Waktu

31 Mei 2013 22:09

Item
CORDARONE TABLET 200 MG
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
2,00
1,00

31 Mei 2013 22:06

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 15:57

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
4,00

31 Mei 2013 15:33

Item
LIDOCAIN 2% INJECTION
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
20,00
2,00

31 Mei 2013 12:33

Item
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
2,00

31 Mei 2013 12:29

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

31 Mei 2013 11:35

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

31 Mei 2013 11:06

Item
CTM 4 MG TABLET
HEPTASAN TABLET, FILM COATED 4 MG
EQUAL REFILL SACHET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
3,00

31 Mei 2013 10:36

Item
ACETYLCYSTEIN 200MG CAPS
DIGOXIN INF TABLET
FUROSEMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
AMBROXOL INF 30 MG TABLET
VIVACE 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
EXTENSION TUBE ET 2 (DWS)
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
5,00
1,00
3,00
2,00
3,00
2,00
3,00
1,00
20,00
1,00
1,00
3,00
3,00
15,00

31 Mei 2013 10:22

Item
VITAMIN B1 50 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
2,00

31 Mei 2013 09:20

Item
IVENA IV CATH 22
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

30 Mei 2013 11:07

Item
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

30 Mei 2013 11:07

Item
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
1,00
42,00
4,00

30 Mei 2013 10:56

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 10:56

Item
TRANSFUSION SET JMS
IVENA IV CATH 24
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 10:35

Item
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
12,00

TUSLAH NON RACIKAN

TOTAL

1,00

30 Mei 2013 10:33

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
2,00

30 Mei 2013 10:33

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

30 Mei 2013 08:23

Item
ASPAR-K TABLET, COATED 300 mg
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
10,00
2,00

30 Mei 2013 05:41

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 20:42

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

29 Mei 2013 20:28

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
3,00

TOTAL

29 Mei 2013 20:27

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

29 Mei 2013 20:25

Item
BISOPROLOL 5 MG TABLET
TANAPRESS 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

29 Mei 2013 20:25

Item
THROMBO ASPILETS 100 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
2,00

29 Mei 2013 20:23

Item
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

29 Mei 2013 20:23

Item
FARGOXIN INJECTION
THROMBO ASPILETS 100 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FARMADOL 100 ML INFUSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
4,00
5,00

29 Mei 2013 20:18

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
3,00

29 Mei 2013 20:17

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
6,00
1,00
5,00

29 Mei 2013 20:15

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
2,00

29 Mei 2013 20:15

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
4,00

29 Mei 2013 20:10

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
GLIQUIDONE 30 MG TABLET
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
7,00
28,00
14,00
5,00

29 Mei 2013 20:09

Item
CLOPIDOGREL 75 MG TABLET
LEVOFLOXACIN INF TABLET
PARACETAMOL INF TABLET 500 mg
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
6,00
15,00
15,00
4,00

29 Mei 2013 20:05

Item
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
3,00

29 Mei 2013 20:04

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 20:02

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

29 Mei 2013 20:01

Item
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
H.C.T 25 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
5,00
8,00
5,00
15,00
5,00

29 Mei 2013 19:58

JAKARTA SEHAT

Item
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
12,00
3,00
3,00

29 Mei 2013 19:57

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
7,00
2,00

29 Mei 2013 19:56

Item
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 19:24

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
7,00
7,00
3,00

29 Mei 2013 19:24

Item
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 19:21

Item
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

29 Mei 2013 19:21

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
28,00
4,00

29 Mei 2013 18:34

Item
AMOXICILLIN 500 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
14,00
7,00
1,00
4,00

29 Mei 2013 18:03

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
7,00
7,00
3,00

29 Mei 2013 18:03

Item
FUROSEMID INF TABLET
SOLAC SYRUP
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00
30,00
3,00

29 Mei 2013 18:01

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 18:01

Item

JAKARTA SEHAT
Quantity

THROMBO ASPILETS 100 MG TABLET

AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
METFORMIN HCL 500 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
14,00
20,00
5,00

29 Mei 2013 17:41

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

29 Mei 2013 17:40

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
126,00
14,00
7,00
42,00
5,00

29 Mei 2013 17:38

Item
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
56,00
2,00

29 Mei 2013 17:37

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

29 Mei 2013 17:34

Item

JAKARTA SEHAT
Quantity

BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
1,00

29 Mei 2013 17:33

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
20,00
4,00

29 Mei 2013 17:32

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 17:31

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
7,00
14,00
6,00

29 Mei 2013 17:29

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

29 Mei 2013 17:29

Item
BISOPROLOL 5 MG TABLET
GLIQUIDONE 30 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

ACARBOSE 100 MG TABLET

TUSLAH NON RACIKAN
TOTAL

14,00
3,00

29 Mei 2013 17:05

Item
BISOPROLOL 5 MG TABLET
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

29 Mei 2013 17:04

Item
ADALAT OROS 30 MG TABLET
MICARDIS TABLET 80 mg
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

29 Mei 2013 17:02

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
14,00
2,00

29 Mei 2013 17:02

Item
CARDIO ASPIRIN TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
20,00
4,00

29 Mei 2013 17:00

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
28,00
3,00

29 Mei 2013 17:00

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
42,00
4,00

29 Mei 2013 16:56

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

29 Mei 2013 16:55

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
ASPAR-K TABLET, COATED 300 mg
LEVOFLOXACIN INF TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
28,00
14,00
21,00
1,00
6,00

29 Mei 2013 16:53

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 16:51

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
CANDESARTAN 16MG TABL
SIMVASTATIN GENERIK 10 MG TABLET
GLIMEPIRIDE 2 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
14,00
42,00
6,00

TOTAL

29 Mei 2013 16:50

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
LEVOFLOXACIN INF TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
168,00
14,00
7,00
10,00
28,00
6,00

29 Mei 2013 16:36

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

29 Mei 2013 16:35

Item
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
28,00
14,00
7,00
7,00

29 Mei 2013 16:33

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
28,00
2,00

29 Mei 2013 16:32

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
CARDIO ASPIRIN TABLET

JAKARTA SEHAT
Quantity
1,00
14,00

CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
GLIMEPIRIDE 2 MG TABLET
METFORMIN HCL 500 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
14,00
42,00
12,00
8,00

29 Mei 2013 16:32

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
28,00
2,00

29 Mei 2013 16:32

Item
CARDIO ASPIRIN TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LEVOFLOXACIN INF TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
20,00
5,00

29 Mei 2013 16:27

Item
CORDARONE TABLET 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

29 Mei 2013 16:26

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DEXAMETHASONE 5 MG INJECTION
CLOPIDOGREL 75 MG TABLET
MICARDIS TABLET 80 mg
SIMVASTATIN GENERIK 10 MG TABLET
ALPENTIN 300 MG TABLET
LEVOFLOXACIN INF TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
14,00
14,00
28,00
14,00
10,00
20,00
8,00

TOTAL

29 Mei 2013 16:11

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
28,00
14,00
3,00

29 Mei 2013 16:11

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
14,00
10,00
6,00

29 Mei 2013 16:06

Item
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 80 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
1,00
3,00

29 Mei 2013 16:05

Item
LANSOPRAZOLE GENERIK CAPSULE
DOMPERIDON INF TABLET 10 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
28,00
1,00
3,00

29 Mei 2013 16:01

Item
ISOSORBIDE DINITRATE INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
28,00
14,00
2,00

TOTAL

29 Mei 2013 16:00

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
2,00

29 Mei 2013 15:58

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
15,00
2,00

29 Mei 2013 15:58

Item
DIGOXIN INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00

29 Mei 2013 15:48

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

29 Mei 2013 15:40

Item
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
10,00
2,00

29 Mei 2013 15:40

Item
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
28,00
42,00
2,00

TOTAL

29 Mei 2013 14:34

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

29 Mei 2013 14:33

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
42,00
15,00
5,00

29 Mei 2013 14:17

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 14:12

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
168,00
7,00
4,00

29 Mei 2013 14:10

Item
V BLOCK 25 MG TABLET
HYPERIL 5 MG TABLET
GLIQUIDONE 30 MG TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
28,00
28,00
14,00
4,00

29 Mei 2013 14:08

Item
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
15,00
4,00

29 Mei 2013 14:06

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 14:06

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
3,00
5,00

29 Mei 2013 13:51

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

29 Mei 2013 13:51

Item
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
42,00
6,00

29 Mei 2013 13:41

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
1,00
6,00
5,00

29 Mei 2013 13:37

Item
LANSOPRAZOLE GENERIK CAPSULE
DOMPERIDON INF TABLET 10 MG
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
1,00
3,00

29 Mei 2013 12:03

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

29 Mei 2013 12:02

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
5,00
5,00
3,00

29 Mei 2013 11:21

Item
HYPERIL 5 MG TABLET
ATORVASTATIN 20 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
3,00

29 Mei 2013 11:20

JAKARTA SEHAT

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
7,00
3,00

29 Mei 2013 10:40

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 10:39

Item
FARMADOL 100 ML INFUSION
LEVOFLOXACIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

29 Mei 2013 10:34

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
1,00

29 Mei 2013 10:34

Item
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

29 Mei 2013 10:33

Item
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
1,00

29 Mei 2013 10:33

Item
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
4,00

TUSLAH NON RACIKAN

TOTAL

1,00

29 Mei 2013 10:23

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 10:23

Item
PROPYLTHIOURASIL 100 MG TABLET
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 80 mg
DIGOXIN INF TABLET
ALLOPURINOL INF TABLET 100 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
14,00
1,00
6,00

29 Mei 2013 09:59

Item
THROMBO ASPILETS 100 MG TABLET
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
LASIX TABLET 40 MG
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
8,00
8,00
15,00
15,00
15,00
6,00

29 Mei 2013 09:42

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
28,00
4,00
2,00

29 Mei 2013 09:41

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET

JAMKESMAS
Quantity
14,00
14,00

BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
15,00
5,00

29 Mei 2013 09:40

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
5,00
10,00
20,00
6,00

29 Mei 2013 09:37

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
30,00
20,00
5,00
10,00
5,00
7,00

29 Mei 2013 09:35

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
3,00

29 Mei 2013 09:25

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

29 Mei 2013 09:24

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
84,00
7,00
14,00
6,00

29 Mei 2013 09:21

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
H.C.T 25 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
MELOXICAM 15mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
4,00
28,00
10,00
6,00

29 Mei 2013 09:09

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 18:57

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 18:56

Item
AMLODIPIN 5 MG TABLET
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

28 Mei 2013 16:27

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

28 Mei 2013 16:20

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 16:18

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 15:11

Item
FUROSEMID INF INJECTION
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

28 Mei 2013 14:55

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
1,00

28 Mei 2013 14:53

Item
FUROSEMID INF INJECTION
CONDOM CATHETER S
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
2,00

28 Mei 2013 14:48

Item
FARGOXIN INJECTION

JAKARTA SEHAT
Quantity
1,00

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

TUSLAH NON RACIKAN
TOTAL

1,00
2,00

28 Mei 2013 14:37

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
ISOSORBIDE DINITRATE INF TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
60,00
5,00
10,00
10,00
7,00

28 Mei 2013 14:11

Item
FUROSEMID INF INJECTION
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00

28 Mei 2013 14:04

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 13:08

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
10,00
10,00
4,00

28 Mei 2013 11:42

Item
DIGOXIN INF TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
5,00
1,00

TOTAL

28 Mei 2013 11:11

Item
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
1,00
1,00
5,00

28 Mei 2013 11:05

Item
CAPTOPRIL 12.5 MG TABLET
IVENA IV CATH 20
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
12,00
1,00
1,00
3,00

28 Mei 2013 10:58

Item
FOLIC ACID 1 MG TABLET
EXTENSION TUBE ET 2 (DWS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
1,00
4,00

28 Mei 2013 10:58

Item
DIGOXIN INF TABLET
IVENA IV CATH 20
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

28 Mei 2013 10:54

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 10 CC
DRAINAGE BAG STERIL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00

IVENA IV CATH 20
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00

28 Mei 2013 10:52

Item
FOLIC ACID 1 MG TABLET
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
3,00

28 Mei 2013 10:50

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
6,00
2,00
1,00
1,00
4,00

28 Mei 2013 10:50

Item
ISOKET INJECTION
DISP SYRINGE 50 CC CATH TIP
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
DRAINAGE BAG STERIL
IVENA IV CATH 20
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
2,00
1,00
6,00

28 Mei 2013 10:49

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
2,00
1,00

28 Mei 2013 10:49

Item
NON REBREATHING MASK ADULT(1102)

JAKARTA SEHAT
Quantity
1,00

DRAINAGE BAG STERIL

DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
STOMACH TUBE 18 JMS
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
1,00
6,00

28 Mei 2013 10:39

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
HYPERIL 5 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DEXAMETHASONE 5 MG INJECTION
ACETYLCYSTEIN 200MG CAPS
DEXTROMETHORPHAN INF TABLET 15 MG
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
DRAINAGE BAG STERIL
SELANG NEBUL WITH MASK(1493)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00
1,00
3,00
2,00
3,00
3,00
3,00
30,00
5,00
5,00
1,00
1,00
1,00
1,00
17,00

28 Mei 2013 10:30

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 10:04

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 09:51

JAKARTA SEHAT

Item
CLOPIDOGREL 75 MG TABLET
CARDIO ASPIRIN TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
7,00
14,00
14,00
5,00

28 Mei 2013 09:51

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

27 Mei 2013 15:49

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
5,00
2,00

27 Mei 2013 13:16

Item
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00

27 Mei 2013 13:15

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 13:14

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
12,00
2,00

27 Mei 2013 12:55

Item
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
5,00
10,00
6,00

27 Mei 2013 12:34

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

27 Mei 2013 12:33

Item
CLOPIDOGREL 75 MG TABLET
DIGOXIN INF TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
3,00
2,00
4,00

27 Mei 2013 12:22

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
SELANG NEBUL WITH MASK(1493)
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

25 Mei 2013 02:28

Item
ASPAR-K TABLET, COATED 300 mg
ALLOPURINOL INF TABLET 100 MG
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
1,00
3,00

25 Mei 2013 02:27

Item
ASPAR-K TABLET, COATED 300 mg
ALLOPURINOL INF TABLET 100 MG
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00

25 Mei 2013 02:11

Item
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

25 Mei 2013 02:05

Item
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 02:03

Item
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

25 Mei 2013 02:02

Item
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

24 Mei 2013 16:04

Item
LEVOFLOXACIN INF TABLET
IBUPROFEN INF 200 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
20,00
3,00

24 Mei 2013 15:00

Item
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

24 Mei 2013 14:45

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

24 Mei 2013 14:45

Item
DIGOXIN INF TABLET
THROMBO ASPILETS 100 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
5,00
5,00

24 Mei 2013 14:45

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

24 Mei 2013 14:44

Item
BISOPROLOL 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
FOLIC ACID 1 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
15,00
28,00
28,00
1,00
5,00

24 Mei 2013 14:37

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
1,00

24 Mei 2013 10:28

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

24 Mei 2013 10:14

Item
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

24 Mei 2013 10:07

Item
THROMBO ASPILETS 100 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
60,00
10,00
5,00
6,00

24 Mei 2013 10:05

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
120,00
10,00
5,00
5,00
5,00

23 Mei 2013 21:59

Item
LOVENOX SOLUTION, INJECTION 40 mg

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

23 Mei 2013 20:09

Item
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
3,00
3,00
6,00

22 Mei 2013 14:58

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

22 Mei 2013 14:57

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
12,00
4,00
1,00
10,00
6,00

22 Mei 2013 14:16

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
20,00
1,00

22 Mei 2013 13:37

Item
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML

JAKARTA SEHAT
Quantity
1,00
2,00
1,00

FUROSEMID INF INJECTION

DISP SYRINGE 5 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SELANG OKSIGEN ADULT
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
FOLLEY CATHETER 16 RUSCH
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

9,00
2,00
1,00
1,00
1,00
4,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
17,00

22 Mei 2013 13:22

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
14,00
84,00
14,00
1,00
8,00

22 Mei 2013 13:18

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

22 Mei 2013 12:38

Item
TANAPRESS 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

22 Mei 2013 12:02

Item
LANSOPRAZOLE GENERIK CAPSULE
MUSIN OTTO 120 ML SUSPENSION
DOMPERIDON INF TABLET 10 MG
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
30,00
20,00
4,00

22 Mei 2013 11:51

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 11:51

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
10,00
14,00
14,00
14,00
14,00
1,00
7,00

22 Mei 2013 11:49

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
GLIMEPIRIDE 2 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
7,00
28,00
14,00
28,00
9,00

22 Mei 2013 11:09

Item

JAKARTA SEHAT
Quantity

SELANG NEBUL WITH MASK(1493)

NON REBREATHING MASK ADULT(1102)
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
MAPROLEN 2/0 DS24
CAVAFIX CERTO 375 BASILICA
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
11,00

22 Mei 2013 11:09

Item
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 10:36

Item
RANITIDINE INF TABLET 150 MG
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
14,00
7,00
14,00
14,00
5,00

22 Mei 2013 10:36

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 10:30

Item
CAPTOPRIL 12.5 MG TABLET
LASIX TABLET 40 MG
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET

UMUM
Quantity
42,00
10,00
10,00
10,00
16,00

FOLIC ACID 1 MG TABLET

TUSLAH NON RACIKAN
TOTAL

21,00
6,00

22 Mei 2013 10:19

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
30,00
10,00
5,00
10,00
10,00
10,00
8,00

22 Mei 2013 10:02

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

22 Mei 2013 10:02

Item
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
7,00
28,00
28,00
14,00
7,00

21 Mei 2013 14:44

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
INTERPRIL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
10,00
5,00
5,00

TOTAL

21 Mei 2013 14:24

Item
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
7,00
7,00
3,00

21 Mei 2013 14:01

Item
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

21 Mei 2013 13:54

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
60,00
30,00
15,00
3,00

21 Mei 2013 13:43

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
7,00
3,00

21 Mei 2013 13:31

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

21 Mei 2013 13:29

Item

JAKARTA SEHAT
Quantity

HYPERIL 5 MG TABLET
MAINTATE TABLET, FILM COATED 5 mg
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
2,00

21 Mei 2013 13:27

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 13:27

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
40,00
5,00
20,00
5,00
5,00

21 Mei 2013 13:26

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
14,00
6,00

21 Mei 2013 13:08

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
2,00

21 Mei 2013 13:06

Item
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
4,00

MUSIN OTTO 120 ML SUSPENSION

FARGOXIN INJECTION
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
TUSLAH NON RACIKAN
TOTAL

1,00
4,00
4,00
4,00

21 Mei 2013 13:05

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 13:00

Item
MICARDIS TABLET 80 mg
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
2,00

21 Mei 2013 12:58

Item
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
6,00
5,00

21 Mei 2013 12:53

Item
BISOPROLOL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
DOMPERIDON INF TABLET 10 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
VITAMIN B1 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
3,00
20,00
1,00
30,00
5,00

21 Mei 2013 12:52

Item
INTERPRIL TABLET 10 MG

JAKARTA SEHAT
Quantity
14,00

TUSLAH NON RACIKAN

TOTAL

1,00

21 Mei 2013 12:39

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

21 Mei 2013 12:39

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

20 Mei 2013 18:27

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 18:15

Item
HERBESSER 50 MG/ML INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
IVENA IV CATH 22
THREE WAY STOPCOCK
FUROSEMID INF INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
1,00
6,00

20 Mei 2013 18:14

Item
FOTARAM 1 g
SANMOL INFUSION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

20 Mei 2013 18:10

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
ALLOPURINOL INF TABLET 100 MG
DOXYCYCLINE INF TABLET 100 MG
IVENA IV CATH 22
FOLLEY CATHETER 16 RUSCH
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
2,00
1,00
1,00
1,00
7,00

20 Mei 2013 17:38

Item
FUROSEMID INF INJECTION
SELANG NEBUL WITH MASK(1493)
BD VACUTAINER
IVENA IV CATH 22
INFUS SET JMS
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
8,00

20 Mei 2013 17:27

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 17:24

Item
CANDESARTAN 16MG TABL
DILTIAZEM INF TABLET 30 MG
V-BLOC 6,25MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
H.C.T 25 MG TABLET
SISTENOL TABLET, COATED 500 mg; 200 mg
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
7,00
30,00
14,00
7,00
10,00
10,00
12,00
7,00

20 Mei 2013 17:01

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
SANMOL INFUSION
NATRIUM PHENITOIN 50MG /ML INJ
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
4,00

20 Mei 2013 15:35

Item
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
2,00
2,00
3,00

20 Mei 2013 13:24

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
CERTOFIX TRIO V720
BTR 1 4812 BIOSENSOR
MAPROLEN 2/0 DS24
CAVAFIX CERTO 375 BASILICA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
11,00

20 Mei 2013 11:59

Item
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

20 Mei 2013 11:45

Item

JAKARTA SEHAT
Quantity

CARDIO ASPIRIN TABLET

CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
GLIMEPIRIDE 3 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
7,00
14,00
10,00
14,00
42,00
8,00

20 Mei 2013 11:12

Item
SELANG OKSIGEN ADULT
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

20 Mei 2013 11:11

Item
RECOFOL SOLUTION, INJECTION 10 mg/ml
GUEDEL AIRWAYS SIZE 8.0
GUEDEL AIRWAYS SIZE 9.0
ANESFAR INJEKSI
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
2,00
1,00
5,00

20 Mei 2013 09:40

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
CEFIXIME GENERIK CAPSULE
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
30,00
10,00
5,00
10,00
6,00
6,00
8,00

20 Mei 2013 07:30

Item

JAKARTA SEHAT
Quantity

ISOKET INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
3,00
3,00

19 Mei 2013 15:21

Item
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
H.C.T 25 MG TABLET
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

19 Mei 2013 15:20

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

19 Mei 2013 15:17

Item
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
URISPAS TABLET, FILM COATED 200 MG
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
1,00
4,00

19 Mei 2013 15:15

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

19 Mei 2013 15:15

Item
IRBESARTAN 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 15:13

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

18 Mei 2013 15:11

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
28,00
2,00

18 Mei 2013 15:09

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
7,00
7,00
28,00
7,00

18 Mei 2013 15:02

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
10,00
20,00
10,00
10,00
6,00

18 Mei 2013 14:59

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00

HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

28,00
14,00
14,00
7,00
7,00

18 Mei 2013 14:30

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 14:30

Item
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
DIGOXIN INF TABLET
PROPYLTHIOURASIL 100 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
42,00
28,00
6,00

18 Mei 2013 14:25

Item
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
LEVOFLOXACIN INF TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
10,00
10,00
5,00

18 Mei 2013 14:21

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 14:11

Item

JAKARTA SEHAT
Quantity

BISOPROLOL 5 MG TABLET
ALPENTIN 300 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

14,00
5,00
1,00
14,00
1,00

18 Mei 2013 14:03

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
DIGOXIN INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
10,00
10,00
5,00
20,00
7,00

18 Mei 2013 13:55

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

18 Mei 2013 13:54

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

18 Mei 2013 13:54

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
5,00
20,00
10,00
20,00
7,00

18 Mei 2013 13:26

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
2,00

18 Mei 2013 13:12

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 13:11

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
7,00
42,00
5,00

18 Mei 2013 13:05

Item
DIGOXIN INF TABLET
SPIRONOLACTONE 25 MG TABLET
CIPROFLOXACIN TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
8,00
6,00
10,00
4,00

18 Mei 2013 13:04

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

18 Mei 2013 13:01

Item
ATORVASTATIN 20 MG TABLET

JAKARTA SEHAT
Quantity
14,00

TUSLAH NON RACIKAN

TOTAL

1,00

18 Mei 2013 13:01

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 13:00

Item
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
GLIMEPIRIDE 2 MG TABLET
METFORMIN HCL 500 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
42,00
42,00
7,00

18 Mei 2013 12:22

Item
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 11:47

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CEFIXIME GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
84,00
14,00
28,00
10,00
15,00
14,00
7,00

18 Mei 2013 11:35

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET

JAKARTA SEHAT
Quantity
50,00

TUSLAH NON RACIKAN

TOTAL

1,00

18 Mei 2013 11:34

Item
DIGOXIN INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

18 Mei 2013 11:12

Item
ACARBOSE 100 MG TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
7,00
2,00

18 Mei 2013 11:11

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
METFORMIN HCL 500 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
42,00
42,00
1,00
42,00
6,00

18 Mei 2013 11:05

Item
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
10,00
30,00
15,00
10,00
6,00

18 Mei 2013 11:04

Item
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

18 Mei 2013 11:04

Item
ISOSORBIDE DINITRATE INF TABLET
H.C.T 25 MG TABLET
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
6,00
3,00

18 Mei 2013 11:04

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

18 Mei 2013 11:03

Item
DILTIAZEM INF TABLET 30 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

18 Mei 2013 10:53

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 10:53

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
6,00
5,00

18 Mei 2013 10:40

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
CIPROFLOXACIN TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
5,00
5,00
10,00
20,00
6,00

18 Mei 2013 10:34

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
14,00
10,00
6,00

18 Mei 2013 10:10

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

18 Mei 2013 10:10

Item
ISOKET INJECTION
EXTENSION TUBE ET 2 (DWS)
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
12,00
3,00

18 Mei 2013 10:08

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

18 Mei 2013 10:06

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
42,00
5,00

18 Mei 2013 10:04

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

18 Mei 2013 10:02

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B1 50 MG TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
42,00
42,00
14,00
6,00

18 Mei 2013 09:46

Item
PROPYLTHIOURASIL 100 MG TABLET
PROPANOLOL 10 MG TABLET
AMLODIPIN 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
VALISANBE TABLET 5 MG
VITAMIN B1 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
45,00
30,00
15,00
15,00
15,00
15,00
1,00
1,00
15,00
3,00

18 Mei 2013 09:44

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 20:28

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 2 (DWS)
DOBUTAMIN GENERIK 50 MG/ML
VASCON SOLUTION, INJECTION 4 MG/4 ML
ANESFAR INJEKSI
RECOFOL SOLUTION, INJECTION 10 mg/ml
HANDSCOON GAMEX 7
ETT PORTEX 7
THREE WAY STOPCOCK
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
SUCTION CATHETER 12
SUCTION CATHETER 14
GUEDEL AIRWAYS SIZE 8.0
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
3,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
1,00
1,00
1,00
3,00
17,00

17 Mei 2013 13:16

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 13:15

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
3,00

17 Mei 2013 13:15

JAKARTA SEHAT

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

17 Mei 2013 12:44

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
4,00
2,00
2,00
2,00
5,00

17 Mei 2013 11:40

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
40,00
1,00

17 Mei 2013 11:39

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
10,00
3,00

17 Mei 2013 11:29

Item
BISOPROLOL 5 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
6,00
30,00
1,00
4,00

17 Mei 2013 11:22

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
10,00
10,00

HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
5,00
10,00
10,00
6,00

17 Mei 2013 10:09

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
5,00

17 Mei 2013 10:03

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 10:00

Item
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 10:00

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
1,00
15,00
4,00

17 Mei 2013 09:59

Item
HERBESSER 50 MG/ML INJECTION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
1,00

TOTAL

17 Mei 2013 09:59

Item
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 09:49

Item
THREE WAY STOPCOCK
GUEDEL AIRWAYS SIZE 8.0
IVENA IV CATH 22
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

17 Mei 2013 09:43

Item
DISP SYRINGE 50 CC WITHOUT NED
CALCIUM GLUCONAS ETHICA INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

17 Mei 2013 09:31

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

17 Mei 2013 09:13

Item
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

17 Mei 2013 08:31

Item

JAKARTA SEHAT
Quantity

THROMBO ASPILETS 100 MG TABLET

ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

10,00
30,00
10,00
10,00
10,00
10,00
1,00
7,00

16 Mei 2013 19:27

Item
REBREATHING MASK ADULT (1102)
SPIRONOLACTONE 25 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
10,00
2,00
2,00
1,00
5,00
10,00

16 Mei 2013 15:43

Item
AZYTHROMICIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

16 Mei 2013 15:38

Item
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
40,00
5,00
10,00
4,00

16 Mei 2013 15:31

Item
CARDIO ASPIRIN TABLET

JAKARTA SEHAT
Quantity
14,00

AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
14,00
14,00
6,00

16 Mei 2013 15:23

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

16 Mei 2013 15:22

Item
CAPTOPRIL 12.5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
42,00
2,00

16 Mei 2013 15:17

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
14,00
7,00
14,00
15,00
8,00

16 Mei 2013 14:29

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 12:00

Item

JAKARTA SEHAT
Quantity

DIGOXIN INF TABLET

SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3,00
2,00
2,00

16 Mei 2013 09:25

Item
THROMBO ASPILETS 100 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
5,00
30,00
6,00

15 Mei 2013 17:06

Item
DORNER TABLET 20 MCG
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

15 Mei 2013 17:06

Item
DIGOXIN INF TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
20,00
3,00

15 Mei 2013 16:50

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

15 Mei 2013 16:49

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
10,00
20,00
10,00

HYPERIL 5 MG TABLET
DIGOXIN INF TABLET
CLINDAMYCIN 150 MG CAPSULE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
20,00
20,00
7,00

15 Mei 2013 16:49

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
DIGOXIN INF TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
14,00
14,00
14,00
42,00
6,00

15 Mei 2013 16:42

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
14,00
28,00
1,00
14,00
7,00

15 Mei 2013 16:41

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
10,00
20,00
1,00
6,00

15 Mei 2013 16:40

Item

JAKARTA SEHAT
Quantity

BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
FOLIC ACID 1 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
28,00
28,00
28,00
1,00
6,00

15 Mei 2013 16:14

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
14,00
14,00
42,00
7,00

15 Mei 2013 16:14

Item
LANSOPRAZOLE GENERIK CAPSULE
DOMPERIDON INF TABLET 10 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
IBUPROFEN INF 200 MG TABLET
VITAMIN B1 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
42,00
1,00
15,00
28,00
5,00

15 Mei 2013 16:13

Item
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

15 Mei 2013 16:13

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
V-BLOC 6,25MG TABLET
H.C.T 25 MG TABLET

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
7,00

TUSLAH NON RACIKAN

TOTAL

4,00

15 Mei 2013 15:51

Item
CORDARONE TABLET 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

15 Mei 2013 15:15

Item
MICARDIS TABLET 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

15 Mei 2013 15:13

Item
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALPENTIN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOLVON 60 ML SYRUP
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
10,00
1,00
28,00
6,00

15 Mei 2013 14:40

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
H.C.T 25 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
MELOXICAM 15mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
28,00
10,00
6,00

15 Mei 2013 14:26

Item
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
20,00
1,00

15 Mei 2013 14:24

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
ATORVASTATIN 20 MG TABLET
AMLODIPIN 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
6,00
14,00
28,00
6,00

15 Mei 2013 14:23

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
GLIMEPIRIDE 2 MG TABLET
METFORMIN HCL 500 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
84,00
14,00
7,00
7,00
28,00
28,00
8,00

15 Mei 2013 14:01

Item
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
7,00
28,00
1,00
6,00

15 Mei 2013 13:48

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
7,00
14,00

SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
42,00
7,00

15 Mei 2013 13:36

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
14,00
14,00
10,00
7,00

15 Mei 2013 13:18

Item
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

15 Mei 2013 13:09

Item
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
28,00
10,00
1,00
14,00
7,00

15 Mei 2013 13:00

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
7,00
28,00
3,00

TOTAL

15 Mei 2013 12:36

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
126,00
7,00
14,00
14,00
7,00

15 Mei 2013 12:27

Item
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:26

Item
CLONIDINE INF 150 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
6,00
2,00

15 Mei 2013 12:09

Item
LEVOFLOXACIN INF TABLET
PARACETAMOL INF TABLET 500 mg
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
15,00
28,00
14,00
1,00
14,00
6,00

15 Mei 2013 12:06

Item
SIMVASTATIN TABLET 20 MG
DOMPERIDON INF TABLET 10 MG

JPK PNS
Quantity
14,00
30,00

TUSLAH NON RACIKAN

TOTAL

2,00

15 Mei 2013 11:44

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOKET INJECTION
FUROSEMID INF INJECTION
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN TABLET 20 MG
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
5,00
10,00
5,00
2,00
2,00
7,00

15 Mei 2013 11:42

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

15 Mei 2013 11:42

Item
PROPYLTHIOURASIL 100 MG TABLET
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 40 mg
DIGOXIN INF TABLET
ALLOPURINOL INF TABLET 100 MG
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
28,00
14,00
14,00
1,00
6,00

15 Mei 2013 10:18

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

14 Mei 2013 19:56

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
4,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

14 Mei 2013 19:54

Item
H.C.T 25 MG TABLET
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
2,00

14 Mei 2013 15:29

Item
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
7,00
14,00
1,00
7,00

14 Mei 2013 15:21

Item
FUROSEMID INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
METFORMIN HCL 500 MG TABLET
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
7,00
28,00
42,00
6,00
6,00

14 Mei 2013 15:14

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
THROMBO ASPILETS 100 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
7,00
168,00
7,00
14,00
14,00
42,00
7,00

TOTAL

14 Mei 2013 15:08

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
14,00
42,00
7,00

14 Mei 2013 14:43

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
4,00

14 Mei 2013 14:19

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
14,00
14,00
14,00
42,00
8,00

14 Mei 2013 13:58

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
4,00

TOTAL

14 Mei 2013 12:52

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
2,00

14 Mei 2013 12:44

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
10,00
28,00
6,00

14 Mei 2013 12:28

Item
FUROSEMID INF TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
42,00
5,00

14 Mei 2013 12:15

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
15,00
1,00
10,00
6,00

14 Mei 2013 11:52

JAKARTA SEHAT

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MECOBALAMIN CAPSULE 500 MCG
VITAMIN B1 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
5,00
10,00
10,00
20,00
30,00
6,00

14 Mei 2013 11:26

Item
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
H.C.T 25 MG TABLET
FUROSEMID INF TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
60,00
30,00
10,00
10,00
10,00
6,00

14 Mei 2013 10:14

Item
DIGOXIN INF TABLET
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
4,00
5,00

14 Mei 2013 10:13

Item
CLONIDINE INF 150 MG TABLET
H.C.T 25 MG TABLET
V-BLOC 6,25MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
6,00
4,00

14 Mei 2013 10:13

Item
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
2,00

TUSLAH NON RACIKAN

TOTAL

1,00

14 Mei 2013 09:43

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
5,00
10,00
10,00
6,00

13 Mei 2013 22:03

Item
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

13 Mei 2013 22:02

Item
DIGOXIN INF TABLET
FUROSEMID INF INJECTION
SIMARC-2 FAHRENHEIT 2 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
4,00

13 Mei 2013 15:51

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
14,00
14,00
6,00

13 Mei 2013 15:28

JAKARTA SEHAT

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
56,00
14,00
7,00
7,00
5,00

13 Mei 2013 15:24

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
30,00
7,00
14,00
7,00
15,00
6,00

13 Mei 2013 15:19

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
V-BLOC 6,25MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
30,00
21,00
14,00
6,00

13 Mei 2013 15:17

Item
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
7,00
3,00

13 Mei 2013 15:17

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
84,00
7,00
14,00
6,00

13 Mei 2013 15:10

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
84,00
14,00
1,00
42,00
6,00

13 Mei 2013 15:07

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
84,00
7,00
14,00
50,00
5,00

13 Mei 2013 12:48

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
3,00

13 Mei 2013 12:43

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
ACETYLCYSTEIN 200MG CAPS

RSUD TARAKAN
Quantity
10,00
30,00
20,00
10,00
30,00

HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
6,00

13 Mei 2013 11:16

Item
FUROSEMID INF INJECTION
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
4,00
2,00
6,00
6,00

11 Mei 2013 12:18

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 12:17

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FOLIC ACID 1 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
20,00
6,00

11 Mei 2013 12:08

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
4,00

11 Mei 2013 12:08

JAKARTA SEHAT

Item
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ALLOPURINOL INF TABLET 100 MG
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
7,00
14,00
14,00
14,00
14,00
14,00
6,00

11 Mei 2013 12:07

Item
HYPERIL 5 MG TABLET
ADALAT OROS 30 MG TABLET
H.C.T 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
METFORMIN HCL 500 MG TABLET
GLIMEPIRIDE 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
14,00
6,00

11 Mei 2013 11:58

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
14,00
6,00

11 Mei 2013 11:57

Item
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
GLIQUIDONE 30 MG TABLET
FOLIC ACID 1 MG TABLET
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
30,00
14,00
14,00
6,00

11 Mei 2013 11:46

Item
V-BLOC 6,25MG TABLET
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

11 Mei 2013 11:46

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
10,00
42,00
1,00
42,00
1,00
42,00
4,00

11 Mei 2013 11:43

Item
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
7,00
6,00

11 Mei 2013 11:22

Item
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

11 Mei 2013 09:32

Item
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)

JAKARTA SEHAT
Quantity
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

11 Mei 2013 09:30

Item
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

11 Mei 2013 09:23

Item
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 10:46

Item
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

10 Mei 2013 09:52

Item
TIARYT 50 MG/ML INJECTION
DISP SYRINGE 50 CC WITHOUT NED
RING AS SANBE 500 ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
SELANG OKSIGEN ADULT
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

10 Mei 2013 09:00

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

10 Mei 2013 09:00

JAKARTA SEHAT

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
1,00

9 Mei 2013 13:04

Item
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH RACIKAN
EMBALASE
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00
1,00
3,00
3,00
6,00
4,00

9 Mei 2013 07:12

Item
NON REBREATHING MASK ADULT(1102)
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00

8 Mei 2013 16:30

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

8 Mei 2013 16:18

Item
CONCOR 1.25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
PERMYO TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
30,00
30,00
10,00
10,00
15,00
5,00

8 Mei 2013 15:44

Item

JAKARTA SEHAT
Quantity

CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

28,00
42,00
14,00
14,00
4,00
10,00
6,00

8 Mei 2013 15:06

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
CLOPIDOGREL 75 MG TABLET
METFORMIN HCL 500 MG TABLET
GLIMEPIRIDE 3 MG TABLET
MICARDIS TABLET 40 mg
STESOLID TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
14,00
14,00
5,00
8,00

8 Mei 2013 14:57

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
DIGOXIN INF TABLET
ACETYLCYSTEIN 200MG CAPS
METFORMIN HCL 500 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
28,00
7,00
42,00
42,00
14,00
7,00

8 Mei 2013 14:57

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
14,00
5,00

8 Mei 2013 14:55

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
28,00
5,00

8 Mei 2013 14:52

Item
DIGOXIN INF TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
14,00
14,00
14,00
14,00
4,00

8 Mei 2013 14:47

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 10 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
14,00
7,00
6,00

8 Mei 2013 14:47

Item
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
4,00

8 Mei 2013 14:44

Item
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
14,00

ISOSORBIDE DINITRATE INF TABLET

V-BLOC 6,25MG TABLET
ATORVASTATIN 20 MG TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

42,00
14,00
14,00
14,00
5,00

8 Mei 2013 14:43

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
7,00
14,00
7,00
14,00
7,00

8 Mei 2013 14:43

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
H.C.T 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
56,00
14,00
7,00
14,00
14,00
7,00
28,00
7,00

8 Mei 2013 14:42

Item
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
PARACETAMOL INF TABLET 500 mg
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
42,00
20,00
14,00
4,00

8 Mei 2013 14:42

Item
THROMBO ASPILETS 100 MG TABLET

JAKARTA SEHAT
Quantity
14,00

CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
METFORMIN HCL 500 MG TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
28,00
4,00
14,00
28,00
28,00
8,00

8 Mei 2013 14:42

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
7,00
14,00
15,00
7,00

8 Mei 2013 14:30

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ADALAT OROS 30 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
7,00
20,00
20,00
20,00
1,00
20,00
20,00
20,00
4,00
8,00

8 Mei 2013 14:28

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00

ISOSORBIDE DINITRATE INF TABLET

RANITIDINE INF TABLET 150 MG
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
15,00
14,00
7,00

8 Mei 2013 14:27

Item
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
7,00
14,00
1,00
5,00

8 Mei 2013 14:22

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 10 MG TABLET
DIGOXIN INF TABLET
FUROSEMID INF TABLET
H.C.T 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
7,00
14,00
168,00
7,00

8 Mei 2013 13:32

Item
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ATORVASTATIN 20 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
1,00
5,00

8 Mei 2013 13:30

Item
FUROSEMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
28,00
14,00
14,00

ISOSORBIDE DINITRATE INF TABLET

HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

42,00
14,00
5,00

8 Mei 2013 13:25

Item
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 10 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
14,00
10,00
6,00

8 Mei 2013 13:20

Item
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
5,00

8 Mei 2013 13:09

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
168,00
14,00
14,00
42,00
14,00
8,00

8 Mei 2013 13:07

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
56,00

BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
7,00
5,00

8 Mei 2013 12:54

Item
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
PERMYO TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
45,00
15,00
15,00
10,00
5,00

8 Mei 2013 12:36

Item
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 10 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
42,00
84,00
4,00
7,00
14,00
7,00
6,00

8 Mei 2013 10:52

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

8 Mei 2013 10:52

Item
IRBESARTAN 300 MG TABLET
SIMVASTATIN TABLET 20 MG
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
5,00

8 Mei 2013 10:26

Item
DIGOXIN INF TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMBROXOL INF 60 ML SYRUP
STESOLID TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
7,00
14,00
28,00
1,00
1,00
14,00
9,00

8 Mei 2013 10:12

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

8 Mei 2013 10:12

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
ATORVASTATIN 20 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
14,00
6,00

8 Mei 2013 09:40

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

8 Mei 2013 09:40

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00

ISOSORBIDE DINITRATE INF TABLET

CLOPIDOGREL 75 MG TABLET
INTERPRIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

42,00
14,00
14,00
14,00
7,00

8 Mei 2013 08:59

Item
CEDOCARD 10 ML SOLUTION, INJECTION
CALCIUM GLUCONAS ETHICA INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
MAGNESIUM SULFAT 20% INJECTION
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
1,00
1,00
1,00
3,00
6,00

7 Mei 2013 10:25

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
10,00
10,00
5,00
10,00
10,00
6,00

7 Mei 2013 10:24

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

6 Mei 2013 15:07

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
RINGER LACTATE WIDATRA 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)

JAKARTA SEHAT
Quantity
3,00
8,00
8,00
5,00
1,00
1,00

IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
4,00
8,00

6 Mei 2013 15:07

Item
SPIRONOLACTONE 25 MG TABLET
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
6,00
3,00

6 Mei 2013 13:32

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
10,00
10,00
10,00
10,00
10,00
10,00
6,00

6 Mei 2013 11:34

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

6 Mei 2013 09:56

Item
IVENA IV CATH 24
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

5 Mei 2013 06:45

Item
GUEDEL AIRWAYS SIZE 8.0
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 19:32

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
1,00
1,00
5,00

4 Mei 2013 17:48

Item
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
18,00
2,00
6,00
3,00
3,00
1,00
7,00

4 Mei 2013 16:06

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

GIZI BURUK
Quantity
84,00
1,00

4 Mei 2013 15:31

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
DIGOXIN INF TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
84,00
5,00
14,00
14,00
42,00
7,00

4 Mei 2013 14:27

UMUM

Item
ISOKET INJECTION
FARGOXIN INJECTION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
2,00
2,00
10,00
2,00
5,00
6,00

4 Mei 2013 13:39

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 13:39

Item
ACYCLOVIR INF TABLET 400 MG
PARACETAMOL INF TABLET 500 mg
VITAMIN B COMPLEX
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
30,00
20,00
4,00

4 Mei 2013 13:35

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
10,00
5,00

4 Mei 2013 13:05

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CIPROFLOXACIN TABLET

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
10,00
10,00

PARACETAMOL INF TABLET 500 mg

DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

30,00
1,00
8,00

4 Mei 2013 12:54

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

4 Mei 2013 12:53

Item
PROPYLTHIOURASIL 100 MG TABLET
PROPANOLOL 10 MG TABLET
AMLODIPIN 10 MG TABLET
VITAMIN B1 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
28,00
7,00
42,00
4,00

4 Mei 2013 12:53

Item
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
GLIMEPIRIDE 2 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
DOMPERIDON INF TABLET 10 MG
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
30,00
14,00
6,00

4 Mei 2013 12:51

Item
CIPROFLOXACIN TABLET
PARACETAMOL INF TABLET 500 mg
BISOPROLOL 5 MG TABLET
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
7,00
20,00
4,00

4 Mei 2013 12:34

Item

JAKARTA SEHAT
Quantity

THROMBO ASPILETS 100 MG TABLET

HYPERIL 5 MG TABLET
AMLODIPIN 10 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

14,00
28,00
7,00
7,00
14,00
10,00
6,00

4 Mei 2013 12:24

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
7,00
28,00
14,00
28,00
6,00

4 Mei 2013 12:19

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
14,00
1,00

4 Mei 2013 12:18

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ATORVASTATIN 20 MG TABLET
FUROSEMID INF TABLET
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
14,00
7,00
7,00
14,00
10,00
10,00
6,00

4 Mei 2013 12:07

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

4 Mei 2013 12:07

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FOLIC ACID 1 MG TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
28,00
14,00
28,00
14,00
7,00

4 Mei 2013 11:51

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

4 Mei 2013 11:50

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
ALLOPURINOL INF TABLET 100 MG
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
7,00
6,00

4 Mei 2013 11:37

Item
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
LEVOFLOXACIN INF TABLET
PARACETAMOL INF TABLET 500 mg
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
42,00
8,00
20,00
14,00
7,00

4 Mei 2013 11:18

JAKARTA SEHAT

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
42,00
14,00
42,00
1,00
6,00

4 Mei 2013 11:12

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MAINTATE TABLET, FILM COATED 5 mg
IRBESARTAN 300 MG TABLET
SIMVASTATIN TABLET 20 MG
SPIRONOLACTONE 25 MG TABLET
MELOXICAM 15mg TABLET
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
30,00
90,00
30,00
30,00
30,00
15,00
20,00
7,00

4 Mei 2013 10:15

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

4 Mei 2013 10:15

Item
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
10,00
4,00

4 Mei 2013 09:38

Item
CARDIO ASPIRIN TABLET
LASIX TABLET 40 MG
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET

UMUM
Quantity
30,00
30,00
180,00
30,00

AMLODIPIN 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FOLIC ACID 1 MG TABLET
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30,00
30,00
90,00
15,00
8,00

4 Mei 2013 00:49

Item
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

3 Mei 2013 14:59

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

3 Mei 2013 13:37

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
ACETYLCYSTEIN 200MG CAPS
FOLIC ACID 1 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
10,00
20,00
20,00
1,00
6,00

3 Mei 2013 13:37

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
60,00
10,00
5,00
10,00
10,00
6,00

3 Mei 2013 13:37

JAKARTA SEHAT

Item
CLOPIDOGREL 75 MG TABLET
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
SIMVASTATIN TABLET 20 MG
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
10,00
30,00
10,00
5,00
5,00
10,00
20,00
8,00

3 Mei 2013 13:36

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

3 Mei 2013 13:36

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

3 Mei 2013 13:35

Item
IVENA IV CATH 20
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

3 Mei 2013 13:08

Item
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

3 Mei 2013 10:23

Item
MORPHINE KIMIA FARMA 10 MG INJECTION

JAKARTA SEHAT
Quantity
1,00

DISP SYRINGE 20 CC WIHTOUT NED

CONDOM CATHETER L
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

3 Mei 2013 10:22

Item
FARGOXIN INJECTION
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

3 Mei 2013 09:55

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
2,00

3 Mei 2013 09:55

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00

3 Mei 2013 09:54

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

3 Mei 2013 09:54

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

3 Mei 2013 09:20

JAKARTA SEHAT

Item
DOMPERIDON INF TABLET 10 MG
DULCOLAX SUPPOSITORY 10 mg
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
2,00
1,00
3,00

3 Mei 2013 09:20

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

3 Mei 2013 09:15

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
CLONIDINE INF 150 MG TABLET
FUROSEMID INF TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
60,00
10,00
30,00
10,00
10,00
7,00

3 Mei 2013 08:58

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
30,00
5,00
10,00
10,00
1,00
20,00
8,00

3 Mei 2013 08:10

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00
10,00

BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
30,00
10,00
10,00
8,00

3 Mei 2013 08:04

Item
GLIMEPIRIDE 2 MG TABLET
METFORMIN HCL 500 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
20,00
3,00

3 Mei 2013 02:58

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

3 Mei 2013 02:57

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

3 Mei 2013 02:56

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 19:02

Item
DULCOLAX SUPPOSITORY 10 mg
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

2 Mei 2013 15:30

Item
HYPERIL 5 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
3,00

2 Mei 2013 15:24

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 15:23

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
4,00

2 Mei 2013 14:53

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
FUROSEMID INF TABLET
GLIQUIDONE 30 MG TABLET
ACARBOSE 50 MG TABLET
CEFIXIME GENERIK CAPSULE
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
14,00
14,00
28,00
28,00
10,00
30,00
9,00

2 Mei 2013 13:57

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00

AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
6,00

2 Mei 2013 13:43

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
7,00
14,00
6,00

2 Mei 2013 13:41

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

2 Mei 2013 13:40

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
28,00
4,00

2 Mei 2013 13:39

Item
INTERPRIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
8,00
15,00
3,00

2 Mei 2013 13:29

JAKARTA SEHAT

Item
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
INTERPRIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SPIRONOLACTONE 25 MG TABLET
GLIQUIDONE 30 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
56,00
7,00
14,00
14,00
7,00
14,00
28,00
9,00

2 Mei 2013 13:28

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

2 Mei 2013 13:28

Item
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
MELOXICAM 7.5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
5,00
14,00
4,00

2 Mei 2013 13:25

Item
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

2 Mei 2013 13:25

Item
CARDIO ASPIRIN TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
56,00
7,00
5,00

TOTAL

2 Mei 2013 13:18

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

2 Mei 2013 13:17

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
CETIRIZINE 10 MG TABLET
METFORMIN HCL 500 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
10,00
14,00
14,00
6,00

2 Mei 2013 13:11

Item
BISOPROLOL 5 MG TABLET
ARDIUM TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
20,00
20,00
3,00

2 Mei 2013 12:54

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
GLIMEPIRIDE 3 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
10,00
14,00
42,00
8,00

2 Mei 2013 12:36

Item

UMUM
Quantity

FUROSEMID INF TABLET

HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

15,00
30,00
30,00
3,00

2 Mei 2013 10:40

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00

2 Mei 2013 10:40

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
2,00

2 Mei 2013 10:35

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

2 Mei 2013 10:22

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
5,00
2,00

2 Mei 2013 10:11

Item
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
BD MICRO-FINE

JAKARTA SEHAT
Quantity
14,00
12,00
7,00
14,00
14,00
1,00
6,00

METFORMIN HCL 500 MG TABLET

TUSLAH NON RACIKAN
TOTAL

42,00
8,00

2 Mei 2013 09:47

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

2 Mei 2013 09:39

Item
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
SPIRONOLACTONE 100 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
20,00
3,00
1,00
10,00
2,00

1 Mei 2013 22:05

Item
CEFIXIME GENERIK CAPSULE
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
10,00
2,00

1 Mei 2013 22:04

Item
HYPERIL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
30,00
2,00

1 Mei 2013 22:01

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
14,00
14,00

SPIRONOLACTONE 100 MG TABLET

GLIQUIDONE 30 MG TABLET
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

4,00
28,00
1,00
5,00
10,00

1 Mei 2013 21:55

Item
CEFIXIME GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
AMBROXOL INF 60 ML SYRUP
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
1,00
10,00
4,00

1 Mei 2013 21:42

Item
BISOPROLOL 5 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ALLOPURINOL INF TABLET 100 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
IRBESARTAN 300 MG TABLET
PROPYLTHIOURASIL 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
1,00
14,00
42,00
7,00

1 Mei 2013 21:34

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

1 Mei 2013 21:26

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

1 Mei 2013 21:26

JAKARTA SEHAT

Item
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ARDIUM TABLET
CLONIDINE INF 150 MG TABLET
HALOPERIDOL INF 1.5 MG TABLET
ANALSIK TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
10,00
5,00
20,00
6,00
6,00
16,00
10,00
1,00
15,00
4,00

1 Mei 2013 21:22

Item
IRBESARTAN 300 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00
2,00

1 Mei 2013 21:22

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN TABLET 20 MG
RANITIDINE INF TABLET 150 MG
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
42,00
14,00
20,00
10,00
6,00

1 Mei 2013 21:19

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

1 Mei 2013 21:19

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
42,00
7,00

FUROSEMID INF TABLET

SPIRONOLACTONE 100 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
2,00
42,00
6,00

1 Mei 2013 21:11

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
H.C.T 25 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
MELOXICAM 15mg TABLET
FELDENE 15 GM GEL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
28,00
14,00
1,00
7,00

1 Mei 2013 21:01

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 21:00

Item
LANSOPRAZOLE GENERIK CAPSULE
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
42,00
2,00

1 Mei 2013 20:59

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
ACETYLCYSTEIN 200MG CAPS
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
14,00
14,00
20,00
14,00
8,00

1 Mei 2013 13:51

Item
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

1 Mei 2013 13:39

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 13:30

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

1 Mei 2013 13:26

Item
SANMOL INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
3,00
10,00
10,00
1,00
4,00

1 Mei 2013 13:24

Item
MICARDIS TABLET 40 mg
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
3,00
2,00

1 Mei 2013 13:23

Item
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

1 Mei 2013 12:20

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

1 Mei 2013 12:20

Item
AMLODIPIN 5 MG TABLET
V-BLOC 6,25MG TABLET
ISOSORBIDE DINITRATE INF TABLET
H.C.T 25 MG TABLET
GLIQUIDONE 30 MG TABLET
VITAMIN B1 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
40,00
15,00
20,00
15,00
15,00
6,00

1 Mei 2013 11:44

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

1 Mei 2013 09:08

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

1 Mei 2013 08:25

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

1 Mei 2013 08:17

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
10,00
15,00

BISOPROLOL 5 MG TABLET
DIGOXIN INF TABLET
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
5,00
10,00
10,00
7,00

1 Mei 2013 08:06

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
DIGOXIN INF TABLET
FUROSEMID INF TABLET
H.C.T 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
60,00
10,00
5,00
5,00
10,00
5,00
10,00
10,00
9,00

Depo
Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
AMP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
14520
14520
500
500
15020
15020

0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
Penjamin
16335
16335
14988
14988
11762
11762
1898
1898
2000
2000
46983
46983

0
0
0
0
0
0

Pasien
Penjamin
12438
12438
3942
3942
900
900
17280
17280

0
0
0
0

Pasien

Penjamin
492
912
1000
2404

0
0
0
0

Pasien
Penjamin
6526
6526
500
500
7026
7026

0
0
0

492
912
1000
2404

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
TAB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
PKG
PKG
UNT
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
304320
304320
500
500
304820
304820

Pasien

0
0
0

Penjamin
32
211
196
141
3500
150
4230

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
308
308
610
610
501
501
501
501
16302
16302
429
429
224400
224400
30096
30096
26950
26950
10040
10040
8415
8415
16417
16417
4620
4620
1566
1566
7500
7500
356575
356575

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

32
211
196
141
3500
150
4230

Pasien
276
492
1000
1768

Penjamin
276
492
1000
1768

0
0
0
0

Emergency Catelia
Subtotal
UNT
UNT
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
UNT

Emergency Catelia
Subtotal
UNT
UNT
PKG
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
56980
56980
500
500
57480
57480

0
0
0

Pasien
Penjamin
20314
20314
57470
57470
57964
57964
672
672
2000
2000
138420
138420

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
26950
26950
1500
1500
59773
59773

0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
18343
18343
1500
1500
51166
51166

0
0
0
0
0

Pasien
Penjamin
1032
1032

UNT

Depo Atas
Subtotal
VIL
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

500
1532

500
1532

0
0

Pasien
Penjamin
22770
22770
756
756
1000
1000
24526
24526

0
0
0
0

Pasien

Penjamin
430
430
500
500
930
930

0
0
0

Pasien
Penjamin
73920
73920
13510
13510
1000
1000
88430
88430

0
0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
Penjamin
17600
17600
500
500
18100
18100

0
0
0

Pasien
Penjamin
12600
12600
133210
133210
44940
44940
1500
1500

0
0
0
0

192250

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
TAB
VIL
BOT
VIL
UNT

192250

Pasien
Penjamin
20342
20342
138600
138600
28728
28728
1500
1500
189170
189170

0
0
0
0
0

Pasien
Penjamin
44940
44940
241780
241780
1000
1000
287720
287720

0
0
0
0

Pasien
Penjamin
7644
7644
5544
5544
1000
1000
14188
14188

0
0
0
0

Pasien
Penjamin
19030
19030
1760
1760
1000
1000
21790
21790

0
0
0
0

Pasien
Penjamin
35640
35640
546
546
224400
224400
59400
59400
40128
40128
2500
2500
362614
362614

0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
BOT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
24640
24640
22470
22470
95634
95634
1500
1500
144244
144244

0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
2156
2156
8106
8106
57964
57964
2500
2500
75570
75570

0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
22470
22470
1000
1000
36070
36070

0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
28735
28735
11578
11578
2000
2000
47157
47157

0
0
0
0
0
0

Pasien
Penjamin
8400
8400
133210
133210
22841
22841
22484
22484
32928
32928
2500
2500
222363
222363

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD

Pasien
Penjamin
138600
138600
12492
12492
1890
1890
2145
2145
2000
2000
157127
157127

0
0
0
0
0
0

Pasien
Penjamin
25200
25200
45682
45682
76230
76230
1500
1500
148612
148612

0
0
0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Pasien
Penjamin
2440
2440
4135
4135
1968
1968
220
220
1230
1230
2500
2500
12493
12493

0
0
0
0
0
0
0

Subtotal
TAB
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
1503
1503
1032
1032
49251
49251
1500
1500
53286
53286

0
0
0
0
0

Pasien
Penjamin
8400
8400
66605
66605
1000
1000
76005
76005

0
0
0
0

Pasien
Penjamin
7014
7014
500
500
7514
7514

0
0
0

Pasien
Penjamin
8400
8400
66605
66605
22470
22470
1500
1500
98975
98975

0
0
0
0
0

Pasien
Penjamin
7014
7014
500
500
7514
7514

0
0
0

Pasien
Penjamin
133210
133210
24640
24640
1000
1000
158850
158850

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
1708
1708
6272
6272
1078
1078
2296
2296
2000
2000
13354
13354

0
0
0
0
0
0

Pasien
Penjamin
6660
6660
1708
1708
3136
3136
4620
4620
2000
2000
18124
18124

0
0
0
0
0
0

Pasien
Penjamin
49280
49280
22470
22470
66605
66605
1500
1500
139855
139855

0
0
0
0
0

Pasien
Penjamin
1708
1708
65340
65340
2460
2460
1500
1500
71008
71008

0
0
0
0
0

Pasien
Penjamin
44940
44940
500
500
45440
45440

0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal

7644
11578
57470
2772
13320
2500
95284

7644
11578
57470
2772
13320
2500
95284

0
0
0
0
0
0
0

Pasien
Penjamin
22470
22470
500
500
22970
22970

0
0
0

Pasien
Penjamin
7644
7644
10836
10836
1708
1708
3136
3136
3444
3444
2500
2500
29268
29268

0
0
0
0
0
0
0

Pasien
Penjamin
8400
8400
182728
182728
1000
1000
192128
192128

0
0
0
0

Pasien
Penjamin
11578
11578
57470
57470
1708
1708
110600
110600
2000
2000
183356
183356

0
0
0
0
0
0

Pasien

Penjamin

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB

22470
500
22970

22470
500
22970

0
0
0

Pasien
Penjamin
7224
7224
6272
6272
1708
1708
2700
2700
2000
2000
19904
19904

0
0
0
0
0
0

Pasien
Penjamin
44940
44940
500
500
45440
45440

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
11578
11578
15092
15092
854
854
18914
18914
3000
3000
195682
195682

0
0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
138600
138600
57470
57470
1500
1500
217912
217912

0
0
0
0
0

Pasien
Penjamin
44940
44940
11242
11242

0
0

TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

32928
1500
90610

32928
1500
90610

0
0
0

Pasien
Penjamin
44940
44940
71862
71862
1000
1000
117802
117802

0
0
0
0

Pasien
Penjamin
116606
116606
284900
284900
1708
1708
1500
1500
404714
404714

0
0
0
0
0

Pasien
Penjamin
3000
3000
44940
44940
1000
1000
48940
48940

0
0
0
0

Pasien
Penjamin
20342
20342
11578
11578
57470
57470
13320
13320
2000
2000
104710
104710

0
0
0
0
0
0

Pasien
Penjamin
12600
12600
44940
44940
266420
266420
1500
1500
325460
325460

0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
7014
7014
138600
138600
15092
15092
8316
8316
2000
2000
171022
171022

0
0
0
0
0
0

Pasien
Penjamin
266420
266420
500
500
266920
266920

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
2296
2296
34496
34496
43722
43722
3560
3560
3000
3000
91918
91918

0
0
0
0
0
0
0
0

Pasien
Penjamin
44940
44940
500
500
45440
45440

0
0
0

Pasien
Penjamin
20342
20342
138600
138600
105336
105336
15092
15092
26292
26292
8316
8316
3000
3000

0
0
0
0
0
0
0

316978

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB

316978

Pasien
Penjamin
7644
7644
14448
14448
1708
1708
3136
3136
20820
20820
2296
2296
3000
3000
53052
53052

0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
57470
57470
11578
11578
20314
20314
138600
138600
15092
15092
1708
1708
3136
3136
3500
3500
251398
251398

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
266420
266420
1000
1000
280020
280020

0
0
0
0

Pasien
Penjamin
57964
57964
20342
20342

0
0

TAB
TAB
TAB
TAB
TAB
CAP
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
AMP
TAB
TAB
TAB
TAB
TAB
TAB
UNT

138600
20314
28728
26292
8316
16212
4000
320768

138600
20314
28728
26292
8316
16212
4000
320768

0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
266420
266420
1000
1000
280020
280020

0
0
0
0

Pasien
Penjamin
20342
20342
20314
20314
15092
15092
29148
29148
2520
2520
2500
2500
89916
89916

0
0
0
0
0
0
0

Pasien
Penjamin
203280
203280
500
500
203780
203780

0
0
0

Pasien
Penjamin
10032
10032
2940
2940
138600
138600
284900
284900
15092
15092
110600
110600
20820
20820
2520
2520
4000
4000

0
0
0
0
0
0
0
0
0

589504

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

589504

Pasien
Penjamin
8400
8400
266420
266420
24640
24640
1500
1500
300960
300960

0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
7644
7644
20314
20314
11578
11578
1350
1350
3000
3000
48730
48730

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
284900
284900
57964
57964
1500
1500
354521
354521

0
0
0
0
0

Pasien
Penjamin
8106
8106
14644
14644
57964
57964
1500
1500
82214
82214

0
0
0
0
0

Pasien
Penjamin
8400
8400
24640
24640
1000
1000

0
0
0

34040

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

34040

Pasien
Penjamin
57470
57470
10157
10157
1000
1000
68627
68627

0
0
0
0

Pasien
Penjamin
24640
24640
131445
131445
1000
1000
157085
157085

0
0
0
0

Pasien

Penjamin
770
2240
1000
4010

0
0
0
0

Pasien
Penjamin
42916.5 42916.5
450
450
43366.5 43366.5

0
0
0

Pasien
Penjamin
266420
266420
3000
3000
1000
1000
270420
270420

0
0
0
0

Pasien
Penjamin
23156
23156
3444
3444
1000
1000

0
0
0

770
2240
1000
4010

27600

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
TAB
UNT

27600

Pasien
Penjamin
266420
266420
500
500
266920
266920

0
0
0

Pasien
Penjamin
7644
7644
11578
11578
3136
3136
4200
4200
6000
6000
2500
2500
35058
35058

0
0
0
0
0
0
0

Pasien
Penjamin
2461
2461
500
500
2961
2961

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
14448
14448
1078
1078
2000
2000
25506
25506

0
0
0
0
0
0

Pasien
Penjamin
58905
58905
266420
266420
22484
22484
76230
76230
2000
2000
426039
426039

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
138600
138600
1708
1708
3444
3444
1890
1890
2000
2000
147642
147642

0
0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
138600
138600
20314
20314
11578
11578
57470
57470
1350
1350
2500
2500
231812
231812

0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
138600
138600
57470
57470
20314
20314
1708
1708
6272
6272
3444
3444
3000
3000
230808
230808

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD

Pasien
Penjamin
23156
23156
20314
20314
7546
7546
47685
47685
12492
12492
2500
2500
113693
113693

0
0
0
0
0
0
0

Pasien
Penjamin
13510
13510
7845
7845
47685
47685
1500
1500
70540
70540

0
0
0
0
0

Pasien
Penjamin
9000
9000
500
500
9500
9500

0
0
0

Pasien
Penjamin
16540
16540
7255
7255
20525
20525
1500
1500
45820
45820

0
0
0
0
0

Pasien
Penjamin
266420
266420
76230
76230
24640
24640
1500
1500
368790
368790

0
0
0
0
0

Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
7644
7644
1708
1708
10157
10157
1500
1500
21009
21009

0
0
0
0
0

Pasien
Penjamin
2461
2461
500
500
2961
2961

0
0
0

Pasien
Penjamin
178200
178200
95040
95040
1000
1000
274240
274240

0
0
0
0

Pasien
Penjamin
9006
9006
500
500
9506
9506

0
0
0

Pasien

Penjamin
264
264
500
500
764
764

0
0
0

Pasien
Penjamin
35640
35640
500
500
36140
36140

0
0
0

Pasien
Penjamin
5804
5804

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

500
6304

500
6304

0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
15120
15120
20314
20314
284900
284900
2156
2156
2128
2128
57964
57964
3000
3000
385582
385582

0
0
0
0
0
0
0
0

Pasien
Penjamin
8190
8190
1232
1232
11608
11608
63930
63930
6720
6720
23160
23160
3000
3000
117840
117840

0
0
0
0
0
0
0
0

Pasien
Penjamin
8400
8400
27324
27324
1000
1000
36724
36724

0
0
0
0

Pasien
Penjamin
20342
20342
138600
138600

0
0

TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

10157
7546
19800
2500
198945

10157
7546
19800
2500
198945

0
0
0
0
0

Pasien
Penjamin
1220
1220
4480
4480
78540
78540
7255
7255
15440
15440
4740
4740
3000
3000
114675
114675

0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
99000
99000
3480
3480
157080
157080
7255
7255
20520
20520
610
610
3500
3500
296905
296905

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16380
16380
43530
43530
123150
123150
1500
1500
184560
184560

0
0
0
0
0

Pasien
Penjamin
3000
3000
500
500
3500
3500

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
VIL
UNT

Pasien
Penjamin
7644
7644
138600
138600
1708
1708
7224
7224
10157
10157
7546
7546
3000
3000
175879
175879

0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
11578
11578
57470
57470
176
176
25872
25872
15370
15370
3000
3000
133780
133780

0
0
0
0
0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
827
152160
1000
153987

Penjamin
827
152160
1000
153987

0
0
0
0

Apotik Panel
Subtotal
AMP
UNT

Apotik Panel
Subtotal
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
PKG
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
AMP

Pasien
Penjamin
11275
11275
500
500
11775
11775

0
0
0

Pasien
Penjamin
6765
6765
500
500
7265
7265

0
0
0

Pasien

Penjamin
246
246
500
500
746
746

0
0
0

Pasien
Penjamin
4922
4922
26950
26950
1000
1000
32872
32872

0
0
0
0

Pasien
Penjamin
4972
4972
500
500
5472
5472

0
0
0

Pasien
Penjamin
9844
9844
3575
3575
1000
1000
14419
14419

0
0
0
0

Pasien
Penjamin
35640
35640

BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
PKG
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

67716
1000
104356

67716
1000
104356

0
0
0

Pasien
Penjamin
5460
5460
1220
1220
4480
4480
5160
5160
770
770
1160
1160
1520
1520
3500
3500
23270
23270

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14766
14766
53900
53900
1000
1000
69666
69666

0
0
0
0

Pasien
Penjamin
5184
5184
500
500
5684
5684

0
0
0

Pasien
Penjamin
5460
5460
7255
7255
20520
20520
1160
1160
2000
2000
36395
36395

0
0
0
0
0
0

Pasien
770
500

Penjamin
770
500

0
0

1270

Depo Atas
Subtotal
TAB
TAB
VIL
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT
UNT
UNT

Emergency ICCU
Subtotal
UNT
UNT
UNT

1270

Pasien
Penjamin
2481
2481
88
88
224400
224400
16335
16335
14988
14988
2500
2500
260792
260792

0
0
0
0
0
0
0

Pasien
Penjamin
1332
1332
15013
15013
16360
16360
1500
1500
34205
34205

0
0
0
0
0

Pasien

Penjamin
492
26950
8415
14988
2000
52845

0
0
0
0
0
0

Penjamin
308
14988
16335
1500
33131

0
0
0
0
0

Pasien
Penjamin
12610
12610
3994
3994
5809
5809

0
0
0

492
26950
8415
14988
2000
52845

Pasien
308
14988
16335
1500
33131

UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
UNT

Emergency ICCU
Subtotal
AMP
UNT
VIL
UNT
UNT
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Emergency ICCU
Subtotal
UNT

