LAPORAN PENGANTAR PRAKTEK KERJA LAPANGAN DI UPT GUDANG FARMASI KABUPATEN BANJAR Tanggal 2 – 30 30 November 2015
DISUSUN OLEH : ISLAN NOR
13484011021
NIA MONIKA
13484011094
SEKOLAH TINGGI ILMU KESEHATAN MUHAMMADIYAH BANJARMASIN PROGRAM STUDI D3 FARMASI 2015
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KATA PENGANTAR
Assalamu’alaikum Wr. Wb.
Alhamdulillah, segala puji syukur kami panjatkan kehadirat Allah SWT, karena atas berkat rahmat dan karunia-Nya jualah kami tim penulis dapat melaksanakan tugas dan menyelesaikan laporan dari tugas Laporan Pengantar Praktek Kerja Lapangan (PKL) di UPT Gudang Farmasi Kabupaten Banjar pada tanggal 02 November 2015 sampai dengan 30 November 2015. Penulisan laporan ini merupakan suatu bentuk pertanggung jawaban terhadap pelaksanaan pengantar Praktek Kerja Lapangan (PKL) Diploma 3 Farmasi Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Banjarmasin.
Kami menyadari bahwa Pengantar Praktek Kerja Lapangan ini dapat terlaksana dengan baik berkat kerja sama, bantuan, bimbingan, dan dukungan dari banyak pihak, baik secara langsung maupun tidak langsung yang yang diberikan selama maupun setelah masa pelaksanaan Pengantar Praktek Kerja Lapangan di UPT Gudang Farmasi Kabupaten Banjar. Oleh Karena itu, pada kesempatan ini kami mengucapkan terima kasih yang sebesar-besarnya kepada : 1.
M.Syafwani, M.Kep., Sp. Jiwa selaku Ketua Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Banjarmasin yang telah memberikan izin untuk melaksanakan Pengantar Praktek Kerja Lapangan.
2.
Risya Mulyani M.Sc., Apt selaku Kepala Program Studi D3 Farmasi STIKES Muhammadiyah Banjarmasin.
3.
Arief Rachman, S.Si., Apt., M.Mkes selaku Kepala UPT Gudang Farmasi Kabupaten Banjar.
4.
Hendera, M.Farm.Klin., Apt selaku pembimbing dari pihak kampus yang telah memberikan arahan dan bimbingan pada penulisan Laporan Pengantar Praktek
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5.
Para dosen-dosen D3 Farmasi dan seluruh karyawan serta staf UPT Gudang Gudang Farmasi Kabupaten Banjar yang telah banyak memberikan bimbingan selama Pengantar Praktek Kerja Lapangan.
6.
Orang tua kami yang telah memberikan do’a dan keperca yaan kepada kami dan semua pihak yang telah membantu dalam penulisan Laporan Pengantar Praktek Kerja Lapangan.
Semoga Allah SWT akan selalu meridhoi dan membalas me mbalas semua bantuan yang telah diberikan kepada kami. Kami menyadari bahwa selama pelaksanaan Pengantar Praktek Kerja Lapangan terdapat banyak kekurangan dan kekhilafan yang kami lakukan, untuk itu kami memohon maaf kepada semua pihak yang terkait. Dan kami menyadari pula bahwa Laporan Pengantar Praktek Kerja Lapangan ini tidak sempurna dikarenakan keterbatasan pengetahuan dan kesempurnaan hanya milik Allah SWT. Saran yang membangun selalu diharapkan semoga Laporan Pengantar Praktek Kerja Lapangan ini memberikan manfaat bagi kita semua. Aamiin
Banjarmasin,
November 2015
Tim Penyusun
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DAFTAR ISI
HALAMAN JUDUL............................................ .................................................................. .......................................... ....................
i
HALAMAN PENGESAHAN............................................. ................................................................... ........................... .....
ii
KATA PENGANTAR ............................................ ................................................................... ....................................... ................
iii
DAFTAR ISI ............................................. ................................................................... ............................................ ............................... .........
v
DAFTAR GAMBAR ........................ .............................................. ............................................. ....................................... ................ viii DAFTAR LAMPIRAN ........................................... .................................................................. ....................................... ................
ix
DAFTAR SINGKATAN ............................................ .................................................................. ................................... .............
x
BAB I. PENDAHULUAN .......................................... ................................................................ ................................... .............
1
A. Latar Belakang ......................................... ............................................................... ................................... .............
1
B. Tujuan Pengantar Praktek Kerja Lapangan................................. .................................
3
C. Manfaat Pengantar Praktek Kerja Lapangan............................... ...............................
3
BAB II. TINJAUAN PUSTAKA........................................... .................................................................. .........................
