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Sheet1

Lapo
Tanggal No Nama No. Rm L/P
09/16/18 1 WARDINA 99519 Wanita

09/16/18 2 HASNAH 5621 Wanita

09/16/18 3 INTAN 93528 Wanita

09/16/18 4 ASPIANDRI 45184 Pria

09/16/18 5 THOMAS 99963 Pria

Page 1
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09/16/18 6 YAMAN 47500 Pria

09/16/18 7 NORHAM 1010 Pria

09/16/18 8 HAMID 96155 Pria

Page 2
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09/16/18 9 SUWITO 100180 Pria

09/16/18 10 NAJIPAH 100351 Wanita

09/16/18 11 MAHNI 80217 Pria

09/16/18 12 SAPARI 10967 Pria

Page 3
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09/16/18 13 GANGGUK 100300 Pria

09/16/18 14 TAJUDIN 98682 Pria

09/16/18 15 SUDERNI 99483 Pria

09/16/18 16 SARIMAH 100457 Wanita

Page 4
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09/16/18 17 WERA ANGGELA 83328 Wanita

09/16/18 18 ZAHARA 99311 Wanita

09/16/18 19 KARTINI 54653 Wanita

09/16/18 20 FATIMAH 95600 Wanita

Page 5
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09/16/18 21 SABINUS ANAM 93502 Pria

09/16/18 22 AKBAR ABDI 64947 Pria

09/16/18 23 SYAHBANDI 99418 Pria

Page 6
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09/16/18 24 ISWANDI 99326 Pria

09/16/18 25 SURAIDAH 100383 Wanita

09/16/18 26 SARIMAH 100457 Wanita

09/16/18 27 RUSMITA 27523 Wanita

09/16/18 28 RUSNI MAULANA 73105 Pria

09/16/18 29 SURAIDAH 100383 Wanita

09/16/18 30 ISWANDI 99326 Pria

Page 7
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09/16/18 31 SYAHBANDI 99418 Pria

09/16/18 32 MUHAMMAD IHSAN 40960 Pria

09/16/18 33 YATIM 100460 Pria

09/16/18 34 ANISA FATIN NUHA 64026 Wanita

09/16/18 35 SITI HADIJAH TARIGAN S H 83042 Wanita

09/16/18 36 RAFA NIZAM 92160 Pria

Page 8
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09/16/18 37 LINA 93704 Wanita

09/16/18 38 SAROJI 100462 Pria

09/16/18 39 SLAMET RIYADI 42509 Pria

Page 9
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09/16/18 40 TONAH 38802 Wanita

09/16/18 41 WARDINA 99519 Wanita

09/16/18 42 SLAMET RIYADI 42509 Pria

09/16/18 43 WARDINA 99519 Wanita

09/16/18 44 HUZAIMAH 22695 Wanita

Page 10
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09/16/18 45 ELSA 65042 Wanita

09/16/18 46 DZIKRI AYDIN PRANAJA 35691 Pria

09/16/18 47 MARTINA SUMARNI 98290 Wanita

09/16/18 48 DESTI 100293 Wanita

09/16/18 49 SURIATI 92426 Wanita

09/16/18 50 INDAH 100452 Wanita

Page 11
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09/16/18 51 rusmita

09/16/18 52 DEWI ARIANTI 100438 Pria

09/16/18 53 EMIATI 100338 Wanita

09/16/18 54 MAZILA 8964 Wanita

09/16/18 55 TRI ADESTI 99472 Wanita

09/16/18 56 JULIANA 100456 Wanita

09/16/18 57 SARIMAH 100457 Wanita

09/16/18 58 SAROJI 100462 Pria


09/16/18 59 GUNAWAN 99960 Pria

09/16/18 60 SADEAH 100433 Wanita

Page 12
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09/16/18 61 LASA 100444 Pria

09/16/18 62 JUNAIDI 61358 Pria

09/16/18 63 AMIRHAN 1348 Pria

09/16/18 64 TAJUDIN 98682 Pria

Page 13
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09/16/18 65 SUDERNI 99483 Pria

09/16/18 66 U ANANDRA DEANOVA 100465 Pria

09/16/18 67 WARDINA 99519 Wanita

09/16/18 68 ERICS JULIYONO 80197 Pria

09/16/18 69 SAROJI 100462 Pria

09/16/18 70 SUWAHONO 100346 Pria

09/16/18 71 SAJALI 91715 Wanita

09/16/18 72 BY. NY. IMA 100275 Pria

09/16/18 73 BY NY RUKAIYAH 100082 Pria

09/16/18 74 BY.NY.KARMIJA 100164 Pria

Page 14
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09/16/18 75 BY NY INTAN 100163 Wanita

09/16/18 76 BY. NY. IMA 100275 Pria

09/16/18 77 BY.NY.APRIANA BURHANUDIN 100310 Pria

09/16/18 78 BY. NY. TATIARIATI 100100 Pria

09/16/18 79 BY.NY. RAHAYU 100419 Pria

Page 15
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09/16/18 80 BY NY RUKAIYAH 100082 Pria

09/16/18 81 BY.NY.SARIMAH 100459 Wanita

09/16/18 82 BY. NY. INDAH 100458 Pria

09/16/18 83 BY.NY. EMIATI 100375 Wanita

09/16/18 84 BY. NY. JULIANA 100461 Pria

09/16/18 85 ISWANDI 99326 Pria

09/16/18 86 SURAIDAH 100383 Wanita

09/16/18 87 SUHARTI 39936 Wanita

Page 16
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09/16/18 88 SYARIKA SYIFA ISQIELLA 100197 Wanita

09/16/18 89 SYAHBANDI 99418 Pria

09/16/18 90 ASPIANDRI 45184 Pria

09/16/18 91 HAPIZH RIFQIANSAH 37709 Pria

09/16/18 92 THOMAS 99963 Pria

09/16/18 93 SAJALI 91715 Wanita

Page 17
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09/16/18 94 JUMARI 78242 Pria

09/16/18 95 FIRMANSYAH BIN AGUSTINO 98892 Pria

09/16/18 96 AUFA RIYANTO 100422 Pria

09/16/18 97 MUHAMMAD IKHSAN RAYYAN 100388 Pria

09/16/18 98 GANGGUK 100300 Pria

09/16/18 99 YAMAN 47500 Pria

Page 18
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09/16/18 100 SAPARI 10967 Pria

09/16/18 101 NORHAM 1010 Pria

09/16/18 102 AKBAR ABDI 64947 Pria

09/16/18 103 KARTINI 54653 Wanita

Page 19
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09/16/18 104 NAJIPAH 100351 Wanita

09/16/18 105 HAMID 96155 Pria

09/16/18 106 SAPURA 100409 Wanita

09/16/18 107 SUWITO 100180 Pria

09/16/18 108 ZAHARA 99311 Wanita

Page 20
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09/16/18 109 WERA ANGGELA 83328 Wanita

09/16/18 110 MAHNI 80217 Pria

09/16/18 111 izar

09/16/18 112 DESILAWATI 100414 Wanita


09/16/18 113 TAJUDIN 98682 Pria
09/16/18 114 SUDERNI 99483 Pria
09/16/18 115 SABINUS ANAM 93502 Pria
09/16/18 116 ERNAWATI 100470 Wanita

09/16/18 117 RIDWAN 41124 Pria

09/16/18 118 SUWAHONO 100346 Pria

09/16/18 119 SAIDAH 76814 Wanita

Page 21
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09/16/18 120 RIDWAN 41124 Pria

09/16/18 121 MAHNI 80217 Pria


09/17/18 122 YANTI 100472 Wanita

09/17/18 123 NURHENA 11172 Wanita

09/17/18 124 SUWAHONO 100346 Pria


09/17/18 125 SUHARTI 39936 Wanita

Page 22
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09/17/18 126 ARALYN RAISYA APRILIA 50579 Wanita


09/17/18 127 RUSMINI 16173 Wanita

09/17/18 128 NAHWI 53976 Pria


09/17/18 129 AUFA RIYANTO 100422 Pria
09/17/18 130 FIRMANSYAH BIN AGUSTINO 98892 Pria

09/17/18 131 ALFARIZ MUHAMMAD ZEBAN 81760 Pria


09/17/18 132 KARTINI 54653 Wanita

09/17/18 133 NAJIPAH 100351 Wanita

09/17/18 134 SAPURA 100409 Wanita

Page 23
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09/17/18 135 U BILQIS 100489 Wanita


09/17/18 136 SAIDAH 76814 Wanita

09/17/18 137 SADEAH 100433 Wanita

09/17/18 138 SABINUS ANAM 93502 Pria

09/17/18 139 RIYAN JULIANSYAH 100499 Pria

09/17/18 140 MUHAMMAD IHSAN 40960 Pria

Page 24
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09/17/18 141 TONAH 38802 Wanita

09/17/18 142 WARDINA 99519 Wanita

09/17/18 143 MUHAMMAD IHSAN 40960 Pria

09/17/18 144 ADRIANUS ADOS 74218 Pria

Page 25
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09/17/18 145 SUDERNI 99483 Pria

09/17/18 146 SAROJI 100462 Pria

09/17/18 147 ELSA 65042 Wanita

09/17/18 148 MUHAMMAD IKHSAN RAYYAN 100388 Pria

09/17/18 149 ERICS JULIYONO 80197 Pria

09/17/18 150 RAFA NIZAM 92160 Pria

09/17/18 151 LINA 93704 Wanita

Page 26
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09/17/18 152 JUMARI 78242 Pria

09/17/18 153 ARIYANTO 100024 Pria

09/17/18 154 SUGENG WALUYO 84785 Pria

09/17/18 155 HUZAIMAH 22695 Wanita


09/17/18 156 RANTI NUR YULIANTI 100453 Wanita
09/17/18 157 LILIANA 100384 Wanita

09/17/18 158 ELTI MARIA SUSANTI 100331 Wanita

09/17/18 159 RANTI NUR YULIANTI 100453 Wanita

09/17/18 160 HUZAIMAH 22695 Wanita

09/17/18 161 ERNAWATI 100470 Wanita

Page 27
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09/17/18 162 RUSMITA 27523 Wanita

09/17/18 163 NUR ILLIYAH 67215 Wanita

09/17/18 164 BY. NY.HENNY WIDIARTI 100522 Pria

09/17/18 165 SURAIDAH 100383 Wanita

09/17/18 166 ISWANDI 99326 Pria

09/17/18 167 SYAHBANDI 99418 Pria

Page 28
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09/17/18 168 TONAH 38802 Wanita

09/17/18 169 U ANANDRA DEANOVA 100465 Pria

09/17/18 170 AMIRHAN 1348 Pria

09/17/18 171 NURHENA 11172 Wanita

09/17/18 172 RICKY 100519 Pria

Page 29
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09/17/18 173 JUNAIDI 61358 Pria

09/17/18 174 HARJO PRAYITNO 38074 Pria

09/17/18 175 JUSMANI 100512 Wanita

09/17/18 176 GLORIA JOERISCA LEE 63479 Wanita

09/17/18 177 RIZKA NOVIANTI 3075 Wanita

Page 30
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09/17/18 178 NORHAM 1010 Pria

09/17/18 179 SAJALI 91715 Wanita

09/17/18 180 LASA 100444 Pria

09/17/18 181 USMANDI 99790 Pria

09/17/18 182 AGUSTRIANA 52377 Wanita

Page 31
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09/17/18 183 ANDIKA PUTRA 79544 Pria

09/17/18 184 HARRIZA 77805 Pria

09/17/18 185 RAJNI SUMAR 12639 Pria

09/17/18 186 ARMAYADI 100529 Pria

09/17/18 187 MARSELUS JUNAIDI 100532 Pria

09/17/18 188 HAMIDA 1770 Wanita

09/17/18 189 SYAMSUDDIN BIRIN 100530 Pria

09/17/18 190 ASPIANDRI 45184 Pria

Page 32
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09/17/18 191 THOMAS 99963 Pria

09/17/18 192 U ANANDRA DEANOVA 100465 Pria

09/17/18 193 SUTIANI 14287 Wanita

09/17/18 194 MUNZIRI 85026 Pria

09/17/18 195 SLAMET RIYADI 42509 Pria

09/17/18 196 LIMMA 63124 Wanita

Page 33
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09/17/18 197 YANTI ARISKA 100534 Wanita

09/17/18 198 BY. NY. DESILAWATI 100524 Pria

09/17/18 199 RIZKA NOVIANTI 3075 Wanita

09/17/18 200 CALLISTA HAFIZAH ANINDYA 52368 Wanita

09/17/18 201 RUSDAH 11721 Wanita

Page 34
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09/17/18 202 BY. NY. DESILAWATI 100524 Pria

09/17/18 203 BY.NY.IMAKULATA 100502 Pria

09/17/18 204 BY. NY. YAYANG SARI 100469 Pria

09/17/18 205 BY. NY. WELINDA 100525 Pria

09/17/18 206 BY. NY.HENNY WIDIARTI 100522 Pria

Page 35
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09/17/18 207 BY.NY. ERNAWATI 100473 Wanita

09/17/18 208 HADRAN LAIMAN 21584 Pria

09/17/18 209 GUNAWAN 99960 Pria

09/17/18 210 ALBERT MATRAYE 40952 Pria

09/17/18 211 BULYANI 44828 Pria

09/17/18 212 SUWAHONO 100346 Pria

09/17/18 213 HADRAN LAIMAN 21584 Pria


09/17/18 214 SUWAHONO 100346 Pria
09/17/18 215 YANTI 100472 Wanita

09/17/18 216 ERNAWATI 100470 Wanita

09/17/18 217 YAYANG SARI 100468 Wanita

Page 36
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09/17/18 218 MINARNI 6062 Wanita

09/17/18 219 USMANDI

09/17/18 220 AGUS 99434 Pria

09/17/18 221 USMANDI 99790 Pria

09/18/18 222 PATIMAH 100539 Wanita

Page 37
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09/18/18 223 MELITA JEWITA 100538 Wanita

09/18/18 224 PATIMAH 100539 Wanita


09/18/18 225 SUGENG WALUYO 84785 Pria

09/18/18 226 AKBAR ABDI 64947 Pria

09/18/18 227 SAPARI 10967 Pria

09/18/18 228 HAMID 96155 Pria

Page 38
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09/18/18 229 GANGGUK 100300 Pria

09/18/18 230 RUSMINI 16173 Wanita

09/18/18 231 YAMAN 47500 Pria

09/18/18 232 SUWITO 100180 Pria


09/17/18 233 RUSDAH 11721 Wanita
09/18/18 234 SUWITO 100180 Pria

09/18/18 235 INTAN 93528 Wanita

09/18/18 236 100472

09/18/18 237 MUHAMMAD IKHSAN RAYYAN 100388 Pria

09/18/18 238 JUMARI 78242 Pria

09/18/18 239 MUZFAYANI 14643 Wanita

Page 39
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09/18/18 240 ALBERT MATRAYE 40952 Pria

09/18/18 241 GUNAWAN 99960 Pria

09/18/18 242 RINA

09/18/18 243 MAULINA 23907 Wanita

09/18/18 244 MARSEL LINO 100467 Pria

09/18/18 245 U ANANDRA DEANOVA 100465 Pria

09/18/18 246 DESILAWATI 100414 Wanita

Page 40
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09/18/18 247 KARLINA 100537 Wanita

09/18/18 248 YAYANG SARI 100468 Wanita

09/18/18 249 HENNY WIDIARTI 46118 Wanita

09/18/18 250 YANTI ARISKA 100534 Wanita

09/18/18 251 SURIATI 92426 Wanita

09/18/18 252 DESILAWATI 100414 Wanita

Page 41
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09/18/18 253 WELINDA 22761 Wanita

09/18/18 254 SURIATI 92426 Wanita

09/18/18 255 JULIANA 100492 Wanita

09/18/18 256 YANTI 100472 Wanita

Page 42
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09/18/18 257 RINI 100485 Wanita

09/18/18 258 JUHARDI 72326 Pria

09/18/18 259 BY.NY.SARIMAH 100459 Pria


09/18/18 260 BY.NY.YANTI 100549 Pria

09/18/18 261 BY.NY.KARLINA 100540 Pria

Page 43
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09/18/18 262 BY. NY. IMA 100275 Pria

09/18/18 263 BY. NY. INDAH 100458 Pria

09/18/18 264 by.ny.rini

09/18/18 265 BY. NY. DESILAWATI 100524 Pria

09/18/18 266 BY.NY.JULIANA 100536 Pria

09/18/18 267 ERICS JULIYONO 80197 Pria

Page 44
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09/18/18 268 RAFA NIZAM 92160 Pria

09/18/18 269 ELSA 65042 Wanita

09/18/18 270 LINA 93704 Wanita

09/18/18 271 GANGGUK 100300 Pria

09/18/18 272 BY.NY. VIVI LESTARI 99848 Pria

09/18/18 273 BY.NY.YANTI 100549 Pria

Page 45
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09/18/18 274 SUGENG WALUYO 84785 Pria

09/18/18 275 LASA 100444 Pria

09/18/18 276 RIZKA NOVIANTI 3075 Wanita

09/18/18 277 ASPIANDRI 45184 Pria

09/18/18 278 THOMAS 99963 Pria

09/18/18 279 MUHAMMAD IHSAN 40960 Pria

09/18/18 280 WARDINA 99519 Wanita

Page 46
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09/18/18 281 USMANDI 99790 Pria

09/18/18 282 TONAH 38802 Wanita

09/18/18 283 USMANDI 99790 Pria

Page 47
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09/18/18 284 SURAIDAH 100383 Wanita

09/18/18 285 RUSDAH 11721 Wanita

09/18/18 286 NURHENA 11172 Wanita

09/18/18 287 SAPURA 100409 Wanita

09/18/18 288 JUSMANI 100512 Wanita

09/18/18 289 SAIDAH 76814 Wanita

Page 48
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09/18/18 290 MELITA JEWITA 100538 Wanita

09/18/18 291 AGUSTRIANA 52377 Wanita

09/18/18 292 cesya


09/18/18 293 SUWAHONO 100346 Pria

09/18/18 294 RICKY 100519 Pria

09/18/18 295 BULYANI 44828 Pria

09/18/18 296 QISYA QUMAIRA 90151 Wanita


09/18/18 297 NURUL HIDAYAH 8124 Wanita

09/18/18 298 BY. NY.HENNY WIDIARTI 100522 Pria

Page 49
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09/18/18 299 BY NY RUKAIYAH 100082 Pria

09/18/18 300 BY.NY. RAHAYU 100419 Pria


09/18/18 301 BY. NY. DESILAWATI 100524 Pria
09/18/18 302 SUWITO 100180 Pria

09/18/18 303 PATIMAH 100539 Wanita

09/18/18 304 RUSMINI 16173 Wanita

09/18/18 305 SAMSUL 100577 Pria

09/18/18 306 AKBAR ABDI 64947 Pria

Page 50
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09/18/18 307 HAMID 96155 Pria

09/18/18 308 IMMANUEL LONDONG ALLO ST 100243 Pria

09/18/18 309 SAPARI 10967 Pria


09/18/18 310 SURIATI
09/18/18 311 SAROJI 100462 Pria
09/18/18 312 SAJALI 91715 Wanita

09/18/18 313 GANGGUK 100300 Pria

09/18/18 314 SAROJI 100462 Pria

09/18/18 315 YAMAN 47500 Pria

09/18/18 316 INTAN 93528 Wanita

Page 51
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09/18/18 317 HARIS 99958 Pria

09/18/18 318 100024 Pria

09/18/18 319 BULYANI 44828 Pria


09/18/18 320 SAPARI 10967 Pria

09/18/18 321 M SYAFIQ FI DZAUQI 100357 Pria

09/18/18 322 ELSAWATI 1872 Wanita

09/18/18 323 U ANANDRA DEANOVA 100465 Pria


09/18/18 324 RAFA SEPTIAN RAMADHAN SIREGAR 58866 Pria
09/18/18 325 ARIYANTO 100024 Pria

09/18/18 326 HADRAN LAIMAN 21584 Pria

Page 52
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09/18/18 327 ALBERT MATRAYE 40952 Pria

09/18/18 328 NAHWI 53976 Pria

09/18/18 329 TETI 73166 Wanita

09/18/18 330 EKO SUTANTO 100581 Pria

09/18/18 331 MATNA JUHANA 63458 Pria

09/18/18 332 HALIMAH 98415 Wanita

Page 53
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09/18/18 333 SAZKIA 91091 Wanita

09/18/18 334 MATNA JUHANA 63458 Pria

09/18/18 335 M GIBRAN AL FARUQ 78745 Pria

09/19/18 336 AGUS 100585 Pria

09/19/18 337 BUSRI 21703 Pria

09/19/18 338 JARNIAH 100586 Wanita

Page 54
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09/19/18 339 M SYAFIQ FI DZAUQI 100357 Pria

09/19/18 340 EKO SUTANTO 100581 Pria

09/19/18 341 REY NAUFAL RADHITYA PUTRA 95790 Pria

09/19/18 342 U ANANDRA DEANOVA 100465 Pria

09/19/18 343 SUGENG WALUYO 84785 Pria


09/19/18 344 rosnelli

09/19/18 345 RIEN HERDIANI 64513 Pria


09/19/18 346 BASRAN JUHDI 24267 Pria

09/19/18 347 BULYANI 44828 Pria

Page 55
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09/19/18 348 ARIYANTO 100024 Pria

09/19/18 349 SAPURA 100409 Wanita

09/19/18 350 miau moy

09/19/18 351 BY.NY.MARISA 100579 Pria

09/19/18 352 BY.NY.JARNIAH 100587 Wanita

09/19/18 353 JARNIAH 100586 Wanita

09/19/18 354 DESILAWATI 100414 Wanita


09/19/18 355 HENNY WIDIARTI 46118 Wanita
09/19/18 356 DEA NATASYA 100576 Wanita

Page 56
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09/19/18 357 SRI WAHYUNI 45183 Wanita

09/19/18 358 MARISA 58712 Wanita

09/19/18 359 RONA

09/19/18 360 USMANDI 99790 Pria

09/19/18 361 U ANANDRA DEANOVA 100465 Pria

Page 57
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09/19/18 362 WARDINA 99519 Wanita

09/19/18 363 MUHAMMAD IHSAN 40960 Pria

Page 58
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09/19/18 364 ELSAWATI 1872 Wanita

09/19/18 365 SAMSUL 100577 Pria

09/19/18 366 AGUSTRIANA 52377 Wanita

09/19/18 367 MELITA JEWITA 100538 Wanita

09/19/18 368 SAIDAH 76814 Wanita

09/19/18 369 HALIMAH 98415 Wanita

Page 59
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09/19/18 370 NUR AINI 100604 Wanita

09/19/18 371 TETI 73166 Wanita

09/19/18 372 JUHARDI 72326 Pria

09/19/18 373 SAROJI 100462 Pria

Page 60
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09/19/18 374 HAMIDAH IBRAHIM 6231 Wanita

09/19/18 375 PATIMAH 100539 Wanita

09/19/18 376 JUSMANI 100512 Wanita

09/19/18 377 TAN RIZKY AUFAR 32608 Pria

09/19/18 378 LASA 100444 Pria

09/19/18 379 M SYAFIQ FI DZAUQI 100357 Pria

Page 61
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09/19/18 380 SUGENG WALUYO 84785 Pria

09/19/18 381 NURHENA 11172 Wanita

09/19/18 382 RUSDAH 11721 Wanita

09/19/18 383 JUNAIDI 61358 Pria

09/19/18 384 KARLINA SELLI 100621 Wanita

09/19/18 385 YANTI ARISKA 100534 Pria


09/19/18 386 JARNIAH 3895 Wanita

09/19/18 387 USMANDI 99790 Pria

Page 62
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09/19/18 388 BY. NY. DESILAWATI 100524 Pria

09/19/18 389 BY.NY.YANTI 100549 Pria

09/19/18 390 SUWITO 100180 Pria


09/19/18 391 SALSIAH 59889 Wanita
09/19/18 392 SAHLA FIDA 87935 Wanita

09/19/18 393 pupt perinatal


09/19/18 394 IDAL 100624 Wanita

09/19/18 395 BY.NY.YANTI 100549 Pria

09/19/18 396 BY. NY.HENNY WIDIARTI 100522 Pria

Page 63
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09/19/18 397 BY.NY. RAHAYU 100419 Pria

09/19/18 398 BY. NY. DESILAWATI 100524 Pria

09/19/18 399 MOHAMAD SYARIF QOLBI ALFARIS 67347 Pria

09/19/18 400 ERICS JULIYONO 80197 Pria

09/19/18 401 RAISYA MAULIDHA ASWANI 89190 Wanita

09/19/18 402 RAFA NIZAM 92160 Pria

09/19/18 403 SUGENG WALUYO 84785 Pria

Page 64
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09/19/18 404 BULYANI 44828 Pria

09/19/18 405 HAMID 96155 Pria

09/19/18 406 MUSNI 60999 Pria

09/19/18 407 MELITA JEWITA 100538 Wanita

09/19/18 408 AKBAR ABDI 64947 Pria

09/19/18 409 RUSMINI 16173 Wanita

09/19/18 410 AGUS 100585 Pria

09/19/18 411 BASRAN JUHDI 24267 Pria

09/19/18 412 SUWITO 100180 Pria

Page 65
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09/19/18 413 MATNA JUHANA 63458 Pria

09/19/18 414 TONAH 38802 Wanita

09/19/18 415 NAHWI 53976 Pria


09/19/18 416 MUHAMMAD 78913 Pria

09/19/18 417 FREDI HANDOKO 100046 Pria

09/19/18 418 BULYANI 44828 Pria

Page 66
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09/19/18 419 EKO SUTANTO 100581 Pria

09/19/18 420 HARIS 99958 Pria

09/19/18 421 HADRAN LAIMAN 21584 Pria

09/19/18 422 ASSYIFA PUTRI DIANDRA 88790 Wanita

09/19/18 423 ALBERT MATRAYE 40952 Pria

09/19/18 424 MUZANNI 80547 Pria

09/19/18 425 RAISYA MAULIDHA ASWANI 89190 Wanita


09/19/18 426 94363 Wanita

09/19/18 427 NURLENA 1237 Wanita

Page 67
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09/19/18 428 AHMADI 17667 Pria

09/19/18 429 AMORA

09/19/18 430 SAHORI 57214 Pria

09/19/18 431 NIZAR KURNIAWAN 79561 Pria

09/19/18 432 obat emergency ruangan PD

Page 68
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09/19/18 433 BY. NY. IDAL 100629 Wanita

