Berita Acara Gudang

PEMERINTAH KABUPATEN ENREKANG
RUMAH SAKIT UMUM MASSENREMPULU

Jl. Jend. Sudirman Telp. (0420) 22122 Enrekang
Pada hari ini, tanggal bulan tahun

Kami yang bertandatangan dibawah ini, masing-masing:
1 Nama : Alham muchtar, S.Si, Apt
NIP : 19850411 201001 1 020
Jabatan : Kepala Instalasi Farmasi RSUD Massenrempulu Enrekang
2 Nama : Suwarno S, S.Farm, Apt

NIP : 19870213 201101 1 010
Jabatan : Penanggung Jawab gudang farmasi RSUD Massenrempulu Enrekang
Menyatakan bahwa telah melakukan stok opname fisik barang persediaan digudang farmasi RSUD
Massenrempulu Enrekang pada bulan Januari dengan rincian sebagai berikut:
No Nama Obat Satuan Jumlah Harga Satuan Nilai

A JKN
BMHP
1 Abbocath 16 bh 0 Rp 3,960.00 Rp -
4 Abbocath 18 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 14,300.00 Rp -
8 Abbocath 20 bh 1050 Rp 7,075.99 Rp 7,429,791.60
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 0 Rp 7,075.98 Rp -
11 Abbocath 20 bh 0 Rp 4,370.00 Rp -
12 Abbocath 20 bh 0 Rp 3,960.00 Rp -
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 50 Rp 7,075.99 Rp 353,799.60
16 Abbocath 22 bh 0 Rp 7,075.98 Rp -
17 Abbocath 22 bh 0 Rp 4,370.00 Rp -
18 Abbocath 24 bh 0 Rp 7,075.98 Rp -
19 Abbocath 24 bh 250 Rp 7,075.99 Rp 1,768,998.00
20 Abbocath 24 bh 0 Rp 6,269.67 Rp -
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 0 Rp 29,150.00 Rp -
23 Abbocath 26 bh 0 Rp 15,397.82 Rp -
24 Abbocath 26 bh 0 Rp 30,250.00 Rp -
25 Abbocath 26 bh 0 Rp 13,860.00 Rp -
26 Apron bh 260 Rp 2,904.40 Rp 755,144.00
27 Apron bh 0 Rp 27,782.00 Rp -
28 Apron bh 0 Rp 6,600.00 Rp -
29 Aquasonic Parker bh 2 Rp 825,000.00 Rp 1,650,000.00
30 Aquasonic Parker bh 0 Rp 990,000.00 Rp -
31 Aquasonic Parker bh 0 Rp 1,045,000.00 Rp -
32 Arrow Picc with Chlorag+Tech. bh 2 Rp 3,960,000.00 Rp 7,920,000.00
33 Ayre T Piece bh 10 Rp 110,000.00 Rp 1,100,000.00
34 Benang Biolon 3/0 bh 0 Rp 39,637.40 Rp -
35 Benang Biolon 3/0 bh 96 Rp 62,700.00 Rp 6,019,200.00
38 Benang Chrogut 0 bh 0 Rp 74,250.00 Rp -
39 Benang Chrogut 0 bh 120 Rp 73,700.00 Rp 8,844,000.00
40 Benang Chrogut 3/0 bh 48 Rp 69,300.00 Rp 3,326,400.00
41 Benang Nylon 2/0 bh 60 Rp 27,600.00 Rp 1,656,000.00
42 Benang Nylon 3/0 bh 0 Rp 27,600.00 Rp -
44 Benang PGA 2/0 bh 0 Rp 76,800.00 Rp -
45 Benang PGA 4/0 bh 24 Rp 76,800.00 Rp 1,843,200.00
46 Benang Polysorb 0 bh 0 Rp 127,600.00 Rp -
48 Benang Polysorb 2-0 bh 0 Rp 100,100.00 Rp -
50 Benang Polysorb 5-0 bh 36 Rp 144,100.00 Rp 5,187,600.00
51 Benang Prylene 3/0 bh 0 Rp 65,516.00 Rp -
52 Benang Ticryl 0 bh 120 Rp 99,000.00 Rp 11,880,000.00
54 Benang Tycryl 2/0 bh 72 Rp 94,600.00 Rp 6,811,200.00
55 Benang Ticryl 2/0 bh 0 Rp 76,434.60 Rp -
57 Benang Ticryl 3/0 bh 72 Rp 93,500.00 Rp 6,732,000.00
58 Benang Tycryl 3/0 (Cutting) bh 0 Rp 93,500.00 Rp -
59 Benang Tycryl 4/0 bh 0 Rp 93,500.00 Rp -
60 Benang Silkpro 0 bh 0 Rp 62,700.00 Rp -
61 Benang Silkam 0 bh 0 Rp 811,360.00 Rp -
62 Benang Silkam 3-0 bh 1 Rp 717,200.00 Rp 717,200.00
63 Benang Silkam 3-0 bh 0 Rp 753,500.00 Rp -
64 Benang Sutryl 1 bh 0 Rp 105,600.00 Rp -
67 Benang Sutryl 4/0 bh 0 Rp 93,500.00 Rp -
68 Benang Vetacryl 3-0 bh 0 Rp 111,195.81 Rp -
69 Benang Vicryl 0 bh 0 Rp 152,099.64 Rp -
70 Bisturi 11 bh 300 Rp 1,100.00 Rp 330,000.00
71 Bisturi 15 bh 100 Rp 1,100.00 Rp 110,000.00
72 Bisturi 15 bh 200 Rp 781.00 Rp 156,200.00
73 Bisturi 15 bh 0 Rp 1,402.50 Rp -
74 Bisturi 20 bh 200 Rp 1,100.00 Rp 220,000.00
75 Bisturi 20 bh 0 Rp 1,402.50 Rp -
76 Bisturi 22 bh 100 Rp 781.00 Rp 78,100.00
77 Bisturi 22 bh 0 Rp 6,050.00 Rp -
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
79 Cangkang 00 bh 0 Rp 148.50 Rp -
80 Cangkang 00 bh 2000 Rp 89.10 Rp 178,200.00
81 Cangkang 00 bh 5000 Rp 126.50 Rp 632,500.00
83 Cangkang 0 bh 1000 Rp 61.60 Rp 61,600.00
84 Cangkang 0 bh 6000 Rp 57.20 Rp 343,200.00
87 Cangkang 1 bh 20000 Rp 55.00 Rp 1,100,000.00
91 Canula Oksigen Anak bh 135 Rp 6,325.00 Rp 853,875.00
92 Canula Oksigen Anak bh 0 Rp 6,050.00 Rp -
93 Canula Oksigen Bayi bh 100 Rp 6,325.00 Rp 632,500.00
95 Canula Oksigen Bayi bh 0 Rp 6,050.00 Rp -
96 Canula Oksigen Dewasa bh 0 Rp 10,450.00 Rp -
97 Canula Oksigen Dewasa bh 170 Rp 12,643.99 Rp 2,149,478.30
101 CADD Cassette 50 ml bh 7 Rp 196,423.70 Rp 1,374,965.90
102 CADD Cassette 100 ml bh 5 Rp 196,423.70 Rp 982,118.50
103 CADD Extension 60 inchi bh 17 Rp 62,700.00 Rp 1,065,900.00
104 CVC Set 3-Lumen 7FRx20cm bh 4 Rp 514,800.00 Rp 2,059,200.00
105 Conecta 3 ways bh 450 Rp 2,242.50 Rp 1,009,125.00
106 Conecta 3 ways bh 0 Rp 4,400.00 Rp -
110 Coverplast Transparan bh 10200 Rp 425.04 Rp 4,335,408.00
111 Dermafix-T 10x15 bh 0 Rp 9,563.40 Rp -
113 Disposable Syringe 1 ml bh 900 Rp 747.50 Rp 672,750.00
114 Disposable Syringe 1 ml bh 1000 Rp 2,376.00 Rp 2,376,000.00
115 Disposable Syringe 1 ml bh 0 Rp 1,155.00 Rp -
116 Disposable Syringe 3 ml bh 2100 Rp 747.50 Rp 1,569,750.00
117 Disposable Syringe 3 ml bh 0 Rp 849.20 Rp -
128 Disposable Syringe 10 ml bh 900 Rp 1,063.75 Rp 957,375.00
143 Disposable 50 ml (Catheter Tip) bh 16 Rp 8,965.00 Rp 143,440.00
144 Disposable 50 ml (Catheter Tip) bh 0 Rp 8,966.00 Rp -
148 Elastis Perban 4 inchi bh 5 Rp 80,850.00 Rp 404,250.00
149 Elastis Perban 4 inchi bh 0 Rp 102,410.00 Rp -
152 Elastis Verband 6 inchi bh 10 Rp 132,000.00 Rp 1,320,000.00
153 Elastis Verband 6 inchi bh 0 Rp 172,700.00 Rp -
155 Elektroda bh 650 Rp 4,356.00 Rp 2,831,400.00
156 Elektroda bh 0 Rp - Rp -
157 ETT 2,5 bh 35 Rp 156,750.00 Rp 5,486,250.00
158 ETT 2,5 bh 0 Rp 165,000.00 Rp -
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 3 Rp 13,223.99 Rp 39,671.97
166 ETT 7,0 bh 10 Rp 13,223.99 Rp 132,239.91
167 ETT 7,5 bh 5 Rp 13,223.99 Rp 66,119.95
168 ETT Portex Clear Cuff 5,0 mm bh 5 Rp 38,819.00 Rp 194,095.00
172 Flexicare Guedel Airway 80 mm bh 0 Rp 14,880.80 Rp -
173 Flexicare Guedel Airway 90 mm bh 0 Rp 14,880.80 Rp -
174 Flexicare Guedel Airway 100 mmbh 0 Rp 17,520.80 Rp -
175 Foley catheter 8 bh 20 Rp 74,250.00 Rp 1,485,000.00
176 Foley Catheter 8 bh 20 Rp 34,500.00 Rp 690,000.00
177 Foley Catheter 10 bh 20 Rp 74,250.00 Rp 1,485,000.00
180 Foley Catheter 12 bh 0 Rp 27,500.00 Rp -
197 Foley Catheter 3 Way 24 bh 50 Rp 13,688.00 Rp 684,400.00
198 Foley Catheter 3 Way 24 bh 20 Rp 90,750.00 Rp 1,815,000.00
199 Foley Catheter 3 Way 24 bh 0 Rp 99,000.00 Rp -
200 Formalin bh 2 Rp 937,750.00 Rp 1,875,500.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 2 Rp 59,400.00 Rp 118,800.00
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 2 Rp 25,740.00 Rp 51,480.00
209 Gudel 4 bh 1 Rp 59,400.00 Rp 59,400.00
210 gudel 4 bh 2 Rp 156,750.00 Rp 313,500.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 2 Rp 59,400.00 Rp 118,800.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 0 Rp 38,500.00 Rp -
215 Gudel 6 bh 1 Rp 59,400.00 Rp 59,400.00
216 Gudel 6 bh 0 Rp 156,750.00 Rp -
217 Gypsona 4 inchi bh 15 Rp 12,100.00 Rp 181,500.00
218 Gypsona 4 inchi bh 0 Rp 60,500.00 Rp -
222 Gypsona 6 inchi bh 16 Rp 78,100.00 Rp 1,249,600.00
225 Handschoen NS Uk S PF bh 0 Rp 670.45 Rp -
226 Handschoen Steril No. 7 bh 0 Rp 5,451.99 Rp -
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 30 Rp 80,960.00 Rp 2,428,800.00
230 Hipafix 5x5 bh 0 Rp 95,700.00 Rp -
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
233 Hopes Universal Drape bh 10 Rp 425,282.31 Rp 4,252,823.08
234 Hopes Universal Drape bh 0 Rp 295,152.00 Rp -
235 Infuset Anak bh 150 Rp 4,620.00 Rp 693,000.00
236 Infuset Anak bh 0 Rp 4,191.00 Rp -
237 Infuset Dewasa bh 0 Rp 4,180.00 Rp -
238 Infuset Dewasa bh 1375 Rp 4,175.98 Rp 5,741,972.50
241 Jarum Hecting Kulit 12 bh 24 Rp 3,098.33 Rp 74,359.92
242 Jarum Hecting Otot 12 bh 36 Rp 2,291.67 Rp 82,500.12
243 Jarum Insulin bh 600 Rp 2,310.00 Rp 1,386,000.00
244 Jarum Insulin bh 0 Rp 4,400.00 Rp -
248 Jelly Lubricant bh 34 Rp 33,982.49 Rp 1,155,404.66
249 Jelly Lubricant bh 0 Rp 24,640.00 Rp -
253 Kapas 250 g bh 4 Rp 14,374.99 Rp 57,499.96
254 Kapas 250 g bh 0 Rp 14,375.00 Rp -
255 Kapas 250 g bh 0 Rp 24,200.00 Rp -
256 Kapas 250 g bh 0 Rp 34,100.00 Rp -
257 Kasa Hidrofil bh 0 Rp 186,340.00 Rp -
258 Kasa Hidrofil bh 8 Rp 137,016.00 Rp 1,096,128.00
263 Kasa Kompres Steril bh 456 Rp 412.50 Rp 188,100.00
264 Kasa Lipat 10 Cm x 10 Cm bh 0 Rp 2,814.35 Rp -
267 Kertas CTG bh 0 Rp 160,600.00 Rp -
268 Kertas EKG bh 5 Rp 28,600.00 Rp 143,000.00
269 Kertas EKG bh 0 Rp 41,250.00 Rp -
271 Kertas USG bh 8 Rp 426,800.00 Rp 3,414,400.00
272 Leukoplast bh 70 Rp 61,600.00 Rp 4,312,000.00
274 Leukoplast bh 0 Rp 64,450.00 Rp -
275 Loumatuell bh 100 Rp 20,020.00 Rp 2,002,000.00
276 Loumatuell bh 0 Rp 27,500.00 Rp -
277 Maag Slang 3,5 bh 50 Rp 29,480.00 Rp 1,474,000.00
278 Maag Slang 5 bh 45 Rp 52,250.00 Rp 2,351,250.00
280 Maag Slang 8 bh 0 Rp 7,656.00 Rp -
286 Maag Slang 12 bh 30 Rp 8,906.00 Rp 267,180.00
297 Magnesium Sulfat bh 2 Rp 49,500.00 Rp 99,000.00
298 Masker O2 Anak bh 32 Rp 15,584.80 Rp 498,713.60
299 Masker O2 Anak bh 0 Rp 13,340.00 Rp -
300 Masker O2 Anak Non Rebreathibh 84 Rp 27,000.60 Rp 2,268,050.40
301 Masker O2 Bayi bh 20 Rp 16,698.00 Rp 333,960.00
303 Masker O2 Bayi bh 0 Rp 33,000.00 Rp -
304 Masker O2 Dws Rebreting bh 0 Rp 13,340.00 Rp -
305 Masker O2 Dws Rebreting bh 37 Rp 38,610.00 Rp 1,428,570.00
309 Masker O2 Dws Non Rebreathinbh 12 Rp 27,000.60 Rp 324,007.20
310 Masker O2 Dws Non Rebreathinbh 25 Rp 55,770.00 Rp 1,394,250.00
311 Masker O2 Dws Non Rebreathinbh 0 Rp 52,635.00 Rp -
312 Masker O2 Dws Non Rebreathinbh 0 Rp 18,211.99 Rp -
313 Mitella bh 19 Rp 9,108.00 Rp 173,052.00
314 Needle 18G bh 200 Rp 1,237.50 Rp 247,500.00
315 Needle 18G bh 200 Rp 222.64 Rp 44,528.00
316 NIV Full Face Mask, Non Ventedbh 0 Rp 4,433,000.00 Rp -
319 Opsite 25 x 10 bh 135 Rp 70,125.00 Rp 9,466,875.00
320 PI Picc 1-Lumen 4FRx50cm bh 1 Rp 2,623,500.00 Rp 2,623,500.00
322 Perfusor Leitung bh 30 Rp 49,005.00 Rp 1,470,150.00
323 Polifix 5cm x 5m bh 0 Rp 41,100.00 Rp -
324 Reinforced Tracheal Cuff 3,0 bh 5 Rp 267,314.30 Rp 1,336,571.50
330 Reinforced Tracheal Cuff 6 bh 15 Rp 267,314.30 Rp 4,009,714.50
333 Reinforced Trachael Cuff 7,5 bh 15 Rp 317,244.40 Rp 4,758,666.00
334 Sikat Operasi Steril bh 0 Rp 46,585.00 Rp -
335 Softband 4 inchi bh 16 Rp 33,110.00 Rp 529,760.00
336 Softband 4 inchi bh 0 Rp 33,000.00 Rp -
338 Softband 6 inchi bh 26 Rp 46,035.00 Rp 1,196,910.00
341 Spinocaine 25 bh 75 Rp 39,600.00 Rp 2,970,000.00
342 Spinocaine 25 bh 0 Rp 22,500.00 Rp -
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
346 Suction Catheter 6 bh 100 Rp 4,996.75 Rp 499,675.00
349 Suction Catheter 8 bh 0 Rp 4,997.00 Rp -
361 Termometer bh 12 Rp 19,250.00 Rp 231,000.00
363 Termometer bh 0 Rp 21,450.00 Rp -
364 Transfusi Set bh 150 Rp 4,899.99 Rp 734,998.50
365 Transfusi Set bh 0 Rp 5,683.99 Rp -
367 Thermal Paper bh 0 Rp 260,700.00 Rp -
368 Under Pad Non Steril bh 350 Rp 4,675.00 Rp 1,636,250.00
369 Under Pad Non Steril bh 0 Rp 8,800.00 Rp -
374 Under Pad Steril bh 700 Rp 8,769.89 Rp 6,138,923.00
375 Under Pad Steril bh 20 Rp 4,697.00 Rp 93,940.00
376 Under Pad Steril bh 0 Rp 16,500.00 Rp -
377 Urine Bag bh 80 Rp 3,450.00 Rp 276,000.00
378 Urine Bag bh 70 Rp 8,250.00 Rp 577,500.00
379 Urine Bag bh 0 Rp 3,960.00 Rp -
381 Urine Bag bh 0 Rp 11,000.00 Rp -
382 Urogard bh 15 Rp 85,800.00 Rp 1,287,000.00
383 Urogard bh 0 Rp 85,500.00 Rp -
384 Vaseline Putih bh 0 Rp 93,500.00 Rp -
OBAT
1 Acyclovir 400 mg Tablet 1500 Rp 454.00 Rp 681,000.00
2 Acyclovir 400 mg Tablet 0 Rp 424.00 Rp -
4 Allopurinol 100 mg Tablet 4500 Rp 99.00 Rp 445,500.00
5 Allopurinol 100 mg Tablet 0 Rp 182.02 Rp -
6 Allopurinol 100 mg Tablet 6000 Rp 313.50 Rp 1,881,000.00
10 Alprazolam 0,5mg Tablet 5200 Rp 517.28 Rp 2,689,856.00
11 Alprazolam 0,5mg Tablet 0 Rp 402.33 Rp -
12 Alprazolam 1 mg Tablet 2900 Rp 874.80 Rp 2,536,920.00
13 Ambroxol 30 mg Tablet 0 Rp 200.64 Rp -
14 Ambroxol 30 mg Tablet 1500 Rp 308.00 Rp 462,000.00
19 Amitripthyllin 25 mg Tablet 0 Rp 220.00 Rp -
20 Amitripthyllin 25 mg Tablet 0 Rp - Rp -
22 Aminophyllin 200 mg Tablet 1400 Rp 140.00 Rp 196,000.00
23 Aminefron Tablet 0 Rp 5,720.00 Rp -
24 Amlodipin 5 mg Tablet 0 Rp 192.00 Rp -
25 Amlodipin 5 mg Tablet 3000 Rp 275.00 Rp 825,000.00
28 Amlodipin 10 mg Tablet 18240 Rp 193.60 Rp 3,531,264.00
31 Amoxicillin 500 mg Tablet 2500 Rp 277.50 Rp 693,750.00
33 Amoxicillin 500 mg Tablet 0 Rp 300.07 Rp -
37 Arkine 2 mg Tablet 0 Rp 670.31 Rp -
38 Asam Mefenamat 500 mg Tablet 14100 Rp 103.00 Rp 1,452,300.00
39 Asam Mefenamat 500 mg Tablet 0 Rp - Rp -
40 Asam Mefenamat 500 mg Tablet 0 Rp 302.50 Rp -
42 Asam tranexamat 500 mg Tablet 2000 Rp 1,783.99 Rp 3,567,980.00
43 Asam tranexamat 500 mg Tablet 0 Rp 1,784.00 Rp -
44 Bamgetol Tablet 2300 Rp 1,584.00 Rp 3,643,200.00
45 Bamgetol Tablet 500 Rp 1,386.00 Rp 693,000.00
46 Betahistin 6 mg Tablet 2000 Rp 119.00 Rp 238,000.00
47 Bisoprolol 5 mg Tablet 0 Rp 248.00 Rp -
50 Calcium lactate 500 mg Tablet 0 Rp 63.00 Rp -
51 Captopril 25 mg Tablet 1000 Rp 80.00 Rp 80,000.00
52 Carbamazepin 200 mg Tablet 2000 Rp 234.00 Rp 468,000.00
53 Cefadroxyl 500 mg Tablet 0 Rp 580.80 Rp -
54 Cefadroxyl 500 mg Tablet 39000 Rp 560.03 Rp 21,841,170.00
55 Cefixime 100 mg Tablet 0 Rp 2,103.75 Rp -
61 Cepezet Tablet 4200 Rp 346.50 Rp 1,455,300.00
62 Cetirizine 10 mg Tablet 10000 Rp 97.00 Rp 970,000.00
63 Cetirizine 10 mg Tablet 0 Rp 269.50 Rp -
64 Chloroquine 150 mg Tablet 2200 Rp 207.55 Rp 456,610.00
65 Ciprofloxacin 500 mg Tablet 0 Rp 423.50 Rp -
67 Citicolin 500 mg Tablet 0 Rp 4,950.00 Rp -
69 Clindamicin 150 mg Tablet 0 Rp 754.01 Rp -
70 Clindamicin 150 mg Tablet 2000 Rp 702.24 Rp 1,404,480.00
72 Clopidogrel 75 mg Tablet 5100 Rp 1,469.00 Rp 7,491,900.00
73 Clonidin 0,5 mg Tablet 1000 Rp 202.00 Rp 202,000.00
74 Clonidin 0,5 mg Tablet 0 Rp 266.20 Rp -
75 Codein HCl 10 mg Tablet 1200 Rp 657.00 Rp 788,400.00
76 Codein HCl 20 mg Tablet 2000 Rp 1,494.00 Rp 2,988,000.00
77 Clorfitis 10 mg Tablet 1000 Rp 1,093.40 Rp 1,093,400.00
78 Clorfitis 10 mg Tablet 0 Rp 1,522.95 Rp -
79 Cotrimoxazole 480 mg Tablet 500 Rp 178.75 Rp 89,375.00
80 Cotrimoxazole 480 mg Tablet 0 Rp 165.00 Rp -
82 Clorilex 25 mg Tablet 2000 Rp 1,320.00 Rp 2,640,000.00
83 Clozapin 25 mg Tablet 0 Rp 1,121.00 Rp -
84 Clozapin 25 mg Tablet 2700 Rp 1,121.00 Rp 3,026,700.00
85 Diltiazem 30 mg Tablet 0 Rp 142.00 Rp -
87 Dimenhidrinat 50 mg Tablet 400 Rp 121.00 Rp 48,400.00
88 Domperidon 10 mg Tablet 2000 Rp 197.34 Rp 394,680.00
89 Domperidon 10 mg Tablet 0 Rp 96.00 Rp -
90 Elizac 20 mg Tablet 330 Rp 3,465.00 Rp 1,143,450.00
91 Elizac 20 mg Tablet 0 Rp 4,158.00 Rp -
93 Ethambutol 500 mg Tablet 500 Rp 478.00 Rp 239,000.00
94 Farbion 5000 Tablet 0 Rp 1,089.00 Rp -
96 Furosemide 40 mg Tablet 8500 Rp 181.73 Rp 1,544,705.00
97 Furosemide 40 mg Tablet 3000 Rp 82.00 Rp 246,000.00
98 Flunarizin 5 mg Tablet 0 Rp 893.75 Rp -
99 Gabapentin 300 mg Tablet 2500 Rp 1,055.00 Rp 2,637,500.00
100 Gabapentin 300 mg Tablet 0 Rp 1,122.00 Rp -
101 Glibenclamide 5 mg Tablet 3100 Rp 61.00 Rp 189,100.00
102 Glimepiride 2 mg Tablet 7500 Rp 207.00 Rp 1,552,500.00
103 Hexymer 2 mg Tablet 6000 Rp 215.60 Rp 1,293,600.00
104 Hexymer 2 mg Tablet 0 Rp 269.50 Rp -
105 Ibuprofen 200 mg Tablet 14000 Rp 112.00 Rp 1,568,000.00
106 Irbesartan 150 mg Tablet 12960 Rp 425.00 Rp 5,508,000.00
107 Irbesartan 150 mg Tablet 0 Rp 1,029.93 Rp -
111 Ketoconazole 200 mg Tablet 1750 Rp 327.99 Rp 573,982.50
113 L- Cisin 0,5 mg Tablet 300 Rp 3,212.00 Rp 963,600.00
114 L- Cisin 0,5 mg Tablet 450 Rp 3,222.00 Rp 1,449,900.00
115 L-Bio Sachet Tablet 900 Rp 6,171.00 Rp 5,553,900.00
116 L-Bio Sachet Tablet 0 Rp 6,545.00 Rp -
117 L-Bio Kapsul Tablet 1200 Rp 6,171.00 Rp 7,405,200.00
118 L-Bio Kapsul Tablet 0 Rp 6,545.00 Rp -
119 Lansoprazole 30 mg Tablet 0 Rp 810.81 Rp -
120 Lansoprazole 30 mg Tablet 2400 Rp 777.03 Rp 1,864,872.00
124 Loratadin Tablet 4000 Rp 127.01 Rp 508,040.00
126 Loratadin Tablet 0 Rp 266.46 Rp -
128 Lodomer 2 mg Tablet 3000 Rp 762.30 Rp 2,286,900.00
129 Lodomer 5 mg Tablet 5400 Rp 1,312.85 Rp 7,089,390.00
130 Mecobalamin Tablet 0 Rp 748.00 Rp -
132 Metoclopramid 10 mg Tablet 0 Rp 87.00 Rp -
133 Meloxicam 7,5 mg Tablet 500 Rp 518.39 Rp 259,195.00
134 Meloxicam 7,5 mg Tablet 4000 Rp 397.43 Rp 1,589,720.00
135 Meloxicam 7,5 mg Tablet 0 Rp 483.84 Rp -
137 Meloxicam 15 mg Tablet 1100 Rp 659.45 Rp 725,395.00
138 Meloxicam 15 mg Tablet 0 Rp 619.86 Rp -
