Lap. Barang Pakai Habis Dan Persediaan

SKPD : UPT PUSKESMAS CIWARINGIN
KABUPATEN : CIREBON
PROVINSI : JAWA BARAT
BUKU BARANG PAKAI HABIS
P E N E R I M AA N
Tanggal Diterima Jenis/Nama Barang Merk/Ukuran Tahun Pembuatan Jumlah Satuan Barang
No Tgl/No.Kontrak/SP/SPK/H
arga Satuan
1 2 3 4 5 6 7
JANUARI 2015
1 02-01-2015 BP. Karcis 2015 3000 lbr Rp 4,000
2 Resep 2015 30 bk
3 Blanko BPJS 2015 3 bk
4 Plastik Obat 2015 25 bk
5
6 Jan-15 Materai 3000 2015 2 lbr Rp 3,500
7 Belanja Interet ( Pulsa ) 2015 2 kl Rp 102,000
8 Cetak Form MTBS 2015 1250 lbr Rp 400
9 Foto Copy SOAP 2015 1150 lbr Rp 150
10 Foto Copy Kartu Ibu 2015 1462 lbr Rp 200
11 Kertas HVS A4 70 gr 2015 2 rim Rp 36,000
12 Kertas HVS F4 70 gr 2015 4 rim Rp 38,000
13 Maf Plastik 2015 12 bh Rp 3,000
14 Etona 2015 1 pk Rp 25,000
15 Spidol WB Boardmaker 2015 3 bh Rp 6,500
16 Spidol Permanen Maker 2015 24 bh Rp 6,000
17 Maf Kertas 2015 50 bh Rp 1,000
18 Tinta Yamura 2015 2 bh Rp 7,800
19 Amplop pls 2015 1 pk Rp 15,000
P E N E R I M AA N
arga Satuan
20 Kertas Stensil 2015 2 rim Rp 24,000
21 Odner 2015 2 bh Rp 12,000
22 Amplop Kecil 2015 1 pk Rp 8,000
23 Buku Folio 2015 2 bh Rp 12,500
24 Cartridge Warna Cannon 2015 2 bh Rp 250,000
25 Air Raksa Dental Use 2015 Botol Rp 103,536
26 Aciclovir Cream 5 % 2015 50 Tube Rp 2,724
27 Azitromisin + Cefixime Kombipak 2015 Paket Rp 33,000
28 Albendazol 400 mg 2015 Tablet Rp 305
29 Ambroksol tablet 30 mg 2015 Tablet Rp 150
30 Ambroksol tablet 15 mg/5ml 2015 Botol Rp 2,900
31 Amoksisilin serbuk Injeksi 1000 mg 2015 Ampul Rp 6,800
32 Ampisilin Injeksi 2015 Ampul Rp 4,300
33 Anti Haemoroid DOEN Kombinasi 2015 30 Supp Rp 3,000
34 Antifungi DOEN Kombinasi 2015 Pot Rp 4,000
35 Davitalisasi Pasta (Non Arsen) 2015 Botol Rp 354,500
36 Deksametason Injeksi 5 mg/ml - 1 ml 2015 Ampul Rp 1,615
37 Dekstrometrofan syrup kombinasi 2015 100 Botol Rp 6,500
38 Dekstrometrofan tablet kombinasi 2015 300 Tablet Rp 353
39 Diazepam Injeksi 5 mg/ml - 2 ml 2015 Ampul Rp 2,368
40 Diazepam Tablet 2 mg 2015 Tablet Rp 27
41 Difenhidramin HCl Injeksi 10 mg/ml - 1 ml 2015 Ampul Rp 717
42 Efedrin HCl Tablet 25 mg 2015 Tablet Rp 21

43 Etanol 70% - 1.000 ml 2015 2 Botol Rp 17,000
44 Etarikridina (Rivanol) Larutan 0,1% - 300 ml 2015 Botol
45 Etil Klorida Semprot - 100 ml 2015 Botol Rp 95,400

P E N E R I M AA N
arga Satuan
46 Fenobarbital Injeksi 50 mg/ml - 2 ml 2015 Ampul Rp 670
47 Fitomenadion (Vit K1) Injeksi 10 mg/ml 2015 Ampul Rp 1,567
48 Fluoride Tablet 0,5 mg 2015 Tablet Rp 30
49 Gentamisin Salep Kulit 0,1 % 2015 100 Tube Rp 1,520
50 Gentian Violet Larutan 1% - 10 ml 2015 Botol Rp 400
51 Glass Ionomer Cement (GC IX) 2015 Botol Rp 359,000
52 Gliseril Guayakolat Sirop 2015 50 Botol Rp 5,000
53 Gliseril Guayakolat Tablet 100 mg 2015 5000 Tablet Rp 24
54 Hidrogen peroksida 2015 Botol Rp 60,000
55 Hidroklortiazid (HCT) Tablet 25 mg 2015 Tablet Rp 33
56 Iodium Test 2015 Botol Rp 3,200
57 IV Cateter NO 24 2015 Set Rp 6,370
58 Jarum jahit no. 9-14 2015 set Rp 8,333
59 Kalsium Hidroksida Pasta 2015 Botol Rp 220,000
60 Kalsium Laktat (Kalk) Tablet 500 mg 2015 4000 Tablet Rp 47
61 Kapas Pembalut/Absorben 250 mg 2015 Pcs Rp 6,800
62 Karbon aktif 2015 Tablet Rp 83
63 Kasa Pembalut Hidrofil 4 m x 10 cm 2015 Pcs Rp 552
64 Kassa Pembalut 40 x 80 2015 Pcs Rp 50,182
65 Kassa Steril 16 x 16 2015 Pcs Rp 7,727
66 Kloramfenikol Kapsul 250 mg 2015 Kapsul Rp 290
67 Kloramfenikol Suspensi 125 mg/5 ml 2015 Botol Rp 3,454
68 Kloramfenikol Tetes Telinga 3% 2015 Botol Rp 1,400
69 Klorfeniramin Maleat (CTM) Tablet 4 mg 2015 5000 Tablet Rp 15
70 Klorpromazin HCl Tablet Salut 25 mg 2015 Tablet Rp 25

71 Lancet Blade 2015 Pcs Rp 2,720
72 Lisol 2015 Botol Rp 66,000
P E N E R I M AA N
arga Satuan
73 Livertan Salep kulit 2015 Pot Rp 1,225
74 Magnesium Sulfat Injeksi (IV) 40% - 25 ml 2015 Botol Rp 1,750
75 Masker 2015 100 Pcs Rp 1,000

76 Metil dopa tablet 250 mg 2015 Tablet Rp 248
77 Metilergometrin Maleat Inj 0,200 mg - 1 ml 2015 Ampul Rp 1,387
78 Metronidazol Tablet 250 mg 2015 Tablet Rp 128

79 Monoklorkamfer Mentol Cairan ( CHKM ) 2015 Botol Rp 50,000
80 Multivitamin Sirup 2015 Botol Rp 10,000

81 Multivitamin Tablet 2015 500 Tablet Rp 660
82 Mummifying Pasta 2015 Botol Rp 160,000
83 Na. Tiroksin 2015 Tablet Rp 1,550
84 Natrium Bikarbonat Tablet 500 mg 2015 Tablet Rp 46
85 OAT (Obat Antituberkulosis) Anak 2015 Paket Rp 127,200
86 OAT (Obat Antituberkulosis) Kategori I dewasa 2015 Paket Rp 259,380
87 Obat Batuk Hitam (OBH) Cairan - 100 ml 2015 120 Botol Rp 3,490
88 Oksigen Gas dalam Tabung 2015 M3 Rp 16,083

89 Oksitetrasiklin HCl 1% Salep Mata 2015 100 Tube Rp 2,500
90 Oksitosin Injeksi 10 IU/ml - 1 ml 2015 Ampul Rp 2,915
91 Papaverin tablet 40 mg 2015 Tablet Rp 90
92 Parasetamol Tablet 100 mg 2015 Tablet Rp 35
93 Pirazinamid 500 mg 2015 Tablet Rp 220
94 Piridoksin HCl (Vit. B6) Tablet 10 mg 2015 3000 Tablet Rp 16
95 Piroxicam 20 mg kapsul 2015 Kapsul Rp 95
96 Plester 5 yard x 2 inchi 2015 Rol Rp 21,500
P E N E R I M AA N
arga Satuan
97 Prednison Tablet 5 mg 2015 Tablet Rp 35
98 Prokain Benzil Penisilin injeksi 2015 Vial Rp 6,100
99 Propititiourasil 2015 Tablet Rp 272
100 Reagen golongan darah A&B 2015 set Rp 266,000
101 Reagen Ziehl Nielson 2015 Botol Rp 195,047
102 Salbutamol Tablet 4 mg 2015 Tablet Rp 85
103 Sarung Tangan 2015 Pcs Rp 3,855
104 Scabicid cream 2015 Tube Rp 18,500
105 Semen Seng Fosfat Serbuk dan cairan 2015 Botol Rp 85,000
106 Serum Anti Bisa Ular Polivalen Injeksi 5 ml 2015 Ampul Rp 430,000
107 Serum Anti Tetanus Injeksi 1.500 IU/ampul 2015 Ampul Rp 115,000
108 Sulfasetamid Natrium Tetes Mata 15% 2015 96 Botol Rp 2,980

109 Temporary Stopping Fletcher 2015 Botol Rp 30,900
110 Tensigard 2015 Kapsul Rp 1,933
111 Tiamin HCl/Mononitrat (vit. B1) Tablet 50 mg 2015 6000 Tablet Rp 34
112 TP Rapid test 2015 test Rp 28,000

113 Triheksifenidil Hidroklorida Tablet 2 mg 2015 Tablet Rp 44
114 Urine Bag Steril 2 L 2015 Pcs Rp 3,630

115 Vitamin B Komplek Tablet 2015 3000 Tablet Rp 20
116 Vaksin HB O 2015 100 Ampul Rp 19,096
117 Vaksin BCG 2015 30 Ampul Rp 52,492
118 Vaksin DPT-HB-HIB 2015 50 Ampul Rp 63,930
119 Vaksin POLIO 2015 50 Ampul Rp 18,370
120 Vaksin CAMPAK 2015 30 Ampul Rp 25,641
121 TT 2015 30 Ampul Rp 14,910
P E N E R I M AA N
arga Satuan
122 MB. Dewasa 2015 Blister Rp 20,906
123 MB. Anak 2015 Blister Rp 14,862
124 PB. Dewasa 2015 Blister Rp 6,539
125 PB. Anak 2015 Blister Rp 6,539
126 R. I (Onco probe ) 2015 test Rp 22,100
127 R II ( Intec ) 2015 test Rp 22,100
128 R III ( Biometrix ) 2015 test Rp 22,200
129 Sypilis 2015 test Rp 28,000
130 Kotrimoksazol 960 mg 2015 Tablet Rp 165
131 Cefixime 2015 kotak Rp 33,000
132 Aciclovir tab 200 mg 2015 Tablet Rp 140
133 Flukonazol 150 mg 2015 kotak Rp 22,000
134 Vaksin Anti Rabies 2015 Vial Rp 143,750
135 Rapid HIV 3 (Biomeriux HIV) 2015 Kit @25 test Rp 555,005
136 Reagen pemeriksaan gula darah 2015 Box @25test Rp 87,000
137 VAR 2015 Vial Rp 800,000
138 RDT DBD 2015 test Rp 126,500
139 ADS 0.05 ML 2015 800 Pcs Rp 1,995
140 ADS 0.5 ML 2015 2700 Pcs Rp 1,315
141 ADS 5 ML 2015 500 Pcs Rp 2,049
142 SAFETY BOX 2015 75 Pcs Rp 18,500
143 Asam Mefenamat tablet 2015 500 Tablet Rp 112
144 Aciclovir 400 mg Tablet 2015 Tablet Rp 345
145 Alopurinol tablet 100 mg 2015 Tablet Rp 105
146 Alat suntik 1 ml 2015 Pcs Rp 650
147 Alat suntik 2,5 ml 2015 400 Pcs Rp 650
P E N E R I M AA N
arga Satuan
150 Azitromisin 500 mg tablet 2015 Tablet Rp 4,500
151 Amlodipin 10 mg tablet 2015 90 Tablet Rp 330
152 Aminofilin Tablet 200 mg 2015 Tablet Rp 90
153 Amitriptilina HCl Tablet salut 25 mg 2015 Tablet Rp 112
154 Amoksisilin Kapsul 250 mg 2015 Kapsul Rp 200
155 Amoksisilin Kapsul 500 mg 2015 7000 Kapsul Rp 272
156 Amoksisilin Sirup Kering 125 mg/5 ml 2015 50 Botol Rp 2,445
157 Antalgin Tablet 500 mg 2015 Tablet Rp 124
158 Antasida DOEN II Suspensi kombinasi 2015 Botol Rp 2,100
159 Antasida DOEN Tablet 2015 3000 Tablet Rp 75
160 Anti Bakteri DOEN Salep Kombinasi 2015 Pot Rp 2,516
161 Antimigren DOEN Kombinasi 2015 Tablet Rp 135
162 Aqua Pro Injeksi Steril 20 ml,bebas pirogen 2015 50 Vial Rp 5,000
163 Asam Folat 2015 100 Tablet Rp 48

164 Asam askorbat (Vit. C) Tablet 50 mg 2015 2000 Tablet Rp 95
165 Betametason Krim 0,1% 2015 50 Tube Rp 1,520
166 Cat Gut / Benang bedah no . 2/0 2015 Pcs Rp 5,583
168 Cetrizine tablet 2015 100 Tablet Rp 181
169 Captopril 12,5 mg 2015 Tablet Rp 72
170 Captopril 25 mg 2015 1000 Tablet Rp 80
171 Cefadroksil 500 mg tablet 2015 Tablet Rp 509
172 Cefadroksil Syrup 2015 Botol Rp 4,746
173 Cefotaksim Injeksi 1 gram 2015 Ampul Rp 2,950
174 Cefiksim 100 mg kapsul 2015 Kapsul Rp 859
175 Ciprofloksasin 500 mg tablet 2015 500 Tablet Rp 250
176 Deksametason Tablet 0,5 mg 2015 2000 Tablet Rp 68
P E N E R I M AA N
arga Satuan
177 Dekstrometropan sirup 10 mg/ml-60ml 2015 Botol Rp 1,379
178 Dekstrometropan tablet 15 mg 2015 Tablet Rp 90
179 Digoksin Tablet 0,25 2015 Tablet Rp 97
180 Domperidon tablet 10 mg 2015 Tablet Rp 167
181 Epinepri Hcl (Adrenalin) Injeksi 0,1% 2015 Ampul Rp 8,100
183 Eugenol Cair 2015 Botol Rp 16,667
184 FDC 1-3 2015 Paket Rp 359,900
185 FDC 2 2015 Paket Rp 1,199,990
186 FDC anak 2015 Paket Rp 214,900
187 FDC Sisipan 2015 Paket Rp 160,000
188 Fenobarbital tablet 30 mg 2015 Tablet Rp 61
189 Fenotoin Natrium Kapsul 100 mg 2015 Kapsul Rp 133
191 Fenol griserol tetes telinga 2015 Botol Rp 1,008
192 Fitomenadion (Vit K1) Injeksi 2 mg/ml 2015 530 Ampul Rp 3,417
193 Fitomenadion (Vit. K) Tab Salut Gula 10 mg 2015 Tablet Rp 634
194 Flukonazol tablet 2015 Tablet Rp 22,000

195 Foley Cateter 2015 set Rp 8,000
196 Furosemid Tablet 40 mg 2015 Tablet Rp 85
197 Garam Oralit 200 ml air 2015 1000 Sachet Rp 292
198 Gentamisin Injeksi 40 mg/ml 2015 Ampul Rp 3,399
199 Glibenklamid Tablet 5 mg 2015 500 Tablet Rp 56
200 Glukosa Larutan Infus 10% Steril - 500 ml 2015 Botol Rp 5,727
202 Griseofulvin Tablet 125 mg, micronized 2015 Tablet Rp 219

P E N E R I M AA N
arga Satuan
203 Hirokartison krim 2,5 % 2015 72 Tube Rp 2,541
204 Haloperidol Tablet 0,5 mg 2015 Tablet Rp 59
205 Ibuprofen Tablet 200 mg 2015 Tablet Rp 110
207 Infuset anak 2015 set Rp 3,500
208 Infuset dewasa 2015 set Rp 3,200
209 Isosorbid Dinitrat Tablet Sublingual 5 mg 2015 Tablet Rp 88
210 IV. Cateter no. 20 2015 Pcs Rp 3,800

212 Kalsium Glukonas Injeksi IV 10 %(100 mg/ml) 2015 Ampul Rp 7,800
213 Karbamazepin Tablet 200 mg 2015 Tablet Rp 243

214 Ketokonazol 200 mg tablet 2015 Tablet Rp 267
215 Klindamisin Kapsul 150 Mg 2015 Kapsul Rp 361
217 Kotrimoksazol Suspensi 2015 100 Botol Rp 2,145
218 Kotrimoksazol Tablet 480 mg Dewasa 2015 1000 Tablet Rp 149
219 Lidokain injeksi 2 % 2015 Ampul Rp 839
220 Lidokain injeksi 2 % ( HCL ) + Epineprin / 2 ml 2015 Ampul Rp 1,363
221 Loratadin tablet 10 mg 2015 Tablet Rp 154

222 Metilergometrin Maleat Tab. Salut 0,125 g 2015 Tablet Rp 140
223 Metoclopropamamid tablet 5 mg 2015 Tablet Rp 108

225 Metronindazol tablet 500 mg 2015 800 Tablet Rp 160
226 Metformin 500 mg tablet 2015 Tablet Rp 113
227 Mineral Mix 8 g 2015 Sachet Rp 2,450
P E N E R I M AA N
arga Satuan
228 Mikonazol krim 2 % 2015 Tube Rp 3,000
229 Natrium Diklofenak 25 Mg Tablet 2015 Tablet Rp 134
231 Natrium Klorida Larutan Infus 0,9% Steril 2015 Botol Rp 4,700
232 Nipedipin 10 mg 2015 Tablet Rp 100

233 Nistatin Tablet Vagina 100.000 IU/g 2015 Tablet Rp 480
234 Oksitetrasiklin hcl 1 % salep kulit 2015 50 Tube Rp 1,529
235 Parasetamol drop 2015 Botol Rp 5,227
236 Parasetamol Sirup 120 mg/5 ml 2015 168 Botol Rp 1,438
237 Parasetamol Tablet 500 mg 2015 9000 Tablet Rp 89
238 Polikresulen ( Albotyl ) 2015 Botol Rp 17,393
239 Povidon Iodida 10% - 30 ml 2015 Botol Rp 2,000
241 Propanolol hcl Tablet 40 mg 2015 Tablet Rp 108
242 Ranitidin Injeksi 25 mg / 2ml 2015 Ampul Rp 1,140
243 Ranitidine 150 mg 2015 Tablet Rp 120
244 Retinol (Vit. A) kapsul 100.000 IU 2015 550 Kapsul Rp 260
246 Ringer Laktat Larutan Infus Steril 2015 Botol Rp 5,200
247 Salep 2 - 4 2015 48 Pot Rp 2,000
248 Salisil Bedak 2% - 50 gram 2015 200 Bungkus Rp 1,250
249 Silk no. 3/0 dengan jarum bedah 2015 pcs Rp 3,056
250 Simvastatin 10 mg (di spek Kotak ) 2015 Tablet Rp 169
252 Tablet Tambah Darah Kombinasi 2015 9000 Tablet Rp 44
253 Tetrasiklin Kapsul 250 mg 2015 Kapsul Rp 148
P E N E R I M AA N
arga Satuan
255 Tiamfenikol Kapsul 500 mg 2015 Kapsul Rp 431
256 Zinc Tablet 2015 Tablet Rp 473
FEBRUARI 2015
1 02-02-2015 BP. Karcis 2015 3000 lbr Rp 4,000
2 Resep 2015 30 pk
3 05-02-2015 Amplop polos besar 2015 4 pak Rp 15,000
4 Amplop polos Kecil 2015 3 pak Rp 10,000
5 Bak Stempel 2015 2 bh Rp 7,000
6 Ballpoint ever cross 2015 2 ls Rp 19,000
7 Binder Clip 111 2015 2 pak Rp 5,000
8 Binder Clip 155 2015 2 pak Rp 6,000
9 Buku Kwitansi besar 2015 2 pcs Rp 6,000
10 Buku Kwitansi Sedang 2015 2 pcs Rp 4,500
11 Buku Nota Besar 2015 2 pcs Rp 4,500
12 Buku Nota Kecil 2015 2 pcs Rp 2,500
13 gunting 2015 1 bh Rp 6,000
14 Hecter Kecil 2015 2 bh Rp 11,000
15 HVS A4 2015 4 rim Rp 36,000
16 HVS F4 2015 10 rim Rp 38,000
17 Isi skrema Kecil 2015 6 pak Rp 1,500
18 Kalkulator 2015 1 bh Rp 55,000
19 kertas foto 2015 1 pak Rp 30,000
20 lakban besar 2015 1 rol Rp 8,000
21 Pembolong Kertas 2015 2 bh Rp 10,000
22 Pensil 2 B 2015 2 ls Rp 31,000
23 Spidol kecil 2015 2 pak Rp 9,000
P E N E R I M AA N
arga Satuan
24 spidol permanen 2015 26 pcs Rp 9,000
25 spidol white board 2015 5 pcs Rp 9,000
26 Stabilo 2015 4 bh Rp 10,000
27 Stofmap plastik 2015 3 ls Rp 36,000
28 Stofmap polio kertas 2015 5 ls Rp 20,000
29 Tipe-X 2015 4 bh Rp 5,000
30 Materai 3000 2015 12 lbr Rp 3,500
31 Materai 6000 2015 9 lbr Rp 7,000
33 Tinta Printer Laser 2015 1 pcs Rp 250,000
34 Kwitansi 2015 5 bh Rp 4,500
35 Buku tulis 2015 2 pak Rp 10,000
38 09-02-2015 Cetak kartu pasien (P) 2015 1250 lbr Rp 400
39 09-02-2015 Cetak kartu pasien (L) 2015 1250 lbr Rp 400
40 Foto Copy Partograf 2015 950 lbr Rp 150
41 Foto Copy Pengkajian Bumil Baru 2015 1492 lbr Rp 200
43 Aciclovir Cream 5 % 2015 Tube Rp 2,724
50 Anti Haemoroid DOEN Kombinasi 2015 Supp Rp 3,000
P E N E R I M AA N
arga Satuan
54 Dekstrometrofan syrup kombinasi 2015 Botol Rp 6,500
55 Dekstrometrofan tablet kombinasi 2015 Tablet Rp 353

60 Etanol 70% - 1.000 ml 2015 Botol Rp 17,000
62 Etil Klorida Semprot - 100 ml 2015 2 Botol Rp 95,400

66 Gentamisin Salep Kulit 0,1 % 2015 Tube Rp 1,520
69 Gliseril Guayakolat Sirop 2015 Botol Rp 5,000
P E N E R I M AA N
arga Satuan
80 Kasa Pembalut Hidrofil 4 m x 10 cm 2015 30 Pcs Rp 552
82 Kassa Steril 16 x 16 2015 10 Pcs Rp 7,727
83 Kloramfenikol Kapsul 250 mg 2015 600 Kapsul Rp 290
85 Kloramfenikol Tetes Telinga 3% 2015 96 Botol Rp 1,400

92 Masker 2015 Pcs Rp 1,000


97 Multivitamin Sirup 2015 50 Botol Rp 10,000

98 Multivitamin Tablet 2015 Tablet Rp 660
P E N E R I M AA N
arga Satuan

106 Oksitetrasiklin HCl 1% Salep Mata 2015 Tube Rp 2,500
114 Prednison Tablet 5 mg 2015 1000 Tablet Rp 35
124 Serum Anti Tetanus Injeksi 1.500 IU/ampul 2015 5 Ampul Rp 115,000
P E N E R I M AA N
arga Satuan


132 Vitamin B Komplek Tablet 2015 Tablet Rp 20
138 TT 2015 30 Ampul Rp 14,910
144 R II ( Intec ) 2015 test Rp 22,100
P E N E R I M AA N
arga Satuan
154 VAR 2015 Vial Rp 800,000
155 RDT DBD 2015 test Rp 126,500
156 ADS 0.05 ML 2015 Pcs Rp 1,995
157 ADS 0.5 ML 2015 Pcs Rp 1,315
158 ADS 5 ML 2015 Pcs Rp 2,049
159 SAFETY BOX 2015 Pcs Rp 18,500
162 Alopurinol tablet 100 mg 2015 200 Tablet Rp 105
164 Alat suntik 2,5 ml 2015 Pcs Rp 650
174 Antalgin Tablet 500 mg 2015 3000 Tablet Rp 124
177 Anti Bakteri DOEN Salep Kombinasi 2015 Pot Rp 2,516
179 Aqua Pro Injeksi Steril 20 ml,bebas pirogen 2015 Vial Rp 5,000
P E N E R I M AA N
arga Satuan
180 Asam Folat 2015 Tablet Rp 48
181 Asam askorbat (Vit. C) Tablet 50 mg 2015 Tablet Rp 95
182 Betametason Krim 0,1% 2015 Tube Rp 1,520
185 Cetrizine tablet 2015 100 Tablet Rp 181
192 Ciprofloksasin 500 mg tablet 2015 Tablet Rp 250
201 FDC 1-3 2015 5 Paket Rp 359,900
202 FDC 2 2015 Paket Rp 1,199,990
P E N E R I M AA N
arga Satuan
210 Fitomenadion (Vit. K) Tab Salut Gula 10 mg 2015 200 Tablet Rp 634

214 Garam Oralit 200 ml air 2015 Sachet Rp 292

223 Ibuprofen Tablet 400 mg 2015 500 Tablet Rp 149


P E N E R I M AA N
arga Satuan
233 Klindamisin Kapsul 300 Mg 2015 500 Kapsul Rp 553
237 Lidokain injeksi 2 % ( HCL ) + Epineprin / 2 ml 2015 60 Ampul Rp 1,363


242 Metronindazol tablet 500 mg 2015 Tablet Rp 160

255 Polikresulen ( Albotyl ) 2015 3 Botol Rp 17,393
P E N E R I M AA N
arga Satuan
260 Ranitidine 150 mg 2015 500 Tablet Rp 120
261 Retinol (Vit. A) kapsul 100.000 IU 2015 Kapsul Rp 260
263 Ringer Laktat Larutan Infus Steril 2015 40 Botol Rp 5,200
264 Salep 2 - 4 2015 Pot Rp 2,000
265 Salisil Bedak 2% - 50 gram 2015 Bungkus Rp 1,250
269 Tablet Tambah Darah Kombinasi 2015 Tablet Rp 44
273 Zinc Tablet 2015 500 Tablet Rp 473
MARET 2015
1 02-03-2015 BP. Karcis 2015 3000 Lbr Rp 4,000
2 Resep 2015 30 Pk
3 5/3/2015 Amplop polos besar 2015 2 pak Rp 15,000
5 Ballpoint ever cross 2015 2 ls Rp 19,000
6 Kertas HVS F4 2015 8 Rim Rp 38,000
7 Kertas HVS A4 2015 2 Rim Rp 36,000
8 Buku Tulis 38 lembar 2015 10 bh Rp 4,000
9 Penggaris 2015 1 Lusin Rp 24,000
10 Skrema / Stepler Besar 2015 1 Bh Rp 25,000
P E N E R I M AA N
arga Satuan
11 Isi Skema No 10 2015 4 pak Rp 69,000
14 Flashdiks 2015 1 pcs Rp 79,500
15 Tinta Yamura 2015 1 pcs Rp 7,800
16 Maf Kertas 2015 24 bh Rp 1,000
19 Buku Folio 2015 2 pcs Rp 12,500
20 Materai 3000 2015 2 lbr Rp 3,500
21 Materai 6000 2015 4 lbr Rp 7,000
23 Cetak kartu pasien (P) 2015 1250 lbr Rp 400
24 Cetak kartu pasien (L) 2015 1250 lbr Rp 400
25 Foto Copy MTBM 2015 2050 lbr Rp 200
26 Foto Copy Daftar Hadir Penyuluhan 2015 266 lbr Rp 150
31 Ambroksol tablet 30 mg 2015 100 Tablet Rp 150
36 Antifungi DOEN Kombinasi 2015 48 Pot Rp 4,000
P E N E R I M AA N
arga Satuan
39 Dekstrometrofan syrup kombinasi 2015 100 Botol Rp 6,500
42 Diazepam Tablet 2 mg 2015 100 Tablet Rp 27


60 Jarum jahit no. 9-14 2015 1 set Rp 8,333
63 Kapas Pembalut/Absorben 250 mg 2015 5 Pcs Rp 6,800
P E N E R I M AA N
arga Satuan


79 Metilergometrin Maleat Inj 0,200 mg - 1 ml 2015 30 Ampul Rp 1,387

82 Multivitamin Sirup 2015 100 Botol Rp 10,000

P E N E R I M AA N
arga Satuan

105 Sarung Tangan 2015 50 Pcs Rp 3,855

P E N E R I M AA N
arga Satuan

123 TT 2015 30 Ampul Rp 14,910
129 R II ( Intec ) 2015 test Rp 22,100
138 Reagen pemeriksaan gula darah 2015 1 Box @25test Rp 87,000
139 VAR 2015 Vial Rp 800,000
140 RDT DBD 2015 test Rp 126,500
P E N E R I M AA N
arga Satuan
141 ADS 0.05 ML 2015 Pcs Rp 1,995
142 ADS 0.5 ML 2015 Pcs Rp 1,315
143 ADS 5 ML 2015 Pcs Rp 2,049
155 Amitriptilina HCl Tablet salut 25 mg 2015 100 Tablet Rp 112
160 Antasida DOEN II Suspensi kombinasi 2015 50 Botol Rp 2,100
162 Anti Bakteri DOEN Salep Kombinasi 2015 100 Pot Rp 2,516

P E N E R I M AA N
arga Satuan
168 Cat Gut / Benang bedah no . 2/0 2015 24 Pcs Rp 5,583
169 Cat Gut / Benang bedah no . 3/0 2015 24 Pcs Rp 5,583
170 Cetrizine tablet 2015 Tablet Rp 181
173 Cefadroksil 500 mg tablet 2015 200 Tablet Rp 509
186 FDC 1-3 2015 Paket Rp 359,900
187 FDC 2 2015 Paket Rp 1,199,990
P E N E R I M AA N
arga Satuan

199 Garam Oralit 200 ml air 2015 Sachet Rp 292
204 Griseofulvin Tablet 125 mg, micronized 2015 200 Tablet Rp 219
206 Haloperidol Tablet 0,5 mg 2015 100 Tablet Rp 59

215 Karbamazepin Tablet 200 mg 2015 100 Tablet Rp 243

P E N E R I M AA N
arga Satuan

224 Metilergometrin Maleat Tab. Salut 0,125 g 2015 200 Tablet Rp 140

228 Metformin 500 mg tablet 2015 200 Tablet Rp 113
230 Mikonazol krim 2 % 2015 48 Tube Rp 3,000
231 Natrium Diklofenak 25 Mg Tablet 2015 200 Tablet Rp 134
233 Natrium Klorida Larutan Infus 0,9% Steril 2015 20 Botol Rp 4,700

P E N E R I M AA N
arga Satuan
249 Salep 2 - 4 2015 48 Pot Rp 2,000
APRIL 2015
1 02-04-2015 BP. Karcis 2015 3000 lbr Rp 4,000
2 Resep 2015 30 pk
3 08-04-2015 Amplop polos Kecil 2015 1 pak Rp 10,000
4 Kertas HVS F4 2015 8 rim Rp 38,000
5 Kertas HVS A4 2015 2 rim Rp 36,000
6 Stabilo 2015 5 bh Rp 10,000
9 Bolpoint 2015 2 bh Rp 17,000
10 Amplop pls Besar 2015 1 pak Rp 15,000
11 Spidol WB Boardmaker 2015 2 pcs Rp 6,500
12 Spidol permanen 2015 12 pcs Rp 6,000
P E N E R I M AA N
arga Satuan
13 Etona 2015 1 pak Rp 25,000
14 Tinta Yamura 2015 1 pcs Rp 7,800
16 Materai 3000 2015 6 lbr Rp 3,500
17 Materai 6000 2015 2 lbr Rp 7,000
18 Foto Copy Grafik PWS GIZI 2015 2000 lbr Rp 150
19 Pulsa Internet 2015 2 kl Rp 102,000
20 4/9/2015 Cetak kartu pasien (P) 2015 1250 lbr Rp 400
21 4/9/2015 Cetak kartu pasien (L) 2015 1250 lbr Rp 400
P E N E R I M AA N
arga Satuan


47 Gentian Violet Larutan 1% - 10 ml 2015 24 Botol Rp 400
61 Kassa Pembalut 40 x 80 2015 3 Pcs Rp 50,182
P E N E R I M AA N
arga Satuan




P E N E R I M AA N
arga Satuan

88 Papaverin tablet 40 mg 2015 1000 Tablet Rp 90
93 Plester 5 yard x 2 inchi 2015 2 Rol Rp 21,500
98 Reagen Ziehl Nielson 2015 9 Botol Rp 195,047
P E N E R I M AA N
arga Satuan

110 Triheksifenidil Hidroklorida Tablet 2 mg 2015 100 Tablet Rp 44

118 TT 2015 30 Ampul Rp 14,910
124 R II ( Intec ) 2015 test Rp 22,100
P E N E R I M AA N
arga Satuan
134 VAR 2015 Vial Rp 800,000
135 RDT DBD 2015 test Rp 126,500
136 ADS 0.05 ML 2015 Pcs Rp 1,995
137 ADS 0.5 ML 2015 Pcs Rp 1,315
138 ADS 5 ML 2015 Pcs Rp 2,049
149 Aminofilin Tablet 200 mg 2015 200 Tablet Rp 90
P E N E R I M AA N
arga Satuan

181 FDC 1-3 2015 Paket Rp 359,900
P E N E R I M AA N
arga Satuan
182 FDC 2 2015 Paket Rp 1,199,990

193 Furosemid Tablet 40 mg 2015 100 Tablet Rp 85
196 Glibenklamid Tablet 5 mg 2015 Tablet Rp 56

P E N E R I M AA N
arga Satuan




P E N E R I M AA N
arga Satuan
231 Oksitetrasiklin hcl 1 % salep kulit 2015 Tube Rp 1,529
236 Povidon Iodida 10% - 30 ml 2015 10 Botol Rp 2,000
244 Salep 2 - 4 2015 Pot Rp 2,000
251 Tetrasiklin Kapsul 500 mg 2015 500 Kapsul Rp 206
P E N E R I M AA N
arga Satuan
MEI 2015
1 04-05-2015 BP. Karcis 2015 3000 lbr Rp 4,000
2 Resep 2015 30 pk
3 Kwitansi Tindakan 2015 5 bh
4 Plastik Obat 2015 25 pak
6 Ballpoint ever cross 2015 1 pak Rp 19,000
7 HVS A4 2015 3 rim Rp 36,000
8 HVS F4 2015 8 rim Rp 38,000
9 Isi skrema Kecil 2015 4 pak Rp 1,500
10 Hecter kecil 2015 2 bh Rp 11,000
11 kertas foto 2015 2 pak Rp 30,000
12 lakban besar 2015 2 rol Rp 8,000
13 Pembolong Kertas 2015 2 bh Rp 10,000
14 Pensil 2 B 2015 2 ls Rp 31,000
15 Spidol kecil 2015 2 pak Rp 9,000
20 Penghapus 2015 10 bh Rp 2,000
21 Blinder Clip 111 2015 4 bh Rp 5,000
22 Blinder Clip 115 2015 4 bh Rp 6,000
P E N E R I M AA N
arga Satuan
23 Buku Folio 50 lbr 2015 6 bh Rp 13,500
24 Flashdiks 8 Gb 2015 2 pcs Rp 50,000
25 Flashdiks 16 Gb 2015 1 pcs Rp 100,000
26 Materai 3000 2015 2 lbr Rp 3,500
27 Materai 6000 2015 4 lbr Rp 7,000
28 Foto Copy Grafik PWS KIA 2015 2767 lbr Rp 150

P E N E R I M AA N
arga Satuan

68 Kasa Pembalut Hidrofil 4 m x 10 cm 2015 40 Pcs Rp 552
P E N E R I M AA N
arga Satuan

80 Masker 2015 100 Pcs Rp 1,000




P E N E R I M AA N
arga Satuan

P E N E R I M AA N
arga Satuan

126 TT 2015 20 Ampul Rp 14,910
132 R II ( Intec ) 2015 test Rp 22,100
142 VAR 2015 Vial Rp 800,000
P E N E R I M AA N
arga Satuan
143 RDT DBD 2015 test Rp 126,500
144 ADS 0.05 ML 2015 Pcs Rp 1,995
145 ADS 0.5 ML 2015 Pcs Rp 1,315
146 ADS 5 ML 2015 Pcs Rp 2,049
156 Amlodipin 10 mg tablet 2015 Tablet Rp 330
166 Antimigren DOEN Kombinasi 2015 100 Tablet Rp 135
P E N E R I M AA N
arga Satuan
168 Asam Folat 2015 100 Tablet Rp 48
185 Domperidon tablet 10 mg 2015 100 Tablet Rp 167
189 FDC 1-3 2015 5 Paket Rp 359,900
190 FDC 2 2015 Paket Rp 1,199,990
P E N E R I M AA N
arga Satuan


