DAFTAR INVENTARIS IFRS

DAFTAR INVENTARIS ELEKTRONIK  DAFTAR INVENTARIS ELEKTRONIK  RUMAH SAKIT AS-SUYUTHIYYAH RUMAH SAKIT AS-SUYUTHIYYAH

2016 2016

Un

Unit it KeKerjrjaa : : InInststalalasasi Fi Fararmamasi si (I(IFRFRS)S) De

Depapartrtememenen : : FaFarmrmasasii No

No NoNomomor Inr Invvenentatarr!! S"e!#$a! %aran&S"e!#$a! %aran& NoNommoor Sr Seerr ''((mm))aa* * %%aarraann&& SSaatt((aann KKoonn++!! KKeetteerraann&&aann N

Naammaa,,''eenn! ! %%aarraann&& MMeerr$$,,TT""ee 1

1 MMoonnttoor r LL..DD LL// ..MM1166HHFFSSAA0011LL 11 BBuuaahh BBaaiikk    2

2 MMoonnttoor r LL..DD LL// 111122IINNAA2200663333 11 BuBuaahh BBaaiikk    3

3 ..44U U 55AAMMD D 44rroo!!ee!!oorr DDaa77((mm88aa -- 11 BBuuaahh BBaaiikk    4

4 ..44U U 55IInnttee) ) ..oorree DD&&ttaa)) -- 11 BBuuaahh BBaaiikk    

 KKee88oorr++ KKoomm99 OOTT33SSRR22::0000 11 BBuuaahh BBaaiikk   

!

! KKee88oorr++ VVoorrttee AAHHOO..FF001122;;1100<<2266 11 BuBuaahh BBaaiikk    "

" MMoo((!!ee VVoorrttee -- 11 BBuuaahh BBaaiikk   

#

# 44rrnntteer r EE44SSOONN EE""!!oon n LL331100 VVHHSSKK00<<::::66 11 BBuuaahh BBaaiikk    $

$ TT**eerrmmoommeetteer r RR((aann&&aann %%ee((rreerr -- 22 BBuuaahh BBaaiikk    1%

1% Termometer K()$a!Termometer K()$a! -- 11 BBuuaahh BBaaiikk   

11

11 MMoonnttoor r LL..DD LL// -- 11 BBuuaahh BBaaiikk   

12

12 MMoonnttoor r LL..DD LL// -- 11 BBuuaahh BBaaiikk   

13

13 %%))eenn++eerr SS**aarr"" 331111660033001111 11 BBuuaahh BBaaiikk    14

14 KKaa))$$(())aattoorr ..aa!!oo -- 22 BBuuaahh BBaaiikk   

1

1  A. A. 4ana!on94ana!on9 3<12:0:;<:3<12:0:;<: 11 BuBuaahh BBaaiikk   

1!

1!  A. A. 4ana!on94ana!on9 ::60::::60:: 11 BuBuaahh BBaaiikk   

1"

1"  A. A. 4ana!ono94ana!ono9 F116;;0F116;;0 11 BuBuaahh BBaaiikk   

1#

1# 44ee==aann&&  RR((aann&&aann StteSe))aa -- 11 BBuuaahh BBaaiikk    1$

1$ LLaamm""( ( NNeeoonn 44**))"" -- 44 BBuuaahh BBaaiikk   

2%

2% ''aam m DDnn++nn&& SSee$$oo -- 11 BBuuaahh BBaaiikk   

21

21 SSttoo" " 99oonnttaa9 9 !!  << DDee>>99oonn -- 11 BBuuaahh BBaaiikk    22

22 DD!!""eenn!!eerr MMaa99oo -- 11 BBuuaahh BBaaiikk   

23

23 44ee==aann&&  RR((aann&&aann StteSe))aa -- 11 BBuuaahh BBaaiikk    24

'anaer enunjan 'e*is 'anaer enunjan 'e*is

5+r?A*ma+ M(* 5+r?A*ma+ M(* Kepala Ruan+Super,isr Kepala Ruan+Super,isr Instalasi Farmasi Instalasi Farmasi

5An&&a K*ar!ma A@ S?Farm? A"t? 5An&&a K*ar!ma A@ S?Farm? A"t?

'enetahui. 'enetahui.