09/19/18 434 BY. NY. NOPITA SARI 100628 Pria

09/19/18 435 BY. NY. IPAT 100627 Wanita

09/19/18 436 SOHIFAH 39554 Wanita

09/19/18 437 AMORA

09/20/18 438 MASSAMSI 89217 Pria

Page 69
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09/20/18 439 Aren

09/20/18 440 BY NY RUKAIYAH 100082 Pria

09/20/18 441 BY.NY.YANTI 100549 Pria

09/20/18 442 ERICS JULIYONO 80197 Pria

09/20/18 443 ELSA 65042 Wanita

09/20/18 444 U ANANDRA DEANOVA 100465 Pria

09/20/18 445 WARDINA 99519 Wanita

Page 70
Sheet1

09/20/18 446 M SYAFIQ FI DZAUQI 100357 Pria

09/20/18 447 DESILAWATI 100414 Wanita

09/20/18 448 HENNY WIDIARTI 46118 Wanita

09/20/18 449 WELINDA 22761 Wanita

09/20/18 450 IPAT 100615 Wanita

09/20/18 451 NOPITA SARI 100365 Wanita

Page 71
Sheet1

09/20/18 452 IPAT 100615 Wanita

09/20/18 453 NURLENA 1237 Wanita

09/20/18 454 IDAL 100624 Wanita

09/20/18 455 NAHWI 53976 Pria

09/20/18 456 SRI WAHYUNI 45183 Wanita

09/20/18 457 NUR AINI 100604 Wanita

09/20/18 458 MOHAMAD SYARIF QOLBI ALFARIS 67347 Pria

Page 72
Sheet1

09/20/18 459 RAISYA MAULIDHA ASWANI 89190 Wanita

09/20/18 460 MUHAMMAD IHSAN 40960 Pria

09/20/18 461 KARLINA SELLI 100621 Wanita

09/20/18 462 JUNAIDI 61358 Pria


09/20/18 463 DESILAWATI 100414 Wanita

09/20/18 464 SUGENG WALUYO 84785 Pria

09/20/18 465 AMELIYA ISABELA 100657 Wanita

09/20/18 466 HENNY WIDIARTI 46118 Wanita

09/20/18 467 DESILAWATI 100414 Wanita

Page 73
Sheet1

09/20/18 468 RIDHO SAPUTRA 100652 Pria

09/20/18 469 SAPURA 100409 Wanita

09/20/18 470 HALIMAH 98415 Wanita

09/20/18 471 SAROJI 100462 Pria

Page 74
Sheet1

09/20/18 472 SAMSUL 100577 Pria

09/20/18 473 RIDHO SAPUTRA 100652 Pria

09/20/18 474 SIMUN 100662 Pria

09/20/18 475 MUZANNI 80547 Pria

Page 75
Sheet1

09/20/18 476 ELSAWATI 1872 Wanita

09/20/18 477 EKO SUTANTO 100581 Pria

09/20/18 478 BULYANI 44828 Pria

09/20/18 479 HARIS 99958 Pria

09/20/18 480 BULYANI 44828 Pria

09/20/18 481 SUGENG WALUYO 84785 Pria

09/20/18 482 RAHMAWATI 48990 Wanita

Page 76
Sheet1

09/20/18 483 MUHAMMAD ATTAYA ALDZIKRI 100643 Pria

09/20/18 484 RUSDAH 11721 Wanita

09/20/18 485 JUNAIDI 61358 Pria

09/20/18 486 AMELIYA ISABELA 100657 Wanita

09/20/18 487 FITRIANI 100666 Wanita

Page 77
Sheet1

09/20/18 488 NABIL HAFIZUDDIN 100255 Pria

09/20/18 489 VITA AGUSTRI 100665 Wanita

09/20/18 490 PATIMAH 100539 Wanita

09/20/18 491 MELITA JEWITA 100538 Wanita

Page 78
Sheet1

09/20/18 492 JUHARDI 72326 Pria

09/20/18 493 SAIDAH 76814 Wanita

09/20/18 494 AGUSTRIANA 52377 Wanita

09/20/18 495 JUSMANI 100512 Wanita

Page 79
Sheet1

09/20/18 496 TETI 73166 Wanita

09/20/18 497 AGUS 100585 Pria

09/20/18 498 PATIMAH 100539 Wanita

09/20/18 499 MISJULIANA 100667 Wanita

Page 80
Sheet1

09/20/18 500 TAN RIZKY AUFAR 32608 Pria

09/20/18 501 ARMAH 71143 Wanita

09/20/18 502 MURZANI 52233 Pria

09/20/18 503 BASRAN JUHDI 24267 Pria

Page 81
Sheet1

09/20/18 504 SUWITO 100180 Pria

09/20/18 505 HAMIDAH IBRAHIM 6231 Wanita

09/20/18 506 THERESIA 100362 Wanita

09/20/18 507 TONAH 38802 Wanita

Page 82
Sheet1

09/20/18 508 AKIN 41300 Pria

09/20/18 509 MATNA JUHANA 63458 Pria

09/20/18 510 NIA 74484 Wanita

Page 83
Sheet1

09/20/18 511 MUSNI 60999 Pria

09/20/18 512 FREDI HANDOKO 100046 Pria

09/20/18 513 ILYAS 100669 Pria

09/20/18 514 AVRILLIA DEWI HAKIM 92684 Wanita

09/20/18 515 MUHAMMAD 78913 Pria


09/20/18 516

09/20/18 517 CONG MUI KIE 69963 Wanita

Page 84
Sheet1

09/20/18 518 ARRAZKA PRATAMA ADITTYA 97234 Pria

09/20/18 519 MUHAMMAD RAFFASYA ALFARIZKI 100676 Pria

09/20/18 520 ROBI WIBOWO 2167 Pria

09/20/18 521 SUKIRMAN 100673 Pria

Page 85
Sheet1

09/20/18 522 M JOHAR 100674 Pria

09/20/18 523 ROBI WIBOWO 2167 Pria

09/20/18 524 SUKIRMAN 100673 Pria

09/20/18 525 M JOHAR 100674 Pria

09/20/18 526 MARIAH 100675 Wanita

Page 86
Sheet1

09/20/18 527
09/20/18 528 WALIDA 8779 Wanita

09/21/18 529 NADIA


09/21/18 530 NURLENA 1237 Wanita

09/21/18 531 MASSAMSI 89217 Pria

09/21/18 532 BY. NY. RINI 100671 Wanita

09/21/18 533 BY.NY. AWIWIN DIANI 100678 Pria

09/21/18 534 BY.NY.MARISA 100579 Pria

Page 87
Sheet1

09/21/18 535 BY.NY.YANTI 100549 Pria

09/20/18 536 MUHAMMAD ATTAYA ALDZIKRI 100643 Pria

09/21/18 537 ELSAWATI 1872 Wanita

09/21/18 538 AMELIYA ISABELA 100657 Wanita

09/21/18 539 U ANANDRA DEANOVA 100465 Pria

09/21/18 540 NABIL HAFIZUDDIN 100255 Pria

09/21/18 541 BY. NY.HENNY WIDIARTI 100522 Pria

09/21/18 542 BY. NY. DESILAWATI 100524 Pria

Page 88
Sheet1

09/21/18 543 BY NY RUKAIYAH 100082 Pria

09/21/18 544 MUHAMMAD IHSAN 40960 Pria

09/21/18 545 NUR AINI 100604 Wanita

09/21/18 546 KARLINA SELLI 100621 Wanita

09/21/18 547 RIDHO SAPUTRA 100652 Pria

09/21/18 548 ELSA 65042 Wanita

Page 89
Sheet1

09/21/18 549 LASMINI 99637 Wanita

09/21/18 550 RAISYA MAULIDHA ASWANI 89190 Wanita

09/21/18 551 MOHAMAD SYARIF QOLBI ALFARIS 67347 Pria

09/21/18 552 TAN RIZKY AUFAR 32608 Pria

09/21/18 553 AKIN 41300 Pria

09/21/18 554 BULYANI 44828 Pria

Page 90
Sheet1

09/21/18 555 NABIL HAFIZUDDIN 100255 Pria

09/21/18 556 RINI 94435 Wanita

09/21/18 557 SUKIRMAN 100673 Pria

09/21/18 558 MUSINEM 71940 Wanita


09/21/18 559 RINI 94435 Wanita

09/21/18 560 SUKIRMAN 100673 Pria

Page 91
Sheet1

09/21/18 561 AWIWIN DIANI 97495 Wanita

09/21/18 562 NOPITA SARI 100365 Wanita

09/21/18 563 MARISA 58712 Wanita

09/21/18 564 EWIT DIANA BINTI MATJIDI 92077 Wanita

09/21/18 565 MARISA 75172 Wanita

Page 92
Sheet1

09/21/18 566 M JOHAR 100674 Pria

09/21/18 567 NIA 74484 Wanita

09/21/18 568 DESILAWATI 100414 Wanita

09/21/18 569 AWIWIN DIANI 97495 Wanita


09/21/18 570 MARISA 58712 Wanita
09/21/18 571 SOFIAN MT 28499 Pria

09/21/18 572 MIZI 100692 Pria

Page 93
Sheet1

09/21/18 573 MUHAMMAD 78913 Pria


09/21/18 574 ARIF 18654 Pria

09/21/18 575 ATIN TAINI 42057 Wanita

09/21/18 576 kak montel kebidanan

09/21/18 577 CONG MUI KIE 69963 Wanita

Page 94
Sheet1

09/21/18 578 RAHMAWATI 48990 Wanita

09/21/18 579 NINGSIH 99399 Wanita

09/21/18 580 FREDI HANDOKO 100046 Pria

09/21/18 581 AVRILLIA DEWI HAKIM 92684 Wanita

09/21/18 582 RAHMAWATI 48990 Wanita

09/21/18 583 CONG MUI KIE 69963 Wanita

09/21/18 584 ROBI WIBOWO 2167 Pria

09/21/18 585 SYAFIQ NUR ALAMSYAH 25968 Pria


09/21/18 586 ARMAH 71143 Wanita

Page 95
Sheet1

09/21/18 587 SAROJI 100462 Pria

09/21/18 588 JUSMANI 100512 Wanita

09/21/18 589 AGUSTRIANA 52377 Wanita

09/21/18 590 SAMSUL 100577 Pria

09/21/18 591 PATIMAH 100539 Wanita

09/21/18 592 MUSNI 60999 Pria

Page 96
Sheet1

09/21/18 593 JUHARDI 72326 Pria

09/21/18 594 MATNA JUHANA 63458 Pria

09/21/18 595 BASRAN JUHDI 24267 Pria

09/21/18 596 THERESIA 100362 Wanita

09/21/18 597 SAIDAH 76814 Wanita

09/21/18 598 SIMUN 100662 Pria

09/21/18 599 ANSORI 100558 Pria

Page 97
Sheet1

09/21/18 600 TETI 73166 Wanita

09/21/18 601 MELITA JEWITA 100538 Wanita

09/21/18 602 SELVI 22948 Wanita

09/21/18 603 MURZANI 52233 Pria

09/21/18 604 ATIN TAINI 42057 Wanita


09/21/18 605 MARIAH 100675 Wanita

Page 98
Sheet1

09/21/18 606 HALIMAH 98415 Wanita

09/21/18 607 ELSA 65042 Wanita


09/21/18 608 NUR AINI 100604 Wanita
09/21/18 609 TAN RIZKY AUFAR 32608 Pria
09/21/18 610 KURNIATI 20136 Wanita

09/21/18 611 IPAT 100615 Wanita

09/21/18 612 NOPITA SARI 100365 Wanita

09/21/18 613 DEVI 100568 Wanita

Page 99
Sheet1

09/21/18 614 BY. NY. DEVI 100698 Wanita

09/21/18 615 BY. NY. KURNIATI 100697 Wanita

09/21/18 616 HAMIDAH IBRAHIM 6231 Wanita

09/21/18 617 SAMSUL 100577 Pria

Page 100
Sheet1

09/21/18 618 RUSNI MAULANA 73105 Pria

09/21/18 619 SUKIRMAN 100673 Pria

09/21/18 620 RAHMAWATI 48990 Wanita

09/21/18 621 RAISYA MAULIDHA ASWANI 89190 Wanita


09/21/18 622 JUNAIDI 61358 Pria
09/21/18 623 RAISYA MAULIDHA ASWANI 89190 Wanita
09/21/18 624 JUNAIDI 61358 Pria
09/21/18 625 RAISYA MAULIDHA ASWANI 89190 Wanita
09/21/18 626 JUNAIDI 61358 Pria
09/21/18 627 RAISYA MAULIDHA ASWANI 89190 Wanita
09/21/18 628 JUNAIDI 61358 Pria
09/21/18 629 BY.NY.YANTI 100549 Pria

09/21/18 630 SAPURA 100409 Wanita

09/21/18 631 SUKIRMAN 100673 Pria


09/21/18 632 JUMINA 44662 Wanita

09/21/18 633 nadia

09/21/18 634 DESI 100700 Wanita

Page 101
Sheet1

09/21/18 635 SAPURA 100409 Wanita


09/21/18 636 NURLENA 1237 Wanita

09/21/18 637 PATIMAH 100539 Wanita


09/21/18 638 DARNAWATI 36 Pria
09/21/18 639 PATIMAH 100539 Wanita
09/22/18 640 RUSNI MAULANA 73105 Pria

09/22/18 641 SRI NURHAYATI 100706 Wanita

09/22/18 642 ASNINA 68182 Wanita

09/22/18 643 CONG MUI KIE 69963 Wanita


09/22/18 644 SYAFIQ NUR ALAMSYAH 25968 Pria

09/22/18 645 WALIDA 8779 Wanita

Page 102
Sheet1

09/22/18 646 MARISA 75172 Wanita


09/22/18 647 RINI 94435 Wanita

09/22/18 648 NINGSIH 99399 Wanita

09/22/18 649 zaitun icu

09/22/18 650 NINGSIH 99399 Wanita

09/22/18 651 EWIT DIANA BINTI MATJIDI 92077 Wanita

09/22/18 652 DESI 100700 Wanita

09/22/18 653 MISJULIANA 100667 Wanita

Page 103
Sheet1

09/22/18 654 JUNAIDI 61358 Pria

09/22/18 655 RUSDAH 11721 Wanita

09/22/18 656 AKIN 41300 Pria

09/22/18 657 U ANANDRA DEANOVA 100465 Pria

09/22/18 658 AMELIYA ISABELA 100657 Wanita

09/22/18 659 MASSAMSI 89217 Pria

09/22/18 660 SUKIRMAN 100673 Pria

Page 104
Sheet1

09/22/18 661 MUZANNI 80547 Pria

09/22/18 662 MUHAMMAD YAZID AFFANDI 89969 Pria

09/22/18 663 WALIDA 8779 Wanita

09/22/18 664 ELSA 65042 Wanita

09/22/18 665 RIDHO SAPUTRA 100652 Pria

09/22/18 666 RAISYA MAULIDHA ASWANI 89190 Wanita

09/22/18 667 ARIF 18654 Pria

Page 105
Sheet1

09/22/18 668 TAN RIZKY AUFAR 32608 Pria

09/22/18 669 KARLINA SELLI 100621 Wanita

09/22/18 670 NUR AINI 100604 Wanita

09/22/18 671 MUHAMMAD IHSAN 40960 Pria

09/22/18 672 MOHAMAD SYARIF QOLBI ALFARIS 67347 Pria

09/22/18 673 AMELIYA ISABELA 100657 Wanita


09/22/18 674 ATIQAH HUMAIRO 89928 Wanita

09/22/18 675 SUJIAH 100709 Wanita

09/22/18 676 AVRILLIA DEWI HAKIM 92684 Wanita

Page 106
Sheet1

09/22/18 677 CONG MUI KIE 69963 Wanita

09/22/18 678 ROBI WIBOWO 2167 Pria

09/22/18 679 ARMAH 71143 Wanita

09/22/18 680 RAHMAWATI 48990 Wanita

09/22/18 681 NABIL HAFIZUDDIN 100255 Pria

Page 107
Sheet1

09/22/18 682 M JOHAR 100674 Pria

09/22/18 683 NIA 74484 Wanita

09/22/18 684 SLAMET RIYADI 42509 Pria


09/22/18 685 RIDHO SAPUTRA 100652 Pria
09/22/18 686 BASIRUN BUJANG 100712 Pria

09/22/18 687 YANTO 100711 Pria

Page 108
Sheet1

09/22/18 688 IKHLASUL AMAL 36207 Pria

09/22/18 689 ADRIANUS ADOS 74218 Pria

09/22/18 690 RUSIKA 50556 Wanita

09/22/18 691 HAMIDAH IBRAHIM 6231 Wanita

09/22/18 692 THERESIA 100362 Wanita

09/22/18 693 ARPAFAIS 100714 Pria

09/22/18 694 PATIMAH 100539 Wanita

09/22/18 695 LASMINI 99637 Wanita

09/22/18 696 TETI 73166 Wanita

Page 109
Sheet1

09/22/18 697 RAISYA MAULIDHA ASWANI 89190 Wanita

09/22/18 698 SAPURA 100409 Wanita

09/22/18 699 AGUSTRIANA 52377 Wanita

09/22/18 700 SAIDAH 76814 Wanita

09/22/18 701 ALIA 100717 Wanita

09/22/18 702 SIMUN 100662 Pria

09/22/18 703 HALIMAH 98415 Wanita

09/22/18 704 ATIN TAINI 42057 Wanita

09/22/18 705 MURZANI 52233 Pria

Page 110
Sheet1

09/22/18 706 MELITA JEWITA 100538 Wanita

09/22/18 707 SUWITO 100180 Pria

09/22/18 708 SOFIAN MT 28499 Pria

09/22/18 709 RUSNI MAULANA 73105 Pria

09/22/18 710 ANSORI 100558 Pria

09/22/18 711 BASRAN JUHDI 24267 Pria

Page 111
Sheet1

09/22/18 712 RAISYA MAULIDHA ASWANI 89190 Wanita

09/22/18 713 Ety


09/22/18 714 PUTRI AYU LESTARI 100719 Wanita

09/22/18 715 SAKEM 100716 Wanita

09/22/18 716 SYAKIRA DAMAYANTI 59559 Wanita


09/22/18 717 LASTRI 73527 Wanita

09/22/18 718 SYAKIRA DAMAYANTI 59559 Wanita

Page 112
Sheet1

09/22/18 719 NUNUNG LIBERTI 75381 Wanita

09/17/18 720 YULISA 100337 Pria

Page 113
Sheet1

RSUD SAMBAS
Laporan Penjualan Obat
Dokter Nama Obat
dr. Zanuriko Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 20 cc Nipro (DCC)
Folley Chateter 18 Gea
urine bag semillas ALMAAS
Underpad Surgicare
Body Wash Glove Octenic
Hair Wash Glove Octenic
Handscoon Steril 7.5 Surgical EWG
Aquadest OTSU 25 ML (MUP)
dr. Zanuriko Meloxicam 15 mg tablet Dexa Medika (AAM)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Braxidin tablet (BSP) 6 (Psik)
Lansoprazol 30 mg kapsul Nufarindo (KF)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih
dr. Zanuriko Digoxin 0.25 mg tablet Yarindo
Spironolacton 25 mg tablet Dexa Medika (AAM)
Furosemide 10mgml Inj Indofarma (IGM)
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
RL infus 500 cc(MUP)
IV Cath Plus 22G Trovenocath
Infus Set Macro Nipro
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. Zanuriko NaCl 0.9% 500 ml Wida Pipih
Furosemide 10mgml Inj Indofarma (IGM)
Pantorin 40 mg (Pantoprazol) Inj
Captopril 12.5 OGB Dexa (AAM)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Citicoline Inj 500mg Mahakam (PPG) 4
Piracetam 3 gr Inj OGB Dexa (AAM) 3
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
RL infus 500 cc(MUP)
dr. Zanuriko Leptica 75 mg (Pregabalin) kapsul Dexa Medika (AAM)
Furosemide 10mgml Inj Indofarma (IGM)
Rinfox (levofloxacin) Inf 750 ml
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Dotramol tab (PPG) 3
RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih

Page 114
Sheet1

Alkohol Swab cosmo


Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. Zanuriko RL infus 500 cc(MUP)
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
Ciprofloxacin Inf 200mg100ML (ENS)
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
New Daiatab tablet (APL) 4
Lacidofil Sachet
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Infus Set Macro Nipro
3 Way Otsu Stopcock With Male Merapi
IV Cath Plus 20 G TroVenocath
IV Cath Plus 22G Trovenocath
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 5 cc Ciringe
Aquadest OTSU 25 ML (MUP)
dr. Zanuriko Candesartan 16 mg tab Bernofarm (MPI)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
NaCl 0.9% 500 ml Wida Pipih
Combivent 2.5 ml (TEMPO)
Pantorin 40 mg (Pantoprazol) Inj
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Aquadest OTSU 25 ML (MUP)
Masker Nebulizer Dewasa Uk. L Work
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. Zanuriko Pantorin 40 mg (Pantoprazol) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Paracetamol Inf Darya Varia
Rebamipide 100 mg Fahreinhet
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Onoiwa Kapsul (BMP) 4
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Aquadest OTSU 25 ML (MUP)
Infus Set Macro Nipro
IV Cath Plus 22G Trovenocath
IV Cath Plus 20 G TroVenocath
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe

Page 115
Sheet1

Spuit 3 cc Aximed
dr. Zanuriko Pantorin 40 mg (Pantoprazol) Inj
Furosemide 10mgml Inj Indofarma (IGM)
Claneksi (Co. Amoxiclav) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Metronidazol 500 mg Inf Darya Varia
Onoiwa Kapsul (BMP) 4
Infus Set Macro Nipro
Aquadest OTSU 25 ML (MUP)
3 Way Otsu Stopcock With Male Merapi
IV Cath Plus 22G Trovenocath
IV Cath Plus 20 G TroVenocath
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. Zanuriko Pantorin 40 mg (Pantoprazol) Inj
Dexametasone 0.5 mg tablet Bernofarm (DNR)
Zegavit tablet (ENSEVAL)
Onoiwa Kapsul (BMP) 4
Allupurinol 100 mg tablet Indofarma
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. Zanuriko Pantorin 40 mg (Pantoprazol) Inj
Combivent 2.5 ml (TEMPO)
Asam Folat Dinkes
Paracetamol 500 mg tab Bernofarm
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Rinfox (levofloxacin) Inf 750 ml
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Aquadest OTSU 25 ML (MUP)
Masker Nebulizer Dewasa Uk. L Work
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. Zanuriko Metoclopramid Inj Bernofarm (PPG) 3
RL infus 500 cc(MUP)
Furamin Inj Mepro (MPI)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Aquadest OTSU 25 ML (MUP)
3 Way Otsu Stopcock With Male Merapi
Infus Set Macro Nipro
IV Cath Plus 22G Trovenocath

Page 116
Sheet1

IV Cath Plus 20 G TroVenocath


Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. Zanuriko Ketorolac 30 mg Inj Ethica (APL)
Buscopan 20 mg inj (TEMPO)
Ciprofloxacin Inf 200mg100ML (ENS)
Pantorin 40 mg (Pantoprazol) Inj
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr.NEILA ASERING INF (MUP)
Omeprazole 40 mg Inj Bernofarm
Streptomycin Inj 1 gr Mersi (MERAPI)
Prohepar tab Yarindo
Curcuma tablet Soho (PPG) 2
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Ethambutol 500 mg tablet Bernofarm (TSJ)
Rifampicin Kapsul 450 mg Bernofarm
Inoxin 400 mg (Isoniazid+Pyridoxine HCI) tab Dexa (AAM)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Aquadest OTSU 25 ML (MUP)
dr. Zanuriko RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Pantorin 40 mg (Pantoprazol) Inj
Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Prohepar tab Yarindo
Curcuma tablet Soho (PPG) 2
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Onoiwa Kapsul (BMP) 4
Asam Tranexamat 500mg5ml Inj Bernofarm
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr.Helix RL infus 500 cc(MUP)
D10% Glucose Unicap OGB WB (MUP)
Blood Transfusi Set Remedi

Page 117
Sheet1

IV Cath PlusB 18 G Trovenocath


Alkohol Swab cosmo
Underpad Surgicare
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
dr. Zanuriko Paracetamol Inf Darya Varia
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Kutoin / Fenitoin tab
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
dr. Zanuriko Dexamethasone inj Bernofarm (TSJ)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Zegavit tablet (ENSEVAL)
Ketorolac 30 mg Inj Ethica (APL)
Blood Transfusi Set Remedi
3 Way Otsu Stopcock With Male Merapi
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. ZANURIKO Pantorin 40 mg (Pantoprazol) Inj
Rebamipide 100 mg Fahreinhet
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Ketorolac 30 mg Inj Ethica (APL)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. ZANURIKO Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
Perfusor Tub White 150cm NRC (DNR)
3 Way Otsu Stopcock With Male Merapi
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Masker Rebreathing DWS (DCC)
Pantorin 40 mg (Pantoprazol) Inj
Rebamipide 100 mg Fahreinhet

Page 118
Sheet1

Cefoperazone 1 gr inj Yarindo (KBY) 3.5


Codein 20 mg tablet (KF) (Nark)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
dr. Zanuriko RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Pantorin 40 mg (Pantoprazol) Inj
Meropenem 1 gr Inj Bernofarm
Streptomycin Inj 1 gr Mersi (MERAPI)
Paracetamol Inf Darya Varia
Metformin 500 mg tab Scan (TMP)
Curcuma tablet Soho (PPG) 2
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. Zanuriko Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
RL infus 500 cc(MUP)
RL infus 500 cc(MUP)
RL infus 500 cc(MUP)
Paracetamol 500 mg tab Bernofarm
Paracetamol 500 mg tab Bernofarm
Paracetamol 500 mg tab Bernofarm
Zegavit tablet (ENSEVAL)
Zegavit tablet (ENSEVAL)
Zegavit tablet (ENSEVAL)
Aquadest OTSU 25 ML (MUP)
Aquadest OTSU 25 ML (MUP)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Handscoon Uk. S Asap
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Masker Tali AXIMED almaas
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 10 cc Ciringe
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 5 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 3 cc Aximed
Spuit 3 cc Aximed
dr. ZANURIKO Omeprazole 20 mg kaps Novapharin (KF)

Page 119
Sheet1

Ceftriaxone 1 gr Inj Mahakam


Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Alkohol Swab cosmo
dr. Zanuriko RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Curcuma tablet Soho (PPG) 2
Orinox 60 mg tablet
Alkohol Swab cosmo
dr. Zanuriko Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Ventolin Nebu 2,5 mg
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Alkohol Swab cosmo
dr.Helix Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Selang O2 Dewasa Cosmomed
dr.Helix Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Masker Nebulizer Dewasa Uk. L Work
Retaphyl SR 300 mg (Teofilin) tablet (KF)
dr. ZANURIKO Nifedipine 10 mg tablet Dexa Medika (AAM)
Efedrin Inj
Spuit 3 cc Aximed
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Furosemide 40 mg tablet (IFK Dinkes)
Kalnex 500 mg (Asam Tranexamat) tab Kalbe Farma (ESV)
dr. Neila RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Methyl Prednisolone 125 mg Inj Bernofarm
Combivent 2.5 ml (TEMPO)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
dr. Neila RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Curcuma tablet Soho (PPG) 2
Spuit 10 cc Ciringe

Page 120
Sheet1

Spuit 3 cc Aximed
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
dr. Neila RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Methyl Prednisolone 125 mg Inj Bernofarm
Combivent 2.5 ml (TEMPO)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. Helix RL infus 500 cc(MUP)
WIDA D5 1/4NS INF
Infus Set Macro Nipro
IV Cath Plus 24G Trovenocath
Ceftriaxone 1 gr Inj Mahakam
Gentamycin 40mgml Inj Indofarma (IGM)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Paracetamol Inf Darya Varia
Aquadest OTSU 25 ML (MUP)
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
Spuit 20 cc Nipro (DCC)
3 Way Otsu Stopcock With Male Merapi
Perfusor Tub White 150cm NRC (DNR)
Folley Catheter No. 12 Remedi (DCC)
D5% 100 cc Inf (MRP)
NGT 10 JMS
urine bag semillas ALMAAS
Elektroda Endo dcc
dr. Neila Lidocain Injeksi Dinkes
Spuit 3 cc Aximed
Underpad Surgicare
Sofsilk 3/0 (soie silk/peter silk)
Handscoon Uk. S Asap
Kasa steril 16x20
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Natrium Diklofenak 50 mg tablet Phapros (RJW)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
dr. Neila Paracetamol Drop 15 ml (IGM) 1
Lacidofil Sachet
Oralit sachet (IFK Dinkes)
dr. Neila Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Vectrin (Erdostein) Syrup
Omeprazole 20 mg kaps Novapharin (KF)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Spuit 3 cc Aximed
dr. Neila WIDA D5 1/4NS INF
Infus Set Macro Nipro

Page 121
Sheet1

IV Cath Plus 24G Trovenocath


Alkohol Swab cosmo
Handscoon Uk. S Asap
Ventolin Nebu 2,5 mg
Paracetamol Inf Darya Varia
Ceftriaxone 1 gr Inj Mahakam
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Masker Tali AXIMED almaas
Aquadest OTSU 25 ML (MUP)
Masker Nebu Anak Gea
dr. Neila RL infus 500 cc(MUP)
WIDA D5 1/4NS INF
Infus Set Macro Nipro
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Lacidofil Sachet
IV Cath Plus 24G Trovenocath
dr. Neila RL infus 500 cc(MUP)
Suction Catheter 14 Remedi (DCC)
Combivent 2.5 ml (TEMPO)
Masker Nebulizer Dewasa Uk. L Work
Masker Rebreathing DWS (DCC)
Selang O2 Dewasa Cosmomed
Paracetamol Inf Darya Varia
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Omeprazole 40 mg Inj Bernofarm
Meropenem 1 gr Inj Bernofarm
NGT 16 Stomach Tube
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Dexamethasone inj Bernofarm (TSJ)
Infus Set Macro Nipro
Alkohol Swab cosmo
Guedel 90 MM No. 2 Romsons (DCC)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Elektroda Skintact Paper Easitab (ESV)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Aquadest OTSU 25 ML (MUP)
IV Cath Plus 20 G TroVenocath
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
dr. Neila RL infus 500 cc(MUP)
Infus Set Macro Nipro
Alkohol Swab cosmo
IV Cath Plus 20 G TroVenocath
Ketorolac 30 mg Inj Ethica (APL)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 10 cc Ciringe