14988
14988
2500
54889

14988
14988
2500
54889

0
0
0
0

Penjamin
820
14988
16335
1500
33643

0
0
0
0
0

Penjamin
696
1654
14988
16335
2000
35673

0
0
0
0
0
0

Pasien
Penjamin
376200
376200
22688
22688
3432
3432
5809
5809
29976
29976
16417
16417
3000
3000
457522
457522

0
0
0
0
0
0
0
0

Pasien
Penjamin
6526
6526
500
500
7026
7026

0
0
0

Pasien
Penjamin
62563
62563

Pasien
820
14988
16335
1500
33643

Pasien
696
1654
14988
16335
2000
35673

UNT
UNT
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
TAB
TAB
PKG
UNT
UNT
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD

5809
3994
56262
12012
21120
3000
164760

5809
3994
56262
12012
21120
3000
164760

0
0
0
0
0
0
0

Penjamin
348
501
9900
1617
7854
300
224400
8820
3960
429
15060
7700
6375
9096
5809
41388
687
8500
352744

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4632
4632
500
500
5132
5132

0
0
0

Pasien
Penjamin
2902
2902
500
500
3402
3402

0
0
0

Pasien
348
501
9900
1617
7854
300
224400
8820
3960
429
15060
7700
6375
9096
5809
41388
687
8500
352744

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
BAG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
138600
138600
20342
20342
10157
10157
57470
57470
7546
7546
2500
2500
236615
236615

0
0
0
0
0
0
0

Pasien
Penjamin
12936
12936
500
500
13436
13436

0
0
0

Pasien
Penjamin
86697
86697
37867.5 37867.5
900
900
125464.5 125464.5

0
0
0
0

Pasien
Penjamin
1638
1638
23562
23562
6156
6156
1500
1500
32856
32856

0
0
0
0
0

Pasien
Penjamin
2902
2902
500
500
3402
3402

0
0
0

Pasien
Penjamin
1092
1092
1032
1032
1000
1000
3124
3124

0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
PKG
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
78540
78540
1220
1220
4480
4480
14530
14530
49500
49500
1540
1540
3000
3000
152810
152810

0
0
0
0
0
0
0
0

Pasien

Penjamin
580
580
500
500
1080
1080

0
0
0

Pasien
Penjamin
59400
59400
308
308
348
348
4104
4104
2000
2000
66160
66160

0
0
0
0
0
0

Pasien
Penjamin
224400
224400
41388
41388
3560
3560
1500
1500
270848
270848

0
0
0
0
0

Pasien
Penjamin
14784
14784
456
456
1451
1451
1500
1500
18191
18191

0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
SUP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
7392
7392
456
456
37245
37245
1500
1500
46593
46593

Pasien

0
0
0
0
0

Penjamin
501
1078
1000
2579

0
0
0
0

Penjamin
154
154
500
500
654
654

0
0
0

Pasien
Penjamin
25260
25260
500
500
25760
25760

0
0
0

Pasien
Penjamin
4928
4928
500
500
5428
5428

0
0
0

Pasien
Penjamin
18738
18738
1215
1215
3942
3942
1350
1350
25245
25245

0
0
0
0
0

501
1078
1000
2579

Pasien

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Pasien
Penjamin
17360
17360
500
500
17860
17860

0
0
0

Pasien
Penjamin
47817
47817
500
500
48317
48317

0
0
0

Pasien
Penjamin
1540
1540
5460
5460
15440
15440
1220
1220
2240
2240
2500
2500
28400
28400

0
0
0
0
0
0
0

Pasien
Penjamin
14530
14530
99000
99000
20520
20520
1500
1500
135550
135550

0
0
0
0
0

Pasien
Penjamin
20314
20314
19800
19800
2296
2296
15092
15092
57964
57964
2500
2500
117966
117966

0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
VIL

Pasien
Penjamin
1451
1451
500
500
1951
1951

0
0
0

Pasien
Penjamin
17372
17372
500
500
17872
17872

0
0
0

Pasien
Penjamin
3036
3036
500
500
3536
3536

0
0
0

Pasien
Penjamin
5460
5460
15440
15440
2240
2240
5160
5160
1220
1220
770
770
3000
3000
33290
33290

0
0
0
0
0
0
0
0

Pasien
Penjamin
15440
15440
10320
10320
1540
1540
7255
7255
220
220
2500
2500
37275
37275

0
0
0
0
0
0
0

Pasien
Penjamin
152160
152160

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
VIL
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT

500
152660

500
152660

0
0

Penjamin
448
1078
501
9900
258
348
3000
15533

0
0
0
0
0
0
0
0

Penjamin
580
500
1080

0
0
0

Pasien
Penjamin
2505
2505
49500
49500
1032
1032
2156
2156
226738
226738
24610
24610
3000
3000
309541
309541

0
0
0
0
0
0
0
0

Pasien
Penjamin
17440
17440
500
500
17940
17940

0
0
0

Pasien
Penjamin
5809
5809
3994
3994
2640
2640

0
0
0

Pasien
448
1078
501
9900
258
348
3000
15533

Pasien
580
500
1080

AMP
UNT
BOT
UNT
UNT
TAB
TAB
TAB
TAB
UNT
TUB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

22149
3080
16417
8415
14988
39600
539
86
116
26611
56262
12012
18343
1002
8500
240563

22149
3080
16417
8415
14988
39600
539
86
116
26611
56262
12012
18343
1002
8500
240563

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
4872
4872
20314
20314
11578
11578
7224
7224
7546
7546
57964
57964
4000
4000
259742
259742

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
78540
78540
7255
7255
1000
1000
86795
86795

0
0
0
0

Pasien
Penjamin
259050
259050
500
500
259550
259550

0
0
0

Depo IGD
Subtotal
CAP
BOT
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Emergency ICCU
Subtotal

Pasien
Penjamin
27020
27020
47685
47685
15690
15690
26400
26400
2000
2000
118795
118795

0
0
0
0
0
0

Pasien
Penjamin
63602
63602
500
500
64102
64102

0
0
0

Pasien
Penjamin
138600
138600
1160
1160
11578
11578
20314
20314
7546
7546
18914
18914
47685
47685
3500
3500
249297
249297

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
20314
20314
11578
11578
1624
1624
854
854
15092
15092
26292
26292
5544
5544
4500
4500
232042
232042

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

PKG
UNT
BAG
UNT
BOT
BOT
UNT
PKG
PKG
UNT
TUB
UNT

Emergency ICCU
Subtotal
PKG
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

41388
62563
175824
26611
16417
6872
22688
56788
397980
16088
56262
5500
884981

41388
62563
175824
26611
16417
6872
22688
56788
397980
16088
56262
5500
884981

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
41388
41388
500
500
41888
41888

0
0
0

Pasien
Penjamin
2370
2370
109956
109956
10157
10157
1624
1624
21616
21616
2500
2500
148223
148223

0
0
0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
3612
3612
42620
42620
4480
4480
1540
1540
24704
24704

0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

1722
3000
81678

1722
3000
81678

0
0
0

Pasien
Penjamin
5460
5460
99000
99000
3480
3480
78540
78540
7255
7255
5390
5390
1980
1980
1220
1220
4000
4000
206325
206325

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26376
26376
500
500
26876
26876

0
0
0

Pasien
Penjamin
138600
138600
109956
109956
3248
3248
10157
10157
15092
15092
5544
5544
20342
20342
3500
3500
306439
306439

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
1160
1160
55780
55780
1220
1220
2240
2240
2500
2500

0
0
0
0
0
0

68360

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal

68360

Pasien
Penjamin
2580
2580
854
854
3136
3136
1500
1500
8070
8070

0
0
0
0
0

Pasien
Penjamin
1654
1654
88
88
1000
1000
2742
2742

0
0
0
0

Pasien
Penjamin
6960
6960
24810
24810
21765
21765
1500
1500
55035
55035

0
0
0
0
0

Pasien
Penjamin
3248
3248
11578
11578
10157
10157
1500
1500
26483
26483

0
0
0
0
0

Pasien
Penjamin
5804
5804
500
500
6304
6304

0
0
0

Pasien

Penjamin

TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
VIL

31416
32684
1000
65100

31416
32684
1000
65100

0
0
0
0

Pasien
Penjamin
3000
3000
500
500
3500
3500

0
0
0

Pasien
Penjamin
5460
5460
4640
4640
7255
7255
16540
16540
20525
20525
2500
2500
56920
56920

0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
138600
138600
109956
109956
10157
10157
7546
7546
2772
2772
3000
3000
292373
292373

0
0
0
0
0
0
0
0

Pasien
Penjamin
31416
31416
5804
5804
1000
1000
38220
38220

0
0
0
0

Pasien
Penjamin
341088
341088

BOT
AMP
VIL
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB

47685
142560
41496
2000
574829

47685
142560
41496
2000
574829

0
0
0
0
0

Pasien
Penjamin
78540
78540
500
500
79040
79040

0
0
0

Pasien
Penjamin
284900
284900
10157
10157
1000
1000
296057
296057

0
0
0
0

Pasien
Penjamin
7644
7644
57470
57470
10157
10157
7546
7546
732
732
2500
2500
86049
86049

0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
4053
4053
10460
10460
57964
57964
1380
1380
2500
2500
96671
96671

0
0
0
0
0
0
0

Pasien
Penjamin
63602
63602

UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
AMP
VIL
UNT

Depo IGD
Subtotal
VIL
BOT
BOT
UNT
UNT
UNT

500
64102

500
64102

0
0

Penjamin
928
928
500
500
1428
1428

0
0
0

Pasien
Penjamin
14766
14766
500
500
15266
15266

0
0
0

Pasien
Penjamin
56100
56100
500
500
56600
56600

0
0
0

Pasien
Penjamin
338580
338580
26950
26950
14988
14988
20213
20213
7383
7383
211200
211200
3000
3000
622314
622314

0
0
0
0
0
0
0
0

Pasien
Penjamin
110629
110629
56100
56100
18192
18192
14988
14988
8415
8415
2500
2500
210824
210824

0
0
0
0
0
0
0

Pasien

Depo IGD
Subtotal
TAB
VIL
TAB
TAB
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
PKG
UNT
UNT
UNT
VIL
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
1544
1544
27831
27831
456
456
606
606
14988
14988
18343
18343
26950
26950
3500
3500
94218
94218

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12305
12305
41388
41388
1898
1898
14988
14988
8415
8415
211200
211200
26950
26950
32834
32834
4000
4000
353978
353978

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
Penjamin
52668
52668
5310
5310
37688
37688
854
854
24640
24640
440
440
18528
18528
3500
3500
143628
143628

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
VIL
BOT
AMP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
UNT

Emergency ICCU
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
112200
112200
56100
56100
107376
107376
2640
2640
2000
2000
280316
280316

0
0
0
0
0
0

Pasien
Penjamin
1032
1032
1078
1078
4922
4922
1500
1500
8532
8532

0
0
0
0
0

Pasien
Penjamin
5881
5881
13820
13820
9985
9985
3080
3080
3300
3300
12012
12012
12012
12012
869550
869550
365640
365640
56788
56788
397980
397980
5500
5500
1755548 1755548

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2902
2902
88
88
1000
1000
3990
3990

0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Emergency ICCU
Subtotal
UNT
UNT
UNT

Emergency ICCU
Subtotal
AMP
UNT
UNT
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal

20342
138600
20314
28735
7546
1160
31514
8316
4000
260527

20342
138600
20314
28735
7546
1160
31514
8316
4000
260527

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26611
26611
14988
14988
1000
1000
42599
42599

0
0
0
0

Pasien
Penjamin
288540
288540
19250
19250
9625
9625
30888
30888
14988
14988
2500
2500
365791
365791

0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
99000
99000
3480
3480
78540
78540
7255
7255
20520
20520
16164
16164
810
810
4000
4000
235229
235229

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

AMP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
VIL
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CTG
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

150480
5991
4620
1500
162591

150480
5991
4620
1500
162591

0
0
0
0
0

Pasien
Penjamin
1451
1451
4105
4105
44
44
2592
2592
226738
226738
2500
2500
237430
237430

0
0
0
0
0
0
0

Pasien

Penjamin
580
500
1080

0
0
0

Penjamin
246
3960
11088
180048
2000
197342

0
0
0
0
0
0

Pasien
Penjamin
7854
7854
500
500
8354
8354

0
0
0

Pasien
Penjamin
2239
2239
500
500
2739
2739

0
0
0

580
500
1080

Pasien
246
3960
11088
180048
2000
197342

Depo IGD
Subtotal
UNT
UNT

Apotik Panel 2
Subtotal
VIL
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
18980
18980
500
500
19480
19480

0
0
0

Pasien
Penjamin
253000
253000
26376
26376
1000
1000
280376
280376

0
0
0
0

Pasien
Penjamin
138600
138600
4872
4872
20314
20314
57470
57470
854
854
3136
3136
68992
68992
3500
3500
297738
297738

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1220
1220
3480
3480
8270
8270
157080
157080
4480
4480
99000
99000
3000
3000
276530
276530

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
20314
20314

0
0
0

TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal

219912
7546
2128
1386
3500
401030

219912
7546
2128
1386
3500
401030

0
0
0
0
0
0

Pasien
Penjamin
26922
26922
500
500
27422
27422

0
0
0

Pasien
Penjamin
1708
1708
109956
109956
20314
20314
1078
1078
15120
15120
25872
25872
3000
3000
177048
177048

0
0
0
0
0
0
0
0

Pasien
Penjamin
3248
3248
57470
57470
6272
6272
20820
20820
5080
5080
2500
2500
95390
95390

0
0
0
0
0
0
0

Pasien
Penjamin
109956
109956
500
500
110456
110456

0
0
0

Pasien

Penjamin

TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

20314
39500
3500
4900
500
68714

20314
39500
3500
4900
500
68714

0
0
0
0
0
0

Pasien
Penjamin
2440
2440
4480
4480
14530
14530
99000
99000
78540
78540
770
770
10780
10780
3500
3500
214040
214040

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9420
9420
500
500
9920
9920

0
0
0

Pasien
Penjamin
3000
3000
500
500
3500
3500

0
0
0

Pasien
Penjamin
14530
14530
99000
99000
78540
78540
7255
7255
10780
10780
1220
1220
3960
3960
3500
3500
218785
218785

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB

Pasien
Penjamin
109956
109956
10157
10157
1000
1000
121113
121113

0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
1078
1078
10157
10157
3444
3444
2500
2500
22023
22023

0
0
0
0
0
0
0

Pasien
Penjamin
2310
2310
3584
3584
1962
1962
1260
1260
2000
2000
11116
11116

0
0
0
0
0
0

Pasien
Penjamin
54450
54450
500
500
54950
54950

0
0
0

Pasien
Penjamin
76230
76230

UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB

500
76730

500
76730

0
0

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Pasien
Penjamin
7644
7644
57470
57470
11578
11578
20314
20314
26292
26292
8316
8316
6384
6384
3500
3500
141498
141498

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20213
20213
500
500
20713
20713

0
0
0

Pasien
Penjamin
7644
7644
7224
7224
20314
20314
15092
15092
26940
26940
1890
1890
34496
34496
3500
3500
117100
117100

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
88000
88000

UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

500
88500

500
88500

0
0

Pasien
Penjamin
1540
1540
4480
4480
1000
1000
7020
7020

0
0
0
0

Pasien
Penjamin
49392
49392
38115
38115
1000
1000
88507
88507

0
0
0
0

Pasien
Penjamin
7644
7644
11578
11578
57470
57470
20314
20314
308
308
8316
8316
1722
1722
3500
3500
14700
14700
3000
3000
128552
128552

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
99000
99000
16540
16540
78540
78540
3060
3060
3690
3690
440
440
3000
3000
204270
204270

0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Pasien

Penjamin
308
2902
1000
4210

0
0
0
0

Penjamin
612
88
3138
1500
5338

0
0
0
0
0

Pasien
Penjamin
4444
4444
500
500
4944
4944

0
0
0

Pasien
Penjamin
1062
1062
500
500
1562
1562

0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
138600
138600
20314
20314
11578
11578
57470
57470
2700
2700
2500
2500
233162
233162

0
0
0
0
0
0
0

308
2902
1000
4210

Pasien
612
88
3138
1500
5338

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
PKG
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Pasien
Penjamin
5460
5460
1220
1220
2240
2240
770
770
3270
3270
1640
1640
3000
3000
17600
17600

0
0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
138600
138600
4284
4284
20314
20314
11578
11578
9730
9730
3000
3000
207848
207848

0
0
0
0
0
0
0
0

Pasien

Penjamin
612
612
500
500
1112
1112

0
0
0

Pasien
Penjamin
376200
376200
26950
26950
1032
1032
1500
1500
405682
405682

0
0
0
0
0

Pasien
Penjamin
4284
4284
500
500
4784
4784

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT

Pasien
Penjamin
20342
20342
138600
138600
20314
20314
15092
15092
3444
3444
2500
2500
200292
200292

0
0
0
0
0
0
0

Pasien
Penjamin
155624
155624
500
500
156124
156124

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
7546
7546
3444
3444
1932
1932
110600
110600
3000
3000
134502
134502

0
0
0
0
0
0
0
0

Pasien
Penjamin
16200
16200
2640
2640
12405
12405
2115
2115
3285
3285
690
690
196
196
3500
3500
750
750
1500
1500
43281
43281

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT

Emergency ICCU
Subtotal
BOT
UNT
PKG
AMP
AMP
AMP
AMP
UNT
UNT
UNT
TUB
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
5881
5881
11464
11464
107800
107800
187110
187110
190080
190080
30888
30888
96180
96180
12012
12012
336501
336501
20213
20213
56262
56262
5991
5991
4620
4620
5294
5294
5294
5294
9625
9625
1548
1548
8500
8500
1095263 1095263

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
516
516
500
500
1016
1016

0
0
0

Pasien
Penjamin
4962
4962
8210
8210
2902
2902
1500
1500
17574
17574

0
0
0
0
0

Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

Pasien

0
0
0

Penjamin
762
3488
3002
8210
138
2500
18100

0
0
0
0
0
0
0

Pasien
Penjamin
4000
4000
500
500
4500
4500

0
0
0

Pasien
Penjamin
14510
14510
39270
39270
5460
5460
1500
1500
60740
60740

0
0
0
0
0

Pasien
Penjamin
20314
20314
2700
2700
15690
15690
57964
57964
2000
2000
98668
98668

0
0
0
0
0
0

Pasien
Penjamin
99000
99000
1020
1020

0
0

762
3488
3002
8210
138
2500
18100

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
VIL
PKG
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

78540
7255
20520
160
3000
209495

78540
7255
20520
160
3000
209495

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
109956
109956
10157
10157
7546
7546
2500
2500
276403
276403

0
0
0
0
0
0
0

Pasien

Penjamin
492
492
500
500
992
992

0
0
0

Penjamin
438
438
500
500
938
938

0
0
0

Pasien
Penjamin
673200
673200
30096
30096
41388
41388
1290
1290
2000
2000
747974
747974

0
0
0
0
0
0

Pasien
Penjamin
1015740 1015740
500
500

0
0

Pasien

1016240

Depo Atas
Subtotal
TAB
UNT

Emergency ICCU
Subtotal
UNT
UNT
UNT
PKG
UNT

Emergency ICCU
Subtotal
UNT
AMP
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal

1016240

Penjamin
924
924
500
500
1424
1424

0
0
0

Pasien
Penjamin
40426
40426
9625
9625
14988
14988
41388
41388
2000
2000
108427
108427

0
0
0
0
0
0

Pasien
Penjamin
12610
12610
12524
12524
26950
26950
20213
20213
2000
2000
74297
74297

0
0
0
0
0
0

Pasien
Penjamin
87630
87630
500
500
88130
88130

0
0
0

Pasien
Penjamin
4480
4480
15440
15440
1000
1000
20920
20920

0
0
0
0

Pasien

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
UNT
TAB
VIL
UNT
UNT
PKG
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

5460
3060
78540
14510
20520
1220
47685
3500
174495

5460
3060
78540
14510
20520
1220
47685
3500
174495

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
59193
59193
896
896
112200
112200
18342
18342
5809
5809
5020
5020
2550
2550
3080
3080
3300
3300
11110
11110
5000
5000
226500
226500

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
59400
59400
450
450
59850
59850

0
0
0

Pasien
Penjamin
14530
14530
4080
4080
7255
7255
78540
78540
2000
2000
106405
106405

0
0
0
0
0
0

Pasien
Penjamin
20342
20342

TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal

11578
109956
20314
2128
1428
3000
168746

11578
109956
20314
2128
1428
3000
168746

0
0
0
0
0
0
0

Pasien
Penjamin
49280
49280
500
500
49780
49780

0
0
0

Pasien
Penjamin
3612
3612
3444
3444
1000
1000
8056
8056

0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
7644
7644
219912
219912
20314
20314
308
308
11578
11578
1230
1230
4000
4000
272966
272966

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien

Penjamin

TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

462
896
1000
2358

462
896
1000
2358

0
0
0
0

Pasien
Penjamin
5460
5460
1540
1540
15440
15440
1220
1220
2240
2240
2460
2460
3000
3000
31360
31360

0
0
0
0
0
0
0
0

Pasien
Penjamin
122682
122682
24640
24640
1000
1000
148322
148322

0
0
0
0

Pasien
Penjamin
1078
1078
3136
3136
1640
1640
1500
1500
7354
7354

0
0
0
0
0

Pasien
Penjamin
17600
17600
500
500
18100
18100

0
0
0

Pasien
Penjamin
5460
5460
2440
2440
4480
4480

0
0
0

TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal

78540
1540
12400
4740
3500
113100

78540
1540
12400
4740
3500
113100

0
0
0
0
0
0

Pasien
Penjamin
1220
1220
4480
4480
20314
20314
109956
109956
2156
2156
3444
3444
3000
3000
144570
144570

0
0
0
0
0
0
0
0

Pasien
Penjamin
69300
69300
20314
20314
28735
28735
1428
1428
27244
27244
57964
57964
7546
7546
3500
3500
216031
216031

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
10157
10157
109956
109956
1020
1020
1640
1640
57964
57964
3000
3000
191381
191381

0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
BOT
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

20314
109956
36960
2296
15092
57964
3000
245582

20314
109956
36960
2296
15092
57964
3000
245582

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
2856
2856
20314
20314
109956
109956
7546
7546
8316
8316
3500
3500
298732
298732

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27244
27244
21966
21966
57964
57964
2025
2025
1288
1288
2500
2500
112987
112987

0
0
0
0
0
0
0

Pasien
Penjamin
284900
284900
500
500
285400
285400

0
0
0

Pasien
Penjamin
2856
2856
11578
11578
37688
37688
308
308

0
0
0
0

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

2000
54430

2000
54430

0
0

Pasien
Penjamin
203280
203280
500
500
203780
203780

0
0
0

Pasien
Penjamin
397824
397824
500
500
398324
398324

0
0
0

Pasien
Penjamin
138600
138600
15092
15092
110600
110600
1020
1020
24955
24955
36960
36960
3000
3000
330227
330227

0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
11578
11578
57470
57470
308
308
25872
25872
15370
15370
3000
3000
133912
133912

0
0
0
0
0
0
0
0

Pasien
Penjamin
26400
26400
500
500
26900
26900

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
138600
138600
4284
4284
37688
37688
26928
26928
11578
11578
36960
36960
3000
3000
259038
259038

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
7224
7224
20314
20314
308
308
13146
13146
5544
5544
448
448
4000
4000
55828
55828

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
308
308
28735
28735
10157
10157
15092
15092
65340
65340
3000
3000
134210
134210

0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
4284
4284
57470
57470
10157
10157
1708
1708

0
0
0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Emergency Catelia
Subtotal
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

6272
3444
3500
225435

6272
3444
3500
225435

0
0
0
0

Pasien
Penjamin
138600
138600
4284
4284
57470
57470
20314
20314
1708
1708
7546
7546
4000
4000
3500
3500
237422
237422

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20213
20213
26950
26950
5809
5809
1500
1500
54472
54472

0
0
0
0
0

Pasien
Penjamin
138600
138600
109956
109956
10157
10157
2296
2296
9730
9730
57964
57964
11578
11578
3500
3500
343781
343781

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
54978
54978
2296
2296
1500
1500

0
0
0
0

79088

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

79088

Pasien
Penjamin
7644
7644
138600
138600
1708
1708
10836
10836
10157
10157
28728
28728
1428
1428
3500
3500
202601
202601

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3825
3825
500
500
4325
4325

0
0
0

Pasien
Penjamin
1230
1230
7920
7920
1000
1000
10150
10150

0
0
0
0

Pasien
Penjamin
12492
12492
1890
1890
23156
23156
20314
20314
47685
47685
7546
7546
3000
3000
116083
116083

0
0
0
0
0
0
0
0

Pasien
Penjamin
28728
28728
15690
15690

0
0

UNT

Depo IGD
Subtotal
TAB
TAB
AMP
AMP
TAB
TAB
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
AMP
BOT

1000
45418

1000
45418

0
0

Pasien
Penjamin
1503
1503
29700
29700
376200
376200
22220
22220
430
430
4104
4104
304320
304320
3500
3500
741977
741977

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
15120
15120
20314
20314
397824
397824
2156
2156
2128
2128
47685
47685
3000
3000
488227
488227

0
0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
500
500
29235
29235

0
0
0

Pasien
Penjamin
11564
11564
57964
57964

0
0

UNT

Depo IGD
Subtotal
TAB
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

1000
70528

1000
70528

0
0

Penjamin
44
22220
1000
23264

0
0
0
0

Pasien
Penjamin
138600
138600
1708
1708
4284
4284
109956
109956
10157
10157
13622
13622
57964
57964
3500
3500
339791
339791

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
16420
16420
10157
10157
15288
15288
8316
8316
12492
12492
3000
3000
67381
67381

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
14448
14448
1078
1078
7644
7644
21616
21616
3444
3444
3500
3500

0
0
0
0
0
0
0
0

Pasien
44
22220
1000
23264

56574

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

56574

Pasien
Penjamin
1708
1708
6272
6272
7644
7644
109956
109956
10157
10157
21616
21616
3444
3444
3500
3500
164297
164297

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
10157
10157
109956
109956
854
854
2000
2000
130611
130611

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
4284
4284
109956
109956
20314
20314
7546
7546
1708
1708
8316
8316
4000
4000
302368
302368

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
1428
1428
10157
10157
28735
28735
2000
2000

0
0
0
0
0

49964

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
BOT
TAB
UNT

Depo Atas

49964

Pasien
Penjamin
109956
109956
10157
10157
1000
1000
121113
121113

0
0
0
0

Pasien
Penjamin
138600
138600
7644
7644
10157
10157
57470
57470
5390
5390
4256
4256
3000
3000
226517
226517

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
20412
20412
57470
57470
10157
10157
4284
4284
2500
2500
96531
96531

0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
109956
109956
7546
7546
14595
14595
57964
57964
1260
1260
3000
3000
214635
214635

0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
78540
78540
7255
7255
1220
1220
5010
5010
18480
18480
1380
1380
3000
3000
114885
114885

0
0
0
0
0
0
0
0

Pasien
Penjamin
16540
16540
6120
6120
7380
7380
440
440
1220
1220
26920
26920
3000
3000
61620
61620

0
0
0
0
0
0
0
0

Pasien

Penjamin
308
8210
896
3088
408
2500
15410

0
0
0
0
0
0
0

Pasien
Penjamin
1476
1476
88
88
5384
5384
7920
7920
2000
2000
16868
16868

0
0
0
0
0
0

308
8210
896
3088
408
2500
15410

Pasien

Penjamin
896
896

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
AMP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD

500
1396

500
1396

0
0

Pasien
Penjamin
10920
10920
99000
99000
78540
78540
7255
7255
1220
1220
20520
20520
3000
3000
220455
220455

0
0
0
0
0
0
0
0

Pasien

Penjamin
448
1544
1000
2992

0
0
0
0

Penjamin
154
6666
1544
448
2000
10812

0
0
0
0
0
0

Pasien
Penjamin
3416
3416
6272
6272
57470
57470
11578
11578
7644
7644
1428
1428
3000
3000
90808
90808

0
0
0
0
0
0
0
0

448
1544
1000
2992

Pasien
154
6666
1544
448
2000
10812

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
7644
7644
5712
5712
57470
57470
10157
10157
854
854
2500
2500
84337
84337

0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
3060
3060
28735
28735
20314
20314
3136
3136
1890
1890
3000
3000
198735
198735

0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
57470
57470
37688
37688
3060
3060
5166
5166
1708
1708
3000
3000
119670
119670

0
0
0
0
0
0
0
0

Pasien

Penjamin
854
54978
10157
1500
67489

0
0
0
0
0

Pasien
Penjamin
7644
7644
1708
1708

0
0

854
54978
10157
1500
67489

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

3136
7224
10157
1428
3000
34297

3136
7224
10157
1428
3000
34297

0
0
0
0
0
0

Pasien
Penjamin
1708
1708
1792
1792
7224
7224
1428
1428
57964
57964
3444
3444
3000
3000
76560
76560

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
7224
7224
3136
3136
1708
1708
77200
77200
2500
2500
99412
99412

0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
57470
57470
10157
10157
1500
1500
80705
80705

0
0
0
0
0

Pasien
Penjamin
4914
4914
2754
2754
14886
14886
36945
36945
35640
35640

0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
AMP
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD

70686
2700
168525

70686
2700
168525

0
0
0

Pasien
Penjamin
22220
22220
29700
29700
1638
1638
31416
31416
896
896
492
492
3000
3000
89362
89362

0
0
0
0
0
0
0
0

Pasien
Penjamin
63602
63602
500
500
64102
64102

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
2156
2156
21616
21616
3444
3444
4740
4740
3000
3000
42936
42936

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
7644
7644
10157
10157
2000
2000
27781
27781

0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
10157
10157
616
616
7546
7546
7014
7014
2128
2128
2772
2772
3000
3000
33233
33233

0
0
0
0
0
0
0
0

Pasien
Penjamin
109956
109956
116606
116606
616
616
7014
7014
8316
8316
12278
12278
3000
3000
257786
257786

0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
28728
28728
10157
10157
109956
109956
1708
1708
3000
3000
299163
299163

0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
1708
1708
41188
41188
2460
2460
109956
109956
37688
37688
3000
3000
334600
334600

0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Emergency ICCU
Subtotal
UNT
UNT

Pasien
Penjamin
45682
45682
63602
63602
1000
1000
110284
110284

0
0
0
0

Pasien
Penjamin
138600
138600
1020
1020
3444
3444
57964
57964
1722
1722
3500
3500
14700
14700
2000
2000
222950
222950

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
11578
11578
7644
7644
10157
10157
7546
7546
54978
54978
3000
3000
96611
96611

0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
57470
57470
20412
20412
7014
7014
2000
2000
107210
107210

0
0
0
0
0
0

Pasien
Penjamin
20213
20213
26950
26950

0
0

UNT

Emergency ICCU
Subtotal
UNT
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT

Emergency ICCU
Subtotal
AMP
UNT

Emergency ICCU
Subtotal
AMP
UNT
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas

1000
48163

1000
48163

0
0

Pasien
Penjamin
26950
26950
20213
20213
1000
1000
48163
48163

0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
752400
752400
500
500
752900
752900

0
0
0

Pasien
Penjamin
190080
190080
12610
12610
16417
16417
26950
26950
26611
26611
5732
5732
516
516
3500
3500
282416
282416

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
488
488
500
500
988
988

0
0
0

Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
TAB
UNT

Emergency Catelia
Subtotal
UNT
AMP
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

Pasien
488
500
988

Penjamin
488
500
988

0
0
0

860
462
896
3500
1050
4632
732
2000
14132

Penjamin
860
462
896
3500
1050
4632
732
2000
14132

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62563
62563
187110
187110
1000
1000
250673
250673

0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
108750
108750
15030
15030
64520
64520
1020
1020
117810
117810
2500
2500
309630
309630

0
0
0
0
0
0
0

Pasien

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

277200
4284
1708
109956
5804
1260
3000
403212

277200
4284
1708
109956
5804
1260
3000
403212

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
2128
2128
138600
138600
8316
8316
31514
31514
198912
198912
8780
8780
4000
4000
420208
420208

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
2856
2856
219912
219912
1078
1078
55440
55440
8316
8316
28728
28728
3500
3500
458430
458430

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
20314
20314
11578
11578
138600
138600
7546
7546
2500
2500
184822
184822

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
1708
1708
3136
3136
21616
21616
20314
20314
219912
219912
2500
2500
269186
269186

0
0
0
0
0
0
0

Pasien
Penjamin
2156
2156
6272
6272
1708
1708
21616
21616
2000
2000
33752
33752

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
10157
10157
10206
10206
7546
7546
54978
54978
3000
3000
232131
232131

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
28735
28735
6272
6272
10157
10157
2000
2000
54808
54808

0
0
0
0
0
0

Pasien
Penjamin
138600
138600

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

4284
37688
62832
20412
2500
266316

4284
37688
62832
20412
2500
266316

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
4284
4284
10157
10157
20412
20412
28735
28735
7546
7546
3500
3500
220878
220878

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6832
6832
6272
6272
308
308
7644
7644
57470
57470
10157
10157
5544
5544
3500
3500
97727
97727

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
4284
4284
2520
2520
11578
11578
2000
2000
27606
27606

0
0
0
0
0
0

Pasien
Penjamin
7644
7644

TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

138600
109956
2856
5804
28728
5544
41188
4000
344320

138600
109956
2856
5804
28728
5544
41188
4000
344320

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
109956
109956
10157
10157
1078
1078
21616
21616
2505
2505
3500
3500
153656
153656

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1451
1451
827
827
58303
58303
4920
4920
2040
2040
820
820
3500
3500
1000
1000
1640
1640
320
320
3696
3696
4000
4000
82517
82517

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
7644
7644
57470
57470
20314
20314

0
0
0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

1020
3555
1708
3500
233811

1020
3555
1708
3500
233811

0
0
0
0
0

Pasien
Penjamin
57470
57470
3416
3416
3136
3136
7644
7644
3560
3560
2500
2500
77726
77726

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
10206
10206
1078
1078
1708
1708
308
308
21616
21616
14448
14448
3500
3500
60508
60508

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
6272
6272
7644
7644
62832
62832
3560
3560
2500
2500
111543
111543

0
0
0
0
0
0
0

Pasien
Penjamin
3416
3416
7014
7014
138600
138600

0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

4284
109956
2500
265770

4284
109956
2500
265770

0
0
0
0

Pasien
Penjamin
7644
7644
28735
28735
1708
1708
6272
6272
20412
20412
1410
1410
3000
3000
69181
69181

0
0
0
0
0
0
0
0

Pasien
Penjamin
2156
2156
10157
10157
854
854
6272
6272
21616
21616
2500
2500
43555
43555

0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
28728
28728
14448
14448
1708
1708
20314
20314
8316
8316
6272
6272
4000
4000
229400
229400

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
4816
4816

0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

10157
1708
3136
2500
29961

10157
1708
3136
2500
29961

0
0
0
0
0

Pasien
Penjamin
7515
7515
4590
4590
21765
21765
8085
8085
64520
64520
2500
2500
108975
108975

0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
7224
7224
5804
5804
3136
3136
20412
20412
308
308
3000
3000
44168
44168

0
0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
57470
57470
28728
28728
138600
138600
11578
11578
1708
1708
2500
2500
240584
240584

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
BOT
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
2156
2156
1708
1708
4284
4284
10157
10157
28728
28728
27244
27244
57964
57964
3560
3560
24584
24584
4500
4500
164885
164885

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11360
11360
500
500
11860
11860

0
0
0

Pasien
Penjamin
138600
138600
20314
20314
11578
11578
57470
57470
62832
62832
6300
6300
3000
3000
300094
300094

0
0
0
0
0
0
0
0

Pasien
Penjamin
11360
11360
500
500
11860
11860

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
7644
7644

0
0
0

TAB
TAB
TAB
TAB
UNT

Emergency ICCU
Subtotal
AMP
AMP
UNT
UNT
AMP
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
BOT
AMP
BOT
UNT
UNT

4284
138600
39046
7546
3500
208600

4284
138600
39046
7546
3500
208600

0
0
0
0
0
0

Pasien
Penjamin
342145
342145
25048
25048
26950
26950
20213
20213
4634
4634
225720
225720
3000
3000
647710
647710

0
0
0
0
0
0
0
0

Pasien
Penjamin
3060
3060
5010
5010
99000
99000
7255
7255
78540
78540
20520
20520
3000
3000
216385
216385

0
0
0
0
0
0
0
0

Pasien
Penjamin
2440
2440
500
500
2940
2940

0
0
0

Pasien
Penjamin
4632
4632
72768
72768
119616
119616
338580
338580
5732
5732
26950
26950

0
0
0
0
0
0

UNT
BAG
UNT

Depo Atas
Subtotal
TAB
BAG
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT

14988
38532
4000
625798

14988
38532
4000
625798

0
0
0
0

Penjamin
896
28899
492
1500
31787

0
0
0
0
0

Pasien
Penjamin
5010
5010
99000
99000
78540
78540
1540
1540
15440
15440
1220
1220
3000
3000
203750
203750

0
0
0
0
0
0
0
0

Pasien
Penjamin
1451
1451
500
500
1951
1951

0
0
0

Pasien
Penjamin
14988
14988
26611
26611
1000
1000
42599
42599

0
0
0
0

Pasien
Penjamin
9625
9625
500
500
10125
10125

0
0
0

Pasien
896
28899
492
1500
31787

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD

Pasien
Penjamin
9900
9900
306
306
15708
15708
2692
2692
4488
4488
2500
2500
35594
35594

0
0
0
0
0
0
0

Pasien
Penjamin
29700
29700
1548
1548
2902
2902
732
732
1344
1344
1617
1617
57964
57964
3500
3500
99307
99307

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
500
500
7724
7724

0
0
0

Pasien
Penjamin
3416
3416
6272
6272
7224
7224
7255
7255
21616
21616
2156
2156
3444
3444
3500
3500
54883
54883

0
0
0
0
0
0
0
0
0

Subtotal
AMP
AMP
VIL
BAG
UNT
UNT
UNT

Apotik Panel 2
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
406296
406296
64152
64152
4665.6
4665.6
86697
86697
48510
48510
90958.5 90958.5
2700
2700
703979.1 703979.1

0
0
0
0
0
0
0
0

Pasien
Penjamin
57750
57750
500
500
58250
58250

0
0
0

Pasien
Penjamin
18000
18000
3780
3780
780
780
19460
19460
2000
2000
44020
44020

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
57470
57470
20314
20314
1020
1020
2500
2500
227548
227548

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
10206
10206
57470
57470
20314
20314
1020
1020
3270
3270

0
0
0
0
0
0

TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

3780
4125
4000
111829

3780
4125
4000
111829

0
0
0
0

Pasien
Penjamin
47817
47817
500
500
48317
48317

0
0
0

Pasien
Penjamin
15120
15120
2464
2464
10206
10206
1932
1932
2000
2000
31722
31722

0
0
0
0
0
0

Pasien
Penjamin
20314
20314
28728
28728
26292
26292
27244
27244
15690
15690
110600
110600
3000
3000
231868
231868

0
0
0
0
0
0
0
0

Pasien
Penjamin
3270
3270
1890
1890
10157
10157
520
520
2000
2000
17837
17837

0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

7644
219912
10206
3136
1708
1260
3000
246866

7644
219912
10206
3136
1708
1260
3000
246866

0
0
0
0
0
0
0
0

Penjamin
854
3136
10157
219912
21616
2296
3000
260971

0
0
0
0
0
0
0
0

Pasien
Penjamin
75880
75880
500
500
76380
76380

0
0
0

Pasien
Penjamin
7644
7644
10157
10157
31416
31416
1708
1708
11000
11000
1410
1410
3000
3000
66335
66335

0
0
0
0
0
0
0
0

Pasien
Penjamin
127204
127204
500
500
127704
127704

0
0
0

Pasien
854
3136
10157
219912
21616
2296
3000
260971

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD

Pasien
Penjamin
1708
1708
3136
3136
138600
138600
2856
2856
7546
7546
2296
2296
110600
110600
3500
3500
270242
270242

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
95634
95634
500
500
96134
96134

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
20314
20314
28728
28728
6384
6384
1386
1386
3000
3000
206056
206056

0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
109956
109956
10157
10157
3444
3444
16656
16656
2520
2520
13622
13622
3500
3500
298455
298455

0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

Pasien
Penjamin
7644
7644
138600
138600
4284
4284
20314
20314
3444
3444
57964
57964
3000
3000
235250
235250

0
0
0
0
0
0
0
0

Pasien
Penjamin
297000
297000
9180
9180
245130
245130
123150
123150
61560
61560
6720
6720
30740
30740
3500
3500
776980
776980

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75880
75880
500
500
76380
76380

0
0
0

Pasien
Penjamin
10157
10157
2772
2772
1428
1428
1260
1260
2000
2000
17617
17617

0
0
0
0
0
0

Pasien
Penjamin
43590
43590
127860
127860
15480
15480
43530
43530

0
0
0
0

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas

24810
46320
7380
2025
4000
314995

24810
46320
7380
2025
4000
314995

0
0
0
0
0
0

Pasien
Penjamin
187110
187110
500
500
187610
187610

0
0
0

Pasien
Penjamin
52578
52578
500
500
53078
53078

0
0
0

Pasien
Penjamin
7255
7255
78540
78540
20520
20520
26400
26400
1640
1640
57964
57964
3000
3000
195319
195319

0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
5160
5160
1020
1020
7255
7255
24640
24640
1220
1220
3000
3000
47755
47755

0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Emergency ICCU
Subtotal
AMP

Pasien
Penjamin
99000
99000
14530
14530
3060
3060
78540
78540
7255
7255
220
220
20520
20520
3960
3960
4000
4000
231085
231085

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
78540
78540
7255
7255
1000
1000
86795
86795

0
0
0
0

Pasien
Penjamin
22176
22176
500
500
22676
22676

0
0
0

Pasien
Penjamin
14988
14988
18343
18343
5809
5809
1500
1500
40640
40640

0
0
0
0
0

Pasien
Penjamin
10260
10260
500
500
10760
10760

0
0
0

Pasien
Penjamin
12600
12600

UNT
UNT
UNT

Depo IGD
Subtotal
AMP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
TAB
UNT

Depo Atas

5732
3575
1500
23407

5732
3575
1500
23407

0
0
0
0

Pasien
Penjamin
35640
35640
2902
2902
1000
1000
39542
39542

0
0
0
0

Pasien
Penjamin
2902
2902
612
612
1000
1000
4514
4514

0
0
0
0

Pasien
Penjamin
3088
3088
308
308
1000
1000
4396
4396

0
0
0
0

Pasien
Penjamin
15708
15708
2902
2902
1000
1000
19610
19610

0
0
0
0

Pasien
Penjamin
13414
13414
308
308
1000
1000
14722
14722

0
0
0
0

Subtotal
TAB
SUP
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
BOT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
3138
3138
25260
25260
81510
81510
1500
1500
111408
111408

Pasien

0
0
0
0
0

Penjamin
492
500
992

0
0
0

Pasien
Penjamin
78540
78540
16540
16540
6120
6120
26920
26920
7380
7380
1220
1220
440
440
3500
3500
140660
140660

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
99000
99000
3060
3060
7255
7255
8270
8270
9730
9730
57964
57964
10780
10780
4000
4000
205519
205519

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
99000
99000
78540
78540

0
0
0

492
500
992

TAB
TAB
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
BOT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
SUP
UNT
UNT

7255
5390
3060
1220
9730
4000
213655

7255
5390
3060
1220
9730
4000
213655

0
0
0
0
0
0
0

Pasien
Penjamin
18780
18780
3960
3960
1640
1640
1500
1500
25880
25880

0
0
0
0
0

Pasien
Penjamin
5782
5782
57964
57964
1000
1000
64746
64746

0
0
0
0

Pasien
Penjamin
4444
4444
500
500
4944
4944

0
0
0

Pasien
Penjamin
1451
1451
500
500
1951
1951

0
0
0

Pasien
Penjamin
12630
12630
14988
14988
1000
1000
28618
28618

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
54978
54978
4740
4740
2520
2520
1500
1500
63738
63738

0
0
0
0
0

Pasien
Penjamin
58080
58080
500
500
58580
58580

0
0
0

Pasien
Penjamin
23156
23156
20314
20314
7546
7546
12936
12936
2000
2000
65952
65952

0
0
0
0
0
0

Pasien
Penjamin
138600
138600
2856
2856
109956
109956
37688
37688
1708
1708
41188
41188
34412
34412
26940
26940
4560
4560
4500
4500
402408
402408

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
20314
20314

0
0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo IGD

11578
109956
28728
3000
319820

11578
109956
28728
3000
319820

0
0
0
0
0

Pasien
Penjamin
7644
7644
1708
1708
3136
3136
54978
54978
10157
10157
21616
21616
3000
3000
102239
102239

0
0
0
0
0
0
0
0

Pasien
Penjamin
22750
22750
278796
278796
1000
1000
302546
302546

0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
20314
20314
2296
2296
2000
2000
29454
29454

0
0
0
0
0
0

Pasien
Penjamin
39046
39046
11608
11608
14595
14595
1500
1500
66749
66749

0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
20342
20342
1708
1708
156184
156184
10157
10157
7546
7546
1428
1428
3136
3136
20594
20594
5544
5544
4500
4500
231139
231139

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
170744
170744
500
500
171244
171244

0
0
0

Pasien
Penjamin
11578
11578
7644
7644
4135
4135
109956
109956
2000
2000
135313
135313

0
0
0
0
0
0

Pasien
Penjamin
170744
170744
75880
75880
1000
1000
247624
247624

0
0
0
0

Pasien
Penjamin
20342
20342
23156
23156
20314
20314
5712
5712
308
308
2500
2500

0
0
0
0
0
0

72332

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

72332

Pasien
Penjamin
170744
170744
500
500
171244
171244

0
0
0

Pasien
Penjamin
109956
109956
10157
10157
28728
28728
4000
4000
2772
2772
13622
13622
3000
3000
172235
172235

0
0
0
0
0
0
0
0

Pasien
Penjamin
4353
4353
153860
153860
1640
1640
1500
1500
161353
161353

0
0
0
0
0

Pasien
Penjamin
20342
20342
138600
138600
20314
20314
28735
28735
7546
7546
1020
1020
31514
31514
8316
8316
4000
4000
260387
260387

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT

1830
235620
24810
1500
263760

1830
235620
24810
1500
263760

0
0
0
0
0

Penjamin
612
15708
1000
17320

0
0
0
0

Pasien
Penjamin
31416
31416
5804
5804
1000
1000
38220
38220

0
0
0
0

Pasien
Penjamin
3060
3060
500
500
3560
3560

0
0
0

Pasien
Penjamin
2856
2856
39270
39270
1000
1000
43126
43126

0
0
0
0

Pasien
Penjamin
20342
20342
1224
1224
10157
10157
109956
109956
7546
7546
205293
205293
10968
10968

0
0
0
0
0
0
0

Pasien
612
15708
1000
17320

TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

8316
4000
377802

8316
4000
377802

0
0
0

Pasien
Penjamin
127204
127204
500
500
127704
127704

0
0
0

Pasien
Penjamin
78540
78540
1640
1640
3798
3798
3500
3500
3500
3500
1000
1000
91978
91978

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
1670
1670
1000
1000
29610
29610

0
0
0
0

Pasien
Penjamin
39270
39270
4560
4560
1000
1000
44830
44830

0
0
0
0

Pasien
Penjamin
138600
138600
7644
7644
4284
4284
57470
57470
28728
28728
1708
1708

0
0
0
0
0
0

TAB
TAB
VIL
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
BOT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD

5064
41188
205293
9140
5000
504119

5064
41188
205293
9140
5000
504119

0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2520
2520
3560
3560
8270
8270
2000
2000
43290
43290

0
0
0
0
0
0

Pasien
Penjamin
20314
20314
2156
2156
21616
21616
2128
2128
57964
57964
57470
57470
15120
15120
3500
3500
180268
180268

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6707
6707
81510
81510
1000
1000
89217
89217

0
0
0
0

Pasien
Penjamin
27100
27100
500
500
27600
27600

0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Apotik Panel
Subtotal
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
99000
99000
8270
8270
7255
7255
153860
153860
1476
1476
619.275 619.275
17232
17232
17560
17560
3500
3500
5250
5250
2000
2000
316022.3 316022.3

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75880
75880
58080
58080
1000
1000
134960
134960

0
0
0
0

Pasien
Penjamin
20314
20314
23156
23156
4284
4284
28728
28728
4740
4740
1350
1350
3000
3000
85572
85572

0
0
0
0
0
0
0
0

Pasien
Penjamin
151760
151760
500
500
152260
152260

0
0
0

Pasien
Penjamin
138600
138600
4284
4284
10157
10157

0
0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
TUB
UNT

Apotik Panel 2
Subtotal
BOT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

1708
2532
3444
3000
163725

1708
2532
3444
3000
163725

0
0
0
0
0

Pasien
Penjamin
20314
20314
11578
11578
57470
57470
308
308
25872
25872
21518
21518
75577
75577
3500
3500
216137
216137

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57750
57750
500
500
58250
58250

0
0
0

Pasien
Penjamin
27244
27244
21966
21966
1000
1000
50210
50210

0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
2856
2856
20314
20314
109956
109956
28728
28728
26400
26400
2772
2772
4000
4000
340640
340640

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
1503
1503
1287
1287
900
900
3690
3690

0
0
0
0

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
168300
168300
3560
3560
5020
5020
1997
1997
2000
2000
180877
180877

0
0
0
0
0
0

Pasien
Penjamin
85248
85248
2481
2481
1000
1000
88729
88729

0
0
0
0

Pasien

Penjamin
462
462
500
500
962
962

0
0
0

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Emergency Cempaka
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB

Pasien
Penjamin
97560
97560
450
450
98010
98010

0
0
0

Pasien
Penjamin
11164.5 11164.5
96912
96912
1377
1377
792
792
19858.5 19858.5
621
621
2700
2700
133425
133425

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
13414
13414
500
500
13914
13914

0
0
0

Pasien
Penjamin
3040
3040
500
500
3540
3540

0
0
0

Pasien
Penjamin
5460
5460
1530
1530

0
0

TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

7255
770
39270
15440
1520
3500
74745

7255
770
39270
15440
1520
3500
74745

0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
5160
5160
8270
8270
7255
7255
770
770
1220
1220
220
220
15440
15440
24640
24640
4500
4500
72935
72935

0
0
0
0
0
0
0
0
0
0
0

Waktu
31 Mei 2013 16:18
Item
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
10,00
1,00

31 Mei 2013 15:52

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

31 Mei 2013 15:51

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
14,00
4,00
7,00
42,00
6,00

31 Mei 2013 15:21

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

31 Mei 2013 15:21

Item
FUROSEMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ATORVASTATIN 20 MG TABLET
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
7,00
5,00

31 Mei 2013 15:14

Item

JAKARTA SEHAT
Quantity

ISOSORBIDE DINITRATE INF TABLET

TUSLAH NON RACIKAN
TOTAL

42,00
1,00

31 Mei 2013 15:13

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
VIVACE 10 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
28,00
5,00

31 Mei 2013 14:54

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

31 Mei 2013 14:54

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

31 Mei 2013 14:51

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

31 Mei 2013 14:50

Item
CARDIO ASPIRIN TABLET
AMLODIPIN 10 MG TABLET
VIVACE 10 MG TABLET
BISOPROLOL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
5,00

31 Mei 2013 14:44

Item
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
2,00

31 Mei 2013 14:43

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 10 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
14,00
14,00
10,00
6,00

31 Mei 2013 14:42

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
25,00
1,00

31 Mei 2013 14:40

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
MICARDIS TABLET 80 mg
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
14,00
28,00
14,00
1,00
10,00
7,00

31 Mei 2013 14:29

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

31 Mei 2013 14:29

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
14,00
5,00

31 Mei 2013 14:17

Item
ISOSORBIDE DINITRATE INF TABLET
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
10,00
2,00

31 Mei 2013 14:15

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
CIPROFLOXACIN TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
14,00
14,00
4,00
10,00
10,00
7,00

31 Mei 2013 14:13

Item
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 100 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
4,00
14,00
14,00
4,00

31 Mei 2013 14:09

Item
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
28,00

TUSLAH NON RACIKAN

TOTAL

1,00

31 Mei 2013 14:08

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
28,00
7,00
6,00

31 Mei 2013 14:02

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

31 Mei 2013 14:01

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 10 MG TABLET
CLOPIDOGREL 75 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
CEFIXIME GENERIK CAPSULE
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
15,00
10,00
10,00
10,00
9,00

31 Mei 2013 13:58

Item
ISOSORBIDE DINITRATE INF TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

31 Mei 2013 13:58

JAKARTA SEHAT

Item
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
MECOBALAMIN CAPSULE 500 MCG
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
7,00
14,00
7,00
14,00
14,00
15,00
15,00
5,00
8,00

31 Mei 2013 13:40

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
1,00

31 Mei 2013 13:39

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
METFORMIN HCL 500 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
28,00
28,00
14,00
8,00

31 Mei 2013 13:30

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

31 Mei 2013 13:30

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

31 Mei 2013 13:25

Item
ISOSORBIDE DINITRATE INF TABLET
V BLOCK 25 MG TABLET
HYPERIL 10 MG TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
14,00
4,00

31 Mei 2013 13:23

Item
AMLODIPIN 10 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
3,00

31 Mei 2013 13:03

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

31 Mei 2013 13:01

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
VIVACE 10 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN TABLET 20 MG
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
4,00
14,00
14,00
28,00
7,00

31 Mei 2013 12:55

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 10 MG TABLET
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
4,00
14,00
14,00
7,00
4,00

ANTALGIN 500 MG
TUSLAH NON RACIKAN
TOTAL

15,00
6,00

31 Mei 2013 12:54

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

31 Mei 2013 12:52

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

31 Mei 2013 12:52

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
1,00
6,00

31 Mei 2013 12:48

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

31 Mei 2013 12:47

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
14,00
14,00
4,00

31 Mei 2013 12:39

Item
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
METFORMIN HCL 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
42,00
10,00
6,00

31 Mei 2013 12:35

Item
V-BLOC 6,25MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

31 Mei 2013 12:33

Item
FUROSEMID INF TABLET
VIVACE 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
SIMVASTATIN GENERIK 10 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
42,00
14,00
20,00
42,00
6,00

31 Mei 2013 12:28

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
10,00
2,00

31 Mei 2013 12:27

Item
FUROSEMID INF TABLET
CARDIO ASPIRIN TABLET
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
4,00

TUSLAH NON RACIKAN

TOTAL

4,00

31 Mei 2013 11:54

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

31 Mei 2013 11:53

Item
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
7,00
14,00
1,00
10,00
6,00

31 Mei 2013 11:50

Item
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
10,00
2,00

31 Mei 2013 11:50

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

31 Mei 2013 11:49

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMBROXOL INF 60 ML SYRUP

JAKARTA SEHAT
Quantity
168,00
14,00
7,00
14,00
14,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

7,00

31 Mei 2013 11:42

Item
ISOSORBIDE DINITRATE INF TABLET
ATORVASTATIN 20 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
3,00

31 Mei 2013 11:40

Item
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
28,00
10,00
4,00

31 Mei 2013 11:36

Item
ATORVASTATIN 20 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
20,00
2,00

31 Mei 2013 11:36

Item
ATORVASTATIN 20 MG TABLET
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
1,00
2,00

31 Mei 2013 11:11

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

31 Mei 2013 11:10

ASKES

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
1,00

31 Mei 2013 10:45

Item
ISOSORBIDE DINITRATE INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
2,00

31 Mei 2013 10:44

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
SIMARC-2 FAHRENHEIT 2 MG TABLET
PROPYLTHIOURASIL 100 MG TABLET
PROPANOLOL 10 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
15,00
45,00
45,00
8,00
8,00
1,00
6,00

31 Mei 2013 10:44

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
DIGOXIN INF TABLET
SPIRONOLACTONE 25 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
126,00
14,00
7,00
7,00
20,00
5,00

31 Mei 2013 10:32

Item
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

31 Mei 2013 10:11

Item
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
30,00
30,00
30,00
30,00
180,00
6,00

31 Mei 2013 10:07

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

31 Mei 2013 10:06

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
4,00

31 Mei 2013 09:57

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

31 Mei 2013 09:55

Item
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
VIVACE 10 MG TABLET
AMBROXOL INF 60 ML SYRUP

JAKARTA SEHAT
Quantity
27,00
14,00
14,00
14,00
14,00
7,00
1,00

ANTASIDA DOEN KF TABLET

TUSLAH NON RACIKAN
TOTAL

20,00
8,00

30 Mei 2013 15:14

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

30 Mei 2013 15:14

Item
BISOPROLOL 5 MG TABLET
CTM 4 MG TABLET
AMBROXOL INF 60 ML SYRUP
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
10,00
1,00
10,00
4,00

30 Mei 2013 15:09

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
5,00
5,00

30 Mei 2013 15:08

Item
HYTRIN TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 15:05

Item
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
INTERPRIL TABLET 10 MG

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00

H.C.T 25 MG TABLET
METFORMIN HCL 500 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
10,00
7,00

30 Mei 2013 15:04

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 15:00

Item
VIVACE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

30 Mei 2013 14:59

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 14:58

Item
FOLIC ACID 1 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
7,00
14,00
14,00
6,00

30 Mei 2013 14:44

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 14:43

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
21,00
5,00
10,00
10,00
6,00

30 Mei 2013 14:41

Item
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
2,00

30 Mei 2013 14:41

Item
FUROSEMID INF TABLET
AMLODIPIN 10 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
42,00
3,00

30 Mei 2013 14:26

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN TABLET 20 MG
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
7,00
7,00
7,00
30,00
1,00
8,00

30 Mei 2013 14:16

Item
IRBESARTAN 300 MG TABLET
SIMVASTATIN TABLET 20 MG

JAKARTA SEHAT
Quantity
14,00
14,00

BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
5,00

30 Mei 2013 14:14

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

30 Mei 2013 14:14

Item
DIGOXIN INF TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

30 Mei 2013 14:01

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 14:00

Item
PROPYLTHIOURASIL 100 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
VIVACE 10 MG TABLET
FOLIC ACID 1 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
4,00
4,00
7,00
42,00
1,00
6,00

30 Mei 2013 13:54

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
1,00

TOTAL

30 Mei 2013 13:53

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
METFORMIN HCL 500 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
4,00
3,00
42,00
10,00
8,00

30 Mei 2013 13:50

Item
ISOSORBIDE DINITRATE INF TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
2,00

30 Mei 2013 13:49

Item
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
82,00
14,00
4,00

30 Mei 2013 13:36

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

30 Mei 2013 13:36

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
4,00
14,00

DEXTROMETHORPHAN INF TABLET 15 MG

VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
4,00
4,00

30 Mei 2013 13:35

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 13:34

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 13:33

Item
FUROSEMID INF TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
2,00

30 Mei 2013 13:29

Item
FOLIC ACID 1 MG TABLET
METFORMIN HCL 500 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
MICARDIS TABLET 80 mg
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
42,00
14,00
14,00
14,00
4,00
6,00

30 Mei 2013 13:28

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

30 Mei 2013 13:27

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

30 Mei 2013 13:26

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MICARDIS TABLET 80 mg
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
4,00
6,00

30 Mei 2013 13:19

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 13:18

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN TABLET 20 MG
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
15,00
6,00

30 Mei 2013 13:04

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
42,00
14,00
4,00

30 Mei 2013 13:01

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

30 Mei 2013 13:01

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
14,00
14,00
3,00

30 Mei 2013 12:53

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

30 Mei 2013 12:52

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ACPULSIF 5 MG TABLET 5 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
4,00
14,00
14,00
1,00
7,00
6,00

30 Mei 2013 12:52

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
15,00
30,00
90,00
5,00

30 Mei 2013 12:48

Item
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
14,00
3,00

30 Mei 2013 12:48

Item
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00
4,00
10,00
7,00

30 Mei 2013 12:47

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

30 Mei 2013 12:47

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
VIVACE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
10,00
4,00
7,00
6,00

30 Mei 2013 12:38

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 12:38

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
7,00
14,00
28,00
4,00

30 Mei 2013 12:33

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

30 Mei 2013 12:33

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
4,00
6,00

30 Mei 2013 12:28

Item
DIGOXIN INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
5,00
10,00
4,00

30 Mei 2013 12:22

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

30 Mei 2013 12:21

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
DIGOXIN INF TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
14,00
7,00
56,00
6,00

30 Mei 2013 12:07

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 12:06

Item
CARDIO ASPIRIN TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
FOLIC ACID 1 MG TABLET
ALPENTIN 300 MG TABLET
VIVACE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
10,00
14,00
6,00

30 Mei 2013 11:16

Item
INTERPRIL TABLET 10 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
2,00

30 Mei 2013 11:16

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
CETIRIZINE 10 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
5,00

TUSLAH NON RACIKAN

TOTAL

5,00

30 Mei 2013 11:02

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 11:01

Item
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
DIGOXIN INF TABLET
IRBESARTAN 300 MG TABLET
MELOXICAM 7.5 MG TABLET
CALCIUM LACTATE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
5,00
10,00
6,00

30 Mei 2013 10:51

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

30 Mei 2013 10:51

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
CALCIUM LACTATE 500 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
5,00
5,00

30 Mei 2013 10:46

Item
ATORVASTATIN 20 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
42,00
7,00
3,00

TOTAL

30 Mei 2013 10:46

Item
CLOPIDOGREL 75 MG TABLET
CARDIO ASPIRIN TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
4,00

30 Mei 2013 10:37

Item
MICARDIS TABLET 80 mg
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
42,00
5,00

30 Mei 2013 10:31

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
2,00

30 Mei 2013 10:30

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
4,00

30 Mei 2013 09:36

Item
THROMBO ASPILETS 100 MG TABLET
OSTE FORTE CAPSULE
TUSLAH NON RACIKAN

UMUM
Quantity
20,00
10,00
2,00

TOTAL

30 Mei 2013 09:33

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

30 Mei 2013 09:32

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

30 Mei 2013 09:30

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
4,00

30 Mei 2013 09:09

Item
THROMBO ASPILETS 100 MG TABLET
FOLIC ACID 1 MG TABLET
MERTIGO TABLET 6 MG
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
90,00
10,00
15,00
180,00
5,00

30 Mei 2013 08:59

Item
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
FOLIC ACID 1 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
7,00
42,00
7,00
6,00

TOTAL

29 Mei 2013 14:45

Item
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

29 Mei 2013 10:33

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
GLIBENCLAMID INF TABLET
MICARDIS TABLET 80 mg
METFORMIN HCL 500 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
42,00
42,00
7,00

29 Mei 2013 09:29

Item
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
METFORMIN HCL 500 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
14,00
14,00
1,00
4,00
14,00
6,00

29 Mei 2013 09:27

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMBROXOL INF 60 ML SYRUP
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
1,00
1,00
10,00
6,00

29 Mei 2013 09:26

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

27 Mei 2013 15:29

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
7,00
14,00
10,00
10,00
7,00

27 Mei 2013 15:26

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

27 Mei 2013 15:25

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
60,00
28,00
5,00

27 Mei 2013 15:22

Item
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

27 Mei 2013 15:21

JAKARTA SEHAT

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
42,00
14,00
14,00
28,00
14,00
5,00
7,00
10,00
8,00

27 Mei 2013 15:18

Item
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
42,00
14,00
1,00
10,00
7,00

27 Mei 2013 15:16

Item
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
28,00
14,00
5,00

27 Mei 2013 15:11

Item
ALLOPURINOL INF TABLET 100 MG
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

27 Mei 2013 15:10

Item

JAKARTA SEHAT
Quantity

CARDIO ASPIRIN TABLET

CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
MICARDIS TABLET 80 mg
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
14,00
14,00
14,00
42,00
7,00

27 Mei 2013 15:08

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
14,00
7,00
5,00
5,00

27 Mei 2013 15:06

Item
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

27 Mei 2013 15:04

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
42,00
14,00
14,00
5,00

27 Mei 2013 15:01

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

27 Mei 2013 15:01

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

27 Mei 2013 14:59

Item
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
5,00

27 Mei 2013 14:57

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

27 Mei 2013 14:57

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
7,00
5,00

27 Mei 2013 14:56

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

27 Mei 2013 14:52

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SPIRONOLACTONE 25 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
10,00
5,00

27 Mei 2013 14:51

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

27 Mei 2013 14:51

Item
BISOPROLOL 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
7,00
14,00
7,00
3,00
10,00
10,00
8,00

27 Mei 2013 14:43

Item
CEFIXIME GENERIK CAPSULE
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
1,00
2,00

27 Mei 2013 14:40

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

27 Mei 2013 14:40

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
14,00
7,00
6,00

27 Mei 2013 14:26

Item
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
2,00

27 Mei 2013 14:25

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
5,00
14,00
7,00
14,00
1,00
6,00

27 Mei 2013 14:23

Item
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
RANITIDINE INF TABLET 150 MG
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
126,00
56,00
14,00
28,00
14,00
6,00

27 Mei 2013 14:20

Item

JAKARTA SEHAT
Quantity

ISOSORBIDE DINITRATE INF TABLET

FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

42,00
14,00
7,00
14,00
7,00
14,00
6,00

27 Mei 2013 14:10

Item
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
14,00
10,00
3,00

27 Mei 2013 14:09

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

27 Mei 2013 14:09

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
7,00
14,00
14,00
14,00
7,00
1,00
7,00

27 Mei 2013 14:08

Item
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
FENOFIBRAT 200 MG TABLET

JAKARTA SEHAT
Quantity
7,00
4,00
30,00
10,00
10,00
14,00

TUSLAH NON RACIKAN

TOTAL

6,00

27 Mei 2013 14:03

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
42,00
10,00
6,00

27 Mei 2013 14:01

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
IRBESARTAN 300 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
7,00
10,00
10,00
7,00

27 Mei 2013 13:52

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

27 Mei 2013 13:51

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
10,00
3,00

27 Mei 2013 13:48

Item

JAKARTA SEHAT
Quantity

IRBESARTAN 300 MG TABLET

CLOPIDOGREL 75 MG TABLET
CARDIO ASPIRIN TABLET
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
14,00
7,00
7,00
14,00
7,00
8,00

27 Mei 2013 13:44

Item
EPERISONE TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
30,00
1,00

27 Mei 2013 13:44

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

27 Mei 2013 13:43

Item
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

27 Mei 2013 13:42

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
3,00

27 Mei 2013 13:41

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

TUSLAH NON RACIKAN

TOTAL

2,00

27 Mei 2013 13:41

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
15,00
5,00

27 Mei 2013 13:39

Item
FUROSEMID INF TABLET
THROMBO ASPILETS 100 MG TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
7,00
28,00
14,00
7,00

27 Mei 2013 13:38

Item
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
84,00
28,00
14,00
14,00
5,00
6,00

27 Mei 2013 13:31

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
7,00
14,00

TUSLAH NON RACIKAN

TOTAL

5,00

27 Mei 2013 13:26

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

27 Mei 2013 13:26

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
FUROSEMID INF TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
5,00
14,00
14,00
20,00
6,00

27 Mei 2013 13:16

Item
CEFIXIME GENERIK CAPSULE
CTM 4 MG TABLET
AMBROXOL INF 60 ML SYRUP
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
10,00
4,00

27 Mei 2013 13:14

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

27 Mei 2013 13:14

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
7,00
14,00
28,00
28,00
4,00

TOTAL

27 Mei 2013 12:46

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
5,00

27 Mei 2013 12:06

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
6,00
4,00

27 Mei 2013 12:00

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

27 Mei 2013 11:45

Item
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
CETIRIZINE 10 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
10,00
14,00
5,00

27 Mei 2013 11:41

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

27 Mei 2013 11:41

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
84,00
5,00
15,00
1,00
6,00

27 Mei 2013 11:35

Item
BICNAT CAPSULE
TUSLAH RACIKAN EMBALASE
TOTAL

JPK PNS
Quantity
20,00
1,00
20,00

27 Mei 2013 11:24

Item
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
168,00
28,00
7,00
14,00
5,00

27 Mei 2013 11:16

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
7,00
14,00
14,00
1,00
1,00
8,00

27 Mei 2013 10:59

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

27 Mei 2013 10:58

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
20,00
4,00

27 Mei 2013 10:38

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
28,00
6,00

27 Mei 2013 10:36

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

27 Mei 2013 09:36

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
LORATADINE INF TABLET 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
45,00
15,00
7,00
1,00
1,00
3,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

27 Mei 2013 09:34

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
10,00
3,00

27 Mei 2013 09:17

Item
AMLODIPIN 5 MG TABLET
VIVACE 10 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
7,00
4,00

