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Sheet1

ID Nama Qty Harga Pokok Qjb STOK OPNAME


1 ABBOCATH 14 15000.01 50
2 ABBOCATH 16 15000.00 50
3 ABBOCATH 18 10797.89 50
4 ABBOCATH 20 9823.03 50
5 ABBOCATH 22 10934.28 50
6 ABBOCATH 24 10696.95 50
7 ACARBOSE TAB 100 MG 2007.00 50
8 ACETYLCYSTEINE 200 MG BPJS 926.14 100
9 ACRAN 150 TABLET 4450.00 30
10 ACRAN INJ 19086.01 5
11 ACTIMOVE CERVICAL COLLAR L 93509.00 1
12 ACTIMOVE CERVICAL COLLAR M 115000.00 1
13 ACTIMOVE CERVICAL COLLAR S 115000.00 1
14 ACTIMOVE VERTEBRACE L NA 1 249700.00 1
15 ACTIMOVE VERTEBRACE M OR 1 249700.00 1
16 ACYCLOVIR 200 MG 500.00 100
17 ACYCLOVIR 400 MG 445.91 100
18 ACYCLOVIR CREAM TUBE 5 GR 2956.39 25
19 ACYLOVIR 400 MG BPJS 457 100
20 ADALAT OROS 30 MG 9200.00 100
21 ADONA AC-17 TAB 2218.00 100
22 ADONA INJ 20966 10
23 ALBOTHYL CONCENTRAT 10 ML 33332.32 1
24 ALBOTHYL CONCENTRAT 5 ML 20370.00 1
25 ALBOTHYL OVULA 19066.87 6
26 ALBUMINAR 25% 100ML 1510216.67 1
27 ALINAMIN 485.00 100
28 ALINAMIN-F INJ 17266.24 5
29 ALINAMIN-F TAB 916.00 100
30 ALKOHOL 70% 100 ML 4150.00 1
31 KETOCONAZOLE 10MG SALEP 3882.63 1
32 ALLOPURINOL 100 MG 164.59 100
33 ALLOPURINOL 300 MG 275.00 100
34 ALLORIS 4213.00 100
35 "ALPRAZOLAM 0 607.00
36 ALPRAZOLAM 1 MG 1085.00 100
37 ALYNOL 3117.00 30
38 AMBROXOL 30 MG NOVELL 161.86 100
39 AMBROXOL 30 MG IGM 130.62 100
40 AMBROXOL SYR 60 ML SANBE 2942.34 1
41 AMIKACIN 250 MG (12%) 79002.00 1
42 AMIKACIN 500 MG (25%) 139354.29 1
43 AMINEFRON TAB 6437.50 100
44 AMINOFLUID-L 500 ML 64680.00 1
45 AMINOFUSIN HEPAR 205000.00 1
46 AMINOFUSIN L-600 68500.00 1
47 AMINOLEBAN INJ 500 ML 65001.00 1
48 AMINOPHYLIN INJ 3475.33 30
49 AMINOPHYLIN TAB 250.00 100
50 AMITRIPTYLINE 25 MG TAB 140.03 100
51 AMLODIPHINE 5 MG BPJS 908.00 100

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Sheet1
52 AMLODIPINE 10 MG PHAPROS 349.84 30
53 AMLODIPINE 5 MG 669.30 30
54 AMOBIOTIK DROP 21000.00 1
55 AMOXICILIN FORTE DS 250 3930.45 1
56 AMOXICILLIN 125 MG/5 ML KF 7400.00 1
57 AMOXICILLIN 125 MG/5 ML 2272.73 1
58 AMOXICILLIN 250 MG 319.32 120
59 AMOXICILLIN 500 247.49 100
60 AMOXSAN 500 3020.00 100
61 AMOXSAN DROP 20710.00 1
62 AMOXSAN DRY SYR 125 MG 60 20710.00 1
63 AMOXSAN FORTE SYR 29535.07 1
64 AMOXSAN INJ 1 GR 20710.44 10
65 AMPICILLIN 125 MG/5ML (DS) 8360.00 1
66 AMPICILLIN 500MG TAB 381.00 100
67 AMPICILLIN INJ 1 G 10200.00 10
68 AMPICILLIN INJ 1 GR PHAPROS 6848.62 10
69 AMTOCORT INJ 40 MG 72600.00 5
70 ANADIUM 7177.54 30
71 ANALSIK 1177.00 100
72 ANBACIM 500 18953 20
73 ANBACIM INJ 1 GR 50641.39 1
74 ANDALAN INJ 1 BULAN 6606.08 20
75 ANDALAN INJ 3 BULAN 5755.77 20
76 ANDALAN IUD 380 SILVERLINE 200000.00 1
77 ANDALAN IUD GENERIK 25000 2
78 ANDALAN TEST PACK 2919.56 50
79 ANTALGIN 100 MG/2ML INJ 3300 100
80 ANTALGIN 100 MG/2ML INJ BPJS 2640 100
81 ANTALGIN 500 90 100
82 ANTANGIN JUNIOR SYR 10 ML 1030 5
83 ANTANGIN PERMEN 1000 30
84 ANTANGIN SYR 15 ML 1590.91 12
85 ANTANGIN TAB 407.00 50
86 ANTASID DOEN TAB KF 148.03 100
87 ANTASID DOEN SUSP 60 ML 3700.79 1
88 ANTIHEMOROID SUPP 4468.96 10
89 ANTIMO ANAK SYR 880 10
90 ANTIMO TAB 370 720
91 ANTRAIN INJ 9499.11 5
92 ANVOMER B6 2023.34 60
93 ANXIBLOC 1760.00 100
94 APIALYS DROP 32899.82 1
95 APIALYS SYR 100 ML 27327.66 1
96 APOLAR CREAM 10 GR 32156.25 1
97 APOLAR-N CREAM 10 GR 35700.00 1
98 AQUA BIDEST 25 ML OTSUKA 3004.09 1
99 AQUA BIDEST 500 ML 23144.00 6
100 AQUA BIDEST 25 ML OTSU BPJS 2500.06 1
101 AQUA MARIS BABY DROP 85000.00 1
102 AQUA MARIS DAILY 99000.00 1
103 ARBUPON 400 390.00 100
104 ARFEN 400 300.00 100

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105 ARKINE KAPLET 100 955.03 100
106 ARTRODAR 8772.62 30
107 ASAM MEFENAMAT 500 164.04 100
108 ASAM TRANEKSAMAT 100MG INJ 4572.63 10
109 ASAM TRANEKSAMAT 100 MG 5000.00 5
110 ASAM TRANEKSAMAT 50 MG INJ 3343.40 5
111 ASAM TRANEKSAMAT 500 MG 1294.03 100
112 ASAM TRANEKSAMAT 500 MG 1050.00 100
113 ASAM VALPROAT 250 MG SYR 38429.42 1
114 ASCARDIA TAB 80 MG 847.44 100
115 ASERING OTSU 19800.00 20
116 ASERING OTSU BPJS 8432.00 20
117 ASKINA GV 33733.00 30
118 ASKINA GV BPJS 25300 30
119 ASPAR-K TAB 2322.48 1
120 ASPILET CHEWABLE 80 MG 533.97 100
121 ASTHIN FORCE CAP 4 MG 7091.69 18
122 ASTHIN FORCE CAP 6 MG 8500.00 18
123 ASTHIN FORCE SYR 60 ML 48750.00 1
124 ATORVASTATIN 20 4168.92 30
125 ATORVASTATIN CALCIUM 40 MG 3791.11 30
126 ATRACURIUM-HELMN INJ 25 MG 52030 5
127 ATRAMAT PGA 1 90000.00 12
128 ATRAMAT PGA 3/0 86929.76 12
129 ATRAMAT PLAIN 0 66000.00 12
130 ATRAMAT RAPIDE 2/0 83282.61 12
131 ATROPIN SULFAS INJ 1720.80 1
132 "AUGENTONIC 0 2334.00
133 KETOROLAC 3 % INJ PHAPROS 2415.00 12
134 AVIL 25 MG 1480.15 1
135 AZOL 200 MG 11666.67 30
136 AZOMAX TAB 27255.43 10
137 AZYTROMICYN 500 Novell 7323.53 30
138 AZYTROMICYN 500 KF BPJS 2922.76 20
139 AZYTROMYCIN 500 MG KF 9900 20
140 BACTIGRAS 10X10 CM 13516.65 1
141 BARTOLIUM 10 MG TAB 4982.74 50
142 BARTOLIUM 5 MG TAB 3555.32 50
143 BECOM C 1221.12 100
144 BECOM ZET 1627.89 100
145 BEDAK SALICYL 2% 60 GR KF 4881.60 1
146 BELVIN ORAL DROP 27500 1
147 BENODON INJ 15 ML 7155.45 10
148 BENOSON CREAM 15 GR 22000 1
149 BENOSON CREAM 5 GR 8800 1
150 BENOSON G CREAM 10 GR 59397.88 1
151 BENOSON M CREAM 5 GR 55000.00 1
152 BENOSON N CREAM 15 GR 24200 1
153 BENOSON N CREAM 5 GR 10450 1
154 BENOZYM 2650 100
155 BENUTRION VE BPJS 86416.00
156 BEPANTHEN OINT 20 GR 38715.00 1
157 BERNOFLOX 500 MG 10605.40 20

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Sheet1
158 "BEROTEC 0 2.00
159 BERTHYCO CAP 500 MG 1980.00 100
160 BERTHYCO INJ 500/ML 18700 10
161 BETADINE OINT 10 GR 13132.00 1
162 BETADINE SOL 15 ML 7810.00 6
163 BETADINE SOL 30 ML 13640 6
164 BETADINE SOL 5 ML 3000.00 6
165 BETADINE SOL 60 ML 22330 1
166 BETADINE VAGINAL DOUCHE+AP 45100.00 1
167 BETAHISTINE 6 MG 749.15 100
168 BETAMETASON CREAM 5 GR 1941.64 25
169 BETASON CREAM 5 GR 7063.88 1
170 BEXICOM ZET 2349.59 100
171 BIOCOMBIN 5000 INJ 6050 10
172 BIODIAR 2131.24 1
173 BIOGESIC 316 100
174 BIOPLACENTON JELLY 15 GR 13497.73 1
175 BIOSAN 13750 18
176 BIOTHICOL 500 3300.00 100
177 BIOTHICOL DRY SYR 125 MG 18900.00 1
178 BIOXON INJ 193714.29 1
179 BISACODYL 5 MG TAB 317.02 30
180 BISOLVON 4 MG INJ 43779.92 10
181 BISOLVON ELIXIR 60 ML 25520 1
182 BISOLVON FLU SYR 60 ML 25520 1
183 BISOLVON TABLET 1344 100
184 BISOPROLOL 5 MG 2076.60 30
185 BLEDSTOP INJEKSI10S 6654.04 10
186 BLOOD LANCET GEA 209.05 100
187 BLOPRESS PLUS 16 MG 13589.29 14
188 BLOPRESS TAB 16 MG BPJS 5145 14
189 BLOPRESS TAB 8 MG BPJS 3255.00 14
190 LAMETIC 4 MG INJ 356.00 5
191 BORRAGINOL-N OINT 15 GR 46666.00 1
192 BORRAGINOL-N SUPP 6389 10
193 BORRAGINOL-S OINT 15 GR 66610.60 1
194 BORRAGINOL-S SUPP 9263.81 10
195 BRAINACT 250 MG INJ 43033.26 5
196 BRAINACT O-DIS 500 MG 12255.64 30
197 BRAINACT ORAL 500 MG 12246.00 30
198 BRAXIDIN TAB 818.43 100
199 BROADCED INJ 1000 188000.00 1
200 BROADCED INJ 1000 180000.00 1
201 BRONCO VAXOM ADULT 16500 10
202 BUPIVACAINE SPINAL INJ 35200.00 10
203 BUPIVACAINE SPINAL INJ BPJS 27720 5
204 BURNAZIN CREAM 45390.00 1
205 BUSCOPAN 10 MG TAB 2367.00 100
206 BUSCOPAN INJ 27971.89 10
207 BUSCOPAN PLUS 3302.45 100
208 BYE-BYE FEVER FOR BABY 5625.25 10
209 BYE-BYE FEVER FOR CHILDREN 7891.76 5
210 CAL-95 4349.82 30

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211 CALADINE LOTION 60 ML 10450 1
212 CALADINE LOTION 95 ML 14575 1
213 CALADINE POWDER 100 GR 10450.00 1
214 CALADINE POWDER 60 GR 7425.00 1
215 CALDECE TAB EFF 25390.00 1
216 CALSII GLUCONAS 10% 10600.00 1
217 CALSIRO 2915.71 30
218 CALCIUM LACTAT 160.16 100
219 CAMELOC 15 BPJS 500.00 50
220 CAMELOC 7 440.00 50
221 CANDESARTAN 16MG TAB 5159.01 30
222 CANDESARTAN 16MG TAB BPJS 5159.02 30
223 CANDESARTAN 8MG TAB 3331.81 30
224 CANDESARTAN 8MG TAB BPJS 3326.78 30
225 CANDISTIN DROP 33244.13 1
226 "CAPTOPRIL 12 1101.00
227 "CAPTOPRIL 12 779.00
228 CAPTOPRIL 25 MG 123.49 100
229 CAPTOPRIL 25 MG BPJS 96.00 100
230 CAPTOPRIL 50 MG 406.90 50
231 CARBAZOCHROME INJ 10755.27 10
232 "CARBIDU 0 0
233 CAR-Q 100 9530.51 30
234 ASAM MEFENAMAT 500 MG HJ 159.99 100
235 CARTYLO 80MG BPJS 559.98 100
236 CATAPRES INJ 0 94982.12 10
237 CATARLENT 15 ML 30327.74 1
238 CAVIT D3 TAB 1476.00 100
239 CDR EFF 31757 1
240 LARGACTIL TAB 29500 1
241 CEFADROXIL 125 MG DRY SYR HJ 7450.76 1
242 CEFADROXIL 250 MG 620.00 100
243 CEFADROXIL 500 MG HJ 618.96 100
244 CEFADROXIL 250 MG DRY SYR 12000.00 1
245 CEFAT 500 9650.00 100
246 CEFAT DRY SYR 125 MG 39715.41 1
247 CEFAT FORTE DRY SYR 68300.00 1
248 CEFAZOLIN INJ 1 G 19917.60 1
249 CEFILA DRY SYR 74741.92 1
250 CEFIXIME 100 MG NOVELL 1415.00 50
251 CEFIXIME 100 MG BPJS NOVELL 1800.00 50
252 CEFIXIME 200 MG 9040.52 30
253 CEFIXIME DRY SYR 30 ML 25293.95 1
254 CEFIXIME DRY SYR 30 ML INDOF 23352.05 1
255 CEFOPERAZONE 1 GR INJ BPJS 108900.00 2
256 CEFOPERAZONE SULBACTAM 1 108900.00 1
257 CEFOTAXIME INJ 1 GR 12000.00 10
258 CEFOTAXIME INJ 1 GR DEXA 6615.00 10
259 CEFTAZIDIME INJ 43092.00 1
260 CEFTRIAXONE INJ 1 GR DEXA 8203.30 10
261 CEFXON INJ 186607.15 1
262 CELEBREX 100 8891.00 30
263 CELOCID INJ 750 46506.01 1

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264 CELOCID INJ 750 BPJS 50050 1
265 CELOCID TAB 500 13490.00 10
266 CENDO CARPINE 1% 5 ML 17050.00 1
267 CENDO GENTAMYCIN EYE DROP 34606.25 1
268 CENDO GENTAMYCIN EYE OINT 36340.11 1
269 CENDO LYTEERS 15 ML 20961.79 1
270 CENDO MYCOS 5 ML 21862.00 1
271 CENDO MYCOS EYE OINT 3 24645.25 1
272 "CENDO TROPIN 0 3.00
273 "CENDO XITROL 0 594.00
274 CENDO XITROL EYE DROP 5 ML 26864.95 1
275 "CENDRID 0 75.00
276 CEREMAX IV 50 ML 291500.00 1
277 CERINI 2104.68 30
278 CERINI SYRUP 38500 1
279 CERNEVIT INJ 155000.00 10
280 CETIRIZINE 5 MG SYR IGM 7310.41 1
281 CETIRIZINE 10 MG DEXA 330.00 60
282 CHLORAMEX INJ 1G 12100.00 10
283 CHLORAMFENICOL 1% SALEP 1563.00 24
284 CHLORPHENIRAMINE 4 MG 82.73 100
285 CHLORPHENIRAMINE 4 MG PIM 11.01 1000
286 CHLORPROMAZINE 681.84 1
287 CHOLESTAT 10 MG 4107.00 30
288 CHROMALUX 10285.00 20
289 CIFLON 6325 30
290 CILOSTAZOL 100 MG 21603.78 30
291 CIPROFLOXACINE INFUS 44814.76 1
292 CIPROFLOXACINE INFUS BPJS 49746.00 1
293 BETADINE FEM HYGIENE 60 ML 13200.00 1
294 CITICOLINE CAP 500 MG 6930.00 30
295 CITICOLINE CAP 500 MG BPJS 5890.00 30
296 CITICOLINE INJ 125 mg/ml 17325.00 10
297 CITICOLINE INJ 125 mg/ml BPJS 14726 10
298 CLANEKSI 500 11304.50 30
299 CLANEKSI DRY SYR 51084.00 1
300 CLIMADAN 300 MG 7150.00 50
301 CLINDAMISIN 300 MG 1155.00 50
302 CLINDAMYCIN 300 MG BP 1250.40 50
303 CLINIDAC 300 5104.27 30
304 CLINJOS 150 MG 3850 30
305 CLINJOS 300 MG 6129.14 30
306 CLINOVIR 400 8250 30
307 CLOBAZAM 10 MG 1020.16 100
308 CLOMIFENE 50 MG 5385.60 30
309 CLOPIDOGREL 75 MG 7667.00 30
310 CLOPIDOGREL 75 MG BPJS 3481.95 30
311 CLOPIDOGREL 75 MG DEXA 8835.00 30
312 CLOVERTIL 10936.83 30
313 CO AMOXICLAV 625 MG TAB 5050.00 30
314 COBAZIM 1000 MG 3080.00 100
315 COBAZIM 3000 MG 7461.98 100
316 LEVOFLOXACIN 750 MG INF HJ 142916.67 1

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317 LEVOSOL INJ BPJS 49000.00 5
318 COLERGIS TAB 1986.04 100
319 COLISTINE 0.25 UG 1153.79 100
320 COLSANCETINE INJ 11500 10
321 BRAINACT 500 MG INJ 66580.60 5
322 COMBIVEN NEBULIZER 13180.34 20
323 COMTUSI SYR 60 ML 35701.00 1
324 CONVER 2% 15 ML 14300.00 1
325 CONVERPLAST LATEX FREE 317.09 100
326 CORD CLAMP COSA 1302.86 1
327 CORD CLAMP ONEMED 2640 50
328 CORD CLAMP PASCHO 2349.22 100
329 CORTIDEX INJ 5790.00 10
330 CORTIDEX TAB 242 100
331 COTRIMOXAZOLE TAB 242.00 100
332 COTRIMOXAZOLE TAB BPJS 178 100
333 COTRIMOXSAZOL 240 MG 60 ML 3601.85 1
334 COUGH-EN SYR 60 ML 13200 1
335 CRAVIT 500 MG 100ML 279000.00 1
336 CRIPSA 12934.14 30
337 CROME INJ 18621.62 10
338 CURCUMA FCT 840.00 100
339 CURCUMA PLUS SYRUP 10500.00 1
340 CURCUMA PLUS SHARPY 60 ML 10499.10 1
341 CURMUNOS SYR 52000.00 1
342 CURVIT CL EMULSION 175ML 49500.00 1
343 CALOS TAB 24200 B2
344 LONGCEF 250 MG 60 ML 49500.00 B2
345 CURVIT SYRUP 60 ML 22237.26 B2
346 CURVIT TAB 1980.00 B2
347 CATGUT CHROMIC 1 HR 37 MM 48832.43 12
348 CUTGUT CHROMIC 2 HR 45 MM 44000 12
349 CUTGUT PLAIN 0 HR 37 MM SMI 44000 12
350 CUTGUT PLAIN 1 HR 37 MM SMI 44000.00 12
351 CUTICELL CLASSIC 7861.22 1
352 CYCLOFEM INJ 9009.00 20
353 CARBO GLISERIN 10 ML 174.53 1
354 CYCLO-PROGYNOVA 5945.77 21
355 CIPROFLOXACIN 500 473.00 100
356 CIPROFLOXACIN 500 BPJS 418.00 100
357 DAMABEN 385 100
358 DAMABEN SYR 8938 1
359 DANOCRINE 200 MG 10385.00 100
360 DANSERA TAB 6130.40 B1
361 DARYANT-TULLES STERIL 16500 1
362 DECAIN 4 ML BPJS 48415.73 5
363 DECAIN 4 ML 49525.50 5
364 DECOLGEN 310 100
365 DECUBAL 20 G CREAM 28000.00 "
366 DECULIN TAB 30 MG 7355.18 30
367 DEPAKENE SYR 164120 1
368 DEX 10% OTSU 11000.00 1
369 DEX 10% WIDA OGB 6803.71 20