Direktur Rumah Sakit /s-Su0uthi00ah ati Direktur Rumah Sakit /s-Su0uthi00ah ati

5+r? Ara De=an&&ana 5+r? Ara De=an&&ana

DAFTAR INVENTARIS ME%ELER DAFTAR INVENTARIS ME%ELER RUMAH SAKIT AS-SUYUTHIYYAH RUMAH SAKIT AS-SUYUTHIYYAH

2016 2016

Un

Unit it KeKerjrjaa : : InInststalalasasi i FFararmamasi si (I(IFRFRS)S) De

Depapartrtememenen : : FaFarmrmasasii No

No NoNomomor r InInveventntarar!! S"e!#$a! %aran&S"e!#$a! %aran& NNoommoor Sr Seerr ''((mm))aa* * %%aarraann&& SSaatt((aann KKoonn++!! KKeetteerraann&&aann N

Naammaa,,''eenn! ! %%aarraann&& MMeerr$$,,TT""ee 1

1 Fa)n& .a8net Fa)n& .a8net  -- 22 BBuuaahh BBaaiikk   

2

2 Lemar Nar$ot$ Lemar Nar$ot$  -- 11 BBuuaahh BBaaiikk   

3

3 Eta)a!e O8at Eta)a!e O8at  -- 44 BBuuaahh BBaaiikk   

4

4 Me@a Ka(Me@a Ka( -- 44 BBuuaahh BBaaiikk   



 Ra$ O8at /(+an&Ra$ O8at /(+an& --  BBuuaahh BBaaiikk   

!

! Lemar O8at /(+an&Lemar O8at /(+an& -- 33 BBuuaahh BBaaiikk   

"

" 4a)et 4a)et  -- 22 BBuuaahh BBaaiikk   

#

# K(r!K(r! uu !! BuBuaahh BBaaiikk   

$

$ 4a"an T()!4a"an T()! -- 22 BBuuaahh BBaaiikk   

'anaer enunjan 'e*is 'anaer enunjan 'e*is

5+r? A*ma+ M(* 5+r? A*ma+ M(* Kepala Ruan+Super,isr Kepala Ruan+Super,isr Instalasi Farmasi Instalasi Farmasi

5An&&a K*ar!ma A@ SBarm? A"t 5An&&a K*ar!ma A@ SBarm? A"t

Direktur Rumah Sakit /s-Su0uthi00ah ati

5+r? Ara De=an&&ana

DAFTAR INVENTARIS ALAT TULIS KANTOR RUMAH SAKIT AS-SUYUTHIYYAH

2016

Unit Kerja : Instalasi Farmasi (IFRS) Departemen : Farmasi

No Nomor Inventar! S"e!#$a! %aran& Nomor Ser '(m)a* %aran& Sat(an Kon+! Keteran&an

Nama,'en! %aran& Mer$,T"e

1 Fa)n& .a8net  - - 2 Buah Baik  

2 /(ntn& - - 2 Buah Baik  

3 Tem"at So)a! - - 1 Buah Baik  

4 Sta")e! %e!ar - - 1 Buah Baik  

 Sta")e! $e9) - - 1 Buah Baik  

! Ra$ %($( - -  Buah Baik  

" Stem"e) In!ta)a! Farma! - - 2 Buah Baik  

'anaer enunjan 'e*is Kepala Ruan+Super,isr

5+r?A*ma+ M(* 5An&&a K*ar!ma A@ SBarm? A"t

'enetahui.

Direktur Rumah Sakit /s-Su0uthi00ah ati

5+r? Ara De=an&&ana

DAFTAR INVENTARIS ALAT TULIS KANTOR RUMAH SAKIT AS-SUYUTHIYYAH

2016

Unit Kerja : Instalasi Farmasi (IFRS) Departemen : Farmasi

No Nomor Inventar! S"e!#$a! %aran& Nomor Ser '(m)a* %aran& Sat(an Kon+! Keteran&an

Nama,'en! %aran& Mer$,T"e

1 Mortr O8at Ke9) - - 1 Buah Baik  

2 Mortr O8at %e!ar - - 1 Buah Baik  

3 Keran@an& O8at Ke9) Lon Star - 2"$ Buah Baik  

4 Keran@an& O8at %e!ar Lon Star - 2 Buah Baik  

 Keran@an& 4a$et Ter8($a Le!(re - 2 Buah Baik  

5+r? A*ma+ M(*

Instalasi Farmasi

5An&&a K*ar!ma A@ S?Barm? A"t

'enetahui.

