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No Tgl.

Kunjungan NRM Nama Status Kunjungan


1 4/1/2018 15-17-24 HARTOYO rajal

2 4/1/2018 17-29-24 PIRALEKA PRATALI YUWONO PUTRO

3 4/1/2018 17-29-25 WIDI SUKARTO

4 4/1/2018 17-29-25 WIDI SUKARTO rajal

5 4/1/2018 16-79-45 SUMARYATI


6 3/31/2018 17-29-22 SASTRO DIHARJO inap

7 3/31/2018 15-26-07 MUHAMMAD NAUFAL PRATAMA inap

8 3/31/2018 15-26-07 MUHAMMAD NAUFAL PRATAMA inap

9 4/1/2018 11-92-67 ANTONIUS YATNO DIHARJO

10 3/31/2018 16-87-37 SUYATI inap


11 3/31/2018 17-29-23 SRIYADI inap

12 4/1/2018 11-92-67 ANTONIUS YATNO DIHARJO rajal

13 3/31/2018 17-29-23 SRIYADI inap

14 4/21/2015 12-71-86 RAHMAT WIJAYADI rajal

15 3/27/2018 17-27-16 SRI SUGIARTI inap


15 3/27/2018 17-27-16 SRI SUGIARTI inap

16 4/1/2018 16-93-49 MEIGA DWI RUSTAMTO

17 4/1/2018 16-93-49 MEIGA DWI RUSTAMTO

18 4/1/2018 17-29-26 CILIK SUSILO

19 4/1/2018 17-29-26 CILIK SUSILO rajal

20 3/28/2018 17-27-81 MUHAMMAD MAHMUDI rajal

21 3/30/2018 7/7/1966 DWIHONO inap


22 3/30/2018 14-91-92 KIRDI inap

23 3/31/2018 17-29-11 YOTO MIARJO JUMAR inap

24 3/29/2018 15-22-78 WAWAN SULISTYO inap

25 3/31/2018 17-28-19 MUJIYEM inap


25 3/31/2018 17-28-19 MUJIYEM inap

26 3/30/2018 17-28-71 SUYANTI inap

27 3/31/2018 17-28-89 SLAMET inap

28 3/31/2018 17-28-89 SLAMET inap


29 3/31/2018 17-28-77 BARMINI inap

30 3/30/2018 17-28-83 JUMIRAH inap

31 3/31/2018 02-57-23 NGATIMIN inap

32 3/30/2018 16-98-80 SAMINO inap


32 3/30/2018 16-98-80 SAMINO inap

33 4/1/2018 17-29-24 PIRALEKA PRATALI YUWONO PUTRO inap

34 3/30/2018 13-70-55 PUJIYATI

35 3/27/2018 17-27-16 SRI SUGIARTI inap


36 3/27/2018 17-27-16 SRI SUGIARTI inap

37 4/1/2018 16-79-45 SUMARYATI inap

38 3/27/2018 17-27-16 SRI SUGIARTI inap

39 3/23/2018 11-82-34 HADI WIRYONO inap


40 3/30/2018 17-27-21 SUGINI inap

41 3/30/2018 13-70-55 PUJIYATI inap

42 4/1/2018 11-86-71 AJENG KUSUMANINGAYU S

43 4/1/2018 17-29-27 HAYYU HENFIANA rajal

44 3/29/2018 5/3/2022 AG ENDANG WIDIYASTUTI

45 3/29/2018 5/3/2022 AG ENDANG WIDIYASTUTI


46 4/1/2018 11-86-71 AJENG KUSUMANINGAYU S

47 3/29/2018 15-22-78 WAWAN SULISTYO

48 4/1/2018 11-86-71 AJENG KUSUMANINGAYU S rajal

49 3/30/2018 17-21-75 DARMAJI inap

50 3/31/2018 15-00-39 ELYSIA CAHAYA PURWANDARI inap

51 4/1/2018 14-20-60 KODRIYAH

52 3/28/2018 2/17/2028 KUMINEM inap


53 3/30/2018 17-28-66 TESALONIKA ANINDYA SARI inap

54 3/28/2018 11-57-33 SISWANTO inap

55 3/29/2018 17-28-49 KIRNADI inap


56 3/30/2018 17-28-13 SITI ROBINGAH inap

57 3/30/2018 17-28-13 SITI ROBINGAH inap

58 3/23/2018 11-82-34 HADI WIRYONO

59 3/30/2018 08-74-63 KAMTO MIHARJO inap

60 3/29/2018 11-69-74 PUJI LESTARI inap


61 3/30/2018 17-28-75 KRISNA AQEEL AL FAEYZA inap

62 3/28/2018 17-27-81 MUHAMMAD MAHMUDI

63 4/1/2018 08-95-24 ARIN UTOMO

64 4/1/2018 17-29-28 JESSICA AGUSTINA

65 3/28/2018 12-75-85 PANING SRI inap

66 4/1/2018 14-20-60 KODRIYAH rajal


67 4/1/2018 08-95-24 ARIN UTOMO rajal

68 3/30/2018 17-28-78 SUBARJO inap

69 3/30/2018 17-28-79 RIPMIYATI inap

70 4/1/2018 17-29-24 PIRALEKA PRATALI YUWONO PUTRO

71 4/1/2018 17-29-28 JESSICA AGUSTINA rajal


72 3/31/2018 17-29-13 AYU WULANDARI inap

73 3/31/2018 17-29-02 TH. LISTYAWATI inap

74 3/31/2018 17-29-13 AYU WULANDARI inap

75 3/29/2018 08-94-63 AFFAN ROZAQI ARROSID inap

76 3/29/2018 09-76-73 WARI KUSUMA DEWI inap

77 3/30/2018 17-28-86 STANISLAUS ADRIAN PUTRA CAHYANTO inap

78 2/3/2016 13-91-13 SETORAN LAIN LAIN rajal


78 2/3/2016 13-91-13 SETORAN LAIN LAIN rajal

79 3/31/2018 17-29-11 YOTO MIARJO JUMAR inap

80 3/31/2018 17-28-89 SLAMET inap

Total :
Unit Order Unit Keluar Tgl Order No Order
Apotek Apotek 4/1/2018 0:27 3

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 2:38 1

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 3:07 1

Apotek Apotek 4/1/2018 3:12 4

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 3:56 1


Apotek Apotek 4/1/2018 5:44 8

Apotek Apotek 4/1/2018 5:44 6

Apotek Apotek 4/1/2018 5:46 8

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 5:48 1

Apotek Apotek 4/1/2018 5:48 8


Apotek Apotek 4/1/2018 5:51 8

Apotek Apotek 4/1/2018 5:52 4

Apotek Apotek 4/1/2018 6:15 7

Apotek Apotek 4/1/2018 6:25 76

Apotek Apotek 4/1/2018 6:31 26


Apotek Apotek 4/1/2018 6:31 26

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 6:40 1

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 6:41 2

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 6:47 1

Apotek Apotek 4/1/2018 6:55 4

Rawat Inap Maheswari Apotek 4/1/2018 6:59 22

Apotek Apotek 4/1/2018 7:07 13


Apotek Apotek 4/1/2018 7:09 17

Apotek Apotek 4/1/2018 7:10 10

Apotek Apotek 4/1/2018 7:18 16

Apotek Apotek 4/1/2018 7:21 8


Apotek Apotek 4/1/2018 7:21 8

Apotek Apotek 4/1/2018 7:24 13

Apotek Apotek 4/1/2018 7:26 21

Apotek Apotek 4/1/2018 7:27 22


Apotek Apotek 4/1/2018 7:28 11

Apotek Apotek 4/1/2018 7:32 13

Apotek Apotek 4/1/2018 7:37 13

Apotek Apotek 4/1/2018 7:39 12


Apotek Apotek 4/1/2018 7:39 12

Apotek Apotek 4/1/2018 7:47 7

Rawat Inap Anggrek Rawat Inap Anggrek 4/1/2018 8:00 1

Apotek Apotek 4/1/2018 8:10 30


Apotek Apotek 4/1/2018 8:12 28

Apotek Apotek 4/1/2018 8:16 7

Apotek Apotek 4/1/2018 8:18 31

Apotek Apotek 4/1/2018 8:19 35


Rawat Inap Anggrek Apotek 4/1/2018 8:27 14

Rawat Inap Anggrek Apotek 4/1/2018 8:30 15

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 8:30 1

Apotek Apotek 4/1/2018 8:37 3

Rawat Inap Anggrek Rawat Inap Anggrek 4/1/2018 8:41 12

Rawat Inap Anggrek Rawat Inap Anggrek 4/1/2018 8:41 16


Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 8:42 2

Rawat Inap Anggrek Rawat Inap Anggrek 4/1/2018 8:45 15

Apotek Apotek 4/1/2018 8:48 5

Apotek Apotek 4/1/2018 8:52 12

Apotek Apotek 4/1/2018 8:54 8

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 8:58 1

Apotek Apotek 4/1/2018 8:59 15


Apotek Apotek 4/1/2018 9:01 14

Apotek Apotek 4/1/2018 9:07 15

Apotek Apotek 4/1/2018 9:10 14


Apotek Apotek 4/1/2018 9:15 15

Apotek Apotek 4/1/2018 9:15 16

Apotek Apotek 4/1/2018 9:15 32

Apotek Apotek 4/1/2018 9:18 15

Apotek Apotek 4/1/2018 9:18 12


Apotek Apotek 4/1/2018 9:20 13

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 9:21 6

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 9:23 1

Instalasi Gawat Darurat Instalasi Gawat Darurat 4/1/2018 9:23 1

Apotek Apotek 4/1/2018 9:29 14

Apotek Apotek 4/1/2018 9:35 4


Apotek Apotek 4/1/2018 9:37 4

Apotek Apotek 4/1/2018 9:41 12

Apotek Apotek 4/1/2018 9:47 11

Rawat Inap Arundat Rawat Inap Arundat 4/1/2018 9:53 8

Apotek Apotek 4/1/2018 9:57 4


Apotek Apotek 4/1/2018 10:00 9

Apotek Apotek 4/1/2018 10:04 12

Apotek Apotek 4/1/2018 10:08 8

Rawat Inap Sawitri Apotek 4/1/2018 10:12 18

Rawat Inap Sawitri Apotek 4/1/2018 10:15 17

Rawat Inap Sawitri Apotek 4/1/2018 10:16 14

Apotek Apotek 4/1/2018 10:24 2042


Apotek Apotek 4/1/2018 10:24 2042

Apotek Apotek 4/1/2018 10:39 11

Rawat Inap Anggrek Apotek 4/1/2018 10:40 23


Nama Order Nama Obat Tarif Qty
Resep no. 00090000028676 (dr. Liliek NUCRAL 100 ML SUSPENSION 64,020.00 1.00
Endang Sulistyawat) PROCOLIC MG TABLET 2,605.00 10.00
RANITIDIN 150 MG TABLET 358.00 10.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Material from Instalasi Gawat Darurat RL SANBE 500 ML BPJS 8,938.00 1.00
TRANFUSI SET TERUMO 31,365.00 1.00
OPSITE IV 3000 IM 7 X 9 CM 7,288.00 1.00
BPJS IV CATETER 20 5,120.00 1.00
MASKER 503.00 2.00
HAND SCUN M 1,126.00 3.00
PAKET MANDI BIASA 55,000.00 1.00
SANTAGESIK INJECTION 11,649.00 1.00
DISPO 3 CC 1,239.00 1.00
Pajak 2%
Pembulatan
Material from Instalasi Gawat Darurat DISPO 3 CC 1,239.00 1.00
ALKOHOL SWAB 172.00 1.00
TORASIC 30MG 1 ML INJECTION 45,100.00 1.00
Pajak 2%
Pembulatan
Resep no. 00090000028677 (dr. Liliek AMOXAN 500 MG CAPSULE 4,252.00 10.00
Endang Sulistyawat) PROCOLIC MG TABLET 2,605.00 10.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Material from Instalasi Gawat Darurat SELANG OKSIGEN DWS 7,500.00 1.00
BPJS IV CATETER 22 6,250.00 1.00
DISPO 3 CC 1,239.00 1.00
RL SANBE 500 ML BPJS 8,938.00 1.00
INFUSET TERUMO 16,482.00 1.00
FARSIX INJ 5,511.00 1.00
DISPO 10 CC 2,304.00 1.00
FOLY CATETER 16 19,311.00 1.00
URIN BAG SINGLE 6,188.00 1.00
MASKER 503.00 1.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
PAKET MANDI BIASA 55,000.00 1.00
Pajak 2%
Pembulatan
Resep no. 00090000028678 (dr. Nuril NACL 500 ML INFUS SANBE BPJS 8,375.00 3.00
Ahmadi, MSc, Sp Pd) RANITIDIN 2 ML INJECTION 4,435.00 3.00
RENAPAR 300 MG TABLET 3,590.00 4.00
AMLODIPINE 5 MG TABLET 1,201.00 2.00
CANDESARTAN BPJS 8 MG TABLET 2,218.00 2.00
LANTUS SOLOSTAR FLEXPHEN 223,022.00 1.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
MASKER 503.00 2.00
JARUM PEN NEEDLE 31 G 3,499.00 4.00
BPJS DISPO 3 CC ONE MED 845.00 4.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep Dr D.S Nugroho Hadi Sp A SANMOL BPJS INFUSION 26,803.00 1.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028679 (Dr D.S ASERING BPJS 500 ML INFUSION 11,408.00 3.00
Nugroho Hadi Sp A) STARMUNO KIDS 60 ML SYRUP 85,800.00 1.00
PARACETAMOL 500 MG TABLET 149.00 2.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Material from Instalasi Gawat Darurat HAND SCUN M 1,126.00 2.00
Pajak 2%
Pembulatan
Resep no. 00090000028680 (dr. Suhatman RL SANBE 500 ML BPJS 8,938.00 4.00
Syarif Ganie, Sp PD) RANITIDIN BPJS 2 ML INJECTION 3,548.00 3.00
ONDANSENTRON 4 MG INJECTION 6,875.00 3.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
HAND SCUN M 1,126.00 2.00
MASKER 503.00 2.00
Syarif Ganie, Sp PD)

