Rincian Pemakaian Depo Ibs Feb 1

LAMPIRAN KERTAS KERJA INST
FEBRUARI 2018 ICU

SAT
NO GOL.OBAT NAMA OBAT
1 2 3 4 5 6 7 8 9
1 CEFADROXIL CAPS CAPS
2 CEFOTAXIM 1 G VIAL 2 4 2
3 CEFTAZIDIME INJ VIAL
4 CEFTIZOXIME 1 G VIAL
5 CEFTRIAXON VIAL 16 23 14 14 14 10 12 10 12
6 COLISTINE TAB TAB
7 ERYTHROMYCIN 500 MG TAB
8 CIPROFLOXACIN 500 MG TAB 3
9 CIPROFLOXACIN INF BTL
10 AZITROMYCIN 500 MG
11 CEFEPIME VIAL VIAL
12 AMIKACIN VIAL
13 ERYSANBE TAB TAB 7
GOL. ANTIBIOTIK
14 LEVOFLOXACIN INF BTL 1 1
15 MEROPENEM 1 G VIAL
16 SAGESTAM CREAM SLP
17 GENTAMICIN 40 MG (SAGESTAM) AMP
18 OXYTETRACICLIN SALEP TUBE
19 TETRASANBE 500 MG TAB
20 LEVOFLOXACIN TAB TAB
21 CEFIXIME 100 MG CAPS 4
22 CEFIXIME DR SYR BTL 1
23 METRONIDAZOL INF BTL 2 3 8
24 METRONIDAZOL TAB TAB
25 FLUCONAZOLE INF BTL
26 DORIPENEM VIAL VIAL
27 METFORMIN 500 MG TAB
28 NOVOMIX FLEXPEN PCS
29 NOVORAPID FLEXPEN PCS
GOL. OBAT DIABETES
30 LEVEMIR FLEXPEN PCS
31 ALBUMIN BTL 25%100ML BTL 2
32 ALBUMIN BTL 20%100ML BTL 1
33 AMLODIPIN 5 MG TAB 1 1
34 AMLODIPIN 10 MG TAB 1 1
35 CAPTOPRIL 50 MG TAB 1 1 1 1 2
36 CATAPRES 0,15 MG/ ML AMP
37 DICYNONE INJ. AMP 5 3 3 3
38 VALSARTAN 80 MG TAB 1 1
39 SPIRONOLAKTON 100 MG TAB
GOL. HIPERTENSI
GOL. HIPERTENSI
40 BISOPROL TAB TAB 1
41 RAMIPRIL 5 MG TAB
42 NIFEDIPIN 10 MG TAB
43 CANDESARTAN 8 MG TAB
44 CANDESARTAN 16 TAB TAB
45 CLONIDIN TAB TAB
46 MICARDIS 80 MG TAB
47 CENDO AUGENTONIC 5 M BTL
48 CENDO EFRISEL BTL
GOL. TETES MATA/TETES
49 TELINGA/SALEP CENDO MYDRIATYL 0.5%/ BTL
50 CENDO PANTOCAN BTL
51 CENDO POLYDEX BTL
52 INDUXIN INJ 10 IU, AMP 1 ML AMP
53 ASAM TRANEKSAMAT INJ. 100 MG/ML AMP 3 11 3 6 3
54 CARBAZOCROME INJ AMP 3 5 3 3 3
GOL. OBAT PENDARAHAN
55 FOSFARGIN AMP
56 OXYTOCIN S AMP 10 IU/1 ML AMP
57 METILERGOMETRIN INJ AMP
58 ASAM VALPROAT SYR BTL
59 DEPAKOTE ER 250 MG KAPLET
61 CITICOLIN INJEKSI 125 MG/ML AMP 4 4 4 4 8
62 MECOBALAMIN AMP AMP
GOL. OBAT NEURO(SARAF)
63 ALPENTIN 100 MG CAPSUL TAB
64 MECOBALAMIN CAPS CAPS
65 CILOSTAZOL 100 MG TAB
66 STESOLID AMP (valisanbe amp) AMP
67 AMITRIPTILIN TAB
68 INVICLOT HEPARIN SODIUM 5000(HD VIAL
GOL.ANTIKOAGULAN
69 PHYTOMENADION INJ (VIT.K) AMP 1 1 2 1 1 5 3 3 3
70 PHENYTOIN CAPS CAPS
71 GOL. OBAT SARAF PIRACETAM 3 G (200 MG) AMP
72 PIRACETAM 12 G BTL
73 OMEPRAZOL 20 MG CAPS CAPS 1
74 OMEPRAZOL 40 MG INJ VIAL 18 26 17 15 16 8 6 14 15
75 EPISAN SYRUP
GOL. OBAT MAAG/LAMBUNG
76 RANITIDIN INJ. 25MG/ML AMP 3 6 3 8 8
77 RANITIDIN TAB TAB
78 LANSOPRAZOLE CAPS CAPS
79 ATORVASTATIN 20 MG TAB 2 2 1 1
GOL. OBAT KOLESTEROL
80 SIMVASTATIN 10 MG TAB
81 AMIODARONE IV INJ AMP
82 AMIODARONE TAB TAB
83 ASPILET TAB 1 1 1 1 1 1
84 CLOPIDOGREL 75 MG TAB 1 1 1 1 1
85 DIGOXIN INJ (FARGOXIN) AMP
86 DIGOXIN 0.25 TAB TAB 1 1
87 NITROKAF RETARD CAPS
88 FARSORBID 10 MG TAB 3 3 3 3
89 ISOSORBID DINITRATE 5 MG TAB
GOL. OBAT JANTUNG
90 CEDOCARD INJ AMP 1 2 5 5 4 5 7
91 PREGABALIN 75MG TAB
92 RAIVAS INJ. 4 ML (VASCON) AMP 3 1 3 5 3 2 4
93 DOPAMINE VIAL VIAL
94 CETADOP INJ AMP
95 DOBUTAMIN 250 MG / 5 ML INJEKSI VIAL 2 6 3 1 3 2
96 PERDIPINE INJ AMP
97 NICARDIPIN AMP
98 ARIXTRA INJ 1 1
99 CURCUMA TAB TAB 5 5 3 2
100 NEUROSANBE AMP AMP 3 1 1 1 1 1 2
101 NEURODEX TAB 3 3 2 1 2
102 VITAMIN B-COMP TAB 3
103 VITAMIN C AMP AMP 5 3 3 3
GOL. OBAT VITAMIN
104 VITAMIN C TAB TAB 5 6 12 1 2 2
105 URSODEOXYCHOLIC CAPS
106 FOLAVIT 400 MG TAB
107 ZAMEL SYR SYRUP
108 ELKANA SYR BTL
109 ALPRAZOLAM 0,5 MG TAB
110 ALPRAZOLAM 1 MG TAB 1 2 2 2
111 GOL. OBAT SEDATIVE VALISANBE 2 MG TAB
112 VALISANBE 5 MG TAB
113 CLOBAZAM TAB TAB
114 BUNASCAN 0,5% (EPIDURAL) AMP 2 2 1 3 1 2 5
115 BUNASCAN SPINAL AMP
116 FENTANYL 100 ML AMP
117 FENTANYL 2 ML AMP 11 9 7 9 2 6 16
118 DUROGESIC PATCH 12,5 PCS
119 DUROGESIC PATCH 25 MCG PCS 1 1
120 EPHEDRIN INJ AMP
121 CODEIN 10 MG TAB 4 3 3 3
122 GOL. OBAT NARKOTIKA CODEIN 20 MG TAB
/ANASTESI
123 FARELAX INJ 5 ML AMP
124 KETAMIN HAMLEN 50MG VIAL
125 LIDOCAINE 2 % INJEKSI AMP
126 MIDAZOLAM INJ 15 MG AMP 10 8 1 15 10
127 MST CONTINOUS 10 TAB
128 PROANES AMP (PROPOPOL) AMP
129 PROPOFOL LIPURO 1% AMP
130 NEOSTIGMIN HAMEIN INJ 0,5 MG/ML AMP
131 PETHIDIN HCL 50 MG INJ. AMP 1 2
132 KSR TAB TAB 5 1
GOL.KARDIOVASKULER
133 CALCII GLUCONAS AMP
134 ASAM MEFENAMAT 500 MG TAB
135 MELOXICAM 7,5 MG (profenid) TAB 1
136 MEVILOX 7,5 ,MG TAB TAB
137 SANMOL INFUS BTL 18 13 15 20 15 21 6 9 13
138 SANTAGESIK INJ AMP 4 6 4 4 3 3 6
GOL. ANALGETIK/OBAT NYERI
139 PARACETAMOL SYR BTL
140 SANMOL TAB TAB 3 3
141 KETOROLAC 30MG/ML INJ AMP 15 12 12 12 18 12 9 20 15
142 TRADOSIC INJ AMP
143 CHLORETHYL SEMPROT TBUNG
144 HALOPERIDOL 0.5 MG TAB
146 PHENYTOIN INJ AMP
147 GOL. ANTIEPILEPSI STESOLID RECTAL 5 MG RCTL
148 DUMIN 125 MG RCTL
150 STESOLID RECTAL 10 MG RCTL

151 AMINOPHYLLINE INJ 2,4 % 10 ML AMP
152 COMBIVENT NEBU AMP 3 2
153 GOL. OBAT OBAT SESAK/ASMA PULMICORT NEBU AMP
154 VENTOLIN NEBU AMP
155 EPINEFRINE INJ 0,1 % AMP
156 DOMPERIDON TAB TAB
157 ONDANSETRON 4 MG / 2ML INJEKSI AMP 3 2
158 GOL. MUAL DAN MUNTAH ONDANSETRON 8 MG TAB
159 SOTATIC INJ 5 MG/ML 2ML (PRIMPERAN) AMP
160 SOTATIC (METOCLORPRAMIDE TAB) TAB
161 DEKSAMETASON INJ 5 MG/ML AMP 1 9 3
GOL. OBAT
162 KORTIKOSTEROID(RADANG) METILPREDNISOLON 125 MG VIAL 3 1
163 METHYL PREDNISOLON TAB TAB 3
164 L-BIO SACHET SCHT
165 DULCOLAX TAB TAB
166 STOLAX SUPP SUPP
167 GOL. OBAT PENCAHAR ZINK TAB TAB 1 3 2 1 1 2 2
168 FLEET ENEMA BTL 1
169 LAXADIN SYR BTL 1
170 ZINKID SYR BTL
171 BISOLVON INJ AMP 1
172 AMBROXOL SYR BTL
173 AMBROXOL TAB TAB
174 GOL. OBAT BATUK ANTASIDA DOEN SYR SYRUP
GOL. OBAT BATUK
175 ACETYLSISTEIN CAPS CAPS

176 N-ACE INJ AMP 2 3 3 6 3
177 VECTRIN CAPS CAPS
178 LODIA TAB TAB
GOL. OBAT PENCERNAAN
179 NEW DIATABS TAB
BRAXIDIN TAB
180 GOL. OBAT ANTI SPASMODIK
181 URESIX INJ AMP 3 5 6 5 20 20 22 10

182 FUROSEMIDE 40 MG TAB TAB
183 VIP ALBUMIN CAPS CAPS 24 12 18 6 9 6
GOL. OBAT ASAM URAT
184 VIP ALBUMIN SACHET SCHT
185 FUROSEMIDE INJ AMP
186 KALITAKE SCHT
187 GOL. OBAT ANTI JAMUR NYMICO DROPS
188 GOL. ANTIKOLINERGIK ATROPIN SULFAT 0,25 INJ AMP
189 CTM TAB
190 GOL.ANTIHISTAMIN CETIRIZINE TAB TAB 1 1
191 DIPENHIDRAMIN AMP AMP
192 GOL.OBAT PROSTAT HARNAL 0.2 TAB
193 ALLOPURINOL 100 TAB
GOL.OBAT ASAM URAT
TOTAL
FEBRUARI 2018 ICU

SAT
NO GOL.BHP NAMA OBAT
1 2 3 4 5 6 7 8 9
1 ALKOHOL /CC CC
2 AMINOFLUID PCS
3 AMINOFUSIN HEPAR INFUS PCS
4 AMINOFUSIN PAED 250 ML INFUS PCS
5 AMINOLEBAM PCS
6 APRON PCS
7 AQUADEST 1 LITER INFUS BTL
8 AQUADEST 25 ML FLACON FLC 3 1 2 6 3 22 22 52
9 ARM SLING PCS 2
10 ASERING 500 ML INFUS BTL 2 1
11 ASKINA 7,5 x 5 PCS
12 ASKINA 9X15 PCS
13 BENANG ASSUCRYL 1 PCS
14 BENANG ASSUCRYL 2/0 PCS
19 BENANG CATGUT CHROMIC 1 PCS
20 BENANG CATGUT CHROMIC 2/0 PCS
22 BENANG FILAFEAU 2/0 PCS
24 BENANG FILAPEAU 4/0 PCS
25 BENANG FILAPEAU 5-0 PCS
26 BENANG MAXON 0 PCS
27 BENANG MEGASORB 1 PCS
29 BENANG MESALON 3/0 PCS
30 BENANG NYLON 10/0 PCS
36 BENANG POLYSORB 2/0 PCS
38 BENANG PROLEN 1/0 PCS
39 BENANG PROLENE 2/0 PCS
43 BENANG PROPYLENE 1 PCS
45 BENANG SILK 0 PCS
46 BENANG silk 2/0 PCS
47 BENANG SILK 3/0 PCS
48 BENANG SILK BLACK 1/0 ROL PCS
49 BENANG SOFSILK 2/0 PCS
51 BENANG SURGICEL PCS
52 BENANG SURGIPRO 7/0 PCS
53 BENANG TRITON 3/0 PCS
56 BENANG T-VIO 1/0 PCS
57
61 BENANG VETACRYL 1 PCS
62 BENANG VETACRYL 2/0 PCS
64 BENANG VICRY 1/0 PCS
65 BENANG VICRYL 2/0(HAEMOROID PCS
66 BENANG VICRYL 3/0 PCS
68 BETADINE 1 L BTL
69 BIO-CHOL PCS
70 BISTURI NO.10 PCS
75 BONEWANX PCS
76 BSS PCS
77 CERTOFIX HD PCS
78 CERTOFIX NUTRISI PCS
79 COLOSTOMY BAG PCS 1 1
80 COMAFUSIN HEPAR BTL
81 COMBIFLEX 100 ML PCS 4 5 4 4 3 2 2 3
82 CONECTA PCS 3 8 4 4 4 2 1 2 5
83 DEXTROSE 10 % BTL 1 2
84 DEXTROSE 40 % BTL 2 18
85 DEXTROSE 5 % BTL 3 5 1 1 5 7 2 2
86 DOP MATA BENING PCS
87 ELBOW ELASTIS CATH PCS 1
88 ELECTROSURGICAL PENSIL PCS
89 ELEKTRODA PCS 15 10 2 5 5 15 15 27 7
90 ETT 2.5 PCS
91 ETT 3.0 PCS
92 ETT 3.5 PCS
93 ETT 4.0 PCS
94 ETT 4.5 PCS
95 ETT 5.0 PCS
96 ETT 5.5 PCS
97 ETT 6.0 PCS
98 ETT 6.5 PCS
99 ETT 7.0 PCS
100 ETT 7.5 PCS
101 EYE DRAP PLAIN PCS
102 FEEDING TUBE 16 PCS 1
103 FEEDING TUBE 16 SILICON PCS
104 FEEDING TUBE NO. 14 PCS
106 FEEDING TUBE NO. 3,5 PCS
110 FEEDING TUBE NO.10 PCS
112 FEEDING TUBE SILICON 14 PCS
114 FOLEY CATHETER 10 PCS
122 FOLEY CATHETER 3 WAY 22 PCS
126 FOLEY CATHETER SILICONT 16 PCS 1
127 FOLEY CATHETER SILICONT 18 PCS
131 FORMALIN CAIR 10 % BTL
132 FUTROLIT BTL
133 GELOFUSIN BTL 6
134 GUDEL DEWASA HIJAU PCS 2 1 4 1 1 2
135 GUDEL HITAM PCS
136 GUDEL KUNING PCS
137 GUDEL MERAH PCS
138 GUDEL ORANGE PCS
139 GUDEL PINK (BAYI) PCS
140 GUDEL PUTIH PCS
141 GYPSONA 3 INCHI PCS
144 HALOTAN 250 ML BTL
145 HANDSCOON 7,5 PANJANG PSG
146 HANDSCOON NON STERIL PSG 180 200 70 200 142 160 120 172 134
147 HANDSCOON ORTHO PSG
148 HANDSCOON STERIL 6 PSG
149 HANDSCOON STERIL 6.5 PSG
150 HANDSCOON STERIL 7 PSG 1 3
151 HANDSCOON STERIL 7.5 PSG 1
153 HUMIFLO PCS 6 3 3 3
154 HYPAFIX 10 X 5 M ROLL
157 INDIKATOR STERIL PCS
158 INFUS SET ANAK PCS
159 INFUS SET DEWASA PCS 1 2 1 4 2
160 ISOFLURANE BTL
161 IV CAT 16 PCS
162 IV CAT 18 PCS 1 2 1
163 IV CAT 20 PCS 6 3 1 8 6 2 3 2 5
164 IV CAT 22 PCS 5 6 4 1 2 7 1 3
165 IV CAT 24 PCS 2
166 IV DRESSING TRANSPARANT PCS
167 KAEN 3B BTL 7 5 2 1 4 3 12 11
168 KASA ROLL PCS
169 KCL 7,46% 25 ML FLACON BTL
170 KERATOME KNIFE PCS
171 KERTAS EKG 63X30 ROLL
172 KIDMIN PCS
173 KY JELLY PCS
174 LEUCOPLAST PCS
175 LIGA CLIP PCS
176 LIPOFUNDIN BTL 4 6 3 5 2 2 2 1
177 LOMATULLE PCS
178 MANITOL 20 % INFUS BTL 1
179 MASKER PCS 70 75 35 13 61 70 50 70 70
180 MASKER NEBULIZER DEWASA PCS
181 MEDE BLUE PCS
182 MILZYME 5 LITER PCS
183 NACL 0,9 % INFUS BTL 12 10 11 13 8 13 5 17 10
184 NACL 1 LITER INFUS BTL
185 NACL PIGGY BAG INFUS BTL 1 3 1 2 1 2 2 1
186 NASAL CANULA ANAK PCS
187 NASAL CANULA O2 BAYI PCS
188 NASAL CANULA O2 DEWASA PCS 2 1 1 2
189 NEEDLE 18 PCS 2 2
190 NRM ANAK PCS
191 NRM DEWASA PCS 1
192 OCUSOL BTL
193 OPTIMA 12.00 PCS
213 OPTIMA 6.00 PCS
214 OPTIMAVISC PCS
215 PAN AMIN G PCS 1 1
216 PENJEPIT COLOSTOMY PCS 1
217 PERFUSSOR PCS 2 4 3 3 3 2 6 5
218 PERIFIX (EPIDURAL SET) PCS
219 POT URINE POT
220 RL INFUSAN (SANBE) BTL 10 3 3 6 6 15 12 8 4
221 SALIN 3% BTL
222 SIRCUIT VENTILATOR PCS 1
223 SOFTBAND 3 INCHI PCS
226 SPINOCAN 25 PCS
227 SPINOCAN 26 PCS
228 SPINOCAN 27 PCS
229 SPOIT 1 CC PCS 1 1 3 1 1
230 SPOIT 10 CC PCS 16 7 2 2 17 10 9 3 10
231 SPOIT 20 CC PCS 1 6
232 SPOIT 3 CC PCS 16 7 3 2 10 7 13 7
233 SPOIT 5 CC PCS 3 2 2 9 3 1
234 SPOIT 50 CC PINGGIR PCS 2 4 1 4 3 4 6 4
235 SPOIT 50 CC TENGAH PCS 1 2 1
236 STABE KNIFE PCS
237 STARDINE SOL 1 LT BTL
238 SUCTION CATHETER NO. 10 PCS
240 SUCTION CATHETER NO. 14 PCS 2 1 3 1 3 2
243 SUCTION CATHETER NO.8 PCS
244 SUCTION CONECTING TUBE PCS
245 SUNGKUP ANAK PCS
246 SUNGKUP DEWASA PCS
247 SURVISC-TM PCS
248 T TUBE NO. 4 PCS
251 TENSOCREPE 3 INCHI PCS
254 TERREL 250 ML BTL
255 TIP CLEANER PCS
256 TOPI OPERASI PCS
257 TRANSFUSI SET PCS 2 1 2 1 1 2
258 TRANSOFIX PCS 1
259 TRULEN MESH 15X15 PCS
260 T-SCRUB PCS
261 T-SKIN MARKER PCS
262 URINE BAG PCS
263 UROGARD TERUMO PCS
264 VENTILATOR HME FILTER PCS 2
265 VERBAN 10 CM PCS
266 COMBO KATETER 18 PCS
267 COMBO KATETER 16
268 KERTAS PUYER PCS
269 SANBE HES (WIDAHES) BTL
270 KAPAS ALKOHOL PCS
271 PD SCRUB BTL
272 KAEN MG3 BTL 2
273 IV CAT 26 PCS
274 MASKER NEBULIZER ANAK PCS
275 MGSO4 PCS
276 JACKSON REESCH ANAK PCS
277 JACKSON REESCH DEWASA PCS
278 JARUM HETTING PCS
279 HAND RUB 9HIJAU) LTR
280 MILDEX LTR
281 CONDOM CATHETER (L,M,S) PCS 2
282 HANDRUB 5 L LTR
283 HANDWASH 500ML LTR
284 PENCIL CAUTER PCS
285 NEFROSTERIL PCS 1 1 1 2
286 VALAMIN INF 2 1 1 1
TOTAL
TAS KERJA INSTALASI APOTEK (DEPO IBS)
OBAT
TOTAL
TANGGAL PEMAKAIAN HARGA SAT
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
0 Rp 612.70
5 2 2 3 2 2 24 Rp 6,269.69
1 2 3 Rp 24,580.91
0 Rp 266,200.00
14 10 16 16 8 6 12 12 6 12 4 241 Rp 12,100.00
0 Rp 6,171.00
0 Rp 147.20
3 Rp 578.32
2 2 4 4 7 2 21 Rp 34,485.00
0
0 Rp 41,140.00
0 Rp 84,332.16
7 Rp 2,706.00
2 2 1 1 1 1 2 1 3 2 18 Rp 96,800.00
3 3 Rp 57,196.70
0 Rp 13,733.50
0 Rp 10,914.20
0 Rp 1,814.27
0 Rp 556.60
0 Rp 1,016.40
4 Rp 2,317.97
1 Rp 23,791.63
12 6 6 5 3 3 3 3 5 3 62 Rp 14,520.00
0
0 Rp 88,935.00
0 Rp 127,042.63
0 Rp 113.30
0 Rp 121,000.00
1 1 Rp 95,700.00
0 Rp 93,500.00
1 3 Rp 1,649,823.14
1 Rp 943,800.00
2 Rp 99.00
1 1 1 5 Rp 117.70
6 Rp 475.00
0 Rp 35,860.00
6 3 3 3 29 Rp 47,512.67
1 1 4 Rp 3,146.00
0 Rp 411.40
1 2 Rp 1,825.99
0 Rp 770.00
0 Rp 135.30
1 1
0 Rp 4,192.65
0 Rp 159.50
0 Rp 7,150.01
0 Rp 30,401.25
0 Rp 46,417.80
0 Rp 34,065.28
0 Rp 14,304.47
0 Rp 43,257.50
0 Rp 9,680.00
8 6 6 6 6 6 3 67 Rp 5,336.10
3 3 3 26 Rp 12,259.72
0 Rp -
0 Rp 2,890.00
0 Rp 3,401.42
0 Rp 55,902.00
0 Rp 3,124.00
0 Rp 6,270.00
4 2 4 4 4 2 12 16 14 16 4 106 Rp 13,975.50
1 1 2 Rp 7,260.00
0 Rp 3,496.90
0 Rp 847.00
0 Rp 11,495.00
0 Rp 13,842.40
0 Rp 205.70
0 Rp 74,763.70
6 3 3 3 35 Rp 2,105.64
0 Rp 665.50
0 Rp 12,100.00
0 Rp 84,700.00
1 2 Rp 336.86
19 15 15 15 13 14 18 13 8 9 3 277 Rp 45,980.00
1 1 2 Rp 54,813.00
8 4 9 16 6 9 10 13 8 15 126 Rp 1,760.00
0 Rp 145.20
0 Rp 1,100.01
6 Rp 4,259.20
1 1 Rp 326.70
0 Rp 14,826.24
0 Rp 4,290.66
1 1 1 1 10 Rp 121.00
5 Rp 2,200.00
0 Rp 30,800.00
2 Rp 119.89
0 Rp 2,588.30
6 3 3 3 3 3 33 Rp 217.77
0 Rp 104.50
4 5 10 2 4 4 3 4 65 Rp 34,100.00
0 Rp 8,651.50
1 5 5 2 6 4 3 4 1 5 57 Rp 87,120.00
0 Rp 90,200.00
0 Rp 7,114.80
3 2 5 3 3 2 1 36 Rp 48,425.11
3 2 1 2 8 Rp 47,644.26
2 5 7 Rp 112,469.50
2 Rp 292,416.30
15 Rp 572.00
1 1 1 4 4 1 1 1 3 1 28 Rp 5,705.15
1 2 2 1 2 1 1 3 2 26 Rp 440.00
3 Rp 53.90
6 3 3 26 Rp 6,232.38
2 4 5 5 4 3 6 6 4 6 73 Rp 133.58
0 Rp 4,314.62
0 Rp 931.70
0 Rp 32,670.00
0 Rp 24,018.50
0 Rp 811.80
7 Rp 1,069.20
0 Rp 235.95
0 Rp 369.05
0 Rp 1,232.02
2 1 1 2 22 Rp 61,952.00
0 Rp 56,144.00
0 Rp -
10 1 9 5 5 5 95 Rp 43,999.96
0 Rp 244,399.87
2 Rp 10,865.80
0 Rp 10,865.80
2 15 Rp 693.00
0 Rp 1,580.70
1 12 7 4 24 Rp 67,760.00
0 Rp 78,760.11
2 6 8 Rp 1,325.68
10 10 10 5 79 Rp 10,744.80
2 2 Rp 17,182.00
1 1 2 Rp 88,451.00
0 Rp 88,000.00
0 Rp 9,070.00
1 4 Rp 14,510.56
3 3 2 3 3 2 3 3 3 5 36 Rp 3,382.50
0 Rp 11,480.70
0 Rp 137.50
1 Rp 586.04
0 Rp 6,655.00
11 12 6 20 15 11 11 15 18 24 9 282 Rp 27,298.52
6 6 9 3 3 4 61 Rp 5,580.98
0 Rp 3,475.15
6 Rp 314.60
12 12 9 23 12 16 8 3 3 12 3 238 Rp 7,203.74
2 2 4 6 14 Rp 20,920.90
2 2 Rp 148,500.00
0 Rp 121.00
0
0 Rp 21,628.75
0 Rp 14,024.06
0 Rp 15,519.46
0 Rp 21,668.68
0 Rp 20,307.28
0 Rp 7,145.42
3 4 3 3 18 Rp 6,270.00
0 Rp 10,697.35
0 Rp 54,384.00
10 10 Rp 2,032.80
0 Rp 104.50
3 3 11 Rp 5,929.00
0 Rp 1,736.59
0 Rp 5,001.70
0 Rp 195.48
2 1 16 Rp 2,200.00
2 1 7 Rp 24,200.97
3 Rp 459.80
0 Rp 5,500.00
0 Rp 1,461.90
2 2 Rp 7,381.00
1 2 3 2 2 1 1 2 2 3 31 Rp 547.80
1 Rp 47,355.00
1 1 3 Rp 44,462.00
0 Rp 33,275.00
1 Rp 70,462.70
0 Rp 3,390.96
0 Rp 146.20
1 1
3 3 3 9 Rp 1,210.00
2 3 3 10 35 Rp 42,350.00
0 Rp 4,400.00
0 Rp 1,119.80
0 Rp 608.25
0 Rp 992.20
0
4 5 24 26 7 17 7 8 6 14 209 Rp 6,766.50
1 1 2 1 5 Rp 189.91
6 18 18 12 6 6 6 8 6 12 173 Rp 7,260.00
2 2 4 Rp 66,000.00
0 Rp 2,319.90
0 Rp 5,498.09
2 1 1 4 Rp 36,905.00
4 4 Rp 1,694.00
0
2 Rp 344.51
0 Rp 1,489.40
0
0
0
TOTAL
BHP & CAIRAN

