Laporan Penggunaan Obat Fornas

KEPOLISIAN NEGARA REPUBLIK INDONESIA
DAERAH ISTIMEWA YOGYAKARTA

RUMAH SAKIT BHAYANGKARA
LAPORAN PENGGUNAAN OBAT GENERIK RUMAH SAKIT BHAYANGKARA

BULAN
STOK
NO NAMA BARANG SATUAN MASUK KELUAR SISA
AWAL
1 2 3 4 5 6 7
I. OBAT KESEHATAN UMUM

A OBAT SUSUNAN SYARAF
ANALGETIKA, ANTIPIRETIKA
1 PARACETAMOL TAB TABLET 100 200 250 50
2 ANTALGIN 500 MG TAB TABLET 0
3 ASAM MEFENAMAT 500 MG BOX 0
4 IBUPROFEN 400 TABLET 45 100 20 125
5 PARACETAMOL SYR BTL 0
ANTI INFLAMASI 0
6 MELOXICAM 7,5 "50 TABLET 0
7 MELOXICAM 15 TABLET 0
8 ALLUPURINOL 300 MG "100 TABLET 0
9 KALIUM DIKLOFENAC 50 MG "50 TABLET 0

10 KETOROLAC INJEKSI "5 BOX 0
12 KETOPROFEN TAB TABLET 0
13 KETOPROFEN INJ AMPUL 0
14 KETOROLAC TAB TABLET 0
15 TRAMADOL TABLET 0
16 TRAMADOL INJ AMPUL 0
17 KETOROLAC TAB "50 BOX 0
18 NATRIUM DIKLOFENAC 50 MG BOX 0
B OBAT PSIKOFARMA 0
HIPNOTIK, SEDATIF 0
19 ALPRAZOLAM 0,5MG "100 BOX 0
20 ALPRAZOLAM 1 MG TABLET 0
21 ISOFLURAN BOTOL 0
22 BUPIVACAIN INJ "5 BOX 0
23 VALPROIC ACID SYR BOTOL 0
24 RISPERIDON 1 MG TABLET 0
26 PHENITOIN TAB ''100 BOX 0
27 PHENITOIN INJ AMPUL 0
28 PHENOBARBITAL 30 BOX 0
29 KETAMIN HAMELN INJ BOX 0
30 LIDOCAIN INJ AMPUL 0
31 TRIHEXYPHENIDIL TABLET 0
32 AMITRIPTILLIN BOX 0
ANTI DEPRESAN 0
33 MERLOPAM 0,5 MG" 100 BOX 0
34 MERLOPAM 2 MG" 100 BOX 0
35 SIKZONOAT 25 INJ AMPUL 0
36 HALOPERIDOL 5 MG TABLET 0
37 CHLORPROMAZINE 100 MG TABLET 0
NARKOTIKA 0
38 FENTANYL INJ "5 AMPUL 0
39 PETHIDIN INJ "10 BOX 0
40 CODEIN 10 MG BOX 0
C OBAT KARDIOVASKULER 0
ANTI HYPERTENSI 0
41 FUROSEMIDE TAB BOX 0
42 RAMIPRIL 5 MG TABLET 0
43 FUROSEMIDE INJEKSI AMPUL 0
44 CANDESARTAN 8 TABLET 0
45 VALSATRAN 80 BOX 0
46 SPIRONOLACTON 25 BOX 0
47 PROPANOLOL 10 TABLET 0
VASODILATOR 0
48 ATROPIN INJ AMPUL 0
49 EPINEPRIN INJ AMPUL 0
50 EPHEDRIN INJ BOX 0
GLIKOSIDA JANTUNG 0
51 CLOPIDOGREL TABLET 0
52 DIGOXIN TABLET 0
53 NICARDIPIN INJ BOX 0
54 DOBUTAMIN 250MG INJ BOX 0
55 DILTIAZEM ''100 BOX 0
56 NIFEDIPIN 10 MG ''100 BOX 0
57 ISDN TABLET 0
58 BISOPROLOL TABLET 0
HAEMOSTATIK 0
59 ASAM TRANEXAMAT 500 TAB BOX 0
ASAM TRANEXAMAT 500 MG
60 INJ"10 AMPUL 0
61 OXITOSIN INJ AMPUL 0
62 NEOSTIGMIN INJ AMPUL 0
D OBAT SALURAN PERNAFASAN 0
ANTITUSSIF/EXPECTORAN 0
63 ACETYLCYSTEIN CAP TABLET 0
64 AMBROXOL TAB TABLET 0
65 REBAMIPIDE BOX 0
66 GG "1000 BOTOL 0
67 AMBROXOL SYR BOTOL 0
ANTI ASMA 0
68 SALBUTAMOL 2 MG "100 TABLET 0
69 SALBUTAMOL SYR BOTOL 0
70 AMINOFILIN 100 MG BOX 0
71 AMINOFILIN INJ AMPUL 0
E OBAT SALURAN CERNA 0
ANTASIDA 0
72 PANTOPRAZOLE INJ BOX 0
73 PANTOPRAZOLE 20MG TAB TABLET 0
74 PANTOPRAZOL 40 MG TAB TABLET 0
75 RANITIDIN TAB "100 TABLET 0
76 RANITIDIN INJ BOX 0
77 LANSOPRAZOL TABLET 0
78 ANTASIDA TAB TABLET 0
79 SUKRALFATE SYR BOTOL 0
80 OMEPRAZOL INJ VIAL 0
81 ANTASIDA SYR BOTOL 0
ANTI EMETIKUM 0
82 ONDANSETRON 4 MG TAB "10 TABLET 0
83 ONDANSETRON 8 MG TAB TABLET 0
84 ONDANSETRON 4 MG QUANT INJ AMP 0

85 ONDANSETRON INJ INDO BOX 0
86 DOMPERIDON TAB BOX 0
87 DOMPERIDON SYR BOTOL 0
ANTI DIARE 0
88 ZINC 20 MG TAB TABLET 0
F ANTI ALERGI 0
ANTI HISTAMIN 0
89 CETIRIZINE TABLET 0
90 CETIRIZINE SYR BOTOL 0
91 DEXAMETASON INJ BOX 0
92 LORATADIN "50 BOX 0
93 CTM TABLET 0
KORTICOSTEROID 0
94 METHIL PREDNISOLON INJ BOX 0
95 METHYL PREDNISOLON TAB TABLET 0
96 PREDNISON TABLET 0
G ANTI DIABETIK 0
97 ACARBOSE "100 BOX 0
98 GLIMEPIRIDE 2 MG "50 TABLET 0
101 METFORMIN TABLET 0
H VITAMIN 0
102 MECOBALAMIN 250MG TAB "100 TABLET 0

103 MECOBALAMIN 500MG "100 TABLET 0
104 MECOBALAMIN 500MG INJ "10 AMPUL 0
105 VIT C TAB 250 MG BOX 0
106 VIT B6 10 MG TABLET 0
107 VIT B12 BOTOL 0
108 KALSIUM LACTAT TABLET 0
I ANTI INFEKSI 0
ANTI BAKTERI SISTEMIK 0
109 GENTAMICIN INJ BOX 0
110 GENTAMICIN SK TUBE 0
111 CIPROFLOXACIN 500 MG TABLET TABLET 0

112 CIPROFLOXACIN INFUS NOVEL BOTOL 0
113 CEFADROXIL 500 MG TAB BOX 0
114 CEFADROXIL 125 MG SYR BOTOL 0
115 CHLORAMFENICOL 250 MG "100 BOX 0

116 AMPICILLIN INJ 1000 MG "10 VIAL 0
117 METRONIDASOL 500MG TAB TABLET 0
118 LEVOFLOXACIN INFUS BOX 0
119 CEFIXIM CAP "50 BOX 0
120 CEFTRIAXON INJ "10 BOX 0
121 CEFIXIM SYR BOTOL 0
122 CEFOTAXIM INJ BERNO BOX 0
123 CEFOTAXIM INJ VIAL 0
124 CO AMOXICLAV TAB "30 TABLET 0
125 AMOXICILLIN 500 MG TAB TABLET 0
126 AMOXICILLIN 1 GR INJ VIAL 0
127 METRONIDASOL INFUS BOTOL 0
128 AZITROMICIN 500 MG TABLET 0
129 DOXYCYCLINE TABLET 0
130 MEROPENEM 1 GR INJ BOX 0
131 COTRIMOXAZOLE 480 MG TAB TABLET 0
132 CLINDAMISIN 150 MG TABLET 0
133 CLINDAMISIN 300 MG BOX 0
134 CEFTAZIDIM INJ BOX 0
135 THIAMFENIKOL 500 TABLET 0
136 ERITROMISIN 500 TABLET 0
137 AMOXICILLIN SYR BTL 0
ANTI VIRUS 0
138 ACYCLOVIR CREAM TUBE 0
139 ACYCLOVIR 400 TAB "50 BOX 0
140 ACYCLOVIR 400 TAB "100 TABLET 0
141 LEVOFLOXACIN 500"50 TABLET 0
M ANTI FUNGI 0
142 MICONAZOLE CREAM TUBE 0
143 KETOCONAZOL TAB TABLET 0
144 KETOCONAZOL CREAM TUBE 0
N SALEP/OBAT TETES/INFUS 0
145 KETOCONAZOL CREAM "12 TUBE 0
146 DESOXIMETASON CR TUBE 0
147 MOMETASON CR 5 TUBE 0
148 BETAMETHASON CR TUBE 0
149 HYDROCORTISON TUBE 0
P ANTI VERTIGO 0
150 BETAHISTIN "30 NOVEL TABLET 0
151 CITICOLIN 125 INJ "10 AMPUL 0
152 FLUNARIZIN 10 MG "100 BOX 0
153 CITICOLIN 500 TAB TABLET 0
154 CITICOLIN 500 INJ BOX 0
155 PIRACETAM 3 GR INJ BOX 0
156 PIRACETAM 1 GR INJ AMPUL 0
157 FLUNARIZIN 5 MG "100 TABLET 0
158 PIRACETAM 800 TAB TABLET 0
ANTI LIPID 0
159 ATORVASTATIN 20 TABLET 0
160 FENOFIBRAT 100 MG TABLET 0
162 SIMVASTATIN 10 BERNO BOX 0
163 GEMFIBROZIL 300 TABLET 0
164 URSODEOXYCHOLIC ACID "30 TABLET 0
165 CILOSTAZOL 100 MG ''100 BOX 0
TOTAL
175
Yogyakarta, Desember
Mengetahui KASUBBID2016
JANGMEDUM
KARUMKIT BHAYANGKARA RS BHAYANGKARA
POLDA D.I.YOGYAKARTA POLDA D.I.YOGYAKARTA
TSALISAH DAMAYANTI, S.
dr. THERESIA LINDAWATI, Sp.F Farm, Apt
PENATA I NIP
KOMISARIS POLISI NRP 78091226 197812212005012008
YANGKARA
KET
10
1
#VALUE!
ogyakarta, Desember
ASUBBID2016
JANGMEDUM
RS BHAYANGKARA
OLDA D.I.YOGYAKARTA
ALISAH DAMAYANTI, S.
Farm, Apt
PENATA I NIP
197812212005012008
LAPORAN PENGGUNAAN OBAT GENERIK RUMAH SAKIT BHAYANGKARA

BULAN :
STOK
NO NAMA BARANG SATUAN MASUK KELUAR SISA KET
AWAL
1 2 3 4 5 6 7 10
1 PARACETAMOL TAB TABLET 0
2 ANTALGIN 500 MG TAB TABLET 0
3 ASAM MEFENAMAT 500 MG BOX 0
4 IBUPROFEN 400 TABLET 0
5 PARACETAMOL SYR BTL 0
ANTI INFLAMASI 0
6 MELOXICAM 7,5 "50 TABLET 0
7 MELOXICAM 15 TABLET 0
9 KALIUM DIKLOFENAC 50 MG "50 TABLET 0

10 KETOROLAC INJEKSI "5 BOX 0
12 KETOPROFEN TAB TABLET 0
13 KETOPROFEN INJ AMPUL 0
14 KETOROLAC TAB TABLET 0
15 TRAMADOL TABLET 0
16 TRAMADOL INJ AMPUL 0
17 KETOROLAC TAB "50 BOX 0
18 NATRIUM DIKLOFENAC 50 MG BOX 0
B OBAT PSIKOFARMA 0
HIPNOTIK, SEDATIF 0
19 ALPRAZOLAM 0,5MG "100 BOX 0
20 ALPRAZOLAM 1 MG TABLET 0
21 BUPIVACAIN INJ "5 BOX 0
22 VALPROIC ACID SYR BOTOL 0
25 PHENITOIN TAB ''100 BOX 0
26 PHENITOIN INJ AMPUL 0
27 PHENOBARBITAL 30 BOX 0
28 KETAMIN HAMELN INJ BOX 0
29 LIDOCAIN INJ AMPUL 0
30 TRIHEXYPHENIDIL TABLET 0
31 AMITRIPTILLIN BOX 0
ANTI DEPRESAN 0
32 MERLOPAM 0,5 MG" 100 BOX 0
33 MERLOPAM 2 MG" 100 BOX 0
34 SIKZONOAT 25 INJ AMPUL 0
35 HALOPERIDOL 5 MG TABLET 0
36 CHLORPROMAZINE 100 MG TABLET 0
NARKOTIKA 0
37 FENTANYL INJ "5 AMPUL 0
38 PETHIDIN INJ "10 BOX 0
39 CODEIN 10 MG BOX 0
ANTI HYPERTENSI 0
40 FUROSEMIDE TAB BOX 0
41 RAMIPRIL 5 MG TABLET 0
42 FUROSEMIDE INJEKSI AMPUL 0
43 CANDESARTAN 8 TABLET 0
44 VALSATRAN 80 BOX 0
45 SPIRONOLACTON 25 BOX 0
46 PROPANOLOL 10 TABLET 0
VASODILATOR 0
47 ATROPIN INJ AMPUL 0
48 EPINEPRIN INJ AMPUL 0
49 EPHEDRIN INJ BOX 0
GLIKOSIDA JANTUNG 0
50 CLOPIDOGREL TABLET 0
51 DIGOXIN TABLET 0
52 DOBUTAMIN 250MG INJ BOX 0
53 DILTIAZEM ''100 BOX 0
54 NIFEDIPIN 10 MG ''100 BOX 0
55 ISDN TABLET 0
56 BISOPROLOL TABLET 0
HAEMOSTATIK 0
57 ASAM TRANEXAMAT 500 TAB BOX 0
58 INJ"10 AMPUL 0
59 OXITOSIN INJ AMPUL 0
60 NEOSTIGMIN INJ AMPUL 0
61 ACETYLCYSTEIN CAP TABLET 0
ANTI ASMA 0
62 SALBUTAMOL 2 MG "100 TABLET 0
63 SALBUTAMOL SYR BOTOL 0
64 AMINOFILIN 100 MG BOX 0
65 AMINOFILIN INJ AMPUL 0
ANTASIDA 0
66 RANITIDIN TAB "100 TABLET 0
67 RANITIDIN INJ BOX 0
68 LANSOPRAZOL TABLET 0
69 ANTASIDA TAB TABLET 0
70 SUKRALFATE SYR BOTOL 0
71 ANTASIDA SYR BOTOL 0
ANTI EMETIKUM 0
72 ONDANSETRON 4 MG TAB "10 TABLET 0
73 ONDANSETRON 8 MG TAB TABLET 0
74 ONDANSETRON 4 MG QUANT INJ AMP 0

75 ONDANSETRON INJ INDO BOX 0
76 DOMPERIDON TAB BOX 0
77 DOMPERIDON SYR BOTOL 0
ANTI DIARE 0
78 ZINC 20 MG TAB TABLET 0
F ANTI ALERGI 0
ANTI HISTAMIN 0
79 CETIRIZINE TABLET 0
80 CETIRIZINE SYR BOTOL 0
81 DEXAMETASON INJ BOX 0
82 LORATADIN "50 BOX 0
83 CTM TABLET 0
KORTICOSTEROID 0
84 METHIL PREDNISOLON INJ BOX 0
85 METHYL PREDNISOLON TAB TABLET 0
86 PREDNISON TABLET 0
G ANTI DIABETIK 0
87 ACARBOSE "100 BOX 0
91 METFORMIN TABLET 0
H VITAMIN 0
92 VIT C TAB 250 MG BOX 0
I ANTI INFEKSI 0
93 GENTAMICIN INJ BOX 0
94 GENTAMICIN SK TUBE 0
95 CIPROFLOXACIN 500 MG TABLET TABLET 0

