Anda di halaman 1dari 31

KABUPATEN KENDAL

MUTASI BARANG DAN NILAI PERSEDIAAN


Puskesmas Sukorejo 01
Periode 202112

Kode Pengguna : 010201.00003.00000

Masuk Keluar
Objek PLU/Non Jumlah Jumlah Jumlah Jumlah
No. Keterangan Nilai Awal Pem Nilai Masuk Peng Nilai Keluar Nilai Akhir
PLU Awal Distri busi Hibah Retur Koreksi Masuk Distri Busi Hibah Retur Keluar Akhir
Belian gunaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 0RINSO53 RINSO SCHET/53 [PCS] - - 798 - - - - 798 681,651.60 798 - - - 798 681,651.60 - -
2 0RINSO53_20210531_11:29 - - 798 - - - - 798 854.20 798 - - - 798 854.20 - -
3 984C7EFBE87C Tisu Paseo Isi 250 [BUNGKUS] 99 990,000.00 - - - - - - - 92 - - - 92 920,000.00 7 70,000.00
4 984C7EFBE87C_20200730_08:46 99 10,000.00 - - - - - - - 92 - - - 92 10,000.00 7 10,000.00
5 0097855060945 KEYBOARD KOMPUTER LOGITEC K100 - - 3 - - - - 3 540,000.00 - - - - - - 3 540,000.00
[BUAH]
6 0097855060945_20210630_03:43 - - 3 - - - - 3 180,000.00 - - - - - - 3 180,000.00
7 0100000000031 BBM [LITER] - - 4,000 - - - - 4,000 40,613,322.50 2,875 970 - - 3,845 39,011,862.50 155 1,601,460.00
8 0100000000031_20210129_11:15 - - 125 - - - - 125 8,000.00 - 125 - - 125 8,000.00 - -
9 0100000000031_20210226_11:26 - - 200 - - - - 200 9,349.80 - 200 - - 200 9,349.80 - -
10 0100000000031_20210330_11:30 - - 220 - - - - 220 8,811.00 220 - - - 220 8,811.00 - -
11 0100000000031_20210429_11:45 - - 250 - - - - 250 10,180.00 80 170 - - 250 10,180.00 - -
12 0100000000031_20210529_11:51 - - 300 - - - - 300 10,408.80 170 130 - - 300 10,408.80 - -
13 0100000000031_20210629_11:09 - - 50 - - - - 50 9,126.00 50 - - - 50 9,126.00 - -
14 0100000000031_20210629_11:54 - - 400 - - - - 400 7,780.00 400 - - - 400 7,780.00 - -
15 0100000000031_20210730_11:58 - - 250 - - - - 250 10,420.00 250 - - - 250 10,420.00 - -
16 0100000000031_20210830_11:12 - - 60 - - - - 60 12,150.00 60 - - - 60 12,150.00 - -
17 0100000000031_20210830_12:01 - - 100 - - - - 100 11,650.00 100 - - - 100 11,650.00 - -
18 0100000000031_20210929_11:13 - - 200 - - - - 200 11,880.00 200 - - - 200 11,880.00 - -
19 0100000000031_20210929_12:03 - - 200 - - - - 200 11,718.30 200 - - - 200 11,718.30 - -
20 0100000000031_20211029_11:17 - - 50 - - - - 50 10,440.00 50 - - - 50 10,440.00 - -
21 0100000000031_20211029_12:05 - - 345 - - - - 345 9,364.50 345 - - - 345 9,364.50 - -
22 0100000000031_20211129_11:19 - - 150 - - - - 150 11,520.00 40 110 - - 150 11,520.00 - -
23 0100000000031_20211129_12:09 - - 300 - - - - 300 10,785.00 300 - - - 300 10,785.00 - -
24 0100000000031_20211230_11:20 - - 500 - - - - 500 10,332.00 110 235 - - 345 10,332.00 155 10,332.00
25 0100000000031_20211230_12:14 - - 300 - - - - 300 11,560.30 300 - - - 300 11,560.30 - -
26 0100000000120 ETANOL 70% [LITER] 3 56,100.00 - 15 - - - 15 187,025.00 8 - - - 8 149,600.00 10 93,525.00
27 0100000000120_20201030_10:46 3 18,700.00 - - - - - - - 3 - - - 3 18,700.00 - -
28 0100000000120_20210330_01:52 - - - 5 - - - 5 18,700.00 5 - - - 5 18,700.00 - -
29 0100000000120_20211126_03:12 - - - 5 - - - 5 18,700.00 - - - - - - 5 18,700.00
30 0100000000120_20211227_12:11 - - - 5 - - - 5 5.00 - - - - - - 5 5.00
31 010000000024 KERTAS KARBON [PAK] 4 260,000.00 - - - - - - - - - - - - - 4 260,000.00
32 010000000024_20200130_10:43 4 65,000.00 - - - - - - - - - - - - - 4 65,000.00
33 010000000026 BUKU EKSPEDISI [BUAH] 9 120,420.00 - - - - - - - 4 - - - 4 53,520.00 5 66,900.00
34 010000000026_20200130_10:43 9 13,380.00 - - - - - - - 4 - - - 4 13,380.00 5 13,380.00
35 010000000077 LEM GLUKOL [BUAH] 3 10,500.00 - - - - - - - 3 - - - 3 10,500.00 - -
36 010000000077_20200102_10:01 3 3,500.00 - - - - - - - 3 - - - 3 3,500.00 - -
37 010000000088 TINTA CANON HITAM [BOTOL] 1 110,000.00 - - - - - - - 1 - - - 1 110,000.00 - -
38 010000000088_20200102_10:01 1 110,000.00 - - - - - - - 1 - - - 1 110,000.00 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
39 010000000118 KANEBO [BUAH] 1 8,000.00 - - - - - - - 1 - - - 1 8,000.00 - -
40 010000000118_20200730_08:46 1 8,000.00 - - - - - - - 1 - - - 1 8,000.00 - -
41 010000000123 GAS 12 KG [KG] - - 60 - - - - 60 7,579,000.00 42 18 - - 60 7,579,000.00 - -
42 010000000123_20210128_12:14 - - 4 - - - - 4 143,000.00 - 4 - - 4 143,000.00 - -
43 010000000123_20210129_11:15 - - 4 - - - - 4 143,000.00 - 4 - - 4 143,000.00 - -
44 010000000123_20210226_11:26 - - 2 - - - - 2 143,000.00 - 2 - - 2 143,000.00 - -
45 010000000123_20210226_12:15 - - 2 - - - - 2 143,000.00 - 2 - - 2 143,000.00 - -
46 010000000123_20210329_12:18 - - 5 - - - - 5 143,000.00 - 5 - - 5 143,000.00 - -
47 010000000123_20210330_11:30 - - 5 - - - - 5 143,000.00 4 1 - - 5 143,000.00 - -
48 010000000123_20210428_12:19 - - 2 - - - - 2 143,000.00 2 - - - 2 143,000.00 - -
49 010000000123_20210429_11:45 - - 2 - - - - 2 143,000.00 2 - - - 2 143,000.00 - -
50 010000000123_20210529_11:51 - - 4 - - - - 4 143,000.00 4 - - - 4 143,000.00 - -
51 010000000123_20210529_12:20 - - 4 - - - - 4 143,000.00 4 - - - 4 143,000.00 - -
52 010000000123_20210628_12:21 - - 4 - - - - 4 - 4 - - - 4 - - -
53 010000000123_20210629_11:54 - - 4 - - - - 4 143,000.00 4 - - - 4 143,000.00 - -
54 010000000123_20210729_12:22 - - 3 - - - - 3 - 3 - - - 3 - - -
55 010000000123_20210730_11:58 - - 3 - - - - 3 143,000.00 3 - - - 3 143,000.00 - -
56 010000000123_20210929_12:03 - - 4 - - - - 4 143,000.00 4 - - - 4 143,000.00 - -
57 010000000123_20211029_12:05 - - 5 - - - - 5 143,000.00 5 - - - 5 143,000.00 - -
58 010000000123_20211230_12:14 - - 3 - - - - 3 143,000.00 3 - - - 3 143,000.00 - -
59 010000000446 SURAT KETERANGAN SAKIT [BUKU] 2 40,000.00 - - - - - - - 2 - - - 2 40,000.00 - -
60 010000000446_20200102_10:01 2 20,000.00 - - - - - - - 2 - - - 2 20,000.00 - -
61 010000000477 BUKU FOLIO ISI 200 LEMBAR [BUAH] - - 30 - - - - 30 1,035,000.00 2 - - - 2 69,000.00 28 966,000.00
62 010000000477_20210630_03:43 - - 30 - - - - 30 34,500.00 2 - - - 2 34,500.00 28 34,500.00
63 010000000485 SNELHEKTER PLASTIK [BUAH] - - 200 - - - - 200 800,000.00 176 - - - 176 704,000.00 24 96,000.00
64 010000000485_20210630_03:43 - - 200 - - - - 200 4,000.00 176 - - - 176 4,000.00 24 4,000.00
65 010000000756 OBAT BATUK OBH [BOTOL] 135 674,460.00 100 - - - - 100 591,900.00 235 - - - 235 1,266,360.00 - -
66 010000000756_20200130_10:35 135 4,996.00 - - - - - - - 135 - - - 135 4,996.00 - -
67 010000000756_20210930_10:25 - - 100 - - - - 100 5,919.00 100 - - - 100 5,919.00 - -
68 010000000816 BOLPOIN [BUAH] 489 855,750.00 - - - - - - - 489 - - - 489 855,750.00 - -
69 010000000816_20201030_08:53 489 1,750.00 - - - - - - - 489 - - - 489 1,750.00 - -
70 010000000820 Solar Bio Solar [LITER] - - 50 - - - - 50 - 50 - - - 50 - - -
71 010000000820_20210226_02:33 - - 50 - - - - 50 - 50 - - - 50 - - -
72 010000000840 Betametason Cream [TUBE] 20 26,800.00 - 200 - - - 200 267,960.00 120 - - - 120 160,780.00 100 133,980.00
73 010000000840_20201030_10:46 20 1,340.00 - - - - - - - 20 - - - 20 1,340.00 - -
74 010000000840_20210629_10:57 - - - 100 - - - 100 1,339.80 100 - - - 100 1,339.80 - -
75 010000000840_20210729_12:13 - - - 100 - - - 100 1,339.80 - - - - - - 100 1,339.80
76 010000000847 Aminophyllin Injeksi 24 mg/ ml [AMPUL] 40 133,800.00 - - - - - - - 40 - - - 40 133,800.00 - -

77 010000000847_20200730_10:44 40 3,345.00 - - - - - - - 40 - - - 40 3,345.00 - -


78 010000000850 Dexamethasone Injeksi 5 mg / ml 150 164,550.00 - - - - - - - 150 - - - 150 164,550.00 - -
[AMPUL]
79 010000000850_20200730_10:44 150 1,097.00 - - - - - - - 150 - - - 150 1,097.00 - -
80 010000000854 Fitomenadion Injeksi 10 mg/ml - - - 300 - - - 300 - 14 - - - 14 - 286 -
[AMPUL]
81 010000000854_20210729_12:13 - - - 200 - - - 200 - 14 - - - 14 - 186 -
82 010000000854_20211126_03:12 - - - 100 - - - 100 - - - - - - - 100 -
83 010000000855 Fitomenadion Injeksi 2 mg/ml [AMPUL] - - - 690 - - - 690 2,540,580.00 276 - - - 276 1,016,232.00 414 1,524,348.00

84 010000000855_20210225_01:15 - - - 210 - - - 210 3,682.00 210 - - - 210 3,682.00 - -


85 010000000855_20210330_01:52 - - - 300 - - - 300 3,682.00 66 - - - 66 3,682.00 234 3,682.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
86 010000000855_20210629_10:57 - - - 90 - - - 90 3,682.00 - - - - - - 90 3,682.00
87 010000000855_20210729_12:13 - - - 90 - - - 90 3,682.00 - - - - - - 90 3,682.00
88 010000000864 Ondansetron Injeksi 4 mg/2 ml [AMPUL] 140 149,800.00 - 240 - - - 240 10,265,700.00 150 - - - 150 160,500.00 230 10,255,000.00

89 010000000864_20200429_10:43 140 1,070.00 - - - - - - - 140 - - - 140 1,070.00 - -


90 010000000864_20210128_12:48 - - - 140 - - - 140 1,070.00 10 - - - 10 1,070.00 130 1,070.00
91 010000000864_20211227_12:11 - - - 100 - - - 100 101,159.00 - - - - - - 100 101,159.00
92 010000000866 Ranitidine Injeksi 50 mg / 2 ml [AMPUL] 300 346,500.00 - 500 - - - 500 577,500.00 800 - - - 800 924,000.00 - -

93 010000000866_20200130_10:35 300 1,155.00 - - - - - - - 300 - - - 300 1,155.00 - -


94 010000000866_20210128_12:48 - - - 200 - - - 200 1,155.00 200 - - - 200 1,155.00 - -
95 010000000866_20210330_01:52 - - - 100 - - - 100 1,155.00 100 - - - 100 1,155.00 - -
96 010000000866_20210629_10:57 - - - 100 - - - 100 1,155.00 100 - - - 100 1,155.00 - -
97 010000000866_20210729_12:13 - - - 100 - - - 100 1,155.00 100 - - - 100 1,155.00 - -
98 010000000869 Ringer Laktat Larutan Infus [FLABOT] - - - 2,100 - - - 2,100 16,022,100.00 845 - - - 845 6,446,952.00 1,255 9,575,148.00

99 010000000869_20210330_01:52 - - - 100 - - - 100 7,629.00 100 - - - 100 7,629.00 - -


100 010000000869_20210629_10:57 - - - 500 - - - 500 7,629.60 500 - - - 500 7,629.60 - -
101 010000000869_20210729_12:13 - - - 500 - - - 500 7,629.60 245 - - - 245 7,629.60 255 7,629.60
102 010000000869_20211126_03:12 - - - 200 - - - 200 7,629.60 - - - - - - 200 7,629.60
103 010000000869_20211227_12:11 - - - 500 - - - 500 7,629.60 - - - - - - 500 7,629.60
104 010000000869_20211230_02:41 - - - 300 - - - 300 7,629.60 - - - - - - 300 7,629.60
105 010000000870 Glukosa Larutan Infus [FLABOT] 180 1,242,000.00 - - - - - - - 20 - - - 20 138,000.00 160 1,104,000.00
106 010000000870_20200730_10:44 180 6,900.00 - - - - - - - 20 - - - 20 6,900.00 160 6,900.00
107 010000000871 Natrium Klorida Larutan Infus 0,9% 300 1,923,000.00 - 75 - - - 75 480,706.50 330 - - - 330 2,115,291.00 45 288,415.50
[FLABOT]
108 010000000871_20200130_10:35 300 6,410.00 - - - - - - - 300 - - - 300 6,410.00 - -
109 010000000871_20210128_12:48 - - - 45 - - - 45 6,409.70 30 - - - 30 6,409.70 15 6,409.70
110 010000000871_20210330_01:52 - - - 30 - - - 30 6,409.00 - - - - - - 30 6,409.00
111 010000000872 Ambroxol Sirup 15 mg/ ml [BOTOL] - - - 200 - - - 200 999,800.00 200 - - - 200 999,800.00 - -
112 010000000872_20210330_01:52 - - - 200 - - - 200 4,999.00 200 - - - 200 4,999.00 - -
113 010000000874 Antasida DOEN II Suspensi, Komb - - 200 - - - - 200 847,000.00 200 - - - 200 847,000.00 - -
[BOTOL]
114 010000000874_20210930_10:25 - - 200 - - - - 200 4,235.00 200 - - - 200 4,235.00 - -
115 010000000878 Chloramphenicol Syrup [BOTOL] 50 250,750.00 - - - - - - - 50 - - - 50 250,750.00 - -
116 010000000878_20200130_10:35 50 5,015.00 - - - - - - - 50 - - - 50 5,015.00 - -
117 010000000903 PPD ( Mantoux Test ) [VIAL] - - - 5 - - - 5 1,862,850.00 2 - - - 2 - 3 1,862,850.00
118 010000000903_20210428_08:10 - - - 2 - - - 2 - 2 - - - 2 - - -
119 010000000903_20211227_12:11 - - - 3 - - - 3 620,950.00 - - - - - - 3 620,950.00
120 010000000911 Gemfibrozil Kapsul 300 mg [KAPSUL] 950 361,000.00 - - - - - - - 950 - - - 950 361,000.00 - -

121 010000000911_20200730_10:44 950 380.00 - - - - - - - 950 - - - 950 380.00 - -


122 010000000929 Activated Attapulgite tablet [TABLET] 2,100 285,599.00 - - - - - - - 1,121 - - - 1,121 152,455.00 979 133,144.00
123 010000000929_20200102_09:01 100 135.99 - - - - - - - 100 - - - 100 135.99 - -
124 010000000929_20201030_10:46 2,000 136.00 - - - - - - - 1,021 - - - 1,021 136.00 979 136.00
125 010000000931 Allopurinol tablet 100 mg [TABLET] 900 89,100.00 - 1,000 - - - 1,000 99,000.00 570 - - - 570 56,430.00 1,330 131,670.00
126 010000000931_20200102_09:01 900 99.00 - - - - - - - 570 - - - 570 99.00 330 99.00
127 010000000931_20211126_03:12 - - - 1,000 - - - 1,000 99.00 - - - - - - 1,000 99.00
128 010000000934 Ambroxol tablet 30 mg [TABLET] 5,200 1,398,800.00 - 500 - - - 500 134,500.00 5,700 - - - 5,700 1,533,300.00 - -
129 010000000934_20200429_10:43 5,200 269.00 - - - - - - - 5,200 - - - 5,200 269.00 - -
130 010000000934_20210330_01:52 - - - 500 - - - 500 269.00 500 - - - 500 269.00 - -
131 010000000937 Amlodipin tablet 5 mg [TABLET] 2,100 157,500.00 - 6,600 - - - 6,600 495,000.00 7,170 - - - 7,170 537,750.00 1,530 114,750.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
132 010000000937_20200130_10:35 900 75.00 - - - - - - - 900 - - - 900 75.00 - -
133 010000000937_20201030_10:46 1,200 75.00 - - - - - - - 1,200 - - - 1,200 75.00 - -
134 010000000937_20210225_01:15 - - - 3,000 - - - 3,000 75.00 3,000 - - - 3,000 75.00 - -
135 010000000937_20210330_01:52 - - - 3,000 - - - 3,000 75.00 2,070 - - - 2,070 75.00 930 75.00
136 010000000937_20210930_09:36 - - - 600 - - - 600 75.00 - - - - - - 600 75.00
137 010000000939 Antasida DOEN I tablet kunyah [TABLET] 11,500 621,000.00 - 3,400 - - - 3,400 183,600.00 3,952 - - - 3,952 213,408.00 10,948 591,192.00

138 010000000939_20200429_10:43 1,500 54.00 - - - - - - - 1,500 - - - 1,500 54.00 - -


139 010000000939_20200730_10:44 5,000 54.00 - - - - - - - 2,452 - - - 2,452 54.00 2,548 54.00
140 010000000939_20201030_10:46 5,000 54.00 - - - - - - - - - - - - - 5,000 54.00
141 010000000939_20210330_01:52 - - - 400 - - - 400 54.00 - - - - - - 400 54.00
142 010000000939_20210930_09:36 - - - 3,000 - - - 3,000 54.00 - - - - - - 3,000 54.00
143 010000000940 Asam Asetilsalisilat tablet 80 mg - - - 100 - - - 100 - 35 - - - 35 - 65 -
[TABLET]
144 010000000940_20211126_03:12 - - - 100 - - - 100 - 35 - - - 35 - 65 -
145 010000000941 Asam Askorbat tablet 50 mg [TABLET] 3,300 346,500.00 - - - - - - - - - - - - - 3,300 346,500.00

146 010000000941_20201030_10:46 3,300 105.00 - - - - - - - - - - - - - 3,300 105.00


147 010000000943 Asam Mefenamat tablet 500 mg [BOK] 4,990 1,134,077.30 100 - - - - 100 3,000,000.00 100 - - - 100 22,727.00 4,990 4,111,350.30

148 010000000943_20201030_10:35 4,990 227.27 - - - - - - - 100 - - - 100 227.27 4,890 227.27


149 010000000943_20210930_10:25 - - 100 - - - - 100 30,000.00 - - - - - - 100 30,000.00
150 010000000945 Asam Tranexamat tablet 500 mg - - 1 - - - - 1 221.76 1 - - - 1 221.76 - -
[TABLET]
151 010000000945_20210930_10:25 - - 1 - - - - 1 221.76 1 - - - 1 221.76 - -
152 010000000949 Azytromycin tablet 500 mg [TABLET] 908 1,725,200.00 - - - - - - - 908 - - - 908 1,725,200.00 - -
153 010000000949_20200102_09:01 908 1,900.00 - - - - - - - 908 - - - 908 1,900.00 - -
154 010000000950 Betahistin Mesilat tablet 6 mg [TABLET] - - - 1,000 - - - 1,000 149,000.00 1,000 - - - 1,000 149,000.00 - -

155 010000000950_20210330_01:52 - - - 1,000 - - - 1,000 149.00 1,000 - - - 1,000 149.00 - -


156 010000000955 Candesartan tablet 8 mg [TABLET] 210 1,039,500.00 - - - - - - - 210 - - - 210 1,039,500.00 - -
157 010000000955_20200102_05:28 210 4,950.00 - - - - - - - 210 - - - 210 4,950.00 - -
158 010000000956 Cetirizine tablet 10 mg [TABLET] 200 18,000.00 - 3,050 - - - 3,050 274,479.00 200 - - - 200 18,000.00 3,050 274,479.00
159 010000000956_20200730_10:44 200 90.00 - - - - - - - 200 - - - 200 90.00 - -
160 010000000956_20210225_01:15 - - - 1,000 - - - 1,000 89.98 - - - - - - 1,000 89.98
161 010000000956_20210330_01:52 - - - 50 - - - 50 89.98 - - - - - - 50 89.98
162 010000000956_20211227_12:11 - - - 2,000 - - - 2,000 90.00 - - - - - - 2,000 90.00
163 010000000963 Dexamethasone tablet 0, 5 mg 13,500 432,000.00 - - - - - - - 4,990 - - - 4,990 159,680.00 8,510 272,320.00
[TABLET]
164 010000000963_20200429_10:43 3,500 32.00 - - - - - - - 3,500 - - - 3,500 32.00 - -
165 010000000963_20200730_10:44 5,000 32.00 - - - - - - - 1,490 - - - 1,490 32.00 3,510 32.00
166 010000000963_20201030_10:46 5,000 32.00 - - - - - - - - - - - - - 5,000 32.00
167 010000000964 Diazepam tablet 2 mg [TABLET] 300 25,800.00 - - - - - - - 200 - - - 200 17,200.00 100 8,600.00
168 010000000964_20200102_09:01 300 86.00 - - - - - - - 200 - - - 200 86.00 100 86.00
169 010000000966 Digoxin tablet 0,25 mg [TABLET] 70 7,280.00 - - - - - - - 70 - - - 70 7,280.00 - -
170 010000000966_20200102_09:01 70 104.00 - - - - - - - 70 - - - 70 104.00 - -
171 010000000968 Domperidone tablet 10 mg [TABLET] 2,100 191,100.00 100 - - - - 100 3,200,000.00 18 - - - 18 1,638.00 2,182 3,389,462.00
172 010000000968_20201030_10:46 2,100 91.00 - - - - - - - 18 - - - 18 91.00 2,082 91.00
173 010000000968_20210930_10:25 - - 100 - - - - 100 32,000.00 - - - - - - 100 32,000.00
174 010000000973 Fitomenadion tablet salut gula 10 mg 100 68,600.00 - 400 - - - 400 274,400.00 214 - - - 214 146,804.00 286 196,196.00
[TABLET]
175 010000000973_20200429_10:43 100 686.00 - - - - - - - 100 - - - 100 686.00 - -
176 010000000973_20210225_01:15 - - - 200 - - - 200 686.00 114 - - - 114 686.00 86 686.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
177 010000000973_20210629_10:57 - - - 200 - - - 200 686.00 - - - - - - 200 686.00
178 010000000977 Glibenklamida tablet 5 mg [TABLET] - - - 80 - - - 80 9,520.00 - - - - - - 80 9,520.00
179 010000000977_20210330_01:52 - - - 80 - - - 80 119.00 - - - - - - 80 119.00
180 010000000980 Glimepiride tablet 1 mg [TABLET] 200 34,800.00 - - - - - - - 200 - - - 200 34,800.00 - -
181 010000000980_20200102_09:01 200 174.00 - - - - - - - 200 - - - 200 174.00 - -
182 010000000985 Griseofulvin tablet 125 mg [TABLET] 400 89,600.00 - 1,000 - - - 1,000 224,000.00 1,200 - - - 1,200 268,800.00 200 44,800.00
183 010000000985_20200730_10:44 400 224.00 - - - - - - - 400 - - - 400 224.00 - -
184 010000000985_20210225_01:15 - - - 300 - - - 300 224.00 300 - - - 300 224.00 - -
185 010000000985_20210330_01:52 - - - 300 - - - 300 224.00 300 - - - 300 224.00 - -
186 010000000985_20210930_09:36 - - - 200 - - - 200 224.00 200 - - - 200 224.00 - -
187 010000000985_20211126_03:12 - - - 200 - - - 200 224.00 - - - - - - 200 224.00
188 010000000988 Isoniazida tablet 100 mg [TABLET] 100 14,500.00 - - - - - - - 100 - - - 100 14,500.00 - -
189 010000000988_20200130_10:35 100 145.00 - - - - - - - 100 - - - 100 145.00 - -
190 010000000989 Isoniazida tablet 300 mg [TABLET] 700 121,100.00 - - - - - - - 700 - - - 700 121,100.00 - -
191 010000000989_20200102_09:01 700 173.00 - - - - - - - 700 - - - 700 173.00 - -
192 010000000991 Isosorbid Dinitrat tab sublingual 5 mg 900 80,100.00 - - - - - - - 500 - - - 500 44,500.00 400 35,600.00
[TABLET]
193 010000000991_20200102_09:01 400 89.00 - - - - - - - 400 - - - 400 89.00 - -
194 010000000991_20200130_10:35 500 89.00 - - - - - - - 100 - - - 100 89.00 400 89.00
195 010000000994 Kalsium Laktat tablet 500 mg [TABLET] 2,800 165,200.00 - - - - - - - 2,800 - - - 2,800 165,200.00 - -

