FORM STOK OPNAME

Tanggal :

No RAK Nama ED Jumlah

1 1 Alat cukur Gillets Vectors
2 1 ALKOHOL (ML)
3 1 ALKOHOL 70% 100ML ONEMED
4 1 BLOOD SET OM
5 1 BLOOD SET-TERUMO
6 1 CANGKANG CAPSUL 0
7 1 CANGKANG CAPSUL 00
8 1 FORMALIN 37%
9 1 FUTROLIT INF
10 1 H2O2 3% 800 ML
11 1 INFUSAN D5 1/2 NS SANBE
12 1 INFUSAN D5 1/4 NS SANBE
13 1 INFUSAN D5 SANBE
14 1 INFUSAN NS SANBE
15 1 INFUSAN RD
16 1 INFUSAN RING AS
17 1 INFUSAN RING AS SANBE
18 1 INFUSAN RL SANBE
19 1 INFUSET NIPRO
20 1 INFUSET PEDIATRIC
21 1 KA EN 3B
22 1 KERTAS PUYER
23 1 OTSU ASERING
24 1 OTSU D10
25 1 OTSU D10 1/5NS
26 1 OTSU D5,1/4 NS \ RS
27 1 OTSU KA-EN 3B
28 1 OTSU KA-EN MG3
29 1 OTSU NS 100ML
30 1 OTSU NS 3% 500 ML
31 1 OZYME
32 1 PISAU CUKUR 3BLADE
33 1 POVIDON IODINE 1000 ml
34 1 SANBE HES 130
35 1 SPUIT 1 CC NIPRO
36 1 SPUIT 10 CC NIPRO
37 1 SPUIT 10 CC TERUMO
38 1 SPUIT 20 CC / RS
39 1 SPUIT 3 CC NIPRO
40 1 SPUIT 3 CC TERUMO
41 1 SPUIT 5 CC NIPRO
42 1 SPUIT 5 CC ONEMED
43 1 SPUIT 5 CC TERUMO
44 1 SPUIT 50 CC LP (LUBANG PINGGIR)
45 1 SPUIT 50 CC LT (LUBANG TENGAH)
46 1 TRIDEX 27 B
47 1 URINAL LK
48 1 URINAL PR
49 1 WATER FOR INJEKSI
50 1 WIDA D10% OGB
51 1 WIDA D5 1/2 NS
52 1 WIDA D5 1/4 NS
53 1 WIDA D5% OGB
54 1 WIDA NS 0.9% 500 ML
55 1 WIDA RD
56 1 WIDA RL 500 ML
 FORM STOK OPNAME RS
PUSURA
Tanggal :