TOTAL
TANGGAL HARGA SAT
PEMAKAIAN
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
0 39.8
3 1 4 Rp 71,489.00
0 Rp 97,350.01
0 Rp 57,200.00
0 Rp 264,000.00
0 Rp 7,986.00
1 1 1 2 1 6 Rp 20,146.50
32 14 32 22 4 4 1 4 224 Rp 3,025.00
2 Rp 27,775.00
2 2 7 Rp 10,202.50
0 Rp 10,804.20
0 Rp 18,128.00
0 Rp 121,000.00
0 Rp 112,530.00
0 Rp 107,690.00
0 Rp 107,690.00
0 Rp 107,690.00
0 Rp 107,690.00
0
0 Rp 78,650.00
0 Rp 60,728.80
0 Rp 76,532.50
0 Rp 63,510.48
0 Rp 71,874.00
0 Rp 60,493.95
0
0
0
0
0
0 Rp 67,760.00
0 Rp 67,760.00
0 Rp 67,760.00
0 Rp 67,760.00
0 Rp 79,860.00
0 Rp 97,900.00
0 Rp 98,472.00
0 Rp 111,592.25
0
0
0
0 Rp 267,245.00
0 Rp 94,380.00
0 Rp 293,969.50
0 Rp 60,500.00
0 Rp 60,500.00
1 1 Rp 60,500.00
0
0 Rp 60,500.00
0 Rp 60,500.00
0 Rp 154,880.00
0 Rp 122,850.00
0
0
0
0
0
0 Rp 158,812.50
0 Rp 192,713.07
0 Rp 173,937.50
0
0 Rp 144,375.00
0 Rp 144,375.00
0 Rp 158,125.00
0 Rp 94,581.30
0 Rp 94,581.30
0
0 Rp 726,300.00
0
0 Rp 6,231.50
1 1 Rp 4,427.03
0 Rp 4,427.03
0 Rp 6,231.50
0 Rp 6,231.50
0 Rp -
0 Rp 183,073.00
1 1 Rp 1,016,400.00
0 Rp 715,000.00
2 2 1 7 Rp 31,544.70
0 Rp 89,925.00
2 2 1 2 4 3 2 3 2 1 1 50 Rp 247,498.90
6 6 6 5 2 6 4 2 4 74 Rp 14,865.40
3 Rp 8,249.78
4 4 28 Rp 9,559.00
1 2 8 2 1 1 2 2 4 49 Rp 7,590.00
0 Rp 12,100.00
1 2 Rp 102,608.00
0 Rp 156,749.99
5 4 7 5 15 11 10 158 Rp 4,400.00
0 Rp 50,311.80
0 Rp 52,598.70
0 Rp 38,066.60
0 Rp 52,598.70
0 Rp 52,598.70
0 Rp 52,598.70
0 Rp 52,598.70
0 Rp 60,500.00
0 Rp 52,598.70
0 Rp 52,598.70
1 1 Rp 52,598.70
0 Rp 70,180.00
1 1 2 1 4 10 Rp 36,960.00
0 Rp 432,575.00
0 Rp 40,656.00
1 1 Rp 40,656.00
0 Rp 55,139.70
0 Rp 21,780.00
0 Rp 21,780.00
0 Rp 56,265.00
0 Rp 21,780.00
0 Rp 40,656.00
0 Rp 432,575.00
0 Rp 432,575.00
0 Rp 67,276.00
0
0 Rp 22,808.50
1 1 2 Rp 21,054.00
0 Rp 21,054.00
0
0
0 Rp 25,462.80
0 Rp 22,808.50
0 Rp 87,120.00
0 Rp 67,276.00
0
1 Rp 174,240.00
0 Rp 174,240.00
0 Rp 88,935.00
0
0
0 Rp 32,724.81
0 Rp 43,259.73
2 1 3 1 3 16 Rp 97,130.00
1 1 1 2 3 1 1 2 23 Rp 24,502.50
0
0 Rp 53,500.00
0 Rp 53,500.00
0 Rp 55,000.00
0 Rp 56,000.00
0 Rp 53,900.00
0 Rp 39,379.45
0 Rp 55,131.23
0 Rp 72,293.87
0 Rp 1,137,400.00
0 Rp 14,974.30
95 160 146 150 220 134 140 90 160 130 120 2923 Rp 717.00
0 Rp 20,267.50
0 Rp 14,507.90
1 1 2 4 Rp 11,988.80
1 3 1 3 12 Rp 11,988.80
1 2 3 1 2 1 11 Rp 14,974.30
0 Rp 13,189.00
1 1 2 8 2 7 1 1 38 Rp 61,619.80
0 Rp 161,343.60
0 Rp 223,015.10
0 Rp 292,710.00
0 Rp 4,950.00
0 Rp 9,583.20
1 2 2 4 1 2 3 2 27 Rp 11,562.10
0 Rp -
0 Rp 15,301.00
4 Rp 8,492.46
1 3 4 2 4 3 4 4 61 Rp 13,657.60
5 1 4 2 4 3 2 2 52 Rp 13,657.60
2 Rp 13,657.60
0 Rp 3,267.00
7 6 9 5 2 4 3 1 4 6 92 Rp 11,313.50
0 Rp 254,100.00
1 1 Rp 3,408.57
0 Rp 165,770.00
0 Rp 101,640.00
0 Rp 54,142.00
0 Rp 93,500.00
0 Rp -
0 Rp 7,865.00
2 1 1 1 2 2 3 1 1 39 Rp 78,650.00
0 Rp 25,410.00
2 4 2 1 4 14 Rp 43,449.89
35 55 83 45 93 60 36 27 35 63 53 1099 Rp 699.60
2 1 1 4 Rp -
0 Rp 60,500.00
0 Rp 2,628,727.20
5 14 4 12 3 17 9 3 5 10 181 Rp 7,051.00
0 Rp 21,780.00
2 2 6 3 2 1 3 32 Rp 14,520.00
0 Rp 12,705.00
0 Rp 12,705.00
2 1 1 1 1 12 Rp 12,705.00
2 6 Rp 363.00
0 Rp -
1 1 3 Rp 49,247.00
0 Rp 215,380.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0 Rp 786,500.00
0
0 Rp 118,580.00
2 Rp 50,545.33
1 2 Rp 31,544.70
3 4 3 5 5 2 1 2 53 Rp 33,275.00
0 Rp 332,750.00
0
7 7 8 8 3 7 6 14 12 11 12 162 Rp 10,847.65
1 1 Rp 26,620.00
1 2 Rp 631,099.70
0 Rp 31,804.85
0 Rp 39,756.97
0 Rp 55,660.00
0 Rp 33,880.00
0 Rp 50,820.00
0 Rp 71,500.11
3 1 1 12 Rp 1,151.19
2 4 13 12 9 17 1 1 1 9 145 Rp 2,887.50
2 1 1 11 Rp 13,189.00
5 4 9 5 6 5 5 1 7 112 Rp 1,856.25
1 6 3 2 3 1 4 40 Rp 1,993.75
6 2 6 7 5 1 1 3 59 Rp 20,022.00
1 1 1 2 9 Rp 41,745.00
0 Rp 245,811.50
0 Rp 163,350.00
0 Rp 8,470.00
0 Rp 8,470.00
1 1 5 1 1 1 22 Rp 8,470.00
0 Rp 8,470.00
0 Rp 8,470.00
0 Rp 8,470.00
0 Rp 44,907.50
0 Rp 44,588.50
0 Rp 44,588.50
0 Rp 618,310.00
0 Rp 423,500.00
0 Rp 423,500.00
0 Rp 423,500.00
0 Rp 83,608.58
0 Rp 100,644.41
0 Rp 132,182.82
0 Rp 1,573,605.00
0 Rp -
0 Rp 970.42
2 1 1 2 1 1 1 18 Rp 11,180.40
1 1 3 Rp 3,740.00
0 Rp 1,131,350.00
0 Rp 18,150.00
0
1 2 6 1 10 Rp 9,718.50
0 Rp 89,540.00
1 3 Rp 70,276.80
0 Rp 4,385.70
0 Rp 38,115.00
0
0 Rp 18,150.00
0 Rp 183,968.40
0
0
2 1 5
0
0
0
0
0
0
0
0
2
0
0
0
1 1 1 1 1 3 3 1 1 18
1 6
TOTAL
TOTAL HARGA
Rp -
Rp 150,472.56
Rp 73,742.73
Rp -
Rp 2,916,100.00
Rp -
Rp -
Rp 1,734.96
Rp 724,185.00
Rp -
Rp -
Rp -
Rp 18,942.00
Rp 1,742,400.00
Rp 171,590.10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 9,271.88
Rp 23,791.63
Rp 900,240.00
Rp -
Rp -
Rp -
Rp -
Rp 95,700.00
Rp -
Rp 4,949,469.42
Rp 943,800.00
Rp 198.00
Rp 588.50
Rp 2,850.00
Rp -
Rp 1,377,867.43
Rp 12,584.00
Rp -
Rp 3,651.98
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 357,518.70
Rp 318,752.72
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,481,403.00
Rp 14,520.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 73,697.40
Rp -
Rp -
Rp -
Rp 673.72
Rp 12,736,460.00
Rp 109,626.00
Rp 221,760.00
Rp -
Rp -
Rp 25,555.20
Rp 326.70
Rp -
Rp -
Rp 1,210.00
Rp 11,000.00
Rp -
Rp 239.78
Rp -
Rp 7,186.41
Rp -
Rp 2,216,500.00
Rp -
Rp 4,965,840.00
Rp -
Rp -
Rp 1,743,303.96
Rp 381,154.08
Rp 787,286.50
Rp 584,832.60
Rp 8,580.00
Rp 159,744.20
Rp 11,440.00
Rp 161.70
Rp 162,041.88
Rp 9,751.34
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 7,484.40
Rp -
Rp -
Rp -
Rp 1,362,944.00
Rp -
Rp -
Rp 4,179,996.20
Rp -
Rp 21,731.60
Rp -
Rp 10,395.00
Rp -
Rp 1,626,240.00
Rp -
Rp 10,605.44
Rp 848,839.20
Rp 34,364.00
Rp 176,902.00
Rp -
Rp -
Rp 58,042.24
Rp 121,770.00
Rp -
Rp -
Rp 586.04
Rp -
Rp 7,698,182.64
Rp 340,439.78
Rp -
Rp 1,887.60
Rp 1,714,490.12
Rp 292,892.60
Rp 297,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 112,860.00
Rp -
Rp -
Rp 20,328.00
Rp -
Rp 65,219.00
Rp -
Rp -
Rp -
Rp 35,200.00
Rp 169,406.79
Rp 1,379.40
Rp -
Rp -
Rp 14,762.00
Rp 16,981.80
Rp 47,355.00
Rp 133,386.00
Rp -
Rp 70,462.70
Rp -
Rp -
Rp -
Rp 10,890.00
Rp 1,482,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,414,198.50
Rp 949.55
Rp 1,255,980.00
Rp 264,000.00
Rp -
Rp -
Rp 147,620.00
Rp 6,776.00
Rp -
Rp 689.02
Rp -
Rp -
Rp -
Rp -
Rp64,585,232.70
TOTAL HARGA
Rp -
Rp 285,956.00
Rp -
Rp -
Rp -
Rp -
Rp 120,879.00
Rp 677,600.00
Rp 55,550.00
Rp 71,417.50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 60,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 4,427.03
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,016,400.00
Rp -
Rp 220,812.90
Rp -
Rp 12,374,945.00
Rp 1,100,039.60
Rp 24,749.34
Rp 267,652.00
Rp 371,910.00
Rp -
Rp 205,216.00
Rp -
Rp 695,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 52,598.70
Rp -
Rp 369,600.00
Rp -
Rp -
Rp 40,656.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42,108.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 174,240.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,554,080.00
Rp 563,557.50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,095,791.00
Rp -
Rp -
Rp 47,955.20
Rp 143,865.60
Rp 164,717.30
Rp -
Rp 2,341,552.40
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 312,176.70
Rp -
Rp -
Rp 33,969.84
Rp 833,113.60
Rp 710,195.20
Rp 27,315.20
Rp -
Rp 1,040,842.00
Rp -
Rp 3,408.57
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 3,067,350.00
Rp -
Rp 608,298.46
Rp 768,860.40
Rp -
Rp -
Rp -
Rp 1,276,231.00
Rp -
Rp 464,640.00
Rp -
Rp -
Rp 152,460.00
Rp 2,178.00
Rp -
Rp 147,741.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 101,090.66
Rp 63,089.40
Rp 1,763,575.00
Rp -
Rp -
Rp 1,757,319.30
Rp 26,620.00
Rp 1,262,199.40
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 13,814.28
Rp 418,687.50
Rp 145,079.00
Rp 207,900.00
Rp 79,750.00
Rp 1,181,298.00
Rp 375,705.00
Rp -
Rp -
Rp -
Rp -
Rp 186,340.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 201,247.20
Rp 11,220.00
Rp -
Rp -
Rp -
Rp 97,185.00
Rp -
Rp 210,830.40
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42,695,706.18
LAMPIRAN KERTAS KERJA I
FEBRUARI 2018 ICU
SAT
1 2 3 4 5 6 7 8 9
2 CEFOTAXIM 1 G VIAL
5 CEFTRIAXON VIAL
6 COLISTINE TAB TAB
8 CIPROFLOXACIN 500 MG TAB
12 AMIKACIN VIAL
13 ERYSANBE TAB TAB
GOL. ANTIBIOTIK
14 LEVOFLOXACIN INF BTL
21 CEFIXIME 100 MG CAPS
22 CEFIXIME DR SYR BTL
23 METRONIDAZOL INF BTL
GOL. OBAT DIABETES
31 ALBUMIN BTL 25%100ML BTL
33 AMLODIPIN 5 MG TAB
35 CAPTOPRIL 50 MG TAB
37 DICYNONE INJ. AMP 1
38 VALSARTAN 80 MG TAB
GOL. HIPERTENSI
40 BISOPROL TAB TAB
45 CLONIDIN TAB TAB
53 ASAM TRANEKSAMAT INJ. 100 MG/ AMP 2 3 7 6
54 CARBAZOCROME INJ AMP 1
55 FOSFARGIN AMP
56 OXYTOCIN S AMP 10 IU/1 ML AMP 3 1
57 METILERGOMETRIN INJ AMP 1
61 CITICOLIN INJEKSI 125 MG/ML AMP
67 AMITRIPTILIN TAB
68 INVICLOT HEPARIN SODIUM 5000(H VIAL
GOL.ANTIKOAGULAN
69 PHYTOMENADION INJ (VIT.K) AMP
73 OMEPRAZOL 20 MG CAPS CAPS
74 OMEPRAZOL 40 MG INJ VIAL
75 EPISAN SYRUP
GOL. OBAT MAAG/LAMBUNG
76 RANITIDIN INJ. 25MG/ML AMP 1 4
79 ATORVASTATIN 20 MG TAB
83 ASPILET TAB
84 CLOPIDOGREL 75 MG TAB
86 DIGOXIN 0.25 TAB TAB
88 FARSORBID 10 MG TAB
GOL. OBAT JANTUNG
90 CEDOCARD INJ AMP
GOL. OBAT JANTUNG
92 RAIVAS INJ. 4 ML (VASCON) AMP

94 CETADOP INJ AMP
95 DOBUTAMIN 250 MG / 5 ML INJEKS VIAL
97 NICARDIPIN AMP
98 ARIXTRA INJ
99 CURCUMA TAB TAB
100 NEUROSANBE AMP AMP 2
101 NEURODEX TAB
102 VITAMIN B-COMP TAB
103 VITAMIN C AMP AMP
GOL. OBAT VITAMIN
104 VITAMIN C TAB TAB
107 ZAMEL SYR SYRUP
108 ELKANA SYR BTL
110 ALPRAZOLAM 1 MG TAB
114 BUNASCAN 0,5% (EPIDURAL) AMP 1 1
115 BUNASCAN SPINAL AMP 4 2 5
117 FENTANYL 2 ML AMP 8 5 8 10
119 DUROGESIC PATCH 25 MCG PCS
120 EPHEDRIN INJ AMP 3 5
121 CODEIN 10 MG TAB
GOL. OBAT NARKOTIKA /ANASTESI
123 FARELAX INJ 5 ML AMP 2 1
125 LIDOCAINE 2 % INJEKSI AMP 30 31 25
126 MIDAZOLAM INJ 15 MG AMP 4 1 5 7
128 PROANES AMP (PROPOPOL) AMP 1 1 1
130 NEOSTIGMIN HAMEIN INJ 0,5 MG/M AMP 3
131 PETHIDIN HCL 50 MG INJ. AMP 1 1 3
132 KSR TAB TAB
GOL.KARDIOVASKULER
135 MELOXICAM 7,5 MG TAB
137 SANMOL INFUS BTL
138 SANTAGESIK INJ AMP 2 1
140 SANMOL TAB TAB

141 KETOROLAC 30MG/ML INJ AMP 1 1 4
142 TRADOSIC INJ AMP 2

152 COMBIVENT NEBU AMP
153 GOL. OBAT OBAT SESAK/ASMA PULMICORT NEBU AMP
155 EPINEFRINE INJ 0,1 % AMP 1 2
156 DOMPERIDON TAB TAB 6
157 ONDANSETRON 4 MG / 2ML INJEKSI AMP 3 2 5 7
159 SOTATIC INJ 5 MG/ML 2ML (PRIMP AMP 1
161 DEKSAMETASON INJ 5 MG/ML AMP 7 4 7 10
GOL. OBAT
162 KORTIKOSTEROID(RADANG) METILPREDNISOLON 125 MG VIAL
163 METHYL PREDNISOLON TAB TAB
167 GOL. OBAT PENCAHAR ZINK TAB TAB
168 FLEET ENEMA BTL
169 LAXADIN SYR BTL
170 ZINKID SYR BTL
171 BISOLVON INJ AMP
176 N-ACE INJ AMP
178 LODIA TAB TAB
179 NEW DIATABS TAB
BRAXIDIN TAB
180 GOL. OBAT ANTI SPASMODIK
181 URESIX INJ AMP

183 VIP ALBUMIN CAPS CAPS
GOL. OBAT ASAM URAT
186 KALITAKE SCHT
188 GOL. ANTIKOLINERGIK ATROPIN SULFAT 0,25 INJ AMP 5 1
189 CTM TAB
190 GOL.ANTIHISTAMIN CETIRIZINE TAB TAB
GOL.OBAT ASAM URAT
TOTAL
FEBRUARI 2018 ICU

SAT
NO GOL.BHP NAMA OBAT
1 2 3 4 5 6 7 8 9
1 ALKOHOL /CC CC
2 AMINOFLUID PCS
5 AMINOLEBAM PCS
6 APRON PCS
7 AQUADEST 1 LITER INFUS BTL 21 41
8 AQUADEST 25 ML FLACON FLC 4 6 1 3 3
9 ARM SLING PCS 1 1
10 ASERING 500 ML INFUS BTL
11 ASKINA 7,5 x 5 PCS 3 2
12 ASKINA 9X15 PCS 2
13 BENANG ASSUCRYL 1 PCS 1 1
14 BENANG ASSUCRYL 2/0 PCS 1 2 1 2 1
15 BENANG ASSUCRYL 3/0 PCS 1
22 BENANG FILAFEAU 2/0 PCS 1
31 BENANG NYLON 2/0 PCS 2 1 1
32 BENANG NYLON 3/0 PCS 2 4 1 1
33 BENANG NYLON 4/0 PCS 6
38 BENANG PROLEN 1/0 PCS 1
46 BENANG silk 2/0 PCS 1
56 BENANG T-VIO 1/0 PCS 2 6 1
57 BENANG T-VIO 2/0 PCS 1
58 BENANG T-VIO 3/0 PCS 1 1
68 BETADINE 1 L BTL
69 BIO-CHOL PCS
71 BISTURI NO.11 PCS 1 1 2 1 1
72 BISTURI NO.15 PCS 2 1 3 2
73 BISTURI NO.21 PCS 1
74 BISTURI NO.22 PCS 4 1 2 3 3
75 BONEWANX PCS
76 BSS PCS
77 CERTOFIX HD PCS
79 COLOSTOMY BAG PCS 2
81 COMBIFLEX 100 ML PCS
82 CONECTA PCS 1 2 1
83 DEXTROSE 10 % BTL
85 DEXTROSE 5 % BTL
87 ELBOW ELASTIS CATH PCS
89 ELEKTRODA PCS 21 9 15 6 24 15
90 ETT 2.5 PCS
91 ETT 3.0 PCS
92 ETT 3.5 PCS
93 ETT 4.0 PCS
94 ETT 4.5 PCS
95 ETT 5.0 PCS
96 ETT 5.5 PCS
97 ETT 6.0 PCS
98 ETT 6.5 PCS
99 ETT 7.0 PCS
100 ETT 7.5 PCS 2
102 FEEDING TUBE 16 PCS
105 FEEDING TUBE NO. 18 PCS 2
108 FEEDING TUBE NO. 5,0 PCS 1 2 1
118 FOLEY CATHETER 18 PCS 4 4 1 3 1
123 FOLEY CATHETER 3 WAY 24 PCS 1 2
132 FUTROLIT BTL
133 GELOFUSIN BTL 2 1
134 GUDEL DEWASA HIJAU PCS
135 GUDEL HITAM PCS
137 GUDEL MERAH PCS
140 GUDEL PUTIH PCS
141 GYPSONA 3 INCHI PCS 1
142 GYPSONA 4 INCHI PCS 3
146 HANDSCOON NON STERIL PSG 30 14 22 6 26 24
147 HANDSCOON ORTHO PSG 2 1 1
149 HANDSCOON STERIL 6.5 PSG 11 2 6 3 7 1
150 HANDSCOON STERIL 7 PSG 17 2 15 3 6 4
151 HANDSCOON STERIL 7.5 PSG 9 1 6 4 13 12
153 HUMIFLO PCS
159 INFUS SET DEWASA PCS 1 1
160 ISOFLURANE BTL
161 IV CAT 16 PCS 1
162 IV CAT 18 PCS 4 2 1
163 IV CAT 20 PCS 1
164 IV CAT 22 PCS
165 IV CAT 24 PCS
167 KAEN 3B BTL
168 KASA ROLL PCS
172 KIDMIN PCS
173 KY JELLY PCS
174 LEUCOPLAST PCS
175 LIGA CLIP PCS
176 LIPOFUNDIN BTL
177 LOMATULLE PCS
178 MANITOL 20 % INFUS BTL
179 MASKER PCS 36 7 32 4 32 24
181 MEDE BLUE PCS
183 NACL 0,9 % INFUS BTL 6 1 13 7 24 38
185 NACL PIGGY BAG INFUS BTL 1 2 2 1 2
188 NASAL CANULA O2 DEWASA PCS 5 1 2 4 4
189 NEEDLE 18 PCS 1
190 NRM ANAK PCS 1
191 NRM DEWASA PCS 1
192 OCUSOL BTL
213 OPTIMA 6.00 PCS
214 OPTIMAVISC PCS
215 PAN AMIN G PCS
216 PENJEPIT COLOSTOMY PCS 2
217 PERFUSSOR PCS 1
218 PERIFIX (EPIDURAL SET) PCS 2 2 1 1
219 POT URINE POT
220 RL INFUSAN (SANBE) BTL 18 8 16 20 10
221 SALIN 3% BTL
222 SIRCUIT VENTILATOR PCS
223 SOFTBAND 3 INCHI PCS 1
226 SPINOCAN 25 PCS 1 1 1 1 5 3
227 SPINOCAN 26 PCS
228 SPINOCAN 27 PCS
229 SPOIT 1 CC PCS 1 4
230 SPOIT 10 CC PCS 14 5 15 5 10 7
231 SPOIT 20 CC PCS 1 1 1
232 SPOIT 3 CC PCS 11 3 13 4 10 6
233 SPOIT 5 CC PCS 11 5 11 4 11 7
234 SPOIT 50 CC PINGGIR PCS
235 SPOIT 50 CC TENGAH PCS
236 STABE KNIFE PCS
240 SUCTION CATHETER NO. 14 PCS 1 1 1
247 SURVISC-TM PCS
252 TENSOCREPE 4 INCHI PCS 1
253 TENSOCREPE 6 INCHI PCS 1
255 TIP CLEANER PCS
256 TOPI OPERASI PCS 31 7 31 2 25 17
257 TRANSFUSI SET PCS 2 4
258 TRANSOFIX PCS
260 T-SCRUB PCS 1
262 URINE BAG PCS 5 4 3 1
263 UROGARD TERUMO PCS 2 3
264 VENTILATOR HME FILTER PCS
271 PD SCRUB BTL
272 KAEN MG3 BTL
273 IV CAT 26 PCS
275 MGSO4 PCS
280 MILDEX LTR
281 CONDOM CATHETER (L,M,S) PCS
282 HANDRUB 5 L LTR
285 NEFROSTERIL PCS
286 VALAMIN INF
SIMPLE MASK 1
TOTAL
KERTAS KERJA INSTALASI APOTEK (DEPO IBS)
OBAT
TOTAL
TANGGAL PEMAKAIAN
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1
7 1
1
1 2 1 5
1
2 3
8 3
11 2 4 16
1 2 2
32 6 2 46
4 1 1 4
1 1 3
3
1 1
2 1
1 1 4
1
6 2 1 6
4 1 2 13
3
TOTAL
BHP & CAIRAN

