Lap Obat APBDSeptember 2016 NEW2

LAPORAN PERSEDIAAN OBAT-OBATAN DAN BAHAN HABIS PAKAI (BHP) RSUD.
PERDAGAN
DARI TANGGAL 01 JULI 2016 SAMPAI DENGAN 20 JULI 2016
SKPD : RSUD. PERDAGANGAN

KAB./ Kota : KAB. SIMALUNGUN
PROVINSI : SUMATERA UTARA
Saldo Awal 01 Juli 2016 Penerimaan Peng

No Nama Barang
Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah Jumlah
1 2 3 4 5=3x4 6 7 8=6x7 9
1 Abbocath No 14 G T 34 Rp 24,940 Rp 847,960 0 Rp 24,940 Rp - 3
2 Abbocath No 26 G 30 Rp 5,166 Rp 154,980 0 Rp 5,166 Rp - 0
3 Abbocath no. 18 G 804 Rp 7,724 Rp 6,210,096 0 Rp 7,724 Rp - 1
7 Acyclovir tab 200 mg 230 Rp 239 Rp 54,970 0 Rp 239 Rp - 10
8 Acyclovir tab 400 mg 632 Rp 345 Rp 218,040 0 Rp 345 Rp - 0
9 Alkohol 70 % liter 100 Rp 27,090 Rp 2,709,000 0 Rp 27,090 Rp - 0
10 Alkohol 96 % (1 ltr ) 32 Rp 26,400 Rp 844,800 0 Rp 26,400 Rp - 1
11 Alkohol 96 % 300 ml 26 Rp 14,200 Rp 369,200 0 Rp 14,200 Rp - 1
12 Alkohol swab Onemed 17429 Rp 126 Rp 2,196,054 0 Rp 126 Rp - 0
13 Allopurinol tab 100 mg 58 Rp 250 Rp 14,500 0 Rp - Rp - 0
14 Allopurinol tab 300 mg 295 Rp 220 Rp 64,900 0 Rp 220 Rp - 0
15 Alprazolam tab 0,5 mg 40 Rp 650 Rp 26,000 0 Rp - Rp - 28
16 Ambroxol sir 9 Rp 3,230 Rp 29,070 1 Rp 4,725 Rp 4,725 10
17 Ambroxol tab 91 Rp 200 Rp 18,200 0 Rp 200 Rp - 36
18 Aminofilin tablet 150 mg 827 Rp 82 Rp 67,814 0 Rp 82 Rp - 0
19 Aminofillin inj 107 Rp 4,010 Rp 429,070 0 Rp 4,010 Rp - 3
20 Aminofluid infus 11 Rp 64,990 Rp 714,890 0 Rp 64,990 Rp - 0
21 Aminoleban infus 23 Rp 71,100 Rp 1,635,300 0 Rp 71,100 Rp - 5
22 Amlodipine tab 5 mg 10 Rp 500 Rp 5,000 0 Rp 500 Rp - 10
23 Amlodipine tab 10 mg 46 Rp 3,850 Rp 177,100 0 Rp - Rp - 23
24 Amoksisillin 125 mg syr. Ker 213 Rp 2,500 Rp 532,500 0 Rp 2,500 Rp - 0
25 Amoksisillin syr. Forte 250 mg 147 Rp 4,212 Rp 619,164 0 Rp 4,212 Rp - 0
26 Amoksisillin 500 mg tab 21 Rp 270 Rp 5,670 0 Rp 270 Rp - 0
27 Ampicillin inj 1 gr 249 Rp 5,355 Rp 1,333,395 0 Rp 5,355 Rp - 0
28 Antasida DOEN tab 48 Rp 74 Rp 3,552 0 Rp 74 Rp - 0
29 Antasida sirup 13 Rp 4,062 Rp 52,806 0 Rp 4,062 Rp - 10
30 Antihaemorrhoid sup 50 Rp 3,197 Rp 159,850 0 Rp 3,197 Rp - 0
31 Apyalis drops 17 Rp 38,000 Rp 646,000 0 Rp 38,000 Rp - 0
32 Apyalis syrup 8 Rp 31,000 Rp 248,000 0 Rp 31,000 Rp - 1
33 Aqua pro injeksi 25 ml ( Otsu) 1243 Rp 3,500 Rp 4,350,500 0 Rp 3,500 Rp - 47
34 Aquagel steril jelly 82 gr 45 Rp 38,038 Rp 1,711,710 0 Rp 38,038 Rp - 0
35 Arkavit C tab 115 Rp 550 Rp 63,250 0 Rp 550 Rp - 0
36 Asam folat 5 mg tab 65 Rp 440 Rp 28,600 0 Rp 440 Rp - 10
37 Asam mefenamat 250 mg 1910 Rp 143 Rp 273,130 0 Rp 143 Rp - 40
38 Asam mefenamat 500 mg 9 Rp 315 Rp 2,835 0 Rp 315 Rp - 0
39 Asam tranexamat tab 195 Rp 1,500 Rp 292,500 0 Rp 1,500 Rp - 0
40 Asam tranexamat inj 10 Rp 8,750 Rp 87,500 12 Rp 8,750 Rp 105,000 12
41 Asering infus 184 Rp 9,000 Rp 1,656,000 0 Rp 9,000 Rp - 10
42 Askina Soft Clear 5 Rp 33,000 Rp 165,000 0 Rp 33,000 Rp - 0
43 Aspilet 44 Rp 750 Rp 33,000 0 Rp 750 Rp - 15
44 Asssucryl no 0 16 Rp 70,975 Rp 1,135,600 0 Rp 70,975 Rp - 4
45 Asssucryl no 1 16 Rp 76,435 Rp 1,222,960 0 Rp 76,435 Rp - 4
46 Asssucryl no 2/0 16 Rp 76,435 Rp 1,222,960 0 Rp 76,435 Rp - 4
47 Asssucryl no 3/0 16 Rp 65,515 Rp 1,048,240 0 Rp 65,515 Rp - 4
48 Asssucryl no 4/0 6 Rp 65,515 Rp 393,090 0 Rp 65,515 Rp - 4
49 Asukril 5/0 16 Rp 65,515 Rp 1,048,240 0 Rp 65,515 Rp - 4
50 Azitromysin sirup kering 200 mg/5 ml 92 Rp 34,500 Rp 3,174,000 0 Rp 34,500 Rp - 0
51 Azytromycin tab 500 mg 747 Rp 4,500 Rp 3,361,500 0 Rp 4,500 Rp - 35
52 Basitrasin 500 IU/g, Polimiksin 10.000 IU/g 25 Rp 2,641 Rp 66,025 0 Rp 2,641 Rp - 0
53 Batugin sirup 2 Rp 21,500 Rp 43,000 0 Rp 21,500 Rp - 0
54 Benocetam 1g inj 10 Rp 15,950 Rp 159,500 0 Rp 15,950 Rp - 0
55 Benocetam 3g inj 10 Rp 49,500 Rp 495,000 0 Rp 49,500 Rp - 0
56 Benodon inj 42 Rp 14,000 Rp 588,000 0 Rp 14,000 Rp - 0
57 Benoson G krim 15 gr 6 Rp 25,000 Rp 150,000 0 Rp 25,000 Rp - 0
58 Betahistin 6 mg tab 24 Rp 900 Rp 21,600 0 Rp 900 Rp - 10
59 Betametason cream 75 Rp 1,520 Rp 114,000 0 Rp 1,520 Rp - 1
60 Bicnat tab 601 Rp 22 Rp 13,222 0 Rp 22 Rp - 0
61 Biolysin tab 55 Rp 550 Rp 30,250 0 Rp 550 Rp - 0
62 Bioneuron inj 3 Rp 5,000 Rp 15,000 0 Rp 5,000 Rp - 3
63 Bioplacenton 63 Rp 13,500 Rp 850,500 0 Rp 13,500 Rp - 0
64 Bisoprolol 5mg 993 Rp 363 Rp 360,459 0 Rp 363 Rp - 31
65 Bransolvan 150 mg 300 Rp 285 Rp 85,500 0 Rp 285 Rp - 80
66 Bromheksin sirup/bronchis 120 Rp 5,000 Rp 600,000 0 Rp 5,000 Rp - 11
67 Bromheksin tab/bronchis 100 Rp 150 Rp 15,000 0 Rp 150 Rp - 0
68 Bupivacain inj 0,5 % + glukosa 8% 2 Rp 26,880 Rp 53,760 0 Rp 26,880 Rp - 0
69 Burnazime cream 3 Rp 24,150 Rp 72,450 0 Rp 24,150 Rp - 0
70 Buscopan inj 9 Rp 24,700 Rp 222,300 0 Rp 24,700 Rp - 0
71 Buscopan tab 75 Rp 900 Rp 67,500 0 Rp 900 Rp - 0
72 Calsium glukonas inj 5 Rp 18,750 Rp 93,750 0 Rp 18,750 Rp - 0
73 Calsium Lactas 1350 Rp 73 Rp 98,550 0 Rp 73 Rp - 0
74 Captopril 12,5 mg 1729 Rp 62 Rp 107,198 0 Rp 62 Rp - 65
75 Captopril 25 mg 80 Rp 300 Rp 24,000 0 Rp - Rp - 25
76 Cat gut chromic SMI 2/0 0 Rp - Rp - 0 Rp 28,538 Rp - 0
77 Cat gut chromic SMI 3/0 6 Rp 28,538 Rp 171,228 0 Rp 28,538 Rp - 0
78 Cat gut plain 3/0 5 Rp 4,500 Rp 22,500 0 Rp - Rp - 0
80 Catapres 0,15 mg/ml (Klonidin inj) 50 Rp 30,600 Rp 1,530,000 0 Rp 30,600 Rp - 0
81 Catgut Chrom 3/0 HR 26-NRC 0 Rp - Rp - 0 Rp 42,605 Rp - 0
82 Catgut Plain 1 75 CM HR 48-NRC 13 Rp 46,874 Rp 609,362 0 Rp 46,874 Rp - 0
83 Cefadroksil 500 mg tab 165 Rp 850 Rp 140,250 0 Rp 850 Rp - 30
84 Cefadroksil syr 185 Rp 5,064 Rp 936,840 0 Rp 5,064 Rp - 0
85 Cefixime 100 mg kapsul 30 Rp 869 Rp 26,070 30 Rp 869 Rp 26,070 60
86 Cefixime sirup kering 100 mg/5ml 25 Rp 9,000 Rp 225,000 0 Rp 9,000 Rp - 4
87 Cetirizine tab 10 mg 77 Rp 400 Rp 30,800 0 Rp 400 Rp - 53
88 Cetirizine syrup 5 mg/5ml 109 Rp 8,399 Rp 915,491 0 Rp 8,399 Rp - 0
89 Cefotaxime inj 1 gr 10 Rp 13,200 Rp 132,000 18 Rp 13,200 Rp 237,600 18
90 Ceftriaxone inj 1 gr 4 Rp 13,200 Rp 52,800 53 Rp 13,200 Rp 699,600 53
91 Chlorampenicol 1 % salep mata 78 Rp 1,600 Rp 124,800 0 Rp 1,600 Rp - 0
92 Chlorampenicol inj 5 Rp 11,750 Rp 58,750 0 Rp 11,750 Rp - 0
93 Cimetidin tab 200 mg 500 Rp 200 Rp 100,000 0 Rp 200 Rp - 0
94 Ciprofloksacin infus 2 % 2 Rp 22,522 Rp 45,044 8 Rp 22,522 Rp 180,176 8
95 Ciprofloxacin 500 mg 80 Rp 550 Rp 44,000 0 Rp 550 Rp - 66
96 Citicholin inj 125 mg/ml 15 Rp 20,650 Rp 309,750 0 Rp 20,650 Rp - 6
97 Clindamisyn tab 150 mg 160 Rp 550 Rp 88,000 0 Rp - Rp - 0
98 Clindamysin 300 mg 80 Rp 1,100 Rp 88,000 0 Rp 1,100 Rp - 0
99 Clopidogrel tab 75 mg 51 Rp 3,500 Rp 178,500 0 Rp 3,500 Rp - 0
100 Codein tablet 10 mg 1800 Rp 525 Rp 945,000 0 Rp 525 Rp - 0
101 Codein tablet 20 mg 1800 Rp 1,155 Rp 2,079,000 0 Rp 1,155 Rp - 18
102 Cotrimoksazol suspensi 10 Rp 3,100 Rp 31,000 0 Rp - Rp - 0
103 Cotrimoksazol/Bimactrim tab 92 Rp 200 Rp 18,400 0 Rp 200 Rp - 0
104 CTM tab 193 Rp 100 Rp 19,300 0 Rp 100 Rp - 0
105 Curcuma tablet 91 Rp 700 Rp 63,700 0 Rp 700 Rp - 60
106 Curcuma sirup 8 Rp 6,000 Rp 48,000 0 Rp - 2
107 Cat gut chromic no 0 8 Rp 52,848 Rp 422,787 0 Rp 52,848 Rp - 0
108 Cat gut chromic no 1 6 Rp 52,848 Rp 317,090 0 Rp 52,848 Rp - 0
109 Cat gut chromic no 2/0 6 Rp 52,848 Rp 317,090 0 Rp 52,848 Rp - 0
110 Cat gut plain 1 12 Rp 52,848 Rp 634,181 0 Rp 52,848 Rp - 0
111 Cat gut plain 3/0 6 Rp 42,040 Rp 252,239 0 Rp 42,040 Rp - 0
112 Cutter diatermi (pencil cauter) 20 Rp 117,128 Rp 2,342,560 0 Rp 117,128 Rp - 0
113 Deksametason 5 mg inj 287 Rp 1,659 Rp 476,133 0 Rp 1,659 Rp - 19
114 Deksamethason 0,5 mg 1347 Rp 100 Rp 134,700 0 Rp 100 Rp - 6
115 Depakene sirup ( Valproat sirup) 48 Rp 41,800 Rp 2,006,400 0 Rp 41,800 Rp - 0
116 Depakote tablet 250 mg (Valproat tab ) 79 Rp 1,680 Rp 132,720 0 Rp 1,680 Rp - 25
117 Depakote tablet SR 500 mg (Valproat tab ) 0 Rp - Rp - 0 Rp 5,450 Rp - 0
118 Dextral tab 107 Rp 450 Rp 48,150 0 Rp 450 Rp - 0
119 Dextrose 5 % (Glukosa) unicp OGB 1529 Rp 5,460 Rp 8,348,340 0 Rp 5,460 Rp - 0
120 Dextrose 10 % (Glukosa)unicp OGB 223 Rp 5,985 Rp 1,334,655 0 Rp 5,985 Rp - 0
121 Dextrose 40 % inf 25 ml 5 Rp 12,350 Rp 61,750 0 Rp - Rp - 0
122 Diazepam 5 mg tab 222 Rp 150 Rp 33,300 0 Rp 150 Rp - 5
123 Difenhidramin inj 10 mg 120 Rp 1,100 Rp 132,000 0 Rp 1,100 Rp - 0
124 Digoxin tab 0,25 mg 427 Rp 100 Rp 42,700 0 Rp 100 Rp - 0
125 Diltiazem inj (Herbesser) 20 Rp 134,050 Rp 2,681,000 0 Rp 134,050 Rp - 0
126 Diltiazem tab 30 mg 200 Rp 134 Rp 26,800 0 Rp 134 Rp - 0
127 Domperidon sirup/suspensi/5 mg/5 ml 9 Rp 3,410 Rp 30,690 0 Rp 3,410 Rp - 6
128 Donperidon tab 111 Rp 170 Rp 18,870 10 Rp 188 Rp 1,875 121
129 Dobutamin inj 4 Rp 28,035 Rp 112,140 0 Rp 28,035 Rp - 0
130 Dopamin Giullini inj 45 Rp 9,800 Rp 441,000 0 Rp 9,800 Rp - 0
131 Doxycyclin kap 100 mg 745 Rp 285 Rp 212,325 0 Rp 285 Rp - 0
132 Dulcolax tablet 0 Rp 1,409 Rp - 20 Rp 1,409 Rp 28,186 20
134 Elektroda EKG 45 Rp 5,700 Rp 256,500 0 Rp 5,700 Rp - 2
136 Engerix-B (Hepatitis B) 5 Rp 175,000 Rp 875,000 0 Rp 175,000 Rp - 0
137 Epineprin 0,1 % inj 165 Rp 8,505 Rp 1,403,325 0 Rp 8,505 Rp - 0
138 Eritromisin kapsul 500 mg 145 Rp 976 Rp 141,520 0 Rp 976 Rp - 15
139 Eritromisin sirup kering 200 mg/5ml 164 Rp 7,893 Rp 1,294,452 0 Rp 7,893 Rp - 0
140 Erlamycetin salep mata 0 Rp 6,800 Rp - 1 Rp 6,800 Rp 6,800 1
141 Ethambutol 500 mg tab 148 Rp 455 Rp 67,340 0 Rp 455 Rp - 0
142 ETT No. 4,5 2 Rp 45,957 Rp 91,914 0 Rp 45,957 Rp - 0
143 ETT No. 5,0 2 Rp 45,957 Rp 91,914 0 Rp 45,957 Rp - 0
144 ETT No. 5,5 2 Rp 45,957 Rp 91,914 0 Rp 45,957 Rp - 0
145 ETT No. 6,0 2 Rp 45,957 Rp 91,914 0 Rp 45,957 Rp - 0
146 ETT No. 6,5 2 Rp 45,957 Rp 91,914 0 Rp 45,957 Rp - 0
147 ETT No. 7,0 1 Rp 45,957 Rp 45,957 0 Rp 45,957 Rp - 0
148 ETT No. 7,5 2 Rp 45,957 Rp 91,914 0 Rp 45,957 Rp - 0
149 Farsorbid inj 10 ml(Isosorbid dinitrat) 7 Rp 34,980 Rp 244,860 0 Rp 34,980 Rp - 0
150 Fenobarbital 50 mg/ml 150 Rp 1,890 Rp 283,500 0 Rp 1,890 Rp - 0
151 Fentanyl inj 0,05 mg/ml @ 10 ml 45 Rp 134,400 Rp 6,048,000 0 Rp 134,400 Rp - 0
152 Fentanyl inj 0,05 mg/ml @ 2 ml 100 Rp 35,610 Rp 3,561,000 0 Rp 35,610 Rp - 0
153 Ferriz drop 21 Rp 31,000 Rp 651,000 0 Rp 31,000 Rp - 0
154 Ferriz syrup 34 Rp 34,000 Rp 1,156,000 0 Rp 34,000 Rp - 0
155 Fimahes 1 Rp 185,000 Rp 185,000 0 Rp 185,000 Rp - 0
156 Fitomenadion (Vit K1) inj 2 mg/ml 28 Rp 3,582 Rp 100,296 0 Rp 3,582 Rp - 0
157 Fitomenadion (Vit K1) tab 10mg 85 Rp 660 Rp 56,100 0 Rp 660 Rp - 0
158 Flagyl sup 500 mg (Metronidazole) 33 Rp 3,220 Rp 106,260 0 Rp 3,220 Rp - 0
159 Flixotide Nebulez 0 Rp 26,950 Rp - 5 Rp 23,925 Rp 119,625 5
160 Flunarizin 114 Rp 3,500 Rp 399,000 0 Rp 3,500 Rp - 0
161 Folley Cath 2 way No 10 Onemed 190 Rp 37,800 Rp 7,182,000 0 Rp 37,800 Rp - 0
162 Folley Cath 2 way No 12 Onemed 25 Rp 10,080 Rp 252,000 0 Rp 10,080 Rp - 1
166 Folley Cath 2 way No 20 Onemed 0 Rp - Rp - 0 Rp 10,080 Rp - 0
171 Fresofol 1% (Propofol inj) 82 Rp 15,642 Rp 1,282,644 0 Rp 15,642 Rp - 0
172 Furosemide 10 mg/ml inj 1 Rp 1,920 Rp 1,920 4 Rp 1,920 Rp 7,680 4
173 Furosemide tablet 40 mg 0 Rp 94 Rp - 39 Rp 94 Rp 3,666 39
174 Garam Oralit 200 mg 284 Rp 303 Rp 86,052 0 Rp 303 Rp - 0
175 Gastrul tab 120 Rp 12,000 Rp 1,440,000 0 Rp 12,000 Rp - 0
176 Gavistal drops 98 Rp 5,500 Rp 539,000 0 Rp 5,500 Rp - 0
177 Gelang bayi (biru) 100 Rp 1,452 Rp 145,200 0 Rp 1,452 Rp - 0
178 Gelang bayi (pink) 183 Rp 1,452 Rp 265,716 0 Rp 1,452 Rp - 0
179 Gelang ibu ( biru) 103 Rp 1,452 Rp 149,556 0 Rp 1,452 Rp - 0
180 Gelang ibu ( pink) 191 Rp 1,452 Rp 277,332 0 Rp 1,452 Rp - 0
181 Gentamicyn injeksi 80 mg/ml 195 Rp 3,569 Rp 695,955 0 Rp 3,569 Rp - 0
182 Gentamisin salep mata 0,3% (Genoint) 29 Rp 2,660 Rp 77,140 0 Rp 2,660 Rp - 0
183 Glibenclamid tab 5 mg 115 Rp 58 Rp 6,670 0 Rp 58 Rp - 3
184 Glybotic (Amikasin) 500 mg inj. 7 Rp 50,500 Rp 353,500 0 Rp 50,500 Rp - 0
185 Griseopulvin tab 125 mg 30 Rp 230 Rp 6,900 0 Rp 230 Rp - 0
186 Gypsona 15 cm 1 Rp 39,383 Rp 39,383 0 Rp 39,383 Rp - 0
187 Gypsona 10 cm 1 Rp 30,000 Rp 30,000 0 Rp 30,000 Rp - 0
188 Halothan inhalasi 2 Rp 673,500 Rp 1,347,000 0 Rp 673,500 Rp - 0
189 Handscoen non steril 163 Rp 550 Rp 89,650 0 Rp 550 Rp - 8
190 Handscoen panjang Gynecolog No. 6,5 29 Rp 29,150 Rp 845,350 0 Rp 29,150 Rp - 0
191 Handscoen panjang Gynecolog No. 7 160 Rp 29,150 Rp 4,664,000 0 Rp 29,150 Rp - 0
192 Handscoen panjang Gynecolog No. 7,5 230 Rp 29,150 Rp 6,704,500 0 Rp 29,150 Rp - 0
193 Handscoen panjang Gynecolog No. 8 266 Rp 29,150 Rp 7,753,900 0 Rp 29,150 Rp - 0
194 Handscoen steril powder 6,5 27 Rp 7,684 Rp 207,468 0 Rp 7,684 Rp - 0
195 Handscoen steril powder 7 560 Rp 7,684 Rp 4,303,040 0 Rp 7,684 Rp - 1
196 Handscoon steril powder 7,5 401 Rp 7,684 Rp 3,081,284 0 Rp 7,684 Rp - 5
197 Handscoen steril powder 8 366 Rp 7,684 Rp 2,812,344 0 Rp 7,684 Rp - 9
199 Harnal D (Tamsulosin tab 0,2 mg) 0 Rp - Rp - 10 Rp 5,800 Rp 58,000 10
200 Hepatitis B 2 Rp 80,000 Rp 160,000 0 Rp 80,000 Rp - 0
201 Hufamicetin sirup 2 Rp 8,500 Rp 17,000 0 Rp 8,500 Rp - 0
202 Hufanasea syr 5 Rp 8,500 Rp 42,500 0 Rp 8,500 Rp - 0
203 Hydrex Surgical Scrub 5 ltr 2 Rp 986,160 Rp 1,972,320 0 Rp 986,160 Rp - 0
204 Ibuprofen tablet 200 mg 3 Rp 116 Rp 348 0 Rp 116 Rp - 0
205 Ibuprofen tablet 400 mg 381 Rp 153 Rp 58,293 0 Rp 153 Rp - 20
206 Ibupropen suspensi 100 mg/5 ml 9 Rp 3,674 Rp 33,066 0 Rp 3,674 Rp - 0
207 Illiadin spray 20 Rp 33,000 Rp 660,000 0 Rp 33,000 Rp - 0
208 Imbost force syr 13 Rp 55,800 Rp 725,400 0 Rp 55,800 Rp - 0
209 Immodium tablet 10 Rp 7,500 Rp 75,000 0 Rp - Rp - 0
210 Imovax Polio Multidose 5 Rp 285,000 Rp 1,425,000 0 Rp 285,000 Rp - 0
211 Infusion Set Dewasa 1875 Rp 4,032 Rp 7,560,000 0 Rp 4,032 Rp - 18
212 Infusion Set Pediatrik 379 Rp 4,410 Rp 1,671,390 0 Rp 4,410 Rp - 17
213 Intralipid (Lipid/emulsi lemak 20%) 40 Rp 60,500 Rp 2,420,000 0 Rp 60,500 Rp - 0
214 Isoniazid tablet 100 mg 3 Rp 68 Rp 204 0 Rp 68 Rp - 0
215 Isoniazid tablet 300 mg 0 Rp 166 Rp - 7 Rp 166 Rp 1,162 7
216 Isosorbid dinitrat tab 5 mg 20 Rp 93 Rp 1,860 0 Rp 93 Rp - 0
217 Jelly EKG 28 Rp 100,000 Rp 2,800,000 0 Rp 100,000 Rp - 1
218 Jelly USG 29 Rp 65,000 Rp 1,885,000 0 Rp 65,000 Rp - 0
219 KAEN 3B infus 50 Rp 10,000 Rp 500,000 0 Rp 10,000 Rp - 0
220 KAEN 4B infus 6 Rp 15,300 Rp 91,800 0 Rp 15,300 Rp - 0
221 Kalsium Laktat tab 500 mg 260 Rp 73 Rp 18,980 0 Rp 73 Rp - 0
222 Kandistatin drop 49 Rp 40,000 Rp 1,960,000 0 Rp 40,000 Rp - 0
223 Kaolin- pectin/Kaotin 96 Rp 4,650 Rp 446,400 0 Rp 4,650 Rp - 0
224 Kapas 250 gr 44 Rp 13,750 Rp 605,000 0 Rp 13,750 Rp - 0
225 Kapas 500 gr 22 Rp 34,372 Rp 756,184 0 Rp 34,372 Rp - 1
226 Kasa Hydrophil 40 x 80 CM 51 Rp 132,300 Rp 6,747,300 0 Rp 132,300 Rp - 0
227 Kasa pembalut hydrofil 4m x 5 cm 100 Rp 825 Rp 82,500 0 Rp 825 Rp - 0
228 Kasa pembalut hydrofil 4m x 10 cm 218 Rp 1,650 Rp 359,700 0 Rp 1,650 Rp - 0
229 Kasa pembalut hydrofil 4m x 15 cm 123 Rp 2,310 Rp 284,130 0 Rp 2,310 Rp - 4
230 Kasa Kotak Steril 16x16 589 Rp 6,380 Rp 3,757,820 0 Rp 6,380 Rp - 13
231 KCl 7, 46 otsu infus 12 Rp 3,000 Rp 36,000 0 Rp 3,000 Rp - 0
232 Kenalog in ora base 41 Rp 65,000 Rp 2,665,000 0 Rp 65,000 Rp - 0
233 Kertas EKG kotak besar 24 Rp 300,000 Rp 7,200,000 0 Rp 300,000 Rp - 0
234 Kertas EKG kotak kecil 25 Rp 90,000 Rp 2,250,000 0 Rp 90,000 Rp - 0
235 Kertas EKG roll 2 Rp 90,000 Rp 180,000 0 Rp - Rp - 0
236 Kertas USG 29 Rp 300,000 Rp 8,700,000 0 Rp 300,000 Rp - 0
237 Ketamin Hameln (Ketamin inj) 49 Rp 62,500 Rp 3,062,500 0 Rp 62,500 Rp - 0
238 Ketokenazol 2 % cream 1 Rp 2,569 Rp 2,569 0 Rp 2,569 Rp - 1
239 Ketokenazol tablet 200 mg 260 Rp 310 Rp 80,600 0 Rp 310 Rp - 0
240 Ketopropen sup 17 Rp 13,000 Rp 221,000 0 Rp 13,000 Rp - 0
241 Ketorolac injeksi 30 mg 1762 Rp 2,539 Rp 4,473,718 0 Rp 2,539 Rp - 32
242 Kidmin infus 35 Rp 49,220 Rp 1,722,700 0 Rp 49,220 Rp - 4
243 Kit Operasi Eco 90 Rp 77,000 Rp 6,930,000 0 Rp 77,000 Rp - 0
244 Klem tali pusat 81 Rp 3,000 Rp 243,000 0 Rp 3,000 Rp - 0
245 Klorpromazin inj i.m 25 mg 0 Rp - Rp - 0 Rp 1,155 Rp - 0
246 Klorpromazin salut 25 mg 200 Rp 71 Rp 14,200 0 Rp 71 Rp - 0
247 Kondom Chateter - L 100 Rp 5,500 Rp 550,000 0 Rp 5,500 Rp - 0
248 Kondom Chateter - M 100 Rp 5,500 Rp 550,000 0 Rp 5,500 Rp - 0
249 Kondom Chateter - S 100 Rp 5,500 Rp 550,000 0 Rp 5,500 Rp - 0
250 Kuinin (Kina) tablet 200 mg 92 Rp 704 Rp 64,768 0 Rp 704 Rp - 0
251 Lansoprazol kapsul 30 mg 589 Rp 473 Rp 278,597 0 Rp 473 Rp - 160
252 Lantus Solostar 100 iu/ml (insulin long act) 80 Rp 85,000 Rp 6,800,000 0 Rp 85,000 Rp - 2
253 Lapibal inj 0 Rp - Rp 26,400 2 Rp 26,400 Rp 52,800 2
254 Lasal syrup 0 Rp - Rp - 0 Rp 38,000 Rp - 0
255 Levofloksacin tab 500 mg 99 Rp 575 Rp 56,925 0 Rp 575 Rp - 45
256 Levosol injeksi (Norepinefrin) 50 Rp 53,900 Rp 2,695,000 0 Rp 53,900 Rp - 0
257 Lexapram sirup (metoklopramid 5 mg/5ml 87 Rp 2,800 Rp 243,600 0 Rp 2,800 Rp - 0
258 Lidocain HCl injeksi 2% 74 Rp 879 Rp 65,046 0 Rp 879 Rp - 2
259 Loperamid tablet 2 mg 1880 Rp 92 Rp 172,960 0 Rp 92 Rp - 0
260 Loratadine tab 10 mg 502 Rp 164 Rp 82,328 0 Rp 164 Rp - 0
261 Lysol 1 liter 18 Rp 47,150 Rp 848,700 0 Rp 47,150 Rp - 0
262 Marcain 0,5 % inj ( Bupivakain 0,5 %) 35 Rp 32,000 Rp 1,120,000 0 Rp 32,000 Rp - 0
263 Martos - 10 infus 40 Rp 30,624 Rp 1,224,960 0 Rp 30,624 Rp - 0
264 Masker 213 Rp 416 Rp 88,608 0 Rp 416 Rp - 29
265 Mecobalamin 500 mcg kap 0 Rp - Rp - 20 Rp 800 Rp 16,000 20
266 Meloksikam 15 mg tab 77 Rp 900 Rp 69,300 0 Rp 900 Rp - 0
267 Mess op no 15 129 Rp 100 Rp 12,900 0 Rp - Rp - 0
268 Metformin HCl tablet 500 mg 163 Rp 115 Rp 18,745 0 Rp 115 Rp - 10
269 Methergin inj 6 Rp 9,350 Rp 56,100 0 Rp - Rp - 0
270 Metilprednisolon tablet 4 mg 140 Rp 210 Rp 29,400 0 Rp 210 Rp - 0
271 Metilprednisolon tablet 8 mg 950 Rp 375 Rp 356,250 0 Rp 375 Rp - 55
272 Metilprednisolon inj 125 mg 0 Rp 37,500 Rp - 5 Rp 37,500 Rp 187,500 5
273 Metoklopramide tab 10 mg 4932 Rp 96 Rp 473,472 0 Rp 96 Rp - 0
274 Metochlorpramide inj /sotatic 7 Rp 4,250 Rp 29,750 27 Rp 4,250 Rp 114,750 27
275 Metronidazol tablet 250 mg 746 Rp 113 Rp 84,298 0 Rp 113 Rp - 0
276 Metronidazole infus 500 mg 4 Rp 10,250 Rp 41,000 1 Rp 10,250 Rp 10,250 1
277 Metronidazole sup 32 Rp 3,220 Rp 103,040 0 Rp 3,220 Rp - 0
278 Metronidazole syrup 61 Rp 5,000 Rp 305,000 0 Rp 5,000 Rp - 0
279 Metronidazole tablet 500 mg 2605 Rp 164 Rp 427,220 0 Rp 164 Rp - 0
280 Meylon 8,4 % 25 ml 98 Rp 6,510 Rp 637,980 0 Rp 6,510 Rp - 0
281 MgSO4 20 % 53 Rp 6,330 Rp 335,490 0 Rp 6,330 Rp - 0
282 MgSO4 40 % 52 Rp 6,051 Rp 314,652 0 Rp 6,051 Rp - 0
283 Microlax sup 2 Rp 22,000 Rp 44,000 0 Rp 22,000 Rp - 0
284 Midazolam inj 5 mg/ml ( Miloz) 50 Rp 9,114 Rp 455,700 0 Rp 9,114 Rp - 0
285 Molexflu 127 Rp 650 Rp 82,550 0 Rp 650 Rp - 0
286 Monosyn 1 HR 40S -NRC 0 Rp - Rp - 0 Rp 101,249 Rp - 0
287 Morphin HCl inj 10 mg/1 ml 50 Rp 8,820 Rp 441,000 0 Rp 8,820 Rp - 0
288 MST Continus tab 10 mg 120 Rp 15,620 Rp 1,874,400 0 Rp 15,620 Rp - 0
289 NaCl 0,9 % 100 ml infus 13 Rp 13,500 Rp 175,500 0 Rp 13,500 Rp - 7
290 NaCl 3 % 500 ml infus 105 Rp 17,000 Rp 1,785,000 0 Rp 17,000 Rp - 0
291 NaCl lar. Inf 0,9 % 500 ml 2180 Rp 4,935 Rp 10,758,300 0 Rp 4,935 Rp - 102
292 Nald Hecting kulit 216 Rp 1,604 Rp 346,464 0 Rp 1,604 Rp - 0
293 Nald Hecting otot 171 Rp 1,604 Rp 274,284 0 Rp 1,604 Rp - 0
294 Nald no 23 G 75 Rp 638 Rp 47,850 0 Rp 638 Rp - 15
295 Natrium Diklofenak tab 50 mg 4097 Rp 185 Rp 757,945 0 Rp 185 Rp - 20
296 Nebacetin powder 43 Rp 24,500 Rp 1,053,500 0 Rp 24,500 Rp - 0
297 Neo kaominal syr 5 Rp 7,150 Rp 35,750 0 Rp 7,150 Rp - 0
298 Neostigmin Hameln inj 0,5 mg/ml 150 Rp 9,700 Rp 1,455,000 0 Rp 9,700 Rp - 0
299 NGT No. 8 3 Rp 15,200 Rp 45,600 0 Rp - Rp - 0
300 NGT no, 14 4 Rp 15,200 Rp 60,800 0 Rp - Rp - 0
301 NGT no, 16 7 Rp 15,200 Rp 106,400 0 Rp - Rp - 2
302 NGT no. 18 5 Rp 15,200 Rp 76,000 0 Rp - Rp - 0
303 NGT no. 3,5 utk bayi/anak 2 Rp 13,050 Rp 26,100 0 Rp - Rp - 0
304 Nipedipin tablet 10 mg 610 Rp 110 Rp 67,100 0 Rp 110 Rp - 0
305 Norages inj 22 Rp 10,937 Rp 240,614 20 Rp 10,937 Rp 218,740 20
306 Norit 60 Rp 150 Rp 9,000 0 Rp 150 Rp - 0
307 Obat Antituberkulosis FDC Anak 14112 Rp 448 Rp 6,322,176 0 Rp 448 Rp - 21
308 Obat Antituberkulosis FDC Kategori 1 21668 Rp 1,125 Rp 24,376,500 0 Rp 1,125 Rp - 63
309 Octalbin infus 25 % 50 ml 3 Rp 750,000 Rp 2,250,000 0 Rp 750,000 Rp - 2
310 Ofloxacin tablet 200 mg 490 Rp 420 Rp 205,800 0 Rp 420 Rp - 0
311 Ofloxacin tablet 400 mg 1095 Rp 680 Rp 744,600 0 Rp 680 Rp - 17
312 Omecal D Tablet 157 Rp 300 Rp 47,100 0 Rp 300 Rp - 0
313 Omegdiar tab/newdiatab 74 Rp 600 Rp 44,400 0 Rp 600 Rp - 55
314 Omegtamin tablet 290 Rp 4,300 Rp 1,247,000 0 Rp 4,300 Rp - 0
315 Omegtrim syr 2 Rp 10,500 Rp 21,000 0 Rp 10,500 Rp - 0
316 Omeprazole kapsul 20 mg 35 Rp 216 Rp 7,560 15 Rp 216 Rp 3,240 50
317 Ondansentron inj 4 mg/2 ml 12 Rp 6,000 Rp 72,000 23 Rp 6,000 Rp 138,000 23
318 Ondansentron tab 4 mg 32 Rp 759 Rp 24,288 0 Rp 759 Rp - 0
319 Ondansentron tab 8 mg 20 Rp 1,261 Rp 25,220 0 Rp 1,261 Rp - 10
320 Pampers Dewasa L 28 Rp 51,300 Rp 1,436,400 0 Rp 51,300 Rp - 0
321 Pantoprazol inj 0 Rp - Rp - 3 Rp 50,000 Rp 150,000 3
322 Papaverin inj 0 Rp - Rp - 0 Rp 3,500 Rp - 0
323 Parasetamol drops 15 ml 140 Rp 5,460 Rp 764,400 0 Rp 5,460 Rp - 0
324 Parasetamol sirup 120 mg/ 5 ml 158 Rp 1,496 Rp 236,368 0 Rp 1,496 Rp - 1
325 Parasetamol tab 500 mg 200 Rp 300 Rp 60,000 0 Rp 300 Rp - 150
326 Parasetamol infus drip 1 Rp 60,500 Rp 60,500 0 Rp 60,500 Rp - 0
327 Pedialyte syr 15 Rp 24,500 Rp 367,500 0 Rp 24,500 Rp - 0
328 Pehacain inj 130 Rp 3,850 Rp 500,500 0 Rp 3,850 Rp - 0
329 Penytoin tab 100 mg 200 Rp 140 Rp 28,000 0 Rp 140 Rp - 0
331 Piracetam 1g inj 169 Rp 7,850 Rp 1,326,650 0 Rp 7,850 Rp - 0
332 Piracetam 3g inj 152 Rp 21,850 Rp 3,321,200 0 Rp 21,850 Rp - 0
333 Piracetam tablet 800 mg 39 Rp 1,000 Rp 39,000 0 Rp - Rp - 0
334 Piroksikam tab 20 mg 300 Rp 131 Rp 39,300 0 Rp - Rp - 0
335 Plantacid forte syr 60 Rp 37,800 Rp 2,268,000 0 Rp 37,800 Rp - 0
336 Povidone Iodida lar.10% 1000 ml 81 Rp 38,594 Rp 3,126,114 0 Rp 38,594 Rp - 0
337 Povidone Iodida lar.10% 60 ml 100 Rp 6,298 Rp 629,800 0 Rp 6,298 Rp - 0
338 Polysorb No. 4/0 cutting 2 Rp 96,260 Rp 192,520 0 Rp 96,260 Rp - 0
339 Polysorb No. 3/0 cutting 3 Rp 105,163 Rp 315,489 0 Rp 105,163 Rp - 0
340 Pravastatin 20 mg tab 500 Rp 2,530 Rp 1,265,000 0 Rp 2,530 Rp - 0
341 Prednison tab 5 mg/eltazon 1010 Rp 103 Rp 104,030 0 Rp 103 Rp - 0
342 Premilene Mesh 30 x 30 NRC 1 Rp 1,311,095 Rp 1,311,095 0 Rp 1,311,095 Rp - 0
343 Primperan inj 5 Rp 12,150 Rp 60,750 0 Rp 12,150 Rp - 0
344 Propanolol tablet 10 mg 390 Rp 79 Rp 30,810 0 Rp 79 Rp - 0
345 Propanolol tablet 40 mg 500 Rp 110 Rp 55,000 0 Rp 110 Rp - 0
346 Propilthiourasil tab 100 mg (PTU) 0 Rp - Rp - 21 Rp 335 Rp 7,035 21
347 Pulmicort Respules/cairan inh 0,25 mg/ml 14 Rp 8,900 Rp 124,600 0 Rp 8,900 Rp - 0
348 Pyrantel syr 125 mg 45 Rp 8,728 Rp 392,760 0 Rp 8,728 Rp - 0
349 Pyrantel tab 125 mg 62 Rp 308 Rp 19,096 0 Rp 308 Rp - 0
350 Quinine inj 25 % 100 Rp 6,510 Rp 651,000 0 Rp 6,510 Rp - 0
351 Ranitidin injeksi 25 mg/2 ml 9 Rp 2,400 Rp 21,600 18 Rp 2,400 Rp 43,200 18
352 Ranitidin tablet 150 mg 50 Rp 126 Rp 6,300 18 Rp 126 Rp 2,268 68
353 Resochin tab 20 Rp 500 Rp 10,000 0 Rp 500 Rp - 0
354 Rifampicin tab 300 mg 20 Rp 640 Rp 12,800 0 Rp 640 Rp - 0
355 Rifampicin tab 450 mg 1088 Rp 829 Rp 901,952 0 Rp 829 Rp - 0
356 Rifampicin tab 600 mg 24 Rp 2,500 Rp 60,000 0 Rp 2,500 Rp - 7
357 Ringer Laktat inf 5483 Rp 5,460 Rp 29,937,180 0 Rp 5,460 Rp - 70
358 Ringer Solution inf 500 ml 22 Rp 12,500 Rp 275,000 0 Rp 12,500 Rp - 0
359 Rivanol 300 cc 49 Rp 3,213 Rp 157,437 0 Rp 3,213 Rp - 0
360 Rotarix (Rotavirus) 1 Rp 245,000 Rp 245,000 0 Rp 245,000 Rp - 0
361 Safil 1 HR 48 90 CM - NRC 10 Rp 99,550 Rp 995,500 0 Rp 99,550 Rp - 0
362 Safil 2/0 HR 37S 90 CM - NRC 0 Rp - Rp - 0 Rp 75,604 Rp - 0
363 Safil 3/0 HR 26 90 CM - NRC 25 Rp 89,296 Rp 2,232,400 0 Rp 89,296 Rp - 0
364 Safil 4/0 HR 22 70 CM - NRC 22 Rp 91,050 Rp 2,003,100 0 Rp 91,050 Rp - 0
365 Salbutamol 2 mg tablet 121 Rp 62 Rp 7,502 16 Rp 62 Rp 992 16
366 Salbutamol 4 mg tablet 917 Rp 89 Rp 81,613 0 Rp 89 Rp - 35
367 Salbutamol sirup 293 Rp 4,988 Rp 1,461,484 0 Rp 4,988 Rp - 1
368 Sarung tangan utk kesling 167 Rp 17,500 Rp 2,922,500 0 Rp 17,500 Rp - 0
369 Scopamin injeksi 16 Rp 12,000 Rp 192,000 0 Rp - Rp - 0
370 Selang O2 bayi 53 Rp 19,600 Rp 1,038,800 0 Rp - Rp - 0
371 Selang O2 dewasa 159 Rp 11,800 Rp 1,876,200 0 Rp - Rp - 8
372 Selang O2 Sungkup 8 Rp 15,000 Rp 120,000 0 Rp 15,000 Rp - 0
373 Selang Oksigen Anak 94 Rp 6,050 Rp 568,700 0 Rp 6,050 Rp - 1
374 Seretide Diskus 100 mcg (salmeterol 50 mcg0 2 Rp 105,871 Rp 211,742 0 Rp 105,871 Rp - 0
375 Shoosten Anak 20 Rp 55,000 Rp 1,100,000 0 Rp 55,000 Rp - 0
376 Shoosten Dewasa 13 Rp 55,000 Rp 715,000 0 Rp 55,000 Rp - 0
377 Sidiadryl inj 90 Rp 12,000 Rp 1,080,000 0 Rp 12,000 Rp - 0
378 Silk 3/0 (cide) 21 Rp 4,000 Rp 84,000 0 Rp - Rp - 0
379 Silk Black 2/0 DS 24 MM 2 Rp 23,864 Rp 47,728 0 Rp 23,864 Rp - 0
380 Silkam Black 3/0 DS 24 - NRC 0 Rp - Rp - 0 Rp 25,567 Rp - 0
381 Silkam 3/0 100 Rp 25,567 Rp 2,556,700 0 Rp 25,567 Rp - 0
382 Silk black DS 24 2/0 86 Rp 23,864 Rp 2,052,304 0 Rp 23,864 Rp - 0
383 Safil 1 12 Rp 99,550 Rp 1,194,600 0 Rp 99,550 Rp - 0
384 Simvastatin tab 20 mg 850 Rp 252 Rp 214,200 0 Rp 252 Rp - 0
385 Sistenol tab 10 Rp 2,053 Rp 20,530 0 Rp 2,053 Rp - 10
386 Spasminal tab 628 Rp 600 Rp 376,800 0 Rp 600 Rp - 0
387 Spinocain No. 25 G 180 Rp 44,000 Rp 7,920,000 0 Rp 44,000 Rp - 0
390 Spironolacton 25 mg tab 42 Rp 320 Rp 13,440 0 Rp 320 Rp - 20
391 Spuite 1 cc 41 Rp 819 Rp 33,579 0 Rp 819 Rp - 1
392 Spuite 10 cc 174 Rp 1,166 Rp 202,884 0 Rp 1,166 Rp - 2
394 Spuite 3 cc 18704 Rp 819 Rp 15,318,576 0 Rp 819 Rp - 191
395 Spuite 5 cc 9308 Rp 945 Rp 8,796,060 0 Rp 945 Rp - 105
396 Spuite 50 cc NGT/catheter tip 42 Rp 15,500 Rp 651,000 0 Rp - Rp - 3
398 Stabimed 1 L NRC 1 Rp 619,999 Rp 619,999 0 Rp 619,999 Rp - 0
399 Stesolid sup 5 mg 47 Rp 43,750 Rp 2,056,250 0 Rp 43,750 Rp - 0
400 Stesolid inj 3 Rp 15,000 Rp 45,000 0 Rp 15,000 0
401 Sulfas Atropin inj 21 Rp 3,500 Rp 73,500 0 Rp 3,500 Rp - 1
402 Symbicort Turbuhaler 160/4,5mcg 11 Rp 117,600 Rp 1,293,600 0 Rp 117,600 Rp - 0
403 Syntocinon inj 10 Rp 13,050 Rp 130,500 0 Rp - Rp - 0
404 T.T (Tetanus Toxoid) 82 Rp 20,000 Rp 1,640,000 0 Rp 20,000 Rp - 0
405 Tarivid tetes mata 21 Rp 45,089 Rp 946,869 0 Rp 45,089 Rp - 0
406 Tegretol syr 100 mg/5 ml(Karbamazepin) 5 Rp 44,770 Rp 223,850 0 Rp 44,770 Rp - 0
407 Tetrasiklin kap 500 mg 200 Rp 312 Rp 62,400 0 Rp 312 Rp - 0
408 Thoracid Trocard No. 16 G 20 Rp 192,500 Rp 3,850,000 0 Rp 192,500 Rp - 0
413 Three Way stop cock 114 Rp 2,457 Rp 280,098 0 Rp 2,457 Rp - 2
414 Thrombo Aspilet 20 Rp 550 Rp 11,000 0 Rp - Rp - 0
415 Thrombophob gel 20 gr 78 Rp 55,000 Rp 4,290,000 0 Rp 55,000 Rp - 0
416 Tiamfenikol kapsul 500 mg 15 Rp 511 Rp 7,665 0 Rp 511 Rp - 0
417 Topi operasi 1 X pakai (dokter) 150 Rp 1,600 Rp 240,000 0 Rp 1,600 Rp - 0
418 Topi operasi 1 X pakai (perawat) 200 Rp 1,600 Rp 320,000 0 Rp 1,600 Rp - 0
419 Tracrium inj 25 mg/2,5 ml 47 Rp 20,000 Rp 940,000 0 Rp 20,000 Rp - 0
420 Tramadol kapsul 50 mg 50 Rp 431 Rp 21,550 0 Rp - Rp - 0
421 Tramadol inj 5 Rp 1,890 Rp 9,450 0 Rp 1,890 Rp - 0
422 Transamin inj 250 mg 15 Rp 6,300 Rp 94,500 0 Rp - Rp - 0
423 Transamin inj 500 mg 10 Rp 9,500 Rp 95,000 0 Rp - Rp - 0
424 Transfusi set darah 128 Rp 4,536 Rp 580,608 0 Rp 4,536 Rp - 2
425 Transparant IV Dressing Non Port 29 Rp 4,100 Rp 118,900 0 Rp 4,100 Rp - 0
426 Ulsafate suspensi (Sulkralfat sus 500mg) 0 Rp - Rp - 1 Rp 13,850 Rp 13,850 1
427 Ulsidex tab (Sukralfat tab) 65 Rp 440 Rp 28,600 0 Rp 440 Rp - 0
428 Ultrafix 5 x 1 M 24 Rp 3,750 Rp 90,000 0 Rp 3,750 Rp - 11
429 Urine bag standard steril 2 ltr 234 Rp 3,780 Rp 884,520 0 Rp 3,780 Rp - 4
430 Vaksin BCG 8 Rp 40,000 Rp 320,000 0 Rp 40,000 Rp - 0
431 Vaksin Campak 25 Rp 45,000 Rp 1,125,000 0 Rp 45,000 Rp - 0
432 Vaksin DPT/Hb/Hib (pentabio) 8 Rp 225,000 Rp 1,800,000 0 Rp 225,000 Rp - 0
433 Vaksin infarix (HIB-A) 2 Rp 475,000 Rp 950,000 0 Rp 475,000 Rp - 0
434 Ventolin Inhaler (Salbutamol inh) 2 Rp 66,938 Rp 133,876 0 Rp 66,938 Rp - 0
435 Ventolin Nebules (Salbutamol Cairan ih 0,1 %) 375 Rp 6,930 Rp 2,598,750 0 Rp 6,930 Rp - 30
436 Verban elastis 15 x 4,5 1 Rp 87,500 Rp 87,500 0 Rp 87,500 Rp - 0
437 Vermox tablet 500 mg (Mebendazol) 69 Rp 7,497 Rp 517,293 0 Rp 7,497 Rp - 0
438 Vit B 12 inj 95 Rp 1,300 Rp 123,500 0 Rp 1,300 Rp - 0
439 Vit. B1 tab 147 Rp 60 Rp 8,820 0 Rp 60 Rp - 0
440 Vitamin B kompleks 1670 Rp 110 Rp 183,700 0 Rp 110 Rp - 20
441 Vitamin B12 719 Rp 57 Rp 40,983 0 Rp 57 Rp - 0
442 Vitamin B6 tab 116 Rp 150 Rp 17,400 0 Rp 150 Rp - 40
443 Vitamin C tab 250 mg 53 Rp 159 Rp 8,427 0 Rp 159 Rp - 0
444 Vitamin C tab 50 mg 95 Rp 100 Rp 9,500 0 Rp 100 Rp - 0
445 Vitazym tab 50 Rp 770 Rp 38,500 0 Rp 770 Rp - 0
446 Voluven (Koloid HES BM 130.000, 6%) 200 Rp 33,000 Rp 6,600,000 0 Rp 33,000 Rp - 0
447 Wida D5 - 1/2 NS 21 Rp 8,085 Rp 169,785 0 Rp 8,085 Rp - 0
448 Wida D5 - 1/4 NS 185 Rp 8,085 Rp 1,495,725 0 Rp 8,085 Rp - 0
449 Zinc tab 20 mg 130 Rp 497 Rp 64,610 0 Rp 497 Rp - 0
450 Zincpro Drops (Zinc drop 10 mg/ml) 35 Rp 12,840 Rp 449,400 0 Rp 12,840 Rp - 0
451 Zirkum Kids 115 Rp 7,770 Rp 893,550 0 Rp 7,770 Rp - 1
452 Zoline tab 100 Rp 893 Rp 89,300 0 Rp 893 Rp - 0
TOTAL Rp 490,653,039 Rp 2,438,790
DIKETAHUI OLEH:
DIREKTUR RSUD PERDAGANGAN
(dr. MASLINA SIPAYUNG, M.Si)