No RAK Nama ED Jumlah

57 2 AESCULAP 10
58 2 AESCULAP 11
59 2 AESCULAP 15
60 2 AESCULAP 20
61 2 ALKOHOL SWABS
62 2 ARM SLING L ONEMED
63 2 ARM SLING M Actimove
64 2 ARM SLING M ONEMED
65 2 ARM SLING S ONEMED
66 2 BENANG SAFIL 1 HR (SACHET)
67 2 BENANG SILK 1/0
68 2 BENANG SILK 3/0
69 2 BENANG T-PLAIN 1
70 2 C CENFRESH MDS
71 2 C PANTOCAIN 0.5%
72 2 C.CATARLENT ED 5CC
73 2 C.CONVER 2% EYE DROP
74 2 C.FLOXA MDS
75 2 CATGUT CHROMIC 2/0
76 2 CATH VASOFIX 18
77 2 CATH VASOFIX 20
78 2 CATH VASOFIX 22
79 2 CATH VASOFIX 24
80 2 CENDO ASTHENOF MDS
81 2 CENDO AUGENTONIC MDS
82 2 CENDO CATARLENT MDS
83 2 CENDO EFRISEL 10% ED 5 ML
84 2 CENDO EYEFRESH PLUS
85 2 CENDO GENTAMYCIN EYE OINT
86 2 CENDO GIFLOX MDS
87 2 CENDO HYALUB MDS
88 2 CENDO LENTIKULAR MD
89 2 CENDO LFX MDS
90 2 CENDO LYTEERS ED
91 2 CENDO MYDRIATIL 0.5 % ED
92 2 CENDO NATACEN MDS
93 2 CENDO NONCORT MDS
94 2 CENDO POSOP MDS
95 2 CENDO P-PRED MDS
96 2 CENDO SILOXAN ED
97 2 CENDO TIMOL 0,5% MDS
98 2 CENDO TOBROSON EO
99 2 CENDO VITROLENTA ED
100 2 CERASPON
101 2 COBAZYM 3000 MG
102 2 CURASPON STANDART
103 2 DARYANT TULLE
104 2 ELEKTRODA BAYI
105 2 ELEKTRODA DEWASA
106 2 FLAMAR ED
107 2 FOLIC ACID TAB
108 2 GENOINT SALEP MATA
109 2 GENOINT TETES MATA
110 2 HANSAPLAST KECIL
111 2 HARNAL OCAS 400 MCG
112 2 HYALOPH ED
113 2 HYPAVIX 5CMX5M
114 2 ISOPORE
115 2 ISOPORE 1/2
116 2 IV CATH 26 POLYFLEX
117 2 JARUM 25 G (BD)
118 2 JARUM NOVOFINE
119 2 KACA MATA SAFETY
120 2 KARY UNI E.D 5 ML
121 2 KASA GULUNG 10CM
122 2 KASA STERIL 16X16
123 2 KONDOM SUTRA
124 2 LEUKOPLAST
125 2 LEVOCIN ED
126 2 LIDOCAIN INJ
127 2 LIDODEX 5% INJ
128 2 MAXTER NO. 6,5
129 2 MAXTER NO.7
130 2 MAXTER NO.7,5
131 2 M-Y JELLY
132 2 NEOFLON 26G
133 2 NUSOTER TAB
134 2 OCUFLAM 0.1% ED
135 2 OCUFRESH ED
136 2 OPTHALENT ED
137 2 OTSU D40 25 ML
138 2 OTSU KCL 7.46
139 2 OTSU MEYLON 8.4% 25 ML
140 2 OTSU MGSO4 20% 25 ML
141 2 OTSU MGSO4 40% 25 ML
142 2 PEHACAIN INJ
143 2 PERBAN GULUNG 10 CM
144 2 PERBAN GULUNG 5 CM
145 2 POLIDEMISIN ED
146 2 POLYBAN 3 INCH
147 2 POLYBAN 4 INCH
148 2 POLYBAN 6 INCH
149 2 POLYCREPE 3 INCH
150 2 POLYCREPE 4 INCH
151 2 POLYCREPE 6 INC
152 2 POLYFLEX 26
153 2 POLYGRAN SALEP
154 2 POLYGYP 3 INCH
155 2 POLYGYP 4 INCH
156 2 POLYGYP 6 INCH
157 2 POVIDONE IODINE 60ML
158 2 PRORENAL TAB
159 2 SANBRETH NASAL DROP
160 2 SEPTILIN TAB
161 2 SOFBAND 3 INC
162 2 SOFBAND 4 INC
163 2 SOFBAND 6 INC
164 2 SPINOCAIN 25G
165 2 SPINOCAN 26 EGEMEN
166 2 SPINOCAN 27G
167 2 sucralfat tab apt
168 2 SUPLASYN INJ
169 2 SURFLO 20
170 2 SURFLO 22 (BIRU)
171 2 T HERNIA MESH
172 2 T MONO 2/0
173 2 T MONO 3/0
174 2 T NILON 2/0
175 2 T NILON 3/0
176 2 T NILON 4/0
177 2 T NILON 5/0
178 2 T NILON 6/0
179 2 T SILK 1/0 ROUND
180 2 T SILK 2/0 ROUND
181 2 T SILK 3/0 ROUND
182 2 T VIO 1/0 ROUND BODIED
183 2 T VIO 2/0
184 2 T VIO 2/0 CUTTING V66
185 2 T VIO 3/0
186 2 T VIO 4/0
187 2 T VIO 5/0
188 2 T-CATGUT PLAIN 2/0
189 2 T-DIO
190 2 TIM OPHTAL 0.5 ED
191 2 T-MONO 3-0 CUTTING
192 2 URINE COLLECTOR PAEDIATRIC
193 2 VASACON ED
194 2 WING NEEDLE 25 OM

