Stock Opname BMHP Gudang Des 2020

PEMERINTAH KABUPATEN RAJA AMPAT
RUMAH SAKIT UMUM DAERAH KABUPATEN RAJA AMPAT

E-mail : rsudr04@gmail.com
Jl. Jenderal Basuki Rahmat Telp. (0951) 3173358
RAJA AMPAT - PAPUA BARAT
Pada hari ini Senin Tanggal 31 bulan Desember tahun Dua ribu Delapan belas, kami melakukan stock opname Bahan Medis Habis Pakai
di Rumah Sakit Umum Daerah, dengan rincian sebagai berikut :
Obat Masuk per 1 Juli s/d 31 Obat Obat

Sisa Desember 18 ED Per keluar Sisa Tgl Nomor
Obat 1 Agts per 1 Obat Harga
No. JENIS PERSEDIAAN Satuan Per 31
Expire Batch
Sisa Bantuan Bantuan s/d 31 Agts s/d Per 31 Satuan (RP)
Pengadaa
Juli '18 Pengadaa 30% n 2018
Dinkes Des 31 Des Des '18
n 2017 BPJS R4 2018 '18
A BAHAN HABIS PAKAI

1 Alkacide 1 Ltr Botol 0
Alkazyme 25 gr Pack 30 30 Mar '21 8510N0719-825 801,000
2 Alkohol 70% 1000 ml Botol 0
3 Alkohol Swab 70% Box 0
4 Alkohol Swab 70% Box 0
5 Etil Klorida Spray Botol 0
6 Povidon Iodida VIDENE 500 ml Botol 0
7 Povidon Iodida Betadine 300 ml Botol 30 30 Mar '21 160,418,888 27,000
8 Povidon Iodida BETADINE 1000 ml Botol 0
9 Rivanol 300 ml Botol 30 30 Mei '20 12,061,788 3,400
11 Scrub HYDREX Scrub 500 ml Botol 0
12 Scrub ONE SCRUB 500 ml Botol 0
13 Aquagel Steril Ecolab Jelly 5 gr Sachet 0
14 Jelly USG Botol 0
15 My Jelly Tube 106 106 Jul '20 22,081,788 44,324
16 Abbocath No 16 Picis 0
18 Abbocath No 20 Picis 400 400 Okt '21 16K3004 10,260
24 Abbocath no. 26 Picis 0
25 Abbocath no. 26 Picis 0
26 Penflon No. 18 Picis 0
32 Three Way Stopcock Picis 0
33 Three Way Stopcock With Tube Picis 0
34 Guidel Airway 60 mm Picis 0
39 Spinocan Injeksi No. 25 Picis 0
40 Spinocan injeksi No. 26 Picis 0
43 Cord Clamps (Penjepit Tali Pusar) Picis 0
44 Needle No. 22 Box,100 pcs 0
47 Disposible Syringes 1 CC Picis 0
53 Endotracheal Tube ( ETT ) No. 2,5 Tube 0
54 Endotracheal Tube ( ETT ) No. 3 tube 0
56 Endotracheal Tube ( ETT ) No. 4 Tube 0
59 Endotracheal Tube ( ETT ) No. 5 Tube 0
64 Endotracheal Tube ( ETT ) No. 6,5 tube 0
66 Endotracheal Tube ( ETT ) No.7,5 tube 0
67 Endotracheal Tube ( ETT ) No.8 Tube 0
68 ETT Non King No. 5 Tube 5 5 Nov '22 103,902,050 729,509
69 ETT Non King No. 6,5 Tube 5 5 Feb '22 103,902,065 729,509
70 ETT Non King No. 7 Tube 5 5 Mar '22 103,902,070 729,509
71 ETT Non King No. 7,5 Tube 5 5 Apr '22 103,902,075 729,509
72 ETT Tanpa Cup No. 2,0 Tube 0
73 ETT Tanpa Cup No. 2,5 tube 0
74 ETT Tanpa Cup No. 3 tube 0
75 ETT Tanpa Cup No. 3,5 tube 0
76 ETT Tanpa Cup No. 4 Tube 0
77 ETT Tanpa Cup No. 4,5 Tube 0
78 ETT Tanpa Cup No. 5 Tube 0
Extention Tube Picis 20 20 apr '22 170526 B 50,000
Feeding Tube 3 Picis 50 50 Ags '20 170925B 55,500
79 Feeding Tube 3,5 35 cm Terumo Picis 0
80 Feeding Tube 4 40 cm Terumo Picis 0
81 Feeding Tube 5 100 cm Picis 0
86 NGT (Maag Slang) No. 3 Picis 0
87 NGT (Maag Slang) No. 3,5 Picis 0
93 Stomach Tube 8 Picis 0
101 LMA Supreme No. 3 Pcs 0
104 LMA Unique No. 1 Pcs 0
105 LMA Unique No. 1,5 Pcs 0
106 LMA Unique No. 2 Pcs 0
107 LMA Unique No. 2,5 Pcs 0
108 Rectal Tube No. 30 Picis 0
109 Suction Catheter No. 6 Picis 0
113 Suction Catheter No. 10 Picis 60 60 Nov '23 AKD2090341009 13,340
119 Infuset Dewasa Picis 0
120 Infuset Anak Picis 0
121 Infuset Transfusi Darah Picis 0
122 Injector Plug Picis 0
123 Urine Bag 2000 ml Bag 0
124 Urinal Plastik + Tutup Picis 0
125 Stikpan Plastik Picis 0
126 Bracket Handwash Plastik Picis 0
127 Nierbekken Stainles 23 cm Picis 0
128 Safety Box 1 Liter (karton) Picis 0
129 Safety Box Sharp 1 Liter (Plastik) Picis 0
Adhesive Tapes (steam) Stericlin Roll 30 30 264,465
131 Pouch With Indicator 9 x 26 cm Box 0
132 Pouch With Indicator 7 x 26 cm Box 0
133 Pouch With Indicator 15 cm x 200 M (Roll) Roll 0
136 Anestesi Flow Anak Set 0
137 Anestesi Flow Dewasa Set 0
138 Resusitator Bayi Set 0
139 Resusitator Bayi Set 0
140 Resusitator Anak Set 0
141 Resusitator Anak Set 0
142 Resusitator Dewasa Set 0
143 Resusitator Dewasa Set 0
144 Selang Oksigen Bayi Picis 0
147 Selang Oksigen Anak Picis 0
148 Selang Oksigen Anak Picis 0
149 Selang Oksigen Dewasa Picis 0
150 Masker Oksigen (Maxiflow) Bayi Picis 0
151 Masker Oksigen (Maxiflow) Anak Picis 0
152 Masker Oksigen (Maxiflow) Dewasa Picis 0
153 Masker rebreathing Picis 0
154 Masker Non Rebreathing Picis 0
155 Mask O2 with Reservoir (Hi-O2) Anak Picis 0
156 Mask O2 with Reservoir (Hi-O2) Dewasa Picis 0
157 Masker Nebulizer Anak Picis 0
158 Masker Nebulizer Dewasa Picis 0
159 Masker N95 Box 5 5 Jul '23 99BC208C26 20,000
160 Masker With Visor Box 0
161 Masker Earloop Plus Box 0
162 Masker Earloop Plus Box 0
163 Masker Earloop Box 0
166 Masker Tie on Box 0
167 Handscoon Panjang (Obgyn) Pasang 0
168 Handscoon Sensigloves L Ktk (100 lbr ) 0
169 Handscoon Sensigloves L Ktk (100 lbr ) 0
170 Handscoon Sensigloves M Ktk (100 lbr ) 0
172 Handscoon Sensigloves S Ktk (100 lbr ) 0
173 Handscoon Sensigloves S Ktk (100 lbr ) 0
174 Handscoon Sensigloves XS Ktk (100 lbr ) 0
176 Handscoon Steril No. 6,5 Pasang 1450 1,450 Mar '23 15655-01 10,260
179 Handscoon Steril No. 7 Pasang 800 800 Ags '22 15242-01 10,260
182 Handscoon Steril No. 7,5 Pasang 0
183 Handscoon Steril No. 8 Pasang 0
185 Surgical Gown (Baju Operasi) NonWoven L Picis 0
186 Surgical Gown (Baju Operasi) NonWoven XL Picis 0
187 Surgical Gown (Baju Operasi) Spunlace L Picis 0
188 Surgical Gown (Baju Operasi) Spunlace XL Picis 0
189 Apron One Pack 0
190 Apron One Pack 0
191 Under Pad 60 x 90 Pack 0
192 Under Pad 60 x 90 Pack 0
193 Nurse Cup Box 0
194 Sikat Operasi Picis 0
195 Dermafix S IV 6x7 Box, 25 lbr 0
196 Dermafix 10 x 8 Box, 10 Lbr 0
199 Premilen Mesh @ 5 Pcs Lembar 0
200 Leukoplas 1624 (5 cm x 4,5 M) Roll 0
201 Polifix 5 cm x 1 M Roll 0
206 Poligyp 5 cm x 2,7 M Roll 0
207 Poligyp 7,5 cm x 2,7 M Roll 50 50 Okt '21 S0301 64,176
209 Poligyp 10 cm x 2,7 M Roll 0
211 Poligyp 15 cm x 2,7 M Roll 50 50 Jan '22 S0303 76,468
208 Medigyps 7,5 cm x 2,7 M Roll 0
210 Medigyps 10 cm x 2,7 M Roll 0
212 Medigyps 10 cm x 2,7 M Roll 3 3 Ags '21 1230616 76,468
213 Poliban 5 cm x 2,7 M Roll 0
214 Poliban 7,5 cm x 2,7 M Roll 0
215 Poliban 10 cm x 2,7 M Roll 0
217 Poliban 15 cm x 2,7 M Roll 50 50 Okt '23 S0313 50,014
219 PoliCreepe 7,5 cm x 4,55 M Roll 0
220 PoliCreepe 7,5 cm x 4,55 M Roll 0
221 PoliCreepe 10 cm x 4,55 M Roll 0
224 Arm Sling S Picis 0
225 Arm Sling S Picis 0
226 Arm Sling M Picis 0
227 Arm Sling M Picis 0
228 Arm Sling L Picis 0
229 Arm Sling L Picis 0
230 Cervical Collar Neck Picis 0
231 Cervical Collar Neck Picis 0
232 Collor Neck Picis 0
233 Folley cateter (2 way) No. 3 Picis 0
234 Folley cateter (2 way) No. 3,5 Picis 0
243 Folley cateter (2 way) No.16 Picis 20 20 Ags '20 15610J 9,474
Folley cateter (2 way) No.16 Picis 20 20 Jun '22 180,630 67,500
244 Folley cateter (2 way) No. 18 Picis 30 30 Jan '20 464H14 9,474
247 Folley cateter (2 way) No. 20 Picis 20 20 Jan '22 180,630 67,500
251 Folley cateter (3 way) No. 18 Picis 30 30 Ags '21 183,430 67,500
252 Folley cateter (3 way) No. 20 Picis 20 20 Feb '22 183,430 67,500
253 Kapas Pembalut 250 g Roll 0
254 Kasa Hidrofil 16 x 16 cm Bks 0
255 Kasa Hidrofil 2m x 80 cm Bungkus 0
256 Kasa Hidrofil 40 Yard x 80 cm Rol 0
257 Kasa Kompres Steril 40 cm x 40 cm Bungkus 0
258 Kertas EKG 1 Channel FUKUDA Roll 0
259 Kertas EKG 3 Channel FUKUDA Roll 100 100 063R30-H01 739,970
260 Kertas EKG 6 Channel FUKUDA Roll 4 4 145F60-h05 569,900
261 Kertas Puyer (kertas perkamen) Bks 0
262 Kertas USG Picis 0
263 Ultra One Box (50 test ) 0
264 Gelang Anak Pink Picis 0
265 Gelang Anak Biru Picis 0
266 Gelang Dewasa Pink Picis 0
267 Gelang Dewasa Biru Picis 0
B PISAU,BENANG & JARUM
268 Catgut Chromic No. 2/0 Box,24 pcs 0
269 Catgut Chromic No. 3/0 Box,24 pcs 0
270 Catgut Plain No. 2/0 (3,5) 100 M Box,24 pcs 0
271 SoftSilk No. 3/0 Box,36 pcs 0
272 Jarum Hecting Kulit No.10 Lusin 0
275 Jarum Hecting Otot No.10 Lusin 0
278 Premilen Tuper 1.0 HR 40 Box, 36 pcs 0
279 Premilen Cutting 2/0 HR 30 Box, 36 pcs 0
280 Premilen Cutting 3/0 2xHR 22 Box, 36 pcs 0
281 Premilen Cutting 4/0 HR 30 Box, 36 pcs 0
282 SMI Catgut Chromic 0 HR 40 mm Box,12 pcs 0
283 SMI Catgut Plain 0 HR 37 mm Box,12 pcs 0
284 SMI Silk Black 0 HR 37 mm Box,12 pcs 0
285 SMI Surgicryl 0 HR 26 mm Box,12 pcs 0
286 SMI Catgut Chormic 0 HR 100 m Roll 0
287 SMI Catgut Plain 0 HR 100 m Roll 0
288 SMI Silk 0 100 m Roll 0
289 SMI Catgut Chromic 1 HR 40 mm Box,12 pcs 0
291 SMI Silk Black 1 HR 37 mm Box,12 pcs 0
292 SMI Surgicryl 1 HR 26 mm Box,12 pcs 0
294 SMI Catgut Chromic 2 HR Box,12 pcs 0
296 SMI Silk Black 2/0 HR 26 mm Box,12 pcs 0
297 SMI Surgicryl 2/0 HR 26 mm Box,12 pcs 0
298 SMI Catgut Chromic 2-0 100 m Roll 0
299 SMI Catgut Plain 2/0 HR 100 m Roll 0
301 SMI Silk 2/0 HR 100 m Roll 0
302 SMI Catgut Chromic 3/0 HR 26 mm Box,12 pcs 0
303 SMI Catgut Plain 3/0 HR 26 mm Box,12 pcs 0
304 SMI Silk Black 3/0 HR 26 mm Box,12 pcs 0
305 SMI Surgicryl 3/0 HR 26 mm Box,12 pcs 0
306 SMI Catgut Chromic 3-0 100 m Roll 0
307 SMI Silk Black 3 - 4 HR 80 m Roll 0
308 Bisturi No. 10 Picis 0
309 Bisturi No. 11 Picis 1,000 1,000 Jul '22 17,297 17,297
H LAB, UTDRS, RADIOLOGY DAN LAIN-LAIN
314 Antisera A Pcs 0
315 Antisera B Pcs 0
316 Antisera D Pcs 0
317 Blood Lancets Box 0
318 Blood Lancets Box 0
319 Bovine albumin 22% Botol 0
320 Cairan Developer Pasang 0
321 Cairan Fixer Pasang 0
322 Cleaner SFRI 2 Liter Botol 0
323 Diluen SFRI 20 Liter Gen 20 ltr 0
324 Diluen SFRI 20 Liter Gen 20 ltr 0
325 Film 24 x 30 Box, 100 lbr 0
326 Film 30 x 40 Box,100 lbr 0
327 Film 35 x 35 Box, 100 lbr 0
328 Formalin 37 % Botol 1 ltr 0
329 Formalin 37 % Botol 1 ltr 0
330 Giemza 250 ml Botol 0
331 Handscoon Biru uk S untuk Lab Box, 100 Psg 0
332 Kantong Darah 250 Ltr Piece 0
333 Kantong Darah 350 Ltr Piece 0
334 Kertas Film AGFA 10" x 12" Box,100 lbr 0
335 Kertas Film AGFA 8" x 10" Box,100 lbr 0
336 Lumpang + Alu 13 cm Picis 0
337 Lumpang + Alu 13 cm Picis 0
338 Lyse SFRI 500 ml Botol 0
339 Minyak Oil Imersi Botol 4 4 Jul '20 PG0483 1,750,000
340 Objek Glass / Slide Box 0
341 Objek Glass / Slide Box 0
342 Plastik Klip uk 5 x 7 (5x8) Pack, 100 lbr 0
343 Plastik Klip uk 6 x 8 (7x10) Pack, 100 lbr 500 500 60,000
344 Plastik Klip uk 10 x 12 (10 x 15) Pack, 100 lbr 0
345 Pot Dahak (Pack @25 Pot) Pot 0
346 RDT Malaria (Monotes) Box, 25 Test 0
347 Tabung EDTA Pack,100 bh 0
348 White Tip Pack,1000 0
349 Yellow Tip Pack,1000 0
Blue Tip Pack,500 5 5 Des '27 170,885 226,000
Test Mantoux (Tuberkulin) Vial 5 5 Jun '20 6500218 4,000,000
Rapid Test HIV 1&2 Oncoprobe Generation Box 3 3 Nov '20 OU1811 3,500,000
Rapid Test Syphilis Antibody Oncoprobe Box 3 3 Jun '20 OU18071 3,300,000
Rapid Test Malaria Box 3 3 Jun '20 1,805,117 3,500,000
Rapid Test HBsAg Oncoprobe Box 3 3 Jun '20 OU18073 2,500,000
Rapid Test Hcv Antibody Box 3 3 Mei '20 OU18053 3,000,000
Rapid Test HIV Fokus Box, 25 Test 15 15 Jul '20 1816147 352,825
Rapid Tes HIV VIKIA Box, 25 Test 6 6 Jun '20 1006684110 480,700
Rapid Test Syphilis Box, 25 Test 3 3 Sept '19 17016 118,750
Rapid Test HBsAg Box, 25 Test 6 6 Ags '19 01EM0016A 885,000
0
Waisai, 29 Juni 2018

Mengetahui
Direktur RSUD Penanggungjawab Gudang Obat
Kab. Raja Ampat
dr. Agus Hariyanto, Sp.B Nahruddin Abbas, S.Si., Apt

NIP. 19790830 200801 1 016 NIP. 19800427 200801 2 025
Total Harga
Satuan (Rp)
0
24,030,000
0
0
0
0
0
810,000
0
102,000
0
0
0
0
4,698,344
0
0
4,104,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,647,545
3,647,545
3,647,545
3,647,545
0
0
0
0
0
0
0
1,000,000
2,775,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
800,400
0
0
0
0
0
0
0
0
0
0
0
0
0
7,933,950
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,877,000
8,208,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,208,800
0
3,823,400
0
0
229,404
0
0
0
2,500,700
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
189,480
1,350,000
284,220
0
0
1,350,000
0
0
0
2,025,000
1,350,000
0
0
0
0
0
0
73,997,000
2,279,600
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17,297,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,000,000
0
0
0
30,000,000
0
0
0
0
0
0
1,130,000
20,000,000
10,500,000
9,900,000
10,500,000
7,500,000
9,000,000
5,292,375
2,884,200
356,250
5,310,000
289,256,303
Pada hari ini Senin Tanggal 31 bulan Desember tahun Dua ribu Delapan belas, kami melakukan stock opname Bahan Medis Habis Pakai
Obat Masuk per 1 Juli s/d 31Obat Obat

Sisa Desember 18 ED Per keluar Sisa Tgl
Obat 1 Agts per 1 Obat Harga Total Harga
No. JENIS PERSEDIAAN Satuan Per 31
Expire
Sisa Bantuan Bantuan s/d 31 Agts s/d Per 31 Satuan (RP) Satuan (Rp)
Pengadaa
Juli '18 Pengadaa 30% n 2018
Dinkes Des 31 Des Des '18
n 2017 BPJS R4 2018 '18
A BAHAN HABIS PAKAI

