RENCANA BELANJA OBAT

PERIODE/MINGGU
BUDGET/ANGGARAN

NO JENIS OBAT / ALKES

1 TROPIDRIL EXP SYR
3 ACIFAR 400
6 ACTAPIN 10MG TAB
7 ACTAPIN 5
9 ACTAPIN 5MG TAB
10 ACYCLOVIR 400MG TAB (G)
11 ACYCLOVIR CREAM
12 ACYCLOVIR CRM (G)
13 AFOLAT TAB/ ANELAT TAB
14 AKITA
15 ALLERON
16 ALLETEROL TETES MATA
17 ALMACON TAB
18 AMBEVEN CAPS
19 AMBEVEN CAPS
20 AMBROXOL 15 SYR (G)
21 AMBROXOL 15 SYR (G)
22 AMBROXOL 15MG SYR
23 AMBROXOL 15MG SYR (G)
24 AMBROXOL 15MG SYR (G)
25 AMBROXOL 30 TAB (G)
26 AMBROXOL 30 TAB (G)
27 AMBROXOL 30MG TAB (G)
28 AMBROXOL TAB (G)
29 AMBROXOL TAB (G)
30 AMLODIPIN 10 (G)
31 AMLODIPIN 10MG TAB
32 AMLODIPIN 10MG TAB (G)
33 AMLODIPIN 10MG TAB (G)
34 AMLODIPIN 5 (G)
35 AMLODIPIN 5MG TAB
36 AMLODIPIN 5MG TAB (G)
37 AMLODIPIN 5MG TAB (G)
38 AMLODIPIN 5MG TAB (G)
39 AMOXICILIN 500 (G)
40 AMOXICILIN 500 (G)
41 AMOXICILLIN 500MG TAB (G)
42 AMOXIILLIN 500MG TAB
43 ANDALAN INJ
44 ANDALAN INJ 3 BLN
45 ANTASIDA DOEN POT
46 ANTASIDA SYR
47 ANTASIDA SYR
48 ANTASIDA SYR
49 ANTASIDA SYR (G)
50 ANTASIDA SYR/ NOVAMAG SYR
51 AQUABIDES
52 AQUABIDEST
53 AQUABIDEST
54 AQUABIDEST
55 AQUABIDEST
56 ARKAVIT C
57 ARKAVIT-C TAB
58 ARKAVIT-C TAB
59 ASAM MEFENAMAT 500 (G)
60 ASAM MEFENAMAT TAB
61 ASAM MEFENAMAT TAB (G)
62 ASAM MEFENAMAT TAB (G)
63 ASAM MEFENAMAT TAB (G)
64 ASPILETS
65 BETAMETASON CRM (G)
66 BIOPLACENTON CR
67 BIOPLACENTON CRM
68 BROADAMOX 500
69 BROADAMOX 500MG TAB
70 BROCON TAB
71 BROCON TAB
72 BRONEX TAB
73 BRONEX TAB
74 CALORTUSIN TAB
75 CALORTUSIN TAB/ BROCHIFAR TAB
76 CALORTUSIN TAB/ BROCHIFAR TAB
77 CALORTUSIN TAB/ BROCHIFAR TAB
78 CALSIUM LAKTAT/TRIMAKAL
79 CAPTOPRIL 12,5MG TAB
80 CAPTOPRIL 25MG TAB
81 CAPTOPRIL 25MG TAB (G)
82 CARBIDU 0,5
83 CARBIDU 0,75
84 CARBIDU 0,75 TAB
85 CARBIDU 0,75 TAB
86 CARBIDU 0,75 TAB
1 CARBIDU 0,75 TAB
2 CAVICUR SYR
3 CAVICUR SYR
4 CAVICUR SYR
5 CAVICUR SYR
6 CAVICUR TAB
RENCANA BELANJA OBAT
: 2-May-17
: UMUM & BPJS