96 CIPROFLOXACIN INFUS NOVEL BOTOL 0
97 CEFADROXIL 500 MG TAB BOX 0
98 CEFADROXIL 125 MG SYR BOTOL 0
99 CHLORAMFENICOL 250 MG "100 BOX 0

100 AMPICILLIN INJ 1000 MG "10 VIAL 0
101 METRONIDASOL 500MG TAB TABLET 0
102 LEVOFLOXACIN INFUS BOX 0
103 CEFIXIM CAP "50 BOX 0
104 CEFTRIAXON INJ "10 BOX 0
105 CEFIXIM SYR BOTOL 0
106 CEFOTAXIM INJ BERNO BOX 0
107 CEFOTAXIM INJ VIAL 0
108 AMOXICILLIN 500 MG TAB TABLET 0
109 AMOXICILLIN 1 GR INJ VIAL 0
110 METRONIDASOL INFUS BOTOL 0
111 DOXYCYCLINE TABLET 0
112 CLINDAMISIN 150 MG TABLET 0
113 CLINDAMISIN 300 MG BOX 0
114 CEFTAZIDIM INJ BOX 0
115 THIAMFENIKOL 500 TABLET 0
116 ERITROMISIN 500 TABLET 0
117 AMOXICILLIN SYR BTL 0
ANTI VIRUS 0
118 ACYCLOVIR CREAM TUBE 0
119 ACYCLOVIR 400 TAB "50 BOX 0
120 ACYCLOVIR 400 TAB "100 TABLET 0
M ANTI FUNGI 0
121 MICONAZOLE CREAM TUBE 0
122 KETOCONAZOL TAB TABLET 0
123 KETOCONAZOL CREAM TUBE 0 1
124 KETOCONAZOL CREAM "12 TUBE 0 1
125 DESOXIMETASON CR TUBE 0
126 MOMETASON CR 5 TUBE 0
ANTI LIPID 0
129 SIMVASTATIN 10 BERNO BOX 0
130 GEMFIBROZIL 300 TABLET 0
TOTAL
0
Mengetahui 2016
JANGMEDUM RS
KARUMKIT BHAYANGKARA BHAYANGKARA
POLDA
POLDA D.I.YOGYAKARTA D.I.YOGYAKARTA
DAMAYANTI, S. Farm,
dr. THERESIA LINDAWATI, Sp.F Apt I NIP
PENATA
LAPORAN PENGGUNAAN OBAT NON GENERIK FORMULARIUM RUMAH SAKIT BHAYANGKARA

BULAN DESEMBER 2016
STOK
NO NAMA BARANG SATUAN MASUK KELUAR SISA KET
AWAL
1 2 3 4 5 6 7 10
1 PRORIS SUPPO "10 BOX 0
2 PARACETAMOL INFUS BOTOL 0
3 PAMOL 125 MG SUPP PCS 0
4 PAMOL 250 MG SUPP SUPP 0
5 FETIC SUPPO PCS 0
6 NOVALGIN INJ AMPUL 0
ANTI INFLAMASI 0
7 GRATEOS 50 TABLET 0
B OBAT PSIKOFARMA 0
HIPNOTIK, SEDATIF 0
8 DEPAKOTE ER 250 TABLET 0
9 IKALEP SYR BOTOL 0
10 MILOS INJ"10 TABLET 0
11 STESOLID 5MG BOX 0
12 STESOLID 10MG PCS 0
13 KUTOIN "100 BOX 0
14 VALISANBE 2 MG BOX 0
15 VALISANBE 5 MG BOX 0
16 NOTRIXUM INJ BOX 0
17 VALISANBE INJ AMPUL 0
18 HEXYMER TABLET 0
19 SEDACUM INJ AMPUL 0
ANTI DEPRESAN 0
20 LODOMER 2 MG TABLET 0
21 LODOMER DROP BOTOL 0
NARKOTIKA 0
ANTI HYPERTENSI 0
22 DIOVAN 80 MG "30 BOX 0
23 DIOVAN 160 MG "30 BOX 0
24 TYARIT TABLET 0
25 VALESCO 80 TABLET 0
26 VBLOCK 6,25 BOX 0
27 HYTROZ 1 MG ''100 TABLET 0
28 FARMASAL BOX 0
29 NORVASK 5 BOX 0
30 FARSIX INJ AMPUL 0
31 DIUVAR INJ AMPUL 0
32 VALESCO 160 TABLET 0
33 MINIASPI TABLET 0
34 DOPAMET TABLET 0
VASODILATOR 0
35 INOTROP INJ BOX 0
GLIKOSIDA JANTUNG 0
36 NITROCAF RETARD BOX 0
HAEMOSTATIK 0
37 BLEDSTOP INJ "10 BOX 0
38 BLEDSTOP TAB BOX 0
39 FLUIMUCIL SYR BOTOL 0
40 NALITIK DRY SYR BOTOL 0
ANTI ASMA 0
41 ATROVEN SOL 20 ML BOTOL 0
42 SYMBICORT TURB 80 BOTOL 0
43 SYMBICORT TURB 160 BOTOL 0
44 SERETIDE DISKUS 100 BOTOL 0
45 FARBIVEN NEBULE BOX 0
46 FLIXOTID NEBUL BOX 0
47 VENTOLIN NEB BOX 0
48 VENTOLIN INHALER PCS 0
49 PULMICORT RESP BOX 0
50 BEROTEC 0,1 Mg MDI BOTOL 0
ANTASIDA 0
51 ULSAFATE SYR BOTOL 0
ANTI EMETIKUM 0
52 SOTATIC INJ AMPUL 0
53 SOTATIC TAB TABLET 0
ANTI SPASMODIK 0
54 SYNTOSINON INJ AMP 0
LAXANTIVE 0
55 FOSEN BOTOL 0
56 LAXADINE 30 BOTOL 0
57 DULCOLAX TAB TABLET 0
G ANTI DIABETIK 0
58 LEVEMIR "5 BOX 0
59 NOVOMIX "5 PCS 0
60 APIDRA ''5 PCS 0
61 NOVORAPID "5 PCS 0
62 GLUBOSE 50 TABLET 0
63 LANTUS SOLOSTAR BOX 0
64 GLUCODEX ''100 TABLET 0
H VITAMIN 0
65 ALINAMIN F INJ "5 BOX 0
66 NEURODEX "200 TABLET 0
67 PLASBUMIN 20% 100 ML BOTOL 0
I ANTI INFEKSI 0
68 OTOPAIN TT BOX 0
69 URINTER BOX 0
70 ERLAMICETIN SM TUBE 0
O CAIRAN INFUS 0
71 WIDAHEST FLABOT 0
72 AMINOFUSIN HEPAR FLABOT 0
73 KAEN 3A FLABOT 0
74 MANITOL 20 FLABOT 0
75 D1/4 NS FLABOT 0
76 OTSU SALIN 3 FLABOT 0
LAIN-LAIN
77 HYPERHEP PCS 0
78 PREGTENOL BOX 0
79 SERTRALINE 50 MG BOX 0
80 MICARDIS 80 MG TABLET 0
81 PREMASTON TABLET 0
82 NORELUT BOX 0
TOTAL
0
Mengetahui 2016
JANGMEDUM RS
POLDA
DAMAYANTI, S. Farm,
PENATA
LAPORAN PENGGUNAAN NON GENERIK NON FORMULARIUM RUMAH SAKIT BHAYANGKARA

BULAN DESEMBER 2016
STOK
AWAL KET
1 2 3 4 5 6 7 10
1 PYRIDOL SYRUP BOTOL 0
2 SANMOL SYR BOTOL 0
3 SISTENOL "60 TABLET 0
4 ARTODAR BOX 0
ANTI INFLAMASI 0
5 NON FLAMIN BOX 0
6 PROTOFEN SUPPO "20 BOX 0
7 DATAN FORTE TABLET 0
8 CELEBREX TAB BOX 0
9 CATAFLAM 25 MG BOX 0
10 CATAFLAM 50 MG "50 BOX 0
11 CATAFLAM FAST 50 MG BOX 0
12 DEXTOFEN AMPUL 0
13 TRAMIFEN TABLET 0
ANTI INFLUENZA 0
1 TREMENZA TAB "100 BOX 0
2 TREMENZA SYR BOTOL 0
3 NUTRIFLAM BOX 0
4 TUZALOS BOX 0
5 NIPE DROP BOTOL 0
0
B OBAT PSIKOFARMA 0
HIPNOTIK, SEDATIF 0
3 GABASANT 300 "30 BOX 0
5 FORANE BOTOL 0
6 RECOFOL N "5 AMPUL 0
7 SEVOFLURAN BOTOL 0
10 BUNASCAN INJ AMPUL 0
11 REGIVEL INJ AMPUL 0
15 GABAPENTIN 300 MG "30 TABLET 0
20 BAMGETOL 200 MG "100 TABLET 0
26 NOPREZ 20 BOX 0
27 ELIZAC 20 BOX 0
28 ARKINE ''250 TABLET 0
30 KTM INJ BOX 0
32 OPINEURON BOX 0
34 PEHACAIN INJ BOX 0
36 CODIPRONT CUM EXP TABLET 0
ANTI HYPERTENSI 0
37 CRESTOR 20MG BOX 0
38 ARCOXIA 90 MG BOX 0
GLIKOSIDA JANTUNG 0
39 INDOP INJ VIAL 0
HAEMOSTATIK 0
40 CHANNA BOX 0
WASIR 0
41 BORAGINOL N SUPP "10 PCS 0
42 ULTRAPROCT SUPP "6 BOX 0
43 BORAGINOL N OINT TUBE 0
44 ARDIUM HD "36 BOX 0
45 AMBEVEN BOX 0
46 SI MUCIL 200 "100 BOX 0
47 MUCOSTA "100 BOX 0
48 IKADRYL 60ML BOTOL 0
49 IKADRYL INJ VIAL 0
50 PYRIDRYL SYR BOTOL 0
51 RHINATHIOL ADULT SYR BOTOL 0
52 SILOPECT SYR BOTOL 0
53 OBH COMBI MENTOL BOTOL 0
54 REPIMIDE BOX 0
ANTI ASMA 0
55 TEOSAL "100 TABLET 0
56 LASAL SYR BOTOL 0
ANTASIDA 0
57 RANIVEL SYR BOTOL 0
58 PANTOZ INJ BOX 0
59 CYTOSTOL TAB "30 BOX 0
60 PYSOLAN TAB TABLET 0
61 BRAXIDIN BOX 0
62 ULCUMAG TAB BOX 0
63 ULSIDEX TAB TABLET 0
64 TYRAN TAB BOX 0
65 TYRAN INJ BOX 0
66 PLANTACID SYR BOTOL 0
67 OMEVEL INJ BOX 0
68 NEXIUM 40 BOX 0
69 ENZYPLEX @100 TABLET 0
70 LANACER TABLET 0
71 LANSOGRA TABLET 0
72 GASTRUL TABLET 0
ANTI EMETIKUM 0
73 VOMISTOP DROP BOTOL 0
ANTI SPASMODIK 0
74 GITAS PLUS TAB BOX 0
75 GITAS INJ BOX 0
76 SCOPAMIN BOX 0
77 SCOPAMIN PLUS BOX 0
ANTI DIARE 0
78 ZINC PRO SYR BOTOL 0
79 NEW DIATAB "100 BOX 0
80 PROTEXIN INFANT BOX 0
81 L BIO BOX 0
82 LACTO B SACH 0
83 GUANISTREP SYR BOTOL 0
84 ORALIT SACH 0
85 GRADILEX TABLET 0
OBAT HEPATITIS 0
86 CURCUMA TAB "100 TABLET 0
87 HEPA-Q TABLET 0
88 HEPAMAX TABLET 0
89 EUVAX B A ML PCS 0
90 SNMC INJ PCS 0
91 HAVRIX 720 JUNIOR BOX 0
92 CERNEVIT INJ AMPUL 0
LAXANTIVE 0
93 MICROLAX PCS 0
94 PRALAX SYR BOTOL 0
95 LAXADINE 60 BOTOL 0
96 STOLAX SUPPO SUPP 0
F ANTI ALERGI 0
ANTI HISTAMIN 0
97 ESTIN DROP BOTOL 0
98 MECLOVEL SYR BOTOL 0
KORTICOSTEROID 0
99 PHADILON 125 INJ BOX 0
100 FLAMICORT INJ BOX 0
G ANTI DIABETIK 0
101 GLUMIN XR 500 TABLET 0
102 JANUMET 50/500 @28 TABLET 0
103 DIAMICRON MR 60 MG BOX 0
104 DIAMICRON BOX 0
H VITAMIN 0
105 KETOSTERIL TABLET 0
106 VIPALBUMIN "30 BOX 0
107 ZAMEL SYR BOTOL 0
108 KALMECO INJ AMPUL 0
109 METHYCOBAL INJ PCS 0
110 MALTOFER FOL "30 TABLET 0
111 MALTOFER CHEW TABLET 0
112 KOLKATRIOL FORTE "30 TABLET 0
113 OSSOVIT TAB BOX 0
114 FEROSFAT EFF BOTOL 0
115 IMUDATOR SYR BOTOL 0
116 CATARO EFF BOTOL 0
117 CALOS BOX 0
118 BEBELOVE 1 BB NUTRI BOX 0
119 NBR PRONUTRA BOX 0
120 NUTRIBABY PREMATURE BOX 0
121 IMUDATOR TAB TABLET 0
122 VINERTON BOX 0
123 ZYFORT INJ AMPUL 0
124 ASIFIT "30 TABLET 0
125 CORSEL "30 BOX 0
126 RISTONAT TABLET 0
127 FITBON TABLET 0
128 OSTEOR PLUS TABLET 0
129 ZITANID TABLET 0
130 BONVIVA INJ BOX 0
131 DUROLANE INJ PCS 0
132 HEPATOSOL BOX 0
133 NEPHRISOL BOX 0
134 ZEVITON TABLET 0
135 BON ONE BOX 0
136 RENAPAR BOX 0
137 HIBONE BOX 0
138 PEPTISOL BOX 0
139 KOLKATRIOL BOX 0
140 ALOVEL BOX 0
141 HP PRO BOX 0
142 KSR "100 TABLET 0
143 PRADAXA "30 TABLET 0
144 PROLACTA FOR BABY "50 TABLET 0
145 GRAHABION BOX 0
146 REBAL PLUS BOX 0
147 DALFAROL 200 BOX 0
148 CA GLUCONAS "24 BOX 0
149 FUCOHELIX 50 "30 BOX 0
150 STARMUNO TABLET 0
151 STARMUNO SYR BOTOL 0
152 Q TEN TABLET 0
153 LUBIRE BOX 0
154 EVOTHYL 100 MG BOX 0
155 BIO ATP TABLET 0
156 CAVIPLEX SYR BOTOL 0
157 ANEMOLAT BOX 0
158 STARFOLAT @100 TABLET 0
159 SPORTVIS INJ BOX 0
160 CAVIT D3 TABLET 0
161 PANENTERAL BOX 0
162 EXTRACE INJ BOX 0
163 ALINAMIN F TAB BOX 0
164 VENOFER INJ BOX 0
165 LIVRON B PLEX TABLET 0
166 PHYTOMENADION INJ PCS 0
167 BATUGIN ELEXIR BOTOL 0
168 FF MAMA BOX 0
169 FURAMIN INJ AMPUL 0
170 HEMAPO INJ 10000IU SYR 0
I ANTI INFEKSI 0
171 GENOINT SK 15 GR TUBE 0
172 PYRICEF 500 BOX 0
173 CENDO XITROL TM BOX 0
174 PYXIME 100 @30 BOX 0
175 CEPRAZ INJ BOX 0
176 KANDISTATIN DROP BOTOL 0
177 CEFTRIMET BOX 0
178 QUACEFON INJ BOX 0
179 TARIVID OTIC BOX 0
180 FG TROCHES '120 BOX 0
181 CENDO ASTENOF TM BOTOL 0
182 VAGISTIN OVULA BOX 0
183 VICILLIN SX INJ VIAL 0
184 VICILLIN INJ VIAL 0
ANTI VIRUS 0
185 RICOVIR TABLET 0
186 ROTARIX PCS 0
187 ISPRINOL SYR BOTOL 0
188 LECRAV 500 @12 BOX 0
J ANTI TBC 0
189 RIMCURE PAED BOX 0
189 RIMACTAZID PAED BOX 0
M ANTI FUNGI 0
190 KENALOQ IOB TUBE 0
0
191 OL ROSAE 100 ML BOTOL 0
192 GLYCERIN PH 1 LTR BOTOL 0
193 SANOSKIN OXY BOTOL 0
194 MELOCON TUBE 0
195 THROMBOPHOP GEL TUBE 0
196 THROMB GEL TUBE 0
197 IKAMICETIN ZK TUBE 0
198 FLAMAR GEL TUBE 0
199 PRONTOSAN WOUNG GEL TUBE 0
200 ASKINA CALGITROL PASTE TUBE 0
201 ERLAMICETIN PLUS TM TUBE 0
202 ERLAMICETIN TT TUBE 0
203 INSTO TM BOTOL 0
204 FUTROLIT BOTOL 0
205 TOPISEL BOTOL 0
206 BETASON N TUBE 0
207 KAEN 3B BOTOL 0
208 FUSON CREAM TUBE 0
209 VOLTADEX GEL TUBE 0
210 SCABIMITE CREAM TUBE 0
211 STERIL WATER 1 LTR BOTOL 0
212 FUCILEX CREAM TUBE 0
213 GENT OINT ZM TUBE 0
214 C XITROL TM BOTOL 0
215 C TRIA XITROL BOTOL 0
216 BURNAZIN SK TUBE 0
217 CINOLON N CR TUBE 0
218 TOPSY TUBE 0
219 BENOSON N CR TUBE 0
220 COUNTERPAIN 15 GR TUBE 0
221 FUSYCOM TUBE 0
222 BENZOLAC CL TUBE 0
O CAIRAN INFUS 0
223 TUTOFUSIN OPS BOTOL 0
224 OTSU NACL 100 ML FLABOT 0
225 PRONTOSAN SOL ROUNG BOTOL 0
226 D10% FLABOT 0
P ANTI VERTIGO 0
227 EPSONAL ''100 BOX 0
228 ESPERISON HCL"100 TABLET 0
229 PRATOPRIL SYR BOTOL 0
230 NOOCEPHAL SYR BOTOL 0
ANTI LIPID 0
231 LIPITOR 10 BOX 0
232 LIPITOR 20 "30 BOX 0
233 TROLIP 300 "30 BOX 0
234 FIBRAMED 300 TABLET 0
235 VIBRANAT TABLET 0
236 AVESCO 20 " 30 BOX 0
237 LDLOX 5 BOX 0
238 CHOLESCORE TABLET 0
LAIN-LAIN 0
239 NEPHROLIT TABLET 0
240 VENODENOL INJ BOX 0
241 CALCUSOL "100 BOX 0
242 DISOLF EC BOX 0
243 URISPAS 200 BOX 0
244 OXOFERIN BOTOL 0
245 URDAFALK "30 BOX 0
246 CALCUSOL 30 BOTOL 0
247 CALCUSOL "50 BOX 0
248 EUTHYROX 50 BOX 0
249 CLOFEN BOX 0
250 KETESSE 25 ''50 BOX 0
251 AVODART 0,5 MG BOX 0
252 DIKLOVIT TABLET 0
253 NOCEL BOX 0
254 BIOQUINONE ''50 BOX 0
255 EXFORGE 10/160 TABLET 0
256 COMBANTRIN TAB 250 ''50 BOX 0
257 COMBANTRIN SYR JERUK 125MG FLS 0