P E N E R I M AA N
arga Satuan

226 Loratadin tablet 10 mg 2015 100 Tablet Rp 154



P E N E R I M AA N
arga Satuan
252 Salep 2 - 4 2015 48 Pot Rp 2,000
255 Simvastatin 10 mg (di spek Kotak ) 2015 100 Tablet Rp 169
P E N E R I M AA N
arga Satuan
JUNI 2015
1 03-06-2015 BP. Karcis 2015 3000 lbr Rp 4,000
2 Resep 2015 30 pk
3 Kertas Puyer 2015 25 pk
4 Plastik Obat 2015 25 pak
6 Amplop polos Kecil 2015 3 Pak Rp 10,000
7 HVS A4 2015 2 rim Rp 36,000
8 HVS F4 2015 8 rim Rp 38,000
9 Kalkulator 2015 2 bh Rp 55,000
10 Pensil 2 B 2015 1 ls Rp 31,000
11 Map Plastik Kancing 2015 2 ls Rp 36,000
14 Skema / Staplerr Besar 2015 3 bh Rp 25,000
15 Buku Tulis Bigboss 2015 8 bh Rp 3,550
16 Isi Skema No 10 2015 1 pak Rp 25,000
18 Spidol permanen 2015 12 pcs Rp 6,000
19 Odner 2015 1 pcs Rp 12,000
20 Flasdiks 8 GB 2015 1 pcs Rp 50,000
21 Materai 3000 2015 2 lbr Rp 3,500
22 Materai 6000 2015 4 lbr Rp 7,000
25 Foto Copy SDIDTK 2015 3000 lbr Rp 150
P E N E R I M AA N
arga Satuan


P E N E R I M AA N
arga Satuan
62 Kalsium Laktat (Kalk) Tablet 500 mg 2015 Tablet Rp 47

P E N E R I M AA N
arga Satuan




P E N E R I M AA N
arga Satuan
102 Reagen golongan darah A&B 2015 2 set Rp 266,000
110 Sulfasetamid Natrium Tetes Mata 15% 2015 Botol Rp 2,980



P E N E R I M AA N
arga Satuan
123 TT 2015 30 Ampul Rp 14,910
129 R II ( Intec ) 2015 test Rp 22,100
139 VAR 2015 Vial Rp 800,000
140 RDT DBD 2015 test Rp 126,500
141 ADS 0.05 ML 2015 Pcs Rp 1,995
142 ADS 0.5 ML 2015 Pcs Rp 1,315
143 ADS 5 ML 2015 Pcs Rp 2,049
P E N E R I M AA N
arga Satuan
146 Aciclovir 400 mg Tablet 2015 100 Tablet Rp 345

P E N E R I M AA N
arga Satuan
186 FDC 1-3 2015 Paket Rp 359,900
187 FDC 2 2015 Paket Rp 1,199,990
P E N E R I M AA N
arga Satuan



P E N E R I M AA N
arga Satuan

225 Metoclopropamamid tablet 5 mg 2015 100 Tablet Rp 108


P E N E R I M AA N
arga Satuan
249 Salep 2 - 4 2015 Pot Rp 2,000
JULI 2016
1 03-06-2015 BP. Karcis 2015 3000 lbr Rp 4,000
2 Resep 2015 30 bk
3 Juli 2015 Amplop polos besar 2015 3 pak Rp 17,000
4 Amplop polos Kecil 2015 3 Pak Rp 10,000
5 Ballpoint 2015 2 ls Rp 25,000
P E N E R I M AA N
arga Satuan
6 HVS A4 2015 1 rim Rp 36,000
7 HVS F4 2015 10 rim Rp 38,000
8 Buku Nota Kecil 2015 4 bh Rp 2,500
9 Buku Nota Besar 2015 5 bh Rp 4,500
10 Buku Kwitansi 2015 4 bh Rp 6,000
11 Pensil 2 B 2015 1 ls Rp 32,000
15 Paku Payung 2015 5 pak Rp 5,500
16 Senter 2015 2 bh Rp 20,000
17 Cuter 2015 2 bh Rp 5,000
18 Gunting 2015 1 bh Rp 6,000
21 spidol white board 2015 2 bh Rp 6,500
22 Isi Stapler 2015 2 pk Rp 25,000
23 Buku Folio 200 2015 2 pcs Rp 21,500
24 Stepler 2015 2 pcs Rp 13,000
25 Kwitansi 2015 10 bh Rp 3,000
27 Odner 2015 1 pcs Rp 14,000
28 Tipe-X 2015 3 pcs Rp 5,000
29 Isolasi 2015 4 bh Rp 5,000
30 07/07/2015 Materai 3000 2015 2 bh Rp 7,000
P E N E R I M AA N
arga Satuan
31 Materai 6000 2015 4 bh Rp 3,500
34 Foto Copy 2015 1000 lbr Rp 150
53 Etarikridina (Rivanol) Larutan 0,1% - 300 ml 2015 Botol Rp 2,011

P E N E R I M AA N
arga Satuan
64 Iodium Test Botol Rp 3,200
65 Jarum jahit no. 9-14 set Rp 8,333
66 Kalsium Hidroksida Pasta Botol Rp 240,000
67 Kapas Pembalut/Absorben 250 mg Pcs Rp 6,800
68 Karbon aktif Tablet Rp 83
71 Kloramfenikol Suspensi 125 mg/5 ml Botol Rp 3,454
72 Kloramfenikol Tetes Mata 0,5 % Botol Rp 5,500
73 Kloramfenikol Tetes Telinga 3% Botol Rp 1,400
74 Klorpromazin HCl Tablet Salut 25 mg Tablet Rp 157
75 Lancet Blade Pcs Rp 2,720
76 Lisol Botol Rp 66,000
77 Livertan Salep kulit Pot Rp 1,225
78 Magnesium Sulfat Injeksi (IV) 40% - 25 ml Botol Rp 1,750
79 Masker Pcs Rp 1,000

80 Metronidazol Tablet 250 mg Tablet Rp 128
P E N E R I M AA N
arga Satuan
81 Monoklorkamfer Mentol Cairan ( CHKM ) Botol Rp 70,158
82 Multivitamin Sirup Botol Rp 5,500

83 Multivitamin Tablet Tablet Rp 660
85 Naurotropik Kaplet 2015 Kaplet Rp 650
88 Magnesium Sulfat Injeksi (IV) 20% - 25 ml 2015 Paket Rp 5,500

P E N E R I M AA N
arga Satuan

115 Tiamphenikol Kapsul 500 mg 2015 Kapsul Rp 672

117 Triheksifenidil Hidroklorida Tablet 2 mg 2015 200 Tablet Rp 44

124 TT 2015 Ampul Rp 14,498
125 Campak bias 2015 Ampul Rp 28,204
126 DT Bias 2015 Ampul Rp 17,798
P E N E R I M AA N
arga Satuan
127 TD Bias 2015 Ampul Rp 17,798
133 R II ( Intec ) 2015 test Rp 22,100
142 Pot Dahak 2015 pcs Rp 2,950
143 Kaca Slide 2015 Pcs Rp 19,500
145 Isoniazid tablet 100 mg 2015 Tablet Rp 65
146 RDT DBD 2015 test Rp 126,500
147 ADS 0.05 ML 2015 Pcs Rp 1,995
148 ADS 0.5 ML 2015 Pcs Rp 1,315
149 ADS 5 ML 2015 Pcs Rp 2,049
151 RI. SD HIV 2015 Test Rp 22,265
P E N E R I M AA N
arga Satuan
152 PRP SHYPILIS 2015 test Rp 7,875
153 Rpid Test Shypilis 2015 test Rp 27,710
154 SD Shypilis 2015 test Rp 27,710
155 Clindamicyn 2015 Tablet
156 Asam Mefenamat tablet 2015 Tablet Rp 112
157 Asam asetilsalisilat (asetosal) Tab 100 mg 2015 Tablet Rp 116

172 Amoksisilin Sirup Kering 250 mg/5 ml 2015 Botol Rp 4,045

P E N E R I M AA N
arga Satuan

178 Air untuk vial ampul 25 ml 2015 Vial Rp 2,030
192 Difenhidramin Injeksi 10 mg/ml (i.v/i.m) 2015 Ampul Rp 1,054
193 Deksametason Injeksi 5 mg/ml 2015 20 Ampul Rp 1,580

194 Deksametason Tablet 0,5 mg 2015 Tablet Rp 68
195 Diazepam Injeksi 5 mg/ml 2015 Ampul Rp 4,180
197 Doksisiklin Kapsul 100 mg 2015 Tablet Rp 270
P E N E R I M AA N
arga Satuan
199 Epinepri Hcl (Adrenalin) Injeksi 0,1% 2015 5 Ampul Rp 8,100
202 FDC 1-3 2015 Paket Rp 359,900
203 FDC 2 2015 Paket Rp 1,199,990
206 Fenobarbital Injeksi 50 mg/ml -2 ml 2015 Ampul Rp 1,800


P E N E R I M AA N
arga Satuan
225 Haloperidol tablet 5 mg 2015 Tablet Rp 96
226 Haloperidol Tablet 2 mg 2015 Tablet Rp 126
229 Ibuprofen syrup 100 mg/5ml 2015 Botol Rp 3,499

237 Kassa Pembalut 36 X 80 2015 2 Roll Rp 130,000
238 Kassa Steril 16 X 16 2015 Bungkus Rp 7,900
239 Kalsium Laktat ( Kalk) tablet 500 mg 2015 3000 Tablet Rp 70

243 Klorfeniramin maleat tab 4 mg 2015 3000 Tablet Rp 51
P E N E R I M AA N
arga Satuan
246 Kodein Tablet 10 mg 2015 Tablet Rp 500

252 Metildopa tablet salut 250 mg 2015 Tablet Rp 800
253 Metilergometrin Inj 0,2 mg/ml 2015 Ampul Rp 2,750

257 Metronindazol sir 125 mg/ml 2015 Botol Rp 4,100

267 Nistatin Tablet 500.000 IU 2015 Tablet Rp 640
P E N E R I M AA N
arga Satuan
272 Polikresulen ( Albotyl ) 2015 2 Botol Rp 17,393
281 Salep 2 - 4 2015 Pot Rp 2,000
282 Salisil Bedak 2% - 50 gram 2015 Bungkus Rp 1,250
283 Silk no. 3/0 dengan jarum bedah 2015 36 pcs Rp 15,497
290 Vitamin B Kompleks 2015 Tablet Rp 107
AGUSTUS 2015
1 01-08-2015 BP. Karcis 2015 3000 lbr Rp 4,000
P E N E R I M AA N
arga Satuan
2 Resep 2015 30 bk
3 Keterangan Sehat 2015 3 pak
4 Keterangan Sakit 2015 3 Pak
5 Reg. Pasien Umum 2015 2 ls
6 Reg. Pasien JKN 2015 2 rim
7 Kwitansi Tindakan 2015 2 rim
8
9 Amplop polos besar 2015 1 pak Rp 17,000
11 Ballpoint 2015 1 pak Rp 25,000
12 HVS A4 2015 1 rim Rp 36,000
13 HVS F4 2015 6 rim Rp 38,000
14 Buku Pajak 2015 1 bh Rp 15,000

18 Kalkulator 2015 1 pcs Rp 60,000
19 Penggaris 2015 1 pcs Rp 3,900
20 Spidol Permanen Maker 2015 12 pcs Rp 6,000
21 Materai 3000 2015 2 lbr Rp 3,500
22 Materai 6000 2015 4 lbr Rp 7,000
25 Foto Copy 2015 1000 lbr Rp 150
P E N E R I M AA N
arga Satuan

P E N E R I M AA N
arga Satuan


P E N E R I M AA N
arga Satuan


P E N E R I M AA N
arga Satuan


111 Vaksin BCG 2015 Ampul Rp 59,950
114 Vaksin CAMPAK 2015 Ampul Rp 28,204
115 TT 2015 Ampul Rp 14,498
124 R II ( Intec ) 2015 test Rp 22,100
P E N E R I M AA N
arga Satuan
137 RDT DBD 2015 test Rp 126,500
138 ADS 0.05 ML 2015 Pcs Rp 1,995
139 ADS 0.5 ML 2015 Pcs Rp 1,315
140 ADS 5 ML 2015 Pcs Rp 2,049
142 RI. SD HIV 2015 Test Rp 22,265

P E N E R I M AA N
arga Satuan


181 Cefiksim 100 mg kapsul 2015 60 Kapsul Rp 859
P E N E R I M AA N
arga Satuan
184 Deksametason Injeksi 5 mg/ml 2015 Ampul Rp 1,580

185 Deksametason Tablet 0,5 mg 2015 Tablet Rp 68
193 FDC 1-3 2015 5 Paket Rp 359,900
194 FDC 2 2015 Paket Rp 1,199,990

P E N E R I M AA N
arga Satuan

216 Haloperidol tablet 5 mg 2015 100 Tablet Rp 96

228 Kassa Pembalut 36 X 80 2015 Roll Rp 130,000

P E N E R I M AA N
arga Satuan

244 Metilergometrin Inj 0,2 mg/ml 2015 30 Ampul Rp 2,750
246 Metoclopropamamid tablet 5 mg 2015 100 Tablet Rp 108

248 Metronindazol sir 125 mg/ml 2015 50 Botol Rp 4,100
256 Nipedipin 10 mg 2015 200 Tablet Rp 100

P E N E R I M AA N
arga Satuan
272 Salep 2 - 4 2015 24 Pot Rp 2,000
281 Vitamin B Kompleks 2015 3000 Tablet Rp 107
SEPTEMBER 2015
1 30/09/2015 Amplop polos besar 2015 1 pak Rp 20,000
2 30/09/2015 Amplop polos Kecil 2015 1 pak Rp 10,000
P E N E R I M AA N
arga Satuan
3 30/09/2015 HVS A4 2015 1 rim Rp 36,000
4 30/09/2015 HVS F4 2015 3 rim Rp 38,000
5 30/09/2015 Materai 3000 2015 4 bh Rp 3,500
6 30/09/2015 Materai 6000 2015 10 bh Rp 7,000
7 30/09/2015 Cetak Buku KIA 2015 500 lbr Rp 8,000
8 30/09/2015 Foto Copy 2015 600 lbr Rp 150
9 30/09/2015 Pulsa Internet 2015 4 kl Rp 65,000
10 30/09/2015 Modem Bolt Orion Mobile WIFI Modem 4G 2015 4 pcs Rp 463,637
LTE
P E N E R I M AA N
arga Satuan

36 Gliseril Guayakolat Tablet 100 mg 2015 Tablet Rp 24
42 Kapas Pembalut/Absorben 250 mg Pcs Rp 6,800
44 Kasa Pembalut Hidrofil 4 m x 10 cm Pcs Rp 552
P E N E R I M AA N
arga Satuan



68 Oksitosin Injeksi 10 IU/ml - 1 ml 2015 100 Ampul Rp 2,915
P E N E R I M AA N
arga Satuan



94 Vaksin HB O 2015 Ampul Rp 20,900
95 Vaksin BCG 2015 Ampul Rp 59,950
P E N E R I M AA N
arga Satuan
99 TT 2015 20 Ampul Rp 14,498
108 R II ( Intec ) 2015 test Rp 22,100
121 RDT DBD 2015 test Rp 126,500
122 ADS 0.05 ML 2015 Pcs Rp 1,995
123 ADS 0.5 ML 2015 Pcs Rp 1,315
P E N E R I M AA N
arga Satuan
124 ADS 5 ML 2015 Pcs Rp 2,049
126 RI. SD HIV 2015 Test Rp 22,265

143 Amitriptilina HCl Tablet salut 25 mg 2015 200 Tablet Rp 112
P E N E R I M AA N
arga Satuan

149 Antasida DOEN II Suspensi kombinasi 2015 50 Botol Rp 2,100

152 Antimigren DOEN Kombinasi 2015 100 Tablet Rp 135
155 Asam askorbat (Vit. C) Tablet 50 mg 2015 Tablet Rp 95

P E N E R I M AA N
arga Satuan
177 FDC 1-3 2015 Paket Rp 359,900
178 FDC 2 2015 Paket Rp 1,199,990

P E N E R I M AA N
arga Satuan
198 Hirokartison krim 2,5 % 2015 Tube Rp 2,798
204 Ibuprofen syrup 100 mg/5ml 2015 50 Botol Rp 3,499
207 Isosorbid Dinitrat Tablet Sublingual 5 mg 2015 100 Tablet Rp 88

213 Kassa Steril 16 X 16 2015 20 Bungkus Rp 7,900

P E N E R I M AA N
arga Satuan

227 Metildopa tablet salut 250 mg 2015 100 Tablet Rp 800


241 Nistatin Tablet Vagina 100.000 IU/g 2015 100 Tablet Rp 480
P E N E R I M AA N
arga Satuan
256 Salep 2 - 4 2015 24 Pot Rp 2,000
P E N E R I M AA N
arga Satuan
OKTOBER 2015
1 10/11/2015 HVS F4 2015 5 Rim Rp 38,000
2 Odner 2015 3 Bh Rp 20,000
3 Tipe x 2015 1 Bh Rp 5,500
4 Bolpen 2015 2 lusin Rp 19,000
5 Tinta Epson Ink 2015 4 bh Rp 80,000
7 Spidol WB Boardmaker 2015 4 bh Rp 6,500
8 Isi Stapler 2015 2 pk Rp 25,000
9 Buku Polio 100 2015 2 bh Rp 12,500
10 Buku Polio 200 2015 2 bh Rp 21,500
12 Maf Kertas 2015 50 bh Rp 1,000
13 HVS A4 2015 2 rim Rp 36,000
14 Amplop Besar 2015 1 pak Rp 20,000
15 Amplop Kecil 2015 1 pak Rp 15,000
17 Kwitansi 2015 5 bh Rp 4,500
18 lem 2015 2 bh Rp 22,500
20 10/11/2015 Materai 6000 2015 5 lbr Rp 7,000
21 Foto Copy MTBS 2015 500 lbr Rp 200
22 Foto Copy SPJ 2015 1000 lbr Rp 150
P E N E R I M AA N
arga Satuan

45 Fitomenadion (Vit K1) Injeksi 10 mg/ml 2015 90 Ampul Rp 1,567
P E N E R I M AA N
arga Satuan
62 Kloramfenikol Tetes Mata 0,5 % 2015 Botol Rp 5,500
69 Masker 2015 20 Pcs Rp 1,000


P E N E R I M AA N
arga Satuan

84 Papaverin tablet 40 mg 2015 1000 Tablet Rp 90
94 Reagen Ziehl Nielson 2015 9 Botol Rp 195,047
P E N E R I M AA N
arga Satuan



114 TT 2015 30 Ampul Rp 14,498
115 Campak bias 2015 80 Ampul Rp 28,204
116 DT Bias 2015 80 Ampul Rp 17,798
117 TD Bias 2015 180 Ampul Rp 17,798
118 MB. Dewasa 2015 12 Blister Rp 20,906
P E N E R I M AA N
arga Satuan
123 R II ( Intec ) 2015 test Rp 22,100
132 Pot Dahak 2015 222 pcs Rp 2,950
133 Kaca Slide 2015 2 Pcs Rp 19,500
136 RDT DBD 2015 test Rp 126,500
137 ADS 0.05 ML 2015 Pcs Rp 1,995
138 ADS 0.5 ML 2015 3383 Pcs Rp 1,315
139 ADS 5 ML 2015 Pcs Rp 2,049
140 SAFETY BOX 2015 52 Pcs Rp 18,625
141 RI. SD HIV 2015 Test Rp 22,265
P E N E R I M AA N
arga Satuan



P E N E R I M AA N
arga Satuan

192 FDC 1-3 2015 Paket Rp 359,900
193 FDC 2 2015 Paket Rp 1,199,990
P E N E R I M AA N
arga Satuan


P E N E R I M AA N
arga Satuan



P E N E R I M AA N
arga Satuan


P E N E R I M AA N
arga Satuan
271 Salep 2 - 4 2015 Pot Rp 2,000
NOVEMBER 2015
1 HVS F4 2015 3 Rim Rp 38,000
2 Odner 2015 2 Bh Rp 20,000
3 Tipe x 2015 1 Bh Rp 5,500
4 Bolpen 2015 2 lusin Rp 19,000
5 2015
6 - Kertas HVS F4 2015 2 Rim Rp 38,000
P E N E R I M AA N
arga Satuan
7 - Buku Tulis 2015 3 Bh Rp 3,000
8 - Box Bindex 2015 5 Bh Rp 20,000
9 - Buku pajak SSP 2015 5 Bh Rp 15,000
10 Materai 6000 2015 5 bh Rp 7,000
11 Foto Copy MTBS 2015 500 lbr Rp 200
15 2015
17 Foto Copy Format Pendataan PHBS RT 2015 500 lbr Rp 150
18 Foto Copy Kartu Ibu 2015 1255 lbr Rp 200
19 Foto Copy Format SOAP 2015 500 lbr Rp 150
20 Foto Copy Format MTBS 2015 500 lbr Rp 150
P E N E R I M AA N
arga Satuan

45 Glass Ionomer Cement (GC IX) 2015 2 Botol Rp 359,000
P E N E R I M AA N
arga Satuan


69 Multivitamin Tablet Tablet Rp 660
76 Obat Batuk Hitam (OBH) Cairan - 100 ml 2015 Botol Rp 3,490

300
P E N E R I M AA N
arga Satuan
83 Piridoksin HCl (Vit. B6) Tablet 10 mg 2015 Tablet Rp 28

2
100 Tiamin HCl/Mononitrat (vit. B1) Tablet 50 mg 2015 Tablet Rp 34
3000
P E N E R I M AA N
arga Satuan

107 Vaksin DPT-HB-HIB 2015 Ampul Rp 70,323
110 TT 2015 20 Ampul Rp 14,498
119 R II ( Intec ) 2015 test Rp 22,100
P E N E R I M AA N
arga Satuan
132 RDT DBD 2015 test Rp 126,500
133 ADS 0.05 ML 2015 Pcs Rp 1,995
134 ADS 0.5 ML 2015 Pcs Rp 1,315
135 ADS 5 ML 2015 Pcs Rp 2,049
137 RI. SD HIV 2015 Test Rp 22,265

P E N E R I M AA N
arga Satuan

100
100
P E N E R I M AA N
arga Satuan

188 FDC 1-3 2015 6 Paket Rp 359,900
189 FDC 2 2015 Paket Rp 1,199,990
200
P E N E R I M AA N
arga Satuan
211 Haloperidol tablet 5 mg 2015 100 Tablet Rp 96

P E N E R I M AA N
arga Satuan

60

P E N E R I M AA N
arga Satuan
251 Nipedipin 10 mg 2015 100 Tablet Rp 100

262 Ranitidin Injeksi 25 mg / 2ml 2015 30 Ampul Rp 1,140
267 Salep 2 - 4 2015 48 Pot Rp 2,000
P E N E R I M AA N
arga Satuan
DESEMBER 2015
1 HVS F4 6 Rim Rp 38,000
2 Odner 5 Bh Rp 20,000
3 Tipe x 1 Bh Rp 5,500
4 Bolpen 2 lusin Rp 19,000
5 Buku Folio 100 1 bh Rp 12,500
6 Spidol Permanen 12 bh Rp 6,000
7 Maf Kertas 1 bh Rp 1,000
8 Amplop Besar 1 Pak Rp 20,000
9 Amplop Kecil 1 Pak Rp 15,000
10 Kertas Stensil 1 rim Rp 28,000
11 Foto Copy SPJ 1000 lbr Rp 150
12 Foto Copy Format Pendataaan PHBS 760 lbr Rp 150
13 Foto Copy Laporan Tahunan Program 1500 lbr Rp 150
P E N E R I M AA N
arga Satuan
23 Antifungi DOEN Kombinasi 2015 24 Pot Rp 4,000

38 Gliseril Guayakolat Sirop 2015 50 Botol Rp 6,050
P E N E R I M AA N
arga Satuan
50 Kloramfenikol Tetes Mata 0,5 % 2015 24 Botol Rp 5,500
52 Klorpromazin HCl Tablet Salut 25 mg 2015 100 Tablet Rp 157


68 Obat Batuk Hitam (OBH) Cairan - 100 ml 2015 Botol Rp 3,490

50
P E N E R I M AA N
arga Satuan
83 Salbutamol Tablet 4 mg 2015 100 Tablet Rp 93

92 Tiamin HCl/Mononitrat (vit. B1) Tablet 50 mg 2015 Tablet Rp 34
3000
93 Tiamphenikol Kapsul 500 mg 2015 100 Kapsul Rp 672
P E N E R I M AA N
arga Satuan

102 TT 2015 20 Ampul Rp 14,498
111 R II ( Intec ) 2015 test Rp 22,100
P E N E R I M AA N
arga Satuan
124 RDT DBD 2015 test Rp 126,500
125 ADS 0.05 ML 2015 Pcs Rp 1,995
126 ADS 0.5 ML 2015 Pcs Rp 1,315
127 ADS 5 ML 2015 Pcs Rp 2,049
129 RI. SD HIV 2015 Test Rp 22,265

P E N E R I M AA N
arga Satuan

100

P E N E R I M AA N
arga Satuan

180 FDC 1-3 2015 Paket Rp 359,900
181 FDC 2 2015 Paket Rp 1,199,990
189 Fenol griserol tetes telinga 2015 24 Botol Rp 2,042
P E N E R I M AA N
arga Satuan
100


P E N E R I M AA N
arga Satuan
219 Karbamazepin Tablet 200 mg 2015 100 Tablet Rp 245

226 Kotrimoksazol Tablet 480 mg Dewasa 2015 Tablet Rp 149


P E N E R I M AA N
arga Satuan
20
244 Nistatin Tablet Vagina 100.000 IU/g 2015 100 Tablet Rp 480
259 Salep 2 - 4 2015 Pot Rp 2,000
P E N E R I M AA N
arga Satuan
270 Air untuk injeksi (Aqua pro Injeks) 20 ml 2015 Vial 20 ml Rp 2,030
271 Akarbose tablet/kaplet 100 mg 2015 Tablet Rp 990

272 Albendazol suspensi 200 mg/5 ml 2015 Botol Rp 3,849
273 Albendazol tablet/kapsul/kaplet 400 mg 2015 Tablet Rp 338
274 Alopurinol tablet/kapsul/kaplet 100 mg 2015 1000 Tablet Rp 86
275 Alopurinol tablet/kapsul/kaplet 300 mg 2015 Tablet Rp 200
276 Alprazolam tablet/kapsul/kaplet 0,25 mg 2015 Tablet Rp 380
277 Alprazolam tablet/kapsul/kaplet 0,5 mg 2015 Tablet Rp 176

278 Alprazolam tablet/kapsul/kaplet 1 mg 2015 Tablet Rp 233
279 Aminofilin injeksi 24 mg/ml 2015 Ampul Rp 3,822
280 Aminofilin tablet scored 200 mg 2015 Tablet Rp 90
281 Aminofilin tablet/kapsul/kaplet 150 mg 2015 Tablet Rp 80
282 Amitriptilin tablet salut 25 mg (HCl) 2015 Tablet Rp 112
283 Amlodipin tablet 10 mg 2015 Tablet Rp 330
284 Amlodipin tablet 5 mg 2015 Tablet Rp 187
285 Amoksisilin kapsul/kaplet 250 mg 2015 11400 Tablet Rp 211
286 Amoksisilin sirup kering forte 250 mg/5 ml 2015 540 Botol Rp 4,045
287 Amoksisilin sirup kering 125 mg/ 5 ml 2015 Botol Rp 2,445

P E N E R I M AA N
arga Satuan
288 Ampisilin serbuk injeksi i.v. 1000 mg/vial 2015 Vial Rp 5,100
289 Antasida DOEN I tablet kunyah, kombinasi : 2015 24000 Tablet Rp 75

Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg
290 Antasida DOEN II suspensi, kombinasi : 2015 300 Botol Rp 2,100
Aluminium Hidroksida 200 mg/5 ml
Magnesium Hidroksida 200 mg/5 ml
291 Anti Bakteri DOEN salep kombinasi: Basitrasin 2015 Tube Rp 2,516
500 IU/g Polimiksin 10.000 IU/g
292 Antihemoroid, kombinasi: bismut subgalat 150 2015 Suppositori Rp 3,045

mg heksaklorofen 2,5 mg lidokain 10 mg seng
oksida 120 mg
293 Antimigren: Ergotamin Tartrat 1 mg + Kofein 2015 Tablet Rp 135
50 mg
294 Asam Asetilsalisilat (asetosal) tablet 100 mg 2015 1400 Tablet Rp 116
295 Asam Asetilsalisilat (asetosal) 2015 Tablet Rp 148

tablet/kaplet/kapsul 80 mg
296 Asam Askorbat (Vitamin C) tablet 250 mg 2015 Tablet Rp 159
297 Asam Askorbat (Vitamin C) tablet 50 mg 2015 Tablet Rp 95

298 Asam Folat tablet/kapsul/kaplet 0,4 mg 2015 Tablet Rp 84
299 Asam Folat tablet/kapsul/kaplet 1 mg 2015 500 Tablet Rp 48
300 Asam Mefenamat kapsul/kaplet 250 mg 2015 Kapsul Rp 158
301 Asam Mefenamat kapsul/kaplet 500 mg 2015 Kaplet Rp 112
302 Asam pipemidat kapsul 400 mg 2015 Kapsul Rp 1,815
303 Asam traneksamat injeksi 50 mg/ml 2015 Ampul Rp 2,950
304 Asiklovir salep mata 3% 2015 Tube Rp 24,750
305 Asiklovir tablet/kapsul/kaplet 200 mg 2015 Tablet Rp 237
P E N E R I M AA N
arga Satuan
306 Asiklovir tablet/kapsul/kaplet 400 mg 2015 Tablet Rp 345
307 Atapulgit tablet 600 mg 2015 1000 Tablet Rp 190
308 Atenolol tablet/kapsul/kaplet 100 mg 2015 Tablet Rp 700
309 Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml 2015 Ampul Rp 1,350
310 Atropin Sulfat tablet 0,5 mg 2015 Tablet Rp 74
311 Azitromisin tablet 500 mg 2015 Tablet Rp 4,500
312 Bedak salisil serbuk 2% 2015 600 Dus @ 50 g Rp 1,250
313 Betametason krim 0,1% (sebagai Valerat) 2015 200 Tube 5 gr Rp 1,520
314 Bisakodil suppositoria 10 mg 2015 Supp Rp 6,045

315 Bisakodil suppositoria 5 mg 2015 Supp Rp 4,990
316 Bisoprolol tablet 2,5 mg 2015 Tablet Rp 746
317 Bisoprolol tablet 5 mg 2015 Tablet Rp 645
318 Deksametason injeksi i.v./i.m. 5 mg/ml 2015 Ampul Rp 1,580
319 Deksametason tablet 0,5 mg 2015 12800 Tablet Rp 68
320 Diazepam larutan rektal 5 mg/2,5 mL 2015 Tube Rp 11,525
321 Diazepam injeksi i.v./i.m 5 mg/ml 2015 Ampul Rp 4,180
322 Diazepam larutan rektal 10 mg/2,5 mL 2015 Tube Rp 16,748
323 Diazepam tablet/kapsul/kaplet 2 mg 2015 Tablet Rp 45
324 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) 2015 Ampul Rp 1,054
325 Digoksin tablet 0,25 mg 2015 Tablet Rp 97

326 Dimenhidrinat tablet 50 mg 2015 Tablet Rp 104
327 Doksisiklin tablet/kapsul/kaplet 100 mg 2015 Kapsul Rp 270
328 Domperidon suspensi/sirup 5 mg/5 ml 2015 Botol Rp 3,333

330 Dopamin injeksi 40 mg/ml 2015 Ampul Rp 9,840
331 Efedrin Inj 50 mg/ml 2015 Ampul Rp 12,990
P E N E R I M AA N
arga Satuan
332 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 2015 Ampul Rp 8,100
mg/ml
333 Eritromisin kapsul/kaplet 250 mg 2015 Kapsul Rp 497
334 Eritromisin kapsul/kaplet 500 mg 2015 Kapsul Rp 930
335 Eritromisin sirup kering 200 mg/ 5 ml 2015 Botol @60 mRp 7,700
336 Etanol 70% cairan 2015 btl @ 100 m Rp 2,500
337 Eugenol cairan 2015 Botol 10 ml Rp 16,667
338 Fenitoin kapsul/kaplet 100 mg 2015 Kapsul Rp 133
339 Fenobarbital injeksi i.m./i.v. 50 mg/ml 2015 Ampul Rp 1,800
340 Fenobarbital tablet/kapsul/kaplet 100 mg 2015 Tablet Rp 220
341 Fitomenadion (Vit.K1) tablet salut gula 10 mg 2015 Tablet Rp 634
342 Fitomenadion (Vitamin K1) injeksi i.m. 2 2015 Ampul Rp 3,417

mg/ml
343 Flukonazol tablet/kaplet/kapsul 50 mg 2015 Tablet Rp 4,862
344 Furosemid tablet 40 mg 2015 300 Tablet Rp 85
345 Garam Oralit I serbuk, kombinasi : Natrium 2015 Shacset Rp 285
klorida 0,52 g kalium klorida 0,30 g Trinatrium
sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g
346 Gemfibrozil kapsul/kaplet 300 mg 2015 Kapsul Rp 289

347 Gentamisin injeksi 40 mg/ ml 2015 Ampul Rp 3,399
348 Gentamisin salep mata 0,3% 2015 Tube @ 3,5 Rp 2,600
349 Gentamisin tetes mata 0,3% 2015 Botol Rp 3,194
350 Glibenklamid tablet 5 mg 2015 Tablet Rp 56
351 Glimepiride tablet 1 mg 2015 Tablet Rp 265
352 Glimepiride tablet 2 mg 2015 500 Tablet Rp 436
353 Glimepiride tablet 4 mg 2015 Tablet Rp 430
354 Glukosa larutan infus 10 % steril 2015 botol @ 500 Rp 5,700
P E N E R I M AA N
arga Satuan
355 Glukosa larutan infus 5 % steril 2015 40 botol @ 500 Rp 5,200
356 Griseofulvin tablet 125 mg 2015 Tablet Rp 219
357 Haloperidol tablet 0,5 mg 2015 Tablet Rp 59
359 Haloperidol tablet 1,5 mg 2015 500 Tablet Rp 69
361 Hidrokortison krim 1% 2015 280 tube @ 5 ml Rp 2,570
362 Hidrokortison krim 2,5 % 2015 360 Tube 5 gr Rp 2,798
363 Hiosin butilbromid injeksi 20 mg/ml 2015 Ampul Rp 4,500
364 Ibuprofen sirup 100 mg/5 ml 2015 Botol Rp 3,499
365 Ibuprofen suspensi 200 mg/5 ml 2015 Botol Rp 4,499
366 Ibuprofen tablet 200 mg 2015 2000 Tablet Rp 110
367 Ibuprofen tablet 400 mg 2015 3000 Tablet Rp 149
368 Irbesartan tab 300 mg 2015 Tablet Rp 2,470
369 Isosorbid Dinitrat tablet sublingual 5 mg 2015 Tablet Rp 88
370 Isosorbid dinitrat tablet/kaplet/kapsul 10 mg 2015 Tablet Rp 189
371 Kalsium Glukonat injeksi i.v 10% (100 mg/ml) 2015 Ampul Rp 7,800
372 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 2015 23100 Tablet Rp 70

mg
373 Kanamisin inj 1000 mg/ vial 2015 vial Rp 5,000
374 Kaptopril tablet 50 mg 2015 Tablet Rp 140
375 Kaptopril tablet scored 25 mg 2015 4800 Tablet Rp 80
376 Kaptopril tablet scored12,5 mg 2015 900 Tablet Rp 62
377 Karbamazepin tablet 200 mg 2015 Tablet Rp 245
378 Karbogliserin tetes telinga 10% 2015 Botol Rp 2,042
379 Ketokonazol krim 2% 2015 tube 10 gr Rp 2,569
P E N E R I M AA N
arga Satuan
380 Ketokonazol krim 2% 2015 tube 5 gr Rp 2,850
381 Ketokonazol krim 2% 2015 Tube Rp 4,700
382 Ketokonazol tablet 200 mg 2015 Tablet Rp 300
383 Ketoprofen supositoria 100 mg 2015 Supp Rp 2,722
384 Ketorolac injeksi 30 mg/ml 2015 Ampul Rp 2,300
385 Klindamisin kapsul/kaplet 150 mg 2015 Kapsul Rp 361
386 Klindamisin kapsul/kaplet 300 mg 2015 Kapsul Rp 553
387 Klobazam tab 10 mg 2015 Tablet Rp 900
388 Kloramfenikol salep kulit 2% 2015 Tube Rp 3,524
389 Kloramfenikol salep mata 1 % 2015 Tube Rp 1,600
390 Kloramfenikol suspensi 125 mg/ 5 ml 2015 Botol @ 60 Rp 3,680
391 Klorfeniramina Maleat (CTM) 2015 40000 Tablet Rp 51
tablet/kapsul/kaplet 4 mg
392 Klorpromazin tablet salut 100 mg (HCl) 2015 2000 Tablet Rp 144
393 Klorpromazin tablet salut 25 mg (HCl) 2015 Tablet Rp 68
394 Kodein tablet 10 mg 2015 Tablet Rp 500
395 Kodein tablet 20 mg 2015 Tablet Rp 1,100
396 Kombinasi tablet salut : Besi (II) sulfat 7H2O 2015 Tablet Rp 50
200 mg Asam folat 0,25 mg
397 Kombinasi tablet salut : Besi (II) sulfat 7H2O 2015 Tablet Rp 42
200 mg Asam folat 0,25 mg
398 Kotrimoksazol DOEN I (dewasa) kombinasi : 2015 10000 Kaplet Rp 149
Sulfametoksazol 400 mg Trimetoprim 80 mg
399 Kotrimoksazol Suspensi komb: 2015 Botol @ 60 Rp 2,145

