DAFTAR KUANTITAS DAN HARGA OBAT PT.

EDYSA SUKSES BERSAMA

No Nama Obat/ Alkes Satuan Banyaknya Harga(@) Total

1 Allopurinol tab 100 mg Tablet 300 500 150,000
2 Alprazolam 0,5 mg Tablet 1000 3,100 3,100,000
3 Ambroxol Sirup Botol 100 5,000 500,000
4 Ambroxol tablet Tablet 300 300 90,000
5 Amlodiphin 10 mg Tablet 500 1,620 810,000
6 Antasida Sirup Botol 300 6,250 1,875,000
7 Asam Folat Tablet 300 312 93,600
8 Asam Traneksamat Amp 100 7,500 750,000
9 Asam Mefenamat 500 mg Tablet 300 250 75,000
10 Asam Traneksamat Tablet 500 1,870 935,000
11 Aspilet tablet Tablet 200 875 175,000
12 Bethahistin 6 mg Tablet 500 1,500 750,000
13 Bicarbonat natrium Tablet 500 250 125,000
14 Burnazine zalf tube 20 58,120 1,162,400
15 Captopril 25 mg Tablet 500 375 187,500
16 Cefixime 100 mg Tablet 500 2,000 1,000,000
17 Cefixime Sirup Botol 50 18,750 937,500
18 Cefotaxime inj 1 gr Vial 200 12,430 2,486,000
19 Cetrizine tab Tablet 500 625 312,500
20 Cetirizine Sirup Botol 50 8,000 400,000
21 Ciprofloxacin 500 mg Tablet 500 690 345,000
22 Ciprofloxacin Infus Fls 100 25,449 2,544,900
23 Clindamicyn 300 mg Tablet 300 2,000 600,000
24 Clopidogrel 75 mg Tablet 500 3,750 1,875,000
25 Curcuma Sirup Botol 50 16,250 812,500
26 Curcuma tablet Tablet 2000 1,500 3,000,000
27 Donperidon tab Tablet 2000 500 1,000,000
28 Ethambutol tablet Tablet 300 875 262,500
29 Furosemide inj Amp 200 11,723 2,344,600
30 Furosemide tablet Tablet 300 375 112,500
31 Gliceril Guayacolat Tablet 200 250 50,000
32 Glimepiride 2 mg Tablet 1000 2,375 2,375,000
33 Harnal tablet Tablet 100 20,000 2,000,000
34 Isosorbid di nitrat tab (ISDN) Tablet 100 250 25,000
35 Lacto-B Sachet 100 8,125 812,500
36 Lansoprazole kap kapsul 3000 1,375 4,125,000
37 Laxadine sirup Botol 50 10,937 546,850
38 Levofloksacin infus botol 30 60,000 1,800,000
39 Lomatulle lbr 50 17,875 893,750
40 Mecobalamin inj Amp 100 27,500 2,750,000
41 Mecobalamin tab Tablet 1000 2,625 2,625,000
42 Metformin tab 500 mg Tablet 500 375 187,500
43 Methylprednisolon 4 mg Tablet 1000 625 625,000
44 Methylprednisolon inj Vial 200 36,720 7,344,000
45 Metoclorpramide inj Amp 50 4,250 212,500
46 Metronidazole infus Fls 100 18,000 1,800,000
47 Metronidazole tab 500 mg Tablet 200 375 75,000
48 NaCl 100 ml infus Fls 50 16,700 835,000
49 Neurodex tab Tablet 2000 867 1,734,000
50 NGT no 14 pcs 20 26,620 532,400
51 NGT no 16 pcs 20 26,620 532,400
52 Norages inj Amp 200 12,355 2,471,000
53 Omeprazole inj Vial 300 56,500 16,950,000
54 Omeprazole tablet Tablet 2000 1,000 2,000,000
55 Pantoprazole inj Vial 150 56,500 8,475,000
56 Paracetamol tab Tablet 5000 500 2,500,000
57 Plester 1,2 cm x 4,5 cm roll 100 8,544 854,400
58 Propil Tio Urasil (PTU) Tablet 300 800 240,000
59 Retaphyl tab Tablet 500 3,000 1,500,000
60 Ringer Solution infus Fls 40 20,000 800,000
61 Ulsafate Sirup Botol 20 43,700 874,000
62 Ultrafix pcs 100 3,720 372,000
63 Ventolin Nebulez inj ampul 300 11,770 3,531,000
64 Vit B Komplex Tablet 200 250 50,000
65 Vit K INJ ampul 100 1,800 180,000
TOTAL Rp 101,489,800
 DAFTAR KUANTITAS DAN HARGA OBAT PT. EDYSA SUKSES BERSAMA

