Laporan Penggunaan Antibiotika Triwulan I 2019

Gedung Cardiag & Brain Centre Gedung Gawat Darurat
Nama Antibiotika
Jumlah Nilai Jumlah
Amikasin inj 250 mg/mL (2 ml)
Amoksisilin sir kering 125 mg/5 mL 9.00
Amoksisilin tab 500 mg 13.00 Rp 3,029.00 314.08
Amoksisilin tab 500 mg Reg
Ampisilin 1000mg + sulbactam 500mg inj 66.00 Rp 2,838,000.00 331.00
Ampisilin 500mg + sulbactam 250mg inj 1.00
Ampisilin serb inj 1000 mg/vial 33.00 Rp 304,920.00 43.00
Asiklovir inj 250 mg/mL
Asiklovir tab 200 mg 12.00
Asiklovir tab 400 mg 46.00
Azitromisin tab 500 mg 63.00 Rp 118,944.00 272.00
Doksisiklin kaps 100 mg 12.00 Rp 3,168.00
Entekavir tab 0.5 mg
Eritromisin tab 500 mg 125.00 Rp 97,625.00
Etambutol tab 400 mg (MDR)
Etambutol tab 500 mg 30.00
Etionamid tab 250 mg (MDR)
Flukonazol inf 2 mg/mL 4.00 Rp 75,952.00 12.00
Flukonazol kaps 150 mg 6.00
Fosfomisin inj 1000 mg
Gentamisin inj 40 mg/mL 33.00 Rp 349,932.00 119.00
Griseofulvin (micronized ) tab 125 mg
Isoniazid tab 100 mg
Isoniazid tab 300 mg 22.00
Isoniazid tab 300 mg (MDR)
Itrakonazol kaps 100 mg
Kanamisin inj 1.000 mg/ vial
Kanamisin inj 1000 mg (MDR)
Ketokonazol tab 200 mg
Klaritromisin tab 500 mg 9.00
Klindamisin kaps 150 mg 2.00 Rp 1,508.00 44.00
Klindamisin kaps 300 mg 31.00 Rp 44,330.00 461.00
Klofazimin kaps 100 mg (MDR)
Kloramfenikol kaps 250 mg
Kloramfenikol serb inj 1.000 mg/mL 4.00
Klorokuin fosfat tab 150 mg
Klorokuin fosfat tab 250 mg 1.00
Kotrimoksazol sir 240 mg/ 5 mL
Kotrimoksazol tab 480 mg 66.00 Rp 11,761.20 408.17
lamivudin (3TC) tab 150 mg
Levofloksasin inf 5 mg/mL 41.00 Rp 2,435,400.00 291.00
Levofloksasin tab 250 mg (MDR)
Levofloksasin tab 500 mg 17.00 Rp 11,662.00 51.60
Linezolid inj 600mg / 300mL
Linkomisin kaps 500 mg
Meropenem serb inj 1000 mg/vial 19.00 Rp 645,810.00 65.00
Meropenem serb inj 500 mg/vial 11.00 Rp 321,486.00 22.00
Metronidazol inf 5 mg/mL 13.00 Rp 107,250.00 689.00
Metronidazol ovula 500 mg
Metronidazol tab 500 mg 29.00 Rp 7,656.00 264.00
Mikafungin Na inj 50 mg/vial
Moksifloksasin infus 400 ml 1.00 Rp 187,000.00 21.00
Moksifloksasin tab 400 mg (MDR)
Nistatin susp 100.000 UI/mL 1.00 Rp 41,800.00 19.00
Ofloksasin tab 200 mg
Pirantel pamoat tab 125 mg
Pirazinamid tab 500 mg 37.00
Pirazinamid tab 500 mg (MDR)
Primakuin tab 15 mg 3.00
Prokain benzilpenisilin serb inj 3 juta 3.00
Rifampisin kap 300 mg
Rifampisin tab 450 mg 4.00
Rifampisin tab 600 mg 2.00
Sefadroksil kaps 500 mg 10.00 Rp 11,000.00 592.00
Sefadroksil sir kering 125 mg/5 mL 1.00 Rp 5,286.00 11.00
Sefadroksil sir kering 250 mg/5 mL
SeFAZolin serb inj 1.000 mg/vial 50.00 Rp 632,500.00 4.00
Sefepim serb inj 1000 mg/vial 17.00 Rp 425,425.00 8.00
Sefiksim kaps 100 mg 156.00 Rp 117,000.00 2125.30
Sefiksim kaps 200 mg 274.00 Rp 810,492.00 1162.00
Sefiksim sir 100 mg/5 mL 7.00 Rp 262,038.70 215.00
Sefoperazon serb inj 1.000 mg/vial 1.00
SefOTAKsim inj 1.000 mg/vial 127.00
SefTAZidim serb inj 1.000 mg/vial 13.00
SefTRIAKson serb inj 1.000 mg/vial 570.00 Rp 4,275,513.00 3683.00
Sefuroksim tab 500 mg
Sikloserin tab 250 mg (MDR)
Simeprevir cap 150 mg (Bantuan)
Siprofloksasin inf 2 mg/mL 20.00 Rp 217,800.00 699.00
Siprofloksasin tab 500 mg 383.00
Sofosbuvir tab 400 mg (Bantuan)
Streptomisin serb inj 1.000 mg/vial
Sulfadoksin 500 mg + pirimetamin 25 mg 115.00
Tenofovir tab 300 mg
Tigesiklin inj 50 mg
Vankomisin serb inj 500 mg/vial 3.00 Rp 458,679.00 62.00
Grand Total 1688.00 Rp 14,822,966.90 12816.15
Gedung Gawat Darurat Gedung IBS Gedung IRINA A Gedung IRINA Anggrek
Nilai Jumlah Nilai Jumlah Nilai Jumlah

Rp - 56.00 Rp 1,568,000.00
Rp 17,280.00
Rp 73,180.64 7.00 Rp 1,631.00 96.00
Rp 14,233,000.00 12.00 Rp 516,000.00 10.00 Rp 430,000.00 36.00

Rp 51,703.00
Rp 397,320.00
Rp 2,832.00
Rp 38,272.00
Rp 513,536.00 5.00 Rp 9,440.00 3.00 Rp 5,664.00 8.00
Rp 19,338.00
Rp 227,856.00 65.00 Rp 1,234,220.00 1.00 Rp 18,988.00

Rp 129,168.00
Rp 1,261,876.00 44.00 Rp 466,576.00 16.00 Rp 169,664.00 4.00
Rp 5,170.00
Rp 247,806.90 19.00
Rp 33,176.00 30.00 Rp 22,620.00 66.00
Rp 659,230.00 7.00 Rp 10,010.00 24.00
Rp 54,450.00
Rp 792.00
Rp -
Rp 72,735.89 36.00 Rp 6,415.20
Rp -
Rp 17,285,400.00 30.00 Rp 1,782,000.00 22.00 Rp 1,306,800.00 42.00
Rp -
Rp 35,397.60 12.00
Rp - 26.00 Rp 34,111,077.00
Rp -
Rp 2,209,350.00 481.00 Rp 16,349,190.00 62.00 Rp 2,107,380.00 8.00
Rp 642,972.00 17.00 Rp 496,842.00 12.00 Rp 350,712.00 7.00
Rp 5,684,250.00 96.00 Rp 792,000.00 262.00 Rp 2,161,500.00 55.00
Rp -
Rp 69,696.00 2.00 Rp 528.00 185.00 Rp 48,840.00 33.00
Rp - 52.00 Rp 17,186,026.00
Rp 3,927,000.00 29.00 Rp 5,423,000.00 3.00 Rp 561,000.00
Rp -
Rp 794,200.00 2.00
Rp -
Rp -
Rp 17,908.00
Rp -
Rp 90.00
Rp 36,382.50 75.00 Rp 909,562.50
Rp -
Rp 4,124.00
Rp 2,840.00
Rp 651,200.00 55.00 Rp 60,500.00
Rp 58,146.00
Rp -
Rp 50,600.00 45.00 Rp 569,250.00 98.00 Rp 1,239,700.00
Rp 200,200.00 73.00 Rp 1,826,825.00
Rp 1,593,975.00 42.00 Rp 31,500.00 1925.25 Rp 1,443,937.50 44.00
Rp 3,437,196.00 18.00 Rp 53,244.00 134.00
Rp 8,048,331.50 22.00 Rp 823,550.20
Rp 33,527.00 2.00 Rp 67,054.00
Rp 1,407,477.50 13.00 Rp 144,072.50 2.00 Rp 22,165.00 30.00
Rp 223,080.00 22.00
Rp 27,625,814.70 274.00 Rp 2,055,246.60 2484.00 Rp 18,632,235.60 369.00
Rp 7,612,110.00 76.00 Rp 827,640.00 146.00

