CV.

ALWI SEJAHTERA MANDIRI

PENJUALAN ALAT KESEHATAN, KEDOKTERAN, FARMASI DAN LABORATORIUM
Alamat : Jl. Sisingamangaraja No. 8 - Telp. 0822 5370 0400 E-Mail : asm.paray@gmail,com
Palangka Raya – Kalimantan Tengah

FAKTU Kepada :
NOMOR : FK / 88 / I / 2019 Yth. PPK I SINTANG
Tanggal : Januari 2019 Up. Pejabat Pengadaan bara
di
Tempat

Diskon Harga
N0 Nama Barang Banyaknya
% Satuan(Rp) Jumlah (Rp)
1 2 3 4 5 6 7
1 Asam Mefenamat 1,500 Tab 800.00 1,200,000.00
2 Acyclovir 400 mg 200 Tab 200.00 40,000.00
3 Allupurinol 300 mg 300 Tab 650.00 195,000.00
4 Ambroxol 300 Tab 200.00 60,000.00
5 Amitriptilin 100 Tab 2,500.00 250,000.00
6 Amlodipine 10 mg 500 Tab 2,500.00 1,250,000.00
7 Amlodipine 5 mg 600 Tab 1,400.00 840,000.00
8 Amoxicillin 500 mg 800 Tab 350.00 280,000.00
9 Antasida 400 Tab 92.00 36,800.00
10 Calortusin 600 Tab 350.00 210,000.00
11 Cefadroxyl 700 Cap 750.00 525,000.00
12 Cetirizine 10 mg 400 Tab 200.00 80,000.00
13 Ciprofloxacin 500 mg 400 Tab 400.00 160,000.00
14 CTM / Orphen 300 Tab 70.00 21,000.00
15 Dexamethasone 800 Tab 100.00 80,000.00
16 Domperidone / Vesperum 229 Tab 200.00 45,800.00
17 Glimepiride 2 mg 200 Tab 1,500.00 300,000.00
18 Glucosamine 100 Tab 2,050.00 205,000.00
19 Histigo 200 Tab 500.00 100,000.00
20 Ibuprofen 400 mg 400 Tab 243.00 97,200.00
21 Lansoprazole 300 Cap 1,400.00 420,000.00
22 Meloxicam 7,5 mg 600 Tab 500.00 300,000.00
23 Metformin 200 Tab 300.00 60,000.00
24 Molagit 500 Tab 600.00 300,000.00
25 MP 4 mg / Rhemafar 500 Tab 400.00 200,000.00
26 Natrium Diklofenak 500 Tab 200.00 100,000.00
27 Omeprazole 300 Cap 340.00 102,000.00
28 PCT 900 Tab 100.00 90,000.00
29 Pyrantel 125 mg 150 Tab 450.00 67,500.00
30 Ranitidine 300 Tab 158.00 47,400.00
31 Scopma 350 Tab 1,800.00 630,000.00
32 Simvastatin 10 mg 500 Tab 1,500.00 750,000.00
33 Thiamphenicole 500 mg 500 Cap 1,750.00 875,000.00
34 Vit B Complex 800 Tab 100.00 80,000.00
35 Oralit 300 Sachet 1,000.00 300,000.00
36 Multivitamin / Muliavit 600 Tab 4,500.00 2,700,000.00
37 Zink 700 Tab 650.00 455,000.00
38 Dulcolax 500 Tab 2,000 1,000,000.00

SIRUP
39 Ambroxol / Nuvopec 100 Btl 4,000.00 400,000.00
40 Amoxicillin / Novamox 100 Btl 4,000.00 400,000.00
41 Anacetine 80 Btl 7,000.00 560,000.00
42 Antasida 200 Btl 4,000.00 800,000.00
43 Cefadroxyl / Lostacef 100 Btl 7,500.00 750,000.00
44 Cetirizine / Lerzine 70 Btl 5,000.00 350,000.00
45 Coparcetine 100 Btl 5,000.00 500,000.00
46 Domperidone / Hufadon 150 Btl 5,000.00 750,000.00
47 Ibuprofen / Etafen 200 Btl 5,000.00 1,000,000.00
48 Multivitamin / Muliavit 150 Btl 4,500.00 675,000.00
49 Obat Sariawan GOM 100 Btl 4,000.00 400,000.00
50 PCT / Novagesic 300 Btl 4,000.00 1,200,000.00

LAIN LAIN
51 Antihemorroid supp 80 Supp 4,000.00 320,000.00
52 L Bio 100 Sachet 7,100.00 710,000.00
53 Salep Kulit Acyclovir 120 Tube 4,000.00 480,000.00
54 Salep Kulit Armacort 150 Tube 5,900.00 885,000.00
55 Salep Kulit Betamethason 95 Tube 4,000.00 380,000.00
56 Salep Kulit Genalten 90 Tube 3,050.00 274,500.00
57 Salep Kulit Ketokonazole 40 Tube 6,400.00 256,000.00
58 Salep Scabicid 100 Tube 60,000.00 6,000,000.00
59 Salep Pain Kila 40 Tube 35,000.00 1,400,000.00
60 Salep Mata Reco 80 Tube 35,000.00 2,800,000.00

BHP
61 Betadin 30 ml 15 Btl 21,000.00 315,000.00
62 Chlorethyl Spray 5 Btl 172,000.00 860,000.00
63 Hypafix 10x5m 1 Box 164,800.00 164,800.00
64 Kasa Gulung 1 Meter 50 Roll 115,000.00 5,750,000.00
65 Sensigloves Uk M 60 Box 40,000.00 2,400,000.00
66 Sensigloves Uk S 20 Box 40,000.00 800,000.00
67 Sofratulle 50 Box 27,000.00 1,350,000.00
68 Spuit 1 cc 100 Pcs 2,000.00 200,000.00
69 Spuit 3 cc 150 Pcs 1,000.00 150,000.00
70 Surgical Face Mask Earloops 30 Box 25,000.00 750,000.00
71 Surgical Mask Earloop 3Ply 40 Box 28,000.00 1,120,000.00
Sub Total 49,603,000.00
Ppn -
Total Tagihan 49,603,000.00

