RENCANA KEBUTUHAN BAHAN MEDIS HABIS PAKAI (BMHP) Non E-KATALOG

PUSKESMAS CIPEUYEUM TAHUN 2018

NO NAMA OBAT MEREK / TPE SATUAN Harga Satuan KEBUTUHAN

1 Surgical Masker Tali Kain BOK 30 Box

1 Surgical Face Masker Winner BOK 30 Box
1 Kasa Steril 16x16 DRC Pac / Kotak 2000 Kotak
1 Alkohol 70 % 500 ml Novapharin BOTOL 50 Botol
1 Bisturi Lancip No 11 Pac 10 Pac
1 Plester 6 Yards x 2 Inch BUAH 50 Buah
1 Handsun Steril No 6,5 Medic-Dent BOX 20 Box
1 Handsun Steril No 7 Medic-Dent BOX 20 Box
1 Handscun No Steril ( S )
Mengetahui, Mas BOX 50 Box
Apoteker Pembina
1 Handscun No Steril ( M ) Mas BOX 50 Box
1 Handscun No Steril ( L ) Mas BOX 50 Box
JUMLAH
Peni Andini, S. Farm, Apt
NIP. 19840202 201001 2 022

Mengetahui,
Kepala Puskesmas Cipeuyeum

H. Kankan SUmpena, SKM

NIP. 19712903 199103 1 004
N MEDIS HABIS PAKAI (BMHP) Non E-KATALOG

JUMLAH HARGA

Cipeuyeum, 02 April 2018

Penanggung Jawab Gudang Obat
Puskesmas Cipeuyeum

Yunardi Dantjie, Am.Kep

NIP. 19680606 199403 1 011

Mengetahui,
Kepala Puskesmas Cipeuyeum

H. Kankan SUmpena, SKM

NIP. 19712903 199103 1 004
 RENCANA KEBUTUHAN BAHAN MEDIS HABIS PAKAI (BMHP) E-KATA
PUSKESMAS CIPEUYEUM TAHUN 2018

NO NAMA OBAT SATUAN MEREK / TPE Harga Satuan Kebutuhan

1 Alat Suntik Sekali Pakai 1 ml SET Terumo 1,540 1,000

2 Alat Suntik Sekali Pakai 3 ml SET Terumo 957 2,000
3 Alat Suntik Sekali Pakai 5 ml SET Terumo 1,348 1,000
4 Bioplacenton Tulle Pak 10x10 Enseval 104,000 30
Bisturi ( Mata Pisau Lancip
5 Bedah )
Box 100 Bbraun 300,000 3

6 Etakridin ( Rivanol ) Botol 300ml JMI 2,550 24

7 Infusion Set Dewasa SET Terumo 7,321 300
8 Kasa Kompres 16x16 steril KOTAK @ 12 Ahmadaris DRC 7,900 500
9 Kasa Pembalut 36 mx 80 cm ROL Ahmadaris DRC 130,000 10
10 Kapas Pembalut 250 mg ROL Ahmadaris DRC 24,000 20
Kasa Pembalut Hidrofil 4 m x
11 10 cm ROL Ahmadaris DRC 2,300 360
Umbilical Cord Klem Steril
12 Nylon Box @ 50 JMI 50,000 6

13 Sarung tangan No. 6.5 Pasang Terumo 4,200 500

14 Sarung tangan No. 7 Pasang Terumo 4,200 500
15 Handscun No Steril ( S ) BOX Mas 50
16 Handscun No Steril ( M ) BOX Mas 50
17 Handscun No Steril ( L ) BOX Mas 50
18 Surgical Masker Tali Kain BOK Winner 30
19 Surgical Face Masker BOK Winner 30
20 Alkohol 70 % 500 ml BOTOL Novapharin 50
21 Lisol Botol 1 L JMI 41,000 10
JUMLAH