196 010000000994_20200730_10:44 2,800 59.00 - - - - - - - 2,800 - - - 2,800 59.00 - -


197 010000000997 Ketokonazole tablet 200 mg [TABLET] 250 70,000.00 - - - - - - - 250 - - - 250 70,000.00 - -

198 010000000997_20200102_09:01 250 280.00 - - - - - - - 250 - - - 250 280.00 - -


199 010000001007 Metformin Hcl tablet 500 mg [TABLET] 2,300 234,600.00 - 6,040 - - - 6,040 616,080.00 3,240 - - - 3,240 330,480.00 5,100 520,200.00

200 010000001007_20200730_10:44 300 102.00 - - - - - - - 300 - - - 300 102.00 - -


201 010000001007_20201030_10:46 2,000 102.00 - - - - - - - 2,000 - - - 2,000 102.00 - -
202 010000001007_20210330_01:52 - - - 2,040 - - - 2,040 102.00 940 - - - 940 102.00 1,100 102.00
203 010000001007_20210629_10:57 - - - 2,000 - - - 2,000 102.00 - - - - - - 2,000 102.00
204 010000001007_20210729_12:13 - - - 2,000 - - - 2,000 102.00 - - - - - - 2,000 102.00
205 010000001009 Metilprednisolon tablet 4 mg [TABLET] 1,800 241,200.00 - - - - - - - 1,800 - - - 1,800 241,200.00 - -

206 010000001009_20201030_10:46 1,800 134.00 - - - - - - - 1,800 - - - 1,800 134.00 - -


207 010000001012 Metronidazole tablet 500 mg [TABLET] 700 93,100.00 50 - - - - 50 1,225,000.00 501 - - - 501 66,633.00 249 1,251,467.00

208 010000001012_20200429_10:43 700 133.00 - - - - - - - 501 - - - 501 133.00 199 133.00


209 010000001012_20210930_10:25 - - 50 - - - - 50 24,500.00 - - - - - - 50 24,500.00
210 010000001015 Nifedipine tablet 10 mg [TABLET] 900 100,791.00 - - - - - - - 400 - - - 400 44,796.00 500 55,995.00
211 010000001015_20200102_09:01 900 111.99 - - - - - - - 400 - - - 400 111.99 500 111.99
212 010000001018 Omeprazole Kapsul 20 mg [TABLET] 120 19,200.00 - - - - - - - 120 - - - 120 19,200.00 - -
213 010000001018_20201030_10:46 120 160.00 - - - - - - - 120 - - - 120 160.00 - -
214 010000001023 Piridoksin tablet 10 mg (Hcl) (Vit B6) 12,700 1,562,100.00 - - - - - - - 2,484 - - - 2,484 305,532.00 10,216 1,256,568.00
[TABLET]
215 010000001023_20200102_09:01 12,700 123.00 - - - - - - - 2,484 - - - 2,484 123.00 10,216 123.00
216 010000001025 Prednison tablet 5 mg [TABLET] 5,100 372,300.00 - 9,000 - - - 9,000 657,000.00 3,600 - - - 3,600 262,800.00 10,500 766,500.00
217 010000001025_20200730_10:44 2,100 73.00 - - - - - - - 2,100 - - - 2,100 73.00 - -
218 010000001025_20201030_10:46 3,000 73.00 - - - - - - - 1,500 - - - 1,500 73.00 1,500 73.00
219 010000001025_20210330_01:52 - - - 3,000 - - - 3,000 73.00 - - - - - - 3,000 73.00
220 010000001025_20210629_10:57 - - - 2,000 - - - 2,000 73.00 - - - - - - 2,000 73.00
221 010000001025_20210729_12:13 - - - 2,000 - - - 2,000 73.00 - - - - - - 2,000 73.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
222 010000001025_20211126_03:12 - - - 2,000 - - - 2,000 73.00 - - - - - - 2,000 73.00
223 010000001026 Propanolol tablet 10 mg ( Hcl ) [TABLET] 500 29,000.00 - - - - - - - 500 - - - 500 29,000.00 - -

224 010000001026_20200102_09:01 400 58.00 - - - - - - - 400 - - - 400 58.00 - -


225 010000001026_20200730_10:44 100 58.00 - - - - - - - 100 - - - 100 58.00 - -
226 010000001029 Ranitidine tablet 150 mg [TABLET] 2,400 360,000.00 30 50 - - - 80 491,250.00 2,470 - - - 2,470 689,250.00 10 162,000.00
227 010000001029_20201030_10:35 2,400 150.00 - - - - - - - 2,400 - - - 2,400 150.00 - -
228 010000001029_20210330_01:52 - - - 50 - - - 50 105.00 50 - - - 50 105.00 - -
229 010000001029_20210930_10:25 - - 30 - - - - 30 16,200.00 20 - - - 20 16,200.00 10 16,200.00
230 010000001030 Salbutamol tablet 2 mg ( SO4 ) [TABLET] 1,000 66,000.00 - 1,030 - - - 1,030 67,980.00 1,230 - - - 1,230 81,180.00 800 52,800.00

231 010000001030_20200429_10:43 1,000 66.00 - - - - - - - 1,000 - - - 1,000 66.00 - -


232 010000001030_20210225_01:15 - - - 500 - - - 500 66.00 230 - - - 230 66.00 270 66.00
233 010000001030_20210330_01:52 - - - 30 - - - 30 66.00 - - - - - - 30 66.00
234 010000001030_20211126_03:12 - - - 500 - - - 500 66.00 - - - - - - 500 66.00
235 010000001040 Vit B1 [TABLET] 9,100 828,100.00 - - - - - - - 9,100 - - - 9,100 828,100.00 - -
236 010000001040_20200102_09:01 9,100 91.00 - - - - - - - 9,100 - - - 9,100 91.00 - -
237 010000001041 Vitamin B Kompleks tablet [TABLET] 1,700 151,300.00 - 200 - - - 200 17,800.00 200 - - - 200 17,800.00 1,700 151,300.00
238 010000001041_20200730_10:44 1,700 89.00 - - - - - - - 200 - - - 200 89.00 1,500 89.00
239 010000001041_20210330_01:52 - - - 200 - - - 200 89.00 - - - - - - 200 89.00
240 010000001063 Etanol 2,5 ltr [BOTOL] - - 50 - - - - 50 2,200.00 35 - - - 35 1,540.00 15 660.00
241 010000001063_20210930_10:25 - - 50 - - - - 50 44.00 35 - - - 35 44.00 15 44.00
242 010000001075 Aqua pro injection 25 ML [FIAL] 378 1,081,080.00 - - - - - - - 378 - - - 378 1,081,080.00 - -
243 010000001075_20200730_10:44 18 2,860.00 - - - - - - - 18 - - - 18 2,860.00 - -
244 010000001075_20201030_10:46 360 2,860.00 - - - - - - - 360 - - - 360 2,860.00 - -
245 010000001119 REFILL HANDSOAP YURI [BUAH] 35 630,000.00 - - - - - - - 35 - - - 35 630,000.00 - -
246 010000001119_20200730_08:46 35 18,000.00 - - - - - - - 35 - - - 35 18,000.00 - -
247 010000001130 PLASTIK HITAM BESAR [PAK] - - 10 - - - - 10 150,000.00 10 - - - 10 150,000.00 - -
248 010000001130_20210330_11:12 - - 10 - - - - 10 15,000.00 10 - - - 10 15,000.00 - -
249 010000001139 HALOPERIDOL 5 MG [TABLET] 500 30,000.00 - - - - - - - 400 - - - 400 24,000.00 100 6,000.00
250 010000001139_20201030_10:46 500 60.00 - - - - - - - 400 - - - 400 60.00 100 60.00
251 010000001232 KERTAS HVS A4 [RIM] 11 555,000.00 - - - - - - - 8 - - - 8 405,000.00 3 150,000.00
252 010000001232_20200130_10:43 1 55,000.00 - - - - - - - 1 - - - 1 55,000.00 - -
253 010000001232_20201030_08:53 10 50,000.00 - - - - - - - 7 - - - 7 50,000.00 3 50,000.00
254 010000001318 KERTAS FOTO A4 [PAK] - - 5 - - - - 5 125,000.00 1 - - - 1 25,000.00 4 100,000.00
255 010000001318_20210630_03:43 - - 5 - - - - 5 25,000.00 1 - - - 1 25,000.00 4 25,000.00
256 010000001605 LEM CAIR TANGGUNG [BUAH] 96 240,000.00 - - - - - - - 35 - - - 35 87,500.00 61 152,500.00
257 010000001605_20200130_10:43 96 2,500.00 - - - - - - - 35 - - - 35 2,500.00 61 2,500.00
258 010000001623 SAFETY BOX [BUAH] - - - 11 - - - 11 - 11 - - - 11 - - -
259 010000001623_20210428_08:10 - - - 11 - - - 11 - 11 - - - 11 - - -
260 010000001626 ADS 0,5 ML [BUAH] 400 430,800.00 - 6,070 - - - 6,070 7,131,770.00 3,140 - - - 3,140 3,599,870.00 3,330 3,962,700.00
261 010000001626_20200102_09:01 400 1,077.00 - - - - - - - 400 - - - 400 1,077.00 - -
262 010000001626_20210428_08:10 - - - 360 - - - 360 1,077.00 360 - - - 360 1,077.00 - -
263 010000001626_20210930_09:36 - - - 450 - - - 450 1,077.00 450 - - - 450 1,077.00 - -
264 010000001626_20211202_09:07 - - - 2,380 - - - 2,380 1,190.00 1,930 - - - 1,930 1,190.00 450 1,190.00
265 010000001626_20211227_12:11 - - - 500 - - - 500 1,190.00 - - - - - - 500 1,190.00
266 010000001626_20211230_02:41 - - - 2,380 - - - 2,380 1,190.00 - - - - - - 2,380 1,190.00
267 010000001627 ADS 5 ML [BUAH] 300 474,900.00 - 6,000 - - - 6,000 6,462,000.00 6,000 - - - 6,000 6,613,800.00 300 323,100.00
268 010000001627_20200102_09:01 300 1,583.00 - - - - - - - 300 - - - 300 1,583.00 - -
269 010000001627_20211126_03:12 - - - 6,000 - - - 6,000 1,077.00 5,700 - - - 5,700 1,077.00 300 1,077.00
270 010000001630 ADS 0,05 ML [BUAH] - - - 400 - - - 400 602,000.00 300 - - - 300 456,000.00 100 146,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
271 010000001630_20210428_08:10 - - - 100 - - - 100 1,640.00 100 - - - 100 1,640.00 - -
272 010000001630_20211227_12:11 - - - 300 - - - 300 1,460.00 200 - - - 200 1,460.00 100 1,460.00
273 010000001631 SAFETY BOX [BUAH] - - - 148 - - - 148 3,444,108.00 70 - - - 70 1,637,860.00 78 1,806,248.00
274 010000001631_20210128_12:48 - - - 50 - - - 50 23,398.00 50 - - - 50 23,398.00 - -
275 010000001631_20210428_08:10 - - - 20 - - - 20 23,398.00 20 - - - 20 23,398.00 - -
276 010000001631_20210930_09:36 - - - 1 - - - 1 23,398.00 - - - - - - 1 23,398.00
277 010000001631_20211126_03:12 - - - 55 - - - 55 23,398.00 - - - - - - 55 23,398.00
278 010000001631_20211202_09:07 - - - 10 - - - 10 23,398.00 - - - - - - 10 23,398.00
279 010000001631_20211227_12:11 - - - 2 - - - 2 14,000.00 - - - - - - 2 14,000.00
280 010000001631_20211230_02:41 - - - 10 - - - 10 23,398.00 - - - - - - 10 23,398.00
281 010000001634 SAFETY BOX [BUAH] 105 2,456,790.00 - - - - - - - 5 - - - 5 116,990.00 100 2,339,800.00
282 010000001634_20200102_09:01 100 23,398.00 - - - - - - - 5 - - - 5 23,398.00 95 23,398.00
283 010000001634_20201030_10:46 5 23,398.00 - - - - - - - - - - - - - 5 23,398.00
284 010000001635 GLIBENCLAMIDE 5 MG [TABLET] 500 59,500.00 - - - - - - - - - - - - - 500 59,500.00
285 010000001635_20200730_10:44 500 119.00 - - - - - - - - - - - - - 500 119.00
286 010000001640 METILERGOMETRIN MALEAT 0,125 MG 100 21,100.00 - - - - - - - 100 - - - 100 21,100.00 - -
[TABLET]
287 010000001640_20200102_09:01 100 211.00 - - - - - - - 100 - - - 100 211.00 - -
288 010000001644 POT DAHAK [BUAH] - - - 1,000 - - - 1,000 - 1,000 - - - 1,000 - - -
289 010000001644_20210225_01:15 - - - 1,000 - - - 1,000 - 1,000 - - - 1,000 - - -
290 010000001648 TABLET TAMBAH DARAH 2018 [TABLET] 26,040 9,218,160.00 - - - - - - - 22,316 - - - 22,316 7,899,864.00 3,724 1,318,296.00

291 010000001648_20201030_10:46 26,040 354.00 - - - - - - - 22,316 - - - 22,316 354.00 3,724 354.00


292 010000001695 KAPUR BARUS [PAK] 1 22,000.00 - - - - - - - - - - - - - 1 22,000.00
293 010000001695_20200102_10:01 1 22,000.00 - - - - - - - - - - - - - 1 22,000.00
294 010000001765 SAPU IJUK [BUAH] - - 10 - - - - 10 150,000.00 8 - - - 8 120,000.00 2 30,000.00
295 010000001765_20210330_11:12 - - 10 - - - - 10 15,000.00 8 - - - 8 15,000.00 2 15,000.00
296 010000001786 BOX FILE PLASTIK [BUAH] - - 20 - - - - 20 440,000.00 6 - - - 6 132,000.00 14 308,000.00
297 010000001786_20210630_03:43 - - 20 - - - - 20 22,000.00 6 - - - 6 22,000.00 14 22,000.00
298 010000001917 SPIDOL KECIL BIRU [BUAH] 40 83,320.00 - - - - - - - 34 - - - 34 70,822.00 6 12,498.00
299 010000001917_20201030_08:53 40 2,083.00 - - - - - - - 34 - - - 34 2,083.00 6 2,083.00
300 010000002148 AMPLOP SURAT KOP DINAS COKLAT 14 210,000.00 - - - - - - - 1 - - - 1 20,000.00 13 190,000.00
[PAK]
301 010000002148_20200102_10:01 4 20,000.00 - - - - - - - 1 - - - 1 20,000.00 3 20,000.00
302 010000002148_20200130_10:43 10 13,000.00 - - - - - - - - - - - - - 10 13,000.00
303 010000002260 FITTINGT LAMPU [BUAH] 8 56,000.00 - - - - - - - - - - - - - 8 56,000.00
304 010000002260_20201030_08:53 8 7,000.00 - - - - - - - - - - - - - 8 7,000.00
305 010000002343 REFILL SUNLIGHT 435 ML [BUAH] - - 100 - - - - 100 960,000.00 82 - - - 82 787,200.00 18 172,800.00
306 010000002343_20210531_11:29 - - 100 - - - - 100 9,600.00 82 - - - 82 9,600.00 18 9,600.00
307 010000002384 TINTA STAMPEL [BUAH] 2 28,000.00 - - - - - - - 2 - - - 2 28,000.00 - -
308 010000002384_20200102_10:01 2 14,000.00 - - - - - - - 2 - - - 2 14,000.00 - -
309 010000002390 Carbamazepin 200 mg [TABLET] 200 49,000.00 - 400 - - - 400 98,000.00 200 - - - 200 49,000.00 400 98,000.00
310 010000002390_20200730_10:44 200 245.00 - - - - - - - 200 - - - 200 245.00 - -
311 010000002390_20210225_01:15 - - - 200 - - - 200 245.00 - - - - - - 200 245.00
312 010000002390_20210330_01:52 - - - 200 - - - 200 245.00 - - - - - - 200 245.00
313 010000002391 Chlorpromazine 100 mg [TABLET] 800 125,600.00 - 2,000 - - - 2,000 331,600.00 2,030 - - - 2,030 336,310.00 770 120,890.00
314 010000002391_20200730_10:44 300 157.00 - - - - - - - 300 - - - 300 157.00 - -
315 010000002391_20201030_10:46 500 157.00 - - - - - - - 500 - - - 500 157.00 - -
316 010000002391_20210225_01:15 - - - 1,000 - - - 1,000 157.00 1,000 - - - 1,000 157.00 - -
317 010000002391_20210330_01:52 - - - 200 - - - 200 245.00 200 - - - 200 245.00 - -
318 010000002391_20211126_03:12 - - - 800 - - - 800 157.00 30 - - - 30 157.00 770 157.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
319 010000002405 Phenobarbital 30 mg [TABLET] 40 6,840.00 - - - - - - - 40 - - - 40 6,840.00 - -
320 010000002405_20200102_09:01 40 171.00 - - - - - - - 40 - - - 40 171.00 - -
321 010000002412 Chloramphenicol 250 mg [TABLET] 350 108,500.00 - - - - - - - 350 - - - 350 108,500.00 - -
322 010000002412_20200730_10:44 350 310.00 - - - - - - - 350 - - - 350 310.00 - -
323 010000002427 Cotrimoxazole 480 mg [TABLET] 8,100 1,012,500.00 - - - - - - - 5,000 - - - 5,000 625,000.00 3,100 387,500.00
324 010000002427_20200730_10:44 3,100 125.00 - - - - - - - 3,100 - - - 3,100 125.00 - -
325 010000002427_20201030_10:46 5,000 125.00 - - - - - - - 1,900 - - - 1,900 125.00 3,100 125.00
326 010000002431 Thiamphenicol 500 mg [TABLET] 1,500 1,275,000.00 - - - - - - - 1,500 - - - 1,500 1,275,000.00 - -
327 010000002431_20201030_10:35 1,500 850.00 - - - - - - - 1,500 - - - 1,500 850.00 - -
328 010000002451 Antalgin 500 mg [TABLET] 7,400 1,684,800.00 - - - - - - - 5,000 - - - 5,000 1,166,400.00 2,400 518,400.00
329 010000002451_20200130_10:35 2,400 252.00 - - - - - - - 2,400 - - - 2,400 252.00 - -
330 010000002451_20201030_10:35 5,000 216.00 - - - - - - - 2,600 - - - 2,600 216.00 2,400 216.00
331 010000002457 Betahistine mesylate 6 mg [TABLET] 300 44,700.00 - 6,000 - - - 6,000 894,000.00 5,700 - - - 5,700 849,300.00 600 89,400.00
332 010000002457_20200429_10:43 300 149.00 - - - - - - - 300 - - - 300 149.00 - -
333 010000002457_20210629_10:57 - - - 3,000 - - - 3,000 149.00 3,000 - - - 3,000 149.00 - -
334 010000002457_20210729_12:13 - - - 3,000 - - - 3,000 149.00 2,400 - - - 2,400 149.00 600 149.00
335 010000002465 Dimenhydrinate 50 mg [TABLET] - - - 5,600 - - - 5,600 627,144.00 2,500 - - - 2,500 279,975.00 3,100 347,169.00
336 010000002465_20210330_01:52 - - - 1,000 - - - 1,000 111.99 1,000 - - - 1,000 111.99 - -
337 010000002465_20210629_10:57 - - - 2,000 - - - 2,000 111.99 1,500 - - - 1,500 111.99 500 111.99
338 010000002465_20210729_12:13 - - - 2,000 - - - 2,000 111.99 - - - - - - 2,000 111.99
339 010000002465_20210930_09:36 - - - 600 - - - 600 111.99 - - - - - - 600 111.99
340 010000002490 Metoclopramide 10 mg [TABLET] 300 27,000.00 - - - - - - - 100 - - - 100 9,000.00 200 18,000.00
341 010000002490_20200102_09:01 200 90.00 - - - - - - - 100 - - - 100 90.00 100 90.00
342 010000002490_20200130_10:35 100 90.00 - - - - - - - - - - - - - 100 90.00
343 010000002496 Piroxicam 20 mg [TABLET] 4,500 738,000.00 - - - - - - - 2,395 - - - 2,395 392,780.00 2,105 345,220.00
344 010000002496_20200429_10:43 4,500 164.00 - - - - - - - 2,395 - - - 2,395 164.00 2,105 164.00
345 010000002502 Simvastatin 20 mg [TABLET] 1,560 393,120.00 - - - - - - - 1,560 - - - 1,560 393,120.00 - -
346 010000002502_20200102_09:01 1,560 252.00 - - - - - - - 1,560 - - - 1,560 252.00 - -
347 010000002515 Bamgetol 200 mg/Carbamazepin - - - 2,400 - - - 2,400 588,000.00 700 - - - 700 171,500.00 1,700 416,500.00
[TABLET]
348 010000002515_20210629_10:57 - - - 700 - - - 700 245.00 700 - - - 700 245.00 - -
349 010000002515_20210729_12:13 - - - 700 - - - 700 245.00 - - - - - - 700 245.00
350 010000002515_20210930_09:36 - - - 1,000 - - - 1,000 245.00 - - - - - - 1,000 245.00
351 010000002636 BATU BATERAI KECIL ABC [BUAH] 47 129,250.00 - - - - - - - 47 - - - 47 129,250.00 - -
352 010000002636_20200130_10:43 47 2,750.00 - - - - - - - 47 - - - 47 2,750.00 - -
353 010000002638 BATU BATERAI SEDANG ABC [BUAH] 167 367,400.00 - - - - - - - 159 - - - 159 349,800.00 8 17,600.00
354 010000002638_20201030_08:53 167 2,200.00 - - - - - - - 159 - - - 159 2,200.00 8 2,200.00
355 010000003057 HANDUK PEL [BUAH] 11 385,000.00 - - - - - - - 8 - - - 8 280,000.00 3 105,000.00
356 010000003057_20200730_08:46 11 35,000.00 - - - - - - - 8 - - - 8 35,000.00 3 35,000.00
357 010000003087 PARACETAMOL [BOK] 85 1,326,000.00 275 - - - - 275 5,775.00 360 - - - 360 1,331,775.00 - -
358 010000003087_20201030_10:35 85 15,600.00 - - - - - - - 85 - - - 85 15,600.00 - -
359 010000003087_20210930_10:25 - - 275 - - - - 275 21.00 275 - - - 275 21.00 - -
360 010000003088 ANTASIDA DOEN [BOK] 130 1,249,300.00 - - - - - - - 130 - - - 130 1,249,300.00 - -
361 010000003088_20200429_10:33 130 9,610.00 - - - - - - - 130 - - - 130 9,610.00 - -
362 010000003094 ALKOHOL [BOTOL] 31 1,159,400.00 - - - - - - - 31 - - - 31 1,159,400.00 - -
363 010000003094_20201030_10:35 31 37,400.00 - - - - - - - 31 - - - 31 37,400.00 - -
364 010000003122 PEL LANTAI [BUAH] 3 60,000.00 - - - - - - - 3 - - - 3 60,000.00 - -
365 010000003122_20201030_08:53 3 20,000.00 - - - - - - - 3 - - - 3 20,000.00 - -
366 010000003135 MOUSE USB [BUAH] - - 3 - - - - 3 240,000.00 3 - - - 3 240,000.00 - -
367 010000003135_20210630_03:43 - - 3 - - - - 3 80,000.00 3 - - - 3 80,000.00 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
368 010000003160 TINTA PRINTER EPSON MERAH [BOTOL] - - 10 - - - - 10 950,000.00 7 - - - 7 665,000.00 3 285,000.00

