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Purchase Request (00005/PR/PMC/04/2020) Tanggal Keterangan: DPHO No. Status Kode Item Nama Item Satuan Jumlah Sisa Stok Devecta KET

This document is a purchase request from April 2, 2020 for the DPHO (District Public Health Office). It requests various pharmaceutical items totaling 55,136,756 Rupiah. The request includes medications like acarbose, alprazolam, amlodipine, and insulin products. It provides information on the item codes, names, units, quantities requested, remaining stock, and notes on select items. Coordination and approval signatures are at the bottom.

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Titha Rahmi
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0% found this document useful (0 votes)
95 views4 pages

Purchase Request (00005/PR/PMC/04/2020) Tanggal Keterangan: DPHO No. Status Kode Item Nama Item Satuan Jumlah Sisa Stok Devecta KET

This document is a purchase request from April 2, 2020 for the DPHO (District Public Health Office). It requests various pharmaceutical items totaling 55,136,756 Rupiah. The request includes medications like acarbose, alprazolam, amlodipine, and insulin products. It provides information on the item codes, names, units, quantities requested, remaining stock, and notes on select items. Coordination and approval signatures are at the bottom.

Uploaded by

Titha Rahmi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Purchase Request [00005/PR/PMC/04/2020 ]

Tanggal  : 02-04-2020

Keterangan : DPHO

No. Status Kode Item Nama Item Satuan Jumlah Sisa Stok Devecta KET
1 reguler OBT00005 Acarbose 100 mg ( DPHO ) TABLET 2000 3300 6378 fast moving
2 reguler OBT00007 Acarbose 50 mg ( DPHO ) TABLET 7200 0 7252 fast moving
3 reguler OBT02775 Adalat oros 30mg (DPHO) TAB 30 0 28
4 reguler OBT03126 Alpentin 100 mg (DPHO) TABLET 1900 0 1892 fast moving
5 reguler OBT02900 Amlodipin 5 mg Tab (DPHO) TABLET 2400 3900 7472 fast moving
6 reguler OBT02908 Amlodipine 10 mg Tab (DPHO) TABLET 4200 4800 10422 fast moving
7 reguler OBT03079 Avamys nasal spray/btl @120 spray (DPHO) BOTOL 2 0 2
8 reguler OBT032041 Azithromycin 500mg DPHO TAB 20 0 31
9 reguler OBT00290 Berotec MDI Inhaler (DPHO) BOTOL 9 0 9
10 reguler OBT032042 BETAMETASON 0,1% CR (DPHO) TUBE 10 0 11
11 reguler OBT00352 bisoprolol tab (DPHO) TAB 3000 0 2913 fast moving
12 reguler OBT02778 candesartan 16mg (DPHO) TAB 1100 0 1143 fast moving
13 reguler OBT02777 candesartan 8mg (DPHO) TAB 1200 0 1263 fast moving
14 reguler OBT03142 Clonidin 0.15 mg tablet (DPHO) TABLET 100 0 0
15 reguler OBT02886 clopidogrel 75 mg (DPHO) TABLET 300 0 345
16 reguler OBT03106 Clozapine 25 mg tablet (DPHO) TABLET 200 0 242
17 reguler OBT00636 combivent nebules (dpho) AMPUL 400 100 407
18 reguler OBT00642 concor 2.5 mg (DPHO) TABLET 1300 0 1364 fast moving
19 reguler OBT03019 Depakote 250 Tablet (DPHO) TAB 100 0 100
20 reguler OBT03170 Depakote ER 250 (DPHO) TAB 100 0 73
21 reguler OBT03108 Depakote ER 500 mg (DPHO) TABLET 100 0 88
22 reguler OBT03132 Diamicron mr 60 mg (DPHO) TAB 270 0 270
23 reguler OBT03133 Fenofibrate 100mg (DPHO) KAPSUL 30 0 28
24 reguler OBT03134 Fenofibrate 300mg (DPHO) KAPSUL 30 0 7
25 reguler OBT02780 flixotide nebu (DPHO) VIAL 50 0 54