Yang menyerahkan
Diterima oleh CV Alwi Sjahtera Mandiri,

Syahrial Effendi,Amd.AK
Direktur
 CV. ALWI SEJAHTERA MANDIRI
PENJUALAN ALAT KESEHATAN, KEDOKTERAN, FARMASI DAN LABORATORIUM
Alamat : Jl. Sisingamangaraja No. 8 - Telp. 0822 5370 0400 E-Mail : asm.paray@gmail,com
Palangka Raya – Kalimantan Tengah

FAKTU Kepada :
NOMOR : FK / 90 / II / 2019 Yth. PPK I SINTANG
Tanggal : 20 Februari 2019 Up. Pejabat Pengadaan barang
di
Tempat

Diskon Harga
N0 Nama Barang Banyaknya
% Satuan(Rp) Jumlah (Rp)
1 2 3 4 5 6 7
1 Asam Mefenamat 1,500 Tab 800.00 1,200,000.00
2 Acyclovir 400 mg 300 Tab 200.00 60,000.00
3 Allupurinol 300 mg 550 Tab 650.00 357,500.00
4 Ambroxol 200 Tab 200.00 40,000.00
5 Amitriptilin 100 Tab 2,500.00 250,000.00
6 Amlodipine 10 mg 300 Tab 2,500.00 750,000.00
7 Amlodipine 5 mg 600 Tab 1,400.00 840,000.00
8 Amoxicillin 500 mg 800 Tab 350.00 280,000.00
9 Antasida 400 Tab 92.00 36,800.00
10 Calortusin 600 Tab 350.00 210,000.00
11 Cefadroxyl 700 Cap 750.00 525,000.00
12 Cetirizine 10 mg 500 Tab 200.00 100,000.00
13 Ciprofloxacin 500 mg 550 Tab 400.00 220,000.00
14 CTM / Orphen 300 Tab 70.00 21,000.00
15 Dexamethasone 800 Tab 100.00 80,000.00
16 Domperidone / Vesperum 300 Tab 200.00 60,000.00
17 Glimepiride 2 mg 200 Tab 1,500.00 300,000.00
18 Glucosamine 100 Tab 2,050.00 205,000.00
19 Histigo 250 Tab 500.00 125,000.00
20 Ibuprofen 400 mg 400 Tab 243.00 97,200.00
21 Lansoprazole 300 Cap 1,400.00 420,000.00
22 Meloxicam 7,5 mg 600 Tab 500.00 300,000.00
23 Metformin 800 Tab 300.00 240,000.00
24 Molagit 500 Tab 600.00 300,000.00
25 MP 4 mg / Rhemafar 500 Tab 400.00 200,000.00
26 Natrium Diklofenak 500 Tab 200.00 100,000.00
27 Omeprazole 300 Cap 340.00 102,000.00
28 PCT 900 Tab 100.00 90,000.00
29 Pyrantel 125 mg 200 Tab 450.00 90,000.00
30 Ranitidine 400 Tab 158.00 63,200.00
31 Scopma 350 Tab 1,800.00 630,000.00
32 Simvastatin 10 mg 500 Tab 1,500.00 750,000.00
33 Thiamphenicole 500 mg 500 Cap 1,750.00 875,000.00
34 Vit B Complex 800 Tab 100.00 80,000.00
35 Oralit 300 Sachet 1,000.00 300,000.00
36 Multivitamin / Muliavit 600 Tab 4,500.00 2,700,000.00
37 Zink 700 Tab 650.00 455,000.00
38 Dulcolax 500 Tab 2,000 1,000,000.00
1 2 3 4 5 6
SIRUP
39 Ambroxol / Nuvopec 100 Btl 4,000.00 400,000.00
40 Amoxicillin / Novamox 100 Btl 4,000.00 400,000.00
41 Anacetine 80 Btl 7,000.00 560,000.00
42 Antasida 200 Btl 4,000.00 800,000.00
43 Cefadroxyl / Lostacef 100 Btl 7,500.00 750,000.00
44 Cetirizine / Lerzine 70 Btl 5,000.00 350,000.00
45 Coparcetine 100 Btl 5,000.00 500,000.00
46 Domperidone / Hufadon 150 Btl 5,000.00 750,000.00
47 Ibuprofen / Etafen 200 Btl 5,000.00 1,000,000.00
48 Multivitamin / Muliavit 150 Btl 4,500.00 675,000.00
49 Obat Sariawan GOM 100 Btl 4,000.00 400,000.00
50 PCT / Novagesic 300 Btl 4,000.00 1,200,000.00

LAIN LAIN
51 Antihemorroid supp 80 Supp 4,000.00 320,000.00
52 L Bio 100 Sachet 7,100.00 710,000.00
53 Salep Kulit Acyclovir 120 Tube 4,000.00 480,000.00
54 Salep Kulit Armacort 150 Tube 5,900.00 885,000.00
55 Salep Kulit Betamethason 95 Tube 4,000.00 380,000.00
56 Salep Kulit Genalten 100 Tube 3,050.00 305,000.00
57 Salep Kulit Ketokonazole 40 Tube 6,400.00 256,000.00
58 Salep Scabicid 100 Tube 60,000.00 6,000,000.00
59 Salep Pain Kila 45 Tube 35,000.00 1,575,000.00
60 Salep Mata Reco 80 Tube 35,000.00 2,800,000.00

