Peningkatan Kinerja UPTD PKM Langsa Timur Melalui Optimalisasi Pengelolaan Barang

SKPD :
KAB/KOTA :
PROVINSI :
BUKU BARANG INVENTARIS
Penerimaan Pengeluaran
No Tanggal Nama/Jenis Merk/ Tahun Jumlah/ Tgl/No.Kontrak/ Berita Acara Pemeriksaan Tanggal Diserahkan Jumlah Tgl/No. Surat
Diterima Barang Ukuran Perolehan Satuan SP/SPK Tanggal Nomor Dikeluarkan Kepada Satuan/Barang Penyerahan
1 2 3 4 5 6 7 8 9 10 11 12 13
Mengetahui : ..
Kepala . Pengurus Barang
(.) ()
NIP NIP.
Keterangan
14
KARTU INVENTARIS RUANGAN
KABUPATEN/KOTA :KOTA LANGSA No. Kode Lokasi .
PROVINSI :PROVINSI ACEH
UNIT :
SATUAN KERJA :
RUANGAN :
Tahun Jumlah Keadaan Barang

No. No. Seri Harga Keterangan
Nama Barang/Jenis Barang Merk/Model Ukuran Bahan Pembuatan/ No. Kode Barang Barang/ Kurang Rusak
Urt Pabrik Beli/Perolehan Baik (B) Mutasi dll
Pembelian Register Baik (KB) Berat (RB
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Mengetahui :
(.)
NIP ()
NIP.
Unit :
Kab/Kota :
Provinsi :
DAFTAR RENCANA KEBUTUHAN BARANG UNIT (RKBU)

TAHUN ANGGARAN .
No Nama/Jenis Barang Merk/Type Ukuran Jumlah Barang Harga Satuan (Rp) Jumlah Biaya (Rp) Kode Rekening Ket
1 2 3 4 5 6 7 8
Mengetahui :
Kepala .
(.)
NIP
SKPD :
KAB/KOTA :
PROVINSI :
DAFTAR RENCANA KEBUTUHAN PEMELIHARAAN BARANG UNIT (RKPBU)

TAHUN ANGGARAN .
No Nama/Jenis Barang Uraian Pemeliharaan Lokasi Kode Barang Jumlah Barang Harga Satuan Jumlah Biaya (Rp) Kode Rekening
1 2 3 4 5 6 7 8 9
Mengetahui :
Kepala .
(.)
NIP
Keterangan
10
.)
BUKU PENERIMAAN BARANG
Dokumen Faktur Bukti Penerimaan

No Tanggal Dari Nama Barang Banyaknya Harga Satuan Jumlah Harga B.A. Penerimaan Keterangan
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12
Mengetahui : ..
(.) ()
NIP NIP.
BUKU PENGELUARAN BARANG
No Tanggal Nomor Urut Nama Barang Banyaknya Harga Satuan Jumlah Harga Untuk Tanggal Penyerahan
1 2 3 4 5 6 7 8 9
Mengetahui : ..
(.) ()
NIP NIP.
Keterangan
10
SKPD : UPTD PKM Langsa Timur
KAB/KOTA : Kota Langsa
PRIVINSI : Aceh
BUKU BARANG PAKAI HABIS

(ALAT TULIS KANTOR)
Penerimaan Pengeluaran Saldo
No Tanggal Jumlah/Satuan/B Tanggal Diserahkan Jumlah/Satuan Jumlah/Satuan

Jenis/Nama Barang Harga Satuan Total Harga Satuan Total Harga Satuan
Diterima arang Dikeluarkan Kepada /Barang /Barang
1 2 3 4 5 6 7 8 9 10 11 12 13
Saldo Awal ATK (Tahun Lalu)
1 31 DES 2014 - Vixal 800 ml 1 Rp 21,036 21,036.00 1 Rp 21,036 21,036.00 1 Rp 21,036
- Wipol 800 ml 1 Rp 21,036 21,036.00 1 Rp 21,036 21,036.00 1 Rp 21,036
- Detergent 900 ml 12 Rp 21,036 252,432.00 12 Rp 21,036 252,432.00 12 Rp 51,035
- Gagang Pell 1 Rp 51,035 51,035.00 1 Rp 51,035 51,035.00 1 Rp 35,000
- Kantong Plastik Sampah 1 Rp 35,000 35,000.00 1 Rp 35,000 35,000.00 1 Rp 81,160
19 JAN 2015 - Sapu Plastik 4 Rp 81,160 324,640.00 4 Rp 81,160 324,640.00 4 Rp 55,450
- Cairan Pembersih Lantai 4 Rp 55,450 221,800.00 4 Rp 55,450 221,800.00 4 Rp 55,450
- Pewangi Ruangan 4 Rp 55,450 221,800.00 4 Rp 55,450 221,800.00 4 Rp 18,230
- Keranjang Sampah Plastik 5 Rp 18,230 91,150.00 5 Rp 18,230 91,150.00 5 Rp 21,030
- Wipol 10 Rp 21,030 210,300.00 10 Rp 21,030 210,300.00 10 Rp 16,360
- Gayung 3 Rp 16,360 49,080.00 3 Rp 16,360 49,080.00 3 Rp 9,350
- Serbet 7 Rp 9,350 65,450.00 7 Rp 9,350 65,450.00 7 Rp 35,060
- Sunlight 2 Rp 35,060 70,120.00 2 Rp 35,060 70,120.00 2 Rp 59,860
16 FEB 2015 - Cairan Pembersih Kaca 2 Rp 59,860 119,720.00 2 Rp 59,860 119,720.00 2 Rp 66,840
- Bulu Ayam Besar 2 Rp 66,840 133,680.00 2 Rp 66,840 133,680.00 2 Rp 35,060
- Sikat Toilet Bergagang 2 Rp 35,060 70,120.00 2 Rp 35,060 70,120.00 2 Rp 28,040
- Sekop Sampah 2 Rp 28,040 56,080.00 2 Rp 28,040 56,080.00 2 Rp 134,130
- Liquit Hand Soap 3 Rp 134,130 402,390.00 3 Rp 134,130 402,390.00 3 Rp 81,360
- Keset Kaki Bahan Karet 1 Rp 81,360 81,360.00 1 Rp 81,360 81,360.00 1 Rp 13,650
- Sapu lidi 2 Rp 13,650 27,300.00 2 Rp 13,650 27,300.00 2 Rp 9,350
- Serbet 1 Rp 9,350 9,350.00 1 Rp 9,350 9,350.00 1 Rp 59,860
19 MAR 2015 - Cairan Pembersih Kaca 2 Rp 59,860 119,720.00 2 Rp 59,860 119,720.00 2 Rp 134,130
- Liquid Hand Soap 2 Rp 134,130 268,260.00 2 Rp 134,130 268,260.00 2 Rp 9,350
- Serbet 2 Rp 9,350 18,700.00 2 Rp 9,350 18,700.00 2 Rp 21,030
- Wipol 6 Rp 21,030 126,180.00 4 Rp 21,030 84,120.00 2 Rp 35,060
- Sunlight 1 Rp 35,060 35,060.00 1 Rp 35,060 35,060.00 1 Rp 55,450
22 APR 2015 - Cairan Pembersih Lantai 10 Rp 55,450 554,500.00 10 Rp 55,450 554,500.00 10 Rp 55,450
- Gagang Pel 4 Rp 51,030 204,120.00 4 Rp 51,030 204,120.00 4 Rp 81,160
- Sapu Plastik 4 Rp 81,160 324,640.00 4 Rp 81,160 324,640.00 4 Rp 35,060
- Sunlight 1 Rp 35,060 35,060.00 1 Rp 35,060 35,060.00 1 Rp 28,040
- Serbet 6 Rp 9,350 56,100.00 6 Rp 9,350 56,100.00 6 Rp 16,360
- gayung 4 Rp 16,360 65,440.00 4 Rp 16,360 65,440.00 4 Rp 55,450
20 MEI 2015 - Cairan Pembersih Lantai 10 Rp 55,450 554,500.00 10 Rp 55,450 554,500.00 10 Rp 55,450
- Sunlight 1 Rp 35,060 35,060.00 1 Rp 35,060 35,060.00 1 Rp 28,040
- Serbet 10 Rp 9,350 93,500.00 10 Rp 9,350 93,500.00 10 Rp 16,360
- Gayung 4 Rp 16,360 65,440.00 4 Rp 16,360 65,440.00 4 Rp 55,450
19 JUN 2015 - Cairan Pembersih Lantai 10 Rp 55,450 554,500.00 10 Rp 55,450 554,500.00 10 Rp 55,450
- Sapu lidi 4 Rp 13,650 54,600.00 4 Rp 13,650 54,600.00 4 Rp 81,160
- Sunlight 1 Rp 35,060 35,060.00 1 Rp 35,060 35,060.00 1 Rp 134,130
- Serbet 4 Rp 9,350 37,400.00 4 Rp 9,350 37,400.00 4 Rp 16,360
- Gayung 4 Rp 16,360 65,440.00 4 Rp 16,360 65,440.00 4 Rp 55,450
23 JUL 2015 - Cairan Pembersih Lantai 12 Rp 55,450 665,400.00 12 Rp 55,450 665,400.00 12 Rp 55,450
- Sunlight 3 Rp 35,060 105,180.00 3 Rp 35,060 105,180.00 3 Rp 134,130
18 NOV 2015 - Cairan Pembersih Lantai 6 Rp 55,450 332,700.00 6 Rp 55,450 332,700.00 6 Rp 55,450
- Sunlight 2 Rp 35,060 70,120.00 2 Rp 35,060 70,120.00 2 Rp 21,036
03 DES 2015 - Cairan Pembersih Kamar Mandi 24 Rp 21,036 504,864.00 24 Rp 21,036 504,864.00 24 Rp 55,450
- Cairan Pencuci Piring 2 Rp 35,061 70,122.00 2 Rp 35,061 70,122.00 2 Rp 51,035
- Sapu Lidi 6 Rp 13,658 81,948.00 6 Rp 13,658 81,948.00 6 Rp 9,350
- Serbet 5 Rp 9,350 46,750.00 4 Rp 9,350 37,400.00 1 Rp 81,166
16 DES 2015 - Cairan Pembersih Lantai 29 Rp 55,455 1,608,195.00 28 Rp 55,455 1,552,740.00 1 Rp 59,860
- Cairan Pembersih Kaca 2 Rp 59,860 119,720.00 0 Rp 59,860 - 2 Rp 163,616
- Keset Kaki Welcome Bahan Wol 2 Rp 163,616 327,232.00 2 Rp 163,616 327,232.00 2 Rp 81,808
- Liquid Hand Soap 3 Rp 134,130 402,390.00 3 Rp 134,130 402,390.00 3
JUMLAH
Mengetahui : Langsa,..
Kepala Kepala Dinas Kesehatan Kota Langsa Pengurus Barang
(dr. Syarbaini, M. Kes ) ( Gianda Okpriatama, SKM )

NIP.19690620 200012 1 001 NIP.19851009 201001 1 019
PRIVINSI : Aceh

(ALAT KEBERSIHAN)
1 2 3 4 5 6 7 8 9 10 11 12 13
Saldo Awal Alat Kebersihan (Tahun Lalu)
1 31 DES 2014 - Vixal 800 ml 1 Rp 21,036 21,036.00 30 DES 2014 0 Rp 21,036 - 1 Rp 21,036
- Wipol 800 ml 1 Rp 21,030 21,030.00 1 Rp 21,036 21,036.00 1 Rp 21,036
- Detergent 900 ml 12 Rp 21,036 252,432.00 12 Rp 21,036 252,432.00 12 Rp 21,036
- Gagang Pell 1 Rp 51,035 51,035.00 1 Rp 51,035 51,035.00 1 Rp 51,035
- Kantong Plastik Sampah 1 Rp 35,000 35,000.00 1 Rp 35,000 35,000.00 1 Rp 35,000
19 JAN 2015 - Sapu Plastik 4 Rp 81,160 324,640.00 18 JAN 2015 2 Rp 81,160 162,320.00 2 Rp 81,160
- Cairan Pembersih Lantai 4 Rp 55,450 221,800.00 4 Rp 55,450 221,800.00 4 Rp 55,450
- Wipol 10 Rp 21,030 210,300.00 10 Rp 21,030 210,300.00 10 Rp 21,030
- Gayung 3 Rp 16,360 49,080.00 3 Rp 16,360 49,080.00 0 Rp 16,360
- Serbet 7 Rp 9,350 65,450.00 7 Rp 9,350 65,450.00 7 Rp 9,350
- Sunlight 2 Rp 35,060 70,120.00 2 Rp 35,060 70,120.00 2 Rp 35,060
16 FEB 2015 - Cairan Pembersih Kaca 2 Rp 59,860 119,720.00 15 FEB 2015 2 Rp 59,860 119,720.00 2 Rp 59,860
- Bulu Ayam Besar 2 Rp 66,840 133,680.00 2 Rp 66,840 133,680.00 2 Rp 66,840
- Sikat Toilet Bergagang 2 Rp 35,060 70,120.00 2 Rp 35,060 70,120.00 2 Rp 35,060
- Liquit Hand Soap 3 Rp 134,130 402,390.00 3 Rp 134,130 402,390.00 3 Rp 134,130
- Sapu lidi 2 Rp 13,650 27,300.00 2 Rp 13,650 27,300.00 2 Rp 13,650
- Serbet 1 Rp 9,350 9,350.00 1 Rp 9,350 9,350.00 1 Rp 9,350
19 MAR 2015 - Cairan Pembersih Kaca 2 Rp 59,860 119,720.00 18 MAR 2015 2 Rp 59,860 119,720.00 2 Rp 59,860
- Serbet 2 Rp 9,350 18,700.00 2 Rp 9,350 18,700.00 2 Rp 9,350
- Wipol 6 Rp 21,030 126,180.00 4 Rp 21,030 84,120.00 2 Rp 21,030
- Sunlight 1 Rp 35,060 35,060.00 1 Rp 35,060 35,060.00 1 Rp 35,060
22 APR 2015 - Cairan Pembersih Lantai 10 Rp 55,450 554,500.00 21 APR 2015 10 Rp 55,450 ### 10 Rp 55,450
- Sapu Plastik 4 Rp 81,160 324,640.00 0 Rp 81,160 - 4 Rp 81,160
- Sunlight 1 Rp 35,060 35,060.00 1 Rp 35,060 35,060.00 1 Rp 35,060
- Serbet 6 Rp 9,350 56,100.00 6 Rp 9,350 56,100.00 6 Rp 9,350
- gayung 4 Rp 16,360 65,440.00 2 Rp 16,360 32,720.00 2 Rp 16,360
20 MEI 2015 - Cairan Pembersih Lantai 10 Rp 55,450 554,500.00 19 MEI 2015 10 Rp 55,450 554,500.00 10 Rp 55,450
- Sunlight 1 Rp 35,060 35,060.00 1 Rp 35,060 35,060.00 1 Rp 35,060
- Serbet 10 Rp 9,350 93,500.00 10 Rp 9,350 93,500.00 10 Rp 9,350
- Gayung 4 Rp 16,360 65,440.00 0 Rp 16,360 - 4 Rp 16,360
19 JUN 2015 - Cairan Pembersih Lantai 10 Rp 55,450 554,500.00 18 JUN 2015 10 Rp 55,450 554,500.00 10 Rp 55,450
- Sapu lidi 4 Rp 13,650 54,600.00 4 Rp 13,650 54,600.00 4 Rp 13,650
- Sunlight 1 Rp 35,060 35,060.00 1 Rp 35,060 35,060.00 1 Rp 35,060
- Serbet 4 Rp 9,350 37,400.00 4 Rp 9,350 37,400.00 4 Rp 9,350
- Gayung 4 Rp 16,360 65,440.00 0 Rp 16,360 - 4 Rp 16,360
23 JUL 2015 - Cairan Pembersih Lantai 12 Rp 55,450 665,400.00 22 JUL 2015 12 Rp 55,450 665,400.00 12 Rp 55,450
- Sunlight 3 Rp 35,060 105,180.00 3 Rp 35,060 105,180.00 3 Rp 35,060
18 NOV 2015 - Cairan Pembersih Lantai 6 Rp 55,450 332,700.00 17 NOV 2015 6 Rp 55,450 332,700.00 6 Rp 55,450
- Sunlight 2 Rp 35,060 70,120.00 2 Rp 35,060 70,120.00 2 Rp 35,060
03 DES 2015 - Cairan Pembersih Kamar Mandi 24 Rp 21,036 504,864.00 02 DES 2015 24 Rp 21,036 504,864.00 24 Rp 21,036
- Pewangi Ruangan 12 Rp 55,450 665,400.00 0 Rp 55,450 - 12.00 Rp 55,450
- Cairan Pencuci Piring 2 Rp 35,061 70,122.00 2 Rp 35,061 70,122.00 2 Rp 35,061
- Sapu Lidi 6 Rp 13,658 81,948.00 6 Rp 13,658 81,948.00 6 Rp 13,658
- Serbet 5 Rp 9,350 46,750.00 4 Rp 9,350 37,400.00 1 Rp 9,350
16 DES 2015 - Cairan Pembersih Lantai 29 Rp 55,450 1,608,050.00 15 DES 2015 28 Rp 55,450 1,552,600.00 1 Rp 55,450
- Cairan Pembersih Kaca 2 Rp 59,860 119,720.00 0 Rp 59,860 - 2 Rp 59,860
- Keset Kaki Welcome Bahan Wol 2 Rp 163,616 327,232.00 2 Rp 163,616 327,232.00 2 Rp 163,616
JUMLAH

NIP.19690620 200012 1 001 NIP.19851009 201001 1 019
PRIVINSI : Aceh

(ALAT LISTRIK)
1 2 3 4 5 6 7 8 9 10 11 12 13
Saldo Awal Alat Listrik (Tahun Lalu)
1 31 DES 2014 - Bola Lampu 20 Watt 2 Rp 45,520 91,040.00 Rp 45,520
dst.
JUMLAH

NIP.19690620 200012 1 001 NIP.19851009 201001 1 019
PRIVINSI : Aceh

(MATERAI)
1 2 3 4 5 6 7 8 9 10 11 12 13
Saldo Awal Materai (Tahun Lalu)
1 31 DES 2014 00 JAN 2015
dst.
JUMLAH