NIP. 197407212006042015
SUD. PERDAGANGAN KAB. SIMALUNGUN
20 JULI 2016
Pengeluaran Saldo Akhir Per 10 Juli 2016

Harga Satuan Jumlah Jumlah Harga Satuan Jumlah
10 11= 9 x 10 12=(3+6)-9 13 14 = 12 x 13
Rp 24,940 Rp 74,820 31 Rp 24,940 Rp 773,140
Rp 5,166 Rp - 30 Rp 5,166 Rp 154,980
Rp 7,724 Rp 7,724 803 Rp 7,724 Rp 6,202,372
Rp 7,724 Rp 7,724 803 Rp 7,724 Rp 6,202,372
Rp 7,724 Rp 324,408 1614 Rp 7,724 Rp 12,466,536
Rp 7,724 Rp 23,172 719 Rp 7,724 Rp 5,553,556
Rp 239 Rp 2,390 220 Rp 239 Rp 52,580
Rp 345 Rp - 632 Rp 345 Rp 218,040
Rp 27,090 Rp - 100 Rp 27,090 Rp 2,709,000
Rp 26,400 Rp 26,400 31 Rp 26,400 Rp 818,400
Rp 14,200 Rp 14,200 25 Rp 14,200 Rp 355,000
Rp 126 Rp - 17429 Rp 126 Rp 2,196,054
Rp 250 Rp - 58 Rp 250 Rp 14,500
Rp 220 Rp - 295 Rp 220 Rp 64,753
Rp 650 Rp 18,200 12 Rp 650 Rp 7,800
Rp 4,725 Rp 47,250 0 Rp 4,725 Rp -
Rp 200 Rp 7,200 55 Rp 200 Rp 11,000
Rp 82 Rp - 827 Rp 82 Rp 67,814
Rp 4,010 Rp 12,030 104 Rp 4,010 Rp 417,040
Rp 64,990 Rp - 11 Rp 64,990 Rp 714,890
Rp 71,100 Rp 355,500 18 Rp 71,100 Rp 1,279,800
Rp 500 Rp 5,000 0 Rp 500 Rp -
Rp 3,850 Rp 88,550 23 Rp 3,850 Rp 88,550
Rp 2,500 Rp - 213 Rp 2,500 Rp 532,500
Rp 4,212 Rp - 147 Rp 4,212 Rp 619,164
Rp 270 Rp - 21 Rp 270 Rp 5,670
Rp 5,355 Rp - 249 Rp 5,355 Rp 1,333,395
Rp 74 Rp - 48 Rp 74 Rp 3,552
Rp 4,062 Rp 40,620 3 Rp 4,062 Rp 12,186
Rp 3,197 Rp - 50 Rp 3,197 Rp 159,850
Rp 38,000 Rp - 17 Rp 38,000 Rp 646,000
Rp 31,000 Rp 31,000 7 Rp 31,000 Rp 217,000
Rp 3,500 Rp 164,500 1196 Rp 3,500 Rp 4,186,000
Rp 38,038 Rp - 45 Rp 38,038 Rp 1,711,710
Rp 550 Rp - 115 Rp 550 Rp 63,250
Rp 440 Rp 4,400 55 Rp 440 Rp 24,200
Rp 143 Rp 5,720 1870 Rp 143 Rp 267,410
Rp 315 Rp - 9 Rp 315 Rp 2,835
Rp 1,500 Rp - 195 Rp 1,500 Rp 292,500
Rp 8,750 Rp 105,000 10 Rp 8,750 Rp 87,500
Rp 9,000 Rp 90,000 174 Rp 9,000 Rp 1,566,000
Rp 33,000 Rp - 5 Rp 33,000 Rp 165,000
Rp 750 Rp 11,250 29 Rp 750 Rp 21,750
Rp 70,975 Rp 283,900 12 Rp 70,975 Rp 851,700
Rp 76,435 Rp 305,740 12 Rp 76,435 Rp 917,220
Rp 76,435 Rp 305,740 12 Rp 76,435 Rp 917,220
Rp 65,515 Rp 262,060 12 Rp 65,515 Rp 786,180
Rp 65,515 Rp 262,060 2 Rp 65,515 Rp 131,030
Rp 65,515 Rp 262,060 12 Rp 65,515 Rp 786,180
Rp 34,500 Rp - 92 Rp 34,500 Rp 3,174,000
Rp 4,500 Rp 157,500 712 Rp 4,500 Rp 3,204,000
Rp 2,641 Rp - 25 Rp 2,641 Rp 66,025
Rp 21,500 Rp - 2 Rp 21,500 Rp 43,000
Rp 15,950 Rp - 10 Rp 15,950 Rp 159,500
Rp 49,500 Rp - 10 Rp 49,500 Rp 495,000
Rp 14,000 Rp - 42 Rp 14,000 Rp 588,000
Rp 25,000 Rp - 6 Rp 25,000 Rp 150,000
Rp 900 Rp 9,000 14 Rp 900 Rp 12,600
Rp 1,520 Rp 1,520 74 Rp 1,520 Rp 112,480
Rp 22 Rp - 601 Rp 22 Rp 13,222
Rp 550 Rp - 55 Rp 550 Rp 30,250
Rp 5,000 Rp 15,000 0 Rp 5,000 Rp -
Rp 13,500 Rp - 63 Rp 13,500 Rp 850,500
Rp 363 Rp 11,253 962 Rp 363 Rp 349,206
Rp 285 Rp 22,800 220 Rp 285 Rp 62,700
Rp 5,000 Rp 55,000 109 Rp 5,000 Rp 545,000
Rp 150 Rp - 100 Rp 150 Rp 15,000
Rp 26,880 Rp - 2 Rp 26,880 Rp 53,760
Rp 24,150 Rp - 3 Rp 24,150 Rp 72,450
Rp 24,700 Rp - 9 Rp 24,700 Rp 222,300
Rp 900 Rp - 75 Rp 900 Rp 67,500
Rp 18,750 Rp - 5 Rp 18,750 Rp 93,750
Rp 73 Rp - 1350 Rp 73 Rp 98,550
Rp 62 Rp 4,030 1664 Rp 62 Rp 103,168
Rp 300 Rp 7,500 55 Rp 300 Rp 16,500
Rp 28,538 Rp - 0 Rp 28,538 Rp -
Rp 28,538 Rp - 6 Rp 28,538 Rp 171,228
Rp 4,500 Rp - 5 Rp 4,500 Rp 22,500
Rp 30,600 Rp - 50 Rp 30,600 Rp 1,530,000
Rp 42,605 Rp - 0 Rp 42,605 Rp -
Rp 46,874 Rp - 13 Rp 46,874 Rp 609,362
Rp 850 Rp 25,500 135 Rp 850 Rp 114,750
Rp 5,064 Rp - 185 Rp 5,064 Rp 936,840
Rp 869 Rp 52,140 0 Rp 869 Rp -
Rp 9,000 Rp 36,000 21 Rp 9,000 Rp 189,000
Rp 400 Rp 21,200 24 Rp 400 Rp 9,600
Rp 8,399 Rp - 109 Rp 8,399 Rp 915,491
Rp 13,200 Rp 237,600 10 Rp 13,200 Rp 132,000
Rp 13,200 Rp 699,600 4 Rp 13,200 Rp 52,800
Rp 1,600 Rp - 78 Rp 1,600 Rp 124,800
Rp 11,750 Rp - 5 Rp 11,750 Rp 58,750
Rp 200 Rp - 500 Rp 200 Rp 100,000
Rp 22,522 Rp 180,176 2 Rp 22,522 Rp 45,044
Rp 550 Rp 36,300 14 Rp 550 Rp 7,700
Rp 20,650 Rp 123,900 9 Rp 20,650 Rp 185,850
Rp 550 Rp - 160 Rp 550 Rp 88,000
Rp 1,100 Rp - 80 Rp 1,100 Rp 88,000
Rp 3,500 Rp - 51 Rp 3,500 Rp 178,500
Rp 525 Rp - 1800 Rp 525 Rp 945,000
Rp 1,155 Rp 20,790 1782 Rp 1,155 Rp 2,058,210
Rp 3,100 Rp - 10 Rp 3,100 Rp 31,000
Rp 200 Rp - 92 Rp 200 Rp 18,400
Rp 100 Rp - 193 Rp 100 Rp 19,300
Rp 700 Rp 42,000 31 Rp 700 Rp 21,700
Rp 6,000 Rp 12,000 6 Rp 6,000 Rp 36,000
Rp 52,848 Rp - 8 Rp 52,848 Rp 422,787
Rp 52,848 Rp - 6 Rp 52,848 Rp 317,090
Rp 52,848 Rp - 6 Rp 52,848 Rp 317,090
Rp 52,848 Rp - 12 Rp 52,848 Rp 634,181
Rp 42,040 Rp - 6 Rp 42,040 Rp 252,239
Rp 117,128 Rp - 20 Rp 117,128 Rp 2,342,560
Rp 1,659 Rp 31,521 268 Rp 1,659 Rp 444,612
Rp 100 Rp 600 1341 Rp 100 Rp 134,100
Rp 41,800 Rp - 48 Rp 41,800 Rp 2,006,400
Rp 1,680 Rp 42,000 54 Rp 1,680 Rp 90,720
Rp 5,450 Rp - 0 Rp 5,450 Rp -
Rp 450 Rp - 107 Rp 450 Rp 48,150
Rp 5,460 Rp - 1529 Rp 5,460 Rp 8,348,340
Rp 5,985 Rp - 223 Rp 5,985 Rp 1,334,655
Rp 12,350 Rp - 5 Rp 12,350 Rp 61,750
Rp 150 Rp 750 217 Rp 150 Rp 32,550
Rp 1,100 Rp - 120 Rp 1,100 Rp 132,000
Rp 100 Rp - 427 Rp 100 Rp 42,700
Rp 134,050 Rp - 20 Rp 134,050 Rp 2,681,000
Rp 134 Rp - 200 Rp 134 Rp 26,800
Rp 3,410 Rp 20,460 3 Rp 3,410 Rp 10,230
Rp 188 Rp 22,688 0 Rp 188 Rp -
Rp 28,035 Rp - 4 Rp 28,035 Rp 112,140
Rp 9,800 Rp - 45 Rp 9,800 Rp 441,000
Rp 285 Rp - 745 Rp 285 Rp 212,325
Rp 1,409 Rp 28,186 0 Rp 1,409 Rp -
Rp 5,700 Rp 11,400 43 Rp 5,700 Rp 245,100
Rp 175,000 Rp - 5 Rp 175,000 Rp 875,000
Rp 8,505 Rp - 165 Rp 8,505 Rp 1,403,325
Rp 976 Rp 14,640 130 Rp 976 Rp 126,880
Rp 7,893 Rp - 164 Rp 7,893 Rp 1,294,452
Rp 6,800 Rp 6,800 0 Rp 6,800 Rp -
Rp 455 Rp - 148 Rp 455 Rp 67,340
Rp 45,957 Rp - 2 Rp 45,957 Rp 91,914
Rp 45,957 Rp - 2 Rp 45,957 Rp 91,914
Rp 45,957 Rp - 2 Rp 45,957 Rp 91,914
Rp 45,957 Rp - 2 Rp 45,957 Rp 91,914
Rp 45,957 Rp - 2 Rp 45,957 Rp 91,914
Rp 45,957 Rp - 1 Rp 45,957 Rp 45,957
Rp 45,957 Rp - 2 Rp 45,957 Rp 91,914
Rp 34,980 Rp - 7 Rp 34,980 Rp 244,860
Rp 1,890 Rp - 150 Rp 1,890 Rp 283,500
Rp 134,400 Rp - 45 Rp 134,400 Rp 6,048,000
Rp 35,610 Rp - 100 Rp 35,610 Rp 3,561,000
Rp 31,000 Rp - 21 Rp 31,000 Rp 651,000
Rp 34,000 Rp - 34 Rp 34,000 Rp 1,156,000
Rp 185,000 Rp - 1 Rp 185,000 Rp 185,000
Rp 3,582 Rp - 28 Rp 3,582 Rp 100,296
Rp 660 Rp - 85 Rp 660 Rp 56,100
Rp 3,220 Rp - 33 Rp 3,220 Rp 106,260
Rp 23,925 Rp 119,625 0 Rp 23 Rp -
Rp 3,500 Rp - 114 Rp 3,500 Rp 399,000
Rp 37,800 Rp - 190 Rp 37,800 Rp 7,182,000
Rp 10,080 Rp 10,080 24 Rp 10,080 Rp 241,920
Rp 10,080 Rp - 3 Rp 10,080 Rp 30,240
Rp 10,080 Rp 30,240 220 Rp 10,080 Rp 2,217,600
Rp 10,080 Rp - 236 Rp 10,080 Rp 2,378,880
Rp 10,080 Rp - 0 Rp 1,080 Rp -
Rp 10,080 Rp - 20 Rp 10,080 Rp 201,600
Rp 10,080 Rp - 29 Rp 10,080 Rp 292,320
Rp 45,990 Rp - 53 Rp 45,990 Rp 2,437,470
Rp 37,800 Rp - 43 Rp 37,800 Rp 1,625,400
Rp 15,642 Rp - 82 Rp 15,642 Rp 1,282,644
Rp 1,920 Rp 7,680 1 Rp 1,920 Rp 1,920
Rp 94 Rp 3,666 0 Rp 94 Rp -
Rp 303 Rp - 284 Rp 303 Rp 86,052
Rp 12,000 Rp - 120 Rp 12,000 Rp 1,440,000
Rp 5,500 Rp - 98 Rp 5,500 Rp 539,000
Rp 1,452 Rp - 100 Rp 1,452 Rp 145,200
Rp 1,452 Rp - 183 Rp 1,452 Rp 265,716
Rp 1,452 Rp - 103 Rp 1,452 Rp 149,556
Rp 1,452 Rp - 191 Rp 1,452 Rp 277,332
Rp 3,569 Rp - 195 Rp 3,569 Rp 695,955
Rp 2,660 Rp - 29 Rp 2,660 Rp 77,140
Rp 58 Rp 174 112 Rp 58 Rp 6,496
Rp 50,500 Rp - 7 Rp 50,500 Rp 353,500
Rp 230 Rp - 30 Rp 230 Rp 6,900
Rp 39,383 Rp - 1 Rp 39,383 Rp 39,383
Rp 30,000 Rp - 1 Rp 30,000 Rp 30,000
Rp 673,500 Rp - 2 Rp 673,500 Rp 1,347,000
Rp 550 Rp 4,400 155 Rp 550 Rp 85,250
Rp 29,150 Rp - 29 Rp 29,150 Rp 845,350
Rp 29,150 Rp - 160 Rp 29,150 Rp 4,664,000
Rp 29,150 Rp - 230 Rp 29,150 Rp 6,704,500
Rp 29,150 Rp - 266 Rp 29,150 Rp 7,753,900
Rp 7,684 Rp - 27 Rp 7,684 Rp 207,468
Rp 7,684 Rp 7,684 559 Rp 7,684 Rp 4,295,356
Rp 7,684 Rp 38,420 396 Rp 7,684 Rp 3,042,864
Rp 7,684 Rp 69,156 357 Rp 7,684 Rp 2,743,188
Rp 5,800 Rp 58,000 0 Rp 5,800 Rp -
Rp 80,000 Rp - 2 Rp 80,000 Rp 160,000
Rp 8,500 Rp - 2 Rp 8,500 Rp 17,000
Rp 8,500 Rp - 5 Rp 8,500 Rp 42,500
Rp 986,160 Rp - 2 Rp 986,160 Rp 1,972,320
Rp 116 Rp - 3 Rp 116 Rp 348
Rp 153 Rp 3,060 361 Rp 153 Rp 55,233
Rp 3,674 Rp - 9 Rp 3,674 Rp 33,066
Rp 33,000 Rp - 20 Rp 33,000 Rp 660,000
Rp 55,800 Rp - 13 Rp 55,800 Rp 725,400
Rp 7,500 Rp - 10 Rp 7,500 Rp 75,000
Rp 285,000 Rp - 5 Rp 285,000 Rp 1,425,000
Rp 4,032 Rp 72,576 1857 Rp 4,032 Rp 7,487,424
Rp 4,410 Rp 74,970 362 Rp 4,410 Rp 1,596,420
Rp 60,500 Rp - 40 Rp 60,500 Rp 2,420,000
Rp 68 Rp - 3 Rp 68 Rp 204
Rp 166 Rp 1,162 0 Rp 166 Rp -
Rp 93 Rp - 20 Rp 93 Rp 1,860
Rp 100,000 Rp 100,000 27 Rp 100,000 Rp 2,700,000
Rp 65,000 Rp - 29 Rp 65,000 Rp 1,885,000
Rp 10,000 Rp - 50 Rp 10,000 Rp 500,000
Rp 15,300 Rp - 6 Rp 15,300 Rp 91,800
Rp 73 Rp - 260 Rp 73 Rp 18,980
Rp 40,000 Rp - 49 Rp 40,000 Rp 1,960,000
Rp 4,650 Rp - 96 Rp 4,650 Rp 446,400
Rp 13,750 Rp - 44 Rp 13,750 Rp 605,000
Rp 34,372 Rp 34,372 21 Rp 34,372 Rp 721,812
Rp 132,300 Rp - 51 Rp 132,300 Rp 6,747,300
Rp 825 Rp - 100 Rp 825 Rp 82,500
Rp 1,650 Rp - 218 Rp 1,650 Rp 359,700
Rp 2,310 Rp 9,240 119 Rp 2,310 Rp 274,890
Rp 6,380 Rp 82,940 576 Rp 6,380 Rp 3,674,880
Rp 3,000 Rp - 12 Rp 3,000 Rp 36,000
Rp 65,000 Rp - 41 Rp 65,000 Rp 2,665,000
Rp 300,000 Rp - 24 Rp 300,000 Rp 7,200,000
Rp 90,000 Rp - 25 Rp 90,000 Rp 2,250,000
Rp 90,000 Rp - 2 Rp 90,000 Rp 180,000
Rp 300,000 Rp - 29 Rp 300,000 Rp 8,700,000
Rp 62,500 Rp - 49 Rp 62,500 Rp 3,062,500
Rp 2,569 Rp 2,569 0 Rp 2,569 Rp -
Rp 310 Rp - 260 Rp 310 Rp 80,600
Rp 13,000 Rp - 17 Rp 13,000 Rp 221,000
Rp 2,539 Rp 81,248 1730 Rp 2,539 Rp 4,392,470
Rp 49,220 Rp 196,880 31 Rp 49,220 Rp 1,525,820
Rp 77,000 Rp - 90 Rp 77,000 Rp 6,930,000
Rp 3,000 Rp - 81 Rp 3,000 Rp 243,000
Rp 1,155 Rp - 0 Rp 1,155 Rp -
Rp 71 Rp - 200 Rp 71 Rp 14,200
Rp 5,500 Rp - 100 Rp 5,500 Rp 550,000
Rp 5,500 Rp - 100 Rp 5,500 Rp 550,000
Rp 5,500 Rp - 100 Rp 5,500 Rp 550,000
Rp 704 Rp - 92 Rp 704 Rp 64,768
Rp 473 Rp 75,680 429 Rp 473 Rp 202,917
Rp 85,000 Rp 170,000 78 Rp 85,000 Rp 6,630,000
Rp 26,400 Rp 52,800 0 Rp 26,400 Rp -
Rp 38,000 Rp - 0 Rp 38,000 Rp -
Rp 575 Rp 25,875 54 Rp 575 Rp 31,050
Rp 53,900 Rp - 50 Rp 53,900 Rp 2,695,000
Rp 2,800 Rp - 87 Rp 2,800 Rp 243,600
Rp 879 Rp 1,758 72 Rp 879 Rp 63,288
Rp 92 Rp - 1880 Rp 92 Rp 172,960
Rp 164 Rp - 502 Rp 164 Rp 82,328
Rp 47,150 Rp - 18 Rp 47,150 Rp 848,700
Rp 32,000 Rp - 35 Rp 32,000 Rp 1,120,000
Rp 30,624 Rp - 40 Rp 30,624 Rp 1,224,960
Rp 416 Rp 12,064 184 Rp 416 Rp 76,544
Rp 800 Rp 16,000 0 Rp 800 Rp -
Rp 900 Rp - 77 Rp 900 Rp 69,300
Rp 100 Rp - 129 Rp 100 Rp 12,900
Rp 115 Rp 1,145 153 Rp 115 Rp 17,519
Rp 9,350 Rp - 6 Rp 9,350 Rp 56,100
Rp 210 Rp - 140 Rp 210 Rp 29,400
Rp 375 Rp 20,625 895 Rp 375 Rp 335,625
Rp 37,500 Rp 187,500 0 Rp 37,500 Rp -
Rp 96 Rp - 4932 Rp 96 Rp 473,472
Rp 4,250 Rp 114,750 7 Rp -
Rp 113 Rp - 746 Rp 113 Rp 84,298
Rp 10,250 Rp 10,250 4 Rp 10,250 Rp 41,000
Rp 3,220 Rp - 32 Rp 3,220 Rp 103,040
Rp 5,000 Rp - 61 Rp 5,000 Rp 305,000
Rp 164 Rp - 2605 Rp 164 Rp 427,220
Rp 6,510 Rp - 98 Rp 6,510 Rp 637,980
Rp 6,330 Rp - 53 Rp 6,330 Rp 335,490
Rp 6,051 Rp - 52 Rp 6,051 Rp 314,652
Rp 22,000 Rp - 2 Rp 22,000 Rp 44,000
Rp 9,114 Rp - 50 Rp 9,114 Rp 455,700
Rp 650 Rp - 127 Rp 650 Rp 82,550
Rp 101,249 Rp - 0 Rp 101,249 Rp -
Rp 8,820 Rp - 50 Rp 8,820 Rp 441,000
Rp 15,620 Rp - 120 Rp 15,620 Rp 1,874,400
Rp 13,500 Rp 94,500 6 Rp 13,500 Rp 81,000
Rp 17,000 Rp - 105 Rp 17,000 Rp 1,785,000
Rp 4,935 Rp 503,370 2078 Rp 4,935 Rp 10,254,930
Rp 1,604 Rp - 216 Rp 1,604 Rp 346,464
Rp 1,604 Rp - 171 Rp 1,604 Rp 274,284
Rp 638 Rp 9,570 60 Rp 638 Rp 38,280
Rp 185 Rp 3,700 4077 Rp 185 Rp 754,245
Rp 24,500 Rp - 43 Rp 24,500 Rp 1,053,500
Rp 7,150 Rp - 5 Rp 7,150 Rp 35,750
Rp 9,700 Rp - 150 Rp 9,700 Rp 1,455,000
Rp 15,200 Rp - 3 Rp 15,200 Rp 45,600
Rp 15,200 Rp - 4 Rp 15,200 Rp 60,800
Rp 15,200 Rp 30,400 5 Rp 15,200 Rp 76,000
Rp 15,200 Rp - 5 Rp 15,200 Rp 76,000
Rp 13,050 Rp - 2 Rp 13,050 Rp 26,100
Rp 110 Rp - 610 Rp 110 Rp 67,100
Rp 10,937 Rp 218,740 22 Rp 10,937 Rp 240,614
Rp 150 Rp - 60 Rp 150 Rp 9,000
Rp 448 Rp 9,406 14091 Rp 448 Rp 6,311,359
Rp 1,125 Rp 70,856 21605 Rp 1,125 Rp 24,299,187
Rp 750,000 Rp 1,500,000 1 Rp 750,000 Rp 750,000
Rp 420 Rp - 490 Rp 420 Rp 205,800
Rp 680 Rp 11,560 1078 Rp 680 Rp 733,040
Rp 300 Rp - 157 Rp 300 Rp 47,100
Rp 600 Rp 33,000 19 Rp 600 Rp 11,400
Rp 4,300 Rp - 290 Rp 4,300 Rp 1,247,000
Rp 10,500 Rp - 2 Rp 10,500 Rp 21,000
Rp 216 Rp 10,800 0 Rp 216 Rp -
Rp 6,000 Rp 138,000 12 Rp 6,000 Rp 72,000
Rp 759 Rp - 32 Rp 759 Rp 24,288
Rp 1,261 Rp 12,610 10 Rp 1,261 Rp 12,610
Rp 51,300 Rp - 28 Rp 51,300 Rp 1,436,400
Rp 50,000 Rp 150,000 0 Rp 50,000 Rp -
Rp 3,500 Rp - 0 Rp 3,500 Rp -
Rp 5,460 Rp - 140 Rp 5,460 Rp 764,400
Rp 1,496 Rp 1,496 157 Rp 1,496 Rp 234,872
Rp 300 Rp 45,000 50 Rp 300 Rp 15,000
Rp 60,500 Rp - 1 Rp 60,500 Rp 60,500
Rp 24,500 Rp - 15 Rp 24,500 Rp 367,500
Rp 3,850 Rp - 130 Rp 3,850 Rp 500,500
Rp 140 Rp - 200 Rp 140 Rp 28,000
Rp 7,850 Rp - 169 Rp 7,850 Rp 1,326,650
Rp 21,850 Rp - 152 Rp 21,850 Rp 3,321,200
Rp 1,000 Rp - 39 Rp 1,000 Rp 39,000
Rp 131 Rp - 300 Rp 131 Rp 39,300
Rp 37,800 Rp - 60 Rp 37,800 Rp 2,268,000
Rp 38,594 Rp - 81 Rp 38,594 Rp 3,126,114
Rp 6,298 Rp - 100 Rp 6,298 Rp 629,800
Rp 96,260 Rp - 2 Rp 96,260 Rp 192,520
Rp 105,163 Rp - 3 Rp 105,163 Rp 315,489
Rp 2,530 Rp - 500 Rp 2,530 Rp 1,265,000
Rp - Rp - 1010 Rp 103 Rp 104,030
Rp 1,311,095 Rp - 1 Rp 1,311,095 Rp 1,311,095
Rp 12,150 Rp - 5 Rp 12,150 Rp 60,750
Rp 79 Rp - 390 Rp 79 Rp 30,810
Rp 110 Rp - 500 Rp 110 Rp 55,000
Rp 335 Rp 7,035 0 Rp 335 Rp -
Rp 8,900 Rp - 14 Rp 8,900 Rp 124,600
Rp 8,728 Rp - 45 Rp 8,728 Rp 392,760
Rp 308 Rp - 62 Rp 308 Rp 19,096
Rp 6,510 Rp - 100 Rp 6,510 Rp 651,000
Rp 2,400 Rp 43,200 9 Rp 2,400 Rp 21,600
Rp 126 Rp 8,568 0 Rp 126 Rp -
Rp 500 Rp - 20 Rp 500 Rp 10,000
Rp 640 Rp - 20 Rp 640 Rp 12,800
Rp 829 Rp - 1088 Rp 829 Rp 901,952
Rp 2,500 Rp 17,500 17 Rp 2,500 Rp 42,500
Rp 5,460 Rp 382,200 5413 Rp 5,460 Rp 29,554,980
Rp 12,500 Rp - 22 Rp 12,500 Rp 275,000
Rp 3,213 Rp - 49 Rp 3,213 Rp 157,437
Rp 245,000 Rp - 1 Rp 245,000 Rp 245,000
Rp 99,550 Rp - 10 Rp 99,550 Rp 995,500
Rp 75,604 Rp - 0 Rp 75,604 Rp -
Rp 89,296 Rp - 25 Rp 89,296 Rp 2,232,400
Rp 91,050 Rp - 22 Rp 91,050 Rp 2,003,100
Rp 62 Rp 992 121 Rp 62 Rp 7,502
Rp 89 Rp 3,115 882 Rp 89 Rp 78,498
Rp 4,988 Rp 4,988 292 Rp 4,988 Rp 1,456,496
Rp 17,500 Rp - 167 Rp 17,500 Rp 2,922,500
Rp 12,000 Rp - 16 Rp 12,000 Rp 192,000
Rp 19,600 Rp - 53 Rp 19,600 Rp 1,038,800
Rp 11,800 Rp 94,400 151 Rp 11,800 Rp 1,781,800
Rp 15,000 Rp - 8 Rp 15,000 Rp 120,000
Rp 6,050 Rp 6,050 93 Rp 6,050 Rp 562,650
Rp 105,871 Rp - 2 Rp 105,871 Rp 211,742
Rp 55,000 Rp - 20 Rp 55,000 Rp 1,100,000
Rp 55,000 Rp - 13 Rp 55,000 Rp 715,000
Rp 12,000 Rp - 90 Rp 12,000 Rp 1,080,000
Rp 4,000 Rp - 21 Rp 4,000 Rp 84,000
Rp 23,864 Rp - 2 Rp 23,864 Rp 47,728
Rp 25,567 Rp - 0 Rp 25,567 Rp -
Rp 25,567 Rp - 100 Rp 25,567 Rp 2,556,700
Rp 23,864 Rp - 86 Rp 23,864 Rp 2,052,304
Rp 99,550 Rp - 12 Rp 99,550 Rp 1,194,600
Rp 252 Rp - 850 Rp 252 Rp 214,200
Rp 2,053 Rp 20,530 0 Rp 2,053 Rp -
Rp 600 Rp - 628 Rp 600 Rp 376,800
Rp 44,000 Rp - 180 Rp 44,000 Rp 7,920,000
Rp 47,516 Rp - 100 Rp 47,516 Rp 4,751,600
Rp 55,902 Rp - 102 Rp 55,902 Rp 5,702,004
Rp 320 Rp 6,400 22 Rp 320 Rp 7,040
Rp 819 Rp 819 40 Rp 819 Rp 32,760
Rp 1,166 Rp 2,332 172 Rp 1,166 Rp 200,552
Rp 1,890 Rp - 95 Rp 1,890 Rp 179,550
Rp 819 Rp 156,429 18513 Rp 819 Rp 15,162,147
Rp 945 Rp 99,225 9203 Rp 945 Rp 8,696,835
Rp 15,500 Rp 46,500 39 Rp 15,500 Rp 604,500
Rp 4,284 Rp - 95 Rp 4,284 Rp 406,980
Rp 619,999 Rp - 1 Rp 619,999 Rp 619,999
Rp 43,750 Rp - 47 Rp 43,750 Rp 2,056,250
Rp 15,000 3 Rp 15,000 Rp 45,000
Rp 3,500 Rp 3,500 20 Rp 3,500 Rp 70,000
Rp 117,600 Rp - 11 Rp 117,600 Rp 1,293,600
Rp 13,050 Rp - 10 Rp 13,050 Rp 130,500
Rp 20,000 Rp - 82 Rp 20,000 Rp 1,640,000
Rp 45,089 Rp - 21 Rp 45,089 Rp 946,869
Rp 44,770 Rp - 5 Rp 44,770 Rp 223,850
Rp 312 Rp - 200 Rp 312 Rp 62,400
Rp 192,500 Rp - 20 Rp 192,500 Rp 3,850,000
Rp 193,050 Rp - 20 Rp 193,050 Rp 3,861,000
Rp 193,049 Rp - 20 Rp 193,049 Rp 3,860,980
Rp 202,400 Rp - 20 Rp 202,400 Rp 4,048,000
Rp 202,400 Rp - 20 Rp 202,400 Rp 4,048,000
Rp 2,457 Rp 4,914 112 Rp 2,457 Rp 275,184
Rp 550 Rp - 20 Rp 550 Rp 11,000
Rp 55,000 Rp - 78 Rp 55,000 Rp 4,290,000
Rp 511 Rp - 15 Rp 511 Rp 7,665
Rp 1,600 Rp - 150 Rp 1,600 Rp 240,000
Rp 1,600 Rp - 200 Rp 1,600 Rp 320,000
Rp 20,000 Rp - 47 Rp 20,000 Rp 940,000
Rp 431 Rp - 50 Rp 431 Rp 21,550
Rp 1,890 Rp - 5 Rp 1,890 Rp 9,450
Rp 6,300 Rp - 15 Rp 6,300 Rp 94,500
Rp 9,500 Rp - 10 Rp 9,500 Rp 95,000
Rp 4,536 Rp 9,072 126 Rp 4,536 Rp 571,536
Rp 4,100 Rp - 29 Rp 4,100 Rp 118,900
Rp 13,850 Rp 13,850 0 Rp 13,850 Rp -
Rp 440 Rp - 65 Rp 440 Rp 28,600
Rp 3,750 Rp 41,250 13 Rp 3,750 Rp 48,750
Rp 3,780 Rp 15,120 230 Rp 3,780 Rp 869,400
Rp 40,000 Rp - 8 Rp 40,000 Rp 320,000
Rp 45,000 Rp - 25 Rp 45,000 Rp 1,125,000
Rp 225,000 Rp - 8 Rp 225,000 Rp 1,800,000
Rp 475,000 Rp - 2 Rp 475,000 Rp 950,000
Rp 66,938 Rp - 2 Rp 66,938 Rp 133,876
Rp 6,930 Rp 207,900 345 Rp 6,930 Rp 2,390,850
Rp 87,500 Rp - 1 Rp 87,500 Rp 87,500
Rp 7,497 Rp - 69 Rp 7,497 Rp 517,293
Rp 1,300 Rp - 95 Rp 1,300 Rp 123,500
Rp 60 Rp - 147 Rp 60 Rp 8,820
Rp 110 Rp 2,200 1650 Rp 110 Rp 181,500
Rp 57 Rp - 719 Rp 57 Rp 40,983
Rp 150 Rp 6,000 76 Rp 150 Rp 11,400
Rp 159 Rp - 53 Rp 159 Rp 8,427
Rp 100 Rp - 95 Rp 100 Rp 9,500
Rp 770 Rp - 50 Rp 770 Rp 38,500
Rp 33,000 Rp - 200 Rp 33,000 Rp 6,600,000
Rp 8,085 Rp - 21 Rp 8,085 Rp 169,785
Rp 8,085 Rp - 185 Rp 8,085 Rp 1,495,725
Rp 497 Rp - 130 Rp 497 Rp 64,610
Rp 12,840 Rp - 35 Rp 12,840 Rp 449,400
Rp 7,770 Rp 7,770 114 Rp 7,770 Rp 885,780
Rp 893 Rp - 100 Rp 893 Rp 89,300
Rp 10,849,928 Rp 482,193,051
Perdagangan, 20 Juli 2016
PEMBUAT LAPORAN,
WILSON SAMOSIR, S.SI. APT, MM