BPJS DISPO 3 CC ONE MED 845.00 6.00


Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028681 (Andang RL SANBE 500 ML BPJS 8,938.00 4.00
Setadi,DR.Sp.PD) RANITIDIN 2 ML INJECTION 4,435.00 4.00
SISTENOL CAPLET 2,112.00 4.00
CURCUMA TABLET 1,218.00 4.00
PSIDII SIRUP 60 ML SYRUP 44,649.00 1.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
HAND SCUN M 1,126.00 2.00
MASKER 503.00 2.00
BPJS DISPO 3 CC ONE MED 845.00 6.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028682 (dr. Liliek AMOXYCILLIN 500 MG TABLET 481.00 10.00
Endang Sulistyawat) ASAM MEFENAMAT 500 MG CAPLET 286.00 10.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep Andang Setadi,DR.Sp.PD IV CATETER 22 TRM 39,508.00 1.00
OPSITE IV 3000 IM 7 X 9 CM 7,288.00 1.00
INFUSET TERUMO 16,482.00 1.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep dr. Suhatman Syarif Ganie, Sp PD DIAZEPAM 2 MG TABLET 161.00 10.00
OBH 100 ML SYRUP 6,188.00 1.00
Pajak 2%
Pembulatan
Discount
Resep no. 00090000028683 (dr. Suhatman NEURODIAL TABLET 2,226.00 4.00
Syarif Ganie, Sp PD) Tuslah
Resep no. 00090000028683 (dr. Suhatman
Syarif Ganie, Sp PD)
Pembulatan
Embalance
Discount
Pajak 2%
Material from Instalasi Gawat Darurat KETOROLAC 30 MG INJECTION 16,439.00 1.00
ALKOHOL SWAB 172.00 1.00
DISPO 3 CC 1,239.00 1.00
Pajak 2%
Pembulatan
Material from Instalasi Gawat Darurat SELANG OKSIGEN DWS 7,500.00 1.00
Pajak 2%
Pembulatan
Material from Instalasi Gawat Darurat DISPO 3 CC 1,239.00 1.00
ONDANSENTRON 4 MG INJECTION 6,875.00 1.00
ALKOHOL SWAB 172.00 1.00
Pajak 2%
Pembulatan
Resep no. 00090000028685 (dr. Liliek ONDANSENTRON 8 MG TABLET 3,942.00 10.00
Endang Sulistyawat) METRONIDAZOLE 500 MG TABLET 372.00 10.00
SANPRIMA FORTE TABLET 2,598.00 10.00
ARCAPEC TABLET 1,549.00 10.00
Discount
Embalance
Pembulatan
Tuslah
Pajak 2%
Resep no. 00090000028684 (dr. Hartolo CEFIXIME BPJS 200 MG CAPSULE 3,895.00 7.00
Pringgohandoko. Sp B) ASAM MEFENAMAT 500 MG CAPLET 286.00 11.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep dr. Nuril Ahmadi, MSc, Sp Pd NACL 500 ML INFUS SANBE 15,012.00 2.00
RANITIDIN BPJS 2 ML INJECTION 3,548.00 2.00
ONDANSENTRON BPJS 4 MG INJECTION 5,156.00 2.00
CEFTRIAXON BPJS 1 GM INJECTION 12,177.00 2.00
PARACETAMOL 500 MG TABLET 149.00 3.00
HAND SCUN M 1,126.00 2.00
MASKER 503.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
BPJS DISPO 3 CC ONE MED 845.00 3.00
BPJS DISPO 10 CC ONE MED 1,152.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028687 (Andang RL SANBE 500 ML BPJS 8,938.00 3.00
Setadi,DR.Sp.PD) RANITIDIN BPJS 2 ML INJECTION 3,548.00 2.00
METHYL PREDNISOLON BPJS 125 MG
INJECTION 30,443.00 1.00
PARACETAMOL 500 MG TABLET 149.00 3.00
BPJS DISPO 3 CC ONE MED 845.00 6.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028688 (dr. Suhatman RL SANBE 500 ML INFUSION 15,438.00 2.00
Syarif Ganie, Sp PD) CEFTRIAXONE 1 GM INJECTION 13,530.00 2.00
DISPO 10 CC 2,304.00 2.00
AQUA BIDES 25 ML SOLUTION 7,700.00 2.00
MASKER 503.00 2.00
HAND SCUN M 1,126.00 2.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep dr. Nuril Ahmadi, MSc, Sp Pd NACL 500 ML INFUS SANBE 15,012.00 3.00
RANITIDIN BPJS 2 ML INJECTION 3,548.00 2.00
CEFTRIAXON BPJS 1 GM INJECTION 12,177.00 2.00
PARACETAMOL 500 MG TABLET 149.00 3.00
METHYL PREDNISOLON BPJS 125 MG
INJECTION 30,443.00 3.00
BPJS DISPO 3 CC ONE MED 845.00 2.00
BPJS DISPO 10 CC ONE MED 1,152.00 3.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028690 (Andang RL SANBE 500 ML BPJS 8,938.00 3.00
Setadi,DR.Sp.PD) RANITIDIN BPJS 2 ML INJECTION 3,548.00 2.00
Resep no. 00090000028690 (Andang
Setadi,DR.Sp.PD)
ONDANSENTRON BPJS 4 MG INJECTION 5,156.00 3.00
DIMENHYDRINATE 50 MG TABLET 286.00 2.00
BETAHISTINE 6 MG TABLET 1,183.00 3.00
BPJS DISPO 3 CC ONE MED 845.00 6.00
HAND SCUN M 1,126.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
MASKER 503.00 2.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep Andang Setadi,DR.Sp.PD RL SANBE 500 ML BPJS 8,938.00 1.00
KETOROLAC BPJS 30 MG INJECTION 6,875.00 2.00
RANITIDIN BPJS 2 ML INJECTION 3,548.00 2.00
ASAM TRANEKSAMAT BPJS 500MG 5 ML
INJECTION 5,891.00 3.00
BPJS DISPO 3 CC ONE MED 845.00 4.00
BPJS DISPO 5 CC ONE MED 845.00 3.00
HAND SCUN M 1,126.00 2.00
MASKER 503.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep dr. Sagung Rai Indrasari, M.Kes, LEVOFLOXACIN BPJS INFUSION 68,640.00 1.00
Sp.THT-KL(K) KETOROLAC BPJS 30 MG INJECTION 6,875.00 3.00
BPJS DISPO 3 CC ONE MED 845.00 3.00
MASKER 503.00 2.00
HAND SCUN M 1,126.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028695 (dr. Sagung Rai RL SANBE 500 ML BPJS 8,938.00 3.00
Indrasari, M.Kes, Sp.THT-KL(K)) Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028691 (dr. Fajar RL SANBE 500 ML BPJS 8,938.00 3.00
Sudarsono, Sp U) KETOROLAC BPJS 30 MG INJECTION 6,875.00 2.00
LEVOFLOXACIN 500 MG TABLET 1,482.00 1.00
URISPAS 200 MG TABLET 6,990.00 2.00
HARNAL D 0,2 MG TABLET 20,972.00 1.00
BPJS DISPO 3 CC ONE MED 845.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
HAND SCUN M 1,126.00 2.00
MASKER 503.00 2.00
Pajak 2%
Pembulatan
Resep dr. Nuril Ahmadi, MSc, Sp Pd DEXTROSE 5% OTSU 500 ML INFUSION 16,236.00 1.00
FUTROLIT 500 ML INFUSION 69,894.00 1.00
RANITIDIN 2 ML INJECTION 4,435.00 2.00
CEFTRIAXONE 1 GM INJECTION 13,530.00 2.00
DISPO 10 CC 2,304.00 2.00
DISPO 3 CC 1,239.00 1.00
AQUA BIDES 25 ML SOLUTION 7,700.00 2.00
MASKER 503.00 2.00
HAND SCUN M 1,126.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028698 (dr. Suhatman RL SANBE 500 ML BPJS 8,938.00 1.00
Syarif Ganie, Sp PD) FARSIX INJ 5,511.00 2.00
CEFTRIAXON BPJS 1 GM INJECTION 12,177.00 2.00
BPJS DISPO 3 CC ONE MED 845.00 2.00
BPJS DISPO 10 CC ONE MED 1,152.00 2.00
MASKER 503.00 2.00
HAND SCUN M 1,126.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep dr. Suhatman Syarif Ganie, Sp PD NACL 500 ML INFUS SANBE 15,012.00 3.00
RANITIDIN BPJS 2 ML INJECTION 3,548.00 3.00
ASAM TRANEKSAMAT BPJS 500MG 5 ML
INJECTION 5,891.00 2.00
CEFTRIAXON BPJS 1 GM INJECTION 12,177.00 2.00
Resep dr. Suhatman Syarif Ganie, Sp PD

BPJS DISPO 3 CC ONE MED 845.00 1.00


BPJS DISPO 5 CC ONE MED 845.00 2.00
MASKER 503.00 2.00
HAND SCUN M 1,126.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
BPJS DISPO 10 CC ONE MED 1,152.00 1.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep Hendy Satrya Kurniawan,DR,Sp.B RL SANBE 500 ML INFUSION 15,438.00 4.00
CEFTRIAXONE 1 GM INJECTION 13,530.00 3.00
TORASIC 30MG 1 ML INJECTION 45,100.00 3.00
PUMPISEL 40 AMP INJECTION 178,215.00 2.00
SANMOL 500 MG TABLET 372.00 4.00
NULAGYL 100 ML INFUSION 91,740.00 4.00
NACL 100 ML 18,671.00 2.00
BPJS DISPO 1 CC ONE MED 780.00 1.00
BPJS DISPO 3 CC ONE MED 845.00 3.00
BPJS DISPO 10 CC ONE MED 1,152.00 5.00
MASKER 503.00 3.00
HAND SCUN M 1,126.00 3.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 3.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Material from Rawat Inap Anggrek KASA HYDROFIL LIPAT 429.00 5.00
Pembulatan
Resep dr. Suhatman Syarif Ganie, Sp PD NACL 500 ML INFUS SANBE BPJS 8,375.00 3.00
RANTIN 2 ML INJECTION 25,707.00 2.00
FUROSEMIDA 40 MG TABLET 175.00 2.00
LAXATAB 50 MG TABLET 1,549.00 2.00
BPJS DISPO 3 CC ONE MED 845.00 6.00
HAND SCUN M 1,126.00 2.00
MASKER 503.00 2.00
AQUA BIDES 25 ML SOLUTION 7,700.00 2.00
BPJS IV CATETER 22 6,250.00 1.00
OPSITE IV 3000 IM 7 X 9 CM 7,288.00 1.00
BPJS INFUSET TRM 11,070.00 1.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028704 (dr. Suhatman CIPROFLOXACIN 500 MG TABLET 867.00 2.00
Syarif Ganie, Sp PD) Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep Andang Setadi,DR.Sp.PD NACL 500 ML INFUS SANBE 15,012.00 4.00
CEFTRIAXONE 1 GM INJECTION 13,530.00 3.00
FARSIX INJ 5,511.00 3.00
RANTIN 2 ML INJECTION 25,707.00 3.00
ASPILET 80 MG TABLET 758.00 3.00
DIGOXIN 0,25 MG TABLET 179.00 3.00
CAPTOPRIL 12,5 MG TABLET 154.00 4.00
KSR 600 MG TABLET 4,928.00 4.00
BPJS DISPO 3 CC ONE MED 845.00 8.00
BPJS DISPO 10 CC ONE MED 1,152.00 3.00
BPJS DISPO 1 CC ONE MED 780.00 1.00
MASKER 503.00 3.00
HAND SCUN M 1,126.00 3.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 3.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028706 (dr. Suhatman ONDANSENTRON 4 MG INJECTION 6,875.00 3.00
Syarif Ganie, Sp PD) Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028702 (dr. Suhatman METHYL PREDNISOLON BPJS 125 MG
Syarif Ganie, Sp PD) INJECTION 30,443.00 1.00
OMEPRAZOLE BPJS 40 MG INJECTION 43,973.00 2.00

