PEMERINTAH PROVINSI SULAWESI SELATAN

RUMAH SAKIT UMUM DAERAH HAJI MAKASSAR

Jl. Dg. Ngeppe No. 14 Telp (0411) 856091 Fax (0411) 855934 Kode Pos 90224 Makassar

Dokumen Hasil Analisis

(Pengadaan Pembelian)
2023

Nama : Ida F. Abdullah, S.Farm., Apt

NIP : 19880525 201001 2 010
Pangkat/Golongan : Penata, III/c
Jabatan : Apoteker Muda
Unit Pelayanan : Instalasi Farmasi
Bulan : April 2023
3. Melakukan analisis rencana usulan pembelian sediaan farmasi, alat
Butir Kegiatan kesehatan dan BMHP
:

JENIS SEDIAAN YANG

NO TANGGAL METODE PEMBELIAN JUMLAH
DIRENCANAKAN

1 3/4/2023 BMHP epurchasing/manual 1

2 3/4/2023 OBAT PATEN epurchasing/manual 1

3 4/4/2023 OBAT GENERIK epurchasing/manual 1

4 4/4/2023 BMHP epurchasing/manual 1

5 5/4/2023 OBAT GENERIK epurchasing/manual 1

TOTAL 5

Makassar, 02 Mei 2023

Pegawai Yang Bersangkutan Kepala Instalasi Farmasi

Ida F. Abdullah, S.Farm., Apt Hj. Fischa Rahmatullaily, S.Si., Apt., M.Kes
NIP: 19880525 201001 2 010 NIP: 19760927 199702 2 001
 RENCANA USULAN PEMBELIAN SEDIAAN FARMASI

NO NAMA BARANG UNIT JUMLAH

1 V15 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodied,

Pcs 60
1/2 circle, 40 mm
2 V10 T-Vio Polyglycolide 2-0, 90 cm Round Bodied, 1/2
Pcs 48
circle, 25 mm
3 V1 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodied,
Pcs 48
1/2 circle, 40 mm
4 USG Gel 250 ml Onemed Tube 10
5 Urine Bag 2000 ml Bg 200
6 Three Way Stopcock OM Box 10
7 Three Way Stop W/Tube OM Box 2
8 Thoracic Catheter With Trocar 20 CH Pcs 10
9 T-Hernia Mesh Heavy Mesh Square 6 cm x 11 cm Pcs 12
10 Thermal Wristband 7022V-12-PDM Pink Pcs 1000
11 Thermal Wristband 7022V-12-PDM Blue Pcs 1000
12 Sterald OPA Solution 5 L Pcs 2
13 SPMED Master Gynaecology Sterile Gloves M Psg 30
14 SPMED Latex Examination Gloves Pre-Powdered S Box 150
15 SPMED Latex Examination Gloves Pre-Powdered M Box 150
16 Signagel ECG Jelly 250 Gr Parker Tube 5
17 Sasklin Handwash 5 L Jrg 10
18 Sarung tangan Plastik PE Onemed Box 20
19 Poligyp 15 cm x 2,7 m Rol 50
20 Polifix 15 cm x 5 m Box 30
21 Poliban 15 cm x 2,7 m Roll 80
22 Plesterin Bulat Box 30
23 Nipro Infusion Set Pcs 2000
24 Nasal Canula Dewasa Meddis Pcs 200
25 My Jelly 82 gr Onemed Tube 24
26 Medso Care Surgical Masker 3 Ply Headloop Box 100
27 Medso Care Surgical Masker 3 Ply Earloop Box 80
28 Medika Povidone 10% 1 L Btl 20
29 Masker O2 Rebreathing Dws Meddis Pcs 30
30 Masker O2 Non Rebreathing Dws Meddis Pcs 100