NIP. 197007242009021001
LAPORAN PERSEDIAAN OBAT-OBATAN DAN BAHAN HABIS PAKAI (BHP) RSUD. PERDAGANGAN KAB. SIMALUNGUN

Saldo Awal 01 Juli 2016 Penerimaan Pengeluaran Saldo Akhir Per 10 Juli 2016
No Nama Barang
Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah
1 2 3 4 5=3x4 6 7 8=6x7 9 10 11= 9 x 10 12=(3+6)-9 13 14 = 12 x 13
1 Acyclovir tab 200 mg 230 Rp 239 Rp 54,970 0 Rp 239 Rp - 10 Rp 239 Rp 2,390 220 Rp 239 Rp 52,580
2 Acyclovir tab 400 mg 632 Rp 345 Rp 218,040 0 Rp 345 Rp - 0 Rp 345 Rp - 632 Rp 345 Rp 218,040
3 Allopurinol tab 100 mg 58 Rp 250 Rp 14,500 0 Rp - Rp - 0 Rp 250 Rp - 58 Rp 250 Rp 14,500
4 Allopurinol tab 300 mg 295 Rp 220 Rp 64,900 0 Rp 220 Rp - 0 Rp 220 Rp - 295 Rp 220 Rp 64,753
5 Alprazolam tab 0,5 mg 40 Rp 650 Rp 26,000 0 Rp - Rp - 28 Rp 650 Rp 18,200 12 Rp 650 Rp 7,800
6 Ambroxol sir 9 Rp 3,230 Rp 29,070 1 Rp 4,725 Rp 4,725 10 Rp 4,725 Rp 47,250 0 Rp 4,725 Rp -
7 Ambroxol tab 91 Rp 200 Rp 18,200 0 Rp 200 Rp - 36 Rp 200 Rp 7,200 55 Rp 200 Rp 11,000
8 Aminofilin tablet 150 mg 827 Rp 82 Rp 67,814 0 Rp 82 Rp - 0 Rp 82 Rp - 827 Rp 82 Rp 67,814
9 Aminofillin inj 107 Rp 4,010 Rp 429,070 0 Rp 4,010 Rp - 3 Rp 4,010 Rp 12,030 104 Rp 4,010 Rp 417,040
10 Aminofluid infus 11 Rp 64,990 Rp 714,890 0 Rp 64,990 Rp - 0 Rp 64,990 Rp - 11 Rp 64,990 Rp 714,890
11 Aminoleban infus 23 Rp 71,100 Rp 1,635,300 0 Rp 71,100 Rp - 5 Rp 71,100 Rp 355,500 18 Rp 71,100 Rp 1,279,800
12 Amlodipine tab 5 mg 10 Rp 500 Rp 5,000 0 Rp 500 Rp - 10 Rp 500 Rp 5,000 0 Rp 500 Rp -
13 Amlodipine tab 10 mg 46 Rp 3,850 Rp 177,100 0 Rp - Rp - 23 Rp 3,850 Rp 88,550 23 Rp 3,850 Rp 88,550
14 Amoksisillin 125 mg syr. Ker 213 Rp 2,500 Rp 532,500 0 Rp 2,500 Rp - 0 Rp 2,500 Rp - 213 Rp 2,500 Rp 532,500
15 Amoksisillin syr. Forte 250 mg 147 Rp 4,212 Rp 619,164 0 Rp 4,212 Rp - 0 Rp 4,212 Rp - 147 Rp 4,212 Rp 619,164
16 Amoksisillin 500 mg tab 21 Rp 270 Rp 5,670 0 Rp 270 Rp - 0 Rp 270 Rp - 21 Rp 270 Rp 5,670
17 Ampicillin inj 1 gr 249 Rp 5,355 Rp 1,333,395 0 Rp 5,355 Rp - 0 Rp 5,355 Rp - 249 Rp 5,355 Rp 1,333,395
18 Antasida DOEN tab 48 Rp 74 Rp 3,552 0 Rp 74 Rp - 0 Rp 74 Rp - 48 Rp 74 Rp 3,552
19 Antasida sirup 13 Rp 4,062 Rp 52,806 0 Rp 4,062 Rp - 10 Rp 4,062 Rp 40,620 3 Rp 4,062 Rp 12,186
20 Antihaemorrhoid sup 50 Rp 3,197 Rp 159,850 0 Rp 3,197 Rp - 0 Rp 3,197 Rp - 50 Rp 3,197 Rp 159,850
21 Apyalis drops 17 Rp 38,000 Rp 646,000 0 Rp 38,000 Rp - 0 Rp 38,000 Rp - 17 Rp 38,000 Rp 646,000
22 Apyalis syrup 8 Rp 31,000 Rp 248,000 0 Rp 31,000 Rp - 1 Rp 31,000 Rp 31,000 7 Rp 31,000 Rp 217,000
23 Aqua pro injeksi 25 ml ( Otsu) 1243 Rp 3,500 Rp 4,350,500 0 Rp 3,500 Rp - 47 Rp 3,500 Rp 164,500 1196 Rp 3,500 Rp 4,186,000
24 Aquagel steril jelly 82 gr 45 Rp 38,038 Rp 1,711,710 0 Rp 38,038 Rp - 0 Rp 38,038 Rp - 45 Rp 38,038 Rp 1,711,710
25 Arkavit C tab 115 Rp 550 Rp 63,250 0 Rp 550 Rp - 0 Rp 550 Rp - 115 Rp 550 Rp 63,250
26 Asam folat 5 mg tab 65 Rp 440 Rp 28,600 0 Rp 440 Rp - 10 Rp 440 Rp 4,400 55 Rp 440 Rp 24,200
27 Asam mefenamat 250 mg 1910 Rp 143 Rp 273,130 0 Rp 143 Rp - 40 Rp 143 Rp 5,720 1870 Rp 143 Rp 267,410
28 Asam mefenamat 500 mg 9 Rp 315 Rp 2,835 0 Rp 315 Rp - 0 Rp 315 Rp - 9 Rp 315 Rp 2,835
29 Asam tranexamat tab 195 Rp 1,500 Rp 292,500 0 Rp 1,500 Rp - 0 Rp 1,500 Rp - 195 Rp 1,500 Rp 292,500
30 Asam tranexamat inj 10 Rp 8,750 Rp 87,500 12 Rp 8,750 Rp 105,000 12 Rp 8,750 Rp 105,000 10 Rp 8,750 Rp 87,500
31 Asering infus 184 Rp 9,000 Rp 1,656,000 0 Rp 9,000 Rp - 10 Rp 9,000 Rp 90,000 174 Rp 9,000 Rp 1,566,000
32 Aspilet 44 Rp 750 Rp 33,000 0 Rp 750 Rp - 15 Rp 750 Rp 11,250 29 Rp 750 Rp 21,750
33 Azitromysin sirup kering 200 mg/5 ml 92 Rp 34,500 Rp 3,174,000 0 Rp 34,500 Rp - 0 Rp 34,500 Rp - 92 Rp 34,500 Rp 3,174,000
34 Azytromycin tab 500 mg 747 Rp 4,500 Rp 3,361,500 0 Rp 4,500 Rp - 35 Rp 4,500 Rp 157,500 712 Rp 4,500 Rp 3,204,000
35 Basitrasin 500 IU/g, Polimiksin 10.000 IU/g 25 Rp 2,641 Rp 66,025 0 Rp 2,641 Rp - 0 Rp 2,641 Rp - 25 Rp 2,641 Rp 66,025
36 Batugin sirup 2 Rp 21,500 Rp 43,000 0 Rp 21,500 Rp - 0 Rp 21,500 Rp - 2 Rp 21,500 Rp 43,000
37 Benocetam 1g inj 10 Rp 15,950 Rp 159,500 0 Rp 15,950 Rp - 0 Rp 15,950 Rp - 10 Rp 15,950 Rp 159,500
38 Benocetam 3g inj 10 Rp 49,500 Rp 495,000 0 Rp 49,500 Rp - 0 Rp 49,500 Rp - 10 Rp 49,500 Rp 495,000
39 Benodon inj 42 Rp 14,000 Rp 588,000 0 Rp 14,000 Rp - 0 Rp 14,000 Rp - 42 Rp 14,000 Rp 588,000
40 Benoson G krim 15 gr 6 Rp 25,000 Rp 150,000 0 Rp 25,000 Rp - 0 Rp 25,000 Rp - 6 Rp 25,000 Rp 150,000
41 Betahistin 6 mg tab 24 Rp 900 Rp 21,600 0 Rp 900 Rp - 10 Rp 900 Rp 9,000 14 Rp 900 Rp 12,600
42 Betametason cream 75 Rp 1,520 Rp 114,000 0 Rp 1,520 Rp - 1 Rp 1,520 Rp 1,520 74 Rp 1,520 Rp 112,480
43 Bicnat tab 601 Rp 22 Rp 13,222 0 Rp 22 Rp - 0 Rp 22 Rp - 601 Rp 22 Rp 13,222
44 Biolysin tab 55 Rp 550 Rp 30,250 0 Rp 550 Rp - 0 Rp 550 Rp - 55 Rp 550 Rp 30,250
45 Bioneuron inj 3 Rp 5,000 Rp 15,000 0 Rp 5,000 Rp - 3 Rp 5,000 Rp 15,000 0 Rp 5,000 Rp -
46 Bioplacenton 63 Rp 13,500 Rp 850,500 0 Rp 13,500 Rp - 0 Rp 13,500 Rp - 63 Rp 13,500 Rp 850,500
47 Bisoprolol 5mg 993 Rp 363 Rp 360,459 0 Rp 363 Rp - 31 Rp 363 Rp 11,253 962 Rp 363 Rp 349,206
48 Bransolvan 150 mg 300 Rp 285 Rp 85,500 0 Rp 285 Rp - 80 Rp 285 Rp 22,800 220 Rp 285 Rp 62,700
49 Bromheksin sirup/bronchis 120 Rp 5,000 Rp 600,000 0 Rp 5,000 Rp - 11 Rp 5,000 Rp 55,000 109 Rp 5,000 Rp 545,000
50 Bromheksin tab/bronchis 100 Rp 150 Rp 15,000 0 Rp 150 Rp - 0 Rp 150 Rp - 100 Rp 150 Rp 15,000
51 Bupivacain inj 0,5 % + glukosa 8% 2 Rp 26,880 Rp 53,760 0 Rp 26,880 Rp - 0 Rp 26,880 Rp - 2 Rp 26,880 Rp 53,760
52 Burnazime cream 3 Rp 24,150 Rp 72,450 0 Rp 24,150 Rp - 0 Rp 24,150 Rp - 3 Rp 24,150 Rp 72,450
53 Buscopan inj 9 Rp 24,700 Rp 222,300 0 Rp 24,700 Rp - 0 Rp 24,700 Rp - 9 Rp 24,700 Rp 222,300
54 Buscopan tab 75 Rp 900 Rp 67,500 0 Rp 900 Rp - 0 Rp 900 Rp - 75 Rp 900 Rp 67,500
55 Calsium glukonas inj 5 Rp 18,750 Rp 93,750 0 Rp 18,750 Rp - 0 Rp 18,750 Rp - 5 Rp 18,750 Rp 93,750
56 Calsium Lactas 1350 Rp 73 Rp 98,550 0 Rp 73 Rp - 0 Rp 73 Rp - 1350 Rp 73 Rp 98,550
57 Captopril 12,5 mg 1729 Rp 62 Rp 107,198 0 Rp 62 Rp - 65 Rp 62 Rp 4,030 1664 Rp 62 Rp 103,168
58 Captopril 25 mg 80 Rp 300 Rp 24,000 0 Rp - Rp - 25 Rp 300 Rp 7,500 55 Rp 300 Rp 16,500
59 Catapres 0,15 mg/ml (Klonidin inj) 50 Rp 30,600 Rp 1,530,000 0 Rp 30,600 Rp - 0 Rp 30,600 Rp - 50 Rp 30,600 Rp 1,530,000
60 Cefadroksil 500 mg tab 165 Rp 850 Rp 140,250 0 Rp 850 Rp - 30 Rp 850 Rp 25,500 135 Rp 850 Rp 114,750
61 Cefadroksil syr 185 Rp 5,064 Rp 936,840 0 Rp 5,064 Rp - 0 Rp 5,064 Rp - 185 Rp 5,064 Rp 936,840
62 Cefixime 100 mg kapsul 30 Rp 869 Rp 26,070 30 Rp 869 Rp 26,070 60 Rp 869 Rp 52,140 0 Rp 869 Rp -
63 Cefixime sirup kering 100 mg/5ml 25 Rp 9,000 Rp 225,000 0 Rp 9,000 Rp - 4 Rp 9,000 Rp 36,000 21 Rp 9,000 Rp 189,000
64 Cetirizine tab 10 mg 77 Rp 400 Rp 30,800 0 Rp 400 Rp - 53 Rp 400 Rp 21,200 24 Rp 400 Rp 9,600
65 Cetirizine syrup 5 mg/5ml 109 Rp 8,399 Rp 915,491 0 Rp 8,399 Rp - 0 Rp 8,399 Rp - 109 Rp 8,399 Rp 915,491
66 Cefotaxime inj 1 gr 10 Rp 13,200 Rp 132,000 18 Rp 13,200 Rp 237,600 18 Rp 13,200 Rp 237,600 10 Rp 13,200 Rp 132,000
67 Ceftriaxone inj 1 gr 4 Rp 13,200 Rp 52,800 53 Rp 13,200 Rp 699,600 53 Rp 13,200 Rp 699,600 4 Rp 13,200 Rp 52,800
68 Chlorampenicol 1 % salep mata 78 Rp 1,600 Rp 124,800 0 Rp 1,600 Rp - 0 Rp 1,600 Rp - 78 Rp 1,600 Rp 124,800
69 Chlorampenicol inj 5 Rp 11,750 Rp 58,750 0 Rp 11,750 Rp - 0 Rp 11,750 Rp - 5 Rp 11,750 Rp 58,750
70 Cimetidin tab 200 mg 500 Rp 200 Rp 100,000 0 Rp 200 Rp - 0 Rp 200 Rp - 500 Rp 200 Rp 100,000
71 Ciprofloksacin infus 2 % 2 Rp 22,522 Rp 45,044 8 Rp 22,522 Rp 180,176 8 Rp 22,522 Rp 180,176 2 Rp 22,522 Rp 45,044
72 Ciprofloxacin 500 mg 80 Rp 550 Rp 44,000 0 Rp 550 Rp - 66 Rp 550 Rp 36,300 14 Rp 550 Rp 7,700
73 Citicholin inj 125 mg/ml 15 Rp 20,650 Rp 309,750 0 Rp 20,650 Rp - 6 Rp 20,650 Rp 123,900 9 Rp 20,650 Rp 185,850
74 Clindamisyn tab 150 mg 160 Rp 550 Rp 88,000 0 Rp - Rp - 0 Rp 550 Rp - 160 Rp 550 Rp 88,000
75 Clindamysin 300 mg 80 Rp 1,100 Rp 88,000 0 Rp 1,100 Rp - 0 Rp 1,100 Rp - 80 Rp 1,100 Rp 88,000
76 Clopidogrel tab 75 mg 51 Rp 3,500 Rp 178,500 0 Rp 3,500 Rp - 0 Rp 3,500 Rp - 51 Rp 3,500 Rp 178,500
77 Codein tablet 10 mg 1800 Rp 525 Rp 945,000 0 Rp 525 Rp - 0 Rp 525 Rp - 1800 Rp 525 Rp 945,000
78 Codein tablet 20 mg 1800 Rp 1,155 Rp 2,079,000 0 Rp 1,155 Rp - 18 Rp 1,155 Rp 20,790 1782 Rp 1,155 Rp 2,058,210
79 Cotrimoksazol suspensi 10 Rp 3,100 Rp 31,000 0 Rp - Rp - 0 Rp 3,100 Rp - 10 Rp 3,100 Rp 31,000
80 Cotrimoksazol/Bimactrim tab 92 Rp 200 Rp 18,400 0 Rp 200 Rp - 0 Rp 200 Rp - 92 Rp 200 Rp 18,400
81 CTM tab 193 Rp 100 Rp 19,300 0 Rp 100 Rp - 0 Rp 100 Rp - 193 Rp 100 Rp 19,300
82 Curcuma tablet 91 Rp 700 Rp 63,700 0 Rp 700 Rp - 60 Rp 700 Rp 42,000 31 Rp 700 Rp 21,700
83 Curcuma sirup 8 Rp 6,000 Rp 48,000 0 Rp - 2 Rp 6,000 Rp 12,000 6 Rp 6,000 Rp 36,000
84 Deksametason 5 mg inj 287 Rp 1,659 Rp 476,133 0 Rp 1,659 Rp - 19 Rp 1,659 Rp 31,521 268 Rp 1,659 Rp 444,612
85 Deksamethason 0,5 mg 1347 Rp 100 Rp 134,700 0 Rp 100 Rp - 6 Rp 100 Rp 600 1341 Rp 100 Rp 134,100
86 Depakene sirup ( Valproat sirup) 48 Rp 41,800 Rp 2,006,400 0 Rp 41,800 Rp - 0 Rp 41,800 Rp - 48 Rp 41,800 Rp 2,006,400
87 Depakote tablet 250 mg (Valproat tab ) 79 Rp 1,680 Rp 132,720 0 Rp 1,680 Rp - 25 Rp 1,680 Rp 42,000 54 Rp 1,680 Rp 90,720
88 Depakote tablet SR 500 mg (Valproat tab ) 0 Rp - Rp - 0 Rp 5,450 Rp - 0 Rp 5,450 Rp - 0 Rp 5,450 Rp -
89 Dextral tab 107 Rp 450 Rp 48,150 0 Rp 450 Rp - 0 Rp 450 Rp - 107 Rp 450 Rp 48,150
90 Dextrose 5 % (Glukosa) unicp OGB 1529 Rp 5,460 Rp 8,348,340 0 Rp 5,460 Rp - 0 Rp 5,460 Rp - 1529 Rp 5,460 Rp 8,348,340
91 Dextrose 10 % (Glukosa)unicp OGB 223 Rp 5,985 Rp 1,334,655 0 Rp 5,985 Rp - 0 Rp 5,985 Rp - 223 Rp 5,985 Rp 1,334,655
92 Dextrose 40 % inf 25 ml 5 Rp 12,350 Rp 61,750 0 Rp - Rp - 0 Rp 12,350 Rp - 5 Rp 12,350 Rp 61,750
93 Diazepam 5 mg tab 222 Rp 150 Rp 33,300 0 Rp 150 Rp - 5 Rp 150 Rp 750 217 Rp 150 Rp 32,550
94 Difenhidramin inj 10 mg 120 Rp 1,100 Rp 132,000 0 Rp 1,100 Rp - 0 Rp 1,100 Rp - 120 Rp 1,100 Rp 132,000
95 Digoxin tab 0,25 mg 427 Rp 100 Rp 42,700 0 Rp 100 Rp - 0 Rp 100 Rp - 427 Rp 100 Rp 42,700
96 Diltiazem inj (Herbesser) 20 Rp 134,050 Rp 2,681,000 0 Rp 134,050 Rp - 0 Rp 134,050 Rp - 20 Rp 134,050 Rp 2,681,000
97 Diltiazem tab 30 mg 200 Rp 134 Rp 26,800 0 Rp 134 Rp - 0 Rp 134 Rp - 200 Rp 134 Rp 26,800
98 Domperidon sirup/suspensi/5 mg/5 ml 9 Rp 3,410 Rp 30,690 0 Rp 3,410 Rp - 6 Rp 3,410 Rp 20,460 3 Rp 3,410 Rp 10,230
99 Donperidon tab 111 Rp 170 Rp 18,870 10 Rp 188 Rp 1,875 121 Rp 188 Rp 22,688 0 Rp 188 Rp -
100 Dobutamin inj 4 Rp 28,035 Rp 112,140 0 Rp 28,035 Rp - 0 Rp 28,035 Rp - 4 Rp 28,035 Rp 112,140
101 Dopamin Giullini inj 45 Rp 9,800 Rp 441,000 0 Rp 9,800 Rp - 0 Rp 9,800 Rp - 45 Rp 9,800 Rp 441,000
102 Doxycyclin kap 100 mg 745 Rp 285 Rp 212,325 0 Rp 285 Rp - 0 Rp 285 Rp - 745 Rp 285 Rp 212,325
103 Dulcolax tablet 0 Rp 1,409 Rp - 20 Rp 1,409 Rp 28,186 20 Rp 1,409 Rp 28,186 0 Rp 1,409 Rp -
104 Engerix-B (Hepatitis B) 5 Rp 175,000 Rp 875,000 0 Rp 175,000 Rp - 0 Rp 175,000 Rp - 5 Rp 175,000 Rp 875,000
105 Epineprin 0,1 % inj 165 Rp 8,505 Rp 1,403,325 0 Rp 8,505 Rp - 0 Rp 8,505 Rp - 165 Rp 8,505 Rp 1,403,325
106 Eritromisin kapsul 500 mg 145 Rp 976 Rp 141,520 0 Rp 976 Rp - 15 Rp 976 Rp 14,640 130 Rp 976 Rp 126,880
107 Eritromisin sirup kering 200 mg/5ml 164 Rp 7,893 Rp 1,294,452 0 Rp 7,893 Rp - 0 Rp 7,893 Rp - 164 Rp 7,893 Rp 1,294,452
108 Erlamycetin salep mata 0 Rp 6,800 Rp - 1 Rp 6,800 Rp 6,800 1 Rp 6,800 Rp 6,800 0 Rp 6,800 Rp -
109 Ethambutol 500 mg tab 148 Rp 455 Rp 67,340 0 Rp 455 Rp - 0 Rp 455 Rp - 148 Rp 455 Rp 67,340
110 Farsorbid inj 10 ml(Isosorbid dinitrat) 7 Rp 34,980 Rp 244,860 0 Rp 34,980 Rp - 0 Rp 34,980 Rp - 7 Rp 34,980 Rp 244,860
111 Fenobarbital 50 mg/ml 150 Rp 1,890 Rp 283,500 0 Rp 1,890 Rp - 0 Rp 1,890 Rp - 150 Rp 1,890 Rp 283,500
112 Fentanyl inj 0,05 mg/ml @ 10 ml 45 Rp 134,400 Rp 6,048,000 0 Rp 134,400 Rp - 0 Rp 134,400 Rp - 45 Rp 134,400 Rp 6,048,000
113 Fentanyl inj 0,05 mg/ml @ 2 ml 100 Rp 35,610 Rp 3,561,000 0 Rp 35,610 Rp - 0 Rp 35,610 Rp - 100 Rp 35,610 Rp 3,561,000
114 Ferriz drop 21 Rp 31,000 Rp 651,000 0 Rp 31,000 Rp - 0 Rp 31,000 Rp - 21 Rp 31,000 Rp 651,000
115 Ferriz syrup 34 Rp 34,000 Rp 1,156,000 0 Rp 34,000 Rp - 0 Rp 34,000 Rp - 34 Rp 34,000 Rp 1,156,000
116 Fimahes 1 Rp 185,000 Rp 185,000 0 Rp 185,000 Rp - 0 Rp 185,000 Rp - 1 Rp 185,000 Rp 185,000
117 Fitomenadion (Vit K1) inj 2 mg/ml 28 Rp 3,582 Rp 100,296 0 Rp 3,582 Rp - 0 Rp 3,582 Rp - 28 Rp 3,582 Rp 100,296
118 Fitomenadion (Vit K1) tab 10mg 85 Rp 660 Rp 56,100 0 Rp 660 Rp - 0 Rp 660 Rp - 85 Rp 660 Rp 56,100
119 Flagyl sup 500 mg (Metronidazole) 33 Rp 3,220 Rp 106,260 0 Rp 3,220 Rp - 0 Rp 3,220 Rp - 33 Rp 3,220 Rp 106,260
120 Flixotide Nebulez 0 Rp 26,950 Rp - 5 Rp 23,925 Rp 119,625 5 Rp 23,925 Rp 119,625 0 Rp 23 Rp -
121 Flunarizin 114 Rp 3,500 Rp 399,000 0 Rp 3,500 Rp - 0 Rp 3,500 Rp - 114 Rp 3,500 Rp 399,000
122 Fresofol 1% (Propofol inj) 82 Rp 15,642 Rp 1,282,644 0 Rp 15,642 Rp - 0 Rp 15,642 Rp - 82 Rp 15,642 Rp 1,282,644
123 Furosemide 10 mg/ml inj 1 Rp 1,920 Rp 1,920 4 Rp 1,920 Rp 7,680 4 Rp 1,920 Rp 7,680 1 Rp 1,920 Rp 1,920
124 Furosemide tablet 40 mg 0 Rp 94 Rp - 39 Rp 94 Rp 3,666 39 Rp 94 Rp 3,666 0 Rp 94 Rp -
125 Garam Oralit 200 mg 284 Rp 303 Rp 86,052 0 Rp 303 Rp - 0 Rp 303 Rp - 284 Rp 303 Rp 86,052
126 Gastrul tab 120 Rp 12,000 Rp 1,440,000 0 Rp 12,000 Rp - 0 Rp 12,000 Rp - 120 Rp 12,000 Rp 1,440,000
127 Gavistal drops 98 Rp 5,500 Rp 539,000 0 Rp 5,500 Rp - 0 Rp 5,500 Rp - 98 Rp 5,500 Rp 539,000
128 Gentamicyn injeksi 80 mg/ml 195 Rp 3,569 Rp 695,955 0 Rp 3,569 Rp - 0 Rp 3,569 Rp - 195 Rp 3,569 Rp 695,955
129 Gentamisin salep mata 0,3% (Genoint) 29 Rp 2,660 Rp 77,140 0 Rp 2,660 Rp - 0 Rp 2,660 Rp - 29 Rp 2,660 Rp 77,140
130 Glibenclamid tab 5 mg 115 Rp 58 Rp 6,670 0 Rp 58 Rp - 3 Rp 58 Rp 174 112 Rp 58 Rp 6,496
131 Glybotic (Amikasin) 500 mg inj. 7 Rp 50,500 Rp 353,500 0 Rp 50,500 Rp - 0 Rp 50,500 Rp - 7 Rp 50,500 Rp 353,500
132 Griseopulvin tab 125 mg 30 Rp 230 Rp 6,900 0 Rp 230 Rp - 0 Rp 230 Rp - 30 Rp 230 Rp 6,900
133 Halothan inhalasi 2 Rp 673,500 Rp 1,347,000 0 Rp 673,500 Rp - 0 Rp 673,500 Rp - 2 Rp 673,500 Rp 1,347,000
134 Harnal D (Tamsulosin tab 0,2 mg) 0 Rp - Rp - 10 Rp 5,800 Rp 58,000 10 Rp 5,800 Rp 58,000 0 Rp 5,800 Rp -
135 Hepatitis B 2 Rp 80,000 Rp 160,000 0 Rp 80,000 Rp - 0 Rp 80,000 Rp - 2 Rp 80,000 Rp 160,000
136 Hufamicetin sirup 2 Rp 8,500 Rp 17,000 0 Rp 8,500 Rp - 0 Rp 8,500 Rp - 2 Rp 8,500 Rp 17,000
137 Hufanasea syr 5 Rp 8,500 Rp 42,500 0 Rp 8,500 Rp - 0 Rp 8,500 Rp - 5 Rp 8,500 Rp 42,500
138 Ibuprofen tablet 200 mg 3 Rp 116 Rp 348 0 Rp 116 Rp - 0 Rp 116 Rp - 3 Rp 116 Rp 348
139 Ibuprofen tablet 400 mg 381 Rp 153 Rp 58,293 0 Rp 153 Rp - 20 Rp 153 Rp 3,060 361 Rp 153 Rp 55,233
140 Ibupropen suspensi 100 mg/5 ml 9 Rp 3,674 Rp 33,066 0 Rp 3,674 Rp - 0 Rp 3,674 Rp - 9 Rp 3,674 Rp 33,066
141 Illiadin spray 20 Rp 33,000 Rp 660,000 0 Rp 33,000 Rp - 0 Rp 33,000 Rp - 20 Rp 33,000 Rp 660,000
142 Imbost force syr 13 Rp 55,800 Rp 725,400 0 Rp 55,800 Rp - 0 Rp 55,800 Rp - 13 Rp 55,800 Rp 725,400
143 Immodium tablet 10 Rp 7,500 Rp 75,000 0 Rp - Rp - 0 Rp 7,500 Rp - 10 Rp 7,500 Rp 75,000
144 Imovax Polio Multidose 5 Rp 285,000 Rp 1,425,000 0 Rp 285,000 Rp - 0 Rp 285,000 Rp - 5 Rp 285,000 Rp 1,425,000
145 Intralipid (Lipid/emulsi lemak 20%) 40 Rp 60,500 Rp 2,420,000 0 Rp 60,500 Rp - 0 Rp 60,500 Rp - 40 Rp 60,500 Rp 2,420,000
146 Isoniazid tablet 100 mg 3 Rp 68 Rp 204 0 Rp 68 Rp - 0 Rp 68 Rp - 3 Rp 68 Rp 204
147 Isoniazid tablet 300 mg 0 Rp 166 Rp - 7 Rp 166 Rp 1,162 7 Rp 166 Rp 1,162 0 Rp 166 Rp -
148 Isosorbid dinitrat tab 5 mg 20 Rp 93 Rp 1,860 0 Rp 93 Rp - 0 Rp 93 Rp - 20 Rp 93 Rp 1,860
149 KAEN 3B infus 50 Rp 10,000 Rp 500,000 0 Rp 10,000 Rp - 0 Rp 10,000 Rp - 50 Rp 10,000 Rp 500,000
150 KAEN 4B infus 6 Rp 15,300 Rp 91,800 0 Rp 15,300 Rp - 0 Rp 15,300 Rp - 6 Rp 15,300 Rp 91,800
151 Kalsium Laktat tab 500 mg 260 Rp 73 Rp 18,980 0 Rp 73 Rp - 0 Rp 73 Rp - 260 Rp 73 Rp 18,980
152 Kandistatin drop 49 Rp 40,000 Rp 1,960,000 0 Rp 40,000 Rp - 0 Rp 40,000 Rp - 49 Rp 40,000 Rp 1,960,000
153 Kaolin- pectin/Kaotin 96 Rp 4,650 Rp 446,400 0 Rp 4,650 Rp - 0 Rp 4,650 Rp - 96 Rp 4,650 Rp 446,400
154 KCl 7, 46 otsu infus 12 Rp 3,000 Rp 36,000 0 Rp 3,000 Rp - 0 Rp 3,000 Rp - 12 Rp 3,000 Rp 36,000
155 Kenalog in ora base 41 Rp 65,000 Rp 2,665,000 0 Rp 65,000 Rp - 0 Rp 65,000 Rp - 41 Rp 65,000Rp 2,665,000
156 Ketamin Hameln (Ketamin inj) 49 Rp 62,500 Rp 3,062,500 0 Rp 62,500 Rp - 0 Rp 62,500 Rp - 49 Rp 62,500Rp 3,062,500
157 Ketokenazol 2 % cream 1 Rp 2,569 Rp 2,569 0 Rp 2,569 Rp - 1 Rp 2,569 Rp 2,569 0 Rp 2,569Rp -
158 Ketokenazol tablet 200 mg 260 Rp 310 Rp 80,600 0 Rp 310 Rp - 0 Rp 310 Rp - 260 Rp 310Rp 80,600
159 Ketopropen sup 17 Rp 13,000 Rp 221,000 0 Rp 13,000 Rp - 0 Rp 13,000 Rp - 17 Rp 13,000Rp 221,000
160 Ketorolac injeksi 30 mg 1762 Rp 2,539 Rp 4,473,718 0 Rp 2,539 Rp - 32 Rp 2,539 Rp 81,248 1730 Rp 2,539Rp 4,392,470
161 Kidmin infus 35 Rp 49,220 Rp 1,722,700 0 Rp 49,220 Rp - 4 Rp 49,220 Rp 196,880 31 Rp 49,220Rp 1,525,820
162 Klorpromazin inj i.m 25 mg 0 Rp - Rp - 0 Rp 1,155 Rp - 0 Rp 1,155 Rp - 0 Rp 1,155Rp -
163 Klorpromazin salut 25 mg 200 Rp 71 Rp 14,200 0 Rp 71 Rp - 0 Rp 71 Rp - 200 Rp 71Rp 14,200
164 Kuinin (Kina) tablet 200 mg 92 Rp 704 Rp 64,768 0 Rp 704 Rp - 0 Rp 704 Rp - 92 Rp 704Rp 64,768
165 Lansoprazol kapsul 30 mg 589 Rp 473 Rp 278,597 0 Rp 473 Rp - 160 Rp 473 Rp 75,680 429 Rp 473Rp 202,917
166 Lantus Solostar 100 iu/ml (insulin long act) 80 Rp 85,000 Rp 6,800,000 0 Rp 85,000 Rp - 2 Rp 85,000 Rp 170,000 78 Rp 85,000Rp 6,630,000
167 Lapibal inj 0 Rp - Rp 26,400 2 Rp 26,400 Rp 52,800 2 Rp 26,400 Rp 52,800 0 Rp 26,400Rp -
168 Lasal syrup 0 Rp - Rp - 0 Rp 38,000 Rp - 0 Rp 38,000 Rp - 0 Rp 38,000Rp -
169 Levofloksacin tab 500 mg 99 Rp 575 Rp 56,925 0 Rp 575 Rp - 45 Rp 575 Rp 25,875 54 Rp 575Rp 31,050
170 Levosol injeksi (Norepinefrin) 50 Rp 53,900 Rp 2,695,000 0 Rp 53,900 Rp - 0 Rp 53,900 Rp - 50 Rp 53,900Rp 2,695,000
171 Lexapram sirup (metoklopramid 5 mg/5ml 87 Rp 2,800 Rp 243,600 0 Rp 2,800 Rp - 0 Rp 2,800 Rp - 87 Rp 2,800Rp 243,600
172 Lidocain HCl injeksi 2% 74 Rp 879 Rp 65,046 0 Rp 879 Rp - 2 Rp 879 Rp 1,758 72 Rp 879Rp 63,288
173 Loperamid tablet 2 mg 1880 Rp 92 Rp 172,960 0 Rp 92 Rp - 0 Rp 92 Rp - 1880 Rp 92Rp 172,960
174 Loratadine tab 10 mg 502 Rp 164 Rp 82,328 0 Rp 164 Rp - 0 Rp 164 Rp - 502 Rp 164Rp 82,328
175 Marcain 0,5 % inj ( Bupivakain 0,5 %) 35 Rp 32,000 Rp 1,120,000 0 Rp 32,000 Rp - 0 Rp 32,000 Rp - 35 Rp 32,000Rp 1,120,000
176 Martos - 10 infus 40 Rp 30,624 Rp 1,224,960 0 Rp 30,624 Rp - 0 Rp 30,624 Rp - 40 Rp 30,624Rp 1,224,960
177 Masker 213 Rp 416 Rp 88,608 0 Rp 416 Rp - 23 Rp 416 Rp 9,568 190 Rp 416Rp 79,040
178 Mecobalamin 500 mcg kap 0 Rp - Rp - 20 Rp 800 Rp 16,000 20 Rp 800 Rp 16,000 0 Rp 800Rp -
179 Meloksikam 15 mg tab 77 Rp 900 Rp 69,300 0 Rp 900 Rp - 0 Rp 900 Rp - 77 Rp 900Rp 69,300
180 Metformin HCl tablet 500 mg 163 Rp 115 Rp 18,745 0 Rp 115 Rp - 10 Rp 115 Rp 1,145 153 Rp 115Rp 17,519
181 Methergin inj 6 Rp 9,350 Rp 56,100 0 Rp - Rp - 0 Rp 9,350 Rp - 6 Rp 9,350Rp 56,100
182 Metilprednisolon tablet 4 mg 140 Rp 210 Rp 29,400 0 Rp 210 Rp - 0 Rp 210 Rp - 140 Rp 210Rp 29,400
183 Metilprednisolon tablet 8 mg 950 Rp 375 Rp 356,250 0 Rp 375 Rp - 55 Rp 375 Rp 20,625 895 Rp 375Rp 335,625
184 Metilprednisolon inj 125 mg 0 Rp 37,500 Rp - 5 Rp 37,500 Rp 187,500 5 Rp 37,500 Rp 187,500 0 Rp 37,500Rp -
185 Metoklopramide tab 10 mg 4932 Rp 96 Rp 473,472 0 Rp 96 Rp - 0 Rp 96 Rp - 4932 Rp 96Rp 473,472
186 Metochlorpramide inj /sotatic 7 Rp 4,250 Rp 29,750 27 Rp 4,250 Rp 114,750 27 Rp 4,250 Rp 114,750 7 Rp -
187 Metronidazol tablet 250 mg 746 Rp 113 Rp 84,298 0 Rp 113 Rp - 0 Rp 113 Rp - 746 Rp 113 Rp 84,298
188 Metronidazole infus 500 mg 4 Rp 10,250 Rp 41,000 1 Rp 10,250 Rp 10,250 1 Rp 10,250 Rp 10,250 4 Rp 10,250 Rp 41,000
189 Metronidazole sup 32 Rp 3,220 Rp 103,040 0 Rp 3,220 Rp - 0 Rp 3,220 Rp - 32 Rp 3,220 Rp 103,040
190 Metronidazole syrup 61 Rp 5,000 Rp 305,000 0 Rp 5,000 Rp - 0 Rp 5,000 Rp - 61 Rp 5,000 Rp 305,000
191 Metronidazole tablet 500 mg 2605 Rp 164 Rp 427,220 0 Rp 164 Rp - 0 Rp 164 Rp - 2605 Rp 164 Rp 427,220
192 Meylon 8,4 % 25 ml 98 Rp 6,510 Rp 637,980 0 Rp 6,510 Rp - 0 Rp 6,510 Rp - 98 Rp 6,510 Rp 637,980
193 MgSO4 20 % 53 Rp 6,330 Rp 335,490 0 Rp 6,330 Rp - 0 Rp 6,330 Rp - 53 Rp 6,330 Rp 335,490
194 MgSO4 40 % 52 Rp 6,051 Rp 314,652 0 Rp 6,051 Rp - 0 Rp 6,051 Rp - 52 Rp 6,051 Rp 314,652
195 Microlax sup 2 Rp 22,000 Rp 44,000 0 Rp 22,000 Rp - 0 Rp 22,000 Rp - 2 Rp 22,000 Rp 44,000
196 Midazolam inj 5 mg/ml ( Miloz) 50 Rp 9,114 Rp 455,700 0 Rp 9,114 Rp - 0 Rp 9,114 Rp - 50 Rp 9,114 Rp 455,700
197 Molexflu 127 Rp 650 Rp 82,550 0 Rp 650 Rp - 0 Rp 650 Rp - 127 Rp 650 Rp 82,550
198 Morphin HCl inj 10 mg/1 ml 50 Rp 8,820 Rp 441,000 0 Rp 8,820 Rp - 0 Rp 8,820 Rp - 50 Rp 8,820 Rp 441,000
199 MST Continus tab 10 mg 120 Rp 15,620 Rp 1,874,400 0 Rp 15,620 Rp - 0 Rp 15,620 Rp - 120 Rp 15,620 Rp 1,874,400
200 NaCl 0,9 % 100 ml infus 13 Rp 13,500 Rp 175,500 0 Rp 13,500 Rp - 7 Rp 13,500 Rp 94,500 6 Rp 13,500 Rp 81,000
201 NaCl 3 % 500 ml infus 105 Rp 17,000 Rp 1,785,000 0 Rp 17,000 Rp - 0 Rp 17,000 Rp - 105 Rp 17,000 Rp 1,785,000
202 NaCl lar. Inf 0,9 % 500 ml 2180 Rp 4,935 Rp 10,758,300 0 Rp 4,935 Rp - 102 Rp 4,935 Rp 503,370 2078 Rp 4,935 Rp 10,254,930
203 Natrium Diklofenak tab 50 mg 4097 Rp 185 Rp 757,945 0 Rp 185 Rp - 20 Rp 185 Rp 3,700 4077 Rp 185 Rp 754,245
204 Nebacetin powder 43 Rp 24,500 Rp 1,053,500 0 Rp 24,500 Rp - 0 Rp 24,500 Rp - 43 Rp 24,500 Rp 1,053,500
205 Neo kaominal syr 5 Rp 7,150 Rp 35,750 0 Rp 7,150 Rp - 0 Rp 7,150 Rp - 5 Rp 7,150 Rp 35,750
206 Neostigmin Hameln inj 0,5 mg/ml 150 Rp 9,700 Rp 1,455,000 0 Rp 9,700 Rp - 0 Rp 9,700 Rp - 150 Rp 9,700 Rp 1,455,000
207 Nipedipin tablet 10 mg 610 Rp 110 Rp 67,100 0 Rp 110 Rp - 0 Rp 110 Rp - 610 Rp 110 Rp 67,100
208 Norages inj 22 Rp 10,937 Rp 240,614 20 Rp 10,937 Rp 218,740 20 Rp 10,937 Rp 218,740 22 Rp 10,937 Rp 240,614
209 Norit 60 Rp 150 Rp 9,000 0 Rp 150 Rp - 0 Rp 150 Rp - 60 Rp 150 Rp 9,000
210 Obat Antituberkulosis FDC Anak 14112 Rp 448 Rp 6,322,176 0 Rp 448 Rp - 21 Rp 448 Rp 9,406 14091 Rp 448 Rp 6,311,359
211 Obat Antituberkulosis FDC Kategori 1 21668 Rp 1,125 Rp 24,376,500 0 Rp 1,125 Rp - 63 Rp 1,125 Rp 70,856 21605 Rp 1,125 Rp 24,299,187
212 Octalbin infus 25 % 50 ml 3 Rp 750,000 Rp 2,250,000 0 Rp 750,000 Rp - 2 Rp 750,000 Rp 1,500,000 1 Rp 750,000 Rp 750,000
213 Ofloxacin tablet 200 mg 490 Rp 420 Rp 205,800 0 Rp 420 Rp - 0 Rp 420 Rp - 490 Rp 420 Rp 205,800
214 Ofloxacin tablet 400 mg 1095 Rp 680 Rp 744,600 0 Rp 680 Rp - 17 Rp 680 Rp 11,560 1078 Rp 680 Rp 733,040
215 Omecal D Tablet 157 Rp 300 Rp 47,100 0 Rp 300 Rp - 0 Rp 300 Rp - 157 Rp 300 Rp 47,100
216 Omegdiar tab/newdiatab 74 Rp 600 Rp 44,400 0 Rp 600 Rp - 55 Rp 600 Rp 33,000 19 Rp 600 Rp 11,400
217 Omegtamin tablet 290 Rp 4,300 Rp 1,247,000 0 Rp 4,300 Rp - 0 Rp 4,300 Rp - 290 Rp 4,300 Rp 1,247,000
218 Omegtrim syr 2 Rp 10,500 Rp 21,000 0 Rp 10,500 Rp - 0 Rp 10,500 Rp - 2 Rp 10,500 Rp 21,000
219 Omeprazole kapsul 20 mg 35 Rp 216 Rp 7,560 15 Rp 216 Rp 3,240 50 Rp 216 Rp 10,800 0 Rp 216 Rp -
220 Ondansentron inj 4 mg/2 ml 12 Rp 6,000 Rp 72,000 23 Rp 6,000 Rp 138,000 23 Rp 6,000 Rp 138,000 12 Rp 6,000 Rp 72,000
221 Ondansentron tab 4 mg 32 Rp 759 Rp 24,288 0 Rp 759 Rp - 0 Rp 759 Rp - 32 Rp 759 Rp 24,288
222 Ondansentron tab 8 mg 20 Rp 1,261 Rp 25,220 0 Rp 1,261 Rp - 10 Rp 1,261 Rp 12,610 10 Rp 1,261 Rp 12,610
223 Pantoprazol inj 0 Rp - Rp - 3 Rp 50,000 Rp 150,000 3 Rp 50,000 Rp 150,000 0 Rp 50,000 Rp -
224 Papaverin inj 0 Rp - Rp - 0 Rp 3,500 Rp - 0 Rp 3,500 Rp - 0 Rp 3,500 Rp -
225 Parasetamol drops 15 ml 140 Rp 5,460 Rp 764,400 0 Rp 5,460 Rp - 0 Rp 5,460 Rp - 140 Rp 5,460 Rp 764,400
226 Parasetamol sirup 120 mg/ 5 ml 158 Rp 1,496 Rp 236,368 0 Rp 1,496 Rp - 1 Rp 1,496 Rp 1,496 157 Rp 1,496 Rp 234,872
227 Parasetamol tab 500 mg 200 Rp 300 Rp 60,000 0 Rp 300 Rp - 150 Rp 300 Rp 45,000 50 Rp 300 Rp 15,000
228 Parasetamol infus drip 1 Rp 60,500 Rp 60,500 0 Rp 60,500 Rp - 0 Rp 60,500 Rp - 1 Rp 60,500 Rp 60,500
229 Pedialyte syr 15 Rp 24,500 Rp 367,500 0 Rp 24,500 Rp - 0 Rp 24,500 Rp - 15 Rp 24,500 Rp 367,500
230 Pehacain inj 130 Rp 3,850 Rp 500,500 0 Rp 3,850 Rp - 0 Rp 3,850 Rp - 130 Rp 3,850 Rp 500,500
231 Penytoin tab 100 mg 200 Rp 140 Rp 28,000 0 Rp 140 Rp - 0 Rp 140 Rp - 200 Rp 140 Rp 28,000
232 Piracetam 1g inj 169 Rp 7,850 Rp 1,326,650 0 Rp 7,850 Rp - 0 Rp 7,850 Rp - 169 Rp 7,850 Rp 1,326,650
233 Piracetam 3g inj 152 Rp 21,850 Rp 3,321,200 0 Rp 21,850 Rp - 0 Rp 21,850 Rp - 152 Rp 21,850 Rp 3,321,200
234 Piracetam tablet 800 mg 39 Rp 1,000 Rp 39,000 0 Rp - Rp - 0 Rp 1,000 Rp - 39 Rp 1,000 Rp 39,000
235 Piroksikam tab 20 mg 300 Rp 131 Rp 39,300 0 Rp - Rp - 0 Rp 131 Rp - 300 Rp 131 Rp 39,300
236 Plantacid forte syr 60 Rp 37,800 Rp 2,268,000 0 Rp 37,800 Rp - 0 Rp 37,800 Rp - 60 Rp 37,800 Rp 2,268,000
237 Povidone Iodida lar.10% 1000 ml 81 Rp 38,594 Rp 3,126,114 0 Rp 38,594 Rp - 0 Rp 38,594 Rp - 81 Rp 38,594 Rp 3,126,114
238 Povidone Iodida lar.10% 60 ml 100 Rp 6,298 Rp 629,800 0 Rp 6,298 Rp - 0 Rp 6,298 Rp - 100 Rp 6,298 Rp 629,800
239 Pravastatin 20 mg tab 500 Rp 2,530 Rp 1,265,000 0 Rp 2,530 Rp - 0 Rp 2,530 Rp - 500 Rp 2,530 Rp 1,265,000
240 Prednison tab 5 mg/eltazon 1010 Rp 103 Rp 104,030 0 Rp 103 Rp - 0 Rp - Rp - 1010 Rp 103 Rp 104,030
241 Primperan inj 5 Rp 12,150 Rp 60,750 0 Rp 12,150 Rp - 0 Rp 12,150 Rp - 5 Rp 12,150 Rp 60,750
242 Propanolol tablet 10 mg 390 Rp 79 Rp 30,810 0 Rp 79 Rp - 0 Rp 79 Rp - 390 Rp 79 Rp 30,810
243 Propanolol tablet 40 mg 500 Rp 110 Rp 55,000 0 Rp 110 Rp - 0 Rp 110 Rp - 500 Rp 110 Rp 55,000
244 Propilthiourasil tab 100 mg (PTU) 0 Rp - Rp - 21 Rp 335 Rp 7,035 21 Rp 335 Rp 7,035 0 Rp 335 Rp -
245 Pulmicort Respules/cairan inh 0,25 mg/ml 14 Rp 8,900 Rp 124,600 0 Rp 8,900 Rp - 0 Rp 8,900 Rp - 14 Rp 8,900 Rp 124,600
246 Pyrantel syr 125 mg 45 Rp 8,728 Rp 392,760 0 Rp 8,728 Rp - 0 Rp 8,728 Rp - 45 Rp 8,728 Rp 392,760
247 Pyrantel tab 125 mg 62 Rp 308 Rp 19,096 0 Rp 308 Rp - 0 Rp 308 Rp - 62 Rp 308 Rp 19,096
248 Quinine inj 25 % 100 Rp 6,510 Rp 651,000 0 Rp 6,510 Rp - 0 Rp 6,510 Rp - 100 Rp 6,510 Rp 651,000
249 Ranitidin injeksi 25 mg/2 ml 9 Rp 2,400 Rp 21,600 18 Rp 2,400 Rp 43,200 18 Rp 2,400 Rp 43,200 9 Rp 2,400 Rp 21,600
250 Ranitidin tablet 150 mg 50 Rp 126 Rp 6,300 18 Rp 126 Rp 2,268 68 Rp 126 Rp 8,568 0 Rp 126 Rp -
251 Resochin tab 20 Rp 500 Rp 10,000 0 Rp 500 Rp - 0 Rp 500 Rp - 20 Rp 500 Rp 10,000
252 Rifampicin tab 300 mg 20 Rp 640 Rp 12,800 0 Rp 640 Rp - 0 Rp 640 Rp - 20 Rp 640 Rp 12,800
253 Rifampicin tab 450 mg 1088 Rp 829 Rp 901,952 0 Rp 829 Rp - 0 Rp 829 Rp - 1088 Rp 829 Rp 901,952
254 Rifampicin tab 600 mg 24 Rp 2,500 Rp 60,000 0 Rp 2,500 Rp - 7 Rp 2,500 Rp 17,500 17 Rp 2,500 Rp 42,500
255 Ringer Laktat inf 5483 Rp 5,460 Rp 29,937,180 0 Rp 5,460 Rp - 70 Rp 5,460 Rp 382,200 5413 Rp 5,460 Rp 29,554,980
256 Ringer Solution inf 500 ml 22 Rp 12,500 Rp 275,000 0 Rp 12,500 Rp - 0 Rp 12,500 Rp - 22 Rp 12,500 Rp 275,000
257 Rivanol 300 cc 49 Rp 3,213 Rp 157,437 0 Rp 3,213 Rp - 0 Rp 3,213 Rp - 49 Rp 3,213 Rp 157,437
258 Rotarix (Rotavirus) 1 Rp 245,000 Rp 245,000 0 Rp 245,000 Rp - 0 Rp 245,000 Rp - 1 Rp 245,000 Rp 245,000
259 Salbutamol 2 mg tablet 121 Rp 62 Rp 7,502 16 Rp 62 Rp 992 16 Rp 62 Rp 992 121 Rp 62 Rp 7,502
260 Salbutamol 4 mg tablet 917 Rp 89 Rp 81,613 0 Rp 89 Rp - 35 Rp 89 Rp 3,115 882 Rp 89 Rp 78,498
261 Salbutamol sirup 293 Rp 4,988 Rp 1,461,484 0 Rp 4,988 Rp - 1 Rp 4,988 Rp 4,988 292 Rp 4,988 Rp 1,456,496
262 Scopamin injeksi 16 Rp 12,000 Rp 192,000 0 Rp - Rp - 0 Rp 12,000 Rp - 16 Rp 12,000 Rp 192,000
263 Seretide Diskus 100 mcg (salmeterol 50 mcg0 2 Rp 105,871 Rp 211,742 0 Rp 105,871 Rp - 0 Rp 105,871 Rp - 2 Rp 105,871 Rp 211,742
264 Sidiadryl inj 90 Rp 12,000 Rp 1,080,000 0 Rp 12,000 Rp - 0 Rp 12,000 Rp - 90 Rp 12,000 Rp 1,080,000
265 Simvastatin tab 20 mg 850 Rp 252 Rp 214,200 0 Rp 252 Rp - 0 Rp 252 Rp - 850 Rp 252 Rp 214,200
266 Sistenol tab 10 Rp 2,053 Rp 20,530 0 Rp 2,053 Rp - 10 Rp 2,053 Rp 20,530 0 Rp 2,053 Rp -
267 Spasminal tab 628 Rp 600 Rp 376,800 0 Rp 600 Rp - 0 Rp 600 Rp - 628 Rp 600 Rp 376,800
268 Spironolacton 25 mg tab 42 Rp 320 Rp 13,440 0 Rp 320 Rp - 20 Rp 320 Rp 6,400 22 Rp 320 Rp 7,040
269 Stesolid sup 5 mg 47 Rp 43,750 Rp 2,056,250 0 Rp 43,750 Rp - 0 Rp 43,750 Rp - 47 Rp 43,750 Rp 2,056,250
270 Stesolid inj 3 Rp 15,000 Rp 45,000 0 Rp 15,000 0 Rp 15,000 3 Rp 15,000 Rp 45,000
271 Sulfas Atropin inj 21 Rp 3,500 Rp 73,500 0 Rp 3,500 Rp - 1 Rp 3,500 Rp 3,500 20 Rp 3,500 Rp 70,000
272 Symbicort Turbuhaler 160/4,5mcg 11 Rp 117,600 Rp 1,293,600 0 Rp 117,600 Rp - 0 Rp 117,600 Rp - 11 Rp 117,600 Rp 1,293,600
273 Syntocinon inj 10 Rp 13,050 Rp 130,500 0 Rp - Rp - 0 Rp 13,050 Rp - 10 Rp 13,050 Rp 130,500
274 T.T (Tetanus Toxoid) 82 Rp 20,000 Rp 1,640,000 0 Rp 20,000 Rp - 0 Rp 20,000 Rp - 82 Rp 20,000 Rp 1,640,000
275 Tarivid tetes mata 21 Rp 45,089 Rp 946,869 0 Rp 45,089 Rp - 0 Rp 45,089 Rp - 21 Rp 45,089 Rp 946,869
276 Tegretol syr 100 mg/5 ml(Karbamazepin) 5 Rp 44,770 Rp 223,850 0 Rp 44,770 Rp - 0 Rp 44,770 Rp - 5 Rp 44,770 Rp 223,850
277 Tetrasiklin kap 500 mg 200 Rp 312 Rp 62,400 0 Rp 312 Rp - 0 Rp 312 Rp - 200 Rp 312 Rp 62,400
278 Thrombo Aspilet 20 Rp 550 Rp 11,000 0 Rp - Rp - 0 Rp 550 Rp - 20 Rp 550 Rp 11,000
279 Thrombophob gel 20 gr 78 Rp 55,000 Rp 4,290,000 0 Rp 55,000 Rp - 0 Rp 55,000 Rp - 78 Rp 55,000 Rp 4,290,000
280 Tiamfenikol kapsul 500 mg 15 Rp 511 Rp 7,665 0 Rp 511 Rp - 0 Rp 511 Rp - 15 Rp 511 Rp 7,665
281 Tracrium inj 25 mg/2,5 ml 47 Rp 20,000 Rp 940,000 0 Rp 20,000 Rp - 0 Rp 20,000 Rp - 47 Rp 20,000 Rp 940,000
282 Tramadol kapsul 50 mg 50 Rp 431 Rp 21,550 0 Rp - Rp - 0 Rp 431 Rp - 50 Rp 431 Rp 21,550
283 Tramadol inj 5 Rp 1,890 Rp 9,450 0 Rp 1,890 Rp - 0 Rp 1,890 Rp - 5 Rp 1,890 Rp 9,450
284 Transamin inj 250 mg 15 Rp 6,300 Rp 94,500 0 Rp - Rp - 0 Rp 6,300 Rp - 15 Rp 6,300 Rp 94,500
285 Transamin inj 500 mg 10 Rp 9,500 Rp 95,000 0 Rp - Rp - 0 Rp 9,500 Rp - 10 Rp 9,500 Rp 95,000
286 Ulsafate suspensi (Sulkralfat sus 500mg) 0 Rp - Rp - 1 Rp 13,850 Rp 13,850 1 Rp 13,850 Rp 13,850 0 Rp 13,850 Rp -
287 Ulsidex tab (Sukralfat tab) 65 Rp 440 Rp 28,600 0 Rp 440 Rp - 0 Rp 440 Rp - 65 Rp 440 Rp 28,600
288 Vaksin BCG 8 Rp 40,000 Rp 320,000 0 Rp 40,000 Rp - 0 Rp 40,000 Rp - 8 Rp 40,000 Rp 320,000
289 Vaksin Campak 25 Rp 45,000 Rp 1,125,000 0 Rp 45,000 Rp - 0 Rp 45,000 Rp - 25 Rp 45,000 Rp 1,125,000
290 Vaksin DPT/Hb/Hib (pentabio) 8 Rp 225,000 Rp 1,800,000 0 Rp 225,000 Rp - 0 Rp 225,000 Rp - 8 Rp 225,000 Rp 1,800,000
291 Vaksin infarix (HIB-A) 2 Rp 475,000 Rp 950,000 0 Rp 475,000 Rp - 0 Rp 475,000 Rp - 2 Rp 475,000 Rp 950,000
292 Ventolin Inhaler (Salbutamol inh) 2 Rp 66,938 Rp 133,876 0 Rp 66,938 Rp - 0 Rp 66,938 Rp - 2 Rp 66,938 Rp 133,876
293 Ventolin Nebules (Salbutamol Cairan ih 0,1 %) 375 Rp 6,930 Rp 2,598,750 0 Rp 6,930 Rp - 30 Rp 6,930 Rp 207,900 345 Rp 6,930 Rp 2,390,850
294 Vermox tablet 500 mg (Mebendazol) 69 Rp 7,497 Rp 517,293 0 Rp 7,497 Rp - 0 Rp 7,497 Rp - 69 Rp 7,497 Rp 517,293
295 Vit B 12 inj 95 Rp 1,300 Rp 123,500 0 Rp 1,300 Rp - 0 Rp 1,300 Rp - 95 Rp 1,300 Rp 123,500
296 Vit. B1 tab 147 Rp 60 Rp 8,820 0 Rp 60 Rp - 0 Rp 60 Rp - 147 Rp 60 Rp 8,820
297 Vitamin B kompleks 1670 Rp 110 Rp 183,700 0 Rp 110 Rp - 20 Rp 110 Rp 2,200 1650 Rp 110 Rp 181,500
298 Vitamin B12 719 Rp 57 Rp 40,983 0 Rp 57 Rp - 0 Rp 57 Rp - 719 Rp 57 Rp 40,983
299 Vitamin B6 tab 116 Rp 150 Rp 17,400 0 Rp 150 Rp - 40 Rp 150 Rp 6,000 76 Rp 150 Rp 11,400
300 Vitamin C tab 250 mg 53 Rp 159 Rp 8,427 0 Rp 159 Rp - 0 Rp 159 Rp - 53 Rp 159 Rp 8,427
301 Vitamin C tab 50 mg 95 Rp 100 Rp 9,500 0 Rp 100 Rp - 0 Rp 100 Rp - 95 Rp 100 Rp 9,500
302 Vitazym tab 50 Rp 770 Rp 38,500 0 Rp 770 Rp - 0 Rp 770 Rp - 50 Rp 770 Rp 38,500
303 Voluven (Koloid HES BM 130.000, 6%) 200 Rp 33,000 Rp 6,600,000 0 Rp 33,000 Rp - 0 Rp 33,000 Rp - 200 Rp 33,000 Rp 6,600,000
304 Wida D5 - 1/2 NS 21 Rp 8,085 Rp 169,785 0 Rp 8,085 Rp - 0 Rp 8,085 Rp - 21 Rp 8,085 Rp 169,785
305 Wida D5 - 1/4 NS 185 Rp 8,085 Rp 1,495,725 0 Rp 8,085 Rp - 0 Rp 8,085 Rp - 185 Rp 8,085 Rp 1,495,725
306 Zinc tab 20 mg 130 Rp 497 Rp 64,610 0 Rp 497 Rp - 0 Rp 497 Rp - 130 Rp 497 Rp 64,610
307 Zincpro Drops (Zinc drop 10 mg/ml) 35 Rp 12,840 Rp 449,400 0 Rp 12,840 Rp - 0 Rp 12,840 Rp - 35 Rp 12,840 Rp 449,400
308 Zirkum Kids 115 Rp 7,770 Rp 893,550 0 Rp 7,770 Rp - 1 Rp 7,770 Rp 7,770 114 Rp 7,770 Rp 885,780
309 Zoline tab 100 Rp 893 Rp 89,300 0 Rp 893 Rp - 0 Rp 893 Rp - 100 Rp 893 Rp 89,300
TOTAL Rp 245,453,323 Rp 2,438,790 Rp 7,625,865 Rp 240,217,399
DIKETAHUI OLEH: Perdagangan, 20 Juli 2016