24 Mei 2013 13:54

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
28,00
14,00
14,00
4,00

24 Mei 2013 13:47

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
7,00
14,00
14,00
6,00

24 Mei 2013 13:42

Item

JAKARTA SEHAT
Quantity

V BLOCK 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3,00
1,00

24 Mei 2013 13:41

Item
ISOSORBIDE DINITRATE INF TABLET
VIVACE 10 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
14,00
5,00

24 Mei 2013 13:31

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
7,00
42,00
14,00
6,00
6,00

24 Mei 2013 13:21

Item
AMLODIPIN 5 MG TABLET
MICARDIS TABLET 80 mg
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
10,00
10,00
6,00

24 Mei 2013 13:18

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
14,00

TUSLAH NON RACIKAN

TOTAL

5,00

24 Mei 2013 13:12

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
15,00
5,00

24 Mei 2013 13:11

Item
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

24 Mei 2013 13:11

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
7,00
5,00
5,00

24 Mei 2013 13:02

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
84,00
7,00
14,00
14,00
10,00
6,00

24 Mei 2013 12:55

Item

JAKARTA SEHAT
Quantity

ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
1,00

24 Mei 2013 12:55

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
7,00
4,00

24 Mei 2013 12:51

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ANTASIDA DOEN 60 ML SYRUP
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
28,00
1,00
5,00
6,00

24 Mei 2013 12:42

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

24 Mei 2013 12:42

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
5,00

24 Mei 2013 12:37

Item

JAKARTA SEHAT
Quantity

AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ANTASIDA DOEN KF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
15,00
10,00
10,00
5,00

24 Mei 2013 12:36

Item
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
42,00
14,00
1,00
28,00
5,00

24 Mei 2013 12:29

Item
VIVACE 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
28,00
7,00
14,00
7,00
14,00
6,00

24 Mei 2013 12:19

Item
INTERPRIL TABLET 10 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
V-BLOC 6,25MG TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
4,00

24 Mei 2013 12:17

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET

JAKARTA SEHAT
Quantity
56,00
14,00
14,00

SIMVASTATIN GENERIK 10 MG TABLET

H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

28,00
14,00
5,00

24 Mei 2013 12:16

Item
VIVACE 10 MG TABLET
FUROSEMID INF TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
14,00
7,00
6,00

24 Mei 2013 11:57

Item
V-BLOC 6,25MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

24 Mei 2013 11:56

Item
FUROSEMID INF TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
28,00
15,00
4,00

24 Mei 2013 11:51

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
AMBROXOL INF 60 ML SYRUP
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
42,00
7,00
14,00
7,00
14,00
1,00
5,00
8,00

TOTAL

24 Mei 2013 11:41

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
VIVACE 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
28,00
14,00
6,00

24 Mei 2013 11:35

Item
AMLODIPIN 5 MG TABLET
VIVACE 10 MG TABLET
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
28,00
3,00

24 Mei 2013 11:16

Item
CARDIO ASPIRIN TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

24 Mei 2013 11:00

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
VECTRINE DEXA CAPSULE 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
CTM 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
14,00
7,00
10,00
10,00
10,00
8,00

24 Mei 2013 10:44

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VIVACE 10 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
7,00
6,00

24 Mei 2013 10:41

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VIVACE 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
14,00
14,00
10,00
8,00

24 Mei 2013 10:16

Item
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
4,00

24 Mei 2013 10:14

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
VECTRINE DEXA CAPSULE 300 mg

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
7,00
14,00
42,00
14,00
10,00

DEXTROMETHORPHAN INF TABLET 15 MG

BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
10,00

24 Mei 2013 10:01

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
2,00

24 Mei 2013 09:23

Item
MICARDIS TABLET 80 mg
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
30,00
15,00
4,00

23 Mei 2013 15:00

Item
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
5,00

23 Mei 2013 14:59

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

23 Mei 2013 14:58

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
42,00
14,00
14,00

CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
5,00

23 Mei 2013 14:56

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

23 Mei 2013 14:54

Item
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
7,00
14,00
14,00
14,00
5,00

23 Mei 2013 14:48

Item
SIMVASTATIN GENERIK 10 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
15,00
5,00
3,00

23 Mei 2013 14:41

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
VIVACE 10 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
RANITIDINE INF TABLET 150 MG
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
7,00
10,00
10,00
10,00
9,00

23 Mei 2013 14:39

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
98,00
7,00
14,00
20,00
5,00

23 Mei 2013 14:26

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
MUSIN OTTO 120 ML SUSPENSION
SIMVASTATIN GENERIK 10 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
20,00
1,00
14,00
7,00
6,00

23 Mei 2013 14:19

Item
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
FOLIC ACID 1 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
42,00
7,00
30,00
5,00
7,00

23 Mei 2013 14:14

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
VIVACE 5 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
15,00
60,00
30,00
15,00
5,00
6,00

23 Mei 2013 14:11

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

23 Mei 2013 14:10

Item
PROPYLTHIOURASIL 100 MG TABLET
FUROSEMID INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
7,00
7,00
10,00
10,00
6,00

23 Mei 2013 14:08

Item
CAPTOPRIL 12.5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
7,00
5,00
4,00

23 Mei 2013 13:40

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
VIVACE 5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
7,00
14,00
15,00
7,00

23 Mei 2013 13:37

Item
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00

ISOSORBIDE DINITRATE INF TABLET

IRBESARTAN 300 MG TABLET
CARDIO ASPIRIN TABLET
SIMVASTATIN GENERIK 10 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

28,00
14,00
14,00
14,00
14,00
10,00
7,00

23 Mei 2013 13:36

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
14,00
14,00
10,00
7,00

23 Mei 2013 13:28

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

23 Mei 2013 13:28

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

23 Mei 2013 13:28

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
DILTIAZEM INF TABLET 30 MG
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
14,00
10,00
6,00

23 Mei 2013 13:14

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

23 Mei 2013 13:14

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
7,00
14,00
7,00
14,00
6,00

23 Mei 2013 13:08

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
7,00
7,00
6,00

23 Mei 2013 13:01

Item
INTERPRIL TABLET 10 MG
ISOSORBIDE DINITRATE INF TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
3,00

23 Mei 2013 13:00

Item
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00

METFORMIN HCL 500 MG TABLET

TUSLAH NON RACIKAN
TOTAL

28,00
4,00

23 Mei 2013 13:00

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
3,00

23 Mei 2013 12:59

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

23 Mei 2013 12:59

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
7,00
1,00
5,00

23 Mei 2013 12:53

Item
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
AMLODIPIN 5 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
7,00
14,00
14,00
42,00
7,00

23 Mei 2013 12:51

Item

JAKARTA SEHAT
Quantity

SIMARC-2 FAHRENHEIT 2 MG TABLET

ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
2,00

23 Mei 2013 12:51

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
THROMBO ASPILETS 100 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
5,00

23 Mei 2013 12:32

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
15,00
30,00
15,00
4,00

23 Mei 2013 12:19

Item
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
7,00
7,00
14,00
5,00

23 Mei 2013 12:17

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
28,00
84,00
14,00
5,00

23 Mei 2013 12:17

Item
V-BLOC 6,25MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
3,00

23 Mei 2013 12:15

Item
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
3,00

23 Mei 2013 12:06

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
METFORMIN HCL 500 MG TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
14,00
14,00
7,00
28,00
5,00
10,00

23 Mei 2013 11:51

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

23 Mei 2013 11:50

Item
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

FUROSEMID INF TABLET

ALLOPURINOL INF TABLET 100 MG
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
10,00
5,00

23 Mei 2013 11:42

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

23 Mei 2013 11:42

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

23 Mei 2013 11:42

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

23 Mei 2013 11:28

Item
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
4,00
4,00

23 Mei 2013 11:20

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

23 Mei 2013 11:19

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
5,00
3,00

23 Mei 2013 11:18

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
20,00
4,00

23 Mei 2013 11:18

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
56,00
1,00

23 Mei 2013 11:12

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

23 Mei 2013 11:11

Item
FOLIC ACID 1 MG TABLET
CENDO LYTEERS 15 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00
2,00

23 Mei 2013 11:06

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

23 Mei 2013 11:06

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
VIVACE 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
28,00
14,00
6,00

23 Mei 2013 10:58

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

23 Mei 2013 10:57

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
VIVACE 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
5,00

23 Mei 2013 10:36

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

23 Mei 2013 10:32

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
1,00
10,00

TUSLAH NON RACIKAN

TOTAL

6,00

23 Mei 2013 10:22

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

23 Mei 2013 10:22

Item
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
42,00
14,00
4,00

23 Mei 2013 10:14

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
8,00
45,00
3,00

23 Mei 2013 09:49

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

23 Mei 2013 09:48

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

23 Mei 2013 09:48

Item
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00

THROMBO ASPILETS 100 MG TABLET

SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
14,00
10,00
5,00

23 Mei 2013 09:12

Item
THROMBO ASPILETS 100 MG TABLET
BECOM-C TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
10,00
2,00

23 Mei 2013 08:59

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
30,00
15,00
15,00
15,00
15,00
6,00

22 Mei 2013 19:33

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 18:00

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
28,00
14,00
14,00
7,00

22 Mei 2013 15:23

Item
V-BLOC 6,25MG TABLET
GLIQUIDONE 30 MG TABLET
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
21,00
14,00
3,00

22 Mei 2013 15:22

Item
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
5,00

22 Mei 2013 15:17

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
5,00
10,00
4,00

22 Mei 2013 15:06

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
4,00
28,00
14,00
6,00

22 Mei 2013 15:03

Item
SOLAC SYRUP
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
1,00
42,00

BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
14,00
14,00
14,00
7,00

22 Mei 2013 15:00

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 14:59

Item
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
CARDIO ASPIRIN TABLET
BETAHISTIN NOVELL TABLET 6 MG
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
126,00
14,00
7,00
42,00
14,00
10,00
1,00
8,00

22 Mei 2013 14:59

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

22 Mei 2013 14:54

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
MICARDIS TABLET 80 mg
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

22 Mei 2013 14:54

JAKARTA SEHAT

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
7,00
7,00
5,00
4,00

22 Mei 2013 14:52

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
7,00
10,00
10,00
8,00

22 Mei 2013 14:51

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
10,00
10,00
20,00
7,00

22 Mei 2013 14:49

Item
V-BLOC 6,25MG TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

22 Mei 2013 14:48

Item
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00

FUROSEMID INF TABLET

FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
42,00
3,00

22 Mei 2013 14:47

Item
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 14:46

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

22 Mei 2013 14:45

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
10,00
10,00
5,00

22 Mei 2013 14:44

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 14:43

Item
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
CALCIUM LACTATE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
5,00

22 Mei 2013 14:40

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
DOMPERIDON INF TABLET 10 MG
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
15,00
1,00
6,00

22 Mei 2013 14:39

Item
HYPERIL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
42,00
10,00
3,00

22 Mei 2013 14:36

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
HYPERIL 5 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
7,00
1,00
7,00

22 Mei 2013 14:34

Item
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 14:29

Item
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
1,00

TOTAL

22 Mei 2013 14:28

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
ISOSORBIDE DINITRATE INF TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
6,00
14,00
1,00
6,00

22 Mei 2013 14:05

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
5,00
5,00
20,00
5,00

22 Mei 2013 14:00

Item
IRBESARTAN 300 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SALBUTAMOL INF TABLET 2 MG
METHYL PREDNISOLONE INF 4 MG TABLET
GLYCERIL GUAIACOLAT 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
30,00
10,00
15,00
6,00

22 Mei 2013 13:40

Item
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
7,00
14,00
4,00

22 Mei 2013 13:39

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
RANITIDINE INF TABLET 150 MG
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
42,00
14,00
10,00
1,00
7,00

22 Mei 2013 13:35

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
HYPERIL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
14,00
14,00
42,00
14,00
8,00

22 Mei 2013 13:32

Item
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
BETAHISTIN NOVELL TABLET 6 MG
CTM 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
7,00
14,00
10,00
10,00
7,00

22 Mei 2013 12:59

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
126,00

FUROSEMID INF TABLET

BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
42,00
8,00

22 Mei 2013 12:42

Item
BISOPROLOL 5 MG TABLET
NEUROSANBE TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
10,00
10,00
3,00

22 Mei 2013 12:37

Item
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
28,00
14,00
14,00
7,00
14,00
7,00

22 Mei 2013 12:23

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
METFORMIN HCL 500 MG TABLET
GLIMEPIRIDE 3 MG TABLET
MICARDIS TABLET 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
14,00
14,00
7,00

22 Mei 2013 12:13

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

IRBESARTAN 300 MG TABLET

BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
FUROSEMID INF TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
42,00
6,00
1,00
7,00
10,00
9,00

22 Mei 2013 12:10

Item
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
14,00
14,00
5,00

22 Mei 2013 12:04

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
28,00
6,00

22 Mei 2013 11:59

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
METFORMIN HCL 500 MG TABLET
GLIMEPIRIDE 3 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
7,00
7,00
7,00
42,00
14,00
1,00
10,00

TOTAL

22 Mei 2013 11:54

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 11:54

Item
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
42,00
5,00

22 Mei 2013 11:53

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
42,00
4,00

22 Mei 2013 11:35

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
AMBROXOL INF 60 ML SYRUP
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
7,00
7,00
1,00
10,00
8,00

22 Mei 2013 11:32

Item

JAKARTA SEHAT
Quantity

AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
MICARDIS TABLET 80 mg
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
7,00
7,00
4,00

22 Mei 2013 11:13

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 11:09

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 80 mg
SIMVASTATIN GENERIK 10 MG TABLET
MELOXICAM 7.5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
5,00
7,00
6,00

22 Mei 2013 10:51

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
14,00
28,00
21,00
6,00

22 Mei 2013 10:46

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET

JAKARTA SEHAT
Quantity
28,00
42,00
14,00
14,00
7,00
42,00

DEXTROMETHORPHAN INF TABLET 15 MG

TUSLAH NON RACIKAN
TOTAL

10,00
7,00

22 Mei 2013 10:46

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 15:33

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
15,00
5,00

21 Mei 2013 15:32

Item
CARDIO ASPIRIN TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
1,00
14,00
14,00
7,00

21 Mei 2013 15:20

Item
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
3,00
5,00

21 Mei 2013 15:19

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
14,00
4,00

21 Mei 2013 15:16

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

21 Mei 2013 15:15

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
25,00
5,00

21 Mei 2013 14:47

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
14,00
7,00
14,00
7,00
7,00
1,00
6,00

21 Mei 2013 14:44

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
7,00
42,00
14,00
7,00

ISOSORBIDE DINITRATE INF TABLET

LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

42,00
14,00
7,00

21 Mei 2013 14:43

Item
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
PARACETAMOL INF TABLET 500 mg
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
7,00
28,00
10,00
10,00
7,00

21 Mei 2013 14:34

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

21 Mei 2013 14:34

Item
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
10,00
3,00

21 Mei 2013 14:33

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
CEFIXIME GENERIK CAPSULE
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
42,00
7,00
10,00
1,00
15,00
9,00

TOTAL

21 Mei 2013 13:44

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

21 Mei 2013 13:44

Item
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
7,00
14,00
1,00
15,00
6,00

21 Mei 2013 13:43

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
ALLOPURINOL INF TABLET 100 MG
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
42,00
14,00
14,00
14,00
7,00
14,00
28,00
8,00

21 Mei 2013 13:17

Item
MICARDIS TABLET 80 mg
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
2,00

21 Mei 2013 13:17

Item
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
14,00

BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
7,00
4,00

21 Mei 2013 13:16

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
7,00
14,00
14,00
14,00
1,00
8,00

21 Mei 2013 13:09

Item
ASPILETS TABLET, CHEWABLE 80 MG
H.C.T 25 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
4,00

21 Mei 2013 13:08

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

21 Mei 2013 13:07

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

21 Mei 2013 13:06

Item

JAKARTA SEHAT
Quantity

BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
MECOBALAMIN CAPSULE 500 MCG
PARACETAMOL INF TABLET 500 mg
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
14,00
14,00
15,00
10,00
3,00
8,00

21 Mei 2013 12:48

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

21 Mei 2013 12:47

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
AMBROXOL INF 60 ML SYRUP
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
7,00
14,00
14,00
1,00
14,00
7,00

21 Mei 2013 12:36

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
28,00
5,00
10,00
5,00

21 Mei 2013 12:34

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
84,00
14,00

BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
14,00
5,00

21 Mei 2013 11:51

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

21 Mei 2013 11:49

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
CETIRIZINE 10 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
7,00
14,00
168,00
7,00
1,00
8,00

21 Mei 2013 11:30

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
14,00
1,00

21 Mei 2013 11:26

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

21 Mei 2013 11:25

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
42,00
14,00
14,00

THROMBO ASPILETS 100 MG TABLET

TUSLAH NON RACIKAN
TOTAL

14,00
4,00

21 Mei 2013 11:24

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
7,00
3,00

21 Mei 2013 11:22

Item
FENOFIBRAT 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
14,00
1,00

21 Mei 2013 11:21

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
6,00
6,00

21 Mei 2013 11:16

Item
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
84,00
14,00
14,00
14,00
5,00

21 Mei 2013 10:44

Item
CARDIO ASPIRIN TABLET

JAKARTA SEHAT
Quantity
14,00

CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
CETIRIZINE 10 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
7,00
7,00
10,00
6,00

21 Mei 2013 10:23

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
30,00
60,00
60,00
60,00
4,00

21 Mei 2013 10:06

Item
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

21 Mei 2013 10:02

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
15,00
15,00
45,00
4,00

21 Mei 2013 09:44

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

21 Mei 2013 09:43

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
14,00
7,00

BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
3,00

21 Mei 2013 09:42

Item
ISOSORBIDE DINITRATE INF TABLET
MICARDIS TABLET 80 mg
GLIQUIDONE 30 MG TABLET
ACARBOSE 100 MG TABLET
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
10,00
5,00

21 Mei 2013 09:26

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

21 Mei 2013 09:25

Item
ARDIUM TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
28,00
2,00

21 Mei 2013 09:22

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

21 Mei 2013 09:17

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

21 Mei 2013 09:17

Item

ASKES
Quantity

TRIZEDON MR TABLET, FILM COATED, EXTENDED RELEASE 35 MG

ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

28,00
28,00
2,00

20 Mei 2013 14:23

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
HYPERIL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
14,00
10,00
10,00
8,00

20 Mei 2013 14:18

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

20 Mei 2013 14:16

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
28,00
14,00
6,00

20 Mei 2013 14:14

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
30,00
1,00

20 Mei 2013 14:14

JAKARTA SEHAT

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
8,00
126,00
14,00
42,00
14,00
14,00
7,00

20 Mei 2013 14:13

Item
ALLOPURINOL INF TABLET 100 MG
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
30,00
30,00
2,00

20 Mei 2013 13:57

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
10,00
3,00

20 Mei 2013 13:54

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
84,00
7,00
14,00
7,00
42,00
7,00

20 Mei 2013 13:47

Item
CARDIO ASPIRIN TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
14,00
7,00
14,00

FUROSEMID INF TABLET

HYPERIL 5 MG TABLET
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
1,00
10,00
7,00

20 Mei 2013 13:44

Item
CARDIO ASPIRIN TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
5,00
28,00
14,00
10,00
10,00
8,00

20 Mei 2013 13:41

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
42,00
14,00
14,00
7,00
7,00

20 Mei 2013 13:37

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

20 Mei 2013 13:37

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00

BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
7,00
5,00

20 Mei 2013 13:36

Item
CAPTOPRIL 12.5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
7,00
42,00
14,00
7,00
14,00
8,00

20 Mei 2013 13:23

Item
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
14,00
14,00
7,00
14,00
6,00

20 Mei 2013 13:19

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
30,00
4,00

20 Mei 2013 13:02

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION

JAKARTA SEHAT
Quantity
14,00
7,00
1,00

LANSOPRAZOLE GENERIK CAPSULE

AMBROXOL INF 30 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

6,00
10,00
5,00
6,00

20 Mei 2013 12:57

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

20 Mei 2013 12:57

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

20 Mei 2013 12:51

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
HYPERIL 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
6,00
14,00
10,00
6,00

20 Mei 2013 12:44

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
7,00
5,00

20 Mei 2013 12:43

JAKARTA SEHAT

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
1,00

20 Mei 2013 12:43

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
14,00
14,00
5,00

20 Mei 2013 12:40

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

20 Mei 2013 12:40

Item
PROPYLTHIOURASIL 100 MG TABLET
FUROSEMID INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
7,00
15,00
15,00
6,00

20 Mei 2013 12:32

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

20 Mei 2013 12:31

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
7,00

FUROSEMID INF TABLET

SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
4,00

20 Mei 2013 12:23

Item
IRBESARTAN 300 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ALLOPURINOL INF TABLET 100 MG
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
14,00
42,00
6,00

20 Mei 2013 12:21

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
MICARDIS TABLET 80 mg
SIMVASTATIN GENERIK 10 MG TABLET
CARDIO ASPIRIN TABLET
AMBROXOL INF 30 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
28,00
14,00
14,00
14,00
10,00
5,00
7,00

20 Mei 2013 12:17

Item
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
3,00

20 Mei 2013 12:17

Item
METFORMIN HCL 500 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG

UMUM
Quantity
30,00
15,00
15,00
90,00
45,00

THROMBO ASPILETS 100 MG TABLET

TUSLAH NON RACIKAN
TOTAL

15,00
6,00

20 Mei 2013 12:13

Item
V-BLOC 6,25MG TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
2,00

20 Mei 2013 11:15

Item
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
SIMVASTATIN GENERIK 10 MG TABLET
HYPERIL 5 MG TABLET
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
1,00
5,00
6,00

20 Mei 2013 11:15

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
15,00
3,00

20 Mei 2013 11:09

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

20 Mei 2013 11:08

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00

IRBESARTAN 300 MG TABLET

METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
6,00

20 Mei 2013 10:48

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
MICARDIS TABLET 80 mg
ISOSORBIDE DINITRATE INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
42,00
14,00
6,00

20 Mei 2013 10:35

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CARDIO ASPIRIN TABLET
DOMPERIDON INF TABLET 10 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
BETAHISTIN NOVELL TABLET 6 MG
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
15,00
1,00
10,00
14,00
8,00

20 Mei 2013 10:28

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
14,00
4,00

20 Mei 2013 10:22

Item
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
ADALAT OROS 30 MG TABLET

JAKARTA SEHAT
Quantity
14,00
7,00
14,00

IRBESARTAN 300 MG TABLET

TUSLAH NON RACIKAN
TOTAL

14,00
4,00

20 Mei 2013 10:04

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
14,00
28,00
14,00
7,00

20 Mei 2013 09:56

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

20 Mei 2013 09:55

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
5,00
5,00

20 Mei 2013 09:25

Item
ATORVASTATIN 20 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

20 Mei 2013 09:24

Item
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
42,00

FUROSEMID INF TABLET

CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
14,00
14,00
6,00

20 Mei 2013 08:57

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
LANSOPRAZOLE GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
14,00
14,00
15,00
15,00
14,00
10,00
8,00

18 Mei 2013 14:34

Item
H.C.T 25 MG TABLET
AMLODIPIN 10 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
AMOXICILLIN 500 MG TABLET
CAPTOPRIL 12.5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
28,00
14,00
10,00
15,00
168,00
14,00
7,00

18 Mei 2013 14:29

Item
V-BLOC TABLET 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

18 Mei 2013 14:23

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
2,00
10,00

AMLODIPIN 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
4,00

18 Mei 2013 14:17

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 14:17

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
1,00
42,00
6,00

18 Mei 2013 14:14

Item
ASPILETS TABLET, CHEWABLE 80 MG
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
42,00
3,00

18 Mei 2013 14:14

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

18 Mei 2013 14:08

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
1,00

18 Mei 2013 14:07

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
10,00
4,00

18 Mei 2013 14:01

Item
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
5,00

18 Mei 2013 14:01

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 13:28

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
15,00
6,00

18 Mei 2013 13:27

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 13:26

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
4,00
14,00
14,00
6,00

18 Mei 2013 13:25

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

18 Mei 2013 13:24

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
28,00
14,00
6,00

18 Mei 2013 13:21

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

18 Mei 2013 13:20

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 13:19

JAKARTA SEHAT

Item
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
30,00
30,00
14,00
14,00
14,00
6,00

18 Mei 2013 13:18

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 13:18

Item
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
5,00

18 Mei 2013 13:16

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

18 Mei 2013 13:16

Item
H.C.T 25 MG TABLET
AMLODIPIN 10 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
AMOXICILLIN 500 MG TABLET
CAPTOPRIL 12.5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
10,00
15,00
168,00
14,00
7,00

18 Mei 2013 12:52

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

18 Mei 2013 12:52

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
4,00

18 Mei 2013 12:44

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

18 Mei 2013 12:43

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
4,00

18 Mei 2013 12:37

Item
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
4,00

18 Mei 2013 12:33

JAKARTA SEHAT

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
CARDIO ASPIRIN TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
7,00
42,00
14,00
14,00
7,00
6,00

18 Mei 2013 12:32

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 12:31

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

18 Mei 2013 12:30

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
HYPERIL 5 MG TABLET
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
42,00
14,00
1,00
5,00

18 Mei 2013 11:59

Item
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
14,00
14,00
28,00
10,00
7,00

18 Mei 2013 11:55

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 11:54

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
1,00
6,00
5,00

18 Mei 2013 11:49

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
4,00

18 Mei 2013 11:49

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 11:43

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

18 Mei 2013 11:43

Item
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00

CARDIO ASPIRIN TABLET

CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
14,00
14,00
15,00
7,00

18 Mei 2013 11:16

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

18 Mei 2013 11:15

Item
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
7,00
5,00
7,00

18 Mei 2013 11:02

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

18 Mei 2013 11:01

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 11:00

Item
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
7,00

CAPTOPRIL 12.5 MG TABLET

ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

84,00
14,00
7,00
15,00
5,00

18 Mei 2013 10:55

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
49,00
1,00

18 Mei 2013 10:53

Item
BD MICRO-FINE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
5,00
2,00

18 Mei 2013 10:51

Item
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
20,00
4,00

18 Mei 2013 10:49

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 10:45

Item
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

18 Mei 2013 10:44

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

18 Mei 2013 10:40

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 10:39

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
1,00
10,00
6,00

18 Mei 2013 10:32

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 10:31

Item
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ALPENTIN 300 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
20,00
30,00
1,00
7,00

18 Mei 2013 10:20

JAKARTA SEHAT

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ANALSIK TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
28,00
28,00
15,00
15,00
6,00

18 Mei 2013 10:15

Item
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 10:14

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
7,00
14,00
14,00
7,00
14,00
7,00

18 Mei 2013 10:09

Item
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
42,00
4,00
14,00
14,00
7,00
6,00

18 Mei 2013 09:49

Item
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
7,00
42,00
5,00

18 Mei 2013 09:48

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 09:12

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

18 Mei 2013 08:58

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
15,00
15,00
14,00
6,00

18 Mei 2013 08:55

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
28,00
14,00
7,00
7,00
5,00

17 Mei 2013 15:21

Item
INTERPRIL TABLET 10 MG

JAKARTA SEHAT
Quantity
14,00

TUSLAH NON RACIKAN

TOTAL

1,00

17 Mei 2013 15:01

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

17 Mei 2013 14:48

Item
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
28,00
28,00
7,00
4,00

17 Mei 2013 13:37

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

17 Mei 2013 13:37

Item
FUROSEMID INF TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
SPIRONOLACTONE 25 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
7,00
1,00
6,00

17 Mei 2013 13:26

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

17 Mei 2013 13:26

Item
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
HERBESSER CD 100 CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
1,00
4,00

17 Mei 2013 13:21

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
5,00
2,00

17 Mei 2013 13:21

Item
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SPIRONOLACTONE 25 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
1,00
4,00

17 Mei 2013 13:20

Item
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
4,00
5,00
10,00
4,00

17 Mei 2013 13:15

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
PARACETAMOL INF TABLET 500 mg
AMBROXOL INF 30 MG TABLET

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
7,00
14,00
10,00
10,00

TUSLAH NON RACIKAN

TOTAL

7,00

17 Mei 2013 13:15

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

17 Mei 2013 13:13

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

17 Mei 2013 13:12

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
14,00
5,00

17 Mei 2013 12:43

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

17 Mei 2013 12:43

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
4,00

17 Mei 2013 12:42

JAKARTA SEHAT

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
42,00
1,00

17 Mei 2013 12:41

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

17 Mei 2013 12:41

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
4,00
4,00
4,00

17 Mei 2013 12:39

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

17 Mei 2013 12:38

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
5,00
3,00

17 Mei 2013 12:29

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
7,00
7,00
1,00
10,00
14,00
5,00

TOTAL

17 Mei 2013 12:27

Item
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

17 Mei 2013 11:47

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

17 Mei 2013 11:47

Item
FUROSEMID INF TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
14,00
4,00
7,00

17 Mei 2013 11:30

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
PROPYLTHIOURASIL 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
2,00

17 Mei 2013 11:29

Item
PROPANOLOL 10 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
7,00
15,00
4,00

17 Mei 2013 10:53

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
10,00
5,00
4,00

17 Mei 2013 10:49

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

17 Mei 2013 10:48

Item
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
BISOPROLOL 5 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
1,00
14,00
42,00
6,00

17 Mei 2013 10:00

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
14,00
1,00

17 Mei 2013 09:55

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

17 Mei 2013 09:54

Item
V-BLOC 6,25MG TABLET

JAKARTA SEHAT
Quantity
14,00

TUSLAH NON RACIKAN

TOTAL

1,00

17 Mei 2013 09:54

Item
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
FOLIC ACID 1 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
42,00
28,00
5,00

17 Mei 2013 09:41

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
42,00
10,00
10,00
1,00
10,00
8,00

17 Mei 2013 09:27

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

17 Mei 2013 09:26

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
METFORMIN HCL 500 MG TABLET
AMBROXOL INF 30 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
42,00
20,00
28,00
8,00

TOTAL

17 Mei 2013 09:12

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

17 Mei 2013 09:11

Item
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
7,00
14,00
14,00
14,00
7,00

16 Mei 2013 15:31

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
42,00
21,00
5,00

16 Mei 2013 15:24

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
4,00

16 Mei 2013 15:16

Item
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
14,00

BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
14,00
42,00
1,00
6,00

16 Mei 2013 15:14

Item
MICARDIS TABLET 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

16 Mei 2013 15:13

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
14,00
7,00
15,00
7,00

16 Mei 2013 15:05

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

16 Mei 2013 15:02

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

16 Mei 2013 15:01

Item
DIGOXIN INF TABLET
H.C.T 25 MG TABLET

JAKARTA SEHAT
Quantity
7,00
7,00

MUSIN OTTO 120 ML SUSPENSION

OMEPRAZOLE GEN 20 MG CAPSULE
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

1,00
14,00
1,00
5,00

16 Mei 2013 15:00

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
42,00
14,00
4,00
14,00
42,00
7,00

16 Mei 2013 14:57

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

16 Mei 2013 14:55

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
7,00
5,00

16 Mei 2013 14:40

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
14,00
5,00

16 Mei 2013 14:22

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
7,00
14,00
6,00

16 Mei 2013 14:16

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
7,00
14,00
6,00

16 Mei 2013 14:14

Item
H.C.T 25 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ADALAT OROS 30 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
14,00
14,00
6,00

16 Mei 2013 14:14

Item
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

16 Mei 2013 13:57

Item

JAKARTA SEHAT
Quantity

THROMBO ASPILETS 100 MG TABLET

ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
GLIMEPIRIDE 2 MG TABLET
METFORMIN HCL 500 MG TABLET
CETIRIZINE 10 MG TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
42,00
7,00
14,00
14,00
42,00
7,00
10,00
8,00

16 Mei 2013 13:56

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

16 Mei 2013 13:54

Item
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
30,00
14,00
3,00

16 Mei 2013 13:43

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
H.C.T 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
168,00
28,00
28,00
14,00
7,00
84,00
9,00

16 Mei 2013 13:08

Item
V-BLOC 6,25MG TABLET
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

TUSLAH NON RACIKAN

TOTAL

2,00

16 Mei 2013 12:58

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
20,00
10,00
4,00

16 Mei 2013 12:25

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
14,00
42,00
4,00

16 Mei 2013 12:22

Item
MICARDIS TABLET 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

16 Mei 2013 12:20

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
28,00
7,00
28,00
14,00
7,00

16 Mei 2013 12:17

Item
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
14,00

ASPAR-K TABLET, COATED 300 mg

BETAHISTIN NOVELL TABLET 6 MG
MECOBALAMIN CAPSULE 500 MCG
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
10,00
42,00
14,00
5,00

16 Mei 2013 12:12

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
METFORMIN HCL 500 MG TABLET
FUROSEMID INF TABLET
PARACETAMOL INF TABLET 500 mg
CIPROFLOXACIN TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
7,00
24,00
14,00
10,00
10,00
1,00
10,00

16 Mei 2013 12:08

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

16 Mei 2013 12:08

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
14,00
5,00

16 Mei 2013 12:06

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CARDIO ASPIRIN TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00

CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
7,00
14,00
14,00
14,00
9,00

16 Mei 2013 11:55

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
14,00
14,00
7,00

16 Mei 2013 11:33

Item
AMLODIPIN 5 MG TABLET
V-BLOC 6,25MG TABLET
ALLOPURINOL INF TABLET 100 MG
FOLIC ACID 1 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
42,00
10,00
5,00

16 Mei 2013 11:31

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
1,00

16 Mei 2013 11:19

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
4,00
14,00
14,00
84,00

TUSLAH NON RACIKAN

TOTAL

4,00

16 Mei 2013 11:11

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

16 Mei 2013 11:11

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
8,00
14,00
14,00
10,00
10,00
6,00

16 Mei 2013 10:45

Item
FUROSEMID INF TABLET
CLOPIDOGREL 75 MG TABLET
V-BLOC 6,25MG TABLET
ADALAT OROS 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
10,00
10,00
6,00

16 Mei 2013 10:42

Item
CARDIO ASPIRIN TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
CALCIUM LACTATE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
14,00
8,00
8,00
10,00
8,00

16 Mei 2013 10:25

Item
IRBESARTAN 300 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
7,00
42,00
5,00

16 Mei 2013 10:09

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
126,00
28,00
42,00
14,00
7,00
7,00
28,00
7,00

16 Mei 2013 10:09

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

16 Mei 2013 09:55

Item
PROPYLTHIOURASIL 100 MG TABLET
PROPANOLOL 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
60,00
60,00
90,00
15,00
10,00
5,00

15 Mei 2013 16:15

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET

JAKARTA SEHAT
Quantity
14,00

TUSLAH NON RACIKAN

TOTAL

1,00

15 Mei 2013 16:15

Item
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
7,00
14,00
7,00
5,00
7,00

15 Mei 2013 16:14

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
5,00

15 Mei 2013 16:14

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
1,00
28,00
4,00

15 Mei 2013 15:59

Item
AMLODIPIN 5 MG TABLET
V-BLOC 6,25MG TABLET
HYPERIL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
FOLIC ACID 1 MG TABLET
FUROSEMID INF TABLET
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
14,00
10,00

TUSLAH NON RACIKAN

TOTAL

7,00

15 Mei 2013 15:58

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

15 Mei 2013 15:56

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
14,00
10,00
7,00

15 Mei 2013 15:55

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
7,00
10,00
1,00
5,00

15 Mei 2013 15:55

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
7,00
10,00
1,00
5,00

15 Mei 2013 15:55

JAKARTA SEHAT

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
MUSIN OTTO 120 ML SUSPENSION
CEFIXIME GENERIK CAPSULE
FG TROCHES MEIJI
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
14,00
14,00
20,00
1,00
10,00
10,00
8,00

15 Mei 2013 15:36

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
14,00
5,00

15 Mei 2013 15:36

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
28,00
1,00
7,00

15 Mei 2013 15:35

Item
MICARDIS TABLET 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

15 Mei 2013 15:34

Item
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
14,00

FUROSEMID INF TABLET

SPIRONOLACTONE 25 MG TABLET
MICARDIS TABLET 40 mg
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
19,00
7,00
14,00
20,00
7,00

15 Mei 2013 15:28

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
DIGOXIN INF TABLET
MECOBALAMIN CAPSULE 500 MCG
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
7,00
30,00
10,00
6,00

15 Mei 2013 15:27

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

15 Mei 2013 15:27

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FOLIC ACID 1 MG TABLET
FUROSEMID INF TABLET
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
14,00
42,00
14,00
15,00
7,00

15 Mei 2013 15:18

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

15 Mei 2013 15:18

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
14,00
6,00

15 Mei 2013 14:49

Item
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
7,00
7,00
7,00

15 Mei 2013 14:45

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

15 Mei 2013 14:24

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

15 Mei 2013 14:05

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
7,00
14,00
28,00

HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
4,00

15 Mei 2013 14:04

Item
DIGOXIN INF TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
30,00
30,00
30,00
10,00
6,00

15 Mei 2013 14:03

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
14,00
3,00

15 Mei 2013 13:51

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
ASAM MEFENAMAT INF 500 MG TABLET
CALCIUM LACTATE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
14,00
14,00
28,00
7,00
10,00
14,00
8,00

15 Mei 2013 13:46

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
4,00
14,00

METFORMIN HCL 500 MG TABLET

MUSIN OTTO 120 ML SUSPENSION
ALPENTIN 300 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

14,00
1,00
10,00
20,00
9,00

15 Mei 2013 13:44

Item
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MELOXICAM 7.5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
10,00
14,00
4,00

15 Mei 2013 13:43

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
14,00
1,00
7,00

15 Mei 2013 13:28

Item
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
28,00
14,00
7,00
4,00

15 Mei 2013 13:22

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET

GIZI BURUK
Quantity
14,00
14,00
84,00
14,00

ISOSORBIDE DINITRATE INF TABLET

AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

14,00
15,00
15,00
7,00

15 Mei 2013 13:20

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
AMBROXOL INF 60 ML SYRUP
SOLAC SYRUP
PARACETAMOL INF TABLET 500 mg
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
14,00
1,00
1,00
10,00
1,00
8,00

15 Mei 2013 13:12

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

15 Mei 2013 13:10

Item
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MECOBALAMIN CAPSULE 500 MCG
CALCIUM LACTATE 500 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
20,00
14,00
10,00
8,00

15 Mei 2013 12:59

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
126,00
14,00
14,00

SIMVASTATIN GENERIK 10 MG TABLET

FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
14,00
6,00

15 Mei 2013 12:53

Item
FELDENE 15 GM GEL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 12:48

Item
IRBESARTAN 150 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
4,00

15 Mei 2013 12:46

Item
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
5,00
3,00

15 Mei 2013 12:45

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
METFORMIN HCL 500 MG TABLET
GLIMEPIRIDE 1 MG TABLET
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
7,00
14,00
42,00
14,00
28,00
8,00

15 Mei 2013 12:37

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
42,00
14,00
14,00
14,00
14,00
14,00
7,00

15 Mei 2013 12:26

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
10,00
5,00

15 Mei 2013 12:25

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
14,00
14,00
42,00
7,00

15 Mei 2013 12:12

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
14,00
10,00
6,00

15 Mei 2013 12:05

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
PARACETAMOL INF TABLET 500 mg
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
168,00
28,00
14,00
7,00
15,00
20,00
7,00

15 Mei 2013 11:57

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
14,00
15,00
15,00
1,00
8,00

15 Mei 2013 11:55

Item
LANSOPRAZOLE GENERIK CAPSULE
MUSIN OTTO 120 ML SUSPENSION
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
7,00
28,00
14,00
14,00
14,00
14,00
14,00
9,00

15 Mei 2013 11:28

Item
BISOPROLOL 5 MG TABLET

UMUM
Quantity
15,00

AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30,00
2,00

15 Mei 2013 11:26

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
28,00
5,00

15 Mei 2013 11:25

Item
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
METFORMIN HCL 500 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
1,00
7,00
14,00
6,00

15 Mei 2013 11:11

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
4,00

15 Mei 2013 11:00

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

15 Mei 2013 11:00

Item

JAKARTA SEHAT
Quantity

ASPILETS TABLET, CHEWABLE 80 MG

CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
84,00
14,00
1,00
6,00

15 Mei 2013 10:48

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
14,00
10,00
6,00

15 Mei 2013 10:14

Item
SIMVASTATIN TABLET 20 MG
CEFIXIME GENERIK CAPSULE
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
14,00
15,00
1,00
3,00

15 Mei 2013 10:00

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
90,00
30,00
10,00
4,00

14 Mei 2013 15:30

Item
ASPILETS TABLET, CHEWABLE 80 MG
IRBESARTAN 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00

FUROSEMID INF TABLET

TUSLAH NON RACIKAN
TOTAL

7,00
5,00

14 Mei 2013 15:21

Item
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
7,00
1,00
6,00

14 Mei 2013 15:21

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

14 Mei 2013 15:16

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 15:11

Item
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
25,00
28,00
3,00

14 Mei 2013 15:01

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
7,00
7,00

THROMBO ASPILETS 100 MG TABLET

FUROSEMID INF TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
10,00
5,00

14 Mei 2013 14:58

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
30,00
10,00
7,00

14 Mei 2013 14:52

Item
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
42,00
14,00
14,00
1,00
6,00

14 Mei 2013 14:38

Item
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
V-BLOC 6,25MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
14,00
42,00
7,00

14 Mei 2013 14:36

Item

JAKARTA SEHAT
Quantity

BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
10,00
15,00
4,00

14 Mei 2013 13:47

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 2 MG
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
5,00
14,00
4,00

14 Mei 2013 13:45

Item
IRBESARTAN 300 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
7,00
1,00
7,00

14 Mei 2013 13:34

Item
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

14 Mei 2013 13:33

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

14 Mei 2013 13:30

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
7,00
28,00
14,00
14,00
7,00
6,00

14 Mei 2013 13:26

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
7,00
42,00
6,00

14 Mei 2013 13:15

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
42,00
10,00
6,00

14 Mei 2013 13:12

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
7,00
7,00
42,00
14,00
6,00

14 Mei 2013 13:00

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
42,00
15,00
4,00

14 Mei 2013 12:50

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
14,00
14,00
14,00
6,00

14 Mei 2013 12:48

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
42,00
14,00
5,00

14 Mei 2013 12:44

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
42,00
14,00
14,00
14,00
14,00
1,00
7,00

14 Mei 2013 12:40

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
56,00
4,00
14,00
28,00
6,00

14 Mei 2013 12:33

Item
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
28,00
14,00
14,00
14,00
5,00

14 Mei 2013 12:21

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
7,00
4,00

14 Mei 2013 12:19

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
CETIRIZINE 10 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
28,00
42,00
14,00
1,00
7,00
1,00
8,00

14 Mei 2013 12:12

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
15,00
1,00

14 Mei 2013 12:11

Item
BISOPROLOL 5 MG TABLET
DILTIAZEM INF TABLET 30 MG
NEUROSANBE TABLET
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
30,00
60,00
30,00
3,00

14 Mei 2013 12:08

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
CALCIUM LACTATE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
7,00
10,00
14,00
6,00

14 Mei 2013 11:44

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FOLIC ACID 1 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
84,00
28,00
1,00
14,00
6,00

14 Mei 2013 11:34

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
14,00

FOLIC ACID 1 MG TABLET

ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30,00
7,00
7,00

14 Mei 2013 11:29

Item
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
14,00
14,00
14,00
7,00

14 Mei 2013 11:09

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
3,00

14 Mei 2013 11:01

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
7,00
14,00
14,00
7,00
6,00

14 Mei 2013 10:55

Item
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
7,00

SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
6,00

14 Mei 2013 10:44

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
84,00
14,00
1,00
15,00
8,00

14 Mei 2013 10:39

Item
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

14 Mei 2013 10:04

Item
DIGOXIN INF TABLET
LASIX TABLET 40 MG
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
8,00
3,00

14 Mei 2013 09:00

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

13 Mei 2013 20:21

Item
GLIQUIDONE 30 MG TABLET
DECULIN 15 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
28,00
14,00
2,00

TOTAL

13 Mei 2013 18:06

Item
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
4,00

13 Mei 2013 15:56

Item
INTERPRIL TABLET 10 MG
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

13 Mei 2013 15:55

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
7,00
42,00
14,00
5,00

13 Mei 2013 15:54

Item
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CETIRIZINE 10 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
5,00
1,00
7,00

13 Mei 2013 15:49

Item

JAKARTA SEHAT
Quantity

DIGOXIN INF TABLET

SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

7,00
7,00
15,00
15,00
4,00

13 Mei 2013 15:29

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
4,00

13 Mei 2013 15:25

Item
BISOPROLOL 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
14,00
14,00
7,00
15,00
15,00
15,00
8,00

13 Mei 2013 15:15

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
42,00
5,00
8,00
4,00
15,00
14,00
9,00

13 Mei 2013 15:14

Item
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
GLIMEPIRIDE 3 MG TABLET
IRBESARTAN 300 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
METFORMIN HCL 500 MG TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
7,00
14,00
7,00
7,00
42,00
14,00
10,00

13 Mei 2013 15:10

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
14,00
10,00
6,00

13 Mei 2013 15:08

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
7,00
14,00
7,00
14,00
8,00

13 Mei 2013 15:05

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MICARDIS TABLET 80 mg

JAKARTA SEHAT
Quantity
7,00
84,00
10,00

RANITIDINE INF TABLET 150 MG

ALLOPURINOL INF TABLET 100 MG
PARACETAMOL INF TABLET 500 mg
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

28,00
14,00
10,00
1,00
10,00
8,00

13 Mei 2013 15:01

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
25,00
1,00

13 Mei 2013 15:00

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
RANITIDINE INF TABLET 150 MG
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
84,00
14,00
28,00
42,00
7,00

13 Mei 2013 14:58

Item
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
14,00
14,00
14,00
1,00
8,00

13 Mei 2013 14:38

Item
DILTIAZEM INF TABLET 30 MG
THROMBO ASPILETS 100 MG TABLET

JAKARTA SEHAT
Quantity
28,00
14,00

IRBESARTAN 150 MG TABLET

BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
14,00
14,00
1,00
10,00
8,00

13 Mei 2013 14:31

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
7,00
5,00

13 Mei 2013 14:13

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ISOSORBIDE DINITRATE INF TABLET
METFORMIN HCL 500 MG TABLET
MICARDIS TABLET 40 mg
GLIBENCLAMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
84,00
42,00
28,00
7,00
7,00

13 Mei 2013 13:58

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
METFORMIN HCL 500 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
42,00
14,00
6,00

13 Mei 2013 13:45

JAKARTA SEHAT

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
28,00
7,00
14,00
7,00
14,00
7,00

13 Mei 2013 13:44

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
10,00
5,00

13 Mei 2013 13:42

Item
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
5,00
6,00

13 Mei 2013 13:18

Item
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
7,00
14,00
14,00
8,00

13 Mei 2013 13:16

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
7,00
14,00
14,00
14,00
14,00
9,00

13 Mei 2013 13:10

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
METFORMIN HCL 500 MG TABLET
FUROSEMID INF TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
28,00
14,00
42,00
7,00
1,00
8,00

13 Mei 2013 12:56

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
RANITIDINE INF TABLET 150 MG
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
7,00
20,00
7,00
5,00

13 Mei 2013 12:49

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
126,00
28,00
14,00

H.C.T 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
14,00
1,00
7,00

13 Mei 2013 12:48

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SPIRONOLACTONE 100 MG TABLET
CTM 4 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
42,00
7,00
14,00
7,00
10,00
10,00
8,00

13 Mei 2013 12:36

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

13 Mei 2013 12:36

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
5,00
4,00

13 Mei 2013 12:30

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

13 Mei 2013 12:29

JAKARTA SEHAT

Item
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
7,00
4,00
14,00
7,00
14,00
28,00
10,00
7,00

13 Mei 2013 12:26

Item
H.C.T 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
84,00
14,00
14,00
14,00
5,00

13 Mei 2013 12:02

Item
INTERPRIL TABLET 10 MG
NEW DIATABS TABLET 600 mg
BRAXIDIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
10,00
4,00
3,00

13 Mei 2013 12:01

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
5,00

13 Mei 2013 11:49

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
1,00

TOTAL

13 Mei 2013 11:49

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
7,00
7,00
20,00
5,00

13 Mei 2013 11:48

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
42,00
7,00
14,00
7,00
6,00

13 Mei 2013 11:44

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

13 Mei 2013 11:43

Item
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
2,00

13 Mei 2013 11:25

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 150 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00

CLOPIDOGREL 75 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
1,00
7,00
7,00

13 Mei 2013 11:12

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
14,00
4,00
6,00

13 Mei 2013 11:08

Item
ASPILETS TABLET, CHEWABLE 80 MG
IRBESARTAN 150 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

13 Mei 2013 11:04

Item
INTERPRIL TABLET 10 MG
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
2,00

13 Mei 2013 11:04

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

13 Mei 2013 11:03

Item
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00

THROMBO ASPILETS 100 MG TABLET

BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
28,00
4,00

13 Mei 2013 11:01

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

13 Mei 2013 10:48

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

13 Mei 2013 10:47

Item
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
1,00
15,00
6,00

13 Mei 2013 10:38

Item
DIGOXIN INF TABLET
LASIX TABLET 40 MG
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
8,00
15,00
4,00

13 Mei 2013 09:36

Item
ATORVASTATIN 20 MG TABLET
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
7,00

BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MUSIN OTTO 120 ML SUSPENSION
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
1,00
7,00
7,00
7,00

13 Mei 2013 09:21

Item
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
14,00
15,00
3,00

11 Mei 2013 14:46

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
VITAMIN B1 50 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
42,00
28,00
7,00
8,00

11 Mei 2013 14:43

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
42,00
4,00
14,00
6,00

11 Mei 2013 14:30

Item
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
42,00

FUROSEMID INF TABLET

SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
7,00
7,00
14,00
6,00

11 Mei 2013 14:29

Item
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
14,00
14,00
1,00
14,00
15,00
9,00

11 Mei 2013 14:24

Item
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 14:24

Item
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
42,00
14,00
14,00
10,00
6,00

11 Mei 2013 14:22

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN

ASKES
Quantity
14,00
1,00

TOTAL

11 Mei 2013 14:18

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
RANITIDINE INF TABLET 150 MG
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
7,00
28,00
1,00
8,00

11 Mei 2013 14:13

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
7,00
6,00

11 Mei 2013 14:08

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
1,00
6,00

11 Mei 2013 14:03

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
14,00

SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
15,00
7,00

11 Mei 2013 13:53

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

11 Mei 2013 13:53

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
4,00

11 Mei 2013 13:49

Item
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
42,00
14,00
14,00
1,00
8,00

11 Mei 2013 13:45

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 10 MG TABLET
MICARDIS TABLET 40 mg
THROMBO ASPILETS 100 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
15,00
28,00
14,00
1,00
5,00

11 Mei 2013 13:39

Item
IRBESARTAN 150 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
PARACETAMOL INF TABLET 500 mg
CEFIXIME GENERIK CAPSULE
DOMPERIDON INF TABLET 10 MG
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
15,00
10,00
10,00
1,00
8,00

11 Mei 2013 13:37

Item
CAPTOPRIL 12.5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
LANSOPRAZOLE GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
6,00
15,00
14,00
14,00
6,00

11 Mei 2013 13:35

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 13:35

Item
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

11 Mei 2013 13:29

Item

JAKARTA SEHAT
Quantity

CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
FUROSEMID INF TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
42,00
14,00
28,00
28,00
14,00
42,00
7,00

11 Mei 2013 13:28

Item
IRBESARTAN 300 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
15,00
4,00

11 Mei 2013 13:27

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
42,00
14,00
14,00
7,00
5,00

11 Mei 2013 13:24

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
15,00
6,00
7,00

11 Mei 2013 13:23

Item

JAKARTA SEHAT
Quantity

AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
MUSIN OTTO 120 ML SUSPENSION
CLOPIDOGREL 75 MG TABLET
CEFIXIME GENERIK CAPSULE
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

28,00
42,00
14,00
1,00
14,00
10,00
1,00
10,00
8,00

11 Mei 2013 13:21

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
7,00
14,00
6,00
4,00
5,00

11 Mei 2013 13:20

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 13:19

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
DIGOXIN INF TABLET
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
28,00
6,00

11 Mei 2013 13:18

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
42,00
126,00

FUROSEMID INF TABLET

SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
42,00
14,00
7,00

11 Mei 2013 13:17

Item
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
PROPYLTHIOURASIL 100 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
42,00
7,00
7,00
14,00
14,00
42,00
8,00

11 Mei 2013 13:11

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 13:11

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
5,00
5,00

11 Mei 2013 13:11

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
HYPERIL 5 MG TABLET
ATORVASTATIN 20 MG TABLET

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
14,00

CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
14,00
8,00

11 Mei 2013 13:09

Item
BISOPROLOL 5 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
14,00
42,00
5,00
7,00

11 Mei 2013 13:07

Item
V-BLOC 6,25MG TABLET
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
30,00
4,00

11 Mei 2013 12:54

Item
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
10,00
10,00
5,00
6,00

11 Mei 2013 12:52

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
28,00

HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
42,00
14,00
6,00

11 Mei 2013 12:52

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
168,00
7,00
4,00

11 Mei 2013 12:51

Item
TRIZEDON MR TABLET, FILM COATED, EXTENDED RELEASE 35 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

11 Mei 2013 12:51

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
14,00
6,00

11 Mei 2013 12:49

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
42,00
14,00
14,00
14,00
6,00

11 Mei 2013 12:46

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
1,00
6,00
4,00

11 Mei 2013 12:43

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

11 Mei 2013 12:41

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
7,00
4,00

11 Mei 2013 12:26

Item
BISOPROLOL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
6,00
14,00
3,00

11 Mei 2013 12:26

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
42,00
14,00

BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
7,00
28,00
9,00

11 Mei 2013 12:23

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
14,00
14,00
14,00
14,00
14,00
30,00
7,00

11 Mei 2013 12:14

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
14,00
14,00
20,00
7,00

11 Mei 2013 12:14

Item
FUROSEMID INF TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
14,00
14,00
14,00
5,00
8,00

11 Mei 2013 12:09

Item
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
MUSIN OTTO 120 ML SUSPENSION
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
14,00
14,00
1,00
10,00
8,00

11 Mei 2013 11:48

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
1,00

11 Mei 2013 11:47

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
1,00

11 Mei 2013 11:37

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
7,00
14,00
14,00
7,00
5,00
8,00

11 Mei 2013 11:31

Item
MICARDIS TABLET 80 mg
ACARBOSE 100 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

TUSLAH NON RACIKAN

TOTAL

2,00

11 Mei 2013 11:31

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
GLIQUIDONE 30 MG TABLET
ANTASIDA DOEN KF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
28,00
20,00
7,00
6,00

11 Mei 2013 11:26

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
42,00
14,00
1,00
7,00

11 Mei 2013 11:24

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 11:24

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
4,00

11 Mei 2013 11:09

JAKARTA SEHAT

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
14,00
14,00
7,00
7,00
14,00
14,00
8,00

11 Mei 2013 10:37

Item
ADALAT OROS 30 MG TABLET
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
84,00
14,00
7,00
14,00
14,00
14,00
20,00
8,00

11 Mei 2013 10:09

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
30,00
30,00
10,00
4,00

11 Mei 2013 09:56

Item
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

11 Mei 2013 09:47

Item
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
28,00

ASPAR-K TABLET, COATED 300 mg

IRBESARTAN 150 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MUSIN OTTO 120 ML SUSPENSION
DOMPERIDON INF TABLET 10 MG
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

28,00
14,00
14,00
42,00
1,00
10,00
1,00
8,00

11 Mei 2013 09:35

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
V-BLOC 6,25MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
15,00
8,00
15,00
15,00
45,00
7,00

10 Mei 2013 14:46

Item
MICARDIS TABLET 80 mg
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
5,00
6,00

10 Mei 2013 14:38

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
CTM 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
28,00
14,00
14,00
10,00
7,00

10 Mei 2013 14:37

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ANTASIDA DOEN 60 ML SYRUP
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
28,00
1,00
5,00
6,00

10 Mei 2013 14:33

Item
ATORVASTATIN 20 MG TABLET
SCANTAREN 20 GM GEL 1 %WW
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
30,00
1,00
2,00

10 Mei 2013 14:28

Item
VOMERIN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

10 Mei 2013 14:03

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
7,00
7,00
14,00
5,00

10 Mei 2013 13:55

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
28,00

ASPILETS TABLET, CHEWABLE 80 MG

TUSLAH NON RACIKAN
TOTAL

14,00
6,00

10 Mei 2013 13:49

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
DIGOXIN INF TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
42,00
6,00

10 Mei 2013 13:47

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
SIMVASTATIN GENERIK 10 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
14,00
6,00
14,00
10,00
7,00

10 Mei 2013 13:43

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

10 Mei 2013 13:42

Item
FUROSEMID INF TABLET
IRBESARTAN 150 MG TABLET
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
14,00
5,00

10 Mei 2013 13:36

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
VECTRINE DEXA CAPSULE 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
7,00
14,00
28,00
14,00
10,00
10,00
9,00

10 Mei 2013 13:33

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
1,00
14,00
14,00
10,00
1,00
7,00

10 Mei 2013 13:22

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

10 Mei 2013 13:21

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
168,00
14,00
42,00
5,00

10 Mei 2013 13:10

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

10 Mei 2013 13:10

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN TABLET 20 MG
GLIQUIDONE 30 MG TABLET
ALLOPURINOL INF TABLET 100 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
28,00
28,00
10,00
1,00
10,00
28,00
7,00

10 Mei 2013 13:04

Item
SIMVASTATIN TABLET 20 MG
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
14,00
10,00
7,00

10 Mei 2013 13:02

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
14,00
15,00
15,00

TUSLAH NON RACIKAN

TOTAL

8,00

10 Mei 2013 12:55

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
7,00
7,00
6,00

10 Mei 2013 12:52

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
RANITIDINE INF TABLET 150 MG
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
20,00
14,00
5,00

10 Mei 2013 12:48

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
METFORMIN HCL 500 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
14,00
42,00
30,00
7,00

10 Mei 2013 12:48

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG

JAKARTA SEHAT
Quantity
14,00
7,00
28,00
7,00
14,00

HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
6,00

10 Mei 2013 12:41

Item
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
2,00

10 Mei 2013 12:32

Item
HYPERIL 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

10 Mei 2013 12:27

Item
FG TROCHES MEIJI
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
20,00
1,00

10 Mei 2013 12:25

Item
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
14,00
7,00
7,00
1,00
8,00

10 Mei 2013 12:00

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 10 MG TABLET

UMUM
Quantity
5,00
10,00
5,00

TUSLAH NON RACIKAN

TOTAL

3,00

10 Mei 2013 11:53

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
28,00
14,00
14,00
14,00
14,00
7,00

10 Mei 2013 11:49

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
7,00
5,00

10 Mei 2013 11:44

Item
HYPERIL 10 MG TABLET
V-BLOC 6,25MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
15,00
3,00

10 Mei 2013 11:43

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
1,00
3,00

10 Mei 2013 11:37

ASKES

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
1,00

10 Mei 2013 11:23

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

10 Mei 2013 11:23

Item
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
14,00
5,00

10 Mei 2013 11:12

Item
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
4,00
4,00

10 Mei 2013 10:55

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
15,00
15,00
3,00

10 Mei 2013 10:49

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
42,00
14,00
7,00
7,00

10 Mei 2013 10:38

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

10 Mei 2013 10:38

Item
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
20,00
5,00

10 Mei 2013 10:20

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
MUSIN OTTO 120 ML SUSPENSION
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
6,00
1,00
1,00
5,00

10 Mei 2013 10:02

Item
ATORVASTATIN 20 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
7,00
2,00
2,00

10 Mei 2013 09:47

JAKARTA SEHAT

Item
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 40 mg
ISOSORBIDE DINITRATE INF TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
7,00
14,00
14,00
20,00
6,00

10 Mei 2013 09:31

Item
TANAPRESS 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
30,00
1,00

10 Mei 2013 09:30

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
MAINTATE TABLET, FILM COATED 2.5 MG
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
30,00
15,00
15,00
15,00
30,00
5,00

10 Mei 2013 09:21

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
AMBROXOL INF 60 ML SYRUP
CTM 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
7,00
10,00
20,00
1,00
10,00
9,00

10 Mei 2013 09:16

Item
ISOSORBIDE DINITRATE INF TABLET

UMUM
Quantity
90,00

AMLODIPIN 5 MG TABLET
V-BLOC 6,25MG TABLET
FOLIC ACID 1 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30,00
15,00
90,00
20,00
5,00

10 Mei 2013 09:10

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

10 Mei 2013 09:10

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
7,00
7,00
14,00
6,00

8 Mei 2013 16:27

Item
AMLODIPIN 5 MG TABLET
MICARDIS TABLET 80 mg
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
7,00
4,00

8 Mei 2013 16:25

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 80 mg
SIMVASTATIN GENERIK 10 MG TABLET
MELOXICAM 7.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
14,00
42,00
7,00

TOTAL

8 Mei 2013 16:22

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
1,00

8 Mei 2013 16:15

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
14,00
5,00

8 Mei 2013 15:52

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
1,00

8 Mei 2013 15:51

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
15,00
15,00
7,00

8 Mei 2013 15:39

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET

JAKARTA SEHAT
Quantity
10,00
5,00
5,00
10,00

TUSLAH NON RACIKAN

TOTAL

4,00

8 Mei 2013 15:30

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

8 Mei 2013 15:29

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
5,00

8 Mei 2013 15:25

Item
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

8 Mei 2013 15:19

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN TABLET 20 MG
ISOSORBIDE DINITRATE INF TABLET
H.C.T 25 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
84,00
14,00
14,00
7,00
20,00
6,00

8 Mei 2013 15:17

Item
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
SIMVASTATIN GENERIK 10 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00

ISOSORBIDE DINITRATE INF TABLET

CALCIUM LACTATE 500 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

42,00
14,00
14,00
7,00
8,00

8 Mei 2013 15:06

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
14,00
4,00

8 Mei 2013 15:05

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
ATORVASTATIN 20 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
7,00
14,00
14,00
7,00

8 Mei 2013 14:57

Item
ADALAT OROS 30 MG TABLET
MICARDIS TABLET 80 mg
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
28,00
5,00

8 Mei 2013 14:46

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
21,00
7,00
14,00

SPIRONOLACTONE 25 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
5,00
5,00

8 Mei 2013 14:45

Item
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
ATORVASTATIN 20 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
42,00
14,00
7,00
14,00
14,00
6,00

8 Mei 2013 14:44

Item
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
1,00
15,00
6,00

8 Mei 2013 14:43

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
14,00
5,00

8 Mei 2013 14:42

Item
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
42,00
2,00

8 Mei 2013 14:38

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
1,00

8 Mei 2013 14:25

Item
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
126,00
7,00
7,00
14,00
7,00
5,00

8 Mei 2013 14:23

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
28,00
14,00
7,00
7,00
10,00
10,00
14,00
8,00

8 Mei 2013 14:21

Item
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
ATORVASTATIN 20 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
14,00
28,00
1,00
28,00
5,00

8 Mei 2013 14:13

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
14,00
14,00
1,00
28,00
8,00

8 Mei 2013 14:11

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 80 mg
FUROSEMID INF TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
10,00
5,00

8 Mei 2013 14:07

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

8 Mei 2013 14:06

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

8 Mei 2013 13:21

Item
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
10,00
84,00
10,00
10,00
10,00

METFORMIN HCL 500 MG TABLET

TUSLAH NON RACIKAN
TOTAL

10,00
6,00

8 Mei 2013 13:13

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
10,00
10,00
3,00

8 Mei 2013 13:03

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
30,00
1,00
10,00
8,00

8 Mei 2013 12:43

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

8 Mei 2013 12:43

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
10,00
10,00
5,00

8 Mei 2013 10:49

JAKARTA SEHAT

Item
IRBESARTAN 300 MG TABLET
INTERPRIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
14,00
14,00
14,00
14,00
14,00
7,00

8 Mei 2013 10:33

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
14,00
1,00

8 Mei 2013 09:27

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
ALLOPURINOL INF TABLET 100 MG
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
60,00
15,00
30,00
30,00
30,00
5,00

8 Mei 2013 09:12

Item
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
15,00
30,00
3,00

8 Mei 2013 08:58

Item
SOLAC SYRUP
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION

JAKARTA SEHAT
Quantity
1,00
28,00
7,00
14,00
14,00
1,00

TUSLAH NON RACIKAN

TOTAL

6,00

7 Mei 2013 22:25

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
14,00
1,00

7 Mei 2013 15:54

Item
DIGOXIN INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
10,00
5,00
4,00

7 Mei 2013 15:53

Item
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
14,00
1,00
7,00

7 Mei 2013 15:52

Item
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
20,00
4,00
5,00

7 Mei 2013 15:52

Item

JAKARTA SEHAT
Quantity

BISOPROLOL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
28,00
2,00

7 Mei 2013 15:52

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
10,00
10,00
4,00

7 Mei 2013 15:52

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
42,00
14,00
14,00
6,00

7 Mei 2013 15:51

Item
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
42,00
14,00
14,00
14,00
6,00

7 Mei 2013 15:51

Item
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
84,00

ISOSORBIDE DINITRATE INF TABLET

CETIRIZINE 10 MG TABLET
AMBROXOL INF 60 ML SYRUP
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

14,00
10,00
1,00
15,00
9,00

7 Mei 2013 15:38

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
MICARDIS TABLET 80 mg
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
METFORMIN HCL 500 MG TABLET
GLIQUIDONE 30 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
14,00
42,00
14,00
14,00
9,00

7 Mei 2013 15:37

Item
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

7 Mei 2013 15:37

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
CTM 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
10,00
5,00

7 Mei 2013 15:31

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

SIMVASTATIN GENERIK 10 MG TABLET

FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
28,00
5,00

7 Mei 2013 15:31

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
28,00
14,00
5,00

7 Mei 2013 15:19

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
RANITIDINE INF TABLET 150 MG
MECOBALAMIN CAPSULE 500 MCG
SIMVASTATIN GENERIK 10 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
20,00
20,00
14,00
1,00
8,00

7 Mei 2013 15:17

Item
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
25,00
30,00
3,00

7 Mei 2013 15:17

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
28,00

SIMARC-2 FAHRENHEIT 2 MG TABLET

IRBESARTAN 300 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
10,00
10,00
8,00

7 Mei 2013 15:16

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
42,00
14,00
5,00

7 Mei 2013 15:16

Item
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
LIPOFIBRAT 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
20,00
7,00
14,00
7,00
7,00
14,00
7,00

7 Mei 2013 14:38

Item
CARDIO ASPIRIN TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
1,00
14,00
6,00

7 Mei 2013 14:19

Item
HALOPERIDOL INF 1.5 MG TABLET

JAKARTA SEHAT
Quantity
5,00

HEPTASAN TABLET, FILM COATED 4 MG

TUSLAH RACIKAN EMBALASE
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
10,00
15,00
15,00
15,00
1,00
1,00
5,00

7 Mei 2013 14:13

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 14:13

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 14:12

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
5,00

7 Mei 2013 14:08

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

7 Mei 2013 13:58

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 13:58

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
7,00
14,00
14,00
6,00

7 Mei 2013 13:51

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

7 Mei 2013 13:51

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
MICARDIS TABLET 80 mg
BISOPROLOL 5 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
7,00
10,00
6,00

7 Mei 2013 13:51

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
5,00

7 Mei 2013 13:48

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
MICARDIS TABLET 80 mg
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
14,00
7,00
14,00
15,00
7,00

7 Mei 2013 13:47

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
AMLODIPIN 10 MG TABLET
FUROSEMID INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
7,00
14,00
7,00

7 Mei 2013 13:45

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN TABLET 20 MG
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
7,00
14,00
168,00
7,00

7 Mei 2013 13:42

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

UMUM
Quantity
30,00
10,00
5,00
10,00

TUSLAH NON RACIKAN

TOTAL

4,00

7 Mei 2013 13:34

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
14,00
6,00

7 Mei 2013 12:47

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 12:47

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
42,00
14,00
14,00
6,00

7 Mei 2013 12:32

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
5,00
10,00
10,00
4,00

7 Mei 2013 12:26

Item

JAKARTA SEHAT
Quantity

SIMVASTATIN GENERIK 10 MG TABLET

DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
7,00
14,00
7,00
5,00

7 Mei 2013 12:21

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

7 Mei 2013 12:20

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 12:20

Item
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
4,00
3,00

7 Mei 2013 11:56

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

7 Mei 2013 11:55

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 11:54

JAKARTA SEHAT

Item
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
14,00
42,00
14,00
4,00

7 Mei 2013 11:40

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

7 Mei 2013 11:24

Item
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 11:24

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
ISOSORBIDE DINITRATE INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
14,00
6,00

7 Mei 2013 11:20

Item
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 11:20

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 11:19

Item
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
4,00

7 Mei 2013 11:16

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
GLIQUIDONE 30 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
28,00
5,00

7 Mei 2013 11:15

Item
HYPERIL 10 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
28,00
3,00

7 Mei 2013 11:02

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 11:01

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
FUROSEMID INF TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
20,00
4,00
5,00