4
A. Gudang Farmasi ........................................... ................................................................. ............................... .........
4
1.
Tugas Gudang Farmasi ........................................... ........................................................ .............
4
2.
Fungsi Gudang Farmasi .......................................... ....................................................... .............
5
3.
Tujuan Gudang Farmasi .......................................... ....................................................... .............
5
B. Pengelolaan SDM di UPTD ........................................... ........................................................ .............
6
C. Manajemen Perbekalan Farmasi ............................................ ................................................. .....
6
1.
Perencanaan..........................................................................
6
2.
Pengadaan dan Penerimaan ............................................. .................................................. .....
7
3.
Penyimpanan dan Pemeliharaan .......................................... ..........................................
8
4.
Pendistribusian .......................................... ................................................................ ........................... .....
9
5.
Pencatatan dan Pelaporan............................................ ..................................................... .........
9
6.
Penghapusan.......................................... ................................................................ ............................... ......... 14
BAB III. TINJAUAN UMUM UPT GUDANG FARMASI KABUPATEN BANJAR ........................................... .................................................................. ............................................. ...................................... ................ 15
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2.
Profil Umum ............................................. ................................................................... ........................... ..... 15
3.
Wilayah Pendistribusian Obat-Obatan dan Alat Kesehatan ke Puskesmas Kabupaten Banjar ............................................ .............................................. .. 15
4.
Struktur Organisasi UPT Gudang Farmasi .......................... .......................... 16
5.
Visi dan Misi UPT Gudang Farmasi Farmasi Kabupaten Banjar ...... 17
6.
Tugas UPT UPT Gudang Farmasi Kabupaten Banjar .................. 17
7.
Fungsi UPT Gudang Farmasi Kabupaten Banjar ................. 19
8.
Tujuan UPT Gudang Farmasi Kabupaten Kabupaten Banjar ................ 19
B. Pengelolaan SDM di di UPT Gudang Farmasi Kabupaten Banjar . 20 1.
Kepala UPT Gudang Farmasi ............................................ .............................................. .. 20
2.
Sub Bag Tata Usaha ............................................. ............................................................. ................ 20
3.
Kelompok Jabatan Fungsional ........................................... ............................................. .. 20
C. Manajemen Perbekalan Farmasi ............................................ ................................................. ..... 21 1.
Perencanaan.......................................................................... 21
2.
Sistem Penerimaan Obat dan Alat Kesehatan ...................... ...................... 21
3.
Sistem Penyimpanan Penyimpanan dan Pemeliharaan Obat Obat ...................... ...................... 22
4.
Sistem Permintaan dan Pemberian Obat & Alat Kesehatan
5.
Pelaporan Obat dan Alat Kesehatan ..................................... ..................................... 24
6.
Pendistribusian Obat Obat dan Alat Kesehatan ............................ ............................ 24
7.
Pengembalian dan Pemusnahan Obat Kadaluarsa ............... 26
23
BAB IV. KEGIATAN PKL DAN PEMBAHASAN..................................... ..................................... 27 A. Manajemen SDM ............................................. ................................................................... ........................... ..... 27 B. Manajemen Perbekalan Farmasi ............................................ ................................................. ..... 27 1.
Perencanaan Obat ......................................... ............................................................... ........................ .. 27
2.
Pengadaan Obat............................................ .................................................................. ........................ .. 29
3.
Penerimaan Obat .......................................... ................................................................. ......................... 29
4.
Penyimpanan ............................................. ................................................................... ........................... ..... 29
5.
Distribusi ........................................... ................................................................. ................................... ............. 30
6.