Sulfametoksazol 200 mg + Trimetoprim 40 mg
/ 5 ml
400 Kuinin (Kina) tablet 200 mg 2015 Tablet Rp 670
401 Laktulosa sir 3,335 g/5 mL 2015 Botol 60 ml Rp 14,500
402 Lanzoprazol kapsul/kaplet 30 mg 2015 Kapsul Rp 473
P E N E R I M AA N
arga Satuan
403 Levofloksasin tablet 500 mg 2015 Tablet Rp 528
404 Lidokain injeksi 2% (HCL) 2015 Ampul Rp 839
405 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 2015 Ampul Rp 1,363
80.000 - 2ml
406 Lidokain jeli 2% 2015 Tube Rp 40,000
407 Lidokain semprot 10% 2015 Botol Rp 142,000
408 Loperamid tablet 2 mg 2015 Tablet Rp 89
410 Magnesium sulfat injeksi 20% 2015 Ampul Rp 2,800
411 Magnesium sulfat injeksi 40% 2015 Ampul Rp 3,500
412 Metformin HCl tablet 500 mg 2015 Tablet Rp 113
413 Metformin HCl tablet 850 mg 2015 Tablet Rp 198
415 Metilergometrin Maleat (Metilergometrin) 2015 500 Tablet Rp 154
tablet salut 0,125 mg
416 Metilergometrin Maleat injeksi 0,200 mg-1 ml 2015 Ampul Rp 2,750
417 Metilprednisolon tablet 16 mg 2015 Tablet Rp 635

420 Metoklopramid drop botol 10 mL 2015 Botol Rp 5,280
421 Metoklopramide sirup 5 mg/ 5 ml 2015 Botol Rp 2,600
422 Metoklopramide tablet 5 mg 2015 500 Tablet Rp 108
423 Metronidazol infus 500 mg/100 ml 2015 Botol Rp 9,950
424 Metronidazol ovula 500 mg 2015 Tablet Rp 3,850
425 Metronidazol sirup 125 mg/5 Ml 2015 Boto Rp 4,100
426 Metronidazol supositoria 500 mg 2015 Supp Rp 3,220
427 Metronidazol tablet 250 mg 2015 1000 Tablet Rp 110
428 Metronidazol tablet 500 mg 2015 1300 Tablet Rp 160
P E N E R I M AA N
arga Satuan
429 Mikonazol krim/salep 2 % (Nitrat) 2015 Tube 10 gra Rp 3,000
430 Nacl 0,9% 2015 Botol 500 m Rp 4,700
431 Natrium Bikarbonat injeksi i.v 8,4% 2015 Ampul Rp 6,200
432 Natrium Diklofenak tablet 50 mg 2015 3000 Tablet Rp 200
433 Nifedipin tab 20 mg, slow release; oros 2015 Tablet Rp 2,999
434 Nifedipin tab 30 mg, oros 2015 Tablet Rp 3,500
435 Nifedipin tablet/kapsul 10 mg 2015 700 Tablet Rp 100
436 Nistatin vaginal tablet 100.000 IU/ g 2015 Tablet Rp 480
437 Obat Antituberkulosis FDC Kategori 1 2015 Paket Rp 359,900
438 Obat Antituberkulosis FDC Kategori Anak 2015 Paket Rp 214,900
439 Ofloksasin tets telinga 3% 2015 Btl @ 5 ml Rp 48,500

440 Ofloxacin tablet 200 mg 2015 Tablet Rp 400
441 Oksitosin injeksi 10 IU/ml 2015 Ampul Rp 2,200
442 Omeprazol injeksi 40 mg/ 10 ml 2015 Vial Rp 36,000
443 Omeprazol kapsul/kaplet 20 mg 2015 1200 Kaplet Rp 211
444 ondansetron inj 4 mg/ 2 mL 2015 Ampul Rp 2,400
445 Ondansetron tab 4 mg 2015 Tablet Rp 716
446 Parasetamol drop 100 mg/ml btl @15ml 2015 Botol Rp 5,200
(60mg/0,6ml)
447 Parasetamol sirup 120 mg / 5 ml 2015 890 Botol Rp 1,438
448 Parasetamol tablet 500 mg 2015 55200 Tablet Rp 89
449 Parasetamol tetes 60 mg/0,6 mL 2015 375 Botol Rp 6,450
450 Permetrin krim 5% 2015 Tube @ 10 g Rp 11,475
451 Pirantel suspensi 125 mg/5 ml 2015 Botol 60 ml Rp 8,360
452 Pirantel tablet score (base) 125 mg 2015 Tablet Rp 296
453 Piridoksin (vitamin B6) inj 100 mg/mL 2015 Ampul 1 ml Rp 1,000
454 Polikresulen cairan 2015 Botol Rp 17,393
P E N E R I M AA N
arga Satuan
455 Povidon Iodida larutan 10% 1000 ml 2015 botol @ 100 Rp 37,109
458 Povidon Iodida larutan 10% 60 ml 2015 btl 60 ml Rp 5,998
459 Pravastatin tablet 20 mg 2015 Tablet Rp 2,300
460 Prokain Benzilpenisilin serbuk injeksi 3 juta 2015 Vial @ 3 jut Rp 7,190
IU/vial
461 Propanolol tablet 10 mg ( HCl ) 2015 Tablet Rp 65
462 Propiltiourasil tablet/kapsul/kaplet 100 mg 2015 Tablet Rp 319
463 Propranolol tablet 40 mg (HCl) 2015 Tablet Rp 106

464 Ranitidin injeksi 25 mg/ml 2015 Ampul Rp 1,140
465 Ranitidin tablet 150 mg 2015 3300 Tablet Rp 120
466 Retinol (Vitamin A) 100.000 IU 2015 Kasul Rp 260
467 Retinol (Vitamin A) 200.000 IU kapsul lunak 2015 Kapsul Rp 459
468 Ringer Laktat larutan infus 2015 120 botol 500 mlRp 5,200
469 Risperidon tablet 2 mg 2015 Tablet Rp 1,008
470 Salbutamol inhalasi/aerosol 100 mcg/dosis 2015 Botol Rp 63,750
471 Salbutamol tablet 2 mg (sebagai Sulfat) 2015 300 Tablet Rp 59

472 Salep 2-4 , Kombinasi : Asam Salisilat 2% + 2015 120 Pot @ 30 gr Rp 2,000
Belerang endap 4%
473 Sefadroksil sirup kering 125 mg/5ml 2015 288 Botol Rp 4,746
474 Sefadroksil kapsul/kaplet 250 mg 2015 Tablet Rp 513
475 Sefadroksil kapsul/kaplet 500 mg 2015 5600 Kapsul Rp 509
476 Sefadroksil sir kering 250 mg/5 mL 2015 Botol Rp 5,895
477 Sefiksim kapsul/kaplet 100 mg 2015 Kapsul Rp 859
478 Sefiksim sirup kering 100 mg/ 5 ml 2015 Botol Rp 8,800
P E N E R I M AA N
arga Satuan
479 Sefotaksim injeksi 1 g 2015 Vial Rp 2,950
480 Setirizin sirup 5 mg/5 ml 2015 Botol @ 60 Rp 7,999
481 Setirizin tablet 10 mg 2015 1500 Kapsul Rp 181
482 Sianokobalamin (vitamin B12) injeksi 500 mcg 2015 Ampul Rp 1,078
483 Sianokobalamin (vitamin B12) 2015 Tablet Rp 57

tablet/kapsul/kaplet 50 mcg
484 Simvastatin scored tablet 10 mg 2015 Tablet Rp 169
485 Simvastatin tablet 20 mg 2015 Tablet Rp 391
486 Siprofloksasin tablet 500 mg (sebagai HCl) 2015 Tablet Rp 255
487 Spironolakton tablet 25 mg 2015 Tablet Rp 315

488 Sukralfat susp 500 mg/5 mL 2015 Botol, 100 mRp 13,425
489 Flutikason propionat nebules 0,5 mg 2015 Botol Rp 12,917
490 Teofilin tab SR 300 mg 2015 Kaplet Rp 1,050
491 Teofilin tablet 150 mg 2015 Tablet Rp 250
492 Terbutalin tablet 2,5 mg 2015 Tablet Rp 99
493 Tetrakain HCl tetes mata 0,5% 2015 botol 5 ml Rp 11,500
494 Tetrasiklin kapsul/kaplet 250 mg 2015 Kapsul Rp 148
495 Tetrasiklin tablet/kapsul/kaplet 500 mg 2015 7400 Tablet Rp 300
496 Vitamin B Kompleks tablet 2015 10000 Tablet Rp 107
497 Zinc drop 10 mg/mL 2015 Botol Rp 12,840
498 Zinc sir 10 mg/mL 2015 Botol Rp 14,980
499 Zinc sir 20 mg/5 Ml 2015 240 Botol Rp 7,400
500 Zinc tablet dispersible20 mg 2015 Tablet Rp 473
501 Alat Suntik Sekali Pakai - 1 cc Tuberculin 2015 500 Pcs Rp 990
27G x 1/2" (nipro)
502 Alat Suntik Sekali Pakai - 1 cc Tuberculin 2015 Pcs Rp 650
27G x 1/2"(stera)
P E N E R I M AA N
arga Satuan
503 Alat Suntik Sekali Pakai - 1 cc Tuberculin 2015 Pcs Rp 1,540
27G x 1/2"(Terumo)
504 Alat Suntik Sekali Pakai - 10 cc x 21G x 1 2015 Pcs Rp 1,298
1/2"(nipro)
505 Alat Suntik Sekali Pakai - 10 cc x 21G x 1 2015 Pcs Rp 925
1/2"(stera)
1/2"(terumo)
507 Alat Suntik Sekali Pakai - 2.5 cc x 23G x 1 2015 Pcs Rp 650
1/4"(stera)
1/4"(nipro)
1/4"(stera)
1/4"(terumo)
1/4"(terumo)
1/4"(stera)
1/4"(NIPRO)
1/4"(terumo)
1/4"(terumo)
P E N E R I M AA N
arga Satuan
516 Benang Bedah SMI(CATGUT CHROMIC SMI 2015 Pcs Rp 27,758
2/0 DS 24 MM) Rajawali Nursindo

2/0 HR 26 MM) Rajawali Nursindo


520 Benang Bedah SMI(CATGUT PLAIN SMI 2/0 2015 Pcs Rp 23,631
HR 37 MM) Rajawali Nursindo
DS 24 MM) Rajawali Nursindo
HR 26 MM) Rajawali Nursindo
DS 24 MM) Rajawali Nursindo
524 Benang Bedah SMI(SILK BLACK 2/0 HR 20 2015 Pcs Rp 14,000

MM) Rajawali Nursindo
P E N E R I M AA N
arga Satuan
527 Benang Bedah SMI(SILK BLACK 3/0 DS 24 2015 Pcs Rp 15,497
MM)Rajawali Nursindo
529 Benang Bedah SMI(SILK BLACK 2/0 DS 24 2015 Pcs Rp 16,064
530 Benang Operasi - Catgut Chromic 2/0 + 2015 Pcs Rp 5,583
jarum 1/2 GT 35 mm(Onemed Catgut
chromic 2/0 + jarum 1/2 GT 35 mm)
531 Benang Operasi - Catgut Chromic 3/0 + 2015 Pcs Rp 5,583

chromic 3/0 + jarum 1/2 GT 35 mm)
532 Benang Operasi - Catgut Plain 2/0 + jarum 2015 Pcs Rp 5,583
1/2 GT 35 mm(Onemed Catgut Plain 2/0 +
jarum 1/2 GT 35 mm)
533 Benang Operasi - Catgut Plain 3/0 + jarum 2015 Pcs Rp 5,583
1/2 GT 35 mm(Onemed Catgut Plain 3/0 +
jarum 1/2 GT 35 mm)
534 Benang Operasi - Silk 2/0 + jarum 1/2 GT 2015 Pcs Rp 3,056
35 mm(Onemed Silk 2/0 + jarum 1/2 GT
35 mm)
535 Benang Operasi - Silk 3/0 + jarum 1/2 GT 2015 Pcs Rp 3,056
35 mm(Onemed Silk 3/0 + jarum 1/2 GT
35 mm)
P E N E R I M AA N
arga Satuan
536 Blade bbraun Aesculap blade/carbon steal 2015 Pcs Rp 3,000
scalpel blades # 19

scalpel blades # 20

scalpel blades # 22

scalpel blades # 23

scalpel blades # 24

scalpel blades # 25

scalpel blades # 26
543 Folley Catheter 2 way No. 16 Onemed 2015 Pcs Rp 8,000

-urocare folley Catheter 2 way No 18

P E N E R I M AA N
arga Satuan



549 Folley Catheter ped No 6 Onemed 2015 Pcs Rp 36,500

-urocare folley Catheter ped No 6
552 Infus Set, IV, Wing needle - I.V Catheter 2015 Pcs Rp 3,800
No. 22 G x 1"(Stera I.V Catheter No. 22G x
1")
553 Infus Set, IV, Wing needle - I.V Catheter 2015 Pcs Rp 3,800
No. 24 G x 3/4"(Stera I.V Catheter No. 24G
x 3/4")
554 Infus Set, IV, Wing needle - Infusion Set 2015 Pcs Rp 3,500
Pediatric (60 drops/ml)(Stera Infusion Set
Pediatric (60 drops/ml))
555 IV Catheter( NIPRO 28G X 1 - 1/4) 2015 Pcs Rp 7,018
P E N E R I M AA N
arga Satuan
556 IV Catheter( NIPRO 28G X 2) 2015 Pcs Rp 7,018
558 IV Catheter( NIPRO 24G X 1- 1/4) 2015 Pcs Rp 7,018
560 IV Catheter( NIPRO 24G X 3/4) 2015 Pcs Rp 7,018
562 IV Catheter Jerco 1 (18G) 2015 Pcs Rp 7,334
568 IV Catheter Jerco 2(22G) 2015 Pcs Rp 14,718
569 Kasa, Verband, Kapas - kasa Hydrofil 36 x 2015 Rol Rp 130,000
80cm (AHMADARIS DRC 36 x 80 cm)
570 Kasa, Verband, Kapas - kasa Hydrofil 40 x 2015 7 Rol Rp 105,000

80cm (ONEMED KASA HIDROFIL 40 x 80
cm)
571 Kasa, Verband, Kapas - kasa Hydrofil 40 x 2015 Rol Rp 104,500
80cm ( SURYA HUSADA KASA HIDROFIL 40
x 80 cm)
572 Kasa, Verband, Kapas - kasa hydrophil 4 x 2015 Rol Rp 800
3 cm (AHMADARIS kasa PEMBALUT DRC
4X3 cm)
573 Kasa, Verband, Kapas - kasa hydrophil 4 x 2015 150 Rol Rp 590
3 cm (ONEMED kasa hydrophil 4X3 cm)
P E N E R I M AA N
arga Satuan
574 Kasa, Verband, Kapas - kasa sterile 2015 300 Box Rp 7,900
(AHMADARIS kasa steril DRC / 16 pad 16 x
16 cm )
575 Kasa, Verband, Kapas - Kapas Pembalut 2015 20 Rol Rp 24,000
Hydrofil(AHMADARIS DRC 250gr)
576 Sarung tangan Steril AXIMED CHIRURGI 2015 Pcs Rp 6,930

GLOVES, (SIZE 6.0)
577 Sarung tangan Steril AXIMED CHIRURGI 2015 200 Pcs Rp 6,930
GLOVES, (SIZE 6.5)
578 Sarung tangan Steril AXIMED CHIRURGI 2015 200 Pcs Rp 6,930
GLOVES, (SIZE 7.0)
GLOVES, (SIZE 7.5)
GLOVES, (SIZE 8.0)
GLOVES, (SIZE 8.5)
582 Sarung tangan Steril GLOBAL 2015 Pasang Rp 6,595
DISPOMEDIKA SG060 70006 TRO
SENSOSUREGE, SURGICAL GLOVE STERIL
6.0
6.5
P E N E R I M AA N
arga Satuan
7.0
7.5
8.0
8.5
588 Surgical Mask - FRES AIR SURGICAL MASK 2015 500 Lembar Rp 310
EAR LOOP (ISI 50 LEMBAR) KASA HUSADA
WIRA JATIM
589 Syringe 1 cc Aximed 2015 Pcs Rp 748
590 Syringe 10 cc Aximed 2015 Pcs Rp 1,188
593 IV Catheter Aximed (18G) 2015 Pcs Rp 5,500
595 IV Catheter Aximed (22G) 2015 50 Pcs Rp 5,500
P E N E R I M AA N
arga Satuan
597 Infus Set, IV, Wing needle - Infusion Set 2015 Pcs Rp 14,399
Dewasa (20 drops/ml) Bbraun Intrafix
Primeline I.S. TYP
598 Kasa, Verband, Kapas - Kasa Hydrophil 2 x 2015 Pcs Rp 9,400
80 cm AHMADARIS
599 Antiseptik dan Disinfektan - Lysol 1 liter 2015 10 Botol Rp 41,000
Onemed
600 SABUN NON - MIKROBIAL Bbraun 2015 10 Botol Rp 58,539
SOFTASKIN 500 ML
601 SKIN DISINFEKTAN POVIDON IODIN + 2015 5 Botol Rp 130,000
ALKOHOL Bbraun BRAUNODERM SPRAY
250 ML
602 Lubricating Jelly AQUAGEL STERILE JELY 2015 35 Tube Rp 34,528
82gr
603 Alat Suntik Sekali Pakai - 20 cc ec stera 2015 Pcs Rp 750
604 IV Catheter Global Dispomedika IV TRO- 2015 Pcs Rp 23,100

Vensite Plus 20G-2TRGISP20
605 Surgical Mask - With Visor Onemed 2015 pcs Rp 55,000
606 Benang Bedah SMI SILK BLACK 3/0 DS 24 2015 1800 Pcs Rp 15,497
MM
607 Amoksisilin tablet 500 mg 2015 19400 Tablet Rp 284
Mengetahui
Kepala UPT Puskesmas Ciwaringin
P E N E R I M AA N
arga Satuan
Hj. MAEMUNAH, SKM

NIP. 19651227 198902 2 001
G PAKAI HABIS
PENGELUARAN Ket
Berita Acara Pemeriksaan Tanggal Dikeluarkan Diserahkan Kepada Jumlah Satuan Tgl/No. Surat
Tanggal Nomor Barang Penterahan
8 9 10 11 12 13 14
RI 2015
02-01-2015 Pendaftaran 3000
Pendaftaran 30
BP 3
Loket Obat 25
0
Jan-15 TU 2
PKM. Ciwaringin 2
KIA 1250
KIA 1150
KIA 1462
TU 2
TU 4
TU 12
TU 1
TU 3
TU 24
TU 50
TU 2
TU 1
PENGELUARAN Ket
TU 2
TU 2
TU 1
TU 2
TU 2
Farmasi 0
50
0
0
0
0
0
0
30
0
0
0
100
300
0
0
0
0
2
0
0
PENGELUARAN Ket
0
0
0
100
0
0
50
5000
0
0
0
0
0
0
4000
0
0
0
0
0
0
0
0
5000
0
0
0
PENGELUARAN Ket
0
0
100
0
0
0
0
0
500
0
0
0
0
0
120
0
100
0
0
0
0
3000
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
0
96
0
0
6000
0
0
0
3000
100
30
50
50
30
30
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
800
2700
500
75
500
0
0
0
400
0
0
PENGELUARAN Ket
0
90
0
0
0
7000
50
0
0
3000
0
0
50
100
2000
50
0
0
100
0
1000
0
0
0
0
500
2000
PENGELUARAN Ket
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
530
0
0
0
0
1000
0
500
0
0
PENGELUARAN Ket
72
0
0
0
0
0
0
0
0
0
0
0
0
0
100
1000
0
0
0
0
0
0
800
0
0
PENGELUARAN Ket
0
0
0
0
0
0
50
0
168
9000
0
0
0
0
0
0
550
2600
0
48
200
0
0
0
9000
0
0
PENGELUARAN Ket
0
0
ARI 2015
Pendaftaran 30
05-02-2015 TU 4
TU 3
TU 2
TU 2
TU 2
TU 2
TU 2
TU 2
TU 2
TU 2
TU 1
TU 2
TU 4
TU 10
TU 6
TU 1
TU 1
TU 1
TU 2
TU 2
TU 2
PENGELUARAN Ket
TU 26
TU 5
TU 4
TU 3
TU 5
TU 4
TU 12 9/II/2015
TU 9 9/II/2015
TU 1
TU 1
TU 5
TU 2
TU 2
TU 2 3/II/2015
KIA 950 15/II/2015
KIA 1492 15/II/2015
Farmasi 0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
5000
0
0
0
0
0
0
PENGELUARAN Ket
5000
0
0
30
0
10
600
0
96
10000
0
0
0
0
0
0
0
0
0
0
50
0
0
0
0
PENGELUARAN Ket
0
0
120
0
0
0
0
0
0
2000
0
0
1000
0
0
0
0
0
0
0
0
0
144
0
PENGELUARAN Ket
0
7000
0
0
0
0
50
30
60
40
40
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
500
0
200
0
0
0
0
0
270
0
0
0
7000
50
3000
0
5000
0
0
0
PENGELUARAN Ket
0
0
0
0
0
100
0
1000
0
0
0
0
0
2000
0
0
0
0
0
0
0
5
0
0
0
0
0
0
PENGELUARAN Ket
0
0
200
0
0
0
0
0
500
0
0
120
0
0
500
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
500
100
500
0
60
0
0
0
0
0
0
0
0
0
0
0
0
0
50
0
672
18000
3
0
0
PENGELUARAN Ket
0
0
500
0
0
40
0
0
0
0
0
0
0
0
0
500
T 2015
Pendaftaran 30
5/3/2015 TU 2
TU 2
TU 2
TU 8
TU 2
TU 10
TU 1
TU 1
PENGELUARAN Ket
TU 4
TU 14
TU 4
TU 1
TU 1
TU 24
TU 12
TU 1
TU 2
TU 2
TU 4
Pkm. Ciwaringin 2
Pendaftaran 1250
Pendaftaran 1250
Bp. Umum/KIA 2050
Kesling 266
PENGELUARAN Ket
PENGELUARAN Ket
PENGELUARAN Ket
PENGELUARAN Ket
PENGELUARAN Ket
PENGELUARAN Ket
PENGELUARAN Ket
PENGELUARAN Ket
PENGELUARAN Ket
L 2015
Pendaftaran 30
08-04-2015 TU 1
TU 8
TU 2
TU 5
TU 3
TU 2
TU 2
TU 1
TU 2
TU 12
PENGELUARAN Ket
TU 1
TU 1
TU 1
TU 6 8 / IV / 2015
TU 2 8 / IV / 2015
KIA/Gizi 2000 13 / IV / 2015
PKM Ciwaringin 2 1 / IV / 2015
Pendaftaran 1250
Pendaftaran 1250
Farmasi 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
PENGELUARAN Ket
0
3
0
5
0
0
0
50
24
0
0
6000
0
0
0
0
0
0
5000
0
0
0
3
PENGELUARAN Ket
0
360
0
24
6000
0
0
0
0
0
0
0
0
0
0
0
1000
0
0
0
0
0
PENGELUARAN Ket
100
0
100
0
1000
0
0
3000
0
2
0
0
0
0
9
0
0
0
0
0
168
0
0
PENGELUARAN Ket
6000
0
100
0
2000
100
0
60
50
30
30
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
800
0
200
0
0
0
0
0
210
200
0
0
6300
60
3000
0
6000
PENGELUARAN Ket
100
0
0
0
2000
48
0
0
0
0
700
200
0
0
0
500
2000
0
0
0
0
0
3
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
200
0
0
100
500
0
0
0
0
144
0
0
300
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
250
700
0
0
0
0
0
0
300
0
0
48
250
0
0
PENGELUARAN Ket
0
0
0
0
168
15000
0
10
3
0
0
0
0
0
0
0
200
0
0
0
0
0
500
0
500
PENGELUARAN Ket
2015
Pendaftaran 30
UGD, Bp. Gigi 5
Lokter Obat 25
05-05-2015 TU 2
TU 1
TU 3
TU 8
TU 4
TU 2
TU 2
TU 2
TU 2
TU 2
TU 2
TU 16
TU 4
TU 2
TU 3
TU 10
TU 4
TU 4
PENGELUARAN Ket
TU 6
TU 2
TU 1
TU 2 7/V/2015
TU 4 7/V/2015
KIA 2767 1/V/2015
Pkm. Ciwaringin 2 2/V/2015
Farmasi 0
25
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
2
0
0
0
0
0
100
0
0
0
5000
0
0
0
0
0
0
7000
0
0
40
0
0
0
0
PENGELUARAN Ket
72
2000
0
0
0
0
0
100
0
0
0
0
0
300
0
0
0
0
0
250
0
75
PENGELUARAN Ket
0
0
0
0
5000
0
0
2000
0
0
0
0
0
50
0
0
0
192
0
0
6000
0
PENGELUARAN Ket
0
4000
0
7
50
50
30
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
100
0
200
0
0
0
0
0
0
100
0
0
5000
60
0
0
5000
100
100
0
PENGELUARAN Ket
100
2000
0
0
0
0
0
200
200
0
0
0
0
2000
0
0
0
100
0
2
0
5
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
300
0
0
0
400
96
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
100
100
1000
0
60
100
0
0
0
700
200
0
24
100
0
0
0
0
PENGELUARAN Ket
50
0
84
11000
0
0
0
0
0
0
0
0
0
48
100
0
100
0
3000
0
200
0
500
PENGELUARAN Ket
2015
Pendaftaran 30
Lk. Obat 25
Lk. Obat 25
05-06-2015 TU 3
TU 3
TU 2
TU 8
TU 2
TU 1
TU 2
TU 3
TU 4
TU 3
TU 8
TU 1
TU 2
TU 12
TU 1
TU 1
TU 2 5/VI/2015
TU 4 5/VI/2015
Pendaftaran 150
Pendaftaran 152
KIA 3000 1/VI/2015
PENGELUARAN Ket
Pkm. Ciwaringin 2 2/VI/2015

Farmasi 0
25
0
0
0
0
0
0
30
0
0
0
0
150
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
3000
0
0
0
0
0
0
0
0
0
0
0
0
300
0
0
5000
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
1000
0
0
0
0
0
250
0
25
0
0
0
0
4000
0
PENGELUARAN Ket
1
2000
0
0
2
0
0
0
0
0
0
0
0
0
6000
0
0
0
5000
100
30
60
PENGELUARAN Ket
50
30
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1000
PENGELUARAN Ket
100
0
0
0
0
0
0
240
200
0
0
6500
60
0
0
3000
100
0
0
0
2000
0
0
0
0
PENGELUARAN Ket
0
800
300
0
0
0
0
2000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
PENGELUARAN Ket
0
0
100
500
0
0
0
0
72
0
400
0
0
0
0
0
0
0
0
0
0
300
PENGELUARAN Ket
100
700
0
0
0
0
100
0
0
0
0
24
200
0
0
0
0
0
0
84
18000
0
0
1
PENGELUARAN Ket
0
0
0
0
0
0
0
100
0
0
0
0
0
400
0
500
2016
Pendaftaran 30
Juli 2015 TU 3
TU 3
BP Umum, Gigi 2
PENGELUARAN Ket
TU 1
TU 10
TU 4
TU 5
TU 4
TU 1
TU 2
TU 2
TU 6
TU 5
TU 2
TU 2
TU 1
TU 2
TU 24
TU 2
TU 2
TU 2
TU 2
TU 10
TU 1
TU 1
TU 3
TU 4
TU 2
PENGELUARAN Ket
TU 4
TU 575
TU 550
PKM Ciwaringin 1000
PKM Ciwaringin 2
Farmasi 0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
3
0
20
0
PENGELUARAN Ket
0
100
24
0
0
4000
0
0
PENGELUARAN Ket
0
0
0
0
0
150
0
75
0
0
0
0
3000
0
3
0
0
0
0
PENGELUARAN Ket
0
0
50
0
0
0
0
0
0
6000
0
0
200
0
50
20
40
40
30
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
5000
120
0
PENGELUARAN Ket
4700
50
0
0
0
2000
72
0
0
0
0
700
200
0
0
0
0
0
20
0
0
0
0
PENGELUARAN Ket
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
100
0
0
0
500
0
300
0
0
PENGELUARAN Ket
0
72
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
3000
0
0
0
3000
0
100
PENGELUARAN Ket
0
150
800
0
90
100
0
0
0
0
0
0
300
0
0
72
100
0
0
0
0
0
0
0
PENGELUARAN Ket
168
13700
2
0
3
0
0
0
500
3150
0
0
0
36
100
0
9000
0
300
0
0
500
US 2015
PENGELUARAN Ket
Pendaftaran 30
TU 3
TU 3
BP Umum, Gigi 2
TU 2
TU 2
TU 0
TU 1
TU 1
TU 1
TU 1
TU 6
TU, Pendaftaran 1
TU 2
TU, Loket Obat, Lab, BP 3
TU 2
TU 1
TU 1
TU 12
TU 2
TU 4
Pendaftaran 1000
Pendaftaran 750
PKM. Ciwaringin 1000
PKM. Ciwaringin 2
PENGELUARAN Ket
Farmasi 0
PENGELUARAN Ket
0
0
0
0
2
0
50
300
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
0
0
0
PENGELUARAN Ket
200
0
100
0
0
0
0
3000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
3000
0
0
0
0
100
0
40
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
300
0
0
0
0
0
0
0
0
0
240
PENGELUARAN Ket
100
0
0
3000
0
100
300
0
4700
50
0
0
0
3000
0
0
0
0
0
700
0
0
0
60
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
100
0
0
100
500
PENGELUARAN Ket
0
300
0
0
96
0
100
0
600
500
0
0
0
0
0
0
0
0
0
0
7000
0
0
0
PENGELUARAN Ket
5000
0
500
0
100
3100
0
60
100
0
30
0
100
0
50
100
0
0
0
200
0
0
200
0
0
50
PENGELUARAN Ket
0
168
19000
0
0
0
0
0
300
0
0
0
24
100
0
0
0
0
0
700
0
3000
0
BER 2015
01-10-2015 TU 1
01-10-2015 TU 1
PENGELUARAN Ket
01-10-2015 TU 1
01-10-2015 TU 3
01-10-2015 TU 4
01-10-2015 TU 10
01-10-2015 KIA 500
01-10-2015 Pkm. Ciwaringin 600
01-10-2015 Pkm. Ciwaringin 4
01-10-2015 Wiwin, Nurlaela, Sumiyati 4
PENGELUARAN Ket
Farmasi 0
0
0
0
0
0
0
0
0
0
500
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
300
0
0
0
0
0
350
0
100
100
0
0
0
1000
0
0
0
PENGELUARAN Ket
0
0
3
0
0
0
0
0
0
0
0
0
3000
0
0
0
0
0
0
40
40
20
PENGELUARAN Ket
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
0
100
0
100
0
0
0
0
30
200
200
0
1000
0
PENGELUARAN Ket
100
0
50
3700
100
100
0
0
0
25
0
0
0
0
400
0
0
0
0
0
0
0
500
PENGELUARAN Ket
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
0
500
0
300
PENGELUARAN Ket
200
0
0
0
0
0
0
50
0
0
100
0
0
0
0
0
20
2000
0
0
0
PENGELUARAN Ket
3000
0
200
0
200
2000
0
0
0
100
0
0
0
0
0
0
0
0
0
400
0
0
0
100
PENGELUARAN Ket
0
100
0
168
12000
0
0
0
0
0
200
0
0
0
24
100
0
200
0
9000
0
1000
0
3000
500
PENGELUARAN Ket
ER 2015
10/11/2015 TU 5
TU 3
TU 1
TU 2
TU 4
TU 24
TU 4
TU 2
TU 2
TU 2
TU 12
TU 50
TU 2
TU 1
TU 1
TU 1
TU 5
TU 2
TU 1
TU 5
MTBS 500
TU 1000
KIA 1000
PENGELUARAN Ket
KIA 1000
PKM Ciwaringin 4
PENGELUARAN Ket
Farmasi 0
0
0
0
0
0
0
300
0
0
0
0
0
0
0
0
20
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
50
0
200
0
1000
0
0
1000
0
0
0
0
0
0
9
0
0
0
0
PENGELUARAN Ket
0
0
0
2000
0
0
0
0
100
20
60
40
20
30
80
80
180
12
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
0
222
2
3
0
0
0
3383
0
52
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
100
0
0
0
0
210
0
0
0
1000
0
100
0
0
4500
50
0
0
PENGELUARAN Ket
0
3000
25
0
0
0
0
600
0
0
0
0
0
0
0
500
0
0
0
0
0
10
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
100
0
0
0
500
0
300
0
0
96
0
0
0
0
PENGELUARAN Ket
700
0
0
0
0
0
0
0
0
0
0
7000
0
0
0
6000
0
0
0
100
3000
0
90
0
PENGELUARAN Ket
0
0
0
0
0
0
0
200
0
0
200
0
0
0
0
0
75
0
168
12000
0
0
0
0
PENGELUARAN Ket
0
200
0
0
0
0
200
0
0
0
6000
0
2000
0
3000
500
BER 2015
TU 3
TU 2
TU 1
TU 2
TU 0
TU 2
PENGELUARAN Ket
TU 3
TU 5
TU 5
TU 5
KIA 500
TU 1000
KIA 1000
KIA 1000
0
TU 500
Kesling 500
KIA 1255
KIA 500
MTBS 500
PKM. Ciwaringin 6
Farmasi 0
0
0
0
0
0
0
0
48
0
PENGELUARAN Ket
0
0
300
0
0
0
0
0
0
0
0
75
0
2
0
4000
0
0
0
0
0
1
0
30
1200
PENGELUARAN Ket
0
0
0
0
0
0
0
0
40
0
0
0
0
0
0
0
0
0
300
0
100
0
PENGELUARAN Ket
0
0
0
0
0
0
2000
0
0
3
0
0
0
0
0
0
0
0
0
3000
0
0
PENGELUARAN Ket
0
50
20
0
50
30
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
2
0
0
0
0
0
0
0
0
0
0
0
100
300
0
0
0
0
0
0
270
PENGELUARAN Ket
200
0
0
1000
0
100
0
100
5700
100
0
0
0
3000
75
0
0
0
0
600
0
0
0
PENGELUARAN Ket
0
0
0
0
500
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
200
PENGELUARAN Ket
0
0
0
300
0
300
0
100
96
0
100
0
0
800
50
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
3000
0
0
0
6000
0
0
0
150
2500
0
60
0
200
0
0
0
0
0
300
0
0
48
PENGELUARAN Ket
0
200
0
100
0
0
0
0
168
20000
0
0
0
0
30
500
0
0
0
48
200
0
200
0
6000
0
PENGELUARAN Ket
0
0
3000
0
ER 2015
TU 6
TU 5
TU 1
TU 2
TU 1
TU 12
TU 1
TU 1
TU 1
TU 1
TU 1000
Kesling 760
TU 1500
Farmasi 0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
24
0
0
0
0
100
0
0
0
2
0
0
50
48
0
50
3000
0
0
0
PENGELUARAN Ket
300
0
0
0
0
0
50
0
PENGELUARAN Ket
50
0
0
0
0
3000
0
0
0
0
0
0
0
100
50
0
0
0
0
0
0
3000
100
PENGELUARAN Ket
0
0
0
50
20
100
50
30
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
200
0
100
0
0
0
0
PENGELUARAN Ket
270
200
0
0
1000
0
100
0
0
3000
100
0
0
0
2000
0
0
0
0
0
600
0
0
PENGELUARAN Ket
0
0
0
0
0
500
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
24
0
PENGELUARAN Ket
100
0
0
0
500
0
300
0
0
48
0
0
0
0
800
50
0
0
0
0
0
0
PENGELUARAN Ket
0
0
0
3800
0
100
0
7000
0
0
0
150
0
0
0
0
100
0
0
0
0
0
200
0
PENGELUARAN Ket
0
24
0
300
20
0
100
0
0
0
168
14500
0
0
0
0
0
0
0
0
0
0
200
0
200
PENGELUARAN Ket
0
6000
0
0
0
3000
600
0 JKN
0 JKN
0 JKN
0 JKN
1000 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
11400 JKN
540 JKN
0 JKN
PENGELUARAN Ket
0 JKN
24000 JKN
300 JKN
0 JKN
0 JKN
0 JKN
1400 JKN
0 JKN
0 JKN
0 JKN
0 JKN
500 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
1000 JKN
0 JKN
0 JKN
0 JKN
0 JKN
600 JKN
200 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
12800 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
500 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
300 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
500 JKN
0 JKN
0 JKN
PENGELUARAN Ket
40 JKN
0 JKN
0 JKN
0 JKN
500 JKN
0 JKN
280 JKN
360 JKN
0 JKN
0 JKN
0 JKN
2000 JKN
3000 JKN
0 JKN
0 JKN
0 JKN
0 JKN
23100 JKN
0 JKN
0 JKN
4800 JKN
900 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
40000 JKN
2000 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
10000 JKN
0 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
300 JKN
0 JKN
0 JKN
0 JKN
0 JKN
500 JKN
500 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
500 JKN
0 JKN
0 JKN
0 JKN
0 JKN
1000 JKN
1300 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
3000 JKN
0 JKN
0 JKN
700 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
1200 JKN
0 JKN
0 JKN
0 JKN
890 JKN
55200 JKN
375 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
3300 JKN
0 JKN
0 JKN
120 JKN
0 JKN
0 JKN
300 JKN
120 JKN
288 JKN
0 JKN
5600 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
1500 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
7400 JKN
10000 JKN
0 JKN
0 JKN
240 JKN
0 JKN
500 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
7 JKN
0 JKN
0 JKN
150 JKN
PENGELUARAN Ket
300 JKN
20 JKN
0 JKN
200 JKN
200 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
0 JKN
0 JKN
500 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
0 JKN
50 JKN
0 JKN
PENGELUARAN Ket
0 JKN
0 JKN
10 JKN
10 JKN
5 JKN
35 JKN
0 JKN
0 JKN
0 JKN
1800 JKN
19400 JKN
Ciwaringin, 02 Januari 2016