369 010000003160_20210630_03:43 - - 10 - - - - 10 95,000.00 7 - - - 7 95,000.00 3 95,000.00


370 010000003161 TINTA PRINTER EPSON KUNING [BOTOL] - - 10 - - - - 10 950,000.00 10 - - - 10 950,000.00 - -

371 010000003161_20210630_03:43 - - 10 - - - - 10 95,000.00 10 - - - 10 95,000.00 - -


372 010000003185 KERTAS TERMAL STIKER GELANG 73 1,241,000.00 - - - - - - - 25 - - - 25 425,000.00 48 816,000.00
PASIEN UK 6,2 X 3,5 CM [ROLL]
373 010000003185_20200130_10:43 13 17,000.00 - - - - - - - 13 - - - 13 17,000.00 - -
374 010000003185_20200429_08:16 10 17,000.00 - - - - - - - 10 - - - 10 17,000.00 - -
375 010000003185_20201030_08:53 50 17,000.00 - - - - - - - 2 - - - 2 17,000.00 48 17,000.00
376 010000003279 REFILL HANDSOAP [DUS] - - 100 - - - - 100 1,100,000.00 65 - - - 65 715,000.00 35 385,000.00
377 010000003279_20210531_11:29 - - 100 - - - - 100 11,000.00 65 - - - 65 11,000.00 35 11,000.00
378 010000003349 HANDSCOON ( S ) [BUAH] 60 3,190,920.00 7 - - - - 7 654,500.00 10 - - - 10 531,820.00 57 3,313,600.00
379 010000003349_20201030_10:35 60 53,182.00 - - - - - - - 10 - - - 10 53,182.00 50 53,182.00
380 010000003349_20210930_10:25 - - 7 - - - - 7 93,500.00 - - - - - - 7 93,500.00
381 010000003350 MASKER [BUAH] 450 197,550.00 - 1,100 - - - 1,100 482,790.00 1,188 - - - 1,188 521,458.20 362 158,881.80
382 010000003350_20201030_10:46 450 439.00 - - - - - - - 450 - - - 450 439.00 - -
383 010000003350_20210225_01:15 - - - 850 - - - 850 438.90 738 - - - 738 438.90 112 438.90
384 010000003350_20210330_01:52 - - - 250 - - - 250 438.90 - - - - - - 250 438.90
385 010000003403 KANTONG PLASTIK KECIL [PAK] - - 330 - - - - 330 990,000.00 220 - - - 220 660,000.00 110 330,000.00
386 010000003403_20210330_11:12 - - 330 - - - - 330 3,000.00 220 - - - 220 3,000.00 110 3,000.00
387 010000003424 LAMPU LED 6 WATT [BUAH] 5 137,500.00 - - - - - - - 3 - - - 3 82,500.00 2 55,000.00
388 010000003424_20201030_08:53 5 27,500.00 - - - - - - - 3 - - - 3 27,500.00 2 27,500.00
389 010000003432 SOKLIN LANTAI [DUS] - - 100 - - - - 100 1,050,000.00 81 - - - 81 850,500.00 19 199,500.00
390 010000003432_20210531_11:29 - - 100 - - - - 100 10,500.00 81 - - - 81 10,500.00 19 10,500.00
391 010000003433 LAMPU 10 WATT [BUAH] 24 900,000.00 - - - - - - - 20 - - - 20 750,000.00 4 150,000.00
392 010000003433_20201030_08:53 24 37,500.00 - - - - - - - 20 - - - 20 37,500.00 4 37,500.00
393 010000003467 BOLPOINT KERING AE7 BIRU [BUAH] - - 20 - - - - 20 100,000.00 4 - - - 4 20,000.00 16 80,000.00
394 010000003467_20210630_03:43 - - 20 - - - - 20 5,000.00 4 - - - 4 5,000.00 16 5,000.00
395 010000003507 TINTA EPSON WARNA BIRU [BOTOL] - - 10 - - - - 10 950,000.00 7 - - - 7 665,000.00 3 285,000.00
396 010000003507_20210630_03:43 - - 10 - - - - 10 95,000.00 7 - - - 7 95,000.00 3 95,000.00
397 010000003614 ASAM BENZOT [LITER] 1 212,721.00 - - - - - - - 1 - - - 1 212,721.00 - -
398 010000003614_20200102_05:28 1 212,721.00 - - - - - - - 1 - - - 1 212,721.00 - -
399 010000003644 FORMALIN [BOTOL] 2 2,570,454.00 - - - - - - - 1 - - - 1 1,285,227.00 1 1,285,227.00
400 010000003644_20200102_05:28 2 1,285,227.00 - - - - - - - 1 - - - 1 1,285,227.00 1 1,285,227.00
401 010000003660 SABUN SUNLIGHT [BUAH] 51 615,000.00 - - - - - - - 30 - - - 30 405,000.00 21 210,000.00
402 010000003660_20200730_08:46 21 15,000.00 - - - - - - - 21 - - - 21 15,000.00 - -
403 010000003660_20201030_08:53 30 10,000.00 - - - - - - - 9 - - - 9 10,000.00 21 10,000.00
404 010000003684 STOPMAP PLASTIK JEPIT [BUAH] 16 96,000.00 - - - - - - - 11 - - - 11 66,000.00 5 30,000.00
405 010000003684_20200130_10:43 16 6,000.00 - - - - - - - 11 - - - 11 6,000.00 5 6,000.00
406 010000003702 ODNER [BUAH] 42 864,000.00 - - - - - - - 40 - - - 40 823,000.00 2 41,000.00
407 010000003702_20200130_10:43 2 22,000.00 - - - - - - - 2 - - - 2 22,000.00 - -
408 010000003702_20201030_08:53 40 20,500.00 - - - - - - - 38 - - - 38 20,500.00 2 20,500.00
409 010000003715 SIKAT WC [BUAH] 5 60,000.00 - - - - - - - 2 - - - 2 24,000.00 3 36,000.00
410 010000003715_20200102_10:01 5 12,000.00 - - - - - - - 2 - - - 2 12,000.00 3 12,000.00
411 010000003745 BUKU TULIS ISI 58 [BUAH] 5 16,000.00 - - - - - - - 5 - - - 5 16,000.00 - -
412 010000003745_20200102_10:01 5 3,200.00 - - - - - - - 5 - - - 5 3,200.00 - -
413 010000003751 WIPOL REFILL [BUAH] 21 105,000.00 - - - - - - - 21 - - - 21 105,000.00 - -
414 010000003751_20200730_08:46 21 5,000.00 - - - - - - - 21 - - - 21 5,000.00 - -
415 010000003763 VIXAL [BOTOL] - - 50 - - - - 50 925,000.00 50 - - - 50 925,000.00 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
416 010000003763_20210531_11:29 - - 50 - - - - 50 18,500.00 50 - - - 50 18,500.00 - -
417 010000003837 LAMPU PHILIPS 23 WATT [BUAH] - - 12 - - - - 12 - - - - - - - 12 -
418 010000003837_20211027_06:19 - - 12 - - - - 12 - - - - - - - 12 -
419 010000003838 LAMPU PHILIPS LED 4 WATT [BUAH] - - 4 - - - - 4 - - - - - - - 4 -
420 010000003838_20211027_06:19 - - 4 - - - - 4 - - - - - - - 4 -
421 010000003853 NORIT [BUAH] 8 140,000.00 - - - - - - - 8 - - - 8 140,000.00 - -
422 010000003853_20200102_05:28 8 17,500.00 - - - - - - - 8 - - - 8 17,500.00 - -
423 010000003854 ORALIT [PAK] 10 295,450.00 - - - - - - - 10 - - - 10 295,450.00 - -
424 010000003854_20201030_10:35 10 29,545.00 - - - - - - - 10 - - - 10 29,545.00 - -
425 010000003910 SIKAT CUCI KOTAK [BUAH] 4 20,000.00 - - - - - - - 4 - - - 4 20,000.00 - -
426 010000003910_20201030_08:53 4 5,000.00 - - - - - - - 4 - - - 4 5,000.00 - -
427 010000003915 BALLPOINT PENTEL BIRU [BUAH] 5 25,000.00 - - - - - - - 5 - - - 5 25,000.00 - -
428 010000003915_20200130_10:43 5 5,000.00 - - - - - - - 5 - - - 5 5,000.00 - -
429 010000004132 KERTAS FOTO [PAK] 2 36,000.00 - - - - - - - 2 - - - 2 36,000.00 - -
430 010000004132_20200102_10:01 2 18,000.00 - - - - - - - 2 - - - 2 18,000.00 - -
431 010000004190 CLING PEMBERSIH KACA [BUNGKUS] 4 14,000.00 20 - - - - 20 70,000.00 9 - - - 9 31,500.00 15 52,500.00
432 010000004190_20200730_08:46 4 3,500.00 - - - - - - - 4 - - - 4 3,500.00 - -
433 010000004190_20210531_11:29 - - 20 - - - - 20 3,500.00 5 - - - 5 3,500.00 15 3,500.00
434 010000004206 SAPU LIDI [BUAH] 4 48,000.00 - - - - - - - 2 - - - 2 24,000.00 2 24,000.00
435 010000004206_20201030_08:53 4 12,000.00 - - - - - - - 2 - - - 2 12,000.00 2 12,000.00
436 010000004273 AMPLOP PUTIH SEDANG [PAK] 2 50,000.00 - - - - - - - - - - - - - 2 50,000.00
437 010000004273_20200130_10:43 2 25,000.00 - - - - - - - - - - - - - 2 25,000.00
438 010000004350 BUKU BATIK FOLIO KECIL ISI 100 [BUKU] 43 795,500.00 - - - - - - - - - - - - - 43 795,500.00

439 010000004350_20200130_10:43 43 18,500.00 - - - - - - - - - - - - - 43 18,500.00


440 010000004434 ISI STREPLES BESAR [BUAH] 46 552,000.00 - - - - - - - - - - - - - 46 552,000.00
441 010000004434_20200102_10:01 46 12,000.00 - - - - - - - - - - - - - 46 12,000.00
442 010000004458 BOLPOINT STANDART HITAM [DUS] - - 20 - - - - 20 400.00 20 - - - 20 400.00 - -
443 010000004458_20210630_03:43 - - 20 - - - - 20 20.00 20 - - - 20 20.00 - -
444 010000004493 LAKBAN HITAM, NACHI TAPE - - 5 - - - - 5 70,000.00 5 - - - 5 70,000.00 - -
23MMX12M [ROLL]
445 010000004493_20210630_03:43 - - 5 - - - - 5 14,000.00 5 - - - 5 14,000.00 - -
446 010000004601 LAMPU PHILIPS 13 WATT [BUAH] - - 4 - - - - 4 - - - - - - - 4 -
447 010000004601_20211027_06:19 - - 4 - - - - 4 - - - - - - - 4 -
448 010000004690 PERTALITE [LITER] - - 398 - - - - 398 1,000,000.00 523 - - - 523 1,000,000.00 - 125 -
449 010000004690_20210126_12:27 - - - - - - - - - 125 - - - 125 - - 125 -
450 010000004690_20210128_01:50 - - 125 - - - - 125 8,000.00 125 - - - 125 8,000.00 - -
451 010000004690_20210128_02:39 - - 100 - - - - 100 - 100 - - - 100 - - -
452 010000004690_20210226_02:33 - - 173 - - - - 173 - 173 - - - 173 - - -
453 010000004725 COVER BUFALLO HIJAU MUDA - - 100 - - - - 100 50,000.00 - - - - - - 100 50,000.00
[LEMBAR]
454 010000004725_20210630_03:43 - - 100 - - - - 100 500.00 - - - - - - 100 500.00
455 010000004804 BOX FILE [BUAH] 2 44,000.00 - - - - - - - 2 - - - 2 44,000.00 - -
456 010000004804_20200130_10:43 2 22,000.00 - - - - - - - 2 - - - 2 22,000.00 - -
457 010000004837 LAKBAN HITAM BESAR ( 5 CM ) [BUAH] - - 5 - - - - 5 600,000.00 5 - - - 5 600,000.00 - -

458 010000004837_20210630_03:43 - - 5 - - - - 5 120,000.00 5 - - - 5 120,000.00 - -


459 010000005148 COVER BUFALLO MERAH [LEMBAR] - - 100 - - - - 100 60,000.00 4 - - - 4 2,400.00 96 57,600.00
460 010000005148_20210630_03:43 - - 100 - - - - 100 600.00 4 - - - 4 600.00 96 600.00
461 010000005215 LAKBAN [BUAH] 12 170,000.00 - - - - - - - 5 - - - 5 50,000.00 7 120,000.00
462 010000005215_20200130_10:43 7 10,000.00 - - - - - - - 5 - - - 5 10,000.00 2 10,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
463 010000005215_20201030_08:53 5 20,000.00 - - - - - - - - - - - - - 5 20,000.00
464 010000005283 PEMBERSIH LANTAI SOKLIN 800 ML 50 375,000.00 - - - - - - - 50 - - - 50 375,000.00 - -
[BUNGKUS]
465 010000005283_20201030_08:53 50 7,500.00 - - - - - - - 50 - - - 50 7,500.00 - -
466 010000005359 PLASTIK 1 KG UK 14 X 27 X 05 [PAK] 34 112,200.00 - - - - - - - 34 - - - 34 112,200.00 - -
467 010000005359_20200130_10:43 34 3,300.00 - - - - - - - 34 - - - 34 3,300.00 - -
468 010000005391 PLASTIK 1/2 KG UK 11 X 22 X 05 [PAK] 29 63,800.00 - - - - - - - 18 - - - 18 39,600.00 11 24,200.00

469 010000005391_20200130_10:43 29 2,200.00 - - - - - - - 18 - - - 18 2,200.00 11 2,200.00


470 010000005429 PENGHAPUS STEADLER [BUAH] - - 10 - - - - 10 25,000.00 2 - - - 2 5,000.00 8 20,000.00
471 010000005429_20210630_03:43 - - 10 - - - - 10 2,500.00 2 - - - 2 2,500.00 8 2,500.00
472 010000005565 KERTAS LABEL [PAK] 4 36,000.00 - - - - - - - 2 - - - 2 18,000.00 2 18,000.00
473 010000005565_20201030_08:53 4 9,000.00 - - - - - - - 2 - - - 2 9,000.00 2 9,000.00
474 010000005573 BUSSINES FILE [BUAH] 667 2,223,111.00 - - - - - - - 144 - - - 144 479,952.00 523 1,743,159.00
475 010000005573_20201030_08:53 667 3,333.00 - - - - - - - 144 - - - 144 3,333.00 523 3,333.00
476 010000005589 CATRIDE 745 HITAM [BUAH] 1 225,000.00 - - - - - - - - - - - - - 1 225,000.00
477 010000005589_20200102_10:01 1 225,000.00 - - - - - - - - - - - - - 1 225,000.00
478 010000005599 PENSIL 2B STAEDTLER [BUAH] - - 24 - - - - 24 96,000.00 - - - - - - 24 96,000.00
479 010000005599_20210630_03:43 - - 24 - - - - 24 4,000.00 - - - - - - 24 4,000.00
480 010000005636 STRIP KOLESTEROL [BUAH] 2 1,258,000.00 - - - - - - - - - - - - - 2 1,258,000.00
481 010000005636_20201030_10:35 2 629,000.00 - - - - - - - - - - - - - 2 629,000.00
482 010000005638 STRIP GULA DARAH [BOTOL] 1 425,000.00 - - - - - - - 1 - - - 1 425,000.00 - -
483 010000005638_20201030_10:35 1 425,000.00 - - - - - - - 1 - - - 1 425,000.00 - -
484 010000005649 PEMBOLONG KERTAS / PERVORATOR 1 17,000.00 - - - - - - - - - - - - - 1 17,000.00
[BUAH]
485 010000005649_20200102_10:01 1 17,000.00 - - - - - - - - - - - - - 1 17,000.00
486 010000005708 KARTU UJI GOLONGANDARAH [BUAH] 4 118,000.00 - - - - - - - 4 - - - 4 118,000.00 - -
487 010000005708_20201030_10:35 4 29,500.00 - - - - - - - 4 - - - 4 29,500.00 - -
488 010000005724 PLASTIK MIKA / POLARIS [LEMBAR] - - 100 - - - - 100 50,000.00 100 - - - 100 50,000.00 - -
489 010000005724_20210630_03:43 - - 100 - - - - 100 500.00 100 - - - 100 500.00 - -
490 010000005815 SOROK AIR [BUAH] 4 80,000.00 - - - - - - - - - - - - - 4 80,000.00
491 010000005815_20201030_08:53 4 20,000.00 - - - - - - - - - - - - - 4 20,000.00
492 010000005964 PLASTIK SAMPAH MEDIS [PAK] 20 940,000.00 - - - - - - - 20 - - - 20 940,000.00 - -
493 010000005964_20201030_08:53 20 47,000.00 - - - - - - - 20 - - - 20 47,000.00 - -
494 010000006055 HYDROCORTISONE [TUBE] 48 118,800.00 - 192 - - - 192 475,200.00 144 - - - 144 356,400.00 96 237,600.00
495 010000006055_20200730_10:44 48 2,475.00 - - - - - - - 48 - - - 48 2,475.00 - -
496 010000006055_20210629_10:57 - - - 96 - - - 96 2,475.00 96 - - - 96 2,475.00 - -
497 010000006055_20210729_12:13 - - - 96 - - - 96 2,475.00 - - - - - - 96 2,475.00
498 010000006107 Spidol Permanent Snowman [BUAH] - - 60 - - - - 60 390,000.00 - - - - - - 60 390,000.00
499 010000006107_20210630_03:43 - - 60 - - - - 60 6,500.00 - - - - - - 60 6,500.00
500 010000006117 BIOPLACENTON [TABLET] - - 15 - - - - 15 507.00 15 - - - 15 507.00 - -
501 010000006117_20210930_10:25 - - 15 - - - - 15 33.80 15 - - - 15 33.80 - -
502 010000006267 BUKU BATIK FOLIO BESAR ISI 200 19 655,500.00 - - - - - - - - - - - - - 19 655,500.00
[BUAH]
503 010000006267_20200130_10:43 19 34,500.00 - - - - - - - - - - - - - 19 34,500.00
504 010000006400 MASKER [DUS] - - 100 - - - - 100 6,000,000.00 100 - - - 100 6,000,000.00 - -
505 010000006400_20211029_06:51 - - 100 - - - - 100 60,000.00 100 - - - 100 60,000.00 - -
506 010000006545 SPUIT DISPOSIBLE 3 ML [BUAH] 200 227,600.00 - 890 - - - 890 1,283,900.00 450 - - - 450 637,600.00 640 873,900.00
507 010000006545_20200730_10:44 200 1,138.00 - - - - - - - 200 - - - 200 1,138.00 - -
508 010000006545_20210930_09:36 - - - 540 - - - 540 1,640.00 250 - - - 250 1,640.00 290 1,640.00
509 010000006545_20211227_12:11 - - - 350 - - - 350 1,138.00 - - - - - - 350 1,138.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
510 010000006546 SPUIT DISPOSIBLE 5 ML [BUAH] 1,000 770,000.00 - - - - - - - 1,000 - - - 1,000 770,000.00 - -
511 010000006546_20200130_10:35 1,000 770.00 - - - - - - - 1,000 - - - 1,000 770.00 - -
512 010000006560 PLASTIK KLIP 13 X8,7 [PAK] 90 1,350,000.00 5 - - - - 5 87,500.00 70 - - - 70 1,050,000.00 25 387,500.00
513 010000006560_20201030_10:35 90 15,000.00 - - - - - - - 70 - - - 70 15,000.00 20 15,000.00
514 010000006560_20210628_03:45 - - 5 - - - - 5 17,500.00 - - - - - - 5 17,500.00
515 010000006561 PLASTIK KLIP 10X 7 [PAK] 18 180,000.00 5 - - - - 5 87,500.00 5 - - - 5 50,000.00 18 217,500.00
516 010000006561_20201030_10:35 18 10,000.00 - - - - - - - 5 - - - 5 10,000.00 13 10,000.00
517 010000006561_20210628_03:45 - - 5 - - - - 5 17,500.00 - - - - - - 5 17,500.00
518 010000006565 TETRACYCLIN TABLET [TABLET] 600 181,800.00 - - - - - - - 600 - - - 600 181,800.00 - -
519 010000006565_20200102_09:01 100 303.00 - - - - - - - 100 - - - 100 303.00 - -
520 010000006565_20200730_10:44 500 303.00 - - - - - - - 500 - - - 500 303.00 - -
521 010000006578 KERTAS PUYER [PAK] 65 390,000.00 - - - - - - - 25 - - - 25 150,000.00 40 240,000.00
522 010000006578_20200102_05:28 65 6,000.00 - - - - - - - 25 - - - 25 6,000.00 40 6,000.00
523 010000006631 DETERGEN SOKLIN LIQ REF 750 ML 46 62,330.00 - - - - - - - 46 - - - 46 62,330.00 - -
PERF/RED [PCS]
524 010000006631_20200130_10:43 46 1,355.00 - - - - - - - 46 - - - 46 1,355.00 - -
525 010000006649 STOPMAP KERTAS [PAK] 6 300,000.00 - - - - - - - 6 - - - 6 300,000.00 - -
526 010000006649_20200130_10:43 6 50,000.00 - - - - - - - 6 - - - 6 50,000.00 - -
527 010000006650 KERTAS F4 [RIM] 25 1,375,000.00 - - - - - - - - - - - - - 25 1,375,000.00
528 010000006650_20200130_10:43 25 55,000.00 - - - - - - - - - - - - - 25 55,000.00
529 010000006676 ASAM MEFENAMAT [TABLET] - - - 600 - - - 600 61,800.00 600 - - - 600 61,800.00 - -
530 010000006676_20210330_01:52 - - - 600 - - - 600 103.00 600 - - - 600 103.00 - -
531 010000006723 KAPUR BARUS SWALLOW S- 129 10 30,000.00 - - - - - - - 10 - - - 10 30,000.00 - -
WARNA 150 GR [PCS]
532 010000006723_20200730_08:46 10 3,000.00 - - - - - - - 10 - - - 10 3,000.00 - -
533 010000006727 TISSUE PASEO SMART SP SINGLE F 40 X - - 200 - - - - 200 1,950,000.00 200 - - - 200 1,950,000.00 - -
250 S [PCS]
534 010000006727_20210531_11:29 - - 200 - - - - 200 9,750.00 200 - - - 200 9,750.00 - -
535 010000006763 POVIDON IODIN 300 ML [BOTOL ] 2 36,000.00 - 8 - - - 8 144,000.00 10 - - - 10 180,000.00 - -
536 010000006763_20201030_10:46 2 18,000.00 - - - - - - - 2 - - - 2 18,000.00 - -
537 010000006763_20210128_12:48 - - - 8 - - - 8 18,000.00 8 - - - 8 18,000.00 - -
538 010000006770 SWALLOW S- 129 WARNA 150 GR [PCS] - - 20 - - - - 20 380,000.00 9 - - - 9 171,000.00 11 209,000.00