258 BICROLID 500 MG BOX 0
259 TRUVAZ 20 MG TABLET 0
260 TONICARD BOX 0
261 VOLINOL TABLET 0
262 DETRUSITOL 2 BOX 0
VAKSIN 0
263 FLUBIO BOX 0
TOTAL
0
Mengetahui 2016
JANGMEDUM RS
POLDA
DAMAYANTI, S. Farm,
PENATA
LAPORAN PENGGUNAAN OBAT RUMAH SAKIT BHAYANGKARA POLDA DIY TAHUN 2016
BULAN NO GOLONGAN OBAT JUMLAH ITEM

-TAHUN OBAT
1 Obat Generik (Formularium dan Non Formularium) 165

2 Obat Non Generik Formularium 82
3 Obat Non Generik Non Formularium 263
KARA POLDA DIY TAHUN 2016
JUMLAH ITEM JUMLAH ITEM

OBAT YANG OBAT
TERSEDIA DI FORMULARIUM
RUMAH SAKIT TERSEDIA DI
RUMAH SAKIT
2 3
5 5
0
LAPORAN PENGGUNAAN OBAT UMUM DAN JKN RUMAH SAKIT BHAYANGKARA

BULAN DESEMBER 2016
STOK
AWAL
1 2 3 4 5 6 7

1 PYRIDOL SYRUP BOTOL 0 0
2 SANMOL SYR BOTOL 14 72 38 48
3 PRORIS SUPPO "10 BOX 0 0
4 PARACETAMOL INFUS BOTOL 120 120 120 120
5 SISTENOL "60 TABLET 600 180 420
6 PAMOL 125 MG SUPP PCS 36 36
7 PAMOL 250 MG SUPP SUPP 0 0
8 PARACETAMOL TAB TABLET 5200 5200
9 ARTODAR BOX 0 0
10 FETIC SUPPO PCS 100 100
11 NOVALGIN INJ AMPUL 0 100 100
12 ANTALGIN 500 MG TAB TABLET 500 500
13 ASAM MEFENAMAT 500 MG BOX 35 35 0
14 IBUPROFEN 400 TABLET 500 500 0
15 PARACETAMOL SYR BTL 30 30
0 0
ANTI INFLAMASI 0 0
1 MELOXICAM 7,5 "50 TABLET 5000 5000
2 MELOXICAM 15 TABLET 5000 5000
3 ALLUPURINOL 300 MG "100 TABLET 0 3000 3000
4
KALIUM DIKLOFENAC 50 MG "50 TABLET 0 2500 1500 1000
5 KETOROLAC INJEKSI "5 BOX 607 607 0
6 ALLUPURINOL 100 MG "100 TABLET 0 10000 3000 7000
7 NON FLAMIN BOX 0 0
8 KETOPROFEN TAB TABLET 0 0
9 KETOPROFEN INJ AMPUL 0 20 20 0
10 PROTOFEN SUPPO "20 BOX 0 0
11 DATAN FORTE TABLET 0 0
12 CELEBREX TAB BOX 1 1 0
13 KETOROLAC TAB TABLET 500 150 500 150
14 CATAFLAM 25 MG BOX 0 0
15 CATAFLAM 50 MG "50 BOX 1 1 0
16 CATAFLAM FAST 50 MG BOX 1 1 0
17 TRAMADOL TABLET 1000 1000 1000 1000
18 TRAMADOL INJ AMPUL 50 150 50 150
19 KETOROLAC TAB "50 BOX 0 0
20 NATRIUM DIKLOFENAC 50 MG BOX 0 0
21 GRATEOS 50 TABLET 1500 1000 500
22 DEXTOFEN AMPUL 0 0
23 TRAMIFEN TABLET 0 0
0 0
ANTI INFLUENZA 0 0
1 TREMENZA TAB "100 BOX 25 25 0
2 TREMENZA SYR BOTOL 24 24
3 NUTRIFLAM BOX 0 0
4 TUZALOS BOX 20 20 0
5 NIPE DROP BOTOL 5 5
0 0
B OBAT PSIKOFARMA 0 0
HIPNOTIK, SEDATIF 0 0
1 ALPRAZOLAM 0,5MG "100 BOX 10 10 0
2 ALPRAZOLAM 1 MG TABLET 0 2800 1500 1300
3 GABASANT 300 "30 BOX 0 0
4 ISOFLURAN BOTOL 0 0
5 FORANE BOTOL 0 4 1 3
6 RECOFOL N "5 AMPUL 0 0
7 SEVOFLURAN BOTOL 0 6 1 5
8 DEPAKOTE ER 250 TABLET 500 500
9 BUPIVACAIN INJ "5 BOX 20 20 0
10 BUNASCAN INJ AMPUL 0 0
11 REGIVEL INJ AMPUL 25 150 175
12 IKALEP SYR BOTOL 0 0
13 VALPROIC ACID SYR BOTOL 20 20
14 MILOS INJ"10 TABLET 0 0
15 GABAPENTIN 300 MG "30 TABLET 0 900 900
16 RISPERIDON 1 MG TABLET 0 0
17 RISPERIDON 2 MG TABLET 1000 1000
18 STESOLID 5MG BOX 3 3 0
19 STESOLID 10MG PCS 0 0
20 BAMGETOL 200 MG "100 TABLET 300 200 100
21 KUTOIN "100 BOX 0 0
22 PHENITOIN TAB ''100 BOX 30 30 0
23 VALISANBE 2 MG BOX 20 20 0
24 VALISANBE 5 MG BOX 5 5 0
25 PHENITOIN INJ AMPUL 0 0
26 NOPREZ 20 BOX 1 1 0
27 ELIZAC 20 BOX 10 10 0
28 ARKINE ''250 TABLET 500 500 0
29 PHENOBARBITAL 30 BOX 2 2 0
30 KTM INJ BOX 3 3
31 KETAMIN HAMELN INJ BOX 5 5
32 OPINEURON BOX 14 14 0
33 LIDOCAIN INJ AMPUL 100 100
34 TRIHEXYPHENIDIL TABLET 0 0
35 NOTRIXUM INJ BOX 1 1 0
36 PEHACAIN INJ BOX 3 3 0
37 AMITRIPTILLIN BOX 5 5 0
38 VALISANBE INJ AMPUL 10 10 0
39 HEXYMER TABLET 900 900
40 SEDACUM INJ AMPUL 100 50 50
0 0
ANTI DEPRESAN 0 0
1 MERLOPAM 0,5 MG" 100 BOX 16 16 0
2 MERLOPAM 2 MG" 100 BOX 5 5 0
3 LODOMER 2 MG TABLET 0 900 900
4 SIKZONOAT 25 INJ AMPUL 0 0
5 LODOMER DROP BOTOL 5 5
6 HALOPERIDOL 5 MG TABLET 500 500
7 CHLORPROMAZINE 100 MG TABLET 200 200 0
0 0
NARKOTIKA 0 0
1 FENTANYL INJ "5 AMPUL 0 25 25 0
2 PETHIDIN INJ "10 BOX 10 10 0
3 CODEIN 10 MG BOX 10 10 0
4 CODIPRONT CUM EXP TABLET 0 90 90 0
0 0
C OBAT KARDIOVASKULER 0 0
ANTI HYPERTENSI 0 0
1 DIOVAN 80 MG "30 BOX 0 0
2 DIOVAN 160 MG "30 BOX 0 0
3 TYARIT TABLET 0 300 300
4 FUROSEMIDE TAB BOX 10 10 0
5 CRESTOR 20MG BOX 0 0
6 ARCOXIA 90 MG BOX 0 0
7 RAMIPRIL 5 MG TABLET 800 800
8 VALESCO 80 TABLET 1500 4500 3000 3000
9 FUROSEMIDE INJEKSI AMPUL 825 2400 825 2400
10 VBLOCK 6,25 BOX 1 1 0
11 CANDESARTAN 8 TABLET 1440 1440
12 HYTROZ 1 MG ''100 TABLET 600 400 500 500
13 FARMASAL BOX 3 3 0
14 VALSATRAN 80 BOX 0 0
15 NORVASK 5 BOX 1 1 0
16 FARSIX INJ AMPUL 445 445
17 SPIRONOLACTON 25 BOX 5 5 0
18 PROPANOLOL 10 TABLET 1000 1000
19 DIUVAR INJ AMPUL 190 190
20 VALESCO 160 TABLET 480 480
21 MINIASPI TABLET 4400 4400
22 DOPAMET TABLET 0 0
0 0
VASODILATOR 0 0
1 ATROPIN INJ AMPUL 0 0
2 INOTROP INJ BOX 0 0
3 EPINEPRIN INJ AMPUL 100 100
4 EPHEDRIN INJ BOX 10 10 0
0 0
GLIKOSIDA JANTUNG 0 0
1 CLOPIDOGREL TABLET 1500 1500 1500 1500
2 DIGOXIN TABLET 5000 5000
3 NICARDIPIN INJ BOX 0 0
4 DOBUTAMIN 250MG INJ BOX 4 4
5 DILTIAZEM ''100 BOX 30 30 0
6 NIFEDIPIN 10 MG ''100 BOX 10 10 0
7 NITROCAF RETARD BOX 500 500 0
8 ISDN TABLET 3000 3000
9 BISOPROLOL TABLET 3300 3300
10 INDOP INJ VIAL 2 2
0 0
HAEMOSTATIK 0 0
1 CHANNA BOX 0 0
2 ASAM TRANEXAMAT 500 TAB BOX 35 35 0
3 INJ"10 AMPUL 200 50 150
4 BLEDSTOP INJ "10 BOX 10 10 0
5 BLEDSTOP TAB BOX 2 2 0
6 OXITOSIN INJ AMPUL 100 100
7 NEOSTIGMIN INJ AMPUL 0 50 50
0 0
WASIR 0 0
1 BORAGINOL N SUPP "10 PCS 30 30
2 ULTRAPROCT SUPP "6 BOX 0 0
3 BORAGINOL N OINT TUBE 1 1
4 ARDIUM HD "36 BOX 1 1 0
5 AMBEVEN BOX 0 0
0 0
D OBAT SALURAN PERNAFASAN 0 0
ANTITUSSIF/EXPECTORAN 0 0
1 SI MUCIL 200 "100 BOX 0 0
2 MUCOSTA "100 BOX 0 0
3 IKADRYL 60ML BOTOL 5 5
4 IKADRYL INJ VIAL 9 9
5 PYRIDRYL SYR BOTOL 10 10
6 ACETYLCYSTEIN CAP TABLET 2000 2000
7 RHINATHIOL ADULT SYR BOTOL 20 10 10
8 FLUIMUCIL SYR BOTOL 0 80 40 40
9 NALITIK DRY SYR BOTOL 0 0
10 AMBROXOL TAB TABLET 5000 5000
11 SILOPECT SYR BOTOL 10 10
12 OBH COMBI MENTOL BOTOL 5 1 4
13 REBAMIPIDE BOX 18 18 0
14 REPIMIDE BOX 0 0
15 GG "1000 BOTOL 1 1 0
16 AMBROXOL SYR BOTOL 50 50
0 0
ANTI ASMA 0 0
1 TEOSAL "100 TABLET 200 300 200 300
2 SALBUTAMOL 2 MG "100 TABLET 10000 2000 8000
3 ATROVEN SOL 20 ML BOTOL 2 2
4 LASAL SYR BOTOL 0 0
5 SALBUTAMOL SYR BOTOL 10 10
6 SYMBICORT TURB 80 BOTOL 30 30
7 SYMBICORT TURB 160 BOTOL 20 20
8 SERETIDE DISKUS 100 BOTOL 50 50
9 FARBIVEN NEBULE BOX 5 5 0
10 FLIXOTID NEBUL BOX 22 22 0
11 AMINOFILIN 100 MG BOX 2 2 0
12 VENTOLIN NEB BOX 26 26 0
13 VENTOLIN INHALER PCS 45 45
14 PULMICORT RESP BOX 1 1 0
15 BEROTEC 0,1 Mg MDI BOTOL 3 6 3 6
16 AMINOFILIN INJ AMPUL 24 24
0 0
E OBAT SALURAN CERNA 0 0
ANTASIDA 0 0
1 RANIVEL SYR BOTOL 5 5
2 PANTOPRAZOLE INJ BOX 70 100 50 120
3 PANTOZ INJ BOX 0 0
4 CYTOSTOL TAB "30 BOX 10 10 0
5 PYSOLAN TAB TABLET 0 0
6 PANTOPRAZOLE 20MG TAB TABLET 100 100
7 PANTOPRAZOL 40 MG TAB TABLET 50 50
8 RANITIDIN TAB "100 TABLET 7000 10000 5500 11500
9 RANITIDIN INJ BOX 2 20 22 0
10 BRAXIDIN BOX 10 10 0
11 LANSOPRAZOL TABLET 0 0
12 ULCUMAG TAB BOX 0 0
13 ULSIDEX TAB TABLET 200 300 200 300
14 TYRAN TAB BOX 5 5 0
15 TYRAN INJ BOX 0 0
16 ANTASIDA TAB TABLET 0 2000 2000
17 PLANTACID SYR BOTOL 20 20 0
18 ULSAFATE SYR BOTOL 100 100 0
19 OMEVEL INJ BOX 0 0
20 NEXIUM 40 BOX 0 0
21 ENZYPLEX @100 TABLET 0 0
22 LANACER TABLET 3000 2000 1000
23 SUKRALFATE SYR BOTOL 0 500 50 450
24 OMEPRAZOL INJ VIAL 10 10
25 LANSOGRA TABLET 2000 2000
26 ANTASIDA SYR BOTOL 50 50
27 GASTRUL TABLET 450 450
0 0
ANTI EMETIKUM 0 0
1 ONDANSETRON 4 MG TAB "10 TABLET 0 600 300 300
2 ONDANSETRON 8 MG TAB TABLET 0 300 150 150
3 ONDANSETRON 4 MG QUANT INJ AMP 710 2000 210 2500