Pengelola Barang
PENGELUARAN Ket
AGENG AMLAIA
LAPORAN PERSE
SKPD : UPT PUSKESMAS CIWARINGIN

KABUPATEN : CIREBON
PROVINSI : JAWA BARAT
NO NAMA BARANG URAIAN BARANG-BA

NO./ TGL SURAT MASUK
PENERIMAAN/PENG
ELUARAN
1 2 3 4 5
Januari
1 BP. Karcis 3000
2 Resep 30
3 Blanko BPJS 3
4 Plastik Obat 25
5 0
6 Materai 3000 2
7 Belanja Interet ( Pulsa ) 2
8 Cetak Form MTBS 1250
9 Foto Copy SOAP 1150
10 Foto Copy Kartu Ibu 1462
11 Kertas HVS A4 70 gr 2
12 Kertas HVS F4 70 gr 4
13 Maf Plastik 12
14 Etona 1
15 Spidol WB Boardmaker 3
16 Spidol Permanen Maker 24
17 Maf Kertas 50
18 Tinta Yamura 2
19 Amplop pls 1
20 Kertas Stensil 2
21 Odner 2
22 Amplop Kecil 1
23 Buku Folio 2
24 Cartridge Warna 2
25 Air Raksa Dental Use 0
26 Aciclovir Cream 5 % 89
27 Azitromisin + Cefixime Kombipak 0
28 Albendazol 400 mg 0
29 Ambroksol tablet 30 mg 15
30 Ambroksol tablet 15 mg/5ml 0
31 Amoksisilin serbuk Injeksi 1000 mg 0
32 Ampisilin Injeksi 0
33 Anti Haemoroid DOEN Kombinasi 30
34 Antifungi DOEN Kombinasi 57
35 Davitalisasi Pasta (Non Arsen) 0
36 Deksametason Injeksi 5 mg/ml - 1 ml 0
37 Dekstrometrofan syrup kombinasi 100

38 Dekstrometrofan tablet kombinasi 300
39 Diazepam Injeksi 5 mg/ml - 2 ml 0
40 Diazepam Tablet 2 mg 0
41 Difenhidramin HCl Injeksi 10 mg/ml - 1 30
ml
42 Efedrin HCl Tablet 25 mg 0
43 Etanol 70% - 1.000 ml 4
44 Etarikridina (Rivanol) Larutan 0,1% - 300 0
ml
45 Etil Klorida Semprot - 100 ml 3
46 Fenobarbital Injeksi 50 mg/ml - 2 ml 0
47 Fitomenadion (Vit K1) Injeksi 10 mg/ml 0
48 Fluoride Tablet 0,5 mg 0

49 Gentamisin Salep Kulit 0,1 % 155
50 Gentian Violet Larutan 1% - 10 ml 24
51 Glass Ionomer Cement (GC IX) 1
52 Gliseril Guayakolat Sirop 145
53 Gliseril Guayakolat Tablet 100 mg 7547
54 Hidrogen peroksida 0
55 Hidroklortiazid (HCT) Tablet 25 mg 950
56 Iodium Test 0
57 IV Cateter NO 24 4
58 Jarum jahit no. 9-14 0
59 Kalsium Hidroksida Pasta 0
60 Kalsium Laktat (Kalk) Tablet 500 mg 9407
61 Kapas Pembalut/Absorben 250 mg 4

62 Karbon aktif 606
63 Kasa Pembalut Hidrofil 4 m x 10 cm 47
64 Kassa Pembalut 40 x 80 1
65 Kassa Steril 16 x 16 10
66 Kloramfenikol Kapsul 250 mg 420
67 Kloramfenikol Suspensi 125 mg/5 ml 0
68 Kloramfenikol Tetes Telinga 3% 0

69 Klorfeniramin Maleat (CTM) Tablet 4 mg 8407
70 Klorpromazin HCl Tablet Salut 25 mg 0
71 Lancet Blade 100

72 Lisol 5
73 Livertan Salep kulit 24
74 Magnesium Sulfat Injeksi (IV) 40% - 25 12
ml
75 Masker 211
76 Metil dopa tablet 250 mg 90
77 Metilergometrin Maleat Inj 0,200 mg - 1 0
ml
78 Metronidazol Tablet 250 mg 0
79 Monoklorkamfer Mentol Cairan ( CHKM ) 0
80 Multivitamin Sirup 13
81 Multivitamin Tablet 1100
82 Mummifying Pasta 0
83 Na. Tiroksin 0
84 Natrium Bikarbonat Tablet 500 mg 1532
85 OAT (Obat Antituberkulosis) Anak 0
86 OAT (Obat Antituberkulosis) Kategori I 0
dewasa
87 Obat Batuk Hitam (OBH) Cairan - 100 ml 292
88 Oksigen Gas dalam Tabung 0

89 Oksitetrasiklin HCl 1% Salep Mata 241
90 Oksitosin Injeksi 10 IU/ml - 1 ml 140
91 Papaverin tablet 40 mg 0
92 Parasetamol Tablet 100 mg 20
93 Pirazinamid 500 mg 127
94 Piridoksin HCl (Vit. B6) Tablet 10 mg 8774
95 Piroxicam 20 mg kapsul 180

96 Plester 5 yard x 2 inchi 3
97 Prednison Tablet 5 mg 1367
98 Prokain Benzil Penisilin injeksi 0
99 Propititiourasil 0
100 Reagen golongan darah A&B 0
101 Reagen Ziehl Nielson 0
102 Salbutamol Tablet 4 mg 190
103 Sarung Tangan 70
104 Scabicid cream 19
105 Semen Seng Fosfat Serbuk dan cairan 0
106 Serum Anti Bisa Ular Polivalen Injeksi 5 0

ml
107 Serum Anti Tetanus Injeksi 1.500 5
IU/ampul
108 Sulfasetamid Natrium Tetes Mata 15% 175
109 Temporary Stopping Fletcher 0

110 Tensigard 0
111 Tiamin HCl/Mononitrat (vit. B1) Tablet 50 9698
mg
112 TP Rapid test 0
113 Triheksifenidil Hidroklorida Tablet 2 mg 0
114 Urine Bag Steril 2 L 0

115 Vitamin B Komplek Tablet 8007
116 Vaksin HB O 131
117 Vaksin BCG 48
118 Vaksin DPT-HB-HIB 70
119 Vaksin POLIO 84
120 Vaksin CAMPAK 42
121 TT 43
122 MB. Dewasa 0
123 MB. Anak 0
124 PB. Dewasa 0
125 PB. Anak 0
126 R. I (Onco probe ) 0
127 R II ( Intec ) 0
128 R III ( Biometrix ) 0
129 Sypilis 0
130 Kotrimoksazol 960 mg 0
131 Cefixime 0
132 Aciclovir tab 200 mg 0
133 Flukonazol 150 mg 0
134 Vaksin Anti Rabies 0
135 Rapid HIV 3 (Biomeriux HIV) 0
136 Reagen pemeriksaan gula darah 0
137 VAR 0
138 RDT DBD 0
139 ADS 0.05 ML 800
140 ADS 0.5 ML 2700
141 ADS 5 ML 500
142 SAFETY BOX 75
143 Asam Mefenamat tablet 603
144 Aciclovir 400 mg Tablet 310
145 Alopurinol tablet 100 mg 298
146 Alat suntik 1 ml 365
147 Alat suntik 2,5 ml 513
150 Azitromisin 500 mg tablet 0
151 Amlodipin 10 mg tablet 172
152 Aminofilin Tablet 200 mg 299
153 Amitriptilina HCl Tablet salut 25 mg 0
154 Amoksisilin Kapsul 250 mg 315

156 Amoksisilin Sirup Kering 125 mg/5 ml 72
157 Antalgin Tablet 500 mg 4015

158 Antasida DOEN II Suspensi kombinasi 31
159 Antasida DOEN Tablet 7924

160 Anti Bakteri DOEN Salep Kombinasi 164
161 Antimigren DOEN Kombinasi 0
162 Aqua Pro Injeksi Steril 20 ml,bebas 50
pirogen
163 Asam Folat 125
164 Asam askorbat (Vit. C) Tablet 50 mg 6230
165 Betametason Krim 0,1% 101
166 Cat Gut / Benang bedah no . 2/0 11
168 Cetrizine tablet 160
169 Captopril 12,5 mg 0
170 Captopril 25 mg 1455
171 Cefadroksil 500 mg tablet 0
172 Cefadroksil Syrup 0
173 Cefotaksim Injeksi 1 gram 0
174 Cefiksim 100 mg kapsul 0
175 Ciprofloksasin 500 mg tablet 774
176 Deksametason Tablet 0,5 mg 3524
177 Dekstrometropan sirup 10 mg/ml-60ml 0
178 Dekstrometropan tablet 15 mg 0

179 Digoksin Tablet 0,25 292
180 Domperidon tablet 10 mg 30
181 Epinepri Hcl (Adrenalin) Injeksi 0,1% 0
182 Etanol 70% - 1.00 ml 4

183 Eugenol Cair 0
184 FDC 1-3 10
185 FDC 2 0
186 FDC anak 0
187 FDC Sisipan 0
188 Fenobarbital tablet 30 mg 0
189 Fenotoin Natrium Kapsul 100 mg 0
191 Fenol griserol tetes telinga 0
193 Fitomenadion (Vit. K) Tab Salut Gula 10 178
mg
194 Flukonazol tablet 0
195 Foley Cateter 0
196 Furosemid Tablet 40 mg 153
197 Garam Oralit 200 ml air 1417
198 Gentamisin Injeksi 40 mg/ml 0
199 Glibenklamid Tablet 5 mg 581
200 Glukosa Larutan Infus 10% Steril - 500 ml 0
202 Griseofulvin Tablet 125 mg, micronized 180
203 Hirokartison krim 2,5 % 132

204 Haloperidol Tablet 0,5 mg 0
205 Ibuprofen Tablet 200 mg 703
207 Infuset anak 5
208 Infuset dewasa 43
209 Isosorbid Dinitrat Tablet Sublingual 5 mg 100
210 IV. Cateter no. 20 25

212 Kalsium Glukonas Injeksi IV 10 %(100 10
mg/ml)
213 Karbamazepin Tablet 200 mg 0
214 Ketokonazol 200 mg tablet 70
215 Klindamisin Kapsul 150 Mg 0
217 Kotrimoksazol Suspensi 231
218 Kotrimoksazol Tablet 480 mg Dewasa 1823
219 Lidokain injeksi 2 % 100

220 Lidokain injeksi 2 % ( HCL ) + Epineprin / 116
2 ml
221 Loratadin tablet 10 mg 78
222 Metilergometrin Maleat Tab. Salut 0,125 138
g
223 Metoclopropamamid tablet 5 mg 0
225 Metronindazol tablet 500 mg 996
226 Metformin 500 mg tablet 100
227 Mineral Mix 8 g 1050
228 Mikonazol krim 2 % 77
229 Natrium Diklofenak 25 Mg Tablet 304
231 Natrium Klorida Larutan Infus 0,9% Steril 12
232 Nipedipin 10 mg 100

233 Nistatin Tablet Vagina 100.000 IU/g 118
234 Oksitetrasiklin hcl 1 % salep kulit 99
235 Parasetamol drop 0
236 Parasetamol Sirup 120 mg/5 ml 531
238 Polikresulen ( Albotyl ) 2
239 Povidon Iodida 10% - 30 ml 5
241 Propanolol hcl Tablet 40 mg 100
242 Ranitidin Injeksi 25 mg / 2ml 0
243 Ranitidine 150 mg 321
244 Retinol (Vit. A) kapsul 100.000 IU 550
246 Ringer Laktat Larutan Infus Steril 28
247 Salep 2 - 4 65
248 Salisil Bedak 2% - 50 gram 283
249 Silk no. 3/0 dengan jarum bedah 30
250 Simvastatin 10 mg (di spek Kotak ) 0
252 Tablet Tambah Darah Kombinasi 15583
253 Tetrasiklin Kapsul 250 mg 587
255 Tiamfenikol Kapsul 500 mg 200
256 Zinc Tablet 1232
Februari 20
1 BP. Karcis 3000
2 Resep 30
3 Amplop polos besar 4
4 Amplop polos Kecil 3
5 Bak Stempel 2
6 Ballpoint ever cross 2
7 Binder Clip 111 2
8 Binder Clip 155 2
9 Buku Kwitansi besar 2
10 Buku Kwitansi Sedang 2
11 Buku Nota Besar 2
12 Buku Nota Kecil 2
13 gunting 1
14 Hecter Kecil 2
15 HVS A4 4
16 HVS F4 10
17 Isi skrema Kecil 6
18 Kalkulator 1
19 kertas foto 1
20 lakban besar 1
21 Pembolong Kertas 2
22 Pensil 2 B 2
23 Spidol kecil 2
24 spidol permanen 26
25 spidol white board 5
26 Stabilo 4
27 Stofmap plastik 3
28 Stofmap polio kertas 5
29 Tipe-X 4
30 Materai 3000 12
31 Materai 6000 9
32 Tinta Yamura 1
33 Tinta Printer Laser 1
34 Kwitansi 5
35 Buku tulis 2
36 Kertas Stensil 2
38 Cetak kartu pasien (P) 1250
39 Cetak kartu pasien (L) 1250
40 Foto Copy Partograf 950
41 Foto Copy Pengkajian Bumil Baru 1492



58 Difenhidramin HCl Injeksi 10 mg/ml - 30
1 ml
60 Etanol 70% - 1.000 ml 3
61 Etarikridina (Rivanol) Larutan 0,1% - 0
300 ml
64 Fitomenadion (Vit K1) Injeksi 10 0

mg/ml

73 Iodium Test 0
79 Karbon aktif 606


86 Klorfeniramin Maleat (CTM) Tablet 4 12902
mg
88 Lancet Blade 100
89 Lisol 5
91 Magnesium Sulfat Injeksi (IV) 40% - 12
25 ml
92 Masker 160
94 Metilergometrin Maleat Inj 0,200 mg - 0
1 ml
96 Monoklorkamfer Mentol Cairan 0
( CHKM )
100 Na. Tiroksin 0

dewasa
104 Obat Batuk Hitam (OBH) Cairan - 100 293
ml


123 Serum Anti Bisa Ular Polivalen Injeksi 0
5 ml
IU/ampul

127 Tensigard 0
128 Tiamin HCl/Mononitrat (vit. B1) Tablet 10425
50 mg
129 TP Rapid test 0
130 Triheksifenidil Hidroklorida Tablet 2 0
mg
133 Vaksin HB O 120
134 Vaksin BCG 46
136 Vaksin POLIO 76
138 TT 42
139 MB. Dewasa 0
140 MB. Anak 0
141 PB. Dewasa 0
142 PB. Anak 0
146 Sypilis 0
148 Cefixime 0
154 VAR 0
155 RDT DBD 0
156 ADS 0.05 ML 800
157 ADS 0.5 ML 2700
158 ADS 5 ML 500
159 SAFETY BOX 75




pirogen
180 Asam Folat 125

194 Dekstrometropan sirup 10 mg/ml- 0
60ml
199 Etanol 70% - 1.00 ml 3

200 Eugenol Cair 0
201 FDC 1-3 9
202 FDC 2 0
203 FDC anak 0
204 FDC Sisipan 0
210 Fitomenadion (Vit. K) Tab Salut Gula 276

10 mg
212 Foley Cateter 0
217 Glukosa Larutan Infus 10% Steril - 0
500 ml
218 Glukosa Larutan Infus 5% Steril - 500 10
ml
219 Griseofulvin Tablet 125 mg, 154
micronized
224 Infuset anak 5
226 Isosorbid Dinitrat Tablet Sublingual 5 100
mg
mg/ml)

237 Lidokain injeksi 2 % ( HCL ) + 131
Epineprin / 2 ml
239 Metilergometrin Maleat Tab. Salut 128
0,125 g

248 Natrium Klorida Larutan Infus 0,9% 8
Steril

264 Salep 2 - 4 52

MARET 201
1 BP. Karcis 3000
2 Resep 30
6 Kertas HVS F4 8
7 Kertas HVS A4 2
8 Buku Tulis 38 lembar 10
9 Penggaris 1
10 Skrema / Stepler Besar 1
11 Isi Skema No 10 4
14 Flashdiks 1
15 Tinta Yamura 1
16 Maf Kertas 24
17 Maf Plastik 12
18 Kertas Stensil 1
19 Buku Folio 2
20 Materai 3000 2
21 Materai 6000 4
25 Foto Copy MTBM 2050
26 Foto Copy Daftar Hadir Penyuluhan 266




1 ml
45 Etanol 70% - 1.000 ml 2
300 ml

mg/ml

58 Iodium Test 0
64 Karbon aktif 606


mg
73 Lancet Blade 100

74 Lisol 5
25 ml
77 Masker 120
1 ml
( CHKM )
85 Na. Tiroksin 0

dewasa
ml



5 ml
IU/ampul

112 Tensigard 0
50 mg
114 TP Rapid test 0
mg
118 Vaksin HB O 119
119 Vaksin BCG 46
121 Vaksin POLIO 64
123 TT 42
124 MB. Dewasa 0
125 MB. Anak 0
126 PB. Dewasa 0
127 PB. Anak 0
131 Sypilis 0
133 Cefixime 0
139 VAR 0
140 RDT DBD 0
141 ADS 0.05 ML 800
142 ADS 0.5 ML 2700
143 ADS 5 ML 500
144 SAFETY BOX 75




pirogen
165 Asam Folat 115

60ml
184 Etanol 70% - 1.00 ml 2

185 Eugenol Cair 0
186 FDC 1-3 9
187 FDC 2 0
188 FDC anak 0
189 FDC Sisipan 0

10 mg
197 Foley Cateter 0
500 ml
ml
micronized
209 Infuset anak 5
mg
mg/ml)

Epineprin / 2 ml
0,125 g

Steril

249 Salep 2 - 4 81

258 Zinc Tablet 831
April 201
1 BP. Karcis 3000
2 Resep 30
4 Kertas HVS F4 8
5 Kertas HVS A4 2
6 Stabilo 5
7 Stofmap plastik 3
9 Bolpoint 2
10 Amplop pls Besar 1
12 Spidol permanen 12
13 Etona 1
14 Tinta Yamura 1
15 Kertas Stensil 1
16 Materai 3000 6
17 Materai 6000 2
18 Foto Copy Grafik PWS GIZI 2000
19 Pulsa Internet 2


1 ml
40 Etanol 70% - 1.000 ml 3
300 ml

mg/ml

53 Iodium Test 0
59 Karbon aktif 588


mg
68 Lancet Blade 100

69 Lisol 5
25 ml
72 Masker 84
1 ml
( CHKM )
80 Na. Tiroksin 0

dewasa
ml

5 ml
IU/ampul

107 Tensigard 0
50 mg
109 TP Rapid test 0
mg
113 Vaksin HB O 173
114 Vaksin BCG 30
116 Vaksin POLIO 75
118 TT 50
119 MB. Dewasa 0
120 MB. Anak 0
121 PB. Dewasa 0
122 PB. Anak 0
126 Sypilis 0
128 Cefixime 0
134 VAR 0
135 RDT DBD 0
136 ADS 0.05 ML 800
137 ADS 0.5 ML 2700
138 ADS 5 ML 500
139 SAFETY BOX 75




pirogen
160 Asam Folat 107

60ml
179 Etanol 70% - 1.00 ml 3

180 Eugenol Cair 0
181 FDC 1-3 7
182 FDC 2 0
183 FDC anak 0
184 FDC Sisipan 0

10 mg
192 Foley Cateter 0
500 ml
ml
micronized
204 Infuset anak 5
mg
mg/ml)

Epineprin / 2 ml
0,125 g

Steril

244 Salep 2 - 4 60

253 Zinc Tablet 952
Mei 2015
1 BP. Karcis 3000
2 Resep 30
3 Kwitansi Tindakan 5
4 Plastik Obat 25
7 HVS A4 3
8 HVS F4 8
9 Isi skrema Kecil 4
10 Hecter kecil 2
11 kertas foto 2
12 lakban besar 2
13 Pembolong Kertas 2
14 Pensil 2 B 2
15 Spidol kecil 2
20 Penghapus 10
21 Blinder Clip 111 4
22 Blinder Clip 115 4
23 Buku Folio 50 lbr 6
24 Flashdiks 8 Gb 2
25 Flashdiks 16 Gb 1
26 Materai 3000 2
27 Materai 6000 4
28 Foto Copy Grafik PWS KIA 2767
29 Pulsa Internet 2


1 ml
48 Etanol 70% - 1.000 ml 3
300 ml

mg/ml

61 Iodium Test 0
67 Karbon aktif 493


mg
76 Lancet Blade 100

77 Lisol 5
25 ml
80 Masker 100
1 ml
( CHKM )
88 Na. Tiroksin 0

dewasa
ml



5 ml
IU/ampul

115 Tensigard 0
50 mg
117 TP Rapid test 0
mg
121 Vaksin HB O 89
122 Vaksin BCG 27
124 Vaksin POLIO 75
126 TT 54
127 MB. Dewasa 0
128 MB. Anak 0
129 PB. Dewasa 0
130 PB. Anak 0
134 Sypilis 0
136 Cefixime 0
142 VAR 0
143 RDT DBD 0
144 ADS 0.05 ML 800
145 ADS 0.5 ML 2700
146 ADS 5 ML 500
147 SAFETY BOX 75




pirogen
168 Asam Folat 125

60ml
187 Etanol 70% - 1.00 ml 3

188 Eugenol Cair 0
189 FDC 1-3 8
190 FDC 2 0
191 FDC anak 0
192 FDC Sisipan 0

10 mg
200 Foley Cateter 0
500 ml
ml
micronized
212 Infuset anak 5
mg
mg/ml)

Epineprin / 2 ml
0,125 g

Steril

252 Salep 2 - 4 75

Juni 2015
1 BP. Karcis 3000
2 Resep 30
3 Kertas Puyer 25
4 Plastik Obat 25
7 HVS A4 2
8 HVS F4 8
9 Kalkulator 2
10 Pensil 2 B 1
11 Map Plastik Kancing 2
14 Skema / Staplerr Besar 3
15 Buku Tulis Bigboss 8
16 Isi Skema No 10 1
18 Spidol permanen 12
19 Odner 1
20 Flasdiks 8 GB 1
21 Materai 3000 2
22 Materai 6000 4
25 Foto Copy SDIDTK 3000
26 Pulsa Internet 2


1 ml
45 Etanol 70% - 1.000 ml 2
300 ml

mg/ml

58 Iodium Test 0
64 Karbon aktif 453


mg
73 Lancet Blade 100

74 Lisol 5
25 ml
77 Masker 80
1 ml
( CHKM )
85 Na. Tiroksin 0

dewasa
ml


5 ml
IU/ampul

112 Tensigard 0
50 mg
114 TP Rapid test 0
mg
118 Vaksin HB O 130
119 Vaksin BCG 49
121 Vaksin POLIO 87
123 TT 67
124 MB. Dewasa 0
125 MB. Anak 0
126 PB. Dewasa 0
127 PB. Anak 0
131 Sypilis 0
133 Cefixime 0
139 VAR 0
140 RDT DBD 0
141 ADS 0.05 ML 470
142 ADS 0.5 ML 1600
143 ADS 5 ML 311
144 SAFETY BOX 30




pirogen
165 Asam Folat 125

60ml
184 Etanol 70% - 1.00 ml 2

185 Eugenol Cair 0
186 FDC 1-3 7
187 FDC 2 0
188 FDC anak 0
189 FDC Sisipan 0

10 mg
197 Foley Cateter 0
500 ml
ml
micronized
209 Infuset anak 5
mg
mg/ml)

Epineprin / 2 ml
0,125 g

Steril

249 Salep 2 - 4 58

Juli 2015
1 BP. Karcis 3000
2 Resep 30
5 Ballpoint 2
6 HVS A4 1
7 HVS F4 10
8 Buku Nota Kecil 4
9 Buku Nota Besar 5
10 Buku Kwitansi 4
11 Pensil 2 B 1
15 Paku Payung 5
16 Senter 2
17 Cuter 2
18 Gunting 1
19 Kertas Stensil 2
22 Isi Stapler 2
23 Buku Folio 200 2
24 Stepler 2
25 Kwitansi 10
26 Tinta Yamura 1
27 Odner 1
28 Tipe-X 3
29 Isolasi 4
30 Materai 3000 2
31 Materai 6000 4
34 Foto Copy 1000
35 Pulsa Internet 2
52 Etanol 70% - 1.000 ml 3
ml

64 Iodium Test 0
68 Karbon aktif 373
72 Kloramfenikol Tetes Mata 0,5 % 0

75 Lancet Blade 100
76 Lisol 5
ml
79 Masker 60
85 Naurotropik Kaplet 0
86 Na. Tiroksin 0
ml
dewasa


ml
IU/ampul

113 Tensigard 0
mg
115 Tiamphenikol Kapsul 500 mg 0
116 TP Rapid test 0

119 Vaksin HB O 115
120 Vaksin BCG 56
122 Vaksin POLIO 85
124 TT 50
125 Campak bias 0
126 DT Bias 0
127 TD Bias 0
128 MB. Dewasa 0
129 MB. Anak 0
130 PB. Dewasa 0
131 PB. Anak 0
135 Sypilis 0
137 Cefixime 0
142 Pot Dahak 0
143 Kaca Slide 0
145 Isoniazid tablet 100 mg 0
146 RDT DBD 0
147 ADS 0.05 ML 470
148 ADS 0.5 ML 1600
149 ADS 5 ML 311
150 SAFETY BOX 30
151 RI. SD HIV 0
152 PRP SHYPILIS 0
153 Rpid Test Shypilis 0
154 SD Shypilis 0
155 Clindamicyn 0
157 Asam asetilsalisilat (asetosal) Tab 100 mg 0




178 Air untuk vial ampul 25 ml 0
179 Asam Folat 125
192 Difenhidramin Injeksi 10 mg/ml (i.v/i.m) 0
193 Deksametason Injeksi 5 mg/ml 20

195 Diazepam Injeksi 5 mg/ml 0
197 Doksisiklin Kapsul 100 mg 0
200 Etanol 70% - 1.00 ml 0

201 Eugenol Cair 0
202 FDC 1-3 6
203 FDC 2 0
204 FDC anak 0
205 FDC Sisipan 0
206 Fenobarbital Injeksi 50 mg/ml -2 ml 0


mg
215 Foley Cateter 0

225 Haloperidol tablet 5 mg 0
226 Haloperidol Tablet 2 mg 0
229 Ibuprofen syrup 100 mg/5ml 0
230 Infuset anak 5

237 Kassa Pembalut 36 X 80 2
238 Kassa Steril 16 X 16 3
239 Kalsium Laktat ( Kalk) tablet 500 mg 5317

mg/ml)
243 Klorfeniramin maleat tab 4 mg 5148
246 Kodein Tablet 10 mg 0

2 ml
252 Metildopa tablet salut 250 mg 0
253 Metilergometrin Inj 0,2 mg/ml 18
g
257 Metronindazol sir 125 mg/ml 0
267 Nistatin Tablet 500.000 IU 0
281 Salep 2 - 4 48
290 Vitamin B Kompleks 5613
AGUSTUS 20
1 BP. Karcis 3000
2 Resep 30
3 Keterangan Sehat 3
4 Keterangan Sakit 3
5 Reg. Pasien Umum 2
6 Reg. Pasien JKN 2
7 Kwitansi Tindakan 2
8
11 Ballpoint 1
12 HVS A4 1
13 HVS F4 6
14 Buku Pajak 1
18 Kalkulator 1
19 Penggaris 1
21 Materai 3000 2
22 Materai 6000 4
25 Foto Copy 1000
26 Pulsa Internet 2
43 Etanol 70% - 1.000 ml 3
ml

55 Iodium Test 0
59 Karbon aktif 373

66 Lancet Blade 100

67 Lisol 4
ml
70 Masker 40
77 Na. Tiroksin 0
ml
dewasa

97 Sarung Tangan 61
98 Scabicid cream 0

ml
IU/ampul

104 Tensigard 0
mg
107 TP Rapid test 0

110 Vaksin HB O 148
111 Vaksin BCG 42
113 Vaksin POLIO 84
115 TT 33
116 Campak bias 0
117 DT Bias 0
118 TD Bias 0
119 MB. Dewasa 0
120 MB. Anak 0
121 PB. Dewasa 0
122 PB. Anak 0
126 Sypilis 0
128 Cefixime 0
133 Pot Dahak 0
134 Kaca Slide 0
137 RDT DBD 0
138 ADS 0.05 ML 470
139 ADS 0.5 ML 1600
140 ADS 5 ML 311
141 SAFETY BOX 30
142 RI. SD HIV 0
143 PRP SHYPILIS 0
145 SD Shypilis 0
146 Clindamicyn 0




170 Asam Folat 125

191 Etanol 70% - 1.00 ml 0

192 Eugenol Cair 0
193 FDC 1-3 7
194 FDC 2 0
195 FDC anak 0
196 FDC Sisipan 0


mg
206 Foley Cateter 0

221 Infuset anak 5

mg/ml)

2 ml
g

272 Salep 2 - 4 44
282 Zinc Tablet 688
SEPTEMBER 2
3 HVS A4 1
4 HVS F4 3
5 Materai 3000 4
6 Materai 6000 10
7 Cetak Buku KIA 500
8 Foto Copy 600
9 Pulsa Internet 4
10 Modem Bolt Orion Mobile WIFI Modem 4
4G LTE
27 Etanol 70% - 1.000 ml 2
ml
39 Iodium Test 0
43 Karbon aktif 373

50 Lancet Blade 100

51 Lisol 4
ml
54 Masker 40
61 Na. Tiroksin 0
ml
dewasa

81 Sarung Tangan 47
82 Scabicid cream 0

ml
IU/ampul

88 Tensigard 0
mg
91 TP Rapid test 0

94 Vaksin HB O 80
95 Vaksin BCG 27
97 Vaksin POLIO 80
98 Vaksin CAMPAK 49
99 TT 35
100 Campak bias 0
101 DT Bias 0
102 TD Bias 0
103 MB. Dewasa 0
104 MB. Anak 0
105 PB. Dewasa 0
106 PB. Anak 0
110 Sypilis 0
112 Cefixime 0
117 Pot Dahak 0
118 Kaca Slide 0
121 RDT DBD 0
122 ADS 0.05 ML 470
123 ADS 0.5 ML 1600
124 ADS 5 ML 311
125 SAFETY BOX 30
126 RI. SD HIV 0
127 PRP SHYPILIS 0
129 SD Shypilis 0
130 Clindamicyn 0




154 Asam Folat 125

175 Etanol 70% - 1.00 ml 0

176 Eugenol Cair 0
177 FDC 1-3 7
178 FDC 2 0
179 FDC anak 0
180 FDC Sisipan 0


mg
190 Foley Cateter 0

205 Infuset anak 5


mg/ml)

2 ml
g

256 Salep 2 - 4 54
266 Zinc Tablet 998
OKTOBER 2015
1 HVS F4 5
2 Odner 3
3 Tipe x 1
4 Bolpen 2
5 Tinta Epson Ink 4
8 Isi Stapler 2
9 Buku Polio 100 2
10 Buku Polio 200 2
11 Maf Plastik 12
12 Maf Kertas 50
13 HVS A4 2
14 Amplop Besar 1
15 Amplop Kecil 1
16 Tinta Yamura 1
17 Kwitansi 5
18 lem 2
19 Kertas Stensil 1
20 Materai 6000 5
21 Foto Copy MTBS 500
22 Foto Copy SPJ 1000
25 Pulsa Internet 4
42 Etanol 70% - 1.000 ml 1
ml

54 Iodium Test 0
58 Karbon aktif 340

65 Lancet Blade 100

66 Lisol 3
ml
69 Masker 40
76 Na. Tiroksin 0
ml
dewasa

96 Sarung Tangan 35
97 Scabicid cream 0

ml
IU/ampul

103 Tensigard 0
mg
106 TP Rapid test 0

109 Vaksin HB O 122
110 Vaksin BCG 31
112 Vaksin POLIO 72
114 TT 39
115 Campak bias 80
116 DT Bias 80
117 TD Bias 180
118 MB. Dewasa 12
119 MB. Anak 0
120 PB. Dewasa 0
121 PB. Anak 0
125 Sypilis 0
127 Cefixime 0
132 Pot Dahak 222
133 Kaca Slide 2
136 RDT DBD 0
137 ADS 0.05 ML 470
138 ADS 0.5 ML 4983
139 ADS 5 ML 311
140 SAFETY BOX 82
141 RI. SD HIV 0
142 PRP SHYPILIS 0
144 SD Shypilis 0
145 Clindamicyn 0




169 Asam Folat 125

190 Etanol 70% - 1.00 ml 10

191 Eugenol Cair 0
192 FDC 1-3 4
193 FDC 2 0
194 FDC anak 0
195 FDC Sisipan 0


mg
205 Foley Cateter 0

220 Infuset anak 5


mg/ml)

2 ml
g

271 Salep 2 - 4 47
NOVEMBER 2015
1 HVS F4 3
2 Odner 2
3 Tipe x 1
4 Bolpen 2
5
6 - Kertas HVS F4 2
7 - Buku Tulis 3
8 - Box Bindex 5
9 - Buku pajak SSP 5
10 Materai 6000 5
11 Foto Copy MTBS 500
15
17 Foto Copy Format Pendataan PHBS RT 500
18 Foto Copy Kartu Ibu 1255

19 Foto Copy Format SOAP 500
20 Foto Copy Format MTBS 500
21 Pulsa Internet 6
38 Etanol 70% - 1.000 ml 1
ml

50 Iodium Test 0
54 Karbon aktif 253

61 Lancet Blade 100

62 Lisol 3
ml
65 Masker 50
72 Na. Tiroksin 0
ml
dewasa

92 Sarung Tangan 24
93 Scabicid cream 0

ml
IU/ampul

99 Tensigard 0
mg
102 TP Rapid test 0

105 Vaksin HB O 118
106 Vaksin BCG 31
108 Vaksin POLIO 72
110 TT 35
111 Campak bias 80
112 DT Bias 80
113 TD Bias 180
114 MB. Dewasa 12
115 MB. Anak 0
116 PB. Dewasa 0
117 PB. Anak 0
121 Sypilis 0
123 Cefixime 0
128 Pot Dahak 222
129 Kaca Slide 2
132 RDT DBD 0
133 ADS 0.05 ML 470
134 ADS 0.5 ML 4983
135 ADS 5 ML 311
136 SAFETY BOX 82
137 RI. SD HIV 0
138 PRP SHYPILIS 0
140 SD Shypilis 0
141 Clindamicyn 0




165 Asam Folat 50

186 Etanol 70% - 1.00 ml 8

187 Eugenol Cair 0
188 FDC 1-3 6
189 FDC 2 0
190 FDC anak 0
191 FDC Sisipan 0


mg
201 Foley Cateter 0

216 Infuset anak 5


mg/ml)

2 ml
g

267 Salep 2 - 4 69
277 Zinc Tablet 902
DESEMBER 2015
1 HVS F4 6
2 Odner 5
3 Tipe x 1
4 Bolpen 2
5 Buku Folio 100 1
6 Spidol Permanen 12
7 Maf Kertas 1
8 Amplop Besar 1
9 Amplop Kecil 1
10 Kertas Stensil 1
12 Foto Copy Format Pendataaan PHBS 760
13 Foto Copy Laporan Tahunan Program 1500

30 Etanol 70% - 1.000 ml 1
ml

42 Iodium Test 0
46 Karbon aktif 130

53 Lancet Blade 100

54 Lisol 3
ml
57 Masker 40
64 Na. Tiroksin 0
ml
dewasa

84 Sarung Tangan 55
85 Scabicid cream 0

ml
IU/ampul

91 Tensigard 0
mg
94 TP Rapid test 0
97 Vaksin HB O 110
98 Vaksin BCG 33
100 Vaksin POLIO 95
102 TT 23
103 Campak bias 0
104 DT Bias 0
105 TD Bias 0
106 MB. Dewasa 9
107 MB. Anak 0
108 PB. Dewasa 0
109 PB. Anak 0
113 Sypilis 0
115 Cefixime 0
120 Pot Dahak 222
121 Kaca Slide 2
124 RDT DBD 0
125 ADS 0.05 ML 470
126 ADS 0.5 ML 4983
127 ADS 5 ML 311
128 SAFETY BOX 82
129 RI. SD HIV 0
130 PRP SHYPILIS 0
132 SD Shypilis 0
133 Clindamicyn 0