BHP
61 Betadin 30 ml 15 Btl 21,000.00 315,000.00
62 Chlorethyl Spray 6 Btl 172,000.00 1,032,000.00
63 Hypafix 10x5m 1 Box 164,300.00 164,300.00
64 Kasa Gulung 1 Meter 50 Roll 115,000.00 5,750,000.00
65 Sensigloves Uk M 60 Box 40,000.00 2,400,000.00
66 Sensigloves Uk S 20 Box 40,000.00 800,000.00
67 Sofratulle 50 Box 27,000.00 1,350,000.00
68 Spuit 1 cc 100 Pcs 2,000.00 200,000.00
69 Spuit 3 cc 150 Pcs 1,000.00 150,000.00
70 Surgical Face Mask Earloops 30 Box 25,000.00 750,000.00
71 Surgical Mask Earloop 3Ply 40 Box 28,000.00 1,120,000.00
Sub Total 49,980,000.00
Ppn -
Total Tagihan 49,980,000.00

Yang menyerahkan
Diterima oleh CV Alwi Sjahtera Mandiri,

Syahrial Effendi,Amd.AK
Direktur
Syahrial Effendi,Amd.AK
Direktur
BATALYON INFANTERI RK 644/WALET SAKTI
FKTP TONKES YONIF RK 644/WALET SAKTI

KEBUTUHAN BEKKES BULAN JANUARI 2019

HARGA
N0 Nama Barang SAT BANYAKNYA
SATUAN
JUMLAH HARGA KET

1 2 3 6 7
1 Asam Mefenamat Tab 150 800 120,000
2 Acyclovir 400 mg Tab 50 200 10,000
3 Allupurinol 300 mg Tab 50 650 32,500
4 Ambroxol Tab 50 200 10,000
5 Amitriptilin Tab 50 2,500 125,000
6 Amlodipine 10 mg Tab 70 2,500 175,000
7 Amlodipine 5 mg Tab 50 1,400 70,000
8 Amoxicillin 500 mg Tab 50 350 17,500
9 Antasida Tab 50 92 4,600
10 Calortusin Tab 40 350 14,000
11 Cefadroxyl Cap 50 750 37,500
12 Cetirizine 10 mg Tab 30 200 6,000
13 Ciprofloxacin 500 mg Tab 30 400 12,000
14 CTM / Orphen Tab 30 70 2,100
15 Dexamethasone Tab 50 100 5,000
16 Domperidone / Vesperum Tab 30 200 6,000
17 Glimepiride 2 mg Tab 30 1,500 45,000
18 Glucosamine Tab 30 2,050 61,500
19 Histigo Tab 30 500 15,000
20 Ibuprofen 400 mg Tab 30 243 7,290
21 Lansoprazole Cap 30 1,400 42,000
22 Meloxicam 7,5 mg Tab 30 500 15,000
23 Metformin Tab 30 300 9,000
24 Molagit Tab 30 600 18,000
25 MP 4 mg / Rhemafar Tab 30 400 12,000
26 Natrium Diklofenak Tab 30 200 6,000
27 Omeprazole Cap 70 340 23,800
28 PCT Tab 150 100 15,000
29 Pyrantel 125 mg Tab 11 450 4,950
30 Ranitidine Tab 40 158 6,320
31 Scopma Tab 10 1,800 18,000
32 Simvastatin 10 mg Tab 50 1,500 75,000
33 Thiamphenicole 500 mg Cap 50 1,750 87,500
34 Vit B Complex Tab 50 100 5,000
35 Oralit Sachet 70 1,000 70,000
36 Multivitamin / Muliavit Tab 50 4,500 225,000
37 Zink Tab 50 650 32,500
38 Dulcolax Tab 50 2,000 100,000

SIRUP
39 Ambroxol / Nuvopec Btl 40 4,000 160,000
40 Amoxicillin / Novamox Btl 40 4,000 160,000
41 Anacetine Btl 40 7,000 280,000
42 Antasida Btl 40 4,000 160,000
43 Cefadroxyl / Lostacef Btl 20 7,500 150,000
44 Cetirizine / Lerzine Btl 20 5,000 100,000
45 Coparcetine Btl 40 5,000 200,000
46 Domperidone / Hufadon Btl 40 5,000 200,000
47 Ibuprofen / Etafen Btl 40 5,000 200,000
48 Multivitamin / Muliavit Btl 40 4,500 180,000
49 Obat Sariawan GOM Btl 10 4,000 40,000
50 PCT / Novagesic Btl 40 4,000 160,000

LAIN LAIN
51 Antihemorroid supp Supp 1 4,000 4,000
52 L Bio Sachet 3 7,100 21,300
53 Salep Kulit Acyclovir Tube 5 4,000 20,000
54 Salep Kulit Armacort Tube 10 5,900 59,000
55 Salep Kulit Betamethason Tube 15 4,000 60,000
56 Salep Kulit Genalten Tube 10 3,050 30,500
57 Salep Kulit Ketokonazole Tube 16 6,400 102,400
59 Salep Pain Kila Tube 10 35,000 350,000
60 Salep Mata Reco Tube 10 35,000 350,000

BHP
61 Betadin 30 ml Btl 1 20,020 20,020
62 Chlorethyl Spray Btl 1 172,000 172,000
63 Hypafix 10x5m Box 1 164,800 164,800
64 Kasa Gulung 1 Meter Roll 1 115,000 115,000
65 Sensigloves Uk M Box 2 40,000 80,000
66 Sensigloves Uk S Box 2 40,000 80,000
67 Sofratulle Box 1 27,000 27,000
68 Spuit 1 cc Pcs 1 2,000 2,000
69 Spuit 3 cc Pcs 2 1,000 2,000
70 Surgical Face Mask Earloops Box 1 25,000 25,000
71 Surgical Mask Earloop 3Ply Box 1 28,000 28,000
TOTAL 5,244,080