TOTAL

7 Mei 2013 10:33

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
42,00
2,00

7 Mei 2013 10:24

Item
V-BLOC 6,25MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

7 Mei 2013 10:23

Item
AMLODIPIN 10 MG TABLET
FUROSEMID INF TABLET
GLIQUIDONE 30 MG TABLET
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ISOSORBIDE DINITRATE INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
42,00
28,00
14,00
10,00
7,00

6 Mei 2013 19:57

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
126,00
1,00

6 Mei 2013 15:47

Item
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET

JAKARTA SEHAT
Quantity
28,00
28,00
7,00
14,00
14,00
14,00

TUSLAH NON RACIKAN

TOTAL

6,00

6 Mei 2013 15:40

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
ATORVASTATIN 20 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
7,00
6,00

6 Mei 2013 15:36

Item
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
84,00
14,00
14,00
14,00
14,00
1,00
7,00

6 Mei 2013 15:35

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF INJECTION
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
7,00
14,00
42,00
6,00

6 Mei 2013 15:32

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00

AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
6,00

6 Mei 2013 15:30

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
14,00
7,00
14,00
6,00

6 Mei 2013 15:27

Item
ASPILETS TABLET, CHEWABLE 80 MG
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
42,00
7,00
5,00

6 Mei 2013 15:25

Item
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
V-BLOC 6,25MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
5,00

6 Mei 2013 15:23

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
10,00
3,00

6 Mei 2013 15:17

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
14,00
168,00
14,00
15,00
8,00

6 Mei 2013 15:12

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
V-BLOC 6,25MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
7,00
5,00

6 Mei 2013 15:06

Item
DIGOXIN INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
42,00
5,00

6 Mei 2013 15:02

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
METFORMIN HCL 500 MG TABLET
GLIQUIDONE 30 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
7,00
42,00
28,00

TUSLAH NON RACIKAN

TOTAL

7,00

6 Mei 2013 15:01

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
METFORMIN HCL 500 MG TABLET
MELOXICAM 15mg TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
7,00
28,00
5,00
1,00
8,00

6 Mei 2013 15:00

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
7,00
5,00

6 Mei 2013 14:59

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
168,00
14,00
7,00
7,00
14,00
6,00

6 Mei 2013 14:47

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00

BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
6,00

6 Mei 2013 14:45

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
IRBESARTAN 300 MG TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
1,00
5,00

6 Mei 2013 14:37

Item
V-BLOC 6,25MG TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
GLIQUIDONE 30 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
42,00
5,00

6 Mei 2013 14:19

Item
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
7,00
14,00
14,00
7,00

6 Mei 2013 14:09

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
7,00
7,00
14,00
14,00

RANITIDINE INF TABLET 150 MG

FUROSEMID INF TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
7,00
10,00
7,00

6 Mei 2013 14:01

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

6 Mei 2013 14:00

Item
PROPYLTHIOURASIL 100 MG TABLET
FUROSEMID INF TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
14,00
14,00
1,00
10,00
6,00

6 Mei 2013 13:54

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
7,00
5,00

6 Mei 2013 13:53

Item
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
14,00
7,00
4,00

6 Mei 2013 13:49

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
7,00
5,00

6 Mei 2013 13:47

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
7,00
14,00
14,00
7,00

6 Mei 2013 13:46

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
14,00
7,00
5,00

6 Mei 2013 13:46

Item
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
7,00
4,00

6 Mei 2013 13:39

Item

JAKARTA SEHAT
Quantity

THROMBO ASPILETS 100 MG TABLET

FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CTM 4 MG TABLET
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
7,00
7,00
42,00
14,00
10,00
1,00
8,00

6 Mei 2013 13:26

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
METFORMIN HCL 500 MG TABLET
GLIMEPIRIDE 2 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
42,00
14,00
14,00
6,00

6 Mei 2013 13:24

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
1,00

6 Mei 2013 13:08

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

6 Mei 2013 13:08

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
4,00

6 Mei 2013 13:01

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

6 Mei 2013 13:01

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
7,00
4,00

6 Mei 2013 12:47

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
MICARDIS TABLET 40 mg
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
7,00
14,00
14,00
7,00
5,00

6 Mei 2013 12:41

Item
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
7,00
5,00

6 Mei 2013 12:32

Item
SIMVASTATIN TABLET 20 MG
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
METFORMIN HCL 500 MG TABLET

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
14,00

HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
6,00

6 Mei 2013 12:30

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

6 Mei 2013 12:29

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
20,00
10,00
3,00

6 Mei 2013 12:26

Item
V-BLOC 6,25MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

6 Mei 2013 12:26

Item
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
INTERPRIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
28,00
7,00
10,00
6,00

6 Mei 2013 12:25

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
28,00
7,00
3,00

TOTAL

6 Mei 2013 12:21

Item
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
15,00
90,00
30,00
5,00

6 Mei 2013 12:05

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

6 Mei 2013 11:59

Item
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
7,00
14,00
10,00
10,00
7,00

6 Mei 2013 11:51

Item
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
84,00
14,00
14,00
14,00
5,00

6 Mei 2013 11:49

Item

JAKARTA SEHAT
Quantity

FUROSEMID INF TABLET

THROMBO ASPILETS 100 MG TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
METFORMIN HCL 500 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
7,00
14,00
4,00
28,00
42,00
7,00

6 Mei 2013 11:49

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
42,00
28,00
5,00

6 Mei 2013 11:46

Item
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
ADALAT OROS 30 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
4,00

6 Mei 2013 11:24

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
14,00
14,00
5,00

6 Mei 2013 10:27

Item
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

FUROSEMID INF TABLET

SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

7,00
7,00
14,00
10,00
10,00
7,00

6 Mei 2013 09:25

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
7,00
7,00
7,00
4,00

6 Mei 2013 09:23

Item
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
28,00
14,00
14,00
7,00
42,00
6,00

6 Mei 2013 09:21

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

4 Mei 2013 13:07

Item
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
42,00
10,00
1,00
10,00

TUSLAH NON RACIKAN

TOTAL

4,00

4 Mei 2013 13:05

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

4 Mei 2013 13:04

Item
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
4,00
14,00
7,00
14,00
5,00

4 Mei 2013 13:02

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

4 Mei 2013 12:56

Item
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
42,00
7,00
14,00
14,00
7,00
28,00
7,00

4 Mei 2013 12:52

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
1,00
2,00

TOTAL

4 Mei 2013 12:51

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
7,00
10,00
5,00

4 Mei 2013 12:45

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
GLIQUIDONE 30 MG TABLET
SIMVASTATIN TABLET 20 MG
BISOPROLOL 5 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
7,00
14,00
42,00
14,00
7,00
10,00
9,00

4 Mei 2013 12:32

Item
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

4 Mei 2013 12:31

Item
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
7,00
14,00
14,00
10,00
6,00

4 Mei 2013 12:17

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
14,00
14,00
7,00
6,00

4 Mei 2013 12:11

Item
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ANTASIDA DOEN KF TABLET
PARACETAMOL INF TABLET 500 mg
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
84,00
20,00
20,00
7,00
42,00
8,00

4 Mei 2013 11:39

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
84,00
5,00

4 Mei 2013 11:22

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
28,00
14,00
7,00
7,00
5,00

4 Mei 2013 10:58

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
INTERPRIL 5 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
7,00
56,00
20,00
7,00

4 Mei 2013 10:53

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

4 Mei 2013 10:52

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
PARACETAMOL INF TABLET 500 mg
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
168,00
28,00
14,00
7,00
15,00
42,00
7,00

4 Mei 2013 10:13

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

4 Mei 2013 10:13

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
7,00
42,00
84,00

ASPILETS TABLET, CHEWABLE 80 MG

SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
5,00

4 Mei 2013 10:01

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

4 Mei 2013 09:59

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
15,00
15,00
4,00

3 Mei 2013 12:14

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

3 Mei 2013 12:14

Item
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
14,00
42,00
5,00

3 Mei 2013 12:11

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00

CETIRIZINE 10 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
7,00
7,00

3 Mei 2013 12:08

Item
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
SIMVASTATIN TABLET 20 MG
ALLOPURINOL INF TABLET 100 MG
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
28,00
7,00
42,00
14,00
7,00
9,00

3 Mei 2013 11:55

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

3 Mei 2013 11:55

Item
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
4,00

3 Mei 2013 11:25

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

3 Mei 2013 11:25

JAKARTA SEHAT

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
7,00
14,00
14,00
3,00

3 Mei 2013 11:23

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
42,00
7,00
14,00
7,00

3 Mei 2013 10:56

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

3 Mei 2013 10:56

Item
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

3 Mei 2013 10:56

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
GLIQUIDONE 30 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
14,00
28,00
6,00

3 Mei 2013 10:46

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
PROPANOLOL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
2,00

3 Mei 2013 10:45

Item
PROPYLTHIOURASIL 100 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
MELOXICAM 15mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
7,00
7,00
3,00
4,00

3 Mei 2013 10:33

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

3 Mei 2013 10:32

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
AMBROXOL INF 30 MG TABLET
CETIRIZINE 10 MG TABLET
GLIQUIDONE 30 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
14,00
10,00
5,00
28,00
28,00
10,00

3 Mei 2013 10:29

Item
V-BLOC 6,25MG TABLET
HYPERIL 10 MG TABLET
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
7,00
28,00
3,00

TOTAL

3 Mei 2013 10:29

Item
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
ALLOPURINOL INF TABLET 100 MG
FOLIC ACID 1 MG TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
28,00
5,00

3 Mei 2013 10:19

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

3 Mei 2013 10:19

Item
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
THROMBO ASPILETS 100 MG TABLET
METFORMIN HCL 500 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
AMBROXOL INF 30 MG TABLET
GLIMEPIRIDE 1 MG TABLET
GLIMEPIRIDE 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
42,00
7,00
7,00
10,00
14,00
14,00
10,00

3 Mei 2013 09:52

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

3 Mei 2013 09:51

Item
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
14,00

SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
7,00
10,00
4,00

3 Mei 2013 09:42

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

3 Mei 2013 09:41

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
4,00

3 Mei 2013 09:16

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
CARDIO ASPIRIN TABLET
SIMVASTATIN GENERIK 10 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
AMBROXOL INF 60 ML SYRUP
CTM 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
14,00
14,00
14,00
1,00
10,00
8,00

3 Mei 2013 09:04

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
14,00
14,00
14,00
14,00

ASAM MEFENAMAT INF 500 MG TABLET

TUSLAH NON RACIKAN
TOTAL

10,00
8,00

2 Mei 2013 15:25

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
14,00
5,00

2 Mei 2013 15:12

Item
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
14,00
10,00
10,00
7,00

2 Mei 2013 14:26

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
15,00
15,00
3,00

2 Mei 2013 14:00

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
14,00
84,00
14,00
1,00

PARACETAMOL INF TABLET 500 mg

TUSLAH NON RACIKAN
TOTAL

10,00
8,00

2 Mei 2013 13:55

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
14,00
4,00
14,00
6,00

2 Mei 2013 13:36

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

2 Mei 2013 13:36

Item
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
FOLIC ACID 1 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
42,00
14,00
5,00

2 Mei 2013 13:35

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

2 Mei 2013 13:35

Item
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN TABLET 20 MG
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00
14,00

SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
7,00
5,00

2 Mei 2013 13:31

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
10,00
4,00

2 Mei 2013 13:30

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
2,00

2 Mei 2013 13:30

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
3,00

2 Mei 2013 13:22

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
PARACETAMOL INF TABLET 500 mg
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
7,00
14,00
10,00
10,00
10,00
7,00

2 Mei 2013 13:22

JAKARTA SEHAT

Item
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
3,00
2,00

2 Mei 2013 13:00

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
7,00
42,00
14,00
5,00
8,00

2 Mei 2013 12:58

Item
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

2 Mei 2013 12:57

Item
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
7,00
14,00
10,00
5,00

2 Mei 2013 12:39

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET

JAKARTA SEHAT
Quantity
7,00
14,00
14,00
42,00
14,00

TUSLAH NON RACIKAN

TOTAL

5,00

2 Mei 2013 12:36

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

2 Mei 2013 12:36

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN TABLET 20 MG
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
28,00
14,00
14,00
42,00
14,00
10,00
1,00
8,00

2 Mei 2013 12:20

Item
ATORVASTATIN 20 MG TABLET
FENOFIBRAT 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
14,00
14,00
2,00

2 Mei 2013 12:09

Item
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
30,00
60,00
30,00
2,00
30,00
30,00
7,00

2 Mei 2013 12:08

JAKARTA SEHAT

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
7,00
1,00

2 Mei 2013 12:08

Item
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
GLIQUIDONE 30 MG TABLET
RANITIDINE INF TABLET 150 MG
SIMVASTATIN GENERIK 10 MG TABLET
ALLOPURINOL INF TABLET 100 MG
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
7,00
14,00
14,00
28,00
14,00
14,00
7,00
9,00

2 Mei 2013 11:58

Item
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
V-BLOC 6,25MG TABLET
HYPERIL 5 MG TABLET
GLIQUIDONE 30 MG TABLET
FOLIC ACID 1 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
28,00
42,00
10,00
7,00

2 Mei 2013 11:56

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

2 Mei 2013 11:56

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
14,00
14,00
1,00
2,00

BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

7,00
14,00
14,00
14,00
1,00
10,00
7,00

2 Mei 2013 11:31

Item
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

2 Mei 2013 11:31

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN TABLET 20 MG
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
42,00
14,00
14,00
14,00
5,00

2 Mei 2013 11:06

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 11:06

Item
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
10,00
5,00

2 Mei 2013 10:56

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

2 Mei 2013 10:56

Item
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
FOLIC ACID 1 MG TABLET
SPIRONOLACTONE 100 MG TABLET
TUSLAH RACIKAN
EMBALASE
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
42,00
14,00
1,00
2,00
14,00
4,00

2 Mei 2013 09:39

Item
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
SPIRONOLACTONE 100 MG TABLET
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
42,00
14,00
1,00
2,00
3,00

2 Mei 2013 09:39

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

2 Mei 2013 09:04

Item
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
SPIRONOLACTONE 100 MG TABLET
TUSLAH RACIKAN EMBALASE

UMUM
Quantity
30,00
30,00
1,00
4,00
1,00
16,00

TUSLAH NON RACIKAN

TOTAL

3,00

2 Mei 2013 08:59

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

2 Mei 2013 08:59

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
FOLIC ACID 1 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
7,00
42,00
14,00
6,00

2 Mei 2013 08:54

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
20,00
1,00

1 Mei 2013 22:10

Item
CARDIO ASPIRIN TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
AMBROXOL INF 60 ML SYRUP
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00
7,00
14,00
14,00
1,00
42,00
10,00
9,00

1 Mei 2013 22:04

Item

JAKARTA SEHAT
Quantity

FUROSEMID INF TABLET

SPIRONOLACTONE 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
4,00
84,00
14,00
14,00
5,00

1 Mei 2013 22:03

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

1 Mei 2013 22:03

Item
CARDIO ASPIRIN TABLET
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
MECOBALAMIN CAPSULE 500 MCG
CALCIUM LACTATE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
15,00
10,00
7,00

1 Mei 2013 22:00

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 22:00

Item
CLOPIDOGREL 75 MG TABLET
CARDIO ASPIRIN TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
7,00
14,00
7,00
6,00

1 Mei 2013 21:52

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
14,00
14,00
84,00
14,00
84,00
14,00
42,00
8,00

1 Mei 2013 21:51

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
INTERPRIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
14,00
14,00
5,00

1 Mei 2013 21:50

Item
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
7,00
14,00
4,00

1 Mei 2013 21:47

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
PARACETAMOL INF TABLET 500 mg
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
14,00
10,00
14,00
5,00

1 Mei 2013 21:40

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
4,00
10,00
30,00
10,00
5,00

1 Mei 2013 21:24

Item
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
84,00
7,00
14,00
14,00
6,00

1 Mei 2013 21:20

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ATORVASTATIN 20 MG TABLET
CEFIXIME GENERIK CAPSULE
AMBROXOL INF 60 ML SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
42,00
14,00
14,00
14,00
14,00
14,00
14,00
10,00
1,00
10,00
10,00

1 Mei 2013 21:16

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
14,00
42,00
14,00
14,00
14,00
14,00

SIMVASTATIN GENERIK 10 MG TABLET

TUSLAH NON RACIKAN
TOTAL

14,00
7,00

1 Mei 2013 21:05

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

1 Mei 2013 21:04

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

1 Mei 2013 21:04

Item
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
28,00
42,00
6,00

1 Mei 2013 21:02

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
14,00
4,00
4,00

1 Mei 2013 20:54

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 20:53

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
8,00
14,00
14,00
1,00
5,00

1 Mei 2013 20:53

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
14,00
14,00
14,00
14,00
5,00

1 Mei 2013 20:50

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00
7,00
14,00
6,00

1 Mei 2013 20:18

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

1 Mei 2013 20:18

Item
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
42,00
14,00
4,00

LANSOPRAZOLE GENERIK CAPSULE

AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

5,00
7,00
5,00

1 Mei 2013 16:00

Item
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
28,00
42,00
14,00
5,00

1 Mei 2013 14:26

Item
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
120,00
1,00

1 Mei 2013 12:34

Item
IRBESARTAN 300 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00
2,00

1 Mei 2013 12:33

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
SPIRONOLACTONE 100 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
SIMVASTATIN GENERIK 10 MG TABLET
FELDENE 15 GM GEL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
4,00
14,00
14,00
1,00
7,00

1 Mei 2013 09:02

Item

JPK PNS
Quantity

ATORVASTATIN 20 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
2,00

Depo
Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal

Pasien
Penjamin
13200
13200
500
500
13700
13700

0
0
0

Pasien
Penjamin
5082
5082
500
500
5582
5582

0
0
0

Pasien
Penjamin
1708
1708
5064
5064
138600
138600
5804
5804
28735
28735
672
672
3000
3000
183583
183583

0
0
0
0
0
0
0
0

Pasien
Penjamin
5082
5082
500
500
5582
5582

0
0
0

Pasien
Penjamin
3416
3416
7014
7014
138600
138600
62832
62832
30401
30401
2500
2500
244763
244763

0
0
0
0
0
0
0

Pasien

Penjamin

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

5082
500
5582

5082
500
5582

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
87780
87780
10157
10157
15092
15092
2500
2500
261773
261773

0
0
0
0
0
0
0

Pasien
Penjamin
1210
1210
500
500
1710
1710

0
0
0

Pasien
Penjamin
5460
5460
7255
7255
1000
1000
13715
13715

0
0
0
0

Pasien
Penjamin
1694
1694
500
500
2194
2194

0
0
0

Pasien
Penjamin
20342
20342
13881
13881
87780
87780
20314
20314
2128
2128
2500
2500
146945
146945

0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
133210
133210
5082
5082
1000
1000
139292
139292

0
0
0
0

Pasien
Penjamin
10157
10157
138600
138600
13881
13881
1708
1708
34496
34496
6660
6660
3000
3000
208502
208502

0
0
0
0
0
0
0
0

Pasien
Penjamin
44000
44000
500
500
44500
44500

0
0
0

Pasien
Penjamin
1708
1708
5064
5064
20314
20314
2296
2296
284900
284900
3560
3560
1430
1430
3500
3500
322772
322772

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1694
1694
500
500
2194
2194

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB

Pasien
Penjamin
7014
7014
138600
138600
28735
28735
10157
10157
1708
1708
2500
2500
188714
188714

0
0
0
0
0
0
0

Pasien
Penjamin
5082
5082
49500
49500
1000
1000
55582
55582

0
0
0
0

Pasien
Penjamin
1708
1708
5064
5064
7014
7014
138600
138600
16420
16420
3270
3270
1430
1430
3500
3500
177006
177006

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
5064
5064
7644
7644
62832
62832
2000
2000
106275
106275

0
0
0
0
0
0

Pasien
Penjamin
3388
3388

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
CAP
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD

500
3888

500
3888

0
0

Pasien
Penjamin
20342
20342
138600
138600
28735
28735
10157
10157
15092
15092
854
854
3000
3000
216780
216780

0
0
0
0
0
0
0
0

Pasien
Penjamin
1694
1694
500
500
2194
2194

0
0
0

Pasien
Penjamin
57470
57470
20314
20314
13881
13881
138600
138600
18914
18914
1890
1890
26940
26940
1670
1670
1430
1430
4500
4500
285609
285609

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1694
1694
11242
11242
1000
1000
13936
13936

0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Pasien
Penjamin
28735
28735
1708
1708
10157
10157
34496
34496
7546
7546
2280
2280
13860
13860
4135
4135
4000
4000
106917
106917

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10164
10164
500
500
10664
10664

0
0
0

Pasien
Penjamin
20342
20342
138600
138600
28728
28728
6272
6272
10157
10157
4256
4256
5544
5544
1708
1708
4000
4000
219607
219607

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
49280
49280
500
500
49780
49780

0
0
0

Pasien
Penjamin
20314
20314
500
500
20814
20814

0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
5082
5082
58905
58905
95634
95634
76230
76230
2000
2000
237851
237851

0
0
0
0
0
0

Pasien
Penjamin
27762
27762
138600
138600
3416
3416
1500
1500
171278
171278

0
0
0
0
0

Pasien
Penjamin
5082
5082
500
500
5582
5582

0
0
0

Pasien
Penjamin
20342
20342
138600
138600
87780
87780
5804
5804
1708
1708
28728
28728
5544
5544
3500
3500
292006
292006

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5804
5804
7644
7644
57470
57470
13881
13881
1792
1792

0
0
0
0
0

TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

2535
3000
92126

2535
3000
92126

0
0
0

Pasien
Penjamin
1694
1694
500
500
2194
2194

0
0
0

Pasien
Penjamin
5082
5082
500
500
5582
5582

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
28735
28735
1708
1708
6272
6272
1451
1451
3000
3000
186780
186780

0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
28735
28735
10157
10157
1708
1708
6272
6272
2000
2000
48872
48872

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

Pasien
Penjamin
7014
7014
20314
20314
28735
28735
854
854
8316
8316
26940
26940
3000
3000
95173
95173

0
0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
1694
1694
1000
1000
48376
48376

0
0
0
0

Pasien
Penjamin
1708
1708
87780
87780
6384
6384
7546
7546
18480
18480
3444
3444
3000
3000
128342
128342

0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
1210
1210
1000
1000
26850
26850

0
0
0
0

Pasien
Penjamin
1708
1708
20342
20342
1078
1078
5804
5804

0
0
0
0

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
BOT

2000
30932

2000
30932

0
0

Pasien
Penjamin
5082
5082
500
500
5582
5582

0
0
0

Pasien
Penjamin
13881
13881
28735
28735
10157
10157
7644
7644
3560
3560
1430
1430
3000
3000
68407
68407

0
0
0
0
0
0
0
0

Pasien
Penjamin
7255
7255
14530
14530
1000
1000
22785
22785

0
0
0
0

Pasien
Penjamin
1694
1694
500
500
2194
2194

0
0
0

Pasien
Penjamin
14448
14448
6272
6272
1078
1078
20342
20342
1708
1708
57964
57964
3560
3560

0
0
0
0
0
0
0

UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD

3500
108872

3500
108872

0
0

Pasien
Penjamin
5082
5082
76230
76230
22841
22841
1500
1500
105653
105653

0
0
0
0
0

Pasien
Penjamin
138600
138600
28735
28735
3416
3416
13200
13200
2000
2000
185951
185951

0
0
0
0
0
0

Pasien
Penjamin
67320
67320
3340
3340
1000
1000
71660
71660

0
0
0
0

Pasien
Penjamin
67320
67320
13860
13860
1000
1000
82180
82180

0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien
Penjamin
5082
5082
24640
24640
1000
1000
30722
30722

0
0
0
0

Pasien

Penjamin
570
100
22440
3500
50
23160
16200
3960
976
19712
3560
3000
97228

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10836
10836
27762
27762
1078
1078
3136
3136
4740
4740
2500
2500
50052
50052

0
0
0
0
0
0
0

Pasien
Penjamin
35640
35640
500
500
36140
36140

0
0
0

570
100
22440
3500
50
23160
16200
3960
976
19712
3560
3000
97228

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT

Pasien
Penjamin
21765
21765
43590
43590
3660
3660
73920
73920
297000
297000
15480
15480
3000
3000
458415
458415

0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
10157
10157
1708
1708
2000
2000
160109
160109

0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
22329
22329
7644
7644
20314
20314
138600
138600
7546
7546
87780
87780
3560
3560

0
0
0
0
0
0
0

TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

740
4000
292513

740
4000
292513

0
0
0

Pasien
Penjamin
4200
4200
133210
133210
1000
1000
138410
138410

0
0
0
0

Pasien
Penjamin
10157
10157
320
320
3560
3560
1410
1410
2000
2000
17447
17447

0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
20342
20342
4135
4135
2500
2500
41978
41978

0
0
0
0
0
0
0

Pasien
Penjamin
206794
206794
500
500
207294
207294

0
0
0

Pasien
Penjamin
20342
20342
1708
1708
6272
6272
121604
121604

0
0
0
0

TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

616
2772
6660
3500
163474

616
2772
6660
3500
163474

0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
87780
87780
500
500
88280
88280

0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
3444
3444
7546
7546
10157
10157
13881
13881
7014
7014
138600
138600
3000
3000
183642
183642

0
0
0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
7644
7644
1708
1708
1806
1806
7255
7255
1430
1430
1670
1670
3000
3000
24513
24513

0
0
0
0
0
0
0
0

Pasien
Penjamin
133210
133210
22841
22841
1000
1000
157051
157051

0
0
0
0

Pasien
Penjamin
1708
1708
13881
13881
3444
3444
1500
1500
20533
20533

0
0
0
0
0

Pasien
Penjamin
10157
10157
7644
7644
28728
28728
13881
13881
28735
28735
3136
3136
480
480
57964
57964
4000
4000
154725
154725

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57470
57470
28728
28728

0
0

TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

20314
138600
20342
2500
267954

20314
138600
20342
2500
267954

0
0
0
0
0

Pasien
Penjamin
24640
24640
4200
4200
1000
1000
29840
29840

0
0
0
0

Pasien
Penjamin
2156
2156
1708
1708
34496
34496
1500
1500
39860
39860

0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
15120
15120
5804
5804
1792
1792
87780
87780
3444
3444
30217
30217
3000
3000
147157
147157

0
0
0
0
0
0
0
0

Pasien
Penjamin
32928
32928
500
500

0
0

33428

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

33428

Pasien
Penjamin
1708
1708
6272
6272
28735
28735
11578
11578
5804
5804
4053
4053
8316
8316
1260
1260
4000
4000
71726
71726

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
76230
76230
1000
1000
89830
89830

0
0
0
0

Pasien
Penjamin
1708
1708
20314
20314
7052
7052
6272
6272
2000
2000
37346
37346

0
0
0
0
0
0

Pasien
Penjamin
24640
24640
4200
4200
1000
1000
29840
29840

0
0
0
0

Pasien
Penjamin
5804
5804
1708
1708

0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

1430
32604
2000
43546

1430
32604
2000
43546

0
0
0
0

Pasien
Penjamin
114114
114114
500
500
114614
114614

0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
1708
1708
616
616
1000
1000
3324
3324

0
0
0
0

Pasien
Penjamin
3444
3444
8316
8316
138600
138600
7546
7546
284900
284900
5804
5804
3000
3000
451610
451610

0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
138600
138600
7014
7014
284900
284900
5804
5804
3000
3000
447298
447298

0
0
0
0
0
0
0
0

Pasien
Penjamin
114114
114114
500
500
114614
114614

0
0
0

Pasien
Penjamin
138600
138600
7644
7644
20314
20314
11578
11578
28728
28728
115395
115395
3000
3000
325259
325259

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7644
7644
3612
3612
18914
18914
2000
2000
42327
42327

0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
24640
24640
4200
4200
1000
1000
29840
29840

0
0
0
0

Pasien
Penjamin
5804
5804
1708
1708
7546
7546
1500
1500
16558
16558

0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
23156
23156
5804
5804
57470
57470
1708
1708
57964
57964
34692
34692
3000
3000
183794
183794

0
0
0
0
0
0
0
0

Pasien
Penjamin
16380
16380
3660
3660
6720
6720
4620
4620
7380
7380
2500
2500
41260
41260

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
5804
5804
28735
28735
7644
7644
1500
1500
43683
43683

0
0
0
0
0

Pasien
Penjamin
7644
7644
7546
7546
57470
57470
11578
11578
5804
5804
1792
1792
1220
1220
3500
3500
96554
96554

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
20314
20314
1220
1220
1792
1792
87780
87780
3000
3000
260350
260350

0
0
0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
7224
7224
10157
10157
7644
7644
23156
23156
2000
2000
50181
50181

0
0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
7546
7546
138600
138600
28735
28735
5804
5804
3000
3000
191665
191665

0
0
0
0
0
0
0
0

Pasien

Penjamin
770
1220
2240
14530
2000
20760

0
0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

770
1220
2240
14530
2000
20760

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
1708
1708
12544
12544
11578
11578
7644
7644
1078
1078
4816
4816
3000
3000
42368
42368

0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
20342
20342
20314
20314
1708
1708
2296
2296
79000
79000
175560
175560
3000
3000
302220
302220

0
0
0
0
0
0
0
0

Pasien
Penjamin
143724
143724
4200
4200
1000
1000
148924
148924

0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
20314
20314
1708
1708
2000
2000

0
0
0
0
0

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

2500
172136

2500
172136

0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
1708
1708
34496
34496
2156
2156
28735
28735
4135
4135
460
460
3000
3000
74690
74690

0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
138600
138600
7014
7014
10157
10157
644
644
4135
4135
2500
2500
163050
163050

0
0
0
0
0
0
0

Pasien
Penjamin
76230
76230
12600
12600
47817
47817
1500
1500

0
0
0
0

138147

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

138147

Pasien
Penjamin
138600
138600
20342
20342
10157
10157
1708
1708
2000
2000
172807
172807

0
0
0
0
0
0

Pasien
Penjamin
284900
284900
7014
7014
10157
10157
6272
6272
672
672
2500
2500
311515
311515

0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
27324
27324
1000
1000
52964
52964

0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
11578
11578
2000
2000
28579
28579

0
0
0
0
0
0

Pasien
Penjamin
10920
10920
61880
61880
1000
1000

0
0
0

73800

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

73800

Pasien
Penjamin
20314
20314
500
500
20814
20814

0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
28735
28735
1708
1708
2000
2000
178057
178057

0
0
0
0
0
0

Pasien
Penjamin
16380
16380
7380
7380
27320
27320
1830
1830
15480
15480
2500
2500
70890
70890

0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
28735
28735
14364
14364
854
854
3444
3444
10157
10157
3000
3000

0
0
0
0
0
0
0

199154

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
BOT
TAB
UNT

199154

Pasien
Penjamin
4353
4353
594
594
1000
1000
5947
5947

0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
2128
2128
602
602
284900
284900
8316
8316
22638
22638
3500
3500
350042
350042

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5804
5804
57470
57470
6272
6272
57964
57964
792
792
18914
18914
3000
3000
150216
150216

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
138600
138600
11578
11578
57964
57964
3560
3560
1260
1260
3000
3000
226119
226119

0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
Penjamin
4872
4872
7014
7014
138600
138600
10157
10157
11578
11578
1670
1670
1430
1430
3500
3500
178821
178821

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
66605
66605
500
500
67105
67105

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
10157
10157
6960
6960
15092
15092
2500
2500
180323
180323

0
0
0
0
0
0
0

Pasien
Penjamin
49500
49500
500
500
50000
50000

0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
4872
4872
7014
7014
138600
138600
15092
15092
1708
1708
2240
2240
28735
28735
1430
1430
4000
4000
203691
203691

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
57470
57470
10157
10157
4872
4872
1708
1708
3560
3560
1430
1430
3500
3500
90341
90341

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
10157
10157
28735
28735
3248
3248
138600
138600
2500
2500
190254
190254

0
0
0
0
0
0
0

Pasien
Penjamin
6468
6468
13188
13188
1000
1000
20656
20656

0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

20342
138600
20314
11578
284900
7546
8316
3500
495096

20342
138600
20314
11578
284900
7546
8316
3500
495096

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
10157
10157
20342
20342
854
854
4135
4135
2500
2500
66723
66723

0
0
0
0
0
0
0

Pasien
Penjamin
48608
48608
500
500
49108
49108

0
0
0

Pasien
Penjamin
10157
10157
1624
1624
3444
3444
6272
6272
7546
7546
2500
2500
31543
31543

0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
20314
20314
1708
1708
6272
6272
1500
1500
29794
29794

0
0
0
0
0

Pasien
Penjamin
1624
1624
7546
7546
7014
7014
138600
138600
10157
10157
2500
2500
167441
167441

0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
1078
1078
7014
7014
28735
28735
2500
2500
47307
47307

0
0
0
0
0
0
0

Pasien
Penjamin
21616
21616
20314
20314
1708
1708
6272
6272
2000
2000
51910
51910

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
20314
20314
11578
11578
7644
7644
6272
6272
6660
6660
2500
2500
54968
54968

0
0
0
0
0
0
0

Pasien
Penjamin
47817
47817
500
500
48317
48317

0
0
0

Pasien
Penjamin
10157
10157
47685
47685
5789
5789
1708
1708
3136
3136
1350
1350
1670
1670
1430
1430
4000
4000
76925
76925

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
35640
35640
1000
1000
63580
63580

0
0
0
0

Pasien
Penjamin
127204
127204
500
500
127704
127704

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
10157
10157
7014
7014
138600
138600
1708
1708
1624
1624
55300
55300
3000
3000
217403
217403

0
0
0
0
0
0
0
0

Pasien
Penjamin
66605
66605
24640
24640
1000
1000
92245
92245

0
0
0
0

Pasien
Penjamin
1708
1708
2240
2240
1624
1624
10157
10157
7014
7014
3560
3560
3000
3000
29303
29303

0
0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
14616
14616
46312
46312
57470
57470
6636
6636
1708
1708
3000
3000
150084
150084

0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

4872
1708
3136
20342
10157
284900
3000
328115

4872
1708
3136
20342
10157
284900
3000
328115

0
0
0
0
0
0
0
0

Pasien
Penjamin
1806
1806
7644
7644
1430
1430
1500
1500
12380
12380

0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
7224
7224
10157
10157
7644
7644
138600
138600
1708
1708
3136
3136
3560
3560
3500
3500
175529
175529

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
16420
16420
2460
2460
1430
1430
1670
1670
66528
66528

0
0
0
0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

3000
101665

3000
101665

0
0

Pasien
Penjamin
1624
1624
138600
138600
7644
7644
10157
10157
3612
3612
1260
1260
3000
3000
165897
165897

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
20314
20314
20342
20342
28735
28735
1670
1670
1430
1430
3500
3500
80835
80835

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
127204
127204
500
500
127704
127704

0
0
0

Pasien
Penjamin
11578
11578
20314
20314
5230
5230
1500
1500
38622
38622

0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB

57470
138600
20342
7546
10157
3136
1624
55300
4000
298175

57470
138600
20342
7546
10157
3136
1624
55300
4000
298175

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
49500
49500
500
500
50000
50000

0
0
0

Pasien
Penjamin
15092
15092
500
500
15592
15592

0
0
0

Pasien
Penjamin
133210
133210
45682
45682
1000
1000
179892
179892

0
0
0
0

Pasien
Penjamin
1708
1708
4872
4872
138600
138600
1500
1500
146680
146680

0
0
0
0
0

Pasien
Penjamin
24640
24640
133210
133210

0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

1000
158850

1000
158850

0
0

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
1624
1624
13860
13860
2500
2500
32985
32985

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
7644
7644
3136
3136
57470
57470
10157
10157
5544
5544
7546
7546
3500
3500
96705
96705

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
7224
7224
15092
15092
1708
1708
34496
34496
7255
7255
3000
3000
207375
207375

0
0
0
0
0
0
0
0

Pasien
Penjamin
21616
21616
28735
28735
10157
10157
854
854
6272
6272

0
0
0
0
0

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
CAP
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

2500
70134

2500
70134

0
0

Pasien
Penjamin
133210
133210
500
500
133710
133710

0
0
0

Pasien
Penjamin
4872
4872
138600
138600
7255
7255
2772
2772
1708
1708
18480
18480
3000
3000
176687
176687

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
320
320
3560
3560
1410
1410
2000
2000
34230
34230

0
0
0
0
0
0

Pasien
Penjamin
133210
133210
500
500
133710
133710

0
0
0

Pasien
Penjamin
10157
10157
7644
7644
3248
3248
448
448
2000
2000

0
0
0
0
0

23497

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

23497

Pasien
Penjamin
7014
7014
138600
138600
20314
20314
28735
28735
1708
1708
2500
2500
198871
198871

0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
1624
1624
138600
138600
28512
28512
2000
2000
180893
180893

0
0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
138600
138600
28735
28735
10157
10157
4000
4000
7546
7546
2500
2500
191538
191538

0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
BOT
UNT

Depo IGD
Subtotal
CAP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
BOT
UNT

Pasien
Penjamin
1708
1708
6272
6272
7224
7224
7255
7255
13860
13860
3560
3560
3000
3000
42879
42879

0
0
0
0
0
0
0
0

Pasien
Penjamin
6000
6000
3500
3500
7000
7000
16500
16500

0
0
0
0

Pasien
Penjamin
138600
138600
14448
14448
15092
15092
10157
10157
11578
11578
2500
2500
192375
192375

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
4872
4872
28735
28735
20314
20314
138600
138600
57964
57964
3560
3560
4000
4000
266025
266025

0
0
0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
ML
TUB
UNT
UNT

Pasien
Penjamin
24640
24640
133210
133210
1000
1000
158850
158850

Pasien

0
0
0
0

Penjamin
854
6272
10157
740
2000
20023

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
28735
28735
1708
1708
6272
6272
5544
5544
3000
3000
191503
191503

0
0
0
0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
5220
5220
21765
21765
2800
2800
180
180
1560
1560
80142
80142
3500
3500
50
50

0
0
0
0
0
0
0
0

854
6272
10157
740
2000
20023

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal

1500
116717

1500
116717

0
0

Pasien
Penjamin
21616
21616
28735
28735
1220
1220
1500
1500
53071
53071

0
0
0
0
0

Pasien
Penjamin
11578
11578
87780
87780
10157
10157
854
854
2000
2000
112369
112369

0
0
0
0
0
0

Pasien
Penjamin
10157
10157
3248
3248
7644
7644
11578
11578
2000
2000
34627
34627

0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7644
7644
21616
21616
3136
3136
1624
1624
1708
1708
3000
3000
48885
48885

0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

25245
500
25745

25245
500
25745

0
0
0

Pasien
Penjamin
1624
1624
87780
87780
1708
1708
3136
3136
20342
20342
2500
2500
117090
117090

0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
11578
11578
10157
10157
4872
4872
138600
138600
2400
2400
3000
3000
177831
177831

0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
284900
284900
10157
10157
7644
7644
1670
1670
320
320
3000
3000
319269
319269

0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
28735
28735
20314
20314
7644
7644
7546
7546

0
0
0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Apotik Panel 2
Subtotal

2500
78317

2500
78317

0
0

Pasien
Penjamin
23156
23156
57470
57470
20314
20314
7644
7644
9990
9990
2500
2500
121074
121074

0
0
0
0
0
0
0

Pasien
Penjamin
48608
48608
500
500
49108
49108

0
0
0

Pasien
Penjamin
4872
4872
10157
10157
7546
7546
854
854
4135
4135
2500
2500
30064
30064

0
0
0
0
0
0
0

Pasien
Penjamin
23156
23156
7224
7224
10157
10157
7546
7546
6300
6300
46200
46200
3000
3000
103583
103583

0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

76230
500
76730

76230
500
76730

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
4872
4872
10157
10157
2000
2000
163273
163273

0
0
0
0
0
0

Pasien
Penjamin
20314
20314
138600
138600
28735
28735
3248
3248
3221
3221
4135
4135
3000
3000
201253
201253

0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
1624
1624
6300
6300
2500
2500
25425
25425

0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

11578
20314
555
1430
1670
2500
38047

11578
20314
555
1430
1670
2500
38047

0
0
0
0
0
0
0

Pasien
Penjamin
23156
23156
4872
4872
138600
138600
47685
47685
37828
37828
2500
2500
254641
254641

0
0
0
0
0
0
0

Pasien
Penjamin
87780
87780
3248
3248
10157
10157
138600
138600
854
854
11578
11578
3000
3000
255217
255217

0
0
0
0
0
0
0
0

Pasien
Penjamin
63602
63602
24640
24640
45682
45682
26376
26376
2000
2000
162300
162300

0
0
0
0
0
0

Pasien
Penjamin
6832
6832
6272
6272
20342
20342

0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

15092
616
2500
51654

15092
616
2500
51654

0
0
0
0

Pasien
Penjamin
87780
87780
1708
1708
7644
7644
138600
138600
6272
6272
10157
10157
3000
3000
255161
255161

0
0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
133210
133210
1000
1000
179892
179892

0
0
0
0

Pasien
Penjamin
3416
3416
138600
138600
3248
3248
7845
7845
2000
2000
155109
155109

0
0
0
0
0
0

Pasien
Penjamin
138600
138600
4872
4872
28735
28735
20314
20314
3136
3136
1708
1708
3560
3560
39500
39500
4000
4000

0
0
0
0
0
0
0
0
0

244425

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
TAB
TAB
UNT

244425

Pasien
Penjamin
1708
1708
6272
6272
114114
114114
10157
10157
3248
3248
7014
7014
3000
3000
145513
145513

0
0
0
0
0
0
0
0

Pasien
Penjamin
23156
23156
175560
175560
6888
6888
1500
1500
207104
207104

0
0
0
0
0

Pasien
Penjamin
20342
20342
57470
57470
11578
11578
1624
1624
2000
2000
93014
93014

0
0
0
0
0
0

Pasien
Penjamin
4872
4872
10157
10157
20342
20342
138600
138600
28735
28735
46200
46200
1430
1430
320
320
4000
4000
254656
254656

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP

Pasien
Penjamin
7014
7014
138600
138600
1624
1624
87780
87780
7546
7546
854
854
3000
3000
246418
246418

0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
1624
1624
114114
114114
10157
10157
7546
7546
1708
1708
6660
6660
4000
4000
291423
291423

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
57470
57470
23156
23156
20342
20342
2000
2000
123282
123282

0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7644
7644
1708
1708
3136
3136
57470
57470
4872
4872
138600
138600
46200
46200

0
0
0
0
0
0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

1430
6660
5000
282877

1430
6660
5000
282877

0
0
0
0

Pasien
Penjamin
1160
1160
7255
7255
1000
1000
9415
9415

0
0
0
0

Pasien
Penjamin
305250
305250
21765
21765
3660
3660
6720
6720
2000
2000
339395
339395

0
0
0
0
0
0

Pasien
Penjamin
7014
7014
10157
10157
28735
28735
1624
1624
1708
1708
2500
2500
51738
51738

0
0
0
0
0
0
0

Pasien
Penjamin
266420
266420
500
500
266920
266920

0
0
0

Pasien
Penjamin
4872
4872
1708
1708
6272
6272

0
0
0

TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

138600
11578
2500
165530

138600
11578
2500
165530

0
0
0
0

Pasien
Penjamin
133210
133210
500
500
133710
133710

0
0
0

Pasien
Penjamin
15092
15092
10157
10157
11578
11578
1708
1708
34496
34496
2500
2500
75531
75531

0
0
0
0
0
0
0

Pasien
Penjamin
7546
7546
9990
9990
39500
39500
1500
1500
58536
58536

0
0
0
0
0

Pasien
Penjamin
138600
138600
7644
7644
1708
1708
175560
175560
10157
10157
3136
3136
2370
2370
1670
1670
1430
1430
4500
4500
346775
346775

0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
BOT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
7644
7644
8428
8428
10157
10157
1708
1708
18480
18480
2500
2500
48917
48917

0
0
0
0
0
0
0

Pasien
Penjamin
21616
21616
20314
20314
27020
27020
47685
47685
7546
7546
308
308
3000
3000
127489
127489

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
57470
57470
20342
20342
4872
4872
854
854
2460
2460
4135
4135
3500
3500
103790
103790

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3660
3660
6720
6720
6960
6960
16380
16380
122265
122265
4135
4135
3000
3000
163120
163120

0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
32928
32928
500
500
33428
33428

0
0
0

Pasien
Penjamin
15120
15120
854
854
28735
28735
10157
10157
1670
1670
1430
1430
3000
3000
60966
60966

0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
138600
138600
10157
10157
4135
4135
2000
2000
162116
162116

0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
114114
114114
11578
11578
10157
10157
7644
7644
13860
13860
3500
3500
165697
165697

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314

TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

3248
57470
20342
7546
21616
4500
3500
138536

3248
57470
20342
7546
21616
4500
3500
138536

0
0
0
0
0
0
0
0

Pasien
Penjamin
3612
3612
11578
11578
7644
7644
20314
20314
1624
1624
7546
7546
1410
1410
3500
3500
57228
57228

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3000
3000
500
500
3500
3500

0
0
0

Pasien
Penjamin
7546
7546
500
500
8046
8046

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
4956
4956
20314
20314
7546
7546
1430
1430
3000
3000
183490
183490

0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
8400
8400
500
500
8900
8900

0
0
0

Pasien
Penjamin
7224
7224
11578
11578
10157
10157
7014
7014
854
854
2772
2772
3000
3000
42599
42599

0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
4872
4872
7546
7546
854
854
10157
10157
3000
3000
172043
172043

0
0
0
0
0
0
0
0

Pasien
Penjamin
127204
127204
4200
4200
13188
13188
1500
1500
146092
146092

0
0
0
0
0

Pasien
Penjamin
20342
20342
1708
1708
7546
7546

0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal

5544
2000
37140

5544
2000
37140

0
0
0

Pasien
Penjamin
10157
10157
11578
11578
57470
57470
1500
1500
80705
80705

0
0
0
0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
4872
4872
11578
11578
109956
109956
854
854
65340
65340
2500
2500
195100
195100

0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
4872
4872
109956
109956
10157
10157
7546
7546
11578
11578
8316
8316
3500
3500
176267
176267

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

12320
4200
1000
17520

12320
4200
1000
17520

0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
2156
2156
7644
7644
3444
3444
2500
2500
23724
23724

0
0
0
0
0
0
0

Pasien
Penjamin
43530
43530
1740
1740
24810
24810
8085
8085
2000
2000
80165
80165

0
0
0
0
0
0

Pasien
Penjamin
20342
20342
4872
4872
28735
28735
10157
10157
138600
138600
2500
2500
205206
205206

0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
23156
23156
6888
6888
7224
7224
21616
21616
2500
2500
81698
81698

0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
45682
45682
12600
12600
24640
24640
1500
1500
84422
84422

0
0
0
0
0

Pasien
Penjamin
1708
1708
11578
11578
57057
57057
1500
1500
71843
71843

0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
57470
57470
11578
11578
4872
4872
20314
20314
7546
7546
854
854
5544
5544
39500
39500
5000
5000
298922
298922

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
44324
44324
500
500
44824
44824

0
0
0

Pasien
Penjamin
57470
57470
138600
138600

0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

1708
2128
6660
2500
209066

1708
2128
6660
2500
209066

0
0
0
0
0

Pasien
Penjamin
28735
28735
500
500
29235
29235

0
0
0

Pasien
Penjamin
8400
8400
500
500
8900
8900

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
11578
11578
7644
7644
2000
2000
29202
29202

0
0
0
0
0
0

Pasien
Penjamin
4872
4872
7644
7644
138600
138600
5804
5804
2000
2000
158920
158920

0
0
0
0
0
0

Pasien
Penjamin
8400
8400
500
500
8900
8900

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
7255
7255
5460
5460
40755
40755
1500
1500
54970
54970

0
0
0
0
0

Pasien
Penjamin
20342
20342
138600
138600
10157
10157
4740
4740
2000
2000
175839
175839

0
0
0
0
0
0

Pasien
Penjamin
16800
16800
500
500
17300
17300

0
0
0

Pasien
Penjamin
6594
6594
500
500
7094
7094

0
0
0

Pasien
Penjamin
3444
3444
21176
21176
1000
1000
25620
25620

0
0
0
0

Pasien
Penjamin
8400
8400
500
500
8900
8900

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB

Pasien
Penjamin
7644
7644
138600
138600
10157
10157
114114
114114
15092
15092
1708
1708
3000
3000
290315
290315

0
0
0
0
0
0
0
0

Pasien
Penjamin
8400
8400
500
500
8900
8900

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
114114
114114
7014
7014
2500
2500
138629
138629

0
0
0
0
0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
7644
7644
1708
1708
6272
6272
23156
23156
35640
35640
1430
1430

0
0
0
0
0
0

UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

3000
78850

3000
78850

0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
10157
10157
6272
6272
672
672
20342
20342
2000
2000
39443
39443

0
0
0
0
0
0

Pasien
Penjamin
1160
1160
11608
11608
3870
3870
1500
1500
18138
18138

0
0
0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
20314
20314

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

7644
3136
1708
6660
2500
41962

7644
3136
1708
6660
2500
41962

0
0
0
0
0
0

Pasien
Penjamin
16380
16380
12120
12120
1000
1000
29500
29500

0
0
0
0

Pasien
Penjamin
21765
21765
235620
235620
23160
23160
1830
1830
6720
6720
2145
2145
3000
3000
294240
294240

0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
1624
1624
10157
10157
23156
23156
57470
57470
7546
7546
3500
3500
249697
249697

0
0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB

Pasien
Penjamin
22841
22841
19782
19782
32928
32928
1500
1500
77051
77051

0
0
0
0
0

Pasien
Penjamin
20342
20342
1708
1708
11578
11578
109956
109956
3444
3444
2500
2500
149528
149528

0
0
0
0
0
0
0

Pasien
Penjamin
1220
1220
2240
2240
770
770
15440
15440
2000
2000
21670
21670

0
0
0
0
0
0

Pasien
Penjamin
4872
4872
7014
7014
138600
138600
5804
5804
3416
3416
6272
6272
3000
3000
168978
168978

0
0
0
0
0
0
0
0

Pasien
Penjamin
65340
65340
4872
4872

0
0

TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD

10157
7644
138600
109956
7546
3500
347615

10157
7644
138600
109956
7546
3500
347615

0
0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
138600
138600
10836
10836
1708
1708
3136
3136
3444
3444
20342
20342
6660
6660
3560
3560
4000
4000
192286
192286

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien
Penjamin
24640
24640
284900
284900
4200
4200
1500
1500
315240
315240

0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
4135
4135
2000
2000
21136
21136

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
1624
1624
1708
1708
109956
109956
10157
10157
1430
1430
1670
1670
4000
4000
276789
276789

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
11578
11578
1624
1624
7546
7546
1670
1670
1430
1430
4740
4740
3500
3500
42245
42245

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
76230
76230
1000
1000
122912
122912

0
0
0
0

Pasien
Penjamin
11578
11578

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

1708
3444
1500
18230

1708
3444
1500
18230

0
0
0
0

Pasien
Penjamin
20342
20342
500
500
20842
20842

0
0
0

Pasien
Penjamin
127204
127204
500
500
127704
127704

0
0
0

Pasien
Penjamin
138600
138600
20314
20314
854
854
1430
1430
1670
1670
2500
2500
165368
165368

0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
1708
1708
109956
109956
10157
10157
6272
6272
644
644
2500
2500
131237
131237

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Pasien
Penjamin
7644
7644
20314
20314
11578
11578
109956
109956
7845
7845
47685
47685
3000
3000
208022
208022

0
0
0
0
0
0
0
0

Pasien
Penjamin
54978
54978
6384
6384
1160
1160
1500
1500
64022
64022

0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
10157
10157
11578
11578
7546
7546
54978
54978
3560
3560
3500
3500
237563
237563

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
34496
34496
500
500
34996
34996

0
0
0

Pasien
Penjamin
45808
45808
500
500

0
0

46308

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

46308

Pasien
Penjamin
138600
138600
20314
20314
7546
7546
8106
8106
1624
1624
3560
3560
3000
3000
182750
182750

0
0
0
0
0
0
0
0

Pasien
Penjamin
2440
2440
4480
4480
770
770
39270
39270
1640
1640
2500
2500
51100
51100

0
0
0
0
0
0
0

Pasien
Penjamin
57470
57470
21616
21616
3136
3136
3000
3000
5080
5080
495
495
3000
3000
93797
93797

0
0
0
0
0
0
0
0

Pasien
Penjamin
57470
57470
3416
3416
3136
3136
20342
20342
2000
2000
86364
86364

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

Pasien
Penjamin
20314
20314
23156
23156
57470
57470
4872
4872
7546
7546
2370
2370
65340
65340
3500
3500
184568
184568

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
7014
7014
3248
3248
20314
20314
2772
2772
109956
109956
6384
6384
7546
7546
4000
4000
299834
299834

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
54978
54978
3136
3136
10157
10157
18914
18914
6660
6660
320
320
3500
3500
99373
99373

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
15092
15092
10836
10836

0
0
0
0

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

1708
20314
6272
8316
4000
212152

1708
20314
6272
8316
4000
212152

0
0
0
0
0
0

Pasien
Penjamin
7255
7255
9990
9990
78540
78540
1500
1500
97285
97285

0
0
0
0
0

Pasien
Penjamin
20342
20342
4872
4872
219912
219912
11578
11578
20314
20314
854
854
7546
7546
3500
3500
288918
288918

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
20314
20314
2128
2128
8316
8316
31514
31514
198912
198912
3500
3500
410928
410928

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
138600
138600

0
0

TAB
TAB
TAB
CAP
BOT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

57470
20314
4872
8106
57964
854
1260
4500
314282

57470
20314
4872
8106
57964
854
1260
4500
314282

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57470
57470
23156
23156
20314
20314
616
616
21616
21616
2500
2500
125672
125672

0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
57470
57470
1708
1708
3136
3136
20342
20342
3248
3248
3000
3000
100482
100482

0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
7644
7644
1708
1708
3136
3136
28735
28735
10157
10157
308
308
8316
8316
31514
31514
3560
3560
5000
5000

0
0
0
0
0
0
0
0
0
0
0

238678

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal

238678

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
1708
1708
10157
10157
11578
11578
7546
7546
672
672
2500
2500
34161
34161

0
0
0
0
0
0
0

Pasien
Penjamin
3248
3248
1708
1708
11578
11578
3444
3444
2000
2000
21978
21978

0
0
0
0
0
0

Pasien
Penjamin
138600
138600
4872
4872
109956
109956
1708
1708
10157
10157
3136
3136
3560
3560
1410
1410
4000
4000
277399
277399

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

11578
1708
142450
3136
2000
160872

11578
1708
142450
3136
2000
160872

0
0
0
0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien
Penjamin
7644
7644
20314
20314
284900
284900
7546
7546
4135
4135
854
854
3000
3000
328393
328393

0
0
0
0
0
0
0
0

Pasien
Penjamin
4872
4872
10157
10157
138600
138600
7644
7644
15092
15092
1806
1806
3000
3000
181171
181171

0
0
0
0
0
0
0
0

Pasien
Penjamin
277200
277200
4872
4872
1708
1708
109956
109956
10157
10157
3444
3444

0
0
0
0
0
0

TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

1430
3500
412267

1430
3500
412267

0
0
0

Pasien
Penjamin
3000
3000
500
500
3500
3500

0
0
0

Pasien
Penjamin
43232
43232
20314
20314
1624
1624
1708
1708
1890
1890
2500
2500
71268
71268

0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
28735
28735
1708
1708
3136
3136
47685
47685
18914
18914
1624
1624
3500
3500
125644
125644

0
0
0
0
0
0
0
0
0

Pasien
366
23562
1503
1344
462
2500
29737

Penjamin
366
23562
1503
1344
462
2500
29737

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
4872
4872
54978
54978
1708
1708
6272
6272
2000
2000
69830
69830

0
0
0
0
0
0

Pasien
Penjamin
368046
368046
500
500
368546
368546

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
21616
21616
20314
20314
2150
2150
2500
2500
51424
51424

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
7644
7644
10157
10157
28735
28735
4620
4620
3000
3000
59000
59000

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
3612
3612
7644
7644
10157
10157

0
0
0
0
0

TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
BOT
TAB
UNT

4872
18914
3500
53543

4872
18914
3500
53543

0
0
0
0

Pasien
Penjamin
3612
3612
308
308
11578
11578
10157
10157
15092
15092
1260
1260
4900
4900
3500
3500
50407
50407

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
28735
28735
6272
6272
5460
5460
1500
1500
41967
41967

0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
7014
7014
138600
138600
4872
4872
28735
28735
26940
26940
35640
35640
2145
2145
4500
4500

0
0
0
0
0
0
0
0
0
0

253290

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

253290

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
138600
138600
23156
23156
854
854
1624
1624
3560
3560
2145
2145
3000
3000
172939
172939

0
0
0
0
0
0
0
0

Pasien

Penjamin
854
4872
20314
7014
138600
28735
2128
5544
4000
212061

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
284900
284900
12600
12600
1000
1000
298500
298500

0
0
0
0

Pasien
Penjamin
138600
138600

854
4872
20314
7014
138600
28735
2128
5544
4000
212061

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal

10157
1708
3136
2000
155601

10157
1708
3136
2000
155601

0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
4872
4872
10157
10157
57470
57470
1708
1708
7546
7546
47685
47685
4000
4000
279682
279682

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
308
308
10157
10157
57470
57470
2000
2000
76949
76949

0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
8400
8400
500
500
8900
8900

0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
CAP
TAB
CAP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

20314
11578
57470
20342
1708
13860
1260
4053
4000
134585

20314
11578
57470
20342
1708
13860
1260
4053
4000
134585

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
10157
10157
854
854
3136
3136
1624
1624
57470
57470
3560
3560
7546
7546
3500
3500
87847
87847

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2320
2320
8270
8270
2408
2408
7255
7255
99000
99000
2500
2500
121753
121753

0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
11578
11578

0
0

TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

10157
7014
1624
2500
40097

10157
7014
1624
2500
40097

0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
4872
4872
10157
10157
1708
1708
14448
14448
2800
2800
3560
3560
4000
4000
187159
187159

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
4872
4872
138600
138600
20314
20314

0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

7644
2000
173430

7644
2000
173430

0
0
0

Pasien
Penjamin
7644
7644
2408
2408
854
854
1500
1500
12406
12406

0
0
0
0
0

Pasien
Penjamin
66528
66528
500
500
67028
67028

0
0
0

Pasien
Penjamin
7644
7644
20314
20314
57470
57470
7546
7546
38808
38808
8106
8106
3000
3000
142888
142888

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7224
7224
7014
7014
1624
1624
7546
7546
2500
2500
36065
36065

0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342

TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

138600
28735
10157
2800
1670
3000
205304

138600
28735
10157
2800
1670
3000
205304

0
0
0
0
0
0
0

Pasien
Penjamin
43530
43530
594000
594000
471240
471240
32340
32340
2000
2000
1143110 1143110

0
0
0
0
0
0

Pasien
Penjamin
65340
65340
500
500
65840
65840

0
0
0

Pasien
Penjamin
16380
16380
1830
1830
6720
6720
3870
3870
2000
2000
30800
30800

0
0
0
0
0
0

Pasien
Penjamin
215404
215404
500
500
215904
215904

0
0
0

Pasien
Penjamin
1708
1708
3136
3136

0
0

TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal

10157
1500
16501

10157
1500
16501

0
0
0

Pasien
Penjamin
4200
4200
284900
284900
26376
26376
32928
32928
7210
7210
2500
2500
358114
358114

0
0
0
0
0
0
0

Pasien
Penjamin
152460
152460
500
500
152960
152960

0
0
0

Pasien
Penjamin
119770
119770
152460
152460
1000
1000
273230
273230

0
0
0
0

Pasien
Penjamin
152460
152460
500
500
152960
152960

0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien

Penjamin

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD

100996
152460
1000
254456

100996
152460
1000
254456

0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
11578
11578
21616
21616
109956
109956
1430
1430
1670
1670
4000
4000
165251
165251

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63602
63602
500
500
64102
64102

0
0
0

Pasien
Penjamin
138600
138600
4872
4872
20314
20314
7546
7546
5544
5544
20342
20342
3000
3000
200218
200218

0
0
0
0
0
0
0
0

Pasien
Penjamin
97890
97890
500
500
98390
98390

0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
1708
1708
3584
3584
10836
10836
7014
7014
3444
3444
2156
2156
21616
21616
3500
3500
53858
53858

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4560
4560
39600
39600
1000
1000
45160
45160

0
0
0
0

Pasien
Penjamin
7255
7255
78540
78540
4500
4500
1500
1500
91795
91795

0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
7224
7224
10157
10157
1708
1708
3136
3136
4872
4872
3500
3500
176211
176211

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
10157
10157
1624
1624

0
0
0

TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

1708
109956
3560
1430
3500
152277

1708
109956
3560
1430
3500
152277

0
0
0
0
0
0

Pasien
Penjamin
20342
20342
20314
20314
57470
57470
610
610
3248
3248
138600
138600
1670
1670
1430
1430
4000
4000
247684
247684

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
10157
10157
4872
4872
109956
109956
1708
1708
3136
3136
3500
3500
279573
279573

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
1624
1624

0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT

10157
854
2500
160749

10157
854
2500
160749

0
0
0
0

Pasien
Penjamin
7224
7224
138600
138600
11578
11578
10157
10157
4872
4872
1708
1708
3136
3136
7546
7546
4000
4000
188821
188821

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7546
7546
5804
5804
1624
1624
109956
109956
3136
3136
20342
20342
3000
3000
151408
151408

0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
10157
10157
6272
6272
2460
2460
2000
2000
159489
159489

0
0
0
0
0
0

Pasien
Penjamin
57470
57470
10157
10157
47685
47685

0
0
0

CAP
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2

8106
1670
2000
3000
130088

8106
1670
2000
3000
130088

0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
20314
20314
1708
1708
6272
6272
1500
1500
29794
29794

0
0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
1624
1624
8106
8106
109956
109956
1410
1410
3000
3000
152054
152054

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
28735
28735
10157
10157
854
854
2500
2500
188490
188490

0
0
0
0
0
0
0

Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
7224
7224
20314
20314
7644
7644
1624
1624
11578
11578
2500
2500
50884
50884

0
0
0
0
0
0
0

Pasien
Penjamin
32928
32928
500
500
33428
33428

0
0
0

Pasien
Penjamin
15120
15120
1708
1708
28735
28735
10157
10157
2505
2505
2145
2145
3000
3000
63370
63370

0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
57470
57470
10157
10157

0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP

1708
6272
2000
77607

1708
6272
2000
77607

0
0
0
0

Pasien
Penjamin
57470
57470
7644
7644
2128
2128
15092
15092
2772
2772
672
672
3000
3000
88778
88778

0
0
0
0
0
0
0
0

Pasien
Penjamin
4872
4872
23156
23156
284900
284900
7546
7546
20342
20342
1670
1670
2000
2000
3500
3500
347986
347986

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
2128
2128
3444
3444
1500
1500
8780
8780

0
0
0
0
0

Pasien
Penjamin
5940
5940
1830
1830
1740
1740
7740
7740
41580
41580

0
0
0
0
0

TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

8190
3000
70020

8190
3000
70020

0
0
0

Pasien
Penjamin
45682
45682
6594
6594
1000
1000
53276
53276

0
0
0
0

Pasien
Penjamin
10157
10157
20342
20342
7546
7546
109956
109956
35640
35640
2000
2000
3000
3000
188641
188641

0
0
0
0
0
0
0
0

Pasien
Penjamin
61575
61575
21765
21765
1830
1830
1500
1500
86670
86670

0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
4872
4872
20314
20314
138600
138600
11578
11578

0
0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

28735
2772
3000
209871

28735
2772
3000
209871

0
0
0
0

Pasien
Penjamin
138600
138600
20314
20314
15092
15092
284900
284900
4872
4872
6272
6272
3000
3000
473050
473050

0
0
0
0
0
0
0
0

Pasien
Penjamin
3248
3248
109956
109956
11578
11578
20342
20342
7845
7845
57964
57964
6660
6660
1708
1708
4000
4000
223301
223301

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
3248
3248
109956
109956
18914
18914
2000
2000
154432
154432

0
0
0
0
0
0

Pasien
Penjamin
20314
20314
308
308
116606
116606

0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

57470
2000
196698

57470
2000
196698

0
0
0

Pasien
Penjamin
20314
20314
7644
7644
3248
3248
109956
109956
11578
11578
15092
15092
2772
2772
3500
3500
174104
174104

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
28735
28735
10157
10157
4135
4135
2500
2500
191771
191771

0
0
0
0
0
0
0

Pasien
Penjamin
76230
76230
45682
45682
1000
1000
122912
122912

0
0
0
0

Pasien
Penjamin
4872
4872

TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

1708
138600
7644
11578
2128
3000
169530

1708
138600
7644
11578
2128
3000
169530

0
0
0
0
0
0
0

Penjamin
854
3136
1624
109956
2505
2145
18914
1260
4000
144394

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1232
1232
55524
55524
18914
18914
1410
1410
6660
6660
14448
14448
57470
57470
3500
3500
159158
159158

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
236068
236068
500
500
236568
236568

0
0
0

Pasien
Penjamin
1092
1092
1160
1160

0
0

Pasien
854
3136
1624
109956
2505
2145
18914
1260
4000
144394

TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

1654
3960
2000
9866

1654
3960
2000
9866

0
0
0
0

Pasien
Penjamin
26922
26922
500
500
27422
27422

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
11578
11578
10157
10157
57964
57964
672
672
3000
3000
88215
88215

0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
28735
28735
4872
4872
1500
1500
42121
42121

0
0
0
0
0

Pasien
Penjamin
20776
20776
500
500
21276
21276

0
0
0

Pasien
Penjamin
36960
36960
500
500
37460
37460

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Pasien
Penjamin
10157
10157
1708
1708
3136
3136
1430
1430
2000
2000
18431
18431

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
109956
109956
20314
20314
7546
7546
11578
11578
2500
2500
159538
159538

0
0
0
0
0
0
0

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Pasien
Penjamin
20314
20314
11578
11578
7644
7644
138600
138600
7546
7546
1890
1890
3000
3000
190572
190572

0
0
0
0
0
0
0
0

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD

Pasien
Penjamin
7644
7644
138600
138600
54978
54978
5804
5804
1708
1708
7546
7546
3000
3000
219280
219280

0
0
0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
109956
109956
10157
10157
15092
15092
1708
1708
3000
3000
285527
285527

0
0
0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
76230
76230
500
500
76730
76730

0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
138600
138600
24810
24810
7380
7380
20314
20314
1708
1708
109956
109956
3000
3000
305768
305768

0
0
0
0
0
0
0
0

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Pasien
Penjamin
7644
7644
28735
28735
10157
10157
1708
1708
6272
6272
2500
2500
57016
57016

0
0
0
0
0
0
0

Pasien
Penjamin
91364
91364
500
500
91864
91864

0
0
0

Pasien
616
55524
18914
1410
6660
14448
57470
3500
158542

Penjamin
616
55524
18914
1410
6660
14448
57470
3500
158542

0
0
0
0
0
0
0
0
0

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
10157
10157
11578
11578
7014
7014
138600
138600
2000
2000
169349
169349

0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
10157
10157
138600
138600
1708
1708
109956
109956
2000
2000
262421
262421

0
0
0
0
0
0

Pasien
Penjamin
11578
11578
109956
109956
10157
10157
854
854
2000
2000
134545
134545

0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
1708
1708
3136
3136
3612
3612
11578
11578
20342
20342
10157
10157
3000
3000
53533
53533

0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
2800
2800
500
500
3300
3300

0
0
0

Pasien
Penjamin
3416
3416
6272
6272
3444
3444
109956
109956
35640
35640
2500
2500
161228
161228

0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
1708
1708
10157
10157
11578
11578
7644
7644
448
448
6660
6660
3500
3500
70430
70430

0
0
0
0
0
0
0
0
0

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Pasien
Penjamin
10157
10157
138600
138600
11578
11578
47685
47685
5838
5838
2500
2500
216358
216358

0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
10157
10157
109956
109956
7546
7546
2000
2000
141237
141237

0
0
0
0
0
0

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
20314
20314

TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

20342
138600
11578
1708
34496
1890
3500
232428

20342
138600
11578
1708
34496
1890
3500
232428

0
0
0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
20342
20342
138600
138600
20314
20314
11578
11578
109956
109956
854
854
4135
4135
3500
3500
309279
309279

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2800
2800
500
500
3300
3300

0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
10157
10157

TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

7224
7014
3136
9990
2500
40021

7224
7014
3136
9990
2500
40021

0
0
0
0
0
0

Pasien
Penjamin
89572
89572
500
500
90072
90072

0
0
0

Pasien
Penjamin
1828
1828
1780
1780
1000
1000
4608
4608

0
0
0
0

Pasien
Penjamin
6272
6272
10157
10157
7644
7644
4740
4740
2000
2000
30813
30813

0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
2145
2145
500
500
2645
2645