157 Asam Folat 0

178 Etanol 70% - 1.00 ml 9

179 Eugenol Cair 0
180 FDC 1-3 5
181 FDC 2 0
182 FDC anak 0
183 FDC Sisipan 0


mg
193 Foley Cateter 0

208 Infuset anak 5


mg/ml)

2 ml
g

259 Salep 2 - 4 47
269 Zinc Tablet 812
270 Air untuk injeksi (Aqua pro Injeks) 20 ml 0
271 Akarbose tablet/kaplet 100 mg 0

272 Albendazol suspensi 200 mg/5 ml 0
273 Albendazol tablet/kapsul/kaplet 400 mg 0
274 Alopurinol tablet/kapsul/kaplet 100 mg 1000
275 Alopurinol tablet/kapsul/kaplet 300 mg 0
276 Alprazolam tablet/kapsul/kaplet 0,25 mg 0
277 Alprazolam tablet/kapsul/kaplet 0,5 mg 0
278 Alprazolam tablet/kapsul/kaplet 1 mg 0
279 Aminofilin injeksi 24 mg/ml 0

280 Aminofilin tablet scored 200 mg 0
281 Aminofilin tablet/kapsul/kaplet 150 mg 0
282 Amitriptilin tablet salut 25 mg (HCl) 0
283 Amlodipin tablet 10 mg 0

284 Amlodipin tablet 5 mg 0
285 Amoksisilin kapsul/kaplet 250 mg 11400
286 Amoksisilin sirup kering forte 250 mg/5 540
ml
287 Amoksisilin sirup kering 125 mg/ 5 ml 0
288 Ampisilin serbuk injeksi i.v. 1000 mg/vial 0
289 Antasida DOEN I tablet kunyah, 24000

kombinasi : Aluminium Hidroksida 200 mg
Magnesium Hidroksida 200 mg
290 Antasida DOEN II suspensi, kombinasi : 300

Aluminium Hidroksida 200 mg/5 ml
Magnesium Hidroksida 200 mg/5 ml
291 Anti Bakteri DOEN salep kombinasi: 0
Basitrasin 500 IU/g Polimiksin 10.000 IU/g
292 Antihemoroid, kombinasi: bismut 0

subgalat 150 mg heksaklorofen 2,5 mg
lidokain 10 mg seng oksida 120 mg
293 Antimigren: Ergotamin Tartrat 1 mg + 0

Kofein 50 mg
294 Asam Asetilsalisilat (asetosal) tablet 100 1400
mg
295 Asam Asetilsalisilat (asetosal) 0
tablet/kaplet/kapsul 80 mg
296 Asam Askorbat (Vitamin C) tablet 250 mg 0
297 Asam Askorbat (Vitamin C) tablet 50 mg 0
298 Asam Folat tablet/kapsul/kaplet 0,4 mg 0
299 Asam Folat tablet/kapsul/kaplet 1 mg 500
300 Asam Mefenamat kapsul/kaplet 250 mg 0
301 Asam Mefenamat kapsul/kaplet 500 mg 0
302 Asam pipemidat kapsul 400 mg 0

303 Asam traneksamat injeksi 50 mg/ml 0
304 Asiklovir salep mata 3% 0

305 Asiklovir tablet/kapsul/kaplet 200 mg 0
306 Asiklovir tablet/kapsul/kaplet 400 mg 0
307 Atapulgit tablet 600 mg 1000

308 Atenolol tablet/kapsul/kaplet 100 mg 0
309 Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml 0
310 Atropin Sulfat tablet 0,5 mg 0

311 Azitromisin tablet 500 mg 0
312 Bedak salisil serbuk 2% 600
313 Betametason krim 0,1% (sebagai 200
Valerat)
314 Bisakodil suppositoria 10 mg 0
315 Bisakodil suppositoria 5 mg 0
316 Bisoprolol tablet 2,5 mg 0
317 Bisoprolol tablet 5 mg 0
318 Deksametason injeksi i.v./i.m. 5 mg/ml 0
319 Deksametason tablet 0,5 mg 12800

320 Diazepam larutan rektal 5 mg/2,5 mL 0
321 Diazepam injeksi i.v./i.m 5 mg/ml 0

322 Diazepam larutan rektal 10 mg/2,5 mL 0
323 Diazepam tablet/kapsul/kaplet 2 mg 0
324 Difenhidramin injeksi i.v./i.m. 10 mg/ml 0

(HCl)
325 Digoksin tablet 0,25 mg 0
326 Dimenhidrinat tablet 50 mg 0
327 Doksisiklin tablet/kapsul/kaplet 100 mg 0
328 Domperidon suspensi/sirup 5 mg/5 ml 0

330 Dopamin injeksi 40 mg/ml 0
331 Efedrin Inj 50 mg/ml 0
332 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 0
mg/ml
333 Eritromisin kapsul/kaplet 250 mg 0
334 Eritromisin kapsul/kaplet 500 mg 0
335 Eritromisin sirup kering 200 mg/ 5 ml 0
336 Etanol 70% cairan 0

337 Eugenol cairan 0
338 Fenitoin kapsul/kaplet 100 mg 0
339 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0
340 Fenobarbital tablet/kapsul/kaplet 100 mg 0
341 Fitomenadion (Vit.K1) tablet salut gula 10 0

mg
342 Fitomenadion (Vitamin K1) injeksi i.m. 2 0
mg/ml
343 Flukonazol tablet/kaplet/kapsul 50 mg 0
344 Furosemid tablet 40 mg 300

345 Garam Oralit I serbuk, kombinasi : 0
Natrium klorida 0,52 g kalium klorida 0,30
g Trinatrium sitrat dihidrat 0,58 g Glukosa
Anhidrat 2,70 g
346 Gemfibrozil kapsul/kaplet 300 mg 0

347 Gentamisin injeksi 40 mg/ ml 0
348 Gentamisin salep mata 0,3% 0
349 Gentamisin tetes mata 0,3% 0
350 Glibenklamid tablet 5 mg 0
351 Glimepiride tablet 1 mg 0
354 Glukosa larutan infus 10 % steril 0
355 Glukosa larutan infus 5 % steril 40
356 Griseofulvin tablet 125 mg 0
357 Haloperidol tablet 0,5 mg 0
359 Haloperidol tablet 1,5 mg 500
361 Hidrokortison krim 1% 280
362 Hidrokortison krim 2,5 % 360
363 Hiosin butilbromid injeksi 20 mg/ml 0
364 Ibuprofen sirup 100 mg/5 ml 0

365 Ibuprofen suspensi 200 mg/5 ml 0
366 Ibuprofen tablet 200 mg 2000
367 Ibuprofen tablet 400 mg 3000
368 Irbesartan tab 300 mg 0
369 Isosorbid Dinitrat tablet sublingual 5 mg 0
370 Isosorbid dinitrat tablet/kaplet/kapsul 10 0

mg
371 Kalsium Glukonat injeksi i.v 10% (100 0
mg/ml)
372 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 23100
500 mg
373 Kanamisin inj 1000 mg/ vial 0
374 Kaptopril tablet 50 mg 0
375 Kaptopril tablet scored 25 mg 4800
376 Kaptopril tablet scored12,5 mg 900
377 Karbamazepin tablet 200 mg 0
378 Karbogliserin tetes telinga 10% 0
379 Ketokonazol krim 2% 0
382 Ketokonazol tablet 200 mg 0
383 Ketoprofen supositoria 100 mg 0
384 Ketorolac injeksi 30 mg/ml 0
385 Klindamisin kapsul/kaplet 150 mg 0
386 Klindamisin kapsul/kaplet 300 mg 0
387 Klobazam tab 10 mg 0
388 Kloramfenikol salep kulit 2% 0
389 Kloramfenikol salep mata 1 % 0
390 Kloramfenikol suspensi 125 mg/ 5 ml 0
391 Klorfeniramina Maleat (CTM) 40000

tablet/kapsul/kaplet 4 mg
392 Klorpromazin tablet salut 100 mg (HCl) 2000
393 Klorpromazin tablet salut 25 mg (HCl) 0
394 Kodein tablet 10 mg 0

395 Kodein tablet 20 mg 0
396 Kombinasi tablet salut : Besi (II) sulfat 0
7H2O 200 mg Asam folat 0,25 mg
397 Kombinasi tablet salut : Besi (II) sulfat 0

7H2O 200 mg Asam folat 0,25 mg
398 Kotrimoksazol DOEN I (dewasa) 10000

kombinasi : Sulfametoksazol 400 mg
Trimetoprim 80 mg
399 Kotrimoksazol Suspensi komb: 0
Sulfametoksazol 200 mg + Trimetoprim
40 mg / 5 ml
400 Kuinin (Kina) tablet 200 mg 0
401 Laktulosa sir 3,335 g/5 mL 0
402 Lanzoprazol kapsul/kaplet 30 mg 0
403 Levofloksasin tablet 500 mg 0
404 Lidokain injeksi 2% (HCL) 0
405 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 0
80.000 - 2ml
406 Lidokain jeli 2% 0
407 Lidokain semprot 10% 0
408 Loperamid tablet 2 mg 0
410 Magnesium sulfat injeksi 20% 0
411 Magnesium sulfat injeksi 40% 0
412 Metformin HCl tablet 500 mg 0
413 Metformin HCl tablet 850 mg 0
415 Metilergometrin Maleat (Metilergometrin) 500
tablet salut 0,125 mg
416 Metilergometrin Maleat injeksi 0,200 mg- 0

1 ml
417 Metilprednisolon tablet 16 mg 0
420 Metoklopramid drop botol 10 mL 0
421 Metoklopramide sirup 5 mg/ 5 ml 0
422 Metoklopramide tablet 5 mg 500
423 Metronidazol infus 500 mg/100 ml 0
424 Metronidazol ovula 500 mg 0
425 Metronidazol sirup 125 mg/5 Ml 0
426 Metronidazol supositoria 500 mg 0
427 Metronidazol tablet 250 mg 1000
428 Metronidazol tablet 500 mg 1300
429 Mikonazol krim/salep 2 % (Nitrat) 0
430 Nacl 0,9% 0
431 Natrium Bikarbonat injeksi i.v 8,4% 0
432 Natrium Diklofenak tablet 50 mg 3000
433 Nifedipin tab 20 mg, slow release; oros 0
434 Nifedipin tab 30 mg, oros 0

435 Nifedipin tablet/kapsul 10 mg 700
436 Nistatin vaginal tablet 100.000 IU/ g 0
437 Obat Antituberkulosis FDC Kategori 1 0
438 Obat Antituberkulosis FDC Kategori Anak 0
439 Ofloksasin tets telinga 3% 0

440 Ofloxacin tablet 200 mg 0
441 Oksitosin injeksi 10 IU/ml 0
442 Omeprazol injeksi 40 mg/ 10 ml 0
443 Omeprazol kapsul/kaplet 20 mg 1200
444 ondansetron inj 4 mg/ 2 mL 0
445 Ondansetron tab 4 mg 0
446 Parasetamol drop 100 mg/ml btl @15ml 0
(60mg/0,6ml)
447 Parasetamol sirup 120 mg / 5 ml 890
448 Parasetamol tablet 500 mg 55200
449 Parasetamol tetes 60 mg/0,6 mL 375
450 Permetrin krim 5% 0
451 Pirantel suspensi 125 mg/5 ml 0
452 Pirantel tablet score (base) 125 mg 0
453 Piridoksin (vitamin B6) inj 100 mg/mL 0
454 Polikresulen cairan 0

455 Povidon Iodida larutan 10% 1000 ml 0

459 Pravastatin tablet 20 mg 0
460 Prokain Benzilpenisilin serbuk injeksi 3 0
juta IU/vial
461 Propanolol tablet 10 mg ( HCl ) 0
462 Propiltiourasil tablet/kapsul/kaplet 100 0
mg
463 Propranolol tablet 40 mg (HCl) 0
464 Ranitidin injeksi 25 mg/ml 0
465 Ranitidin tablet 150 mg 3300
466 Retinol (Vitamin A) 100.000 IU 0
467 Retinol (Vitamin A) 200.000 IU kapsul 0
lunak
468 Ringer Laktat larutan infus 120
469 Risperidon tablet 2 mg 0
470 Salbutamol inhalasi/aerosol 100 0
mcg/dosis
471 Salbutamol tablet 2 mg (sebagai Sulfat) 300
472 Salep 2-4 , Kombinasi : Asam Salisilat 2% 120

+ Belerang endap 4%
473 Sefadroksil sirup kering 125 mg/5ml 288
474 Sefadroksil kapsul/kaplet 250 mg 0

475 Sefadroksil kapsul/kaplet 500 mg 5600
476 Sefadroksil sir kering 250 mg/5 mL 0
477 Sefiksim kapsul/kaplet 100 mg 0
478 Sefiksim sirup kering 100 mg/ 5 ml 0
479 Sefotaksim injeksi 1 g 0
480 Setirizin sirup 5 mg/5 ml 0
481 Setirizin tablet 10 mg 1500
482 Sianokobalamin (vitamin B12) injeksi 500 0
mcg
483 Sianokobalamin (vitamin B12) 0
tablet/kapsul/kaplet 50 mcg
484 Simvastatin scored tablet 10 mg 0
485 Simvastatin tablet 20 mg 0
486 Siprofloksasin tablet 500 mg (sebagai 0
HCl)
487 Spironolakton tablet 25 mg 0
488 Sukralfat susp 500 mg/5 mL 0
489 Flutikason propionat nebules 0,5 mg 0
490 Teofilin tab SR 300 mg 0

491 Teofilin tablet 150 mg 0
492 Terbutalin tablet 2,5 mg 0
493 Tetrakain HCl tetes mata 0,5% 0
494 Tetrasiklin kapsul/kaplet 250 mg 0
495 Tetrasiklin tablet/kapsul/kaplet 500 mg 7400
496 Vitamin B Kompleks tablet 10000

497 Zinc drop 10 mg/mL 0
498 Zinc sir 10 mg/mL 0
499 Zinc sir 20 mg/5 Ml 240
500 Zinc tablet dispersible20 mg 0
501 Alat Suntik Sekali Pakai - 1 cc 500
Tuberculin 27G x 1/2" (nipro)
Tuberculin 27G x 1/2"(stera)
Tuberculin 27G x 1/2"(Terumo)
504 Alat Suntik Sekali Pakai - 10 cc x 21G 0
x 1 1/2"(nipro)
x 1 1/2"(stera)
x 1 1/2"(terumo)
507 Alat Suntik Sekali Pakai - 2.5 cc x 23G 0
x 1 1/4"(stera)
508 Alat Suntik Sekali Pakai - 3 cc x 23G x 0
1 1/4"(nipro)
1 1/4"(stera)
1 1/4"(terumo)
1 1/4"(terumo)
1 1/4"(stera)
1 1/4"(NIPRO)
1 1/4"(terumo)
1 1/4"(terumo)
516 Benang Bedah SMI(CATGUT CHROMIC 0
SMI 2/0 DS 24 MM) Rajawali Nursindo

SMI 2/0 HR 26 MM) Rajawali Nursindo


520 Benang Bedah SMI(CATGUT PLAIN SMI 0



524 Benang Bedah SMI(SILK BLACK 2/0 HR 0

20 MM) Rajawali Nursindo


527 Benang Bedah SMI(SILK BLACK 3/0 DS 0

24 MM)Rajawali Nursindo
529 Benang Bedah SMI(SILK BLACK 2/0 DS 0

530 Benang Operasi - Catgut Chromic 2/0 0

+ jarum 1/2 GT 35 mm(Onemed
Catgut chromic 2/0 + jarum 1/2 GT 35
mm)
531 Benang Operasi - Catgut Chromic 3/0 0
+ jarum 1/2 GT 35 mm(Onemed
Catgut chromic 3/0 + jarum 1/2 GT 35
mm)
532 Benang Operasi - Catgut Plain 2/0 + 0
Plain 2/0 + jarum 1/2 GT 35 mm)
533 Benang Operasi - Catgut Plain 3/0 + 0

Plain 3/0 + jarum 1/2 GT 35 mm)
534 Benang Operasi - Silk 2/0 + jarum 1/2 0

GT 35 mm(Onemed Silk 2/0 + jarum
1/2 GT 35 mm)
535 Benang Operasi - Silk 3/0 + jarum 1/2 0
GT 35 mm(Onemed Silk 3/0 + jarum
1/2 GT 35 mm)
536 Blade bbraun Aesculap blade/carbon 0
steal scalpel blades # 19






543 Folley Catheter 2 way No. 16 Onemed 0






549 Folley Catheter ped No 6 Onemed 0


552 Infus Set, IV, Wing needle - I.V 0

Catheter No. 22 G x 1"(Stera I.V
Catheter No. 22G x 1")
553 Infus Set, IV, Wing needle - I.V 0
Catheter No. 24 G x 3/4"(Stera I.V
Catheter No. 24G x 3/4")
554 Infus Set, IV, Wing needle - Infusion 0
Set Pediatric (60 drops/ml)(Stera
Infusion Set Pediatric (60 drops/ml))
555 IV Catheter( NIPRO 28G X 1 - 1/4) 0

556 IV Catheter( NIPRO 28G X 2) 0
558 IV Catheter( NIPRO 24G X 1- 1/4) 0
560 IV Catheter( NIPRO 24G X 3/4) 0
562 IV Catheter Jerco 1 (18G) 0
568 IV Catheter Jerco 2(22G) 0
569 Kasa, Verband, Kapas - kasa Hydrofil 0
36 x 80cm (AHMADARIS DRC 36 x 80
cm)
40 x 80cm (ONEMED KASA HIDROFIL
40 x 80 cm)
40 x 80cm ( SURYA HUSADA KASA
HIDROFIL 40 x 80 cm)
572 Kasa, Verband, Kapas - kasa 0

hydrophil 4 x 3 cm (AHMADARIS kasa
PEMBALUT DRC 4X3 cm)
573 Kasa, Verband, Kapas - kasa 150
hydrophil 4 x 3 cm (ONEMED kasa
hydrophil 4X3 cm)
574 Kasa, Verband, Kapas - kasa sterile 300
(AHMADARIS kasa steril DRC / 16 pad
16 x 16 cm )
575 Kasa, Verband, Kapas - Kapas 20
Pembalut Hydrofil(AHMADARIS DRC
250gr)
576 Sarung tangan Steril AXIMED 0
CHIRURGI GLOVES, (SIZE 6.0)
582 Sarung tangan Steril GLOBAL 0
SENSOSUREGE, SURGICAL GLOVE
STERIL 6.0
STERIL 6.5
STERIL 7.0
STERIL 7.5
STERIL 8.0
STERIL 8.5
588 Surgical Mask - FRES AIR SURGICAL 500
MASK EAR LOOP (ISI 50 LEMBAR)
KASA HUSADA WIRA JATIM
589 Syringe 1 cc Aximed 0

593 IV Catheter Aximed (18G) 0
597 Infus Set, IV, Wing needle - Infusion 0
Set Dewasa (20 drops/ml) Bbraun
Intrafix Primeline I.S. TYP
598 Kasa, Verband, Kapas - Kasa 0

Hydrophil 2 x 80 cm AHMADARIS
599 Antiseptik dan Disinfektan - Lysol 1 10
liter Onemed
600 SABUN NON - MIKROBIAL Bbraun 10
SOFTASKIN 500 ML
601 SKIN DISINFEKTAN POVIDON IODIN + 5
ALKOHOL Bbraun BRAUNODERM
SPRAY 250 ML
602 Lubricating Jelly AQUAGEL STERILE 35
JELY 82gr
603 Alat Suntik Sekali Pakai - 20 cc ec 0
stera
604 IV Catheter Global Dispomedika IV 0
TRO-Vensite Plus 20G-2TRGISP20
605 Surgical Mask - With Visor Onemed 0
606 Benang Bedah SMI SILK BLACK 3/0 DS 1800

24 MM
607 Amoksisilin tablet 500 mg 19400
Kepala UPT Puskesmas Ciwaringin

Hj. MAEMUNAH, SKM
NIP. 19651227 198902 2 001
ORAN PERSEDIAAN BARANG
BARANG-BARANG HARGA
JUMLAHSATUAN
BARANG YANG DIDIRETIMA/DIKELUARKAN/SISA
KELUAR SISA BERTAMBAH BERKURANG
6 7 8 9 10
Januari 2015
3000 Rp 4,000 3000 3000
30 30 30
3 3 3
25 25 25
0 0 0
2 Rp 3,500 2 2
2 Rp 102,000 2 2
1250 Rp 400 1250 1250
1150 Rp 150 1150 1150
1462 Rp 200 1462 1462
2 Rp 36,000 2 2
4 Rp 38,000 4 4
12 Rp 3,000 12 12
1 Rp 25,000 1 1
3 Rp 6,500 3 3
24 Rp 6,000 24 24
50 Rp 1,000 50 50
2 Rp 7,800 2 2
1 Rp 15,000 1 1
2 Rp 24,000 2 2
2 Rp 12,000 2 2
1 Rp 8,000 1 1
2 Rp 12,500 2 2
2 Rp 250,000 2 2
0 Rp 103,536 0 0
9 80 Rp 2,724 89 9
0 Rp 33,000 0 0
0 Rp 305 0 0
15 Rp 150 15 0
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
30 Rp 3,000 30 0
5 52 Rp 4,000 57 5
0 Rp 354,500 0 0
0 Rp 1,615 0 0
29 71 Rp 6,500 100 29
100 200 Rp 353 300 100
0 Rp 2,368 0 0
0 Rp 27 0 0
30 Rp 717 30 0
0 Rp 21 0 0
1 3 Rp 17,000 4 1
0 0 0
1 2 Rp 95,400 3 1
0 Rp 670 0 0
0 Rp 1,567 0 0
0 Rp 30 0 0
57 98 Rp 1,520 155 57
5 19 Rp 400 24 5
1 Rp 359,000 1 0
94 51 Rp 5,000 145 94
3979 3568 Rp 24 7547 3979
0 Rp 60,000 0 0
950 Rp 33 950 0
0 Rp 3,200 0 0
4 Rp 6,370 4 0
0 Rp 8,333 0 0
0 Rp 220,000 0 0
4971 4436 Rp 47 9407 4971
2 2 Rp 6,800 4 2
606 Rp 83 606 0
27 20 Rp 552 47 27
1 Rp 50,182 1 0
4 6 Rp 7,727 10 4
276 144 Rp 290 420 276
0 Rp 3,454 0 0
0 Rp 1,400 0 0
5505 2902 Rp 15 8407 5505
0 Rp 25 0 0
100 Rp 2,720 100 0

5 Rp 66,000 5 0
2 22 Rp 1,225 24 2
12 Rp 1,750 12 0
51 160 Rp 1,000 211 51

10 80 Rp 248 90 10
0 Rp 1,387 0 0
0 Rp 128 0 0
0 Rp 50,000 0 0
13 0 Rp 10,000 13 13
354 746 Rp 660 1100 354
0 Rp 160,000 0 0
0 Rp 1,550 0 0
117 1415 Rp 46 1532 117
0 Rp 127,200 0 0
0 Rp 259,380 0 0
119 173 Rp 3,490 292 119
0 Rp 16,083 0 0
91 150 Rp 2,500 241 91
32 108 Rp 2,915 140 32
0 Rp 90 0 0
20 Rp 35 20 0
127 Rp 220 127 0
3429 5345 Rp 16 8774 3429
21 159 Rp 95 180 21
1 2 Rp 21,500 3 1
305 1062 Rp 35 1367 305
0 Rp 6,100 0 0
0 Rp 272 0 0
0 Rp 266,000 0 0
0 Rp 195,047 0 0
40 150 Rp 85 190 40
16 54 Rp 3,855 70 16
6 13 Rp 18,500 19 6
0 Rp 85,000 0 0
0 Rp 430,000 0 0
2 3 Rp 115,000 5 2
117 58 Rp 2,980 175 117
0 Rp 30,900 0 0
0 Rp 1,933 0 0
6273 3425 Rp 34 9698 6273
0 Rp 28,000 0 0
0 Rp 44 0 0
0 Rp 3,630 0 0
2107 5900 Rp 20 8007 2107
61 70 Rp 19,096 131 61
32 16 Rp 52,492 48 32
54 16 Rp 63,930 70 54
48 36 Rp 18,370 84 48
36 6 Rp 25,641 42 36
31 12 Rp 14,910 43 31
0 Rp 20,906 0 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
0 Rp 87,000 0 0
0 Rp 800,000 0 0
0 Rp 126,500 0 0
800 Rp 1,995 800 0
2700 Rp 1,315 2700 0
500 Rp 2,049 500 0
75 Rp 18,500 75 0
236 367 Rp 112 603 236
100 210 Rp 345 310 100
190 108 Rp 105 298 190
21 344 Rp 650 365 21
81 432 Rp 650 513 81
24 370 Rp 750 394 24
0 Rp 925 0 0
0 Rp 4,500 0 0
156 16 Rp 330 172 156
77 222 Rp 90 299 77
0 Rp 112 0 0
90 225 Rp 200 315 90

6360 3728 Rp 272 10088 6360
72 0 Rp 2,445 72 72
2336 1679 Rp 124 4015 2336

6 25 Rp 2,100 31 6
5419 2505 Rp 75 7924 5419

67 97 Rp 2,516 164 67
0 Rp 135 0 0
10 40 Rp 5,000 50 10
125 Rp 48 125 0
1705 4525 Rp 95 6230 1705
12 89 Rp 1,520 101 12
1 10 Rp 5,583 11 1
0 Rp 5,583 0 0
50 110 Rp 181 160 50
0 Rp 72 0 0
976 479 Rp 80 1455 976
0 Rp 509 0 0
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
272 502 Rp 250 774 272
940 2584 Rp 68 3524 940
0 Rp 1,379 0 0
0 Rp 90 0 0
2 290 Rp 97 292 2
18 12 Rp 167 30 18
0 Rp 8,100 0 0
1 3 Rp 2,500 4 1
0 Rp 16,667 0 0
6 4 Rp 359,900 10 6
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 61 0 0
0 Rp 133 0 0
300 Rp 93 300 0
0 Rp 1,008 0 0
100 495 Rp 3,417 595 100
102 76 Rp 634 178 102
0 Rp 22,000 0 0
0 Rp 8,000 0 0
51 102 Rp 85 153 51
348 1069 Rp 292 1417 348
0 Rp 3,399 0 0
307 274 Rp 56 581 307
0 Rp 5,727 0 0
10 Rp 5,200 10 0
26 154 Rp 219 180 26
93 39 Rp 2,541 132 93
0 Rp 59 0 0
183 520 Rp 110 703 183
207 458 Rp 149 665 207
5 Rp 3,500 5 0
4 39 Rp 3,200 43 4
100 Rp 88 100 0
11 14 Rp 3,800 25 11
8 12 Rp 3,800 20 8
10 Rp 7,800 10 0
0 Rp 243 0 0
10 60 Rp 267 70 10
0 Rp 361 0 0
250 0 Rp 553 250 250
149 82 Rp 2,145 231 149
874 949 Rp 149 1823 874
100 Rp 839 100 0

45 71 Rp 1,363 116 45
14 64 Rp 154 78 14
10 128 Rp 140 138 10
0 Rp 108 0 0
100 Rp 89 100 0
131 865 Rp 160 996 131
100 0 Rp 113 100 100
1050 Rp 2,450 1050 0
25 52 Rp 3,000 77 25
20 284 Rp 134 304 20
0 Rp 200 0 0
4 8 Rp 4,700 12 4
100 Rp 100 100 0

12 106 Rp 480 118 12
36 63 Rp 1,529 99 36
0 Rp 5,227 0 0
516 15 Rp 1,438 531 516
14826 4455 Rp 89 19281 14826
1 1 Rp 17,393 2 1
2 3 Rp 2,000 5 2
1 1 Rp 14,203 2 1
100 Rp 108 100 0
0 Rp 1,140 0 0
313 8 Rp 120 321 313
450 100 Rp 260 550 450
2500 100 Rp 459 2600 2500
18 10 Rp 5,200 28 18
13 52 Rp 2,000 65 13
99 184 Rp 1,250 283 99
3 27 Rp 3,056 30 3
0 Rp 169 0 0
40 66 Rp 497 106 40
4267 11316 Rp 44 15583 4267
587 Rp 148 587 0
160 460 Rp 206 620 160
200 Rp 431 200 0
475 757 Rp 473 1232 475
Februari 2015
3000 0 Rp 4,000 3000 3000
30 0 30 30
4 0 Rp 15,000 4 4
3 0 Rp 10,000 3 3
2 0 Rp 7,000 2 2
2 0 Rp 19,000 2 2
2 0 Rp 5,000 2 2
2 0 Rp 6,000 2 2
2 0 Rp 6,000 2 2
2 0 Rp 4,500 2 2
2 0 Rp 4,500 2 2
2 0 Rp 2,500 2 2
1 0 Rp 6,000 1 1
2 0 Rp 11,000 2 2
4 0 Rp 36,000 4 4
10 0 Rp 38,000 10 10
6 0 Rp 1,500 6 6
1 0 Rp 55,000 1 1
1 0 Rp 30,000 1 1
1 0 Rp 8,000 1 1
2 0 Rp 10,000 2 2
2 0 Rp 31,000 2 2
2 0 Rp 9,000 2 2
26 0 Rp 9,000 26 26
5 0 Rp 9,000 5 5
4 0 Rp 10,000 4 4
3 0 Rp 36,000 3 3
5 0 Rp 20,000 5 5
4 0 Rp 5,000 4 4
12 0 Rp 3,500 12 12
9 0 Rp 7,000 9 9
1 0 Rp 7,800 1 1
1 0 Rp 250,000 1 1
5 0 Rp 4,500 5 5
2 0 Rp 10,000 2 2
2 0 Rp 28,000 2 2
2 0 Rp 102,000 2 2
1250 0 Rp 400 1250 1250
1250 0 Rp 400 1250 1250
950 0 Rp 150 950 950
1492 0 Rp 200 1492 1492
0 Rp 103,536 0 0
6 74 Rp 2,724 80 80
0 Rp 33,000 0 0
0 Rp 305 0 0
15 Rp 150 15 15
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
25 5 Rp 3,000 30 30
17 35 Rp 4,000 52 52
0 Rp 354,500 0 0
0 Rp 1,615 0 0
71 0 Rp 6,500 71 71
50 150 Rp 353 200 200

0 Rp 2,368 0 0
0 Rp 27 0 0
30 Rp 717 30 30
0 Rp 21 0 0
1 2 Rp 17,000 3 3
0 0 0
2 2 Rp 95,400 4 4
0 Rp 670 0 0
0 Rp 1,567 0 0
0 Rp 30 0 0
33 65 Rp 1,520 98 98
7 12 Rp 400 19 19
1 Rp 359,000 1 1
51 0 Rp 5,000 51 51
3617 4951 Rp 24 8568 8568
0 Rp 60,000 0 0
950 Rp 33 950 950
0 Rp 3,200 0 0
4 Rp 6,370 4 4
0 Rp 8,333 0 0
0 Rp 220,000 0 0
4134 5302 Rp 47 9436 9436
1 1 Rp 6,800 2 2
606 Rp 83 606 606

50 Rp 552 50 50
1 0 Rp 50,182 1 1
16 Rp 7,727 16 16
204 540 Rp 290 744 744
0 Rp 3,454 0 0
59 37 Rp 1,400 96 96
5597 7305 Rp 15 12902 12902
0 Rp 25 0 0
100 Rp 2,720 100 100
5 Rp 66,000 5 5
6 16 Rp 1,225 22 22
12 Rp 1,750 12 12
40 120 Rp 1,000 160 160

10 70 Rp 248 80 80
0 Rp 1,387 0 0
0 Rp 128 0 0
0 Rp 50,000 0 0
14 36 Rp 10,000 50 50
400 346 Rp 660 746 746
0 Rp 160,000 0 0
0 Rp 1,550 0 0
98 1317 Rp 46 1415 1415
0 Rp 127,200 0 0
0 Rp 259,380 0 0
102 191 Rp 3,490 293 293
0 Rp 16,083 0 0
90 60 Rp 2,500 150 150
10 98 Rp 2,915 108 108

0 Rp 90 0 0
20 Rp 35 20 20
127 Rp 220 127 127
3594 3751 Rp 16 7345 7345
57 102 Rp 95 159 159

2 Rp 21,500 2 2
594 1468 Rp 35 2062 2062
0 Rp 6,100 0 0
0 Rp 272 0 0
0 Rp 266,000 0 0
0 Rp 195,047 0 0
6 144 Rp 85 150 150
29 25 Rp 3,855 54 54
5 8 Rp 18,500 13 13
0 Rp 85,000 0 0
0 Rp 430,000 0 0
2 6 Rp 115,000 8 8
111 91 Rp 2,980 202 202
0 Rp 30,900 0 0
0 Rp 1,933 0 0
6065 4360 Rp 34 10425 10425
0 Rp 28,000 0 0
0 Rp 44 0 0
0 Rp 3,630 0 0
2028 3872 Rp 20 5900 5900
51 69 Rp 19,096 120 120
30 16 Rp 52,492 46 46
63 13 Rp 63,930 76 76
52 24 Rp 18,370 76 76
25 21 Rp 25,641 46 46
30 12 Rp 14,910 42 42
0 Rp 20,906 0 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
0 Rp 87,000 0 0
0 Rp 800,000 0 0
0 Rp 126,500 0 0
800 Rp 1,995 800 800
2700 Rp 1,315 2700 2700
500 Rp 2,049 500 500
75 Rp 18,500 75 75
268 599 Rp 112 867 867
60 150 Rp 345 210 210
64 244 Rp 105 308 308
29 315 Rp 650 344 344
100 332 Rp 650 432 432
16 354 Rp 750 370 370
0 Rp 925 0 0
0 Rp 4,500 0 0
94 192 Rp 330 286 286
80 142 Rp 90 222 222
0 Rp 112 0 0
225 0 Rp 200 225 225

6442 4286 Rp 272 10728 10728
50 0 Rp 2,445 50 50
2217 2462 Rp 124 4679 4679

13 12 Rp 2,100 25 25
4670 2835 Rp 75 7505 7505

67 30 Rp 2,516 97 97
0 Rp 135 0 0
40 Rp 5,000 40 40
10 115 Rp 48 125 125

1541 2984 Rp 95 4525 4525
21 68 Rp 1,520 89 89
3 7 Rp 5,583 10 10
0 Rp 5,583 0 0
70 140 Rp 181 210 210
0 Rp 72 0 0
1003 476 Rp 80 1479 1479
0 Rp 509 0 0
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
295 207 Rp 250 502 502
1857 2727 Rp 68 4584 4584
0 Rp 1,379 0 0
0 Rp 90 0 0
290 Rp 97 290 290
10 2 Rp 167 12 12
0 Rp 8,100 0 0
1 2 Rp 2,500 3 3
0 Rp 16,667 0 0
9 Rp 359,900 9 9
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 61 0 0
0 Rp 133 0 0
300 Rp 93 300 300
0 Rp 1,008 0 0
2 493 Rp 3,417 495 495
69 207 Rp 634 276 276
0 Rp 22,000 0 0
0 Rp 8,000 0 0
20 82 Rp 85 102 102
324 745 Rp 292 1069 1069
0 Rp 3,399 0 0
643 131 Rp 56 774 774
0 Rp 5,727 0 0
10 Rp 5,200 10 10
54 100 Rp 219 154 154
80 79 Rp 2,541 159 159

0 Rp 59 0 0
20 500 Rp 110 520 520
551 407 Rp 149 958 958
5 Rp 3,500 5 5
1 38 Rp 3,200 39 39
100 Rp 88 100 100
14 Rp 3,800 14 14
12 Rp 3,800 12 12
10 Rp 7,800 10 10
0 Rp 243 0 0
60 Rp 267 60 60
0 Rp 361 0 0
118 382 Rp 553 500 500
130 52 Rp 2,145 182 182
838 611 Rp 149 1449 1449
100 Rp 839 100 100

56 75 Rp 1,363 131 131
64 Rp 154 64 64
88 40 Rp 140 128 128
0 Rp 108 0 0
100 Rp 89 100 100
404 461 Rp 160 865 865

0 Rp 113 0 0
1050 Rp 2,450 1050 1050
26 26 Rp 3,000 52 52
51 233 Rp 134 284 284
0 Rp 200 0 0
5 3 Rp 4,700 8 8
100 Rp 100 100 100

106 Rp 480 106 106
57 56 Rp 1,529 113 113

0 Rp 5,227 0 0
563 124 Rp 1,438 687 687
14396 8059 Rp 89 22455 22455
1 3 Rp 17,393 4 4
3 Rp 2,000 3 3
1 Rp 14,203 1 1
100 Rp 108 100 100
0 Rp 1,140 0 0
246 262 Rp 120 508 508
100 Rp 260 100 100
100 Rp 459 100 100
7 43 Rp 5,200 50 50
19 33 Rp 2,000 52 52
110 74 Rp 1,250 184 184
6 21 Rp 3,056 27 27
0 Rp 169 0 0
10 56 Rp 497 66 66
3366 7950 Rp 44 11316 11316