NIP.19690620 200012 1 001 NIP.19851009 201001 1 019
PRIVINSI : Aceh

(OBAT-OBATAN)
1 2 3 4 5 6 7 8 9 10 11 12 13
Saldo Awal Obat-obatan (Tahun Lalu)
1 31 DES 2014 Abbocat No.20 G 51 8,566.25 436,878.75 1/31/2015 Pasien 30.00 8,566.25 256987.5 21
2/28/2015 Pasien 21.00 8,566.25 179891.25 -
Abbocat No.22 G 55 8,566.25 471,143.75 1/31/2015 Pasien 55.00 8,566.25 471143.75 -
Abbocat No.24 G 71 8,566.25 608,203.75 1/31/2015 Pasien 36.00 8,566.25 308385 35
2/28/2015 Pasien 35.00 8,566.25 299818.75 -
Alat Suntik 1 x Pakai 1 ml 10 1,201.75 12,017.50 1/31/2015 Pasien 10.00 1,201.75 12017.5 -
Alat Suntik 1 x Pakai 2,5 ml 231 1,141.80 263,755.80 1/31/2015 Pasien 192.00 1,141.80 219225.6 39
2/28/2015 Pasien 39.00 1,141.80 44530.2 -
Alat Suntik 5 ml 221 1,141.80 252,337.80 1/31/2015 Pasien 65.00 1,141.80 74217 156
2/28/2015 Pasien 135.00 1,141.80 154143 21
3/31/2015 Pasien 21.00 1,141.80 23977.8 -
Allopurinol 805 90.00 72,450.00 1/31/2015 Pasien 579.00 90.00 52110 226
2/28/2015 Pasien 226.00 90.00 20340 -
Amoksisillina kaps. 250 mg 3400 220.00 748,000.00 1/31/2015 Pasien 3,400.00 220.00 748000 -
Amoksisillina kapl 500 mg 200 279.00 55,800.00 1/31/2015 Pasien 200.00 279.00 55800 -
Amoksisillina sirker 125 mg / 5 ml 435 4,816.00 2,094,960.00 1/31/2015 Pasien 224.00 4,816.00 1078784 211
2/28/2015 Pasien 211.00 4,816.00 1016176 -
Asam traneksamat inj 10 3,650.00 36,500.00 9/30/2015 Pasien 10.00 3,650.00 36500 -
Abbocat No.18 48 18,480.00 887,040.00 1/30/2015 Pasien 18.00 18,480.00 332640 30
2/28/2015 Pasien 23.00 18,480.00 425040 7
3/31/2015 Pasien 7.00 18,480.00 129360 -
Antasida sir 75 3,700.00 277,500.00 1/31/2015 Pasien 75.00 3,700.00 277500 -
Antasida Doen Tab 7108 78.00 554,424.00 1/31/2015 Pasien 3,425.00 78.00 267150 3,683
Pasien 3,683.00 78.00 287274 -
Anti Bakteri Doen Salep Komb 8 2,767.00 22,136.00 1/31/2015 Pasien 8.00 2,767.00 22136 -
Anti Hemaroid Supp 7 3,793.00 26,551.00 1/31/2015 Pasien 7.00 3,793.00 26551 -
Asam Ascorbat ( Vit.C ) 50 mg 3030 105.00 318,150.00 1/31/2015 Pasien 3,030.00 105.00 318150 -
Amlodipin 47 197.00 9,259.00 1/31/2015 Pasien 47.00 197.00 9259 -
Attapulgit 169 220.00 37,180.00 1/31/2015 Pasien 169.00 220.00 37180 -
Asam Mefenamat 2585 127.00 328,295.00 1/31/2015 Pasien 2,585.00 127.00 328295 -
Acyclovir tab 200 mg 485 245.00 118,825.00 1/31/2015 Pasien 485.00 245.00 118825 -
Acyclovir Krim 46 3,790.00 174,340.00 1/31/2015 Pasien 46.00 3,790.00 174340 -
Alprazolam 0,5 mg 465 185.00 86,025.00 1/31/2015 Pasien 287.00 185.00 53095 178
1/28/2015 Pasien 178.00 185.00 32930 -
Ambroxol syr 14 4,169.00 58,366.00 1/31/2015 Pasien 14.00 4,169.00 58366 -
Ambroxol Tablet 479 143.00 68,497.00 1/31/2015 Pasien 479.00 143.00 68497 -
ATS Inj 1.500 IU 8 160,014.00 1,280,112.00 Pasien 160,014.00 0 8 160,014.00
Aqua Pro Inj. 9 5,900.00 53,100.00 1/31/2015 Pasien 9.00 5,900.00 53100 -
2 - 4 Salep 32 2,200.00 70,400.00 1/31/2015 Pasien 18.00 2,200.00 39600 14
2/28/2015 Pasien 14.00 2,200.00 30800 -
Besi ( II ) Sulfat Tablet 33,230 45.00 1,495,350.00 1/31/2015 Pasien 1,522.00 45.00 68490 31,708
2/28/2015 Pasien 2,127.00 45.00 95715 29,581
3/31/2015 Pasien 1,334.00 45.00 60030 28,247
4/30/2015 Pasien 1,807.00 45.00 81315 26,440
5/31/2015 Pasien 3,031.00 45.00 136395 23,409
6/30/2015 Pasien 1,935.00 45.00 87075 21,474
7/31/2015 Pasien 1,405.00 45.00 63225 20,069
8/30/2015 Pasien 5,421.00 45.00 243945 14,648
31-09-15 Pasien 2,273.00 45.00 102285 12,375
10/30/2015 Pasien 3,096.00 45.00 139320 9,279
31-11-15 Pasien 2,069.00 45.00 93105 7,210
12/30/2015 Pasien 633.00 45.00 28485 6,577 45.00
Betametason Krim 37 1,558.00 57,646.00 1/31/2015 Pasien 37.00 1,558.00 57646 -
Betahistin 90 1,062.00 95,580.00 1/31/2015 Pasien 6.00 1,062.00 6372 84
2/28/2015 Pasien 6.00 1,062.00 6372 78
3/31/2015 Pasien 74.00 1,062.00 78588 4
4/30/2012 Pasien 4.00 1,062.00 4248 -
Betadine Ointment 12 8,663.00 103,956.00 2/28/2015 Pasien 12.00 8,663.00 103956 -
Bisturi 19 1,482.00 28,158.00 1/31/2015 Pasien 18.00 1,482.00 26676 1
2/28/2015 Pasien 1.00 1,482.00 1482
Captopril 25mg 705 97.00 68,385.00 1/31/2015 Pasien 226.00 97.00 21922 479
2/28/2015 Pasien 298.00 97.00 28906 181
3/31/2015 Pasien 181.00 97.00 17557 -
Captopril 12,5mg 2527 69.00 174,363.00 1/31/2015 Pasien 1,285.00 69.00 88665 1,242
2/28/2015 Pasien 1,206.00 69.00 83214 36
3/31/2015 Pasien 36.00 69.00 2484 -
Ciprofloksasin Tab 500 mg 798 290.00 231,420.00 1/31/2015 Pasien 798.00 290.00 231420 -
Cefotaxim Inj. 20 3,500.00 70,000.00 31-02-15 Pasien 20.00 3,500.00 70000 -
Ceftriaxone Inj. 40 3,900.00 156,000.00 31-02-15 Pasien 20.00 3,900.00 78000 20
8/30/2015 Pasien 5.00 3,900.00 19500 15
10/30/2015 Pasien 15.00 3,900.00 58500 -
Clindamicin 150 mg 554 405.00 224,370.00 1/31/2015 Pasien 335.00 405.00 135675 219
2/28/2015 Pasien 219.00 405.00 88695 -
Deksametason Inj 59 1,738.00 102,542.00 1/28/2015 Pasien 5.00 1,738.00 8690 54
4/30/2015 Pasien 32.00 1,738.00 55616 22
5/31/2015 Pasien 20.00 1,738.00 34760 2
6/30/2015 Pasien 2.00 1,738.00 3476 -
Deksametason 0,5 mg 6456 68.00 439,008.00 1/31/2015 Pasien 4,227.00 68.00 287436 2,229
2/28/2015 Pasien 2,229.00 68.00 151572 -
Diazepam Inj 71 1,290.00 91,590.00 4/30/2015 Pasien 12.00 1,290.00 15480 59
31-09-15 Pasien 3.00 1,290.00 3870 56
10/30/2015 Pasien 1.00 1,290.00 1290 55
31-11-15 Pasien 5.00 1,290.00 6450 50 1,290.00
Diazepam Tab 2 mg 1338 46.00 61,548.00 1/31/2015 Pasien 10.00 46.00 460 1,328
2/28/2015 Pasien 163.00 46.00 7498 1,165
3/31/2015 Pasien 127.00 46.00 5842 1,038
4/30/2015 Pasien 160.00 46.00 7360 878
5/31/2015 Pasien 164.00 46.00 7544 714
6/30/2015 Pasien 69.00 46.00 3174 645
7/31/2015 Pasien 68.00 46.00 3128 577
8/30/2015 Pasien 79.00 46.00 3634 498
31-09-15 Pasien 224.00 46.00 10304 274
10/30/2015 Pasien 101.00 46.00 4646 202
31-11-15 Pasien 72.00 46.00 3312 130
12/30/2015 Pasien 116.00 46.00 5336 14 46.00
Dipenhidramin Inj 42 1,160.00 48,720.00 2/28/2015 Pasien 20.00 1,160.00 23200 22
7/31/2015 Pasien 22.00 1,160.00 25520 -
Digoksin 0,25 mg 275 103.00 28,325.00 2/28/2015 Pasien 10.00 103.00 1030 265
3/30/2015 Pasien 10.00 103.00 1030 255
6/30/2010 Pasien 5.00 103.00 515 250 103.00
Diaform 30 969.40 29,082.00 1/31/2015 Pasien 30.00 969.40 29082 -
Dulcolax 530 175.20 92,856.00 1/31/2015 Pasien 53.00 175.20 9285.6 477
2/28/2015 Pasien 86.00 175.20 15067.2 391
3/31/2015 Pasien 22.00 175.20 3854.4 369
4/30/2015 Pasien 32.00 175.20 5606.4 337
5/31/2015 Pasien 31.00 175.20 5431.2 306
6/30/2015 Pasien 256.00 175.20 44851.2 50
7/31/2015 Pasien 50.00 175.20 8760 -
Erytromisin 500 mg 387 1,023.00 395,901.00 1/31/2015 Pasien 387.00 1,023.00 395901 -
Erytromisin Sirup 15 8,090.00 121,350.00 1/31/2015 Pasien 6.00 8,090.00 48540 9
2/28/2015 Pasien 9.00 8,090.00 72810 -
Ergotamin tartrat 100 149.00 14,900.00 6/30/2015 Pasien 30.00 149.00 4470 70
31-09-15 Pasien 40.00 149.00 5960 30
10/30/2015 Pasien 20.00 149.00 2980 10
31-11-15 Pasien 10.00 149.00 1490 -
Etakridin Kom 1 5,817.00 5,817.00 1/31/2015 Pasien 1.00 5,817.00 5817 -
Etanol 70% 100 ml 87 2,625.00 228,375.00 1/31/2015 Pasien 19.00 2,625.00 49875 68
2/28/2015 Pasien 68.00 2,625.00 178500 -
Etil Klorida semprot 11 115,500.00 1,270,500.00 1/31/2015 Pasien 3.00 115,500.00 346500 8
3/31/2015 Pasien 1.00 115,500.00 115500 7
4/30/2015 Pasien 7.00 115,500.00 808500 -
Hyocine inj 10 4,950.00 49,500.00 Pasien 4,950.00 0 10 4,950.00
Fenobarbital Tab 30 mg 143 108.00 15,444.00 1/31/2015 Pasien 85.00 108.00 9180 58
2/28/2015 Pasien 58.00 108.00 6264 -
Fitomenadion inj 68 3,754.00 255,272.00 1/31/2015 Pasien 20.00 3,754.00 75080 48
2/28/2015 Pasien 16.00 3,754.00 60064 32
3/31/2015 Pasien 14.00 3,754.00 52556 18
4/30/2015 Pasien 18.00 3,754.00 67572 -
Fitomenadion tab 10 mg 400 698.00 279,200.00 1/31/2015 Pasien 64.00 698.00 44672 336
2/28/2015 Pasien 92.00 698.00 64216 244
3/31/2015 Pasien 59.00 698.00 41182 185
4/30/2015 Pasien 115.00 698.00 80270 70
5/31/2015 Pasien 70.00 698.00 48860 -
Folley cateter No.24 5 9,344.50 46,722.50 1/31/2015 Pasien 3.00 9,344.50 28033.5 2
3/31/2015 Pasien 2.00 9,344.50 18689 -
Furrosemida tab 24 84.00 2,016.00 1/31/2015 Pasien 24.00 84.00 2016 -
Furrosemida Inj. 15 2,012.00 30,180.00 1/31/2015 Pasien 5.00 2,012.00 10060 10
2/28/2015 Pasien 10.00 2,012.00 20120
Folley cateter No.18 5 9,344.50 46,722.50 2/28/2015 Pasien 5.00 9,344.50 46722.5 -
Garam Oralit 200 mg 329 317.00 104,293.00 1/31/2015 Pasien 57.00 317.00 18069 272
2/28/2015 Pasien 48.00 317.00 15216 224
3/31/2015 Pasien 188.00 317.00 59596 36
4/30/2015 Pasien 6.00 317.00 1902 30
5/31/2015 Pasien 30.00 317.00 9510 -
Gentian Violet 1 % 80 2,426.00 194,080.00 1/31/2015 Pasien 21.00 2,426.00 50946 59
2/28/2015 Pasien 18.00 2,426.00 43668 41
3/31/2015 Pasien 7.00 2,426.00 16982 34
4/30/2015 Pasien 12.00 2,426.00 29112 22
5/31/2015 Pasien 22.00 2,426.00 53372 -
Gentamisin sk 67 2,126.00 142,442.00 1/31/2015 Pasien 67.00 2,126.00 142442 -
Hyocine 100 344.00 34,400.00 8/30/2015 Pasien 24.00 344.00 8256 76
31-09-15 Pasien 46.00 344.00 15824 30
10/30/2015 Pasien 10.00 344.00 3440 20
31-11-15 Pasien 10.00 344.00 3440 10
12/30/2015 Pasien 10.00 344.00 3440 -
Glibenklamide tab 5 mg 1835 61.00 111,935.00 1/31/2015 Pasien 1,307.00 61.00 79727 528
2/28/2015 Pasien 528.00 61.00 32208 -
Gliseril Guayakolat tab 2400 33.00 79,200.00 1/31/2015 Pasien 2,400.00 33.00 79200 -
Glukosa Lar. Inf 5 % 140 5,720.00 800,800.00 1/31/2015 Pasien 5.00 5,720.00 28600 135
2/28/2015 Pasien 14.00 5,720.00 80080 121
3/31/2015 Pasien 20.00 5,720.00 114400 101
4/30/2015 Pasien 33.00 5,720.00 188760 68
5/31/2015 Pasien 7.00 5,720.00 40040 61
6/30/2015 Pasien 33.00 5,720.00 188760 28
7/31/2015 Pasien 28.00 5,720.00 160160 -
Grisiofulvin tab 125 mg 452 241.00 108,932.00 1/31/2015 Pasien 452.00 241.00 108932 -
Ibuprofen Syr 90 4,949.00 445,410.00 1/31/2015 Pasien 90.00 4,949.00 445410 -
Ibuprofen tab 400 mg 416 238.00 99,008.00 1/31/2015 Pasien 358.00 238.00 85204 58
2/28/2015 Pasien 58.00 238.00 13804 -
Haloperidol 0,5 mg 3800 62.00 235,600.00 1/31/2015 Pasien 161.00 62.00 9982 3,639
2/28/2015 Pasien 31.00 62.00 1922 3,608
3/31/2015 Pasien 60.00 62.00 3720 3,548
4/30/2015 Pasien 166.00 62.00 10292 3,382
5/31/2015 Pasien 104.00 62.00 6448 3,278
6/30/2015 Pasien 143.00 62.00 8866 3,135
7/31/2015 Pasien 55.00 62.00 3410 3,080
8/30/2015 Pasien 40.00 62.00 2480 3,040
31-09-15 Pasien 145.00 62.00 8990 2,895
10/30/2015 Pasien 91.00 62.00 5642 2,804
31-11-15 Pasien 135.00 62.00 8370 2,669
12/30/2015 Pasien 38.00 62.00 2356 2,631 62.00
Haloperidiol 1,5 300 76.00 22,800.00 1/31/2015 Pasien 300.00 76.00 22800 -
Haloperidol 5 400 105.00 42,000.00 1/31/2015 Pasien 400.00 105.00 42000 -
Hidroklorotiazida tab 25 mg (H.C.T) 1030 53.00 54,590.00 1/31/2015 Pasien 90.00 53.00 4770 940
2/28/2015 Pasien 86.00 53.00 4558 854
3/31/2015 Pasien 129.00 53.00 6837 725
4/30/2015 Pasien 42.00 53.00 2226 683
5/31/2015 Pasien 12.00 53.00 636 671
6/30/2015 Pasien 21.00 53.00 1113 650 53.00
Hidrokortison Krim 155 2,868.00 444,540.00 1/31/2015 Pasien 79.00 2,868.00 226572 76
2/28/2015 Pasien 74.00 2,868.00 212232 2
3/31/2015 Pasien 2.00 2,868.00 5736 -
Hand Schun 100 4,675.00 467,500.00 1/31/2015 Pasien 100.00 4,675.00 467500 -
Ibuprofen tab 200 mg 400 181.00 72,400.00 1/31/2015 Pasien 400.00 181.00 72400 -
Infusion set anak 39 4,400.00 171,600.00 1/31/2015 Pasien 2.00 4,400.00 8800 37
2/28/2015 Pasien 20.00 4,400.00 88000 17
3/31/2015 Pasien 17.00 4,400.00 74800 -
Infusion set dewasa 41 3,850.00 157,850.00 1/31/2015 Pasien 41.00 3,850.00 157850 -
Isosorbit Dinitrat tab sulbligual 25 mg 263 98.00 25,774.00 1/31/2015 Pasien 10.00 98.00 980 253
2/28/2015 Pasien 15.00 98.00 1470 238
3/31/2015 Pasien 47.00 98.00 4606 191
4/30/2015 Pasien 11.00 98.00 1078 180
5/31/2015 Pasien 21.00 98.00 2058 159
6/30/2015 Pasien 50.00 98.00 4900 109
7/31/2015 Pasien 10.00 98.00 980 99
8/30/2015 Pasien 20.00 98.00 1960 79
31-09-15 Pasien 50.00 98.00 4900 29
10/30/2015 Pasien 10.00 98.00 980 19
31-11-15 Pasien 10.00 98.00 980 9
12/30/2015 Pasien 9.00 98.00 882 -
Gentamisin TM 23 8,448.00 194,304.00 1/31/2015 Pasien 23.00 8,448.00 194304 -
Kals Laktat tab 500 mg 1350 66.00 89,100.00 1/31/2015 Pasien 1,190.00 66.00 78540 160
2/28/2015 Pasien 160.00 66.00 10560 -
Glucodek 82 266.00 21,812.00 1/31/2015 Pasien 82.00 266.00 21812 -
Kapas Pembalut 250 mg 3 8,250.00 24,750.00 31--01-15 Pasien 3.00 8,250.00 24750 -
Kasa Hidrophile 16x16 20 9,350.00 187,000.00 1/31/2015 Pasien 20.00 9,350.00 187000 -
Kasa Pembalut 4m x 15 cm 170 1,875.00 318,750.00 1/31/2015 Pasien 102.00 1,875.00 191250 68
2/28/2015 Pasien 68.00 1,875.00 127500 -
glukosa Lar. Inf 40 % 5 3,538.00 17,690.00 3/31/2015 Pasien 1.00 3,538.00 3538 4
8/30/2015 Pasien 2.00 3,538.00 7076 2
9/30/2015 Pasien 1.00 3,538.00 3538 1
31-11-15 Pasien 1.00 3,538.00 3538 -
Ketokonazole crem 21 2,633.00 55,293.00 1/31/2015 Pasien 4.00 2,633.00 10532 17
3/31/2015 Pasien 4.00 2,633.00 10532 13
4/30/2015 Pasien 13.00 2,633.00 34229 -
Kloramfenikol Kap 250 mg 645 242.00 156,090.00 1/31/2015 Pasien 645.00 242.00 156090 -
Kloramfenikol Salap Mata 103 1,760.00 181,280.00 1/31/2015 Pasien 76.00 1,760.00 133760 27
2/28/2015 Pasien 27.00 1,760.00 47520 -
Kloramfenikol Tetes Mata 46 8,153.00 375,038.00 1/31/2015 Pasien 46.00 8,153.00 375038 -
Kloramfenikol Tetes Telinga 3 % 19 1,840.00 34,960.00 1/31/2015 Pasien 16.00 1,840.00 29440 3
2/28/2015 Pasien 3.00 1,840.00 5520 -
Klorfeniramin Maleat ( CTM ) tab 4 Mg 11,110 13.00 144,430.00 1/31/2015 Pasien 10,751.00 13.00 139763 359
2/28/2015 Pasien 359.00 13.00 4667 -
Keterolac Inj 16 2,020.00 32,320.00 1/31/2015 Pasien 12.00 2,020.00 24240 4
2/28/2015 Pasien 4.00 2,020.00 8080 -
Klorpromazin HCL 25 mg 261 50.00 13,050.00 1/31/2015 Pasien 23.00 50.00 1150 238
2/28/2015 Pasien 28.00 50.00 1400 210
3/31/2015 Pasien 57.00 50.00 2850 153
4/30/2015 Pasien 84.00 50.00 4200 69
5/31/2015 Pasien 69.00 50.00 3450 -
Klorpromazin 100 mg 884 175.00 154,700.00 1/31/2015 Pasien 397.00 175.00 69475 487
2/28/2015 Pasien 390.00 175.00 68250 97
3/31/2015 Pasien 97.00 175.00 16975 -
Kodeina HCL 10 mg 250 550.00 137,500.00 1/31/2015 Pasien 26.00 550.00 14300 224
4/30/2015 Pasien 10.00 550.00 5500 214
5/31/2015 Pasien 20.00 550.00 11000 194
6/30/2015 Pasien 70.00 550.00 38500 124
8/30/2015 Pasien 20.00 550.00 11000 104
31-09-15 Pasien 20.00 550.00 11000 84
10/30/2015 Pasien 35.00 550.00 19250 49
31-11-15 Pasien 14.00 550.00 7700 35
12/30/2015 Pasien 35.00 550.00 19250 -
Guedel 10 18,528.00 185,280.00 Pasien 18,528.00 0 10 18,528.00
ketokonazole tab 94 320.00 30,080.00 1/31/2015 Pasien 12.00 320.00 3840 82
2/28/2015 Pasien 52.00 320.00 16640 30
3/31/2015 Pasien 18.00 320.00 5760 12
4/30/2015 Pasien 12.00 320.00 3840 -
Kotrimoksazol tab 480 mg 1598 152.00 242,896.00 1/31/2015 Pasien 896.00 152.00 136192 702
1/28/2015 Pasien 702.00 152.00 106704 -
Kotrimoksazol Syr 251 2,298.00 576,798.00 1/31/2015 Pasien 52.00 2,298.00 119496 199
1/28/2015 Pasien 199.00 2,298.00 457302 -
Laxadin Syr 11 12,450.00 136,950.00 1/31/2015 Pasien 2.00 12,450.00 24900 9
2/28/2015 Pasien 4.00 12,450.00 49800 5
3/31/2015 Pasien 2.00 12,450.00 24900 3
4/30/2015 Pasien 3.00 12,450.00 37350 -
Nald Heting 36 3,333.00 119,988.00 4/30/2015 Pasien 16.00 3,333.00 53328 20
5/31/2015 Pasien 20.00 3,333.00 66660 -
Nald No.23 111 3,343.75 371,156.25 1/31/2015 Pasien 15.00 3,343.75 50156.25 96
2/28/2015 Pasien 96.00 3,343.75 321000 -
Nipedipin 321 110.00 35,310.00 2/28/2015 Pasien 36.00 110.00 3960 285
3/31/2015 Pasien 74.00 110.00 8140 211
4/30/2015 Pasien 70.00 110.00 7700 141
5/31/2015 Pasien 40.00 110.00 4400 101
6/30/2015 Pasien 22.00 110.00 2420 79
7/31/2015 Pasien 10.00 110.00 1100 69
8/30/2015 Pasien 63.00 110.00 6930 6 110.00
Levertrans Salep 58 5,307.00 307,806.00 1/31/2015 Pasien 2.00 5,307.00 10614 56
2/28/2015 Pasien 9.00 5,307.00 47763 47
4/30/2015 Pasien 47.00 5,307.00 249429 -
Lidokain Comp. Inj 51 1,499.00 76,449.00 1/31/2015 Pasien 41.00 1,499.00 61459 10
2/28/2015 Pasien 10.00 1,499.00 14990 -
Metformin 348 244.00 84,912.00 1/31/2015 Pasien 348.00 244.00 84912 -
Meloxicam 144 1,378.00 198,432.00 1/31/2015 Pasien 144.00 1,378.00 198432 -
Masker 199 1,237.50 246,262.50 1/31/2015 Pasien 15.00 1,237.50 18562.5 184
2/28/2015 Pasien 40.00 1,237.50 49500 144
3/31/2015 Pasien 144.00 1,237.50 178200 -
Metilergometrin injeksi 100 2,640.00 264,000.00 2/28/2015 Pasien 10.00 2,640.00 26400 90
3/31/2015 Pasien 15.00 2,640.00 39600 75
4/30/2015 Pasien 10.00 2,640.00 26400 65
5/31/2015 Pasien 15.00 2,640.00 39600 50
6/30/2015 Pasien 20.00 2,640.00 52800 30
7/31/2015 Pasien 10.00 2,640.00 26400 20
8/30/2015 Pasien 20.00 2,640.00 52800 -
Metilergometrin tab 754 169.00 127,426.00 1/31/2015 Pasien 187.00 169.00 31603 567
2/28/2015 Pasien 420.00 169.00 70980 147
3/31/2015 Pasien 38.00 169.00 6422 109
4/30/2015 Pasien 40.00 169.00 6760 69
5/31/2015 Pasien 30.00 169.00 5070 39
6/30/2015 Pasien 39.00 169.00 6591 -
Metoclopramid syr 37 5,070.00 187,590.00 1/31/2015 Pasien 12.00 5,070.00 60840 25
2/28/2015 Pasien 13.00 5,070.00 65910 12
3/31/2015 Pasien 11.00 5,070.00 55770 1
4/30/2015 Pasien 1.00 5,070.00 5070 -
Metoclopramid tab 485 108.00 52,380.00 1/31/2015 Pasien 136.00 108.00 14688 349
2/28/2015 Pasien 185.00 108.00 19980 164
3/31/2015 Pasien 164.00 108.00 17712 -
Microlac supp 5 21,492.00 107,460.00 2/28/2015 Pasien 1.00 21,492.00 21492 4
3/31/2015 Pasien 1.00 21,492.00 21492 3
5/31/2015 Pasien 2.00 21,492.00 42984 2
8/30/2015 Pasien 1.00 21,492.00 21492 -
Metronidazol 500 mg 1950 169.00 329,550.00 1/31/2015 Pasien 732.00 169.00 123708 1,218
2/28/2015 Pasien 568.00 169.00 95992 650
3/31/2015 Pasien 650.00 169.00 109850 -
Mikonazol Cream 138 3,075.00 424,350.00 1/31/2015 Pasien 74.00 3,075.00 227550 64
2/28/2015 Pasien 64.00 3,075.00 196800 -
Natrium Bikarbonat 1430 20.00 28,600.00 1/31/2015 Pasien 1,218.00 20.00 24360 212
2/28/2015 Pasien 212.00 20.00 4240 -
Natrium Klorida 0,9 % 106 5,170.00 548,020.00 1/31/2015 Pasien 25.00 5,170.00 129250 81
2/28/2015 Pasien 68.00 5,170.00 351560 13
3/31/2015 Pasien 13.00 5,170.00 67210 -
Nistatin Vagina 100,000 iu 310 528.00 163,680.00 1/31/2015 Pasien 89.00 528.00 46992 221
2/28/2015 Pasien 75.00 528.00 39600 146
3/31/2015 Pasien 112.00 528.00 59136 34
4/30/2015 Pasien 10.00 528.00 5280 24
5/31/2015 Pasien 24.00 528.00 12672 -
Nistatin Oral 500,000 iu 70 704.00 49,280.00 1/31/2015 Pasien 70.00 704.00 49280 -
Natrium Diklofenak 25 mg 1171 152.00 177,992.00 1/31/2015 Pasien 1,171.00 152.00 177992 -
Natrium Diklofenak 50 mg 180 216.00 38,880.00 1/31/2015 Pasien 180.00 216.00 38880 -
Obat Batuk Hitam syr 116 1,339.80 155,416.80 1/31/2015 Pasien 116.00 1,339.80 155416.8 -
Ondansentron Inj 35 2,400.00 84,000.00 1/31/2015 Pasien 5.00 2,400.00 12000 30
2/28/2015 Pasien 5.00 2,400.00 12000 25
3/31/2015 Pasien 10.00 2,400.00 24000 15
4/30/2015 Pasien 6.00 2,400.00 14400 9
5/31/2015 Pasien 9.00 2,400.00 21600 -
Oxybiotik Inj 20 3,410.00 68,200.00 Pasien 3,410.00 0 20
Pembalut Gyps No.4 1 25,850.00 25,850.00 12/30/2015 Pasien 1.00 25,850.00 25850 -
Pembalut Gyps No. 6 1 46,200.00 46,200.00 12/30/2015 Pasien 1.00 46,200.00 46200 -
Urine Bag 8 4,400.00 35,200.00 2/28/2015 Pasien 2.00 4,400.00 8800 6
8/30/2015 Pasien 2.00 4,400.00 8800 4
31-11-15 Pasien 1.00 4,400.00 4400 3 4,400.00
Oksitetrasiklin Salep Kulit 77 2,198.00 169,246.00 1/31/2015 Pasien 59.00 2,198.00 129682 18
2801-15 Pasien 18.00 2,198.00 39564 -
Oksitosin Inj. 214 3,160.00 676,240.00 1/31/2015 Pasien 40.00 3,160.00 126400 174
2/28/2015 Pasien 52.00 3,160.00 164320 122
5/31/2015 Pasien 15.00 3,160.00 47400 107
6/30/2015 Pasien 8.00 3,160.00 25280 99
7/31/2015 Pasien 21.00 3,160.00 66360 78
8/30/2015 Pasien 18.00 3,160.00 56880 60
31-09-15 Pasien 17.00 3,160.00 53720 43
10/30/2015 Pasien 10.00 3,160.00 31600 33
31-11-15 Pasien 33.00 3,160.00 104280 -
Omeprazole Kapsul 36 221.00 7,956.00 1/31/2015 Pasien 36.00 221.00 7956 -
Parasetamol Syrup 120 mg / 5 ml 85 3,002.00 255,170.00 1/31/2015 Pasien 85.00 3,002.00 255170 -
Parasetamol tablet 100 mg 350 34.51 12,078.50 1/31/2015 Pasien 200.00 34.51 6902 150
2/28/2015 Pasien 150.00 34.51 5176.5 -
Parasetamol tablet 500 mg 6417 88.00 564,696.00 1/31/2015 Pasien 6,417.00 88.00 564696 -
Pirantel tab 125 mg 144 318.00 45,792.00 1/31/2015 Pasien 14.00 318.00 4452 130
2/28/2015 Pasien 19.00 318.00 6042 111
3/31/2015 Pasien 33.00 318.00 10494 78
4/30/2015 Pasien 78.00 318.00 24804 -
Piridoksin HCL ( Vit B6 ) 10 mg 2200 32.00 70,400.00 1/31/2015 Pasien 1,124.00 32.00 35968 1,076
2/28/2015 Pasien 1,076.00 32.00 34432 -
Piroksikam 10 491 97.00 47,627.00 1/31/2015 Pasien 491.00 97.00 47627 -
Plester 5 Yard x 2 Inch 7 25,988.00 181,916.00 1/31/2015 Pasien 7.00 25,988.00 181916 -
Prednison 5 mg 2650 73.00 193,450.00 1/31/2015 Pasien 1,923.00 73.00 140379 727
2/28/2015 Pasien 727.00 73.00 53071 -
Rol spalk 9 70,785.00 637,065.00 Pasien 70,785.00 0 9 70,785.00
Propanolol tab 40 mg 230 80.00 18,400.00 1/31/2015 Pasien 65.00 80.00 5200 165
2/28/2015 Pasien 30.00 80.00 2400 135
3/31/2015 Pasien 85.00 80.00 6800 50
4/30/2015 Pasien 50.00 80.00 4000 -
Ranitidin 1174 132.00 154,968.00 1/31/2015 Pasien 1,174.00 132.00 154968 -
Ranitidin Inj. 110 1,340.00 147,400.00 1/31/2015 Pasien 110.00 1,340.00 147400 -
ichtiol salp 12 2,547.00 30,564.00 2/28/2012 Pasien 2.00 2,547.00 5094 10
3/31/2015 Pasien 3.00 2,547.00 7641 7
7/31/2015 Pasien 3.00 2,547.00 7641 4
8/30/2015 Pasien 2.00 2,547.00 5094 2
31-11-15 Pasien 2.00 2,547.00 5094 -
Risperidon tab 100 1,069.00 106,900.00 1/31/2015 Pasien 15.00 1,069.00 16035 85
2/28/2015 Pasien 30.00 1,069.00 32070 55
3/31/2015 Pasien 15.00 1,069.00 16035 40
4/30/2015 Pasien 15.00 1,069.00 16035 25
5/31/2015 Pasien 15.00 1,069.00 16035 10
6/30/2015 Pasien 10.00 1,069.00 10690 -
NGT dewasa 5 32,773.00 163,865.00 4/30/2015 Pasien 5.00 32,773.00 163865 -
NGT anak 5 27,880.00 139,400.00 4/30/2015 Pasien 5.00 27,880.00 139400 -
Ringer laktat Infus 100 5,720.00 572,000.00 1/31/2015 Pasien 100.00 5,720.00 572000 -
Salbutamol 2 mg 984 118.00 116,112.00 1/31/2015 Pasien 984.00 118.00 116112 -
Salisil Bedak 2 % 224 4,742.00 1,062,208.00 1/31/2015 Pasien 77.00 4,742.00 365134 147
2/20/2015 Pasien 147.00 4,742.00 697074 -
Simvastatin 1025 315.00 322,875.00 1/31/2015 Pasien 425.00 315.00 133875 600
2/28/2015 Pasien 502.00 315.00 158130 98
3/31/2015 Pasien 98.00 315.00 30870
Sianokobalamin inj 45 1,067.00 48,015.00 1/31/2015 Pasien 25.00 1,067.00 26675 20
2/28/2015 Pasien 20.00 1,067.00 21340 -
Sianokobalamin tab 2600 64.00 166,400.00 1/31/2015 Pasien 100.00 64.00 6400 2,500
2/28/2015 Pasien 876.00 64.00 56064 1,624
3/31/2015 Pasien 736.00 64.00 47104 888
4/30/2015 Pasien 888.00 64.00 56832 -
SILK 33 7,681.66 253,494.78 1/31/2015 Pasien 20.00 7,681.66 153633.2 13
2/28/2015 Pasien 13.00 7,681.66 99861.58
sufratul 7 23,043.00 161,301.00 1/31/2015 Pasien 4 23,043.00 92172 3
4/30/2015 Pasien 3 23,043.00 69129 -
Tiamin HCL ( Vit B1 ) 50 mg 1130 48.00 54,240.00 1/31/2015 Pasien 1130 48.00 54240 -
Tramadol 160 206.00 32,960.00 1/31/2015 Pasien 20 206.00 4120 140
2/28/2015 Pasien 40 206.00 8240 100
3/31/2015 Pasien 45 206.00 9270 55
4/30/2015 Pasien 55 206.00 11330 -
Triheksifenidril HCL 2mg 1700 44.00 74,800.00 1/31/2015 Pasien 1016 44.00 44704 684
2/28/2015 Pasien 684 44.00 30096 -
Zink Syr 16 8,140.00 130,240.00 1/31/2015 Pasien 16 8,140.00 130240 -
Vitamin B Complek 9060 112.00 1,014,720.00 1/31/2015 Pasien 3575 112.00 400400 5,485
2/28/2015 Pasien 4740 112.00 530880 745
3/31/2015 Pasien 745 112.00 83440 -
WING 400 6,347.00 2,538,800.00 Pasien 6,347.00 0 400 6,347.00
Univit Syr 100 3,919.00 391,900.00 1/31/2015 Pasien 14 3,919.00 54866 86
1/28/2015 Pasien 73 3,919.00 286087 13
1/31/2015 Pasien 13 3,919.00 50947 -
Yodium Povidon 30ml 8 2,344.00 18,752.00 1/31/2015 Pasien 8 2,344.00 18752 -