Kepala FKTP Tonkes Yonif 644/Wls

Imam Syafi'i
Letnan Satu Ckm NRP 21980237111178
BATALYON INFANTERI 642 KAPUAS
FKTP TONKES YONIF 644/WLS

KEBUTUHAN BEKKES BULAN FEBRUARI 2019

HARGA
N0 Nama Barang SAT BANYAKNYA
SATUAN
JUMLAH HARGA KET

1 2 3 6 7
1 Asam Mefenamat Tab 150 800 120,000
2 Acyclovir 400 mg Tab 50 200 10,000
3 Allupurinol 300 mg Tab 50 650 32,500
4 Ambroxol Tab 50 200 10,000
5 Amitriptilin Tab 50 2,500 125,000
6 Amlodipine 10 mg Tab 70 2,500 175,000
7 Amlodipine 5 mg Tab 50 1,400 70,000
8 Amoxicillin 500 mg Tab 50 350 17,500
9 Antasida Tab 50 92 4,600
10 Calortusin Tab 40 350 14,000
11 Cefadroxyl Cap 50 750 37,500
12 Cetirizine 10 mg Tab 30 200 6,000
13 Ciprofloxacin 500 mg Tab 30 400 12,000
14 CTM / Orphen Tab 30 70 2,100
15 Dexamethasone Tab 50 100 5,000
16 Domperidone / Vesperum Tab 30 200 6,000
17 Glimepiride 2 mg Tab 30 1,500 45,000
18 Glucosamine Tab 30 2,050 61,500
19 Histigo Tab 30 500 15,000
20 Ibuprofen 400 mg Tab 30 243 7,290
21 Lansoprazole Cap 30 1,400 42,000
22 Meloxicam 7,5 mg Tab 30 500 15,000
23 Metformin Tab 30 300 9,000
24 Molagit Tab 30 600 18,000
25 MP 4 mg / Rhemafar Tab 30 400 12,000
26 Natrium Diklofenak Tab 30 200 6,000
27 Omeprazole Cap 70 340 23,800
28 PCT Tab 150 100 15,000
29 Pyrantel 125 mg Tab 11 450 4,950
30 Ranitidine Tab 40 158 6,320
31 Scopma Tab 10 1,800 18,000
32 Simvastatin 10 mg Tab 50 1,500 75,000
33 Thiamphenicole 500 mg Cap 50 1,750 87,500
34 Vit B Complex Tab 25 100 2,500
35 Oralit Sachet 70 1,000 70,000
36 Multivitamin / Muliavit Tab 50 4,500 225,000
37 Zink Tab 50 650 32,500
38 Dulcolax Tab 50 2,000 100,000

SIRUP
39 Ambroxol / Nuvopec Btl 40 4,000 160,000
40 Amoxicillin / Novamox Btl 40 4,000 160,000
41 Anacetine Btl 40 7,000 280,000
42 Antasida Btl 40 4,000 160,000
43 Cefadroxyl / Lostacef Btl 20 7,500 150,000
44 Cetirizine / Lerzine Btl 20 5,000 100,000
45 Coparcetine Btl 40 5,000 200,000
46 Domperidone / Hufadon Btl 40 5,000 200,000
47 Ibuprofen / Etafen Btl 40 5,000 200,000
48 Multivitamin / Muliavit Btl 40 4,500 180,000
49 Obat Sariawan GOM Btl 10 4,000 40,000
50 PCT / Novagesic Btl 40 4,000 160,000

LAIN LAIN
51 Antihemorroid supp Supp 1 4,000 4,000
52 L Bio Sachet 3 7,100 21,300
53 Salep Kulit Acyclovir Tube 5 4,000 20,000
54 Salep Kulit Armacort Tube 5 5,900 29,500
55 Salep Kulit Betamethason Tube 15 4,000 60,000
56 Salep Kulit Genalten Tube 10 3,050 30,500
57 Salep Kulit Ketokonazole Tube 16 6,400 102,400
59 Salep Pain Kila Tube 10 35,000 350,000
60 Salep Mata Reco Tube 10 35,000 350,000

BHP
61 Betadin 30 ml Btl 1 20,020 20,020
62 Chlorethyl Spray Btl 1 172,000 172,000
63 Hypafix 10x5m Box 1 164,800 164,800
64 Kasa Gulung 1 Meter Roll 1 115,000 115,000
65 Sensigloves Uk M Box 2 40,000 80,000
66 Sensigloves Uk S Box 2 40,000 80,000
67 Sofratulle Box 1 27,000 27,000
68 Spuit 1 cc Pcs 1 2,000 2,000
69 Spuit 3 cc Pcs 2 1,000 2,000
70 Surgical Face Mask Earloops Box 1 25,000 25,000
71 Surgical Mask Earloop 3Ply Box 1 28,000 28,000
TOTAL 5,212,080

Kepala FKTP Tonkes Yonif 644/Wls

Imam Syafi'i
Letnan Satu Ckm NRP 21980237111178
BATALYON INFANTERI 642 KAPUAS
FKTP TONKES YONIF 644/WLS