Rp 122,560.00 54.00
Rp -
Rp 91,080.00
Rp -
Rp - 67.00 Rp 58,109,280.90
Rp 9,479,366.00 21.00 Rp 3,210,753.00 6.00 Rp 917,358.00
Rp 109,382,996.23 1493.00 Rp 145,898,252.20 5376.25 Rp 32,181,745.80 1211.00
LAPORAN PENGGUNAAN ANTIBIOTIKA TIAP RUANGAN PERAWATAN
PERIODE BULAN JANUARI 2019
Gedung IRINA Anggrek Gedung IRINA Anggrek 2 Gedung IRINA B Gedung IRINA C
Rp 22,368.00 12.00
Rp 1,548,000.00 288.00 Rp 12,384,000.00 61.00 Rp 2,623,000.00 387.00
8.00 Rp 73,920.00 52.00
9.00 Rp 7,488.00
Rp 15,104.00 52.00 Rp 98,176.00 28.00 Rp 52,864.00 245.00
1.00 Rp 264.00 4.00
4.00 Rp 242,800.00 4.00
99.00 Rp 63,815.40 45.00
14.00 Rp 265,832.00 4.00

18.00 Rp 387,504.00 16.00
35.00
Rp 42,416.00 8.00 Rp 84,832.00 14.00 Rp 148,456.00 71.00
13.00
55.00 Rp 12,925.00 20.00
Rp 523,147.90 2.00
Rp 49,764.00 138.00 Rp 104,052.00 48.00 Rp 36,192.00 182.00
Rp 34,320.00 28.00 Rp 40,040.00 6.00 Rp 8,580.00 83.00
7.00
265.00 Rp 47,223.00 29.00 Rp 5,167.80 519.00
Rp 2,494,800.00 81.00 Rp 4,811,400.00 62.00 Rp 3,682,800.00 184.00
Rp 8,232.00 33.00 Rp 22,638.00 9.00 Rp 6,174.00 23.00
Rp 271,920.00 45.00 Rp 1,529,550.00 3.00 Rp 101,970.00 228.00

Rp 204,582.00 16.00 Rp 467,616.00 20.00
Rp 453,750.00 146.00 Rp 1,204,500.00 58.00 Rp 478,500.00 228.00
Rp 8,712.00 5.00 Rp 1,320.00 47.00 Rp 12,408.00 200.00

4.00
9.00 Rp 1,683,000.00 20.00
Rp 83,600.00 15.00 Rp 627,000.00 23.00
61.00 Rp 29,524.00 43.00
1.00 Rp 30.00 8.00
60.00 Rp 61,860.00
4.00 Rp 5,680.00
15.00
12.00 Rp 151,800.00 12.00

10.00 Rp 250,250.00 84.00
Rp 33,000.00 136.00 Rp 102,000.00 449.00 Rp 336,750.00 1565.00
Rp 396,372.00 116.00 Rp 343,128.00 26.00 Rp 76,908.00 50.00
5.00 Rp 167,635.00
Rp 332,475.00 6.00 Rp 66,495.00 50.00 Rp 554,125.00 148.00
Rp 377,520.00 52.00
Rp 2,767,832.10 632.00 Rp 4,740,568.80 583.00 Rp 4,373,024.70 2436.00
4.00
Rp 1,589,940.00 102.00 Rp 1,110,780.00 192.00 Rp 2,090,880.00 924.00

Rp 17,280.00 15.00 Rp 4,800.00 95.00 Rp 30,400.00 221.00
23.00 Rp 116,380.00
51.00 Rp 40,392.00 59.00
1.00 Rp 9,688.00
4.00
2.00 Rp 305,786.00 108.00
Rp 11,275,135.00 2535.00 Rp 29,023,338.20 1799.00 Rp 17,261,553.50 8364.00
AWATAN
Gedung IRINA C Gedung IRINA D Gedung IRINA E Gedung IRINA F

156.00 Rp 4,368,000.00
1.00 Rp 1,920.00 6.00 Rp 11,520.00
Rp 2,796.00 84.00 Rp 19,572.00 130.00 Rp 30,290.00 18.92
Rp 16,641,000.00 3.00 Rp 129,000.00 55.00

1.00 Rp 51,703.00 24.00
Rp 480,480.00 32.00 Rp 295,680.00 341.00 Rp 3,150,840.00 15.00
87.00 Rp 25,251,689.10
103.00
Rp 462,560.00 9.00 Rp 16,992.00 16.00 Rp 30,208.00 52.00
Rp 1,056.00
Rp 242,800.00
18.42 Rp 14,386.02 39.00
Rp 29,007.00 4.00 Rp 2,578.40 41.00
Rp 75,952.00 44.00 Rp 835,472.00

Rp 344,448.00
Rp 2,484,212.50 10.00 Rp 709,775.00
Rp 752,884.00 62.00 Rp 657,448.00 871.00 Rp 9,236,084.00 40.00
Rp 2,990.00
11.00 Rp 935.00
Rp 4,700.00 5.00 Rp 1,175.00 20.00
4.00 Rp 46,776.40
Rp 55,068.20
Rp 137,228.00 219.00
Rp 118,690.00 185.00
32.00 Rp 8,352.00
18.00 Rp 245,025.00 103.00 Rp 1,402,087.50
Rp 2,310.00 2.00 Rp 660.00
3.00 Rp 2,376.00
Rp 92,485.80 88.00 Rp 15,681.60 38.00
9.00 Rp 18,162.00
Rp 10,929,600.00 14.00 Rp 831,600.00 3.00 Rp 178,200.00 126.00
Rp 15,778.00 16.00 Rp 10,976.00 12.00
Rp 7,749,720.00 161.00 Rp 5,472,390.00 24.00

Rp 584,520.00 22.00 Rp 642,972.00
Rp 1,881,000.00 215.00 Rp 1,773,750.00 25.00 Rp 206,250.00 140.00
Rp 52,800.00 545.00 Rp 143,880.00 13.00 Rp 3,432.00 55.00

Rp 1,322,002.00 7.00 Rp 2,313,503.50
Rp 3,740,000.00
Rp 961,400.00 1.00 Rp 41,800.00 25.00 Rp 1,045,000.00 7.00
1.00 Rp 303.00
Rp 20,812.00 5.00 Rp 2,420.00 41.00
Rp 240.00
7.00
3.00 Rp 3,093.00 11.00
1.00
Rp 16,500.00 1371.00 Rp 1,508,100.00 87.00
1.00 Rp 12,375.00
Rp 151,800.00 5.00 Rp 63,250.00 13.00
Rp 2,102,100.00 62.00 Rp 1,551,550.00 24.00
Rp 1,173,750.00 568.00 Rp 426,000.00 467.90 Rp 350,925.00 286.00
Rp 147,900.00 41.00 Rp 121,278.00 41.00 Rp 121,278.00 168.00
31.00 Rp 1,160,457.10 115.00 Rp 4,304,921.50 4.00
3.00
Rp 1,640,210.00 31.00 Rp 343,557.50 637.00 Rp 7,059,552.50 15.00
Rp 892,320.00 175.00 Rp 3,003,000.00 5.00
Rp 18,272,192.40 661.00 Rp 4,958,094.90 1569.00 Rp 11,768,912.10 1205.00
Rp 19,200.00
Rp 10,062,360.00 5.00 Rp 54,450.00 150.00

Rp 70,720.00 72.00
Rp 46,728.00 5.00 Rp 3,960.00 88.00

Rp 3,469,210.80 2.00 Rp 1,734,605.40
Rp 16,512,444.00 12.00 Rp 1,834,716.00 5.00
Rp 103,765,974.70 3716.00 Rp 12,681,870.90 5290.32 Rp 86,923,069.62 3398.92
Gedung IRINA F Gedung IRINA Nyiur Melambai Gedung Poliklinik Total