FORM STOK OPNAME

Tanggal :

No RAK Nama ED Jumlah

195 3 ACARBOSE 100MG
196 3 ACARBOSE 50 MG
197 3 ACETIN 200 CAPS
198 3 ACETYLSISTEIN 200MG CAPS
199 3 ACYCLOVIR 400 MG TAB
200 3 ADALAT OROS 30 MG
201 3 AKILEN 400MG TAB
202 3 ALLOPURINOL 100 MG
203 3 ALLOPURINOL 300MG
204 3 ALPENTIN 100 MG
205 3 AMBEVEN CAPS
206 3 AMBROXOL TAB
207 3 AMLODIPINE 10 MG TAB
208 3 AMLODIPINE 5 MG TAB
209 3 AMOXICILLIN 500 MG
210 3 AMOXSAN 500 MG CAPS
211 3 ANOXI PLUS CAPS
212 3 APRON OK
213 3 ASAM MEFENAMAT 500 MG
214 3 ASAM TRANEXAMAT 500MG
215 3 ASPILET TAB
216 3 ATORVASTATIN 10 MG
217 3 ATORVASTATIN 20 MG
218 3 AZITHROMYCIN 500 MG
219 3 BECOM - C CAPLET
220 3 BECOM-ZET TAB
221 3 BETAHISTIN 6 MG TAB
222 3 BISOPROLOL 2,5 MG
223 3 BISOPROLOL 5 MG TAB
224 3 BROMIFAR TAB
225 3 CAL-95
226 3 CALCIFAR
227 3 CANDESARTAN 16MG TAB
228 3 CANDESARTAN 8MG TAB
229 3 CAPTOPRIL 25 MG TAB
230 3 CARBIDU 0,5 MG TAB
231 3 CARDISAN 10MG TAB
232 3 CARDISAN 5MG TAB
233 3 CECYL PLUS TAB
234 3 CEFADROXIL 500 TAB
235 3 CEFIXIME 100 MG
236 3 CEFIXIME 200 MG
237 3 CERINI KAPLET
238 3 CETIRIZINE TAB
239 3 CHLORAMPHENICOL GEN
240 3 CIPROFLOXACIN 500 MG
241 3 CLINDAMYCIN 300 MG CAP
242 3 CLOPIDOGREL 75 MG TAB
243 3 CO AMOXYCLAV 625
244 3 COROSORB TAB
245 3 CORTIDEX TAB
246 3 CTM 4 MG TAB
247 3 CURCUMIN FORTE TAB
248 3 DEXAMETHASON 0,5 TAB
249 3 DIMENHYDRINATE 50 MG
250 3 DOPAMET 250 MG TAB
251 3 DUPHASTON TAB
252 3 DUVADILAN TABLET
253 3 EFOMET XR 500MG
254 3 ELKANA SYR
255 3 EPEXOL TAB
256 3 ERYSANBE 500 MG CAPLET
257 3 ERYTHROMYCIN 500MG
258 3 ESTALEX
259 3 FENOFIBRATE 300MG
260 3 FG TROCHES
261 3 FLAMAR 50 MG
262 3 FLOXIGRA 500MG
263 3 FLUCONAZOLE 150MG
264 3 FLUNARIZIN 5 MG
265 3 FOLAVIT 400 MCG
266 3 FORBETES 500 MG TAB
267 3 FORBETES 850 MG TAB