Mengetahui, Cipeuyeum, 02 April 20

Apoteker Pembina Penanggung Jawab Gudang
Puskesmas Cipeuyeum

Peni Andini, S. Farm, Apt Yunardi Dantjie, Am.Ke

NIP. 19840202 201001 2 022 NIP. 19680606 199403 1 0

Mengetahui,
Kepala Puskesmas Cipeuyeum

H. Kankan SUmpena, SKM

NIP. 19712903 199103 1 004
Kepala Puskesmas Cipeuyeum

H. Kankan SUmpena, SKM

NIP. 19712903 199103 1 004
N MEDIS HABIS PAKAI (BMHP) E-KATALOG
CIPEUYEUM TAHUN 2018

Jumlah Harga

1,540,000.00
1,914,000.00
1,348,000.00
3,120,000.00

900,000.00

61,200.00
2,196,300.00
3,950,000.00
1,300,000.00
480,000.00

828,000.00

300,000.00

2,100,000.00
2,100,000.00
0.00
0.00
0.00
0.00
0.00
0.00
410,000.00
22,547,500.00

Cipeuyeum, 02 April 2018

Penanggung Jawab Gudang Obat
Puskesmas Cipeuyeum

Yunardi Dantjie, Am.Kep

NIP. 19680606 199403 1 011
 RENCANA KEBUTUHAN OBAT Non E-KATALOG
PUSKESMAS CIPEUYEUM TAHUN 2018

MEREK /
NO NAMA OBAT SATUAN Harga Satuan Kebutuhan
PABRIK
1 Ambroxol syrup 15mg/5ml BOTOL 3,791 500
2 Ambroxol tab 30 mg TABLET 155 10,000
Antalgin tab (Metampiron) 500 KTK @ 100
3 mg
Mersifarma TM
TABLET
24,409 180

Rama Emerald
4 Antasida DOEN suspensi,
MS
BOTOL 60 ml 2,025 500

5 Bioplacenton Tulle Enseval Pak 10 x 10 104,000 12

6 Bromhexin Syrup Botol 60 ml 8,047 200
7 Bromhexin Tablet 8 mg TABLET 183 5,000
8 Bisolvon Nebu BOTOL 14,500 10
9 Captroil Tablet 25 mg TABLET 9,955 300
10 Cetirizin Tablet 10 mg TABLET 5,583 500
11 Cetirizin Syrup BOTOL 5,583 200
12 Deksametason Tablet 0,5 mg Promedrahardjo TABLET 45 6,000
Diazepam Rectal Tube
13 10mg/2,5ml Actavis I TUBE 16,742 30

Diazepam Rectal Tube

14 5mg/2,5ml Actavis I TUBE 11,517 30

15 Ibupropen 200 mg Novapharin TABLET 105 5,000

16 Ibupropen 400 mg Phyto Kemo AF TABLET 127 10,000
17 Ibuprofen syrup 200mg/5ml Phyto Kemo AF BOTOL 3,400 500
18 Ketokonazol Tablet 200 mg Kimia Farma TABLET 279 2,000
19 Ketokonazol Krim 2 % Kimia Farma TUBE 15 g 2,545 200
20 Kloramfenikol 250 mg KAPSUL 428 2,000
Multivitamin Tablet (Komposisi:Vit
21 Multivitamin
A 4000IU,Vit CSyrup
50 mg,Vit D 400IU, BOTOL 60 ml 6,500 300
Vit E 10mg,Vit B1 3mg, Vit B2
3mg, Vit B6 2mg,Vit B12 2 mcg,
Nicotiamidum 20mg, Ca-Pan 5mg,
22 Asam folat 1mg, Biotin 0,1 mg,
KAPLET 814 2,000
Besi (II) Fumarat 20mg,Kalsium
sbg Karbonat 100mg, Tembaga
23 0,5mg, Mangan
Multivitamin 0,5mg, MgKaplet
Superviton 1 mg, KAPLET 1,400 2,000
Zn 0,25mg)
Vitamin Neurotropik (kombinasi
Thiamin HCl 100 mg,
24 Pyridoksin HCl 200 mg dan KAPLET 983 2,000
Cyanokobalamin 200mcg)

25 Metil Prednisolon 4 mg Natura LP TABLET 194 6,000

26 Mantuk Tes Injek. 5 ml VIAL 5 ml 950 5
27 Natrium Diklofenak 50 mg Phapros TABLET 159 5,000
28 Natrium Bikarbonat 500 mg TABLET 52 5,000
29 Nipedifin 10 mg Dexa Medika TABLET 104 1,000
Obat Flu Tablet Kombinasi
30 (Kombinasi Triprolidin 2.5 mg, TABLET 798 1,000
Pseudoefedrin HCl 60 mg)
31 Obat Batuk Hitam ( OBH ) Intrasal BOTOL 100 ml 4,180 300
 Obat Diare Syrup (Kombinasi
32 Attapulgit 700mg + Pektin 66 BOTOL 120 ml 8,250 100
mg per 15 ml)
Obat Diare Tablet (Kombinasi
33 Atapulgit dan Pektin) TABLET 375 1,200