587 Rp 148 587 587
210 250 Rp 206 460 460
200 Rp 431 200 200
426 831 Rp 473 1257 1257
MARET 2015
3000 0 Rp 4,000 3000 3000
30 0 30 30
2 0 Rp 15,000 2 2
2 0 Rp 10,000 2 2
2 0 Rp 19,000 2 2
8 0 Rp 38,000 8 8
2 0 Rp 36,000 2 2
10 0 Rp 4,000 10 10
1 0 Rp 24,000 1 1
1 0 Rp 25,000 1 1
4 0 Rp 69,000 4 4
14 0 Rp 9,000 14 14
4 0 Rp 9,000 4 4
1 0 Rp 79,500 1 1
1 0 Rp 7,800 1 1
24 0 Rp 1,000 24 24
12 0 Rp 3,000 12 12
1 0 Rp 28,000 1 1
2 0 Rp 12,500 2 2
2 0 Rp 3,500 2 2
4 0 Rp 7,000 4 4
2 0 Rp 102,000 2 2
1250 0 Rp 400 1250 1250
1250 0 Rp 400 1250 1250
2050 0 Rp 200 2050 2050
266 0 Rp 150 266 266
0 Rp 103,536 0 0
13 61 Rp 2,724 74 74
0 Rp 33,000 0 0
0 Rp 305 0 0
45 70 Rp 150 115 115
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
8 51 Rp 3,000 59 59
7 76 Rp 4,000 83 83
0 Rp 354,500 0 0
0 Rp 1,615 0 0
100 0 Rp 6,500 100 100

90 210 Rp 353 300 300
0 Rp 2,368 0 0
54 46 Rp 27 100 100
30 Rp 717 30 30
0 Rp 21 0 0
2 0 Rp 17,000 2 2
0 0 0
2 0 Rp 95,400 2 2
0 Rp 670 0 0
0 Rp 1,567 0 0
0 Rp 30 0 0
80 35 Rp 1,520 115 115
12 0 Rp 400 12 12
1 Rp 359,000 1 1
0 Rp 5,000 0 0
7049 2902 Rp 24 9951 9951
0 Rp 60,000 0 0
950 Rp 33 950 950
0 Rp 3,200 0 0
4 Rp 6,370 4 4
1 Rp 8,333 1 1
0 Rp 220,000 0 0
5110 4192 Rp 47 9302 9302
6 Rp 6,800 6 6
18 588 Rp 83 606 606

5 45 Rp 552 50 50
0 Rp 50,182 0 0
3 13 Rp 7,727 16 16
250 290 Rp 290 540 540
0 Rp 3,454 0 0
41 68 Rp 1,400 109 109

5682 3623 Rp 15 9305 9305
0 Rp 25 0 0
100 Rp 2,720 100 100

5 Rp 66,000 5 5
2 14 Rp 1,225 16 16
12 Rp 1,750 12 12
36 84 Rp 1,000 120 120

20 50 Rp 248 70 70
7 23 Rp 1,387 30 30
0 Rp 128 0 0
0 Rp 50,000 0 0
18 118 Rp 10,000 136 136

746 100 Rp 660 846 846
0 Rp 160,000 0 0
0 Rp 1,550 0 0
40 1277 Rp 46 1317 1317
0 Rp 127,200 0 0
0 Rp 259,380 0 0
139 172 Rp 3,490 311 311
0 Rp 16,083 0 0
93 67 Rp 2,500 160 160
98 Rp 2,915 98 98
0 Rp 90 0 0
20 0 Rp 35 20 20
127 Rp 220 127 127
3539 3212 Rp 16 6751 6751
86 16 Rp 95 102 102
1 1 Rp 21,500 2 2
427 1041 Rp 35 1468 1468
0 Rp 6,100 0 0
0 Rp 272 0 0
0 Rp 266,000 0 0
0 Rp 195,047 0 0
32 112 Rp 85 144 144
9 66 Rp 3,855 75 75
3 5 Rp 18,500 8 8
0 Rp 85,000 0 0
0 Rp 430,000 0 0
5 1 Rp 115,000 6 6
135 52 Rp 2,980 187 187
0 Rp 30,900 0 0
0 Rp 1,933 0 0
7063 3297 Rp 34 10360 10360
0 Rp 28,000 0 0
0 Rp 44 0 0
0 Rp 3,630 0 0
2632 3240 Rp 20 5872 5872
46 73 Rp 19,096 119 119
16 30 Rp 52,492 46 46
44 29 Rp 63,930 73 73
39 25 Rp 18,370 64 64
27 34 Rp 25,641 61 61
22 20 Rp 14,910 42 42
0 Rp 20,906 0 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
1 Rp 87,000 1 1
0 Rp 800,000 0 0
0 Rp 126,500 0 0
800 Rp 1,995 800 800
2700 Rp 1,315 2700 2700
500 Rp 2,049 500 500
75 Rp 18,500 75 75
909 690 Rp 112 1599 1599
30 120 Rp 345 150 150
158 86 Rp 105 244 244
2 313 Rp 650 315 315
81 251 Rp 650 332 332
18 336 Rp 750 354 354
0 Rp 925 0 0
0 Rp 4,500 0 0
222 180 Rp 330 402 402
117 25 Rp 90 142 142
8 92 Rp 112 100 100
0 Rp 200 0 0
7066 4220 Rp 272 11286 11286
60 0 Rp 2,445 60 60
2610 1852 Rp 124 4462 4462

37 25 Rp 2,100 62 62
5119 2716 Rp 75 7835 7835

86 44 Rp 2,516 130 130
0 Rp 135 0 0
40 Rp 5,000 40 40
8 107 Rp 48 115 115

2240 2744 Rp 95 4984 4984
32 36 Rp 1,520 68 68
3 28 Rp 5,583 31 31
24 Rp 5,583 24 24
94 46 Rp 181 140 140
0 Rp 72 0 0
965 811 Rp 80 1776 1776
200 0 Rp 509 200 200
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
490 217 Rp 250 707 707
2044 2683 Rp 68 4727 4727
0 Rp 1,379 0 0
0 Rp 90 0 0
98 192 Rp 97 290 290
2 Rp 167 2 2
0 Rp 8,100 0 0
2 0 Rp 2,500 2 2
0 Rp 16,667 0 0
2 7 Rp 359,900 9 9
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 61 0 0
0 Rp 133 0 0
300 Rp 93 300 300
0 Rp 1,008 0 0
5 488 Rp 3,417 493 493
90 117 Rp 634 207 207
0 Rp 22,000 0 0
0 Rp 8,000 0 0
39 43 Rp 85 82 82
430 315 Rp 292 745 745
0 Rp 3,399 0 0
245 886 Rp 56 1131 1131
0 Rp 5,727 0 0
1 9 Rp 5,200 10 10
41 259 Rp 219 300 300
110 41 Rp 2,541 151 151

4 96 Rp 59 100 100
40 460 Rp 110 500 500
412 495 Rp 149 907 907
5 Rp 3,500 5 5
38 Rp 3,200 38 38
5 95 Rp 88 100 100
3 11 Rp 3,800 14 14
2 10 Rp 3,800 12 12
10 Rp 7,800 10 10
100 Rp 243 100 100

20 40 Rp 267 60 60
0 Rp 361 0 0
129 253 Rp 553 382 382
193 9 Rp 2,145 202 202
783 628 Rp 149 1411 1411
100 Rp 839 100 100

39 96 Rp 1,363 135 135
64 Rp 154 64 64
42 198 Rp 140 240 240
0 Rp 108 0 0
100 Rp 89 100 100
435 526 Rp 160 961 961

55 145 Rp 113 200 200
1050 Rp 2,450 1050 1050
21 53 Rp 3,000 74 74
265 168 Rp 134 433 433
0 Rp 200 0 0
7 16 Rp 4,700 23 23
10 90 Rp 100 100 100

64 42 Rp 480 106 106
13 93 Rp 1,529 106 106

0 Rp 5,227 0 0
373 423 Rp 1,438 796 796
15661 6398 Rp 89 22059 22059
3 Rp 17,393 3 3
3 0 Rp 2,000 3 3
1 0 Rp 14,203 1 1
100 Rp 108 100 100
0 Rp 1,140 0 0
270 292 Rp 120 562 562
100 Rp 260 100 100
100 Rp 459 100 100
3 40 Rp 5,200 43 43
21 60 Rp 2,000 81 81
139 35 Rp 1,250 174 174
6 15 Rp 3,056 21 21
0 Rp 169 0 0
10 46 Rp 497 56 56
6910 10040 Rp 44 16950 16950

537 50 Rp 148 587 587
120 130 Rp 206 250 250
20 180 Rp 431 200 200
379 452 Rp 473 831 831
April 2015
3000 0 Rp 4,000 3000 3000
30 0 30 30
1 0 Rp 10,000 1 1
8 0 Rp 38,000 8 8
2 0 Rp 36,000 2 2
5 0 Rp 10,000 5 5
3 0 Rp 36,000 3 3
2 0 Rp 20,000 2 2
2 0 Rp 17,000 2 2
1 0 Rp 15,000 1 1
2 0 Rp 6,500 2 2
12 0 Rp 6,000 12 12
1 0 Rp 25,000 1 1
1 0 Rp 7,800 1 1
1 0 Rp 28,000 1 1
6 0 Rp 3,500 6 6
2 0 Rp 7,000 2 2
2000 0 Rp 150 2000 2000
2 0 Rp 102,000 2 2
1250 0 Rp 400 1250 1250
1250 0 Rp 400 1250 1250
0 0 Rp 103,536 0 0
20 41 Rp 2,724 61 61
0 Rp 33,000 0 0
0 Rp 305 0 0
20 50 Rp 150 70 70
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
21 30 Rp 3,000 51 51
14 62 Rp 4,000 76 76
0 Rp 354,500 0 0
0 Rp 1,615 0 0
0 Rp 6,500 0 0
90 120 Rp 353 210 210
0 Rp 2,368 0 0
31 115 Rp 27 146 146
30 Rp 717 30 30
0 Rp 21 0 0
2 1 Rp 17,000 3 3
0 0 0
1 4 Rp 95,400 5 5
0 Rp 670 0 0
0 Rp 1,567 0 0
0 Rp 30 0 0
62 23 Rp 1,520 85 85
24 Rp 400 24 24
1 Rp 359,000 1 1
0 Rp 5,000 0 0
6118 2784 Rp 24 8902 8902
0 Rp 60,000 0 0
6 944 Rp 33 950 950
0 Rp 3,200 0 0
4 Rp 6,370 4 4
1 Rp 8,333 1 1
0 Rp 220,000 0 0
7893 1299 Rp 47 9192 9192
2 4 Rp 6,800 6 6
95 493 Rp 83 588 588

38 7 Rp 552 45 45
1 2 Rp 50,182 3 3
8 5 Rp 7,727 13 13
206 444 Rp 290 650 650
0 Rp 3,454 0 0
64 28 Rp 1,400 92 92
5281 4342 Rp 15 9623 9623
0 Rp 25 0 0
100 Rp 2,720 100 100

5 Rp 66,000 5 5
1 13 Rp 1,225 14 14
12 0 Rp 1,750 12 12
84 0 Rp 1,000 84 84
4 46 Rp 248 50 50
23 Rp 1,387 23 23
0 Rp 128 0 0
0 Rp 50,000 0 0
31 87 Rp 10,000 118 118

580 520 Rp 660 1100 1100
0 Rp 160,000 0 0
0 Rp 1,550 0 0
18 1259 Rp 46 1277 1277
0 Rp 127,200 0 0
0 Rp 259,380 0 0
232 40 Rp 3,490 272 272
0 Rp 16,083 0 0
69 98 Rp 2,500 167 167
20 78 Rp 2,915 98 98
80 920 Rp 90 1000 1000
0 Rp 35 0 0
127 Rp 220 127 127
3851 2361 Rp 16 6212 6212
16 0 Rp 95 16 16
1 2 Rp 21,500 3 3
269 772 Rp 35 1041 1041
0 Rp 6,100 0 0
0 Rp 272 0 0
0 Rp 266,000 0 0
9 Rp 195,047 9 9
18 94 Rp 85 112 112
31 35 Rp 3,855 66 66
4 1 Rp 18,500 5 5
0 Rp 85,000 0 0
0 Rp 430,000 0 0
1 6 Rp 115,000 7 7
188 32 Rp 2,980 220 220
0 Rp 30,900 0 0
0 Rp 1,933 0 0
6816 2481 Rp 34 9297 9297
0 Rp 28,000 0 0
100 Rp 44 100 100
0 Rp 3,630 0 0
3223 2017 Rp 20 5240 5240
84 89 Rp 19,096 173 173
10 20 Rp 52,492 30 30
53 36 Rp 63,930 89 89
50 25 Rp 18,370 75 75
35 29 Rp 25,641 64 64
16 34 Rp 14,910 50 50
0 Rp 20,906 0 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
1 Rp 87,000 1 1
0 Rp 800,000 0 0
0 Rp 126,500 0 0
800 Rp 1,995 800 800
2700 Rp 1,315 2700 2700
500 Rp 2,049 500 500
75 Rp 18,500 75 75
769 721 Rp 112 1490 1490
40 80 Rp 345 120 120
132 154 Rp 105 286 286
24 289 Rp 650 313 313
86 165 Rp 650 251 251
336 Rp 750 336 336
0 Rp 925 0 0
0 Rp 4,500 0 0
142 248 Rp 330 390 390
95 130 Rp 90 225 225
34 58 Rp 112 92 92
0 Rp 200 0 0
6827 3693 Rp 272 10520 10520
60 0 Rp 2,445 60 60
2543 2309 Rp 124 4852 4852

25 0 Rp 2,100 25 25
6170 2546 Rp 75 8716 8716

99 45 Rp 2,516 144 144
0 Rp 135 0 0
40 Rp 5,000 40 40
82 25 Rp 48 107 107
2375 2369 Rp 95 4744 4744
22 62 Rp 1,520 84 84
4 24 Rp 5,583 28 28
24 Rp 5,583 24 24
46 0 Rp 181 46 46
0 Rp 72 0 0
757 754 Rp 80 1511 1511
130 70 Rp 509 200 200
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
677 40 Rp 250 717 717
1981 2702 Rp 68 4683 4683
0 Rp 1,379 0 0
0 Rp 90 0 0
11 181 Rp 97 192 192
2 0 Rp 167 2 2
0 Rp 8,100 0 0
2 1 Rp 2,500 3 3
0 Rp 16,667 0 0
4 3 Rp 359,900 7 7
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 61 0 0
0 Rp 133 0 0
300 Rp 93 300 300
0 Rp 1,008 0 0
1 487 Rp 3,417 488 488
57 260 Rp 634 317 317
0 Rp 22,000 0 0
0 Rp 8,000 0 0
45 98 Rp 85 143 143
337 478 Rp 292 815 815
0 Rp 3,399 0 0
130 756 Rp 56 886 886
0 Rp 5,727 0 0
9 Rp 5,200 9 9
255 4 Rp 219 259 259
115 70 Rp 2,541 185 185

6 90 Rp 59 96 96
124 336 Rp 110 460 460
369 426 Rp 149 795 795
5 Rp 3,500 5 5
38 Rp 3,200 38 38
95 Rp 88 95 95
11 Rp 3,800 11 11
10 Rp 3,800 10 10
10 Rp 7,800 10 10
100 Rp 243 100 100

34 6 Rp 267 40 40
0 Rp 361 0 0
99 154 Rp 553 253 253
118 141 Rp 2,145 259 259
1019 309 Rp 149 1328 1328
100 Rp 839 100 100

17 79 Rp 1,363 96 96
52 12 Rp 154 64 64
10 188 Rp 140 198 198
0 Rp 108 0 0
10 90 Rp 89 100 100
666 160 Rp 160 826 826

135 10 Rp 113 145 145
1050 Rp 2,450 1050 1050
47 54 Rp 3,000 101 101
202 216 Rp 134 418 418
0 Rp 200 0 0
16 Rp 4,700 16 16
20 70 Rp 100 90 90
42 Rp 480 42 42
19 74 Rp 1,529 93 93
0 Rp 5,227 0 0
458 133 Rp 1,438 591 591
14595 6803 Rp 89 21398 21398
1 2 Rp 17,393 3 3
1 9 Rp 2,000 10 10
1 2 Rp 14,203 3 3
100 Rp 108 100 100
0 Rp 1,140 0 0
290 2 Rp 120 292 292
100 Rp 260 100 100
100 Rp 459 100 100
40 Rp 5,200 40 40
33 27 Rp 2,000 60 60
117 118 Rp 1,250 235 235
5 10 Rp 3,056 15 15
0 Rp 169 0 0
6 40 Rp 497 46 46
3160 6880 Rp 44 10040 10040

50 Rp 148 50 50
330 300 Rp 206 630 630
10 170 Rp 431 180 180
425 527 Rp 473 952 952
Mei 2015
3000 0 Rp 4,000 3000 3000
30 0 30 30
5 0 5 5
25 0 25 25
2 0 Rp 15,000 2 2
1 0 Rp 19,000 1 1
3 0 Rp 36,000 3 3
8 0 Rp 38,000 8 8
4 0 Rp 1,500 4 4
2 0 Rp 11,000 2 2
2 0 Rp 30,000 2 2
2 0 Rp 8,000 2 2
2 0 Rp 10,000 2 2
2 0 Rp 31,000 2 2
2 0 Rp 9,000 2 2
16 0 Rp 9,000 16 16
4 0 Rp 9,000 4 4
2 0 Rp 36,000 2 2
3 0 Rp 20,000 3 3
10 0 Rp 2,000 10 10
4 0 Rp 5,000 4 4
4 0 Rp 6,000 4 4
6 0 Rp 13,500 6 6
2 0 Rp 50,000 2 2
1 0 Rp 100,000 1 1
2 0 Rp 3,500 2 2
4 0 Rp 7,000 4 4
2767 0 Rp 150 2767 2767
2 0 Rp 102,000 2 2
0 Rp 103,536 0 0
41 25 Rp 2,724 66 66
0 Rp 33,000 0 0
0 Rp 305 0 0
10 40 Rp 150 50 50
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
26 4 Rp 3,000 30 30
13 49 Rp 4,000 62 62
0 Rp 354,500 0 0
0 Rp 1,615 0 0
0 Rp 6,500 0 0
100 20 Rp 353 120 120
0 Rp 2,368 0 0
18 97 Rp 27 115 115
30 Rp 717 30 30
0 Rp 21 0 0
1 2 Rp 17,000 3 3
0 0 0
1 3 Rp 95,400 4 4
0 Rp 670 0 0
0 Rp 1,567 0 0
0 Rp 30 0 0
47 76 Rp 1,520 123 123
24 Rp 400 24 24
1 Rp 359,000 1 1
0 Rp 5,000 0 0
5014 2770 Rp 24 7784 7784
0 Rp 60,000 0 0
944 Rp 33 944 944
0 Rp 3,200 0 0
4 Rp 6,370 4 4
1 Rp 8,333 1 1
0 Rp 220,000 0 0
1941 6358 Rp 47 8299 8299
4 Rp 6,800 4 4
40 453 Rp 83 493 493

20 27 Rp 552 47 47
1 1 Rp 50,182 2 2
1 4 Rp 7,727 5 5
348 96 Rp 290 444 444
0 Rp 3,454 0 0
40 60 Rp 1,400 100 100

5064 1278 Rp 15 6342 6342
0 Rp 25 0 0
100 Rp 2,720 100 100

5 Rp 66,000 5 5
7 6 Rp 1,225 13 13
0 Rp 1,750 0 0
20 80 Rp 1,000 100 100

46 0 Rp 248 46 46
5 18 Rp 1,387 23 23
0 Rp 128 0 0
0 Rp 50,000 0 0
35 52 Rp 10,000 87 87
820 0 Rp 660 820 820
0 Rp 160,000 0 0
0 Rp 1,550 0 0
125 1134 Rp 46 1259 1259
0 Rp 127,200 0 0
0 Rp 259,380 0 0
246 44 Rp 3,490 290 290
0 Rp 16,083 0 0
91 82 Rp 2,500 173 173
15 63 Rp 2,915 78 78
186 734 Rp 90 920 920
0 Rp 35 0 0
127 Rp 220 127 127
3660 3701 Rp 16 7361 7361
0 Rp 95 0 0
1 1 Rp 21,500 2 2
814 1958 Rp 35 2772 2772
0 Rp 6,100 0 0
0 Rp 272 0 0
0 Rp 266,000 0 0
9 Rp 195,047 9 9
94 Rp 85 94 94
26 59 Rp 3,855 85 85
1 Rp 18,500 1 1
0 Rp 85,000 0 0
0 Rp 430,000 0 0
2 4 Rp 115,000 6 6
45 179 Rp 2,980 224 224
0 Rp 30,900 0 0
0 Rp 1,933 0 0
5880 2601 Rp 34 8481 8481
0 Rp 28,000 0 0
40 60 Rp 44 100 100
0 Rp 3,630 0 0
4263 1754 Rp 20 6017 6017
59 30 Rp 19,096 89 89
8 19 Rp 52,492 27 27
52 34 Rp 63,930 86 86
38 37 Rp 18,370 75 75
23 36 Rp 25,641 59 59
17 37 Rp 14,910 54 54
0 Rp 20,906 0 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
1 0 Rp 87,000 1 1
0 Rp 800,000 0 0
0 Rp 126,500 0 0
330 470 Rp 1,995 800 800
1100 1600 Rp 1,315 2700 2700
189 311 Rp 2,049 500 500
45 30 Rp 18,500 75 75
821 0 Rp 112 821 821
80 0 Rp 345 80 80
154 200 Rp 105 354 354
47 242 Rp 650 289 289
75 90 Rp 650 165 165
27 309 Rp 750 336 336
0 Rp 925 0 0
0 Rp 4,500 0 0
222 26 Rp 330 248 248
204 26 Rp 90 230 230
6 52 Rp 112 58 58
0 Rp 200 0 0
7223 1470 Rp 272 8693 8693
60 0 Rp 2,445 60 60
1956 353 Rp 124 2309 2309

0 Rp 2,100 0 0
4576 2970 Rp 75 7546 7546

108 37 Rp 2,516 145 145
100 Rp 135 100 100

40 Rp 5,000 40 40
125 Rp 48 125 125

2259 2110 Rp 95 4369 4369
8 54 Rp 1,520 62 62
24 Rp 5,583 24 24
24 Rp 5,583 24 24
0 Rp 181 0 0
0 Rp 72 0 0
803 151 Rp 80 954 954
270 0 Rp 509 270 270
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
40 0 Rp 250 40 40
1858 2844 Rp 68 4702 4702
0 Rp 1,379 0 0
0 Rp 90 0 0
4 177 Rp 97 181 181
16 84 Rp 167 100 100
0 Rp 8,100 0 0
1 2 Rp 2,500 3 3
0 Rp 16,667 0 0
1 7 Rp 359,900 8 8
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 61 0 0
0 Rp 133 0 0
300 Rp 93 300 300
0 Rp 1,008 0 0
15 472 Rp 3,417 487 487
140 120 Rp 634 260 260
0 Rp 22,000 0 0
0 Rp 8,000 0 0
38 60 Rp 85 98 98
337 441 Rp 292 778 778
0 Rp 3,399 0 0
236 520 Rp 56 756 756
0 Rp 5,727 0 0
9 Rp 5,200 9 9
53 351 Rp 219 404 404
108 58 Rp 2,541 166 166

38 52 Rp 59 90 90
336 0 Rp 110 336 336
177 249 Rp 149 426 426
5 Rp 3,500 5 5
11 27 Rp 3,200 38 38
9 86 Rp 88 95 95
11 Rp 3,800 11 11
10 Rp 3,800 10 10
10 Rp 7,800 10 10
25 75 Rp 243 100 100
6 0 Rp 267 6 6
0 Rp 361 0 0
230 24 Rp 553 254 254
156 85 Rp 2,145 241 241
929 380 Rp 149 1309 1309
100 Rp 839 100 100

49 90 Rp 1,363 139 139
32 80 Rp 154 112 112

10 178 Rp 140 188 188
0 Rp 108 0 0
62 28 Rp 89 90 90
307 553 Rp 160 860 860

90 120 Rp 113 210 210
1050 Rp 2,450 1050 1050
46 32 Rp 3,000 78 78
230 86 Rp 134 316 316
0 Rp 200 0 0
4 12 Rp 4,700 16 16
4 66 Rp 100 70 70
42 Rp 480 42 42
25 99 Rp 1,529 124 124

0 Rp 5,227 0 0
217 0 Rp 1,438 217 217
16583 1220 Rp 89 17803 17803
2 Rp 17,393 2 2
1 8 Rp 2,000 9 9
1 1 Rp 14,203 2 2
100 Rp 108 100 100
0 Rp 1,140 0 0
2 0 Rp 120 2 2
100 Rp 260 100 100
100 Rp 459 100 100
4 36 Rp 5,200 40 40
17 58 Rp 2,000 75 75
106 112 Rp 1,250 218 218
10 Rp 3,056 10 10
100 Rp 169 100 100
40 0 Rp 497 40 40
3537 6343 Rp 44 9880 9880

50 0 Rp 148 50 50
420 80 Rp 206 500 500
80 90 Rp 431 170 170
480 547 Rp 473 1027 1027
Juni 2015
3000 0 Rp 4,000 3000 3000
30 0 30 30
25 0 25 25
25 0 25 25
3 0 Rp 15,000 3 3
3 0 Rp 10,000 3 3
2 0 Rp 36,000 2 2
8 0 Rp 38,000 8 8
2 0 Rp 55,000 2 2
1 0 Rp 31,000 1 1
2 0 Rp 36,000 2 2
3 0 Rp 36,000 3 3
4 0 Rp 20,000 4 4
3 0 Rp 25,000 3 3
8 0 Rp 3,550 8 8
1 0 Rp 25,000 1 1
2 0 Rp 6,500 2 2
12 0 Rp 6,000 12 12
1 0 Rp 12,000 1 1
1 0 Rp 50,000 1 1
2 0 Rp 3,500 2 2
4 0 Rp 7,000 4 4
150 0 Rp 400 150 150
152 0 Rp 400 152 152
3000 0 Rp 150 3000 3000
2 0 Rp 102,000 2 2
0 Rp 103,536 0 0
50 Rp 2,724 50 50
0 Rp 33,000 0 0
0 Rp 305 0 0
40 Rp 150 40 40
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
22 12 Rp 3,000 34 34
3 46 Rp 4,000 49 49
0 Rp 354,500 0 0
0 Rp 1,615 0 0
0 Rp 6,500 0 0
70 100 Rp 353 170 170
0 Rp 2,368 0 0
9 88 Rp 27 97 97
30 Rp 717 30 30
0 Rp 21 0 0
2 0 Rp 17,000 2 2
0 0 0
1 2 Rp 95,400 3 3
0 Rp 670 0 0
0 Rp 1,567 0 0
0 Rp 30 0 0
58 18 Rp 1,520 76 76
12 12 Rp 400 24 24
1 Rp 359,000 1 1
0 Rp 5,000 0 0
4162 1608 Rp 24 5770 5770
0 Rp 60,000 0 0
944 Rp 33 944 944
0 Rp 3,200 0 0
4 Rp 6,370 4 4
1 Rp 8,333 1 1
0 Rp 220,000 0 0
4041 2317 Rp 47 6358 6358
4 Rp 6,800 4 4
80 373 Rp 83 453 453

27 0 Rp 552 27 27
1 Rp 50,182 1 1
1 3 Rp 7,727 4 4
266 130 Rp 290 396 396
0 Rp 3,454 0 0
32 28 Rp 1,400 60 60
4130 2148 Rp 15 6278 6278
0 Rp 25 0 0
100 Rp 2,720 100 100

5 Rp 66,000 5 5
6 Rp 1,225 6 6
0 Rp 1,750 0 0
20 60 Rp 1,000 80 80
0 Rp 248 0 0
18 Rp 1,387 18 18
0 Rp 128 0 0
0 Rp 50,000 0 0
52 0 Rp 10,000 52 52
194 806 Rp 660 1000 1000
0 Rp 160,000 0 0
0 Rp 1,550 0 0
72 1062 Rp 46 1134 1134
0 Rp 127,200 0 0
0 Rp 259,380 0 0
192 102 Rp 3,490 294 294
0 Rp 16,083 0 0
65 42 Rp 2,500 107 107
63 Rp 2,915 63 63
97 637 Rp 90 734 734
0 Rp 35 0 0
127 Rp 220 127 127
2946 4755 Rp 16 7701 7701
0 Rp 95 0 0
1 1 Rp 21,500 2 2
21 3937 Rp 35 3958 3958
0 Rp 6,100 0 0
0 Rp 272 0 0
1 1 Rp 266,000 2 2
9 Rp 195,047 9 9
10 84 Rp 85 94 94
30 29 Rp 3,855 59 59
1 0 Rp 18,500 1 1
0 Rp 85,000 0 0
0 Rp 430,000 0 0
4 Rp 115,000 4 4
71 108 Rp 2,980 179 179
0 Rp 30,900 0 0
0 Rp 1,933 0 0
5334 3267 Rp 34 8601 8601
0 Rp 28,000 0 0
60 0 Rp 44 60 60
0 Rp 3,630 0 0
1141 5613 Rp 20 6754 6754
65 65 Rp 19,096 130 130
13 36 Rp 52,492 49 49
37 57 Rp 63,930 94 94
42 45 Rp 18,370 87 87
21 45 Rp 25,641 66 66
17 50 Rp 14,910 67 67
0 Rp 20,906 0 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
1 1 Rp 87,000 2 2
0 Rp 800,000 0 0
0 Rp 126,500 0 0
470 Rp 1,995 470 470
1600 Rp 1,315 1600 1600
311 Rp 2,049 311 311
30 Rp 18,500 30 30
490 510 Rp 112 1000 1000
100 0 Rp 345 100 100
100 100 Rp 105 200 200
20 222 Rp 650 242 242
61 29 Rp 650 90 90
10 299 Rp 750 309 309
0 Rp 925 0 0
0 Rp 4,500 0 0
102 164 Rp 330 266 266
0 226 Rp 90 226 226
12 40 Rp 112 52 52
0 Rp 200 0 0
5860 2110 Rp 272 7970 7970
55 5 Rp 2,445 60 60
227 126 Rp 124 353 353

0 Rp 2,100 0 0
4836 1134 Rp 75 5970 5970

75 62 Rp 2,516 137 137
9 91 Rp 135 100 100

40 Rp 5,000 40 40
125 Rp 48 125 125

1365 2745 Rp 95 4110 4110
48 6 Rp 1,520 54 54
24 Rp 5,583 24 24
24 Rp 5,583 24 24
0 Rp 181 0 0
0 Rp 72 0 0
657 294 Rp 80 951 951
230 70 Rp 509 300 300
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
0 Rp 250 0 0
1560 3284 Rp 68 4844 4844
0 Rp 1,379 0 0
0 Rp 90 0 0
177 Rp 97 177 177
12 72 Rp 167 84 84
0 Rp 8,100 0 0
2 0 Rp 2,500 2 2
0 Rp 16,667 0 0
1 6 Rp 359,900 7 7
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 61 0 0
0 Rp 133 0 0
300 Rp 93 300 300
0 Rp 1,008 0 0
472 Rp 3,417 472 472
116 104 Rp 634 220 220
0 Rp 22,000 0 0
0 Rp 8,000 0 0
31 129 Rp 85 160 160
533 408 Rp 292 941 941
0 Rp 3,399 0 0
320 200 Rp 56 520 520
0 Rp 5,727 0 0
9 Rp 5,200 9 9
144 207 Rp 219 351 351
77 53 Rp 2,541 130 130

52 0 Rp 59 52 52
96 304 Rp 110 400 400
247 2 Rp 149 249 249
5 Rp 3,500 5 5
27 Rp 3,200 27 27
9 77 Rp 88 86 86
11 Rp 3,800 11 11
10 Rp 3,800 10 10
10 0 Rp 7,800 10 10
38 37 Rp 243 75 75
0 Rp 267 0 0
0 Rp 361 0 0
170 154 Rp 553 324 324
118 67 Rp 2,145 185 185
843 237 Rp 149 1080 1080
100 Rp 839 100 100

26 64 Rp 1,363 90 90
63 17 Rp 154 80 80
20 158 Rp 140 178 178
100 Rp 108 100 100

28 0 Rp 89 28 28
371 182 Rp 160 553 553

85 35 Rp 113 120 120
1050 Rp 2,450 1050 1050
50 6 Rp 3,000 56 56
141 145 Rp 134 286 286
0 Rp 200 0 0
1 11 Rp 4,700 12 12
40 26 Rp 100 66 66
42 Rp 480 42 42
12 87 Rp 1,529 99 99
0 Rp 5,227 0 0
84 0 Rp 1,438 84 84
14465 4755 Rp 89 19220 19220
1 1 Rp 17,393 2 2
8 Rp 2,000 8 8
1 1 Rp 14,203 2 2
100 Rp 108 100 100
0 Rp 1,140 0 0
0 Rp 120 0 0
100 Rp 260 100 100
100 Rp 459 100 100
1 35 Rp 5,200 36 36
10 48 Rp 2,000 58 58
78 134 Rp 1,250 212 212
3 7 Rp 3,056 10 10
64 36 Rp 169 100 100
0 Rp 497 0 0
4923 1420 Rp 44 6343 6343

0 Rp 148 0 0
230 250 Rp 206 480 480
50 40 Rp 431 90 90
436 611 Rp 473 1047 1047
Juli 2015
3000 0 Rp 4,000 3000 3000
30 0 30 30
3 0 Rp 17,000 3 3
3 0 Rp 10,000 3 3
2 0 Rp 25,000 2 2
1 0 Rp 36,000 1 1
10 0 Rp 38,000 10 10
4 0 Rp 2,500 4 4
5 0 Rp 4,500 5 5
4 0 Rp 6,000 4 4
1 0 Rp 32,000 1 1
2 0 Rp 36,000 2 2
2 0 Rp 36,000 2 2
6 0 Rp 20,000 6 6
5 0 Rp 5,500 5 5
2 0 Rp 20,000 2 2
2 0 Rp 5,000 2 2
1 0 Rp 6,000 1 1
2 0 Rp 28,000 2 2
24 0 Rp 6,000 24 24
2 0 Rp 6,500 2 2
2 0 Rp 25,000 2 2
2 0 Rp 21,500 2 2
2 0 Rp 13,000 2 2
10 0 Rp 3,000 10 10
1 0 Rp 9,500 1 1
1 0 Rp 14,000 1 1
3 0 Rp 5,000 3 3
4 0 Rp 5,000 4 4
2 0 Rp 7,000 2 2
4 0 Rp 3,500 4 4
575 0 Rp 400 575 575
550 0 Rp 400 550 550
1000 0 Rp 150 1000 1000
2 0 Rp 102,000 2 2
0 Rp 103,536 0 0
9 41 Rp 2,724 0 0
0 Rp 33,000 50 50
0 Rp 305 0 0
20 20 Rp 150 0 0
0 Rp 2,900 40 40
0 Rp 6,800 0 0
0 Rp 4,300 0 0
36 0 Rp 3,000 0 0
4 42 Rp 4,000 36 36
0 Rp 354,500 46 46
0 Rp 7,315 0 0
100 0 Rp 400 0 0
14 74 Rp 27 100 100
0 Rp 109 88 88
0 Rp 21 0 0
3 Rp 17,000 0 0
0 Rp 2,011 3 3
3 19 Rp 95,578 0 0
0 Rp 1,567 22 22
0 Rp 30 0 0
34 84 Rp 1,668 0 0
2 34 Rp 400 118 118
1 Rp 359,000 36 36
0 Rp 6,050 1 1
5608 0 Rp 24 0 0
0 Rp 60,000 5608 5608
944 Rp 33 0 0
0 Rp 3,200 944 944
1 Rp 8,333 0 0
0 Rp 240,000 1 1
3 1 Rp 6,800 0 0
373 Rp 83 4 4
30 0 Rp 552 373 373
204 226 Rp 290 30 30
0 Rp 3,454 430 430
0 Rp 5,500 0 0
28 0 Rp 1,400 0 0
0 Rp 157 28 28
100 Rp 2,720 0 0
1 4 Rp 66,000 100 100
6 0 Rp 1,225 5 5
0 Rp 1,750 6 6
20 40 Rp 1,000 0 0
0 Rp 128 60 60
0 Rp 70,158 0 0
0 Rp 5,500 0 0
806 0 Rp 660 0 0
0 Rp 160,000 806 806
0 Rp 650 0 0
0 Rp 1,550 0 0
137 925 Rp 46 0 0
0 Rp 5,500 1062 1062
0 Rp 259,380 0 0
69 Rp 3,490 0 0
183
0 Rp 16,083 252 252
86 31 Rp 2,580 0 0
30 33 Rp 2,915 117 117
175 462 Rp 90 63 63
0 Rp 35 637 637
127 Rp 220 0 0
3183 Rp 28 127 127
4572
0 Rp 95 7755 7755
1 3 Rp 25,648 0 0
363 3574 Rp 35 4 4
0 Rp 6,100 3937 3937
0 Rp 272 0 0
1 Rp 266,000 0 0
0 Rp 195,047 1 1
84 Rp 93 0 0
18 61 Rp 3,855 84 84
0 Rp 18,500 79 79
0 Rp 85,000 0 0
0 Rp 430,000 0 0
6 Rp 115,000 0 0
3
0 Rp 3,115 9 9
108
0 Rp 30,900 108 108
0 Rp 1,933 0 0
2132 Rp 34 0 0
7135
0 Rp 672 9267 9267
0 Rp 28,000 0 0
200 Rp 44 0 0
0 Rp 3,630 200 200