139 Meloxicam 15 mg Tablet 0 Rp 1,018.14 Rp -
141 Mersibion 5000 Tablet 0 Rp 1,452.00 Rp -
143 Merlopam 0,5 mg Tablet 300 Rp 731.50 Rp 219,450.00
144 Merlopam 2 mg Tablet 300 Rp 2,310.00 Rp 693,000.00
145 Metil Ergometrin 0,125 mg Tablet 12900 Rp 245.00 Rp 3,160,500.00
146 Metil Ergometrin 0,125 mg Tablet 0 Rp 261.00 Rp -
147 Metiprednisolon 16 mg Tablet 0 Rp 548.00 Rp -
149 Metil Prednisolon 4 mg Tablet 3000 Rp 308.39 Rp 925,170.00
150 Metil Prednisolon 4 mg Tablet 4500 Rp 223.52 Rp 1,005,840.00
152 Metil Prednisolon 4 mg Tablet 0 Rp 148.01 Rp -
153 Metil prednisolon 8 mg Tablet 23500 Rp 369.60 Rp 8,685,600.00
154 Metil prednisolon 8 mg Tablet 0 Rp 468.00 Rp -
156 Metformin 500 mg Tablet 0 Rp 239.56 Rp -
157 Metformin 500 mg Tablet 18500 Rp 102.00 Rp 1,887,000.00
159 Metronidazol 500 mg Tablet 0 Rp 171.60 Rp -
160 Natrium Diklofenak 50 mg Tablet 800 Rp 136.00 Rp 108,800.00
161 Natrium Diklofenak 50 mg Tablet 0 Rp 145.00 Rp -
162 Nifedipin 10 mg Tablet 7500 Rp 112.00 Rp 840,000.00
163 Omeprazol 20 mg Tablet 0 Rp 138.00 Rp -
164 Omeprazol 20 mg Tablet 21300 Rp 704.37 Rp 15,003,081.00
168 Onoiwa Tablet 0 Rp 5,280.00 Rp -
169 Ondancetron 4 mg Tablet 0 Rp 429.00 Rp -
170 Parasetamol 500 mg Tablet 1500 Rp 186.34 Rp 279,510.00
171 Parasetamol 500 mg Tablet 60000 Rp 60.00 Rp 3,600,000.00
172 Parasetamol 500 mg Tablet 0 Rp - Rp -
173 Parasetamol 500 mg Tablet 0 Rp 116.12 Rp -
176 Piracetam 800 mg Tablet 7000 Rp 602.25 Rp 4,215,750.00
177 Piracetam 1200 mg Tablet 500 Rp 1,067.22 Rp 533,610.00
178 Piracetam 1200 mg Tablet 0 Rp 1,164.24 Rp -
179 Pirazinamid 500 mg Tablet 500 Rp 308.00 Rp 154,000.00
180 Propanolol 10 mg Tablet 0 Rp 80.00 Rp -
184 Prednisolon 5 mg Tablet 0 Rp 74.00 Rp -
185 Pregabalin 75 mg Tablet 0 Rp 7,471.75 Rp -
189 Pyrantel 125 mg Tablet 0 Rp 331.00 Rp -
190 Phytomenadion 10 mg Tablet 0 Rp 873.00 Rp -
191 Phytomenadion 10 mg Tablet 0 Rp 1,182.26 Rp -
192 Quatro 0,4 mg Tablet 450 Rp 1,760.00 Rp 792,000.00
193 Ranitidin 150 mg Tablet 8100 Rp 110.00 Rp 891,000.00
194 Ranitidin 150 mg Tablet 0 Rp 302.50 Rp -
197 Risperidon 1 mg Tablet 0 Rp 240.00 Rp -
198 Risperidon 2 mg Tablet 11250 Rp 2,052.00 Rp 23,085,000.00
200 Salbutamol 2 mg Tablet 4000 Rp 64.00 Rp 256,000.00
201 Salbutamol 2 mg Tablet 0 Rp 73.60 Rp -
204 Sifrol 0.375 mg Tablet 390 Rp 8,300.01 Rp 3,237,003.90
206 Simvastatin 10 mg Tablet 6000 Rp 110.00 Rp 660,000.00
207 Simvastatin 10 mg Tablet 0 Rp 117.00 Rp -
211 Simvastatin 20 mg Tablet 7000 Rp 224.99 Rp 1,574,930.00
212 Silum 5 mg Tablet 0 Rp 981.75 Rp -
213 Spironolakton 25 mg Tablet 0 Rp 212.00 Rp -
215 Tablet Tambah Darah Tablet 2400 Rp 409.00 Rp 981,600.00
216 Tetrasiklin 500 mg Tablet 1500 Rp 484.00 Rp 726,000.00
217 Thyrozol 10 mg Tablet 0 Rp 1,225.00 Rp -
219 Vitamin B comp Tablet 1000 Rp 143.99 Rp 143,990.00
220 Vitamin B comp Tablet 0 Rp 135.00 Rp -
221 Vitamin B6 10 mg Tablet 0 Rp 141.00 Rp -
222 Vitamin C 50 mg Tablet 0 Rp 120.29 Rp -
224 Vipalbumin Tablet 0 Rp 6,435.00 Rp -
226 Valdimex 5 mg Tablet 4200 Rp 847.00 Rp 3,557,400.00
227 Zinc 20 mg Tablet 1500 Rp 623.88 Rp 935,820.00
228 Zinc 20 mg Tablet 0 Rp 427.50 Rp -
229 Defemin (CTM 4 mg) Tablet 4000 Rp 29.04 Rp 116,160.00
230 Dexametason 0,5 mg (HARSEN) Tablet 8800 Rp 275.55 Rp 2,424,840.00
231 Dexa M 0,75 mg Tablet 2850 Rp 333.66 Rp 950,931.00
233 Novatrim Tablet 300 Rp 495.00 Rp 148,500.00
INJEKSI
1 Aminofillin Inj. Ampul 192 Rp 6,188.00 Rp 1,188,096.00
2 Ampicillin 1gr inj Ampul 0 Rp 9,900.00 Rp -
3 Ampicillin 1gr inj Ampul 200 Rp 9,473.00 Rp 1,894,599.96
4 Anti Hemorrhoida Suppo 280 Rp 3,641.99 Rp 1,019,757.20
5 Atropin Sulfat Inj Ampul 0 Rp 1,859.00 Rp -
6 Aqua Destillata Botol 1920 Rp 2,860.00 Rp 5,491,200.00
7 Asam Tranexamat 500 mg/5ml Ampul 360 Rp 2,387.00 Rp 859,320.00
8 Asam Tranexamat 500 mg/5ml Ampul 3000 Rp 1,879.99 Rp 5,639,970.00
9 Asam Tranexamat 500 mg/5ml Ampul 0 Rp 2,002.00 Rp -
10 Bunascan 0,5 20 ml Ampul 15 Rp 49,280.00 Rp 739,200.00
11 Carbazochrom inj Ampul 150 Rp 9,834.00 Rp 1,475,100.00
12 Cefotaxim Injeksi Vial 500 Rp 4,409.99 Rp 2,204,995.00
13 Cefotaxim Injeksi Vial 0 Rp 4,500.98 Rp -
17 Ceftriaxone injeksi Vial 100 Rp 4,821.99 Rp 482,199.00
18 Ceftriaxone injeksi Vial 10400 Rp 4,822.40 Rp 50,152,960.00
19 Ceftriaxone injeksi Vial 0 Rp 4,791.88 Rp -
21 Citicoline 125mg/ml Ampul 300 Rp 7,865.00 Rp 2,359,500.00
22 Dexketoprofen trometamol InjekAmpul 480 Rp 19,800.00 Rp 9,504,000.00
23 Dexketoprofen trometamol InjekAmpul 0 Rp 18,480.00 Rp -
24 Dexamathason Injeksi Ampul 2000 Rp 1,210.00 Rp 2,420,000.00
25 Dexamathason Injeksi Ampul 0 Rp 1,209.52 Rp -
27 Diphen hydramin 1ml Ampul 150 Rp 1,864.61 Rp 279,691.50
28 Dobutamin 250mg Ampul 40 Rp 32,648.00 Rp 1,305,920.00
29 Ephedrin amp Ampul 270 Rp 27,500.00 Rp 7,425,000.00
30 Epinefrin inj Ampul 60 Rp 6,691.85 Rp 401,511.00
32 Farmabes Vial Vial 0 Rp 56,628.00 Rp -
33 Fentanyl Injeksi Ampul 2200 Rp 41,599.80 Rp 91,519,560.00
34 Furosemid Injeksi Ampul 3225 Rp 1,555.00 Rp 5,014,875.00
35 Gentamicin 40mg/ml Ampul 0 Rp 3,507.60 Rp -
36 Gentamicin 40mg/ml Ampul 1270 Rp 4,036.00 Rp 5,125,720.00
37 Isoflurane 250 ml Botol 0 Rp 1,452,000.00 Rp -
38 Ketorolac 30 mg/ml Ampul 0 Rp 2,000.02 Rp -
39 Ketorolac 30 mg/ml Ampul 3348 Rp 1,045.16 Rp 3,499,181.12
42 Lasalcom Ampul 0 Rp 10,315.00 Rp -
43 Levemir Flex Pen Pen 275 Rp 83,950.00 Rp 23,086,250.00
44 Lidocain Injeksi Ampul 700 Rp 1,316.99 Rp 921,893.00
45 Lidocain Injeksi Ampul 0 Rp 1,317.00 Rp -
47 Lidocain Composito Ampul 420 Rp 1,316.99 Rp 553,135.80
48 Mecobalamin inj Ampul 400 Rp 88,000.00 Rp 35,200,000.00
49 Mersibion Ampul 1700 Rp 3,872.00 Rp 6,582,400.00
50 Mersibion Ampul 0 Rp 3,388.00 Rp -
51 Metoklopramide Ampul 2660 Rp 4,565.00 Rp 12,142,900.00
53 Metronidazol Infus Botol 700 Rp 11,000.00 Rp 7,700,000.00
54 Metronidazol Infus Botol 0 Rp 9,350.00 Rp -
56 Miloz Inj Ampul 350 Rp 4,351.00 Rp 1,522,850.00
57 Myotonic Ampul 480 Rp 8,167.50 Rp 3,920,400.00
58 Myotonic Ampul 0 Rp 7,425.00 Rp -
60 N-Epi Ampul 50 Rp 69,300.00 Rp 3,465,000.00
61 Nicardipine Ampul 0 Rp 35,750.00 Rp -
62 Nicardipine Ampul 120 Rp 24,000.02 Rp 2,880,002.40
65 Norevel 250ml Botol 0 Rp 1,925,000.00 Rp -
66 Novaldo Ampul 0 Rp 5,445.00 Rp -
67 Novomix -30 Flex Pen Pen 0 Rp 110,968.00 Rp -
68 Novorapid Flex Pen Pen 0 Rp 86,999.99 Rp -
69 Novorapid Flex Pen Pen 250 Rp 87,000.00 Rp 21,749,999.70
70 Notrixum/Atracurium Ampul 45 Rp 11,551.98 Rp 519,839.10
71 Notrixum/Atracurium Ampul 0 Rp 34,650.00 Rp -
72 Nopuvel inj Ampul 155 Rp 65,450.00 Rp 10,144,750.00
73 Norages inj Ampul 0 Rp 8,266.50 Rp -
76 Omeprazole 40mg Vial 1800 Rp 11,867.90 Rp 21,362,220.00
77 Omeprazole 40mg Vial 0 Rp 11,869.00 Rp -
80 Ondancetron inj 4mg/2ml Ampul 0 Rp 1,198.00 Rp -
82 Oxytocin Amp Ampul 0 Rp 2,475.00 Rp -
84 Paracetamol infus Botol 0 Rp 11,610.50 Rp -
89 Pehacain Injeksi Ampul 560 Rp 2,750.00 Rp 1,540,000.00
90 Phenobarbital inj Ampul 150 Rp 2,134.99 Rp 320,248.50
92 Pethidine Injeksi Ampul 670 Rp 15,950.00 Rp 10,686,500.00
93 Phenytoin Sodium 50mg/ml inj Ampul 60 Rp 25,025.00 Rp 1,501,500.00
94 Phenytoin Sodium 50mg/ml inj Ampul 0 Rp 11,855.58 Rp -
95 Piracetam 1gr/15ml Ampul 0 Rp 4,620.00 Rp -
96 Piracetam 3gr/15ml Ampul 152 Rp 14,437.50 Rp 2,194,500.00
98 Protocin Injeksi Ampul 0 Rp 7,128.00 Rp -
101 Ranitidin inj Ampul 2180 Rp 1,320.00 Rp 2,877,600.00
102 Ranitidin inj Ampul 0 Rp 1,199.77 Rp -
107 Regivel 4ml Ampul 35 Rp 53,900.00 Rp 1,886,500.00
108 Sibital (Phenobarbital) Ampul 100 Rp 8,910.00 Rp 891,000.00
109 Sikzonoate Injeksi Ampul 0 Rp 70,785.00 Rp -
110 Valdimex inj Ampul 120 Rp 9,680.00 Rp 1,161,600.00
111 Valdimex inj Ampul 0 Rp 8,470.00 Rp -
112 Vitamin k 2 mg inj (PhytomenadAmpul 270 Rp 4,235.99 Rp 1,143,717.30
113 Vitamin k 10 mg inj (PhytomenaAmpul 0 Rp 4,766.67 Rp -
CAIRAN STERIL
1 Aminofluid Botol 130 Rp 70,188.80 Rp 9,124,544.00
3 Aminoleban 500 Botol 42 Rp 74,654.80 Rp 3,135,501.60
5 Asering Botol 860 Rp 8,985.90 Rp 7,727,874.00
6 Asering Botol 0 Rp 9,645.90 Rp -
7 Dextrose 5 % Botol 480 Rp 6,899.99 Rp 3,311,995.20
8 Dextrose 5 % Botol 0 Rp 6,900.30 Rp -
9 Dexotrose 5 % Botol 0 Rp 7,363.40 Rp -
11 Dextrose 40 % Botol 50 Rp 10,010.00 Rp 500,500.00
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 192 Rp 11,313.50 Rp 2,172,192.00
14 Kidmin 200ml Botol 120 Rp 50,697.00 Rp 6,083,640.00
15 Kidmin 200ml Botol 0 Rp 50,696.80 Rp -
16 Manitol 20% 250ml Botol 0 Rp 28,275.50 Rp -
17 Mannitol 20% 500ml Botol 60 Rp 43,499.50 Rp 2,609,970.00
18 MgSO4 20 % Botol 108 Rp 3,327.50 Rp 359,370.00
19 MgSO4 40% Botol 30 Rp 3,796.10 Rp 113,883.00
20 NaCl 0,9 % Botol 1680 Rp 6,409.70 Rp 10,768,296.00
21 NaCl 0,9 % Botol 0 Rp 6,839.80 Rp -
22 NaCl 0,9 % Botol 0 Rp 6,395.21 Rp -
23 NaCl Piggy Bag Botol 0 Rp 15,180.00 Rp -
25 Otsu KCL Botol 0 Rp 3,098.70 Rp -
27 Otsu Salin 3 Botol 40 Rp 27,830.00 Rp 1,113,200.00
28 Otsu Salin 3 Botol 0 Rp 30,334.70 Rp -
29 Ringer Laktat Botol 1360 Rp 7,150.00 Rp 9,724,000.00
30 Ringer Laktat Botol 0 Rp - Rp -
31 Ringer Laktat Botol 0 Rp 7,629.60 Rp -
33 Wida - KDN 1 Botol 20 Rp 12,492.70 Rp 249,854.00
34 Widahes Botol 0 Rp 66,536.80 Rp -
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
3 Alkohol 70% Botol 10 Rp 44,000.00 Rp 440,000.00
4 Alkohol 70% Botol 0 Rp - Rp -
5 Alkohol 70% Botol 0 Rp 47,300.00 Rp -
7 Alkohol swab Pcs 0 Rp 126.50 Rp -
10 Biosanitizer Botol 0 Rp 1,892,000.00 Rp -
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
12 Povidon Iodium Botol 8 Rp 85,800.00 Rp 686,400.00
13 Povidon Iodium Botol 0 Rp 112,200.00 Rp -
15 H2O2 Botol 1 Rp 41,800.00 Rp 41,800.00
16 Larutan Browi Botol 1 Rp 264,000.00 Rp 264,000.00
17 Rivanol Botol 18 Rp 9,900.00 Rp 178,200.00
SEDIAAN ORAL CAIR
1 Ambroxol syr 15 mg/5ml Botol 118 Rp 5,077.38 Rp 599,130.84
2 Ambroxol syr 15 mg/5ml Botol 0 Rp 4,761.02 Rp -
3 Amoxicillin Syrup Botol 0 Rp 4,290.00 Rp -
4 Asam Valproat 250mg Botol 0 Rp 17,787.00 Rp -
5 Asam Valproat 250mg Botol 254 Rp 17,789.20 Rp 4,518,456.80
6 Cefadroxil Sirup Botol 100 Rp 4,086.50 Rp 408,650.00
7 Cefadroxil Sirup Botol 0 Rp 5,411.73 Rp -
8 Cefixim syr Botol 600 Rp 5,709.00 Rp 3,425,400.00
10 Chloramfenicol 125 mg/5ml Botol 38 Rp 4,725.00 Rp 179,550.00
11 Cotrimoxazole Suspensi Botol 47 Rp 3,439.50 Rp 161,656.50
12 Cotrimoxazole Suspensi Botol 0 Rp 2,220.00 Rp -
13 Paracetamol Syrup Botol 0 Rp 3,159.20 Rp -
14 Sucralfat Sirup Botol 250 Rp 15,847.50 Rp 3,961,875.00
15 Sucralfat Sirup Botol 0 Rp 15,345.00 Rp -
SEDIAAN TOPIKAL
1 Acyclovir Cream Tube 25 Rp 3,624.50 Rp 90,612.50
2 Acyclovir Cream Tube 0 Rp 4,125.66 Rp -
3 Bedak Salicyl Pot 0 Rp 6,006.00 Rp -
4 Betametason Cream 0.00 75 Rp 1,420.00 Rp 106,500.00
5 Betametason Cream Tube 0 Rp 1,514.70 Rp -
6 Chloramfenicol 1% SM 0.00 24 Rp 2,013.00 Rp 48,312.00
7 Fuson salep 0.00 60 Rp 55,962.00 Rp 3,357,720.00
8 Gentamicin 0,1% 0.00 40 Rp 1,966.82 Rp 78,672.80
9 Gentamicin 0,1% 0.00 0 Rp 3,559.63 Rp -
10 Hidrocortison 2.5% Cream 0.00 48 Rp 2,647.70 Rp 127,089.60
11 Hidrocortison 2.5% Cream Tube 0 Rp 5,723.30 Rp -
12 Miconazole Cream 2% Tube 0 Rp 3,925.90 Rp -
13 Oxytetracycline 1% SM 0.00 0 Rp 2,600.40 Rp -
14 Oxytetracycline 1% SM Tube 0 Rp 2,600.40 Rp -
SEDIAAN TETES MATA STERIL
1 Cendo Efrisel 10% 5cc Botol 0 Rp 25,936.25 Rp -
3 Cendo LFX 5ml Botol 0 Rp 72,366.25 Rp -
5 Cendo Lyters 15cc Botol 0 Rp 23,512.50 Rp -
7 Cendo Mydratil 1% Botol 0 Rp 39,971.25 Rp -
8 Cendo Pantocain 2% Drops 5cc Botol 0 Rp 13,846.25 Rp -
9 Cendo Polygran Drops 5cc Botol 0 Rp 33,048.40 Rp -
11 Cendo Timol 5cc Botol 0 Rp 49,898.75 Rp -
13 Cendo Tropin 1% 5cc Botol 0 Rp 13,062.50 Rp -
15 Cendo Xitrol Drops 5cc Botol 0 Rp 28,476.25 Rp -
17 Cendo Xitrol Salp Mata 3.5 gr Tube 0 Rp 37,489.38 Rp -
18 Minidose Natacen Pcs 0 Rp 8,699.63 Rp -
19 Minidose P-Pred 0,6ml Pcs 0 Rp 7,994.25 Rp -
B UMUM
BMHP
1 Abbocath 26 bh 100 Rp 28,490.00 Rp 2,849,000.00
3 Abbocath 20 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 25,135.00 Rp -
8 Apron bh 0 Rp 2,904.40 Rp -
9 Aquasonic Gall Parker bh 0 Rp 990,000.00 Rp -
10 Biolon 5-0 bh 0 Rp 62,700.00 Rp -
11 Benang Plaingut 2/0 bh 0 Rp 69,300.00 Rp -
16 Benang Tycryl 0 bh 0 Rp 99,000.00 Rp -
17 Benang Tycril 1 bh 0 Rp 105,600.00 Rp -
18 Benang Tycril 2-0 bh 0 Rp 94,600.00 Rp -
19 Benang Tycril 3-0 Round Bodiedbh 0 Rp 93,500.00 Rp -
20 Benang Tycril 3-0 Cutting bh 0 Rp 93,500.00 Rp -
23 Benang Wego Nylon 3/0 bh 0 Rp 27,600.00 Rp -
25 Cangkang Kapsul 1 bh 0 Rp 55.00 Rp -
28 Canula O2 Dewasa bh 0 Rp 12,643.99 Rp -
32 Conecta 3-way bh 0 Rp 14,850.00 Rp -
34 Coverplast bh 0 Rp 576.04 Rp -
35 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
37 Disposable 3 cc bh 0 Rp 895.85 Rp -
39 Disposable 3 cc bh 0 Rp 1,046.32 Rp -
40 Dispo 5 cc bh 0 Rp 862.50 Rp -
41 Dispo 5 cc bh 0 Rp 1,117.08 Rp -
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
44 Disposable 50 cc Catheter Tip bh 0 Rp 6,013.70 Rp -
45 Elastis Perban 4 Inchi bh 0 Rp 107,250.00 Rp -
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 0 Rp 38,500.00 Rp -
51 Hipafix 5cm x 5m bh 0 Rp 95,700.00 Rp -
56 Kapas bh 0 Rp 34,100.00 Rp -
57 Kapas bh 0 Rp 24,200.00 Rp -
59 Kasa Lipat 10 x 10 CM bh 0 Rp 2,814.35 Rp -
61 Kasa Lipat X-Ray 10 cm x 10 cm bh 0 Rp 3,973.75 Rp -
63 Ky-Jelly bh 0 Rp 109,560.00 Rp -
66 Loumatulle bh 0 Rp 27,500.00 Rp -
69 Masker O2 Dewasa Nonrebreathbh 0 Rp 18,211.99 Rp -
70 Masker O2 Dewasa Rebreathingbh 0 Rp 13,339.99 Rp -
71 Needle 18 bh 0 Rp 222.64 Rp -
72 Opsite 25 x 10 bh 0 Rp 70,125.00 Rp -
73 Perfussor Letung bh 0 Rp 49,005.00 Rp -
74 Premilen Mesh bh 0 Rp 319,000.00 Rp -
78 Tranfusi Set bh 0 Rp 5,683.99 Rp -
79 Underpad 60 x 90 Non Steril bh 0 Rp 4,697.00 Rp -
82 Underpad Steril bh 0 Rp 8,769.90 Rp -
84 Urogard bh 0 Rp 85,800.00 Rp -
TABLET
1 Antasida Doen Tablet 500 Rp 210.59 Rp 105,295.00
2 Cetrizin 10 mg Tablet 0 Rp 104.00 Rp -
3 Citicoloin 500 mg Tablet 0 Rp 4,950.00 Rp -
4 Clopidogrel 75 mg Tablet 0 Rp 1,568.00 Rp -
5 Digoxin Tablet 0 Rp 104.00 Rp -
6 Ethambutol 500 mg Tablet 3000 Rp 478.00 Rp 1,434,000.00
7 Farbion Tablet 0 Rp 1,122.00 Rp -
9 Meloxicam 7.5 mg Tablet 0 Rp 328.32 Rp -
12 Mecobalamin 500 mg Tablet 0 Rp 748.00 Rp -
13 Omeprazole 20 mg Tablet 0 Rp 4,734.84 Rp -
14 Onoiwa 500 mg Tablet 0 Rp 5,280.00 Rp -
15 Paracetamol 500 mg Tablet 0 Rp 990.00 Rp -
17 Pyrantel Pamoat 125 mg Tablet 100 Rp 404.91 Rp 40,491.00
19 Simvastatin 20 mg Tablet 0 Rp 1,231.21 Rp -
20 Tablet Tambah Darah Tablet 0 Rp 409.00 Rp -
INJEKSI
1 Ampicillin Ampul 0 Rp 9,473.00 Rp -
2 Ceftriaxone 1gr Ampul 0 Rp 5,147.55 Rp -
3 Dobutamin 250mg/5ml inj Ampul 0 Rp 40,810.00 Rp -
4 Isorane Botol 0 Rp 1,542,750.00 Rp -
6 Nicardipin Ampul 0 Rp 52,800.00 Rp -
8 Norevell 250ml Botol 0 Rp 1,925,000.00 Rp -
9 Omeprazole Vial Vial 0 Rp 12,966.80 Rp -
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
2 Ringer Lactat Botol 0 Rp 7,629.60 Rp -
3 Widahes Bes Botol 0 Rp 115,500.00 Rp -
CAIRAN NON STERIL
2 H2O2 Botol 0 Rp 41,800.00 Rp -
3 Povidone Iodium Botol 0 Rp 85,800.00 Rp -
SEDIAAN ORAL CAIR
C PPI
1 Baju Operasi uk M steril Set 300 Rp 24,089.00 Rp 7,226,700.00
2 Baju Operasi uk M steril Set 0 Rp 56,568.61 Rp -
3 Baju Operasi uk L Steril Set 0 Rp 56,568.61 Rp -
4 Baju operasi uk L non steril Set 30 Rp 25,500.00 Rp 765,000.00
5 Handscoen Non Steril S Pcs 0 Rp 243.10 Rp -
6 Handscoen Non Steri S Pcs 12700 Rp 485.10 Rp 6,160,770.00
7 Handscoen Non Steri S Pcs 0 Rp 409.65 Rp -
10 Handscoen Non Steril M Pcs 28300 Rp 409.63 Rp 11,592,529.00
11 Handscoen Non Steril M Pcs 0 Rp 391.82 Rp -
12 Handscoen Steril 6,5 (gynecologPair 120 Rp 20,183.99 Rp 2,422,078.80
13 Handscoen Steril 7 (gynecolog) Pair 40 Rp 20,183.99 Rp 807,359.60
14 Handscoen Steril 6,5 Pair 0 Rp 5,451.99 Rp -
15 Handscoen Steril 7 Pair 0 Rp 5,452.00 Rp -
16 Handscoen Steril 7 Pair 800 Rp 5,451.99 Rp 4,361,592.00
19 Handscoen Steril 6 (powder freePair 600 Rp 8,467.98 Rp 5,080,788.00
20 Handscoen Steril 6 (powder freePair 0 Rp 8,467.99 Rp -
21 Handscoen Steril 6,5 (powder frPair 0 Rp 8,467.99 Rp -
25 Handscoen Steril 7,5 (powder frPair 1800 Rp 8,467.99 Rp 15,242,382.00
27 Masker Pcs 22100 Rp 506.00 Rp 11,182,600.00
28 Masker Pcs 0 Rp 415.80 Rp -
31 Nurse Cup Pcs 5900 Rp 383.98 Rp 2,265,482.00
JUMLAH Rp 1,105,141,495.13
Mengetahui,
Kepala Instalasi Farmasi Penanggung Jawab Instalasi Farmasi
Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

