </td>
<tr>
 </table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
43 </td>
<td align="left" class="garis">MASKER HIJAB (HEADLOOP) </td>
<td align="left" class="garis">
GFK </td>
<td class="garis">PCS</td>

<td class="garis" >

56
</td>

<td class="garis" >

</td>

<td class="garis" >

56 </td>

<td class="garis" >

48 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
8 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
44 </td>
<td align="left" class="garis">MASKER KARET (EARLOOP)</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">PCS</td>

<td class="garis" >

55
</td>

<td class="garis" >

 300 </td>

<td class="garis" >

355 </td>

<td class="garis" >

63 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
292 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
45 </td>
<td align="left" class="garis">Medroxy Progesteron Acetat Inj.</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">VIAL</td>

<td class="garis" >

0
</td>

<td class="garis" >

</td>

<td class="garis" >

0 </td>

<td class="garis" >

0 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
0 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
 <tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
46 </td>
<td align="left" class="garis">METFORMIN HCL TABLET 500 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

1930
</td>

<td class="garis" >

200 </td>

<td class="garis" >

2130 </td>

<td class="garis" >

270 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
1860 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
47 </td>
<td align="left" class="garis">METRONIDAZOLE TABLET 500 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

22
</td>

<td class="garis" >

200 </td>

<td class="garis" >

222 </td>

<td class="garis" >

52 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
 <td align='left' >
170 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
48 </td>
<td align="left" class="garis">MICONAZOLE SALEP 2%</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TUBE</td>

<td class="garis" >

10
</td>

<td class="garis" >

</td>

<td class="garis" >

10 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
10 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
49 </td>
<td align="left" class="garis">MULTIVITAMIN SYRUP (LYTACUR Syrup 60
ml)</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">BOTOL</td>

<td class="garis" >

 7
</td>

<td class="garis" >

</td>

<td class="garis" >

7 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
7 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
50 </td>
<td align="left" class="garis">NATRIUM DIKLOFENAK TABLET 25 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

90
</td>

<td class="garis" >

300 </td>

<td class="garis" >

390 </td>

<td class="garis" >

280 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
110 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
 </td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
51 </td>
<td align="left" class="garis">OBAT BATUK HITAM (OBH) SIRUP</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">BOTOL</td>

<td class="garis" >

0
</td>

<td class="garis" >

10 </td>

<td class="garis" >

10 </td>

<td class="garis" >

7 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
3 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
52 </td>
<td align="left" class="garis">OMEPRAZOLE KAPSUL 20 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">KAPSUL</td>

<td class="garis" >

140
</td>

<td class="garis" >

</td>

<td class="garis" >

140 </td>

<td class="garis" >

 90 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
50 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
53 </td>
<td align="left" class="garis">PARACETAMOL SIRUP 120 MG/5 ML</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">BOTOL</td>

<td class="garis" >

6
</td>

<td class="garis" >

</td>

<td class="garis" >

6 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
6 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
54 </td>
<td align="left" class="garis">PARACETAMOL TABLET 500 MG</td>
<td align="left" class="garis">
GFK </td>
 <td class="garis">TABLET</td>

<td class="garis" >

133
</td>

<td class="garis" >

1000 </td>

<td class="garis" >

1133 </td>

<td class="garis" >

485 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
648 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
55 </td>
<td align="left" class="garis">PIRIDOKSIN HCL ( VIT. B6 ) 10 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

25
</td>

<td class="garis" >

300 </td>

<td class="garis" >

325 </td>

<td class="garis" >

20 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
305 </td>
<tr>
</table>

</td>
 <td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
56 </td>
<td align="left" class="garis">PREDNISONE TABLET 5 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

200 </td>

<td class="garis" >

200 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
200 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
57 </td>
<td align="left" class="garis">RANITIDINE TABLET 150 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

220
</td>

<td class="garis" >

500 </td>

<td class="garis" >

 720 </td>

<td class="garis" >

190 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
530 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
58 </td>
<td align="left" class="garis">SALBUTAMOL TABLET 2 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

80
</td>

<td class="garis" >

100 </td>

<td class="garis" >

180 </td>

<td class="garis" >

20 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
160 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
59 </td>
 <td align="left" class="garis">SALEP 2-4 KOMBINASI: ASAM SALISILAT 2% +
BELERANG ENDAP 4%</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">POT</td>

<td class="garis" >

24
</td>

<td class="garis" >

</td>

<td class="garis" >

24 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
24 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
60 </td>
<td align="left" class="garis">SETIRIZINE SIRUP 5 MG/ML</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">BOTOL</td>

<td class="garis" >

3
</td>

<td class="garis" >

5 </td>

<td class="garis" >

8 </td>

<td class="garis" >

</td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
8 </td>
 <tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
61 </td>
<td align="left" class="garis">SIANOKOBALAMIN (VITAMIN B12) INJEKSI 500
MCG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">AMPUL</td>

<td class="garis" >

48
</td>

<td class="garis" >

50 </td>

<td class="garis" >

98 </td>

<td class="garis" >

12 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
86 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
62 </td>
<td align="left" class="garis">SIANOKOBALAMIN TABLET 50 MCG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

50
</td>
 <td class="garis" >
500 </td>

<td class="garis" >

550 </td>

<td class="garis" >

60 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
490 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
63 </td>
<td align="left" class="garis">SIMVASTATIN TABLET 20 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

300 </td>

<td class="garis" >

300 </td>

<td class="garis" >

170 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
130 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
 </td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
64 </td>
<td align="left" class="garis">TABLET TAMBAH DARAH KOMBINASI Fe + ASAM
FOLAT</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

170
</td>

<td class="garis" >

300 </td>

<td class="garis" >

470 </td>

<td class="garis" >

30 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
440 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
65 </td>
<td align="left" class="garis">THIAMINE (VITAMIN B1) 50 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

0
</td>

<td class="garis" >

400 </td>

<td class="garis" >

400 </td>

<td class="garis" >

</td>
 <td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
400 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
66 </td>
<td align="left" class="garis">VITAMIN B KOMPLEKS: VITAMIN B1 2 MG,
VITAMIN B2 2 MG, VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG</td>
<td align="left" class="garis">
GFK </td>
<td class="garis">TABLET</td>

<td class="garis" >

190
</td>

<td class="garis" >

300 </td>

<td class="garis" >

490 </td>

<td class="garis" >

290 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
200 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<tr valign="top" class="font a-font"bgcolor="#efefef" class="garis">
<td align="left" class="garis">
67 </td>
<td align="left" class="garis">ZINC SULPHATE TABLET 20 MG</td>
<td align="left" class="garis">
GFK </td>
 <td class="garis">TABLET</td>

<td class="garis" >

22
</td>

<td class="garis" >

200 </td>

<td class="garis" >

222 </td>

<td class="garis" >

52 </td>
<td align="center" class="garis">
<table width='100%'>
<tr>
<td align='left' >
170 </td>
<tr>
</table>

</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
<td align="center" class="garis">
</td>
</tr>
<!--
===================================================================================
==================================-->
</table>