SBBK April 2016.xlsx
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Transcript of SBBK April 2016.xlsx
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PEMERINTAH KABUPATEN SUME
UPTD PUSKESMAS CIMALA
Alamat : Jl. Tanjungkerta-Cimalaka No. 72 Cimalak
Email : [email protected]
SURAT BUKTI BARANG KELUAR
NOMOR DOKUMEN : 167/PKM-CMK/IV/2016
TANGGAL : 1 April 2016
Diserahkan Kepada : Loket !at
"erdasarkan LPLP #o$ : 0%/L$/PKM-CMK/III/2016
# #AMA "A& 'A&(A# )(MLA* '(M"+,
1 2 % .
1
Alat 'ntik 'ekali Pakai 1 l 'et 100 AP"D DAK2 Alat 'ntik 'ekali Pakai 23. l 'et 100 AP"D DAK
% Aloprinol ta!let %00 4 &a!let %00 AP"D DAK
A!ro5ol 'irp "otol .0 AP"D DAK
. A!ro5ol &a!let %0 4 &a!let %00 AP"D DAK
6 Aitriptilina *Cl ta!let salt 2. 4 &a!let 100 AP"D DAK
7 Aoksilin 'irp Kerin4 12. 4/. l "otol 60 AP"D DAK
Aoksilin .00 4 Kaplet 300 AP"D DAK
Antasida D+# ta!let ko!inasi &a!let 23%00 AP"D DAK
10 Anti heoroid sppositorida 'pp 20 AP"D DAK
11 Asa Askor!at VI& C &a!let .0 4 &a!let %3200 AP"D DAK
12 Asa Me8enaat .00 4 &a!let 100 AP"D DAK
1% Asiklo9ir r &!e 20 AP"D DAK
1 "edak 'alisil 2 ; - .0 4ra "ah . AP"D DAK
1. &!e .0 AP"D DAK
16 "loodseet "ah 20 AP"D DAK
17 Cat4t/"enan4 "edah #o$2/0-%/0 d4 ara ralit 200 l air 'ahet 00 AP"D DAK
2 >las Lonoer Ceent 'et 2 AP"D
2 >li!enklaid ta!let . 4 &a!let 100 AP"D DAK
%0 >liseril >?a?akolat ta!let 100 4 &a!let %3100 AP"D DAK
%1 *aloperidol ta!let 03. 4 &a!let 100 AP"D DAK
%2 *aloperidol 2 4 &a!let 200 AP"D DAK
%% *idrokortison kri 23. ; &!e AP"D DAK
%
"etaetason Kri 0$1 ; / MELASON
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2 Klora8enikol 2.0 4 Kapsl 100 AP"D DAK
% Klora8enikol salep ata 1 ; &!e 22 AP"D DAK
Klor8enariain aleat C&M ta!let 4 &a!let %32.0 AP"D DAK
. Klorproain 100 M> &a!let 13000 AP"D DAK
6 Kotrioksaol &a!let 0 4 / MI,A&,IM &A" &a!let .00 AP"D DAK
7 Loratadine 10 4 &a!let .0 AP"D DAK
Masker "ah 200 AP"D DAK Metiler4oetrin Maleat &a! &a!let 100 AP"D DAK
.0 Metronidaol ta!let 2.0 4 &a!let 23600 AP"D DAK
.1 Mikonaol &!e AP"D DAK
.2 !at antit!erklosis anak Paket 2 AP"D DAK
.% !at antit!erklosis =DC 1 Paket 2 AP"D DAK
. !at antit!erklosis kate4ori 2 Paket 2 AP"D DAK
.. ksitetrasiklin *Cl 'alep Klit % ; &!e 2. AP"D DAK
.6 epraol 20 4 Kapsl 20 AP"D DAK
.7 Parasetaol ta!let 100 4 &a!let 200 AP"D DAK
.Parasetaol ta!let .00 4 &a!let 10300 AP"D DAK
. Piro5ia 20 4 &a!let 200 AP"D DAK
60 Plester 73. 5 . ,oll 2 AP"D DAK