1 Alkacide 1 Ltr Botol 0 30 0 30 Nop'20 2,702,700 81,081,000
2 Alkohol 70% 1000 ml Botol 1,179 57 1,122 Jan '20 37,500 42,075,000
3 Alkohol Swab 70% Box 860 96 764 Jun '20 14,500 11,078,000
4 Alkohol Swab 70% Box 0 480 0 480 Jun '20 48,500 23,280,000
5 Etil Klorida Spray Botol 0 200 0 200 Jul '20 20,000 4,000,000
6 Povidon Iodida VIDENE 500 ml Botol 278 0 263 15 0 158,264 0
7 Povidon Iodida Betadine 300 ml Botol 0 72 64 8 Mar '21 35,000 280,000
8 Povidon Iodida BETADINE 1000 ml Botol 0 30 30 Feb '20 160,000 4,800,000
9 Rivanol 300 ml Botol 175 2 173 Jan '19 3,400 588,200
10 Rivanol 300 ml Botol 0 5 0 5 Jan '19 3,400 17,000
11 Scrub HYDREX Scrub 500 ml Botol 295 13 282 Jun '19 146,616 41,345,712
12 Scrub ONE SCRUB 500 ml Botol 317 58 259 Mar'19 126,750 32,828,250
13 Aquagel Steril Ecolab Jelly 5 gr Sachet 0 0 0 3,256 0
14 Jelly USG Botol 242 30 16 256 Jul '20 80,000 20,480,000
15 My Jelly Tube 77 77 Mar'19 7,000 539,000
16 Abbocath No 16 Picis 1,000 250 750 Des '20 10,020 7,515,000
17 Abbocath No 18 Picis 2,480 260 2,220 Jul '20 10,020 22,244,400
18 Abbocath No 20 Picis 1,600 690 910 Agt '22 10,020 9,118,200
19 Abbocath No 20 Picis 0 500 20 480 Jun '22 23,020 11,049,600
20 Abbocath No 22 Picis 1,765 875 890 Jun '22 10,020 8,917,800
21 Abbocath No 22 Picis 0 500 0 500 Jun '22 23,020 11,510,000
22 Abbocath No 24 Picis 1,940 440 1,500 Jun '22 10,020 15,030,000
23 Abbocath No 24 Picis 0 2,750 0 2,750 Des '22 23,020 63,305,000
24 Abbocath no. 26 Picis 100 0 100 Apr '22 10,020 1,002,000
25 Abbocath no. 26 Picis 0 300 0 300 Apr '23 39,843 11,952,900
26 Penflon No. 18 Picis 15 0 15 Apr '20 12,078 181,170
27 Penflon No. 20 Picis 0 0 12,078 0
28 Penflon No. 22 Picis 700 380 320 April '20 12,078 3,864,960
29 Penflon No. 22 Picis 0 2,850 2,850 0 Mei '18 12,078 0
30 Penflon No. 24 Picis 2,000 1,050 0 950 Apr '20 12,078 11,474,100
31 Penflon No. 26 Picis 2,190 953 1,237 Okt '20 5,945 7,353,965
32 Three Way Stopcock Picis 6,590 70 86 6,574 Mei '19 2,828 18,591,272
33 Three Way Stopcock With Tube Picis 450 230 220 Jul '22 4,712 1,036,640
34 Guidel Airway 60 mm Picis 50 0 50 Agt '22 18,232 911,600
35 Guidel Airway 70 mm Picis 50 5 45 Jul '22 18,232 820,440
36 Guidel Airway 80 mm Picis 45 0 45 Mar'20 18,232 820,440
37 Guidel Airway 90 mm Picis 40 2 38 Sep'22 18,232 692,816
38 Guidel Airway 100 mm Picis 43 3 40 Sep'22 18,232 729,280
39 Spinocan Injeksi No. 25 Picis 25 25 0 Apr '22 98,000 0
40 Spinocan injeksi No. 26 Picis 0 100 0 100 Jul '22 98,000 9,800,000
41 Spinocan injeksi No. 27 Picis 0 25 25 0 Feb '22 48,000 0
42 Spinocan injeksi No. 27 Picis 0 300 0 300 Feb '22 106,000 31,800,000
43 Cord Clamps (Penjepit Tali Pusar) Picis 1,700 206 1,736 170 0 Agt'18 1,683 0
44 Needle No. 22 Box,100 pcs 100 0 100 Jun'19 1,000 100,000
45 Needle No. 24 Box,100 pcs 98 0 98 Agt'21 1,000 98,000
46 Needle No. 25 Box,100 pcs 100 0 100 Jul'19 1,000 100,000
47 Disposible Syringes 1 CC Picis 31,900 2,425 29,475 Okt '19 7,266 214,165,350
48 Disposible Syringes 3 CC Picis 25,900 4,440 21,460 Feb'20 5,895 126,506,700
49 Disposible Syringes 5 CC Picis 34,500 3,970 30,530 Jun '20 7,677 234,378,810
50 Disposible Syringes 10 CC Picis 11,880 908 10,972 Apr '20 4,798 52,643,656
51 Disposible Syringes 20 CC Picis 2,378 393 1,985 Sep '20 13,297 26,394,545
52 Disposible Syringes 50 CC Picis 595 75 520 Mar '19 29,062 15,112,240
53 Endotracheal Tube ( ETT ) No. 2,5 Tube 5 0 5 Nop '19 93,005 465,025
54 Endotracheal Tube ( ETT ) No. 3 tube 5 0 5 Okt '19 93,005 465,025
55 Endotracheal Tube ( ETT ) No. 3,5 Tube 0 20 0 20 Jul '22 91,380 1,827,600
56 Endotracheal Tube ( ETT ) No. 4 Tube 0 20 0 20 Apr '22 91,380 1,827,600
57 Endotracheal Tube ( ETT ) No. 4,5 Tube 6 0 6 Jul '18 93,005 558,030
58 Endotracheal Tube ( ETT ) No. 4,5 Tube 0 20 0 20 Apr '22 91,380 1,827,600
59 Endotracheal Tube ( ETT ) No. 5 Tube 0 20 0 20 Agt '23 91,380 1,827,600
60 Endotracheal Tube ( ETT ) No. 5,5 Tube 6 0 6 Jul '19 93,005 558,030
61 Endotracheal Tube ( ETT ) No. 5,5 Tube 0 20 0 20 Jul '22 91,380 1,827,600
62 Endotracheal Tube ( ETT ) No. 6 tube 7 0 7 Mar '18 93,005 651,035
63 Endotracheal Tube ( ETT ) No. 6 tube 0 0 0 20 0 0 0 20 Jul '22 91,380 1,827,600
64 Endotracheal Tube ( ETT ) No. 6,5 tube 0 20 0 20 Apr '22 91,380 1,827,600
65 Endotracheal Tube ( ETT ) No. 7 tube 0 20 0 20 Agt '23 91,380 1,827,600
66 Endotracheal Tube ( ETT ) No.7,5 tube 10 10 0 Nop '18 22,380 0
67 Endotracheal Tube ( ETT ) No.8 Tube 60 60 Feb '21 22,380 1,342,800
68 ETT Non King No. 5 Tube 0 0 479,504 0
69 ETT Non King No. 6,5 Tube 0 0 479,504 0
70 ETT Non King No. 7 Tube 0 0 479,504 0
71 ETT Non King No. 7,5 Tube 0 0 456,549 0
72 ETT Tanpa Cup No. 2,0 Tube 0 10 0 10 Apr '21 91,380 913,800
73 ETT Tanpa Cup No. 2,5 tube 0 10 5 5 Nop '21 91,380 456,900
74 ETT Tanpa Cup No. 3 tube 0 10 5 5 Mar '22 91,380 456,900
75 ETT Tanpa Cup No. 3,5 tube 2 10 2 10 Okt '21 91,380 913,800
76 ETT Tanpa Cup No. 4 Tube 10 10 0 20 Nop '21 91,380 1,827,600
77 ETT Tanpa Cup No. 4,5 Tube 0 10 0 10 Mar '22 91,380 913,800
78 ETT Tanpa Cup No. 5 Tube 0 10 0 10 Okt '21 91,380 913,800
79 Feeding Tube 3,5 35 cm Terumo Picis 0 100 0 100 Agt '20 55,500 5,550,000
80 Feeding Tube 4 40 cm Terumo Picis 0 50 0 50 Sep '22 59,500 2,975,000
81 Feeding Tube 5 100 cm Picis 90 45 45 Jun '22 26,000 1,170,000
82 Feeding Tube 5 40 cm Picis 71 42 29 Feb '22 23,400 678,600
83 Feeding Tube 6 40 cm Picis 0 50 0 50 Mar '22 59,500 2,975,000
84 Feeding Tube 8 100 cm Picis 140 65 75 Feb '22 26,000 1,950,000
85 Feeding Tube 8 40 cm Picis 206 28 178 Agt '22 23,400 4,165,200
86 NGT (Maag Slang) No. 3 Picis 0 0 29,500 0
87 NGT (Maag Slang) No. 3,5 Picis 0 0 29,500 0
90 NGT (Maag Slang) No. 14 Picis 0 0 0 29,500 0
93 Stomach Tube 8 Picis 0 0 23,683 0
94 Stomach Tube 12 Picis 117 7 110 Apr '22 23,683 2,605,130
95 Stomach Tube 14 Picis 109 9 100 Feb '21 23,683 2,368,300
96 Stomach Tube 14 Picis 0 50 50 Mar '23 59,500 2,975,000
98 Stomach Tube 16 Picis 0 50 50 Jun '23 59,500 2,975,000
101 LMA Supreme No. 3 Pcs 0 5 0 5 Apr '20 774,150 3,870,750
102 LMA Supreme No. 4 Pcs 0 5 0 5 Jun '20 774,150 3,870,750
103 LMA Supreme No. 5 Pcs 0 5 0 5 Sep '20 774,150 3,870,750
104 LMA Unique No. 1 Pcs 0 5 0 5 Jun '20 674,010 3,370,050
105 LMA Unique No. 1,5 Pcs 0 5 0 5 Nop '20 674,010 3,370,050
106 LMA Unique No. 2 Pcs 0 5 0 5 Nop '20 674,010 3,370,050
107 LMA Unique No. 2,5 Pcs 0 5 0 5 Nop '20 674,010 3,370,050
108 Rectal Tube No. 30 Picis 10 10 20,000 200,000
109 Suction Catheter No. 6 Picis 20 0 20 Agt '22 6,190 123,800
110 Suction Catheter No. 6 Picis 0 400 400 Apr '23 13,340 5,336,000
111 Suction Catheter No. 8 Picis 253 27 20 260 Nov '22 6,190 1,609,400
112 Suction Catheter No. 8 Picis 0 200 200 Agt '23 13,340 2,668,000
113 Suction Catheter No. 10 Picis 276 129 147 Des ;22 6,190 909,930
114 Suction Catheter No. 10 Picis 0 200 200 Jul '23 13,340 2,668,000
115 Suction Catheter No. 12 Picis 0 0 0 Agt '22 6,190 0
116 Suction Catheter No. 12 Picis 273 100 29 344 Mar '23 13,340 4,588,960
117 Suction Catheter No. 14 Picis 270 16 8 278 Agt '22 6,190 1,720,820
118 Suction Catheter No. 14 Picis 0 100 100 Mar '23 13,340 1,334,000
119 Infuset Dewasa Picis 3,035 594 2,441 Mei '21 12,770 31,171,570
120 Infuset Anak Picis 4,626 351 4,275 Feb '21 15,400 65,835,000
121 Infuset Transfusi Darah Picis 1,800 568 1,232 Jul '20 19,690 24,258,080
122 Injector Plug Picis 0 50 50 Mar '23 50,000 2,500,000
123 Urine Bag 2000 ml Bag 2,150 70 2,080 Jul '22 4,350 9,048,000
124 Urinal Plastik + Tutup Picis 45 2 43 40,832 1,755,776
125 Stikpan Plastik Picis 46 2 44 51,040 2,245,760
126 Bracket Handwash Plastik Picis 50 0 50 25,520 1,276,000
127 Nierbekken Stainles 23 cm Picis 38 6 32 42,108 1,347,456
128 Safety Box 1 Liter (karton) Picis 55 16 39 22,786 888,654
129 Safety Box Sharp 1 Liter (Plastik) Picis 99 31 68 22,968 1,561,824
130 Safety Box Sharp 1 Liter (Plastik) Picis 0 150 0 150 22,968 3,445,200
131 Pouch With Indicator 9 x 26 cm Box 17 2 15 122,445 1,836,675
132 Pouch With Indicator 7 x 26 cm Box 19 0 19 Okt '22 90,000 1,710,000
133 Pouch With Indicator 15 cm x 200 M (Roll) Roll 10 0 10 Jun '22 1,184,964 11,849,640
135 Pouch With Indicator 35 cm x 200 M (Roll) Roll 15 0 15 Sep '22 1,658,947 24,884,205
136 Anestesi Flow Anak Set 5 5 181,247 906,235
137 Anestesi Flow Dewasa Set 5 5 181,247 906,235
138 Resusitator Bayi Set 2 1 1 667,000 667,000
139 Resusitator Bayi Set 0 10 0 10 667,000 6,670,000
140 Resusitator Anak Set 5 3 2 667,000 1,334,000
141 Resusitator Anak Set 0 10 0 10 Jun '23 667,000 6,670,000
142 Resusitator Dewasa Set 4 3 1 667,000 667,000
143 Resusitator Dewasa Set 0 10 0 10 Jun '23 667,000 6,670,000
144 Selang Oksigen Bayi Picis 40 40 0 Jan '21 13,200 0
145 Selang Oksigen Bayi Picis 0 400 6 394 22,500 8,865,000
146 Selang Oksigen Bayi Picis 0 36 36 0 8,910 0
147 Selang Oksigen Anak Picis 45 45 0 Jan '21 12,000 0
148 Selang Oksigen Anak Picis 0 400 27 373 22,500 8,392,500
149 Selang Oksigen Dewasa Picis 0 400 50 350 Jan '23 22,500 7,875,000
150 Masker Oksigen (Maxiflow) Bayi Picis 98 18 80 21,054 1,684,320
151 Masker Oksigen (Maxiflow) Anak Picis 95 18 77 19,650 1,513,050
152 Masker Oksigen (Maxiflow) Dewasa Picis 100 8 92 15,000 1,380,000
153 Masker rebreathing Picis 0 100 2 98 Apr '23 175,000 17,150,000
154 Masker Non Rebreathing Picis 0 100 8 92 Apr '23 175,000 16,100,000
155 Mask O2 with Reservoir (Hi-O2) Anak Picis 6 0 6 35,728 214,368
156 Mask O2 with Reservoir (Hi-O2) Dewasa Picis 1 0 1 35,728 35,728
157 Masker Nebulizer Anak Picis 93 25 68 31,900 2,169,200
158 Masker Nebulizer Dewasa Picis 90 48 42 31,900 1,339,800
159 Masker N95 Box 13 13 0 188,848 0
160 Masker With Visor Box 43 0 43 79,750 3,429,250
161 Masker Earloop Plus Box 31 31 0 31,900 0
162 Masker Earloop Plus Box 0 400 12 388 Jun '23 61,900 24,017,200
163 Masker Earloop Box 87 30 67 Des '20 22,000 1,474,000
164 Masker Earloop Box 0 400 400 Jun '23 62,000 24,800,000
165 Masker Earloop Box 0 10 10 26,730 267,300
166 Masker Tie on Box 233 34 199 Nop '20 22,500 4,477,500
167 Handscoon Panjang (Obgyn) Pasang 285 22 263 Sep '22 28,072 7,382,936
168 Handscoon Sensigloves L Ktk (100 lbr ) 1,000 90 910 Sep '20 133,800 121,758,000
169 Handscoon Sensigloves L Ktk (100 lbr ) 0 100 100 Jan '23 227,460 22,746,000
170 Handscoon Sensigloves M Ktk (100 lbr ) 2,748 123 2,625 Jun '20 133,800 351,225,000
171 Handscoon Sensigloves M Ktk (100 lbr ) 0 100 100 Des '23 227,460 22,746,000
172 Handscoon Sensigloves S Ktk (100 lbr ) 948 20 928 Mar '20 133,800 124,166,400
173 Handscoon Sensigloves S Ktk (100 lbr ) 0 100 100 Des '23 227,460 22,746,000
174 Handscoon Sensigloves XS Ktk (100 lbr ) 427 2 425 Agt '20 133,800 56,865,000
175 Handscoon Sensigloves XS Ktk (100 lbr ) 0 100 0 100 Jul '23 227,460 22,746,000
176 Handscoon Steril No. 6,5 Pasang 100 100 0 Mei '20 14,647 0
177 Handscoon Steril No. 6,5 Pasang 0 300 150 150 Agt '23 19,647 2,947,050
178 Handscoon Steril No. 6,5 Pasang 0 100 0 100 Mei '20 10,260 1,026,000
179 Handscoon Steril No. 7 Pasang 1,900 550 1,350 Jul '19 14,647 19,773,450
180 Handscoon Steril No. 7 Pasang 0 500 0 500 Mar '23 19,647 9,823,500
181 Handscoon Steril No. 7 Pasang 0 100 0 100 10,260 1,026,000
182 Handscoon Steril No. 7,5 Pasang 3,097 285 2,812 Jul '19 14,647 41,187,364
183 Handscoon Steril No. 8 Pasang 400 20 380 Mei '20 14,647 5,565,860
184 Handscoon Steril No. 8 Pasang 0 300 0 300 Jan '23 19,647 5,894,100
185 Surgical Gown (Baju Operasi) NonWoven L Picis 127 127 Sep '22 30,406 3,861,562
186 Surgical Gown (Baju Operasi) NonWoven XL Picis 60 60 Jul '22 30,406 1,824,360
187 Surgical Gown (Baju Operasi) Spunlace L Picis 41 41 Agt '22 74,567 3,057,247
188 Surgical Gown (Baju Operasi) Spunlace XL Picis 30 30 Jan '22 74,567 2,237,010
189 Apron One Pack 101 75 26 36,621 952,146
190 Apron One Pack 0 100 0 100 125,000 12,500,000
191 Under Pad 60 x 90 Pack 80 40 40 101,978 4,079,120
192 Under Pad 60 x 90 Pack 0 200 0 200 101,978 9,683,000
193 Nurse Cup Box 26 16 10 48,415 484,150
194 Sikat Operasi Picis 42 21 21 Sep '22 8,555 179,655
195 Dermafix S IV 6x7 Box, 25 lbr 21 11 10 Sep '22 74,410 744,100
196 Dermafix 10 x 8 Box, 10 Lbr 33 5 28 Jul '20 72,800 2,038,400
198 Dermafix 10 x 25 Box, 10 Lbr 40 0 40 Des '20 169,000 6,760,000
199 Premilen Mesh @ 5 Pcs Lembar 0 30 0 30 Apr '23 628,800 18,864,000
200 Leukoplas 1624 (5 cm x 4,5 M) Roll 0 500 0 500 Feb '20 65,000 32,500,000
201 Polifix 5 cm x 1 M Roll 178 6 172 Sep '20 8,857 1,523,404
202 Polifix 5 cm x 5 M Roll 523 36 487 Agt '20 41,512 20,216,344
203 Polifix 10 cm x 5 M Roll 315 29 286 Agt '22 78,187 22,361,482
204 Polifix 15 cm x 5 M Roll 196 32 164 Sep '22 106,119 17,403,516
205 Polifix 20 cm x 5 M Roll 76 15 61 Jul '20 138,750 8,463,750
206 Poligyp 5 cm x 2,7 M Roll 20 1 19 Agt '20 14,189 269,591
207 Poligyp 7,5 cm x 2,7 M Roll 7 2 5 Agt '20 21,088 105,440
208 Medigyps 7,5 cm x 2,7 M Roll 0 50 50 64,176 3,208,800
209 Poligyp 10 cm x 2,7 M Roll 11 3 8 30,000 240,000
210 Medigyps 10 cm x 2,7 M Roll 0 50 0 50 64,910 3,245,500
211 Poligyp 15 cm x 2,7 M Roll 9 0 9 38,234 344,106
212 Poliban 5 cm x 2,7 M Roll 100 0 100 10,007 1,000,700
213 Poliban 7,5 cm x 2,7 M Roll 0 50 0 50 58,274 2,913,700
215 Poliban 10 cm x 2,7 M Roll 0 50 0 50 64,910 3,245,500
217 Poliban 15 cm x 2,7 M Roll 0 50 0 50 76,468 3,823,400
218 PoliCreepe 7,5 cm x 4,55 M Roll 9 2 7 31,910 223,370
219 PoliCreepe 7,5 cm x 4,55 M Roll 0 50 0 50 Mar '22 83,820 4,191,000
220 PoliCreepe 10 cm x 4,55 M Roll 0 50 2 48 Nop '22 84,284 4,045,632
221 PoliCreepe 15 cm x 4,55 M Roll 12 4 8 48,245 385,960
222 PoliCreepe 15 cm x 4,55 M Roll 0 50 0 50 Sep '22 96,490 4,824,500
223 Arm Sling S Picis 15 1 14 22,968 321,552
224 Arm Sling S Picis 0 30 30 65,936 1,978,080
225 Arm Sling M Picis 5 1 4 22,968 91,872
226 Arm Sling M Picis 0 30 30 65,936 1,978,080
227 Arm Sling L Picis 8 1 7 22,968 160,776
228 Arm Sling L Picis 0 30 30 65,936 1,978,080
229 Cervical Collar Neck Picis 6 6 0 168,432 0
230 Cervical Collar Neck Picis 0 5 3 2 368,432 736,864
231 Collor Neck Picis 0 0 218,904 0
232 Folley cateter (2 way) No. 3 Picis 0 0 27,500 0
233 Folley cateter (2 way) No. 3,5 Picis 0 0 27,500 0
235 Folley cateter (2 way) No. 6 Picis 15 15 0 Mei '21 52,925 0
236 Folley cateter (2 way) No. 6 Picis 0 20 5 15 Mei '21 67,500 1,012,500
237 Folley cateter (2 way) No. 8 Picis 5 5 0 Mar '22 43,500 0
238 Folley cateter (2 way) No. 8 Picis 0 20 5 15 Mei '21 67,500
239 Folley cateter (2 way) No. 10 Picis 15 15 0 Apr '18 24,670 0
240 Folley cateter (2 way) No. 12 Picis 0 20 1 19 Okt '20 67,500 1,282,500
241 Folley cateter (2 way) No. 14 Picis 0 20 0 20 Mar '23 67,500 1,350,000
242 Folley cateter (2 way) No.16 Picis 0 0 12,000 0
243 Folley cateter (2 way) No. 18 Picis 40 40 0 Nov '22 12,500 0
244 Folley cateter (2 way) No. 18 Picis 0 500 0 500 Agt '22 67,500 33,750,000
245 Folley cateter (2 way) No. 18 Picis 0 52 48 4 14,850 59,400
247 Folley cateter (2 way) No. 22 Picis 15 0 15 Feb '20 24,200 363,000
248 Folley cateter (2 way) No. 24 Picis 20 20 0 27,500 0
249 Folley cateter (2 way) No. 24 Picis 0 20 0 20 Mei '20 67,500
250 Folley cateter (3 way) No. 18 Picis 0 0 0 44,000 0
251 Folley cateter (3 way) No. 20 Picis 26 9 17 Des '19 47,125 801,125
252 Kapas Pembalut 250 g Roll 740 11 729 15,000 10,935,000
253 Kasa Hidrofil 16 x 16 cm Bks 4,419 175 4,244 8,004 33,968,976
254 Kasa Hidrofil 2m x 80 cm Bungkus 1,532 22 1,510 10,624 16,042,240
255 Kasa Hidrofil 40 Yard x 80 cm Rol 977 59 918 144,900 133,018,200
256 Kasa Kompres Steril 40 cm x 40 cm Bungkus 360 16 344 10,624 3,654,656
257 Kasa Kompres Steril 40 cm x 10 cm Bungkus 500 285 215 2,000 430,000
258 Kertas EKG 1 Channel FUKUDA Roll 0 50 50 289,962 14,498,100
259 Kertas EKG 3 Channel FUKUDA Roll 0 0 0
260 Kertas EKG 6 Channel FUKUDA Roll 0 0 0
261 Kertas Puyer (kertas perkamen) Bks 0 450 450 54,550 24,547,500
262 Kertas USG Picis 0 10 10 320,000 3,200,000
263 Ultra One Box (50 test ) 21 4 17 Mei '20 150,000 2,550,000
264 Gelang Anak Pink Picis 138 0 138 30,000
265 Gelang Anak Biru Picis 160 0 160 30,000
266 Gelang Dewasa Pink Picis 1,435 0 1,435 30,000
267 Gelang Dewasa Biru Picis 1,650 0 1,650 30,000
268 Catgut Chromic No. 2/0 Box,24 pcs 72 0 72 Nop '20 67,714 4,875,408
269 Catgut Chromic No. 3/0 Box,24 pcs 91 0 91 nop '20 77,050 7,011,550
270 Catgut Plain No. 2/0 (3,5) 100 M Box,24 pcs 79 0 79 nop '20 79,500 6,280,500
271 SoftSilk No. 3/0 Box,36 pcs 70 0 70 Feb '20 105,627 7,393,890
272 Jarum Hecting Kulit No.10 Lusin 0 0 175,000 0
275 Jarum Hecting Otot No.10 Lusin 0 0 175,000 0
278 Premilen Tuper 1.0 HR 40 Box, 36 pcs 0 3 1 2 Jul '21 7,020,000 14,040,000
279 Premilen Cutting 2/0 HR 30 Box, 36 pcs 0 3 1 2 Feb '23 6,840,000 13,680,000
280 Premilen Cutting 3/0 2xHR 22 Box, 36 pcs 0 3 1 2 Jan '23 9,360,000 18,720,000
281 Premilen Cutting 4/0 HR 30 Box, 36 pcs 0 3 1 2 Okt '23 9,000,000 18,000,000
282 SMI Catgut Chromic 0 HR 40 mm Box,12 pcs 57 57 Jan '22 527,340 30,058,380
283 SMI Catgut Plain 0 HR 37 mm Box,12 pcs 64 64 Okt '21 452,940 28,988,160
284 SMI Silk Black 0 HR 37 mm Box,12 pcs 59 59 Apr '21 277,740 16,386,660
285 SMI Surgicryl 0 HR 26 mm Box,12 pcs 41 41 Des '21 823,740 33,773,340
286 SMI Catgut Chormic 0 HR 100 m Roll 4 4 Jun '21 1,855,150 7,420,600
287 SMI Catgut Plain 0 HR 100 m Roll 4 4 Apr '21 1,893,500 7,574,000
288 SMI Silk 0 100 m Roll 5 5 Des '21 772,380 3,861,900
289 SMI Catgut Chromic 1 HR 40 mm Box,12 pcs 76 76 Jan '22 592,085 44,998,460
290 SMI Catgut Plain 1 HR 37 mm Box,12 pcs 75 75 Okt '21 462,245 34,668,375
291 SMI Silk Black 1 HR 37 mm Box,12 pcs 50 50 Apr '21 280,140 14,007,000
292 SMI Surgicryl 1 HR 26 mm Box,12 pcs 46 3 43 Jun '22 1,011,660 43,501,380
293 SMI Silk 1 100 m Roll 4 0 4 Des '21 826,130 3,304,520
294 SMI Catgut Chromic 2 HR Box,12 pcs 78 0 78 Jan '22 425,340 33,176,520
295 SMI Catgut Plain 2 HR 37 mm Box,12 pcs 66 5 61 Jul '21 443,340 27,043,740
Apr '21
296 SMI Silk Black 2/0 HR 26 mm Box,12 pcs 54 8 46 Des '21 275,340 12,665,640
297 SMI Surgicryl 2/0 HR 26 mm Box,12 pcs 54 4 50 Des '21 933,420 46,671,000
298 SMI Catgut Chromic 2-0 100 m Roll 4 0 4 Jun '21 2,557,860 10,231,440
299 SMI Catgut Plain 2/0 HR 100 m Roll 5 0 5 Apr '21 1,893,500 9,467,500
301 SMI Silk 2/0 HR 100 m Roll 3 0 3 Des '21 875,570 2,626,710
302 SMI Catgut Chromic 3/0 HR 26 mm Box,12 pcs 1 0 1 Jan '22 425,340 425,340
303 SMI Catgut Plain 3/0 HR 26 mm Box,12 pcs 55 0 55 Feb '22 462,245 25,423,475
305 SMI Surgicryl 3/0 HR 26 mm Box,12 pcs 45 5 40 Feb'22 798,780 31,951,200
306 SMI Catgut Chromic 3-0 100 m Roll 5 5 Des '21 1,855,150 9,275,750
307 SMI Silk Black 3 - 4 HR 80 m Roll 3 3 Jul'21 952,930 2,858,790
308 Bisturi No. 10 Picis 0 1,000 1,000 Jul'22 9,100 9,100,000
309 Bisturi No. 11 Picis 200 67 633 Nop'20 1,100 696,300
310 Bisturi No. 11 Picis 0 500 1,100 0
311 Bisturi No. 12 Picis 0 1,000 0 1,000 Apr'22 9,100 9,100,000
312 Bisturi No. 15 Picis 340 10 1,330 1,100 1,463,000
313 Bisturi No. 15 Picis 0 1,000 Apr'22 9,100 0
314 Bisturi No. 21 Picis 0 1,000 0 1,000 Apr'22 9,100 9,100,000
315 Antisera A Pcs 0 10 1 9 Jun '20 325,000 2,925,000
316 Antisera B Pcs 0 10 1 9 Agt '20 325,000 2,925,000
317 Antisera D Pcs 0 10 1 9 Agt '20 325,000 2,925,000
318 Blood Lancets Box 19 0 49 21,120 1,034,880
319 Blood Lancets Box 0 30 0 10 41,120 411,200
320 Bovine albumin 22% Botol 0 10 5 5 Jun '20 322,300 1,611,500
321 Cairan Developer Pasang 0 0 1,250,000 0
322 Cairan Fixer Pasang 0 0 1,100,000 0
323 Cleaner SFRI 2 Liter Botol 0 6 2 4 Des'19 3,200,000 12,800,000
324 Diluen SFRI 20 Liter Gen 20 ltr 0 1 1 0 3,200,000 0
325 Diluen SFRI 20 Liter Gen 20 ltr 0 4 1 3 Mar '21 3,200,000
326 Film 24 x 30 Box, 100 lbr 0 0 2,200,000 0
327 Film 30 x 40 Box,100 lbr 0 0 3,674,000 0
328 Film 35 x 35 Box, 100 lbr 10 10 Mei'19 3,916,000 39,160,000
329 Formalin 37 % Botol 1 ltr 45 22 23 169,000 7,797,000
330 Formalin 37 % Botol 1 ltr 0 100 100 339,000
331 Giemza 250 ml Botol 0 4 0 4 Sep'20 1,600,000 6,400,000
332 Handscoon Biru uk S untuk Lab Box, 100 Psg 0 2 1 1 Mei '23 30,000 30,000
333 Kantong Darah 250 Ltr Piece 0 100 100 150,000 15,000,000
334 Kantong Darah 350 Ltr Piece 0 100 100 Mar'21 135,000 13,500,000
335 Kertas Film AGFA 10" x 12" Box,100 lbr 0 8 1 7 Jan'20 5,200,000 36,400,000
336 Kertas Film AGFA 8" x 10" Box,100 lbr 0 8 1 7 Nop'19 5,200,000 36,400,000
337 Lumpang + Alu 13 cm Picis 0 3 0 3 357,200 1,071,600
338 Lumpang + Alu 13 cm Picis 0 3 0 3 436,450 1,309,350
339 Lyse SFRI 500 ml Botol 0 10 1 9 Mar'20 4,800,000 43,200,000
340 Minyak Oil Imersi Botol 0 1,750,000 0
341 Objek Glass / Slide Box 0 3 3 0 200,000 0
342 Objek Glass / Slide Box 0 100 3 97 200,000 19,400,000
343 Plastik Klip uk 5 x 7 (5x8) Pack, 100 lbr 0 300 27 273 70,000 19,110,000
345 Plastik Klip uk 10 x 12 (10 x 15) Pack, 100 lbr 0 200 18 182 130,000 23,660,000
346 Pot Dahak (Pack @25 Pot) Pot 0 250 15 235 65,000 15,275,000
347 RDT Malaria (Monotes) Box, 25 Test 0 85 11 74 Jun '20 1,950,000 144,300,000
348 Tabung EDTA Pack,100 bh 0 20 2 18 Jun '20 590,000 10,620,000
349 White Tip Pack,1000 0 4 0 4 Jun'23 717,000 2,868,000
350 Yellow Tip Pack,1000 0 5 0 5 Des'22 717,000 3,585,000
3,999,558,305
Waisai, 31 Desember 2018
Mengetahui
Kab. Raja Ampat

NIP. 19790830 200801 1 016 NIP. 19800427 200801 2 025
-
Tgl
BULAN
No. JENIS PERSEDIAAN Expire Januari Februari Maret April Mei Juni Juli Agustus September Oktober November
1 Rivanol 300 ml Jan '19
2 Jelly USG Jan '19
3 Scrub ONE SCRUB 500 ml Mar'19
4 My Jelly Mar'19
5 Disposible Syringes 50 CC Mar '19
6 Three Way Stopcock Mei '19
7 Scrub HYDREX Scrub 500 ml Jun '19
8 Film 35 x 35 Mei'19
9 Needle No. 22 Jun'19
10 Infuset Anak Sep '19
11 Endotracheal Tube ( ETT ) No. 3 Okt '19
12 Infuset Dewasa Okt '19
13 Premilen 3/0 2xHR 22 Okt '19
14 Endotracheal Tube ( ETT ) No. 2,5 Nop '19
15 Endotracheal Tube ( ETT ) No.7,5 Nop '19
16 Kertas Film AGFA 8" x 10" Nop'19
17 Folley cateter (3 way) No. 20 Des '19
18 Cleaner SFRI 2 Liter Des'19
Mengetahui
Direktur RSUD
Kab. Raja Ampat
dr. Agus Hariyanto, Sp.B
NIP. 19790830 200801 1 016
Jumlah
Desember
178
226
Pada hari ini Jumat Tanggal 28 bulan Juni tahun Dua Ribu Sembilan Belas , kami melakukan stock opname Bahan Medis Habis Pakai
BHP Masuk Per 1 Januari s/d 28 Juni BHP ED Obat

Sisa 2019 keluar Sisa
Per 1 Tgl Nomor
BHP per 1 BHP
Januari Harga Satuan Total Harga
No. JENIS PERSEDIAAN Satuan Per 28 Januari Per 28 Expire Batch
Bantuan Bantuan Pengadaa s/d 28 (RP) Satuan (Rp)
Juni Pengadaa s/d 28 Juni
30%
n 2018
Dinkes n UTD Juni
2019 BPJS R4 2019 Juni 2019
2019
2019
A BAHAN HABIS PAKAI

