Anda di halaman 1dari 94

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU

No.

Nama Barang

1 Abbocath no. 18
2 Abbocath no. 20
3 Abbocath no. 22
4 Abbocath no. 24
5 Akrilik powder
6 Akrilik ortho resin liquid
7 Akrilik Liquid
8 Akrilik self cure putih (Liquid & powder)
9 Alginat
10 Alkohol 70%
11 Alkohol 95%
12 Alkohol swab
13 Alvogyle
14 Amalgam botol
15 Amalgam kapsul
16 Apron Dissposible
17 Aquadest
18 Aqua pro injectio (Otsuka)
19 Aqua pro injectio (Pharos)
20 Articulating papper part
21 Articulating papper full
22 Bag value mask
23 Barber Broach (jarum ekstirpasi)
24 Benang Retrasi 0,1 mm
25 Benang Retrasi 0,2mm
26 Benang Retrasi 0,3 mm
27 Benang Stik 4/0
28 Povidone Iodine 60 ml
29 Povidone Iodine 300 ml
30 Povidone Iodine 1 l
31 Bite registration/ Futar D
32 Bite registration + mixing tips

Satuan
box
box
pcs
pcs
botol
botol
botol
botol
bungkus
botol
botol
box
tube
botol
pcs
buah
botol
vial
vial
box
box
buah
box
botol
botol
botol
Roll
botol
botol
botol
tube
tube

Permintaan

Penerimaan

Pedodontik
Permintaan
Penerimaan

1
2
100
50

50
50

7
75
29
8
5
1
4
200
2550
118

3
16
57
10
5
0
0
400

2
2
16
1
1
1
8
1
3

8
36
3
5
1
0

15
1

50
3

2
2

20

15
15
6

4
150
300
25

1
1

50

12
1

15
1
1
1

3
3
1
20
0
1
5

Konservasi
Permintaan
Penerimaan

6
1
3

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


33 Bleaching
34 Bonding/Adper single bond
35 Bonding bracket
36 Bracket AGILE edgewise 022
37 Bracket Clarity SL
38 Bracket Gemini Metal Roth "Unitek"
39 Bracket Smart Clips Self Ligating 022 5x5
40 Bracket Logam roth wire system
41 Bracket Logam edge wire system
42 Bracket Logam self ligastic system
43 Bracket asthestik roth wire system
44 Bracket asthestik edge wire system
45 Bracket asthestik self ligastic system
46 Bracket 6 bracket molar
47 Bracket 6 molar band
48 Breeze
49 Built-it
50 Bur Diamond Edenta Code-C
51 Bur Diamond set 6 RA Edenta
52 Cairan isi sitoject/ scandonest
53 Cairan Developer
54 Cairan Fixer
55 Canul oksigen
56 Chepalometri film
57 Celuloid strip
58 Cement fuji ix powder + liquid
59 Cherophane
60 CHKM
61 Chromic cat gut uk. 2/0
62 Chromic Catgut uk. 3/0
63 Clean stand
64 Chlor ethyl
65 Composite A2
66 Composite A3
67 Composite A3,5

botol
set
Set
Set
Set
set
set
set
set
set
set
set
set
set
tube
pack
pcs
Set
box
box
box
buah
box
box
set
botol
botol
pcs
pcs
box
kaleng
tube
tube
tube

1
8
1

2
2
2
1
1
1
2
2
6
5

4
2
2
2
4
1
2
3
24

14
12
11
11

0
6
1
2
1
2
2

6
5
1
6
6
6
4
6

4
48
48
1
19
3
5
4

1
4

6
5

2
1
10

2
2

5
2
1
1

4
1
1

1
1

9
10
10
10

1
1

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


68 Composite A4
69 CMS
70 Cocoa butter
71 Cotton buds
72 Cotton roll
73 Cotton pellet
74 C+ files no. 008 21 mm
75 C+ files no. 010 21 mm
76 C+ files no. 008 25 mm
77 C+ files no. 010 25 mm
78 Cresophate
79 Cresodent 5ml
80 Cresolve
81 Crown form
82 Crown form anterior dewasa
83 Crown form posterior dewasa
84 Dentin conditioner
85 Devitalisasi non arsen
86 Diamond bur lingkar kuning
87 Diamond bur poles
88 Diamond preparasi
89 Disclosing agent
90 EDTA
91 Ephinefrine injeksi
92 Elastic perban
93 Endo acses bur
94 Endo block
95 Endo box
96 Endomethasone
97 Etsa
98 Eugenol
99 Exafles monophase
100 Fiber
101 Fiber AA
102 Fiber DA

tube
botol
box
bungkus
bungkus
bungkus
box
box
box
box
botol
box
botol
box
box
box
box
botol
pcs
set
set
botol
tube
ampul
buah
box
buah
box
box
botol
botol
box
box
box
box

10
4
3
6
33
26
3
3
20
20
1

7
7
4
3
20
32
30
5

3
5
1
6
8
4
1
2

2
3
1
7
29
5
4
22
21
2
2
1
8

3
1
15

10

3
15
5

4
1
1

15
15
3
3
20
20

2
2
1
2

1
1
2

1
1

2
2
2
30

1
2
2
8
5
7
2
3
1
2

7
7
3
2
20
30
30

1
2
2

6
3
2

1
1
1

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


103 Fibrekleer
104 Film panoramide
105 Film periapikal
106 Fletcher
107 Flour protector
108 Flowable composit
109 Formokresol
110 Freegenol temporary
111 Gauging
112 GIC Fuji I
113 GIC Fuji II
114 GIC Fuji 9 Extra
115 Gips putih/ Gip 1
116 Gips Tipe 1 Super Gips
117 Gips stone biru type 2
118 Gips Stone Tipe 2
119 Gips stone biru type 3
120 Gips plester of paris
121 Glasstone type 4 pink/orange
122 Glasstone type 5 yellow
123 Gluco stick
124 Gluco test
125 Grinding strip 8 mm
126 Guttae percha
127 Guttap percha 15-40
128 Guttap percha 45-80
129 Guttap Percha Calibration Gauge
130 Guttap protapper Universal F1
131 Guttap protapper Universal F2
132 Guttap protapper Universal F3
133 Guttap protapper Universal F4
134 Guttap protapper Universal F4-F5
135 Handscoon XS
136 Handscoon M
137 Handscoon L

pack
box
box
set
set
tube
botol
box
pcs
box
box
box
bungkus
bungkus
bungkus
Bungkus
bungkus
bungkus
box
box
box
buah
pack
box
box
box
buah
box
box
box
box
box
box
box
box

3
10
1
7
1
3
2
2
4

57
8
5
35
7
1
1
3
15
15
3
3
3
3
114
68
38

1
6
13

4
2
2
3
1
2
1
5
56
7
10

1
1
1

1
1

4
3

2
2
2

1
1
1

2
2

5
7
7

49
7
1
4

5
2
1
4
4
5
3
1
250
250
250

15
15

15
15
15

6
9
3

6
2

3
3
3
3

1
1

30
6
6

13
18
1

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


138 Handscoon S
139 Handscoon steril 7,5
140 Handscoon Steril 8
141 Hypafix
142 H2O2
143 Infuse set
144 Ilnfusion set dewasa
145 Inlay wax
146 Jarum H.File
147 Jarum Irigasi
148 Jarum peeso reamer
149 Jarum SE-TH 18
150 Jarum sitoject anak
151 Jarum sitoject dewasa/septoject
152 Jarum spuit 23 G
153 Jarum 27 G
154 Kalsium Hidroksida (CaOH2)
155 Kalsium Hidroksida (CaOH2) Calcidors
156 Kalsium Hidroksida (CaOH2) Metapex
157 Kapas 1kg
158 Kapas 500kg
159 Kasa
160 Kasa hidrofil steril
161 Kasa
162 Kain drill
163 Karet elastik 1/4 4 02
164 Karet elastik 5/16 4 02
165 Kateter folley 16
166 Kateter folley 18
167 Kateter folley 20
168 Kateter folley 22
169 Kateter folley 24
170 Kateter nelathon uk.18
171 Kateter tip
172 K-file 10

box
pcs
pcs
roll
botol
buah
pcs
box
box
pcs
box
box
pcs
pcs
box
box
box
box
box
bungkus
bungkus
roll
box
pak
meter
bungkus
bungkus
buah
buah
buah
buah
buah
buah
box
box

65
50
4
38
10

250
10
10

15

15

30

16

25

22
1
1
600
28

2
3

2
4
9
11
150
27
2
2
2
2
2

1
600
3
2
100
100
1
1
4
4
20
6
200
26
3
2
2

7
7
7

2
1
2

600
25

20
20

10
10

100

30

2
3
3

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


173 K-file 008 21 ml
174 K-file 010 21 ml
175 K-file 008 25 ml
176 K-file 010 25 ml
177 K-file nitiflex no.015, 25 mm
178 Klamer 0,6
179 Klamer 0,7
180 Klamer 0,8
181 Lancet
182 Lentullo (Jarum)
183 Ligh body
184 Ligatur
185 Mahkota SSC
186 Malam merah
187 Masker ear loop
188 Masker ear loop hijab
189 Masker tali
190 Mata pisau bedah
191 Mata bur high speed
192 Mata bur low speed
193 Matrix band
194 Matrix strip
195 Medipact kecil
196 Medipact besar
197 Metapaste
198 Micro applicator
199 Minosep
200 Minyak pelumas handpice
201 Mixing tip
202 Molar Band Succcal Lube 0,018
203 MTA
204 Natrium Klorida 0,9% infus
205 Needle 24
206 NGT dewasa
207 Niti Flexsofile K-File 15

box
box
box
box
box
roll
roll
roll
box
set
set
box
box
box
box
box
pcs
box
box
box
box
pcs
box
tube
box
botol
kaleng
pcs
bungkus
buah
kolf
box
buah
box

21
20
20
20
4
1
1
1
3
3
4
1
1
6
92
140
3
100
1
1
4
3
25
1
3
21
1
4
15

2
20
2
20
6
2
2
2

3
4

1
4
260
253
150
100

20
30

20
20
20
20
3

2
4

1
1

1
1
1

5
9
5

2
21
21

5
4
13

50
1
1
1

25

50
1

6
1
1

15
2

3
3
20

20

3
15

15

3
18

1
5
4

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


208 Object Glass
209 OCO
210 Odol anak
211 One scrub 500 cc
212 One scrub 5L
213 Ophalescence
214 Ortho resin powder
215 Oxyflow Nasal Oksigen Anak
216 Oxyflow Nasal Oksigen Dewasa
217 Paper Point Indodent
218 Papper point 15-40
219 Papper point 45-80
220 Pegas open coil spring
221 Pegas close coil spring
222 Pehacain injeksi
223 Periodental PAK
224 Pissure sealent
225 Plester coklat
226 Power O
227 Power chain
228 Prineden RC Cream
229 Protapper universal
230 Protapper hand use F4 21 mm
231 Protapper hand use F5 21 mm
232 Protapper hand use F4 25 mm
233 Protapper hand use F5 25 mm
234 Protapper retreatment
235 Protapper rotary 21 mm
236 Pumice
237 Putty
238 Putty exaflex
239 Rubber amalgam (mata bur karet)
240 Shade Guide
241 Sikat gigi anak
242 Spiritus

box
botol
tube
botol
Galon
box
botol
pcs
pcs
box
box
box

ampul
box
tube
roll
kotak
kumparan
tube
box
pcs
pcs
box
box
box
box
bungkus
set
box
set
box
pcs
botol