Page 122
Sheet1

Spuit 3 cc Aximed
dr. Asa NaCl 0.9% 500 ml Wida Pipih
Furosemide 10mgml Inj Indofarma (IGM)
Pantorin 40 mg (Pantoprazol) Inj
Aquadest OTSU 25 ML (MUP)
Captopril 12.5 OGB Dexa (AAM)
Spironolacton 25 mg tablet Dexa Medika (AAM)
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Elektroda Endo dcc
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Body Wash Glove Octenic
Hair Wash Glove Octenic
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
dr. Asa Pantorin 40 mg (Pantoprazol) Inj
Meropenem 1 gr Inj Bernofarm
Ca Gluconas Inj Ethica (APL) 2
Asam Tranexamat 500mg5ml Inj Bernofarm
Paracetamol Inf Darya Varia
Metronidazol 500 mg Inf Darya Varia
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Combivent 2.5 ml (TEMPO)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Curcuma tablet Soho (PPG) 2
dr. Neila Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Ciprofloxacin 500 mg tablet Bernofarm (TSJ) 4
Handscoon Uk. S Asap
dr. Asa Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. S Asap
Handscoon Uk. S Asap
Underpad Surgicare
Elektroda Endo dcc
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Body Wash Glove Octenic
Aquadest OTSU 25 ML (MUP)
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
D5% 100 cc Inf (MRP)
Suction Catheter 14 Remedi (DCC)
NaCl 0.9% 500 ml Wida Pipih
3 Way Otsu Stopcock With Male Merapi
Infus Set Macro Nipro
Perfusor Tub White 150cm NRC (DNR)
dr. Neila Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
RL infus 500 cc(MUP)

Page 123
Sheet1

Ceftriaxone 1 gr Inj Mahakam


Aquadest OTSU 25 ML (MUP)
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Folley catheter 16(2way) Abada
Underpad Surgicare
dr. Neila NaCl 0.9% 500 ml Wida Pipih
Kaen 3B Inf 500 ml (MUP)
Infus Set Macro Nipro
IV Cath Plus 22G Trovenocath
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Furosemide 10mgml Inj Indofarma (IGM)
Spuit 3 cc Aximed
Selang O2 Dewasa Cosmomed
Elektroda Skintact Paper Easitab (ESV)
Captopril 12.5 OGB Dexa (AAM)
dr. Neila Paracetamol Syrup 120mg5ml Mersi (MRP)
Cefadroxil 125mg5ml Syrup Pharma Lab (MBS)
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG Spuit 5 cc Ciringe
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
RL infus 500 cc(MUP)
Handscoon Uk. S Asap
Alkohol Swab cosmo
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Nurse Cup Green OM (KPM)
Silet Kuning
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Underpad Surgicare
Oxytocin Inj (APL)
Ketorolac 30 mg Inj Ethica (APL)
Tramadol inj Mersi
dr. EVI BACHTIAR, Sp.OG RL infus 500 cc(MUP)
Oxytocin Inj (APL)
Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Alkohol Swab cosmo

Page 124
Sheet1

Masker Tali AXIMED almaas


Apron Plastik
Catgut Chromic 2.0 (338 N) KPM
Folley catheter 16(2way) Abada
dr. EVI BACHTIAR, Sp.OG Combivent 2.5 ml (TEMPO)
Ventolin Nebu 2,5 mg
Alkohol Swab cosmo
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Bledstop
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG Oxytocin Inj (APL)
Spuit 3 cc Aximed
Body Wash Glove Octenic
Underpad Surgicare
Apron Plastik
Handscoon Steril 6.5 Gamex (Gloper)
Alkohol Swab cosmo
Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Oxytocin Inj (APL)
Spuit 3 cc Aximed
Alkohol Swab cosmo
Apron Plastik
Catgut Chromic 2.0 (338 N) KPM
Body Wash Glove Octenic
Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. Neila Vectrin (Erdostein) Syrup
dr. Neila Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Cefadroxil 500 MG Kapsul Bernofarm
Alkohol Swab cosmo
dr. Asa RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Domperidone 10 mg tablet Hexpharm Jaya (esv)

Page 125
Sheet1

Paracetamol 500 mg tab Bernofarm


Amlodipin Beyslate 5 mg tablet Bernofarm (TSJ)
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. Asa RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Ketorolac 30 mg Inj Ethica (APL)
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. Asa NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Furosemide 10mgml Inj Indofarma (IGM)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Aquadest OTSU 25 ML (MUP)
Spironolacton 25 mg tablet Dexa Medika (AAM)
Captopril 12.5 OGB Dexa (AAM)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Miniaspi 80mg Tablet Mersi (IGM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Leptica 75 mg (Pregabalin) kapsul Dexa Medika (AAM)
Vectrin (Erdostein) Syrup
Paracetamol 500 mg tab Bernofarm
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Alkohol Swab cosmo
Underpad Surgicare
NaCl 0.9% 500 ml Wida Pipih
Furosemide 10mgml Inj Indofarma (IGM)
Pantorin 40 mg (Pantoprazol) Inj
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Aminefron tab Dexa Medika
Candesartan 8 mg tab Bernofarm
Spironolacton 25 mg tablet Dexa Medika (AAM)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
Lacidofil Sachet
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Alkohol Swab cosmo
Streptomycin Inj 1 gr Mersi (MERAPI)
Spuit 5 cc Ciringe
Aquadest OTSU 25 ML (MUP)
Ethambutol 500 mg tablet Bernofarm (TSJ)
Rifampicin Kapsul 450 mg Bernofarm
Inoxin 400 mg (Isoniazid+Pyridoxine HCI) tab Dexa (AAM)
Prohepar tab Yarindo
Curcuma tablet Soho (PPG) 2

Page 126
Sheet1

Mucylin (Asetilsistein) 200 mg kapsul (PPG)


Kalnex 500 mg (Asam Tranexamat) tab Kalbe Farma (ESV)
Underpad Surgicare
Metoclopramid Inj Bernofarm (PPG) 3
Apron Plastik
NEILA RL infus 500 cc(MUP)
Paracetamol Inf Darya Varia
Ceftriaxone 1 gr Inj Mahakam
Vectrin (Erdostein) Syrup
Ventolin Nebu 2,5 mg
Aquadest OTSU 25 ML (MUP)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Handscoon Uk. S Asap
Spuit 1 cc Ciringe
Masker Tali AXIMED almaas
Masker Nebu Anak Gea
Spuit 10 cc Ciringe
ETT No. 7.5 (PPG)With Cup
Blood Transfusi Set Remedi
Elastomic Conector (Cath Mount Flexi Elastomric ELBW Conentor)
Spuit 50 cc Sonde Nipro (DCC)
NEILA Infus Set Macro Nipro
IV Cath Plus 24G Trovenocath
Alkohol Swab cosmo
Handscoon Uk. S Asap
Spuit 1 cc Ciringe
Spuit 10 cc Ciringe
Masker Tali AXIMED almaas
Paracetamol Inf Darya Varia
Ceftriaxone 1 gr Inj Mahakam
Vectrin (Erdostein) Syrup
Asa Spuit 50 cc Sonde Nipro (DCC)
Alkohol Swab cosmo
Spuit 3 cc Aximed
Blood Transfusi Set Remedi
Spuit 10 cc Ciringe
Alkohol Swab cosmo
NEILA Combivent 2.5 ml (TEMPO)
Masker Nebulizer Dewasa Uk. L Work
Kaen 3B Inf 500 ml (MUP)
Ca Gluconas Inj Ethica (APL) 2
NEILA D10% Glucose Unicap OGB WB (MUP)
Otsu D40 (MERAPI)
Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
D10% Glucose Unicap OGB WB (MUP)
Ca Gluconas Inj Ethica (APL) 2
Gentamycin 40mgml Inj Indofarma (IGM)
Underpad Surgicare
Spuit 3 cc Aximed

Page 127
Sheet1

Spuit 5 cc Ciringe
Hair Wash Glove Octenic
Body Wash Glove Octenic
D10% Glucose Unicap OGB WB (MUP)
Aminofusin Paed 250 ml (ESV)
Spuit 50 cc Sonde Nipro (DCC)
Spuit 3 cc Aximed
Hair Wash Glove Octenic
Body Wash Glove Octenic
Underpad Surgicare
Alkohol Swab cosmo
D10% Glucose Unicap OGB WB (MUP)
Aminofusin Paed 250 ml (ESV)
Aquadest OTSU 25 ML (MUP)
Spuit 3 cc Aximed
Spuit 50 cc Sonde Nipro (DCC)
Spuit 20 cc Nipro (DCC)
Underpad Surgicare
Body Wash Glove Octenic
Hair Wash Glove Octenic
Alkohol Swab cosmo
Cinam (Ampicillin Sulbactam) Inj (BSP) 6
Ca Gluconas Inj Ethica (APL) 2
Gentamycin 40mgml Inj Indofarma (IGM)
Aquadest OTSU 25 ML (MUP)
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Aquadest 1 L (MUP)
Hair Wash Glove Octenic
Body Wash Glove Octenic
Meropenem 1 gr Inj Bernofarm
Amikacin 500 mg25% 2 ml Inj Dexa Medika (AAM) 3
Aquadest OTSU 25 ML (MUP)
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Spuit 10 cc Ciringe
Underpad Surgicare
Body Wash Glove Octenic
Hair Wash Glove Octenic
Aquadest 1 L (MUP)
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
D10% Glucose Unicap OGB WB (MUP)
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
Cefotaxime 1 gr Inj Hexpharm Jaya (ESV)
Gentamycin 40mgml Inj Indofarma (IGM)
kleim pusat
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
Spuit 1 cc Ciringe
Alkohol Swab cosmo

Page 128
Sheet1

Underpad Surgicare
Handscoon Steril 7 Gamex (DCC)
Infus Set Micro Y Tipe
NGT 5 Aximed feding tube 100 cm
Selang O2 Bayi Cosmomed
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Catgut Chromic 2.0 (338 N) KPM
Aminofusin Paed 250 ml (ESV)
Spuit 50 cc Sonde Nipro (DCC)
Spuit 10 cc Ciringe
Underpad Surgicare
Body Wash Glove Octenic
Hair Wash Glove Octenic
Spuit 3 cc Aximed
Alkohol Swab cosmo
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Handscoon Steril 6.5 Gamex (Gloper)
Suction Catheter 8 Remedi
Selang O2 Bayi Cosmomed
Underpad Surgicare
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
Underpad Surgicare
Aquadest 1 L (MUP)
Body Wash Glove Octenic
Hair Wash Glove Octenic
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Suction Catheter 8 Remedi
kleim pusat
Handscoon Steril 6.5 Gamex (Gloper)
Alkohol Swab cosmo
Underpad Surgicare
dr. INDRIA MYRCIA, Sp.P Respicyl (N-Acetilsistein) Inhalasi 30 mg
IV Cath Plus 22G Trovenocath
Infus Set Macro Nipro
Alkohol Swab cosmo
dr. INDRIA MYRCIA, Sp.P Respicyl (N-Acetilsistein) Inhalasi 30 mg
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Vectrin (Erdostein) Syrup
dr. INDRIA MYRCIA, Sp.P Captopril 25 mg tablet (ESV) 6
Lansoprazol 30 mg kapsul Nufarindo (KF)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
Alkohol Swab cosmo

Page 129
Sheet1

dr. Asa Paracetamol 500 mg tab Bernofarm


Vectrin (Erdostein) Syrup
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. INDRIA MYRCIA, Sp.P Respicyl (N-Acetilsistein) Inhalasi 30 mg
Vectrin (Erdostein) Syrup
dr. Asa Furosemide 10mgml Inj Indofarma (IGM)
Pantorin 40 mg (Pantoprazol) Inj
Citicoline Inj 500mg Mahakam (PPG) 4
Piracetam 3 gr Inj OGB Dexa (AAM) 3
Aquadest OTSU 25 ML (MUP)
Captopril 12.5 OGB Dexa (AAM)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
Infus Set Macro Nipro
IV Cath Plus 22G Trovenocath
NEILA Cefadroxil 500 MG Kapsul Bernofarm
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
CTM 4 mg (chlorfeniramin maleat) tablet Ifi (IGM)
Ambroxol 30 mg tablet Indofarma
Ambroxol 30 mg tablet Bernofarm
Asa Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Furosemide 10mgml Inj Indofarma (IGM)
Rinfox (levofloxacin) Inf 750 ml
Aquadest OTSU 25 ML (MUP)
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Dotramol tab (PPG) 3
Leptica 75 mg (Pregabalin) kapsul Dexa Medika (AAM)
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih
Handscoon Uk. S Asap
Alkohol Swab cosmo
Spuit 3 cc Aximed
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
IV Cath Plus 24G Trovenocath
NEILA Selang O2 Dewasa Cosmomed
RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Methyl Prednisolone 125 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)

Page 130
Sheet1

Infus Set Macro Nipro


IV Cath PlusB 18 G Trovenocath
Alkohol Swab cosmo
Handscoon Uk. S Asap
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Masker Tali AXIMED almaas
Asa Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Lacidofil Sachet
WIDA D5 1/4NS INF
Body Wash Glove Octenic
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Handscoon Uk. S Asap
Asa Paracetamol Inf Darya Varia
Ceftriaxone 1 gr Inj Mahakam
Ventolin Nebu 2,5 mg
Calcium Laktat 500 Mersi (MERAPI)
Afolat (Asam Folat) tablet (Dinkes)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Aquadest OTSU 25 ML (MUP)
Asa Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Cefotaxime 1 gr Inj Hexpharm Jaya (ESV)
Aquadest OTSU 25 ML (MUP)
Lacidofil Sachet
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Asa Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Aquadest OTSU 25 ML (MUP)
Lacidofil Sachet
Afolat (Asam Folat) tablet (Dinkes)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
WIDA D5 1/4NS INF
Asa Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Ciprofloxacin Inf 200mg100ML (ENS)
Buscopan 20 mg inj (TEMPO)
Captopril 25 mg tablet (ESV) 6
Pralax (Lactulose) 100 ml Syrup
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Blood Transfusi Set Remedi
Asa Metronidazol 500 mg Inf Darya Varia

Page 131
Sheet1

Ciprofloxacin Inf 200mg100ML (ENS)


Pantorin 40 mg (Pantoprazol) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Lacidofil Sachet
New Daiatab tablet (APL) 4
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Aquadest OTSU 25 ML (MUP)
Blood Transfusi Set Remedi
Asa Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Furamin Inj Mepro (MPI)
Metoclopramid Inj Bernofarm (PPG) 3
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Aquadest OTSU 25 ML (MUP)
Asa Methyl Prednisolone 125 mg Inj Bernofarm
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Combivent 2.5 ml (TEMPO)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Candesartan 16 mg tab Bernofarm (MPI)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Asa RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Zegavit tablet (ENSEVAL)
Paracetamol 500 mg tab Bernofarm
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Blood Transfusi Set Remedi
Asa Pantorin 40 mg (Pantoprazol) Inj
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Rebamipide 100 mg Fahreinhet
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed

Page 132
Sheet1

Blood Transfusi Set Remedi


Asa Pantorin 40 mg (Pantoprazol) Inj
Zegavit tablet (ENSEVAL)
Onoiwa Kapsul (BMP) 4
Allupurinol 100 mg tablet Indofarma
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Blood Transfusi Set Remedi
Asa Pantorin 40 mg (Pantoprazol) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Combivent 2.5 ml (TEMPO)
Paracetamol 500 mg tab Bernofarm
Rebamipide 100 mg Fahreinhet
Onoiwa Kapsul (BMP) 4
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Masker Nebulizer Dewasa Uk. L Work
Asa Pantorin 40 mg (Pantoprazol) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Betahistin Mesylat 6 mg tablet (AAM)
Meloxicam 15 mg tablet Dexa Medika (AAM)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Asa Pantorin 40 mg (Pantoprazol) Inj
Furosemide 10mgml Inj Indofarma (IGM)
Claneksi (Co. Amoxiclav) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Metronidazol 500 mg Inf Darya Varia
Onoiwa Kapsul (BMP) 4
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Asa Omeprazole 20 mg kaps Novapharin (KF)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Zegavit tablet (ENSEVAL)
Hydrocortison 2.5% Salep Kulit (IGM) Indofarma

Page 133
Sheet1

Handscoon Uk. S Asap


Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Asa Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Paracetamol 500 mg tab Bernofarm
Kutoin / Fenitoin tab
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Asa Retaphyl SR 300 mg (Teofilin) tablet (KF)
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Omeprazole 20 mg kaps Novapharin (KF)
Vectrin (Erdostein) Syrup
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
HERDI Braxidin tablet (BSP) 6 (Psik)
Ciprofloxacin 500 mg tablet Bernofarm (TSJ) 4
yossi Valisanbe 5 mg (Psik)
MERCYA Alkohol Swab cosmo
MERCYA Alkohol Swab cosmo
MERCYA Alkohol Swab cosmo
HERDI RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Otsu D40 (MERAPI)
Spuit 3 cc Aximed
Blood Transfusi Set Remedi
Underpad Surgicare
Spuit 5 cc Ciringe
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Spuit 1 cc Ciringe
Spuit 10 cc Ciringe
Spuit 20 cc Nipro (DCC)
Alkohol Swab cosmo
Selang O2 Dewasa Cosmomed
HERDI NaCl 0.9% 500 ml Wida Pipih
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Lansoprazol 30 mg kapsul Nufarindo (KF)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Spuit 1 cc Ciringe
Handscoon Uk. S Asap
IAN Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Ventolin Nebu 2,5 mg
HERDI RL infus 500 cc(MUP)

Page 134
Sheet1

NaCl 0.9% 500 ml Wida Pipih


Pantorin 40 mg (Pantoprazol) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Aquadest OTSU 25 ML (MUP)
Otsu D40 (MERAPI)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Spuit 20 cc Nipro (DCC)
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Selang O2 Dewasa Cosmomed
IV Cath Plus 22G Trovenocath
Elektroda Skintact Paper Easitab (ESV)
HERDI Lantus Solostar Flexpen (APL) 6
Apidra Solostar (APL) 2.5
Needle Insulin 31 G X 5 MM
dr. Zanuriko Lantus Solostar Flexpen (APL) 6
HERDI RL infus 500 cc(MUP)
Dexamethasone inj Bernofarm (TSJ)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Nifedipine 10 mg tablet Dexa Medika (AAM)
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
Alkohol Swab cosmo
Underpad Surgicare
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Spuit 10 cc Ciringe
HERDI RL infus 500 cc(MUP)
Aquadest OTSU 25 ML (MUP)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Pantorin 40 mg (Pantoprazol) Inj
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Elektroda Skintact Paper Easitab (ESV)
Alkohol Swab cosmo
IAN Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
NURHADI,Sp.Pd Lansoprazol 30 mg kapsul Nufarindo (KF)
Braxidin tablet (BSP) 6 (Psik)
Rebamipide 100 mg Fahreinhet
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Captopril 25 mg tablet (ESV) 6

Page 135
Sheet1

Pralax (Lactulose) 100 ml Syrup


HERDI Lacidofil Sachet
dr.PRANANDITO Propanolol 10 mg tablet OGB Dexa (AAM)
Vitamin K 10 mg (Phytomenadion) tablet Phapros (RJW)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Curcuma tablet Soho (PPG) 2
D5% Inf GLUCOSE UNICAP (MUP)
Aquadest OTSU 25 ML (MUP)
Spironolacton 25 mg tablet Dexa Medika (AAM)
NaCl 0.9% 500 ml Wida Pipih
Onoiwa Kapsul (BMP) 4
Pantorin 40 mg (Pantoprazol) Inj
Asam Tranexamat 500mg5ml Inj Bernofarm
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
IV Cath Plus 20 G TroVenocath
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
Spuit 1 cc Ciringe
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Spuit 20 cc Nipro (DCC)
Handscoon Steril 7.5 Surgical EWG
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
dr. RIZKI RAHIM, Sp.A Lacidofil Sachet
dr. RIZKI RAHIM, Sp.A Afolat (Asam Folat) tablet (Dinkes)
Calcium Laktat 500 Mersi (MERAPI)
dr. Pranandito Cefixime 100mg/5ml Syrup (ESV) 6
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Lansoprazol 30 mg kapsul Nufarindo (KF)
Rebamipide 100 mg Fahreinhet
Needle Insulin 31 G X 5 MM
Lansoprazol 30 mg kapsul Nufarindo (KF)
Zegavit tablet (ENSEVAL)
Onoiwa Kapsul (BMP) 4
Allupurinol 100 mg tablet Indofarma
dr. NURHADI SAPUTRA, Sp.PD Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Orinox 60 mg tablet
RL infus 500 cc(MUP)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
IV Cath Plus 22G Trovenocath
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Aquadest OTSU 25 ML (MUP)

Page 136
Sheet1

dr. Pranandito Paracetamol Syrup 120mg5ml Mersi (MRP)


dr. NURHADI SAPUTRA, Sp.PD NaCl 0.9% 500 ml Wida Pipih
D5% Inf GLUCOSE UNICAP (MUP)
Onoiwa Kapsul (BMP) 4
Ceftriaxone 1 gr Inj Mahakam
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Pantorin 40 mg (Pantoprazol) Inj
NGT 16 Stomach Tube
Spuit 5 cc Ciringe
IV Cath Plus 22G Trovenocath
IV Cath Plus 20 G TroVenocath
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Aquadest OTSU 25 ML (MUP)
Alkohol Swab cosmo
dr. Nurhadi Saputra, Sp.,PD Lacidofil Sachet
Onoiwa Kapsul (BMP) 4
Lansoprazol 30 mg kapsul Nufarindo (KF)
dr. INDRIA MYRCIA, Sp.P Sistenol (Paracetamol acetylcysteine) (AAM)
Prohepar tab Yarindo
Curcuma tablet Soho (PPG) 2
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Metformin 500 mg tab Scan (TMP)
dr. Pranandito Salbutamol 2mg5ml Syrup Indofarma (IGM)
Cetrizine 5mg5ml Syrup Erela (SST)
Ventolin Nebu 2,5 mg
dr. RIZKI RAHIM, Sp.A D10% Glucose Unicap OGB WB (MUP)
Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ceftriaxone 1 gr Inj Mahakam
Gentamycin 40mgml Inj Indofarma (IGM)
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
Omeprazole 40 mg Inj Bernofarm
Dexamethasone inj Bernofarm (TSJ)
Manitol Inf Botol
RL infus 500 cc(MUP)
Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Underpad Surgicare
Elektroda Endo dcc
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 20 cc Nipro (DCC)
Aquadest OTSU 25 ML (MUP)
D5% Inf GLUCOSE UNICAP (MUP)
Body Wash Glove Octenic

Page 137
Sheet1

Hair Wash Glove Octenic


Spuit 1 cc Ciringe
Infus Set Macro Nipro
Minosep Gargle (PV)
NaCl 0.9% 500 ml Wida Pipih
Aquadest OTSU 25 ML (MUP)
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Body Wash Glove Octenic
Hair Wash Glove Octenic
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
Aminofusin Hepar (ESV)
Curcuma tablet Soho (PPG) 2
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Pantorin 40 mg (Pantoprazol) Inj
Asam Tranexamat 500mg5ml Inj Bernofarm
Metronidazol 500 mg Inf Darya Varia
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Meropenem 1 gr Inj Bernofarm
Paracetamol Inf Darya Varia
Ca Gluconas Inj Ethica (APL) 2
Aquadest OTSU 25 ML (MUP)
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
Minosep Gargle (PV)
Aquadest 1 L (MUP)
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Elektroda Endo dcc
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Spuit 50 cc Sonde Nipro (DCC)
Body Wash Glove Octenic
Hair Wash Glove Octenic
Suction Catheter 14 Remedi (DCC)
Blood Transfusi Set Remedi
Rinfox (levofloxacin) Inf 750 ml
dr. RIZKI RAHIM, Sp.A Spuit 10 cc Ciringe
Needle 18 Pcs
Handscoon Steril 7.5 Surgical EWG
Alkohol Swab cosmo
dr. Pranandito Asam mefenamat 500 mg tablet Mersi (MRP)
Cefadroxil 500 MG Kapsul Bernofarm
Chloramfenicol 1% Salep Mata (KF)
Handscoon Steril 7.5 Surgical EWG
Masker untuk TB Paru N95
Handscoon Uk. M Asap
Masker Tali AXIMED almaas

Page 138
Sheet1

Spuit 3 cc Aximed
Underpad Surgicare
Lidocain HCL 40mg/2ml Inj Quantum Labs
Spuit 10 cc Ciringe
dr. INDRIA MYRCIA, Sp.P Prohepar tab Yarindo
Curcuma tablet Soho (PPG) 2
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Omeprazole 20 mg kaps Novapharin (KF)
Metoclorpamide Dinkes
Onoiwa Kapsul (BMP) 4
dr. INDRIA MYRCIA, Sp.P RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Omeprazole 40 mg Inj Bernofarm
Meropenem 1 gr Inj Bernofarm
Paracetamol Inf Darya Varia
Dexamethasone inj Bernofarm (TSJ)
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
IV Cath Plus 22G Trovenocath
Infus Set Macro Nipro
Masker Nebulizer Dewasa Uk. L Work
dr. RIZKI RAHIM, Sp.A Selang O2 Dewasa Cosmomed
WIDA D5 1/4NS INF
Digoxin 0.25 mg tablet Yarindo
Furosemide 10mgml Inj Indofarma (IGM)
Captopril 12.5 OGB Dexa (AAM)
Spuit 3 cc Aximed
dr. RIZKI RAHIM, Sp.A Ceftriaxone 1 gr Inj Mahakam
Metronidazol 500 mg Inf Darya Varia
WIDA D5 1/4NS INF
Lacidofil Sachet
Zink 20 mg tablet Indofarma
Spuit 10 cc Ciringe
IV Cath Plus 24G Trovenocath
IV Catheter 26 Abbocath (KPM) Venisistem
dr. BURHAN, Sp.A Kaen 3B Inf 500 ml (MUP)
Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Alkohol Swab cosmo
dr. BURHAN, Sp.A Selang O2 Anak (Uk. M) Aximed (ALMAAS)
Kaen 3B Inf 500 ml (MUP)
Ceftriaxone 1 gr Inj Mahakam
Ventolin Nebu 2,5 mg
Spuit 10 cc Ciringe
Aquadest OTSU 25 ML (MUP)
Spuit 5 cc Ciringe
dr. BURHAN, Sp.A RL infus 500 cc(MUP)
Lacidofil Sachet

Page 139
Sheet1

Alkohol Swab cosmo


dr. BURHAN, Sp.A Lacidofil Sachet
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
WIDA D5 1/4NS INF
Zink 20 mg tablet Indofarma
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
dr. MAYA KHRISNA SILAHARTINI, Sp. THT.KL RL infus 500 cc(MUP)
Cefadroxil 500 MG Kapsul Bernofarm
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Handscoon Uk. M Asap
dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Dexamethasone inj Bernofarm (TSJ)
Asam Tranexamat 500mg5ml Inj Bernofarm
Pantorin 40 mg (Pantoprazol) Inj
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
Handscoon Steril 7.5 Surgical EWG
Alkohol Swab cosmo
dr. YOSSI AGUNG ARIOSENO, Sp. OG Misoprostol 200 mcg tablet (PPG)
dr. YOSSI AGUNG ARIOSENO, Sp. OG Misoprostol 200 mcg tablet (PPG)
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih
Dexamethasone inj Bernofarm (TSJ)
Blood Transfusi Set Remedi
Handscoon Steril 6.5 Gamex (Gloper)
Spuit 3 cc Aximed
Alkohol Swab cosmo
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Bledstop
RL infus 500 cc(MUP)
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
Spuit 3 cc Aximed
Handscoon Uk. M Asap
Nurse Cup Green OM (KPM)
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
Paracetamol 500 mg tab Bernofarm
Underpad Surgicare
Handscoon Uk. M Asap
dr. YOSSI AGUNG ARIOSENO, Sp. OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo

Page 140
Sheet1

Oxytocin Inj (APL)


Handscoon Steril 6.5 Gamex (Gloper)
Spuit 3 cc Aximed
Handscoon Uk. M Asap
Underpad Surgicare
Catgut Chromic 2.0 (338 N) KPM
Folley catheter 16(2way) Abada
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
Paracetamol Inf Darya Varia
NaCl 0.9% 500 ml Wida Pipih
NaCl 0.9% 500 ml Wida Pipih
RL infus 500 cc(MUP)
Handscoon Steril 6.5 Gamex (Gloper)
Folley catheter 16(2way) Abada
Spuit 10 cc Ciringe
urine bag semillas ALMAAS
Nurse Cup Green OM (KPM)
Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
Blood Transfusi Set Remedi
Alkohol Swab cosmo
dr. YOSSI AGUNG ARIOSENO, Sp. OG Misoprostol 200 mcg tablet (PPG)
Rindobion tablet Yarindo
Cefadroxil 500 MG Kapsul Bernofarm
dr. BURHAN, Sp.A D10% Glucose Unicap OGB WB (MUP)
Ca Gluconas Inj Ethica (APL) 2
Aminofusin Paed 250 ml (ESV)
Cefotaxime 1 gr Inj Hexpharm Jaya (ESV)
Handscoon Steril 7.5 Surgical EWG
Transofix NRC (Dnr)12
Alkohol Swab cosmo
Spuit 10 cc Ciringe
dr. INDRIA MYRCIA, Sp.P RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Ventolin Nebu 2,5 mg
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Ceftriaxone 1 gr Inj Mahakam
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Spuit 10 cc Ciringe
Infus Set Macro Nipro
dr. INDRIA MYRCIA, Sp.P Erphafilin (Aminophilin) 100 mg tablet (UBF)
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
dr. INDRIA MYRCIA, Sp.P Retaphyl SR 300 mg (Teofilin) tablet (KF)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
IV Cath Plus 22G Trovenocath
Infus Set Macro Nipro