61 ,in4er Laktat Lartan In8s 'teril "otol 1 AP"D DAK
62 'al!taol ta!let 2 4 &a!let 200 AP"D DAK
6% 'alep 2- ko!inasi : as$asal 2 ; B "el$ ; Pot 2 AP"D DAK
6 'i9astatin 10 4 &a!let 200 AP"D DAK
6. 'i9astatin 20 4 &a!let 200 AP"D DAK
66 'iprooksasin .00 4 s!4 *Cl &a!let 100 AP"D DAK
67 'l8asetaid #atri &etes ata 1. ; Ples 2 AP"D DAK
6 &a!let &a!ah darah ko!inasi : "esi II 'l8at &a!let %3000 AP"D DAK
6 &iain *CL Vit "1 ta!let .0 4 &a!let 23.00 AP"D DAK
70 &riheksi8enidil *Cl ta!let 2 4 &a!let 00 AP"D DAK
71 'olde5ta &a!let 200 AP"D DAK
72 &r9it "otol 60 AP"D DAK
7% Vitroe4a Kapsl %00 AP"D DAK
Ci
?an4 eneria
Pet4as Loket !at Pet
Anita #rl Ihsani '3 AM= *a
#IP$
Men4etahi3
Kepala (P&D Pskesas
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ANG
A
a
&an44al : %1 Maret 2016
# "A&C* +P$ DA&+ K+&
6 7
7/%1/2016 -11211 11/%0/2016 -
&P*66% 7/%1/201
11001 10/%1/201 -
1100116 10/%1/201 -
1%11021 2/2/201
1.00/106 /%1/2017
&PK21% /%1/201 -
./%1/201 -
0.0E/0.21E /%1/201 -
C1.0%."/%6" %/%1/201 -
&'M26%-2% 11/%0/201 -
7.%0.001 11/%0/201 -
A0)DV000 10/%1/2017 -
+.0.1&/1& ./%2/201 -
1%060.2% 6/%0/2016 -
/%0/2017 -
A1606+F ./%1/2017 -
+10.%-0" ./%1/201
10011 /%0/201
111202 12/%1/201. -
1%L1000 /%0/201 -
12126 %1/12/201. -
"#%1022 10/%1/2017
.%70% 1/%1/2017 -
6160.1 ./1/201 -
P22%1A+ 6/%0/201 -
10%01 %/%1/2017 -
1.0%01 %/1/2020 -
*.021 /%0/201 -
10200 6/1/201 -
102 %/%1/201
*.00%-.2& 7/%1/201 -
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1221 /%1/2017 -
&212-.A+ %1/7/201 -
1.02% /%0/2017 -
1%0602-%0 6/%0/2017 -
102>10-11 7/%1/2017
2106201 -
-
2C1271-7. %/%1/201 -
02.1.E 2/1/201 -
7.%02% /%0/2016 -
.6110. %0/0./201 -
- -
1.0%002 %1/%/201 -
10-11.% /%0/201
.70021.1 2/2/201 -
2171..06 6/1/201 -*.01./16 /%1/201 -
002 2/2/201 -
A206 *, 10/%1/201 -
1100111 %1/0/201 -
=1026.0/0% %0/6/2017
*10%060 %1//2016
&'D26% %/%1/201
D1%/. %1/1/2017 -
C1.0.0/0 10/%1/2017 -
1%0.060% ./%1/2017 -
1.010%1 %1//2017 -
&IE21-22 %0/6/2020 -
alaka3 1 April 201.
an4 en?erahkan
4as !at Pskesas
ini ,e4inaasli3 AM=
%0227 20060 201.
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PEMERINTAH KABUPATEN SUMEDAN
UPTD PUSKESMAS CIMALAKA
Alamat : Jl. Tanjungkerta-Cimalaka No. 72 Cimalaka
Email : [email protected]
SURAT BUKTI BARANG KELUAR
NOMOR DOKUMEN : 16/PKM-CMK/IV/2016
TANGGAL : 1 April 2016
Diserahkan Kepada : Poskesdes 'eran4
"erdasarkan LPLP #o$ : 0%/P'K-',>/III/2016
# #AMA "A& 'A&(A# )(MLA* '(M"+,
1 2 % .