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370 DEX 10% WIDA PATEN 10890 20
371 OTSU D5 500 ML 6273.00 20
372 DEX 5% WIDA OGB 6272.22 20
373 DEX 5% WIDA PATEN 10010 20
374 "DEXAMETHASON 0 1738.00
375 DEXAMETHASON INJ 2075.34 100
376 DEXAMETHASON INJ IGM 1834.15 100
377 CAVIPLEX DROP 3764.90 1
378 DEXANTA SUSPENSI 100 ML 10860.70 1
379 SYNTOCINON INJ 10120 10
380 DEXANTA TAB 176.95 100
381 DEXKETOPROFEN 25 MG 2700.00 30
382 DEXKETOPROFEN INJ BPJS 21600.00 5
383 DEXOLUT TAB 101.95 100
384 DEXTAMINE 1784 300
385 DIANE-35 93280.00 1
386 DIAVERSA 2 MG TAB BPJS 955 50
387 DIAZEPAM 2 MG TAB 44.03 100
388 TRISELA SYR 60 ML 942.00 1
389 DIAZINK TAB BPJS 440.00 100
390 DIAZOL NR 7000.00 50
391 DICYNONE 500 11319.11 20
392 DICYNONE INJ 250 41250.00 6
393 DIFLOXIN INFUS 100 ML 242000.00 1
394 DILANTIN INJ 250 MG 386138.00 10
395 DILAVASK 10 MG BPJS 908.00 50
396 DILAVASK 5 MG BPJS 451.00 50
397 DILTIAZEM 30 MG TAB 1516.00 100
398 DIPHENHIDRAMIN INJ 1618.07 30
399 DISCOFIX 3 WAY 19250.00 50
400 DISMENO 100 MG 4008.09 30
401 DISOLF TAB 6500.00 30
402 CEFAZOL 1 GR INJ 85000.00 1
403 DIVENS SYRUP 100 ML 36300.00 1
404 DOBUTAMIN 50 MG INJ DEXA 57029.47 5
405 DOBUTAMIN GIULINI INJ 258610 1
406 DOFF MATA 15015.82 1
407 DOM SUSP 60 ML 36300.00 1
408 DOMPERIDONE 10 MG DEXA 425.00 100
409 DOMPERIDONE SYR 60 ML HJ 11840.49 1
410 DONEPEZIL HCL 5 MG 6600.00 30
411 DOPAMET 250 1872.27 1
412 DOPAMIN GIULINI INJ 200 MG 72457.00 5
413 DOPAMIN GIULINI INJ 200 MG BP 9890 5
414 DOXYCYCLIN 100 MG KF 230.99 100
415 DRAMAMINE 1320.00 100
416 DROVAX 125 SYR 38500.00 1
417 DROVAX 250 SYR 62700 1
418 DULCOLAX 10 MG SUPP 18880.00 1
419 DUMIN RECTAL 125 MG 12819.91 5
420 DUMIN RECTAL 250 MG 16260.40 5
421 CEFTRIAXONE INJ 1 GR HJ 14417.10 1
422 DUVADILAN INJ DUS/6X2ML 25833.33 6

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423 DUVADILAN TAB 5500.00 60
424 ECOSOL G5 6000.00 10
425 ECOSOL NACL 5335.00 10
426 ECOSOL RL 5242.57 "
427 ECOTRIXON 1 G INJ 163252.08 1
428 EFRISEL EYE DROP 27600 1
429 EKG ELEKTRODA VICOM 1986.62 30
430 ELASTIS VERBAN 4 INCHI Medica 24970.00 1
431 ELASTIS VERBAN 6 INCHI 0 1
432 EMIBION 1200.00 AS. "
433 EMINETON 1393.74
434 ENDOMETRIL 4112.00 100
435 "ENDROLIN INJ 3 3.00
436 ENERVON-C 30S/BTL 879.95 B2
437 ENERVON-C TAB 863.31 B2
438 ENZYPLEX TAB 785.68 "
439 EPERISONE HCL 50 MG 1368.81 100
440 EPERISONE HCL 50 MG BPJS 1309 100
441 EPEXOL 30 MG 764.05 100
442 EPEXOL DROP 35433.31 1
443 EPEXOL SYR 15850.00 1
444 EPHEDRIN INJ 34968.01 10
445 EPIDOSIN INJ 21450 10
446 EPINEPHRINE INJ 1 ML 7047.64 30
447 ERYSANBE 500 2452.95 100
448 ERYSANBE DS 200 MG 20398.59 1
449 ERYTHROMICIN 500 MG TAB 1183.60 1
450 ERYTHROMICYN 200 MG DS BPJS 7892.00 1
451 ERYTHROMYCIN 200 MG DS 9801.00 1
452 ESOFER INJ 40 MG 134737.01 1
453 ETT CLEAR NO 2 RUSCH 3850.00 1
454 ETT CLEAR NO 3 RUSCH 62282.50 1
455 ETT CLEAR NO 3.5 RUSCH 59054.80 1
456 ETT CLEAR NO 4 RUSCH 57398.13 1
457 ETT CLEAR NO 4 RUSCH 54637 1
458 ETT CLEAR NO 5 RUSCH 62400.00 1
459 ETT CLEAR NO 6 RUSCH 54637.00 1
460 ETT CLEAR NO 6.5 RUSCH 62345.67 1
461 ETT CLEAR NO 7 RUSCH 62133.33 1
462 ETT CLEAR NO 7.5 RUSCH 68100.00 1
463 ETT CLEAR NO 8 RUSCH 53977 1
464 EURO RUBBER NIPPLE 4861.00 1
465 EVER-E 250 12S 24407 12
466 EXODERIL CREAM 15 GR 66220 1
467 EXODERIL CREAM 5 GR 33495 1
468 EXTRACE 11000.00 6
469 EXTROPECT SYR 60 ML 24413.74 1
470 EZERRA CREAM 25 GR 44000 1
471 F. CATH 08 RUSCH 39209.50 10
472 F. CATH 10 RUSCH 40390.99 10
473 F. CATH 12 RUSCH 16815.67 10
474 F. CATH 14 RUSCH 16953.72 10
475 F. CATH 16 RUSCH 16883.00 10

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476 F. CATH 18 RUSCH 3975.42 10
477 F. CATH 20 RUSCH 15180.00 10
478 F. CATH 24 RUSCH 15180.00 10
479 CODIPRONT TAB 9999.99 1
480 FARBION 5000 INJ 5170.00 5
481 FARGOXIN INJ 36178.58 5
482 FARGOXIN TAB 286.00 100
483 FARMADOL INFUS 57000.00 1
484 FARMOXIL 500 2310.00 100
485 FARSIFEN 360 100
486 FEEDING TUBE 3.5 35 CM 14441.18 1
487 FEEDING TUBE 5 100 CM 13740.38 1
488 FEEDING TUBE 5 40 CM 32774.87 1
489 FEEDING TUBE 8 100 CM 12568.30 1
490 FEEDING TUBE 8 40 CM 38500.00 1
491 FENITOIN CAP 549.83 100
492 FENITOIN INJ Ikapharmindo 56005 10
493 FENITOIN INJ BPJS Phapros 19962.36 10
494 FENOFIBRATE 100MG 1865.22 30
495 FENOFIBRATE 300MG 3660.10 30
496 FENSIPROS 9432.14 10
497 FENTANYL 2 ML BPJS 36363.61 5
498 FENTANYL INJ 2 ML 45232.28 5
499 FERITRIN FC TAB 1741.80 30
500 FEROSPAT EFF 59250.00 1
501 FERRIZ DROP 29892.78 1
502 FERRIZ SYR 100 ML 28882.86 1
503 FG TROCHES MEIJI 983.14 120
504 FIMAHES 200 182756.25 NACL
505 FIMAHES 200 BPJS 120000.00 NACL
506 FIXIPHAR 100 MG 17332.11 30
507 FIXIPHAR 200 29700 30
508 FIXIPHAR DRY SYRUP 30ML 64611.26 1
509 FIXIPHAR DRY SYRUP 60ML 109250.00 1
510 FLADYSTIN OVULA 11050.00 10
511 FLEET ENEMA 133 ML 94710.00 "
512 FLORAGYN TAB 9900.00 30
513 "FLOXA 0 84.00 OFLOXACIN
514 FLUCONAZOLE 150 MG 18062.65 10
515 FLUCONAZOLE INFUS BPJS 57750 1
516 FLUCORAL 150 MG 68013.99 10
517 FLUNARIZIN 10 MG 3268.20 100
518 FLUNARIZIN 5 MG 1946.74 100
519 FM CREPE 3 INCHI 46970.00 1
520 FM CREPE 4 INCHI 62135.16 1
521 FM CREPE 6 INCHI 84162.84 1
522 FOLAMIL GENIO CAP 2974.97 30
523 FOLAPLUS 797.94 100
524 FOLAS 400 748.00 100
525 FOLAVICAP 400 655.00 100
526 FOLAVIT 400 770.00 100
527 FORBETES 500 950.21 100
528 FORDESIA 22090.31 30

Page 10
Sheet1
529 FORMUNO 6105.00 30
530 FORNEURO 4830.58 B6
531 FORRES 50 MG 4000.04 50
532 FREGO TAB 9166.67 50
533 FULADIC CREAM 5 GR 46560.95 1
534 FUNGATIN SUSPENSI 35382.33 1
535 FUNGATIN SUSPENSI BPJS 21477.00 1
536 FUNGIDERM 5 GR 10230 1
537 FUROSEMID INJ 2078.51 25
538 FUROSEMIDE 40 MG 182.50 100
539 FUTROLIT 52729 1
540 FUTROLIT BPJS 44352 1
541 GABAPENTIN KAP 300 MG 4606.98 30
542 GABAPENTIN KAP 300 MG BPJS 2860.06 100
543 GELAFUSAL BPJS 132000.00 NA ASETAT "
544 GELAFUSAL INF 132003.80 NA ASETAT "
545 GELITA SPON 61563.18 10
546 GELOFUSINE 500 CC NR 80273.00 NACL
547 GEMFIBROZIL 300 MG 338.45 100
548 GENTAMISIN 40 MG/ML INJ 3127.27 5
549 "GENTAMYCIN 0 31.00 GENTAMISIN
550 GG TAB 101.50 1000
551 GITAS INJ 14080.00 5
552 GITAS PLUS 2079 100
553 GLAUCON TAB 3536.20 20
554 GLIBENCLAMIDE 5 MG TAB 84.78 100
555 GLIMEPIRIDE 1 MG 760.00 50
556 GLIMEPIRIDE 2 MG 1743.39 50
557 GLIMEPIRIDE 3 MG 809.59 50
558 GLIMEPIRIDE 4 MG 1475.83 50
559 GLIQUIDONE 30 MG TAB 1849.62 50
560 GLUCODEX TAB 644.86 100
561 GLUCOSAMINE 250 MG HJ 751.86 60
562 GOFORAN INJ 1 GR 145584.53 1
563 GOOD LIVER PROLIVER 4761.42 1
564 GOVAZOL 150 68000.00 3
565 GRANON 1 MG INJ 47150.00 5
566 H2O2 50% 22000 1000
567 HALOTHANE 4180 250
568 HANDSCOON GAMEX ALL SIZE 10495.25 40
569 HANDSCOON STERIL OBGYN 16179.01 40
570 HANDSCOON VIKOM ALL SIZE 4543.57 50
571 HCG STRIP CHMTRON 2002.00 100
572 HEPATIN TAB 4620 "
573 HEPTASAN 4 MG TAB 219.45 100
574 HERBA VOMITZ TAB 1238 40
575 HERVIS EYE OINT 40708.32 1
576 HICAL 1324.92 "
577 HISTAPAN 50 MG 611.42 100
578 HISTRINE FT 10 MG 6270.00 100
579 HISTRINE SYR 60 ML 27950.00 1
580 HOMATRO 2% 5 ML 39050.00 1
581 HP PRO 5700.00 1

Page 11
Sheet1
582 HUMAN ALBUMIN 20% 100 ML 886364.00 1
583 HUMAN ALBUMIN 20% 100 ML 780000.00 1
584 HYALGAN INJ 509410 1
585 HYDROCHLORTHIAZIDE 25 MG 160.00 100
586 HYDROCORTISONE KRIM 5 GR 2825.00 24
587 HYPAFIX 15X5 132793.28 1
588 HYPAFIX 5X1 (NEW) 10919.00 1
589 HYSTOLAN 4500.00 50
590 IBERET 500 5687 VIT B1
591 IBERET FOLIC-500 3251.60 VIT B1
592 IBUPROFEN 100 MG SUSP 3814.00 1
593 IBUPROFEN 200 MG SUSP 5722.00 1
594 IBUPROFEN 200 MG TAB 184.28 100
595 IBUPROFEN 400 MG TAB 215.00 100
596 IDESAR GOLD SUSPENSI 60 ML 53654.55 1
597 IGASTRUM SYR 45000 1
598 IMBOOST FORCE SYR 52500.00 1
599 IMBOOST TAB 6050.00 30
600 IMUNOS PLUS BPJS 5500 30
601 IMUNOS PLUS SYR 77826.46 1
602 IMUNOS PLUS TAB 7534.55 20
603 IMUNOS SYR 60 ML 56460.40 1
604 IMUNOS KAP 5785.28 20
605 IMUNVIT PLUS TAB 6245.04 20
606 INDANOX 300 6930.00 60
607 INDORALYTE 1600.00 25
608 INERSON CREAM 15 GR 28188 1
609 INFANRIX VAKSIN 242000 1
610 INFANRIX-HIB VAKSIN 343200 1
611 INFUS SET DEWASA TERUMO 10786.88 50
612 INFUS SET DEWASA YAMAMOTO 1650 50
613 INFUS SET PAEDIATRIK TERUMO 14877.62 50
614 INFUSAN D10 18865.00 24
615 INFUSAN D5 14160.00 24
616 INFUSAN D5 BPJS 15180 24
617 INFUSAN NS 9806.96 24
618 INFUSAN NS BPJS 14520 24
619 INFUSAN RING-AS 19905 24
620 INFUSAN RL 14680.65 KCL
621 INFUSAN RL BP 9780.01 KCL
622 INFUS SET DEWASA GEA 3105.86 50
623 INHIPRAZ 15 MG 9243.65 10
624 INHIPRAZ 30 MG 11636.36 10
625 "DEXAMETHASON 0 25.00 SUKRALFAT
626 INTERHISTIN 663.88 100
627 INTERLAC DROP 217071.43 1
628 DEXTEEM PLUS TAB 2530.00 100
629 INTRAFIX SAFESET 21175.00 50
630 INVITEC 200 9933.46 30
631 IRBERSARTAN 300 MG 5134.00 30
632 IRVASK 150 MG 10398.25 1
633 ISOFEM 2750
634 ISOFLURAN 250ML 4962.79 250

Page 12
Sheet1
635 ISOFLURAN 250ML BPJS 5720 250
636 ISONAT 10 MG BPJS 195.00 50
637 ISOPRINOSINE SYR 60 ML 103125.00 1
638 ISOSORBID DINITRAT 5 MG 111.79 100
639 JELLY USG 160160.00 1
640 KETOPROFEN 50 MG NOVELL 6160.00 100
641 JF SULFUR SENSITIVE 65 GR 4972 1
642 KA-EN 1B 18480.00 "
643 KA-EN 1B BPJS 8430.20 "
644 KA-EN 3B 17050.17 "
645 KA-EN 3B BPJS 8204.12 "
646 KAEN MG3 9625 K
647 KAIN PANJANG 32500.00 1
648 KALMECO CAP 500 MG 2000.80 100
649 KALMECO INJ 500 MCG/ML 20190.77 5
650 KALNEX 250 MG 1673.04 100
651 KALNEX 500 3000.02 100
652 KALTROFEN GEL 30 GR 55000.00 1
653 KALTROFEN SUPP 12498.22 10
654 KALXETIN 10 MG 3666.67 30
655 KALXETIN 20 MG 5700.29 30
656 KAMADOL INJ BPJS 4121.17 6
657 KANAMYCIN MEIJI INJ 1 GR 7784.69 10
658 KANDISTATIN SUSP DROP 35000.00 1
659 KASA HYDROFIL 16X16 198.82 12
660 KASA HYDROFIL 40X80 105700.00 1
661 KETESSE INJ 50 MG 43178.44 5
662 KETESSE-25 STRIP 8001.91 50
663 KETOKONAZOL 200 392.45 50
664 KETOPROFEN 100 MG HJ 1350.00 50
665 KETOPROFEN 100 MG DEXA 969.54 100
666 KETOPROFEN 50 MG 547.76 50
667 KETOPROFEN INJ NOVEL 5186.33 5
668 KETOPROFEN INJ BPJS 3955 5
669 KETOROLAK 10 MG 3157.00 100
670 KETOROLAK 10 MG BPJS 2368.00 100
671 KETOROLAK 10 MG INJ 7875.00 10
672 KETOROLAK 10 MG INJ BPJS 7650 10
673 KETOROLAK 30 MG INJ DEXA 8930.25 10
674 KETOROLAK 30 MG INJ BPJS 12830.00 10
675 KETRICIN TAB 2914.66 100
676 KIDMIN INFUS 116000 1
677 KIDMIN INFUS BPJS 46000.00 1
678 KIFACAIN INJ 2475 10
679 KIFLUZOL 150 MG 33000 10
680 KIFLUZOL 150 MG BPJS 18700 10
681 CLINDAMYSIN 150 MG 535.00 50
682 KLIRAN 4 MG/2 ML INJ 26500.00 5
683 KONDOM SENSITIF VIVO 3467.00 3
684 KSR 2560.36 100
685 KTM INJ 1000 MG 93430.77 1
686 KUTOIN 100 MG CAP 1500 100
687 LACBON TAB 1357.63 100