212.00
2.00 Rp 3,840.00 1.00 Rp 1,920.00 19.00
Rp 4,408.36 3.00 Rp 699.00 808.00 Rp 188,264.00 1486.00
16.00 Rp 7,104.00 16.00
Rp 2,365,000.00 12.00 Rp 516,000.00 1261.00
Rp 1,240,872.00 26.00
Rp 138,600.00 6.00 Rp 55,440.00 530.00
87.00
12.00
Rp 85,696.00 12.00 Rp 9,984.00 70.00 Rp 58,240.00 240.00
Rp 98,176.00 35.00 Rp 66,080.00 51.00 Rp 96,288.00 839.00
24.00 Rp 6,336.00 41.00
98.00 Rp 5,948,600.00 106.00
Rp 30,459.00 182.42
7613.00 Rp - 7613.00
Rp 26,428.60 319.00 Rp 205,627.40 538.00
6700.00 Rp - 6700.00
144.00
1.00 Rp 21,528.00 41.00
2.00 Rp 141,955.00 47.00
Rp 424,160.00 2.00 Rp 21,208.00 1284.00
40.00 Rp 9,200.00 53.00
11.00
Rp 4,700.00 125.00 Rp 29,375.00 247.00
2800.00 Rp - 2800.00
16.00 Rp 416,592.00 16.00
4.00
1470.00 Rp - 1470.00
7.00 Rp 3,157.00 7.00
339.00 Rp 9,334,059.90 369.00
Rp 165,126.00 554.00 Rp 417,716.00 1283.00
Rp 264,550.00 45.00 Rp 64,350.00 387.00 Rp 553,410.00 1257.00
2156.00 Rp - 2156.00
20.00 Rp 5,220.00 52.00
125.00
9.00
308.00 Rp 243,936.00 312.00
1.00 Rp 2,460.00 1.00
Rp 6,771.60 330.00 Rp 58,806.00 1779.17
9.00
Rp 7,484,400.00 37.00 Rp 2,197,800.00 933.00
2500.00 Rp - 2500.00
Rp 8,232.00 6.00 Rp 4,116.00 174.00 Rp 119,364.00 353.60
26.00
10.00 Rp 8,070.00 10.00
Rp 815,760.00 21.00 Rp 713,790.00 1117.00
127.00
Rp 1,155,000.00 59.00 Rp 486,750.00 1986.00
5.00 Rp 23,575.00 5.00
Rp 14,520.00 18.00 Rp 4,752.00 586.00 Rp 154,704.00 1982.00
63.00
83.00
4012.00 Rp - 4012.00
Rp 292,600.00 1.00 Rp 41,800.00 8.00 Rp 334,400.00 102.00
74.00 Rp 34,336.00 74.00
6.00 Rp 1,818.00 7.00
Rp 19,844.00 31.00 Rp 15,004.00 218.00
10888.00 Rp - 10888.00
7.00 Rp 210.00 19.00
78.00
Rp 6,034.00 7.00
Rp 11,341.00 64.00 Rp 65,984.00 142.00
Rp 1,420.00 7.00
Rp 95,700.00 802.00 Rp 882,200.00 2932.00
1.00 Rp 5,286.00 13.00
1.00
Rp 164,450.00 6.00 Rp 75,900.00 245.00
Rp 600,600.00 278.00
Rp 214,500.00 302.00 Rp 226,500.00 5150.00 Rp 3,862,500.00 13216.45
Rp 496,944.00 6.00 Rp 17,748.00 312.00 Rp 922,896.00 2348.00
Rp 149,736.40 4.00 Rp 149,736.40 14.00 Rp 524,077.40 412.00
Rp 100,581.00 11.00
Rp 166,237.50 4.00 Rp 44,330.00 1063.00
Rp 85,800.00 267.00
Rp 9,038,584.50 394.00 Rp 2,955,354.60 14860.00
16.00 Rp 76,800.00 20.00
2071.00 Rp - 2071.00
28.00 Rp - 28.00
Rp 1,633,500.00 16.00 Rp 174,240.00 2330.00
Rp 23,040.00 6.00 Rp 1,920.00 614.00 Rp 196,480.00 1460.00
28.00 Rp - 28.00
23.00
Rp 69,696.00 4.00 Rp 3,168.00 21.00 Rp 16,632.00 343.00
546.00 Rp 5,289,648.00 547.00
73.00
Rp 764,465.00 219.00
Rp 28,267,932.96 1035.00 Rp 8,061,365.00 52190.00 Rp 30,057,919.70 100912.64
Total
Nilai
Rp 5,936,000.00
Rp 36,480.00
Rp 346,238.00
Rp 7,104.00
Rp 54,223,000.00
Rp 1,344,278.00
Rp 4,897,200.00
Rp 25,251,689.10
Rp 2,832.00
Rp 199,680.00
Rp 1,584,032.00
Rp 10,824.00
Rp 6,434,200.00
Rp 142,470.02
Rp -
Rp 346,794.80
Rp -
Rp 2,734,272.00
Rp 882,648.00
Rp 3,335,942.50
Rp 13,615,536.00
Rp 12,190.00
Rp 935.00
Rp 58,045.00
Rp -
Rp 416,592.00
Rp 46,776.40
Rp -
Rp 3,157.00
Rp 10,160,082.90
Rp 967,382.00
Rp 1,797,510.00
Rp -
Rp 13,572.00
Rp 1,701,562.50
Rp 2,970.00
Rp 247,104.00
Rp 2,460.00
Rp 317,048.09
Rp 18,162.00
Rp 55,420,200.00
Rp -
Rp 242,569.60
Rp 34,111,077.00
Rp 8,070.00
Rp 37,966,830.00
Rp 3,711,702.00
Rp 16,384,500.00
Rp 23,575.00
Rp 523,248.00
Rp 20,821,531.50
Rp 15,521,000.00
Rp -
Rp 4,263,600.00
Rp 34,336.00
Rp 2,121.00
Rp 105,512.00
Rp -
Rp 570.00
Rp 945,945.00
Rp 6,034.00
Rp 146,402.00
Rp 9,940.00
Rp 3,225,200.00
Rp 68,718.00
Rp 12,375.00
Rp 3,099,250.00
Rp 6,956,950.00
Rp 9,912,337.50
Rp 6,945,384.00
Rp 15,422,849.20
Rp 368,797.00
Rp 11,780,697.50
Rp 4,581,720.00
Rp 111,463,374.00
Rp 96,000.00
Rp -
Rp -
Rp 25,373,700.00
Rp 467,200.00
Rp -
Rp 116,380.00
Rp 271,656.00
Rp 5,299,336.00
Rp 63,313,097.10
Rp 33,483,567.00
Rp 629,604,120.71
Nama Antibiotika
Jumlah Nilai Jumlah
Amoksisilin sir kering 125 mg/5 mL 5
Amoksisilin tab 500 mg 107 Rp 24,931.00 160
Ampisilin 1000mg + sulbactam 500mg inj 30 Rp 1,290,000.00 245
Ampisilin 500mg + sulbactam 250mg inj 36
Ampisilin serb inj 1000 mg/vial 4 Rp 36,960.00 36
Artesunat serb inj 60 mg/mL (i.v./i.m.) 3
Asiklovir tab 200 mg 24
Azitromisin tab 500 mg 60 Rp 113,280.00 196
Doksisiklin kaps 100 mg 6
Entekavir tab 0.5 mg
Eritromisin sir 200 mg/5 mL
Eritromisin tab 500 mg 277 Rp 216,337.00 10
Etambutol tab 500 mg 14
Flukonazol inf 2 mg/mL 2 Rp 37,976.00 15
Flukonazol kaps 150 mg 4 Rp 86,112.00 9
Fosfomisin inj 1000 mg 42
Gentamisin inj 40 mg/mL 54 Rp 572,616.00 89
Griseofulvin (micronized ) tab 125 mg 8 Rp 1,840.00
Isoniazid tab 300 mg 15
Klaritromisin tab 500 mg 11
Klindamisin kaps 150 mg 4
Klindamisin kaps 300 mg 31 Rp 44,330.00 284
Kloramfenikol kaps 250 mg 7 Rp 1,827.00
Kloramfenikol serb inj 1.000 mg/mL 1
Klorokuin fosfat tab 250 mg 9
Kotrimoksazol sir 240 mg/ 5 mL 1
Kotrimoksazol tab 480 mg 281
Levofloksasin inf 5 mg/mL 15 Rp 891,000.00 399
Levofloksasin inf 750 mg
Levofloksasin tab 500 mg 9 Rp 6,174.00 42
Linkomisin kaps 500 mg
Meropenem serb inj 1000 mg/vial 15 Rp 629,805.00 55
Meropenem serb inj 500 mg/vial 5
Metronidazol inf 5 mg/mL 724
Metronidazol tab 500 mg 2 Rp 528.00 232
Moksifloksasin infus 400 ml 3
Nistatin susp 100.000 UI/mL 3 Rp 125,400.00 20
Pirantel pamoat tab 125 mg 2
Pirazinamid tab 500 mg 12
Primakuin tab 15 mg 4
Prokain benzilpenisilin serb inj 3 juta 1
Rifampisin tab 450 mg 16
Sefadroksil kaps 500 mg 48 Rp 26,880.00 422
Sefadroksil sir kering 125 mg/5 mL 8
SeFAZolin serb inj 1.000 mg/vial 50 Rp 632,500.00 7
Sefepim serb inj 1000 mg/vial 50 Rp 1,251,250.00 2
Sefiksim kaps 100 mg 425 Rp 318,750.00 3010.9
Sefiksim kaps 200 mg 67 Rp 198,186.00 436
Sefiksim sir 100 mg/5 mL 4 Rp 67,320.00 194
Sefoperazon serb inj 1.000 mg/vial
Sefoperazon sulbactam inj 1000mg/mL
SefOTAKsim inj 1.000 mg/vial 27 Rp 299,227.50 74
SefTAZidim serb inj 1.000 mg/vial 39
SefTRIAKson serb inj 1.000 mg/vial 433 Rp 3,247,889.70 3002
Sefuroksim tab 500 mg
Siprofloksasin inf 2 mg/mL 12 Rp 138,000.00 663
Siprofloksasin tab 500 mg 41 Rp 13,120.00 420
Sulfadoksin 500 mg + pirimetamin 25 mg 43
Telbivudin tab 600 mg
Tenofovir tab 300 mg 1
Vankomisin serb inj 500 mg/vial 68 Rp 10,396,724.00 6
Grand Total 1853 Rp 20,668,963.20 11420.9