539 010000006770_20210531_11:29 - - 20 - - - - 20 19,000.00 9 - - - 9 19,000.00 11 19,000.00


540 010000006813 BINDER CLIP BESAR [BUAH] 34 51,000.00 - - - - - - - 20 - - - 20 30,000.00 14 21,000.00
541 010000006813_20200102_10:01 34 1,500.00 - - - - - - - 20 - - - 20 1,500.00 14 1,500.00
542 010000006855 PLASTIK HITAM [BUNGKUS] - - 100 - - - - 100 900,000.00 - - - - - - 100 900,000.00
543 010000006855_20210330_11:12 - - 100 - - - - 100 9,000.00 - - - - - - 100 9,000.00
544 010000007043 BAHAN SERAGAM BATIK HARI SELASA - - 90 - - - - 90 22,230,000.00 - 90 - - 90 22,230,000.00 - -
[PCS]
545 010000007043_20211230_12:14 - - 90 - - - - 90 247,000.00 - 90 - - 90 247,000.00 - -
546 010000007136 STICK ASAM URAT [DUS] 2 310,228.00 - - - - - - - 2 - - - 2 310,228.00 - -
547 010000007136_20201030_10:35 2 155,114.00 - - - - - - - 2 - - - 2 155,114.00 - -
548 010000007232 ACYCLOVIR 400 MG [TABLET] 1,900 663,081.00 - - - - - - - 1,900 - - - 1,900 663,081.00 - -
549 010000007232_20200102_09:01 1,900 348.99 - - - - - - - 1,900 - - - 1,900 348.99 - -
550 010000007252 PARACETAMOL SYRUP [BOTOL] 245 271,215.00 - - - - - - - 245 - - - 245 271,215.00 - -
551 010000007252_20200730_10:44 245 1,107.00 - - - - - - - 245 - - - 245 1,107.00 - -
552 010000007262 AMOXYLIN SYRUP [BOTOL] 216 783,648.00 - - - - - - - 216 - - - 216 783,648.00 - -
553 010000007262_20200730_10:44 216 3,628.00 - - - - - - - 216 - - - 216 3,628.00 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
554 010000007270 KAOS OLAH RAGA DAN TRAINING - - 100 - - - - 100 13,202,900.00 - 100 - - 100 13,202,900.00 - -
(KAOS OLAH RAGA POLIESTER,
TRAINING POLIESTER DAN SPANDEKS)
DAN PIN TETEP MBOTEN KORUPSI
MBOTEN NGAPUSI SERTA TEMPAT ID
CARD [SET]

555 010000007270_20210429_11:45 - - 100 - - - - 100 132,029.00 - 100 - - 100 132,029.00 - -


556 010000007305 AMOXICILLIN 500 MG [TABLET] 15,000 3,495,000.00 - 15,000 - - - 15,000 3,695,000.00 20,572 - - - 20,572 4,804,716.00 9,428 2,385,284.00
557 010000007305_20200730_10:44 5,000 233.00 - - - - - - - 5,000 - - - 5,000 233.00 - -
558 010000007305_20201030_10:46 10,000 233.00 - - - - - - - 10,000 - - - 10,000 233.00 - -
559 010000007305_20210330_01:52 - - - 5,000 - - - 5,000 233.00 5,000 - - - 5,000 233.00 - -
560 010000007305_20211126_03:12 - - - 10,000 - - - 10,000 253.00 572 - - - 572 253.00 9,428 253.00
561 010000007330 KARTU KENDALI SURAT MASUK KELUAR - - 56 - - - - 56 - 28 - - - 28 - 28 -
[BUKU]
562 010000007330_20211027_06:19 - - 56 - - - - 56 - 28 - - - 28 - 28 -
563 010000007332 PERTAMAX. [LITER] - - 10 - - - - 10 - 10 - - - 10 - - -
564 010000007332_20210226_02:33 - - 10 - - - - 10 - 10 - - - 10 - - -
565 010000007368 RANITIDIN 150 MG [TABLET] 1,000 105,000.00 - - - - - - - 1,000 - - - 1,000 105,000.00 - -
566 010000007368_20200429_10:43 1,000 105.00 - - - - - - - 1,000 - - - 1,000 105.00 - -
567 010000007560 GLUKOSA [BOTOL] - - - 25 - - - 25 172,500.00 - - - - - - 25 172,500.00
568 010000007560_20210128_12:48 - - - 25 - - - 25 6,900.00 - - - - - - 25 6,900.00
569 010000007587 TINTA PRINTER EPSON WARNA [BOTOL] 76 9,045,000.00 - - - - - - - 50 - - - 50 5,795,000.00 26 3,250,000.00

570 010000007587_20200130_10:43 26 107,500.00 - - - - - - - 26 - - - 26 107,500.00 - -


571 010000007587_20201030_08:53 50 125,000.00 - - - - - - - 24 - - - 24 125,000.00 26 125,000.00
572 010000007610 TIPEX KENKO [BUAH] 17 170,000.00 - - - - - - - 10 - - - 10 100,000.00 7 70,000.00
573 010000007610_20201030_08:53 17 10,000.00 - - - - - - - 10 - - - 10 10,000.00 7 10,000.00
574 010000007672 Cairan pembersiah antiseptik [TUBE ] - - - 5 - - - 5 - 5 - - - 5 - - -

575 010000007672_20211227_12:11 - - - 5 - - - 5 - 5 - - - 5 - - -
576 010000007816 ISI STAPLES KECIL [PAK] 91 118,300.00 - - - - - - - - - - - - - 91 118,300.00
577 010000007816_20200130_10:43 91 1,300.00 - - - - - - - - - - - - - 91 1,300.00
578 010000008041 TINTA SPIDOL BOARDMARKER HITAM 24 240,000.00 - - - - - - - 24 - - - 24 240,000.00 - -
[PAK]
579 010000008041_20200102_10:01 24 10,000.00 - - - - - - - 24 - - - 24 10,000.00 - -
580 010000008095 HAND SANITIZIER [BOTOL] - - - 1 - - - 1 - 1 - - - 1 - - -
581 010000008095_20210330_01:52 - - - 1 - - - 1 - 1 - - - 1 - - -
582 010000008101 KONDOM SCUN KABEL HITAM 35MM - - - 576 - - - 576 301,824.00 - - - - - - 576 301,824.00
[BUAH]
583 010000008101_20210930_09:36 - - - 576 - - - 576 524.00 - - - - - - 576 524.00
584 010000008135 ISI STAPLES KECIL [BUAH] 10 30,000.00 - - - - - - - 10 - - - 10 30,000.00 - -
585 010000008135_20200102_10:01 10 3,000.00 - - - - - - - 10 - - - 10 3,000.00 - -
586 010000008467 TINTA PRINTER CANON [BUAH] 17 850,000.00 - - - - - - - 2 - - - 2 100,000.00 15 750,000.00
587 010000008467_20200130_10:43 17 50,000.00 - - - - - - - 2 - - - 2 50,000.00 15 50,000.00
588 010000008481 PARACETAMOL 500 MG (NOVA) - - - 200 - - - 200 10,600.00 200 - - - 200 10,600.00 - -
[TABLET]
589 010000008481_20210330_01:52 - - - 200 - - - 200 53.00 200 - - - 200 53.00 - -
590 010000008491 CTM [TABLET] 19,500 448,500.00 - 10,000 - - - 10,000 230,000.00 15,400 - - - 15,400 354,200.00 14,100 324,300.00
591 010000008491_20200102_09:01 4,500 23.00 - - - - - - - 4,500 - - - 4,500 23.00 - -
592 010000008491_20200130_10:35 5,000 23.00 - - - - - - - 5,000 - - - 5,000 23.00 - -
593 010000008491_20200429_10:43 10,000 23.00 - - - - - - - 5,900 - - - 5,900 23.00 4,100 23.00
594 010000008491_20210629_10:57 - - - 3,000 - - - 3,000 23.00 - - - - - - 3,000 23.00
595 010000008491_20210729_12:13 - - - 3,000 - - - 3,000 23.00 - - - - - - 3,000 23.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
596 010000008491_20210930_09:36 - - - 4,000 - - - 4,000 23.00 - - - - - - 4,000 23.00
597 010000008494 DEXAMETHASONE 0,5 MG [TABLET] 10,800 1,755,000.00 - - - - - - - 800 - - - 800 130,000.00 10,000 1,625,000.00
598 010000008494_20200429_10:33 10,800 162.50 - - - - - - - 800 - - - 800 162.50 10,000 162.50
599 010000008495 MICONAZOLE CREAM [TUBE] 54 184,303.80 - - - - - - - 54 - - - 54 184,303.80 - -
600 010000008495_20200102_09:01 6 3,413.30 - - - - - - - 6 - - - 6 3,413.30 - -
601 010000008495_20201030_10:46 48 3,413.00 - - - - - - - 48 - - - 48 3,413.00 - -
602 010000008498 ACYCLOVIR CREAM [TUBE] 223 802,621.60 - - - - - - - 223 - - - 223 802,621.60 - -
603 010000008498_20200102_09:01 223 3,599.20 - - - - - - - 223 - - - 223 3,599.20 - -
604 010000008547 OBAT FLU DEMACOLIN [BOK] - - 50 - - - - 50 2,685,000.00 2 - - - 2 107,400.00 48 2,577,600.00
605 010000008547_20210930_10:25 - - 50 - - - - 50 53,700.00 2 - - - 2 53,700.00 48 53,700.00
606 010000008659 NATRIUM CLORIDA 100 GR [BOTOL] - - - 45 - - - 45 288,436.50 45 - - - 45 288,436.50 - -
607 010000008659_20210128_12:48 - - - 45 - - - 45 6,409.70 45 - - - 45 6,409.70 - -
608 010000008758 AIR MINERAL [GALON] - - 83 - - - - 83 1,079,000.00 20 40 - - 60 780,000.00 23 299,000.00
609 010000008758_20210129_11:15 - - 40 - - - - 40 13,000.00 - 40 - - 40 13,000.00 - -
610 010000008758_20210330_11:30 - - 23 - - - - 23 13,000.00 20 - - - 20 13,000.00 3 13,000.00
611 010000008758_20210728_11:31 - - 20 - - - - 20 13,000.00 - - - - - - 20 13,000.00
612 010000008823 KERTAS HVS F4 70 GRM SIDU [RIM] 2 112,000.00 - - - - - - - 2 - - - 2 112,000.00 - -
613 010000008823_20200102_10:01 2 56,000.00 - - - - - - - 2 - - - 2 56,000.00 - -
614 010000008829 PAPER CLIP TRIGONAL [DUS] 20 10,000.00 - - - - - - - 20 - - - 20 10,000.00 - -
615 010000008829_20200130_10:43 20 500.00 - - - - - - - 20 - - - 20 500.00 - -
616 010000008833 ISI TABUNG PEMADAM KEBAKARAN 2 - - 27 - - - - 27 1,350,000.00 27 - - - 27 1,350,000.00 - -
KG [KG]
617 010000008833_20210629_11:54 - - 27 - - - - 27 50,000.00 27 - - - 27 50,000.00 - -
618 010000008866 TINTA STEMPEL UNGU ZENITH [BUAH] - - 20 - - - - 20 300,000.00 15 - - - 15 225,000.00 5 75,000.00

619 010000008866_20210630_03:43 - - 20 - - - - 20 15,000.00 15 - - - 15 15,000.00 5 15,000.00


620 010000008867 LAMPU LED PHILIPS 10 W [BUAH] - - 8 - - - - 8 - - - - - - - 8 -
621 010000008867_20211027_06:19 - - 8 - - - - 8 - - - - - - - 8 -
622 010000008868 LAMPU LED PHILIPS 12 W [BUAH] 5 200,000.00 - - - - - - - 5 - - - 5 200,000.00 - -
623 010000008868_20201030_08:53 5 40,000.00 - - - - - - - 5 - - - 5 40,000.00 - -
624 010000008876 AMPLOP COKLAT AIR MAIL [BUAH] - - 200 - - - - 200 260,000.00 - - - - - - 200 260,000.00
625 010000008876_20210630_03:43 - - 200 - - - - 200 1,300.00 - - - - - - 200 1,300.00
626 010000008932 EMBER PLASTIK TANGGUNG [BUAH] 4 12,000.00 - - - - - - - - - - - - - 4 12,000.00
627 010000008932_20200102_10:01 4 3,000.00 - - - - - - - - - - - - - 4 3,000.00
628 010000009025 AIR MINUM ISI ULANG [GALON] - - 205 - - - - 205 2,145,000.00 - 61 - - 61 273,000.00 144 1,872,000.00
629 010000009025_20210226_10:52 - - 40 - - - - 40 - - 40 - - 40 - - -
630 010000009025_20210329_11:29 - - 23 - - - - 23 13,000.00 - 21 - - 21 13,000.00 2 13,000.00
631 010000009025_20210529_11:51 - - 21 - - - - 21 13,000.00 - - - - - - 21 13,000.00
632 010000009025_20210628_11:05 - - 21 - - - - 21 13,000.00 - - - - - - 21 13,000.00
633 010000009025_20210730_11:58 - - 20 - - - - 20 13,000.00 - - - - - - 20 13,000.00
634 010000009025_20210927_11:34 - - 20 - - - - 20 13,000.00 - - - - - - 20 13,000.00
635 010000009025_20210929_12:03 - - 20 - - - - 20 13,000.00 - - - - - - 20 13,000.00
636 010000009025_20211029_12:05 - - 20 - - - - 20 13,000.00 - - - - - - 20 13,000.00
637 010000009025_20211129_12:09 - - 20 - - - - 20 13,000.00 - - - - - - 20 13,000.00
638 010000009034 VIXAL [BOTOL] 150 2,250,000.00 - - - - - - - 150 - - - 150 2,250,000.00 - -
639 010000009034_20201030_08:53 150 15,000.00 - - - - - - - 150 - - - 150 15,000.00 - -
640 010000009039 CLING PEMBERSIH KACA REFIL 425 ML 8 68,000.00 - - - - - - - 8 - - - 8 68,000.00 - -
[PCS]
641 010000009039_20200102_10:01 8 8,500.00 - - - - - - - 8 - - - 8 8,500.00 - -
642 010000009071 GAS O2 [TABUNG] - - 155 - - - - 155 16,435,000.00 - 35 - - 35 3,500,000.00 120 12,935,000.00
643 010000009071_20210128_11:50 - - 6 - - - - 6 100,000.00 - 6 - - 6 100,000.00 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
644 010000009071_20210129_11:15 - - 6 - - - - 6 100,000.00 - 6 - - 6 100,000.00 - -
645 010000009071_20210225_11:55 - - 7 - - - - 7 100,000.00 - 7 - - 7 100,000.00 - -
646 010000009071_20210226_11:26 - - 7 - - - - 7 100,000.00 - 7 - - 7 100,000.00 - -
647 010000009071_20210329_11:57 - - 11 - - - - 11 100,000.00 - 9 - - 9 100,000.00 2 100,000.00
648 010000009071_20210330_11:30 - - 11 - - - - 11 100,000.00 - - - - - - 11 100,000.00
649 010000009071_20210428_12:03 - - 10 - - - - 10 100,000.00 - - - - - - 10 100,000.00
650 010000009071_20210429_11:45 - - 10 - - - - 10 100,000.00 - - - - - - 10 100,000.00
651 010000009071_20210528_12:05 - - 9 - - - - 9 100,000.00 - - - - - - 9 100,000.00
652 010000009071_20210529_11:51 - - 9 - - - - 9 100,000.00 - - - - - - 9 100,000.00
653 010000009071_20210628_12:07 - - 9 - - - - 9 100,000.00 - - - - - - 9 100,000.00
654 010000009071_20210629_11:54 - - 9 - - - - 9 100,000.00 - - - - - - 9 100,000.00
655 010000009071_20210729_12:08 - - 5 - - - - 5 100,000.00 - - - - - - 5 100,000.00
656 010000009071_20210730_11:58 - - 5 - - - - 5 100,000.00 - - - - - - 5 100,000.00
657 010000009071_20210828_12:12 - - 5 - - - - 5 100,000.00 - - - - - - 5 100,000.00
658 010000009071_20210830_12:01 - - 5 - - - - 5 100,000.00 - - - - - - 5 100,000.00
659 010000009071_20210929_12:03 - - 8 - - - - 8 130,625.00 - - - - - - 8 130,625.00
660 010000009071_20211029_12:05 - - 4 - - - - 4 130,000.00 - - - - - - 4 130,000.00
661 010000009071_20211129_12:09 - - 9 - - - - 9 130,000.00 - - - - - - 9 130,000.00
662 010000009071_20211230_12:14 - - 10 - - - - 10 130,000.00 - - - - - - 10 130,000.00
663 010000009132 RINCIAN BIAYA PERJALANAN DINAS - - 1 - - - - 1 - - - - - - - 1 -
(SPPD RAMPUNG) [BUKU]
664 010000009132_20210630_03:43 - - 1 - - - - 1 - - - - - - - 1 -
665 010000009185 STOPMAP KERTAS [BUAH] - - 200 - - - - 200 200,000.00 - - - - - - 200 200,000.00
666 010000009185_20210630_03:43 - - 200 - - - - 200 1,000.00 - - - - - - 200 1,000.00
667 010000009202 ACETOSAL/MINIASPI [TABLET] 500 49,500.00 - - - - - - - - - - - - - 500 49,500.00
668 010000009202_20200102_09:01 500 99.00 - - - - - - - - - - - - - 500 99.00
669 010000009520 SPIDOL KECIL HITAM [BUAH] 27 56,241.00 60 - - - - 60 420,000.00 - - - - - - 87 476,241.00
670 010000009520_20201030_08:53 27 2,083.00 - - - - - - - - - - - - - 27 2,083.00
671 010000009520_20210630_03:43 - - 60 - - - - 60 7,000.00 - - - - - - 60 7,000.00
672 010000009754 SIKAT KAMAR MANDI GAGANG 4 70,000.00 - - - - - - - - - - - - - 4 70,000.00
PANJANG [BUAH]
673 010000009754_20201030_08:53 4 17,500.00 - - - - - - - - - - - - - 4 17,500.00
674 010000009812 BAYCLIN REG 1L [BOTOL] - - 200 - - - - 200 1,800,000.00 - - - - - - 200 1,800,000.00
675 010000009812_20210531_11:29 - - 200 - - - - 200 9,000.00 - - - - - - 200 9,000.00
676 010000009957 INFUS SET DEWASA [BOK] 7 2,030,000.00 - 500 - - - 500 2,900,000.00 207 - - - 207 3,190,000.00 300 1,740,000.00
677 010000009957_20200730_10:44 7 290,000.00 - - - - - - - 7 - - - 7 290,000.00 - -
678 010000009957_20210330_01:52 - - - 500 - - - 500 5,800.00 200 - - - 200 5,800.00 300 5,800.00
679 010000009967 INFUS SET ANAK [BOK] 4 719,400.00 - - - - - - - - - - - - - 4 719,400.00
680 010000009967_20200102_09:01 4 179,850.00 - - - - - - - - - - - - - 4 179,850.00
681 010000009985 LISOL [BOTOL] 44 2,193,928.00 - - - - - - - 10 - - - 10 498,620.00 34 1,695,308.00
682 010000009985_20200102_09:01 39 49,862.00 - - - - - - - 10 - - - 10 49,862.00 29 49,862.00
683 010000009985_20200130_10:35 5 49,862.00 - - - - - - - - - - - - - 5 49,862.00
684 010000009986 MASKER N95 [BOK] - - 5 6 - - - 11 2,345,072.00 5 - - - 5 32,560.00 6 2,312,512.00
685 010000009986_20210428_08:10 - - - 6 - - - 6 6,512.00 5 - - - 5 6,512.00 1 6,512.00
686 010000009986_20210628_03:45 - - 5 - - - - 5 461,200.00 - - - - - - 5 461,200.00
687 010000009992 RINGER LACTAT [BOTOL] 840 6,409,200.00 - 1,000 - - - 1,000 7,629,000.00 1,000 - - - 1,000 7,629,840.00 840 6,408,360.00
688 010000009992_20200730_10:44 840 7,630.00 - - - - - - - 840 - - - 840 7,630.00 - -
689 010000009992_20210225_01:15 - - - 1,000 - - - 1,000 7,629.00 160 - - - 160 7,629.00 840 7,629.00
690 010000010020 SELANG O2 DEWASA [PCS] 10 270,000.00 - - - - - - - - - - - - - 10 270,000.00
691 010000010020_20201030_10:35 10 27,000.00 - - - - - - - - - - - - - 10 27,000.00
692 010000010716 Hand Sanitizer [BOTOL] 80 10,076,000.00 - 504 - - - 504 - - - - - - - 584 10,076,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
693 010000010716_20201030_10:35 80 125,950.00 - - - - - - - - - - - - - 80 125,950.00
694 010000010716_20210428_08:10 - - - 300 - - - 300 - - - - - - - 300 -
695 010000010716_20211202_09:07 - - - 60 - - - 60 - - - - - - - 60 -
696 010000010716_20211227_12:11 - - - 144 - - - 144 - - - - - - - 144 -
697 010000010801 Alat suntik 10 ml [pcs] 200 186,432.00 - - - - - - - - - - - - - 200 186,432.00
698 010000010801_20200102_09:01 200 932.16 - - - - - - - - - - - - - 200 932.16
699 010000010802 Alat suntik 1 ml [pcs] 1,100 711,694.00 - - - - - - - 400 - - - 400 258,794.00 700 452,900.00
700 010000010802_20200102_09:01 100 646.94 - - - - - - - 100 - - - 100 646.94 - -
701 010000010802_20200130_10:35 1,000 647.00 - - - - - - - 300 - - - 300 647.00 700 647.00
702 010000010803 Albendazol 400 mg [tablet] 80 44,000.00 - 16,183 - - - 16,183 8,900,650.00 7,958 - - - 7,958 4,376,900.00 8,305 4,567,750.00
703 010000010803_20200102_09:01 80 550.00 - - - - - - - 80 - - - 80 550.00 - -
704 010000010803_20210128_12:48 - - - 8,100 - - - 8,100 550.00 7,878 - - - 7,878 550.00 222 550.00
705 010000010803_20210930_09:36 - - - 8,083 - - - 8,083 550.00 - - - - - - 8,083 550.00
706 010000010804 Aminophillin 200 mg [tablet] - - - 1,700 - - - 1,700 154,700.00 - - - - - - 1,700 154,700.00
707 010000010804_20210330_01:52 - - - 500 - - - 500 91.00 - - - - - - 500 91.00
708 010000010804_20210629_10:57 - - - 500 - - - 500 91.00 - - - - - - 500 91.00
709 010000010804_20210729_12:13 - - - 500 - - - 500 91.00 - - - - - - 500 91.00
710 010000010804_20210930_09:36 - - - 200 - - - 200 91.00 - - - - - - 200 91.00
711 010000010805 Ampicillin 1 gram [vial] 200 1,647,400.00 - - - - - - - - - - - - - 200 1,647,400.00
712 010000010805_20200102_09:01 200 8,237.00 - - - - - - - - - - - - - 200 8,237.00
713 010000010806 Anak FDC Triple [tablet] - - - 5 - - - 5 1,240,600.00 - - - - - - 5 1,240,600.00
714 010000010806_20211227_12:11 - - - 5 - - - 5 248,120.00 - - - - - - 5 248,120.00
715 010000010807 Anti bakteri DOEN Kombinasi [tube] 25 75,875.00 - - - - - - - - - - - - - 25 75,875.00
716 010000010807_20200102_09:01 25 3,035.00 - - - - - - - - - - - - - 25 3,035.00
717 010000010808 Antihemoroid [pcs] - - 2 - - - - 2 52,850.00 - - - - - - 2 52,850.00
718 010000010808_20210930_10:25 - - 2 - - - - 2 26,425.00 - - - - - - 2 26,425.00
719 010000010809 Antimigren ( Ergotamin Cofein ) [tablet] 200 34,600.00 - - - - - - - - - - - - - 200 34,600.00