TOTAL
TANGGAL PEMAKAIAN
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 6
1
1
1
1 1 2
1 1
2 4
1 1
1 3
3 1
2 1 1 2
4
7 1
3 1
3 3 3 21
1
1
8 4
2
1
6 6
1 1
16 1 12
2 10
17 3 1 13
2
2 2
1
5 2 6 25
11 1 18
10
2 2
27 1 2 16
3
1
1
17 1 3 10
10 1 11
11 2 2 10
5 2 4 19
2 1 1
1 5
1
TOTAL
HARGA SAT TOTAL HARGA
Rp 612.70 Rp -
Rp 6,269.69 Rp -
Rp 24,580.91 Rp -
Rp 266,200.00 Rp -
Rp 12,100.00 Rp -
Rp 6,171.00 Rp -
Rp 147.20 Rp -
Rp 578.32 Rp -
Rp 34,485.00 Rp -
Rp -
Rp 41,140.00 Rp -
Rp 84,332.16 Rp -
Rp 2,706.00 Rp -
Rp 96,800.00 Rp -
Rp 57,196.70 Rp -
Rp 13,733.50 Rp -
Rp 10,914.20 Rp -
Rp 1,814.27 Rp -
Rp 556.60 Rp -
Rp 1,016.40 Rp -
Rp 2,317.97 Rp -
Rp 23,791.63 Rp -
Rp 14,520.00 Rp -
Rp 88,935.00 Rp -
Rp 127,042.63 Rp -
Rp 113.30 Rp -
Rp 121,000.00 Rp -
Rp 95,700.00 Rp -
Rp 93,500.00 Rp -
Rp 1,649,823.14 Rp -
Rp 943,800.00 Rp -
Rp 99.00 Rp -
Rp 117.70 Rp -
Rp 475.00 Rp -
Rp 35,860.00 Rp -
Rp 47,512.67 Rp -
Rp 3,146.00 Rp -
Rp 411.40 Rp -
Rp 1,825.99 Rp -
Rp 770.00 Rp -
Rp 135.30 Rp -
Rp 4,192.65 Rp -
Rp 159.50 Rp -
Rp 7,150.01 Rp -
Rp 30,401.25 Rp -
Rp 46,417.80 Rp -
Rp 34,065.28 Rp -
Rp 14,304.47 Rp -
Rp 43,257.50 Rp -
Rp 9,680.00 Rp -
Rp 5,336.10 Rp -
Rp 12,259.72 Rp -
Rp - Rp -
Rp 2,890.00 Rp -
Rp 3,401.42 Rp -
Rp 55,902.00 Rp -
Rp 3,124.00 Rp -
Rp 6,270.00 Rp -
Rp 13,975.50 Rp -
Rp 7,260.00 Rp -
Rp 3,496.90 Rp -
Rp 847.00 Rp -
Rp 11,495.00 Rp -
Rp 13,842.40 Rp -
Rp 205.70 Rp -
Rp 74,763.70 Rp -
Rp 2,105.64 Rp -
Rp 665.50 Rp -
Rp 12,100.00 Rp -
Rp 84,700.00 Rp -
Rp 336.86 Rp -
Rp 45,980.00 Rp -
Rp 54,813.00 Rp -
Rp 1,760.00 Rp -
Rp 145.20 Rp -
Rp 1,100.01 Rp -
Rp 4,259.20 Rp -
Rp 326.70 Rp -
Rp 14,826.24 Rp -
Rp 4,290.66 Rp -
Rp 121.00 Rp -
Rp 2,200.00 Rp -
Rp 30,800.00 Rp -
Rp 119.89 Rp -
Rp 2,588.30 Rp -
Rp 217.77 Rp -
Rp 104.50 Rp -
Rp 34,100.00 Rp -
Rp 8,651.50 Rp -
Rp 87,120.00 Rp -
Rp 90,200.00 Rp -
Rp 7,114.80 Rp -
Rp 48,425.11 Rp -
Rp 47,644.26 Rp -
Rp 112,469.50 Rp -
Rp 292,416.30 Rp -
Rp 572.00 Rp -
Rp 5,705.15 Rp -
Rp 440.00 Rp -
Rp 53.90 Rp -
Rp 6,232.38 Rp -
Rp 133.58 Rp -
Rp 4,314.62 Rp -
Rp 931.70 Rp -
Rp 32,670.00 Rp -
Rp 24,018.50 Rp -
Rp 811.80 Rp -
Rp 1,069.20 Rp -
Rp 235.95 Rp -
Rp 369.05 Rp -
Rp 1,232.02 Rp -
Rp 61,952.00 Rp -
Rp 56,144.00 Rp -
Rp - Rp -
Rp 43,999.96 Rp -
Rp 244,399.87 Rp -
Rp 10,865.80 Rp -
Rp 10,865.80 Rp -
Rp 693.00 Rp -
Rp 1,580.70 Rp -
Rp 67,760.00 Rp -
Rp 78,760.11 Rp -
Rp 1,325.68 Rp -
Rp 10,744.80 Rp -
Rp 17,182.00 Rp -
Rp 88,451.00 Rp -
Rp 88,000.00 Rp -
Rp 9,070.00 Rp -
Rp 14,510.56 Rp -
Rp 3,382.50 Rp -
Rp 11,480.70 Rp -
Rp 137.50 Rp -
Rp 586.04 Rp -
Rp 6,655.00 Rp -
Rp 27,298.52 Rp -
Rp 5,580.98 Rp -
Rp 3,475.15 Rp -
Rp 314.60 Rp -
Rp 7,203.74 Rp -
Rp 20,920.90 Rp -
Rp 148,500.00 Rp -
Rp 121.00 Rp -
Rp -
Rp 21,628.75 Rp -
Rp 14,024.06 Rp -
Rp 15,519.46 Rp -
Rp 21,668.68 Rp -
Rp 20,307.28 Rp -
Rp 7,145.42 Rp -
Rp 6,270.00 Rp -
Rp 10,697.35 Rp -
Rp 54,384.00 Rp -
Rp 2,032.80 Rp -
Rp 104.50 Rp -
Rp 5,929.00 Rp -
Rp 1,736.59 Rp -
Rp 5,001.70 Rp -
Rp 195.48 Rp -
Rp 2,200.00 Rp -
Rp 24,200.97 Rp -
Rp 459.80 Rp -
Rp 5,500.00 Rp -
Rp 1,461.90 Rp -
Rp 7,381.00 Rp -
Rp 547.80 Rp -
Rp 47,355.00 Rp -
Rp 44,462.00 Rp -
Rp 33,275.00 Rp -
Rp 70,462.70 Rp -
Rp 3,390.96 Rp -
Rp 146.20 Rp -
Rp -
Rp 1,210.00 Rp -
Rp 42,350.00 Rp -
Rp 4,400.00 Rp -
Rp 1,119.80 Rp -
Rp 608.25 Rp -
Rp 992.20 Rp -
Rp -
Rp 6,766.50 Rp -
Rp 189.91 Rp -
Rp 7,260.00 Rp -
Rp 66,000.00 Rp -
Rp 2,319.90 Rp -
Rp 5,498.09 Rp -
Rp 36,905.00 Rp -
Rp 1,694.00 Rp -
Rp -
Rp 344.51 Rp -
Rp 1,489.40 Rp -
Rp -
Rp -
Rp -
Rp -
HARGA SAT TOTAL HARGA
39.8 Rp -
Rp 71,489.00 Rp -
Rp 97,350.01 Rp -
Rp 57,200.00 Rp -
Rp 264,000.00 Rp -
Rp 7,986.00 Rp -
Rp 20,146.50 Rp -
Rp 3,025.00 Rp -
Rp 27,775.00 Rp -
Rp 10,202.50 Rp -
Rp 10,804.20 Rp -
Rp 18,128.00 Rp -
Rp 121,000.00 Rp -
Rp 112,530.00 Rp -
Rp 107,690.00 Rp -
Rp 107,690.00 Rp -
Rp 107,690.00 Rp -
Rp 107,690.00 Rp -
Rp -
Rp 78,650.00 Rp -
Rp 60,728.80 Rp -
Rp 76,532.50 Rp -
Rp 63,510.48 Rp -
Rp 71,874.00 Rp -
Rp 60,493.95 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 67,760.00 Rp -
Rp 67,760.00 Rp -
Rp 67,760.00 Rp -
Rp 67,760.00 Rp -
Rp 79,860.00 Rp -
Rp 97,900.00 Rp -
Rp 98,472.00 Rp -
Rp 111,592.25 Rp -
Rp -
Rp -
Rp -
Rp 267,245.00 Rp -
Rp 94,380.00 Rp -
Rp 293,969.50 Rp -
Rp 60,500.00 Rp -
Rp 60,500.00 Rp -
Rp 60,500.00 Rp -
Rp -
Rp 60,500.00 Rp -
Rp 60,500.00 Rp -
Rp 154,880.00 Rp -
Rp 122,850.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 158,812.50 Rp -
Rp 192,713.07 Rp -
Rp 173,937.50 Rp -
Rp -
Rp 144,375.00 Rp -
Rp 144,375.00 Rp -
Rp 158,125.00 Rp -
Rp 94,581.30 Rp -
Rp 94,581.30 Rp -
Rp -
Rp 726,300.00 Rp -
Rp -
Rp 6,231.50 Rp -
Rp 4,427.03 Rp -
Rp 4,427.03 Rp -
Rp 6,231.50 Rp -
Rp 6,231.50 Rp -
Rp - Rp -
Rp 183,073.00 Rp -
Rp 1,016,400.00 Rp -
Rp 715,000.00 Rp -
Rp 31,544.70 Rp -
Rp 89,925.00 Rp -
Rp 247,498.90 Rp -
Rp 14,865.40 Rp -
Rp 8,249.78 Rp -
Rp 9,559.00 Rp -
Rp 7,590.00 Rp -
Rp 12,100.00 Rp -
Rp 102,608.00 Rp -
Rp 156,749.99 Rp -
Rp 4,400.00 Rp -
Rp 50,311.80 Rp -
Rp 52,598.70 Rp -
Rp 38,066.60 Rp -
Rp 52,598.70 Rp -
Rp 52,598.70 Rp -
Rp 52,598.70 Rp -
Rp 52,598.70 Rp -
Rp 60,500.00 Rp -
Rp 52,598.70 Rp -
Rp 52,598.70 Rp -
Rp 52,598.70 Rp -
Rp 70,180.00 Rp -
Rp 36,960.00 Rp -
Rp 432,575.00 Rp -
Rp 40,656.00 Rp -
Rp 40,656.00 Rp -
Rp 55,139.70 Rp -
Rp 21,780.00 Rp -
Rp 21,780.00 Rp -
Rp 56,265.00 Rp -
Rp 21,780.00 Rp -
Rp 40,656.00 Rp -
Rp 432,575.00 Rp -
Rp 432,575.00 Rp -
Rp 67,276.00 Rp -
Rp -
Rp 22,808.50 Rp -
Rp 21,054.00 Rp -
Rp 21,054.00 Rp -
Rp -
Rp -
Rp 25,462.80 Rp -
Rp 22,808.50 Rp -
Rp 87,120.00 Rp -
Rp 67,276.00 Rp -
Rp -
Rp 174,240.00 Rp -
Rp 174,240.00 Rp -
Rp 88,935.00 Rp -
Rp -
Rp -
Rp 32,724.81 Rp -
Rp 43,259.73 Rp -
Rp 97,130.00 Rp -
Rp 24,502.50 Rp -
Rp -
Rp 53,500.00 Rp -
Rp 53,500.00 Rp -
Rp 55,000.00 Rp -
Rp 56,000.00 Rp -
Rp 53,900.00 Rp -
Rp 39,379.45 Rp -
Rp 55,131.23 Rp -
Rp 72,293.87 Rp -
Rp 1,137,400.00 Rp -
Rp 14,974.30 Rp -
Rp 717.00 Rp -
Rp 20,267.50 Rp -
Rp 14,507.90 Rp -
Rp 11,988.80 Rp -
Rp 11,988.80 Rp -
Rp 14,974.30 Rp -
Rp 13,189.00 Rp -
Rp 61,619.80 Rp -
Rp 161,343.60 Rp -
Rp 223,015.10 Rp -
Rp 292,710.00 Rp -
Rp 4,950.00 Rp -
Rp 9,583.20 Rp -
Rp 11,562.10 Rp -
Rp - Rp -
Rp 15,301.00 Rp -
Rp 8,492.46 Rp -
Rp 13,657.60 Rp -
Rp 13,657.60 Rp -
Rp 13,657.60 Rp -
Rp 3,267.00 Rp -
Rp 11,313.50 Rp -
Rp 254,100.00 Rp -
Rp 3,408.57 Rp -
Rp 165,770.00 Rp -
Rp 101,640.00 Rp -
Rp 54,142.00 Rp -
Rp 93,500.00 Rp -
Rp - Rp -
Rp 7,865.00 Rp -
Rp 78,650.00 Rp -
Rp 25,410.00 Rp -
Rp 43,449.89 Rp -
Rp 699.60 Rp -
Rp - Rp -
Rp 60,500.00 Rp -
Rp 2,628,727.20 Rp -
Rp 7,051.00 Rp -
Rp 21,780.00 Rp -
Rp 14,520.00 Rp -
Rp 12,705.00 Rp -
Rp 12,705.00 Rp -
Rp 12,705.00 Rp -
Rp 363.00 Rp -
Rp - Rp -
Rp 49,247.00 Rp -
Rp 215,380.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp 786,500.00 Rp -
Rp -
Rp 118,580.00 Rp -
Rp 50,545.33 Rp -
Rp 31,544.70 Rp -
Rp 33,275.00 Rp -
Rp 332,750.00 Rp -
Rp -
Rp 10,847.65 Rp -
Rp 26,620.00 Rp -
Rp 631,099.70 Rp -
Rp 31,804.85 Rp -
Rp 39,756.97 Rp -
Rp 55,660.00 Rp -
Rp 33,880.00 Rp -
Rp 50,820.00 Rp -
Rp 71,500.11 Rp -
Rp 1,151.19 Rp -
Rp 2,887.50 Rp -
Rp 13,189.00 Rp -
Rp 1,856.25 Rp -
Rp 1,993.75 Rp -
Rp 20,022.00 Rp -
Rp 41,745.00 Rp -
Rp 245,811.50 Rp -
Rp 163,350.00 Rp -
Rp 8,470.00 Rp -
Rp 8,470.00 Rp -
Rp 8,470.00 Rp -
Rp 8,470.00 Rp -
Rp 8,470.00 Rp -
Rp 8,470.00 Rp -
Rp 44,907.50 Rp -
Rp 44,588.50 Rp -
Rp 44,588.50 Rp -
Rp 618,310.00 Rp -
Rp 423,500.00 Rp -
Rp 423,500.00 Rp -
Rp 423,500.00 Rp -
Rp 83,608.58 Rp -
Rp 100,644.41 Rp -
Rp 132,182.82 Rp -
Rp 1,573,605.00 Rp -
Rp - Rp -
Rp 970.42 Rp -
Rp 11,180.40 Rp -
Rp 3,740.00 Rp -
Rp 1,131,350.00 Rp -
Rp 18,150.00 Rp -
Rp -
Rp 9,718.50 Rp -
Rp 89,540.00 Rp -
Rp 70,276.80 Rp -
Rp 4,385.70 Rp -
Rp 38,115.00 Rp -
Rp -
Rp 18,150.00 Rp -
Rp 183,968.40 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
AMPRAHAN OBAT & BHP DEPO IBS FEBRUARI 2018
FEBRUARI 2018 OBAT

TANGGAL
5 6 6 9 16 19 22 23 26 27
5 CEFTRIAXON VIAL 60 30
6 COLISTINE TAB TAB
12 AMIKACIN VIAL
13 ERYSANBE TAB TAB
GOL. ANTIBIOTIK
14 LEVOFLOXACIN INF BTL 10
22 CEFIXIME DR SYR BTL 5
29 NOVORAPID FLEXPEN PCS 2
GOL. OBAT DIABETES
30 LEVEMIR FLEXPEN PCS 2
37 DICYNONE INJ. AMP
GOL. HIPERTENSI
GOL. HIPERTENSI
40 BISOPROL TAB TAB
45 CLONIDIN TAB TAB
53 ASAM TRANEKSAMAT INJ. 100 MG/ML AMP 30
54 CARBAZOCROME INJ AMP 20
55 FOSFARGIN AMP
58 ASAM VALPROAT SYR BTL 5
67 AMITRIPTILIN TAB 20
GOL.ANTIKOAGULAN
69 PHYTOMENADION INJ (VIT.K) AMP 30
74 OMEPRAZOL 40 MG INJ VIAL 60 30
75 GOL. OBAT EPISAN SYRUP
MAAG/LAMBUNG
76 RANITIDIN INJ. 25MG/ML AMP 50
83 ASPILET TAB
GOL. OBAT JANTUNG
90 CEDOCARD INJ AMP
94 CETADOP INJ AMP
95 DOBUTAMIN 250 MG / 5 ML INJEKSI VIAL 20
97 NICARDIPIN AMP
98 ARIXTRA INJ
99 CURCUMA TAB TAB
100 NEUROSANBE AMP AMP
101 NEURODEX TAB
GOL. OBAT VITAMIN
107 ZAMEL SYR SYRUP
108 ELKANA SYR BTL
114 BUNASCAN 0,5% (EPIDURAL) AMP
115 BUNASCAN SPINAL AMP 10
117 FENTANYL 2 ML AMP 50
122 GOL. OBAT NARKOTIKA CODEIN 20 MG TAB
/ANASTESI
125 LIDOCAINE 2 % INJEKSI AMP 30
126 MIDAZOLAM INJ 15 MG AMP
131 PETHIDIN HCL 50 MG INJ. AMP
132 KSR TAB TAB
GOL.KARDIOVASKULER
135 MELOXICAM 7,5 MG (profenid) TAB
137 SANMOL INFUS BTL 60 24
138 GOL. ANALGETIK/OBAT SANTAGESIK INJ AMP
NYERI
140 SANMOL TAB TAB
141 KETOROLAC 30MG/ML INJ AMP 180
150 STESOLID RECTAL 10 MG RCTL 3

GOL. OBAT OBAT
153 SESAK/ASMA PULMICORT NEBU AMP
157 ONDANSETRON 4 MG / 2ML INJEKSI AMP
159 SOTATIC INJ 5 MG/ML 2ML (PRIMPERAN AMP
161 DEKSAMETASON INJ 5 MG/ML AMP
GOL. OBAT
162 KORTIKOSTEROID(RADANG) METILPREDNISOLON 125 MG VIAL 10
168 FLEET ENEMA BTL
169 LAXADIN SYR BTL
170 ZINKID SYR BTL
GOL. OBAT BATUK

176 N-ACE INJ AMP
178 LODIA TAB TAB
179 NEW DIATABS TAB
GOL. OBAT ANTI BRAXIDIN TAB

180 SPASMODIK
181 URESIX INJ AMP

183 VIP ALBUMIN CAPS CAPS 90
GOL. OBAT ASAM URAT
186 KALITAKE SCHT
188 GOL. ANTIKOLINERGIK ATROPIN SULFAT 0,25 INJ AMP
189 CTM TAB
GOL.OBAT ASAM URAT
FEBRUARI 2018 BHP

TANGGAL
2 4 6 9 16 19 22 23 26 27
1 ALKOHOL /CC CC 3
2 AMINOFLUID PCS
5 AMINOLEBAM PCS
6 APRON PCS
7 AQUADEST 1 LITER INFUS BTL 30
8 AQUADEST 25 ML FLACON FLC 30
9 ARM SLING PCS 3
12 ASKINA 9X15 PCS
68 BETADINE 1 L BTL
69 BIO-CHOL PCS
75 BONEWANX PCS
76 BSS PCS
77 CERTOFIX HD PCS
79 COLOSTOMY BAG PCS
81 COMBIFLEX 100 ML PCS 15
82 CONECTA PCS
85 DEXTROSE 5 % BTL
89 ELEKTRODA PCS 300
90 ETT 2.5 PCS
91 ETT 3.0 PCS
92 ETT 3.5 PCS
93 ETT 4.0 PCS
94 ETT 4.5 PCS
95 ETT 5.0 PCS
96 ETT 5.5 PCS
97 ETT 6.0 PCS
98 ETT 6.5 PCS
99 ETT 7.0 PCS
100 ETT 7.5 PCS
132 FUTROLIT BTL
133 GELOFUSIN BTL 10
135 GUDEL HITAM PCS
137 GUDEL MERAH PCS
140 GUDEL PUTIH PCS
146 HANDSCOON NON STERIL PSG 800
149 HANDSCOON STERIL 6.5 PSG 50
153 HUMIFLO PCS
155 HYPAFIX 15 X 5 M ROLL 2
159 INFUS SET DEWASA PCS 29
160 ISOFLURANE BTL
161 IV CAT 16 PCS

162 IV CAT 18 PCS
163 IV CAT 20 PCS 50
164 IV CAT 22 PCS 50
165 IV CAT 24 PCS
167 KAEN 3B BTL
168 KASA ROLL PCS 6
172 KIDMIN PCS
173 KY JELLY PCS 2
174 LEUCOPLAST PCS
175 LIGA CLIP PCS
176 LIPOFUNDIN BTL
177 LOMATULLE PCS
179 MASKER PCS 500
181 MEDE BLUE PCS
183 NACL 0,9 % INFUS BTL 40 80
185 NACL PIGGY BAG INFUS BTL
188 NASAL CANULA O2 DEWASA PCS 10
189 NEEDLE 18 PCS 10
190 NRM ANAK PCS
191 NRM DEWASA PCS
192 OCUSOL BTL
213 OPTIMA 6.00 PCS
214 OPTIMAVISC PCS
215 PAN AMIN G PCS
216 PENJEPIT COLOSTOMY PCS
217 PERFUSSOR PCS 10
218 PERIFIX (EPIDURAL SET) PCS 10
219 POT URINE POT
220 RL INFUSAN (SANBE) BTL 60
221 SALIN 3% BTL
226 SPINOCAN 25 PCS
227 SPINOCAN 26 PCS
228 SPINOCAN 27 PCS
229 SPOIT 1 CC PCS
230 SPOIT 10 CC PCS 100
231 SPOIT 20 CC PCS 50
232 SPOIT 3 CC PCS
233 SPOIT 5 CC PCS
236 STABE KNIFE PCS
240 SUCTION CATHETER NO. 14 PCS 6
247 SURVISC-TM PCS
255 TIP CLEANER PCS
256 TOPI OPERASI PCS 100
257 TRANSFUSI SET PCS
258 TRANSOFIX PCS
260 T-SCRUB PCS
262 URINE BAG PCS 10
263 UROGARD TERUMO PCS 5
271 PD SCRUB BTL 2
272 KAEN MG3 BTL
273 IV CAT 26 PCS
275 MGSO4 PCS
280 MILDEX LTR
282 HANDRUB 5 L LTR
285 NEFROSTERIL PCS
286 VALAMIN INF 5
287 SIMPLE MASK
RI 2018
TOTAL HARGA SAT TOTAL HARGA

AMPRA
Rp 612.70 Rp -
Rp 6,269.69 Rp -
Rp 24,580.91 Rp -
Rp 266,200.00 Rp -
Rp 12,100.00 Rp -
Rp 6,171.00 Rp -
Rp 147.20 Rp -
Rp 578.32 Rp -
Rp 34,485.00 Rp -
Rp 9,801.00 Rp -
Rp 41,140.00 Rp -
Rp 84,332.16 Rp -
Rp 2,706.00 Rp -
Rp 96,800.00 Rp -
Rp 57,196.70 Rp -
Rp 13,733.50 Rp -
Rp 10,914.20 Rp -
Rp 1,814.27 Rp -
Rp 556.60 Rp -
Rp 1,016.40 Rp -
Rp 2,317.97 Rp -
Rp 23,791.63 Rp -
Rp 14,520.00 Rp -
Rp 305.83 Rp -
Rp 88,935.00 Rp -
Rp 127,042.63 Rp -
Rp 113.30 Rp -
Rp 121,000.00 Rp -
Rp 95,700.00 Rp -
Rp 93,500.00 Rp -
Rp 1,649,823.14 Rp -
Rp 943,800.00 Rp -
Rp 99.00 Rp -
Rp 117.70 Rp -
Rp 475.00 Rp -
Rp 35,860.00 Rp -
Rp 47,512.67 Rp -
Rp 3,146.00 Rp -
Rp 411.40 Rp -
Rp 1,825.99 Rp -
Rp 770.00 Rp -
Rp 135.30 Rp -
Rp 4,083.75 Rp -
Rp 4,192.65 Rp -
Rp 159.50 Rp -
Rp 7,150.01 Rp -
Rp 30,401.25 Rp -
Rp 46,417.80 Rp -
Rp 34,065.28 Rp -
Rp 14,304.47 Rp -
Rp 43,257.50 Rp -
Rp 9,680.00 Rp -
Rp 5,336.10 Rp -
Rp 12,259.72 Rp -
Rp - Rp -
Rp 2,890.00 Rp -
Rp 3,401.42 Rp -
Rp 55,902.00 Rp -
Rp 3,124.00 Rp -
Rp 6,270.00 Rp -
Rp 13,975.50 Rp -
Rp 7,260.00 Rp -
Rp 3,496.90 Rp -
Rp 847.00 Rp -
Rp 11,495.00 Rp -
Rp 13,842.40 Rp -
Rp 205.70 Rp -
Rp 74,763.70 Rp -
Rp 2,105.64 Rp -
Rp 665.50 Rp -
Rp 12,100.00 Rp -
Rp 84,700.00 Rp -
Rp 336.86 Rp -
Rp 45,980.00 Rp -
Rp 54,813.00 Rp -
Rp 1,760.00 Rp -
Rp 145.20 Rp -
Rp 1,100.01 Rp -
Rp 4,259.20 Rp -
Rp 326.70 Rp -
Rp 14,826.24 Rp -
Rp 4,290.66 Rp -
Rp 121.00 Rp -
Rp 2,200.00 Rp -
Rp 30,800.00 Rp -
Rp 119.89 Rp -
Rp 2,588.30 Rp -
Rp 217.77 Rp -
Rp 104.50 Rp -
Rp 34,100.00 Rp -
Rp 8,651.50 Rp -
Rp 87,120.00 Rp -
Rp 90,200.00 Rp -
Rp 7,114.80 Rp -
Rp 48,425.11 Rp -
Rp 47,644.26 Rp -
Rp 112,469.50 Rp -
Rp 292,416.30 Rp -
Rp 572.00 Rp -
Rp 5,705.15 Rp -
Rp 440.00 Rp -
Rp 53.90 Rp -
Rp 6,232.38 Rp -
Rp 133.58 Rp -
Rp 4,314.62 Rp -
Rp 931.70 Rp -
Rp 32,670.00 Rp -
Rp 24,018.50 Rp -
Rp 811.80 Rp -
Rp 1,069.20 Rp -
Rp 235.95 Rp -
Rp 369.05 Rp -
Rp 1,232.02 Rp -
Rp 61,952.00 Rp -
Rp 56,144.00 Rp -
Rp - Rp -
Rp 43,999.96 Rp -
Rp 244,399.87 Rp -
Rp 10,865.80 Rp -
Rp 10,865.80 Rp -
Rp 693.00 Rp -
Rp 1,580.70 Rp -
Rp 67,760.00 Rp -
Rp 78,760.11 Rp -
Rp 1,325.68 Rp -
Rp 10,744.80 Rp -
Rp 17,182.00 Rp -
Rp 88,451.00 Rp -
Rp 88,000.00 Rp -
Rp 9,070.00 Rp -
Rp 14,510.56 Rp -
Rp 3,382.50 Rp -
Rp 11,480.70 Rp -
Rp 137.50 Rp -
Rp 586.04 Rp -
Rp 6,655.00 Rp -
Rp 27,298.52 Rp -
Rp 5,580.98 Rp -
Rp 3,475.15 Rp -
Rp 314.60 Rp -
Rp 7,203.74 Rp -
Rp 20,920.90 Rp -
Rp 148,500.00 Rp -
Rp 121.00 Rp -
Rp 198.00 Rp -
Rp 21,628.75 Rp -
Rp 14,024.06 Rp -
Rp 15,519.46 Rp -
Rp 21,668.68 Rp -
Rp 20,307.28 Rp -
Rp 7,145.42 Rp -
Rp 6,270.00 Rp -
Rp 10,697.35 Rp -
Rp 54,384.00 Rp -
Rp 2,032.80 Rp -
Rp 104.50 Rp -
Rp 5,929.00 Rp -
Rp 1,736.59 Rp -
Rp 5,001.70 Rp -
Rp 195.48 Rp -
Rp 2,200.00 Rp -
Rp 24,200.97 Rp -
Rp 459.80 Rp -
Rp 5,500.00 Rp -
Rp 1,461.90 Rp -
Rp 7,381.00 Rp -
Rp 547.80 Rp -
Rp 47,355.00 Rp -
Rp 44,462.00 Rp -
Rp 33,275.00 Rp -
Rp 70,462.70 Rp -
Rp 3,390.96 Rp -
Rp 146.20 Rp -
Rp 3,288.13 Rp -
Rp 1,210.00 Rp -
Rp 42,350.00 Rp -
Rp 4,400.00 Rp -
Rp 1,119.80 Rp -
Rp 608.25 Rp -
Rp 992.20 Rp -
Rp -
Rp 6,766.50 Rp -
Rp 189.91 Rp -
Rp 7,260.00 Rp -
Rp 66,000.00 Rp -
Rp 2,319.90 Rp -
Rp 5,498.09 Rp -
Rp 36,905.00 Rp -
Rp 1,694.00 Rp -
Rp 214.50 Rp -
Rp 344.51 Rp -
Rp 1,489.40 Rp -
Rp 6,477.90 Rp -
Rp 200.22 Rp -
Rp 302.50 Rp -
TOTAL HARGA SAT TOTAL HARGA