268 3 FORDIN 150MG TAB
269 3 FUROSEMIDE TAB 40 MG
270 3 GABAPENTIN 300
271 3 GAMMEX LATEX NO 7.5
272 3 GCM
273 3 GEMFIBROZIL 300MG
274 3 GLAUCON 250 TAB
275 3 GLAUSETA TAB
276 3 GLIBENCLAMID TAB
277 3 GLIMEPIRIDE 1MG
278 3 GLIMEPIRIDE 2 MG TAB
279 3 GLIMEPIRIDE 3 MG TAB
280 3 GLIMEPIRIDE 4 MG
281 3 GLIQUIDONE 30
282 3 gown surgical spunlace
283 3 GUAIFENESIN TAB
284 3 HCT 25MG
285 3 HEPTASAN TAB
286 3 HISTAPAN TAB
287 3 HISTIGO
288 3 IBUPROFEN 200 MG TAB
289 3 IBUPROFEN 400 MG TAB
290 3 ISOSORBID DINITRAT TAB
291 3 KADITIC 50 MG
292 3 KETOKONAZOL 200 MG TAB
293 3 KETOPROFEN 100 MG
294 3 KSR TAB
295 3 LANSOPRAZOLE TAB
296 3 LAPRAZ CAPS
297 3 LEVOFLOXACIN 500 MG
298 3 LISINOPRIL 10 MG
299 3 LISINOPRIL 5 MG
300 3 LODIA TAB
301 3 LOPERAMID 2MG
302 3 LORATADIN TAB
303 3 MAXTER NO.8
304 3 MECOBALAMIN 500MG
305 3 MELOXICAM 15 MG TAB
306 3 MELOXICAM 7.5MG
307 3 METFORMIN 500 MG
308 3 METHILPREDNISOLON 4MG TAB
309 3 METIL PREDNISOLON 4MG
310 3 METIL PREDNISOLON 8MG
311 3 METRONIDAZOLE 500 TAB
312 3 MICROGYNON LIBI
313 3 MOXIFLOXACIN 400 MG
314 3 MUCOHEXIN 8 MG
315 3 NA DIKLOFENAK 50 MG
316 3 NATRIUM DIKLOFENAK 50 MG
317 3 NIFEDIPIN TAB
318 3 OMEPRAZOLE CAP
319 3 ONDANSENTRON 4 MG TAB
320 3 PARACETAMOL 500 MG TAB
321 3 PARACETAMOL TAB
322 3 PIOGLITAZONE 15
323 3 PIOGLITAZONE 30
324 3 PIROXICAM 10 MG TAB
325 3 PROPANOLOL 10MG
326 3 PTU 100 MG
327 3 RANITIDINE TAB 150 MG
328 3 SALBUTAMOL 2 MG TAB
329 3 SALBUTAMOL 4 MG TAB
330 3 SIMVASTATIN 10 MG
331 3 SIMVASTATIN 20MG
332 3 SPIRONOLACTONE 100 MG
333 3 SPIRONOLACTONE 25MG
334 3 SURGICAL GOWN SPUNLACE XL
SURGICAL GOWN SPUNLACE
3
335 XXL
336 3 THIAMPHENICOL 500 MG
337 3 UDCA 250
URSODEOXYCHOLIC ACID
3
338 (UDCA)
339 3 ZINC TAB

FORM STOK OPNAME

Tanggal :