METRONIDAZOLE BPJS 100 ML INFUSION 21,648.00 3.00

PULMICORT NEBULISER 0,5 MG INJECTION 28,588.00 1.00


COMBIVENT NEBULESER 26,384.00 3.00
FOLAVIT 400 MCG TABLET 1,084.00 4.00
KENDARON BPJS 200 MG TABLET 1,521.00 4.00
CEFTRIAXON BPJS 1 GM INJECTION 12,177.00 2.00
CLOPIDOGREL 75 MG TABLET 6,921.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 10.00
HAND SCUN M 1,126.00 10.00
MASKER 503.00 5.00
BPJS DISPO 10 CC ONE MED 1,152.00 3.00
BPJS DISPO 3 CC ONE MED 845.00 2.00
Pajak 2%
Pembulatan
Resep no. 00090000028694 (dr. Aryo CEFIXIME BPJS 200 MG CAPSULE 3,895.00 6.00
Nindito, Sp B) ASAM MEFENAMAT 500 MG CAPLET 286.00 9.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028701 (dr. Aryo ASAM TRANEKSAMAT 500 MG TABLET 2,534.00 9.00
Nindito, Sp B) ASAM MEFENAMAT 500 MG CAPLET 286.00 9.00
CEFIXIME BPJS 200 MG CAPSULE 3,895.00 6.00
Discount
Embalance
Pembulatan
Tuslah
Pajak 2%
Material from Instalasi Gawat Darurat DISPO 3 CC 1,239.00 1.00
ALKOHOL SWAB 172.00 1.00
KETOROLAC 30 MG INJECTION 16,439.00 1.00
Pajak 2%
Pembulatan
Resep no. 00090000028707 (dr. Rina OBH 100 ML SYRUP 6,188.00 1.00
Hastut) SANMOL 500 MG TABLET 372.00 10.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Material from Rawat Inap Anggrek KASA HYDROFIL LIPAT 429.00 10.00
Pembulatan
Material from Rawat Inap Anggrek KASA HYDROFIL LIPAT 429.00 10.00
Pembulatan
Material from Instalasi Gawat Darurat SELANG OKSIGEN DWS 7,500.00 1.00
Pajak 2%
Pembulatan
Material from Rawat Inap Anggrek KASA HYDROFIL LIPAT 429.00 20.00
Pembulatan
Resep no. 00090000028708 (dr. Rina GITAS PLUS TAB 7,425.00 10.00
Hastut) RANITIDIN BPJS 150 MG TABLET 257.00 10.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028709 (Andang RL SANBE 500 ML INFUSION 15,438.00 4.00
Setadi,DR.Sp.PD) RANITIDIN 2 ML INJECTION 4,435.00 2.00
ONDANSENTRON 4 MG INJECTION 6,875.00 3.00
BPJS DISPO 3 CC ONE MED 845.00 6.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028710 (Dr D.S ASERING SANBE 500 ML INFUSION 17,569.00 2.00
Nugroho Hadi Sp A) HAND SCUN M 1,126.00 2.00
AQUA BIDES 25 ML SOLUTION 7,700.00 2.00
MASKER 503.00 2.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Material from Instalasi Gawat Darurat DISPO 3 CC 1,239.00 1.00
ALKOHOL SWAB 172.00 1.00
KETOROLAC 30 MG INJECTION 16,439.00 1.00
HAND SCUN M 1,126.00 1.00
Pajak 2%
Pembulatan
Resep dr. Nuril Ahmadi, MSc, Sp Pd RL SANBE 500 ML BPJS 8,938.00 3.00
RANITIDIN BPJS 2 ML INJECTION 3,548.00 2.00
CLOPIDOGREL 75 MG TABLET 6,921.00 1.00
MECOBALAMIN BPJS 500 MG INJECTION 11,906.00 2.00
BPJS DISPO 3 CC ONE MED 845.00 5.00
MASKER 503.00 2.00
HAND SCUN M 1,126.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep Dr D.S Nugroho Hadi Sp A ASERING OTSU 500 ML INFUSION 21,648.00 2.00
VICCILIN SX INJ INJECTION 106,436.00 1.00
BPJS DISPO 3 CC ONE MED 845.00 3.00
MASKER 503.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep dr. Nuril Ahmadi, MSc, Sp Pd NACL 500 ML INFUS SANBE 15,012.00 1.00
ONDANSENTRON BPJS 4 MG INJECTION 5,156.00 3.00
KETO-G TAB 5,651.00 3.00
RANITIDIN BPJS 2 ML INJECTION 3,548.00 2.00
CAPSUL GARAM 500 MG CAPSULE 399.00 3.00
BPJS DISPO 3 CC ONE MED 845.00 6.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
MASKER 503.00 2.00
HAND SCUN M 1,126.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep dr. Nuril Ahmadi, MSc, Sp Pd NACL 500 ML INFUS SANBE 15,012.00 2.00
CEFTRIAXONE 1 GM INJECTION 13,530.00 2.00
RANITIDIN 2 ML INJECTION 4,435.00 2.00
DISPO 10 CC 2,304.00 2.00
DISPO 3 CC 1,239.00 4.00
HAND SCUN M 1,126.00 2.00
MASKER 503.00 2.00
AQUA BIDES 25 ML SOLUTION 7,700.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep Andang Setadi,DR.Sp.PD RL SANBE 500 ML INFUSION 15,438.00 2.00
ONDANSENTRON 4 MG INJECTION 6,875.00 2.00
LEVOFLOXACIN 500 MG TABLET 1,482.00 1.00
RILLUS TABLET 8,983.00 2.00
PARACETAMOL 500 MG TABLET 149.00 4.00
KETOROLAC 30 MG INJECTION 16,439.00 2.00
MELOXICAM 7,5 MG TABLET 899.00 1.00

METRONIDAZOLE BPJS 100 ML INFUSION 21,648.00 3.00


BPJS DISPO 3 CC ONE MED 845.00 5.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
MASKER 503.00 2.00
HAND SCUN M 1,126.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028719 (Andang METHYLPREDNISOLON 4 MG TABLET 787.00 3.00
Setadi,DR.Sp.PD) Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Pajak 2%
Pembulatan
Resep no. 00090000028720 (dr. Suhatman RL SANBE 500 ML BPJS 8,938.00 3.00
Syarif Ganie, Sp PD) AMBROXOL 30 MG TABLET 265.00 3.00
FUROSEMIDA 40 MG TABLET 175.00 2.00
MASKER 503.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
Pajak 2%
Pembulatan
Resep dr. Nuril Ahmadi, MSc, Sp Pd NACL 500 ML INFUS SANBE BPJS 8,375.00 3.00
RANITIDIN BPJS 2 ML INJECTION 3,548.00 2.00
FARSIX INJ 5,511.00 1.00
BPJS DISPO 3 CC ONE MED 845.00 5.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
BPJS IV CATETER 20 5,120.00 1.00
OPSITE IV 3000 IM 7 X 9 CM 7,288.00 1.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028722 (Dr D.S LIPROLAC POWDER 8,250.00 2.00
Nugroho Hadi Sp A) TROLIT POWDER 13,079.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
MASKER 503.00 2.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Material from Instalasi Gawat Darurat PAKET MANDI BPJS 25,000.00 1.00
Pajak 2%
Pembulatan
Material from Instalasi Gawat Darurat KETOROLAC 30 MG INJECTION 16,439.00 1.00
DISPO 3 CC 1,239.00 1.00
ALKOHOL SWAB 172.00 1.00
HAND SCUN M 1,126.00 1.00
Pajak 2%
Pembulatan
Material from Instalasi Gawat Darurat SELANG OKSIGEN DWS 7,500.00 1.00
Pajak 2%
Pembulatan
Resep Andang Setadi,DR.Sp.PD NACL 500 ML INFUS SANBE BPJS 8,375.00 2.00
LEVOFLOXACIN BPJS INFUSION 68,640.00 1.00
RANITIDIN BPJS 2 ML INJECTION 3,548.00 1.00
GLIMEPIRIDE 2 MG TABLET 1,971.00 2.00
METFORMIN 500 MG TABLET 286.00 3.00
KETOROLAC BPJS 30 MG INJECTION 6,875.00 2.00
KSR 600 MG TABLET 4,928.00 3.00
BPJS DISPO 3 CC ONE MED 845.00 6.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028728 (dr. Rina MECOBALAMIN BPJS 500 MG CAPSULE 901.00 10.00
Hastut) KETOROLAC BPJS 10 MG TABLET 2,065.00 10.00
Tuslah
Pembulatan
Embalance
Discount
Hastut)

Pajak 2%
Resep no. 00090000028729 (dr. Rina MECOBALAMIN 500 MG CAPSULE 1,225.00 10.00
Hastut) KETOROLAC 10 MG TABLET 4,928.00 10.00
EPERISONE 50 MG TABLET 2,394.00 10.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep dr. Suhatman Syarif Ganie, Sp PD RL SANBE 500 ML BPJS 8,938.00 2.00
CAPTOPRIL 25 MG TABLET 179.00 2.00
RANITIDIN BPJS 2 ML INJECTION 3,548.00 2.00
MASKER 503.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
BPJS DISPO 3 CC ONE MED 845.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep Andang Setadi,DR.Sp.PD RL SANBE 500 ML BPJS 8,938.00 1.00
RANITIDIN 2 ML INJECTION 4,435.00 2.00
ONDANSENTRON 4 MG INJECTION 6,875.00 2.00
RILLUS TABLET 8,983.00 2.00