Obat Flu Tablet Kombinasi

(Kombinasi Triprolidin 2.5 mg, Kotak 25 x 4
34 Pseudoefedrin HCl 30 mg dan Tablet
798 2,000
Parasetamol 500 mg
Oksitetrasiklin HCL SK 1 % 3,5
35 Gr TUBE 1,529 300
Oksitetrasiklin HCL SM 1 % 3,5
36 Gr TUBE 1,600 300

37 Omeprazol Kapsul 20 mg Novapharin KAPSUL 160 3,000

38 Parasetamol Drops Indofarma BOTOL 5,200 200

39 Parasetamol Syrup 120 mg / ml Indofarma BOTOL 1,222 500

40 Parasetamol tablet 100 mg Mersifarma TM TABLET 81 2,000

41 Parasetamol tablet 500 mg Mersifarma TM TABLET 56 15,000
42 Piroxicam 20 mg KAPSUL 92 5,000
43 Plester 7,5 cm x 2 Inch BSN ROL 35,532 30
44 Salep 2-4 Komb. Marin LF POT 2,429 200
45 Sarung tangan No. 6.5 MMP PASANG 5,000 100
46 Sarung tangan No. 7 MMP PASANG 5,000 100
47 Sarung Tangan Periksa L MMP Ktk 100 buah 46,200 12
48 Sarung Tangan Periksa M MMP Ktk 100 buah 42,600 15
49 Sarung Tangan Periksa S MMP Ktk 100 buah 42,600 10
Sefiksim syrup kering 100 mg / Pharma
50 5 ml Laboratories
BOTOL 7,490 200

Pharma
51 Sefixime 100 mg Laboratories
TABLET 590 5,000

52 Sefadroxil Kapsul 500 mg Dexa Medika KAPSUL 510 2,000

53 strip Test Asam Urat Autocheck Pak @ 25 Test 126,500 10
54 Strip Test Glukosa Autocheck Pak @ 50 Test 149,600 10
55 Strip Test Kolesterol Autocheck Pak @ 10 Test 231,000 10
56 Tablet
Salbutamol 4 mg
Tambah Darah Kimia Farma TABLET 83 1,000
(Kombinasi:Besi (II)Fumarat
300mg,MnSulfat 0,4mg,
57 Tembaga(II)Sulfat 0,4mg, Asam TABLET 835 2,000
Folat 2mg, Vitamin B12 15Mcg,
Faktor intrinsik 25mg, Serbuk
58 Sorbitol
Ranitidin30mg)
Tablet Dexa Medika TABLET 105 10,000
59 Ranitidin Injeksi Natura LP AMPUL 1,390 200
60 Thiamfenikol kap 500mg KAPSUL 739 2,000
Thiamfenikol Syrup Kering 125
61 mg / 5 ml BOTOL 60 ml 5,000 200

62 Tramadol tablet 50mg TABLET 611 1,000

63 Thiamin HCL (Vit. B1) 100 mg TABLET 87 6,000
64 Zink dispersibel tablet Kimia Farma TABLET 514 6,000
Umbilical Cord Klem Steril
65 Nylon JMI BUAH 50,000 20
66 Jarum Hecting Otot dan Kulit SET 5
67 Ventolin AMPUL 300
JUMLAH

Mengetahui, Cipeuyeum, 02 April 201

Apoteker Pembina Penanggung Jawab Gudang O
Puskesmas Cipeuyeum

Peni Andini, S. Farm, Apt Yunardi Dantjie, Am.Kep

NIP. 19840202 201001 2 022 NIP. 19680606 199403 1 01

Mengetahui,
Kepala Puskesmas Cipeuyeum

H. Kankan SUmpena, SKM

NIP. 19712903 199103 1 004
UTUHAN OBAT Non E-KATALOG
CIPEUYEUM TAHUN 2018

Jumlah Harga

1,895,300.00
1,553,310.00

4,393,620.00

1,012,500.00

1,248,000.00
1,609,400.00
915,000.00
145,000.00
2,986,500.00
2,791,666.67
1,116,666.67
270,000.00