No RAK Nama ED Jumlah

485 4 SCOPMA PLUS
486 4 SIRPLUS SYR
487 4 SOLVINEX INJ
488 4 SPALK P 15CM
489 4 SPALK P 40CM
490 4 SPALK P 90CM
491 4 SPASMINAL TAB
492 4 SPORETIK 100 MG
493 4 SPORETIK 200 MG
494 4 SUCRALFAT SYR
495 4 TABLET TAMBAH DARAH
496 4 TEOSAL TABLET
497 4 TERFACEF INJ
498 4 THROMBOPHOP GEL KECIL
499 4 TOPAZOL INJ
500 4 TRADOSIK 50MG CAPS
501 4 TRADOSIK INJ
502 4 TREMENZA TAB
503 4 TRICHODAZOL 500 MG TAB
504 4 TRIOCID TAB
505 4 TROVENSIS INJ 4 MG
506 4 TROVENSIS INJ 8 MG
507 4 TROVENSIS TAB 4 MG
508 4 TUZALOS
509 4 UNDERPAD 60 X 90
510 4 UNDERPAD STERIL
511 4 UROTRACTIN 400 MG
512 4 VASODRIN AMP
513 4 VENTASAL NEBUL
514 4 VENTOLIN NEBULES 2.5
515 4 VERTIGOSAN TAB
516 4 VESPERUM DROP
517 4 VIP ALBUMIN CAPS
518 4 VIT B COMPLEX TAB
519 4 VOSEDON SYR
520 4 VOSEDON TAB
521 4 YUSIMOX SYR

FORM STOK OPNAME

Tanggal :