4
2
5
7
1
3
9

40
40
1
1
2
7
1
1
1
6
3
3
4
4
3
3
1
6
7
20
300
8

1
6
50
10
4

1
5

10
10
7
2
1

560
3
8

5
2

2
3

40
40

2
2

20
2

20
5

1
6
3
4
7
5
8

3
2
2
4
1
330
8

300

3
3
4
4
3
3
1
6
20

150
2

6
6
6

2
4

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


243 Spongostan
244 Spuit 3 cc terumo
245 Spuit 3 cc
246 Spuit 5 cc
247 Spuit 10 cc
248 Spuit 20 cc
249 Spuit 50 cc
250 Spuit 1 cc
251 Stickywak orange
252 Sungkup oksigen
253 Surgical blade
254 Surgical silk uk. 2/0
255 Surgical suture no 4/10
256 Suture needle (r-v10)
257 Tabung oksigen kecil + regulator
258 Tabung oksigen besar + regulator
259 Tampon gigi dissposible
260 Tempron
261 Test kit golongan darah
262 Test strip Nesco
263 Tip/ujung suction
264 TKF
265 Topical anastesi
266 Top seal
267 Tourch
268 Tri way
269 Tumpatan sementara
270 Unimatrix
271 Urine bag
272 Varnish
273 Vaseline
274 Venflon
275 Wire Biostater 12
276 Wire Biostater 14
277 Wire Biostater 16

box
pcs
pcs
pcs
pcs
pcs
pcs
pcs
box
buah
pcs
box
roll
box
buah
buah
bungkus
box
set
botol
bungkus
botol
pot
tube
buah
box
box
set
buah
box
pot
box
box
box
box

12
1460
300
160
100
100
400

39
2000
300
200
50
20
500
1

200

15

10

100

20

33
3

32
5
4

10

2
1
1
3
1
2
25
3
1
5
27
2
5
3
6
1
28
2
5
5
2
1
1
1
1

106
2

15
2
1
3
6

5
1
2

25
2

2
1

2
1

2
2

8
8
3
50
7
4

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


278 Wire Biostater 16x16
279 Wire Biostater 16x22
280 Wire Biostater 17x25
281 Wire Biostater 18
282 Wire Biostater 19x25
283 Wire Niti 12
284 Wire Niti 14
285 Wire Niti 16
286 Wire Niti 16x16
287 Wire Niti 16x22
288 Wire Niti 17x25
289 Wire Niti 18
290 Wire Niti 19x25
291 Wire SS 12
292 Wire SS 14
293 Wire SS 16
294 Wire SS 16x16
295 Wire SS 16x22
296 Wire SS 17x25
297 Wire SS 18
298 Wire SS 19x25
299 Zink phospate cement Hoffmants
300 Zink phospate cement GC

box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RUMAH


LAPORAN
SAKIT
PERMINTAAN
GIGI DAN MULUT
DAN PENERIMAAN
GUSTI HASAN
BAKHP
AMANRU
B
POLIKLINIK
No.

Nama Barang

1 Abbocath no. 18
2 Abbocath no. 20
3 Abbocath no. 22
4 Abbocath no. 24
5 Akrilik powder
6 Akrilik ortho resin liquid
7 Akrilik Liquid
8 Akrilik self cure putih (Liquid & powder)
9 Alginat
10 Alkohol 70%
11 Alkohol 95%
12 Alkohol swab
13 Alvogyle
14 Amalgam botol
15 Amalgam kapsul
16 Apron Dissposible
17 Aquadest
18 Aqua pro injectio (Otsuka)
19 Aqua pro injectio (Pharos)
20 Articulating papper part
21 Articulating papper full
22 Bag value mask
23 Barber Broach (jarum ekstirpasi)
24 Benang Retrasi 0,1 mm
25 Benang Retrasi 0,2mm
26 Benang Retrasi 0,3 mm
27 Benang Stik 4/0
28 Povidone Iodine 60 ml
29 Povidone Iodine 300 ml
30 Povidone Iodine 1 l
31 Bite registration/ Futar D
32 Bite registration + mixing tips

Satuan
box
box
pcs
pcs
botol
botol
botol
botol
bungkus
botol
botol
box
tube
botol
pcs
buah
botol
vial
vial
box
box
buah
box
botol
botol
botol
Roll
botol
botol
botol
tube
tube

Permintaan

Penerimaan

Periodontik
Permintaan
Penerimaan

1
2
100
50

50
50

7
75
29
8
5
1
4
200
2550
118

3
16
57
10
5
0
0
400

2
2
16
1
1
1
8
1
3

Bedah Mulut
Permintaan
Penerimaan

2
1

2
2

1750
8
36
3
5
1
0

4
12

200
90

3
3
1
20
0
1
5

5
1

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RUMAH


LAPORAN
SAKIT
PERMINTAAN
GIGI DAN MULUT
DAN PENERIMAAN
GUSTI HASAN
BAKHP
AMANRU
B
33 Bleaching
34 Bonding/Adper single bond
35 Bonding bracket
36 Bracket AGILE edgewise 022
37 Bracket Clarity SL
38 Bracket Gemini Metal Roth "Unitek"
39 Bracket Smart Clips Self Ligating 022 5x5
40 Bracket Logam roth wire system
41 Bracket Logam edge wire system
42 Bracket Logam self ligastic system
43 Bracket asthestik roth wire system
44 Bracket asthestik edge wire system
45 Bracket asthestik self ligastic system
46 Bracket 6 bracket molar
47 Bracket 6 molar band
48 Breeze
49 Built-it
50 Bur Diamond Edenta Code-C
51 Bur Diamond set 6 RA Edenta
52 Cairan isi sitoject/ scandonest
53 Cairan Developer
54 Cairan Fixer
55 Canul oksigen
56 Chepalometri film
57 Celuloid strip
58 Cement fuji ix powder + liquid
59 Cherophane
60 CHKM
61 Chromic cat gut uk. 2/0
62 Chromic Catgut uk. 3/0
63 Clean stand
64 Chlor ethyl
65 Composite A2
66 Composite A3
67 Composite A3,5

botol
set
Set
Set
Set
set
set
set
set
set
set
set
set
set
tube
pack
pcs
Set
box
box
box
buah
box
box
set
botol
botol
pcs
pcs
box
kaleng
tube
tube
tube

1
8
1

2
2
2
1
1
1
2
2
6
5

4
2
2
2
4
1
2
3
24

14
12
11
11

0
6
1
2
1
2
2

6
5
1
6
6
6
4
6

4
48
48
1
19
3
5
4

24
24

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RUMAH


LAPORAN
SAKIT
PERMINTAAN
GIGI DAN MULUT
DAN PENERIMAAN
GUSTI HASAN
BAKHP
AMANRU
B
68 Composite A4
69 CMS
70 Cocoa butter
71 Cotton buds
72 Cotton roll
73 Cotton pellet
74 C+ files no. 008 21 mm
75 C+ files no. 010 21 mm
76 C+ files no. 008 25 mm
77 C+ files no. 010 25 mm
78 Cresophate
79 Cresodent 5ml
80 Cresolve
81 Crown form
82 Crown form anterior dewasa
83 Crown form posterior dewasa
84 Dentin conditioner
85 Devitalisasi non arsen
86 Diamond bur lingkar kuning
87 Diamond bur poles
88 Diamond preparasi
89 Disclosing agent
90 EDTA
91 Ephinefrine injeksi
92 Elastic perban
93 Endo acses bur
94 Endo block
95 Endo box
96 Endomethasone
97 Etsa
98 Eugenol
99 Exafles monophase
100 Fiber
101 Fiber AA
102 Fiber DA

tube
botol
box
bungkus
bungkus
bungkus
box
box
box
box
botol
box
botol
box
box
box
box
botol
pcs
set
set
botol
tube
ampul
buah
box
buah
box
box
botol
botol
box
box
box
box

10
4
3
6
33
26
3
3
20
20
1

7
7
4
3
20
32
30
5

3
5
1
6
8
4
1
2

2
3
1
7
29
5
4
22
21
2
2
1
8

3
1
15

2
2
30
1
2
2
8
5
7
2
3
1
2

2
1
2

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RUMAH


LAPORAN
SAKIT
PERMINTAAN
GIGI DAN MULUT
DAN PENERIMAAN
GUSTI HASAN
BAKHP
AMANRU
B
103 Fibrekleer
104 Film panoramide
105 Film periapikal
106 Fletcher
107 Flour protector
108 Flowable composit
109 Formokresol
110 Freegenol temporary
111 Gauging
112 GIC Fuji I
113 GIC Fuji II
114 GIC Fuji 9 Extra
115 Gips putih/ Gip 1
116 Gips Tipe 1 Super Gips
117 Gips stone biru type 2
118 Gips Stone Tipe 2
119 Gips stone biru type 3
120 Gips plester of paris
121 Glasstone type 4 pink/orange
122 Glasstone type 5 yellow
123 Gluco stick
124 Gluco test
125 Grinding strip 8 mm
126 Guttae percha
127 Guttap percha 15-40
128 Guttap percha 45-80
129 Guttap Percha Calibration Gauge
130 Guttap protapper Universal F1
131 Guttap protapper Universal F2
132 Guttap protapper Universal F3
133 Guttap protapper Universal F4
134 Guttap protapper Universal F4-F5
135 Handscoon XS
136 Handscoon M
137 Handscoon L

pack
box
box
set
set
tube
botol
box
pcs
box
box
box
bungkus
bungkus
bungkus
Bungkus
bungkus
bungkus
box
box
box
buah
pack
box
box
box
buah
box
box
box
box
box
box
box
box