Pencatatan dan Pelaporan ............................................ ..................................................... ......... 31
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A. Kesimpulan.................................................................................. 34 B. Saran .......................................... ................................................................. ............................................. ........................... ..... 36 DAFTAR PUSTAKA .......................................... ................................................................ .......................................... .................... 38 LAMPIRAN .......................................... ................................................................ ............................................ ................................... ............. 39
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DAFTAR GAMBAR
Gambar 1. Struktur Organisasi UPT Gudang Farmasi Kabupaten Kabupaten Banjar..... Banjar..... 16
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DAFTAR LAMPIRAN
Lampiran 1. UPTD Gudang Farmasi Kabupaten Banjar Lampiran 2. Ruang Penyimpanan Lampiran 3. Ruang Penyimpanan Infus Lampiran 4. Ruang Penyimpanan Obat Gigi, Injeksi, Narkotika/Psikotropika, KB Lampiran 5. Ruang Distribusi Lampiran 6. Ruang Penyimpanan Vaksin Lampiran 7. Suhu Lampiran 8. Penyusunan Obat Lampiran 9. Pendistribusian Obat Lampiran 10. Mobil Pendistribusian Obat Lampiran 11. Penyimpanan Arsip Lampiran 12. Sarana Prasarana Lampiran 13. SOP Penerimaan Obat Lampiran 14. SOP Pendistribusian Obat Lampiran 15. SOP Pelaporan Obat dan Alat Kesehatan Lampiran 16. SOP Pengembalian dan Pemusnahan Obat Kadaluarsa (ED) Lampiran 17. SOP Penerimaan Vaksin Lampiran 18. SOP Pengambilan Vaksin Lampiran 20. SOP Pengoperasian Alat Pemadam Api Ringan (APAR) Lampiran 21. Laporan Pemakaian dan Lembar Permintaan Obat (LPLPO)
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DAFTAR SINGKATAN
AA
:
Asisten Apoteker
Alkes
:
Alat Kesehatan
APBD
:
Anggaran Pendapatan dan Belanja Daerah
APBN
:
Anggaran Pendapatan dan Belanja Negara
BAKHP
:
Bahan Alat Kesehatan Habis Pakai
BP
:
Balai Pengobatan
BPOM
:
Balai Pengawas Obat dan Makanan
DAK
:
Dana Alokasi Khusus
DINKES
:
Dinas Kesehatan
ED
:
Expired Date
FEFO
:
First Expired First Out
FIFO
:
First In First Out
GFK
:
Gudang Farmasi Kabupaten/Kota
JKN
:
Jaminan Kesehatan Nasional
KIA
:
Kesehatan Ibu dan Anak
KONAS
:
Kebijakan Obat Nasional
LBI
:
Laporan Bulanan
LIFO
:
Last In First Out
LPLPO
:
Laporan Pemakaian dan Lembar Permintaan Obat
PerBup
:
Peraturan Bupati
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BAB I PENDAHULUAN
A. Latar Belakang
Obat adalah benda atau zat yang dapat digunakan untuk merawat penyakit, membebaskan gejala, atau mengubah proses kimia dalam tubuh. Obat selalu digunakan dalam pelayanan kesehatan. Maka obat perlu dikelola dengan bai k, efektif dan efisien. Pengelolaan tersebut bertujuan untuk menjamin ketersediaan, pemerataan dan keterjangkauan obat dengan jenis dan jumlah yang cukup, sehingga mudah di peroleh pada waktu dan tempat yang tepat. Oleh karena itu, pengelolaan obat dan perbekalan kesehatan di kabupaten/kota memegang peranan yang sangat penting dalam menjamin ketersediaan, pemerataan dan keterjangkaun obat untuk pelayanan kesehatan dasar.
Manajemen pengelolaan obat merupakan bagian dari upaya pembangunan dibidang obat. Kebijakan dari pemerintah terhadap peningkatan akses obat diselenggarakan melalui beberapa kebijakan yaitu : undang-undang No.6 Tahun 2009 tentang kesehatan, peraturan pemerintah No.51 tentang pekerjaan kefarmasian, Sistem Kesehatan Nasional (SKN) dan kebijakan obat nasional (KONAS). Salah satu sistem SKN 2009 adalah obat dan perbekalan kesehatan. Gudang farmasi adalah sarana pelayanan kefarmasian tempat pengelolaan obat pemerintah meliputi obat dari dana APBN, APBD maupun J KN. Manajemen
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obat dan alat kesehatan kepada puskesmas kabupaten/kota dalam rangka pemerataan kesehatan.
Seorang calon tenaga teknis kefarmasian selain memiliki kemampuan dalam aspek pelayanan kefarmasian juga dituntut untuk memiliki pengatahuan dan manajemen
yang
baik
seperti
manajemen
perencanaan,
pengadaan,
penyimpanan, pendistribusian pendistribusian obat dan perbekalan kesehatan.
Pengadaan obat adalah salah satu aspek penting dan menentukan dalam pengelolaan obat. Tujuan Tujuan pengadaan pengadaan obat adalah tersedia nya obat dengan dengan jenis dan jumlah yang cukup sesuai dengan kebutuhan dengan mutu yang terjamin serta dapat di peroleh pada saat yang diperlukan.