DIREKTUR RSUD PERDAGANGAN PEMBUAT LAPORAN,
(dr. MASLINA SIPAYUNG, M.Si) WILSON SAMOSIR, S.SI. APT, MM
NIP. 197407212006042015 NIP. 197007242009021001
Assucryl 1 pcs
Cromic 1 - pcs
Cromic 2/0 pcs
Silk 3/0 - pcs
Assucryl pcs
1379700
882000
#REF!
2646000
1033200
20
51660
7779 ED Jul2016
selisih 8097
LAPORAN PERSEDIAAN OBAT-OBATAN DAN BAHAN HABIS PAKAI (BHP) RSUD. PERDAGANGAN KAB. SIMALUNGUN

Saldo Awal 01 Juli 2016 Penerimaan Pengeluaran Saldo Akhir Per 10 Juli 2016
No Nama Barang
Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah Jumlah Harga Satuan
1 2 3 4 5=3x4 6 7 8=6x7 9 10 11= 9 x 10 12=(3+6)-9 13
1 Abbocath No 14 G T 34 Rp 24,940 Rp 847,960 0 Rp 24,940 Rp - 3 Rp 24,940 Rp 74,820 31 Rp 24,940
2 Abbocath No 26 G 30 Rp 5,166 Rp 154,980 0 Rp 5,166 Rp - 0 Rp 5,166 Rp - 30 Rp 5,166
3 Abbocath no. 18 G 804 Rp 7,724 Rp 6,210,096 0 Rp 7,724 Rp - 1 Rp 7,724 Rp 7,724 803 Rp 7,724
7 Alkohol 70 % liter 100 Rp 27,090 Rp 2,709,000 0 Rp 27,090 Rp - 0 Rp 27,090 Rp - 100 Rp 27,090
8 Alkohol 96 % (1 ltr ) 32 Rp 26,400 Rp 844,800 0 Rp 26,400 Rp - 1 Rp 26,400 Rp 26,400 31 Rp 26,400
9 Alkohol 96 % 300 ml 26 Rp 14,200 Rp 369,200 0 Rp 14,200 Rp - 1 Rp 14,200 Rp 14,200 25 Rp 14,200
10 Alkohol swab Onemed 17429 Rp 126 Rp 2,196,054 0 Rp 126 Rp - 0 Rp 126 Rp - 17429 Rp 126
11 Askina Soft Clear 5 Rp 33,000 Rp 165,000 0 Rp 33,000 Rp - 0 Rp 33,000 Rp - 5 Rp 33,000
12 Aspilet 44 Rp 750 Rp 33,000 0 Rp 750 Rp - 15 Rp 750 Rp 11,250 29 Rp 750
13 Asssucryl no 0 16 Rp 70,975 Rp 1,135,600 0 Rp 70,975 Rp - 4 Rp 70,975 Rp 283,900 12 Rp 70,975
14 Asssucryl no 1 16 Rp 76,435 Rp 1,222,960 0 Rp 76,435 Rp - 4 Rp 76,435 Rp 305,740 12 Rp 76,435
15 Asssucryl no 2/0 16 Rp 76,435 Rp 1,222,960 0 Rp 76,435 Rp - 4 Rp 76,435 Rp 305,740 12 Rp 76,435
16 Asssucryl no 3/0 16 Rp 65,515 Rp 1,048,240 0 Rp 65,515 Rp - 4 Rp 65,515 Rp 262,060 12 Rp 65,515
17 Asssucryl no 4/0 6 Rp 65,515 Rp 393,090 0 Rp 65,515 Rp - 4 Rp 65,515 Rp 262,060 2 Rp 65,515
18 Asukril 5/0 16 Rp 65,515 Rp 1,048,240 0 Rp 65,515 Rp - 4 Rp 65,515 Rp 262,060 12 Rp 65,515
19 Cat gut chromic SMI 2/0 0 Rp - Rp - 0 Rp 28,538 Rp - 0 Rp 28,538 Rp - 0 Rp 28,538
20 Cat gut chromic SMI 3/0 6 Rp 28,538 Rp 171,228 0 Rp 28,538 Rp - 0 Rp 28,538 Rp - 6 Rp 28,538
21 Cat gut plain 3/0 5 Rp 4,500 Rp 22,500 0 Rp - Rp - 0 Rp 4,500 Rp - 5 Rp 4,500
22 Catgut Chrom 3/0 HR 26-NRC 0 Rp - Rp - 0 Rp 42,605 Rp - 0 Rp 42,605 Rp - 0 Rp 42,605
23 Catgut Plain 1 75 CM HR 48-NRC 13 Rp 46,874 Rp 609,362 0 Rp 46,874 Rp - 0 Rp 46,874 Rp - 13 Rp 46,874
24 Cat gut chromic no 0 8 Rp 52,848 Rp 422,787 0 Rp 52,848 Rp - 0 Rp 52,848 Rp - 8 Rp 52,848
25 Cat gut chromic no 1 6 Rp 52,848 Rp 317,090 0 Rp 52,848 Rp - 0 Rp 52,848 Rp - 6 Rp 52,848
26 Cat gut chromic no 2/0 6 Rp 52,848 Rp 317,090 0 Rp 52,848 Rp - 0 Rp 52,848 Rp - 6 Rp 52,848
27 Cat gut plain 1 12 Rp 52,848 Rp 634,181 0 Rp 52,848 Rp - 0 Rp 52,848 Rp - 12 Rp 52,848
28 Cat gut plain 3/0 6 Rp 42,040 Rp 252,239 0 Rp 42,040 Rp - 0 Rp 42,040 Rp - 6 Rp 42,040
29 Cutter diatermi (pencil cauter) 20 Rp 117,128 Rp 2,342,560 0 Rp 117,128 Rp - 0 Rp 117,128 Rp - 20 Rp 117,128
30 Elektroda EKG 45 Rp 5,700 Rp 256,500 0 Rp 5,700 Rp - 2 Rp 5,700 Rp 11,400 43 Rp 5,700
31 ETT No. 4,5 2 Rp 45,957 Rp 91,914 0 Rp 45,957 Rp - 0 Rp 45,957 Rp - 2 Rp 45,957
38 Folley Cath 2 way No 10 Onemed 190 Rp 37,800 Rp 7,182,000 0 Rp 37,800 Rp - 0 Rp 37,800 Rp - 190 Rp 37,800
39 Folley Cath 2 way No 12 Onemed 25 Rp 10,080 Rp 252,000 0 Rp 10,080 Rp - 1 Rp 10,080 Rp 10,080 24 Rp 10,080
40 Folley Cath 2 way No 14 Onemed 3 Rp 10,080 Rp 30,240 0 Rp 10,080 Rp - 0 Rp 10,080 Rp - 3 Rp 10,080
41 Folley Cath 2 way No 16 Onemed 223 Rp 10,080 Rp 2,247,840 0 Rp 10,080 Rp - 3 Rp 10,080 Rp 30,240 220 Rp 10,080
43 Folley Cath 2 way No 20 Onemed 0 Rp - Rp - 0 Rp 10,080 Rp - 0 Rp 10,080 Rp - 0 Rp 1,080
48 Gelang bayi (biru) 100 Rp 1,452 Rp 145,200 0 Rp 1,452 Rp - 0 Rp 1,452 Rp - 100 Rp 1,452
49 Gelang bayi (pink) 183 Rp 1,452 Rp 265,716 0 Rp 1,452 Rp - 0 Rp 1,452 Rp - 183 Rp 1,452
50 Gelang ibu ( biru) 103 Rp 1,452 Rp 149,556 0 Rp 1,452 Rp - 0 Rp 1,452 Rp - 103 Rp 1,452
51 Gelang ibu ( pink) 191 Rp 1,452 Rp 277,332 0 Rp 1,452 Rp - 0 Rp 1,452 Rp - 191 Rp 1,452
52 Gypsona 15 cm 1 Rp 39,383 Rp 39,383 0 Rp 39,383 Rp - 0 Rp 39,383 Rp - 1 Rp 39,383
53 Gypsona 10 cm 1 Rp 30,000 Rp 30,000 0 Rp 30,000 Rp - 0 Rp 30,000 Rp - 1 Rp 30,000
54 Handscoen non steril 163 Rp 550 Rp 89,650 0 Rp 550 Rp - 8 Rp 550 Rp 4,400 155 Rp 550
55 Handscoen panjang Gynecolog No. 6,5 29 Rp 29,150 Rp 845,350 0 Rp 29,150 Rp - 0 Rp 29,150 Rp - 29 Rp 29,150
56 Handscoen panjang Gynecolog No. 7 160 Rp 29,150 Rp 4,664,000 0 Rp 29,150 Rp - 0 Rp 29,150 Rp - 160 Rp 29,150
57 Handscoen panjang Gynecolog No. 7,5 230 Rp 29,150 Rp 6,704,500 0 Rp 29,150 Rp - 0 Rp 29,150 Rp - 230 Rp 29,150
58 Handscoen panjang Gynecolog No. 8 266 Rp 29,150 Rp 7,753,900 0 Rp 29,150 Rp - 0 Rp 29,150 Rp - 266 Rp 29,150
59 Handscoen steril powder 6,5 27 Rp 7,684 Rp 207,468 0 Rp 7,684 Rp - 0 Rp 7,684 Rp - 27 Rp 7,684
60 Handscoen steril powder 7 560 Rp 7,684 Rp 4,303,040 0 Rp 7,684 Rp - 1 Rp 7,684 Rp 7,684 559 Rp 7,684
61 Handscoon steril powder 7,5 401 Rp 7,684 Rp 3,081,284 0 Rp 7,684 Rp - 5 Rp 7,684 Rp 38,420 396 Rp 7,684
62 Handscoen steril powder 8 366 Rp 7,684 Rp 2,812,344 0 Rp 7,684 Rp - 9 Rp 7,684 Rp 69,156 357 Rp 7,684
63 Hydrex Surgical Scrub 5 ltr 2 Rp 986,160 Rp 1,972,320 0 Rp 986,160 Rp - 0 Rp 986,160 Rp - 2 Rp 986,160
64 Infusion Set Dewasa 1875 Rp 4,032 Rp 7,560,000 0 Rp 4,032 Rp - 18 Rp 4,032 Rp 72,576 1857 Rp 4,032
65 Infusion Set Pediatrik 379 Rp 4,410 Rp 1,671,390 0 Rp 4,410 Rp - 17 Rp 4,410 Rp 74,970 362 Rp 4,410
66 Jelly EKG 28 Rp 100,000 Rp 2,800,000 0 Rp 100,000 Rp - 1 Rp 100,000 Rp 100,000 27 Rp 100,000
67 Jelly USG 29 Rp 65,000 Rp 1,885,000 0 Rp 65,000 Rp - 0 Rp 65,000 Rp - 29 Rp 65,000
68 Kapas 250 gr 44 Rp 13,750 Rp 605,000 0 Rp 13,750 Rp - 0 Rp 13,750 Rp - 44 Rp 13,750
69 Kapas 500 gr 22 Rp 34,372 Rp 756,184 0 Rp 34,372 Rp - 1 Rp 34,372 Rp 34,372 21 Rp 34,372
70 Kasa Hydrophil 40 x 80 CM 51 Rp 132,300 Rp 6,747,300 0 Rp 132,300 Rp - 0 Rp 132,300 Rp - 51 Rp 132,300
71 Kasa pembalut hydrofil 4m x 5 cm 100 Rp 825 Rp 82,500 0 Rp 825 Rp - 0 Rp 825 Rp - 100 Rp 825
72 Kasa pembalut hydrofil 4m x 10 cm 218 Rp 1,650 Rp 359,700 0 Rp 1,650 Rp - 0 Rp 1,650 Rp - 218 Rp 1,650
73 Kasa pembalut hydrofil 4m x 15 cm 123 Rp 2,310 Rp 284,130 0 Rp 2,310 Rp - 4 Rp 2,310 Rp 9,240 119 Rp 2,310
74 Kasa Kotak Steril 16x16 589 Rp 6,380 Rp 3,757,820 0 Rp 6,380 Rp - 13 Rp 6,380 Rp 82,940 576 Rp 6,380
75 Kenalog in ora base 41 Rp 65,000 Rp 2,665,000 0 Rp 65,000 Rp - 0 Rp 65,000 Rp - 41 Rp 65,000
76 Kertas EKG kotak besar 24 Rp 300,000 Rp 7,200,000 0 Rp 300,000 Rp - 0 Rp 300,000 Rp - 24 Rp 300,000
77 Kertas EKG kotak kecil 25 Rp 90,000 Rp 2,250,000 0 Rp 90,000 Rp - 0 Rp 90,000 Rp - 25 Rp 90,000
78 Kertas EKG roll 2 Rp 90,000 Rp 180,000 0 Rp - Rp - 0 Rp 90,000 Rp - 2 Rp 90,000
79 Kertas USG 29 Rp 300,000 Rp 8,700,000 0 Rp 300,000 Rp - 0 Rp 300,000 Rp - 29 Rp 300,000
80 Kit Operasi Eco 90 Rp 77,000 Rp 6,930,000 0 Rp 77,000 Rp - 0 Rp 77,000 Rp - 90 Rp 77,000
81 Klem tali pusat 81 Rp 3,000 Rp 243,000 0 Rp 3,000 Rp - 0 Rp 3,000 Rp - 81 Rp 3,000
82 Kondom Chateter - L 100 Rp 5,500 Rp 550,000 0 Rp 5,500 Rp - 0 Rp 5,500 Rp - 100 Rp 5,500
83 Kondom Chateter - M 100 Rp 5,500 Rp 550,000 0 Rp 5,500 Rp - 0 Rp 5,500 Rp - 100 Rp 5,500
84 Kondom Chateter - S 100 Rp 5,500 Rp 550,000 0 Rp 5,500 Rp - 0 Rp 5,500 Rp - 100 Rp 5,500
85 Lysol 1 liter 18 Rp 47,150 Rp 848,700 0 Rp 47,150 Rp - 0 Rp 47,150 Rp - 18 Rp 47,150
86 Masker 213 Rp 416 Rp 88,608 0 Rp 416 Rp - 29 Rp 416 Rp 12,064 184 Rp 416
87 Mess op no 15 129 Rp 100 Rp 12,900 0 Rp - Rp - 0 Rp 100 Rp - 129 Rp 100
88 Monosyn 1 HR 40S -NRC 0 Rp - Rp - 0 Rp 101,249 Rp - 0 Rp 101,249 Rp - 0 Rp 101,249
89 Nald Hecting kulit 216 Rp 1,604 Rp 346,464 0 Rp 1,604 Rp - 0 Rp 1,604 Rp - 216 Rp 1,604
90 Nald Hecting otot 171 Rp 1,604 Rp 274,284 0 Rp 1,604 Rp - 0 Rp 1,604 Rp - 171 Rp 1,604
91 Nald no 23 G 75 Rp 638 Rp 47,850 0 Rp 638 Rp - 15 Rp 638 Rp 9,570 60 Rp 638
92 NGT No. 8 3 Rp 15,200 Rp 45,600 0 Rp - Rp - 0 Rp 15,200 Rp - 3 Rp 15,200
93 NGT no, 14 4 Rp 15,200 Rp 60,800 0 Rp - Rp - 0 Rp 15,200 Rp - 4 Rp 15,200
94 NGT no, 16 7 Rp 15,200 Rp 106,400 0 Rp - Rp - 2 Rp 15,200 Rp 30,400 5 Rp 15,200
95 NGT no. 18 5 Rp 15,200 Rp 76,000 0 Rp - Rp - 0 Rp 15,200 Rp - 5 Rp 15,200
96 NGT no. 3,5 utk bayi/anak 2 Rp 13,050 Rp 26,100 0 Rp - Rp - 0 Rp 13,050 Rp - 2 Rp 13,050
97 Pampers Dewasa L 28 Rp 51,300 Rp 1,436,400 0 Rp 51,300 Rp - 0 Rp 51,300 Rp - 28 Rp 51,300
98 Povidone Iodida lar.10% 1000 ml 81 Rp 38,594 Rp 3,126,114 0 Rp 38,594 Rp - 0 Rp 38,594 Rp - 81 Rp 38,594
99 Povidone Iodida lar.10% 60 ml 100 Rp 6,298 Rp 629,800 0 Rp 6,298 Rp - 0 Rp 6,298 Rp - 100 Rp 6,298
100 Polysorb No. 4/0 cutting 2 Rp 96,260 Rp 192,520 0 Rp 96,260 Rp - 0 Rp 96,260 Rp - 2 Rp 96,260
101 Polysorb No. 3/0 cutting 3 Rp 105,163 Rp 315,489 0 Rp 105,163 Rp - 0 Rp 105,163 Rp - 3 Rp 105,163
102 Premilene Mesh 30 x 30 NRC 1 Rp 1,311,095 Rp 1,311,095 0 Rp 1,311,095 Rp - 0 Rp 1,311,095 Rp - 1 Rp 1,311,095
103 Safil 1 HR 48 90 CM - NRC 10 Rp 99,550 Rp 995,500 0 Rp 99,550 Rp - 0 Rp 99,550 Rp - 10 Rp 99,550
104 Safil 2/0 HR 37S 90 CM - NRC 0 Rp - Rp - 0 Rp 75,604 Rp - 0 Rp 75,604 Rp - 0 Rp 75,604
105 Safil 3/0 HR 26 90 CM - NRC 25 Rp 89,296 Rp 2,232,400 0 Rp 89,296 Rp - 0 Rp 89,296 Rp - 25 Rp 89,296
106 Safil 4/0 HR 22 70 CM - NRC 22 Rp 91,050 Rp 2,003,100 0 Rp 91,050 Rp - 0 Rp 91,050 Rp - 22 Rp 91,050
107 Sarung tangan utk kesling 167 Rp 17,500 Rp 2,922,500 0 Rp 17,500 Rp - 0 Rp 17,500 Rp - 167 Rp 17,500
108 Selang O2 bayi 53 Rp 19,600 Rp 1,038,800 0 Rp - Rp - 0 Rp 19,600 Rp - 53 Rp 19,600
109 Selang O2 dewasa 159 Rp 11,800 Rp 1,876,200 0 Rp - Rp - 8 Rp 11,800 Rp 94,400 151 Rp 11,800
110 Selang O2 Sungkup 8 Rp 15,000 Rp 120,000 0 Rp 15,000 Rp - 0 Rp 15,000 Rp - 8 Rp 15,000
111 Selang Oksigen Anak 94 Rp 6,050 Rp 568,700 0 Rp 6,050 Rp - 1 Rp 6,050 Rp 6,050 93 Rp 6,050
112 Shoosten Anak 20 Rp 55,000 Rp 1,100,000 0 Rp 55,000 Rp - 0 Rp 55,000 Rp - 20 Rp 55,000
113 Shoosten Dewasa 13 Rp 55,000 Rp 715,000 0 Rp 55,000 Rp - 0 Rp 55,000 Rp - 13 Rp 55,000
114 Silk 3/0 (cide) 21 Rp 4,000 Rp 84,000 0 Rp - Rp - 0 Rp 4,000 Rp - 21 Rp 4,000
115 Silk Black 2/0 DS 24 MM 2 Rp 23,864 Rp 47,728 0 Rp 23,864 Rp - 0 Rp 23,864 Rp - 2 Rp 23,864
116 Silkam Black 3/0 DS 24 - NRC 0 Rp - Rp - 0 Rp 25,567 Rp - 0 Rp 25,567 Rp - 0 Rp 25,567
117 Silkam 3/0 100 Rp 25,567 Rp 2,556,700 0 Rp 25,567 Rp - 0 Rp 25,567 Rp - 100 Rp 25,567
118 Silk black DS 24 2/0 86 Rp 23,864 Rp 2,052,304 0 Rp 23,864 Rp - 0 Rp 23,864 Rp - 86 Rp 23,864
119 Safil 1 12 Rp 99,550 Rp 1,194,600 0 Rp 99,550 Rp - 0 Rp 99,550 Rp - 12 Rp 99,550
120 Spinocain No. 25 G 180 Rp 44,000 Rp 7,920,000 0 Rp 44,000 Rp - 0 Rp 44,000 Rp - 180 Rp 44,000
123 Spuite 1 cc 41 Rp 819 Rp 33,579 0 Rp 819 Rp - 1 Rp 819 Rp 819 40 Rp 819
124 Spuite 10 cc 174 Rp 1,166 Rp 202,884 0 Rp 1,166 Rp - 2 Rp 1,166 Rp 2,332 172 Rp 1,166
125 Spuite 20 cc 95 Rp 1,890 Rp 179,550 0 Rp 1,890 Rp - 0 Rp 1,890 Rp - 95 Rp 1,890
126 Spuite 3 cc 18704 Rp 819 Rp 15,318,576 0 Rp 819 Rp - 191 Rp 819 Rp 156,429 18513 Rp 819
127 Spuite 5 cc 9308 Rp 945 Rp 8,796,060 0 Rp 945 Rp - 105 Rp 945 Rp 99,225 9203 Rp 945
128 Spuite 50 cc NGT/catheter tip 42 Rp 15,500 Rp 651,000 0 Rp - Rp - 3 Rp 15,500 Rp 46,500 39 Rp 15,500
129 Spuite 50 cc 95 Rp 4,284 Rp 406,980 0 Rp 4,284 Rp - 0 Rp 4,284 Rp - 95 Rp 4,284
130 Stabimed 1 L NRC 1 Rp 619,999 Rp 619,999 0 Rp 619,999 Rp - 0 Rp 619,999 Rp - 1 Rp 619,999
131 Thoracid Trocard No. 16 G 20 Rp 192,500 Rp 3,850,000 0 Rp 192,500 Rp - 0 Rp 192,500 Rp - 20 Rp 192,500
136 Three Way stop cock 114 Rp 2,457 Rp 280,098 0 Rp 2,457 Rp - 2 Rp 2,457 Rp 4,914 112 Rp 2,457
137 Topi operasi 1 X pakai (dokter) 150 Rp 1,600 Rp 240,000 0 Rp 1,600 Rp - 0 Rp 1,600 Rp - 150 Rp 1,600
138 Topi operasi 1 X pakai (perawat) 200 Rp 1,600 Rp 320,000 0 Rp 1,600 Rp - 0 Rp 1,600 Rp - 200 Rp 1,600
139 Transfusi set darah 128 Rp 4,536 Rp 580,608 0 Rp 4,536 Rp - 2 Rp 4,536 Rp 9,072 126 Rp 4,536
140 Transparant IV Dressing Non Port 29 Rp 4,100 Rp 118,900 0 Rp 4,100 Rp - 0 Rp 4,100 Rp - 29 Rp 4,100
141 Ultrafix 5 x 1 M 24 Rp 3,750 Rp 90,000 0 Rp 3,750 Rp - 11 Rp 3,750 Rp 41,250 13 Rp 3,750
142 Urine bag standard steril 2 ltr 234 Rp 3,780 Rp 884,520 0 Rp 3,780 Rp - 4 Rp 3,780 Rp 15,120 230 Rp 3,780
143 Verban elastis 15 x 4,5 1 Rp 87,500 Rp 87,500 0 Rp 87,500 Rp - 0 Rp 87,500 Rp - 1 Rp 87,500
TOTAL Rp 251,742,238 Rp - Rp 3,244,881
DIKETAHUI OLEH: Perdagangan, 20 Juli 2016