Page 13
Sheet1
688 LACTAMOR 1931.96 "
689 LACTULAX 120 ML 82000 1
690 LACTULAX 60 ML 54000 1
691 LAFALOS CREAM 9240.00 EGENOL
692 LAKTAFIT 2700.00 "
693 LAMESON 4 MG TAB 2679.35 100
694 LAMESON 8 MG TAB 4797.27 100
695 LAMESON INJ 87000.00 1
696 LAMINARIA SIZE L 74655.70 1
697 LAMINARIA SIZE M 74491.82 1
698 LANAKELOID E CREAM 10 GR 55000.00 VIT. E"
699 LANAVISION PLUS CAP 6513.61 100
700 LANCEF 1 GR 131228.57 1
701 LANCID 30 MG TAB 13550.00 20
702 LANSOPRAZOL 30 MG HJ 809.59 20
703 LANSOPRAZOL 30 MG BPJS Berno 884.62 100
704 LANTIFLAM 50 MG 2530 30
705 LANTIPAIN 30 MG 35000.00 6
706 LANTUROL 400 4004.65 100
707 LANTUS SOLOSTAR FLEXPEN 65991.04 5
708 LAPIBAL 500 CAP 1847.14 100
709 LAPIBAL INJ 21246.58 5
710 LAPROSIN SYRUP 68009.17 1
711 LASAL SYR 22000.00 1
712 LASIX INJ 16284.77 5
713 LASIX TAB 4442.00 100
714 LATROPIL SYR 41523.53 1
715 LAXADIN SYR 30 ML 20649.18 "
716 LAXADIN SYR 60 ML 34772.70 "
717 L-BIO 5526.58 30
718 L-CISIN TAB 3532.42 30
719 L-CORE 18749.60
720 LEOMOXYL 2851.96 100
721 LESICHOL 600 CAP 14850.00
722 LEUKOMED T PLUS 22387.42 1
723 LEUKOMED T PLUS BPJS 826.32 1
724 DIONICOL SYR 60 ML 4730.00 1
725 LEVEMIR FLEXPEN BPJS 77272.87 5
726 LEVOFLOXACIN 500 MG 871.39 50
727 LEVOFLOXACIN INFUS 500 MG 68238.43 1
728 LEVOFLOXACIN INFUS 500 MG 52800.00 1
729 LEVOSOL INJ 204974.00 1
730 LFX MD 14441.31 100
731 LIDOCAIN 2% INJ 1089.67 1
732 LIDOCAIN COMPOSITUM INJ 1136 30
733 LIPROLAC 2 6081.30 30
734 LIVRON B PLEX 220 B2
735 LODIA TAB 925.71 60
736 LONGCEF 500 MG 9003.23 30
737 LORATADINE 10 MG HJ 302.80 50
738 LOSARTAN 50 MG 3333 30
739 LOVASK 10 MG TAB 8464.58 30
740 LOVASK 5 MG TAB 5041.73 30

Page 14
Sheet1
741 LUPRED 2000.00 30
742 LYCOCY 4997.95 LICOPEN
743 DOMPERIDONE 5MG/ML DROP 18598.34 10
744 L-ZINC SYR 23515.44 1
745 L-ZINC SYR BPJS 23100.00 1
746 MADU TJ 150 GR 14025 1
747 MAGTRAL SUSP 120 ML 24553.73 1
748 MALAREX 600.00 1000
749 MALTOFER 2823.00 30
750 MANITOL 20 106000.00 1
751 MANITOL 20% BPJS 35909.00 20
752 MARCAIN 0.5% 20 ML 72769.93 5
753 MARTOS 10% INFUS BPJS 30625.00 20
754 MASKER NON REBREATHER BAYI 539.00 1
755 MIKASIN 500 MG INJ 165000.00 1
756 MASKER NEBULIZER DEWASA 10806.09 1
757 MASKER NEXCARE 4800.00 1
758 MASKER NON REBREATHER 26400.00 1
759 MASKER STARDEC 880 50
760 "MASTER PLAST ROLL 0 57.00
761 MUSIN SYR BPJS 180000.00 1
762 MECOBALAMIN 250 MG TAB 480.01 100
763 MECOBALAMIN 250 MG TAB BPJS 491 100
764 MECOBALAMIN 500 MG TAB 648.36 100
765 MECOBALAMIN 500 MG TAB BPJS 655 100
766 MECOBALAMIN INJ 500 7781.21 10
767 MECOBALAMIN INJ 500 BPJS 7920 10
768 MEDERMA TOPIKAL CREAM 20 181500 1
769 MEDIOL 8965.00 "
770 MEFINAL 500 1229.99 100
771 MEFIX 500 1088.56 100
772 MELOXICAM 15 MG 288.89 50
773 "MELOXICAM 7 280.00 MELOXICAM
774 MEPTIN MINI 3000.00 1
775 MYCAZOL 2 % KRIM 42878.00 1
776 MEROPENEM INJ 1 GR DEXA 147000.00 1
777 MERTIGO 2507.50 100
778 METFORMIN 500 MG DEXA 163.40 100
779 METFORMIN 850 MG 347.00 100
780 METHYLPREDNISOLONE 16 MG 1170.00 30
781 METHYLPREDNISOLONE 4 MG KF 462.00 100
782 METHYLPREDNISOLONE 4 MG 300.39 100
783 METHYLPREDNISOLONE 8 MG 478.02 100
784 METHYLPREDNISOLONE INJ 125 22010.95 1
785 METHYLPREDNISOLONE INJ 125 16565.00 1
786 METOCLOPRAMIDE TAB 114.00 100
787 METRONIDAZOL 250 KF 173.35 100
788 METRONIDAZOL 500 KF 200.23 100
789 METRONIDAZOL INFUS 500 27718.02 1
790 METRONIDAZOLE 500 MG 164.00 100
791 "MEYLON 8 9.00
792 MGSO4 20% 7667.00 1
793 MGSO4 40% 3495.09 1

Page 15
Sheet1
794 MICONAZOLE SALP 3250.00 24
795 MICROLAX ENEMA 5 ML 16830.15 1
796 MIDAZOLAM-HAMELN 15 MG INJ 53240 5
797 MIDAZOLAM-HAMELN 5 MG INJ 20328.00 5
798 MILMOR PLUS 2211.75 "
799 ROSUFER 20 MG TAB 428043.48 30
800 ROVADIN DRY SYR 125 MG 100 46000.00 1
801 SIMVASTATIN 10 MG TAB DEXA 990000.00 30
802 SOMINAL TAB 25 MG 34969.00 100
803 MOLINFA SOFT CAPS 2475.00 OIL "
804 MOLOCO B12 3094.12 VIT. "
805 MUCERA 800.00 100
806 MUCERA DROP 34997.70 1
807 MUCERA PEDIATRIC SYR 60 ML 18384.62 1
808 MUCOGARD 100 ML 40000 1
809 MUCOHEXIN SYR 60 ML 15324.55 1
810 MUCOHEXIN TAB 459.95 100
811 MUSIN SYR 50000.49 1
812 MUSIN SYR BPJS 30360.00 1
813 MY BABY HAIR LOTION 100 ML 13250 1
814 SPASMOMEN TAB 17250.00 30
815 MYCONYS DROP 30400.00 1
816 "MYDRIATYL 0 69.00 TROPICAMID
817 NOVOMIX-30 FLEXPEN 92586.34 5
818 NYSTATIN TAB VAGINAL 2881.39 1
819 MYLANTA TAB 462.00 100
820 MYOMERGIN INJ 4950.00 10
821 MYOMERGIN INJ BPJS 4207 10
822 MYOTONIC INJ 1ML 4878.31 10
823 NA.DIKLOFENAK 25 MG 188.70 50
824 NA.DIKLOFENAK 50 MG 265.24 50
825 DTEK CUTGUT PLAIN 3/0 10010 12
826 NACL OTSU 500 ML 5827.00 20
827 NACL OTSU 100 ML 11019.57 10
828 NACL WIDA OGB 5826.56 20
829 NALGESTAN 1080.79 "
830 NARFOZ 4 MG 13591.58 12
831 NARFOZ SYRUP 30ML 55000.00 1
832 NATTO 10 MG 7800.07 30
833 NEBACETIN POWDER 5 GR 17777.01 "
834 NECIBLOK SUSP 100 ML 47500.00 1
835 NEDLEE 23G 450.00 100
836 NEDLEE 25G 570.16 100
837 NEFRADIN E 2248.49 100
838 NEO ALORA 2934 30
839 NEO GYNOXA OVULA 13698.01 10
840 NEO K INJ 12400.00 5
841 NEO KAOLANA SYR 11800.00 PECTIN"
842 NEOSTIGMIN INJ 15622.88 5
843 OBH 200 ML 8500.00 1
844 NEURODEX TAB 366.75 B6
845 NEURODEX TAB BPJS 290.00 B6
846 NEUROSANBE 5000 TAB 2192.35 B6

Page 16
Sheet1
847 NEUROSANBE INJ 4714.03 B6
848 NEUROSANBE TAB 1015.23 B6
849 NEUROTAM 400 MG 2156.00 100
850 NEUROTAM INJ 1 GR 16600.00 10
851 NEUROTAM INJ 3 GR 54999.99 4
852 NEW DIATAB 506.70 100
853 NEW DRC PLAIN 180000 1
854 NGT 16 125 CM TERUMO 15980.10 1
855 NGT 18 125 CM TERUMO 10184.13 1
856 NGT 12 125 CM TERUMO 33600.00 1
857 NGT 14 125 CM TERUMO 17783.20 1
858 NICARDEX 10 ML BPJS 140800.00 5
859 NICARDEX 10 ML UMUM 176000.00 5
860 NICARDIPINE HCL 10 MG 116413.32 5
861 NIFEDIPIN 10 MG 123.83 100
862 NITROKAF RETARD FORTE BPJS 2171.00 100
863 NOBOR 5 MG 3516.14 30
864 NONFLAMIN 5291.60 1
865 NOPERTEN 10 MG BPJS 920 30
866 NOPERTEN 5 MG BPJS 535 30
867 NORELUT 3400.00 50
868 NORESTIL 5 MG 3999.95 30
869 NORTA 2WAY CH 16 11340.78 10
870 NORTA 2WAY CH 16 BPJS 13255 10
871 NOVALDO INJ 6030.00 5
872 NOVALDO INJ BPJS 6030.00 5
873 NOVAROL TAB 8519.00 20
874 NOVA-T IUD 231080.83 1
875 NOVO TWIST 32G 2101.90 1
876 NOVORAPID FLEXPEN UM 145166.27 1
877 NTG INJ 10 MG 50600 10
878 DTEK POLYPROPYLENE 4/0 59581.45 12
879 ERLAMYCETIN EAR DROP 29700.00 1
880 NULACTA PLUS 5214.27 "
881 NUVOGIN 3118 20
882 NYTEX 100MG DS 27500.00 1
883 OBH COMBI BATUK BERDAHAK 7700.00 1
884 OBIMIN AF 30S 1253.33 C
885 ERMUNO TAB 0.00 30
886 OCUSON TAB 2640.00 100
887 ODR 4 MG INJ 25722.75 5
888 ODR 4 MG SYR 60 ML 86750.01 1
889 OMEPRAZOLE INJ DEXA 34375.34 10
890 OMEPRAZOLE INJ NOVELL BPJS 33500.00 1
891 OMEPRAZOLE TAB 20 MG HJ 308.01 30
892 OMZ 20 MG CAP 11708.68 30
893 OMZ INJ 10 ML 68159.11 1
894 OMZ INJ 10 ML BPJS 61962.42 1
895 ONDANE 4 MG 29150.00 5
896 ONDANSENTRON 4 MG Yarindo 700.64 30
897 ONDANSENTRON 4 MG INJ 7000.00 5
898 ONDANSENTRON 4 MG INJ Berno 3582.81 10
899 ONDANSENTRON 8 MG Novell 3250.00 12

Page 17
Sheet1
900 ONDARIN 4 MG 9499.99 10
901 ONETIC 4 MG 13200 5
902 OPILAX SYR 60ML 38200.00 1
903 OPIMOX SYR 19071.74 1
904 OPIXIME 100 CAP 17933.04 30
905 OPIXIME SYR 75000.00 1
906 OPSITE FLEXIFIX 10X10M 457200.00 1
907 OPSITE POST OP 25 38000.88 20
908 OPUS KAPLET 4798.65
909 ORALIT 546.74
910 OSFIT DHA 3833.06
911 OSSORAL 200 977.57 60
912 OSTEOCAL 565.41 72
913 OSTEOCAL PLUS 2001.32
914 OSTEOFREE 4840.00 "
915 OTSU D40 6600.00 1
916 OTSU D40 BPJS 2843.07 1
917 ERMUNO TAB 1980.00 30
918 OTSU KCL 6600.00 1
919 OTSU KCL BPJS 2817.00 1
920 OTSU RL BPJS 6500.00
921 OTSU SALIN 3 11948.00 20
922 OMEROXOL SYR 60 ML 0.00 1
923 OXITETRACYCLINE SALEP MATA 2772.00 25
924 OXYTETRACYCLIN 3% SALEP 2010.00 25
925 OXYTOCIN INJ 1746.84 100
926 ERPHAFILLIN 200 MG TAB 330.00 100
927 PAMOL SYR 13024.00 1
928 PANADOL EXTRA 571 100
929 PAN-ENTERAL 19498.81 10
930 "PANTOCAIN 0 49.00
931 PANTOMEX INJ 92240.22 1
932 PANTOPRAZOLE 40 MG INJ 68907.14 1
933 PANTORIN INJ 40 MG 63360.00 1
934 PANTOTIS 40 MG INJ 111864.81 1
935 PARACETAMOL INFUS 100ML 28573.10 1
936 PARACETAMOL INFUS 100ML 34200.00 1
937 PARACETAMOL SYR 60 ML 3176.00 1
938 PARACETAMOL TAB PROMED 100.13 100
939 PARAMOL INFUS 67719.70 1
940 PEDIALYTE BUBBLE GUM 500 ML 27720.00
941 PEDIALYTE SOL 26178.58
942 PEDILIS SYR 60 ML 20038.46 1
943 PEDIMIN DROP 24772.73
944 PEHACAIN INJ 2843.56
945 PERIFIX 400 G 18 306000.01 1
946 PETHIDIN HCL INJ 50 MG 6311.68 1
947 PHADILON 125 MG 44000.00 1
948 PHADILON 125 MG BPJS 22000 1
949 ERPHATRIM FORTE TAB 22000.00 100
950 ESILGAN 1 MG TAB 5250.00 1
951 PHENOBARBITAL 50 MG INJ 870.00 10
952 PHINEV INJ 3740 10

Page 18
Sheet1
953 PHYTOMENADION INJ 10MG/ML 1827.00 30
954 PIDILEN 3/0 TAPER POINT 67954.55 12
955 PIDILEN 4/0 CUTTING 71500.00 12
956 PIDILEN 6/0 CUTTING 71500.00 12
957 OSCAL 0.25 MG SOFTCAP 0 30
958 PIRACETAM 1 G/5 ML INJ BPJS B 5610.00 10
959 PIRACETAM 3 G/15 ML INJ Dexa 12732.38 4
960 PIRACETAM 3 G/15 ML INJ BPJS 17447.00 10
961 PIRACETAM 400 MG 451.00 50
962 PIRACETAM INFUS DEXA 80850 1
963 PIRACETAM INFUS BERNO BPJS 69300 1
964 PIROKSIKAM 10 MG 97.00 1
965 PIROKSIKAM 20 MG 105.00 1
966 PISAU CUKUR 4500 12
967 PITOGIN S INJ 9500.08 10
968 OSCAL 0.5 MG SOFTCAP 1760000 30
969 PLASMINEX 500 2508.01 100
970 POLIBAN 3 INCHI 17760.00 1
971 POLIBAN 4 INCHI 21636.53 1
972 POLIDEX EYE DROP 5 ML 39325.00 1
973 POLIGYP 3 INCHI 22122.35 1
974 POLIGYP 4 INCHI 31065.35 1
975 "POLYDEX 0 297.00 "POLIMIKSIN B SULFAT
976 POLYDEX EYE DROP 57599.44 "
977 POLYGRAN 5 ML 34787 "
978 POLYSILANE SYR 18500.00 1
979 PONDEX SUSP 9584.00 1
980 PONSAMIC 500 1337.28 100
981 OSTEONAT OD 2049.02 30
982 "POSPARGIN 0 99.00 METIL ERGOMETRIN
983 FARIZOL SYR 60 ML 4779.89 1
984 PRANZA INJ 136000.00 1
985 PRAXION 120 MG SYR 18526.57 1
986 PRAXION DROP 100 MG 17997.10 1
987 PREDNISON 5 MG 105.04 100
988 PREGABALIN KAP 150 MG 8724.49 30
989 PREGABALIN KAP 75 MG 6143.08 30
990 PREGNOLIN 5 MG 3314.33 50
991 PREMASTON 5 MG 3835.10 30
992 PREMILENE 2/0 TAPPER 71124.97 1
993 PREMILENE 3/0 CUTTING 64808.16 1
994 PREMILENE 5/0 CUTTING 92428.45 1
995 PRENAMIA 1000.00 100
996 PRIMAKUIN 258.46 1
997 PROANES 1% INJ 61781.92 5
998 PROANES 1% INJ BPJS 61204 5
999 PROBENID TAB 500 MG 1730.00 100
1000 PROBIOKID SACHET 11861.07 FRUKTO "
1001 PROCALMA 3518.28 ASAM FOLAT
1002 PROCOLIC 1430.00 100
1003 PRODIVA GEL 30 GR 220000.00 1
1004 PROFAT SUSPENSI 100 ML 60500.00 1
1005 PROFAT SUSPENSI 100 ML BPJS 34543 1

Page 19
Sheet1
1006 PROFERTIL 14000.00 10
1007 PROGESIC SYR 21874.52 1
1008 PROGESIC TAB 468.00 100
1009 PROGESTON 3520 30
1010 PROGYNOVA 2 MG 5307.91 28
1011 PROHELIC 5050.71 30
1012 PROHEM INJ 11000 5
1013 PROLENE 5-0 CUTTING 105000.00 12
1014 PROLENE 6-0 150000.00 1
1015 PROLIC 300 6614.30 100
1016 PROLUS 3-0 90 CM DOUBLE 126720.00 12
1017 PROLUS 4-0 126720 12
1018 PROMAVIT TAB 4991.29 30
1019 PREMILENE 4/0 CUTTING 47262.00 1
1020 PROMUBA SYR 60 ML 40150.00 1
1021 PRONALGES INJ 29700.00 10
1022 PRONALGES SUPP 9520.00 10
1023 PRONALGES SUPP BPJS 9520.00 10
1024 PRONALGES TAB 2310 50
1025 PROPOFOL 1% INJ 55200.00 5
1026 PROPOFOL 1% INJ BPJS 55200.00 5
1027 PROPRANOLOL 10 MG 69.04 100
1028 PROPRANOLOL 10 MG BPJS Holi 79.00 100
1029 PROPRANOLOL 40 MG 128.00 100
1030 PROPRANOLOL 40 MG BPJS Holi 110.00 100
1031 PROPYLTHIOURACYL 100 MG 408.34 100
1032 PROPYRETIC SUPP 160 MG 6666.67 12
1033 PROPYRETIC SUPP 240 MG 7916.67 12
1034 PROPYRETIC SUPP 80 MG 6251.78 12
1035 PRORIS 200 MG CAPLET 737.00 100
1036 PRORIS FORTE 50 ML 24046.81 1
1037 PRORIS SYR 60 ML 20040.91 1
1038 PROSOGAN FD TAB 30 MG 17139.93 28
1039 PROSOGAN INJ 140916.67 1
1040 PROSOGAN INJ BPJS 80445.64 1
1041 PROSONIC GEL 5 LITER 100430 1
1042 PROSONIC GEL 5 LITER UMUM 242000 1
1043 PROSTER 10332.36 30
1044 PROTECAL 22660 1
1045 PROTOFEN SUPP BPJS 3804.55 20
1046 PROVELYN 75 MG 9499.75 14
1047 PROVULA 50 MG 11050.00 30
1048 PROXIDAN 3426.69 30
1049 PSIDII CAPSUL 500 MG 3365.82 50
1050 PSIDII SYRUP 60 ML 28066.63 1
1051 PULMICORT NEBU 15868.53 20
1052 PUMPISEL INJ 137225.56 1
1053 PYRANTEL TAB 125 MG 7950 100
1054 PYRANTEL TAB 125 MG SYR 8729.00 1
1055 RADIK 1 TAPER POINT 71500 12
1056 RADIK 3/0 CUTTING 71500 12
1057 RADIN INJ 22000.00 5
1058 RANICHO SYR 41372.73 1