Untuk mencapai tujuan tersebut, perencanaan yang merupakan salah satu fungsi dari pengelolaan obat harus dilaksanakan se baik mungkin sehingga obat yang telah direncanakan sesuai dengan kebutuhan, tepat sasaran dan tepat guna. Untuk mendukung hal ini, perencanaan obat secara terpadu antara obat
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Maka untuk itu penyusunan laporan ini di harapkan dapat membantu kita dalam memulai beraktifitas di gudang farmasi.
B. Tujuan Pengantar Praktik Kerja Lapangan
Melalui kegiatan praktik kerja lapangan di UPT gudang farmasi kab.banjar, mahasiswa di harapkan mampu : 1.
Mengetahui tugas pokok dan fungsi gudang farmasi di UPT gudang farmasi kab. Banjar
2.
Mengetahui cara perencanaan, pengadaan, penerimaan, penyimpanan, distribusi, dan pemusnahan obat kada luarsa di UPT gudang farmasi kab. Banjar
3.
Melakukan monitoring terhadap waktu kada luarsa obat di UPT gudang farmasi kab. Banjar
C. Manfaat Pengantar Praktek Kerja Lapangan
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BAB II TINJAUAN PUSTAKA
A. Gudang Farmasi
Instalasi gudang farmasi dan perlengkapan kesehatan merupakan unit pelaksanaan teknis dinas kesehatan yang bertanggung jawab kepada kepala daerah melalui dinas kesehatan, mempunyai tugas menerima, meyimpan, memelihara, dan mengamankan serta mendistribusikan obat, alat kesehatan, perbekalan
dan
perlengkapan
kesehatan
dan
pelaksanaan
urusan
ketatausahaan. 1.
Tugas gudang farmasi Tugas gudang farmasi adalah sebagai berikut : a.
Gudang
farmasi
mempunyai
tugas
mengadakan,
menerima,
menyimpan, memelihara, dan mengamankan serta mendistribusikan obat, alat kesehatan, perbekalan dan perlengkapan kesehatan. b.
Uraian tugas sebagaimana dimaksud pada point di atas adalah sebagai
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5)
Melakukan pelatihan petugas pengelola obat publik dan perbekalan kesehatan untuk puskesmas
6)
Melakukan
bimbingan
teknis,
monitoring,
dan
evaluasi
ketersediaan obat public dan perbekalan kesehatan ke pusksmas 7)
Melaksanakan advokasi penyediaan anggaran kepeda pemerintah kabupaten/kota
8)
Dinas kesehatan kabupaten/ kota bertanggung jawab terhadap pendistribusian obat kepada unit pelayanan kesehatan dasar
9)
Dinas kesehatan kabupaten/ kota bertanggung jawab terhadap jaminan mutu obat yang ada di di gudang farmasi
2.
Fungsi Gudang Farmasi Untuk melaksanakan tugas yang dimaksud tersebut di ata s instalasi gudang farmasi dan perlengkapan kesehatan mempunyai fungsi: a.
Perencanaan koordinasi dan pemantauan pelaksanaan tugas di lingkungan unit
b.
Menyimpan dan mendistribusian obat-obatan, alat kesehatan dan perbekalan kesehatan lainnya pada unit-unit pelayanan kesehatan
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Terlaksananya penyimpanan dan distribusi obat yang merata dan teratur secara tepat jumlah, waktu dan tempat. a.
Terlaksananya pengendalian persediaan obat dan pembekalan kesehatan
b.
Meningkatnya kompetensi sumber daya manusia (SDM) tenaga farmasi dengan adanya jabatan fungsional.
c.
Pengelolaan SDM di UPTD, sehingga efektif dan efisien.
B. Pengelolaan SDM di UPTD
Agar organisasi di Gudang Farmasi berjalan lancar, maka diperlukan tenaga yang sesuai untuk pengelolaan obat. Tenaga yang dibutuhkan untuk menjalankan manajemen di Gudang Farmasi adalah : Apoteker, Asisten Apoteker, Tenaga SMU/Sarjana lainnya. Menurut Depkes (2005), jumlah tenaga yang tersedia dalam jumlah yang memadai akan memudahkan organisasi mencapai tujuan.
C. Manajemen Manajemen Perbekalan Farmasi
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b.
Metode Konsumsi Metode konsumsi adalah suatu metode perencanaan obat berdasarkan pada kebutuhan riil obat pada periode lalu dengan penyesuaian dan koreksi berdasarkan pada penggunaan obat tahun sebelum nya.
c.
Metode Campuran Metode yang merupakan gabungan dari metode konsumsi dan metode epidimiologi.
2.