720 010000010809_20200730_10:44 200 173.00 - - - - - - - - - - - - - 200 173.00


721 010000010814 Captopril 12.5 mg [tablet] 2,500 165,000.00 - 11,300 - - - 11,300 745,800.00 4,300 - - - 4,300 283,800.00 9,500 627,000.00
722 010000010814_20200102_09:01 2,500 66.00 - - - - - - - 2,500 - - - 2,500 66.00 - -
723 010000010814_20210330_01:52 - - - 3,100 - - - 3,100 66.00 1,800 - - - 1,800 66.00 1,300 66.00
724 010000010814_20210629_10:57 - - - 2,000 - - - 2,000 66.00 - - - - - - 2,000 66.00
725 010000010814_20210729_12:13 - - - 2,000 - - - 2,000 66.00 - - - - - - 2,000 66.00
726 010000010814_20210930_09:36 - - - 2,000 - - - 2,000 66.00 - - - - - - 2,000 66.00
727 010000010814_20211126_03:12 - - - 2,200 - - - 2,200 66.00 - - - - - - 2,200 66.00
728 010000010815 Clindamycin 150 mg [tablet] 1,200 910,800.00 - 300 - - - 300 227,700.00 800 - - - 800 607,200.00 700 531,300.00
729 010000010815_20200130_10:35 1,200 759.00 - - - - - - - 800 - - - 800 759.00 400 759.00
730 010000010815_20211126_03:12 - - - 300 - - - 300 759.00 - - - - - - 300 759.00
731 010000010819 Dewasa FDC Triple : Tenofovir 300 mg + 930 2,453,340.00 - 2,640 - - - 2,640 7,068,376.80 1,410 - - - 1,410 3,719,805.60 2,160 5,801,911.20
Lamivudine 300 mg + Efavirenz 600 mg
[tablet]
732 010000010819_20200730_10:44 480 2,638.00 - - - - - - - 480 - - - 480 2,638.00 - -
733 010000010819_20201030_10:46 450 2,638.00 - - - - - - - 450 - - - 450 2,638.00 - -
734 010000010819_20210128_12:48 - - - 240 - - - 240 2,638.47 240 - - - 240 2,638.47 - -
735 010000010819_20210428_08:10 - - - 270 - - - 270 2,638.47 240 - - - 240 2,638.47 30 2,638.47
736 010000010819_20210930_09:36 - - - 600 - - - 600 2,638.47 - - - - - - 600 2,638.47
737 010000010819_20211126_03:12 - - - 900 - - - 900 2,638.47 - - - - - - 900 2,638.47
738 010000010819_20211227_12:11 - - - 630 - - - 630 2,801.67 - - - - - - 630 2,801.67
739 010000010820 Diphenhidramin injeksi [ampul] 58 63,510.00 - - - - - - - - - - - - - 58 63,510.00
740 010000010820_20200730_10:44 58 1,095.00 - - - - - - - - - - - - - 58 1,095.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
741 010000010821 Doksisiklin 100 mg kapsul [tablet] 300 84,000.00 - - - - - - - 200 - - - 200 56,000.00 100 28,000.00
742 010000010821_20200102_09:01 300 280.00 - - - - - - - 200 - - - 200 280.00 100 280.00
743 010000010822 Duviral ( Zidovudine 300 mg + 2,400 8,880,000.00 - 10,560 - - - 10,560 39,888,960.00 6,060 - - - 6,060 22,422,000.00 6,900 26,346,960.00
Lamivudine 150 mg ) [tablet]
744 010000010822_20201030_10:46 2,400 3,700.00 - - - - - - - 2,400 - - - 2,400 3,700.00 - -
745 010000010822_20210128_12:48 - - - 840 - - - 840 3,700.00 840 - - - 840 3,700.00 - -
746 010000010822_20210225_01:15 - - - 840 - - - 840 3,700.00 840 - - - 840 3,700.00 - -
747 010000010822_20210330_01:52 - - - 1,380 - - - 1,380 3,700.00 1,380 - - - 1,380 3,700.00 - -
748 010000010822_20210428_08:10 - - - 1,260 - - - 1,260 3,700.00 600 - - - 600 3,700.00 660 3,700.00
749 010000010822_20210629_10:57 - - - 180 - - - 180 3,700.00 - - - - - - 180 3,700.00
750 010000010822_20210729_12:13 - - - 180 - - - 180 3,700.00 - - - - - - 180 3,700.00
751 010000010822_20210930_09:36 - - - 360 - - - 360 3,700.00 - - - - - - 360 3,700.00
752 010000010822_20211126_03:12 - - - 5,520 - - - 5,520 3,848.00 - - - - - - 5,520 3,848.00
753 010000010824 E-care antiseptik Hand rub 5 lt [galon] 4 2,320,000.00 - - - - - - - 2 - - - 2 1,160,000.00 2 1,160,000.00

754 010000010824_20200130_10:35 2 580,000.00 - - - - - - - 2 - - - 2 580,000.00 - -


755 010000010824_20201030_10:46 2 580,000.00 - - - - - - - - - - - - - 2 580,000.00
756 010000010825 Efavirens 600 mg [tablet] 300 1,989,000.00 - 2,520 - - - 2,520 16,707,600.00 1,140 - - - 1,140 7,558,200.00 1,680 11,138,400.00
757 010000010825_20201030_10:46 300 6,630.00 - - - - - - - 300 - - - 300 6,630.00 - -
758 010000010825_20210128_12:48 - - - 420 - - - 420 6,630.00 420 - - - 420 6,630.00 - -
759 010000010825_20210225_01:15 - - - 210 - - - 210 6,630.00 210 - - - 210 6,630.00 - -
760 010000010825_20210330_01:52 - - - 210 - - - 210 6,630.00 210 - - - 210 6,630.00 - -
761 010000010825_20210428_08:10 - - - 180 - - - 180 6,630.00 - - - - - - 180 6,630.00
762 010000010825_20210629_10:57 - - - 180 - - - 180 6,630.00 - - - - - - 180 6,630.00
763 010000010825_20210729_12:13 - - - 180 - - - 180 6,630.00 - - - - - - 180 6,630.00
764 010000010825_20210930_09:36 - - - 90 - - - 90 6,630.00 - - - - - - 90 6,630.00
765 010000010825_20211126_03:12 - - - 1,050 - - - 1,050 6,630.00 - - - - - - 1,050 6,630.00
766 010000010826 Ephineprine Injeksi 0,1 %-1 ml [ampul] 20 28,160.00 - 20 - - - 20 28,160.00 13 - - - 13 18,304.00 27 38,016.00

767 010000010826_20200730_10:44 20 1,408.00 - - - - - - - 13 - - - 13 1,408.00 7 1,408.00


768 010000010826_20211202_09:07 - - - 10 - - - 10 1,408.00 - - - - - - 10 1,408.00
769 010000010826_20211230_02:41 - - - 10 - - - 10 1,408.00 - - - - - - 10 1,408.00
770 010000010828 Erytromicin sirup [botol] 55 338,250.00 - - - - - - - - - - - - - 55 338,250.00
771 010000010828_20200102_09:01 55 6,150.00 - - - - - - - - - - - - - 55 6,150.00
772 010000010829 Etakridin 300 ml Jayamas Onemed 10 30,000.00 - - - - - - - - - - - - - 10 30,000.00
[botol]
773 010000010829_20200730_10:44 10 3,000.00 - - - - - - - - - - - - - 10 3,000.00
774 010000010830 Euthyrox tab [tablet] 75 55,125.00 - - - - - - - - - - - - - 75 55,125.00
775 010000010830_20200102_09:01 75 735.00 - - - - - - - - - - - - - 75 735.00
776 010000010831 FDC Anak [buah] 15 3,487,770.00 - - - - - - - 2 - - - 2 465,036.00 13 3,022,734.00
777 010000010831_20200429_10:43 5 232,518.00 - - - - - - - 2 - - - 2 232,518.00 3 232,518.00
778 010000010831_20200730_10:44 10 232,518.00 - - - - - - - - - - - - - 10 232,518.00
779 010000010833 FDC Kat. I [buah] - - - 2 - - - 2 415,467.00 1 - - - 1 - 1 415,467.00
780 010000010833_20210629_10:57 - - - 1 - - - 1 - 1 - - - 1 - - -
781 010000010833_20210729_12:13 - - - 1 - - - 1 415,467.00 - - - - - - 1 415,467.00
782 010000010835 Fenobarbital inj 50 mg/ml- 2 ml [ampul] 10 18,570.00 - - - - - - - - - - - - - 10 18,570.00

783 010000010835_20200130_10:35 10 1,857.00 - - - - - - - - - - - - - 10 1,857.00


784 010000010837 FENOL GLICEROL TT 10 % 24 62,160.00 - - - - - - - - - - - - - 24 62,160.00
(KARBOGLISERIN TT 10 %) [BOTOL]
785 010000010837_20200102_09:01 24 2,590.00 - - - - - - - - - - - - - 24 2,590.00
786 010000010838 GG / Guaifenesin 100 mg [tablet] 7,800 1,014,000.00 - 5,000 - - - 5,000 649,000.00 3,900 - - - 3,900 507,000.00 8,900 1,156,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
787 010000010838_20200730_10:44 7,800 130.00 - - - - - - - 3,900 - - - 3,900 130.00 3,900 130.00
788 010000010838_20210225_01:15 - - - 5,000 - - - 5,000 129.80 - - - - - - 5,000 129.80
789 010000010844 Iv catheter No. 18 [pcs] 300 1,506,000.00 - - - - - - - 200 - - - 200 1,004,000.00 100 502,000.00
790 010000010844_20200102_09:01 300 5,020.00 - - - - - - - 200 - - - 200 5,020.00 100 5,020.00
791 010000010845 Iv catheter No. 22 [pcs] 94 397,056.00 - 600 - - - 600 2,534,400.00 394 - - - 394 1,664,256.00 300 1,267,200.00
792 010000010845_20200730_10:44 94 4,224.00 - - - - - - - 94 - - - 94 4,224.00 - -
793 010000010845_20210629_10:57 - - - 300 - - - 300 4,224.00 300 - - - 300 4,224.00 - -
794 010000010845_20210729_12:13 - - - 300 - - - 300 4,224.00 - - - - - - 300 4,224.00
795 010000010846 Iv catheter No. 24 [pcs] 340 1,422,900.00 - - - - - - - 40 - - - 40 167,400.00 300 1,255,500.00
796 010000010846_20200102_09:01 40 4,185.00 - - - - - - - 40 - - - 40 4,185.00 - -
797 010000010846_20200429_10:43 300 4,185.00 - - - - - - - - - - - - - 300 4,185.00
798 010000010847 Kapas Pembalut Hidrofil DRC 250 gr 21 504,000.00 - - - - - - - 12 - - - 12 288,000.00 9 216,000.00
[roll]
799 010000010847_20200102_09:01 1 24,000.00 - - - - - - - 1 - - - 1 24,000.00 - -
800 010000010847_20200130_10:35 10 24,000.00 - - - - - - - 10 - - - 10 24,000.00 - -
801 010000010847_20201030_10:46 10 24,000.00 - - - - - - - 1 - - - 1 24,000.00 9 24,000.00
802 010000010848 Kartu golongan darah [bok] 15 412,500.00 - - - - - - - 2 - - - 2 55,000.00 13 357,500.00
803 010000010848_20201030_10:46 15 27,500.00 - - - - - - - 2 - - - 2 27,500.00 13 27,500.00
804 010000010850 Kasa Hidrofil DRC 36 m x 80 cm [roll] 29 3,958,500.00 - - - - - - - 11 - - - 11 1,501,500.00 18 2,457,000.00

805 010000010850_20200429_10:43 4 136,500.00 - - - - - - - 4 - - - 4 136,500.00 - -


806 010000010850_20201030_10:46 25 136,500.00 - - - - - - - 7 - - - 7 136,500.00 18 136,500.00
807 010000010851 Kasa Pembalut Hidrofil 3,6 m x 10 cm 395 953,925.00 - 1,000 - - - 1,000 2,415,000.00 345 - - - 345 833,175.00 1,050 2,535,750.00
[roll]
808 010000010851_20200730_10:44 195 2,415.00 - - - - - - - 195 - - - 195 2,415.00 - -
809 010000010851_20201030_10:46 200 2,415.00 - - - - - - - 150 - - - 150 2,415.00 50 2,415.00
810 010000010851_20210330_01:52 - - - 1,000 - - - 1,000 2,415.00 - - - - - - 1,000 2,415.00
811 010000010852 Kasa Pembalut Hidrofil DRC 4m x 10 cm - - - 500 - - - 500 1,207,500.00 - - - - - - 500 1,207,500.00
[roll]
812 010000010852_20210330_01:52 - - - 500 - - - 500 2,415.00 - - - - - - 500 2,415.00
813 010000010854 Khloramfenicol Salep Kulit 2 % [tube] 32 97,184.00 - 114 - - - 114 346,218.00 - - - - - - 146 443,402.00

814 010000010854_20200730_10:44 32 3,037.00 - - - - - - - - - - - - - 32 3,037.00


815 010000010854_20210128_12:48 - - - 66 - - - 66 3,037.00 - - - - - - 66 3,037.00
816 010000010854_20210629_10:57 - - - 24 - - - 24 3,037.00 - - - - - - 24 3,037.00
817 010000010854_20210729_12:13 - - - 24 - - - 24 3,037.00 - - - - - - 24 3,037.00
818 010000010855 Kotrimoksazole suspensi [botol] 160 328,320.00 - 400 - - - 400 820,800.00 356 - - - 356 730,512.00 204 418,608.00
819 010000010855_20201030_10:46 160 2,052.00 - - - - - - - 160 - - - 160 2,052.00 - -
820 010000010855_20210629_10:57 - - - 200 - - - 200 2,052.00 196 - - - 196 2,052.00 4 2,052.00
821 010000010855_20210729_12:13 - - - 200 - - - 200 2,052.00 - - - - - - 200 2,052.00
822 010000010856 Lamivudine 150 mg [tablet] 180 280,800.00 - - - - - - - - - - - - - 180 280,800.00
823 010000010856_20200429_10:43 180 1,560.00 - - - - - - - - - - - - - 180 1,560.00
824 010000010858 Leukoplast [roll] 20 498,384.00 - - - - - - - 20 - - - 20 498,384.00 - -
825 010000010858_20201030_10:35 8 9,000.00 - - - - - - - 8 - - - 8 9,000.00 - -
826 010000010858_20201030_10:46 12 35,532.00 - - - - - - - 12 - - - 12 35,532.00 - -
827 010000010863 Mucus Extractor 25 ml Serenity Size 10 480 3,312,000.00 - - - - - - - - - - - - - 480 3,312,000.00
FR [pcs]
828 010000010863_20200102_09:01 480 6,900.00 - - - - - - - - - - - - - 480 6,900.00
829 010000010864 Nevirapine 200 mg [tablet] 1,390 4,086,600.00 - 8,340 - - - 8,340 24,519,600.00 3,600 - - - 3,600 10,584,000.00 6,130 18,022,200.00
830 010000010864_20201030_10:46 1,390 2,940.00 - - - - - - - 1,390 - - - 1,390 2,940.00 - -
831 010000010864_20210128_12:48 - - - 420 - - - 420 2,940.00 420 - - - 420 2,940.00 - -
832 010000010864_20210225_01:15 - - - 420 - - - 420 2,940.00 420 - - - 420 2,940.00 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
833 010000010864_20210330_01:52 - - - 960 - - - 960 2,940.00 960 - - - 960 2,940.00 - -
834 010000010864_20210428_08:10 - - - 900 - - - 900 2,940.00 410 - - - 410 2,940.00 490 2,940.00
835 010000010864_20210629_10:57 - - - 360 - - - 360 2,940.00 - - - - - - 360 2,940.00
836 010000010864_20210729_12:13 - - - 360 - - - 360 2,940.00 - - - - - - 360 2,940.00
837 010000010864_20210930_09:36 - - - 180 - - - 180 2,940.00 - - - - - - 180 2,940.00
838 010000010864_20211126_03:12 - - - 4,740 - - - 4,740 2,940.00 - - - - - - 4,740 2,940.00
839 010000010868 Oxitosin Injeksi 10 IU/ml- 1 ml [ampul] 100 190,000.00 - 707 - - - 707 1,343,300.00 427 - - - 427 811,300.00 380 722,000.00

840 010000010868_20200730_10:44 100 1,900.00 - - - - - - - 100 - - - 100 1,900.00 - -


841 010000010868_20210128_12:48 - - - 307 - - - 307 1,900.00 307 - - - 307 1,900.00 - -
842 010000010868_20210330_01:52 - - - 200 - - - 200 1,900.00 20 - - - 20 1,900.00 180 1,900.00
843 010000010868_20210629_10:57 - - - 100 - - - 100 1,900.00 - - - - - - 100 1,900.00
844 010000010868_20210729_12:13 - - - 100 - - - 100 1,900.00 - - - - - - 100 1,900.00
845 010000010869 Pharmafix [roll] 3 153,915.00 - - - - - - - 3 - - - 3 153,915.00 - -
846 010000010869_20200102_09:01 3 51,305.00 - - - - - - - 3 - - - 3 51,305.00 - -
847 010000010870 Ponflu sirup [botol] 52 998,400.00 - - - - - - - 52 - - - 52 998,400.00 - -
848 010000010870_20200130_10:35 52 19,200.00 - - - - - - - 52 - - - 52 19,200.00 - -
849 010000010871 Rapid 1 HIV ( SD ) [pcs] - - - 50 - - - 50 598,750.00 - - - - - - 50 598,750.00
850 010000010871_20210428_08:10 - - - 25 - - - 25 11,975.00 - - - - - - 25 11,975.00
851 010000010871_20211126_03:12 - - - 25 - - - 25 11,975.00 - - - - - - 25 11,975.00
852 010000010872 Rapid 2 HIV ( Fokus ) [pcs] - - - 120 - - - 120 264,700.00 80 - - - 80 - 40 264,700.00
853 010000010872_20210428_08:10 - - - 100 - - - 100 - 80 - - - 80 - 20 -
854 010000010872_20211126_03:12 - - - 20 - - - 20 13,235.00 - - - - - - 20 13,235.00
855 010000010873 Rapid Test HBsAg SD [pcs] - - - 500 - - - 500 4,925,000.00 - - - - - - 500 4,925,000.00
856 010000010873_20210428_08:10 - - - 500 - - - 500 9,850.00 - - - - - - 500 9,850.00
857 010000010880 Reagent Zn [pcs] - - - 1 - - - 1 257,151.00 1 - - - 1 257,151.00 - -
858 010000010880_20210225_01:15 - - - 1 - - - 1 257,151.00 1 - - - 1 257,151.00 - -
859 010000010881 Salep 2-4 Kombinasi 30 g [tube] 43 120,228.00 - - - - - - - - - - - - - 43 120,228.00
860 010000010881_20201030_10:46 43 2,796.00 - - - - - - - - - - - - - 43 2,796.00
861 010000010883 Sarung Tangan Non Steril Uk. M [pcs] 500 242,000.00 - 6,000 - - - 6,000 2,904,000.00 - - - - - - 6,500 3,146,000.00

862 010000010883_20201030_10:46 500 484.00 - - - - - - - - - - - - - 500 484.00


863 010000010883_20210128_12:48 - - - 4,500 - - - 4,500 484.00 - - - - - - 4,500 484.00
864 010000010883_20210225_01:15 - - - 1,000 - - - 1,000 484.00 - - - - - - 1,000 484.00
865 010000010883_20211227_12:11 - - - 500 - - - 500 484.00 - - - - - - 500 484.00
866 010000010884 Sarung Tangan Steril no. 6,5 [pcs] - - - 300 - - - 300 1,620,000.00 - - - - - - 300 1,620,000.00
867 010000010884_20211227_12:11 - - - 300 - - - 300 5,400.00 - - - - - - 300 5,400.00
868 010000010885 Sarung Tangan Steril no. 7 [pcs] 300 1,089,000.00 - 300 - - - 300 5,220,000.00 - - - - - - 600 6,309,000.00
869 010000010885_20201030_10:46 300 3,630.00 - - - - - - - - - - - - - 300 3,630.00
870 010000010885_20211227_12:11 - - - 300 - - - 300 17,400.00 - - - - - - 300 17,400.00
871 010000010886 Scabimite 5 % [tube] 50 600,742.00 - - - - - - - - - - - - - 50 600,742.00
872 010000010886_20200228_11:07 50 12,014.84 - - - - - - - - - - - - - 50 12,014.84
873 010000010888 Silk 3/0 + jarum 1/2 GT 35 mm [pcs] - - - 72 - - - 72 226,599,984.00 - - - - - - 72 226,599,984.00

874 010000010888_20210330_01:52 - - - 72 - - - 72 3,147,222.00 - - - - - - 72 3,147,222.00