Direktur Rumah Sakit /s-Su0uthi00ah ati

DAFTAR INVENTARIS O%AT ORAL RUMAH SAKIT AS-SUYUTHIYYAH

2016

Unit Kerja : Instalasi Farmasi (IFRS) Departemen : Farmasi

N o N om or Inven tar is Spesifkasi Barang No Reg Jumlah

Barang Satuan Exp Date Keterangan Nama/Jenis Barang Produsen

 a!ili"#$mg otsuka %&'% ( )*B

+e!,-. a#lovir %$$ mg Dexa 01B %&2$3(% - B04 Jul,.$

3 akita I"ars 5$-$' & B04 6ei,(

% alleron $-5&5 ' B04 *gust,.

' allopurinol $$ mg Dexa 01B 5$5,$-,$5 $ B04 Jun,.$

5 alo"ar$$mg I"ars 53$$ 5 B04 Jan,.$

& alo"ar3$$mg I"ars 5$$% % B04 *pr,.$

- alpara 6olex 77$&'  B04

6ei,-( alphamol5$$ I"ars 71$'3 % B04

*gust,-$ alpra8olam $9' mg Kimia +arma B04

 alpra8olam  mg Kimia +arma B04

. amadia! :api B04

3 amadia!. :api B04

% am!even 6edion %$$ . B04 *pr,(

' am!roxol Novarindo )P1'3$%' .& B04 Jun,.$

5 *mitript#line .' mg Indo"arama B04

& amoxan'$$ San!e SE5.(  B04 6ei,(

- amoxilin '$$ Dexa 01B %'$%5'5 ' B04

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6ar,-.$ amplodipin $ mg Phapros Phapros -'%55$&& . B04 0kt,&

. amplodipin ' mg DE4* Dexa 01B %&"$3(3 $ B04 6ei,(

.. analsik San!e B04

.' angintri8 6R Novel -25$ 3 B04

*gust,-.5 angioten kal!e K)*1N*5%5 3 B04 Jan,(

.& antaide doen Kimia +arma 5$5& .$ B04 Jun,.$

.- antalgin gen Kimia +arma ..$&5 . B04

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3$ *sam traneksanat Berno"arm )S:$.5%%  B04

0kt,-3 aspilet <*P '.3.($ . B04

6ei,-3. a8itrom#in '$$ mg Dexa 01B =E$'5'J 3 B04 6ar,.$

33 !etahis>n Dexa 01B %&=$$%& & B04

*gust,-3% !intamox kal!e .$$ % B04 +e!,(

3' !isoprolol ' Dexa 01B .''$-- % B04

Jun,-35 !ledstop San!e S2.... ' B04 Des,(

3& !romi"ar I"ars 5$$3 3 B04 *pr,.$

3- !ronhosal%mg I"ars 5$3$. ' B04 +e!,(

3( al,(' :api &%5 . B04 0kt,.$

%$ andesartan - mg Dexa 01B %5K$%$5 . B04 Des,&

% aptopril .9' mg Dexa 01B %5:$35. & B04 Jan,.$

%. aptopril .' mg Dexa 01B -'3.%$%- ' B04 Sep,.$

%3 aviplex Erela %'(.  B04 Sep,(

%% e"adroxil '$$ Dexa 01B %&1$ 3. B04 Jun,.$

%' efxime Dexa01B %&2$.&' 3 B04 Jul,(

%5 efxime .$$ mg dexa Dexa 01B &1$.&B ' B04

*gust,-%& =e)e6e B04

%- eteri8ine Kimia +arma 5$$3(  3$ B04

0kt,-%( hloram"eniol .'$ mg Berno"arm KPJ&'%' 3 B04 *gust,.$

'$ ipro?oxain Novel Novel )S1.&&%' 3 B04 Jun,.

' lindam#in 3$$ mg Dexa 01B .55$-3 5 B04 Nop,(

'. linmas'$mg :api . B04

'3 lonidine $9 ' mg Kimia +arma B04

'% lorilex .' mg 6ersi B04

'' lo8apin.'mg 6ersi B04

'5 lo8aril.'mg 6ersi B04

'& odein $ mg Kimia +arma B04

5$ otrimoxa8ole %-$ mg 2oli +arma 5$'3- ' B04

Jun,-5 =P1&'mg kal!e K)=P1B53. . B04

6ei,-5. =P@ $$ mg Indo +arma B04

53 ravox :api D'$%5  B04 *gust,.$

5% =)6%mg Kimia+arma B04

5' uruma soho 5B$(' 3 B04

6ar,-55 datan"orte Ph#ridam +*$'(  B04 Jun,.