1 Alkacide 1 Ltr Botol 30 13 17 Nov '20 2,702,700 45,945,900
2 Alkazyme 25 gr Pack 30 2 28 Mar '21 8510N0719-825 801,000 22,428,000
3 Alkohol 70% 1000 ml Botol 1,136 67 1,069 Jan '20 37,500 40,087,500
6 Etil Klorida Spray Botol 200 20 180 Jul '20 20,000 3,600,000
7 Povidon Iodida VIDENE 500 ml Botol 0 0
8 Povidon Iodida Betadine 300 ml Botol 8 8 0 Mar '21 35,000 280,000
9 Povidon Iodida Betadine 300 ml Botol 150 24 126 Mar '21 160418888 27,000 3,402,000
10 Povidon Iodida BETADINE 1000 ml Botol 30 30 0 Feb '20 160,000 0
11 Rivanol 300 ml Botol 178 178 0 Jan '19 3,400 0
12 Rivanol 300 ml Botol 24 6 18 Mei '20 12061788 3,400 61,200
13 Scrub HYDREX Scrub 500 ml Botol 282 221 61 0 Jun '19 146,616 0
14 Scrub ONE SCRUB 500 ml Botol 259 220 39 0 Mar '19 126,750 0
15 Aquagel Steril Ecolab Jelly 5 gr Sachet 0 0
16 H2O2 Botol 0 24 2 22 Okt '23 178,653 3,930,366
17 Jelly USG Botol 226 226 0 0 Jan '19 80,000 0
18 Jelly USG Botol 30 18 12 Jul '20 80,000 960,000
19 My Jelly Tube 541 538 3 0 Mar '19 7,000 0
20 My Jelly Tube 96 18 78 Jul '20 22081788 44,324 3,457,272
21 Abbocath No 16 Picis 750 12 738 Des '20 16A0804 10,020 7,394,760
22 Abbocath No 18 Picis 2,220 840 1,380 Jul '20 10,020 13,827,600
23 Abbocath No 20 Picis 480 480 0 Apr '22 170522SD 23,020 0
24 Abbocath No 20 Picis 910 252 658 Ags '22 170522SD 10,020 6,593,160
25 Abbocath No 20 Picis 200 0 200 Okt '21 16K3004 10,260 2,052,000
26 Abbocath No 22 Picis 1,347 540 807 Jun '22 3460107 10,020 8,086,140
27 Abbocath No 22 Picis 500 0 500 Okt '22 171128SE 23,020 11,510,000
28 Abbocath No 24 Picis 1,895 725 1,170 Jun '22 3460093 10,020 11,723,400
29 Abbocath No 24 Picis 2,750 0 2,750 Des '22 180110Sb 23,020 63,305,000
30 Abbocath no. 26 Picis 100 100 0 Apr '22 10,020 0
31 Abbocath no. 26 Picis 300 300 0 Apr '23 180510 39,843 0
32 Penflon No. 18 Picis 15 5 10 Apr '20 12,078 120,780
33 Penflon No. 20 Picis 0 0 0 0
34 Penflon No. 22 Picis 320 80 240 Apr '20 17,078 4,098,720
35 Penflon No. 24 Picis 950 90 860 17,078 14,687,080
36 Penflon No. 26 Picis 1,137 117 1,020 Okt '20 5,945 6,063,900
37 Three Way Stopcock Picis 6,574 1,089 5,485 Mei '19 2,828 15,511,580
38 Three Way Stopcock With Tube Picis 220 220 0 Jul '22 4,712 0
39 Guidel Airway 60 mm Picis 50 16 34 Ags '22 18,232 619,888
40 Guidel Airway 70 mm Picis 45 14 31 Jul '22 18,232 565,192
41 Guidel Airway 80 mm Picis 45 20 25 Mar '20 18,232 455,800
42 Guidel Airway 90 mm Picis 38 31 7 Sept '22 18,232 127,624
43 Guidel Airway 100 mm Picis 40 25 15 Sept '22 18,232 273,480
44 Spinocan Injeksi No. 25 Picis 0 0 0 0
45 Spinocan injeksi No. 26 Picis 100 50 50 Jul '22 98,000 4,900,000
46 Spinocan injeksi No. 27 Picis 300 50 250 Feb '22 106,000 26,500,000
47 Cord Clamps (Penjepit Tali Pusar) Picis 0 0 0
48 Needle No. 22 Box,100 pcs 100 100 0 0 Jun '19 1,000 0
49 Needle No. 24 Box,100 pcs 98 0 98 Ags '21 1,000 98,000
50 Needle No. 25 Box,100 pcs 100 0 100 Jul '19 1,000 100,000
51 Disposible Syringes 1 CC Picis 29,475 4,958 24,517 Okt '19 7,266 178,140,522
52 Disposible Syringes 3 CC Picis 21,460 10,902 10,558 Feb '20 5,895 62,239,410
53 Disposible Syringes 5 CC Picis 30,530 5,402 25,128 Jun '20 7,677 192,907,656
54 Disposible Syringes 10 CC Picis 10,972 3,783 7,189 Apr '20 4,798 34,492,822
55 Disposible Syringes 20 CC Picis 1,985 93 1,892 Sept '20 13,297 25,157,924
56 Disposible Syringes 50 CC Picis 190 190 0 0 Mar '19 29,062 0
57 Disposible Syringes 50 CC Picis 330 176 154 Apr '22 29,062 4,475,548
58 Endotracheal Tube ( ETT ) No. 2,5 Tube 5 5 0 Nov '19 93,005 0
59 Endotracheal Tube ( ETT ) No. 3 tube 5 5 0 Okt '19 93,005 0
60 Endotracheal Tube ( ETT ) No. 3,5 Tube 20 20 0 Jul '22 91,380 0
61 Endotracheal Tube ( ETT ) No. 4 Tube 20 10 10 Apr '22 91,380 913,800
62 Endotracheal Tube ( ETT ) No. 4,5 Tube 0 0 0
63 Endotracheal Tube ( ETT ) No. 4,5 Tube 26 6 20 Apr '22 91,380 1,827,600
64 Endotracheal Tube ( ETT ) No. 5 Tube 20 10 10 Ags '22 91,380 913,800
65 Endotracheal Tube ( ETT ) No. 5,5 Tube 6 6 0 Jul '19 93,005 0
66 Endotracheal Tube ( ETT ) No. 5,5 Tube 20 5 15 Jul '22 91,380 1,370,700
67 Endotracheal Tube ( ETT ) No. 6 tube 27 13 14 Jul '22 91,380 1,279,320
68 Endotracheal Tube ( ETT ) No. 6,5 tube 20 17 3 Apr '22 91,380 274,140
69 Endotracheal Tube ( ETT ) No. 7 tube 20 20 0 Ags '23 91,380 0
70 Endotracheal Tube ( ETT ) No.7,5 tube 0 0 0 0
71 Endotracheal Tube ( ETT ) No.8 Tube 60 20 40 Feb '21 22,380 895,200
72 ETT Non King No. 5 Tube 5 5 0 Nov '22 103902050 729,509 0
73 ETT Non King No. 6,5 Tube 5 5 0 Feb '22 103902065 729,509 0
74 ETT Non King No. 7 Tube 5 5 0 Mar '22 103902070 729,509 0
75 ETT Non King No. 7,5 Tube 5 5 0 Apr '22 103902075 729,509 0
76 ETT Tanpa Cup No. 2,0 Tube 10 10 0 Apr '21 91,380 0
77 ETT Tanpa Cup No. 2,5 tube 5 5 0 Nov '21 91,380 0
78 ETT Tanpa Cup No. 3 tube 5 5 0 Mar '22 91,380 0
79 ETT Tanpa Cup No. 3,5 tube 10 10 0 Okt '21 91,380 0
80 ETT Tanpa Cup No. 4 Tube 20 20 0 Nov '21 91,380 0
81 ETT Tanpa Cup No. 4,5 Tube 10 10 0 Mar '22 91,380 0
82 ETT Tanpa Cup No. 5 Tube 10 10 0 Okt '21 91,380 0
83 Extention Tube Picis 20 20 0 apr '22 170526 B 50,000 0
84 Feeding Tube 3 Picis 50 50 0 Ags '20 170925B 55,500 0
85 Feeding Tube 3,5 35 cm Terumo Picis 100 50 11 139 Ags '20 55,500 7,714,500
86 Feeding Tube 4 40 cm Terumo Picis 50 10 40 Sept '22 59,500 2,380,000
87 Feeding Tube 5 100 cm Picis 45 45 0 Jun '22 26,000 0
88 Feeding Tube 5 40 cm Picis 29 29 0 Feb '22 23,400 0
89 Feeding Tube 6 40 cm Picis 50 5 45 Mar '22 59,500 2,677,500
90 Feeding Tube 8 100 cm Picis 178 102 76 Ags '22 23,400 1,778,400
91 Feeding Tube 8 40 cm Picis 75 15 60 Feb '22 26,000 1,560,000
92 NGT (Maag Slang) No. 3 Picis
93 NGT (Maag Slang) No. 3,5 Picis 0 0
94 NGT (Maag Slang) No. 4 Picis 0 0
99 Stomach Tube 8 Picis 0 0 0
102 Stomach Tube 14 Picis 50 0 50 Mar '23 59,500 2,975,000
107 LMA Supreme No. 3 Pcs 5 5 0 Apr '20 774,150 0
108 LMA Supreme No. 4 Pcs 5 5 0 Jun '20 774,150 0
109 LMA Supreme No. 5 Pcs 5 0 5 Sept '20 774,150 3,870,750
110 LMA Unique No. 1 Pcs 5 0 5 Jun '20 674,010 3,370,050
111 LMA Unique No. 1,5 Pcs 5 0 5 Nov '20 674,010 3,370,050
112 LMA Unique No. 2 Pcs 5 0 5 Nov '20 674,010 3,370,050
113 LMA Unique No. 2,5 Pcs 5 5 0 Nov '20 674,010 0
114 Rectal Tube No. 30 Picis 0 0 20,000 0
115 Suction Catheter No. 6 Picis 420 20 400 Apr '23 13,340 5,336,000
116 Suction Catheter No. 8 Picis 460 93 367 Jul '23 13,340 4,895,780
117 Suction Catheter No. 10 Picis 347 53 294 Des '22 6,190 1,819,860
118 Suction Catheter No. 10 Picis 60 0 60 Nov '23 AKD209034100 13,340 800,400
121 Infuset Dewasa Picis 2,441 976 1,465 Okt '19 12,770 18,708,050
122 Infuset Anak Picis 4,275 385 3,890 Sept '19 15,400 59,906,000
123 Infuset Transfusi Darah Picis 1,232 455 777 Jul '20 19,690 15,299,130
124 Injector Plug Picis 50 50 0 Mar '23 50,000 0
125 Urine Bag 2000 ml Bag 2,080 261 1,819 Jul '22 4,350 7,912,650
126 Urinal Plastik + Tutup Picis 43 5 38 40,832 1,551,616
127 Stikpan Plastik Picis 44 10 34 51,040 1,735,360
128 Bracket Handwash Plastik Picis 50 0 50 25,520 1,276,000
129 Nierbekken Stainles 23 cm Picis 32 19 13 42,108 547,404
130 Safety Box 1 Liter (karton) Picis 39 39 0 22,786 0
131 Safety Box Sharp 1 Liter (Plastik) Picis 218 218 0 22,968 0
132 Adhesive Tapes (steam) Stericlin Roll 30 1 29 264,465 7,669,485
133 Pouch With Indicator 9 x 26 cm Box 15 9 6 122,445 734,670
134 Pouch With Indicator 7 x 26 cm Box 19 0 19 Okt '22 90,000 1,710,000
137 Pouch With Indicator 35 cm x 200 M (Roll) Roll 15 2 13 Sept '22 1,658,947 21,566,311
138 Anestesi Flow Anak Set 5 0 5 181,247 906,235
139 Anestesi Flow Dewasa Set 5 0 5 181,247 906,235
140 Resusitator Bayi Set 11 6 5 667,000 3,335,000
141 Resusitator Anak Set 12 1 11 Jun '23 667,000 7,337,000
142 Resusitator Dewasa Set 10 6 4 667,000 2,668,000
143 Selang Oksigen Bayi Picis 394 160 234 22,500 5,265,000
144 Selang Oksigen Anak Picis 373 125 248 22,500 5,580,000
145 Selang Oksigen Dewasa Picis 350 302 48 Jan '23 22,500 1,080,000
146 Masker Oksigen (Maxiflow) Bayi Picis 80 30 50 21,054 1,052,700
147 Masker Oksigen (Maxiflow) Anak Picis 77 24 53 19,650 1,041,450
148 Masker Oksigen (Maxiflow) Dewasa Picis 92 66 26 15,000 390,000
149 Masker rebreathing Picis 98 28 70 Apr '23 175,000 12,250,000
150 Masker Non Rebreathing Picis 92 31 61 Apr '23 175,000 10,675,000
151 Mask O2 with Reservoir (Hi-O2) Anak Picis 6 6 0 35,728 0
152 Mask O2 with Reservoir (Hi-O2) Dewasa Picis 1 1 0 35,728 0
153 Masker Nebulizer Anak Picis 68 53 15 31,900 478,500
154 Masker Nebulizer Dewasa Picis 42 42 0 31,900 0
155 Masker N95 Box 0 5 1 4 Jul '23 99BC208C26 20,000 80,000
156 Masker With Visor Box 43 2 41 79,750 3,269,750
157 Masker Earloop Plus Box 388 129 259 Jun '23 61,900 16,032,100
158 Masker Earloop Box 379 219 160 Jun '23 62,000 9,920,000
159 Masker Tie on Box 199 92 107 Nov '20 22,500 2,407,500
160 Kaca Mata krisbow Picis 11 4 7 288,000 2,016,000
161 Handscoon Panjang (Obgyn) Pasang 263 65 198 Sept '22 28,072 5,558,256
162 Handscoon Sensigloves L Ktk (100 lbr ) 910 87 823 Sept '20 133,800 110,117,400
163 Handscoon Sensigloves L Ktk (100 lbr ) 100 0 100 Jan '23 227,460 22,746,000
164 Handscoon Sensigloves M Ktk (100 lbr ) 2,625 257 2,368 Jun '23 133,800 316,838,400
165 Handscoon Sensigloves M Ktk (100 lbr ) 100 0 100 Des '23 227,460 22,746,000
166 Handscoon Sensigloves S Ktk (100 lbr ) 928 58 870 Des '23 227,460 197,890,200
167 Handscoon Sensigloves S Ktk (100 lbr ) 100 0 100 Mar '23 227,460 22,746,000
168 Handscoon Sensigloves XS Ktk (100 lbr ) 425 3 422 Ags '20 133,800 56,463,600
169 Handscoon Sensigloves XS Ktk (100 lbr ) 100 0 100 Jul '23 227,460 22,746,000
170 Handscoon Steril No. 6,5 Pasang 150 150 0 Ags '23 19,647 0
171 Handscoon Steril No. 6,5 Pasang 100 100 0 Mar '20 10,260 0
172 Handscoon Steril No. 6,5 Pasang 1450 925 525 Mar '23 15655-01 10,260 5,386,500
173 Handscoon Steril No. 7 Pasang 1,350 1,350 0 Jan '19 14,647 0
174 Handscoon Steril No. 7 Pasang 500 500 0 Mar '23 19,647 0
175 Handscoon Steril No. 7 Pasang 100 0 100 10,260 1,026,000
176 Handscoon Steril No. 7 Pasang 800 67 733 Ags '22 15242-01 10,260 7,520,580
177 Handscoon Steril No. 7,5 Pasang 2,912 283 2,629 Jul '19 14,647 38,506,963
178 Handscoon Steril No. 8 Pasang 380 191 189 Mei '20 14,647 2,768,283
179 Handscoon Steril No. 8 Pasang 300 0 300 Jan '23 19,647 5,894,100
180 Surgical Gown (Baju Operasi) NonWoven L Picis 127 0 127 Sept '22 30,406 3,861,562
181 Surgical Gown (Baju Operasi) NonWoven XL Picis 60 0 60 Jul '22 30,406 1,824,360
182 Surgical Gown (Baju Operasi) Spunlace L Picis 41 0 41 Ags '22 74,567 3,057,247
183 Surgical Gown (Baju Operasi) Spunlace XL Picis 30 0 30 Jan '22 74,567 2,237,010
184 Surgical Hat Box 3 0 3 Okt '22 50,000 150,000
185 Apron One Pack 26 26 0 36,621 0
186 Apron One Pack 100 57 43 125,000 5,375,000
187 Under Pad 60 x 90 Pack 240 66 174 101,978 17,744,172
188 Nurse Cup Box 10 10 0 48,415 0
189 Sikat Operasi Picis 21 21 0 Sept '22 8,555 0
190 Dermafix S IV 6x7 Box, 25 lbr 10 10 0 Sept '22 74,410 0
193 Dermafix 10 x 25 Box, 10 Lbr 40 2 38 Des '20 169,000 6,422,000
194 Premilen Mesh @ 5 Pcs Lembar 28 3 25 Apr '23 628,800 15,720,000
195 Leukoplas 1624 (5 cm x 4,5 M) Roll 500 25 475 Feb '20 65,000 30,875,000
196 Polifix 5 cm x 1 M Roll 171 0 171 Sept '20 8,857 1,514,547
197 Polifix 5 cm x 5 M Roll 487 3 484 Ags '20 41,512 20,091,808
198 Polifix 10 cm x 5 M Roll 286 35 251 Ags '22 78,187 19,624,937
199 Polifix 15 cm x 5 M Roll 164 32 132 Sept '22 106,119 14,007,708
200 Polifix 20 cm x 5 M Roll 61 57 4 Jul '20 138,750 555,000
201 Poligyp 5 cm x 2,7 M Roll 19 14 5 Ags '20 14,189 70,945
202 Poligyp 7,5 cm x 2,7 M Roll 5 50 11 44 Okt '21 S0301 64,176 2,823,744
203 Poligyp 10 cm x 2,7 M Roll 8 8 0 30,000 0
204 Poligyp 15 cm x 2,7 M Roll 9 9 0 38,234 0
205 Poligyp 15 cm x 2,7 M Roll 50 0 50 Jan '22 S0303 76,468 3,823,400
206 Medigyps 7,5 cm x 2,7 M Roll 50 0 50 64,176 3,208,800
207 Medigyps 10 cm x 2,7 M Roll 50 0 50 64,910 3,245,500
208 Medigyps 15 cm x 2,7 M Roll 3 0 3 Ags '21 1230616 76,468 229,404
209 Poliban 5 cm x 2,7 M Roll 100 14 86 10,007 860,602
210 Poliban 7,5 cm x 2,7 M Roll 133 12 121 58,274 7,051,154
215 Poliban 15 cm x 2,7 M Roll 50 0 50 Okt '23 S0313 50,014 2,500,700
216 PoliCreepe 7,5 cm x 4,55 M Roll 48 33 15 Mar '22 84,284 1,264,260
217 PoliCreepe 10 cm x 4,55 M Roll 48 24 24 Nov '22 37,142 891,408
218 PoliCreepe 15 cm x 4,55 M Roll 46 41 5 96,490 482,450
219 Arm Sling S Picis 14 7 7 22,968 160,776
220 Arm Sling S Picis 30 0 30 65,936 1,978,080
221 Arm Sling M Picis 4 4 0 22,968 0
222 Arm Sling M Picis 30 13 17 65,936 1,120,912
223 Arm Sling L Picis 7 7 0 22,968 0
224 Arm Sling L Picis 30 0 30 65,936 1,978,080
225 Cervical Collar Neck Picis 0 0 168,432 0
226 Cervical Collar Neck Picis 2 2 0 368,432 0
227 Collor Neck Picis 0 0 0 0
228 Folley cateter (2 way) No. 3 Picis 0 0 0
229 Folley cateter (2 way) No. 3,5 Picis 0 0 0
231 Folley cateter (2 way) No. 6 Picis 15 8 7 Mei '21 67,500 472,500
232 Folley cateter (2 way) No. 8 Picis 15 3 12 Mei '21 67,500 810,000
234 Folley cateter (2 way) No. 12 Picis 19 14 5 Okt '20 28,041 140,205
235 Folley cateter (2 way) No. 14 Picis 20 20 0 Mar '23 28,041 0
236 Folley cateter (2 way) No.16 Picis 0 20 20 0 Ags '20 15610J 9,474 0
237 Folley cateter (2 way) No.16 Picis 0 20 0 20 Jun '22 180630 67,500 1,350,000
238 Folley cateter (2 way) No. 18 Picis 0 30 30 0 Jan '20 464H14 9,474 0
239 Folley cateter (2 way) No. 18 Picis 504 256 248 Ags '22 67,500 16,740,000
240 Folley cateter (2 way) No. 20 Picis 20 5 15 Jan '22 180630 67,500 1,012,500
241 Folley cateter (2 way) No. 22 Picis 15 10 5 Feb '20 24,200 121,000
242 Folley cateter (2 way) No. 24 Picis 20 5 15 Mei '20 67,500 1,012,500
243 Folley cateter (3 way) No. 18 Picis 30 30 0 Ags '21 183430 67,500 0
244 Folley cateter (3 way) No. 20 Picis 17 17 0 Des '19 47,125 0
245 Folley cateter (3 way) No. 20 Picis 20 20 0 Feb '22 183430 67,500 0
246 Kapas Pembalut 250 g Roll 729 9 720 15,000 10,800,000
247 kasa Hidrofil 4m x 10 Roll 215 130 85 3,500 297,500
248 Kasa Hidrofil 16 x 16 cm Bks 4,244 679 3,565 8,004 28,534,260
249 Kasa Hidrofil 2m x 80 cm Bungkus 1,510 12 1,498 10,624 15,914,752
250 Kasa Hidrofil 40 Yard x 80 cm Rol 918 93 825 144,900 119,542,500
251 Kasa Kompres Steril 40 cm x 40 cm Bungkus 344 11 333 10,624 3,537,792
252 Kertas EKG 1 Channel FUKUDA Roll 50 2 48 289,962 13,918,176
253 Kertas EKG 3 Channel FUKUDA Roll 100 0 100 063R30-H01 739,970 73,997,000
254 Kertas EKG 6 Channel FUKUDA Roll 4 0 4 145F60-h05 569,900 2,279,600
255 Kertas Puyer (kertas perkamen) Bks 450 12 438 54,550 23,892,900
256 Kertas USG Picis 10 6 4 320,000 1,280,000
257 Ultra One Box (50 test ) 17 4 13 150,000 1,950,000
258 Gelang Anak Pink Picis 168 9 159 30,000 4,770,000
259 Gelang Anak Biru Picis 160 5 155 30,000 4,650,000
260 Gelang Dewasa Pink Picis 1,435 180 1,255 30,000 37,650,000
261 Gelang Dewasa Biru Picis 1,650 32 1,618 30,000 48,540,000
262 Catgut Chromic No. 2/0 Box,24 pcs 72 0 72 Nov '20 67,714 4,875,408
263 Catgut Chromic No. 3/0 Box,24 pcs 91 0 91 Nov '20 0
264 Catgut Plain No. 2/0 (3,5) 100 M Box,24 pcs 79 0 79 Nov '20 0
265 SoftSilk No. 3/0 Box,36 pcs 70 0 70 Feb '20 0
266 Jarum Hecting Kulit No.10 Lusin 0 0 0
269 Jarum Hecting Otot No.10 Lusin 0 0 0
272 Premilen Tuper 1.0 HR 40 Box, 36 pcs 72 0 72 Jul '21 195,000 14,040,000
273 Premilen Cutting 2/0 HR 30 Box, 36 pcs 72 0 72 Feb '23 199,000 14,328,000
274 Premilen Cutting 3/0 2xHR 22 Box, 36 pcs 72 6 66 Jan '23 260,000 17,160,000
275 Premilen Cutting 4/0 HR 30 Box, 36 pcs 72 5 67 Okt '23 250,000 16,750,000
276 SMI Catgut Chromic 0 HR 40 mm Box,12 pcs 57 0 57 Jan '22 527,340 30,058,380
277 SMI Catgut Plain 0 HR 37 mm Box,12 pcs 64 0 64 Okt '21 452,940 28,988,160
278 SMI Silk Black 0 HR 37 mm Box,12 pcs 59 1 58 Apr '21 277,740 16,108,920
279 SMI Surgicryl 0 HR 26 mm Box,12 pcs 41 1 40 Des '21 823,740 32,949,600
280 SMI Catgut Chormic 0 HR 100 m Roll 4 0 4 Jun '21 1,855,150 7,420,600
281 SMI Catgut Plain 0 HR 100 m Roll 4 0 4 Apr '21 1,893,500 7,574,000
283 SMI Catgut Chromic 1 HR 40 mm Box,12 pcs 76 0 76 Jan '22 592,085 44,998,460
284 SMI Catgut Plain 1 HR 37 mm Box,12 pcs 75 0 75 Okt '21 452,245 33,918,375
285 SMI Silk Black 1 HR 37 mm Box,12 pcs 50 0 50 Apr '21 280,140 14,007,000
286 SMI Surgicryl 1 HR 26 mm Box,12 pcs 43 9 34 Jun '22 1,011,660 34,396,440
288 SMI Catgut Chromic 2 HR Box,12 pcs 78 0 78 Jan '22 425,340 33,176,520
289 SMI Catgut Plain 2 HR 37 mm Box,12 pcs 61 7 54 Jul '21 443,340 23,940,360
290 SMI Silk Black 2/0 HR 26 mm Box,12 pcs 46 6 40 Apr '21 275,340 11,013,600
291 SMI Surgicryl 2/0 HR 26 mm Box,12 pcs 50 7 43 Des '21 933,420 40,137,060
292 SMI Catgut Chromic 2-0 100 m Roll 4 0 4 Jun '21 2,551,860 10,207,440
293 SMI Catgut Plain 2/0 HR 100 m Roll 5 0 5 Apr '21 1,893,500 9,467,500
295 SMI Silk 2/0 HR 100 m Roll 3 0 3 Des '21 875,570 2,626,710
296 SMI Catgut Chromic 3/0 HR 26 mm Box,12 pcs 1 1 0 Jan '22 425,340 0
297 SMI Catgut Plain 3/0 HR 26 mm Box,12 pcs 55 3 52 Feb '22 462,245 24,036,740
299 SMI Surgicryl 3/0 HR 26 mm Box,12 pcs 40 6 34 Feb '22 798,780 27,158,520
300 SMI Catgut Chromic 3-0 100 m Roll 5 0 5 Des '21 1,855,150 9,275,750
301 SMI Silk Black 3 - 4 HR 80 m Roll 3 0 3 Jul '21 952,930 2,858,790
302 Bisturi No. 10 Picis 1,000 340 660 Jul '22 9,100 6,006,000
303 Bisturi No. 11 Picis 583 483 100 Nov '22 1,100 110,000
304 Bisturi No. 11 Picis 1,000 0 1,000 Jul '22 17297 17,297 17,297,000
305 Bisturi No. 12 Picis 1,000 350 650 Apr '22 9,100 5,915,000
306 Bisturi No. 15 Picis 1,330 320 1,010 Apr '21 9,100 9,191,000
307 Bisturi No. 21 Picis 1,000 370 630 Apr '21 9,100 5,733,000
308 Antisera A Pcs 9 4 5 Jun '20 325,000 1,625,000
309 Antisera B Pcs 9 4 5 Ags '20 325,000 1,625,000
310 Antisera D Pcs 9 5 4 Ags '20 325,000 1,300,000
311 Blood Lancets Box 49 4 45 21,120 950,400
312 Bovine albumin 22% Botol 10 1 9 Jun '20 322,300 2,900,700
313 Cairan Developer Pasang 0 0 0
314 Cairan Fixer Pasang 0 0 0
315 Cleaner SFRI 2 Liter Botol 4 4 0 Des '19 3,200,000 0
316 Diluen SFRI 20 Liter Gen 20 ltr 0 0 0
317 Diluen SFRI 20 Liter Gen 20 ltr 3 3 0 Mar '21 3,200,000 0
318 Film 24 x 30 Box, 100 lbr 0 0 0
319 Film 30 x 40 Box,100 lbr 0 0 0
320 Film 35 x 35 Box, 100 lbr 10 10 0 Mei '19 3,916,000 0
323 Giemza 250 ml Botol 4 1 3 Sept '20 1,600,000 4,800,000
324 Handscoon Biru uk S untuk Lab Box, 100 Psg 1 1 0 Mei '23 30,000 0
325 Kantong Darah 250 Ltr Piece 100 20 80 150,000 12,000,000
326 Kantong Darah 350 Ltr Piece 100 100 0 Mar '21 135,000 0
327 Kertas Film AGFA 10" x 12" Box,100 lbr 7 3 4 Jan '20 5,200,000 20,800,000
328 Kertas Film AGFA 8" x 10" Box,100 lbr 7 3 4 Nov '19 5,200,000 20,800,000
329 Lumpang + Alu 13 cm Picis 3 1 2 357,200 714,400
330 Lumpang + Alu 16 cm Picis 3 0 3 436,450 1,309,350
331 Lyse SFRI 500 ml Botol 9 4 5 Mar '20 4,800,000 24,000,000
332 Minyak Oil Imersi Botol 0 4 1 3 Jul '20 PG0483 1,750,000 5,250,000
333 Objek Glass / Slide Box 97 15 82 200,000 16,400,000
334 Plastik Klip uk 5 x 7 (5x8) Pack, 100 lbr 273 63 210 60,000 12,600,000
336 Plastik Klip uk 10 x 12 (10 x 15) Pack, 100 lbr 182 31 151 130,000 19,630,000
337 Pot Dahak (Pack @25 Pot) Pot 235 160 75 65,000 4,875,000
338 RDT Malaria (Monotes) Box, 25 Test 74 16 58 Jun '20 1,950,000 113,100,000
339 Tabung EDTA Pack,100 bh 18 18 0 Jun '20 590,000 0
340 White Tip Pack,1000 4 0 4 Jun '23 717,000 2,868,000
341 Yellow Tip Pack,1000 5 2 3 Des '22 717,000 2,151,000
342 Blue Tip Pack,500 5 1 4 Des '27 170885 226,000 904,000
343 Rapid Tes HIV VIKIA Box, 25 Test 6 6 0 Jun '20 1006684110 480,700 0
344 Rapid Test HBsAg Box, 25 Test 6 6 0 Ags '19 01EM0016A 885,000 0
345 Rapid Test HBsAg Oncoprobe Box 3 3 0 Jun '20 OU18073 2,500,000 0
346 Rapid Test HBsAg Oncoprobe Box, 50 Test 2 1 1 Mei '20 OU18054 2,374,981 2,374,981
347 Rapid Test Hcv Antibody Box 3 3 0 Mei '20 OU18053 3,000,000 0
348 Rapid Test Hcv Antibody Box, 50 Test 2 1 1 Mei '20 OU18053 3,400,000 3,400,000
349 Rapid Test HIV 1&2 Oncoprobe Generation Box 3 3 0 Nov '20 OU1811 3,500,000 0
350 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 2 2 0 Des '20 OU18121 3,900,000 0
351 Rapid Test HIV Fokus Box, 25 Test 15 8 7 Jul '20 1816147 352,825 2,469,775
352 Rapid Test Malaria Box 3 2 1 Jun '20 1805117 3,500,000 3,500,000
353 Rapid Test Malaria (Oncoprobe) Box, 50 Test 2 0 2 Nov '19 1710021 5,400,000 10,800,000
354 Rapid Test Syphilis Box, 25 Test 3 3 0 Sept '19 17016 118,750 0
355 Rapid Test Syphilis Antibody Oncoprobe Box 3 3 0 Jun '20 OU18071 3,300,000 0
356 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 3 1 2 Jun '20 OU18071 3,200,000 6,400,000
357 Test Mantoux (Tuberkulin) Vial 5 0 5 Jun '20 6500218 4,000,000 20,000,000
0
3,539,777,328
Waisai,28 Juni 2018

Mengetahui
Kab. Raja Ampat

NIP. 19790830 200801 1 016 NIP. 19800427 200801 2 025
Pada hari ini SelasaTanggal 31 Bulan Desember tahun Dua Ribu Sembilan Belas , kami melakukan stock opname BHP di Rumah Sakit Umum Daerah, dengan rincian sebagai berikut :
BHP Masuk Per 1 Juli s/d 31 Desember 2019 Obat

BHP ED Sisa BHP
keluar Tgl Nomor
Sisa BHP Per Juli Per Juli
per Juli Harga Total Harga Satuan
No. JENIS PERSEDIAAN Satuan Per 30 s/d 31
s/d 31
s/d 31 Expire Batch
Juni 2019 Bantuan Pengadaa Bantuan Pengadaa Pengadaa Bantuan Pengadaa Desember Desember Satuan (RP) (Rp)
30%
n 2018
Dinkes n UTD BMHP Dinkes n Lab Desemb
BPJS R4 2019 2019 Propinsi 2019 2019 2019
er 2019
A BAHAN HABIS PAKAI