502,260.00

345,510.00

525,000.00
1,270,000.00
1,700,000.00
558,000.00
509,000.00
856,000.00
1,950,000.00

1,628,260.00

2,800,000.00

1,965,340.00

1,164,000.00
4,750.00
795,000.00
258,500.00
104,000.00

797,500.00

1,254,000.00
825,000.00

450,000.00

1,595,000.00

458,700.00

480,000.00

480,000.00
1,040,000.00

611,000.00

162,800.00
840,000.00
459,800.00
1,065,960.00
485,800.00
500,000.00
500,000.00
554,400.00
639,000.00
426,000.00

1,498,000.00

2,950,000.00

1,020,000.00
1,265,000.00
1,496,000.00
2,310,000.00
83,000.00

1,669,800.00

1,050,000.00
278,000.00
1,478,000.00

1,000,000.00

1,000,000.00
611,000.00
3,084,000.00

1,000,000.00
 0.00
0.00
72,290,343.33

Cipeuyeum, 02 April 2018

Penanggung Jawab Gudang Obat
Puskesmas Cipeuyeum

Yunardi Dantjie, Am.Kep

NIP. 19680606 199403 1 011
 RENCANA KEBUTUHAN 0BAT E-KATALOG
PUSKESMAS CIPEUYEUM TAHUN 2018
Harga
NO NAMA OBAT SATUAN Pabrik Kebutuhan Jumlah Harga
Satuan
Pertiwi
1 Alopurinol Tablet 100 mg TABLET 86.00
Agung 9600 825,600.00
Pertiwi
2 Amlodipin Tablet 10 mg TABLET 330.00
Agung 1560 514,800.00
Pertiwi
3 Amlodipin Tablet 5 mg TABLET 187.00
Agung 3260 609,620.00
4 Amoksisilin 500 mg TABLET Bernofarm 272.00
10000 2,720,000.00
5 Amoksisilin Syrup 125 mg/ 5 ml BOTOL Novapharin 2,445.00
3000 7,335,000.00
Promedrah
6 Antasida DOEN tablet kunyah TABLET 75.00
ardjo 90000 6,750,000.00
Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 Kimia
7 TABLET 135.00
mg Farma 600 81,000.00
8 Asam Mefenamat 500 mg TABLET Bernofarm 112.00
48000 5,376,000.00
Kimia
9 Betametason Krim 0,1 %- 5 mg TUBE 1,520.00
Farma 1200 1,824,000.00
Gracia
10 Bisaprolol tab 5mg TABLET 645.00
Pharmindo 300 193,500.00
11 Captopril Tablet 25 mg TABLET Erita 80.00
23000 1,840,000.00
Holi
12 Cefadroxil Kapsul 500 mg KAPSUL 509.00
Pharma 6000 3,054,000.00
13 Clindamycin Kapsul 150mg KAPSUL Indofarma 361.00
3000 1,083,000.00
14 Diazepam Injeksi 5 mg/ ml- 2 ml AMPUL Indofarma 4,180.00 240 1,003,200.00
15 Domperidon Syrup Botol Novapharin 3,333.00
300 999,900.00
Phapros
16 Epinefrin (Adrenalin) injeksi 0,1 % AMPUL 8,100.00
Tbk 60 486,000.00
17 Etanol 70 % 100 ml BOTOL Novapharin 2,500.00
180 450,000.00
Marin Liza
18 Fitomenadion (Vit.K1) tab salut gula 10 mg TABLET 634.00
Farmasi 3600 2,282,400.00
Holi
19 Ibuprofen 400 mg TABLET 149.00
Pharma 48000 7,152,000.00
20 Ibuprofen syrup 200mg/5ml botol Indofarma 4,499.00 600 2,699,400.00
21 Kalsium Laktat 500 mg TABLET Afifarma 70.00 10000 700,000.00
Rama
Emerald
22 Klorfeniramin Maleat (CTM) 4 mg TABLET
Multi
51.00
Sukses 120000 6,120,000.00
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Kimia
23 TABLET 50.00
Asam folat 0,25 mg Farma 20000 1,000,000.00
Holi
24 Kotrimoksazole Tablet Dewasa TABLET 149.00
Pharma 2000 298,000.00
Promedrah
25 Loratadin tab 10mg TABLET 154.00
ardjo
Phyto
1200 184,800.00
Kemo
26 Metronidazole 500 mg TABLET 160.00
Agung 5400 864,000.00
Farma
Kimia
27 Mikonazol krim 2% TUBE 3,000.00
Farma 288 864,000.00
 Guardian
28 Mometason Furoat Krim 0.1% Tube 10g 17,820.00
Pratama 120 2,138,400.00
29 Natrium Diklofenak 50 mg TABLET Novell PL 200.00 35000 7,000,000.00
Widatra
30 Natrium Klorida Infus 0,9 % Steril BOTOL 4,700.00
Bhakti 100 470,000.00
31 Oksitosin Injeksi 10 IU/ ml AMPUL Ethica 1,820.00
500 910,000.00
32 Omeprazol Kapsul 20 mg KAPSUL Novapharin 211.00
3600 759,600.00
33 Parasetamol Syrup 120 mg/ ml BOTOL Afifarma 1,438.00 6000 8,628,000.00
infarmind
34 Parasetamol tablet 500 mg TABLET 89.00
FI 180000 16,020,000.00
Galenium
35 Permetrin Krim 5% (Scabimite ) TUBE 11,475.00
PL 120 1,377,000.00
36 Povidon Iodida 10 % 30 ml BOTOL Afifarma 2,163.00
150 324,450.00
37 Povidon Iodida 10 % 300 ml BOTOL Afifarma 14,203.00
24 340,872.00
Salbutamol Inhalasi /Aerosol 100 mcg/dosis (Ventolin Dus, botol Glaxo
38 63,750.00
inh) 200 dosis Welcome 60 3,825,000.00
Marin Liza
39 Salep 2-4 Komb. POT 2,000.00
Farmasi
Rama
900 1,800,000.00
Emerald
40 Salisil Bedak 2 % 50 Gram KOTAK 1,250.00
Multi 1000 1,250,000.00
Sukses
Ifars
41 Sefiksim syrup kering 100mg/5ml BOTOL Pharmaceu 8,800.00
tical
300 2,640,000.00
42 Sefixime 100 mg TABLET Bernofarm 859.00
1200 1,030,800.00
Kimia
43 Vitamin B. Komplek Tablet 107.00
Farma 84000 8,988,000.00
Kimia
44 Zink dispersibel tablet TABLET 473.00
Farma 9000 4,257,000.00
119,069,342.00