KEBUTUHAN BEKKES BULAN MARET 2019

HARGA
N0 Nama Barang SAT BANYAKNYA
SATUAN
JUMLAH HARGA KET

1 2 3 6 7
1 Asam Mefenamat Tab 150 800 120,000
2 Acyclovir 400 mg Tab 50 200 10,000
3 Allupurinol 300 mg Tab 50 650 32,500
4 Ambroxol Tab 50 200 10,000
5 Amitriptilin Tab 50 2,500 125,000
6 Amlodipine 10 mg Tab 70 2,500 175,000
7 Amlodipine 5 mg Tab 50 1,400 70,000
8 Amoxicillin 500 mg Tab 50 350 17,500
9 Antasida Tab 50 92 4,600
10 Calortusin Tab 40 350 14,000
11 Cefadroxyl Cap 50 750 37,500
12 Cetirizine 10 mg Tab 30 200 6,000
13 Ciprofloxacin 500 mg Tab 30 400 12,000
14 CTM / Orphen Tab 30 70 2,100
15 Dexamethasone Tab 50 100 5,000
16 Domperidone / Vesperum Tab 30 200 6,000
17 Glimepiride 2 mg Tab 30 1,500 45,000
18 Glucosamine Tab 30 2,050 61,500
19 Histigo Tab 30 500 15,000
20 Ibuprofen 400 mg Tab 30 243 7,290
21 Lansoprazole Cap 30 1,400 42,000
22 Meloxicam 7,5 mg Tab 30 500 15,000
23 Metformin Tab 30 300 9,000
24 Molagit Tab 30 600 18,000
25 MP 4 mg / Rhemafar Tab 30 400 12,000
26 Natrium Diklofenak Tab 30 200 6,000
27 Omeprazole Cap 70 340 23,800
28 PCT Tab 150 100 15,000
29 Pyrantel 125 mg Tab 11 450 4,950
30 Ranitidine Tab 40 158 6,320
31 Scopma Tab 10 1,800 18,000
32 Simvastatin 10 mg Tab 50 1,500 75,000
33 Thiamphenicole 500 mg Cap 50 1,750 87,500
34 Vit B Complex Tab 25 100 2,500
35 Oralit Sachet 70 1,000 70,000
36 Multivitamin / Muliavit Tab 50 4,500 225,000
37 Zink Tab 50 650 32,500
38 Dulcolax Tab 50 2,000 100,000

SIRUP
39 Ambroxol / Nuvopec Btl 40 4,000 160,000
40 Amoxicillin / Novamox Btl 40 4,000 160,000
41 Anacetine Btl 40 7,000 280,000
42 Antasida Btl 40 4,000 160,000
43 Cefadroxyl / Lostacef Btl 20 7,500 150,000
44 Cetirizine / Lerzine Btl 20 5,000 100,000
45 Coparcetine Btl 40 5,000 200,000
46 Domperidone / Hufadon Btl 40 5,000 200,000
47 Ibuprofen / Etafen Btl 40 5,000 200,000
48 Multivitamin / Muliavit Btl 40 4,500 180,000
49 Obat Sariawan GOM Btl 10 4,000 40,000
50 PCT / Novagesic Btl 40 4,000 160,000

LAIN LAIN
51 Antihemorroid supp Supp 1 4,000 4,000
52 L Bio Sachet 3 7,100 21,300
53 Salep Kulit Acyclovir Tube 5 4,000 20,000
54 Salep Kulit Armacort Tube 5 5,900 29,500
55 Salep Kulit Betamethason Tube 15 4,000 60,000
56 Salep Kulit Genalten Tube 10 3,050 30,500
57 Salep Kulit Ketokonazole Tube 16 6,400 102,400
59 Salep Pain Kila Tube 10 35,000 350,000
60 Salep Mata Reco Tube 10 35,000 350,000

BHP
61 Betadin 30 ml Btl 1 20,020 20,020
62 Chlorethyl Spray Btl 1 172,000 172,000
63 Hypafix 10x5m Box 1 164,800 164,800
64 Kasa Gulung 1 Meter Roll 1 115,000 115,000
65 Sensigloves Uk M Box 2 40,000 80,000
66 Sensigloves Uk S Box 1 40,000 40,000
67 Sofratulle Box 1 27,000 27,000
68 Spuit 1 cc Pcs 1 2,000 2,000
69 Spuit 3 cc Pcs 2 1,000 2,000
70 Surgical Face Mask Earloops Box 1 25,000 25,000
71 Surgical Mask Earloop 3Ply Box 1 28,000 28,000
TOTAL 5,172,080

Dokter Yonif Raider Khusus

644 / Walet Sakti

dr. Setio Ari Bowo

Letnan Dua Ckm NRP 11160040270791
BATALYON INFANTERI 642 KAPUAS
FKTP TONKES YONIF 644/WLS

KEBUTUHAN BEKKES BULAN APRIL 2019

HARGA
N0 Nama Barang SAT BANYAKNYA
SATUAN
JUMLAH HARGA KET

1 2 3 6 7
1 Asam Mefenamat Tab 150 800 120,000
2 Acyclovir 400 mg Tab 50 200 10,000
3 Allupurinol 300 mg Tab 50 650 32,500
4 Ambroxol Tab 50 200 10,000
5 Amitriptilin Tab 50 2,500 125,000
6 Amlodipine 10 mg Tab 70 2,500 175,000
7 Amlodipine 5 mg Tab 50 1,400 70,000
8 Amoxicillin 500 mg Tab 50 350 17,500
9 Antasida Tab 50 92 4,600
10 Calortusin Tab 40 350 14,000
11 Cefadroxyl Cap 50 750 37,500
12 Cetirizine 10 mg Tab 30 200 6,000
13 Ciprofloxacin 500 mg Tab 30 400 12,000
14 CTM / Orphen Tab 30 70 2,100
15 Dexamethasone Tab 50 100 5,000
16 Domperidone / Vesperum Tab 30 200 6,000
17 Glimepiride 2 mg Tab 30 1,500 45,000
18 Glucosamine Tab 30 2,050 61,500
19 Histigo Tab 30 500 15,000
20 Ibuprofen 400 mg Tab 30 243 7,290
21 Lansoprazole Cap 30 1,400 42,000
22 Meloxicam 7,5 mg Tab 30 500 15,000
23 Metformin Tab 30 300 9,000
24 Molagit Tab 30 600 18,000
25 MP 4 mg / Rhemafar Tab 30 400 12,000
26 Natrium Diklofenak Tab 30 200 6,000
27 Omeprazole Cap 70 340 23,800
28 PCT Tab 150 100 15,000
29 Pyrantel 125 mg Tab 11 450 4,950
30 Ranitidine Tab 40 158 6,320
31 Scopma Tab 10 1,800 18,000
32 Simvastatin 10 mg Tab 50 1,500 75,000
33 Thiamphenicole 500 mg Cap 50 1,750 87,500
34 Vit B Complex Tab 25 100 2,500
35 Oralit Sachet 70 1,000 70,000
36 Multivitamin / Muliavit Tab 50 4,500 225,000
37 Zink Tab 50 650 32,500
38 Dulcolax Tab 50 2,000 100,000