67 48 Rp 20,900 0 0
14 42 Rp 59,950 115 115
62 35 Rp 70,323 56 56
41 44 Rp 19,954 97 97
20 55 Rp 28,204 85 85
17 33 Rp 14,498 75 75
0 Rp 28,204 50 50
0 Rp 17,798 0 0
0 Rp 17,798 0 0
0 Rp 20,906 0 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
0 Rp 2,950 0 0
0 Rp 19,500 0 0
1 Rp 87,000 0 0
0 Rp 65 1 1
0 Rp 126,500 0 0
470 Rp 1,995 0 0
1600 Rp 1,315 470 470
311 Rp 2,049 1600 1600
30 Rp 18,625 311 311
0 Rp 22,265 30 30
0 Rp 7,875 0 0
0 Rp 27,710 0 0
0 Rp 27,710 0 0
0 0 0
510 0 Rp 112 0 0
0 Rp 116 510 510
8 192 Rp 345 0 0
48 152 Rp 105 200 200
40 182 Rp 650 200 200
129 Rp 650 222 222
299 Rp 750 129 129
0 Rp 925 299 299
0 Rp 4,500 0 0
0 Rp 187 0 0
164 0 Rp 330 0 0
88 138 Rp 90 164 164
14 26 Rp 112 226 226
0 Rp 200 40 40
6620 490 Rp 272 0 0
81 44 Rp 2,445 7110 7110
0 Rp 4,045 125 125
126 0 Rp 124 0 0
0 Rp 2,100 126 126
3877 1957 Rp 75 0 0
64 48 Rp 2,516 5834 5834
10 81 Rp 135 112 112

0 Rp 2,030 91 91
125 Rp 48 0 0
2787 1958 Rp 95 125 125
25 53 Rp 1,520 4745 4745
24 Rp 5,583 78 78
24 Rp 5,583 24 24
0 Rp 181 24 24
0 Rp 62 0 0
734 260 Rp 80 0 0
270 0 Rp 509 994 994
0 Rp 4,746 270 270
0 Rp 2,950 0 0
0 Rp 859 0 0
0 Rp 250 0 0
0 Rp 1,054 0 0
20 Rp 1,580 0 0
622 2662 Rp 68 20 20
0 Rp 4,180 3284 3284
177 Rp 97 0 0
0 Rp 270 177 177
19 53 Rp 167 0 0
5 Rp 8,100 72 72
0 Rp 2,500 5 5
0 Rp 16,667 0 0
4 2 Rp 359,900 0 0
0 Rp 1,199,990 6 6
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 1,800 0 0
0 Rp 61 0 0
0 Rp 220 0 0
0 Rp 133 0 0
300 Rp 93 0 0
0 Rp 2,042 300 300
472 Rp 3,417 0 0
109 64 Rp 634 472 472
0 Rp 22,000 173 173

0 Rp 8,000 0 0
33 96 Rp 85 0 0
428 480 Rp 292 129 129
0 Rp 3,399 908 908
335 165 Rp 56 0 0
0 Rp 5,727 500 500
9 Rp 5,200 0 0
86 121 Rp 219 9 9
93 32 Rp 2,798 207 207

0 Rp 59 125 125
0 Rp 96 0 0
0 Rp 126 0 0
304 0 Rp 110 0 0
2 0 Rp 149 304 304
0 Rp 3,499 2 2
5 Rp 3,500 0 0
27 Rp 3,200 5 5
56 21 Rp 88 27 27
0 Rp 7,334 77 77
11 Rp 3,800 0 0
1 9 Rp 3,800 11 11
4 Rp 7,334 10 10
2 Rp 130,000 4 4
3 0 Rp 7,900 2 2
5317 0 Rp 70 3 3
0 Rp 7,800 5317 5317
20 17 Rp 245 0 0
0 Rp 300 37 37
4294 854 Rp 51 0 0
0 Rp 361 5148 5148
246 8 Rp 553 0 0
0 Rp 500 254 254
106 111 Rp 2,145 0 0
791 246 Rp 149 217 217
100 Rp 839 1037 1037

73 81 Rp 1,363 100 100
87 43 Rp 154 154 154

0 Rp 800 130 130
6 12 Rp 2,750 0 0
8 150 Rp 154 18 18
62 38 Rp 108 158 158

0 Rp 89 100 100
0 Rp 4,100 0 0
233 249 Rp 160 0 0
25 10 Rp 113 482 482
0 Rp 2,450 35 35
1 77 Rp 3,000 0 0
180 65 Rp 134 78 78
0 Rp 200 245 245
3 8 Rp 4,700 0 0
4 22 Rp 100 11 11
6 36 Rp 480 26 26
0 Rp 640 42 42
27 60 Rp 1,529 0 0
0 Rp 5,227 87 87
168 0 Rp 1,438 0 0
16987 1468 Rp 89 168 168
1 2 Rp 17,393 18455 18455
1 7 Rp 2,000 3 3
4 Rp 14,203 8 8
100 0 Rp 108 4 4
0 Rp 1,140 100 100
0 Rp 120 0 0
600 Rp 260 0 0
3250 Rp 459 600 600
10 25 Rp 5,200 3250 3250
28 20 Rp 2,000 35 35
89 45 Rp 1,250 48 48
3 40 Rp 15,497 134 134
35 101 Rp 169 43 43
0 Rp 497 136 136
3806 6614 Rp 50 0 0
0 Rp 148 10420 10420
440 110 Rp 206 0 0
0 Rp 431 550 550
2276 3337 Rp 107 0 0
423 688 Rp 473 5613 5613
AGUSTUS 2015
3000 0 Rp 4,000 3000 3000
30 0 30 30
3 0 3 3
3 0 3 3
2 0 2 2
2 0 2 2
2 0 2 2
0 0 0 0
1 0 Rp 17,000 1 1
1 0 Rp 10,000 1 1
1 0 Rp 25,000 1 1
1 0 Rp 36,000 1 1
6 0 Rp 38,000 6 6
1 0 Rp 15,000 1 1
2 0 Rp 36,000 2 2
3 0 Rp 36,000 3 3
2 0 Rp 20,000 2 2
1 0 Rp 60,000 1 1
1 0 Rp 3,900 1 1
12 0 Rp 6,000 12 12
2 0 Rp 3,500 2 2
4 0 Rp 7,000 4 4
1000 0 Rp 400 1000 1000
750 0 Rp 400 750 750
1000 0 Rp 150 1000 1000
2 Rp 102,000 2 2
0 Rp 103,536 0 0
12 29 Rp 2,724 41 41
0 Rp 33,000 0 0
0 Rp 305 0 0
110 10 Rp 150 120 120
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
9 51 Rp 3,000 60 60
7 35 Rp 4,000 42 42
0 Rp 354,500 0 0
0 Rp 7,315 0 0
150 0 Rp 400 150 150
34 40 Rp 27 74 74
0 Rp 109 0 0
0 Rp 21 0 0
1 2 Rp 17,000 3 3
0 Rp 2,011 0 0
3 16 Rp 95,578 19 19
0 Rp 1,567 0 0
0 Rp 30 0 0
60 24 Rp 1,668 84 84
7 27 Rp 400 34 34
1 Rp 359,000 1 1
0 Rp 6,050 0 0
2839 5161 Rp 24 8000 8000
0 Rp 60,000 0 0
944 Rp 33 944 944
0 Rp 3,200 0 0
1 Rp 8,333 1 1
0 Rp 240,000 0 0
3 Rp 6,800 3 3
373 Rp 83 373 373
1 49 Rp 552 50 50
360 166 Rp 290 526 526
0 Rp 3,454 0 0
0 Rp 5,500 0 0
0 Rp 1,400 0 0
0 Rp 157 0 0
100 Rp 2,720 100 100

4 Rp 66,000 4 4
0 Rp 1,225 0 0
0 Rp 1,750 0 0
40 Rp 1,000 40 40
0 Rp 128 0 0
0 Rp 70,158 0 0
0 Rp 5,500 0 0
200 0 Rp 660 200 200
0 Rp 160,000 0 0
0 Rp 650 0 0
0 Rp 1,550 0 0
62 863 Rp 46 925 925
0 Rp 5,500 0 0
0 Rp 259,380 0 0
238 31 Rp 3,490 269 269
0 Rp 16,083 0 0
80 51 Rp 2,580 131 131
10 23 Rp 2,915 33 33
172 290 Rp 90 462 462
0 Rp 35 0 0
127 Rp 220 127 127
2485 3698 Rp 28 6183 6183
0 Rp 95 0 0
3 Rp 25,648 3 3
709 2865 Rp 35 3574 3574
0 Rp 6,100 0 0
0 Rp 272 0 0
1 Rp 266,000 1 1
0 Rp 195,047 0 0
23 61 Rp 93 84 84
14 47 Rp 3,855 61 61
0 Rp 18,500 0 0
0 Rp 85,000 0 0
0 Rp 430,000 0 0
2 4 Rp 115,000 6 6
0 Rp 3,115 0 0
0 Rp 30,900 0 0
0 Rp 1,933 0 0
4672 460 Rp 34 5132 5132
0 Rp 672 0 0
0 Rp 28,000 0 0
200 Rp 44 200 200
0 Rp 3,630 0 0
68 80 Rp 20,900 148 148
15 27 Rp 59,950 42 42
40 35 Rp 70,323 75 75
44 40 Rp 19,954 84 84
26 29 Rp 28,204 55 55
18 15 Rp 14,498 33 33
0 Rp 28,204 0 0
0 Rp 17,798 0 0
0 Rp 17,798 0 0
0 Rp 20,906 0 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
0 Rp 2,950 0 0
0 Rp 19,500 0 0
1 Rp 87,000 1 1
0 Rp 65 0 0
0 Rp 126,500 0 0
470 Rp 1,995 470 470
1600 Rp 1,315 1600 1600
311 Rp 2,049 311 311
30 Rp 18,625 30 30
0 Rp 22,265 0 0
0 Rp 7,875 0 0
0 Rp 27,710 0 0
0 Rp 27,710 0 0
0 0 0
300 0 Rp 112 300 300
0 Rp 116 0 0
50 142 Rp 345 192 192

114 38 Rp 105 152 152
12 170 Rp 650 182 182
35 94 Rp 650 129 129
9 290 Rp 750 299 299
0 Rp 925 0 0
0 Rp 4,500 0 0
0 Rp 187 0 0
120 120 Rp 330 240 240
152 86 Rp 90 238 238
26 0 Rp 112 26 26
0 Rp 200 0 0
3360 130 Rp 272 3490 3490
44 0 Rp 2,445 44 44
97 3 Rp 4,045 100 100
300 0 Rp 124 300 300

0 Rp 2,100 0 0
4671 1986 Rp 75 6657 6657

70 28 Rp 2,516 98 98
40 41 Rp 135 81 81
0 Rp 2,030 0 0
125 Rp 48 125 125
1092 3866 Rp 95 4958 4958
23 30 Rp 1,520 53 53
24 Rp 5,583 24 24
9 15 Rp 5,583 24 24
0 Rp 181 0 0
0 Rp 62 0 0
612 348 Rp 80 960 960
0 Rp 509 0 0
0 Rp 4,746 0 0
0 Rp 2,950 0 0
60 0 Rp 859 60 60
0 Rp 250 0 0
0 Rp 1,054 0 0
20 Rp 1,580 20 20
976 1686 Rp 68 2662 2662
0 Rp 4,180 0 0
24 153 Rp 97 177 177
0 Rp 270 0 0
41 12 Rp 167 53 53
5 Rp 8,100 5 5
0 Rp 2,500 0 0
0 Rp 16,667 0 0
7 Rp 359,900 7 7
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 1,800 0 0
0 Rp 61 0 0
0 Rp 220 0 0
0 Rp 133 0 0
300 Rp 93 300 300
0 Rp 2,042 0 0
55 417 Rp 3,417 472 472
141 23 Rp 634 164 164
0 Rp 22,000 0 0
0 Rp 8,000 0 0
42 154 Rp 85 196 196
418 562 Rp 292 980 980
0 Rp 3,399 0 0
395 70 Rp 56 465 465
0 Rp 5,727 0 0
9 Rp 5,200 9 9
100 21 Rp 219 121 121
48 80 Rp 2,798 128 128

0 Rp 59 0 0
100 Rp 96 100 100
0 Rp 126 0 0
114 486 Rp 110 600 600
195 305 Rp 149 500 500
0 Rp 3,499 0 0
5 Rp 3,500 5 5
27 Rp 3,200 27 27
21 0 Rp 88 21 21
0 Rp 7,334 0 0
11 Rp 3,800 11 11
1 8 Rp 3,800 9 9
4 Rp 7,334 4 4
2 Rp 130,000 2 2
0 Rp 7,900 0 0
3949 3051 Rp 70 7000 7000
0 Rp 7,800 0 0
17 Rp 245 17 17
0 Rp 300 0 0
3758 2096 Rp 51 5854 5854
0 Rp 361 0 0
168 340 Rp 553 508 508
0 Rp 500 0 0
170 41 Rp 2,145 211 211
1170 2176 Rp 149 3346 3346
100 Rp 839 100 100

30 111 Rp 1,363 141 141
19 124 Rp 154 143 143

0 Rp 800 0 0
9 33 Rp 2,750 42 42
150 Rp 154 150 150
28 110 Rp 108 138 138

0 Rp 89 0 0
50 Rp 4,100 50 50
189 160 Rp 160 349 349
10 0 Rp 113 10 10
0 Rp 2,450 0 0
30 47 Rp 3,000 77 77
265 0 Rp 134 265 265
0 Rp 200 0 0
1 7 Rp 4,700 8 8
44 178 Rp 100 222 222

18 18 Rp 480 36 36
0 Rp 640 0 0
30 80 Rp 1,529 110 110
0 Rp 5,227 0 0
160 8 Rp 1,438 168 168
14332 6136 Rp 89 20468 20468
2 Rp 17,393 2 2
1 6 Rp 2,000 7 7
4 Rp 14,203 4 4
0 Rp 108 0 0
0 Rp 1,140 0 0
144 156 Rp 120 300 300
500 100 Rp 260 600 600
3150 100 Rp 459 3250 3250
25 Rp 5,200 25 25
14 30 Rp 2,000 44 44
105 40 Rp 1,250 145 145
1 39 Rp 15,497 40 40
89 12 Rp 169 101 101
0 Rp 497 0 0
5174 1440 Rp 50 6614 6614
0 Rp 148 0 0
640 170 Rp 206 810 810
0 Rp 431 0 0
4120 2217 Rp 107 6337 6337
190 498 Rp 473 688 688
SEPTEMBER 2015
1 0 Rp 20,000 1 1
1 0 Rp 10,000 1 1
1 0 Rp 36,000 1 1
3 0 Rp 38,000 3 3
4 0 Rp 3,500 4 4
10 0 Rp 7,000 10 10
500 0 Rp 8,000 500 500
600 0 Rp 150 600 600
4 0 Rp 65,000 4 4
4 0 Rp 463,637 4 4
0 Rp 103,536 0 0
16 13 Rp 2,724 29 16
0 Rp 33,000 0 0
0 Rp 305 0 0
30 180 Rp 150 210 30
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
21 30 Rp 3,000 51 21
3 32 Rp 4,000 35 3
0 Rp 354,500 0 0
0 Rp 7,315 0 0
80 220 Rp 400 300 80
18 122 Rp 27 140 18
0 Rp 109 0 0
0 Rp 21 0 0
1 1 Rp 17,000 2 1
0 Rp 2,011 0 0
10 6 Rp 95,578 16 10
0 Rp 1,567 0 0
0 Rp 30 0 0
47 52 Rp 1,668 99 47
5 22 Rp 400 27 5
1 Rp 359,000 1 0
0 Rp 6,050 0 0
3950 1211 Rp 24 5161 3950
0 Rp 60,000 0 0
23 921 Rp 33 944 23
0 Rp 3,200 0 0
1 Rp 8,333 1 0
0 Rp 240,000 0 0
1 2 Rp 6,800 3 1
33 340 Rp 83 373 33
24 25 Rp 552 49 24
355 311 Rp 290 666 355
0 Rp 3,454 0 0
0 Rp 5,500 0 0
0 Rp 1,400 0 0
0 Rp 157 0 0
100 Rp 2,720 100 0

1 3 Rp 66,000 4 1
0 Rp 1,225 0 0
0 Rp 1,750 0 0
20 20 Rp 1,000 40 20
0 Rp 128 0 0
0 Rp 70,158 0 0
0 Rp 5,500 0 0
300 0 Rp 660 300 300
0 Rp 160,000 0 0
0 Rp 650 0 0
0 Rp 1,550 0 0
23 840 Rp 46 863 23
0 Rp 5,500 0 0
0 Rp 259,380 0 0
179 202 Rp 3,490 381 179
0 Rp 16,083 0 0
126 25 Rp 2,580 151 126
123 Rp 2,915 123 0
283 7 Rp 90 290 283
0 Rp 35 0 0
127 Rp 220 127 0
4116 582 Rp 28 4698 4116
0 Rp 95 0 0
1 2 Rp 25,648 3 1
519 2346 Rp 35 2865 519
0 Rp 6,100 0 0
0 Rp 272 0 0
2 2 Rp 266,000 4 2
0 Rp 195,047 0 0
17 44 Rp 93 61 17
12 35 Rp 3,855 47 12
0 Rp 18,500 0 0
0 Rp 85,000 0 0
0 Rp 430,000 0 0
2 2 Rp 115,000 4 2
0 Rp 3,115 0 0
0 Rp 30,900 0 0
0 Rp 1,933 0 0
3460 0 Rp 34 3460 3460
0 Rp 672 0 0
0 Rp 28,000 0 0
27 173 Rp 44 200 27
0 Rp 3,630 0 0
58 22 Rp 20,900 80 58
16 11 Rp 59,950 27 16
65 10 Rp 70,323 75 65
48 32 Rp 19,954 80 48
23 26 Rp 28,204 49 23
26 9 Rp 14,498 35 26
0 Rp 28,204 0 0
0 Rp 17,798 0 0
0 Rp 17,798 0 0
0 Rp 20,906 0 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
0 Rp 2,950 0 0
0 Rp 19,500 0 0
2 -1 Rp 87,000 1 2
0 Rp 65 0 0
0 Rp 126,500 0 0
470 Rp 1,995 470 0
1600 Rp 1,315 1600 0
311 Rp 2,049 311 0
30 Rp 18,625 30 0
0 Rp 22,265 0 0
0 Rp 7,875 0 0
0 Rp 27,710 0 0
0 Rp 27,710 0 0
0 0 0
0 Rp 112 0 0
0 Rp 116 0 0
52 90 Rp 345 142 52
138 Rp 105 138 0
16 154 Rp 650 170 16
83 111 Rp 650 194 83
9 281 Rp 750 290 9
0 Rp 925 0 0
0 Rp 4,500 0 0
0 Rp 187 0 0
150 0 Rp 330 150 150
48 238 Rp 90 286 48
200 Rp 112 200 0
0 Rp 200 0 0
1130 0 Rp 272 1130 1130
0 Rp 2,445 0 0
0 Rp 4,045 103 103

103
0 Rp 124 0 0
40 Rp 2,100 50 10
10
4611 1075 Rp 75 5686 4611
59 Rp 2,516 128 69
69
11 130 Rp 135 141 11
0 Rp 2,030 0 0
125 Rp 48 125 0
2385 1481 Rp 95 3866 2385
29 26 Rp 1,520 55 29
24 Rp 5,583 24 0
15 Rp 5,583 15 0
0 Rp 181 0 0
0 Rp 62 0 0
603 145 Rp 80 748 603
0 Rp 509 0 0
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
0 Rp 250 0 0
0 Rp 1,054 0 0
20 Rp 1,580 20 0
1378 808 Rp 68 2186 1378
0 Rp 4,180 0 0
3 150 Rp 97 153 3
0 Rp 270 0 0
32 80 Rp 167 112 32
5 Rp 8,100 5 0
0 Rp 2,500 0 0
0 Rp 16,667 0 0
3 4 Rp 359,900 7 3
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 1,800 0 0
0 Rp 61 0 0
0 Rp 220 0 0
0 Rp 133 0 0
300 Rp 93 300 0
0 Rp 2,042 0 0
407 Rp 3,417 417 10
10
108 Rp 634 223 115
115
0 Rp 22,000 0 0
0 Rp 8,000 0 0
10 144 Rp 85 154 10
498 564 Rp 292 1062 498
0 Rp 3,399 0 0
320 50 Rp 56 370 320
0 Rp 5,727 0 0
9 Rp 5,200 9 0
195 Rp 219 221 26

26
74 6 Rp 2,798 80 74
0 Rp 59 0 0
21 79 Rp 96 100 21
0 Rp 126 0 0
286 200 Rp 110 486 286
301 4 Rp 149 305 301
2 48 Rp 3,499 50 2
5 Rp 3,500 5 0
27 Rp 3,200 27 0
100 Rp 88 100 0
0 Rp 7,334 0 0
2 9 Rp 3,800 11 2
8 Rp 3,800 8 0
4 Rp 7,334 4 0
2 Rp 130,000 2 0
20 Rp 7,900 20 0
560 Rp 70 5051 4491
4491
0 Rp 7,800 0 0
17 Rp 245 17 0
0 Rp 300 0 0
4371 725 Rp 51 5096 4371
0 Rp 361 0 0
540 0 Rp 553 540 540
0 Rp 500 0 0
136 105 Rp 2,145 241 136
2269 Rp 149 4176 1907
1907
100 Rp 839 100 0
33 Rp 1,363 111 78
78
103 21 Rp 154 124 103
20 80 Rp 800 100 20
33 Rp 2,750 33 0
110 Rp 154 150 40
40
13 97 Rp 108 110 13
0 Rp 89 0 0
50 Rp 4,100 50 0
160 0 Rp 160 160 160
0 Rp 113 0 0
0 Rp 2,450 0 0
22 25 Rp 3,000 47 22
270 130 Rp 134 400 270
0 Rp 200 0 0
7 Rp 4,700 7 0
48 130 Rp 100 178 48

24 94 Rp 480 118 24
0 Rp 640 0 0
93 87 Rp 1,529 180 93
0 Rp 5,227 0 0
176 0 Rp 1,438 176 176
10968 7168 Rp 89 18136 10968
2 Rp 17,393 2 0
1 5 Rp 2,000 6 1
1 3 Rp 14,203 4 1
0 Rp 108 0 0
0 Rp 1,140 0 0
184 172 Rp 120 356 184
100 Rp 260 100 0
100 Rp 459 100 0
3 22 Rp 5,200 25 3
7 47 Rp 2,000 54 7
93 47 Rp 1,250 140 93
3 36 Rp 15,497 39 3
85 127 Rp 169 212 85
0 Rp 497 0 0
4720 5720 Rp 50 10440 4720
0 Rp 148 0 0
1170 0 Rp 206 1170 1170
0 Rp 431 0 0
2810 2407 Rp 107 5217 2810
310 688 Rp 473 998 310
KTOBER 2015
5 0 Rp 38,000 5 5
3 0 Rp 20,000 3 3
1 0 Rp 5,500 1 1
2 0 Rp 19,000 2 2
4 0 Rp 80,000 4 4
24 0 Rp 6,000 24 24
4 0 Rp 6,500 4 4
2 0 Rp 25,000 2 2
2 0 Rp 12,500 2 2
2 0 Rp 21,500 2 2
12 0 Rp 3,000 12 12
50 0 Rp 1,000 50 50
2 0 Rp 36,000 2 2
1 0 Rp 20,000 1 1
1 0 Rp 15,000 1 1
1 0 Rp 9,500 1 1
5 0 Rp 4,500 5 5
2 0 Rp 22,500 2 2
1 0 Rp 28,000 1 1
5 0 Rp 7,000 5 5
500 0 Rp 200 500 500
1000 0 Rp 150 1000 1000
1000 0 Rp 200 1000 1000
1000 0 Rp 150 1000 1000
4 0 Rp 100,000 4 4
0 Rp 103,536 0 0
8 30 Rp 2,724 38 8
0 Rp 33,000 0 0
0 Rp 305 0 0
13 167 Rp 150 180 13
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
30 0 Rp 3,000 30 30
10 22 Rp 4,000 32 10
0 Rp 354,500 0 0
0 Rp 7,315 0 0
220 0 Rp 400 220 220
21 101 Rp 27 122 21
0 Rp 109 0 0
0 Rp 21 0 0
1 Rp 17,000 1 0
0 Rp 2,011 0 0
6 Rp 95,578 6 0
30 60 Rp 1,567 90 30
0 Rp 30 0 0
58 19 Rp 1,668 77 58
3 19 Rp 400 22 3
1 0 Rp 359,000 1 1
0 Rp 6,050 0 0
4973 2238 Rp 24 7211 4973
0 Rp 60,000 0 0
921 Rp 33 921 0
0 Rp 3,200 0 0
1 Rp 8,333 1 0
0 Rp 240,000 0 0
1 1 Rp 6,800 2 1
87 253 Rp 83 340 87
22 3 Rp 552 25 22
611 0 Rp 290 611 611
0 Rp 3,454 0 0
0 Rp 5,500 0 0
0 Rp 1,400 0 0
0 Rp 157 0 0
100 Rp 2,720 100 0

3 Rp 66,000 3 0
0 Rp 1,225 0 0
0 Rp 1,750 0 0
30 10 Rp 1,000 40 30
0 Rp 128 0 0
0 Rp 70,158 0 0
0 Rp 5,500 0 0
0 Rp 660 0 0
0 Rp 160,000 0 0
0 Rp 650 0 0
0 Rp 1,550 0 0
840 Rp 46 840 0
0 Rp 5,500 0 0
0 Rp 259,380 0 0
231 21 Rp 3,490 252 231
0 Rp 16,083 0 0
116 109 Rp 2,580 225 116
10 113 Rp 2,915 123 10
134 873 Rp 90 1007 134
0 Rp 35 0 0
127 Rp 220 127 0
1582 0 Rp 28 1582 1582
0 Rp 95 0 0
1 1 Rp 25,648 2 1
483 1863 Rp 35 2346 483
0 Rp 6,100 0 0
0 Rp 272 0 0
2 Rp 266,000 2 0
9 Rp 195,047 9 0
24 20 Rp 93 44 24
11 24 Rp 3,855 35 11
0 Rp 18,500 0 0
0 Rp 85,000 0 0
0 Rp 430,000 0 0
2 0 Rp 115,000 2 2
0 Rp 3,115 0 0
0 Rp 30,900 0 0
0 Rp 1,933 0 0
2000 0 Rp 34 2000 2000
0 Rp 672 0 0
0 Rp 28,000 0 0
35 138 Rp 44 173 35
0 Rp 3,630 0 0
54 68 Rp 20,900 122 54
20 11 Rp 59,950 31 20
60 10 Rp 70,323 70 60
50 22 Rp 19,954 72 50
28 18 Rp 28,204 46 28
24 15 Rp 14,498 39 24
80 Rp 28,204 80 0
80 Rp 17,798 80 0
180 Rp 17,798 180 0
12 Rp 20,906 12 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
222 Rp 2,950 222 0
2 Rp 19,500 2 0
1 1 Rp 87,000 2 1
0 Rp 65 0 0
0 Rp 126,500 0 0
470 Rp 1,995 470 0
4983 Rp 1,315 4983 0
311 Rp 2,049 311 0
82 Rp 18,625 82 0
0 Rp 22,265 0 0
0 Rp 7,875 0 0
0 Rp 27,710 0 0
0 Rp 27,710 0 0
0 0 0
0 Rp 112 0 0
0 Rp 116 0 0
34 56 Rp 345 90 34
138 0 Rp 105 138 138
16 138 Rp 650 154 16
22 189 Rp 650 211 22
281 Rp 750 281 0
0 Rp 925 0 0
0 Rp 4,500 0 0
0 Rp 187 0 0
210 0 Rp 330 210 210
101 137 Rp 90 238 101
200 Rp 112 200 0
0 Rp 200 0 0
1000 0 Rp 272 1000 1000
0 Rp 2,445 0 0
100 0 Rp 4,045 100 100
0 Rp 124 0 0
40 0 Rp 2,100 40 40
5048 527 Rp 75 5575 5048

109 0 Rp 2,516 109 109
12 118 Rp 135 130 12

0 Rp 2,030 0 0
75 50 Rp 48 125 75
2527 1954 Rp 95 4481 2527
34 17 Rp 1,520 51 34
24 Rp 5,583 24 0
6 9 Rp 5,583 15 6
0 Rp 181 0 0
0 Rp 62 0 0
566 179 Rp 80 745 566
0 Rp 509 0 0
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
0 Rp 250 0 0
0 Rp 1,054 0 0
20 Rp 1,580 20 0
1148 160 Rp 68 1308 1148
0 Rp 4,180 0 0
17 133 Rp 97 150 17
0 Rp 270 0 0
61 19 Rp 167 80 61
5 Rp 8,100 5 0
2 8 Rp 2,500 10 2
0 Rp 16,667 0 0
4 0 Rp 359,900 4 4
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 1,800 0 0
0 Rp 61 0 0
0 Rp 220 0 0
0 Rp 133 0 0
300 Rp 93 300 0
0 Rp 2,042 0 0
407 Rp 3,417 407 0
127 81 Rp 634 208 127
0 Rp 22,000 0 0
0 Rp 8,000 0 0
7 137 Rp 85 144 7
437 627 Rp 292 1064 437
0 Rp 3,399 0 0
350 0 Rp 56 350 350
0 Rp 5,727 0 0
9 Rp 5,200 9 0
80 115 Rp 219 195 80
71 31 Rp 2,798 102 71
0 Rp 59 0 0
30 49 Rp 96 79 30
0 Rp 126 0 0
200 0 Rp 110 200 200
567 137 Rp 149 704 567
22 26 Rp 3,499 48 22
5 Rp 3,500 5 0
27 Rp 3,200 27 0
6 94 Rp 88 100 6
0 Rp 7,334 0 0
9 Rp 3,800 9 0
8 Rp 3,800 8 0
4 Rp 7,334 4 0
2 Rp 130,000 2 0
5 15 Rp 7,900 20 5
4535 3025 Rp 70 7560 4535
0 Rp 7,800 0 0
17 Rp 245 17 0
0 Rp 300 0 0
5386 1339 Rp 51 6725 5386
0 Rp 361 0 0
0 Rp 553 0 0
0 Rp 500 0 0
194 11 Rp 2,145 205 194
2461 2808 Rp 149 5269 2461
100 Rp 839 100 0

63 60 Rp 1,363 123 63
8 13 Rp 154 21 8
68 12 Rp 800 80 68
5 28 Rp 2,750 33 5
110 Rp 154 110 0
97 Rp 108 97 0
0 Rp 89 0 0
5 45 Rp 4,100 50 5
0 Rp 160 0 0
10 190 Rp 113 200 10
0 Rp 2,450 0 0
22 3 Rp 3,000 25 22
248 82 Rp 134 330 248
0 Rp 200 0 0
1 6 Rp 4,700 7 1
70 60 Rp 100 130 70
38 56 Rp 480 94 38
0 Rp 640 0 0
162 Rp 1,529 162 0
0 Rp 5,227 0 0
168 0 Rp 1,438 168 168
17773 1395 Rp 89 19168 17773
2 Rp 17,393 2 0
2 3 Rp 2,000 5 2
1 2 Rp 14,203 3 1
0 Rp 108 0 0
0 Rp 1,140 0 0
372 0 Rp 120 372 372
100 Rp 260 100 0
100 Rp 459 100 0
4 18 Rp 5,200 22 4
26 21 Rp 2,000 47 26
149 98 Rp 1,250 247 149
4 32 Rp 15,497 36 4
100 27 Rp 169 127 100
0 Rp 497 0 0
6263 5457 Rp 50 11720 6263
0 Rp 148 0 0
2000 0 Rp 206 2000 2000
0 Rp 431 0 0
4845 562 Rp 107 5407 4845
286 902 Rp 473 1188 286
OVEMBER 2015
3 0 Rp 38,000 3 3
2 0 Rp 20,000 2 2
1 0 Rp 5,500 1 1
2 0 Rp 19,000 2 2
0 0 0 0
2 0 Rp 38,000 2 2
3 0 Rp 3,000 3 3
5 0 Rp 20,000 5 5
5 0 Rp 15,000 5 5
5 0 Rp 7,000 5 5
500 0 Rp 200 500 500
1000 0 Rp 150 1000 1000
1000 0 Rp 200 1000 1000
1000 0 Rp 150 1000 1000
0 0 0 0
500 0 Rp 150 500 500
500 0 Rp 150 500 500
1255 0 Rp 200 1255 1255

500 0 Rp 150 500 500
500 0 Rp 150 500 500
6 0 Rp 100,000 6 6
0 Rp 103,536 0 0
10 20 Rp 2,724 30 10
0 Rp 33,000 0 0
0 Rp 305 0 0
27 140 Rp 150 167 27
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
15 33 Rp 3,000 48 15
7 15 Rp 4,000 22 7
0 Rp 354,500 0 0
0 Rp 7,315 0 0
300 Rp 400 300 0
27 74 Rp 27 101 27
0 Rp 109 0 0
0 Rp 21 0 0
1 Rp 17,000 1 0
0 Rp 2,011 0 0
6 Rp 95,578 6 0
60 Rp 1,567 60 0
0 Rp 30 0 0
56 38 Rp 1,668 94 56
19 0 Rp 400 19 19
2 Rp 359,000 2 0
0 Rp 6,050 0 0
3979 2259 Rp 24 6238 3979
0 Rp 60,000 0 0
921 Rp 33 921 0
0 Rp 3,200 0 0
1 Rp 8,333 1 0
0 Rp 240,000 0 0
2 Rp 6,800 2 0
123 130 Rp 83 253 123
8 25 Rp 552 33 8
206 994 Rp 290 1200 206
0 Rp 3,454 0 0
0 Rp 5,500 0 0
0 Rp 1,400 0 0
0 Rp 157 0 0
100 Rp 2,720 100 0

3 Rp 66,000 3 0
0 Rp 1,225 0 0
0 Rp 1,750 0 0
10 40 Rp 1,000 50 10
0 Rp 128 0 0
0 Rp 70,158 0 0
0 Rp 5,500 0 0
0 Rp 660 0 0
0 Rp 160,000 0 0
0 Rp 650 0 0
0 Rp 1,550 0 0
840 Rp 46 840 0
0 Rp 5,500 0 0
0 Rp 259,380 0 0
164 157 Rp 3,490 321 164
0 Rp 16,083 0 0
92 117 Rp 2,580 209 92
20 93 Rp 2,915 113 20
433 440 Rp 90 873 433
0 Rp 35 0 0
127 Rp 220 127 0
0 Rp 28 0 0
0 Rp 95 0 0
1 Rp 25,648 1 0
935 2928 Rp 35 3863 935
0 Rp 6,100 0 0
0 Rp 272 0 0
3 2 Rp 266,000 5 3
9 Rp 195,047 9 0
20 0 Rp 93 20 20
19 5 Rp 3,855 24 19
0 Rp 18,500 0 0
0 Rp 85,000 0 0
0 Rp 430,000 0 0
2 Rp 115,000 2 0
0 Rp 3,115 0 0
0 Rp 30,900 0 0
0 Rp 1,933 0 0
3000 0 Rp 34 3000 3000
0 Rp 672 0 0
0 Rp 28,000 0 0
16 122 Rp 44 138 16
0 Rp 3,630 0 0
58 60 Rp 20,900 118 58
18 13 Rp 59,950 31 18
10 0 Rp 70,323 10 10
27 45 Rp 19,954 72 27
17 31 Rp 28,204 48 17
32 3 Rp 14,498 35 32
80 0 Rp 28,204 80 80
80 0 Rp 17,798 80 80
180 0 Rp 17,798 180 180
3 9 Rp 20,906 12 3
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
222 Rp 2,950 222 0
2 Rp 19,500 2 0
2 1 Rp 87,000 3 2
0 Rp 65 0 0
0 Rp 126,500 0 0
470 Rp 1,995 470 0
4983 Rp 1,315 4983 0
311 Rp 2,049 311 0
82 Rp 18,625 82 0
0 Rp 22,265 0 0
0 Rp 7,875 0 0
0 Rp 27,710 0 0
0 Rp 27,710 0 0
0 0 0
0 Rp 112 0 0
0 Rp 116 0 0
70 86 Rp 345 156 70
183 117 Rp 105 300 183
138 Rp 650 138 0
79 110 Rp 650 189 79
281 Rp 750 281 0
0 Rp 925 0 0
0 Rp 4,500 0 0
0 Rp 187 0 0
230 40 Rp 330 270 230
149 188 Rp 90 337 149
200 Rp 112 200 0
0 Rp 200 0 0
1000 0 Rp 272 1000 1000
0 Rp 2,445 0 0
100 0 Rp 4,045 100 100
0 Rp 124 0 0
31 69 Rp 2,100 100 31
4097 2130 Rp 75 6227 4097