Rp - 2 Rp 59,400.00
Rp - 12 Rp 336,000.00
Rp 9,600.00 1 Rp 1,920.00
Rp 37,280.00 51 Rp 11,883.00 100
Rp 10,535,000.00 4 Rp 172,000.00 9
Rp 1,861,308.00 2 Rp 103,406.00
Rp 332,640.00
Rp 144,787.50
Rp -
Rp 5,664.00
Rp 63,232.00 16 Rp 13,312.00
Rp 370,048.00 2 Rp 3,776.00 3 Rp 5,664.00 22
Rp 1,584.00
Rp - 8
Rp -
Rp 7,810.00
Rp -
Rp 9,024.40 4 Rp 2,578.40 8 Rp 5,156.80
Rp -
Rp 284,820.00 12 Rp 227,856.00 14
Rp 193,752.00 3
Rp 2,981,055.00 148 Rp 10,504,670.00
Rp - 25 Rp 5,955,482.50
Rp 943,756.00 54 Rp 572,616.00 69 Rp 731,676.00
Rp -
Rp -
Rp 3,525.00 2 Rp 470.00 4 Rp 940.00
Rp -
Rp -
Rp -
Rp -
Rp 302,875.10 25
Rp 3,016.00 30
Rp 406,120.00 40 Rp 57,200.00 87
Rp -
Rp -
Rp 13,612.50
Rp -
Rp 7,128.00
Rp 2,460.00
Rp 50,074.20 36 Rp 6,415.20
Rp 23,700,600.00 14 Rp 831,600.00 87 Rp 5,167,800.00 53
Rp - 5
Rp -
Rp 28,812.00 3 Rp 2,058.00 16
Rp - 10
Rp 2,309,285.00 241 Rp 10,118,867.00 67 Rp 2,813,129.00 45
Rp 146,130.00 20 Rp 584,520.00 1 Rp 29,226.00 2
Rp 5,973,000.00 92 Rp 759,000.00 765 Rp 6,311,250.00 114
Rp 61,248.00 325 Rp 85,800.00 3
Rp - 83 Rp 27,431,541.50
Rp 561,000.00 43 Rp 8,041,000.00 9
Rp -
Rp 836,000.00 1
Rp -
Rp 606.00 4
Rp 5,808.00 4 Rp 1,936.00 11 Rp 5,324.00
Rp -
Rp 120.00
Rp 12,127.50 17 Rp 206,167.50
Rp -
Rp 16,496.00 3 Rp 3,093.00
Rp 8,520.00 2 Rp 2,840.00
Rp 236,320.00 16 Rp 8,960.00 24
Rp 42,288.00
Rp - 1 Rp 12,375.00
Rp 88,550.00 71 Rp 898,150.00 92 Rp 1,163,800.00 18
Rp 50,050.00 238 Rp 5,955,950.00 11 Rp 275,275.00 15
Rp 2,258,175.00 18 Rp 13,500.00 1776 Rp 1,332,000.00 281
Rp 1,289,688.00 77 Rp 227,766.00 47
Rp 3,265,020.00 7 Rp 117,810.00
Rp - 6 Rp 201,162.00
Rp - 18 Rp 355,104.00
Rp 820,105.00 10 Rp 110,825.00 41
Rp 669,240.00 38 Rp 652,080.00 45
Rp 22,517,701.80 285 Rp 2,137,756.50 2224.8 Rp 16,688,002.32 339
Rp -
Rp -
Rp -
Rp 7,624,500.00 10 Rp 115,000.00 132 Rp 1,518,000.00 154
Rp 134,400.00 10 Rp 3,200.00 28 Rp 8,960.00 36
Rp -
Rp - 18
Rp 34,056.00
Rp -
Rp 9,688.00
Rp - 27 Rp 23,417,172.90 11
Rp 917,358.00 27 Rp 4,128,111.00 52 Rp 7,950,436.00 5
Rp 92,187,064.00 1520 Rp 102,761,489.00 5927.8 Rp 45,697,480.62 1594
PERIODE BULAN FEBRUARI 2019
Rp 23,300.00
Rp 387,000.00 111 Rp 4,773,000.00 147 Rp 6,321,000.00 586
36
4
14
Rp 41,536.00 39 Rp 73,632.00 21 Rp 39,648.00 236
Rp 485,600.00 3
100
65 Rp 41,899.00 47
100
Rp 265,832.00 3 Rp 56,964.00 15 Rp 284,820.00 5
Rp 64,584.00 11 Rp 236,808.00 22
3 Rp 31,812.00 2 Rp 21,208.00 4
2 Rp 170.00
43 Rp 10,105.00 26
100
44 Rp 1,145,628.00
20
Rp 688,352.50
Rp 22,620.00 18 Rp 13,572.00 9
Rp 124,410.00 177 Rp 253,110.00 84 Rp 120,120.00 349
60
8
40 Rp 7,128.00 4 Rp 712.80 302
Rp 3,148,200.00 127 Rp 7,543,800.00 57 Rp 3,385,800.00 231
Rp 297,000.00 10 Rp 594,000.00
Rp 10,976.00 22 Rp 15,092.00 4 Rp 2,744.00 58

Rp 8,070.00 4 Rp 3,228.00 6
Rp 1,889,415.00 54 Rp 2,267,298.00 11 Rp 461,857.00 150
Rp 58,452.00 2 Rp 58,452.00 18 Rp 526,068.00 23
Rp 940,500.00 341 Rp 2,813,250.00 175 Rp 1,443,750.00 639
Rp 792.00 125 Rp 33,000.00 45 Rp 11,880.00 172
Rp 1,683,000.00 15 Rp 2,805,000.00 16
100
Rp 41,800.00 3 Rp 125,400.00 1 Rp 41,800.00 10
Rp 1,212.00 4
66 Rp 31,944.00 44
100
4 Rp 120.00 25
15
66 Rp 68,046.00 17
Rp 13,440.00 6 Rp 3,360.00
Rp 227,700.00 8 Rp 101,200.00 2 Rp 25,300.00

Rp 375,375.00 40 Rp 1,001,000.00 47
Rp 210,750.00 178 Rp 133,500.00 312 Rp 234,000.00 1079.6
Rp 139,026.00 113 Rp 334,254.00 34 Rp 100,572.00 188
1 Rp 16,830.00
6 Rp 201,162.00
Rp 454,382.50 103 Rp 1,141,497.50 81

Rp 772,200.00 88
Rp 2,542,805.10 520 Rp 3,900,468.00 512 Rp 3,840,460.80 2318
Rp 1,771,000.00 243 Rp 2,794,500.00 119 Rp 1,368,500.00 858