Page 20
Sheet1
1059 RANITIDINE TAB 150 MG DEXA 189.61 100
1060 RANITIDINE INJ Dexa 2436.50 25
1061 RANITIDINE INJ BPJS Berno 1813.28 100
1062 RASTORO 1 65000.00 12
1063 RASTORO 2/0 CUTTING 65260.00 12
1064 RASTORO 3/0 65419.12 12
1065 RASTORO 4/0 CUTTING 20/75 65145.91 12
1066 RASTORO 4/0 TAPPER POINT 71500.00 12
1067 RASTORO 5/0 CUTTING 71500 12
1068 RASTORO 5/0 TAPER POINT 71500.00 12
1069 REBAMAX TAB 3630.00 30
1070 REBAMIPIDE 100 MG BPJS 2105.47 30
1071 RECOFOL N INJ 72000.00 5
1072 RECOFOL N INJ BPJS 72000.00 5
1073 RECOLFAR 4352.44 30
1074 REDOXON FORTIMUN EFF 34051 1
1075 RENALYTE 13697.26 1
1076 RENASISTIN DROP 50000.00 1
1077 REPITHEL MD 8085.00 ANEURIN HCL
1078 RETAPHYL SR TAB BPJS 1038.64 100
1079 REUCID 100 MG 825 50
1080 REUCID 300 MG 2166 30
1081 RHINOFED 1386.00 50
1082 RHINOS JUNIOR SYR 60 ML 26999.01 1
1083 RHINOS NEO DROP 35100.00 1
1084 RHINOS SR 4057.62 50
1085 RILLUS TAB 6541.43 30
1086 RINDOZOL INFUS 100 ML 66000 1
1087 OTOPAIN EAR DROP 8 ML 42095.45 1
1088 OTSU D5 100 ML 10993.51 10
1089 PEKA KRISTAL NUSANTARA 0 1
1090 RINGERFUNDIN NR 13225.00 K
1091 RINOFER INJ BPJS 77880.00 5
1092 RISPERIDONE 2 MG 2175.01 50
1093 RITEZ DROP 44625.08 1
1094 RITEZ SYR 60 ML 42500.00 1
1095 RIVANOL 100 ML 2917.14 1
1096 RIVANOL 300 ML 5390.00 1
1097 RL INFUS OTSU 500ML 9900 NACL
1098 RL WIDA OGB BPJS 6500.73 NACL
1099 ROCER INJ 129800 1
1100 ROCULAX INJ 5 ML 107250 1
1101 RONEX 500 2858.77 50
1102 ROPAIN 3% INJ 29700.00 5
1103 ROPAIN 3% INJ BPJS 8910 5
1104 ROVADIN DRY SYR 125 MG 60 37000.00 1
1105 SABUN SEREH 5000 1
1106 SAFE CARE AROMATHERAPY 10 13600.00 24
1107 SAGESTAM CREAM 11285.94 1
1108 SAGESTAM INJ 80 MG 9460.00 5
1109 SAGESTAM INJ 80 MG BPJS 7095 5
1110 SALBUTAMOL 2 MG 79.18 100
1111 SALBUTAMOL 2 MG SYR 4697.37 1

Page 21
Sheet1
1112 SALBUTAMOL 4 MG 97.00 100
1113 SALONPAS SUPER KOYO 4761.00 5
1114 SAN B PLEX DROP 16128.25 1
1115 SANADRYL DMP SYR 120 ML 16324 1
1116 SANADRYL DMP SYR 60 ML 9596.21 1
1117 SANADRYL EXPECTORAN SYR 60 8992.31 "
1118 PHENOBARBITAL 30 MG TAB 620.05 100
1119 SANBENAFIL 100 MG 81350.00 4
1120 SANCORBIN INJ 1000 MG 24648.50 5
1121 SANGOBION 924.00 250
1122 SANMAG SUSPENSI SYR 120 ML 22600.00 1
1123 SANMOL 259.72 100
1124 SANMOL DROP 14448.43 1
1125 SANMOL SYR 60 ML 10749.87 1
1126 SANPICILLIN INJ 1 GR 14865.00 10
1127 SANPICILLIN SYR 7859 1
1128 SANPRIMA FORTE CAP 1825.04 100
1129 SANPRIMA SYR 60 ML 23497.17 1
1130 SANPRIMA TAB 480 MG 880.00 100
1131 SANTA-E 400 3586 100
1132 SANTAGESIK INJ 5014.56 1
1133 SANTAGESIK INJ BPJS 5455.34 5
1134 SANTAGESIK TAB 563.61 100
1135 SANTOCYN INJ 10400.00 10
1136 SANVITA B SYR 11350.00 1
1137 SCOPAMIN INJ 10319.93 5
1138 SCOPAMIN INJ BPJS 8580.00 5
1139 SCOPAMIN PLUS TAB 1607.33 100
1140 SCOPAMIN PLUS TAB BPJS 1500.00 100
1141 SCOPAMIN TAB 1068.26 100
1142 SCOPAMIN TAB BPJS 1050.00 100
1143 "SEDACUM INJ 0 66.00 MIDAZOLAM
1144 "SEDACUM INJ 0 0.00 MIDAZOLAM
1145 "SEDACUM INJ 0 4.00 MIDAZOLAM
1146 "SEDACUM INJ 0 43.00 MIDAZOLAM
1147 SENSITIF TEST PACK 21961.00 1
1148 SEROLIN 10 MG 14957.21 105
1149 SERUM ANTI BISA ULAR BIOSAVE 473000.00 1
1150 SERUM ANTI TETANUS BIOSAT 148274.63 10
1151 SEVOFLURANE BAXTER 10734.06 250
1152 SIBITAL INJ 9761.36 1
1153 SIBRO 20 GR CREAM 77000.00 1
1154 SIDIADRYL INJ 15 CC 4335.06 10
1155 SILEX SYR 39198.98 1
1156 SILKAM 2/0 41813.33 1
1157 SILKAM BLACK 3/0 23421.77 12
1158 SILOXAN MD 7036.09 100
1159 SIMFIX100 15045.57 30
1160 SIMFLOX 500 MG TAB 9515.98 30
1161 SIMPROFEN TAB 4880.00 30
1162 SIMVASTATIN 10 MG KF 120.19 50
1163 SIMVASTATIN 10 MG BPJS HJ 270.00 50
1164 SIMVASTATIN 20 MG 758.14 30

Page 22
Sheet1
1165 SINCRONIK TAB 6999.99 30
1166 SIRPLUS SIRUP 100 ML 11157.51 1
1167 SISTENOL 791.05 100
1168 SODERMIX CREAM 15 GR 78571.43 1
1169 SOLUS 1 PGA 90000.00 12
1170 SOLUS 3-0 PGA 75229.51 12
1171 SOLUS SWIFT 910 99000 12
1172 SOLVINEX INJ 29750.00 10
1173 SOLVINEX INJ BPJS 28875 10
1174 SOLVINEX TAB 440 100
1175 SOLVINEX TAB BPJS 330 100
1176 SPINOCAN 25 29966.48 1
1177 SPINOCAN 27 30000.00 25
1178 SPINOCAN 27 BPJS 30000.00 25
1179 SPIRAMYCIN 500 1748.32 50
1180 SPIRONOLACTONE 100 MG 917.56 100
1181 SPIRONOLACTONE 25 MG 350.32 100
1182 SPORETIK 100 MG 18326.55 30
1183 SPORETIK DRY SYR 77399.99 1
1184 SPUIT 1 CC TERUMO 2236.00 100
1185 SPUIT 1 CC TERUMO 3195.69 100
1186 SPUIT 10 CC AXIMED 1282.21 100
1187 SPUIT 10 CC ONEMED 1087.54 100
1188 SPUIT 10 CC TERUMO 3240.73 100
1189 SPUIT 20 CC TERUMO 9171.27 50
1190 SPUIT 3 CC PROGRESS 585 100
1191 SPUIT 3 CC TERUMO 2001.05 100
1192 SPUIT 5 CC CIRINGE 1297.09 100
1193 SPUIT 5 CC PROGRESS 609.18 100
1194 SPUIT 5 CC TERUMO 2490.83 100
1195 SPUIT 50 CC TERUMO BIRU LP 16812.78 20
1196 SPUIT 50 CC TERUMO HIJAU LT 31205.03 20
1197 STARCEF 100 MG 17500.00 30
1198 STARCEF DS 100 MG/ 5 ML 75887.50 1
1199 STARFOLAT TAB BPJS 151.96 100
1200 STARMUNO KIDS 60 ML 60500.00 1
1201 STATOR 10 MG 13477.14 30
1202 STATOR 20 MG 15981.99 30
1203 STERIL WATER OTSUKA 1 LITER 18626.64 1
1204 STESOLID INJ 11352.16 5
1205 STESOLID RT 10 MG TUBE 35637.49 5
1206 STESOLID RT 5 MG TUBE 23741.57 5
1207 STESOLID SYRUP 60ML 34100.00 1
1208 STESOLID TAB 2 MG 880.00 100
1209 STESOLID TAB 5 MG 1540.00 100
1210 STOMACAIN TAB 1100.00 100
1211 FENOFIBRAT 300MG BPJS HJ 1632.00 30
1212 STROCAIN 1916.45 100
1213 SUCRALFATE 500 MG / 5ML 60500.00 1
1214 SULDOX 2000.04 60
1215 PIDILEN 4/0 TAPPER 200000.00 1
1216 SULFASALAZIN TAB 500 MG 2200.00 100
1217 SUMAGESIC 388.90 100

Page 23
Sheet1
1218 SUPRAFENID SUPP 6616.50 10
1219 SUPRAFENID SUPP BPJS 7260.00 10
1220 SUPRASMA HFA INHALER 59773.00 1
1221 T. TOWEL 3850.00 10
1222 TAMANOPAN SYR 4000.00 1
1223 TAMOLIV INFUS 56000.00 1
1224 TAPROS INJ 1.88 MG BPJS 636346.00 1
1225 TAPROS INJ 3.75 MG 518060.66 1
1226 TAXEGRAM INJ 1 GR 131200.00 1
1227 PREGABALIN 75 MG BPJS DEXA 6178.12 30
1228 TENSOCREPE 3 INC 49304.18 1
1229 TENSOCREPE 4 INC 58224.04 1
1230 TENSOCREPE 6 INC 76738.65 1
1231 TEQUINOL 500 TAB 12100.00 30
1232 TERMICEF INJ 170000.00 1
1233 TETAGAM P 159800.00 1
1234 TETRASIKLIN KAP 250 MG 154 100
1235 TEXORATE 5500 30
1236 THIAMPENIKOL 500 863.62 100
1237 THROMBOPHOB GEL 20 GR 47250.00 1
1238 THROMBOPHOB OINT 15 GR 38500.00 1
1239 THYRAX TAB 2700 100
1240 TIMOL ED 30500.00 1
1241 RIKLONA 2 MG TAB 13089.25 1
1242 "TOBRO 0 193.00 TOBRAMACYN
1243 "TOBROSON 0 134.00 TOBRAMACYN+DEXAME
1244 TOMIT 605 50
1245 TOMIT INJ 9040.56 5
1246 TONAR TAB 7800 30
1247 "TONOR 0 95.00 BETAXOLOL
1248 ROSUFER 10 MG TAB 9800.00 30
1249 TONOTAN 2922.95 50
1250 TORASIC INJ 30 MG 36667 6
1251 TRADOSIK INJ 15631.00 10
1252 TRADOSIK TAB 2992.00 50
1253 TRAMADOL INJ 6916.00 10
1254 TRAMADOL TAB 50 MG DEXA 393.27 50
1255 TRAMIFEN 7000.00 30
1256 TRAMIX 10% INJ BPJS 6571 10
1257 TRAMIX 10% INJ UMUM 6695.44 10
1258 TRANEXID INJ 5% 11550.00 10
1259 TRANSAMIN TAB 500 MG 2640.00 100
1260 TRANSFUSI SET AVICO 5500.00 50
1261 TRANSFUSI SET GEA 4418.73 50
1262 TRANSFUSI SET TERUMO 19034.93 50
1263 TRANSPULMIN BALSEM BB 10 GR 38700.00 1
1264 TRANSPULMIN BALSEM BB 20 GR 52470 1
1265 TREMENZA 1078.14 100
1266 TRIAMCINOLONE TAB NOVELL 1460.84 1
1267 TRIAMCINOLONE 4 MG BPJS 717 100
1268 "GENOINT EYE OINTMENT 0 112.00 TRIAMCINOLONE
1269 TRICEFIN INJ 192500.00 1
1270 TRICHODAZOL 500 1526.93 100

Page 24
Sheet1
1271 TRICHOSTATIC OVULA 10925.00 6
1272 TRICLOFEM INJ 9412.00 20
1273 TRIDEX 27 A 20405.00 NACL
1274 TRIDEX 27 B 15200.00 NACL
1275 TRIDEX 27 B BPJS 15200.00 NACL
1276 TRIDEX PLAIN 14120.00 "
1277 TRIHEXYPENIDIL TAB 2 MG 400.00 1
1278 TRIPENEM INJ 1 G 242000.00 1
1279 TRITEN PGA 1 75615.54 12
1280 TRITEN PGA 1 BPJS 48950.00 12
1281 TRITEN PGA 3/0 59557.42 12
1282 TRITEN PGA 3/0 BPJS 38500.00 12
1283 TRITEN PLAIN 0 51054.88 12
1284 TRITEN RAPIDE 2/0 97470.39 12
1285 TRITEN RAPIDE 2/0 BPJS 53550.00 12
1286 TROGYL 500 MG 1500.00 30
1287 TROGYL INFUS 68714.29 1
1288 TROGYL INFUS BPJS 72600 1
1289 TROGYL SYR SUSPENSI 60 ML 39526.79 1
1290 TROLIT SACHET 9666.69 6
1291 GLISODIN CAP 5609.54 30
1292 TROPINE 1 % 5 ML 12273.00 1
1293 TROVENSIS 4 MG 11330.00 10
1294 TROVENSIS 8 MG 15917.00 10
1295 TROVENSIS INJ 2 MG 30550.00 5
1296 TUTOFUSIN OPS INF 500 ML 51700.00 1
1297 TUZALOS 696.80 100
1298 ULSAFAT 100ML 45980 1
1299 ULSIDEX 500 MG BPJS 466 100
1300 ULSIDEX 500 MG TAB 1122.00 100
1301 ULVICE INJ 25000.00 10
1302 UNALIUM 10 MG TAB 6930.00 20
1303 UNALIUM 5 MG TAB 5060.00 20
1304 UNDERPAD REMEDI 9350 10
1305 UNDERPAD SENSIPADS 3236.72 10
1306 UNIGEN TAB 8228 10
1307 URDAFALK 9478.33 30
1308 URINE BAG GEA 10000 10
1309 URINE BAG GEA BPJS 2847.64 10
1310 URINE BAG ONEMED 2939.24 10
1311 URINE BAG ROMED 7535.00 10
1312 URINE BAG VICOM 3630.00 10
1313 URINTER CAP 3212.37 100
1314 UROTRACTIN 3024.17 60
1315 URSODEOXYCHOLIC ACID 250 5857.34 30
1316 URSODEOXYCHOLIC ACID 250 3780.00 30
1317 UTROGESTAN 200 MG 16458.86 15
1318 VACTIV SYR 31724.99 1
1319 VAGIZOL OVULA BPJS 3671.67 5
1320 VALAMIN INF BPJS 54736.00 1
1321 VALSARTAN 160 MG TAB 7150.00 30
1322 VALSARTAN 80 MG TAB 4400.00 30
1323 VASCUPRAX 100 MG TAB 3700.00 1

Page 25
Sheet1
1324 VASOFIX SAFETY G 18 22000 50
1325 VASOFIX SAFETY G 20 22000.00 50
1326 VASOFIX SAFETY G 22 22000.00 50
1327 VASTAREL TAB 280.00 100
1328 VASTIGO TAB BPJS 369.02 100
1329 VECTRINE DRY SYR 30610.31 1
1330 VENODENOL 3% INJ 47000.00 5
1331 VENOFER INJ 197230.00 5
1332 VENTOLIN NEBULES 2 10362.79 20
1333 VERIDIN 5574.04 HESPERIDIN"
1334 "VERNACEL 0 86.00 "NAPAZOLIN HCL
1335 VERONIL 250 MG 120 ML 69088.75 1
1336 VESITAB 6 MG 2750.00 100
1337 VICEE 545.00 100
1338 VICRIL 5/0 ROUNDED 121000.00 1
1339 VIDON DROP 10 ML 38500.00 1
1340 GLUCOSAMINE 500 MG 13781.00 1
1341 VIT C IPI 58 50
1342 VITACHOL SOFT CAP 4400 50
1343 VITACID LOT 42350 1
1344 VITAMIN B KOMPLEKS KF 107.63 100
1345 VITAMIN B1 50 MG 81.13 100
1346 VITAMIN C 100 MG TAB 55.00 100
1347 VITAMIN C TAB 50 MG 1001.00 100
1348 VITAMIN K 10 MG INJ 4887.50 1
1349 VITAPLEX SYR 60 ML 33000 1
1350 "VITROLENTA 0 555.00
1351 VOLTADEX 50 MG TAB 361.86 50
1352 VOLTAREN EMULGEL 1% 50 GR 99000.00 1
1353 VOMCERAN 4 MG 14200.00 10
1354 HYPHOBAC 100 MG INJ 31900 1
1355 VOMETA DROP 33575.01 1
1356 VOMETA FT 3060.40 50
1357 VOMETA SYR 60 ML 33575.00 1
1358 VOMIL B6 2182.08 100
1359 VOMILAT 843.30 30
1360 VOSSECAL 2750.00 30
1361 WIACID TAB 4620.00 30
1362 WIAFLOX 500 11999.63 20
1363 WIDAHES 130 INFUS 54865.00 10
1364 WING NEDLEE 23 10806.40 50
1365 WING NEDLEE 25 13200.00 50
1366 WING NEDLEE 27 13200.00 50
1367 XANDA SYR 120 ML 49500.00 1
1368 XEPAMOL DROP 15ML 20000.00 1
1369 XIDANE 6886.13 30
1370 XYLOCAINE 2% 10 G JELLY 173806.57 1
1371 YASMIN 171996.00 ETINIL "
1372 ZANIC SYR 10343.95 1
1373 ZANIC SYR BPJS 9550 1
1374 ZEGAVIT 2300.00 50
1375 ZEMYC 150 MG 60900.00 3
1376 ZINCPRO SYR 60 ML 32000.00 1