1 Stabimed (Cairam Pembersih Instrumen) Botol 17 7 10 Nov '20 2,702,700 Rp 27,027,000
2 Alkacide 1 Ltr Botol 0 30 0 30 Mar '22 9S16N1941 3,500,000 Rp 105,000,000
3 Alkazyme 25 gr Pack 28 1 27 Mar '21 8510N0719- 801,000 Rp 21,627,000
4 Alkohol 70% 1000 ml Botol 1,069 62 1,007 Mar '21 37,500 Rp 37,762,500
5 Alkohol 70% Molex 1000 ml Botol 0 40 0 40 Jun '24 A03BU101 40,000 Rp 1,600,000
6 Alkohol Swab 70% Box 531 266 265 Jun '20 14,500 Rp 3,842,500
7 Alkohol Swab 70% Box 480 0 480 Jun '20 48,500 Rp 23,280,000
8 Etil Klorida Spray Botol 180 40 140 Jul '20 20,000 Rp 2,800,000
9 Povidon Iodida VIDENE 500 ml Botol 0 0 Rp -
10 Povidon Iodida Betadine 300 ml Botol 0 48 8 40 Mar '22 02041988 27,000 Rp 1,080,000
11 Povidon Iodida Betadine 300 ml Botol 126 126 0 Mar '21 160418888 27,000 Rp -
12 Povidon Iodida Betadine 300 ml Botol 0 100 0 100 Jul '22 23081986 35,000 Rp 3,500,000
13 Povidon Iodida BETADINE 1000 ml Botol 0 100 0 100 Okt '21 J82850W 185,000 Rp 18,500,000
14 Rivanol 300 ml MOLEX Botol 0 118 0 118 Mar '23 R03BM012 8,000 Rp 944,000
15 Rivanol 300 ml Botol 18 8 10 Mei '20 12061788 3,400 Rp 34,000
16 Scrub HYDREX Scrub 500 ml Botol 0 0 Jun '19 146,616 Rp -
17 Scrub ONE SCRUB 500 ml Botol 0 0 Mar '19 126,750 Rp -
18 Aquagel Steril Ecolab Jelly 5 gr Sachet 0 0 Rp -
19 H2O2 Botol 22 10 12 Okt '23 178,653 Rp 2,143,836
20 Jelly USG Botol 0 0 Jan '19 80,000 Rp -
21 Jelly USG Botol 12 12 0 Jul '20 80,000 Rp -
22 My Jelly Tube 78 31 47 Jul '20 22081788 44,324 Rp 2,083,228
23 Abbocath No 16 Picis 738 9 729 Des '20 16A0804 10,020 Rp 7,304,580
24 Abbocath No 18 Picis 1,380 445 935 Jul '20 10,020 Rp 9,368,700
25 Abbocath No 20 Picis 658 658 0 Ags '22 170522SD 10,020 Rp -
26 Abbocath No 20 Picis 200 200 0 Okt '21 16K3004 10,260 Rp -
27 Abbocath No 20 Picis 0 1,250 510 740 Feb '21 16C1604 9,474 Rp 7,010,760
28 Abbocath No 20 Picis 0 700 0 700 Apr '24 190531SD 20,000 Rp 14,000,000
29 Abbocath No 22 Picis 807 562 245 Jun '22 3460107 10,020 Rp 2,454,900
30 Abbocath No 22 Picis 500 0 500 Okt '22 171128SE 23,020 Rp 11,510,000
31 Abbocath No 22 Picis 0 500 0 500 Apr '24 190516SE 20,000 Rp 10,000,000
32 Abbocath No 24 Picis 1,170 1,170 0 Jun '22 3460093 10,020 Rp -
33 Abbocath No 24 Picis 2,750 440 2,310 Des '22 180110Sb 23,020 Rp 53,176,200
34 Abbocath no. 26 Picis 0 100 70 30 Nov '22 2180980 30,000 Rp 900,000
35 Abbocath no. 26 Picis 0 100 0 100 Jan '24 1190129 30,000 Rp 3,000,000
36 Penflon No. 18 Picis 10 10 0 Apr '20 12,078 Rp -
37 Penflon No. 20 Picis 0 0 Rp -
38 Penflon No. 22 Picis 240 20 220 Apr '20 17,078 Rp 3,757,160
39 Penflon No. 24 Picis 860 0 860 Apr '20 17,078 Rp 14,687,080
40 Penflon No. 26 Picis 1,020 200 820 Okt '20 5,945 Rp 4,874,900
41 Three Way Stopcock Picis 5,485 1,593 3,892 Jun '22 2,828 Rp 11,006,576
42 Three Way Stopcock Picis 0 300 0 300 Feb '24 18101888 32,500 Rp 9,750,000
43 Three Way Stopcock With Tube Picis 0 0 Jul '22 4,712 Rp -
44 Guidel Airway 60 mm Picis 34 0 34 Ags '22 18,232 Rp 619,888
45 Guidel Airway 60 mm Picis 0 50 0 50 Ags '22 04091788 35,100 Rp 1,755,000
46 Guidel Airway 70 mm Picis 31 0 31 Jul '22 18,232 Rp 565,192
47 Guidel Airway 70 mm Picis 0 50 0 50 Mei '20 11820619 35,100 Rp 1,755,000
48 Guidel Airway 80 mm Picis 25 4 21 Mar '20 18,232 Rp 382,872
49 Guidel Airway 80 mm Picis 0 50 0 50 Jun '24 11470719 35,100 Rp 1,755,000
50 Guidel Airway 90 mm Picis 7 4 3 Sept '22 18,232 Rp 54,696
51 Guidel Airway 90 mm Picis 0 50 0 50 Feb '24 11480319 35,100 Rp 1,755,000
52 Guidel Airway 100 mm Picis 15 4 11 Sept '22 18,232 Rp 200,552
53 Guidel Airway 100 mm Picis 0 50 0 50 Jun '24 11450719 35,100 Rp 1,755,000
54 Spinocan injeksi No. 26 Picis 50 25 25 Jul '22 98,000 Rp 2,450,000
55 Spinocan injeksi No. 26 Picis 0 50 0 50 Ags '23 18H1768217 90,000 Rp 4,500,000
56 Spinocan injeksi No. 27 Picis 250 25 225 Feb '22 106,000 Rp 23,850,000
57 Cord Clamps (Penjepit Tali Pusar) Picis 0 0 Rp -
58 Needle No. 22 Box,100 pcs 0 0 0 Jun '19 1,000 Rp -
59 Needle No. 24 Box,100 pcs 98 1 97 Ags '21 1,000 Rp 97,000
60 Needle No. 25 Box,100 pcs 100 0 100 Jul '19 1,000 Rp 100,000
61 Disposible Syringes 1 CC Picis 24,517 6,530 17,987 Des '20 7,266 Rp 130,693,542
62 Disposible Syringes 3 CC Picis 10,558 10,558 0 Feb '20 5,895 Rp -
63 Disposible Syringes 3 CC Picis 0 5,000 2,977 2,023 Jul '20 15H1302 111 Rp 224,553
64 Disposible Syringes 5 CC Picis 1,200 0 1,200 Jan '20 7,677 Rp 9,212,400
65 Disposible Syringes 5 CC Picis 7,388 0 7,388 Jul '20 7,677 Rp 56,717,676
66 Disposible Syringes 5 CC Picis 16,540 6,940 9,600 Sept '20 7,677 Rp 73,699,200
67 Disposible Syringes 10 CC Picis 7,189 4,389 2,800 Mar '21 4,798 Rp 13,434,400
68 Disposible Syringes 20 CC Picis 1,892 428 1,464 Sept '20 13,297 Rp 19,466,808
69 Disposible Syringes 50 CC Picis 154 98 56 Apr '22 29,062 Rp 1,627,472
70 Endotracheal Tube ( ETT ) No. 2,5 Picis 0 0 Nov '19 93,005 Rp -
71 Endotracheal Tube ( ETT ) No. 3 Picis 0 0 Okt '19 93,005 Rp -
72 Endotracheal Tube ( ETT ) No. 3,5 Picis 0 0 Jul '22 91,380 Rp -
73 Endotracheal Tube ( ETT ) No. 4 Picis 10 0 10 Apr '22 91,380 Rp 913,800
74 Endotracheal Tube ( ETT ) No. 4,5 Picis 0 0 0 Rp -
75 Endotracheal Tube ( ETT ) No. 4,5 Picis 20 0 20 Apr '22 91,380 Rp 1,827,600
76 Endotracheal Tube ( ETT ) No. 5 Picis 10 0 10 Ags '22 91,380 Rp 913,800
77 Endotracheal Tube ( ETT ) No. 5,5 Picis 15 0 15 Jul '22 91,380 Rp 1,370,700
78 Endotracheal Tube ( ETT ) No. 6 Picis 14 0 14 Jul '22 91,380 Rp 1,279,320
79 Endotracheal Tube ( ETT ) No. 6,5 Picis 3 0 3 Apr '22 91,380 Rp 274,140
80 Endotracheal Tube ( ETT ) No. 7 Picis 0 0 0 Ags '23 91,380 Rp -
81 Endotracheal Tube ( ETT ) No.7,5 Picis 0 0 0 Rp -
82 Endotracheal Tube ( ETT ) No.8 Picis 40 0 40 Feb '21 22,380 Rp 895,200
83 ETT Non King No. 5 Picis 0 0 Nov '22 103902050 729,509 Rp -
84 ETT Non King No. 6,5 Picis 0 0 Feb '22 103902065 729,509 Rp -
85 ETT Non King No. 7 Picis 0 0 Mar '22 103902070 729,509 Rp -
86 ETT Non King No. 7,5 Picis 0 0 Apr '22 103902075 729,509 Rp -
87 ETT Tanpa Cup No. 2,0 Picis 0 20 11 9 Mei '20 170301 91,380 Rp 822,420
88 ETT Tanpa Cup No. 2,5 Picis 0 20 0 20 Mei '20 180901 91,380 Rp 1,827,600
89 ETT Tanpa Cup No. 2,5 Picis 0 14 0 14 Feb '23 18CG06 80,600 Rp 1,128,400
90 ETT Tanpa Cup No. 3 Picis 0 20 20 0 Mar '20 180901 91,380 Rp -
91 ETT Tanpa Cup No. 3 Picis 0 35 0 35 Jun '23 17GG23 80,600 Rp 2,821,000
92 ETT Tanpa Cup No. 3,5 Picis 0 40 0 40 Jan '22 17BG33 80,600 Rp 3,224,000
93 ETT Tanpa Cup No. 3,5 Picis 0 10 0 10 Mei '23 18FT13 80,600 Rp 806,000
94 ETT Tanpa Cup No. 4 Picis 0 0 Nov '21 91,380 Rp -
95 ETT Tanpa Cup No. 4,5 Picis 0 0 Mar '22 91,380 Rp -
96 ETT Tanpa Cup No. 5 Picis 0 0 Okt '21 91,380 Rp -
97 Extention Tube Picis 0 50 22 28 Mar '24 190412B 45,500 Rp 1,274,000
98 Feeding Tube 3 Picis 0 0 Ags '20 170925B 55,500 Rp -
99 Feeding Tube 3,5 35 cm Terumo Picis 139 5 134 Ags '20 55,500 Rp 7,437,000
100 Feeding Tube 4 40 cm Terumo Picis 40 5 35 Sept '22 59,500 Rp 2,082,500
101 Feeding Tube 5 100 cm Picis 0 0 0 Jun '22 26,000 Rp -
102 Feeding Tube 5 40 cm Picis 0 0 0 Feb '22 23,400 Rp -
103 Feeding Tube 6 40 cm Picis 45 34 11 Mar '22 59,500 Rp 654,500
104 Feeding Tube 8 100 cm Picis 76 40 36 Ags '22 23,400 Rp 842,400
105 Feeding Tube 8 40 cm Picis 60 35 25 Feb '22 26,000 Rp 650,000
106 NGT (Maag Slang) No. 3 Picis 0 0 Rp -
107 NGT (Maag Slang) No. 3,5 Picis 0 0 Rp -
113 Stomach Tube 8 Picis 0 0 Rp -
114 Stomach Tube 12 Picis 70 5 65 Apr '22 23,683 Rp 1,539,395
115 Stomach Tube 14 Picis 76 6 70 Feb '21 23,683 Rp 1,657,810
116 Stomach Tube 14 Picis 50 0 50 Mar '23 59,500 Rp 2,975,000
117 Stomach Tube 16 Picis 78 24 54 Feb '21 19,500 Rp 1,053,000
118 Stomach Tube 16 Picis 50 0 50 Jun '23 59,500 Rp 2,975,000
119 Stomach Tube 18 Picis 14 0 14 Apr '20 19,500 Rp 273,000
Stomach Tube 18 Picis 86 86 Sept '21 19,500 Rp 1,677,000
120 Stomach Tube 18 Picis 50 0 50 Jun '23 59,500 Rp 2,975,000
121 Selang Suction Silicon Picis 0 10 0 10 220,000 Rp 2,200,000
122 LMA Supreme No. 2,5 Picis 0 15 0 15 Sept '21 NPAG2E 520,000 Rp 7,800,000
123 LMA Supreme No. 3 Picis 0 15 0 15 Apr '22 PMA3ZW 780,000 Rp 11,700,000
124 LMA Supreme No. 4 Picis 0 15 0 15 Jan '22 PMAB2M 780,000 Rp 11,700,000
125 LMA Supreme No. 5 Picis 5 0 5 Sept '20 774,150 Rp 3,870,750
126 LMA Unique No. 1 Picis 5 0 5 Jun '20 674,010 Rp 3,370,050
127 LMA Unique No. 1,5 Picis 5 0 5 Nov '20 674,010 Rp 3,370,050
128 LMA Unique No. 2 Picis 5 0 5 Nov '20 674,010 Rp 3,370,050
129 LMA Unique No. 2,5 Picis 0 0 Nov '20 674,010 Rp -
130 Rectal Tube No. 30 Picis 0 0 20,000 Rp -
131 Suction Catheter No. 6 Picis 400 0 400 Apr '23 13,340 Rp 5,336,000
132 Suction Catheter No. 8 Picis 367 167 200 Jul '23 13,340 Rp 2,668,000
133 Suction Catheter No. 10 Picis 294 54 240 Des '22 6,190 Rp 1,485,600
134 Suction Catheter No. 12 Picis 320 20 300 Mar '23 13,340 Rp 4,002,000
135 Suction Catheter No. 14 Picis 333 0 333 Mar '23 13,340 Rp 4,442,220
136 Infuset Dewasa Picis 1,465 1,148 317 Feb '21 12,770 Rp 4,048,090
137 Infuset Anak Picis 3,890 740 3,150 Mei '21 15,400 Rp 48,510,000
138 Infuset Transfusi Darah Picis 777 562 215 Jul '20 19,690 Rp 4,233,350
139 Injector Plug Picis 0 0 Mar '23 50,000 Rp -
140 Urine Bag 2000 ml Bag 1,819 100 1,719 Jul '22 4,350 Rp 7,477,650
141 Urinal Plastik + Tutup Picis 38 0 38 40,832 Rp 1,551,616
142 Stikpan Plastik Picis 34 0 34 51,040 Rp 1,735,360
143 Bracket Handwash Plastik Picis 50 0 50 25,520 Rp 1,276,000
144 Nierbekken Stainles 23 cm Picis 13 2 11 42,108 Rp 463,188
145 Safety Box 1 Liter (karton) Picis 0 0 22,786 Rp -
146 Safety Box Sharp 1 Liter (Plastik) Picis 0 0 22,968 Rp -
147 Adhesive Tapes (steam) Stericlin Roll 29 6 23 264,465 Rp 6,082,695
148 Indicator Trips (Steam) Stericlin Pack 30 0 30 Nov '20 1195075 889,700 Rp 26,691,000
149 Micropore 3M 1535-1 2,5M x 9,1M Roll 0 10 4 6 Mar '24 G3G Rp -
150 Pouch With Indicator 9 x 26 cm Box 6 6 0 122,445 Rp -
151 Pouch With Indicator 7 x 26 cm Box 19 13 6 Okt '22 90,000 Rp 540,000
152 Pouch With Indicator 15 cm x 200 M (Roll) Roll 15 0 15 Jun '22 1,184,964 Rp 17,774,460
153 Pouch With Indicator 25 cm x 200 M (Roll) Roll 10 0 10 Jun '22 1,184,964 Rp 11,849,640
154 Pouch With Indicator 35 cm x 200 M (Roll) Roll 13 0 13 Sept '22 1,658,947 Rp 21,566,311
155 Anestesi Flow Anak Set 5 0 5 181,247 Rp 906,235
156 Anestesi Flow Dewasa Set 5 0 5 181,247 Rp 906,235
157 Resusitator Bayi Set 5 0 5 667,000 Rp 3,335,000
158 Resusitator Bayi Set 0 10 0 10 Jul '23 MO0702630080 567,000 Rp 5,670,000
159 Resusitator Anak Set 11 0 11 Jun '23 667,000 Rp 7,337,000
160 Resusitator Anak Set 0 6 0 6 Jul '24 567,000 Rp 3,402,000
161 Resusitator Dewasa Set 4 0 4 667,000 Rp 2,668,000
162 Resusitator Dewasa Set 0 12 0 12 Jul '24 567,000 Rp 6,804,000
163 Selang Oksigen Bayi Picis 234 106 128 22,500 Rp 2,880,000
164 Selang Oksigen Bayi Picis 0 100 0 100 01111788 25,000 Rp 2,500,000
165 Selang Oksigen Anak Picis 248 85 163 22,500 Rp 3,667,500
166 Selang Oksigen Anak Picis 0 200 0 200 Apr '23 23051988 25,000 Rp 5,000,000
167 Selang Oksigen Dewasa Picis 48 48 0 Jan '23 22,500 Rp -
168 Selang Oksigen Dewasa Picis 0 101 101 0 Des '23 20181230 8,910 Rp -
169 Selang Oksigen Dewasa Picis 0 500 36 464 10071788 25,000 Rp 11,600,000
170 Masker Oksigen (Maxiflow) Bayi Picis 50 0 50 21,054 Rp 1,052,700
171 Masker Oksigen (Maxiflow) Anak Picis 53 20 33 19,650 Rp 648,450
172 Masker Oksigen (Maxiflow) Dewasa Picis 26 26 0 15,000 Rp -
173 Masker rebreathing Picis 70 70 0 Apr '23 175,000 Rp -
174 Masker Non Rebreathing Picis 61 59 2 Apr '23 175,000 Rp 350,000
175 Mask O2 with Reservoir (Hi-O2) Anak Picis 0 0 35,728 Rp -
176 Mask O2 with Reservoir (Hi-O2) Dewasa Picis 0 0 35,728 Rp -
177 Masker Nebulizer Anak Picis 15 15 0 31,900 Rp -
178 Masker Nebulizer Anak Picis 0 25 25 0 Mar '24 190021 20,000 Rp -
179 Masker Nebulizer Anak Picis 0 20 20 0 Mar '24 R19D031 38,500 Rp -
180 Masker Nebulizer Dewasa Picis 0 23 23 0 Mar '24 190021 20,000 Rp -
181 Masker Nebulizer Dewasa Picis 0 25 10 15 Jul '23 21081988 38,500 Rp 577,500
182 Masker N95 Box 4 3 1 Jul '23 99BC208C26 20,000 Rp 20,000
183 Masker N95 Box 0 10 0 10 03031888 285,000 Rp 2,850,000
184 Masker N95 Box 0 6 0 6 Jul '23 R816 296,396 Rp 1,778,376
185 Masker N95 Box 0 4 0 4 Okt '23 R18777 390,000 Rp 1,560,000
186 Masker With Visor Box 41 1 40 79,750 Rp 3,190,000
187 Masker Earloop Plus Box 259 240 19 Jun '23 61,900 Rp 1,176,100
188 Masker Earloop Plus Box 0 600 0 600 Nov '24 03111902 45,500 Rp 27,300,000
189 Masker Earloop Box 160 160 0 Jun '23 62,000 Rp -
190 Masker Earloop Box 0 60 60 0 8031 26,730 Rp -
191 Masker Earloop Box 0 800 31 769 Jan '24 190130 41,600 Rp 31,990,400
192 Masker Tie on Box 107 65 42 Nov '20 22,500 Rp 945,000
193 Masker Tie on Box 0 140 0 140 8031 32,400 Rp 4,536,000
194 Kaca Mata krisbow Picis 7 4 5 6 288,000 Rp 1,728,000
195 Handscoon Panjang (Obgyn) Pasang 198 157 41 Sept '22 28,072 Rp 1,150,952
196 Handscoon Sensigloves L Ktk (100 lbr ) 823 129 694 Sept '20 133,800 Rp 92,857,200
197 Handscoon Sensigloves L Ktk (100 lbr ) 100 0 100 Jan '23 227,460 Rp 22,746,000
198 Handscoon Sensigloves M Ktk (100 lbr ) 2,368 355 2,013 Jun '23 133,800 Rp 269,339,400
199 Handscoon Sensigloves S Ktk (100 lbr ) 870 60 810 Des '23 227,460 Rp 184,242,600
200 Handscoon Sensigloves S Ktk (100 lbr ) 100 100 0 Mar '23 227,460 Rp -
201 Handscoon Sensigloves XS Ktk (100 lbr ) 422 56 366 Ags '20 133,800 Rp 48,970,800
202 Handscoon Sensigloves XS Ktk (100 lbr ) 100 0 100 Jul '23 227,460 Rp 22,746,000
203 Handscoon Steril No. 6,5 Pasang 525 525 0 Mar '23 15655-01 10,260 Rp -
204 Handscoon Steril No. 6,5 Pasang 0 1,200 1,200 0 Sept '23 15933-01 10,260 Rp -
205 Handscoon Steril No. 6,5 Pasang 0 200 17 183 Okt '22 20171020 20,000 Rp 3,660,000
206 Handscoon Steril No. 7 Pasang 733 733 0 Ags '22 15242-01 10,260 Rp -
207 Handscoon Steril No. 7 Pasang 0 1600 1,072 528 Sept '23 15934-01 10,260 Rp 5,417,280
208 Handscoon Steril No. 7 Pasang 0 500 0 500 Apr '23 20180430 20,000 Rp 10,000,000
209 Handscoon Steril No. 7,5 Pasang 2,629 140 2,489 Jan '20 14,647 Rp 36,456,383
210 Handscoon Steril No. 7,5 Pasang 0 500 0 500 Okt '21 2016005 15,000 Rp 7,500,000
211 Handscoon Steril No. 8 Pasang 189 0 189 Mei '20 14,647 Rp 2,768,283
212 Handscoon Steril No. 8 Pasang 300 0 300 Jan '23 19,647 Rp 5,894,100
213 Surgical Gown (Baju Operasi) NonWoven L Picis 127 9 118 Sept '22 30,406 Rp 3,587,908
214 Surgical Gown (Baju Operasi) NonWoven X Picis 60 11 49 Jul '22 30,406 Rp 1,489,894
215 Surgical Gown (Baju Operasi) Spunlace L Picis 41 29 12 Ags '22 74,567 Rp 894,804
216 Surgical Gown (Baju Operasi) Spunlace XL Picis 30 29 1 Jan '22 74,567 Rp 74,567
217 Surgical Hat Box 3 0 3 Okt '22 50,000 Rp 150,000
218 Apron One Pack 43 43 0 125,000 Rp -
219 Apron One Pack 0 350 28 322 Mei '24 201905 111,800 Rp 35,999,600
220 Under Pad 60 x 90 Pack 174 102 72 101,978 Rp 7,342,416
221 Nurse Cup Box 0 0 48,415 Rp -
222 Sikat Operasi Picis 0 0 Sept '22 8,555 Rp -
223 Dermafix S IV 6x7 Box, 25 lbr 0 0 Sept '22 74,410 Rp -
224 Dermafix 10 x 8 Box, 10 Lbr 20 1 19 Jul '20 72,800 Rp 1,383,200
225 Dermafix 10 x 15 Box, 10 Lbr 60 1 59 Jul '20 143,000 Rp 8,437,000
226 Dermafix 10 x 25 Box, 10 Lbr 38 4 34 Des '20 169,000 Rp 5,746,000
227 Premilen Mesh Box, 5 Lembar 25 0 25 Apr '23 628,800 Rp 15,720,000
228 Premilen Mesh Box, 5 Lembar 0 15 0 15 Okt '23 118403 628,800 Rp 9,432,000
229 Leukoplas 1624 (5 cm x 4,5 M) Roll 475 10 465 Feb '20 65,000 Rp 30,225,000
230 Polifix 5 cm x 1 M Roll 171 0 171 Sept '20 8,857 Rp 1,514,547
231 Polifix 5 cm x 5 M Roll 484 13 471 Ags '20 41,512 Rp 19,552,152
232 Polifix 10 cm x 5 M Roll 251 33 218 Ags '22 78,187 Rp 17,044,766
233 Polifix 15 cm x 5 M Roll 132 123 9 Sept '22 106,119 Rp 955,071
234 Polifix 20 cm x 5 M Roll 4 4 0 Jul '20 138,750 Rp -
235 Poligyp 5 cm x 2,7 M Roll 5 0 5 Ags '20 14,189 Rp 70,945
236 Poligyp 7,5 cm x 2,7 M Roll 44 35 9 Okt '21 S0301 64,176 Rp 577,584
237 Poligyp 10 cm x 2,7 M Roll 0 0 0 30,000 Rp -
238 Poligyp 15 cm x 2,7 M Roll 50 0 50 Jan '22 S0303 76,468 Rp 3,823,400
239 Medigyps 7,5 cm x 2,7 M Roll 50 0 50 64,176 Rp 3,208,800
240 Medigyps 10 cm x 2,7 M Roll 50 0 50 64,910 Rp 3,245,500
241 Medigyps 15 cm x 2,7 M Roll 3 0 3 Ags '21 1230616 76,468 Rp 229,404
242 Poliban 5 cm x 2,7 M Roll 86 0 86 10,007 Rp 860,602
243 Poliban 7,5 cm x 2,7 M Roll 121 5 116 58,274 Rp 6,759,784
244 Poliban 10 cm x 2,7 M Roll 60 13 47 17,825 Rp 837,775
245 Poliban 10 cm x 2,7 M Roll 50 0 50 64,910 Rp 3,245,500
248 Poliban 15 cm x 2,7 M Roll 50 0 50 Okt '23 S0313 50,014 Rp 2,500,700
249 PoliCreepe 7,5 cm x 4,55 M Roll 15 15 0 Mar '22 84,284 Rp -
250 PoliCreepe 10 cm x 4,55 M Roll 24 24 0 Nov '22 37,142 Rp -
251 PoliCreepe 15 cm x 4,55 M Roll 5 5 0 96,490 Rp -
252 Arm Sling S Picis 7 5 2 22,968 Rp 45,936
253 Arm Sling S Picis 30 0 30 65,936 Rp 1,978,080
254 Arm Sling M Picis 17 5 12 65,936 Rp 791,232
255 Arm Sling L Picis 30 5 25 65,936 Rp 1,648,400
256 Cervical Collar Neck Picis 0 0 168,432 Rp -
257 Cervical Collar Neck Picis 0 0 368,432 Rp -
258 Collor Neck Picis 0 0 0 Rp -
259 Folley cateter (2 way) No. 3 Picis 0 0 0 Rp -
260 Folley cateter (2 way) No. 3,5 Picis 0 0 0 Rp -
262 Folley cateter (2 way) No. 6 Picis 7 0 7 Mei '21 67,500 Rp 472,500
265 Folley cateter (2 way) No. 12 Picis 5 0 5 Okt '20 28,041 Rp 140,205
266 Folley cateter (2 way) No. 14 Picis 0 20 20 0 Feb '23 P18C07 50,000 Rp -
267 Folley cateter (2 way) No.16 Picis 0 50 10 40 Jul '22 17H03 50,000 Rp 2,000,000
268 Folley cateter (2 way) No.16 Picis 20 20 0 Jun '22 180630 67,500 Rp -
269 Folley cateter (2 way) No. 18 Picis 0 200 10 190 Ags '23 P18103 9,474 Rp 1,800,060
270 Folley cateter (2 way) No. 18 Picis 248 248 0 Ags '22 67,500 Rp -
271 Folley cateter (2 way) No. 20 Picis 15 0 15 Jan '22 180630 67,500 Rp 1,012,500
272 Folley cateter (2 way) No. 20 Picis 0 20 0 20 Apr '23 P18E08 50,000 Rp 1,000,000
273 Folley cateter (2 way) No. 22 Picis 5 0 5 Feb '20 24,200 Rp 121,000
275 Folley cateter (3 way) No. 18 Picis 0 0 Ags '21 183430 67,500 Rp -
276 Folley cateter (3 way) No. 20 Picis 0 0 Des '19 47,125 Rp -
277 Folley cateter (3 way) No. 20 Picis 0 0 Feb '22 183430 67,500 Rp -
278 Kapas Pembalut 250 g Roll 720 19 701 15,000 Rp 10,515,000
279 kasa Hidrofil 4m x 10 Roll 85 85 0 3,500 Rp -
280 Kasa Hidrofil 16 x 16 cm Bks 3,565 1,389 2,176 8,004 Rp 17,416,704
281 Kasa Hidrofil 2m x 80 cm Bungkus 1,498 178 1,320 10,624 Rp 14,023,680
282 Kasa Hidrofil 40 Yard x 80 cm Rol 825 128 697 144,900 Rp 100,995,300
283 Kasa Kompres Steril 40 cm x 40 cm Bungkus 333 244 89 10,624 Rp 945,536
283 Kasa Kompres Steril 40 cm x 40 cm Bungkus 105 0 105 8,152 Rp 855,960
285 Kertas EKG 1 Channel FUKUDA C110 Roll 48 0 48 289,962 Rp 13,918,176
286 Kertas EKG 3 Channel FUKUDA C120 Roll 100 3 97 063R30-H01 739,970 Rp 71,777,090
287 Kertas EKG 3 Channel FUKUDA C120 Roll 4 4 0 35628 50,000 Rp -
288 Kertas EKG 6 Channel FUKUDA C320 Roll 4 46 2 48 145F60-h05 569,900 Rp 27,355,200
289 Kertas Puyer (kertas perkamen) Bks 438 15 423 54,550 Rp 23,074,650
290 Kertas USG Picis 4 4 0 320,000 Rp -
291 Ultra One Box (50 test ) 13 6 7 150,000 Rp 1,050,000
292 Gelang Anak Pink Picis 159 0 159 30,000 Rp 4,770,000
293 Gelang Anak Biru Picis 155 0 155 30,000 Rp 4,650,000
294 Gelang Dewasa Pink Picis 1,255 0 1,255 30,000 Rp 37,650,000
295 Gelang Dewasa Biru Picis 1,618 0 1,618 30,000 Rp 48,540,000
296 Silk Branded 3/0 (2 Matric) 75 cm Box,36 pcs 70 0 70 Feb '21 67,714 Rp 4,739,980
297 Catgut Chromic No. 2/0 (3,5M) 75 cm Box,24 pcs 91 0 79 Nov '20 67,714 Rp 5,349,406
298 Catgut Chromic No. 3/0 (3,5M) 75 cm Box,24 pcs 79 0 91 Nov '20 67,714 Rp 6,161,974
299 Catgut Plain No. 2/0 (3,5M) Onemed Box,24 pcs 72 0 72 Nov '20 67,714 Rp 4,875,408
300 Jarum Hecting Kulit No.10 Lusin 0 0 Rp -
303 Jarum Hecting Otot No.10 Lusin 0 0 Rp -
306 Premilen Tuper 1.0 HR 40 Box, 36 pcs 72 31 41 Jul '21 195,000 Rp 7,995,000
307 Premilen Tuper 4/0 HR 30 Box, 36 pcs 0 36 15 21 Des '23 117515 250,000 Rp 5,250,000
308 Premilen Cutting 2/0 HR 30 Box, 36 pcs 72 33 39 Feb '23 199,000 Rp 7,761,000
309 Premilen Cutting 3/0 2xHR 22 Box, 36 pcs 66 28 38 Jan '23 260,000 Rp 9,880,000
310 Premilen Cutting 4/0 HR 30 Box, 36 pcs 67 43 24 Okt '23 250,000 Rp 6,000,000
311 SMI Catgut Chromic 0 HR 40 mm Box,12 pcs 57 0 57 Jan '22 527,340 Rp 30,058,380
312 SMI Catgut Plain 0 HR 37 mm Box,12 pcs 64 2 62 Okt '21 452,940 Rp 28,082,280
313 SMI Silk Black 0 HR 37 mm Box,12 pcs 58 3 55 Apr '21 277,740 Rp 15,275,700
314 SMI Surgicryl 0 HR 26 mm Box,12 pcs 40 9 31 Des '21 823,740 Rp 25,535,940
315 SMI Catgut Chormic 0 HR 100 m Roll 4 1 3 Jun '21 1,855,150 Rp 5,565,450
316 SMI Catgut Plain 0 HR 100 m Roll 4 1 3 Apr '21 1,893,500 Rp 5,680,500
317 SMI Silk Black 0 100 m Roll 5 0 5 Des '21 772,380 Rp 3,861,900
318 SMI Catgut Chromic 1 HR 40 mm Box,12 pcs 76 4 72 Jan '22 592,085 Rp 42,630,120
319 SMI Catgut Plain 1 HR 37 mm Box,12 pcs 75 3 72 Okt '21 452,245 Rp 32,561,640
320 SMI Silk Black 1 HR 37 mm Box,12 pcs 50 11 39 Apr '21 280,140 Rp 10,925,460
321 SMI Surgicryl 1 HR 26 mm Box,12 pcs 34 18 16 Jun '22 1,011,660 Rp 16,186,560
322 SMI Silk Balck 1 100 m Roll 4 0 4 Des '21 826,130 Rp 3,304,520
323 SMI Catgut Chromic 2 HR Box,12 pcs 78 6 72 Jan '22 425,340 Rp 30,624,480
324 SMI Catgut Plain 2 HR 37 mm Box,12 pcs 54 6 48 Jul '21 443,340 Rp 21,280,320
325 SMI Silk Black 2/0 HR 26 mm Box,12 pcs 40 7 33 Apr '21 275,340 Rp 9,086,220
326 SMI Surgicryl 2/0 HR 26 mm Box,12 pcs 43 16 27 Des '21 933,420 Rp 25,202,340
327 SMI Catgut Chromic 2-0 100 m Roll 4 0 4 Jun '21 2,551,860 Rp 10,207,440
328 SMI Catgut Plain 2/0 HR 100 m Roll 5 1 4 Apr '21 1,893,500 Rp 7,574,000
329 SMI Silk Black 2 100 m SMI Roll 4 0 4 Des '21 990,772 Rp 3,963,088
330 SMI Silk Black 2/0 HR 100 m Roll 3 1 2 Des '21 875,570 Rp 1,751,140
331 SMI Catgut Chromic 3/0 HR 26 mm Box,12 pcs 0 0 0 Jan '22 425,340 Rp -
332 SMI Catgut Plain 3/0 HR 26 mm Box,12 pcs 52 3 49 Feb '22 462,245 Rp 22,650,005
333 SMI Silk Black 3/0 HR 26 mm Box,12 pcs 43 13 30 Des '20 268,140 Rp 8,044,200
334 SMI Surgicryl 3/0 HR 26 mm Box,12 pcs 34 14 20 Feb '22 798,780 Rp 15,975,600
335 SMI Catgut Chromic 3-0 100 m Roll 5 0 5 Des '21 1,855,150 Rp 9,275,750
336 SMI Silk Black 3 - 4 HR 80 m Roll 3 0 3 Jul '21 952,930 Rp 2,858,790
337 Bisturi No. 10 Picis 660 25 635 Jul '22 9,100 Rp 5,778,500
338 Bisturi No. 11 Picis 100 100 0 Nov '22 1,100 Rp -
339 Bisturi No. 11 Picis 1,000 21 979 Jul '22 17297 17,297 Rp 16,933,763
340 Bisturi No. 12 Picis 650 100 550 Apr '22 9,100 Rp 5,005,000
341 Bisturi No. 15 Picis 1,010 20 990 Apr '21 9,100 Rp 9,009,000
342 Bisturi No. 21 Picis 630 215 415 Apr '21 9,100 Rp 3,776,500
18N06A870
343 Perifix one Chateter 401 / Epidural Picis 0 30 0 30 Des '23 1 422,500 Rp 12,675,000
C LAB, UTDRS, RADIOLOGY DAN LAIN-LAIN
344 Anti Human Globulin (Comb Serum) 8 4 4 Feb '21 701417A 340,000 Rp 1,360,000
345 Anti Human Globulin (Comb Serum) 10 0 10 Feb '21 701417A 550,000 Rp 5,500,000
346 Antisera A Pcs 5 5 0 Jun '20 325,000 Rp -
347 Antisera A Pcs 0 5 4 1 Sept '20 A080919 Rp -
348 Antisera B Pcs 5 5 0 Ags '20 325,000 Rp -
349 Antisera B Pcs 0 5 3 2 Sept '22 B080919 Rp -
350 Antisera D Pcs 4 4 0 Ags '20 325,000 Rp -
351 Antisera D Pcs 0 5 3 2 Ags '20 DM050819 Rp -
352 Beker Glass 30 ml Picis 0 5 5 0 1000BK30 Rp -
353 Blood Lancets Box 45 8 37 21,120 Rp 781,440
354 Blue Tip Pack,500 4 0 4 Des '27 170885 226,000 Rp 904,000
355 Bovine albumin 22% Botol 9 7 2 Jun '20 322,300 Rp 644,600
356 Bovine albumin 22% Botol 8 0 8 Nov '22 BGAL2210 283,318 Rp 2,266,544
357 Cairan Cuprl Sulfat Botol 1 1 0 Mar '21 286,000 Rp -
358 Cairan Developer Pasang 0 0 Rp -
359 Cairan Fixer Pasang 0 0 Rp -
360 Catriadge Xpert MTB / RIF Kit 0 300 50 250 Ags '21 1000168411 825,000 Rp 206,250,000
361 Cover Glass Ukuran 24x24 (Menzel) Box 0 38 0 38 0520488 55,000 Rp 2,090,000
362 Disposible ECG Elektroda (50 Endo) Pack 0 2 2 0 Ags '20 08192017 143,000 Rp -
363 Film 24 x 30 Box, 100 lbr 0 0 Rp -
364 Film 30 x 40 Box,100 lbr 0 0 Rp -
365 Film 35 x 35 Box, 100 lbr 0 0 Mei '19 3,916,000 Rp -
366 Formalin 37 % Botol 1 ltr 7 7 0 169,000 Rp -
367 Formalin 37 % Botol 1 ltr 100 28 72 339,000 Rp 24,408,000
368 Giemza 250 ml Botol 3 0 3 Sept '20 1,600,000 Rp 4,800,000
HX7387650
369 Giemza 500 ml Botol 0 2 2 0 Sept '20 4 3,200,000 Rp -
370 Handscoon Biru uk S untuk Lab Box, 100 Psg 0 0 Mei '23 30,000 Rp -
371 Kantong Darah 250 Ltr Piece 80 80 0 150,000 Rp -
372 Kantong Darah 350 Ltr Single Bungkus,10 ktg 0 100 50 50 Mei '22 190518A15 Rp -
373 Kantong Darah 350 Ltr Double Bungkus, 6 ktg 0 120 60 60 Mei '22 190514A15 Rp -
374 Kantong Darah 350 Ltr Double Bungkus, 6 ktg 0 60 0 60 Jun '22 190701A15 Rp -
375 Kertas Film AGFA 10" x 12" Box,100 lbr 4 4 0 Jan '20 5,200,000 Rp -
376 Kertas Film AGFA 10" x 12" Box,100 lbr 8 0 8 Apr '20 5,720,000 Rp 45,760,000
377 Kertas Film AGFA 8" x 10" Box,100 lbr 4 4 0 Nov '19 5,200,000 Rp -
378 Kertas Film AGFA 8" x 10" Box,100 lbr 8 0 8 Apr '20 5,500,000 Rp 44,000,000
379 Lumpang + Alu 13 cm Picis 2 0 2 357,200 Rp 714,400
380 Lumpang + Alu 16 cm Picis 3 0 3 436,450 Rp 1,309,350
381 Minyak Oil Imersi Botol 3 0 3 Jul '20 PG0483 1,750,000 Rp 5,250,000
382 Objek Glass / Slide Box 82 17 65 200,000 Rp 13,000,000
383 Objek Glass / Slide Pack, 72 Picis 2 0 2 Rp -
384 Pipa kapiler Marienfeld Tube, 100pcs 0 3,000 100 2,900 Mar '23 2303424 Rp -
385 Pipet Tetes Bungkus, 50 Picis 0 1 1 0 Rp -
386 Plastik Klip uk 10 x 12 (10 x 15) Pack, 100 lbr 151 60 91 130,000 Rp 11,830,000
387 Plastik Klip uk 5 x 7 (5x8) Pack, 100 lbr 210 12 198 60,000 Rp 11,880,000
388 Plastik Klip uk 6 x 8 (7x10) Pack, 100 lbr 678 159 519 70,000 Rp 36,330,000
389 Pot Dahak (Pack @25 Pot) Pot 75 0 75 65,000 Rp 4,875,000
390 Pot Dahak Pot 0 90 55 35 Apr '20 150420 3,225 Rp 112,875
391 Pot Dahak Pot 0 100 0 100 Des '23 01181202 50,000 Rp 5,000,000
392 Rapid Tes HIV VIKIA Box, 25 Test 0 0 Jun '20 1006684110 480,700 Rp -
393 Rapid Test HBsAg Box, 25 Test 0 3 3 0 Okt '19 1720108 885,000 Rp -
394 Rapid Test HBsAg Monotes Box, 50 Test 0 5 2 3 Sept '21 1903220 Rp -
395 Rapid Test HBsAg Oncoprobe Box, 50 Test 1 1 2 0 Mei '20 OU18054 2,374,981 Rp -
396 Rapid Test HBsAg Oncoprobe Box, 50 Test 0 2 2 0 Mei '21 OU19051 2,375,000 Rp -
397 Rapid Test HBsAg Oncoprobe Box, 50 Test 1 10 1 10 Jun '21 OU19064 2,375,000 Rp 23,750,000
398 Rapid Test Hcv Antibody (Oncoprobe) Box, 50 Test 1 1 0 Mei '20 OU18053 3,400,000 Rp -
399 Rapid Test Hcv Antibody (Oncoprobe) Box, 25 Test 0 1 1 0 Mei '20 OU18053 3,400,000 Rp -
400 Rapid Test Hcv Antibody (Oncoprobe) Box, 25 Test 0 2 0 2 Feb '21 OU19025 3,400,000 Rp 6,800,000
401 Rapid Test Hcv Antibody (Oncoprobe) Box, 25 Test 0 10 2 8 Mei '20 OU18053 3,400,000 Rp 27,200,000
402 Rapid Test Hcv (serum/Palsma) Monotes Box, 50 Test 0 10 0 10 Sept '21 1907063 Rp -
403 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 0 2 1 1 Jun '21 OU18121 3,900,000 Rp 3,900,000
404 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 0 1 0 1 Feb '21 OU19063 3,900,000 Rp 3,900,000
405 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 0 10 0 10 Jun '21 OU19063 3,900,000 Rp 39,000,000
406 Rapid Test HIV Fokus Box, 25 Test 7 9 13 3 Jul '20 1816147 352,825 Rp 1,058,475
407 Rapid Test HIV 1&2 Oncoprobe Generation Box, 25 Test 0 10 0 10 Jul '21 Rp -
408 Rapid Test Malaria Box, 25 Test 1 1 0 Jun '20 1805117 3,500,000 Rp -
409 Rapid Test Malaria (Oncoprobe) Box, 50 Test 2 2 0 Nov '19 1710021 5,400,000 Rp -
410 Rapid Test Malaria Card Oncoprobe Box, 50 Test 0 10 0 10 Des '20 1812046 5,400,000 Rp 54,000,000
411 RDT Malaria (Monotes) Box, 25 Test 58 17 41 Jun '20 1,950,000 Rp 79,950,000
412 RDT Malaria (Monotest) Box, 25 Test 0 10 0 10 Sept '21 1903222 Rp -
SYP1901001
413 Rapid Test Syphilis (Biosynex) Box, 50 Test 0 4 2 2 Jan '21 1 118,750 Rp 237,500
414 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 2 1 1 Jun '20 OU18071 3,200,000 Rp 3,200,000
415 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 0 2 0 2 Jan '21 OU19012 3,200,000 Rp 6,400,000
416 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 0 10 0 10 Feb '21 OU19024 3,200,000 Rp 32,000,000
417 Rapid Test Syphilis Monotes Box, 50 Test 0 5 2 3 Sept '21 1903217 Rp -
418 Rapid Test Syphilis Ab Standard Q Box, 25 Test 0 5 5 Sept '22 QSY1018031 Rp -
419 SFRI Clair 60 ml DILUCLAIR Botol, 60 ml 0 2 0 2 Jun '20 91911A15 324,000 Rp 648,000
420 SFRI Cleanser Gen, 5 Liter 0 1 1 0 Sept '20 82601AIS 4,041,540 Rp -
421 SFRI Cleanser Gen, 5 Liter 5 1 4 Apr '21 91071A1S 4,600,000 Rp 18,400,000
422 SFRI Cleanser EZ31 Botol, 60 ml 0 5 1 4 Jan '20 9018A15 888,000 Rp 3,552,000
423 SFRI Cleanser EZ31 Botol, 60 ml 0 1 0 1 Feb '20 90581AS 888,000 Rp 888,000
425 SFRI Diluen Gen 20 ltr 0 1 1 0 Mar '21 80931A15 Rp -
426 SFRI Diluen Gen 20 ltr 0 4 0 4 Jan '22 90441A1S 1,784,000 Rp 7,136,000
427 SFRI Diluen Gen 20 ltr 0 15 0 15 Jun '21 81731A1S 2,200,900 Rp 33,013,500
428 SFRI Clair 3.1 Botol, 60 ml 0 6 0 6 Feb '20 90491A1S 324,000 Rp 1,944,000
429 SFRI Lyse Lysoglobine H18 Botol, 500 ml 0 8 0 8 Feb '21 90711A1S 3,820,000 Rp 30,560,000
430 SFRI Lyse 500 ml Botol, 500 ml 0 2 2 0 Jan '21 3,820,000 Rp -
431 SFRI HEMACLAIR H18 Botol, 60 ml 0 2 0 2 Feb '20 90491A2S 324,000 Rp 648,000
432 Strip Cholesterole (Autocheck) Tube, 10 Strip 0 20 11 9 Jul '20 C19033027 290,000 Rp 2,610,000
433 Strip Uric Acid (Autocheck) Tube, 25 Strip 0 20 6 14 Jan '21 U19092066 183,000 Rp 2,562,000
434 StripGlucose (Autocheck) Tube, 25 Strip 0 8 8 0 Jun '21 G19210067 138,000 Rp -
435 Tabung EDTA Pack,100 bh 0 3 3 0 392,040 Rp -
436 Tabung EDTA K3 Pack,100 bh 0 1 1 0 Mar '21 190424 Rp -
437 Tabung Edta K2 Pack,100 bh 0 10 0 10 Sept '22 190915 210,100 Rp 2,101,000
438 Tabung Merah Pack,100 bh 0 1 1 0 Des '21 20181202 Rp -
439 Test Mantoux (Tuberkulin) Vial 5 5 0 Jun '20 4,000,000 Rp -
URS906001
440 Urine Test parameter (Verify) Tube 0 10 2 8 Ags '21 0 210,000 Rp 1,680,000
441 White Tip Pack,1000 4 0 4 Jun '23 717,000 Rp 2,868,000
442 Yellow Tip Pack,1000 3 0 3 Des '22 717,000 Rp 2,151,000
MD1719110
443 Mucus Extractors (Lotus) 0 20 20 0 Sep '22 1
Rp 3,777,228,616
Mengetahui Waisai, 31 Desember 2019