3
10

1
6
13

1
7
1
3

4
2
2

2
2
4

57
8
5
35
7
1
1
3
15
15
3
3
3
3
114
68
38

3
1
2
1
5
56
7
10

49
7
1
4
5
2
1
4
4
5
3
1
250
250
250

12

6
6

18
12

6
6

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RUMAH


LAPORAN
SAKIT
PERMINTAAN
GIGI DAN MULUT
DAN PENERIMAAN
GUSTI HASAN
BAKHP
AMANRU
B
138 Handscoon S
139 Handscoon steril 7,5
140 Handscoon Steril 8
141 Hypafix
142 H2O2
143 Infuse set
144 Ilnfusion set dewasa
145 Inlay wax
146 Jarum H.File
147 Jarum Irigasi
148 Jarum peeso reamer
149 Jarum SE-TH 18
150 Jarum sitoject anak
151 Jarum sitoject dewasa/septoject
152 Jarum spuit 23 G
153 Jarum 27 G
154 Kalsium Hidroksida (CaOH2)
155 Kalsium Hidroksida (CaOH2) Calcidors
156 Kalsium Hidroksida (CaOH2) Metapex
157 Kapas 1kg
158 Kapas 500kg
159 Kasa
160 Kasa hidrofil steril
161 Kasa
162 Kain drill
163 Karet elastik 1/4 4 02
164 Karet elastik 5/16 4 02
165 Kateter folley 16
166 Kateter folley 18
167 Kateter folley 20
168 Kateter folley 22
169 Kateter folley 24
170 Kateter nelathon uk.18
171 Kateter tip
172 K-file 10

box
pcs
pcs
roll
botol
buah
pcs
box
box
pcs
box
box
pcs
pcs
box
box
box
box
box
bungkus
bungkus
roll
box
pak
meter
bungkus
bungkus
buah
buah
buah
buah
buah
buah
box
box

65
50
4
38
10

250
10
10
1

13

2
10

22
1
1
600
28

2
3

2
4
9
11
150
27
2
2
2
2
2

600
3
2
100
100
1
1
4
4
20
6
200
26
3

150

25
5

27
2
2

7
7
7

2
1
2

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RUMAH


LAPORAN
SAKIT
PERMINTAAN
GIGI DAN MULUT
DAN PENERIMAAN
GUSTI HASAN
BAKHP
AMANRU
B
173 K-file 008 21 ml
174 K-file 010 21 ml
175 K-file 008 25 ml
176 K-file 010 25 ml
177 K-file nitiflex no.015, 25 mm
178 Klamer 0,6
179 Klamer 0,7
180 Klamer 0,8
181 Lancet
182 Lentullo (Jarum)
183 Ligh body
184 Ligatur
185 Mahkota SSC
186 Malam merah
187 Masker ear loop
188 Masker ear loop hijab
189 Masker tali
190 Mata pisau bedah
191 Mata bur high speed
192 Mata bur low speed
193 Matrix band
194 Matrix strip
195 Medipact kecil
196 Medipact besar
197 Metapaste
198 Micro applicator
199 Minosep
200 Minyak pelumas handpice
201 Mixing tip
202 Molar Band Succcal Lube 0,018
203 MTA
204 Natrium Klorida 0,9% infus
205 Needle 24
206 NGT dewasa
207 Niti Flexsofile K-File 15

box
box
box
box
box
roll
roll
roll
box
set
set
box
box
box
box
box
pcs
box
box
box
box
pcs
box
tube
box
botol
kaleng
pcs
bungkus
buah
kolf
box
buah
box

21
20
20
20
4
1
1
1
3
3
4
1
1
6
92
140
3
100
1
1
4
3
25
1
3
21
1
4
15

2
20
2
20
6
2
2
2
3
4
1
4
260
253
150
100

6
8

2
5

6
15

7
5

50

2
25

20

50

5
3
15
2

3
18
1
5
4

10
1

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RUMAH


LAPORAN
SAKIT
PERMINTAAN
GIGI DAN MULUT
DAN PENERIMAAN
GUSTI HASAN
BAKHP
AMANRU
B
208 Object Glass
209 OCO
210 Odol anak
211 One scrub 500 cc
212 One scrub 5L
213 Ophalescence
214 Ortho resin powder
215 Oxyflow Nasal Oksigen Anak
216 Oxyflow Nasal Oksigen Dewasa
217 Paper Point Indodent
218 Papper point 15-40
219 Papper point 45-80
220 Pegas open coil spring
221 Pegas close coil spring
222 Pehacain injeksi
223 Periodental PAK
224 Pissure sealent
225 Plester coklat
226 Power O
227 Power chain
228 Prineden RC Cream
229 Protapper universal
230 Protapper hand use F4 21 mm
231 Protapper hand use F5 21 mm
232 Protapper hand use F4 25 mm
233 Protapper hand use F5 25 mm
234 Protapper retreatment
235 Protapper rotary 21 mm
236 Pumice
237 Putty
238 Putty exaflex
239 Rubber amalgam (mata bur karet)
240 Shade Guide
241 Sikat gigi anak
242 Spiritus

box
botol
tube
botol
Galon
box
botol
pcs
pcs
box
box
box

ampul
box
tube
roll
kotak
kumparan
tube
box
pcs
pcs
box
box
box
box
bungkus
set
box
set
box
pcs
botol

4
2
5
7
1
3
9

40
40
1
1
2
7
1
1
1
6
3
3
4
4
3
3
1
6
7
20
300
8

1
6
50
10
4

1
1

7
1

10
10
7
2
1

560
3
8

20

480

2
1

1
3
4
7
5
8

3
2
2
4
1
330
8

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RUMAH


LAPORAN
SAKIT
PERMINTAAN
GIGI DAN MULUT
DAN PENERIMAAN
GUSTI HASAN
BAKHP
AMANRU
B
243 Spongostan
244 Spuit 3 cc terumo
245 Spuit 3 cc
246 Spuit 5 cc
247 Spuit 10 cc
248 Spuit 20 cc
249 Spuit 50 cc
250 Spuit 1 cc
251 Stickywak orange
252 Sungkup oksigen
253 Surgical blade
254 Surgical silk uk. 2/0
255 Surgical suture no 4/10
256 Suture needle (r-v10)
257 Tabung oksigen kecil + regulator
258 Tabung oksigen besar + regulator
259 Tampon gigi dissposible
260 Tempron
261 Test kit golongan darah
262 Test strip Nesco
263 Tip/ujung suction
264 TKF
265 Topical anastesi
266 Top seal
267 Tourch
268 Tri way
269 Tumpatan sementara
270 Unimatrix
271 Urine bag
272 Varnish
273 Vaseline
274 Venflon
275 Wire Biostater 12
276 Wire Biostater 14
277 Wire Biostater 16

box
pcs
pcs
pcs
pcs
pcs
pcs
pcs
box
buah
pcs
box
roll
box
buah
buah
bungkus
box
set
botol
bungkus
botol
pot
tube
buah
box
box
set
buah
box
pot
box
box
box
box

12
1460
300
160
100
100
400

12
39
2000
300
200
50
20
500
1

60

20

60

15

900
200

39
400
100
50

2
1
1
3
1
2
25
3
1
5
27
2
5
3
6
1
28
2
5
5
2
1
1
1
1

106
2

10

96
1
3

33
3

32
5
4

8
8
3
50
7
4

13

1
1

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RUMAH


LAPORAN
SAKIT
PERMINTAAN
GIGI DAN MULUT
DAN PENERIMAAN
GUSTI HASAN
BAKHP
AMANRU
B
278 Wire Biostater 16x16
279 Wire Biostater 16x22
280 Wire Biostater 17x25
281 Wire Biostater 18
282 Wire Biostater 19x25
283 Wire Niti 12
284 Wire Niti 14
285 Wire Niti 16
286 Wire Niti 16x16
287 Wire Niti 16x22
288 Wire Niti 17x25
289 Wire Niti 18
290 Wire Niti 19x25
291 Wire SS 12
292 Wire SS 14
293 Wire SS 16
294 Wire SS 16x16
295 Wire SS 16x22
296 Wire SS 17x25
297 Wire SS 18
298 Wire SS 19x25
299 Zink phospate cement Hoffmants
300 Zink phospate cement GC

box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3

N PERMINTAAN DAN PENERIMAAN BAKHP RUMAH SAKIT GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN
LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU
No.

Nama Barang

1 Abbocath no. 18
2 Abbocath no. 20
3 Abbocath no. 22
4 Abbocath no. 24
5 Akrilik powder
6 Akrilik ortho resin liquid
7 Akrilik Liquid
8 Akrilik self cure putih (Liquid & powder)
9 Alginat
10 Alkohol 70%
11 Alkohol 95%
12 Alkohol swab
13 Alvogyle
14 Amalgam botol
15 Amalgam kapsul
16 Apron Dissposible
17 Aquadest
18 Aqua pro injectio (Otsuka)
19 Aqua pro injectio (Pharos)
20 Articulating papper part
21 Articulating papper full
22 Bag value mask
23 Barber Broach (jarum ekstirpasi)
24 Benang Retrasi 0,1 mm
25 Benang Retrasi 0,2mm
26 Benang Retrasi 0,3 mm
27 Benang Stik 4/0
28 Povidone Iodine 60 ml
29 Povidone Iodine 300 ml
30 Povidone Iodine 1 l
31 Bite registration/ Futar D
32 Bite registration + mixing tips

Satuan
box
box
pcs
pcs
botol
botol
botol
botol
bungkus
botol
botol
box
tube
botol
pcs
buah
botol
vial
vial
box
box
buah
box
botol
botol
botol
Roll
botol
botol
botol
tube
tube

Permintaan

POLIKLINIK
Orthodontik
Permintaan
Penerimaan

Penerimaan

1
2
100
50

50
50

7
75
29
8
5
1
4
200
2550
118

3
16
57
10
5
0
0
400

2
2
16
1
1
1
8

Prostodontik
Permintaan
Penerimaan

27
1

1
2

10
1

7
18

4
1

8
36
3
5
1
0
3
3
1
20
1

1
3

0
1
5

1
2

N PERMINTAAN DAN PENERIMAAN BAKHP RUMAH SAKIT GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN
LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU
33 Bleaching
34 Bonding/Adper single bond
35 Bonding bracket
36 Bracket AGILE edgewise 022
37 Bracket Clarity SL
38 Bracket Gemini Metal Roth "Unitek"
39 Bracket Smart Clips Self Ligating 022 5x5
40 Bracket Logam roth wire system
41 Bracket Logam edge wire system
42 Bracket Logam self ligastic system
43 Bracket asthestik roth wire system
44 Bracket asthestik edge wire system
45 Bracket asthestik self ligastic system
46 Bracket 6 bracket molar
47 Bracket 6 molar band
48 Breeze
49 Built-it
50 Bur Diamond Edenta Code-C
51 Bur Diamond set 6 RA Edenta
52 Cairan isi sitoject/ scandonest
53 Cairan Developer
54 Cairan Fixer
55 Canul oksigen
56 Chepalometri film
57 Celuloid strip
58 Cement fuji ix powder + liquid
59 Cherophane
60 CHKM
61 Chromic cat gut uk. 2/0
62 Chromic Catgut uk. 3/0
63 Clean stand
64 Chlor ethyl
65 Composite A2
66 Composite A3
67 Composite A3,5

botol
set
Set
Set
Set
set
set
set
set
set
set
set
set
set
tube
pack
pcs
Set
box
box
box
buah
box
box
set
botol
botol
pcs
pcs
box
kaleng
tube
tube
tube