4 ONDANSETRON INJ INDO BOX 0 0
5 DOMPERIDON TAB BOX 5 50 55 0
6 DOMPERIDON SYR BOTOL 25 25
7 VOMISTOP DROP BOTOL 0 0
8 SOTATIC INJ AMPUL 0 200 200
9 SOTATIC TAB TABLET 0 100 100
0 0
ANTI SPASMODIK 0 0
1 GITAS PLUS TAB BOX 0 0
2 GITAS INJ BOX 0 0
3 SCOPAMIN BOX 8 8 0
4 SCOPAMIN PLUS BOX 5 5 0
5 SYNTOSINON INJ AMP 0 0
0 0
ANTI DIARE 0 0
1 ZINC PRO SYR BOTOL 5 70 75
2 NEW DIATAB "100 BOX 20 20 0
3 PROTEXIN INFANT BOX 5 5 0
4 L BIO BOX 0 0
5 LACTO B SACH 0 200 200
6 GUANISTREP SYR BOTOL 5 5
7 ORALIT SACH 200 200
8 ZINC 20 MG TAB TABLET 500 500
9 GRADILEX TABLET 300 300
0 0
OBAT HEPATITIS 0 0
1 CURCUMA TAB "100 TABLET 2000 2000
2 HEPA-Q TABLET 150 540 150 540
3 HEPAMAX TABLET 0 600 300 300
4 EUVAX B A ML PCS 0 0
5 SNMC INJ PCS 5 5
6 HAVRIX 720 JUNIOR BOX 0 0
7 CERNEVIT INJ AMPUL 0 0
0 0
LAXANTIVE 0 0
1 MICROLAX PCS 15 15
2 FOSEN BOTOL 0 3 2 1
3 PRALAX SYR BOTOL 5 5
4 LAXADINE 60 BOTOL 0 0
5 LAXADINE 30 BOTOL 15 15
6 STOLAX SUPPO SUPP 0 30 30
7 DULCOLAX TAB TABLET 80 80
0 0
F ANTI ALERGI 0 0
ANTI HISTAMIN 0 0
1 CETIRIZINE TABLET 3000 1000 2000
2 CETIRIZINE SYR BOTOL 100 150 50 200
3 DEXAMETASON INJ BOX 27 27 0
4 LORATADIN "50 BOX 15 15 0
5 ESTIN DROP BOTOL 20 20
6 CTM TABLET 576 576
7 MECLOVEL SYR BOTOL 15 15
0 0
KORTICOSTEROID 0 0
1 PHADILON 125 INJ BOX 0 0
2 FLAMICORT INJ BOX 20 20
3 METHIL PREDNISOLON INJ BOX 10 50 30 30
4 METHYL PREDNISOLON TAB TABLET 5000 2000 3000
5 PREDNISON TABLET 0 0
0 0
G ANTI DIABETIK 0 0
1 LEVEMIR "5 BOX 4 30 34 0
2 NOVOMIX "5 PCS 75 200 75 200
3 APIDRA ''5 PCS 50 50
4 NOVORAPID "5 PCS 150 400 120 430
5 ACARBOSE "100 BOX 0 0
6 GLUBOSE 50 TABLET 2500 5000 3500 4000
7 GLIMEPIRIDE 2 MG "50 TABLET 1500 12500 4000 10000
8 GLIMEPIRIDE 3 MG "50 TABLET 2500 1000 1500
9 GLUMIN XR 500 TABLET 30 30
10 GLIMEPIRIDE 1 MG "50 TABLET 1500 5000 1000 5500
11 JANUMET 50/500 @28 TABLET 0 0
12 METFORMIN TABLET 20000 30000 10000 40000
13 DIAMICRON MR 60 MG BOX 1 1 0
14 DIAMICRON BOX 0 0
15 LANTUS SOLOSTAR BOX 10 10 0
16 GLUCODEX ''100 TABLET 1000 500 1000 500
0 0
H VITAMIN 0 0
1 ALINAMIN F INJ "5 BOX 0 0
2 KETOSTERIL TABLET 200 200
3 VIPALBUMIN "30 BOX 2 2 0
4 ZAMEL SYR BOTOL 30 30
5 MECOBALAMIN 250MG TAB "100 TABLET 0 5000 2000 3000

6 MECOBALAMIN 500MG "100 TABLET 2500 2000 2000 2500
7 MECOBALAMIN 500MG INJ "10 AMPUL 50 300 250 100
8 KALMECO INJ AMPUL 0 25 25 0
9 METHYCOBAL INJ PCS 0 0
10 MALTOFER FOL "30 TABLET 0 0
11 MALTOFER CHEW TABLET 300 300 0
12 NEURODEX "200 TABLET 0 6000 2000 4000
13 KOLKATRIOL FORTE "30 TABLET 450 1200 450 1200
14 OSSOVIT TAB BOX 0 0
15 FEROSFAT EFF BOTOL 0 0
16 IMUDATOR SYR BOTOL 10 30 10 30
17 CATARO EFF BOTOL 5 5
18 CALOS BOX 55 55 0
19 BEBELOVE 1 BB NUTRI BOX 0 0
20 NBR PRONUTRA BOX 0 0
21 NUTRIBABY PREMATURE BOX 0 0
22 IMUDATOR TAB TABLET 150 150
23 VINERTON BOX 5 5 0
24 ZYFORT INJ AMPUL 0 40 40
25 ASIFIT "30 TABLET 30 30 0
26 PLASBUMIN 20% 100 ML BOTOL 2 6 4 4
27 CORSEL "30 BOX 3 3 0
28 RISTONAT TABLET 0 60 12 48
29 FITBON TABLET 1200 1200
30 OSTEOR PLUS TABLET 0 0
31 ZITANID TABLET 0 0
32 BONVIVA INJ BOX 0 0
33 DUROLANE INJ PCS 2 2
34 HEPATOSOL BOX 0 0
35 NEPHRISOL BOX 0 0
36 ZEVITON TABLET 500 500
37 VIT C TAB 250 MG BOX 10000 10000
38 BON ONE BOX 0 0
39 RENAPAR BOX 3 3 0
40 HIBONE BOX 0 0
41 PEPTISOL BOX 0 2 2 0
42 KOLKATRIOL BOX 3 10 13 0
43 ALOVEL BOX 0 0
44 HP PRO BOX 0 0
45 KSR "100 TABLET 4000 2000 2000
46 PRADAXA "30 TABLET 0 0
47 PROLACTA FOR BABY "50 TABLET 0 0
48 GRAHABION BOX 0 0
49 REBAL PLUS BOX 4 4 0
50 DALFAROL 200 BOX 0 0
51 CA GLUCONAS "24 BOX 0 0
52 FUCOHELIX 50 "30 BOX 10 10 0
53 STARMUNO TABLET 0 0
54 STARMUNO SYR BOTOL 0 0
55 Q TEN TABLET 0 30 30
56 LUBIRE BOX 0 0
57 EVOTHYL 100 MG BOX 0 0
58 BIO ATP TABLET 0 0
59 CAVIPLEX SYR BOTOL 72 72
60 ANEMOLAT BOX 0 0
61 STARFOLAT @100 TABLET 15500 15500
62 SPORTVIS INJ BOX 0 0
63 CAVIT D3 TABLET 0 0
64 PANENTERAL BOX 0 0
65 EXTRACE INJ BOX 0 0
66 ALINAMIN F TAB BOX 0 0
67 VENOFER INJ BOX 0 0
68 VIT B6 10 MG TABLET 1000 1000
69 VIT B12 BOTOL 0 0
70 LIVRON B PLEX TABLET 2000 2000
71 PHYTOMENADION INJ PCS 100 10 90
72 BATUGIN ELEXIR BOTOL 0 0
73 FF MAMA BOX 0 0
74 KALSIUM LACTAT TABLET 0 0
75 FURAMIN INJ AMPUL 280 500 200 580
76 HEMAPO INJ 10000IU SYR 1 1 0
0 0
I ANTI INFEKSI 0 0
ANTI BAKTERI SISTEMIK 0 0
1 GENTAMICIN INJ BOX 14 14 0
2 GENOINT SK 15 GR TUBE 0 0
3 GENTAMICIN SK TUBE 70 70
4 CIPROFLOXACIN 500 MG TABLET TABLET 5000 5000

5 CIPROFLOXACIN INFUS NOVEL BOTOL 50 50 50 50
6 CEFADROXIL 500 MG TAB BOX 7 7 0
7 PYRICEF 500 BOX 0 0
8 CEFADROXIL 125 MG SYR BOTOL 50 50
9 CHLORAMFENICOL 250 MG "100 BOX 16 16 0

10 AMPICILLIN INJ 1000 MG "10 VIAL 0 0
11 METRONIDASOL 500MG TAB TABLET 1000 1000
12 CENDO XITROL TM BOX 5 5 0
13 LEVOFLOXACIN INFUS BOX 30 30
14 CEFIXIM CAP "50 BOX 50 50 0
15 PYXIME 100 @30 BOX 0 0
16 CEFTRIAXON INJ "10 BOX 120 120 0
17 CEFIXIM SYR BOTOL 0 100 100
18 CEFOTAXIM INJ BERNO BOX 0 0
19 CEFOTAXIM INJ VIAL 2344 374 1970
20 CO AMOXICLAV TAB "30 TABLET 150 150
21 CEPRAZ INJ BOX 10 10 0
22 KANDISTATIN DROP BOTOL 20 20
23 AMOXICILLIN 500 MG TAB TABLET 1500 5000 1500 5000
24 AMOXICILLIN 1 GR INJ VIAL 10 10
25 METRONIDASOL INFUS BOTOL 215 96 119
26 CEFTRIMET BOX 0 0
27 QUACEFON INJ BOX 0 0
28 AZITROMICIN 500 MG TABLET 0 300 150 150
29 TARIVID OTIC BOX 5 5
30 OTOPAIN TT BOX 10 10
31 DOXYCYCLINE TABLET 300 300
32 FG TROCHES '120 BOX 2 2 0
33 MEROPENEM 1 GR INJ BOX 0 0
34 COTRIMOXAZOLE 480 MG TAB TABLET 0 500 500
35 CLINDAMISIN 150 MG TABLET 1500 1500
36 CLINDAMISIN 300 MG BOX 15 15 0
37 CENDO ASTENOF TM BOTOL 0 0
38 CEFTAZIDIM INJ BOX 5 5 0
39 VAGISTIN OVULA BOX 1 1 0
40 THIAMFENIKOL 500 TABLET 0 0
41 URINTER BOX 2 2 0
42 ERITROMISIN 500 TABLET 0 300 300
43 VICILLIN SX INJ VIAL 0 0
44 VICILLIN INJ VIAL 10 10
45 AMOXICILLIN SYR BTL 100 50 50
0 0
ANTI VIRUS 0 0
1 RICOVIR TABLET 0 0
2 ROTARIX PCS 0 0
3 ACYCLOVIR CREAM TUBE 0 100 100
4 ACYCLOVIR 400 TAB "50 BOX 0 0
5 ISPRINOL SYR BOTOL 0 0
6 ACYCLOVIR 400 TAB "100 TABLET 2000 2000
7 LEVOFLOXACIN 500"50 TABLET 0 0
8 LECRAV 500 @12 BOX 0 0
0 0
J ANTI TBC 0 0
1 RIMCURE PAED BOX 0 0
2 RIMACTAZID PAED BOX 0 0
0 0
K ANTELMINTIK 0 0
0 0
L ANTI MALARIA 0 0
0 0
M ANTI FUNGI 0 0
1 KENALOQ IOB TUBE 2 2
2 MICONAZOLE CREAM TUBE 24 24
3 KETOCONAZOL TAB TABLET 1000 1000
4 KETOCONAZOL CREAM TUBE 50 50 0
0 0
N SALEP/OBAT TETES/INFUS 0 0
1 OL ROSAE 100 ML BOTOL 0 0
2 GLYCERIN PH 1 LTR BOTOL 0 0
3 SANOSKIN OXY BOTOL 0 0
4 MELOCON TUBE 0 0
5 KETOCONAZOL CREAM "12 TUBE 0 0
6 DESOXIMETASON CR TUBE 35 35
7 THROMBOPHOP GEL TUBE 9 9
8 THROMB GEL TUBE 0 0
9 IKAMICETIN ZK TUBE 35 5 30
10 FLAMAR GEL TUBE 20 100 50 70
11 PRONTOSAN WOUNG GEL TUBE 0 0
12 ASKINA CALGITROL PASTE TUBE 0 0
13 ERLAMICETIN PLUS TM TUBE 0 0
14 ERLAMICETIN TT TUBE 20 20
15 ERLAMICETIN SM TUBE 10 10
16 INSTO TM BOTOL 0 0
17 FUTROLIT BOTOL 24 120 144
18 TOPISEL BOTOL 0 0
19 BETASON N TUBE 6 6
20 KAEN 3B BOTOL 0 0
21 FUSON CREAM TUBE 0 0
22 VOLTADEX GEL TUBE 0 0
23 SCABIMITE CREAM TUBE 5 5
24 STERIL WATER 1 LTR BOTOL 0 0
25 FUCILEX CREAM TUBE 0 0
26 GENT OINT ZM TUBE 0 0
27 MOMETASON CR 5 TUBE 0 50 50
28 C XITROL TM BOTOL 0 0
29 C TRIA XITROL BOTOL 0 0
30 BURNAZIN SK TUBE 8 8
31 CINOLON N CR TUBE 0 0
32 BETAMETHASON CR TUBE 75 75
33 TOPSY TUBE 2 2
34 BENOSON N CR TUBE 0 0
35 COUNTERPAIN 15 GR TUBE 0 0
36 FUSYCOM TUBE 95 95
37 HYDROCORTISON TUBE 96 96
38 BENZOLAC CL TUBE 0 0
0 0
O CAIRAN INFUS 0 0
1 TUTOFUSIN OPS BOTOL 5 5
2 AQUA PI 25 ML PCS 240 240
3 OTSU NACL 100 ML FLABOT 0 0
4 WIDAHEST FLABOT 20 20
5 D5 1/2 NS FLABOT 0 0
6 AMINOFUSIN HEPAR FLABOT 4 4
7 PRONTOSAN SOL ROUNG BOTOL 2 2
8 INFUS RL FLABOT 0 3000 3000 0
9 NACL 500 FLABOT 0 0
10 STERIL WATER 1 L FLABOT 0 0
11 D10% FLABOT 0 0
12 KAEN 3A FLABOT 0 0
13 MANITOL 20 FLABOT 0 0
14 D1/4 NS FLABOT 0 0
15 OTSU SALIN 3 FLABOT 0 0
0 0
P ANTI VERTIGO 0 0
1 EPSONAL ''100 BOX 0 0
2 BETAHISTIN "30 NOVEL TABLET 1500 900 990 1410
3 CITICOLIN 125 INJ "10 AMPUL 150 200 150 200
4 FLUNARIZIN 10 MG "100 BOX 0 0
5 ESPERISON HCL"100 TABLET 1500 2000 1000 2500
6 CITICOLIN 500 TAB TABLET 330 330
7 PRATOPRIL SYR BOTOL 0 0
8 NOOCEPHAL SYR BOTOL 5 5
9 CITICOLIN 500 INJ BOX 0 0
10 PIRACETAM 3 GR INJ BOX 6 6 0
11 PIRACETAM 1 GR INJ AMPUL 72 72
12 FLUNARIZIN 5 MG "100 TABLET 1000 1000
13 PIRACETAM 800 TAB TABLET 0 0
0 0
ANTI LIPID 0 0
1 ATORVASTATIN 20 TABLET 0 900 900
2 LIPITOR 10 BOX 1 1 0
3 LIPITOR 20 "30 BOX 1 1 0
4 FENOFIBRAT 100 MG TABLET 1800 1500 1500 1800
5 FENOFIBRAT 300 MG TABLET 600 900 1500
6 TROLIP 300 "30 BOX 0 0
7 FIBRAMED 300 TABLET 210 210
8 VIBRANAT TABLET 0 0
9 AVESCO 20 " 30 BOX 0 0
10 SIMVASTATIN 10 BERNO BOX 25 50 75 0
11 LDLOX 5 BOX 2 2 0
12 CHOLESCORE TABLET 300 300
13 GEMFIBROZIL 300 TABLET 1000 1000
0 0
II ALKES HABIS PAKAI 0 0
1 FILM RONTGEN PCS 0 0
0 0
KAPAS/VERBAND 0 0
1 KY JELLY 82 GR TUBE 8 8
s DR KANG UNDERPAD "10 PCS 3 3 0
3 SARUNG TGN STERIL GAMEX 7.5 PCS 80 200 80 200