WILSON SAMOSIR, S.SI. APT, MM
(dr. MASLINA SIPAYUNG, M.Si) NIP. 197007242009021001
NIP. 197407212006042015
er 10 Juli 2016
Jumlah
14 = 12 x 13
Rp 773,140
Rp 154,980
Rp 6,202,372
Rp 6,202,372
Rp 12,466,536
Rp 5,553,556
Rp 2,709,000
Rp 818,400
Rp 355,000
Rp 2,196,054
Rp 165,000
Rp 21,750 Assucryl 1 pcs
Rp 851,700 bhp OK Assucryl 0 pcs
Rp 917,220 bhp OK Assucryl 2 pcs
Rp 917,220 bhp OK Assucryl pcs
Rp 786,180 bhp OK Assucryl pcs
Rp 131,030 bhp OK Plain 1 - 2 pcs
Rp 786,180 bhp OK Plain 3/0 - pcs
Rp -
Rp 171,228
Rp 22,500
Rp -
Rp 609,362
Rp 422,787 bhp OK #REF!
Rp 317,090 bhp OK
Rp 317,090 bhp OK
Rp 634,181 bhp OK
Rp 252,239 bhp OK
Rp 2,342,560
Rp 245,100
Rp 91,914
Rp 91,914
Rp 91,914
Rp 91,914
Rp 91,914
Rp 45,957
Rp 91,914
Rp 7,182,000
Rp 241,920
Rp 30,240
Rp 2,217,600
Rp 2,378,880
Rp -
Rp 201,600
Rp 292,320
Rp 2,437,470
Rp 1,625,400
Rp 145,200
Rp 265,716
Rp 149,556
Rp 277,332
Rp 39,383
Rp 30,000
Rp 85,250
Rp 845,350
Rp 4,664,000
Rp 6,704,500
Rp 7,753,900
Rp 207,468
Rp 4,295,356
Rp 3,042,864
Rp 2,743,188
Rp 1,972,320
Rp 7,487,424
Rp 1,596,420
Rp 2,700,000
Rp 1,885,000
Rp 605,000
Rp 721,812
Rp 6,747,300
Rp 82,500
Rp 359,700
Rp 274,890
Rp 3,674,880
Rp 2,665,000
Rp 7,200,000
Rp 2,250,000
Rp 180,000
Rp 8,700,000
Rp 6,930,000
Rp 243,000
Rp 550,000
Rp 550,000
Rp 550,000
Rp 848,700
Rp 76,544
Rp 12,900
Rp -
Rp 346,464
Rp 274,284
Rp 38,280
Rp 45,600
Rp 60,800
Rp 76,000
Rp 76,000
Rp 26,100
Rp 1,436,400
Rp 3,126,114
Rp 629,800
Rp 192,520
Rp 315,489
Rp 1,311,095
Rp 995,500
Rp -
Rp 2,232,400
Rp 2,003,100
Rp 2,922,500
Rp 1,038,800
Rp 1,781,800
Rp 120,000
Rp 562,650
Rp 1,100,000
Rp 715,000
Rp 84,000
Rp 47,728
Rp -
Rp 2,556,700
Rp 2,052,304
Rp 1,194,600
Rp 7,920,000
Rp 4,751,600
Rp 5,702,004
Rp 32,760
Rp 200,552
Rp 179,550
Rp 15,162,147
Rp 8,696,835
Rp 604,500
Rp 406,980
Rp 619,999
Rp 3,850,000
Rp 3,861,000
Rp 3,860,980
Rp 4,048,000
Rp 4,048,000
Rp 275,184
Rp 240,000
Rp 320,000
Rp 571,536
Rp 118,900
Rp 48,750
Rp 869,400
Rp 87,500
Rp 248,497,357 selisih 8097
an, 20 Juli 2016

LAPORAN,
AMOSIR, S.SI. APT, MM
7242009021001
LAPORAN PERSEDIAAN OBAT-OBATAN DAN ALAT MEDIS HABIS PAKAI (AMHP) RSUD. PERDAGANGAN KAB. SIMALUNGUN
DARI TANGGAL 01 S/D 31 September 2016