NIP : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan Februari dengan rincian sebagai berikut:

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00 Rp 198,000.00
3 Abbocath 18 bh 100 Rp 7,075.99 Rp 707,599.00
4 Abbocath 18 bh 100 Rp 25,135.00 Rp 2,513,500.00
6 Abbocath 18 bh 0 Rp 14,300.00 Rp -
8 Abbocath 20 bh 400 Rp 7,075.99 Rp 2,830,396.80
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 0 Rp 7,075.98 Rp -
11 Abbocath 20 bh 0 Rp 4,370.00 Rp -
12 Abbocath 20 bh 0 Rp 3,960.00 Rp -
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 0 Rp 7,075.99 Rp -
16 Abbocath 22 bh 200 Rp 7,075.98 Rp 1,415,196.00
17 Abbocath 22 bh 0 Rp 4,370.00 Rp -
18 Abbocath 24 bh 0 Rp 7,075.98 Rp -
19 Abbocath 24 bh 0 Rp 7,075.99 Rp -
20 Abbocath 24 bh 0 Rp 6,269.67 Rp -
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 0 Rp 29,150.00 Rp -
23 Abbocath 26 bh 0 Rp 15,397.82 Rp -
24 Abbocath 26 bh 0 Rp 30,250.00 Rp -
25 Abbocath 26 bh 0 Rp 13,860.00 Rp -
26 Apron bh 240 Rp 2,904.40 Rp 697,056.00
27 Apron bh 0 Rp 27,782.00 Rp -
28 Apron bh 0 Rp 6,600.00 Rp -
29 Aquasonic Parker bh 1 Rp 825,000.00 Rp 825,000.00
70 Bisturi 11 bh 300 Rp 1,100.00 Rp 330,000.00
71 Bisturi 15 bh 0 Rp 1,100.00 Rp -
72 Bisturi 15 bh 200 Rp 781.00 Rp 156,200.00
73 Bisturi 15 bh 0 Rp 1,402.50 Rp -
74 Bisturi 20 bh 100 Rp 1,100.00 Rp 110,000.00
75 Bisturi 20 bh 0 Rp 1,402.50 Rp -
76 Bisturi 22 bh 100 Rp 781.00 Rp 78,100.00
77 Bisturi 22 bh 0 Rp 6,050.00 Rp -
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
80 Cangkang 00 bh 8000 Rp 89.10 Rp 712,800.00
84 Cangkang 0 bh 5000 Rp 57.20 Rp 286,000.00
87 Cangkang 1 bh 18000 Rp 55.00 Rp 990,000.00
97 Canula Oksigen Dewasa bh 28 Rp 12,643.99 Rp 354,031.72
105 Conecta 3 ways bh 250 Rp 2,242.50 Rp 560,625.00
144 Disposable 50 ml (Catheter Tip) bh 36 Rp 8,966.00 Rp 322,776.00
145 Disposable 50 ml (Catheter Tip) bh 50 Rp 37,620.00 Rp 1,881,000.00
149 Elastis Perban 4 inchi bh 10 Rp 102,410.00 Rp 1,024,100.00
157 ETT 2,5 bh 35 Rp 156,750.00 Rp 5,486,250.00
158 ETT 2,5 bh 0 Rp 165,000.00 Rp -
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 3 Rp 13,223.99 Rp 39,671.97
166 ETT 7,0 bh 10 Rp 13,223.99 Rp 132,239.91
167 ETT 7,5 bh 5 Rp 13,223.99 Rp 66,119.95
172 Flexicare Guedel Airway 80 mm Nobh 0 Rp 14,880.80 Rp -
174 Flexicare Guedel Airway 100 mm No
bh 0 Rp 17,520.80 Rp -
200 Formalin bh 1 Rp 937,750.00 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 2 Rp 59,400.00 Rp 118,800.00
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 2 Rp 25,740.00 Rp 51,480.00
209 Gudel 4 bh 1 Rp 59,400.00 Rp 59,400.00
210 gudel 4 bh 2 Rp 156,750.00 Rp 313,500.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 2 Rp 59,400.00 Rp 118,800.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 0 Rp 38,500.00 Rp -
215 Gudel 6 bh 1 Rp 59,400.00 Rp 59,400.00
216 Gudel 6 bh 0 Rp 156,750.00 Rp -
226 Handschoen Steril No. 7 bh 2800 Rp 5,451.99 Rp 15,265,572.00
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 4 Rp 80,960.00 Rp 323,840.00
230 Hipafix 5x5 bh 0 Rp 95,700.00 Rp -
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
243 Jarum Insulin bh 400 Rp 2,310.00 Rp 924,000.00
248 Jelly Lubricant bh 11 Rp 33,982.49 Rp 373,807.39
253 Kapas 250 g bh 0 Rp 14,374.99 Rp -
254 Kapas 250 g bh 15 Rp 14,375.00 Rp 215,625.00
255 Kapas 250 g bh 40 Rp 24,200.00 Rp 968,000.00
256 Kapas 250 g bh 0 Rp 34,100.00 Rp -
271 Kertas USG bh 0 Rp 426,800.00 Rp -
273 Leukoplast bh 15 Rp 56,100.00 Rp 841,500.00
275 Loumatuell bh 30 Rp 20,020.00 Rp 600,600.00
300 Masker O2 Anak Non Rebreathingbh 74 Rp 27,000.60 Rp 1,998,044.40
309 Masker O2 Dws Non Rebreathing bh 0 Rp 27,000.60 Rp -
310 Masker O2 Dws Non Rebreathing bh 16 Rp 55,770.00 Rp 892,320.00
311 Masker O2 Dws Non Rebreathing bh 75 Rp 52,635.00 Rp 3,947,625.00
313 Mitella bh 19 Rp 9,108.00 Rp 173,052.00
314 Needle 18G bh 100 Rp 1,237.50 Rp 123,750.00
315 Needle 18G bh 200 Rp 222.64 Rp 44,528.00
316 NIV Full Face Mask, Non Vented S bh 0 Rp 4,433,000.00 Rp -
317 NIV Full Face Mask, Non Vented Mbh 0 Rp 4,433,000.00 Rp -
318 NIV Full Face Mask, Non Vented L bh 0 Rp 4,433,000.00 Rp -
319 Opsite 25 x 10 bh 100 Rp 70,125.00 Rp 7,012,500.00
322 Perfusor Leitung bh 0 Rp 49,005.00 Rp -
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
365 Transfusi Set bh 800 Rp 5,683.99 Rp 4,547,192.00
368 Under Pad Non Steril bh 230 Rp 4,675.00 Rp 1,075,250.00
378 Urine Bag bh 30 Rp 8,250.00 Rp 247,500.00
379 Urine Bag bh 200 Rp 3,960.00 Rp 792,000.00
381 Urine Bag bh 0 Rp 11,000.00 Rp -
382 Urogard bh 10 Rp 85,800.00 Rp 858,000.00
383 Urogard bh 0 Rp 85,500.00 Rp -
OBAT
15 Ambroxol 30 mg Tablet 18000 Rp 139.80 Rp 2,516,400.00
22 Aminophyllin 200 mg Tablet 1400 Rp 140.00 Rp 196,000.00
46 Betahistin 6 mg Tablet 0 Rp 119.00 Rp -
61 Cepezet Tablet 2800 Rp 346.50 Rp 970,200.00
62 Cetirizine 10 mg Tablet 2500 Rp 97.00 Rp 242,500.00
72 Clopidogrel 75 mg Tablet 600 Rp 1,469.00 Rp 881,400.00
75 Codein HCl 10 mg Tablet 0 Rp 657.00 Rp -
77 Clorfitis 10 mg Tablet 400 Rp 1,093.40 Rp 437,360.00
85 Diltiazem 30 mg Tablet 7000 Rp 142.00 Rp 994,000.00
103 Hexymer 2 mg Tablet 2000 Rp 215.60 Rp 431,200.00
138 Meloxicam 15 mg Tablet 640 Rp 619.86 Rp 396,710.40
141 Mersibion 5000 Tablet 2800 Rp 1,452.00 Rp 4,065,600.00
144 Merlopam 2 mg Tablet 300 Rp 2,310.00 Rp 693,000.00
231 Dexa M 0,75 mg Tablet 0 Rp 333.66 Rp -
233 Novatrim Tablet 300 Rp 495.00 Rp 148,500.00
INJEKSI
4 Anti Hemorrhoida Suppo 180 Rp 3,641.99 Rp 655,558.20
10 Bunascan 0,5 20 ml Ampul 0 Rp 49,280.00 Rp -
11 Carbazochrom inj Ampul 70 Rp 9,834.00 Rp 688,380.00
21 Citicoline 125mg/ml Ampul 0 Rp 7,865.00 Rp -
22 Dexketoprofen trometamol InjeksiAmpul 440 Rp 19,800.00 Rp 8,712,000.00
23 Dexketoprofen trometamol InjeksiAmpul 0 Rp 18,480.00 Rp -
24 Dexamathason Injeksi Ampul 800 Rp 1,210.00 Rp 968,000.00
60 N-Epi Ampul 50 Rp 69,300.00 Rp 3,465,000.00
66 Novaldo Ampul 550 Rp 5,445.00 Rp 2,994,750.00
107 Regivel 4ml Ampul 0 Rp 53,900.00 Rp -
112 Vitamin k 2 mg inj (Phytomenadio Ampul 120 Rp 4,235.99 Rp 508,318.80
113 Vitamin k 10 mg inj (Phytomenadi Ampul 0 Rp 4,766.67 Rp -
CAIRAN STERIL
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 168 Rp 11,313.50 Rp 1,900,668.00
18 MgSO4 20 % Botol 108 Rp 3,327.50 Rp 359,370.00
19 MgSO4 40% Botol 48 Rp 3,796.10 Rp 182,212.80
20 NaCl 0,9 % Botol 460 Rp 6,409.70 Rp 2,948,462.00
21 NaCl 0,9 % Botol 0 Rp 6,839.80 Rp -
22 NaCl 0,9 % Botol 0 Rp 6,395.21 Rp -
26 Otsu KCL Botol 10 Rp 3,223.00 Rp 32,230.00
33 Wida - KDN 1 Botol 0 Rp 12,492.70 Rp -
34 Widahes Botol 60 Rp 66,536.80 Rp 3,992,208.00
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
15 H2O2 Botol 1 Rp 41,800.00 Rp 41,800.00
SEDIAAN ORAL CAIR
9 Cefixim syr Botol 0 Rp 25,712.50 Rp -
SEDIAAN TOPIKAL
7 Fuson salep 0.00 60 Rp 55,962.00 Rp 3,357,720.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82 Rp -
9 Gentamicin 0,1% 0.00 0 Rp 3,559.63 Rp -
10 Hidrocortison 2.5% Cream 0.00 0 Rp 2,647.70 Rp -
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00 Rp -
3 Abbocath 20 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 25,135.00 Rp -
8 Apron bh 0 Rp 2,904.40 Rp -
10 Biolon 5-0 bh 0 Rp 62,700.00 Rp -
19 Benang Tycril 3-0 Round Bodied bh 0 Rp 93,500.00 Rp -
35 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
40 Dispo 5 cc bh 0 Rp 862.50 Rp -
41 Dispo 5 cc bh 0 Rp 1,117.08 Rp -
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 0 Rp 38,500.00 Rp -
56 Kapas bh 0 Rp 34,100.00 Rp -
57 Kapas bh 0 Rp 24,200.00 Rp -
63 Ky-Jelly bh 0 Rp 109,560.00 Rp -
69 Masker O2 Dewasa Nonrebreathinbh 0 Rp 18,211.99 Rp -
70 Masker O2 Dewasa Rebreathing bh 0 Rp 13,339.99 Rp -
71 Needle 18 bh 0 Rp 222.64 Rp -
72 Opsite 25 x 10 bh 0 Rp 70,125.00 Rp -
84 Urogard bh 0 Rp 85,800.00 Rp -
TABLET
17 Pyrantel Pamoat 125 mg Tablet 100 Rp 404.91 Rp 40,491.00
INJEKSI
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
CAIRAN NON STERIL
2 H2O2 Botol 0 Rp 41,800.00 Rp -
SEDIAAN ORAL CAIR
C PPI
12 Handscoen Steril 6,5 (gynecolog) Pair 120 Rp 20,183.99 Rp 2,422,078.80
19 Handscoen Steril 6 (powder free) Pair 500 Rp 8,467.98 Rp 4,233,990.00
20 Handscoen Steril 6 (powder free) Pair 0 Rp 8,467.99 Rp -
21 Handscoen Steril 6,5 (powder free)Pair 0 Rp 8,467.99 Rp -
25 Handscoen Steril 7,5 (powder free)Pair 1750 Rp 8,467.99 Rp 14,818,982.50
27 Masker Pcs 16100 Rp 506.00 Rp 8,146,600.00
JUMLAH Rp 961,968,538.95
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

NIP : 19850411 201001 1 020
2 Nama : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan Maret dengan rincian sebagai berikut:

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00 Rp 198,000.00
4 Abbocath 18 bh 0 Rp 25,135.00 Rp -
5 Abbocath 18 bh 300 Rp 7,075.98 Rp 2,122,794.00
6 Abbocath 18 bh 0 Rp 14,300.00 Rp -
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 500 Rp 7,075.98 Rp 3,537,990.00
11 Abbocath 20 bh 0 Rp 4,370.00 Rp -
12 Abbocath 20 bh 0 Rp 3,960.00 Rp -
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 0 Rp 7,075.99 Rp -
16 Abbocath 22 bh 300 Rp 7,075.98 Rp 2,122,794.00
17 Abbocath 22 bh 0 Rp 4,370.00 Rp -
18 Abbocath 24 bh 500 Rp 7,075.98 Rp 3,537,990.00
19 Abbocath 24 bh 0 Rp 7,075.99 Rp -
20 Abbocath 24 bh 0 Rp 6,269.67 Rp -
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 150 Rp 29,150.00 Rp 4,372,500.00
23 Abbocath 26 bh 0 Rp 15,397.82 Rp -
24 Abbocath 26 bh 0 Rp 30,250.00 Rp -
25 Abbocath 26 bh 0 Rp 13,860.00 Rp -
26 Apron bh 200 Rp 2,904.40 Rp 580,880.00
27 Apron bh 0 Rp 27,782.00 Rp -
28 Apron bh 0 Rp 6,600.00 Rp -
70 Bisturi 11 bh 200 Rp 1,100.00 Rp 220,000.00
71 Bisturi 15 bh 0 Rp 1,100.00 Rp -
72 Bisturi 15 bh 100 Rp 781.00 Rp 78,100.00
73 Bisturi 15 bh 0 Rp 1,402.50 Rp -
74 Bisturi 20 bh 100 Rp 1,100.00 Rp 110,000.00
75 Bisturi 20 bh 200 Rp 1,402.50 Rp 280,500.00
76 Bisturi 22 bh 0 Rp 781.00 Rp -
77 Bisturi 22 bh 200 Rp 6,050.00 Rp 1,210,000.00
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
80 Cangkang 00 bh 6000 Rp 89.10 Rp 534,600.00
84 Cangkang 0 bh 8000 Rp 57.20 Rp 457,600.00
87 Cangkang 1 bh 15000 Rp 55.00 Rp 825,000.00
157 ETT 2,5 bh 0 Rp 156,750.00 Rp -
158 ETT 2,5 bh 0 Rp 165,000.00 Rp -
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 3 Rp 13,223.99 Rp 39,671.97
166 ETT 7,0 bh 10 Rp 13,223.99 Rp 132,239.91
167 ETT 7,5 bh 5 Rp 13,223.99 Rp 66,119.95
bh 0 Rp 17,520.80 Rp -
200 Formalin bh 1 Rp 937,750.00 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 2 Rp 59,400.00 Rp 118,800.00
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 2 Rp 25,740.00 Rp 51,480.00
209 Gudel 4 bh 1 Rp 59,400.00 Rp 59,400.00
210 gudel 4 bh 2 Rp 156,750.00 Rp 313,500.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 2 Rp 59,400.00 Rp 118,800.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 0 Rp 38,500.00 Rp -
215 Gudel 6 bh 1 Rp 59,400.00 Rp 59,400.00
216 Gudel 6 bh 0 Rp 156,750.00 Rp -
226 Handschoen Steril No. 7 bh 1000 Rp 5,451.99 Rp 5,451,990.00
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 0 Rp 80,960.00 Rp -
230 Hipafix 5x5 bh 18 Rp 95,700.00 Rp 1,722,600.00
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
253 Kapas 250 g bh 0 Rp 14,374.99 Rp -
254 Kapas 250 g bh 0 Rp 14,375.00 Rp -
255 Kapas 250 g bh 36 Rp 24,200.00 Rp 871,200.00
256 Kapas 250 g bh 0 Rp 34,100.00 Rp -
303 Masker O2 Bayi bh 50 Rp 33,000.00 Rp 1,650,000.00
306 Masker O2 Dws Rebreting bh 43 Rp 13,339.98 Rp 573,619.14
313 Mitella bh 14 Rp 9,108.00 Rp 127,512.00
314 Needle 18G bh 100 Rp 1,237.50 Rp 123,750.00
315 Needle 18G bh 200 Rp 222.64 Rp 44,528.00
319 Opsite 25 x 10 bh 35 Rp 70,125.00 Rp 2,454,375.00
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
368 Under Pad Non Steril bh 120 Rp 4,675.00 Rp 561,000.00
379 Urine Bag bh 60 Rp 3,960.00 Rp 237,600.00
381 Urine Bag bh 0 Rp 11,000.00 Rp -
382 Urogard bh 15 Rp 85,800.00 Rp 1,287,000.00
383 Urogard bh 0 Rp 85,500.00 Rp -
OBAT
22 Aminophyllin 200 mg Tablet 0 Rp 140.00 Rp -
38 Asam Mefenamat 500 mg Tablet 7100 Rp 103.00 Rp 731,300.00
42 Asam tranexamat 500 mg Tablet 500 Rp 1,783.99 Rp 891,995.00
48 Bisoprolol 5 mg Tablet 2000 Rp 550.00 Rp 1,100,000.00
56 Cefixime 100 mg Tablet 800 Rp 1,317.02 Rp 1,053,616.00
66 Ciprofloxacin 500 mg Tablet 3000 Rp 666.88 Rp 2,000,640.00
67 Citicolin 500 mg Tablet 1080 Rp 4,950.00 Rp 5,346,000.00
70 Clindamicin 150 mg Tablet 1000 Rp 702.24 Rp 702,240.00
96 Furosemide 40 mg Tablet 0 Rp 181.73 Rp -
106 Irbesartan 150 mg Tablet 0 Rp 425.00 Rp -
130 Mecobalamin Tablet 2800 Rp 748.00 Rp 2,094,400.00
143 Merlopam 0,5 mg Tablet 0 Rp 731.50 Rp -
144 Merlopam 2 mg Tablet 0 Rp 2,310.00 Rp -
157 Metformin 500 mg Tablet 2500 Rp 102.00 Rp 255,000.00
168 Onoiwa Tablet 8280 Rp 5,280.00 Rp 43,718,400.00
188 Pregabalin 150 mg Tablet 420 Rp 7,012.50 Rp 2,945,250.00
215 Tablet Tambah Darah Tablet 3300 Rp 409.00 Rp 1,349,700.00
233 Novatrim Tablet 0 Rp 495.00 Rp -
INJEKSI
32 Farmabes Vial Vial 140 Rp 56,628.00 Rp 7,927,920.00
51 Metoklopramide Ampul 0 Rp 4,565.00 Rp -
60 N-Epi Ampul 50 Rp 69,300.00 Rp 3,465,000.00
85 Paracetamol infus Botol 393 Rp 12,004.19 Rp 4,717,646.67
98 Protocin Injeksi Ampul 520 Rp 7,128.00 Rp 3,706,560.00
112 Vitamin k 2 mg inj (Phytomenadio Ampul 30 Rp 4,235.99 Rp 127,079.70
CAIRAN STERIL
1 Aminofluid Botol 0 Rp 70,188.80 Rp -
3 Aminoleban 500 Botol 0 Rp 74,654.80 Rp -
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 168 Rp 11,313.50 Rp 1,900,668.00
18 MgSO4 20 % Botol 108 Rp 3,327.50 Rp 359,370.00
19 MgSO4 40% Botol 48 Rp 3,796.10 Rp 182,212.80
20 NaCl 0,9 % Botol 40 Rp 6,409.70 Rp 256,388.00
21 NaCl 0,9 % Botol 0 Rp 6,839.80 Rp -
22 NaCl 0,9 % Botol 0 Rp 6,395.21 Rp -
24 NaCl Piggy Bag Botol 680 Rp 12,144.00 Rp 8,257,920.00
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
12 Povidon Iodium Botol 30 Rp 85,800.00 Rp 2,574,000.00
15 H2O2 Botol 1 Rp 41,800.00 Rp 41,800.00
SEDIAAN ORAL CAIR
SEDIAAN TOPIKAL
7 Fuson salep 0.00 60 Rp 55,962.00 Rp 3,357,720.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82 Rp -
9 Gentamicin 0,1% 0.00 0 Rp 3,559.63 Rp -
10 Hidrocortison 2.5% Cream 0.00 0 Rp 2,647.70 Rp -
11 Hidrocortison 2.5% Cream Tube 96 Rp 5,723.30 Rp 549,436.80
1 Cendo Efrisel 10% 5cc Botol 10 Rp 25,936.25 Rp 259,362.50
8 Cendo Pantocain 2% Drops 5cc Botol 20 Rp 13,846.25 Rp 276,925.00
13 Cendo Tropin 1% 5cc Botol 19 Rp 13,062.50 Rp 248,187.50
15 Cendo Xitrol Drops 5cc Botol 50 Rp 28,476.25 Rp 1,423,812.50
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00 Rp -
3 Abbocath 20 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 25,135.00 Rp -
8 Apron bh 0 Rp 2,904.40 Rp -
10 Biolon 5-0 bh 0 Rp 62,700.00 Rp -
35 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
40 Dispo 5 cc bh 0 Rp 862.50 Rp -
41 Dispo 5 cc bh 0 Rp 1,117.08 Rp -
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 0 Rp 38,500.00 Rp -
56 Kapas bh 0 Rp 34,100.00 Rp -
57 Kapas bh 0 Rp 24,200.00 Rp -
63 Ky-Jelly bh 0 Rp 109,560.00 Rp -
71 Needle 18 bh 0 Rp 222.64 Rp -
72 Opsite 25 x 10 bh 0 Rp 70,125.00 Rp -
84 Urogard bh 0 Rp 85,800.00 Rp -
TABLET
17 Pyrantel Pamoat 125 mg Tablet 0 Rp 404.91 Rp -
INJEKSI
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
CAIRAN NON STERIL
2 H2O2 Botol 0 Rp 41,800.00 Rp -
SEDIAAN ORAL CAIR
C PPI
27 Masker Pcs 9950 Rp 506.00 Rp 5,034,700.00
JUMLAH Rp 1,095,974,872.52
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

1 Nama : 19850411 201001 1 020
NIP :

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan April dengan rincian sebagai berikut:

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00 Rp 198,000.00
4 Abbocath 18 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 150 Rp 14,300.00 Rp 2,145,000.00
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 350 Rp 7,075.98 Rp 2,476,593.00
11 Abbocath 20 bh 0 Rp 4,370.00 Rp -
12 Abbocath 20 bh 0 Rp 3,960.00 Rp -
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 0 Rp 7,075.99 Rp -
16 Abbocath 22 bh 150 Rp 7,075.98 Rp 1,061,397.00
17 Abbocath 22 bh 0 Rp 4,370.00 Rp -
18 Abbocath 24 bh 350 Rp 7,075.98 Rp 2,476,593.00
19 Abbocath 24 bh 0 Rp 7,075.99 Rp -
20 Abbocath 24 bh 300 Rp 6,269.67 Rp 1,880,901.00
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 0 Rp 29,150.00 Rp -
23 Abbocath 26 bh 250 Rp 15,397.82 Rp 3,849,455.00
24 Abbocath 26 bh 0 Rp 30,250.00 Rp -
25 Abbocath 26 bh 0 Rp 13,860.00 Rp -
26 Apron bh 160 Rp 2,904.40 Rp 464,704.00
27 Apron bh 0 Rp 27,782.00 Rp -
28 Apron bh 0 Rp 6,600.00 Rp -
58 Benang Tycryl 3/0 (Cutting) bh 132 Rp 93,500.00 Rp 12,342,000.00
70 Bisturi 11 bh 200 Rp 1,100.00 Rp 220,000.00
71 Bisturi 15 bh 0 Rp 1,100.00 Rp -
72 Bisturi 15 bh 100 Rp 781.00 Rp 78,100.00
73 Bisturi 15 bh 200 Rp 1,402.50 Rp 280,500.00
74 Bisturi 20 bh 0 Rp 1,100.00 Rp -
75 Bisturi 20 bh 200 Rp 1,402.50 Rp 280,500.00
76 Bisturi 22 bh 0 Rp 781.00 Rp -
77 Bisturi 22 bh 200 Rp 6,050.00 Rp 1,210,000.00
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
80 Cangkang 00 bh 6000 Rp 89.10 Rp 534,600.00
84 Cangkang 0 bh 6000 Rp 57.20 Rp 343,200.00
87 Cangkang 1 bh 10000 Rp 55.00 Rp 550,000.00
157 ETT 2,5 bh 0 Rp 156,750.00 Rp -
158 ETT 2,5 bh 0 Rp 165,000.00 Rp -
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 3 Rp 13,223.99 Rp 39,671.97
166 ETT 7,0 bh 10 Rp 13,223.99 Rp 132,239.91
167 ETT 7,5 bh 5 Rp 13,223.99 Rp 66,119.95
bh 0 Rp 17,520.80 Rp -
200 Formalin bh 1 Rp 937,750.00 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 2 Rp 59,400.00 Rp 118,800.00
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 1 Rp 25,740.00 Rp 25,740.00
209 Gudel 4 bh 0 Rp 59,400.00 Rp -
210 gudel 4 bh 2 Rp 156,750.00 Rp 313,500.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 2 Rp 59,400.00 Rp 118,800.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 0 Rp 38,500.00 Rp -
215 Gudel 6 bh 1 Rp 59,400.00 Rp 59,400.00
216 Gudel 6 bh 0 Rp 156,750.00 Rp -
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 0 Rp 80,960.00 Rp -
230 Hipafix 5x5 bh 33 Rp 95,700.00 Rp 3,158,100.00
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
253 Kapas 250 g bh 0 Rp 14,374.99 Rp -
254 Kapas 250 g bh 0 Rp 14,375.00 Rp -
255 Kapas 250 g bh 18 Rp 24,200.00 Rp 435,600.00
256 Kapas 250 g bh 0 Rp 34,100.00 Rp -
303 Masker O2 Bayi bh 48 Rp 33,000.00 Rp 1,584,000.00
313 Mitella bh 14 Rp 9,108.00 Rp 127,512.00
314 Needle 18G bh 0 Rp 1,237.50 Rp -
315 Needle 18G bh 200 Rp 222.64 Rp 44,528.00
319 Opsite 25 x 10 bh 80 Rp 70,125.00 Rp 5,610,000.00
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
380 Urine Bag bh 240 Rp 7,788.00 Rp 1,869,120.00
381 Urine Bag bh 0 Rp 11,000.00 Rp -
382 Urogard bh 10 Rp 85,800.00 Rp 858,000.00
383 Urogard bh 0 Rp 85,500.00 Rp -
OBAT
10 Alprazolam 0,5mg Tablet 1700 Rp 517.28 Rp 879,376.00
19 Amitripthyllin 25 mg Tablet 500 Rp 220.00 Rp 110,000.00
23 Aminefron Tablet 3500 Rp 5,720.00 Rp 20,020,000.00
37 Arkine 2 mg Tablet 3500 Rp 670.31 Rp 2,346,085.00
44 Bamgetol Tablet 0 Rp 1,584.00 Rp -
48 Bisoprolol 5 mg Tablet 1000 Rp 550.00 Rp 550,000.00
56 Cefixime 100 mg Tablet 80 Rp 1,317.02 Rp 105,361.60
70 Clindamicin 150 mg Tablet 500 Rp 702.24 Rp 351,120.00
85 Diltiazem 30 mg Tablet 27900 Rp 142.00 Rp 3,961,800.00
89 Domperidon 10 mg Tablet 39600 Rp 96.00 Rp 3,801,600.00
94 Farbion 5000 Tablet 7200 Rp 1,089.00 Rp 7,840,800.00
98 Flunarizin 5 mg Tablet 4000 Rp 893.75 Rp 3,575,000.00
102 Glimepiride 2 mg Tablet 4000 Rp 207.00 Rp 828,000.00
109 Irbesartan 300 mg Tablet 5000 Rp 2,660.35 Rp 13,301,750.00
114 L- Cisin 0,5 mg Tablet 0 Rp 3,222.00 Rp -
132 Metoclopramid 10 mg Tablet 12200 Rp 87.00 Rp 1,061,400.00
137 Meloxicam 15 mg Tablet 2500 Rp 659.45 Rp 1,648,625.00
144 Merlopam 2 mg Tablet 500 Rp 2,310.00 Rp 1,155,000.00
169 Ondancetron 4 mg Tablet 9828 Rp 429.00 Rp 4,216,212.00
171 Parasetamol 500 mg Tablet 15500 Rp 60.00 Rp 930,000.00
178 Piracetam 1200 mg Tablet 1800 Rp 1,164.24 Rp 2,095,632.00
180 Propanolol 10 mg Tablet 7000 Rp 80.00 Rp 560,000.00
184 Prednisolon 5 mg Tablet 1400 Rp 74.00 Rp 103,600.00
189 Pyrantel 125 mg Tablet 700 Rp 331.00 Rp 231,700.00
194 Ranitidin 150 mg Tablet 4500 Rp 302.50 Rp 1,361,250.00
213 Spironolakton 25 mg Tablet 9000 Rp 212.00 Rp 1,908,000.00
221 Vitamin B6 10 mg Tablet 2200 Rp 141.00 Rp 310,200.00
222 Vitamin C 50 mg Tablet 900 Rp 120.29 Rp 108,261.00
224 Vipalbumin Tablet 4800 Rp 6,435.00 Rp 30,888,000.00
229 Defemin (CTM 4 mg) Tablet 0 Rp 29.04 Rp -
INJEKSI
1 Aminofillin Inj. Ampul 0 Rp 6,188.00 Rp -
3 Ampicillin 1gr inj Ampul 100 Rp 9,473.00 Rp 947,299.98
6 Aqua Destillata Botol 0 Rp 2,860.00 Rp -
30 Epinefrin inj Ampul 0 Rp 6,691.85 Rp -
32 Farmabes Vial Vial 140 Rp 56,628.00 Rp 7,927,920.00
37 Isoflurane 250 ml Botol 2 Rp 1,452,000.00 Rp 2,904,000.00
39 Ketorolac 30 mg/ml Ampul 696 Rp 1,045.16 Rp 727,428.33
60 N-Epi Ampul 145 Rp 69,300.00 Rp 10,048,500.00
62 Nicardipine Ampul 20 Rp 24,000.02 Rp 480,000.40
67 Novomix -30 Flex Pen Pen 215 Rp 110,968.00 Rp 23,858,120.00
74 Norages inj Ampul 2010 Rp 7,348.00 Rp 14,769,480.00
81 Ondancetron inj 4mg/2ml Ampul 5720 Rp 1,258.00 Rp 7,195,760.00
94 Phenytoin Sodium 50mg/ml inj Ampul 100 Rp 11,855.58 Rp 1,185,558.00
109 Sikzonoate Injeksi Ampul 5 Rp 70,785.00 Rp 353,925.00
112 Vitamin k 2 mg inj (Phytomenadio Ampul 0 Rp 4,235.99 Rp -
CAIRAN STERIL
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 168 Rp 11,313.50 Rp 1,900,668.00
17 Mannitol 20% 500ml Botol 0 Rp 43,499.50 Rp -
18 MgSO4 20 % Botol 108 Rp 3,327.50 Rp 359,370.00
19 MgSO4 40% Botol 24 Rp 3,796.10 Rp 91,106.40
20 NaCl 0,9 % Botol 0 Rp 6,409.70 Rp -
21 NaCl 0,9 % Botol 2260 Rp 6,839.80 Rp 15,457,948.00
22 NaCl 0,9 % Botol 0 Rp 6,395.21 Rp -
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
5 Alkohol 70% Botol 48 Rp 47,300.00 Rp 2,270,400.00
8 Alkohol swab Pcs 10000 Rp 115.00 Rp 1,150,000.00
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
15 H2O2 Botol 0 Rp 41,800.00 Rp -
SEDIAAN ORAL CAIR
13 Paracetamol Syrup Botol 250 Rp 3,159.20 Rp 789,800.00
SEDIAAN TOPIKAL
7 Fuson salep 0.00 60 Rp 55,962.00 Rp 3,357,720.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82 Rp -
9 Gentamicin 0,1% 0.00 0 Rp 3,559.63 Rp -
12 Miconazole Cream 2% Tube 144 Rp 3,925.90 Rp 565,329.60
14 Oxytetracycline 1% SM Tube 150 Rp 2,600.40 Rp 390,060.00
5 Cendo Lyters 15cc Botol 26 Rp 23,512.50 Rp 611,325.00
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00 Rp -
3 Abbocath 20 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 25,135.00 Rp -
8 Apron bh 0 Rp 2,904.40 Rp -
10 Biolon 5-0 bh 0 Rp 62,700.00 Rp -
35 Bisturi 11 bh 200 Rp 1,100.00 Rp 220,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
40 Dispo 5 cc bh 0 Rp 862.50 Rp -
41 Dispo 5 cc bh 0 Rp 1,117.08 Rp -
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 0 Rp 38,500.00 Rp -
56 Kapas bh 0 Rp 34,100.00 Rp -
57 Kapas bh 0 Rp 24,200.00 Rp -
63 Ky-Jelly bh 0 Rp 109,560.00 Rp -
71 Needle 18 bh 0 Rp 222.64 Rp -
72 Opsite 25 x 10 bh 0 Rp 70,125.00 Rp -
84 Urogard bh 0 Rp 85,800.00 Rp -
TABLET
1 Antasida Doen Tablet 0 Rp 210.59 Rp -
2 Cetrizin 10 mg Tablet 56500 Rp 104.00 Rp 5,876,000.00
5 Digoxin Tablet 4000 Rp 104.00 Rp 416,000.00
INJEKSI
1 Ampicillin Ampul 500 Rp 9,473.00 Rp 4,736,500.00
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
CAIRAN NON STERIL
2 H2O2 Botol 0 Rp 41,800.00 Rp -
SEDIAAN ORAL CAIR
C PPI
12 Handscoen Steril 6,5 (gynecolog) Pair 40 Rp 20,183.99 Rp 807,359.60
27 Masker Pcs 2900 Rp 506.00 Rp 1,467,400.00
JUMLAH Rp 1,550,734,812.22
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