Kepala Seksi Penunjang Medik Penanggungjawab Gudang Obat
RSUD Kab. Raja Ampat
Nahruddin Abbas, S.Si., Apt Kasmawati, S.Si., Apt

NIP. 19800427 200801 2 025 NIP. 19740905 200801 2 009
Pada hari ini SelasaTanggal 31 Bulan Desember tahun Dua Ribu Sembilan Belas , kami melakukan stock opname BHP di Rumah Sakit Umum Daerah, dengan rincian sebagai berikut :
Obat
BHP Masuk Per 01 Januari s/d 30 Juni 2020 BHP ED keluar Sisa BHP
Sisa BHP Tgl Nomor
Per 01 per 01 Per 01
Per 31 Harga
No. JENIS PERSEDIAAN Satuan Desembe Bantuan
Januari Januari Januari Expire Batch
Sisa
Pengadaan
Bantuan Pengadaa Pengadaa Pengadaa Bantuan Pengadaa
s/d 30 s/d 30 s/d 30 Satuan (RP)
r 2019 30% Pengadaan
BMHP 2020
Dinkes BMHP n UTD n Lab Dinkes n Lab
BPJS BMHP 2019 R4 2019 2019 2019 Propinsi 2019 Juni 2020 Juni Juni 2020
2020
A BAHAN HABIS PAKAI

1 Stabimed (Cairam Pembersih Instrumen) Botol 10.000 10 0 Nov '20 2,702,700
2 Alkacide 1 Ltr Botol 30 6 24 Mar '22 9S16N1941 3,500,000
3 Alkacide 1 Ltr Botol 0 50 0 50 Ags '22 9539N3927 3,162,159
4 Alkazyme 25 gr Pack 27 3 24 Mar '21 8510N0719-825 801,000
5 Alkazyme 25 gr Pack 0 50 0 50 Jun '22 953ON3134 937,170
6 Alkohol 70% 1000 ml Botol 1,007 822 185 Mar '21 37,500
7 Alkohol 70% 1000 ml Botol 0 40 0 40 Mar '21 25041788 37,500
8 Alkohol 70% 1000 ml Botol 0 240 0 240 Mar '24 15042088 97,200
9 Alkohol Swab 70% Box 265 265 0 Jun '20 14,500
10 Alkohol Swab 70% Box 480 26 454 Des '20 48,500
11 Etil Klorida Spray Botol 140 21 119 Jul '20 20,000
12 Povidon Iodida VIDENE 500 ml Botol 0 0 0
13 Povidon Iodida Betadine 300 ml Botol 40 40 0 Mar '22 02041988 27,000
14 Povidon Iodida Betadine 300 ml Botol 100 71 29 Jul '22 23081986 35,000
15 Povidon Iodida BETADINE 1000 ml Botol 100 16 84 Okt '21 J82850W 185,000
16 Rivanol 300 ml Botol 118 0 118 Mar '23 R03BM012 8,000
17 Rivanol 300 ml Botol 10 10 0 Mei '20 12061788 3,400
18 Scrub HYDREX Scrub 500 ml Botol 0 0 0 Jun '19 146,616
19 Scrub ONE SCRUB 500 ml Botol 0 120 0 120 Mar '23 17042088 93,750
20 Scrub ONE SCRUB 5 Liter Gen 0 48 0 48 Mar '23 02042088 727,650
21 Antiseptic Gel 500 ml Botol 0 300 0 300 Mar '23 20042088 128,700
22 Aquagel Steril Ecolab Jelly 5 gr Sachet 0 0 0
23 H2O2 Botol 12 2 10 Okt '23 178,653
24 Jelly USG Botol 0 50 17 33 Okt '22 2091008 15,000
25 Jelly USG Botol 0 200 7 193 Feb '22 0302088 24,255
26 My Jelly Tube 47 47 0 Jul '20 22081788 44,324
27 My Jelly Tube 0 50 19 31 Jun '20 22081788 44,324
28 My Jelly Tube 0 24 0 24 Mar '22 25041988 44,324
29 Abbocath No 16 Picis 729 0 729 Des '20 16A0804 10,020
30 Abbocath No 18 Picis 220 220 0 Jul '20 10,020
31 Abbocath No 18 Picis 615 0 615 Jun '22 10,020
32 Abbocath No 18 Picis 0 300 0 300 Jun '23 15875-02 9,474
25 Abbocath No 20 Picis 0 500 0 500 Okt '21 16K3004 9,474
27 Abbocath No 20 Picis 740 410 330 Feb '21 16C1604 9,474
28 Abbocath No 20 Picis 700 0 700 Apr '24 190531SD 20,000
29 Abbocath No 22 Picis 245 245 0 Jun '22 3460107 10,020
30 Abbocath No 22 Picis 500 430 70 Okt '22 171128SE 23,020
31 Abbocath No 22 Picis 500 0 500 Apr '24 190516SE 20,000
32 Abbocath No 24 Picis 2,310 835 1,475 Des '22 180110Sb 23,020
33 Abbocath no. 26 Picis 0 0 0 Nov '22 2180980 30,000
34 Penflon No. 18 Picis 0 50 50 0 Jan '24 9031712 32,500
35 Penflon No. 18 Picis 0 100 100 0 Jun '24 16356-01 27,027
36 Penflon No. 20 Picis 0 100 0 100 Okt '23 8331805 32,500
37 Penflon No. 20 Picis 0 500 70 430 Apr '23 16310-01 27,027
38 Penflon No. 22 Picis 220 220 0 Apr '20 17,078
39 Penflon No. 22 Picis 0 200 100 100 Nov '23 8344765 32,500
40 Penflon No. 22 Picis 0 300 0 300 Jul '24 16378-03 27,027
41 Penflon No. 24 Picis 860 860 0 Apr '20 17,078
42 Penflon No. 24 Picis 0 100 50 50 Mei '23 15805-03 27,027
43 Penflon No. 26 Picis 950 94 856 Okt '20 5,945
44 Penflon No. 26 Picis 0 200 0 200 Jun '24 16356-02 28,861
45 Three Way Stopcock Picis 4,202 1,721 2,481 Jun '22 2,828
46 Three Way Stopcock Picis 300 0 300 Feb '24 18101888 32,500
47 Three Way Stopcock With Tube Picis 0 0 0 Jul '22 4,712
48 Guidel Airway 60 mm Picis 34 0 34 Ags '22 18,232
49 Guidel Airway 60 mm Picis 50 0 50 Ags '22 04091788 35,100
50 Guidel Airway 70 mm Picis 31 0 31 Jul '22 18,232
51 Guidel Airway 70 mm Picis 50 0 50 Mei '20 11820619 35,100
52 Guidel Airway 80 mm Picis 21 21 0 0 Mar '20 18,232
53 Guidel Airway 80 mm Picis 50 0 50 Jun '24 11470719 35,100
54 Guidel Airway 90 mm Picis 3 3 0 Sept '22 18,232
55 Guidel Airway 90 mm Picis 50 22 28 Feb '24 11480319 35,100
56 Guidel Airway 100 mm Picis 11 0 11 Sept '22 18,232
57 Guidel Airway 100 mm Picis 50 0 50 Jun '24 11450719 35,100
58 Spinocan injeksi No. 26 Picis 25 25 0 Jul '22 98,000
59 Spinocan injeksi No. 26 Picis 50 25 25 Ags '23 18H1768217 90,000
60 Spinocan injeksi No. 27 Picis 225 25 200 Feb '22 106,000
61 Spinocan injeksi No. 27 Picis 0 200 0 200 Mei '24 19E3068216 100,000
62 Cord Clamps (Penjepit Tali Pusar) Picis 0 400 0 400 2,025
63 Needle No. 22 Box,100 pcs 0 0 0 Jun '19 1,000
64 Needle No. 24 Box,100 pcs 97 150 0 247 Ags '21 090091688 1,000
65 Needle No. 25 Box,100 pcs 100 1 99 Jul '19 1,000
66 Needle No. 25 Box,100 pcs 0 150 0 150 Apr '21 09091688 1,000
67 Disposible Syringes 1 CC Picis 17,987 5,460 12,527 Des '20 7,266
68 Disposible Syringes 1 CC Picis 0 7,200 0 7,200 Jul '24 190829D 7,000
69 Disposible Syringes 3 CC Picis 2,023 2,023 0 Jul '20 15H1302 111
70 Disposible Syringes 3 CC Picis 0 14,800 9,974 4,826 Mar '21 20160430 1,060
71 Disposible Syringes 3 CC Picis 0 1,600 0 1,600 Jun '24 190716f 6,000
72 Disposible Syringes 5 CC Picis 1,200 1,200 0 Jan '20 7,677
73 Disposible Syringes 5 CC Picis 7,388 5,245 2,143 Jul '20 7,677
74 Disposible Syringes 5 CC Picis 9,600 0 9,600 Sept '20 7,677
75 Disposible Syringes 5 CC Picis 0 500 0 500 Jul '20 1,322
76 Disposible Syringes 10 CC Picis 2,800 2,800 0 Mar '21 4,798
77 Disposible Syringes 10 CC Picis 0 3,200 495 2,705 Mar '21 4,798
78 Disposible Syringes 20 CC Picis 1,464 670 794 Sept '20 13,297
79 Disposible Syringes 50 CC Picis 56 56 0 Apr '22 29,062
80 Disposible Syringes 50 CC Picis 0 200 0 200 Apr '24 1905IE 20,000
81 Endotracheal Tube ( ETT ) No. 2,5 Picis 0 0 0 Nov '19 93,005
82 Endotracheal Tube ( ETT ) No. 3 Picis 0 0 0 Okt '19 93,005
83 Endotracheal Tube ( ETT ) No. 3,5 Picis 0 0 0 Jul '22 91,380
84 Endotracheal Tube ( ETT ) No. 4 Picis 10 0 10 Apr '22 91,380
85 Endotracheal Tube ( ETT ) No. 4,5 Picis 20 0 20 Apr '22 91,380
86 Endotracheal Tube ( ETT ) No. 5 Picis 10 0 10 Ags '22 91,380
87 Endotracheal Tube ( ETT ) No. 5,5 Picis 15 0 15 Jul '22 91,380
88 Endotracheal Tube ( ETT ) No. 6 Picis 14 10 4 Jul '22 91,380
89 Endotracheal Tube ( ETT ) No. 6,5 Picis 3 3 0 Apr '22 91,380
90 Endotracheal Tube ( ETT ) No. 7 Picis 0 0 0 Ags '23 91,380
91 Endotracheal Tube ( ETT ) No.7,5 Picis 0 20 10 10 Mar '23 18DG25 91,000
92 Endotracheal Tube ( ETT ) No.8 Picis 40 0 40 Feb '21 22,380
93 ETT Non King No. 5 Picis 0 0 0 Nov '22 103902050 729,509
94 ETT Non King No. 6,5 Picis 0 0 0 Feb '22 103902065 729,509
95 ETT Non King No. 7 Picis 0 0 0 Mar '22 103902070 729,509
96 ETT Non King No. 7,5 Picis 0 0 0 Apr '22 103902075 729,509
97 ETT Tanpa Cup No. 2,0 Picis 9 0 9 Mei '20 170301 91,380
98 ETT Tanpa Cup No. 2,5 Picis 20 10 0 10 Mei '20 180901 91,380
99 ETT Tanpa Cup No. 2,5 Picis 14 0 14 Feb '23 18CG06 80,600
100 ETT Tanpa Cup No. 2,5 Picis 0 25 0 25 Apr '22 18EG27 80,600
101 ETT Tanpa Cup No. 2,5 Picis 0 11 0 11 Feb '23 18CG05 80,600
102 ETT Tanpa Cup No. 3 Picis 0 5 0 5 Mar '23 18DG07 80,600
103 ETT Tanpa Cup No. 3 Picis 0 5 0 5 Jun '23 18G615 80,600
104 ETT Tanpa Cup No. 3 Picis 35 0 35 Jun '23 17GG23 80,600
105 ETT Tanpa Cup No. 3,5 Picis 40 0 40 Jan '22 17BG33 80,600
106 ETT Tanpa Cup No. 3,5 Picis 10 0 10 Mei '23 18FT13 80,600
107 ETT Tanpa Cup No. 4 Picis 0 0 0 Nov '21 91,380
108 ETT Tanpa Cup No. 4,5 Picis 0 0 0 Mar '22 91,380
109 ETT Tanpa Cup No. 5 Picis 0 0 0 Okt '21 91,380
110 Extention Tube Picis 28 28 0 Mar '24 190412B 45,500
111 Feeding Tube 3 Picis 0 0 0 Ags '20 170925B 55,500
112 Feeding Tube 3,5 35 cm Terumo Picis 134 34 100 Ags '20 55,500
113 Feeding Tube 4 40 cm Terumo Picis 35 35 0 Sept '22 59,500
114 Feeding Tube 5 100 cm Picis 0 100 20 80 Jan '25 21022088 11,101
115 Feeding Tube 5 40 cm Picis 0 100 30 70 Nov '24 17121988 11,101
116 Feeding Tube 6 40 cm Picis 11 11 0 Mar '22 59,500
117 Feeding Tube 8 100 cm Picis 36 36 0 Ags '22 23,400
118 Feeding Tube 8 40 cm Picis 25 25 0 Feb '22 26,000
119 NGT (Maag Slang) No. 3 Picis 0 0 0
120 NGT (Maag Slang) No. 3,5 Picis 0 0 0
126 Stomach Tube 8 Picis 0 0 0
127 Stomach Tube 12 Picis 65 11 54 Apr '22 23,683
128 Stomach Tube 14 Picis 70 13 57 Feb '21 23,683
129 Stomach Tube 14 Picis 50 0 50 Mar '23 59,500
130 Stomach Tube 16 Picis 58 31 27 Feb '21 19,500
131 Stomach Tube 16 Picis 50 0 50 Jun '23 59,500
132 Stomach Tube 18 Picis 14 14 0 Apr '20 19,500
133 Stomach Tube 18 Picis 86 14 72 Sept '21 19,500
134 Stomach Tube 18 Picis 50 0 50 Jun '23 59,500
135 Selang Suction Silicon Picis 10 0 10 220,000
136 LMA Supreme No. 2,5 Picis 15 0 15 Sept '21 NPAG2E 520,000
137 LMA Supreme No. 3 Picis 15 10 5 Apr '22 PMA3ZW 780,000
138 LMA Supreme No. 4 Picis 15 10 5 Jan '22 PMAB2M 780,000
139 LMA Supreme No. 5 Picis 5 5 0 Sept '20 774,150
140 LMA Unique No. 1 Picis 5 0 5 Jun '20 674,010
141 LMA Unique No. 1,5 Picis 5 0 5 Nov '20 674,010
142 LMA Unique No. 2 Picis 5 5 0 Nov '20 674,010
143 LMA Unique No. 2,5 Picis 0 0 0 Nov '20 674,010
144 Rectal Tube No. 30 Picis 0 0 0 20,000
145 Suction Catheter No. 6 Picis 400 20 380 Apr '23 13,340
146 Suction Catheter No. 8 Picis 200 200 0 Jul '23 13,340
147 Suction Catheter No. 10 Picis 240 76 164 Des '22 6,190
148 Suction Catheter No. 12 Picis 300 61 239 Mar '23 13,340
149 Suction Catheter No. 14 Picis 333 23 310 Mar '23 13,340
150 Infuset Dewasa Picis 317 317 0 Feb '21 12,770
151 Infuset Dewasa Picis 0 200 115 85 Nov '21 190624K 31,200
152 Infuset Anak Picis 3,150 581 2,569 Mei '21 15,400
153 Infuset Anak Picis 0 200 0 200 Nov '21 190611k 30,940
154 Infuset Transfusi Darah Picis 215 0 215 Jul '20 19,690
155 Infuset Transfusi Darah Picis 0 500 180 320 Sept '21 190407 50,700
156 Injector Plug Picis 0 0 Mar '23 50,000
157 Urine Bag 2000 ml Bag 1,719 150 1,569 Jul '22 4,350
158 Urinal Plastik + Tutup Picis 38 2 36 40,832
159 Stikpan Plastik Picis 34 2 32 51,040
160 Bracket Handwash Plastik Picis 50 34 16 25,520
161 Bracket Handwash Plastik Picis 0 20 0 20 27042088 26,250
162 Nierbekken Stainles 23 cm Picis 11 50 0 61 42,108
163 Safety Box 5 Liter (karton) Picis 0 804 83 721 23,000
164 Safety Box 5 Liter (karton) Picis 0 400 0 400 21,025
165 Safety Box Sharp 1 Liter (Plastik) Picis 0 0 0 22,968
166 Adhesive Tapes (steam) Stericlin Roll 23 12 11 264,465
167 Adhesive Tapes (steam) Stericlin Roll 0 50 0 50 64,648
168 Indicator Trips (Steam) Stericlin Pack 30 5 25 Nov '20 1195075 889,700
169 Micropore 3M 1535-1 2,5M x 9,1M Roll 6 0 6 Mar '24 G3G
170 Pouch With Indicator 9 x 26 cm Box 0 30 10 20 Nov '24 019101214 120,350
171 Pouch With Indicator 7 x 26 cm Box 6 6 0 Okt '22 90,000
172 Pouch With Indicator 7 x 26 cm Box 0 30 2 28 Ags '24 01905084 96,379
173 Pouch With Indicator 15 cm x 200 M (Roll) Roll 15 0 15 Jun '22 1,184,964
174 Pouch With Indicator 25 cm x 200 M (Roll) Roll 10 0 10 Jun '22 1,184,964
175 Pouch With Indicator 35 cm x 200 M (Roll) Roll 13 0 13 Sept '22 1,658,947
176 Wrapping paper Sterilization 120 x 120 cm Karton 0 2 2 0 Y20190516 3,162,500
177 Wraping (Reliance 440 Blue AS) 50x50cm Pack 1 0 1 Sept '24 432389 751,660
178 Wraping (Reliance 440 Blue AS) 100x100cm Pack 1 0 1 Okt '24 564465 1,619,550
179 Wraping (Reliance 440 Blue AS) 120x120cm Pack 2 0 2 Okt '24 564398 1,376,175
180 Anestesi Flow Anak Set 5 0 5 181,247
181 Anestesi Flow Dewasa Set 5 0 5 181,247
182 Resusitator Bayi Set 5 0 5 667,000
183 Resusitator Bayi Set 10 0 10 Jul '23 MO0702630080 567,000
184 Resusitator Anak Set 11 0 11 Jun '23 667,000
185 Resusitator Anak Set 6 0 6 Jul '24 567,000
186 Resusitator Dewasa Set 4 1 3 667,000
187 Resusitator Dewasa Set 12 0 12 Jul '24 567,000
188 Selang Oksigen Bayi Picis 128 128 0 22,500
189 Selang Oksigen Bayi Picis 100 13 87 01111788 25,000
190 Selang Oksigen Bayi Picis 0 500 0 500 01111788 7,975
191 Selang Oksigen Anak Picis 163 126 37 22,500
192 Selang Oksigen Anak Picis 200 0 200 Apr '23 23051988 25,000
193 Selang Oksigen Anak Picis 0 500 0 500 Feb '24 10032088 7,975
194 Selang Oksigen Dewasa Picis 0 1,000 0 1,000 Mar '24 09042088 7,975
195 Selang Oksigen Dewasa Picis 464 298 166 10071788 25,000
196 Masker Oksigen (Maxiflow) Bayi Picis 50 30 20 21,054
197 Masker Oksigen (Maxiflow) Bayi Picis 0 100 0 100 26081988 33,800
198 Masker Oksigen (Maxiflow) Bayi Picis 0 400 0 400 08042088 19,575
199 Masker Oksigen (Maxiflow) Anak Picis 33 27 6 19,650
200 Masker Oksigen (Maxiflow) Anak Picis 0 200 0 200 29101988 35,100
201 Masker Oksigen (Maxiflow) Anak Picis 0 500 0 500 04042088 19,575
202 Masker Oksigen (Maxiflow) Dewasa Picis 0 200 50 150 Des '23 02012088 32,500
203 Masker Oksigen (Maxiflow) Dewasa Picis 0 100 0 100 Apr '24 12052088 19,575
204 Masker rebreathing Picis 0 0 0 Apr '23 175,000
205 Masker Non Rebreathing Picis 2 2 0 Apr '23 175,000
206 Mask O2 with Reservoir (Hi-O2) Anak Picis 0 0 0 35,728
207 Mask O2 with Reservoir (Hi-O2) Dewasa Picis 0 0 0 35,728
208 Masker Nebulizer Anak Picis 0 200 76 124 Mei '24 190152 38,350
209 Masker Nebulizer Anak Picis 0 25 0 25 Apr '24 19052088 28,232
210 Masker Nebulizer Dewasa Picis 0 50 50 0 Jul '23 060819888 38,500
211 Masker Nebulizer Dewasa Picis 15 15 0 Jul '23 21081988 38,500
212 Masker Nebulizer Dewasa Picis 0 500 25 475 Mar '24 080042088 28,232
213 Masker N95 Box 1 1 0 Jul '23 99BC208C26 200,000
214 Masker N95 Box 10 10 0 03031888 285,000
215 Masker N95 Box 6 6 0 Jul '23 R816 296,396
216 Masker N95 Box 4 4 0 Okt '23 R18777 390,000
217 Masker N95 Box 0 2 2 0 Okt '23 R18777 390,000
218 Masker With Visor Box 208 67 141 15,950
219 Masker With Visor Box 0 10 0 10 090420888 6,380
220 Masker Earloop Plus Box 19 19 0 Jun '23 61,900
221 Masker Earloop Plus Box 600 470 130 Nov '24 03111902 45,500
222 Masker Earloop Box 0 0 0 62,000
223 Masker Earloop Box 0 20 0 20 26,730
224 Masker Earloop Box 769 609 160 Jan '24 190130 41,600
225 Masker Tie on Box 42 20 62 0 Nov '20 22,500
226 Masker Tie on Box 140 26 114 8031 32,400
227 Kaca Mata krisbow Picis 6 4 2 288,000
228 Handscoon Panjang (Obgyn) Pasang 41 41 0 Sept '22 28,072
229 Handscoon Panjang (Obgyn) Pasang 0 400 50 350 Sept '22 27,550
230 Handscoon Sensigloves L Ktk (100 lbr ) 694 247 447 Sept '20 133,800
231 Handscoon Sensigloves L Ktk (100 lbr ) 100 0 100 Jan '23 227,460
232 Handscoon Sensigloves M Ktk (100 lbr ) 2,013 369 1,644 Jun '23 133,800
233 Handscoon Sensigloves S Ktk (100 lbr ) 810 267 543 Des '23 227,460
234 Handscoon Sensigloves XS Ktk (100 lbr ) 366 20 346 Ags '20 133,800
235 Handscoon Sensigloves XS Ktk (100 lbr ) 100 0 100 Jul '23 227,460
236 Handscoon Steril No. 6,5 Pasang 0 1,000 1,000 0 Sept '23 15933-01 10,260
237 Handscoon Steril No. 6,5 Pasang 0 200 200 0 Sept '24 16399-02 7,914
238 Handscoon Steril No. 6,5 Pasang 183 183 0 Okt '22 20171020 20,000
239 Handscoon Steril No. 7 Pasang 0 900 629 271 Ags '22 15242-01 10,260
240 Handscoon Steril No. 7 Pasang 0 400 0 400 Sept '24 16399-03 7,914
241 Handscoon Steril No. 7 Pasang 528 0 528 0 Sept '23 15934-01 10,260
242 Handscoon Steril No. 7 Pasang 500 500 0 Apr '23 20180430 20,000
243 Handscoon Steril No. 7,5 Pasang 2,489 1,647 842 Jan '20 14,647
244 Handscoon Steril No. 7,5 Pasang 500 0 500 Okt '21 2016005 15,000
245 Handscoon Steril No. 7,5 Pasang 0 200 0 200 Jan '25 16618-03 7,914
246 Handscoon Steril No. 8 Pasang 189 189 0 Mei '20 14,647
247 Handscoon Steril No. 8 Pasang 300 73 227 Jan '23 19,647
248 Handscoon Steril No. 8 Pasang 0 200 0 200 Nov '24 16579-02 7,914
249 Surgical Gown (Baju Operasi) NonWoven L Picis 118 118 0 Sept '22 30,406
250 Surgical Gown (Baju Operasi) NonWoven L Picis 0 150 91 59 Mar '25 04042088 87,725
251 Surgical Gown (Baju Operasi) NonWoven XL Picis 49 49 0 Jul '22 30,406
252 Surgical Gown (Baju Operasi) NonWoven XL Picis 0 24 24 0 Feb '25 26032088 87,725
253 Surgical Gown (Baju Operasi) Spunlace L Picis 12 12 0 Ags '22 74,567
254 Surgical Gown (Baju Operasi) Spunlace XL Picis 1 1 0 Jan '22 74,567
255 Surgical Hat Box 3 1 2 Okt '22 50,000
256 Apron One Pack 322 322 0 Mei '24 201905 111,800
257 Apron One Pack 500 104 396 16081988G 42,775
258 Under Pad 60 x 90 Pack 72 72 0 101,978
259 Under Pad 60 x 90 Pack 0 200 51 149 Jan '23 152180120 102,000
260 Under Pad 60 x 90 Pack 0 120 0 120 Mar '23 102300320 60,355
261 Nurse Cup Box 0 2,000 875 1,125 715
262 Nurse Cup Box 0 3,000 0 3,000 03042088 798
263 Sikat Operasi Picis 0 100 0 100 Mei '23 28061888 7,975
264 Shoe Cover Non Woven @100 pcs Box 0 10 0 10 109042088 121,220
265 Dermafix S IV 6x7 Box, 25 lbr 0 10 5 5 Sept '22 03101788 128,180
266 Dermafix S IV 6x7 Box, 25 lbr 0 17 0 17 Des '23 18011988 128,180
267 Dermafix S IV 6x7 Box, 25 lbr 0 23 0 23 Nov '24 12121988 128,180
268 Dermafix 10 x 8 Box, 10 Lbr 19 19 0 Jul '20 72,800
269 Dermafix 10 x 15 Box, 10 Lbr 59 10 49 Jul '20 143,000
270 Dermafix 10 x 25 Box, 10 Lbr 34 21 13 Des '20 169,000
271 Portofix 7 x 6 Picis 0 150 0 150 Ags '24 765/19 11,880
272 Portofix 10 x 10 Picis 100 0 100 Jul '24 580/19 16,625
273 Portofix 10 x 15 Picis 9 0 9 Feb '24 171/19 20,421
274 Portofix 10 x 15 Picis 11 0 11 Mei '23 60/18 20,421
275 Portofix 10 x 15 Picis 120 0 120 Jul '24 715/19 20,421
276 Portofix 10 x 25 Picis 80 0 80 Ags '24 810/19 34,667
277 Cannafix 6 x 8 Picis 600 0 600 Nov '24 15L19 8,083
278 Premilen Mesh Box, 5 Lembar 25 20 5 Apr '23 628,800
279 Premilen Mesh Box, 5 Lembar 15 0 15 Okt '23 118403 628,800
280 Leukoplas 1624 (5 cm x 4,5 M) Roll 465 447 18 0 Feb '20 65,000
281 Polifix 5 cm x 1 M Roll 170 0 170 Sept '20 8,857
282 Polifix 5 cm x 5 M Roll 471 58 413 Ags '20 41,512
283 Polifix 10 cm x 5 M Roll 218 218 0 Ags '22 78,187
284 Polifix 15 cm x 5 M Roll 9 9 0 Sept '22 106,119
285 Polifix 20 cm x 5 M Roll 0 0 0 Jul '20 138,750
286 Pharmafis 5 x 500 cm Box 100 2 98 Ags '24 20I19 19,800
287 Pharmafis 10 x 500 cm Box 50 0 50 Sept '24 20J19 36,000
288 Pharmafis 15 x 500 cm Box 50 7 43 Jul '24 20I19 56,400
289 Poligyp 5 cm x 2,7 M Roll 5 0 5 Ags '20 14,189
290 Poligyp 7,5 cm x 2,7 M Roll 9 5 4 Okt '21 S0301 64,176
291 Poligyp 10 cm x 2,7 M Roll 0 0 0 30,000
292 Poligyp 15 cm x 2,7 M Roll 50 6 44 Jan '22 S0303 76,468
293 Medigyps 7,5 cm x 2,7 M Roll 50 0 50 64,176
294 Medigyps 10 cm x 2,7 M Roll 50 0 50 64,910
295 Medigyps 15 cm x 2,7 M Roll 3 0 3 Ags '21 1230616 76,468
296 Poliban 5 cm x 2,7 M Roll 86 0 86 10,007
297 Poliban 7,5 cm x 2,7 M Roll 116 0 116 58,274
302 Poliban 15 cm x 2,7 M Roll 50 0 50 Okt '23 S0313 50,014
303 PoliCreepe 7,5 cm x 4,55 M Roll 0 0 0 Mar '22 84,284
304 PoliCreepe 10 cm x 4,55 M Roll 0 0 0 Nov '22 37,142
305 PoliCreepe 15 cm x 4,55 M Roll 0 0 0 96,490
306 Arm Sling S Picis 2 2 0 22,968
307 Arm Sling S Picis 30 4 26 65,936
308 Arm Sling S Picis 0 20 0 20 20022088 26,825
309 Arm Sling M Picis 12 6 6 65,936
310 Arm Sling M Picis 0 20 0 20 06121988 26,825
311 Arm Sling L Picis 25 25 0 65,936
312 Arm Sling L Picis 0 20 0 20 07032088 26,825
313 Cervical Collar Neck Picis 0 0 0 168,432
314 Cervical Collar Universal Picis 0 20 0 20 25061988 168,432
315 Collor Neck Picis 0 10 0 10 Nov '23 201811 370,000
316 Spalk Fisrt Ald Picis 0 5 0 5 29081988 79,750
318 Folley cateter (2 way) No. 3,5 Picis 0 0 0
320 Folley cateter (2 way) No. 6 Picis 7 7 0 Mei '21 67,500
323 Folley cateter (2 way) No. 12 Picis 5 5 0 Okt '20 28,041
324 Folley cateter (2 way) No. 12 Picis 0 10 10 0 Mei '22 17F04 50,000
325 Folley cateter (2 way) No. 14 Picis 0 0 0 Feb '23 P18C07 50,000
326 Folley cateter (2 way) No.16 Picis 40 40 0 Jul '22 17H03 50,000
327 Folley cateter (2 way) No.16 Picis 0 30 30 0 Jan '24 19-G05B 50,000
328 Folley cateter (2 way) No. 18 Picis 190 160 30 Ags '23 P18103 9,474
329 Folley cateter (2 way) No. 18 Picis 0 30 30 0 Jan '24 19-GO5B 50,000
330 Folley cateter (2 way) No. 20 Picis 15 12 3 Jan '22 180630 67,500
331 Folley cateter (2 way) No. 20 Picis 20 0 20 Apr '23 P18E08 50,000
332 Folley cateter (2 way) No. 20 Picis 0 30 0 30 Mar '23 P18D07 50,000
333 Folley cateter (2 way) No. 22 Picis 5 5 0 Feb '20 24,200
335 Folley cateter (3 way) No. 18 Picis 0 15 15 0 Nov '20 15L11 44,000
336 Folley cateter (3 way) No. 18 Picis 0 10 10 0 Ags '21 16I04 44,000
337 Folley cateter (3 way) No. 20 Picis 0 10 0 10 Mar '22 17D01 45,000
338 Folley cateter (3 way) No. 20 Picis 0 0 10 0 10 Sept '24 19604K 46,400
339 Kapas Pembalut 250 g Roll 701 9 692 15,000
340 kasa Hidrofil 4m x 10 Roll 0 0 0 3,500
341 Kasa Hidrofil 16 x 16 cm Bks 2,176 545 1,631 8,004
342 Kasa Hidrofil 2m x 80 cm Bungkus 1,320 65 1,255 10,624
343 Kasa Hidrofil 40 Yard x 80 cm Rol 697 322 375 144,900
344 Kasa Kompres Steril 40 cm x 40 cm Bungkus 89 66 23 10,624
345 Kertas EKG 1 Channel FUKUDA C110 Roll 48 4 44 289,962
346 Kertas EKG 3 Channel FUKUDA C120 Roll 97 0 97 063R30-H01 739,970
347 Kertas EKG 3 Channel FUKUDA C120 Roll 0 0 0 35628 50,000
348 Kertas EKG 6 Channel FUKUDA C320 Roll 48 0 48 145F60-h05 569,900
349 Kertas Puyer (kertas perkamen) Bks 423 5 418 54,550
350 Kertas USG Picis 0 20 2 18 270219-B32E 320,000
351 Ultra One Box (50 test ) 7 4 3 0 Mei '20 150,000
352 Gelang Anak Pink Picis 159 0 159 30,000
353 Gelang Anak Biru Picis 155 0 155 30,000
354 Gelang Dewasa Pink Picis 1,255 0 1,255 30,000
355 Gelang Dewasa Biru Picis 1,618 0 1,618 30,000
362 Premilen Tuper 1.0 HR 40 Box, 36 pcs 41 6 35 Jul '21 195,000
363 Premilen Tuper 4/0 HR 30 Box, 36 pcs 21 21 0 Des '23 117515 250,000
364 Premilen Cutting 2/0 HR 30 Box, 36 pcs 39 12 27 Feb '23 199,000
365 Premilen Cutting 3/0 2xHR 22 Box, 36 pcs 38 12 26 Jan '23 260,000
366 Premilen Cutting 4/0 HR 30 Box, 36 pcs 24 10 14 Okt '23 250,000
367 SMI Catgut Chormic USP 0 /EP4//100 m Roll 3 0 3 Des '21 1,855,150
368 SMI Catgut Chromic USP 2/0/ EP3,5/ 100 m Roll 4 0 4 Jul '21 2,551,860
369 SMI Catgut Chromic USP3/0/ EP3/ 100 m Roll 5 0 5 Des '21 1,855,150
370 SMI Catgut Plain USP 0 /EP4//100 m Roll 3 0 3 Apr '21 1,893,500
371 SMI Catgut Plain USP 2/0/ EP3,5/ 100 m Roll 4 0 4 Apr '21 1,893,500
372 Silk Branded 3/0 (2 Matric) 75 cm Box,36 pcs 70 0 70 Feb '20 67,714
373 Catgut Chromic No. 2/0 (3,5M) 75 cm Box,24 pcs 79 0 79 Nov '20 67,714
374 Catgut Chromic No. 3/0 (3,5M) 75 cm Box,24 pcs 91 0 91 Nov '20 67,714
375 Catgut Plain No. 2/0 (3,5M) Onemed Box,24 pcs 72 0 72 Nov '20 67,714
376 SMI Silk Black 3 - 4/EP 6/ 80 m Roll 3 0 3 Jul '21 952,930
377 SMI Silk Black USP 2/0 EP 3/HR 100 m Roll 2 0 2 Des '21 875,570
378 SMI Silk Black USP 2/ EP 5/ 100 m SMI Roll 4 0 4 Des '21 990,772
379 SMI Silk Balck USP 1/EP 4/ 100 m Roll 4 0 4 Des '21 826,130
380 SMI Catgut Plain 0 HR 37 mm Box,12 pcs 62 0 62 Okt '21 452,940
381 SMI Catgut Plain 1 HR 37 mm Box,12 pcs 72 3 69 Okt '21 452,245
382 SMI Catgut Plain 2 HR 37 mm Box,12 pcs 57 1 56 Jul '21 443,340
383 SMI Catgut Plain 3/0 HR 26 mm Box,12 pcs 49 2 47 Feb '22 462,245
384 SMI Silk Black 0 HR 37 mm Box,12 pcs 55 11 44 Apr '21 277,740
385 SMI Silk Black 1 HR 37 mm Box,12 pcs 39 5 34 Apr '21 280,140
386 SMI Silk Black 2/0 HR 26 mm Box,12 pcs 33 10 23 Apr '21 275,340
387 SMI Silk Black 3/0 HR 26 mm Box,12 pcs 30 5 25 Des '20 268,140
388 SMI Surgicryl 0 HR 26 mm Box,12 pcs 31 10 21 Des '21 823,740
389 SMI Surgicryl 1 HR 26 mm Box,12 pcs 16 10 6 Jun '22 1,011,660
390 SMI Surgicryl 2/0 HR 26 mm Box,12 pcs 27 15 12 Des '21 933,420
391 SMI Catgut Chromic 0 HR 40 mm Box,12 pcs 57 0 57 Jan '22 527,340
392 SMI Silk Black 0/ EP 5/ 100 m Roll 5 5 0 Des '21 772,380
393 SMI Catgut Chromic 1 HR 40 mm Box,12 pcs 72 0 72 Jan '22 592,085
394 SMI Catgut Chromic 2 HR Box,12 pcs 72 0 72 Jan '22 425,340
395 SMI Catgut Chromic 3/0 HR 26 mm Box,12 pcs 0 0 0 Jan '22 425,340
396 SMI Surgicryl 3/0 HR 26 mm Box,12 pcs 20 8 12 Feb '22 798,780
397 Bisturi No. 10 Picis 635 100 535 Jul '22 9,100
398 Bisturi No. 11 Picis 979 79 900 Jul '22 17297 17,297
399 Bisturi No. 12 Picis 550 0 550 Apr '22 9,100
402 Perifix one Chateter 401 / Epidural Picis 30 5 25 Des '23 18N06A8701 422,500
403 Anti Human Globulin (Comb Serum) 4 1 3 Feb '21 701417A 340,000
404 Anti Human Globulin (Comb Serum) 10 10 0 Feb '21 701417A 550,000
405 Antisera A Pcs 1 1 0 Sept '20 A080919
406 Antisera A Pcs 0 5 5 0 Okt '21 31745-B 325,000
407 Antisera B Pcs 2 2 0 Sept '22 B080919
408 Antisera B Pcs 0 5 5 0 Okt '21 31745-B 325,000
409 Antisera D Pcs 2 2 0 Ags '20 DM050819
410 Antisera D Pcs 0 5 5 0 Okt '21 31745-B 325,000
411 Antisera AB Pcs 0 5 5 0 Okt '21 31745-B 325,000
412 Beker Glass 30 ml Picis 0 0 0 1000BK30
413 Blood Lancets Box 37 8 29 21,120
414 Blue Tip Pack,500 4 0 4 Des '27 170885 226,000
415 Bovine albumin 22% Botol 2 1 1 Jun '20 322,300
416 Bovine albumin 22% Botol 9 0 9 Nov '22 BGAL2210 283,318
417 Cairan Cuprl Sulfat Botol 0 0 0 Mar '21 286,000
418 Cairan Developer Pasang 0 0 0
419 Cairan Fixer Pasang 0 0 0
420 Catriadge Xpert MTB / RIF Kit 250 50 200 Ags '21 1000168411 825,000
421 Cover Glass Ukuran 24x24 (Menzel) Box 38 0 38 0520488 55,000
422 Disposible ECG Elektroda (50 Endo) Pack 0 0 0 Ags '20 08192017 143,000
423 Film 24 x 30 Box, 100 lbr 0 0 0
424 Film 30 x 40 Box,100 lbr 0 0 0
425 Film 35 x 35 Box, 100 lbr 0 0 0 Mei '19 3,916,000
428 Giemza 250 ml Botol 3 0 3 Sept '20 1,600,000
429 Giemza 500 ml Botol 0 0 0 Sept '20 HX73876504 3,200,000
430 Kantong Darah 250 Ltr Piece 0 0 0 150,000
431 Kantong Darah 350 Ltr Single Bungkus,10 ktg 50 20 30 Mei '22 190518A151
432 Kantong Darah 350 Ltr Double Bungkus, 6 ktg 60 60 0 Mei '22 190514A151
433 Kantong Darah 350 Ltr Double Bungkus, 6 ktg 60 60 0 Jun '22 190701A151
434 Kantong Darah 350 Ltr Double Bungkus, 5 ktg 0 400 180 220 Mei '22 190417001 135,000
435 Kertas Film AGFA 10" x 12" Box,100 lbr 8 8 0 Apr '20 5,720,000
436 Kertas Film AGFA 8" x 10" Box,100 lbr 8 8 0 Apr '20 5,500,000
437 Lumpang + Alu 13 cm Picis 2 0 2 357,200
438 Lumpang + Alu 16 cm Picis 3 0 3 436,450
439 Minyak Oil Imersi Botol 3 0 3 Jul '20 PG0483 1,750,000
440 Objek Glass / Slide Box 67 14 53 200,000
441 Pipa kapiler Marienfeld Tube, 100pcs 2,900 0 2,900 Mar '23 2303424
442 Pipet Tetes Bungkus, 50 Picis 0 0 0
443 Plastik Klip uk 10 x 12 (10 x 15) Pack, 100 lbr 91 51 40 130,000
444 Plastik Klip uk 5 x 7 (5x8) Pack, 100 lbr 198 23 175 60,000
445 Plastik Klip uk 6 x 8 (7x10) Pack, 100 lbr 519 64 455 70,000
446 Pot Dahak Pot 35 35 0 Apr '20 150420 3,225
447 Pot Dahak Pot 100 100 0 Des '23 01181202 50,000
448 Pot Dahak Pot 0 100 55 45 Apr '20 150420 3,225
449 Pot Salep 10 ml Pot 0 100 100 0 62,000
450 Pot Urine Pot 0 50 50 0 2,200
451 Rapid Tes HIV VIKIA Box, 25 Test 0 0 0 Jun '20 1006684110 480,700
452 Rapid Test HBsAg Box, 25 Test 0 0 0 Okt '19 1720108 885,000
453 Rapid Test HBsAg Monotes Box, 50 Test 3 0 3 Sept '21 1903220
454 Rapid Test HBsAg Oncoprobe Box, 50 Test 10 10 0 Jun '21 OU19064 2,375,000
455 Rapid Test Hcv Antibody (Oncoprobe) Box, 50 Test 0 0 0 Mei '20 OU18053 3,400,000
457 Rapid Test Hcv Antibody (Oncoprobe) Box, 25 Test 2 2 0 Feb '21 OU19025 3,400,000
459 Rapid Test Hcv Antibody (Oncoprobe) Box, 25 Test 5 0 5 Mar '21 OU18053 3,400,000
460 Rapid Test Hcv (serum/Palsma) Monotes Box, 50 Test 10 3 7 Sept '21 1907063
461 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 1 1 0 Jun '21 OU18121 3,900,000
463 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 1 6 0 7 Nov '21 O41911 3,900,000
465 Rapid Test HIV Fokus Box, 25 Test 3 3 0 Jul '20 1816147 352,825
466 Rapid Test HIV 1&2 Monotest Box, 25 Test 10 8 2 Jul '21
467 Rapid Test Malaria Card Oncoprobe Box, 50 Test 10 2 8 Des '20 1812046 5,400,000
468 RDT Malaria (Monotes) Box, 25 Test 41 29 12 0 Jun '20 1,950,000
469 RDT Malaria (Monotest) Box, 25 Test 10 2 8 Sept '21 1903222
470 Rapid Test Syphilis (Biosynex) Box, 50 Test 3 0 3 Jan '21 SYP19010011 118,750
471 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 2 2 0 Jun '20 OU18071 3,200,000
472 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 10 1 9 Feb '21 OU19024 3,200,000
473 Rapid Test Syphilis Monotes Box, 50 Test 3 2 1 Sept '21 1903217
474 Rapid Test Syphilis Ab Standard Q Box, 25 Test 5 2 3 Sept '22 QSY1018031
475 SFRI Clair 60 ml DILUCLAIR Botol, 60 ml 2 2 0 Jun '20 91911A15 324,000
476 SFRI Cleanser Gen, 5 Liter 0 0 0 Sept '20 82601AIS 4,041,540
477 SFRI Cleanser 3.1 Gen, 5 Liter 4 2 2 Apr '21 91071A1S 4,600,000
478 SFRI Cleanser 3.1 Gen, 2 Liter 0 14 0 14 Mar '21 90791A15 2,300,000
479 SFRI Cleanser EZ31 Botol 4 4 0 0 Jan '20 9018A15 888,000
480 SFRI Cleanser EZ31 Botol 1 1 0 0 Feb '20 90581AS 888,000
481 SFRI Diluen 3.1 Gen 20 ltr 4 3 3 Jan '22 90441A1S 1,784,000
482 SFRI Diluen 3.1 Gen 20 ltr 15 1 14 Jun '21 81731A1S 2,200,900
483 SFRI Lyse 3.1 Botol, 60 ml 6 6 0 0 Feb '20 90491A1S 324,000
484 SFRI Lyse 3.1 Botol, 500 ml 2 2 0 Jan '21 90281A1S 3,820,000
485 SFRI Lyse Lysoglobin H18 Botol, 500 ml 9 2 7 Feb '21 90711A1S 3,820,000
486 SFRI HEMACLAIR H18 Botol, 60 ml 2 2 0 Feb '20 90491A2S 324,000
487 Strip Cholesterole (Autocheck) Tube, 10 Strip 9 9 0 Jul '20 C19033027 290,000
488 Strip Cholesterole (Autocheck) Tube, 10 Strip 0 20 6 14 Mei '21 C19245120 290,000
489 Strip Uric Acid (Autocheck) Tube, 25 Strip 14 12 2 Jan '21 U19092066 183,000
490 Strip Uric Acid (Autocheck) Tube, 25 Strip 0 20 0 20 Apr '21 U19149090 182,000
491 Strip Glucose (Autocheck) Tube, 25 Strip 0 20 10 10 Des '21 G19425120 138,000
492 Tabung EDTA Pack,100 bh 0 0 0 392,040
493 Tabung EDTA K3 Pack,100 bh 0 100 16 84 Jul '22 201908 190,000
494 Tabung EDTA K2 Pack,100 bh 10 10 0 Sept '22 190915 210,100
495 Tabung Merah Pack,100 bh 0 0 0 Des '21 20181202
496 Test Mantoux (Tuberkulin) Vial 0 0 0 Jun '20 4,000,000
497 Urine Test parameter (Verify) Tube 9 2 7 Ags '21 URS9060010 210,000
498 Urine Test parameter (Verify) Tube 0 30 0 30 Ags '21 URS8010044 210,000
499 White Tip Pack,1000 4 0 4 Jun '23 717,000
500 Yellow Tip Pack,1000 3 2 1 Des '22 717,000
501 Mucus Extractors (Lotus) 0 50 25 25 Des '24 16012088 10,208
502 Handscoon Biru uk S Box 1 10 0 11 Okt '24 911102117 120,000
503 Handscoon Biru uk M Box 0 10 2 8 Okt '24 911102217 120,000
504 Handscoon Biru uk L Box 0 10 1 9 Okt '24 911102317 120,000
505 HB Sahli 20 0 20 100,000
506 Baju APD Covid-19 (Coveall) Bungkus 150 150 0
507 RDT Covid-19 (Sars-Cov-2 Antibody test) Box 2 2 0
508 RDT Covid-19 (Sars-Cov-2 Antibody test) Box 5 5 0 Mar '21 B90197B
509 Rak Tabung Reaksi Multipurpose @50's Buah 0 5 0 5 109,894
510 VTM Buah 75 0 75