A OBAT-OBATAN
Saldo Awal 01 Agustus 2016 Penerimaan Pengeluaran Saldo Akhir Per 31 Agus
No Nama Barang
1 2 3 4 5=3x4 6 7 8=6x7 9 10 11= 9 x 10 12=(3+6)-9 13
1 Acyclovir tab 200 mg 230 Rp 239 Rp 54,970 Rp 239 Rp - Rp 239 Rp - 0 Rp 239
2 Acyclovir tab 400 mg 632 Rp 345 Rp 218,040 Rp 345 Rp - Rp 345 Rp - 632 Rp 345
3 Acyclovir Salep
4 Allopurinol tab 100 mg 58 Rp 250 Rp 14,500 Rp - Rp - 52 Rp 250 Rp 13,000 6 Rp 250
5 Allopurinol tab 300 mg 295 Rp 220 Rp 64,900 Rp 220 Rp - 23 Rp 220 Rp 5,049 277 Rp 220
6 Alprazolam tab 0,5 mg 40 Rp 650 Rp 26,000 Rp 2,500 Rp - 117 Rp 2,500 Rp 292,500 178 Rp 1,462
7 Alprazolam tab 1 mg 0 Rp - Rp - Rp 2,500 Rp - Rp 2,500 Rp -
8 Ambroxol sir 9 Rp 3,230 Rp 29,070 Rp 7,000 Rp - 41 Rp 7,000 Rp 287,000 0 Rp 4,798
9 Ambroxol tab 91 Rp 200 Rp 18,200 Rp 400 Rp - 10 Rp 400 Rp 4,000 81 Rp 200
10 Aminofilin tablet 150 mg 827 Rp 82 Rp 67,814 Rp 82 Rp - Rp 82 Rp - 827 Rp 82
11 Aminofillin inj 107 Rp 4,010 Rp 429,070 Rp 4,010 Rp - 8 Rp 4,010 Rp 32,080 99 Rp 4,010
12 Aminofluid infus 11 Rp 64,990 Rp 714,890 Rp 133,000 Rp - 6 Rp 133,000 Rp 798,000 0 Rp 64,990
13 Aminoleban infus 23 Rp 71,100 Rp 1,635,300 Rp 71,100 Rp - 20 Rp 71,100 Rp 1,422,000 20 Rp 71,100
14 Amlodipine tab 5 mg 10 Rp 500 Rp 5,000 Rp 700 Rp - 80 Rp 700 Rp 56,000 -70 Rp 1,000
15 Amlodipine tab 10 mg 46 Rp 3,850 Rp 177,100 Rp 1,300 Rp - 194 Rp 1,300 Rp 252,200 -148 Rp 857
16 Amoksisillin 125 mg syr. Ker 213 Rp 2,500 Rp 532,500 Rp 2,500 Rp - Rp 2,500 Rp - 212 Rp 2,500
17 Amoksisillin syr. Forte 250 mg 147 Rp 4,212 Rp 619,164 Rp 4,212 Rp - Rp 4,212 Rp - 147 Rp 4,212
18 Amoksisillin 500 mg tab 21 Rp 270 Rp 5,670 Rp 270 Rp - Rp 270 Rp - 21 Rp 270
19 Ampicillin inj 1 gr 249 Rp 5,355 Rp 1,333,395 Rp 5,355 Rp - Rp 5,355 Rp - 243 Rp 5,355
20 Amitripilyn tab 95
21 Antasida DOEN tab 48 Rp 74 Rp 3,552 Rp 74 Rp - 10 Rp 74 Rp 740 38 Rp 74
22 Antasida sirup 13 Rp 4,062 Rp 52,806 Rp 7,000 Rp - 45 Rp 7,000 Rp 315,000 0 Rp 5,591
23 Antihaemorrhoid sup 50 Rp 3,197 Rp 159,850 Rp 3,197 Rp - 5 Rp 3,197 Rp 15,985 48 Rp 3,197
24 Antalgin
25 Apyalis drops 17 Rp 38,000 Rp 646,000 Rp 38,000 Rp - 1 Rp 38,000 Rp 38,000 16 Rp 38,000
26 Apyalis syrup 8 Rp 31,000 Rp 248,000 Rp 31,000 Rp - 1 Rp 31,000 Rp 31,000 0 Rp 31,000
27 Aqua pro injeksi 25 ml ( Otsu) 204 Rp 3,500 Rp 714,000 Rp 6,037 Rp - 87 Rp 3,500 Rp 304,500 117 Rp 3,500
28 Aquagel steril jelly 82 gr 45 Rp 38,038 Rp 1,711,710 Rp 38,038 Rp - Rp 38,038 Rp - 45 Rp 38,038
29 Arkavit C tab 115 Rp 550 Rp 63,250 Rp 550 Rp - Rp 550 Rp - 115 Rp 550
30 Asam folat 5 mg tab 65 Rp 440 Rp 28,600 Rp 200 Rp - 135 Rp 200 Rp 27,000 -70 Rp 440
31 Asam mefenamat 250 mg 1910 Rp 143 Rp 273,130 Rp 143 Rp - 90 Rp 143 Rp 12,870 1271 Rp 143
32 Asam mefenamat 500 mg 9 Rp 315 Rp 2,835 Rp 315 Rp - Rp 315 Rp - 0 Rp 315
33 Asam tranexamat tab 195 Rp 1,500 Rp 292,500 Rp 1,500 Rp - 245 Rp 1,500 Rp 367,500 -50 Rp 1,219
34 Asam tranexamat inj 10 Rp 8,750 Rp 87,500 Rp 7,500 Rp - 22 Rp 7,500 Rp 165,000 -12 Rp 7,500
35 Asering infus 184 Rp 9,000 Rp 1,656,000 Rp 9,000 Rp - 21 Rp 9,000 Rp 189,000 56 Rp 9,000
36 Aspilet 44 Rp 750 Rp 33,000 Rp 729 Rp - 7 Rp 729 Rp 5,103 5 Rp 729
37 Atropin Sulfat inj 0 Rp - Rp - Rp - Rp - 6 Rp - Rp - 4 Rp -
38 Azitromysin sirup kering 200 mg/5 ml 92 Rp 34,500 Rp 3,174,000 Rp 34,500 Rp - Rp 34,500 Rp - 111 Rp 34,500
39 Azytromycin tab 500 mg 747 Rp 4,500 Rp 3,361,500 Rp 4,500 Rp - 17 Rp 4,500 Rp 76,500 474 Rp 4,500
40 Basitrasin 500 IU/g, Polimiksin 10.000 IU/g 25 Rp 2,641 Rp 66,025 Rp 2,641 Rp - Rp 2,641 Rp - 25 Rp 2,641
41 Batugin sirup 2 Rp 21,500 Rp 43,000 Rp 21,500 Rp - Rp 21,500 Rp - 2 Rp 21,500
42 Benocetam 1g inj 10 Rp 15,950 Rp 159,500 Rp 15,950 Rp - Rp 15,950 Rp - 10 Rp 15,950
43 Benocetam 3g inj 10 Rp 49,500 Rp 495,000 Rp 49,500 Rp - Rp 49,500 Rp - 32 Rp 49,500
44 Benodon inj 42 Rp 14,000 Rp 588,000 Rp 14,000 Rp - Rp 14,000 Rp - 45 Rp 14,000
45 Benoson G krim 15 gr 6 Rp 25,000 Rp 150,000 Rp 25,000 Rp - Rp 25,000 Rp - 6 Rp 25,000
46 Betahistin 6 mg tab 24 Rp 900 Rp 21,600 Rp 1,200 Rp - 430 Rp 1,200 Rp 516,000 0 Rp 1,212
47 Betametason cream 75 Rp 1,520 Rp 114,000 Rp 1,520 Rp - Rp 1,520 Rp - 75 Rp 1,520
48 Bethadine salep
49 Bicnat tab 601 Rp 22 Rp 13,222 Rp 22 Rp - 219 Rp 22 Rp 4,818 461 Rp 22
50 Biolysin tab 55 Rp 550 Rp 30,250 Rp 513 Rp - Rp 513 Rp - 55 Rp 513
51 Bioneuron inj 3 Rp 5,000 Rp 15,000 Rp 5,000 Rp - 2 Rp 5,000 Rp 10,000 39 Rp 5,000
52 Bioplacenton 63 Rp 13,500 Rp 850,500 Rp 13,500 Rp - Rp 13,500 Rp - 63 Rp 13,500
53 Bisoprolol 5mg 993 Rp 363 Rp 360,459 Rp 363 Rp - 21 Rp 363 Rp 7,623 846 Rp 363
54 Bioxol 0 Rp - Rp - Rp 8,000 Rp - Rp 8,000 Rp -
Bronsolvan sirup 1
55 Bronsolvan 150 mg 300 Rp 285 Rp 85,500 Rp 413 Rp - 272 Rp 285 Rp 77,520 28 Rp 285
56 Bromheksin sirup/bronchis 120 Rp 5,000 Rp 600,000 Rp 5,000 Rp - Rp 5,000 Rp - 1 Rp 5,000
57 Bromheksin tab/bronchis 100 Rp 150 Rp 15,000 Rp 150 Rp - 18 Rp 150 Rp 2,700 82 Rp 150
58 Broxal Sirup 0 Rp - Rp - Rp 9,000 Rp - Rp 9,000 Rp -
59 Bupivacain inj 0,5 % + glukosa 8% 2 Rp 26,880 Rp 53,760 Rp 26,880 Rp - Rp 26,880 Rp - 2 Rp 26,880
60 Burnazime cream 3 Rp 24,150 Rp 72,450 Rp 24,150 Rp - Rp 24,150 Rp - 3 Rp 24,150
61 Buscopan inj 9 Rp 24,700 Rp 222,300 Rp 24,700 Rp - Rp 24,700 Rp - 9 Rp 24,700
62 Borax/ Gom Sirup 0 Rp 3,655 Rp - Rp 3,655 Rp - Rp 3,655 Rp - 0 Rp 3,655
63 Buscopan tab 75 Rp 900 Rp 67,500 Rp 3,316 Rp - Rp 900 Rp - 75 Rp 900
64 Calsium glukonas inj 5 Rp 18,750 Rp 93,750 Rp 18,750 Rp - Rp 18,750 Rp - 5 Rp 18,750
65 Calsium Lactas 1350 Rp 73 Rp 98,550 Rp 73 Rp - Rp 73 Rp - 1350 Rp 73
66 Captopril 12,5 mg 1729 Rp 62 Rp 107,198 Rp 62 Rp - 595 Rp 62 Rp 36,890 1208 Rp 62
67 Captopril 25 mg 80 Rp 300 Rp 24,000 Rp - Rp - 10 Rp 300 Rp 3,000 0 Rp 300
68 Catapres 0,15 mg/ml (Klonidin inj) 50 Rp 30,600 Rp 1,530,000 Rp 30,600 Rp - Rp 30,600 Rp - 50 Rp 30,600
69 Cefadroksil 500 mg tab 165 Rp 850 Rp 140,250 Rp 516 Rp - 171 Rp 850 Rp 145,350 260 Rp 850
70 Cefadroksil syr 185 Rp 5,064 Rp 936,840 Rp 5,064 Rp - 3 Rp 5,064 Rp 15,192 182 Rp 5,064
71 Cefixime 100 mg kapsul 30 Rp 869 Rp 26,070 Rp 1,500 Rp - 335 Rp 869 Rp 291,115 0 Rp 869
72 Cefixime sirup kering 100 mg/5ml 25 Rp 9,000 Rp 225,000 Rp 15,000 Rp - 4 Rp 15,000 Rp 60,000 0 Rp 9,000
73 Cetirizine tab 10 mg 77 Rp 500 Rp 38,500 Rp 500 Rp - 22 Rp 500 Rp 11,000 3 Rp 500
74 Cetirizine syrup 5 mg/5ml 109 Rp 8,399 Rp 915,491 Rp 8,399 Rp - 9 Rp 8,399 Rp 75,591 76 Rp 8,399
75 Cefotaxime inj 1 gr 10 Rp 13,200 Rp 132,000 Rp 11,000 Rp - 170 Rp 11,000 Rp 1,870,000 -160 Rp 13,200
76 Ceftriaxone inj 1 gr 4 Rp 13,200 Rp 52,800 Rp 11,000 Rp - 144 Rp 11,000 Rp 1,584,000 0 Rp 13,200
77 Ceftazidime 1 gr 0 Rp 14,900 Rp - Rp 14,900 Rp - 2 Rp 14,900 Rp 29,800 -2 Rp 14,900
78 Cefoperazone 1 gr 0 Rp - Rp - Rp 23,000 Rp - Rp 23,000 Rp - 0 Rp 23,000
79 Chlorampenicol 1 % salep mata 78 Rp 1,600 Rp 124,800 Rp 1,600 Rp - Rp 1,600 Rp - 78 Rp 1,600
80 Chlorampenicol inj 5 Rp 11,750 Rp 58,750 Rp 11,750 Rp - Rp 11,750 Rp - 5 Rp 11,750
81 Clorampenicol tab 0 Rp 600 Rp - Rp 600 Rp - Rp 600 Rp -
82 Cimetidin tab 200 mg 500 Rp 200 Rp 100,000 Rp 200 Rp - Rp 200 Rp - 500 Rp 200
83 Ciprofloksacin infus 2 % 2 Rp 22,522 Rp 45,044 Rp 22,522 Rp - 66 Rp 22,522 Rp 1,486,452 -64 Rp 22,522
84 Ciprofloxacin tab 500 mg 80 Rp 450 Rp 36,000 Rp 450 Rp - 390 Rp 450 Rp 175,500 0 Rp 450
85 Citicholin inj 125 mg/ml 15 Rp 20,650 Rp 309,750 Rp 9,325 Rp - 15 Rp 20,650 Rp 309,750 0 Rp 20,650
86 Citicholin tablet 0 Rp - Rp - Rp 7,363 Rp - 60 Rp 7,363 Rp 441,780 -60 Rp -
87 Clindamisyn tab 150 mg 160 Rp 550 Rp 88,000 Rp - Rp - 15 Rp 550 Rp 8,250 0 Rp 550
88 Clindamysin 300 mg 80 Rp 1,100 Rp 88,000 Rp 1,100 Rp - 75 Rp 1,100 Rp 82,500 0 Rp 1,100
89 Clopidogrel tab 75 mg 51 Rp 3,500 Rp 178,500 Rp 3,430 Rp - 59 Rp 3,500 Rp 206,500 0 Rp 3,500
90 Codein tablet 10 mg 1800 Rp 1,500 Rp 2,700,000 Rp 1,500 Rp - 749 Rp 1,500 Rp 1,123,500 1051 Rp 1,500
91 Codein tablet 20 mg 1800 Rp 1,155 Rp 2,079,000 Rp 1,155 Rp - 94 Rp 1,155 Rp 108,570 1706 Rp 1,155
92 Cotrimoksazol suspensi 10 Rp 3,100 Rp 31,000 Rp - Rp - Rp 3,100 Rp - 10 Rp 3,100
93 Cotrimoksazol/Bimactrim tab 92 Rp 200 Rp 18,400 Rp 200 Rp - Rp 200 Rp - 84 Rp 200
94 CTM tab 193 Rp 200 Rp 38,600 Rp 200 Rp - 35 Rp 200 Rp 7,000 158 Rp 200
95 Curcuma tablet 91 Rp 700 Rp 63,700 Rp 1,155 Rp - 1199 Rp 700 Rp 839,300 0 Rp 700
96 Curcuma sirup 8 Rp 7,000 Rp 56,000 Rp 7,000 Rp - 6 Rp 7,000 Rp 42,000 2 Rp 7,000
97 Deksametason 5 mg inj 287 Rp 1,659 Rp 476,133 Rp 1,659 Rp - 6 Rp 1,659 Rp 9,954 114 Rp 1,659
98 Deksamethason tab 0,5 mg 1347 Rp 100 Rp 134,700 Rp 100 Rp - 33 Rp 100 Rp 3,300 913 Rp 100
99 Depakene sirup ( Valproat sirup) 48 Rp 41,800 Rp 2,006,400 Rp 41,800 Rp - 9 Rp 41,800 Rp 376,200 31 Rp 41,800
100 Depakote tablet 250 mg (Valproat tab ) 79 Rp 1,680 Rp 132,720 Rp 1,680 Rp - Rp 1,680 Rp - 79 Rp 1,680
101 Depakote tablet SR 500 mg (Valproat tab ) 0 Rp - Rp - Rp 5,450 Rp - Rp 5,450 Rp - 0 Rp 5,450
102 Dextral tab 107 Rp 450 Rp 48,150 Rp 450 Rp - Rp 450 Rp - 106 Rp 450
103 Dextrose 5 % (Glukosa) unicp OGB 1529 Rp 5,460 Rp 8,348,340 Rp 5,460 Rp - 7 Rp 5,460 Rp 38,220 1544 Rp 5,460
104 Dextrose 10 % (Glukosa)unicp OGB 223 Rp 5,985 Rp 1,334,655 Rp 5,985 Rp - 11 Rp 5,985 Rp 65,835 301 Rp 5,985
105 Dextrose 40 % inf 25 ml 5 Rp 12,350 Rp 61,750 Rp - Rp - 6 Rp 12,350 Rp 74,100 -1 Rp 12,350
106 Diazepam 5 mg tab 222 Rp 150 Rp 33,300 Rp 150 Rp - 5 Rp 150 Rp 750 217 Rp 150
107 Difenhidramin inj 10 mg 120 Rp 1,100 Rp 132,000 Rp 1,100 Rp - Rp 1,100 Rp - 120 Rp 1,100
108 Digoxin tab 0,25 mg 427 Rp 100 Rp 42,700 Rp 100 Rp - 18 Rp 100 Rp 1,800 409 Rp 100
109 Dionicol tab tab 15
110 Diltiazem inj (Herbesser) 20 Rp 134,050 Rp 2,681,000 Rp 134,050 Rp - Rp 134,050 Rp - 20 Rp 134,050
111 Diltiazem tab 30 mg 200 Rp 134 Rp 26,800 Rp 134 Rp - Rp 134 Rp - 200 Rp 134
112 Domperidon sirup 9 Rp 3,410 Rp 30,690 Rp 3,410 Rp - 1 Rp 3,410 Rp 3,410 0 Rp 3,410
113 Donperidon tab 111 Rp 170 Rp 18,870 Rp 300 Rp - 547 Rp 300 Rp 164,100 0 Rp 300
114 Dobutamin inj 4 Rp 28,035 Rp 112,140 Rp 28,035 Rp - Rp 28,035 Rp - 4 Rp 28,035
115 Dopamin Giullini inj 45 Rp 9,800 Rp 441,000 Rp 9,800 Rp - Rp 9,800 Rp - 45 Rp 9,800
116 Doxycyclin kap 100 mg 745 Rp 285 Rp 212,325 Rp 285 Rp - 10 Rp 285 Rp 2,850 685 Rp 285
117 Dulcolax sup 5 mg 0 Rp - Rp - Rp 16,993 Rp - Rp 16,993 Rp - 0 Rp 16,993
118 Dulcolax tablet 0 Rp - Rp - Rp 1,409 Rp - Rp 1,409 Rp - 0 Rp 1,409
119 Dulcolactol sirup 0 Rp - Rp - Rp 68,750 Rp - Rp 68,750 Rp - 0 Rp 68,750
Emdostein 15
120 Dramamin 50 mg tab 8
121 Engerix-B (Hepatitis B) 5 Rp 175,000 Rp 875,000 Rp 175,000 Rp - Rp 175,000 Rp - 5 Rp 175,000
122 Epineprin 0,1 % inj 165 Rp 8,505 Rp 1,403,325 Rp 8,505 Rp - Rp 8,505 Rp - 144 Rp 8,505
123 Eritromisin kapsul 500 mg 145 Rp 976 Rp 141,520 Rp 976 Rp - 25 Rp 976 Rp 24,400 119 Rp 976
124 Eritromisin sirup kering 200 mg/5ml 164 Rp 7,893 Rp 1,294,452 Rp 7,893 Rp - 1 Rp 7,893 Rp 7,893 163 Rp 7,893
125 Erlamycetin salep mata 0 Rp 6,800 Rp - Rp 6,800 Rp - Rp 6,800 Rp - 0 Rp 6,800
126 Ethambutol 500 mg tab 148 Rp 455 Rp 67,340 Rp 455 Rp - 185 Rp 455 Rp 84,175 108 Rp 455
127 Eltazon tab 50
128 Farsiretic tablet 0 Rp - Rp - Rp 2,250 Rp - Rp 2,250 Rp - 0 Rp 2,250
129 Farsorbid inj 10 ml(Isosorbid dinitrat) 7 Rp 34,980 Rp 244,860 Rp 34,980 Rp - Rp 34,980 Rp - 6 Rp 34,980
130 Fenobarbital 50 mg/ml 150 Rp 1,890 Rp 283,500 Rp 1,890 Rp - Rp 1,890 Rp - 150 Rp 1,890
131 Fentanyl inj 0,05 mg/ml @ 10 ml 45 Rp 134,400 Rp 6,048,000 Rp 134,400 Rp - Rp 134,400 Rp - 45 Rp 134,400
132 Fentanyl inj 0,05 mg/ml @ 2 ml 100 Rp 35,610 Rp 3,561,000 Rp 35,610 Rp - Rp 35,610 Rp - 100 Rp 35,610
133 Ferriz drop 21 Rp 31,000 Rp 651,000 Rp 31,000 Rp - Rp 31,000 Rp - 9 Rp 31,000
134 Ferriz syrup 34 Rp 34,000 Rp 1,156,000 Rp 34,000 Rp - 5 Rp 34,000 Rp 170,000 23 Rp 34,000
135 Fimahes 1 Rp 185,000 Rp 185,000 Rp 185,000 Rp - Rp 185,000 Rp - 1 Rp 185,000
136 Fitomenadion (Vit K1) inj 2 mg/ml 28 Rp 3,582 Rp 100,296 Rp 1,811 Rp - Rp 1,811 Rp - 28 Rp 2,498
137 Fitomenadion (Vit K1) tab 10mg 85 Rp 660 Rp 56,100 Rp 660 Rp - Rp 660 Rp - 85 Rp 660
138 Flagyl sup 500 mg (Metronidazole) 33 Rp 3,220 Rp 106,260 Rp 3,220 Rp - Rp 3,220 Rp - 38 Rp 3,220
139 Flixotide Nebulez 0 Rp 26,950 Rp - Rp 23,925 Rp - 1 Rp 23,925 Rp 23,925 2 Rp 23,925
140 Flunarizin 114 Rp 3,500 Rp 399,000 Rp 3,500 Rp - 79 Rp 3,500 Rp 276,500 13 Rp 3,500
141 Fresofol 1% (Propofol inj) 82 Rp 15,642 Rp 1,282,644 Rp 15,642 Rp - Rp 15,642 Rp - 85 Rp 15,642
142 Furosemide 10 mg/ml inj/uresix 1 Rp 1,920 Rp 1,920 Rp 10,375 Rp - 73 Rp 10,375 Rp 757,375 -72 Rp 10,375
143 Furosemide tablet 40 mg 0 Rp 300 Rp - Rp 300 Rp - 158 Rp 300 Rp 47,400 -158 Rp 300
144 Folamil Genio Rp 5,000 Rp - Rp 5,000 Rp - 0 Rp 5,000
145 Garam Oralit 200 mg 284 Rp 303 Rp 86,052 Rp 303 Rp - Rp 303 Rp - 284 Rp 303
146 Gastrul tab 120 Rp 12,000 Rp 1,440,000 Rp 12,000 Rp - Rp 12,000 Rp - 120 Rp 12,000
147 Gavistal drops 98 Rp 5,500 Rp 539,000 Rp 5,500 Rp - Rp 5,500 Rp - 99 Rp 5,500
148 Gentamicyn injeksi 80 mg/ml 195 Rp 3,569 Rp 695,955 Rp 3,569 Rp - Rp 3,569 Rp - 200 Rp 3,569
149 Gentamisin salep mata 0,3% (Genoint) 29 Rp 2,660 Rp 77,140 Rp 2,660 Rp - Rp 2,660 Rp - 29 Rp 2,660
150 Glibenclamid tab 5 mg 115 Rp 58 Rp 6,670 Rp 58 Rp - Rp 58 Rp - 112 Rp 58
Glimepiride tab 1 mg 21
151 Glimepiride tab 2mg 0 Rp - Rp - Rp 1,900 Rp - 334 Rp 1,884 Rp 629,122 0 Rp 1,884
152 Glimepiride Tab 4 mg 0 Rp - Rp - Rp 2,900 Rp - Rp - Rp - 0 Rp -
153 Glasic Kapsul 0 Rp 1,200 Rp - Rp 1,200 Rp -
154 Gliceryl Guayacolas 0 Rp - Rp - Rp 200 Rp - 60 Rp 120 Rp 7,200 -60 Rp 200
155 Glybotic (Amikasin) 500 mg inj. 7 Rp 50,500 Rp 353,500 Rp 50,500 Rp - Rp 50,500 Rp - 28 Rp 50,500
156 Griseopulvin tab 125 mg 30 Rp 230 Rp 6,900 Rp 230 Rp - Rp 230 Rp - 30 Rp 230
157 Graprima Sirup 4
158 Halothan inhalasi 2 Rp 673,500 Rp 1,347,000 Rp 673,500 Rp - Rp 673,500 Rp - 2 Rp 673,500
159 Harnal D (Tamsulosin tab 0,2 mg) 0 Rp - Rp - Rp 5,800 Rp - 14 Rp 5,800 Rp 81,200 -14 Rp 5,800
Hidrokortison zalf 7
160 Hepatin tab 0 Rp - Rp - Rp 5,775 Rp - Rp 5,775 Rp - 0 Rp 5,775
161 Hepatitis B 2 Rp 80,000 Rp 160,000 Rp 80,000 Rp - Rp 80,000 Rp - 2 Rp 80,000
162 Hufabion tab 0 Rp 300 Rp - Rp 300 Rp - Rp 300 Rp - 6 Rp -
163 Hufamicetin sirup 2 Rp 8,500 Rp 17,000 Rp 8,500 Rp - Rp 8,500 Rp - 1 Rp 8,500
164 Hufanasea syr 5 Rp 8,500 Rp 42,500 Rp 8,500 Rp - 2 Rp 8,500 Rp 17,000 5 Rp 8,500
165 Ibuprofen tablet 200 mg 3 Rp 116 Rp 348 Rp 116 Rp - Rp 116 Rp - 0 Rp 116
166 Ibuprofen tablet 400 mg 381 Rp 153 Rp 58,293 Rp 153 Rp - Rp 153 Rp - 344 Rp 153
167 Ibupropen suspensi 100 mg/5 ml 9 Rp 3,674 Rp 33,066 Rp 3,674 Rp - Rp 3,674 Rp - 137 Rp 3,674
168 Illiadin spray 20 Rp 33,000 Rp 660,000 Rp 33,000 Rp - Rp 33,000 Rp - 20 Rp 33,000
Imunos syr 1
169 Imbost force syr 13 Rp 55,800 Rp 725,400 Rp 55,800 Rp - Rp 55,800 Rp - 13 Rp 55,800
170 Imbost Tab 0 Rp 3,400 Rp - Rp 3,400 Rp - Rp 3,400 Rp - 0 Rp 3,400
171 Immodium tablet 10 Rp 7,500 Rp 75,000 Rp - Rp - Rp 7,500 Rp - 10 Rp 7,500
172 Imovax Polio Multidose 5 Rp 285,000 Rp 1,425,000 Rp 285,000 Rp - Rp 285,000 Rp - 5 Rp 285,000
173 Itrakonazole tab
174 Intralipid (Lipid/emulsi lemak 20%) 40 Rp 60,500 Rp 2,420,000 Rp 60,500 Rp - Rp 60,500 Rp - 42 Rp 60,500
175 Infarix.hib 2
176 Isoniazid tablet 100 mg 3 Rp 68 Rp 204 Rp 75 Rp - 22 Rp 68 Rp 1,496 972 Rp 68
177 Isoniazid tablet 300 mg 0 Rp 166 Rp - Rp 152 Rp 152,270 36 Rp 166 Rp 5,976 961 Rp 166
178 Isosorbid dinitrat tab 5 mg 20 Rp 93 Rp 1,860 Rp 1,625 Rp - 5 Rp 1,625 Rp 8,125 4 Rp 1,625
179 KAEN 3B infus 50 Rp 10,000 Rp 500,000 Rp 10,000 Rp - Rp 10,000 Rp - 50 Rp 10,000
180 KAEN 4B infus 6 Rp 15,300 Rp 91,800 Rp 15,300 Rp - Rp 15,300 Rp - 6 Rp 15,300
181 Kalsium Laktat tab 500 mg 260 Rp 73 Rp 18,980 Rp 73 Rp - Rp 73 Rp - 500 Rp 73
182 Kandistatin drop 49 Rp 40,000 Rp 1,960,000 Rp 40,000 Rp - 1 Rp 40,000 Rp 40,000 108 Rp 40,000
183 Kaolin- pectin/Kaotin 96 Rp 4,650 Rp 446,400 Rp 4,650 Rp - Rp 4,650 Rp - 96 Rp 4,650
184 Kanamicyn Inj 0 Rp - Rp - Rp - Rp - Rp - Rp - 2 Rp -
185 KCl 7, 46 otsu infus 12 Rp 3,000 Rp 36,000 Rp 3,000 Rp - 2 Rp 3,000 Rp 6,000 8 Rp 3,000
186 Kenalog in ora base 41 Rp 65,000 Rp 2,665,000 Rp 65,000 Rp - Rp 65,000 Rp - 41 Rp 65,000
187 Ketamin Hameln (Ketamin inj) 49 Rp 62,500 Rp 3,062,500 Rp 62,500 Rp - Rp 62,500 Rp - 50 Rp 62,500
188 Ketokenazol 2 % cream 1 Rp 5,000 Rp 5,000 Rp 5,000 Rp - 3 Rp 2,569 Rp 7,707 -2 Rp 2,569
189 Ketokenazol tablet 200 mg 260 Rp 500 Rp 130,000 Rp 500 Rp - Rp 310 Rp - 258 Rp 310
190 Ketopropen sup 17 Rp 13,000 Rp 221,000 Rp 13,000 Rp - Rp 13,000 Rp - 17 Rp 13,000
191 Ketorolac injeksi 30 mg 1762 Rp 2,539 Rp 4,473,718 Rp 2,539 Rp - 151 Rp 2,539 Rp 383,389 1591 Rp 2,539
Ketosteril tab 10
Keto G 40
Kompolax sirup 10
192 Kidmin infus 35 Rp 49,220 Rp 1,722,700 Rp 49,220 Rp - 6 Rp 49,220 Rp 295,320 11 Rp 49,220
193 Klorpromazin inj i.m 25 mg 0 Rp - Rp - Rp 1,155 Rp - Rp 1,155 Rp - 0 Rp 1,155
194 Klorpromazin salut 25 mg 200 Rp 71 Rp 14,200 Rp 71 Rp - Rp 71 Rp - 200 Rp 71
195 KSR tab 0 Rp - Rp - Rp - Rp - Rp - Rp - 0 Rp -
196 Kuinin (Kina) tablet 200 mg 92 Rp 704 Rp 64,768 Rp 704 Rp - Rp 704 Rp - 92 Rp 704
197 Lacto B sachet 0 Rp - Rp - Rp 6,015 Rp - 25 Rp 6,015 Rp 150,375 -25 Rp 6,015
198 L-Bio Sachet 0 Rp 6,000 Rp - Rp 6,000 Rp - Rp 7,184 Rp - 0 Rp 7,184
199 Lansoprazol kapsul 30 mg 3300 Rp 473 Rp 1,560,900 Rp 473 Rp - 1595 Rp 473 Rp 754,435 2730 Rp 473
200 Lantus Solostar 100 iu/ml (insulin long act) 80 Rp 85,000 Rp 6,800,000 Rp 85,000 Rp - 15 Rp 85,000 Rp 1,275,000 65 Rp 85,000
201 Lapibal inj 0 Rp - Rp - Rp 26,400 Rp - 12 Rp 26,400 Rp 316,800 -12 Rp 26,400
202 Lasal syrup 0 Rp - Rp - Rp 30,244 Rp - Rp 38,000 Rp - 0 Rp 38,000
203 Laxadine sirup/kompolax 0 Rp - Rp - Rp 9,450 Rp - Rp 9,450 Rp - 0 Rp 9,450
204 Levofar tab 0 Rp - Rp - Rp 1,298 Rp - Rp 1,298 Rp - 0 Rp 1,298
205 Levofloksacin tab 500 mg 99 Rp 575 Rp 56,925 Rp 515 Rp - 306 Rp 575 Rp 175,950 936 Rp 575
206 Levosol injeksi (Norepinefrin) 50 Rp 53,900 Rp 2,695,000 Rp 53,900 Rp - Rp 53,900 Rp - 50 Rp 53,900
207 Lexapram sirup (metoklopramid 5 mg/5ml 87 Rp 2,800 Rp 243,600 Rp 2,800 Rp - Rp 2,800 Rp - 86 Rp 2,800
208 Lidocain HCl injeksi 2% 74 Rp 879 Rp 65,046 Rp 879 Rp - 17 Rp 879 Rp 14,943 24 Rp 879
209 Liplorak Serbuk 0 Rp 8,000 Rp - Rp 8,000 Rp - Rp 8,000 Rp - 0 Rp 8,000
210 Loperamid tablet 2 mg 1880 Rp 92 Rp 172,960 Rp 92 Rp - 6 Rp 92 Rp 552 1570 Rp 92
211 Loratadine tab 10 mg 502 Rp 164 Rp 82,328 Rp 139 Rp - 169 Rp 164 Rp 27,716 889 Rp 164
212 Marcain 0,5 % inj ( Bupivakain 0,5 %) 35 Rp 32,000 Rp 1,120,000 Rp 32,000 Rp - Rp 32,000 Rp - 35 Rp 32,000
213 Martos - 10 infus 40 Rp 30,624 Rp 1,224,960 Rp 30,624 Rp - Rp 30,624 Rp - 40 Rp 30,624
214 Masker 213 Rp 416 Rp 88,608 Rp 416 Rp - Rp 416 Rp - 213 Rp 416
Meticobal tab 20
215 Mecobalamin 500 mcg kap 0 Rp - Rp - Rp 963 Rp - 720 Rp 963 Rp 693,360 -720 Rp 963
216 Mecobalamin inj/calmeco 0 Rp - Rp - Rp 27,500 Rp - 6 Rp 27,500 Rp 165,000 -6 Rp 27,500
217 Meloksikam 7,5 mg tab 77 Rp 900 Rp 69,300 Rp 900 Rp - Rp 900 Rp - 47 Rp 900
218 Metformin HCl tablet 500 mg 163 Rp 115 Rp 18,745 Rp 300 Rp - 203 Rp 115 Rp 23,244 8 Rp 115
219 Methergin inj 6 Rp 9,350 Rp 56,100 Rp - Rp - Rp 9,350 Rp - 6 Rp 9,350
220 Metilprednisolon tablet 4 mg 140 Rp 210 Rp 29,400 Rp 210 Rp - 708 Rp 210 Rp 148,680 -568 Rp 210
221 Metilprednisolon tablet 8 mg 950 Rp 375 Rp 356,250 Rp 500 Rp - 73 Rp 375 Rp 27,375 0 Rp 375
222 Metilprednisolon inj 125 mg 0 Rp 37,500 Rp - Rp 32,500 Rp - 72 Rp 32,500 Rp 2,340,000 -72 Rp 32,500
223 Metilergometrin Inj 0 Rp - Rp - Rp 2,684 Rp - Rp - Rp - 212 Rp 2,684
224 Metoklopramide tab 10 mg 4932 Rp 96 Rp 473,472 Rp 96 Rp - Rp 96 Rp - 5000 Rp 96
225 Metochlorpramide inj /sotatic 7 Rp 4,250 Rp 29,750 Rp 4,250 Rp - 30 Rp 4,250 Rp 127,500 -23 Rp 4,250
226 Metronidazol tablet 250 mg 746 Rp 113 Rp 84,298 Rp 113 Rp - 20 Rp 113 Rp 2,260 583 Rp 113
227 Metronidazole infus 500 mg 4 Rp 10,250 Rp 41,000 Rp 15,812 Rp - 6 Rp 15,812 Rp 94,872 -2 Rp 15,812
228 Metronidazole sup 32 Rp 3,220 Rp 103,040 Rp 3,220 Rp - Rp 3,220 Rp - 32 Rp 3,220
229 Metronidazole syrup 61 Rp 3,600 Rp 219,600 Rp 3,600 Rp - Rp 3,600 Rp - 209 Rp 3,600
230 Metronidazole tablet 500 mg 2605 Rp 164 Rp 427,220 Rp 164 Rp - 130 Rp 164 Rp 21,320 2559 Rp 164
231 Meylon 8,4 % 25 ml 98 Rp 6,510 Rp 637,980 Rp 6,510 Rp - Rp 6,510 Rp - 98 Rp 6,510
232 MgSO4 20 % 53 Rp 6,330 Rp 335,490 Rp 6,330 Rp - Rp 6,330 Rp - 55 Rp 6,330
233 MgSO4 40 % 52 Rp 6,051 Rp 314,652 Rp 6,051 Rp - Rp 6,051 Rp - 53 Rp 6,051
234 Miconazole cream 0 Rp - Rp - Rp 3,750 Rp - 1 Rp 3,750 Rp 3,750 -1 Rp 3,750
235 Microlax sup 2 Rp 22,000 Rp 44,000 Rp 22,000 Rp - Rp 22,000 Rp - 2 Rp 22,000
236 Midazolam inj 5 mg/ml ( Miloz) 50 Rp 9,114 Rp 455,700 Rp 9,114 Rp - Rp 9,114 Rp - 50 Rp 9,114
237 Molexflu 127 Rp 650 Rp 82,550 Rp 650 Rp - 20 Rp 650 Rp 13,000 68 Rp 650
238 Morphin HCl inj 10 mg/1 ml 50 Rp 8,820 Rp 441,000 Rp 8,820 Rp - Rp 8,820 Rp - 50 Rp 8,820
239 Merofenem Inj 0 Rp - Rp - Rp 44,900 Rp - 100 Rp 44,900 Rp 4,490,000 94 Rp 44,900
240 MST Continus tab 10 mg 120 Rp 15,620 Rp 1,874,400 Rp 15,620 Rp - 10 Rp 15,620 Rp 156,200 110 Rp 15,620
241 NaCl 0,9 % 100 ml infus 13 Rp 13,500 Rp 175,500 Rp 13,500 Rp - 2 Rp 13,500 Rp 27,000 0 Rp 13,500
242 NaCl 3 % 500 ml infus 105 Rp 17,000 Rp 1,785,000 Rp 17,000 Rp - Rp 17,000 Rp - 105 Rp 17,000
243 NaCl lar. Inf 0,9 % 500 ml 2180 Rp 4,935 Rp 10,758,300 Rp 4,935 Rp - 383 Rp 4,935 Rp 1,890,105 1305 Rp 4,935
244 Natrium Diklofenak tab 50 mg 4097 Rp 185 Rp 757,945 Rp 185 Rp - 384 Rp 185 Rp 71,040 3360 Rp 185
245 Nebacetin powder 43 Rp 24,500 Rp 1,053,500 Rp 24,500 Rp - Rp 24,500 Rp - 43 Rp 24,500
246 Neo kaominal syr 5 Rp 7,150 Rp 35,750 Rp 7,150 Rp - Rp 7,150 Rp - 5 Rp 7,150
247 Neostigmin Hameln inj 0,5 mg/ml 150 Rp 9,700 Rp 1,455,000 Rp 9,700 Rp - Rp 9,700 Rp - 150 Rp 9,700
248 Neurodex tab 0 Rp - Rp - Rp 400 Rp - 113 Rp 400 Rp 45,200 -113 Rp 400
249 New Diatab tab 0 Rp - Rp - Rp 625 Rp - 42 Rp 625 Rp 26,250 -42 Rp 625
250 Nipedipin tablet 10 mg 610 Rp 110 Rp 67,100 Rp 110 Rp - Rp 110 Rp - 610 Rp 110
251 Norages inj 22 Rp 10,937 Rp 240,614 Rp 10,937 Rp - 94 Rp 10,937 Rp 1,028,078 -72 Rp 10,937
252 Norit 60 Rp 150 Rp 9,000 Rp 150 Rp - Rp 150 Rp - 60 Rp 150
253 Novoravid inj 0 Rp - Rp - Rp 185,000 Rp - Rp 185,000 Rp - 0 Rp 185,000
254 Novagyl Sirup 11
255 Nuvopec sir 0 Rp - Rp - Rp 5,312 Rp - Rp 5,312 Rp - 0 Rp 5,312
256 Obat Antituberkulosis FDC Anak 14112 Rp 448 Rp 6,322,176 Rp 448 Rp - 130 Rp 448 Rp 58,227 13982 Rp 448
257 Obat Antituberkulosis FDC Kategori 1 21668 Rp 1,125 Rp 24,376,500 Rp 1,125 Rp - 1383 Rp 1,125 Rp 1,555,463 20285 Rp 1,125
258 Obimin AF tab
259 Octalbin infus 25 % 50 ml 3 Rp 750,000 Rp 2,250,000 Rp 750,000 Rp - Rp 750,000 Rp - 3 Rp 750,000
260 Ofloxacin tablet 200 mg 490 Rp 420 Rp 205,800 Rp 420 Rp - Rp 420 Rp - 490 Rp 420
261 Ofloxacin tablet 400 mg 1095 Rp 680 Rp 744,600 Rp 680 Rp - Rp 680 Rp - 1095 Rp 680
262 Omecal D Tablet 157 Rp 300 Rp 47,100 Rp 300 Rp - Rp 300 Rp - 157 Rp 300
263 Omegdiar tab/newdiatab 74 Rp 600 Rp 44,400 Rp 600 Rp - Rp 600 Rp - 74 Rp 600
264 Omegtamin tablet 290 Rp 4,300 Rp 1,247,000 Rp 4,300 Rp - Rp 4,300 Rp - 290 Rp 4,300
265 Omegtrim syr 2 Rp 10,500 Rp 21,000 Rp 10,500 Rp - Rp 10,500 Rp - 0 Rp 10,500