NIP : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan Mei dengan rincian sebagai berikut:

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00 Rp 198,000.00
4 Abbocath 18 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 14,300.00 Rp -
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 0 Rp 7,075.98 Rp -
11 Abbocath 20 bh 0 Rp 4,370.00 Rp -
12 Abbocath 20 bh 0 Rp 3,960.00 Rp -
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 0 Rp 7,075.99 Rp -
16 Abbocath 22 bh 0 Rp 7,075.98 Rp -
17 Abbocath 22 bh 0 Rp 4,370.00 Rp -
18 Abbocath 24 bh 250 Rp 7,075.98 Rp 1,768,995.00
19 Abbocath 24 bh 0 Rp 7,075.99 Rp -
20 Abbocath 24 bh 300 Rp 6,269.67 Rp 1,880,901.00
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 0 Rp 29,150.00 Rp -
23 Abbocath 26 bh 50 Rp 15,397.82 Rp 769,891.00
24 Abbocath 26 bh 0 Rp 30,250.00 Rp -
25 Abbocath 26 bh 0 Rp 13,860.00 Rp -
26 Apron bh 100 Rp 2,904.40 Rp 290,440.00
27 Apron bh 0 Rp 27,782.00 Rp -
28 Apron bh 0 Rp 6,600.00 Rp -
30 Aquasonic Parker bh 1 Rp 990,000.00 Rp 990,000.00
40 Benang Chrogut 3/0 bh 0 Rp 69,300.00 Rp -
43 Benang Nylon 5/0 bh 24 Rp 36,100.00 Rp 866,400.00
52 Benang Ticryl 0 bh 0 Rp 99,000.00 Rp -
70 Bisturi 11 bh 200 Rp 1,100.00 Rp 220,000.00
71 Bisturi 15 bh 0 Rp 1,100.00 Rp -
72 Bisturi 15 bh 100 Rp 781.00 Rp 78,100.00
73 Bisturi 15 bh 200 Rp 1,402.50 Rp 280,500.00
74 Bisturi 20 bh 0 Rp 1,100.00 Rp -
75 Bisturi 20 bh 100 Rp 1,402.50 Rp 140,250.00
76 Bisturi 22 bh 0 Rp 781.00 Rp -
77 Bisturi 22 bh 200 Rp 6,050.00 Rp 1,210,000.00
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
80 Cangkang 00 bh 15000 Rp 89.10 Rp 1,336,500.00
84 Cangkang 0 bh 6000 Rp 57.20 Rp 343,200.00
87 Cangkang 1 bh 5000 Rp 55.00 Rp 275,000.00
155 Elektroda bh 50 Rp 4,356.00 Rp 217,800.00
157 ETT 2,5 bh 0 Rp 156,750.00 Rp -
158 ETT 2,5 bh 0 Rp 165,000.00 Rp -
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 3 Rp 13,223.99 Rp 39,671.97
166 ETT 7,0 bh 10 Rp 13,223.99 Rp 132,239.91
167 ETT 7,5 bh 5 Rp 13,223.99 Rp 66,119.95
bh 0 Rp 17,520.80 Rp -
200 Formalin bh 1 Rp 937,750.00 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 0 Rp 59,400.00 Rp -
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 0 Rp 25,740.00 Rp -
209 Gudel 4 bh 0 Rp 59,400.00 Rp -
210 gudel 4 bh 1 Rp 156,750.00 Rp 156,750.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 1 Rp 59,400.00 Rp 59,400.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 0 Rp 38,500.00 Rp -
215 Gudel 6 bh 0 Rp 59,400.00 Rp -
216 Gudel 6 bh 0 Rp 156,750.00 Rp -
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 0 Rp 80,960.00 Rp -
230 Hipafix 5x5 bh 0 Rp 95,700.00 Rp -
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
239 Infuset Dewasa bh 150 Rp 4,175.99 Rp 626,398.50
253 Kapas 250 g bh 0 Rp 14,374.99 Rp -
254 Kapas 250 g bh 0 Rp 14,375.00 Rp -
255 Kapas 250 g bh 0 Rp 24,200.00 Rp -
256 Kapas 250 g bh 22 Rp 34,100.00 Rp 750,200.00
313 Mitella bh 14 Rp 9,108.00 Rp 127,512.00
314 Needle 18G bh 0 Rp 1,237.50 Rp -
315 Needle 18G bh 0 Rp 222.64 Rp -
319 Opsite 25 x 10 bh 20 Rp 70,125.00 Rp 1,402,500.00
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
381 Urine Bag bh 200 Rp 11,000.00 Rp 2,200,000.00
382 Urogard bh 10 Rp 85,800.00 Rp 858,000.00
383 Urogard bh 0 Rp 85,500.00 Rp -
OBAT
76 Codein HCl 20 mg Tablet 500 Rp 1,494.00 Rp 747,000.00
98 Flunarizin 5 mg Tablet 1200 Rp 893.75 Rp 1,072,500.00
129 Lodomer 5 mg Tablet 0 Rp 1,312.85 Rp -
148 Metiprednisolon 16 mg Tablet 11200 Rp 585.00 Rp 6,552,000.00
161 Natrium Diklofenak 50 mg Tablet 14000 Rp 145.00 Rp 2,030,000.00
190 Phytomenadion 10 mg Tablet 300 Rp 873.00 Rp 261,900.00
191 Phytomenadion 10 mg Tablet 800 Rp 1,182.26 Rp 945,808.00
192 Quatro 0,4 mg Tablet 0 Rp 1,760.00 Rp -
199 Risperidon 2 mg Tablet 18800 Rp 287.00 Rp 5,395,600.00
203 Salbutamol 4 mg Tablet 26400 Rp 88.50 Rp 2,336,400.00
218 Thyrozol 10 mg Tablet 50900 Rp 1,286.00 Rp 65,457,400.00
230 Dexametason 0,5 mg (HARSEN) Tablet 3200 Rp 275.55 Rp 881,760.00
INJEKSI
5 Atropin Sulfat Inj Ampul 200 Rp 1,859.00 Rp 371,800.00
46 Lidocain Injeksi Ampul 2800 Rp 1,348.88 Rp 3,776,864.00
60 N-Epi Ampul 145 Rp 69,300.00 Rp 10,048,500.00
82 Oxytocin Amp Ampul 1000 Rp 2,475.00 Rp 2,475,000.00
89 Pehacain Injeksi Ampul 360 Rp 2,750.00 Rp 990,000.00
94 Phenytoin Sodium 50mg/ml inj Ampul 80 Rp 11,855.58 Rp 948,446.40
110 Valdimex inj Ampul 70 Rp 9,680.00 Rp 677,600.00
CAIRAN STERIL
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 144 Rp 11,313.50 Rp 1,629,144.00
16 Manitol 20% 250ml Botol 250 Rp 28,275.50 Rp 7,068,875.00
18 MgSO4 20 % Botol 368 Rp 3,327.50 Rp 1,224,520.00
19 MgSO4 40% Botol 6 Rp 3,796.10 Rp 22,776.60
20 NaCl 0,9 % Botol 0 Rp 6,409.70 Rp -
21 NaCl 0,9 % Botol 720 Rp 6,839.80 Rp 4,924,656.00
22 NaCl 0,9 % Botol 0 Rp 6,395.21 Rp -
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
8 Alkohol swab Pcs 5900 Rp 115.00 Rp 678,500.00
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
15 H2O2 Botol 0 Rp 41,800.00 Rp -
SEDIAAN ORAL CAIR
5 Asam Valproat 250mg Botol 25 Rp 17,789.20 Rp 444,730.00
SEDIAAN TOPIKAL
3 Bedak Salicyl Pot 20 Rp 6,006.00 Rp 120,120.00
7 Fuson salep 0.00 60 Rp 55,962.00 Rp 3,357,720.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82 Rp -
9 Gentamicin 0,1% 0.00 150 Rp 3,559.63 Rp 533,944.50
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00 Rp -
3 Abbocath 20 bh 200 Rp 25,135.00 Rp 5,027,000.00
4 Abbocath 20 bh 500 Rp 7,075.98 Rp 3,537,990.00
6 Abbocath 18 bh 100 Rp 25,135.00 Rp 2,513,500.00
7 Abbocath 22 bh 300 Rp 7,075.98 Rp 2,122,794.00
8 Apron bh 0 Rp 2,904.40 Rp -
9 Aquasonic Gall Parker bh 3 Rp 990,000.00 Rp 2,970,000.00
10 Biolon 5-0 bh 0 Rp 62,700.00 Rp -
16 Benang Tycryl 0 bh 48 Rp 99,000.00 Rp 4,752,000.00
17 Benang Tycril 1 bh 48 Rp 105,600.00 Rp 5,068,800.00
18 Benang Tycril 2-0 bh 36 Rp 94,600.00 Rp 3,405,600.00
19 Benang Tycril 3-0 Round Bodied bh 72 Rp 93,500.00 Rp 6,732,000.00
20 Benang Tycril 3-0 Cutting bh 108 Rp 93,500.00 Rp 10,098,000.00
28 Canula O2 Dewasa bh 300 Rp 12,643.99 Rp 3,793,197.00
35 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
38 Disposable 3 cc bh 100 Rp 747.50 Rp 74,750.00
40 Dispo 5 cc bh 0 Rp 862.50 Rp -
41 Dispo 5 cc bh 0 Rp 1,117.08 Rp -
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 0 Rp 38,500.00 Rp -
51 Hipafix 5cm x 5m bh 26 Rp 95,700.00 Rp 2,488,200.00
56 Kapas bh 0 Rp 34,100.00 Rp -
57 Kapas bh 0 Rp 24,200.00 Rp -
63 Ky-Jelly bh 12 Rp 109,560.00 Rp 1,314,720.00
71 Needle 18 bh 0 Rp 222.64 Rp -
72 Opsite 25 x 10 bh 50 Rp 70,125.00 Rp 3,506,250.00
73 Perfussor Letung bh 50 Rp 49,005.00 Rp 2,450,250.00
79 Underpad 60 x 90 Non Steril bh 10 Rp 4,697.00 Rp 46,970.00
84 Urogard bh 0 Rp 85,800.00 Rp -
TABLET
5 Digoxin Tablet 2000 Rp 104.00 Rp 208,000.00
INJEKSI
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
CAIRAN NON STERIL
2 H2O2 Botol 0 Rp 41,800.00 Rp -
3 Povidone Iodium Botol 26 Rp 85,800.00 Rp 2,230,800.00
SEDIAAN ORAL CAIR
C PPI
22 Handscoen Steril 7 (powder free) Pair 100 Rp 8,468.00 Rp 846,800.00
29 Masker Pcs 10000 Rp 431.97 Rp 4,319,700.00
JUMLAH Rp 1,564,579,316.32
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

NIP : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan Juni dengan rincian sebagai berikut:

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00 Rp 198,000.00
4 Abbocath 18 bh 0 Rp 25,135.00 Rp -
5 Abbocath 18 bh 500 Rp 7,075.98 Rp 3,537,990.00
6 Abbocath 18 bh 0 Rp 14,300.00 Rp -
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 0 Rp 7,075.98 Rp -
11 Abbocath 20 bh 300 Rp 4,370.00 Rp 1,311,000.00
12 Abbocath 20 bh 0 Rp 3,960.00 Rp -
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 0 Rp 7,075.99 Rp -
16 Abbocath 22 bh 50 Rp 7,075.98 Rp 353,799.00
17 Abbocath 22 bh 0 Rp 4,370.00 Rp -
18 Abbocath 24 bh 250 Rp 7,075.98 Rp 1,768,995.00
19 Abbocath 24 bh 0 Rp 7,075.99 Rp -
20 Abbocath 24 bh 300 Rp 6,269.67 Rp 1,880,901.00
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 0 Rp 29,150.00 Rp -
23 Abbocath 26 bh 50 Rp 15,397.82 Rp 769,891.00
24 Abbocath 26 bh 0 Rp 30,250.00 Rp -
25 Abbocath 26 bh 0 Rp 13,860.00 Rp -
26 Apron bh 40 Rp 2,904.40 Rp 116,176.00
27 Apron bh 0 Rp 27,782.00 Rp -
28 Apron bh 0 Rp 6,600.00 Rp -
43 Benang Nylon 5/0 bh 24 Rp 36,100.00 Rp 866,400.00
70 Bisturi 11 bh 200 Rp 1,100.00 Rp 220,000.00
71 Bisturi 15 bh 0 Rp 1,100.00 Rp -
72 Bisturi 15 bh 0 Rp 781.00 Rp -
73 Bisturi 15 bh 200 Rp 1,402.50 Rp 280,500.00
74 Bisturi 20 bh 0 Rp 1,100.00 Rp -
75 Bisturi 20 bh 100 Rp 1,402.50 Rp 140,250.00
76 Bisturi 22 bh 0 Rp 781.00 Rp -
77 Bisturi 22 bh 200 Rp 6,050.00 Rp 1,210,000.00
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
80 Cangkang 00 bh 2000 Rp 89.10 Rp 178,200.00
84 Cangkang 0 bh 6000 Rp 57.20 Rp 343,200.00
87 Cangkang 1 bh 1000 Rp 55.00 Rp 55,000.00
155 Elektroda bh 0 Rp 4,356.00 Rp -
157 ETT 2,5 bh 0 Rp 156,750.00 Rp -
158 ETT 2,5 bh 0 Rp 165,000.00 Rp -
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 3 Rp 13,223.99 Rp 39,671.97
166 ETT 7,0 bh 10 Rp 13,223.99 Rp 132,239.91
167 ETT 7,5 bh 5 Rp 13,223.99 Rp 66,119.95
168 ETT Portex Clear Cuff 5,0 mm bh 0 Rp 38,819.00 Rp -
bh 0 Rp 17,520.80 Rp -
200 Formalin bh 1 Rp 937,750.00 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 0 Rp 59,400.00 Rp -
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 0 Rp 25,740.00 Rp -
209 Gudel 4 bh 0 Rp 59,400.00 Rp -
210 gudel 4 bh 1 Rp 156,750.00 Rp 156,750.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 1 Rp 59,400.00 Rp 59,400.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 0 Rp 38,500.00 Rp -
215 Gudel 6 bh 0 Rp 59,400.00 Rp -
216 Gudel 6 bh 0 Rp 156,750.00 Rp -
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 6 Rp 80,960.00 Rp 485,760.00
230 Hipafix 5x5 bh 0 Rp 95,700.00 Rp -
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
253 Kapas 250 g bh 0 Rp 14,374.99 Rp -
254 Kapas 250 g bh 0 Rp 14,375.00 Rp -
255 Kapas 250 g bh 0 Rp 24,200.00 Rp -
256 Kapas 250 g bh 16 Rp 34,100.00 Rp 545,600.00
271 Kertas USG bh 2 Rp 426,800.00 Rp 853,600.00
313 Mitella bh 14 Rp 9,108.00 Rp 127,512.00
314 Needle 18G bh 0 Rp 1,237.50 Rp -
315 Needle 18G bh 0 Rp 222.64 Rp -
319 Opsite 25 x 10 bh 0 Rp 70,125.00 Rp -
323 Polifix 5cm x 5m bh 195 Rp 41,100.00 Rp 8,014,500.00
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
374 Under Pad Steril bh 60 Rp 8,769.89 Rp 526,193.40
381 Urine Bag bh 160 Rp 11,000.00 Rp 1,760,000.00
382 Urogard bh 5 Rp 85,800.00 Rp 429,000.00
383 Urogard bh 0 Rp 85,500.00 Rp -
OBAT
12 Alprazolam 1 mg Tablet 900 Rp 874.80 Rp 787,320.00
46 Betahistin 6 mg Tablet 23400 Rp 119.00 Rp 2,784,600.00
66 Ciprofloxacin 500 mg Tablet 500 Rp 666.88 Rp 333,440.00
75 Codein HCl 10 mg Tablet 4500 Rp 657.00 Rp 2,956,500.00
99 Gabapentin 300 mg Tablet 500 Rp 1,055.00 Rp 527,500.00
126 Loratadin Tablet 6300 Rp 266.46 Rp 1,678,698.00
190 Phytomenadion 10 mg Tablet 300 Rp 873.00 Rp 261,900.00
INJEKSI
28 Dobutamin 250mg Ampul 0 Rp 32,648.00 Rp -
60 N-Epi Ampul 145 Rp 69,300.00 Rp 10,048,500.00
72 Nopuvel inj Ampul 5 Rp 65,450.00 Rp 327,250.00
CAIRAN STERIL
9 Dexotrose 5 % Botol 600 Rp 7,363.40 Rp 4,418,040.00
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 144 Rp 11,313.50 Rp 1,629,144.00
18 MgSO4 20 % Botol 368 Rp 3,327.50 Rp 1,224,520.00
19 MgSO4 40% Botol 6 Rp 3,796.10 Rp 22,776.60
20 NaCl 0,9 % Botol 0 Rp 6,409.70 Rp -
21 NaCl 0,9 % Botol 0 Rp 6,839.80 Rp -
22 NaCl 0,9 % Botol 10880 Rp 6,395.21 Rp 69,579,884.80
33 Wida - KDN 1 Botol 240 Rp 12,492.70 Rp 2,998,248.00
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
15 H2O2 Botol 0 Rp 41,800.00 Rp -
SEDIAAN ORAL CAIR
3 Amoxicillin Syrup Botol 200 Rp 4,290.00 Rp 858,000.00
SEDIAAN TOPIKAL
7 Fuson salep 0.00 60 Rp 55,962.00 Rp 3,357,720.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82 Rp -
9 Gentamicin 0,1% 0.00 100 Rp 3,559.63 Rp 355,963.00
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00 Rp -
3 Abbocath 20 bh 0 Rp 25,135.00 Rp -
4 Abbocath 20 bh 300 Rp 7,075.98 Rp 2,122,794.00
6 Abbocath 18 bh 100 Rp 25,135.00 Rp 2,513,500.00
7 Abbocath 22 bh 300 Rp 7,075.98 Rp 2,122,794.00
8 Apron bh 0 Rp 2,904.40 Rp -
10 Biolon 5-0 bh 0 Rp 62,700.00 Rp -
32 Conecta 3-way bh 81 Rp 14,850.00 Rp 1,202,850.00
35 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
40 Dispo 5 cc bh 0 Rp 862.50 Rp -
41 Dispo 5 cc bh 0 Rp 1,117.08 Rp -
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
43 Disposable 20 cc bh 450 Rp 2,178.00 Rp 980,100.00
44 Disposable 50 cc Catheter Tip bh 25 Rp 6,013.70 Rp 150,342.50
45 Elastis Perban 4 Inchi bh 10 Rp 107,250.00 Rp 1,072,500.00
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 3 Rp 38,500.00 Rp 115,500.00
56 Kapas bh 25 Rp 34,100.00 Rp 852,500.00
57 Kapas bh 0 Rp 24,200.00 Rp -
63 Ky-Jelly bh 0 Rp 109,560.00 Rp -
66 Loumatulle bh 30 Rp 27,500.00 Rp 825,000.00
71 Needle 18 bh 0 Rp 222.64 Rp -
72 Opsite 25 x 10 bh 74 Rp 70,125.00 Rp 5,189,250.00
84 Urogard bh 0 Rp 85,800.00 Rp -
TABLET
15 Paracetamol 500 mg Tablet 36600 Rp 990.00 Rp 36,234,000.00
INJEKSI
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
CAIRAN NON STERIL
2 H2O2 Botol 1 Rp 41,800.00 Rp 41,800.00
3 Povidone Iodium Botol 4 Rp 85,800.00 Rp 343,200.00
SEDIAAN ORAL CAIR
C PPI
13 Handscoen Steril 7 (gynecolog) Pair 0 Rp 20,183.99 Rp -
29 Masker Pcs 5900 Rp 431.97 Rp 2,548,623.00
JUMLAH Rp 1,883,245,688.13
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

NIP : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan Juli dengan rincian sebagai berikut:

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00 Rp 198,000.00
4 Abbocath 18 bh 0 Rp 25,135.00 Rp -
5 Abbocath 18 bh 400 Rp 7,075.98 Rp 2,830,392.00
6 Abbocath 18 bh 0 Rp 14,300.00 Rp -
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 0 Rp 7,075.98 Rp -
11 Abbocath 20 bh 300 Rp 4,370.00 Rp 1,311,000.00
12 Abbocath 20 bh 0 Rp 3,960.00 Rp -
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 0 Rp 7,075.99 Rp -
16 Abbocath 22 bh 50 Rp 7,075.98 Rp 353,799.00
17 Abbocath 22 bh 0 Rp 4,370.00 Rp -
18 Abbocath 24 bh 150 Rp 7,075.98 Rp 1,061,397.00
19 Abbocath 24 bh 0 Rp 7,075.99 Rp -
20 Abbocath 24 bh 300 Rp 6,269.67 Rp 1,880,901.00
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 0 Rp 29,150.00 Rp -
23 Abbocath 26 bh 0 Rp 15,397.82 Rp -
24 Abbocath 26 bh 0 Rp 30,250.00 Rp -
25 Abbocath 26 bh 0 Rp 13,860.00 Rp -
26 Apron bh 10 Rp 2,904.40 Rp 29,044.00
27 Apron bh 100 Rp 27,782.00 Rp 2,778,200.00
28 Apron bh 0 Rp 6,600.00 Rp -
44 Benang PGA 2/0 bh 12 Rp 76,800.00 Rp 921,600.00
60 Benang Silkpro 0 bh 12 Rp 62,700.00 Rp 752,400.00
64 Benang Sutryl 1 bh 432 Rp 105,600.00 Rp 45,619,200.00
70 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
71 Bisturi 15 bh 0 Rp 1,100.00 Rp -
72 Bisturi 15 bh 0 Rp 781.00 Rp -
73 Bisturi 15 bh 100 Rp 1,402.50 Rp 140,250.00
74 Bisturi 20 bh 0 Rp 1,100.00 Rp -
75 Bisturi 20 bh 100 Rp 1,402.50 Rp 140,250.00
76 Bisturi 22 bh 0 Rp 781.00 Rp -
77 Bisturi 22 bh 200 Rp 6,050.00 Rp 1,210,000.00
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
84 Cangkang 0 bh 6000 Rp 57.20 Rp 343,200.00
85 Cangkang 0 bh 5000 Rp 75.90 Rp 379,500.00
88 Cangkang 1 bh 2000 Rp 66.00 Rp 132,000.00
110 Coverplast Transparan bh 2100 Rp 425.04 Rp 892,584.00
157 ETT 2,5 bh 0 Rp 156,750.00 Rp -
158 ETT 2,5 bh 0 Rp 165,000.00 Rp -
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 3 Rp 13,223.99 Rp 39,671.97
166 ETT 7,0 bh 10 Rp 13,223.99 Rp 132,239.91
167 ETT 7,5 bh 5 Rp 13,223.99 Rp 66,119.95
bh 0 Rp 17,520.80 Rp -
200 Formalin bh 1 Rp 937,750.00 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 0 Rp 59,400.00 Rp -
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 0 Rp 25,740.00 Rp -
209 Gudel 4 bh 0 Rp 59,400.00 Rp -
210 gudel 4 bh 1 Rp 156,750.00 Rp 156,750.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 1 Rp 59,400.00 Rp 59,400.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 5 Rp 38,500.00 Rp 192,500.00
215 Gudel 6 bh 0 Rp 59,400.00 Rp -
216 Gudel 6 bh 0 Rp 156,750.00 Rp -
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 0 Rp 80,960.00 Rp -
230 Hipafix 5x5 bh 94 Rp 95,700.00 Rp 8,995,800.00
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
253 Kapas 250 g bh 0 Rp 14,374.99 Rp -
254 Kapas 250 g bh 0 Rp 14,375.00 Rp -
255 Kapas 250 g bh 24 Rp 24,200.00 Rp 580,800.00
256 Kapas 250 g bh 0 Rp 34,100.00 Rp -
267 Kertas CTG bh 3 Rp 160,600.00 Rp 481,800.00
269 Kertas EKG bh 98 Rp 41,250.00 Rp 4,042,500.00
313 Mitella bh 14 Rp 9,108.00 Rp 127,512.00
314 Needle 18G bh 0 Rp 1,237.50 Rp -
315 Needle 18G bh 0 Rp 222.64 Rp -
319 Opsite 25 x 10 bh 90 Rp 70,125.00 Rp 6,311,250.00
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
351 Suction Catheter 8 bh 405 Rp 4,779.50 Rp 1,935,697.50
381 Urine Bag bh 340 Rp 11,000.00 Rp 3,740,000.00
382 Urogard bh 5 Rp 85,800.00 Rp 429,000.00
383 Urogard bh 0 Rp 85,500.00 Rp -
OBAT
35 Amoxicillin 500 mg Tablet 10000 Rp 331.10 Rp 3,311,000.00
73 Clonidin 0,5 mg Tablet 36400 Rp 202.00 Rp 7,352,800.00
75 Codein HCl 10 mg Tablet 3000 Rp 657.00 Rp 1,971,000.00
105 Ibuprofen 200 mg Tablet 8500 Rp 112.00 Rp 952,000.00
122 Lansoprazole 30 mg Tablet 700 Rp 674.26 Rp 471,982.00
153 Metil prednisolon 8 mg Tablet 1000 Rp 369.60 Rp 369,600.00
INJEKSI
28 Dobutamin 250mg Ampul 15 Rp 32,648.00 Rp 489,720.00
60 N-Epi Ampul 120 Rp 69,300.00 Rp 8,316,000.00
71 Notrixum/Atracurium Ampul 75 Rp 34,650.00 Rp 2,598,750.00
96 Piracetam 3gr/15ml Ampul 4 Rp 14,437.50 Rp 57,750.00
113 Vitamin k 10 mg inj (Phytomenadi Ampul 270 Rp 4,766.67 Rp 1,287,000.90
CAIRAN STERIL
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 144 Rp 11,313.50 Rp 1,629,144.00
18 MgSO4 20 % Botol 368 Rp 3,327.50 Rp 1,224,520.00
19 MgSO4 40% Botol 6 Rp 3,796.10 Rp 22,776.60
20 NaCl 0,9 % Botol 0 Rp 6,409.70 Rp -
21 NaCl 0,9 % Botol 0 Rp 6,839.80 Rp -
22 NaCl 0,9 % Botol 9700 Rp 6,395.21 Rp 62,033,537.00
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
15 H2O2 Botol 0 Rp 41,800.00 Rp -
SEDIAAN ORAL CAIR
2 Ambroxol syr 15 mg/5ml Botol 288 Rp 4,761.02 Rp 1,371,173.76
SEDIAAN TOPIKAL
5 Betametason Cream Tube 100 Rp 1,514.70 Rp 151,470.00
7 Fuson salep 0.00 60 Rp 55,962.00 Rp 3,357,720.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82 Rp -
9 Gentamicin 0,1% 0.00 100 Rp 3,559.63 Rp 355,963.00
12 Miconazole Cream 2% Tube 312 Rp 3,925.90 Rp 1,224,880.80
4 Cendo LFX 5ml Botol 30 Rp 70,845.75 Rp 2,125,372.50
5 Cendo Lyters 15cc Botol 497 Rp 23,512.50 Rp 11,685,712.50
7 Cendo Mydratil 1% Botol 8 Rp 39,971.25 Rp 319,770.00
9 Cendo Polygran Drops 5cc Botol 20 Rp 33,048.40 Rp 660,968.00
17 Cendo Xitrol Salp Mata 3.5 gr Tube 61 Rp 37,489.38 Rp 2,286,852.18
18 Minidose Natacen Pcs 50 Rp 8,699.63 Rp 434,981.50
20 Minidose P-Pred 0,6ml Pcs 350 Rp 7,825.95 Rp 2,739,082.50
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00 Rp -
3 Abbocath 20 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 25,135.00 Rp -
7 Abbocath 22 bh 200 Rp 7,075.98 Rp 1,415,196.00
8 Apron bh 90 Rp 2,904.40 Rp 261,396.00
10 Biolon 5-0 bh 60 Rp 62,700.00 Rp 3,762,000.00
29 Canula O2 Dewasa bh 50 Rp 6,325.00 Rp 316,250.00
35 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
40 Dispo 5 cc bh 800 Rp 862.50 Rp 690,000.00
41 Dispo 5 cc bh 0 Rp 1,117.08 Rp -
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
44 Disposable 50 cc Catheter Tip bh 25 Rp 6,013.70 Rp 150,342.50
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 3 Rp 38,500.00 Rp 115,500.00
56 Kapas bh 25 Rp 34,100.00 Rp 852,500.00
57 Kapas bh 0 Rp 24,200.00 Rp -
58 Kasa Hidrofil bh 2 Rp 150,040.00 Rp 300,080.00
63 Ky-Jelly bh 0 Rp 109,560.00 Rp -
71 Needle 18 bh 300 Rp 222.64 Rp 66,792.00
72 Opsite 25 x 10 bh 10 Rp 70,125.00 Rp 701,250.00
80 Underpad 60 x 90 Non Steril bh 310 Rp 4,675.00 Rp 1,449,250.00
82 Underpad Steril bh 360 Rp 8,769.90 Rp 3,157,164.00
84 Urogard bh 0 Rp 85,800.00 Rp -
TABLET
15 Paracetamol 500 mg Tablet 10400 Rp 990.00 Rp 10,296,000.00
INJEKSI
7 Nopuvel inj Ampul 0 Rp 65,450.00 Rp -
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
CAIRAN NON STERIL
2 H2O2 Botol 1 Rp 41,800.00 Rp 41,800.00
SEDIAAN ORAL CAIR
C PPI
3 Baju Operasi uk L Steril Set 70 Rp 56,568.61 Rp 3,959,802.70
10 Handscoen Non Steril M Pcs 2000 Rp 409.63 Rp 819,260.00
13 Handscoen Steril 7 (gynecolog) Pair 250 Rp 20,183.99 Rp 5,045,997.50
29 Masker Pcs 9000 Rp 431.97 Rp 3,887,730.00
JUMLAH Rp 2,336,876,313.37
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