Page 141
Sheet1

dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih


Furosemide 10mgml Inj Indofarma (IGM)
Pantorin 40 mg (Pantoprazol) Inj
Captopril 12.5 OGB Dexa (AAM)
Spironolacton 25 mg tablet Dexa Medika (AAM)
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Codein 20 mg tablet (KF) (Nark)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
dr. BURHAN, Sp.A ASERING INF (MUP)
Pantorin 40 mg (Pantoprazol) Inj
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Paracetamol Inf Darya Varia
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Underpad Surgicare
dr. DARMAWAN, Sp.PD Furosemide 10mgml Inj Indofarma (IGM)
Pantorin 40 mg (Pantoprazol) Inj
Aminefron tab Dexa Medika
Spironolacton 25 mg tablet Dexa Medika (AAM)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
Lacidofil Sachet
Candesartan 8 mg tab OGB Dexa (AAM)
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih
KSR Tablet Merck (AAM)
OTSU KCl (MERAPI)
Pantorin 40 mg (Pantoprazol) Inj
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Alkohol Swab cosmo
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
dr. Pranandito Spuit 3 cc Aximed
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Infus Set Macro Nipro
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
Underpad Surgicare
Spuit 10 cc Ciringe

Page 142
Sheet1

Spuit 1 cc Ciringe
Paracetamol Inf Darya Varia
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Ketorolac 30 mg Inj Ethica (APL)
RL infus 500 cc(MUP)
dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Furosemide 10mgml Inj Indofarma (IGM)
Spironolacton 25 mg tablet Dexa Medika (AAM)
Captopril 12.5 OGB Dexa (AAM)
Paracetamol Inf Darya Varia
Codein 20 mg tablet (KF) (Nark)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr.PRANANDITO Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
Braxidin tablet (BSP) 6 (Psik)
Spuit 5 cc Ciringe
Alkohol Swab cosmo
Handscoond Steril Gamex 8 (Gloper)
dr.PRANANDITO NaCl 0.9% 500 ml Wida Pipih
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Ciprofloxacin Inf 200mg100ML (ENS)
Piracetam 3 gr Inj OGB Dexa (AAM) 3
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Handscoon Steril 7.5 Surgical EWG
Paracetamol 500 mg tab Bernofarm
Aquadest OTSU 25 ML (MUP)
dr.PRANANDITO NaCl 0.9% 500 ml Wida Pipih
Paracetamol Syrup 120mg5ml Mersi (MRP)
Underpad Surgicare
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
PRANANDITO NaCl 0.9% 500 ml Wida Pipih
Combivent 2.5 ml (TEMPO)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Selang O2 Dewasa Cosmomed

Page 143
Sheet1

Alkohol Swab cosmo


Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Masker Nebulizer Dewasa Uk. L Work
Aquadest OTSU 25 ML (MUP)
Candesartan 8 mg tab OGB Dexa (AAM)
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
dr. INDRIA MYRCIA, Sp.P RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
dr. DARMAWAN, Sp.PD Ciprofloxacin 500 mg tablet Bernofarm (TSJ) 4
Orinox 60 mg tablet
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Spasmomen fc tab (AAM)
Pantorin 40 mg (Pantoprazol) Inj
Spuit 10 cc Ciringe
dr. Pranandito RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
NaCl 0.9% 500 ml Wida Pipih
Aquadest OTSU 25 ML (MUP)
Ceftriaxone 1 gr Inj Mahakam
Metronidazol 500 mg Inf Darya Varia
Paracetamol Inf Darya Varia
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Masker Rebreathing DWS (DCC)
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Handscoon Steril 7.5 Surgical EWG
NGT 16 Stomach Tube
urine bag semillas ALMAAS
Spuit 1 cc Ciringe
Silet Kuning
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
dr. Pranandito RL infus 500 cc(MUP)
Combivent 2.5 ml (TEMPO)
Pulmicort Resp (budesonide) 0.25 mg (APL) 3
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Paracetamol 500 mg tab Bernofarm
Codein 20 mg tablet (KF) (Nark)

Page 144
Sheet1

Levofloxasin 500 mg kaplet Bernofarm


Selang O2 Dewasa Cosmomed
Masker Nebulizer Dewasa Uk. L Work
Spuit 10 cc Ciringe
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
PRANANDITO Cefadroxil 500 MG Kapsul Bernofarm
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Paracetamol 500 mg tab Bernofarm
PRANANDITO Ciprofloxacin 500 mg tablet Bernofarm (TSJ) 4
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Asam mefenamat 500 mg tablet Mersi (MRP)
Lansoprazol 30 mg kapsul Nufarindo (KF)
PRANANDITO Masker Nebulizer Dewasa Uk. L Work
Efineprin (APL)
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Cefadroxil 500 MG Kapsul Bernofarm
dr. Pranandito Levofloxasin 500 mg kaplet Bernofarm
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
dr. Pranandito Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
Braxidin tablet (BSP) 6 (Psik)
Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Uk. M Asap
dr. Pranandito Captopril 25 mg tablet (ESV) 6
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
dr. Pranandito Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ketorolac 30 mg Inj Ethica (APL)
Spasmomen fc tab (AAM)
Ketorolac 10 mg tablet Novell (PENTA VALENT)
IV Cath Plus 20 G TroVenocath
Spuit 3 cc Aximed
Alkohol Swab cosmo
Masker Tali AXIMED almaas
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
Furosemide 10mgml Inj Indofarma (IGM)
Captopril 12.5 OGB Dexa (AAM)
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Citicoline Inj 500mg Mahakam (PPG) 4
Piracetam 1 Gr Inj Dexa Medika (AAM) 3
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Infus Set Macro Nipro
Masker Nebulizer Dewasa Uk. L Work
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. M Asap

Page 145
Sheet1

Handscoon Steril 7.5 Surgical EWG


Aquadest OTSU 25 ML (MUP)
NURHADI,Sp.Pd RL infus 500 cc(MUP)
Furosemide 10mgml Inj Indofarma (IGM)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Rinfox (levofloxacin) Inf 750 ml
Vectrin (Erdostein) Syrup
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Dotramol tab (PPG) 3
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Leptica 75 mg (Pregabalin) kapsul Dexa Medika (AAM)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Underpad Surgicare
Alkohol Swab cosmo
Methyl Prednisolone 16 mg tablet Mahakam (MRP)
dr. Pranandito Folley catheter 8 Fesco
urine bag semillas ALMAAS
Spuit 10 cc Ciringe
Handscoon Uk. M Asap
Masker Tali AXIMED almaas
Infus Set Macro Nipro
IV Cath Plus 24G Trovenocath
Aquadest OTSU 25 ML (MUP)
ASERING INF (MUP)
dr. Pranandito Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Alkohol Swab cosmo
Spuit 3 cc Aximed
dr. Pranandito Ketorolac 30 mg Inj Ethica (APL)
Paracetamol 500 mg tab Bernofarm
Spasmomen fc tab (AAM)
Ciprofloxacin 500 mg tablet Bernofarm (TSJ) 4
Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Uk. M Asap
Handscoon Uk. S Asap
dr. Pranandito NaCl 0.9% 500 ml Wida Pipih
Ketorolac 30 mg Inj Ethica (APL)
Aquadest OTSU 25 ML (MUP)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 1 cc Ciringe
dr. Pranandito Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
Pralax (Lactulose) 100 ml Syrup
Paracetamol 500 mg tab Bernofarm

Page 146
Sheet1

Ranitidine Inj 50mg/2ml Hexpharm (ESV)


Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Uk. S Asap
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
D10% Glucose Unicap OGB WB (MUP)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
Metoclopramid Inj Bernofarm (PPG) 3
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Suction Catheter 8 Remedi
Underpad Surgicare
kleim pusat
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
Alkohol Swab cosmo
Apron Plastik
NGT 5 Aximed feding tube 100 cm
Infus Set Micro Y Tipe
Spuit 3 cc Aximed
D10% Glucose Unicap OGB WB (MUP)
Selang O2 Bayi Cosmomed
Aminofusin Paed 250 ml (ESV)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Metoclopramid Inj Bernofarm (PPG) 3
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Domperidone Syrup 60 ml Hexpharm Jaya (ENSEVAL)
Lacidofil Sachet
Oralit sachet (IFK Dinkes)
Curcuma plus Syr Soho (PARIT PADANG) 2.4
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Pantorin 40 mg (Pantoprazol) Inj
NaCl 0.9% 500 ml Wida Pipih
Ketorolac 30 mg Inj Ethica (APL)
Meloxicam 15 mg tablet Dexa Medika (AAM)
Ciprofloxacin Inf 200mg100ML (ENS)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
IV Cath Plus 20 G TroVenocath
Infus Set Macro Nipro
Needle Insulin 31 G X 5 MM
Folley catheter 16(2way) Abada
Spuit 20 cc Nipro (DCC)
Aquadest OTSU 25 ML (MUP)

Page 147
Sheet1

urine bag semillas ALMAAS


Elektroda Skintact Paper Easitab (ESV)
Selang O2 Dewasa Cosmomed
D10% Glucose Unicap OGB WB (MUP)
Ca Gluconas Inj Ethica (APL) 2
Aminofusin Paed 250 ml (ESV)
Cefotaxime 1 gr Inj Hexpharm Jaya (ESV)
Transofix NRC (Dnr)12
Spuit 10 cc Ciringe
3 Way Otsu Stopcock With Male Merapi
Perfusor Tub White 150cm NRC (DNR)
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
Apron Plastik
Masker Tali AXIMED almaas
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
Suction Catheter 8 Remedi
kleim pusat
Apron Plastik
Masker Tali AXIMED almaas
Handscoon Steril 6.5 Gamex (Gloper)
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Handscoon Uk. S Asap
Handscoon Steril 7 Gamex (DCC)
Selang O2 Bayi Cosmomed
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
Masker Tali AXIMED almaas
D10% Glucose Unicap OGB WB (MUP)
Infus Set Micro Y Tipe
NGT 5 Aximed feding tube 100 cm
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Spuit 20 cc Nipro (DCC)
Aquadest 1 L (MUP)
Aquadest OTSU 25 ML (MUP)
Spuit 50 cc Sonde Nipro (DCC)
3 Way Otsu Stopcock With Male Merapi
Perfusor Tub White 150cm NRC (DNR)
Aminofusin Paed 250 ml (ESV)

Page 148
Sheet1

Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)


Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Suction Catheter 8 Remedi
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Alkohol Swab cosmo
RL infus 500 cc(MUP)
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
Ceftriaxone 1 gr Inj Mahakam
Asam Tranexamat 500mg5ml Inj Bernofarm
RL infus 500 cc(MUP)
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
Aquadest OTSU 25 ML (MUP)
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Alkohol Swab cosmo
Spuit 10 cc Ciringe
RL infus 500 cc(MUP)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
Ceftriaxone 1 gr Inj Mahakam
Metronidazol 500 mg Inf Darya Varia
Paracetamol Inf Darya Varia
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
RL infus 500 cc(MUP)
Tramadol inj Mersi
Paracetamol Inf Darya Varia
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Aquadest OTSU 25 ML (MUP)
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Metoclopramid Inj Bernofarm (PPG) 3
Dexamethasone inj Bernofarm (TSJ)
Nifedipine 10 mg tablet Dexa Medika (AAM)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Bledstop
Ketorolac 30 mg Inj Ethica (APL)

Page 149
Sheet1

Spuit 3 cc Aximed
Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Ketorolac 30 mg Inj Ethica (APL)
Spuit 3 cc Aximed
RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
NaCl 0.9% 500 ml Wida Pipih
Ceftriaxone 1 gr Inj Mahakam
Metronidazol 500 mg Inf Darya Varia
Paracetamol Inf Darya Varia
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Selang O2 Dewasa Cosmomed
Ventolin Nebu 2,5 mg
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Masker Nebulizer Dewasa Uk. L Work
Handscoon Uk. S Asap
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Vectrin (Erdostein) Syrup
Pantorin 40 mg (Pantoprazol) Inj
Ca Gluconas Inj Ethica (APL) 2
Asam Tranexamat 500mg5ml Inj Bernofarm
Combivent 2.5 ml (TEMPO)
Certofix Duo V720 NRC (DNR)
Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. S Asap
Spuit 10 cc Ciringe
Spuit 20 cc Nipro (DCC)
Body Wash Glove Octenic
Hair Wash Glove Octenic
3 Way Otsu Stopcock With Male Merapi
Perfusor Tub White 150cm NRC (DNR)
Aquadest OTSU 25 ML (MUP)
Infus Set Macro Nipro
Aquadest 1 L (MUP)
RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Aquadest OTSU 25 ML (MUP)
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Spuit 10 cc Ciringe
Spuit 20 cc Nipro (DCC)
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Infus Set Macro Nipro
Ventolin Nebu 2,5 mg
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
IV Cath Plus 20 G TroVenocath

Page 150
Sheet1

Paracetamol 500 mg tab Bernofarm


Masker Nebulizer Dewasa Uk. L Work
Selang O2 Dewasa Cosmomed
Handscoon Steril 7.5 Surgical EWG
Elektroda Skintact Paper Easitab (ESV)
Vectrin (Erdostein) Syrup
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Spuit 10 cc Ciringe
RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Metoclopramid Inj Bernofarm (PPG) 3
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Paracetamol Inf Darya Varia
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Infus Set Macro Nipro
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Handscoon Uk. S Asap
Ceftriaxone 1 gr Inj Mahakam
Blood Transfusi Set Remedi
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Paracetamol 500 mg tab Bernofarm
Zegavit tablet (ENSEVAL)
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Metoclopramid Inj Bernofarm (PPG) 3
RL infus 500 cc(MUP)
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Combivent 2.5 ml (TEMPO)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3

Page 151
Sheet1

Rebamipide 100 mg Fahreinhet


Meloxicam 15 mg tablet Dexa Medika (AAM)
Onoiwa Kapsul (BMP) 4
Buscopan 20 mg inj (TEMPO)
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Ciprofloxacin Inf 200mg100ML (ENS)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Curcuma tablet Soho (PPG) 2
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Onoiwa Kapsul (BMP) 4
Spironolacton 100 mg tablet Dexa Medika (AAM)
Ciprofloxacin Inf 200mg100ML (ENS)
NaCl 0.9% 500 ml Wida Pipih
Metronidazole 500 mg tablet Bernofarm (PPG) 5
Lacidofil Sachet
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Pantorin 40 mg (Pantoprazol) Inj
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Pantorin 40 mg (Pantoprazol) Inj
Apidra Solostar (APL) 2.5
Pantorin 40 mg (Pantoprazol) Inj
Furosemide 10mgml Inj Indofarma (IGM)
Claneksi (Co. Amoxiclav) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Metronidazol 500 mg Inf Darya Varia
Onoiwa Kapsul (BMP) 4
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Apron Plastik
NaCl 0.9% 500 ml Wida Pipih
Captopril 25 mg tablet (ESV) 6
Digoxin 0.25 mg tablet Yarindo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Alkohol Swab cosmo
CO Amoxiclav 625 mg tablet Indofarma (IGM)
Catgut Chromic 2.0 (338 N) KPM
Lacidofil Sachet
Spuit 10 cc Ciringe
Alkohol Swab cosmo
Lacidofil Sachet
Spuit 10 cc Ciringe
Alkohol Swab cosmo
dr.Helix Ranitidine Inj 50mg/2ml Hexpharm (ESV)

Page 152
Sheet1

Betahistin Mesylat 6 mg tablet (AAM)


Omeprazole 20 mg kaps Novapharin (KF)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Braxidin tablet (BSP) 6 (Psik)
Spuit 3 cc Aximed
dr. EKA SAPUTRA, Sp.B Aquadest OTSU 25 ML (MUP)
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Handscoon Steril 7.5 Surgical EWG
Spuit 10 cc Ciringe
dr. MAYA KHRISNA SILAHARTINI, Sp. THT.KL Cefadroxil 500 MG Kapsul Bernofarm
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Candesartan 8 mg tab OGB Dexa (AAM)
Amlodipin Beyslate 5 mg tablet Bernofarm (TSJ)
Piracetam 3 gr Inj OGB Dexa (AAM) 3
dr. Helix Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ketorolac 30 mg Inj Ethica (APL)
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Betahistin Mesylat 6 mg tablet (AAM)
Omeprazole 20 mg kaps Novapharin (KF)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Zegavit tablet (ENSEVAL)
Selang O2 Dewasa Cosmomed
Paracetamol 500 mg tab Bernofarm
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Spuit 3 cc Aximed
dr. BURHAN, Sp.A Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
dr. BURHAN, Sp.A Pantorin 40 mg (Pantoprazol) Inj
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Aquadest OTSU 25 ML (MUP)
Selang O2 Anak (Uk. M) Aximed (ALMAAS)
Elektroda Endo dcc
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Blood Transfusi Set Remedi
Alkohol Swab cosmo
dr. YOSSI AGUNG ARIOSENO, Sp. OG Ceftriaxone 1 gr Inj Mahakam
Metoclopramid Inj Bernofarm (PPG) 3
Ketorolac 30 mg Inj Ethica (APL)
Aquadest OTSU 25 ML (MUP)
Kaltrofen (Ketoprofen) Supp (ESV) 2
Silet Kuning
Selang O2 Dewasa Cosmomed
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Alkohol Swab cosmo
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe

Page 153
Sheet1

dr. EVI BACHTIAR, Sp.OG Oxytocin Inj (APL)


Ceftriaxone 1 gr Inj Mahakam
RL infus 500 cc(MUP)
Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. YOSSI AGUNG ARIOSENO, Sp. OG Oxytocin Inj (APL)
Methyl Ergometrin mal (APL)
RL infus 500 cc(MUP)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Aquadest OTSU 25 ML (MUP)
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Handscoon Uk. S Asap
Alkohol Swab cosmo
Spuit 5 cc Ciringe
dr. EVI BACHTIAR, Sp.OG Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
RL infus 500 cc(MUP)
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
Alkohol Swab cosmo
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Nurse Cup Green OM (KPM)
Silet Kuning
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
dr. EVI BACHTIAR, Sp.OG D10% Glucose Unicap OGB WB (MUP)
ASERING INF (MUP)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Metoclopramid Inj Bernofarm (PPG) 3
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Underpad Surgicare
dr. YOSSI AGUNG ARIOSENO, Sp. OG RL infus 500 cc(MUP)
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
dr. EVI BACHTIAR, Sp.OG RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Nurse Cup Green OM (KPM)

Page 154
Sheet1

Underpad Surgicare
Alkohol Swab cosmo
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
dr. EVI BACHTIAR, Sp.OG Otsu Mgso4 40% (MERAPI)
Aquadest OTSU 25 ML (MUP)
Nifedipine 10 mg tablet Dexa Medika (AAM)
Dopamet 250 mg (metildopa) tablet Actavis (AAM)
Ceftriaxone 1 gr Inj Mahakam
Tramadol inj Mersi
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Misoprostol 200 mcg tablet (PPG)
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Folley catheter 16(2way) Abada
Spuit 3 cc Aximed
urine bag semillas ALMAAS
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
IV Cath Plus 20 G TroVenocath
Underpad Surgicare
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
RL infus 500 cc(MUP)
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
dr. EVI BACHTIAR, Sp.OG Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Catgut Chromic 2.0 (338 N) KPM
Body Wash Glove Octenic
Masker Tali AXIMED almaas
Apron Plastik
RL infus 500 cc(MUP)
Oxytocin Inj (APL)
Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG Oxytocin Inj (APL)
Nifedipine 10 mg tablet Dexa Medika (AAM)
Dexamethasone inj Bernofarm (TSJ)
Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
RL infus 500 cc(MUP)
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap

Page 155
Sheet1

Underpad Surgicare
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Body Wash Glove Octenic
Alkohol Swab cosmo
dr. EVI BACHTIAR, Sp.OG RL infus 500 cc(MUP)
Oxytocin Inj (APL)
Aquadest OTSU 25 ML (MUP)
Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
3 Way Otsu Stopcock With Male Merapi
Alkohol Swab cosmo
IV Cath Plus 20 G TroVenocath
Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Catgut Chromic 2.0 (338 N) KPM
Apron Plastik
Masker Tali AXIMED almaas
Spuit 3 cc Aximed
Folley catheter 16(2way) Abada
dr. Helix NaCl 0.9% 500 ml Wida Pipih
Furosemide 10mgml Inj Indofarma (IGM)
Omeprazole 40 mg Inj Bernofarm
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Captopril 12.5 OGB Dexa (AAM)
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Selang O2 Dewasa Cosmomed
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Spuit 1 cc Ciringe
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
dr. BURHAN, Sp.A Kaen 3B Inf 500 ml (MUP)
dr. BURHAN, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
dr. BURHAN, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Alkohol Swab cosmo
Spuit 1 cc Ciringe
kleim pusat
Underpad Surgicare
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)

Page 156
Sheet1

Suction Catheter 8 Remedi


dr. BURHAN, Sp.A Meropenem 1 gr Inj Bernofarm
Aquadest OTSU 25 ML (MUP)
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Body Wash Glove Octenic
dr. BURHAN, Sp.A Cefotaxime 1 gr Inj Hexpharm Jaya (ESV)
Aquadest OTSU 25 ML (MUP)
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Underpad Surgicare
D10% Glucose Unicap OGB WB (MUP)
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Alkohol Swab cosmo
Spuit 50 cc Sonde Nipro (DCC)
Infus Set Micro Y Tipe
NGT 5 Aximed feding tube 100 cm
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
dr. BURHAN, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Alkohol Swab cosmo
Spuit 1 cc Ciringe
kleim pusat
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
Suction Catheter 8 Remedi
Efineprin (APL)
dr. BURHAN, Sp.A Cefotaxime 1 gr Inj Hexpharm Jaya (ESV)
Aquadest OTSU 25 ML (MUP)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
dr. BURHAN, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Suction Catheter 8 Remedi
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
dr. BURHAN, Sp.A Ceftriaxone 1 gr Inj Mahakam
Kaen 3B Inf 500 ml (MUP)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed

Page 157
Sheet1

Alkohol Swab cosmo


Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Body Wash Glove Octenic
Aquadest OTSU 25 ML (MUP)
dr. BURHAN, Sp.A Combivent 2.5 ml (TEMPO)
Dexamethasone inj Bernofarm (TSJ)
Kaen 3B Inf 500 ml (MUP)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Aquadest OTSU 25 ML (MUP)
Ceftriaxone 1 gr Inj Mahakam
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. BURHAN, Sp.A Furosemide 10mgml Inj Indofarma (IGM)
WIDA D5 1/4NS INF
Spuit 3 cc Aximed
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
IV Cath Plus 22G Trovenocath
dr. BURHAN, Sp.A Lacidofil Sachet
Cefixime 100mg/5ml Syrup (ESV) 6
Aquadest OTSU 25 ML (MUP)
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Ketorolac 30 mg Inj Ethica (APL)
Captopril 25 mg tablet (ESV) 6
Spuit 3 cc Aximed
dr. BURHAN, Sp.A D10% Glucose Unicap OGB WB (MUP)
Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Transofix NRC (Dnr)12
Alkohol Swab cosmo
Handscoon Steril 7.5 Surgical EWG
dr. BURHAN, Sp.A D10% Glucose Unicap OGB WB (MUP)
Ca Gluconas Inj Ethica (APL) 2
Cinam (Ampicillin Sulbactam) Inj (BSP) 6
Gentamycin 40mgml Inj Indofarma (IGM)
Infus Set Micro Y Tipe
NGT 5 Aximed feding tube 100 cm
Selang O2 Bayi Cosmomed
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Aquadest OTSU 25 ML (MUP)
Sofsilk 2/0 (soie silk/peter silk)

Page 158
Sheet1

Transofix NRC (Dnr)12


Spuit 3 cc Aximed
Alkohol Swab cosmo
dr. DARMAWAN, Sp.PD Asam Tranexamat 500mg5ml Inj Bernofarm
Pantorin 40 mg (Pantoprazol) Inj
Handscoon Uk. S Asap
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
dr. DARMAWAN, Sp.PD Pralax (Lactulose) 100 ml Syrup
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Handscoon Uk. S Asap
dr. DARMAWAN, Sp.PD Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Vectrin (Erdostein) Syrup
dr. DARMAWAN, Sp.PD Vectrin (Erdostein) Syrup
Codein 20 mg tablet (KF) (Nark)
Miniaspi 80mg Tablet Mersi (IGM)
Lansoprazol 30 mg kapsul Nufarindo (KF)
Furosemide 40 mg tablet (IFK Dinkes)
Captopril 12.5 OGB Dexa (AAM)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
dr. DEIVY CIRAYOW, Sp. S Methyl Prednisolone 16 mg tablet Mahakam (MRP)
Leptica 75 mg (Pregabalin) kapsul Dexa Medika (AAM)
IV Cath Plus 22G Trovenocath
Infus Set Macro Nipro
Alkohol Swab cosmo
Furosemide 40 mg tablet (IFK Dinkes)
Lansoprazol 30 mg kapsul Nufarindo (KF)
Onoiwa Kapsul (BMP) 4
Zegavit tablet (ENSEVAL)
dr. RIZKI RAHIM, Sp.A Ceftriaxone 1 gr Inj Mahakam
Gentamycin 40mgml Inj Indofarma (IGM)
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
RL infus 500 cc(MUP)
Dexamethasone inj Bernofarm (TSJ)
Omeprazole 40 mg Inj Bernofarm
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 20 cc Nipro (DCC)
Body Wash Glove Octenic
Hair Wash Glove Octenic
Aquadest OTSU 25 ML (MUP)
IV Cath Plus 24G Trovenocath
Wida D5%+1.2NS Inf (MUP)
dr. NURHADI SAPUTRA, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Aminofusin Hepar (ESV)
Curcuma tablet Soho (PPG) 2
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Pantorin 40 mg (Pantoprazol) Inj

Page 159
Sheet1

Metronidazol 500 mg Inf Darya Varia


Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Asam Tranexamat 500mg5ml Inj Bernofarm
Efineprin (APL)
Meropenem 1 gr Inj Bernofarm
Rinfox (levofloxacin) Inf 750 ml
Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. S Asap
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 50 cc Sonde Nipro (DCC)
Body Wash Glove Octenic
Hair Wash Glove Octenic
Suction Catheter 14 Remedi (DCC)
Aquadest OTSU 25 ML (MUP)
dr. BURHAN, Sp.A Otsu D40 (MERAPI)
Ceftriaxone 1 gr Inj Mahakam
Metronidazole 500 mg tablet Bernofarm (PPG) 5
Pantorin 40 mg (Pantoprazol) Inj
Ca Gluconas Inj Ethica (APL) 2
Asam Tranexamat 500mg5ml Inj Bernofarm
Combivent 2.5 ml (TEMPO)
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Body Wash Glove Octenic
Hair Wash Glove Octenic
Folley Chateter 18 Gea
urine bag semillas ALMAAS
Aquadest OTSU 25 ML (MUP)
IV Cath Plus 20 G TroVenocath
Infus Set Macro Nipro
Handscoon Steril 7.5 Surgical EWG
Handscoon Steril 7.5 Surgical EWG
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Underpad Surgicare
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 10 cc Ciringe
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 5 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 3 cc Aximed
Spuit 3 cc Aximed
Spuit 1 cc Ciringe

Page 160
Sheet1

Spuit 1 cc Ciringe
Spuit 1 cc Ciringe
Body Wash Glove Octenic
Body Wash Glove Octenic
Body Wash Glove Octenic
Hair Wash Glove Octenic
Hair Wash Glove Octenic
Hair Wash Glove Octenic
urine bag semillas ALMAAS
urine bag semillas ALMAAS
urine bag semillas ALMAAS
Suction Catheter 12
Suction Catheter 12
Suction Catheter 12
D10% Glucose Unicap OGB WB (MUP)
D10% Glucose Unicap OGB WB (MUP)
D10% Glucose Unicap OGB WB (MUP)
dr. Neila Azka Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Azithromycin 500 mg tab (KF)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Omeprazole 20 mg kaps Novapharin (KF)
dr. DARMAWAN, Sp.PD Pantorin 40 mg (Pantoprazol) Inj
Ciprofloxacin Inf 200mg100ML (ENS)
NaCl 0.9% 500 ml Wida Pipih
Orinox 60 mg tablet
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Aquadest OTSU 25 ML (MUP)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. DARMAWAN, Sp.PD IV Cath Plus 22G Trovenocath
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Infus Set Macro Nipro
urine bag semillas ALMAAS
dr. Nurhadi Saputra, Sp.,PD RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Orinox 60 mg tablet
Onoiwa Kapsul (BMP) 4
Allupurinol 100 mg tablet Indofarma
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
dr. DEIVY CIRAYOW, Sp. S NaCl 0.9% 500 ml Wida Pipih
Citicoline Inj 500mg Mahakam (PPG) 4
Piracetam 3 gr Inj OGB Dexa (AAM) 3
Piracetam 3 gr Inj Quantum Labs
Paracetamol 500 mg tab Bernofarm
dr. Nurhadi Saputra, Sp.,PD RL infus 500 cc(MUP)
Aminoflusin L 600ml inf (ESV)