METRONIDAZOLE BPJS 100 ML INFUSION 21,648.00 3.00


MASKER 503.00 2.00
AQUA BIDES BPJS 25 ML SOLUTION 3,840.00 2.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Material from Rawat Inap Arundat KASA HYDROFIL LIPAT 429.00 8.00
Pembulatan
Resep no. 00090000028734 (dr. Rina MECOBALAMIN BPJS 500 MG CAPSULE 901.00 5.00
Hastut) RANITIDIN BPJS 150 MG TABLET 257.00 10.00
PARACETAMOL 500 MG TABLET 149.00 10.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028735 (dr. Sandy SOTATIC INJ 6,473.00 3.00
Sp.An) Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028736 (dr. Sandry, Sp ASAM TRANEKSAMAT BPJS 500MG 5 ML
OG) INJECTION 5,891.00 3.00
BPJS DISPO 5 CC ONE MED 845.00 3.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep dr. Sandry, Sp OG BPJS DISPO 3 CC ONE MED 845.00 3.00
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028732 (Dr D.S CEFIXIME 100 MG CAPSULE 3,065.00 7.00
Nugroho Hadi Sp A) Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028725 (Dr D.S LIPROLAC POWDER 8,250.00 6.00
Nugroho Hadi Sp A) IM BOOST KIDS 60 ML SYRUP 39,643.00 1.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028723 (Dr D.S TROLIT POWDER 13,079.00 9.00
Nugroho Hadi Sp A) LIPROLAC POWDER 8,250.00 2.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep dr. Rina Hastut COMBIVENT NEBULESER 26,384.00 10.00
Resep dr. Rina Hastut
Pajak 2%
Pembulatan
Tuslah
Embalance
Discount
Resep no. 00090000028740 (dr. Suhatman XEPAZYM 3,520.00 3.00
Syarif Ganie, Sp PD) Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Resep no. 00090000028733 (dr. Sagung Rai LEVOFLOXACIN BPJS 500 MG TABLET 1,181.00 5.00
Indrasari, M.Kes, Sp.THT-KL(K)) KA DIKLOFENAK 50 MG TABLET 920.00 10.00
Tuslah
Pembulatan
Embalance
Discount
Pajak 2%
Sub Total Total Petugas
64,020.00 96,600.00 Kusmini
26,048.00
3,575.00
1,000.00
85.00
0.00
0.00
1,872.00
8,938.00 127,500.00 dr. Liliek Endang Sulistyawat
31,365.00
7,288.00
5,120.00
1,006.00
3,378.00
55,000.00
11,649.00
1,239.00
2,500.00
17.00
1,239.00 47,500.00 dr. Liliek Endang Sulistyawat
172.00
45,100.00
930.00
59.00
42,522.00 71,000.00 Kusmini
26,048.00
1,000.00
59.00
0.00
0.00
1,371.00
7,500.00 139,700.00 dr. Liliek Endang Sulistyawat
6,250.00
1,239.00
8,938.00
16,482.00
5,511.00
2,304.00
19,311.00
6,188.00
503.00
7,680.00
55,000.00
2,738.00
56.00
25,126.00 308,800.00 Kusmini
13,306.00
14,362.00
2,401.00
4,435.00
223,022.00
7,680.00
1,006.00
13,996.00
3,380.00
0.00
86.00
0.00
0.00
0.00
26,803.00 26,900.00 Kusmini
0.00
97.00
0.00
0.00
0.00
34,225.00 120,400.00 Kusmini
85,800.00
297.00
0.00
78.00
0.00
0.00
0.00
2,252.00 2,300.00 dr. Liliek Endang Sulistyawat
45.00
3.00
35,752.00 83,100.00 Kusmini
10,644.00
20,625.00
7,680.00
2,252.00
1,006.00
5,070.00
0.00
71.00
0.00
0.00
0.00
35,752.00 127,500.00 Kusmini
17,741.00
8,448.00
4,872.00
44,649.00
7,680.00
2,252.00
1,006.00
5,070.00
0.00
30.00
0.00
0.00
0.00
4,810.00 8,900.00 Kusmini
2,860.00
1,000.00
77.00
0.00
0.00
153.00
39,508.00 63,300.00 Kusmini
7,288.00
16,482.00
0.00
22.00
0.00
0.00
0.00
1,609.00 8,000.00 Kusmini
6,188.00
155.00
48.00
0.00
8,904.00 9,000.00 Kusmini
0.00
9,000.00 Kusmini

96.00
0.00
0.00
0.00
16,439.00 18,300.00 dr. Liliek Endang Sulistyawat
172.00
1,239.00
357.00
93.00
7,500.00 7,700.00 dr. Liliek Endang Sulistyawat
150.00
50.00
1,239.00 8,500.00 dr. Liliek Endang Sulistyawat
6,875.00
172.00
166.00
48.00
39,424.00 87,300.00 Kusmini
3,718.00
25,978.00
15,488.00
0.00
0.00
0.00
1,000.00
1,692.00
27,268.00 32,100.00 Kusmini
3,146.00
1,000.00
78.00
0.00
0.00
608.00
30,023.00 88,100.00 Hambono
7,096.00
10,313.00
24,354.00
446.00
2,253.00
1,007.00
7,679.00
2,535.00
2,304.00
0.00
90.00
0.00
0.00
0.00
26,814.00 69,900.00 Ferrawat, Amd.Farm
7,096.00

30,443.00
446.00
5,070.00
0.00
31.00
0.00
0.00
0.00
30,875.00 81,300.00 Ferrawat, Amd.Farm
27,060.00
4,608.00
15,400.00
1,007.00
2,253.00
0.00
97.00
0.00
0.00
0.00
45,035.00 173,500.00 Ferrawat, Amd.Farm
7,096.00
24,354.00
446.00

91,328.00
1,690.00
3,456.00
0.00
95.00
0.00
0.00
0.00
26,814.00 69,600.00 Ferrawat, Amd.Farm
7,096.00
69,600.00 Ferrawat, Amd.Farm

15,469.00
572.00
3,548.00
5,070.00
2,253.00
7,679.00
1,007.00
0.00
92.00
0.00
0.00
0.00
8,938.00 64,400.00 Ferrawat, Amd.Farm
13,749.00
7,096.00

17,672.00
3,380.00
2,535.00
2,253.00
1,007.00
7,679.00
0.00
91.00
0.00
0.00
0.00
68,640.00 95,100.00 Ferrawat, Amd.Farm
20,624.00
2,535.00
1,007.00
2,253.00
0.00
41.00
0.00
0.00
0.00
26,814.00 26,900.00 Ferrawat, Amd.Farm
0.00
86.00
0.00
0.00
0.00
26,814.00 89,700.00 Kusmuryat
13,749.00
1,482.00
13,979.00
20,972.00
1,690.00
7,680.00
2,252.00
1,006.00
0.00
76.00
16,236.00 146,600.00 Ferrawat, Amd.Farm
69,894.00
8,870.00
27,060.00
4,608.00
1,239.00
15,400.00
1,007.00
2,253.00
0.00
33.00
0.00
0.00
0.00
8,938.00 59,300.00 Ferrawat, Amd.Farm
11,022.00
24,354.00
1,690.00
2,304.00
1,007.00
2,253.00
7,679.00
0.00
53.00
0.00
0.00
0.00
45,035.00 106,500.00 Ferrawat, Amd.Farm
10,644.00

11,781.00
24,354.00
106,500.00 Ferrawat, Amd.Farm

845.00
1,690.00
1,007.00
2,253.00
7,679.00
1,152.00
0.00
60.00
0.00
0.00
0.00
61,751.00 1,025,400.00 Ferrawat, Amd.Farm
40,590.00
135,300.00
356,431.00
1,487.00
366,960.00
37,343.00
780.00
2,535.00
5,760.00
1,510.00
3,379.00
11,519.00
0.00
55.00
0.00
0.00
0.00
2,145.00 2,200.00 Eni Apriyant Puspitaningsih, Amd Kep
55.00
25,126.00 128,400.00 Ferrawat, Amd.Farm
51,414.00
350.00
3,098.00
5,070.00
2,253.00
1,007.00
15,400.00
6,250.00
7,288.00
11,070.00
0.00
74.00
0.00
0.00
0.00
1,734.00 1,800.00 Ferrawat, Amd.Farm
0.00
66.00
0.00
0.00
0.00
60,046.00 244,900.00 Ferrawat, Amd.Farm
40,590.00
16,533.00
77,121.00
2,274.00
536.00
616.00
19,712.00
6,760.00
3,456.00
780.00
1,510.00
3,379.00
11,519.00
0.00
68.00
0.00
0.00
0.00
20,625.00 20,700.00 Ferrawat, Amd.Farm
0.00
75.00
0.00
0.00
0.00
397,100.00 Kusmuryat
30,443.00
87,945.00

64,944.00

28,588.00
79,151.00
4,337.00
6,083.00
24,354.00
13,842.00
38,400.00
11,260.00
2,515.00
3,456.00
1,690.00
0.00
92.00
23,373.00 26,000.00 Ferrawat, Amd.Farm
2,574.00
0.00
53.00
0.00
0.00
0.00
22,810.00 48,800.00 Ferrawat, Amd.Farm
2,574.00
23,373.00
0.00
0.00
43.00
0.00
0.00
1,239.00 18,300.00 dr. Rina Hastut
172.00
16,439.00
357.00
93.00
6,188.00 11,200.00 Ferrawat, Amd.Farm
3,718.00
1,000.00
96.00
0.00
0.00
198.00
4,290.00 4,300.00 Eni Apriyant Puspitaningsih, Amd Kep
10.00
4,290.00 4,300.00 Eni Apriyant Puspitaningsih, Amd Kep
10.00
7,500.00 7,700.00 dr. Rina Hastut
150.00
50.00
8,580.00 8,600.00 Eni Apriyant Puspitaningsih, Amd Kep
20.00
74,250.00 79,400.00 Ferrawat, Amd.Farm
2,574.00
1,000.00
40.00
0.00
0.00
1,536.00
61,751.00 96,400.00 Ferrawat, Amd.Farm
8,870.00
20,625.00
5,070.00
0.00
84.00
0.00
0.00
0.00
35,137.00 53,800.00 Ferrawat, Amd.Farm
2,253.00
15,400.00
1,007.00
0.00
3.00
0.00
0.00
0.00
1,239.00 19,400.00 dr. Rina Hastut
172.00
16,439.00
1,126.00
380.00
44.00
26,814.00 79,900.00 Ferrawat, Amd.Farm
7,096.00
6,921.00
23,813.00
4,225.00
1,007.00
2,253.00
7,679.00
0.00
92.00
0.00
0.00
0.00
43,296.00 153,300.00 Ferrawat, Amd.Farm
106,436.00
2,535.00
1,007.00
0.00
26.00
0.00
0.00
0.00
15,012.00 71,800.00 Ferrawat, Amd.Farm
15,469.00
16,954.00
7,096.00
1,197.00
5,070.00
7,679.00
1,007.00
2,253.00
0.00
63.00
0.00
0.00
0.00
30,023.00 94,200.00 Ferrawat, Amd.Farm
27,060.00
8,870.00
4,608.00
4,956.00
2,253.00
1,007.00
15,400.00
0.00
23.00
0.00
0.00
0.00
30,875.00 178,600.00 Ferrawat, Amd.Farm
13,750.00
1,482.00
17,967.00
595.00
32,878.00
899.00

