Cloride 0,9 sebanyak 1 botol, Dextrose 10% sebanyak 1 botol, Betadine Vaginal Douche sebanyak 2 botol, Betason N sebanyak 3 kotak, Genoint sebanyak 2 kotak, Neocenta Gel 15 gram sebanyak 2 kotak, Benoson N 5 g sebanyak 3 kotak, Acyclovir 5 g sebanyak 4 tube, Gentamicin 5 g sebanyak 2 tube, Oxytetra 5 g sebanyak 4 tube, Bioplacenton 15 g sebanyak 3 kotak, otopain 8 ml sebanyak 1 kotak, Cefadrixil Monohydrate 500 mg sebanyak 1 kotak , Grafthazon sebanyak 2 kotak, Dexaharsen 0,5 sebanyak 33 strip, Burnazin

botol, Betadine Vaginal Douchesebanyak 2 botol, Betason N sebanyak 3 kotak, Genoint sebanyak2 kotak, Neocenta Gel 15 gram sebanyak 2 kotak, Benoson N 5gsebanyak 3 kotak, Acyclovir 5 g sebanyak 4 tube, Gentamicin 5 gsebanyak 2 tube, Oxytetra 5 g sebanyak 4 tube, Bioplacenton 15 ghalaman 2 dari 30 Putusan Pidana Nomor : 181/Pid.B/2020/PN Dps.sebanyak 3 kotak, otopain 8 ml sebanyak 1 kotak, CefadrixilMonohydrate 500 mg sebanyak 1 kotak , Grafthazon sebanyak 2kotak, Dexaharsen 0,5 sebanyak 33 strip, Burnazin

Sodium Cloride 0,9 sebanyak 1 botol,Dextrose 10% sebanyak 1 botol, Betadine Vaginal Douche sebanyak 2 botol,Betason N sebanyak 3 kotak, Genoint sebanyak 2 kotak, Neocenta Gel 15 gramsebanyak 2 kotak, Benoson N 5 g sebanyak 3 kotak, Acyclovir 5 g sebanyak 4tube, Gentamicin 5 g sebanyak 2 tube, Oxytetra 5 g sebanyak 4 tube,Bioplacenton 15 g sebanyak 3 kotak, otopain 8 ml sebanyak 1 kotak, CefadrixilMonohydrate 500 mg sebanyak 1 kotak , Grafthazon sebanyak 2 kotak,Dexaharsen 0,5 sebanyak 33 strip, Burnazin

Sodium Cloride 0,9 sebanyak 1botol, Dextrose 10% sebanyak 1 botol, Betadine Vaginal Douchesebanyak 2 botol, Betason N sebanyak 3 kotak, Genoint sebanyak 2kotak, Neocenta Gel 15 gram sebanyak 2 kotak, Benoson N 5 gsebanyak 3 kotak, Acyclovir 5 g sebanyak 4 tube, Gentamicin 5 gsebanyak 2 tube, Oxytetra 5 g sebanyak 4 tube, Bioplacenton 15 gsebanyak 3 kotak, otopain 8 ml sebanyak 1 kotak, CefadrixilMonohydrate 500 mg sebanyak 1 kotak , Grafthazon sebanyak 2 kotak,Dexaharsen 0,5 sebanyak 33 strip, Burnazin

botol, Betadine Vaginal Douche sebanyak 2 botol, Betasonhalaman 8 dari 30 Putusan Pidana Nomor : 181/Pid.B/2020/PN Dps.N sebanyak 3 kotak, Genoint sebanyak 2 kotak, Neocenta Gel 15 gramsebanyak 2 kotak, Benoson N 5 g sebanyak 3 kotak, Acyclovir 5 gsebanyak 4 tube, Gentamicin 5 g sebanyak 2 tube, Oxytetra 5 gsebanyak 4 tube, Bioplacenton 15 g sebanyak 3 kotak, otopain 8 mlsebanyak 1 kotak, Cefadrixil Monohydrate 500 mg sebanyak 1 kotak ,Grafthazon sebanyak 2 kotak, Dexaharsen 0,5 sebanyak 33 sirip,Burnazin

Sodium Cloride 0,9 sebanyak 1 botol, Dextrose 10%sebanyak 1 botol, Betadine Vaginal Douche sebanyak 2 botol, BetasonN sebanyak 3 kotak, Genoint sebanyak 2 kotak, Neocenta Gel 15 gramsebanyak 2 kotak, Benoson N 5 g sebanyak 3 kotak, Acyclovir 5 gsebanyak 4 tube, Gentamicin 5 g sebanyak 2 tube, Oxytetra 5 gsebanyak 4 tube, Bioplacenton 15 g sebanyak 3 kotak, otopain 8 mlsebanyak 1 kotak, Cefadrixil Monohydrate 500 mg sebanyak 1 kotak ,Grafthazon sebanyak 2 kotak, Dexaharsen 0,5 sebanyak 33 sirip,Burnazin