No Nama Obat/ Alkes Satuan Dipesan Diterima Sisa Harga(@) Jumlah

1 Allopurinol tab 100 mg Tablet 300 300 0 500 -
2 Alprazolam 0,5 mg Tablet 1000 0 1000 3,100 3,100,000
3 Ambroxol Sirup Botol 100 100 0 5,000 -
4 Ambroxol tablet Tablet 300 300 0 300 -
5 Amlodiphin 10 mg Tablet 500 500 0 1,620 -
6 Antasida Sirup Botol 300 300 0 6,250 -
7 Asam Folat Tablet 300 300 0 312 -
8 Asam Traneksamat Amp 100 0 100 7,500 750,000
9 Asam Mefenamat 500 mg Tablet 300 300 0 250 -
10 Asam Traneksamat Tablet 500 0 500 1,870 935,000
11 Aspilet tablet Tablet 200 0 200 875 175,000
12 Bethahistin 6 mg Tablet 500 500 0 1,500 -
13 Bicarbonat natrium Tablet 500 500 0 250 -
14 Burnazine zalf tube 20 20 0 58,120 -
15 Captopril 25 mg Tablet 500 500 0 375 -
16 Cefixime 100 mg Tablet 500 0 500 2,000 1,000,000
17 Cefixime Sirup Botol 50 50 0 18,750 -
18 Cefotaxime inj 1 gr Vial 200 0 200 12,430 2,486,000
19 Cetrizine tab Tablet 500 500 0 625 -
20 Cetirizine Sirup Botol 50 50 0 8,000 -
21 Ciprofloxacin 500 mg Tablet 500 500 0 690 -
22 Ciprofloxacin Infus Fls 100 100 0 25,449 -
23 Clindamicyn 300 mg Tablet 300 150 150 2,000 300,000
24 Clopidogrel 75 mg Tablet 500 300 200 3,750 750,000
25 Curcuma Sirup Botol 50 50 0 16,250 -
26 Curcuma tablet Tablet 2000 2000 0 1,500 -
27 Donperidon tab Tablet 2000 2000 0 500 -
28 Ethambutol tablet Tablet 300 300 0 875 -
29 Furosemide inj Amp 200 200 0 11,723 -
30 Furosemide tablet Tablet 300 300 0 375 -
31 Gliceril Guayacolat Tablet 200 0 200 250 50,000
32 Glimepiride 2 mg Tablet 1000 0 1000 2,375 2,375,000
33 Harnal tablet Tablet 100 0 100 20,000 2,000,000
34 Isosorbid di nitrat tab (ISDN Tablet 100 100 0 250 -
35 Lacto-B Sachet 100 100 0 8,125 -
36 Lansoprazole kap kapsul 3000 2000 1000 1,375 1,375,000
37 Laxadine sirup Botol 50 50 0 10,937 -
38 Levofloksacin infus botol 30 30 0 60,000 -
39 Lomatulle lbr 50 30 20 17,875 357,500
40 Mecobalamin inj Amp 100 0 100 27,500 2,750,000
41 Mecobalamin tab Tablet 1000 1000 0 2,625 -
42 Metformin tab 500 mg Tablet 500 500 0 375 -
43 Methylprednisolon 4 mg Tablet 1000 1000 0 625 -
44 Methylprednisolon inj Vial 200 200 0 36,720 -
45 Metoclorpramide inj Amp 50 50 0 4,250 -
46 Metronidazole infus Fls 100 100 0 18,000 -
47 Metronidazole tab 500 mg Tablet 200 200 0 375 -
48 NaCl 100 ml infus Fls 50 0 50 16,700 835,000
49 Neurodex tab Tablet 2000 2000 0 867 -
50 NGT no 14 pcs 20 20 0 26,620 -
51 NGT no 16 pcs 20 20 0 26,620 -
52 Norages inj Amp 200 200 0 12,355 -
53 Omeprazole inj Vial 300 300 0 56,500 -
54 Omeprazole tablet Tablet 2000 2000 0 1,000 -
55 Pantoprazole inj Vial 150 150 0 56,500 -
56 Paracetamol tab Tablet 5000 5000 0 500 -
57 Plester 1,2 cm x 4,5 cm roll 100 100 0 8,544 -
58 Propil Tio Urasil (PTU) Tablet 300 300 0 800 -
59 Retaphyl tab Tablet 500 300 200 3,000 600,000
60 Ringer Solution infus Fls 40 0 40 20,000 800,000
61 Ulsafate Sirup Botol 20 20 0 43,700 -
62 Ultrafix pcs 100 0 100 3,720 372,000
63 Ventolin Nebulez inj ampul 300 300 0 11,770 -
64 Vit B Komplex Tablet 200 0 200 250 50,000
65 Vit K INJ ampul 100 0 100 1,800 180,000
TOTAL Sisa Rp 21,240,500
Diterima Rp 80,249,300
Total Rp 101,489,800
Terealisasi 79.07 %
Blm terealisasi 20.93%