SIRUP
39 Ambroxol / Nuvopec Btl 42 4,000 168,000
40 Amoxicillin / Novamox Btl 43 4,000 172,000
41 Anacetine Btl 40 7,000 280,000
42 Antasida Btl 40 4,000 160,000
43 Cefadroxyl / Lostacef Btl 20 7,500 150,000
44 Cetirizine / Lerzine Btl 20 5,000 100,000
45 Coparcetine Btl 40 5,000 200,000
46 Domperidone / Hufadon Btl 40 5,000 200,000
47 Ibuprofen / Etafen Btl 40 5,000 200,000
48 Multivitamin / Muliavit Btl 40 4,500 180,000
49 Obat Sariawan GOM Btl 10 4,000 40,000
50 PCT / Novagesic Btl 40 4,000 160,000

LAIN LAIN
51 Antihemorroid supp Supp 1 4,000 4,000
52 L Bio Sachet 3 7,100 21,300
53 Salep Kulit Acyclovir Tube 5 4,000 20,000
54 Salep Kulit Armacort Tube 5 5,900 29,500
55 Salep Kulit Betamethason Tube 15 4,000 60,000
56 Salep Kulit Genalten Tube 10 3,050 30,500
57 Salep Kulit Ketokonazole Tube 16 6,400 102,400
59 Salep Pain Kila Tube 10 35,000 350,000
60 Salep Mata Reco Tube 10 35,000 350,000

BHP
61 Betadin 30 ml Btl 1 20,020 20,020
62 Chlorethyl Spray Btl 1 172,000 172,000
63 Hypafix 10x5m Box 1 164,800 164,800
64 Kasa Gulung 1 Meter Roll 1 115,000 115,000
65 Sensigloves Uk M Box 2 40,000 80,000
66 Sensigloves Uk S Box 1 40,000 40,000
67 Sofratulle Box 1 27,000 27,000
68 Spuit 1 cc Pcs 1 2,000 2,000
69 Spuit 3 cc Pcs 2 1,000 2,000
70 Surgical Face Mask Earloops Box 1 25,000 25,000
71 Surgical Mask Earloop 3Ply Box 1 28,000 28,000
TOTAL 5,192,080

Kepala FKTP Tonkes Yonif 644/Wls

Imam Syafi'i
Letnan Satu Ckm NRP 21980237111178
BATALYON INFANTERI 642 KAPUAS
FKTP TONKES YONIF 644/WLS

KEBUTUHAN BEKKES BULAN MEI 2019

HARGA
N0 Nama Barang SAT BANYAKNYA
SATUAN
JUMLAH HARGA KET

1 2 3 6 7
1 Asam Mefenamat Tab 150 800 120,000
2 Acyclovir 400 mg Tab 50 200 10,000
3 Allupurinol 300 mg Tab 50 650 32,500
4 Ambroxol Tab 50 200 10,000
5 Amitriptilin Tab 50 2,500 125,000
6 Amlodipine 10 mg Tab 70 2,500 175,000
7 Amlodipine 5 mg Tab 50 1,400 70,000
8 Amoxicillin 500 mg Tab 50 350 17,500
9 Antasida Tab 50 92 4,600
10 Calortusin Tab 40 350 14,000
11 Cefadroxyl Cap 50 750 37,500
12 Cetirizine 10 mg Tab 30 200 6,000
13 Ciprofloxacin 500 mg Tab 30 400 12,000
14 CTM / Orphen Tab 30 70 2,100
15 Dexamethasone Tab 50 100 5,000
16 Domperidone / Vesperum Tab 30 200 6,000
17 Glimepiride 2 mg Tab 30 1,500 45,000
18 Glucosamine Tab 30 2,050 61,500
19 Histigo Tab 30 500 15,000
20 Ibuprofen 400 mg Tab 30 243 7,290
21 Lansoprazole Cap 30 1,400 42,000
22 Meloxicam 7,5 mg Tab 30 500 15,000
23 Metformin Tab 30 300 9,000
24 Molagit Tab 30 600 18,000
25 MP 4 mg / Rhemafar Tab 30 400 12,000
26 Natrium Diklofenak Tab 30 200 6,000
27 Omeprazole Cap 70 340 23,800
28 PCT Tab 150 100 15,000
29 Pyrantel 125 mg Tab 11 450 4,950
30 Ranitidine Tab 40 158 6,320
31 Scopma Tab 10 1,800 18,000
32 Simvastatin 10 mg Tab 50 1,500 75,000
33 Thiamphenicole 500 mg Cap 50 1,750 87,500
34 Vit B Complex Tab 29 100 2,900
35 Oralit Sachet 70 1,000 70,000
36 Multivitamin / Muliavit Tab 50 4,500 225,000
37 Zink Tab 50 650 32,500
38 Dulcolax Tab 50 2,000 100,000