Rp 11,520.00 40 Rp 12,800.00 20 Rp 6,400.00 190
Rp 91,080.00 6 Rp 30,360.00 1
42 Rp 33,264.00 30
1 Rp 9,688.00 7
Rp 9,540,329.70
Rp 764,465.00 4 Rp 611,572.00 2 Rp 305,786.00 38
Rp 27,096,724.80 2534 Rp 28,373,708.00 1757 Rp 23,496,632.10 8566.6
PERAWATAN

1 Rp 29,700.00
1 Rp 28,000.00 130 Rp 3,640,000.00
1 Rp 1,920.00 5 Rp 9,600.00
30 Rp 6,990.00 212 Rp 49,396.00 27
Rp 25,198,000.00 74 Rp 3,182,000.00 94
Rp 1,861,308.00 4 Rp 206,812.00
Rp 36,960.00 12 Rp 110,880.00 385 Rp 3,557,400.00 9
90 Rp 26,122,437.00
Rp 11,648.00 46
Rp 445,568.00 3 Rp 5,664.00 12 Rp 22,656.00 59
Rp 182,100.00
35 Rp 27,335.00 11
Rp -
Rp 30,296.20 10
Rp -
Rp 94,940.00 28 Rp 531,664.00
Rp 473,616.00 32
2 Rp 141,955.00
Rp 42,416.00 70 Rp 742,280.00 639 Rp 6,775,956.00 5
1 Rp 85.00 4 Rp 340.00
Rp 6,110.00 4 Rp 940.00 5
Rp -
9
Rp -
Rp 6,786.00 18 Rp 13,572.00 96
Rp 499,070.00 27 Rp 38,610.00 577
Rp -
20 Rp 5,220.00 2
6 Rp 81,675.00 56 Rp 762,300.00
Rp 2,640.00
3 Rp 2,376.00
9 Rp 22,140.00
Rp 53,816.40 22 Rp 3,920.40 102
Rp 13,721,400.00 13 Rp 772,200.00 36 Rp 2,138,400.00 151
Rp 39,788.00 5 Rp 3,430.00 25
Rp 4,842.00
Rp 6,298,050.00 2 Rp 83,974.00 65 Rp 2,729,155.00
Rp 672,198.00 58 Rp 1,695,108.00
Rp 5,271,750.00 197 Rp 1,625,250.00 49 Rp 404,250.00 334
Rp 45,408.00 593 Rp 156,552.00 13 Rp 3,432.00 52
9 Rp 2,974,504.50
Rp 2,992,000.00
Rp -
Rp 418,000.00 2 Rp 83,600.00 11 Rp 459,800.00 4
Rp 1,212.00 3 Rp 909.00
Rp 21,296.00 7 Rp 3,388.00 10
Rp -
Rp 750.00 4 Rp 120.00
Rp 12,930.00
Rp 17,527.00 6 Rp 6,186.00
1285 Rp 719,600.00 6 Rp 3,360.00 54

1
2 Rp 24,750.00
2 Rp 25,300.00 1 Rp 12,650.00 16
Rp 1,176,175.00 38
Rp 809,700.00 506.8 Rp 380,100.00 422 Rp 316,500.00 496
Rp 556,104.00 6 Rp 17,748.00 35
17 Rp 286,110.00 107 Rp 1,800,810.00 8
Rp 897,682.50 3 Rp 33,247.50 412 Rp 4,565,990.00 28

Rp 1,510,080.00 1 Rp 17,160.00 136 Rp 2,333,760.00 1
Rp 17,387,086.20 541 Rp 4,057,986.90 1181 Rp 8,858,562.90 1318
Rp 9,867,000.00 30 Rp 345,000.00 256

Rp 60,800.00 12 Rp 3,840.00 79
Rp 5,060.00
Rp 23,760.00 10 Rp 7,920.00 212
Rp 67,816.00
Rp 5,809,934.00 1
Rp 96,633,623.30 3459.8 Rp 13,014,214.40 4198 Rp 70,060,262.80 4203