4 PLESTER ZINC OXYDE 7.5 CM PCS 2 6 5 3
PLESTER ZINC OXYD 1.25 CM
5 WINER ROLL 0 0
6 KASA GULUNG 80X36 ROLL 3 25 7 21
7 KASA POTONG 10 CM PAK 16 16 0
8 DARYANTULLE "10 BOX 4 50 54 0
9 URGOTUL AG BOX 0 0
10 URGOTUL BOX 3 3 0
11 POLIFIX 5CMX1M BOX 0 0
SARUNG TGN NON STERIL SENSI
14 M BOX 41 50 23 68
15 S BOX 56 33 23
16 KASA STERIL AMANDA BOX 6 150 15 141
17 CUTIMED CAVITY 10X10 BOX 0 0
18 CUTIMED SORBACT SWAB BOX 0 0
19 L BOX 11 5 6
20 PLESTER WINNER 10 CM ROLL 0 0
21 USG PAPER ROLL 2 3 5
22 MASKER HIJAB/TALI/KARET BOX 57 26 31
23 PLESTER WINER 15 CM BOX 0 0
24 PLESTER WINER+DISPENSER BOX 5 5
25 CURAPOR TRANS 10X25 PCS 0 200 50 150
26 PLESTER WINER 5X5 BOX 15 8 7
27 WINER 5X1 PCS 20 30 20 30
28 DELTA DRY 7,5 CM ROLL 0 0
29 DELTA DRY 10 CM ROLL 0 0
30 DELTA LITE 12,5 CM ROLL 0 0
31 MAS DHD PW STERIL 6,5 PCS 0 0
32 MAS DHD PW STERIL 7,5 PCS 0 0
33 CURAPOR TRANS PCS PCS 0 0
34 URINAL PRIA PCS 0 0
35 URINAL WANITA PCS 0 0
36 PISPOT ONEMED PCS 0 0
37 SOFTBAND 7,5 CM ROLL 8 8
38 MIKROPORE PCS 0 0
39 WWZ PCS 0 0
40 IRIGATOR HUKNAH PCS 0 0
41 LEUCOMED T PLUS PCS 0 0
42 POT SALEP 15 PCS 0 0
43 STANDART GONIOMETER PCS 0 0
44 SARUNG TANGAN XS BOX 0 0
45 HYPAFIX 10X5 BOX 7 10 4 13
0 0
ALAT INJEKSI/ALAT
INFUS/BENANG 0 0
1 CHROMIC 4/0 CUTT CUTT 0 12 12 0
2 SILKAM BLACK 2/0 HR 22 BOX 0 0
3 PREMILENE 5/0 2XHR 15 RP BOX 0 0
4 SAFIL 4/0 HR 17 70 CM BOX 0 0
5 MIKRO SET PCS 100 100
6 BD NEOFLON 24 BOX 0 0
7 BD VENFLON 22 BOX 0 0
8 IV CATH ABBOCATH 22 PCS 100 100 100 100
9 IV CATH GEA 22 PCS 0 0
10 IV CATH ABBOCATH 26 PCS 7 50 7 50
11 IV CATH GEA 26 PCS 0 0
12 SPUIT 5 CC PCS 0 6000 700 5300
13 SPUIT 3 CC TERUMO "100 BOX 17 90 107 0
14 INJECT NEEDLE 23 TERUMO PCS 500 500
15 INJECT NEEDLE 21 TERUMO BOX 0 0
16 INJECT NEEDLE 25 TERUMO PCS 0 0
17 IV CATH ABBOCATH 20 BOX 50 50
18 IV CATH 20 GEA PCS 0 0
19 IV CATH ABBOCATH 14 PCS 0 0
20 IV CATH ABBOCATH NO 16 PCS 10 10
21 NOVOTWIST "100 BOX 2 2 0
22 SAFIL 2/0 HS 26 BOX 0 0
23 SAFIL 2/0 HR 26 BOX 0 0
24 SILKAM BLACK 3/0 DS 24 BOX 0 0
25 SAFIL 3/0 DS 24 70 CM BOX 0 0
26 TRANFUSI SET TERUMO PCS 100 100 100 100
HANSAPLAST PLESTER ROLL
27 KECIL BOX 0 0
28 SPUIT 10CC PCS 1300 6400 3700 4000
29 SPUIT 10 CC BD PCS 0 0
30 SPUIT 20 CC TERUMO PCS 0 0
SPUIT 50 CC TERUMO LUBANG
31 TENGAH PCS 0 0
32 SARUNG TANGAN GAMEX 6,5 PCS 40 80 40 80
33 SARUNG TANGAN GAMEX 7 PCS 40 40
34 COMBOPACK SPALK 24 MAKRO BOX 50 50 0

35 MAKROSET PCS 100 100
36 DISCOFIX 3WAY STOPCOCK PCS 0 0
37 PREMILENE 3/0 DS24 BOX 0 0
38 CHROMIC 3/0 TAPER PCS 0 12 12 0
39 SURGIGUT CHROMIC 2 TAPER PCS 0 0
40 SURGIGUT CHROMIC 2/0 GG 123 PCS 0 0

41 CHROMIC 3/0 CUTT PCS 0 12 12 0
42 SAFIL 3/0 HR 26 90CM BOX 0 0
43 T VIO 3/0 CUTT PCS 0 12 12 0
44 T LENE 3/0 76CM PCS 0 12 12 0
45 T LENE 4/0 90CM TAPP PCS 0 12 12 0
46 DISCOFIX 3WAY BOX 0 0
47 T SILK 1 TAPER PCS 0 12 12 0
48 T SILK 3-0 CUTT PCS 0 84 84 0
49 CHROMIC 4/0 TAPER PCS 0 6 6 0
50 CHROMIC 3/0 GG 122 PCS 0 0
51 CHROMIC GUT 0 TAPER PCS 0 24 24 0
52 T LENE 4/0 76 CM CUTT PCS 0 12 12 0
53 IV CAT GEA 18 PCS 0 150 50 100
54 T SILK 3/0 TAPER PCS 0 12 12 0
55 SOFTSILK 4/0 PCS 0 0
56 COMBO PACK 22 BOX 50 100 150 0
57 COMBO PACK 22 TRANFUSI BOX 10 10 0
58 T VIO 1 90 CM BOX 0 0
59 CATGUT PLAIN 3/0 + NEEDLE BOX 48 48
60 IV CATH ABBOCATH 24 BOX 0 150 50 100
61 SPUIT 1 CC INSULIN PCS 900 3600 200 4300
62 SPUIT 1 CC COSMOMED BOX 0 0
63 T LENE 2/0 76 CM CUTT PCS 0 0
64 T SILK 2/0 CUTT PCS 0 24 24 0
65 NEBULIZER MASK DEWASA PCS 30 20 10
66 NEBULIZER MASK ANAK BOX 20 20
67 NEEDLE 26 PCS 300 300
68 SPINOCAIN 26 PCS 35 100 35 100
69 T PLAIN CATGUT 2/0 CUTTING PCS 0 0
70 T PLAIN CATGUT 2/0 TAPER PCS 0 0
71 T PLAIN CATGUT 3/0 CUTTING PCS 12 24 36 0
72 T PLAIN CATGUT 3/0 TAPER PCS 0 12 12 0
73 COMBOPACK NO 20 TRANFUSI PCS 0 0
74 COMBO CATHETER NO 16 PCS 0 50 50 0
75 TORNIQUET JETPULL PCS 2 2
76 POLYSORB 1 CL 916 BOX 0 0
77 POLYSORB 3/0 CL 868 PCS 0 0
78 T MONO 3/0 CUTT PCS 0 24 24 0
79 SURGIPRO 4/0 SP 683 PCS 0 0
80 SURGIPRO 5/0 VP 705 PCS 0 0
81 SURGIPRO 2/0 SP 685 PCS 0 0
82 WING NEEDLE NO 23 PCS 0 20 20 0
83 MANCET ANAK ABM PCS 0 0
84 CERVICAL COLAR L PCS 3 3
85 CERVICAL COLAR M PCS 0 0
86 CERVICAL COLAR S PCS 0 0
87 CAESARIAN SET TRITON PCS 250 250
88 WALKER DEWASA PCS 0 0
89 SPALK ANAK XL/SA 25 PCS 0 10 10
90 SPALK DEWASA S/A 40 PCS 0 10 10
91 SPALK DEWASA M/C 50 PCS 0 10 10
92 SPALK DEWASA M/C 60 PCS 0 10 10
93 SPALK DEWASA L/F 80 PCS 0 10 10
94 SPALK DEWASA L/F 100 PCS 0 10 10
95 COMBO PACK 20 PCS 0 0
96 PLAIN CATGUT 4/0 CUTT PCS 0 0
97 SPALK ANAK SA 20 PCS 0 0
98 T SILK 2/0 TAPER PCS 0 24 24 0
99 SURGIPRO 4/0 VP 871X PCS 0 0
100 POLYSORB 2/0 CL 916 PCS 0 0
101 SPINOCAIN 25 PCS 0 0
102 SPALK DEWASA 35 PCS 6 6
103 SPALK DEWASA 30 PCS 6 6
104 ECG ELEKTRODA KENDAL PCS 1 1 0
LAIN-LAIN 0 0
1 STOMACH TUBE FR 12 PCS 5 5
5 FC 14 GOLD RUSCH PCS 0 0
6 KRUK L PCS 3 3
SUCTION CATETER NO 8
7 HOSPITECH PCS 80 80
8 PAHSCO PCS 0 0
9 COSMOMED PCS 0 0
SUCTION CATH NO 12
10 HOSPITECH PCS 0 0
11 SUCTION CATH NO 16 PCS 0 0
12 ELECTRO SURGICAL PENCIL PCS 0 0
CLEANING PAD FOR
13 ELECTRODES PCS 0 0
14 MESS NO 15 BOX 0 0
15 MESS NO 20 PCS 0 0
16 MESS NO 21 BRAUN PCS 200 100 100
17 UMBILICAL CORD KLEM PCS 100 100
18 GELANG BAYI BIRU ONEMED PCS 2 2 0
19 GELANG BAYI PINK ONEMED PCS 2 2 0
20 ETT CLEAR DISP 6 PCS 12 12
21 LIGAFLEX CLAVICULAR PCS 0 0
22 CAPSUL KOSONG 1 "1000 PCS 2 2 0
26 BARIUM SULFAT "5KG PCS 1 1 0
27 MG SULFATE 1 KG PCS 1 1 0
28 HIBISCRUB 5 LTR PCS 0 0
29 FC 20 GOLD 3W RUSH PCS 0 0
30 LMA NO 3 PCS 3 1 2
31 LMA NO 4 PCS 4 4
32 LMA NO 5 PCS 3 3
33 KRUK M PCS 3 3
34 POVIDONE IODINE ML PCS 45 45
35 POVIDONE IODINE 1 LTR PCS 7 40 7 40
36 FOAM COLLAR S PCS 0 0
37 FOAM COLLAR M MAKIDA PCS 0 0
38 FOAM COLLAR L MAKIDA PCS 0 0
39 GELANG DEWASA PINK PCS 1 2 3 0
40 GELANG DEWASA BIRU PCS 2 2 4 0
41 ALKOHOL 1 LTR PCS 31 13 18
42 FC 16 RUSH PCS 50 50 50 50
43 BATANG PENGADUK KACA PCS 0 0
44 ETT 2,5 PCS 0 0
45 ETT 3 NON KINKIN PCS 0 0
46 ETT NON KINKIN 6 PCS 5 5
47 TRANFUSI SET OM PCS 0 0
48 HIBICET 5 LTR PCS 0 0
49 POLIFIX 5CMX5M PCS 0 0
50 MANOSOFT PCS 0 0
51 ETT NON KINKIN 6,5 PCS 1 1
52 IOPAMIRO PCS 5 5
53 BETADIN OBAT KUMUR 100 PCS 5 30 27 8
54 TANTUM VERDE BOTOL 6 6
55 HYPERHEP PCS 2 5 2 5
56 FUJI I MINI PACK 15 GR PCS 0 0
57 COTTON ROLL PRODENTAL PCS 0 0
58 SERUM ATS PCS 10 50 30 30
59 SERUM BIO SAVE (ABU) PCS 0 0
60 TERMOMETER BADAN SAFETY PCS 12 5 7
61 TERMOMETER BADAN DIGITAL PCS 5 5 0
62 TERMOMETER RUANGAN PCS 2 2 0
63 TERMOMETER KULKAS PCS 1 1
64 ETHYL CHLORIDE PCS 5 2 3
65 FM CREPE 7.5 CM PCS 0 0
66 FM CREPE 10 CM PCS 0 0
67 LEUKOKREPE 15 CM PCS 0 0
68 ELASTOMULL HAFT 10X4 PCS 0 5 5 0
69 ELASTOMULL HAFT 12X4 PCS 0 0
70 ELASTOMULL HAFT 8X4 PCS 5 5 0
71 AROMA NORMAL PCS 0 0
72 POWER O PROTECH PCS 0 0
73 NITI ARCH W.R.UPPER 0.12 PCS 0 0
75 NITI ARCH W.R.LOWER 0.12 PCS 0 0
79 ASEPTIC GEL + DISP 500 PCS 22 60 24 58
OXY ONE (PULSE OXY METER
80 FINGER TIP) PCS 1 1
81 GUIDEL MAYO 5 (11 CM) PCS 2 2
82 GUIDEL MAYO 6 PCS 0 0
83 GUIDEL MAYO 2 (8CM) PCS 2 2
87 GUIDEL MAYO 00 (4 CM) PCS 2 1 1
89 ARM SLING S PCS 5 5
90 ARM SLING M PCS 5 5
91 ARM SLING L PCS 5 5
92 OXYGEN MASK ANAK NRM PCS 10 10
93 OXYGEN MASK DWS NRM PCS 10 10
94 PHYSIOPACK REUSABLE PCS 0 0
95 UNIFLEX 3' PCS 0 24 24
96 UNIFLEX 10 CM ( 4' ) PCS 0 48 12 36
97 UNIFLEX 4.5X15 (6') PCS 24 24 12 36
98 FIXOMUL 10 PCS 9 30 3 36
99 FIXOMUL 15 PCS 24 14 10
100 TETAGAM INJ PCS 0 0
101 BEDAK SALICIL PCS 10 10
102 CROCODILE TANG 14,5 PCS 0 0
103 KACA MULUT PCS 0 0
102 HANDLE/GAGANG KACA MULUT PCS 0 0