64,944.00
4,225.00
7,679.00
1,007.00
2,253.00
0.00
46.00
0.00
0.00
0.00
2,360.00 2,400.00 Ferrawat, Amd.Farm
0.00
40.00
0.00
0.00
0.00
0.00 0.00 Heri Suharso
0.00
26,814.00 36,700.00 Kusmuryat
794.00
350.00
1,006.00
7,680.00
0.00
56.00
25,126.00 62,100.00 Ferrawat, Amd.Farm
7,096.00
5,511.00
4,225.00
7,679.00
5,120.00
7,288.00
0.00
55.00
0.00
0.00
0.00
16,500.00 51,400.00 Ferrawat, Amd.Farm
26,158.00
7,679.00
1,007.00
0.00
56.00
0.00
0.00
0.00
25,000.00 25,500.00 dr. Adhelia Akst Pertwi
500.00
0.00
16,439.00 19,400.00 dr. Rina Hastut
1,239.00
172.00
1,126.00
380.00
44.00
7,500.00 7,700.00 dr. Rina Hastut
150.00
50.00
16,751.00 127,400.00 Ferrawat, Amd.Farm
68,640.00
3,548.00
3,942.00
858.00
13,749.00
14,784.00
5,070.00
0.00
58.00
0.00
0.00
0.00
9,009.00 31,300.00 Ferrawat, Amd.Farm
20,651.00
1,000.00
47.00
0.00
0.00
593.00
12,250.00 88,200.00 Ferrawat, Amd.Farm
49,280.00
23,936.00
1,000.00
25.00
0.00
0.00
1,709.00
17,876.00 35,800.00 Ferrawat, Amd.Farm
358.00
7,096.00
1,007.00
7,679.00
1,690.00
0.00
94.00
0.00
0.00
0.00
8,938.00 123,200.00 Ferrawat, Amd.Farm
8,870.00
13,750.00
17,967.00