5& deha" :api 51$$&3 - B04

Jul,-5- demaolin !ox =oronet 21*$$3 ' B04 *gust,.

5( depre8a 6ersi B04

&$ dexamethason $9' mg I"ars 5$3$& 35 B04 Jul,(

& dextem plus Erlimpex 55'% 3% B04 0kt,.$

&. dextral 6olex A<$. 5 B04 Jun,.

&3 dextral"orte 6olex 7*$.' 5 B04 *pr,.

&% diaston I"ars 5$%$% & B04 *pr,.$

&' dia8epam . mg Kimia +arma B04

&5 dia8epam ' mg Kimia +arma B04

&& dimenhidrat Kimia +arma *5$$&-B . B04 Jan,.

&- dioniol'$$ I"ars 5.($% 5 B04 *pr,(

&( dogma>l'$ B04

-$ dogma>l "orte .$$ B04

- dome Promed $-5'J$$$ . B04 0kt,(

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-3 dulolax B04

-% eperison KB$&3$  B04 6ei,&

-' er#tromi#n '$$ mg B .'$3 B) & B04

-5 "arge>k I"ars .($5 5 B04 Jun,.$

-& "argoxin $9.' mg +arenhait NJ .$ 3 B04 0kt,(

-- "ari8ol'$$ I"ars 5$$  B04 0kt,(

-( "armoten .9' mg +arenhait ND $'( . B04 *pr,(

($ "arsor!id'mg I"ars I*%. 3 B04 Jan,.$

( "asiprim I"ars 5$.$& 3 B04 Jul,(

(. "asiprim"orte I"ars 5$$' ( B04 6ei,.$

(' "erospat :api 2*$5& . B04

*gust,-(5 "er>n :api )$$E$$'  B04

*pr,-(& +1trohes 6eii 5.'5  B04

Sep,-(- ?aiox I"ars 5$3$. $ B04 +e!,.$

(( ?umin B04

$

$ "olas Inter!at (I'- 3 B04 Sep,(

$

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6ei,-$

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$

3 "urosemid 7arindo +armaka * $% 2) ' B04 *gust,.$

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% gemf!ro8il ('%$% . B04 Jun,.$

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6ar,-$

5 gli!enlamid ' Dexa 01B 5$35 % B04 *pr,.

$

& glimepirid . mg Dexa 01B 5$%&  B04

*pr,-$

- glimepirid 3 mg Dexa 01B %'$'$. % B04 *pr,&

$

( gl#eril guaiolas $ mg Kimia +arma 6 33&S) 3 B04

Nop,-

$ gom B04



 gra"ahlor 1raha "arma CB .$$1 ( B04 +e!,.



. grantusi" 1raha +arma C1$-%1  B04 Jul,.$



3 grathason 1raha +arma C*.&%1 . B04 Jan,.





' haloperidol ' mg Indo +arma B04



5 ht .' mg Kimia +arma B04



& hepa!alane Esola! )75*$5 . B04 Jun,(



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Des,-.

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3 inlata Inter!at K$5&+$$3 ( B04

6ei,-.

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*pr,-.

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.

( kalium diklo"enak Dexa 01B %&B$$&% 3 B04

Jan,-3

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3

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0kt,-. 3

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6ei,-3

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6ar,-3

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3

5 levo?oksasin Dexa 01B E5$'.-B ' B04 6ei,(

3

&   lokev I"ars 5$%$' 3 B04 6ei,.$

3

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Jan,-3

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6ei,-%

3 meloxiam &9'mg Dexa 01B 5$($35 ( B04

Sep,-%

% merlopam .mg B04

%

' meormin Dexa 01B %&B%5 % B04 Jan,(

%

5 me>lergometrin Kimia +arma KE .33& J . B04 Sep,.$

%

& me>lprednisolon Dexa 01B 5$5$.3 .& B04

Jul,-%

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%

'

$ molapet 6olex 7+0. 3 B04 +e!,.

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3   neuro!ion 6erk @$%.%%-  B04 6ar,(

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% neurodex Dexa 6edia %&D3$$ 5 B04

6ar,-'

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Nop,-'

5 nonemi :api .5 . B04 Jul,(

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'

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( olando8 $mg B04

5

$ omepra8ole Nula! 5$5$%- % B04

Sep,-5

 ondansetron Nula! 5$&$&. ' B04

Jul,-5

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5

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