Direktur RSUD
Kab. Raja Ampat Penanggungjawab Gudang Obat
dr. Agus Hariyanto, Sp.B

NIP. 19790830 200801 1 016 Kasmawati, S.Si., Apt
NIP. 19740905 200801 2 009
Total Harga
Satuan (Rp)
0
84,000,000
158,107,950
19,224,000
46,858,500
6,937,500
1,500,000
23,328,000
0
22,019,000
2,380,000
0
0
1,015,000
15,540,000
944,000
0
0
11,250,000
34,927,200
38,610,000
0
1,786,530
495,000
4,681,215
0
1,374,044
1,063,776
7,304,580
0
6,162,300
2,842,200
4,737,000
3,126,420
14,000,000
0
1,611,400
10,000,000
33,954,500
0
0
0
3,250,000
11,621,610
0
3,250,000
8,108,100
0
1,351,350
5,088,920
5,772,200
7,016,268
9,750,000
0
619,888
1,755,000
565,192
1,755,000
0
1,755,000
0
982,800
200,552
1,755,000
0
2,250,000
21,200,000
20,000,000
810,000
0
247,000
99,000
150,000
91,021,182
50,400,000
0
5,115,560
9,600,000
0
16,451,811
73,699,200
661,000
0
12,978,590
10,557,818
0
4,000,000
0
0
0
913,800
1,827,600
913,800
1,370,700
365,520
0
0
910,000
895,200
0
0
0
0
822,420
913,800
1,128,400
2,015,000
886,600
403,000
403,000
2,821,000
3,224,000
806,000
0
0
0
0
0
5,550,000
0
888,080
777,070
0
0
0
0
0
0
0
0
0
0
0
1,278,882
1,349,931
2,975,000
526,500
2,975,000
0
1,404,000
2,975,000
2,200,000
7,800,000
3,900,000
3,900,000
0
3,370,050
3,370,050
0
0
0
5,069,200
0
1,015,160
3,188,260
4,135,400
0
2,652,000
39,562,600
6,188,000
4,233,350
16,224,000
0
6,825,150
1,469,952
1,633,280
408,320
525,000
2,568,588
16,583,000
8,410,000
0
2,909,115
3,232,400
22,242,500
0
2,407,000
0
2,698,612
17,774,460
11,849,640
21,566,311
0
751,660
1,619,550
2,752,350
906,235
906,235
3,335,000
5,670,000
7,337,000
3,402,000
2,001,000
6,804,000
0
2,175,000
3,987,500
832,500
5,000,000
3,987,500
7,975,000
4,150,000
421,080
3,380,000
7,830,000
117,900
7,020,000
9,787,500
4,875,000
1,957,500
0
0
0
0
4,755,400
705,800
0
0
13,410,200
0
0
0
0
0
2,248,950
63,800
0
5,915,000
0
534,600
6,656,000
0
3,693,600
576,000
0
9,642,500
59,808,600
22,746,000
219,967,200
123,510,780
46,294,800
22,746,000
0
0
0
2,780,460
3,165,600
0
0
12,332,774
7,500,000
1,582,800
0
4,459,869
1,582,800
0
5,175,775
0
0
0
0
100,000
0
16,938,900
0
15,198,000
7,242,600
804,375
2,394,000
797,500
1,212,200
640,900
2,179,060
2,948,140
0
7,007,000
2,197,000
1,782,000
1,662,500
183,789
224,631
2,450,520
2,773,360
4,849,800
3,144,000
9,432,000
0
1,505,690
17,144,456
0
0
0
1,940,400
1,800,000
2,425,200
70,945
256,704
0
3,364,592
3,208,800
3,245,500
229,404
860,602
6,759,784
837,775
3,245,500
1,510,720
3,823,400
2,500,700
0
0
0
0
1,714,336
536,500
395,616
536,500
0
536,500
0
3,368,640
3,700,000
398,750
0
0
0
0
0
0
0
0
0
0
0
284,220
0
202,500
1,000,000
1,500,000
0
0
0
0
450,000
464,000
10,380,000
0
13,054,524
13,333,120
54,337,500
244,352
12,758,328
71,777,090
0
27,355,200
22,801,900
5,760,000
0
4,770,000
4,650,000
37,650,000
48,540,000
0
0
0
0
0
0
0
6,825,000
0
5,373,000
6,760,000
3,500,000
5,565,450
10,207,440
9,275,750
5,680,500
7,574,000
4,739,980
5,349,406
6,161,974
4,875,408
2,858,790
1,751,140
3,963,088
3,304,520
28,082,280
31,204,905
24,827,040
21,725,515
12,220,560
9,524,760
6,332,820
6,703,500
17,298,540
6,069,960
11,201,040
30,058,380
0
42,630,120
30,624,480
0
9,585,360
4,868,500
15,567,300
5,005,000
8,827,000
2,939,300
10,562,500
0
1,020,000
0
0
0
0
0
0
0
0
0
612,480
904,000
322,300
2,549,862
0
0
0
165,000,000
2,090,000
0
0
0
0
0
15,594,000
4,800,000
0
0
0
0
0
29,700,000
0
0
714,400
1,309,350
5,250,000
10,600,000
0
0
5,200,000
10,500,000
31,850,000
0
0
145,125
0
0
0
0
0
0
0
0
0
0
17,000,000
0
0
0
27,300,000
11,700,000
0
0
43,200,000
0
0
356,250
0
28,800,000
0
0
0
0
9,200,000
32,200,000
0
0
5,352,000
30,812,600
0
0
26,740,000
0
0
4,060,000
366,000
3,640,000
1,380,000
0
15,960,000
0
0
0
1,470,000
6,300,000 EXP???
2,868,000
717,000
255,200
1,320,000
960,000
1,080,000
2,000,000
0
0
0
549,470
0
3,064,259,591
Pada hari ini Kamis Tanggal 31 Bulan Desember tahun Dua Ribu Dua Puluh , kami melakukan stock opname BHP di Rumah Sakit Umum Daerah, dengan rincian sebagai berikut :
BHP Masuk Per 01 Januari s/d 31 Desember 2020

BHP ED Obat Sisa BHP
Sisa BHP Per 01 keluar Per 01 Total Harga
Harga Total Harga
Per 31 Pengada Pengada Januari per 01 Januari Tgl Satuan Stok Akhir
No. JENIS PERSEDIAAN Satuan Desember Bantuan Bantuan Pengada Pengada Bantuan Bantuan s/d 31 Jan/d 31 s/d 31 Expired
Nomor Batch Satuan Satuan Stok Awal
an an Desember 2020
2019 30%
BMHP BMHP
Dinkes an UTD an Lab Dinkes Kimia Desember Desember Desember (RP) Januari 2020 (Rp)
BPJS R4 2020 2020 Propinsi Farma (Rp)
2019 2020 2020 2020 2020
A BAHAN HABIS PAKAI