64,944.00
1,007.00
7,679.00
0.00
45.00
0.00
0.00
0.00
3,432.00 3,500.00 Sutart Perawat
68.00
4,505.00 9,800.00 Ferrawat, Amd.Farm
2,574.00
1,487.00
1,000.00
63.00
0.00
0.00
171.00
19,418.00 19,500.00 Ferrawat, Amd.Farm
0.00
82.00
0.00
0.00
0.00
20,300.00 Ferrawat, Amd.Farm
17,672.00
2,535.00
0.00
93.00
0.00
0.00
0.00
2,535.00 2,600.00 Ferrawat, Amd.Farm
0.00
65.00
0.00
0.00
0.00
21,456.00 21,500.00 Ferrawat, Amd.Farm
0.00
44.00
0.00
0.00
0.00
49,500.00 89,200.00 Ferrawat, Amd.Farm
39,643.00
0.00
57.00
0.00
0.00
0.00
117,711.00 134,300.00 Ferrawat, Amd.Farm
16,500.00
0.00
89.00
0.00
0.00
0.00
263,835.00 243,000.00 Kusmuryat
243,000.00 Kusmuryat
5,276.00
73.00
0.00
200.00
-26,384.00
10,560.00 10,600.00 Ferrawat, Amd.Farm
0.00
40.00
0.00
0.00
0.00
5,907.00 15,200.00 Ferrawat, Amd.Farm
9,204.00
0.00
89.00
0.00
0.00
0.00
6,422,400.00
Unit Keluar Nama Obat Qty BELI
Apotek AMBROXOL 30 MG TABLET 3 185
AMLODIPINE 5 MG TABLET 2 853
AMOXAN 500 MG CAPSULE 10 1475
AMOXYCILLIN 500 MG TABLET 10 336
AQUA BIDES 25 ML SOLUTION 2 5600
AQUA BIDES 25 ML SOLUTION 2 5600
AQUA BIDES 25 ML SOLUTION 2 5600
AQUA BIDES 25 ML SOLUTION 2 5600
AQUA BIDES 25 ML SOLUTION 2 5600
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 3 2727
AQUA BIDES BPJS 25 ML SOLUTION 3 2727
AQUA BIDES BPJS 25 ML SOLUTION 10 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
AQUA BIDES BPJS 25 ML SOLUTION 2 2727
ARCAPEC TABLET 10 1100
ASAM MEFENAMAT 500 MG CAPLET 10 200
ASAM MEFENAMAT 500 MG CAPLET 11 200
ASAM MEFENAMAT 500 MG CAPLET 9 200
ASAM MEFENAMAT 500 MG CAPLET 9 200
ASAM TRANEKSAMAT 500 MG TABLET 9 1800
ASAM TRANEKSAMAT BPJS 500MG 5 ML INJECTION 3 4284
ASAM TRANEKSAMAT BPJS 500MG 5 ML INJECTION 2 4284
ASAM TRANEKSAMAT BPJS 500MG 5 ML INJECTION 3 4284
ASERING BPJS 500 ML INFUSION 3 8432
ASERING OTSU 500 ML INFUSION 2 16000
ASERING SANBE 500 ML INFUSION 2 12985
ASPILET 80 MG TABLET 3 530
BETAHISTINE 6 MG TABLET 2 840
BPJS DISPO 1 CC ONE MED 1 600
BPJS DISPO 1 CC ONE MED 1 600
BPJS DISPO 10 CC ONE MED 2 900
BPJS DISPO 10 CC ONE MED 3 900
BPJS DISPO 10 CC ONE MED 2 900
BPJS DISPO 10 CC ONE MED 1 900
BPJS DISPO 10 CC ONE MED 5 900
BPJS DISPO 10 CC ONE MED 3 900
BPJS DISPO 10 CC ONE MED 3 900
BPJS DISPO 3 CC ONE MED 4 650
BPJS DISPO 3 CC ONE MED 6 650
BPJS DISPO 3 CC ONE MED 6 650
BPJS DISPO 3 CC ONE MED 3 650
BPJS DISPO 3 CC ONE MED 6 650
BPJS DISPO 3 CC ONE MED 2 650
BPJS DISPO 3 CC ONE MED 6 650
BPJS DISPO 3 CC ONE MED 4 650
BPJS DISPO 3 CC ONE MED 3 650
BPJS DISPO 3 CC ONE MED 2 650
BPJS DISPO 3 CC ONE MED 2 650
BPJS DISPO 3 CC ONE MED 1 650
BPJS DISPO 3 CC ONE MED 3 650
BPJS DISPO 3 CC ONE MED 6 650
BPJS DISPO 3 CC ONE MED 8 650
BPJS DISPO 3 CC ONE MED 2 650
BPJS DISPO 3 CC ONE MED 6 650
BPJS DISPO 3 CC ONE MED 5 650
BPJS DISPO 3 CC ONE MED 3 650
BPJS DISPO 3 CC ONE MED 6 650
BPJS DISPO 3 CC ONE MED 5 650
BPJS DISPO 3 CC ONE MED 5 650
BPJS DISPO 3 CC ONE MED 6 650
BPJS DISPO 3 CC ONE MED 2 650
BPJS DISPO 3 CC ONE MED 3 650
BPJS DISPO 5 CC ONE MED 3 650
BPJS DISPO 5 CC ONE MED 2 650
BPJS DISPO 5 CC ONE MED 3 650
BPJS INFUSET TRM 1 9000
BPJS IV CATETER 20 1 4000
BPJS IV CATETER 22 1 5000
CANDESARTAN BPJS 8 MG TABLET 2 1575
CAPSUL GARAM 500 MG CAPSULE 3 307
CAPTOPRIL 12,5 MG TABLET 4 108
CAPTOPRIL 25 MG TABLET 2 125
CEFIXIME 100 MG CAPSULE 7 2177
CEFIXIME BPJS 200 MG CAPSULE 7 2767
CEFIXIME BPJS 200 MG CAPSULE 6 2767
CEFIXIME BPJS 200 MG CAPSULE 6 2767
CEFTRIAXON BPJS 1 GM INJECTION 2 9000
CEFTRIAXON BPJS 1 GM INJECTION 2 9000
CEFTRIAXON BPJS 1 GM INJECTION 2 9000
CEFTRIAXON BPJS 1 GM INJECTION 2 9000
CEFTRIAXON BPJS 1 GM INJECTION 2 9000
CEFTRIAXONE 1 GM INJECTION 2 10000
CEFTRIAXONE 1 GM INJECTION 2 10000
CEFTRIAXONE 1 GM INJECTION 3 10000
CEFTRIAXONE 1 GM INJECTION 3 10000
CEFTRIAXONE 1 GM INJECTION 2 10000
CIPROFLOXACIN 500 MG TABLET 2 606
CLOPIDOGREL 75 MG TABLET 2 5033
CLOPIDOGREL 75 MG TABLET 1 5033
COMBIVENT NEBULESER 3 19500
COMBIVENT NEBULESER 10 19500
CURCUMA TABLET 4 865
DEXTROSE 5% OTSU 500 ML INFUSION 1 12000
DIAZEPAM 2 MG TABLET 10 113
DIGOXIN 0,25 MG TABLET 3 125
DIMENHYDRINATE 50 MG TABLET 2 200
DISPO 10 CC 2 1800
DISPO 10 CC 2 1800
DISPO 10 CC 2 1800
DISPO 3 CC 1 968
DISPO 3 CC 4 968
EPERISONE 50 MG TABLET 10 1700
FARSIX INJ 2 4008
FARSIX INJ 3 4008
FARSIX INJ 1 4008
FOLAVIT 400 MCG TABLET 4 935
FUROSEMIDA 40 MG TABLET 2 140
FUROSEMIDA 40 MG TABLET 2 140
FUTROLIT 500 ML INFUSION 1 52950
GITAS PLUS TAB 10 5400
GLIMEPIRIDE 2 MG TABLET 2 1400
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 3 880
HAND SCUN M 2 880
HAND SCUN M 3 880
HAND SCUN M 10 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HAND SCUN M 2 880