No RAK Nama ED Jumlah

522 5 2FDC
523 5 4FDC
524 5 ACTOS TAB 15 MG
525 5 ALPRAZOLAM 0.5MG
526 5 ALPRAZOLAM 1 MG
527 5 ANALSIK TAB
528 5 ANPIRIDE 2 MG
529 5 APIDRA SOLOSTAR
530 5 APROFIT TAB
531 5 BLEDSTOP INJ
532 5 BLOPRESS 16 MG
533 5 BORRAGINOL-S SUPP
534 5 BOTOL SUSU HUKI 60 ML
535 5 BRAXIDIN
536 5 BUPIVACAINE INJ
537 5 CA GLUCONAS INJ
538 5 CATHETER NO.16 RUSCH
539 5 CENDO GLAOPEN MDS
540 5 CENDO GLAOPLUS MDS
541 5 CIPROFLOXACIN INFUS 2
542 5 CLIXID TAB
543 5 CODIKAF 10 MG
544 5 CODIKAF 15MG
545 5 CODIKAF 20MG
COLOSTOMY BAG NO 3
5
546 ONEMED
547 5 COPER T
548 5 DERMAFIX-T 10X12
549 5 DERMAFIX-T 10X25
550 5 DOBUTAMIN 250MG / 5ML INJ
551 5 DOUBLE SPIKE B
552 5 EPHINEPRIN INJ
553 5 ETANYL INJ 2 ML 100 MCG/2 ML
554 5 ETHAMBUTOL 500 MG
555 5 ETT NO 6
556 5 ETT NO 6.5
557 5 ETT NO 7
558 5 ETT NO 7 RUSCH
559 5 ETT NO 8
560 5 EXTENSION TUBE JMS
561 5 FENTANYL INJ
562 5 FLAGYSTATIN SUPP 500MG
563 5 folley cath no. 14
564 5 FOLLEY CATHETER NO 16
565 5 FOLLEY CATHETER NO 18
566 5 FONDAPARINUX
567 5 FORTANES INJ
568 5 GUEDEL AIRWAY 40 MM
569 5 GUEDEL AIRWAY 50 MM
570 5 GUEDEL AIRWAY 60 MM
571 5 GUEDEL AIRWAY 70 MM
572 5 GUEDEL AIRWAY 80 MM
573 5 GUEDEL AIRWAY 90
574 5 GYNAECOLOGYCAL GLOVES
575 5 INH (ISONIAZID) 100 MG
576 5 INH (ISONIAZID) 300 TAB
577 5 ISDN INJEKSI
578 5 KANAMYCIN INJ 1 GR
579 5 KASA 40 X 80 DWIPA
580 5 KB IMPLAN
581 5 KENDARON TAB
582 5 L BIO SACCHET
583 5 LACTOGEN 1 180 GR
LACTOGEN LACTOSE FREE 400
5
584 G
585 5 LACTULAX SYR 60 ML
586 5 LANOSAN ED
587 5 LANOSAN PLUS ED
588 5 LANTUS SOLOSTAR
589 5 LEVEMIR FLEXPEN
590 5 LEVOCIN INF 500 MG
591 5 LEVOFLOXACIN INFUS 750
592 5 Masker Anesthesia Size 4
593 5 MASKER NEBULIZER ANAK
594 5 MASKER NEBULIZER BAYI
595 5 MASKER NEBULIZER DEWASA
596 5 MASKER NRB ANAK
597 5 MASKER NRB DWS
598 5 MASKER OKSIGEN ANAK
599 5 MASKER OKSIGEN BAYI
600 5 MASKER OKSIGEN DEWASA
601 5 MEMUCIL
602 5 METHAM F TAB
603 5 METRONIDAZOL INF
604 5 MICROBURET (PRECISION SET)
605 5 MIDANEST 5MG INJ
606 5 MOVIBET INFUS
607 5 NAN PHPRO 1
608 5 Nasal Canul O2 Anak
609 5 NASAL Canul O2 Dewasa
NASAL O2 INFANT (BAYI)
5
610 OXYFLOW
611 5 NOVA T - KB
612 5 NOVOMIX FLEXPEN
613 5 NOVORAPID FLEXPEN
614 5 OCTENIC WASH LAP
615 5 ONBREZ BREEZHALER 300
616 5 OPSITE POST OP 25X10CM
617 5 OSDEC
618 5 OXYTOCIN INJ
619 5 pamol 125 supp
620 5 PAMOL 250 SUPP
621 5 PEDIALYTE SYR
622 5 PEN COUTER DIATERMI
623 5 PETHIDIN INJ
624 5 POLYVAC 16
625 5 Polyvac No 12
626 5 Polyvac No 14
627 5 PROANES INJ
628 5 PROBIOSTIM CAPS
629 5 PROFENID SUPP
630 5 PROPOFOL INJ
631 5 PYRAZINAMID 500 MG TAB
632 5 REGIVELL INJ 4ML
633 5 RIFAMPICIN 450 MG
634 5 RIFAMPICIN 600MG
635 5 SALBULIN INHALER
636 5 SANCOSTEIN CAPS
637 5 SANDETOFEN INJ 2ML
638 5 SANKORBIN INJ
639 5 SANSULIN PEN
640 5 SANSULIN RAPID
641 5 SANTOCYN INJ
642 5 SINOCORT TAB
643 5 STESOLID REC 5 MG
644 5 STOMACH TUBE NO.12
645 5 STOMACH TUBE NO.14
646 5 STOMACH TUBE NO.16
647 5 STOMACH TUBE NO.5
648 5 STOMACH TUBE NO.6
649 5 STOMACH TUBE NO.8
650 5 SUCTION CATH 14
651 5 SUCTION CATH 16
652 5 SUCTION CATH 6
653 5 SUCTION CATH 8
654 5 SUCTION CONNECTING
SYMBICORT
5
655 160/4.5MCG/60DOSE
656 5 TB VIT TAB
657 5 TETAGAM P 250IU
658 5 Tongkat GEA Kruk Uk. M
659 5 T-TOWELL 15X25 CM
660 5 UMBILICAL CORD KLAMP
661 5 URINE BAG
662 5 VAKSIN HB BABY
663 5 VALISANBE 2 MG
664 5 VALISANBE 5 MG
665 5 VALISANBE INJ
666 5 VIT B1 100 MG
667 5 VIT B1 50 MG
668 5 VIT B6 10 MG TAB
669 5 ZITROLAS TAB