Omevita syr 1
266 Omenizole Sirup/ Metronidazole Sirup 0 Rp - Rp - 209
267 Omeprazole kapsul 20 mg 35 Rp 216 Rp 7,560 Rp 216 Rp - 10 Rp 216 Rp 2,160 25 Rp 216
268 Omeprazole inj 0 Rp - Rp - Rp 50,000 Rp - 138 Rp 50,000 Rp 6,900,000 -138 Rp 50,000
269 Ondansentron inj 4 mg/2 ml 12 Rp 6,000 Rp 72,000 Rp 6,000 Rp - 169 Rp 6,000 Rp 1,014,000 -157 Rp 6,000
Otsu salin 3% 1
270 Ondansentron tab 4 mg 32 Rp 759 Rp 24,288 Rp 759 Rp - Rp 759 Rp - 32 Rp 759
271 Ondansentron tab 8 mg 20 Rp 1,261 Rp 25,220 Rp 1,261 Rp - Rp 1,261 Rp - 20 Rp 1,261
272 Oxytocin Inj 10 UI/ ml 0 Rp - Rp - Rp 1,900 Rp - 310 Rp 1,900
273 Pantoprazol inj 0 Rp - Rp - Rp 50,000 Rp - 1 Rp 50,000 Rp 50,000 -1 Rp 50,000
274 Papaverin inj 0 Rp - Rp - Rp 3,500 Rp - Rp 3,500 Rp - 0 Rp 3,500
275 Parasetamol drops 15 ml 140 Rp 5,460 Rp 764,400 Rp 5,460 Rp - Rp 5,460 Rp - 135 Rp 5,460
276 Parasetamol sirup 120 mg/ 5 ml 158 Rp 1,496 Rp 236,368 Rp 7,000 Rp - 8 Rp 1,496 Rp 11,968 106 Rp 1,496
277 Parasetamol tab 500 mg 200 Rp 300 Rp 60,000 Rp 150 Rp - 1052 Rp 300 Rp 315,600 -852 Rp 300
278 Parasetamol infus drip 1 Rp 27,500 Rp 27,500 Rp 27,500 Rp - 21 Rp 27,500 Rp 577,500 -20 Rp 27,500
279 Pedialyte syr 15 Rp 24,500 Rp 367,500 Rp 24,500 Rp - Rp 24,500 Rp - 12 Rp 24,500
280 Pehacain inj 130 Rp 3,850 Rp 500,500 Rp 3,850 Rp - 19 Rp 3,850 Rp 73,150 164 Rp 3,850
Phenobarbital inj 7
281 Penytoin tab 100 mg 200 Rp 140 Rp 28,000 Rp 140 Rp - Rp 140 Rp - 200 Rp 140
282 Pirazinamide 500 mg 45
283 Piracetam 1g inj 169 Rp 7,850 Rp 1,326,650 Rp 7,850 Rp - Rp 7,850 Rp - 159 Rp 7,850
284 Piracetam 3g inj 152 Rp 21,850 Rp 3,321,200 Rp 21,850 Rp - Rp 21,850 Rp - 172 Rp 21,850
285 Piracetam tablet 800 mg 39 Rp 1,000 Rp 39,000 Rp 600 Rp - Rp 1,000 Rp - 39 Rp 1,000
286 Piroksikam tab 20 mg 300 Rp 131 Rp 39,300 Rp - Rp - Rp 131 Rp - 300 Rp 131
287 Plantacid forte syr 60 Rp 37,800 Rp 2,268,000 Rp 37,800 Rp - Rp 37,800 Rp - 60 Rp 37,800
288 Plantacid syr 0 Rp - Rp - Rp 11,562 Rp - 1 Rp 11,562 Rp 11,562 -1 Rp 11,562
289 Psidi kapsul 0 Rp - Rp - Rp 5,227 Rp - Rp 5,227 Rp - 0 Rp 5,227
290 Povidone Iodida lar.10% 1000 ml 81 Rp 38,594 Rp 3,126,114 Rp 38,594 Rp - Rp 38,594 Rp - 81 Rp 38,594
291 Povidone Iodida lar.10% 60 ml 100 Rp 6,298 Rp 629,800 Rp 6,298 Rp - Rp 6,298 Rp - 100 Rp 6,298
292 Pravastatin 20 mg tab 500 Rp 2,530 Rp 1,265,000 Rp 2,530 Rp - 42 Rp 2,530 Rp 106,260 458 Rp 2,530
293 Prednison tab 5 mg/eltazon 1010 Rp 103 Rp 104,030 Rp 103 Rp - Rp - Rp - 1010 Rp 103
Prosogan inj 68
294 Pregabalin tab 75 mg/ leptika 0 Rp - Rp - Rp 9,384 Rp - Rp 9,384 Rp - 0 Rp 9,384
295 Primperan inj 5 Rp 12,150 Rp 60,750 Rp 12,150 Rp - Rp 12,150 Rp - 5 Rp 12,150
296 Propanolol tablet 10 mg 390 Rp 79 Rp 30,810 Rp 79 Rp - Rp 79 Rp - 390 Rp 79
297 Propanolol tablet 40 mg 500 Rp 110 Rp 55,000 Rp 110 Rp - Rp 110 Rp - 500 Rp 110
298 Propilthiourasil tab 100 mg (PTU) 0 Rp - Rp - Rp 335 Rp - Rp 335 Rp - 0 Rp 335
299 Pulmicort Respules/cairan inj 0,25 mg/ml 14 Rp 8,900 Rp 124,600 Rp 8,900 Rp - Rp 8,900 Rp - 11 Rp 8,900
300 Pyrantel syr 125 mg 45 Rp 8,728 Rp 392,760 Rp 8,728 Rp - Rp 8,728 Rp - 50 Rp 8,728
301 Pyrantel tab 125 mg 62 Rp 308 Rp 19,096 Rp 308 Rp - Rp 308 Rp - 62 Rp 308
302 Pyrazinamid tab 500 mg 0 Rp - Rp - Rp 240 Rp - Rp 240 Rp - 0 Rp 240
303 Quinine inj 25 % 100 Rp 6,510 Rp 651,000 Rp 6,510 Rp - Rp 6,510 Rp - 100 Rp 6,510
304 Ranitidin injeksi 25 mg/2 ml 9 Rp 2,400 Rp 21,600 Rp 3,105 Rp - 315 Rp 2,400 Rp 756,000 -306 Rp 2,400
305 Ranitidin tablet 150 mg 50 Rp 126 Rp 6,300 Rp 275 Rp - 25 Rp 275 Rp 6,875 25 Rp 275
306 Resochin tab 20 Rp 500 Rp 10,000 Rp 500 Rp - Rp 500 Rp - 20 Rp 500
307 Retaphyl tab 0 Rp - Rp - Rp 2,800 Rp - 568 Rp 2,800 Rp 2,800 -568 Rp 2,800
308 Reco Salep Mata
309 Rifampicin tab 300 mg 20 Rp 640 Rp 12,800 Rp 640 Rp - 7 Rp 640 Rp 4,480 13 Rp 640
310 Rifampicin tab 450 mg 1088 Rp 829 Rp 901,952 Rp 829 Rp - 36 Rp 829 Rp 29,844 1052 Rp 829
311 Rifampicin tab 600 mg 24 Rp 2,500 Rp 60,000 Rp 2,500 Rp - Rp 2,500 Rp - 24 Rp 2,500
312 Ringer Laktat inf 5483 Rp 5,460 Rp 29,937,180 Rp 5,460 Rp - 347 Rp 5,460 Rp 1,894,620 4813 Rp 5,460
313 Ringer Solution inf 500 ml 22 Rp 12,500 Rp 275,000 Rp 25,000 Rp - Rp 25,000 Rp - 22 Rp 25,000
314 Rivanol 300 cc 49 Rp 3,213 Rp 157,437 Rp 3,213 Rp - 1 Rp 3,213 Rp 3,213 48 Rp 3,213
315 Rotarix (Rotavirus) 1 Rp 245,000 Rp 245,000 Rp 245,000 Rp - Rp 245,000 Rp - 2 Rp 245,000
316 Salbion sirup 0 Rp 20,000 Rp - Rp 20,000 Rp - Rp 20,000 Rp - 0 Rp 20,000
317 Salbutamol 2 mg tablet 121 Rp 62 Rp 7,502 Rp 62 Rp - Rp 62 Rp - 80 Rp 62
318 Salbutamol 4 mg tablet 917 Rp 89 Rp 81,613 Rp 89 Rp - 20 Rp 89 Rp 1,780 897 Rp 89
319 Salbutamol sirup 293 Rp 4,988 Rp 1,461,484 Rp 4,988 Rp - 13 Rp 4,988 Rp 64,844 288 Rp 4,988
320 Scopamin injeksi 16 Rp 12,000 Rp 192,000 Rp - Rp - 1 Rp 12,000 Rp 12,000 1 Rp 12,000
321 Seretide Diskus 100 mcg (salmeterol 50 mcg0 2 Rp 105,871 Rp 211,742 Rp 105,871 Rp - Rp 105,871 Rp - 2 Rp 105,871
322 Sidiadryl inj 90 Rp 12,000 Rp 1,080,000 Rp 12,000 Rp - Rp 12,000 Rp - 85 Rp 12,000
323 Simvastatin tab 20 mg 850 Rp 252 Rp 214,200 Rp 252 Rp - Rp 252 Rp - 850 Rp 252
324 Sistenol tab 10 Rp 2,053 Rp 20,530 Rp 2,053 Rp - Rp 2,053 Rp - 10 Rp 2,053
325 Spasminal tab 628 Rp 600 Rp 376,800 Rp 600 Rp - Rp 600 Rp - 628 Rp 600
326 Smecta Suchet 0 Rp - Rp - Rp 4,353 Rp - Rp 4,353 Rp - 0
327 Spironolacton 25 mg tab 42 Rp 320 Rp 13,440 Rp 320 Rp - 54 Rp 320 Rp 17,280 -12 Rp 320
328 Spironolacton 100 mg tab 0 Rp 320 Rp - Rp 320 Rp - 28 Rp 320 Rp 8,960 -28 Rp 320
329 Stesolid sup 5 mg 47 Rp 43,750 Rp 2,056,250 Rp 43,750 Rp - Rp 43,750 Rp - 47 Rp 43,750
330 Streptomicyn 0 Rp - Rp - Rp 10,312 Rp - 1 Rp 10,312 Rp 10,312 -1
331 Stesolid inj 3 Rp 15,000 Rp 45,000 Rp 15,000 Rp - Rp 15,000 Rp - 3 Rp 15,000
332 Stimuno tab 0 Rp - Rp - Rp 2,813 Rp - Rp 2,813 Rp - 0 Rp 2,813
333 Sulfas Atropin inj 21 Rp 3,500 Rp 73,500 Rp 3,500 Rp - Rp 3,500 Rp - 21 Rp 3,500
334 Symbicort Turbuhaler 160/4,5mcg 11 Rp 117,600 Rp 1,293,600 Rp 117,600 Rp - 3 Rp 117,600 Rp 352,800 8 Rp 117,600
335 Synflorix 2
336 Syntocinon inj 10 Rp 13,050 Rp 130,500 Rp - Rp - Rp 13,050 Rp - 10 Rp 13,050
337 T.T (Tetanus Toxoid) 82 Rp 20,000 Rp 1,640,000 Rp 20,000 Rp - Rp 20,000 Rp - 77 Rp 20,000
338 Tarivid tetes telinga 21 Rp 45,089 Rp 946,869 Rp 45,089 Rp - 2 Rp 45,089 Rp 90,178 19 Rp 45,089
339 Tegretol syr 100 mg/5 ml(Karbamazepin) 5 Rp 44,770 Rp 223,850 Rp 44,770 Rp - Rp 44,770 Rp - 5 Rp 44,770
340 Tetrasiklin kap 500 mg 200 Rp 312 Rp 62,400 Rp 312 Rp - Rp 312 Rp - 200 Rp 312
341 Thrombo Aspilet 20 Rp 550 Rp 11,000 Rp - Rp - Rp 550 Rp - 20 Rp 550
342 Thrombophob gel 20 gr 78 Rp 55,000 Rp 4,290,000 Rp 55,000 Rp - Rp 55,000 Rp - 78 Rp 55,000
343 Thiamphenicol inj
344 Tiamfenikol kapsul 500 mg 15 Rp 511 Rp 7,665 Rp 511 Rp - Rp 511 Rp - 15 Rp 511
345 Tracrium inj 25 mg/2,5 ml 47 Rp 20,000 Rp 940,000 Rp 20,000 Rp - Rp 20,000 Rp - 47 Rp 20,000
346 Tramadol kapsul 50 mg 50 Rp 431 Rp 21,550 Rp - Rp - 100 Rp 431 Rp 43,100 -50 Rp 431
347 Tramadol inj 5 Rp 1,890 Rp 9,450 Rp 1,890 Rp - 5 Rp 1,890 Rp 9,450 0 Rp 1,890
348 Tranec inj 0 Rp - Rp - Rp 21,553 Rp - 9 Rp 21,553 Rp 193,977 -9 Rp -
349 Transamin inj 250 mg 15 Rp 6,300 Rp 94,500 Rp - Rp - Rp 6,300 Rp - 15 Rp 6,300
350 Transamin inj 500 mg 10 Rp 9,500 Rp 95,000 Rp - Rp - Rp 9,500 Rp - 10 Rp 9,500
351 Ulsafate suspensi (Sulkralfat sus 500mg) 0 Rp - Rp - Rp 13,850 Rp - 9 Rp 13,850 Rp 124,650 -9 Rp 13,850
352 Ulsidex tab (Sukralfat tab) 65 Rp 440 Rp 28,600 Rp 440 Rp - Rp 440 Rp - 65 Rp 440
353 Vagizol sup 32 Rp -
354 Vaksin BCG 8 Rp 40,000 Rp 320,000 Rp 40,000 Rp - Rp 40,000 Rp - 8 Rp 40,000
355 Vaksin Campak 25 Rp 45,000 Rp 1,125,000 Rp 45,000 Rp - Rp 45,000 Rp - 7 Rp 45,000
356 Vaksin DPT/Hb/Hib (pentabio) 8 Rp 225,000 Rp 1,800,000 Rp 225,000 Rp - Rp 225,000 Rp - 4 Rp 225,000
357 Vaksin infarix (HIB-A) 2 Rp 475,000 Rp 950,000 Rp 475,000 Rp - Rp 475,000 Rp - 2 Rp 475,000
358 Vaksin Hepatitis B 0 Rp - Rp - Rp - Rp - Rp - Rp - 1 Rp -
359 Vaksin Polio 0 Rp - Rp - Rp - Rp - Rp - Rp - 5 Rp -
360 Ventolin Inhaler (Salbutamol inh) 2 Rp 66,938 Rp 133,876 Rp 66,938 Rp - 3 Rp 66,938 Rp 200,814 -1 Rp 66,938
361 Ventolin Nebules (Salbutamol Cairan ih 0,1 %) 375 Rp 6,930 Rp 2,598,750 Rp 6,930 Rp - Rp 6,930 Rp - 375 Rp 6,930
362 Vermox tablet 500 mg (Mebendazol) 69 Rp 7,497 Rp 517,293 Rp 7,497 Rp - 1 Rp 7,497 Rp 7,497 66 Rp 7,497
363 Veistein Tab
364 Veistein sirup 0 Rp - Rp - Rp 48,375 Rp - 2 Rp 48,375 Rp 96,750 -2 Rp 48,375
Vit K tab 10
Vit K inj 26
365 Vit B 12 inj 95 Rp 1,300 Rp 123,500 Rp 1,300 Rp - Rp 1,300 Rp - 87 Rp 1,300
366 Vit. B1 tab 147 Rp 60 Rp 8,820 Rp 60 Rp - 41 Rp 60 Rp 2,460 106 Rp 60
367 Vitamin B kompleks 1670 Rp 110 Rp 183,700 Rp 110 Rp - 30 Rp 110 Rp 3,300 1640 Rp 110
368 Vitamin B12 719 Rp 57 Rp 40,983 Rp 57 Rp - Rp 57 Rp - 719 Rp 57
369 Vitamin B6 tab 116 Rp 150 Rp 17,400 Rp 100 Rp - 1919 Rp 100 Rp 191,900 -1803 Rp 100
370 Vitamin C tab 250 mg 53 Rp 159 Rp 8,427 Rp 159 Rp - Rp 159 Rp - 53 Rp 159
371 Vitamin C tab 50 mg 95 Rp 100 Rp 9,500 Rp 100 Rp - 20 Rp 100 Rp 2,000 75 Rp 100
372 Vitacurcumaris sirup 0 Rp - Rp - Rp - Rp - Rp - Rp - 0 Rp -
373 Vitazym tab 50 Rp 770 Rp 38,500 Rp 770 Rp - Rp 770 Rp - 50 Rp 770
374 Voluven (Koloid HES BM 130.000, 6%) 200 Rp 33,000 Rp 6,600,000 Rp 33,000 Rp - 2 Rp 33,000 Rp 66,000 198 Rp 33,000
375 Wida D5 - 1/2 NS 21 Rp 8,085 Rp 169,785 Rp 8,085 Rp - Rp 8,085 Rp - 21 Rp 8,085
376 Wida D5 - 1/4 NS 185 Rp 8,085 Rp 1,495,725 Rp 8,085 Rp - Rp 8,085 Rp - 181 Rp 8,085
377 Zinc tab 20 mg 130 Rp 497 Rp 64,610 Rp 497 Rp - 20 Rp 497 Rp 9,940 110 Rp 497
378 Zincpro Drops (Zinc drop 10 mg/ml) 35 Rp 12,840 Rp 449,400 Rp 12,840 Rp - Rp 12,840 Rp - 31 Rp 12,840
379 Zirkum Kids 115 Rp 7,770 Rp 893,550 Rp 7,770 Rp - 1 Rp 7,770 Rp 7,770 113 Rp 7,770
380 Zypraz tab 0,5 mg 0 Rp - Rp - Rp 3,500 Rp - Rp - Rp - 0 Rp 3,500
381 Zoline tab 100 Rp 893 Rp 89,300 Rp 893 Rp - Rp 893 Rp - 100 Rp 893
TOTAL Rp 244,788,157 Rp 152,270 Rp 46,897,938
B AMHP (ALAT MEDIS HABIS PAKAI)
Saldo Awal 01 Agustus 2016 Penerimaan Pengeluaran Saldo Akhir Per 10 Agus
No Nama Barang
1 2 3 4 5=3x4 6 7 8=6x7 9 10 11= 9 x 10 12=(3+6)-9 13
1 Abbocath No 14 G T 34 Rp 24,940 Rp 847,960 Rp 24,940 Rp - 10 Rp 24,940 Rp 249,400 29 Rp 24,940
2 Abbocath No 26 G 30 Rp 5,166 Rp 154,980 Rp 5,166 Rp - 2 Rp 5,166 Rp 10,332 59 Rp 5,166
3 Abbocath no. 18 G 804 Rp 7,724 Rp 6,210,096 Rp 7,724 Rp - 1 Rp 7,724 Rp 7,724 790 Rp 7,724
5 Abbocath no. 22 G 1656 Rp 7,724 Rp 12,790,944 Rp 7,724 Rp - 182 Rp 7,724 Rp 1,405,768 1369 Rp 7,724
Alkohol 70 % 300 ml 1
7 Alkohol 70 % liter 100 Rp 27,090 Rp 2,709,000 Rp 27,090 Rp - Rp 27,090 Rp - 100 Rp 27,090
8 Alkohol 96 % (1 ltr ) 32 Rp 26,400 Rp 844,800 Rp 26,400 Rp - 12 Rp 26,400 Rp 316,800 20 Rp 26,400
9 Alkohol 96 % 300 ml 26 Rp 14,200 Rp 369,200 Rp 14,200 Rp - 1 Rp 14,200 Rp 14,200 25 Rp 14,200
10 Alkohol swab Onemed 17429 Rp 126 Rp 2,196,054 Rp 126 Rp - Rp 126 Rp - 18,100 Rp 126
11 Askina Soft Clear 5 Rp 33,000 Rp 165,000 Rp 34,000 Rp - Rp 33,000 Rp - 5 Rp 33,000
13 Asssucryl no 0 16 Rp 70,975 Rp 1,135,600 Rp 70,975 Rp - Rp 70,975 Rp - 16 Rp 70,975
14 Asssucryl no 1 16 Rp 76,435 Rp 1,222,960 Rp 76,435 Rp - Rp 76,435 Rp - 16 Rp 76,435
15 Asssucryl no 2/0 16 Rp 76,435 Rp 1,222,960 Rp 76,435 Rp - Rp 76,435 Rp - 16 Rp 76,435
16 Asssucryl no 3/0 16 Rp 65,515 Rp 1,048,240 Rp 65,515 Rp - Rp 65,515 Rp - 16 Rp 65,515
17 Asssucryl no 4/0 6 Rp 65,515 Rp 393,090 Rp 65,515 Rp - Rp 65,515 Rp - 6 Rp 65,515
18 Asukril 5/0 16 Rp 65,515 Rp 1,048,240 Rp 65,515 Rp - Rp 65,515 Rp - 16 Rp 65,515
Betadin 60 ml 4
19 Cat gut chromic SMI 2/0 0 Rp - Rp - Rp 28,538 Rp - Rp 28,538 Rp - 0 Rp 28,538
20 Cat gut chromic SMI 3/0 6 Rp 28,538 Rp 171,228 Rp 28,538 Rp - Rp 28,538 Rp - 6 Rp 28,538
21 Cat gut plain 3/0 5 Rp 4,500 Rp 22,500 Rp - Rp - Rp 4,500 Rp - 5 Rp 4,500
22 Catgut Chrom 3/0 HR 26-NRC 0 Rp - Rp - Rp 42,605 Rp - Rp 42,605 Rp - 0 Rp 42,605
23 Catgut Plain 1 75 CM HR 48-NRC 13 Rp 46,874 Rp 609,362 Rp 46,874 Rp - Rp 46,874 Rp - 13 Rp 46,874
24 Cat gut chromic no 0 8 Rp 52,848 Rp 422,787 Rp 52,848 Rp - Rp 52,848 Rp - 8 Rp 52,848
25 Cat gut chromic no 1 6 Rp 52,848 Rp 317,090 Rp 52,848 Rp - Rp 52,848 Rp - 6 Rp 52,848
26 Cat gut chromic no 2/0 6 Rp 52,848 Rp 317,090 Rp 52,848 Rp - Rp 52,848 Rp - 6 Rp 52,848
27 Cat gut plain 1 12 Rp 52,848 Rp 634,181 Rp 52,848 Rp - Rp 52,848 Rp - 12 Rp 52,848
28 Cutgut 2/0 100 M - BBRAUN 0 Rp - Rp - Rp 1,307,727 Rp - Rp 1,307,727 Rp - 0 Rp 1,307,727
29 Cat gut plain 3/0 6 Rp 42,040 Rp 252,239 Rp 42,040 Rp - 2 Rp 42,040 Rp 84,080 4 Rp 42,040
30 Cutgut PLAIN 2 50 M- BRAUN 0 Rp - Rp - Rp 121,591 Rp - Rp 121,591 Rp - 0 Rp 121,591
31 Cutgut PLAIN 3/0 100M - BBRAUN 0 Rp - Rp - Rp 1,240,909 Rp - Rp 1,240,909 Rp - 1 Rp 1,240,909
32 Cutter diatermi (pencil cauter) 20 Rp 117,128 Rp 2,342,560 Rp 117,128 Rp - Rp 117,128 Rp - 20 Rp 117,128
33 Elektroda EKG 45 Rp 5,700 Rp 256,500 Rp 5,700 Rp - 12 Rp 5,700 Rp 68,400 15 Rp 5,700
34 ETT No. 4,5 2 Rp 45,957 Rp 91,914 Rp 45,957 Rp - Rp 45,957 Rp - 2 Rp 45,957
41 Folley Cath 2 way No 10 Onemed 190 Rp 37,800 Rp 7,182,000 Rp 37,800 Rp - Rp 37,800 Rp - 49 Rp 37,800
42 Folley Cath 2 way No 12 Onemed 25 Rp 10,080 Rp 252,000 Rp 10,080 Rp - Rp 10,080 Rp - 33 Rp 10,080
44 Folley Cath 2 way No 16 Onemed 223 Rp 10,080 Rp 2,247,840 Rp 10,080 Rp - 10 Rp 10,080 Rp 100,800 191 Rp 10,080
45 Folley Cath 2 way No 18 Onemed 236 Rp 10,080 Rp 2,378,880 Rp 10,080 Rp - 3 Rp 10,080 Rp 30,240 214 Rp 10,080
46 Folley Cath 2 way No 20 Onemed 0 Rp 10,800 Rp - Rp 10,080 Rp - Rp 10,080 Rp - 30 Rp 1,080
51 Gelang bayi (biru) 100 Rp 1,452 Rp 145,200 Rp 1,452 Rp - Rp 1,452 Rp - 100 Rp 1,452
52 Gelang bayi (pink) 183 Rp 1,452 Rp 265,716 Rp 1,452 Rp - Rp 1,452 Rp - 184 Rp 1,452
53 Gelang ibu ( biru) 103 Rp 1,452 Rp 149,556 Rp 1,452 Rp - Rp 1,452 Rp - 103 Rp 1,452
54 Gelang ibu ( pink) 191 Rp 1,452 Rp 277,332 Rp 1,452 Rp - Rp 1,452 Rp - 191 Rp 1,452
55 Gypsona 15 cm 1 Rp 39,383 Rp 39,383 Rp 39,383 Rp - Rp 39,383 Rp - 1 Rp 39,383
56 Gypsona 10 cm 1 Rp 30,000 Rp 30,000 Rp 30,000 Rp - Rp 30,000 Rp - 1 Rp 30,000
57 Handscoen non steril 163 Rp 550 Rp 89,650 Rp 550 Rp - 126 Rp 550 Rp 69,300 0 Rp 550
58 Handscoen panjang Gynecolog No. 6,5 29 Rp 29,150 Rp 845,350 Rp 29,150 Rp - Rp 29,150 Rp - 29 Rp 29,150
59 Handscoen panjang Gynecolog No. 7 160 Rp 29,150 Rp 4,664,000 Rp 29,150 Rp - Rp 29,150 Rp - 160 Rp 29,150
60 Handscoen panjang Gynecolog No. 7,5 230 Rp 29,150 Rp 6,704,500 Rp 29,150 Rp - Rp 29,150 Rp - 230 Rp 29,150
61 Handscoen panjang Gynecolog No. 8 266 Rp 29,150 Rp 7,753,900 Rp 29,150 Rp - Rp 29,150 Rp - 266 Rp 29,150
62 Handscoen steril powder 6,5 27 Rp 7,684 Rp 207,468 Rp 7,684 Rp - Rp 7,684 Rp - 27 Rp 7,684
63 Handscoen steril powder 7 560 Rp 7,684 Rp 4,303,040 Rp 7,684 Rp - 10 Rp 7,684 Rp 76,840 168 Rp 7,684
64 Handscoon steril powder 7,5 401 Rp 7,684 Rp 3,081,284 Rp 7,684 Rp - 104 Rp 7,684 Rp 799,136 250 Rp 7,684
65 Handscoen steril powder 8 366 Rp 7,684 Rp 2,812,344 Rp 7,684 Rp - 23 Rp 7,684 Rp 176,732 153 Rp 7,684
66 Hydrex Surgical Scrub 5 ltr 2 Rp 986,160 Rp 1,972,320 Rp 986,160 Rp - Rp 986,160 Rp - 2 Rp 986,160
67 Hifafix Rp 14,563 Rp - Rp 14,563 Rp - 1 Rp 14,563
68 Infusion Set Dewasa 1875 Rp 4,032 Rp 7,560,000 Rp 4,032 Rp - 85 Rp 4,032 Rp 342,720 1773 Rp 4,032
69 Infusion Set Pediatrik 379 Rp 4,410 Rp 1,671,390 Rp 4,410 Rp - 38 Rp 4,410 Rp 167,580 263 Rp 4,410
70 Jelly EKG 28 Rp 100,000 Rp 2,800,000 Rp 100,000 Rp - Rp 100,000 Rp - 28 Rp 100,000
71 Jelly USG 29 Rp 65,000 Rp 1,885,000 Rp 65,000 Rp - 1 Rp 65,000 Rp 65,000 28 Rp 65,000
72 Kapas 250 gr 44 Rp 13,750 Rp 605,000 Rp 13,750 Rp - 8 Rp 13,750 Rp 110,000 36 Rp 13,750
73 Kapas 500 gr 22 Rp 34,372 Rp 756,184 Rp 34,372 Rp - 1 Rp 34,372 Rp 34,372 21 Rp 34,372
74 Kasa Hydrophil 40 x 80 CM 51 Rp 132,300 Rp 6,747,300 Rp 132,300 Rp - 1 Rp 132,300 Rp 132,300 50 Rp 132,300
75 Kasa pembalut hydrofil 4m x 5 cm 100 Rp 825 Rp 82,500 Rp 825 Rp - Rp 825 Rp - 100 Rp 825
76 Kasa pembalut hydrofil 4m x 10 cm 218 Rp 1,650 Rp 359,700 Rp 1,650 Rp - Rp 1,650 Rp - 218 Rp 1,650
77 Kasa pembalut hydrofil 4m x 15 cm 123 Rp 2,310 Rp 284,130 Rp 2,310 Rp - 14 Rp 2,310 Rp 32,340 66 Rp 2,310
78 Kasa Kotak Steril 16x16 589 Rp 6,380 Rp 3,757,820 Rp 6,380 Rp - 23 Rp 6,380 Rp 146,740 530 Rp 6,380
79 Kenalog in ora base 41 Rp 65,000 Rp 2,665,000 Rp 65,000 Rp - Rp 65,000 Rp - 41 Rp 65,000
80 Kertas EKG kotak besar 24 Rp 300,000 Rp 7,200,000 Rp 300,000 Rp - 2 Rp 300,000 Rp 600,000 23 Rp 300,000
81 Kertas EKG kotak kecil 25 Rp 90,000 Rp 2,250,000 Rp 90,000 Rp - Rp 90,000 Rp - 28 Rp 90,000
82 Kertas EKG roll 2 Rp 90,000 Rp 180,000 Rp - Rp - Rp 90,000 Rp - 2 Rp 90,000
83 Kertas USG 4 Rp 300,000 Rp 1,200,000 Rp 300,000 Rp - Rp 300,000 Rp - 4 Rp 300,000
84 Kit Operasi Eco 90 Rp 77,000 Rp 6,930,000 Rp 77,000 Rp - Rp 77,000 Rp - 90 Rp 77,000
85 Klem tali pusat 81 Rp 3,000 Rp 243,000 Rp 3,000 Rp - Rp 3,000 Rp - 83 Rp 3,000
86 Kondom Chateter - L 100 Rp 5,500 Rp 550,000 Rp 5,500 Rp - Rp 5,500 Rp - 100 Rp 5,500
87 Kondom Chateter - M 100 Rp 5,500 Rp 550,000 Rp 5,500 Rp - Rp 5,500 Rp - 100 Rp 5,500
88 Kondom Chateter - S 100 Rp 5,500 Rp 550,000 Rp 5,500 Rp - Rp 5,500 Rp - 100 Rp 5,500
89 Leukoplast 2,5 x 1 m 0 Rp - Rp - Rp 6,187 Rp - Rp 6,187 Rp - 0 Rp 6,187
90 Lomatulle 0 Rp - Rp - Rp 14,300 Rp - 3 Rp 14,300 Rp 42,900 6 Rp 14,300
91 Lysol 1 liter 18 Rp 47,150 Rp 848,700 Rp 47,150 Rp - 1 Rp 47,150 Rp 47,150 17 Rp 47,150
92 Lyfo Scrunn 1000 ml 0 Rp - Rp - Rp 150,000 Rp - 0
93 Masker 1350 Rp 416 Rp 561,600 Rp 416 Rp - 538 Rp 416 Rp 223,808 786 Rp 416
94 Mess op no 15 129 Rp 100 Rp 12,900 Rp - Rp - Rp 100 Rp - 118 Rp 100
95 Monosyn 1 HR 40S -NRC 0 Rp - Rp - Rp 101,249 Rp - Rp 101,249 Rp - 0 Rp 101,249
96 Nald Hecting kulit 216 Rp 1,604 Rp 346,464 Rp 1,604 Rp - Rp 1,604 Rp - 216 Rp 1,604
97 Nald Hecting otot 171 Rp 1,604 Rp 274,284 Rp 1,604 Rp - 12 Rp 1,604 Rp 19,248 159 Rp 1,604
98 Nald insulin 0 Rp - Rp - Rp 3,000 Rp - Rp 3,000 Rp - 0 Rp 3,000
99 Nald no 23 G 75 Rp 638 Rp 47,850 Rp 625 Rp - 49 Rp 638 Rp 31,262 31 Rp 638
100 NGT No. 8 3 Rp 15,200 Rp 45,600 Rp - Rp - Rp 15,200 Rp - 0 Rp 15,200
101 NGT no, 14 4 Rp 15,200 Rp 60,800 Rp - Rp - Rp 15,200 Rp - 0 Rp 15,200
102 NGT no, 16 7 Rp 15,200 Rp 106,400 Rp 31,250 Rp - 2 Rp 15,200 Rp 30,400 0 Rp 15,200
103 NGT no. 18 5 Rp 15,200 Rp 76,000 Rp 31,250 Rp - 6 Rp 15,200 Rp 91,200 0 Rp 15,200
104 NGT no. 3,5 utk bayi/anak 2 Rp 13,050 Rp 26,100 Rp 31,250 Rp - Rp 13,050 Rp - 1 Rp 13,050
105 Pampers Dewasa L 28 Rp 51,300 Rp 1,436,400 Rp 51,300 Rp - Rp 51,300 Rp - 28 Rp 51,300
Pisau Operasi No. 15 AESCULAP- EC 1
106 Pisau Operasi No. 11 AESCULAP- EC 0 Rp - Rp - Rp 286,364 Rp - 1 Rp - Rp - -1 Rp 286,364
Plester 5 x 4,5 10
107 Plester 2,5 x 4,5 0 Rp - Rp - Rp 17,103 Rp - 8 Rp 17,103 Rp 136,824 0 Rp 17,103
108 Povidone Iodida lar.10% 1000 ml 81 Rp 38,594 Rp 3,126,114 Rp 38,594 Rp - Rp 38,594 Rp - 81 Rp 38,594
109 Povidone Iodida lar.10% 60 ml 100 Rp 6,298 Rp 629,800 Rp 6,298 Rp - Rp 6,298 Rp - 100 Rp 6,298
110 Polysorb No. 4/0 cutting 2 Rp 96,260 Rp 192,520 Rp 96,260 Rp - Rp 96,260 Rp - 2 Rp 96,260
111 Polysorb No. 3/0 cutting 3 Rp 105,163 Rp 315,489 Rp 105,163 Rp - Rp 105,163 Rp - 3 Rp 105,163
112 Premilene Mesh 30 x 30 NRC 1 Rp 1,311,095 Rp 1,311,095 Rp 1,311,095 Rp - Rp 1,311,095 Rp - 1 Rp 1,311,095
113 Premiline Mess 5cm x 10cm 0 Rp - Rp - Rp 218,562 Rp - Rp - Rp - 0 Rp 218,562
114 Safil 0 Hs 40 s 90 cm 0 Rp - Rp - Rp 93,975 Rp - Rp - Rp - 36 Rp 93,975
115 Safil 1 HR 48 90 CM - NRC 10 Rp 99,550 Rp 995,500 Rp 87,750 Rp - Rp 99,550 Rp - 22 Rp 99,550
116 Safil 2/0 HR 37S 90 CM - NRC 0 Rp - Rp - Rp 75,604 Rp - Rp 75,604 Rp - 36 Rp 75,604
117 Safil 3/0 HR 26 90 CM - NRC 25 Rp 89,296 Rp 2,232,400 Rp 89,296 Rp - Rp 89,296 Rp - 25 Rp 89,296
118 Safil 4/0 HR 22 70 CM - NRC 22 Rp 91,050 Rp 2,003,100 Rp 91,050 Rp - Rp 91,050 Rp - 22 Rp 91,050
119 Silk Black 1 75 M- BBRAUN 0 Rp - Rp - Rp 405,682 Rp - Rp - Rp - 0 Rp 405,682
120 Sarung tangan utk kesling 167 Rp 17,500 Rp 2,922,500 Rp 17,500 Rp - Rp 17,500 Rp - 167 Rp 17,500
121 Selang O2 bayi 53 Rp 19,600 Rp 1,038,800 Rp - Rp - Rp 19,600 Rp - 44 Rp 19,600
122 Selang O2 dewasa 159 Rp 11,800 Rp 1,876,200 Rp - Rp - 25 Rp 11,800 Rp 295,000 61 Rp 11,800
123 Selang O2 Sungkup 8 Rp 15,000 Rp 120,000 Rp 15,000 Rp - Rp 15,000 Rp - 5 Rp 15,000
124 Selang Oksigen Anak 94 Rp 6,050 Rp 568,700 Rp 6,050 Rp - 2 Rp 6,050 Rp 12,100 77 Rp 6,050
125 Shoosten Anak 20 Rp 55,000 Rp 1,100,000 Rp 55,000 Rp - Rp 55,000 Rp - 20 Rp 55,000
126 Shoosten Dewasa 13 Rp 55,000 Rp 715,000 Rp 55,000 Rp - Rp 55,000 Rp - 13 Rp 55,000
127 Silk 3/0 (cide) 21 Rp 4,000 Rp 84,000 Rp - Rp - 1 Rp 4,000 Rp 4,000 104 Rp 4,000
128 Silk Black 2/0 DS 24 MM 2 Rp 23,864 Rp 47,728 Rp 23,864 Rp - Rp 23,864 Rp - 2 Rp 23,864
129 Silkam Black 3/0 DS 24 - NRC 0 Rp - Rp - Rp 25,567 Rp - Rp 25,567 Rp - 0 Rp 25,567
130 Silkam 3/0 100 Rp 25,567 Rp 2,556,700 Rp 25,567 Rp - Rp 25,567 Rp - 100 Rp 25,567
131 Silk black DS 24 2/0 86 Rp 23,864 Rp 2,052,304 Rp 23,864 Rp - Rp 23,864 Rp - 86 Rp 23,864
132 Safil 1 12 Rp 99,550 Rp 1,194,600 Rp 99,550 Rp - Rp 99,550 Rp - 12 Rp 99,550
133 Spinocain No. 25 G 180 Rp 44,000 Rp 7,920,000 Rp 44,000 Rp - Rp 44,000 Rp - 182 Rp 44,000
Spall 2
136 Spuite 1 cc 41 Rp 819 Rp 33,579 Rp 819 Rp - 8 Rp 819 Rp 6,552 25 Rp 819
137 Spuite 10 cc 174 Rp 1,166 Rp 202,884 Rp 1,166 Rp - 42 Rp 1,166 Rp 48,972 148 Rp 1,166
139 Spuite 3 cc 18704 Rp 819 Rp 15,318,576 Rp 819 Rp - 913 Rp 819 Rp 747,747 17,288 Rp 819
140 Spuite 5 cc 9308 Rp 945 Rp 8,796,060 Rp 945 Rp - 571 Rp 945 Rp 539,595 8,519 Rp 945
141 Spuite 50 cc NGT/catheter tip 42 Rp 15,500 Rp 651,000 Rp - Rp - 10 Rp 15,500 Rp 155,000 32 Rp 15,500
143 Stabimed 1 L NRC 1 Rp 619,999 Rp 619,999 Rp 619,999 Rp - Rp 619,999 Rp - 1 Rp 619,999
144 Softaskin 1000 ml 0 Rp - Rp - Rp 91,167 Rp - 2 Rp 91,167
145 Softaman 500 ml 0 Rp - Rp - Rp 787,501 Rp - 5 Rp 787,501
146 Thoracid Trocard No. 16 G 20 Rp 192,500 Rp 3,850,000 Rp 192,500 Rp - Rp 192,500 Rp - 1 Rp 192,500
148 Thoracid Trocard No. 24 G 20 Rp 193,049 Rp 3,860,980 Rp 193,049 Rp - 2 Rp 193,049 Rp 386,098 18 Rp 193,049
149 Thoracid Trocard No. 28 G 20 Rp 202,400 Rp 4,048,000 Rp 202,400 Rp - 2 Rp 202,400 Rp 404,800 18 Rp 202,400
151 Three Way stop cock 114 Rp 2,457 Rp 280,098 Rp 2,457 Rp - 18 Rp 2,457 Rp 44,226 90 Rp 2,457
152 Topi operasi 1 X pakai (dokter) 150 Rp 1,600 Rp 240,000 Rp 1,600 Rp - Rp 1,600 Rp - 150 Rp 1,600
153 Topi operasi 1 X pakai (perawat) 200 Rp 1,600 Rp 320,000 Rp 1,600 Rp - Rp 1,600 Rp - 200 Rp 1,600
154 Transfusi set darah 128 Rp 4,536 Rp 580,608 Rp 4,536 Rp - 1 Rp 4,536 Rp 4,536 120 Rp 4,536
155 Transparant IV Dressing Non Port 29 Rp 4,100 Rp 118,900 Rp 4,100 Rp - Rp 4,100 Rp - 29 Rp 4,100
156 Ultrafix 5 x 1 M 24 Rp 3,750 Rp 90,000 Rp 3,750 Rp - 34 Rp 3,750 Rp 127,500 0 Rp 3,750
157 Urine bag standard steril 2 ltr 234 Rp 3,780 Rp 884,520 Rp 3,780 Rp - 12 Rp 3,780 Rp 45,360 223 Rp 3,780
158 Verban elastis 15 x 4,5 1 Rp 87,500 Rp 87,500 Rp 87,500 Rp - Rp 87,500 Rp - 1 Rp 87,500
TOTAL Rp 244,682,230 Rp - Rp 8,885,116
DIKETAHUI OLEH: Perdagangan, 31 Agustus 2016