HARNAL D 0,2 MG TABLET 1 15500
IM BOOST KIDS 60 ML SYRUP 1 29300
INFUSET TERUMO 1 13400
IV CATETER 22 TRM 1 29200
JARUM PEN NEEDLE 31 G 4 2485
KA DIKLOFENAK 50 MG TABLET 10 644
KENDARON BPJS 200 MG TABLET 4 1080
KETO-G TAB 3 4110
KETOROLAC 10 MG TABLET 10 3500
KETOROLAC 30 MG INJECTION 2 12150
KETOROLAC BPJS 10 MG TABLET 10 1467
KETOROLAC BPJS 30 MG INJECTION 2 5000
KETOROLAC BPJS 30 MG INJECTION 3 5000
KETOROLAC BPJS 30 MG INJECTION 2 5000
KETOROLAC BPJS 30 MG INJECTION 2 5000
KSR 600 MG TABLET 4 3500
KSR 600 MG TABLET 3 3500
LANTUS SOLOSTAR FLEXPHEN 1 171820
LAXATAB 50 MG TABLET 2 1100
LEVOFLOXACIN 500 MG TABLET 1 1053
LEVOFLOXACIN 500 MG TABLET 1 1053
LEVOFLOXACIN BPJS 500 MG TABLET 5 839
LEVOFLOXACIN BPJS INFUSION 1 52000
LEVOFLOXACIN BPJS INFUSION 1 52000
LIPROLAC POWDER 2 6000
LIPROLAC POWDER 6 6000
LIPROLAC POWDER 2 6000
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 3 352
MASKER 2 352
MASKER 3 352
MASKER 5 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MASKER 2 352
MECOBALAMIN 500 MG CAPSULE 10 870
MECOBALAMIN BPJS 500 MG CAPSULE 10 630
MECOBALAMIN BPJS 500 MG CAPSULE 5 630
MECOBALAMIN BPJS 500 MG INJECTION 2 8800
MELOXICAM 7,5 MG TABLET 1 629
METFORMIN 500 MG TABLET 3 200
METHYL PREDNISOLON BPJS 125 MG INJECTION 1 22500
METHYL PREDNISOLON BPJS 125 MG INJECTION 3 22500
METHYL PREDNISOLON BPJS 125 MG INJECTION 1 22500
METHYLPREDNISOLON 4 MG TABLET 3 550
METRONIDAZOLE 500 MG TABLET 10 260
METRONIDAZOLE BPJS 100 ML INFUSION 3 16000
METRONIDAZOLE BPJS 100 ML INFUSION 3 16000
METRONIDAZOLE BPJS 100 ML INFUSION 3 16000
NACL 100 ML 2 13800
NACL 500 ML INFUS SANBE 2 11095
NACL 500 ML INFUS SANBE 3 11095
NACL 500 ML INFUS SANBE 3 11095
NACL 500 ML INFUS SANBE 4 11095
NACL 500 ML INFUS SANBE 1 11095
NACL 500 ML INFUS SANBE 2 11095
NACL 500 ML INFUS SANBE BPJS 3 6091
NACL 500 ML INFUS SANBE BPJS 3 6091
NACL 500 ML INFUS SANBE BPJS 3 6091
NACL 500 ML INFUS SANBE BPJS 2 6094
NEURODIAL TABLET 4 1581
NUCRAL 100 ML SUSPENSION 1 48500
NULAGYL 100 ML INFUSION 4 69500
OBH 100 ML SYRUP 1 4500
OBH 100 ML SYRUP 1 4500
OMEPRAZOLE BPJS 40 MG INJECTION 2 32500
ONDANSENTRON 4 MG INJECTION 3 5000
ONDANSENTRON 4 MG INJECTION 3 5000
ONDANSENTRON 4 MG INJECTION 3 5000
ONDANSENTRON 4 MG INJECTION 2 5000
ONDANSENTRON 4 MG INJECTION 2 5000
ONDANSENTRON 8 MG TABLET 10 2800
ONDANSENTRON BPJS 4 MG INJECTION 2 3750
ONDANSENTRON BPJS 4 MG INJECTION 3 3750
ONDANSENTRON BPJS 4 MG INJECTION 3 3750
OPSITE IV 3000 IM 7 X 9 CM 1 5300
OPSITE IV 3000 IM 7 X 9 CM 1 5300
OPSITE IV 3000 IM 7 X 9 CM 1 5300
PARACETAMOL 500 MG TABLET 2 104
PARACETAMOL 500 MG TABLET 3 104
PARACETAMOL 500 MG TABLET 3 104
PARACETAMOL 500 MG TABLET 3 104
PARACETAMOL 500 MG TABLET 4 104
PARACETAMOL 500 MG TABLET 10 104
PROCOLIC MG TABLET 10 1850
PROCOLIC MG TABLET 10 1850
PSIDII SIRUP 60 ML SYRUP 1 33000
PULMICORT NEBULISER 0,5 MG INJECTION 1 21129
PUMPISEL 40 AMP INJECTION 2 137300
RANITIDIN 150 MG TABLET 10 250
RANITIDIN 2 ML INJECTION 3 3150
RANITIDIN 2 ML INJECTION 4 3150
RANITIDIN 2 ML INJECTION 2 3150
RANITIDIN 2 ML INJECTION 2 3150
RANITIDIN 2 ML INJECTION 2 3150
RANITIDIN 2 ML INJECTION 2 3150
RANITIDIN BPJS 150 MG TABLET 10 180
RANITIDIN BPJS 150 MG TABLET 10 180
RANITIDIN BPJS 2 ML INJECTION 3 2520
RANITIDIN BPJS 2 ML INJECTION 2 2520
RANITIDIN BPJS 2 ML INJECTION 2 2520
RANITIDIN BPJS 2 ML INJECTION 2 2520
RANITIDIN BPJS 2 ML INJECTION 2 2520
RANITIDIN BPJS 2 ML INJECTION 2 2520
RANITIDIN BPJS 2 ML INJECTION 3 2520
RANITIDIN BPJS 2 ML INJECTION 2 2520
RANITIDIN BPJS 2 ML INJECTION 2 2520
RANITIDIN BPJS 2 ML INJECTION 2 2520
RANITIDIN BPJS 2 ML INJECTION 1 2520
RANITIDIN BPJS 2 ML INJECTION 2 2520
RANTIN 2 ML INJECTION 2 19000
RANTIN 2 ML INJECTION 3 19000
RENAPAR 300 MG TABLET 4 2550
RILLUS TABLET 2 6533
RILLUS TABLET 2 6533
RL SANBE 500 ML BPJS 4 6500
RL SANBE 500 ML BPJS 4 6500
RL SANBE 500 ML BPJS 3 6500
RL SANBE 500 ML BPJS 3 6500
RL SANBE 500 ML BPJS 1 6500
RL SANBE 500 ML BPJS 3 6500
RL SANBE 500 ML BPJS 3 6500
RL SANBE 500 ML BPJS 1 6500
RL SANBE 500 ML BPJS 3 6500
RL SANBE 500 ML BPJS 3 6500
RL SANBE 500 ML BPJS 2 6500
RL SANBE 500 ML BPJS 1 6500
RL SANBE 500 ML INFUSION 2 11410
RL SANBE 500 ML INFUSION 4 11410
RL SANBE 500 ML INFUSION 4 11410
RL SANBE 500 ML INFUSION 2 11410
SANMOL 500 MG TABLET 4 260
SANMOL 500 MG TABLET 10 260
SANMOL BPJS INFUSION 1 260
SANPRIMA FORTE TABLET 10 1895
SISTENOL CAPLET 4 1500
SOTATIC INJ 3 5178
STARMUNO KIDS 60 ML SYRUP 1 65000
TORASIC 30MG 1 ML INJECTION 3 33333
TROLIT POWDER 2 9667
TROLIT POWDER 9 9667
URISPAS 200 MG TABLET 2 5083
VICCILIN SX INJ INJECTION 1 82000
XEPAZYM 3 2500