AMPRA
39.8 0
Rp 71,489.00 0
Rp 97,350.01 0
Rp 57,200.00 0
Rp 264,000.00 0
Rp 7,986.00 0
Rp 20,146.50 0
Rp 3,025.00 0
Rp 27,775.00 0
Rp 10,202.50 0
Rp 10,804.20 0
Rp 18,128.00 0
Rp 121,000.00 0
Rp 112,530.00 0
Rp 107,690.00 0
Rp 107,690.00 0
Rp 107,690.00 0
Rp 107,690.00 0
0
Rp 78,650.00 0
Rp 60,728.80 0
Rp 76,532.50 0
Rp 63,510.48 0
Rp 71,874.00 0
Rp 60,493.95 0
0
0
0
0
0
Rp 67,760.00 0
Rp 67,760.00 0
Rp 67,760.00 0
Rp 67,760.00 0
Rp 79,860.00 0
Rp 97,900.00 0
Rp 98,472.00 0
Rp 111,592.25 0
0
0
0
Rp 267,245.00 0
Rp 94,380.00 0
Rp 293,969.50 0
Rp 60,500.00 0
Rp 60,500.00 0
Rp 60,500.00 0
0
Rp 60,500.00 0
Rp 60,500.00 0
Rp 154,880.00 0
Rp 122,850.00 0
0
0
0
Rp 90,387.00 0
Rp 87,120.00 0
Rp 158,812.50 0
Rp 192,713.07 0
Rp 173,937.50 0
0
Rp 144,375.00 0
Rp 144,375.00 0
Rp 158,125.00 0
Rp 94,581.30 0
Rp 94,581.30 0
0
Rp 726,300.00 0
0
Rp 6,231.50 0
Rp 4,427.03 0
Rp 4,427.03 0
Rp 6,231.50 0
Rp 6,231.50 0
Rp - 0
Rp 183,073.00 0
Rp 1,016,400.00 0
Rp 715,000.00 0
Rp 31,544.70 0
Rp 89,925.00 0
Rp 247,498.90 0
Rp 14,865.40 0
Rp 8,249.78 0
Rp 9,559.00 0
Rp 7,590.00 0
Rp 12,100.00 0
Rp 102,608.00 0
Rp 156,749.99 0
Rp 4,400.00 0
Rp 50,311.80 0
Rp 52,598.70 0
Rp 38,066.60 0
Rp 52,598.70 0
Rp 52,598.70 0
Rp 52,598.70 0
Rp 52,598.70 0
Rp 60,500.00 0
Rp 52,598.70 0
Rp 52,598.70 0
Rp 52,598.70 0
Rp 70,180.00 0
Rp 36,960.00 0
Rp 432,575.00 0
Rp 40,656.00 0
Rp 40,656.00 0
Rp 55,139.70 0
Rp 21,780.00 0
Rp 21,780.00 0
Rp 56,265.00 0
Rp 21,780.00 0
Rp 40,656.00 0
Rp 432,575.00 0
Rp 432,575.00 0
Rp 67,276.00 0
0
Rp 22,808.50 0
Rp 21,054.00 0
Rp 21,054.00 0
0
0
Rp 25,462.80 0
Rp 22,808.50 0
Rp 87,120.00 0
Rp 67,276.00 0
0
Rp 174,240.00 0
Rp 174,240.00 0
Rp 88,935.00 0
0
0
Rp 32,724.81 0
Rp 43,259.73 0
Rp 97,130.00 0
Rp 24,502.50 0
0
Rp 53,500.00 0
Rp 53,500.00 0
Rp 55,000.00 0
Rp 56,000.00 0
Rp 53,900.00 0
Rp 39,379.45 0
Rp 55,131.23 0
Rp 72,293.87 0
Rp 1,137,400.00 0
Rp 14,974.30 0
Rp 717.00 0
Rp 20,267.50 0
Rp 14,507.90 0
Rp 11,988.80 0
Rp 11,988.80 0
Rp 14,974.30 0
Rp 13,189.00 0
Rp 61,619.80 0
Rp 161,343.60 0
Rp 223,015.10 0
Rp 292,710.00 0
Rp 4,950.00 0
Rp 9,583.20 0
Rp 11,562.10 0
Rp - 0
Rp 15,301.00 0
Rp 8,492.46 0
Rp 13,657.60 0
Rp 13,657.60 0
Rp 13,657.60 0
Rp 3,267.00 0
Rp 11,313.50 0
Rp 254,100.00 0
Rp 3,408.57 0
Rp 165,770.00 0
Rp 101,640.00 0
Rp 54,142.00 0
Rp 93,500.00 0
Rp - 0
Rp 7,865.00 0
Rp 78,650.00 0
Rp 25,410.00 0
Rp 43,449.89 0
Rp 699.60 0
Rp - 0
Rp 60,500.00 0
Rp 2,628,727.20 0
Rp 7,051.00 0
Rp 21,780.00 0
Rp 14,520.00 0
Rp 12,705.00 0
Rp 12,705.00 0
Rp 12,705.00 0
Rp 363.00 0
Rp - 0
Rp 49,247.00 0
Rp 215,380.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
Rp 786,500.00 0
0
Rp 118,580.00 0
Rp 50,545.33 0
Rp 31,544.70 0
Rp 33,275.00 0
Rp 332,750.00 0
0
Rp 10,847.65 0
Rp 26,620.00 0
Rp 631,099.70 0
Rp 31,804.85 0
Rp 39,756.97 0
Rp 55,660.00 0
Rp 33,880.00 0
Rp 50,820.00 0
Rp 71,500.11 0
Rp 1,151.19 0
Rp 2,887.50 0
Rp 13,189.00 0
Rp 1,856.25 0
Rp 1,993.75 0
Rp 20,022.00 0
Rp 41,745.00 0
Rp 245,811.50 0
Rp 163,350.00 0
Rp 8,470.00 0
Rp 8,470.00 0
Rp 8,470.00 0
Rp 8,470.00 0
Rp 8,470.00 0
Rp 8,470.00 0
Rp 44,907.50 0
Rp 44,588.50 0
Rp 44,588.50 0
Rp 618,310.00 0
Rp 423,500.00 0
Rp 423,500.00 0
Rp 423,500.00 0
Rp 83,608.58 0
Rp 100,644.41 0
Rp 132,182.82 0
Rp 1,573,605.00 0
Rp - 0
Rp 970.42 0
Rp 11,180.40 0
Rp 3,740.00 0
Rp 1,131,350.00 0
Rp 18,150.00 0
0
Rp 9,718.50 0
Rp 89,540.00 0
Rp 70,276.80 0
Rp 4,385.70 0
Rp 38,115.00 0
Rp 43,560.00 0
Rp 18,150.00 0
Rp 183,968.40 0
Rp 198.00 0
Rp 892,980.00 0
Rp 10,559.67 0
Rp 58,201.00 0
Rp 44,588.50 0
Rp 4,070.00 0
0
0
Rp 2,373.80 0
0
Rp 139,755.00 0
Rp 9,680.00 0
0
0
Rp 359,975.00 0
Rp 54,558.90 0
Rp 50,543.90 0
0
RINCIAN STOK ITEM PENGELUARAN OBAT PASIEN I
TGL NO No.Faktur No.RM NAMA PASIEN
01-FEB- 1 APT010000112863 67142 tn. AUDANG WIJAYA JB. M

2018
APT010000112863 67142 tn. AUDANG WIJAYA JB. M
2 APT010000112864 147483 tn. PASEREI
3 APT010000112865 147546 tn. YOSIS LIAAS
APT010000112865 147546 tn. YOSIS LIAAS
4 APT010000112866 67142 tn. AUDANG WIJAYA JB. M
5 APT010000112870 115566 ny. HAMIDA DG SUGI
APT010000112870 115566 ny. HAMIDA DG SUGI
7 APT010000112876 147483 tn. PASEREI
APT010000112876 147483 tn. PASEREI
APT010000112876 147483 tn. PASEREI
APT010000112876 147483 tn. PASEREI
APT010000112876 147483 tn. PASEREI
APT010000112876 147483 tn. PASEREI
APT010000112876 147483 tn. PASEREI
APT010000112876 147483 tn. PASEREI
APT010000112876 147483 tn. PASEREI
APT010000112876 147483 tn. PASEREI
8 APT010000112880 147222 tn. MUHAMMAD ARIF
APT010000112880 147222 tn. MUHAMMAD ARIF
9 APT010000112883 141941 an. SITI MARYAM AZZAHRA
APT010000112883 141941 an. SITI MARYAM AZZAHRA
10 APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
APT010000112884 147429 ny. HJ ROHANA
11 APT010000112896 145892 tn. MUH YUNUS DINI
APT010000112896 145892 tn. MUH YUNUS DINI
14 APT010000112905 147429 ny. HJ ROHANA
APT010000112905 147429 ny. HJ ROHANA
16 APT010000113003 142818 ny. NASIA
17 APT010000113004 142818 ny. NASIA
APT010000113004 142818 ny. NASIA
APT010000113004 142818 ny. NASIA
APT010000113004 142818 ny. NASIA
APT010000113004 142818 ny. NASIA
18 APT010000113006 142818 ny. NASIA
APT010000113006 142818 ny. NASIA
19 APT010000113007 142818 ny. NASIA
APT010000113007 142818 ny. NASIA
APT010000113007 142818 ny. NASIA
APT010000113007 142818 ny. NASIA
APT010000113007 142818 ny. NASIA
21 APT010000113009 143687 ny. HAMRAH ARIF
APT010000113009 143687 ny. HAMRAH ARIF
27 APT010000113066 147429 ny. HJ ROHANA
APT010000113066 147429 ny. HJ ROHANA
APT010000113066 147429 ny. HJ ROHANA
APT010000113066 147429 ny. HJ ROHANA
APT010000113066 147429 ny. HJ ROHANA
28 APT010000113067 142818 ny. NASIA
APT010000113067 142818 ny. NASIA
TOTAL
02-FEB- 31 APT010000113280 145892 tn. MUH YUNUS DINI

2018
37 APT010000113287 147429 ny. HJ ROHANA
APT010000113287 147429 ny. HJ ROHANA
APT010000113287 147429 ny. HJ ROHANA
APT010000113287 147429 ny. HJ ROHANA
APT010000113287 147429 ny. HJ ROHANA
APT010000113287 147429 ny. HJ ROHANA
APT010000113287 147429 ny. HJ ROHANA
APT010000113287 147429 ny. HJ ROHANA
APT010000113287 147429 ny. HJ ROHANA
38 APT010000113288 147483 tn. PASEREI
APT010000113288 147483 tn. PASEREI
APT010000113288 147483 tn. PASEREI
APT010000113288 147483 tn. PASEREI
APT010000113288 147483 tn. PASEREI
APT010000113288 147483 tn. PASEREI
APT010000113288 147483 tn. PASEREI
APT010000113288 147483 tn. PASEREI
APT010000113288 147483 tn. PASEREI
39 APT010000113289 147483 tn. PASEREI
APT010000113289 147483 tn. PASEREI
APT010000113289 147483 tn. PASEREI
APT010000113289 147483 tn. PASEREI
APT010000113289 147483 tn. PASEREI
APT010000113289 147483 tn. PASEREI
APT010000113289 147483 tn. PASEREI
40 APT010000113290 147483 tn. PASEREI
41 APT010000113291 147483 tn. PASEREI
42 APT010000113300 147699 tn. BAKKA DG NYENGKA
APT010000113300 147699 tn. BAKKA DG NYENGKA
43 APT010000113305 147429 ny. HJ ROHANA
APT010000113305 147429 ny. HJ ROHANA
44 APT010000113309 147429 ny. HJ ROHANA
APT010000113309 147429 ny. HJ ROHANA
49 APT010000113321 142818 ny. NASIA
APT010000113321 142818 ny. NASIA
APT010000113321 142818 ny. NASIA
APT010000113321 142818 ny. NASIA
APT010000113321 142818 ny. NASIA
APT010000113321 142818 ny. NASIA
APT010000113321 142818 ny. NASIA
APT010000113321 142818 ny. NASIA
57 APT010000113417 147429 ny. HJ ROHANA
APT010000113417 147429 ny. HJ ROHANA
APT010000113417 147429 ny. HJ ROHANA
61 APT010000113422 147429 ny. HJ ROHANA
APT010000113422 147429 ny. HJ ROHANA
APT010000113422 147429 ny. HJ ROHANA
APT010000113422 147429 ny. HJ ROHANA
APT010000113422 147429 ny. HJ ROHANA
APT010000113422 147429 ny. HJ ROHANA
APT010000113422 147429 ny. HJ ROHANA
77 APT010000113671 128985 ny. SITTI AMINAH
APT010000113671 128985 ny. SITTI AMINAH
TOTAL

2018
64 APT010000113646 142818 ny. NASIA
APT010000113646 142818 ny. NASIA
APT010000113646 142818 ny. NASIA
APT010000113646 142818 ny. NASIA
APT010000113646 142818 ny. NASIA
APT010000113646 142818 ny. NASIA
APT010000113646 142818 ny. NASIA
APT010000113646 142818 ny. NASIA
APT010000113646 142818 ny. NASIA
65 APT010000113648 142818 ny. NASIA
71 APT010000113661 147483 tn. PASEREI
APT010000113661 147483 tn. PASEREI
APT010000113661 147483 tn. PASEREI
APT010000113661 147483 tn. PASEREI
APT010000113661 147483 tn. PASEREI
APT010000113661 147483 tn. PASEREI
APT010000113661 147483 tn. PASEREI
APT010000113661 147483 tn. PASEREI
APT010000113661 147483 tn. PASEREI
223 APT010000113958 147542 tn. GUMA TEPU
APT010000113958 147542 tn. GUMA TEPU
APT010000113958 147542 tn. GUMA TEPU
224 APT010000113959 147542 tn. GUMA TEPU
APT010000113959 147542 tn. GUMA TEPU
APT010000113959 147542 tn. GUMA TEPU
APT010000113959 147542 tn. GUMA TEPU
APT010000113959 147542 tn. GUMA TEPU
APT010000113959 147542 tn. GUMA TEPU
TOTAL
04-FEB- 81 APT010000113917 147542 tn. GUMA TEPU

2018
APT010000113917 147542 tn. GUMA TEPU
82 APT010000113918 147549 ny. SATTURIA
85 APT010000113941 147549 ny. SATTURIA
APT010000113941 147549 ny. SATTURIA
APT010000113941 147549 ny. SATTURIA
APT010000113941 147549 ny. SATTURIA
APT010000113941 147549 ny. SATTURIA
APT010000113941 147549 ny. SATTURIA
86 APT010000113943 147483 tn. PASEREI
APT010000113943 147483 tn. PASEREI
APT010000113943 147483 tn. PASEREI
APT010000113943 147483 tn. PASEREI
APT010000113943 147483 tn. PASEREI
APT010000113943 147483 tn. PASEREI
APT010000113943 147483 tn. PASEREI
APT010000113943 147483 tn. PASEREI
APT010000113943 147483 tn. PASEREI
APT010000113943 147483 tn. PASEREI
89 APT010000113923 142818 ny. NASIA
90 APT010000113924 147542 tn. GUMA TEPU
APT010000113924 147542 tn. GUMA TEPU
APT010000113924 147542 tn. GUMA TEPU
91 APT010000113925 147549 ny. SATTURIA
APT010000113925 147549 ny. SATTURIA
APT010000113925 147549 ny. SATTURIA
99 APT010000113939 142818 ny. NASIA
APT010000113939 142818 ny. NASIA
100 APT010000113946 147542 tn. GUMA TEPU
APT010000113946 147542 tn. GUMA TEPU
APT010000113946 147542 tn. GUMA TEPU
APT010000113946 147542 tn. GUMA TEPU
APT010000113946 147542 tn. GUMA TEPU
231 APT010000113953 142818 ny. NASIA
APT010000113953 142818 ny. NASIA
APT010000113953 142818 ny. NASIA
APT010000113953 142818 ny. NASIA
APT010000113953 142818 ny. NASIA
APT010000113953 142818 ny. NASIA
APT010000113953 142818 ny. NASIA
APT010000113953 142818 ny. NASIA
232 APT010000113954 142818 ny. NASIA
APT010000113954 142818 ny. NASIA
APT010000113954 142818 ny. NASIA
APT010000113954 142818 ny. NASIA
APT010000113954 142818 ny. NASIA
APT010000113954 142818 ny. NASIA
APT010000113954 142818 ny. NASIA
APT010000113954 142818 ny. NASIA
APT010000113954 142818 ny. NASIA
APT010000113954 142818 ny. NASIA
TOTAL
05-FEB- 103 APT010000114007 67142 tn. AUDANG WIJAYA JB. M

2018
05-FEB-
2018
104 APT010000114128 147542 tn. GUMA TEPU
APT010000114128 147542 tn. GUMA TEPU
APT010000114128 147542 tn. GUMA TEPU
APT010000114128 147542 tn. GUMA TEPU
APT010000114128 147542 tn. GUMA TEPU
APT010000114128 147542 tn. GUMA TEPU
APT010000114128 147542 tn. GUMA TEPU
APT010000114128 147542 tn. GUMA TEPU
APT010000114128 147542 tn. GUMA TEPU
APT010000114128 147542 tn. GUMA TEPU
105 APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
APT010000114137 147483 tn. PASEREI
106 APT010000114151 147549 ny. SATTURIA
APT010000114151 147549 ny. SATTURIA
APT010000114151 147549 ny. SATTURIA
APT010000114151 147549 ny. SATTURIA
APT010000114151 147549 ny. SATTURIA
APT010000114151 147549 ny. SATTURIA
APT010000114151 147549 ny. SATTURIA
APT010000114151 147549 ny. SATTURIA
107 APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
APT010000114163 142818 ny. NASIA
117 APT010000114339 147847 tn. MAHMUDI
APT010000114339 147847 tn. MAHMUDI
APT010000114339 147847 tn. MAHMUDI
APT010000114339 147847 tn. MAHMUDI
APT010000114339 147847 tn. MAHMUDI
APT010000114339 147847 tn. MAHMUDI
APT010000114339 147847 tn. MAHMUDI
APT010000114339 147847 tn. MAHMUDI
APT010000114339 147847 tn. MAHMUDI
APT010000114339 147847 tn. MAHMUDI
234 APT010000116170 147643 tn. IRWAN ABUNOYA AS
APT010000116170 147643 tn. IRWAN ABUNOYA AS
TOTAL
06-FEB- 112 APT010000114199 142818 ny. NASIA

2018
120 APT010000114422 147549 ny. SATTURIA
APT010000114422 147549 ny. SATTURIA
APT010000114422 147549 ny. SATTURIA
APT010000114422 147549 ny. SATTURIA
APT010000114422 147549 ny. SATTURIA
APT010000114422 147549 ny. SATTURIA
APT010000114422 147549 ny. SATTURIA
APT010000114422 147549 ny. SATTURIA
122 APT010000114532 147542 tn. GUMA TEPU
APT010000114532 147542 tn. GUMA TEPU
APT010000114532 147542 tn. GUMA TEPU
APT010000114532 147542 tn. GUMA TEPU
APT010000114532 147542 tn. GUMA TEPU
APT010000114532 147542 tn. GUMA TEPU
123 APT010000114538 147549 ny. SATTURIA
125 APT010000114547 147847 tn. MAHMUDI
APT010000114547 147847 tn. MAHMUDI
APT010000114547 147847 tn. MAHMUDI
APT010000114547 147847 tn. MAHMUDI
APT010000114547 147847 tn. MAHMUDI
APT010000114547 147847 tn. MAHMUDI
APT010000114547 147847 tn. MAHMUDI
APT010000114547 147847 tn. MAHMUDI
126 APT010000114550 147018 ny. IRDANI
APT010000114550 147018 ny. IRDANI
APT010000114550 147018 ny. IRDANI
APT010000114550 147018 ny. IRDANI
APT010000114550 147018 ny. IRDANI
APT010000114550 147018 ny. IRDANI
APT010000114550 147018 ny. IRDANI
APT010000114550 147018 ny. IRDANI
APT010000114550 147018 ny. IRDANI
APT010000114550 147018 ny. IRDANI
127 APT010000114554 147838 ny. SUKARTINI
APT010000114554 147838 ny. SUKARTINI
APT010000114554 147838 ny. SUKARTINI
APT010000114554 147838 ny. SUKARTINI
APT010000114554 147838 ny. SUKARTINI
APT010000114554 147838 ny. SUKARTINI
APT010000114554 147838 ny. SUKARTINI
APT010000114554 147838 ny. SUKARTINI
128 APT010000114569 147847 tn. MAHMUDI
130 APT010000114600 147616 tn. BANI
APT010000114600 147616 tn. BANI
APT010000114600 147616 tn. BANI
APT010000114600 147616 tn. BANI
APT010000114600 147616 tn. BANI
APT010000114600 147616 tn. BANI
APT010000114600 147616 tn. BANI
APT010000114600 147616 tn. BANI
131 APT010000114632 147616 tn. BANI
APT010000114632 147616 tn. BANI
APT010000114632 147616 tn. BANI
APT010000114632 147616 tn. BANI
APT010000114632 147616 tn. BANI
APT010000114632 147616 tn. BANI
APT010000114632 147616 tn. BANI
APT010000114632 147616 tn. BANI
133 APT010000114661 147691 ny. ISLAMIAH SAMAD
APT010000114661 147691 ny. ISLAMIAH SAMAD
135 APT010000114663 147838 ny. SUKARTINI
APT010000114663 147838 ny. SUKARTINI
APT010000114663 147838 ny. SUKARTINI
APT010000114663 147838 ny. SUKARTINI
241 APT010000114601 147542 tn. GUMA TEPU
TOTAL
07-FEB- 137 APT010000114827 147616 tn. BANI
2018
138 APT010000114829 147616 tn. BANI
140 APT010000114833 147542 tn. GUMA TEPU
APT010000114833 147542 tn. GUMA TEPU
APT010000114833 147542 tn. GUMA TEPU
APT010000114833 147542 tn. GUMA TEPU
APT010000114833 147542 tn. GUMA TEPU
APT010000114833 147542 tn. GUMA TEPU
143 APT010000114843 147616 tn. BANI
144 APT010000114845 147542 tn. GUMA TEPU
APT010000114845 147542 tn. GUMA TEPU
145 APT010000114846 147542 tn. GUMA TEPU
APT010000114846 147542 tn. GUMA TEPU
APT010000114846 147542 tn. GUMA TEPU
APT010000114846 147542 tn. GUMA TEPU
146 APT010000114848 147616 tn. BANI
APT010000114848 147616 tn. BANI
APT010000114848 147616 tn. BANI
APT010000114848 147616 tn. BANI
APT010000114848 147616 tn. BANI
APT010000114848 147616 tn. BANI
APT010000114848 147616 tn. BANI
APT010000114848 147616 tn. BANI
148 APT010000114851 147877 tn. ARIS KALVIN MASA
APT010000114851 147877 tn. ARIS KALVIN MASA
150 APT010000114883 145745 tn. AHMAD MALIK SY
APT010000114883 145745 tn. AHMAD MALIK SY
TOTAL
08-FEB- 155 APT010000115211 147691 ny. ISLAMIAH SAMAD