Page 161
Sheet1

Pantorin 40 mg (Pantoprazol) Inj


Mersibion 5000 Inj Mersi (MERAPI) 1.3
Ceftriaxone 1 gr Inj Mahakam
Onoiwa Kapsul (BMP) 4
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
dr. NURHADI SAPUTRA, Sp.PD RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
Metoclopramid Inj Bernofarm (PPG) 3
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Handscoon Uk. S Asap
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. NURHADI SAPUTRA, Sp.PD RL infus 500 cc(MUP)
Combivent 2.5 ml (TEMPO)
Pulmicort Resp (budesonide) 0.25 mg (APL) 3
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Paracetamol 500 mg tab Bernofarm
Codein 20 mg tablet (KF) (Nark)
Rinfox (levofloxacin) Inf 750 ml
Apidra Solostar (APL) 2.5
Lantus Solostar Flexpen (APL) 6
Needle Insulin 31 G X 5 MM
dr. BURHAN, Sp.A Cetrizine Drop (IGM) 1
dr.eka saputra Asam mefenamat 500 mg tablet Mersi (MRP)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
dr.eka saputra Asam mefenamat 500 mg tablet Mersi (MRP)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
dr.eka saputra RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Metronidazol 500 mg Inf Darya Varia
Paracetamol Inf Darya Varia
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Handscoond Steril Gamex 8 (Gloper)
Alkohol Swab cosmo
dr. Helix Masker Nebu Anak Gea
dr. Helix Vectrin (Erdostein) Syrup
Orinox 60 mg tablet
Burhan D10% Glucose Unicap OGB WB (MUP)
Otsu D40 (MERAPI)
Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
Spuit 10 cc Ciringe

Page 162
Sheet1

Burhan Amikacin 500 mg25% 2 ml Inj Dexa Medika (AAM) 3


Spuit 20 cc Nipro (DCC)
Perfusor Tub White 150cm NRC (DNR)
Cetrizine Drop (IGM) 1
Kaen 3B Inf 500 ml (MUP)
DARMAWAN,Sp.Pd NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Furosemide 10mgml Inj Indofarma (IGM)
Claneksi (Co. Amoxiclav) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Metronidazol 500 mg Inf Darya Varia
Onoiwa Kapsul (BMP) 4
Paracetamol Inf Darya Varia
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
DARMAWAN,Sp.Pd RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Ceftriaxone 1 gr Inj Mahakam
Paracetamol 500 mg tab Bernofarm
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Aminofluid inf (MUP)
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Handscoon Uk. S Asap
Masker Nebulizer Dewasa Uk. L Work
Alkohol Swab cosmo
dr. DARMAWAN, Sp.PD RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Asam Tranexamat 500mg5ml Inj Bernofarm
Spironolacton 100 mg tablet Dexa Medika (AAM)
Propanolol 10 mg tablet OGB Dexa (AAM)
Vitamin K 10 mg (Phytomenadion) tablet Phapros (RJW)
Curcuma tablet Soho (PPG) 2
Furosemide 10mgml Inj Indofarma (IGM)
dr. Helix IV Cath PlusB 18 G Trovenocath
Selang O2 Dewasa Cosmomed
NaCl 0.9% 500 ml Wida Pipih
Infus Set Macro Nipro
Alkohol Swab cosmo
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Masker Nebulizer Dewasa Uk. L Work
Masker Rebreathing DWS (DCC)
Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Spuit 1 cc Ciringe
Spuit 10 cc Ciringe
Elektroda Skintact Paper Easitab (ESV)
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Handscoon Uk. S Asap
dr. DARMAWAN, Sp.PD RL infus 500 cc(MUP)

Page 163
Sheet1

Ranitidine 150 mg tab Hexpharm (ENSEVAL)


Paracetamol Inf Darya Varia
Zegavit tablet (ENSEVAL)
dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Onoiwa Kapsul (BMP) 4
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Rebamipide 100 mg Fahreinhet
Meloxicam 15 mg tablet Dexa Medika (AAM)
Handscoon Uk. S Asap
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. Helix Selang O2 Dewasa Cosmomed
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Omeprazole 20 mg kaps Novapharin (KF)
Braxidin tablet (BSP) 6 (Psik)
dr. DARMAWAN, Sp.PD Levofloxasin 500 mg kaplet Bernofarm
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
dr. DARMAWAN, Sp.PD Rinfox (levofloxacin) Inf 750 ml
dr. DARMAWAN, Sp.PD Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Erphafilin (Aminophilin) 100 mg tablet (UBF)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Curcuma tablet Soho (PPG) 2
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
dr. DARMAWAN, Sp.PD RL infus 500 cc(MUP)
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Ciprofloxacin 500 mg tablet Bernofarm (TSJ) 4
Ondansentron 8 mg tablet Novell (AMS)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. DARMAWAN, Sp.PD RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Omeprazole 40 mg Inj Bernofarm
Meropenem 1 gr Inj Bernofarm
Paracetamol Inf Darya Varia
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Methyl Prednisolone 125 mg Inj Bernofarm
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. DARMAWAN, Sp.PD Levofloxasin 500 mg kaplet Bernofarm
Spasmomen fc tab (AAM)
Vectrin (Erdostein) Syrup
Zegavit tablet (ENSEVAL)
dr. DARMAWAN, Sp.PD Captopril 25 mg tablet (ESV) 6
Captopril 25 mg tablet (ESV) 6

Page 164
Sheet1

Digoxin 0.25 mg tablet Yarindo


Digoxin 0.25 mg tablet Yarindo
Zegavit tablet (ENSEVAL)
Zegavit tablet (ENSEVAL)
dr. EKA SAPUTRA, Sp.B IV Cath Plus 24G Trovenocath
Blood Transfusi Set Remedi
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
RL infus 500 cc(MUP)
Alkohol Swab cosmo
Folley catheter 10 Cosmomed
urine bag semillas ALMAAS
dr. EKA SAPUTRA, Sp.B RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Tramadol inj Mersi
Ketorolac 30 mg Inj Ethica (APL)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Aquadest OTSU 25 ML (MUP)
dr. EKA SAPUTRA, Sp.B Dexamethasone inj Bernofarm (TSJ)
dr. DARMAWAN, Sp.PD Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Metoclorpamide Dinkes
dr. EKA SAPUTRA, Sp.B RL infus 500 cc(MUP)
Infus Set Macro Nipro
IV Cath Plus 22G Trovenocath
Cefadroxil 125mg5ml Syrup Pharma Lab (MBS)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 1 cc Ciringe
dr. Helix RL infus 500 cc(MUP)
Infus Set Macro Nipro
IV Tro VERSITC Plus 20 G (Safety)
Alkohol Swab cosmo
Ketorolac 30 mg Inj Ethica (APL)
Tramadol inj Mersi
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Pantorin 40 mg (Pantoprazol) Inj
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
dr. Helix Paracetamol 500 mg tab Bernofarm
eka saputra Asam Tranexamat 500mg5ml Inj Bernofarm
Metoclorpamide Dinkes
Spuit 5 cc Ciringe
eka saputra NaCl 0.9% 500 ml Wida Pipih
Asam Tranexamat 500mg5ml Inj Bernofarm
Ketorolac 30 mg Inj Ethica (APL)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Alkohol Swab cosmo
IV Cath Plus 20 G TroVenocath

Page 165
Sheet1

eka saputra RL infus 500 cc(MUP)


Tramadol inj Mersi
Spuit 3 cc Aximed
eka saputra Paracetamol 500 mg tab Bernofarm
Zegavit tablet (ENSEVAL)
dr. Helix NaCl 0.9% 500 ml Wida Pipih
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Pantorin 40 mg (Pantoprazol) Inj
Spuit 10 cc Ciringe
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Rebamipide 100 mg Fahreinhet
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
dr. Helix RL infus 500 cc(MUP)
Lidocain HCL 40mg/2ml Inj Quantum Labs
Aquadest OTSU 25 ML (MUP)
Ceftriaxone 1 gr Inj Mahakam
Ketorolac 30 mg Inj Ethica (APL)
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
Alkohol Swab cosmo
Spuit 3 cc Aximed
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Underpad Surgicare
Elektroda Skintact Paper Easitab (ESV)
Poligip Gypsona 4 Roll BSN
Elastic Verband 4 Uniflex (AAM)
Asa Selang O2 Dewasa Cosmomed
IV Cath Plus 20 G TroVenocath
Infus Set Micro Y Tipe
Handscoon Uk. S Asap
Alkohol Swab cosmo
Spuit 10 cc Ciringe
NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Aquadest OTSU 25 ML (MUP)
Miniaspi 80mg Tablet Mersi (IGM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Captopril 12.5 OGB Dexa (AAM)
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
dr. Asa RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Pantorin 40 mg (Pantoprazol) Inj
Aquadest OTSU 25 ML (MUP)
Curcuma tablet Soho (PPG) 2

Page 166
Sheet1

Perilax 50 mg (Eperisone HCl) tab Dexa Medika


Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
IV Cath PlusB 18 G Trovenocath
Blood Transfusi Set Remedi
Infus Set Macro Nipro
Selang O2 Dewasa Cosmomed
Elektroda Skintact Paper Easitab (ESV)
Lacidofil Sachet
Domperidone Syrup 60 ml Hexpharm Jaya (ENSEVAL)
dr. Asa urine bag semillas ALMAAS
Folley catheter 16(2way) Abada
Handscoon Steril 7.5 Gamex (Gloper)
Spuit 20 cc Nipro (DCC)
Elektroda Skintact Paper Easitab (ESV)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
dr. Asa Apyalis Syrup (PV) 4
Cetrizine Drop (IGM) 1
Cefixime 100mg/5ml Syrup (ESV) 6
Edorisan drop
RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
IV Cath Plus 20 G TroVenocath
IV Cath Plus 24G Trovenocath
Handscoon Uk. S Asap
Alkohol Swab cosmo
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 3 cc Aximed
Citicoline 500 mg tablet Mahakam Beta Farma
Paracetamol 500 mg tab Bernofarm
Asa Combivent 2.5 ml (TEMPO)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
dr. Asa Ceftriaxone 1 gr Inj Mahakam
Ceftriaxone 1 gr Inj Mahakam
Dexamethasone inj Bernofarm (TSJ)
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)

Page 167
Sheet1

dr. EKA SAPUTRA, Sp.B Blood Transfusi Set Remedi


Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Aquadest OTSU 25 ML (MUP)
dr. EKA SAPUTRA, Sp.B RL infus 500 cc(MUP)
Ketorolac 30 mg Inj Ethica (APL)
Asam Tranexamat 500mg5ml Inj Bernofarm
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Stronger Neo Minophagen C Inj (AAM)
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
Efineprin (APL)
Meropenem 1 gr Inj Bernofarm
Infus Set Micro Y Tipe
Ceftriaxone 1 gr Inj Mahakam
Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. S Asap
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
urine bag semillas ALMAAS
Folley catheter 8 Fesco
Folley catheter 10 Cosmomed
Elektroda Endo dcc
Masker Nebu Anak Gea
dr. EKA SAPUTRA, Sp.B Dexamethasone inj Bernofarm (TSJ)
Vectrin (Erdostein) Syrup
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Vectrin (Erdostein) Syrup
dr.Asa Pralax (Lactulose) 100 ml Syrup
Metformin 500 mg tab Scan (TMP)
RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ketorolac 10 mg Inj Bernofarm (TSJ)
Aquadest OTSU 25 ML (MUP)
urine bag semillas ALMAAS
Folley catheter 16(2way) Abada
Handscoon Uk. S Asap
Handscoon Steril 7 Gamex (DCC)
IV Cath Plus 20 G TroVenocath
Infus Set Macro Nipro
Ketorolac 30 mg Inj Ethica (APL)
Spuit 3 cc Aximed
Spuit 20 cc Nipro (DCC)
dr.eka saputra NaCl 0.9% 500 ml Wida Pipih

Page 168
Sheet1

dr.Maya Sp.,THT.,KL Paracetamol 500 mg tab Bernofarm


Cefadroxil 500 MG Kapsul Bernofarm
Umarone Inj (PPG) 1
RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Orinox 60 mg tablet
Onoiwa Kapsul (BMP) 4
Allupurinol 100 mg tablet Indofarma
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Body Wash Glove Octenic
Apron Plastik
Silet Kuning
Ceftriaxone 1 gr Inj Mahakam
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Aquadest OTSU 25 ML (MUP)
Alkohol Swab cosmo
Nurse Cup Green OM (KPM)
dr. BURHAN, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
Underpad Surgicare
kleim pusat
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
Suction Catheter 8 Remedi
dr. BURHAN, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Apron Plastik
dr. EVI BACHTIAR, Sp.OG Oxytocin Inj (APL)
RL infus 500 cc(MUP)
Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
Selang O2 Dewasa Cosmomed
Underpad Surgicare
Body Wash Glove Octenic
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Apron Plastik
dr. YOSSI AGUNG ARIOSENO, Sp. OG Misoprostol 200 mcg tablet (PPG)
dr. YOSSI AGUNG ARIOSENO, Sp. OG Misoprostol 200 mcg tablet (PPG)
dr. YOSSI AGUNG ARIOSENO, Sp. OG Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath

Page 169
Sheet1

Handscoon Uk. S Asap


Alkohol Swab cosmo
RL infus 500 cc(MUP)
Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
dr. YOSSI AGUNG ARIOSENO, Sp. OG RL infus 500 cc(MUP)
IV Cath Plus 20 G TroVenocath
Blood Transfusi Set Remedi
Alkohol Swab cosmo
Underpad Surgicare
dr. EVI BACHTIAR, Sp.OG Ceftriaxone 1 gr Inj Mahakam
Tramadol inj Mersi
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Paracetamol Inf Darya Varia
Misoprostol 200 mcg tablet (PPG)
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
Alkohol Swab cosmo
Underpad Surgicare
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Spuit 10 cc Ciringe
Silet Kuning
Nurse Cup Green OM (KPM)
Spuit 3 cc Aximed
RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
dr. HERDI Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
RL infus 500 cc(MUP)
Handscoon Steril 7 Gamex (DCC)
Handscoon Uk. S Asap
Alkohol Swab cosmo
Underpad Surgicare
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Intrafix Safeset (Set Makro B Braun) (DOS NI ROHA)
Hair Wash Glove Octenic
Body Wash Glove Octenic
Perfusor Tub White 150cm NRC (DNR)
3 Way Otsu Stopcock With Male Merapi
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
Aquadest OTSU 25 ML (MUP)
Minosep Gargle (PV)
dr. BURHAN, Sp.A Dexamethasone inj Bernofarm (TSJ)
Furosemide 10mgml Inj Indofarma (IGM)

Page 170
Sheet1

Paracetamol Inf Darya Varia


Pantorin 40 mg (Pantoprazol) Inj
Ceftriaxone 1 gr Inj Mahakam
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
Combivent 2.5 ml (TEMPO)
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Body Wash Glove Octenic
Hair Wash Glove Octenic
Aquadest OTSU 25 ML (MUP)
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Meropenem 1 gr Inj Bernofarm
Asam Tranexamat 500mg5ml Inj Bernofarm
Metronidazol 500 mg Inf Darya Varia
Paracetamol Inf Darya Varia
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Curcuma tablet Soho (PPG) 2
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Rinfox (levofloxacin) Inf 750 ml
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Elektroda Endo dcc
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Body Wash Glove Octenic
Hair Wash Glove Octenic
Spuit 1 cc Ciringe
Suction Catheter 14 Remedi (DCC)
Aquadest OTSU 25 ML (MUP)
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
Minosep Gargle (PV)
dr. RIZKI RAHIM, Sp.A Aquadest OTSU 25 ML (MUP)
Wida D5%+1.2NS Inf (MUP)
Ceftriaxone 1 gr Inj Mahakam
Gentamycin 40mgml Inj Indofarma (IGM)
Omeprazole 40 mg Inj Bernofarm
Dexamethasone inj Bernofarm (TSJ)
Handscoon Steril 7.5 Surgical EWG
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Body Wash Glove Octenic
Hair Wash Glove Octenic
Elektroda Endo dcc
Spuit 1 cc Ciringe

Page 171
Sheet1

dr. DARMAWAN, Sp.PD Ketorolac 30 mg Inj Ethica (APL)


Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
dr. INDRIA MYRCIA, Sp.P RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Infus Set Macro Nipro
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Handscoon Steril 7.5 Surgical EWG
Alkohol Swab cosmo
NGT 16 Stomach Tube
Spuit 10 cc Ciringe
Masker untuk TB Paru N95
dr. NURHADI SAPUTRA, Sp.PD RL infus 500 cc(MUP)
Combivent 2.5 ml (TEMPO)
Pulmicort Resp (budesonide) 0.25 mg (APL) 3
Vectrin (Erdostein) Syrup
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Rinfox (levofloxacin) Inf 750 ml
Paracetamol 500 mg tab Bernofarm
Infus Set Macro Nipro
dr. NURHADI SAPUTRA, Sp.PD RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Metoclorpamide Dinkes
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Lacidofil Sachet
New Daiatab tablet (APL) 4
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. NURHADI SAPUTRA, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Aminofluid inf (MUP)
Pantorin 40 mg (Pantoprazol) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Ceftriaxone 1 gr Inj Mahakam
Onoiwa Kapsul (BMP) 4
Aminoflusin L 600ml inf (ESV)
Alkohol Swab cosmo
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
IV Cath Plus 22G Trovenocath
dr. NURHADI SAPUTRA, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Braxidin tablet (BSP) 6 (Psik)

Page 172
Sheet1

Paracetamol Inf Darya Varia


Rebamipide 100 mg Fahreinhet
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Spuit 10 cc Ciringe
Infus Set Macro Nipro
dr. RIZKI RAHIM, Sp.A NaCl 0.9% 500 ml Wida Pipih
RL infus 500 cc(MUP)
Methyl Prednisolone 125 mg Inj Bernofarm
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
RL infus 500 cc(MUP)
Blood Transfusi Set Remedi
IV Cath Plus 24G Trovenocath
IV Cath Plus 22G Trovenocath
Selang O2 Anak (Uk. M) Aximed (ALMAAS)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Uk. S Asap
dr. NURHADI SAPUTRA, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Rebamipide 100 mg Fahreinhet
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Orinox 60 mg tablet
Infus Set Macro Nipro
dr. NURHADI SAPUTRA, Sp.PD RL infus 500 cc(MUP)
Miniaspi 80mg Tablet Mersi (IGM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Pantorin 40 mg (Pantoprazol) Inj
Pralax (Lactulose) 100 ml Syrup
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Vectrin (Erdostein) Syrup
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Furosemide 10mgml Inj Indofarma (IGM)
Captopril 12.5 OGB Dexa (AAM)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. INDRIA MYRCIA, Sp.P RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Omeprazole 40 mg Inj Bernofarm
Meropenem 1 gr Inj Bernofarm
Rinfox (levofloxacin) Inf 750 ml
Methyl Prednisolone 125 mg Inj Bernofarm
Paracetamol Inf Darya Varia
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Masker untuk TB Paru N95
Handscoon Uk. S Asap
Masker Tali AXIMED almaas

Page 173
Sheet1

Alkohol Swab cosmo


dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Paracetamol Inf Darya Varia
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Metronidazol 500 mg Inf Darya Varia
Apidra Solostar (APL) 2.5
Needle Insulin 31 G X 5 MM
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
IV Cath Plus 22G Trovenocath
IV Cath Plus 20 G TroVenocath
dr. INDRIA MYRCIA, Sp.P RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Pantorin 40 mg (Pantoprazol) Inj
Ceftriaxone 1 gr Inj Mahakam
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Onoiwa Kapsul (BMP) 4
Paracetamol 500 mg tab Bernofarm
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Masker untuk TB Paru N95
dr. INDRIA MYRCIA, Sp.P NaCl 0.9% 500 ml Wida Pipih
Citicoline Inj 500mg Mahakam (PPG) 4
Piracetam 3 gr Inj Quantum Labs
Pantorin 40 mg (Pantoprazol) Inj
Paracetamol 500 mg tab Bernofarm
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
IV Cath Plus 20 G TroVenocath
IV Cath Plus 22G Trovenocath
Masker untuk TB Paru N95
dr. RIZKI RAHIM, Sp.A RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Paracetamol Inf Darya Varia
IV Cath Plus 24G Trovenocath
Infus Set Macro Nipro
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Spasmomen fc tab (AAM)
Levofloxasin 500 mg kaplet Bernofarm
Orinox 60 mg tablet
Cefadroxil 125mg5ml Syrup Pharma Lab (MBS)
Paracetamol Inf Darya Varia

Page 174
Sheet1

NaCl 0.9% 500 ml Wida Pipih


Asam Tranexamat 500mg5ml Inj Bernofarm
Pantorin 40 mg (Pantoprazol) Inj
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
KSR Tablet Merck (AAM)
Zegavit tablet (ENSEVAL)
Omeprazole 20 mg kaps Novapharin (KF)
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Spuit 10 cc Ciringe
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Alkohol Swab cosmo
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 50 cc Sonde Nipro (DCC)
Meropenem 1 gr Inj Bernofarm
Combivent 2.5 ml (TEMPO)
NaCl 0.9% 500 ml Wida Pipih
Furosemide 10mgml Inj Indofarma (IGM)
Captopril 12.5 OGB Dexa (AAM)
Codein 20 mg tablet (KF) (Nark)
Vectrin (Erdostein) Syrup
Pralax (Lactulose) 100 ml Syrup
Pantorin 40 mg (Pantoprazol) Inj
Masker Nebulizer Dewasa Uk. L Work
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Masker Rebreathing DWS (DCC)
3 Way Otsu Stopcock With Male Merapi
Perfusor Tub White 150cm NRC (DNR)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
dr. HERDI RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Ceftriaxone 1 gr Inj Mahakam
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Handscoon Uk. S Asap
Alkohol Swab cosmo
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
dr. EVI BACHTIAR, Sp.OG Metoclorpamide Dinkes
dr. EVI BACHTIAR, Sp.OG Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Misoprostol 200 mcg tablet (PPG)
dr. DARMAWAN, Sp.PD Meropenem 1 gr Inj Bernofarm
Stronger Neo Minophagen C Inj (AAM)

Page 175
Sheet1

Metronidazol 500 mg Inf Darya Varia


Pantorin 40 mg (Pantoprazol) Inj
dr. BURHAN, Sp.A D10% Glucose Unicap OGB WB (MUP)
Otsu D40 (MERAPI)
Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
Alkohol Swab cosmo
Handscoon Steril 7.5 Surgical EWG
Needle 18 Pcs
dr. BURHAN, Sp.A D10% Glucose Unicap OGB WB (MUP)
Otsu D40 (MERAPI)
Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
Spuit 10 cc Ciringe
Transofix NRC (Dnr)12
Alkohol Swab cosmo
dr. DARMAWAN, Sp.PD Claneksi (Co. Amoxiclav) Inj
dr. YOSSI AGUNG ARIOSENO, Sp. OG Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
dr. HERDI Paracetamol Syrup 120mg5ml Mersi (MRP)
valisanbe 2 mg (Psik)
Glicuidone 30 mg tablet Dexa Medika (AAM)
dr.HERDI Blood Transfusi Set Remedi
RL infus 500 cc(MUP)
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Handscoon Uk. S Asap
Underpad Surgicare
Handscoon Steril 7 Gamex (DCC)
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Oxytocin Inj (APL)
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
NGT 5 Aximed feding tube 100 cm
Underpad Surgicare
Hair Wash Glove Octenic
Body Wash Glove Octenic
Aquadest 1 L (MUP)
Spuit 20 cc Nipro (DCC)
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
NGT 5 Aximed feding tube 100 cm
Underpad Surgicare
Hair Wash Glove Octenic

Page 176
Sheet1

Body Wash Glove Octenic


Aquadest 1 L (MUP)
Spuit 20 cc Nipro (DCC)
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Spuit 20 cc Nipro (DCC)
Aquadest 1 L (MUP)
Hair Wash Glove Octenic
Body Wash Glove Octenic
NGT 5 Aximed feding tube 100 cm
Spuit 20 cc Nipro (DCC)
Spuit 50 cc Sonde Nipro (DCC)
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Aquadest 1 L (MUP)
Underpad Surgicare
Hair Wash Glove Octenic
Body Wash Glove Octenic
Asam Folat Dinkes
Zink 20 mg tablet Indofarma
WIDA D5 1/4NS INF
Infus Set Macro Nipro
IV Cath Plus 24G Trovenocath
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Alkohol Swab cosmo
Ceftriaxone 1 gr Inj Mahakam
Kaen 3B Inf 500 ml (MUP)
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Handscoon Uk. S Asap
RL infus 500 cc(MUP)
Wida D5%+1.2NS Inf (MUP)
Zink 20 mg tablet Indofarma
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Infus Set Macro Nipro
IV Catheter 26 Abbocath (KPM) Venisistem
Spuit 3 cc Aximed
Cefixime 100mg/5ml Syrup (ESV) 6
Prednison tablet Holi (SST)
Vectrin (Erdostein) Syrup
Salbutamol 2mg5ml Syrup Indofarma (IGM)
Alkohol Swab cosmo
IV Catheter 26 Abbocath (KPM) Venisistem
Dexamethasone inj Bernofarm (TSJ)

Page 177
Sheet1

Spuit 3 cc Aximed
Dexamethasone inj Bernofarm (TSJ)
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Onoiwa Kapsul (BMP) 4
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Zegavit tablet (ENSEVAL)
Meloxicam 15 mg tablet Dexa Medika (AAM)
NaCl 0.9% 500 ml Wida Pipih
Captopril 25 mg tablet (ESV) 6
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Candesartan 8 mg tab OGB Dexa (AAM)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
IV Cath Plus 22G Trovenocath
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Handscoon Uk. S Asap
Tablet tambah darah (IFK dINKES)
Ca Gluconas Inj Ethica (APL) 2
Spuit 10 cc Ciringe
Zegavit tablet (ENSEVAL)
Omeprazole 20 mg kaps Novapharin (KF)
Onoiwa Kapsul (BMP) 4
Spironolacton 25 mg Dinkes
Propanolol 10 mg tablet OGB Dexa (AAM)
Vitamin K 10 mg (Phytomenadion) tablet Phapros (RJW)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Curcuma tablet Soho (PPG) 2
Furosemide 40 mg tablet (IFK Dinkes)
NaCl 0.9% 500 ml Wida Pipih
Citicoline Inj 500mg Mahakam (MUP) 4
NGT 16 Stomach Tube
Handscoon Steril 7.5 Surgical EWG
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
NaCl 0.9% 500 ml Wida Pipih
Ciprofloxacin Inf 200mg100ML (ENS)
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Spasmomen fc tab (AAM)
Apidra Solostar (APL) 2.5
Needle Insulin 31 G X 5 MM
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Furosemide 10mgml Inj Indofarma (IGM)
Claneksi (Co. Amoxiclav) Dry Syrup
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Metronidazole 500 mg tablet Bernofarm (PPG) 5
Onoiwa Kapsul (BMP) 4
Combivent 2.5 ml (TEMPO)

Page 178
Sheet1

Mucylin (Asetilsistein) 200 mg kapsul (PPG)


Spuit 3 cc Aximed
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
Masker Tali AXIMED almaas
Underpad Surgicare
Apron Plastik
RL infus 500 cc(MUP)
ISDN (Isosorbide Dinitrate) tab Yarindo (PPG)
Pantorin 40 mg (Pantoprazol) Inj
Miniaspi 80mg Tablet Mersi (IGM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Captopril 25 mg tablet (ESV) 6
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
Masker Tali AXIMED almaas
NaCl 0.9% 500 ml Wida Pipih
Captopril 12.5 OGB Dexa (AAM)
Spironolacton 25 mg Dinkes
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Codein 20 mg tablet (KF) (Nark)
Furosemide 10mgml Inj Indofarma (IGM)
Pantorin 40 mg (Pantoprazol) Inj
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Infus Set Macro Nipro
Needle Insulin 31 G X 5 MM
RL infus 500 cc(MUP)
Infus Set Macro Nipro
IV Cath Plus 22G Trovenocath
Cefadroxil 500 MG Kapsul Bernofarm
Masker Tali AXIMED almaas
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Alkohol Swab cosmo
Aquadest OTSU 25 ML (MUP)
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Alkohol Swab cosmo
RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih
Metronidazol 500 mg Inf Darya Varia
Paracetamol Inf Darya Varia
Ranitidine Inj 50mg/2ml Hexpharm (ESV)