Milorin Ifars strip 1019 Helixim Ifars strip 220 Piroxicam Novapharin strip 721 Omeric Mutifa strip 822 Teosal Dexa M strip 1323 Piroxicam Novapharin box 124 Fenaren Bernofarm strip 1625 Meloxicam o,75 Guardian box 126 Omestan Syrup Mutifa btl 127 Trodeb tropica strip 928 Melanox Surya Dermato tube 429 Nebacetin Ointment Phapros tube 530 Kalmicetin ointment Kalbe tube 231 Nebacetin Powder Pharos btl 632 Ketomed Surya Dermato tube 133 Eltazon Ifars strip 3834 Vitaquin Cream - tube 135 Burnazin

220 Piroxicam Novapharin Strip 721 Omeric Mutifa Strip 822 Teosal Dexa M Strip 1323 Piroxicam Novapharin Box 124 Fenaren Bernofarm Strip 1625 Meloxicam 0,75 Guardian Box 126 Omestan Syrup Mutifa Btl 127 Trodeb tropica Strip 928 Melanox Surya Dermato Tube 429 Nebacetin Ointment Phapros Tube 530 Kalmicetin ointment Kalbe Tube 231 Nebacetin Powder Pharos Btl 632 Ketomed Surya Dermato Tube 1 Halaman 2 dari 35 Putusan Nomor 163/Pid.Sus/2017/PN.Prp 33 Eltazon lfars Strip 3834 Vitaquin Cream Tube 135 Burnazin

220 Piroxicam Novapharin Strip 721 Omeric Mutifa Strip 822 Teosal Dexa M Strip 13 Halaman 6 dari 35 Putusan Nomor 163/Pid.Sus/2017/PN.Prp 23 Piroxicam Novapharin Box 124 Fenaren Bernofarm Strip 1625 Meloxicam 0,75 Guardian Box 126 Omestan Syrup Mutifa Btl 127 Trodeb tropica Strip 928 Melanox Surya Dermato Tube 429 Nebacetin Ointment Phapros Tube 530 Kalmicetin ointment Kalbe Tube 231 Nebacetin Powder Pharos Btl 632 Ketomed Surya Dermato Tube 133 Eltazon lfars Strip 3834 Vitaquin Cream Tube 135 Burnazin

Nufarindo kapsul 618 Milorin lfars strip 1019 Helixim lfars strip 220 Piroxicam Novapharin strip 721 Omeric Mutifa strip 822 Teosal Dexa M strip 1323 Piroxicam Novapharin box 124 Fenaren Bernofarm strip 1625 Meloxicam 0,75 Guardian box 126 Omestan Syrup Mutifa btl 127 Trodeb tropica strip 928 Melanox Surya Dermato tube 429 Nebacetin Ointment Phapros tube 530 Kalmicetin ointment Kalbe tube 231 Nebacetin Powder Pharos btl 632 Ketomed Surya Dermato tube 133 Eltazon lfars strip 3834 Vitaquin Cream tube 135 Burnazin

strip 220 Piroxicam Novapharin strip 721 Omeric Mutifa strip 822 Teosal Dexa M strip 1323 Piroxicam Novapharin box 124 Fenaren Bernofarm strip 1625 Meloxicam 0,75 Guardian box 126 Omestan Syrup Mutifa btl 127 Trodeb tropica strip 928 Melanox Surya Dermato tube 429 Nebacetin Ointment Phapros tube 5 Halaman 31 dari 35 Putusan Nomor 163/Pid.Sus/2017/PN.Prp 30 Kalmicetin ointment Kalbe tube 231 Nebacetin Powder Pharos btl32 Ketomed Surya Dermato tube 133 Eltazon lfars strip 3834 Vitaquin Cream tube 135 Burnazin

Surya ermal 4Medica3 Kloderma Tube sural Dermaie 9Medica4 Desoximetasone Tube Dexa Medica 85 Lerzin Botol Ifars 46 Refaquin Tube Surya Dermala 10Medica7 kloderma Tube =uiva Dermate 5Medica; Surya Dermato8 Pirotop Tube felescfitges 59 Melanox Tube Surya Dermata 5Medica10 Benzolac Cl Tube Surya Dermato 5 Halaman 23 dari 99 Putusan Nomor 134/Pid.Sus/2020/PN PIj Medicaoo: Surya Dermato11 Vitacid 0.025 Tube Wedica 412 Mediklin Tr 1.2% Tube Surya Berita Medica13 Vitacid 0.05 Tube Surya Dermato .Medica14 Burnazin

Dermato 4Medica3 Kloderma Tube Surya Dermato 9Medica4 Desoximetasone Tube Dexa Medica 85 Lerzin Botol Ifars 46 Refaquin Tube Surya Dermale 10Medica7 kloderma Tube SUryat Eeaniieltt 5Medica; Surya Dermato8 Pirotop Tube Medica 59 Melanox Tube Surya Dermaio 5Medica10 Benzolac Cl Tube Surya Desiree 5Medicaoo: Surya Dermato11 Vitacid 0.025 Tube Medica 412 Mediklin Tr 1.2% Tube Surya Dermato 5 Halaman 47 dari 99 Putusan Nomor 134/Pid.Sus/2020/PN PIj Medicaos Surya Dermato13 Vitacid 0.05 Tube hed 314 Burnazin