103 SPECULUM HIDUNG S PCS 0 0
104 SUCTION CATETER 6 PCS 0 0
105 SUCTION TUBE PCS 0 0
106 TEMPAT SPIRITUS PCS 0 0
107 TONGUE SPATEL LUBANG SS PCS 0 0
108 PEAN LURUS 18 CM PCS 0 0
109 ODEX 5 LTR PCS 1 1
110 AXIMED 3 WAY WITH EXT PCS 0 0
111 KORSET LUMBAL S PCS 0 0
112 KORSET LUMBAL M PCS 0 0
113 KORSET LUMBAL L PCS 6 6
114 LOMBAX T2 GREY PCS 0 0
115 SELANG OKSIGEN ANAK PCS 50 50
116 SELANG OKSIGEN DEWASA PCS 100 100
117 MASKER OKSIGEN DEWASA PCS 10 10
118 FC RUSH NO 24 PCS 0 0
119 FC CATT 24 3 WAY PCS 0 0
120 FC RUSH NO 18 3 WAY PCS 0 0
121 GELAS UKUR 2 LT PCS 0 0
122 MUCUS EXTRACTOR PCS 0 0
123 GUNTING EPISOTOMI 14 CM PCS 0 0
124 MANCET DIGITAL DEWASA PCS 0 0
125 URINE BAG PCS 50 50
126 SALIVA EJECTOR DOCHEM PCS 0 0
127 FC CATH 12 PCS 0 0
128 PK PCS 24 24
129 BENGKOK PCS 0 0
130 TENSI HG 2001 GEA PCS 0 0
131 CLAVICULA S6H PCS 0 0
132 CORTICAL SCREW PCS 0 0
133 STETOSCOP PCS 0 0
134 K WIRE PCS 0 0
135 ETT NON KINKIN 7 PCS 5 5
136 ETT 4 PCS 5 5
137 1/3 TUB TIPIS 4H PCS 0 0
138 CORTEX SCREW 3,5 L18 PCS 0 0
139 POVIDON IODIN KCL PCS 50 50
140 HYDROGEN PEROXID 50% BTL 0 0
141 STOMACH TUBE NO 3 PCS 0 0
142 PATHANE PCS 4 4
143 DUK SEDANG PCS 0 0
144 DUK LUBANG PCS 0 0
145 INTUBATION 2,5-4,5 PCS 1 1
146 ANESTESIA MASK 4 PCS 1 1
147 ANESTESIA MASK 2 PCS 1 1
148 ALKAZYM PACK 0 0
0 0
III OBAT KESEHATAN GIGI 0 0
1 FUJI 7 H PINK SET 0 1 1 0
2 MASTER FLOW A3 PCS 0 0
3 BUR DIAMOND EDENTA A BOX 0 0
4 BRIDGE PCS 0 0
5 FLEXIBLE I BOX 0 0
6 FLEXIBLE I Bii BOX 0 0
7 PAPER POINT INDODENT PCS 0 0
8 GUTTA PERCHA INDODENT PCS 0 0
9 MICRO BRUSH DOCHEM PCS 0 0
10 Z 250 SYRINGE REFILL PCS 0 0
11 HANDLE SCALPEL PAKISTAN PCS 0 0
12 PULP X 6GR DENPRO PCS 0 0
TOPICAINA TOPICAL ANESTESI
13 GEL PCS 0 0
14 MATRIX HOLDER DAN BAND PCS 0 0
15 FINGER SPEADERS PCS 0 0
16 FLUOROCOTE Z +SYRINGE PCS 0 0
17 CAPING APLICATOR PCS 0 0
18 ENDOMETHASONE PCS 0 0
19 BUR ROCO WHELL FLAT EDGE PCS 0 0
20 UNIMETRIC TITANIUM PCS 0 0
21 LARGO RA PCS 0 0
22 PFM NPA BRIDGE PCS 0 0
23 FX 15-11-401 PCS 0 0
24 FX 15-11-402 PCS 0 0
25 MASTER FLOW A3,5 PCS 0 0
26 OCO PCS 0 0
27 HEMOSPON BOX 0 0
28 GELAS PAPER DISP '100 BOX 0 0
29 CAVIT 6 BOX 0 0
30 TEMPAT BUR PCS 0 0
31 K FILE M ACCES 25 MM BOX 0 0
32 ENDO ACCES BUR FG#2 PCS 0 0
33 VITAPEX PCS 0 0
34 GIP SUPER 1 KG PCS 0 0
35 ETCHING SDI LIQUID PCS 0 0
36 PROTAPER UNIVERSAL PCS 0 0
37 FORESTADENT MINI PCS 0 0
38 SHADE GUIDE VITA PCS 0 0
39 ANTI GLEAR KACA MATA PCS 0 0
40 CROWN MESS PCS 0 0
41 SONDE SE LURUS PCS 0 0
42 GLASS PLATE PCS 0 0
43 LIGATUR GUN PROTEC PCS 0 0
44 SYRINGE ALGINAT PCS 0 0
45 CROWN REMOVER PCS 0 0
46 XTREME ELASTIC PCS 0 0
47 BRACKET HOLDER PCS 0 0
STENLES STEEL 016X016 UPPER
48 OVOID PCS 0 0
STENLES STEEL 016X016
49 LOWER OVOID PCS 0 0
50 BUCAL TUBE M1 PCS 0 0
51 BUCAL TUBE M2 PCS 0 0
52 OPEN COIL PCS 0 0
53 PRORINSE 28 GA PCS 0 0
54 PRORINSE 30 GA PCS 0 0
55 LIGATURE DIRECTOR PCS 0 0
56 POLIBIB DOCHEM PCS 0 0
57 LIGATURE METALIQUE PCS 0 0
58 LIGATURE BUTTON BONDAGE PCS 0 0
59 BRACKET OC PCS 0 0
60 WAX ORTHO PCS 0 0
61 METRONODAZOL PCS 0 0
62 GP PROTAPER F1 PCS 0 0
63 GP PROTAPER F2 PCS 0 0
64 CALPLUS 3G DENPRO BOX 0 0
65 MASTER BOND BOX 0 0
66 PIN SCREW "120 BOX 0 0
67 BUR DIAMOND EDENTA B BOX 0 1 1 0
68 COTTON ROLL DISPENSER PCS 0 0
69 FUJI II LC PCS 0 0
70 WEDGES DENTAMERICA TRANS PCS 0 0
71 DENTAL PROBE BALL PAKISTAN PCS 0 0

72 ANA 2000 POWDER PCS 0 0
73 MERCURY PCS 0 0
74 PINSET BUCAL TUBE PCS 0 0
75 TANG CUTTER WIRE PCS 0 0
76 GAUGE BRACKET PCS 0 0
77 CLAM BENGKOK PCS 0 0
78 WEM GARD PCS 0 0
79 OPTRAGATE SMALL PCS 0 0
80 UNIMETRIC TITANIUM 0,8MM PCS 0 0
81 DYCAL DENTIN STANDART PCS 0 0
82 CERAM X SPHERE TEC A2 PCS 0 0
83 CERAM X SPHERE TEC A3 PCS 0 0
84 STENLESS STELL 016X016 UPP PCS 0 0
85 STENLESS STELL 016X016 LOW PCS 0 0
86 PAPER POINT II #20 PCS 0 0
91 GLYDE FILE PREP INTRI PCS 0 0
92 GP PTS MAILEFER 22C PCS 0 0
93 SOFTEX FINISHING STRIP PCS 1 1 0
94 SCOTCH BOND RTCHANT PCS 2 2 0
95 BEIN LURUS PAKISTAN PCS 1 1 0
96 RUBBER MOULD SUPPORT PCS 1 1 0
97 BONE CURET PCS 2 2 0
98 GUNTING OPERASI GUSI PCS 1 1 0
0
ALKES BEDAH 0 0
1 SURGIPEN PCS 0 0
2 IV CANULE HEVER PCS 5 5
3 NARROW PLATE 6H PCS 0 0
4 NARROW PLATE 10H PCS 0 0
5 SCREW 4,5 PCS 0 0
6 LINAPEN PCS 3 1 2
0 0
ALKES RADIOLOGI 0 0
1 X RAY FILM 18X24 CM BOX 0 0
4 EOS DEVELOPER 2X20 LITER BOX 0 0
5 EOS FIXER 2X20 LITER BOX 0 0
0 0
ALAT LAIN/BAHAN
LABORATORIUM 0 0
1 MULTIDRUG 6P GLORY BOX 3 3
2 STRIP ASAM URAT BOX 5 10 10 5
3 OBJECT GLASS BOX 10 10
4 DECK GLASS BOX 10 10
5 STRIP URIN 10P BOX 1 1 1 1
6 G.DARAH ANTI B BOX 0 2 1 1
7 STRIP GULA DARAH BOX 10 30 25 15
8 G.DARAH ANTI A BOX 1 1 1 1
9 STRIP URIN 3P BOX 1 1
10 WIDAL H FORTES BOX 0 1 1
11 WIDAL O BOX 1 1
12 POT URIN 6 CM BOX 0 0
13 HBSAG SERUM STRIP NOVA BOX 1 1 0
14 BLOOD LANCET BOX 0 10 5 5
15 WIDAL AH FORTRES BOX 1 1 1 1
16 WIDAL AO BOX 0 1 1
17 TABUNG CENTRIFUGE BOX 0 0
18 TABUNG EDTA 2ML BOX 5 3 2
19 TABUNG EDTA 0,5 ML BOX 1 1
20 YELLOW TIP BOX 1 1
21 SIDEPLAST BOX 0 0
22 TEST KEHAMILAN BOX 2 2
23 TABUNG REAKSI BOX 0 0
24 HIV BOX 0 2 1 1
25 ALAT KOLESTEROL PCS 0 0
26 STRIP KOLESTEROL BOX 0 0
27 GOL DARAH ANTI D VIAL 0 0
28 POT URIN BSR PCS 600 600
29 AUTOKLIK PCS 2 2 0
30 TABUNG KED PCS 100 100 0
0 0
LAIN-LAIN 0 0
1 NEPHROLIT TABLET 500 1000 500 1000
2 MINYAK KAYU PUTIH 15 BOTOL 0 0
4 VENODENOL INJ BOX 30 30 0
5 CALCUSOL "100 BOX 0 0
7 DISOLF EC BOX 0 0
8 URISPAS 200 BOX 0 0
9 PREGTENOL BOX 0 0
10 MINYAK TELON 100 BOTOL 0 0
11 OXOFERIN BOTOL 1 1
12 URDAFALK "30 BOX 0 0
13 URSODEOXYCHOLIC ACID "30 TABLET 900 600 300
14 CALCUSOL 30 BOTOL 0 0
15 CALCUSOL "50 BOX 0 0
16 EUTHYROX 50 BOX 0 0
17 CLOFEN BOX 0 0
18 CILOSTAZOL 100 MG ''100 BOX 1 1 0
19 KETESSE 25 ''50 BOX 2 2 0
20 SERTRALINE 50 MG BOX 350 350 0
21 AVODART 0,5 MG BOX 60 60 0
22 DIKLOVIT TABLET 0 0
23 NOCEL BOX 0 0
24 BIOQUINONE ''50 BOX 0 0
25 EXFORGE 10/160 TABLET 0 0
26 COMBANTRIN TAB 250 ''50 BOX 0 0
27 COMBANTRIN SYR JERUK 125MG FLS 0 0

28 MICARDIS 80 MG TABLET 60 200 160 100
29 BICROLID 500 MG BOX 0 0
30 TRUVAZ 20 MG TABLET 0 60 60 0
31 PREMASTON TABLET 0 600 300 300
32 TONICARD BOX 0 0
33 NORELUT BOX 0 0
34 VOLINOL TABLET 0 0
35 DETRUSITOL 2 BOX 0 0
0 0
VAKSIN 0 0
1 FLUBIO BOX 0 0
TOTAL
Rp 269,209
Mengetahui Yogyakarta, Desember

KARUMKIT BHAYANGKARA KASUBBID JANGMEDUM RS B
POLDA D.I.YOGYAKARTA POLDA D.I.YOGYAKA
dr. THERESIA LINDAWATI, Sp.F TSALISAH DAMAYANTI, S.