NIP : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan Agustus dengan rincian sebagai berikut:

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00 Rp 198,000.00
4 Abbocath 18 bh 0 Rp 25,135.00 Rp -
5 Abbocath 18 bh 200 Rp 7,075.98 Rp 1,415,196.00
6 Abbocath 18 bh 0 Rp 14,300.00 Rp -
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 0 Rp 7,075.98 Rp -
11 Abbocath 20 bh 0 Rp 4,370.00 Rp -
12 Abbocath 20 bh 600 Rp 3,960.00 Rp 2,376,000.00
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 0 Rp 7,075.99 Rp -
16 Abbocath 22 bh 50 Rp 7,075.98 Rp 353,799.00
17 Abbocath 22 bh 200 Rp 4,370.00 Rp 874,000.00
18 Abbocath 24 bh 100 Rp 7,075.98 Rp 707,598.00
19 Abbocath 24 bh 0 Rp 7,075.99 Rp -
20 Abbocath 24 bh 300 Rp 6,269.67 Rp 1,880,901.00
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 0 Rp 29,150.00 Rp -
23 Abbocath 26 bh 0 Rp 15,397.82 Rp -
24 Abbocath 26 bh 0 Rp 30,250.00 Rp -
25 Abbocath 26 bh 0 Rp 13,860.00 Rp -
26 Apron bh 10 Rp 2,904.40 Rp 29,044.00
27 Apron bh 100 Rp 27,782.00 Rp 2,778,200.00
28 Apron bh 0 Rp 6,600.00 Rp -
70 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
71 Bisturi 15 bh 0 Rp 1,100.00 Rp -
72 Bisturi 15 bh 0 Rp 781.00 Rp -
73 Bisturi 15 bh 100 Rp 1,402.50 Rp 140,250.00
74 Bisturi 20 bh 0 Rp 1,100.00 Rp -
75 Bisturi 20 bh 0 Rp 1,402.50 Rp -
76 Bisturi 22 bh 0 Rp 781.00 Rp -
77 Bisturi 22 bh 100 Rp 6,050.00 Rp 605,000.00
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
84 Cangkang 0 bh 5000 Rp 57.20 Rp 286,000.00
85 Cangkang 0 bh 5000 Rp 75.90 Rp 379,500.00
89 Cangkang 1 bh 7000 Rp 74.25 Rp 519,750.00
110 Coverplast Transparan bh 1100 Rp 425.04 Rp 467,544.00
157 ETT 2,5 bh 0 Rp 156,750.00 Rp -
158 ETT 2,5 bh 9 Rp 165,000.00 Rp 1,485,000.00
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 0 Rp 13,223.99 Rp -
166 ETT 7,0 bh 7 Rp 13,223.99 Rp 92,567.94
167 ETT 7,5 bh 4 Rp 13,223.99 Rp 52,895.96
bh 0 Rp 17,520.80 Rp -
200 Formalin bh 1 Rp 937,750.00 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 0 Rp 59,400.00 Rp -
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 0 Rp 25,740.00 Rp -
209 Gudel 4 bh 0 Rp 59,400.00 Rp -
210 gudel 4 bh 1 Rp 156,750.00 Rp 156,750.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 1 Rp 59,400.00 Rp 59,400.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 5 Rp 38,500.00 Rp 192,500.00
215 Gudel 6 bh 0 Rp 59,400.00 Rp -
216 Gudel 6 bh 6 Rp 156,750.00 Rp 940,500.00
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 0 Rp 80,960.00 Rp -
230 Hipafix 5x5 bh 63 Rp 95,700.00 Rp 6,029,100.00
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
253 Kapas 250 g bh 0 Rp 14,374.99 Rp -
254 Kapas 250 g bh 0 Rp 14,375.00 Rp -
255 Kapas 250 g bh 11 Rp 24,200.00 Rp 266,200.00
256 Kapas 250 g bh 0 Rp 34,100.00 Rp -
313 Mitella bh 14 Rp 9,108.00 Rp 127,512.00
314 Needle 18G bh 0 Rp 1,237.50 Rp -
315 Needle 18G bh 0 Rp 222.64 Rp -
319 Opsite 25 x 10 bh 30 Rp 70,125.00 Rp 2,103,750.00
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
381 Urine Bag bh 210 Rp 11,000.00 Rp 2,310,000.00
382 Urogard bh 0 Rp 85,800.00 Rp -
383 Urogard bh 10 Rp 85,500.00 Rp 855,000.00
OBAT
51 Captopril 25 mg Tablet 0 Rp 80.00 Rp -
75 Codein HCl 10 mg Tablet 1500 Rp 657.00 Rp 985,500.00
132 Metoclopramid 10 mg Tablet 11200 Rp 87.00 Rp 974,400.00
198 Risperidon 2 mg Tablet 0 Rp 2,052.00 Rp -
INJEKSI
54 Metronidazol Infus Botol 6 Rp 9,350.00 Rp 56,100.00
60 N-Epi Ampul 70 Rp 69,300.00 Rp 4,851,000.00
98 Protocin Injeksi Ampul 100 Rp 7,128.00 Rp 712,800.00
109 Sikzonoate Injeksi Ampul 15 Rp 70,785.00 Rp 1,061,775.00
113 Vitamin k 10 mg inj (Phytomenadi Ampul 180 Rp 4,766.67 Rp 858,000.60
CAIRAN STERIL
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 144 Rp 11,313.50 Rp 1,629,144.00
18 MgSO4 20 % Botol 368 Rp 3,327.50 Rp 1,224,520.00
19 MgSO4 40% Botol 6 Rp 3,796.10 Rp 22,776.60
20 NaCl 0,9 % Botol 0 Rp 6,409.70 Rp -
21 NaCl 0,9 % Botol 0 Rp 6,839.80 Rp -
22 NaCl 0,9 % Botol 8560 Rp 6,395.21 Rp 54,742,997.60
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
15 H2O2 Botol 0 Rp 41,800.00 Rp -
SEDIAAN ORAL CAIR
7 Cefadroxil Sirup Botol 350 Rp 5,411.73 Rp 1,894,105.50
SEDIAAN TOPIKAL
7 Fuson salep 0.00 55 Rp 55,962.00 Rp 3,077,910.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82 Rp -
9 Gentamicin 0,1% 0.00 100 Rp 3,559.63 Rp 355,963.00
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00 Rp -
3 Abbocath 20 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 25,135.00 Rp -
7 Abbocath 22 bh 100 Rp 7,075.98 Rp 707,598.00
8 Apron bh 80 Rp 2,904.40 Rp 232,352.00
10 Biolon 5-0 bh 60 Rp 62,700.00 Rp 3,762,000.00
35 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
40 Dispo 5 cc bh 800 Rp 862.50 Rp 690,000.00
41 Dispo 5 cc bh 0 Rp 1,117.08 Rp -
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 3 Rp 38,500.00 Rp 115,500.00
56 Kapas bh 19 Rp 34,100.00 Rp 647,900.00
57 Kapas bh 0 Rp 24,200.00 Rp -
63 Ky-Jelly bh 0 Rp 109,560.00 Rp -
71 Needle 18 bh 200 Rp 222.64 Rp 44,528.00
72 Opsite 25 x 10 bh 0 Rp 70,125.00 Rp -
82 Underpad Steril bh 240 Rp 8,769.90 Rp 2,104,776.00
84 Urogard bh 0 Rp 85,800.00 Rp -
TABLET
INJEKSI
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
CAIRAN NON STERIL
2 H2O2 Botol 1 Rp 41,800.00 Rp 41,800.00
SEDIAAN ORAL CAIR
C PPI
14 Handscoen Steril 6,5 Pair 200 Rp 5,451.99 Rp 1,090,398.00
29 Masker Pcs 11250 Rp 431.97 Rp 4,859,662.50
JUMLAH Rp 2,293,118,838.08
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

NIP : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan September dengan rincian sebagai berikut:

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00 Rp 198,000.00
4 Abbocath 18 bh 0 Rp 25,135.00 Rp -
5 Abbocath 18 bh 50 Rp 7,075.98 Rp 353,799.00
6 Abbocath 18 bh 0 Rp 14,300.00 Rp -
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 0 Rp 7,075.98 Rp -
11 Abbocath 20 bh 0 Rp 4,370.00 Rp -
12 Abbocath 20 bh 100 Rp 3,960.00 Rp 396,000.00
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 0 Rp 7,075.99 Rp -
16 Abbocath 22 bh 0 Rp 7,075.98 Rp -
17 Abbocath 22 bh 150 Rp 4,370.00 Rp 655,500.00
18 Abbocath 24 bh 0 Rp 7,075.98 Rp -
19 Abbocath 24 bh 0 Rp 7,075.99 Rp -
20 Abbocath 24 bh 300 Rp 6,269.67 Rp 1,880,901.00
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 0 Rp 29,150.00 Rp -
23 Abbocath 26 bh 0 Rp 15,397.82 Rp -
24 Abbocath 26 bh 150 Rp 30,250.00 Rp 4,537,500.00
25 Abbocath 26 bh 200 Rp 13,860.00 Rp 2,772,000.00
26 Apron bh 0 Rp 2,904.40 Rp -
27 Apron bh 70 Rp 27,782.00 Rp 1,944,740.00
28 Apron bh 0 Rp 6,600.00 Rp -
70 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
71 Bisturi 15 bh 0 Rp 1,100.00 Rp -
72 Bisturi 15 bh 0 Rp 781.00 Rp -
73 Bisturi 15 bh 0 Rp 1,402.50 Rp -
74 Bisturi 20 bh 0 Rp 1,100.00 Rp -
75 Bisturi 20 bh 200 Rp 1,402.50 Rp 280,500.00
76 Bisturi 22 bh 0 Rp 781.00 Rp -
77 Bisturi 22 bh 100 Rp 6,050.00 Rp 605,000.00
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
82 Cangkang 00 bh 9000 Rp 138.60 Rp 1,247,400.00
84 Cangkang 0 bh 4000 Rp 57.20 Rp 228,800.00
85 Cangkang 0 bh 5000 Rp 75.90 Rp 379,500.00
86 Cangkang 0 bh 1000 Rp 138.60 Rp 138,600.00
110 Coverplast Transparan bh 0 Rp 425.04 Rp -
157 ETT 2,5 bh 0 Rp 156,750.00 Rp -
158 ETT 2,5 bh 9 Rp 165,000.00 Rp 1,485,000.00
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 0 Rp 13,223.99 Rp -
166 ETT 7,0 bh 7 Rp 13,223.99 Rp 92,567.94
167 ETT 7,5 bh 4 Rp 13,223.99 Rp 52,895.96
bh 0 Rp 17,520.80 Rp -
200 Formalin bh 1 Rp 937,750.00 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 0 Rp 59,400.00 Rp -
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 0 Rp 25,740.00 Rp -
209 Gudel 4 bh 0 Rp 59,400.00 Rp -
210 gudel 4 bh 1 Rp 156,750.00 Rp 156,750.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 1 Rp 59,400.00 Rp 59,400.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 5 Rp 38,500.00 Rp 192,500.00
215 Gudel 6 bh 0 Rp 59,400.00 Rp -
216 Gudel 6 bh 6 Rp 156,750.00 Rp 940,500.00
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 0 Rp 80,960.00 Rp -
230 Hipafix 5x5 bh 38 Rp 95,700.00 Rp 3,636,600.00
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
253 Kapas 250 g bh 0 Rp 14,374.99 Rp -
254 Kapas 250 g bh 0 Rp 14,375.00 Rp -
255 Kapas 250 g bh 10 Rp 24,200.00 Rp 242,000.00
256 Kapas 250 g bh 0 Rp 34,100.00 Rp -
258 Kasa Hidrofil bh 4 Rp 137,016.00 Rp 548,064.00
299 Masker O2 Anak bh 100 Rp 13,340.00 Rp 1,334,000.00
313 Mitella bh 14 Rp 9,108.00 Rp 127,512.00
314 Needle 18G bh 0 Rp 1,237.50 Rp -
315 Needle 18G bh 0 Rp 222.64 Rp -
319 Opsite 25 x 10 bh 175 Rp 70,125.00 Rp 12,271,875.00
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
381 Urine Bag bh 110 Rp 11,000.00 Rp 1,210,000.00
382 Urogard bh 0 Rp 85,800.00 Rp -
383 Urogard bh 10 Rp 85,500.00 Rp 855,000.00
OBAT
21 Amitripthyllin 25 mg Tablet 6600 Rp 168.00 Rp 1,108,800.00
76 Codein HCl 20 mg Tablet 500 Rp 1,494.00 Rp 747,000.00
104 Hexymer 2 mg Tablet 3200 Rp 269.50 Rp 862,400.00
204 Sifrol 0.375 mg Tablet 0 Rp 8,300.01 Rp -
230 Dexametason 0,5 mg (HARSEN) Tablet 0 Rp 275.55 Rp -
INJEKSI
27 Diphen hydramin 1ml Ampul 0 Rp 1,864.61 Rp -
56 Miloz Inj Ampul 150 Rp 4,351.00 Rp 652,650.00
60 N-Epi Ampul 45 Rp 69,300.00 Rp 3,118,500.00
89 Pehacain Injeksi Ampul 0 Rp 2,750.00 Rp -
108 Sibital (Phenobarbital) Ampul 120 Rp 8,910.00 Rp 1,069,200.00
CAIRAN STERIL
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 120 Rp 11,313.50 Rp 1,357,620.00
18 MgSO4 20 % Botol 368 Rp 3,327.50 Rp 1,224,520.00
19 MgSO4 40% Botol 46 Rp 3,796.10 Rp 174,620.60
20 NaCl 0,9 % Botol 0 Rp 6,409.70 Rp -
21 NaCl 0,9 % Botol 0 Rp 6,839.80 Rp -
22 NaCl 0,9 % Botol 7720 Rp 6,395.21 Rp 49,371,021.20
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
15 H2O2 Botol 2 Rp 41,800.00 Rp 83,600.00
SEDIAAN ORAL CAIR
SEDIAAN TOPIKAL
7 Fuson salep 0.00 55 Rp 55,962.00 Rp 3,077,910.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82 Rp -
9 Gentamicin 0,1% 0.00 50 Rp 3,559.63 Rp 177,981.50
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00 Rp -
3 Abbocath 20 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 25,135.00 Rp -
7 Abbocath 22 bh 100 Rp 7,075.98 Rp 707,598.00
8 Apron bh 80 Rp 2,904.40 Rp 232,352.00
9 Aquasonic Gall Parker bh 1 Rp 990,000.00 Rp 990,000.00
10 Biolon 5-0 bh 60 Rp 62,700.00 Rp 3,762,000.00
35 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
40 Dispo 5 cc bh 800 Rp 862.50 Rp 690,000.00
41 Dispo 5 cc bh 0 Rp 1,117.08 Rp -
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 3 Rp 38,500.00 Rp 115,500.00
56 Kapas bh 11 Rp 34,100.00 Rp 375,100.00
57 Kapas bh 0 Rp 24,200.00 Rp -
63 Ky-Jelly bh 0 Rp 109,560.00 Rp -
71 Needle 18 bh 200 Rp 222.64 Rp 44,528.00
72 Opsite 25 x 10 bh 0 Rp 70,125.00 Rp -
82 Underpad Steril bh 80 Rp 8,769.90 Rp 701,592.00
83 Urine Bag bh 200 Rp 77,772.00 Rp 15,554,400.00
84 Urogard bh 0 Rp 85,800.00 Rp -
TABLET
INJEKSI
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
CAIRAN NON STERIL
2 H2O2 Botol 1 Rp 41,800.00 Rp 41,800.00
SEDIAAN ORAL CAIR
C PPI
29 Masker Pcs 5450 Rp 431.97 Rp 2,354,236.50
JUMLAH Rp 2,300,313,327.46
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

NIP : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan Oktober dengan rincian sebagai berikut:

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00 Rp 198,000.00
3 Abbocath 18 bh 150 Rp 7,075.99 Rp 1,061,398.50
4 Abbocath 18 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 14,300.00 Rp -
9 Abbocath 20 bh 0 Rp 25,135.00 Rp -
10 Abbocath 20 bh 800 Rp 7,075.98 Rp 5,660,784.00
11 Abbocath 20 bh 0 Rp 4,370.00 Rp -
12 Abbocath 20 bh 0 Rp 3,960.00 Rp -
13 Abbocath 20 bh 0 Rp 7,700.00 Rp -
14 Abbocath 20 bh 0 Rp 11,000.00 Rp -
15 Abbocath 22 bh 0 Rp 7,075.99 Rp -
16 Abbocath 22 bh 0 Rp 7,075.98 Rp -
17 Abbocath 22 bh 50 Rp 4,370.00 Rp 218,500.00
18 Abbocath 24 bh 0 Rp 7,075.98 Rp -
19 Abbocath 24 bh 0 Rp 7,075.99 Rp -
20 Abbocath 24 bh 300 Rp 6,269.67 Rp 1,880,901.00
21 Abbocath 26 bh 0 Rp 28,490.00 Rp -
22 Abbocath 26 bh 0 Rp 29,150.00 Rp -
23 Abbocath 26 bh 0 Rp 15,397.82 Rp -
24 Abbocath 26 bh 0 Rp 30,250.00 Rp -
25 Abbocath 26 bh 200 Rp 13,860.00 Rp 2,772,000.00
26 Apron bh 0 Rp 2,904.40 Rp -
27 Apron bh 40 Rp 27,782.00 Rp 1,111,280.00
28 Apron bh 0 Rp 6,600.00 Rp -
67 Benang Sutryl 4/0 bh 60 Rp 93,500.00 Rp 5,610,000.00
70 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
71 Bisturi 15 bh 0 Rp 1,100.00 Rp -
72 Bisturi 15 bh 0 Rp 781.00 Rp -
73 Bisturi 15 bh 0 Rp 1,402.50 Rp -
74 Bisturi 20 bh 0 Rp 1,100.00 Rp -
75 Bisturi 20 bh 200 Rp 1,402.50 Rp 280,500.00
76 Bisturi 22 bh 0 Rp 781.00 Rp -
77 Bisturi 22 bh 100 Rp 6,050.00 Rp 605,000.00
78 Bisturi 22 bh 0 Rp 7,590.00 Rp -
82 Cangkang 00 bh 5000 Rp 138.60 Rp 693,000.00
84 Cangkang 0 bh 1000 Rp 57.20 Rp 57,200.00
85 Cangkang 0 bh 5000 Rp 75.90 Rp 379,500.00
86 Cangkang 0 bh 1000 Rp 138.60 Rp 138,600.00
89 Cangkang 1 bh 6000 Rp 74.25 Rp 445,500.00
110 Coverplast Transparan bh 0 Rp 425.04 Rp -
157 ETT 2,5 bh 0 Rp 156,750.00 Rp -
158 ETT 2,5 bh 9 Rp 165,000.00 Rp 1,485,000.00
159 ETT 3,0 bh 35 Rp 90,750.00 Rp 3,176,250.00
160 ETT 3,5 bh 10 Rp 13,223.99 Rp 132,239.91
161 ETT 4,0 bh 2 Rp 13,223.99 Rp 26,447.98
162 ETT 4,0 bh 15 Rp 13,223.99 Rp 198,359.87
163 ETT 5,0 bh 10 Rp 13,223.99 Rp 132,239.91
164 ETT 6,0 bh 15 Rp 13,223.99 Rp 198,359.87
165 ETT 7,0 bh 0 Rp 13,223.99 Rp -
166 ETT 7,0 bh 7 Rp 13,223.99 Rp 92,567.94
167 ETT 7,5 bh 4 Rp 13,223.99 Rp 52,895.96
bh 0 Rp 17,520.80 Rp -
175 Foley catheter 8 bh 10 Rp 74,250.00 Rp 742,500.00
200 Formalin bh 1 Rp 937,750.00 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50 Rp -
202 Gudel 2 bh 0 Rp 15,504.50 Rp -
203 Gudel 3 bh 0 Rp 59,400.00 Rp -
204 Gudel 3 bh 1 Rp 25,740.00 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00 Rp 313,500.00
206 Gudel 3 bh 4 Rp 14,460.00 Rp 57,840.00
207 Gudel 3 bh 0 Rp 15,504.50 Rp -
208 Gudel 4 bh 0 Rp 25,740.00 Rp -
209 Gudel 4 bh 0 Rp 59,400.00 Rp -
210 gudel 4 bh 1 Rp 156,750.00 Rp 156,750.00
211 Gudel 4 bh 0 Rp 18,254.50 Rp -
212 Gudel 5 bh 1 Rp 59,400.00 Rp 59,400.00
213 Gudel 5 bh 2 Rp 156,750.00 Rp 313,500.00
214 Gudel 5 bh 5 Rp 38,500.00 Rp 192,500.00
215 Gudel 6 bh 0 Rp 59,400.00 Rp -
216 Gudel 6 bh 6 Rp 156,750.00 Rp 940,500.00
227 Abbocath 16 bh 0 Rp 115,979.00 Rp -
228 Abbocath 16 bh 0 Rp 423,500.00 Rp -
229 Hipafix 5x5 bh 0 Rp 80,960.00 Rp -
230 Hipafix 5x5 bh 9 Rp 95,700.00 Rp 861,300.00
231 Hipafix 5x5 bh 0 Rp 104,500.00 Rp -
232 Hydrox bh 0 Rp 65,000.10 Rp -
253 Kapas 250 g bh 0 Rp 14,374.99 Rp -
254 Kapas 250 g bh 0 Rp 14,375.00 Rp -
255 Kapas 250 g bh 7 Rp 24,200.00 Rp 169,400.00
256 Kapas 250 g bh 0 Rp 34,100.00 Rp -
299 Masker O2 Anak bh 100 Rp 13,340.00 Rp 1,334,000.00
313 Mitella bh 14 Rp 9,108.00 Rp 127,512.00
314 Needle 18G bh 0 Rp 1,237.50 Rp -
315 Needle 18G bh 0 Rp 222.64 Rp -
319 Opsite 25 x 10 bh 100 Rp 70,125.00 Rp 7,012,500.00
344 Spinocan 26 bh 75 Rp 45,650.00 Rp 3,423,750.00
345 Spinocan 27 bh 0 Rp 34,100.00 Rp -
381 Urine Bag bh 0 Rp 11,000.00 Rp -
382 Urogard bh 0 Rp 85,800.00 Rp -
383 Urogard bh 5 Rp 85,500.00 Rp 427,500.00
OBAT
21 Amitripthyllin 25 mg Tablet 6600 Rp 168.00 Rp 1,108,800.00
52 Carbamazepin 200 mg Tablet 0 Rp 234.00 Rp -
76 Codein HCl 20 mg Tablet 0 Rp 1,494.00 Rp -
93 Ethambutol 500 mg Tablet 0 Rp 478.00 Rp -
204 Sifrol 0.375 mg Tablet 0 Rp 8,300.01 Rp -
212 Silum 5 mg Tablet 2000 Rp 981.75 Rp 1,963,500.00
213 Spironolakton 25 mg Tablet 3500 Rp 212.00 Rp 742,000.00
216 Tetrasiklin 500 mg Tablet 0 Rp 484.00 Rp -
230 Dexametason 0,5 mg (HARSEN) Tablet 0 Rp 275.55 Rp -
INJEKSI
11 Carbazochrom inj Ampul 0 Rp 9,834.00 Rp -
27 Diphen hydramin 1ml Ampul 0 Rp 1,864.61 Rp -
56 Miloz Inj Ampul 150 Rp 4,351.00 Rp 652,650.00
60 N-Epi Ampul 20 Rp 69,300.00 Rp 1,386,000.00
89 Pehacain Injeksi Ampul 0 Rp 2,750.00 Rp -
108 Sibital (Phenobarbital) Ampul 120 Rp 8,910.00 Rp 1,069,200.00
CAIRAN STERIL
12 KAEN 3 B Botol 0 Rp 10,285.00 Rp -
13 KAEN 3 B Botol 96 Rp 11,313.50 Rp 1,086,096.00
18 MgSO4 20 % Botol 368 Rp 3,327.50 Rp 1,224,520.00
19 MgSO4 40% Botol 22 Rp 3,796.10 Rp 83,514.20
20 NaCl 0,9 % Botol 0 Rp 6,409.70 Rp -
21 NaCl 0,9 % Botol 0 Rp 6,839.80 Rp -
22 NaCl 0,9 % Botol 6800 Rp 6,395.21 Rp 43,487,428.00
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00 Rp -
2 AgNo3 40% Botol 0 Rp 430,650.00 Rp -
9 Alkohol swab Pcs 4300 Rp 330.00 Rp 1,419,000.00
11 Cidex Gall 1 Rp 462,000.00 Rp 462,000.00
15 H2O2 Botol 2 Rp 41,800.00 Rp 83,600.00
SEDIAAN ORAL CAIR
2 Ambroxol syr 15 mg/5ml Botol 144 Rp 4,761.02 Rp 685,586.88
SEDIAAN TOPIKAL
7 Fuson salep 0.00 53 Rp 55,962.00 Rp 2,965,986.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82 Rp -
9 Gentamicin 0,1% 0.00 0 Rp 3,559.63 Rp -
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00 Rp -
3 Abbocath 20 bh 0 Rp 25,135.00 Rp -
6 Abbocath 18 bh 0 Rp 25,135.00 Rp -
8 Apron bh 60 Rp 2,904.40 Rp 174,264.00
10 Biolon 5-0 bh 60 Rp 62,700.00 Rp 3,762,000.00
23 Benang Wego Nylon 3/0 bh 72 Rp 27,600.00 Rp 1,987,200.00
24 Benang Wego Nylon 5/0 bh 48 Rp 36,100.00 Rp 1,732,800.00
33 Conecta 3-way bh 250 Rp 4,400.00 Rp 1,100,000.00
35 Bisturi 11 bh 100 Rp 1,100.00 Rp 110,000.00
36 Bisturi 15 bh 0 Rp 1,402.50 Rp -
39 Disposable 3 cc bh 2000 Rp 1,046.32 Rp 2,092,640.00
40 Dispo 5 cc bh 500 Rp 862.50 Rp 431,250.00
41 Dispo 5 cc bh 1000 Rp 1,117.08 Rp 1,117,080.00
42 Dispo 10 cc bh 0 Rp 1,063.75 Rp -
45 Elastis Perban 4 Inchi bh 5 Rp 107,250.00 Rp 536,250.00
46 Elastis Perban 6 Inchi bh 3 Rp 132,000.00 Rp 396,000.00
47 ETT 3,5 bh 3 Rp 68,200.00 Rp 204,600.00
48 ETT 5,0 bh 6 Rp 56,100.00 Rp 336,600.00
50 Gudel No. 4 bh 3 Rp 38,500.00 Rp 115,500.00
56 Kapas bh 6 Rp 34,100.00 Rp 204,600.00
57 Kapas bh 20 Rp 24,200.00 Rp 484,000.00
63 Ky-Jelly bh 0 Rp 109,560.00 Rp -
69 Masker O2 Dewasa Nonrebreathinbh 50 Rp 18,211.99 Rp 910,599.50
70 Masker O2 Dewasa Rebreathing bh 100 Rp 13,339.99 Rp 1,333,999.00
71 Needle 18 bh 100 Rp 222.64 Rp 22,264.00
72 Opsite 25 x 10 bh 0 Rp 70,125.00 Rp -
78 Tranfusi Set bh 300 Rp 5,683.99 Rp 1,705,197.00
83 Urine Bag bh 170 Rp 77,772.00 Rp 13,221,240.00
84 Urogard bh 10 Rp 85,800.00 Rp 858,000.00
TABLET
9 Meloxicam 7.5 mg Tablet 8000 Rp 328.32 Rp 2,626,560.00
13 Omeprazole 20 mg Tablet 4200 Rp 4,734.84 Rp 19,886,328.00
19 Simvastatin 20 mg Tablet 6000 Rp 1,231.21 Rp 7,387,260.00
INJEKSI
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99 Rp 45,551.88
3 Widahes Bes Botol 190 Rp 115,500.00 Rp 21,945,000.00
CAIRAN NON STERIL
2 H2O2 Botol 1 Rp 41,800.00 Rp 41,800.00
SEDIAAN ORAL CAIR
C PPI
JUMLAH Rp 2,047,988,941.11
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010