1
8
1

2
2
2
1
1
1
2
2
6
5

4
2
2
2
4
1
2
3
24

14
12
11
11

0
6
1
2
1
2
2

2
2
2
1
1
1
2
2
6
5
1
6
6
6
4
6
1
4
48
48
1
19
3
5
4

N PERMINTAAN DAN PENERIMAAN BAKHP RUMAH SAKIT GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN
LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU
68 Composite A4
69 CMS
70 Cocoa butter
71 Cotton buds
72 Cotton roll
73 Cotton pellet
74 C+ files no. 008 21 mm
75 C+ files no. 010 21 mm
76 C+ files no. 008 25 mm
77 C+ files no. 010 25 mm
78 Cresophate
79 Cresodent 5ml
80 Cresolve
81 Crown form
82 Crown form anterior dewasa
83 Crown form posterior dewasa
84 Dentin conditioner
85 Devitalisasi non arsen
86 Diamond bur lingkar kuning
87 Diamond bur poles
88 Diamond preparasi
89 Disclosing agent
90 EDTA
91 Ephinefrine injeksi
92 Elastic perban
93 Endo acses bur
94 Endo block
95 Endo box
96 Endomethasone
97 Etsa
98 Eugenol
99 Exafles monophase
100 Fiber
101 Fiber AA
102 Fiber DA

tube
botol
box
bungkus
bungkus
bungkus
box
box
box
box
botol
box
botol
box
box
box
box
botol
pcs
set
set
botol
tube
ampul
buah
box
buah
box
box
botol
botol
box
box
box
box

10
4
3
6
33
26
3
3
20
20
1

7
7
4
3
20
32
30
5

3
5
1
6
8
4
1
2

2
3
1

7
29
5
4
22
21
2
2
1
8

3
1
15

2
2
30
1
2
2
8
5
7
2
3
1
2

1
7

N PERMINTAAN DAN PENERIMAAN BAKHP RUMAH SAKIT GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN
LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU
103 Fibrekleer
104 Film panoramide
105 Film periapikal
106 Fletcher
107 Flour protector
108 Flowable composit
109 Formokresol
110 Freegenol temporary
111 Gauging
112 GIC Fuji I
113 GIC Fuji II
114 GIC Fuji 9 Extra
115 Gips putih/ Gip 1
116 Gips Tipe 1 Super Gips
117 Gips stone biru type 2
118 Gips Stone Tipe 2
119 Gips stone biru type 3
120 Gips plester of paris
121 Glasstone type 4 pink/orange
122 Glasstone type 5 yellow
123 Gluco stick
124 Gluco test
125 Grinding strip 8 mm
126 Guttae percha
127 Guttap percha 15-40
128 Guttap percha 45-80
129 Guttap Percha Calibration Gauge
130 Guttap protapper Universal F1
131 Guttap protapper Universal F2
132 Guttap protapper Universal F3
133 Guttap protapper Universal F4
134 Guttap protapper Universal F4-F5
135 Handscoon XS
136 Handscoon M
137 Handscoon L

pack
box
box
set
set
tube
botol
box
pcs
box
box
box
bungkus
bungkus
bungkus
Bungkus
bungkus
bungkus
box
box
box
buah
pack
box
box
box
buah
box
box
box
box
box
box
box
box

3
10

1
6
13

1
7
1
3

4
2
2

2
2
4

57
8
5
35
7
1
1
3
15
15
3
3
3
3
114
68
38

3
1
2
1
5
56
7
10
49
7
1

2
4
8

28

3
3

3
5
1

39
4

4
5
2
1
4
4
5
3
1
250
250
250

30
7
3

3
6

N PERMINTAAN DAN PENERIMAAN BAKHP RUMAH SAKIT GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN
LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU
138 Handscoon S
139 Handscoon steril 7,5
140 Handscoon Steril 8
141 Hypafix
142 H2O2
143 Infuse set
144 Ilnfusion set dewasa
145 Inlay wax
146 Jarum H.File
147 Jarum Irigasi
148 Jarum peeso reamer
149 Jarum SE-TH 18
150 Jarum sitoject anak
151 Jarum sitoject dewasa/septoject
152 Jarum spuit 23 G
153 Jarum 27 G
154 Kalsium Hidroksida (CaOH2)
155 Kalsium Hidroksida (CaOH2) Calcidors
156 Kalsium Hidroksida (CaOH2) Metapex
157 Kapas 1kg
158 Kapas 500kg
159 Kasa
160 Kasa hidrofil steril
161 Kasa
162 Kain drill
163 Karet elastik 1/4 4 02
164 Karet elastik 5/16 4 02
165 Kateter folley 16
166 Kateter folley 18
167 Kateter folley 20
168 Kateter folley 22
169 Kateter folley 24
170 Kateter nelathon uk.18
171 Kateter tip
172 K-file 10

box
pcs
pcs
roll
botol
buah
pcs
box
box
pcs
box
box
pcs
pcs
box
box
box
box
box
bungkus
bungkus
roll
box
pak
meter
bungkus
bungkus
buah
buah
buah
buah
buah
buah
box
box

65
50
4
38
10

250
10
10

1
22
1

1
600
28

2
3

2
4
9
11
150
27
2
2
2
2
2

600
3
2
100
100

1
1
4
4
20
6
200
26
3

2
2

2
2

7
7
7

2
1
2

5
1

10

N PERMINTAAN DAN PENERIMAAN BAKHP RUMAH SAKIT GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN
LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU
173 K-file 008 21 ml
174 K-file 010 21 ml
175 K-file 008 25 ml
176 K-file 010 25 ml
177 K-file nitiflex no.015, 25 mm
178 Klamer 0,6
179 Klamer 0,7
180 Klamer 0,8
181 Lancet
182 Lentullo (Jarum)
183 Ligh body
184 Ligatur
185 Mahkota SSC
186 Malam merah
187 Masker ear loop
188 Masker ear loop hijab
189 Masker tali
190 Mata pisau bedah
191 Mata bur high speed
192 Mata bur low speed
193 Matrix band
194 Matrix strip
195 Medipact kecil
196 Medipact besar
197 Metapaste
198 Micro applicator
199 Minosep
200 Minyak pelumas handpice
201 Mixing tip
202 Molar Band Succcal Lube 0,018
203 MTA
204 Natrium Klorida 0,9% infus
205 Needle 24
206 NGT dewasa
207 Niti Flexsofile K-File 15

box
box
box
box
box
roll
roll
roll
box
set
set
box
box
box
box
box
pcs
box
box
box
box
pcs
box
tube
box
botol
kaleng
pcs
bungkus
buah
kolf
box
buah
box

21
20
20
20
4
1
1
1
3
3
4
1
1
6
92
140
3
100
1
1
4
3
25
1
3
21
1
4
15

2
20
2
20
6
2
2
2

3
4

1
1

1
4
260
253
150
100

4
3
3
3

2
3
5

25
40

3
8

2
25

15
2

3
18
1
5
4

1
1
1

20

N PERMINTAAN DAN PENERIMAAN BAKHP RUMAH SAKIT GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN
LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU
208 Object Glass
209 OCO
210 Odol anak
211 One scrub 500 cc
212 One scrub 5L
213 Ophalescence
214 Ortho resin powder
215 Oxyflow Nasal Oksigen Anak
216 Oxyflow Nasal Oksigen Dewasa
217 Paper Point Indodent
218 Papper point 15-40
219 Papper point 45-80
220 Pegas open coil spring
221 Pegas close coil spring
222 Pehacain injeksi
223 Periodental PAK
224 Pissure sealent
225 Plester coklat
226 Power O
227 Power chain
228 Prineden RC Cream
229 Protapper universal
230 Protapper hand use F4 21 mm
231 Protapper hand use F5 21 mm
232 Protapper hand use F4 25 mm
233 Protapper hand use F5 25 mm
234 Protapper retreatment
235 Protapper rotary 21 mm
236 Pumice
237 Putty
238 Putty exaflex
239 Rubber amalgam (mata bur karet)
240 Shade Guide
241 Sikat gigi anak
242 Spiritus

box
botol
tube
botol
Galon
box
botol
pcs
pcs
box
box
box

ampul
box
tube
roll
kotak
kumparan
tube
box
pcs
pcs
box
box
box
box
bungkus
set
box
set
box
pcs
botol

4
2
5
7
1
3
9

40
40
1
1
2
7
1
1
1
6
3
3
4
4
3
3
1
6
7
20
300
8

1
6
50
10
4

10
10
7
2
1
1
1
560
3
8

1
1

3
4
7
5
8

3
2
2
1
330
8

N PERMINTAAN DAN PENERIMAAN BAKHP RUMAH SAKIT GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN
LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU
243 Spongostan
244 Spuit 3 cc terumo
245 Spuit 3 cc
246 Spuit 5 cc
247 Spuit 10 cc
248 Spuit 20 cc
249 Spuit 50 cc
250 Spuit 1 cc
251 Stickywak orange
252 Sungkup oksigen
253 Surgical blade
254 Surgical silk uk. 2/0
255 Surgical suture no 4/10
256 Suture needle (r-v10)
257 Tabung oksigen kecil + regulator
258 Tabung oksigen besar + regulator
259 Tampon gigi dissposible
260 Tempron
261 Test kit golongan darah
262 Test strip Nesco
263 Tip/ujung suction
264 TKF
265 Topical anastesi
266 Top seal
267 Tourch
268 Tri way
269 Tumpatan sementara
270 Unimatrix
271 Urine bag
272 Varnish
273 Vaseline
274 Venflon
275 Wire Biostater 12
276 Wire Biostater 14
277 Wire Biostater 16

box
pcs
pcs
pcs
pcs
pcs
pcs
pcs
box
buah
pcs
box
roll
box
buah
buah
bungkus
box
set
botol
bungkus
botol
pot
tube
buah
box
box
set
buah
box
pot
box
box
box
box

12
1460
300
160
100
100
400

39
2000
300
200
50
20
500
1

2
1
1
3
1
2
25
3
1
5
27
2
5
3
6
1
28
2
5
5
2
1
1
1
1

106
2

33
3

10

32
5
4
8

8
3
50
7
4
1
1
1

N PERMINTAAN DAN PENERIMAAN BAKHP RUMAH SAKIT GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN
LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU
278 Wire Biostater 16x16
279 Wire Biostater 16x22
280 Wire Biostater 17x25
281 Wire Biostater 18
282 Wire Biostater 19x25
283 Wire Niti 12
284 Wire Niti 14
285 Wire Niti 16
286 Wire Niti 16x16
287 Wire Niti 16x22
288 Wire Niti 17x25
289 Wire Niti 18
290 Wire Niti 19x25
291 Wire SS 12
292 Wire SS 14
293 Wire SS 16
294 Wire SS 16x16
295 Wire SS 16x22
296 Wire SS 17x25
297 Wire SS 18
298 Wire SS 19x25
299 Zink phospate cement Hoffmants
300 Zink phospate cement GC

box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

T GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN


No.