SIRUP
39 Ambroxol / Nuvopec Btl 42 4,000 168,000
40 Amoxicillin / Novamox Btl 43 4,000 172,000
41 Anacetine Btl 40 7,000 280,000
42 Antasida Btl 40 4,000 160,000
43 Cefadroxyl / Lostacef Btl 20 7,500 150,000
44 Cetirizine / Lerzine Btl 20 5,000 100,000
45 Coparcetine Btl 40 5,000 200,000
46 Domperidone / Hufadon Btl 40 5,000 200,000
47 Ibuprofen / Etafen Btl 40 5,000 200,000
48 Multivitamin / Muliavit Btl 40 4,500 180,000
49 Obat Sariawan GOM Btl 15 4,000 60,000
50 PCT / Novagesic Btl 40 4,000 160,000

LAIN LAIN
51 Antihemorroid supp Supp 1 4,000 4,000
52 L Bio Sachet 3 7,100 21,300
53 Salep Kulit Acyclovir Tube 5 4,000 20,000
54 Salep Kulit Armacort Tube 5 5,900 29,500
55 Salep Kulit Betamethason Tube 15 4,000 60,000
56 Salep Kulit Genalten Tube 10 3,050 30,500
57 Salep Kulit Ketokonazole Tube 16 6,400 102,400
59 Salep Pain Kila Tube 10 35,000 350,000
60 Salep Mata Reco Tube 10 35,000 350,000

BHP
61 Betadin 30 ml Btl 1 20,020 20,020
62 Chlorethyl Spray Btl 1 172,000 172,000
63 Hypafix 10x5m Box 1 164,800 164,800
64 Kasa Gulung 1 Meter Roll 1 115,000 115,000
65 Sensigloves Uk M Box 2 40,000 80,000
66 Sensigloves Uk S Box 1 40,000 40,000
67 Sofratulle Box 1 27,000 27,000
68 Spuit 1 cc Pcs 1 2,000 2,000
69 Spuit 3 cc Pcs 2 1,000 2,000
70 Surgical Face Mask Earloops Box 1 25,000 25,000
71 Surgical Mask Earloop 3Ply Box 1 28,000 28,000
TOTAL 5,212,480

Kepala FKTP Tonkes Yonif 644/Wls

Imam Syafi'i
Letnan Satu Ckm NRP 21980237111178
BATALYON INFANTERI 642 KAPUAS
FKTP TONKES YONIF 644/WLS

KEBUTUHAN BEKKES BULAN JUNI 2019

HARGA
N0 Nama Barang SAT BANYAKNYA
SATUAN
JUMLAH HARGA KET

1 2 3 6 7
1 Asam Mefenamat Tab 150 800 120,000
2 Acyclovir 400 mg Tab 50 200 10,000
3 Allupurinol 300 mg Tab 50 650 32,500
4 Ambroxol Tab 50 200 10,000
5 Amitriptilin Tab 50 2,500 125,000
6 Amlodipine 10 mg Tab 70 2,500 175,000
7 Amlodipine 5 mg Tab 50 1,400 70,000
8 Amoxicillin 500 mg Tab 50 350 17,500
9 Antasida Tab 50 92 4,600
10 Calortusin Tab 40 350 14,000
11 Cefadroxyl Cap 50 750 37,500
12 Cetirizine 10 mg Tab 30 200 6,000
13 Ciprofloxacin 500 mg Tab 30 400 12,000
14 CTM / Orphen Tab 30 70 2,100
15 Dexamethasone Tab 50 100 5,000
16 Domperidone / Vesperum Tab 30 200 6,000
17 Glimepiride 2 mg Tab 30 1,500 45,000
18 Glucosamine Tab 30 2,050 61,500
19 Histigo Tab 30 500 15,000
20 Ibuprofen 400 mg Tab 30 243 7,290
21 Lansoprazole Cap 30 1,400 42,000
22 Meloxicam 7,5 mg Tab 30 500 15,000
23 Metformin Tab 30 300 9,000
24 Molagit Tab 30 600 18,000
25 MP 4 mg / Rhemafar Tab 30 400 12,000
26 Natrium Diklofenak Tab 30 200 6,000
27 Omeprazole Cap 70 340 23,800
28 PCT Tab 150 100 15,000
29 Pyrantel 125 mg Tab 10 450 4,500
30 Ranitidine Tab 40 158 6,320
31 Scopma Tab 10 1,800 18,000
32 Simvastatin 10 mg Tab 50 1,500 75,000
33 Thiamphenicole 500 mg Cap 50 1,750 87,500
34 Vit B Complex Tab 29 100 2,900
35 Oralit Sachet 70 1,000 70,000
36 Multivitamin / Muliavit Tab 50 4,500 225,000
37 Zink Tab 50 650 32,500
38 Dulcolax Tab 50 2,000 100,000

SIRUP
39 Ambroxol / Nuvopec Btl 42 4,000 168,000
40 Amoxicillin / Novamox Btl 42 4,000 168,000
41 Anacetine Btl 40 7,000 280,000
42 Antasida Btl 40 4,000 160,000
43 Cefadroxyl / Lostacef Btl 20 7,500 150,000
44 Cetirizine / Lerzine Btl 20 5,000 100,000
45 Coparcetine Btl 40 5,000 200,000
46 Domperidone / Hufadon Btl 40 5,000 200,000
47 Ibuprofen / Etafen Btl 40 5,000 200,000
48 Multivitamin / Muliavit Btl 40 4,500 180,000
49 Obat Sariawan GOM Btl 12 4,000 48,000
50 PCT / Novagesic Btl 40 4,000 160,000

LAIN LAIN
51 Antihemorroid supp Supp 1 4,000 4,000
52 L Bio Sachet 3 7,100 21,300
53 Salep Kulit Acyclovir Tube 5 4,000 20,000
54 Salep Kulit Armacort Tube 5 5,900 29,500
55 Salep Kulit Betamethason Tube 15 4,000 60,000
56 Salep Kulit Genalten Tube 10 3,050 30,500
57 Salep Kulit Ketokonazole Tube 16 6,400 102,400
59 Salep Pain Kila Tube 10 35,000 350,000
60 Salep Mata Reco Tube 10 35,000 350,000