Surya Dermale 4Medica3 Kloderma Tube SUryat Eeaniieltt 9Medica4 Desoximetasone Tube Dexa Medica 85 Lerzin Botol Ifars 46 Refaquin Tube Surya Dermals 10Medica7 kloderma Tube SUryat Eeaniieltt 5Medica; Surya Dermato8 Pirotop Tube Medica 59 Melanox Tube Surya Dermato 5 Halaman 60 dari 99 Putusan Nomor 134/Pid.Sus/2020/PN PIj MedicaSurya Dermato10 Benzolac Cl Tube Wedica 511 Vitacid 0.025 Tube Surya Esra 4Medica12 Mediklin Tr 1.2% Tube sa Deriiate ,Medica13 Vitacid 0.05 Tube Surya Dermato .Medica14 Burnazin

Surya ermal 4Medica3 Kloderma Tube sural Dermaie 9Medica4 Desoximetasone Tube Dexa Medica 85 Lerzin Botol Ifars 46 Refaquin Tube Surya Dermala 10Medica7 kloderma Tube =uiva Dermate 5Medica; Surya Dermato8 Pirotop Tube felescfitges 59 Melanox Tube Surya Dermata 5Medica10 Benzolac Cl Tube Surya Dermato 5 Halaman 78 dari 99 Putusan Nomor 134/Pid.Sus/2020/PN PIj Medicaoo: Surya Dermato11 Vitacid 0.025 Tube Wedica 412 Mediklin Tr 1.2% Tube Surya Berita Medica13 Vitacid 0.05 Tube Surya Dermato .Medica14 Burnazin

Surya ermal 4Medica3 Kloderma Tube sural Dermaie 9Medica4 Desoximetasone Tube Dexa Medica 85 Lerzin Botol Ifars 46 Refaquin Tube Surya Dermala 10Medica7 kloderma Tube =uiva Dermate 5Medica; Surya Dermato8 Pirotop Tube felescfitges 59 Melanox Tube Surya Dermata 5Medica10 Benzolac Cl Tube Surya Dermato 5 Halaman 94 dari 99 Putusan Nomor 134/Pid.Sus/2020/PN PIj Medicaoo: Surya Dermato11 Vitacid 0.025 Tube Wedica 412 Mediklin Tr 1.2% Tube Surya Berita Medica13 Vitacid 0.05 Tube sUrya Dermal Medica14 Burnazin

>21

BROXAL 60 ML

Sirup

2

Botol

Obat Keras/ Daftar G

22

BUFACARYL

Kaplet

130

Butir

Obat Keras/ Daftar G

23

BURNAZIN

Daftar GObat14 BENOSON 5G kKrim 1 Tube Keras/Daftar GObatBETAMETHAS15 Krim 3 Tube Keras/ONE 0,1%Daftar GObat16 BETASON 5G kKrim 1 Tube Keras/Daftar G17 BIOCORT Krim 3 Tube Obat Halaman 56 dari 80 Putusan Nomor 151/Pid.Sus/2021/PN Mit Keras/ Daftar GObatBROADAPEN18 Kaplet 30 Butir Keras/500 MGDaftar GObatBRONCHOSAL19 Kaplet 10 Butir Keras/4MGDaftar GObat20 BROXAL 30 MG Tablet 70 Butir Keras/Daftar GObat21 BROXAL 60 ML Sirup 2 Botol Keras/Daftar GObat22 BUFACARYL Kaplet 130 Butir Keras/Daftar GObat23 BURNAZIN

Rp3,668,00035 Bisturi no. 15 Box 100 Pieces Rp 189,800 1 Rp189,80036 Bisturi no. 21 Box 100 Pieces Rp 189,800 1 Rp189,80037 Bisturi no. 22 Box 100 Pieces Rp 189,800 1 Rp189,80038 Brainact Injeksi Box 5 Ampul Rp 168,200 85 Rp250 mg/2 ml 14,297,00039 Brainact Tablet Box 30 Tablet Rp = 335,200 25 RpOral 500 mg 8,380,00040 Bralin Injeksi2 ml Box 5 Ampul Rp 139,200 50 Rp6,960,00041 Broadced Injeksi Vial 1 Gram Rp 178,400 125 Rpgr 22,300,00042 Bufect Suspensi Botol Plastik 60 ml Rp 13,000 75 Rp975,00043 Burnazin

Cendo Xitrol

11

Obat Keras Daftar G

133

Bioplacenton

20

Obat Keras Daftar G

134

Erlamycetin

2

Obat Keras Daftar G

135

Burnazin

Etercon Pharma 1 Tube Obat keras

75 Burnazin Plus 25 g Darya Varia 1 Tube Obat keras

76 Burnazin 35 g Darya Varia 1 Tube Obat keras

77 Kloderma cream 5 g PT Surya Dermato