Page 26
Sheet1
1377 ZINK TABLET 465.20 100
1378 ZITROLIN TAB 27642.86 6
1379 ALKOHOL 70% 23.37 1000
1380 AMBUBAG BAYI 200000 1
1381 AMBUBAG DEWASA 200000.00 1
1382 AQUADESTILATA 500 CC LUCAS 23591.18 1
1383 AUTOCLAVE TAPE 25 X 50 60850 1
1384 BISTURI NO.10 AESCULAP 3466.42 100
1385 CATGUT CHROMIC 1 B BRAUNN 1545000.00 1
1386 "CATGUT CHROMIC 2/0 28.00
1387 CATGUT CHROMIC 3/0 B 1800000 1
1388 CATGUT CHROMIK 2 B BRAUN 1644369.47 1
1389 CATGUT PLAIN 0 B BRAUNN 1772063.17 1
1390 HANDCHOON M SENSI 429.45 100
1391 HANDSCHOON S M L SENSI 440.13 100
1392 HANDSCOON AXM MAX MPM 587.80 50
1393 HANSSCHOON S SENSI 427.03 100
1394 HIBISCRUB 5000 CC 360.00 5000
1395 HYPAFIX 5 CM X 5 M 48565.83 1
1396 HYPAFIX 10 CM X 5 M (NEW) 95044.46 1
1397 HYPAFIX 15 CM X 5 M (NEW) 129222.71 1
1398 ID BAND BAYI BIRU ONEMED 1040.06 100
1399 ID BAND BAYI PINK ONEMED 1166.06 100
1400 JARUM CUTTING 1250 12
1401 JARUM OTOT/KULIT 1250 12
1402 JARUM ROUNDED 1250 12
1403 JARUM USUS 1250 12
1404 JELLY USG 250 GR 20000 1
1405 "JELLY USG 0
1406 KAPAS PEMBALUT 500 GR PELITA 29965.33 1
1407 KASA HYDROFIL 40 X 80 175000 1
1408 KASSA HYDROFIL 40 X 80 103495.25 1
1409 KERTAS ECG UKURAN 210 X 30 126825.01 1
1410 KERTAS USG UPP-110 HG SONY 215277.78 1
1411 MASKER EAR LOOP SAFE 400.64 50
1412 MASKER KARET 422.76 50
1413 MASKER NEBULIZER ANAK 35447.14 1
1414 MASKER TALI 385.81 50
1415 NALD HECTING GSTC GT 8 7864.58 12
1416 NALD KULIT GSTC NO. 10 5833 12
1417 NALD KULIT GSTC NO. 12 8450.00 12
1418 NALD KULIT GSTC NO. 13 8450.00 12
1419 NASAL CANNUL ADULT REMEDI 11051.00 1
1420 NASAL CANNUL CHILD REMEDI 11051.00 1
1421 NASAL CANNUL NEONATUS 14299.00 1
1422 NURSE CUP 1000 50
1423 OKSIGEN 110000.00 1
1424 OXYGEN MASKER ADULT GEA 8400.00 1
1425 PAC ISI 25 KG 260000.09 1
1426 POT URINE 30 CC 486.32 1
1427 PROLENE 5-0 CUTTING 165000.00 1
1428 PROSONIC US GEL 5 LTR 244000.00 1
1429 RING PESARIUM 7.0 37500.00 1

Page 27
Sheet1
1430 RING PESARIUM 7.5 75000.00 1
1431 "RING PESARIUM 8 2.00
1432 SELANG 02 ANAK GEA 5268.15 1
1433 SELANG 02 DEWASA SET 5600.00 1
1434 SELANG O2 BAYI GEA 5346.00 1
1435 SENSI GLOVE S 450.00 100
1436 "SENSI GLOVE 35000.00
1437 SILK 1 B BRAUNN 950000.00 1
1438 SILK 2 B BRAUNN 864736.85 1
1439 SILK NO. 02 REMEDI 300000 1
1440 STERISHET/WRAPPING PAPER 50 1400.00 1
1441 STRIP EASY TOUCH 6600 25
1442 STRIP EASY TOUCH GLUKOSE 3300.01 25
1443 STRIP EASY TOUCH URID ACID 3400 25
1444 STRIP GLUCOSA AUTOCHECK 3350.41 25
1445 SURGILAB APRON FILM WHITE 3000.00 100
1446 VACUM ANTIKOAGULAN 1628.58 100
1447 VACUM EDTA 1650.00 100
1448 WIDAL FOTRESS PARATHYPI AH 90306.53 1
1449 WIDAL FOTRESS PARATHYPI AO 90306.53 1
1450 WIDAL FOTRESS PARATHYPI BH 90306.53 1
1451 WIDAL FOTRESS PARATHYPI BO 90306.53 1
1452 WIDAL FOTRESS PARATHYPI CH 90306.53 1
1453 WIDAL FOTRESS PARATHYPI CO 90306.53 1
1454 WIDAL FOTRESS THYPHI H 90306.53 1
1455 WIDAL FOTRESS THYPHI O 90306.53 1
1456 TIP KUNING NESCO 200 UL 140.69 1
1457 XANDA SYR 60 ML 30000.00 1
1458 XEPAZYM TAB 2174.95 50
1459 SEVODEX 250 ML 7960.99 250
1460 NASACORT 55 MCG NASAL 195275 1
1461 PULMICORT TURB 200 201760 1
1462 ACTOZ 30 MG TAB 10087.00 30
1463 GLIMEPIRIDE 2 MG TAB BPJS KF 396.19 50
1464 BISOPROLOL 5 MG TAB DEXA 664 30
1465 ELASTOMUL HAFT 8CM X 4 M 30152.08 1
1466 KUTOIN INJ 7475.00 10
1467 AMLODIPINE 10 MG BPJS SOHO 16.00 30
1468 MASKER MD KARET 700 50
1469 MASKER MD TALI 700.00 50
1470 ZUDEM TAB 10 MG 4231.70 30
1471 CURVIT SYR 120 ML 30000.00 1
1472 FITBON KAP 1300.00 60
1473 AMLODIPINE 5 MG BPJS KF 114.40 50
1474 UTROGESTAN 100 MG 8687.19 30
1475 ALBUMIN 2 X 50MLEVOGEN 6637.36 100
1476 ALLOPURINOL 100 MG 130.00 100
1477 AMBROXOL 30 MG PHAPROS 193.62 100
1478 AMLODIPINE 10 MG DEXA 1216.21 50
1479 AMLODIPINE 10 MG HEXPHARM 1151.00 30
1480 AMLODIPINE 5 MG BPJS PHAPROS 212.47 30
1481 BILIRUBIN TOTAL 10125.00 100
1482 CEFIXIME 100 MG BERNO 2350.00 100

Page 28
Sheet1
1483 CHOLESTEROL MR 2X50 ML 9360.00 100
1484 CREATININ 2 X 50 ML EVOGEN 6300.00 100
1485 EOSIN 1 X 100 ML 3120 100
1486 F. CATH 14 ROYAL GOLD 16500.00 10
1487 FILM 24 X 30 12757.14 100
1488 FILM 30 X 40 15640.60 100
1489 FILM 35 X 35 16379.31 100
1490 GLUCOSE MR 2 X 50 ML EVOGEN 6210.00 100
1491 HANDSCOON STERIL OBGYN 16313.47 50
1492 HANDSCOON STERIL OBGYN 22419.75 40
1493 HBS AG 5529.66 20
1494 HDL CHOLESTEROL 2X40 ML 8437.27 80
1495 HEMASTAR CLEANER 1 LITER 1575.00 1000
1496 HEMASTAR DILUENT 10 LITER 198.00 10000
1497 HEMASTAR LYSE 1 LITER 4230.00 1000
1498 HIV TEST 36500.41 25
1499 HYPOBAC INJ 131098 1
1500 IMBOOST FORCE KAP 5664.63 30
1501 LEVOFLOXACIN 500 MG DEXA 1101 20
1502 LEVOFLOXACIN 500 MG INF 48000.00 1
1503 LODOMER 2 MG 236.00 100
1504 LODOMER DROP 15450 1
1505 LODOMER INJ 4980.48 12
1506 MASKER NEBULIZER CHILD 24000.00 1
1507 MASKER NEBULIZER PEADIATRIK 18237.83 1
1508 NA. CITRAT 562 100
1509 ONDANSENTRON 4 MG NOVEL 644.59 12
1510 ONDANSENTRON INJ DEXA 4 MG 3674.75 5
1511 PARACETAMOL INFUS 100ML 23625.00 1
1512 PROSTIGMIN INJ 20000 5
1513 RANITIDIN INJ HJ 2330.65 10
1514 SGOT 2 X 50ML 8676 100
1515 SGPT 2 X 50 ML 8676 100
1516 THROMBO ASPILET 674.00 150
1517 TOTAL PROTEIN 2 X 50 ML 6660.00 100
1518 TRIGLISERID 2 X 50 ML EVOGEN 14040.00 100
1519 UREA - BUN BR 2 X 50 ML 8676.00 100
1520 REAGENSIA ASAM ASETAT 6% 1300.00 100
1521 REAGENSIA BENEDICT 126 500
1522 REAGENSIA GIEMSA 100 ML 10000.00 100
1523 BATUGIN ELIXIR 120 ML 18530.69 1
1524 LAPIXIME INJ 1 GR 130000.00 1
1525 CAPSINAT 500 TAB 10080.00 30
1526 NULACVIT CAP 1816.00 30
1527 SIMDROL 125 MG INJ BPJS 20876.96 1
1528 METHISOPRINOL 250 MG SYR 52500.00 1
1529 LACTOR 30 MG INJ 1960.00 6
1530 LANABAL INJ 18000.00 10
1531 KETOROLAC 1 % INJ PHAPROS 2231.00 12
1532 AZOMAX SYR DS 75650.00 1
1533 CEFOTAXIME 1 GR INJ HJ 9265.53 2
1534 ORALIT PHAPROS 375.04 100
1535 GLIBENCLAMIDE 5 MG TAB 96.00 100

Page 29
Sheet1
1536 BISTURI NO 20 AESCULAP 2982.25 100
1537 CEFIXIM 100 MG BERNO 2727.00 30
1538 CENDO XITROL EYE OINT 47500.00 1
1539 CEFTRIAXON INJ 1GR BERNO 14450.00 100
1540 HYPAFIX 10 X 5 64099.38 1
1541 LEUKOPLAST 7.5 X 4.5 0.00 1
1542 SYMBICORT TURB 160 279918.60 1
1543 SYMBICORT TURB 80 130848.44 1
1544 URINE BAG REMEDI (SALAH) 4250.00 10
1545 URINE BAG REMEDI 4250.00 1
1546 ASAM MEFENAMAT 500 MG 207.90 100
1547 VOLTADEX GEL 1 % 20 GR 19110.00 1
1548 PHAPIN INJ 1 G 4891.06 1
1549 ALOCLAIR PLUS 105000.00 1
1550 PREMILENE 7/0 TAPER MICROTIP 179900.00 1
1551 SAFIL 0 HS 40S 90 CM 88200.00 1
1552 SAFIL 3/0 DS 24 70CM CUTTING 65450.00 1
1553 SAFIL 4/0 DS 19 45 CM 69004.40 1
1554 PROLENE 7-0 BONDED 210000.00 1
1555 PROLENE 3/0 CUTTING 26 MM 115000.00 1
1556 ALKOHOL 95 % 100 ML 13000.00 1
1557 VICRIL 3-0 CUTTING 104347.90 1
1558 POLIGYP 6 INCHI 37042.31 1
1559 INVICLOT 5000 UNIT INJ 79200.00 1
1560 SIMVASTATIN 10 MG NOVELL 303.22 30
1561 CITICOLINE 500 MG NOVELL 5300.00 30
1562 KETOKONAZOLE CREAM 2% 15 6469.82 12
1563 DOMPERIDONE 10 MG NOVELL 293.54 50
1564 OFLOXACIN 200 MG NOVELL 482.81 50
1565 OFLOXACIN 400 MG NOVELL 714.28 50
1566 EFRISEL 10% EYE DROP 5 ML 14836.07 1
1567 PROMAVIT NEW 2494.51 60
1568 PK KRISTAL 5 GR NUSANTARA 6500.00 1
1569 CITICOLINE INJ 125 MG/ML 9100.00 10
1570 ALXIL FORTE SYR 65000.00 1
1571 ZISTIC SYR 90000.00 1
1572 MEVILOX 7.5 MG TAB 5387.50 30
1573 PIDILEN 8/0 TAPER POINT 13/75 65000.00 12
1574 AMOXICILLIN 500 MG DEXA 317.94 100
1575 ALKOHOL 96 % (TEHNIS) 1000 26.00 1000
1576 SOFFBAN 3 INC 14720.36 1
1577 SOFTBAND 4 INC 22510.00 1
1578 SOFFBAN 6 INC 28319.08 1
1579 PK KRISTAL 5 GR CITO 4022.00 24
1580 LAPISIV SYR 16000.00 1
1581 CRAVOX INFUS 500 280000.00 1
1582 HEPARIN INJ 5000 IU 53723.40 10
1583 AMOXICILLIN 250 MG BERNO 235.15 100
1584 CEFADROXIL 500 MG BERNO 605.00 100
1585 RADIN TAB 150 MG 711.07 30
1586 VALDIX TAB 80 MG 5500.00 30
1587 VALDIX TAB 160 MG 8000.00 30
1588 PROLENE 4-0 CUTTING 118930.53 1

Page 30
Sheet1
1589 PROLENE 8/0 TAPER 254260.00 1
1590 UNISIA TAB 11111.11 20
1591 ULSAFATE SUSP 100 ML BPJS 12591.00 1
1592 FLEET ENEMA BPJS 36318.00 1
1593 NEOSTIGMINE HAMELN INJ BPJS 8325.13 5
1594 GYPSONA 3 INCI 22781.04 1
1595 GYPSONA 4 INCI 31893.64 1
1596 GYSONA 6 INCI -1 1
1597 SOFFBAN 4 INCI 19233.65 1
1598 GYPSONA 6 INCI 41823.20 1
1599 TRAMUS INJ 1 % 50 MG/5 ML 58400.00 5
1600 ATRACURIUM HAMELN INJ 50 105000.00 1
1601 VICRIL PLUS 3-0 TAPER 111250.00 1
1602 BIONECT GAUZE 17050.00 10
1603 DTEK POLYGLYCOLIC ACID 2/0 87500.00 12
1604 DTEK POLYGLYCOLID ACID 4/0 87500.00 12
1605 SANBE KIDS EMULSION 32716.67 1
1606 ELKANA SYRUP 19756.67 1
1607 PLAIN 3-0 B BRAUN 1691666.67 1
1608 PLAIN 3-0 ZIPA 1380000.00 1
1609 TAMAPROVEN SYR 100MG 7000.00 1
1610 LYTAMIN SYR 6000.00 1
1611 NUCRAL SUSP 100 ML 47672.23 1
1612 AR-GOUT 0.5 MG TAB 3166.67 30
1613 TRAMUS INJ 1 % 25 MG/2.5ML 38400.00 5
1614 CATGUT PLAIN 4/0 B BRAUN 1763636.33 1
1615 APIDRA SOLOSTAR 78955.32 5
1616 NASACORT AQ BPJS 81818.00 1
1617 PROGINA TRANSV GEL 220ML -1 1
1618 MINOSIL 5 LTR (STARTER PACK) -1 1
1619 OPICEF 500 MG CAPS 9000.00 50
1620 AMINOSTERIL INFANT 6% 100 45876.00 1
1621 PIRACETAM INFUS NOVELL 49000.00 1
1622 SUCTION CATHETER NO.8 6000.00 1
1623 SUCTION CATHETER NO.10 8500.00 1
1624 SUCTION CATHETER NO.12 8568.63 1
1625 CUTIMED SILTEC 10X10 CM 76749.16 1
1626 CHILI PLAST 12.5MM X 4.5M 5833.33 12
1627 PENA COUTER XY-P401-2 140000.00 1
1628 GELSPON STANDART 75000.00 10
1629 CLAVAMOX 500 MG CAP 11500.00 30
1630 OTTOZOL SERBUK INJEKSI 137500.00 1
1631 ALKOHOL 70 % (20 LITER) 22.40 20000
1632 KAPAS 250 GR 12600.00 1
1633 DEXAMETHASONE 0.5 MG 119.00 100
1634 LANAVISION TAB 5000.00 100
1635 ACTIMOVE ARM SLING M 103000.00 1
1636 ACTIMOVE ARM SLING L 103000.00 1
1637 CEFTAZIDIME 1GR INJ NOVELL 31125.00 1
1638 LIPITOR 20 MG 16244.80 30
1639 CPG TAB 14266.67 30
1640 NEUROTAM SYRUP 100 ML 58000.00 1
1641 ACTIMOVE ARM SLING S 75970.84 1

Page 31
Sheet1
1642 VITABUMIN SYR 66000.00 1
1643 TAXIMAX INJ 1 GR 140000.00 1
1644 INGATOL 6500.00 30
1645 CLONIDIN 0.15 MG TAB IGM -1 1
1646 CLONIDIN 0.15 MG TAB KF 186.36 100
1647 KALIUM DIKLOFENAK 50 TAB 643.66 50
1648 K. WIRE DIAMETER 1.6 292500.00 1
1649 K. WIRE DIAMETER 1.0 290832.73 1
1650 SMALL T PLATE L4 1145625.00 1
1651 CANCELL SCREW 4.0 D 18 MM 133312.50 1
1652 CANCELL SCREW 4.0 D 20 MM 131625.00 1
1653 CORTICAL SCREW 3.5 D 18 MM 99783.33 1
1654 CORTICAL SCREW 3.5 D 12 MM 100000.00 1
1655 CORTICAL SCREW 3.5 D 16 MM 101875.00 1
1656 ACETABULAR REC PLATE L7 1170000.00 1
1657 GINKONA TAB 4800.00 30
1658 PROLENE 4-0 TAPER 119000.00 1
1659 ARM SLING ALL SIZE 27284.31 1
1660 ZEGREN 50 MG TAB 1044.58 100
1661 CRAVOX 500 MG TAB 31200.00 10
1662 ANTASIDA DOEN SUSP KF 5420.40 1
1663 DTEK PGA 0 CUTTING 170000.00 1
1664 NUFIROM INJ 260000.00 1
1665 TERANOL 30 MG INJ 31473.68 6
1666 METHANOL GR FOR ANALYSIS 160.8 2500
1667 CRAVIT IV 750 MG 318000.00 1
1668 CEFOTAXIM 1 GR INJ PHAPROS 9555.00 2
1669 SELANG O2 DEWASA GEA 4475.36 1
1670 SELANG O2 ANAK SET 6432.00 1
1671 CEFADROXIL 250 MG HJ 563.62 50
1672 CRAVIT 500 MG TAB 37000.00 10
1673 SPIRITUS PUTIH 25000.00 1
1674 HBSAG STRIP ISI 10 ANSWER 34020 10
1675 TEST TUBE IWAKI 13XL75(MM) 6939.39 1
1676 DENGUE DEVICE ANSWER 10 85000.00 10
1677 GOLONGAN DARAH FOTRESS 5650.00 50
1678 HBSAG TES STIK ISI 50 ANSWER 6528.00 50
1679 HBSAG TES CARD ISI 40 ANSWER 5175.00 40
1680 VACUM TUBE MERAH GP 1300.00 100
1681 URINE BAG T TYPE + HANGER 4192.50 1
1682 HEXADOL SOLUTION 120 ML 15000.00 1
1683 ANALTRAM KAPLET 7456.82 30
1684 SANBENAFIL 50 MG 62000.00 4
1685 NITROGEN DIOKSIDA (N2O) 5006105.37 40
1686 1/3 TUBULAR PLATE L6 450000.00 1
1687 CORTICAL SCREW 3.5 D 20 MM 102098.34 1
1688 BLOOD LANCET ONEMED 152.31 100
1689 ISONIAZIDE 100 MG TAB KF 124.37 100
1690 RASTORO O CUTTING -1 12
1691 RASTORO 0 REVERSE CUTTING 65000.00 12
1692 VICRIL 2-0 J869 CUTTING 106250.00 1
1693 CATGUT CHROMIC 0 BBRAUNN 1762500.00 1
1694 OVUTEST SCOPE 161500.00 1