2018
156 APT010000115221 144882 ny. NURHAENI
APT010000115221 144882 ny. NURHAENI
APT010000115221 144882 ny. NURHAENI
APT010000115221 144882 ny. NURHAENI
APT010000115221 144882 ny. NURHAENI
APT010000115221 144882 ny. NURHAENI
APT010000115221 144882 ny. NURHAENI
APT010000115221 144882 ny. NURHAENI
APT010000115221 144882 ny. NURHAENI
157 APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
APT010000115225 147542 tn. GUMA TEPU
158 APT010000115230 147616 tn. BANI
APT010000115230 147616 tn. BANI
APT010000115230 147616 tn. BANI
APT010000115230 147616 tn. BANI
APT010000115230 147616 tn. BANI
160 APT010000115234 147616 tn. BANI
APT010000115234 147616 tn. BANI
APT010000115234 147616 tn. BANI
APT010000115234 147616 tn. BANI
APT010000115234 147616 tn. BANI
APT010000115234 147616 tn. BANI
APT010000115234 147616 tn. BANI
APT010000115234 147616 tn. BANI
APT010000115234 147616 tn. BANI
165 APT010000115251 147535 ny. RAHMAWATI . R
APT010000115251 147535 ny. RAHMAWATI . R
166 APT010000115256 147535 ny. RAHMAWATI . R
167 APT010000115330 147590 ny. BIO DG SUGI
APT010000115330 147590 ny. BIO DG SUGI
APT010000115330 147590 ny. BIO DG SUGI
168 APT010000115328 147590 ny. BIO DG SUGI
APT010000115328 147590 ny. BIO DG SUGI
169 APT010000115329 147590 ny. BIO DG SUGI
170 APT010000115335 147590 ny. BIO DG SUGI
APT010000115335 147590 ny. BIO DG SUGI
APT010000115335 147590 ny. BIO DG SUGI
APT010000115335 147590 ny. BIO DG SUGI
APT010000115335 147590 ny. BIO DG SUGI
171 APT010000115336 147590 ny. BIO DG SUGI
APT010000115336 147590 ny. BIO DG SUGI
APT010000115336 147590 ny. BIO DG SUGI
APT010000115336 147590 ny. BIO DG SUGI
175 APT010000115831 147937 ny. BOLLO
APT010000115831 147937 ny. BOLLO
APT010000115831 147937 ny. BOLLO
APT010000115831 147937 ny. BOLLO
APT010000115831 147937 ny. BOLLO
APT010000115831 147937 ny. BOLLO
176 APT010000115333 147937 ny. BOLLO
APT010000115333 147937 ny. BOLLO
APT010000115333 147937 ny. BOLLO
APT010000115333 147937 ny. BOLLO
APT010000115333 147937 ny. BOLLO
APT010000115333 147937 ny. BOLLO
245 APT010000115024 147542 tn. GUMA TEPU
248 APT010000115022 147616 tn. BANI
TOTAL
09-FEB- 177 APT010000115585 147549 ny. SATTURIA

2018
APT010000115585 147549 ny. SATTURIA
APT010000115585 147549 ny. SATTURIA
APT010000115585 147549 ny. SATTURIA
APT010000115585 147549 ny. SATTURIA
APT010000115585 147549 ny. SATTURIA
APT010000115585 147549 ny. SATTURIA
178 APT010000115588 147549 ny. SATTURIA
APT010000115588 147549 ny. SATTURIA
APT010000115588 147549 ny. SATTURIA
APT010000115588 147549 ny. SATTURIA
APT010000115588 147549 ny. SATTURIA
APT010000115588 147549 ny. SATTURIA
APT010000115588 147549 ny. SATTURIA
APT010000115588 147549 ny. SATTURIA
APT010000115588 147549 ny. SATTURIA
APT010000115588 147549 ny. SATTURIA
179 APT010000115589 147549 ny. SATTURIA
APT010000115589 147549 ny. SATTURIA
APT010000115589 147549 ny. SATTURIA
APT010000115589 147549 ny. SATTURIA
APT010000115589 147549 ny. SATTURIA
183 APT010000115597 147590 ny. BIO DG SUGI
184 APT010000115599 139924 tn. MUH. ALWI MANNA
APT010000115605 139924 tn. MUH. ALWI MANNA
187 APT010000115607 147937 ny. BOLLO
APT010000115607 147937 ny. BOLLO
APT010000115607 147937 ny. BOLLO
APT010000115607 147937 ny. BOLLO
APT010000115607 147937 ny. BOLLO
APT010000115607 147937 ny. BOLLO
APT010000115607 147937 ny. BOLLO
APT010000115607 147937 ny. BOLLO
APT010000115607 147937 ny. BOLLO
192 APT010000115612 147590 ny. BIO DG SUGI
APT010000115612 147590 ny. BIO DG SUGI
APT010000115612 147590 ny. BIO DG SUGI
APT010000115612 147590 ny. BIO DG SUGI
APT010000115612 147590 ny. BIO DG SUGI
APT010000115612 147590 ny. BIO DG SUGI
APT010000115612 147590 ny. BIO DG SUGI
APT010000115612 147590 ny. BIO DG SUGI
APT010000115612 147590 ny. BIO DG SUGI
194 APT010000115726 147590 ny. BIO DG SUGI
APT010000115726 147590 ny. BIO DG SUGI
APT010000115726 147590 ny. BIO DG SUGI
APT010000115726 147590 ny. BIO DG SUGI
250 APT010000115396 147590 ny. BIO DG SUGI
APT010000115396 147590 ny. BIO DG SUGI
APT010000115398 147590 ny. BIO DG SUGI
257 APT010000115398 147590 ny. BIO DG SUGI
TOTAL
10-FEB- 195 APT010000115724 139924 tn. MUH. ALWI MANNA

2018 196 APT010000115725 139924 tn. MUH. ALWI MANNA
197 APT010000115723 147549 ny. SATTURIA
APT010000115723 147549 ny. SATTURIA
APT010000115723 147549 ny. SATTURIA
APT010000115723 147549 ny. SATTURIA
198 APT010000115722 147549 ny. SATTURIA
205 APT010000115946 147549 ny. SATTURIA
APT010000115946 147549 ny. SATTURIA
APT010000115946 147549 ny. SATTURIA
APT010000115946 147549 ny. SATTURIA
APT010000115946 147549 ny. SATTURIA
206 APT010000115947 147549 ny. SATTURIA
APT010000115947 147549 ny. SATTURIA
208 APT010000115950 147590 ny. BIO DG SUGI
APT010000115950 147590 ny. BIO DG SUGI
APT010000115950 147590 ny. BIO DG SUGI
APT010000115950 147590 ny. BIO DG SUGI
APT010000115950 147590 ny. BIO DG SUGI
APT010000115950 147590 ny. BIO DG SUGI
APT010000115950 147590 ny. BIO DG SUGI
APT010000115950 147590 ny. BIO DG SUGI
APT010000115950 147590 ny. BIO DG SUGI
213 APT010000116045 147549 ny. SATTURIA
APT010000116045 147549 ny. SATTURIA
APT010000116045 147549 ny. SATTURIA
APT010000116045 147549 ny. SATTURIA
214 APT010000115903 148008 nn. MARDIANA
APT010000115903 148008 nn. MARDIANA
APT010000115903 148008 nn. MARDIANA
215 APT010000116043 148008 nn. MARDIANA
APT010000116043 148008 nn. MARDIANA
APT010000116043 148008 nn. MARDIANA
APT010000116043 148008 nn. MARDIANA
APT010000116043 148008 nn. MARDIANA
216 APT010000116042 148008 nn. MARDIANA
APT010000116042 148008 nn. MARDIANA
APT010000116042 148008 nn. MARDIANA
APT010000116042 148008 nn. MARDIANA
APT010000116042 148008 nn. MARDIANA
APT010000116042 148008 nn. MARDIANA
APT010000116042 148008 nn. MARDIANA
APT010000116042 148008 nn. MARDIANA
APT010000116042 148008 nn. MARDIANA
221 APT010000116036 146986 tn. UMAR AT
APT010000116036 146986 tn. UMAR AT
APT010000116036 146986 tn. UMAR AT
APT010000116036 146986 tn. UMAR AT
APT010000116036 146986 tn. UMAR AT
APT010000116036 146986 tn. UMAR AT
APT010000116036 146986 tn. UMAR AT
APT010000116036 146986 tn. UMAR AT
APT010000116036 146986 tn. UMAR AT
263 APT010000116055 147590 ny. BIO DG SUGI
264 APT010000116057 146986 tn. UMAR AT
TOTAL
11-FEB- 266 APT010000116187 146986 tn. UMAR AT

2018
APT010000116187 146986 tn. UMAR AT
APT010000116187 146986 tn. UMAR AT
APT010000116187 146986 tn. UMAR AT
APT010000116187 146986 tn. UMAR AT
APT010000116187 146986 tn. UMAR AT
APT010000116187 146986 tn. UMAR AT
APT010000116187 146986 tn. UMAR AT
APT010000116187 146986 tn. UMAR AT
APT010000116187 146986 tn. UMAR AT
APT010000116187 146986 tn. UMAR AT
267 APT010000116186 147983 ny. MURNIATI
268 APT010000116185 147984 ny. MURNIATI
APT010000116185 147985 ny. MURNIATI
APT010000116185 147986 ny. MURNIATI
APT010000116185 147987 ny. MURNIATI
APT010000116185 147988 ny. MURNIATI
APT010000116185 147989 ny. MURNIATI
APT010000116185 147990 ny. MURNIATI
269 APT010000116184 147549 ny. SATTURIA
APT010000116184 147549 ny. SATTURIA
APT010000116184 147549 ny. SATTURIA
APT010000116184 147549 ny. SATTURIA
APT010000116184 147549 ny. SATTURIA
APT010000116184 147549 ny. SATTURIA
APT010000116184 147549 ny. SATTURIA
271 APT010000116182 147590 ny. BIO DG SUGI
APT010000116182 147590 ny. BIO DG SUGI
APT010000116182 147590 ny. BIO DG SUGI
APT010000116182 147590 ny. BIO DG SUGI
APT010000116182 147590 ny. BIO DG SUGI
APT010000116182 147590 ny. BIO DG SUGI
APT010000116182 147590 ny. BIO DG SUGI
273 APT010000116180 148008 nn. MARDIANA
APT010000116180 148008 nn. MARDIANA
APT010000116180 148008 nn. MARDIANA
APT010000116180 148008 nn. MARDIANA
APT010000116180 148008 nn. MARDIANA
274 APT010000116179 148008 nn. MARDIANA
APT010000116179 148008 nn. MARDIANA
APT010000116179 148008 nn. MARDIANA
APT010000116179 148008 nn. MARDIANA
APT010000116179 148008 nn. MARDIANA
275 APT010000116188 146986 tn. UMAR AT
APT010000116188 146986 tn. UMAR AT
APT010000116188 146986 tn. UMAR AT
APT010000116188 146986 tn. UMAR AT
APT010000116188 146986 tn. UMAR AT
APT010000116188 146986 tn. UMAR AT
APT010000116188 146986 tn. UMAR AT
APT010000116188 146986 tn. UMAR AT
282 APT010000116194 147983 ny. MURNIATI
283 APT010000116193 147590 ny. BIO DG SUGI
286 APT010000116225 147590 ny. BIO DG SUGI
288 APT010000116287 146986 tn. UMAR AT
APT010000116287 146986 tn. UMAR AT
APT010000116287 146986 tn. UMAR AT
APT010000116287 146986 tn. UMAR AT
APT010000116287 146986 tn. UMAR AT
APT010000116287 146986 tn. UMAR AT
APT010000116287 146986 tn. UMAR AT
290 APT010000116291 146986 tn. UMAR AT
APT010000116291 146986 tn. UMAR AT
TOTAL
12-FEB- 265 APT010000116980 147867 ny. A. NIRMAWATI

2018
APT010000116980 147867 ny. A. NIRMAWATI
292 APT010000116302 146986 tn. UMAR AT
APT010000116302 146986 tn. UMAR AT
293 APT010000116303 147549 ny. SATTURIA
294 APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
APT010000116468 147917 ny. HARTATI
296 APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
APT010000116481 147549 ny. SATTURIA
297 APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
APT010000116491 148008 nn. MARDIANA
299 APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
APT010000116513 146986 tn. UMAR AT
300 APT010000116523 147590 ny. BIO DG SUGI
APT010000116523 147590 ny. BIO DG SUGI
APT010000116523 147590 ny. BIO DG SUGI
APT010000116523 147590 ny. BIO DG SUGI
APT010000116523 147590 ny. BIO DG SUGI
APT010000116523 147590 ny. BIO DG SUGI
APT010000116523 147590 ny. BIO DG SUGI
APT010000116523 147590 ny. BIO DG SUGI
APT010000116523 147590 ny. BIO DG SUGI
302 APT010000116546 146986 tn. UMAR AT
APT010000116546 146986 tn. UMAR AT
APT010000116546 146986 tn. UMAR AT
303 APT010000116548 147549 ny. SATTURIA
APT010000116548 147549 ny. SATTURIA
APT010000116548 147549 ny. SATTURIA
APT010000116548 147549 ny. SATTURIA
APT010000116548 147549 ny. SATTURIA
426 APT010000116978 147917 ny. HARTATI
APT010000116978 147917 ny. HARTATI
APT010000116978 147917 ny. HARTATI
APT010000116978 147917 ny. HARTATI
APT010000116978 147917 ny. HARTATI
427 APT010000116979 109767 ny. SUMIATI
428 APT010000116977 146986 tn. UMAR AT
APT010000116977 146986 tn. UMAR AT
APT010000116977 146986 tn. UMAR AT
APT010000116977 146986 tn. UMAR AT
APT010000116977 146986 tn. UMAR AT
APT010000116977 146986 tn. UMAR AT
TOTAL
13-FEB- 304 APT010000116665 147917 ny. HARTATI

2018 305 APT010000116667 109767 ny. SUMIATI
APT010000116667 109767 ny. SUMIATI
APT010000116667 109767 ny. SUMIATI
APT010000116667 109767 ny. SUMIATI
APT010000116667 109767 ny. SUMIATI
APT010000116667 109767 ny. SUMIATI
APT010000116667 109767 ny. SUMIATI
APT010000116667 109767 ny. SUMIATI
306 APT010000116668 147867 ny. A. NIRMAWATI
308 APT010000116670 147853 tn. SAMSURIADI
APT010000116670 147853 tn. SAMSURIADI
309 APT010000116671 147549 ny. SATTURIA
APT010000116671 147549 ny. SATTURIA
APT010000116671 147549 ny. SATTURIA
APT010000116671 147549 ny. SATTURIA
APT010000116671 147549 ny. SATTURIA
311 APT010000116827 148008 nn. MARDIANA
APT010000116827 148008 nn. MARDIANA
APT010000116827 148008 nn. MARDIANA
APT010000116827 148008 nn. MARDIANA
APT010000116827 148008 nn. MARDIANA
APT010000116827 148008 nn. MARDIANA
APT010000116827 148008 nn. MARDIANA
APT010000116827 148008 nn. MARDIANA
315 APT010000116855 109767 ny. SUMIATI
APT010000116855 109767 ny. SUMIATI
APT010000116855 109767 ny. SUMIATI
APT010000116855 109767 ny. SUMIATI
APT010000116855 109767 ny. SUMIATI
316 APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
APT010000116857 146986 tn. UMAR AT
317 APT010000116861 147917 ny. HARTATI
APT010000116861 147917 ny. HARTATI
APT010000116861 147917 ny. HARTATI
APT010000116861 147917 ny. HARTATI
APT010000116861 147917 ny. HARTATI
APT010000116861 147917 ny. HARTATI
APT010000116861 147917 ny. HARTATI
APT010000116861 147917 ny. HARTATI
APT010000116861 147917 ny. HARTATI
APT010000116861 147917 ny. HARTATI
319 APT010000116878 147549 ny. SATTURIA
APT010000116878 147549 ny. SATTURIA
APT010000116878 147549 ny. SATTURIA
APT010000116878 147549 ny. SATTURIA
APT010000116878 147549 ny. SATTURIA
APT010000116878 147549 ny. SATTURIA
APT010000116878 147549 ny. SATTURIA
APT010000116878 147549 ny. SATTURIA
APT010000116878 147549 ny. SATTURIA
320 APT010000116880 147853 tn. SAMSURIADI
322 APT010000117035 148017 ny. JAMANIA AZIS
APT010000117035 148017 ny. JAMANIA AZIS
431 APT010000116970 148132 tn. HARSONO
APT010000116970 148132 tn. HARSONO
APT010000116970 148132 tn. HARSONO
APT010000116970 148132 tn. HARSONO
APT010000116970 148132 tn. HARSONO
APT010000116970 148132 tn. HARSONO
432 APT010000116969 148132 tn. HARSONO
APT010000116969 148132 tn. HARSONO
433 APT010000116992 148132 tn. HARSONO
APT010000116992 148132 tn. HARSONO
APT010000116992 148132 tn. HARSONO
APT010000116992 148132 tn. HARSONO
APT010000116992 148132 tn. HARSONO
434 APT010000116994 109767 ny. SUMIATI
435 APT010000116972 109767 ny. SUMIATI
439 APT010000116982 146986 tn. UMAR AT
APT010000116982 146986 tn. UMAR AT
APT010000116982 146986 tn. UMAR AT
APT010000116982 146986 tn. UMAR AT
440 APT010000116984 146986 tn. UMAR AT
TOTAL

2019
324 APT010000117143 109767 ny. SUMIATI
APT010000117143 109767 ny. SUMIATI
APT010000117143 109767 ny. SUMIATI
APT010000117143 109767 ny. SUMIATI
APT010000117143 109767 ny. SUMIATI
APT010000117143 109767 ny. SUMIATI
APT010000117143 109767 ny. SUMIATI
APT010000117143 109767 ny. SUMIATI
APT010000117143 109767 ny. SUMIATI
APT010000117143 109767 ny. SUMIATI
325 APT010000117147 147549 ny. SATTURIA
APT010000117147 147549 ny. SATTURIA
APT010000117147 147549 ny. SATTURIA
APT010000117147 147549 ny. SATTURIA
APT010000117147 147549 ny. SATTURIA
APT010000117147 147549 ny. SATTURIA
APT010000117147 147549 ny. SATTURIA
APT010000117147 147549 ny. SATTURIA
APT010000117147 147549 ny. SATTURIA
326 APT010000117153 147917 ny. HARTATI
APT010000117153 147917 ny. HARTATI
APT010000117153 147917 ny. HARTATI
APT010000117153 147917 ny. HARTATI
APT010000117153 147917 ny. HARTATI
APT010000117153 147917 ny. HARTATI
APT010000117153 147917 ny. HARTATI
APT010000117153 147917 ny. HARTATI
APT010000117153 147917 ny. HARTATI
327 APT010000117154 146986 tn. UMAR AT
APT010000117154 146986 tn. UMAR AT
APT010000117154 146986 tn. UMAR AT
APT010000117154 146986 tn. UMAR AT
APT010000117154 146986 tn. UMAR AT
APT010000117154 146986 tn. UMAR AT
332 APT010000117161 146986 tn. UMAR AT
APT010000117161 146986 tn. UMAR AT
APT010000117161 146986 tn. UMAR AT
APT010000117161 146986 tn. UMAR AT
APT010000117161 146986 tn. UMAR AT
APT010000117161 146986 tn. UMAR AT
APT010000117161 146986 tn. UMAR AT
APT010000117161 146986 tn. UMAR AT
333 APT010000117164 147549 ny. SATTURIA
335 APT010000117174 147917 ny. HARTATI
APT010000117174 147917 ny. HARTATI
APT010000117174 147917 ny. HARTATI
APT010000117174 147917 ny. HARTATI
337 APT010000117263 109767 ny. SUMIATI
338 APT010000117265 146986 tn. UMAR AT
APT010000117265 146986 tn. UMAR AT
339 APT010000117259 147917 ny. HARTATI
APT010000117259 147917 ny. HARTATI
APT010000117259 147917 ny. HARTATI
APT010000117259 147917 ny. HARTATI
APT010000117259 147917 ny. HARTATI
APT010000117259 147917 ny. HARTATI
340 APT010000117280 109767 ny. SUMIATI
APT010000117280 109767 ny. SUMIATI
APT010000117280 109767 ny. SUMIATI
APT010000117280 109767 ny. SUMIATI
APT010000117280 109767 ny. SUMIATI
APT010000117280 109767 ny. SUMIATI
APT010000117280 109767 ny. SUMIATI
APT010000117280 109767 ny. SUMIATI
APT010000117280 109767 ny. SUMIATI
341 APT010000117289 109767 ny. SUMIATI
APT010000117289 109767 ny. SUMIATI
APT010000117289 109767 ny. SUMIATI
APT010000117289 109767 ny. SUMIATI
APT010000117289 109767 ny. SUMIATI
TOTAL
15-FEB- 342 APT010000117437 146986 tn. UMAR AT

2019
APT010000117437 146986 tn. UMAR AT
APT010000117437 146986 tn. UMAR AT
APT010000117437 146986 tn. UMAR AT
APT010000117437 146986 tn. UMAR AT
APT010000117437 146986 tn. UMAR AT
APT010000117437 146986 tn. UMAR AT
APT010000117437 146986 tn. UMAR AT
APT010000117437 146986 tn. UMAR AT
APT010000117437 146986 tn. UMAR AT
343 APT010000117448 147549 ny. SATTURIA
APT010000117448 147549 ny. SATTURIA
APT010000117448 147549 ny. SATTURIA
APT010000117448 147549 ny. SATTURIA
APT010000117448 147549 ny. SATTURIA
APT010000117448 147549 ny. SATTURIA
APT010000117448 147549 ny. SATTURIA
APT010000117448 147549 ny. SATTURIA
346 APT010000117494 147974 ny. EMA
APT010000117494 147974 ny. EMA
APT010000117494 147974 ny. EMA
APT010000117494 147974 ny. EMA
APT010000117494 147974 ny. EMA
APT010000117494 147974 ny. EMA
APT010000117494 147974 ny. EMA
APT010000117494 147974 ny. EMA
APT010000117494 147974 ny. EMA
APT010000117494 147974 ny. EMA
348 APT010000117546 147974 ny. EMA
349 APT010000117543 146986 tn. UMAR AT
351 APT010000117663 147974 ny. EMA
APT010000117663 147974 ny. EMA
APT010000117663 147974 ny. EMA
352 APT010000117662 147974 ny. EMA
APT010000117662 147974 ny. EMA
APT010000117662 147974 ny. EMA
353 APT010000117661 147974 ny. EMA
APT010000117661 147974 ny. EMA
APT010000117661 147974 ny. EMA
APT010000117661 147974 ny. EMA
354 APT010000117660 147974 ny. EMA
APT010000117660 147974 ny. EMA
APT010000117660 147974 ny. EMA
APT010000117660 147974 ny. EMA
APT010000117660 147974 ny. EMA
APT010000117660 147974 ny. EMA
APT010000117660 147974 ny. EMA
APT010000117660 147974 ny. EMA
APT010000117660 147974 ny. EMA
355 APT010000117664 148200 ny. ST. NURSIAH DG. NGAI
APT010000117664 148200 ny. ST. NURSIAH DG. NGAI
357 APT010000117666 148130 ny. JUMARIA DG BULANG
APT010000117666 148130 ny. JUMARIA DG BULANG
358 APT010000117668 147549 ny. SATTURIA
APT010000117668 147549 ny. SATTURIA
APT010000117668 147549 ny. SATTURIA
359 APT010000117669 146986 tn. UMAR AT
411 APT010000117649 107374 ny. MASDAWATI
APT010000117649 107374 ny. MASDAWATI
418 APT010000117656 107374 ny. MASDAWATI
APT010000117656 107374 ny. MASDAWATI
APT010000117656 107374 ny. MASDAWATI
419 APT010000117657 107374 ny. MASDAWATI
APT010000117657 107374 ny. MASDAWATI
APT010000117657 107374 ny. MASDAWATI
APT010000117657 107374 ny. MASDAWATI
APT010000117657 107374 ny. MASDAWATI
APT010000117657 107374 ny. MASDAWATI
APT010000117657 107374 ny. MASDAWATI
APT010000117657 107374 ny. MASDAWATI
APT010000117657 107374 ny. MASDAWATI
420 APT010000117658 107374 ny. MASDAWATI
421 APT010000117659 107374 ny. MASDAWATI
APT010000117659 107374 ny. MASDAWATI
APT010000117659 107374 ny. MASDAWATI
APT010000117659 107374 ny. MASDAWATI
APT010000117659 107374 ny. MASDAWATI
APT010000117659 107374 ny. MASDAWATI
APT010000117659 107374 ny. MASDAWATI
APT010000117659 107374 ny. MASDAWATI
APT010000117659 107374 ny. MASDAWATI
422 APT010000117667 148016 ny. HARNI
423 APT010000117670 145931 an. HESTI
441 APT010000117328 147549 ny. SATTURIA
443 APT010000117329 109767 ny. SUMIATI
APT010000117329 109767 ny. SUMIATI
APT010000117329 109767 ny. SUMIATI
444 APT010000117323 109767 ny. SUMIATI
APT010000117323 109767 ny. SUMIATI
APT010000117323 109767 ny. SUMIATI
447 APT010000117331 146986 tn. UMAR AT
598 APT010000117672 129708 tn. SURYADI
633 APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
APT010000117673 129708 tn. SURYADI
TOTAL

2019 361 APT010000117759 139924 tn. MUH. ALWI MANNA
364 APT010000117765 107374 ny. MASDAWATI
APT010000117765 107374 ny. MASDAWATI
APT010000117765 107374 ny. MASDAWATI
APT010000117765 107374 ny. MASDAWATI
APT010000117765 107374 ny. MASDAWATI
APT010000117765 107374 ny. MASDAWATI
APT010000117765 107374 ny. MASDAWATI
APT010000117765 107374 ny. MASDAWATI
367 APT010000117768 146986 tn. UMAR AT
APT010000117768 146986 tn. UMAR AT
APT010000117768 146986 tn. UMAR AT
APT010000117768 146986 tn. UMAR AT
APT010000117768 146986 tn. UMAR AT
APT010000117768 146986 tn. UMAR AT
370 APT010000117771 147974 ny. EMA
APT010000117771 147974 ny. EMA
APT010000117771 147974 ny. EMA
APT010000117771 147974 ny. EMA
APT010000117771 147974 ny. EMA
372 APT010000117773 129708 tn. SURYADI
APT010000117773 129708 tn. SURYADI
APT010000117773 129708 tn. SURYADI
APT010000117773 129708 tn. SURYADI
APT010000117773 129708 tn. SURYADI
373 APT010000117774 147974 ny. EMA
APT010000117774 147974 ny. EMA
APT010000117774 147974 ny. EMA
374 APT010000117775 129708 tn. SURYADI
APT010000117775 129708 tn. SURYADI
APT010000117775 129708 tn. SURYADI
APT010000117775 129708 tn. SURYADI
375 APT010000117776 147974 ny. EMA
APT010000117776 147974 ny. EMA
APT010000117776 147974 ny. EMA
APT010000117776 147974 ny. EMA
378 APT010000117779 147549 ny. SATTURIA
APT010000117779 147549 ny. SATTURIA
APT010000117779 147549 ny. SATTURIA
380 APT010000117790 147549 ny. SATTURIA
APT010000117790 147549 ny. SATTURIA
599 APT010000117872 129708 tn. SURYADI
604 APT010000117869 129708 tn. SURYADI
APT010000117869 129708 tn. SURYADI
600 APT010000117871 146986 tn. UMAR AT
APT010000117871 146986 tn. UMAR AT
APT010000117871 146986 tn. UMAR AT
601 APT010000117814 129708 tn. SURYADI
APT010000117814 129708 tn. SURYADI
APT010000117814 129708 tn. SURYADI
APT010000117814 129708 tn. SURYADI
602 APT010000117870 129708 tn. SURYADI
APT010000117870 129708 tn. SURYADI
TOTAL