875 010000010890 Softpad ( Underpad ) 60 x 90 cm Non 570 2,372,568.00 - - - - - - - 240 - - - 240 998,976.00 330 1,373,592.00
Steril [pcs]
876 010000010890_20200102_09:01 570 4,162.40 - - - - - - - 240 - - - 240 4,162.40 330 4,162.40
877 010000010891 Syphilis Rapid SD [pcs] 500 10,200,000.00 - 700 - - - 700 14,280,000.00 500 - - - 500 10,200,000.00 700 14,280,000.00
878 010000010891_20201030_10:46 500 20,400.00 - - - - - - - 500 - - - 500 20,400.00 - -
879 010000010891_20210428_08:10 - - - 700 - - - 700 20,400.00 - - - - - - 700 20,400.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
880 010000010893 Triheksifenidil 2 mg [tablet] 1,000 91,000.00 - 2,400 - - - 2,400 218,400.00 2,430 - - - 2,430 221,130.00 970 88,270.00
881 010000010893_20200730_10:44 500 91.00 - - - - - - - 500 - - - 500 91.00 - -
882 010000010893_20201030_10:46 500 91.00 - - - - - - - 500 - - - 500 91.00 - -
883 010000010893_20210225_01:15 - - - 1,000 - - - 1,000 91.00 1,000 - - - 1,000 91.00 - -
884 010000010893_20210629_10:57 - - - 700 - - - 700 91.00 430 - - - 430 91.00 270 91.00
885 010000010893_20210729_12:13 - - - 700 - - - 700 91.00 - - - - - - 700 91.00
886 010000010895 Tube EDTA [pcs] 700 796,600.00 - - - - - - - - - - - - - 700 796,600.00
887 010000010895_20201030_10:46 700 1,138.00 - - - - - - - - - - - - - 700 1,138.00
888 010000010896 Umbilical Cord Nylon [pcs] 200 260,000.00 - 400 - - - 400 520,000.00 - - - - - - 600 780,000.00
889 010000010896_20200102_09:01 200 1,300.00 - - - - - - - - - - - - - 200 1,300.00
890 010000010896_20210629_10:57 - - - 200 - - - 200 1,300.00 - - - - - - 200 1,300.00
891 010000010896_20210729_12:13 - - - 200 - - - 200 1,300.00 - - - - - - 200 1,300.00
892 010000010897 USG Gel 250 ml Jayamas Onemed 2 25,168.00 15 - - - - 15 519,000.00 - - - - - - 17 544,168.00
[botol]
893 010000010897_20201030_10:46 2 12,584.00 - - - - - - - - - - - - - 2 12,584.00
894 010000010897_20210628_03:45 - - 15 - - - - 15 34,600.00 - - - - - - 15 34,600.00
895 010000010899 Vikia HBsAg [pcs] 500 10,750,000.00 - - - - - - - - - - - - - 500 10,750,000.00
896 010000010899_20201030_10:46 500 21,500.00 - - - - - - - - - - - - - 500 21,500.00
897 010000010901 Vitamin A 100.000 IU [kapsul] - - - 2,800 - - - 2,800 823,800.00 - - - - - - 2,800 823,800.00
898 010000010901_20210128_12:48 - - - 1,500 - - - 1,500 284.00 - - - - - - 1,500 284.00
899 010000010901_20211202_09:07 - - - 650 - - - 650 306.00 - - - - - - 650 306.00
900 010000010901_20211230_02:41 - - - 650 - - - 650 306.00 - - - - - - 650 306.00
901 010000010902 Vitamin A 200.000 IU [kapsul] 500 258,500.00 - 5,750 - - - 5,750 2,972,750.00 5,650 - - - 5,650 2,921,050.00 600 310,200.00
902 010000010902_20201030_10:46 500 517.00 - - - - - - - 500 - - - 500 517.00 - -
903 010000010902_20210128_12:48 - - - 5,750 - - - 5,750 517.00 5,150 - - - 5,150 517.00 600 517.00
904 010000010905 ALKOHOL SWAB [LEMBAR] 600 105,600.00 - 14,470 - - - 14,470 2,550,192.80 1,800 - - - 1,800 317,088.00 13,270 2,338,704.80
905 010000010905_20201030_10:46 600 176.00 - - - - - - - 600 - - - 600 176.00 - -
906 010000010905_20210225_01:15 - - - 2,000 - - - 2,000 176.24 1,200 - - - 1,200 176.24 800 176.24
907 010000010905_20210330_01:52 - - - 2,400 - - - 2,400 176.24 - - - - - - 2,400 176.24
908 010000010905_20210930_09:36 - - - 3,450 - - - 3,450 176.24 - - - - - - 3,450 176.24
909 010000010905_20211126_03:12 - - - 5,420 - - - 5,420 176.24 - - - - - - 5,420 176.24
910 010000010905_20211202_09:07 - - - 1,200 - - - 1,200 176.24 - - - - - - 1,200 176.24
911 010000011030 Inform consent [RIM] 4 468,300.00 - - - - - - - - - - - - - 4 468,300.00
912 010000011030_20200130_10:43 4 117,075.00 - - - - - - - - - - - - - 4 117,075.00
913 010000011033 Form pemeriksaan Laborat [RIM] 2 301,050.00 - - - - - - - - - - - - - 2 301,050.00
914 010000011033_20200130_10:43 2 150,525.00 - - - - - - - - - - - - - 2 150,525.00
915 010000011037 Resep [RIM] - - 5 - - - - 5 650,000.00 - - - - - - 5 650,000.00
916 010000011037_20210630_03:43 - - 5 - - - - 5 130,000.00 - - - - - - 5 130,000.00
917 010000011041 Kartu berobat [RIM] 3 1,338,000.00 - - - - - - - - - - - - - 3 1,338,000.00
918 010000011041_20200130_10:43 3 446,000.00 - - - - - - - - - - - - - 3 446,000.00
919 010000011046 blangko rawat jalan [RIM] 1 100,000.00 - - - - - - - - - - - - - 1 100,000.00
920 010000011046_20200102_10:01 1 100,000.00 - - - - - - - - - - - - - 1 100,000.00
921 010000011054 Blangko UGD [pak] 50 156,100.00 - - - - - - - - - - - - - 50 156,100.00
922 010000011054_20200130_10:43 50 3,122.00 - - - - - - - - - - - - - 50 3,122.00
923 010000011055 Blangko Gigi [pak] 5 11,707.50 - - - - - - - - - - - - - 5 11,707.50
924 010000011055_20200130_10:43 5 2,341.50 - - - - - - - - - - - - - 5 2,341.50
925 010000011056 Blangko Capeng [pak] 150 1,003,500.00 - - - - - - - - - - - - - 150 1,003,500.00
926 010000011056_20200130_10:43 150 6,690.00 - - - - - - - - - - - - - 150 6,690.00
927 010000011082 INFORMED CONSENT TINDAKAN [RIM] - - 2 - - - - 2 260,000.00 - - - - - - 2 260,000.00

928 010000011082_20210630_03:43 - - 2 - - - - 2 130,000.00 - - - - - - 2 130,000.00


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
929 010000011099 Plastik 1/2 ons [pak] 21 25,200.00 170 - - - - 170 136,000.00 - - - - - - 191 161,200.00
930 010000011099_20200102_10:01 21 1,200.00 - - - - - - - - - - - - - 21 1,200.00
931 010000011099_20210330_11:12 - - 170 - - - - 170 800.00 - - - - - - 170 800.00
932 010000011105 Cefadroksil 500 mg [Kapsul] - - 10 - - - - 10 962,500.00 - - - - - - 10 962,500.00
933 010000011105_20210930_10:25 - - 10 - - - - 10 96,250.00 - - - - - - 10 96,250.00
934 010000011109 Chloramphenikol (salep 74 139,194.00 - - - - - - - - - - - - - 74 139,194.00
Mata ) [Tube]
935 010000011109_20200730_10:44 26 1,881.00 - - - - - - - - - - - - - 26 1,881.00
936 010000011109_20201030_10:46 48 1,881.00 - - - - - - - - - - - - - 48 1,881.00
937 010000011110 Chloramphenikol (tetes 2 14,000.00 - - - - - - - - - - - - - 2 14,000.00
Mata ) [Botol]
938 010000011110_20200429_10:43 2 7,000.00 - - - - - - - - - - - - - 2 7,000.00
939 010000011119 Antifungi DOEN kombinasi [Pcs] 24 107,904.00 - 144 - - - 144 21,149,174.88 72 - - - 72 323,712.00 96 20,933,366.88
940 010000011119_20201030_10:46 24 4,496.00 - - - - - - - 24 - - - 24 4,496.00 - -
941 010000011119_20210629_10:57 - - - 48 - - - 48 4,496.00 48 - - - 48 4,496.00 - -
942 010000011119_20210729_12:13 - - - 48 - - - 48 4,496.00 - - - - - - 48 4,496.00
943 010000011119_20210930_09:36 - - - 48 - - - 48 431,615.81 - - - - - - 48 431,615.81
944 010000011120 Atropine Sulfat Injeksi [ampul] 28 46,816.00 - - - - - - - - - - - - - 28 46,816.00
945 010000011120_20200730_10:44 28 1,672.00 - - - - - - - - - - - - - 28 1,672.00
946 010000011124 Diazepam 5 mg RT/ Stesolid RT 5 15 188,595.00 - 45 - - - 45 565,785.00 25 - - - 25 314,325.00 35 440,055.00
mg/2,5 suppositoria [Buah]
947 010000011124_20200730_10:44 15 12,573.00 - - - - - - - 15 - - - 15 12,573.00 - -
948 010000011124_20210629_10:57 - - - 10 - - - 10 12,573.00 10 - - - 10 12,573.00 - -
949 010000011124_20210729_12:13 - - - 10 - - - 10 12,573.00 - - - - - - 10 12,573.00
950 010000011124_20211126_03:12 - - - 5 - - - 5 12,573.00 - - - - - - 5 12,573.00
951 010000011124_20211202_09:07 - - - 10 - - - 10 12,573.00 - - - - - - 10 12,573.00
952 010000011124_20211230_02:41 - - - 10 - - - 10 12,573.00 - - - - - - 10 12,573.00
953 010000011126 Plastik kartu berobat [Lembar] 5 12,500.00 - - - - - - - - - - - - - 5 12,500.00
954 010000011126_20200102_10:01 5 2,500.00 - - - - - - - - - - - - - 5 2,500.00
955 010000011138 Foleycath, 2 way latex foley cath no. 16 110 1,454,219.00 - - - - - - - 40 - - - 40 461,200.00 70 993,019.00
[Pcs]
956 010000011138_20200102_09:01 50 11,530.00 - - - - - - - 40 - - - 40 11,530.00 10 11,530.00
957 010000011138_20201030_10:35 30 17,727.30 - - - - - - - - - - - - - 30 17,727.30
958 010000011138_20201030_10:46 30 11,530.00 - - - - - - - - - - - - - 30 11,530.00
959 010000011139 Hydrochlortiazid 25mg [tablet] 100 14,900.00 - - - - - - - - - - - - - 100 14,900.00
960 010000011139_20201030_10:46 100 149.00 - - - - - - - - - - - - - 100 149.00
961 010000011141 Iv catheter no 20 [Pcs] 150 712,350.00 - - - - - - - 50 - - - 50 237,450.00 100 474,900.00
962 010000011141_20200102_09:01 150 4,749.00 - - - - - - - 50 - - - 50 4,749.00 100 4,749.00
963 010000011143 Folleycath,2 way latex folleycath no. 18 70 770,000.00 - - - - - - - - - - - - - 70 770,000.00
[Pcs]
964 010000011143_20200102_09:01 30 11,000.00 - - - - - - - - - - - - - 30 11,000.00
965 010000011143_20200130_10:35 10 11,000.00 - - - - - - - - - - - - - 10 11,000.00
966 010000011143_20201030_10:46 30 11,000.00 - - - - - - - - - - - - - 30 11,000.00
967 010000011154 Plastik kresek putih kecil [pak] 50 165,000.00 - - - - - - - - - - - - - 50 165,000.00
968 010000011154_20200130_10:43 50 3,300.00 - - - - - - - - - - - - - 50 3,300.00
969 010000011162 Lidocain Comp. 2% injeksi 2 ml [ampul] 500 617,900.00 - 1,200 - - - 1,200 1,474,788.00 740 - - - 740 912,857.60 960 1,179,830.40

970 010000011162_20201030_10:35 200 1,246.00 - - - - - - - 200 - - - 200 1,246.00 - -


971 010000011162_20201030_10:46 300 1,229.00 - - - - - - - 300 - - - 300 1,229.00 - -
972 010000011162_20210330_01:52 - - - 300 - - - 300 1,228.99 240 - - - 240 1,228.99 60 1,228.99
973 010000011162_20211126_03:12 - - - 300 - - - 300 1,228.99 - - - - - - 300 1,228.99
974 010000011162_20211202_09:07 - - - 300 - - - 300 1,228.99 - - - - - - 300 1,228.99
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
975 010000011162_20211230_02:41 - - - 300 - - - 300 1,228.99 - - - - - - 300 1,228.99
976 010000011164 Oxytetrasiklin Salep Mata [Tube] 100 250,000.00 - - - - - - - 50 - - - 50 125,000.00 50 125,000.00
977 010000011164_20201030_10:46 100 2,500.00 - - - - - - - 50 - - - 50 2,500.00 50 2,500.00
978 010000011165 Sarung Tangan Non Steril ukuran L [Pcs] 1,000 462,000.00 - 1,000 - - - 1,000 462,000.00 1,800 - - - 1,800 831,600.00 200 92,400.00

979 010000011165_20201030_10:46 1,000 462.00 - - - - - - - 1,000 - - - 1,000 462.00 - -


980 010000011165_20210225_01:15 - - - 1,000 - - - 1,000 462.00 800 - - - 800 462.00 200 462.00
981 010000011166 Sarung Tangan Non Steril ukuran S [Pcs] 1,000 462,000.00 - 2,500 - - - 2,500 1,155,000.00 - - - - - - 3,500 1,617,000.00

982 010000011166_20201030_10:46 1,000 462.00 - - - - - - - - - - - - - 1,000 462.00


983 010000011166_20210225_01:15 - - - 1,000 - - - 1,000 462.00 - - - - - - 1,000 462.00
984 010000011166_20210330_01:52 - - - 1,000 - - - 1,000 462.00 - - - - - - 1,000 462.00
985 010000011166_20211227_12:11 - - - 500 - - - 500 462.00 - - - - - - 500 462.00
986 010000011167 MgSO4 20% [ampul] 20 240,000.00 - - - - - - - 20 - - - 20 240,000.00 - -
987 010000011167_20200102_05:28 20 12,000.00 - - - - - - - 20 - - - 20 12,000.00 - -
988 010000011168 MgSO4 40% [ampul] - - - 94 - - - 94 356,824.00 84 - - - 84 318,864.00 10 37,960.00
989 010000011168_20210128_12:48 - - - 84 - - - 84 3,796.00 84 - - - 84 3,796.00 - -
990 010000011168_20210330_01:52 - - - 10 - - - 10 3,796.00 - - - - - - 10 3,796.00
991 010000011169 Natrium Bicarbonat [Tablet] 100 3,780.00 - - - - - - - - - - - - - 100 3,780.00
992 010000011169_20200102_05:28 100 37.80 - - - - - - - - - - - - - 100 37.80
993 010000011176 stik HB (quick check) [Bok] - - 10 - - - - 10 3,763,000.00 - - - - - - 10 3,763,000.00
994 010000011176_20210930_10:25 - - 10 - - - - 10 376,300.00 - - - - - - 10 376,300.00
995 010000011178 stik Gula Darah Nesco [Bok] - - 7 - - - - 7 820,050.00 - - - - - - 7 820,050.00
996 010000011178_20210930_10:25 - - 7 - - - - 7 117,150.00 - - - - - - 7 117,150.00
997 010000011194 Aqua pro ijeksi [ampul] - - - 100 - - - 100 286,000.00 - - - - - - 100 286,000.00
998 010000011194_20210330_01:52 - - - 100 - - - 100 2,860.00 - - - - - - 100 2,860.00
999 010000011197 Kasa steril DRC 16cm × 16cm ( 16pads) 167 1,230,790.00 - - - - - - - - - - - - - 167 1,230,790.00
[Pcs]
1000 010000011197_20200102_09:01 167 7,370.00 - - - - - - - - - - - - - 167 7,370.00
1001 010000011198 Ketoprofen 100mg/ suprafenid / supp - - 5 - - - - 5 950,995.00 - - - - - - 5 950,995.00
[Pcs]
1002 010000011198_20210930_10:25 - - 5 - - - - 5 190,199.00 - - - - - - 5 190,199.00
1003 010000011200 Khloramfenicol 250mg [kapsul] - - - 500 - - - 500 155,000.00 - - - - - - 500 155,000.00
1004 010000011200_20210225_01:15 - - - 500 - - - 500 310.00 - - - - - - 500 310.00
1005 010000011207 Tablet tambah darah [tablet] - - - 15,720 - - - 15,720 5,564,880.00 - - - - - - 15,720 5,564,880.00
1006 010000011207_20210128_12:48 - - - 720 - - - 720 354.00 - - - - - - 720 354.00
1007 010000011207_20210930_09:36 - - - 15,000 - - - 15,000 354.00 - - - - - - 15,000 354.00
1008 010000011208 Metronidazole infus [botol] - - - 16 - - - 16 129,760.00 - - - - - - 16 129,760.00
1009 010000011208_20210330_01:52 - - - 16 - - - 16 8,110.00 - - - - - - 16 8,110.00
1010 010000011237 Form surat pernyataan Rawat inap 1 100,000.00 10 - - - - 10 1,300,000.00 - - - - - - 11 1,400,000.00
pasien umum [Rim]
1011 010000011237_20200102_10:01 1 100,000.00 - - - - - - - - - - - - - 1 100,000.00
1012 010000011237_20210630_03:43 - - 10 - - - - 10 130,000.00 - - - - - - 10 130,000.00
1013 010000011240 Plastik klip ukuran 8x5 [pak] 90 495,000.00 - - - - - - - - - - - - - 90 495,000.00
1014 010000011240_20200130_10:43 90 5,500.00 - - - - - - - - - - - - - 90 5,500.00
1015 010000011249 CHKM [pcs] 2 327,954.00 - - - - - - - - - - - - - 2 327,954.00
1016 010000011249_20200102_05:28 2 163,977.00 - - - - - - - - - - - - - 2 163,977.00
1017 010000011256 Poly cateter 18 [pcs] 10 177,273.00 - - - - - - - - - - - - - 10 177,273.00
1018 010000011256_20200102_05:28 10 17,727.30 - - - - - - - - - - - - - 10 17,727.30
1019 010000011263 Nasal O2 Child [pcs] 10 77,000.00 - - - - - - - - - - - - - 10 77,000.00
1020 010000011263_20201030_10:35 10 7,700.00 - - - - - - - - - - - - - 10 7,700.00
1021 010000011269 Piracetam 1 gr Injeksi [ampul] 90 429,543.00 - - - - - - - - - - - - - 90 429,543.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1022 010000011269_20201030_10:35 90 4,772.70 - - - - - - - - - - - - - 90 4,772.70
1023 010000011282 Vitamin C [tablet] - - - 1,840 - - - 1,840 - - - - - - - 1,840 -
1024 010000011282_20210225_01:15 - - - 1,840 - - - 1,840 - - - - - - - 1,840 -
1025 010000011293 Cefadroxil Syp 125mg [botol] 72 287,424.00 - 100 - - - 100 399,200.00 23 - - - 23 91,816.00 149 594,808.00
1026 010000011293_20200429_10:43 72 3,992.00 - - - - - - - 23 - - - 23 3,992.00 49 3,992.00
1027 010000011293_20211126_03:12 - - - 100 - - - 100 3,992.00 - - - - - - 100 3,992.00
1028 010000011313 Stik Kolestrol (Accutrend) [bok] - - 18 - - - - 18 5,503,600.00 - - - - - - 18 5,503,600.00
1029 010000011313_20210628_03:45 - - 4 - - - - 4 629,000.00 - - - - - - 4 629,000.00
1030 010000011313_20210930_10:25 - - 14 - - - - 14 213,400.00 - - - - - - 14 213,400.00
1031 010000011328 Sarung tangan steril ukuran 7,5 [Pcs] - - - 300 - - - 300 2,640,000.00 - - - - - - 300 2,640,000.00

1032 010000011328_20211227_12:11 - - - 300 - - - 300 8,800.00 - - - - - - 300 8,800.00


1033 010000011329 MASKER N95 [PCS] - - - 31 - - - 31 - - - - - - - 31 -
1034 010000011329_20210128_12:48 - - - 1 - - - 1 - - - - - - - 1 -
1035 010000011329_20210330_01:52 - - - 30 - - - 30 - - - - - - - 30 -
1036 010000011342 VENTOLIN NEBULEZ [Pcs] 30 384,630.00 - - - - - - - - - - - - - 30 384,630.00
1037 010000011342_20201030_10:35 30 12,821.00 - - - - - - - - - - - - - 30 12,821.00
1038 010000011345 CATGUT CHROMIC [Pcs] 23 2,875,000.00 5 - - - - 5 1,292,500.00 23 - - - 23 2,875,000.00 5 1,292,500.00
1039 010000011345_20201030_10:35 23 125,000.00 - - - - - - - 23 - - - 23 125,000.00 - -
1040 010000011345_20210628_03:45 - - 5 - - - - 5 258,500.00 - - - - - - 5 258,500.00
1041 010000011346 SARUNG TANGAN OBGYN [Pcs] - - - 98 - - - 98 - - - - - - - 98 -
1042 010000011346_20210128_12:48 - - - 7 - - - 7 - - - - - - - 7 -
1043 010000011346_20210428_08:10 - - - 6 - - - 6 - - - - - - - 6 -
1044 010000011346_20211227_12:11 - - - 85 - - - 85 - - - - - - - 85 -
1045 010000011360 Salep 2-4 kombinasi 30g [buah] - - - 96 - - - 96 268,416.00 - - - - - - 96 268,416.00
1046 010000011360_20210629_10:57 - - - 48 - - - 48 2,796.00 - - - - - - 48 2,796.00
1047 010000011360_20210729_12:13 - - - 48 - - - 48 2,796.00 - - - - - - 48 2,796.00
1048 010000011361 Alat tes kehamilan [pcs] - - - 530 - - - 530 699,600.00 150 - - - 150 198,000.00 380 501,600.00
1049 010000011361_20210128_12:48 - - - 450 - - - 450 1,320.00 150 - - - 150 1,320.00 300 1,320.00
1050 010000011361_20211202_09:07 - - - 80 - - - 80 1,320.00 - - - - - - 80 1,320.00
1051 010000011375 OAT Kat. I Dewasa Kombipak [set] 11 3,170,189.00 - 30 - - - 30 8,645,970.00 26 - - - 26 7,493,174.00 15 4,322,985.00
1052 010000011375_20200730_10:44 11 288,199.00 - - - - - - - 11 - - - 11 288,199.00 - -
1053 010000011375_20210629_10:57 - - - 15 - - - 15 288,199.00 15 - - - 15 288,199.00 - -
1054 010000011375_20210729_12:13 - - - 15 - - - 15 288,199.00 - - - - - - 15 288,199.00
1055 010000011376 Oksigen Canula Size M / S / XS / L [pcs] 290 1,914,000.00 - 40 - - - 40 198,640.00 150 - - - 150 990,000.00 180 1,122,640.00

1056 010000011376_20200102_09:01 290 6,600.00 - - - - - - - 150 - - - 150 6,600.00 140 6,600.00


1057 010000011376_20210330_01:52 - - - 40 - - - 40 4,966.00 - - - - - - 40 4,966.00
1058 010000011377 Urine Bag Aximed [pcs] 10 70,000.00 60 4 - - - 64 509,140.00 65 - - - 65 506,240.00 9 72,900.00
1059 010000011377_20201030_10:35 10 7,000.00 - - - - - - - 10 - - - 10 7,000.00 - -
1060 010000011377_20210330_01:52 - - - 4 - - - 4 5,785.00 4 - - - 4 5,785.00 - -
1061 010000011377_20210628_03:45 - - 60 - - - - 60 8,100.00 51 - - - 51 8,100.00 9 8,100.00
1062 010000011378 OMEGDIAR TABLET [tablet] 5,000 1,290,000.00 - - - - - - - - - - - - - 5,000 1,290,000.00
1063 010000011378_20200102_05:28 5,000 258.00 - - - - - - - - - - - - - 5,000 258.00
1064 010000011379 OTSU O-40-25 ML (D 40%) [botol] 22 274,000.00 - - - - - - - - - - - - - 22 274,000.00
1065 010000011379_20200102_05:28 2 12,000.00 - - - - - - - - - - - - - 2 12,000.00
1066 010000011379_20200429_10:33 20 12,500.00 - - - - - - - - - - - - - 20 12,500.00
1067 010000011380 THIAMPHENICOL DRY SIRUP - - 25 - - - - 25 218,000.00 - - - - - - 25 218,000.00
(DIONICOL ) [botol]
1068 010000011380_20210930_10:25 - - 25 - - - - 25 8,720.00 - - - - - - 25 8,720.00
1069 010000011381 ARSENIC PASTA DEVID ASN [botol] 1 558,409.00 - - - - - - - - - - - - - 1 558,409.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1070 010000011381_20200102_05:28 1 558,409.00 - - - - - - - - - - - - - 1 558,409.00
1071 010000011382 CHLORETHYL SPRAY CE [botol] 2 310,228.00 - - - - - - - - - - - - - 2 310,228.00
1072 010000011382_20200102_05:28 2 155,114.00 - - - - - - - - - - - - - 2 155,114.00
1073 010000011383 C-K JECT (Disposible Dentral Nedle) 8 1,240,912.00 - - - - - - - - - - - - - 8 1,240,912.00
Caredent [bok]
1074 010000011383_20200102_05:28 8 155,114.00 - - - - - - - - - - - - - 8 155,114.00
1075 010000011384 DIAMOND BOR MANI [set] 2 7,560.00 - - - - - - - - - - - - - 2 7,560.00
1076 010000011384_20200102_05:28 2 3,780.00 - - - - - - - - - - - - - 2 3,780.00
1077 010000011385 EUGENOL [botol] 2 257,046.00 - - - - - - - - - - - - - 2 257,046.00
1078 010000011385_20200102_05:28 2 128,523.00 - - - - - - - - - - - - - 2 128,523.00
1079 010000011386 ELITE CEMENT [botol] 1 239,318.00 - - - - - - - - - - - - - 1 239,318.00
1080 010000011386_20200102_05:28 1 239,318.00 - - - - - - - - - - - - - 1 239,318.00
1081 010000011387 FINE FINISHING BOR MANI [set] 1 398,864.00 - - - - - - - - - - - - - 1 398,864.00
1082 010000011387_20200102_05:28 1 398,864.00 - - - - - - - - - - - - - 1 398,864.00
1083 010000011388 FLETCHER POWDER [botol] 3 252,615.00 - - - - - - - 1 - - - 1 84,205.00 2 168,410.00
1084 010000011388_20200102_05:28 3 84,205.00 - - - - - - - 1 - - - 1 84,205.00 2 84,205.00
1085 010000011389 FUJI IX [botol] 1 1,263,636.00 - - - - - - - 1 - - - 1 1,263,636.00 - -
1086 010000011389_20200102_05:28 1 1,263,636.00 - - - - - - - 1 - - - 1 1,263,636.00 - -
1087 010000011392 JARUM HACTING MANI SE-MH 24 [pcs] 24 306,000.00 - - - - - - - 24 - - - 24 306,000.00 - -