Page 32
Sheet1
1695 TERFACEF INJ 195752.66 1
1696 OMEPRAZOLE KAPS SANBE 400.93 30
1697 CEFTRIAXONE INJ SANBE BPJS 8438.00 1
1698 TIMBANGAN BAYI GEA 350000.00 1
1699 STETOSCOPE RIESTER ANAK 380000.00 1
1700 PIDILENE 3-0 CUTTING 65000.00 1
1701 PROLENE 3/0 CUTTING 128234.42 1
1702 PEDILIS SYR 120 ML 27500.00 1
1703 PIDILEN 1 TAPER POINT 35/75 65000.00 12
1704 METHYLPREDNISOLONE 4 MG 357.45 100
1705 PROLENE 2/0 CUTTING 105000.00 1
1706 MYONEP 50 MG TAB 3881.25 100
1707 ELKANA CL EMULSI 120 ML 43000.00 1
1708 URISPAS TAB 4620.00 30
1709 PIDILEN 2/0 REVERSE CUTTING 65000.00 12
1710 LEUKOPLAST 1625H (3X5) 34303.12 1
1711 REGULATOR OKSIGEN BIOMEDIX 350000.00 1
1712 MYDRIATIL 1 % EYE DROP 5 ML 38016.83 1
1713 PROLENE 0 CUTTING 105000.00 1
1714 PROLENE 1 BONDED 102759.39 12
1715 VICRIL 0 129722.00 1
1716 VICRIL 4-0 CUTTING 91000.00 1
1717 MALLEOLAR SCREW D 4.5 L50 150000.00 1
1718 K. WIRE DIAMETER 2.4 297272.73 1
1719 K. WIRE DIAMETER 1.2 292500.00 1
1720 K. WIRE DIAMETER 2.2 300000.00 1
1721 CERETON KAPSUL 4680.00 30
1722 CALCIUM LACTAT 500 MG KF 85.82 100
1723 OPITROXIN DRY SYR 25000.00 1
1724 ONDANSENTRON 4 MG INJ 5500.00 5
1725 1/3 TUBULAR PLATE L8 483333.34 1
1726 CORTICAL SCREW 3.5 D 22 MM 104428.57 1
1727 CORTICAL SCREW 3.5 D 24 MM 100333.34 1
1728 CORTICAL SCREW 3.5 D 28 MM 105856.48 1
1729 LIDOCAIN INJ 2 % PHAPROS 1293.59 1
1730 BETASON N CREAM 5 GR 10966.81 1
1731 SELANG O2 LIFERESOURCE BAYI 7000.00 1
1732 KACA MATA PELINDUNG 35000.00 1
1733 ETT NKK ALL SIZE RUSCH 321629.41 1
1734 OMEPRAZOLE 20 MG NOVELL 334.08 30
1735 SERETIDE DISKUS 50 MCG 203000.00 1
1736 AERRANE 250 ML 6599.44 250
1737 AMBROXOL 15 MG/5 ML SYR 3117.82 1
1738 PARACETAMOL SYR IGM 2608.92 1
1739 UNIGEN / BTL 30'S 8026.67 30
1740 ATORVASTATIN 20 MG NOVELL 3965.46 30
1741 MEROPENEM INJ 1 GR HJ 275000.00 1
1742 DESOXIMETASON 0.25 CREAM 12705.00 1
1743 DOXYCYLINE CAP DEXA 409.11 100
1744 KALIUM DIKLOFENAK 50 MG 608.26 50
1745 MEROPENEM INJ 0.5 GR DEXA 122850.00 1
1746 PEN SCOPE OTOSCOPE RIESTER 1200000.00 1
1747 METHYLPREDNISOLONE 8 MG 478.64 100

Page 33
Sheet1
1748 METHYLPREDNISOLONE 16 MG 893.86 100
1749 HUMAN ALB BEHRING 20% 50 ML 536500.00 1
1750 HUMAN ALB BEHRING 20% 100 1036000.00 1
1751 REGULATOR OKSIGEN NESCO 301750.00 1
1752 DHF TES NOVA 37400.00 25
1753 OBJECK GLASS RRC 7101 179.05 100
1754 THERMOMETER HARMED 215000.00 1
1755 AUTOCLAVE ST INDICATOR 3/4 104476.67 1
1756 VICRIL 1 CUTTING 102877.77 1
1757 SANMOL FORTE TAB 306.30 1
1758 DATAN FORTE KAPLET 1316.25 100
1759 POLICREPE 15 CM X 4.55 M 66285.71 1
1760 CALTRON KAPLET (NEW) 2437.50 50
1761 POLICREPE 10 CM X 4.55 M 53141.82 1
1762 POLICREPE 10 CM X 4.55 M -1 1
1763 POLICREPE 7.5 CM X 4.55 M 45410.53 1
1764 POLICREPE 7.5 CM X 4.55 M -1 1
1765 ARIXTRA INJEKSI 433000.00 1
1766 OMEPRAZOLE 40 MG INJ HJ 40571.99 1
1767 RAMIPRIL TAB 5 MG DEXA 553.98 1
1768 AQUA PRO INJ 20 ML IKA 3636.50 1
1769 CROME 10 MG TAB 1700.00 100
1770 MORPHINE HCL 10 MG INJ 9544.90 10
1771 LORATADINE 10 MG NOVELL 272.52 50
1772 CIPROFLOXACIN 500 MG TAB 603.63 100
1773 TOCEF SYR 72500.00 1
1774 LAMETIC 8 MG TAB 21000.00 10
1775 HI BONE ACTIVE GRAPE 2500.00 30
1776 FUSYCOM CREAM 5 GR 5905.00 1
1777 ZINCPRO SYR BPJS 6445.00 1
1778 CUTISOFT HAND SCRUB 5000 502454.67 1
1779 OTTOPAN SYR 11000.00 1
1780 RADIK 4/0 CUTTING 20/70 MM 65000.00 1
1781 NEPHROLIT KAP 590.61 1
1782 HANSAPLAST ROL 1.25CM X 4.5 5682.00 10
1783 PARACETAMOL 500 MG KF 95.45 100
1784 CETIRIZINE 10 MG TAB KF 279.77 30
1785 KERTAS PERKAMEN 9150.00 1
1786 VICRIL 2 CUTTING 120900.00 12
1787 NALD HECTING GSTC GT 6 7864.58 12
1788 NALD HECTING GSTC GT 7 8074.31 12
1789 SAFIL VIOLET 2 HR 48 90 CM 88631.13 1
1790 CETIRIZINE 10 MG TAB NOVELL 256.50 50
1791 LANSOPRAZOLE 30 MG NOVELL 796.41 20
1792 SPUIT 20 CC ONEMED 1700.00 50
1793 MST TAB 20000.00 10
1794 RIFASTAR 4 FDC TAB 4650.00 30
1795 CODEIN TAB 1500.00 1
1796 NORTA 3 WAY CH 24 42516.80 1
1797 CUTIMED GEL 15 GR 62895.00 1
1798 CENDO NATACEN MD 11000.00 5
1799 ONESCRUB ONEMED 5 LTR 100.37 5000
1800 PLASTIK OBAT 7 X10 BIRU 50.11 1

Page 34
Sheet1
1801 PLASTIK OBAT 13 X 8.7 BIRU 81.53 1
1802 IODINE POVIDONE 1000 ML 64.82 1000
1803 BRIVITA CAPSUL 4000.00 30
1804 KETAMIN H 50 MG/ML INJ 10 ML 58715.76 1
1805 DULCOLAX 5 MG SUPP 16430.56 1
1806 SANMOL INFUS 56600.00 1
1807 CEFADROXIL 500 MG DEXA 563.73 100
1808 EAS PFRIMMER INF 55000.00 1
1809 FORMAL FIXX CONCENTRATE 3.8 223.68 3800
1810 FLUDEXIN SYR 60 ML 21248.92 1
1811 HANDSCOON PROFEEL 19521.73 40
1812 AMPICILLIN INJ 1 G BERNO 6000.00 10
1813 OBJECT GLASS HIJAU SAIL BRAND 343.99 72
1814 ONDANSETRON 8 MG/4 ML INJ 8000.00 5
1815 "ETT NKK NO 3.5 480000 UMUM
1816 JACKSON REES ANAK KS 465000.00 1
1817 LMA 1 300000.00 1
1818 LMA 1 1/2 300000.00 1
1819 LMA 2 300000.00 1
1820 LMA 2.5 300000.00 1
1821 NALD HECTING GSTC GR 9 - 16 9354.59 12
1822 NALD HECTING GT 9 - 16 KULIT 10059.84 12
1823 DESK GLASS ASSISTENT 22 X 22 30125.00 1
1824 PARACETAMOL SYR SANBE 2258.00 1
1825 VISANNE TAB 28S 14470.89 28
1826 URINE STRIP VERYFY 10- 2000.00 100
1827 K. WIRE DIAMETER 2.5 300000.00 1
1828 BROAD DCP PLATE L11 1250000.00 1
1829 CANCELL SCREW 6.5 D 45 MM 150000.00 1
1830 CANCELL SCREW 6.5 D 55MM 142500.00 1
1831 CORTICAL SCREW 4.5 D 40 MM 98888.89 1
1832 CORTICAL SCREW 4.5 D 32 MM 101623.38 1
1833 CORTICAL SCREW 4.5 D 30 MM 95803.57 1
1834 CORTICAL SCREW 4.5 D 36 MM 95625.00 1
1835 RANITIDINE TAB 150 MG KF 240.00 30
1836 METHYLERGOMETRIN 0.125 MG 235.96 100
1837 DIMENHYDRINATE 50 MG TAB 94.55 100
1838 METOCLOPRAMIDE 5 MG TAB KF 98.18 100
1839 IODINE POVIDON 1000 ML KF 52.09 1000
1840 AMBROXOL SIRUP 15 MG KF 3308.16 1
1841 KAMOLAS SYR 60 ML 5000.00 1
1842 PARACETAMOL DROP 15 ML 6224.83 1
1843 TENSOPLAST STK 140000.00 1
1844 SEQUEST 18375.00 20
1845 UMARONE INJ 175000.00 1
1846 SALAH (BEKAS IMPLAN) 35000000 1
1847 POLIBAN 6 INCI 26800.00 1
1848 SILK 3/0 B BRAUN 750000.00 1
1849 BIOLINCOM SYR 45000.00 1
1850 FG TROCHES TAB 30 STRIP@10 950.00 300
1851 BLOPRESS TAB 8 MG 10930.72 14
1852 KACA MATA GOGLE 34999.99 1
1853 AUTOCLAVE TAPE 19 X 55 94571.43 1

Page 35
Sheet1
1854 VENTOLIN NEBULES BPJS 6300.00 20
1855 ARIXTRA INJEKSI BPJS 2.5 MG 230682.00 2
1856 IODINE POVIDON 10 % 30 ML 3977.00 1
1857 NARROW DCP PLATE L7 861975.00 1
1858 BROAD DCP PLATE L9 1071250.00 1
1859 CORTICAL SCREW 4.5 D 22 MM 110000.00 1
1860 CORTICAL SCREW 4.5 D 24 MM 102047.62 1
1861 CORTICAL SCREW 4.5 D 26 MM 100333.34 1
1862 CORTICAL SCREW 4.5 D 28 MM 99861.12 1
1863 CORTICAL SCREW 4.5 D 34 MM 98214.29 1
1864 CORTICAL SCREW 4.5 D 38 MM 97727.27 1
1865 ATORVASTATIN 10 MG HJ 2500.00 30
1866 DOMPERIDONE 10 MG HJ 194.80 100
1867 MELOXICAM 15 MG HJ 832.32 50
1868 MELOXICAM 7.5 MG HJ 362.45 50
1869 METHYLPREDNISOLONE 4 MG HJ 393.66 100
1870 AMOXICILLIN 500 MG HJ 285.86 100
1871 METRONIDAZOL INFUS 500 HJ 8182.00 1
1872 ID BAND DWS RED 2364.17 100
1873 RAMIPRIL TAB 2.5 MG 290.19 100
1874 CETAZUM INJ 1 GR 205000.00 1
1875 PROZA SYRUP 60000.00 ZINC "
1876 KETOROLAC INJ 30 MG HJ 4545.42 6
1877 LEVOFLOXACIN 500 MG HJ 36360.00 1
1878 TOPI OPERASI REMEDI NURSE 699.99 50
1879 CHROMIC 2/0 ROMED 6500.00 1
1880 PROLENE 3-0 TAPPER 133000.00 1
1881 CEFIXIME DRY SYR 30 ML BERNO 24750.00 1
1882 BIOCEF INJ 130000.00 1
1883 SIMFRA 1 TAPPER POINT 48 MM 0.00 12
1884 ID BAND DWS GREEN 2210.00 100
1885 ID BAND DWS SURGILAB PINK 3125.00 100
1886 CAZETIN DROP 19000.00 1
1887 ONDANSETRON INJ 4 MG HJ 4926.88 5
1888 KAPSUL NO 3 43.00 1000
1889 NALD HECTING GSTC GR 12 8066.82 12
1890 NALD HECTING GSTC GT 12 3354.10 1
1891 DENTAL SYRINGE 2700000.00 1
1892 TOOTH FORCEP RADIX RB 730000.00 1
1893 PARAMONOCHLOROFENOL 20 50000.00 1
1894 FUJI IX GP 1-1 EXTRA A3 710000.00 1
1895 NYNDIA DROP 34375.00 1
1896 BIPOLAR NO.43 15000000.00 1
1897 TAPROS INJ 1.88 MG UMUM 850500.00 1
1898 CEFIXIME 100 MG DEXA 1828.59 50
1899 CEFIXIME 200 MG DEXA 3321.86 100
1900 HEXILON INJ 125 MG 82500.00 1
1901 PANTOPRAZOLE 40 MG INJ -1 1
1902 VIAMAC 1 TAPER 48 MM 92735.00 1
1903 VIAMAC 3/0 CUTTING 24 MM 98216.30 1
1904 ASAM TRANEKSAMAT INJ 250 3990.00 10
1905 SERUM ANTI TETANUS 1500 IU 126500.00 1
1906 ASSUFIL 1 TAPER 48 MM 100 CM 76867.20 36

Page 36
Sheet1
1907 ASSUFIL 3/0 CUTTING 24 MM 68054.40 36
1908 GLICOFIL 1 TAPER 48 MM 100 86169.60 36
1909 SELANG SUCTION 1500.00 100
1910 PEN NEEDLE 32GX4 MM 1739.50 100
1911 PIDILENE 4-0 TAPPER 25/90 65000.00 1
1912 INPEPSA SYRUP 100 ML 48000.00 1
1913 INDUXIN 1 ML INJ 8020.09 10
1914 LEVEMIR FLEXPEN UM 230000.01 1
1915 CETIRIZINE DROPS 12 ML 24632.35 1
1916 POSPARGIN 2 MG / ML INJ 5500.00 10
1917 WIDA KDN 1 13500.00 20
1918 ODR INJ 8 MG 38000.00 5
1919 REMOPAIN PREFILLED SYRINGE 39769.23 5
1920 PREMILENE 4/0 2XHR26RP 97440.00 1
1921 NALD HECTING GSTC GR 6 8197.50 12
1922 SIMFIX 200 21261.91 10
1923 NEUROAID KAPSUL 17500.00 36
1924 CEFIXIME SYR 100 MG HJ 17871.43 1
1925 AMOXICILLIN INJ 1 GR PHAPROS 8591.10 10
1926 ARGON 225.00 2000
1927 HANDSCOON PROFEEL 21000.00 40
1928 PLASTIK OBAT 10 X 15 BIRU 95.02 100
1929 GASTRUL TABLET 10000.00 30
1930 STERISHEET/WRAPPING PAPER 2877.50 1
1931 KASSA PANJANG 40 X 80 95000.01 1
1932 ELKANA TABLET 700.00 100
1933 CORTICAL SCREW 4.5 D 42 MM 101428.57 1
1934 CORTICAL SCREW 4.5 D 50 MM 101000.01 1
1935 NALD HECTING GSTC GR 7 8089.29 12
1936 NALD HECTING GSTC GR 8 8121.97 12
1937 LESICHOL 300 SOFT CAP 8700.00 60
1938 HAND CONTROL ES PENCIL 120000.01 1
1939 NALD HECTING GSTC GR 13 8137.22 12
1940 NALD HECTING GSTC GT 13 8031.13 12
1941 NALD HECTING GSTC GT 14 8021.88 12
1942 NALD HECTING GSTC GR 14 8074.31 12
1943 ESOMEPRAZOLE SODIUM INJ 58182.00 2
1944 BIONECT CREAM 101200.00 1
1945 PYRAZINAMID TAB 500 MG 310.45 1
1946 RIFAMPICIN 450 MG KF 729.00 1
1947 NEULIN PS TAB 11000.00 30
1948 ONDANSETRON INJ 8 MG DEXA 7560.00 5
1949 NASALIN 100 ML 81900.00 1
1950 MINIASPI 80 MG 107.36 100
1951 MESH DUZEY 6 X 11 CM 193000.00 10
1952 DENGUE NS 1 ANSWER 90000.00 20
1953 CLINIMIX 1 L 385000.00 1
1954 OXYGEN MASK ADULT 12650.00 1
1955 BATHROOM SCALE BR 9015 B 83000.00 1
1956 TENSIVASK 10 8075.00 50
1957 TIP BIRU 1000 UL 147.78 1
1958 TORNIQUET RRC 10600.00 1
1959 SUCTION CATHETER 8 PASCHO 4000.00 1

Page 37
Sheet1
1960 ID BAND DWS BIRU 1494.16 100
1961 ID BAND DWS PINK 1414.07 100
1962 MEDICIAN POCKET 66.68 30000
1963 PROSOGAN FD TAB 15 MG 13125.36 28
1964 K. WIRE DIAMETER 2.0 287250.00 1
1965 SS WIRE 10 M 390181.28 10
1966 BLOPRESS 16 MG 14268.57 14
1967 GENOINT SALEP KULIT 15 GR 3546.34 1
1968 MELOXICAM 15 MG DEXA 972.83 50
1969 ABBOCATH 26 29000.00 1
1970 "COM 8 10.00
1971 COM + TUTUP 12 CM 40000.00 1
1972 BISTURI NO. 15 ESCULAP 3542.53 100
1973 PROVEIN PPL 3/0 TAPPER POINT 82746.00 12
1974 PROVEIN PPL 1 TAPPER POINT 93221.00 12
1975 L-ORNITHIN-L-ASPARTATE INJ 63000.00 5
1976 LEUKOPOR 1.25 CM X 9.2 M 9867.92 1
1977 CEFADROXIL DS 250MG/5 ML 5500.00 1
1978 TENSI DIGITAL LENGAN 340800.02 1
1979 ARMSLING SIZE XL 25500.00 1
1980 EUTHYROX 100 2666.66 1
1981 PH INDIKATOR MERCK 1690.00 100
1982 DASABION CAP 785.00 100
1983 ZIEHL NEELSEN 3X100 ML 255000 1
1984 TKR LOSPA KNEE SYSTEM 34545455.00 1
1985 NOVORAPID FLEXPEN BPJS 79090.91 5
1986 PROLENE 3-0 TAPPER POINT 187440.00 1
1987 KAPSUL 0 43000.00 1
1988 KAPSUL 00 63750.00 1
1989 TABLET TAMBAH DARAH KF 889.45 100
1990 OMEPRAZOLE 20 MG TAB DEXA 455.59 20
1991 CEFADROXIL 125 MG/5 ML DS 7074.65 1
1992 MASKER TIE ON SAFE 400.00 50
1993 MASKER EAR LOOP REMEDI 400.00 50
1994 HANDSCOON DISPOSABLE UK. S 42333.33 1
1995 HANDSCOON DISPOSABLE UK. M 44250.00 1
1996 LEVOFLOXACIN 500 MG INF HJ 80000.00 1
1997 DECK GLASS 682.11 50
1998 REAGENT BTA 756000.00 1
1999 K. WIRE DIAMETER 1.4 292500.00 1
2000 K. WIRE DIAMETER 1.8 285000.00 1
2001 CONDILAR BUTTRESS PLATE L6 2686875.00 1
2002 CANCELL SCREW 6.5 D 75MM 150000.00 1
2003 CANCELL SCREW 6.5 D 80MM 148125.00 1
2004 CANCELL SCREW 6.5 D 85MM 150000.00 1
2005 CANCELL SCREW 6.5 D 85MM 150000.00 1
2006 CORTICAL SCREW 4.5 D 56 MM 110000.00 1
2007 CORTICAL SCREW 4.5 D 46 MM 101428.57 1
2008 CONDILAR BUTTRESS PLATE 3100000.00 1
2009 CANCELL SCREW 6.5 D 60MM 144000.00 1
2010 CANCELL SCREW 6.5 D 65MM 150000.00 1
2011 CANCELL SCREW 6.5 D 70MM 150000.00 1
2012 CANCELL SCREW 6.5 D 75MM 150000.00 1