Zink tab 494 521.00 257,374.00 1/31/2015 Pasien 167 521.00 87007 327
2/28/2015 Pasien 95 232
3/31/2015 Pasien 123 109
4/30/2015 Pasien 109 -
9-Jan-15 Abocat NO. 18 48 18,480.00 887,040.00 1/31/2015 Pasien 18 18,480.00 332640 30 18,480.00
Abocat No. 20 51 8,566.25 436,878.75 1/31/2015 Pasien 30 8,566.25 256987.5 21 8,566.25
Abbocat No.22 195 8,566.25 1,670,418.75 1/31/2015 Pasien 88 8,566.25 753830 107 8,566.25
Abocat No.24 71 8,566.25 608,203.75 1/31/2015 Pasien 36 8,566.25 308385 35 8,566.25
Almond 5,216.00 - 1/31/2015 Pasien 5,216.00 0 - 5,216.00
Alat suntik 1 ml 210 1,540.00 323,400.00 1/31/2015 Pasien 52 1,540.00 80080 158 1,540.00
Alat suntik 2,5 ml 531 849.00 450,819.00 1/31/2015 Pasien 192 849.00 163008 339 849.00
AlAt Suntik 3 ml - 1/31/2015 Pasien - 0 - -
Alat Suntik 5 ml 221 1,348.00 297,908.00 1/31/2015 Pasien 65 1,348.00 87620 156 1,348.00
Alopurinol 100 mg 1,805 90.00 162,450.00 1/31/2015 Pasien 579 90.00 52110 1,226 90.00
Alprazolam 0,5 mg 465 574.75 267,258.75 1/31/2015 Pasien 287 574.75 164953.25 178 574.75
Ambroxol syrup 264 4,169.00 1,100,616.00 1/31/2015 Pasien 202 4,169.00 842138 62 4,169.00
Ambroxol tablet 30 mg 1,979 143.00 282,997.00 1/31/2015 Pasien 1097 143.00 156871 882 143.00
Aminofilin 150 mg 86.00 - 1/31/2015 Pasien 86.00 0 - 86.00
Amitriptilin HCl 25 mg 381 123.00 46,863.00 1/31/2015 Pasien 272 123.00 33456 109 123.00
Amlodipin 5 mg 287 326.70 93,762.90 1/31/2015 Pasien 119 326.70 38877.3 168 326.70
Amoksisilin 500 mg 6,700 279.00 1,869,300.00 1/31/2015 Pasien 3975 279.00 1109025 2,725 279.00
Amoksisilin sirup kering 615 2,560.00 1,574,400.00 1/31/2015 Pasien 224 2,560.00 573440 391 2,560.00
Antasida Sirup 275 2,300.00 632,500.00 1/31/2015 Pasien 275 2,300.00 632500 - 2,300.00
Antasida Tablet 7,108 78.00 554,424.00 1/31/2015 Pasien 3425 78.00 267150 3,683 78.00
Anti Bakteri DOEN 11 2,767.00 30,437.00 1/31/2015 Pasien 11 2,767.00 30437 - 2,767.00
Anti Hemoroid DOEN 37 3,350.00 123,950.00 1/31/2015 Pasien 6 3,350.00 20100 31 3,350.00
Anti Fungi Doen 51 2,096.00 106,896.00 1/31/2015 Pasien 2,096.00 0 51 2,096.00
Anti Migren 100 149.00 14,900.00 1/31/2015 Pasien 149.00 0 100 149.00
Aqua PRO Injeksi 39 5,900.00 230,100.00 1/31/2015 Pasien 15 5,900.00 88500 24 5,900.00
Asam Folat 1 mg 52.00 - 1/31/2015 Pasien 52.00 0 - 52.00
Asam Asetilsalisilat 163.00 - 1/31/2015 Pasien 163.00 0 - 163.00
Asam Askorbat 50 mg 13,030 105.00 1,368,150.00 1/31/2015 Pasien 5066 105.00 531930 7,964 105.00
Asam Mefenamt 500mg 8,585 127.00 1,090,295.00 1/31/2015 Pasien 4448 127.00 564896 4,137 127.00
Asam Triheksamat Inj 10 3,650.00 36,500.00 1/31/2015 Pasien 3,650.00 0 10 3,650.00
Asiklovir krim 46 3,790.00 174,340.00 1/31/2015 Pasien 44 3,790.00 166760 2 3,790.00
Asiklovir tablet 200 mg 485 245.00 118,825.00 1/31/2015 Pasien 485 245.00 118825 - 245.00
Attalpugit (Puralex) 1869 220.00 411,180.00 1/31/2015 Pasien 1164 220.00 256080 705 220.00
Besi (II) Sulfat 33,230 45.00 1,495,350.00 1/31/2015 Pasien 1522 45.00 68490 31,708 45.00
Betadin Saleb 12 8,663.00 103,956.00 1/31/2015 Pasien 8,663.00 0 12 8,663.00
Betahistin Mesilat 90 1,062.00 95,580.00 1/31/2015 Pasien 6 1,062.00 6372 84 1,062.00
Betametason 87 1,558.00 135,546.00 1/31/2015 Pasien 48 1,558.00 74784 39 1,558.00
Bisturi 19 3,000.00 57,000.00 1/31/2015 Pasien 18 3,000.00 54000 1 3,000.00
Burmazine 25,350.00 - 1/31/2015 Pasien 25,350.00 0 - 25,350.00
Captropril 12,5 mg 3,527 69.00 243,363.00 1/31/2015 Pasien 1285 69.00 88665 2,242 69.00
Captropril 25 mg 702 97.00 68,094.00 1/31/2015 Pasien 226 97.00 21922 476 97.00
Catgut Plain 44 7,287.00 320,628.00 1/31/2015 Pasien 44 7,287.00 320628 - 7,287.00
Caviton White - 1/31/2015 Pasien - 0 - -
Clobazam 950.00 - 1/31/2015 Pasien 950.00 0 - 950.00
Ciprofloxacine 500 mg 1,298 290.00 376,420.00 1/31/2015 Pasien 1083 290.00 314070 215 290.00
Deksametason Inj 59 1,738.00 102,542.00 1/31/2015 Pasien 1,738.00 0 59 1,738.00
Deksametason 0,5 mg 6,856 68.00 466,208.00 1/31/2015 Pasien 4227 68.00 287436 2,629 68.00
Diazepam Inj 71 2,578.00 183,038.00 1/31/2015 Pasien 2,578.00 0 71 2,578.00
Diazepam 2 mg 1,338 46.00 61,548.00 1/31/2015 Pasien 10 46.00 460 1,328 46.00
Difenhidramin HCl inj 42 1,160.00 48,720.00 1/31/2015 Pasien 1,160.00 0 42 1,160.00
Digoxin 275 103.00 28,325.00 1/31/2015 Pasien 103.00 0 275 103.00
Dulcolax 530 175.20 92,856.00 1/31/2015 Pasien 53 175.20 9285.6 477 175.20
Donperidon - 1/31/2015 Pasien 10 - 0 -
Efedrin HCl 25 mg 58.00 - 1/31/2015 Pasien 58.00 0 - 58.00
Epinefrin Inj - 1/31/2015 Pasien - 0 - -
Erytromycin 500 mg 587 1,023.00 600,501.00 1/31/2015 Pasien 543 1,023.00 555489 44 1,023.00
Erytromycin sirup 183 8,090.00 1,480,470.00 1/31/2015 Pasien 6 8,090.00 48540 177 8,090.00
Etakridin 1 3,328.00 3,328.00 1/31/2015 Pasien 1 3,328.00 3328 - 3,328.00
Etanol 70% -100 ml 87 2,625.00 228,375.00 1/31/2015 Pasien 19 2,625.00 49875 68 2,625.00
Eugenol cairan 100 ml 9,344.00 - 1/31/2015 Pasien 9,344.00 0 - 9,344.00
Etil Klorida spray 11 18,333.00 201,663.00 1/31/2015 Pasien 3 18,333.00 54999 8 18,333.00
Fenobarbital 30 mg 1,430 108.00 154,440.00 1/31/2015 Pasien 85 108.00 9180 1,345 108.00
Fenol Gliserol TTG 1,109.00 - 1/31/2015 Pasien 1,109.00 0 - 1,109.00
Fitomenadion tablet 400 698.00 279,200.00 1/31/2015 Pasien 64 698.00 44672 336 698.00
Foly chateter 18 9,344.00 - 1/31/2015 Pasien 9,344.00 0 - 9,344.00
Foly chateter 20 9,344.00 - 1/31/2015 Pasien 9,344.00 0 - 9,344.00
Furosemid Inj 65 3,754.00 244,010.00 1/31/2015 Pasien 5 3,754.00 18770 60 3,754.00
Furosemid 40 mg 124 84.00 10,416.00 1/31/2015 Pasien 71 84.00 5964 53 84.00
Garam Oralit 329 317.00 104,293.00 1/31/2015 Pasien 57 317.00 18069 272 317.00
Gentamisin salep kulit 142 2,126.00 301,892.00 1/31/2015 Pasien 112 2,126.00 238112 30 2,126.00
Gentamisin Tetes Mata 23 9,075.00 208,725.00 1/31/2015 Pasien 5 9,075.00 45375 18 9,075.00
Gentian Violet 80 2,426.00 194,080.00 1/31/2015 Pasien 21 2,426.00 50946 59 2,426.00
Glibenklamid 5 mg 1835 132.00 242,220.00 1/31/2015 Pasien 1307 132.00 172524 528 132.00
Gliseril Guayakolat 6400 33.00 211,200.00 1/31/2015 Pasien 5034 33.00 166122 1,366 33.00
Glukosa 5% 140 5,720.00 800,800.00 1/31/2015 Pasien 5 5,720.00 28600 135 5,720.00
Glukodex 682 266.00 181,412.00 1/31/2015 Pasien 370 266.00 98420 312 266.00
Griseofulvin 125 mg 625 241.00 150,625.00 1/31/2015 Pasien 498 241.00 120018 127 241.00
Guedel 10 18,528.00 185,280.00 31-02-15 Pasien 18,528.00 0 10 18,528.00
Haloperidol 0.5 mg 3,800 62.00 235,600.00 1/31/2015 Pasien 161 62.00 9982 3,639 62.00
Haloperidol 1,5 mg 900 76.00 68,400.00 1/31/2015 Pasien 428 76.00 32528 472 76.00
Haloperidol 5 mg 600 105.00 63,000.00 1/31/2015 Pasien 409 105.00 42945 191 105.00
Hidroklorotiazid 25 mg 1,030 53.00 54,590.00 1/31/2015 Pasien 80 53.00 4240 950 53.00
Hidrokortison 2,5% 155 2,868.00 444,540.00 1/31/2015 Pasien 79 2,868.00 226572 76 2,868.00
H202 1 26,950.00 26,950.00 1/31/2015 Pasien 26,950.00 0 1 26,950.00
Hyoscine tab 10 mg 100 344.00 34,400.00 1/31/2015 Pasien 344.00 0 100 344.00
Hyoscine Inj 10 4,950.00 49,500.00 1/31/2015 Pasien 4,950.00 0 10 4,950.00
Handscoen Steril 257 4,598.00 1,181,686.00 1/31/2015 Pasien 211 4,598.00 970178 46 4,598.00
Handscoen Non Steril - 1/31/2015 Pasien - 0 - -
Ibuprofen 400 mg 416 238.00 99,008.00 1/31/2015 Pasien 358 238.00 85204 58 238.00
Ibuprofen Syr 288 4,949.00 1,425,312.00 1/31/2015 Pasien 288 4,949.00 1425312 - 4,949.00
Ichtyol Zalff 12 2,547.00 30,564.00 1/31/2015 Pasien 2 2,547.00 5094 10 2,547.00
Infusion set anak 39 4,400.00 171,600.00 1/31/2015 Pasien 2 4,400.00 8800 37 4,400.00
Infusion set dewasa 116 4,176.00 484,416.00 1/31/2015 Pasien 84 4,176.00 350784 32 4,176.00
Isocorbid Dinitrat 5 mg 263 98.00 25,774.00 1/31/2015 Pasien 10 98.00 980 253 98.00
Kalsium Laktat 500 mg 1350 76.00 102,600.00 1/31/2015 Pasien 1190 76.00 90440 160 76.00
Kalium Permanganat 5,106.00 - 1/31/2015 Pasien 5,106.00 0 - 5,106.00
Kapas Pembalut 27 15,996.00 431,892.00 1/31/2015 Pasien 4 15,996.00 63984 23 15,996.00
Kassa Binda 1 104,500.00 104,500.00 1/31/2015 Pasien 104,500.00 0 1 104,500.00
Kassa Steril 32 9,350.00 299,200.00 1/31/2015 Pasien 26 9,350.00 243100 6 9,350.00
Kasa Pembalut Hidrofil 570 1,909.20 1,088,244.00 1/31/2015 Pasien 102 1,909.20 194738.4 468 1,909.20
Ketokenazole cream 21 2,633.00 55,293.00 1/31/2015 Pasien 4 2,633.00 10532 17 2,633.00
Ketokenazole 200 mg 94 320.00 30,080.00 1/31/2015 Pasien 12 320.00 3840 82 320.00
Keterolac 33 2,020.00 66,660.00 1/31/2015 Pasien 12 2,020.00 24240 21 2,020.00
Klindamisin 150 mg 554 405.00 224,370.00 1/31/2015 Pasien 335 405.00 135675 219 405.00
Klindamisin 300 mg - 1/31/2015 Pasien - 0 - -
Kloramfenikol 250 mg 1965 242.00 475,530.00 1/31/2015 Pasien 1140 242.00 275880 825 242.00
Kloramfenikol Syr 7,003.00 - 1/31/2015 Pasien 7,003.00 0 - 7,003.00
Kloramp tts telinga 44 1,840.00 80,960.00 1/31/2015 Pasien 16 1,840.00 29440 28 1,840.00
Kloramp. salap mata 127 1,760.00 223,520.00 1/31/2015 Pasien 76 1,760.00 133760 51 1,760.00
Kloramp tts mata 96 8,153.00 782,688.00 1/31/2015 Pasien 50 8,153.00 407650 46 8,153.00
Klorfeniramin Maleat 19110 54.00 1,031,940.00 1/31/2015 Pasien 10751 54.00 580554 8,359 54.00
Klorpromazin 100 mg 884 162.00 143,208.00 1/31/2015 Pasien 397 162.00 64314 487 162.00
Kodein HCL 10 mg 250 550.00 137,500.00 1/31/2015 Pasien 26 550.00 14300 224 550.00
Kotrimoksazol 480 mg 1,598 152.00 242,896.00 1/31/2015 Pasien 896 152.00 136192 702 152.00
Kotrimoksazol Sirup 251 2,298.00 576,798.00 1/31/2015 Pasien 52 2,298.00 119496 199 2,298.00
Lavertram 58 5,307.00 307,806.00 1/31/2015 Pasien 2 5,307.00 10614 56 5,307.00
Laxadin Senur 11 12,450.00 136,950.00 1/31/2015 Pasien 2 12,450.00 24900 9 12,450.00
Lidokain injeksi 81 - 1/31/2015 Pasien 30 - 0 51 -
Lidokain komp. Injeksi 1,499.00 - 1/31/2015 Pasien 1,499.00 0 - 1,499.00
Lomatule 7 23,043.00 161,301.00 1/31/2015 Pasien 4 23,043.00 92172 3 23,043.00
Masker 299 431.00 128,869.00 1/31/2015 Pasien 15 431.00 6465 284 431.00
Metformin Hcl 500 mg 1348 124.50 167,826.00 1/31/2015 Pasien 830 124.50 103335 518 124.50
Metillprenisolon 4 mg 500 - 1/31/2015 Pasien 233 - 0 267 -
Metilergometrin Tab 754 169.00 127,426.00 1/31/2015 Pasien 187 169.00 31603 567 169.00
Metilergometrin Inj 2,750.00 - 1/31/2015 Pasien 2,750.00 0 2,750.00
Metoklopropamide Sir 37 5,070.00 187,590.00 1/31/2015 Pasien 12 5,070.00 60840 25 5,070.00
Metoklopropamide tab 485 108.00 52,380.00 1/31/2015 Pasien 136 108.00 14688 349 108.00
Metoklopropamide Inj 10 - 1/31/2015 Pasien 5 - 0 5 -
Meloksikam 744 1,378.00 1,025,232.00 1/31/2015 Pasien 433 1,378.00 596674 311 1,378.00
Metronidazol 500 mg 1950 169.00 329,550.00 1/31/2015 Pasien 732 169.00 123708 1,218 169.00
Metronidazol Syr 50 10,496.00 524,800.00 1/31/2015 Pasien 10,496.00 0 50 10,496.00
Mikonazole 138 3,075.00 424,350.00 1/31/2015 Pasien 74 3,075.00 227550 64 3,075.00
Multivitamin Sirup 100 3,919.00 391,900.00 1/31/2015 Pasien 14 3,919.00 54866 86 3,919.00
Microlax Supp 5 21,492.00 107,460.00 1/31/2015 Pasien 21,492.00 0 5 21,492.00
Natrium Bikarbonat 1,430 20.00 28,600.00 1/31/2015 Pasien 1218 20.00 24360 212 20.00
Na. Diklofenak 25 mg 2,117 152.00 321,784.00 1/31/2015 Pasien 2078 152.00 315856 39 152.00
Na. Diklofenak 50 mg 1,180 216.00 254,880.00 1/31/2015 Pasien 66 216.00 14256 1,114 216.00
Nifendifin 10 mg 321 110.00 35,310.00 1/31/2015 Pasien 110.00 0 321 110.00
NaCl 0,9 % 106 5,170.00 548,020.00 1/31/2015 Pasien 25 5,170.00 129250 81 5,170.00
Nistatin tablet vaginal 310 528.00 163,680.00 1/31/2015 Pasien 23 528.00 12144 287 528.00
Nistatin Tab Oral 70 704.00 49,280.00 1/31/2015 Pasien 704.00 0 70 704.00
Nald 23 311 3,343.75 1,039,906.25 1/31/2015 Pasien 15 3,343.75 50156.25 296 3,343.75
Nald Heating 36 3,333.00 119,988.00 1/31/2015 Pasien 3,333.00 0 36 3,333.00
Obat TBC Kategori 1 1 - 1/31/2015 Pasien 1 - 0 - -
OBH 156 1,339.80 209,008.80 1/31/2015 Pasien 156 1,339.80 209008.8 - 1,339.80
Oksitetra. salep mata 82 3,186.00 261,252.00 1/31/2015 Pasien 3,186.00 0 82 3,186.00
Oksitetra. salep kulit 77 2,198.00 169,246.00 1/31/2015 Pasien 59 2,198.00 129682 18 2,198.00
Oksitoksin Inj 214 2,420.00 517,880.00 1/31/2015 Pasien 40 2,420.00 96800 174 2,420.00
Ondansentron Inj 4 mg 35 2,400.00 84,000.00 1/31/2015 Pasien 5 2,400.00 12000 30 2,400.00
Omeprazol 510 221.00 112,710.00 1/31/2015 Pasien 461 221.00 101881 49 221.00
Omegdian Syr 50 4,042.00 202,100.00 1/31/2015 Pasien 30 4,042.00 121260 20 4,042.00
Papaverin 40 mg 2,264 - 1/31/2015 Pasien 20 - 0 2,244 -
Parasetamol sirup 367 1,535.00 563,345.00 1/31/2015 Pasien 246 1,535.00 377610 121 1,535.00
Parasetamol 100 mg 350 35.00 12,250.00 1/31/2015 Pasien 100 35.00 3500 250 35.00
Parasetamol 500 mg 18,417 88.00 1,620,696.00 1/31/2015 Pasien 9260 88.00 814880 9,157 88.00
Pembalut Gips 3 1 25,850.00 25,850.00 1/31/2015 Pasien 25,850.00 0 1 25,850.00
Pirantel 144 318.00 45,792.00 1/31/2015 Pasien 14 318.00 4452 130 318.00
Pirasetam Inj 10 7,651.00 76,510.00 1/31/2015 Pasien 7,651.00 0 10 7,651.00
Piridoksin 10 mg 2,200 32.00 70,400.00 1/31/2015 Pasien 1124 32.00 35968 1,076 32.00
Piroksikam 10 mg 1,691 97.00 164,027.00 1/31/2015 Pasien 934 97.00 90598 757 97.00
Plester 5 yard x 2 inch 17 53,905.50 916,393.50 1/31/2015 Pasien 8 53,905.50 431244 9 53,905.50
Pot - 1/31/2015 Pasien - 0 - -
Povidon Iodida 300 ml 15,386.00 - 1/31/2015 Pasien 15,386.00 0 15,386.00
Povidon Iodida 30 ml 8 2,344.00 18,752.00 1/31/2015 Pasien 8 2,344.00 18752 - 2,344.00
Prednison 5 mg 2,650 125.00 331,250.00 1/31/2015 Pasien 1923 125.00 240375 727 125.00
Primaquen - 1/31/2015 Pasien - 0 - -
Propanolol 10 mg 230 80.00 18,400.00 1/31/2015 Pasien 20 80.00 1600 210 80.00
Propiltiourasil 50 mg 210 351.00 73,710.00 1/31/2015 Pasien 20 351.00 7020 190 351.00
Ranitidin injeksi 210 1,340.00 281,400.00 1/31/2015 Pasien 160 1,340.00 214400 50 1,340.00
Ranitidin 150 mg 10,209 132.00 1,347,588.00 1/31/2015 Pasien 5792 132.00 764544 4,417 132.00
Resperidon 0,25 mg 300 1,069.00 320,700.00 1/31/2015 Pasien 1,069.00 0 300 1,069.00
Ringer Laktat 457 5,720.00 2,614,040.00 1/31/2015 Pasien 427 5,720.00 2442440 30 5,720.00
Salbutamol 2 mg 1584 65.00 102,960.00 1/31/2015 Pasien 993 65.00 64545 591 65.00
Salep 2-4 30 gram 84 2,200.00 184,800.00 1/31/2015 Pasien 18 2,200.00 39600 66 2,200.00
Salisil Bedak 224 1,350.00 302,400.00 1/31/2015 Pasien 76 1,350.00 102600 148 1,350.00
Semen Seng Fosfat - 1/31/2015 Pasien - 0 - -
Serum Anti Tetanus(Ats) 8 160,014.00 1,280,112.00 1/31/2015 Pasien 160,014.00 0 8 160,014.00
Sefotaksin Inj 1000 mg 62 3,500.00 217,000.00 1/31/2015 Pasien 30 3,500.00 105000 32 3,500.00
Sesolid rektal 12,751.00 - 1/31/2015 Pasien 12,751.00 0 - 12,751.00
Sefriakson Inj 1000 mg 40 3,500.00 140,000.00 1/31/2015 Pasien 3,500.00 0 40 3,500.00
Sianokobalamin injeksi 145 1,050.00 152,250.00 1/31/2015 Pasien 25 1,050.00 26250 120 1,050.00
Sianokobalamin tablet 4,600 64.00 294,400.00 1/31/2015 Pasien 100 64.00 6400 4,500 64.00
Scabicit - 1/31/2015 Pasien - 0 - -
Silk 69 7,681.00 529,989.00 1/31/2015 Pasien 20 7,681.00 153620 49 7,681.00
Simvastatin 1,625 177.00 287,625.00 1/31/2015 Pasien 425 177.00 75225 1,200 177.00
Spalk roll 8 70,785.00 566,280.00 1/31/2015 Pasien 70,785.00 0 8 70,785.00
Tetrasiklin HCL 500 mg 500 325.00 162,500.00 1/31/2015 Pasien 200 325.00 65000 300 325.00
Thiamin HCl 8130 48.00 390,240.00 1/31/2015 Pasien 3397 48.00 163056 4,733 48.00
Tramadol Kaps 50 mg 160 206.00 32,960.00 1/31/2015 Pasien 10 206.00 2060 150 206.00
Triheksilfenidil 1700 44.00 74,800.00 1/31/2015 Pasien 1016 44.00 44704 684 44.00
Urine Bag 8 4,400.00 35,200.00 1/31/2015 Pasien 4,400.00 0 8 4,400.00
Zink Syr 16 8,140.00 130,240.00 1/31/2015 Pasien 16 8,140.00 130240 - 8,140.00
Zink 494 521.00 257,374.00 1/31/2015 Pasien 200 521.00 104200 294 521.00
Vitamin B Kompleks 9060 112.00 1,014,720.00 1/31/2015 Pasien 3575 112.00 400400 5,485 112.00
Ventolin Nebul 7,260.00 - 1/31/2015 Pasien 7,260.00 0 - 7,260.00
Wing Nald 21 G 3/4 - 1/31/2015 Pasien - 0 - -
Wing Nald 25G 3/4 - 1/31/2015 Pasien - 0 - -
9-Feb-15 Abocat NO. 18 30 18,480.00 554,400.00 2/28/2015 Pasien 23 18,480.00 425040 7 18,480.00
Abocat No. 20 76 8,566.25 651,035.00 2/28/2015 Pasien 28 8,566.25 239855 48 8,566.25
Abbocat No.22 161 8,566.25 1,379,166.25 2/28/2015 Pasien 119 8,566.25 1019383.75 42 8,566.25
Abocat No.24 90 8,566.25 770,962.50 2/28/2015 Pasien 51 8,566.25 436878.75 39 8,566.25
Almond 5,216.00 - 2/28/2015 Pasien 5,216.00 0 - 5,216.00
Alopurinol 100 mg 1,226 90.00 110,340.00 2/28/2015 Pasien 805 90.00 72450 421 90.00
Ambroxol tablet 30 mg 2,132 143.00 304,876.00 2/28/2015 Pasien 2032 143.00 290576 100 143.00
Amlodipin 5 mg 198 326.70 64,686.60 2/28/2015 Pasien 198 326.70 64686.6 - 326.70
Anti Bakteri DOEN 75 2,767.00 207,525.00 2/28/2015 Pasien 15 2,767.00 41505 60 2,767.00
Anti Fungi Doen 51 2,096.00 106,896.00 2/28/2015 Pasien 5 2,096.00 10480 46 2,096.00
Asam Folat 1 mg 52.00 - 2/28/2015 Pasien 52.00 0 - 52.00
Asam Askorbat 50 mg 8,964 105.00 941,220.00 2/28/2015 Pasien 4040 105.00 424200 4,924 105.00
Asam Mefenamt 500mg 7,537 127.00 957,199.00 2/28/2015 Pasien 4205 127.00 534035 3,332 127.00
Asiklovir tablet 200 mg 1,050 245.00 257,250.00 2/28/2015 Pasien 368 245.00 90160 682 245.00
Attalpugit (Puralex) 2,155 220.00 474,100.00 2/28/2015 Pasien 441 220.00 97020 1,714 220.00
Betadin Saleb 12 8,663.00 103,956.00 2/28/2015 Pasien 12 8,663.00 103956 - 8,663.00
Bisturi 24 3,000.00 72,000.00 2/28/2015 Pasien 23 3,000.00 69000 1 3,000.00
Captropril 12,5 mg 2,342 69.00 161,598.00 2/28/2015 Pasien 1206 69.00 83214 1,136 69.00
Catgut Plain 77 7,287.00 561,099.00 2/28/2015 Pasien 25 7,287.00 182175 52 7,287.00
Clobazam 950.00 - 2/28/2015 Pasien 950.00 0 - 950.00
Ciprofloxacine 500 mg 2,215 290.00 642,350.00 2/28/2015 Pasien 1898 290.00 550420 317 290.00
Deksametason Inj 69 1,738.00 119,922.00 2/28/2015 Pasien 5 1,738.00 8690 64 1,738.00
Difenhidramin HCl inj 121 1,160.00 140,360.00 2/28/2015 Pasien 20 1,160.00 23200 101 1,160.00
Digoxin 275 103.00 28,325.00 2/28/2015 Pasien 26 103.00 2678 249 103.00
Dulcolax 517 175.20 90,578.40 2/28/2015 Pasien 86 175.20 15067.2 431 175.20
Donperidon - 2/28/2015 Pasien - 0 - -
Efedrin HCl 25 mg 58.00 - 2/28/2015 Pasien 58.00 0 - 58.00
Erytromycin 500 mg 1,244 1,023.00 1,272,612.00 2/28/2015 Pasien 751 1,023.00 768273 493 1,023.00
Erytromycin sirup 157 8,090.00 1,270,130.00 2/28/2015 Pasien 64 8,090.00 517760 93 8,090.00
Etanol 70% -100 ml 69 2,625.00 181,125.00 2/28/2015 Pasien 69 2,625.00 181125 - 2,625.00
Etil Klorida spray 8 18,333.00 146,664.00 2/28/2015 Pasien 18,333.00 0 8 18,333.00
Fenobarbital 30 mg 1,445 108.00 156,060.00 2/28/2015 Pasien 346 108.00 37368 1,099 108.00
Foly chateter 18 5 9,344.00 46,720.00 2/28/2015 Pasien 4 9,344.00 37376 1 9,344.00
Foly chateter 20 5 9,344.00 46,720.00 2/28/2015 Pasien 9,344.00 0 5 9,344.00
Glibenklamid 5 mg 2,528 132.00 333,696.00 2/28/2015 Pasien 1263 132.00 166716 1,265 132.00
Gliseril Guayakolat 10,666 33.00 351,978.00 2/28/2015 Pasien 2642 33.00 87186 8,024 33.00
Glukosa 5% 135 5,720.00 772,200.00 2/28/2015 Pasien 14 5,720.00 80080 121 5,720.00
Glukodex 612 266.00 162,792.00 2/28/2015 Pasien 337 266.00 89642 275 266.00
Guedel 10 18,528.00 185,280.00 31-02-15 Pasien 18,528.00 0 10 18,528.00
Hidroklorotiazid 25 mg 950 53.00 50,350.00 2/28/2015 Pasien 86 53.00 4558 864 53.00
H202 1 26,950.00 26,950.00 2/28/2015 Pasien 26,950.00 0 1 26,950.00
Hyoscine tab 10 mg 344.00 - 2/28/2015 Pasien 344.00 0 - 344.00
Hyoscine Inj 4,950.00 - 2/28/2015 Pasien 4,950.00 0 - 4,950.00
Handscoen Steril 146 4,598.00 671,308.00 2/28/2015 Pasien 125 4,598.00 574750 21 4,598.00
Ibuprofen Syr 500 4,949.00 2,474,500.00 2/28/2015 Pasien 38 4,949.00 188062 462 4,949.00
Ichtyol Zalff 12 2,547.00 30,564.00 2/28/2015 Pasien 2,547.00 0 12 2,547.00
Kalsium Laktat 500 mg 2,260 76.00 171,760.00 2/28/2015 Pasien 1745 76.00 132620 515 76.00
Kassa Binda 1 104,500.00 104,500.00 2/28/2015 Pasien 1 104,500.00 104500 - 104,500.00
Kassa Steril 26 9,350.00 243,100.00 2/28/2015 Pasien 26 9,350.00 243100 - 9,350.00
Kasa Pembalut Hidrofil 473 1,909.20 903,051.60 2/28/2015 Pasien 138 1,909.20 263469.6 335 1,909.20
Ketokenazole cream 17 2,633.00 44,761.00 2/28/2015 Pasien 2,633.00 0 17 2,633.00
Klindamisin 300 mg 200 - 2/28/2015 Pasien 150 - 0 50 -
Kloramfenikol 250 mg 2,505 242.00 606,210.00 2/28/2015 Pasien 487 242.00 117854 2,018 242.00
Kloramfenikol Syr 48 7,003.00 336,144.00 2/28/2015 Pasien 11 7,003.00 77033 37 7,003.00
Klorfeniramin Maleat 22,359 54.00 1,207,386.00 2/28/2015 Pasien 9730 54.00 525420 12,629 54.00
Klorpromazin 100 mg 1487 162.00 240,894.00 2/28/2015 Pasien 390 162.00 63180 1,097 162.00
Kodein HCL 10 mg 550.00 - 2/28/2015 Pasien 550.00 0 - 550.00
Kotrimoksazol 480 mg 1,502 152.00 228,304.00 2/28/2015 Pasien 935 152.00 142120 567 152.00
Kotrimoksazol Sirup 207 2,298.00 475,686.00 2/28/2015 Pasien 207 2,298.00 475686 - 2,298.00
Lomatule 10 23,043.00 230,430.00 2/28/2015 Pasien 23,043.00 0 10 23,043.00
Masker 284 431.00 122,404.00 2/28/2015 Pasien 40 431.00 17240 244 431.00
Metilergometrin Inj 80 2,750.00 220,000.00 2/28/2015 Pasien 30 2,750.00 82500 50 2,750.00
Metoklopropamide Inj 10 - 2/28/2015 Pasien - 0 10 -
Meloksikam 711 1,378.00 979,758.00 2/28/2015 Pasien 275 1,378.00 378950 436 1,378.00
Metronidazol 500 mg 1518 169.00 256,542.00 2/28/2015 Pasien 568 169.00 95992 950 169.00
Metronidazol Syr 50 10,496.00 524,800.00 2/28/2015 Pasien 5 10,496.00 52480 45 10,496.00
Natrium Bikarbonat 4,912 20.00 98,240.00 2/28/2015 Pasien 1900 20.00 38000 3,012 20.00
Na. Diklofenak 25 mg 2,929 152.00 445,208.00 2/28/2015 Pasien 2113 152.00 321176 816 152.00
Nifendifin 10 mg 321 110.00 35,310.00 2/28/2015 Pasien 36 110.00 3960 285 110.00
NaCl 0,9 % 81 5,170.00 418,770.00 2/28/2015 Pasien 68 5,170.00 351560 13 5,170.00
Nistatin Tab Oral 110 704.00 77,440.00 2/28/2015 Pasien 110 704.00 77440 - 704.00
Nald 23 296 3,343.75 989,750.00 2/28/2015 Pasien 138 3,343.75 461437.5 158 3,343.75
OBH 250 1,339.80 334,950.00 2/28/2015 Pasien 107 1,339.80 143358.6 143 1,339.80
Parasetamol sirup 337 1,535.00 517,295.00 2/28/2015 Pasien 337 1,535.00 517295 - 1,535.00
Pirantel 130 318.00 41,340.00 2/28/2015 Pasien 19 318.00 6042 111 318.00
Piridoksin 10 mg 1676 32.00 53,632.00 2/28/2015 Pasien 1615 32.00 51680 61 32.00
Piroksikam 10 mg 1,737 97.00 168,489.00 2/28/2015 Pasien 1323 97.00 128331 414 97.00
Pot - 2/28/2015 Pasien - 0 - -
Povidon Iodida 300 ml 15,386.00 - 2/28/2015 Pasien 15,386.00 0 - 15,386.00
Povidon Iodida 30 ml 14 2,344.00 32,816.00 2/28/2015 Pasien 13 2,344.00 30472 1 2,344.00
Prednison 5 mg 4,127 125.00 515,875.00 2/28/2015 Pasien 1424 125.00 178000 2,703 125.00
Propanolol 10 mg 210 80.00 16,800.00 2/28/2015 Pasien 80.00 0 210 80.00
Propiltiourasil 50 mg 190 351.00 66,690.00 2/28/2015 Pasien 351.00 0 190 351.00
Resperidon 0,25 mg 300 1,069.00 320,700.00 2/28/2015 Pasien 10 1,069.00 10690 290 1,069.00
Salbutamol 2 mg 1,661 65.00 107,965.00 2/28/2015 Pasien 1045 65.00 67925 616 65.00
Sefriakson Inj 1000 mg 40 3,500.00 140,000.00 2/28/2015 Pasien 20 3,500.00 70000 20 3,500.00
Sianokobalamin tablet 4,800 64.00 307,200.00 2/28/2015 Pasien 876 64.00 56064 3,924 64.00
Silk 49 7,681.00 376,369.00 2/28/2015 Pasien 38 7,681.00 291878 11 7,681.00
Simvastatin 1,340 177.00 237,180.00 2/28/2015 Pasien 502 177.00 88854 838 177.00
Tetrasiklin HCL 500 mg 325.00 - 2/28/2015 Pasien 325.00 0 - 325.00
Urine Bag 8 4,400.00 35,200.00 2/28/2015 Pasien 2 4,400.00 8800 6 4,400.00
Zink Syr 41 8,140.00 333,740.00 2/28/2015 Pasien 25 8,140.00 203500 16 8,140.00
Zink 327 521.00 170,367.00 2/28/2015 Pasien 319 521.00 166199 8 521.00
Vitamin B Kompleks 7525 112.00 842,800.00 2/28/2015 Pasien 4740 112.00 530880 2,785 112.00
9-Mar-15 Abocat NO. 18 57 18,480.00 1,053,360.00 3/31/2015 Pasien 18,480.00 0 57 18,480.00