BHP
61 Betadin 30 ml Btl 1 20,020 20,020
62 Chlorethyl Spray Btl 1 172,000 172,000
63 Hypafix 10x5m Box 1 164,800 164,800
64 Kasa Gulung 1 Meter Roll 1 115,000 115,000
65 Sensigloves Uk M Box 2 40,000 80,000
66 Sensigloves Uk S Box 1 40,000 40,000
67 Sofratulle Box 1 27,000 27,000
68 Spuit 1 cc Pcs 1 2,000 2,000
69 Spuit 3 cc Pcs 2 1,000 2,000
70 Surgical Face Mask Earloops Box 1 25,000 25,000
71 Surgical Mask Earloop 3Ply Box 1 28,000 28,000
TOTAL 5,196,030

Kepala FKTP Tonkes Yonif 644/Wls

Imam Syafi'i
Letnan Satu Ckm NRP 21980237111178
BATALYON INFANTERI 642 KAPUAS
FKTP TONKES YONIF 644/WLS

KEBUTUHAN BEKKES BULAN JULI 2019

HARGA
N0 Nama Barang SAT BANYAKNYA
SATUAN
JUMLAH HARGA KET

1 2 3 6 7
1 Asam Mefenamat Tab 150 800 120,000
2 Acyclovir 400 mg Tab 50 200 10,000
3 Allupurinol 300 mg Tab 50 650 32,500
4 Ambroxol Tab 50 200 10,000
5 Amitriptilin Tab 50 2,500 125,000
6 Amlodipine 10 mg Tab 70 2,500 175,000
7 Amlodipine 5 mg Tab 50 1,400 70,000
8 Amoxicillin 500 mg Tab 50 350 17,500
9 Antasida Tab 50 92 4,600
10 Calortusin Tab 40 350 14,000
11 Cefadroxyl Cap 50 750 37,500
12 Cetirizine 10 mg Tab 30 200 6,000
13 Ciprofloxacin 500 mg Tab 30 400 12,000
14 CTM / Orphen Tab 30 70 2,100
15 Dexamethasone Tab 50 100 5,000
16 Domperidone / Vesperum Tab 30 200 6,000
17 Glimepiride 2 mg Tab 30 1,500 45,000
18 Glucosamine Tab 30 2,050 61,500
19 Histigo Tab 30 500 15,000
20 Ibuprofen 400 mg Tab 30 243 7,290
21 Lansoprazole Cap 30 1,400 42,000
22 Meloxicam 7,5 mg Tab 30 500 15,000
23 Metformin Tab 30 300 9,000
24 Molagit Tab 31 600 18,600
25 MP 4 mg / Rhemafar Tab 30 400 12,000
26 Natrium Diklofenak Tab 30 200 6,000
27 Omeprazole Cap 70 340 23,800
28 PCT Tab 150 100 15,000
29 Pyrantel 125 mg Tab 10 450 4,500
30 Ranitidine Tab 42 158 6,636
31 Scopma Tab 10 1,800 18,000
32 Simvastatin 10 mg Tab 50 1,500 75,000
33 Thiamphenicole 500 mg Cap 50 1,750 87,500
34 Vit B Complex Tab 29 100 2,900
35 Oralit Sachet 70 1,000 70,000
36 Multivitamin / Muliavit Tab 50 4,500 225,000
37 Zink Tab 50 650 32,500
38 Dulcolax Tab 50 2,000 100,000

SIRUP
39 Ambroxol / Nuvopec Btl 42 4,000 168,000
40 Amoxicillin / Novamox Btl 42 4,000 168,000
41 Anacetine Btl 40 7,000 280,000
42 Antasida Btl 40 4,000 160,000
43 Cefadroxyl / Lostacef Btl 20 7,500 150,000
44 Cetirizine / Lerzine Btl 20 5,000 100,000
45 Coparcetine Btl 40 5,000 200,000
46 Domperidone / Hufadon Btl 40 5,000 200,000
47 Ibuprofen / Etafen Btl 40 5,000 200,000
48 Multivitamin / Muliavit Btl 40 4,500 180,000
49 Obat Sariawan GOM Btl 12 4,000 48,000
50 PCT / Novagesic Btl 40 4,000 160,000

LAIN LAIN
51 Antihemorroid supp Supp 1 4,000 4,000
52 L Bio Sachet 3 7,100 21,300
53 Salep Kulit Acyclovir Tube 5 4,000 20,000
54 Salep Kulit Armacort Tube 5 5,900 29,500
55 Salep Kulit Betamethason Tube 15 4,000 60,000
56 Salep Kulit Genalten Tube 11 3,050 33,550
57 Salep Kulit Ketokonazole Tube 16 6,400 102,400
59 Salep Pain Kila Tube 10 35,000 350,000
60 Salep Mata Reco Tube 10 35,000 350,000

BHP
61 Betadin 30 ml Btl 1 20,020 20,020
62 Chlorethyl Spray Btl 1 172,000 172,000
63 Hypafix 10x5m Box 1 164,800 164,800
64 Kasa Gulung 1 Meter Roll 1 115,000 115,000
65 Sensigloves Uk M Box 2 40,000 80,000
66 Sensigloves Uk S Box 1 40,000 40,000
67 Sofratulle Box 1 27,000 27,000
68 Spuit 1 cc Pcs 1 2,000 2,000
69 Spuit 3 cc Pcs 2 1,000 2,000
70 Surgical Face Mask Earloops Box 1 25,000 25,000
71 Surgical Mask Earloop 3Ply Box 1 28,000 28,000
TOTAL 5,199,996

Kepala FKTP Tonkes Yonif 644/Ws

Imam Syafi'i
Letnan Satu Ckm NRP 21980237111178