0
0
0

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
BOT
UNT

Depo IGD

Pasien
Penjamin
7546
7546
500
500
8046
8046

0
0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
4284
4284
11578
11578
109956
109956
1708
1708
3560
3560
1430
1430
3000
3000
135516
135516

0
0
0
0
0
0
0
0

Pasien
Penjamin
26922
26922
500
500
27422
27422

0
0
0

Pasien
Penjamin
1708
1708
20314
20314
28735
28735
7014
7014
158000
158000
27720
27720
4620
4620
3500
3500
251611
251611

0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
11578
11578
20314
20314
2856
2856
15092
15092
16155
16155
9990
9990
3000
3000
78985
78985

0
0
0
0
0
0
0
0

Pasien
Penjamin
284900
284900
500
500
285400
285400

0
0
0

Pasien
Penjamin
1708
1708
4284
4284
3136
3136
7644
7644
138600
138600
10157
10157
7546
7546
3500
3500
176575
176575

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
4284
4284
5804
5804
20342
20342
1708
1708
3136
3136
3000
3000
67009
67009

0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
1708
1708

0
0

TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB

3136
1078
3444
2500
18880

3136
1078
3444
2500
18880

0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
3612
3612
500
500
4112
4112

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
109956
109956
2505
2505
2145
2145
7546
7546
3000
3000
270766
270766

0
0
0
0
0
0
0
0

Pasien
Penjamin
3612
3612
23156
23156
1708
1708
3136
3136
10157
10157
2500
2500
44269
44269

0
0
0
0
0
0
0

Pasien
Penjamin
63602
63602

UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Apotik Panel
Subtotal
TAB
UNT

500
64102

500
64102

0
0

Pasien
Penjamin
4284
4284
500
500
4784
4784

0
0
0

Pasien
Penjamin
1708
1708
23156
23156
219912
219912
18844
18844
2000
2000
265620
265620

0
0
0
0
0
0

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Pasien
Penjamin
1708
1708
138600
138600
20314
20314
15092
15092
3136
3136
3560
3560
3000
3000
185410
185410

0
0
0
0
0
0
0
0

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Depo IGD
Subtotal
TAB
TAB
CAP
BOT
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
7644
7644
7546
7546
131460
131460
47685
47685
2000
2000
196335
196335

0
0
0
0
0
0

Pasien
Penjamin
26922
26922
1930
1930
1000
1000
29852
29852

0
0
0
0

Pasien
Penjamin
11578
11578
7644
7644
6272
6272
57964
57964
2000
2000
85458
85458

0
0
0
0
0
0

Pasien

Penjamin
770
5804
610
5460
2000
14644

0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7644
7644
57470
57470
5789
5789
6272
6272
1260
1260
1670
1670

0
0
0
0
0
0
0

770
5804
610
5460
2000
14644

UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel

3500
93762

3500
93762

0
0

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
28735
28735
10157
10157
1708
1708
2500
2500
188714
188714

0
0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
10157
10157
11578
11578
7644
7644
138600
138600
2000
2000
169979
169979

0
0
0
0
0
0

Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
CAP
TAB
UNT

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
38115
38115
500
500
38615
38615

0
0
0

Pasien
Penjamin
7644
7644
138600
138600
16420
16420
5804
5804
2000
2000
170468
170468

0
0
0
0
0
0

Pasien
Penjamin
57690
57690
500
500
58190
58190

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
4135
4135
1500
1500
10479
10479

0
0
0
0
0

Pasien
Penjamin
10157
10157
54978
54978
47685
47685
9730
9730
6272
6272
2500
2500

0
0
0
0
0
0

131322

Depo IGD
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

131322

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
1708
1708
7644
7644
138600
138600
3136
3136
11578
11578
7546
7546
5804
5804
3500
3500
179516
179516

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26922
26922
34104
34104
1000
1000
62026
62026

0
0
0
0

Pasien
Penjamin
3696
3696
854
854
17248
17248
1890
1890
2000
2000
25688
25688

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB

Pasien
Penjamin
1220
1220
2240
2240
5460
5460
39270
39270
2000
2000
50190
50190

0
0
0
0
0
0

Pasien
Penjamin
4200
4200
500
500
4700
4700

0
0
0

Pasien
Penjamin
11578
11578
7644
7644
28735
28735
47685
47685
20314
20314
672
672
3000
3000
119628
119628

0
0
0
0
0
0
0
0

Pasien
Penjamin
7546
7546
500
500
8046
8046

0
0
0

Pasien
Penjamin
1400
1400
500
500
1900
1900

0
0
0

Pasien
Penjamin
45682
45682

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

500
46182

500
46182

0
0

Pasien
Penjamin
1708
1708
109956
109956
6384
6384
3444
3444
15092
15092
2500
2500
139084
139084

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
1428
1428
3612
3612
26940
26940
1430
1430
35640
35640
79000
79000
4000
4000
180008
180008

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26376
26376
500
500
26876
26876

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
109956
109956
20314
20314
1708
1708
8316
8316
3340
3340
15092
15092
4000
4000

0
0
0
0
0
0
0
0
0

308340

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

308340

Pasien
Penjamin
13188
13188
500
500
13688
13688

0
0
0

Pasien
Penjamin
28735
28735
1708
1708
34496
34496
10157
10157
1428
1428
7546
7546
2128
2128
3500
3500
89698
89698

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
138600
138600
4284
4284
1806
1806
2500
2500
155170
155170

0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7644
7644
7546
7546
1428
1428
2000
2000
28775
28775

0
0
0
0
0
0

Pasien
Penjamin
1708
1708

TAB
TAB
TAB
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

10157
11578
109956
3444
47685
3000
187528

10157
11578
109956
3444
47685
3000
187528

0
0
0
0
0
0
0

Pasien
Penjamin
201712
201712
500
500
202212
202212

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
138600
138600
2856
2856
7644
7644
10157
10157
7845
7845
3500
3500
178582
178582

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25872
25872
500
500
26372
26372

0
0
0

Pasien
Penjamin
49280
49280
500
500
49780
49780

0
0
0

Pasien
Penjamin
1078
1078
308
308

0
0

BOT
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

47685
6300
3560
2500
61431

47685
6300
3560
2500
61431

0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
4284
4284
138600
138600
5804
5804
57470
57470
672
672
3500
3500
215174
215174

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22750
22750
500
500
23250
23250

0
0
0

Pasien
Penjamin
7644
7644
1708
1708
3136
3136
109956
109956
10157
10157
2500
2500
135101
135101

0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
109956
109956
4284
4284
1708
1708
138600
138600
2500
2500
277362
277362

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
4284
4284
20314
20314
7014
7014
138600
138600
28735
28735
1708
1708
3000
3000
203655
203655

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
4284
4284
7546
7546
28735
28735
138600
138600
3000
3000
190145
190145

0
0
0
0
0
0
0
0

Pasien

Penjamin
616
1708
20314
15092
116606
20342
3000
177678

0
0
0
0
0
0
0
0

Pasien
Penjamin
284900
284900
500
500
285400
285400

0
0
0

616
1708
20314
15092
116606
20342
3000
177678

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

7644
4284
10157
109956
26292
8316
2800
79000
4000
252449

7644
4284
10157
109956
26292
8316
2800
79000
4000
252449

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
1428
1428
2460
2460
7546
7546
1500
1500
12934
12934

0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
15092
15092
14448
14448
23156
23156
3416
3416
6272
6272
308
308
8568
8568
4500
4500
221374
221374

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37688
37688
109956
109956

0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

1000
148644

1000
148644

0
0

Pasien
Penjamin
14510
14510
1530
1530
10920
10920
8270
8270
2000
2000
37230
37230

0
0
0
0
0
0

Pasien
Penjamin
10157
10157
54978
54978
7644
7644
672
672
2000
2000
75451
75451

0
0
0
0
0
0

Pasien
Penjamin
198912
198912
500
500
199412
199412

0
0
0

Pasien
Penjamin
7224
7224
11578
11578
138600
138600
2856
2856
10157
10157
15092
15092
2128
2128
3500
3500
191135
191135

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708

TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

34496
6660
38808
2156
2500
86328

34496
6660
38808
2156
2500
86328

0
0
0
0
0
0

Pasien
Penjamin
4284
4284
7014
7014
138600
138600
20314
20314
28735
28735
4752
4752
1708
1708
1260
1260
3270
3270
3560
3560
5000
5000
218497
218497

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
20314
20314
54978
54978
11578
11578
2500
2500
94214
94214

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
20342
20342

0
0
0

TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

138600
10157
54978
7546
2128
1428
4500
247659

138600
10157
54978
7546
2128
1428
4500
247659

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
11578
11578
57470
57470
7546
7546
7644
7644
3500
3500
102739
102739

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
37688
37688
2128
2128
3444
3444
440
440
2500
2500
57778
57778

0
0
0
0
0
0
0

Pasien
Penjamin
19782
19782
500
500
20282
20282

0
0
0

Pasien
Penjamin
5804
5804
11578
11578
7546
7546
7224
7224

0
0
0
0

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

2000
34152

2000
34152

0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
10157
10157
976
976
1428
1428
109956
109956
1670
1670
1430
1430
3000
3000
128617
128617

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
138600
138600
75376
75376
116606
116606
1430
1430
1670
1670
3000
3000
338390
338390

0
0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
10157
10157
1428
1428
11578
11578
57470
57470
976
976
19712
19712
460
460
4000
4000
126123
126123

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB

Pasien
Penjamin
28735
28735
7014
7014
10157
10157
3136
3136
672
672
2500
2500
52214
52214

0
0
0
0
0
0
0

Pasien
Penjamin
10836
10836
23156
23156
4284
4284
1708
1708
3136
3136
1078
1078
6636
6636
3500
3500
54334
54334

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
21600
21600
5280
5280
7740
7740
6720
6720
27320
27320
2500
2500
71160
71160

0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB

500
25140

500
25140

0
0

Pasien
Penjamin
57470
57470
11578
11578
2856
2856
10157
10157
1708
1708
3136
3136
4135
4135
3500
3500
94540
94540

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
1708
1708
54978
54978
20314
20314
1428
1428
2500
2500
88572
88572

0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
2856
2856
47685
47685
27244
27244
2000
2000
100099
100099

0
0
0
0
0
0

Pasien
Penjamin
11578
11578
37688
37688
109956
109956
2128
2128
3444
3444
1708
1708
1260
1260

0
0
0
0
0
0
0

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD

3500
171262

3500
171262

0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
7644
7644
1708
1708
57470
57470
10157
10157
1428
1428
7546
7546
1430
1430
3500
3500
90883
90883

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
10157
10157
28735
28735
1410
1410
4620
4620
2500
2500
51706
51706

0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
10157
10157
28735
28735
1410
1410
4620
4620
2500
2500
51706
51706

0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
CAP
BOT
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
7644
7644
1428
1428
20314
20314
109956
109956
18480
18480
47685
47685
26940
26940
9700
9700
4000
4000
246147
246147

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
20314
20314
138600
138600
11578
11578
109956
109956
2500
2500
287232
287232

0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
7644
7644
109956
109956
20314
20314
11578
11578
15092
15092
47685
47685
3500
3500
354369
354369

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
129672
129672
500
500
130172
130172

0
0
0

Pasien
Penjamin
138600
138600

TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

1708
3136
269952
10157
11578
13320
3500
451951

1708
3136
269952
10157
11578
13320
3500
451951

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
28735
28735
1078
1078
27720
27720
18280
18280
3000
3000
83657
83657

0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
3612
3612
11578
11578
10157
10157
7644
7644
3444
3444
1708
1708
7845
7845
3500
3500
49488
49488

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63602
63602
500
500
64102
64102

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
7644
7644
1428
1428
7546
7546
3000
3000
34619
34619

0
0
0
0
0
0
0
0

Pasien
Penjamin
1428
1428
7644
7644
138600
138600
20314
20314
1708
1708
3136
3136
54978
54978
3500
3500
231308
231308

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1020
1020
7255
7255
1000
1000
9275
9275

0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
10157
10157
7644
7644
2856
2856

0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

54978
2000
77635

54978
2000
77635

0
0
0

Pasien
Penjamin
1540
1540
2440
2440
73920
73920
3060
3060
2580
2580
5010
5010
3000
3000
91550
91550

0
0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
10157
10157
1428
1428
1500
1500
41820
41820

0
0
0
0
0

Pasien
Penjamin
28735
28735
10157
10157
138600
138600
1428
1428
219912
219912
854
854
1410
1410
644
644
4000
4000
405740
405740

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
1428
1428
138600
138600
5804
5804
7546
7546

0
0
0
0
0

TAB
BOT
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

2772
47685
79000
18480
4500
313459

2772
47685
79000
18480
4500
313459

0
0
0
0
0
0

Pasien
Penjamin
11578
11578
2856
2856
8270
8270
109956
109956
2000
2000
134660
134660

0
0
0
0
0
0

Pasien
Penjamin
11578
11578
57470
57470
1428
1428
10157
10157
7644
7644
138600
138600
47685
47685
3500
3500
278062
278062

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23156
23156
219912
219912
1428
1428
854
854
2000
2000
247350
247350

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
11578
11578
7224
7224
20314
20314

0
0
0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
BOT
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

1428
2505
2145
3500
56338

1428
2505
2145
3500
56338

0
0
0
0
0

Pasien
Penjamin
4284
4284
10157
10157
138600
138600
11578
11578
3560
3560
65340
65340
1260
1260
47685
47685
4000
4000
286464
286464

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2700
2700
500
500
3200
3200

0
0
0

Pasien
Penjamin
7644
7644
7546
7546
20314
20314
31346
31346
1428
1428
18480
18480
644
644
1260
1260
4000
4000
92662
92662

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10836
10836
7014
7014
20314
20314

0
0
0

TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TUB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

7546
854
11578
3000
61142

7546
854
11578
3000
61142

0
0
0
0
0

Pasien
Penjamin
77904
77904
500
500
78404
78404

0
0
0

Pasien
Penjamin
31346
31346
10157
10157
1708
1708
3136
3136
2000
2000
48347
48347

0
0
0
0
0
0

Pasien
Penjamin
2240
2240
5460
5460
770
770
1500
1500
9970
9970

0
0
0
0
0

Pasien
Penjamin
10157
10157
109956
109956
11578
11578
308
308
7014
7014
8316
8316
12278
12278
34412
34412
4000
4000
198019
198019

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
10157
10157
4284
4284
7644
7644
11578
11578
109956
109956
138600
138600
7546
7546
3500
3500
293265
293265

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
1428
1428
7644
7644
11578
11578
1410
1410
2500
2500
34717
34717

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
1708
1708
3136
3136
10157
10157
11578
11578
109956
109956
3444
3444
3500
3500
151123
151123

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7644
7644
57470
57470
1708
1708
34496
34496
79000
79000
3000
3000
193475
193475

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
CAP
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
7644
7644
14448
14448
23156
23156
20314
20314
308
308
1890
1890
18480
18480
3500
3500
89740
89740

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
1428
1428
7546
7546
138600
138600
11578
11578
2145
2145
2505
2505
47685
47685
4000
4000
225644
225644

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9730
9730
47685
47685
10157
10157
2856
2856
138600
138600
109956
109956
11578
11578
7546
7546
2128
2128
4500
4500
344736
344736

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21765
21765

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal

24810
1000
47575

24810
1000
47575

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
7644
7644
28735
28735
2856
2856
2500
2500
46579
46579

0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
57470
57470
6272
6272
57964
57964
1386
1386
13622
13622
3000
3000
149871
149871

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
7644
7644
5789
5789
2000
2000
20277
20277

0
0
0
0
0
0

Pasien
Penjamin
127204
127204
500
500
127704
127704

0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

7014
138600
20314
8568
1708
3560
3000
182764

7014
138600
20314
8568
1708
3560
3000
182764

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
1708
1708
3136
3136
10157
10157
11578
11578
1410
1410
3000
3000
38633
38633

0
0
0
0
0
0
0
0

Pasien
Penjamin
28728
28728
40410
40410
35640
35640
1500
1500
106278
106278

0
0
0
0
0

Pasien
Penjamin
21765
21765
9180
9180
24810
24810
99000
99000
2000
2000
156755
156755

0
0
0
0
0
0

Pasien
Penjamin
7014
7014
31346
31346
1428
1428
10157
10157

0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

854
2500
53299

854
2500
53299

0
0
0

Pasien
Penjamin
7014
7014
1708
1708
3136
3136
1428
1428
5789
5789
3560
3560
3000
3000
25635
25635

0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
20314
20314
1428
1428
109956
109956
2000
2000
145276
145276

0
0
0
0
0
0

Pasien
Penjamin
35601
35601
500
500
36101
36101

0
0
0

Pasien
Penjamin
109956
109956
38600
38600
5544
5544
1500
1500
155600
155600

0
0
0
0
0

Pasien
Penjamin
28735
28735
10157
10157

0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

7644
854
6660
2500
56550

7644
854
6660
2500
56550

0
0
0
0
0

Pasien
Penjamin
20314
20314
11578
11578
7644
7644
109956
109956
3136
3136
480
480
1410
1410
3500
3500
158018
158018

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
4284
4284
113064
113064
1708
1708
2128
2128
65340
65340
3000
3000
201102
201102

0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
6272
6272
37688
37688
21616
21616
28728
28728
1708
1708
3612
3612
3500
3500
110138
110138

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

7255
1020
8270
3555
2000
22100

7255
1020
8270
3555
2000
22100

0
0
0
0
0
0

Pasien
Penjamin
138600
138600
10157
10157
705
705
7546
7546
2000
2000
159008
159008

0
0
0
0
0
0

Pasien
Penjamin
57470
57470
7014
7014
1708
1708
3136
3136
21616
21616
10157
10157
3560
3560
3500
3500
108161
108161

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45808
45808
500
500
46308
46308

0
0
0

Pasien
Penjamin
7644
7644
20314
20314
62832
62832
1500
1500
92290
92290

0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
7224
7224
10157
10157
2856
2856
138600
138600
7546
7546
1386
1386
3000
3000
170769
170769

0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
10157
10157
28735
28735
7546
7546
854
854
3444
3444
3000
3000
192336
192336

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
11578
11578
138600
138600
4284
4284
5230
5230
3000
3000
167536
167536

0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
11578
11578
10157
10157
854
854
4284
4284
7014
7014
3000
3000
44111
44111

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Pasien
Penjamin
10157
10157
54978
54978
3444
3444
115395
115395
2000
2000
185974
185974

0
0
0
0
0
0

Pasien
Penjamin
4284
4284
10157
10157
138600
138600
11578
11578
109956
109956
1708
1708
3000
3000
279283
279283

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
109956
109956
7644
7644
672
672
1428
1428
2500
2500
132357
132357

0
0
0
0
0
0
0

Pasien
854
4284
37688
109956
11578
138600
65340
3500
371800

Penjamin
854
4284
37688
109956
11578
138600
65340
3500
371800

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
BOT
UNT

Pasien
Penjamin
3416
3416
6272
6272
4816
4816
5804
5804
21616
21616
2856
2856
3000
3000
47780
47780

0
0
0
0
0
0
0
0

Pasien
Penjamin
2856
2856
75376
75376
11578
11578
1708
1708
138600
138600
2500
2500
232618
232618

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
4284
4284
109956
109956
854
854
2000
2000
124738
124738

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
10157
10157
219912
219912
3444
3444
21616
21616
57964
57964
2800
2800
3560
3560
4000
4000
331097
331097

0
0
0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
68145
68145
500
500
68645
68645

0
0
0

Pasien
Penjamin
43530
43530
10620
10620
29970
29970
1500
1500
85620
85620

0
0
0
0
0

Pasien
Penjamin
4284
4284
138600
138600
7014
7014
10157
10157
1410
1410
644
644
3000
3000
165109
165109

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
11578
11578
7224
7224
2296
2296
57964
57964
13622
13622
3000
3000
105841
105841

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
219912
219912
21616
21616
1708
1708

0
0
0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

2460
55300
3500
332454

2460
55300
3500
332454

0
0
0
0

Pasien
Penjamin
1708
1708
34496
34496
10157
10157
28735
28735
138600
138600
2338
2338
2002
2002
3500
3500
221536
221536

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
1428
1428
28735
28735
1500
1500
41820
41820

0
0
0
0
0

Pasien
Penjamin
2856
2856
1708
1708
3136
3136
109956
109956
7644
7644
10157
10157
3000
3000
138457
138457

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
109956
109956
7546
7546
1078
1078
10157
10157

0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

3136
3000
142517

3136
3000
142517

0
0
0

Pasien
Penjamin
2856
2856
20314
20314
7644
7644
138600
138600
7224
7224
11578
11578
47685
47685
9990
9990
4000
4000
249891
249891

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28728
28728
500
500
29228
29228

0
0
0

Pasien
Penjamin
2310
2310
63930
63930
3584
3584
1500
1500
71324
71324

0
0
0
0
0

Pasien
Penjamin
1020
1020
500
500
1520
1520

0
0
0

Pasien
Penjamin
20776
20776
110040
110040
1000
1000

0
0
0

131816

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal

131816

Pasien
Penjamin
7644
7644
57470
57470
10157
10157
854
854
2000
2000
78125
78125

0
0
0
0
0
0

Pasien
Penjamin
63602
63602
13188
13188
1000
1000
77790
77790

0
0
0
0

Pasien
Penjamin
7644
7644
4284
4284
10157
10157
8316
8316
28728
28728
2500
2500
61629
61629

0
0
0
0
0
0
0

Pasien
Penjamin
1428
1428
7546
7546
10157
10157
7014
7014
138600
138600
2000
2000
3560
3560
3500
3500
173805
173805

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

1078
3136
23160
1890
2000
31264

1078
3136
23160
1890
2000
31264

0
0
0
0
0
0

Pasien
Penjamin
1428
1428
10157
10157
54978
54978
7644
7644
2000
2000
76207
76207

0
0
0
0
0
0

Pasien
Penjamin
10157
10157
47685
47685
11578
11578
1708
1708
3136
3136
6750
6750
2505
2505
2145
2145
4000
4000
89664
89664

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
1428
1428
5124
5124
2240
2240
32840
32840
5804
5804
2505
2505
28728
28728
4500
4500
228783
228783

0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
138600
138600
1708
1708
3136
3136
31514
31514
28735
28735
7644
7644
10157
10157
308
308
8316
8316
110600
110600
5000
5000
345718
345718

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
7014
7014
138600
138600
20314
20314
7546
7546
79000
79000
3000
3000
259758
259758

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
2856
2856
57470
57470
10157
10157
7546
7546
854
854
11578
11578
4000
4000
240705
240705

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
8568
8568
203500
203500

0
0
0

TAB
TAB
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB

6636
2128
1260
3560
1430
4000
241239

6636
2128
1260
3560
1430
4000
241239

0
0
0
0
0
0
0

Pasien
Penjamin
23550
23550
500
500
24050
24050

0
0
0

Pasien
Penjamin
4284
4284
10157
10157
7644
7644
7224
7224
11578
11578
6636
6636
83202
83202
3500
3500
134225
134225

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
57470
57470
11578
11578
138600
138600
20314
20314
28728
28728
1708
1708
3560
3560
4000
4000
270242
270242

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4956
4956
7644
7644

0
0

TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD

31346
10157
6272
1428
35640
1430
4000
102873

31346
10157
6272
1428
35640
1430
4000
102873

0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
1428
1428
7014
7014
2408
2408
10157
10157
2500
2500
162107
162107

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
6384
6384
8568
8568
8316
8316
397824
397824
602
602
3500
3500
453152
453152

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
219912
219912
28728
28728
8316
8316
1428
1428
3000
3000
289342
289342

0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
1708
1708
6272
6272
2856
2856
10157
10157
7014
7014
54978
54978
21616
21616
3500
3500
108101
108101

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
109956
109956
1708
1708
1428
1428
1260
1260
2500
2500
127009
127009

0
0
0
0
0
0
0

Pasien
Penjamin
109956
109956
1708
1708
34496
34496
7014
7014
20314
20314
4135
4135
3000
3000
180623
180623

0
0
0
0
0
0
0
0

Pasien
Penjamin
57470
57470
138600
138600
7644
7644
7546
7546
10157
10157
3136
3136
1428
1428
110600
110600
4000
4000
340581
340581

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
20314
20314
4284
4284
7014
7014
1708
1708
3136
3136
11578
11578
57470
57470
138600
138600
7546
7546
4500
4500
256150
256150

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
138600
138600
10157
10157
219912
219912
7546
7546
8316
8316
854
854
47685
47685
4000
4000
441354
441354

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
11578
11578
10157
10157
4740
4740
3136
3136
2500
2500
39335
39335

0
0
0
0
0
0
0

Pasien
Penjamin
10836
10836
23156
23156
20314
20314

0
0
0

TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD

308
1428
7644
4620
3500
71806

308
1428
7644
4620
3500
71806

0
0
0
0
0
0

Pasien
Penjamin
7224
7224
11578
11578
4284
4284
10157
10157
7644
7644
8862
8862
320
320
1670
1670
4000
4000
55739
55739

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
20314
20314
1708
1708
6272
6272
4135
4135
2000
2000
34429
34429

0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
1078
1078
5804
5804
1708
1708
3136
3136
7546
7546
4256
4256
1410
1410
3500
3500
28438
28438

Pasien

0
0
0
0
0
0
0
0
0

Penjamin
308
8568
20412
57470
7644
2500
96902

0
0
0
0
0
0
0

Pasien
Penjamin
69552
69552
5210
5210
3932
3932
1500
1500
80194
80194

0
0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
11578
11578
7546
7546
1428
1428
2500
2500
51010
51010

0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500

0
0

308
8568
20412
57470
7644
2500
96902

25140

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

25140

Penjamin
854
3136
10157
54978
740
2500
72365

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
4284
4284
10157
10157
7644
7644
54978
54978
3000
3000
84907
84907

0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
28735
28735
854
854
1000
1000
30589
30589

0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
4284
4284
31346
31346

0
0
0
0

Pasien
854
3136
10157
54978
740
2500
72365

TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

138600
47685
10157
3500
243552

138600
47685
10157
3500
243552

0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
7644
7644
138600
138600
1428
1428
5804
5804
3000
3000
161320
161320

0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
31346
31346
20314
20314
7546
7546
2000
2000
68220
68220

0
0
0
0
0
0

Pasien
Penjamin
69552
69552
20776
20776
1000
1000
91328
91328

0
0
0
0

Pasien
Penjamin
65856
65856
500
500
66356
66356

0
0
0

Pasien
Penjamin
11578
11578

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

7644
20314
2856
2000
44392

7644
20314
2856
2000
44392

0
0
0
0
0

Pasien
Penjamin
62832
62832
500
500
63332
63332

0
0
0

Pasien
Penjamin
91364
91364
500
500
91864
91864

0
0
0

Pasien
Penjamin
54978
54978
7644
7644
28728
28728
1708
1708
3560
3560
2145
2145
3000
3000
101763
101763

0
0
0
0
0
0
0
0

Pasien
Penjamin
2310
2310
63930
63930
3584
3584
8190
8190
2000
2000
80014
80014

0
0
0
0
0
0

Pasien
Penjamin
62832
62832
54978
54978

0
0

TAB
TAB
BOT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

20314
1428
47685
854
3136
3500
194727

20314
1428
47685
854
3136
3500
194727

0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
28728
28728
2505
2505
1500
1500
171333
171333

0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
1428
1428
1708
1708
109956
109956
8316
8316
1288
1288
10157
10157
4000
4000
283097
283097

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
28728
28728
3612
3612
5804
5804
1428
1428
3000
3000
188186
188186

0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284

TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

1708
21616
10157
3136
109956
3000
153857

1708
21616
10157
3136
109956
3000
153857

0
0
0
0
0
0
0

Pasien
Penjamin
57470
57470
11578
11578
4284
4284
20314
20314
138600
138600
1708
1708
47685
47685
6300
6300
7845
7845
4500
4500
300284
300284

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45808
45808
500
500
46308
46308

0
0
0

Pasien
Penjamin
10157
10157
3136
3136
3444
3444
1428
1428
7546
7546
1410
1410
3000
3000
30121
30121

0
0
0
0
0
0
0
0

Pasien
Penjamin
7546
7546
500
500

0
0

8046

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

8046

Pasien
Penjamin
138600
138600
7644
7644
1708
1708
3136
3136
109956
109956
10157
10157
6636
6636
47685
47685
4000
4000
329522
329522

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
1078
1078
21616
21616
7014
7014
28735
28735
3000
3000
69423
69423

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
1428
1428
10157
10157
109956
109956
57964
57964
3000
3000
328749
328749

0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
20314
20314
7014
7014
1708
1708

0
0
0
0

TAB
TAB
CAP
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

3136
1428
13860
3500
58184

3136
1428
13860
3500
58184

0
0
0
0
0

Pasien
Penjamin
139104
139104
500
500
139604
139604

0
0
0

Pasien
Penjamin
138600
138600
7644
7644
20314
20314
854
854
2000
2000
169412
169412

0
0
0
0
0
0

Pasien
Penjamin
7546
7546
20314
20314
28735
28735
1708
1708
4284
4284
7644
7644
138600
138600
47685
47685
4000
4000
260516
260516

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
21870
21870
397824
397824
7644
7644
3560
3560
2500
2500
453712
453712

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
31346
31346
1708
1708
3136
3136
21616
21616
1890
1890
26940
26940
5230
5230
35640
35640
4000
4000
131506
131506

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
34496
34496
5838
5838
1890
1890
138600
138600
20314
20314
3000
3000
211362
211362

0
0
0
0
0
0
0
0

Pasien
Penjamin
13188
13188
500
500
13688
13688

0
0
0

Pasien
Penjamin
57470
57470
11578
11578
20314
20314
17206
17206
2000
2000
108568
108568

0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
CAP
UNT

Depo IGD
Subtotal

138600
4284
11578
219912
75376
1708
8316
3500
463274

138600
4284
11578
219912
75376
1708
8316
3500
463274

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57470
57470
21616
21616
3136
3136
1500
1500
2000
2000
85722
85722

0
0
0
0
0
0

Pasien
Penjamin
10157
10157
4284
4284
7644
7644
138600
138600
28735
28735
2500
2500
191920
191920

0
0
0
0
0
0
0

Pasien
Penjamin
57470
57470
20314
20314
11578
11578
1428
1428
138600
138600
13860
13860
5838
5838
3500
3500
252588
252588

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
CAP
BOT
TAB
CAP
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

23156
4284
13622
47685
138600
26940
3560
1430
4000
263277

23156
4284
13622
47685
138600
26940
3560
1430
4000
263277

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
10157
10157
7014
7014
732
732
1792
1792
2500
2500
29419
29419

0
0
0
0
0
0
0

Pasien
Penjamin
13188
13188
500
500
13688
13688

0
0
0

Pasien
Penjamin
7644
7644
1708
1708
1078
1078
109956
109956
21616
21616
34412
34412
3000
3000
179414
179414

0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
4284
4284
10836
10836

0
0
0

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

1708
3136
3444
7644
3500
173152

1708
3136
3444
7644
3500
173152

0
0
0
0
0
0

Pasien
Penjamin
3560
3560
1430
1430
15120
15120
10157
10157
3136
3136
21616
21616
109956
109956
3444
3444
4000
4000
172419
172419

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63602
63602
500
500
64102
64102

0
0
0

Pasien
Penjamin
20314
20314
7014
7014
138600
138600
1708
1708
4135
4135
2500
2500
174271
174271

0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
4284
4284
7014
7014
109956
109956
62832
62832

0
0
0
0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

138600
1708
20594
4000
369302

138600
1708
20594
4000
369302

0
0
0
0
0

Pasien
Penjamin
10157
10157
2156
2156
21616
21616
1708
1708
6272
6272
3444
3444
4135
4135
3500
3500
52988
52988

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37688
37688
1708
1708
11578
11578
3060
3060
2000
2000
56034
56034

0
0
0
0
0
0

Pasien
Penjamin
8270
8270
78540
78540
7255
7255
5460
5460
99000
99000
610
610
3000
3000
202135
202135

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
2856
2856

0
0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

109956
3444
21616
3000
148852

109956
3444
21616
3000
148852

0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
14448
14448
1078
1078
2000
2000
22370
22370

0
0
0
0
0
0

Pasien
Penjamin
100996
100996
500
500
101496
101496

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
21616
21616
109956
109956
10157
10157
1428
1428
3000
3000
154137
154137

0
0
0
0
0
0
0
0

Pasien
Penjamin
21616
21616
5804
5804
3612
3612
1708
1708
6272
6272
1428
1428
3000
3000
43440
43440

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
BOT
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
7224
7224
20314
20314
57964
57964
5838
5838
2000
2000
93340
93340

0
0
0
0
0
0

Pasien
Penjamin
11578
11578
20314
20314
109956
109956
1428
1428
2000
2000
145276
145276

0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
1078
1078
54978
54978
2000
2000
62900
62900

0
0
0
0
0
0

Pasien
Penjamin
10157
10157
5838
5838
1428
1428
1500
1500
18923
18923

0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
57470
57470
4284
4284
11578
11578

0
0
0
0
0

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

20314
7546
854
5544
4500
258334

20314
7546
854
5544
4500
258334

0
0
0
0
0
0

Pasien
Penjamin
5804
5804
138600
138600
109956
109956
11578
11578
1708
1708
34496
34496
3060
3060
3500
3500
308702
308702

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2856
2856
7014
7014
138600
138600
109956
109956
11578
11578
1708
1708
3960
3960
3500
3500
279172
279172

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
7644
7644
20314
20314
2856
2856
21616
21616
11578
11578
109956
109956
4135
4135
4000
4000
183807
183807

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB

Pasien
Penjamin
138600
138600
4284
4284
20314
20314
57470
57470
7546
7546
1708
1708
47685
47685
24640
24640
4000
4000
306247
306247

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
81675
81675
500
500
82175
82175

0
0
0

Pasien
Penjamin
81675
81675
500
500
82175
82175

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
4284
4284
10157
10157
109956
109956
7546
7546
854
854
2000
2000
4000
4000
284411
284411

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
284900
284900
32928
32928

0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD

1000
318828

1000
318828

0
0

Pasien
Penjamin
1708
1708
3136
3136
1428
1428
41188
41188
740
740
10157
10157
3000
3000
61357
61357

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
28728
28728
10157
10157
4284
4284
13622
13622
47685
47685
3500
3500
254220
254220

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
7644
7644
20314
20314
308
308
57470
57470
2000
2000
87736
87736

0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
1708
1708
6272
6272
7644
7644
138600
138600
10157
10157
54978
54978
7546
7546
2128
2128
4000
4000
233033
233033

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
116606
116606
7224
7224
7644
7644
10157
10157
7546
7546
1428
1428
1708
1708
18480
18480
4000
4000
174793
174793

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21765
21765
16380
16380
24810
24810
27320
27320
2000
2000
92275
92275

0
0
0
0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
3416
3416

TAB
TAB
TAB
TAB
BOT
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

68992
31346
138600
4284
47685
5230
65340
4000
368893

68992
31346
138600
4284
47685
5230
65340
4000
368893

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8190
8190
12405
12405
61575
61575
21536
21536
8085
8085
2280
2280
3690
3690
3500
3500
121261
121261

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
284900
284900
20314
20314
7644
7644
7546
7546
854
854
4135
4135
3000
3000
328393
328393

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
1708
1708
3136
3136
2856
2856
7644
7644
21616
21616
320
320
3500
3500
50937
50937

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
20314
20314
138600
138600
28735
28735
2856
2856
3221
3221
4135
4135
3000
3000
200861
200861

0
0
0
0
0
0
0
0

Pasien
Penjamin
163350
163350
30800
30800
1000
1000
195150
195150

0
0
0
0

Pasien
Penjamin
33264
33264
500
500
33764
33764

0
0
0

Pasien
Penjamin
28735
28735
10157
10157
854
854
3136
3136
1428
1428
2500
2500
46810
46810

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
109956
109956
10157
10157
2856
2856

0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

7014
3000
140963

7014
3000
140963

0
0
0

Pasien
Penjamin
1708
1708
6272
6272
109956
109956
1078
1078
138600
138600
4284
4284
3000
3000
264898
264898

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7644
7644
15673
15673
1428
1428
5838
5838
7546
7546
1260
1260
3500
3500
53046
53046

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
3416
3416
31346
31346
138600
138600
7644
7644
1428
1428
2500
2500
184934
184934

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
10157
10157
7644
7644
1708
1708
3136
3136
57470
57470
2856
2856
138600
138600
46200
46200
1430
1430
4500
4500
273701
273701

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
109956
109956
47685
47685
1428
1428
7546
7546
1410
1410
4125
4125
3500
3500
185807
185807

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
14448
14448
1428
1428
3444
3444
2500
2500
26664
26664

0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
24640
24640
45682
45682
1000
1000
71322
71322

0
0
0
0

Pasien
Penjamin
3416
3416
6272
6272
7644
7644
28728
28728
41188
41188
4256
4256
410
410
3500
3500
3500
3500
78092
78092
3500
3500
180506
180506

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28728
28728
7644
7644
10157
10157
11578
11578
31346
31346
1428
1428
1430
1430
3500
3500
95811
95811

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
11578
11578
31346
31346
4284
4284
7644
7644
2505
2505
2145
2145

0
0
0
0
0
0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

4000
71482

4000
71482

0
0

Pasien
Penjamin
7014
7014
138600
138600
4284
4284
7546
7546
854
854
10157
10157
3000
3000
171455
171455

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
1428
1428
7546
7546
4740
4740
109956
109956
2500
2500
136327
136327

0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
11578
11578
7546
7546
138600
138600
1428
1428
8316
8316
27720
27720
3500
3500
208845
208845

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
2856
2856
10157
10157
7014
7014

0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
BOT
CAP
UNT

Depo IGD
Subtotal
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

54978
3000
82849

54978
3000
82849

0
0
0

Pasien
Penjamin
47685
47685
9730
9730
1000
1000
58415
58415

0
0
0
0

Pasien
Penjamin
78540
78540
47685
47685
1000
1000
127225
127225

0
0
0
0

Pasien
Penjamin
19400
19400
500
500
19900
19900

0
0
0

Pasien
Penjamin
7546
7546
10157
10157
54978
54978
138600
138600
7014
7014
3136
3136
854
854
3560
3560
4000
4000
229845
229845

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7255
7255
1020
1020
7290
7290

0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Depo IGD

1500
17065

1500
17065

0
0

Pasien
Penjamin
7644
7644
10157
10157
2856
2856
11578
11578
7546
7546
1708
1708
109956
109956
3500
3500
154945
154945

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
20314
20314
854
854
28735
28735
2500
2500
198647
198647

0
0
0
0
0
0
0

Pasien
Penjamin
95634
95634
45682
45682
17040
17040
1500
1500
159856
159856

0
0
0
0
0

Pasien
Penjamin
23156
23156
3444
3444
4125
4125
1500
1500
32225
32225

0
0
0
0
0

Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
7546
7546
500
500
8046
8046

0
0
0

Pasien
Penjamin
31801
31801
500
500
32301
32301

0
0
0

Pasien
Penjamin
10157
10157
7546
7546
138600
138600
1428
1428
11578
11578
2500
2500
171809
171809

0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
7644
7644
138600
138600
5804
5804
2000
2000
158332
158332

0
0
0
0
0
0

Pasien
Penjamin
32840
32840
21765
21765
1530
1530
1500
1500
57635
57635

0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272

0
0

TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
BOT
BOT
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD

20412
10157
8316
1428
28735
3500
80528

20412
10157
8316
1428
28735
3500
80528

0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
57470
57470
138600
138600
1708
1708
2128
2128
18480
18480
2500
2500
220886
220886

0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
138600
138600
5838
5838
47685
47685
65340
65340
2500
2500
270120
270120

0
0
0
0
0
0
0

Pasien
Penjamin
31416
31416
1946
1946
1000
1000
34362
34362

0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
BOT
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
7644
7644
1708
1708
10157
10157
198912
198912
1428
1428
18480
18480
3000
3000
241329
241329

0
0
0
0
0
0
0
0

Pasien
Penjamin
541500
541500
500
500
542000
542000

0
0
0

Pasien
Penjamin
3660
3660
6720
6720
2310
2310
82590
82590
16380
16380
2500
2500
114160
114160

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
20314
20314
7644
7644
28735
28735
1410
1410
18480
18480
3560
3560
320
320
4500
4500
89807
89807

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9180
9180

TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

24810
40380
7380
10780
2500
95030

24810
40380
7380
10780
2500
95030

0
0
0
0
0
0

Pasien
Penjamin
127204
127204
500
500
127704
127704

0
0
0

Pasien
Penjamin
7644
7644
4284
4284
138600
138600
10157
10157
854
854
28728
28728
3000
3000
193267
193267

0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
284900
284900
854
854
3136
3136
2000
2000
302468
302468

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
20314
20314
284900
284900
7546
7546
11578
11578
4284
4284
3500
3500

0
0
0
0
0
0
0
0

478366

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

478366

Pasien
Penjamin
7224
7224
500
500
7724
7724

0
0
0

Pasien
Penjamin
10157
10157
1708
1708
21616
21616
1428
1428
7546
7546
2500
2500
44955
44955

0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
500
500
7724
7724

0
0
0

Pasien
Penjamin
11578
11578
57470
57470
10157
10157
21616
21616
6300
6300
2145
2145
2505
2505
3500
3500
115271
115271

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1220
1220
2240
2240
39270
39270
5460
5460

0
0
0
0

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

2000
50190

2000
50190

0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
1428
1428
109956
109956
7644
7644
6272
6272
1708
1708
2500
2500
129508
129508

0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
11578
11578
7224
7224
28728
28728
1428
1428
308
308
13320
13320
3000
3000
65586
65586

0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
1708
1708
34496
34496
7546
7546

0
0
0
0

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

4284
644
20314
28735
4000
113305

4284
644
20314
28735
4000
113305

0
0
0
0
0
0

Pasien
Penjamin
7224
7224
7014
7014
1708
1708
6272
6272
2000
2000
24218
24218

0
0
0
0
0
0

Pasien
Penjamin
4284
4284
20314
20314
138600
138600
11578
11578
28735
28735
62832
62832
2772
2772
3500
3500
272615
272615

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
116606
116606
284900
284900
20314
20314
1708
1708
78092
78092
2500
2500
504120
504120

0
0
0
0
0
0
0

Pasien
Penjamin
32424
32424
10157
10157
1708
1708

0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

3136
4135
2500
54060

3136
4135
2500
54060

0
0
0
0

Pasien
Penjamin
4284
4284
3612
3612
62832
62832
10157
10157
1708
1708
6272
6272
3000
3000
91865
91865

0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
3612
3612
20412
20412
1428
1428
57964
57964
1890
1890
3000
3000
108620
108620

0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
7014
7014
138600
138600
20314
20314
34496
34496
2500
2500
207208
207208

0
0
0
0
0
0
0

Pasien
Penjamin
3444
3444
672
672
1000
1000
5116
5116

0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

Pasien
Penjamin
184023
184023
500
500
184523
184523

0
0
0

Pasien
Penjamin
1247400 1247400
10206
10206
10157
10157
7644
7644
308
308
2500
2500
1278215 1278215

0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
2856
2856
7644
7644
854
854
3136
3136
1430
1430
1670
1670
284900
284900
4000
4000
316647
316647

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
4284
4284
1708
1708
109956
109956
62832
62832
1148
1148
3500
3500
1400
1400
2500
2500
198906
198906

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
7644
7644
4284
4284
11578
11578
20314
20314
1708
1708
7546
7546
4125
4125
219912
219912
4000
4000
281111
281111

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
10157
10157
284900
284900
1708
1708
1410
1410
2500
2500
308319
308319

0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
5194
5194
500
500
5694
5694

0
0
0

Pasien
Penjamin
14510
14510
7224
7224
5010
5010
20520
20520
1220
1220

0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD

1980
3000
53464

1980
3000
53464

0
0
0

Pasien
Penjamin
3060
3060
14510
14510
27890
27890
1500
1500
46960
46960

0
0
0
0
0

Pasien
Penjamin
11578
11578
57470
57470
1708
1708
3136
3136
7644
7644
3060
3060
35640
35640
1430
1430
4000
4000
125666
125666

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
4284
4284
1708
1708
11578
11578
1670
1670
1430
1430
2500
2500
23170
23170

0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
TAB
BOT

Pasien
Penjamin
57470
57470
39046
39046
7014
7014
20314
20314
28728
28728
1708
1708
6300
6300
3500
3500
164080
164080

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62832
62832
500
500
63332
63332

0
0
0

Pasien
Penjamin
6120
6120
21765
21765
61560
61560
4560
4560
24810
24810
2500
2500
121315
121315

0
0
0
0
0
0
0

Pasien
Penjamin
43740
43740
21765
21765
16170
16170
1500
1500
83175
83175

0
0
0
0
0

Pasien
Penjamin
65340
65340
2856
2856
10157
10157
11578
11578
7546
7546
30217
30217

0
0
0
0
0
0

UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

3000
130694

3000
130694

0
0

Pasien
Penjamin
62832
62832
500
500
63332
63332

0
0
0

Pasien
Penjamin
2156
2156
1708
1708
4480
4480
7720
7720
2000
2000
18064
18064

0
0
0
0
0
0

Pasien
Penjamin
1708
1708
109956
109956
7644
7644
1428
1428
10157
10157
7546
7546
47685
47685
3500
3500
189624
189624

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
1428
1428
1708
1708
1720
1720
5804
5804
2500
2500
20804
20804

0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

20314
43232
1000
64546

20314
43232
1000
64546

0
0
0
0

Pasien
Penjamin
1020
1020
7255
7255
78540
78540
5460
5460
2000
2000
94275
94275

0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
3612
3612
4284
4284
7644
7644
11578
11578
3000
3000
38098
38098

0
0
0
0
0
0
0
0

Pasien
Penjamin
109956
109956
3444
3444
4284
4284
37688
37688
1708
1708
11578
11578
3000
3000
171658
171658

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
10157
10157
7644
7644
11578
11578
7224
7224

0
0
0
0
0

TAB
TAB
BOT
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

1428
4000
3560
13860
4500
65659

1428
4000
3560
13860
4500
65659

0
0
0
0
0
0

Pasien
Penjamin
138600
138600
20314
20314
11578
11578
284900
284900
7546
7546
2128
2128
8316
8316
20594
20594
7644
7644
4500
4500
506120
506120

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6272
6272
21616
21616
1708
1708
1500
1500
31096
31096

0
0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
11578
11578
109956
109956
320
320
2500
2500
152312
152312

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600

0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

7546
1708
2856
2500
160854

7546
1708
2856
2500
160854

0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
2856
2856
109956
109956
2500
2500
130313
130313

0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
11578
11578
1428
1428
7644
7644
4740
4740
18480
18480
7546
7546
3560
3560
4000
4000
69133
69133

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1078
1078
38600
38600
27720
27720
1500
1500
68898
68898

0
0
0
0
0

Pasien
Penjamin
10157
10157
1708
1708
3136
3136
2856
2856

0
0
0
0

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
CAP
UNT

Depo Atas
Subtotal
TAB

21616
57470
1670
1430
4000
104043

21616
57470
1670
1430
4000
104043

0
0
0
0
0
0

Pasien
Penjamin
3416
3416
6272
6272
7014
7014
3612
3612
1428
1428
2500
2500
24242
24242

0
0
0
0
0
0
0

Pasien
Penjamin
148500
148500
1720
1720
10157
10157
7546
7546
3136
3136
854
854
120694
120694
3500
3500
296107
296107

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20342
20342
28735
28735
1708
1708
3136
3136
47685
47685
13622
13622
3000
3000
118228
118228

0
0
0
0
0
0
0
0

Pasien

Penjamin
545
545

TAB
UNT
UNT
TAB
TAB
TAB
BOT
BOT
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

1055
3500
500
21765
117810
8085
57964
3560
2500
217284

1055
3500
500
21765
117810
8085
57964
3560
2500
217284

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10388
10388
500
500
10888
10888

0
0
0

Pasien
Penjamin
32928
32928
500
500
33428
33428

0
0
0

Pasien
Penjamin
20314
20314
7644
7644
138600
138600
28735
28735
1428
1428
2500
2500
199221
199221

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
6272
6272
2156
2156
21616
21616
2000
2000
33752
33752

0
0
0
0
0
0

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
75880
75880
500
500
76380
76380

0
0
0

Pasien
Penjamin
2856
2856
20314
20314
11578
11578
3136
3136
13622
13622
7644
7644
3000
3000
62150
62150

0
0
0
0
0
0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
21616
21616
284900
284900
10157
10157
4000
4000
3000
3000
328517
328517

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
10157
10157
1708
1708
6272
6272
2500
2500
166881
166881

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

Pasien
Penjamin
4284
4284
138600
138600
10157
10157
1708
1708
3136
3136
284900
284900
1890
1890
3500
3500
448175
448175

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
138600
138600
7644
7644
7546
7546
10206
10206
854
854
13622
13622
3500
3500
202286
202286

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
4284
4284
28728
28728
10157
10157
1708
1708
14448
14448
3500
3500
208439
208439

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2580
2580
8270
8270
7255
7255
1020
1020

0
0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal

2000
21125

2000
21125

0
0

Pasien
Penjamin
1708
1708
6272
6272
7644
7644
109956
109956
20314
20314
1428
1428
3000
3000
150322
150322

0
0
0
0
0
0
0
0

Pasien
Penjamin
75880
75880
500
500
76380
76380

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
10157
10157
4284
4284
7014
7014
138600
138600
3000
3000
167899
167899

0
0
0
0
0
0
0
0

Pasien
Penjamin
2040
2040
7255
7255
9730
9730
99000
99000
2000
2000
120025
120025

0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD

7546
1078
10157
7644
854
2500
29779

7546
1078
10157
7644
854
2500
29779

0
0
0
0
0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
1708
1708
34496
34496
5804
5804
1500
1500
43508
43508

0
0
0
0
0

Pasien
Penjamin
47817
47817
500
500
48317
48317

0
0
0

Pasien
Penjamin
44324
44324
500
500
44824
44824

0
0
0

Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Pasien
Penjamin
1708
1708
11578
11578
4284
4284
138600
138600
2000
2000
158170
158170

0
0
0
0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien
Penjamin
284900
284900
500
500
285400
285400

0
0
0

Pasien
Penjamin
138600
138600
7014
7014
20314
20314
28728
28728
4284
4284
6272
6272
3000
3000
208212
208212

0
0
0
0
0
0
0
0

Pasien
Penjamin
284900
284900
500
500
285400
285400

0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
TAB
UNT

Pasien
Penjamin
11578
11578
1708
1708
20314
20314
1428
1428
2000
2000
37028
37028

0
0
0
0
0
0

Pasien
Penjamin
20314
20314
7644
7644
7546
7546
20594
20594
5544
5544
2500
2500
64142
64142

0
0
0
0
0
0
0

Pasien
Penjamin
47817
47817
22720
22720
65856
65856
1500
1500
137893
137893

0
0
0
0
0

Pasien
Penjamin
75880
75880
500
500
76380
76380

0
0
0

Pasien
Penjamin
7644
7644
20314
20314
7546
7546
18480
18480
488
488
2500
2500

0
0
0
0
0
0

56972

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

56972

Penjamin
854
4284
1000
6138

0
0
0
0

Pasien
Penjamin
44324
44324
170744
170744
1000
1000
216068
216068

0
0
0
0

Pasien
Penjamin
20412
20412
1708
1708
41188
41188
3444
3444
4256
4256
1428
1428
1430
1430
3500
3500
77366
77366

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10836
10836
500
500
11336
11336

0
0
0

Pasien
Penjamin
3416
3416
68992
68992
10157
10157
11578
11578
109956
109956
21616
21616

0
0
0
0
0
0

Pasien
854
4284
1000
6138

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

3000
228715

3000
228715

0
0

Pasien
Penjamin
7014
7014
138600
138600
1428
1428
10157
10157
62832
62832
854
854
3000
3000
223885
223885

0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7224
7224
138600
138600
7546
7546
1428
1428
13622
13622
47685
47685
3500
3500
229762
229762

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3612
3612
10157
10157
31108
31108
3136
3136
7546
7546
3444
3444
3000
3000
62003
62003

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
20314
20314
7546
7546
109956
109956

0
0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

11578
1428
3000
161466

11578
1428
3000
161466

0
0
0
0

Pasien
Penjamin
4284
4284
1708
1708
3136
3136
7644
7644
10157
10157
198912
198912
3000
3000
228841
228841

0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
28735
28735
20314
20314
8316
8316
854
854
2500
2500
67733
67733

0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
109956
109956
1708
1708
37688
37688
1428
1428
2500
2500
164858
164858

0
0
0
0
0
0
0

Pasien
Penjamin
1220
1220
2240
2240
5460
5460
1500
1500
10420
10420

0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
1708
1708
4284
4284
20314
20314
7644
7644
7546
7546
14448
14448
11578
11578
7845
7845
4000
4000
79367
79367

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
1708
1708
37688
37688
11578
11578
54978
54978
2500
2500
112736
112736

0
0
0
0
0
0
0

Pasien
Penjamin
2156
2156
1708
1708
6272
6272
7014
7014
3612
3612
2500
2500
23262
23262

0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
138600
138600
4284
4284
20314
20314
28735
28735
8316
8316
41188
41188

0
0
0
0
0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

3500
251951

3500
251951

0
0

Pasien
Penjamin
10157
10157
109956
109956
7014
7014
1708
1708
3136
3136
5544
5544
7685
7685
3560
3560
4000
4000
152760
152760

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
3612
3612
20314
20314
1428
1428
55300
55300
2500
2500
90798
90798

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
14448
14448
20314
20314
854
854
3136
3136
11578
11578
3000
3000
60974
60974

0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
7014
7014
138600
138600
109956
109956

0
0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

10157
28728
3000
301739

10157
28728
3000
301739

0
0
0
0

Pasien
Penjamin
7644
7644
10157
10157
1708
1708
28735
28735
4125
4125
2500
2500
54869
54869

0
0
0
0
0
0
0

Pasien
Penjamin
37688
37688
1708
1708
2128
2128
10297
10297
3444
3444
2500
2500
57765
57765

0
0
0
0
0
0
0

Pasien
Penjamin
3136
3136
109956
109956
1428
1428
7644
7644
10157
10157
138600
138600
1708
1708
3500
3500
276129
276129

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
10157
10157
138600
138600
1428
1428

0
0
0
0

TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

4740
854
1410
3500
189424

4740
854
1410
3500
189424

0
0
0
0
0

Pasien
Penjamin
32928
32928
500
500
33428
33428

0
0
0

Pasien
Penjamin
15120
15120
854
854
57470
57470
20314
20314
35640
35640
1430
1430
3000
3000
133828
133828

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
57470
57470
10157
10157
854
854
2500
2500
217225
217225

0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
3136
3136
7546
7546
28735
28735
2000
2000
51574
51574

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
23156
23156
57470
57470
20314
20314
7644
7644
308
308
2500
2500
111392
111392

0
0
0
0
0
0
0

Pasien
Penjamin
1428
1428
109956
109956
10157
10157
7644
7644
854
854
7546
7546
2128
2128
3500
3500
143213
143213

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
20314
20314
7644
7644
1428
1428
10206
10206
2500
2500
49316
49316

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
28735
28735
10157
10157
854
854
2000
2000
49390
49390

0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

7644
1708
3136
10157
3612
1428
320
4620
4000
36625

7644
1708
3136
10157
3612
1428
320
4620
4000
36625

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
20314
20314
7644
7644
8316
8316
26292
26292
7546
7546
3000
3000
80336
80336

0
0
0
0
0
0
0
0

Pasien
Penjamin
62832
62832
500
500
63332
63332

0
0
0

Pasien
Penjamin
11360
11360
500
500
11860
11860

0
0
0

Pasien
Penjamin
10157
10157
109956
109956
7644
7644
1428
1428
2000
2000
131185
131185

0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
11360
11360
500
500
11860
11860

0
0
0

Pasien
Penjamin
10157
10157
7644
7644
1428
1428
54978
54978
2000
2000
76207
76207

0
0
0
0
0
0

Pasien
Penjamin
1020
1020
10157
10157
20342
20342
198912
198912
3136
3136
2500
2500
236067
236067

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
54978
54978
3136
3136
1428
1428
10157
10157
2500
2500
73907
73907

0
0
0
0
0
0
0

Pasien
Penjamin
28728
28728
10157
10157
7644
7644
1428
1428
2772
2772

0
0
0
0
0

TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

109956
3000
163685

109956
3000
163685

0
0
0

Pasien
Penjamin
1260
1260
500
500
1760
1760

0
0
0

Pasien
Penjamin
7255
7255
2040
2040
5460
5460
1500
1500
16255
16255

0
0
0
0
0

Pasien
Penjamin
45682
45682
24640
24640
1000
1000
71322
71322

0
0
0
0

Pasien
Penjamin
4284
4284
7644
7644
138600
138600
78092
78092
3136
3136
1260
1260
3000
3000
236016
236016

0
0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
2856
2856
10206
10206
1500
1500

0
0
0
0

16270

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

16270

Pasien
Penjamin
21870
21870
21765
21765
8190
8190
7740
7740
3060
3060
2500
2500
65125
65125

0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien
Penjamin
10157
10157
20342
20342
7546
7546
854
854
109956
109956
1670
1670
1430
1430
3500
3500
155455
155455

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
7224
7224
7014
7014
7546
7546
1428
1428
2500
2500
35869
35869

0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

1708
7644
3136
20314
16420
5544
672
3500
58938

1708
7644
3136
20314
16420
5544
672
3500
58938

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
10157
10157
6272
6272
3444
3444
14784
14784
2500
2500
175757
175757

0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
308
308
116606
116606
57470
57470
2000
2000
196698
196698

0
0
0
0
0
0

Pasien
Penjamin
20314
20314
2856
2856
109956
109956
13622
13622
21616
21616
2500
2500
170864
170864

0
0
0
0
0
0
0

Pasien
Penjamin
1428
1428
7546
7546

0
0

TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT
UNT

854
3136
109956
1670
1430
3500
129520

854
3136
109956
1670
1430
3500
129520

0
0
0
0
0
0
0

Penjamin
854
3136
3822
54978
2000
64790

0
0
0
0
0
0

Pasien
Penjamin
3136
3136
2856
2856
7546
7546
7644
7644
10157
10157
3612
3612
3000
3000
37951
37951

0
0
0
0
0
0
0
0

Pasien
Penjamin
1764
1764
500
500
2264
2264

0
0
0

Pasien
Penjamin
20314
20314
7546
7546
7014
7014
4284
4284
410
410
3500
3500
3500
3500

0
0
0
0
0
0
0

Pasien
854
3136
3822
54978
2000
64790

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

2000
48568

2000
48568

0
0

Pasien
Penjamin
47817
47817
500
500
48317
48317

0
0
0

Pasien
Penjamin
7546
7546
5804
5804
1428
1428
3136
3136
7644
7644
2500
2500
28058
28058

0
0
0
0
0
0
0

Pasien
Penjamin
40986
40986
500
500
41486
41486

0
0
0

Pasien
Penjamin
28735
28735
4284
4284
10157
10157
20342
20342
1708
1708
3136
3136
14784
14784
3500
3500
86646
86646

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
6831
6831
1000
1000

0
0
0

32471

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

32471

Pasien
Penjamin
4284
4284
1708
1708
3136
3136
10157
10157
1410
1410
2500
2500
23195
23195

0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
1708
1708
3136
3136
28735
28735
138600
138600
61782
61782
28728
28728
10157
10157
26940
26940
4500
4500
308570
308570

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
278796
278796
500
500
279296
279296

0
0
0

Pasien
Penjamin
10206
10206
10157
10157
308
308
7644
7644
1428
1428
1410
1410
3000
3000
34153
34153

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
10157
10157
7644
7644
1428
1428
1708
1708
13622
13622
54978
54978
3000
3000
92537
92537

0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
10157
10157
11578
11578
7224
7224
740
740
2520
2520
3136
3136
3444
3444
4000
4000
49813
49813

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
20412
20412
6888
6888
21616
21616
7224
7224
2500
2500
78954
78954

0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
23156
23156
1708
1708
3136
3136
10157
10157
2500
2500
47881
47881

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
21616
21616
1708
1708
3136
3136
7644
7644
10157
10157
156184
156184
4740
4740
3500
3500
208685
208685

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11360
11360
500
500
11860
11860

0
0
0

Pasien
Penjamin
7644
7644
14448
14448
23156
23156
20314
20314
308
308
1890
1890
672
672
3500
3500
71932
71932

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
10157
10157
4284
4284
7224
7224

0
0
0

TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

7014
3136
2500
34315

7014
3136
2500
34315

0
0
0
0

Pasien
Penjamin
47817
47817
500
500
48317
48317

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
2505
2505
2145
2145
2000
2000
152264
152264

0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
54978
54978
1708
1708
3136
3136
2156
2156
3444
3444
2500
2500
67922
67922

0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
7014
7014
1428
1428
3136
3136

0
0
0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD

2000
1410
54978
3500
93780

2000
1410
54978
3500
93780

0
0
0
0
0

Pasien
Penjamin
20342
20342
1708
1708
34496
34496
28728
28728
4256
4256
10157
10157
4284
4284
13622
13622
54978
54978
4500
4500
177071
177071

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
4284
4284
11578
11578
1708
1708
109956
109956
2000
2000
129526
129526

0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
10157
10157
1708
1708
1428
1428
1500
1500
14793
14793

0
0
0
0
0

Pasien
Penjamin
1708
1708
3136
3136
7644
7644
138600
138600
4284
4284
10157
10157
39046
39046
3500
3500
208075
208075

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32928
32928
500
500
33428
33428

0
0
0

Pasien
Penjamin
278796
278796
500
500
279296
279296

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
1428
1428
10157
10157
20594
20594
4256
4256
3000
3000
44279
44279

0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
24640
24640
2604
2604
1000
1000
28244
28244

0
0
0
0

Pasien
Penjamin
10080
10080
854
854
17248
17248
4611
4611
2000
2000
34793
34793

0
0
0
0
0
0

Pasien
Penjamin
47817
47817
500
500
48317
48317

0
0
0

Pasien
Penjamin
7014
7014
138600
138600
1428
1428
20314
20314
28728
28728
1708
1708
1670
1670
2000
2000
41188
41188
5544
5544
5000
5000
253194
253194

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45682
45682
47817
47817
65856
65856
1500
1500

0
0
0
0

160855

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

160855

Pasien
Penjamin
11578
11578
138600
138600
2128
2128
2296
2296
41188
41188
2500
2500
198290
198290

0
0
0
0
0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
138600
138600
1708
1708
3136
3136
7644
7644
8316
8316
10157
10157
308
308
1670
1670
12278
12278
26292
26292
5000
5000
215109
215109

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
66402
66402
500
500
66902
66902

0
0
0

Pasien
Penjamin
1708
1708

TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB

6272
10157
1020
2000
21157

6272
10157
1020
2000
21157

0
0
0
0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
4284
4284
1708
1708
11578
11578
138600
138600
2000
2000
158170
158170

0
0
0
0
0
0

Pasien
Penjamin
20314
20314
2856
2856
57470
57470
20342
20342
7546
7546
21616
21616
3560
3560
320
320
4000
4000
138024
138024

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
11578
11578
7644
7644
20314
20314
1428
1428
7546
7546
1708
1708

0
0
0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT

1410
4000
62852

1410
4000
62852

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
20314
20314
7644
7644
11578
11578
2500
2500
46880
46880

0
0
0
0
0
0
0

Pasien
Penjamin
1708
1708
20314
20314
5544
5544
109956
109956
138600
138600
1670
1670
1430
1430
3500
3500
282722
282722

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
43530
43530
1830
1830
6720
6720
1500
1500
53580
53580

0
0
0
0
0

Pasien
Penjamin
2856
2856
20314
20314
7644
7644
138600
138600
7224
7224
11578
11578
47685
47685

0
0
0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

1260
4000
241161

1260
4000
241161

0
0
0

Pasien
Penjamin
1708
1708
3136
3136
11578
11578
109956
109956
5804
5804
7644
7644
3000
3000
142826
142826

0
0
0
0
0
0
0
0

Pasien
Penjamin
44324
44324
500
500
44824
44824

0
0
0

Pasien
Penjamin
11578
11578
109956
109956
2128
2128
3444
3444
1708
1708
2500
2500
131314
131314

0
0
0
0
0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
7644
7644
28728
28728
11578
11578

0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel

3136
10157
2500
63743

3136
10157
2500
63743

0
0
0
0

Pasien
Penjamin
10157
10157
11578
11578
57470
57470
1410
1410
2000
2000
82615
82615

0
0
0
0
0
0

Pasien
Penjamin
22750
22750
37940
37940
1000
1000
61690
61690

0
0
0
0

Pasien
Penjamin
10157
10157
1708
1708
6272
6272
1500
1500
19637
19637

0
0
0
0
0

Pasien
Penjamin
4284
4284
7014
7014
10157
10157
1708
1708
1260
1260
1430
1430
1670
1670
3500
3500
31023
31023

0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
170744
170744
16260
16260
1000
1000
188004
188004

0
0
0
0

Pasien
Penjamin
20314
20314
11578
11578
7644
7644
109956
109956
3136
3136
672
672
1428
1428
610
610
4000
4000
159338
159338

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75880
75880
170744
170744
1000
1000
247624
247624

0
0
0
0

Pasien
Penjamin
11578
11578
2856
2856
10157
10157
20342
20342
1410
1410
2500
2500
48843
48843

0
0
0
0
0
0
0

Pasien
Penjamin
10157
10157
1428
1428
11578
11578
3612
3612
7644
7644

0
0
0
0
0

UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel

2500
36919

2500
36919

0
0

Pasien
Penjamin
170744
170744
500
500
171244
171244

0
0
0

Pasien
Penjamin
10157
10157
2856
2856
7644
7644
28728
28728
3612
3612
1708
1708
1670
1670
4125
4125
4000
4000
64500
64500

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62832
62832
66528
66528
1000
1000
130360
130360

0
0
0
0

Pasien
Penjamin
21765
21765
16380
16380
6120
6120
3660
3660
2532
2532
16170
16170
24810
24810
3500
3500
94937
94937

0
0
0
0
0
0
0
0
0

Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT
UNT

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
1708
1708
34496
34496
10157
10157
1428
1428
20594
20594
6636
6636
7546
7546
2128
2128
2800
2800
4500
4500
91993
91993

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
1708
1708
37688
37688
109956
109956
41188
41188
3444
3444
1410
1410
3500
3500
337494
337494

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75880
75880
500
500
76380
76380

0
0
0

Pasien
Penjamin
1708
1708
17724
17724
3500
3500
100
100

0
0
0
0

TAB
TAB
TAB
TAB
BOT
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

10157
11578
7546
7644
3560
1430
3500
68447

10157
11578
7546
7644
3560
1430
3500
68447

0
0
0
0
0
0
0
0

Pasien
Penjamin
75880
75880
170744
170744
1000
1000
247624
247624

0
0
0
0

Pasien
Penjamin
10157
10157
4284
4284
11578
11578
28728
28728
7014
7014
2500
2500
64261
64261

0
0
0
0
0
0
0

Pasien
Penjamin
57750
57750
500
500
58250
58250

0
0
0

Pasien
Penjamin
7644
7644
109956
109956
20314
20314
1428
1428
1410
1410
2500
2500
143252
143252

0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
UNT
UNT

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
7014
7014
1708
1708
3444
3444
17724
17724
3500
3500
100
100
2156
2156
2000
2000
37646
37646

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7014
7014
10157
10157
672
672
17724
17724
3500
3500
100
100
1500
1500
40667
40667

0
0
0
0
0
0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
24810
24810
3660
3660
57964
57964
5064
5064
3500
3500
5600
5600

0
0
0
0
0
0

UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
TAB
UNT

Depo IGD
Subtotal

1500
102098

1500
102098

0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
138600
138600
10157
10157
7546
7546
854
854
3444
3444
1428
1428
3000
3000
165029
165029

0
0
0
0
0
0
0
0

Pasien
Penjamin
18480
18480
500
500
18980
18980

0
0
0

Pasien
Penjamin
20342
20342
1708
1708
2532
2532
10157
10157
11578
11578
109956
109956
3560
3560
3444
3444
1430
1430
4500
4500
169207
169207

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Apotik Panel
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

1708
5064
7224
7014
21616
2500
45126

1708
5064
7224
7014
21616
2500
45126

0
0
0
0
0
0
0

Pasien
Penjamin
75880
75880
500
500
76380
76380

0
0
0

Pasien
Penjamin
20342
20342
7546
7546
20314
20314
1428
1428
6300
6300
13860
13860
460
460
3500
3500
73750
73750

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
58080
58080
500
500
58580
58580

0
0
0

Pasien
Penjamin
138600
138600
20342
20342
109956
109956
10157
10157
28728
28728
10206
10206
3000
3000
320989
320989

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Pasien

Penjamin
546
138600
1428
121884
11578
7224
7546
22176
4000
314982

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
20314
20314
39046
39046
7546
7546
13622
13622
2500
2500
221628
221628