Abocat No. 20 118 8,566.25 1,010,817.50 3/31/2015 Pasien 15 8,566.25 128493.75 103 8,566.25
Abocat No.24 89 8,566.25 762,396.25 3/31/2015 Pasien 8,566.25 0 89 8,566.25
Almond 96 5,216.00 500,736.00 3/31/2015 Pasien 1 5,216.00 5216 95 5,216.00
Alopurinol 100 mg 1,421 90.00 127,890.00 3/31/2015 Pasien 1421 90.00 127890 - 90.00
Ambroxol tablet 30 mg 3,500 143.00 500,500.00 3/31/2015 Pasien 2179 143.00 311597 1,321 143.00
Antasida Sirup 250 2,300.00 575,000.00 3/31/2015 Pasien 246 2,300.00 565800 4 2,300.00
Aqua PRO Injeksi 23 5,900.00 135,700.00 3/31/2015 Pasien 5,900.00 0 23 5,900.00
Asam Folat 1 mg 100 52.00 5,200.00 3/31/2015 Pasien 52.00 0 100 52.00
Asam Askorbat 50 mg 6,924 105.00 727,020.00 3/31/2015 Pasien 6924 105.00 727020 - 105.00
Asam Mefenamt 500mg 6,832 127.00 867,664.00 3/31/2015 Pasien 3233 127.00 410591 3,599 127.00
Asiklovir tablet 200 mg 1,182 245.00 289,590.00 3/31/2015 Pasien 625 245.00 153125 557 245.00
Attalpugit (Puralex) 1,714 220.00 377,080.00 3/31/2015 Pasien 254 220.00 55880 1,460 220.00
Bisturi 32 3,000.00 96,000.00 3/31/2015 Pasien 30 3,000.00 90000 2 3,000.00
Captropril 12,5 mg 2,136 69.00 147,384.00 3/31/2015 Pasien 1149 69.00 79281 987 69.00
Clobazam 950.00 - 3/31/2015 Pasien 950.00 0 - 950.00
Ciprofloxacine 500 mg 3,317 290.00 961,930.00 3/31/2015 Pasien 1663 290.00 482270 1,654 290.00
Deksametason Inj 64 1,738.00 111,232.00 3/31/2015 Pasien 1,738.00 0 64 1,738.00
Digoxin 275 103.00 28,325.00 3/31/2015 Pasien 10 103.00 1030 265 103.00
Dulcolax 431 175.20 75,511.20 3/31/2015 Pasien 22 175.20 3854.4 409 175.20
Efedrin HCl 25 mg 500 58.00 29,000.00 3/31/2015 Pasien 58.00 0 500 58.00
Erytromycin 500 mg 1,293 1,023.00 1,322,739.00 3/31/2015 Pasien 760 1,023.00 777480 533 1,023.00
Erytromycin sirup 93 8,090.00 752,370.00 3/31/2015 Pasien 37 8,090.00 299330 56 8,090.00
Etakridin 2 3,328.00 6,656.00 3/31/2015 Pasien 1 3,328.00 3328 1 3,328.00
Etanol 70% -100 ml 100 2,625.00 262,500.00 3/31/2015 Pasien 21 2,625.00 55125 79 2,625.00
Fenobarbital 30 mg 1,099 108.00 118,692.00 3/31/2015 Pasien 234 108.00 25272 865 108.00
Furosemid Inj 50 3,754.00 187,700.00 3/31/2015 Pasien 3,754.00 0 50 3,754.00
Glibenklamid 5 mg 2,092 132.00 276,144.00 3/31/2015 Pasien 1449 132.00 191268 643 132.00
Gliseril Guayakolat 8,024 33.00 264,792.00 3/31/2015 Pasien 1598 33.00 52734 6,426 33.00
Glukosa 5% 91 5,720.00 520,520.00 3/31/2015 Pasien 20 5,720.00 114400 71 5,720.00
Glukodex 575 266.00 152,950.00 3/31/2015 Pasien 403 266.00 107198 172 266.00
Griseofulvin 125 mg 1,368 241.00 329,688.00 3/31/2015 Pasien 560 241.00 134960 808 241.00
Guedel 10 18,528.00 185,280.00 31-02-15 Pasien 18,528.00 0 10 18,528.00
H202 1 26,950.00 26,950.00 3/31/2015 Pasien 26,950.00 0 1 26,950.00
Handscoen Steril 221 4,598.00 1,016,158.00 3/31/2015 Pasien 72 4,598.00 331056 149 4,598.00
Ibuprofen 400 mg 1,816 238.00 432,208.00 3/31/2015 Pasien 1156 238.00 275128 660 238.00
Ibuprofen 200 mg 1,045 121.00 126,445.00 3/31/2015 Pasien 882 121.00 106722 163 121.00
Kalsium Laktat 500 mg 3,015 76.00 229,140.00 3/31/2015 Pasien 1082 76.00 82232 1,933 76.00
Kasa Pembalut Hidrofil 335 1,909.20 639,582.00 3/31/2015 Pasien 80 1,909.20 152736 255 1,909.20
Kloramfenikol 250 mg 1,318 242.00 318,956.00 3/31/2015 Pasien 358 242.00 86636 960 242.00
Klorfeniramin Maleat 16,629 54.00 897,966.00 3/31/2015 Pasien 9495 54.00 512730 7,134 54.00
Klorpromazin 100 mg 1,197 162.00 193,914.00 3/31/2015 Pasien 383 162.00 62046 814 162.00
Kodein HCL 10 mg 100 550.00 55,000.00 3/31/2015 Pasien 550.00 0 100 550.00
Kotrimoksazol 480 mg 1,567 152.00 238,184.00 3/31/2015 Pasien 381 152.00 57912 1,186 152.00
Lavertram 47 5,307.00 249,429.00 3/31/2015 Pasien 5,307.00 0 47 5,307.00
Lidokain komp. Injeksi 1,499.00 - 3/31/2015 Pasien 78 1,499.00 116922 1,499.00
Lomatule 10 23,043.00 230,430.00 3/31/2015 Pasien 23,043.00 0 10 23,043.00
Masker 244 431.00 105,164.00 3/31/2015 Pasien 192 431.00 82752 52 431.00
Metformin Hcl 500 mg 2,517 124.50 313,366.50 3/31/2015 Pasien 1625 124.50 202312.5 892 124.50
Metoklopropamide Inj 10 - 3/31/2015 Pasien 10 - 0 - -
Metronidazol 500 mg 1,250 169.00 211,250.00 3/31/2015 Pasien 1250 169.00 211250 - 169.00
Microlax Supp 5 21,492.00 107,460.00 3/31/2015 Pasien 1 21,492.00 21492 4 21,492.00
Natrium Bikarbonat 3,012 20.00 60,240.00 3/31/2015 Pasien 756 20.00 15120 2,256 20.00
Na. Diklofenak 25 mg 1,316 152.00 200,032.00 3/31/2015 Pasien 1316 152.00 200032 - 152.00
NaCl 0,9 % 113 5,170.00 584,210.00 3/31/2015 Pasien 41 5,170.00 211970 72 5,170.00
Nald 23 258 3,343.75 862,687.50 3/31/2015 Pasien 125 3,343.75 417968.75 133 3,343.75
Obat TBC Kategori 1 - 3/31/2015 Pasien - 0 - -
OBH 193 1,339.80 258,581.40 3/31/2015 Pasien 84 1,339.80 112543.2 109 1,339.80
Oksitetra. salep mata 3,186.00 - 3/31/2015 Pasien 3,186.00 0 - 3,186.00
Oksitoksin Inj 122 2,420.00 295,240.00 3/31/2015 Pasien 2,420.00 0 122 2,420.00
Ondansentron Inj 4 mg 25 2,400.00 60,000.00 3/31/2015 Pasien 2,400.00 0 25 2,400.00
Omeprazol 982 221.00 217,022.00 3/31/2015 Pasien 982 221.00 217022 - 221.00
Parasetamol 100 mg 250 35.00 8,750.00 3/31/2015 Pasien 35.00 0 250 35.00
Pirantel 111 318.00 35,298.00 3/31/2015 Pasien 33 318.00 10494 78 318.00
Piridoksin 10 mg 3,461 32.00 110,752.00 3/31/2015 Pasien 3461 32.00 110752 - 32.00
Piroksikam 10 mg 2,214 97.00 214,758.00 3/31/2015 Pasien 1196 97.00 116012 1,018 97.00
Plester 5 yard x 2 inch 20 53,905.50 1,078,110.00 3/31/2015 Pasien 5 53,905.50 269527.5 15 53,905.50
Pot - 3/31/2015 Pasien - 0 - -
Prednison 5 mg 2,703 125.00 337,875.00 3/31/2015 Pasien 742 125.00 92750 1,961 125.00
Propanolol 10 mg 80.00 - 3/31/2015 Pasien 80.00 0 - 80.00
Salbutamol 2 mg 1,016 65.00 66,040.00 3/31/2015 Pasien 916 65.00 59540 100 65.00
Sianokobalamin tablet 23,924 64.00 1,531,136.00 3/31/2015 Pasien 736 64.00 47104 23,188 64.00
Silk 41 7,681.00 314,921.00 3/31/2015 Pasien 30 7,681.00 230430 11 7,681.00
Simvastatin 2,038 177.00 360,726.00 3/31/2015 Pasien 457 177.00 80889 1,581 177.00
Thiamin HCl 4,651 48.00 223,248.00 3/31/2015 Pasien 3126 48.00 150048 1,525 48.00
Triheksilfenidil 1,331 44.00 58,564.00 3/31/2015 Pasien 885 44.00 38940 446 44.00
Urine Bag 6 4,400.00 26,400.00 3/31/2015 Pasien 4,400.00 0 6 4,400.00
Zink Syr 41 8,140.00 333,740.00 3/31/2015 Pasien 17 8,140.00 138380 24 8,140.00
Zink 317 521.00 165,157.00 3/31/2015 Pasien 95 521.00 49495 222 521.00
Vitamin B Kompleks 7,785 112.00 871,920.00 3/31/2015 Pasien 6605 112.00 739760 1,180 112.00
10-Apr-15 Abocat NO. 18 57 18,480.00 1,053,360.00 4/30/2015 Pasien 20 18,480.00 369600 37 18,480.00
Abocat No. 20 103 8,566.25 882,323.75 4/30/2015 Pasien 35 8,566.25 299818.75 68 8,566.25
Abocat No.24 89 8,566.25 762,396.25 4/30/2015 Pasien 20 8,566.25 171325 69 8,566.25
Almond 95 5,216.00 495,520.00 4/30/2015 Pasien 26 5,216.00 135616 69 5,216.00
Alopurinol 100 mg 2400 90.00 216,000.00 4/30/2015 Pasien 991 90.00 89190 1,409 90.00
Ambroxol tablet 30 mg 3723 143.00 532,389.00 4/30/2015 Pasien 1169 143.00 167167 2,554 143.00
Amoksisilin 500 mg 10725 279.00 2,992,275.00 4/30/2015 Pasien 4925 279.00 1374075 5,800 279.00
Amoksisilin 250 mg 7627 220.00 1,677,940.00 4/30/2015 Pasien 7627 220.00 1677940 - 220.00
Antasida Tablet 6780 78.00 528,840.00 4/30/2015 Pasien 3669 78.00 286182 3,111 78.00
Asam Askorbat 50 mg 11500 105.00 1,207,500.00 4/30/2015 Pasien 4193 105.00 440265 7,307 105.00
Asam Mefenamt 500mg 5599 127.00 711,073.00 4/30/2015 Pasien 4233 127.00 537591 1,366 127.00
Asiklovir krim 75 3,790.00 284,250.00 4/30/2015 Pasien 75 3,790.00 284250 - 3,790.00
Asiklovir tablet 200 mg 1057 245.00 258,965.00 4/30/2015 Pasien 300 245.00 73500 757 245.00
Besi (II) Sulfat 28247 45.00 1,271,115.00 4/30/2015 Pasien 1807 45.00 81315 26,440 45.00
Betadin Saleb 20 8,663.00 173,260.00 4/30/2015 Pasien 6 8,663.00 51978 14 8,663.00
Bisturi 52 3,000.00 156,000.00 4/30/2015 Pasien 25 3,000.00 75000 27 3,000.00
Captropril 12,5 mg 1987 69.00 137,103.00 4/30/2015 Pasien 1932 69.00 133308 55 69.00
Clobazam 950.00 - 4/30/2015 Pasien 950.00 0 - 950.00
Ciprofloxacine 500 mg 2854 290.00 827,660.00 4/30/2015 Pasien 1234 290.00 357860 1,620 290.00
Deksametason 0,5 mg 8246 68.00 560,728.00 4/30/2015 Pasien 4489 68.00 305252 3,757 68.00
Diazepam Inj 71 2,578.00 183,038.00 4/30/2015 Pasien 12 2,578.00 30936 59 2,578.00
Diazepam 2 mg 1079 46.00 49,634.00 4/30/2015 Pasien 160 46.00 7360 919 46.00
Digoxin 265 103.00 27,295.00 4/30/2015 Pasien 103.00 0 265 103.00
Dulcolax 409 175.20 71,656.80 4/30/2015 Pasien 32 175.20 5606.4 377 175.20
Donperidon - 4/30/2015 Pasien - 0 - -
Efedrin HCl 25 mg 500 58.00 29,000.00 4/30/2015 Pasien 25 58.00 1450 475 58.00
Erytromycin 500 mg 1333 1,023.00 1,363,659.00 4/30/2015 Pasien 501 1,023.00 512523 832 1,023.00
Etanol 70% -100 ml 79 2,625.00 207,375.00 4/30/2015 Pasien 68 2,625.00 178500 11 2,625.00
Eugenol cairan 100 ml 3 9,344.00 28,032.00 4/30/2015 Pasien 1 9,344.00 9344 2 9,344.00
Etil Klorida spray 7 18,333.00 128,331.00 4/30/2015 Pasien 7 18,333.00 128331 - 18,333.00
Fenobarbital 30 mg 865 108.00 93,420.00 4/30/2015 Pasien 64 108.00 6912 801 108.00
Glukosa 5% 71 5,720.00 406,120.00 4/30/2015 Pasien 33 5,720.00 188760 38 5,720.00
Glukodex 672 266.00 178,752.00 4/30/2015 Pasien 472 266.00 125552 200 266.00
Guedel 10 18,528.00 185,280.00 31-02-15 Pasien 18,528.00 0 10 18,528.00
Haloperidol 0.5 mg 3548 62.00 219,976.00 4/30/2015 Pasien 166 62.00 10292 3,382 62.00
H202 1 26,950.00 26,950.00 4/30/2015 Pasien 26,950.00 0 1 26,950.00
Ibuprofen 200 mg 163 121.00 19,723.00 4/30/2015 Pasien 121.00 0 163 121.00
Kalsium Laktat 500 mg 1933 76.00 146,908.00 4/30/2015 Pasien 393 76.00 29868 1,540 76.00
Kapas Pembalut 15 15,996.00 239,940.00 4/30/2015 Pasien 15 15,996.00 239940 - 15,996.00
Kassa Binda 2 104,500.00 209,000.00 4/30/2015 Pasien 1 104,500.00 104500 1 104,500.00
Kasa Pembalut Hidrofil 305 1,909.20 582,306.00 4/30/2015 Pasien 305 1,909.20 582306 - 1,909.20
Ketokenazole cream 13 2,633.00 34,229.00 4/30/2015 Pasien 13 2,633.00 34229 - 2,633.00
Kloramfenikol Syr 27 7,003.00 189,081.00 4/30/2015 Pasien 7,003.00 0 27 7,003.00
Kloramp tts telinga 35 1,840.00 64,400.00 4/30/2015 Pasien 35 1,840.00 64400 - 1,840.00
Klorfeniramin Maleat 16134 54.00 871,236.00 4/30/2015 Pasien 8834 54.00 477036 7,300 54.00
Kotrimoksazol 480 mg 1436 152.00 218,272.00 4/30/2015 Pasien 1236 152.00 187872 200 152.00
Lavertram 47 5,307.00 249,429.00 4/30/2015 Pasien 47 5,307.00 249429 - 5,307.00
Laxadin Senur 3 12,450.00 37,350.00 4/30/2015 Pasien 3 12,450.00 37350 - 12,450.00
Lidokain komp. Injeksi 145 1,499.00 217,355.00 4/30/2015 Pasien 111 1,499.00 166389 34 1,499.00
Lomatule 10 23,043.00 230,430.00 4/30/2015 Pasien 6 23,043.00 138258 4 23,043.00
Masker 320 431.00 137,920.00 4/30/2015 Pasien 140 431.00 60340 180 431.00
Metformin Hcl 500 mg 2792 124.50 347,604.00 4/30/2015 Pasien 1448 124.50 180276 1,344 124.50
Mikonazole 126 3,075.00 387,450.00 4/30/2015 Pasien 126 3,075.00 387450 - 3,075.00
Natrium Bikarbonat 2256 20.00 45,120.00 4/30/2015 Pasien 2017 20.00 40340 239 20.00
Na. Diklofenak 25 mg 1600 152.00 243,200.00 4/30/2015 Pasien 1344 152.00 204288 256 152.00
Na. Diklofenak 50 mg 2908 216.00 628,128.00 4/30/2015 Pasien 30 216.00 6480 2,878 216.00
NaCl 0,9 % 82 5,170.00 423,940.00 4/30/2015 Pasien 82 5,170.00 423940 - 5,170.00
Nistatin Tab Oral 300 704.00 211,200.00 4/30/2015 Pasien 13 704.00 9152 287 704.00
Nald 23 133 3,343.75 444,718.75 4/30/2015 Pasien 130 3,343.75 434687.5 3 3,343.75
Nald Heating 36 3,333.00 119,988.00 4/30/2015 Pasien 12 3,333.00 39996 24 3,333.00
OBH 157 1,339.80 210,348.60 4/30/2015 Pasien 33 1,339.80 44213.4 124 1,339.80
Oksitetra. salep mata 50 3,186.00 159,300.00 4/30/2015 Pasien 35 3,186.00 111510 15 3,186.00
Papaverin 40 mg 2124 - 4/30/2015 Pasien 1224 - 0 900 -
Parasetamol 500 mg 10330 88.00 909,040.00 4/30/2015 Pasien 7730 88.00 680240 2,600 88.00
Pirantel 78 318.00 24,804.00 4/30/2015 Pasien 78 318.00 24804 - 318.00
Piridoksin 10 mg 6000 32.00 192,000.00 4/30/2015 Pasien 3111 32.00 99552 2,889 32.00
Piroksikam 10 mg 2018 97.00 195,746.00 4/30/2015 Pasien 1020 97.00 98940 998 97.00
Plester 5 yard x 2 inch 15 53,905.50 808,582.50 4/30/2015 Pasien 13 53,905.50 700771.5 2 53,905.50
Pot - 4/30/2015 Pasien - 0 - -
Prednison 5 mg 1961 125.00 245,125.00 4/30/2015 Pasien 1036 125.00 129500 925 125.00
Propanolol 10 mg 210 80.00 16,800.00 4/30/2015 Pasien 80.00 0 210 80.00
Ranitidin 150 mg 7202 132.00 950,664.00 4/30/2015 Pasien 5126 132.00 676632 2,076 132.00
Ringer Laktat 275 5,720.00 1,573,000.00 4/30/2015 Pasien 275 5,720.00 1573000 - 5,720.00
Salep 2-4 30 gram 28 2,200.00 61,600.00 4/30/2015 Pasien 28 2,200.00 61600 - 2,200.00
Sianokobalamin tablet 23188 64.00 1,484,032.00 4/30/2015 Pasien 4958 64.00 317312 18,230 64.00
Silk 47 7,681.00 361,007.00 4/30/2015 Pasien 29 7,681.00 222749 18 7,681.00
Simvastatin 1581 177.00 279,837.00 4/30/2015 Pasien 1581 177.00 279837 - 177.00
Thiamin HCl 5525 48.00 265,200.00 4/30/2015 Pasien 4996 48.00 239808 529 48.00
Urine Bag 6 4,400.00 26,400.00 4/30/2015 Pasien 4,400.00 0 6 4,400.00
Zink Syr 16 8,140.00 130,240.00 4/30/2015 Pasien 12 8,140.00 97680 4 8,140.00
Zink 72 521.00 37,512.00 4/30/2015 Pasien 521.00 0 72 521.00
Wing Nald 21 G 3/4 100 - 4/30/2015 Pasien - 0 100 -
Wing Nald 25G 3/4 100 - 4/30/2015 Pasien 15 - 0 85 -
Wing Nald 27G 3/4 100 - 4/30/2015 Pasien - 0 100 -
8-May-15 Abocat NO. 18 37 18,480.00 683,760.00 5/31/2015 Pasien 5 18,480.00 92400 32 18,480.00
Abocat No. 20 68 8,566.25 582,505.00 5/31/2015 Pasien 45 8,566.25 385481.25 23 8,566.25
Abocat No.24 69 8,566.25 591,071.25 5/31/2015 Pasien 20 8,566.25 171325 49 8,566.25
Almond 69 5,216.00 359,904.00 5/31/2015 Pasien 24 5,216.00 125184 45 5,216.00
Alopurinol 100 mg 1709 90.00 153,810.00 5/31/2015 Pasien 733 90.00 65970 976 90.00
Aqua PRO Injeksi 17 5,900.00 100,300.00 5/31/2015 Pasien 17 5,900.00 100300 - 5,900.00
Asam Askorbat 50 mg 7307 105.00 767,235.00 5/31/2015 Pasien 4112 105.00 431760 3,195 105.00
Bisturi 42 3,000.00 126,000.00 5/31/2015 Pasien 20 3,000.00 60000 22 3,000.00
Burmazine 10 25,350.00 253,500.00 5/31/2015 Pasien 3 25,350.00 76050 7 25,350.00
Captropril 12,5 mg 3255 69.00 224,595.00 5/31/2015 Pasien 1274 69.00 87906 1,981 69.00
Clobazam 950.00 - 5/31/2015 Pasien 950.00 0 - 950.00
Ciprofloxacine 500 mg 2120 290.00 614,800.00 5/31/2015 Pasien 1265 290.00 366850 855 290.00
Digoxin 265 103.00 27,295.00 5/31/2015 Pasien 103.00 0 265 103.00
Dulcolax 200 175.20 35,040.00 5/31/2015 Pasien 31 175.20 5431.2 169 175.20
Etakridin 3 3,328.00 9,984.00 5/31/2015 Pasien 3,328.00 0 3 3,328.00
Etanol 70% -100 ml 111 2,625.00 291,375.00 5/31/2015 Pasien 38 2,625.00 99750 73 2,625.00
Eugenol cairan 100 ml 2 9,344.00 18,688.00 5/31/2015 Pasien 9,344.00 0 2 9,344.00
Etil Klorida spray 18,333.00 - 5/31/2015 Pasien 18,333.00 0 - 18,333.00
Gentian Violet 22 2,426.00 53,372.00 5/31/2015 Pasien 22 2,426.00 53372 - 2,426.00
Glibenklamid 5 mg 2600 132.00 343,200.00 5/31/2015 Pasien 907 132.00 119724 1,693 132.00
Glukosa 5% 58 5,720.00 331,760.00 5/31/2015 Pasien 7 5,720.00 40040 51 5,720.00
Glukodex 800 266.00 212,800.00 5/31/2015 Pasien 680 266.00 180880 120 266.00
Guedel 10 18,528.00 185,280.00 31-02-15 Pasien 18,528.00 0 10 18,528.00
H202 1 26,950.00 26,950.00 5/31/2015 Pasien 26,950.00 0 1 26,950.00
Ibuprofen 400 mg 3545 238.00 843,710.00 5/31/2015 Pasien 3545 238.00 843710 - 238.00
Ibuprofen 200 mg 121.00 - 5/31/2015 Pasien 121.00 0 - 121.00
Infusion set anak 29 4,400.00 127,600.00 5/31/2015 Pasien 4,400.00 0 29 4,400.00
Kalsium Laktat 500 mg 1627 76.00 123,652.00 5/31/2015 Pasien 254 76.00 19304 1,373 76.00
Keterolac 5 2,020.00 10,100.00 5/31/2015 Pasien 5 2,020.00 10100 - 2,020.00
Klindamisin 150 mg 343 405.00 138,915.00 5/31/2015 Pasien 405.00 0 343 405.00
Laxadin Senur 12,450.00 - 5/31/2015 Pasien 12,450.00 0 - 12,450.00
Lidokain komp. Injeksi 34 1,499.00 50,966.00 5/31/2015 Pasien 34 1,499.00 50966 - 1,499.00
Lomatule 14 23,043.00 322,602.00 5/31/2015 Pasien 5 23,043.00 115215 9 23,043.00
Masker 230 431.00 99,130.00 5/31/2015 Pasien 42 431.00 18102 188 431.00
Meloksikam 458 1,378.00 631,124.00 5/31/2015 Pasien 458 1,378.00 631124 - 1,378.00
Multivitamin Sirup 61 3,919.00 239,059.00 5/31/2015 Pasien 61 3,919.00 239059 - 3,919.00
Natrium Bikarbonat 4239 20.00 84,780.00 5/31/2015 Pasien 1788 20.00 35760 2,451 20.00
Na. Diklofenak 25 mg 1256 152.00 190,912.00 5/31/2015 Pasien 1256 152.00 190912 - 152.00
NaCl 0,9 % 140 5,170.00 723,800.00 5/31/2015 Pasien 80 5,170.00 413600 60 5,170.00
Nald 23 203 3,343.75 678,781.25 5/31/2015 Pasien 150 3,343.75 501562.5 53 3,343.75
Nald Heating 24 3,333.00 79,992.00 5/31/2015 Pasien 20 3,333.00 66660 4 3,333.00
OBH 124 1,339.80 166,135.20 5/31/2015 Pasien 35 1,339.80 46893 89 1,339.80
Oksitoksin Inj 107 2,420.00 258,940.00 5/31/2015 Pasien 2,420.00 0 107 2,420.00
Papaverin 40 mg 2900 - 5/31/2015 Pasien 130 - 0 2,770 -
Parasetamol 500 mg 12600 88.00 1,108,800.00 5/31/2015 Pasien 6436 88.00 566368 6,164 88.00
Pirantel 140 318.00 44,520.00 5/31/2015 Pasien 119 318.00 37842 21 318.00
Plester 5 yard x 2 inch 20 53,905.50 1,078,110.00 5/31/2015 Pasien 4 53,905.50 215622 16 53,905.50
Pot - 5/31/2015 Pasien - 0 - -
Povidon Iodida 300 ml 1 15,386.00 15,386.00 5/31/2015 Pasien 1 15,386.00 15386 - 15,386.00
Ranitidin 150 mg 8076 132.00 1,066,032.00 5/31/2015 Pasien 4603 132.00 607596 3,473 132.00
Salbutamol 2 mg 1532 65.00 99,580.00 5/31/2015 Pasien 522 65.00 33930 1,010 65.00
Silk 54 7,681.00 414,774.00 5/31/2015 Pasien 13 7,681.00 99853 41 7,681.00
Simvastatin 500 177.00 88,500.00 5/31/2015 Pasien 158 177.00 27966 342 177.00
Urine Bag 6 4,400.00 26,400.00 5/31/2015 Pasien 4,400.00 0 6 4,400.00
Zink Syr 12 8,140.00 97,680.00 5/31/2015 Pasien 12 8,140.00 97680 - 8,140.00
Zink 200 521.00 104,200.00 5/31/2015 Pasien 105 521.00 54705 95 521.00
Vitamin B Kompleks 7131 112.00 798,672.00 5/31/2015 Pasien 5654 112.00 633248 1,477 112.00
Wing Nald 21 G 3/4 100 - 5/31/2015 Pasien 1 - 0 99 -
Wing Nald 23 G 3/4 100 - 5/31/2015 Pasien 2 - 0 98 -
Wing Nald 25G 3/4 85 - 5/31/2015 Pasien 2 - 0 83 -
10-Jun-15 Abocat NO. 18 32 18,480.00 591,360.00 6/30/2015 Pasien 18,480.00 0 32 18,480.00