POLIKLINIK
Nama Barang

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


Satuan

Permintaan

Penerimaan

VIP
Permintaan

1 Abbocath no. 18
2 Abbocath no. 20
3 Abbocath no. 22
4 Abbocath no. 24
5 Akrilik powder
6 Akrilik ortho resin liquid
7 Akrilik Liquid
8 Akrilik self cure putih (Liquid & powder)
9 Alginat
10 Alkohol 70%
11 Alkohol 95%
12 Alkohol swab
13 Alvogyle
14 Amalgam botol
15 Amalgam kapsul
16 Apron Dissposible
17 Aquadest
18 Aqua pro injectio (Otsuka)
19 Aqua pro injectio (Pharos)
20 Articulating papper part
21 Articulating papper full
22 Bag value mask
23 Barber Broach (jarum ekstirpasi)
24 Benang Retrasi 0,1 mm
25 Benang Retrasi 0,2mm
26 Benang Retrasi 0,3 mm
27 Benang Stik 4/0
28 Povidone Iodine 60 ml
29 Povidone Iodine 300 ml
30 Povidone Iodine 1 l
31 Bite registration/ Futar D
32 Bite registration + mixing tips

box
box
pcs
pcs
botol
botol
botol
botol
bungkus
botol
botol
box
tube
botol
pcs
buah
botol
vial
vial
box
box
buah
box
botol
botol
botol
Roll
botol
botol
botol
tube
tube

1
2
100
50

50
50

7
75
29
8
5
1
4
200
2550
118

3
16
57
10
5
0
0
400

2
2
16
1
1
1
8
1
3

8
36
3
5
1
0
3
3
1
20
0
1
5

APOTEK
Penerimaan

Permintaan

T GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN


33 Bleaching
34 Bonding/Adper single bond
35 Bonding bracket
36 Bracket AGILE edgewise 022
37 Bracket Clarity SL
38 Bracket Gemini Metal Roth "Unitek"
39 Bracket Smart Clips Self Ligating 022 5x5
40 Bracket Logam roth wire system
41 Bracket Logam edge wire system
42 Bracket Logam self ligastic system
43 Bracket asthestik roth wire system
44 Bracket asthestik edge wire system
45 Bracket asthestik self ligastic system
46 Bracket 6 bracket molar
47 Bracket 6 molar band
48 Breeze
49 Built-it
50 Bur Diamond Edenta Code-C
51 Bur Diamond set 6 RA Edenta
52 Cairan isi sitoject/ scandonest
53 Cairan Developer
54 Cairan Fixer
55 Canul oksigen
56 Chepalometri film
57 Celuloid strip
58 Cement fuji ix powder + liquid
59 Cherophane
60 CHKM
61 Chromic cat gut uk. 2/0
62 Chromic Catgut uk. 3/0
63 Clean stand
64 Chlor ethyl
65 Composite A2
66 Composite A3
67 Composite A3,5

botol
set
Set
Set
Set
set
set
set
set
set
set
set
set
set
tube
pack
pcs
Set
box
box
box
buah
box
box
set
botol
botol
pcs
pcs
box
kaleng
tube
tube
tube

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


1
8
1

2
2
2
1
1
1
2
2
6
5

4
2
2
2
4
1
2
3
24

14
12
11
11

0
6
1
2
1
2
2

6
5
1
6
6
6
4
6

4
48
48
1
19
3
5
4

T GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN


68 Composite A4
69 CMS
70 Cocoa butter
71 Cotton buds
72 Cotton roll
73 Cotton pellet
74 C+ files no. 008 21 mm
75 C+ files no. 010 21 mm
76 C+ files no. 008 25 mm
77 C+ files no. 010 25 mm
78 Cresophate
79 Cresodent 5ml
80 Cresolve
81 Crown form
82 Crown form anterior dewasa
83 Crown form posterior dewasa
84 Dentin conditioner
85 Devitalisasi non arsen
86 Diamond bur lingkar kuning
87 Diamond bur poles
88 Diamond preparasi
89 Disclosing agent
90 EDTA
91 Ephinefrine injeksi
92 Elastic perban
93 Endo acses bur
94 Endo block
95 Endo box
96 Endomethasone
97 Etsa
98 Eugenol
99 Exafles monophase
100 Fiber
101 Fiber AA
102 Fiber DA

tube
botol
box
bungkus
bungkus
bungkus
box
box
box
box
botol
box
botol
box
box
box
box
botol
pcs
set
set
botol
tube
ampul
buah
box
buah
box
box
botol
botol
box
box
box
box

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


10
4
3
6
33
26
3
3
20
20
1

7
7
4
3
20
32
30
5

3
5
1
6
8
4
1
2

2
3
1
7
29
5
4
22
21
2
2
1
8

3
1
15

2
2
30
1
2
2
8
5
7
2
3
1
2

T GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN


103 Fibrekleer
104 Film panoramide
105 Film periapikal
106 Fletcher
107 Flour protector
108 Flowable composit
109 Formokresol
110 Freegenol temporary
111 Gauging
112 GIC Fuji I
113 GIC Fuji II
114 GIC Fuji 9 Extra
115 Gips putih/ Gip 1
116 Gips Tipe 1 Super Gips
117 Gips stone biru type 2
118 Gips Stone Tipe 2
119 Gips stone biru type 3
120 Gips plester of paris
121 Glasstone type 4 pink/orange
122 Glasstone type 5 yellow
123 Gluco stick
124 Gluco test
125 Grinding strip 8 mm
126 Guttae percha
127 Guttap percha 15-40
128 Guttap percha 45-80
129 Guttap Percha Calibration Gauge
130 Guttap protapper Universal F1
131 Guttap protapper Universal F2
132 Guttap protapper Universal F3
133 Guttap protapper Universal F4
134 Guttap protapper Universal F4-F5
135 Handscoon XS
136 Handscoon M
137 Handscoon L

pack
box
box
set
set
tube
botol
box
pcs
box
box
box
bungkus
bungkus
bungkus
Bungkus
bungkus
bungkus
box
box
box
buah
pack
box
box
box
buah
box
box
box
box
box
box
box
box

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


3
10

1
6
13

1
7
1
3

4
2
2

2
2
4

57
8
5
35
7
1
1
3
15
15
3
3
3
3
114
68
38

3
1
2
1
5
56
7
10
49
7
1
4
5
2
1
4
4
5
3
1
250
250
250

T GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN


138 Handscoon S
139 Handscoon steril 7,5
140 Handscoon Steril 8
141 Hypafix
142 H2O2
143 Infuse set
144 Ilnfusion set dewasa
145 Inlay wax
146 Jarum H.File
147 Jarum Irigasi
148 Jarum peeso reamer
149 Jarum SE-TH 18
150 Jarum sitoject anak
151 Jarum sitoject dewasa/septoject
152 Jarum spuit 23 G
153 Jarum 27 G
154 Kalsium Hidroksida (CaOH2)
155 Kalsium Hidroksida (CaOH2) Calcidors
156 Kalsium Hidroksida (CaOH2) Metapex
157 Kapas 1kg
158 Kapas 500kg
159 Kasa
160 Kasa hidrofil steril
161 Kasa
162 Kain drill
163 Karet elastik 1/4 4 02
164 Karet elastik 5/16 4 02
165 Kateter folley 16
166 Kateter folley 18
167 Kateter folley 20
168 Kateter folley 22
169 Kateter folley 24
170 Kateter nelathon uk.18
171 Kateter tip
172 K-file 10

box
pcs
pcs
roll
botol
buah
pcs
box
box
pcs
box
box
pcs
pcs
box
box
box
box
box
bungkus
bungkus
roll
box
pak
meter
bungkus
bungkus
buah
buah
buah
buah
buah
buah
box
box

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


65
50
4
38
10

250
10
10
1
22
1

1
600
28

2
3

2
4
9
11
150
27
2
2
2
2
2

600
3
2
100
100
1
1
4
4
20
6
200
26
3
2
2

7
7
7

2
1
2

T GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN


173 K-file 008 21 ml
174 K-file 010 21 ml
175 K-file 008 25 ml
176 K-file 010 25 ml
177 K-file nitiflex no.015, 25 mm
178 Klamer 0,6
179 Klamer 0,7
180 Klamer 0,8
181 Lancet
182 Lentullo (Jarum)
183 Ligh body
184 Ligatur
185 Mahkota SSC
186 Malam merah
187 Masker ear loop
188 Masker ear loop hijab
189 Masker tali
190 Mata pisau bedah
191 Mata bur high speed
192 Mata bur low speed
193 Matrix band
194 Matrix strip
195 Medipact kecil
196 Medipact besar
197 Metapaste
198 Micro applicator
199 Minosep
200 Minyak pelumas handpice
201 Mixing tip
202 Molar Band Succcal Lube 0,018
203 MTA
204 Natrium Klorida 0,9% infus
205 Needle 24
206 NGT dewasa
207 Niti Flexsofile K-File 15

box
box
box
box
box
roll
roll
roll
box
set
set
box
box
box
box
box
pcs
box
box
box
box
pcs
box
tube
box
botol
kaleng
pcs
bungkus
buah
kolf
box
buah
box

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


21
20
20
20
4
1
1
1
3
3
4
1
1
6
92
140
3
100
1
1
4
3
25
1
3
21
1
4
15

2
20
2
20
6
2
2
2
3
4
1
4
260
253
150
100

2
25

15
2

3
18
1
5
4

T GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN


208 Object Glass
209 OCO
210 Odol anak
211 One scrub 500 cc
212 One scrub 5L
213 Ophalescence
214 Ortho resin powder
215 Oxyflow Nasal Oksigen Anak
216 Oxyflow Nasal Oksigen Dewasa
217 Paper Point Indodent
218 Papper point 15-40
219 Papper point 45-80
220 Pegas open coil spring
221 Pegas close coil spring
222 Pehacain injeksi
223 Periodental PAK
224 Pissure sealent
225 Plester coklat
226 Power O
227 Power chain
228 Prineden RC Cream
229 Protapper universal
230 Protapper hand use F4 21 mm
231 Protapper hand use F5 21 mm
232 Protapper hand use F4 25 mm
233 Protapper hand use F5 25 mm
234 Protapper retreatment
235 Protapper rotary 21 mm
236 Pumice
237 Putty
238 Putty exaflex
239 Rubber amalgam (mata bur karet)
240 Shade Guide
241 Sikat gigi anak
242 Spiritus

box
botol
tube
botol
Galon
box
botol
pcs
pcs
box
box
box

ampul
box
tube
roll
kotak
kumparan
tube
box
pcs
pcs
box
box
box
box
bungkus
set
box
set
box
pcs
botol