1
Cat4t/"enan4 "edah #o$2/0-%/0 d4
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&an44al : %1 Maret 2016
# "A&C* +P$ DA&+ K+&
6 7
/%0/2017 -
ka3 1 April 201.
en?erahkan
!at Pskesas
e4inaasli3 AM=
0227 20060 201.
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PEMERINTAH KABUPATEN SUMEDANG
UPTD PUSKESMAS CIMALAKA
Alamat : Jl. Tanjungkerta-Cimalaka No. 72 Cimalaka
Email : [email protected]
SURAT BUKTI BARANG KELUAR
NOMOR DOKUMEN : 16/PKM-CMK/IV/2016
TANGGAL : 1 April 2016
Diserahkan Kepada : PP &rnaan44ala
"erdasarkan LPLP #o$ : 0%/PP-&,#/III/2016 &an44al : %
# #AMA "A& 'A&(A# )(MLA* '(M"+, # "A&C*
1 2 % . 6
1
Antasida D+# ta!let ko!inasi &a!let 200 AP"D DAK2 >liseril >?a?akolat ta!let 100 4 &a!let 200 AP"D DAK *.021
% Klor8enariain aleat C&M ta!let 4 &a!let %00 AP"D DAK &212-.A+
#atri "ikar!onat ta!let .00 4 &a!let 100 AP"D DAK 107001
. Parasetaol ta!let .00 4 &a!let 00 AP"D DAK 2171..06
Cialaka3 1 Apri
?an4 eneria ?an4 en?era
Pet4as PP Pet4as !at Ps
#rl Aeni3 AMK *adini ,e4inaa
#IP$ 1%0227 200
Men4etahi3
Kepala (P&D Pskesas
'pri?anto3 'KM
#IP$ 16601 10% 1 00
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1 Maret 2016
+P$ DA&+ K+&
7
./%1/201 -/%0/201 -
%1/7/201 -
%/%1/201 -
6/1/201 -
l 2016
hkan
kesas
li3 AM=
0 201.
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SURAT BUKTI BARANG KELUAR
NOMOR DOKUMEN : 170/PKM-CMK/IV/2016
TANGGAL : 1 April 2016
Diserahkan Kepada : Poskesdes Liin 2
"erdasarkan LPLP #o$ : 0%/P'K-LC#$2/III/2016 &an44al : %1 Maret 201
# #AMA "A& 'A&(A# )(MLA* '(M"+, # "A&C* +P$ DA&+
1 2 % . 6 7
1 >liseril >?a?akolat ta!let 100 4 &a!let 100 AP"D DAK *.021 /%0/201
Cialaka3 1 April 2016
?an4 eneria ?an4 en?erahkan
Pet4as Poskesdes Pet4as !at Pskesas
G?n3 AMKe!$ *adini ,e4inaasli3 AM=
#IP$ 1%0227 20060 201.
Men4etahi3
Kepala (P&D Pskesas
'pri?anto3 'KM
#IP$ 16601 10% 1 00
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K+&
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1 Prosedr ini en4atr penediaan dan pen44naan o!at
2 'e!a4ai pedoan dala elaksanakan penediaan dan pen44naan o!at
% Penediaan dan pen44naan o!at ntk ke!thann pelaanan dilakkanse
.
6 Pet4as /arasi
7 lplpo
resep
Penediaana$Penediaan o!at dilakkan oleh pet4as 3arasi !$!at disedi
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1
tk pelaanan 2
Bara e3ekti3 dan e3isien %
kan di ran4 o!at serta nitnit pelaanan sesi ke!thanB$erti! adinistrasi dala
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penediaan o!at J$Pen44naan a$Pen44naan o!at dilakkan sesai pen4elaran o!
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at atas resep serta ke!than di nit pelaanan$ !$erti! adinistrasi dala pen44n
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an o!a