Abocat No. 20 143 8,566.25 1,224,973.75 6/30/2015 Pasien 24 8,566.25 205590 119 8,566.25
Abocat No.24 69 8,566.25 591,071.25 6/30/2015 Pasien 23 8,566.25 197023.75 46 8,566.25
Almond 45 5,216.00 234,720.00 6/30/2015 Pasien 12 5,216.00 62592 33 5,216.00
AlAt Suntik 3 ml 30 - 6/30/2015 Pasien 30 - 0 - -
Ambroxol tablet 30 mg 3122 143.00 446,446.00 6/30/2015 Pasien 2522 143.00 360646 600 143.00
Aminofilin 150 mg 100 86.00 8,600.00 6/30/2015 Pasien 10 86.00 860 90 86.00
Bisturi 34 3,000.00 102,000.00 6/30/2015 Pasien 15 3,000.00 45000 19 3,000.00
Clobazam 950.00 - 6/30/2015 Pasien 950.00 0 - 950.00
Digoxin 265 103.00 27,295.00 6/30/2015 Pasien 10 103.00 1030 255 103.00
Dulcolax 400 175.20 70,080.00 6/30/2015 Pasien 256 175.20 44851.2 144 175.20
Donperidon 100 - 6/30/2015 Pasien 10 - 0 90
Etanol 70% -100 ml 83 2,625.00 217,875.00 6/30/2015 Pasien 44 2,625.00 115500 39 2,625.00
Etil Klorida spray 18,333.00 - 6/30/2015 Pasien 18,333.00 0 - 18,333.00
Fenol Gliserol TTG 48 1,109.00 53,232.00 6/30/2015 Pasien 1,109.00 0 48 1,109.00
Glukosa 5% 68 5,720.00 388,960.00 6/30/2015 Pasien 33 5,720.00 188760 35 5,720.00
Glukodex 1120 266.00 297,920.00 6/30/2015 Pasien 544 266.00 144704 576 266.00
Guedel 10 18,528.00 185,280.00 31-02-15 Pasien 18,528.00 0 10 18,528.00
H202 1 26,950.00 26,950.00 6/30/2015 Pasien 26,950.00 0 1 26,950.00
Ibuprofen 400 mg 4893 238.00 1,164,534.00 6/30/2015 Pasien 2273 238.00 540974 2,620 238.00
Infusion set dewasa 105 4,176.00 438,480.00 6/30/2015 Pasien 105 4,176.00 438480 - 4,176.00
Isocorbid Dinitrat 5 mg 159 98.00 15,582.00 6/30/2015 Pasien 98.00 0 159 98.00
Kalium Permanganat 30 5,106.00 153,180.00 6/30/2015 Pasien 5,106.00 0 30 5,106.00
Kassa Steril 19 9,350.00 177,650.00 6/30/2015 Pasien 19 9,350.00 177650 - 9,350.00
Klindamisin 300 mg 390 - 6/30/2015 Pasien - 0 390 -
Kloramfenikol Syr 24 7,003.00 168,072.00 6/30/2015 Pasien 7,003.00 0 24 7,003.00
Kodein HCL 10 mg 70 550.00 38,500.00 6/30/2015 Pasien 70 550.00 38500 - 550.00
Kotrimoksazol 480 mg 2788 152.00 423,776.00 6/30/2015 Pasien 1656 152.00 251712 1,132 152.00
Laxadin Senur 12,450.00 - 6/30/2015 Pasien 12,450.00 0 - 12,450.00
Lomatule 9 23,043.00 207,387.00 6/30/2015 Pasien 4 23,043.00 92172 5 23,043.00
Masker 288 431.00 124,128.00 6/30/2015 Pasien 130 431.00 56030 158 431.00
Metformin Hcl 500 mg 794 124.50 98,853.00 6/30/2015 Pasien 794 124.50 98853 - 124.50
Metillprenisolon 4 mg 293 - 6/30/2015 Pasien 293 - 0 - -
Metoklopropamide tab 741 108.00 80,028.00 6/30/2015 Pasien 741 108.00 80028 - 108.00
Mikonazole 155 3,075.00 476,625.00 6/30/2015 Pasien 155 3,075.00 476625 - 3,075.00
Na. Diklofenak 25 mg 1500 152.00 228,000.00 6/30/2015 Pasien 1382 152.00 210064 118 152.00
NaCl 0,9 % 150 5,170.00 775,500.00 6/30/2015 Pasien 61 5,170.00 315370 89 5,170.00
Nistatin tablet vaginal 181 528.00 95,568.00 6/30/2015 Pasien 528.00 0 181 528.00
Nald 23 253 3,343.75 845,968.75 6/30/2015 Pasien 160 3,343.75 535000 93 3,343.75
Nald Heating 3,333.00 - 6/30/2015 Pasien 3,333.00 0 - 3,333.00
OBH 89 1,339.80 119,242.20 6/30/2015 Pasien 79 1,339.80 105844.2 10 1,339.80
Pirantel 245 318.00 77,910.00 6/30/2015 Pasien 125 318.00 39750 120 318.00
Plester 5 yard x 2 inch 17 53,905.50 916,393.50 6/30/2015 Pasien 9 53,905.50 485149.5 8 53,905.50
Pot - 6/30/2015 Pasien - 0 - -
Povidon Iodida 300 ml 2 15,386.00 30,772.00 6/30/2015 Pasien 15,386.00 0 2 15,386.00
Prednison 5 mg 2826 125.00 353,250.00 6/30/2015 Pasien 1483 125.00 185375 1,343 125.00
Propiltiourasil 50 mg 170 351.00 59,670.00 6/30/2015 Pasien 351.00 0 170 351.00
Serum Anti Tetanus(Ats) 8 160,014.00 1,280,112.00 6/30/2015 Pasien 2 160,014.00 320028 6 160,014.00
Sefotaksin Inj 1000 mg 36 3,500.00 126,000.00 6/30/2015 Pasien 3,500.00 0 36 3,500.00
Silk 85 7,681.00 652,885.00 6/30/2015 Pasien 44 7,681.00 337964 41 7,681.00
Tramadol Kaps 50 mg 127 206.00 26,162.00 6/30/2015 Pasien 206.00 0 127 206.00
Triheksilfenidil 2079 44.00 91,476.00 6/30/2015 Pasien 1030 44.00 45320 1,049 44.00
Urine Bag 6 4,400.00 26,400.00 6/30/2015 Pasien 4,400.00 0 6 4,400.00
Zink Syr 15 8,140.00 122,100.00 6/30/2015 Pasien 10 8,140.00 81400 5 8,140.00
Zink 195 521.00 101,595.00 6/30/2015 Pasien 195 521.00 101595 - 521.00
7/9/2015 Abocat NO. 18 32 18,480.00 591,360.00 7/31/2015 Pasien 6 18,480.00 110880 26 18,480.00
Abocat No. 20 119 8,566.25 1,019,383.75 7/31/2015 Pasien 49 8,566.25 419746.25 70 8,566.25
Abbocat No.22 144 8,566.25 1,233,540.00 7/31/2015 Pasien 28 8,566.25 239855 116 8,566.25
Abocat No.24 46 8,566.25 394,047.50 7/31/2015 Pasien 16 8,566.25 137060 30 8,566.25
Almond 33 5,216.00 172,128.00 7/31/2015 Pasien 28 5,216.00 146048 5 5,216.00
AlAt Suntik 3 ml 100 - 7/31/2015 Pasien - 0 100 -
Aminofilin 150 mg 100 86.00 8,600.00 7/31/2015 Pasien 86.00 0 100 86.00
Amoksisilin sirup kering 346 2,560.00 885,760.00 7/31/2015 Pasien 173 2,560.00 442880 173 2,560.00
Anti Bakteri DOEN 118 2,767.00 326,506.00 7/31/2015 Pasien 2,767.00 0 118 2,767.00
Anti Migren 70 - 7/31/2015 Pasien - 0 70 -
Asam Folat 1 mg 100 52.00 5,200.00 7/31/2015 Pasien 10 52.00 520 90 52.00
Besi (II) Sulfat 12747 45.00 573,615.00 7/31/2015 Pasien 1405 45.00 63225 11,342 45.00
Bisturi 29 3,000.00 87,000.00 7/31/2015 Pasien 10 3,000.00 30000 19 3,000.00
Burmazine 7 25,350.00 177,450.00 7/31/2015 Pasien 25,350.00 0 7 25,350.00
Captropril 12,5 mg 2157 69.00 148,833.00 7/31/2015 Pasien 1467 69.00 101223 690 69.00
Clobazam 950.00 - 7/31/2015 Pasien 950.00 0 - 950.00
Deksametason Inj 30 1,738.00 52,140.00 7/31/2015 Pasien 30 1,738.00 52140 - 1,738.00
Difenhidramin HCl inj 97 1,160 112,520.00 7/31/2015 Pasien 30 1,160.00 34800 67 1,160.00
Digoxin 255 103.00 26,265.00 7/31/2015 Pasien 103.00 0 255 103.00
Dulcolax 544 - 7/31/2015 Pasien 78 - 0 466 -
Donperidon 90 - 7/31/2015 Pasien 30 - 0 60 -
Efedrin HCl 25 mg 423 58 24,534.00 7/31/2015 Pasien 10 58.00 580 413 58.00
Erytromycin 500 mg 322 1,023 329,406.00 7/31/2015 Pasien 92 1,023.00 94116 230 1,023.00
Erytromycin sirup 23 8,090.00 186,070.00 7/31/2015 Pasien 8,090.00 0 23 8,090.00
Etanol 70% -100 ml 79 - 7/31/2015 Pasien 50 - 0 29 -
Fenol Gliserol TTG 48 1,109.00 53,232.00 7/31/2015 Pasien 3 1,109.00 3327 45 1,109.00
Glukosa 5% 55 5,720.00 314,600.00 7/31/2015 Pasien 27 5,720.00 154440 28 5,720.00
Glukodex 976 266.00 259,616.00 7/31/2015 Pasien 662 266.00 176092 314 266.00
Guedel 10 18,528.00 185,280.00 31-02-15 Pasien 18,528.00 0 10 18,528.00
Hidroklorotiazid 25 mg 660 53.00 34,980.00 7/31/2015 Pasien 53.00 0 660 53.00
Hidrokortison 2,5% 190 2,868.00 544,920.00 7/31/2015 Pasien 2,868.00 0 190 2,868.00
H202 1 26,950.00 26,950.00 7/31/2015 Pasien 26,950.00 0 1 26,950.00
Ibuprofen 400 mg 3620 238.00 861,560.00 7/31/2015 Pasien 980 238.00 233240 2,640 238.00
Ibuprofen Syr 266 - 7/31/2015 Pasien 50 - 0 216 -
Kalium Permanganat 30 5,106.00 153,180.00 7/31/2015 Pasien 3 5,106.00 15318 27 5,106.00
Kassa Steril 1 - 7/31/2015 Pasien 1 - 0 - -
Ketokenazole 200 mg 228 320.00 72,960.00 7/31/2015 Pasien 320.00 0 228 320.00
Keterolac 36 - 7/31/2015 Pasien 16 - 0 20 -
Klindamisin 300 mg 390 - 7/31/2015 Pasien - 0 390 -
Kloramfenikol 250 mg 712 242 172,304.00 7/31/2015 Pasien 122 242.00 29524 590 242.00
Kloramp tts telinga 51 - 7/31/2015 Pasien 11 - 0 40 -
Kloramp tts mata 38 - 7/31/2015 Pasien 38 - 0 - -
Klorpromazin 100 mg 1624 162.00 263,088.00 7/31/2015 Pasien 248 162.00 40176 1,376 162.00
Kodein HCL 10 mg 200 550.00 110,000.00 7/31/2015 Pasien 550.00 0 200 550.00
Lidokain injeksi 21 - 7/31/2015 Pasien 21 - 0 - -
Lidokain komp. Injeksi - 7/31/2015 Pasien - 0 - -
Lomatule 15 - 7/31/2015 Pasien 2 - 0 13 -
Masker 258 431 111,198.00 7/31/2015 Pasien 53 431.00 22843 205 431.00
Metformin Hcl 500 mg 124.5 - 7/31/2015 Pasien 124.50 0 - 124.50
Metilergometrin Tab 607 169 102,583.00 7/31/2015 Pasien 50 169.00 8450 557 169.00
Metilergometrin Inj 21 2,750.00 57,750.00 7/31/2015 Pasien 2,750.00 0 21 2,750.00
Metoklopropamide tab 1300 108 140,400.00 7/31/2015 Pasien 752 108.00 81216 548 108.00
Meloksikam 1193 - 7/31/2015 Pasien 579 - 0 614 -
Metronidazol 500 mg 1757 169 296,933.00 7/31/2015 Pasien 818 169.00 138242 939 169.00
Natrium Bikarbonat 2400 20.00 48,000.00 7/31/2015 Pasien 2000 20.00 40000 400 20.00
Na. Diklofenak 25 mg 118 - 7/31/2015 Pasien 118 - 0 - -
NaCl 0,9 % 109 5,170.00 563,530.00 7/31/2015 Pasien 29 5,170.00 149930 80 5,170.00
Nistatin tablet vaginal 181 - 7/31/2015 Pasien 17 - 0 164 -
Nald 23 293 528.00 154,704.00 7/31/2015 Pasien 110 528.00 58080 183 528.00
Nald Heating - 7/31/2015 Pasien - 0 - -
OBH 10 - 7/31/2015 Pasien 10 - 0 - -
Parasetamol 500 mg 10335 88.00 909,480.00 7/31/2015 Pasien 5865 88.00 516120 4,470 88.00
Pembalut Gips 4 1 - 7/31/2015 Pasien - 0 1 -
Pirantel 220 318.00 69,960.00 7/31/2015 Pasien 318.00 0 220 318.00
Piroksikam 10 mg 867 97.00 84,099.00 7/31/2015 Pasien 867 97.00 84099 - 97.00
Pot 200 - 7/31/2015 Pasien 200 - 0 - -
Povidon Iodida 30 ml 8 - 7/31/2015 Pasien 8 - 0 - -
Propiltiourasil 50 mg 170 - 7/31/2015 Pasien - 0 170 -
Ringer Laktat 154 5,720.00 880,880.00 7/31/2015 Pasien 94 5,720.00 537680 60 5,720.00
Sesolid rektal - 7/31/2015 Pasien - 0 - -
Silk 77 7,681.00 591,437.00 7/31/2015 Pasien 3 7,681.00 23043 74 7,681.00
Tetrasiklin HCL 500 mg - 7/31/2015 Pasien - 0 - -
Triheksilfenidil 1749 - 7/31/2015 Pasien 922 - 0 827 -
Urine Bag 6 4,400.00 26,400.00 7/31/2015 Pasien 4,400.00 0 6 4,400.00
Zink Syr 25 8,140.00 203,500.00 7/31/2015 Pasien 25 8,140.00 203500 - 8,140.00
Zink 500 521.00 260,500.00 7/31/2015 Pasien 85 521.00 44285 415 521.00
Ventolin Nebul - 7/31/2015 Pasien - 0 - -
Wing Nald 27 - 7/31/2015 Pasien - 0 - -
8/10/2015 Abocat NO. 18 26 18,480.00 480,480.00 31-08-15 Pasien 21 18,480.00 388080 5 18,480.00
Abocat No. 20 119 8,566.25 1,019,383.75 31-08-15 Pasien 25 8,566.25 214156.25 94 8,566.25
Abbocat No.22 116 8,566.25 993,685.00 31-08-15 Pasien 48 8,566.25 411180 68 8,566.25
Abocat No.24 30 8,566.25 256,987.50 31-08-15 Pasien 10 8,566.25 85662.5 20 8,566.25
Almond 53 5,216.00 276,448.00 31-08-15 Pasien 28 5,216.00 146048 25 5,216.00
Alat suntik 1 ml 238 1,540.00 366,520.00 31-08-15 Pasien 158 1,540.00 243320 80 1,540.00
Alat suntik 2,5 ml 452 849.00 383,748.00 31-08-15 Pasien 45 849.00 38205 407 849.00
AlAt Suntik 3 ml 200 - 31-08-15 Pasien 200 - 0 - -
Alat Suntik 5 ml 78 1,348.00 105,144.00 31-08-15 Pasien 55 1,348.00 74140 23 1,348.00
Alopurinol 100 mg 1651 90.00 148,590.00 31-08-15 Pasien 1017 90.00 91530 634 90.00
Alprazolam 0,5 mg 422 574.75 242,544.50 31-08-15 Pasien 166 574.75 95408.5 256 574.75
Ambroxol syrup 237 4,169.00 988,053.00 31-08-15 Pasien 161 4,169.00 671209 76 4,169.00
Ambroxol tablet 30 mg 2454 143.00 350,922.00 31-08-15 Pasien 2454 143.00 350922 - 143.00
Aminofilin 150 mg 90 86.00 7,740.00 31-08-15 Pasien 86.00 0 90 86.00
Amitriptilin HCl 25 mg 314 123.00 38,622.00 31-08-15 Pasien 149 123.00 18327 165 123.00
Amlodipin 5 mg 495 326.70 161,716.50 31-08-15 Pasien 433 326.70 141461.1 62 326.70
Amoksisilin 500 mg 8165 279.00 2,278,035.00 31-08-15 Pasien 6660 279.00 1858140 1,505 279.00
Amoksisilin 250 mg 12296 220.00 2,705,120.00 31-08-15 Pasien 815 220.00 179300 11,481 220.00
Amoksisilin sirup kering 350 2,560.00 896,000.00 31-08-15 Pasien 274 2,560.00 701440 76 2,560.00
Antasida Sirup 279 2,300.00 641,700.00 31-08-15 Pasien 279 2,300.00 641700 - 2,300.00
Antasida Tablet 5166 78.00 402,948.00 31-08-15 Pasien 2700 78.00 210600 2,466 78.00
Anti Bakteri DOEN 118 2,767.00 326,506.00 31-08-15 Pasien 8 2,767.00 22136 110 2,767.00
Anti Hemoroid DOEN 62 3,350.00 207,700.00 31-08-15 Pasien 50 3,350.00 167500 12 3,350.00
Anti Fungi Doen 48 2,096.00 100,608.00 31-08-15 Pasien 6 2,096.00 12576 42 2,096.00
Anti Migren 70 - 31-08-15 Pasien - 0 70 -
Aqua PRO Injeksi 36 5,900.00 212,400.00 31-08-15 Pasien 3 5,900.00 17700 33 5,900.00
Asam Folat 1 mg 100 52.00 5,200.00 31-08-15 Pasien 52.00 0 100 52.00
Asam Asetilsalisilat 163.00 - 31-08-15 Pasien 163.00 0 - 163.00
Asam Askorbat 50 mg 7855 105.00 824,775.00 31-08-15 Pasien 7855 105.00 824775 - 105.00
Asam Mefenamt 500mg 5835 127.00 741,045.00 31-08-15 Pasien 5835 127.00 741045 - 127.00
Asam Triheksamat Inj 10 3,650.00 36,500.00 31-08-15 Pasien 3,650.00 0 10 3,650.00
Asiklovir krim 75 3,790.00 284,250.00 31-08-15 Pasien 20 3,790.00 75800 55 3,790.00
Asiklovir tablet 200 mg 715 245.00 175,175.00 31-08-15 Pasien 97 245.00 23765 618 245.00
Attalpugit (Puralex) 1465 220.00 322,300.00 31-08-15 Pasien 600 220.00 132000 865 220.00
Besi (II) Sulfat 20069 45.00 903,105.00 31-08-15 Pasien 5421 45.00 243945 14,648 45.00
Betadin Saleb 8 8,663.00 69,304.00 31-08-15 Pasien 8 8,663.00 69304 - 8,663.00
Betahistin Mesilat 138 1,062.00 146,556.00 31-08-15 Pasien 10 1,062.00 10620 128 1,062.00
Betametason 55 1,558.00 85,690.00 31-08-15 Pasien 20 1,558.00 31160 35 1,558.00
Bisturi 29 3,000.00 87,000.00 31-08-15 Pasien 14 3,000.00 42000 15 3,000.00
Burmazine 7 25,350.00 177,450.00 31-08-15 Pasien 1 25,350.00 25350 6 25,350.00
Captropril 12,5 mg 2490 69.00 171,810.00 31-08-15 Pasien 1852 69.00 127788 638 69.00
Captropril 25 mg 410 97.00 39,770.00 31-08-15 Pasien 100 97.00 9700 310 97.00
Catgut Plain 71 7,287.00 517,377.00 31-08-15 Pasien 23 7,287.00 167601 48 7,287.00
Caviton White - 31-08-15 Pasien - 0 - -
Clobazam 200 950.00 190,000.00 31-08-15 Pasien 950.00 0 200 950.00
Ciprofloxacine 500 mg 1143 290.00 331,470.00 31-08-15 Pasien 1051 290.00 304790 92 290.00
Deksametason Inj 100 1,738.00 173,800.00 31-08-15 Pasien 50 1,738.00 86900 50 1,738.00
Deksametason 0,5 mg 6303 68.00 428,604.00 31-08-15 Pasien 5466 68.00 371688 837 68.00
Diazepam Inj 59 2,578.00 152,102.00 31-08-15 Pasien 2,578.00 0 59 2,578.00
Diazepam 2 mg 618 46.00 28,428.00 31-08-15 Pasien 79 46.00 3634 539 46.00
Difenhidramin HCl inj 67 1,160 77,720.00 31-08-15 Pasien 25 1,160.00 29000 42 1,160.00
Digoxin 255 103.00 26,265.00 31-08-15 Pasien 103.00 0 255 103.00
Dulcolax 466 - 31-08-15 Pasien 49 - 0 417 -
Donperidon 60 - 31-08-15 Pasien - 0 60 -
Efedrin HCl 25 mg 413 58 23,954.00 31-08-15 Pasien 305 58.00 17690 108 58.00
Epinefrin Inj 15 - 31-08-15 Pasien - 0 15 -
Erytromycin 500 mg 630 1,023 644,490.00 31-08-15 Pasien 282 1,023.00 288486 348 1,023.00
Erytromycin sirup 23 8,090.00 186,070.00 31-08-15 Pasien 23 8,090.00 186070 - 8,090.00
Etakridin 3 3,328.00 9,984.00 31-08-15 Pasien 1 3,328.00 3328 2 3,328.00
Etanol 70% -100 ml 79 - 31-08-15 Pasien 45 - 0 34 -
Eugenol cairan 100 ml 2 9,344.00 18,688.00 31-08-15 Pasien 9,344.00 0 2 9,344.00
Etil Klorida spray 10 18,333.00 183,330.00 31-08-15 Pasien 1 18,333.00 18333 9 18,333.00
Fenobarbital 30 mg 714 108.00 77,112.00 31-08-15 Pasien 31 108.00 3348 683 108.00
Fenol Gliserol TTG 45 1,109.00 49,905.00 31-08-15 Pasien 1,109.00 0 45 1,109.00
Fitomenadion tablet 211 698.00 147,278.00 31-08-15 Pasien 123 698.00 85854 88 698.00
Foly chateter 18 6 9,344.00 56,064.00 31-08-15 Pasien 9,344.00 0 6 9,344.00
Foly chateter 20 5 9,344.00 46,720.00 31-08-15 Pasien 9,344.00 0 5 9,344.00
Furosemid Inj 3,754.00 - 31-08-15 Pasien 3,754.00 0 - 3,754.00
Furosemid 40 mg 310 84.00 26,040.00 31-08-15 Pasien 28 84.00 2352 282 84.00
Garam Oralit 929 317.00 294,493.00 31-08-15 Pasien 248 317.00 78616 681 317.00
Gentamisin salep kulit 160 2,126.00 340,160.00 31-08-15 Pasien 15 2,126.00 31890 145 2,126.00
Gentamisin Tetes Mata 36 9,075.00 326,700.00 31-08-15 Pasien 10 9,075.00 90750 26 9,075.00
Gentian Violet 25 2,426.00 60,650.00 31-08-15 Pasien 25 2,426.00 60650 - 2,426.00
Glibenklamid 5 mg 1616 132.00 213,312.00 31-08-15 Pasien 461 132.00 60852 1,155 132.00
Gliseril Guayakolat 3765 33.00 124,245.00 31-08-15 Pasien 2465 33.00 81345 1,300 33.00
Glukosa 5% 48 5,720.00 274,560.00 31-08-15 Pasien 27 5,720.00 154440 21 5,720.00
Glukodex 1114 266.00 296,324.00 31-08-15 Pasien 1080 266.00 287280 34 266.00
Griseofulvin 125 mg 714 241.00 172,074.00 31-08-15 Pasien 474 241.00 114234 240 241.00
Guedel 15 18,528.00 277,920.00 31-02-15 Pasien 18,528.00 0 15 18,528.00
Haloperidol 0.5 mg 3075 62.00 190,650.00 31-08-15 Pasien 40 62.00 2480 3,035 62.00
Haloperidol 1,5 mg 843 76.00 64,068.00 31-08-15 Pasien 626 76.00 47576 217 76.00
Haloperidol 5 mg 560 105.00 58,800.00 31-08-15 Pasien 308 105.00 32340 252 105.00
Hidroklorotiazid 25 mg 660 53.00 34,980.00 31-08-15 Pasien 53.00 0 660 53.00
Hidrokortison 2,5% 190 2,868.00 544,920.00 31-08-15 Pasien 45 2,868.00 129060 145 2,868.00
H202 1 26,950.00 26,950.00 31-08-15 Pasien 26,950.00 0 1 26,950.00
Hyoscine tab 10 mg 100 344.00 34,400.00 31-08-15 Pasien 24 344.00 8256 76 344.00
Hyoscine Inj 10 4,950.00 49,500.00 31-08-15 Pasien 4,950.00 0 10 4,950.00
Handscoen Steril 158 4,598.00 726,484.00 31-08-15 Pasien 61 4,598.00 280478 97 4,598.00
Handscoen Non Steril - 31-08-15 Pasien - 0 - -
Ibuprofen 400 mg 3340 238.00 794,920.00 31-08-15 Pasien 3120 238.00 742560 220 238.00
Ibuprofen 200 mg 189 121.00 22,869.00 31-08-15 Pasien 121.00 0 189 121.00
Ibuprofen Syr 216 - 31-08-15 Pasien 59 - 0 157 -
Ichtyol Zalff 10 2,547.00 25,470.00 31-08-15 Pasien 1 2,547.00 2547 9 2,547.00
Infusion set anak 43 4,400.00 189,200.00 31-08-15 Pasien 5 4,400.00 22000 38 4,400.00
Infusion set dewasa 119 4,176.00 496,944.00 31-08-15 Pasien 40 4,176.00 167040 79 4,176.00
Isocorbid Dinitrat 5 mg 149 98.00 14,602.00 31-08-15 Pasien 4 98.00 392 145 98.00
Kalsium Laktat 500 mg 754 76.00 57,304.00 31-08-15 Pasien 161 76.00 12236 593 76.00
Kalium Permanganat 27 5,106.00 137,862.00 31-08-15 Pasien 3 5,106.00 15318 24 5,106.00
Kapas Pembalut 13 15,996.00 207,948.00 31-08-15 Pasien 13 15,996.00 207948 - 15,996.00
Kassa Binda 1 104,500.00 104,500.00 31-08-15 Pasien 1 104,500.00 104500 - 104,500.00
Kassa Steril 24 - 31-08-15 Pasien - 0 24 -
Kasa Pembalut Hidrofil 270 1,909.20 515,484.00 31-08-15 Pasien 90 1,909.20 171828 180 1,909.20
Ketokenazole cream 15 2,633.00 39,495.00 31-08-15 Pasien 7 2,633.00 18431 8 2,633.00
Ketokenazole 200 mg 228 320.00 72,960.00 31-08-15 Pasien 10 320.00 3200 218 320.00
Keterolac 47 - 31-08-15 Pasien - 0 47 -
Klindamisin 150 mg 243 - 31-08-15 Pasien 2 - 0 241 -
Klindamisin 300 mg 390 - 31-08-15 Pasien 20 - 0 370 -
Kloramfenikol 250 mg 950 242 229,900.00 31-08-15 Pasien 632 242.00 152944 318 242.00
Kloramfenikol Syr 22 7,003.00 154,066.00 31-08-15 Pasien 7,003.00 0 22 7,003.00
Kloramp tts telinga 40 - 31-08-15 Pasien 25 - 0 15 -
Kloramp. salap mata 30 1,760.00 52,800.00 31-08-15 Pasien 15 1,760.00 26400 15 1,760.00
Kloramp tts mata 50 - 31-08-15 Pasien 22 - 0 28 -
Klorfeniramin Maleat 12843 54.00 693,522.00 31-08-15 Pasien 7790 54.00 420660 5,053 54.00
Klorpromazin 100 mg 1376 162.00 222,912.00 31-08-15 Pasien 299 162.00 48438 1,077 162.00
Klorpromazin 25 mg 221 50.00 11,050.00 31-08-15 Pasien 106 50.00 5300 115 50.00
Kodein HCL 10 mg 200 550.00 110,000.00 31-08-15 Pasien 20 550.00 11000 180 550.00
Kotrimoksazol 480 mg 2132 152.00 324,064.00 31-08-15 Pasien 936 152.00 142272 1,196 152.00
Kotrimoksazol Sirup 145 2,298.00 333,210.00 31-08-15 Pasien 36 2,298.00 82728 109 2,298.00
Lavertram 28 5,307.00 148,596.00 31-08-15 Pasien 15 5,307.00 79605 13 5,307.00
Laxadin Senur 8 12,450.00 99,600.00 31-08-15 Pasien 8 12,450.00 99600 - 12,450.00
Lidokain injeksi - 31-08-15 Pasien - 0 - -
Lidokain komp. Injeksi - 31-08-15 Pasien - 0 - -
Lomatule 13 - 31-08-15 Pasien - 0 13 -
Masker 205 431 88,355.00 31-08-15 Pasien 105 431.00 45255 100 431.00
Metformin Hcl 500 mg 124.5 - 31-08-15 Pasien 124.50 0 - 124.50
Metillprenisolon 4 mg 445 - 31-08-15 Pasien 365 - 0 80 -
Metilergometrin Tab 607 169 102,583.00 31-08-15 Pasien 50 169.00 8450 557 169.00
Metilergometrin Inj 21 2,750.00 57,750.00 31-08-15 Pasien 2,750.00 0 21 2,750.00
Metoklopropamide Sir 32 5,070.00 162,240.00 31-08-15 Pasien 5 5,070.00 25350 27 5,070.00
Metoklopropamide tab 1348 108 145,584.00 31-08-15 Pasien 518 108.00 55944 830 108.00
Metoklopropamide Inj 15 - 31-08-15 Pasien 10 - 0 5 -
Meloksikam 1014 - 31-08-15 Pasien 793 - 0 221 -
Metronidazol 500 mg 1439 169 243,191.00 31-08-15 Pasien 887 169.00 149903 552 169.00
Metronidazol Syr 35 3,075.00 107,625.00 31-08-15 Pasien 5 3,075.00 15375 30 3,075.00
Mikonazole 163 3,075.00 501,225.00 31-08-15 Pasien 136 3,075.00 418200 27 3,075.00
Multivitamin Sirup 55 3,919.00 215,545.00 31-08-15 Pasien 43 3,919.00 168517 12 3,919.00
Microlax Supp 4 21,492.00 85,968.00 31-08-15 Pasien 21,492.00 0 4 21,492.00
Natrium Bikarbonat 3400 20.00 68,000.00 31-08-15 Pasien 932 20.00 18640 2,468 20.00
Na. Diklofenak 25 mg - 31-08-15 Pasien - 0 - -
Na. Diklofenak 50 mg 1826 216.00 394,416.00 31-08-15 Pasien 1324 216.00 285984 502 216.00
Nifendifin 10 mg 69 110.00 7,590.00 31-08-15 Pasien 20 110.00 2200 49 110.00
NaCl 0,9 % 80 5,170.00 413,600.00 31-08-15 Pasien 44 5,170.00 227480 36 5,170.00
Nistatin tablet vaginal 164 - 31-08-15 Pasien 16 - 0 148 -
Nistatin Tab Oral 261 704.00 183,744.00 31-08-15 Pasien 10 704.00 7040 251 704.00
Nald 23 283 528.00 149,424.00 31-08-15 Pasien 60 528.00 31680 223 528.00
Nald Heating - 31-08-15 Pasien - 0 - -
Obat TBC Kategori 1 - 31-08-15 Pasien - 0 - -
OBH - 31-08-15 Pasien - 0 - -
Oksitetra. salep mata 57 3,186.00 181,602.00 31-08-15 Pasien 3 3,186.00 9558 54 3,186.00