RENCANA BELANJA
JUMLAH SATUAN ANGGARAN
60 FLS
150 TAB
300 TAB
2 BOX
3 BOX
1 BOX
6 TUBE
6 TUBE
1 BOX
1 BOX
1 BOX
2 FLS
1 BOX
3 STRIP
3 STRIP
20 FLS
35 FLS
40 FLS
40 FLS
40 FLS
2 BOX
2 BOX
4 BOX
1 BOX
2 BOX
2 BOX
3 BOX
1 BOX
1 BOX
4 BOX
6 BOX
4 BOX
6 BOX
5 BOX
4 BOX
4 BOX
4 BOX
3 BOX
6 VIAL
6 VIAL
1 POT
25 FLS
40 FLS
40 FLS
40 FLS
40 FLS
10 VIAL
10 FLS
10 FLS
10 FLS
10 FLS
1 BOX
2 BOX
1 BOX
2 BOX
3 BOX
2 BOX
4 BOX
2 BOX
1 BOX
6 TUBE
4 TUBE
2 TUBE
2 BOX
1 BOX
2 BOX
2 BOX
2 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
6 FLS
10 FLS
14 FLS
8 FLS
1 BOX
 RENCANA BELANJA OBAT
PERIODE/MINGGU : : 02 MEI 2017
BUDGET/ANGGARAN : : BPJS
NO JENIS OBAT / ALKES RENCANA BELANJA KETERANGAN
JUMLAH ANGGARAN
1 AMOXICILLIN 500MG TAB (G) 4 BOX X 33000 132000
2 CEFADROXIL 500MG TAB (G) 3 BOX X 65000 65000
3 CIPROFLOXACIN 500MG TAB (G)/ETAFLOX 500 5 BOX X 42000 210000
4 MILORIN 300 CAPS 1 BOX X 74000 74000
5 COTRIMOXAZOL (G) 1 BOX X 20000 20000
6 KETOCONAZOL 200 TAB (G) 1 BOX X 20000 20000
7 SULTRIMIX FORTE 1 BOX X 36500 36500
8 ACYCLOVIR 400MG TAB (G) 1 BOX X 31000 31000
9 AMLODIPIN 5MG TAB (G) 4 BOX X 11000 44000
10 GLIBENCLAMID 5 (G) 1 BOX X 12000 12000
11 ZECANEURON TAB/DANEURON 3 BOX X 41000 123000
12 METFORMIN 500MG TAB (G) 1 BOX X 18500 18500
13 METHYLPREDNISOLON 4MG TAB (G) 4 BOX X 31000 124000
14 GRAFACHLOR TAB 1 BOX X 17000 17000
15 EMTURNAS FORTE TAB/FASIDOL FORTE 3 BOX X 16000 48000
16 NOVAXIFEN TAB 5 BOX X 24500 98000
17 ASAM MEFENAMAT TAB (G) 2 BOX X 16000 32000
18 MELOGRA TAB 4 BOX X 18000 72000
19 LAFEN 50 / ZELONA 50 3 BOX X 17000 51000
20 AMBROXOL 30MG TAB (G) 4 BOX X 11000 44000
21 GRANTUSIF TAB 1 BOX X 37000 37000
22 OMEPRAZOLE CAPS (G)/ LOKEV ( 4 BOX) 8 BOX X 13500 108000
23 RANITIDIN TAB (G)/OMERANIN 4 BOX X 18000 72000
24 ROSIDON TAB 1 BOX X 21000 21000
25 CETIRIZIN CAPS ( ISI 100 )/ CETIRIZIN (G) ISI 50 TAB( 5 BOX) 2 BOX X 38000 76000
26 OMEMOX 125 SYR/ YUSIMOX 125 SYR 50 FLS X 4000 20000
27 DIONICOL SYR 20 FLS X 6500 130000
28 KANINA SYR 4 FLS X 4000 16000
29 GITRI SYR 4 FLS X 4000 16000
30 ANTASIDA SYR 20 FLS X 3500 70000
31 ROSIDON SYR 6 FLS X 4000 24000
32 PACDIN VITCUR SYR 10 FLS X 4500 45000
33 AMBROXOL 15 SYR (G) 20 FLS X 4000 80000
34 NOVAGESIC SYR 25 FLS X 3500 87500
35 PROINTI SYR 3 FLS X 4000 12000
36 ORSARDERM CREAM 8 TUBE X 3000 18000
37 GENTAMICIN CRM (G)/GENTALEX CRM 7 TUBE X 2500 17500
38 KETOCONAZOLE CRM 7 TUBE X 6500 45500
39 VITAMIN B COM ( POT ) 1 POT X 45000 45000
40 VITAMIN C (POT) 1 POT X 37000 37000
41 IFITAMOL 500/TRIFAMOL 500 (POT)/FASIDOL 500 (5 BOX) 1 POT X 80000 80000
42 ORPHEN 1 BOX X 20000 20000
43 VENTOLIN NEBU 10 PCS X 11000 110000
44 PREDNISON 5 MG (POT) 1 POT X 150000 150000
2609500
FARMASI KEUANGAN PIMPINAN
 Klinik KLINIK SANTOSA
Santosa JL Raya Subang Purwakarta desa Cijoged RT 03/01 Subang
INSTALASI FARMASI