Page 179
Sheet1

Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Asam Tranexamat 500mg5ml Inj Bernofarm
Ketorolac 30 mg Inj Ethica (APL)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
RL infus 500 cc(MUP)
Paracetamol Inf Darya Varia
Spuit 10 cc Ciringe
Asam mefenamat 500 mg tablet Mersi (MRP)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
RL infus 500 cc(MUP)
WIDA D5 1/4NS INF
Lacidofil Sachet
Infus Set Macro Nipro
IV Cath Plus 24G Trovenocath
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
Asam mefenamat 500 mg tablet Mersi (MRP)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
NaCl 0.9% 500 ml Wida Pipih
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Ciprofloxacin Inf 200mg100ML (ENS)
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
Selang O2 Dewasa Cosmomed
Elektroda Skintact Paper Easitab (ESV)
Selang O2 Anak (Uk. M) Aximed (ALMAAS)
Candesartan 16 mg tab Bernofarm (MPI)
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Captopril 25 mg tablet (ESV) 6
Masker O2 Dewasa B Med
Selang O2 Dewasa Cosmomed
NaCl 0.9% 500 ml Wida Pipih
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Methyl Prednisolone 125 mg Inj Bernofarm
Furosemide 10mgml Inj Indofarma (IGM)

Page 180
Sheet1

Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Handscoon Uk. S Asap
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
ISDN (Isosorbide Dinitrate) tab Yarindo (PPG)
Candesartan 8 mg tab OGB Dexa (AAM)
Paracetamol 500 mg tab Bernofarm
Alkohol Swab cosmo
urine bag semillas ALMAAS
Folley catheter 16(2way) Abada
Spuit 20 cc Nipro (DCC)
Aquadest OTSU 25 ML (MUP)
Elektroda Skintact Paper Easitab (ESV)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Masker Nebulizer Dewasa Uk. L Work
dr.HERDI Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Lansoprazol 30 mg kapsul Nufarindo (KF)
Braxidin tablet (BSP) 6 (Psik)
Leptica 75 mg (Pregabalin) kapsul Dexa Medika (AAM)
Leptica 75 mg (Pregabalin) kapsul Dexa Medika (AAM)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
RL infus 500 cc(MUP)
Infus Set Macro Nipro
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Handscoon Uk. S Asap
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Spuit 10 cc Ciringe
Tramadol inj Mersi
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Rebamipide 100 mg Fahreinhet
Spasmomen fc tab (AAM)
Rebamipide 100 mg Fahreinhet
Rebamipide 100 mg Fahreinhet
Rebamipide 100 mg Fahreinhet
dr. Neila Lacidofil Sachet
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Domperidone Syrup 60 ml Hexpharm Jaya (ENSEVAL)
dr. Neila Paracetamol 500 mg tab Bernofarm
Loratadin 10 mg tab Bernofarm
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Zegavit tablet (ENSEVAL)
Efineprin (APL)
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
Dexamethasone inj Bernofarm (TSJ)
Lidocain Injeksi Dinkes
Inviclot (Heparin) 5 ml Inj Fahreinhet (PPG)
Spironolacton 25 mg tablet Dexa Medika (AAM)

Page 181
Sheet1

dr. RIZKI RAHIM, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Handscoon Steril 7 Gamex (DCC)
kleim pusat
Suction Catheter 8 Remedi
Underpad Surgicare
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Apron Plastik
dr. RIZKI RAHIM, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Alkohol Swab cosmo
Spuit 1 cc Ciringe
kleim pusat
Suction Catheter 8 Remedi
Handscoon Uk. S Asap
Handscoon Steril 7 Gamex (DCC)
Underpad Surgicare
Masker Tali AXIMED almaas
Selang O2 Bayi Cosmomed
dr. RIZKI RAHIM, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
Handscoon Uk. S Asap
Handscoon Steril 7 Gamex (DCC)
kleim pusat
Suction Catheter 8 Remedi
Underpad Surgicare
Masker Tali AXIMED almaas
dr. Neila IV Tro VERSITC Plus 18 G (Safety)
Blood Transfusi Set Remedi
Underpad Surgicare
Alkohol Swab cosmo
Handscoon Uk. S Asap
Handscoon Steril 7 Gamex (DCC)
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Zink 20 mg tablet Indofarma
Masker Nebulizer Dewasa Uk. L Work
Selang O2 Dewasa Cosmomed
Combivent 2.5 ml (TEMPO)
NaCl 0.9% 500 ml Wida Pipih
Infus Set Macro Nipro
IV Tro VERSITC Plus 18 G (Safety)
Alkohol Swab cosmo
Handscoon Uk. S Asap
Elektroda Skintact Paper Easitab (ESV)
Pantorin 40 mg (Pantoprazol) Inj
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Furosemide 10mgml Inj Indofarma (IGM)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Vectrin (Erdostein) Syrup

Page 182
Sheet1

Captopril 12.5 OGB Dexa (AAM)


Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Condom Chateter Uk M Inusko (DCC)
urine bag semillas ALMAAS
Allupurinol 100 mg tablet Indofarma
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
dr. BURHAN, Sp.A D10% Glucose Unicap OGB WB (MUP)
Infus Set Micro Y Tipe
IV Catheter 26 Abbocath (KPM) Venisistem
3 Way Otsu Stopcock With Male Merapi
Spuit 10 cc Ciringe
NGT 5 Aximed feding tube 100 cm
Selang O2 Bayi Cosmomed
Spuit 5 cc Ciringe
dr. BURHAN, Sp.A D10% Glucose Unicap OGB WB (MUP)
Otsu D40 (MERAPI)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
dr. BURHAN, Sp.A Cefixime 100mg/5ml Syrup (ESV) 6
Vectrin (Erdostein) Syrup
Apyalis Syrup (PV) 4
dr. BURHAN, Sp.A Furosemide 10mgml Inj Indofarma (IGM)
WIDA D5 1/4NS INF
Alkohol Swab cosmo
Spuit 5 cc Ciringe
dr. BURHAN, Sp.A Furosemide 10mgml Inj Indofarma (IGM)
Pantorin 40 mg (Pantoprazol) Inj
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Combivent 2.5 ml (TEMPO)
ASERING INF (MUP)
Handscoon Steril 7.5 Gamex (Gloper)
Underpad Surgicare
Spuit 10 cc Ciringe
Spuit 50 cc Sonde Nipro (DCC)
Spuit 3 cc Aximed
Body Wash Glove Octenic
Hair Wash Glove Octenic
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
Aminofusin Hepar (ESV)
Curcuma tablet Soho (PPG) 2
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Pantorin 40 mg (Pantoprazol) Inj
Meropenem 1 gr Inj Bernofarm
Metronidazol 500 mg Inf Darya Varia
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Asam Tranexamat 500mg5ml Inj Bernofarm
Rinfox (levofloxacin) Inf 750 ml
Handscoon Steril 7.5 Gamex (Gloper)
Handscoon Uk. S Asap
Underpad Surgicare
Spuit 5 cc Ciringe

Page 183
Sheet1

Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Body Wash Glove Octenic
Hair Wash Glove Octenic
Suction Catheter 14 Remedi (DCC)
dr .Maya SpTHTKL Paracetamol Syrup 120mg5ml Mersi (MRP)
Underpad Surgicare
dr. YOSSI AGUNG ARIOSENO, Sp. OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. YOSSI AGUNG ARIOSENO, Sp. OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. EVI BACHTIAR, Sp.OG RL infus 500 cc(MUP)
Oxytocin Inj (APL)
Aquadest OTSU 25 ML (MUP)
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
Handscoon Uk. S Asap
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Alkohol Swab cosmo
Body Wash Glove Octenic
Silet Kuning
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Underpad Surgicare
dr. EVI BACHTIAR, Sp.OG Selang O2 Dewasa Cosmomed
RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
Alkohol Swab cosmo
Underpad Surgicare
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Aquadest OTSU 25 ML (MUP)
Masker Tali AXIMED almaas
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Oxytocin Inj (APL)
Ceftriaxone 1 gr Inj Mahakam
Tramadol inj Mersi
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Paracetamol Inf Darya Varia

Page 184
Sheet1

Misoprostol 200 mcg tablet (PPG)


dr. EVI BACHTIAR, Sp.OG Ceftriaxone 1 gr Inj Mahakam
Tramadol inj Mersi
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Paracetamol Inf Darya Varia
Misoprostol 200 mcg tablet (PPG)
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Braxidin tablet (BSP) 6 (Psik)
Furosemide 10mgml Inj Indofarma (IGM)
Vectrin (Erdostein) Syrup
Combivent 2.5 ml (TEMPO)
Pulmicort Resp (budesonide) 0.25 mg (APL) 3
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
dr. EVI BACHTIAR, Sp.OG Underpad Surgicare
RL infus 500 cc(MUP)
Oxytocin Inj (APL)
Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Steril 7.5 Surgical EWG
Body Wash Glove Octenic
Catgut Chromic 2.0 (338 N) KPM
Apron Plastik
Masker Tali AXIMED almaas
Folley catheter 16(2way) Abada
Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. INDRIA MYRCIA, Sp.P Retaphyl SR 300 mg (Teofilin) tablet (KF)
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
dr. EVI BACHTIAR, Sp.OG Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Bledstop
Misoprostol 200 mcg tablet (PPG)
Underpad Surgicare
Nurse Cup Green OM (KPM)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Furosemide 10mgml Inj Indofarma (IGM)
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A Afolat (Asam Folat) tablet (Dinkes)
Zink 20 mg tablet Indofarma

Page 185
Sheet1

WIDA D5 1/4NS INF


Ceftriaxone 1 gr Inj Mahakam
Metronidazol 500 mg Inf Darya Varia
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A Lacidofil Sachet
Wida D5%+1.2NS Inf (MUP)
Paracetamol Syrup 120mg5ml Mersi (MRP)
Spuit 3 cc Aximed
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A Ceftriaxone 1 gr Inj Mahakam
Gentamycin 40mgml Inj Indofarma (IGM)
Wida D5%+1.2NS Inf (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Aquadest OTSU 25 ML (MUP)
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Alkohol Swab cosmo
Handscoon Uk. S Asap
dr. DARMAWAN, Sp.PD Paracetamol Inf Darya Varia
dr. EVI BACHTIAR, Sp.OG Framycetin Sulfate (sufratule)
Metronidazole 500 mg tablet Bernofarm (PPG) 5
dr. EKA SAPUTRA, Sp.B Blood Transfusi Set Remedi
Infus Set Macro Nipro
Masker Tali AXIMED almaas
Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. S Asap
Underpad Surgicare
dr. Zanuriko RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
IV Cath Plus 20 G TroVenocath
Infus Set Macro Nipro
Spuit 3 cc Aximed
dr. YOSSI AGUNG ARIOSENO, Sp. OG Wing Needle 25 G
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
dr. YOSSI AGUNG ARIOSENO, Sp. OG Wing Needle 25 G
Spuit 5 cc Ciringe
Spuit 3 cc Aximed

Page 186
Sheet1

Alkohol Swab cosmo


dr. ZANURIKO RL infus 500 cc(MUP)
Folley Catheter No. 12 Remedi (DCC)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 3 cc Aximed
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
3 Way Otsu Stopcock With Male Merapi
Infus Set Macro Nipro
Handscoon Steril 7.5 Surgical EWG
Alkohol Swab cosmo
Masker Tali AXIMED almaas
IV Cath Plus 24G Trovenocath
NaCl 0.9% 500 ml Wida Pipih
dr. NURHADI SAPUTRA, Sp.PD RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Orinox 60 mg tablet
Betahistin Mesylat 6 mg tablet (AAM)
Onoiwa Kapsul (BMP) 4
Allupurinol 100 mg tablet Indofarma
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Captopril 25 mg tablet (ESV) 6
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
Blood Transfusi Set Remedi
dr. NURHADI SAPUTRA, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Braxidin tablet (BSP) 6 (Psik)
Paracetamol Inf Darya Varia
Rebamipide 100 mg Fahreinhet
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
dr. INDRIA MYRCIA, Sp.P RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Meropenem 1 gr Inj Bernofarm
Rinfox (levofloxacin) Inf 750 ml
Omeprazole 40 mg Inj Bernofarm
Paracetamol Inf Darya Varia
Methyl Prednisolone 125 mg Inj Bernofarm

Page 187
Sheet1

Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)


Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Masker O2 Dewasa B Med
IV Cath Plus 20 G TroVenocath
Infus Set Macro Nipro
Suction Catheter 16 Remedi (DCC)
dr. INDRIA MYRCIA, Sp.P Aminofluid inf (MUP)
Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Onoiwa Kapsul (BMP) 4
Curcuma plus Syr Soho (PARIT PADANG) 2.4
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Spuit 5 cc Ciringe
dr. ZANURIKO Ceftriaxone 1 gr Inj Mahakam
Lacidofil Sachet
Aquadest OTSU 25 ML (MUP)
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
Spuit 10 cc Ciringe
Zink 20 mg tablet Indofarma
dr. ZANURIKO Selang O2 Dewasa Cosmomed
Masker Nebulizer Dewasa Uk. L Work
RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih
Infus Set Macro Nipro
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Furosemide 10mgml Inj Indofarma (IGM)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Digoxin 0.25 mg tablet Yarindo
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Captopril 12.5 OGB Dexa (AAM)
Miniaspi 80mg Tablet Mersi (IGM)
IV Cath Plus 20 G TroVenocath
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Elektroda Skintact Paper Easitab (ESV)
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Ventolin Nebu 2,5 mg
dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Ciprofloxacin Inf 200mg100ML (ENS)
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe

Page 188
Sheet1

Aquadest OTSU 25 ML (MUP)


Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Ketorolac 30 mg Inj Ethica (APL)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Pantorin 40 mg (Pantoprazol) Inj
Aquadest OTSU 25 ML (MUP)
Alkohol Swab cosmo
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. EKA SAPUTRA, Sp.B Ciprofloxacin 500 mg tablet Bernofarm (TSJ) 4
Asam mefenamat 500 mg tablet Mersi (MRP)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. S Asap
Spuit 10 cc Ciringe
dr. EKA SAPUTRA, Sp.B NaCl 0.9% 500 ml Wida Pipih
Ciprofloxacin 500 mg tablet Bernofarm (TSJ) 4
Paracetamol 500 mg tab Bernofarm
Zegavit tablet (ENSEVAL)
Spuit 3 cc Aximed
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
dr. EKA SAPUTRA, Sp.B Paracetamol Syrup 120mg5ml Mersi (MRP)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Infus Set Macro Nipro
Alkohol Swab cosmo
dr. EKA SAPUTRA, Sp.B Metformin 500 mg tab Scan (TMP)
Apidra Solostar (APL) 2.5
Needle Insulin 31 G X 5 MM
dr. DARMAWAN, Sp.PD Rebamipide 100 mg Fahreinhet
Kalnex 500 mg (Asam Tranexamat) tab Kalbe Farma (ESV)
Ca Gluconas Inj Ethica (APL) 2
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Omeprazole 40 mg Inj Bernofarm
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Vectrin (Erdostein) Syrup
Dotramol tab (PPG) 3
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Aquadest OTSU 25 ML (MUP)
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Spuit 10 cc Ciringe

Page 189
Sheet1

Spuit 3 cc Aximed
Spuit 5 cc Ciringe
IV Cath Plus 22G Trovenocath
Infus Set Macro Nipro
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
dr. ZANURIKO Efineprin (APL)
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
D10% Glucose Unicap OGB WB (MUP)
NGT 5 Aximed feding tube 100 cm
ETT 3.0 Unouffed Work (ALMAAS)
Alkohol Swab cosmo
Masker O2 Dewasa B Med
dr. DARMAWAN, Sp.PD Pantorin 40 mg (Pantoprazol) Inj
Ciprofloxacin Inf 200mg100ML (ENS)
NaCl 0.9% 500 ml Wida Pipih
Orinox 60 mg tablet
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
dr. DARMAWAN, Sp.PD Rifampicin Kapsul 450 mg Bernofarm
Inoxin 400 mg (Isoniazid+Pyridoxine HCI) tab Dexa (AAM)
Ethambutol 500 mg tablet Bernofarm (TSJ)
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Siramid 500 mg (Pyrazinamide) tablet Mersi
NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Captopril 12.5 OGB Dexa (AAM)
Pralax (Lactulose) 100 ml Syrup
Furosemide 10mgml Inj Indofarma (IGM)
Vectrin (Erdostein) Syrup
Codein 20 mg tablet (KF) (Nark)
Meropenem 1 gr Inj Bernofarm
Combivent 2.5 ml (TEMPO)
Paracetamol 500 mg tab Bernofarm
dr. BURHAN, Sp.A RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Paracetamol 500 mg tab Bernofarm
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. ZANURIKO Ketorolac 30 mg Inj Ethica (APL)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed

Page 190
Sheet1

Alkohol Swab cosmo


Masker Tali AXIMED almaas
Handscoon Uk. S Asap
IV Cath Plus 22G Trovenocath
Selang O2 Dewasa Cosmomed
Omeprazole 20 mg kaps Novapharin (KF)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
dr. BURHAN, Sp.A RL infus 500 cc(MUP)
Wida D5%+1.2NS Inf (MUP)
Meropenem 1 gr Inj Bernofarm
Metronidazol 500 mg Inf Darya Varia
Amikacin 500 mg25% 2 ml Inj Dexa Medika (AAM) 3
Paracetamol Inf Darya Varia
Aquadest OTSU 25 ML (MUP)
IV Cath Plus 24G Trovenocath
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Infus Set Macro Nipro
Alkohol Swab cosmo
dr. ZANURIKO Ketorolac 30 mg Inj Ethica (APL)
Omeprazole 20 mg kaps Novapharin (KF)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
IV Cath Plus 20 G TroVenocath
Selang O2 Dewasa Cosmomed
dr. INDRIA MYRCIA, Sp.P Inoxin 400 mg (Isoniazid+Pyridoxine HCI) tab Dexa (AAM)
Rifampicin Kapsul 450 mg Bernofarm
Ethambutol 500 mg tablet Bernofarm (TSJ)
Siramid 500 mg (Pyrazinamide) tablet Mersi
NaCl 0.9% 500 ml Wida Pipih
Depakote 250 mg (sodium (natrium) divalproat) (APL)
NGT 16 Stomach Tube
Spuit 50 cc Sonde Nipro (DCC)
Handscoon Steril 7.5 Surgical EWG
dr. NURHADI SAPUTRA, Sp.PD Dexamethasone inj Bernofarm (TSJ)
RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Metoclopramid Inj Bernofarm (PPG) 3
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Ceftriaxone 1 gr Inj Mahakam
Lacidofil Sachet
New Daiatab tablet (APL) 4
Blood Transfusi Set Remedi
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Alkohol Swab cosmo

Page 191
Sheet1

Infus Set Macro Nipro


Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. NURHADI SAPUTRA, Sp.PD RL infus 500 cc(MUP)
Miniaspi 80mg Tablet Mersi (IGM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Pantorin 40 mg (Pantoprazol) Inj
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Furosemide 10mgml Inj Indofarma (IGM)
Captopril 12.5 OGB Dexa (AAM)
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Blood Transfusi Set Remedi
Infus Set Macro Aximed (ALM)
dr. NURHADI SAPUTRA, Sp.PD Aminofluid inf (MUP)
NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Ceftriaxone 1 gr Inj Mahakam
Onoiwa Kapsul (BMP) 4
Aminoflusin L 600ml inf (ESV)
Blood Transfusi Set Remedi
Infus Set Macro Aximed (ALM)
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. NURHADI SAPUTRA, Sp.PD RL infus 500 cc(MUP)
Combivent 2.5 ml (TEMPO)
Pulmicort Resp (budesonide) 0.25 mg (APL) 3
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Paracetamol 500 mg tab Bernofarm
Blood Transfusi Set Remedi
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Infus Set Macro Aximed (ALM)
IV Cath Plus 20 G TroVenocath
IV Cath Plus 22G Trovenocath
Apron Plastik
Alkohol Swab cosmo
dr. DEIVY CIRAYOW, Sp. S NaCl 0.9% 500 ml Wida Pipih
Citicoline Inj 500mg Mahakam (PPG) 4
Piracetam 3 gr Inj Quantum Labs
Pantorin 40 mg (Pantoprazol) Inj
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Clopidogrel 75 mg tablet Mahakam (MRP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 5 cc Ciringe

Page 192
Sheet1

Spuit 10 cc Ciringe
Alkohol Swab cosmo
Infus Set Macro Aximed (ALM)
dr. DARMAWAN, Sp.PD RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Rebamipide 100 mg Fahreinhet
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Orinox 60 mg tablet
Dotramol tab (PPG) 3
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Blood Transfusi Set Remedi
Alkohol Swab cosmo
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Apron Plastik
dr. DEIVY CIRAYOW, Sp. S NaCl 0.9% 500 ml Wida Pipih
Citicoline Inj 500mg Mahakam (PPG) 4
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Blood Transfusi Set Remedi
Alkohol Swab cosmo
Infus Set Macro Aximed (ALM)
dr. INDRIA MYRCIA, Sp.P Pantorin 40 mg (Pantoprazol) Inj
Ceftriaxone 1 gr Inj Mahakam
Streptomycin Inj 1 gr Mersi (MERAPI)
Methyl Prednisolone 125 mg Inj Bernofarm
Onoiwa Kapsul (BMP) 4
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Curcuma plus Syr Soho (PARIT PADANG) 2.4
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
IV Cath Plus 22G Trovenocath
Infus Set Macro Aximed (ALM)
Masker O2 Dewasa B Med
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
dr. ZANURIKO RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Alkohol Swab cosmo
Selang O2 Dewasa Cosmomed

Page 193
Sheet1

Aquadest OTSU 25 ML (MUP)


dr. RIZKI RAHIM, Sp.A RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Vectrin (Erdostein) Syrup
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
RL infus 500 cc(MUP)
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Elektroda Skintact Paper Easitab (ESV)
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Tramadol inj Mersi
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Alkohol Swab cosmo
Handscoon Steril 7.5 Surgical EWG
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Selang O2 Dewasa Cosmomed
Infus Set Macro Aximed (ALM)
Elektroda Endo dcc
Spuit 20 cc Nipro (DCC)
Spuit 1 cc Ciringe
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Ceftriaxone 1 gr Inj Mahakam
dr. INDRIA MYRCIA, Sp.P RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Omeprazole 40 mg Inj Bernofarm
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Combivent 2.5 ml (TEMPO)
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
IV Cath Plus 22G Trovenocath
Infus Set Macro Aximed (ALM)
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
IV Cath Plus 20 G TroVenocath
IV Cath Plus 22G Trovenocath
dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Ciprofloxacin Inf 200mg100ML (ENS)
Ketorolac 30 mg Inj Ethica (APL)
Aquadest OTSU 25 ML (MUP)
Pantorin 40 mg (Pantoprazol) Inj
Spasmomen fc tab (AAM)

Page 194
Sheet1

Handscoon Uk. S Asap


Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. DARMAWAN, Sp.PD RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Furosemide 10mgml Inj Indofarma (IGM)
Claneksi (Co. Amoxiclav) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Onoiwa Kapsul (BMP) 4
Combivent 2.5 ml (TEMPO)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Aquadest OTSU 25 ML (MUP)
Blood Transfusi Set Remedi
Infus Set Macro Aximed (ALM)
IV Cath Plus 20 G TroVenocath
IV Cath Plus 22G Trovenocath
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih
Paracetamol Inf Darya Varia
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Metronidazol 500 mg Inf Darya Varia
Pantorin 40 mg (Pantoprazol) Inj
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Alkohol Swab cosmo
IV Cath Plus 22G Trovenocath
Infus Set Macro Aximed (ALM)
dr. ZANURIKO Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Vectrin (Erdostein) Syrup
Ceftriaxone 1 gr Inj Mahakam
NaCl 0.9% 500 ml Wida Pipih
Aquadest OTSU 25 ML (MUP)
Curcuma tablet Soho (PPG) 2
Ventolin Nebu 2,5 mg
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
IV Cath Plus 20 G TroVenocath
Masker O2 Dewasa B Med
dr. DARMAWAN, Sp.PD Captopril 12.5 OGB Dexa (AAM)
Spironolacton 25 mg Dinkes

Page 195
Sheet1

Bisoprolol 5mg tablet Hexpharm Jaya (ESV)


Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Codein 20 mg tablet (KF) (Nark)
Omeprazole 20 mg kaps Novapharin (KF)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Furosemide 40 mg tablet (IFK Dinkes)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. ZANURIKO RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih
Ketorolac 30 mg Inj Ethica (APL)
Betahistin Mesylat 6 mg tablet (AAM)
Furosemide 10mgml Inj Indofarma (IGM)
Miniaspi 80mg Tablet Mersi (IGM)
Captopril 12.5 OGB Dexa (AAM)
Selang O2 Dewasa Cosmomed
Alkohol Swab cosmo
IV Cath Plus 20 G TroVenocath
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Elektroda Skintact Paper Easitab (ESV)
dr. DARMAWAN, Sp.PD RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
ISDN (Isosorbide Dinitrate) tab Yarindo (PPG)
Miniaspi 80mg Tablet Mersi (IGM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Captopril 25 mg tablet (ESV) 6
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Spasmomen fc tab (AAM)
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. EKA SAPUTRA, Sp.B Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Metronidazol 500 mg Inf Darya Varia
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Blood Transfusi Set Remedi
Alkohol Swab cosmo
IV Cath Plus 20 G TroVenocath
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed

Page 196
Sheet1

dr. DARMAWAN, Sp.PD NaCl 0.9% 500 ml Wida Pipih


Captopril 25 mg tablet (ESV) 6
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Aquadest OTSU 25 ML (MUP)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. EKA SAPUTRA, Sp.B RL infus 500 cc(MUP)
Ketorolac 30 mg Inj Ethica (APL)
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
dr. ZANURIKO Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Paracetamol 500 mg tab Bernofarm
Omeprazole 20 mg kaps Novapharin (KF)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
Pantorin 40 mg (Pantoprazol) Inj
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Betahistin Mesylat 6 mg tablet (AAM)
Ketorolac 30 mg Inj Ethica (APL)
IV Cath Plus 20 G TroVenocath
Spasmomen fc tab (AAM)
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Asam Tranexamat 500mg5ml Inj Bernofarm
Ambroxol 30mg/5ml Syrup
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Selang O2 Dewasa Cosmomed
RL infus 500 cc(MUP)
Dexamethasone inj Bernofarm (TSJ)
Spuit 5 cc Ciringe
Ketorolac 30 mg Inj Ethica (APL)
Spuit 10 cc Ciringe
Ceftriaxone 1 gr Inj Mahakam
Spuit 1 cc Ciringe
Blood Transfusi Set Remedi
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
IV Cath Plus 20 G TroVenocath
Folley catheter 16(2way) Abada

Page 197
Sheet1

urine bag semillas ALMAAS


Aquadest OTSU 25 ML (MUP)
Spuit 20 cc Nipro (DCC)
Handscoon Steril 7.5 Surgical EWG
Elektroda Skintact Paper Easitab (ESV)
Perfusor Tub White 150cm NRC (DNR)
Efineprin (APL)
Infus Set Macro Aximed (ALM)
Blood Transfusi Set Remedi
Lacidofil Sachet
Domperidone Syrup 60 ml Hexpharm Jaya (ENSEVAL)
Ambroxol 30mg/5ml Syrup Bernofarm
Edorisan drop
Stesolid supp 5 mg rsud PMK
Paracetamol Drop 15 ml (IGM) 1
valisanbe 2 mg (Psik)
RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Paracetamol Inf Darya Varia
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Infus Set Macro Aximed (ALM)
New Daiatab tablet (APL) 4
Lacidofil Sachet
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Spuit 1 cc Ciringe
IV Cath Plus 20 G TroVenocath
dr. Zanuriko RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih
Selang O2 Dewasa Cosmomed
Pantorin 40 mg (Pantoprazol) Inj
ISDN (Isosorbide Dinitrate) tab Yarindo (PPG)
Miniaspi 80mg Tablet Mersi (IGM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Captopril 12.5 OGB Dexa (AAM)
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Handscoon Steril 7.5 Surgical EWG
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Handscoon Uk. S Asap
3 Way Otsu Stopcock With Male Merapi
Perfusor Tub White 150cm NRC (DNR)
Inviclot (Heparin) 5 ml Inj Fahreinhet (PPG)
Elektroda Skintact Paper Easitab (ESV)