Oksitetra. salep kulit 78 2,198.00 171,444.00 31-08-15 Pasien 32 2,198.00 70336 46 2,198.00
Oksitoksin Inj 78 2,420.00 188,760.00 31-08-15 Pasien 18 2,420.00 43560 60 2,420.00
Ondansentron Inj 4 mg 30 2,400.00 72,000.00 31-08-15 Pasien 2,400.00 0 30 2,400.00
Omeprazol 1034 221.00 228,514.00 31-08-15 Pasien 830 221.00 183430 204 221.00
Omegdian Syr 82 4,042.00 331,444.00 31-08-15 Pasien 24 4,042.00 97008 58 4,042.00
Papaverin 40 mg 2850 - 31-08-15 Pasien 78 - 0 2,772 -
Parasetamol sirup 437 1,535.00 670,795.00 31-08-15 Pasien 164 1,535.00 251740 273 1,535.00
Parasetamol 100 mg 250 35.00 8,750.00 31-08-15 Pasien 35.00 0 250 35.00
Parasetamol 500 mg 9970 88.00 877,360.00 31-08-15 Pasien 7665 88.00 674520 2,305 88.00
Pembalut Gips 3 1 25,850.00 25,850.00 31-08-15 Pasien 25,850.00 0 1 25,850.00
Pembalut Gips 4 1 - 31-08-15 Pasien - 0 1 -
Pembalut Gips 6 1 - 31-08-15 Pasien - 0 1 -
Pirantel 220 318.00 69,960.00 31-08-15 Pasien 25 318.00 7950 195 318.00
Pirasetam Inj 10 7,651.00 76,510.00 31-08-15 Pasien 7,651.00 0 10 7,651.00
Piridoksin 10 mg 3465 32.00 110,880.00 31-08-15 Pasien 990 32.00 31680 2,475 32.00
Piroksikam 10 mg 1500 97.00 145,500.00 31-08-15 Pasien 820 97.00 79540 680 97.00
Plester 5 yard x 2 inch 14 53,905.50 754,677.00 31-08-15 Pasien 10 53,905.50 539055 4 53,905.50
Pot - 31-08-15 Pasien - 0 - -
Povidon Iodida 300 ml 2 15,386.00 30,772.00 31-08-15 Pasien 1 15,386.00 15386 1 15,386.00
Povidon Iodida 30 ml 30 - 31-08-15 Pasien 5 - 0 25 -
Prednison 5 mg 2730 125.00 341,250.00 31-08-15 Pasien 338 125.00 42250 2,392 125.00
Primaquen 100 - 31-08-15 Pasien 100 - 0 - -
Propanolol 10 mg 189 80.00 15,120.00 31-08-15 Pasien 50 80.00 4000 139 80.00
Propiltiourasil 50 mg 160 - 31-08-15 Pasien 10 - 0 150 -
Ranitidin injeksi 145 1,340.00 194,300.00 31-08-15 Pasien 38 1,340.00 50920 107 1,340.00
Ranitidin 150 mg 6042 132.00 797,544.00 31-08-15 Pasien 4321 132.00 570372 1,721 132.00
Resperidon 0,25 mg 276 1,069.00 295,044.00 31-08-15 Pasien 38 1,069.00 40622 238 1,069.00
Ringer Laktat 160 5,720.00 915,200.00 31-08-15 Pasien 100 5,720.00 572000 60 5,720.00
Salbutamol 2 mg 1138 65.00 73,970.00 31-08-15 Pasien 850 65.00 55250 288 65.00
Salep 2-4 30 gram 30 2,200.00 66,000.00 31-08-15 Pasien 23 2,200.00 50600 7 2,200.00
Salisil Bedak 252 1,350.00 340,200.00 31-08-15 Pasien 102 1,350.00 137700 150 1,350.00
Semen Seng Fosfat - 31-08-15 Pasien - 0 - -
Serum Anti Tetanus(Ats) 12 160,014.00 1,920,168.00 31-08-15 Pasien 160,014.00 0 12 160,014.00
Sefotaksin Inj 1000 mg 36 3,500.00 126,000.00 31-08-15 Pasien 10 3,500.00 35000 26 3,500.00
Sesolid rektal - 31-08-15 Pasien - 0 - -
Sefriakson Inj 1000 mg 30 3,500.00 105,000.00 31-08-15 Pasien 5 3,500.00 17500 25 3,500.00
Sianokobalamin injeksi 231 1,050.00 242,550.00 31-08-15 Pasien 30 1,050.00 31500 201 1,050.00
Sianokobalamin tablet 14128 64.00 904,192.00 31-08-15 Pasien 3446 64.00 220544 10,682 64.00
Scabicit - 31-08-15 Pasien - 0 - -
Silk 74 7,681.00 568,394.00 31-08-15 Pasien 30 7,681.00 230430 44 7,681.00
Simvastatin 530 177.00 93,810.00 31-08-15 Pasien 130 177.00 23010 400 177.00
Spalk roll 12 70,785.00 849,420.00 31-08-15 Pasien 70,785.00 0 12 70,785.00
Tetrasiklin HCL 500 mg - 31-08-15 Pasien - 0 - -
Thiamin HCl 6895 48.00 330,960.00 31-08-15 Pasien 6895 48.00 330960 - 48.00
Tramadol Kaps 50 mg 112 206.00 23,072.00 31-08-15 Pasien 206.00 0 112 206.00
Triheksilfenidil 827 - 31-08-15 Pasien 257 - 0 570 -
Urine Bag 6 4,400.00 26,400.00 31-08-15 Pasien 2 4,400.00 8800 4 4,400.00
Zink Syr 25 8,140.00 203,500.00 31-08-15 Pasien 12 8,140.00 97680 13 8,140.00
Zink 415 521.00 216,215.00 31-08-15 Pasien 245 521.00 127645 170 521.00
Vitamin B Kompleks 7170 112.00 803,040.00 31-08-15 Pasien 4419 112.00 494928 2,751 112.00
Ventolin Nebul - 31-08-15 Pasien - 0 - -
Wing Nald 21 G 3/4 99 - 31-08-15 Pasien - 0 99 -
Wing Nald 23 G 3/4 98 - 31-08-15 Pasien - 0 98 -
Wing Nald 25G 3/4 85 - 31-08-15 Pasien - 0 85 -
Wing Nald 27 - 31-08-15 Pasien - 0 - -
9/10/2015 Abocat NO. 18 105 18,480.00 1,940,400.00 30-09-15 Pasien 10 18,480.00 184800 95 18,480.00
Abocat No. 20 94 8,566.25 805,227.50 9/30/2015 Pasien 20 8,566.25 171325 74 8,566.25
Abocat No.24 70 8,566.25 599,637.50 9/30/2015 Pasien 31 8,566.25 265553.75 39 8,566.25
Almond 49 5,216.00 255,584.00 9/30/2015 Pasien 25 5,216.00 130400 24 5,216.00
AlAt Suntik 3 ml 100 - 9/30/2015 Pasien 80 - 0 20 -
Aminofilin 150 mg 90 86.00 7,740.00 9/30/2015 Pasien 10 86.00 860 80 86.00
Antasida Sirup 450 2,300.00 1,035,000.00 9/30/2015 Pasien 256 2,300.00 588800 194 2,300.00
Antasida Tablet 4666 78.00 363,948.00 9/30/2015 Pasien 3951 78.00 308178 715 78.00
Anti Migren 70 - 9/30/2015 Pasien 40 - 0 30 -
Asam Folat 1 mg 17 52.00 884.00 9/30/2015 Pasien 52.00 0 17 52.00
Asam Askorbat 50 mg 13500 105.00 1,417,500.00 9/30/2015 Pasien 4469 105.00 469245 9,031 105.00
Asam Mefenamt 500mg 11000 127.00 1,397,000.00 9/30/2015 Pasien 3540 127.00 449580 7,460 127.00
Asam Triheksamat Inj 10 3,650.00 36,500.00 9/30/2015 Pasien 10 3,650.00 36500 - 3,650.00
Betadin Saleb 10 8,663.00 86,630.00 9/30/2015 Pasien 10 8,663.00 86630 - 8,663.00
Betametason 35 1,558.00 54,530.00 9/30/2015 Pasien 35 1,558.00 54530 - 1,558.00
Bisturi 20 3,000.00 60,000.00 9/30/2015 Pasien 10 3,000.00 30000 10 3,000.00
Caviton White 1 - 9/30/2015 Pasien - 0 1 -
Clobazam 200 950.00 190,000.00 9/30/2015 Pasien 950.00 0 200 950.00
Difenhidramin HCl inj 62 1,160 71,920.00 9/30/2015 Pasien 1,160.00 0 62 1,160.00
Digoxin 255 103.00 26,265.00 9/30/2015 Pasien 103.00 0 255 103.00
Dulcolax 417 - 9/30/2015 Pasien 20 - 0 397 -
Epinefrin Inj 15 - 9/30/2015 Pasien - 0 15 -
Etanol 70% -100 ml 74 - 9/30/2015 Pasien 64 - 0 10 -
Fenobarbital 30 mg 683 108.00 73,764.00 9/30/2015 Pasien 108.00 0 683 108.00
Glibenklamid 5 mg 1155 132.00 152,460.00 9/30/2015 Pasien 132.00 0 1,155 132.00
Glukosa 5% 41 5,720.00 234,520.00 9/30/2015 Pasien 10 5,720.00 57200 31 5,720.00
Glukodex 1834 266.00 487,844.00 9/30/2015 Pasien 716 266.00 190456 1,118 266.00
Guedel 15 18,528.00 277,920.00 31-02-15 Pasien 18,528.00 0 15 18,528.00
H202 1 26,950.00 26,950.00 9/30/2015 Pasien 26,950.00 0 1 26,950.00
Hyoscine tab 10 mg 76 344.00 26,144.00 9/30/2015 Pasien 46 344.00 15824 30 344.00
Handscoen Steril 138 4,598.00 634,524.00 9/30/2015 Pasien 138 4,598.00 634524 - 4,598.00
Infusion set dewasa 79 4,176.00 329,904.00 9/30/2015 Pasien 79 4,176.00 329904 - 4,176.00
Kassa Steril 24 - 9/30/2015 Pasien - 0 24 -
Kasa Pembalut Hidrofil 180 1,909.20 343,656.00 9/30/2015 Pasien 115 1,909.20 219558 65 1,909.20
Keterolac 31 - 9/30/2015 Pasien - 0 31 -
Kloramp tts telinga 35 - 9/30/2015 Pasien 30 - 0 5 -
Kloramp tts mata 28 - 9/30/2015 Pasien 7 - 0 21 -
Laxadin Senur 14 12,450.00 174,300.00 9/30/2015 Pasien 14 12,450.00 174300 - 12,450.00
Lidokain injeksi - 9/30/2015 Pasien - 0 - -
Lomatule 13 - 9/30/2015 Pasien - 0 13 -
Masker 200 431 86,200.00 9/30/2015 Pasien 200 431.00 86200 - 431.00
Metilergometrin Tab 607 169 102,583.00 9/30/2015 Pasien 169.00 0 607 169.00
Metronidazol 500 mg 1548 169 261,612.00 9/30/2015 Pasien 518 169.00 87542 1,030 169.00
Na. Diklofenak 25 mg - 9/30/2015 Pasien - 0 - -
NaCl 0,9 % 140 5,170.00 723,800.00 9/30/2015 Pasien 25 5,170.00 129250 115 5,170.00
Nald 23 223 528.00 117,744.00 9/30/2015 Pasien 100 528.00 52800 123 528.00
OBH - 9/30/2015 Pasien - 0 - -
Parasetamol sirup 369 1,535.00 566,415.00 9/30/2015 Pasien 369 1,535.00 566415 - 1,535.00
Pirantel 195 318.00 62,010.00 9/30/2015 Pasien 96 318.00 30528 99 318.00
Pirasetam Inj 10 7,651.00 76,510.00 9/30/2015 Pasien 5 7,651.00 38255 5 7,651.00
Pot - 9/30/2015 Pasien - 0 - -
Povidon Iodida 30 ml 25 - 9/30/2015 Pasien 8 - 0 17 -
Propiltiourasil 50 mg 260 - 9/30/2015 Pasien - 0 260 -
Ranitidin 150 mg 6821 132.00 900,372.00 9/30/2015 Pasien 4865 132.00 642180 1,956 132.00
Sesolid rektal - 9/30/2015 Pasien - 0 - -
Silk 44 7,681.00 337,964.00 9/30/2015 Pasien 10 7,681.00 76810 34 7,681.00
Triheksilfenidil 570 - 9/30/2015 Pasien 335 - 0 235 -
Urine Bag 6 4,400.00 26,400.00 9/30/2015 Pasien 4,400.00 0 6 4,400.00
Zink Syr 38 8,140.00 309,320.00 9/30/2015 Pasien 30 8,140.00 244200 8 8,140.00
Zink 470 521.00 244,870.00 9/30/2015 Pasien 121 521.00 63041 349 521.00
Vitamin B Kompleks 7251 112.00 812,112.00 9/30/2015 Pasien 6355 112.00 711760 896 112.00
Ventolin Nebul 10 - 9/30/2015 Pasien 5 - 0 5 -
Wing Nald 27 - 9/30/2015 Pasien - 0 - -
10/8/2015 Abocat NO. 18 95 18,480.00 1,755,600.00 12/31/2015 Pasien 66 18,480.00 1219680 29 18,480.00
Abocat No. 20 74 8,566.25 633,902.50 10/31/2015 Pasien 64 8,566.25 548240 10 8,566.25
Abocat No.24 89 8,566.25 762,396.25 10/31/2015 Pasien 26 8,566.25 222722.5 63 8,566.25
Almond 48 5,216.00 250,368.00 10/31/2015 Pasien 32 5,216.00 166912 16 5,216.00
Alat suntik 2,5 ml 254 849.00 215,646.00 10/31/2015 Pasien 399 849.00 338751 (145) 849.00
AlAt Suntik 3 ml 20 - 10/31/2015 Pasien 20 - 0 - -
Alat Suntik 5 ml 46 1,348.00 62,008.00 10/31/2015 Pasien 46 1,348.00 62008 - 1,348.00
Amlodipin 5 mg 326.70 - 10/31/2015 Pasien 326.70 0 - 326.70
Asam Folat 1 mg 17 52.00 884.00 10/31/2015 Pasien 52.00 0 17 52.00
Asam Triheksamat Inj 20 3,650.00 73,000.00 10/31/2015 Pasien 15 3,650.00 54750 5 3,650.00
Asiklovir tablet 200 mg 564 245.00 138,180.00 10/31/2015 Pasien 564 245.00 138180 - 245.00
Bisturi 10 3,000.00 30,000.00 10/31/2015 Pasien 3,000.00 0 10 3,000.00
Captropril 12,5 mg 2371 69.00 163,599.00 10/31/2015 Pasien 2371 69.00 163599 - 69.00
Clobazam 200 950.00 190,000.00 10/31/2015 Pasien 950.00 0 200 950.00
Digoxin 255 103.00 26,265.00 10/31/2015 Pasien 103.00 0 255 103.00
Dulcolax - 10/31/2015 Pasien 115 - 0 (115) -
Epinefrin Inj 15 - 10/31/2015 Pasien 5 - 0 10 -
Etanol 70% -100 ml 110 - 10/31/2015 Pasien 21 - 0 89 -
Gentamisin salep kulit 144 2,126.00 306,144.00 10/31/2015 Pasien 147 2,126.00 312522 (3) 2,126.00
Glukosa 5% 31 5,720.00 177,320.00 10/31/2015 Pasien 27 5,720.00 154440 4 5,720.00
Glukodex 1218 266.00 323,988.00 10/31/2015 Pasien 1218 266.00 323988 - 266.00
Guedel 15 18,528.00 277,920.00 31-02-15 Pasien 18,528.00 0 15 18,528.00
H202 1 26,950.00 26,950.00 10/31/2015 Pasien 26,950.00 0 1 26,950.00
Handscoen Non Steril - 10/31/2015 Pasien 100 - 0 (100) -
Kassa Steril 43 - 10/31/2015 Pasien 17 - 0 26 -
Ketokenazole 200 mg 176 320.00 56,320.00 10/31/2015 Pasien 176 320.00 56320 - 320.00
Keterolac 31 - 10/31/2015 Pasien 31 - 0 - -
Kloramp tts telinga 5 - 10/31/2015 Pasien - 0 5 -
Kloramp tts mata 25 - 10/31/2015 Pasien - 0 25 -
Lomatule 13 - 10/31/2015 Pasien 7 - 0 6 -
Masker 300 431 129,300.00 10/31/2015 Pasien 190 431.00 81890 110 431.00
Metillprenisolon 4 mg 800 - 10/31/2015 Pasien 800 - 0 - -
Metilergometrin Tab 169 - 10/31/2015 Pasien 169.00 0 - 169.00
Multivitamin Sirup 68 3,919.00 266,492.00 10/31/2015 Pasien 68 3,919.00 266492 - 3,919.00
Na. Diklofenak 50 mg 2009 216.00 433,944.00 10/31/2015 Pasien 2009 216.00 433944 - 216.00
NaCl 0,9 % 115 5,170.00 594,550.00 10/31/2015 Pasien 79 5,170.00 408430 36 5,170.00
Nald 23 23 528.00 12,144.00 10/31/2015 Pasien 100 528.00 52800 (77) 528.00
Obat TBC Kategori 1 10 - 10/31/2015 Pasien - 0 10 -
OBH - 10/31/2015 Pasien - 0 - -
Papaverin 40 mg - 10/31/2015 Pasien 170 - 0 (170) -
Parasetamol 100 mg 1000 35.00 35,000.00 10/31/2015 Pasien 35.00 0 1,000 35.00
Pirantel 291 318.00 92,538.00 10/31/2015 Pasien 147 318.00 46746 144 318.00
Pot - 10/31/2015 Pasien - 0 - -
Propanolol 10 mg 99 80.00 7,920.00 10/31/2015 Pasien 99 80.00 7920 - 80.00
Propiltiourasil 50 mg 260 - 10/31/2015 Pasien 10 - 0 250 -
Ranitidin injeksi 207 1,340.00 277,380.00 10/31/2015 Pasien 207 1,340.00 277380 - 1,340.00
Resperidon 0,25 mg 1,069.00 - 10/31/2015 Pasien 1,069.00 0 - 1,069.00
Serum Anti Tetanus(Ats) 160,014.00 - 10/31/2015 Pasien 160,014.00 0 - 160,014.00
Sesolid rektal 5 - 10/31/2015 Pasien - 0 5 -
Scabicit - 10/31/2015 Pasien - 0 - -
Silk 34 7,681.00 261,154.00 10/31/2015 Pasien 34 7,681.00 261154 - 7,681.00
Simvastatin 378 177.00 66,906.00 10/31/2015 Pasien 378 177.00 66906 - 177.00
Spalk roll 70,785.00 - 10/31/2015 Pasien 70,785.00 0 - 70,785.00
Tramadol Kaps 50 mg 112 206.00 23,072.00 10/31/2015 Pasien 112 206.00 23072 - 206.00
Triheksilfenidil 235 - 10/31/2015 Pasien 235 - 0 - -
Urine Bag 6 4,400.00 26,400.00 10/31/2015 Pasien 4,400.00 0 6 4,400.00
Zink Syr 8 8,140.00 65,120.00 10/31/2015 Pasien 8 8,140.00 65120 - 8,140.00
Zink 349 521.00 181,829.00 10/31/2015 Pasien 91 521.00 47411 258 521.00
Wing Nald 27 - 10/31/2015 Pasien - 0 - -
11/10/2015 Abocat NO. 18 129 18,480.00 2,383,920.00 30-11-15 Pasien 20 18,480.00 369600 109 18,480.00
Abocat No. 20 110 8,566.25 942,287.50 11/30/2015 Pasien 36 8,566.25 308385 74 8,566.25
Abocat No.24 63 8,566.25 539,673.75 11/30/2015 Pasien 51 8,566.25 436878.75 12 8,566.25
Almond 64 5,216.00 333,824.00 11/30/2015 Pasien 5,216.00 0 64 5,216.00
Alat Suntik 5 ml 200 1,348.00 269,600.00 11/30/2015 Pasien 1,348.00 0 200 1,348.00
Alprazolam 0,5 mg 216 574.75 124,146.00 11/30/2015 Pasien 128 574.75 73568 88 574.75
Amlodipin 5 mg 240 326.70 78,408.00 11/30/2015 Pasien 90 326.70 29403 150 326.70
Amoksisilin 500 mg 5180 279.00 1,445,220.00 11/30/2015 Pasien 279.00 0 5,180 279.00
Asam Asetilsalisilat 100 163.00 16,300.00 11/30/2015 Pasien 163.00 0 100 163.00
Attalpugit (Puralex) 2150 220.00 473,000.00 11/30/2015 Pasien 590 220.00 129800 1,560 220.00
Betametason 52 1,558.00 81,016.00 11/30/2015 Pasien 52 1,558.00 81016 - 1,558.00
Bisturi 10 3,000.00 30,000.00 11/30/2015 Pasien 7 3,000.00 21000 3 3,000.00
Clobazam 200 950.00 190,000.00 11/30/2015 Pasien 950.00 0 200 950.00
Digoxin 255 103.00 26,265.00 11/30/2015 Pasien 103.00 0 255 103.00
Dulcolax 20 - 11/30/2015 Pasien 20 - 0 - -
Donperidon 25 - 11/30/2015 Pasien 25 - 0 - -
Epinefrin Inj 15 - 11/30/2015 Pasien 5 - 0 10 -
Etanol 70% -100 ml 89 - 11/30/2015 Pasien 45 - 0 44 -
Glukosa 5% 44 5,720.00 251,680.00 11/30/2015 Pasien 5,720.00 0 44 5,720.00
Glukodex 900 266.00 239,400.00 11/30/2015 Pasien 400 266.00 106400 500 266.00
Guedel 15 18,528.00 277,920.00 31-02-15 Pasien 18,528.00 0 15 18,528.00
Haloperidol 1,5 mg 1253 76.00 95,228.00 11/30/2015 Pasien 140 76.00 10640 1,113 76.00
H202 1 26,950.00 26,950.00 11/30/2015 Pasien 26,950.00 0 1 26,950.00
Handscoen Non Steril 100 - 11/30/2015 Pasien - 0 100 -
Kassa Steril 49 - 11/30/2015 Pasien 20 - 0 29 -
Keterolac 24 - 11/30/2015 Pasien 24 - 0 - -
Klindamisin 150 mg 96 - 11/30/2015 Pasien 96 - 0 - -
Kloramp tts telinga - 11/30/2015 Pasien - 0 - -
Kloramp tts mata - 11/30/2015 Pasien - 0 - -
Lidokain komp. Injeksi 80 - 11/30/2015 Pasien 43 - 0 37 -
Lomatule 14 - 11/30/2015 Pasien - 0 14 -
Masker 310 431 133,610.00 11/30/2015 Pasien 60 431.00 25860 250 431.00
Metillprenisolon 4 mg - 11/30/2015 Pasien - 0 - -
Metilergometrin Tab 200 169 33,800.00 11/30/2015 Pasien 15 169.00 2535 185 169.00
Metoklopropamide Sir 47 5,070.00 238,290.00 11/30/2015 Pasien 5,070.00 0 47 5,070.00
Metoklopropamide Inj 10 - 11/30/2015 Pasien 10 - 0 - -
NaCl 0,9 % 136 5,170.00 703,120.00 11/30/2015 Pasien 43 5,170.00 222310 93 5,170.00
Nald 23 223 528.00 117,744.00 11/30/2015 Pasien 70 528.00 36960 153 528.00
Obat TBC Kategori 1 10 - 11/30/2015 Pasien 5 - 0 5 -
OBH - 11/30/2015 Pasien - 0 - -
Parasetamol sirup 700 1,535.00 1,074,500.00 11/30/2015 Pasien 495 1,535.00 759825 205 1,535.00
Pirantel 244 318.00 77,592.00 11/30/2015 Pasien 44 318.00 13992 200 318.00
Plester 5 yard x 2 inch 20 53,905.50 1,078,110.00 11/30/2015 Pasien 15 53,905.50 808582.5 5 53,905.50
Pot - 11/30/2015 Pasien - 0 - -
Propiltiourasil 50 mg 250 - 11/30/2015 Pasien 20 - 0 230 -
Salbutamol 2 mg 2385 65.00 155,025.00 11/30/2015 Pasien 844 65.00 54860 1,541 65.00
Serum Anti Tetanus(Ats) 160,014.00 - 11/30/2015 Pasien 160,014.00 0 - 160,014.00
Sesolid rektal 5 - 11/30/2015 Pasien - 0 5 -
Scabicit 15 - 11/30/2015 Pasien - 0 15 -
Silk 72 7,681.00 553,032.00 11/30/2015 Pasien 17 7,681.00 130577 55 7,681.00
Simvastatin 177.00 - 11/30/2015 Pasien 177.00 0 - 177.00
Tetrasiklin HCL 500 mg 300 - 11/30/2015 Pasien 200 - 0 100 -
Triheksilfenidil - 11/30/2015 Pasien - 0 - -
Urine Bag 6 4,400.00 26,400.00 11/30/2015 Pasien 1 4,400.00 4400 5 4,400.00
Zink Syr 25 8,140.00 203,500.00 11/30/2015 Pasien 22 8,140.00 179080 3 8,140.00
Zink 258 521.00 134,418.00 11/30/2015 Pasien 30 521.00 15630 228 521.00
Wing Nald 27 - 11/30/2015 Pasien - 0 - -
12/10/2015 Abocat NO. 18 109 18,480.00 2,014,320.00 31-12-15 Pasien 18,480.00 0 109 18,480.00
Abocat No. 20 74 8,566.25 633,902.50 12/31/2015 Pasien 32 8,566.25 274120 42 8,566.25
Abocat No.24 112 8,566.25 959,420.00 12/31/2015 Pasien 14 8,566.25 119927.5 98 8,566.25
Almond 64 5,216.00 333,824.00 12/31/2015 Pasien 44 5,216.00 229504 20 5,216.00
Amoksisilin 500 mg 5180 279.00 1,445,220.00 12/31/2015 Pasien 279.00 0 5,180 279.00
Anti Bakteri DOEN 58 2,767.00 160,486.00 12/31/2015 Pasien 2,767.00 0 58 2,767.00
Anti Hemoroid DOEN 66 3,350.00 221,100.00 12/31/2015 Pasien 3,350.00 0 66 3,350.00
Anti Migren 100 - 12/31/2015 Pasien 100 - 0 - -
Aqua PRO Injeksi 25 5,900.00 147,500.00 12/31/2015 Pasien 5,900.00 0 25 5,900.00
Asam Asetilsalisilat 200 163.00 32,600.00 12/31/2015 Pasien 163.00 0 200 163.00
Asam Mefenamt 500mg 7984 127.00 1,013,968.00 12/31/2015 Pasien 4919 127.00 624713 3,065 127.00
Asam Triheksamat Inj 30 3,650.00 109,500.00 12/31/2015 Pasien 5 3,650.00 18250 25 3,650.00
Bisturi 3 3,000.00 9,000.00 12/31/2015 Pasien 3,000.00 0 3 3,000.00
Clobazam 200 950.00 190,000.00 12/31/2015 Pasien 950.00 0 200 950.00
Difenhidramin HCl inj 62 1,160.00 71,920.00 12/31/2015 Pasien 3 1,160.00 3480 59 1,160.00
Digoxin 255 103.00 26,265.00 12/31/2015 Pasien 5 103.00 515 250 103.00
Epinefrin Inj 5 - 12/31/2015 Pasien 5 - 0 - -
Erytromycin sirup 76 8,090.00 614,840.00 12/31/2015 Pasien 8,090.00 0 76 8,090.00
Etanol 70% -100 ml 32 - 12/31/2015 Pasien 32 - 0 - -
Fenobarbital 30 mg 1248 108.00 134,784.00 12/31/2015 Pasien 172 108.00 18576 1,076 108.00
Furosemid 40 mg 339 84.00 28,476.00 12/31/2015 Pasien 84.00 0 339 84.00
Garam Oralit 583 317.00 184,811.00 12/31/2015 Pasien 317.00 0 583 317.00
Glukosa 5% 44 5,720.00 251,680.00 12/31/2015 Pasien 5,720.00 0 44 5,720.00
Glukodex 773 266.00 205,618.00 12/31/2015 Pasien 266.00 0 773 266.00
Guedel 15 18,528.00 277,920.00 31-02-15 Pasien 18,528.00 0 15 18,528.00
Haloperidol 1,5 mg 1113 76.00 84,588.00 12/31/2015 Pasien 52 76.00 3952 1,061 76.00
H202 1 26,950.00 26,950.00 12/31/2015 Pasien 26,950.00 0 1 26,950.00
Hyoscine tab 10 mg 130 344.00 44,720.00 12/31/2015 Pasien 6 344.00 2064 124 344.00
Handscoen Steril 63 4,598.00 289,674.00 12/31/2015 Pasien 4,598.00 0 63 4,598.00
Handscoen Non Steril 100 - 12/31/2015 Pasien 100 - 0 - -
Ibuprofen 200 mg 2800 121.00 338,800.00 12/31/2015 Pasien 1740 121.00 210540 1,060 121.00
Ibuprofen Syr 4 - 12/31/2015 Pasien 4 - 0 - -
Kassa Steril 34 - 12/31/2015 Pasien 34 - 0 - -
Keterolac - 12/31/2015 Pasien - 0 - -
Klindamisin 150 mg - 12/31/2015 Pasien - 0 - -
Klindamisin 300 mg 190 - 12/31/2015 Pasien 190 - 0 - -
Kloramp tts telinga - 12/31/2015 Pasien - 0 - -
Kloramp. salap mata 64 1,760.00 112,640.00 12/31/2015 Pasien 1,760.00 0 64 1,760.00
Kloramp tts mata - 12/31/2015 Pasien - 0 - -
Lidokain komp. Injeksi (pehacain) 77 3,113.05 239,704.85 12/31/2015 Pasien 58 3,113.05 180556.9 19 3,113.05
Lomatule - 12/31/2015 Pasien - 0 - -
Masker 250 431.00 107,750.00 12/31/2015 Pasien 50 431.00 21550 200 431.00
Metillprenisolon 4 mg - 12/31/2015 Pasien - 0 - -
Metoklopropamide tab 604 108.00 65,232.00 12/31/2015 Pasien 108.00 0 604 108.00
Metoklopropamide Inj - 12/31/2015 Pasien - 0 - -
NaCl 0,9 % 93 5,170.00 480,810.00 12/31/2015 Pasien 57 5,170.00 294690 36 5,170.00
Nistatin tablet vaginal 140 528.00 73,920.00 12/31/2015 Pasien 528.00 0 140 528.00
Nald 23 153 528.00 80,784.00 12/31/2015 Pasien 153 528.00 80784 - 528.00
OBH - 12/31/2015 Pasien - 0 - -
Parasetamol sirup 805 1,535.00 1,235,675.00 12/31/2015 Pasien 310 1,535.00 475850 495 1,535.00
Pembalut Gips 4 1 - 12/31/2015 Pasien 1 - 0 - -
Pembalut Gips 6 1 - 12/31/2015 Pasien 1 - 0 - -
Pirantel 200 318.00 63,600.00 12/31/2015 Pasien 169 318.00 53742 31 318.00
Piroksikam 10 mg 1940 97.00 188,180.00 12/31/2015 Pasien 608 97.00 58976 1,332 97.00
Plester 5 yard x 2 inch 25 53,905.50 1,347,637.50 12/31/2015 Pasien 8 53,905.50 431244 17 53,905.50
Pot - 12/31/2015 Pasien - 0 - -
Povidon Iodida 30 ml 14 - 12/31/2015 Pasien 14 - 0 - -
Sesolid rektal 5 12,751.00 63,755.00 12/31/2015 Pasien 2 12,751.00 25502 3 12,751.00
Scabicit (Scabimit) 15 11,475.00 172,125.00 12/31/2015 Pasien 1 11,475.00 11475 14 11,475.00
Silk 55 7,681.00 422,455.00 12/31/2015 Pasien 6 7,681.00 46086 49 7,681.00
Spalk roll 12 70,785.00 849,420.00 12/31/2015 Pasien 3 70,785.00 212355 9 70,785.00
Tetrasiklin HCL 500 mg 400 325.00 130,000.00 12/31/2015 Pasien 325.00 0 400 325.00
Triheksilfenidil - 12/31/2015 Pasien - 0 - -
Urine Bag 5 4,400.00 22,000.00 12/31/2015 Pasien 2 4,400.00 8800 3 4,400.00
Zink Syr 53 8,140.00 431,420.00 12/31/2015 Pasien 16 8,140.00 130240 37 8,140.00
Zink 228 521.00 118,788.00 12/31/2015 Pasien 158 521.00 82318 70 521.00
Ventolin Nebul 10 7,260.00 72,600.00 12/31/2015 Pasien 7,260.00 0 10 7,260.00
Wing Nald 27 - 12/31/2015 Pasien - 0 - -
Total