0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
11578
11578
10157
10157
1428
1428
2000
2000
53898
53898

0
0
0
0
0
0

Pasien
Penjamin
20314
20314
2856
2856
109956
109956
1260
1260
20342
20342
2500
2500
157228
157228

0
0
0
0
0
0
0

546
138600
1428
121884
11578
7224
7546
22176
4000
314982

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
1220
1220
5064
5064
78540
78540
3060
3060
99000
99000
2500
2500
189384
189384

0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
138600
138600
7224
7224
10157
10157
1708
1708
7546
7546
3000
3000
175879
175879

0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
1708
1708
138600
138600
7644
7644
11578
11578
2128
2128
62832
62832
26940
26940
3560
3560
1430
1430
5000
5000
265704
265704

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20314
20314
4284
4284
7644
7644
11578
11578
109956
109956
138600
138600

0
0
0
0
0
0

TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
BOT
UNT

7546
3500
303422

7546
3500
303422

0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
44324
44324
500
500
44824
44824

0
0
0

Pasien
Penjamin
4284
4284
7644
7644
138600
138600
109956
109956
4256
4256
22176
22176
3000
3000
289916
289916

0
0
0
0
0
0
0
0

Pasien
Penjamin
21616
21616
10157
10157
1708
1708
5064
5064
2000
2000
40545
40545

0
0
0
0
0
0

Pasien
Penjamin
57750
57750
500
500
58250
58250

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
4284
4284
11608
11608
138600
138600
11578
11578
3560
3560
2500
2500
172130
172130

0
0
0
0
0
0
0

Pasien
Penjamin
7224
7224
11578
11578
20314
20314
7644
7644
7546
7546
2500
2500
56806
56806

0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
20314
20314
7014
7014
138600
138600
28735
28735
1708
1708
3000
3000
203655
203655

0
0
0
0
0
0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
4284
4284
7644
7644
5804
5804

0
0
0

CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
TUB
UNT

Depo IGD
Subtotal

4865
10206
2500
35303

4865
10206
2500
35303

0
0
0
0

Pasien
Penjamin
1708
1708
219912
219912
23156
23156
4284
4284
37688
37688
2500
2500
289248
289248

0
0
0
0
0
0
0

Pasien
Penjamin
147480
147480
500
500
147980
147980

0
0
0

Pasien
Penjamin
75880
75880
58080
58080
1000
1000
134960
134960

0
0
0
0

Pasien
Penjamin
4284
4284
20314
20314
11578
11578
5064
5064
13622
13622
7546
7546
75577
75577
3500
3500
141485
141485

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
UNT

62832
138600
1000
202432

62832
138600
1000
202432

0
0
0
0

Waktu
31 Mei 2013 15:27
Item
PROANES 10 MG/ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

31 Mei 2013 08:25

Item
disp infusion pump biotek 100ml
KETOROLAC 30 MG SOLUTION, INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISCOFIX + 10 CM TUBING
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 20 CC WIHTOUT NED
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
SILICONLARINGEAL MASK 3
SUCTION CATHETER 14
SOJOURN 250 CC INHALATION
RING AS SANBE 500 ML
FUTROLIT INFUSION
TRANSFUSION SET JMS
Vasofix Safety G18
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
0,20
1,00
50,00
3,00
1,00
1,00
1,00
3,00
15,00

29 Mei 2013 09:21

Item
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
EPHINEPRIN ETHICA INJECTION
DEXAMETHASONE 5 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00

PROPOFOL LIPURO 20 ML EMULSION, INJECTION

SOJOURN 250 CC INHALATION
SUCTION CATHETER 12
TUSLAH NON RACIKAN
TOTAL

1,00
30,00
1,00
14,00

29 Mei 2013 09:15

Item
REINFORCED TRACHEAL CUFF 7.5
NOVERON INJ
RING AS SANBE 500 ML
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
SUCTION CATHETER 12
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
30,00
1,00
2,00
1,00
3,00
10,00

29 Mei 2013 09:08

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
RING AS SANBE 500 ML
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
ANESFAR INJEKSI
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
ALKOHOL SWAB
Vasofix Safety G18
TRANSFUSION SET JMS
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
3,00
1,00
1,00
1,00
16,00

29 Mei 2013 08:58

Item

JAKARTA SEHAT
Quantity

STIMUPLEX A 0.70 X 50 MM (22 G X 2")

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

29 Mei 2013 08:56

Item
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
DEXAMETHASONE 5 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION
ALKOHOL SWAB
Vasofix Safety G18
TRANSFUSION SET JMS
RING AS SANBE 500 ML
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00
14,00

29 Mei 2013 08:43

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
RING AS SANBE 500 ML
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
13,00

29 Mei 2013 08:31

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION

JAMPERSAL
Quantity
1,00

ATRAUCAN G 26
RING AS SANBE 500 ML
SANBE HEST
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
PYTOGIN S INJECTION
EPHEDRINE HCL ETHICA INJECTION
ALKOHOL SWAB
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
Vasofix Safety G18
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00
1,00
16,00

29 Mei 2013 08:22

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
RING AS SANBE 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
LIDOCAIN 2% INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
3,00
15,00

29 Mei 2013 08:14

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
RING AS SANBE 500 ML
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00

ONDANSENTRON INF 8 MG/4ML INJECTION

KETOROLAC 30 MG SOLUTION, INJECTION
CATAPRES INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
14,00

28 Mei 2013 15:33

Item
PYTOGIN S INJECTION
DISP SYRINGE 10 CC
KALTROFEN KALBE SUPPOSITORY 100 mg
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
1,00
2,00
2,00
4,00

28 Mei 2013 15:29

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
FUTROLIT INFUSION
WHITE SENSOR ELECTRODE
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
1,00
3,00
2,00
1,00
8,00

28 Mei 2013 14:57

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
FUTROLIT INFUSION
SANBE HEST
DISP SYRINGE 10 CC

JPK PNS
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00

DISP SYRINGE 1 CC TUBERCULIN

DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
11,00

28 Mei 2013 13:58

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
Vasofix Safety G18
INFUS SET JMS
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
WHITE SENSOR ELECTRODE
SOJOURN 250 CC INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
30,00
11,00

27 Mei 2013 09:17

Item
CERTOFIX TRIO V720
SILK 2-0 REVERSE CUTTING
SOJOURN 250 CC INHALATION
ISOFLURANE 250 CC AEROSOL
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISCOFIX + 10 CM TUBING
TRANSFUSION SET JMS
Vasofix Safety G18
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
TRAMUS 1% 5 ML AMP
SUCTION CATHETER 12
REINFORCED TRACHEAL CUFF 7.5
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
40,00
20,00
2,00
2,00
1,00
1,00
4,00
1,00
2,00
1,00
1,00
0,55
5,00
1,00
2,00
17,00

27 Mei 2013 09:06

Item
REINFORCED TRACHEAL CUFF 7.5
ETT PORTEX 7.5
TRAMUS 1% 5 ML AMP
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISCOFIX + 10 CM TUBING
Vasofix Safety G18
TRANSFUSION SET JMS
SOJOURN 250 CC INHALATION
SUCTION CATHETER 12
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
RING AS DOUBLE PORT 500 ML
SANBE HEST
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
2,00
60,00
1,00
1,00
1,00
1,00
1,00
4,00
1,00
15,00

27 Mei 2013 09:04

Item
CERTOFIX TRIO V1215 HF
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
SURFLO IV CATH NO 16
HANDSCOON GAMEX 7.5
MICROPORE 1/2 INC
SILK 2-0 REVERSE CUTTING
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
3,00
0,50
1,00
7,00

27 Mei 2013 09:03

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS DOUBLE PORT 500 ML
ATRAUCAN G 26
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
2,00

LIDOCAIN 2% INJECTION
FUTROLIT INFUSION
WHITE SENSOR ELECTRODE
SANBE HEST
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00
1,00
15,00

27 Mei 2013 09:02

Item
TRAMUS 1% 5 ML AMP
RING AS DOUBLE PORT 500 ML
SOJOURN 250 CC INHALATION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ETT PORTEX 7.5
MICROPORE 1/2 INC
SUCTION CATHETER 12
SANBE HEST
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
2,00
50,00
2,00
2,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
0,50
1,00
1,00
15,00

27 Mei 2013 09:01

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS DOUBLE PORT 500 ML
ATRAUCAN G 26
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 20 CC WIHTOUT NED
AQUA FOR INJECT OTSUKA 25 ML
EPHEDRINE HCL ETHICA INJECTION
WHITE SENSOR ELECTRODE
FUTROLIT INFUSION
SANBE HEST

JAMPERSAL
Quantity
1,00
2,00
2,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

16,00

27 Mei 2013 08:58

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
17,00

27 Mei 2013 08:57

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
15,00

27 Mei 2013 08:55

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
VASCON SOLUTION, INJECTION 4 MG/4 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
TRAMUS 1% 5 ML AMP
CERTOFIX TRIO V720
ETT PORTEX 7
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
BD VACUTAINER
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
SUCTION CATHETER 12
MICROPORE 1/2 INC
DISCOFIX + 10 CM TUBING
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TRANSFUSION SET JMS
Vasofix Safety G18
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
3,00
3,00
2,00
3,00
11,00
4,00
4,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
1,00
0,50
2,00
1,00
2,00
2,00
23,00

22 Mei 2013 08:57

Item
SILK 2-0 REVERSE CUTTING
CERTOFIX DUO HF V1215
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 6.5
SURFLO IV CATH NO 16
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
7,00

18 Mei 2013 12:26

Item
DULCOLAX 5 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
1,00

TOTAL

18 Mei 2013 12:20

Item
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

18 Mei 2013 12:19

Item
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

18 Mei 2013 12:14

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 11:28

Item
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

18 Mei 2013 11:23

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 11:23

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
NATRIUM DIKLOFENAK KF TABLET 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
2,00

18 Mei 2013 11:14

JAKARTA SEHAT

Item
NATRIUM DIKLOFENAK KF TABLET 25 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

Quantity
28,00
84,00
2,00

18 Mei 2013 10:25

Item
HUMULIN N CARTRIDGE 3 ML SUSPENSION, INJECTION
BD MICRO-FINE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
28,00
28,00
3,00

18 Mei 2013 10:24

Item
KALIUM DIKLOFENAK 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

18 Mei 2013 09:58

Item
PUMPITOR SANBE 20 MG CAPSULE
VOMETA FT TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
10,00
2,00

18 Mei 2013 09:31

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

18 Mei 2013 08:39

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00

DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
3,00
1,00
12,00

18 Mei 2013 08:27

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
12,00

18 Mei 2013 08:21

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
13,00

18 Mei 2013 08:12

JAKARTA SEHAT

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TRANSFUSION SET JMS
Vasofix Safety G18
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
COVERPLAST LATEX FREE
ALKOHOL SWAB
disp infusion pump biotek 100ml
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
3,00
1,00
16,00

18 Mei 2013 08:04

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
13,00

18 Mei 2013 08:00

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
13,00

17 Mei 2013 15:34

Item
Vasofix Safety G18
INFUS SET JMS
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
SUCTION CATHETER 10
ETT PORTEX 8
DISP SYRINGE 10 CC
SOJOURN 250 CC INHALATION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
50,00
0,50
10,00

17 Mei 2013 15:02

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
2,00
1,00
3,00
13,00

17 Mei 2013 15:00

Item
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
FENTANYL KF 2 ML SOLUTION, INJECTION
ANTRAIN INJECTION
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
4,00
4,00
1,00
3,00
6,00

17 Mei 2013 14:51

Item
SOJOURN 250 CC INHALATION
FENTANYL KF 2 ML SOLUTION, INJECTION
VASOFIX SAFETY G 20
Vasofix Safety G18
INFUS SET JMS
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
40,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
11,00

17 Mei 2013 14:46

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
2,00
1,00
3,00
13,00

17 Mei 2013 07:38

Item
CERTOFIX DUO PAED S 513
SILK 2-0 REVERSE CUTTING
SURFLO IV CATH NO 16
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
LIDOCAIN 2% INJECTION
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
7,00

17 Mei 2013 07:34

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
12,00

15 Mei 2013 09:32

Item
ETT PORTEX 4
STOMACH TUBE 6 JMS
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
SUCTION CATHETER 8
INFUS SET JMS
IVENA IV CATH 22
PROANES 10 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
RINGERFUNDIN INFUSION
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
100,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
12,00

TOTAL

15 Mei 2013 07:55

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
TRANSFUSION SET JMS
IVENA IV CATH 22
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
3,00
13,00

15 Mei 2013 07:51

Item
RECOFOL SOLUTION, INJECTION 10 mg/ml
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
LIDOCAIN 2% INJECTION
VASOFIX SAFETY G 20
INFUS SET JMS
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
RINGERFUNDIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
1,00
10,00

15 Mei 2013 07:48

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
LIDOCAIN 2% INJECTION

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00

RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
INFLESCO TABLET
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
2,00
18,00

14 Mei 2013 15:31

Item
RECOFOL SOLUTION, INJECTION 10 mg/ml
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
IVENA IV CATH 22
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
10,00

13 Mei 2013 12:57

Item
SPORETIK 50 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
1,00

13 Mei 2013 09:31

Item
CERTOFIX DUO HF V1215
SILK 2-0 REVERSE CUTTING
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
SURFLO IV CATH NO 16
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

7,00

13 Mei 2013 09:26

Item
CERTOFIX DUO HF V1215
SILK 2-0 REVERSE CUTTING
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
SURFLO IV CATH NO 16
AQUA FOR INJECT OTSUKA 25 ML
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
8,00

13 Mei 2013 08:45

Item
CERTOFIX TRIO V720
SILK 2-0 REVERSE CUTTING
FENTANYL KF 2 ML SOLUTION, INJECTION
TRAMUS 1% 5 ML AMP
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISCOFIX + 10 CM TUBING
SOJOURN 250 CC INHALATION
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
3,00
4,00
1,00
1,00
3,00
3,00
60,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
17,00

13 Mei 2013 08:34

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00

FUTROLIT INFUSION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
1,00
1,00
2,00
2,00
1,00
1,00
3,00
1,00
14,00

13 Mei 2013 08:11

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
LIDOCAIN 2% INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
WHITE SENSOR ELECTRODE
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
1,00
17,00

13 Mei 2013 07:58

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
RINGERFUNDIN INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
3,00
1,00

TUSLAH NON RACIKAN

TOTAL

8,00

11 Mei 2013 12:33

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
15,00

11 Mei 2013 12:24

Item
INFUS SET JMS
IVENA IV CATH 24
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
6,00
2,00
3,00
3,00
6,00

11 Mei 2013 11:30

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
FUTROLIT INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

WHITE SENSOR ELECTRODE

TUSLAH NON RACIKAN
TOTAL

3,00
9,00

11 Mei 2013 11:28

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 11:27

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 11:19

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
Vasofix Safety G18
TRANSFUSION SET JMS
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
10,00

11 Mei 2013 11:15

Item
PROANES 10 MG/ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
Vasofix Safety G18
TRANSFUSION SET JMS
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
3,00

TUSLAH NON RACIKAN

TOTAL

10,00

11 Mei 2013 10:02

Item
TUZALOS TABLET
LEVOCIN SANBE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
5,00
2,00

8 Mei 2013 08:08

Item
Vasofix Safety G18
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
TRAMUS 1% 5 ML AMP
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
RINGERFUNDIN INFUSION
SOJOURN 250 CC INHALATION
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISCOFIX + 10 CM TUBING
ASAM TRANEKSAMAT 500/5 ML INJECTION
ATROPIN ETHICA 0.25 MG INJECTION
PROSTIGMIN SOLUTION, INJECTION 0.5 mg
ETT PORTEX 8
SUCTION CATHETER 14
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
3,00
100,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
2,00
2,00
20,00

8 Mei 2013 08:02

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00

TRANSFUSION SET JMS

DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
3,00
3,00
1,00
13,00

8 Mei 2013 07:57

Item
LOCOPLEX BEVEL 30 G21,50mm&100mm
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

8 Mei 2013 07:54

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
3,00
3,00
1,00
13,00

8 Mei 2013 07:48

Item
ETT PORTEX 7.5
FENTANYL KF 2 ML SOLUTION, INJECTION
TRAMUS 1% 5 ML AMP
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
ATROPIN ETHICA 0.25 MG INJECTION
PROSTIGMIN SOLUTION, INJECTION 0.5 mg
ONDANSENTRON INF 8 MG/4ML INJECTION

JAKARTA SEHAT
Quantity
1,00
4,00
6,00
2,00
3,00
3,00
1,00

LIDOCAIN 2% INJECTION
DISCOFIX + 10 CM TUBING
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
CERTOFIX TRIO V720
SILK 2-0 REVERSE CUTTING
SUCTION CATHETER 10
RINGERFUNDIN INFUSION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
4,00
2,00
100,00
2,00
1,00
1,00
19,00

7 Mei 2013 14:59

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
SPINOCAN 27
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
LIDOCAIN 2% INJECTION
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
11,00

7 Mei 2013 14:50

Item
CERTOFIX DUO HF V1215
SILK 2-0 REVERSE CUTTING
LIDOCAIN 2% INJECTION
SURFLO IV CATH NO 16
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
3,00
1,00
6,00

6 Mei 2013 08:26

Item

JAKARTA SEHAT
Quantity

BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION

ATRAUCAN G 26
LIDOCAIN 2% INJECTION
WIDAHES 130
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
2,00
3,00
1,00
1,00
1,00
1,00
3,00
3,00
2,00
2,00
1,00
2,00
17,00

6 Mei 2013 08:21

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
TRAMUS 1% 5 ML AMP
REINFORCED TRACHEAL CUFF 7.5
SUCTION CATHETER 14
DISCOFIX + 10 CM TUBING
Vasofix Safety G18
TRANSFUSION SET JMS
SOJOURN 250 CC INHALATION
DOPAC 40 MG/ML INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
WIDAHES 130
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
MICROPORE 1/2 INC
CENDO GENTAMYCIN 3.5 GM OINTMENT
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
3,00
2,00
3,00
60,00
1,00
1,00
1,00
4,00
1,00
1,00
2,00
2,00
4,00
3,00
2,00
1,00
1,00
3,00
3,00
23,00

TOTAL

4 Mei 2013 10:46

Item
CERTOFIX TRIO V1215 HF
SILK 2-0 REVERSE CUTTING
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
2,00
2,00
6,00

4 Mei 2013 09:19

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

3 Mei 2013 08:17

Item
ATRAUCAN G 26
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISCOFIX + 10 CM TUBING
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
CATAPRES INJECTION
ANESFAR INJEKSI
FUROSEMID INF INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
disp infusion pump biotek 100ml
ANTRAIN INJECTION
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00
1,00
1,00
3,00
2,00
1,00
1,00
1,00
2,00
1,00
4,00
3,00
1,00
16,00

3 Mei 2013 08:07

Item
STIMUPLEX A 0.80 X 100 MM (21 G X 4")

JAKARTA SEHAT
Quantity
1,00

MARCAIN 0.50% PDF 20 ML INJECTION

XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
ANESFAR INJEKSI
WHITE SENSOR ELECTRODE
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
1,00
2,00
1,00
4,00
2,00
10,00

3 Mei 2013 07:48

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
RINGERFUNDIN INFUSION
GELAFUSAL 500 ML INFUSION
TRANSFUSION SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
ALKOHOL SWAB
COVERPLAST LATEX FREE
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
3,00
1,00
3,00
14,00

3 Mei 2013 07:44

Item
CERTOFIX TRIO V1215 HF
SILK 2-0 REVERSE CUTTING
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
0,50
2,00
1,00
2,00
2,00
7,00

3 Mei 2013 07:26

JAKARTA SEHAT

Item
disp infusion pump biotek 100ml
ANTRAIN INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISCOFIX + 10 CM TUBING
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
3,00
1,00
1,00
4,00

2 Mei 2013 14:55

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
COVERPLAST LATEX FREE
ALKOHOL SWAB
Vasofix Safety G18
TRANSFUSION SET JMS
WHITE SENSOR ELECTRODE
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
3,00
2,00
1,00
11,00

2 Mei 2013 14:54

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
LIDOCAIN 2% INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
RINGERFUNDIN INFUSION
GELAFUSAL 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
2,00
2,00
3,00
1,00
3,00
13,00

2 Mei 2013 14:27

Item

JAKARTA SEHAT
Quantity

PROPOFOL LIPURO 20 ML EMULSION, INJECTION

MYOMERGIN 0.2 MG/ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
VASOFIX SAFETY G 20
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
2,00
2,00
1,00
6,00

2 Mei 2013 14:19

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
INFUS SET JMS
MYOMERGIN 0.2 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
2,00
1,00
2,00
5,00

2 Mei 2013 14:17

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
LIDOCAIN 2% INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
2,00
7,00

2 Mei 2013 14:14

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
VASOFIX SAFETY G 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
1,00
7,00

2 Mei 2013 14:12

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
VASOFIX SAFETY G 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
1,00
2,00
1,00
1,00
8,00

2 Mei 2013 14:03

Item
CERTOFIX TRIO V1215 HF
SILK 2/0 tap HR22 Assut
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
2,00
2,00
7,00

2 Mei 2013 13:51

Item
LOCOPLEX BEVEL 30 G21,50mm&100mm
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
ANESFAR INJEKSI
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
3,00
7,00

2 Mei 2013 13:49

Item
REINFORCED 4 PEADIATRIC
PROANES 10 MG/ML INJECTION
TRAMUS 1% 5 ML AMP
RINGERFUNDIN INFUSION
VASOFIX SAFETY G 20

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00

MICRODRIP OI-34 OTSUKA

SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISCOFIX + 10 CM TUBING
SUCTION CATHETER 10
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
40,00
2,00
1,00
2,00
1,00
1,00
3,00
13,00

2 Mei 2013 13:27

Item
TRAMUS 1% 5 ML AMP
SOJOURN 250 CC INHALATION
REINFORCED TRACHEAL CUFF 7.5
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
DISCOFIX + 10 CM TUBING
TRANSFUSION SET JMS
Vasofix Safety G18
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
ANTRAIN INJECTION
STOMACH TUBE 20 JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
ATROPIN ETHICA 0.25 MG INJECTION
PROSTIGMIN SOLUTION, INJECTION 0.5 mg
SUCTION CATHETER 12
EPHINEPRIN ETHICA INJECTION
PROANES 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
40,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
4,00
1,00
4,00
2,00
2,00
2,00
2,00
1,00
1,00
1,00
19,00

2 Mei 2013 13:23

Item
VASOFIX SAFETY G 20
INFUS SET JMS
RINGERFUNDIN INFUSION
PROANES 10 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
30,00
2,00
1,00

DISP SYRINGE 5 CC
MICROPORE 1 INC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

2,00
0,50
3,00
11,00

2 Mei 2013 13:16

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
3,00
6,00
1,00
2,00
2,00
1,00
3,00
3,00
13,00

2 Mei 2013 13:14

Item
PROANES 10 MG/ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
3,00
7,00

2 Mei 2013 12:59

Item
PROANES 10 MG/ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
3,00

RINGERFUNDIN INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
7,00

2 Mei 2013 12:15

Item
Vasofix Safety G18
TRANSFUSION SET JMS
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
2,00
1,00
2,00
3,00
13,00

2 Mei 2013 12:13

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
CATAPRES INJECTION
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
TRANSFUSION SET JMS
Vasofix Safety G18
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
2,00
3,00
1,00
2,00
14,00

2 Mei 2013 09:35

Item
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
1,00

RINGERFUNDIN INFUSION
SOJOURN 250 CC INHALATION
PROANES 10 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
MARCAIN 0.50% PDF 20 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
MICRODRIP OI-34 OTSUKA
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
30,00
1,00
1,00
0,50
1,00
2,00
1,00
1,00
10,00

2 Mei 2013 09:31

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
AQUA FOR INJECT OTSUKA 25 ML
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
3,00
13,00

2 Mei 2013 09:28

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUROSEMID INF INJECTION
EPHEDRINE HCL ETHICA INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED

ASKES
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
1,00

COVERPLAST LATEX FREE

ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
3,00
16,00

2 Mei 2013 08:47

Item
PROANES 10 MG/ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
8,00

1 Mei 2013 07:28

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
RING AS DOUBLE PORT 500 ML
GELAFUSAL 500 ML INFUSION
TRANSFUSION SET THERUMO
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
ALKOHOL SWAB
COVERPLAST LATEX FREE
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
3,00
1,00
3,00
15,00

Depo
Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
PKG
AMP
BOT
PKG
UNT
UNT
AMP
PKG
UNT
CC
BOT
BOT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
VIL
AMP
AMP
AMP
BOT
AMP
AMP
UNT
UNT
UNT
BOT

Pasien
Penjamin
70731
70731
3759
3759
1382
1382
1997
1997
1540
1540
1757
1757
3000
3000
84166
84166

0
0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
15397
15397
5881
5881
32670
32670
26950
26950
5732
5732
92664
92664
56806.6 56806.6
5294
5294
534600
534600
49251
49251
51216
51216
16335
16335
33792
33792
1068
1068
7500
7500
1093557 1093557

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
83718
83718
63630
63630
3036
3036
2940
2940
2640
2640
15444
15444
46958
46958
3994
3994
1757
1757
2550
2550
16417
16417

0
0
0
0
0
0
0
0
0
0
0

AMP
CC
UNT
UNT

Emergency OK
Subtotal
PKG
VIL
BOT
AMP
AMP
CC
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
BOT
AMP
AMP
AMP
AMP
UNT
UNT
AMP
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal

92664
320760
5294
7000
668802

92664
320760
5294
7000
668802

0
0
0
0
0

Pasien
Penjamin
481197
481197
98736
98736
32834
32834
9601
9601
15397
15397
320760
320760
5294
5294
3994
3994
1275
1275
6336
6336
5000
5000
980424
980424

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
184008
184008
32834
32834
51216
51216
9601
9601
15397
15397
17952
17952
15444
15444
3994
3994
2550
2550
2891
2891
1068
1068
33792
33792
16335
16335
1757
1757
8000
8000
584058
584058

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

PKG
UNT

Emergency OK
Subtotal
VIL
AMP
AMP
BOT
UNT
UNT
UNT
AMP
AMP
UNT
UNT
UNT
BOT
BOT
UNT

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
BOT
AMP
AMP
AMP
AMP
AMP
UNT
UNT
BOT
UNT

Emergency OK
Subtotal
AMP

213840
500
214340

213840
500
214340

0
0
0

Pasien
Penjamin
83718
83718
63630
63630
2940
2940
5280
5280
1997
1997
2550
2550
1757
1757
15444
15444
46958
46958
1068
1068
33792
33792
16335
16335
16417
16417
51216
51216
7000
7000
350102
350102

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
184008
184008
32834
32834
51216
51216
9601
9601
15397
15397
17952
17952
46958
46958
1382
1382
3994
3994
2550
2550
12540
12540
6500
6500
572151
572151

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444

PKG
BOT
BOT
BOT
AMP
AMP
AMP
AMP
UNT
AMP
UNT
UNT
UNT
UNT
AMP
UNT

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
BOT
AMP
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
BOT

118825
118825
32884
32884
184028
184028
51241
51241
9626
9626
15422
15422
5422
5422
17977
17977
381
381
9490.25 9490.25
4044
4044
1782
1782
2600
2600
33817
33817
2891
2891
8000
8000
566874.3 566874.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
184028
184028
32884
32884
51241
51241
10844
10844
9626
9626
15422
15422
17977
17977
1407
1407
46983
46983
4044
4044
1782
1782
2600
2600
1143
1143
7500
7500
574750
574750

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
184008
184008
32834
32834
51216
51216

0
0
0
0
0

AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
AMP
UNT

Emergency OK
Subtotal
AMP
UNT
SUP
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
BOT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BOT
BOT
UNT

9601
15397
44467
46958
15830
3994
2550
1757
1382
7000
604213

9601
15397
44467
46958
15830
3994
2550
1757
1382
7000
604213

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16266
16266
2022
2022
23612
23612
2600
2600
2000
2000
46500
46500

0
0
0
0
0
0

Pasien
Penjamin
92689
92689
3784
3784
9626
9626
15422
15422
51241
51241
6336
6336
4044
4044
1300
1300
4000
4000
188442
188442

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
102432
102432
184008
184008
1997
1997

0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
BOT
UNT
UNT
UNT
UNT
CC
UNT

Emergency OK
Subtotal
UNT
PKG
CC
CC
UNT
PKG
UNT
UNT
BAG
BOT
AMP
UNT
PKG
UNT
UNT
UNT
UNT
UNT

1757
1275
2112
5500
544241

1757
1275
2112
5500
544241

0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
9601
9601
33792
33792
8415
8415
51216
51216
1997
1997
1275
1275
1757
1757
6336
6336
320760
320760
5500
5500
580271
580271

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
869550
869550
56100
56100
427680
427680
147300
147300
53900
53900
65340
65340
16335
16335
33792
33792
72780
72780
51216
51216
166320
166320
5294
5294
481197
481197
14594.25 14594.25
9985
9985
5732
5732
2550
2550
8500
8500
2488165 2488165

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Emergency OK
Subtotal
PKG
UNT
AMP
UNT
PKG
UNT
UNT
CC
UNT
UNT
UNT
UNT
AMP
BAG
BOT
UNT

Emergency OK
Subtotal
PKG
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
AMP
BAG
PKG
AMP
UNT
UNT
UNT

Pasien
Penjamin
481197
481197
336501
336501
166320
166320
26950
26950
32670
32670
67584
67584
32670
32670
641520
641520
5294
5294
1997
1997
5732
5732
1275
1275
1382
1382
72780
72780
184008
184008
7500
7500
2065380 2065380

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1110780 1110780
2764
2764
1275
1275
16788
16788
36036
36036
13267.5 13267.5
56100
56100
3500
3500
1240511 1240511

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
10794
10794
7518
7518
9601
9601
15397
15397
36390
36390
118800
118800
15830
15830
3994
3994
2550
2550
3514
3514

0
0
0
0
0
0
0
0
0
0
0

AMP
BOT
UNT
BOT
UNT

Emergency OK
Subtotal
AMP
BAG
CC
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
AMP
BAG
PKG
UNT
UNT
UNT
UNT
BOT
AMP
UNT
BOT
BOT

1382
51216
6336
184008
7500
543249

1382
51216
6336
184008
7500
543249

0
0
0
0
0
0

Pasien
Penjamin
83160
83160
36390
36390
534600
534600
10794
10794
7518
7518
9601
9601
15397
15397
5732
5732
1757
1757
3994
3994
2550
2550
336501
336501
13267.5 13267.5
5294
5294
184008
184008
7500
7500
1258064 1258064

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
10844
10844
7568
7568
9626
9626
15422
15422
36390
36390
118825
118825
4044
4044
2600
2600
1782
1782
5757
5757
2665
2665
17977
17977
6336
6336
51241
51241
184028
184028

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
BOT
UNT

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT

8000
551549

8000
551549

0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
36390
36390
51216
51216
10794
10794
7518
7518
9601
9601
15397
15397
17952
17952
46958
46958
1382
1382
1757
1757
3994
3994
5732
5732
2550
2550
2640
2640
8500
8500
600340
600340

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
190765
190765
36390
36390
51241
51241
10844
10844
7568
7568
9626
9626
15422
15422
17977
17977
1782
1782
2022
2022
2600
2600
11514
11514
6336
6336
7500
7500
558856
558856

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
VIL
BAG
AMP
AMP
AMP
UNT
UNT
BAG
AMP
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
PKG
PKG
AMP
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Pasien
Penjamin
68444
68444
140949
140949
16266
16266
7568
7568
572295
572295
200145
200145
380160
380160
18980.5 18980.5
166370
166370
869575
869575
336526
336526
8220
8220
9626
9626
1923
1923
4044
4044
11514
11514
3900
3900
5319
5319
13267.5 13267.5
65340
65340
26975
26975
32720
32720
67634
67634
11500
11500
3039261 3039261

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56100
56100
1088340 1088340
1382
1382
2550
2550
24024
24024
12012
12012
16788
16788
3500
3500
1204696 1204696

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10140
10140
500
500

0
0

10640

Apotik Panel
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel
Subtotal
VIL
UNT

Depo IGD
Subtotal
CTG
TAB
UNT

Depo IGD

10640

Pasien
Penjamin
9978
9978
500
500
10478
10478

0
0
0

Pasien
Penjamin
20820
20820
500
500
21320
21320

0
0
0

Pasien
Penjamin
13188
13188
500
500
13688
13688

0
0
0

Pasien
Penjamin
103488
103488
500
500
103988
103988

0
0
0

Pasien
Penjamin
208089
208089
500
500
208589
208589

0
0
0

Pasien
Penjamin
180048
180048
4040
4040
1000
1000
185088
185088

0
0
0
0

Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CTG
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL

Pasien
Penjamin
5656
5656
10584
10584
1000
1000
17240
17240

0
0
0
0

Pasien
Penjamin
324086
324086
51184
51184
9968
9968
1500
1500
386738
386738

0
0
0
0
0

Pasien
Penjamin
4680
4680
500
500
5180
5180

0
0
0

Pasien
Penjamin
242920
242920
44220
44220
1000
1000
288140
288140

0
0
0
0

Pasien
Penjamin
127500
127500
500
500
128000
128000

0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
190740
190740

0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
PKG
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
PKG
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Emergency OK

1997
2550
3080
1068
382
6000
484835

1997
2550
3080
1068
382
6000
484835

0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
190740
190740
1997
1997
1275
1275
1540
1540
382
382
1068
1068
6000
6000
482020
482020

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
190740
190740
16335
16335
1997
1997
1275
1275
1757
1757
382
382
1068
1068
6500
6500
499072
499072

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
BAG
VIL
PKG
UNT
PKG
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
9490.25 9490.25
16335
16335
33792
33792
1997
1997
1275
1275
1757
1757
33858
33858
190740
190740
382
382
1068
1068
158400
158400
8000
8000
702254.3 702254.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
190740
190740
16335
16335
33792
33792
1997
1997
1275
1275
382
382
1068
1068
6500
6500
531107
531107

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382

0
0
0
0
0

BAG
VIL
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Emergency OK
Subtotal
UNT
UNT
BAG
BOT
AMP
UNT
UNT
UNT
CC
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
AMP
UNT
UNT
PKG
UNT
UNT

33858
190740
16335
1997
1757
1275
382
1068
6500
499072

33858
190740
16335
1997
1757
1275
382
1068
6500
499072

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792
8415
8415
33858
33858
51216
51216
9601
9601
5294
5294
112200
112200
1997
1997
534600
534600
13267.5 13267.5
5000
5000
809240.5 809240.5

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858
51216
51216
10794
10794
7518
7518
9601
9601
17952
17952
1757
1757
3994
3994
382
382
1068
1068
6500
6500
522599
522599

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Emergency OK
Subtotal
PKG
PKG
AMP
AMP
UNT
BOT
UNT

Emergency OK
Subtotal
CC
AMP
UNT
UNT
UNT
BAG
BOT
AMP
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
AMP
UNT
UNT
PKG
UNT
UNT

Pasien
Penjamin
158400
158400
32670
32670
187832
187832
38808
38808
1997
1997
7920
7920
3000
3000
430627
430627

0
0
0
0
0
0
0
0

Pasien
Penjamin
427680
427680
46958
46958
33792
33792
33792
33792
8415
8415
33858
33858
51216
51216
9601
9601
1997
1997
1757
1757
26535
26535
5500
5500
681101
681101

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
190765
190765
33908
33908
51241
51241
10844
10844
7568
7568
9626
9626
17977
17977
1782
1782
4044
4044
382
382
1143
1143
6500
6500
523049
523049

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Emergency OK
Subtotal
UNT
PKG
UNT
UNT
UNT
AMP
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
PKG
UNT
UNT

Emergency OK
Subtotal
PKG
UNT
AMP
CC
UNT
UNT
UNT
AMP
UNT
UNT
BAG
BOT
UNT

Pasien
Penjamin
801900
801900
56100
56100
16788
16788
24024
24024
24024
24024
1382
1382
1757
1757
3500
3500
929475
929475

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
190740
190740
16335
16335
1997
1997
1757
1757
382
382
1068
1068
6000
6000
497297
497297

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
91194
91194
17160
17160
46958
46958
1069200 1069200
5294
5294
8415
8415
29976
29976
70731
70731
1997
1997
1540
1540
33858
33858
2640
2640
6000
6000

0
0
0
0
0
0
0
0
0
0
0
0
0

1384963

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
UNT
UNT
BAG
VIL
UNT
PKG
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
BAG
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP

1384963

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
16335
16335
14988
14988
33858
33858
190740
190740
1997
1997
382
382
1068
1068
6336
6336
6500
6500
517364
517364

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
96180
96180
15444
15444
46958
46958
3759
3759
1382
1382
33792
33792
8415
8415
1068
1068
6336
6336
16929
16929
5000
5000
235263
235263

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
9626
9626
7568
7568
10844
10844
1407
1407

0
0
0
0
0
0
0

BAG
VIL
UNT
AMP
UNT
UNT
UNT
PKG
UNT
UNT
TAB
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
UNT
BAG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
UNT

Emergency OK
Subtotal
PKG
PKG
AMP
UNT
UNT
UNT
UNT

33908
190765
16360
15855
2022
1565
1782
382
1143
6336
25130
9000
567945

33908
190765
16360
15855
2022
1565
1782
382
1143
6336
25130
9000
567945

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
96180
96180
46958
46958
9601
9601
3759
3759
14988
14988
16929
16929
1997
1997
1540
1540
6336
6336
1068
1068
5000
5000
204356
204356

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
88870
88870
500
500
89370
89370

0
0
0

Pasien
Penjamin
1088340 1088340
56100
56100
2764
2764
1275
1275
16788
16788
12012
12012
12012
12012

0
0
0
0
0
0
0

UNT

Emergency OK
Subtotal
PKG
PKG
AMP
UNT
UNT
UNT
BOT
UNT
UNT

Emergency OK
Subtotal
UNT
PKG
AMP
AMP
BAG
VIL
UNT
UNT
PKG
CC
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
VIL
BAG

3500
1192791

3500
1192791

0
0

Pasien
Penjamin
1088340 1088340
56100
56100
2764
2764
12012
12012
12012
12012
16788
16788
2640
2640
26535
26535
4000
4000
1221191 1221191

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
869550
869550
56100
56100
234790
234790
249480
249480
67716
67716
190740
190740
16335
16335
80850
80850
98010
98010
641520
641520
92664
92664
9601
9601
26535
26535
3994
3994
5732
5732
2550
2550
1540
1540
8500
8500
2656207 2656207

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
190765
190765
33908
33908

0
0
0
0

BOT
AMP
AMP
UNT
UNT
UNT
PKG
UNT
UNT
BOT
UNT

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
UNT
UNT
UNT
AMP
PKG
UNT
AMP
UNT
BOT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
UNT
BAG

51241
16266
9626
2022
2600
3130
382
381
6336
2665
7000
513591

51241
16266
9626
2022
2600
3130
382
381
6336
2665
7000
513591

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858
51216
51216
5397
5397
9601
9601
17952
17952
3994
3994
1275
1275
1540
1540
1382
1382
382
382
1068
1068
15830
15830
6336
6336
2640
2640
8500
8500
538930
538930

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
9601
9601
46958
46958
3994
3994
1275
1275
1540
1540
6336
6336
16929
16929

0
0
0
0
0
0
0
0

UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
BOT
UNT
UNT
AMP
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
BOT
UNT
UNT
UNT

4000
183297

4000
183297

0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
5397
5397
9601
9601
1382
1382
33858
33858
190740
190740
16335
16335
1997
1997
1757
1757
1275
1275
6336
6336
382
382
1068
1068
7500
7500
511805
511805

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
98502
98502
3080
3080
3825
3825
13935
13935
3000
3000
145745
145745

0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
9601
9601
1382
1382
51216
51216
16335
16335
1997
1997
1275
1275

0
0
0
0
0
0
0
0

UNT
UNT

Emergency OK
Subtotal
BOT
UNT

Emergency OK
Subtotal
BOT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
UNT
UNT
BAG
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
UNT
UNT
BAG
UNT
UNT
UNT

6336
4500
232264

6336
4500
232264

0
0
0

Pasien
Penjamin
51216
51216
500
500
51716
51716

0
0
0

Pasien
Penjamin
51216
51216
500
500
51716
51716

0
0
0

Pasien
Penjamin
92664
92664
46958
46958
9601
9601
1382
1382
33792
33792
16335
16335
16929
16929
1997
1997
1275
1275
6336
6336
5000
5000
232269
232269

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
46958
46958
9601
9601
1382
1382
33792
33792
16335
16335
33858
33858
1997
1997
1275
1275
6336
6336

0
0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Emergency OK
Subtotal
UNT
AMP
AMP
AMP
AMP
BAG
BAG
CC
BOT
AMP
AMP
UNT
PKG
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BAG

5000
227265

5000
227265

0
0

Pasien
Penjamin
6680
6680
173910
173910
1000
1000
181590
181590

0
0
0
0

Pasien
Penjamin
33792
33792
92664
92664
166320
166320
15444
15444
46958
46958
175824
175824
50787
50787
1069200 1069200
51216
51216
9601
9601
1382
1382
26950
26950
32670
32670
9490.25 9490.25
3280
3280
17706
17706
112200
112200
5294
5294
3994
3994
11464
11464
10000
10000
1946236 1946236

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
175824
175824

0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
UNT
PKG
UNT

Emergency OK
Subtotal
UNT
VIL
AMP
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Emergency OK
Subtotal
UNT
AMP
AMP
AMP
AMP
AMP
AMP

16335
3994
11464
6336
1068
382
6500
500921

16335
3994
11464
6336
1068
382
6500
500921

0
0
0
0
0
0
0
0

Pasien
Penjamin
181632
181632
83718
83718
63630
63630
1500
1500
330480
330480

0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
175824
175824
16335
16335
1997
1997
5732
5732
6336
6336
1068
1068
382
382
6500
6500
493192
493192

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
336501
336501
187832
187832
498960
498960
185328
185328
4920
4920
26559
26559
9601
9601

0
0
0
0
0
0
0

AMP
PKG
UNT
UNT
PKG
UNT
BAG
BAG
CC
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
UNT
BAG
BAG
AMP
UNT
UNT
AMP
UNT
PKG
UNT
UNT

Emergency OK
Subtotal
PKG
PKG
AMP
UNT
UNT
PKG
UNT

Emergency OK
Subtotal

1382
32670
26950
869550
56100
5294
67716
351648
1069200
3994
5732
1540
9500
3750977

1382
32670
26950
869550
56100
5294
67716
351648
1069200
3994
5732
1540
9500
3750977

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
28958
28958
175824
175824
16929
16929
9601
9601
1997
1997
5732
5732
1382
1382
6336
6336
382
382
1068
1068
5500
5500
322128
322128

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1088340 1088340
56100
56100
2764
2764
16788
16788
36036
36036
502
502
3000
3000
1203530 1203530

0
0
0
0
0
0
0
0

Pasien

Penjamin

AMP
PKG
AMP
BOT
BAG
BOT
AMP
AMP
AMP
AMP
PKG
UNT
UNT
BOT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
PKG
UNT
PKG
UNT
UNT
CC
AMP
AMP
BOT
BAG
AMP
BAG
BOT
AMP
UNT
UNT
UNT
UNT
TUB
UNT
UNT
UNT

68419
118800
1382
196680
33858
102432
16191
3759
9601
17952
382
1068
6336
5280
3994
5732
3080
8500
603446

68419
118800
1382
196680
33858
102432
16191
3759
9601
17952
382
1068
6336
5280
3994
5732
3080
8500
603446

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
185328
185328
166320
166320
481197
481197
5294
5294
98010
98010
67584
67584
49005
49005
641520
641520
47520
47520
95040
95040
196680
196680
67716
67716
9601
9601
8195
8195
5280
5280
93916
93916
7988
7988
17196
17196
3080
3080
26535
26535
32010
32010
6336
6336
1068
1068
11500
11500

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2323919

Emergency OK
Subtotal
PKG
PKG
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Emergency OK
Subtotal
PKG
UNT
UNT
UNT
PKG
BAG
BAG
AMP
AMP
AMP
AMP
AMP
PKG
AMP
UNT
PKG
UNT

Emergency OK
Subtotal
PKG

2323919

Pasien
Penjamin
1110780 1110780
56100
56100
2764
2764
1997
1997
24024
24024
24024
24024
3000
3000
1222689 1222689

0
0
0
0
0
0
0
0

Pasien
Penjamin
5940
5940
500
500
6440
6440

0
0
0

Pasien
Penjamin
118800
118800
3994
3994
11464
11464
4620
4620
32670
32670
178200
178200
50787
50787
136838
136838
44467
44467
15444
15444
2222
2222
9490.25 9490.25
158400
158400
38808
38808
6336
6336
382
382
8000
8000
820922.3 820922.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
213840
213840

VIL
AMP
AMP
UNT
UNT
UNT
AMP
UNT
BOT
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Emergency OK
Subtotal
PKG
PKG
BOT
AMP
UNT
UNT
UNT
UNT

Emergency OK

83718
63630
3036
3994
5732
3080
15444
8448
5280
5000
411202

83718
63630
3036
3994
5732
3080
15444
8448
5280
5000
411202

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
7518
7518
10794
10794
33858
33858
178200
178200
16335
16335
33792
33792
1997
1997
5732
5732
3080
3080
1068
1068
382
382
6336
6336
7000
7000
493311
493311

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1110780 1110780
56100
56100
33858
33858
2764
2764
1997
1997
24024
24024
24024
24024
3500
3500
1257047 1257047

0
0
0
0
0
0
0
0
0

Subtotal
PKG
AMP
UNT
PKG
UNT

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Emergency OK
Subtotal

Pasien
Penjamin
158400
158400
29106
29106
5732
5732
32670
32670
2000
2000
227908
227908

0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
178200
178200
33858
33858
764
764
356
356
33792
33792
16335
16335
6336
6336
3994
3994
1540
1540
5500
5500
467894
467894

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
1382
1382
7518
7518
10794
10794
33858
33858
178200
178200
16335
16335
3994
3994
3080
3080
6336
6336
382
382
1068
1068
6500
6500
456666
456666

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

AMP
AMP
AMP
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
UNT
UNT
AMP
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT

92664
7518
1382
3994
11464
33792
3000
153814

92664
7518
1382
3994
11464
33792
3000
153814

0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
4146
4146
3994
3994
8415
8415
7518
7518
2500
2500
119237
119237

0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
1382
1382
7518
7518
33792
33792
1997
1997
11464
11464
3080
3080
3500
3500
155397
155397

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
7518
7518
1382
1382
1997
1997
5732
5732
33792
33792
8415
8415
3500
3500
155000
155000

0
0
0
0
0
0
0
0
0

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
BOT
UNT
UNT
UNT

Emergency OK
Subtotal
UNT
AMP
AMP
BAG
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
PKG
AMP
AMP
BAG
UNT

Pasien
Penjamin
92664
92664
7518
7518
1382
1382
3994
3994
5732
5732
3080
3080
33792
33792
8415
8415
4000
4000
160577
160577

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1110780 1110780
54903
54903
24024
24024
24024
24024
67716
67716
3994
3994
3080
3080
3500
3500
1292021 1292021

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
181632
181632
63630
63630
15444
15444
16929
16929
1997
1997
5732
5732
6336
6336
3500
3500
295200
295200

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
412890
412890
70731
70731
83160
83160
33858
33858
33792
33792

0
0
0
0
0

UNT
CC
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
CC
PKG
BAG
BAG
PKG
UNT
UNT
UNT
AMP
UNT
UNT
UNT
UNT
AMP
AMP
UNT
AMP
AMP
UNT

Emergency OK
Subtotal
UNT
UNT
BAG
AMP
AMP
CC
UNT
UNT

15280
427680
3994
5732
3080
32670
5294
6336
6500
1140997

15280
427680
3994
5732
3080
32670
5294
6336
6500
1140997

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
166320
166320
427680
427680
481197
481197
178200
178200
33858
33858
65340
65340
16335
16335
33792
33792
53900
53900
38808
38808
15400
15400
7988
7988
11464
11464
3080
3080
3280
3280
17706
17706
5294
5294
3036
3036
70731
70731
9500
9500
1642909 1642909

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792
8415
8415
33858
33858
70731
70731
9601
9601
320760
320760
3994
3994
5732
5732

0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
AMP
AMP
AMP
AMP
UNT
UNT
PKG
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT

3080
13300
6336
5500
515099

3080
13300
6336
5500
515099

0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
178200
178200
33858
33858
9601
9601
16191
16191
22554
22554
17952
17952
3994
3994
3080
3080
382
382
1068
1068
6336
6336
6500
6500
486935
486935

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
3759
3759
9601
9601
1997
1997
5732
5732
3080
3080
6336
6336
3500
3500
104736
104736

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
3759
3759
9601
9601
3994
3994
1540
1540
6336
6336

0
0
0
0
0
0

BAG
UNT

Emergency OK
Subtotal
UNT
UNT
AMP
PKG
BAG
BAG
AMP
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
BAG
BAG
AMP
UNT
UNT
UNT
UNT
UNT
UNT
PKG
AMP
UNT

Emergency OK
Subtotal
UNT

16929
3500
116390

16929
3500
116390

0
0
0

Pasien
Penjamin
33792
33792
16335
16335
68419
68419
118800
118800
178200
178200
16929
16929
9601
9601
382
382
1068
1068
3994
3994
5732
5732
3080
3080
6336
6336
6500
6500
469168
469168

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
44467
44467
178200
178200
33858
33858
9601
9601
16335
16335
33792
33792
3994
3994
5732
5732
3080
3080
6336
6336
382
382
9490.25 9490.25
7000
7000
539486.3 539486.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988

BAG
CC
AMP
AMP
VIL
UNT
UNT
UNT
BAG
UNT

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
AMP
AMP
PKG
UNT
UNT
UNT
UNT
BOT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
AMP
AMP
AMP
AMP
AMP
BOT
UNT
UNT
UNT

16929
320760
70731
15397
41859
1540
3994
15280
18793
5000
525271

16929
320760
70731
15397
41859
1540
3994
15280
18793
5000
525271

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
178200
178200
33858
33858
9601
9601
15397
15397
382
382
356
356
1997
1997
3080
3080
5732
5732
2640
2640
6336
6336
6500
6500
451298
451298

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
178200
178200
33858
33858
9601
9601
15397
15397
9490.25 9490.25
2222
2222
17952
17952
2640
2640
3994
3994
3080
3080
5732
5732

0
0
0
0
0
0
0
0
0
0
0
0
0

PKG
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
BAG
UNT
UNT
UNT
UNT

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

382
382
1068
1068
6336
6336
8000
8000
485171.3 485171.3

0
0
0
0
0

Pasien
Penjamin
70731
70731
3759
3759
9601
9601
15397
15397
16929
16929
3994
3994
1540
1540
6336
6336
4000
4000
132287
132287

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
9601
9601
15397
15397
1382
1382
36390
36390
178200
178200
17325
17325
33792
33792
1997
1997
5732
5732
3080
3080
1068
1068
382
382
6336
6336
7500
7500
505401
505401

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Waktu
31 Mei 2013 19:06
Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

Jaminan
UMUM
Quantity
3,00
3,00
6,00
6,00
9,00
9,00
4,00
3,00
3,00
3,00
3,00
3,00
12,00

31 Mei 2013 15:01

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
6,00
9,00
1,00
9,00
6,00
3,00
3,00
3,00
5,00
3,00
9,00
2,00
12,00

31 Mei 2013 14:55

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
VITAMIN B6 10 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION

JAKARTA SEHAT
Quantity
1,00
6,00
6,00
3,00
18,00

ASAM TRANEKSAMAT 500/5 ML INJECTION

BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

9,00
3,00
3,00
30,00
6,00
1,00
1,00
6,00
30,00
14,00

31 Mei 2013 14:53

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CO AMOXYCLAV INF 625 MG TABLET, COATED
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
5,00
5,00
9,00
9,00
3,00
3,00
1,00
1,00
30,00
11,00

31 Mei 2013 14:52

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

31 Mei 2013 14:51

Item
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)

JPK PNS
Quantity
3,00
6,00
9,00
12,00
6,00
1,00
1,00
30,00

TUSLAH NON RACIKAN

TOTAL

8,00

31 Mei 2013 14:51

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
FOLIC ACID 1 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
9,00
3,00
3,00
3,00
6,00
6,00
3,00
1,00
6,00
1,00
1,00
30,00
14,00

31 Mei 2013 14:51

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
FUROSEMID INF TABLET
CEFEPIME 1 GR INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
9,00
1,00
9,00
3,00
6,00
3,00
6,00
3,00
6,00
1,00
1,00
30,00
17,00

31 Mei 2013 14:51

Item
CETIRIZINE 10 MG TABLET
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
DISP SYRINGE 3 CC
DERMAFIX-1V
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
12,00
6,00
3,00
3,00
12,00
2,00
1,00
1,00
9,00

31 Mei 2013 14:50

Item
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
9,00
3,00
3,00
6,00
6,00
6,00
3,00
2,00
3,00
5,00
3,00
1,00
1,00
30,00
5,00
17,00

31 Mei 2013 14:50

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
1,00
6,00
9,00
3,00
3,00
5,00
5,00

FOLIC ACID 1 MG TABLET

URISPAS TABLET, FILM COATED 200 MG
CAPTOPRIL 12.5 MG TABLET
CURCUMA 200 MG TABLET
NEUROSANBE 3 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

9,00
8,00
3,00
9,00
3,00
3,00
6,00
1,00
1,00
5,00
17,00

31 Mei 2013 14:50

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
3,00
3,00
1,00
30,00
7,00

31 Mei 2013 14:50

Item
COTRIMOXAZOLE 480 MG TABLET
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
9,00
3,00
6,00
16,00
2,00
1,00
30,00
10,00
1,00
10,00

31 Mei 2013 14:49

Item
CURCUMA 200 MG TABLET
FOLIC ACID 1 MG TABLET

JPK PNS
Quantity
9,00
9,00

ACETYLCYSTEIN 200MG CAPS

VITAMIN B6 10 MG TABLET
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

9,00
6,00
9,00
9,00
3,00
3,00
6,00
6,00
10,00

31 Mei 2013 13:33

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

31 Mei 2013 13:33

Item
PRIMET TABLET
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
12,00
2,00

31 Mei 2013 13:31

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SOCLOR TABLET
FOLIC ACID 1 MG TABLET
FUTROLIT INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
1,00
9,00
3,00
6,00
9,00
6,00
3,00
10,00
1,00
1,00
1,00
3,00
3,00
15,00

31 Mei 2013 13:30

Item
RIFAMPICIN INF 300 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
INH 100 MG TABLET
ETHAMBUTOL500mg TABLET
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
FUROSEMID INF INJECTION
FUTROLIT INFUSION
DISP SYRINGE 5 CC
NEEDLE NO. 23 THERUMO
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
PYRAZINAMIDE INF 500 MG TABLET
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
3,00
6,00
9,00
9,00
9,00
9,00
3,00
3,00
36,00
3,00
3,00
3,00
1,00
1,00
30,00
6,00
2,00
17,00

31 Mei 2013 13:10

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BISOLVON 2 ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
9,00
3,00
3,00
6,00
6,00
3,00
6,00
6,00
3,00
12,00
6,00
1,00
1,00
30,00
3,00

DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

2,00
19,00

31 Mei 2013 13:10

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUTROLIT INFUSION
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
6,00
3,00
1,00
1,00
30,00
6,00
9,00

31 Mei 2013 13:09

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
6,00
6,00
9,00
9,00
6,00
12,00
3,00
21,00
2,00
1,00
1,00
30,00
16,00

31 Mei 2013 13:09

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
3,00
3,00
6,00

ETHAMBUTOL500mg TABLET
LEVOFLOXACIN INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
9,00
1,00
9,00
9,00
6,00
6,00
12,00
6,00
1,00
1,00
30,00
20,00
2,00
18,00

31 Mei 2013 13:08

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
SOLAC SYRUP
LOVENOX SOLUTION, INJECTION 40 mg
FOTARAM 1 g
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
2,00
1,00
4,00
6,00
3,00
1,00
1,00
30,00
6,00
2,00
9,00
13,00

31 Mei 2013 13:07

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG

JAKARTA SEHAT
Quantity
9,00
3,00
18,00
9,00
6,00
9,00
3,00

INPEPSA 100 ML SYRUP 500 mg/5 ml

STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
OMEPRAZOLE 40 MG INJECTION
FUROSEMID INF INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
RING AS SANBE 500 ML
NEEDLE NO. 23 THERUMO
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
3,00
6,00
6,00
3,00
3,00
15,00
3,00
15,00
2,00
3,00
3,00
6,00
21,00

31 Mei 2013 12:55

Item
CETIRIZINE 10 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
IMIPENEM CILASTATIN 1 GR INJECTION
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
1,00
4,00
6,00
1,00
1,00
30,00
6,00
2,00
10,00

31 Mei 2013 12:55

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
FUTROLIT INFUSION
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
5,00
6,00
6,00
6,00
3,00
3,00
6,00
1,00

INFUS SET JMS

HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

1,00
15,00
3,00
6,00
6,00
2,00
17,00

31 Mei 2013 12:54

Item
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
CALCIUM GLUCONAS ETHICA INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEEDLE NO. 23 THERUMO
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
3,00
3,00
6,00
6,00
6,00
9,00
10,00
6,00
3,00
6,00
3,00
3,00
10,00
3,00
3,00
20,00
2,00
1,00
1,00
20,00

31 Mei 2013 12:53

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
ANBACIM INJECTION

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
1,00
1,00
30,00
9,00

TUSLAH NON RACIKAN

TOTAL

9,00

31 Mei 2013 12:53

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
DERMAFIX-1V
RING AS SANBE 500 ML
AMLODIPIN 10 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
9,00
9,00
6,00
6,00
9,00
12,00
10,00
2,00
1,00
15,00
2,00
6,00
3,00
1,00
19,00

31 Mei 2013 12:52

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 20
INFUS SET JMS
DERMAFIX-1V

JAKARTA SEHAT
Quantity
1,00
9,00
3,00
3,00
6,00
6,00
6,00
9,00
3,00
3,00
6,00
6,00
12,00
1,00
1,00
2,00

ALKOHOL SWAB
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

10,00
9,00
3,00
2,00
20,00

31 Mei 2013 12:51

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 20
INFUS SET JMS
DERMAFIX-1V
ALKOHOL SWAB
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
3,00
3,00
6,00
6,00
6,00
9,00
3,00
3,00
6,00
6,00
12,00
1,00
1,00
2,00
10,00
9,00
3,00
2,00
20,00

31 Mei 2013 12:50

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
6,00
3,00
3,00
6,00
6,00
6,00
6,00
6,00
6,00
9,00

DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
ALKOHOL SWAB
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
1,00
30,00
3,00
3,00
9,00
1,00
19,00

31 Mei 2013 12:49

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
MAGARD FA TABLET, CHEWABLE
CURCUMA 200 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOLIC ACID 1 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
9,00
3,00
3,00
3,00
3,00
9,00
12,00
3,00
3,00
3,00
1,00
1,00
30,00
15,00

31 Mei 2013 12:47

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
METFORMIN HCL 500 MG TABLET
SOCLOR TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
3,00
6,00
6,00
6,00
3,00
6,00
6,00
1,00

OMEPRAZOLE 40 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 20
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
3,00
8,00
1,00
1,00
30,00
19,00

31 Mei 2013 12:28

Item
FUROSEMID INF TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
20,00
20,00
20,00
30,00
7,00

31 Mei 2013 12:26

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

31 Mei 2013 12:20

Item
DEXTROMETHORPHAN INF TABLET 15 MG
CEFEPIME 1 GR INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
2,00
6,00
1,00
1,00
6,00
20,00
8,00

31 Mei 2013 10:11

Item

JAKARTA SEHAT
Quantity

BD MICRO-FINE
ALKOHOL SWAB
HUMALOG MIX 25 CART 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
1,00
3,00

30 Mei 2013 13:06

Item
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 13:05

Item
DISP SYRINGE 20 CC WIHTOUT NED
FOLLEY CATHETER 16 RUSCH
AQUA FOR INJECT OTSUKA 25 ML
DRAINAGE BAG STERIL
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

30 Mei 2013 12:08

Item
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 11:27

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
FUTROLIT INFUSION
SELANG OKSIGEN ADULT
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
4,00
8,00
6,00
1,00
1,00
6,00
1,00
10,00
10,00

30 Mei 2013 11:26

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

30 Mei 2013 11:26

Item
LEVOFLOXACIN INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
6,00
6,00
1,00
1,00
20,00
1,00
8,00

30 Mei 2013 11:26

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
SELANG OKSIGEN ADULT
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
4,00
4,00
2,00
2,00
1,00
1,00
1,00
20,00
10,00

30 Mei 2013 10:32

Item
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

30 Mei 2013 10:31

Item
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 09:10

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

30 Mei 2013 09:09

Item
NATRIUM CHLORIDA PH POWDER
TOTAL

JAKARTA SEHAT
Quantity
6,00

30 Mei 2013 09:00

Item
LEVOFLOXACIN INF TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
15,00
15,00
15,00
4,00

30 Mei 2013 08:50

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

30 Mei 2013 08:48

Item
RIFAMPICIN GENERIK 450 MG TABLET

JAKARTA SEHAT
Quantity
10,00

INH 300 MG TABLET

PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
20,00
20,00
20,00
5,00

30 Mei 2013 08:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

29 Mei 2013 14:46

Item
PARACETAMOL INF TABLET 500 mg
FOLIC ACID 1 MG TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
4,00
6,00
4,00
2,00
2,00
10,00
2,00
20,00
10,00
11,00

29 Mei 2013 14:44

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SOCLOR TABLET
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
2,00
4,00
6,00
2,00
6,00
4,00

FUTROLIT INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

4,00
6,00
6,00
2,00
1,00
1,00
8,00
16,00

29 Mei 2013 14:44

Item
PROPYLTHIOURASIL 100 MG TABLET
AMLODIPIN 5 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
DEXTROMETHORPHAN INF TABLET 15 MG
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
6,00
1,00
6,00
6,00
2,00
6,00
4,00
6,00
4,00
12,00
2,00
20,00
6,00
6,00
13,00

29 Mei 2013 14:43

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
AMLODIPIN 10 MG TABLET
BD MICRO-FINE
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
6,00
6,00
2,00
6,00
4,00
4,00
6,00
2,00

ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
1,00
20,00
16,00

29 Mei 2013 14:42

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 100 MG TABLET
ETHAMBUTOL500mg TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEEDLE NO. 23 THERUMO
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
DEXAMETHASONE 5 MG INJECTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
2,00
4,00
6,00
2,00
4,00
14,00
2,00
2,00
2,00
20,00
12,00
6,00
6,00
6,00
20,00
17,00

29 Mei 2013 14:42

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
6,00
1,00
6,00
6,00
2,00
2,00
4,00
4,00
6,00
4,00
6,00
6,00
20,00
4,00

TUSLAH NON RACIKAN

TOTAL

14,00

29 Mei 2013 14:41

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
6,00
6,00
4,00
2,00
12,00
4,00
20,00
2,00
20,00
20,00
4,00
6,00
16,00

29 Mei 2013 14:41

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
FUTROLIT INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
4,00
4,00
4,00
6,00
6,00
4,00
4,00
4,00
6,00
2,00
6,00
14,00

29 Mei 2013 14:41

JAKARTA SEHAT

Item
MAGARD FA TABLET, CHEWABLE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PARACETAMOL INF TABLET 500 mg
FOLIC ACID 1 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
2,00
2,00
6,00
6,00
8,00
6,00
6,00
4,00
1,00
20,00
11,00

29 Mei 2013 14:41

Item
VITAMIN B6 10 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
2,00
12,00
12,00
4,00
20,00
20,00
8,00

29 Mei 2013 14:41

Item
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOLIC ACID 1 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
CAPTOPRIL 12.5 MG TABLET
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
6,00
6,00
2,00
2,00
3,00
3,00
6,00
6,00
2,00
2,00
2,00
20,00
4,00
2,00
14,00

TOTAL

29 Mei 2013 14:41

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
8,00
8,00
2,00
5,00

29 Mei 2013 14:40

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RANITIDINE INF TABLET 150 MG
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
2,00
2,00
4,00
4,00
4,00
4,00
20,00
4,00
6,00
6,00
12,00

29 Mei 2013 14:40

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

29 Mei 2013 14:40

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
1,00
6,00

SIMVASTATIN GENERIK 10 MG TABLET

DIGOXIN INF TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
2,00
2,00
3,00
2,00
4,00
10,00

29 Mei 2013 14:39

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ANBACIM INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00
6,00
2,00
6,00
20,00
9,00

29 Mei 2013 14:15

Item
DIGOXIN INF TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
4,00
4,00
4,00
6,00
4,00
4,00
2,00
20,00
8,00
12,00

29 Mei 2013 14:14

Item
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
6,00

AMBROXOL INF 30 MG TABLET

SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BISOLVON 2 ML INJECTION
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
6,00
2,00
2,00
4,00
6,00
4,00
12,00
6,00
4,00
2,00
20,00
4,00
18,00
20,00
17,00

29 Mei 2013 14:13

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
LEVOFLOXACIN INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUTROLIT INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
2,00
6,00
6,00
6,00
4,00
4,00
4,00
8,00
4,00
20,00
10,00
16,00

29 Mei 2013 14:13

Item
HALOPERIDOL INF 0.5 MG TABLET
AMBROXOL INF 30 MG TABLET
ASPAR-K TABLET, COATED 300 mg

JAKARTA SEHAT
Quantity
3,00
6,00
6,00

NATRIUM CHLORIDA PH POWDER

TUSLAH RACIKAN
EMBALASE
URISPAS TABLET, FILM COATED 200 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
FUTROLIT INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
1,00
6,00
6,00
4,00
2,00
4,00
2,00
4,00
10,00
10,00
30,00
12,00

29 Mei 2013 14:12

Item
ACETYLCYSTEIN 200MG CAPS
BISOPROLOL 5 MG TABLET
SALBUTAMOL INF TABLET 2 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
BISOLVON 2 ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
BD MICRO-FINE
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
6,00
6,00
2,00
6,00
6,00
6,00
6,00
6,00
6,00
20,00
20,00
6,00
20,00
15,00

29 Mei 2013 14:11

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
2,00
4,00
2,00
4,00
20,00

FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

4,00
9,00

29 Mei 2013 14:11

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
FUROSEMID INF TABLET
CEFEPIME 1 GR INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
ALKOHOL SWAB
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
6,00
6,00
2,00
4,00
2,00
2,00
4,00
1,00
1,00
6,00
6,00
6,00
4,00
17,00

29 Mei 2013 14:10

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

29 Mei 2013 14:09

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

29 Mei 2013 14:08

Item
FUROSEMID INF INJECTION
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)

JAKARTA SEHAT
Quantity
34,00
1,00
1,00

DISP SYRINGE 20 CC WIHTOUT NED

HANDSCOON GAMEX 7
DRAINAGE BAG STERIL
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
6,00
9,00

29 Mei 2013 13:47

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
FUROSEMID INF INJECTION
SANMOL INFUSION
FOTARAM 1 g
OMEPRAZOLE 40 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
12,00
6,00
12,00
2,00
6,00
6,00
6,00
4,00
4,00
6,00
6,00
12,00
14,00
20,00
16,00

29 Mei 2013 13:46

Item
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN INF 300 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
INH 100 MG TABLET
ETHAMBUTOL500mg TABLET
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
NEEDLE NO. 23 THERUMO
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
2,00
6,00
6,00
2,00
1,00
1,00
1,00
2,00
4,00
2,00
2,00
2,00
8,00

DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
6,00
20,00
8,00
4,00
15,00

29 Mei 2013 13:46

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
PARACETAMOL INF TABLET 500 mg
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00
2,00
2,00
4,00
4,00
20,00
10,00

29 Mei 2013 13:46

Item
SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
ALKOHOL SWAB
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
4,00
4,00
6,00
4,00
20,00
6,00
6,00
10,00
9,00
3,00
3,00
16,00

29 Mei 2013 13:46

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ISOSORBIDE DINITRATE INF TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
LEVOFLOXACIN INFUSION
AMINOFLUID 500 ML INFUSION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
6,00
1,00
6,00
6,00
6,00
6,00
2,00
2,00
2,00
8,00
4,00
1,00
1,00
12,00
20,00
14,00

29 Mei 2013 13:45

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
METFORMIN HCL 500 MG TABLET
SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
SOPIROM INJECTION
DISP SYRINGE 3 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
2,00
2,00
4,00
4,00
4,00
2,00
6,00
4,00
4,00
6,00
6,00
6,00
12,00
1,00
1,00
20,00
19,00

29 Mei 2013 13:45

Item
PARACETAMOL INF TABLET 500 mg
LEVOFLOXACIN INFUSION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DEXAMETHASONE 5 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
4,00
16,00
6,00
6,00
6,00
8,00
4,00
1,00
1,00
14,00
6,00
6,00
14,00