1088 010000011392_20201030_10:35 24 12,750.00 - - - - - - - 24 - - - 24 12,750.00 - -


1089 010000011395 KACA MULUT CAREDENT [pcs] 10 2,334,170.00 - - - - - - - 10 - - - 10 2,334,170.00 - -
1090 010000011395_20200102_05:28 10 233,417.00 - - - - - - - 10 - - - 10 233,417.00 - -
1091 010000011396 KNABEL TANG/BONE RONGEUR [roll] 1 220,000.00 - - - - - - - 1 - - - 1 220,000.00 - -
1092 010000011396_20200102_05:28 1 220,000.00 - - - - - - - 1 - - - 1 220,000.00 - -
1093 010000011397 MODEL GIGI KARET LEPASAN K 04 [pcs] 1 286,000.00 - - - - - - - 1 - - - 1 286,000.00 - -

1094 010000011397_20200102_05:28 1 286,000.00 - - - - - - - 1 - - - 1 286,000.00 - -


1095 010000011398 MODEL GIGI TM-009 [pcs] 1 165,000.00 - - - - - - - 1 - - - 1 165,000.00 - -
1096 010000011398_20200102_05:28 1 165,000.00 - - - - - - - 1 - - - 1 165,000.00 - -
1097 010000011399 NERBEKKEN CAREDENT [bok] 10 753,410.00 - - - - - - - 10 - - - 10 753,410.00 - -
1098 010000011399_20200102_05:28 10 75,341.00 - - - - - - - 10 - - - 10 75,341.00 - -
1099 010000011400 PASTA MUMI (IODOFORM) [botol] 1 310,227.00 - - - - - - - 1 - - - 1 310,227.00 - -
1100 010000011400_20200102_05:28 1 310,227.00 - - - - - - - 1 - - - 1 310,227.00 - -
1101 010000011401 POCHPACK-D [botol] - - 5 - - - - 5 2,970,000.00 5 - - - 5 2,970,000.00 - -
1102 010000011401_20210331_11:06 - - 5 - - - - 5 594,000.00 5 - - - 5 594,000.00 - -
1103 010000011438 OAT Kat.I Dewasa Kombipak [Pak] - - - 10 - - - 10 2,881,990.00 - - - - - - 10 2,881,990.00
1104 010000011438_20211227_12:11 - - - 10 - - - 10 288,199.00 - - - - - - 10 288,199.00
1105 010000011479 Rincian tindakan UGD [Rim] 2 234,150.00 - - - - - - - 2 - - - 2 234,150.00 - -
1106 010000011479_20200130_10:43 2 117,075.00 - - - - - - - 2 - - - 2 117,075.00 - -
1107 010000011492 Intec Products/ One Set Anti HIV (1&2) - - - 1,200 - - - 1,200 10,770,000.00 100 - - - 100 - 1,100 10,770,000.00
Tri-Line Test Car [PCS]
1108 010000011492_20210225_01:15 - - - 300 - - - 300 - 100 - - - 100 - 200 -
1109 010000011492_20210428_08:10 - - - 500 - - - 500 11,300.00 - - - - - - 500 11,300.00
1110 010000011492_20211126_03:12 - - - 200 - - - 200 11,300.00 - - - - - - 200 11,300.00
1111 010000011492_20211227_12:11 - - - 200 - - - 200 14,300.00 - - - - - - 200 14,300.00
1112 010000011494 plastik 1 1/2 kg [pak] 3 9,570.00 40 - - - - 40 148,000.00 40 - - - 40 146,470.00 3 11,100.00
1113 010000011494_20200130_10:43 3 3,190.00 - - - - - - - 3 - - - 3 3,190.00 - -
1114 010000011494_20210330_11:12 - - 40 - - - - 40 3,700.00 37 - - - 37 3,700.00 3 3,700.00
1115 010000011495 surat SBAR [lembar] 2,000 468,300.00 - - - - - - - 2,000 - - - 2,000 468,300.00 - -
1116 010000011495_20200130_10:43 2,000 234.15 - - - - - - - 2,000 - - - 2,000 234.15 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1117 010000011496 Family Folder [lembar] - - 3,500 - - - - 3,500 140,000,000.00 3,500 - - - 3,500 140,000,000.00 - -
1118 010000011496_20210630_03:43 - - 3,500 - - - - 3,500 40,000.00 3,500 - - - 3,500 40,000.00 - -
1119 010000011497 lembar resep biru muda [lembar] 2,700 736,875.00 - - - - - - - 200 - - - 200 40,000.00 2,500 696,875.00
1120 010000011497_20200102_10:01 200 200.00 - - - - - - - 200 - - - 200 200.00 - -
1121 010000011497_20200130_10:43 2,500 278.75 - - - - - - - - - - - - - 2,500 278.75
1122 010000011498 lembar resep merah muda [lembar] 1,200 318,750.00 - - - - - - - 1,000 - - - 1,000 263,000.00 200 55,750.00
1123 010000011498_20200102_10:01 200 200.00 - - - - - - - 200 - - - 200 200.00 - -
1124 010000011498_20200130_10:43 1,000 278.75 - - - - - - - 800 - - - 800 278.75 200 278.75
1125 010000011522 SARUNG TANGAN NON STERIL UK L - - - 400 - - - 400 184,800.00 200 - - - 200 92,400.00 200 92,400.00
[BOK]
1126 010000011522_20210629_10:57 - - - 200 - - - 200 462.00 200 - - - 200 462.00 - -
1127 010000011522_20210729_12:13 - - - 200 - - - 200 462.00 - - - - - - 200 462.00
1128 010000011549 Povidon iodin 30 ml [botol] 2 3,000.34 - - - - - - - 2 - - - 2 3,000.34 - -
1129 010000011549_20200228_11:07 2 1,500.17 - - - - - - - 2 - - - 2 1,500.17 - -
1130 010000011563 Dermafik 10 x 25 CM [bok] - - - 50 - - - 50 - - - - - - - 50 -
1131 010000011563_20211227_12:11 - - - 50 - - - 50 - - - - - - - 50 -
1132 010000011574 Fenobarbital 30 mg [tablet] - - - 200 - - - 200 34,200.00 - - - - - - 200 34,200.00
1133 010000011574_20210330_01:52 - - - 200 - - - 200 171.00 - - - - - - 200 171.00
1134 010000011654 SURAT PERMINTAAN PEMERIKSAAN 2 640,000.00 - - - - - - - - - - - - - 2 640,000.00
LABORAT [BUKU]
1135 010000011654_20201030_08:53 2 320,000.00 - - - - - - - - - - - - - 2 320,000.00
1136 010000011696 Halloperidol 5mg [Tablet] - - - 3,200 - - - 3,200 192,000.00 2,200 - - - 2,200 132,000.00 1,000 60,000.00
1137 010000011696_20210225_01:15 - - - 500 - - - 500 60.00 500 - - - 500 60.00 - -
1138 010000011696_20210330_01:52 - - - 1,000 - - - 1,000 60.00 1,000 - - - 1,000 60.00 - -
1139 010000011696_20210629_10:57 - - - 700 - - - 700 60.00 700 - - - 700 60.00 - -
1140 010000011696_20210729_12:13 - - - 700 - - - 700 60.00 - - - - - - 700 60.00
1141 010000011696_20211126_03:12 - - - 300 - - - 300 60.00 - - - - - - 300 60.00
1142 010000011713 Khloramfenikol 1% [Tube] - - - 96 - - - 96 180,576.00 48 - - - 48 90,288.00 48 90,288.00
1143 010000011713_20210629_10:57 - - - 48 - - - 48 1,881.00 48 - - - 48 1,881.00 - -
1144 010000011713_20210729_12:13 - - - 48 - - - 48 1,881.00 - - - - - - 48 1,881.00
1145 010000011736 Stik Asam urat Autochek [Bok] - - 7 - - - - 7 962,500.00 7 - - - 7 962,500.00 - -
1146 010000011736_20210930_10:25 - - 7 - - - - 7 137,500.00 7 - - - 7 137,500.00 - -
1147 010000011737 Stik Gluco clever check [Bok] - - 17 - - - - 17 3,765,500.00 5 - - - 5 1,107,500.00 12 2,658,000.00
1148 010000011737_20210628_03:45 - - 5 - - - - 5 221,500.00 5 - - - 5 221,500.00 - -
1149 010000011737_20210930_10:25 - - 12 - - - - 12 221,500.00 - - - - - - 12 221,500.00
1150 010000011739 Stik Urine 10 Parameter [Bok] - - 1 - - - - 1 107,600.00 1 - - - 1 107,600.00 - -
1151 010000011739_20210628_03:45 - - 1 - - - - 1 107,600.00 1 - - - 1 107,600.00 - -
1152 010000011742 Yellow tips [Pak] - - - 3 - - - 3 - 3 - - - 3 - - -
1153 010000011742_20210428_08:10 - - - 3 - - - 3 - 3 - - - 3 - - -
1154 010000011766 persetujuan tindakan [RIM] 4 374,640.00 - - - - - - - 4 - - - 4 374,640.00 - -
1155 010000011766_20200130_10:43 4 93,660.00 - - - - - - - 4 - - - 4 93,660.00 - -
1156 010000011767 rawat inap cm 1 - cm 5 [RIM] 15 2,575,650.00 - - - - - - - 2 - - - 2 343,420.00 13 2,232,230.00
1157 010000011767_20200130_10:43 15 171,710.00 - - - - - - - 2 - - - 2 171,710.00 13 171,710.00
1158 010000011773 form permintaan radiologi [RIM] - - 1 - - - - 1 - 1 - - - 1 - - -
1159 010000011773_20211027_06:19 - - 1 - - - - 1 - 1 - - - 1 - - -
1160 010000011782 Amplop folder rawat inap [lembar] 14,500 3,847,865.00 - - - - - - - 14,500 - - - 14,500 3,847,865.00 - -
1161 010000011782_20200130_10:43 14,500 265.37 - - - - - - - 14,500 - - - 14,500 265.37 - -
1162 010000011788 Fenol Glicerol TT 10 % ( Karbogliserin TT - - - 48 - - - 48 124,320.00 48 - - - 48 124,320.00 - -
10 % ) [BOTOL]
1163 010000011788_20210128_12:48 - - - 48 - - - 48 2,590.00 48 - - - 48 2,590.00 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1164 010000011822 DEXAMETASON INJEKSI 5 MG / ML-1 - - - 45 - - - 45 49,361.40 45 - - - 45 49,361.40 - -
ML [AMPUL]
1165 010000011822_20210128_12:48 - - - 45 - - - 45 1,096.92 45 - - - 45 1,096.92 - -
1166 010000011823 ALAT SUNTIK 3 ML [PCS] - - - 6,550 - - - 6,550 7,453,900.00 2,850 - - - 2,850 3,243,300.00 3,700 4,210,600.00
1167 010000011823_20210225_01:15 - - - 3,000 - - - 3,000 1,138.00 2,850 - - - 2,850 1,138.00 150 1,138.00
1168 010000011823_20210330_01:52 - - - 1,850 - - - 1,850 1,138.00 - - - - - - 1,850 1,138.00
1169 010000011823_20210428_08:10 - - - 700 - - - 700 1,138.00 - - - - - - 700 1,138.00
1170 010000011823_20210629_10:57 - - - 500 - - - 500 1,138.00 - - - - - - 500 1,138.00
1171 010000011823_20210729_12:13 - - - 500 - - - 500 1,138.00 - - - - - - 500 1,138.00
1172 010000011825 CIPROFLOKSASIN 500 MG [TABLET] - - 50 - - - - 50 2,850,000.00 50 - - - 50 2,850,000.00 - -
1173 010000011825_20210930_10:25 - - 50 - - - - 50 57,000.00 50 - - - 50 57,000.00 - -
1174 010000011826 ALAT SUNTIK 5 ML [PCS] - - - 1,000 - - - 1,000 770,000.00 1,000 - - - 1,000 770,000.00 - -
1175 010000011826_20210330_01:52 - - - 1,000 - - - 1,000 770.00 1,000 - - - 1,000 770.00 - -
1176 010000011827 KETOKENAZOLE 2 % KRIM [TUBE] - - - 50 - - - 50 125,895.00 50 - - - 50 125,895.00 - -
1177 010000011827_20210930_09:36 - - - 50 - - - 50 2,517.90 50 - - - 50 2,517.90 - -
1178 010000011830 GLIBENKLAMIDE 5 MG [TABLET] - - - 6,000 - - - 6,000 714,000.00 4,000 - - - 4,000 476,000.00 2,000 238,000.00
1179 010000011830_20210629_10:57 - - - 2,000 - - - 2,000 119.00 2,000 - - - 2,000 119.00 - -
1180 010000011830_20210729_12:13 - - - 2,000 - - - 2,000 119.00 2,000 - - - 2,000 119.00 - -
1181 010000011830_20210930_09:36 - - - 2,000 - - - 2,000 119.00 - - - - - - 2,000 119.00
1182 010000011833 PYRIDOKSIN HCL 10 MG / VITAMIN B6 - - - 9,800 - - - 9,800 1,205,400.00 4,200 - - - 4,200 516,600.00 5,600 688,800.00
[TABLET]
1183 010000011833_20210128_12:48 - - - 800 - - - 800 123.00 800 - - - 800 123.00 - -
1184 010000011833_20210330_01:52 - - - 5,000 - - - 5,000 123.00 3,400 - - - 3,400 123.00 1,600 123.00
1185 010000011833_20210629_10:57 - - - 2,000 - - - 2,000 123.00 - - - - - - 2,000 123.00
1186 010000011833_20210729_12:13 - - - 2,000 - - - 2,000 123.00 - - - - - - 2,000 123.00
1187 010000011834 SLIDE BOX [PAK] - - - 9 - - - 9 513,900.00 9 - - - 9 513,900.00 - -
1188 010000011834_20210428_08:10 - - - 9 - - - 9 57,100.00 9 - - - 9 57,100.00 - -
1189 010000011838 ASAM ASCORBAT 50 MG [TABLET] - - - 6,000 - - - 6,000 630,000.00 3,632 - - - 3,632 381,360.00 2,368 248,640.00
1190 010000011838_20210629_10:57 - - - 3,000 - - - 3,000 105.00 3,000 - - - 3,000 105.00 - -
1191 010000011838_20210729_12:13 - - - 3,000 - - - 3,000 105.00 632 - - - 632 105.00 2,368 105.00
1192 010000011839 KHLORAMFENIKOL 500 MG [KAPSUL] - - - 3,000 - - - 3,000 3,144,000.00 600 - - - 600 628,800.00 2,400 2,515,200.00

1193 010000011839_20210330_01:52 - - - 2,000 - - - 2,000 1,048.00 600 - - - 600 1,048.00 1,400 1,048.00
1194 010000011839_20210629_10:57 - - - 500 - - - 500 1,048.00 - - - - - - 500 1,048.00
1195 010000011839_20210729_12:13 - - - 500 - - - 500 1,048.00 - - - - - - 500 1,048.00
1196 010000011848 KALSIUM LAKTAT [TABLET] - - 30 - - - - 30 639,000.00 26 - - - 26 553,800.00 4 85,200.00
1197 010000011848_20210930_10:25 - - 30 - - - - 30 21,300.00 26 - - - 26 21,300.00 4 21,300.00
1198 010000011850 Umbilical Cord Nylon [PCS] - - - 100 - - - 100 130,000.00 - - - - - - 100 130,000.00
1199 010000011850_20210330_01:52 - - - 100 - - - 100 1,300.00 - - - - - - 100 1,300.00
1200 010000011867 Solathim syr [botol] - - - 3 - - - 3 38,250.00 3 - - - 3 38,250.00 - -
1201 010000011867_20210128_12:48 - - - 3 - - - 3 12,750.00 3 - - - 3 12,750.00 - -
1202 010000011870 Form Survey Hal 1 (Daftar lembar 2 312,200.00 - - - - - - - - - - - - - 2 312,200.00
dokter) [RIM]
1203 010000011870_20200130_10:43 2 156,100.00 - - - - - - - - - - - - - 2 156,100.00
1204 010000011893 Face shield [PCS] - - - 40 - - - 40 - 36 - - - 36 - 4 -
1205 010000011893_20210330_01:52 - - - 40 - - - 40 - 36 - - - 36 - 4 -
1206 010000011948 CATGUT PLAIN [PCS] - - 1 - - - - 1 146,000.00 1 - - - 1 146,000.00 - -
1207 010000011948_20210628_03:45 - - 1 - - - - 1 146,000.00 1 - - - 1 146,000.00 - -
1208 010000012026 Plesterin [pcs] - - - 9 - - - 9 - 9 - - - 9 - - -
1209 010000012026_20210428_08:10 - - - 9 - - - 9 - 9 - - - 9 - - -
1210 010000012056 KACA MATA GOOGLE [PCS] 8 792,000.00 - - - - - - - 2 - - - 2 198,000.00 6 594,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1211 010000012056_20200429_10:33 8 99,000.00 - - - - - - - 2 - - - 2 99,000.00 6 99,000.00
1212 010000012057 COVER SHOES [SET] - - - 100 - - - 100 3,600,000.00 40 - - - 40 1,440,000.00 60 2,160,000.00
1213 010000012057_20210330_01:52 - - - 100 - - - 100 36,000.00 40 - - - 40 36,000.00 60 36,000.00
1214 010000012060 MASKER KN95 [PCS] - - - 10 - - - 10 7,600.00 10 - - - 10 7,600.00 - -
1215 010000012060_20211202_09:07 - - - 10 - - - 10 760.00 10 - - - 10 760.00 - -
1216 010000012061 DACRON SWAB [PCS] - - - 57 - - - 57 - 57 - - - 57 - - -
1217 010000012061_20210128_12:48 - - - 57 - - - 57 - 57 - - - 57 - - -
1218 010000012062 VTM [PCS] - - - 74 - - - 74 - 17 - - - 17 - 57 -
1219 010000012062_20210128_12:48 - - - 57 - - - 57 - 17 - - - 17 - 40 -
1220 010000012062_20210528_10:15 - - - 17 - - - 17 - - - - - - - 17 -
1221 010000012070 APRON PLASTIK [PCS] - - - 130 - - - 130 - 130 - - - 130 - - -
1222 010000012070_20210330_01:52 - - - 130 - - - 130 - 130 - - - 130 - - -
1223 010000012077 SYPHILIS TREPOCHEK [PCS] - - - 400 - - - 400 - 400 - - - 400 - - -
1224 010000012077_20210428_08:10 - - - 400 - - - 400 - 400 - - - 400 - - -
1225 010000012086 APD PARASUT [PCS] 16 2,176,000.00 - - - - - - - 16 - - - 16 2,176,000.00 - -
1226 010000012086_20201030_10:35 16 136,000.00 - - - - - - - 16 - - - 16 136,000.00 - -
1227 010000012106 Obat Diare [pcs] - - 100 - - - - 100 642,600.00 100 - - - 100 642,600.00 - -
1228 010000012106_20210930_10:25 - - 100 - - - - 100 6,426.00 100 - - - 100 6,426.00 - -
1229 010000012126 DACRON SWAB NASOFARING [PCS] - - - 64 - - - 64 - 57 - - - 57 - 7 -
1230 010000012126_20210128_12:48 - - - 57 - - - 57 - 57 - - - 57 - - -
1231 010000012126_20210428_08:10 - - - 7 - - - 7 - - - - - - - 7 -
1232 010000012127 DACRON OROFARING [PCS] - - - 7 - - - 7 - 7 - - - 7 - - -
1233 010000012127_20210428_08:10 - - - 7 - - - 7 - 7 - - - 7 - - -
1234 010000012130 FACE SHIELD PERMATA PANTURA [PCS] - - - 50 - - - 50 - 50 - - - 50 - - -