Cijoged, 02 MEI 2017

SURAT PESANAN OBAT

Kepada Yth,
Apotek Hamzah

NO JENIS OBAT / ALKES JUMLAH KETERANGAN

1 CEFOTAXIME INJ 25 VIAL
2 CEFTRIAXONE INJ 10 VIAL
3 NORAGES INJ 5 AMP
4 BENANG SILK + JARUM 3/0 6 PCS
5 BENANG CHROMIC + JARUM 3/0 6 PCS
6 INFUSET MAKRO GEA 30 PCS
7 SPUIT 3CC ONEMAD 1 BOX
8 SPUIT 1CC ONEMAD 30 PCS
9 SPUIT 5CC ONEMAD 15 PCS
10 HYPAFIX 10 M X 5CM 1 ROLL
11 RANITIDIN INJ 50 AMP
12 BISTURI NO 15/11 6 PCS
13 ONDANSETRON INJ 10 AMP
14 HANDSOON SIZE (M) 1 BOX
15 H2O2 100 ML 1 BTL
16 RL OTSU/WIDATRA 5 DUS
17 EASY TOUCH ASAM URAT 1 POT
18 EASY TOUCH CHOLESTEROL 1 POT
19 EASY TOUCH GDS 1 POT
20 NEDLE 24 ONEMAD 1 BOX
21 KASSA STERIL 12 PCS
22 KASSA HYDROFIL 1 ROLL
23 LOMATUL/SOFRATUL 3 PCS
24 NASSAL ADULT (DEWASA) 2 PCS
25 KASSA GULUNG 5 CM 2 PCS
26 PLASTIK KLIP 10 X 7 8 PCS
27 PLASTIK KLIP 13 X 8,7 6 PCS
28 LANCET NO 26 1 BOX
 Klinik KLINIK SANTOSA
Santosa JL Raya Subang Purwakarta desa Cijoged RT 03/01 Subang
INSTALASI FARMASI
Cijoged, 2 MEI 2017

SURAT PESANAN OBAT

Kepada Yth,
Apotek Hamzah

NO JENIS OBAT / ALKES JUMLAH KETERANGAN

1 CEFOTAXIME INJ 25 VIAL X 11000 275000
2 CEFTRIAXONE INJ 10 VIAL X 9000 90000
3 NORAGES INJ 5 AMP X 11000 55000
4 BENANG SILK + JARUM 3/0 6 PCS X 12000 72000
5 BENANG CHROMIC + JARUM 3/0 6 PCS X 12000 72000
6 INFUSET MAKRO GEA 30 PCS X 5000 150000
7 SPUIT 3CC ONEMAD 1 BOX X 65000 65000
8 SPUIT 1CC ONEMAD 30 PCS X 2500 75000
9 SPUIT 5CC ONEMAD 15 PCS X 2000 30000
10 HYPAFIX 10 M X 5CM 1 ROLL X 155000 155000
11 RANITIDIN INJ 50 AMP X 2800 140000
12 BISTURI NO 15/11 6 PCS X 3500 21000
13 ONDANSETRON INJ 10 AMP X 8000 80000
14 HANDSOON SIZE (M) 1 BOX X 47000 47000
15 H2O2 100 ML 1 BTL X 10000 10000
16 RL OTSU/WIDATRA 5 DUS X 260000 1300000
17 EASY TOUCH ASAM URAT 1 POT X 90000 90000
18 EASY TOUCH CHOLESTEROL 1 POT X 160000 160000
19 EASY TOUCH GDS 1 POT X 90000 90000
20 NEDLE 24 ONEMAD 1 BOX X 30000 30000
21 KASSA STERIL 12 PCS X 3000 36000
22 KASSA HYDROFIL 1 ROLL X 120000 120000
23 LOMATUL/SOFRATUL 3 PCS X 19000 57000
24 NASSAL ADULT (DEWASA) 2 PCS X 15000 30000
25 KASSA GULUNG 5 CM 2 PCS X 8000 16000
26 PLASTIK KLIP 10 X 7 8 PCS X 6500 52000
27 PLASTIK KLIP 13 X 8,7 6 PCS X 8500 51000
28 LANCET NO 26 1 BOX X 30000 30000
3399000

FARMASI KEUANGAN PIMPINAN