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


4
2
5
7
1
3
9

40
40
1
1
2
7
1
1
1
6
3
3
4
4
3
3
1
6
7
20
300
8

1
6
50
10
4
10
10
7
2
1

560
3
8

1
3
4
7
5
8

3
2
2
1
330
8

T GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN


243 Spongostan
244 Spuit 3 cc terumo
245 Spuit 3 cc
246 Spuit 5 cc
247 Spuit 10 cc
248 Spuit 20 cc
249 Spuit 50 cc
250 Spuit 1 cc
251 Stickywak orange
252 Sungkup oksigen
253 Surgical blade
254 Surgical silk uk. 2/0
255 Surgical suture no 4/10
256 Suture needle (r-v10)
257 Tabung oksigen kecil + regulator
258 Tabung oksigen besar + regulator
259 Tampon gigi dissposible
260 Tempron
261 Test kit golongan darah
262 Test strip Nesco
263 Tip/ujung suction
264 TKF
265 Topical anastesi
266 Top seal
267 Tourch
268 Tri way
269 Tumpatan sementara
270 Unimatrix
271 Urine bag
272 Varnish
273 Vaseline
274 Venflon
275 Wire Biostater 12
276 Wire Biostater 14
277 Wire Biostater 16

box
pcs
pcs
pcs
pcs
pcs
pcs
pcs
box
buah
pcs
box
roll
box
buah
buah
bungkus
box
set
botol
bungkus
botol
pot
tube
buah
box
box
set
buah
box
pot
box
box
box
box

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


12
1460
300
160
100
100
400

39
2000
300
200
50
20
500
1

2
1
1
3
1
2
25
3
1
5
27
2
5
3
6
1
28
2
5
5
2
1
1
1
1

106
2

33
3

32
5
4

100

8
8
3
50
7
4

T GIGI DAN MULUT GUSTI HASAN AMAN BANJARMASIN


278 Wire Biostater 16x16
279 Wire Biostater 16x22
280 Wire Biostater 17x25
281 Wire Biostater 18
282 Wire Biostater 19x25
283 Wire Niti 12
284 Wire Niti 14
285 Wire Niti 16
286 Wire Niti 16x16
287 Wire Niti 16x22
288 Wire Niti 17x25
289 Wire Niti 18
290 Wire Niti 19x25
291 Wire SS 12
292 Wire SS 14
293 Wire SS 16
294 Wire SS 16x16
295 Wire SS 16x22
296 Wire SS 17x25
297 Wire SS 18
298 Wire SS 19x25
299 Zink phospate cement Hoffmants
300 Zink phospate cement GC

box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3

Kepala Instalasi Farmasi


Rumah Sakit Gigi dan Mulut GHA

Ramadha Nita, S. Farm., Apt.


NIP. 19890424 201503 2 001

ARMASIN
No.

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


Nama Barang

Satuan

Permintaan

Penerimaan
APOTEK
Penerimaan

1 Abbocath no. 18
2 Abbocath no. 20
3 Abbocath no. 22
4 Abbocath no. 24
5 Akrilik powder
6 Akrilik ortho resin liquid
7 Akrilik Liquid
8 Akrilik self cure putih (Liquid & powder)
9 Alginat
10 Alkohol 70%
11 Alkohol 95%
12 Alkohol swab
13 Alvogyle
14 Amalgam botol
15 Amalgam kapsul
16 Apron Dissposible
17 Aquadest
18 Aqua pro injectio (Otsuka)
19 Aqua pro injectio (Pharos)
20 Articulating papper part
21 Articulating papper full
22 Bag value mask
23 Barber Broach (jarum ekstirpasi)
24 Benang Retrasi 0,1 mm
25 Benang Retrasi 0,2mm
26 Benang Retrasi 0,3 mm
27 Benang Stik 4/0
28 Povidone Iodine 60 ml
29 Povidone Iodine 300 ml
30 Povidone Iodine 1 l
31 Bite registration/ Futar D
32 Bite registration + mixing tips

box
box
pcs
pcs
botol
botol
botol
botol
bungkus
botol
botol
box
tube
botol
pcs
buah
botol
vial
vial
box
box
buah
box
botol
botol
botol
Roll
botol
botol
botol
tube
tube

1
2
100
50

50
50

7
75
29
8
5
1
4
200
2550
118

3
16
57
10
5
0
0
400

2
2
16
1
1
1
8
1
3

8
36
3
5
1
0
3
3
1
20
0
1
5

ARMASIN
33 Bleaching
34 Bonding/Adper single bond
35 Bonding bracket
36 Bracket AGILE edgewise 022
37 Bracket Clarity SL
38 Bracket Gemini Metal Roth "Unitek"
39 Bracket Smart Clips Self Ligating 022 5x5
40 Bracket Logam roth wire system
41 Bracket Logam edge wire system
42 Bracket Logam self ligastic system
43 Bracket asthestik roth wire system
44 Bracket asthestik edge wire system
45 Bracket asthestik self ligastic system
46 Bracket 6 bracket molar
47 Bracket 6 molar band
48 Breeze
49 Built-it
50 Bur Diamond Edenta Code-C
51 Bur Diamond set 6 RA Edenta
52 Cairan isi sitoject/ scandonest
53 Cairan Developer
54 Cairan Fixer
55 Canul oksigen
56 Chepalometri film
57 Celuloid strip
58 Cement fuji ix powder + liquid
59 Cherophane
60 CHKM
61 Chromic cat gut uk. 2/0
62 Chromic Catgut uk. 3/0
63 Clean stand
64 Chlor ethyl
65 Composite A2
66 Composite A3
67 Composite A3,5

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


botol
set
Set
Set
Set
set
set
set
set
set
set
set
set
set
tube
pack
pcs
Set
box
box
box
buah
box
box
set
botol
botol
pcs
pcs
box
kaleng
tube
tube
tube

1
8
1

2
2
2
1
1
1
2
2
6
5

4
2
2
2
4
1
2
3
24

14
12
11
11

0
6
1
2
1
2
2

6
5
1
6
6
6
4
6

4
48
48
1
19
3
5
4

ARMASIN
68 Composite A4
69 CMS
70 Cocoa butter
71 Cotton buds
72 Cotton roll
73 Cotton pellet
74 C+ files no. 008 21 mm
75 C+ files no. 010 21 mm
76 C+ files no. 008 25 mm
77 C+ files no. 010 25 mm
78 Cresophate
79 Cresodent 5ml
80 Cresolve
81 Crown form
82 Crown form anterior dewasa
83 Crown form posterior dewasa
84 Dentin conditioner
85 Devitalisasi non arsen
86 Diamond bur lingkar kuning
87 Diamond bur poles
88 Diamond preparasi
89 Disclosing agent
90 EDTA
91 Ephinefrine injeksi
92 Elastic perban
93 Endo acses bur
94 Endo block
95 Endo box
96 Endomethasone
97 Etsa
98 Eugenol
99 Exafles monophase
100 Fiber
101 Fiber AA
102 Fiber DA

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


tube
botol
box
bungkus
bungkus
bungkus
box
box
box
box
botol
box
botol
box
box
box
box
botol
pcs
set
set
botol
tube
ampul
buah
box
buah
box
box
botol
botol
box
box
box
box

10
4
3
6
33
26
3
3
20
20
1

7
7
4
3
20
32
30
5

3
5
1
6
8
4
1
2

2
3
1
7
29
5
4
22
21
2
2
1
8

3
1
15

2
2
30
1
2
2
8
5
7
2
3
1
2

ARMASIN
103 Fibrekleer
104 Film panoramide
105 Film periapikal
106 Fletcher
107 Flour protector
108 Flowable composit
109 Formokresol
110 Freegenol temporary
111 Gauging
112 GIC Fuji I
113 GIC Fuji II
114 GIC Fuji 9 Extra
115 Gips putih/ Gip 1
116 Gips Tipe 1 Super Gips
117 Gips stone biru type 2
118 Gips Stone Tipe 2
119 Gips stone biru type 3
120 Gips plester of paris
121 Glasstone type 4 pink/orange
122 Glasstone type 5 yellow
123 Gluco stick
124 Gluco test
125 Grinding strip 8 mm
126 Guttae percha
127 Guttap percha 15-40
128 Guttap percha 45-80
129 Guttap Percha Calibration Gauge
130 Guttap protapper Universal F1
131 Guttap protapper Universal F2
132 Guttap protapper Universal F3
133 Guttap protapper Universal F4
134 Guttap protapper Universal F4-F5
135 Handscoon XS
136 Handscoon M
137 Handscoon L

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


pack
box
box
set
set
tube
botol
box
pcs
box
box
box
bungkus
bungkus
bungkus
Bungkus
bungkus
bungkus
box
box
box
buah
pack
box
box
box
buah
box
box
box
box
box
box
box
box

3
10

1
6
13

1
7
1
3

4
2
2

2
2
4

57
8
5
35
7
1
1
3
15
15
3
3
3
3
114
68
38

3
1
2
1
5
56
7
10
49
7
1
4
5
2
1
4
4
5
3
1
250
250
250

ARMASIN
138 Handscoon S
139 Handscoon steril 7,5
140 Handscoon Steril 8
141 Hypafix
142 H2O2
143 Infuse set
144 Ilnfusion set dewasa
145 Inlay wax
146 Jarum H.File
147 Jarum Irigasi
148 Jarum peeso reamer
149 Jarum SE-TH 18
150 Jarum sitoject anak
151 Jarum sitoject dewasa/septoject
152 Jarum spuit 23 G
153 Jarum 27 G
154 Kalsium Hidroksida (CaOH2)
155 Kalsium Hidroksida (CaOH2) Calcidors
156 Kalsium Hidroksida (CaOH2) Metapex
157 Kapas 1kg
158 Kapas 500kg
159 Kasa
160 Kasa hidrofil steril
161 Kasa
162 Kain drill
163 Karet elastik 1/4 4 02
164 Karet elastik 5/16 4 02
165 Kateter folley 16
166 Kateter folley 18
167 Kateter folley 20
168 Kateter folley 22
169 Kateter folley 24
170 Kateter nelathon uk.18
171 Kateter tip
172 K-file 10

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


box
pcs
pcs
roll
botol
buah
pcs
box
box
pcs
box
box
pcs
pcs
box
box
box
box
box
bungkus
bungkus
roll
box
pak
meter
bungkus
bungkus
buah
buah
buah
buah
buah
buah
box
box