NIP.19690620 200012 1 001 NIP.19851009 201001 1 019
PRIVINSI : Aceh

(BARANG CETAKAN)
1 2 3 4 5 6 7 8 9 10 11 12 13
Saldo Awal Barang Cetakan (Tahun Lalu)
1 31 DES 2014 - Cetak Lembar Resep Obat JKN 20 Rp 35,000 Rp 700,000 20 Rp 35,000 Rp 700,000 Rp 35,000
19 JAN 2015 - Cetak Balngko SSP 5 Rp 59,256 Rp 296,280 5 Rp 59,256 Rp 296,280 Rp 59,256
- Cetak Kop Surat Dinas 6 Rp 82,046 Rp 492,276 6 Rp 82,046 Rp 492,276 Rp 82,046
- Cetak Kartu Barang 100 Rp 1,641 Rp 164,100 100 Rp 1,641 Rp 164,100 Rp 1,641
- Cetak Blangko Permintaan Barang 2 Rp 36,465 Rp 72,930 2 Rp 36,465 Rp 72,930 Rp 36,465
- Cetak Lembar Disposisi 2 Rp 50,139 Rp 100,278 2 Rp 50,139 Rp 100,278 Rp 50,139
- Cetak Amplop Puskesmas 210 Rp 912 Rp 191,520 210 Rp 912 Rp 191,520 Rp 912
- Cetak Blangko Laporan Penyakit 500 Rp 411 Rp 205,500 500 Rp 411 Rp 205,500 Rp 411
- Penggandaan Laporan Pustu/ Puskesmas 1200 Rp 200 Rp 240,000 1200 Rp 200 Rp 240,000 Rp 200
- Penggandaan Laporan LPO ( A3 ) 30 Rp 1,000 Rp 30,000 30 Rp 1,000 Rp 30,000 Rp 1,000
- Penggandaan Laporan JKN 440 Rp 200 Rp 88,000 440 Rp 200 Rp 88,000 Rp 200
- Penggandaan Laporan SP2TP 1200 Rp 200 Rp 240,000 1200 Rp 200 Rp 240,000 Rp 200
- Penggandaan Blangko Rawatan Pasien 2000 Rp 200 Rp 400,000 2000 Rp 200 Rp 400,000 Rp 200
17 FEB 2015 - Cetak Balngko SSP 1 Rp 59,256 Rp 59,256 1 Rp 59,256 Rp 59,256 Rp 59,256
- Cetak Kop Surat Dinas 2 Rp 82,046 Rp 164,092 1 Rp 82,046 Rp 82,046 1 Rp 82,046
19 MAR 2015 - Cetak Blangko SSP 2 Rp 59,256 Rp 118,512 2 Rp 59,256 Rp 118,512 Rp 59,256
- Cetak Kop Surat Puskesmas 10 Rp 82,046 Rp 820,460 10 Rp 82,046 Rp 820,460 Rp 82,046
22 APR 2015 - Cetak Blangko SSP 2 Rp 59,256 Rp 118,512 2 Rp 59,256 Rp 118,512 Rp 59,256
20 MEI 2015 - Cetak Blangko SSP 2 Rp 59,256 Rp 118,512 2 Rp 59,256 Rp 118,512 Rp 59,256
19 JUN 2015 - Cetak Blangko SSP 2 Rp 59,256 Rp 118,512 2 Rp 59,256 Rp 118,512 Rp 59,256
23 JUL 2015 - Cetak Blangko SSP 6 Rp 59,256 Rp 355,536 6 Rp 59,256 Rp 355,536 Rp 59,256
21 AGT 2015 - Cetak Blangko SSP 2 Rp 59,256 Rp 118,512 2 Rp 59,256 Rp 118,512 Rp 59,256
22 SEP 2015 - Cetak Blangko SSP 2 Rp 59,256 Rp 118,512 2 Rp 59,256 Rp 118,512 Rp 59,256
20 OKT 2015 - Cetak Blangko SSP 2 Rp 59,256 Rp 118,512 2 Rp 59,256 Rp 118,512 Rp 59,256
18 NOV 2015 - Cetak Blangko SSP 2 Rp 59,256 Rp 118,512 2 Rp 59,256 Rp 118,512 Rp 59,256
- Cetak Lembar Disposisi 2 Rp 50,139 Rp 100,278 1 Rp 50,139 Rp 50,139 1 Rp 50,139
03 DES 2015 - Cetak Kop Surat Puskesmas 6 Rp 82,046 Rp 492,276 6 Rp 59,256 Rp 355,536 Rp 59,256
- Cetak Kartu Kendali Kearsipan 22 Rp 9,116 Rp 200,552 22 Rp 9,116 Rp 200,552 Rp 9,116
- Amplop Kabinet 2 Rp 59,256 Rp 118,512 2 Rp 59,256 Rp 118,512 Rp 59,256
- Leafleat / Brosur Berwarna 350 Rp 6,279 Rp 2,197,650 350 Rp 6,279 Rp 2,197,650 Rp 6,279
- Cetak Blangko Pasien Rawat Inap 500 Rp 912 Rp 456,000 500 Rp 912 Rp 456,000 Rp 912
- Cetak Memo Kepala Puskesmas 2 Rp 36,465 Rp 72,930 2 Rp 36,465 Rp 72,930 Rp 36,465
JUMLAH