KOMISARIS POLISI NRP 78091226 PENATA I NIP 1978122120
MAH SAKIT BHAYANGKARA
6
HARGA SATUAN
TOTAL KET
8 9 10
Rp 16,500 Rp -
Rp 10,750 Rp 516,000
Rp 44,650 Rp -
Rp 20,000 Rp 2,400,000
Rp 1,350 Rp 567,000
Rp 9,500 Rp 342,000
Rp 9,154 Rp -
Rp 150 Rp 780,000
Rp 266,000 Rp -
Rp 11,500 Rp 1,150,000
Rp 9,958 Rp 995,800
Rp 212 Rp 106,000
Rp 27,000 Rp -
Rp 193 Rp -
Rp 2,567 Rp 77,010
Rp 500 Rp 2,500,000
Rp 700 Rp 3,500,000
Rp 250 Rp 750,000
Rp 644 Rp 644,000
Rp 10,225 Rp -
Rp 130 Rp 910,000
Rp 233,269 Rp -
Rp 1,228 Rp -
Rp 5,137 Rp -
Rp 49,491 Rp -
Rp 1,350 Rp -
Rp 252,180 Rp -
Rp 2,750 Rp 412,500
Rp 130,936 Rp -
Rp 249,889 Rp -
Rp 63,178 Rp -
Rp 300 Rp 300,000
Rp 5,820 Rp 873,000
Rp 125,000 Rp -
Rp 9,091 Rp -
Rp 137 Rp 68,500
Rp 30,000 Rp -
Rp 7,000 Rp -
Rp 105,000 Rp -
Rp 14,800 Rp 355,200
Rp 513,000 Rp -
Rp 65,000 Rp -
Rp 54,300 Rp 271,500
Rp -
Rp 11,455 Rp -
Rp 884 Rp 1,149,200
Rp 240,000 Rp -
Rp 1,625,000 Rp -
Rp 611,685 Rp 1,835,055
Rp 90,000 Rp -
Rp 1,092,573 Rp 5,462,865
Rp 2,719 Rp 1,359,500
Rp 116,364 Rp -
Rp 11,600 Rp -
Rp 60,000 Rp 10,500,000
Rp 70,000 Rp -
Rp 42,000 Rp 840,000
Rp 5,563 Rp -
Rp 4,400 Rp 3,960,000
Rp 1,411 Rp -
Rp 495 Rp 495,000
Rp 108,000 Rp -
Rp 32,400 Rp -
Rp 1,800 Rp 180,000
Rp 115,000 Rp -
Rp 55,000 Rp -
Rp 16,000 Rp -
Rp 25,000 Rp -
Rp 32,500 Rp -
Rp 11,782 Rp -
Rp 135,000 Rp -
Rp 392 Rp -
Rp 12,273 Rp -
Rp 200,200 Rp 600,600
Rp 56,636 Rp 283,180
Rp 95,000 Rp -
Rp 1,500 Rp 150,000
Rp 105 Rp -
Rp 56,768 Rp -
Rp 52,356 Rp -
Rp 17,000 Rp -
Rp 13,100 Rp -
Rp 350 Rp 315,000
Rp 22,000 Rp 1,100,000
Rp 95,000 Rp -
Rp 121,909 Rp -
Rp 112 Rp 100,800
Rp 52,273 Rp -
Rp 55,000 Rp 275,000
Rp 96 Rp 48,000
Rp 148 Rp -
Rp 44,000 Rp -
Rp 119,922 Rp -
Rp 50,000 Rp -
Rp 8,680 Rp -
Rp -
Rp -
Rp -
Rp 106,364 Rp -
Rp 177,279 Rp -
Rp 1,088 Rp 326,400
Rp 8,800 Rp -
Rp 518,791 Rp -
Rp 361,131 Rp -
Rp 555 Rp 444,000
Rp 1,632 Rp 4,896,000
Rp 1,723 Rp 4,135,200
Rp 75,000 Rp -
Rp 3,014 Rp 4,340,160
Rp 818 Rp 409,000
Rp 65,000 Rp -
Rp 8,728 Rp -
Rp 208,702 Rp -
Rp 2,672 Rp 1,189,040
Rp 28,635 Rp -
Rp 60 Rp 60,000
Rp 11,875 Rp 2,256,250
Rp 2,444 Rp 1,173,120
Rp 104 Rp 457,600
Rp 791 Rp -
Rp 1,819 Rp -
Rp 94,050 Rp -
Rp 8,636 Rp 863,600
Rp 225,000 Rp -
Rp 2,191 Rp 3,286,500
Rp 98 Rp 490,000
Rp 650,000 Rp -
Rp 37,100 Rp 148,400
Rp 13,096 Rp -
Rp 11,141 Rp -
Rp 1,364 Rp -
Rp 93 Rp 279,000
Rp 363 Rp 1,197,900
Rp 30,420 Rp 60,840
Rp 150,000 Rp -
Rp 140,000 Rp -
Rp 6,300 Rp 945,000
Rp 66,500 Rp -
Rp 45,000 Rp -
Rp 2,000 Rp 200,000
Rp 10,000 Rp 500,000
Rp 7,682 Rp 230,460
Rp 84,000 Rp -
Rp 46,666 Rp 46,666
Rp 422,100 Rp -
Rp 115,500 Rp -
Rp 160,000 Rp -
Rp 397,005 Rp -
Rp 11,700 Rp 58,500
Rp 7,350 Rp 66,150
Rp 14,000 Rp 140,000
Rp 431 Rp 862,000
Rp 39,900 Rp 399,000
Rp 44,000 Rp 1,760,000
Rp 25,000 Rp -
Rp 300 Rp 1,500,000
Rp 22,500 Rp 225,000
Rp 7,350 Rp 29,400
Rp 190,000 Rp -
Rp 180,000 Rp -
Rp 33,000 Rp -
Rp 7,000 Rp 350,000
Rp 190 Rp 57,000
Rp 68 Rp 544,000
Rp 90,000 Rp 180,000
Rp 19,000 Rp -
Rp 4,319 Rp 43,190
Rp 114,021 Rp 3,420,630
Rp 125,294 Rp 2,505,880
Rp 91,666 Rp 4,583,300
Rp 85,000 Rp -
Rp 131,818 Rp -
Rp 7,800 Rp -
Rp 120,000 Rp -
Rp 57,955 Rp 2,607,975
Rp 147,348 Rp -
Rp 80,000 Rp 480,000
Rp 5,625 Rp 135,000
Rp 52,500 Rp 262,500
Rp 59,500 Rp 7,140,000
Rp 65,025 Rp -
Rp 266,475 Rp -
Rp 6,250 Rp -
Rp 7,273 Rp 727,300
Rp 9,091 Rp 454,550
Rp 96 Rp 1,104,000
Rp 245,505 Rp -
Rp 80,000 Rp -
Rp 615 Rp -
Rp 160,875 Rp -
Rp 335 Rp 100,500
Rp 230,000 Rp -
Rp 95,000 Rp -
Rp 890 Rp 1,780,000
Rp 9,000 Rp -
Rp 8,715 Rp -
Rp 21,818 Rp -
Rp 244,432 Rp -
Rp 745 Rp -
Rp 273 Rp 273,000
Rp 8,707 Rp 3,918,150
Rp 18,000 Rp 180,000
Rp 528 Rp 1,056,000
Rp 3,500 Rp 175,000
Rp 10,000 Rp 4,500,000
Rp 1,540 Rp 462,000
Rp 1,771 Rp 265,650
Rp 4,000 Rp 10,000,000
Rp 10,909 Rp -
Rp 25,685 Rp -
Rp 14,000 Rp 350,000
Rp 36,300 Rp -
Rp 2,756 Rp 551,200
Rp 126 Rp 12,600
Rp 94,500 Rp -
Rp 67,925 Rp -
Rp 166,250 Rp -
Rp 237,500 Rp -
Rp 12,650 Rp -
Rp 6,445 Rp 483,375
Rp 50,650 Rp -
Rp 209,000 Rp -
Rp 181,500 Rp -
Rp 4,750 Rp 950,000
Rp 4,378 Rp 21,890
Rp 553 Rp 110,600
Rp 468 Rp 234,000
Rp 110 Rp 33,000
Rp 840 Rp 1,680,000
Rp 4,500 Rp 2,430,000
Rp 7,600 Rp 2,280,000
Rp 72,600 Rp -
Rp 95,000 Rp 475,000
Rp 220,000 Rp -
Rp 144,000 Rp -
Rp 16,000 Rp 240,000
Rp 80,000 Rp 80,000
Rp 43,875 Rp 219,375
Rp 30,500 Rp -
Rp 20,000 Rp 300,000
Rp 6,100 Rp 183,000
Rp 1,291 Rp 103,280
Rp 255 Rp 510,000
Rp 6,132 Rp 1,226,400
Rp 143,636 Rp -
Rp 15,140 Rp -
Rp 50,000 Rp 1,000,000
Rp 46 Rp 26,496
Rp 32,000 Rp 480,000
Rp 17,200 Rp -
Rp 64,955 Rp 1,299,100
Rp 27,000 Rp 810,000
Rp 300 Rp 900,000
Rp 115 Rp -
Rp 386,364 Rp -
Rp 100,000 Rp 20,000,000
Rp 79,093 Rp 3,954,650
Rp 79,091 Rp 34,009,130
Rp 59,727 Rp -
Rp 588 Rp 2,352,000
Rp 270 Rp 2,700,000
Rp 290 Rp 435,000
Rp 1,705 Rp 51,150
Rp 484 Rp 2,662,000
Rp 6,734 Rp -
Rp 102 Rp 4,080,000
Rp 170,100 Rp -
Rp 400,200 Rp -
Rp 396,364 Rp -
Rp 214 Rp 107,000
Rp 68,057 Rp -
Rp 6,900 Rp 1,380,000
Rp 156,750 Rp -
Rp 30,000 Rp 900,000
Rp 525 Rp 1,575,000
Rp 700 Rp 1,750,000
Rp 8,000 Rp 800,000
Rp 20,000 Rp -
Rp 26,830 Rp -
Rp 2,613 Rp -
Rp 2,439 Rp -
Rp 368 Rp 1,472,000
Rp 10,000 Rp 12,000,000
Rp 178,500 Rp -
Rp 60,000 Rp -
Rp 55,000 Rp 1,650,000
Rp 31,000 Rp 155,000
Rp 33,600 Rp -
Rp 33,237 Rp -
Rp 106,462 Rp -
Rp 96,154 Rp -
Rp 6,800 Rp 1,020,000
Rp 155,000 Rp -
Rp 5,750 Rp 230,000
Rp 1,864 Rp -
Rp 900,000 Rp 3,600,000
Rp 150,000 Rp -
Rp 72,500 Rp 3,480,000
Rp 1,300 Rp 1,560,000
Rp 7,000 Rp -
Rp 4,400 Rp -
Rp 1,164,606 Rp -
Rp 2,050,000 Rp 4,100,000
Rp 79,500 Rp -
Rp 46,500 Rp -
Rp 2,300 Rp 1,150,000
Rp 114 Rp 1,140,000
Rp 371,450 Rp -
Rp 204,750 Rp -
Rp 159,600 Rp -
Rp 51,000 Rp -
Rp 179,463 Rp -
Rp 269,010 Rp -
Rp 515,000 Rp -
Rp 1,546 Rp 3,092,000
Rp 12,955 Rp -
Rp 4,800 Rp -
Rp 25,909 Rp -
Rp 175,500 Rp -
Rp 254,100 Rp -
Rp 327,273 Rp -
Rp 135,000 Rp -
Rp 7,700 Rp -
Rp 65,000 Rp -
Rp 5,250 Rp 157,500
Rp 142,500 Rp -
Rp 122,265 Rp -
Rp 2,142 Rp -
Rp 5,280 Rp 380,160
Rp 16,695 Rp -
Rp 100 Rp 1,550,000
Rp 1,839,000 Rp -
Rp 1,342 Rp -
Rp 142,000 Rp -
Rp 60,000 Rp -
Rp 83,334 Rp -
Rp 920,000 Rp -
Rp 36 Rp 36,000
Rp 12 Rp -
Rp 220 Rp 440,000
Rp 1,582 Rp 142,380
Rp 30,545 Rp -
Rp 24,272 Rp -
Rp 155 Rp -
Rp 10,450 Rp 6,061,000
Rp 295,455 Rp -
Rp 14,045 Rp -
Rp 4,070 Rp -
Rp 1,682 Rp 117,740
Rp 700 Rp 3,500,000
Rp 26,000 Rp 1,300,000
Rp 99,000 Rp -
Rp 487,500 Rp -
Rp 8,945 Rp 447,250
Rp 50,000 Rp -
Rp 9,700 Rp -
Rp 179 Rp 179,000
Rp 27,250 Rp -
Rp 25,000 Rp 750,000
Rp 36,361 Rp -
Rp 555,000 Rp -
Rp 250,000 Rp -
Rp 33,000 Rp 3,300,000
Rp 93,760 Rp -
Rp 9,100 Rp 17,927,000
Rp 5,281 Rp 792,150
Rp 57,500 Rp -
Rp 35,000 Rp 700,000
Rp 750 Rp 3,750,000
Rp 8,182 Rp 81,820
Rp 8,475 Rp 1,008,525
Rp 162,000 Rp -
Rp 145,000 Rp -
Rp 10,000 Rp 1,500,000
Rp 77,000 Rp 385,000
Rp 45,000 Rp 450,000
Rp 330 Rp 99,000
Rp 125,400 Rp -
Rp 49,100 Rp -
Rp 148 Rp 74,000
Rp 724 Rp 1,086,000
Rp 62,520 Rp -
Rp 30,000 Rp -
Rp 31,020 Rp -
Rp 137,500 Rp -
Rp 672 Rp -
Rp 400,000 Rp -
Rp 1,250 Rp 375,000
Rp 90,200 Rp -
Rp 10,306 Rp 103,060
Rp 5,000 Rp 250,000
Rp 16,550 Rp -
Rp 205,000 Rp -
Rp 2,725 Rp 272,500
Rp 28,659 Rp -
Rp 73,500 Rp -
Rp 318 Rp 636,000
Rp 1,154 Rp -
Rp 390,000 Rp -
Rp 136,800 Rp -
Rp 99,500 Rp -
Rp 46,900 Rp 93,800
Rp 2,955 Rp 70,920
Rp 336 Rp 336,000
Rp 4,250 Rp -
Rp 60,546 Rp -
Rp 54,546 Rp -
Rp 251,750 Rp -
Rp 65,000 Rp -
Rp 76,364 Rp -
Rp 9,091 Rp 318,185
Rp 47,250 Rp 425,250
Rp 31,500 Rp -
Rp 6,500 Rp 195,000
Rp 15,200 Rp 1,064,000
Rp 561,000 Rp -
Rp 500,000 Rp -
Rp 6,680 Rp -
Rp 5,310 Rp 106,200
Rp 4,750 Rp 47,500
Rp 9,221 Rp -
Rp 52,950 Rp 7,624,800
Rp 20,000 Rp -
Rp 9,200 Rp 55,200
Rp 9,091 Rp -
Rp 40,000 Rp -
Rp 18,915 Rp -
Rp 34,750 Rp 173,750
Rp 18,000 Rp -
Rp 5,900 Rp -
Rp 2,354 Rp -
Rp 16,000 Rp 800,000
Rp 25,888 Rp -
Rp 9,545 Rp -
Rp 20,909 Rp 167,272
Rp 16,200 Rp -
Rp 2,400 Rp 180,000
Rp 26,000 Rp 52,000
Rp 14,546 Rp -
Rp 19,800 Rp -
Rp 20,000 Rp 1,900,000
Rp 4,465 Rp 428,640
Rp 26,400 Rp -
Rp 57,200 Rp 286,000
Rp 2,500 Rp 600,000
Rp 11,000 Rp -
Rp 49,350 Rp 987,000
Rp 8,545 Rp -
Rp 205,000 Rp 820,000
Rp 149,091 Rp 298,182
Rp 6,500 Rp -
Rp 5,827 Rp -
Rp 18,000 Rp -
Rp 6,818 Rp -
Rp 9,136 Rp -
Rp 35,909 Rp -
Rp 14,000 Rp -
Rp 20,000 Rp -
Rp 360,000 Rp -
Rp 924 Rp 1,302,840
Rp 17,500 Rp 3,500,000
Rp 318,182 Rp -
Rp 1,540 Rp 3,850,000
Rp 6,800 Rp 2,244,000
Rp 42,000 Rp -
Rp 50,000 Rp 250,000
Rp 87,500 Rp -
Rp 75,000 Rp -
Rp 6,000 Rp 432,000
Rp 2,000 Rp 2,000,000
Rp 876 Rp -
Rp 3,400 Rp 3,060,000
Rp 497,091 Rp -
Rp 506,838 Rp -
Rp 976 Rp 1,756,800
Rp 1,185 Rp 1,777,500
Rp 255,000 Rp -
Rp 9,900 Rp 2,079,000
Rp 11,500 Rp -
Rp 115,200 Rp -
Rp 60,000 Rp -
Rp 225,000 Rp -
Rp 6,167 Rp 1,850,100
Rp 497 Rp 497,000
Rp -
Rp 85,714 Rp 685,712
Rp 42,861 Rp -
Rp 12,500 Rp 2,500,000
Rp 39,000 Rp 117,000
Rp 7,200 Rp -
Rp 197,000 Rp 4,137,000
Rp 6,715 Rp -
Rp 92,500 Rp -
Rp 552,000 Rp -
Rp 235,000 Rp -
Rp 8,500 Rp -
Rp 95,800 Rp -
Rp 120,500 Rp -
Rp 55,000 Rp 3,740,000
Rp 50,653 Rp 1,165,019
Rp 5,000 Rp 705,000
Rp 76,749 Rp -
Rp 27,730 Rp -
Rp 63,406 Rp 380,436
Rp 21,000 Rp -
Rp 281,267 Rp 1,406,335
Rp 27,000 Rp 837,000
Rp 24,000 Rp -
Rp 15,000 Rp 75,000
Rp 32,500 Rp 4,875,000
Rp 39,700 Rp 277,900
Rp 8,800 Rp 264,000
Rp 60,064 Rp -
Rp 66,500 Rp -
Rp 168,795 Rp -
Rp 11,750 Rp -
Rp 11,750 Rp -
Rp 32,500 Rp -
Rp 5,626 Rp -
Rp 5,500 Rp -
Rp 33,500 Rp -
Rp 24,700 Rp 197,600
Rp 7,500 Rp -
Rp 32,858 Rp -
Rp 210,000 Rp -
Rp 5,059 Rp -
Rp 591 Rp -
Rp 117,715 Rp -
Rp 54,546 Rp -
Rp 101,456 Rp 1,318,928
Rp 68,600 Rp -
Rp 72,000 Rp -
Rp 63,661 Rp -
Rp 72,681 Rp -
Rp 20,132 Rp 2,013,200
Rp 1,552,500 Rp -
Rp 1,293,750 Rp -
Rp 20,889 Rp 2,088,900
Rp 3,189 Rp -
Rp 28,575 Rp 1,428,750
Rp 4,374 Rp -
Rp 2,072 Rp 10,981,600
Rp 161,000 Rp -
Rp 870 Rp 435,000
Rp 92,862 Rp -
Rp 929 Rp -
Rp 20,886 Rp 1,044,300
Rp 6,186 Rp -
Rp 20,889 Rp -
Rp 20,880 Rp 208,800
Rp 210,000 Rp -
Rp 93,836 Rp -
Rp 76,909 Rp -
Rp 23,243 Rp -
Rp 72,818 Rp -
Rp 24,288 Rp 2,428,800
Rp 2,294 Rp -
Rp 2,628 Rp 10,512,000
Rp 2,432 Rp -
Rp 10,160 Rp -
Rp 28,000 Rp -
Rp 12,500 Rp 1,000,000
Rp 10,500 Rp 420,000
Rp 40,000 Rp -
Rp 19,800 Rp 1,980,000
Rp 27,500 Rp -
Rp 47,262 Rp -
Rp 42,270 Rp -
Rp 45,508 Rp -
Rp 50,400 Rp -
Rp 46,384 Rp -
Rp 81,178 Rp -
Rp 51,198 Rp -
Rp 59,950 Rp -
Rp 94,957 Rp -
Rp 31,252 Rp -
Rp 40,696 Rp -
Rp 32,820 Rp -
Rp 46,385 Rp -
Rp 49,700 Rp -
Rp 45,072 Rp -
Rp 55,310 Rp -
Rp 6,186 Rp 618,600
Rp 33,257 Rp -
Rp 31,288 Rp -
Rp 33,950 Rp -
Rp 35,000 Rp -
Rp 58,438 Rp -
Rp 12,000 Rp 576,000
Rp 20,889 Rp 2,088,900
Rp 2,841 Rp 12,216,300
Rp 76,200 Rp -
Rp 59,950 Rp -
Rp 28,705 Rp -
Rp 24,545 Rp 245,450
Rp 24,545 Rp 490,900
Rp 870 Rp 261,000
Rp 45,715 Rp 4,571,500
Rp 47,267 Rp -
Rp 43,032 Rp -
Rp 45,509 Rp -
Rp 39,120 Rp -
Rp 35,000 Rp -
Rp 38,800 Rp -
Rp 16,000 Rp 32,000
Rp 98,100 Rp -
Rp 90,000 Rp -
Rp 77,145 Rp -
Rp 99,000 Rp -
Rp 148,000 Rp -
Rp 79,200 Rp -
Rp 10,000 Rp -
Rp 123,378 Rp -
Rp 135,000 Rp 405,000
Rp 135,000 Rp -
Rp 135,000 Rp -
Rp 165,000 Rp 41,250,000
Rp 133,900 Rp -
Rp 7,500 Rp 75,000
Rp 13,500 Rp 135,000
Rp 22,500 Rp 225,000
Rp 22,500 Rp 225,000
Rp 27,500 Rp 275,000
Rp 27,500 Rp 275,000
Rp 25,000 Rp -
Rp 45,508 Rp -
Rp 5,000 Rp -
Rp 33,695 Rp -
Rp 96,000 Rp -
Rp 98,100 Rp -
Rp 17,700 Rp -
Rp 12,273 Rp 73,638
Rp 12,273 Rp 73,638
Rp 350,000 Rp -
Rp 33,600 Rp 168,000
Rp 33,600 Rp 168,000
Rp 33,600 Rp -
Rp 33,600 Rp 168,000
Rp 22,161 Rp -
Rp 225,000 Rp 675,000
Rp 9,741 Rp 779,280
Rp 5,850 Rp -
Rp 2,600 Rp -
Rp 8,555 Rp -
Rp 9,550 Rp -
Rp 121,500 Rp -
Rp 28,800 Rp -
Rp 437,143 Rp -
Rp 910 Rp -
Rp 4,080 Rp 408,000
Rp 1,949 Rp 194,900
Rp 132,000 Rp -
Rp 132,000 Rp -
Rp 73,685 Rp 884,220
Rp 400,000 Rp -
Rp 34,545 Rp -
Rp 33,636 Rp -
Rp 35,455 Rp -
Rp 63,636 Rp -
Rp 2,954,545 Rp -
Rp 90,909 Rp -
Rp 1,100,000 Rp -
Rp 68,600 Rp -
Rp 249,297 Rp 498,594
Rp 249,297 Rp 997,188
Rp 249,297 Rp 747,891
Rp 285,000 Rp 855,000
Rp 3,364 Rp 151,380
Rp 78,000 Rp 3,120,000
Rp 90,000 Rp -
Rp 90,000 Rp -
Rp 116,895 Rp -
Rp 132,000 Rp -
Rp 132,000 Rp -
Rp 22,728 Rp 409,104
Rp 25,000 Rp 1,250,000
Rp 13,273 Rp -
Rp 73,685 Rp -
Rp 450,000 Rp -
Rp 435,913 Rp 2,179,565
Rp 6,364 Rp -
Rp 850,000 Rp -
Rp 47,500 Rp -
Rp 72,727 Rp -
Rp 49,000 Rp 49,000
Rp 150,909 Rp 754,545
Rp 9,500 Rp 76,000
Rp 21,000 Rp 126,000
Rp 1,207,273 Rp 6,036,365
Rp 340,000 Rp -
Rp 40,000 Rp -
Rp 115,000 Rp 3,450,000
Rp 430,000 Rp -
Rp 18,183 Rp 127,281
Rp 29,547 Rp -
Rp 20,000 Rp -
Rp 236,128 Rp 236,128
Rp 115,000 Rp 345,000
Rp 43,500 Rp -
Rp 51,500 Rp -
Rp 86,850 Rp -
Rp 39,328 Rp -
Rp 42,211 Rp -
Rp 30,152 Rp -
Rp 88,000 Rp -
Rp 105,000 Rp -
Rp 60,000 Rp -
Rp 145,454 Rp -
Rp 75,000 Rp -
Rp 75,000 Rp -
Rp 60,000 Rp -
Rp 60,000 Rp -
Rp 20,000 Rp 1,160,000
Rp 670,900 Rp 670,900
Rp 27,000 Rp 54,000
Rp 27,000 Rp -
Rp 21,600 Rp 43,200
Rp 27,000 Rp 54,000
Rp 27,000 Rp 27,000
Rp 12,000 Rp 24,000
Rp 12,000 Rp 12,000
Rp 12,000 Rp 24,000
Rp 14,500 Rp 72,500
Rp 17,000 Rp 85,000
Rp 17,000 Rp 85,000
Rp 77,700 Rp 777,000
Rp 35,000 Rp 350,000
Rp 90,000 Rp -
Rp 15,923 Rp 382,152
Rp 21,000 Rp 756,000
Rp 26,536 Rp 955,296
Rp 64,457 Rp 2,320,452
Rp 101,897 Rp 1,018,970
Rp 154,545 Rp -
Rp 3,940 Rp 39,400
Rp 113,068 Rp -
Rp 14,000 Rp -
Rp 25,000 Rp -
Rp 157,500 Rp -
Rp 4,364 Rp -
Rp 222,973 Rp -
Rp 51,502 Rp -
Rp 12,000 Rp -
Rp 100,918 Rp -
Rp 498,750 Rp 498,750
Rp 9,500 Rp -
Rp 196,907 Rp -
Rp 196,907 Rp -
Rp 196,907 Rp 1,181,442
Rp 1,300,000 Rp -
Rp 10,650 Rp 532,500
Rp 9,871 Rp 987,100
Rp 18,184 Rp 181,840
Rp 23,375 Rp -
Rp 23,327 Rp -
Rp 78,787 Rp -
Rp 70,000 Rp -
Rp 16,000 Rp -
Rp 27,144 Rp -
Rp 135,728 Rp -
Rp 5,325 Rp 266,250
Rp 64,000 Rp -
Rp 25,001 Rp -
Rp 3,723 Rp 89,352
Rp 28,572 Rp -
Rp 400,000 Rp -
Rp 760,000 Rp -
Rp 130,000 Rp -
Rp 100,000 Rp -
Rp 380,000 Rp -
Rp 433,913 Rp 2,169,565
Rp 59,931 Rp 299,655
Rp 375,000 Rp -
Rp 130,000 Rp -
Rp 2,636 Rp 131,800
Rp 39,182 Rp -
Rp 18,000 Rp -
Rp 65,000 Rp 260,000
Rp 105,000 Rp -
Rp 170,000 Rp -
Rp 77,000 Rp 77,000
Rp 60,800 Rp 60,800
Rp 60,800 Rp 60,800
Rp 722,400 Rp -
Rp 780,000 Rp -
Rp 153,000 Rp -
Rp 25,000 Rp -
Rp 240,000 Rp -
Rp 818,182 Rp -
Rp 359,091 Rp -
Rp 33,000 Rp -
Rp 40,000 Rp -
Rp 66,000 Rp -
Rp 312,727 Rp -
Rp 15,000 Rp -
Rp 462,500 Rp -
Rp 212,500 Rp -
Rp 77,000 Rp -
Rp 350,000 Rp -
Rp 1,030,400 Rp -
Rp 40,000 Rp -
Rp 1,312,500 Rp -
Rp 62,500 Rp -
Rp 1,640,000 Rp -
Rp 420,000 Rp -
Rp 480,000 Rp -
Rp 1,800,000 Rp -
Rp 790,000 Rp -
Rp 153,000 Rp -
Rp 114,000 Rp -
Rp 77,000 Rp -
Rp 35,000 Rp -
Rp 112,000 Rp -
Rp 170,000 Rp -
Rp 695,750 Rp -
Rp 557,750 Rp -
Rp 510,000 Rp -
Rp 29,000 Rp -
Rp 250,000 Rp -
Rp 1,049,950 Rp -
Rp 705,000 Rp -
Rp 250,000 Rp -
Rp 240,000 Rp -
Rp 16,000 Rp -
Rp 16,000 Rp -
Rp 4,000 Rp -
Rp 315,000 Rp -
Rp 7,500 Rp -
Rp 450,000 Rp -
Rp 22,500 Rp -
Rp 405,000 Rp -
Rp 150,000 Rp -
Rp 150,000 Rp -
Rp 37,500 Rp -
Rp 37,500 Rp -
Rp 120,000 Rp -
Rp 41,400 Rp -
Rp 41,400 Rp -
Rp 135,000 Rp -
Rp 90,000 Rp -
Rp 396,000 Rp -
Rp 105,000 Rp -
Rp 420,000 Rp -
Rp 18,000 Rp -
Rp 165,000 Rp -
Rp 408,240 Rp -
Rp 408,240 Rp -
Rp 93,000 Rp -
Rp 250,000 Rp -
Rp 1,250,000 Rp -
Rp 28,000 Rp -
Rp 67,000 Rp -
Rp 305,000 Rp -
Rp 65,000 Rp -
Rp 30,000 Rp -
Rp 385,000 Rp -
Rp 275,000 Rp -
Rp 105,000 Rp -
Rp 525,000 Rp -
Rp 330,000 Rp -
Rp 180,000 Rp -
Rp 525,000 Rp -
Rp 52,800 Rp -
Rp 1,034,400 Rp -
Rp 517,200 Rp -
Rp 588,000 Rp -
Rp 588,000 Rp -
Rp 82,500 Rp -
Rp 82,500 Rp -
Rp 60,000 Rp -
Rp 60,000 Rp -
Rp 60,000 Rp -
Rp 60,000 Rp -
Rp 60,000 Rp -
Rp 488,400 Rp -
Rp 176,400 Rp -
Rp 408,182 Rp -
Rp 153,636 Rp -
Rp 50,000 Rp -
Rp 110,000 Rp -
Rp 45,000 Rp -
Rp 20,000 Rp -
Rp -
Rp -
Rp 1,250,000 Rp -
Rp 20,000 Rp 100,000
Rp 563,500 Rp -
Rp 747,500 Rp -
Rp 130,000 Rp -
Rp 140,000 Rp 280,000
Rp 539,550 Rp -
Rp 787,050 Rp -
Rp 1,431,500 Rp -
Rp 929,500 Rp -
Rp 927,500 Rp -
Rp 1,772,740 Rp 5,318,220
Rp 371,500 Rp 1,857,500
Rp 32,000 Rp 320,000
Rp 47,500 Rp 475,000
Rp 290,000 Rp 290,000
Rp 175,000 Rp 175,000
Rp 135,000 Rp 2,025,000
Rp 175,000 Rp 175,000
Rp 189,000 Rp 189,000
Rp 175,000 Rp 175,000
Rp 159,091 Rp 159,091
Rp 1,650 Rp -
Rp 783,000 Rp -
Rp 55,500 Rp 277,500
Rp 175,000 Rp 175,000
Rp 175,000 Rp 175,000
Rp 11,500 Rp -
Rp 136,364 Rp 272,728
Rp 216,500 Rp 216,500
Rp 175,000 Rp 175,000
Rp 14,300 Rp -
Rp 99,000 Rp 198,000
Rp 1,300 Rp -
Rp 486,000 Rp 486,000
Rp 972,550 Rp -
Rp 462,500 Rp -
Rp 175,000 Rp -
Rp 1,200 Rp 720,000
Rp 53,500 Rp -
Rp 14,300 Rp -
Rp 585 Rp 585,000
Rp 4,037 Rp -
Rp 7,373 Rp -
Rp 219,375 Rp -
Rp 81,455 Rp -
Rp 13,337 Rp -
Rp 195,000 Rp -
Rp 4,627 Rp -
Rp 96,525 Rp -
Rp 18,173 Rp -
Rp 65,000 Rp 65,000
Rp 150,750 Rp -
Rp 4,200 Rp 1,260,000
Rp 24,000 Rp -
Rp 42,182 Rp -
Rp 95,368 Rp -
Rp 110,400 Rp -
Rp 636,500 Rp -
Rp 400,000 Rp -
Rp 6,500 Rp -
Rp 7,046 Rp -
Rp 26,000 Rp -
Rp 210,000 Rp -
Rp 742,500 Rp -
Rp 16,650 Rp -
Rp 245,300 Rp -
Rp 12,460 Rp -
Rp 6,500 Rp 650,000
Rp 667,500 Rp -
Rp 12,834 Rp -
Rp 3,834 Rp 1,150,200
Rp 1,450,000 Rp -
Rp 200,000 Rp -
Rp 12,250 Rp -
Rp 290,183 Rp -
Rp 99,800 Rp -
Rp 524,170,901
Yogyakarta, Desember 2016