NIP : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan November dengan rincian sebagai berikut:
No Nama Obat Satuan Jumlah Harga Satuan

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00
2 Abbocath 18 bh 0 Rp 4,370.00
3 Abbocath 18 bh 50 Rp 7,075.99
4 Abbocath 18 bh 0 Rp 25,135.00
6 Abbocath 18 bh 0 Rp 14,300.00
9 Abbocath 20 bh 0 Rp 25,135.00
10 Abbocath 20 bh 150 Rp 7,075.98
11 Abbocath 20 bh 0 Rp 4,370.00
12 Abbocath 20 bh 0 Rp 3,960.00
13 Abbocath 20 bh 0 Rp 7,700.00
14 Abbocath 20 bh 0 Rp 11,000.00
15 Abbocath 22 bh 0 Rp 7,075.99
16 Abbocath 22 bh 0 Rp 7,075.98
17 Abbocath 22 bh 0 Rp 4,370.00
18 Abbocath 24 bh 0 Rp 7,075.98
19 Abbocath 24 bh 0 Rp 7,075.99
20 Abbocath 24 bh 200 Rp 6,269.67
21 Abbocath 26 bh 0 Rp 28,490.00
22 Abbocath 26 bh 0 Rp 29,150.00
23 Abbocath 26 bh 0 Rp 15,397.82
24 Abbocath 26 bh 0 Rp 30,250.00
25 Abbocath 26 bh 200 Rp 13,860.00
26 Apron bh 0 Rp 2,904.40
27 Apron bh 0 Rp 27,782.00
28 Apron bh 0 Rp 6,600.00
29 Aquasonic Parker bh 0 Rp 825,000.00
31 Aquasonic Parker bh 0 Rp 1,045,000.00
32 Arrow Picc with Chlorag+Tech. bh 2 Rp 3,960,000.00
33 Ayre T Piece bh 10 Rp 110,000.00
34 Benang Biolon 3/0 bh 0 Rp 39,637.40
38 Benang Chrogut 0 bh 0 Rp 74,250.00
40 Benang Chrogut 3/0 bh 144 Rp 69,300.00
41 Benang Nylon 2/0 bh 60 Rp 27,600.00
44 Benang PGA 2/0 bh 0 Rp 76,800.00
45 Benang PGA 4/0 bh 0 Rp 76,800.00
46 Benang Polysorb 0 bh 0 Rp 127,600.00
48 Benang Polysorb 2-0 bh 0 Rp 100,100.00
51 Benang Prylene 3/0 bh 0 Rp 65,516.00
52 Benang Ticryl 0 bh 12 Rp 99,000.00
54 Benang Tycryl 2/0 bh 0 Rp 94,600.00
55 Benang Ticryl 2/0 bh 0 Rp 76,434.60
58 Benang Tycryl 3/0 (Cutting) bh 24 Rp 93,500.00
60 Benang Silkpro 0 bh 12 Rp 62,700.00
61 Benang Silkam 0 bh 0 Rp 811,360.00
62 Benang Silkam 3-0 bh 0 Rp 717,200.00
64 Benang Sutryl 1 bh 732 Rp 105,600.00
67 Benang Sutryl 4/0 bh 60 Rp 93,500.00
68 Benang Vetacryl 3-0 bh 0 Rp 111,195.81
69 Benang Vicryl 0 bh 0 Rp 152,099.64
70 Bisturi 11 bh 100 Rp 1,100.00
71 Bisturi 15 bh 0 Rp 1,100.00
72 Bisturi 15 bh 0 Rp 781.00
73 Bisturi 15 bh 200 Rp 1,402.50
74 Bisturi 20 bh 0 Rp 1,100.00
75 Bisturi 20 bh 100 Rp 1,402.50
76 Bisturi 22 bh 0 Rp 781.00
77 Bisturi 22 bh 0 Rp 6,050.00
78 Bisturi 22 bh 0 Rp 7,590.00
79 Cangkang 00 bh 0 Rp 148.50
86 Cangkang 0 bh 1000 Rp 138.60
91 Canula Oksigen Anak bh 0 Rp 6,325.00
93 Canula Oksigen Bayi bh 0 Rp 6,325.00
96 Canula Oksigen Dewasa bh 0 Rp 10,450.00
101 CADD Cassette 50 ml bh 7 Rp 196,423.70
103 CADD Extension 60 inchi bh 17 Rp 62,700.00
104 CVC Set 3-Lumen 7FRx20cm bh 4 Rp 514,800.00
105 Conecta 3 ways bh 0 Rp 2,242.50
110 Coverplast Transparan bh 0 Rp 425.04
111 Dermafix-T 10x15 bh 0 Rp 9,563.40
112 Dermafix-T 10x25 bh 0 Rp 15,835.50
113 Disposable Syringe 1 ml bh 700 Rp 747.50
114 Disposable Syringe 1 ml bh 0 Rp 2,376.00
143 Disposable 50 ml (Catheter Tip) bh 0 Rp 8,965.00
148 Elastis Perban 4 inchi bh 0 Rp 80,850.00
152 Elastis Verband 6 inchi bh 0 Rp 132,000.00
155 Elektroda bh 250 Rp 4,356.00
156 Elektroda bh 0 Rp -
157 ETT 2,5 bh 0 Rp 156,750.00
158 ETT 2,5 bh 9 Rp 165,000.00
159 ETT 3,0 bh 35 Rp 90,750.00
160 ETT 3,5 bh 10 Rp 13,223.99
161 ETT 4,0 bh 2 Rp 13,223.99
162 ETT 4,0 bh 15 Rp 13,223.99
163 ETT 5,0 bh 10 Rp 13,223.99
164 ETT 6,0 bh 15 Rp 13,223.99
165 ETT 7,0 bh 0 Rp 13,223.99
166 ETT 7,0 bh 7 Rp 13,223.99
167 ETT 7,5 bh 4 Rp 13,223.99
168 ETT Portex Clear Cuff 5,0 mm bh 0 Rp 38,819.00
172 Flexicare Guedel Airway 80 mm Nobh 0 Rp 14,880.80
bh 0 Rp 17,520.80
175 Foley catheter 8 bh 10 Rp 74,250.00
176 Foley Catheter 8 bh 20 Rp 34,500.00
197 Foley Catheter 3 Way 24 bh 10 Rp 13,688.00
200 Formalin bh 1 Rp 937,750.00
201 Gudel 1 bh 0 Rp 15,504.50
202 Gudel 2 bh 0 Rp 15,504.50
203 Gudel 3 bh 0 Rp 59,400.00
204 Gudel 3 bh 1 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00
206 Gudel 3 bh 4 Rp 14,460.00
207 Gudel 3 bh 0 Rp 15,504.50
208 Gudel 4 bh 0 Rp 25,740.00
209 Gudel 4 bh 0 Rp 59,400.00
210 gudel 4 bh 1 Rp 156,750.00
211 Gudel 4 bh 0 Rp 18,254.50
212 Gudel 5 bh 1 Rp 59,400.00
213 Gudel 5 bh 2 Rp 156,750.00
214 Gudel 5 bh 5 Rp 38,500.00
215 Gudel 6 bh 0 Rp 59,400.00
216 Gudel 6 bh 6 Rp 156,750.00
217 Gypsona 4 inchi bh 0 Rp 12,100.00
225 Handschoen NS Uk S PF bh 0 Rp 670.45
226 Handschoen Steril No. 7 bh 0 Rp 5,451.99
227 Abbocath 16 bh 0 Rp 115,979.00
228 Abbocath 16 bh 0 Rp 423,500.00
229 Hipafix 5x5 bh 0 Rp 80,960.00
230 Hipafix 5x5 bh 0 Rp 95,700.00
231 Hipafix 5x5 bh 0 Rp 104,500.00
232 Hydrox bh 0 Rp 65,000.10
233 Hopes Universal Drape bh 0 Rp 425,282.31
235 Infuset Anak bh 50 Rp 4,620.00
237 Infuset Dewasa bh 0 Rp 4,180.00
241 Jarum Hecting Kulit 12 bh 24 Rp 3,098.33
242 Jarum Hecting Otot 12 bh 36 Rp 2,291.67
243 Jarum Insulin bh 0 Rp 2,310.00
248 Jelly Lubricant bh 0 Rp 33,982.49
253 Kapas 250 g bh 0 Rp 14,374.99
254 Kapas 250 g bh 0 Rp 14,375.00
255 Kapas 250 g bh 0 Rp 24,200.00
256 Kapas 250 g bh 0 Rp 34,100.00
257 Kasa Hidrofil bh 0 Rp 186,340.00
263 Kasa Kompres Steril bh 216 Rp 412.50
264 Kasa Lipat 10 Cm x 10 Cm bh 0 Rp 2,814.35
267 Kertas CTG bh 1 Rp 160,600.00
268 Kertas EKG bh 0 Rp 28,600.00
269 Kertas EKG bh 23 Rp 41,250.00
271 Kertas USG bh 28 Rp 426,800.00
272 Leukoplast bh 0 Rp 61,600.00
275 Loumatuell bh 0 Rp 20,020.00
277 Maag Slang 3,5 bh 40 Rp 29,480.00
278 Maag Slang 5 bh 210 Rp 52,250.00
279 Maag Slang 8 bh 0 Rp 52,250.00
280 Maag Slang 8 bh 0 Rp 7,656.00
281 Maag Slang 8 bh 0 Rp 8,804.00
282 Maag Slang 8 bh 0 Rp 33,880.00
283 Maag Slang 8 bh 130 Rp 8,421.65
284 Maag Slang 10 bh 10 Rp 46,200.00
285 Maag Slang 10 bh 0 Rp 46,200.00
286 Maag Slang 12 bh 10 Rp 8,906.00
287 Maag Slang 12 bh 10 Rp 8,519.00
288 Maag Slang 16 bh 0 Rp 50,600.00
289 Maag Slang 16 bh 0 Rp 2,887.50
290 Maag Slang 16 bh 0 Rp 8,519.00
291 Maag Slang 18 bh 0 Rp 8,906.00
292 Maag Slang 18 bh 0 Rp 8,905.99
293 Maag Slang 18 bh 0 Rp 2,887.50
294 Maag Slang 18 bh 0 Rp 27,720.00
295 Maag Slang 18 bh 0 Rp 43,870.00
296 Maag Slang 18 bh 170 Rp 8,518.40
297 Magnesium Sulfat bh 2 Rp 49,500.00
298 Masker O2 Anak bh 0 Rp 15,584.80
300 Masker O2 Anak Non Rebreathingbh 56 Rp 27,000.60
301 Masker O2 Bayi bh 0 Rp 16,698.00
304 Masker O2 Dws Rebreting bh 0 Rp 13,340.00
309 Masker O2 Dws Non Rebreathing bh 0 Rp 27,000.60
313 Mitella bh 14 Rp 9,108.00
314 Needle 18G bh 0 Rp 1,237.50
315 Needle 18G bh 0 Rp 222.64
316 NIV Full Face Mask, Non Vented S bh 0 Rp 4,433,000.00
317 NIV Full Face Mask, Non Vented Mbh 0 Rp 4,433,000.00
318 NIV Full Face Mask, Non Vented L bh 0 Rp 4,433,000.00
319 Opsite 25 x 10 bh 40 Rp 70,125.00
320 PI Picc 1-Lumen 4FRx50cm bh 1 Rp 2,623,500.00
322 Perfusor Leitung bh 0 Rp 49,005.00
323 Polifix 5cm x 5m bh 131 Rp 41,100.00
324 Reinforced Tracheal Cuff 3,0 bh 5 Rp 267,314.30
330 Reinforced Tracheal Cuff 6 bh 15 Rp 267,314.30
333 Reinforced Trachael Cuff 7,5 bh 15 Rp 317,244.40
334 Sikat Operasi Steril bh 0 Rp 46,585.00
335 Softband 4 inchi bh 0 Rp 33,110.00
341 Spinocaine 25 bh 0 Rp 39,600.00
343 Spinocaine 25 bh 225 Rp 49,500.00
344 Spinocan 26 bh 75 Rp 45,650.00
345 Spinocan 27 bh 0 Rp 34,100.00
346 Suction Catheter 6 bh 75 Rp 4,996.75
361 Termometer bh 2 Rp 19,250.00
364 Transfusi Set bh 0 Rp 4,899.99
367 Thermal Paper bh 0 Rp 260,700.00
368 Under Pad Non Steril bh 0 Rp 4,675.00
374 Under Pad Steril bh 0 Rp 8,769.89
377 Urine Bag bh 0 Rp 3,450.00
381 Urine Bag bh 0 Rp 11,000.00
382 Urogard bh 0 Rp 85,800.00
383 Urogard bh 5 Rp 85,500.00
384 Vaseline Putih bh 0 Rp 93,500.00
OBAT
1 Acyclovir 400 mg Tablet 750 Rp 454.00
4 Allopurinol 100 mg Tablet 0 Rp 99.00
10 Alprazolam 0,5mg Tablet 0 Rp 517.28
12 Alprazolam 1 mg Tablet 300 Rp 874.80
13 Ambroxol 30 mg Tablet 0 Rp 200.64
19 Amitripthyllin 25 mg Tablet 1800 Rp 220.00
20 Amitripthyllin 25 mg Tablet 0 Rp -
22 Aminophyllin 200 mg Tablet 0 Rp 140.00
23 Aminefron Tablet 5000 Rp 5,720.00
24 Amlodipin 5 mg Tablet 0 Rp 192.00
31 Amoxicillin 500 mg Tablet 0 Rp 277.50
37 Arkine 2 mg Tablet 0 Rp 670.31
38 Asam Mefenamat 500 mg Tablet 0 Rp 103.00
39 Asam Mefenamat 500 mg Tablet 0 Rp -
42 Asam tranexamat 500 mg Tablet 0 Rp 1,783.99
44 Bamgetol Tablet 0 Rp 1,584.00
46 Betahistin 6 mg Tablet 8800 Rp 119.00
47 Bisoprolol 5 mg Tablet 0 Rp 248.00
50 Calcium lactate 500 mg Tablet 0 Rp 63.00
51 Captopril 25 mg Tablet 0 Rp 80.00
52 Carbamazepin 200 mg Tablet 0 Rp 234.00
53 Cefadroxyl 500 mg Tablet 800 Rp 580.80
55 Cefixime 100 mg Tablet 0 Rp 2,103.75
61 Cepezet Tablet 5000 Rp 346.50
62 Cetirizine 10 mg Tablet 0 Rp 97.00
64 Chloroquine 150 mg Tablet 1700 Rp 207.55
65 Ciprofloxacin 500 mg Tablet 0 Rp 423.50
67 Citicolin 500 mg Tablet 0 Rp 4,950.00
69 Clindamicin 150 mg Tablet 0 Rp 754.01
72 Clopidogrel 75 mg Tablet 0 Rp 1,469.00
73 Clonidin 0,5 mg Tablet 26100 Rp 202.00
75 Codein HCl 10 mg Tablet 0 Rp 657.00
76 Codein HCl 20 mg Tablet 0 Rp 1,494.00
77 Clorfitis 10 mg Tablet 2500 Rp 1,093.40
79 Cotrimoxazole 480 mg Tablet 0 Rp 178.75
82 Clorilex 25 mg Tablet 2000 Rp 1,320.00
83 Clozapin 25 mg Tablet 0 Rp 1,121.00
85 Diltiazem 30 mg Tablet 0 Rp 142.00
87 Dimenhidrinat 50 mg Tablet 0 Rp 121.00
88 Domperidon 10 mg Tablet 0 Rp 197.34
90 Elizac 20 mg Tablet 900 Rp 3,465.00
93 Ethambutol 500 mg Tablet 0 Rp 478.00
94 Farbion 5000 Tablet 0 Rp 1,089.00
96 Furosemide 40 mg Tablet 0 Rp 181.73
98 Flunarizin 5 mg Tablet 0 Rp 893.75
99 Gabapentin 300 mg Tablet 0 Rp 1,055.00
101 Glibenclamide 5 mg Tablet 1800 Rp 61.00
102 Glimepiride 2 mg Tablet 12000 Rp 207.00
103 Hexymer 2 mg Tablet 0 Rp 215.60
105 Ibuprofen 200 mg Tablet 1800 Rp 112.00
106 Irbesartan 150 mg Tablet 0 Rp 425.00
107 Irbesartan 150 mg Tablet 9300 Rp 1,029.93
111 Ketoconazole 200 mg Tablet 750 Rp 327.99
113 L- Cisin 0,5 mg Tablet 600 Rp 3,212.00
115 L-Bio Sachet Tablet 0 Rp 6,171.00
117 L-Bio Kapsul Tablet 0 Rp 6,171.00
119 Lansoprazole 30 mg Tablet 0 Rp 810.81
124 Loratadin Tablet 0 Rp 127.01
128 Lodomer 2 mg Tablet 5500 Rp 762.30
129 Lodomer 5 mg Tablet 2000 Rp 1,312.85
130 Mecobalamin Tablet 5500 Rp 748.00
132 Metoclopramid 10 mg Tablet 11000 Rp 87.00
133 Meloxicam 7,5 mg Tablet 0 Rp 518.39
137 Meloxicam 15 mg Tablet 0 Rp 659.45
139 Meloxicam 15 mg Tablet 0 Rp 1,018.14
141 Mersibion 5000 Tablet 0 Rp 1,452.00
143 Merlopam 0,5 mg Tablet 500 Rp 731.50
144 Merlopam 2 mg Tablet 2000 Rp 2,310.00
145 Metil Ergometrin 0,125 mg Tablet 9000 Rp 245.00
147 Metiprednisolon 16 mg Tablet 0 Rp 548.00
149 Metil Prednisolon 4 mg Tablet 0 Rp 308.39
153 Metil prednisolon 8 mg Tablet 0 Rp 369.60
156 Metformin 500 mg Tablet 0 Rp 239.56
159 Metronidazol 500 mg Tablet 0 Rp 171.60
160 Natrium Diklofenak 50 mg Tablet 0 Rp 136.00
162 Nifedipin 10 mg Tablet 4000 Rp 112.00
163 Omeprazol 20 mg Tablet 0 Rp 138.00
168 Onoiwa Tablet 0 Rp 5,280.00
169 Ondancetron 4 mg Tablet 26676 Rp 429.00
170 Parasetamol 500 mg Tablet 0 Rp 186.34
172 Parasetamol 500 mg Tablet 0 Rp -
176 Piracetam 800 mg Tablet 5100 Rp 602.25
177 Piracetam 1200 mg Tablet 0 Rp 1,067.22
179 Pirazinamid 500 mg Tablet 500 Rp 308.00
180 Propanolol 10 mg Tablet 6000 Rp 80.00
184 Prednisolon 5 mg Tablet 1000 Rp 74.00
185 Pregabalin 75 mg Tablet 0 Rp 7,471.75
189 Pyrantel 125 mg Tablet 600 Rp 331.00
190 Phytomenadion 10 mg Tablet 0 Rp 873.00
191 Phytomenadion 10 mg Tablet 800 Rp 1,182.26
192 Quatro 0,4 mg Tablet 0 Rp 1,760.00
193 Ranitidin 150 mg Tablet 0 Rp 110.00
197 Risperidon 1 mg Tablet 6000 Rp 240.00
198 Risperidon 2 mg Tablet 0 Rp 2,052.00
200 Salbutamol 2 mg Tablet 2000 Rp 64.00
204 Sifrol 0.375 mg Tablet 0 Rp 8,300.01
206 Simvastatin 10 mg Tablet 0 Rp 110.00
212 Silum 5 mg Tablet 0 Rp 981.75
213 Spironolakton 25 mg Tablet 2000 Rp 212.00
215 Tablet Tambah Darah Tablet 0 Rp 409.00
216 Tetrasiklin 500 mg Tablet 0 Rp 484.00
217 Thyrozol 10 mg Tablet 0 Rp 1,225.00
219 Vitamin B comp Tablet 0 Rp 143.99
221 Vitamin B6 10 mg Tablet 1200 Rp 141.00
222 Vitamin C 50 mg Tablet 0 Rp 120.29
224 Vipalbumin Tablet 0 Rp 6,435.00
226 Valdimex 5 mg Tablet 3500 Rp 847.00
227 Zinc 20 mg Tablet 0 Rp 623.88
229 Defemin (CTM 4 mg) Tablet 0 Rp 29.04
230 Dexametason 0,5 mg (HARSEN) Tablet 0 Rp 275.55
231 Dexa M 0,75 mg Tablet 0 Rp 333.66
233 Novatrim Tablet 0 Rp 495.00
INJEKSI
1 Aminofillin Inj. Ampul 0 Rp 6,188.00
2 Ampicillin 1gr inj Ampul 0 Rp 9,900.00
4 Anti Hemorrhoida Suppo 0 Rp 3,641.99
5 Atropin Sulfat Inj Ampul 0 Rp 1,859.00
6 Aqua Destillata Botol 5040 Rp 2,860.00
7 Asam Tranexamat 500 mg/5ml Ampul 0 Rp 2,387.00
10 Bunascan 0,5 20 ml Ampul 0 Rp 49,280.00
11 Carbazochrom inj Ampul 0 Rp 9,834.00
12 Cefotaxim Injeksi Vial 0 Rp 4,409.99
17 Ceftriaxone injeksi Vial 0 Rp 4,821.99
21 Citicoline 125mg/ml Ampul 800 Rp 7,865.00
22 Dexketoprofen trometamol InjeksiAmpul 0 Rp 19,800.00
24 Dexamathason Injeksi Ampul 0 Rp 1,210.00
27 Diphen hydramin 1ml Ampul 0 Rp 1,864.61
28 Dobutamin 250mg Ampul 15 Rp 32,648.00
29 Ephedrin amp Ampul 148 Rp 27,500.00
30 Epinefrin inj Ampul 0 Rp 6,691.85
32 Farmabes Vial Vial 0 Rp 56,628.00
33 Fentanyl Injeksi Ampul 350 Rp 41,599.80
34 Furosemid Injeksi Ampul 6575 Rp 1,555.00
35 Gentamicin 40mg/ml Ampul 0 Rp 3,507.60
37 Isoflurane 250 ml Botol 0 Rp 1,452,000.00
38 Ketorolac 30 mg/ml Ampul 0 Rp 2,000.02
42 Lasalcom Ampul 0 Rp 10,315.00
43 Levemir Flex Pen Pen 475 Rp 83,950.00
44 Lidocain Injeksi Ampul 0 Rp 1,316.99
47 Lidocain Composito Ampul 390 Rp 1,316.99
48 Mecobalamin inj Ampul 0 Rp 88,000.00
49 Mersibion Ampul 0 Rp 3,872.00
51 Metoklopramide Ampul 0 Rp 4,565.00
53 Metronidazol Infus Botol 0 Rp 11,000.00
56 Miloz Inj Ampul 150 Rp 4,351.00
57 Myotonic Ampul 0 Rp 8,167.50
60 N-Epi Ampul 20 Rp 69,300.00
61 Nicardipine Ampul 0 Rp 35,750.00
65 Norevel 250ml Botol 0 Rp 1,925,000.00
66 Novaldo Ampul 750 Rp 5,445.00
67 Novomix -30 Flex Pen Pen 75 Rp 110,968.00
68 Novorapid Flex Pen Pen 0 Rp 86,999.99
70 Notrixum/Atracurium Ampul 0 Rp 11,551.98
72 Nopuvel inj Ampul 195 Rp 65,450.00
73 Norages inj Ampul 0 Rp 8,266.50
76 Omeprazole 40mg Vial 0 Rp 11,867.90
80 Ondancetron inj 4mg/2ml Ampul 0 Rp 1,198.00
82 Oxytocin Amp Ampul 500 Rp 2,475.00
84 Paracetamol infus Botol 0 Rp 11,610.50
89 Pehacain Injeksi Ampul 0 Rp 2,750.00
90 Phenobarbital inj Ampul 30 Rp 2,134.99
92 Pethidine Injeksi Ampul 620 Rp 15,950.00
93 Phenytoin Sodium 50mg/ml inj Ampul 0 Rp 25,025.00
95 Piracetam 1gr/15ml Ampul 192 Rp 4,620.00
98 Protocin Injeksi Ampul 0 Rp 7,128.00
101 Ranitidin inj Ampul 0 Rp 1,320.00
107 Regivel 4ml Ampul 105 Rp 53,900.00
108 Sibital (Phenobarbital) Ampul 120 Rp 8,910.00
109 Sikzonoate Injeksi Ampul 15 Rp 70,785.00
110 Valdimex inj Ampul 0 Rp 9,680.00
112 Vitamin k 2 mg inj (Phytomenadio Ampul 0 Rp 4,235.99
113 Vitamin k 10 mg inj (Phytomenadi Ampul 60 Rp 4,766.67
CAIRAN STERIL
1 Aminofluid Botol 340 Rp 70,188.80
3 Aminoleban 500 Botol 98 Rp 74,654.80
5 Asering Botol 0 Rp 8,985.90
7 Dextrose 5 % Botol 0 Rp 6,899.99
9 Dexotrose 5 % Botol 600 Rp 7,363.40
12 KAEN 3 B Botol 0 Rp 10,285.00
13 KAEN 3 B Botol 98 Rp 11,313.50
14 Kidmin 200ml Botol 0 Rp 50,697.00
16 Manitol 20% 250ml Botol 250 Rp 28,275.50
17 Mannitol 20% 500ml Botol 80 Rp 43,499.50
18 MgSO4 20 % Botol 368 Rp 3,327.50
19 MgSO4 40% Botol 116 Rp 3,796.10
20 NaCl 0,9 % Botol 0 Rp 6,409.70
21 NaCl 0,9 % Botol 0 Rp 6,839.80
22 NaCl 0,9 % Botol 5760 Rp 6,395.21
23 NaCl Piggy Bag Botol 0 Rp 15,180.00
25 Otsu KCL Botol 0 Rp 3,098.70
27 Otsu Salin 3 Botol 0 Rp 27,830.00
29 Ringer Laktat Botol 0 Rp 7,150.00
30 Ringer Laktat Botol 0 Rp -