26 reguler OBT03153 Furosemide Tablet (DPHO) TABLET 3600 3800 7403 fast moving
27 reguler OBT01050 gemfibrozil caps (DPHO) TABLET 100 0 0
28 reguler OBT01086 gliquidone 30 mg tab (DPHO) TABLET 100 0 179
29 reguler OBT01139 harnal 0,2 mg tab (DPHO) BOX 168 0 179
30 reguler OBT03083 *HIGH ALERT* Ezelin Insulin (DPHO) FLEXPEN 40 0 44 fast moving
31 reguler OBT02887 *HIGH ALERT* Humalog Mix 25 Kwik Pen (DPHO) FLEXPEN 5 5 17
32 reguler OBT01439 *HIGH ALERT* Lantus solostar pen (DPHO) BUAH 10 0 34
33 reguler OBT01474 *HIGH ALERT* Levemir flexpen inj (DPHO) BUAH 15 5 29
34 reguler OBT01821 *HIGH ALERT* NovoMix flexpen inj (DPHO) BUAH 50 75 222 fast moving
35 reguler OBT01824 *HIGH ALERT* NovoRapid flexpen inj (DPHO) BUAH 30 40 116
36 reguler OBT03154 Hydrochlortiazide Tablet (DPHO) TAB 200 0 284 fast moving
37 reguler OBT03179 Iliadin Spray (DPHO) FLS 1 0 1
38 reguler OBT02903 isosorbid dinitrate tablet (DPHO) TABLET 200 0 205
39 reguler OBT03192 Ka-en 3B otsuka (DPHO) infus LABU 10 0 3
40 reguler OBT01399 ksr tab (DPHO) TABLET 600 400 1001
41 reguler OBT03146 Lansoprazole Kapsul (DPHO) KAPSUL 2000 0 0 fast moving
42 reguler OBT01452 laxadine 30 ml syr (DPHO) BOTOL 10 0 0
43 reguler OBT0289732 Lisinopril 10 mg tab (DPHO) TABLET 4500 0 4594 fast moving
44 reguler OBT03135 Loratadin Tablet (DPHO) TAB 500 0 584
45 reguler OBT02884 metformin 500 mg (DPHO) TABLET 10000 0 19969 fast moving
46 reguler OBT02885 metformin 850 mg (DPHO) TABLET 100 0 183
47 reguler OBT02947 Metronidazol syr 125 mg/5 ml (DPHO) FLS 10 0 0
48 reguler OBT01794 nitrokaf retatd (DPHO) BUAH 500 0 484 fast moving
49 reguler OBT03157 Prednison 5mg Tablet (DPHO) TAB 200 0 0
50 reguler OBT03158 Propanolol 10 mg Tablet (DPHO) TAB 200 0 0
51 reguler OBT02163 retaphyl SR tab (DPHO) TABLET 500 700 1575 fast moving
52 reguler OBT03104 Risperidone 1 mg tablet (DPHO) TABLET 1200 0 1257 fast moving
100
1200
53 reguler OBT03105 Risperidone 2 mg tablet (DPHO) TABLET 100 0 104
54 reguler OBT03156 Salbutamol 2mg (DPHO) TAB 500 0 481
55 reguler OBT03144 Salbutamol syr (DPHO) FLS 10 0 0
56 reguler OBT02299 seretide diskus 100mg (DPHO) BOTOL 13 0 13
57 reguler OBT03114 Seretide Diskus 500mg (DPHO) FLES 4 0 4
58 reguler OBT02902 Simvastatin 10 mg tablet (DPHO) TABLET 300 0 0
59 reguler OBT02907 Simvastatin 20 mg tablet (DPHO) TABLET 300 0 0
60 reguler OBT02368 spironolakton 25mg (DPHO) TABLET 1500 0 3498 fast moving
61 reguler OBT02877 Sucralfat Syr 100 ml (DPHO) FLS 100 0 1
62 reguler OBT02417 symbicort 160/4,5 60 dosis (DPHO) BOTOL 3 0 3
63 reguler OBT03139 Symbicort 160/4,5 ug 120 dosis(DPHO) CAN 1 0 1
64 reguler OBT03138 Trifluoperazine 5 mg tablet (DPHO) TABLET 30 0 0
65 reguler OBT0289730 Valproic acid 250 mg/5 ml (DPHO) BOTOL 10 9 20
66 reguler OBT02635 ventolin neb (DPHO) AMPUL 100 0 98
67 reguler OBT03059 Viccillin Sx 1500 inj (DPHO) VIAL 30 0 35
68 reguler OBT03155 Vitamin B6 Tablet (DPHO) TAB 4000 0 4129 fast moving
69 reguler OBT03016 Warfarin Tablet (DPHO) TABLET 100 0 91
70 reguler OBT02948 Zinc syr 20 mg/5 ml (DPHO) FLS 10 0 0

Rp 55,136,756

Koord. Logistik farmasi Petugas Gudang Farmasi

Iftitah Rahmi Yayuk Nuryanah

Waka Umum pjs Ka Inst. Farmasi

Zul Kurniawan,dr Anisa Desy


Karumkit

Bagus Anindito,dr
 :   DPHO
  

Action

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