3.00
143.00
3 Rp 5,760.00 15.00
Rp 6,291.00 1045 Rp 243,485.00 1732.00
Rp 4,042,000.00 6 Rp 258,000.00 1306.00
78.00
Rp 83,160.00 450.00
3.00
90.00
24.00
Rp 38,272.00 30 Rp 24,960.00 182.00
Rp 111,392.00 11 Rp 20,768.00 71 Rp 134,048.00 735.00
78 Rp 20,592.00 84.00
147 Rp 8,922,900.00 158.00
1 Rp 8,090.00 1.00
Rp 8,591.00 16 Rp 12,496.00 349.00
3700 Rp - 3800.00
Rp 6,446.00 20 Rp 12,892.00 168.00
3300 Rp - 3400.00
94.00
Rp 688,896.00 6 Rp 129,168.00 41 Rp 882,648.00 128.00
192.00
25.00
Rp 53,020.00 989.00
8.00
45 Rp 3,825.00 52.00
Rp 1,175.00 97 Rp 22,795.00 196.00
1650 Rp - 1750.00
Rp 234,333.00 53.00
960 Rp - 980.00
7 Rp 3,157.00 7.00
448 Rp 12,335,276.80 484.00
Rp 72,384.00 41 Rp 30,914.00 216.00
Rp 825,110.00 48 Rp 68,640.00 696 Rp 995,280.00 2400.00
1150 Rp - 1210.00
Rp 522.00 29.00
63.00
8.00
147 Rp 116,424.00 159.00
4 Rp 9,840.00 14.00
Rp 18,176.40 8 Rp 1,425.60 443 Rp 78,942.60 1238.00
Rp 8,969,400.00 26 Rp 1,544,400.00 1209.00
15.00
1600 Rp - 1600.00
Rp 17,150.00 157 Rp 107,702.00 341.00
12 Rp 9,684.00 32.00
3 Rp 125,961.00 708.00
129.00
Rp 2,755,500.00 79 Rp 651,750.00 3509.00
Rp 13,728.00 62 Rp 16,368.00 621 Rp 163,944.00 2245.00
92.00
4 Rp 748,000.00 90.00
2100 Rp - 2200.00
Rp 167,200.00 1 Rp 41,800.00 4 Rp 167,200.00 60.00
88 Rp 40,832.00 88.00
13.00
Rp 4,840.00 56 Rp 27,104.00 210.00
5550 Rp - 5650.00
37.00
18.00
56 Rp 48,272.00 71.00
50 Rp 51,550.00 158.00
40 Rp 56,800.00 48.00
Rp 30,240.00 814 Rp 455,840.00 2675.00
Rp 5,286.00 3 Rp 15,858.00 12.00
3.00
Rp 202,400.00 3 Rp 37,950.00 270.00
Rp 950,950.00 441.00
Rp 372,000.00 349 Rp 261,750.00 3797 Rp 2,847,750.00 12651.30
Rp 103,530.00 540 Rp 1,597,320.00 1543.00
Rp 134,640.00 2 Rp 33,660.00 21 Rp 353,430.00 361.00
12.00
18.00
Rp 310,310.00 6 Rp 66,495.00 785.00
Rp 17,160.00 348.00
Rp 9,886,186.20 260 Rp 1,950,234.00 12933.80
14 Rp 67,200.00 14.00
1300 Rp - 1300.00
56 Rp - 56.00
Rp 2,944,000.00 76 Rp 874,000.00 2553.00
Rp 25,280.00 34 Rp 10,880.00 439 Rp 140,480.00 1349.00
56 Rp - 56.00
25.00
Rp 167,904.00 105 Rp 83,160.00 442.00
7 Rp 407,291.50 7.00
301 Rp 2,916,088.00 310.00
38.00
Rp 152,893.00 50 Rp 7,644,650.00 253.00
Rp 33,420,365.60 1048 Rp 14,553,099.60 31913 Rp 33,354,630.90 79995.10
Total
Nilai
Rp 89,100.00
Rp 4,004,000.00
Rp 28,800.00
Rp 403,556.00
Rp 56,158,000.00
Rp 4,032,834.00
Rp 4,158,000.00
Rp 144,787.50
Rp 26,122,437.00
Rp 5,664.00
Rp 151,424.00
Rp 1,387,680.00
Rp 22,176.00
Rp 9,590,600.00
Rp 8,090.00
Rp 272,569.00
Rp -
Rp 108,292.80
Rp -
Rp 1,784,872.00
Rp 2,755,584.00
Rp 13,627,680.00
Rp 5,955,482.50
Rp 10,487,356.00
Rp 1,840.00
Rp 4,420.00
Rp 46,060.00
Rp -
Rp 1,379,961.00
Rp -
Rp 3,157.00
Rp 13,326,504.40
Rp 162,864.00
Rp 3,432,000.00
Rp -
Rp 7,569.00
Rp 857,587.50
Rp 2,640.00
Rp 125,928.00
Rp 34,440.00
Rp 220,611.60
Rp 71,814,600.00
Rp 891,000.00
Rp -
Rp 233,926.00
Rp 25,824.00
Rp 29,726,796.00
Rp 3,770,154.00
Rp 28,949,250.00
Rp 592,680.00
Rp 30,406,046.00
Rp 16,830,000.00
Rp -
Rp 2,508,000.00
Rp 40,832.00
Rp 3,939.00
Rp 101,640.00
Rp -
Rp 1,110.00
Rp 218,295.00
Rp 61,202.00
Rp 162,898.00
Rp 68,160.00
Rp 1,498,000.00
Rp 63,432.00
Rp 37,125.00
Rp 3,415,500.00
Rp 11,036,025.00
Rp 9,488,475.00
Rp 4,564,194.00
Rp 6,075,630.00
Rp 402,324.00
Rp 355,104.00
Rp 8,699,762.50
Rp 5,971,680.00
Rp 97,015,140.42
Rp 67,200.00
Rp -
Rp -
Rp 29,359,500.00
Rp 431,680.00
Rp -
Rp 126,500.00
Rp 350,064.00
Rp 407,291.50
Rp 3,003,280.00
Rp 32,957,502.60
Rp 38,681,929.00
Rp 601,318,258.32
Nama Antibiotika
Jumlah Nilai Jumlah
Amoksisilin sir kering 125 mg/5 mL 9
Amoksisilin tab 500 mg 199.16
Ampisilin 1000mg + sulbactam 500mg inj 13 Rp 559,000.00 201
Ampisilin 500mg + sulbactam 250mg inj
Ampisilin serb inj 1000 mg/vial 28
Ampisilin tab 500 mg 2
Azitromisin tab 500 mg 57 Rp 107,616.00 173
Aztreonam inj 1000 mg
Daklatasvir tab 30 mg (bantuan)
Daklatasvir tab 60 mg (bantuan)
Doksisiklin kaps 100 mg 10
Entekavir tab 0.5 mg 5
Eritromisin sir 200 mg/5 mL
Eritromisin tab 500 mg 136 Rp 106,216.00 16
Etambutol tab 500 mg 8
Flukonazol inf 2 mg/mL
Flukonazol kaps 150 mg 17 Rp 365,976.00 7
Gentamisin inj 40 mg/mL 7 Rp 74,228.00 103
Griseofulvin (micronized ) tab 125 mg
Isoniazid tab 300 mg 7
Kanamisin inj 1.000 mg/ vial
Kapreomisin inj 1000 mg (MDR)
Klaritromisin tab 500 mg
Kloramfenikol serb inj 1.000 mg/mL 7
Kotrimoksazol sir 240 mg/ 5 mL
Kotrimoksazol tab 480 mg 226
Levofloksasin inf 5 mg/mL 63 Rp 3,742,200.00 345
Levofloksasin tab 500 mg 1 Rp 730.40 34
Linezolid inj 600mg / 300mL
Metronidazol inf 5 mg/mL 512
Metronidazol tab 500 mg 191.8
Moksifloksasin infus 400 ml 10 Rp 1,870,000.00 5
Nistatin susp 100.000 UI/mL 4 Rp 167,200.00 22
Pirantel pamoat tab 125 mg
Pirazinamid tab 500 mg 10
Primakuin tab 15 mg 5
Prokain benzilpenisilin serb inj 3 juta 4
Sefadroksil kaps 500 mg 20 Rp 11,200.00 295.8
Sefadroksil sir kering 125 mg/5 mL 3
SeFAZolin serb inj 1.000 mg/vial 18 Rp 227,700.00 45
Sefepim serb inj 1000 mg/vial 2
Sefiksim sir 100 mg/5 mL 1 Rp 16,830.00 128
Sefoperazon serb inj 1.000 mg/vial
Sefoperazon sulbactam inj 1000mg/mL
SefOTAKsim inj 1.000 mg/vial 30 Rp 332,475.00 198
SefTAZidim serb inj 1.000 mg/vial 5
SefTRIAKson serb inj 1.000 mg/vial 432 Rp 3,240,388.80 2993
Siprofloksasin inf 2 mg/mL 537
Siprofloksasin tab 500 mg 38 Rp 12,160.00 327
Sulfadoksin 500 mg + pirimetamin 25 mg 71
Telbivudin tab 600 mg
Tenofovir tab 300 mg
Vankomisin serb inj 500 mg/vial 45 Rp 6,880,185.00 7
Grand Total 1320 Rp 18,308,897.20 10780.71

67 Rp 1,876,000.00
Rp 17,280.00
Rp 46,404.28 10 Rp 2,330.00 17 Rp 3,961.00 10
Rp 8,643,000.00 102 Rp 4,386,000.00 4 Rp 172,000.00 126
Rp 258,720.00 39 Rp 360,360.00 12
Rp 640.00
Rp 944.00
Rp 89,856.00
Rp 326,624.00 4 Rp 7,552.00 1 Rp 1,888.00 23
30 Rp 7,796,250.00
Rp 2,640.00
Rp 303,500.00
Rp 12,496.00
400 Rp -
Rp 5,156.80
500 Rp -
89 Rp 1,689,932.00
Rp 150,696.00 5
72 Rp 5,110,380.00
2 Rp 476,438.60
Rp 1,092,212.00 48 Rp 508,992.00 35 Rp 371,140.00
Rp 1,645.00
100 Rp -
Rp 431,288.00 66 Rp 49,764.00 313

Rp 343,200.00 6 Rp 8,580.00 24 Rp 34,320.00 1
100 Rp -
Rp 95,287.50
Rp 40,273.20 66 Rp 11,761.20 8 Rp 1,425.60 38

Rp 20,493,000.00 15 Rp 891,000.00 80 Rp 4,752,000.00 101
Rp 24,833.60 17 Rp 12,416.80 6
14 Rp 16,500,715.00
Rp 3,065,051.00 346 Rp 14,527,502.00 82 Rp 3,442,934.00 6
Rp 147,810.00 4 Rp 98,540.00 5
Rp 4,224,000.00 108 Rp 891,000.00 765 Rp 6,311,250.00 184
Rp 50,635.20 10 Rp 2,640.00 506 Rp 133,584.00 24
20 Rp 6,610,010.00
Rp 935,000.00 19 Rp 3,553,000.00
300 Rp -
Rp 919,600.00 2 Rp 83,600.00 2
Rp 4,840.00
450 Rp -
Rp 150.00
Rp 48,510.00 41 Rp 497,227.50
Rp 3,093.00
Rp 10,395.00
Rp 165,648.00 16 Rp 8,960.00
Rp 15,858.00
Rp 569,250.00 120 Rp 1,518,000.00 131 Rp 1,657,150.00 12

Rp 50,050.00 34 Rp 850,850.00 23
Rp 1,683,900.00 26 Rp 19,500.00 1709 Rp 1,281,750.00 84
Rp 2,315,374.50 353 Rp 1,044,174.00 116
Rp 2,154,240.00 11 Rp 185,130.00
36 Rp 1,206,972.00
2 Rp 39,456.00
Rp 2,194,335.00 4 Rp 44,330.00 50 Rp 554,125.00 3
Rp 85,800.00 2 Rp 34,320.00 6
Rp 22,450,193.70 379 Rp 2,842,841.10 2737.8 Rp 20,535,964.02 440
Rp 6,175,500.00 127 Rp 1,460,500.00 206

Rp 104,640.00 10 Rp 3,200.00 55
Rp 56,232.00 6
95 Rp 82,393,756.50
Rp 1,070,251.00 28 Rp 4,281,004.00 33 Rp 5,045,469.00 8
Rp 80,880,052.78 3570 Rp 156,933,224.40 6902.8 Rp 49,250,720.92 1815
PERIODE BULAN MARET 2019