31 L19 T-Lene Polyvinylidene 3-0, 76 cm Reverse Cutting,

Pcs 96
3/8 Circle, 24 mm

Makassar, 03 April 2023

Yang Menerima, Yang Menyerahkan

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NO NAMA BARANG UNIT JUMLAH
1 2 Ways, Folley Catheter - 16 FR Pcs 160
2 AC Swab 2% Box 36
3 Alkohol Swab Onemed Box 120
4 Apron One Box 50
5 Bio Pen Electrosurgical Pencil Pcs 30
6 C27 T-Chromic Catgut Chromic 2-0, 90 cm Round Bodied, 1/2
Pcs 48
circle, 35 mm
7 C43 T-Chromic Catgut Chromic 3-0, 90 cm Round Bodied, 1/2
Pcs 24
Circle, 26 mm
8 Cuplik Kasa Hidrofil 40 YD x 80 Rll 15
9 Cutimed Gel 15 gr Tub 50
10 CVC Set : 3 Lumen 7 FR x 20 cm AGB Pc 9
11 Disp Syringe 1 ml TB 26Gx1/2"/2613 Luer Slip R-N Pcs 2000
12 Disp syringe 20 ml Without Needle Luer Slip R-N Pcs 200
13 Disp Syringe 3 ml Luer Lock With Needle 23Gx1 1/4"R Pcs 9800
14 Disp Syringe 5 ml Luer Lock With Needle 22Gx1 1/2"R Pcs 5100
15 Disp Syringe 50 ml W/O Needle (LS) BLS E-Beam Pcs 150
16 Disp Syringe10 ml Luer Lock With Needle 21Gx 1/2 "R Pcs 5000
17 Docare Apron Plastik Box 5
18 Docare Standar Wash Gloves 2SP Pack 50
19 Dry Film Di-HL 26x36 Pcs 5
20 Endotracheal Tube W/Cuffed-7 1/2 Pcs 20
21 FM Crepe 10 cm x 4,55 m Rol 60
22 FM Crepe 15 cm x 4,55 m Rol 36
23 Foley Catheter 3 Way No.24 RUSCH GOLD Pcs 20
24 Folley Catheter 2 way No.16 Cosmomed Pcs 30
25 I.V Catheter 20Gx1 1/4"/2032-N-PU Pcs 500
26 ID Band Anak Blue Onemed Box 3
27 ID Band Anak Pink Onemed Box 3
28 IV Catheter 24 (GEA) Box 4
29 IV Catheter 26 (GEA) Box 3
30 Jelly Nuprep Tube 3

Makassar, 04 April 2023

Yang Menerima, Yang Menyerahkan

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 RENCANA USULAN PEMBELIAN SEDIAAN FARMASI

NO NAMA BARANG UNIT JUMLAH

1 Acetylcystein kapsul 200 mg Box 30
2 Acyclovir 200 mg tab Box 30
3 Amlodipine Besilate 10 mg tab Box 50
4 Antihemoroid suppo Box 10
5 Atorvastatin 20 mg tab Box 10
6 Betahistin tab 6 mg Box 30
7 Candesartan tab 8 mg Box 50
8 Cefadroxil 125mg/5ml syrup Btl 100
9 Citicoline sodium 500 mg/4ml inj Box 50
10 Clobazam 10 mg tab Box 80
11 Clopidogrel 75 mg tab Box 100
12 Clozapin tab 25 mg Box 30
13 Desoximetasone 0.25 cream 15 gr Box 10
14 Dexamethasone 0.5 mg tab Box 15
15 Gentamicin 40mg/ml inj Box 60
16 Glimepiride tab 2 mg Box 45
17 Haloperidol 0.5mg tab Box 30
18 Lisinopril tab 5 mg Box 15
19 Mecobalamin inj 500 mcg Box 25
20 Methylprednisolone tab 4 mg Box 50
21 Metoclopramide HCL 10 mg tab Box 10
22 Metoclopramide HCL inj Box 100
23 Metronidazole 500 mg/100ml Btl 100
24 Mometasone Furoate 1mg/g Box 20
25 Otsu-Manitol 20 Btl 80
26 Oxytocin inj 10 IU Box 5
27 Quetiapine Fumarate 100 mg tab Box 15
28 Salbutamol Sulfate 2.5mg/2.5ml cairan inhalasi Box 20
29 Vitamin C putih 50 mg tab Box 50
30 Vitamin C putih 50 mg tab Box 10
31 Wida W1 unicap 1000 ml Btl 50
32 Zinc 20 mg tab dispersibel Box 20