1235 010000012130_20210330_01:52 - - - 50 - - - 50 - 50 - - - 50 - - -
1236 010000012144 PANBIO SWAB TEST ANTIGEN [PCS] - - 55 610 - - - 665 70,950,000.00 75 - - - 75 25,800,000.00 590 45,150,000.00
1237 010000012144_20210428_08:10 - - - 35 - - - 35 - 35 - - - 35 - - -
1238 010000012144_20210628_03:45 - - 20 - - - - 20 1,290,000.00 20 - - - 20 1,290,000.00 - -
1239 010000012144_20210930_09:36 - - - 500 - - - 500 - 20 - - - 20 - 480 -
1240 010000012144_20210930_10:25 - - 35 - - - - 35 1,290,000.00 - - - - - - 35 1,290,000.00
1241 010000012144_20211230_02:41 - - - 75 - - - 75 - - - - - - - 75 -
1242 010000012221 ERMUNO [TABLET] - - - 150 - - - 150 - 150 - - - 150 - - -
1243 010000012221_20210330_01:52 - - - 150 - - - 150 - 150 - - - 150 - - -
1244 010000012224 MASKER BEDAH NUSASAFE [PCS] - - - 10,000 - - - 10,000 - 10,000 - - - 10,000 - - -
1245 010000012224_20210428_08:10 - - - 10,000 - - - 10,000 - 10,000 - - - 10,000 - - -
1246 010000012226 VTM BIOGLOGIX [PCS] - - - 12 - - - 12 - 12 - - - 12 - - -
1247 010000012226_20210428_08:10 - - - 12 - - - 12 - 12 - - - 12 - - -
1248 010000012243 Kertas EKG 21,5 cm x 25 m [roll] 3 264,000.00 - - - - - - - 3 - - - 3 264,000.00 - -
1249 010000012243_20201030_10:35 3 88,000.00 - - - - - - - 3 - - - 3 88,000.00 - -
1250 010000012268 Silk Black 3/0 Broun UF [Roll] 1 612,000.00 - - - - - - - 1 - - - 1 612,000.00 - -
1251 010000012268_20201030_10:35 1 612,000.00 - - - - - - - 1 - - - 1 612,000.00 - -
1252 010000012276 Alat suntik 3 ml terumo [pcs] - - - 1,000 - - - 1,000 1,138,000.00 - - - - - - 1,000 1,138,000.00
1253 010000012276_20210930_09:36 - - - 1,000 - - - 1,000 1,138.00 - - - - - - 1,000 1,138.00
1254 010000012298 Stik HB Quik Chek 50 pcs [pcs] - - 3 - - - - 3 1,128,900.00 1 - - - 1 376,300.00 2 752,600.00
1255 010000012298_20210628_03:45 - - 3 - - - - 3 376,300.00 1 - - - 1 376,300.00 2 376,300.00
1256 010000012299 Kertas puyer pres [bok] - - 1 - - - - 1 2,230,700.00 1 - - - 1 2,230,700.00 - -
1257 010000012299_20210628_03:45 - - 1 - - - - 1 2,230,700.00 1 - - - 1 2,230,700.00 - -
1258 010000012324 APD HAZMAT/COVER ALL [PCS] - - - 70 - - - 70 4,308.00 30 - - - 30 4,308.00 40 -
1259 010000012324_20210428_08:10 - - - 6 - - - 6 - 6 - - - 6 - - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1260 010000012324_20210528_10:15 - - - 4 - - - 4 1,077.00 4 - - - 4 1,077.00 - -
1261 010000012324_20211202_09:07 - - - 60 - - - 60 - 20 - - - 20 - 40 -
1262 010000012331 HANDSANITIZER 5 LITER [GALON] - - 15 - - - - 15 5,644,500.00 9 - - - 9 3,386,700.00 6 2,257,800.00
1263 010000012331_20210628_03:45 - - 15 - - - - 15 376,300.00 9 - - - 9 376,300.00 6 376,300.00
1264 010000012340 BARANG CETAKAN - Form Tarif - - 10 - - - - 10 1,300,000.00 9 - - - 9 1,170,000.00 1 130,000.00
Pelayanan UGD/ Rawat Inap [RIM]
1265 010000012340_20210630_03:43 - - 10 - - - - 10 130,000.00 9 - - - 9 130,000.00 1 130,000.00
1266 010000012358 FILM RONTGEN 24 X 30 [BOK] - - 1 - - - - 1 1,168,300.00 1 - - - 1 1,168,300.00 - -
1267 010000012358_20210628_03:45 - - 1 - - - - 1 1,168,300.00 1 - - - 1 1,168,300.00 - -
1268 010000012360 FILM RONTGEN 35 X 35 [BOK] - - 1 - - - - 1 1,881,300.00 1 - - - 1 1,881,300.00 - -
1269 010000012360_20210628_03:45 - - 1 - - - - 1 1,881,300.00 1 - - - 1 1,881,300.00 - -
1270 010000012363 STICK NARKOTIKA (AMPHETAMIN) - - 3 - - - - 3 1,322,661.00 1 - - - 1 661,000.00 2 661,661.00
[BOK]
1271 010000012363_20210628_03:45 - - 2 - - - - 2 661,000.00 1 - - - 1 661,000.00 1 661,000.00
1272 010000012363_20210930_10:25 - - 1 - - - - 1 661.00 - - - - - - 1 661.00
1273 010000012367 RM PONED 1 MUKA [RIM] 3 398,055.00 6 - - - - 6 780,000.00 1 - - - 1 132,685.00 8 1,045,370.00
1274 010000012367_20200130_10:43 3 132,685.00 - - - - - - - 1 - - - 1 132,685.00 2 132,685.00
1275 010000012367_20210630_03:43 - - 6 - - - - 6 130,000.00 - - - - - - 6 130,000.00
1276 010000012368 RM PONED 2 MUKA [RIM] 2 343,420.00 4 - - - - 4 700,000.00 1 - - - 1 171,710.00 5 871,710.00
1277 010000012368_20200130_10:43 2 171,710.00 - - - - - - - 1 - - - 1 171,710.00 1 171,710.00
1278 010000012368_20210630_03:43 - - 4 - - - - 4 175,000.00 - - - - - - 4 175,000.00
1279 010000012605 MULTIVITAMIN SIVIT ZINC [KAPLET] - - - 4,560 - - - 4,560 - - - - - - - 4,560 -
1280 010000012605_20210225_01:15 - - - 4,560 - - - 4,560 - - - - - - - 4,560 -
1281 010000012616 RAPIT TEST ANTIGEN SD BIOSENSOR - - - 176 - - - 176 - 76 - - - 76 - 100 -
BNPB [PCS]
1282 010000012616_20210225_01:15 - - - 100 - - - 100 - 76 - - - 76 - 24 -
1283 010000012616_20210528_10:15 - - - 76 - - - 76 - - - - - - - 76 -
1284 010000012617 FACE SHIELD ANAK [PCS] - - - 20 - - - 20 - - - - - - - 20 -
1285 010000012617_20210330_01:52 - - - 20 - - - 20 - - - - - - - 20 -
1286 010000012618 INDEC ANTIGEN COVID [PCS] - - - 27 - - - 27 - 27 - - - 27 - - -
1287 010000012618_20210128_12:48 - - - 27 - - - 27 - 27 - - - 27 - - -
1288 010000012623 ECHINACEA [TABLET] - - - 50 - - - 50 440,000.00 50 - - - 50 440,000.00 - -
1289 010000012623_20210330_01:52 - - - 50 - - - 50 8,800.00 50 - - - 50 8,800.00 - -
1290 010000012645 APD HAZMAT [PCS] - - - 36 - - - 36 - 7 - - - 7 - 29 -
1291 010000012645_20210128_12:48 - - - 7 - - - 7 - 7 - - - 7 - - -
1292 010000012645_20210330_01:52 - - - 25 - - - 25 - - - - - - - 25 -
1293 010000012645_20210528_10:15 - - - 4 - - - 4 - - - - - - - 4 -
1294 010000012651 MASKER EARLOP [PCS] - - - 920 - - - 920 - 920 - - - 920 - - -
1295 010000012651_20210225_01:15 - - - 920 - - - 920 - 920 - - - 920 - - -
1296 010000012652 MASKER HEADLOP [PCS] - - - 920 - - - 920 - 920 - - - 920 - - -
1297 010000012652_20210225_01:15 - - - 920 - - - 920 - 920 - - - 920 - - -
1298 010000012663 IMPLANT [PCS] - - - 35 - - - 35 6,121,500.00 25 - - - 25 4,372,500.00 10 1,749,000.00
1299 010000012663_20211202_09:07 - - - 25 - - - 25 174,900.00 25 - - - 25 174,900.00 - -
1300 010000012663_20211227_12:11 - - - 10 - - - 10 174,900.00 - - - - - - 10 174,900.00
1301 010000012664 DUK STERIL [LEMBAR] - - - 300 - - - 300 - - - - - - - 300 -
1302 010000012664_20211227_12:11 - - - 300 - - - 300 - - - - - - - 300 -
1303 010000012698 Kaca Mata google [Pcs] - - - 20 - - - 20 - - - - - - - 20 -
1304 010000012698_20210330_01:52 - - - 20 - - - 20 - - - - - - - 20 -
1305 010000012808 BLOOD LANCET [BOK] - - - 170 - - - 170 - 170 - - - 170 - - -
1306 010000012808_20210428_08:10 - - - 170 - - - 170 - 170 - - - 170 - - -
1307 010000012836 MAKAN MINUM [DUS] - - 6,530 - - - - 6,530 152,303,000.00 6,421 109 - - 6,530 152,303,000.00 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1308 010000012836_20210329_04:10 - - 500 - - - - 500 22,684.00 500 - - - 500 22,684.00 - -
1309 010000012836_20210330_11:30 - - 20 - - - - 20 38,000.00 - 20 - - 20 38,000.00 - -
1310 010000012836_20210429_06:35 - - 200 - - - - 200 23,055.00 200 - - - 200 23,055.00 - -
1311 010000012836_20210429_11:45 - - 20 - - - - 20 13,000.00 - 20 - - 20 13,000.00 - -
1312 010000012836_20210629_06:38 - - 1,200 - - - - 1,200 23,185.00 1,200 - - - 1,200 23,185.00 - -
1313 010000012836_20210830_06:46 - - 500 - - - - 500 26,924.00 500 - - - 500 26,924.00 - -
1314 010000012836_20210929_06:49 - - 800 - - - - 800 20,145.00 800 - - - 800 20,145.00 - -
1315 010000012836_20211029_06:51 - - 1,000 - - - - 1,000 23,686.00 1,000 - - - 1,000 23,686.00 - -
1316 010000012836_20211129_06:58 - - 1,721 - - - - 1,721 23,000.00 1,721 - - - 1,721 23,000.00 - -
1317 010000012836_20211230_07:01 - - 500 - - - - 500 26,562.00 500 - - - 500 26,562.00 - -
1318 010000012836_20211230_12:14 - - 69 - - - - 69 20,000.00 - 69 - - 69 20,000.00 - -
1319 010000012846 ALKOHOL SWAB [PCS] - - - 3,560 - - - 3,560 627,414.40 3,560 - - - 3,560 627,414.40 - -
1320 010000012846_20210428_08:10 - - - 360 - - - 360 176.24 360 - - - 360 176.24 - -
1321 010000012846_20210629_10:57 - - - 1,000 - - - 1,000 176.24 1,000 - - - 1,000 176.24 - -
1322 010000012846_20210729_12:13 - - - 1,000 - - - 1,000 176.24 1,000 - - - 1,000 176.24 - -
1323 010000012846_20211230_02:41 - - - 1,200 - - - 1,200 176.24 1,200 - - - 1,200 176.24 - -
1324 010000012900 FORM LEMBAR PTM [RIM] - - 2 - - - - 2 - 2 - - - 2 - - -
1325 010000012900_20211027_06:19 - - 2 - - - - 2 - 2 - - - 2 - - -
1326 010000013018 BETAMETASON CREAM 1%-5 G [TUBE] - - - 100 - - - 100 133,980.00 100 - - - 100 133,980.00 - -

1327 010000013018_20210930_09:36 - - - 100 - - - 100 1,339.80 100 - - - 100 1,339.80 - -


1328 010000013022 CATRIDGE TCM [PCS] - - - 200 - - - 200 - 200 - - - 200 - - -
1329 010000013022_20211202_09:07 - - - 200 - - - 200 - 200 - - - 200 - - -
1330 010000013086 RAPID ANTIGEN [BOK] - - - 100 - - - 100 - - - - - - - 100 -
1331 010000013086_20211227_12:11 - - - 100 - - - 100 - - - - - - - 100 -
1332 010000013111 PAKET MAKAN PASIEN [DUS] - - 4,910 - - - - 4,910 104,704,609.00 2,870 2,040 - - 4,910 104,704,609.00 - -
1333 010000013111_20210129_11:15 - - 600 - - - - 600 20,306.70 - 600 - - 600 20,306.70 - -
1334 010000013111_20210226_11:26 - - 390 - - - - 390 19,356.60 - 390 - - 390 19,356.60 - -
1335 010000013111_20210330_11:30 - - 400 - - - - 400 23,322.50 - 400 - - 400 23,322.50 - -
1336 010000013111_20210429_11:45 - - 400 - - - - 400 22,615.00 - 400 - - 400 22,615.00 - -
1337 010000013111_20210529_11:51 - - 360 - - - - 360 22,813.90 300 60 - - 360 22,813.90 - -
1338 010000013111_20210629_11:54 - - 360 - - - - 360 22,568.10 360 - - - 360 22,568.10 - -
1339 010000013111_20210730_11:58 - - 250 - - - - 250 19,498.00 250 - - - 250 19,498.00 - -
1340 010000013111_20210830_12:01 - - 100 - - - - 100 18,659.90 100 - - - 100 18,659.90 - -
1341 010000013111_20210929_12:03 - - 300 - - - - 300 21,345.00 300 - - - 300 21,345.00 - -
1342 010000013111_20211029_12:05 - - 400 - - - - 400 22,637.50 400 - - - 400 22,637.50 - -
1343 010000013111_20211129_12:09 - - 500 - - - - 500 21,941.00 500 - - - 500 21,941.00 - -
1344 010000013111_20211230_12:14 - - 850 - - - - 850 20,105.30 660 190 - - 850 20,105.30 - -
1345 010000013113 PAKET MAKAN PUASA [DUS] - - 420 - - - - 420 6,152,870.00 10 - - - 10 150,070.00 410 6,002,800.00
1346 010000013113_20210429_11:45 - - 410 - - - - 410 15,007.00 10 - - - 10 15,007.00 400 15,007.00
1347 010000013113_20211230_09:56 - - 10 - - - - 10 - - - - - - - 10 -
1348 010000013126 Sarung tangan non steril sensi [BOK] - - 100 - - - - 100 12,900,000.00 100 - - - 100 12,900,000.00 - -

1349 010000013126_20211029_06:51 - - 100 - - - - 100 129,000.00 100 - - - 100 129,000.00 - -


1350 010000013468 EXTRAFOODING [PAK] - - 770 - - - - 770 4,441,500.00 330 140 - - 470 4,045,300.00 300 396,200.00
1351 010000013468_20210129_11:15 - - 140 - - - - 140 7,000.00 - 140 - - 140 7,000.00 - -
1352 010000013468_20210330_11:30 - - 70 - - - - 70 7,000.00 70 - - - 70 7,000.00 - -
1353 010000013468_20210730_11:58 - - 300 - - - - 300 9,905.00 260 - - - 260 9,905.00 40 9,905.00
1354 010000013468_20211230_09:56 - - 260 - - - - 260 - - - - - - - 260 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1355 010000013595 FDC TLD : Tenofovir 300 mg - - - 150 - - - 150 41,958,000.00 - - - - - - 150 41,958,000.00
+Lamivudine 300 mg + Dolutegravir 50
mg [TABLET]
1356 010000013595_20211227_12:11 - - - 150 - - - 150 279,720.00 - - - - - - 150 279,720.00
1357 2032796908014 PAPAVERIN [TABLET] 2,100 640,014.00 - - - - - - - 2,100 - - - 2,100 640,014.00 - -
1358 2032796908014_20200429_10:33 100 240.14 - - - - - - - 100 - - - 100 240.14 - -
1359 2032796908014_20200429_10:43 2,000 308.00 - - - - - - - 2,000 - - - 2,000 308.00 - -
1360 2032796908015 PARACETAMOL [TABLET] - - - 1,500 - - - 1,500 79,500.00 1,500 - - - 1,500 79,500.00 - -
1361 2032796908015_20210225_01:15 - - - 1,500 - - - 1,500 53.00 1,500 - - - 1,500 53.00 - -
1362 2032796908016 PIROXICAM [TABLET] - - 10 - - - - 10 218,000.00 - - - - - - 10 218,000.00
1363 2032796908016_20210930_10:25 - - 10 - - - - 10 21,800.00 - - - - - - 10 21,800.00
1364 312030086757 BUKU FOLIO HC ISI 100 GELATIK - - 30 - - - - 30 555,000.00 - - - - - - 30 555,000.00
KEMBAR [BUKU]
1365 312030086757_20210630_03:43 - - 30 - - - - 30 18,500.00 - - - - - - 30 18,500.00
1366 326010040202 BUKU KWITANSI KECIL [BUAH] 14 49,000.00 - - - - - - - 7 - - - 7 24,500.00 7 24,500.00
1367 326010040202_20200102_10:01 14 3,500.00 - - - - - - - 7 - - - 7 3,500.00 7 3,500.00
1368 38886008101047 AQUA GELAS 220 ML [DUS] - - 20 - - - - 20 340,000.00 - 20 - - 20 340,000.00 - -
1369 38886008101047_20210226_11:26 - - 10 - - - - 10 16,500.00 - 10 - - 10 16,500.00 - -
1370 38886008101047_20211129_12:09 - - 10 - - - - 10 17,500.00 - 10 - - 10 17,500.00 - -
1371 4042809274554 HYPAFIX 5CM X 1M [ROLL] 11 2,244,000.00 - - - - - - - - - - - - - 11 2,244,000.00
1372 4042809274554_20201030_10:35 11 204,000.00 - - - - - - - - - - - - - 11 204,000.00
1373 4902870729240 STAPLES HD-50 MAX [BUAH] - - 10 - - - - 10 100,000.00 8 - - - 8 80,000.00 2 20,000.00
1374 4902870729240_20210630_03:43 - - 10 - - - - 10 10,000.00 8 - - - 8 10,000.00 2 10,000.00
1375 4902870762131 ISI STAPLES NO.10 [PAK] - - 200 - - - - 200 360,000.00 45 - - - 45 81,000.00 155 279,000.00
1376 4902870762131_20210630_03:43 - - 200 - - - - 200 1,800.00 45 - - - 45 1,800.00 155 1,800.00
1377 7237845251110 MASKER HIJAB [BOK] 58 2,175,000.00 200 - - - - 200 6,006,000.00 100 - - - 100 4,695,000.00 158 3,486,000.00
1378 7237845251110_20201030_10:35 58 37,500.00 - - - - - - - 58 - - - 58 37,500.00 - -
1379 7237845251110_20210628_03:45 - - 100 - - - - 100 60,000.00 42 - - - 42 60,000.00 58 60,000.00
1380 7237845251110_20210930_10:25 - - 100 - - - - 100 60.00 - - - - - - 100 60.00
1381 8718291206538 PHILIPS TORNADO 24 W [BUAH] - - 2 - - - - 2 - 2 - - - 2 - - -
1382 8718291206538_20210330_11:12 - - 2 - - - - 2 - 2 - - - 2 - - -
1383 8991389138717 HVS F4 70 GRAM NATURAL [RIM] 97 5,141,000.00 150 - - - - 150 8,250,000.00 117 - - - 117 6,241,000.00 130 7,150,000.00
1384 8991389138717_20201030_08:53 97 53,000.00 - - - - - - - 97 - - - 97 53,000.00 - -
1385 8991389138717_20210630_03:43 - - 150 - - - - 150 55,000.00 20 - - - 20 55,000.00 130 55,000.00
1386 899138929120 KERTAS HVS F4 ANEKA WARNA [RIM] 10 680,000.00 - - - - - - - 10 - - - 10 680,000.00 - -
1387 899138929120_20201030_08:53 10 68,000.00 - - - - - - - 10 - - - 10 68,000.00 - -
1388 8991389304464 BUKU SIDU 38 LBR [BUAH] 73 292,000.00 - - - - - - - 63 - - - 63 252,000.00 10 40,000.00
1389 8991389304464_20200130_10:43 73 4,000.00 - - - - - - - 63 - - - 63 4,000.00 10 4,000.00
1390 8992727002844 Attack Softener [BUAH] 6 12,000.00 - - - - - - - 6 - - - 6 12,000.00 - -
1391 8992727002844_20200102_10:01 6 2,000.00 - - - - - - - 6 - - - 6 2,000.00 - -
1392 8992745325406 STELLA MATIC [PCS] - - 15 - - - - 15 900,000.00 1 - - - 1 60,000.00 14 840,000.00
1393 8992745325406_20210531_11:29 - - 15 - - - - 15 60,000.00 1 - - - 1 60,000.00 14 60,000.00
1394 8992745325550 STELLA MATIC REF 225ML W FLOWER - - 50 - - - - 50 1,425,000.00 2 - - - 2 57,000.00 48 1,368,000.00
[PCS]
1395 8992745325550_20210531_11:29 - - 50 - - - - 50 28,500.00 2 - - - 2 28,500.00 48 28,500.00
1396 8992799154014 DULCOLAX 4 TABLET [KAPLET] 80 24,000.00 - - - - - - - 80 - - - 80 24,000.00 - -
1397 8992799154014_20200429_10:43 80 300.00 - - - - - - - 80 - - - 80 300.00 - -
1398 8993515361167 PARACETAMOL 500MG [KAPLET] 5,000 265,000.00 100 - - - - 100 2,100,000.00 100 - - - 100 5,300.00 5,000 2,359,700.00
1399 8993515361167_20201030_10:46 5,000 53.00 - - - - - - - 100 - - - 100 53.00 4,900 53.00
1400 8993515361167_20210628_03:45 - - 100 - - - - 100 21,000.00 - - - - - - 100 21,000.00
1401 8993988310037 JOYKO PERFURATOR 30XL [BUAH] - - 5 - - - - 5 300,000.00 4 - - - 4 240,000.00 1 60,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1402 8993988310037_20210630_03:43 - - 5 - - - - 5 60,000.00 4 - - - 4 60,000.00 1 60,000.00
1403 8994311101056 KENKO TIP-X FN 301 [PCS] - - 20 - - - - 20 120,000.00 3 - - - 3 18,000.00 17 102,000.00
1404 8994311101056_20210630_03:43 - - 20 - - - - 20 6,000.00 3 - - - 3 6,000.00 17 6,000.00
1405 8994742497100 BENEX ODNER LAF919 10 [BUAH] - - 10 - - - - 10 220,000.00 10 - - - 10 220,000.00 - -
1406 8994742497100_20210630_03:43 - - 10 - - - - 10 22,000.00 10 - - - 10 22,000.00 - -
1407 8995757205308 KIKY KWARTO 100 MERMER [PAK] 297 14,850,000.00 - - - - - - - - - - - - - 297 14,850,000.00
1408 8995757205308_20200130_10:43 297 50,000.00 - - - - - - - - - - - - - 297 50,000.00
1409 8997013385038 Buku Tulis Sidu 58 Lembar [PAK] - - 60 - - - - 60 360,000.00 31 - - - 31 186,000.00 29 174,000.00
1410 8997013385038_20210630_03:43 - - 60 - - - - 60 6,000.00 31 - - - 31 6,000.00 29 6,000.00
1411 8997777020237 ISOLASI BENING SEDANG [BUAH] 56 112,000.00 - - - - - - - 3 - - - 3 6,000.00 53 106,000.00
1412 8997777020237_20200102_10:01 56 2,000.00 - - - - - - - 3 - - - 3 2,000.00 53 2,000.00
1413 8998838800638 KENKO PAPERCLIP 05 JB [BOK] 19 133,000.00 - - - - - - - 11 - - - 11 77,000.00 8 56,000.00
1414 8998838800638_20201030_08:53 19 7,000.00 - - - - - - - 11 - - - 11 7,000.00 8 7,000.00
1415 8998866601573 PEMUTIH 1000 ML [BOTOL] 197 1,674,500.00 - - - - - - - - - - - - - 197 1,674,500.00
1416 8998866601573_20201030_08:53 197 8,500.00 - - - - - - - - - - - - - 197 8,500.00
1417 8998866605267 NUVO HS BT 85 HIJAU [PCS] 47 564,000.00 - - - - - - - 47 - - - 47 564,000.00 - -
1418 8998866605267_20201030_08:53 47 12,000.00 - - - - - - - 47 - - - 47 12,000.00 - -
1419 8998866606370 SUPERSOL BTL/900 [BOTOL] - - 50 - - - - 50 625,000.00 - - - - - - 50 625,000.00
1420 8998866606370_20210531_11:29 - - 50 - - - - 50 12,500.00 - - - - - - 50 12,500.00
1421 8998899013046 Bayclin 200ml [BOTOL] 12 58,872.00 - - - - - - - 12 - - - 12 58,872.00 - -
1422 8998899013046_20200130_10:43 12 4,906.00 - - - - - - - 12 - - - 12 4,906.00 - -
1423 8998899113074 Bayclin 500ml [BOTOL] 5 80,000.00 - - - - - - - 5 - - - 5 80,000.00 - -
1424 8998899113074_20200730_08:46 5 16,000.00 - - - - - - - 5 - - - 5 16,000.00 - -
1425 8999999023256 RINSO SCH/53G [PCS] 1,039 899,126.06 - - - - - - - 288 - - - 288 251,411.09 751 647,714.97
1426 8999999023256_20200730_08:46 241 875.00 - - - - - - - 241 - - - 241 875.00 - -
1427 8999999023256_20201030_08:53 798 862.47 - - - - - - - 47 - - - 47 862.47 751 862.47
1428 8999999026417 MOLTO SCHET/500 [DUS] - - 204 - - - - 204 89,250.00 204 - - - 204 89,250.00 - -
1429 8999999026417_20210531_11:29 - - 204 - - - - 204 437.50 204 - - - 204 437.50 - -
1430 TINTA STAMPEL SALDOAWAL [BOTOL] 10 140,000.00 - - - - - - - 10 - - - 10 140,000.00 - -
1431 TINTA STAMPEL_20200130_10:43 10 14,000.00 - - - - - - - 10 - - - 10 14,000.00 - -

Kendal,
Pengurus Barang

( ……. ……. ……. ……. ……. ……. )

Anda mungkin juga menyukai