33 Wida - KDN 1 Botol 220 Rp 12,492.70
34 Widahes Botol 0 Rp 66,536.80
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00
2 AgNo3 40% Botol 0 Rp 430,650.00
3 Alkohol 70% Botol 0 Rp 44,000.00
4 Alkohol 70% Botol 0 Rp -
6 Alkohol 70% Botol 204 Rp 277,830.00
7 Alkohol swab Pcs 0 Rp 126.50
10 Biosanitizer Botol 0 Rp 1,892,000.00
11 Cidex Gall 1 Rp 462,000.00
12 Povidon Iodium Botol 17 Rp 85,800.00
15 H2O2 Botol 2 Rp 41,800.00
16 Larutan Browi Botol 1 Rp 264,000.00
17 Rivanol Botol 17 Rp 9,900.00
SEDIAAN ORAL CAIR
1 Ambroxol syr 15 mg/5ml Botol 0 Rp 5,077.38
3 Amoxicillin Syrup Botol 150 Rp 4,290.00
4 Asam Valproat 250mg Botol 492 Rp 17,787.00
6 Cefadroxil Sirup Botol 0 Rp 4,086.50
8 Cefixim syr Botol 216 Rp 5,709.00
10 Chloramfenicol 125 mg/5ml Botol 38 Rp 4,725.00
11 Cotrimoxazole Suspensi Botol 0 Rp 3,439.50
13 Paracetamol Syrup Botol 0 Rp 3,159.20
14 Sucralfat Sirup Botol 0 Rp 15,847.50
SEDIAAN TOPIKAL
1 Acyclovir Cream Tube 0 Rp 3,624.50
3 Bedak Salicyl Pot 30 Rp 6,006.00
4 Betametason Cream 0.00 150 Rp 1,420.00
5 Betametason Cream Tube 100 Rp 1,514.70
6 Chloramfenicol 1% SM 0.00 288 Rp 2,013.00
7 Fuson salep 0.00 48 Rp 55,962.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82
9 Gentamicin 0,1% 0.00 0 Rp 3,559.63
10 Hidrocortison 2.5% Cream 0.00 312 Rp 2,647.70
11 Hidrocortison 2.5% Cream Tube 0 Rp 5,723.30
12 Miconazole Cream 2% Tube 264 Rp 3,925.90
13 Oxytetracycline 1% SM 0.00 0 Rp 2,600.40
14 Oxytetracycline 1% SM Tube 100 Rp 2,600.40
1 Cendo Efrisel 10% 5cc Botol 0 Rp 25,936.25
3 Cendo LFX 5ml Botol 0 Rp 72,366.25
5 Cendo Lyters 15cc Botol 0 Rp 23,512.50
7 Cendo Mydratil 1% Botol 3 Rp 39,971.25
8 Cendo Pantocain 2% Drops 5cc Botol 10 Rp 13,846.25
9 Cendo Polygran Drops 5cc Botol 0 Rp 33,048.40
11 Cendo Timol 5cc Botol 0 Rp 49,898.75
13 Cendo Tropin 1% 5cc Botol 0 Rp 13,062.50
15 Cendo Xitrol Drops 5cc Botol 0 Rp 28,476.25
17 Cendo Xitrol Salp Mata 3.5 gr Tube 61 Rp 37,489.38
18 Minidose Natacen Pcs 50 Rp 8,699.63
19 Minidose P-Pred 0,6ml Pcs 0 Rp 7,994.25
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00
3 Abbocath 20 bh 0 Rp 25,135.00
6 Abbocath 18 bh 0 Rp 25,135.00
8 Apron bh 20 Rp 2,904.40
9 Aquasonic Gall Parker bh 0 Rp 990,000.00
10 Biolon 5-0 bh 60 Rp 62,700.00
11 Benang Plaingut 2/0 bh 12 Rp 69,300.00
16 Benang Tycryl 0 bh 36 Rp 99,000.00
17 Benang Tycril 1 bh 0 Rp 105,600.00
18 Benang Tycril 2-0 bh 36 Rp 94,600.00
19 Benang Tycril 3-0 Round Bodied bh 0 Rp 93,500.00
20 Benang Tycril 3-0 Cutting bh 48 Rp 93,500.00
21 Benang PGA 4/0 bh 24 Rp 64,300.00
22 Benang PGA 2/0 bh 0 Rp 76,800.00
23 Benang Wego Nylon 3/0 bh 0 Rp 27,600.00
25 Cangkang Kapsul 1 bh 0 Rp 55.00
28 Canula O2 Dewasa bh 0 Rp 12,643.99
32 Conecta 3-way bh 0 Rp 14,850.00
34 Coverplast bh 4000 Rp 576.04
35 Bisturi 11 bh 100 Rp 1,100.00
36 Bisturi 15 bh 0 Rp 1,402.50
37 Disposable 3 cc bh 0 Rp 895.85
39 Disposable 3 cc bh 0 Rp 1,046.32
40 Dispo 5 cc bh 0 Rp 862.50
41 Dispo 5 cc bh 1000 Rp 1,117.08
42 Dispo 10 cc bh 0 Rp 1,063.75
44 Disposable 50 cc Catheter Tip bh 0 Rp 6,013.70
45 Elastis Perban 4 Inchi bh 0 Rp 107,250.00
47 ETT 3,5 bh 0 Rp 68,200.00
48 ETT 5,0 bh 6 Rp 56,100.00
50 Gudel No. 4 bh 3 Rp 38,500.00
51 Hipafix 5cm x 5m bh 0 Rp 95,700.00
56 Kapas bh 1 Rp 34,100.00
57 Kapas bh 17 Rp 24,200.00
59 Kasa Lipat 10 x 10 CM bh 0 Rp 2,814.35
61 Kasa Lipat X-Ray 10 cm x 10 cm bh 0 Rp 3,973.75
63 Ky-Jelly bh 0 Rp 109,560.00
66 Loumatulle bh 30 Rp 27,500.00
67 Maag Slang 5 bh 0 Rp 33,880.00
68 Maag Slang 8 bh 4 Rp 33,880.00
69 Masker O2 Dewasa Nonrebreathinbh 29 Rp 18,211.99
70 Masker O2 Dewasa Rebreathing bh 67 Rp 13,339.99
71 Needle 18 bh 100 Rp 222.64
72 Opsite 25 x 10 bh 40 Rp 70,125.00
73 Perfussor Letung bh 0 Rp 49,005.00
74 Premilen Mesh bh 0 Rp 319,000.00
78 Tranfusi Set bh 150 Rp 5,683.99
79 Underpad 60 x 90 Non Steril bh 0 Rp 4,697.00
82 Underpad Steril bh 0 Rp 8,769.90
83 Urine Bag bh 70 Rp 77,772.00
84 Urogard bh 10 Rp 85,800.00
TABLET
1 Antasida Doen Tablet 0 Rp 210.59
2 Cetrizin 10 mg Tablet 0 Rp 104.00
3 Citicoloin 500 mg Tablet 5940 Rp 4,950.00
5 Digoxin Tablet 0 Rp 104.00
7 Farbion Tablet 2400 Rp 1,122.00
9 Meloxicam 7.5 mg Tablet 8000 Rp 328.32
12 Mecobalamin 500 mg Tablet 3000 Rp 748.00
13 Omeprazole 20 mg Tablet 0 Rp 4,734.84
14 Onoiwa 500 mg Tablet 5280 Rp 5,280.00
15 Paracetamol 500 mg Tablet 0 Rp 990.00
17 Pyrantel Pamoat 125 mg Tablet 0 Rp 404.91
19 Simvastatin 20 mg Tablet 0 Rp 1,231.21
INJEKSI
1 Ampicillin Ampul 500 Rp 9,473.00
2 Ceftriaxone 1gr Ampul 0 Rp 5,147.55
3 Dobutamin 250mg/5ml inj Ampul 0 Rp 40,810.00
4 Isorane Botol 3 Rp 1,542,750.00
6 Nicardipin Ampul 0 Rp 52,800.00
8 Norevell 250ml Botol 2 Rp 1,925,000.00
9 Omeprazole Vial Vial 4600 Rp 12,966.80
CAIRAN STERIL
1 MgSO4 40 % Botol 12 Rp 3,795.99
2 Ringer Lactat Botol 0 Rp 7,629.60
3 Widahes Bes Botol 140 Rp 115,500.00
CAIRAN NON STERIL
2 H2O2 Botol 1 Rp 41,800.00
3 Povidone Iodium Botol 7 Rp 85,800.00
SEDIAAN ORAL CAIR
C PPI
1 Baju Operasi uk M steril Set 217 Rp 24,089.00
3 Baju Operasi uk L Steril Set 70 Rp 56,568.61
4 Baju operasi uk L non steril Set 30 Rp 25,500.00
5 Handscoen Non Steril S Pcs 0 Rp 243.10
6 Handscoen Non Steri S Pcs 0 Rp 485.10
10 Handscoen Non Steril M Pcs 0 Rp 409.63
12 Handscoen Steril 6,5 (gynecolog) Pair 120 Rp 20,183.99
13 Handscoen Steril 7 (gynecolog) Pair 210 Rp 20,183.99
14 Handscoen Steril 6,5 Pair 100 Rp 5,451.99
15 Handscoen Steril 7 Pair 5000 Rp 5,452.00
19 Handscoen Steril 6 (powder free) Pair 0 Rp 8,467.98
21 Handscoen Steril 6,5 (powder free)Pair 0 Rp 8,467.99
27 Masker Pcs 0 Rp 506.00
29 Masker Pcs 12000 Rp 431.97
31 Nurse Cup Pcs 3700 Rp 383.98
JUMLAH
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010
NG
ULU
rekang
Massenrempulu Enrekang
masi RSUD Massenrempulu Enrekang
gudang farmasi RSUD
Nilai
Rp 198,000.00
Rp -
Rp 353,799.50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,061,397.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,253,934.00
Rp -
Rp -
Rp -
Rp -
Rp 2,772,000.00
Rp -
Rp -
Rp -
Rp -
Rp 990,000.00
Rp -
Rp 7,920,000.00
Rp 1,100,000.00
Rp -
Rp 15,800,400.00
Rp -
Rp 12,038,400.00
Rp -
Rp 3,537,600.00
Rp 9,979,200.00
Rp 1,656,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,187,600.00
Rp -
Rp 1,188,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,244,000.00
Rp 5,610,000.00
Rp 752,400.00
Rp -
Rp -
Rp 753,500.00
Rp 77,299,200.00
Rp 6,811,200.00
Rp 13,464,000.00
Rp 5,610,000.00
Rp -
Rp -
Rp 110,000.00
Rp -
Rp -
Rp 280,500.00
Rp -
Rp 140,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 57,200.00
Rp 379,500.00
Rp 138,600.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 907,500.00
Rp -
Rp -
Rp 605,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,374,965.90
Rp 982,118.50
Rp 1,065,900.00
Rp 2,059,200.00
Rp -
Rp -
Rp -
Rp 2,227,500.00
Rp -
Rp -
Rp -
Rp -
Rp 523,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 345,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 7,027,680.00
Rp -
Rp -
Rp 326,700.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,650,000.00
Rp -
Rp -
Rp -
Rp 1,849,848.00
Rp -
Rp 2,417,800.00
Rp -
Rp 1,089,000.00
Rp -
Rp -
Rp 1,485,000.00
Rp 3,176,250.00
Rp 132,239.91
Rp 26,447.98
Rp 198,359.87
Rp 132,239.91
Rp 198,359.87
Rp -
Rp 92,567.94
Rp 52,895.96
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 742,500.00
Rp 690,000.00
Rp -
Rp 690,000.00
Rp -
Rp 550,000.00
Rp -
Rp 275,000.00
Rp 106,480.00
Rp 111,320.00
Rp -
Rp -
Rp 212,960.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,129,600.00
Rp 136,880.00
Rp -
Rp 2,970,000.00
Rp 937,750.00
Rp -
Rp -
Rp -
Rp 25,740.00
Rp 313,500.00
Rp 57,840.00
Rp -
Rp -
Rp -
Rp 156,750.00
Rp -
Rp 59,400.00
Rp 313,500.00
Rp 192,500.00
Rp -
Rp 940,500.00
Rp -
Rp -
Rp -
Rp 12,100.00
Rp 883,999.60
Rp 1,718,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,361,216.00
Rp 231,000.00
Rp 419,100.00
Rp -
Rp -
Rp -
Rp -
Rp 74,359.92
Rp 82,500.12
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,972,080.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 15,004,000.00
Rp -
Rp 5,794,200.00
Rp 89,100.00
Rp -
Rp -
Rp -
Rp 160,600.00
Rp -
Rp 948,750.00
Rp -
Rp 11,950,400.00
Rp -
Rp -
Rp -
Rp -
Rp 3,850,000.00
Rp 1,179,200.00
Rp 10,972,500.00
Rp -
Rp -
Rp -
Rp -
Rp 1,094,814.50
Rp 462,000.00
Rp -
Rp 89,060.00
Rp 85,190.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,448,128.00
Rp 99,000.00
Rp -
Rp 1,334,000.00
Rp 1,512,033.60
Rp -
Rp -
Rp 495,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 127,512.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,805,000.00
Rp 2,623,500.00
Rp 6,303,000.00
Rp -
Rp 5,384,100.00
Rp 1,336,571.50
Rp 1,336,571.50
Rp 1,336,571.50
Rp 1,336,571.50
Rp 1,336,571.50
Rp 1,336,571.50
Rp 4,009,714.50
Rp 4,009,714.50
Rp 2,673,143.00
Rp 4,758,666.00
Rp -
Rp -
Rp -
Rp 105,700.00
Rp -
Rp -
Rp 294,250.00
Rp -
Rp -
Rp 11,137,500.00
Rp 3,423,750.00
Rp -
Rp 374,756.25
Rp -
Rp -
Rp -
Rp -
Rp 1,816,210.00
Rp 19,988.00
Rp -
Rp 195,959.50
Rp -
Rp 14,990.25
Rp 334,565.00
Rp 69,954.50
Rp -
Rp 334,565.00
Rp 38,500.00
Rp -
Rp 257,400.00
Rp -
Rp -
Rp 495,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 427,500.00
Rp -
Rp 340,500.00
Rp -
Rp 90,800.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 262,440.00
Rp -
Rp -
Rp -
Rp 4,392,960.00
Rp -
Rp -
Rp 396,000.00
Rp -
Rp 1,108,800.00
Rp -
Rp 28,600,000.00
Rp -
Rp -
Rp -
Rp 2,420,040.00
Rp -
Rp -
Rp 3,948,420.00
Rp -
Rp -
Rp -
Rp -
Rp 1,754,830.00
Rp 3,445,300.00
Rp -
Rp -
Rp -
Rp 2,510,750.00
Rp 5,600,000.00
Rp -
Rp 17,840,000.00
Rp -
Rp 9,424,800.00
Rp 1,047,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 464,640.00
Rp 8,960,480.00
Rp -
Rp 10,536,160.00
Rp 1,299,378.00
Rp -
Rp -
Rp 9,768,600.00
Rp 1,732,500.00
Rp -
Rp 3,207,050.00
Rp 352,835.00
Rp -
Rp 1,200,384.00
Rp -
Rp 9,437,220.00
Rp -
Rp -
Rp 2,890,800.00
Rp -
Rp 5,272,200.00
Rp -
Rp -
Rp -
Rp 2,733,500.00
Rp -
Rp -
Rp 198,000.00
Rp 726,100.00
Rp 2,640,000.00
Rp -
Rp 7,062,300.00
Rp -
Rp 1,611,200.00
Rp -
Rp -
Rp 940,800.00
Rp 3,118,500.00
Rp -
Rp 11,715,840.00
Rp -
Rp -
Rp -
Rp -
Rp 2,738,800.00
Rp -
Rp -
Rp 23,337,600.00
Rp 109,800.00
Rp 2,484,000.00
Rp -
Rp -
Rp 201,600.00
Rp -
Rp 9,578,349.00
Rp -
Rp 8,193,878.00
Rp 18,425,090.40
Rp 245,992.50
Rp 858,000.00
Rp 1,927,200.00
Rp -
Rp -
Rp 11,781,000.00
Rp -
Rp 90,321,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,006,400.00
Rp 4,192,650.00
Rp 2,625,700.00
Rp 4,114,000.00
Rp -
Rp 957,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 12,323,850.00
Rp 365,750.00
Rp 4,620,000.00
Rp 2,205,000.00
Rp 1,461,600.00
Rp -
Rp 1,872,000.00
Rp -
Rp -
Rp -
Rp 1,776,120.00
Rp -
Rp 7,956,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 406,000.00
Rp 448,000.00
Rp -
Rp -
Rp -
Rp -
Rp 11,798,959.20
Rp -
Rp 11,444,004.00
Rp -
Rp -
Rp -
Rp 1,045,080.00
Rp -
Rp -
Rp 3,071,475.00
Rp -
Rp 1,164,240.00
Rp 154,000.00
Rp 480,000.00
Rp 318,600.00
Rp -
Rp 84,000.00
Rp 74,000.00
Rp -
Rp 5,945,940.00
Rp 7,998,930.90
Rp 5,890,500.00
Rp 198,600.00
Rp -
Rp 945,808.00
Rp -
Rp -
Rp -
Rp -
Rp 4,038,200.00
Rp 1,440,000.00
Rp -
Rp 3,214,400.00
Rp 128,000.00
Rp 301,760.00
Rp -
Rp 1,858,500.00
Rp -
Rp 11,880,000.00
Rp -
Rp -
Rp -
Rp 5,343,000.00
Rp -
Rp -
Rp -
Rp 424,000.00
Rp 5,966,400.00
Rp -
Rp -
Rp -
Rp 50,925,600.00
Rp -
Rp -
Rp 169,200.00
Rp -
Rp -
Rp -
Rp 57,888,000.00
Rp 2,964,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 18,567,079.61
Rp -
Rp -
Rp 14,414,400.00
Rp -
Rp -
Rp 4,684,680.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 11,331,566.40
Rp 22,023,100.00
Rp -
Rp -
Rp 5,558,580.80
Rp 51,475,500.00
Rp 6,292,000.00
Rp -
Rp 37,422,000.00
Rp -
Rp 3,749,512.00
Rp -
Rp -
Rp 489,720.00
Rp 4,070,000.00
Rp -
Rp -
Rp -
Rp 14,559,930.00
Rp 10,224,125.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 4,261,008.20
Rp -
Rp 39,876,250.00
Rp -
Rp -
Rp 539,552.00
Rp 513,626.10
Rp -
Rp -
Rp 7,047,040.00
Rp -
Rp 6,466,680.00
Rp -
Rp -
Rp -
Rp 652,650.00
Rp -
Rp 5,643,000.00
Rp 3,718,500.00
Rp 1,386,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 4,083,750.00
Rp 8,322,600.00
Rp -
Rp 16,529,999.77
Rp -
Rp 2,598,750.00
Rp 12,762,750.00
Rp -
Rp -
Rp 2,301,430.20
Rp -
Rp -
Rp -
Rp 14,236,200.00
Rp -
Rp 13,743,650.00
Rp 1,237,500.00
Rp -
Rp -
Rp -
Rp 29,341,125.00
Rp 3,261,280.00
Rp 22,000,000.00
Rp -
Rp 64,049.70
Rp 384,298.20
Rp 9,889,000.00
Rp -
Rp -
Rp 887,040.00
Rp -
Rp 11,797,320.00
Rp -
Rp 3,281,640.00
Rp 3,570,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,996,058.40
Rp 5,659,500.00
Rp 1,069,200.00
Rp 1,061,775.00
Rp -
Rp 338,800.00
Rp -
Rp 286,000.20
Rp 23,864,192.00
Rp -
Rp 7,316,170.40
Rp -
Rp -
Rp 7,253,716.80
Rp -
Rp 15,180,660.00
Rp 4,418,040.00
Rp 2,099,944.00
Rp 700,700.00
Rp -
Rp 1,108,723.00
Rp -
Rp 6,083,616.00
Rp 7,068,875.00
Rp 3,479,960.00
Rp 1,224,520.00
Rp 440,347.60
Rp -
Rp -
Rp 36,836,409.60
Rp -
Rp 11,172,480.00
Rp -
Rp 273,955.00
Rp -
Rp 1,213,388.00
Rp -
Rp -
Rp -
Rp -
Rp 2,748,394.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 56,677,320.00
Rp -
Rp -
Rp 495,000.00
Rp -
Rp 462,000.00
Rp 1,458,600.00
Rp -
Rp -
Rp 83,600.00
Rp 264,000.00
Rp 168,300.00
Rp -
Rp 447,535.88
Rp 643,500.00
Rp 8,751,204.00
Rp -
Rp -
Rp 1,082,346.00
Rp 1,233,144.00
Rp -
Rp 179,550.00
Rp -
Rp 643,800.00
Rp -
Rp -
Rp 14,577,750.00
Rp -
Rp 103,141.50
Rp 180,180.00
Rp 213,000.00
Rp 151,470.00
Rp 579,744.00
Rp 2,686,176.00
Rp -
Rp -
Rp 826,082.40
Rp -
Rp 1,036,437.60
Rp -
Rp 260,040.00
Rp -
Rp 452,421.75
Rp -
Rp 2,125,372.50
Rp -
Rp -
Rp 119,913.75
Rp 138,462.50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,286,852.18
Rp 434,981.50
Rp -
Rp 2,739,082.50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 58,088.00
Rp -
Rp 3,762,000.00
Rp 831,600.00
Rp 831,600.00
Rp 3,489,600.00
Rp 3,537,600.00
Rp -
Rp 3,564,000.00
Rp -
Rp 3,405,600.00
Rp -
Rp 4,488,000.00
Rp 1,543,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,524,600.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 660,000.00
Rp 2,304,160.00
Rp 110,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,117,080.00
Rp -
Rp 435,600.00
Rp -
Rp -
Rp -
Rp -
Rp 336,600.00
Rp -
Rp 115,500.00
Rp -
Rp 209,550.00
Rp -
Rp 3,732,300.00
Rp 82,499.76
Rp 34,100.00
Rp 411,400.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 123,200.00
Rp 784,791.00
Rp 825,000.00
Rp -
Rp 135,520.00
Rp 528,147.71
Rp 893,779.33
Rp 22,264.00
Rp 2,805,000.00
Rp -
Rp -
Rp 1,237,500.00
Rp 314,795.25
Rp 852,598.50
Rp -
Rp -
Rp 528,000.00
Rp -
Rp 5,444,040.00
Rp 858,000.00
Rp -
Rp -
Rp -
Rp 29,403,000.00
Rp 13,453,440.00
Rp -
Rp 478,000.00
Rp 2,692,800.00
Rp -
Rp 2,626,560.00
Rp 3,502,710.00
Rp 853,440.00
Rp 2,244,000.00
Rp -
Rp 27,878,400.00
Rp -
Rp 3,492,720.00
Rp -
Rp -
Rp -
Rp 883,440.00
Rp 4,736,500.00
Rp -
Rp -
Rp 4,628,250.00
Rp 197,548.50
Rp -
Rp -
Rp 3,850,000.00
Rp 59,647,280.00
Rp 45,551.88
Rp -
Rp 16,170,000.00
Rp 30,000.00
Rp 41,800.00
Rp 600,600.00
Rp -
Rp 5,227,313.00
Rp 3,959,802.70
Rp 3,959,802.70
Rp 765,000.00
Rp -
Rp -
Rp -
Rp -
Rp 587,730.00
Rp -
Rp 17,749,446.00
Rp 2,422,078.80
Rp 4,238,637.90
Rp 545,199.00
Rp 27,260,000.00
Rp -
Rp -
Rp -
Rp -
Rp 846,799.00
Rp -
Rp -
Rp -
Rp 10,584,987.50
Rp 6,774,392.00
Rp 3,387,196.00
Rp -
Rp -
Rp 5,183,640.00
Rp 475,200.00
Rp 1,420,726.00
Rp 1,931,797,648.14
ng Jawab Instalasi Farmasi
, S.Farm, Apt
213 201101 1 010