Makassar, 04 April 2023

Yang Menerima, Yang Menyerahkan

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 RENCANA USULAN PEMBELIAN SEDIAAN FARMASI

NO NAMA BARANG UNIT JUMLAH

1 Dopamine ij 200 mg/5ml Box 6
2 Fenofibrate caps 300 mg Box 10
3 Fentanyl Citrate inj 2 ml Box 60
4 Furosemide inj 10 mg Box 40
5 Gabapentin caps 300 mg Box 70
6 Gemfibrozil 300 mg kaps Box 5
7 Gentamicin 40 mg/ml inj Box 40
8 Gentamycin 0.1% tube 5 gr Box 10
9 Glimepiride 4 mg tab Box 30
10 Glimepiride tab 4 mg Box 15
11 Guaifenesin 100 mg tab Box 20
12 Haloperidol 5 mg tab Box 20
13 Hydrocortison 100 mg inj Box 50
14 Hydrocortison 2.5% cr tube 5 gr Box 1
15 Hyocine-Butylbromide injeksi Box 20
16 Ibuprofen 400 mg tab Box 10
17 Ketorolac Trometamol inj @1ml Box 100
18 Lansoprazole 20 mg kaps Box 100
19 Levofloxacin 500 mg kaplet Box 15
20 Levofloxacin Hemihydrate Box 10
21 Levofloxacin infus Btl 500
22 Lidocaine 2%/2ml inj Box 20
23 Mecobalamin inj 500 mcg Box 50
24 Mecobalamin kaps 500 mcg Box 100
25 Mefenamic Acid 500 mg kaps Box 30
26 Mefenamic Acid 500 mg kaps Box 50
27 Meloxicam 15 mg tab Box 31
28 Meloxicam 15 mg tab Box 19
29 Meropenem 1 vial @1 gr Box 100
30 Metamizole SDM Monohdrate 1000 mg/2ml inj Box 20
31 Metformin HCL 500 mg Box 25
32 Metformin Hcl tab 500 mg Box 16

Makassar, 05 April 2023

Yang Menerima, Yang Menyerahkan

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 RENCANA USULAN PEMBELIAN SEDIAAN FARMASI
NO NAMA BARANG UNIT JUMLAH
1 Aminofusin Paed 250 Ml Btl 3
2 Asering Soft Bag 500 Ml Bag 960
3 Aspilet Box 30
4 B Fluid 500 Ml Btl 80
5 Biocombin Inj Box 120
6 Clinoleiq 20% 100Ml Btl 20
7 Cllinimix 1Liter Bag 24
8 Concor 1,25 mg Box 10
9 Curcuma Force Box 30
10 Ericaf Box 9
11 Fargoxin Injeksi 2 Ml Box 5
12 Human Albumin 20% 50 Ml Btl 30
13 L-Bio Sachet Box 10
14 Levemir Flex pen Box 10
15 Mersibion 5000 Box 50
16 Miniaspi Box 70
17 Norages Inj 2Ml Box 200
18 Onbrez 0,150 Mg Box 30
19 Plasbumin 20% 50 Ml Btl 60
20 Ryzodeg Flex Touch Box 10
21 Sagestam Inj Box 20
22 Sandepril 50Mg Box 50
23 Sanmol Drop Btl 10
24 Sanmol Sirup Btl 10
25 Spiriva 2,5 mcg Box 30
26 Stolax Suppositoria Box 10
27 Supralysin Baby Drop Btl 30
28 Supralysin Sirup 60 Ml Btl 100
29 Tremenza Sirup Btl 20
30 Tremenza Tablet Box 10
31 Urotractin Kapsul Box 3
32 Viccillin 250 Ml Inj Vial 300

Makassar, 3 April 2023

Yang Menerima, Yang Menyerahkan

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