Page 38
Sheet1
2013 CORTICAL SCREW 4.5 D 48MM 100000.00 1
2014 NARROW DCP PLATE L8 997500.00 1
2015 THR HYBRIDE MULLER SENTOSA 19000000.00 1
2016 SUCTION CATH NO.6 ONEMED 8406.02 1
2017 SPUIT 5 CC STERA 715.91 100
2018 1/3 TUBULAR PLATE L11 475000.00 1
2019 CORTICAL SCREW 3.5 D 14 MM 95000.00 1
2020 CORTICAL SCREW 3.5 D 26 MM 93333.33 1
2021 NARROW DCP PLATE L6 872500.00 1
2022 THR CEMENTED MULLER 19000000.00 1
2023 TRAMADOL 50MG CAPS HJ 307.27 50
2024 CIPROFLOXACIN 500MG HJ 460.28 100
2025 GLIMEFION 2 MG 3150.00 30
2026 INBACEF 200 MG 16200.00 30
2027 FIOPRAZ INJ 40 MG 90000.00 1
2028 BISTURI 15 HOMECARE 1500.00 50
2029 NALD HEACTING GSTC GR 11 8007.58 12
2030 SURGICAL MASK TIE ON 520.00 50
2031 SURGICAL MASK EAR LOOP 840.00 50
2032 KASSA PANJANG TIARA 96500.00 1
2033 TOCO-E CAPS 8000.00 30
2034 TRIJEC INJ 185000.00 1
2035 LANFIX KAPS 18500.00 30
2036 THREE WAY STOP COCKS 24200.00 50
2037 DERMAFIX T 13144.09 10
2038 SUCTION CATH. 08 ONEMED 8239.60 1
2039 AMOXSAN 250 MG 1475.00 100
2040 SPRITUS 0.00 1
2041 HUMERUS PROXIMAL L5 1201750.00 1
2042 MALLEOLAR SCREW D 4.5 L45 142500.00 1
2043 CORTICAL SCREW 4.5 D 44 MM 95000.00 1
2044 CORTICAL SCREW 4.5 D 52 MM 95000.00 1
2045 GEEBIO SACH 2938.89 10
2046 COTRIMOXAZOL SYR HOLI 2062.00 1
2047 PARACETAMOL INFUS PHAPROS 16363.19 1
2048 ACYCLOVIR 400 IGM 332.73 100
2049 RIFAMPICIN 300 MG IGM 651.82 100
2050 SPUIT 3 CC BD 1045.45 100
2051 PHYTOMENADION INJ 2 MG/ML 2200.00 30
2052 ZIBRAMAX 500 MG 33000.00 6
2053 ZIBRAMAX DRY SYR 91500.00 1
2054 ONDANE 8 INJ 42750.01 5
2055 ONDANSETRON IN 8 MG HJ 7200.00 5
2056 HANDSCOON GLOVES MPM M 410.91 100
2057 HANDSCOON GLOVES MPM S 412.08 100
2058 HANDSCOON GLOVES MPM L 420.00 100
2059 PIOGLITAZON 30 MG 3600.00 30
2060 SPUIT 10 CC STERA 882.95 100
2061 SAFEGLOVE EXAM S 317.68 100
2062 SAFEGLOVE EXAM M 317.68 100
2063 THR CEMENTLESS SET ENDO 29925000.00 1
2064 DRAPE TKR 909090.00 1
2065 DRAPING SET THR -1 1

Page 39
Sheet1
2066 CEMEX THR -1 1
2067 BUNASCAN 0.5% INJ 58000.01 5
2068 AMLODIPIN 5 MG DEXA 695.66 50
2069 DENGUE IGG/IGM TEST 268148.15 25
2070 THERMOMETER DIGITAL AVICO 18327.20 1
2071 GUIDEL NO. 12 RUSCH 86500.00 1
2072 HEMASTAR LYSE 500 ML 63717.21 1
2073 LDL-CHOL FLUITEST 6X50 ML 1890000 1
2074 GUIDEL NO. 8 54628.57 1
2075 MASKER NON REBREATHER 24000.00 1
2076 ONDANSETRON 8 MG BERNO 2993.56 30
2077 GLIMEPIRIDE 1 MG BERNO 581.34 100
2078 AMBROXOL SYR BERNO 6750.00 1
2079 ASAM TRANEKSAMAT INJ 250 3850.00 10
2080 WIDAL ANTEC 747000 1
2081 MASKER O2 PEADIATRIK 14015.79 1
2082 LEUKOMED IV FILM 2550.66 50
2083 MASKER O2 ADULT REBREATHER 36783.33 1
2084 TRIAMCINOLON 4 MG DEXA 722.69 100
2085 AZITHROMYCIN DRY SYR DEXA 42525.00 1
2086 PIRACETAM 800 MG DEXA 766.50 100
2087 ULSAFAT 500 MG TABLET 726.96 10
2088 ZINCPRO DROPS BPJS 9817.00 1
2089 POSAFIT TAB 4500.00 30
2090 RENASISTIN SYR 250 MG 65000.00 1
2091 GUARDIX 850000.00 1
2092 OPTHALMIC 10/0 CUTTING 144060.00 1
2093 OPTHALMIC 10/0 CUTTING -1 1
2094 TARONTAL INJ 24000.00 5
2095 TABUNG REAKSI 12X75 NON 2500.00 100
2096 CREATININ 2 X 100 ML EVOGEN 9000.00 100
2097 BAMGETOL 200 MG TAB 1800.00 100
2098 POLI AID 5 L 698000.00 1
2099 THR REVISI SET 17272800.00 1
2100 NALD HECTING GSTC GR 9 8179.17 12
2101 NALD HECTING GSTC GR 10 8179.17 12
2102 NALD HECTING GSTC GR 10 8179.17 12
2103 NALD HECTING GSTC GR 11 8179.17 12
2104 NALD HECTING GSTC GT 8 8179.17 12
2105 NALD HECTING GSTC GT 9 8179.17 12
2106 NALD HECTING GSTC GT 10 8179.17 12
2107 NALD HECTING GSTC GT 11 8179.17 12
2108 HYTROZ 1 MG 4680.00 100
2109 HEMASTAR DILUENT 20 L 198.00 20000
2110 AST/GOT BR 2 X 50 ML EVOGEN 8676.00 100
2111 ALT/GPT BR 2 X 50 ML EVOGEN 8676.00 100
2112 D-CHECK D NORMAL 2.5 ML 585000.00 1
2113 CHEM CONTROL NORMAL 5 ML 585000.00 1
2114 IRBETEN 150 7833.33 30
2115 IRBETEN 300 9333.33 30
2116 NATUR E 754.97 1
2117 TOTILAC INF 115000.00 6
2118 SMALL DCP L9 515833.33 1

Page 40
Sheet1
2119 ETT CLEAR NO 2.5 RUSCH 114066.96 1
2120 KASSA HYDROFIL 16 X 16 2300.84 1
2121 IMUNVIT PLUS SYR 61750.00 1
2122 MAXPRINOL SYR 68190.23 1
2123 SIMLEV 500 MG 2375.00 10
2124 METHYL PREDNISOLON INJ 16565.00 1
2125 CETIRIZINE 10 MG HJ 230.47 50
2126 CEFIXIME 100 HJ 1299.94 50
2127 AMOXICILLIN DS 125 MG HJ 5002.18 1
2128 ESILGAN 2 MG 4970.60 1
2129 GUIDEL NO. 9 22800.00 1
2130 METRONIDAZOL 500 BERNO 192.65 100
2131 ALKOHOL SWAB 137.09 10
2132 PERFUSOR TUB WHITE 150 CM 31818.00 25
2133 SPRITUS PUTIH 25000.00 1
2134 POT URINE 50 CC 1086.96 1
2135 AMBROXOL 30 MG KF 141.21 100
2136 CORTICAL SCREW 4.5 D 18 MM 95000.00 1
2137 CANCELL SCREW 6.5 D 65 MM 142500.00 1
2138 CANCELL SCREW 6.5 D 55 MM 150000.00 1
2139 DRAPE THR 878833.33 1
2140 SALBUTAMOL 4 MG YARINDO 110.00 100
2141 CLOPIDOGREL 75 MG PRATAPA 4560.00 50
2142 ONDANSETRON 4 MG YARINDO 1980.65 30
2143 KENALOG ORAL BASE 64000.00 1
2144 STERISHET WRAPPING PPR 5165.50 1
2145 FARMADOL INFUS 50 ML 35000.00 1
2146 OTTOPAN DROP 18000.00 1
2147 RANITIDINE TAB 150 MG HJ 197.44 100
2148 NUZYM TAB 6000.00 60
2149 DOMPERIDON 10 MG IGM 329.90 100
2150 PROLENE 2/0 TAPPER POINT 105000.00 1
2151 BISTURI NO. 11 AESCULAP 3790.77 100
2152 GENTAMYCIN ED 5 ML -1 1
2153 VALEPTIC SYRUP 70000.00 1
2154 UNDERPAD ONEMED 60X90 3194.52 1
2155 AMOXICILLIN 125 MG SYR IGM 3192.00 1
2156 VECTRINE CAPS 5300.00 1
2157 FORMALIN 37% 70000.00 1
2158 MANSET TENSI DEWASA 40000.00 1
2159 BIPOLAR LONG STEM SET ENDO 19000000.00 1
2160 ONDANSETRON 4 MG INJ SOHO 1500.00 5
2161 ACYCLOVIR 400 MG PHAPROS 722.20 50
2162 STANDAR INFUS 130000.00 1
2163 TARONTAL 400 MG 10714.00 1
2164 GIPS STONE KUNING 55000.00 1
2165 CELVITRON 65000.00 1
2166 TRICRESOLFORMALINA 10 ML 55000.00 1
2167 SCALLER SE PAKISTAN 16000.00 1
2168 SEPTOCAIN 380000.00 1
2169 CALSIUM LACTAT TAB AFI 66.36 100
2170 CEFADROXIL 125MG/5ML HOLI 4604.00 1
2171 BEDAK SALICYL 2% RAMA 951.00 1

Page 41
Sheet1
2172 SPUIT 5 CC AXIMED 910.81 100
2173 ERDOSTEIN DRY SYR 28000.00 1
2174 CONDILAR BUTTRESS PLATE L5 2375000.00 1
2175 CANCELL SCREW 6.5 D 70MM 142500.00 1
2176 ASAM VALPROAT SYR NOVELL 37800.00 1
2177 SIMARC 2 2000.00 1
2178 FOLAMIL GOLD CAPS 3995.06 30
2179 "ECOSOL NACL 0 147.00 NACL
2180 CARDIOMIN 3377.73 1
2181 THR CEMENTED SET PANCA 19000000.00 1
2182 CEFTAZIDIM 1 GR INJ HJ 22500.00 2
2183 ETIFERAN INJ 5208.33 6
2184 TIMOL 0.25% MINIDOSES 3574.04 5
2185 CENDO FENICOL ED 5 ML 41000.00 1
2186 VITAMIN B12 PIM 15.73 100
2187 VITAMIN B6 10 MG 26.40 100
2188 KA-EN 4A 18500.00 20
2189 GLUMIN SR 2600.00 1
2190 AMBROXOL 15 MG/5 ML IGM 3214.58 1
2191 CEFOPERAZON INJ HOLI 12118.00 2
2192 MYORES TAB 6000.00 1
2193 "DUROGESIC PATCH 12 0.00
2194 ALTAMED GLOVE S 327.30 100
2195 "CENDO TROPIN 0 55.00
2196 ETT CLEAR 4.5 RUSCH 62000.00 1
2197 SPHYGM MERCURY STAND 1240000.00 1
2198 DEVLOPER LIQUID 1335400.00 1
2199 FIXER LIQUID 1243000.00 1
2200 TIMBANGAN BAYI 20 KG SELLA 350000.00 1
2201 MICARDIS 80 MG 6059.02 20
2202 MICARDIS 40 MG 3534.48 20
2203 COMBIVEN NEBULIZER BPJS 5700.00 20
2204 BROAD DCP PLATE L10 1187500.00 1
2205 CAT GUT CHROMIC 2 1856250.00 1
2206 GUIDEL NO. 4 RUSCH 82000.00 1
2207 GUIDEL NO. 6 RUSCH 87040.00 1
2208 LIPITOR 10 MG 21900.00 1
2209 OTILON TETES TELINGA 8ML 35627.14 1
2210 ASAM MEFENAMAT 500 NOVA 160.00 100
2211 BAQUINOR FORTE TAB 12600.00 20
2212 VENARON TAB 3600.00 1
2213 OXYGEN REGULATOR GEA 263678.57 1
2214 TIARYT TAB 4180.00 1
2215 "NITROKAF 2 36.00
2216 DIOVAN 80 MG 15540.00 1
2217 URESIX INJ 7550.00 5
2218 LORATADIN 10 MG IGM 294.94 50
2219 SUCRALFATE SUSP 100ML 9068.00 1
2220 THR HYBRIDE SET PANCA 19000000.00 1
2221 JAS OPERASI WATER REPP 600600.00 1
2222 SILK 0 B BRAUN 990000.00 1
2223 ASEPTIC GEL 500 CC -1 1
2224 STAFORIN 500 MG 9166.67 30

Page 42
Sheet1
2225 NEO DIASTOP 880.00 pectin"
2226 PIRACETAM INJ 3 GR HJ 7500.00 4
2227 MISOTAB 7000.00 50
2228 TAWAS GRANUL 250000.00 1
2229 CONDILAR BUTTRESS PLATE L8 2612500.00 1
2230 PIRACETAM INJ 3 GR NOVELL 13091.35 4
2231 EMERGENCY TROLLY 3825000.00 1
2232 ERLAMOL SYR 60 ML 3238.87 1
2233 1/3 TUBULAR PLATE L9 483333.33 1
2234 CITICOLINE 250 MG/2ML 9693.75 10
2235 NATRIUM DIKLOFENAK 50 MG 181.17 100
2236 METHYLERGOMETRINE MALEAT 2670.22 100
2237 COLERGIS SYR 60 ML 32300.00 1
2238 ONEMED TEST PACK 1120.89 50
2239 URINE STRIP 10 PARAMETER 9000.00 100
2240 URIC ACID MR 2 X50 ML 8676.00 100
2241 REAGEN ASAM ASETAT 6% 500 260.00 500
2242 PGB 75 MG 6000.00 30
2243 AUTOCECK GCU GEA 426317.00 1
2244 ETHYL CHLORIDE SPRAY 80000.00 1
2245 HEALTH + WEIGH SCALE TYPE 900000.00 1
2246 INFUSION PUMP TERUMO 21500000.00 1
2247 DUROGESIC PATCH 25 180296.58 5
2248 ELEKTRODA KENDAL 3700.00 50
2249 INFUS SET Y SEMILLAS 6500.00 50
2250 LEXACORTON CREAM 5 GR 5700.00 1
2251 METFORMIN 850 SCAN 240.00 100
2252 AMLODIPIN 5 MG SCAN 105.00 30
2253 AMLODIPIN 10 MG SCAN 160.02 30
2254 NYSTATIN DROP 18700.00 1
2255 RIZODAL 2 MG 6840.00 20
2256 ALTAMED M 375.77 100
2257 "TIMOL MD 0 15.00
2258 PHENYTOIN SODIUM INJ 13398.00 5
2259 ASTA PLUS TAB 6840.00 30
2260 GILZA PDO 3/0 CUTTING 65000.00 12
2261 PRAXION FORTE 250 MG SYR 20880.00 1
2262 NUFACOBAL CAPS 2168.51 100
2264 AMOXICILLIN 125MG SYR 4242.00 1
2265 ASSUCRYL 3/0 CUTTING 67640.65 12
2266 ASSUCRYL 1 BONDED 67641.91 12
2267 CATARLENT 5 ML 21041.25 1
2268 SAFIL 1 HR 48 90CM 80773.30 1
2269 NITROKAF RETARD CAPS 1431.82 100
2270 DIUVAR INJ 8750.00 5
2271 TOPI OPERASI ONEMED 53000.00 1
2272 AMLODIPINE 10 MG KF 572.94 50
2273 AMOXICILLIN 500 MG MERSI 318.71 100
2274 ACYCLOVIR 5% KRIM IGM 2724.56 25
2275 "DEXAMETHASON 0 126.00 DEXAMETHASON
2276 MELOXICAM 15 MG KF 813.96 20
2277 FLAMAR 50 1689.51 100
2278 PUMPITOR DRY INJ 138500.00 1

Page 43
Sheet1
2279 WHITE TIP 2955.67 1
2280 CALLUSOL 10 ML 34000.00 1
2281 VITADION INJ 11000.00 5
2282 GENTIAN VIOLET 3500.00 1
2283 SILK 3/0 46191.55 1
2284 "OSTELOX 7 91.00 "meloxicam 7
2285 MICRO PLUS BACTERI 153000.00 1
2286 "VACUM EDTA 0 662.00
2287 ECOSOL G10 6500.00 10
2288 KALMICETIN SALEP 25000.00 1
2289 CORTIDEX INJ BP 3990.44 10
2290 OBH SYR 100 ML IKA 4174.60 1
2291 CANDESARTAN 16 MG NOVELL 4550.00 30
2292 FLUCETIN SYR 60 ML 4290.00 1
2293 "CENDO ASTHENOF 0 25.00
2294 OXOFERIN 86000.00 1
2295 TRIFASTAN 500 MG 232.80 100
2296 TRIFAMYCETIN 2% SKIN OINT 5200.00 1
2297 VITAMIN B1 50 MG TRIFA 96.40 1000
2298 VITAMIN B6 10 MG TRIFA 35.88 1000
2299 BIPOLAR SIZE NO.44 (+ SEMEN ) 15000000.00 1
2300 PRIMPERAN INJ 12500.00 1
2301 INBUMIN TABLET 4500.00 30
2302 OSKOM TAB 5996.07 30
2303 MICROPIPET 502167.27 1
2304 RL WIDA REG 11550.00 NACL
2305 ID BAND DWS YELLOW 2210.00 100
2306 PRENATIN DF 2750.00 60
2307 KERTAG ECG 80X25 67500.00 1
2308 SMALL DCP L6 500000.00 1
2309 "LEUCOPLAST 2 3.00
2310 LEXAPROFEN 200 MG 300.00 100
2311 LEXAPROFEN 400 MG 400.00 100
2312 METFORMIN 500 MG HJ 148.24 100
2313 BUCAIN INJ 54883.53 5
2314 HANDSCOON ORTHOPEDI 7 10631.25 1
2315 ONDANE 4 MG INJ 22935.00 5
2316 NACL WIDA REG 10516.00 20
2317 ARM SLING S MITRACO 35606.00 1
2318 F. CATH 2 WAY FR 16 GEA 7122.00 10
2319 CORTICAL SCREW 4.5 D 54 MM 95000.00 1
2320 SMALL DCP L7 475000.00 1
2321 THIAMPENICOL 125 MG/5 ML 18000.00 1
2322 KONDOM SUTRA 1281.55 1
2324 METANEURON 1500.00 1
2325 FLUDANE 3250.00 1
2326 MESTINON TAB 16833.30 1
2327 KARTU GOLONGAN DARAH 50000.00 1
2328 DERMAFIX IV 1959.09 25
2329 BUR TULANG SS WHITE HP 41500.00 1
2330 1/3 TUBULAR PLATE L7 475000.00 1
2331 BIORALIT SACH 998.34 1
2332 PARACETAMOL INF 1 GR/100 ML 35000.00 1