2019
APT010000117885 147549 ny. SATTURIA
389 APT010000117893 148210 ny. HAMIDA DG CICI
APT010000117893 148210 ny. HAMIDA DG CICI
392 APT010000118068 146986 tn. UMAR AT
APT010000118068 146986 tn. UMAR AT
APT010000118068 146986 tn. UMAR AT
APT010000118068 146986 tn. UMAR AT
APT010000118068 146986 tn. UMAR AT
APT010000118068 146986 tn. UMAR AT
APT010000118068 146986 tn. UMAR AT
APT010000118068 146986 tn. UMAR AT
APT010000118068 146986 tn. UMAR AT
APT010000118068 146986 tn. UMAR AT
394 APT010000118072 148227 an. MUH. DENIS
APT010000118072 148227 an. MUH. DENIS
APT010000118072 148227 an. MUH. DENIS
APT010000118072 148227 an. MUH. DENIS
APT010000118072 148227 an. MUH. DENIS
APT010000118072 148227 an. MUH. DENIS
APT010000118072 148227 an. MUH. DENIS
395 APT010000118074 129708 tn. SURYADI
APT010000118074 129708 tn. SURYADI
APT010000118074 129708 tn. SURYADI
APT010000118074 129708 tn. SURYADI
APT010000118074 129708 tn. SURYADI
APT010000118074 129708 tn. SURYADI
APT010000118074 129708 tn. SURYADI
APT010000118074 129708 tn. SURYADI
APT010000118074 129708 tn. SURYADI
APT010000118074 129708 tn. SURYADI
400 APT010000118082 147549 ny. SATTURIA
APT010000118082 147549 ny. SATTURIA
APT010000118082 147549 ny. SATTURIA
APT010000118082 147549 ny. SATTURIA
APT010000118082 147549 ny. SATTURIA
APT010000118082 147549 ny. SATTURIA
APT010000118082 147549 ny. SATTURIA
APT010000118082 147549 ny. SATTURIA
406 APT010000118090 147549 ny. SATTURIA
APT010000118090 147549 ny. SATTURIA
408 APT010000118092 129708 tn. SURYADI
APT010000118092 129708 tn. SURYADI
APT010000118092 129708 tn. SURYADI
448 APT010000118156 147549 ny. SATTURIA
APT010000118156 147549 ny. SATTURIA
APT010000118156 147549 ny. SATTURIA
450 APT010000118202 148253 ny. HJ MADDI
APT010000118202 148253 ny. HJ MADDI
APT010000118202 148253 ny. HJ MADDI
APT010000118202 148253 ny. HJ MADDI
APT010000118202 148253 ny. HJ MADDI
453 APT010000118154 146986 tn. UMAR AT
APT010000118154 146986 tn. UMAR AT
603 APT010000117877 129708 tn. SURYADI
618 APT010000118199 147549 ny. SATTURIA
619 APT010000118198 147549 ny. SATTURIA
APT010000118198 147549 ny. SATTURIA
620 APT010000118197 129708 tn. SURYADI
18-FEB- 425 APT010000118201 148253 ny. HJ MADDI

2020
APT010000118201 148253 ny. HJ MADDI
455 APT010000118322 148253 ny. HJ MADDI
458 APT010000118298 148253 ny. HJ MADDI
APT010000118298 148253 ny. HJ MADDI
APT010000118298 148253 ny. HJ MADDI
APT010000118298 148253 ny. HJ MADDI
APT010000118298 148253 ny. HJ MADDI
APT010000118298 148253 ny. HJ MADDI
APT010000118298 148253 ny. HJ MADDI
459 APT010000118300 147549 ny. SATTURIA
APT010000118300 147549 ny. SATTURIA
APT010000118300 147549 ny. SATTURIA
APT010000118300 147549 ny. SATTURIA
APT010000118300 147549 ny. SATTURIA
APT010000118300 147549 ny. SATTURIA
APT010000118300 147549 ny. SATTURIA
462 APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
APT010000118305 129708 tn. SURYADI
465 APT010000118310 129708 tn. SURYADI
APT010000118310 129708 tn. SURYADI
APT010000118310 129708 tn. SURYADI
470 APT010000118372 129708 tn. SURYADI
473 APT010000118404 147549 ny. SATTURIA
APT010000118404 147549 ny. SATTURIA
APT010000118404 147549 ny. SATTURIA
622 APT010000118195 147549 ny. SATTURIA
624 APT010000118193 147549 ny. SATTURIA
APT010000118193 147549 ny. SATTURIA
APT010000118193 147549 ny. SATTURIA
625 APT010000118192 129708 tn. SURYADI
APT010000118192 129708 tn. SURYADI
APT010000118192 129708 tn. SURYADI
626 APT010000118191 147549 ny. SATTURIA
TOTAL
19-FEB- 466 APT010000118670 142561 tn. RUSWANDI

2020
APT010000118670 142561 tn. RUSWANDI
APT010000118670 142561 tn. RUSWANDI
474 APT010000118414 129708 tn. SURYADI
APT010000118414 129708 tn. SURYADI
APT010000118414 129708 tn. SURYADI
APT010000118414 129708 tn. SURYADI
477 APT010000118587 118750 tn. IR MUHAMMAD HARUM HAMMA
APT010000118587 118750 tn. IR MUHAMMAD HARUM HAMMA
APT010000118588 148048 tn. PARHAM PARAKKASI
478 APT010000118595 129708 tn. SURYADI
APT010000118595 129708 tn. SURYADI
APT010000118595 129708 tn. SURYADI
APT010000118595 129708 tn. SURYADI
480 APT010000118603 148048 tn. PARHAM PARAKKASI
481 APT010000118609 147549 ny. SATTURIA
APT010000118609 147549 ny. SATTURIA
482 APT010000118610 148253 ny. HJ MADDI
APT010000118610 148253 ny. HJ MADDI
APT010000118610 148253 ny. HJ MADDI
APT010000118610 148253 ny. HJ MADDI
APT010000118610 148253 ny. HJ MADDI
APT010000118610 148253 ny. HJ MADDI
483 APT010000118612 147549 ny. SATTURIA
APT010000118612 147549 ny. SATTURIA
APT010000118612 147549 ny. SATTURIA
APT010000118612 147549 ny. SATTURIA
APT010000118612 147549 ny. SATTURIA
APT010000118612 147549 ny. SATTURIA
APT010000118612 147549 ny. SATTURIA
484 APT010000118612 147549 ny. SATTURIA
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
APT010000118614 129708 tn. SURYADI
487 APT010000118623 129708 tn. SURYADI
494 APT010000118668 147931 ny. HEDA
APT010000118668 147931 ny. HEDA
APT010000118668 147931 ny. HEDA
495 APT010000118667 147931 ny. HEDA
APT010000118667 147931 ny. HEDA
APT010000118667 147931 ny. HEDA
APT010000118667 147931 ny. HEDA
APT010000118667 147931 ny. HEDA
APT010000118667 147931 ny. HEDA
APT010000118667 147931 ny. HEDA
APT010000118667 147931 ny. HEDA
496 APT010000118666 147931 ny. HEDA
APT010000118666 147931 ny. HEDA
APT010000118666 147931 ny. HEDA
APT010000118666 147931 ny. HEDA
APT010000118666 147931 ny. HEDA
498 APT010000118664 129708 tn. SURYADI
APT010000118664 129708 tn. SURYADI
APT010000118663 129708 tn. SURYADI
APT010000118663 129708 tn. SURYADI
APT010000118663 129708 tn. SURYADI
APT010000118663 129708 tn. SURYADI
APT010000118663 129708 tn. SURYADI
APT010000118669 142561 tn. RUSWANDI
APT010000118669 142561 tn. RUSWANDI
APT010000118669 142561 tn. RUSWANDI
APT010000118669 142561 tn. RUSWANDI
APT010000118669 142561 tn. RUSWANDI
APT010000118669 142561 tn. RUSWANDI
APT010000118669 142561 tn. RUSWANDI
APT010000118669 142561 tn. RUSWANDI
APT010000118673 142561 tn. RUSWANDI
APT010000118673 142561 tn. RUSWANDI
APT010000118673 142561 tn. RUSWANDI
APT010000118673 142561 tn. RUSWANDI
APT010000118673 142561 tn. RUSWANDI
628 APT010000122408 148253 ny. HJ MADDI
APT010000122408 148253 ny. HJ MADDI
APT010000122408 148253 ny. HJ MADDI
APT010000122408 148253 ny. HJ MADDI
APT010000122408 148253 ny. HJ MADDI
APT010000122408 148253 ny. HJ MADDI
APT010000122408 148253 ny. HJ MADDI
APT010000122408 148253 ny. HJ MADDI
TOTAL
20-FEB- 490 APT010000118921 148048 tn. PARHAM PARAKKASI

2021
492 APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
APT010000118928 147549 ny. SATTURIA
499 APT010000118945 147931 ny. HEDA
APT010000118945 147931 ny. HEDA
APT010000118945 147931 ny. HEDA
APT010000118945 147931 ny. HEDA
APT010000118945 147931 ny. HEDA
APT010000118945 147931 ny. HEDA
APT010000118945 147931 ny. HEDA
501 APT010000118955 146406 ny. ADE SURATINOYO
APT010000118955 146406 ny. ADE SURATINOYO
502 APT010000118962 146406 ny. ADE SURATINOYO
505 APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
APT010000119238 148140 tn. TOLLA
506 APT010000119300 147311 ny. AMINAH
APT010000119300 147311 ny. AMINAH
APT010000119300 147311 ny. AMINAH
APT010000119300 147311 ny. AMINAH
512 APT010000119008 147549 ny. SATTURIA
527 APT010000118969 142561 tn. RUSWANDI
APT010000118969 142561 tn. RUSWANDI
APT010000118969 142561 tn. RUSWANDI
APT010000118969 142561 tn. RUSWANDI
APT010000118969 142561 tn. RUSWANDI
APT010000118969 142561 tn. RUSWANDI
APT010000118969 142561 tn. RUSWANDI
573 APT010000119006 148253 ny. HJ MADDI
APT010000119006 148253 ny. HJ MADDI
APT010000119006 148253 ny. HJ MADDI
627 APT010000119007 148253 ny. HJ MADDI
APT010000119007 148253 ny. HJ MADDI
APT010000119007 148253 ny. HJ MADDI
TOTAL
21-FEB- 508 APT010000119226 148210 ny. HAMIDA DG CICI

2021
510 APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
APT010000119250 46392 ny. ST MASRIAH
513 APT010000119302 147549 ny. SATTURIA
APT010000119302 147549 ny. SATTURIA
APT010000119302 147549 ny. SATTURIA
APT010000119302 147549 ny. SATTURIA
APT010000119302 147549 ny. SATTURIA
APT010000119302 147549 ny. SATTURIA
APT010000119302 147549 ny. SATTURIA
APT010000119302 147549 ny. SATTURIA
515 APT010000119307 148253 ny. HJ MADDI
APT010000119307 148253 ny. HJ MADDI
APT010000119307 148253 ny. HJ MADDI
APT010000119307 148253 ny. HJ MADDI
APT010000119307 148253 ny. HJ MADDI
APT010000119307 148253 ny. HJ MADDI
APT010000119307 148253 ny. HJ MADDI
APT010000119307 148253 ny. HJ MADDI
APT010000119307 148253 ny. HJ MADDI
APT010000119307 148253 ny. HJ MADDI
APT010000119907 148253 ny. HJ MADDI
516 APT010000119310 147311 ny. AMINAH
APT010000119310 147311 ny. AMINAH
APT010000119310 147311 ny. AMINAH
APT010000119310 147311 ny. AMINAH
APT010000119310 147311 ny. AMINAH
APT010000119310 147311 ny. AMINAH
APT010000119310 147311 ny. AMINAH
APT010000119310 147311 ny. AMINAH
APT010000119310 147311 ny. AMINAH
APT010000119310 147311 ny. AMINAH
517 APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
APT010000119311 147311 ny. AMINAH
518 APT010000119313 147311 ny. AMINAH
519 APT010000119336 146679 ny. NURBAYA
APT010000119336 146679 ny. NURBAYA
APT010000119336 146679 ny. NURBAYA
APT010000119336 146679 ny. NURBAYA
522 APT010000119337 46392 ny. ST MASRIAH
523 APT010000119368 46392 ny. ST MASRIAH
APT010000119368 46392 ny. ST MASRIAH
APT010000119368 46392 ny. ST MASRIAH
524 APT010000120639 148253 ny. HJ MADDI
525 APT010000119907 148254 ny. HJ MADDI
TOTAL
22-FEB- 528 APT010000119658 46392 ny. ST MASRIAH
2021
APT010000119658 46392 ny. ST MASRIAH
APT010000119658 46392 ny. ST MASRIAH
APT010000119658 46392 ny. ST MASRIAH
APT010000119658 46392 ny. ST MASRIAH
APT010000119658 46392 ny. ST MASRIAH
APT010000119658 46392 ny. ST MASRIAH
529 APT010000119665 146679 ny. NURBAYA
APT010000119665 146679 ny. NURBAYA
APT010000119665 146679 ny. NURBAYA
APT010000119665 146679 ny. NURBAYA
APT010000119665 146679 ny. NURBAYA
APT010000119665 146679 ny. NURBAYA
APT010000119665 146679 ny. NURBAYA
APT010000119665 146679 ny. NURBAYA
APT010000119665 146679 ny. NURBAYA
530 APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
APT010000119667 148058 tn. MUH YUSUF
532 APT010000119726 148078 tn. SULAEMAN JAUHARI
APT010000119726 148078 tn. SULAEMAN JAUHARI
533 APT010000119725 148253 ny. HJ MADDI
534 APT010000119724 46392 ny. ST MASRIAH
535 APT010000119723 146679 ny. NURBAYA
APT010000119723 146679 ny. NURBAYA
536 APT010000119721 148058 tn. MUH YUSUF
APT010000119721 148058 tn. MUH YUSUF
537 APT010000119720 148377 ny. DIAN MEI SULASTRI
APT010000119718 148377 ny. DIAN MEI SULASTRI
539 APT010000119903 146679 ny. NURBAYA
APT010000119903 146679 ny. NURBAYA
540 APT010000119905 148253 ny. HJ MADDI
APT010000119905 148253 ny. HJ MADDI
APT010000119905 148253 ny. HJ MADDI
541 APT010000119901 148058 tn. MUH YUSUF
APT010000119901 148058 tn. MUH YUSUF
542 APT010000119909 146679 ny. NURBAYA
APT010000119909 146679 ny. NURBAYA
APT010000119909 146679 ny. NURBAYA
APT010000119909 146679 ny. NURBAYA
543 APT010000119908 46392 ny. ST MASRIAH
APT010000119908 46392 ny. ST MASRIAH
544 APT010000119783 148078 tn. SULAEMAN JAUHARI
545 APT010000119440 148058 tn. MUH YUSUF
APT010000119440 148058 tn. MUH YUSUF
546 APT010000119439 148058 tn. MUH YUSUF
APT010000119439 148058 tn. MUH YUSUF
548 APT010000119436 146679 ny. NURBAYA
549 APT010000119438 146679 ny. NURBAYA
APT010000119438 146679 ny. NURBAYA
550 APT010000119442 46392 ny. ST MASRIAH
APT010000119442 46392 ny. ST MASRIAH
APT010000119442 46392 ny. ST MASRIAH
551 APT010000119443 148058 tn. MUH YUSUF
552 APT010000119943 148253 ny. HJ MADDI
555 APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
APT010000119669 148253 ny. HJ MADDI
TOTAL
23-FEB- 556 APT010000119941 46392 ny. ST MASRIAH

2022
APT010000119941 46392 ny. ST MASRIAH
APT010000119941 46392 ny. ST MASRIAH
APT010000119941 46392 ny. ST MASRIAH
APT010000119941 46392 ny. ST MASRIAH
APT010000119941 46392 ny. ST MASRIAH
APT010000119941 46392 ny. ST MASRIAH
557 APT010000119900 146679 ny. NURBAYA
APT010000119900 146679 ny. NURBAYA
APT010000119900 146679 ny. NURBAYA
562 APT010000119930 148253 ny. HJ MADDI
APT010000119930 148253 ny. HJ MADDI
APT010000119930 148253 ny. HJ MADDI
563 APT010000119929 148058 tn. MUH YUSUF
APT010000119929 148058 tn. MUH YUSUF
564 APT010000119933 146679 ny. NURBAYA
565 APT010000119936 148253 ny. HJ MADDI
567 APT010000119911 148253 ny. HJ MADDI
APT010000119911 148253 ny. HJ MADDI
APT010000119911 148253 ny. HJ MADDI
APT010000119911 148253 ny. HJ MADDI
APT010000119911 148253 ny. HJ MADDI
APT010000119911 148253 ny. HJ MADDI
APT010000119911 148253 ny. HJ MADDI
APT010000119911 148253 ny. HJ MADDI
568 APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
APT010000119917 148058 tn. MUH YUSUF
569 APT010000119976 46392 ny. ST MASRIAH
APT010000119976 46392 ny. ST MASRIAH
APT010000119976 46392 ny. ST MASRIAH
APT010000119976 46392 ny. ST MASRIAH
APT010000119976 46392 ny. ST MASRIAH
570 APT010000122386 146679 ny. NURBAYA
571 APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
APT010000119913 146679 ny. NURBAYA
572 APT010000122387 146679 ny. NURBAYA
APT010000122387 146679 ny. NURBAYA
APT010000122387 146679 ny. NURBAYA
574 APT010000120042 46392 ny. ST MASRIAH
575 APT010000120044 148058 tn. MUH YUSUF
APT010000120044 148058 tn. MUH YUSUF
576 APT010000120045 148058 tn. MUH YUSUF
APT010000120045 148058 tn. MUH YUSUF
APT010000120045 148058 tn. MUH YUSUF
577 APT010000120046 148058 tn. MUH YUSUF
578 APT010000120077 146679 ny. NURBAYA
APT010000120077 146679 ny. NURBAYA
APT010000120077 146679 ny. NURBAYA
APT010000120077 146679 ny. NURBAYA
APT010000120077 146679 ny. NURBAYA
APT010000120077 146679 ny. NURBAYA
580 APT010000120423 148058 tn. MUH YUSUF
APT010000120423 148058 tn. MUH YUSUF
581 APT010000120429 147955 ny. SAIRA
APT010000120429 147955 ny. SAIRA
APT010000120429 147955 ny. SAIRA
582 APT010000120430 148253 ny. HJ MADDI
APT010000120430 148253 ny. HJ MADDI
APT010000120430 148253 ny. HJ MADDI
APT010000120430 148253 ny. HJ MADDI
583 APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
APT010000119987 147955 ny. SAIRA
TOTAL
24-FEB- 579 APT010000120428 146679 ny. NURBAYA

2023
APT010000120428 146679 ny. NURBAYA
585 APT010000120331 146679 ny. NURBAYA
586 APT010000120330 147650 ny. NYIMAS LEILA
587 APT010000120328 147955 ny. SAIRA
APT010000120328 147955 ny. SAIRA
APT010000120328 147955 ny. SAIRA
APT010000120328 147955 ny. SAIRA
APT010000120328 147955 ny. SAIRA
589 APT010000120326 147955 ny. SAIRA
APT010000120326 147955 ny. SAIRA
APT010000120322 147650 ny. NYIMAS LEILA
592 APT010000120312 146679 ny. NURBAYA
APT010000120312 146679 ny. NURBAYA
APT010000120312 146679 ny. NURBAYA
APT010000120312 146679 ny. NURBAYA
APT010000120314 146679 ny. NURBAYA
593 APT010000120306 146679 ny. NURBAYA
APT010000120306 146679 ny. NURBAYA
594 APT010000120305 148253 ny. HJ MADDI
APT010000120305 148253 ny. HJ MADDI
APT010000120305 148253 ny. HJ MADDI
595 APT010000120304 148253 ny. HJ MADDI
596 APT010000120303 148253 ny. HJ MADDI
APT010000120303 148253 ny. HJ MADDI
597 APT010000120301 146679 ny. NURBAYA
APT010000120301 146679 ny. NURBAYA
APT010000120301 146679 ny. NURBAYA
605 APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
APT010000120317 148058 tn. MUH YUSUF
606 APT010000120422 148058 tn. MUH YUSUF
APT010000120422 148058 tn. MUH YUSUF
APT010000120422 148058 tn. MUH YUSUF
APT010000120422 148058 tn. MUH YUSUF
629 APT010000119061 146679 ny. NURBAYA
631 APT010000122388 146680 ny. NURBAYA
APT010000122388 146681 ny. NURBAYA
632 APT010000120307 146679 ny. NURBAYA
633 APT010000120589 143947 an. SINDI IRMAWATI
APT010000120589 143948 an. SINDI IRMAWATI
634 APT010000120308 146679 ny. NURBAYA
APT010000120308 146679 ny. NURBAYA
APT010000120308 146679 ny. NURBAYA
APT010000120308 146679 ny. NURBAYA
APT010000120308 146679 ny. NURBAYA
APT010000120308 146679 ny. NURBAYA
APT010000120308 146679 ny. NURBAYA
TOTAL
25-FEB- 608 APT010000120591 143947 an. SINDI IRMAWATI

2023
612 APT010000120598 148253 ny. HJ MADDI
APT010000120598 148253 ny. HJ MADDI
APT010000120598 148253 ny. HJ MADDI
APT010000120598 148253 ny. HJ MADDI
APT010000120598 148253 ny. HJ MADDI
APT010000120598 148253 ny. HJ MADDI
APT010000120598 148253 ny. HJ MADDI
APT010000120598 148253 ny. HJ MADDI
APT010000120598 148253 ny. HJ MADDI
APT010000120598 148253 ny. HJ MADDI
613 APT010000120599 146679 ny. NURBAYA
APT010000120599 146679 ny. NURBAYA
APT010000120599 146679 ny. NURBAYA
APT010000120599 146679 ny. NURBAYA
APT010000120599 146679 ny. NURBAYA
APT010000120599 146679 ny. NURBAYA
APT010000120599 146679 ny. NURBAYA
APT010000120599 146679 ny. NURBAYA
614 APT010000120601 146679 ny. NURBAYA
APT010000120601 146679 ny. NURBAYA
APT010000120601 146679 ny. NURBAYA
APT010000120601 146679 ny. NURBAYA
617 APT010000120633 146679 ny. NURBAYA
APT010000120633 146679 ny. NURBAYA
APT010000120633 146679 ny. NURBAYA
APT010000120633 146679 ny. NURBAYA
APT010000120633 146679 ny. NURBAYA
APT010000120633 146679 ny. NURBAYA
TOTAL

2024
639 APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
APT010000120782 148253 ny. HJ MADDI
640 APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
APT010000120763 146679 ny. NURBAYA
644 APT010000120863 146679 ny. NURBAYA
APT010000120863 146679 ny. NURBAYA
APT010000120863 146679 ny. NURBAYA
645 APT010000121045 148586 ny. JULIANA MUSTAFA
APT010000121045 148586 ny. JULIANA MUSTAFA
648 APT010000121052 146679 ny. NURBAYA
APT010000121052 146679 ny. NURBAYA
649 APT010000121053 148253 ny. HJ MADDI
650 APT010000121055 146679 ny. NURBAYA
APT010000121055 146679 ny. NURBAYA
APT010000121055 146679 ny. NURBAYA
653 APT010000120779 148253 ny. HJ MADDI
TOTAL
27-FEB- 655 APT010000121372 148552 tn. SYAMSUDDIN

2024
APT010000121372 148552 tn. SYAMSUDDIN
656 APT010000121374 148552 tn. SYAMSUDDIN
657 APT010000121154 146679 ny. NURBAYA
659 APT010000121159 146679 ny. NURBAYA
APT010000121159 146679 ny. NURBAYA
APT010000121159 146679 ny. NURBAYA
APT010000121159 146679 ny. NURBAYA
661 APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
APT010000121163 146679 ny. NURBAYA
663 APT010000121168 148253 ny. HJ MADDI
APT010000121168 148253 ny. HJ MADDI
APT010000121168 148253 ny. HJ MADDI
APT010000121168 148253 ny. HJ MADDI
APT010000121168 148253 ny. HJ MADDI
APT010000121168 148253 ny. HJ MADDI
APT010000121168 148253 ny. HJ MADDI
665 APT010000122396 131217 tn. SUHARDI
APT010000122396 131217 tn. SUHARDI
APT010000122396 131217 tn. SUHARDI
APT010000122396 131217 tn. SUHARDI
APT010000122396 131217 tn. SUHARDI
666 APT010000122397 148253 ny. HJ MADDI
APT010000122397 148253 ny. HJ MADDI
667 APT010000122398 131217 tn. SUHARDI
APT010000122398 131217 tn. SUHARDI
672 APT010000122405 146679 ny. NURBAYA
APT010000122405 146679 ny. NURBAYA
APT010000122405 146679 ny. NURBAYA
TOTAL
28-FEB- 673 APT010000121373 146679 ny. NURBAYA

2025
674 APT010000121375 131217 tn. SUHARDI
677 APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
APT010000121470 146679 ny. NURBAYA
642 APT010000121846 138200 ny. NURHAEDAH
APT010000121846 138201 ny. NURHAEDAH
APT010000121846 138202 ny. NURHAEDAH
APT010000121846 138203 ny. NURHAEDAH
679 APT010000121489 148639 ny. HJ BUDIJATI M SANNANG
APT010000121489 148639 ny. HJ BUDIJATI M SANNANG
TOTAL
EM PENGELUARAN OBAT PASIEN ICU
NAMA OBAT HARGA BELI QTY HARGA JUAL SAT. TOTAL
IV CATHETER NO. 22 12,416.00 2 13,657.60 PCS 27,315.20