Page 198
Sheet1

Elektroda Endo dcc


IV Cath Plus 20 G TroVenocath
Infus Set Macro Aximed (ALM)
dr. Zanuriko RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Infus Set Macro Aximed (ALM)
dr. Zanuriko Ceftriaxone 1 gr Inj Mahakam
NaCl 0.9% 500 ml Wida Pipih
dr. Zanuriko Selang O2 Dewasa Cosmomed
RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih
Infus Set Macro Aximed (ALM)
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Masker Nebulizer Dewasa Uk. L Work
Handscoon Uk. S Asap
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Pantorin 40 mg (Pantoprazol) Inj
Arixtra 2.5 mg Inj (APL) `
ISDN (Isosorbide Dinitrate) tab Yarindo (PPG)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Clopidogrel 75 mg tablet Mahakam (MRP)
Miniaspi 80mg Tablet Mersi (IGM)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Pralax (Lactulose) 100 ml Syrup
Captopril 12.5 OGB Dexa (AAM)
dr. Zanuriko Dexamethasone inj Bernofarm (TSJ)
CTM 4 mg (chlorfeniramin maleat) tablet Ifi (IGM)
Spuit 3 cc Aximed
dr.PRANANDITO Citicoline Inj 500mg Mahakam (PPG) 4
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
NaCl 0.9% 500 ml Wida Pipih
Infus Set Macro Aximed (ALM)
IV Cath Plus 20 G TroVenocath
NGT 16 Stomach Tube
urine bag semillas ALMAAS

Page 199
Sheet1

Guedel 90 MM No. 2 Romsons (DCC)


Folley catheter 16(2way) Abada
Spuit 20 cc Nipro (DCC)
Aquadest OTSU 25 ML (MUP)
Handscoon Steril 7.5 Surgical EWG
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Elektroda Skintact Paper Easitab (ESV)
dr.PRANANDITO Methyl Prednisolone 125 mg Inj Bernofarm
DR.PRANANDITO IV Cath Plus 20 G TroVenocath
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Ketorolac 30 mg Inj Ethica (APL)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Braxidin tablet (BSP) 6 (Psik)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Handscoon Uk. S Asap
dr. Nurhadi Saputra, Sp.,PD Vectrin (Erdostein) Syrup
Lansoprazol 30 mg kapsul Nufarindo (KF)
Furosemide 40 mg tablet (IFK Dinkes)
Levofloxasin 500 mg kaplet Bernofarm
Braxidin tablet (BSP) 6 (Psik)
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Furosemide 10mgml Inj Indofarma (IGM)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Captopril 12.5 OGB Dexa (AAM)
Vectrin (Erdostein) Syrup
dr. BURHAN, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Underpad Surgicare
Suction Catheter 8 Remedi
Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Apron Plastik
dr. BURHAN, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
dr. BURHAN, Sp.A Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Alkohol Swab cosmo
kleim pusat

Page 200
Sheet1

Underpad Surgicare
Suction Catheter 8 Remedi
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Apron Plastik
Selang O2 Bayi Cosmomed
dr. BURHAN, Sp.A D10% Glucose Unicap OGB WB (MUP)
Otsu D40 (MERAPI)
Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
dr. ZANURIKO Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Elektroda Endo dcc
Aquadest OTSU 25 ML (MUP)
IV Catheter 26 Abbocath (KPM) Venisistem
IV Chateter 14 Surflo Terumo
Suction Catheter 8 Remedi
3 Way Otsu Stopcock With Male Merapi
Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. S Asap
Sofsilk 2/0 (soie silk/peter silk)
Selang O2 Bayi Cosmomed
Infus Set Micro Y Tipe
dr. DARMAWAN, Sp.PD Ketorolac 10 mg tablet Novell (PENTA VALENT)
Urinter kaps Interbat (ESV)
Omeprazole 20 mg kaps Novapharin (KF)
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. BURHAN, Sp.A ASERING INF (MUP)
Pantorin 40 mg (Pantoprazol) Inj
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Spuit 5 cc Ciringe
dr. BURHAN, Sp.A ASERING INF (MUP)
Ceftriaxone 1 gr Inj Mahakam
Pantorin 40 mg (Pantoprazol) Inj
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Alkohol Swab cosmo
dr. EKA SAPUTRA, Sp.B Paracetamol Inf Darya Varia
Metronidazol 500 mg Inf Darya Varia
Kaen 3B Inf 500 ml (MUP)
NaCl 0.9% 500 ml Wida Pipih
dr. BURHAN, Sp.A Cefixime 100mg/5ml Syrup (ESV) 6
Spuit 1 cc Ciringe
dr. BURHAN, Sp.A Meropenem 1 gr Inj Bernofarm
Amikacin 500 mg25% 2 ml Inj Dexa Medika (AAM) 3
D10% Glucose Unicap OGB WB (MUP)

Page 201
Sheet1

Otsu D40 (MERAPI)


Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
Transofix NRC (Dnr)12
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Handscoon Steril 7.5 Surgical EWG
dr. BURHAN, Sp.A D10% Glucose Unicap OGB WB (MUP)
Otsu D40 (MERAPI)
Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
Meropenem 1 gr Inj Bernofarm
Amikacin 500 mg25% 2 ml Inj Dexa Medika (AAM) 3
Spuit 5 cc Ciringe
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A Wida D5%+1.2NS Inf (MUP)
Ceftriaxone 1 gr Inj Mahakam
Gentamycin 40mgml Inj Indofarma (IGM)
Aquadest OTSU 25 ML (MUP)
Apyalis Syrup (PV) 4
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A RL infus 500 cc(MUP)
Methyl Prednisolone 125 mg Inj Bernofarm
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Alkohol Swab cosmo
Handscoon Uk. S Asap
Spuit 3 cc Aximed
Blood Transfusi Set Remedi
dr. RIZKI RAHIM, Sp.A New Daiatab tablet (APL) 4
Zink 20 mg tablet Indofarma
Ceftriaxone 1 gr Inj Mahakam
Omeprazole 40 mg Inj Bernofarm
RL infus 500 cc(MUP)
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A Ceftriaxone 1 gr Inj Mahakam
Lacidofil Sachet
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
RL infus 500 cc(MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. BURHAN, Sp.A Furosemide 10mgml Inj Indofarma (IGM)
Digoxin 0.25 mg tablet Yarindo
Captopril 12.5 OGB Dexa (AAM)

Page 202
Sheet1

Ursodeoxycholic Acid 250MG kapsul Etercon (AMS)


Onoiwa Kapsul (BMP) 4
RL infus 500 cc(MUP)
Curcuma plus Syr Soho (PARIT PADANG) 2.4
dr. INDRIA MYRCIA, Sp.P IV Cath Plus 22G Trovenocath
Infus Set Macro Aximed (ALM)
RL infus 500 cc(MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Omeprazole 40 mg Inj Bernofarm
Curcuma tablet Soho (PPG) 2
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Handscoon Steril 7.5 Surgical EWG
Nurse Cup Green OM (KPM)
dr. RIZKI RAHIM, Sp.A Ventolin Nebu 2,5 mg
Kaen 3B Inf 500 ml (MUP)
Ceftriaxone 1 gr Inj Mahakam
Lacidofil Sachet
Masker Nebu Anak Gea
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A Ceftriaxone 1 gr Inj Mahakam
Omeprazole 40 mg Inj Bernofarm
Zink 20 mg tablet Indofarma
Asam Folat Dinkes
Lacidofil Sachet
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. RIZKI RAHIM, Sp.A RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ventolin Nebu 2,5 mg
Handscoon Uk. S Asap
Alkohol Swab cosmo
Masker Nebu Anak Gea
dr. NURHADI SAPUTRA, Sp.PD RL infus 500 cc(MUP)
Betahistin Mesylat 6 mg tablet (AAM)
Furosemide 10mgml Inj Indofarma (IGM)
Miniaspi 80mg Tablet Mersi (IGM)
Captopril 12.5 OGB Dexa (AAM)
Spironolacton 25 mg Dinkes
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Masker Tali AXIMED almaas
Handscoon Uk. S Asap
dr. DARMAWAN, Sp.PD Glimepiride 2 mg tablet Quantum Labs (PPG)
Metformin 500 mg tab Scan (TMP)
Spuit 3 cc Aximed
Spuit 5 cc Ciringe

Page 203
Sheet1

Spuit 10 cc Ciringe
Alkohol Swab cosmo
dr. EKA SAPUTRA, Sp.B Paracetamol Inf Darya Varia
Metronidazol 500 mg Inf Darya Varia
Kaen 3B Inf 500 ml (MUP)
NaCl 0.9% 500 ml Wida Pipih
dr. YOSSI AGUNG ARIOSENO, Sp. OG RL infus 500 cc(MUP)
D5% Inf GLUCOSE UNICAP (MUP)
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Oxytocin Inj (APL)
Kaltrofen (Ketoprofen) Supp (ESV) 2
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Spuit 3 cc Aximed
Silet Kuning
Alkohol Swab cosmo
Body Wash Glove Octenic
Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
Masker Tali AXIMED almaas
Underpad Surgicare
Elektroda Endo dcc
Body Wash Glove Octenic
Hair Wash Glove Octenic
Alkohol Swab cosmo
NaCl 0.9% 500 ml Wida Pipih
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Masker Nebulizer Dewasa Uk. L Work
dr. DARMAWAN, Sp.PD Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
dr. YOSSI AGUNG ARIOSENO, Sp. OG RL infus 500 cc(MUP)
Otsu D40 (MERAPI)
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Alkohol Swab cosmo
Selang O2 Dewasa Cosmomed
Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
Spuit 10 cc Ciringe
dr. DARMAWAN, Sp.PD RL infus 500 cc(MUP)
NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj

Page 204
Sheet1

ISDN (Isosorbide Dinitrate) tab Yarindo (PPG)


Clopidogrel 75 mg tablet Mahakam (MRP)
Miniaspi 80mg Tablet Mersi (IGM)
Arixtra 2.5 mg Inj (APL) `
Simvastatin 10 mg tablet (ESV) 6
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
dr. YOSSI AGUNG ARIOSENO, Sp. OG Misoprostol 200 mcg tablet (PPG)
RL infus 500 cc(MUP)
IV Cath Plus 20 G TroVenocath
Blood Transfusi Set Remedi
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Oxytocin Inj (APL)
RL infus 500 cc(MUP)
Amoxicillin 500 mg tablet Bernofarm (DNR)
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
Catgut Chromic 2.0 (338 N) KPM
Spuit 3 cc Aximed
Selang O2 Dewasa Cosmomed
Body Wash Glove Octenic
dr. EVI BACHTIAR, Sp.OG NaCl 0.9% 500 ml Wida Pipih
Blood Transfusi Set Remedi
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Steril 7.5 Gamex (Gloper)
dr. EVI BACHTIAR, Sp.OG Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
dr. YOSSI AGUNG ARIOSENO, Sp. OG RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Silet Kuning
Nurse Cup Green OM (KPM)
Blood Transfusi Set Remedi
IV Cath PlusB 18 G Trovenocath
IV Cath Plus 20 G TroVenocath
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Alkohol Swab cosmo
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Underpad Surgicare
Body Wash Glove Octenic
Masker Tali AXIMED almaas
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
dr. YOSSI AGUNG ARIOSENO, Sp. OG D5% Inf GLUCOSE UNICAP (MUP)
RL infus 500 cc(MUP)

Page 205
Sheet1

Ceftriaxone 1 gr Inj Mahakam


Aquadest OTSU 25 ML (MUP)
Metoclopramid Inj Bernofarm (PPG) 3
Tramadol inj Mersi
Ketorolac 30 mg Inj Ethica (APL)
Kaltrofen (Ketoprofen) Supp (ESV) 2
IV Cath PlusB 18 G Trovenocath
Blood Transfusi Set Remedi
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Alkohol Swab cosmo
Spuit 3 cc Aximed
Underpad Surgicare
Silet Kuning
Nurse Cup Green OM (KPM)
Spuit 5 cc Ciringe
Body Wash Glove Octenic
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
dr. EKA SAPUTRA, Sp.B RL infus 500 cc(MUP)
Paracetamol Inf Darya Varia
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Aquadest OTSU 25 ML (MUP)
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
dr. EKA SAPUTRA, Sp.B NaCl 0.9% 500 ml Wida Pipih
Ceftriaxone 1 gr Inj Mahakam
Metronidazol 500 mg Inf Hexpharm Jaya
Paracetamol Inf Darya Varia
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Aquadest OTSU 25 ML (MUP)
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr.yossi Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
dr.yossi Misoprostol 200 mcg tablet (PPG)
dr.yossi Framycetin Sulfate (sufratule)
dr.Asa RL infus 500 cc(MUP)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Aquadest OTSU 25 ML (MUP)
Selang O2 Dewasa Cosmomed
Masker Nebulizer Dewasa Uk. L Work
IV Cath Plus 20 G TroVenocath
Infus Set Macro Aximed (ALM)
Handscoon Uk. S Asap
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
dr.ASA Metronidazole 500 mg tablet Bernofarm (PPG) 5
Asam mefenamat 500 mg tablet Mersi (MRP)
Spuit 3 cc Aximed

Page 206
Sheet1

Handscoon Uk. S Asap


dr.Maya Sp.,THT.,KL Vitamin B Complex tablet Kimia Farma
dr.Asa RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Furosemide 10mgml Inj Indofarma (IGM)
Vectrin (Erdostein) Syrup
IV Cath Plus 22G Trovenocath
RL infus 500 cc(MUP)
Handscoon Uk. S Asap
Leukopor
Alkohol Swab cosmo
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
dr. Asa Nicardipine HCl (perdipine) 10mg Inj OGB Dexa (AAM) 2
NaCl 0.9% 500 ml Wida Pipih
RL infus 500 cc(MUP)
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
IV Cath Plus 20 G TroVenocath
Infus Set Macro Aximed (ALM)
Perfusor Tub White 150cm NRC (DNR)
3 Way Otsu Stopcock With Male Merapi
Elektroda Endo dcc
Handscoon Uk. S Asap
Alkohol Swab cosmo
Spuit 10 cc Ciringe
Elektroda Skintact Paper Easitab (ESV)
Selang O2 Dewasa Cosmomed
Otsu NaCl 0.9% 100 ml Piggy Back (MUP)
Loratadin 10 mg tab Bernofarm
Ranitidine 150 mg tab Hexpharm Jaya
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
D5% Inf GLUCOSE UNICAP (MUP)
Ketorolac 30 mg Inj Ethica (APL)
Methyl Prednisolone 125 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Difenhidramin Inj Bernofarm (PPG) 3
Pantorin 40 mg (Pantoprazol) Inj
Aquadest OTSU 25 ML (MUP)
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Masker Tali Surgicare
Handscoon Steril 7.5 Gamex (Gloper)
Alkohol Swab cosmo
NaCl 0.9% 500 ml Wida Pipih
Dexamethasone inj Bernofarm (TSJ)
Underpad Surgicare
Blood Transfusi Set Remedi
Infus Set Macro Aximed (ALM)
Handscoon Uk. S Asap
Alkohol Swab cosmo
IV Cath Plus 22G Trovenocath
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Spuit 3 cc Aximed

Page 207
Sheet1

dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih


Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Dotramol tab (PPG) 3
Vectrin (Erdostein) Syrup
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Aquadest OTSU 25 ML (MUP)
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. Asa Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Masker Tali Surgicare
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
Alkohol Swab cosmo
Aquadest OTSU 25 ML (MUP)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Ceftriaxone 1 gr Inj Mahakam
dr. EKA SAPUTRA, Sp.B Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj
Braxidin tablet (BSP) 6 (Psik)
Spasmomen fc tab (AAM)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
dr. DEIVY CIRAYOW, Sp. S Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Amitriptilin 25 mg
HERDI Dexamethasone inj Bernofarm (TSJ)
Difenhidramin Inj Bernofarm (PPG) 3
dr. Nurhadi Saputra, Sp.,PD RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
New Daiatab tablet (APL) 4
Lacidofil Sachet
Paracetamol Inf Darya Varia
Ceftriaxone 1 gr Inj Mahakam
Handscoon Uk. S Asap
Spuit 10 cc Ciringe
Alkohol Swab cosmo
Spuit 5 cc Ciringe
Spuit 5 cc Ciringe
dr. Asa Paracetamol Syrup 120mg5ml Mersi (MRP)
dr. Nurhadi Saputra, Sp.,PD NaCl 0.9% 500 ml Wida Pipih
Aminoflusin L 600ml inf (ESV)
Ketorolac 30 mg Inj Ethica (APL)
Pantorin 40 mg (Pantoprazol) Inj

Page 208
Sheet1

Ceftriaxone 1 gr Inj Mahakam


Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Zegavit tablet (ENSEVAL)
Aquadest OTSU 25 ML (MUP)
Alkohol Swab cosmo
Spuit 5 cc Ciringe
Handscoon Uk. S Asap
RL infus 500 cc(MUP)
Meropenem 1 gr Inj Bernofarm
Omeprazole 40 mg Inj Bernofarm
Paracetamol Inf Darya Varia
Methyl Prednisolone 125 mg Inj Bernofarm
Handscoon Uk. S Asap
Alkohol Swab cosmo
Masker O2 Dewasa B Med
Selang O2 Dewasa Cosmomed
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
dr. DEIVY CIRAYOW, Sp. S Citicoline 500 mg tablet Mahakam Beta Farma
Piracetam 1200 mg tab Dexa Medika (AAM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Amlodipin Beyslate 5 mg tablet Bernofarm (TSJ)
RL infus 500 cc(MUP)
Combivent 2.5 ml (TEMPO)
Pulmicort Resp (budesonide) 0.25 mg (APL) 3
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Paracetamol 500 mg tab Bernofarm
Handscoon Uk. S Asap
Alkohol Swab cosmo
Spuit 3 cc Aximed
RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Meropenem 1 gr Inj Bernofarm
Curcuma plus Syr Soho (PARIT PADANG) 2.4
Handscoon Uk. S Asap
Masker Tali Surgicare
Alkohol Swab cosmo
Spuit 10 cc Ciringe
NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Methyl Prednisolone 125 mg Inj Bernofarm
Curcuma tablet Soho (PPG) 2
Onoiwa Kapsul (BMP) 4
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
Captopril 25 mg tablet (ESV) 6
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Candesartan 8 mg tab OGB Dexa (AAM)
Perilax 50 mg (Eperisone HCl) tab Dexa Medika

Page 209
Sheet1

Furosemide 40 mg tablet (IFK Dinkes)


Captopril 12.5 OGB Dexa (AAM)
Miniaspi 80mg Tablet Mersi (IGM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Omeprazole 20 mg kaps Novapharin (KF)
Omeprazole 20 mg kaps Novapharin (KF)
ISDN (Isosorbide Dinitrate) tab Yarindo (PPG)
Miniaspi 80mg Tablet Mersi (IGM)
Clopidogrel 75 mg tablet Mahakam (MRP)
Captopril 25 mg tablet (ESV) 6
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Metronidazole 500 mg tablet Bernofarm (PPG) 5
New Daiatab tablet (APL) 4
NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ketorolac 30 mg Inj Ethica (APL)
Ciprofloxacin Inf 200mg100ML (ENS)
Spasmomen fc tab (AAM)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Handscoon Uk. S Asap
Handscoon Steril 7 Gamex (DCC)
Masker Tali Surgicare
NaCl 0.9% 500 ml Wida Pipih
Aminofluid inf (MUP)
Aminoflusin L 600ml inf (ESV)
Pantorin 40 mg (Pantoprazol) Inj
Ceftriaxone 1 gr Inj Mahakam
Onoiwa Kapsul (BMP) 4
RL infus 500 cc(MUP)
Furosemide 10mgml Inj Indofarma (IGM)
Pantorin 40 mg (Pantoprazol) Inj
Captopril 25 mg tablet (ESV) 6
Vectrin (Erdostein) Syrup
Digoxin 0.25 mg tablet Yarindo
Miniaspi 80mg Tablet Mersi (IGM)
Combivent 2.5 ml (TEMPO)
Pulmicort Resp (budesonide) 0.25 mg (APL) 3
Handscoon Uk. S Asap
Masker Tali Surgicare
Spuit 5 cc Ciringe
Alkohol Swab cosmo
NaCl 0.9% 500 ml Wida Pipih
Dexametasone 0.5 mg tablet Bernofarm (DNR)
Omeprazole 40 mg Inj Bernofarm
Ceftriaxone 1 gr Inj Mahakam
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Paracetamol 500 mg tab Bernofarm

Page 210
Sheet1

Masker Rebreathing DWS (DCC)


Masker untuk TB Paru N95
NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Rebamipide 100 mg Fahreinhet
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Orinox 60 mg tablet
Dotramol tab (PPG) 3
Handscoon Uk. S Asap
Masker Tali Surgicare
Alkohol Swab cosmo
RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Metoclopramid Inj Bernofarm (PPG) 3
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Lacidofil Sachet
New Daiatab tablet (APL) 4
Tablet tambah darah (IFK dINKES)
Ca Gluconas Inj Ethica (APL) 2
Handscoon Uk. S Asap
Masker Tali Surgicare
Alkohol Swab cosmo
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
dr. RIZKI RAHIM, Sp.A Blood Transfusi Set Remedi
NaCl 0.9% 500 ml Wida Pipih
IV Cath Plus 24G Trovenocath
Paracetamol Syrup 120mg5ml Mersi (MRP)
Infus Set Macro Aximed (ALM)
Alkohol Swab cosmo
Masker Tali Surgicare
Handscoon Uk. S Asap
RL infus 500 cc(MUP)
Aminofluid inf (MUP)
Omeprazole 40 mg Inj Bernofarm
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Curcuma tablet Soho (PPG) 2
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
Masker Tali Surgicare
Spuit 50 cc Sonde Nipro (DCC)
dr. Asa Nicardipine HCl (perdipine) 10mg Inj OGB Dexa (AAM) 2
Kaen 3B Inf 500 ml (MUP)
Citicoline Inj 500mg Mahakam (PPG) 4
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)

Page 211
Sheet1

Ceftriaxone 1 gr Inj Mahakam


Ibuprofen 200 mg Dinkes
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 1 cc Ciringe
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
Masker Tali Surgicare
NaCl 0.9% 500 ml Wida Pipih
Pantorin 40 mg (Pantoprazol) Inj
Braxidin tablet (BSP) 6 (Psik)
Paracetamol Inf Darya Varia
Rebamipide 100 mg Fahreinhet
Meropenem 1 gr Inj Bernofarm
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
Masker Tali Surgicare
Underpad Surgicare
Furosemide 10mgml Inj Indofarma (IGM)
Masker Nebu Anak Gea
Masker Nebu Bayi Life Resources
Handscoon Steril 6.5 Gamex (Gloper)
Underpad Surgicare
Apron Plastik
Body Wash Glove Octenic
Catgut Chromic 2.0 (338 N) KPM
Spuit 3 cc Aximed
Oxytocin Inj (APL)
Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
Ceftriaxone 1 gr Inj Mahakam
Tramadol inj Mersi
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Paracetamol Inf Darya Varia
Misoprostol 200 mcg tablet (PPG)
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
RL infus 500 cc(MUP)
Blood Transfusi Set Remedi
Underpad Surgicare
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Body Wash Glove Octenic
Alkohol Swab cosmo
Silet Kuning

Page 212
Sheet1

Handscoon Steril 6.5 Gamex (Gloper)


Handscoon Uk. S Asap
Oxytocin Inj (APL)
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
D5% Inf GLUCOSE UNICAP (MUP)
Spuit 10 cc Ciringe
IV Cath PlusB 18 G Trovenocath
Cinam (Ampicillin Sulbactam) Inj (BSP) 6
Gentamycin 40mgml Inj Indofarma (IGM)
Ca Gluconas Inj Ethica (APL) 2
D10% Glucose Unicap OGB WB (MUP)
NGT 4 Aximed feding tube 100cm
Infus Set Micro Y Tipe
Selang O2 Bayi Cosmomed
Underpad Surgicare
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Underpad Surgicare
Handscoon Uk. S Asap
Handscoon Steril 6.5 Gamex (Gloper)
kleim pusat
Alkohol Swab cosmo
Apron Plastik
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Aquadest OTSU 25 ML (MUP)
Aquadest 1 L (MUP)
Vitamin K (Phytomenadione) Inj 2mg Phapros (RAJAWALI)
Spuit 1 cc Ciringe
Handscoon Steril 6.5 Gamex (Gloper)
kleim pusat
Underpad Surgicare
Alkohol Swab cosmo
Masker Tali AXIMED almaas
Apron Plastik
NaCl 0.9% 500 ml Wida Pipih
Paracetamol Inf Darya Varia
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Metronidazol 500 mg Inf Hexpharm Jaya
Pantorin 40 mg (Pantoprazol) Inj
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
Masker Tali AXIMED almaas
Masker Tali AXIMED almaas
Efineprin (APL)
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker untuk TB Paru N95

Page 213
Sheet1

Captopril 25 mg tablet (ESV) 6


Amlodipin Beyslate 5 mg tablet Bernofarm (TSJ)
Spuit 50 cc Sonde Nipro (DCC)
Pralax (Lactulose) 100 ml Syrup
Masker O2 Dewasa B Med
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Amitriptilin 25 mg
dr. RIZKI RAHIM, Sp.A Rifampicin Kapsul 450 mg Bernofarm
Rifampicin Kapsul 450 mg Bernofarm
dr. RIZKI RAHIM, Sp.A Inoxin 400 mg (Isoniazid+Pyridoxine HCI) tab Dexa (AAM)
Inoxin 400 mg (Isoniazid+Pyridoxine HCI) tab Dexa (AAM)
dr. RIZKI RAHIM, Sp.A Ethambutol 500 mg tablet Bernofarm (TSJ)
Ethambutol 500 mg tablet Bernofarm (TSJ)
dr. RIZKI RAHIM, Sp.A Siramid 500 mg (Pyrazinamide) tablet Mersi
Siramid 500 mg (Pyrazinamide) tablet Mersi
D10% Glucose Unicap OGB WB (MUP)
Otsu D40 (MERAPI)
Otsu salin 3% 500 ml (MUP)
OTSU KCl (MERAPI)
Ca Gluconas Inj Ethica (APL) 2
Cefotaxime 1 gr Inj Hexpharm Jaya (ESV)
Amikacin 500 mg25% 2 ml Inj Dexa Medika (AAM) 3
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
RL infus 500 cc(MUP)
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Orinox 60 mg tablet
Onoiwa Kapsul (BMP) 4
Allupurinol 100 mg tablet Indofarma
Braxidin tablet (BSP) 6 (Psik)
Captopril 25 mg tablet (ESV) 6
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Candesartan 16 mg tab Bernofarm (MPI)
Furosemide 40 mg tablet (IFK Dinkes)
Umarone Inj (PPG) 1
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Aquadest OTSU 25 ML (MUP)
Apron Plastik
DARMAWAN,Sp.Pd Masker Nebulizer Dewasa Uk. L Work
Helix Candesartan 8 mg tab OGB Dexa (AAM)
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Betahistin Mesylat 6 mg tablet (AAM)
Paracetamol 500 mg tab Bernofarm
Cendo Xitrol 3.5 gr Eye Ointment (PENTA VALENT)
Lantus Solostar Flexpen (APL) 6
Helix Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Uk. S Asap
Spuit 10 cc Ciringe
Dexamethasone inj Bernofarm (TSJ)

Page 214
Sheet1

Otsu Mgso4 40% (MERAPI)


RL infus 500 cc(MUP)
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Dopamet 250 mg (metildopa) tablet Actavis (AAM)
Nifedipine 10 mg tablet Dexa Medika (AAM)
Lantus Solostar Flexpen (APL) 6
dr. Nurhadi Saputra, Sp.,PD Rindobion tablet Yarindo
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Natrium Diklofenak 50 mg tablet Phapros (RJW)
MERCYA Streptomycin Inj 1 gr Mersi (MERAPI)
Symbicort Turb 180 (APL) 3
MERCYA Nicardipine HCl (perdipine) 10mg Inj OGB Dexa (AAM) 2
Helix NaCl 0.9% 500 ml Wida Pipih
Nifedipine 10 mg tablet Dexa Medika (AAM)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Efineprin (APL)
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Candesartan 8 mg tab OGB Dexa (AAM)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Infus Set Macro Aximed (ALM)
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Asam Tranexamat 500mg5ml Inj Bernofarm
Helix Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Asam mefenamat 500 mg tablet Mersi (MRP)
Ranitidine 150 mg tab Hexpharm (ENSEVAL)
Rindobion tablet Yarindo
Helix Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Retaphyl SR 300 mg (Teofilin) tablet (KF)
Methyl Prednisolon 4 mg tablet Molex Ayus (KF)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Suprasma HFA Inhaler (AAM) 2
Suprasma HFA Inhaler (AAM) 2
NURHADI,Sp.Pd Masker Rebreathing DWS (DCC)
dr. Neila RL infus 500 cc(MUP)
Paracetamol Syrup 120mg5ml Mersi (MRP)
Infus Set Macro Aximed (ALM)
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
dr. Neila Ketorolac 30 mg Inj Ethica (APL)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Handscoon Uk. S Asap