Instalasi Gawat Darurat ALKOHOL SWAB 1 132


ALKOHOL SWAB 1 132
ALKOHOL SWAB 1 132
ALKOHOL SWAB 1 132
ALKOHOL SWAB 1 132
ALKOHOL SWAB 1 132
AQUA BIDES BPJS 25 ML SOLUTION 2 5600
BPJS IV CATETER 20 1 4000
BPJS IV CATETER 22 1 5000
DISPO 10 CC 1 1800
DISPO 3 CC 1 968
DISPO 3 CC 1 968
DISPO 3 CC 1 968
DISPO 3 CC 1 968
DISPO 3 CC 1 968
DISPO 3 CC 1 968
DISPO 3 CC 1 968
DISPO 3 CC 1 968
FARSIX INJ 1 4008
FOLY CATETER 16 1 15700
HAND SCUN M 3 880
HAND SCUN M 2 880
HAND SCUN M 1 880
HAND SCUN M 1 880
INFUSET TERUMO 1 13400
KETOROLAC 30 MG INJECTION 1 12150
KETOROLAC 30 MG INJECTION 1 12150
KETOROLAC 30 MG INJECTION 1 12150
KETOROLAC 30 MG INJECTION 1 12150
MASKER 1 352
MASKER 1 352
ONDANSENTRON 4 MG INJECTION 1 5000
OPSITE IV 3000 IM 7 X 9 CM 1 5300
PAKET MANDI BIASA 1 46000
PAKET MANDI BIASA 1 46000
PAKET MANDI BPJS 1 20325
RL SANBE 500 ML BPJS 1 6500
RL SANBE 500 ML BPJS 1 6500
SANTAGESIK INJECTION 1 8610
SELANG OKSIGEN DWS 1 6000
SELANG OKSIGEN DWS 1 6000
SELANG OKSIGEN DWS 1 6000
SELANG OKSIGEN DWS 1 6000
TORASIC 30MG 1 ML INJECTION 1 33333
TRANFUSI SET TERUMO 1 25500
URIN BAG SINGLE 1 4950
BELI JUAL
555 265 795
1706 1201 2402
14750 4252 42520
3360 481 4810
11200 7700 15400
11200 7700 15400
11200 7700 15400
11200 7700 15400
11200 7700 15400
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
8181 3840 11520
8181 3840 11520
27270 3840 38400
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
5454 3840 7680
11000 1549 15490
2000 286 2860
2200 286 3146
1800 286 2574
1800 286 2574
16200 2534 22806
12852 5891 17673
8568 5891 11782
12852 5891 17673
25296 11408 34224
32000 21648 43296
25970 17569 35138
1590 758 2274
1680 1183 2366
600 780 780
600 780 780
1800 1152 2304
2700 1152 3456
1800 1152 2304
900 1152 1152
4500 1152 5760
2700 1152 3456
2700 1152 3456
2600 845 3380
3900 845 5070
3900 845 5070
1950 845 2535
3900 845 5070
1300 845 1690
3900 845 5070
2600 845 3380
1950 845 2535
1300 845 1690
1300 845 1690
650 845 845
1950 845 2535
3900 845 5070
5200 845 6760
1300 845 1690
3900 845 5070
3250 845 4225
1950 845 2535
3900 845 5070
3250 845 4225
3250 845 4225
3900 845 5070
1300 845 1690
1950 845 2535
1950 845 2535
1300 845 1690
1950 845 2535
9000 11070 11070
4000 5120 5120
5000 6250 6250
3150 2218 4436
921 399 1197
432 154 616
250 179 358
15239 3065 21455
19369 3895 27265
16602 3895 23370
16602 3895 23370
18000 12177 24354
18000 12177 24354
18000 12177 24354
18000 12177 24354
18000 12177 24354
20000 13530 27060
20000 13530 27060
30000 13530 40590
30000 13530 40590
20000 13530 27060
1212 867 1734
10066 6921 13842
5033 6921 6921
58500 26384 79152
195000 26384 263840
3460 1218 4872
12000 16236 16236
1130 161 1610
375 179 537
400 286 572
3600 2304 4608
3600 2304 4608
3600 2304 4608
968 1239 1239
3872 1239 4956
17000 2394 23940
8016 5511 11022
12024 5511 16533
4008 5511 5511
3740 1084 4336
280 175 350
280 175 350
52950 69894 69894
54000 7425 74250
2800 1971 3942
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
2640 1126 3378
1760 1126 2252
2640 1126 3378
8800 1126 11260
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
1760 1126 2252
15500 20972 20972
29300 39643 39643
13400 16482 16482
29200 39508 39508
9940 3499 13996
6440 920 9200
4320 1521 6084
12330 5651 16953
35000 4928 49280
24300 16439 32878
14670 2065 20650
10000 6875 13750
15000 6875 20625
10000 6875 13750
10000 6875 13750
14000 4928 19712
10500 4928 14784
171820 223022 223022
2200 1549 3098
1053 1482 1482
1053 1482 1482
4195 1181 5905
52000 68640 68640
52000 68640 68640
12000 8250 16500
36000 8250 49500
12000 8250 16500
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
1056 503 1509
704 503 1006
1056 503 1509
1760 503 2515
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
704 503 1006
8700 1225 12250
6300 901 9010
3150 901 4505
17600 11906 23812
629 899 899
600 286 858
22500 30443 30443
67500 30443 91329
22500 30443 30443
1650 787 2361
2600 372 3720
48000 21648 64944
48000 21648 64944
48000 21648 64944
27600 18671 37342
22190 15012 30024
33285 15012 45036
33285 15012 45036
44380 15012 60048
11095 15012 15012
22190 15012 30024
18273 8375 25125
18273 8375 25125
18273 8375 25125
12188 8375 16750
6324 2226 8904
48500 64020 64020
278000 91740 366960
4500 6188 6188
4500 6188 6188
65000 43973 87946
15000 6875 20625
15000 6875 20625
15000 6875 20625
10000 6875 13750
10000 6875 13750
28000 3942 39420
7500 5156 10312
11250 5156 15468
11250 5156 15468
5300 7288 7288
5300 7288 7288
5300 7288 7288
208 149 298
312 149 447
312 149 447
312 149 447
416 149 596
1040 149 1490
18500 2605 26050
18500 2605 26050
33000 44649 44649
21129 28588 28588
274600 178215 356430
2500 358 3580
9450 4435 13305
12600 4435 17740
6300 4435 8870
6300 4435 8870
6300 4435 8870
6300 4435 8870
1800 257 2570
1800 257 2570
7560 3548 10644
5040 3548 7096
5040 3548 7096
5040 3548 7096
5040 3548 7096
5040 3548 7096
7560 3548 10644
5040 3548 7096
5040 3548 7096
5040 3548 7096
2520 3548 3548
5040 3548 7096
38000 25707 51414
57000 25707 77121
10200 3590 14360
13066 8983 17966
13066 8983 17966
26000 8983 35932
26000 8983 35932
19500 8983 26949
19500 8983 26949
6500 8983 8983
19500 8983 26949
19500 8983 26949
6500 8983 8983
19500 8983 26949
19500 8983 26949
13000 8983 17966
6500 8983 8983
22820 15438 30876
45640 15438 61752
45640 15438 61752
22820 15438 30876
1040 372 1488
2600 372 3720
260 26803 26803
18950 2598 25980
6000 2112 8448
15534 6473 19419
65000 85800 85800
99999 45100 135300
19334 13079 26158
87003 13079 117711
10166 6990 13980
82000 106436 106436
7500 3520 10560
4365345 5947211
132 172 172
132 172 172
132 172 172
132 172 172
132 172 172
132 172 172
11200 3840 7680
4000 5120 5120
5000 6250 6250
1800 2304 2304
968 1239 1239
968 1239 1239
968 1239 1239
968 1239 1239
968 1239 1239
968 1239 1239
968 1239 1239
968 1239 1239
4008 5511 5511
15700 19311 19311
2640 1126 3378
1760 1126 2252
880 1126 1126
880 1126 1126
13400 16482 16482
12150 16439 16439
12150 16439 16439
12150 16439 16439
12150 16439 16439
352 503 503
352 503 503
5000 6875 6875
5300 7288 7288
46000 55000 55000
46000 55000 55000
20325 25000 25000
6500 8938 8938
6500 8938 8938
8610 11649 11649
6000 7500 7500
6000 7500 7500
6000 7500 7500
6000 7500 7500
33333 45100 45100
25500 31365 31365
4950 6188 6188
351126 439587