65
50
4
38
10

250
10
10
1
22
1

1
600
28

2
3

2
4
9
11
150
27
2
2
2
2
2

600
3
2
100
100
1
1
4
4
20
6
200
26
3
2
2

7
7
7

2
1
2

ARMASIN
173 K-file 008 21 ml
174 K-file 010 21 ml
175 K-file 008 25 ml
176 K-file 010 25 ml
177 K-file nitiflex no.015, 25 mm
178 Klamer 0,6
179 Klamer 0,7
180 Klamer 0,8
181 Lancet
182 Lentullo (Jarum)
183 Ligh body
184 Ligatur
185 Mahkota SSC
186 Malam merah
187 Masker ear loop
188 Masker ear loop hijab
189 Masker tali
190 Mata pisau bedah
191 Mata bur high speed
192 Mata bur low speed
193 Matrix band
194 Matrix strip
195 Medipact kecil
196 Medipact besar
197 Metapaste
198 Micro applicator
199 Minosep
200 Minyak pelumas handpice
201 Mixing tip
202 Molar Band Succcal Lube 0,018
203 MTA
204 Natrium Klorida 0,9% infus
205 Needle 24
206 NGT dewasa
207 Niti Flexsofile K-File 15

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


box
box
box
box
box
roll
roll
roll
box
set
set
box
box
box
box
box
pcs
box
box
box
box
pcs
box
tube
box
botol
kaleng
pcs
bungkus
buah
kolf
box
buah
box

21
20
20
20
4
1
1
1
3
3
4
1
1
6
92
140
3
100
1
1
4
3
25
1
3
21
1
4
15

2
20
2
20
6
2
2
2
3
4
1
4
260
253
150
100

2
25

15
2

3
18
1
5
4

ARMASIN
208 Object Glass
209 OCO
210 Odol anak
211 One scrub 500 cc
212 One scrub 5L
213 Ophalescence
214 Ortho resin powder
215 Oxyflow Nasal Oksigen Anak
216 Oxyflow Nasal Oksigen Dewasa
217 Paper Point Indodent
218 Papper point 15-40
219 Papper point 45-80
220 Pegas open coil spring
221 Pegas close coil spring
222 Pehacain injeksi
223 Periodental PAK
224 Pissure sealent
225 Plester coklat
226 Power O
227 Power chain
228 Prineden RC Cream
229 Protapper universal
230 Protapper hand use F4 21 mm
231 Protapper hand use F5 21 mm
232 Protapper hand use F4 25 mm
233 Protapper hand use F5 25 mm
234 Protapper retreatment
235 Protapper rotary 21 mm
236 Pumice
237 Putty
238 Putty exaflex
239 Rubber amalgam (mata bur karet)
240 Shade Guide
241 Sikat gigi anak
242 Spiritus

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


box
botol
tube
botol
Galon
box
botol
pcs
pcs
box
box
box

ampul
box
tube
roll
kotak
kumparan
tube
box
pcs
pcs
box
box
box
box
bungkus
set
box
set
box
pcs
botol

4
2
5
7
1
3
9

40
40
1
1
2
7
1
1
1
6
3
3
4
4
3
3
1
6
7
20
300
8

1
6
50
10
4
10
10
7
2
1

560
3
8

1
3
4
7
5
8

3
2
2
1
330
8

ARMASIN
243 Spongostan
244 Spuit 3 cc terumo
245 Spuit 3 cc
246 Spuit 5 cc
247 Spuit 10 cc
248 Spuit 20 cc
249 Spuit 50 cc
250 Spuit 1 cc
251 Stickywak orange
252 Sungkup oksigen
253 Surgical blade
254 Surgical silk uk. 2/0
255 Surgical suture no 4/10
256 Suture needle (r-v10)
257 Tabung oksigen kecil + regulator
258 Tabung oksigen besar + regulator
259 Tampon gigi dissposible
260 Tempron
261 Test kit golongan darah
262 Test strip Nesco
263 Tip/ujung suction
264 TKF
265 Topical anastesi
266 Top seal
267 Tourch
268 Tri way
269 Tumpatan sementara
270 Unimatrix
271 Urine bag
272 Varnish
273 Vaseline
274 Venflon
275 Wire Biostater 12
276 Wire Biostater 14
277 Wire Biostater 16

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


box
pcs
pcs
pcs
pcs
pcs
pcs
pcs
box
buah
pcs
box
roll
box
buah
buah
bungkus
box
set
botol
bungkus
botol
pot
tube
buah
box
box
set
buah
box
pot
box
box
box
box

12
1460
300
160
100
100
400

39
2000
300
200
50
20
500
1

2
1
1
3
1
2
25
3
1
5
27
2
5
3
6
1
28
2
5
5
2
1
1
1
1

106
2

33
3

32
5
4
8
8
3
50
7
4

ARMASIN
278 Wire Biostater 16x16
279 Wire Biostater 16x22
280 Wire Biostater 17x25
281 Wire Biostater 18
282 Wire Biostater 19x25
283 Wire Niti 12
284 Wire Niti 14
285 Wire Niti 16
286 Wire Niti 16x16
287 Wire Niti 16x22
288 Wire Niti 17x25
289 Wire Niti 18
290 Wire Niti 19x25
291 Wire SS 12
292 Wire SS 14
293 Wire SS 16
294 Wire SS 16x16
295 Wire SS 16x22
296 Wire SS 17x25
297 Wire SS 18
298 Wire SS 19x25
299 Zink phospate cement Hoffmants
300 Zink phospate cement GC

LAPORAN PERMINTAAN DAN PENERIMAAN BAKHP RU


box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3

No.

Nama Barang
1 Abbocath no. 18
2 Abbocath no. 20
3 Abbocath no. 22
4 Abbocath no. 24
5 Akrilik powder
6 Akrilik ortho resin liquid
7 Akrilik Liquid
8 Akrilik self cure putih (Liquid & powder)
9 Alginat
10 Alkohol 70%
11 Alkohol 95%
12 Alkohol swab
13 Alvogyle
14 Amalgam botol
15 Amalgam kapsul
16 Apron Dissposible
17 Aquadest
18 Aqua pro injectio (Otsuka)
19 Aqua pro injectio (Pharos)
20 Articulating papper part
21 Articulating papper full
22 Bag value mask
23 Barber Broach (jarum ekstirpasi)
24 Benang Retrasi 0,1 mm
25 Benang Retrasi 0,2mm
26 Benang Retrasi 0,3 mm
27 Benang Stik 4/0
28 Povidone Iodine 60 ml
29 Povidone Iodine 300 ml
30 Povidone Iodine 1 l
31 Bite registration/ Futar D
32 Bite registration + mixing tips
33 Bleaching
34 Bonding/Adper single bond
35 Bonding bracket
36 Bracket AGILE edgewise 022
37 Bracket Clarity SL
38 Bracket Gemini Metal Roth "Unitek"
39 Bracket Smart Clips Self Ligating 022 5x5
40 Bracket Logam roth wire system
41 Bracket Logam edge wire system
42 Bracket Logam self ligastic system

Satuan
box
box
pcs
pcs
botol
botol
botol
botol
bungkus
botol
botol
box
tube
botol
pcs
buah
botol
vial
vial
box
box
buah
box
botol
botol
botol
Roll
botol
botol
botol
tube
tube
botol
set
Set
Set
Set
set
set
set
set

Permintaan
1
2
100
50
6
7
75
29
8
5
1
4
200
2550
118

2
2
16
1
1
1
8
1
3
1
8
1

2
2
2

43 Bracket asthestik roth wire system


44 Bracket asthestik edge wire system
45 Bracket asthestik self ligastic system
46 Bracket 6 bracket molar
47 Bracket 6 molar band
48 Breeze
49 Built-it
50 Bur Diamond Edenta Code-C
51 Bur Diamond set 6 RA Edenta
52 Cairan isi sitoject/ scandonest
53 Cairan Developer
54 Cairan Fixer
55 Canul oksigen
56 Chepalometri film
57 Celuloid strip
58 Cement fuji ix powder + liquid
59 Cherophane
60 CHKM
61 Chromic cat gut uk. 2/0
62 Chromic Catgut uk. 3/0
63 Clean stand
64 Chlor ethyl
65 Composite A2
66 Composite A3
67 Composite A3,5
68 Composite A4
69 CMS
70 Cocoa butter
71 Cotton buds
72 Cotton roll
73 Cotton pellet
74 C+ files no. 008 21 mm
75 C+ files no. 010 21 mm
76 C+ files no. 008 25 mm
77 C+ files no. 010 25 mm
78 Cresophate
79 Cresodent 5ml
80 Cresolve
81 Crown form
82 Crown form anterior dewasa
83 Crown form posterior dewasa
84 Dentin conditioner
85 Devitalisasi non arsen
86 Diamond bur lingkar kuning
87 Diamond bur poles

set
set
set
set
set
tube
pack
pcs
Set
box
box
box
buah
box
box
set
botol
botol
pcs
pcs
box
kaleng
tube
tube
tube
tube
botol
box
bungkus
bungkus
bungkus
box
box
box
box
botol
box
botol
box
box
box
box
botol
pcs
set

1
1
1
2
2
6
5

4
2
2
2
4
1
2
3
24

14
12
11
11
10
4
3
6
33
26
3
3
20
20
1

7
7
4
3
20
32

88 Diamond preparasi
89 Disclosing agent
90 EDTA
91 Ephinefrine injeksi
92 Elastic perban
93 Endo acses bur
94 Endo block
95 Endo box
96 Endomethasone
97 Etsa
98 Eugenol
99 Exafles monophase
100 Fiber
101 Fiber AA
102 Fiber DA
103 Fibrekleer
104 Film panoramide
105 Film periapikal
106 Fletcher
107 Flour protector
108 Flowable composit
109 Formokresol
110 Freegenol temporary
111 Gauging
112 GIC Fuji I
113 GIC Fuji II
114 GIC Fuji 9 Extra
115 Gips putih/ Gip 1
116 Gips Tipe 1 Super Gips
117 Gips stone biru type 2
118 Gips Stone Tipe 2
119 Gips stone biru type 3
120 Gips plester of paris
121 Glasstone type 4 pink/orange
122 Glasstone type 5 yellow
123 Gluco stick
124 Gluco test
125 Grinding strip 8 mm
126 Guttae percha
127 Guttap percha 15-40
128 Guttap percha 45-80
129 Guttap Percha Calibration Gauge
130 Guttap protapper Universal F1
131 Guttap protapper Universal F2
132 Guttap protapper Universal F3

set
botol
tube
ampul
buah
box
buah
box
box
botol
botol
box
box
box
box
pack
box
box
set
set
tube
botol
box
pcs
box
box
box
bungkus
bungkus
bungkus
Bungkus
bungkus
bungkus
box
box
box
buah
pack
box
box
box
buah
box
box
box