Pengadaan dan Penerimaan Tujuan dari pengadaan adalah memperoleh obat yang di butuhkan dengan harga layak,mutu baik, pengiriman obat terjamin tepat waktu, proses berjalan lancar tidak memerlukan waktu dan tenaga yang berlebihan. berlebihan.
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c)
Cek jenis yang sesuai dengan SOP ( surat order/pembelian obat) dan faktur pengantar
d)
Cek kualitas barang
e)
Cek jumlah barang yang sesuai dengan SOP ( surat order/pembelian obat) dan faktur pengantar
f)
Cila semua sesuai , buat BA (berita acara) penerimaan
g)
Buat laporan penerimaan
h)
Catat pada buku masuk
i)
Catat pada kolom gudang dan kolom kurang
j)
Lanjut dengan proses penyimpanan
Dalam hal ini penerimaan barang hal-hal yang harus diperhatikan adalah :
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a.
First Expired First Out (FEFO) Yaitu obat yang mempunyai tanggal kadaluarsa lebih dahulu di letakkan di depan obat yang mempunyai tanggal kadaluarsa kemudian.
b.
First In First Out (FIFO) Yaitu obat yang datang kemudian di letakkan di belakang obat yang terdahulu.
Pengelolaan penyimpanan obat dilakukan sedemikian rupa sehingga : a.
Kualitas obat dalam perbekalan kesehatan dapat di pertahankan.
b.
Obat dan perbekalan kesehatan terhindar dari kerusakan fisik.
c.
Pencarian obat dan kesehatan mudah dan cepat.
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2005). Ketepatan dan kebenaran pencatatan dan laporan/informasi merupakan factor yang sangat penting dalam keberhasilan manajemen logistic obat. Proses perencanaan dilakukan berdasarkan rekapitulasi pemakaian obat seluruh puskesmas dan data pendukung lainnya seperti data epididemiologi atau pola penyakit. Dengan demikian ketepatan data dan informasi pemakaian obat puskesmas sangat mempengaruhi ketersediaan obat di kabupaten. Berdasarkan fungsinya kegiatan pencatatan dan pelaporan terbagi atas : a. pencatatan dan pengelolaan data untuk mendukung perencanaan pengadaan obat. 1)
Komplikasi pemakaian obat, dibuat berdasarkan data LPLPO
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penerimaan, pengeluaran, hilang, rusak atau kadaluarsa. Hasil pencatatan ini merupakan basis data yang selanjutnya digunakan sebagai bahan uji silang terhadap stok obat dalam gudang penyimpanan. 2)
Kartu induk persediaan barang, digunakan sebagai duplikasi kartu stok, juga dapat digunakan untuk komplikasi jenis dan jumlah obat yang di mutasikan dalam waktu tertentu serta s erta untuk kompilasi sisa stok akhir dari semua jenis obat yang tersimpan di gudang. Kartu ini bermanfaat sebagai control bagi kepala gudang farmasi dan sebagai alat bantu dalam penyusunan laporan, perencanaan, pengadaan dan distribusi serta pengendalian
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c)
Pencatatan harga obat, sesuai dengan SK menkes.
d)
Penyimpanan di gudang farmasi.
e)
Penyerahan/distribusi
obat
kepada
permintaan yang diajukan melalui LPLPO LPLPO f)
Perencanaan kebutuhan obat kabupaten.
puskesmas
atas
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persediaan obat di puskesmas, pelayanan obat di puskesmas dan pola peresepan serta informasi obat. d.
Laporan pencatatan persediaan akhir tahun anggaran Laporan ini merupakan laporan pertanggung jawaban kepala gudang farmasi kabupaten/kota yang berisi semua aspek yang berkaitan
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4) 6.
Sebagai bukti penggunaan obat di puskesmas
Penghapusan Penghapusan adalah rangkaian kegiatan pemusnahan sediaan farmasi dalam rangka pembebasan barang milik/ kekayaan Negara dari tanguung jawab berdasarkan peraturan perundang-undangan yang berlaku. Tujuan
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BAB III TINJAUAN UMUM UPT GUDANG FARMASI KABUPATEN BANJAR
A. Gudang Farmasi Kabupaten Banjar
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4.
Struktur Organisasi UPT Gudang Farmasi Kabupaten Banjar Kepala UPT Arief Rachman, S.Si., Apt., M.Mkes NIP. 19810512005011012 19810512005011012
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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Lampiran 21. Laporan Pemakaian dan Lembar Permintaan Obat (LPLPO)
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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The world's largest digital library
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Lampiran 23. Berita Acara Serah Terima Barang
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Lampiran 24. Permintaan BON Obat
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The world's largest digital library
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