CONECTA PANJANG 13,514.00 1 14,865.40 PCS 14,865.40
CAPTOPRIL 25 MG 121.22 1 133.34 PCS 133.34
13,000.24 2 14,300.26 PCS 28,600.52
KSR 600 MG TABLET 1,755.00 2 1,930.50 PCS 3,861.00
CAIRAN COMBIFLEX 1000 ML INFUS 224,999.50 1 247,499.45 PCS 247,499.45
LIPOFUNDIN INFUS 71,500.00 1 78,650.00 PCS 78,650.00
VIP ALBUMIN KAPS 6,435.00 6 7,078.50 PCS 42,471.00
NEURODEX CAP 400 2 440 PCS 880
VITAMIN C TAB 100 MG 125.84 3 138.42 PCS 415.26
CURCUMA TABLET 1,098.90 3 1,208.79 PCS 3,626.37
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
N-ACE INJ 300 MG/3ML 39,660.00 2 43,626.00 PCS 87,252.00
METIL PREDNISOLON 4 MG TABLET 290.76 3 319.84 PCS 959.52
OMEPRAZOLE 40/ML MG INJ. 13,000.24 2 14,300.26 PCS 28,600.52
HANDSCOEN NON STERIL 478 20 525.81 PCS 10,516.20
CETIRIZIN 10 MG TABLET 369.6 1 406.56 PCS 406.56
CAIRAN ASERING 500 ML INFUS 9,275.00 2 10,202.50 PCS 20,405.00
NEUROSANBE INJ 3 ML 5,186.50 2 5,705.15 PCS 11,410.30
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
CAIRAN MANITOL 20 % INFUS 39,499.90 1 43,449.89 PCS 43,449.89
CEFTRIAXON 1 GRAM 11,000.00 2 12,100.00 PCS 24,200.00
MASKER DISPOSABLE 635.99 10 699.59 PCS 6,995.90
CAIRAN NACL 0,9 % INFUS 6,409.70 2 7,050.67 PCS 14,101.34
CAIRAN DEXTROSE 5 % 500 ML INFUS 6,900.00 1 7,590.00 PCS 7,590.00
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
KETOROLAC 30MG/ML INJ 10,023.75 3 11,026.12 PCS 33,078.36
RINGGER LACTATE 500 ML INFUS 7,700.00 3 8,470.00 PCS 25,410.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
CODEIN 10 MG TAB 605 3 665.5 PCS 1,996.50
ASPILETS 80 MG CHEW 110 1 121 PCS 121
CLOPIDOGREL BISULFAT TABLET 2,000.00 1 2,200.00 PCS 2,200.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
ARIXTRA INJ 273,800.00 1 301,180.00 PCS 301,180.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANTAGESIK INJ. 5,073.61 3 5,580.98 PCS 16,742.94
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
CAIRAN VALAMIN 500 ML 45,949.00 1 50,543.90 PCS 50,543.90
CAIRAN AQUADEST 25 ML FLACON 2,860.00 1 3,146.00 PCS 3,146.00
CEFIXIME DRY SIRUP 600MB/30ML 21,628.75 1 23,791.62 PCS 23,791.62
AMLODIPIN 5 MG TABLET 90 1 99 PCS 99
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
CITICOLIN INJEKSI 125 MG/ML 10,010.00 4 11,011.00 PCS 44,044.00
URESIX INJ 6,151.36 3 6,766.50 PCS 20,299.50
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
PHYTOMENADION INJ 1,914.22 1 2,105.64 PCS 2,105.64
ZINKID TABLET 2,750.00 1 3,025.00 PCS 3,025.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
CODEIN 10 MG TAB 605 1 665.5 PCS 665.5
FENTANYL 0,05/2 ML INJ 39,999.96 2 43,999.96 PCS 87,999.92
DIGOKSIN 0,25 MG 204.6 1 225.06 PCS 225.06
SPOIT 50 CC SYRINGE PUMP 20,020.00 1 22,022.00 PCS 22,022.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
ELEKTRODA / PCS 4,400.00 5 4,840.00 PCS 24,200.00
PERFUSSOR PM-O-LINE 30,250.00 1 33,275.00 PCS 33,275.00
CAIRAN KAEN 3 B INFUS 10,285.00 5 11,313.50 PCS 56,567.50
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
BUNASCAN EPIDURAL 56,320.00 2 61,952.00 PCS 123,904.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 996 1 1,095.59 PCS 1,095.59
CAIRAN RL INFUSAN SANBE 9,861.50 2 10,847.65 PCS 21,695.30
CAIRAN NACL PIGGY BAG INFUS 13,200.00 1 14,520.00 PCS 14,520.00
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
TRANSFUSI SET 10,164.00 1 11,180.40 PCS 11,180.40
SPOIT 3 CC 996 2 1,095.59 PCS 2,191.18
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
IV CAT(FRESCO)20 12,416.00 1 13,657.60 PCS 13,657.60
SPOIT 3 CC 996 1 1,095.59 PCS 1,095.59
MIDAZOLAM INJ 15 MG 8,503.00 10 9,353.30 PCS 93,533.00
AL 5,173,860.94
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VITAMIN K INJEKSI 2 MG/ML 4,881.80 1 5,369.98 PCS 5,369.98
MARCAIN EPIDURAL O.5 INJ 79,421.10 1 87,363.21 PCS 87,363.21
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
CONECTA 9,182.00 1 10,100.20 PCS 10,100.20
ATORVASTATIN CALSIUM 3,388.00 2 3,726.80 PCS 7,453.60
ALPRAZOLAM 1 MG 972 1 1,069.20 PCS 1,069.20
URESIX INJ 6,151.36 4 6,766.50 PCS 27,066.00
CAPTOPRIL TAB 50 MG 475 1 522.5 PCS 522.5
DOBUTAMIN 250 MG / 5 ML INJEKSI 32,648.00 1 35,912.80 PCS 35,912.80
CEDOCARD INJ 10 MG/10 ML 31,000.20 1 34,100.22 PCS 34,100.22
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
CONDOM CATETER S/M/L/XL 8,800.00 2 9,680.00 PCS 19,360.00
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 3 CC 996 1 1,095.59 PCS 1,095.59
ARIXTRA INJ 273,800.00 1 301,180.00 PCS 301,180.00
CODEIN 10 MG TAB 605 3 665.5 PCS 1,996.50
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
CARBAZOCROME INJ 11,145.20 3 12,259.72 PCS 36,779.16
SPOIT 20 CC 11,990.00 1 13,189.00 PCS 13,189.00
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
SPOIT 3 CC 996 1 1,095.59 PCS 1,095.59
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
INFUS SET DEWASA 10,511.00 1 11,562.09 PCS 11,562.09
CAIRAN DEXTROSE 40 % 25 ML FLACON 8,690.00 2 9,559.00 PCS 19,118.00
N-ACE INJ 300 MG/3ML 39,660.00 3 43,626.00 PCS 130,878.00
SPOIT 3 CC 996 2 1,095.59 PCS 2,191.18
IV CAT(FRESCO)20 12,416.00 1 13,657.60 PCS 13,657.60
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
URESIX INJ 6,151.36 1 6,766.50 PCS 6,766.50
BISOLVON 4 MG / 2 ML INJ 64,057.00 1 70,462.70 PCS 70,462.70
GUDEL DEWASA HIJAU 22,275.00 1 24,502.50 PCS 24,502.50
SUCTION CATHETER NO. 14 7,700.00 1 8,470.00 PCS 8,470.00
DIGOKSIN 0,25 MG 204.6 1 225.06 PCS 225.06
AMLODIPIN 5 MG TABLET 90 1 99 PCS 99
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SPOIT 50 CC SONDE / CATETER TIP 37,950.00 1 41,745.00 PCS 41,745.00
FOLEY CATHETER 2 WAY 16 19,140.00 1 21,054.00 PCS 21,054.00
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
CONECTA 9,182.00 2 10,100.20 PCS 20,200.40
AL 5,480,052.82
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
METIL PREDNISOLON 125 MG INJ. 22,000.88 3 24,200.97 PCS 72,602.91
DUROGESIC 25 PATCH 187,999.90 1 206,799.89 PCS 206,799.89
N-ACE INJ 300 MG/3ML 39,660.00 1 43,626.00 PCS 43,626.00
LAXADINE EMULSI 60 ML 38,500.00 1 42,350.00 PCS 42,350.00
SPOIT 3 CC 996 1 1,095.59 PCS 1,095.59
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
ERYSANBE 500 MG TAB 2,706.00 7 2,706.00 PCS 18,942.00
LEVOCIN INFUS 308,275.00 1 339,102.50 PCS 339,102.50
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
URESIX INJ 6,151.36 4 6,766.50 PCS 27,066.00
CAPTOPRIL 25 MG 121.22 1 133.34 PCS 133.34
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
KSR 600 MG TABLET 1,755.00 1 1,930.50 PCS 1,930.50
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
N-ACE INJ 300 MG/3ML 39,660.00 2 43,626.00 PCS 87,252.00
NEFROSTERIL 250 ML 49,599.00 1 54,558.90 PCS 54,558.90
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 1 CC 1,046.00 1 1,150.60 PCS 1,150.60
URESIX INJ 6,151.36 2 6,766.50 PCS 13,533.00
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
TRANSFUSI SET 10,164.00 1 121.00 PCS 11,180.40
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
RAIVAS INJ. 4 ML 79,200.05 2 87,120.05 PCS 174,240.10
CAIRAN PAN AMIN-G INFUS 45,950.30 1 50,545.33 PCS 50,545.33
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
ONDANSETRON 4 MG / 2ML INJEKSI 4,583.33 3 5,041.67 PCS 15,125.01
AL 4,947,092.99
SPOIT 3 CC 996 1 1,095.59 PCS 1,095.59
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
URESIX INJ 6,151.36 3 6,766.50 PCS 20,299.50
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
URESIX INJ 6,151.36 2 6,766.50 PCS 13,533.00
CAPTOPRIL 25 MG 121.22 1 133.34 PCS 133.34
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
HANDSCOON STERIL 7,5 13,613.00 1 14,974.29 PCS 14,974.29
ALBUMAN 20% 100 ML 858,000.00 1 943,800.00 PCS 943,800.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
COLOSTOMI BAG 28,677.00 1 31,544.70 PCS 31,544.70
PENJEPIT COLOSTOMY 28,677.00 1 31,544.70 PCS 31,544.70
SPOIT 3 CC 996 1 1,095.59 PCS 1,095.59
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
CAIRAN PAN AMIN-G INFUS 45,950.30 1 50,545.33 PCS 50,545.33
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
DEXAMETHASON 5 MG/ML INJEKSI 1,740.00 1 1,914.00 PCS 1,914.00
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
LEVOFLOXACIN INFUS 35,200.00 1 38,720.00 PCS 38,720.00
VITAMIN B COMP. KALENG 49 3 53.9 PCS 161.7
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
AL 5,012,695.17
DEKSAMETASON INJ 5 MG/ML 2,000.00 5 2,200.00 PCS 11,000.00
RAIVAS INJ. 4 ML 79,200.05 3 87,120.05 PCS 261,360.15
CAPTOPRIL 25 MG 121.22 2 133.34 PCS 266.68
SANMOL TAB 286 3 314.6 PCS 943.8
CEFIXIME 100 MG TABLET 1,430.00 4 1,573.00 PCS 6,292.00
BISOPROLOL 5 MG TAB 1,481.22 1 1,629.35 PCS 1,629.35
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
CONECTA 9,182.00 1 10,100.20 PCS 10,100.20
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
FUROSEMID INJ. 2,041.49 20 2,245.64 PCS 44,912.80
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
CONECTA 9,182.00 1 10,100.20 PCS 10,100.20
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 3 CC 996 2 1,095.59 PCS 2,191.18
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
METRONIDAZOLE INFUS 500 MG /100 ML 13,200.00 2 14,520.00 PCS 29,040.00
RANITIDIN INJ. 25MG/ML 2,400.42 3 2,640.46 PCS 7,921.38
NASAL CANULA O2 DEWASA 11,550.00 1 12,705.00 PCS 12,705.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
MASKER DISPOSABLE 700 1 770 PCS 770
PROFENID SUPP 11,788.00 1 12,966.80 PCS 12,966.80
NEEDLE NO.18 330 2 363 PCS 726
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
DUROGESIC 25 PATCH 187,999.90 1 206,799.89 PCS 206,799.89
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
ASAM TRANEKSAMAT INJ. 100 MG/ML 5,775.00 3 6,352.50 PCS 19,057.50
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 1 CC 1,920.00 1 2,112.00 PCS 2,112.00
AL 4,320,070.78
ALBONORM 25% 100 ML 1,500,000.00 1 1,650,000.00 PCS 1,650,000.00
ALBONORM 25% 100 ML 1,500,000.00 1 1,650,000.00 PCS 1,650,000.00
N-ACE INJ 300 MG/3ML 39,660.00 3 43,626.00 PCS 130,878.00
RAIVAS INJ. 4 ML 79,200.05 2 87,120.05 PCS 174,240.10
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
AMLODIPIN 10 MG TABLET 107 1 117.7 PCS 117.7
N-ACE INJ 300 MG/3ML 39,660.00 3 43,626.00 PCS 130,878.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
HUMI FLO 56,018.00 2 61,619.79 PCS 123,239.58
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
VITAMIN C 10 MG/2ML INJEKSI 5,665.80 4 6,232.38 PCS 24,929.52
DICYNONE INJ. 43,193.33 4 47,512.67 PCS 190,050.68
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 20 CC 11,990.00 2 13,189.00 PCS 26,378.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
CEFOTAXIME INJ. 9,350.00 2 10,285.00 PCS 20,570.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SPOIT 1 CC 1,046.00 3 1,150.60 PCS 3,451.80
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
CONECTA 9,182.00 1 10,100.20 PCS 10,100.20
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
CONECTA 9,182.00 1 10,100.20 PCS 10,100.20
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 20 CC 11,990.00 1 13,189.00 PCS 13,189.00
CAIRAN GELOFUSIN INFUS 88,300.30 2 97,130.33 PCS 194,260.66
SPOIT 20 CC 11,990.00 1 13,189.00 PCS 13,189.00
RAIVAS INJ. 4 ML 79,200.05 1 87,120.05 PCS 87,120.05
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SPOIT 20 CC 11,990.00 1 13,189.00 PCS 13,189.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 996 1 1,095.59 PCS 1,095.59
SUNGKUP OKSIGEN DEWASA NRM 44,770.00 1 49,247.00 PCS 49,247.00
DICYNONE INJ. 43,193.33 1 47,512.67 PCS 47,512.67
VITAMIN C AMP 6,413.00 1 7,054.30 PCS 7,054.30
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SPOIT 20 CC 11,990.00 1 13,189.00 PCS 13,189.00
RAIVAS INJ. 4 ML 79,200.05 1 87,120.05 PCS 87,120.05
AL 8,229,534.08
TRANSFUSI SET (TERUMO) 31,350.00 1 34,485.00 PCS 34,485.00
TRANSOFIX 3,400.00 1 3,740.00 PCS 3,740.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 3 CC 996 2 1,095.59 PCS 2,191.18
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SPOIT 3 CC 996 1 1,095.59 PCS 1,095.59
CONECTA 9,182.00 1 10,100.20 PCS 10,100.20
RAIVAS INJ. 4 ML 79,200.05 1 87,120.05 PCS 87,120.05
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 996 2 1,095.59 PCS 2,191.18
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 996 2 1,095.59 PCS 2,191.18
RAIVAS INJ. 4 ML 79,200.05 2 87,120.05 PCS 174,240.10
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
DICYNONE INJ. 43,193.33 3 47,512.67 PCS 142,538.01
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
AL 2,861,001.37
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
CONECTA 9,182.00 1 10,100.20 PCS 10,100.20
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
CONECTA 9,182.00 1 10,100.20 PCS 10,100.20
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
CAIRAN KAEN MG3 INFUS 9,599.70 2 10,559.67 PCS 21,119.34
SPOIT 3 CC 996 3 1,095.59 PCS 3,286.77
CIPROFLOXACIN 500 MG TABLET 378.4 3 416.24 PCS 1,248.72
SANMOL TAB 286 3 314.6 PCS 943.8
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
COMBIVENT 2,5 ML UDV 5,699.98 3 6,269.98 PCS 18,809.94
OMEPRAZOLE CAP 306.24 1 336.86 PCS 336.86
VALSARTAN 80 MG 2,420.00 1 2,662.00 PCS 2,662.00
CODEIN 10 MG TAB 605 3 665.5 PCS 1,996.50
DICYNONE INJ. 43,193.33 3 47,512.67 PCS 142,538.01
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
NEEDLE NO.18 330 2 363 PCS 726
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
SPOIT 3 CC 996 2 1,095.59 PCS 2,191.18
SPOIT 3 CC 996 2 1,095.59 PCS 2,191.18
PETHIDIN HCL 50 MG INJ. 13,191.42 1 14,510.56 PCS 14,510.56
SPOIT 1 CC 1,046.00 1 1,150.60 PCS 1,150.60
AL 4,930,349.64
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
FLEET ENEMA 43,050.00 1 47,355.00 PCS 47,355.00
N-ACE INJ 300 MG/3ML 39,660.00 3 43,626.00 PCS 130,878.00
AMLODIPIN 10 MG TABLET 561 1 617.1 PCS 617.1
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
CONECTA 9,182.00 1 10,100.20 PCS 10,100.20
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VITAMIN C AMP 6,413.00 3 7,054.30 PCS 21,162.90
DICYNONE INJ. 43,193.33 3 47,512.67 PCS 142,538.01
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 1 CC 1,046.00 1 1,150.60 PCS 1,150.60
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
VALSARTAN 80 MG 1,817.20 1 1,998.92 PCS 1,998.92
CODEIN 10 MG TAB 605 3 665.5 PCS 1,996.50
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
IV CAT(FRESCO)20 12,416.00 3 13,657.60 PCS 40,972.80
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
RAIVAS INJ. 4 ML 79,200.05 1 87,120.05 PCS 87,120.05
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
VENTILATOR SIRCUIT 573,727.00 1 631,099.70 PCS 631,099.70
VENTILATOR HME FILTER 63,888.00 2 70,276.80 PCS 140,553.60
SPOIT 10 CC 2,625.00 4 2,887.50 PCS 11,550.00
CAIRAN AQUADEST 1 LITER INFUS 17,399.25 1 19,139.17 PCS 19,139.17
ELBOW ELASTIS CATH 93,280.00 1 102,608.00 PCS 102,608.00
AL 5,276,947.99
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
CLINIMIX I LITER 224,999.99 1 247,499.99 PCS 247,499.99
MASKER DISPOSABLE 700 10 770 PCS 7,700.00
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
N-ACE INJ 300 MG/3ML 39,660.00 2 43,626.00 PCS 87,252.00
FUROSEMIDA TAB 40 MG 111.1 1 122.21 PCS 122.21
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
VALSARTAN 80 MG 1,817.20 1 1,998.92 PCS 1,998.92
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 20 CC 5,600.00 1 6,160.00 PCS 6,160.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VITAMIN C AMP 6,413.00 3 7,054.30 PCS 21,162.90
DICYNONE INJ. 43,193.33 3 47,512.67 PCS 142,538.01
SPOIT 20 CC 5,600.00 1 6,160.00 PCS 6,160.00
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
DICYNONE INJ. 43,193.33 3 47,512.67 PCS 142,538.01
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
AL 4,011,755.53
DICYNONE INJ. 43,193.33 3 47,512.67 PCS 142,538.01
VITAMIN C AMP 6,413.00 3 7,054.30 PCS 21,162.90
N-ACE INJ 300 MG/3ML 39,660.00 3 43,626.00 PCS 130,878.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
RAIVAS INJ. 4 ML 79,200.05 1 87,120.05 PCS 87,120.05
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MEROPENEM 1 GRAM 49,002.80 3 53,903.08 PCS 161,709.24
RAIVAS INJ. 4 ML 79,200.05 2 87,120.05 PCS 174,240.10
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
CODEIN 10 MG TAB 605 2 665.5 PCS 1,331.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
OMEPRAZOLE CAP 306.24 1 336.86 PCS 336.86
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
VALSARTAN 80 MG 1,817.20 1 1,998.92 PCS 1,998.92
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
LIDOCAINE 2 % INJEKSI 1,205.16 2 1,325.68 PCS 2,651.36
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
858,000.00 1 943,800.00 PCS 943,800.00
ALBONORM 25% 100 ML 1,500,000.00 1 1,650,000.00 PCS 1,650,000.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
CONECTA 10,825.00 1 11,907.50 PCS 11,907.50
TRAMADOL 100 MG/2 ML 4,481.40 2 4,929.54 PCS 9,859.08
URINE BAG T-TYPE 8,835.00 1 9,718.50 PCS 9,718.50
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
AL 6,928,818.10
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
SPOIT 3 CC 1,688.00 6 1,856.80 PCS 11,140.80
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 1 CC 1,920.00 3 2,112.00 PCS 6,336.00
CONECTA 10,825.00 2 11,907.50 PCS 23,815.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
N-ACE INJ 300 MG/3ML 39,660.00 3 43,626.00 PCS 130,878.00
AMLODIPIN 10 MG TABLET 695.02 1 764.52 PCS 764.52
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
DULCOLAX 10 MG SUPPOSITORIA 16,835.00 2 18,518.50 PCS 37,037.00
KSR 600 MG TABLET 1,755.00 2 1,930.50 PCS 3,861.00
CITICOLIN 250 MG/2 ML AMP. 8,250.00 4 9,075.00 PCS 36,300.00
MASKER TALI 825 10 907.5 PCS 9,075.00
MASKER TALI 825 10 907.5 PCS 9,075.00
DICYNONE INJ. 43,193.33 3 47,512.67 PCS 142,538.01
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
CONECTA 10,825.00 2 11,907.50 PCS 23,815.00
MASKER TALI 825 10 907.5 PCS 9,075.00
EPISAN SUSPENSI 49,830.00 1 54,813.00 PCS 54,813.00
CONECTA 10,825.00 2 11,907.50 PCS 23,815.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
RAIVAS INJ. 4 ML 79,200.05 2 87,120.05 PCS 174,240.10
AL 4,057,738.64
CEFTAZIDIME INJ 1 GR 18,562.50 1 20,418.75 PCS 20,418.75
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SPOIT 1 CC 1,920.00 1 2,112.00 PCS 2,112.00
N-ACE INJ 300 MG/3ML 39,660.00 1 43,626.00 PCS 43,626.00
NEBULIZER SUNGKUP DEWASA 40,535.00 1 44,588.50 PCS 44,588.50
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
CONECTA 10,825.00 1 11,907.50 PCS 11,907.50
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
CONECTA 10,825.00 1 11,907.50 PCS 11,907.50
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 10 907.5 PCS 9,075.00
N-ACE INJEKSI INHALASI 34,500.00 3 37,950.00 PCS 113,850.00
MASKER TALI 825 10 907.5 PCS 9,075.00
DICYNONE INJ. 43,193.33 3 47,512.67 PCS 142,538.01
NYMIKO DROPS 33,550.00 1 36,905.00 PCS 36,905.00
CIPROFLOXACIN INFUS 28,600.00 2 31,460.00 PCS 62,920.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
MASKER TALI 825 10 907.5 PCS 9,075.00
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
NYMIKO DROPS 33,550.00 1 36,905.00 PCS 36,905.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
NICARDIPIN HCL 36,960.00 2 40,656.00 PCS 81,312.00
CONECTA 10,825.00 1 11,907.50 PCS 11,907.50
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
PERDIPINE 10 MG INJEKSI 43,312.97 2 47,644.26 PCS 95,288.52
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
DBL GEMCITABINE 200 MG 175,000.00 1 192,500.00 PCS 192,500.00
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SPOIT 20 CC 5,600.00 1 6,160.00 PCS 6,160.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
AL 5,568,694.36
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
VASCON INJ 99,000.00 3 108,900.00 PCS 326,700.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
INFUSAN NS 9,153.38 3 10,068.71 PCS 30,206.13
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
VIP ALBUMIN SACHET PLUS 64,350.00 2 64,350.00 PCS 128,700.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 10 907.5 PCS 9,075.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
ANTASIDA DOEN SYR, BTL 60 ML 2,989.21 1 3,288.13 PCS 3,288.13
EPISAN SUSPENSI 49,830.00 1 54,813.00 PCS 54,813.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
NYMIKO DROPS 33,550.00 1 36,905.00 PCS 36,905.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
NOVORAPID FLEXPEN 87,000.00 1 95,700.00 PCS 95,700.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
VASCON INJ 99,000.00 3 108,900.00 PCS 326,700.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
CAIRAN SALIN 3 % 500 ML 24,200.00 1 26,620.00 PCS 26,620.00
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
HANDSCOEN STERIL 6,5 12,100.00 1 13,310.00 PCS 13,310.00
AL 5,527,744.46
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 10 907.5 PCS 9,075.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
KSR 600 MG TABLET 1,755.00 2 1,930.50 PCS 3,861.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
CHLORETHYL SEMPROT 135,000.00 2 148,500.00 PCS 297,000.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
MASKER TALI 825 10 907.5 PCS 9,075.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
CERTOFIX DUO V 1220 HD 924,000.00 1 1,016,400.00 PCS 1,016,400.00
TRANSOFIX 3,400.00 1 3,740.00 PCS 3,740.00
T-SILK 3/0 91,884.00 1 101,072.40 PCS 101,072.40
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 10 CC 2,625.00 4 2,887.50 PCS 11,550.00
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
GUDEL ORANGE 55,000.00 1 55,000.00 PCS 55,000.00
ETT NO 7.5 49,500.00 1 54,450.00 PCS 54,450.00
PROPOFOL LIPURO 1% 88,000.00 1 88,000.00 PCS 88,000.00
NOTRIXUM INJ 10 MG/ML, AMP 5 ML 78,650.00 1 86,515.00 PCS 86,515.00
VENTILATOR SIRCUIT 573,727.00 1 631,099.70 PCS 631,099.70
VENTILATOR HME FILTER 63,888.00 1 70,276.80 PCS 70,276.80
ELBOW ELASTIS CATH 93,280.00 1 102,608.00 PCS 102,608.00
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
NEEDLE NO.18 330 2 363 PCS 726
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
SPOIT 1 CC 1,920.00 1 2,112.00 PCS 2,112.00
TRADOSIK INJEKSI 19,019.00 2 20,920.90 PCS 41,841.80
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
ACETYLCYSTEINE KAPSUL 1,466.70 3 1,613.37 PCS 4,840.11
URESIX INJ 6,151.36 1 6,766.50 PCS 6,766.50
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 1 CC 1,920.00 1 2,112.00 PCS 2,112.00
AL 8,634,127.15
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MASKER DISPOSABLE 700 1 770 PCS 770
FEEDING TUBE NO. 18 36,960.00 1 40,656.00 PCS 40,656.00
BISOPROLOL 5 MG TAB 696.5 1 766.15 PCS 766.15
FARELAX INJ 5 ML 61,600.00 4 67,760.00 PCS 271,040.00
SPOIT 20 CC 5,600.00 1 6,160.00 PCS 6,160.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
NOTRIXUM INJ 10 MG/ML, AMP 5 ML 78,650.00 8 86,515.00 PCS 692,120.00
RAIVAS INJ. 4 ML 79,200.05 1 87,120.05 PCS 87,120.05
CAIRAN KCL 7,46% 25 ML FLACON 3,098.70 1 3,408.57 PCS 3,408.57
AL 5,255,711.70
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
NICARDIPIN HCL 36,960.00 5 40,656.00 PCS 203,280.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
LIPOMED 20% 100 ML 127,160.00 1 139,876.00 PCS 139,876.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
CAIRAN AMINOFLUID L 500ML INFUS 64,989.99 1 71,488.99 PCS 71,488.99
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
LIPOMED 20% 100 ML 127,160.00 1 139,876.00 PCS 139,876.00
LIPOMED 20% 100 ML 127,160.00 1 139,876.00 PCS 139,876.00
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
MECOBALAMIN INJ 500 6,600.00 1 7,260.00 PCS 7,260.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
MATA PISAU NO.11 4,024.58 1 4,427.03 PCS 4,427.03
6,320,677.66
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
TRANSOFIX 3,400.00 1 3,740.00 PCS 3,740.00
MECOBALAMIN INJ 500 6,600.00 1 7,260.00 PCS 7,260.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
NEURODEX CAP 400 3 440 PCS 1,320.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
NYMIKO DROPS 33,550.00 1 36,905.00 PCS 36,905.00
PROPOFOL LIPURO 1% 88,000.00 1 88,000.00 PCS 88,000.00
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
MST CONTINUES 10 MG 15,620.00 2 17,182.00 PCS 34,364.00
EPINEFRINE INJ 0,1 % 1,518.00 10 1,669.80 PCS 16,698.00
ATROPIN SULFAT 0,25 INJ 1,540.00 4 1,694.00 PCS 6,776.00
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
PENJEPIT COLOSTOMY 28,677.00 1 31,544.70 PCS 31,544.70
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
CONECTA 10,825.00 2 11,907.50 PCS 23,815.00
AL 3,921,844.96
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
MASKER TALI 825 10 907.5 PCS 9,075.00
SIMVASTATIN 10 MG 359.1 1 395.01 PCS 395.01
CANDESARTAN 8 MG 3,712.50 1 4,083.75 PCS 4,083.75
CONECTA 10,825.00 1 11,907.50 PCS 11,907.50
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
MASKER TALI 825 10 907.5 PCS 9,075.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
MASKER TALI 825 10 907.5 PCS 9,075.00
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
KSR 600 MG TABLET 1,755.00 2 1,930.50 PCS 3,861.00
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 10 907.5 PCS 9,075.00
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
VASCON INJ 99,000.00 3 108,900.00 PCS 326,700.00
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
CONECTA 10,825.00 1 11,907.50 PCS 11,907.50
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
LIPOMED 20% 100 ML 66,924.36 1 73,616.80 PCS 73,616.80
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
AL 4,653,196.04
MASKER TALI 825 10 907.5 PCS 9,075.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
INFUSAN NS 9,153.38 2 10,068.71 PCS 20,137.42
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
INFUSAN NS 9,153.38 3 10,068.71 PCS 30,206.13
SANMOL INFUS* 19,200.00 4 21,120.00 PCS 84,480.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 20 907.5 PCS 18,150.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
MASKER TALI 825 10 907.5 PCS 9,075.00
INFUSAN NS 9,153.38 3 10,068.71 PCS 30,206.13
SPOIT 20 CC 5,600.00 2 6,160.00 PCS 12,320.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
KSR 600 MG TABLET 1,755.00 3 1,930.50 PCS 5,791.50
DIGOKSIN 0,25 MG 204.6 1 225.06 PCS 225.06
MASKER TALI 825 10 907.5 PCS 9,075.00
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
CANDESARTAN 8 MG 3,712.50 1 4,083.75 PCS 4,083.75
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
URESIX INJ 6,151.36 2 6,766.50 PCS 13,533.00
CONDOM CATETER S/M/L/XL 8,800.00 1 9,680.00 PCS 9,680.00
INFUSAN NS 9,153.38 2 10,068.71 PCS 20,137.42
SPOIT 1 CC 1,920.00 3 2,112.00 PCS 6,336.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
VASCON INJ 99,000.00 3 108,900.00 PCS 326,700.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MASKER TALI 825 10 907.5 PCS 9,075.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 1 CC 1,920.00 1 2,112.00 PCS 2,112.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
AL 4,773,431.03
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
MASKER TALI 825 10 907.5 PCS 9,075.00
VALSARTAN 80 MG 1,817.20 1 1,998.92 PCS 1,998.92
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
CAPTOPRIL 25 MG 121.22 3 133.34 PCS 400.02
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
NOVORAPID FLEXPEN 87,000.00 1 95,700.00 PCS 95,700.00
MASKER TALI 825 10 907.5 PCS 9,075.00
LIPOMED 20% 100 ML 66,924.36 1 73,616.80 PCS 73,616.80
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
LIPOMED 20% 100 ML 66,924.36 1 73,616.80 PCS 73,616.80
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MASKER TALI 825 10 907.5 PCS 9,075.00
VASCON INJ 99,000.00 3 108,900.00 PCS 326,700.00
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MASKER TALI 825 10 907.5 PCS 9,075.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SPOIT 10 CC 2,625.00 3 2,887.50 PCS 8,662.50
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
EPHEDRINE HCL INJEKSI 8,569.00 1 9,425.90 PCS 9,425.90
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
FEEDING TUBE NO. 14 13,985.00 1 15,383.50 PCS 15,383.50
SPOIT 20 CC 5,600.00 1 6,160.00 PCS 6,160.00
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
AL 3,754,101.81
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
MASKER TALI 825 10 907.5 PCS 9,075.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MASKER TALI 825 10 907.5 PCS 9,075.00
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
SOTATIC INJ 5 MG/ML 2ML 3,163.00 3 3,479.30 PCS 10,437.90
MASKER TALI 825 10 907.5 PCS 9,075.00
SPIRONOLAKTON TAB 100 MG 986.39 1 1,085.03 PCS 1,085.03
MASKER TALI 825 10 907.5 PCS 9,075.00
SANMOL INFUS* 19,200.00 3 21,120.00 PCS 63,360.00
VALSARTAN 80 MG 1,817.20 1 1,998.92 PCS 1,998.92
ALLOPURINOL TAB 100 MG - ASK 182.02 1 200.22 PCS 200.22
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
CAPTOPRIL 25 MG 121.22 1 133.34 PCS 133.34
SPINOCAN 25 G 30,800.00 1 33,880.00 PCS 33,880.00
SANMOL INFUS 24,200.46 2 26,620.51 PCS 53,241.02
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
FEEDING TUBE 16 36,960.00 2 36,960.00 PCS 73,920.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
DIGOKSIN 0,25 MG 204.6 1 225.06 PCS 225.06
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
SPOIT 20 CC 5,600.00 1 6,160.00 PCS 6,160.00
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
VALISANBE 2 MG 214.5 1 235.95 PCS 235.95
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VASCON INJ 99,000.00 3 108,900.00 PCS 326,700.00
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
SANMOL INFUS 24,200.46 4 26,620.51 PCS 106,482.04
MASKER TALI 825 10 907.5 PCS 9,075.00
AL 3,076,166.77
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
CAPTOPRIL 25 MG 121.22 1 133.34 PCS 133.34
EPINEFRINE INJ 0,1 % 1,518.00 2 1,669.80 PCS 3,339.60
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SANMOL TAB 286 3 314.6 PCS 943.8
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
LIPOMED 20% 100 ML 66,924.36 1 73,616.80 PCS 73,616.80
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VALSARTAN 80 MG 1,817.20 1 1,998.92 PCS 1,998.92
VALISANBE 2 MG 214.5 1 235.95 PCS 235.95
N-ACE INJ 300 MG/3ML 39,660.00 3 43,626.00 PCS 130,878.00
SOTATIC INJ 5 MG/ML 2ML 3,163.00 3 3,479.30 PCS 10,437.90
SCOPAMIN 1,121.00 1 1,233.10 PCS 1,233.10
SOTATIC TAB 10 MG 177.71 1 195.48 PCS 195.48
CANGKANG KAPSUL 00 111.54 3 122.69 PCS 368.07
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
FARSORBID 10 MG 197.97 1 217.77 PCS 217.77
DIGOKSIN 0,25 MG 204.6 1 225.06 PCS 225.06
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 1 CC 1,920.00 1 2,112.00 PCS 2,112.00
NEEDLE NO.18 330 1 363 PCS 363
LEVEMIR FLEXPEN 83,950.00 1 92,345.00 PCS 92,345.00
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
PIRACETAM INJEKSI 3 GRAM 10,670.00 2 11,737.00 PCS 23,474.00
SPOIT 1 CC 1,920.00 1 2,112.00 PCS 2,112.00
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
AL 2,779,642.57
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
SPOIT 10 CC 2,625.00 1 2,887.50 PCS 2,887.50
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPINOCAN 25 G 30,800.00 1 33,880.00 PCS 33,880.00
SANMOL TAB 286 3 314.6 PCS 943.8
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
SPOIT 5 CC 1,813.00 1 1,994.30 PCS 1,994.30
SPOIT 20 CC 5,600.00 1 6,160.00 PCS 6,160.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
N-ACE INJ 300 MG/3ML 39,660.00 2 43,626.00 PCS 87,252.00
PRIMPERAN INJ 4,547.00 2 5,001.70 PCS 10,003.40
STESOLID INJ AMP 10 MG/2 ML 12,584.00 1 13,842.40 PCS 13,842.40
DESOXIMETASONE 0,25 CREAM 15 GRAM 11,500.50 1 12,650.56 PCS 12,650.56
POT SALEP 50 GRAM 1,683.00 1 1,851.30 PCS 1,851.30
AMBROXOL 15 MG/ML SYR 3,536.03 1 3,889.64 PCS 3,889.64
DIGOKSIN 0,25 MG 204.6 1 225.06 PCS 225.06
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
AL 1,804,730.93
SAGESTAM INJ 9,922.00 2 10,914.20 PCS 21,828.40
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VALISANBE 2 MG 214.5 1 235.95 PCS 235.95
FARSORBID 10 MG 197.97 1 217.77 PCS 217.77
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
FARGOXIN INJ 34,500.00 1 34,500.00 PCS 34,500.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
NYMIKO DROPS 33,550.00 1 36,905.00 PCS 36,905.00
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SPOIT 3 CC 1,688.00 1 1,856.80 PCS 1,856.80
SANMOL INFUS 24,200.46 1 26,620.51 PCS 26,620.51
CONECTA 10,825.00 1 11,907.50 PCS 11,907.50
AL 1,345,155.92
GENTAMICIN 40 MG/ML INJEKSI 3,507.65 3 3,858.41 PCS 11,575.23
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MASKER TALI 825 10 907.5 PCS 9,075.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MASKER TALI 825 20 907.5 PCS 18,150.00
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VALISANBE 2 MG 214.5 1 235.95 PCS 235.95
MASKER TALI 825 10 907.5 PCS 9,075.00
DIGOKSIN 0,25 MG 204.6 1 225.06 PCS 225.06
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
RIFASTAR 5,115.00 2 5,626.50 PCS 11,253.00
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
VASCON INJ 99,000.00 3 108,900.00 PCS 326,700.00
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
OXYTOCIN S AMP 10 IU/1 ML 1,232.00 6 1,232.00 PCS 7,392.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
HANDSCOON STERIL 6,5 12,100.00 3 13,310.00
ALBUNORM 25% 100 ML 1,510,000.00 1 1,661,000.00 PCS 1,661,000.00