KASUBBID JANGMEDUM RS BHAYANGKARA
POLDA D.I.YOGYAKARTA
TSALISAH DAMAYANTI, S. Farm, Apt

PENATA I NIP 197812212005012008

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KEPOLISIAN NEGARA REPUBLIK INDONESIA

DAERAH ISTIMEWA YOGYAKARTA

LAPORAN PENGGUNAAN OBAT GENERIK RUMAH SAKIT BHAYANGKARA

I. OBAT KESEHATAN UMUM

9 KALIUM DIKLOFENAC 50 MG "50 TABLET 0

84 ONDANSETRON 4 MG QUANT INJ AMP 0

102 MECOBALAMIN 250MG TAB "100 TABLET 0

111 CIPROFLOXACIN 500 MG TABLET TABLET 0

115 CHLORAMFENICOL 250 MG "100 BOX 0

LAPORAN PENGGUNAAN OBAT GENERIK RUMAH SAKIT BHAYANGKARA

9 KALIUM DIKLOFENAC 50 MG "50 TABLET 0

74 ONDANSETRON 4 MG QUANT INJ AMP 0

95 CIPROFLOXACIN 500 MG TABLET TABLET 0

99 CHLORAMFENICOL 250 MG "100 BOX 0

LAPORAN PENGGUNAAN OBAT NON GENERIK FORMULARIUM RUMAH SAKIT BHAYANGKARA

LAPORAN PENGGUNAAN NON GENERIK NON FORMULARIUM RUMAH SAKIT BHAYANGKARA

257 COMBANTRIN SYR JERUK 125MG FLS 0

BULAN NO GOLONGAN OBAT JUMLAH ITEM

1 Obat Generik (Formularium dan Non Formularium) 165

JUMLAH ITEM JUMLAH ITEM

LAPORAN PENGGUNAAN OBAT UMUM DAN JKN RUMAH SAKIT BHAYANGKARA

I. OBAT KESEHATAN UMUM

3 ONDANSETRON 4 MG QUANT INJ AMP 710 2000 210 2500

5 MECOBALAMIN 250MG TAB "100 TABLET 0 5000 2000 3000

4 CIPROFLOXACIN 500 MG TABLET TABLET 5000 5000

9 CHLORAMFENICOL 250 MG "100 BOX 16 16 0

3 SARUNG TGN STERIL GAMEX 7.5 PCS 80 200 80 200

34 COMBOPACK SPALK 24 MAKRO BOX 50 50 0

40 SURGIGUT CHROMIC 2/0 GG 123 PCS 0 0

102 HANDLE/GAGANG KACA MULUT PCS 0 0

70 WEDGES DENTAMERICA TRANS PCS 0 0

71 DENTAL PROBE BALL PAKISTAN PCS 0 0

27 COMBANTRIN SYR JERUK 125MG FLS 0 0

Mengetahui Yogyakarta, Desember

dr. THERESIA LINDAWATI, Sp.F TSALISAH DAMAYANTI, S.

Yogyakarta, Desember 2016

TSALISAH DAMAYANTI, S. Farm, Apt

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