NIP : 19850411 201001 1 020

NIP : 19870213 201101 1 010
Massenrempulu Enrekang pada bulan Desember dengan rincian sebagai berikut:
No Nama Obat Satuan Jumlah Harga Satuan

A JKN
BMHP
1 Abbocath 16 bh 50 Rp 3,960.00
4 Abbocath 18 bh 0 Rp 25,135.00
6 Abbocath 18 bh 0 Rp 14,300.00
7 Abbocath 18 bh 100 Rp 7,844.24
9 Abbocath 20 bh 200 Rp 25,135.00
10 Abbocath 20 bh 0 Rp 7,075.98
11 Abbocath 20 bh 0 Rp 4,370.00
12 Abbocath 20 bh 0 Rp 3,960.00
13 Abbocath 20 bh 0 Rp 7,700.00
14 Abbocath 20 bh 0 Rp 11,000.00
15 Abbocath 22 bh 0 Rp 7,075.99
16 Abbocath 22 bh 0 Rp 7,075.98
17 Abbocath 22 bh 0 Rp 4,370.00
18 Abbocath 24 bh 0 Rp 7,075.98
19 Abbocath 24 bh 0 Rp 7,075.99
20 Abbocath 24 bh 150 Rp 6,269.67
21 Abbocath 26 bh 0 Rp 28,490.00
22 Abbocath 26 bh 0 Rp 29,150.00
23 Abbocath 26 bh 0 Rp 15,397.82
24 Abbocath 26 bh 0 Rp 30,250.00
25 Abbocath 26 bh 200 Rp 13,860.00
26 Apron bh 0 Rp 2,904.40
27 Apron bh 0 Rp 27,782.00
28 Apron bh 100 Rp 6,600.00
31 Aquasonic Parker bh 2 Rp 1,045,000.00
32 Arrow Picc with Chlorag+Tech. bh 2 Rp 3,960,000.00
33 Ayre T Piece bh 10 Rp 110,000.00
40 Benang Chrogut 3/0 bh 144 Rp 69,300.00
44 Benang PGA 2/0 bh 0 Rp 76,800.00
45 Benang PGA 4/0 bh 0 Rp 76,800.00
51 Benang Prylene 3/0 bh 0 Rp 65,516.00
58 Benang Tycryl 3/0 (Cutting) bh 24 Rp 93,500.00
60 Benang Silkpro 0 bh 12 Rp 62,700.00
61 Benang Silkam 0 bh 0 Rp 811,360.00
67 Benang Sutryl 4/0 bh 60 Rp 93,500.00
68 Benang Vetacryl 3-0 bh 0 Rp 111,195.81
69 Benang Vicryl 0 bh 0 Rp 152,099.64
70 Bisturi 11 bh 100 Rp 1,100.00
71 Bisturi 15 bh 0 Rp 1,100.00
72 Bisturi 15 bh 0 Rp 781.00
73 Bisturi 15 bh 200 Rp 1,402.50
74 Bisturi 20 bh 0 Rp 1,100.00
75 Bisturi 20 bh 100 Rp 1,402.50
76 Bisturi 22 bh 0 Rp 781.00
77 Bisturi 22 bh 0 Rp 6,050.00
78 Bisturi 22 bh 200 Rp 7,590.00
86 Cangkang 0 bh 1000 Rp 138.60
103 CADD Extension 60 inchi bh 17 Rp 62,700.00
104 CVC Set 3-Lumen 7FRx20cm bh 4 Rp 514,800.00
110 Coverplast Transparan bh 0 Rp 425.04
111 Dermafix-T 10x15 bh 0 Rp 9,563.40
112 Dermafix-T 10x25 bh 0 Rp 15,835.50
155 Elektroda bh 50 Rp 4,356.00
156 Elektroda bh 0 Rp -
157 ETT 2,5 bh 0 Rp 156,750.00
158 ETT 2,5 bh 9 Rp 165,000.00
159 ETT 3,0 bh 35 Rp 90,750.00
160 ETT 3,5 bh 10 Rp 13,223.99
161 ETT 4,0 bh 2 Rp 13,223.99
162 ETT 4,0 bh 15 Rp 13,223.99
163 ETT 5,0 bh 10 Rp 13,223.99
164 ETT 6,0 bh 15 Rp 13,223.99
165 ETT 7,0 bh 0 Rp 13,223.99
166 ETT 7,0 bh 7 Rp 13,223.99
167 ETT 7,5 bh 4 Rp 13,223.99
bh 0 Rp 17,520.80
175 Foley catheter 8 bh 10 Rp 74,250.00
200 Formalin bh 1 Rp 937,750.00
201 Gudel 1 bh 20 Rp 15,504.50
202 Gudel 2 bh 20 Rp 15,504.50
203 Gudel 3 bh 0 Rp 59,400.00
204 Gudel 3 bh 1 Rp 25,740.00
205 Gudel 3 bh 2 Rp 156,750.00
206 Gudel 3 bh 4 Rp 14,460.00
207 Gudel 3 bh 20 Rp 15,504.50
208 Gudel 4 bh 0 Rp 25,740.00
209 Gudel 4 bh 0 Rp 59,400.00
210 gudel 4 bh 1 Rp 156,750.00
211 Gudel 4 bh 20 Rp 18,254.50
212 Gudel 5 bh 1 Rp 59,400.00
213 Gudel 5 bh 2 Rp 156,750.00
214 Gudel 5 bh 5 Rp 38,500.00
215 Gudel 6 bh 0 Rp 59,400.00
216 Gudel 6 bh 6 Rp 156,750.00
225 Handschoen NS Uk S PF bh 0 Rp 670.45
226 Handschoen Steril No. 7 bh 0 Rp 5,451.99
227 Abbocath 16 bh 0 Rp 115,979.00
228 Abbocath 16 bh 0 Rp 423,500.00
229 Hipafix 5x5 bh 0 Rp 80,960.00
230 Hipafix 5x5 bh 19 Rp 95,700.00
231 Hipafix 5x5 bh 0 Rp 104,500.00
232 Hydrox bh 0 Rp 65,000.10
242 Jarum Hecting Otot 12 bh 36 Rp 2,291.67
253 Kapas 250 g bh 0 Rp 14,374.99
254 Kapas 250 g bh 0 Rp 14,375.00
255 Kapas 250 g bh 0 Rp 24,200.00
256 Kapas 250 g bh 0 Rp 34,100.00
263 Kasa Kompres Steril bh 216 Rp 412.50
267 Kertas CTG bh 0 Rp 160,600.00
269 Kertas EKG bh 12 Rp 41,250.00
271 Kertas USG bh 24 Rp 426,800.00
277 Maag Slang 3,5 bh 40 Rp 29,480.00
278 Maag Slang 5 bh 210 Rp 52,250.00
279 Maag Slang 8 bh 0 Rp 52,250.00
280 Maag Slang 8 bh 0 Rp 7,656.00
281 Maag Slang 8 bh 0 Rp 8,804.00
282 Maag Slang 8 bh 0 Rp 33,880.00
283 Maag Slang 8 bh 125 Rp 8,421.65
284 Maag Slang 10 bh 5 Rp 46,200.00
285 Maag Slang 10 bh 0 Rp 46,200.00
286 Maag Slang 12 bh 0 Rp 8,906.00
287 Maag Slang 12 bh 4 Rp 8,519.00
288 Maag Slang 16 bh 0 Rp 50,600.00
289 Maag Slang 16 bh 0 Rp 2,887.50
290 Maag Slang 16 bh 0 Rp 8,519.00
291 Maag Slang 18 bh 0 Rp 8,906.00
292 Maag Slang 18 bh 0 Rp 8,905.99
293 Maag Slang 18 bh 0 Rp 2,887.50
294 Maag Slang 18 bh 0 Rp 27,720.00
295 Maag Slang 18 bh 0 Rp 43,870.00
296 Maag Slang 18 bh 154 Rp 8,518.40
297 Magnesium Sulfat bh 2 Rp 49,500.00
300 Masker O2 Anak Non Rebreathingbh 53 Rp 27,000.60
313 Mitella bh 9 Rp 9,108.00
314 Needle 18G bh 0 Rp 1,237.50
315 Needle 18G bh 0 Rp 222.64
316 NIV Full Face Mask, Non Vented S bh 0 Rp 4,433,000.00
317 NIV Full Face Mask, Non Vented Mbh 0 Rp 4,433,000.00
318 NIV Full Face Mask, Non Vented L bh 0 Rp 4,433,000.00
319 Opsite 25 x 10 bh 20 Rp 70,125.00
322 Perfusor Leitung bh 0 Rp 49,005.00
323 Polifix 5cm x 5m bh 111 Rp 41,100.00
333 Reinforced Trachael Cuff 7,5 bh 15 Rp 317,244.40
334 Sikat Operasi Steril bh 0 Rp 46,585.00
343 Spinocaine 25 bh 200 Rp 49,500.00
344 Spinocan 26 bh 75 Rp 45,650.00
345 Spinocan 27 bh 0 Rp 34,100.00
367 Thermal Paper bh 0 Rp 260,700.00
381 Urine Bag bh 240 Rp 11,000.00
382 Urogard bh 0 Rp 85,800.00
383 Urogard bh 5 Rp 85,500.00
384 Vaseline Putih bh 0 Rp 93,500.00
OBAT
12 Alprazolam 1 mg Tablet 300 Rp 874.80
20 Amitripthyllin 25 mg Tablet 0 Rp -
22 Aminophyllin 200 mg Tablet 0 Rp 140.00
23 Aminefron Tablet 3500 Rp 5,720.00
37 Arkine 2 mg Tablet 0 Rp 670.31
39 Asam Mefenamat 500 mg Tablet 0 Rp -
46 Betahistin 6 mg Tablet 6100 Rp 119.00
50 Calcium lactate 500 mg Tablet 6100 Rp 63.00
51 Captopril 25 mg Tablet 0 Rp 80.00
52 Carbamazepin 200 mg Tablet 0 Rp 234.00
61 Cepezet Tablet 3700 Rp 346.50
64 Chloroquine 150 mg Tablet 1200 Rp 207.55
75 Codein HCl 10 mg Tablet 0 Rp 657.00
76 Codein HCl 20 mg Tablet 0 Rp 1,494.00
82 Clorilex 25 mg Tablet 2000 Rp 1,320.00
87 Dimenhidrinat 50 mg Tablet 0 Rp 121.00
98 Flunarizin 5 mg Tablet 0 Rp 893.75
101 Glibenclamide 5 mg Tablet 1800 Rp 61.00
102 Glimepiride 2 mg Tablet 9000 Rp 207.00
105 Ibuprofen 200 mg Tablet 0 Rp 112.00
128 Lodomer 2 mg Tablet 5000 Rp 762.30
129 Lodomer 5 mg Tablet 1100 Rp 1,312.85
132 Metoclopramid 10 mg Tablet 11000 Rp 87.00
139 Meloxicam 15 mg Tablet 0 Rp 1,018.14
143 Merlopam 0,5 mg Tablet 500 Rp 731.50
144 Merlopam 2 mg Tablet 2000 Rp 2,310.00
159 Metronidazol 500 mg Tablet 7000 Rp 171.60
162 Nifedipin 10 mg Tablet 3000 Rp 112.00
168 Onoiwa Tablet 0 Rp 5,280.00
169 Ondancetron 4 mg Tablet 23868 Rp 429.00
176 Piracetam 800 mg Tablet 5100 Rp 602.25
179 Pirazinamid 500 mg Tablet 500 Rp 308.00
184 Prednisolon 5 mg Tablet 1000 Rp 74.00
189 Pyrantel 125 mg Tablet 600 Rp 331.00
190 Phytomenadion 10 mg Tablet 0 Rp 873.00
191 Phytomenadion 10 mg Tablet 800 Rp 1,182.26
192 Quatro 0,4 mg Tablet 0 Rp 1,760.00
198 Risperidon 2 mg Tablet 0 Rp 2,052.00
212 Silum 5 mg Tablet 4500 Rp 981.75
216 Tetrasiklin 500 mg Tablet 0 Rp 484.00
221 Vitamin B6 10 mg Tablet 1200 Rp 141.00
226 Valdimex 5 mg Tablet 3000 Rp 847.00
229 Defemin (CTM 4 mg) Tablet 0 Rp 29.04
230 Dexametason 0,5 mg (HARSEN) Tablet 0 Rp 275.55
233 Novatrim Tablet 0 Rp 495.00
INJEKSI
1 Aminofillin Inj. Ampul 0 Rp 6,188.00
4 Anti Hemorrhoida Suppo 0 Rp 3,641.99
5 Atropin Sulfat Inj Ampul 0 Rp 1,859.00
6 Aqua Destillata Botol 4320 Rp 2,860.00
10 Bunascan 0,5 20 ml Ampul 0 Rp 49,280.00
11 Carbazochrom inj Ampul 0 Rp 9,834.00
21 Citicoline 125mg/ml Ampul 0 Rp 7,865.00
27 Diphen hydramin 1ml Ampul 0 Rp 1,864.61
28 Dobutamin 250mg Ampul 0 Rp 32,648.00
29 Ephedrin amp Ampul 118 Rp 27,500.00
32 Farmabes Vial Vial 0 Rp 56,628.00
33 Fentanyl Injeksi Ampul 250 Rp 41,599.80
34 Furosemid Injeksi Ampul 5400 Rp 1,555.00
37 Isoflurane 250 ml Botol 0 Rp 1,452,000.00
42 Lasalcom Ampul 0 Rp 10,315.00
43 Levemir Flex Pen Pen 365 Rp 83,950.00
48 Mecobalamin inj Ampul 0 Rp 88,000.00
56 Miloz Inj Ampul 150 Rp 4,351.00
60 N-Epi Ampul 25 Rp 69,300.00
65 Norevel 250ml Botol 5 Rp 1,925,000.00
66 Novaldo Ampul 750 Rp 5,445.00
67 Novomix -30 Flex Pen Pen 0 Rp 110,968.00
89 Pehacain Injeksi Ampul 0 Rp 2,750.00
92 Pethidine Injeksi Ampul 620 Rp 15,950.00
107 Regivel 4ml Ampul 215 Rp 53,900.00
108 Sibital (Phenobarbital) Ampul 120 Rp 8,910.00
109 Sikzonoate Injeksi Ampul 0 Rp 70,785.00
112 Vitamin k 2 mg inj (Phytomenadio Ampul 0 Rp 4,235.99
113 Vitamin k 10 mg inj (Phytomenadi Ampul 30 Rp 4,766.67
CAIRAN STERIL
9 Dexotrose 5 % Botol 600 Rp 7,363.40
12 KAEN 3 B Botol 0 Rp 10,285.00
13 KAEN 3 B Botol 50 Rp 11,313.50
16 Manitol 20% 250ml Botol 250 Rp 28,275.50
17 Mannitol 20% 500ml Botol 80 Rp 43,499.50
18 MgSO4 20 % Botol 368 Rp 3,327.50
19 MgSO4 40% Botol 76 Rp 3,796.10
20 NaCl 0,9 % Botol 0 Rp 6,409.70
21 NaCl 0,9 % Botol 0 Rp 6,839.80
22 NaCl 0,9 % Botol 4720 Rp 6,395.21
30 Ringer Laktat Botol 0 Rp -
33 Wida - KDN 1 Botol 220 Rp 12,492.70
CAIRAN NON STERIL
1 AgNo3 30% Botol 0 Rp 423,500.00
2 AgNo3 40% Botol 0 Rp 430,650.00
4 Alkohol 70% Botol 0 Rp -
6 Alkohol 70% Botol 183 Rp 277,830.00
10 Biosanitizer Botol 0 Rp 1,892,000.00
11 Cidex Gall 0 Rp 462,000.00
15 H2O2 Botol 2 Rp 41,800.00
16 Larutan Browi Botol 1 Rp 264,000.00
17 Rivanol Botol 17 Rp 9,900.00
SEDIAAN ORAL CAIR
3 Amoxicillin Syrup Botol 150 Rp 4,290.00
10 Chloramfenicol 125 mg/5ml Botol 0 Rp 4,725.00
13 Paracetamol Syrup Botol 0 Rp 3,159.20
SEDIAAN TOPIKAL
3 Bedak Salicyl Pot 30 Rp 6,006.00
4 Betametason Cream 0.00 75 Rp 1,420.00
5 Betametason Cream Tube 100 Rp 1,514.70
6 Chloramfenicol 1% SM 0.00 288 Rp 2,013.00
7 Fuson salep 0.00 43 Rp 55,962.00
8 Gentamicin 0,1% 0.00 0 Rp 1,966.82
9 Gentamicin 0,1% 0.00 0 Rp 3,559.63
10 Hidrocortison 2.5% Cream 0.00 264 Rp 2,647.70
11 Hidrocortison 2.5% Cream Tube 0 Rp 5,723.30
12 Miconazole Cream 2% Tube 240 Rp 3,925.90
13 Oxytetracycline 1% SM 0.00 0 Rp 2,600.40
14 Oxytetracycline 1% SM Tube 100 Rp 2,600.40
7 Cendo Mydratil 1% Botol 1 Rp 39,971.25
8 Cendo Pantocain 2% Drops 5cc Botol 10 Rp 13,846.25
17 Cendo Xitrol Salp Mata 3.5 gr Tube 57 Rp 37,489.38
18 Minidose Natacen Pcs 50 Rp 8,699.63
B UMUM
BMHP
1 Abbocath 26 bh 0 Rp 28,490.00
3 Abbocath 20 bh 0 Rp 25,135.00
6 Abbocath 18 bh 0 Rp 25,135.00
8 Apron bh 0 Rp 2,904.40
9 Aquasonic Gall Parker bh 0 Rp 990,000.00
10 Biolon 5-0 bh 60 Rp 62,700.00
16 Benang Tycryl 0 bh 0 Rp 99,000.00
17 Benang Tycril 1 bh 0 Rp 105,600.00
18 Benang Tycril 2-0 bh 0 Rp 94,600.00
19 Benang Tycril 3-0 Round Bodied bh 0 Rp 93,500.00
20 Benang Tycril 3-0 Cutting bh 48 Rp 93,500.00
21 Benang PGA 4/0 bh 24 Rp 64,300.00
22 Benang PGA 2/0 bh 0 Rp 76,800.00
34 Coverplast bh 3200 Rp 576.04
35 Bisturi 11 bh 100 Rp 1,100.00
36 Bisturi 15 bh 0 Rp 1,402.50
40 Dispo 5 cc bh 0 Rp 862.50
41 Dispo 5 cc bh 0 Rp 1,117.08
42 Dispo 10 cc bh 0 Rp 1,063.75
44 Disposable 50 cc Catheter Tip bh 0 Rp 6,013.70
47 ETT 3,5 bh 0 Rp 68,200.00
48 ETT 5,0 bh 6 Rp 56,100.00
50 Gudel No. 4 bh 3 Rp 38,500.00
51 Hipafix 5cm x 5m bh 0 Rp 95,700.00
56 Kapas bh 1 Rp 34,100.00
57 Kapas bh 5 Rp 24,200.00
61 Kasa Lipat X-Ray 10 cm x 10 cm bh 0 Rp 3,973.75
63 Ky-Jelly bh 0 Rp 109,560.00
66 Loumatulle bh 0 Rp 27,500.00
67 Maag Slang 5 bh 0 Rp 33,880.00
68 Maag Slang 8 bh 4 Rp 33,880.00
69 Masker O2 Dewasa Nonrebreathinbh 0 Rp 18,211.99
70 Masker O2 Dewasa Rebreathing bh 24 Rp 13,339.99
71 Needle 18 bh 100 Rp 222.64
72 Opsite 25 x 10 bh 40 Rp 70,125.00
73 Perfussor Letung bh 0 Rp 49,005.00
74 Premilen Mesh bh 0 Rp 319,000.00
78 Tranfusi Set bh 0 Rp 5,683.99
82 Underpad Steril bh 0 Rp 8,769.90
84 Urogard bh 10 Rp 85,800.00
TABLET
1 Antasida Doen Tablet 0 Rp 210.59
2 Cetrizin 10 mg Tablet 0 Rp 104.00
3 Citicoloin 500 mg Tablet 5940 Rp 4,950.00
5 Digoxin Tablet 0 Rp 104.00
7 Farbion Tablet 0 Rp 1,122.00
9 Meloxicam 7.5 mg Tablet 7000 Rp 328.32
12 Mecobalamin 500 mg Tablet 3000 Rp 748.00
13 Omeprazole 20 mg Tablet 0 Rp 4,734.84
14 Onoiwa 500 mg Tablet 5280 Rp 5,280.00
15 Paracetamol 500 mg Tablet 0 Rp 990.00
17 Pyrantel Pamoat 125 mg Tablet 0 Rp 404.91
19 Simvastatin 20 mg Tablet 0 Rp 1,231.21
INJEKSI
1 Ampicillin Ampul 500 Rp 9,473.00
2 Ceftriaxone 1gr Ampul 0 Rp 5,147.55
3 Dobutamin 250mg/5ml inj Ampul 0 Rp 40,810.00
4 Isorane Botol 2 Rp 1,542,750.00
6 Nicardipin Ampul 0 Rp 52,800.00
8 Norevell 250ml Botol 2 Rp 1,925,000.00
9 Omeprazole Vial Vial 3800 Rp 12,966.80
CAIRAN STERIL
1 MgSO4 40 % Botol 0 Rp 3,795.99
2 Ringer Lactat Botol 0 Rp 7,629.60
3 Widahes Bes Botol 70 Rp 115,500.00
CAIRAN NON STERIL
2 H2O2 Botol 1 Rp 41,800.00
3 Povidone Iodium Botol 7 Rp 85,800.00
SEDIAAN ORAL CAIR
C PPI
3 Baju Operasi uk L Steril Set 60 Rp 56,568.61
4 Baju operasi uk L non steril Set 30 Rp 25,500.00
5 Handscoen Non Steril S Pcs 0 Rp 243.10
12 Handscoen Steril 6,5 (gynecolog) Pair 120 Rp 20,183.99
13 Handscoen Steril 7 (gynecolog) Pair 170 Rp 20,183.99
14 Handscoen Steril 6,5 Pair 50 Rp 5,451.99
29 Masker Pcs 6850 Rp 431.97
31 Nurse Cup Pcs 3100 Rp 383.98
JUMLAH
Mengetahui,

NIP: 19850411 201001 1 020 NIP: 19870213 201101 1 010
NG
ULU
rekang
Massenrempulu Enrekang
masi RSUD Massenrempulu Enrekang
gudang farmasi RSUD
Nilai
Rp 198,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 784,424.00
Rp -
Rp 5,027,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 940,450.50
Rp -
Rp -
Rp -
Rp -
Rp 2,772,000.00
Rp -
Rp -
Rp 660,000.00
Rp -
Rp -
Rp 2,090,000.00
Rp 7,920,000.00
Rp 1,100,000.00
Rp -
Rp 15,800,400.00
Rp -
Rp 12,038,400.00
Rp -
Rp 3,537,600.00
Rp 9,979,200.00
Rp 1,656,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,187,600.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,244,000.00
Rp 5,610,000.00
Rp 752,400.00
Rp -
Rp -
Rp 753,500.00
Rp 70,963,200.00
Rp 4,540,800.00
Rp 13,464,000.00
Rp 5,610,000.00
Rp -
Rp -
Rp 110,000.00
Rp -
Rp -
Rp 280,500.00
Rp -
Rp 140,250.00
Rp -
Rp -
Rp 1,518,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 379,500.00
Rp 138,600.00
Rp -
Rp -
Rp -
Rp 360,360.00
Rp -
Rp 889,350.00
Rp -
Rp -
Rp 544,500.00
Rp -
Rp -
Rp -
Rp 1,464,299.03
Rp 1,067,000.00
Rp 1,374,965.90
Rp 982,118.50
Rp 1,065,900.00
Rp 2,059,200.00
Rp -
Rp -
Rp -
Rp 2,227,500.00
Rp 6,828,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 115,500.00
Rp -
Rp -
Rp 2,159,520.00
Rp -
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Rp -
Rp -
Rp -
Rp 4,247,100.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,715,240.00
Rp -
Rp -
Rp 326,700.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,210,000.00
Rp -
Rp -
Rp -
Rp -
Rp 2,310,000.00
Rp -
Rp -
Rp -
Rp 396,396.00
Rp -
Rp 2,417,800.00
Rp -
Rp 217,800.00
Rp -
Rp -
Rp 1,485,000.00
Rp 3,176,250.00
Rp 132,239.91
Rp 26,447.98
Rp 198,359.87
Rp 132,239.91
Rp 198,359.87
Rp -
Rp 92,567.94
Rp 52,895.96
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 742,500.00
Rp 690,000.00
Rp -
Rp 690,000.00
Rp -
Rp 550,000.00
Rp -
Rp 275,000.00
Rp 106,480.00
Rp -
Rp -
Rp -
Rp 212,960.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 532,400.00
Rp 136,880.00
Rp -
Rp 2,970,000.00
Rp 937,750.00
Rp 310,090.00
Rp 310,090.00
Rp -
Rp 25,740.00
Rp 313,500.00
Rp 57,840.00
Rp 310,090.00
Rp -
Rp -
Rp 156,750.00
Rp 365,090.00
Rp 59,400.00
Rp 313,500.00
Rp 192,500.00
Rp -
Rp 940,500.00
Rp -
Rp -
Rp -
Rp -
Rp 773,499.65
Rp 1,718,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,818,300.00
Rp -
Rp -
Rp -
Rp 2,361,216.00
Rp 231,000.00
Rp 419,100.00
Rp -
Rp -
Rp -
Rp 540,000.00
Rp 74,359.92
Rp 82,500.12
Rp -
Rp -
Rp -
Rp 1,045,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 998,800.00
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp 12,153,240.00
Rp -
Rp -
Rp 89,100.00
Rp -
Rp -
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Rp -
Rp -
Rp 495,000.00
Rp -
Rp 10,243,200.00
Rp 1,601,600.00
Rp -
Rp -
Rp 3,203,200.00
Rp -
Rp 1,179,200.00
Rp 10,972,500.00
Rp -
Rp -
Rp -
Rp -
Rp 1,052,706.25
Rp 231,000.00
Rp -
Rp -
Rp 34,076.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,311,833.60
Rp 99,000.00
Rp -
Rp 1,267,300.00
Rp 1,431,031.80
Rp -
Rp -
Rp 132,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 81,972.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,402,500.00
Rp 2,623,500.00
Rp 6,303,000.00
Rp -
Rp 4,562,100.00
Rp 1,336,571.50
Rp 1,336,571.50
Rp 1,336,571.50
Rp 1,336,571.50
Rp 1,336,571.50
Rp 1,336,571.50
Rp 4,009,714.50
Rp 4,009,714.50
Rp 2,673,143.00
Rp 4,758,666.00
Rp -
Rp -
Rp -
Rp 105,700.00
Rp -
Rp -
Rp 294,250.00
Rp -
Rp -
Rp 9,900,000.00
Rp 3,423,750.00
Rp -
Rp 374,756.25
Rp -
Rp -
Rp -
Rp -
Rp 1,758,856.00
Rp 19,988.00
Rp -
Rp 186,400.50
Rp -
Rp -
Rp 320,226.50
Rp 64,957.75
Rp -
Rp 334,565.00
Rp -
Rp -
Rp 171,600.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,224,520.00
Rp -
Rp -
Rp 1,980,000.00
Rp -
Rp -
Rp -
Rp -
Rp 2,640,000.00
Rp -
Rp 427,500.00
Rp -
Rp 340,500.00
Rp -
Rp 90,800.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,183,195.00
Rp 1,551,840.00
Rp -
Rp 262,440.00
Rp -
Rp -
Rp -
Rp 2,365,440.00
Rp -
Rp -
Rp 396,000.00
Rp -
Rp 1,108,800.00
Rp -
Rp 20,020,000.00
Rp -
Rp -
Rp -
Rp 2,420,040.00
Rp -
Rp -
Rp 2,820,300.00
Rp -
Rp -
Rp -
Rp -
Rp 1,423,730.00
Rp 3,445,300.00
Rp -
Rp -
Rp -
Rp 2,208,250.00
Rp 5,600,000.00
Rp -
Rp 17,126,400.00
Rp -
Rp 6,652,800.00
Rp 725,900.00
Rp -
Rp -
Rp -
Rp 384,300.00
Rp -
Rp -
Rp -
Rp 8,176,438.00
Rp -
Rp 10,536,160.00
Rp 1,299,378.00
Rp -
Rp -
Rp -
Rp 1,282,050.00
Rp -
Rp 619,850.00
Rp 249,060.00
Rp -
Rp 533,504.00
Rp -
Rp 3,387,720.00
Rp -
Rp -
Rp 2,890,800.00
Rp -
Rp 5,272,200.00
Rp -
Rp -
Rp -
Rp 2,733,500.00
Rp -
Rp -
Rp 198,000.00
Rp 726,100.00
Rp 2,640,000.00
Rp -
Rp 6,053,400.00
Rp -
Rp 1,003,200.00
Rp -
Rp -
Rp 748,800.00
Rp -
Rp -
Rp 11,197,440.00
Rp -
Rp 2,613,600.00
Rp -
Rp -
Rp 1,640,000.00
Rp -
Rp -
Rp 19,747,200.00
Rp 109,800.00
Rp 1,863,000.00
Rp -
Rp -
Rp -
Rp -
Rp 4,820,072.40
Rp -
Rp 4,043,732.00
Rp 18,425,090.40
Rp 245,992.50
Rp 858,000.00
Rp 1,927,200.00
Rp -
Rp -
Rp 11,781,000.00
Rp -
Rp 62,832,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,006,400.00
Rp 3,811,500.00
Rp 1,444,135.00
Rp 2,992,000.00
Rp -
Rp 957,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,639,400.00
Rp 365,750.00
Rp 4,620,000.00
Rp 2,205,000.00
Rp 1,461,600.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,184,080.00
Rp -
Rp 5,616,000.00
Rp -
Rp -
Rp -
Rp -
Rp 1,201,200.00
Rp -
Rp -
Rp 336,000.00
Rp -
Rp -
Rp -
Rp -
Rp 2,783,143.20
Rp -
Rp 10,239,372.00
Rp -
Rp -
Rp -
Rp -
Rp 594,000.00
Rp -
Rp 3,071,475.00
Rp -
Rp 1,164,240.00
Rp 154,000.00
Rp 480,000.00
Rp 318,600.00
Rp -
Rp -
Rp 74,000.00
Rp -
Rp 5,945,940.00
Rp 7,998,930.90
Rp 2,945,250.00
Rp 198,600.00
Rp -
Rp 945,808.00
Rp -
Rp -
Rp -
Rp -
Rp 4,038,200.00
Rp 1,200,000.00
Rp -
Rp 3,214,400.00
Rp 128,000.00
Rp 301,760.00
Rp -
Rp 1,858,500.00
Rp -
Rp 11,880,000.00
Rp -
Rp -
Rp -
Rp 1,911,000.00
Rp -
Rp -
Rp 4,417,875.00
Rp 424,000.00
Rp 5,966,400.00
Rp -
Rp -
Rp -
Rp 49,639,600.00
Rp -
Rp -
Rp 169,200.00
Rp -
Rp -
Rp -
Rp 19,296,000.00
Rp 2,541,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 18,567,079.61
Rp -
Rp -
Rp 12,355,200.00
Rp -
Rp -
Rp 3,203,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 7,962,213.60
Rp 22,023,100.00
Rp -
Rp -
Rp -
Rp 50,343,039.00
Rp -
Rp -
Rp 29,290,800.00
Rp -
Rp 1,451,424.00
Rp -
Rp -
Rp -
Rp 3,245,000.00
Rp -
Rp -
Rp -
Rp 10,399,950.00
Rp 8,397,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 30,641,750.00
Rp -
Rp -
Rp 134,888.00
Rp 434,606.70
Rp -
Rp -
Rp 5,488,560.00
Rp -
Rp 6,466,680.00
Rp -
Rp -
Rp -
Rp 652,650.00
Rp -
Rp 5,643,000.00
Rp 3,718,500.00
Rp 1,732,500.00
Rp -
Rp -
Rp -
Rp -
Rp 9,625,000.00
Rp 4,083,750.00
Rp -
Rp -
Rp 6,959,999.90
Rp -
Rp 2,598,750.00
Rp 11,781,000.00
Rp -
Rp -
Rp 293,799.60
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 11,957,290.00
Rp 495,000.00
Rp -
Rp -
Rp -
Rp 29,341,125.00
Rp -
Rp 16,478,000.00
Rp -
Rp 64,049.70
Rp 384,298.20
Rp 9,889,000.00
Rp -
Rp -
Rp 887,040.00
Rp -
Rp 11,797,320.00
Rp -
Rp 3,281,640.00
Rp 3,570,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 998,029.20
Rp 11,588,500.00
Rp 1,069,200.00
Rp -
Rp -
Rp -
Rp -
Rp 143,000.10
Rp 23,864,192.00
Rp -
Rp 3,732,740.00
Rp -
Rp -
Rp 6,482,044.80
Rp -
Rp 13,800,600.00
Rp 4,418,040.00
Rp 1,949,948.00
Rp 340,340.00
Rp -
Rp 565,675.00
Rp -
Rp 2,027,872.00
Rp 7,068,875.00
Rp 3,479,960.00
Rp 1,224,520.00
Rp 288,503.60
Rp -
Rp -
Rp 30,185,391.20
Rp -
Rp 6,800,640.00
Rp -
Rp 232,056.00
Rp -
Rp 1,213,388.00
Rp -
Rp -
Rp 20,905,104.00
Rp -
Rp 2,748,394.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 50,842,890.00
Rp -
Rp -
Rp 66,000.00
Rp -
Rp -
Rp 343,200.00
Rp -
Rp -
Rp 83,600.00
Rp 264,000.00
Rp 168,300.00
Rp -
Rp 219,006.92
Rp 643,500.00
Rp 7,043,652.00
Rp -
Rp -
Rp 1,082,346.00
Rp 1,233,144.00
Rp -
Rp -
Rp -
Rp 643,800.00
Rp -
Rp -
Rp 6,138,000.00
Rp -
Rp 103,141.50
Rp 180,180.00
Rp 106,500.00
Rp 151,470.00
Rp 579,744.00
Rp 2,406,366.00
Rp -
Rp -
Rp 698,992.80
Rp -
Rp 942,216.00
Rp -
Rp 260,040.00
Rp -
Rp 452,421.75
Rp -
Rp 2,125,372.50
Rp -
Rp -
Rp 39,971.25
Rp 138,462.50
Rp -
Rp 323,523.80
Rp -
Rp 1,953,930.00
Rp -
Rp 511,500.00
Rp -
Rp -
Rp 2,136,894.66
Rp 434,981.50
Rp -
Rp 2,739,082.50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 3,762,000.00
Rp 831,600.00
Rp 831,600.00
Rp 3,489,600.00
Rp 3,537,600.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 4,488,000.00
Rp 1,543,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,843,328.00
Rp 110,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 326,700.00
Rp -
Rp -
Rp -
Rp -
Rp 336,600.00
Rp -
Rp 115,500.00
Rp -
Rp -
Rp -
Rp 414,700.00
Rp 82,499.76
Rp 34,100.00
Rp 121,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 123,200.00
Rp -
Rp -
Rp -
Rp 135,520.00
Rp -
Rp 320,159.76
Rp 22,264.00
Rp 2,805,000.00
Rp -
Rp -
Rp -
Rp 287,421.75
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 858,000.00
Rp -
Rp -
Rp -
Rp 29,403,000.00
Rp 3,386,880.00
Rp -
Rp -
Rp -
Rp 3,234,000.00
Rp 2,298,240.00
Rp 3,502,710.00
Rp 853,440.00
Rp 2,244,000.00
Rp -
Rp 27,878,400.00
Rp -
Rp 3,492,720.00
Rp -
Rp -
Rp -
Rp 883,440.00
Rp 4,736,500.00
Rp -
Rp -
Rp 3,085,500.00
Rp 197,548.50
Rp -
Rp -
Rp 3,850,000.00
Rp 49,273,840.00
Rp -
Rp -
Rp 8,085,000.00
Rp 30,000.00
Rp 41,800.00
Rp 600,600.00
Rp -
Rp 5,058,690.00
Rp 3,959,802.70
Rp 3,394,116.60
Rp 765,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 11,127,688.00
Rp 2,422,078.80
Rp 3,431,278.30
Rp 272,599.50
Rp 18,536,800.00
Rp -
Rp -
Rp -
Rp -
Rp 846,799.00
Rp -
Rp -
Rp -
Rp 10,161,588.00
Rp 6,774,392.00
Rp 3,387,196.00
Rp -
Rp -
Rp 2,958,994.50
Rp -
Rp 1,190,338.00
Rp 1,609,022,968.16
ng Jawab Instalasi Farmasi
, S.Farm, Apt
213 201101 1 010

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PEMERINTAH KABUPATEN ENREKANG

RUMAH SAKIT UMUM MASSENREMPULU

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : 19850411 201001 1 020

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan Nilai

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

masi RSUD Massenrempulu Enrekang

gudang farmasi RSUD

ng Jawab Instalasi Farmasi

Pada hari ini, tanggal bulan tahun

2 Nama : Suwarno S, S.Farm, Apt

No Nama Obat Satuan Jumlah Harga Satuan

Alham Muchtar, S.Si, Apt Suwarno S, S.Farm, Apt

masi RSUD Massenrempulu Enrekang

gudang farmasi RSUD

ng Jawab Instalasi Farmasi

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