Page 215
Sheet1

Alkohol Swab cosmo


Masker Tali AXIMED almaas
IV Cath PlusB 18 G Trovenocath
Spuit 3 cc Aximed
dr. YOSSI AGUNG ARIOSENO, Sp. OG Misoprostol 200 mcg tablet (PPG)
dr. YOSSI AGUNG ARIOSENO, Sp. OG Misoprostol 200 mcg tablet (PPG)
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Aquadest OTSU 25 ML (MUP)
Spuit 1 cc Ciringe
Spuit 5 cc Ciringe
dr. YOSSI AGUNG ARIOSENO, Sp. OG RL infus 500 cc(MUP)
Oxytocin Inj (APL)
Tramadol inj Mersi
Paracetamol Inf Darya Varia
Aquadest OTSU 25 ML (MUP)
Ceftriaxone 1 gr Inj Mahakam
Folley catheter 16(2way) Abada
urine bag semillas ALMAAS
Handscoon Steril 7.5 Gamex (Gloper)
Body Wash Glove Octenic
Underpad Surgicare
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Spuit 10 cc Ciringe
Handscoon Uk. S Asap
Alkohol Swab cosmo
Silet Kuning
Kaltrofen (Ketoprofen) Supp (ESV) 2
Rindobion tablet Yarindo
Paracetamol 500 mg tab Bernofarm
Curcuma tablet Soho (PPG) 2
Betahistin Mesylat 6 mg tablet (AAM)
dr. YOSSI AGUNG ARIOSENO, Sp. OG Misoprostol 200 mcg tablet (PPG)
Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
dr. YOSSI AGUNG ARIOSENO, Sp. OG Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
dr. YOSSI AGUNG ARIOSENO, Sp. OG RL infus 500 cc(MUP)
Otsu Mgso4 40% (MERAPI) 6
Dopamet 250 mg (metildopa) tablet Actavis (AAM)
Nifedipine 10 mg tablet Dexa Medika (AAM)
Underpad Surgicare
Spuit 5 cc Ciringe
dr. YOSSI AGUNG ARIOSENO, Sp. OG RL infus 500 cc(MUP)
Oxytocin Inj (APL)
Cefadroxil 500 MG Kapsul Bernofarm
Asam mefenamat 500 mg tablet Mersi (MRP)
Rindobion tablet Yarindo
Catgut Chromic 2.0 (338 N) KPM
Spuit 3 cc Aximed

Page 216
Sheet1

Underpad Surgicare
Handscoon Steril 7.5 Gamex (Gloper)
Body Wash Glove Octenic
Handscoon Uk. S Asap
Folley catheter 16(2way) Abada
RL infus 500 cc(MUP)
Oxytocin Inj (APL)
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Steril 6.5 Gamex (Gloper)
Spuit 3 cc Aximed
Handscoon Uk. S Asap
dr. Asa Rifampicin Kapsul 450 mg Bernofarm
Inoxin 400 mg (Isoniazid+Pyridoxine HCI) tab Dexa (AAM)
Siramid 500 mg (Pyrazinamide) tablet Mersi
Ethambutol 500 mg tablet Bernofarm (TSJ)
Paracetamol Inf Darya Varia
Pantorin 40 mg (Pantoprazol) Inj
Furosemide 10mgml Inj Indofarma (IGM)
Meropenem 1 gr Inj Bernofarm
Combivent 2.5 ml (TEMPO)
Aquadest OTSU 25 ML (MUP)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Codein 20 mg tablet (KF) (Nark)
dr. Asa Pantorin 40 mg (Pantoprazol) Inj
Ciprofloxacin Inf 200mg100ML (ENS)
Aquadest OTSU 25 ML (MUP)
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Orinox 60 mg tablet
Spuit 10 cc Ciringe
dr. Asa Betahistin Mesylat 6 mg tablet (AAM)
Domperidone 10 mg tablet Hexpharm Jaya (esv)
dr. Asa Paracetamol 500 mg tab Bernofarm
Prednison tablet Holi (SST)
Cefixime 100mg/5ml Syrup (ESV) 6
dr. Asa Pantorin 40 mg (Pantoprazol) Inj
Aquadest OTSU 25 ML (MUP)
Paracetamol 500 mg tab Bernofarm
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
dr. Asa Furosemide 10mgml Inj Indofarma (IGM)
Combivent 2.5 ml (TEMPO)
Pantorin 40 mg (Pantoprazol) Inj
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
dr. Asa Pantorin 40 mg (Pantoprazol) Inj
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5

Page 217
Sheet1

Arixtra 2.5 mg Inj (APL) `


Aquadest OTSU 25 ML (MUP)
ISDN (Isosorbide Dinitrate) tab Yarindo (PPG)
Clopidogrel 75 mg tablet Mahakam (MRP)
Miniaspi 80mg Tablet Mersi (IGM)
Atorvastatin 20 mg tablet Hexpharm Jaya (ESV)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
dr. Asa Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Ciprofloxacin Inf 200mg100ML (ENS)
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 50 cc Sonde Nipro (DCC)
dr. Neila Lacidofil Sachet
Ambroxol 30mg/5ml Syrup
Cetrizine 5mg5ml Syrup Erela (SST)
Domperidone Syrup 60 ml Hexpharm Jaya (ENSEVAL)
dr. Neila RL infus 500 cc(MUP)
Ciprofloxacin Inf 200mg100ML (ENS)
Pantorin 40 mg (Pantoprazol) Inj
Ketorolac 30 mg Inj Ethica (APL)
Buscopan 20 mg inj (TEMPO)
Kalnex 500 mg (Asam Tranexamat) tab Kalbe Farma (ESV)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Infus Set Macro Aximed (ALM)
IV Cath Plus 20 G TroVenocath
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Alkohol Swab cosmo
Handscoon Uk. S Asap
dr. Asa Onoiwa Kapsul (BMP) 4
Digoxin 0.25 mg tablet Yarindo
Ursodeoxycholic Acid 250MG kapsul Etercon (AMS)
Furosemide 10mgml Inj Indofarma (IGM)
WIDA D5 1/4NS INF
Spuit 3 cc Aximed
dr. Asa RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Lacidofil Sachet
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
dr. Asa Ceftriaxone 1 gr Inj Mahakam
Furosemide 10mgml Inj Indofarma (IGM)
Ventolin Nebu 2,5 mg
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
dr. Asa RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Furosemide 10mgml Inj Indofarma (IGM)

Page 218
Sheet1

Aquadest OTSU 25 ML (MUP)


Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
dr. Asa RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Aquadest OTSU 25 ML (MUP)
Ventolin Nebu 2,5 mg
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
dr. Asa RL infus 500 cc(MUP)
Ceftriaxone 1 gr Inj Mahakam
Omeprazole 40 mg Inj Bernofarm
Aquadest OTSU 25 ML (MUP)
Zink 20 mg tablet Indofarma
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
dr. Asa Ranitidine Inj 50mg/2ml Hexpharm (ESV)
RL infus 500 cc(MUP)
Spuit 3 cc Aximed
Alkohol Swab cosmo
dr. Asa Wida D5%+1.2NS Inf (MUP)
Ceftriaxone 1 gr Inj Mahakam
Gentamycin 40mgml Inj Indofarma (IGM)
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Uk. S Asap
dr. Asa Asam Folat Dinkes
Zink 20 mg tablet Indofarma
Cefixime 100mg/5ml Syrup (ESV) 6
Paracetamol Syrup 120mg5ml Mersi (MRP)
dr. Asa ASERING INF (MUP)
dr. Neila Paracetamol Drop 15 ml (IGM) 1
Lacidofil Sachet
dr. Neila Candesartan 8 mg tab OGB Dexa (AAM)
Omeprazole 20 mg kaps Novapharin (KF)
dr. Asa Ketorolac 30 mg Inj Ethica (APL)
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Braxidin tablet (BSP) 6 (Psik)
Spasmomen fc tab (AAM)
Betahistin Mesylat 6 mg tablet (AAM)
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG

Page 219
Sheet1

Alkohol Swab cosmo


dr. Asa Ceftriaxone 1 gr Inj Mahakam
Methyl Prednisolone 125 mg Inj Bernofarm
Aquadest OTSU 25 ML (MUP)
Ketokonazol 2% 10 GR Cream Phapros (RAJAWALI)
Difenhidramin Inj Bernofarm (PPG) 3
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Spuit 5 cc Ciringe
Underpad Surgicare
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
Handscoon Steril 7.5 Surgical EWG
Alkohol Swab cosmo
Blood Transfusi Set Remedi
Infus Set Macro Aximed (ALM)
IV Cath Plus 20 G TroVenocath
dr. Asa Ceftriaxone 1 gr Inj Mahakam
Paracetamol Inf Darya Varia
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Lacidofil Sachet
New Daiatab tablet (APL) 4
Infus Set Macro Aximed (ALM)
IV Cath Plus 20 G TroVenocath
Masker Tali AXIMED almaas
Alkohol Swab cosmo
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
dr. Asa Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Omeprazole 20 mg kaps Novapharin (KF)
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)
Paracetamol 500 mg tab Bernofarm
Masker Tali AXIMED almaas
Handscoon Steril 7.5 Surgical EWG
Handscoon Uk. S Asap
Alkohol Swab cosmo
dr. Asa Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Amitriptilin 25 mg
Perilax 50 mg (Eperisone HCl) tab Dexa Medika
Natrium Diklofenak 50 mg tablet Phapros (RJW)
Ranitidine 150 mg tab Hexpharm Jaya
Masker Tali AXIMED almaas
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
Alkohol Swab cosmo
dr. EKA SAPUTRA, Sp.B Meropenem 1 gr Inj Bernofarm
Metronidazol 500 mg Inf Hexpharm Jaya

Page 220
Sheet1

Amikacin 500 mg25% 2 ml Inj Dexa Medika (AAM) 3


Paracetamol Inf Darya Varia
Spuit 5 cc Ciringe
Aquadest OTSU 25 ML (MUP)
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Alkohol Swab cosmo
Handscoon Uk. S Asap
dr. EKA SAPUTRA, Sp.B RL infus 500 cc(MUP)
Paracetamol Inf Darya Varia
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 3 cc Aximed
Spuit 10 cc Ciringe
Aquadest OTSU 25 ML (MUP)
Handscoon Steril 7.5 Surgical EWG
Masker Tali AXIMED almaas
dr. EKA SAPUTRA, Sp.B Ciprofloxacin 500 mg tablet Bernofarm (TSJ) 4
Metronidazole 500 mg tablet Bernofarm (PPG) 5
Paracetamol 500 mg tab Bernofarm
Ranitidine 150 mg tab Hexpharm Jaya
Spuit 10 cc Ciringe
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Spuit 1 cc Ciringe
Alkohol Swab cosmo
Body Wash Glove Octenic
Handscoon Uk. S Asap
Handscoon Steril 7.5 Surgical EWG
dr. Neila Ketorolac 10 mg tablet Novell (PENTA VALENT)
Paracetamol 500 mg tab Bernofarm
dr. Neila NaCl 0.9% 500 ml Wida Pipih
Infus Set Macro Aximed (ALM)
IV Cath Plus 20 G TroVenocath
Alkohol Swab cosmo
Handscoon Uk. S Asap
Elektroda Skintact Paper Easitab (ESV)
Spuit 10 cc Ciringe
Spuit 20 cc Nipro (DCC)
Underpad Surgicare
Selang O2 Dewasa Cosmomed
Candesartan 16 mg tab Bernofarm (MPI)
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Folley catheter 16(2way) Abada
Aquadest OTSU 25 ML (MUP)
urine bag semillas ALMAAS
Nifedipine 10 mg tablet Dexa Medika (AAM)
dr. Neila RL infus 500 cc(MUP)
Blood Transfusi Set Remedi
IV Tro VERSITC Plus 18 G (Safety)
Alkohol Swab cosmo
Handscoon Uk. S Asap
Ketorolac 30 mg Inj Ethica (APL)
Ranitidine 150 mg tab Hexpharm Jaya

Page 221
Sheet1

Spuit 3 cc Aximed
Dexamethasone inj Bernofarm (TSJ)
Difenhidramin Inj Bernofarm (PPG) 3
dr. RIZKI RAHIM, Sp.A Blood Transfusi Set Remedi
IV Cath Plus 22G Trovenocath
NaCl 0.9% 500 ml Wida Pipih
Ferriprox FCT 500 mg tablet (UBF)
Asam Folat Dinkes
Calcium Laktat 500 Mersi (MERAPI)
Dexamethasone inj Bernofarm (TSJ)
Spuit 3 cc Aximed
Alkohol Swab cosmo
Handscoon Uk. S Asap
Masker Tali AXIMED almaas
dr. Neila Metronidazole 500 mg tablet Bernofarm (PPG) 5
Ranitidine 150 mg tab Hexpharm Jaya
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Asam mefenamat 500 mg tablet Mersi (MRP)
dr. Neila Spuit 1 cc Ciringe
Blood Transfusi Set Remedi
D10% Glucose Unicap OGB WB (MUP)
Metoclopramid Inj Bernofarm (PPG) 3
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
IV Tro VERSITC Plus 20 G (Safety)
Alkohol Swab cosmo
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Spuit 3 cc Aximed
NaCl 0.9% 500 ml Wida Pipih
Paracetamol Inf Darya Varia
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Metronidazol 500 mg Inf Darya Varia
NaCl 0.9% 500 ml Wida Pipih
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Ketorolac 30 mg Inj Ethica (APL)
Ciprofloxacin Inf 200mg100ML (ENS)
Spasmomen fc tab (AAM)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Tramadol inj Mersi
Cefixime 100 mg Kapsul OGB Dexa (AAM) 4
Asam mefenamat 500 mg tablet Mersi (MRP)
NaCl 0.9% 500 ml Wida Pipih
Methyl Prednisolone 125 mg Inj Bernofarm
Aquadest OTSU 25 ML (MUP)
Onoiwa Kapsul (BMP) 4
Curcuma tablet Soho (PPG) 2
Spuit 10 cc Ciringe
Omeprazole 40 mg Inj Bernofarm
Aquadest OTSU 25 ML (MUP)
Curcuma tablet Soho (PPG) 2
Spuit 50 cc Sonde Nipro (DCC)
Spuit 1 cc Ciringe
Sucralfate Syrup 500MG5ML 100 ml Mersi (SST)

Page 222
Sheet1

Omeprazole 20 mg kaps Novapharin (KF)


Rebamipide 100 mg Fahreinhet
Rincobal 500 mcg (Mecobalamine) kapsul Yarindo
Folley catheter 10 Cosmomed
urine bag semillas ALMAAS
Spuit 1 cc Ciringe
Handscoon Steril 7.5 Surgical EWG
Ketorolac 30 mg Inj Ethica (APL)
Siramid 500 mg (Pyrazinamide) tablet Mersi
Orinox 60 mg tablet
Onoiwa Kapsul (BMP) 4
Allupurinol 100 mg tablet Indofarma
Captopril 25 mg tablet (ESV) 6
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Candesartan 8 mg tab OGB Dexa (AAM)
Combivent 2.5 ml (TEMPO)
Pulmicort Resp (budesonide) 0.25 mg (APL) 3
Methyl Prednisolone 8 mg tablet Bernofarm (TSJ)
Paracetamol 500 mg tab Bernofarm
Codein 20 mg tablet (KF) (Nark)
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
NaCl 0.9% 500 ml Wida Pipih
Aminofluid inf (MUP)
Aminoflusin L 600ml inf (ESV)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Ceftazidime 1 gr Inj OGB Dexa (AAM) 3
Onoiwa Kapsul (BMP) 4
Domperidone Syrup 60 ml Hexpharm Jaya (ENSEVAL)
Lacidofil Sachet
Cetrizine 5mg5ml Syrup Erela (SST)
RL infus 500 cc(MUP)
Furosemide 10mgml Inj Indofarma (IGM)
Captopril 25 mg tablet (ESV) 6
Vectrin (Erdostein) Syrup
Digoxin 0.25 mg tablet Yarindo
Miniaspi 80mg Tablet Mersi (IGM)
Combivent 2.5 ml (TEMPO)
Pulmicort Resp (budesonide) 0.25 mg (APL) 3
NaCl 0.9% 500 ml Wida Pipih
Braxidin tablet (BSP) 6 (Psik)
Paracetamol Inf Darya Varia
Rebamipide 100 mg Fahreinhet
Meropenem 1 gr Inj Bernofarm
NaCl 0.9% 500 ml Wida Pipih
RL infus 500 cc(MUP)
Nicardipine HCl (perdipine) 10mg Inj OGB Dexa (AAM) 2
Bisoprolol 5mg tablet Hexpharm Jaya (ESV)
RL infus 500 cc(MUP)
Omeprazole 40 mg Inj Bernofarm
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Combivent 2.5 ml (TEMPO)
Respicyl (N-Acetilsistein) Inhalasi 30 mg
Aquadest OTSU 25 ML (MUP)

Page 223
Sheet1

Retaphyl SR 300 mg (Teofilin) tablet (KF)


Curcuma tablet Soho (PPG) 2
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
RL infus 500 cc(MUP)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Metoclopramid Inj Bernofarm (PPG) 3
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Ceftriaxone 1 gr Inj Mahakam
New Daiatab tablet (APL) 4
Lacidofil Sachet
Furosemide 10mgml Inj Indofarma (IGM)
Claneksi (Co. Amoxiclav) Inj
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Metronidazol 500 mg Inf Darya Varia
Onoiwa Kapsul (BMP) 4
Mucylin (Asetilsistein) 200 mg kapsul (PPG)
Combivent 2.5 ml (TEMPO)
Paracetamol Inf Darya Varia
Apron Plastik
Underpad Surgicare
Handscoon Uk. S Asap
Masker Tali Surgicare
NaCl 0.9% 500 ml Wida Pipih
RL infus 500 cc(MUP)
Combivent 2.5 ml (TEMPO)
Flixotide (Fluticasone) nebu 0.5 Mg (APL) 3.5
Cefoperazone 1 gr inj Yarindo (KBY) 3.5
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
Amlodipin Beyslate 10 mg tablet Pharma Lab (MBS)
Asam Tranexamat 500mg5ml Inj Bernofarm
Furosemide 10mgml Inj Indofarma (IGM)
Candesartan 8 mg tab OGB Dexa (AAM)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Vectrin 300 mg (Erdostein) Kapsul Dexa Medika (AAM)
NaCl 0.9% 500 ml Wida Pipih
Omeprazole 20 mg kaps Novapharin (KF)
Ceftriaxone 1 gr Inj Mahakam
Mersibion 5000 Inj Mersi (MERAPI) 1.3
Paracetamol Inf Darya Varia
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Handscoon Uk. S Asap
Handscoon Steril 7 Gamex (DCC)
Masker Tali AXIMED almaas
Masker Rebreathing DWS (DCC)
Spuit 3 cc Aximed
NaCl 0.9% 500 ml Wida Pipih
Ciprofloxacin Inf 200mg100ML (ENS)
Ketorolac 30 mg Inj Ethica (APL)
Spasmomen fc tab (AAM)
Metronidazole 500 mg tablet Bernofarm (PPG) 5

Page 224
Sheet1

Apron Plastik
dr. RIZKI RAHIM, Sp.A NGT 3.5 (DCC)
NGT 5 Aximed feding tube 100 cm
NGT 8 Terumo
Aquadest OTSU 25 ML (MUP)
Underpad Surgicare
Spuit 5 cc Ciringe
Spuit 3 cc Aximed
Ketokonazol 2% 10 GR Cream Phapros (RAJAWALI)
Blood Transfusi Set Remedi
IV Cath Plus 20 G TroVenocath
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Underpad Surgicare
Handscoon Steril 6.5 Gamex (Gloper)
Handscoon Uk. S Asap
Alkohol Swab cosmo
Nurse Cup Green OM (KPM)
Masker Tali AXIMED almaas
RL infus 500 cc(MUP)
IV Cath PlusB 18 G Trovenocath
Blood Transfusi Set Remedi
Selang O2 Dewasa Cosmomed
Ketorolac 30 mg Inj Ethica (APL)
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 3 cc Aximed
Dexamethasone inj Bernofarm (TSJ)
Difenhidramin Inj Bernofarm (PPG) 3
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Domperidone Syrup 60 ml Hexpharm Jaya (ENSEVAL)
RL infus 500 cc(MUP)
Infus Set Macro Aximed (ALM)
IV Cath Plus 24G Trovenocath
Folley catheter 10 Cosmomed
urine bag semillas ALMAAS
Cetadop (Dopamine) 200mg5ml Inj Ethica (APL)
Ca Gluconas Inj Ethica (APL) 2
Spuit 20 cc Nipro (DCC)
Spuit 10 cc Ciringe
Spuit 1 cc Ciringe
Spuit 3 cc Aximed
Handscoon Uk. S Asap
Alkohol Swab cosmo
Perfusor Tub White 150cm NRC (DNR)
3 Way Otsu Stopcock With Male Merapi
Elektroda Endo dcc
Aquadest OTSU 25 ML (MUP)
Selang O2 Anak (Uk. M) Aximed (ALMAAS)
Handscoon Steril 7.5 Surgical EWG
Masker Tali Surgicare
WIDA D5 1/4NS INF

Page 225
Sheet1

Infus Set Macro Aximed (ALM)


IV Cath Plus 24G Trovenocath
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Alkohol Swab cosmo
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Spuit 3 cc Aximed
RL infus 500 cc(MUP)
Mersibion 5000 Inj Mersi (MERAPI) 1.3
IV Cath Plus 20 G TroVenocath
Ranitidine Inj 50mg/2ml Hexpharm (ESV)
Leukomed IV Film Non Woven Dressing 6x8cm Semilas
Alkohol Swab cosmo
Ceftriaxone 1 gr Inj Mahakam
Aquadest OTSU 25 ML (MUP)
Spuit 5 cc Ciringe
Spuit 10 cc Ciringe
Spuit 3 cc Aximed
Paracetamol 500 mg tab Bernofarm
KTM (Ketamin) Inj (PV) 6

Page 226
Sheet1

Jumlah Obat Harga Obat Harga Total


10 1623.6 16236
5 1014.75 5073.75
6 3316.01 19896.06
1 13200 13200
2 6765 13530
2 3499.98 6999.96
16 4620 73920
16 5775 92400
7 8000 56000
2 2860 5720
5 923.23 4616.15
1 9191.6 9191.6
10 1127.5 11275
5 359.98 1799.9
10 110 1100
10 169.26 1692.6
20 543.752 10875.04
5 590.392 2951.96
2 7150 14300
2 6409.7 12819.4
1 108 108
1 276.99 276.99
3 2058.01 6174.03
1 15180 15180
2 7150 14300
2 14624.06 29248.12
1 9043.65 9043.65
20 169.26 3385.2
20 543.752 10875.04
5 590.392 2951.96
1 6409.7 6409.7
3 2058.01 6174.03
1 70785 70785
1 89.1 89.1
1 2889.22 2889.22
4 14025 56100
4 13170.85 52683.4
20 169.26 3385.2
20 543.752 10875.04
10 590.392 5903.92
2 7150 14300
1 7920 7920
2 2058.01 4116.02
1 154000 154000
2 4180 8360
2 1852.19 3704.38
2 6435 12870
2 7150 14300
3 6409.7 19229.1

Page 227
Sheet1

10 169.26 1692.6
20 543.752 10875.04
5 590.392 2951.96
7 7150 50050
2 6468 12936
4 10890 43560
1 70785 70785
3 1045 3135
1 4114 4114
6 557.15 3342.9
2 6600 13200
3 3960 11880
2 9043.65 18087.3
2 11000 22000
2 14624.06 29248.12
2 14624.06 29248.12
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1223.849 3671.547
3 2860 8580
1 4620 4620
3 3960 11880
3 6409.7 19229.1
4 4550 18200
1 70785 70785
2 14928.98 29857.96
2 51425 102850
20 543.752 10875.04
10 590.392 5903.92
5 2860 14300
1 27500 27500
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
1 70785 70785
1 4114 4114
3 11609.917 34829.751
3 2566.663 7699.989
2 51425 102850
3 6600 19800
20 543.752 10875.04
10 590.392 5903.92
3 2860 8580
2 9043.65 18087.3
2 14624.06 29248.12
2 14624.06 29248.12
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547

Page 228
Sheet1

3 1014.75 3044.25
1 70785 70785
2 2058.01 4116.02
3 100375 301125
1 4114 4114
3 8250 24750
3 6600 19800
2 9043.65 18087.3
2 2860 5720
2 11000 22000
2 14624.06 29248.12
2 14624.06 29248.12
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
1 70785 70785
1 123.2 123.2
1 2277 2277
3 6600 19800
2 174 348
3 2860 8580
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
1 70785 70785
6 4550 27300
3 100 300
3 148.5 445.5
2 1128 2256
1 154000 154000
2 1980 3960
5 2860 14300
1 27500 27500
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
3 3960 11880
4 7150 28600
3 9405 28215
2 1852.19 3704.38
3 2860 8580
2 11000 22000
2 9043.65 18087.3
2 14624.06 29248.12

Page 229
Sheet1

2 14624.06 29248.12
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1623.6 4870.8
3 1223.849 3671.547
3 1014.75 3044.25
3 1045 3135
3 29378.36 88135.08
2 10890 21780
1 70785 70785
3 2860 8580
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
20 543.752 10875.04
10 590.392 5903.92
4 9645.9 38583.6
2 88000 176000
2 7700 15400
6 4125.0033 24750.0198
6 407.88 2447.28
4 1980 7920
4 543 2172
2 1683 3366
2 440 880
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
3 2860 8580
2 7150 14300
2 70188.8 140377.6
2 70785 141570
4 29700 118800
4 11609.917 46439.668
2 4125.0033 8250.0066
6 407.88 2447.28
2 1980 3960
4 1128 4512
6 6600 39600
6 9900 59400
3 2860 8580
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
1 7150 7150
1 7499.8 7499.8
1 6124.8 6124.8

Page 230
Sheet1

1 14624.06 14624.06
3 169.26 507.78
1 3499.98 3499.98
4 543.752 2175.008
1 13200 13200
3 11609.917 34829.751
2 51425 102850
1 70785 70785
2 1980 3960
3 978 2934
3 2860 8580
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1223.849 3671.547
3 1014.75 3044.25
3 1150.05 3450.15
1 1822 1822
2 51425 102850
1 70785 70785
1 2277 2277
3 1045 3135
1 6124.8 6124.8
1 11000 11000
5 2860 14300
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
3 70785 212355
3 2566.663 7699.989
2 51425 102850
3 1045 3135
3 2860 8580
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
2 6468 12936
2 34999.8 69999.6
2 11000 22000
3 2860 8580
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
1 30030 30030
1 70785 70785
3 2566.663 7699.989

Page 231
Sheet1

3 51425 154275
2 1437 2874
3 3960 11880
4 4550 18200
2 14928.98 29857.96
2 7150 14300
2 70188.8 140377.6
2 70785 141570
6 198000 1188000
2 7700 15400
6 11609.917 69659.502
4 113 452
6 407.88 2447.28
4 4180 16720
2 4114 8228
3 2860 8580
20 543.752 10875.04
10 590.392 5903.92
3 1623.6 4870.8
3 1150.05 3450.15
3 1223.849 3671.547
3 1014.75 3044.25
2 1852.19 3704.38
2 1852.19 3704.38
2 1852.19 3704.38
8 7150 57200
8 7150 57200
8 7150 57200
6 148.5 891
6 148.5 891
6 148.5 891
1 2277 2277
1 2277 2277
1 2277 2277
5 2860 14300
5 2860 14300
5 2860 14300
20 543.752 10875.04
20 543.752 10875.04
20 543.752 10875.04
10 590.392 5903.92
10 590.392 5903.92
10 590.392 5903.92
3 1623.6 4870.8
3 1623.6 4870.8
3 1623.6 4870.8
3 1223.849 3671.547
3 1223.849 3671.547
3 1223.849 3671.547
3 1014.75 3044.25
3 1014.75 3044.25
3 1014.75 3044.25
2 147.98 295.96

Page 232
Sheet1

2 29700 59400
4 4550 18200
2 14928.98 29857.96
2 1980 3960
5 169.26 846.3
2 7150 14300
2 88000 176000
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Minat Terkait