77 23 Rp 2,516 100 77
21 97 Rp 135 118 21
0 Rp 2,030 0 0
50 0 Rp 48 50 50
2048 2906 Rp 95 4954 2048
24 68 Rp 1,520 92 24
24 Rp 5,583 24 0
9 Rp 5,583 9 0
0 Rp 181 0 0
0 Rp 62 0 0
608 171 Rp 80 779 608
0 Rp 509 0 0
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
0 Rp 250 0 0
0 Rp 1,054 0 0
20 Rp 1,580 20 0
660 0 Rp 68 660 660
0 Rp 4,180 0 0
11 122 Rp 97 133 11
0 Rp 270 0 0
19 0 Rp 167 19 19
5 Rp 8,100 5 0
4 4 Rp 2,500 8 4
0 Rp 16,667 0 0
1 5 Rp 359,900 6 1
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 1,800 0 0
0 Rp 61 0 0
0 Rp 220 0 0
0 Rp 133 0 0
300 Rp 93 300 0
0 Rp 2,042 0 0
407 Rp 3,417 407 0
121 160 Rp 634 281 121
0 Rp 22,000 0 0
0 Rp 8,000 0 0
10 127 Rp 85 137 10
419 508 Rp 292 927 419
0 Rp 3,399 0 0
209 91 Rp 56 300 209
0 Rp 5,727 0 0
9 Rp 5,200 9 0
53 162 Rp 219 215 53
50 77 Rp 2,798 127 50
0 Rp 59 0 0
11 138 Rp 96 149 11
0 Rp 126 0 0
0 Rp 110 0 0
736 201 Rp 149 937 736
47 29 Rp 3,499 76 47
5 Rp 3,500 5 0
27 Rp 3,200 27 0
3 91 Rp 88 94 3
0 Rp 7,334 0 0
4 5 Rp 3,800 9 4
8 Rp 3,800 8 0
4 Rp 7,334 4 0
2 Rp 130,000 2 0
5 10 Rp 7,900 15 5
4465 1560 Rp 70 6025 4465
0 Rp 7,800 0 0
17 Rp 245 17 0
0 Rp 300 0 0
6107 1232 Rp 51 7339 6107
0 Rp 361 0 0
0 Rp 553 0 0
0 Rp 500 0 0
148 13 Rp 2,145 161 148
2203 3105 Rp 149 5308 2203
100 Rp 839 100 0

60 60 Rp 1,363 120 60
13 Rp 154 13 0
118 94 Rp 800 212 118
3 25 Rp 2,750 28 3
110 Rp 154 110 0
27 70 Rp 108 97 27
0 Rp 89 0 0
14 31 Rp 4,100 45 14
106 194 Rp 160 300 106
25 165 Rp 113 190 25
0 Rp 2,450 0 0
19 32 Rp 3,000 51 19
82 0 Rp 134 82 82
200 0 Rp 200 200 200
3 3 Rp 4,700 6 3
20 140 Rp 100 160 20

26 30 Rp 480 56 26
0 Rp 640 0 0
50 112 Rp 1,529 162 50
0 Rp 5,227 0 0
168 0 Rp 1,438 168 168
15795 5600 Rp 89 21395 15795
2 Rp 17,393 2 0
3 Rp 2,000 3 0
2 Rp 14,203 2 0
0 Rp 108 0 0
30 Rp 1,140 30 0
200 300 Rp 120 500 200
100 Rp 260 100 0
100 Rp 459 100 0
2 16 Rp 5,200 18 2
22 47 Rp 2,000 69 22
207 91 Rp 1,250 298 207
5 27 Rp 15,497 32 5
143 84 Rp 169 227 143
0 Rp 497 0 0
6217 5240 Rp 50 11457 6217
0 Rp 148 0 0
0 Rp 206 0 0
0 Rp 431 0 0
3562 0 Rp 107 3562 3562
690 212 Rp 473 902 690
SEMBER 2015
6 0 Rp 38,000 6 6
5 0 Rp 20,000 5 5
1 0 Rp 5,500 1 1
2 0 Rp 19,000 2 2
1 0 Rp 12,500 1 1
12 0 Rp 6,000 12 12
1 0 Rp 1,000 1 1
1 0 Rp 20,000 1 1
1 0 Rp 15,000 1 1
1 0 Rp 28,000 1 1
1000 0 Rp 150 1000 1000
760 0 Rp 150 760 760
1500 0 Rp 150 1500 1500
0 Rp 103,536 0 0
20 0 Rp 2,724 20 20
0 Rp 33,000 0 0
0 Rp 305 0 0
40 100 Rp 150 140 40
0 Rp 2,900 0 0
0 Rp 6,800 0 0
0 Rp 4,300 0 0
27 6 Rp 3,000 33 27
10 29 Rp 4,000 39 10
0 Rp 354,500 0 0
0 Rp 7,315 0 0
83 217 Rp 400 300 83
12 62 Rp 27 74 12
100 Rp 109 100 0
0 Rp 21 0 0
1 0 Rp 17,000 1 1
0 Rp 2,011 0 0
1 7 Rp 95,578 8 1
60 Rp 1,567 60 0
0 Rp 30 0 0
49 39 Rp 1,668 88 49
4 44 Rp 400 48 4
2 Rp 359,000 2 0
25 25 Rp 6,050 50 25
3060 2199 Rp 24 5259 3060
0 Rp 60,000 0 0
12 909 Rp 33 921 12
0 Rp 3,200 0 0
1 Rp 8,333 1 0
0 Rp 240,000 0 0
1 1 Rp 6,800 2 1
65 65 Rp 83 130 65
25 0 Rp 552 25 25
485 509 Rp 290 994 485
0 Rp 3,454 0 0
24 0 Rp 5,500 24 24
0 Rp 1,400 0 0
100 Rp 157 100 0
100 Rp 2,720 100 0

1 2 Rp 66,000 3 1
0 Rp 1,225 0 0
0 Rp 1,750 0 0
5 35 Rp 1,000 40 5
0 Rp 128 0 0
0 Rp 70,158 0 0
0 Rp 5,500 0 0
240 60 Rp 660 300 240
0 Rp 160,000 0 0
0 Rp 650 0 0
0 Rp 1,550 0 0
37 803 Rp 46 840 37
0 Rp 5,500 0 0
0 Rp 259,380 0 0
178 29 Rp 3,490 207 178
0 Rp 16,083 0 0
91 76 Rp 2,580 167 91
15 78 Rp 2,915 93 15
78 362 Rp 90 440 78
0 Rp 35 0 0
127 Rp 220 127 0
1855 1145 Rp 28 3000 1855
0 Rp 95 0 0
1 0 Rp 25,648 1 1
419 2509 Rp 35 2928 419
0 Rp 6,100 0 0
0 Rp 272 0 0
2 Rp 266,000 2 0
9 Rp 195,047 9 0
100 Rp 93 100 0
11 44 Rp 3,855 55 11
0 Rp 18,500 0 0
0 Rp 85,000 0 0
0 Rp 430,000 0 0
2 Rp 115,000 2 0
0 Rp 3,115 0 0
0 Rp 30,900 0 0
0 Rp 1,933 0 0
3000 0 Rp 34 3000 3000
10 90 Rp 672 100 10
0 Rp 28,000 0 0
122 Rp 44 122 0
0 Rp 3,630 0 0
73 37 Rp 20,900 110 73
22 11 Rp 59,950 33 22
100 0 Rp 70,323 100 100
70 25 Rp 19,954 95 70
25 36 Rp 28,204 61 25
23 0 Rp 14,498 23 23
0 Rp 28,204 0 0
0 Rp 17,798 0 0
0 Rp 17,798 0 0
9 Rp 20,906 9 0
0 Rp 14,862 0 0
0 Rp 6,539 0 0
0 Rp 6,539 0 0
0 Rp 22,100 0 0
0 Rp 22,100 0 0
0 Rp 22,200 0 0
0 Rp 28,000 0 0
0 Rp 165 0 0
0 Rp 33,000 0 0
0 Rp 140 0 0
0 Rp 22,000 0 0
0 Rp 143,750 0 0
0 Rp 555,005 0 0
222 Rp 2,950 222 0
2 Rp 19,500 2 0
1 Rp 87,000 1 0
0 Rp 65 0 0
0 Rp 126,500 0 0
470 0 Rp 1,995 470 470
3783 1200 Rp 1,315 4983 3783
111 200 Rp 2,049 311 111
77 5 Rp 18,625 82 77
0 Rp 22,265 0 0
0 Rp 7,875 0 0
0 Rp 27,710 0 0
0 Rp 27,710 0 0
0 0 0
0 Rp 112 0 0
0 Rp 116 0 0
186 0 Rp 345 186 186

154 163 Rp 105 317 154
52 86 Rp 650 138 52
163 47 Rp 650 210 163
281 Rp 750 281 0
0 Rp 925 0 0
0 Rp 4,500 0 0
0 Rp 187 0 0
93 217 Rp 330 310 93
388 Rp 90 388 0
200 Rp 112 200 0
0 Rp 200 0 0
1000 0 Rp 272 1000 1000
0 Rp 2,445 0 0
99 1 Rp 4,045 100 99
0 Rp 124 0 0
33 36 Rp 2,100 69 33
4783 347 Rp 75 5130 4783

117 6 Rp 2,516 123 117
61 36 Rp 135 97 61
0 Rp 2,030 0 0
0 Rp 48 0 0
3142 1764 Rp 95 4906 3142
35 33 Rp 1,520 68 35
24 Rp 5,583 24 0
1 8 Rp 5,583 9 1
0 Rp 181 0 0
0 Rp 62 0 0
577 194 Rp 80 771 577
0 Rp 509 0 0
0 Rp 4,746 0 0
0 Rp 2,950 0 0
0 Rp 859 0 0
0 Rp 250 0 0
0 Rp 1,054 0 0
20 Rp 1,580 20 0
420 80 Rp 68 500 420
0 Rp 4,180 0 0
25 97 Rp 97 122 25
0 Rp 270 0 0
0 Rp 167 0 0
2 3 Rp 8,100 5 2
5 4 Rp 2,500 9 5
0 Rp 16,667 0 0
2 3 Rp 359,900 5 2
0 Rp 1,199,990 0 0
0 Rp 214,900 0 0
0 Rp 160,000 0 0
0 Rp 1,800 0 0
0 Rp 61 0 0
0 Rp 220 0 0
0 Rp 133 0 0
300 Rp 93 300 0
24 0 Rp 2,042 24 24
407 Rp 3,417 407 0
57 203 Rp 634 260 57
0 Rp 22,000 0 0
0 Rp 8,000 0 0
39 88 Rp 85 127 39
419 589 Rp 292 1008 419
0 Rp 3,399 0 0
314 77 Rp 56 391 314
0 Rp 5,727 0 0
9 Rp 5,200 9 0
138 24 Rp 219 162 138
63 62 Rp 2,798 125 63
0 Rp 59 0 0
138 Rp 96 138 0
0 Rp 126 0 0
0 Rp 110 0 0
714 287 Rp 149 1001 714
31 48 Rp 3,499 79 31
5 Rp 3,500 5 0
1 26 Rp 3,200 27 1
5 86 Rp 88 91 5
0 Rp 7,334 0 0
5 Rp 3,800 5 0
8 Rp 3,800 8 0
4 Rp 7,334 4 0
2 Rp 130,000 2 0
7 3 Rp 7,900 10 7
5013 347 Rp 70 5360 5013
0 Rp 7,800 0 0
117 Rp 245 117 0
0 Rp 300 0 0
2154 6078 Rp 51 8232 2154
0 Rp 361 0 0
0 Rp 553 0 0
0 Rp 500 0 0
123 40 Rp 2,145 163 123
1743 1362 Rp 149 3105 1743
100 Rp 839 100 0

14 46 Rp 1,363 60 14
13 Rp 154 13 0
105 89 Rp 800 194 105
4 21 Rp 2,750 25 4
10 100 Rp 154 110 10
42 28 Rp 108 70 42
0 Rp 89 0 0
11 20 Rp 4,100 31 11
303 91 Rp 160 394 303
59 106 Rp 113 165 59
0 Rp 2,450 0 0
35 21 Rp 3,000 56 35
0 Rp 134 0 0
128 172 Rp 200 300 128
23 Rp 4,700 23 0
53 87 Rp 100 140 53
10 120 Rp 480 130 10
0 Rp 640 0 0
32 80 Rp 1,529 112 32
0 Rp 5,227 0 0
168 0 Rp 1,438 168 168
17117 2983 Rp 89 20100 17117
2 Rp 17,393 2 0
1 2 Rp 2,000 3 1
1 1 Rp 14,203 2 1
0 Rp 108 0 0
30 Rp 1,140 30 0
300 Rp 120 300 0
100 Rp 260 100 0
100 Rp 459 100 0
2 14 Rp 5,200 16 2
25 22 Rp 2,000 47 25
143 148 Rp 1,250 291 143
4 23 Rp 15,497 27 4
141 143 Rp 169 284 141
0 Rp 497 0 0
6376 4864 Rp 50 11240 6376
0 Rp 148 0 0
0 Rp 206 0 0
0 Rp 431 0 0
2112 888 Rp 107 3000 2112
610 202 Rp 473 812 610
0 Rp 2,030 0 0
0 Rp 990 0 0
0 Rp 3,849 0 0
0 Rp 338 0 0
1000 Rp 86 1000 0
0 Rp 200 0 0
0 Rp 380 0 0
0 Rp 176 0 0
0 Rp 233 0 0
0 Rp 3,822 0 0
0 Rp 90 0 0
0 Rp 80 0 0
0 Rp 112 0 0
0 Rp 330 0 0
0 Rp 187 0 0
11400 Rp 211 11400 0
540 Rp 4,045 540 0
0 Rp 2,445 0 0
0 Rp 5,100 0 0
24000 Rp 75 24000 0
300 Rp 2,100 300 0

0 Rp 2,516 0 0
0 Rp 3,045 0 0
0 Rp 135 0 0
1400 Rp 116 1400 0
0 Rp 148 0 0
0 Rp 159 0 0
0 Rp 95 0 0
0 Rp 84 0 0
500 Rp 48 500 0
0 Rp 158 0 0
0 Rp 112 0 0
0 Rp 1,815 0 0
0 Rp 2,950 0 0
0 Rp 24,750 0 0
0 Rp 237 0 0
0 Rp 345 0 0
1000 Rp 190 1000 0

0 Rp 700 0 0
0 Rp 1,350 0 0
0 Rp 74 0 0
0 Rp 4,500 0 0
600 Rp 1,250 600 0
200 Rp 1,520 200 0
0 Rp 6,045 0 0
0 Rp 4,990 0 0
0 Rp 746 0 0
0 Rp 645 0 0
0 Rp 1,580 0 0
12800 Rp 68 12800 0
0 Rp 11,525 0 0
0 Rp 4,180 0 0
0 Rp 16,748 0 0
0 Rp 45 0 0
0 Rp 1,054 0 0
0 Rp 97 0 0
0 Rp 104 0 0
0 Rp 270 0 0
0 Rp 3,333 0 0
500 Rp 167 500 0

0 Rp 9,840 0 0
0 Rp 12,990 0 0
0 Rp 8,100 0 0
0 Rp 497 0 0
0 Rp 930 0 0
0 Rp 7,700 0 0
0 Rp 2,500 0 0
0 Rp 16,667 0 0
0 Rp 133 0 0
0 Rp 1,800 0 0
0 Rp 220 0 0
0 Rp 634 0 0
0 Rp 3,417 0 0
0 Rp 4,862 0 0
300 Rp 85 300 0
0 Rp 285 0 0
0 Rp 289 0 0
0 Rp 3,399 0 0
0 Rp 2,600 0 0
0 Rp 3,194 0 0
0 Rp 56 0 0
0 Rp 265 0 0
500 Rp 436 500 0
0 Rp 430 0 0
0 Rp 5,700 0 0
40 Rp 5,200 40 0
0 Rp 219 0 0
0 Rp 59 0 0
0 Rp 96 0 0
500 Rp 69 500 0
0 Rp 126 0 0
280 Rp 2,570 280 0
360 Rp 2,798 360 0
0 Rp 4,500 0 0
0 Rp 3,499 0 0
0 Rp 4,499 0 0
2000 Rp 110 2000 0
3000 Rp 149 3000 0
0 Rp 2,470 0 0
0 Rp 88 0 0
0 Rp 189 0 0
0 Rp 7,800 0 0
23100 Rp 70 23100 0
0 Rp 5,000 0 0
0 Rp 140 0 0
4800 Rp 80 4800 0
900 Rp 62 900 0
0 Rp 245 0 0
0 Rp 2,042 0 0
0 Rp 2,569 0 0
0 Rp 2,850 0 0
0 Rp 4,700 0 0
0 Rp 300 0 0
0 Rp 2,722 0 0
0 Rp 2,300 0 0
0 Rp 361 0 0
0 Rp 553 0 0
0 Rp 900 0 0
0 Rp 3,524 0 0
0 Rp 1,600 0 0
0 Rp 3,680 0 0
40000 Rp 51 40000 0
2000 Rp 144 2000 0

0 Rp 68 0 0
0 Rp 500 0 0
0 Rp 1,100 0 0
0 Rp 50 0 0
0 Rp 42 0 0
10000 Rp 149 10000 0
0 Rp 2,145 0 0
0 Rp 670 0 0
0 Rp 14,500 0 0
0 Rp 473 0 0
0 Rp 528 0 0
0 Rp 839 0 0
0 Rp 1,363 0 0
0 Rp 40,000 0 0
0 Rp 142,000 0 0
0 Rp 89 0 0
300 Rp 154 300 0
0 Rp 2,800 0 0
0 Rp 3,500 0 0
0 Rp 113 0 0
0 Rp 198 0 0
500 Rp 800 500 0
500 Rp 154 500 0
0 Rp 2,750 0 0
0 Rp 635 0 0
0 Rp 205 0 0
0 Rp 300 0 0
0 Rp 5,280 0 0
0 Rp 2,600 0 0
500 Rp 108 500 0
0 Rp 9,950 0 0
0 Rp 3,850 0 0
0 Rp 4,100 0 0
0 Rp 3,220 0 0
1000 Rp 110 1000 0
1300 Rp 160 1300 0
0 Rp 3,000 0 0
0 Rp 4,700 0 0
0 Rp 6,200 0 0
3000 Rp 200 3000 0
0 Rp 2,999 0 0
0 Rp 3,500 0 0
700 Rp 100 700 0
0 Rp 480 0 0
0 Rp 359,900 0 0
0 Rp 214,900 0 0
0 Rp 48,500 0 0
0 Rp 400 0 0
0 Rp 2,200 0 0
0 Rp 36,000 0 0
1200 Rp 211 1200 0
0 Rp 2,400 0 0
0 Rp 716 0 0
0 Rp 5,200 0 0
890 Rp 1,438 890 0

55200 Rp 89 55200 0
375 Rp 6,450 375 0
0 Rp 11,475 0 0
0 Rp 8,360 0 0
0 Rp 296 0 0
0 Rp 1,000 0 0
0 Rp 17,393 0 0
0 Rp 37,109 0 0
0 Rp 2,163 0 0
0 Rp 14,203 0 0
0 Rp 5,998 0 0
0 Rp 2,300 0 0
0 Rp 7,190 0 0
0 Rp 65 0 0
0 Rp 319 0 0
0 Rp 106 0 0
0 Rp 1,140 0 0
3300 Rp 120 3300 0
0 Rp 260 0 0
0 Rp 459 0 0
120 Rp 5,200 120 0

0 Rp 1,008 0 0
0 Rp 63,750 0 0
300 Rp 59 300 0
120 Rp 2,000 120 0
288 Rp 4,746 288 0
0 Rp 513 0 0
5600 Rp 509 5600 0
0 Rp 5,895 0 0
0 Rp 859 0 0
0 Rp 8,800 0 0
0 Rp 2,950 0 0
0 Rp 7,999 0 0
1500 Rp 181 1500 0
0 Rp 1,078 0 0
0 Rp 57 0 0
0 Rp 169 0 0
0 Rp 391 0 0
0 Rp 255 0 0
0 Rp 315 0 0
0 Rp 13,425 0 0
0 Rp 12,917 0 0
0 Rp 1,050 0 0
0 Rp 250 0 0
0 Rp 99 0 0
0 Rp 11,500 0 0
0 Rp 148 0 0
7400 Rp 300 7400 0
10000 Rp 107 10000 0

0 Rp 12,840 0 0
0 Rp 14,980 0 0
240 Rp 7,400 240 0
0 Rp 473 0 0
500 Rp 990 500 0
0 Rp 650 0 0
0 Rp 1,540 0 0
0 Rp 1,298 0 0
0 Rp 925 0 0
0 Rp 1,790 0 0
0 Rp 650 0 0
0 Rp 792 0 0
0 Rp 650 0 0
0 Rp 828 0 0
0 Rp 957 0 0
0 Rp 750 0 0
0 Rp 979 0 0
0 Rp 1,348 0 0
0 Rp 1,078 0 0
0 Rp 27,758 0 0
0 Rp 22,599 0 0
0 Rp 22,599 0 0
0 Rp 22,599 0 0
0 Rp 23,631 0 0
0 Rp 27,758 0 0
0 Rp 23,691 0 0
0 Rp 27,758 0 0
0 Rp 14,000 0 0
0 Rp 14,000 0 0
0 Rp 13,616 0 0
0 Rp 15,497 0 0
0 Rp 13,616 0 0
0 Rp 16,064 0 0
0 Rp 5,583 0 0
0 Rp 5,583 0 0
0 Rp 5,583 0 0
0 Rp 5,583 0 0
0 Rp 3,056 0 0
0 Rp 3,056 0 0
0 Rp 3,000 0 0
0 Rp 3,000 0 0
0 Rp 3,000 0 0
0 Rp 3,000 0 0
0 Rp 3,000 0 0
0 Rp 3,000 0 0
0 Rp 3,000 0 0
0 Rp 8,000 0 0
0 Rp 8,000 0 0
0 Rp 8,000 0 0
0 Rp 32,500 0 0
0 Rp 32,500 0 0
0 Rp 32,500 0 0
0 Rp 36,500 0 0
0 Rp 30,000 0 0
0 Rp 30,000 0 0
0 Rp 3,800 0 0
0 Rp 3,800 0 0
0 Rp 3,500 0 0
0 Rp 7,018 0 0
0 Rp 7,018 0 0
0 Rp 7,018 0 0
0 Rp 7,018 0 0
0 Rp 7,018 0 0
0 Rp 7,018 0 0
0 Rp 7,018 0 0
0 Rp 7,334 0 0
0 Rp 7,334 0 0
0 Rp 7,334 0 0
0 Rp 7,334 0 0
0 Rp 14,718 0 0
0 Rp 14,718 0 0
0 Rp 14,718 0 0
0 Rp 130,000 0 0
7 Rp 105,000 7 0
0 Rp 104,500 0 0
0 Rp 800 0 0
150 Rp 590 150 0

300 Rp 7,900 300 0
20 Rp 24,000 20 0
0 Rp 6,930 0 0
200 Rp 6,930 200 0
200 Rp 6,930 200 0
0 Rp 6,930 0 0
0 Rp 6,930 0 0
0 Rp 6,930 0 0
0 Rp 6,595 0 0
0 Rp 6,595 0 0
0 Rp 6,595 0 0
0 Rp 6,595 0 0
0 Rp 6,595 0 0
0 Rp 6,595 0 0
500 Rp 310 500 0
0 Rp 748 0 0
0 Rp 1,188 0 0
0 Rp 748 0 0
0 Rp 847 0 0
0 Rp 5,500 0 0
0 Rp 5,500 0 0
50 Rp 5,500 50 0
0 Rp 5,500 0 0
0 Rp 14,399 0 0
0 Rp 9,400 0 0
10 Rp 41,000 10 0
10 Rp 58,539 10 0
5 Rp 130,000 5 0
35 Rp 34,528 35 0
0 Rp 750 0 0
0 Rp 23,100 0 0
0 Rp 55,000 0 0
1800 Rp 15,497 1800 0
19400 Rp 284 19400 0
Ciwaringin, 02 Januari 2016

Pengurus Barang
AGENG AMALIA
RKAN/SISA KET
SISA
11 12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0
80 50 39
0 0
0 0
15 15
0 0
0
0
0 0
30 30 0
52 57
0 0
0
0
71 100 0
200 300 0
0 0
0 0
30
30
0 0
3 2 2
0
0
2 3
0
0
0
0
0 0
98 100 55
19 24
1 1
51 50 95
3568 5000 2547
0 0
950 950
0 0
4 4
0 0
0 0
4436
4000 5407
2 4
606 606
20 47
1 1
6 10
144 420
0
0
0 0
2902
5000 3407
0
0
100 100
5 5
22 24
12
12
160 100 111
80 90
0
0
0 0
0
0
0 13
746 500 600
0 0
0 0
1415 1532
0 0
0
0
173
120 172
0 0
150 100 141
108 140
0 0
20 20
127 127
5345
3000 5774
159 180
2 3
1062 1367
0 0
0 0
0 0
0 0
150 190
54 70
13 19
0
0
0
0
3
5
58
96 79
0 0
0 0
3425
6000 3698
0 0
0
0
0 0
5900 3000 5007
70 100 31
16 30 18
16 50 20
36 50 34
6 30 12
12 30 13
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
800 800 0
2700 2700 0
500 500 0
75 75 0
367 500 103
210 310
108 298
344 365
432 400 113
370 394
0
0
16 90 82
222 299
0
225 315
3728 7000 3088
0
50 22
1679 4015
25
31
2505 3000 4924
97 164
0
40
50
125 100 25
4525 2000 4230
89 50 51
10 11
0
110 100 60
0
479 1000 455
0
0
0
0
502 500 274
2584 2000 1524
0
0
290 292
12 30
0
3 2 2
0
4 10
0
0
0
0
0
300 300
0
495
530 65
76
178
0
0
102 153
1069 1000 417
0
274 500 81
0
10
10
154
180
39 72 60
0
520 703
458 665
5 5
39 43
100
100
14 25
12 20
10
10
0
60 70
0
0 250
82 100 131
949
1000 823
100 100
71
116
64 78
128
138
0
100 100
865 800 196
0 100
1050 1050
52 77
284 304
0
8
12
100 100
106 118
63 50 49
0
15 168 363
4455 9000 10281
1 2
3 5
1 2
100 100
0
8 321
100 550
100 2600
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23
64 100
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562 480 500
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0
0
9
9
21
121
80 32 96
0 0
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27 27
0
21
0 0
11 11
8 9
4 4
2 2
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3051
0 7000
0
0
17 17
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2096 854 5000
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340 8 500
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2176
246 3100
100 100
111
81 60
124 43 100
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33 12 30
150
150
110 38 100
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0 10
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47 77
0 65 200
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7
8
178 22 200
18 36
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6136 1468 19000
2 2
6 7
4 4
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840 863
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350
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582 3698
1000
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2346 2865
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35 47
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1600 1600
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100
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50
1075 1986 3700
59 28
100
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1481 3866
26 30 25
24 24
15 15
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200
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195 21
200
6 80
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79 100
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4 305
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27 27
100 0
100
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8 8
4 4
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560 3051
2000
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2269 2176
2000
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33 111
21 124
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110 150
97 110
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0 160
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25 47
130 0 400
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7 7
130 178
94 18 100
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0 8 168
7168 6136 12000
2 2
5 6
3 4
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100 100
22 25
47 30 24
47 40 100
36 39
127 12 200
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5720 1440 9000
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2407 2217 3000
688 498 500
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
30 13 25
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167 180
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0 30
22 32
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0 220
101 122
0 0
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1 1
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6 6
60 0
90
0 0
19 52 25
19 22
0 1
0 0
2238 1211 6000
0 0
921 921
0 0
1 1
0 0
1 2
253 340
3 25
0 311 300
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0 0
100 100
3 3
0 0
0 0
10 20 20
0 0
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0 0
840 840
0 0
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21 202
50
0 0
109 25 200
113 123
873 7 1000
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0 582
1000
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1863 2346
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9 0 9
20 44
24 35
0 0
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0 2
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0 0
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2000
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15 9 30
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180 0 180
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2 0 2
1 -1 3
0 0
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470 470
4983 1600 3383
311 311
82 30 52
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0 0
0 0
0 0
0 0
56 90
0 138
138 154
189 111 100
281 281
0 0
0 0
0 0
0 0 210
137 238
200 200
0 0
0 0 1000
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100
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0 40
527 1075 4500

0 59
50
118 130
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50 125
1954 1481 3000
17 26 25
24 24
9 15
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160 808 500
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407 407
81 108
100
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137 144
627 564 500
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9 9
115 195
31 6 96
0 0
49 79
0 0
0 200
137 4 700
26 48
5 5
27 27
94 100
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9 9
8 8
4 4
2 2
15 20
3025 560
7000
0 0
17 17
0 0
1339 725 6000
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2808 2269
3000
100 100
60 33
90
13 21
12 80
28 33
110 110
97 97
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82 130 200
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6 7
60 130
56 94
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162 87 75
0 0
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1395 7168 12000
2 2
3 5
2 3
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100 100
100 100
18 22
21 47
98 47 200
32 36
27 127
0 0
5457 5720 6000
0 0
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562 2407 3000
902 688 500
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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15 22
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74 101
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1 1
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6 6
60 60
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38 19 75
0 19
2 0 2
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2259 2238 4000
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921 921
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130 253
25 3 30
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840 840
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157 21
300
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93 113
440 873
0 0
127 127
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1 1
2928 1863 2000
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9 9
0 20
5 24
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2
0 0
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3000
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122 138
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45 22 50
31 18 30
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0 80
0 80
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9 12
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1 1 2
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4983 4983
311 311
82 82
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281 281
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100
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100
2130 527 5700
23 0
100
97 118
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2906 1954 3000
68 17 75
24 24
9 9
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4 8
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160 81
200
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508 627 300
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162 115
100
77 31 96
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27 27
91 94
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8 8
4 4
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10 15
1560 3025
3000
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17 17
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1232 1339 6000
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3105 2808
2500
100 100
60 60
60
13 13
94 12 200
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110 110
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165 190
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0 82
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140 60 100
30 56
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5600 1395 20000
2 2
3 3
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100 100
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47 21 48
91 98 200
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84 27 200
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5240 5457 6000
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212 902
902
0
0
0
0
0
0
0
0
0
0
0
0
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29 15 24
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62 74
100 0 100
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60 60
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39 38 50
44 0 48
2 2
25 0 50
2199 2259 3000
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909 921
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65 130
0 25
509 994
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100
100 100
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803 840
0 0
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50
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78 93
362 440
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127 127
1145 0
3000
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2509 2928
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9 9
100 0 100
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3000
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47 110 100
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1 0
100
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36 69
347 2130 3000

6 23
100
36 97
0 0
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1764 2906 2000
33 68
24 24
8 9
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4 4 5
0 0
3 5
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300 300
0 0 24
407 407
203 160
100
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88 127
589 508 500
0 0
77 91 300
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24 162
62 77 48
0 0
138 138
0 0
0 0
287 201 800
48 29 50
5 5
26 27
86 91
0 0
5 5
8 8
4 4
2 2
3 10
347 1560
3800
0 0
117 17 100
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6078 1232 7000
0 0
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1362 3105
100 100
46 60
13 13
89 94 100
21 25
100 110
28 70
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20 31
91 194 200
106 165
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0 0
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23 3
20
87 140
120 30 100
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80 112
0 0
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2983 5600 14500
2 2
2 3
1 2
0 0
30 30
300 300
100 100
100 100
14 16
22 47
148 91 200
23 27
143 84 200
0 0
4864 5240 6000
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888 0 3000
202 212 600
0
0
0
0
1000
1000
0
0
0
0
0
0
11400 11400
540
540
0
24000
24000
300
300
0
1400
1400
0
500
500
0
0
0
0
0
1000 1000
0
0
0
600 600
200
200
0
0
0
0
0
12800 12800
0
0
0
0
0
0
500 500
0
0
0
0
0
0
0
0
0
0
300 300
0
0
0
0
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0
0
500 500
0
0
40 40
0
0
0
500 500
0
280 280
360 360
0
0
0
2000 2000
3000 3000
0
0
23100
23100
0
0
4800 4800
900 900
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40000
40000
2000
2000
0
0
0
0
10000
10000
0
0
0
0
0
0
0
0
0
0
300 300
0
0
0
0
500 500
500
500
0
0
0
0
0
0
500 500
0
0
0
0
1000 1000
1300 1300
0
0
0
3000 3000
0
0
700 700
0
0
0
0
0
0
1200 1200
0
0
0
890 890
55200 55200
375 375
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3300 3300
0
0
120 120
0
0
300
300
120
120
288
288
0
5600 5600
0
0
0
0
0
1500 1500
0
0
0
0
0
0
0
0
0
0
0
0
7400
7400
10000 10000
0
0
240 240
0
500
500
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
150
150
300
300
20
20
0
200
200
200
200
0
0
500
500
0
0
0
0
0
0
50 50
0
0
10
10
10
10
5
5
35
35
0
1800
1800
19400 19400
2 Januari 2016

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SKPD : UPT PUSKESMAS CIWARINGIN

BUKU BARANG PAKAI HABIS

42 Efedrin HCl Tablet 25 mg 2015 Tablet Rp 21

45 Etil Klorida Semprot - 100 ml 2015 Botol Rp 95,400

70 Klorpromazin HCl Tablet Salut 25 mg 2015 Tablet Rp 25

75 Masker 2015 100 Pcs Rp 1,000

78 Metronidazol Tablet 250 mg 2015 Tablet Rp 128

80 Multivitamin Sirup 2015 Botol Rp 10,000

88 Oksigen Gas dalam Tabung 2015 M3 Rp 16,083

108 Sulfasetamid Natrium Tetes Mata 15% 2015 96 Botol Rp 2,980

112 TP Rapid test 2015 test Rp 28,000

114 Urine Bag Steril 2 L 2015 Pcs Rp 3,630

163 Asam Folat 2015 100 Tablet Rp 48

194 Flukonazol tablet 2015 Tablet Rp 22,000

201 Glukosa Larutan Infus 5% Steril - 500 ml 2015 Botol Rp 5,200

202 Griseofulvin Tablet 125 mg, micronized 2015 Tablet Rp 219

210 IV. Cateter no. 20 2015 Pcs Rp 3,800

213 Karbamazepin Tablet 200 mg 2015 Tablet Rp 243

221 Loratadin tablet 10 mg 2015 Tablet Rp 154

223 Metoclopropamamid tablet 5 mg 2015 Tablet Rp 108

232 Nipedipin 10 mg 2015 Tablet Rp 100

59 Efedrin HCl Tablet 25 mg 2015 Tablet Rp 21

62 Etil Klorida Semprot - 100 ml 2015 2 Botol Rp 95,400

87 Klorpromazin HCl Tablet Salut 25 mg 2015 Tablet Rp 25

92 Masker 2015 Pcs Rp 1,000

95 Metronidazol Tablet 250 mg 2015 Tablet Rp 128

97 Multivitamin Sirup 2015 50 Botol Rp 10,000

105 Oksigen Gas dalam Tabung 2015 M3 Rp 16,083

129 TP Rapid test 2015 test Rp 28,000

131 Urine Bag Steril 2 L 2015 Pcs Rp 3,630

211 Flukonazol tablet 2015 Tablet Rp 22,000

218 Glukosa Larutan Infus 5% Steril - 500 ml 2015 Botol Rp 5,200

219 Griseofulvin Tablet 125 mg, micronized 2015 Tablet Rp 219

227 IV. Cateter no. 20 2015 Pcs Rp 3,800

230 Karbamazepin Tablet 200 mg 2015 Tablet Rp 243

238 Loratadin tablet 10 mg 2015 Tablet Rp 154

240 Metoclopropamamid tablet 5 mg 2015 Tablet Rp 108

249 Nipedipin 10 mg 2015 Tablet Rp 100

44 Efedrin HCl Tablet 25 mg 2015 Tablet Rp 21

47 Etil Klorida Semprot - 100 ml 2015 Botol Rp 95,400

72 Klorpromazin HCl Tablet Salut 25 mg 2015 Tablet Rp 25

77 Masker 2015 Pcs Rp 1,000

80 Metronidazol Tablet 250 mg 2015 Tablet Rp 128

82 Multivitamin Sirup 2015 100 Botol Rp 10,000

90 Oksigen Gas dalam Tabung 2015 M3 Rp 16,083

110 Sulfasetamid Natrium Tetes Mata 15% 2015 96 Botol Rp 2,980

116 Urine Bag Steril 2 L 2015 Pcs Rp 3,630

165 Asam Folat 2015 Tablet Rp 48

196 Flukonazol tablet 2015 Tablet Rp 22,000

203 Glukosa Larutan Infus 5% Steril - 500 ml 2015 Botol Rp 5,200

212 IV. Cateter no. 20 2015 Pcs Rp 3,800

215 Karbamazepin Tablet 200 mg 2015 100 Tablet Rp 243

223 Loratadin tablet 10 mg 2015 Tablet Rp 154

225 Metoclopropamamid tablet 5 mg 2015 Tablet Rp 108

234 Nipedipin 10 mg 2015 Tablet Rp 100

39 Efedrin HCl Tablet 25 mg 2015 Tablet Rp 21

42 Etil Klorida Semprot - 100 ml 2015 5 Botol Rp 95,400

67 Klorpromazin HCl Tablet Salut 25 mg 2015 Tablet Rp 25

72 Masker 2015 Pcs Rp 1,000

75 Metronidazol Tablet 250 mg 2015 Tablet Rp 128

77 Multivitamin Sirup 2015 Botol Rp 10,000

85 Oksigen Gas dalam Tabung 2015 M3 Rp 16,083

109 TP Rapid test 2015 test Rp 28,000

111 Urine Bag Steril 2 L 2015 Pcs Rp 3,630