29 Mei 2013 13:45

Item
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
3,00
3,00
6,00
6,00
6,00
6,00
6,00
6,00
6,00
4,00
2,00
12,00
4,00
20,00
15,00

29 Mei 2013 13:44

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
RIFAMPICIN GENERIK 450 MG TABLET

JAKARTA SEHAT
Quantity
9,00
9,00
3,00

INH 300 MG TABLET

PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
6,00
6,00
6,00
6,00
6,00
1,00
1,00
6,00
30,00
13,00

29 Mei 2013 13:44

Item
AMLODIPIN 10 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
METFORMIN HCL 500 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
9,00
9,00
3,00
3,00
6,00
6,00
6,00
9,00
9,00
9,00
6,00
12,00
3,00
10,00
2,00
1,00
1,00
30,00
20,00

29 Mei 2013 13:44

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CO AMOXYCLAV INF 625 MG TABLET, COATED

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00

RING AS SANBE 500 ML

FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
1,00
1,00
30,00
3,00
9,00
12,00

29 Mei 2013 13:41

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
SOLAC SYRUP
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
LOVENOX SOLUTION, INJECTION 40 mg
FOTARAM 1 g
RING AS SANBE 500 ML
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
2,00
1,00
3,00
3,00
6,00
6,00
6,00
6,00
3,00
12,00
1,00
1,00
30,00
9,00
16,00

29 Mei 2013 13:41

Item
IRBESARTAN 300 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CLONIDINE INF 150 MG TABLET
ADALAT OROS 30 MG TABLET
ULTRACET 37,5MG TABL
SPIRONOLACTONE 25 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
2,00
9,00
1,00
9,00
3,00
3,00
6,00
18,00
3,00
3,00
3,00
9,00

FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION

RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
30,00
1,00
1,00
15,00

29 Mei 2013 11:39

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
RANITIDINE INF TABLET 150 MG
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
10,00
15,00
7,00

29 Mei 2013 11:29

Item
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

28 Mei 2013 14:23

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 14:22

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:22

JAKARTA SEHAT

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00

28 Mei 2013 14:22

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:21

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:21

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 14:21

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 14:20

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:20

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
2,00

TUSLAH NON RACIKAN

TOTAL

1,00

28 Mei 2013 14:20

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 14:20

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 14:19

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:19

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:18

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 14:18

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 14:17

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:17

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 14:16

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:16

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 14:16

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:15

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 14:15

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 13:19

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 13:19

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 13:18

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

28 Mei 2013 13:18

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 13:18

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

28 Mei 2013 13:18

Item
AMINOFLUID 500 ML INFUSION

JAKARTA SEHAT
Quantity
2,00

TUSLAH NON RACIKAN

TOTAL

1,00

28 Mei 2013 13:17

Item
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
LEVOFLOXACIN INFUSION
BISOLVON 2 ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
DEXAMETHASONE 5 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00
4,00
1,00
16,00
6,00
4,00
8,00
4,00
1,00
1,00
16,00
13,00

28 Mei 2013 13:17

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 100 MG TABLET
ETHAMBUTOL500mg TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEEDLE NO. 23 THERUMO
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
DERMAFIX-1V
DEXAMETHASONE 5 MG INJECTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
2,00
4,00
2,00
2,00
4,00
1,00
12,00
2,00
2,00
2,00
10,00
2,00
12,00
6,00
2,00
1,00
1,00
19,00

28 Mei 2013 13:17

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
BISOLVON 2 ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
2,00
2,00
4,00
4,00
6,00
4,00
12,00
6,00
4,00
2,00
20,00
4,00
18,00
2,00
20,00
1,00
1,00
21,00

28 Mei 2013 13:13

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
FUROSEMID INF TABLET
CEFEPIME 1 GR INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
6,00
1,00
6,00
2,00
4,00
2,00
2,00
4,00
1,00
1,00
2,00
6,00
4,00

TUSLAH NON RACIKAN

TOTAL

17,00

28 Mei 2013 13:12

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOLIC ACID 1 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
CAPTOPRIL 12.5 MG TABLET
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
6,00
2,00
2,00
3,00
3,00
6,00
6,00
1,00
2,00
2,00
1,00
1,00
20,00
4,00
2,00
17,00

28 Mei 2013 13:12

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
ACETYLCYSTEIN 200MG CAPS
BISOPROLOL 5 MG TABLET
SALBUTAMOL INF TABLET 2 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
BISOLVON 2 ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
BD MICRO-FINE
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
6,00
1,00
6,00
6,00
2,00
6,00
6,00
6,00
6,00
3,00
20,00
4,00
20,00
1,00
1,00
20,00
17,00

TOTAL

28 Mei 2013 13:11

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
1,00
2,00
2,00
4,00
1,00
1,00
20,00
2,00
4,00
13,00

28 Mei 2013 13:11

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
ANBACIM INJECTION
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
6,00
4,00
10,00
1,00
1,00
20,00
2,00
4,00
13,00

28 Mei 2013 13:11

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00

ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
4,00
2,00
2,00
6,00
4,00
1,00
1,00
20,00
2,00
15,00

28 Mei 2013 13:10

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
SALBUTAMOL INF TABLET 2 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
6,00
6,00
1,00
6,00
4,00
2,00
12,00
8,00
18,00
2,00
8,00
1,00
1,00
20,00
4,00
2,00
20,00

28 Mei 2013 13:09

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
4,00

PYRAZINAMIDE INF 500 MG TABLET

PARACETAMOL INF TABLET 500 mg
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

4,00
6,00
4,00
2,00
2,00
4,00
4,00
1,00
1,00
20,00
2,00
15,00

28 Mei 2013 13:08

Item
PROPYLTHIOURASIL 100 MG TABLET
AMLODIPIN 10 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
DEXTROMETHORPHAN INF TABLET 15 MG
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
RING AS SANBE 500 ML
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
1,00
6,00
6,00
2,00
6,00
4,00
6,00
6,00
2,00
1,00
1,00
20,00
2,00
6,00
6,00
15,00

28 Mei 2013 13:08

Item
HALOPERIDOL INF 0.5 MG TABLET
AMBROXOL INF 30 MG TABLET
ASPAR-K TABLET, COATED 300 mg
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
4,00
6,00
6,00
6,00
1,00
6,00

URISPAS TABLET, FILM COATED 200 MG

CITICHOLIN 2 ML 125 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
FUTROLIT INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

6,00
4,00
4,00
2,00
4,00
10,00
10,00
2,00
1,00
1,00
20,00
2,00
15,00

28 Mei 2013 13:07

Item
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
6,00
2,00
10,00
2,00
1,00
1,00
20,00
10,00
2,00
11,00

28 Mei 2013 13:06

Item
MUSIN OTTO 120 ML SUSPENSION
VITAMIN B6 10 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
4,00
2,00
12,00
14,00
4,00
1,00
20,00
20,00
10,00

28 Mei 2013 12:43

Item
PARACETAMOL INF TABLET 500 mg
FOLIC ACID 1 MG TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DERMAFIX-1V
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
4,00
6,00
2,00
2,00
2,00
12,00
2,00
1,00
1,00
20,00
10,00
13,00

28 Mei 2013 12:42

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 12:42

Item
DORNER TABLET 20 MCG
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00

28 Mei 2013 12:42

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
RIFAMPICIN INF 300 MG CAPSULE

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
1,00
6,00
4,00
1,00
2,00

INH 300 MG TABLET

ETHAMBUTOL500mg TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
2,00
4,00
10,00

28 Mei 2013 12:41

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
8,00
2,00
2,00
1,00
20,00
7,00

28 Mei 2013 10:57

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 10:57

Item
PRIMET TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

28 Mei 2013 10:57

Item
NEW DIATABS TABLET 600 mg
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
2,00
2,00

28 Mei 2013 10:35

Item
MUSIN OTTO 120 ML SUSPENSION
DIGOXIN INF TABLET

JAKARTA SEHAT
Quantity
1,00
1,00

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
4,00
4,00
6,00
4,00
8,00
2,00
1,00
1,00
20,00
8,00
14,00

28 Mei 2013 10:35

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
METFORMIN HCL 500 MG TABLET
SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
SOPIROM INJECTION
DISP SYRINGE 3 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
2,00
2,00
4,00
4,00
4,00
2,00
6,00
4,00
4,00
6,00
6,00
12,00
1,00
1,00
20,00
18,00

28 Mei 2013 10:35

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
12,00
6,00

AMBROXOL INF 30 MG TABLET

AMLODIPIN 10 MG TABLET
BD MICRO-FINE
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
6,00
4,00
6,00
8,00
2,00
10,00
1,00
1,00
20,00
2,00
17,00

28 Mei 2013 10:34

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 10:31

Item
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MUSIN OTTO 120 ML SUSPENSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
4,00
2,00
1,00
4,00
4,00
2,00
2,00
4,00
2,00
1,00
1,00
13,00

28 Mei 2013 10:31

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
6,00
1,00
6,00

AMBROXOL INF 30 MG TABLET

RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
2,00
4,00
6,00
4,00
6,00
1,00
1,00
20,00
4,00
14,00

28 Mei 2013 10:30

Item
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN INF 300 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
INH 100 MG TABLET
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
NEEDLE NO. 23 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
6,00
2,00
1,00
1,00
2,00
2,00
2,00
2,00
2,00
4,00
2,00
6,00
1,00
1,00
20,00
8,00
1,00
4,00
17,00

28 Mei 2013 10:29

Item
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
16,00
2,00
2,00
4,00

ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
IVENA IV CATH 24
INFUS SET JMS
DERMAFIX-1V
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
4,00
6,00
6,00
6,00
6,00
4,00
2,00
1,00
1,00
2,00
12,00
4,00
20,00
18,00

28 Mei 2013 10:28

Item
MUSIN OTTO 120 ML SUSPENSION
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
DERMAFIX-1V
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUTROLIT INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
2,00
2,00
4,00
4,00
4,00
2,00
2,00
4,00
4,00
6,00
6,00
6,00
1,00
1,00
16,00

28 Mei 2013 10:28

Item
MUSIN OTTO 120 ML SUSPENSION
MAGARD FA TABLET, CHEWABLE
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
1,00
4,00
2,00
2,00
6,00

FOLIC ACID 1 MG TABLET

SIMVASTATIN GENERIK 10 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
8,00
3,00
4,00
2,00
1,00
1,00
20,00
13,00

28 Mei 2013 10:26

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ANBACIM INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00
6,00
2,00
1,00
6,00
20,00
10,00

28 Mei 2013 10:26

Item
DEXTROMETHORPHAN INF TABLET 15 MG
MUSIN OTTO 120 ML SUSPENSION
ISOSORBIDE DINITRATE INF TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
LEVOFLOXACIN INFUSION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
DERMAFIX-1V

JAKARTA SEHAT
Quantity
6,00
6,00
2,00
6,00
1,00
6,00
6,00
6,00
6,00
2,00
2,00
8,00
4,00
1,00
1,00
12,00
1,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

20,00
15,00

28 Mei 2013 10:25

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
FOTARAM 1 g
BD MICRO-FINE
FUTROLIT INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
6,00
4,00
6,00
6,00
2,00
10,00
2,00
1,00
1,00
20,00
15,00

28 Mei 2013 10:25

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RANITIDINE INF TABLET 150 MG
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
ALKOHOL SWAB
DISP SYRINGE 3 CC
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
2,00
2,00
4,00
4,00
4,00
4,00
1,00
1,00
20,00
2,00
4,00
6,00
6,00
15,00

28 Mei 2013 10:24

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SOCLOR TABLET
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
FUTROLIT INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
1,00
6,00
2,00
4,00
6,00
2,00
6,00
4,00
4,00
2,00
2,00
1,00
1,00
2,00
8,00
17,00

28 Mei 2013 10:24

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
FUROSEMID INF INJECTION
SANMOL INFUSION
FOTARAM 1 g
OMEPRAZOLE 40 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
12,00
6,00
6,00
2,00
6,00
1,00
6,00
6,00
4,00
4,00
2,00
12,00
14,00
1,00
1,00
20,00
2,00
1,00
20,00

28 Mei 2013 10:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MUSIN OTTO 120 ML SUSPENSION
METFORMIN HCL 500 MG TABLET
SOCLOR TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
1,00
4,00
4,00
3,00
4,00
1,00
1,00
20,00
12,00

28 Mei 2013 10:23

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
LEVOFLOXACIN INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUTROLIT INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
2,00
6,00
6,00
6,00
4,00
4,00
4,00
8,00
4,00
1,00
1,00
20,00
20,00
1,00
19,00

28 Mei 2013 10:23

Item

JAKARTA SEHAT
Quantity

MUSIN OTTO 120 ML SUSPENSION

SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
2,00
2,00
4,00
4,00
4,00
4,00
6,00
1,00
4,00
1,00
1,00
20,00
2,00
8,00
2,00
17,00

28 Mei 2013 10:22

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUTROLIT INFUSION
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
2,00
4,00
4,00
4,00
6,00
2,00
4,00
2,00
6,00
2,00
2,00
1,00
1,00
20,00
2,00
18,00

28 Mei 2013 10:13

Item

JAKARTA SEHAT
Quantity

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
10,00
10,00
10,00
30,00
6,00

28 Mei 2013 10:09

Item
CIPROFLOXACIN TABLET
ASAM TRANEKSAMAT 500 MG TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
15,00
15,00
4,00

28 Mei 2013 09:42

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

27 Mei 2013 17:12

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
ALKOHOL SWAB
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
4,00
8,00
8,00
12,00
12,00
2,00
8,00
3,00
2,00
2,00
20,00
12,00

27 Mei 2013 13:04

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

27 Mei 2013 12:57

Item
MAGARD FA TABLET, CHEWABLE
INH 300 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
2,00
10,00
1,00
6,00

27 Mei 2013 12:57

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ACETYLCYSTEIN 200MG CAPS
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00
1,00
1,00
2,00
2,00
3,00
3,00
1,00
10,00
12,00

27 Mei 2013 12:55

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SOCLOR TABLET
OMEPRAZOLE 40 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
1,00
2,00
1,00
3,00

FUTROLIT INFUSION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
10,00
1,00
11,00

27 Mei 2013 12:55

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
FUROSEMID INF TABLET
CEFEPIME 1 GR INJECTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
VALAMIN SANBE INFUSION
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
1,00
2,00
1,00
1,00
3,00
2,00
2,00
3,00
13,00

27 Mei 2013 12:54

Item
PROPANOLOL 10 MG TABLET
AMLODIPIN 10 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
PROPYLTHIOURASIL 100 MG TABLET
NIFEDIPIN GENERIK TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
1,00
3,00
3,00
1,00
1,00
3,00
2,00
3,00
8,00
5,00
1,00
11,00

27 Mei 2013 12:54

Item
STOMACH TUBE 16 THERUMO
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
DRAINAGE BAG STERIL
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
1,00
1,00
6,00

27 Mei 2013 12:52

Item
ISOSORBIDE DINITRATE INF TABLET
ATORVASTATIN 20 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
GLIQUIDONE 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
1,00
2,00
1,00
3,00
3,00
3,00
1,00
1,00
4,00
1,00
8,00
14,00

27 Mei 2013 12:51

Item
HALOPERIDOL INF 0.5 MG TABLET
AMBROXOL INF 30 MG TABLET
ASPAR-K TABLET, COATED 300 mg
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00
1,00
3,00
1,00
2,00
2,00
1,00
1,00
1,00
3,00

ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

5,00
11,00

27 Mei 2013 12:51

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
SOPIROM INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
1,00
3,00
2,00
1,00
2,00
1,00
2,00
2,00
10,00
10,00

27 Mei 2013 12:43

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 12:40

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

27 Mei 2013 12:40

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
COTRIMOXAZOLE 480 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
1,00

HANDSCOON NON STERIL S (PCS)

FLUCONAZOL INFUS 100 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TRIDEX 27B INFUSION
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
3,00
2,00
1,00
12,00

27 Mei 2013 12:39

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ISOSORBIDE DINITRATE INF TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
ONDANSETRON 8 MG TABLET
SANMOL INFUSION
METRONIDAZOLE 100 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
LEVOFLOXACIN INFUSION
FUTROLIT INFUSION
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
1,00
3,00
1,00
3,00
3,00
3,00
1,00
1,00
2,00
3,00
10,00

27 Mei 2013 12:39

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

27 Mei 2013 12:31

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SOPIROM INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
2,00
2,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

DISP SYRINGE 3 CC
ALKOHOL SWAB
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
5,00
1,00
14,00

27 Mei 2013 12:31

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DEXAMETHASONE 5 MG INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
1,00
2,00
2,00
3,00
3,00
2,00
4,00
1,00
11,00

27 Mei 2013 12:31

Item
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
NEEDLE NO. 23 THERUMO
FUTROLIT INFUSION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
2,00
3,00
2,00
1,00
1,00
1,00
3,00
3,00
1,00
2,00
1,00
14,00

27 Mei 2013 12:30

Item

JAKARTA SEHAT
Quantity

DEXTROMETHORPHAN INF TABLET 15 MG

AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
VENTOLIN NEBULE SOLUTION, FOR INHALATION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
IVENA IV CATH 22
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
2,00
2,00
1,00
6,00
7,00
5,00
1,00
1,00
1,00
2,00
13,00

27 Mei 2013 12:30

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
GLIBENCLAMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
METFORMIN HCL 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
FUTROLIT INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
3,00
3,00
1,00
1,00
2,00
2,00
3,00
2,00
6,00
6,00
2,00
4,00
2,00
1,00
10,00
18,00

27 Mei 2013 12:21

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00

ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
1,00
2,00
2,00
10,00
3,00
2,00
12,00

27 Mei 2013 12:21

Item
DEXTROMETHORPHAN INF TABLET 15 MG
BETAHISTIN NOVELL TABLET 6 MG
FLUNARIZINE 5 MG TABLET
SOCLOR TABLET
OMEPRAZOLE 40 MG INJECTION
OPIGRAN INJ 3
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
2,00
2,00
1,00
3,00
1,00
1,00
1,00
3,00
10,00
12,00

27 Mei 2013 12:19

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
METFORMIN HCL 500 MG TABLET
OMEPRAZOLE 40 MG INJECTION
SOPIROM INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
ALKOHOL SWAB
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
1,00
2,00
1,00
3,00
2,00
2,00
2,00
12,00

27 Mei 2013 12:19

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
3,00
1,00
3,00
1,00
1,00
1,00
10,00
15,00

27 Mei 2013 12:18

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RANITIDINE INF TABLET 150 MG
BETAHISTIN NOVELL TABLET 6 MG
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
2,00
2,00
2,00
3,00
2,00
4,00
2,00
1,00
30,00
13,00

27 Mei 2013 12:18

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00

BIFOTIK POWDER, FOR INJECTION SUSPENSION

RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
10,00
2,00
2,00
2,00
10,00

27 Mei 2013 11:54

Item
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOLIC ACID 1 MG TABLET
CAPTOPRIL 12.5 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NEUROSANBE 3 ML INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
1,00
2,00
2,00
3,00
2,00
3,00
1,00
2,00
1,00
1,00
2,00
3,00
15,00

27 Mei 2013 11:53

Item
VITAMIN B6 10 MG TABLET
ETHAMBUTOL500mg TABLET
FOTARAM 1 g
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
NEEDLE NO. 23 THERUMO
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
5,00
10,00

27 Mei 2013 11:53

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VECTRINE DEXA CAPSULE 300 mg
VENTOLIN NEBULE SOLUTION, FOR INHALATION
FUTROLIT INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
13,00

27 Mei 2013 11:53

Item
ASAM MEFENAMAT INF 500 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
3,00
1,00
1,00
10,00
9,00

27 Mei 2013 11:53

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RING AS SANBE 500 ML
FUTROLIT INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
1,00
2,00
3,00
1,00
2,00
3,00

TUSLAH NON RACIKAN

TOTAL

11,00

27 Mei 2013 11:52

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ANBACIM INJECTION
ALKOHOL SWAB
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
3,00
1,00
8,00

27 Mei 2013 11:52

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
LEVOFLOXACIN INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
1,00
3,00
3,00
3,00
2,00
2,00
4,00
2,00
10,00
8,00
15,00

27 Mei 2013 11:52

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
3,00

METFORMIN HCL 500 MG TABLET

VITAMIN B6 10 MG TABLET
SOPIROM INJECTION
FUTROLIT INFUSION
IVENA IV CATH 22
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

3,00
2,00
2,00
2,00
1,00
5,00
12,00

27 Mei 2013 11:52

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
9,00

27 Mei 2013 11:51

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
FUTROLIT INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
3,00
3,00
1,00
10,00
1,00
1,00
15,00

27 Mei 2013 11:36

JAKARTA SEHAT

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
1,00

27 Mei 2013 11:35

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
2,00

27 Mei 2013 11:35

Item
ACETYLCYSTEIN 200MG CAPS
BISOPROLOL 5 MG TABLET
SALBUTAMOL INF TABLET 2 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
BISOLVON 2 ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00
3,00
1,00
3,00
3,00
3,00
2,00
3,00
10,00
10,00
1,00
1,00
15,00

27 Mei 2013 11:35

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
3,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
ALKOHOL SWAB
AMLODIPIN 5 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

4,00
3,00
1,00
5,00
1,00
1,00
16,00

27 Mei 2013 11:34

Item
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
3,00
1,00
1,00
1,00
4,00
1,00
1,00
10,00
4,00
12,00

27 Mei 2013 11:34

Item
PARACETAMOL INF TABLET 500 mg
ACETYLCYSTEIN 200MG CAPS
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
TRIDEX 27B INFUSION
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
10,00

27 Mei 2013 11:33

Item
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
3,00

SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
FUROSEMID INF INJECTION
FOTARAM 1 g
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OPIGRAN INJ 3
DISP SYRINGE 3 CC
IVENA IV CATH 22
ALKOHOL SWAB
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
3,00
3,00
1,00
3,00
2,00
2,00
2,00
1,00
1,00
5,00
1,00
8,00
3,00
2,00
17,00

27 Mei 2013 11:32

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
4,00

27 Mei 2013 11:32

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
FUTROLIT INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
10,00
2,00
12,00

27 Mei 2013 11:31

Item
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
AQUA FOR INJECT OTSUKA 25 ML
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
1,00
1,00
2,00
2,00
3,00
3,00
2,00
2,00
1,00
10,00
4,00
3,00
15,00

27 Mei 2013 11:31

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
3,00
4,00

27 Mei 2013 10:18

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

25 Mei 2013 10:37

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

UMUM
Quantity
2,00
2,00

PYRAZINAMIDE INF 500 MG TABLET

ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
DISP SYRINGE 10 CC
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
6,00
6,00
3,00
3,00
7,00
7,00
10,00

24 Mei 2013 19:02

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
IVENA IV CATH 24
INFUS SET JMS
IMIPENEM CILASTATIN 1 GR INJECTION
DISP SYRINGE 10 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
4,00
4,00
6,00
6,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00
13,00

24 Mei 2013 15:03

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

24 Mei 2013 15:03

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

24 Mei 2013 15:03

Item

JAKARTA SEHAT
Quantity

NEW DIATABS TABLET 600 mg

TUSLAH NON RACIKAN
TOTAL

12,00
1,00

24 Mei 2013 15:02

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

24 Mei 2013 14:58

Item
AMBROXOL INF 30 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
4,00
2,00
9,00
3,00
2,00
12,00
3,00
1,00
1,00
30,00
12,00
2,00
14,00

24 Mei 2013 14:44

Item
ISOSORBIDE DINITRATE INF TABLET
SALBUTAMOL INF TABLET 2 MG
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
METFORMIN HCL 500 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
CETIRIZINE 10 MG TABLET
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
3,00
3,00
3,00
6,00
6,00
6,00
3,00
9,00
6,00
6,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

9,00
6,00
9,00
1,00
17,00

24 Mei 2013 14:42

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
SALBUTAMOL INF TABLET 2 MG
VENTOLIN NEBULE SOLUTION, FOR INHALATION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
1,00
9,00
6,00
6,00
3,00
18,00
21,00
15,00
3,00
1,00
2,00
3,00
14,00

24 Mei 2013 14:38

Item
MUSIN OTTO 120 ML SUSPENSION
ACETYLCYSTEIN 200MG CAPS
BISOPROLOL 5 MG TABLET
SALBUTAMOL INF TABLET 2 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
BISOLVON 2 ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
9,00
2,00
9,00
9,00
9,00
3,00
9,00
9,00
9,00
6,00
9,00
30,00
20,00
6,00
2,00
16,00

TOTAL

24 Mei 2013 14:35

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
CEFEPIME 1 GR INJECTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
1,00
1,00
3,00
9,00
3,00
2,00
9,00
6,00
1,00
1,00
9,00
14,00

24 Mei 2013 14:34

Item
ISOSORBIDE DINITRATE INF TABLET
ATORVASTATIN 20 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
GLIQUIDONE 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
3,00
3,00
6,00
6,00
9,00
9,00
6,00
3,00
12,00
3,00
20,00
1,00
1,00
9,00
16,00

24 Mei 2013 14:33

Item

JAKARTA SEHAT
Quantity

DEXTROMETHORPHAN INF TABLET 15 MG

MUSIN OTTO 120 ML SUSPENSION
ISOSORBIDE DINITRATE INF TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
ONDANSETRON 4 MG TABLET
SANMOL INFUSION
METRONIDAZOLE 100 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
LEVOFLOXACIN INFUSION
FUTROLIT INFUSION
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
3,00
9,00
1,00
9,00
4,00
9,00
9,00
9,00
3,00
3,00
6,00
9,00
1,00
1,00
13,00

24 Mei 2013 14:30

Item
HALOPERIDOL INF 0.5 MG TABLET
AMBROXOL INF 30 MG TABLET
ASPAR-K TABLET, COATED 300 mg
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
FUTROLIT INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
DERMAFIX-1V
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
9,00
9,00
1,00
9,00
3,00
6,00
6,00
3,00
2,00
9,00
30,00
2,00
9,00
12,00

24 Mei 2013 14:29

Item
MUSIN OTTO 120 ML SUSPENSION
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00

ETHAMBUTOL500mg TABLET
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

5,00
3,00
6,00
3,00
3,00
6,00
1,00
1,00
30,00
6,00
14,00

24 Mei 2013 14:29

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
AMLODIPIN 5 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
3,00
6,00
6,00
6,00
2,00
6,00
9,00
12,00
9,00
1,00
1,00
15,00
3,00
3,00
17,00

24 Mei 2013 14:29

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
9,00
2,00
9,00
9,00
3,00
3,00
6,00
6,00

ACETYLCYSTEIN 200MG CAPS

VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
3,00
1,00
1,00
30,00
14,00

24 Mei 2013 14:28

Item
PROPYLTHIOURASIL 100 MG TABLET
AMLODIPIN 10 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
PROPANOLOL 10 MG TABLET
NIFEDIPIN GENERIK TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
RING AS SANBE 500 ML
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
9,00
1,00
9,00
9,00
3,00
3,00
9,00
6,00
9,00
18,00
1,00
1,00
15,00
3,00
2,00
14,00

24 Mei 2013 14:22

Item
NYMIKO SANBE 12 ML SUSPENSION
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
FLUCONAZOL INFUS 100 ML

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
6,00
6,00
9,00
6,00
1,00
1,00
30,00
3,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

TRIDEX 27B INFUSION
TUSLAH NON RACIKAN
TOTAL

9,00
6,00
14,00

24 Mei 2013 14:18

Item
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
SELANG OKSIGEN ADULT
FOTARAM 1 g
VENTOLIN NEBULE SOLUTION, FOR INHALATION
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
3,00
6,00
6,00
6,00
1,00
6,00
9,00
6,00
1,00
1,00
30,00
6,00
2,00
16,00

24 Mei 2013 14:15

Item
PARACETAMOL INF TABLET 500 mg
ACETYLCYSTEIN 200MG CAPS
INPEPSA 100 ML SYRUP 500 mg/5 ml
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
TRIDEX 27B INFUSION
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
1,00
6,00
3,00
3,00
1,00
1,00
1,00
3,00
3,00
9,00
12,00

24 Mei 2013 14:14

JAKARTA SEHAT

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

Quantity
9,00
9,00
9,00
9,00
4,00

24 Mei 2013 14:14

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUTROLIT INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
6,00
6,00
6,00
6,00
3,00
9,00
9,00
1,00
1,00
30,00
3,00
3,00
16,00

24 Mei 2013 14:12

Item
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
AQUA FOR INJECT OTSUKA 25 ML
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
9,00
9,00
12,00
3,00
3,00
6,00
6,00
9,00
9,00
8,00
6,00
1,00
1,00
30,00

ALKOHOL SWAB
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
16,00

24 Mei 2013 10:59

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
SOPIROM INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
RIFAMPICIN INF 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
9,00
1,00
9,00
6,00
3,00
9,00
6,00
9,00
9,00
2,00
1,00
1,00
61,00
3,00
5,00
3,00
6,00
3,00
18,00

24 Mei 2013 10:54

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOLIC ACID 1 MG TABLET
CAPTOPRIL 12.5 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
1,00
6,00
9,00
3,00
3,00
5,00
5,00
9,00
5,00
3,00
3,00
6,00

NEUROSANBE 3 ML INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
6,00
2,00
9,00
1,00
1,00
19,00

24 Mei 2013 10:54

Item
ASAM MEFENAMAT INF 500 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
5,00
5,00
9,00
3,00
1,00
1,00
1,00
30,00
11,00

24 Mei 2013 10:10

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 24
INFUS SET JMS
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
6,00
3,00
3,00
1,00
1,00
6,00
9,00
3,00
6,00
6,00
2,00
15,00

24 Mei 2013 10:09

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
METFORMIN HCL 500 MG TABLET
VITAMIN B6 10 MG TABLET
SOPIROM INJECTION
FUTROLIT INFUSION
IVENA IV CATH 20
INFUS SET JMS
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
9,00
9,00
6,00
6,00
6,00
1,00
1,00
2,00
6,00
14,00

24 Mei 2013 10:09

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
6,00
6,00
6,00
1,00
1,00
30,00
6,00
6,00
1,00
2,00
1,00
15,00

24 Mei 2013 10:07

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
3,00
3,00

PYRAZINAMIDE INF 500 MG TABLET

ETHAMBUTOL500mg TABLET
VECTRINE DEXA CAPSULE 300 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
VENTOLIN NEBULE SOLUTION, FOR INHALATION
FUTROLIT INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
6,00
1,00
9,00
6,00
6,00
2,00
3,00
3,00
3,00
1,00
1,00
2,00
16,00

24 Mei 2013 10:07

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
6,00
6,00
3,00
6,00
9,00
3,00
9,00
3,00
3,00
1,00
1,00
20,00
2,00
18,00

24 Mei 2013 10:06

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
MAGARD FA TABLET, CHEWABLE
RIFAMPICIN INF 300 MG CAPSULE

JAKARTA SEHAT
Quantity
1,00
6,00
3,00

INH 300 MG TABLET

PARACETAMOL INF TABLET 500 mg
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3,00
9,00
9,00
6,00
1,00
1,00
30,00
3,00
11,00

24 Mei 2013 10:05

Item
FUTROLIT INFUSION
FOTARAM 1 g
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
3,00
6,00
6,00
1,00
1,00
30,00
1,00
6,00
3,00
3,00
6,00
6,00
14,00

24 Mei 2013 10:05

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
DIGOXIN INF TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00
6,00
6,00
6,00
4,00
3,00
3,00
3,00
11,00

24 Mei 2013 10:05

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
RANITIDINE INF TABLET 150 MG
BETAHISTIN NOVELL TABLET 6 MG
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
3,00
6,00
6,00
9,00
6,00
6,00
9,00
6,00
2,00
1,00
1,00
30,00
15,00

24 Mei 2013 10:04

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
BIFOTIK POWDER, FOR INJECTION SUSPENSION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
FUTROLIT INFUSION
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
6,00
6,00
1,00
6,00
3,00
6,00
6,00
1,00
1,00
30,00
9,00
6,00
2,00
16,00

24 Mei 2013 10:04

Item

JAKARTA SEHAT
Quantity

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
METFORMIN HCL 500 MG TABLET
OMEPRAZOLE 40 MG INJECTION
SOPIROM INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 20
INFUS SET JMS
ALKOHOL SWAB
DERMAFIX-1V
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
6,00
6,00
1,00
6,00
3,00
6,00
3,00
1,00
9,00
2,00
6,00
6,00
6,00
2,00
1,00
17,00

24 Mei 2013 09:29

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

24 Mei 2013 09:29

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SOCLOR TABLET
OMEPRAZOLE 40 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUTROLIT INFUSION
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
1,00
9,00
3,00
6,00
3,00
9,00
6,00
3,00
1,00
1,00
30,00
3,00
14,00

24 Mei 2013 09:29

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 20
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
ANBACIM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
9,00
2,00
1,00
30,00
6,00
9,00
11,00

24 Mei 2013 09:28

Item
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
SOLAC SYRUP
BIFOTIK POWDER, FOR INJECTION SUSPENSION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
NEEDLE NO. 23 THERUMO
IVENA IV CATH 22
INFUS SET JMS
FUTROLIT INFUSION
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
6,00
9,00
1,00
6,00
3,00
3,00
3,00
9,00
9,00
3,00
1,00
1,00
6,00
2,00
17,00

24 Mei 2013 09:27

Item
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
BETAHISTIN NOVELL TABLET 6 MG
FLUNARIZINE 5 MG TABLET

JAKARTA SEHAT
Quantity
9,00
1,00
9,00
3,00

SOCLOR TABLET
OMEPRAZOLE 40 MG INJECTION
OPIGRAN INJ 3
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
2,00
9,00
3,00
1,00
1,00
3,00
9,00
30,00
14,00

24 Mei 2013 09:27

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
SIMVASTATIN GENERIK 10 MG TABLET
ACETYLCYSTEIN 200MG CAPS
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
BISOLVON 2 ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
6,00
9,00
3,00
3,00
6,00
6,00
3,00
6,00
6,00
12,00
3,00
9,00
6,00
12,00
1,00
1,00
30,00
20,00

24 Mei 2013 09:27

Item
VITAMIN B6 10 MG TABLET
ETHAMBUTOL500mg TABLET
FOTARAM 1 g
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
2,00
3,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
NEEDLE NO. 23 THERUMO
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
3,00
3,00
3,00
1,00
30,00
2,00
13,00

24 Mei 2013 09:25

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
FUROSEMID INF INJECTION
FOTARAM 1 g
OMEPRAZOLE 40 MG INJECTION
OPIGRAN INJ 3
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
DERMAFIX-1V
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
18,00
9,00
9,00
9,00
1,00
6,00
6,00
6,00
3,00
3,00
15,00
1,00
1,00
18,00
2,00
9,00
6,00
19,00

24 Mei 2013 09:21

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
1,00
1,00
3,00
6,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

9,00
6,00
9,00
3,00
3,00
1,00
1,00
12,00
16,00

24 Mei 2013 09:21

Item
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXAMETHASONE 5 MG INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
3,00
1,00
6,00
6,00
9,00
9,00
6,00
12,00
1,00
1,00
3,00
2,00
15,00

24 Mei 2013 09:20

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
SOPIROM INJECTION
OPIGRAN INJ 3
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
3,00
6,00
6,00
6,00
6,00
6,00
6,00
9,00

IVENA IV CATH 20
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
9,00
18,00
30,00
3,00
17,00

24 Mei 2013 09:20

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
GLIBENCLAMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
METFORMIN HCL 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
FUTROLIT INFUSION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
9,00
9,00
3,00
3,00
6,00
6,00
9,00
6,00
12,00
15,00
6,00
18,00
6,00
1,00
1,00
30,00
2,00
20,00

24 Mei 2013 09:19

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
LEVOFLOXACIN INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
3,00
9,00
1,00
9,00
9,00

BIFOTIK POWDER, FOR INJECTION SUSPENSION

RING AS SANBE 500 ML
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
1,00
12,00
6,00
1,00
1,00
30,00
24,00
19,00

23 Mei 2013 16:22

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
20,00
20,00
20,00
15,00
15,00
7,00

23 Mei 2013 13:58

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

23 Mei 2013 13:34

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
VENTOLIN NEBULE SOLUTION, FOR INHALATION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
1,00
1,00
1,00
1,00
1,00

INFUS SET JMS

DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
10,00

23 Mei 2013 13:02

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 12:15

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
METFORMIN HCL 500 MG TABLET
VITAMIN B6 10 MG TABLET
SOPIROM INJECTION
FUTROLIT INFUSION
IVENA IV CATH 20
INFUS SET JMS
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
3,00
3,00
2,00
2,00
2,00
1,00
1,00
1,00
2,00
14,00

23 Mei 2013 12:10

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 24
INFUS SET JMS
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
2,00
3,00
1,00

DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
1,00
15,00

23 Mei 2013 12:09

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
2,00
1,00
1,00
10,00
2,00
2,00
2,00
1,00
1,00
15,00

23 Mei 2013 10:28

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 14:16

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 14:16

Item
LIVAMIN 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

22 Mei 2013 14:14

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

22 Mei 2013 14:14

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 14:14

Item
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 14:13

Item
CEFAZOLIN OGB DEXA POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

22 Mei 2013 14:13

Item
LIVAMIN 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 13:08

Item
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DEXAMETHASONE 5 MG INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION

JAKARTA SEHAT
Quantity
6,00
6,00
4,00
2,00
6,00
4,00

VENTOLIN NEBULE SOLUTION, FOR INHALATION

RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 1 CC INSULIN
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
10,00
4,00
1,00
1,00
20,00
1,00
1,00
15,00

22 Mei 2013 12:51

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ACETYLCYSTEIN 200MG CAPS
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
LOVENOX 0,6 SOLUTION, INJECTION
BISOLVON 2 ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
6,00
2,00
2,00
4,00
4,00
4,00
4,00
4,00
6,00
2,00
1,00
1,00
15,00

22 Mei 2013 12:50

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
4,00
4,00
4,00
2,00
1,00
1,00
2,00
4,00

TUSLAH NON RACIKAN

TOTAL

11,00

22 Mei 2013 12:50

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
LEVOFLOXACIN INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
2,00
6,00
6,00
6,00
4,00
1,00
10,00
6,00
1,00
4,00
1,00
1,00
20,00
18,00

22 Mei 2013 12:49

Item
ASAM MEFENAMAT INF 500 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
3,00
3,00
6,00
2,00
1,00
1,00
20,00
10,00

22 Mei 2013 12:26

Item
CEFAZOLIN OGB DEXA POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
6,00

TUSLAH NON RACIKAN

TOTAL

1,00

22 Mei 2013 11:34

Item
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
3,00

22 Mei 2013 11:33

Item
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
5,00
3,00

21 Mei 2013 13:56

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
DIGOXIN INF TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00
6,00
6,00
6,00
9,00
3,00
12,00
3,00
6,00
1,00
1,00
30,00
15,00

21 Mei 2013 13:56

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET

JAKARTA SEHAT
Quantity
1,00
3,00

INH 300 MG TABLET

PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUTROLIT INFUSION
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DERMAFIX-1V
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
6,00
6,00
3,00
6,00
3,00
2,00
3,00
3,00
3,00
3,00
1,00
1,00
1,00
16,00

21 Mei 2013 13:55

Item
MAGARD FA TABLET, CHEWABLE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOTARAM 1 g
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
6,00
6,00
6,00
3,00
3,00
6,00
1,00
1,00
30,00
6,00
13,00

21 Mei 2013 13:53

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
RANITIDINE GENERIK 25 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
1,00
2,00
6,00
3,00

FUTROLIT INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

3,00
9,00
1,00
1,00
30,00
12,00
14,00

21 Mei 2013 13:53

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ACETYLCYSTEIN 200MG CAPS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
2,00
9,00
9,00
3,00
3,00
6,00
6,00
9,00
6,00
9,00
3,00
6,00
6,00
6,00
1,00
1,00
30,00
18,00

21 Mei 2013 13:52

Item
ASPAR-K TABLET, COATED 300 mg
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
9,00
3,00
9,00
6,00
9,00
6,00
3,00
10,00
3,00
10,00
1,00

INFUS SET JMS

FUROSEMID INF INJECTION
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
30,00
3,00
15,00

21 Mei 2013 13:51

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
PARACETAMOL INF TABLET 500 mg
BIFOTIK POWDER, FOR INJECTION SUSPENSION
OMEPRAZOLE 40 MG INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
1,00
9,00
9,00
6,00
3,00
9,00
6,00
3,00
3,00
6,00
3,00
1,00
1,00
30,00
10,00
1,00
15,00

21 Mei 2013 13:49

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
METFORMIN HCL 500 MG TABLET
OMEPRAZOLE 40 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
1,00
9,00
3,00
12,00
3,00
3,00
6,00
3,00
3,00

ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
SOPIROM INJECTION
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
1,00
30,00
6,00
18,00

21 Mei 2013 13:46

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
NEUROSANBE 3 ML INJECTION
SANMOL INFUSION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
9,00
3,00
3,00
5,00
5,00
6,00
3,00
9,00
6,00
3,00
6,00
6,00
1,00
1,00
10,00
6,00
18,00

21 Mei 2013 13:46

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 13:46

Item
DORNER TABLET 20 MCG
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
9,00
3,00
2,00

TOTAL

21 Mei 2013 13:45

Item
NEW DIATABS TABLET 600 mg
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
11,00
2,00
2,00

21 Mei 2013 13:45

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

21 Mei 2013 13:45

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
18,00
2,00

21 Mei 2013 13:44

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
ETHAMBUTOL500mg TABLET
INH 300 MG TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
9,00
1,00
9,00
6,00
2,00
5,00
3,00
3,00
6,00
3,00
1,00
1,00
30,00
13,00

21 Mei 2013 13:44

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
6,00
6,00
6,00
9,00
9,00
3,00
10,00
1,00
1,00
1,00
15,00

21 Mei 2013 13:43

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 13:42

Item
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

21 Mei 2013 13:09

Item
NYMIKO SANBE 12 ML SUSPENSION
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
1,00
9,00
3,00
3,00
6,00
6,00
9,00

RING AS SANBE 500 ML

IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

6,00
1,00
1,00
30,00
3,00
12,00

21 Mei 2013 13:09

Item
PARACETAMOL INF TABLET 500 mg
BISOPROLOL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
BIFOTIK POWDER, FOR INJECTION SUSPENSION
NON REBREATHING MASK ADULT(1102)
AMINOPHYLLINE 24mg SOLUTION
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
9,00
9,00
6,00
1,00
10,00
18,00
10,00
3,00
1,00
1,00
30,00
21,00
6,00
10,00
30,00
1,00
18,00

21 Mei 2013 13:07

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
6,00
6,00
6,00
6,00
3,00
9,00
3,00
3,00

IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
30,00
3,00
16,00

21 Mei 2013 13:06

Item
PARACETAMOL INF TABLET 500 mg
NYMIKO SANBE 12 ML SUSPENSION
ACETYLCYSTEIN 200MG CAPS
INPEPSA 100 ML SYRUP 500 mg/5 ml
RING AS SANBE 500 ML
TRIDEX 27B INFUSION
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NEUROSANBE 3 ML INJECTION
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
9,00
1,00
3,00
3,00
3,00
3,00
6,00
3,00
3,00
6,00
1,00
1,00
30,00
15,00

21 Mei 2013 13:06

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SOPIROM INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SANMOL INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
3,00
6,00
6,00
6,00
9,00
9,00
3,00
6,00
1,00
1,00
6,00
6,00

METFORMIN HCL 500 MG TABLET

TUSLAH NON RACIKAN
TOTAL

3,00
17,00

21 Mei 2013 13:06

Item
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
SOLAC SYRUP
BIFOTIK POWDER, FOR INJECTION SUSPENSION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
FUTROLIT INFUSION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
6,00
9,00
1,00
6,00
3,00
12,00
6,00
3,00
12,00
10,00
18,00
1,00
1,00
30,00
17,00

21 Mei 2013 13:05

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
12,00
12,00
3,00
9,00
9,00
1,00
30,00
9,00

21 Mei 2013 13:05

Item
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
9,00
1,00

ISOSORBIDE DINITRATE INF TABLET

NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
METRONIDAZOLE 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
LEVOFLOXACIN INFUSION
AMINOFLUID 500 ML INFUSION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
9,00
1,00
9,00
9,00
9,00
9,00
3,00
1,00
3,00
12,00
12,00
1,00
1,00
1,00
14,00

21 Mei 2013 13:05

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
FUTROLIT INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
9,00
12,00
3,00
3,00
6,00
6,00
9,00
6,00
3,00
3,00
1,00
1,00
30,00
3,00
3,00
16,00

21 Mei 2013 13:05

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
9,00
9,00
1,00
6,00

OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
3,00
9,00
10,00
6,00
3,00
1,00
1,00
30,00
14,00

21 Mei 2013 13:04

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
6,00
18,00
9,00
20,00
9,00
30,00
9,00
6,00
1,00
1,00
30,00
14,00

21 Mei 2013 13:04

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ANBACIM INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
3,00
6,00
3,00
9,00
9,00
1,00

INFUS SET JMS

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
30,00
13,00

21 Mei 2013 13:01

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RANITIDINE INF TABLET 150 MG
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
ALKOHOL SWAB
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
3,00
6,00
6,00
6,00
6,00
30,00
1,00
1,00
10,00
6,00
9,00
14,00

21 Mei 2013 13:01

Item
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
LEVOFLOXACIN INF TABLET
BETAHISTIN NOVELL TABLET 6 MG
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
9,00
6,00
6,00
3,00
6,00
1,00
1,00
30,00
11,00

21 Mei 2013 13:00

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET

JAKARTA SEHAT
Quantity
9,00
9,00

ISOSORBIDE DINITRATE INF TABLET

ASPILETS TABLET, CHEWABLE 80 MG
ANBACIM INJECTION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DERMAFIX-1V
ALKOHOL SWAB
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

9,00
3,00
3,00
3,00
6,00
9,00
6,00
1,00
1,00
30,00
10,00
12,00
1,00
20,00
1,00
17,00

21 Mei 2013 11:48

Item
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUTROLIT INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
1,00
1,00
2,00
2,00
2,00
3,00
4,00
3,00
3,00
1,00
1,00
10,00
5,00
15,00

21 Mei 2013 11:07

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
ACETYLCYSTEIN 200MG CAPS
BISOPROLOL 5 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION

JAKARTA SEHAT
Quantity
1,00
9,00
2,00
9,00
9,00

OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
KETOROLAC 30 MG SOLUTION, INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
9,00
6,00
9,00
9,00
3,00
7,00
30,00
10,00
32,00
1,00
1,00
30,00
18,00

21 Mei 2013 11:06

Item
PROPYLTHIOURASIL 100 MG TABLET
AMLODIPIN 10 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
PROPANOLOL 10 MG TABLET
NIFEDIPIN GENERIK TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
9,00
1,00
9,00
9,00
3,00
3,00
9,00
9,00
9,00
6,00
3,00
6,00
9,00
18,00
3,00
18,00
6,00
1,00
1,00
18,00

21 Mei 2013 11:05

Item
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
9,00

SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
FUROSEMID INF INJECTION
SANMOL INFUSION
FOTARAM 1 g
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

3,00
18,00
9,00
9,00
3,00
9,00
6,00
9,00
6,00
10,00
6,00
12,00
1,00
1,00
30,00
9,00
3,00
18,00

21 Mei 2013 11:05

Item
AMBROXOL INF 30 MG TABLET
ASPAR-K TABLET, COATED 300 mg
SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
CEFEPIME 1 GR INJECTION
RING AS SANBE 500 ML
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
3,00
6,00
10,00
6,00
3,00
6,00
3,00
16,00
1,00
1,00
30,00
9,00
1,00
9,00
14,00

21 Mei 2013 11:04

Item
AMBROXOL INF 30 MG TABLET

JAKARTA SEHAT
Quantity
9,00

PARACETAMOL INF TABLET 500 mg

SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

9,00
12,00
3,00
3,00
6,00
6,00
9,00
9,00
6,00
1,00
1,00
30,00
10,00
3,00
9,00
9,00
17,00

21 Mei 2013 11:04

Item
NYMIKO SANBE 12 ML SUSPENSION
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
COTRIMOXAZOLE 480 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLUCONAZOL INFUS 100 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
5,00
12,00
9,00
9,00
3,00
3,00
9,00
9,00
1,00
1,00
30,00
15,00

21 Mei 2013 11:04

Item
ISOSORBIDE DINITRATE INF TABLET
SALBUTAMOL INF TABLET 2 MG
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
3,00

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
METFORMIN HCL 500 MG TABLET
FUROSEMID INF TABLET
CETIRIZINE 10 MG TABLET
ASPAR-K TABLET, COATED 300 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
6,00
6,00
6,00
3,00
6,00
9,00
1,00
9,00
1,00
1,00
6,00
10,00
18,00

21 Mei 2013 11:04

Item
VITAMIN B6 10 MG TABLET
ETHAMBUTOL500mg TABLET
FOTARAM 1 g
RANITIDINE GENERIK 25 MG/ML INJECTION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
NEEDLE NO. 23 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
1,00
3,00
3,00
10,00
3,00
6,00
3,00
3,00
1,00
1,00
30,00
14,00

21 Mei 2013 11:03

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
5,00
9,00
1,00
3,00

DEXTROMETHORPHAN INF TABLET 15 MG

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
CEFEPIME 1 GR INJECTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
6,00
3,00
3,00
3,00
6,00
3,00
10,00
1,00
1,00
30,00
19,00

21 Mei 2013 11:03

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ATORVASTATIN 20 MG TABLET
HYPERIL 5 MG TABLET
GLIQUIDONE 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BD MICRO-FINE
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
9,00
6,00
3,00
6,00
6,00
3,00
3,00
1,00
1,00
30,00
3,00
3,00
3,00
15,00

21 Mei 2013 11:03

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
GLIBENCLAMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
METFORMIN HCL 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
9,00
9,00
3,00
3,00
6,00

ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DEXAMETHASONE 5 MG INJECTION
FUTROLIT INFUSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
18,00
6,00
9,00
1,00
1,00
21,00
6,00
24,00
1,00
19,00

21 Mei 2013 09:28

Item
AMBROXOL INF 30 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
2,00

21 Mei 2013 09:27

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ASAM TRANEKSAMAT 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VALISANBE TABLET 5 MG
VITAMIN B6 10 MG TABLET
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
NEEDLE NO. 23 THERUMO
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
15,00
15,00
10,00
20,00
5,00
5,00
5,00
5,00
12,00

21 Mei 2013 08:15

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00

VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
5,00

20 Mei 2013 09:40

Item
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
20,00
20,00
4,00

20 Mei 2013 09:35

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 09:35

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ACETYLCYSTEIN 200MG CAPS
VENTOLIN NEBULE SOLUTION, FOR INHALATION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
3,00
1,00
1,00
2,00
2,00
3,00
3,00
2,00
1,00
1,00
2,00
2,00
10,00
16,00

20 Mei 2013 09:35

Item
MAGARD FA TABLET, CHEWABLE

JAKARTA SEHAT
Quantity
2,00

NATRIUM CHLORIDA PH POWDER

TUSLAH RACIKAN
EMBALASE
BIFOTIK POWDER, FOR INJECTION SUSPENSION
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
3,00
2,00
1,00
1,00
1,00
2,00
1,00
3,00
2,00
2,00
3,00
10,00
12,00

20 Mei 2013 09:34

Item
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
NEUROSANBE 3 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
1,00
2,00
2,00
2,00
1,00
2,00
2,00
2,00
3,00
10,00
3,00
14,00

20 Mei 2013 09:34

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
1,00
1,00
2,00
1,00

BD MICRO-FINE
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
1,00
1,00
1,00
10,00
13,00

20 Mei 2013 09:33

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CEFEPIME 1 GR INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
2,00
3,00
2,00
3,00
3,00
10,00
4,00
12,00

20 Mei 2013 09:33

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TRIDEX 27B INFUSION
VALAMIN SANBE INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
3,00
1,00
1,00
1,00
1,00
5,00
10,00

20 Mei 2013 09:30

Item
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
2,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
2,00
2,00
1,00
1,00
2,00
3,00
10,00
9,00

20 Mei 2013 09:30

Item
MAGARD FA TABLET, CHEWABLE
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOTARAM 1 g
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
2,00
2,00
10,00
12,00

20 Mei 2013 09:29

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ACETYLCYSTEIN 200MG CAPS
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
3,00
2,00
1,00
1,00
1,00
1,00
2,00
2,00
10,00
3,00

TUSLAH NON RACIKAN

TOTAL

15,00

20 Mei 2013 09:26

Item
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
1,00
2,00
2,00
3,00
8,00

20 Mei 2013 09:26

Item
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
2,00
1,00
4,00
3,00
6,00
3,00
1,00
2,00
11,00

20 Mei 2013 09:25

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
2,00
3,00
1,00
10,00

SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

2,00
11,00

20 Mei 2013 09:25

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
2,00
1,00
2,00
2,00
7,00

20 Mei 2013 09:24

Item
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
SANMOL INFUSION
RING AS SANBE 500 ML
KALTROFEN KALBE SUPPOSITORY 100 mg
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
2,00
2,00
2,00
1,00
2,00
3,00
4,00
3,00
2,00
3,00
3,00
15,00

20 Mei 2013 09:24

Item
ALKOHOL SWAB
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
2,00
2,00
2,00

ARDIUM TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
2,00
2,00
2,00
2,00
5,00
3,00
14,00

20 Mei 2013 09:23

Item
DEXTROMETHORPHAN INF TABLET 15 MG
LEVOFLOXACIN INF TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
FUTROLIT INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
1,00
1,00
3,00
3,00
4,00
2,00
3,00
5,00
10,00
12,00

20 Mei 2013 09:23

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
FUROSEMID INF INJECTION
SANMOL INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
3,00
1,00
6,00
3,00
3,00
1,00
3,00
2,00
3,00
2,00
3,00
3,00
2,00
1,00
4,00

TUSLAH NON RACIKAN

TOTAL

15,00

20 Mei 2013 09:22

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ANBACIM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
2,00
2,00
3,00
3,00
3,00
7,00
3,00
3,00
4,00
10,00
14,00

20 Mei 2013 09:22

Item
SALBUTAMOL INF TABLET 2 MG
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
METFORMIN HCL 500 MG TABLET
ASPAR-K TABLET, COATED 300 mg
CETIRIZINE 10 MG TABLET
FUROSEMID INF TABLET
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
6,00
2,00
1,00
3,00
2,00
3,00
2,00
6,00
3,00
5,00
1,00
10,00
20,00

TOTAL

20 Mei 2013 09:20

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
2,00
1,00
1,00
1,00
1,00
1,00
10,00
1,00
13,00

20 Mei 2013 09:19

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOTARAM 1 g
RANITIDINE GENERIK 25 MG/ML INJECTION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
2,00
2,00
2,00
1,00
1,00
3,00
2,00
10,00
4,00
13,00

20 Mei 2013 09:19

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00

METFORMIN HCL 500 MG TABLET

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
1,00
1,00
3,00
1,00
1,00
2,00
1,00
5,00
5,00
15,00

20 Mei 2013 09:19

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
2,00
1,00
2,00
3,00
1,00
1,00
1,00
10,00
13,00

20 Mei 2013 09:11

Item
ASPAR-K TABLET, COATED 300 mg
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
LEVOFLOXACIN INF TABLET
RIFAMPICIN INF 300 MG CAPSULE
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUROSEMID INF INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
1,00
3,00
2,00
3,00
3,00
2,00
6,00

DISP SYRINGE 10 CC
ALKOHOL SWAB
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

3,00
5,00
3,00
14,00

20 Mei 2013 09:10

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
3,00
1,00
1,00
1,00
2,00
1,00
3,00
3,00
10,00
14,00

20 Mei 2013 09:09

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
AMINOPHYLLINE 24mg SOLUTION
ALKOHOL SWAB
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
1,00
2,00
3,00
2,00
2,00
2,00
5,00
3,00
10,00
14,00

20 Mei 2013 09:08

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

20 Mei 2013 09:07

Item
ACETYLCYSTEIN 200MG CAPS
BISOPROLOL 5 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BD MICRO-FINE
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00
1,00
3,00
3,00
4,00
4,00
1,00
2,00
5,00
12,00

20 Mei 2013 09:07

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ANBACIM INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DEXAMETHASONE 5 MG INJECTION
FUTROLIT INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
1,00
3,00
2,00
2,00
2,00
3,00
5,00
3,00
5,00
10,00
13,00

20 Mei 2013 09:06

Item
ASPAR-K TABLET, COATED 300 mg

JAKARTA SEHAT
Quantity
3,00

THROMBO ASPILETS 100 MG TABLET

ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
2,00
3,00
2,00
2,00
2,00
1,00
1,00
10,00
4,00
1,00
13,00

20 Mei 2013 09:05

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SANMOL INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
3,00
2,00
1,00
3,00
3,00
3,00
1,00
15,00

20 Mei 2013 09:05

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
2,00
1,00
2,00

FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

1,00
10,00
1,00
3,00
12,00

20 Mei 2013 09:04

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
INH 300 MG TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
1,00
1,00
2,00
2,00
1,00
10,00
10,00

20 Mei 2013 09:03

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

20 Mei 2013 09:03

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
COTRIMOXAZOLE 480 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
VALAMIN SANBE INFUSION
TRIDEX 27B INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
4,00
2,00
3,00
1,00
2,00
2,00
1,00
1,00
10,00
13,00

TOTAL

20 Mei 2013 09:01

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
VALAMIN SANBE INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
2,00
1,00
3,00
4,00
1,00
2,00
3,00
10,00
4,00
14,00

20 Mei 2013 08:51

Item
FUROSEMID INF INJECTION
TOTAL

JAKARTA SEHAT
Quantity
6,00

18 Mei 2013 12:14

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

18 Mei 2013 12:09

Item
STOMACH TUBE 16 THERUMO
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
XYLOCAINE 2% 10 GM JELLY
VASCON SOLUTION, INJECTION 4 MG/4 ML
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00

SIMVASTATIN GENERIK 10 MG TABLET

FOLLEY CATHETER 16 RUSCH
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

6,00
1,00
2,00
12,00

18 Mei 2013 11:51

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

18 Mei 2013 11:42

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 11:42

Item
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

18 Mei 2013 11:42

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ANBACIM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
9,00
3,00
6,00
1,00

INFUS SET JMS

FUTROLIT INFUSION
VALAMIN SANBE INFUSION
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
3,00
9,00
1,00
14,00

18 Mei 2013 11:41

Item
PROPYLTHIOURASIL 100 MG TABLET
AMLODIPIN 5 MG TABLET
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
PROPANOLOL 10 MG TABLET
NIFEDIPIN GENERIK TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
1,00
9,00
1,00
9,00
9,00
3,00
3,00
9,00
6,00
9,00
18,00
1,00
30,00
15,00
13,00

18 Mei 2013 11:39

Item
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
FUROSEMID INF INJECTION
SELANG OKSIGEN ADULT
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
3,00
3,00
6,00
36,00
1,00
3,00
9,00

18 Mei 2013 11:34

JAKARTA SEHAT

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
8,00
1,00

18 Mei 2013 10:29

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 10:28

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 08:52

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 13:49

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
INH 300 MG TABLET
FUROSEMID INF INJECTION
ALLOPURINOL INF TABLET 100 MG
LIVAMIN 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
9,00
1,00
9,00
6,00
3,00
3,00
6,00
3,00
2,00
3,00
1,00
1,00
30,00
13,00

17 Mei 2013 13:49

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
NEUROSANBE 3 ML INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
9,00
3,00
3,00
5,00
5,00
6,00
3,00
6,00
6,00
6,00
9,00
1,00
1,00
30,00
9,00
17,00

17 Mei 2013 13:48

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

17 Mei 2013 13:40

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
6,00
3,00
3,00
6,00
6,00
9,00
3,00
1,00
1,00
30,00

SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

6,00
14,00

17 Mei 2013 13:40

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AMINOPHYLLINE 24mg SOLUTION
ALKOHOL SWAB
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
1,00
6,00
3,00
6,00
9,00
6,00
6,00
15,00
9,00
1,00
1,00
15,00

17 Mei 2013 13:26

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ATORVASTATIN 20 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
BD MICRO-FINE
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
9,00
6,00
3,00
3,00
6,00
3,00
9,00
3,00
3,00
3,00
3,00
30,00
1,00
1,00
16,00

17 Mei 2013 13:25

Item
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
LEVOFLOXACIN INF TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RINGER LACTATE WIDATRA 500 ML
FUTROLIT INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
DERMAFIX-1V
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
6,00
3,00
3,00
9,00
9,00
12,00
6,00
6,00
15,00
1,00
1,00
1,00
15,00

17 Mei 2013 13:25

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ANBACIM INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DEXAMETHASONE 5 MG INJECTION
FUTROLIT INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
1,00
9,00
3,00
9,00
6,00
6,00
6,00
9,00
15,00
6,00
21,00
1,00
1,00
15,00

17 Mei 2013 13:24

Item
NYMIKO SANBE 12 ML SUSPENSION
AMBROXOL INF 30 MG TABLET

JAKARTA SEHAT
Quantity
1,00
9,00

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
6,00
6,00
6,00
3,00
6,00
9,00
3,00
3,00
1,00
1,00
3,00
30,00
16,00

17 Mei 2013 13:20

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOTARAM 1 g
RANITIDINE GENERIK 25 MG/ML INJECTION
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
6,00
6,00
6,00
6,00
3,00
9,00
4,00
1,00
1,00
30,00
12,00
3,00
15,00

17 Mei 2013 13:19

Item
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM TRANEKSAMAT 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
9,00
9,00
12,00
3,00
3,00
6,00

ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
SANMOL INFUSION
IVENA IV CATH 24
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
KALTROFEN KALBE SUPPOSITORY 100 mg
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
3,00
6,00
9,00
12,00
1,00
9,00
1,00
1,00
6,00
9,00
18,00

17 Mei 2013 13:19

Item
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
RINGER LACTATE WIDATRA 500 ML
DERMAFIX-1V
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
9,00
6,00
3,00
12,00
6,00
18,00
1,00
1,00
9,00
1,00
2,00
1,00
6,00
15,00

17 Mei 2013 13:19

Item
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20
INFUS SET JMS

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
6,00
3,00
2,00
1,00
1,00

RING AS SANBE 500 ML

RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

2,00
4,00
9,00
11,00

17 Mei 2013 12:49

Item
HANDSCOON NON STERIL S (PCS)
STOMACH TUBE 16 THERUMO
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
ALKOHOL SWAB
DERMAFIX-1V
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ARDIUM TABLET
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IMIPENEM CILASTATIN 1 GR INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
1,00
1,00
24,00
1,00
1,00
3,00
3,00
6,00
6,00
6,00
6,00
4,00
6,00
2,00
6,00
6,00
6,00
15,00
9,00
1,00
1,00
23,00

17 Mei 2013 12:48

Item
SALBUTAMOL INF TABLET 2 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
FOTARAM 1 g
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
OMEPRAZOLE GEN 20 MG CAPSULE
FUTROLIT INFUSION
VALAMIN SANBE INFUSION

JAKARTA SEHAT
Quantity
9,00
1,00
9,00
9,00
3,00
9,00
3,00
4,00
2,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

9,00
24,00
4,00
1,00
1,00
30,00
15,00

17 Mei 2013 12:34

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 12:34

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 12:34

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

17 Mei 2013 12:34

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 12:33

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

17 Mei 2013 12:33

Item

JAKARTA SEHAT
Quantity

RINGER LACTATE WIDATRA 500 ML

TUSLAH NON RACIKAN
TOTAL

2,00
1,00

17 Mei 2013 12:33

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 12:33

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 12:33

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 12:32

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 12:32

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 12:32

Item
NYMIKO SANBE 12 ML SUSPENSION
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
5,00

COTRIMOXAZOLE 480 MG TABLET

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
VALAMIN SANBE INFUSION
TRIDEX 27B INFUSION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
6,00
9,00
3,00
6,00
6,00
3,00
3,00
1,00
1,00
30,00
16,00

17 Mei 2013 12:21

Item
FOTARAM 1 g
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
4,00

17 Mei 2013 12:21

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 12:20

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
SELANG NEBUL WITH MASK(1493)
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
9,00
6,00
6,00
3,00
3,00
6,00
9,00
1,00
30,00
11,00

17 Mei 2013 12:18

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
TRIDEX 27B INFUSION
VALAMIN SANBE INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
6,00
6,00
6,00
9,00
3,00
3,00
1,00
1,00
3,00
3,00
15,00
13,00

17 Mei 2013 12:18

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
ACETYLCYSTEIN 200MG CAPS
BISOPROLOL 5 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
PANTOPRAZOLE INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BD MICRO-FINE
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
2,00
9,00
9,00
3,00
9,00
9,00
12,00
12,00
3,00
6,00
21,00
1,00
1,00
30,00
16,00

17 Mei 2013 12:17

Item
MAGARD FA TABLET, CHEWABLE
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
6,00
1,00

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOTARAM 1 g
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
5,00
5,00
6,00
1,00
3,00
1,00
1,00
3,00
6,00
6,00
30,00
2,00
16,00

17 Mei 2013 12:17

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SANMOL INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
3,00
6,00
6,00
9,00
9,00
6,00
3,00
9,00
9,00
9,00
3,00
15,00

17 Mei 2013 12:00

Item
CEFAZOLIN OGB DEXA POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 10:01

JAKARTA SEHAT

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ACETYLCYSTEIN 200MG CAPS
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
9,00
3,00
3,00
6,00
6,00
9,00
6,00
3,00
3,00
1,00
6,00
6,00
1,00
1,00
30,00
9,00
3,00
17,00

17 Mei 2013 10:01

Item
ASPAR-K TABLET, COATED 300 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
LEVOFLOXACIN INF TABLET
RIFAMPICIN INF 300 MG CAPSULE
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUROSEMID INF INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
9,00
3,00
3,00
3,00
9,00
6,00
9,00
9,00
6,00
18,00
9,00
15,00
9,00
15,00

17 Mei 2013 10:01

Item
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
9,00
1,00

INH 300 MG TABLET

PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

3,00
6,00
6,00
6,00
3,00
6,00
3,00
1,00
1,00
30,00
3,00
1,00
9,00
15,00

17 Mei 2013 10:00

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
FUROSEMID INF INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SANMOL INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
18,00
9,00
9,00
3,00
9,00
6,00
6,00
9,00
9,00
9,00
6,00
1,00
1,00
1,00
12,00
17,00

17 Mei 2013 10:00

Item
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
9,00
12,00
1,00
3,00
6,00

ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
FLUCONAZOLE 150 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

6,00
9,00
6,00
9,00
2,00
1,00
1,00
30,00
3,00
14,00

17 Mei 2013 10:00

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
3,00
3,00
3,00
6,00
3,00
9,00
9,00
1,00
30,00
9,00
15,00

17 Mei 2013 09:56

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
3,00
1,00
3,00
3,00
3,00

IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
30,00
3,00
15,00

17 Mei 2013 09:55

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CEFEPIME 1 GR INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
9,00
6,00
9,00
9,00
1,00
1,00
30,00
12,00
14,00

17 Mei 2013 09:55

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ANBACIM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
9,00
12,00
3,00
3,00
6,00
6,00
9,00
9,00
9,00
21,00
9,00
9,00
1,00
1,00
4,00
30,00
16,00

TOTAL

17 Mei 2013 09:54

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
NEUROSANBE 3 ML INJECTION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
9,00
4,00
3,00
9,00
9,00
6,00
9,00
1,00
1,00
1,00
1,00
30,00
15,00

17 Mei 2013 09:54

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
METFORMIN HCL 500 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
1,00
6,00
9,00
3,00
3,00
9,00
1,00
3,00
8,00
3,00
15,00
15,00
1,00
1,00
18,00

17 Mei 2013 09:50

Item
ASPAR-K TABLET, COATED 300 mg
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
9,00
6,00
9,00
6,00
6,00
6,00
3,00
3,00
1,00
1,00
30,00
12,00
1,00
1,00
16,00

17 Mei 2013 09:50

Item
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
CIPROFLOXACIN DRIP INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
9,00
6,00
3,00
3,00
6,00
6,00
6,00
3,00
1,00
9,00
6,00
1,00
1,00
30,00
2,00
3,00
17,00

17 Mei 2013 09:49

JAKARTA SEHAT

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
IVENA IV CATH 20
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Quantity
9,00
9,00
6,00
1,00
6,00
3,00
6,00
1,00
1,00
6,00
10,00

17 Mei 2013 09:49

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ACETYLCYSTEIN 200MG CAPS
VENTOLIN NEBULE SOLUTION, FOR INHALATION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
2,00
6,00
9,00
3,00
3,00
6,00
6,00
9,00
9,00
6,00
1,00
3,00
6,00
6,00
1,00
1,00
1,00
30,00
19,00

17 Mei 2013 09:49

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
MAGARD FA TABLET, CHEWABLE
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
1,00
6,00
9,00
1,00
9,00