(dr. MASLINA H. SIPAYUNG, M.Si) WILSON SAMOSIR, S.SI. APT, MM

NIP. 197407212006042015 NIP. 197007242009021001
1 Agustus 2016 DAFTAR PEMBELIAN OBAT JKN PERIODE 01 Juli 2016 s/d 20 Juli 2016 APOTEK BUDI
Jumlah
14 = 12 x 13 NO
NAMA OBAT/BHP
SATUANJUMLAH HARGA TOTAL
Rp -
Rp 218,040 1 Alprazotablet 68 1462.4 99,443 v
Rp 1,500 2 Ambroxol
botol 3 4,798 14,394 v
Rp 60,802 3 Amlodiptablet 10 857 8,571 v
Rp 260,307 4 Antacidbotol 5 5,591 27,955 v
Rp - 5 Asam trtablet 20 1218.7 24,374 v

Rp 16,200 6 Asam trampul 37 7500 277,500 v
Rp 67,814 7 Aspilet tablet 25 729 18,218 v
Rp 396,990 8 Betahisttablet 10 1,212 12,115 v
Rp - 9 Biolysintablet 30 513 15,375 v
Rp 1,422,000 10 Bronsoltablet 10 350 3,500 v
Rp (70,000) 11 Cefiximtablet 15 1,500 22,500 v
Rp (126,836) 12 Cefotaxivial 38 11,000 418,000 v
Rp 530,000 13 Ceftriaxovial 125 11,000 1,375,000 v
Rp 619,164 14 Cetrizintablet 15 425 6,375 v
Rp 5,670 16 15 Ciproflotablet 60 500 30,000 v
Rp 1,301,265 16 Ciprolok fls 24 22,522 540,528 v
Rp 2,812 28 17 Clopidotablet 10 3,430 34,303 v

Rp - 18 Curcuma
tablet 30 1,155 34,650 v
Rp 153,456 19 Donperitablet 170 413 70,244 v
Rp 608,000 20 Dulcolaxtablet 20 1,409 28,184 v

Rp - 21 Flixotidampul 5 23,925 119,625 v
Rp 409,500 22 Furosem tablet 40 184 7,340 v
Rp 1,711,710 0 23 Farsiretitablet 15 2,250 33,750 v
Rp 63,250 24 Furosemiampul 9 10,375 93,375 v
Rp (30,800) 0 25 Isosorbitablet 30 1,625 48,750 v
Rp 181,753 26 Dulcolacbotol 1 68750 68,750 v
Rp - 27 Lacto Bsachet 6 6,015 36,090 v
Rp (60,935) 0 28 Leukoplaroll 5 6,187 30,935 v
Rp (90,000) 29 Lomatul lbr 4 14,300 57,200 v
Rp 504,000 30 Mecobal kapsul 30 963 28,875 v
Rp 3,645 31 Mecobalaampul 22 27,500 605,000 v
Rp -
Rp 3,829,500 32 Methyl Pvial 14 32,500 455,000 v
Rp 2,133,000 33 Metronidfls 13 15,812 205,556 v
Rp 66,025 34 Miconaztube 1 3,750 3,750 v
Rp 43,000 35 Nald ins pcs 1 3,000 3,000 v
Rp 159,500 36 Neurodetablet 5 400 2,000 v
Rp 1,584,000 37 New diatablet 10 625 6,250 v
Rp 630,000 38 Noragesampul 49 10,937 535,913 v
Rp 150,000 39 Novoravipen 1 185,000 185,000 v
Rp - 40 Nuvopecbotol 4 5,312 21,248 v
Rp 114,000 41 Omegesitablet 10 350 3,500 v
Rp 10,142 42 Omeprazvial 24 50,000 1,200,000 v

Rp 28,215 43 Ondanceampul 95 6,000 570,000 v
Rp 195,000 44 Pantopravial 38 50,000 1,900,000 v
Rp 850,500 45 Parasettablet 168 295 49,560 v
Rp 307,098 46 Parasetabotol 4 27,500 110,000 v
Rp 7,980 47 R. Solutbotol 2 25,000 50,000 v
Rp 5,000 48 Ranitidin
ampul 135 2,400 324,000 v
Rp 12,300 49 Ranitiditablet 35 275 9,625 v
Rp 53,760 50 Retaphyl
tablet 30 2,800 84,000 v
Rp 72,450 51 Sotaticampul
i 72 4,250 306,000 v
Rp 222,300 52 Stimunotablet 15 2,813 42,188 v
Rp -
Rp 67,500 53 Ultrafix pcs 10 3,750 37,500 v
Rp 93,750 54 Vitamintablet 14 100 1,400 v
Rp 98,550 55 Vitaminampul 1 2,498 2,498 v
Rp 74,896 Total 10,298,907
Rp -
Rp 1,530,000
Rp 221,000 e-catalog 2106
Rp 921,648
Rp -
Rp -
Rp 1,500
Rp 638,324
Rp (2,112,000)
Rp -
Rp (29,800)
Rp -
Rp 124,800
Rp 58,750
Rp 100,000
Rp (1,441,408)
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,576,500
Rp 1,970,430
Rp 31,000
Rp 16,800
Rp 31,600
Rp -
Rp 14,000
Rp 189,126
Rp 91,300
Rp 1,295,800
Rp 132,720
Rp -
Rp 47,700
Rp 8,430,240
Rp 1,801,485
Rp (12,350)
Rp 32,550
Rp 132,000
Rp 40,900
Rp 2,681,000
Rp 26,800
Rp -
Rp -
Rp 112,140
Rp 441,000
Rp 195,225
Rp -
Rp -
Rp -
Rp 875,000
Rp 1,224,720
Rp 116,144
Rp 1,286,559
Rp -
Rp 49,140
Rp -
Rp 209,880
Rp 283,500
Rp 6,048,000
Rp 3,561,000
Rp 279,000
Rp 782,000
Rp 185,000
Rp 69,944
Rp 56,100
Rp 122,360
Rp 47,850
Rp 45,500
Rp 1,329,570
Rp (747,000)
Rp (47,400)
Rp -
Rp 86,052
Rp 1,440,000
Rp 544,500
Rp 713,800
Rp 77,140
Rp 6,496
Rp -
Rp -
Rp (12,000)
Rp 1,414,000
Rp 6,900
Rp 1,347,000
Rp (81,200)
Rp -
Rp 160,000
Rp -
Rp 8,500
Rp 42,500
Rp -
Rp 52,632
Rp 503,338
Rp 660,000
Rp 725,400
Rp -
Rp 75,000
Rp 1,425,000
Rp 2,541,000
Rp 66,096 e-catalog 2106

Rp 159,526
Rp 6,500
Rp 500,000 ?
Rp 91,800 ?
Rp 36,500 1610
Rp 4,320,000 E.D
Rp 446,400
Rp -
Rp 24,000
Rp 2,665,000
Rp 3,125,000
Rp (5,138)
Rp 79,980
Rp 221,000
Rp 4,039,549
Rp 541,420
Rp -
Rp 14,200
Rp -
Rp 64,768
Rp (150,375)
Rp -
Rp 1,291,290
Rp 5,525,000
Rp (316,800)
Rp -
Rp -
Rp - e-catalog 2106
Rp 538,200
Rp 2,695,000
Rp 240,800
Rp 21,096
Rp -
Rp 144,440
Rp 145,796
Rp 1,120,000 ?
Rp 1,224,960
Rp 88,608
Rp (693,360)
Rp (165,000)
Rp 42,300
Rp 916
Rp 56,100
Rp (119,280)
Rp -
Rp (2,340,000)
Rp 569,008
Rp 480,000
Rp (97,750) e-catalog 2106
Rp 65,879
Rp (31,624)
Rp 103,040
Rp 752,400
Rp 419,676
Rp 637,980
Rp 348,150
Rp 320,703
Rp (3,750)
Rp 44,000
Rp 455,700
Rp 44,200
Rp 441,000
Rp 4,220,600
Rp 1,718,200
Rp -
Rp 1,785,000 ?
Rp 6,440,175
Rp 621,600
Rp 1,053,500
Rp 35,750
Rp 1,455,000
Rp (45,200)
Rp (26,250)
Rp 67,100
Rp (787,464)
Rp 9,000
Rp -
Rp -
Rp 6,262,538
Rp 22,814,580
Rp 2,250,000
Rp 205,800
Rp 744,600
Rp 47,100
Rp 44,400
Rp 1,247,000
Rp -
Rp 5,400
Rp (6,900,000)
Rp (942,000)
Rp 24,288
Rp 25,220
Rp 589,000
Rp (50,000)
Rp -
Rp 737,100
Rp 158,576
Rp (255,600)
Rp (550,000)
Rp 294,000
Rp 631,400
Rp 28,000
Rp 1,248,150
Rp 3,758,200
Rp 39,000
Rp 39,300
Rp 2,268,000
Rp (11,562)
Rp -
Rp 3,126,114
Rp 629,800
Rp 1,158,740
Rp 104,030
Rp -
Rp 60,750
Rp 30,810
Rp 55,000
Rp -
Rp 97,900
Rp 436,400
Rp 19,096
Rp -
Rp 651,000
Rp (734,400)
Rp 6,875
Rp 10,000
Rp (1,590,400)
Rp 8,320
Rp 872,108
Rp 60,000
Rp 26,278,980
Rp 550,000
Rp 154,224
Rp 490,000
Rp -
Rp 4,960
Rp 79,833
Rp 1,436,544
Rp 12,000
Rp 211,742
Rp 1,020,000
Rp 214,200
Rp 20,530
Rp 376,800
Rp (3,840)
Rp (8,960)
Rp 2,056,250
Rp 45,000
Rp -
Rp 73,500
Rp 940,800
Rp 130,500
Rp 1,540,000
Rp 856,691
Rp 223,850
Rp 62,400
Rp 11,000
Rp 4,290,000
Rp 7,665
Rp 940,000
Rp (21,550)
Rp -
Rp -
Rp 94,500
Rp 95,000
Rp (124,650)
Rp 28,600
Rp -
Rp 320,000
Rp 315,000
Rp 900,000
Rp 950,000
Rp -
Rp -
Rp (66,938)
Rp 2,598,750
Rp 494,802
Rp (96,750)
Rp 113,100
Rp 6,360
Rp 180,400
Rp 40,983
Rp (180,300)
Rp 8,427
Rp 7,500
Rp -
Rp 38,500
Rp 6,534,000
Rp 169,785
Rp 1,463,385
Rp 54,670
Rp 398,040
Rp 878,010
Rp -
Rp 89,300
Rp 209,671,619
0 Agustus 2016
Jumlah
14 = 12 x 13
Rp 723,260
Rp 304,794
Rp 6,101,960
Rp 6,063,340
Rp 10,574,156
Rp 4,889,292
Rp 2,709,000
Rp 528,000
Rp 355,000
Rp 2,280,600
Rp 165,000
Rp 1,135,600
Rp 1,222,960
Rp 1,222,960
Rp 1,048,240
Rp 393,090
Rp 1,048,240
Rp -
Rp 171,228
Rp 22,500
Rp -
Rp 609,362
Rp 422,787
Rp 317,090
Rp 317,090
Rp 634,181
Rp -
Rp 168,159
Rp -
Rp 1,240,909
Rp 2,342,560
Rp 85,500
Rp 91,914
Rp 91,914
Rp 91,914
Rp 91,914
Rp 91,914
Rp 45,957
Rp 91,914
Rp 1,852,200
Rp 332,640
Rp 30,240
Rp 1,925,280
Rp 2,157,120
Rp 32,400
Rp 201,600
Rp 292,320
Rp 2,207,520
Rp 1,474,200
Rp 145,200
Rp 267,168
Rp 149,556
Rp 277,332
Rp 39,383
Rp 30,000
Rp -
Rp 845,350
Rp 4,664,000
Rp 6,704,500
Rp 7,753,900
Rp 207,468
Rp 1,290,912
Rp 1,921,000
Rp 1,175,652
Rp 1,972,320
Rp 14,563
Rp 7,148,736
Rp 1,159,830
Rp 2,800,000
Rp 1,820,000
Rp 495,000
Rp 721,812
Rp 6,615,000
Rp 82,500
Rp 359,700
Rp 152,460
Rp 3,381,400
Rp 2,665,000
Rp 6,900,000
Rp 2,520,000
Rp 180,000
Rp 1,200,000
Rp 6,930,000
Rp 249,000
Rp 550,000
Rp 550,000
Rp 550,000
Rp -
Rp 85,800
Rp 801,550
Rp 326,976
Rp 11,800
Rp -
Rp 346,464
Rp 255,036
Rp -
Rp 19,778
Rp -
Rp -
Rp -
Rp -
Rp 13,050
Rp 1,436,400
Rp (286,364)
Rp -
Rp 3,126,114
Rp 629,800
Rp 192,520
Rp 315,489
Rp 1,311,095
Rp -
Rp 3,383,100
Rp 2,190,100
Rp 2,721,744
Rp 2,232,400
Rp 2,003,100
Rp 405,682
Rp 2,922,500
Rp 862,400
Rp 719,800
Rp 75,000
Rp 465,850
Rp 1,100,000
Rp 715,000
Rp 416,000
Rp 47,728
Rp -
Rp 2,556,700
Rp 2,052,304
Rp 1,194,600
Rp 8,008,000
Rp 4,751,600
Rp 5,590,200
Rp 20,475
Rp 172,568
Rp 177,660
Rp 14,158,872
Rp 8,050,455
Rp 496,000
Rp 287,028
Rp 619,999
Rp 182,334
Rp 3,937,505
Rp 192,500
Rp 3,861,000
Rp 3,474,882
Rp 3,643,200
Rp 4,048,000
Rp 221,130
Rp 240,000
Rp 320,000
Rp 544,320
Rp 118,900
Rp -
Rp 842,940
Rp 87,500
Rp 231,385,146

Lap Obat APBDSeptember 2016 NEW2

Diunggah oleh

Informasi Dokumen

Deskripsi Asli:

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Lap Obat APBDSeptember 2016 NEW2

Diunggah oleh

Hak Cipta:

Format Tersedia

LAPORAN PERSEDIAAN OBAT-OBATAN DAN BAHAN HABIS PAKAI (BHP) RSUD.

SKPD : RSUD. PERDAGANGAN

Saldo Awal 01 Juli 2016 Penerimaan Peng

(dr. MASLINA SIPAYUNG, M.Si)

Pengeluaran Saldo Akhir Per 10 Juli 2016

WILSON SAMOSIR, S.SI. APT, MM

SKPD : RSUD. PERDAGANGAN

DIKETAHUI OLEH: Perdagangan, 20 Juli 2016

SKPD : RSUD. PERDAGANGAN

DIKETAHUI OLEH: Perdagangan, 20 Juli 2016

an, 20 Juli 2016

SKPD : RSUD. PERDAGANGAN

DIKETAHUI OLEH: Perdagangan, 31 Agustus 2016

(dr. MASLINA H. SIPAYUNG, M.Si) WILSON SAMOSIR, S.SI. APT, MM

Rp - 5 Asam trtablet 20 1218.7 24,374 v

Rp 2,812 28 17 Clopidotablet 10 3,430 34,303 v

Rp 608,000 20 Dulcolaxtablet 20 1,409 28,184 v

Rp 10,142 42 Omeprazvial 24 50,000 1,200,000 v

Rp 66,096 e-catalog 2106

Anda mungkin juga menyukai