NIP.19690620 200012 1 001 NIP.19851009 201001 1 019
PRIVINSI : Aceh

(BARANG YANG DISERAHKAN KE MASYARAKAT)
1 2 3 4 5 6 7 8 9 10 11 12 13
Saldo Awal Barang yang diserahkan ke masyarakat (Tahun Lalu)
1 31 DES 2014 00 JAN 2015
dst.
JUMLAH

NIP.19690620 200012 1 001 NIP.19851009 201001 1 019
Saldo
Total
14
Rp 70,120
Rp 81,166
Rp 59,860
Rp 327,232
Saldo
Total
14
Rp 21,036
Rp 162,320
Rp 42,060
Rp 324,640
Rp 32,720
Rp 55,450
Rp 65,440
Rp 243,480
Rp 65,440
665400
Rp 9,350
Rp 324,640
Rp 55,450
Rp 119,720
Saldo
Total
14
Saldo
Total
14
Saldo
Total
14
-
-
-
-
-
-
-
-
-
-
-
-
-
1,280,112.00
-
-
-
295,965.00
-
-
-
-
-
-
-
64,500.00
-
644.00
-
25,750.00
-
-
-
-
-
-
49,500.00
-
-
-
-
-
-
-
-
-
-
-
-
163,122.00
-
-
-
34,450.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
185,280.00
-
-
660.00
-
-
-
-
-
-
-
-
-
EXP
-
-
-
13,200.00
-
-
-
-
-
-
-
-
-
637,065.00
-
-
-
-
-
-
-
-
-
-
-
-
-
2,538,800.00
-
-
-
554,400.00
179,891.25
916,588.75
299,818.75
-
243,320.00
287,811.00
-
210,288.00
110,340.00
102,305.50
258,478.00
126,126.00
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49,500.00
496,584.00
-
628,320.00
-
-
28,017.00
189,200.00
496,944.00
14,602.00
42,104.00
137,862.00
127,968.00
-
-
515,484.00
39,495.00
72,960.00
-
-
-
142,780.00
133,057.00
-
52,800.00
-
693,522.00
222,912.00
11,050.00
110,000.00
324,064.00
218,310.00
148,596.00
99,600.00
-
-
-
88,355.00
-
-
94,133.00
57,750.00
162,240.00
59,184.00
-
-
158,691.00
107,625.00
353,625.00
215,545.00
85,968.00
8,000.00
-
394,416.00
7,590.00
413,600.00
-
183,744.00
96,624.00
-
-
-
181,602.00
171,444.00
188,760.00
24,000.00
182,104.00
331,444.00
-
517,295.00
8,750.00
393,360.00
25,850.00
-
-
69,960.00
76,510.00
46,880.00
-
323,433.00
-
30,772.00
-
216,250.00
-
11,120.00
-
194,300.00
678,744.00
296,113.00
343,200.00
47,970.00
66,000.00
145,800.00
-
1,920,168.00
56,000.00
-
105,000.00
192,150.00
904,192.00
-
568,394.00
5,310.00
566,280.00
-
186,960.00
23,072.00
-
26,400.00
-
216,215.00
635,040.00
-
-
-
-
-
92,400.00
805,227.50
582,505.00
171,325.00
130,400.00
123,200.00
345,543.00
-
31,004.00
57,060.00
147,136.00
316,844.00
-
7,740.00
20,295.00
20,255.40
419,895.00
2,525,820.00
194,560.00
-
192,348.00
304,370.00
40,200.00
88,032.00
-
194,700.00
5,200.00
-
-
-
36,500.00
208,450.00
151,410.00
190,300.00
659,160.00
-
135,936.00
54,530.00
45,000.00
152,100.00
44,022.00
30,070.00
349,776.00
-
190,000.00
26,680.00
86,900.00
56,916.00
152,102.00
24,794.00
48,720.00
26,265.00
-
-
6,264.00
-
356,004.00
-
6,656.00
-
18,688.00
164,997.00
73,764.00
49,905.00
61,424.00
56,064.00
46,720.00
-
23,688.00
215,877.00
308,270.00
235,950.00
-
152,460.00
42,900.00
120,120.00
9,044.00
57,840.00
277,920.00
188,170.00
16,492.00
26,460.00
34,980.00
415,860.00
26,950.00
26,144.00
49,500.00
446,006.00
-
52,360.00
22,869.00
-
22,923.00
167,200.00
329,904.00
14,210.00
45,068.00
122,544.00
-
-
-
343,656.00
21,064.00
69,760.00
-
-
-
76,956.00
154,066.00
-
26,400.00
-
272,862.00
174,474.00
5,750.00
99,000.00
181,792.00
250,482.00
68,991.00
-
-
-
-
43,100.00
-
-
94,133.00
57,750.00
136,890.00
89,640.00
-
-
93,288.00
92,250.00
83,025.00
47,028.00
85,968.00
49,360.00
-
108,432.00
5,390.00
186,120.00
-
176,704.00
117,744.00
-
-
-
172,044.00
101,108.00
145,200.00
72,000.00
45,084.00
234,436.00
-
419,055.00
8,750.00
202,840.00
25,850.00
-
-
62,010.00
76,510.00
79,200.00
65,960.00
215,622.00
-
15,386.00
-
299,000.00
-
11,120.00
-
143,380.00
227,172.00
254,422.00
343,200.00
18,720.00
15,400.00
202,500.00
-
1,920,168.00
91,000.00
-
87,500.00
211,050.00
683,648.00
-
337,964.00
70,800.00
849,420.00
-
-
23,072.00
-
17,600.00
105,820.00
88,570.00
308,112.00
-
-
-
-
-
1,755,600.00
633,902.50
282,686.25
334,083.75
125,184.00
369,600.00
198,666.00
-
62,008.00
74,520.00
77,591.25
208,450.00
49,192.00
6,880.00
8,733.00
-
1,320,228.00
2,392,500.00
453,120.00
446,200.00
55,770.00
262,865.00
251,250.00
79,648.00
-
165,200.00
884.00
-
948,255.00
947,420.00
-
140,230.00
64,680.00
131,560.00
556,875.00
-
49,914.00
-
30,000.00
101,400.00
122,199.00
44,232.00
291,480.00
-
190,000.00
100,920.00
139,040.00
343,876.00
144,368.00
14,490.00
71,920.00
26,265.00
-
-
10,440.00
-
1,023.00
105,170.00
9,984.00
-
18,688.00
146,664.00
73,764.00
44,360.00
14,658.00
56,064.00
46,720.00
187,700.00
8,568.00
50,403.00
189,214.00
508,200.00
63,076.00
152,460.00
116,820.00
177,320.00
297,388.00
109,173.00
277,920.00
179,180.00
34,732.00
40,110.00
34,980.00
68,832.00
26,950.00
10,320.00
49,500.00
-
-
99,484.00
-
-
22,923.00
123,200.00
-
14,210.00
50,312.00
117,438.00
223,944.00
104,500.00
-
124,098.00
76,357.00
56,320.00
-
-
-
138,908.00
399,171.00
-
45,760.00
-
204,066.00
115,830.00
13,800.00
88,000.00
65,056.00
103,410.00
127,368.00
-
-
-
-
-
-
-
102,583.00
57,750.00
35,490.00
94,392.00
-
-
174,070.00
76,875.00
387,450.00
266,492.00
64,476.00
38,140.00
-
239,544.00
5,390.00
594,550.00
-
169,664.00
64,944.00
-
-
-
172,044.00
167,048.00
104,060.00
72,000.00
121,329.00
113,176.00
-
-
1,750.00
394,240.00
25,850.00
-
-
31,482.00
38,255.00
36,640.00
54,126.00
215,622.00
-
92,316.00
-
148,125.00
-
7,920.00
-
103,180.00
258,192.00
206,317.00
1,258,400.00
37,635.00
39,600.00
27,000.00
-
1,920,168.00
21,000.00
-
87,500.00
204,750.00
1,223,168.00
-
261,154.00
66,906.00
849,420.00
-
407,760.00
23,072.00
-
26,400.00
65,120.00
181,829.00
100,352.00
-
-
-
-
-
535,920.00
85,662.50
599,637.50
539,673.75
83,456.00
246,400.00
(123,105.00)
-
-
5,130.00
124,146.00
125,070.00
85,371.00
6,880.00
34,440.00
-
1,032,300.00
2,379,300.00
499,200.00
333,500.00
334,776.00
243,496.00
140,700.00
79,648.00
-
59,000.00
884.00
-
407,505.00
431,673.00
18,250.00
113,700.00
-
33,000.00
417,555.00
25,989.00
211,338.00
42,066.00
30,000.00
76,050.00
-
3,880.00
-
-
190,000.00
425,720.00
104,280.00
189,584.00
296,470.00
9,844.00
71,920.00
26,265.00
-
-
8,294.00
-
327,360.00
242,700.00
3,328.00
-
18,688.00
146,664.00
57,564.00
38,815.00
25,826.00
56,064.00
46,720.00
93,850.00
18,648.00
225,070.00
(6,378.00)
462,825.00
53,372.00
189,684.00
180,279.00
22,880.00
-
32,053.00
277,920.00
173,538.00
26,828.00
5,880.00
34,980.00
28,680.00
26,950.00
44,720.00
49,500.00
634,524.00
-
59,738.00
87,846.00
-
17,829.00
206,800.00
363,312.00
14,210.00
47,272.00
107,226.00
79,980.00
209,000.00
-
63,003.60
65,825.00
-
-
-
-
67,518.00
224,096.00
-
63,360.00
-
233,118.00
44,064.00
7,400.00
68,750.00
283,784.00
126,390.00
127,368.00
298,800.00
-
-
-
47,410.00
-
-
-
57,750.00
238,290.00
69,444.00
-
-
87,542.00
86,100.00
101,475.00
-
107,460.00
65,280.00
-
-
5,390.00
186,120.00
-
155,584.00
(40,656.00)
-
-
-
159,300.00
35,168.00
79,860.00
72,000.00
133,926.00
121,260.00
-
153,500.00
35,000.00
417,824.00
25,850.00
-
-
45,792.00
38,255.00
31,264.00
16,102.00
215,622.00
-
61,544.00
-
48,625.00
-
-
-
-
434,148.00
-
171,600.00
5,460.00
129,800.00
60,750.00
-
-
77,000.00
-
35,000.00
183,750.00
1,518,080.00
-
-
-
-
-
171,024.00
-
-
26,400.00
-
134,418.00
473,536.00
-
-
-
-
-
2,014,320.00
633,902.50
59,963.75
102,795.00
333,824.00
161,700.00
360,825.00
-
269,600.00
12,330.00
50,578.00
254,309.00
179,465.00
6,880.00
19,065.00
49,005.00
1,445,220.00
1,431,100.00
481,280.00
685,400.00
79,950.00
160,486.00
117,250.00
62,880.00
-
88,500.00
5,564.00
16,300.00
354,060.00
150,368.00
109,500.00
72,010.00
147,000.00
343,200.00
324,315.00
86,630.00
120,006.00
-
9,000.00
76,050.00
124,200.00
35,308.00
393,498.00
-
190,000.00
223,300.00
86,900.00
166,736.00
283,580.00
5,888.00
71,920.00
26,265.00
-
-
33,176.00
-
670,065.00
485,400.00
9,984.00
-
18,688.00
109,998.00
26,784.00
37,706.00
34,202.00
37,376.00
46,720.00
93,850.00
5,544.00
184,811.00
176,458.00
326,700.00
46,094.00
99,528.00
132,594.00
251,680.00
133,000.00
60,491.00
277,920.00
165,168.00
84,588.00
34,755.00
34,980.00
154,872.00
26,950.00
44,720.00
49,500.00
289,674.00
-
194,922.00
60,500.00
-
17,829.00
52,800.00
329,904.00
12,348.00
24,092.00
71,484.00
95,976.00
104,500.00
-
496,392.00
47,394.00
65,920.00
-
-
-
158,026.00
105,045.00
-
1,760.00
-
341,496.00
138,024.00
32,900.00
62,150.00
168,568.00
103,410.00
63,684.00
224,100.00
-
-
-
107,750.00
-
-
31,265.00
57,750.00
238,290.00
61,668.00
-
-
22,646.00
64,575.00
621,150.00
227,302.00
107,460.00
46,660.00
-
428,760.00
5,390.00
480,810.00
-
148,544.00
80,784.00
-
-
-
79,650.00
123,088.00
237,160.00
48,000.00
147,849.00
28,294.00
-
314,675.00
31,500.00
474,408.00
25,850.00
-
-
63,600.00
38,255.00
30,240.00
81,480.00
269,527.50
-
46,158.00
-
145,750.00
-
9,200.00
-
227,800.00
389,400.00
235,180.00
1,464,320.00
100,165.00
48,400.00
54,000.00
-
-
42,000.00
-
245,000.00
126,000.00
1,390,016.00
-
422,455.00
-
849,420.00
-
325,968.00
30,900.00
-
22,000.00
24,420.00
118,788.00
453,488.00
-
-
-
-
-
2,014,320.00
359,782.50
1,473,395.00
839,492.50
104,320.00
63,140.00
214,797.00
84,924.00
16,560.00
25,863.75
408,562.00
467,610.00
6,880.00
21,525.00
31,036.50
1,445,220.00
3,350,600.00
550,400.00
510,600.00
418,548.00
160,486.00
221,100.00
31,440.00
-
147,500.00
2,080.00
32,600.00
598,500.00
389,255.00
91,250.00
314,570.00
39,935.00
195,140.00
295,965.00
86,630.00
45,666.00
141,778.00
9,000.00
76,050.00
223,767.00
48,500.00
51,009.00
190,000.00
298,410.00
83,424.00
288,320.00
283,580.00
644.00
68,440.00
25,750.00
27,086.00
-
455,235.00
614,840.00
9,984.00
-
18,688.00
109,998.00
116,208.00
35,488.00
69,102.00
9,344.00
28,032.00
75,080.00
28,476.00
184,811.00
191,340.00
163,350.00
41,242.00
219,648.00
103,290.00
251,680.00
205,618.00
136,165.00
277,920.00
163,122.00
80,636.00
24,675.00
34,450.00
275,328.00
26,950.00
42,656.00
49,500.00
289,674.00
-
160,412.00
128,260.00
-
17,829.00
132,000.00
238,032.00
19,600.00
35,644.00
20,424.00
159,960.00
209,000.00
-
189,010.80
13,165.00
32,000.00
-
-
-
179,322.00
56,024.00
-
112,640.00
-
530,172.00
65,286.00
27,700.00
45,650.00
115,520.00
68,940.00
90,219.00
74,700.00
-
59,147.95
-
86,200.00
29,880.00
-
30,420.00
343,750.00
136,890.00
65,232.00
-
547,066.00
200,096.00
104,960.00
166,050.00
125,408.00
85,968.00
20,700.00
-
275,400.00
11,660.00
186,120.00
73,920.00
41,536.00
-
-
-
-
82,836.00
43,960.00
205,700.00
12,000.00
139,230.00
206,142.00
-
759,825.00
21,000.00
907,896.00
25,850.00
-
-
9,858.00
38,255.00
133,632.00
129,204.00
916,393.50
-
15,386.00
-
101,250.00
-
16,400.00
73,710.00
147,400.00
597,960.00
175,316.00
2,047,760.00
50,440.00
96,800.00
175,500.00
-
1,280,112.00
140,000.00
38,253.00
192,500.00
95,550.00
1,139,904.00
160,650.00
376,369.00
4,425.00
637,065.00
130,000.00
329,904.00
47,792.00
-
13,200.00
301,180.00
36,470.00
718,480.00
72,600.00
-
-
-
-
Saldo
Total
14
Rp 82,046
Rp 50,139
Saldo
Total
14
SKPD :
KAB/KOTA :
PRIVINSI :
Penerimaan Pengeluaran
Berita Acara Pemeriksaan Jumlah
No Tanggal Merk/ Tahun Jumlah/Satuan Tgl/No.Kontrak/SP/ Tanggal Diserahkan Tgl/No. Surat
Jenis/Nama Barang Satuan/ Keterangan
Diterima Ukuran Pembuatan /Barang SPK/Harga Satuan Tanggal Nomor Dikeluarkan Kepada Penyerahan
Barang
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Mengetahui : ..
(.) ()
NIP NIP.
DAFTAR PENERIMAAN BARANG DARI PIHAK KETIGA
SKPD :
KAB/KOTA :
PROVINSI :
Nomor Spesifikasi Barang Jumlah

Asal
No.Sertifikasi Tahun Nama Keadaan
Usul/Cara
No. No.Panbrik Pembelian/ Penyumbang/ Bantuan Barang Keterangan
Kode Barang Nama/Jenis Barang Merk/Type Perolehan Barang Harga
Urt No.Chasis Pengadaan Pihak Ketiga (B/KB)
Barang
No.Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13
.
Mengetahui : Pengurus Barang
Kepala .
()
(.) NIP.
NIP
KARTU INVENTARIS BARANG (KIR)
A. TANAH
No. Kode Lokasi : .
Nomor Status Tanah

Tahun Sertifikasi Asal Harga
No Jenis Barang/Nama Barang Luas (M2) Letak/Alamat Penggunaan
Kode Barang Register Pengadaan Hak Usul (Ribuan)
Tanggal Nomor
1 2 3 4 5 6 7 8 9 10 11 12 13
Mengetahui : .
(.) ()
NIP NIP.
Keterangan
14
KARTU INVENTARIS BARANG (KIB)
B. PERALATAN DAN MESIN
No. Kode Lokasi :..
Nomor
Tahun Asal Usul
No. Nama Barang/Jenis Nomor Ukuran Baha
Kode Barang Merk/Type Pembeli Cara Harga Keterangan
Urt Barang Register /CC n Pabrik Rangka Mesin Polisi BPKB perolehan
an
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
An. INSPEKTUR KOTA LANGSA Langsa, 08 Februari 2012

SEKRETARIS Pengurus Barang
SYAMSUDDIN, SE, MM ABDUL MUNIR

Pembina Tk. I / Nip. 19571231 198503 1 053 Nip. 19790303 200701 1 002
C. GEDUNG DAN BANGUNAN
No. Kode Lokasi : ..
Nomor Kontruksi Bangunan Dokumen Gedung Nomor

No. Jenis Barang/Nama Kondisi Bangunan Luas Lantai Letak/Lokasi Luas Status Asal
Kode Bertingkat/ Kode Harga
Urt Barang Register (B,KB,RB) Beton/Tidak (M2) Alamat Tanggal Nomor (M2) Tanah Usul
Barang Tidak Tanah
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Mengetahui :
(.) ()
NIP NIP.
Ket
17
D. JALAN, IRIGASI DAN JARINGAN
Nomor Dokumen Nomor

No. Jenis Barang/Nama Panjang Lebar Luas Letak/Lok Status Kondisi
Konstruksi Kode Asal-Usul Harga Ket
Urt Barang Kode Barang Register (KM) (M) (M2) asi Tanggal Nomor Tanah (R,KB,RB)
Tanah
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Mengetahui : ..
(.) ()
NIP NIP.
E. ASET TETAP LAINNYA
Barang Bercocok Hewan/Ternak

Nomor Buku/Perpustakaan Tahun Asal Usul
No. Kesenian/Kebudayaan dan Tumbuhan
Nama Barang/Jenis Barang Jumlah Cetak/ Cara Harga Ket
Urt Asal
Kode Barang Register Judul/Pencipta Spesifikasi Pencipta Bahan Jenis Ukuran Pembelian Perolehan
Daerah
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Mengetahui : .
(.) ()
NIP.
F. KONSTRUKSI DALAM PENGERJAAN
Konstruksi
Dokumen
Bangunan Nomor
No. Bangunan Luas Tgl,Bln,Thn Status Asal Usul Nilai Kontrak
Jenis Barang/Nama Barang Bertingkat Beton/ (M2) Letak/Lokasi Alamat Kode Ket
Urt (P,SP,D) Tanggal Nomor Mulai Tanah Pembiayaan (ribuan Rp)
/Tidak Tidak Tanah
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Mengetahui : ..
(.) ()
NIP.
DAFTAR BARANG INVENTARIS YANG RUSAK
KAB/KOTA
PRIVINSI
UNIT
SATUAN KERJA
RUANGAN
Tahun Jumlah
No. Urt Nama Barang/Jenis Barang Merk/Model No.seri Pabrik Ukuran Bahan Pembuatan/ Kode Barang Barang/ Ket
Perolehan Register
1 2 3 4 5 6 7 8 9 10
Mengetahui : ..
(.) ()
NIP NIP.
..
)
BUKU INVENTARIS
SKPD :
KAB/KOTA :
PROVINSI :
Nomor Konstruksi Bangunan Jumlah

Ukuran
Asal/Cara Keadaan
No. No. Sertifikat Tahun Barang/K
Bahan Perolehan Satuan Barang Ket
Urt No.Pebrik Perolehan ontruksi
Kode Barang Register Nama/Jenis Barang Merk/Type Barang (B/KB/RB) Barang Harga
No.Chasis (P,S,D)
No.Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Mengetahui : ..
(.) ()
NIP NIP.
LAMPIRAN 13
KARTU PERSEDIAAN BARANG
SKPD :
KAB/KOTA :
PROVINSI :
Gudang :
Nama Barang :
Satuan :
Kartu :.
Spesifikasi :.
No./Tgl.Surat Dasar Jumlah Harga Barang yg Diterima/Yang

Barang-barang
Tanggal Penerimaan/ Uraian Harga Satuan Dikeluarkan/Sisa Ket.
Pengeluaran Masuk Keluar Sisa Bertambah Berkurang Sisa
1 2 3 4 5 6 7 8 9 10 11
Mengetahui : ..
Atasan Langsung Penyimpan Barang
(.) ()
NIP NIP.

Peningkatan Kinerja UPTD PKM Langsa Timur Melalui Optimalisasi Pengelolaan Barang

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Peningkatan Kinerja UPTD PKM Langsa Timur Melalui Optimalisasi Pengelolaan Barang

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BUKU BARANG INVENTARIS

Tahun Jumlah Keadaan Barang

DAFTAR RENCANA KEBUTUHAN BARANG UNIT (RKBU)

DAFTAR RENCANA KEBUTUHAN PEMELIHARAAN BARANG UNIT (RKPBU)

Dokumen Faktur Bukti Penerimaan

BUKU BARANG PAKAI HABIS

No Tanggal Jumlah/Satuan/B Tanggal Diserahkan Jumlah/Satuan Jumlah/Satuan

(dr. Syarbaini, M. Kes ) ( Gianda Okpriatama, SKM )

BUKU BARANG PAKAI HABIS

(dr. Syarbaini, M. Kes ) ( Gianda Okpriatama, SKM )

BUKU BARANG PAKAI HABIS

(dr. Syarbaini, M. Kes ) ( Gianda Okpriatama, SKM )

BUKU BARANG PAKAI HABIS

(dr. Syarbaini, M. Kes ) ( Gianda Okpriatama, SKM )

BUKU BARANG PAKAI HABIS

9-Mar-15 Abocat NO. 18 57 18,480.00 1,053,360.00 3/31/2015 Pasien 18,480.00 0 57 18,480.00

10-Jun-15 Abocat NO. 18 32 18,480.00 591,360.00 6/30/2015 Pasien 18,480.00 0 32 18,480.00

(dr. Syarbaini, M. Kes ) ( Gianda Okpriatama, SKM )

BUKU BARANG PAKAI HABIS

(dr. Syarbaini, M. Kes ) ( Gianda Okpriatama, SKM )

BUKU BARANG PAKAI HABIS

(dr. Syarbaini, M. Kes ) ( Gianda Okpriatama, SKM )

BUKU BARANG PAKAI HABIS

Nomor Spesifikasi Barang Jumlah

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An. INSPEKTUR KOTA LANGSA Langsa, 08 Februari 2012

SYAMSUDDIN, SE, MM ABDUL MUNIR

Nomor Kontruksi Bangunan Dokumen Gedung Nomor

Nomor Dokumen Nomor

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