AL 1,668,700.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 5 CC 1,813.00 2 1,994.30 PCS 3,988.60
SPOIT 3 CC 1,688.00 2 1,856.80 PCS 3,713.60
RIFASTAR 5,115.00 2 5,626.50 PCS 11,253.00
SAGESTAM INJ 9,922.00 2 10,914.20 PCS 21,828.40
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
VASCON INJ 99,000.00 2 108,900.00 PCS 217,800.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
DIGOKSIN 0,25 MG 204.6 1 225.06 PCS 225.06
SANMOL TAB 286 6 314.6 PCS 1,887.60
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VALISANBE 2 MG 214.5 1 235.95 PCS 235.95
FEEDING TUBE 16 36,960.00 1 36,960.00 PCS 36,960.00
HANDSCOEN STERIL 6.0 13,189.00 1 14,507.90 PCS 14,507.90
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
CALCII GLUKONAS INJ 10,437.00 1 11,480.70 PCS 11,480.70
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
SPOIT 10 CC 2,625.00 2 2,887.50 PCS 5,775.00
SPOIT 3 CC 1,688.00 3 1,856.80 PCS 5,570.40
LIPOMED 20% 100 ML 66,924.36 1 73,616.80 PCS 73,616.80
DESOXIMETASONE 0,25 CREAM 15 GRAM 11,500.50 1 12,650.56 PCS 12,650.56
POT SALEP 50 GRAM 1,683.00 1 1,851.30 PCS 1,851.30
ASAM SALISILAT 68 3 74.8 PCS 224.4
AL 1,993,486.62
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
VASCON INJ 99,000.00 1 108,900.00 PCS 108,900.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
MASKER TALI 825 10 907.5 PCS 9,075.00
HUMI FLO 56,018.00 1 61,619.79 PCS 61,619.79
LIPOMED 20% 100 ML 66,924.36 1 73,616.80 PCS 73,616.80
SPOIT 1 CC 1,920.00 3 2,112.00 PCS 6,336.00
CONECTA 10,825.00 1 11,907.50 PCS 11,907.50
INFUSAN NS 9,153.38 3 10,068.71 PCS 30,206.13
FARSORBID 10 MG 197.97 3 217.77 PCS 653.31
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
DIGOKSIN 0,25 MG 204.6 1 225.06 PCS 225.06
SAGESTAM INJ 9,922.00 2 10,914.20 PCS 21,828.40
MASKER TALI 825 10 907.5 PCS 9,075.00
FOLAVIT TAB 3 PCS
RIFASTAR 5,115.00 2 5,626.50 PCS 11,253.00
MASKER TALI 825 10 907.5 PCS 9,075.00
SANMOL INFUS 24,200.46 3 26,620.51 PCS 79,861.53
VASCON INJ 99,000.00 3 108,900.00 PCS 326,700.00
SPOIT 5 CC 1,813.00 3 1,994.30 PCS 5,982.90
MASKER TALI 825 10 907.5 PCS 9,075.00
INFUSAN NS 9,153.38 3 10,068.71 PCS 30,206.13
TAL 878,036.65
LAPORAN STOCK PEMAKAIAN OBAT & ALKES DEPO IBS PERIODE FEBRUARI 201
OBAT
AMPRA DIBERIKAN DEPO LAIN DEPO IBS

STOK
NO GOL.OBAT NAMA OBAT SAT KE DEPO KE DEPO
AWAL BULANAN IBS LAIN

5 CEFTRIAXON VIAL
6 COLISTINE TAB TAB
12 AMIKACIN VIAL
13 ERYSANBE TAB TAB
GOL. ANTIBIOTIK
14 LEVOFLOXACIN INF BTL
22 CEFIXIME DR SYR BTL
GOL. OBAT DIABETES
37 DICYNONE INJ. AMP
GOL. HIPERTENSI
GOL. HIPERTENSI
40 BISOPROL TAB TAB
45 CLONIDIN TAB TAB
53 ASAM TRANEKSAMAT INJ. 100 MG/ML AMP
54 GOL. OBAT CARBAZOCROME INJ AMP
PENDARAHAN
55 FOSFARGIN AMP
62 GOL. OBAT MECOBALAMIN AMP AMP
NEURO(SARAF)
67 AMITRIPTILIN TAB
GOL.ANTIKOAGULAN
69 PHYTOMENADION INJ (VIT.K) AMP
74 OMEPRAZOL 40 MG INJ VIAL
75 GOL. OBAT EPISAN SYRUP
MAAG/LAMBUNG
76 RANITIDIN INJ. 25MG/ML AMP
83 ASPILET TAB
GOL. OBAT JANTUNG
90 CEDOCARD INJ AMP
94 CETADOP INJ AMP
95 DOBUTAMIN 250 MG / 5 ML INJEKSI VIAL
97 NICARDIPIN AMP
98 ARIXTRA INJ
99 CURCUMA TAB TAB
100 NEUROSANBE AMP AMP
101 NEURODEX TAB
GOL. OBAT VITAMIN
107 ZAMEL SYR SYRUP
108 ELKANA SYR BTL
114 BUNASCAN 0,5% (EPIDURAL) AMP
115 BUNASCAN SPINAL AMP
122 GOL. OBAT CODEIN 20 MG TAB
NARKOTIKA /ANASTESI
125 LIDOCAINE 2 % INJEKSI AMP
132 KSR TAB TAB
GOL.KARDIOVASKULER
135 MELOXICAM 7,5 MG (profenid) TAB
137 SANMOL INFUS BTL
138 GOL. ANALGETIK/OBAT SANTAGESIK INJ AMP
NYERI
140 SANMOL TAB TAB
141 KETOROLAC 30MG/ML INJ AMP

GOL. OBAT OBAT
153 SESAK/ASMA PULMICORT NEBU AMP
157 ONDANSETRON 4 MG / 2ML INJEKSI AMP
GOL. MUAL DAN
158 MUNTAH ONDANSETRON 8 MG TAB
159 SOTATIC INJ 5 MG/ML 2ML (PRIMPERA AMP
161 DEKSAMETASON INJ 5 MG/ML AMP
GOL. OBAT
162 KORTIKOSTEROID(RADA METILPREDNISOLON 125 MG VIAL
NG)
168 FLEET ENEMA BTL
169 LAXADIN SYR BTL
170 ZINKID SYR BTL
GOL. OBAT BATUK

176 N-ACE INJ AMP
178 GOL. OBAT LODIA TAB TAB
PENCERNAAN
179 NEW DIATABS TAB
GOL. OBAT ANTI BRAXIDIN TAB

180 SPASMODIK
181 URESIX INJ AMP

183 VIP ALBUMIN CAPS CAPS
GOL. OBAT ASAM URAT
186 KALITAKE SCHT
GOL. OBAT ANTI JAMUR

187 NYMICO DROPS
GOL. ANTIKOLINERGIK
188 ATROPIN SULFAT 0,25 INJ AMP
189 CTM TAB
GOL.OBAT ASAM URAT
RIODE FEBRUARI 2018
RETUR TOTAL
RETUR STOK
DEPO KE PEMAKAIA
RUANGAN GUDANG AKHIR
N
LAPORAN STOCK PEMAKAIAN OBAT & ALKES DEPO IBS
PERIODE FEBRUARI 2018
BHP
AMPRA DIBERIKAN DEPO LAIN DEPO IBS RETUR

STOK
NO NAMA OBAT SAT KE DEPO KE DEPO RUANGAN
AWAL BULANAN IBS LAIN
1 ALKOHOL /CC CC
2 AMINOFLUID PCS
5 AMINOLEBAM PCS
6 APRON PCS
7 AQUADEST 1 LITER INFUS BTL
8 AQUADEST 25 ML FLACON FLC
9 ARM SLING PCS
12 ASKINA 9X15 PCS
57
68 BETADINE 1 L BTL
69 BIO-CHOL PCS
75 BONEWANX PCS
76 BSS PCS
77 CERTOFIX HD PCS
79 COLOSTOMY BAG PCS
81 COMBIFLEX 100 ML PCS
82 CONECTA PCS
85 DEXTROSE 5 % BTL
89 ELEKTRODA PCS
90 ETT 2.5 PCS
91 ETT 3.0 PCS
92 ETT 3.5 PCS
93 ETT 4.0 PCS
94 ETT 4.5 PCS
95 ETT 5.0 PCS
96 ETT 5.5 PCS
97 ETT 6.0 PCS
98 ETT 6.5 PCS
99 ETT 7.0 PCS
100 ETT 7.5 PCS
132 FUTROLIT BTL
133 GELOFUSIN BTL
135 GUDEL HITAM PCS
137 GUDEL MERAH PCS
140 GUDEL PUTIH PCS
146 HANDSCOON NON STERIL PSG
153 HUMIFLO PCS
159 INFUS SET DEWASA PCS
160 ISOFLURANE BTL
161 IV CAT 16 PCS

162 IV CAT 18 PCS
163 IV CAT 20 PCS
164 IV CAT 22 PCS
165 IV CAT 24 PCS
167 KAEN 3B BTL
168 KASA ROLL PCS
172 KIDMIN PCS
173 KY JELLY PCS
174 LEUCOPLAST PCS
175 LIGA CLIP PCS
176 LIPOFUNDIN BTL
177 LOMATULLE PCS
179 MASKER PCS
181 MEDE BLUE PCS
183 NACL 0,9 % INFUS BTL
185 NACL PIGGY BAG INFUS BTL
188 NASAL CANULA O2 DEWASA PCS
189 NEEDLE 18 PCS
190 NRM ANAK PCS
191 NRM DEWASA PCS
192 OCUSOL BTL
213 OPTIMA 6.00 PCS
214 OPTIMAVISC PCS
215 PAN AMIN G PCS
216 PENJEPIT COLOSTOMY PCS
217 PERFUSSOR PCS
218 PERIFIX (EPIDURAL SET) PCS
219 POT URINE POT
220 RL INFUSAN (SANBE) BTL
221 SALIN 3% BTL
226 SPINOCAN 25 PCS
227 SPINOCAN 26 PCS
228 SPINOCAN 27 PCS
229 SPOIT 1 CC PCS
230 SPOIT 10 CC PCS
231 SPOIT 20 CC PCS
232 SPOIT 3 CC PCS
233 SPOIT 5 CC PCS
236 STABE KNIFE PCS
247 SURVISC-TM PCS
255 TIP CLEANER PCS
256 TOPI OPERASI PCS
257 TRANSFUSI SET PCS
258 TRANSOFIX PCS
260 T-SCRUB PCS
262 URINE BAG PCS
263 UROGARD TERUMO PCS
271 PD SCRUB BTL
272 KAEN MG3 BTL
273 IV CAT 26 PCS
275 MGSO4 PCS
280 MILDEX LTR
282 HANDRUB 5 L LTR
285 NEFROSTERIL PCS
286 VALAMIN INF
O IBS
RETUR TOTAL STOK

DEPO KE PEMAKAIA AKHIR
GUDANG N
LAPORAN PEMAKAIAN OBAT PSIKOT
FEBRUARI 2018 ICU
AMPRA DEPO LAIN DEPO IBS
RETUR KE RETUR
BULANAN KE IBS
STOCK DEPO KE DEPO
NO NAMA OBAT SAT GUDANG ICU
AWAL LAIN
1 2 3 4
NARKOTIK
2 FENTANYL 2 ML AMP
5 CODEIN 10 MG TAB
6 CODEIN 20 MG TAB
PSIKOTROPIK
1 EPHEDRIN INJ AMP
4 BRAXIDIN TAB
6 TRADOSIC INJ AMP
9 VALISANBE INJ AMP
AIAN OBAT PSIKOTROPIK & NARKOTIK
OBAT TOTAL
TANGGAL PEMAKAIA
N
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
NARKOTIK
PSIKOTROPIK
STOCK
AKHIR
STOK OPNAME IBS 30 JANUARI 2018
JANUARI 2018 OBAT

JUMLAH NAMA
NAMA SAT EXP SELISIH KET
NO GOL.OBAT OBAT PABRIK
OBAT

Rincian Pemakaian Depo Ibs Feb 1

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LAMPIRAN KERTAS KERJA INST

FEBRUARI 2018 ICU

149 DUMIN 250 MG RCTL

150 STESOLID RECTAL 10 MG RCTL

175 ACETYLSISTEIN CAPS CAPS

181 URESIX INJ AMP 3 5 6 5 20 20 22 10

FEBRUARI 2018 ICU

BHP & CAIRAN

92 RAIVAS INJ. 4 ML (VASCON) AMP

140 SANMOL TAB TAB

149 DUMIN 250 MG RCTL

150 STESOLID RECTAL 10 MG RCTL

181 URESIX INJ AMP

FEBRUARI 2018 ICU

BHP & CAIRAN

HARGA SAT TOTAL HARGA

FEBRUARI 2018 OBAT

149 DUMIN 250 MG RCTL

150 STESOLID RECTAL 10 MG RCTL 3

175 ACETYLSISTEIN CAPS CAPS

GOL. OBAT ANTI BRAXIDIN TAB

181 URESIX INJ AMP

FEBRUARI 2018 BHP

161 IV CAT 16 PCS

TOTAL HARGA SAT TOTAL HARGA

TOTAL HARGA SAT TOTAL HARGA

TGL NO No.Faktur No.RM NAMA PASIEN

01-FEB- 1 APT010000112863 67142 tn. AUDANG WIJAYA JB. M

02-FEB- 31 APT010000113280 145892 tn. MUH YUNUS DINI

03-FEB- 62 APT010000113640 145892 tn. MUH YUNUS DINI

04-FEB- 81 APT010000113917 147542 tn. GUMA TEPU

05-FEB- 103 APT010000114007 67142 tn. AUDANG WIJAYA JB. M

06-FEB- 112 APT010000114199 142818 ny. NASIA

08-FEB- 155 APT010000115211 147691 ny. ISLAMIAH SAMAD

09-FEB- 177 APT010000115585 147549 ny. SATTURIA

10-FEB- 195 APT010000115724 139924 tn. MUH. ALWI MANNA

11-FEB- 266 APT010000116187 146986 tn. UMAR AT

12-FEB- 265 APT010000116980 147867 ny. A. NIRMAWATI

13-FEB- 304 APT010000116665 147917 ny. HARTATI

14-FEB- 323 APT010000117039 145892 tn. MUH YUNUS DINI

15-FEB- 342 APT010000117437 146986 tn. UMAR AT

16-FEB- 360 APT010000117758 147549 ny. SATTURIA

17-FEB- 385 APT010000117885 147549 ny. SATTURIA

18-FEB- 425 APT010000118201 148253 ny. HJ MADDI

19-FEB- 466 APT010000118670 142561 tn. RUSWANDI

20-FEB- 490 APT010000118921 148048 tn. PARHAM PARAKKASI

21-FEB- 508 APT010000119226 148210 ny. HAMIDA DG CICI

23-FEB- 556 APT010000119941 46392 ny. ST MASRIAH

24-FEB- 579 APT010000120428 146679 ny. NURBAYA

25-FEB- 608 APT010000120591 143947 an. SINDI IRMAWATI

26-FEB- 635 APT010000120642 145892 tn. MUH YUNUS DINI

27-FEB- 655 APT010000121372 148552 tn. SYAMSUDDIN

28-FEB- 673 APT010000121373 146679 ny. NURBAYA

NAMA OBAT HARGA BELI QTY HARGA JUAL SAT. TOTAL

IV CATHETER NO. 22 12,416.00 2 13,657.60 PCS 27,315.20

ALBUNORM 25% 100 ML 1,510,000.00 1 1,661,000.00 PCS 1,661,000.00

AMPRA DIBERIKAN DEPO LAIN DEPO IBS

1 CEFADROXIL CAPS CAPS

149 DUMIN 250 MG RCTL

150 STESOLID RECTAL 10 MG RCTL

175 ACETYLSISTEIN CAPS CAPS

GOL. OBAT ANTI BRAXIDIN TAB

181 URESIX INJ AMP

GOL. OBAT ANTI JAMUR