1 Stabimed (Cairam Pembersih Instrumen) Botol 10 10 0 Nov '20 2,702,700 Rp 27,027,000 Rp -
2 Alkacide 1 Ltr Botol 30 24 6 Mar '22 9S16N1941 3,500,000 Rp 105,000,000 Rp 21,000,000
3 Alkacide 1 Ltr Botol 0 50 0 50 Ags '22 9539N3927 3,162,159 Rp - Rp 158,107,950
4 Alkazyme 25 gr Pack 27 15 12 Mar '21 8510N0719-82 801,000 Rp 21,627,000 Rp 9,612,000
5 Alkazyme 25 gr Pack 0 50 0 50 Jun '22 953ON3134 937,170 Rp - Rp 46,858,500
6 Alkohol 70% 1000 ml Botol 1,007 766 241 Mar '21 37,500 Rp 37,762,500 Rp 9,037,500
7 Alkohol 70% Molex 1000 ml Botol 40 40 0 Jun '24 A03BU101 40,000 Rp 1,600,000 Rp -
8 Alkohol 70% 1000 ml Botol 0 40 0 40 Mar '21 25041788 37,500 Rp - Rp 1,500,000
9 Alkohol 70% 1000 ml Botol 0 240 0 240 Mar '24 15042088 97,200 Rp - Rp 23,328,000
10 Alkohol Swab 70% Box 265 265 0 Jun '20 14,500 Rp 3,842,500 Rp -
11 Alkohol Swab 70% Box 480 297 183 Des '20 48,500 Rp 23,280,000 Rp 8,875,500
12 Etil Klorida Spray 100 ml Botol 140 140 0 Jul '20 20,000 Rp 2,800,000
13 Povidon Iodida VIDENE 500 ml Botol 0 0 0 Rp - Rp -
14 Povidon Iodida Betadine 300 ml Botol 40 40 0 Mar '22 02041988 27,000 Rp 1,080,000 Rp -
15 Povidon Iodida Betadine 300 ml Botol 100 75 25 Jul '22 23081986 35,000 Rp 3,500,000 Rp 875,000
16 Povidon Iodida Betadine 300 ml Botol 0 96 0 96 Feb '22 15031988 35,000 Rp - Rp 3,360,000
17 Povidon Iodida BETADINE 1000 ml Botol 100 100 0 Okt '21 J82850W 185,000 Rp 18,500,000 Rp -
18 Rivanol 300 ml Botol 118 0 118 Mar '23 R03BM012 8,000 Rp 944,000 Rp 944,000
19 Rivanol 300 ml Botol 10 10 0 Mei '20 12061788 3,400 Rp 34,000 Rp -
20 Scrub HYDREX Scrub 500 ml Botol 0 0 0 Jun '19 146,616 Rp - Rp -
21 Scrub ONE SCRUB 500 ml Botol 0 120 23 97 Mar '23 17042088 93,750 Rp - Rp 9,093,750
22 Scrub ONE SCRUB 5 Liter Gen 0 48 23 25 Mar '23 02042088 727,650 Rp - Rp 18,191,250
23 Antiseptic Gel 500 ml Botol 0 300 2 298 Mar '23 20042088 128,700 Rp - Rp 38,352,600
24 Handsanitizer/antiseptic alkohol 500ml Botol 0 180 0 180 GM2004124 75,000 Rp - Rp 13,500,000
25 Aquagel Steril Ecolab Jelly 5 gr Sachet 0 0 0 Rp - Rp -
26 H2O2 Botol 12 5 7 Okt '23 178,653 Rp 2,143,836 Rp 1,250,571
27 Jelly USG Botol 0 50 50 0 Okt '22 2091008 15,000 Rp - Rp -
28 Jelly USG Botol 0 200 3 197 Feb '22 0302088 24,255 Rp - Rp 4,778,235
29 My Jelly Tube 47 47 0 Jul '20 22081788 44,324 Rp 2,083,228 Rp -
30 My Jelly Tube 0 50 50 0 Jun '20 22081788 44,324 Rp - Rp -
31 My Jelly Tube 0 34 26 8 Mar '22 25041988 44,324 Rp - Rp 354,592
32 My Jelly Tube 0 30 0 30 Nov '22 12121988 81,900 Rp - Rp 2,457,000
33 Abbocath No 16 Picis 729 60 669 Des '20 16A0804 10,020 Rp 7,304,580 Rp 6,703,380
34 Abbocath No 18 Picis 320 320 0 Jul '20 10,020 Rp 3,206,400 Rp -
35 Abbocath No 18 Picis 615 220 395 Jun '22 10,020 Rp 6,162,300 Rp 3,957,900
36 Abbocath No 18 Picis 0 300 0 300 Jun '23 15875-02 9,474 Rp - Rp 2,842,200
37 Abbocath No 20 Picis 740 740 0 Feb '21 16C1604 9,474 Rp 7,010,760 Rp -
38 Abbocath No 20 Picis 700 700 0 Apr '24 190531SD 20,000 Rp 14,000,000 Rp -
39 Abbocath No 20 Picis 0 500 440 60 Okt '21 16K3004 9,474 Rp - Rp 568,440
40 Abbocath No 20 Picis 0 300 0 300 Jan '25 2002105D 20,930 Rp - Rp 6,279,000
41 Abbocath No 22 Picis 245 245 0 Jun '22 3460107 10,020 Rp 2,454,900 Rp -
42 Abbocath No 22 Picis 500 500 0 Okt '22 171128SE 23,020 Rp 11,510,000 Rp -
43 Abbocath No 22 Picis 500 500 0 Apr '24 190516SE 20,000 Rp 10,000,000 Rp -
44 Abbocath No 22 Picis 0 500 450 50 Sept '20 15J1904 20,930 Rp - Rp 1,046,500
45 Abbocath No 22 Picis 0 300 0 300 Mei '25 200611SE 20,930 Rp - Rp 6,279,000
46 Abbocath No 24 Picis 2,310 1,610 700 Des '22 180110Sb 23,020 Rp 53,176,200 Rp 16,114,000
47 Abbocath No 24 Picis 0 200 0 200 Mei '25 2006085B 22,750 Rp - Rp 4,550,000
48 Abbocath no. 26 Picis 130 130 0 Nov '22 2180980 30,000 Rp 3,900,000 Rp -
49 Penflon No. 18 Picis 0 50 50 0 Jan '24 9031712 32,500 Rp - Rp -
50 Penflon No. 18 Picis 0 100 100 0 Jun '24 16356-01 27,027 Rp - Rp -
51 Penflon No. 20 Picis 0 100 80 20 Okt '23 8331805 32,500 Rp - Rp 650,000
52 Penflon No. 20 Picis 0 500 0 500 Apr '23 16310-01 27,027 Rp - Rp 13,513,500
53 Penflon No. 22 Picis 220 220 0 0 Apr '20 17,078 Rp 3,757,160 Rp -
54 Penflon No. 22 Picis 0 200 110 90 Nov '23 8344765 32,500 Rp - Rp 2,925,000
55 Penflon No. 22 Picis 0 300 0 300 Jul '24 16378-03 27,027 Rp - Rp 8,108,100
56 Penflon No. 24 Picis 860 860 0 0 Apr '20 17,078 Rp 14,687,080 Rp -
57 Penflon No. 24 Picis 0 100 50 50 Mei '23 15805-03 27,027 Rp - Rp 1,351,350
58 Penflon No. 26 Picis 820 820 0 0 Okt '20 5,945 Rp 4,874,900 Rp -
59 Penflon No. 26 Picis 0 130 130 0 Nov '22 2180980 30,000 Rp - Rp -
60 Penflon No. 26 Picis 0 200 150 50 Jun '24 16356-02 28,861 Rp - Rp 1,443,050
61 Penflon No. 26 Picis 0 100 0 100 Nov '23 1181010 28,861 Rp - Rp 2,886,100
62 Three Way Stopcock Picis 3,892 3,006 886 Jun '22 2,828 Rp 11,006,576 Rp 2,505,608
63 Three Way Stopcock Picis 300 0 300 Feb '24 18101888 32,500 Rp 9,750,000 Rp 9,750,000
64 Three Way Stopcock With Tube Picis 0 0 0 Jul '22 4,712 Rp - Rp -
65 Guidel Airway 60 mm Picis 34 10 24 Ags '22 18,232 Rp 619,888 Rp 437,568
66 Guidel Airway 60 mm Picis 50 0 50 Ags '22 04091788 35,100 Rp 1,755,000 Rp 1,755,000
67 Guidel Airway 70 mm Picis 31 10 21 Jul '22 18,232 Rp 565,192 Rp 382,872
68 Guidel Airway 70 mm Picis 50 0 50 Mar '24 11820619 35,100 Rp 1,755,000 Rp 1,755,000
69 Guidel Airway 80 mm Picis 21 21 0 0 Mar '20 18,232 Rp 382,872 Rp -
70 Guidel Airway 80 mm Picis 50 7 43 Jun '24 11470719 35,100 Rp 1,755,000 Rp 1,509,300
71 Guidel Airway 90 mm Picis 3 3 0 Sept '22 18,232 Rp 54,696 Rp -
72 Guidel Airway 90 mm Picis 50 37 13 Feb '24 11480319 35,100 Rp 1,755,000 Rp 456,300
73 Guidel Airway 100 mm Picis 11 10 1 Sept '22 18,232 Rp 200,552 Rp 18,232
74 Guidel Airway 100 mm Picis 50 0 50 Jun '24 11450719 35,100 Rp 1,755,000 Rp 1,755,000
75 Spinocan injeksi No. 26 Picis 25 25 0 Jul '22 98,000 Rp 2,450,000 Rp -
76 Spinocan injeksi No. 26 Picis 50 50 0 Ags '23 18H1768217 90,000 Rp 4,500,000 Rp -
77 Spinocan injeksi No. 27 Picis 225 100 125 Feb '22 106,000 Rp 23,850,000 Rp 13,250,000
78 Spinocan injeksi No. 27 Picis 0 200 0 200 Mei '24 19E3068216 100,000 Rp - Rp 20,000,000
79 Cord Clamps (Penjepit Tali Pusar) Picis 0 400 0 400 2,025 Rp - Rp 810,000
80 Needle No. 22 Box,100 pcs 0 0 0 Jun '19 1,000 Rp - Rp -
81 Needle No. 24 Box,100 pcs 97 150 0 247 Ags '21 090091688 1,000 Rp 97,000 Rp 247,000
82 Needle No. 25 Box,100 pcs 100 1 99 Jul '19 1,000 Rp 100,000 Rp 99,000
83 Needle No. 25 Box,100 pcs 0 150 0 150 Apr '21 09091688 1,000 Rp - Rp 150,000
84 Disposible Syringes 1 CC Picis 11,987 3,200 8,787 0 Des '20 7,266 Rp 87,097,542 Rp -
85 Disposible Syringes 1 CC Picis 6,000 800 5,200 Jan '21 7,266 Rp 43,596,000 Rp 37,783,200
86 Disposible Syringes 1 CC Picis 0 5,400 5,400 Jul '24 190829D 7,000 Rp - Rp 37,800,000
87 Disposible Syringes 1 CC Picis 0 1,800 0 1,800 Sept '24 7,000 Rp - Rp 12,600,000
88 Disposible Syringes 3 CC Picis 2,023 2,023 0 Jul '20 15H1302 111 Rp 224,553 Rp -
89 Disposible Syringes 3 CC Picis 0 1,600 1,600 0 Jun '24 190716f 6,000 Rp - Rp -
90 Disposible Syringes 3 CC Picis 0 23,800 20,319 3,481 Mar '21 20160430 1,060 Rp - Rp 3,689,860
91 Disposible Syringes 3 CC Picis 0 4,600 0 4,600 20160430 6,962 Rp - Rp 32,025,200
92 Disposible Syringes 5 CC Picis 1,200 1,200 0 0 Jan '20 7,677 Rp 9,212,400 Rp -
93 Disposible Syringes 5 CC Picis 7,388 6,216 1,172 0 Jul '20 7,677 Rp 56,717,676 Rp -
94 Disposible Syringes 5 CC Picis 9,600 4,017 5,583 0 Sept '20 7,677 Rp 73,699,200 Rp -
95 Disposible Syringes 5 CC Picis 0 500 500 0 0 Jul '20 1,322 Rp - Rp -
96 Disposible Syringes 5 CC Picis 0 5,200 1,450 3,750 Mei '21 1,322 Rp - Rp 4,957,500
97 Disposible Syringes 5 CC Picis 0 4,000 0 4,000 Okt '24 19110712 6,962 Rp - Rp 27,848,000
98 Disposible Syringes 10 CC Picis 2,800 2,800 0 Mar '21 4,798 Rp 13,434,400 Rp -
99 Disposible Syringes 10 CC Picis 0 3,200 3,200 0 Mar '21 4,798 Rp - Rp -
100 Disposible Syringes 10 CC Picis 0 1,000 600 400 Nov '24 191220L 8,327 Rp - Rp 3,330,800
101 Disposible Syringes 20 CC Picis 1,464 784 680 0 Sept '20 13,297 Rp 19,466,808 Rp -
102 Disposible Syringes 20 CC Picis 0 50 20 30 Mei '25 200615B 12,012 Rp - Rp 360,360
103 Disposible Syringes 50 CC Picis 56 56 0 Apr '22 29,062 Rp 1,627,472 Rp -
104 Disposible Syringes 50 CC Picis 0 200 20 180 Apr '24 1905IE 20,000 Rp - Rp 3,600,000
105 Endotracheal Tube ( ETT ) No. 2,5 Picis 0 0 0 Nov '19 93,005 Rp - Rp -
106 Endotracheal Tube ( ETT ) No. 3 Picis 0 0 0 Okt '19 93,005 Rp - Rp -
107 Endotracheal Tube ( ETT ) No. 3,5 Picis 0 0 0 Jul '22 91,380 Rp - Rp -
108 Endotracheal Tube ( ETT ) No. 4 Picis 10 0 10 Apr '22 91,380 Rp 913,800 Rp 913,800
109 Endotracheal Tube ( ETT ) No. 4,5 Picis 20 0 20 Apr '22 91,380 Rp 1,827,600 Rp 1,827,600
110 Endotracheal Tube ( ETT ) No. 5 Picis 10 10 0 Ags '22 91,380 Rp 913,800 Rp -
111 Endotracheal Tube ( ETT ) No. 5,5 Picis 15 0 15 Jul '22 91,380 Rp 1,370,700 Rp 1,370,700
112 Endotracheal Tube ( ETT ) No. 6 Picis 14 14 0 Jul '22 91,380 Rp 1,279,320 Rp -
113 Endotracheal Tube ( ETT ) No. 6,5 Picis 3 3 0 Apr '22 91,380 Rp 274,140 Rp -
114 Endotracheal Tube ( ETT ) No. 6,5 Picis 0 10 10 0 Ags '22 171620 88,725 Rp - Rp -
115 Endotracheal Tube ( ETT ) No. 7 Picis 0 10 10 0 Apr '23 18ET35 88,725 Rp - Rp -
116 Endotracheal Tube ( ETT ) No.7,5 Picis 0 20 10 10 Mar '23 18DG25 91,000 Rp - Rp 910,000
117 Endotracheal Tube ( ETT ) No.8 Picis 40 0 40 Feb '21 22,380 Rp 895,200 Rp 895,200
118 ETT Non King No. 5 Picis 0 0 0 Nov '22 103902050 729,509 Rp - Rp -
119 ETT Non King No. 6,5 Picis 0 0 0 Feb '22 103902065 729,509 Rp - Rp -
120 ETT Non King No. 7 Picis 0 0 0 Mar '22 103902070 729,509 Rp - Rp -
121 ETT Non King No. 7,5 Picis 0 0 0 Apr '22 103902075 729,509 Rp - Rp -
122 ETT Tanpa Cup No. 2,0 Picis 9 0 9 Mei '20 170301 91,380 Rp 822,420 Rp 822,420
123 ETT Tanpa Cup No. 2,5 Picis 20 11 0 9 Mei '20 180901 91,380 Rp 1,827,600 Rp 822,420
124 ETT Tanpa Cup No. 2,5 Picis 14 0 14 Feb '23 18CG06 80,600 Rp 1,128,400 Rp 1,128,400
125 ETT Tanpa Cup No. 2,5 Picis 0 25 0 25 Apr '22 18EG27 80,600 Rp - Rp 2,015,000
126 ETT Tanpa Cup No. 2,5 Picis 0 11 0 11 Feb '23 18CG05 80,600 Rp - Rp 886,600
127 ETT Tanpa Cup No. 3 Picis 35 0 35 Jun '23 17GG23 80,600 Rp 2,821,000 Rp 2,821,000
128 ETT Tanpa Cup No. 3 Picis 0 5 0 5 Mar '23 18DG07 80,600 Rp - Rp 403,000
129 ETT Tanpa Cup No. 3 Picis 0 5 0 5 Jun '23 18G615 80,600 Rp - Rp 403,000
130 ETT Tanpa Cup No. 3,5 Picis 40 0 40 Jan '22 17BG33 80,600 Rp 3,224,000 Rp 3,224,000
131 ETT Tanpa Cup No. 3,5 Picis 10 0 10 Mei '23 18FT13 80,600 Rp 806,000 Rp 806,000
132 ETT Tanpa Cup No. 4 Picis 0 10 0 10 Okt '21 16KG30 89,999 Rp - Rp 899,990
133 ETT Tanpa Cup No. 4,5 Picis 0 10 0 10 Jan '22 17HG07 89,999 Rp - Rp 899,990
134 ETT Tanpa Cup No. 5 Picis 0 10 0 10 Nov '22 17LT24 89,999 Rp - Rp 899,990
135 Extention Tube Picis 28 28 0 Mar '24 190412B 45,500 Rp 1,274,000 Rp -
136 Feeding Tube 3 Picis 0 0 0 Ags '20 170925B 55,500 Rp - Rp -
137 Feeding Tube 3,5 35 cm Terumo Picis 134 95 39 0 Ags '20 55,500 Rp 7,437,000 Rp -
138 Feeding Tube 4 40 cm Terumo Picis 35 35 0 Sept '22 59,500 Rp 2,082,500 Rp -
139 Feeding Tube 5 100 cm Picis 0 100 100 0 Jan '25 21022088 11,101 Rp - Rp -
140 Feeding Tube 5 40 cm Picis 0 100 100 0 Nov '24 17121988 11,101 Rp - Rp -
141 Feeding Tube 5 40 cm Picis 0 10 0 10 Mei '25 18062088 78,715 Rp - Rp 787,150
142 Feeding Tube 6 40 cm Picis 11 11 0 Mar '22 59,500 Rp 654,500 Rp -
143 Feeding Tube 8 100 cm Picis 36 36 0 Ags '22 190924B 23,400 Rp 842,400 Rp -
144 Feeding Tube 8 100 cm Picis 0 20 20 0 Ags '22 23,400 Rp - Rp -
145 Feeding Tube 8 40 cm Picis 25 25 0 Feb '22 26,000 Rp 650,000 Rp -
146 Feeding Tube 8 40 cm Picis 0 20 20 0 Jul '22 190824B 77,350 Rp - Rp -
147 Feeding Tube (NGT) 6 10 10 Mei '24 190905 23,205 Rp - Rp 232,050
148 Feeding Tube (NGT) 8 10 10 Mei '24 190905 23,205 Rp - Rp 232,050
149 Feeding Tube(NGT) 10 10 10 Mei '24 190905 23,205 Rp - Rp 232,050
150 NGT (Maag Slang) No. 3 Picis 0 0 0 Rp - Rp -
151 NGT (Maag Slang) No. 3,5 Picis 0 0 0 Rp - Rp -
157 Stomach Tube 8 Picis 0 0 0 Rp - Rp -
158 Stomach Tube 12 Picis 65 41 24 Apr '22 23,683 Rp 1,539,395 Rp 568,392
159 Stomach Tube 14 Picis 70 30 40 Feb '21 23,683 Rp 1,657,810 Rp 947,320
160 Stomach Tube 14 Picis 50 0 50 Mar '23 59,500 Rp 2,975,000 Rp 2,975,000
161 Stomach Tube 16 Picis 54 52 2 Feb '21 19,500 Rp 1,053,000 Rp 39,000
162 Stomach Tube 16 Picis 50 0 50 Jun '23 59,500 Rp 2,975,000 Rp 2,975,000
163 Stomach Tube 18 Picis 14 14 0 Apr '20 19,500 Rp 273,000 Rp -
164 Stomach Tube 18 Picis 86 29 57 Sept '21 19,500 Rp 1,677,000 Rp 1,111,500
165 Stomach Tube 18 Picis 50 0 50 Jun '23 59,500 Rp 2,975,000 Rp 2,975,000
166 Selang Suction Silicon Picis 10 0 10 220,000 Rp 2,200,000 Rp 2,200,000
167 LMA Unique No. 1 Picis 5 5 0 0 Jun '20 674,010 Rp 3,370,050 Rp -
168 LMA Unique No. 1,5 Picis 5 5 0 0 Nov '20 674,010 Rp 3,370,050 Rp -
169 LMA Unique No. 2 Picis 5 5 0 Nov '20 674,010 Rp 3,370,050 Rp -
170 LMA Unique No. 2 Picis 0 3 0 3 Mei '22 PDAGKM 682,500 Rp - Rp 2,047,500
171 LMA Unique No. 2,5 Picis 15 0 15 Sept '21 NPAG2E 520,000 Rp 7,800,000 Rp 7,800,000
172 LMA Supreme No. 3 Picis 15 10 5 Apr '22 PMA3ZW 780,000 Rp 11,700,000 Rp 3,900,000
173 LMA Supreme No. 4 Picis 15 10 5 Jan '22 PMAB2M 780,000 Rp 11,700,000 Rp 3,900,000
174 LMA Supreme No. 5 Picis 5 5 0 Sept '20 774,150 Rp 3,870,750 Rp -
175 LMA Supreme No. 5 Picis 0 3 0 3 Mei '22 PMBEM9 682,500 Rp - Rp 2,047,500
176 Rectal Tube No. 30 Picis 0 0 0 20,000 Rp - Rp -
177 Suction Catheter No. 6 Picis 400 240 160 Apr '23 13,340 Rp 5,336,000 Rp 2,134,400
178 Suction Catheter No. 8 Picis 200 200 0 Jul '23 13,340 Rp 2,668,000 Rp -
179 Suction Catheter No. 10 Picis 240 140 100 Des '22 6,190 Rp 1,485,600 Rp 619,000
180 Suction Catheter No. 12 Picis 300 200 100 Mar '23 13,340 Rp 4,002,000 Rp 1,334,000
181 Suction Catheter No. 14 Picis 333 233 100 Mar '23 13,340 Rp 4,442,220 Rp 1,334,000
182 Infuset Dewasa Picis 317 317 0 Feb '21 12,770 Rp 4,048,090 Rp -
183 Infuset Dewasa Picis 0 200 200 0 Nov '21 190624K 31,200 Rp - Rp -
184 Infuset Dewasa Picis 0 550 100 450 Ags '22 12,770 Rp - Rp 5,746,500
185 Infuset Dewasa Picis 0 1,500 0 1,500 Jan '25 05022088 11,000 Rp - Rp 16,500,000
186 Infuset Anak Picis 3,150 1,093 2,057 Mei '21 15,400 Rp 48,510,000 Rp 31,677,800
187 Infuset Anak Picis 0 200 0 200 Nov '21 190611k 30,940 Rp - Rp 6,188,000
188 Infuset Transfusi Darah Picis 215 215 0 Jul '20 19,690 Rp 4,233,350 Rp -
189 Infuset Transfusi Darah Picis 0 500 500 0 Sept '21 190407 50,700 Rp - Rp -
190 Infuset Transfusi Darah Picis 0 300 300 0 Jul '24 190820 22,750 Rp - Rp -
191 Injector Plug Picis 0 0 Mar '23 50,000 Rp - Rp -
192 Urine Bag 2000 ml Bag 1,719 395 1,324 Jul '22 4,350 Rp 7,477,650 Rp 5,759,400
193 Urinal Plastik + Tutup Picis 38 5 33 40,832 Rp 1,551,616 Rp 1,347,456
194 Stikpan Plastik Picis 34 10 24 51,040 Rp 1,735,360 Rp 1,224,960
195 Bracket Handwash Plastik Picis 50 34 16 25,520 Rp 1,276,000 Rp 408,320
196 Bracket Handwash Plastik Picis 0 20 0 20 27042088 26,250 Rp - Rp 525,000
197 Nierbekken Stainles 23 cm Picis 11 50 0 61 42,108 Rp 463,188 Rp 2,568,588
198 Safety Box 5 Liter (karton) Picis 0 804 170 634 23,000 Rp - Rp 14,582,000
199 Safety Box 5 Liter (karton) Picis 0 400 0 400 21,025 Rp - Rp 8,410,000
200 Safety Box Sharp 1 Liter (Plastik) Picis 0 0 0 22,968 Rp - Rp -
201 Adhesive Tapes (steam) Stericlin Roll 23 22 1 264,465 Rp 6,082,695 Rp 264,465
202 Adhesive Tapes (steam) Stericlin Roll 0 50 0 50 64,648 Rp - Rp 3,232,400
203 Indicator Trips (Steam) Stericlin Pack 30 7 23 Nov '20 1195075 889,700 Rp 26,691,000 Rp 20,463,100
204 Plester Micropore 3M 1535-1 2,5M x 9,1M Roll 6 6 0 Mar '24 G3G Rp - Rp -
205 Plester Micropore 3M 1535-1 2,5M x 9,1M Roll 0 6 0 6 Mar '24 G3G 20,000 Rp - Rp 120,000
206 Pouch With Indicator 9 x 26 cm Box 0 30 30 0 Nov '24 019101214 120,350 Rp - Rp -
207 Pouch With Indicator 7 x 26 cm Box 6 6 0 Okt '22 90,000 Rp 540,000 Rp -
208 Pouch With Indicator 7 x 26 cm Box 0 30 30 0 Ags '24 01905084 96,379 Rp - Rp -
209 Pouch With Indicator 15 cm x 200 M (Roll) Roll 15 2 13 Jun '22 1,184,964 Rp 17,774,460 Rp 15,404,532
210 Pouch With Indicator 25 cm x 200 M (Roll) Roll 10 1 9 Jun '22 1,184,964 Rp 11,849,640 Rp 10,664,676
211 Pouch With Indicator 35 cm x 200 M (Roll) Roll 13 1 12 Sept '22 1,658,947 Rp 21,566,311 Rp 19,907,364
212 Wrapping paper Sterilization 120 x 120 cm Karton 0 400 400 0 Y20190516 15,813 Rp - Rp -
213 Wraping (Reliance 440 Blue AS) 50x50cm Pack 500 0 500 Sept '24 432389 1,503 Rp - Rp 751,500
214 Wraping (Reliance 440 Blue AS) 100x100cm Pack 125 0 125 Okt '24 564465 12,956 Rp - Rp 1,619,500
215 Wraping (Reliance 440 Blue AS) 120x120cm Pack 250 0 250 Okt '24 564398 11,009 Rp - Rp 2,752,250
216 Anestesi Flow Anak Set 5 0 5 181,247 Rp 906,235 Rp 906,235
217 Anestesi Flow Dewasa Set 5 0 5 181,247 Rp 906,235 Rp 906,235
218 Resusitator Bayi Set 5 1 4 667,000 Rp 3,335,000 Rp 2,668,000
219 Resusitator Bayi Set 10 0 10 Jul '23 MO0702630080 567,000 Rp 5,670,000 Rp 5,670,000
220 Resusitator Anak Set 11 2 9 Jun '23 667,000 Rp 7,337,000 Rp 6,003,000
221 Resusitator Anak Set 6 0 6 Jul '24 567,000 Rp 3,402,000 Rp 3,402,000
222 Resusitator Dewasa Set 4 4 0 667,000 Rp 2,668,000 Rp -
223 Resusitator Dewasa Set 12 0 12 Jul '24 567,000 Rp 6,804,000 Rp 6,804,000
224 Selang Oksigen Bayi Picis 128 128 0 22,500 Rp 2,880,000 Rp -
225 Selang Oksigen Bayi Picis 100 100 0 01111788 25,000 Rp 2,500,000 Rp -
226 Selang Oksigen Bayi Picis 0 500 133 367 01111788 7,975 Rp - Rp 2,926,825
227 Selang Oksigen Anak Picis 163 163 0 22,500 Rp 3,667,500 Rp -
228 Selang Oksigen Anak Picis 200 48 152 Apr '23 23051988 25,000 Rp 5,000,000 Rp 3,800,000
229 Selang Oksigen Anak Picis 0 500 0 500 Feb '24 10032088 7,975 Rp - Rp 3,987,500
230 Selang Oksigen Dewasa Picis 464 464 0 10071788 25,000 Rp 11,600,000 Rp -
231 Selang Oksigen Dewasa Picis 0 1,000 331 669 Mar '24 09042088 7,975 Rp - Rp 5,335,275
232 Masker Oksigen (Maxiflow) Bayi Picis 50 45 5 21,054 Rp 1,052,700 Rp 105,270
233 Masker Oksigen (Maxiflow) Bayi Picis 0 100 0 100 26081988 33,800 Rp - Rp 3,380,000
234 Masker Oksigen (Maxiflow) Bayi Picis 0 400 0 400 08042088 19,575 Rp - Rp 7,830,000
235 Masker Oksigen (Maxiflow) Anak Picis 33 33 0 19,650 Rp 648,450 Rp -
236 Masker Oksigen (Maxiflow) Anak Picis 0 200 119 81 29101988 35,100 Rp - Rp 2,843,100
237 Masker Oksigen (Maxiflow) Anak Picis 0 500 0 500 04042088 19,575 Rp - Rp 9,787,500
238 Masker Oksigen (Maxiflow) Dewasa Picis 0 200 100 100 Des '23 02012088 32,500 Rp - Rp 3,250,000
239 Masker Oksigen (Maxiflow) Dewasa Picis 0 100 0 100 Apr '24 12052088 19,575 Rp - Rp 1,957,500
240 Masker rebreathing Picis 0 0 0 Apr '23 175,000 Rp - Rp -
241 Masker Non Rebreathing Picis 2 2 0 Apr '23 175,000 Rp 350,000 Rp -
242 Masker Non Rebreathing Picis 0 20 10 10 Feb '22 37,310 Rp - Rp 373,100
243 Mask O2 with Reservoir (Hi-O2) Anak Picis 0 0 0 35,728 Rp - Rp -
244 Mask O2 with Reservoir (Hi-O2) Dewasa Picis 0 0 0 35,728 Rp - Rp -
245 Masker Nebulizer Anak Picis 0 200 94 106 Mei '24 190152 38,350 Rp - Rp 4,065,100
246 Masker Nebulizer Anak Picis 0 250 0 250 Apr '24 19052088 28,232 Rp - Rp 7,058,000
247 Masker Nebulizer Dewasa Picis 15 15 0 Jul '23 21081988 38,500 Rp 577,500 Rp -
248 Masker Nebulizer Dewasa Picis 0 50 50 0 Jul '23 060819888 38,500 Rp - Rp -
249 Masker Nebulizer Dewasa Picis 0 500 100 400 Mar '24 080042088 28,232 Rp - Rp 11,292,800
250 Masker N95 Box 1 1 0 Jul '23 99BC208C26 20,000 Rp 20,000 Rp -
251 Masker N95 Box 10 10 0 03031888 285,000 Rp 2,850,000 Rp -
252 Masker N95 Box 6 6 0 Jul '23 R816 296,396 Rp 1,778,376 Rp -
253 Masker N95 Box 4 4 0 Okt '23 R18777 390,000 Rp 1,560,000 Rp -
254 Masker N95 Box 0 40 40 0 Okt '23 R18777 390,000 Rp - Rp -
255 Masker N95 200 0 200 Okt '25 B20020 142,500 Rp - Rp 28,500,000
256 Masker KN95 Box 0 820 457 363 388,415 Rp - Rp 140,994,645
259 Masker With Visor Box 40 40 0 79,750 Rp 3,190,000 Rp -
260 Masker With Visor Box 0 208 90 118 15,950 Rp - Rp 1,882,100
261 Masker With Visor Box 0 10 0 10 090420888 6,380 Rp - Rp 63,800
262 Masker Earloop Plus Box 19 19 0 Jun '23 61,900 Rp 1,176,100 Rp -
263 Masker Earloop Plus Box 600 470 130 Nov '24 03111902 45,500 Rp 27,300,000 Rp 5,915,000
264 Masker Earloop Plus Box 0 540 540 0 Jun '25 06-0154 45,500 Rp - Rp -
265 Masker Earloop Plus Box 0 400 20 380 Sept '22 13200915 211,120 Rp - Rp 80,225,600
266 Masker Earloop Box 769 769 0 Jan '24 190130 41,600 Rp 31,990,400 Rp -
267 Masker Earloop Box 0 200 200 0 Sept '25 13200918 187,460 Rp - Rp -
268 Masker Earloop Box 0 20 20 0 26,730 Rp - Rp -
269 Masker Earloop Box 40 0 40 Okt '25 100110084 145,000 Rp - Rp 5,800,000
270 Masker Tie on Box 42 20 62 0 Nov '20 22,500 Rp 945,000 Rp -
271 Masker Tie on Box 140 83 57 8031 32,400 Rp 4,536,000 Rp 1,846,800
272 Masker Tie on Box 0 200 0 200 Sept '25 116009001 187,460 Rp - Rp 37,492,000
273 Kaca Mata krisbow Picis 6 4 2 288,000 Rp 1,728,000 Rp 576,000
274 Kaca Mata krisbow Picis 0 20 2 18 195,650 Rp - Rp 3,521,700
275 Handscoon Panjang (Obgyn) Pasang 41 41 0 Sept '22 28,072 Rp 1,150,952 Rp -
276 Handscoon Panjang (Obgyn) Pasang 0 400 242 158 Sept '22 27,550 Rp - Rp 4,352,900
277 Handscoon Sensigloves XS Ktk (100 lbr ) 366 70 296 Ags '20 133,800 Rp 48,970,800 Rp 39,604,800
278 Handscoon Sensigloves XS Ktk (100 lbr ) 100 0 100 Jul '23 227,460 Rp 22,746,000 Rp 22,746,000
279 Handscoon Sensigloves S Ktk (100 lbr ) 810 716 94 Des '23 227,460 Rp 184,242,600 Rp 21,381,240
280 Handscoon Sensigloves M Ktk (100 lbr ) 2,013 926 1,087 Jun '23 133,800 Rp 269,339,400 Rp 145,440,600
281 Handscoon Sensigloves L Ktk (100 lbr ) 694 683 11 Sept '20 133,800 Rp 92,857,200 Rp 1,471,800
282 Handscoon Sensigloves L Ktk (100 lbr ) 100 0 100 Jan '23 227,460 Rp 22,746,000 Rp 22,746,000
283 Handscoon Steril No. 6,5 Pasang 183 183 0 Okt '22 20171020 20,000 Rp 3,660,000 Rp -
284 Handscoon Steril No. 6,5 Pasang 0 1,000 1,000 0 Sept '23 15933-01 10,260 Rp - Rp -
285 Handscoon Steril No. 6,5 Pasang 0 200 200 0 Sept '24 16399-02 7,914 Rp - Rp -
286 Handscoon Steril No. 6,5 Pasang 0 2,500 1,150 1,350 Apr '25 56500359 19,560 Rp - Rp 26,406,000
287 Handscoon Steril No. 7 Pasang 528 0 528 0 Sept '23 15934-01 10,260 Rp 5,417,280 Rp -
288 Handscoon Steril No. 7 Pasang 500 500 0 Apr '23 20180430 20,000 Rp 10,000,000 Rp -
289 Handscoon Steril No. 7 Pasang 0 2,500 1,410 1,090 Jul '25 JX2007015 19,560 Rp - Rp 21,320,400
290 Handscoon Steril No. 7,5 Pasang 2,489 1,647 842 Jan '20 14,647 Rp 36,456,383 Rp 12,332,774
291 Handscoon Steril No. 7,5 Pasang 500 500 0 Okt '21 2016005 15,000 Rp 7,500,000 Rp -
292 Handscoon Steril No. 7,5 Pasang 0 200 200 0 Jan '25 16618-03 7,914 Rp - Rp -
293 Handscoon Steril No. 7,5 Pasang 0 200 200 0 Sept '23 19,560 Rp - Rp -
294 Handscoon Steril No. 8 Pasang 189 189 0 Mei '20 14,647 Rp 2,768,283 Rp -
295 Handscoon Steril No. 8 Pasang 300 173 127 Jan '23 19,647 Rp 5,894,100 Rp 2,495,169
296 Handscoon Steril No. 8 Pasang 0 200 0 200 Nov '24 16579-02 7,914 Rp - Rp 1,582,800
297 Surgical Gown (Baju Operasi) NonWoven L Picis 118 118 0 Sept '22 30,406 Rp 3,587,908 Rp -
298 Surgical Gown (Baju Operasi) NonWoven L Picis 0 150 150 0 Mar '25 04042088 87,725 Rp - Rp -
299 Surgical Gown (Baju Operasi) NonWoven XL Picis 49 49 0 Jul '22 30,406 Rp 1,489,894 Rp -
300 Surgical Gown (Baju Operasi) NonWoven XL Picis 0 24 24 0 Feb '25 26032088 87,725 Rp - Rp -
301 Surgical Gown (Baju Operasi) Spunlace L Picis 12 12 0 Ags '22 74,567 Rp 894,804 Rp -
302 Surgical Gown (Baju Operasi) Spunlace XL Picis 1 1 0 Jan '22 74,567 Rp 74,567 Rp -
303 Surgical Gown (Baju Operasi) XL Kain Picis 0 30 20 10 218,400 Rp - Rp 2,184,000
304 Surgical Gown (Baju Operasi) L Kain Picis 0 30 15 15 218,400 Rp - Rp 3,276,000
305 Surgical Hat Box 3 1 2 Okt '22 50,000 Rp 150,000 Rp 100,000
306 Apron One Pack 322 322 0 Mei '24 201905 111,800 Rp 35,999,600 Rp -
307 Apron One Pack 0 500 430 70 16081988G 42,775 Rp - Rp 2,994,250
308 Under Pad 60 x 90 Pack 72 72 0 101,978 Rp 7,342,416 Rp -
309 Under Pad 60 x 90 Pack 0 200 200 0 Jan '23 152180120 102,000 Rp - Rp -
310 Under Pad 60 x 90 Pack 0 120 77 43 Mar '23 102300320 60,355 Rp - Rp 2,595,265
311 Nurse Cup Box 0 2,000 2,000 0 715 Rp - Rp -
312 Nurse Cup Box 0 3,000 3,000 0 03042088 798 Rp - Rp -
313 Nurse Cup Box 0 3,000 992 2,008 1,483 Rp - Rp 2,977,864
314 Sikat Operasi Picis 0 100 80 20 Mei '23 28061888 7,975 Rp - Rp 159,500
315 Shoe Cover Non Woven @100 pcs Box 0 10 8 2 109042088 121,220 Rp - Rp 242,440
316 Dermafix S IV 6x7 Box, 25 lbr 0 10 10 0 Sept '22 03101788 128,180 Rp - Rp -
317 Dermafix S IV 6x7 Box, 25 lbr 0 17 0 17 Des '23 18011988 128,180 Rp - Rp 2,179,060
318 Dermafix S IV 6x7 Box, 25 lbr 0 23 0 23 Nov '24 12121988 128,180 Rp - Rp 2,948,140
319 Dermafix 10 x 8 Box, 10 Lbr 19 19 0 Jul '20 72,800 Rp 1,383,200 Rp -
320 Dermafix 10 x 15 Box, 10 Lbr 59 49 10 0 Jul '20 143,000 Rp 8,437,000 Rp -
321 Dermafix 10 x 25 Box, 10 Lbr 34 13 21 0 Des '20 169,000 Rp 5,746,000 Rp -
322 Postofix 7 x 6 Picis 0 150 0 150 Ags '24 765/19 11,880 Rp - Rp 1,782,000
323 Postofix 10 x 10 Picis 100 0 100 Jul '24 580/19 16,625 Rp - Rp 1,662,500
324 Postofix 10 x 15 Picis 9 0 9 Feb '24 171/19 20,421 Rp - Rp 183,789
325 Postofix 10 x 15 Picis 11 0 11 Mei '23 60/18 20,421 Rp - Rp 224,631
326 Postofix 10 x 15 Picis 120 0 120 Jul '24 715/19 20,421 Rp - Rp 2,450,520
327 Postofix 10 x 25 Picis 80 0 80 Ags '24 810/19 34,667 Rp - Rp 2,773,360
328 Cannafix 6 x 8 Picis 600 0 600 Nov '24 15L19 8,083 Rp - Rp 4,849,800
329 Leukoplas 1624 (5 cm x 4,5 M) Roll 465 447 18 0 Feb '20 65,000 Rp 30,225,000 Rp -
330 Polifix 5 cm x 1 M Roll 171 166 5 0 Sept '20 8,857 Rp 1,514,547 Rp -
331 Polifix 5 cm x 5 M Roll 471 378 93 0 Ags '20 41,512 Rp 19,552,152 Rp -
332 Polifix 10 cm x 5 M Roll 218 218 0 Ags '22 78,187 Rp 17,044,766 Rp -
333 Polifix 15 cm x 5 M Roll 9 9 0 Sept '22 106,119 Rp 955,071 Rp -
334 Polifix 20 cm x 5 M Roll 0 0 0 Jul '20 138,750 Rp - Rp -
335 Pharmafis 5 x 500 cm Box 100 0 100 Ags '24 20I19 19,800 Rp - Rp 1,980,000
336 Pharmafis 10 x 500 cm Box 50 50 0 Sept '24 20J19 36,000 Rp - Rp -
337 Pharmafis 15 x 500 cm Box 50 50 0 Jul '24 20I19 56,400 Rp - Rp -
338 Hiperskin TR 10 x 10 Roll 5 5 0 435,600 Rp - Rp -
339 Hiperskin TR 10 x 10 Roll 45 0 45 435,600 Rp - Rp 19,602,000
340 Poligyp 5 cm x 2,7 M Roll 5 5 0 Ags '20 14,189 Rp 70,945 Rp -
341 Poligyp 7,5 cm x 2,7 M Roll 9 5 4 Okt '21 S0301 64,176 Rp 577,584 Rp 256,704
342 Poligyp 10 cm x 2,7 M Roll 0 0 0 30,000 Rp - Rp -
343 Poligyp 15 cm x 2,7 M Roll 50 11 39 Jan '22 S0303 76,468 Rp 3,823,400 Rp 2,982,252
344 Medigyps 7,5 cm x 2,7 M Roll 50 0 50 64,176 Rp 3,208,800 Rp 3,208,800
345 Medigyps 10 cm x 2,7 M Roll 50 2 48 64,910 Rp 3,245,500 Rp 3,115,680
346 Medigyps 15 cm x 2,7 M Roll 3 0 3 Ags '21 1230616 76,468 Rp 229,404 Rp 229,404
347 Poliban 5 cm x 2,7 M Roll 86 0 86 10,007 Rp 860,602 Rp 860,602
348 Poliban 7,5 cm x 2,7 M Roll 116 0 116 58,274 Rp 6,759,784 Rp 6,759,784
349 Poliban 10 cm x 2,7 M Roll 47 0 47 17,825 Rp 837,775 Rp 837,775
350 Poliban 10 cm x 2,7 M Roll 50 0 50 64,910 Rp 3,245,500 Rp 3,245,500
353 Poliban 15 cm x 2,7 M Roll 50 0 50 Okt '23 S0313 50,014 Rp 2,500,700 Rp 2,500,700
354 PoliCreepe 7,5 cm x 4,55 M Roll 0 5 5 0 Jul '24 190704 57,694 Rp - Rp -
355 PoliCreepe 10 cm x 4,55 M Roll 0 5 5 0 Jul '24 190704 62,335 Rp - Rp -
356 PoliCreepe 15 cm x 4,55 M Roll 0 4 4 0 Jul '24 190704 77,350 Rp - Rp -
357 Arm Sling S Picis 2 2 0 22,968 Rp 45,936 Rp -
358 Arm Sling S Picis 30 9 21 65,936 Rp 1,978,080 Rp 1,384,656
359 Arm Sling S Picis 0 20 0 20 20022088 26,825 Rp - Rp 536,500
360 Arm Sling M Picis 12 11 1 65,936 Rp 791,232 Rp 65,936
361 Arm Sling M Picis 0 20 0 20 06121988 26,825 Rp - Rp 536,500
362 Arm Sling L Picis 25 21 4 65,936 Rp 1,648,400 Rp 263,744
363 Arm Sling L Picis 0 20 0 20 07032088 26,825 Rp - Rp 536,500
364 Cervical Collar Neck Picis 0 10 3 7 Nov '23 201811 370,000 Rp - Rp 2,590,000
365 Cervical Collar Universal Picis 0 20 0 20 25061988 168,432 Rp - Rp 3,368,640
366 Spalk Fisrt Ald Picis 0 5 2 3 29081988 79,750 Rp - Rp 239,250
367 Folley cateter (2 way) No. 3 Picis 0 0 0 Rp - Rp -
368 Folley cateter (2 way) No. 3,5 Picis 0 0 0 Rp - Rp -
369 Folley cateter (2 way) No. 4 Picis 0 0 0 Rp - Rp -
370 Folley cateter (2 way) No. 6 Picis 7 7 0 Mei '21 67,500 Rp 472,500 Rp -
371 Folley cateter (2 way) No. 6 Picis 0 20 20 0 Jun '24 1919G13 50,000 Rp - Rp -
372 Folley cateter (2 way) No. 6 Picis 0 10 10 0 Sept '24 19J10 141,960 Rp - Rp -
374 Folley cateter (2 way) No. 8 Picis 0 30 30 0 Mei '23 18F04 50,000 Rp - Rp -
375 Folley cateter (2 way) No. 8 Picis 0 20 20 0 Des '23 19622 50,000 Rp - Rp -
377 Folley cateter (2 way) No. 10 Picis 0 10 10 0 Jul '24 19H13 91,000 Rp - Rp -
378 Folley cateter (2 way) No. 12 Picis 5 5 0 Okt '20 28,041 Rp 140,205 Rp -
380 Folley cateter (2 way) No. 12 Picis 20 20 0 Des '23 P19A08 59,150 Rp - Rp -
381 Folley cateter (2 way) No. 14 Picis 0 20 20 0 Des '23 P19A08 59,150 Rp - Rp -
382 Folley cateter (2 way) No.16 Picis 40 40 0 Jul '22 17H03 50,000 Rp 2,000,000 Rp -
383 Folley cateter (2 way) No.16 Picis 0 70 70 0 Jan '24 19-G05B 50,000 Rp - Rp -
384 Folley cateter (2 way) No.16 Picis 0 100 100 0 Mei '24 P19F02 59,150 Rp - Rp -
385 Folley cateter (2 way) No. 18 Picis 190 160 30 Ags '23 P18103 9,474 Rp 1,800,060 Rp 284,220
386 Folley cateter (2 way) No. 18 Picis 0 70 70 0 Jan '24 19-GO5B 50,000 Rp - Rp -
388 Folley cateter (2 way) No. 20 Picis 15 12 3 Jan '22 180630 67,500 Rp 1,012,500 Rp 202,500
389 Folley cateter (2 way) No. 20 Picis 20 20 0 Apr '23 P18E08 50,000 Rp 1,000,000 Rp -
390 Folley cateter (2 way) No. 20 Picis 0 30 30 0 Mar '23 P18D07 50,000 Rp - Rp -
391 Folley cateter (2 way) No. 22 Picis 5 5 0 Feb '20 24,200 Rp 121,000 Rp -
392 Folley cateter (2 way) No. 22 Picis 0 10 10 0 Mar '24 P19D09 62,335 Rp - Rp -
395 Folley cateter (3 way) No. 18 Picis 0 15 15 0 Nov '20 15L11 44,000 Rp - Rp -
396 Folley cateter (3 way) No. 18 Picis 0 10 10 0 Ags '21 16I04 44,000 Rp - Rp -
397 Folley cateter (3 way) No. 18 Picis 0 20 20 0 Jan '24 19B08 79,170 Rp - Rp -
398 Folley cateter (3 way) No. 20 Picis 0 10 10 0 Mar '22 17D01 45,000 Rp - Rp -
399 Folley cateter (3 way) No. 20 Picis 0 0 10 10 0 Sept '24 19604K 46,400 Rp - Rp -
400 Kapas Pembalut 250 g Roll 701 21 680 15,000 Rp 10,515,000 Rp 10,200,000
401 kasa Hidrofil 4m x 10 Roll 0 0 0 3,500 Rp - Rp -
402 Kasa Hidrofil 16 x 16 cm Bks 2,176 1,172 1,004 8,004 Rp 17,416,704 Rp 8,036,016
403 Kasa Hidrofil 2m x 80 cm Bungkus 1,320 70 1,250 10,624 Rp 14,023,680 Rp 13,280,000
404 Kasa Hidrofil 40 Yard x 80 cm Rol 697 461 236 144,900 Rp 100,995,300 Rp 34,196,400
405 Kasa Kompres Steril 40 cm x 40 cm Bungkus 105 105 0 8,152 Rp 855,960 Rp -
406 Kasa Kompres Steril 40 cm x 40 cm Bungkus 89 66 23 10,624 Rp 945,536 Rp 244,352
407 Kertas EKG 1 Channel FUKUDA C110 Roll 48 13 35 289,962 Rp 13,918,176 Rp 10,148,670
408 Kertas EKG 3 Channel FUKUDA C120 Roll 97 1 96 063R30-H01 739,970 Rp 71,777,090 Rp 71,037,120
409 Kertas EKG 6 Channel FUKUDA C320 Roll 48 4 44 145F60-h05 569,900 Rp 27,355,200 Rp 25,075,600
410 Kertas Puyer (kertas perkamen) Bks 423 12 411 54,550 Rp 23,074,650 Rp 22,420,050
411 Kertas USG Picis 0 20 4 16 270219-B32E 320,000 Rp - Rp 5,120,000
412 Ultra One Box (50 test ) 7 4 3 0 Mei '20 150,000 Rp 1,050,000 Rp -
413 Ultra One Box (50 test ) 0 5 5 0 Mei '20 150,000 Rp - Rp -
414 Gelang Anak Pink Picis 159 100 59 30,000 Rp 4,770,000 Rp 1,770,000
415 Gelang Anak Biru Picis 155 100 55 30,000 Rp 4,650,000 Rp 1,650,000
416 Gelang Dewasa Pink Picis 1,255 5 1,250 30,000 Rp 37,650,000 Rp 37,500,000
417 Gelang Dewasa Biru Picis 1,618 0 1,618 30,000 Rp 48,540,000 Rp 48,540,000
418 Jarum Hecting Kulit No.10 Lusin 0 0 0 Rp - Rp -
421 Jarum Hecting Otot No.10 Lusin 0 0 0 Rp - Rp -
424 Premilen Mesh Box, 5 Lembar 25 20 5 Apr '23 628,800 Rp 15,720,000 Rp 3,144,000
425 Premilen Mesh Box, 5 Lembar 15 0 15 Okt '23 118403 628,800 Rp 9,432,000 Rp 9,432,000
426 Premilen Tuper 1.0 HR 40 Box, 36 pcs 41 6 35 Jul '21 195,000 Rp 7,995,000 Rp 6,825,000
427 Premilen Tuper 4/0 HR 30 Box, 36 pcs 21 21 0 Des '23 117515 250,000 Rp 5,250,000 Rp -
428 Premilen Tuper 4/0 HR 30 Box, 36 pcs 0 20 0 20 Mei '22 117195 243,425 Rp - Rp 4,868,500
429 Premilen Cutting 2/0 HR 30 Box, 36 pcs 39 27 12 Feb '23 199,000 Rp 7,761,000 Rp 2,388,000
430 Premilen Cutting 2/0 HR 30 Box, 36 pcs 0 20 0 20 Feb '24 119062 181,545 Rp - Rp 3,630,900
431 Premilen Cutting 3/0 2xHR 22 Box, 36 pcs 38 27 11 Jan '23 260,000 Rp 9,880,000 Rp 2,860,000
432 Premilen Cutting 3/0 2xHR 22 Box, 36 pcs 0 20 0 20 Sept '24 119362 226,135 Rp - Rp 4,522,700
433 Premilen Cutting 4/0 HR 30 Box, 36 pcs 24 10 14 Okt '23 250,000 Rp 6,000,000 Rp 3,500,000
434 SMI Catgut Chormic USP 0 /EP4//100 m Roll 3 0 3 Des '21 1,855,150 Rp 5,565,450 Rp 5,565,450
435 SMI Catgut Chromic USP 2/0/ EP3,5/ 100 m Roll 4 0 4 Jul '21 2,551,860 Rp 10,207,440 Rp 10,207,440
436 SMI Catgut Chromic USP3/0/ EP3/ 100 m Roll 5 0 5 Des '21 1,855,150 Rp 9,275,750 Rp 9,275,750
437 SMI Catgut Plain USP 0 /EP4//100 m Roll 3 0 3 Apr '21 1,893,500 Rp 5,680,500 Rp 5,680,500
438 SMI Catgut Plain USP 2/0/ EP3,5/ 100 m Roll 4 0 4 Apr '21 1,893,500 Rp 7,574,000 Rp 7,574,000
439 Silk Branded 3/0 (2 Matric) 75 cm Box,36 pcs 70 70 0 0 Feb '20 67,714 Rp 4,739,980 Rp -
440 Catgut Chromic No. 2/0 (3,5M) 75 cm Box,24 pcs 79 79 0 0 Nov '20 67,714 Rp 5,349,406 Rp -
441 Catgut Chromic No. 3/0 (3,5M) 75 cm Box,24 pcs 91 91 0 0 Nov '20 67,714 Rp 6,161,974 Rp -
442 Catgut Plain No. 2/0 (3,5M) Onemed Box,24 pcs 72 72 0 0 Nov '20 67,714 Rp 4,875,408 Rp -
443 SMI Silk Black 3&4/EP 6/ 80 m Roll 3 0 3 Jul '21 952,930 Rp 2,858,790 Rp 2,858,790
444 SMI Silk Black USP 2/0 EP 3/HR 100 m Roll 2 0 2 Des '21 875,570 Rp 1,751,140 Rp 1,751,140
445 SMI Silk Black USP 2/ EP 5/ 100 m SMI Roll 4 0 4 Des '21 990,772 Rp 3,963,088 Rp 3,963,088
446 SMI Silk Balck USP 1/EP 4/ 100 m Roll 4 0 4 Des '21 826,130 Rp 3,304,520 Rp 3,304,520
447 SMI Silk Black 0/ EP 5/ 100 m Roll 5 2 3 Des '21 772,380 Rp 3,861,900 Rp 2,317,140
448 SMI Catgut Plain 0 HR 37 mm Box,12 pcs 62 0 62 Okt '21 452,940 Rp 28,082,280 Rp 28,082,280
449 SMI Catgut Plain 1 HR 37 mm Box,12 pcs 72 3 69 Okt '21 452,245 Rp 32,561,640 Rp 31,204,905
450 SMI Catgut Plain 2 HR 37 mm Box,12 pcs 48 3 45 Jul '21 443,340 Rp 21,280,320 Rp 19,950,300
451 SMI Catgut Plain 3/0 HR 26 mm Box,12 pcs 49 7 42 Feb '22 462,245 Rp 22,650,005 Rp 19,414,290
452 SMI Silk Black 0 HR 37 mm Box,12 pcs 55 11 44 Apr '21 277,740 Rp 15,275,700 Rp 12,220,560
453 SMI Silk Black 1 HR 37 mm Box,12 pcs 39 7 32 Apr '21 280,140 Rp 10,925,460 Rp 8,964,480
454 SMI Silk Black 2/0 HR 26 mm Box,12 pcs 33 16 17 Apr '21 275,340 Rp 9,086,220 Rp 4,680,780
455 SMI Silk Black 3/0 HR 26 mm Box,12 pcs 30 22 8 Des '20 268,140 Rp 8,044,200 Rp 2,145,120
456 SMI Surgicryl 0 HR 26 mm Box,12 pcs 31 16 15 Des '21 823,740 Rp 25,535,940 Rp 12,356,100
457 SMI Surgicryl 1 HR 26 mm Box,12 pcs 16 16 0 Jun '22 1,011,660 Rp 16,186,560 Rp -
458 SMI Surgicryl 2/0 HR 26 mm Box,12 pcs 27 27 0 Des '21 933,420 Rp 25,202,340 Rp -
459 SMI Surgicryl 3/0 HR 26 mm Box,12 pcs 20 20 0 Feb '22 798,780 Rp 15,975,600 Rp -
460 SMI Catgut Chromic 0 HR 40 mm Box,12 pcs 57 0 57 Jan '22 527,340 Rp 30,058,380 Rp 30,058,380
461 SMI Catgut Chromic 1 HR 40 mm Box,12 pcs 72 0 72 Jan '22 592,085 Rp 42,630,120 Rp 42,630,120
462 SMI Catgut Chromic 2 HR Box,12 pcs 72 8 64 Jan '22 425,340 Rp 30,624,480 Rp 27,221,760
463 SMI Catgut Chromic 3/0 HR 26 mm Box,12 pcs 0 0 0 Jan '22 425,340 Rp - Rp -
464 Bisturi No. 10 Picis 635 100 535 Jul '22 9,100 Rp 5,778,500 Rp 4,868,500
465 Bisturi No. 11 Picis 979 506 473 Jul '22 17297 17,297 Rp 16,933,763 Rp 8,181,481
466 Bisturi No. 12 Picis 550 0 550 Apr '22 9,100 Rp 5,005,000 Rp 5,005,000
469 Perifix one Chateter 401 / Epidural Picis 30 5 25 Des '23 18N06A8701 422,500 Rp 12,675,000 Rp 10,562,500
470 Alat Ukur Suhu Ruangan (Hygrometer& Box 0 1 1 100,000 Rp - Rp 100,000
Humiditymeter)
471 Anti Human Globulin (Comb Serum) 4 4 0 Feb '21 701417A 340,000 Rp 1,360,000 Rp -
472 Anti Human Globulin (Comb Serum) 10 2 8 Feb '21 701417A 550,000 Rp 5,500,000 Rp 4,400,000
473 Anti Human Globulin (Comb Serum) 0 17 0 17 Des '21 701508A 392,000 Rp - Rp 6,664,000
474 Antisera A Pcs 1 1 0 Sept '20 A080919 Rp - Rp -
475 Antisera A Pcs 0 5 5 0 Okt '21 31745-B 325,000 Rp - Rp -
476 Antisera A Pcs 0 5 5 0 Apr '21 325,000 Rp - Rp -
477 Antisera A Pcs 0 13 4 9 Okt '21 31745-B 250,000 Rp - Rp 2,250,000
478 Antisera AB Pcs 0 5 5 0 Okt '21 31745-B 325,000 Rp - Rp -
479 Antisera B Pcs 2 2 0 Sept '22 B080919 Rp - Rp -
480 Antisera B Pcs 0 5 5 0 Okt '21 31745-B 325,000 Rp - Rp -
481 Antisera B Pcs 0 5 5 0 Apr '21 325,000 Rp - Rp -
482 Antisera B Pcs 0 13 4 9 Jul '22 710517A 250,000 Rp - Rp 2,250,000
483 Antisera D Pcs 2 2 0 Ags '20 DM050819 Rp - Rp -
484 Antisera D Pcs 0 5 5 0 Okt '21 31745-B 325,000 Rp - Rp -
485 Antisera D Pcs 0 5 5 0 Jun '21 325,000 Rp -
486 Antisera D Pcs 0 13 4 9 Mei '22 730699A 250,000 Rp - Rp 2,250,000
487 Baju Non Medis (Orange) Lembar 30 30 155,000 Rp - Rp 4,650,000
488 Beker Glass 30 ml Picis 0 0 0 1000BK30 Rp - Rp -
489 Blood Lancets Box 37 14 23 21,120 Rp 781,440 Rp 485,760
490 Blue Tip Pack,500 4 0 4 Des '27 170885 226,000 Rp 904,000 Rp 904,000
491 Bovine albumin 22% Botol 2 2 0 Jun '20 322,300 Rp 644,600 Rp -
492 Bovine albumin 22% Botol 8 8 0 Nov '22 BGAL2210 283,318 Rp 2,266,544 Rp -
493 Bovine albumin 22% Botol 0 4 0 4 Nov '21 791805A 392,000 Rp - Rp 1,568,000
494 Bovine albumin 22% Botol 0 5 0 5 Apr '24 791888A 392,000 Rp - Rp 1,960,000
495 Cairan Cuprl Sulfat Botol 0 1 0 1 Mar '21 813,000 Rp - Rp 813,000
496 Cairan Developer Pasang 0 0 0 Rp - Rp -
497 Cairan Fixer Pasang 0 0 0 Rp - Rp -
498 Catriadge Xpert MTB / RIF Kit 250 100 150 Ags '21 1000168411 825,000 Rp 206,250,000 Rp 123,750,000
499 Cover Glass Ukuran 24x24 (Menzel) Box 38 0 38 0520488 55,000 Rp 2,090,000 Rp 2,090,000
500 Disposible ECG Elektroda (50 Endo) Pack 0 5 5 0 Ags '23 08192017 143,000 Rp - Rp -
501 Film 24 x 30 Box, 100 lbr 0 0 0 Rp - Rp -
502 Film 30 x 40 Box,100 lbr 0 0 0 Rp - Rp -
503 Film 35 x 35 Box, 100 lbr 0 0 0 Mei '19 3,916,000 Rp - Rp -
504 Formalin 37 % Botol 1 ltr 72 31 41 339,000 Rp 24,408,000 Rp 13,899,000
505 Giemza 250 ml Botol 3 3 0 0 Sept '20 1,600,000 Rp 4,800,000 Rp -
506 Giemza 500 ml Botol 0 0 0 Sept '20 HX73876504 3,200,000 Rp - Rp -
507 Handscoon Biru uk L Box 0 6 0 6 Mei '25 20055806 250,000 Rp - Rp 1,500,000
508 Handscoon Biru uk L Box 0 10 3 7 Okt '24 911102317 120,000 Rp - Rp 840,000
509 Handscoon Biru uk M Box 0 10 3 7 Okt '24 911102217 120,000 Rp - Rp 840,000
510 Handscoon Biru uk M Box 0 6 0 6 Mei '25 20055805 250,000 Rp - Rp 1,500,000
511 Handscoon Biru uk S Box 0 10 1 9 Okt '24 911102117 120,000 Rp - Rp 1,080,000
512 Handscoon Biru uk S Box 0 6 0 6 Ags '25 20080306 250,000 Rp - Rp 1,500,000
513 HB Sahli 20 1 19 100,000 Rp - Rp 1,900,000
514 Kantong Darah 250 Ltr Piece 0 0 0 150,000 Rp - Rp -
515 Kantong Darah 350 Ltr Single Kantong 50 50 0 Mei '22 190518A151 Rp - Rp -
516 Kantong Darah 350 Ltr Single Kantong 0 50 20 30 Mei '22 190518A151 135,000 Rp - Rp 4,050,000
517 Kantong Darah 350 Ltr Single Kantong 200 100 100 Rp -
518 Kantong Darah 350 Ltr Double Kantong 60 60 0 Mei '22 190514A151 Rp - Rp -
519 Kantong Darah 350 Ltr Double Kantong 60 60 0 Jun '22 190701A151 Rp - Rp -
520 Kantong Darah 350 Ltr Double Kantong 0 400 400 0 Mei '22 190417001 135,000 Rp - Rp -
521 Kantong Darah 350 Ltr Double Kantong 0 500 100 400 Jul '22 190729002 135,000 Rp - Rp 54,000,000
522 Kertas Film AGFA 10" x 12" Box,100 lbr 8 8 0 Apr '20 5,720,000 Rp 45,760,000 Rp -
523 Kertas Film AGFA 10" x 12" Box,100 lbr 0 4 0 4 Mar '22 03010033 4,459,000 Rp - Rp 17,836,000
524 Kertas Film AGFA 8" x 10" Box,100 lbr 8 8 0 Apr '20 5,500,000 Rp 44,000,000 Rp -
525 Kertas Film AGFA 8" x 10" Box,100 lbr 0 4 0 4 Jul '22 07170030 4,368,000 Rp - Rp 17,472,000
526 Lumpang + Alu 13 cm Picis 2 1 1 357,200 Rp 714,400 Rp 357,200
527 Lumpang + Alu 16 cm Picis 3 0 3 436,450 Rp 1,309,350 Rp 1,309,350
528 Minyak Oil Imersi Botol 3 3 0 Jul '20 PG0483 1,750,000 Rp 5,250,000 Rp -
529 Mucus Extractors (Lotus) 0 50 25 25 Des '24 16012088 10,208 Rp - Rp 255,200
530 Objek Glass / Slide Box 65 18 47 200,000 Rp 13,000,000 Rp 9,400,000
531 Objek Glass / Slide Box 2 0 2 Rp - Rp -
532 Pipa kapiler Marienfeld Tube, 100pcs 29 29 0 Mar '23 2303424 Rp - Rp -
533 Pipa kapiler Marienfeld Tube, 100pcs 25 25 Mar '23 2303424 55,000 Rp - Rp 1,375,000
534 Pipet Tetes Bungkus, 50 Picis 0 0 0 Rp - Rp -
535 Plastik Klip uk 10 x 12 (10 x 15) Pack, 100 lbr 91 91 0 130,000 Rp 11,830,000 Rp -
536 Plastik Klip uk 5 x 7 (5x8) Pack, 100 lbr 198 33 165 60,000 Rp 11,880,000 Rp 9,900,000
537 Plastik Klip uk 6 x 8 (7x10) Pack, 100 lbr 519 131 388 70,000 Rp 36,330,000 Rp 27,160,000
538 Pot Dahak (Pack @25 Pot) Pot 75 75 0 65,000 Rp 4,875,000
539 Pot Dahak Pot 35 35 0 Apr '20 150420 3,225 Rp 112,875 Rp -
540 Pot Dahak Pot 100 100 0 Des '23 01181202 50,000 Rp 5,000,000 Rp -
541 Pot Dahak Pot 0 150 120 30 Apr '20 150420 3,225 Rp - Rp 96,750
542 Pot Dahak Pot 0 62 0 62 20,400 Rp - Rp 1,264,800
543 Pot Salep 10 ml Pot 0 100 100 0 62,000 Rp - Rp -
544 Pot Salep 10 ml Pot 0 100 100 0 20,000 Rp - Rp -
545 Pot Urine Pot 0 50 50 0 2,200 Rp - Rp -
546 Pot Urine Pot 0 103 0 103 Sept '24 201909 29,000 Rp - Rp 2,987,000
547 Rak Tabung Reaksi Multipurpose @50's Buah 0 5 0 5 109,894 Rp - Rp 549,470
548 Rapid Demam Berdarah Box, 25 Test 3 0 3 Feb '22 W10900202 3,600,000 Rp - Rp 10,800,000
549 Rapid Tes HIV VIKIA Box, 25 Test 0 0 0 Jun '20 1006684110 480,700 Rp - Rp -
550 Rapid Test Dengue IgG/IgM (monotes) Box, 25 Test 1 0 1 Jul '20 1907073 1,950,000 Rp - Rp 1,950,000
HBSG18120
551 Rapid Test HBsAg (Answer) Box, 50 Test 0 2 2 0 Des '21 0 161,000 Rp - Rp -
552 Rapid Test HBsAg (Answer) Box, 50 Test 0 6 0 6 Ags '22 F0804127G0I 2,502,500 Rp - Rp 15,015,000
553 Rapid Test HBsAg Monotes Box, 50 Test 3 3 0 Sept '21 1903220 Rp - Rp -
554 Rapid Test HBsAg Monotes Box, 50 Test 0 3 3 0 Sept '21 1903220 2,502,500 Rp - Rp -
555 Rapid Test HBsAg Oncoprobe Box, 50 Test 10 10 0 Jun '21 OU19064 2,375,000 Rp 23,750,000 Rp -
556 Rapid Test HBsAg Oncoprobe Box, 50 Test 0 12 8 4 Mar '22 OU20031 2,800,000 Rp - Rp 11,200,000
557 Rapid Test HBsAg Oncoprobe Box, 50 Test 0 10 0 10 Apr '22 OU20041 2,775,000 Rp - Rp 27,750,000
558 Rapid Test Hcv (serum/Palsma) Monotes Box, 50 Test 10 10 0 Sept '21 1907063 Rp - Rp -
559 Rapid Test Hcv (serum/Palsma) Monotes Box, 50 Test 0 4 0 4 Sept '21 1907063 3,400,000 Rp - Rp 13,600,000
560 Rapid Test Hcv Antibody (Oncoprobe) Box, 25 Test 8 8 0 Mei '20 OU18053 3,400,000 Rp 27,200,000 Rp -
561 Rapid Test Hcv Antibody (Oncoprobe) Box, 50 Test 2 2 0 Feb '21 OU19025 3,400,000 Rp 6,800,000 Rp -
562 Rapid Test Hcv Antibody (Oncoprobe) Box, 50 Test 0 3 0 3 Mar '22 OU20034 3,800,000 Rp - Rp 11,400,000
563 Rapid Test Hcv Antibody (Oncoprobe) Box, 50 Test 0 4 0 4 Mei '22 OU20053 3,240,000 Rp - Rp 12,960,000
564 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 1 1 0 Jun '21 OU18121 3,900,000 Rp 3,900,000 Rp -
565 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 1 6 7 0 Nov '21 O41911 3,900,000 Rp 3,900,000 Rp -
566 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 0 4 2 2 Feb '22 OU20022 4,465,000 Rp - Rp 8,930,000
567 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 0 5 0 5 Apr '22 OU20043 3,650,000 Rp - Rp 18,250,000
568 Rapid Test HIV 1&2 Oncoprobe Generation Box, 50 Test 10 10 0 Jun '21 OU19063 3,900,000 Rp 39,000,000 Rp -
569 Rapid Test HIV Fokus Box, 25 Test 3 3 0 Jul '20 1816147 352,825 Rp 1,058,475 Rp -
570 Rapid Test Malaria Card Oncoprobe Box, 50 Test 10 10 0 Des '20 1812046 5,400,000 Rp 54,000,000 Rp -
571 Rapid Test Malaria Card Oncoprobe Box, 50 Test 0 3 0 3 Feb '22 12002091 6,400,000 Rp - Rp 19,200,000
572 RDT Malaria (Monotes) Box, 25 Test 41 29 12 0 Jun '20 1,950,000 Rp 79,950,000 Rp -
573 RDT Malaria (Monotest) Box, 25 Test 10 10 0 Sept '21 1903222 Rp - Rp -
574 RDT Malaria (Monotest) Box, 25 Test 10 6 4 Sept '21 1903222 1,950,000 Rp - Rp 7,800,000
575 Rapid Test Syphilis (Biosynex) Box, 50 Test 2 2 0 Jan '21 SYP19010011 118,750 Rp 237,500 Rp -
576 Rapid Test Syphilis Ab Standard Q Box, 25 Test 5 5 0 Sept '22 QSY1018031 Rp - Rp -
577 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 3 3 0 Jun '22 OU18071 3,200,000 Rp 9,600,000 Rp -
578 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 0 1 1 Jul '22 OU18071 3,200,000 Rp -
579 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 10 10 0 Jan '22 OU20014 3,200,000 Rp 32,000,000 Rp -
580 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 0 3 0 3 Feb '21 OU19024 3,200,000 Rp - Rp 9,600,000
581 Rapid Test Syphilis Antibody Oncoprobe Box, 50 Test 0 5 0 5 Feb '21 OU20023 3,200,000 Rp - Rp 16,000,000
582 Rapid Test Syphilis Monotes Box, 50 Test 3 3 0 Sept '21 1903217 Rp - Rp -
583 Rapid Test Syphilis Monotes Box, 50 Test 0 1 1 Sept '21 1903217 3,420,000 Rp - Rp 3,420,000
584 SFRI Cleanser Gen, 5 Liter 0 0 0 Sept '20 82601AIS 4,041,540 Rp - Rp -
585 SFRI Cleanser 3.1 Gen, 5 Liter 4 3 1 Apr '21 91071A1S 4,600,000 Rp 18,400,000 Rp 4,600,000
586 SFRI Cleanser EZ31 Botol 4 4 0 0 Jan '20 9018A15 888,000 Rp 3,552,000 Rp -
587 SFRI Cleanser EZ31 Botol 1 1 0 0 Feb '20 90581AS 888,000 Rp 888,000 Rp -
588 SFRI Diluen 3.1 Gen 20 ltr 4 4 0 Jan '22 90441A1S 1,784,000 Rp 7,136,000 Rp -
589 SFRI Diluen 3.1 Gen 20 ltr 15 2 13 Jun '21 81731A1S 2,200,900 Rp 33,013,500 Rp 28,611,700
590 SFRI Diluen 3.1 Gen 20 ltr 0 2 0 2 Feb '22 90571A15 2,500,900 Rp - Rp 5,001,800
591 SFRI H.18 Diluterge Gen, 2 Liter 0 14 0 14 Mar '21 90791A15 2,300,000 Rp - Rp 32,200,000
592 SFRI HEMACLAIR H18 Botol, 60 ml 2 2 0 Feb '20 90491A2S 324,000 Rp 648,000 Rp -
593 SFRI HEMACLAIR H18 Botol, 60 ml 0 6 1 5 Mei '21 92871a15 324,000 Rp - Rp 1,620,000
594 SFRI DILUCLAIR H18 Botol, 60 ml 2 2 0 324,000 Rp 648,000 Rp -
595 SFRI DILUCLAIR H18 Botol, 60 ml 0 4 4 0 324,000 Rp - Rp -
596 SFRI Lyse 3.1 Botol, 60 ml 6 6 0 0 Feb '20 90491A1S 324,000 Rp 1,944,000 Rp -
597 SFRI Lyse Lysoglobin H18 Botol, 500 ml 8 4 4 Feb '21 90711A1S 3,820,000 Rp 30,560,000 Rp 15,280,000
598 Strip Cholesterole (Autocheck) Tube, 10 Strip 9 9 0 Jul '20 C19033027 290,000 Rp 2,610,000 Rp -
599 Strip Cholesterole (Autocheck) Tube, 10 Strip 0 20 20 0 Mei '21 C19245120 290,000 Rp - Rp -
600 Strip Cholesterole (Autocheck) Tube, 10 Strip 0 20 3 17 Ags '21 C20032020 199,000 Rp - Rp 3,383,000
601 Strip Glucose (Autocheck) Tube, 25 Strip 0 20 20 0 Des '21 G19425120 138,000 Rp - Rp -
602 Strip Glucose (Autocheck) Tube, 25 Strip 0 12 3 9 Nov '21 g19381110 228,000 Rp - Rp 2,052,000
603 Strip Glucose (GLUCO Dr) Tube, 20 Strip 0 6 4 2 Apr '21 S19105302 204,750 Rp - Rp 409,500
604 Strip Uric Acid (Autocheck) Tube, 25 Strip 14 14 0 Jan '21 U19092066 183,000 Rp 2,562,000 Rp -
605 Strip Uric Acid (Autocheck) Tube, 25 Strip 0 20 7 13 Apr '21 U19149090 182,000 Rp - Rp 2,366,000
606 Strip Uric Acid (Autocheck) Tube, 25 Strip 0 20 0 20 Nov '21 u20041030 183,000 Rp - Rp 3,660,000
607 Tabung EDTA Pack,100 bh 0 0 0 392,040 Rp - Rp -
608 Tabung EDTA K2 Pack,100 bh 10 10 0 Sept '22 190915 210,100 Rp 2,101,000 Rp -
609 Tabung EDTA K3 Pack,100 bh 0 100 40 60 Jul '22 201908 190,000 Rp - Rp 11,400,000
610 Tabung Merah Pack,100 bh 0 5 0 5 Des '22 200103 355,000 Rp - Rp 1,775,000
611 Test Mantoux (Tuberkulin) Vial 0 0 0 Jun '20 4,000,000 Rp - Rp -
612 Urine Test parameter (Verify) Tube 8 4 4 Ags '21 URS9060010 210,000 Rp 1,680,000 Rp 840,000
613 Urine Test parameter (Verify) Tube 0 30 0 30 Ags '21 URS8010044 210,000 Rp - Rp 6,300,000
614 Urine Test parameter (Verify) Tube 0 10 0 10 Mar '22 URS9120153 210,000 Rp - Rp 2,100,000
615 White Tip Pack,1000 4 0 4 Jun '23 717,000 Rp 2,868,000 Rp 2,868,000
616 Yellow Tip Pack,1000 3 3 0 Des '22 717,000 Rp 2,151,000 Rp -
D BHP DAN APD COVID-19
617 Alkohol 70% (Drum 200L) Liter 200 60 140 Rp - Rp -
618 Baju APD Covid-19 (Coveall) Bungkus 150 150 0 Rp - Rp -
619 Baju APD Hazmat Suit Poly Pcs 570 0 570 Rp - Rp -
620 Catrige TCM SARS COV Pcs 70 70 0 Mei '21 1000198994 Rp - Rp -
621 Catrige TCM SARS COV Pcs 50 50 0 Ags '21 Rp - Rp -
622 Handsanitizer 5L Gen 9 1 8 Mar '22 20031968KB2 Rp - Rp -
623 Handscoon Nitrile (L) Box 120 0 120 Mar '25 231094815 Rp - Rp -
624 Handscoon Nitrile (M) Box 40 4 36 Okt '24 911099131 Rp - Rp -
625 Handscoon Nitrile (S) Box 40 1 39 Okt '24 911099131 Rp - Rp -
626 kaca Mata Goggle Polycar Pcs 200 23 177 Rp - Rp -
627 Masker KN95 Pcs 570 370 200 Rp - Rp -
628 RDT Covid-19 (Sars-Cov-2 Antibody test) Pcs 40 40 0 Mar '21 B90197B Rp - Rp -
BNCP402E00
629 RDT Covid-19 (Sars-Cov-2 Antibody test) Pcs 130 130 0 Mei '21 0 Rp - Rp -
630 RDT Covid-19 (Sars-Cov-2 Antibody test) Pcs 500 500 0 Ags '21 H20024 Rp - Rp -
631 Safety Helmet (Helm) Pcs 150 0 150 Rp - Rp -
632 Sepatu Boots Pasang 25 0 25 Rp - Rp -
633 Spray Can SA-14 13,5 Liter Pcs 1 1 Rp - Rp -
634 VTM (Virus Transport Media) Pcs 475 475 0 Rp - Rp -
TOTAL Rp 3,777,228,616 Rp 3,041,352,567