Perdagangan, 03 Januari 2017

Pembuat Laporan,

WILSON SAMOSIR, S.SI, Apt, MM

NIP. 197007242009021001
 DAFTAR KUANTITAS DAN HARGA OBAT PT. EDYSA SUKSES BERSAMA

No Nama Obat/ Alkes Satuan Dipesan Diterima Sisa Harga(@) Jumlah

1 Allopurinol tab 100 mg Tablet 300 300 0 500 -
2 Alprazolam 0,5 mg Tablet 1000 0 1000 3,100 3,100,000
3 Ambroxol Sirup Botol 100 100 0 5,000 -
4 Ambroxol tablet Tablet 300 300 0 300 -
5 Amlodiphin 10 mg Tablet 500 500 0 1,620 -
6 Antasida Sirup Botol 300 300 0 6,250 -
7 Asam Folat Tablet 300 300 0 312 -
8 Asam Traneksamat Amp 100 100 0 7,500 -
9 Asam Mefenamat 500 mg Tablet 300 300 0 250 -
10 Asam Traneksamat Tablet 500 500 0 1,870 -
11 Aspilet tablet Tablet 200 200 0 875 -
12 Bethahistin 6 mg Tablet 500 500 0 1,500 -
13 Bicarbonat natrium Tablet 500 500 0 250 -
14 Burnazine zalf tube 20 20 0 58,120 -
15 Captopril 25 mg Tablet 500 500 0 375 -
16 Cefixime 100 mg Tablet 500 500 0 2,000 -
17 Cefixime Sirup Botol 50 50 0 18,750 -
18 Cefotaxime inj 1 gr Vial 200 200 0 12,430 -
19 Cetrizine tab Tablet 500 500 0 625 -
20 Cetirizine Sirup Botol 50 50 0 8,000 -
21 Ciprofloxacin 500 mg Tablet 500 500 0 690 -
22 Ciprofloxacin Infus Fls 100 100 0 25,449 -
23 Clindamicyn 300 mg Tablet 300 300 0 2,000 -
24 Clopidogrel 75 mg Tablet 500 500 0 3,750 -
25 Curcuma Sirup Botol 50 50 0 16,250 -
26 Curcuma tablet Tablet 2000 2000 0 1,500 -
27 Donperidon tab Tablet 2000 2000 0 500 -
28 Ethambutol tablet Tablet 300 300 0 875 -
29 Furosemide inj Amp 200 200 0 11,723 -
30 Furosemide tablet Tablet 300 300 0 375 -
31 Gliceril Guayacolat Tablet 200 0 200 250 50,000
32 Glimepiride 2 mg Tablet 1000 1000 0 2,375 -
33 Harnal tablet Tablet 100 0 100 20,000 2,000,000
34 Isosorbid di nitrat tab (ISDN Tablet 100 100 0 250 -
35 Lacto-B Sachet 100 100 0 8,125 -
36 Lansoprazole kap kapsul 3000 3000 0 1,375 -
37 Laxadine sirup Botol 50 50 0 10,937 -
38 Levofloksacin infus botol 30 30 0 60,000 -
39 Lomatulle lbr 50 50 0 17,875 -
40 Mecobalamin inj Amp 100 0 100 27,500 2,750,000
41 Mecobalamin tab Tablet 1000 1000 0 2,625 -
42 Metformin tab 500 mg Tablet 500 500 0 375 -
43 Methylprednisolon 4 mg Tablet 1000 1000 0 625 -
44 Methylprednisolon inj Vial 200 200 0 36,720 -
45 Metoclorpramide inj Amp 50 50 0 4,250 -
46 Metronidazole infus Fls 100 100 0 18,000 -
47 Metronidazole tab 500 mg Tablet 200 200 0 375 -
48 NaCl 100 ml infus Fls 50 0 50 16,700 835,000
49 Neurodex tab Tablet 2000 2000 0 867 -
50 NGT no 14 pcs 20 20 0 26,620 -
51 NGT no 16 pcs 20 20 0 26,620 -
52 Norages inj Amp 200 200 0 12,355 -
53 Omeprazole inj Vial 300 300 0 56,500 -
54 Omeprazole tablet Tablet 2000 2000 0 1,000 -
55 Pantoprazole inj Vial 150 150 0 56,500 -
56 Paracetamol tab Tablet 5000 5000 0 500 -
57 Plester 1,2 cm x 4,5 cm roll 100 100 0 8,544 -
58 Propil Tio Urasil (PTU) Tablet 300 300 0 800 -
59 Retaphyl tab Tablet 500 300 200 3,000 600,000
60 Ringer Solution infus Fls 40 0 40 20,000 800,000
61 Ulsafate Sirup Botol 20 20 0 43,700 -
62 Ultrafix pcs 100 100 0 3,720 -
63 Ventolin Nebulez inj ampul 300 300 0 11,770 -
64 Vit B Komplex Tablet 200 0 200 250 50,000
65 Vit K INJ ampul 100 0 100 1,800 180,000
TOTAL Sisa Rp 10,365,000
Diterima Rp 91,124,800
Total Rp 101,489,800
Terealisasi 89.78 %
Blm terealisasi 10.22%