2
Rp 2,330.00 4 Rp 932.00
Rp 5,418,000.00 106 Rp 4,558,000.00 80 Rp 3,440,000.00 504
18
Rp 110,880.00 8 Rp 73,920.00 6 Rp 55,440.00
30
74 Rp 61,568.00 22 Rp 18,304.00 54
Rp 43,424.00 19 Rp 35,872.00 3 Rp 5,664.00 53
14 Rp 3,696.00 14 Rp 3,696.00 8
3
16
200
40 Rp 25,784.00 25
200
20 Rp 379,760.00 38
Rp 107,640.00 10 Rp 215,280.00 18
28
4 Rp 42,416.00 24 Rp 254,496.00 92
6
20 Rp 4,700.00 11
150
10
30
5 Rp 137,670.50
Rp 236,002.00 159 Rp 119,886.00 152 Rp 114,608.00 573
Rp 1,430.00 6 Rp 8,580.00 34 Rp 48,620.00 113
100
2
Rp 6,771.60 232 Rp 41,342.40 34 Rp 6,058.80 290
Rp 5,999,400.00 80 Rp 4,752,000.00 120 Rp 7,128,000.00 302
Rp 4,382.40 15 Rp 10,956.00 23 Rp 16,799.20 26
Rp 251,922.00 114 Rp 4,786,518.00 67 Rp 2,813,129.00 154

Rp 123,175.00 21 Rp 517,335.00 5 Rp 123,175.00 21
Rp 1,518,000.00 92 Rp 759,000.00 160 Rp 1,320,000.00 466
Rp 6,336.00 35 Rp 9,240.00 56 Rp 14,784.00 134
11
8
150
Rp 83,600.00 10 Rp 418,000.00 3 Rp 125,400.00 23
4
38 Rp 18,392.00 16
250
11 Rp 9,482.00 6
21 Rp 21,651.00
9 Rp 18,711.00 16
Rp 151,800.00 12 Rp 151,800.00 16 Rp 202,400.00

Rp 575,575.00 11 Rp 275,275.00 15
Rp 63,000.00 38 Rp 28,500.00 191 Rp 143,250.00 426
Rp 343,128.00 162 Rp 479,196.00 83 Rp 245,514.00 329
8 Rp 157,824.00
Rp 33,247.50 51 Rp 565,207.50 174
Rp 102,960.00 58 Rp 995,280.00 75
Rp 3,300,396.00 524 Rp 3,930,471.60 591.2 Rp 4,434,532.08 2567
Rp 2,369,000.00 187 Rp 2,150,500.00 113 Rp 1,299,500.00 571

Rp 17,600.00 26 Rp 8,320.00 22 Rp 7,040.00 188
15 Rp 75,900.00 4
Rp 4,752.00 62
2 Rp 19,376.00
Rp 1,223,144.00 17 Rp 2,599,181.00 5 Rp 764,465.00 10

Rp 22,097,895.50 2120 Rp 25,878,896.50 1982.2 Rp 25,173,501.58 8582
AWATAN

Rp 56,000.00 121 Rp 3,388,000.00
4 Rp 7,680.00
21 Rp 4,893.00 35 Rp 8,155.00
Rp 21,672,000.00 34 Rp 1,462,000.00 2
Rp 930,654.00
5 Rp 46,200.00 244 Rp 2,254,560.00 12
3 Rp 960.00
Rp 8,707,479.00 19 Rp 5,514,736.70 52
Rp 44,928.00 47
Rp 100,064.00 19 Rp 35,872.00 1.5 Rp 2,832.00 64
Rp 2,112.00 12 Rp 3,168.00
Rp 182,100.00
1 Rp 8,090.00
Rp 12,496.00 39 Rp 30,459.00 21
Rp -
Rp 16,115.00 9 Rp 5,801.40
Rp -
Rp 721,544.00
Rp 387,504.00 9
Rp 1,987,370.00
Rp 975,568.00 4 Rp 42,416.00 644 Rp 6,828,976.00 52
Rp 510.00 6
Rp 2,585.00 1 Rp 235.00
Rp -
5 Rp 130,185.00 20
4 Rp 46,776.40
Rp -
Rp -
Rp 432,042.00 190
Rp 161,590.00 130
Rp -
19 Rp 258,637.50
Rp 4,920.00 3 Rp 7,380.00
Rp 51,678.00 51 Rp 9,088.20 13 Rp 2,316.60 52
Rp 17,938,800.00 28 Rp 1,663,200.00 3 Rp 178,200.00 116
Rp 18,990.40 14 Rp 10,225.60 28
Rp 6,465,998.00 79 Rp 3,316,973.00 88 Rp 3,694,856.00 44

Rp 517,335.00 151 Rp 3,719,885.00 2
Rp 3,844,500.00 238 Rp 1,963,500.00 134 Rp 1,105,500.00 196
Rp 35,376.00 708 Rp 186,912.00 3 Rp 792.00 46
Rp 3,635,505.50 13 Rp 4,296,506.50 1
Rp 1,496,000.00 2
Rp -
Rp 961,400.00 4 Rp 167,200.00 11 Rp 459,800.00 2
Rp 1,212.00
Rp 7,744.00 2 Rp 968.00
Rp -
2 Rp 60.00
Rp 5,172.00 4
1 Rp 1,031.00
Rp 33,264.00
1465 Rp 820,400.00 27 Rp 15,120.00 160
1
2 Rp 24,750.00 1
3
Rp 375,375.00 26
Rp 319,500.00 182 Rp 136,500.00 263.7 Rp 197,775.00 266
Rp 973,182.00 91 Rp 269,178.00 95 Rp 281,010.00 219
1 Rp 16,830.00 135 Rp 2,272,050.00 2
2 Rp 67,054.00
1 Rp 19,728.00
Rp 1,928,355.00 2 Rp 22,165.00 453 Rp 5,020,372.50 16
Rp 1,287,000.00 5 Rp 85,800.00 159 Rp 2,728,440.00 4
Rp 19,254,810.30 520 Rp 3,900,468.00 838 Rp 6,285,754.20 1415
Rp 6,566,500.00 39 Rp 448,500.00 143

Rp 60,160.00 40 Rp 12,800.00 174
Rp 20,240.00
Rp 49,104.00 2 Rp 1,584.00 53
Rp 1,528,930.00 38
Rp 103,773,712.20 3569 Rp 14,757,847.20 3544.2 Rp 48,733,458.40 3619