Kepala Seksi Penunjang Medik Penanggungjawab Gudang Obat
RSUD Kab. Raja Ampat
Nahruddin Abbas, S.Si., Apt Kasmawati, S.Si., Apt
NIP. 19800427 200801 2 025 NIP. 19740905 200801 2 009

Stock Opname BMHP Gudang Des 2020

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PEMERINTAH KABUPATEN RAJA AMPAT

RUMAH SAKIT UMUM DAERAH KABUPATEN RAJA AMPAT

Obat Masuk per 1 Juli s/d 31 Obat Obat

A BAHAN HABIS PAKAI

Waisai, 29 Juni 2018

dr. Agus Hariyanto, Sp.B Nahruddin Abbas, S.Si., Apt

Obat Masuk per 1 Juli s/d 31Obat Obat

A BAHAN HABIS PAKAI

dr. Agus Hariyanto, Sp.B Nahruddin Abbas, S.Si., Apt

BHP Masuk Per 1 Januari s/d 28 Juni BHP ED Obat

A BAHAN HABIS PAKAI

Waisai,28 Juni 2018

dr. Agus Hariyanto, Sp.B Nahruddin Abbas, S.Si., Apt

BHP Masuk Per 1 Juli s/d 31 Desember 2019 Obat

A BAHAN HABIS PAKAI

Mengetahui Waisai, 31 Desember 2019

Nahruddin Abbas, S.Si., Apt Kasmawati, S.Si., Apt

A BAHAN HABIS PAKAI

Mengetahui Waisai, 31 Desember 2019

dr. Agus Hariyanto, Sp.B

BHP Masuk Per 01 Januari s/d 31 Desember 2020

A BAHAN HABIS PAKAI

TOTAL Rp 3,777,228,616 Rp 3,041,352,567

Mengetahui Waisai, 31 Desember 2020

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