Perdagangan, 06 Januari 2017

Pembuat Laporan,

WILSON SAMOSIR, S.SI, Apt, MM

NIP. 197007242009021001
 DAFTAR KUANTITAS DAN HARGA OBAT PT. EDYSA SUKSES BERSAMA BELUM DITERIMA

No Nama Obat/ Alkes Satuan Dipesan Diterima Sisa Harga(@) Total

1 Alprazolam 0,5 mg Tablet 1000 0 1000 3,100 3,100,000
2 Asam Traneksamat Amp 100 0 100 7,500 750,000
3 Asam Traneksamat Tablet 500 0 500 1,870 935,000
4 Aspilet tablet Tablet 200 0 200 875 175,000
5 Cefixime 100 mg Tablet 500 0 500 2,000 1,000,000
6 Cefotaxime inj 1 gr Vial 200 0 200 12,430 2,486,000
7 Clindamicyn 300 mg Tablet 300 150 150 2,000 300,000
8 Clopidogrel 75 mg Tablet 500 300 200 3,750 750,000
9 Gliceril Guayacolat Tablet 200 0 200 250 50,000
10 Glimepiride 2 mg Tablet 1000 0 1000 2,375 2,375,000
11 Harnal tablet Tablet 100 0 100 20,000 2,000,000
12 Lansoprazole kap kapsul 3000 2000 1000 1,375 1,375,000
13 Lomatulle lbr 50 30 20 17,875 357,500
14 Mecobalamin inj Amp 100 0 100 27,500 2,750,000
15 NaCl 100 ml infus Fls 50 0 50 16,700 835,000
16 Retaphyl tab Tablet 500 300 200 3,000 600,000
17 Ringer Solution infus Fls 40 0 40 20,000 800,000
18 Ultrafix pcs 100 0 100 3,720 372,000
19 Vit B Komplex Tablet 200 0 200 250 50,000
20 Vit K INJ ampul 100 0 100 1,800 180,000
TOTAL Rp 21,240,500

Perdagangan, 03 Januari 2017

Pembuat laporan,

WILSON SAMOSIR, S.SI, Apt, MM

NIP. 197007242009021001
 DAFTAR KUANTITAS DAN HARGA OBAT PT. EDYSA SUKSES BERSAMA BELUM DITERIMA

No Nama Obat/ Alkes Satuan Dipesan Diterima Sisa Harga(@) Total

1 Alprazolam 0,5 mg Tablet 1000 0 1000 3,100 3,100,000
2 Gliceril Guayacolat Tablet 200 0 200 250 50,000
3 Harnal tablet Tablet 100 0 100 20,000 2,000,000
4 Mecobalamin inj Amp 100 0 100 27,500 2,750,000
5 NaCl 100 ml infus Fls 50 0 50 16,700 835,000
6 Retaphyl tab Tablet 500 300 200 3,000 600,000
7 Ringer Solution infus Fls 40 0 40 20,000 800,000
8 Vit B Komplex Tablet 200 0 200 250 50,000
9 Vit K INJ ampul 100 0 100 1,800 180,000
TOTAL Rp 10,365,000

Perdagangan, 06 Januari 2017

Pembuat Laporan,

WILSON SAMOSIR, S.SI, Apt, MM

NIP. 197007242009021001