30
5

3
5
1
6
8
4
1
2

3
10
1
7
1
3
2
2
4

57
8
5
35
7
1
1
3
15
15
3
3
3

133 Guttap protapper Universal F4


134 Guttap protapper Universal F4-F5
135 Handscoon XS
136 Handscoon M
137 Handscoon L
138 Handscoon S
139 Handscoon steril 7,5
140 Handscoon Steril 8
141 Hypafix
142 H2O2
143 Infuse set
144 Ilnfusion set dewasa
145 Inlay wax
146 Jarum H.File
147 Jarum Irigasi
148 Jarum peeso reamer
149 Jarum SE-TH 18
150 Jarum sitoject anak
151 Jarum sitoject dewasa/septoject
152 Jarum spuit 23 G
153 Jarum 27 G
154 Kalsium Hidroksida (CaOH2)
155 Kalsium Hidroksida (CaOH2) Calcidors
156 Kalsium Hidroksida (CaOH2) Metapex
157 Kapas 1kg
158 Kapas 500kg
159 Kasa
160 Kasa hidrofil steril
161 Kasa
162 Kain drill
163 Karet elastik 1/4 4 02
164 Karet elastik 5/16 4 02
165 Kateter folley 16
166 Kateter folley 18
167 Kateter folley 20
168 Kateter folley 22
169 Kateter folley 24
170 Kateter nelathon uk.18
171 Kateter tip
172 K-file 10
173 K-file 008 21 ml
174 K-file 010 21 ml
175 K-file 008 25 ml
176 K-file 010 25 ml
177 K-file nitiflex no.015, 25 mm

box
box
box
box
box
box
pcs
pcs
roll
botol
buah
pcs
box
box
pcs
box
box
pcs
pcs
box
box
box
box
box
bungkus
bungkus
roll
box
pak
meter
bungkus
bungkus
buah
buah
buah
buah
buah
buah
box
box
box
box
box
box
box

3
114
68
38
65
50
4
38
10

1
600
28

2
3

2
4
9
11
150
27
2
2
2
2
2

2
1
21
20
20
20
4

178 Klamer 0,6


179 Klamer 0,7
180 Klamer 0,8
181 Lancet
182 Lentullo (Jarum)
183 Ligh body
184 Ligatur
185 Mahkota SSC
186 Malam merah
187 Masker ear loop
188 Masker ear loop hijab
189 Masker tali
190 Mata pisau bedah
191 Mata bur high speed
192 Mata bur low speed
193 Matrix band
194 Matrix strip
195 Medipact kecil
196 Medipact besar
197 Metapaste
198 Micro applicator
199 Minosep
200 Minyak pelumas handpice
201 Mixing tip
202 Molar Band Succcal Lube 0,018
203 MTA
204 Natrium Klorida 0,9% infus
205 Needle 24
206 NGT dewasa
207 Niti Flexsofile K-File 15
208 Object Glass
209 OCO
210 Odol anak
211 One scrub 500 cc
212 One scrub 5L
213 Ophalescence
214 Ortho resin powder
215 Oxyflow Nasal Oksigen Anak
216 Oxyflow Nasal Oksigen Dewasa
217 Paper Point Indodent
218 Papper point 15-40
219 Papper point 45-80
220 Pegas open coil spring
221 Pegas close coil spring
222 Pehacain injeksi

roll
roll
roll
box
set
set
box
box
box
box
box
pcs
box
box
box
box
pcs
box
tube
box
botol
kaleng
pcs
bungkus
buah
kolf
box
buah
box
box
botol
tube
botol
Galon
box
botol
pcs
pcs
box
box
box

ampul

1
1
1
3
3
4
1
1
6
92
140
3
100
1
1
4
3
25
1
3
21
1
4
15
3
1
5
4
4
2
5
7
1
3
9

40
40
1
1

223 Periodental PAK


224 Pissure sealent
225 Plester coklat
226 Power O
227 Power chain
228 Prineden RC Cream
229 Protapper universal
230 Protapper hand use F4 21 mm
231 Protapper hand use F5 21 mm
232 Protapper hand use F4 25 mm
233 Protapper hand use F5 25 mm
234 Protapper retreatment
235 Protapper rotary 21 mm
236 Pumice
237 Putty
238 Putty exaflex
239 Rubber amalgam (mata bur karet)
240 Shade Guide
241 Sikat gigi anak
242 Spiritus
243 Spongostan
244 Spuit 3 cc terumo
245 Spuit 3 cc
246 Spuit 5 cc
247 Spuit 10 cc
248 Spuit 20 cc
249 Spuit 50 cc
250 Spuit 1 cc
251 Stickywak orange
252 Sungkup oksigen
253 Surgical blade
254 Surgical silk uk. 2/0
255 Surgical suture no 4/10
256 Suture needle (r-v10)
257 Tabung oksigen kecil + regulator
258 Tabung oksigen besar + regulator
259 Tampon gigi dissposible
260 Tempron
261 Test kit golongan darah
262 Test strip Nesco
263 Tip/ujung suction
264 TKF
265 Topical anastesi
266 Top seal
267 Tourch

box
tube
roll
kotak
kumparan
tube
box
pcs
pcs
box
box
box
box
bungkus
set
box
set
box
pcs
botol
box
pcs
pcs
pcs
pcs
pcs
pcs
pcs
box
buah
pcs
box
roll
box
buah
buah
bungkus
box
set
botol
bungkus
botol
pot
tube
buah

2
7
1
1
1
6
3
3
4
4
3
3
1
6
7
20
300
8
12
1460
300
160
100
100
400
2
1
1
3
1
2
25
3
1
5
27
2
5
3
6

268 Tri way


269 Tumpatan sementara
270 Unimatrix
271 Urine bag
272 Varnish
273 Vaseline
274 Venflon
275 Wire Biostater 12
276 Wire Biostater 14
277 Wire Biostater 16
278 Wire Biostater 16x16
279 Wire Biostater 16x22
280 Wire Biostater 17x25
281 Wire Biostater 18
282 Wire Biostater 19x25
283 Wire Niti 12
284 Wire Niti 14
285 Wire Niti 16
286 Wire Niti 16x16
287 Wire Niti 16x22
288 Wire Niti 17x25
289 Wire Niti 18
290 Wire Niti 19x25
291 Wire SS 12
292 Wire SS 14
293 Wire SS 16
294 Wire SS 16x16
295 Wire SS 16x22
296 Wire SS 17x25
297 Wire SS 18
298 Wire SS 19x25
299 Zink phospate cement Hoffmants
300 Zink phospate cement GC

box
box
set
buah
box
pot
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box
box

1
28
2
5
5
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5

Penerimaan

IGD
Permintaan

50
50

Triage
Penerimaan

Permintaan

1
2
100
1

50
10

Penerimaan

2
3
16
57
10
5
0
0
400

300
8
36
3
5
1
0

1
12
3

3
3
1
20

0
1
5
0
6
1
2
1
2
2

6
5
1
6
6
6
2
4
6

4
48
48
1
19
3
5
4
2
3
1

1
5

7
29
5
4
22
21
2
2
1
8

3
1
15

2
2
30

30
3

1
2
2
8
5
7
2
3
1
2
1
6
13

4
2
2
3
1
2
1
5
56
7
10
49
7
1
4
5
2
1
4
4
5

1
1

3
1
250
250
250
250
10
10

50

1
10
10

1
1
10

10

22
1
600
3
2
100
100
1
1
1
4
4
20
6
200
26
3

20
7

2
2

7
7
7

2
2
2

2
1
2
2
20
2
20
6

10
10
10

5
3
5

2
2
2
1
3
4
1
4
260
253
150
100

1
1

2
2

3
2

2
25

15
2
18

6
5

1
6
50
10
4

10
10
7
2
1

5
5

560

20

3
8

1
3
4
7
5
8

3
2
2
1
330
8
39
2000
300
200
50
20
500
1

100
100
100
100
100
100

10
15
10
4
15

2
106
2

1
2
33
3

32
5
4

10
1

1
8
3
50
7
4

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3

10

Radiologi
Permintaan
Penerimaan

Lab. Klinik
Permintaan
Penerimaan

2
3

Peny.Mulut
Permintaan

2
2

2
2

6
3
6

10

4
11

3
10
5
1

9
9
9
9

2
2

1
1

9
9

200

1
5

POLIKLINIK
Pedodontik
Permintaan
Penerimaan

Peny.Mulut
Penerimaan

15
1

50

Konservasi
Permintaan
Penerimaan

2
2

20

15
15
6

4
150
300
25

1
1

50

12
1

15
1
1
1
6

1
1

3
1
4

6
5

2
1
10

2
2

5
2
1
1

4
1
1
1

1
1

9
10
10
10
10

1
1
1

15
5

4
1
1

15
15
3
3
20
20

2
2
1
2

1
1
2

1
1
2

7
7
3
2
20
30

30
2

1
2
2

6
3
2

1
1
1

1
1
1

1
1

4
3

2
2
2

1
1
1

2
2

5
7
7

6
2

15
15
3
3
3

1
1

6
6

15
15
15
15

6
9
3
15

30
6
6
30

13
18
1
16

25

1
1

600
25

10
10

100

30

2
3
3

20
20
20
20
3

20
20

1
1
1

2
4

1
3
6
3

20
30

1
1
1

5
9
5

2
21
21

5
4
13

50
1
1
1
30

50
1
6
1
1

3
3
20

20

3
15

15
3

1
1
5
1

5
2

20

2
3

40
40

2
2

20

6
3

4
300

3
3
4
4
3
3
1
6
20

6
6
6

2
4

150
2

200

15

10

100

20

10
3

5
1
2

15
2
1
3
6

25
2

2
1

2
1

2
2

Periodontik
Permintaan
Penerimaan

Bedah Mulut
Permintaan
Penerimaan

Orthodontik
Permintaan

2
1

2
2

27
1

1750
4
12

200
90

5
1

2
1

2
2
2

1
1
1
2
2

24
24

1
1

2
8
28

12

6
6

18
12

6
6

3
3

13

1
1

150

25
5

2
10

27
2
2

1
1
1

6
8

2
5

6
15

7
5

4
3
3
3

50

20

50

10
1

1
1

7
1

1
1
20

480

2
1
1
1

2
12
60

20

60

15

900
200

1
39
400
100
50

10

96
1
3

13

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Orthodontik
Penerimaan

Prostodontik
Permintaan
Penerimaan

VIP
Permintaan

Penerimaan

1
2

10
1

7
18

4
1
1

1
1
2

2
4
3
5

39
4

3
5
1
6

30
7
3

3
6
1
8

5
1

10

2
3
5

25
40

3
8

20

10

100

APOTEK
Permintaan

Penerimaan

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