Page 44
Sheet1
2333 MASKER OXYGEN DWS HUDSON 29647.06 1
2334 GRAFAZOL 500 400.00 100
2335 ALLERON 200.00 200
2336 AXIMED SWABS 112.44 100
2337 AXIMED 3 WAY WITH EXTENTION 11590.00 1
2338 AXIMED 3 WAY 10736.00 1
2339 ASEPTAN 500 ML 34500.00 1
2340 ASEPTAN 5 L 233750.00 1
2341 WALL DISP BULAT 37500.00 1
2342 ASEPTIC 5 L 178500.00 1
2343 MY JELLY 82 GR ONEMED 28206.36 1
2344 CITICOLIN INJ 500 MERSI 25000.00 5
2345 ONE SWAB 144.38 100
2346 BATUGIN SYR 300 ML 32499.00 1
2347 VACUM CUP 70 MM FORTUNE 780000.00 1
2348 TIOPOL INJ 73125.00 5
2349 SODALIME 600000.00 1
2350 YAMACO PEAN LURUS 16 CM 22500.00 1
2351 ABN REGENCY TENSIMETER 750000.00 1
2352 RING PESARIUM 6.0 25000.00 1
2353 HEALTH PISPOT OVAL + TUTUP 395000.00 1
2354 MY LIFE STERILSATOR BASAH 2150000.00 1
2355 YAMACO KOCHER LURUS 15000.00 1
2356 MEIDEN NEEDLE HOLDER 20000.00 1
2357 SANGOBION SYR 250 ML 25000.00 1
2358 TONG SAMPAH 5 TIANG BESI 2400000.00 1
2359 INSTRUMEN BAK 22X11X5 74800.00 1
2360 NALD VOEDER HEGAR 14 CM 27000.00 1
2361 GUNTING TALI PUSAT 14 CM 23800.00 1
2362 GUNTING EPISIOTOMIC 14 CM 27200.00 1
2363 FORMALIN TAB 3000.00 100
2364 IMMERSI OIL 4800.00 100
2365 BETADINE GARG 120 ML 21500.00 1
2366 LANSOPRAZOLE 30 MG IGM 303.64 20
2367 MASKER TALI ONEMED 315.00 50
2368 MASKER KARET ONEMED 315.00 50
2369 KASSA STERIL 16X16 ONEMED 7636.36 1
2370 PLESTERIN ROLL 10 CM X 5 M 38250.00 1
2371 PLESTERIN ROLL 15 CM X 5 M 63000.00 1
2372 VISOR MASK FULL ANTIFOG 18000.00 1
2373 "HARNAL 0 4.00
2374 SAFETY BOX 8 L 17500.00 1
2375 NARROW DCP PLATE L9 997500.00 1
2376 SAFETY BOX 5L ONEMED 15000.90 1
2377 PLAIN 0 SURGILO 1875000.00 1
2378 DILAVASK 10 MG UM 3000.00 50
2379 DILAVASK 5 MG UM 1640.00 50
2380 TOFEDEX INJ 31401.72 5
2381 SOLATHIM DRY SYR 60 ML 6100.00 1
2382 SOLATHIM KAPSUL 972.00 100
2383 KONDOM ANDALAN 727.28 72
2384 ERPHATRIM TAB 194.44 100
2385 LMA 3 282464.00 1

Page 45
Sheet1
2386 LMA 4 282464.00 1
2387 AMBUBAG MOW ADULT 520000.00 1
2388 AMBUBAG MOW CHILD 520000.00 1
2389 AXIMED NON WOVEN 10X10 M 78600.96 1
2390 GUNTING VERBAN 14 CM 30000.00 1
2391 FURAMIN INJ 9025.00 5
2392 MASKER N95 5000.00 50
2393 TIMBANGAN INJAK GEA 110000.00 1
2394 ID BAND DWS UNGU 2210.00 100
2395 ALKOHOL 70% 1 L 77.93 1
2396 YELLOW TIP GILSON 129.25 1000
2397 OSTEONATE OAW 75000.00 4
2398 SEMILLAS IV 2400.00 100
2399 TIMBANGAN BAYI LAICA + 1090909.00 1
2400 CETEME TAB 97.22 432
2401 INFUS SET DEWASA STERA 6001.81 50
2402 BRAINACT ORAL 1 GR 18333.33 30
2403 PROVELYN 150 13571.43 14
2404 AXIMED NON WOVEN 15 CM X 138056.67 1
2405 PLESTERIN 15CM X 5M -1 1
2406 AMOXICILLIN DROP 12600.00 1
2407 METHYLPREDNISOLON 4MG 193.20 100
2408 PEHAMOL INF BPJS 14545.00 1
2409 F. CATH 18 GEA 7122.00 10
2410 SUCTION CATHETER NO. 6 8500.00 1
2411 THYROZOL TAB 2200.00 1
2412 NA. BICARBONAT 200.00 1
2413 ETHAMBUTOL 500 MG 521.45 100
2414 ALPHAMED SKIN MARKER TIP 46111.11 1
2415 GLAUSETA TAB 4191.53 1
2416 ETASON INJ 3630.00 5
2417 ETASON INJ BP 3630.00 5
2418 SURFLO IV CATH 24 TERUMO 18918.37 1
2419 FLAMICORT 40 MG INJ 95000.00 1
2420 ACYCLOVIR 400 DEXA 601.84 50
2421 GG TAB CITTO 80.91 100
2422 CANCELL SCREW 4.0 D 22 MM 131625.00 1
2423 KOATE DVI 260 IU 840906.00 1
2424 KOATE DVI 260 IU BPJS 840906.00 1
2425 TRANSBRONCHO SYR 15MG/5ML 19000.00 1
2426 SINRAL 5 MG 4275.00 30
2427 TERMOMETER DIGITAL RUANG -1 1
2428 MAGTRAL FORTE SYR 125 ML 26000.00 Mg. "
2429 ALKOHOL SWAB SENSI 114.17 100
2430 JELLY USG GENERAL CARE 22000.00 1
2431 MEJA INSTRUMENT SS 2 RAK 1409090.00 1
2432 RAYTO RT 1904C LAMP (RAYTO) 750000.00 1
2433 VITKA INFANT INJ 6000.00 10
2434 FLAMICORT 10 MG INJ 100000.00 1
2435 NELATON NO 8 RUSCH 8200.00 1
2436 ALKACID 1 L 2457000.00 1
2437 ALKAZYM 25X25G 722400.00 1
2438 DULCOLAX 5 MG 1500.00 1

Page 46
Sheet1
2439 "CENDO LYTEERS 0 0.00
2440 LAMPU SPRITUS 30000.00 1
2441 VITAMIN C 250 MG 149.14 100
2442 SELANG O2 BAYI AXIMED 6880.80 1
2443 INFUS SET Y AXIMED 6271.94 25
2444 ALAT UKUR TINGGI BADAN DWS 45000.00 1
2445 OPICEF DRY SYR 60 ML 40000.00 1
2446 DIA INST FG 801G (J-4036) 38000.00 1
2447 DIA INST FG 801G (J-4038) 38000.00 1
2448 DIA INST FG 837 (J-4352) 38000.00 1
2449 DIA INST FG 801G (J-4040) 38000.00 1
2450 DIA INST SHORT 837G (J-4343) 38000.00 1
2451 DENTIN CONDITIONER 6 GR 110000.00 1
2452 LIVOLA GRANULES 43000.00 1
2453 PENISILIN INJ 19000.00 1
2454 SURG GOWN SET STERIL M 21250.00 1
2455 HANDSWICH 85000.00 1
2456 HANDSCOON ORTHOPEDI 7.5 37000.00 1
2457 TIMBANGAN BAYI DIG OD 510000.00 1
2458 TERNO RUANGAN DIGITAL 340000.00 1
2459 TRANSBRONCHO SYR 30MG/5ML 25000.00 1
2460 F. CATH 14 GEA 7122.00 10
2461 BETADINE GARG 100 ML 9500.00 1
2462 SMALL BONE DCP 7 HOLES -1 1
2463 CORTICAL SCREW 3.5 D 20 MM 108900.00 1
2464 CANCELL SCREW 4.0 D 22 MM 178700.00 1
2465 SMALL BONE PLATE 7 HOLES 329800.00 1
2466 GELANG LAMINASI DWS PINK 1250.00 1
2467 GELANG LAMINASI ANAK PINK 1250.00 1
2468 KLIP RESIKO KUNING MERAH 450.00 1
2469 PAPER POINT MMPP 15-40 240.00 200
2470 GUTTA PERCHA POINTS ML-029 520.83 120
2471 "BARBED BROACHES 50 1.00
2472 FILE MEASURE SET PLASTIC 123000.00 1
2473 ACROSEAL TUBES 695500.00 1
2474 ESOLA INJ 142500.00 1
2475 MISOPROSTOL TAB 4021.21 30
2476 METRONIDAZOLE INF 500 QUAN 9092.00 1
2477 RL WIDA EMJEBE 8206.00 20
2478 OSTEOCAL BPJS 508.21 72
2479 AMBROXOL 30 MG BERNO 225.00 100
2480 CIPROFLOXACIN 500 MG BERNO 490.00 100
2481 THERMOHYGROMETER RUANG 260000.00 1
2482 TABUNG WESTERGREN 112000.00 1
2483 SPUIT 20 CC AXIMED 1885.29 1
2484 URINE BAG + HANGER AXIMED 5581.93 1
2485 CANCELL CREW 6.5 D 65 MM 198000.00 1
2486 CORTICAL SCREW 4.5 D 32 MM 108900.00 1
2487 CORTICAL SCREW 4.5 D 34 MM 108900.00 1
2488 CORTICAL SCREW 4.5 D 36 MM 108900.00 1
2489 CORTICAL SCREW 4.5 D 42 MM 108900.00 1
2490 BROAD PLATE DCP 10 HOLES 774200.00 1
2491 ANTASIDA TAB AFI 87.27 100

Page 47
Sheet1
2492 K. WIRE SS 1.9 X 30 CM ORM 154000.00 1
2493 AXIMED PAPPER TAPE 9391.20 1
2494 FEMALE CATH. 16 AXIMED 5218.78 1
2495 FEMALE CATH. 14 AXIMED 5581.84 1
2496 SELANG O2 DEWASA AXIMED 6000.00 1
2497 BRANCARF COMPLETE SS HBPN 8470000.00 1
2498 DRESSING TROLLEY SS HDTN 6140750.00 1
2499 VERLOS BED SS HVBN 201 9249240.00 1
2500 WALKER 350000.00 1
2501 TERMO RUANGAN DIGITAL 3 375000.00 1
2502 K. WIRE SS 1.0 X 30 CM ORM 154000.00 1
2503 K. WIRE SS 1.6 X 30 CM ORM 154000.00 1
2504 LEVOPRONT SYR 60114.29 1
2505 PHOTOTHERAPY LED BT-400 6821000.00 1
2506 ABBOCATH 18 TERUMO BP 7595.10 50
2507 ABBOCATH 20 TERUMO BP 9100.00 50
2508 LACTULOSA SYR 60 ML 27500.00 1
2509 NASAL VYGON 450000.00 1
2510 NACL WIDA EMJEBE 8058.00 20
2511 SAFIL 2/0 TAPPER 70 CM 70980.00 1
2512 SAFIL 2/0 CUTTING 90 CM 68731.00 1
2513 PREMILENE 2/0 CUTTING 54100.80 1
2514 CEFADROXIL 250 MG DS BERNO 12000.00 1
2515 CLIPPER BLADE 64082.82 1
2516 URINAL PLASTIK 17500.00 1
2517 COVERPLAST TRANSPARANT 282.44 100
2518 VALPI SYR 60 ML 24230.77 1
2519 IRBESARTAN 150 MG 3000.00 30
2520 SUCTION CATH. 6 AXIMED 6700.00 1
2521 SCABIMITE CREAM 69500.00 1
2522 TABUNG OXYGEN 1 L 650000.00 1
2523 ABBOCATH 22 TERUMO BP 7595.10 50
2524 WING NEEDLE 23 BP 5129.60 50
2525 ONDANSETRON 4 MG INJ QUAN 2720.55 10
2526 FACE MASK 2 187500.00 1
2527 FACE MASK 6 187500.00 1
2528 REBREATHING BAG 2.3 RUSCH 412100.00 1
2529 REBREATHING BAG 3.0 RUSCH 577200.00 1
2530 MEDICIAN TROL 25D 14040000.00 1
2531 CTM 4 MG CITTO 46.02 100
2532 SAFIL 3/0 TAPPER 90 CM 81178.00 1
2533 ESILGAN 1 MG -1 1
2534 SAFIL 2/0 TAPPER 90 CM 76909.00 1
2535 SAFIL 4/0 TAPPER 70 CM 79991.50 1
2536 1/3 TUBULAR PLATE 8 HOLES 353300.00 1
2537 CORTICAL SCREW 3.5 D 16 MM 108900.00 1
2538 CORTICAL SCREW 3.5 D 18 MM 108900.00 1
2539 CORTICAL SCREW 3.5 D 20 ORM 108900.00 1
2540 CORTICAL SCREW 3.5 D 26 MM 108900.00 1
2541 ONDANSETRON 4 MG NULAB 1050.00 10
2542 BED PASIEN 1 CR INDOMED 4827600.00 1
2543 MATRAS BED PASIEN 1 CR 1229400.00 1
2544 EMERGENCY TROLLEY PLUS 22476525.00 1

Page 48
Sheet1
2545 CARDIO 7 NEW 22954700.00 1
2546 SILOXAN ED 5 ML 52750.00 1
2547 NGT 14 AXIMED 9150.00 1
2548 CATAFLAM 50 MG 4997.78 50
2549 CATAFLAM 25 MG 2618.72 50
2550 CATAFLAM FAST 50 MG 7019.78 9
2551 ANTASID SUSP 60 ML MB 7000.00 mg. "
2552 URDAHEX TAB 8666.67 30
2553 ERICAF CAPS 5114.94 caffein"
2554 K. WIRE SS 1.2 X 30 CM ORM 154000.00 1
2555 STERILISTATOR REBUS GEA 2600000.00 1
2556 DIVALPI EC CAPS 5600.00 100
2557 GUIDEL NO. 6 18214.67 1
2558 TROMOL GAS 200000.00 1
2559 LAMINARIA S 74250.00 1
2560 CONTROL HEMATOLOGY 810000.00 1
2561 SNARE WIRE 1.2 X 1 M ORM 180000.00 1
2562 SUCTION CATHETER 6 PASCHO 3000.00 1
2563 SMALL NARROW PLATE 8 ORM 506400.00 1
2564 TRANSFUSI SET REMEDI 5300.00 1
2565 SAFIL 2/0 CUTTING 70 CM -1 1
2566 SMART DIAGNOSTIC DENGUE 72000.00 25
2567 ABBOCATH 18 MF 7273.00 1
2568 ABBOCATH 20 MF 7273.00 1
2569 ABBOCATH 22 MF 7273.00 1
2572 MASKER O2 DWS RESOURCES 13000.00 1
2573 ASAM TRANEKSAMAT INJ 100 5512.50 10
2574 ONDANSETRON 8 MG YARINDO 1265.00 30
2575 PLASBUMIN 5% 250 ML 900000.00 1
2576 PLASBUMIN 5% 50 ML 283000.00 1
2577 CLINDAMYCIN 300 MG BERNO 1145.45 100
2578 METHYLPREDNISOLON 4 MG 240.30 100
2579 OMEPRAZOLE 20 MG NULAB 263.63 30
2580 ANTASIDA DOEN TAB ERELA 105.00 100
2581 MUCOS DROP 31825.00 1
2582 GELAS UKUR 10 ML 95000.00 1
2583 GELAS UKUR 100 ML 120000.00 1
2584 AXIMED CONECTING TUBE 18746.34 1
2585 ERDOMEX DRY SYR 30800.00 1
2586 DEXTEEM TAB 132.72 100
2587 HBSAG TEST CHAMTRON ISI 25 16000.00 25
2588 GUIDEL NO. 8 RUSCH 82000.00 1
2589 ASAM TRANEKSAMAT INJ 100 5250.00 10
2590 THROMECON GEL 24250.00 1
2591 BLEDSTOP TABLET 460.00 100
2592 CANCELL SCREW 6.5 D 7 FULL 198000.00 1
2593 CANCEL SCREW 6.5 D 75 FULL 198000.00 1
2594 ARKINE 250'S 580.00 250
2595 SYMBICORT TURB 160 BP -1 1
2596 AMBROXOL 30 MG SYR QUAN 4500.00 1
2597 KETRICIN ORAL BASE 40000.00 1
2598 BEROTEC 0.1 MG HFA BP 72727.28 1
2599 TRANSFUSI SET NIPRO 11497.30 1

Page 49
Sheet1
2600 LEPARSON TAB 2096.23 1
2601 RING PESARIUM LOKAL 85 MM 22500.00 1
2602 RING PESARIUM LOKAL 80 22500.00 1
2603 RING PESARIUM LOKAL 75 MM 22500.00 1
2604 RING PESARIUM LOKAL 70 22500.00 1
2605 RING PESARIUM LOKAL 60 MM 22500.00 1
2606 HI BONE TAB 3500.00 30
2607 ACYCLOVIR 400 MG HJ 573.18 50
2608 IODIN POVIDON 60 ML 6550.00 1
2609 TIARYT INJ 25000.00 5
2610 GUIDEL 10 HUDSON 30000.00 1
2611 GUIDEL NO. 10 RUSCH 90000.00 1
2612 CHROMIC 2 TP TRITEN 49170.73 1
2613 LEVOCIN 500 MG 34250.00 18
2614 EPISAN SUSP 100 ML 26002.20 1
2615 LUBRICUTING JELLY 66900.00 1
2616 MASKER O2 BAYI 50000.00 1
2617 ACYCLOVIR 400 MG YARINDO 573.18 50
2618 CETIRIZIN 10 MG YARINDO 285.00 30
2619 DOMPERIDONE 10 MG YARINDO 311.88 100
2620 METHYLPREDNISOLON INJ 4MG 20003.20 1
2621 AQUA BIDEST 20 L 10000.00 20
2622 AMLODIPIN 10 MG IGM 1537.87 30
2623 TRAMADOL CAPS IGM 299.70 50
2624 BIO ATP 3000.00 1
2625 ETT NKK 4.0 RUSCH 322500.00 1
2626 ETT CLEAR 5.5 RUSCH 62400.00 1
2627 ETT CLEAR 6.0 RUSCH 62400.00 1
2628 MASKER O2 NRM BAYI 25000.00 1
2629 ETT CLEAR 2.5 RUSCH -1 1
2630 CLOPEDIN INJEKSI 25300.00 10
2631 SAFIL 8/0 VIOLET OPTHALMIC 144060.00 1
2632 NARROW PLATE 7 HOLES ORM 479900.00 1
2633 CORTICAL SCREW 4.5 D 20 MM 108900.00 1
2634 CORTICAL SCREW 4.5 D 24 MM 108900.00 1
2635 CORTICAL SCREW 4.5 D 26 MM 108900.00 1
2636 TOFEDEX TAB 5225.00 30
2637 FEEDING TUBE 8 100 CM AXIMED 7856.80 1
2638 F. CATH 06 RUSCH -1 1
2639 HIV TEST ANSWER'40 -1 40
2640 SMART DIAGNOSTIC HBSAG '25 -1 25
2641 TRANSFUSI SET LAMED 5000.00 25
2642 INFUS SET Y DWS LAMED 8000.00 25
2643 PUMPITOR INJ BP 55011.84 1
2644 GUIDEL NO. 5 RUSCH 90400.00 1
2645 ROCUM INJ 15% 5 ML 70000.00 10
2649 SPUIT 10 CC CIRINGE 1400.00 100
2650 VICRYL 6/0 CUTTING 140000.00 1
2651 AMINOFUSIN PEAD INF 250 ML 92000.00 1
2652 "EYEFRESH PLUS MD 06 1.00
2653 ORPHEN 4 MG TAB 100.00 200

Page 50
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"

Page 51
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" 30 BEBAS KERAS

Page 52
Sheet1

" 10 BEBAS KERAS

BEBAS KERAS
BEBAS KERAS

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BEBAS KERAS
BEBAS KERAS
BEBAS KERAS

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Sheet1

BEBAS KERAS

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