Cianjur, 3 Maret 2018

Pejabat Pembuat Komitmen Apoteker Pembina

( YANA BUDIANA, SKep. ) ( PENI ANDINI, S.Farm,Apt )

NIP. 19741219 199702 1 001 NIP. 19840202 201001 2 022
yg tidak turun tahun kemaren
 RENCANA KEBUTUHAN 0BAT E-KATALOG
PUSKESMAS CIPEUYEUM TAHUN 2018
NO NAMA OBAT SATUAN Pabrik
1 Alat Suntik Sekali Pakai 1 ml SET Terumo
2 Alat Suntik Sekali Pakai 3 ml SET Terumo
3 Alat Suntik Sekali Pakai 5 ml SET Terumo
4 Alkohol 70 % 500 ml BOTOL Novapharin
6 Alopurinol Tablet 100 mg TABLET Pertiwi Agung
7 Ambroxol syrup 15mg/5ml BOTOL
8 Ambroxol tab 30 mg TABLET
9 Amlodipin Tablet 10 mg TABLET Pertiwi Agung
10 Amlodipin Tablet 5 mg TABLET Pertiwi Agung
11 Amoksisilin 500 mg TABLET Bernofarm
12 Amoksisilin Syrup 125 mg/ 5 ml BOTOL Novapharin
14 Antasida DOEN suspensi, Rama Emerald MS BOTOL 60 ml
15 Antasida DOEN tablet kunyah TABLET Promedrahardjo
17 Asam Mefenamat 500 mg TABLET Bernofarm
18 Betametason Krim 0,1 %- 5 mg TUBE Kimia Farma
19 Bioplacenton Tulle Enseval Pak 10 x 10
22 Bisolvon Nebu BOTOL
23 Bisturi ( Mata Pisau Lancip Bedah ) Box 100 Bbraun
24 Bisturi Lancip No 11 pak/100pcs Pac
25 Bromhexin Syrup Botol 60 ml
26 Bromhexin Tablet 8 mg TABLET
27 Captopril Tablet 25 mg TABLET Erita
29 Cefadroxil Kapsul 500 mg KAPSUL Holi Pharma
31 Cetirizin Tablet 10 mg TABLET
32 Clindamycin Kapsul 150mg KAPSUL Indofarma
33 Deksametason Tablet 0,5 mg Promedrahardjo TABLET
34 Diazepam Injeksi 5 mg/ ml- 2 ml AMPUL Indofarma
35 Diazepam Rectal Tube 10mg/2,5ml Actavis I TUBE
36 Diazepam Rectal Tube 5mg/2,5ml Actavis I TUBE
37 Domperidon Syrup Botol Novapharin
38 Epinefrin (Adrenalin) injeksi 0,1 % AMPUL Phapros Tbk
41 Fitomenadion (Vit.K1) tab salut gula 10 mg TABLET Marin Liza Farmasi
50 Ibuprofen 400 mg TABLET Holi Pharma
52 Ibuprofen syrup 200mg/5ml Phyto Kemo AF BOTOL
54 Ibupropen 400 mg Phyto Kemo AF TABLET
55 Infusion Set Dewasa SET Terumo
Jarum Hecting Otot set
56 Jarum Hecting Kulit set SET
58 Kapas Pembalut 250 mg ROL Ahmadaris DRC
59 Kasa Kompres 16x16 steril KOTAK @ 12 Ahmadaris DRC
60 Kasa Pembalut 36 mx 80 cm ROL Ahmadaris DRC
61 Kasa Pembalut Hidrofil 4 m x 10 cm ROL Ahmadaris DRC
 62 Kasa Steril 16x16 DRC Pac / Kotak
63 Ketokonazol Krim 2 % Kimia Farma TUBE 15 g