190.00
3 Rp 5,760.00 16.00
1258 Rp 293,114.00 1554.16
Rp 86,000.00 89 Rp 3,827,000.00 1261.00
18.00
Rp 110,880.00 354.00
5.00
Rp 15,092,963.60 101.00
4.00
Rp 39,104.00 305.00
Rp 120,832.00 37 Rp 69,856.00 454.50
30.00
56 Rp - 56.00
112 Rp - 112.00
34 Rp 8,976.00 92.00
116 Rp 7,041,200.00 124.00
1 Rp 8,090.00 2.00
Rp 16,401.00 228.00
10100 Rp - 10700.00
11 Rp 7,090.60 242 Rp 155,993.20 335.00
8250 Rp - 8950.00
147.00
Rp 193,752.00 14 Rp 301,392.00 80.00
100.00
2.00
Rp 551,408.00 39 Rp 413,556.00 1052.00
112 Rp 25,760.00 112.00
Rp 510.00 118 Rp 10,030.00 130.00
6 Rp 1,410.00 14 Rp 3,290.00 59.00
5350 Rp - 5500.00
Rp 520,740.00 10 Rp 260,370.00 35.00
4.00
2500 Rp - 2510.00
137 Rp - 267.00
7 Rp 3,157.00 7.00
558 Rp 15,364,027.80 563.00
Rp 143,260.00 34 Rp 25,636.00 629 Rp 474,266.00 2688.00
Rp 185,900.00 51 Rp 72,930.00 614 Rp 878,020.00 1219.00
2500 Rp - 2700.00
26.00
175 Rp 138,600.00 175.00
3 Rp 7,380.00 8.00
Rp 9,266.40 22 Rp 3,920.40 252 Rp 44,906.40 1284.00
Rp 6,890,400.00 7 Rp 415,800.00 1260.00
1300 Rp - 1300.00
Rp 20,451.20 2 Rp 1,460.80 358 Rp 261,483.20 524.00
14.00
Rp 1,847,428.00 9 Rp 377,883.00 1062.00
Rp 49,270.00 215.00
Rp 1,617,000.00 71 Rp 585,750.00 2926.00
Rp 12,144.00 40 Rp 10,560.00 1163 Rp 307,032.00 2916.80
Rp 330,500.50 45.00
Rp 374,000.00 44.00
5400 Rp - 5850.00
Rp 83,600.00 3 Rp 125,400.00 86.00
28 Rp 12,992.00 28.00
52 Rp 33,072.00 52.00
4.00
28 Rp 13,552.00 94.00
12350 Rp - 13050.00
7.00
45.00
Rp 3,448.00 1 Rp 862.00 22.00
6 Rp 6,186.00 72 Rp 74,232.00 103.00
52 Rp 108,108.00 82.00
Rp 89,600.00 1114 Rp 623,840.00 3097.80
Rp 5,286.00 2 Rp 10,572.00 6.00
Rp 12,375.00 1 Rp 12,375.00 4.00
Rp 37,950.00 16 Rp 202,400.00 373.00
Rp 650,650.00 111.00
Rp 199,500.00 82 Rp 61,500.00 4597 Rp 3,447,750.00 10413.90
Rp 647,802.00 78 Rp 230,724.00 1323 Rp 3,913,434.00 3755.75
Rp 33,660.00 1 Rp 16,830.00 22 Rp 370,260.00 301.00
38.00
11.00
Rp 177,320.00 35 Rp 387,887.50 1016.00
Rp 68,640.00 314.00
Rp 10,613,773.50 205 Rp 1,537,684.50 13642.00
2600 Rp - 2600.00
28 Rp - 28.00
Rp 1,644,500.00 92 Rp 1,058,000.00 2015.00
Rp 55,680.00 12 Rp 3,840.00 609 Rp 194,880.00 1501.00
140 Rp - 140.00
1 Rp 5,060.00 20.00
Rp 41,976.00 12 Rp 9,504.00 80 Rp 63,360.00 286.00
4 Rp 232,738.00 4.00
910 Rp 8,816,080.00 912.00
95.00
Rp 5,809,934.00 191.00
Rp 48,387,905.20 921 Rp 9,262,612.80 65439 Rp 43,716,210.60 114164.91
Total
Nilai
Rp 5,320,000.00
Rp 30,720.00
Rp 362,119.28
Rp 54,223,000.00
Rp 930,654.00
Rp 3,270,960.00
Rp 1,600.00
Rp 29,315,179.30
Rp 944.00
Rp 253,760.00
Rp 858,096.00
Rp 7,796,250.00
Rp -
Rp -
Rp 24,288.00
Rp 7,526,800.00
Rp 16,180.00
Rp 178,068.00
Rp -
Rp 215,941.00
Rp -
Rp 2,791,236.00
Rp 1,722,240.00
Rp 7,097,750.00
Rp 476,438.60
Rp 11,155,408.00
Rp 25,760.00
Rp 11,050.00
Rp 13,865.00
Rp -
Rp 911,295.00
Rp 46,776.40
Rp -
Rp -
Rp 3,157.00
Rp 15,501,698.30
Rp 2,026,752.00
Rp 1,743,170.00
Rp -
Rp 353,925.00
Rp 138,600.00
Rp 19,680.00
Rp 228,808.80
Rp 74,844,000.00
Rp -
Rp 382,729.60
Rp 16,500,715.00
Rp 44,590,194.00
Rp 5,296,525.00
Rp 24,139,500.00
Rp 770,035.20
Rp 14,872,522.50
Rp 8,228,000.00
Rp -
Rp 3,594,800.00
Rp 12,992.00
Rp 33,072.00
Rp 1,212.00
Rp 45,496.00
Rp -
Rp 210.00
Rp 545,737.50
Rp 18,964.00
Rp 106,193.00
Rp 170,478.00
Rp 1,734,768.00
Rp 31,716.00
Rp 49,500.00
Rp 4,718,450.00
Rp 2,777,775.00
Rp 7,810,425.00
Rp 11,109,508.50
Rp 5,065,830.00
Rp 1,274,026.00
Rp 217,008.00
Rp 11,259,820.00
Rp 5,388,240.00
Rp 102,327,277.80
Rp -
Rp -
Rp 23,172,500.00
Rp 480,320.00
Rp -
Rp 101,200.00
Rp 226,512.00
Rp 232,738.00
Rp 8,835,456.00
Rp 82,393,756.50
Rp 29,202,563.00
Rp 647,154,935.28

Laporan Penggunaan Antibiotika Triwulan I 2019

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Laporan Penggunaan Antibiotika Triwulan I 2019

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Gedung Cardiag & Brain Centre Gedung Gawat Darurat

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Rp 14,233,000.00 12.00 Rp 516,000.00 10.00 Rp 430,000.00 36.00

Rp 227,856.00 65.00 Rp 1,234,220.00 1.00 Rp 18,988.00

Rp 1,261,876.00 44.00 Rp 466,576.00 16.00 Rp 169,664.00 4.00

Rp 7,612,110.00 76.00 Rp 827,640.00 146.00

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Rp 1,548,000.00 288.00 Rp 12,384,000.00 61.00 Rp 2,623,000.00 387.00

8.00 Rp 73,920.00 52.00

99.00 Rp 63,815.40 45.00

14.00 Rp 265,832.00 4.00

55.00 Rp 12,925.00 20.00

Rp 2,494,800.00 81.00 Rp 4,811,400.00 62.00 Rp 3,682,800.00 184.00

Rp 8,232.00 33.00 Rp 22,638.00 9.00 Rp 6,174.00 23.00

Rp 271,920.00 45.00 Rp 1,529,550.00 3.00 Rp 101,970.00 228.00

Rp 8,712.00 5.00 Rp 1,320.00 47.00 Rp 12,408.00 200.00

Rp 83,600.00 15.00 Rp 627,000.00 23.00

61.00 Rp 29,524.00 43.00

1.00 Rp 30.00 8.00

12.00 Rp 151,800.00 12.00

Rp 1,589,940.00 102.00 Rp 1,110,780.00 192.00 Rp 2,090,880.00 924.00

Gedung IRINA C Gedung IRINA D Gedung IRINA E Gedung IRINA F

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Rp 16,641,000.00 3.00 Rp 129,000.00 55.00

Rp 29,007.00 4.00 Rp 2,578.40 41.00

Rp 75,952.00 44.00 Rp 835,472.00

Rp 15,778.00 16.00 Rp 10,976.00 12.00

Rp 7,749,720.00 161.00 Rp 5,472,390.00 24.00

Rp 52,800.00 545.00 Rp 143,880.00 13.00 Rp 3,432.00 55.00

Rp 961,400.00 1.00 Rp 41,800.00 25.00 Rp 1,045,000.00 7.00

Rp 10,062,360.00 5.00 Rp 54,450.00 150.00

Rp 46,728.00 5.00 Rp 3,960.00 88.00

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Rp 10,976.00 22 Rp 15,092.00 4 Rp 2,744.00 58

Rp 227,700.00 8 Rp 101,200.00 2 Rp 25,300.00

Rp 454,382.50 103 Rp 1,141,497.50 81

Rp 1,771,000.00 243 Rp 2,794,500.00 119 Rp 1,368,500.00 858

Gedung IRINA C Gedung IRINA D Gedung IRINA E Gedung IRINA F

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Rp 42,416.00 70 Rp 742,280.00 639 Rp 6,775,956.00 5

1285 Rp 719,600.00 6 Rp 3,360.00 54

Rp 897,682.50 3 Rp 33,247.50 412 Rp 4,565,990.00 28

Rp 9,867,000.00 30 Rp 345,000.00 256

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Rp 431,288.00 66 Rp 49,764.00 313

Rp 40,273.20 66 Rp 11,761.20 8 Rp 1,425.60 38

Rp 569,250.00 120 Rp 1,518,000.00 131 Rp 1,657,150.00 12

Rp 6,175,500.00 127 Rp 1,460,500.00 206

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Rp 4,382.40 15 Rp 10,956.00 23 Rp 16,799.20 26

Rp 251,922.00 114 Rp 4,786,518.00 67 Rp 2,813,129.00 154

Rp 151,800.00 12 Rp 151,800.00 16 Rp 202,400.00

Rp 2,369,000.00 187 Rp 2,150,500.00 113 Rp 1,299,500.00 571

Rp 1,223,144.00 17 Rp 2,599,181.00 5 Rp 764,465.00 10

Gedung IRINA C Gedung IRINA D Gedung IRINA E Gedung IRINA F

Nilai Jumlah Nilai Jumlah Nilai Jumlah

Rp 975,568.00 4 Rp 42,416.00 644 Rp 6,828,976.00 52

Rp 6,465,998.00 79 Rp 3,316,973.00 88 Rp 3,694,856.00 44

Rp 6,566,500.00 39 Rp 448,500.00 143

Nilai Jumlah Nilai Jumlah Nilai Jumlah