64 Ketokonazol Tablet 200 mg Kimia Farma TABLET
65 Kloramfenikol 250 mg KAPSUL
66 Klorfeniramin Maleat (CTM) 4 mg TABLET Rama Emerald Multi Sukses
69 Lisol Botol 1 L JMI
73 Metronidazole 500 mg TABLET Phyto Kemo Agung Farma
74 Mikonazol krim 2% TUBE Kimia Farma
77 Multivitamin Syrup BOTOL 60 ml

Multivitamin Tablet (Komposisi:Vit A 4000IU,Vit C 50 mg,Vit D 400IU, Vit E 10mg,Vit B1

78 3mg, Vit B2 3mg, Vit B6 2mg,Vit B12 2 mcg, Nicotiamidum 20mg, Ca-Pan 5mg, Asam KAPLET
folat 1mg, Biotin 0,1 mg, Besi (II) Fumarat 20mg,Kalsium sbg Karbonat 100mg,
Tembaga 0,5mg, Mangan 0,5mg, Mg 1 mg, Zn 0,25mg)

82 Natrium Klorida Infus 0,9 % Steril BOTOL Widatra Bhakti

84 Obat Batuk Hitam ( OBH ) Intrasal BOTOL 100 ml
89 Oksitetrasiklin HCL Salep Kulit 1 % 3,5 Gr TUBE
90 Oksitetrasiklin HCL Salep Mata 1 % 3,5 Gr TUBE
91 Oksitosin Injeksi 10 IU/ ml AMPUL Ethica
93 Omeprazol Kapsul 20 mg Novapharin KAPSUL
94 Parasetamol Drops Indofarma BOTOL
96 Parasetamol Syrup 120 mg/ ml BOTOL Afifarma
97 Parasetamol tablet 100 mg Mersifarma TM TABLET
98 Parasetamol tablet 500 mg TABLET infarmind FI
100 Permetrin Krim 5% (Scabimite ) TUBE Galenium PL
101 Piroxicam 20 mg KAPSUL
102 Plester 6 Yards x 2 Inch BUAH
103 Plester 7,5 cm x 2 Inch BSN ROL
104 Povidon Iodida 10 % 30 ml BOTOL Afifarma
105 Povidon Iodida 10 % 300 ml BOTOL Afifarma
106 Ranitidin Injeksi Natura LP AMPUL
107 Ranitidin Tablet Dexa Medika TABLET
108 Salbutamol 4 mg Kimia Farma TABLET
109 Salbutamol Inhalasi /Aerosol 100 mcg/dosis (Ventolin inh) Dus, botol 200 dosis Glaxo Welcome
111 Salep 2-4 Komb. Marin LF POT
112 Salisil Bedak 2 % 50 Gram KOTAK Rama Emerald Multi Sukses
113 Sarung tangan No. 6.5 MMP PASANG
115 Sarung tangan No. 7 MMP PASANG
117 Sarung Tangan Periksa L MMP Ktk 100 buah
118 Sarung Tangan Periksa M MMP Ktk 100 buah
119 Sarung Tangan Periksa S MMP Ktk 100 buah
120 Sefadroxil Kapsul 500 mg Dexa Medika KAPSUL
125 strip Test Asam Urat Autocheck Pak @ 25 Test
126 Strip Test Glukosa Autocheck Pak @ 50 Test
127 Strip Test Kolesterol Autocheck Pak @ 10 Test
 Tablet Tambah Darah (Kombinasi:Besi (II)Fumarat 300mg,MnSulfat 0,4mg,
132 Tembaga(II)Sulfat 0,4mg, Asam Folat 2mg, Vitamin B12 15Mcg, Faktor intrinsik 25mg, TABLET
Serbuk Sorbitol 30mg)

136 Tramadol tablet 50mg TABLET

137 Umbilical Cord Klem Steril Nylon JMI BUAH
140 Vitamin B. Komplek Tablet Kimia Farma
OG

Harga Satuan Kebutuhan Jumlah Harga

1,540 1,000 1,540,000.00
957 2,000 1,914,000.00
1,348 1,000 1,348,000.00
25,000 50 1,250,000.00
86 5000 430,000.00
3,791 500 1,895,300.00
155 10,000 1,553,310.00
330 1560 514,800.00
187 3260 609,620.00
272 10000 2,720,000.00
2,445 1500 3,667,500.00
2,025 500 1,012,500.00
75 60000 4,500,000.00
112 24000 2,688,000.00
1,520 300 456,000.00
104,000 12 1,248,000.00
14,500 10 145,000.00
300,000 3 900,000.00
50,000 10 500,000.00
8,047 200 1,609,400.00
183 5,000 915,000.00
80 23000 1,840,000.00
509 1500 763,500.00
5,583 500 2,791,666.67
361 3000 1,083,000.00
45 6,000 270,000.00
4,180 120 501,600.00
16,742 30 502,260.00
11,517 30 345,510.00
3,333 300 999,900.00
8,100 60 486,000.00
634 1800 1,141,200.00
149 24000 3,576,000.00
3,400 500 1,700,000.00
127 10,000 1,270,000.00
7,321 150 1,098,150.00
25,700 5 128,500.00
25,700 5 128,500.00
24,000 20 480,000.00
7,900 200 1,580,000.00
130,000 10 1,300,000.00
2,300 360 828,000.00
 10,000 150 1,500,000.00
2,545 200 509,000.00
279 2,000 558,000.00
428 2,000 856,000.00
51 70000 3,570,000.00
41,000 10 410,000.00
160 5400 864,000.00
3,000 288 864,000.00
6,500 300 1,950,000.00

814 2,000 1,628,260.00

4,700 100 470,000.00

4,180 300 1,254,000.00
1,529 300 458,700.00
1,600 300 480,000.00
1,820 500 910,000.00
160 3,000 480,000.00
5,200 200 1,040,000.00
1,438 3000 4,314,000.00
81 2,000 162,800.00
89 90000 8,010,000.00
11,475 120 1,377,000.00
92 5,000 459,800.00
33,000 50 1,650,000.00
35,532 30 1,065,960.00
2,163 100 216,300.00
14,203 20 284,060.00
1,390 200 278,000.00
105 10,000 1,050,000.00
83 1,000 83,000.00
63,750 30 1,912,500.00
2,429 200 485,800.00
1,250 1000 1,250,000.00
5,000 100 500,000.00
5,000 100 500,000.00
46,200 15 693,000.00
46,200 15 693,000.00
46,200 15 693,000.00
510 2,000 1,020,000.00
126,500 10 1,265,000.00
149,600 10 1,496,000.00
231,000 10 2,310,000.00
 835 2,000 1,669,800.00

611 1,000 611,000.00

50,000 20 1,000,000.00
107 21000 2,247,000.00
109,329,196.67