BIFOTIK POWDER, FOR INJECTION SUSPENSION

PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
3,00
3,00
6,00
3,00
9,00
6,00
4,00
1,00
1,00
8,00
30,00
15,00

17 Mei 2013 09:48

Item
SALBUTAMOL INF TABLET 2 MG
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
METFORMIN HCL 500 MG TABLET
ASPAR-K TABLET, COATED 300 mg
CETIRIZINE 10 MG TABLET
FUROSEMID INF TABLET
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
3,00
6,00
6,00
6,00
18,00
6,00
3,00
9,00
6,00
9,00
8,00
18,00
9,00
24,00
1,00
1,00
1,00
30,00
22,00

17 Mei 2013 09:48

Item

JAKARTA SEHAT
Quantity

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
VALAMIN SANBE INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
6,00
6,00
1,00
6,00
3,00
9,00
12,00
3,00
6,00
9,00
1,00
1,00
30,00
12,00
9,00
17,00

16 Mei 2013 12:55

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
SELANG NEBUL WITH MASK(1493)
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
2,00
2,00
1,00
1,00
3,00
1,00
10,00
10,00

16 Mei 2013 12:54

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

16 Mei 2013 12:53

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
1,00

PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
TRIDEX 27B INFUSION
VALAMIN SANBE INFUSION
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
1,00
3,00
1,00
1,00
1,00
1,00
4,00
2,00
12,00

16 Mei 2013 12:33

Item
INH 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

16 Mei 2013 12:16

Item
RIFAMPICIN INFA CAPSULE 600 MG
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
1,00
20,00
6,00

16 Mei 2013 12:15

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

16 Mei 2013 12:09

Item

JAKARTA SEHAT
Quantity

LEVOFLOXACIN INF TABLET

VITAMIN K KIMIA FARMA TABLET 10 MG
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
15,00
15,00
10,00
4,00

16 Mei 2013 12:09

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

16 Mei 2013 09:06

Item
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
NEEDLE NO. 23 THERUMO
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
4,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
10,00

15 Mei 2013 13:03

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

15 Mei 2013 13:03

Item
KANAMYCIN MEIJI POWDER, FOR INJECTION SOLUTION 1 GM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

15 Mei 2013 12:30

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:28

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:28

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

15 Mei 2013 12:28

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

15 Mei 2013 12:27

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:27

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:27

Item
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
3,00

TUSLAH NON RACIKAN

TOTAL

1,00

15 Mei 2013 12:26

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:26

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:26

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:25

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:25

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

15 Mei 2013 12:25

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

15 Mei 2013 12:25

JAKARTA SEHAT

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
1,00

15 Mei 2013 12:24

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

15 Mei 2013 12:24

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

15 Mei 2013 12:24

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:24

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 12:23

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
NON REBREATHING MASK ADULT(1102)
DEXAMETHASONE 5 MG INJECTION
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
XYLOCAINE 2% 10 GM JELLY

JAKARTA SEHAT
Quantity
6,00
1,00
6,00
7,00
6,00
1,00
6,00
1,00
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

11,00

15 Mei 2013 12:23

Item
AMLODIPIN 10 MG TABLET
AMBROXOL INF 30 MG TABLET
CEFEPIME 1 GR INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
VENTOLIN NEBULE SOLUTION, FOR INHALATION
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
4,00
1,00
4,00
4,00
50,00
2,00
1,00
1,00
20,00
4,00
12,00

15 Mei 2013 12:23

Item
NYMIKO SANBE 12 ML SUSPENSION
CURCUMA 200 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TRIDEX 27B INFUSION
VALAMIN SANBE INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
2,00
2,00
4,00
3,00
4,00
2,00
3,00
2,00
4,00
4,00
2,00
1,00
1,00
20,00
4,00
4,00
18,00

15 Mei 2013 12:21

JAKARTA SEHAT

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
2,00
4,00
4,00
6,00
2,00
1,00
6,00
20,00
1,00
10,00

15 Mei 2013 12:21

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00
6,00
4,00
2,00
2,00
2,00
2,00
2,00
2,00
1,00
1,00
1,00
20,00
17,00

15 Mei 2013 12:20

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
6,00
6,00
4,00
2,00
2,00
6,00
2,00

DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
1,00
1,00
20,00
12,00

15 Mei 2013 12:19

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00
2,00
2,00
2,00
2,00
1,00
1,00
10,00
2,00
13,00

15 Mei 2013 12:19

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ATORVASTATIN 20 MG TABLET
HYPERIL 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BD MICRO-FINE
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
4,00
2,00
4,00
2,00
2,00
2,00
2,00
2,00
1,00
1,00
10,00
2,00
15,00

15 Mei 2013 12:11

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

15 Mei 2013 12:07

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
3,00

15 Mei 2013 12:03

Item
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

15 Mei 2013 12:02

Item
AMINOPHYLLINE 200 MG TABLET
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

15 Mei 2013 11:39

Item
BIOCURLIV CAPSULE
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
5,00
1,00

15 Mei 2013 11:29

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
CIPROFLOXACIN TABLET

UMUM
Quantity
15,00
15,00
10,00

TUSLAH NON RACIKAN

TOTAL

3,00

15 Mei 2013 11:17

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
15,00
20,00
5,00

15 Mei 2013 10:47

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
15,00
5,00

15 Mei 2013 10:41

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
15,00
4,00

15 Mei 2013 10:25

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

14 Mei 2013 13:36

Item

JAKARTA SEHAT
Quantity

NYMIKO SANBE 12 ML SUSPENSION

AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
9,00
3,00
6,00
6,00
6,00
3,00
6,00
9,00
3,00
3,00
1,00
1,00
30,00
14,00

14 Mei 2013 13:36

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
PARACETAMOL INF TABLET 500 mg
CIPROFLOXACIN DRIP INFUSION
IVENA IV CATH 24
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
9,00
1,00
9,00
4,00
1,00
1,00
6,00
3,00
30,00
11,00

14 Mei 2013 13:35

Item
PYRAZINAMIDE INF 500 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
LEVOFLOXACIN INF TABLET
ASAM TRANEKSAMAT 500 MG TABLET
DEXAMETHASONE 5 MG INJECTION
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
6,00
9,00
9,00
18,00
6,00
1,00
3,00
9,00
3,00
6,00

FLUCONAZOL INFUS 100 ML

BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
AMINOPHYLLINE 24mg SOLUTION
FUROSEMID INF INJECTION
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
24,00
6,00
6,00
6,00
3,00
1,00
1,00
18,00

14 Mei 2013 13:35

Item
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
LEVOFLOXACIN INF TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
6,00
9,00
9,00
3,00
3,00
12,00
6,00
6,00
15,00
1,00
30,00
14,00

14 Mei 2013 13:34

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ANBACIM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
3,00
6,00
6,00
9,00
9,00
9,00
8,00
16,00
16,00
8,00

IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
9,00
30,00
1,00
18,00

14 Mei 2013 13:33

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
KETOPROFEN 50 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
LEVOFLOXACIN INF TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
9,00
3,00
3,00
6,00
9,00
3,00
6,00
6,00
12,00

14 Mei 2013 13:33

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
PANTOPRAZOLE INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
6,00
3,00
6,00
9,00
3,00
3,00
6,00
6,00
3,00
3,00
1,00
1,00
16,00

14 Mei 2013 13:30

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 13:27

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
3,00
3,00
6,00
6,00
2,00
6,00
9,00
3,00
3,00
6,00
6,00
1,00
1,00
17,00

14 Mei 2013 13:26

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
SOPIROM INJECTION
CEFPIROME 1GR VIL
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
2,00
9,00
1,00
9,00
6,00
2,00
2,00
4,00
3,00
3,00

DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
FUROSEMID INF TABLET
LEVOFLOXACIN INF TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
1,00
1,00
6,00
3,00
6,00
17,00

14 Mei 2013 13:25

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ACETYLCYSTEIN 200MG CAPS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
CALCIUM GLUCONAS ETHICA INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
2,00
2,00
9,00
9,00
3,00
3,00
6,00
6,00
9,00
6,00
3,00
9,00
1,00
1,00
3,00
10,00
17,00

14 Mei 2013 12:28

Item
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
FOLIC ACID 1 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
BIFOTIK POWDER, FOR INJECTION SUSPENSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
6,00
9,00
3,00
5,00
5,00
9,00
1,00
9,00
9,00
6,00
3,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3,00
6,00
1,00
1,00
6,00
3,00
17,00

14 Mei 2013 12:28

Item
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FOTARAM 1 g
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
3,00
3,00
6,00
6,00
6,00
6,00
3,00
1,00
1,00
30,00
6,00
13,00

14 Mei 2013 12:27

Item
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
DERMAFIX-1V
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 22
INFUS SET JMS

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
3,00
6,00
6,00
6,00
3,00
6,00
9,00
3,00
3,00
1,00
30,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

16,00

14 Mei 2013 12:26

Item
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
FLUCONAZOLE 150 MG TABLET
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
12,00
1,00
3,00
6,00
6,00
9,00
6,00
6,00
1,00
1,00
30,00
9,00
3,00
14,00

14 Mei 2013 12:25

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
METFORMIN HCL 500 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
2,00
1,00
6,00
9,00
9,00
3,00
6,00
3,00
9,00
1,00
1,00
5,00
16,00

14 Mei 2013 12:23

JAKARTA SEHAT

Item
MAGARD FA TABLET, CHEWABLE
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
FOTARAM 1 g
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
3,00
3,00
5,00
5,00
6,00
6,00
3,00
3,00
3,00
4,00
1,00
1,00
30,00
14,00

14 Mei 2013 12:14

Item
IBUPROFEN INF 200 MG TABLET
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
3,00
3,00
6,00
6,00
30,00
3,00
8,00

14 Mei 2013 12:14

Item
ASPAR-K TABLET, COATED 300 mg
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
LEVOFLOXACIN INF TABLET
RIFAMPICIN INF 300 MG CAPSULE
PARACETAMOL INF TABLET 500 mg
FUROSEMID INF INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
9,00
4,00
1,00
9,00
3,00
3,00
3,00
9,00
9,00
9,00
9,00
3,00

DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

18,00
9,00
1,00
1,00
30,00
24,00
1,00
19,00

14 Mei 2013 12:14

Item
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM TRANEKSAMAT 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
6,00
3,00
6,00
3,00
9,00
6,00
1,00
1,00
6,00
1,00
13,00

14 Mei 2013 12:13

Item
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
6,00
6,00
6,00
9,00
30,00
30,00
1,00
1,00
3,00
30,00
14,00

TOTAL

14 Mei 2013 12:13

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
ANBACIM INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
9,00
9,00
6,00
12,00
15,00
1,00
1,00
30,00
11,00

14 Mei 2013 12:09

Item
PARACETAMOL INF TABLET 500 mg
PIRACETAM INF 1200 MG TABLET
FOTARAM 1 g
CITICHOLIN 2 ML 125 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
6,00
6,00
9,00
9,00
12,00
1,00
1,00
1,00
1,00
1,00
12,00

14 Mei 2013 12:09

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
ACARBOSE 50 MG TABLET

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
9,00
6,00

BD MICRO-FINE
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
3,00
3,00
3,00
3,00
10,00
3,00
9,00
1,00
17,00

14 Mei 2013 12:08

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
CEFEPIME 1 GR INJECTION
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
2,00
6,00
3,00
3,00
9,00
6,00
1,00
1,00
12,00
1,00
16,00

14 Mei 2013 12:06

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VALISANBE TABLET 5 MG
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
9,00
6,00
9,00
9,00
6,00
20,00
6,00
30,00
1,00

INFUS SET JMS

RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
30,00
12,00

14 Mei 2013 12:05

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
FOTARAM 1 g
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
9,00
9,00
9,00
9,00
3,00
1,00
1,00
30,00
13,00

14 Mei 2013 12:05

Item
PARACETAMOL INF TABLET 500 mg
SALBUTAMOL INF TABLET 2 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ANBACIM INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
3,00
3,00
6,00
6,00
6,00
9,00
6,00
12,00
1,00
1,00
30,00
14,00

14 Mei 2013 12:05

JAKARTA SEHAT

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
MAGARD FA TABLET, CHEWABLE
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
6,00
6,00
6,00
6,00
6,00
9,00
3,00
6,00
1,00
1,00
30,00
6,00
13,00

14 Mei 2013 12:04

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
VENTOLIN NEBULE SOLUTION, FOR INHALATION
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
4,00
9,00
9,00
3,00
3,00
12,00
9,00
6,00
21,00
9,00
12,00

14 Mei 2013 12:04

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
1,00
9,00
9,00
6,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
RING AS SANBE 500 ML
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

12,00
6,00
1,00
1,00
24,00
6,00
4,00
16,00

14 Mei 2013 12:03

Item
PARACETAMOL INF TABLET 500 mg
NYMIKO SANBE 12 ML SUSPENSION
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
ACETYLCYSTEIN 200MG CAPS
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
3,00
6,00
6,00
4,00
9,00
6,00
3,00
3,00
3,00
6,00
6,00
1,00
1,00
10,00
17,00

14 Mei 2013 12:03

Item
SALBUTAMOL INF TABLET 2 MG
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
METFORMIN HCL 500 MG TABLET
CETIRIZINE 10 MG TABLET
ASPAR-K TABLET, COATED 300 mg
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
3,00
6,00
6,00
6,00
6,00
18,00
9,00

DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
6,00
18,00
1,00
1,00
21,00
18,00

14 Mei 2013 12:03

Item
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
CIPROFLOXACIN DRIP INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
HYPERIL 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
9,00
3,00
3,00
6,00
6,00
6,00
2,00
3,00
3,00
10,00
1,00
1,00
30,00
6,00
2,00
6,00
17,00

14 Mei 2013 12:00

Item
CEFAZOLIN OGB DEXA POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

14 Mei 2013 11:59

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
9,00
9,00
2,00
3,00

NEUROSANBE 3 ML INJECTION
DEXTROSE 5% WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
6,00
9,00
10,00
1,00
1,00
30,00
9,00
9,00
15,00

14 Mei 2013 11:56

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
3,00
6,00
6,00
2,00
6,00
3,00
9,00
1,00
3,00
6,00
6,00
15,00

14 Mei 2013 11:53

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
FARMADOL 100 ML INFUSION

JAKARTA SEHAT
Quantity
9,00
3,00
18,00
9,00
2,00
9,00
3,00
6,00
3,00

BIFOTIK POWDER, FOR INJECTION SUSPENSION

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

6,00
9,00
9,00
6,00
12,00
1,00
1,00
16,00

14 Mei 2013 11:51

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

14 Mei 2013 11:50

Item
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUROSEMID INF INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
6,00
6,00
9,00
6,00
9,00
9,00
12,00
6,00
15,00
1,00
1,00
3,00
30,00
15,00

14 Mei 2013 11:48

Item
SALBUTAMOL INF TABLET 2 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
FOTARAM 1 g
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
9,00
1,00
9,00
9,00
9,00
3,00

DISP SYRINGE 3 CC
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

15,00
6,00
3,00
9,00
15,00
1,00
1,00
1,00
30,00
15,00

13 Mei 2013 12:56

Item
KANAMYCIN MEIJI POWDER, FOR INJECTION SOLUTION 1 GM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 12:56

Item
CEFAZOLIN OGB DEXA POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

13 Mei 2013 09:33

Item
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
FUROSEMID INF INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
CIPROFLOXACIN DRIP INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
1,00
1,00
2,00
2,00
2,00
2,00
2,00
1,00
1,00
5,00
1,00
1,00
15,00

13 Mei 2013 09:32

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
2,00
2,00
2,00
1,00
1,00
1,00
4,00
1,00
1,00
4,00
10,00
16,00

13 Mei 2013 09:27

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

13 Mei 2013 09:26

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

13 Mei 2013 09:26

Item
KANAMYCIN MEIJI POWDER, FOR INJECTION SOLUTION 1 GM
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

13 Mei 2013 09:26

Item

JAKARTA SEHAT
Quantity

CURCUMA 200 MG TABLET

RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
LEVOFLOXACIN INF TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
2,00
1,00
1,00
2,00
3,00
1,00
2,00
4,00
10,00
12,00

13 Mei 2013 09:25

Item
CURCUMA 200 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
10,00
1,00
4,00

13 Mei 2013 09:25

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
FUROSEMID INF TABLET
LEVOFLOXACIN INF TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
2,00
1,00
2,00
1,00
3,00
3,00
2,00
1,00
4,00
5,00
14,00

13 Mei 2013 09:24

JAKARTA SEHAT

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
3,00
2,00
1,00
1,00
2,00
2,00
2,00
2,00
3,00
1,00
1,00
2,00
2,00
15,00

13 Mei 2013 09:24

Item
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
2,00
3,00
1,00
3,00
2,00
4,00
5,00
10,00
13,00

13 Mei 2013 09:23

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
2,00

CURCUMA 200 MG TABLET

BIFOTIK POWDER, FOR INJECTION SUSPENSION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
3,00
1,00
2,00
3,00
10,00
13,00

13 Mei 2013 09:22

Item
ASPAR-K TABLET, COATED 300 mg
CURCUMA 200 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
2,00
3,00
6,00
1,00
3,00
5,00
9,00

13 Mei 2013 09:22

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
FARMADOL 100 ML INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00
3,00
3,00
1,00
2,00
3,00
2,00
3,00
2,00
3,00
1,00
5,00
15,00

13 Mei 2013 09:21

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
FUTROLIT INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
2,00
3,00
3,00
2,00
4,00
2,00
5,00
1,00
1,00
10,00
15,00

13 Mei 2013 09:21

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXAMETHASONE 5 MG INJECTION
CIPROFLOXACIN DRIP INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
6,00
1,00
3,00
3,00
8,00
1,00
6,00
10,00
11,00

13 Mei 2013 09:19

Item
PARACETAMOL INF TABLET 500 mg
FOTARAM 1 g
CITICHOLIN 2 ML 125 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
3,00
1,00
1,00
3,00

HANDSCOON NON STERIL M (PCS)

ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

10,00
4,00
9,00

13 Mei 2013 09:19

Item
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
FOTARAM 1 g
DISP SYRINGE 3 CC
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
7,00
3,00
3,00
3,00
10,00
5,00
3,00
10,00

13 Mei 2013 09:19

Item
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
CETIRIZINE 10 MG TABLET
FLUCONAZOLE 150 MG TABLET
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
1,00
2,00
2,00
3,00
1,00
2,00
1,00
3,00
10,00
11,00

13 Mei 2013 09:18

Item
PARACETAMOL INF TABLET 500 mg
DEXAMETHASONE 5 MG INJECTION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
AMINOPHYLLINE 24mg SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
2,00
2,00
3,00

BIFOTIK POWDER, FOR INJECTION SUSPENSION

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
6,00
2,00
1,00
10,00

13 Mei 2013 09:18

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
3,00
2,00
2,00
1,00
2,00
10,00
2,00
12,00

13 Mei 2013 09:17

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
7,00
3,00
3,00
1,00
8,00

13 Mei 2013 09:17

Item
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
LEVOFLOXACIN INF TABLET

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
6,00
1,00

DEXAMETHASONE 5 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
FLUCONAZOL INFUS 100 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AMINOPHYLLINE 24mg SOLUTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
1,00
3,00
3,00
1,00
3,00
10,00
1,00
2,00
2,00
16,00

13 Mei 2013 09:16

Item
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM TRANEKSAMAT 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
DERMAFIX-1V
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
2,00
3,00
1,00
2,00
1,00
3,00
1,00
10,00
12,00

13 Mei 2013 09:16

Item
DEXTROMETHORPHAN INF TABLET 15 MG
LEVOFLOXACIN INF TABLET
PARACETAMOL INF TABLET 500 mg
ASAM TRANEKSAMAT 500/5 ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
BD MICRO-FINE

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00
2,00
3,00
2,00
4,00
2,00
10,00
5,00
3,00

TUSLAH NON RACIKAN

TOTAL

12,00

13 Mei 2013 09:16

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
2,00
1,00
3,00
3,00
6,00
1,00
2,00
10,00
5,00
15,00

13 Mei 2013 09:15

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
NEUROSANBE 3 ML INJECTION
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
6,00
1,00
1,00
1,00
1,00
2,00
2,00
8,00
3,00
10,00
13,00

13 Mei 2013 09:15

Item
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
3,00

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
10,00
2,00
7,00

13 Mei 2013 09:15

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
2,00
1,00
1,00
1,00
10,00
1,00
2,00
13,00

13 Mei 2013 09:14

Item
PARACETAMOL INF TABLET 500 mg
SALBUTAMOL INF TABLET 2 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ANBACIM INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
1,00
1,00
2,00
2,00
3,00
2,00
4,00
2,00
4,00
10,00
13,00

13 Mei 2013 09:13

Item
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 09:13

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
METFORMIN HCL 500 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
2,00
3,00
1,00
1,00
3,00
1,00
4,00
12,00

13 Mei 2013 09:05

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CTM 4 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
FARMADOL 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
1,00
2,00
2,00
3,00
4,00
3,00
2,00
2,00
3,00
5,00
10,00
14,00

13 Mei 2013 09:04

JAKARTA SEHAT

Item
SALBUTAMOL INF TABLET 2 MG
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
METFORMIN HCL 500 MG TABLET
ASPAR-K TABLET, COATED 300 mg
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
3,00
1,00
10,00
3,00
2,00
6,00
2,00
15,00

11 Mei 2013 11:30

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

10 Mei 2013 15:02

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

10 Mei 2013 14:05

Item
KANAMYCIN MEIJI POWDER, FOR INJECTION SOLUTION 1 GM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

10 Mei 2013 14:05

Item
DORNER TABLET 20 MCG

JAKARTA SEHAT
Quantity
9,00

TUSLAH NON RACIKAN

TOTAL

1,00

10 Mei 2013 14:04

Item
PRIMET TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

10 Mei 2013 14:04

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
9,00
6,00
3,00
3,00
3,00
1,00
1,00
30,00
3,00
8,00
15,00

10 Mei 2013 14:04

Item
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
FUROSEMID INF INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
CIPROFLOXACIN DRIP INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
3,00
12,00
6,00
3,00
3,00
6,00
6,00
6,00
6,00
2,00
3,00
3,00
15,00

IVENA IV CATH 20
INFUS SET JMS
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
16,00

10 Mei 2013 14:03

Item
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
CETIRIZINE 10 MG TABLET
FLUCONAZOL INFUS 100 ML
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
12,00
1,00
3,00
6,00
6,00
9,00
3,00
6,00
3,00
9,00
1,00
1,00
30,00
14,00

10 Mei 2013 14:03

Item
NYMIKO SANBE 12 ML SUSPENSION
PARACETAMOL INF TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
6,00
3,00
3,00
3,00
1,00
1,00
30,00
6,00
10,00

10 Mei 2013 14:02

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET

JAKARTA SEHAT
Quantity
9,00
9,00

CURCUMA 200 MG TABLET

DEXAMETHASONE 5 MG INJECTION
CEFAZOLIN OGB DEXA POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
NEUROSANBE 3 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
18,00
6,00
3,00
3,00
3,00
6,00
6,00
24,00
9,00
1,00
1,00
30,00
15,00

10 Mei 2013 14:01

Item
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 20
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
9,00
3,00
9,00
12,00
6,00
15,00
1,00
30,00
14,00

10 Mei 2013 14:01

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXAMETHASONE 5 MG INJECTION
CIPROFLOXACIN DRIP INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
3,00
3,00
9,00
18,00
3,00
9,00
9,00
24,00

DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
18,00
30,00
13,00

10 Mei 2013 14:01

Item
DEXTROMETHORPHAN INF TABLET 15 MG
SALBUTAMOL INF TABLET 2 MG
CAPTOPRIL 12.5 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
PELASTIN INFUSION
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
1,00
6,00
3,00
1,00
1,00
6,00
3,00
6,00
11,00

10 Mei 2013 14:00

Item
ASPAR-K TABLET, COATED 300 mg
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
1,00
9,00
6,00
4,00
9,00
18,00
3,00
1,00
1,00
9,00
15,00
1,00
14,00

10 Mei 2013 13:59

JAKARTA SEHAT

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
3,00
6,00
6,00
6,00
1,00
9,00
6,00
3,00
9,00
9,00
18,00
3,00
6,00
1,00
1,00
30,00
15,00
18,00

10 Mei 2013 13:57

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
3,00
6,00
6,00
6,00
9,00
3,00
6,00
1,00
9,00
30,00
14,00

10 Mei 2013 13:56

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG

JAKARTA SEHAT
Quantity
1,00
3,00

CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
9,00
6,00
3,00
3,00
6,00
6,00
6,00
6,00
9,00
3,00
3,00
6,00
6,00
1,00
1,00
18,00

10 Mei 2013 13:56

Item
PARACETAMOL INF TABLET 500 mg
NEW DIATABS TABLET 600 mg
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
5,00
3,00
6,00
3,00
6,00
3,00
1,00
1,00
12,00
30,00
11,00

10 Mei 2013 13:55

Item
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
FOTARAM 1 g
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
4,00
2,00
9,00
1,00
9,00
6,00
6,00
6,00

SELANG NEBUL WITH MASK(1493)

SELANG OKSIGEN ADULT
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
30,00
15,00
6,00
14,00

10 Mei 2013 13:54

Item
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
LEVOFLOXACIN INF TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
3,00
6,00
3,00
3,00
6,00
9,00
3,00
6,00
6,00
30,00
13,00

10 Mei 2013 13:31

Item
SALBUTAMOL INF TABLET 2 MG
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
METFORMIN HCL 500 MG TABLET
ASPAR-K TABLET, COATED 300 mg

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
6,00
6,00
9,00
9,00
1,00
3,00
1,00
1,00
30,00
12,00
6,00
18,00

CETIRIZINE 10 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
18,00

10 Mei 2013 13:17

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
5,00
5,00
9,00
1,00
6,00
6,00
3,00
6,00
1,00
1,00
30,00
6,00
15,00

10 Mei 2013 13:17

Item
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXAMETHASONE 5 MG INJECTION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
AMINOPHYLLINE 24mg SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
9,00
3,00
6,00
6,00
9,00
6,00
18,00
6,00
3,00
1,00
1,00
13,00

10 Mei 2013 13:16

JAKARTA SEHAT

Item
COTRIMOXAZOLE 480 MG TABLET
CLINDAMYCIN 300 MG CAPSULE
FLUCONAZOLE 150 MG TABLET
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CALCIUM GLUCONAS ETHICA INJECTION
YAL JELLY SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
12,00
18,00
6,00
9,00
3,00
3,00
3,00
4,00
9,00
9,00
15,00
18,00
6,00
1,00
1,00
6,00
16,00

10 Mei 2013 13:16

Item
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
VECTRINE DEXA CAPSULE 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
DISP SYRINGE 3 CC
IVENA IV CATH 20
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
1,00
6,00
9,00
9,00
3,00
3,00
3,00
3,00
1,00
9,00
13,00

10 Mei 2013 13:16

Item
PARACETAMOL INF TABLET 500 mg
FOTARAM 1 g
CITICHOLIN 2 ML 125 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
9,00
6,00
9,00
9,00
3,00

VALAMIN SANBE INFUSION

IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
1,00
30,00
6,00
9,00
11,00

10 Mei 2013 13:16

Item
CURCUMA 200 MG TABLET
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
1,00
1,00
30,00
3,00
6,00

10 Mei 2013 13:15

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
MICROPORE 1/2 INC
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
6,00
1,00
9,00
9,00
6,00
12,00
6,00
15,00
1,00
3,00
3,00
1,00
1,00
30,00
19,00

10 Mei 2013 13:14

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
6,00
21,00
6,00
9,00
1,00
1,00
3,00
10,00

10 Mei 2013 13:14

Item
PARACETAMOL INF TABLET 500 mg
SALBUTAMOL INF TABLET 2 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ANBACIM INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
FUTROLIT INFUSION
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
3,00
3,00
6,00
6,00
6,00
9,00
6,00
1,00
1,00
1,00
30,00
12,00
15,00

10 Mei 2013 13:01

Item
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM TRANEKSAMAT 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
6,00
6,00
9,00
3,00
6,00

DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
1,00
30,00
9,00
3,00
14,00

10 Mei 2013 13:01

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CTM 4 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
FARMADOL 100 ML INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
3,00
3,00
6,00
6,00
9,00
12,00
1,00
9,00
6,00
6,00
9,00
12,00
1,00
1,00
30,00
17,00

10 Mei 2013 13:00

Item
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
FUROSEMID INF TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
6,00
6,00
3,00
3,00
9,00
9,00
6,00
3,00
12,00

DISP SYRINGE 10 CC
IVENA IV CATH 20
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
1,00
15,00
16,00

10 Mei 2013 13:00

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
METFORMIN HCL 500 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
1,00
6,00
9,00
3,00
3,00
12,00
1,00
1,00
3,00
4,00
12,00
3,00
17,00

10 Mei 2013 13:00

Item
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
LEVOFLOXACIN INF TABLET
PARACETAMOL INF TABLET 500 mg
ASAM TRANEKSAMAT 500/5 ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
9,00
9,00
6,00
9,00
6,00
12,00
6,00
6,00
1,00
1,00
30,00

ALKOHOL SWAB
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

15,00
6,00
16,00

10 Mei 2013 12:58

Item
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
LEVOFLOXACIN INF TABLET
DEXAMETHASONE 5 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
FLUCONAZOL INFUS 100 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
AMINOPHYLLINE 24mg SOLUTION
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
9,00
18,00
3,00
6,00
6,00
3,00
12,00
1,00
9,00
3,00
9,00
30,00
3,00
6,00
6,00
6,00
1,00
1,00
20,00

10 Mei 2013 12:58

Item
EXTENSION TUBE ET 2 (DWS)
THREE WAY STOPCOCK
DISP SYRINGE 20 CC WIHTOUT NED
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

10 Mei 2013 12:57

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg

JAKARTA SEHAT
Quantity
6,00
3,00
18,00

ACETYLCYSTEIN 200MG CAPS

CURCUMA 200 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
FARMADOL 100 ML INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
18,00
3,00
6,00
9,00
6,00
9,00
6,00
9,00
3,00
1,00
1,00
15,00
17,00

10 Mei 2013 12:57

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
CURCUMA 200 MG TABLET
CEFEPIME 1 GR INJECTION
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
6,00
3,00
3,00
1,00
1,00
30,00
1,00
13,00

10 Mei 2013 12:56

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
6,00
6,00

VALAMIN SANBE INFUSION

NEUROSANBE 3 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
14,00
3,00
1,00
1,00
30,00
14,00
3,00
18,00

8 Mei 2013 18:25

Item
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

8 Mei 2013 18:04

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIOCURLIV CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
4,00
3,00
2,00
6,00
4,00
4,00
2,00
2,00
2,00
11,00

8 Mei 2013 16:58

Item
IVENA IV CATH 20
INFUS SET JMS
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

UMUM
Quantity
1,00
1,00
6,00
6,00
2,00
2,00
4,00

ETHAMBUTOL500mg TABLET
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

4,00
2,00
9,00

8 Mei 2013 11:24

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
4,00

8 Mei 2013 10:39

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
2,00
1,00
20,00
2,00
2,00
2,00
6,00
1,00
10,00

8 Mei 2013 10:39

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
ALKOHOL SWAB
DERMAFIX-1V
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00
6,00
6,00
6,00
1,00
3,00
3,00
3,00
1,00

INFUS SET JMS

HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
2,00
6,00
17,00

8 Mei 2013 10:26

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

8 Mei 2013 10:13

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

8 Mei 2013 10:13

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

8 Mei 2013 07:53

Item
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 13:58

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

UMUM
Quantity
1,00
1,00
2,00
2,00
1,00
3,00
2,00
2,00
1,00

RING AS SANBE 500 ML

VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
15,00

7 Mei 2013 13:50

Item
KANAMYCIN MEIJI 2 g/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

7 Mei 2013 13:49

Item
PRIMET TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

7 Mei 2013 13:48

Item
PARACETAMOL INF TABLET 500 mg
FOTARAM 1 g
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
9,00
8,00
3,00
6,00
6,00

7 Mei 2013 13:47

Item
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
CAPTOPRIL 12.5 MG TABLET
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
6,00
1,00
9,00
3,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

9,00
6,00
6,00
9,00
21,00
3,00
3,00
2,00
1,00
18,00

7 Mei 2013 13:47

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CURCUMA 200 MG TABLET
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FARMADOL 100 ML INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
9,00
9,00
9,00
3,00
6,00
3,00
9,00
9,00
6,00
6,00
9,00
6,00
1,00
1,00
30,00
17,00

7 Mei 2013 13:47

Item
COTRIMOXAZOLE 480 MG TABLET
CLINDAMYCIN 300 MG CAPSULE
FLUCONAZOLE 150 MG TABLET
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
FUROSEMID INF INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
12,00
18,00
6,00
9,00
3,00
3,00
6,00
15,00
9,00

BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

9,00
18,00
3,00
1,00
1,00
14,00

7 Mei 2013 13:46

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
6,00
1,00
9,00
9,00
6,00
3,00
3,00
1,00
1,00
12,00
6,00
6,00
30,00
18,00

7 Mei 2013 13:45

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
ARIXTRA SOLUTION, INJECTION 2.5 MG/0.5 ML
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
3,00
3,00
6,00
6,00
6,00
2,00
6,00
9,00

RING AS SANBE 500 ML

IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
1,00
3,00
6,00
17,00

7 Mei 2013 13:43

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 13:21

Item
BISOPROLOL 5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ARDIUM TABLET
ASPILETS TABLET, CHEWABLE 80 MG
METFORMIN HCL 500 MG TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
FUROSEMID INF INJECTION
BD MICRO-FINE
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
6,00
6,00
6,00
18,00
18,00
3,00
9,00
6,00
6,00
6,00
9,00
12,00
6,00
2,00
30,00
1,00
24,00
6,00
21,00

7 Mei 2013 13:21

Item
SALBUTAMOL INF TABLET 2 MG
VIVACE 5 MG TABLET

JAKARTA SEHAT
Quantity
9,00
3,00

ASPILETS TABLET, CHEWABLE 80 MG

RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
6,00
6,00
9,00
3,00
9,00
1,00
1,00
30,00
3,00
9,00
15,00

7 Mei 2013 13:18

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CLINDAMYCIN 300 MG CAPSULE
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
VALAMIN SANBE INFUSION
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20
HANDSCOON NON STERIL M (PCS)
INFUS SET JMS
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
3,00
3,00
6,00
6,00
18,00
12,00
1,00
3,00
3,00
3,00
6,00
2,00
30,00
1,00
3,00
6,00
18,00

7 Mei 2013 13:08

Item
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
9,00

SANKORBIN AMP INJECTION

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
6,00
3,00
6,00
1,00
1,00
9,00
6,00
3,00
13,00

7 Mei 2013 13:07

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
6,00
3,00
6,00
3,00
3,00
3,00
1,00
1,00
12,00
3,00
30,00
17,00

7 Mei 2013 13:07

Item
SURFLO IV CATH 14G
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 50 CC WITHOUT NED
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7.5
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
2,00
2,00
7,00

7 Mei 2013 13:04

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CURCUMA 200 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
3,00
6,00
9,00
3,00
9,00
6,00
3,00
12,00
1,00
1,00
30,00
13,00

7 Mei 2013 13:04

Item
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
VECTRINE DEXA CAPSULE 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
BISOLVON 2 ML INJECTION
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
1,00
6,00
9,00
6,00
3,00
3,00
9,00
3,00
9,00
9,00
9,00
1,00
1,00
30,00
17,00

7 Mei 2013 13:04

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION

JAKARTA SEHAT
Quantity
6,00

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 5 CC
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
9,00
9,00
9,00
6,00
3,00
3,00
9,00
1,00
1,00
3,00
13,00

7 Mei 2013 13:04

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
3,00
3,00
6,00
6,00
6,00
9,00
9,00
2,00
3,00
6,00
30,00
14,00

7 Mei 2013 13:03

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
9,00
3,00
3,00
9,00

DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
12,00
1,00
1,00
13,00

7 Mei 2013 13:02

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20
INFUS SET JMS
FOLIC ACID 1 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
SIMVASTATIN GENERIK 10 MG TABLET
DIGOXIN INF TABLET
FUROSEMID INF INJECTION
LEVOFLOXACIN INF TABLET
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
12,00
15,00
2,00
1,00
9,00
9,00
9,00
6,00
9,00
1,00
9,00
6,00
3,00
3,00
2,00
30,00
16,00

7 Mei 2013 12:50

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
30,00
30,00
6,00

7 Mei 2013 12:43

Item

JAKARTA SEHAT
Quantity

LEVOFLOXACIN INF TABLET

TUSLAH NON RACIKAN
TOTAL

3,00
1,00

7 Mei 2013 12:36

Item
VIVACE 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
3,00
6,00
6,00
3,00
9,00
9,00
6,00
1,00
1,00
30,00
15,00

7 Mei 2013 12:35

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
SOLAC SYRUP
INPEPSA 100 ML SYRUP 500 mg/5 ml
ATORVASTATIN 20 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFEPIME 1 GR INJECTION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
2,00
1,00
1,00
9,00
3,00
3,00
6,00
6,00
6,00
6,00
3,00
1,00
1,00
30,00
3,00
6,00

DISP SYRINGE 10 CC
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

6,00
9,00
6,00
6,00
1,00
24,00

7 Mei 2013 12:35

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

7 Mei 2013 12:32

Item
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE GEN 20 MG CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
KETOPROFEN 50 MG TABLET
ETHAMBUTOL500mg TABLET
CEFEPIME 1 GR INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
3,00
3,00
6,00
6,00
4,00
9,00
1,00
3,00
6,00
12,00

7 Mei 2013 12:32

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
CEFEPIME 1 GR INJECTION
VALAMIN SANBE INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
9,00
4,00
4,00
3,00
3,00
3,00

IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
30,00
3,00
6,00
16,00

7 Mei 2013 12:23

Item
LEVOFLOXACIN INF TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXAMETHASONE 5 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
FLUCONAZOL INFUS 100 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
9,00
9,00
18,00
1,00
6,00
6,00
3,00
9,00
12,00
18,00
3,00
3,00
15,00

7 Mei 2013 12:23

Item
CIPROFLOXACIN DRIP INFUSION
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
FUROSEMID INF INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
3,00
3,00
6,00
6,00
6,00
6,00
6,00
3,00
15,00
3,00
2,00

HANDSCOON NON STERIL M (PCS)

INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

30,00
1,00
17,00

7 Mei 2013 12:23

Item
PARACETAMOL INF TABLET 500 mg
DEXAMETHASONE 5 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
3,00
6,00
18,00
3,00
3,00
6,00
9,00
6,00
1,00
1,00
1,00
14,00

7 Mei 2013 12:22

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
1,00
9,00
6,00
3,00
9,00
6,00
12,00
3,00
9,00
2,00
30,00
16,00

7 Mei 2013 12:22

Item
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
LEVOFLOXACIN INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20
HANDSCOON NON STERIL M (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
6,00
6,00
6,00
3,00
3,00
9,00
6,00
6,00
2,00
30,00
1,00
14,00

7 Mei 2013 12:22

Item
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DEXTROMETHORPHAN INF TABLET 15 MG
VALISANBE TABLET 5 MG
SALBUTAMOL INF TABLET 2 MG
CAPTOPRIL 12.5 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
FUTROLIT INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
1,00
6,00
9,00
9,00
9,00
6,00
1,00
18,00
21,00
9,00
9,00
9,00
1,00
1,00
16,00

7 Mei 2013 12:22

Item
CIPROFLOXACIN DRIP INFUSION
DEXAMETHASONE 5 MG INJECTION

JAKARTA SEHAT
Quantity
4,00
18,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

9,00
1,00
18,00
9,00
3,00
3,00
4,00
12,00
1,00
1,00
30,00
4,00
14,00

7 Mei 2013 12:21

Item
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
CETIRIZINE 10 MG TABLET
FLUCONAZOLE 150 MG TABLET
KALTROFEN KALBE SUPPOSITORY 100 mg
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
12,00
3,00
3,00
6,00
6,00
9,00
3,00
6,00
9,00
9,00
6,00
3,00
1,00
1,00
30,00
16,00

7 Mei 2013 12:21

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
1,00
9,00

BIFOTIK POWDER, FOR INJECTION SUSPENSION

RING AS SANBE 500 ML
BISOLVON 2 ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
9,00
3,00
3,00
6,00
2,00
1,00
20,00
9,00
17,00

7 Mei 2013 12:21

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CTM 4 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
FARMADOL 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
3,00
3,00
6,00
6,00
9,00
6,00
1,00
9,00
6,00
6,00
6,00
10,00
6,00
1,00
1,00
30,00
18,00

7 Mei 2013 12:21

Item
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ASAM MEFENAMAT INF 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION

JAKARTA SEHAT
Quantity
6,00
1,00
9,00
6,00
3,00
3,00
3,00

IVENA IV CATH 20
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
30,00
3,00
3,00
13,00

7 Mei 2013 12:20

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
ANBACIM INJECTION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
PARACETAMOL INF TABLET 500 mg
SALBUTAMOL INF TABLET 2 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN INFA CAPSULE 600 MG
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
6,00
12,00
6,00
1,00
1,00
30,00
9,00
9,00
6,00
3,00
3,00
6,00
6,00
15,00

7 Mei 2013 12:19

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
6,00
1,00
6,00
3,00
6,00
6,00
9,00
3,00
6,00

IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
30,00
17,00

7 Mei 2013 12:12

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
1,00
6,00

7 Mei 2013 11:11

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
20,00
10,00
10,00
5,00
9,00

6 Mei 2013 14:10

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

6 Mei 2013 13:54

Item
LEVOFLOXACIN INF TABLET
AMINOPHYLLINE 200 MG TABLET

JAKARTA SEHAT
Quantity
5,00
15,00

SALBUTAMOL INF TABLET 2 MG

AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

15,00
15,00
4,00

6 Mei 2013 13:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUTROLIT INFUSION
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
3,00
1,00
1,00
10,00
1,00
1,00
10,00

6 Mei 2013 13:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
1,00
3,00
1,00
1,00
3,00
1,00
4,00
1,00
1,00
14,00

6 Mei 2013 12:28

Item
LEVOFLOXACIN INF TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN K KIMIA FARMA TABLET 10 MG

JAKARTA SEHAT
Quantity
5,00
30,00
30,00

ASAM TRANEKSAMAT 500 MG TABLET

TUSLAH NON RACIKAN
TOTAL

30,00
4,00

6 Mei 2013 12:26

Item
PARACETAMOL INF TABLET 500 mg
FOTARAM 1 g
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
2,00
2,00
1,00
1,00
2,00
1,00
9,00

6 Mei 2013 12:25

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
2,00
1,00
1,00
7,00
3,00
1,00
1,00
10,00
1,00
13,00

6 Mei 2013 12:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DISP SYRINGE 5 CC
NEEDLE NO. 23 THERUMO

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
5,00
5,00

VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
7,00

6 Mei 2013 10:52

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

6 Mei 2013 10:04

Item
PRIMET TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

6 Mei 2013 10:04

Item
PRIMET TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

6 Mei 2013 10:02

Item
THREE WAY STOPCOCK
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

6 Mei 2013 10:02

Item
SELANG NEBUL WITH MASK(1493)
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

6 Mei 2013 10:02

JAKARTA SEHAT

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

6 Mei 2013 10:01

Item
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ETHAMBUTOL500mg TABLET
FUROSEMID INF INJECTION
FOTARAM 1 g
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
2,00
1,00
2,00
3,00
5,00
1,00
10,00
1,00
1,00
12,00

6 Mei 2013 10:01

Item
CURCUMA 200 MG TABLET
SALBUTAMOL INF TABLET 2 MG
AMINORAL TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
OMEPRAZOLE 40 MG INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
6,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
3,00
1,00
3,00
2,00
1,00
4,00
2,00
1,00
1,00
16,00

6 Mei 2013 09:56

Item
SALBUTAMOL INF TABLET 2 MG
LEVOFLOXACIN INF TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
AMLODIPIN 5 MG TABLET
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
1,00
3,00
3,00
4,00
7,00

6 Mei 2013 09:56

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
6,00
1,00
3,00
1,00
2,00
8,00

6 Mei 2013 09:55

Item
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
2,00
3,00
1,00
1,00
1,00
10,00
3,00
10,00

6 Mei 2013 09:49

Item

JAKARTA SEHAT
Quantity

CAPTOPRIL 12.5 MG TABLET

ISOSORBIDE DINITRATE INF TABLET
H.C.T 25 MG TABLET
CURCUMA 200 MG TABLET
FUROSEMID INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

9,00
3,00
1,00
3,00
1,00
2,00
1,00
1,00
2,00
10,00
10,00

6 Mei 2013 09:49

Item
PARACETAMOL INF TABLET 500 mg
SALBUTAMOL INF TABLET 2 MG
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
10,00
5,00

6 Mei 2013 09:47

Item
CURCUMA 200 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
SISTENOL TABLET, COATED 500 mg; 200 mg
KETOPROFEN 50 MG TABLET
ETHAMBUTOL500mg TABLET
CEFEPIME 1 GR INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
3,00
3,00
2,00
2,00
3,00
1,00
2,00
11,00

6 Mei 2013 09:47

Item
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
1,00
8,00
1,00

HANDSCOON NON STERIL M (PCS)

DISP SYRINGE 3 CC
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
1,00
6,00

6 Mei 2013 09:47

Item
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
SANAZET SANBE 500 MG TABLET
SANTIBI SANBE 500 MG TABLET
CURCUMA 200 MG TABLET
CAPTOPRIL 12.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
2,00
2,00
2,00
3,00
2,00
2,00
1,00
1,00
3,00
3,00
1,00
10,00
15,00

6 Mei 2013 09:36

Item
CURCUMA 200 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
RING AS SANBE 500 ML
SANTIBI SANBE 500 MG TABLET
SANAZET SANBE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
1,00
2,00
3,00
2,00
1,00
2,00
2,00
2,00
12,00

6 Mei 2013 09:36

JAKARTA SEHAT

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
SANAZET SANBE 500 MG TABLET
SANTIBI SANBE 500 MG TABLET
VITAMIN B6 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
BD MICRO-FINE
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
2,00
2,00
2,00
3,00
1,00
2,00
2,00
2,00
2,00
7,00
2,00
2,00
14,00

6 Mei 2013 09:11

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
SANAZET SANBE 500 MG TABLET
SANTIBI SANBE 500 MG TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
BISOPROLOL 5 MG TABLET
PANTOPRAZOLE INJECTION
CEFEPIME 1 GR INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
LIPITOR TABLET, COATED 20 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
3,00
1,00
2,00
2,00
2,00
2,00
2,00
1,00
2,00
18,00

6 Mei 2013 09:10

Item
COTRIMOXAZOLE 480 MG TABLET
CLINDAMYCIN 300 MG CAPSULE

JAKARTA SEHAT
Quantity
4,00
6,00

FLUCONAZOLE 150 MG TABLET

FUROSEMID INF INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

2,00
5,00
3,00
3,00
6,00
3,00
10,00
3,00
10,00

6 Mei 2013 09:10

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CURCUMA 200 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AMINOPHYLLINE 24mg SOLUTION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
1,00
2,00
3,00
1,00
1,00
3,00
11,00

6 Mei 2013 09:10

Item
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
OFLOXACIN INF TABLET 400 MG
DEXAMETHASONE 5 MG INJECTION
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
FLUCONAZOL INFUS 100 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00
3,00
1,00
3,00
2,00
2,00
2,00
1,00
3,00
3,00
1,00
8,00
2,00

HANDSCOON NON STERIL M (PCS)

TUSLAH NON RACIKAN
TOTAL

10,00
17,00

6 Mei 2013 09:10

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
1,00
10,00
2,00
7,00
1,00
3,00
1,00
11,00

6 Mei 2013 09:08

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
1,00
2,00
2,00
2,00
3,00
2,00
1,00
1,00
3,00
2,00
3,00
1,00
15,00

6 Mei 2013 09:08

Item
DEXTROMETHORPHAN INF TABLET 15 MG
CEFOPERAZONE SULBACTAM 1 GM INJECTION

JAKARTA SEHAT
Quantity
3,00
2,00

ASAM TRANEKSAMAT 500/5 ML INJECTION

VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
FUTROLIT INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
3,00
4,00
1,00
1,00
20,00
9,00

6 Mei 2013 09:07

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VALISANBE TABLET 5 MG
SALBUTAMOL INF TABLET 2 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FOTARAM 1 g
FUTROLIT INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
6,00
2,00
3,00
3,00
7,00
3,00
10,00
10,00

6 Mei 2013 09:07

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
CEFEPIME 1 GR INJECTION
VALAMIN SANBE INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
3,00
2,00
2,00
1,00
1,00
1,00
2,00
2,00
10,00
14,00

6 Mei 2013 09:06

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUTROLIT INFUSION
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
3,00
3,00
4,00
1,00
1,00
2,00
10,00
11,00

6 Mei 2013 08:47

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
MELOXICAM 7.5 MG TABLET
SALBUTAMOL INF TABLET 2 MG
METFORMIN HCL 500 MG TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
2,00
3,00
2,00
2,00
3,00
2,00
2,00
3,00
6,00
2,00
15,00

6 Mei 2013 08:38

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RING AS SANBE 500 ML
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
1,00
1,00

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
3,00
3,00
1,00
2,00
1,00
10,00
15,00

6 Mei 2013 08:38

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CLINDAMYCIN 300 MG CAPSULE
COTRIMOXAZOLE 480 MG TABLET
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
1,00
2,00
2,00
6,00
4,00
1,00
1,00
1,00
2,00
2,00
2,00
1,00
10,00
16,00

6 Mei 2013 08:38

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEUROSANBE 3 ML INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
2,00
2,00
1,00
4,00
1,00
1,00

RING AS SANBE 500 ML

VALAMIN SANBE INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
10,00
15,00

6 Mei 2013 08:37

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
PANTOPRAZOLE INJECTION
FLUCONAZOL INFUS 100 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
2,00
4,00
2,00
2,00
2,00
1,00
2,00
1,00
2,00
14,00

6 Mei 2013 08:37

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CTM 4 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
FARMADOL 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
FUTROLIT INFUSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
1,00
2,00
2,00
3,00
2,00
3,00
2,00
2,00
3,00
2,00
1,00
10,00
4,00
16,00

TOTAL

6 Mei 2013 08:37

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
3,00
2,00
2,00
1,00
2,00
3,00
3,00
1,00
10,00
12,00

6 Mei 2013 08:37

Item
SALBUTAMOL INF TABLET 2 MG
VIVACE 5 MG TABLET
GLIBENCLAMID INF TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
BD MICRO-FINE
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
3,00
3,00
2,00
1,00
10,00
1,00
3,00
15,00

6 Mei 2013 08:36

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
3,00
1,00
1,00

PYRAZINAMIDE INF 500 MG TABLET

ISOSORBIDE DINITRATE INF TABLET
AMINORAL TABLET
V-BLOC 6,25MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
CLONIDINE INF 150 MG TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
PANTOPRAZOLE INJECTION
BISOLVON 2 ML INJECTION
FLUCONAZOL INFUS 100 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
6,00
1,00
3,00
1,00
3,00
3,00
1,00
1,00
2,00
3,00
1,00
2,00
3,00
2,00
1,00
17,00

6 Mei 2013 08:36

Item
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
CURCUMA 200 MG TABLET
VECTRINE DEXA CAPSULE 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
BISOLVON 2 ML INJECTION
PANTOPRAZOLE INJECTION
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
3,00
2,00
1,00
3,00
3,00
4,00
3,00
1,00
1,00
10,00
14,00

6 Mei 2013 08:36

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00

CURCUMA 200 MG TABLET

ASPAR-K TABLET, COATED 300 mg
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
3,00
2,00
3,00
3,00
3,00
11,00

6 Mei 2013 08:35

Item
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
SALBUTAMOL INF TABLET 2 MG
VENTOLIN NEBULE SOLUTION, FOR INHALATION
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
1,00
2,00
2,00
3,00
3,00
1,00
10,00
1,00
10,00

6 Mei 2013 08:35

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
BIFOTIK POWDER, FOR INJECTION SUSPENSION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
2,00
3,00
5,00
1,00
1,00
1,00
1,00
1,00
1,00
15,00

5 Mei 2013 19:56

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

5 Mei 2013 19:55

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 11:28

Item
VIVACE 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
16,00
3,00
1,00
1,00
20,00
2,00
8,00

4 Mei 2013 11:23

Item
CURCUMA 200 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
4,00
4,00
4,00
2,00
4,00
6,00
2,00
1,00
1,00
3,00
13,00

4 Mei 2013 11:21

Item
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
CAPTOPRIL 12.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
SELANG NEBUL WITH MASK(1493)
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
4,00
1,00
6,00
4,00
4,00
2,00
2,00
6,00
1,00
1,00
6,00
2,00
1,00
20,00
19,00

4 Mei 2013 11:13

Item
PRIMET TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

4 Mei 2013 11:06

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
2,00
1,00
1,00
20,00
4,00
14,00
2,00
6,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

2,00
13,00

4 Mei 2013 11:05

Item
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
6,00
2,00
2,00
1,00
1,00
2,00
6,00
20,00
10,00

4 Mei 2013 11:04

Item
COTRIMOXAZOLE 480 MG TABLET
CLINDAMYCIN 300 MG CAPSULE
FLUCONAZOLE 150 MG TABLET
AMBROXOL INF 30 MG TABLET
FUROSEMID INF INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
4,00
6,00
10,00
6,00
6,00
12,00
1,00
1,00
6,00
20,00
12,00

4 Mei 2013 09:56

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
SANAZET SANBE 500 MG TABLET
VITAMIN B6 10 MG TABLET
HANDSCOON NON STERIL M (PCS)

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
2,00
10,00

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
7,00

4 Mei 2013 09:41

Item
VASCON SOLUTION, INJECTION 4 MG/4 ML
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

4 Mei 2013 09:37

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 09:36

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

4 Mei 2013 09:36

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 09:35

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 09:13

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

4 Mei 2013 08:31

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 14:57

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
CURCUMA 200 MG TABLET
PANTOPRAZOLE INJECTION
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
5,00
5,00
6,00
6,00
6,00
6,00
6,00
9,00
6,00
1,00
1,00
14,00

3 Mei 2013 14:41

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VALISANBE TABLET 5 MG
SALBUTAMOL INF TABLET 2 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ANBACIM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
6,00
9,00
9,00
9,00
6,00
15,00
18,00
3,00
1,00
1,00
30,00
12,00

3 Mei 2013 14:41

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
9,00
9,00
1,00
1,00
3,00
6,00
30,00
11,00

3 Mei 2013 14:28

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
ASPAR-K TABLET, COATED 300 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
BD MICRO-FINE
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
6,00
1,00
9,00
6,00
9,00
9,00
9,00
9,00
24,00
18,00
1,00
1,00
30,00
18,00

3 Mei 2013 14:25

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 14:25

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
FLUCONAZOL INFUS 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
3,00
1,00
1,00
3,00
6,00

3 Mei 2013 14:25

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
12,00
3,00
9,00
3,00
6,00
8,00

3 Mei 2013 14:24

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
ONDANSETRON INF 4 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
2,00
2,00
2,00
3,00
3,00
3,00
5,00
3,00
1,00
1,00
2,00
6,00
15,00

3 Mei 2013 14:22

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 14:22

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 14:21

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 14:14

Item
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE GEN 20 MG CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
SISTENOL TABLET, COATED 500 mg; 200 mg
KETOPROFEN 50 MG TABLET
ETHAMBUTOL500mg TABLET
CEFEPIME 1 GR INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
3,00
3,00
9,00
9,00
6,00
3,00
9,00
3,00
6,00
12,00

3 Mei 2013 14:14

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00

VITAMIN B6 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
BD MICRO-FINE
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

6,00
9,00
3,00
6,00
6,00
6,00
6,00
6,00
21,00
6,00
1,00
1,00
16,00

3 Mei 2013 14:11

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
MELOXICAM 7.5 MG TABLET
SALBUTAMOL INF TABLET 2 MG
METFORMIN HCL 500 MG TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
6,00
9,00
6,00
6,00
9,00
6,00
6,00
9,00
18,00
6,00
1,00
1,00
17,00

3 Mei 2013 14:11

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMBROXOL INF 30 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET

JAKARTA SEHAT
Quantity
1,00
6,00
3,00
3,00
3,00
6,00

HANDSCOON NON STERIL M (PCS)

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

30,00
3,00
8,00

3 Mei 2013 14:11

Item
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
3,00
6,00
9,00
3,00
3,00
1,00
1,00
30,00
9,00
11,00

3 Mei 2013 14:11

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMINORAL TABLET
V-BLOC 6,25MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
CLONIDINE INF 150 MG TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
PANTOPRAZOLE INJECTION
BISOLVON 2 ML INJECTION
FLUCONAZOL INFUS 100 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
18,00
18,00
3,00
9,00
1,00
9,00
9,00
3,00
3,00
6,00
9,00
3,00
6,00
12,00
6,00
3,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

19,00

3 Mei 2013 14:09

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FLUCONAZOL INFUS 100 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
12,00
12,00
6,00
3,00
9,00
6,00
20,00
9,00
1,00
1,00
30,00
16,00

3 Mei 2013 14:04

Item
PRIMET TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

3 Mei 2013 14:03

Item
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
H.C.T 25 MG TABLET
CURCUMA 200 MG TABLET
FUROSEMID INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)

JAKARTA SEHAT
Quantity
27,00
9,00
3,00
9,00
3,00
6,00
3,00
3,00
6,00
1,00
1,00
30,00

TUSLAH NON RACIKAN

TOTAL

12,00

3 Mei 2013 14:03

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
6,00
6,00
1,00
3,00
6,00
6,00
6,00
9,00
3,00
6,00
1,00
1,00
30,00
16,00

3 Mei 2013 14:02

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
GLYCERIL GUAIACOLAT 100 MG TABLET
IBUPROFEN INF 200 MG TABLET
OBH MINOROCK 100 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
1,00
9,00
9,00
9,00
10,00

3 Mei 2013 14:00

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
6,00
3,00
6,00

ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
BIFOTIK POWDER, FOR INJECTION SUSPENSION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
1,00
9,00
6,00
9,00
18,00
18,00
1,00
1,00
3,00
3,00
3,00
1,00
30,00
18,00

3 Mei 2013 14:00

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VALISANBE TABLET 5 MG
SALBUTAMOL INF TABLET 2 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FOTARAM 1 g
FUTROLIT INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
18,00
6,00
2,00
9,00
18,00
9,00
1,00
1,00
30,00
12,00

3 Mei 2013 13:59

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
CEFEPIME 1 GR INJECTION

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
9,00
6,00
6,00

VALAMIN SANBE INFUSION

DEXTROSE 5% WIDATRA 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
6,00
6,00
1,00
1,00
30,00
16,00

3 Mei 2013 13:40

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ATORVASTATIN 20 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
BISOPROLOL 5 MG TABLET
PANTOPRAZOLE INJECTION
CEFEPIME 1 GR INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
2,00
2,00
2,00
1,00
6,00
3,00
3,00
6,00
6,00
6,00
9,00
2,00
6,00
6,00
6,00
6,00
6,00
1,00
1,00
20,00

3 Mei 2013 13:40

Item
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ETHAMBUTOL500mg TABLET
FUROSEMID INF INJECTION
FOTARAM 1 g
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

JAKARTA SEHAT
Quantity
6,00
6,00
9,00
6,00
3,00
6,00
9,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

12,00
3,00
1,00
1,00
30,00
1,00
3,00
14,00

3 Mei 2013 13:39

Item
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
12,00
1,00
3,00
6,00
6,00
9,00
9,00
1,00
30,00
3,00
11,00

3 Mei 2013 13:39

Item
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
SALBUTAMOL INF TABLET 2 MG
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
9,00
1,00
1,00
30,00
6,00

3 Mei 2013 13:39

Item
CURCUMA 200 MG TABLET
SALBUTAMOL INF TABLET 2 MG
AMINORAL TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET

JAKARTA SEHAT
Quantity
6,00
9,00
18,00
3,00
3,00

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CLONIDINE INF 150 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
OMEPRAZOLE 40 MG INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
BD MICRO-FINE
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
6,00
6,00
9,00
1,00
9,00
9,00
6,00
3,00
12,00
6,00
3,00
3,00
3,00
9,00
1,00
1,00
1,00
9,00
22,00

3 Mei 2013 13:34

Item
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
OFLOXACIN INF TABLET 400 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXAMETHASONE 5 MG INJECTION
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
FLUCONAZOL INFUS 100 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
6,00
6,00
9,00
9,00
9,00
3,00
1,00
9,00
6,00
6,00
6,00
3,00
9,00
9,00
3,00
24,00
6,00
1,00
1,00
30,00
20,00

TOTAL

3 Mei 2013 13:33

Item
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
6,00
6,00
6,00
9,00
12,00
3,00
3,00
1,00
1,00
30,00
12,00

3 Mei 2013 13:31

Item
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
CURCUMA 200 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
BISOLVON 2 ML INJECTION
PANTOPRAZOLE INJECTION
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
1,00
9,00
6,00
3,00
9,00
9,00
9,00
1,00
1,00
9,00
3,00
3,00
30,00
16,00

3 Mei 2013 13:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
3,00
3,00

PYRAZINAMIDE INF 500 MG TABLET

ETHAMBUTOL500mg TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CURCUMA 200 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AMINOPHYLLINE 200 MG TABLET
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
1,00
9,00
3,00
6,00
9,00
3,00
3,00
9,00
1,00
1,00
14,00

3 Mei 2013 13:30

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEUROSANBE 3 ML INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
6,00
3,00
3,00
12,00
3,00
3,00
3,00
3,00
1,00
1,00
30,00
17,00

3 Mei 2013 13:30

Item
SALBUTAMOL INF TABLET 2 MG
VIVACE 5 MG TABLET
GLIBENCLAMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
9,00
3,00
2,00
3,00
3,00
3,00

PYRAZINAMIDE INF 500 MG TABLET

ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
BD MICRO-FINE
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
9,00
9,00
9,00
6,00
1,00
1,00
30,00
15,00

3 Mei 2013 13:30

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CLINDAMYCIN 300 MG CAPSULE
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
3,00
3,00
6,00
6,00
18,00
12,00
1,00
3,00
3,00
6,00
6,00
6,00
1,00
1,00
3,00
17,00

3 Mei 2013 13:29

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
4,00

3 Mei 2013 13:27

JAKARTA SEHAT

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
CURCUMA 200 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
9,00
3,00
9,00
9,00
6,00
6,00
3,00
6,00
9,00
3,00
9,00
1,00
1,00
30,00
14,00

3 Mei 2013 13:27

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
PANTOPRAZOLE INJECTION
FLUCONAZOL INFUS 100 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
6,00
12,00
1,00
6,00
6,00
6,00
1,00
1,00
6,00
3,00
6,00
16,00

3 Mei 2013 13:27

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
3,00

PYRAZINAMIDE INF 500 MG TABLET

ETHAMBUTOL500mg TABLET
CTM 4 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
FARMADOL 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
9,00
6,00
9,00
6,00
6,00
9,00
6,00
1,00
1,00
30,00
1,00
17,00

3 Mei 2013 13:26

Item
SALBUTAMOL INF TABLET 2 MG
NYMIKO SANBE 12 ML SUSPENSION
LEVOFLOXACIN INF TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
AMLODIPIN 5 MG TABLET
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
9,00
3,00
9,00
9,00
12,00
8,00

3 Mei 2013 13:26

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
9,00
6,00
3,00
3,00
6,00
6,00
6,00
9,00
6,00
1,00
3,00
3,00
9,00
6,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

9,00
1,00
1,00
17,00

3 Mei 2013 13:24

Item
KANAMYCIN MEIJI 2 g/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 11:11

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

3 Mei 2013 10:01

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

3 Mei 2013 09:51

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
GLYCERIL GUAIACOLAT 100 MG TABLET
METFORMIN HCL 500 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
FUROSEMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
15,00
30,00
20,00
10,00
10,00
40,00
11,00

3 Mei 2013 09:08

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
3,00
5,00

2 Mei 2013 11:53

Item
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

2 Mei 2013 11:52

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 11:43

Item
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
3,00
3,00
1,00
1,00
1,00
2,00
10,00
11,00

2 Mei 2013 11:38

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VALISANBE TABLET 5 MG

JAKARTA SEHAT
Quantity
6,00
2,00

SALBUTAMOL INF TABLET 2 MG

VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ANBACIM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
2,00
5,00
6,00
1,00
1,00
1,00
10,00
12,00

2 Mei 2013 11:36

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
4,00
1,00
3,00
1,00
1,00
1,00
2,00
10,00

2 Mei 2013 11:33

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
2,00
6,00
6,00
10,00
1,00
1,00
2,00
2,00
2,00
4,00
2,00
14,00

TOTAL

2 Mei 2013 11:30

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

2 Mei 2013 09:33

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
15,00
15,00
15,00
8,00

2 Mei 2013 09:08

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
GLYCERIL GUAIACOLAT 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
15,00
6,00

1 Mei 2013 13:13

Item
AMINOPHYLLINE 200 MG TABLET
SALBUTAMOL INF TABLET 2 MG
DEXAMETHASONE 5 MG INJECTION
LEVOFLOXACIN INFUSION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
6,00
6,00
12,00
2,00
20,00

DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
AMINOPHYLLINE 24mg SOLUTION
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
6,00
20,00
6,00
10,00

1 Mei 2013 11:57

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM TRANEKSAMAT 500 MG TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
15,00
3,00

1 Mei 2013 11:56

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
DEXAMETHASONE 5 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
SELANG NEBUL WITH MASK(1493)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
6,00
4,00
1,00
6,00
4,00
7,00

1 Mei 2013 11:56

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo
Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
BOT
BOT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
TAB
VIL
VIL
AMP

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1287
1287
1503
1503
583440
583440
49251
49251
13935
13935
17643
17643
189759
189759
3825
3825
6000
6000
874617
874617

Pasien

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
738
1287
11880
3168
225
3500
450
3234
462
1641
348
2970
366
1368
37620
6000
75257

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
108
108
968298
968298
255816
255816
52920
52920

0
0
0
0
0

738
1287
11880
3168
225
3500
450
3234
462
1641
348
2970
366
1368
37620
6000
75257

AMP
AMP
VIL
UNT
UNT
UNT
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
BOT
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
VIL
VIL
VIL
UNT
UNT
UNT
UNT
PKG

62370
126741
37245
38250
9240
14988
8415
98502
15060
7000
1752917

62370
126741
37245
38250
9240
14988
8415
98502
15060
7000
1752917

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1641
1641
348
348
1405
1405
2970
2970
54549
54549
1269
1269
49251
49251
153648
153648
14988
14988
8415
8415
15060
15060
5500
5500
309044
309044

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
217488
217488
673200
673200
544248
544248
15300
15300
9240
9240
14988
14988
8415
8415
15060
15060

0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
TAB
VIL
VIL
UNT
VIL
BOT
UNT
UNT
PKG
UNT

4000
1501939

4000
1501939

0
0

Pasien
Penjamin
57964
57964
738
738
774
774
2481
2481
2376
2376
348
348
1686
1686
968298
968298
37245
37245
22968
22968
9240
9240
14988
14988
8415
8415
15060
15060
7000
7000
1149581 1149581

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
1503
1503
57964
57964
1287
1287
366
366
926640
926640
217488
217488
9240
9240
37245
37245
98502
98502
14988
14988
8415
8415
15060
15060
8500
8500
1408340 1408340

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
AMP
BOT
VIL
VIL
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
BOT
BOT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
2400
2400
35280
35280
98502
98502
37245
37245
68904
68904
15300
15300
5940
5940
14988
14988
8415
8415
4500
4500
291474
291474

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
1287
1287
11880
11880
2376
2376
348
348
3564
3564
1686
1686
1267200 1267200
153648
153648
126506
126506
18216
18216
13200
13200
3825
3825
14988
14988
8415
8415
15060
15060
1780
1780
8500
8500
1655647 1655647

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
858
858
1134
1134
1641
1641
348
348
1405
1405
2970
2970

0
0
0
0
0
0
0

TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
AMP
VIL
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
AMP
AMP
BOT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB

738
44352
258
4752
13935
49251
7650
14988
8415
1780
8500
220939

738
44352
258
4752
13935
49251
7650
14988
8415
1780
8500
220939

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1503
1503
3168
3168
126741
126741
30096
30096
14988
14988
15060
15060
3500
3500
196343
196343

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3456
3456
26460
26460
8673
8673
41232
41232
20400
20400
29976
29976
8415
8415
15060
15060
3560
3560
2970
2970
5000
5000
165202
165202

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4752
4752
738
738

0
0

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
CAP
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
TAB
BOT
VIL
VIL
BOT
UNT
UNT
VIL
VIL
UNT

11880
108
900
1215
2376
348
1686
3564
5000
32567

11880
108
900
1215
2376
348
1686
3564
5000
32567

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1089
1089
500
500
1589
1589

0
0
0

Pasien
Penjamin
12276
12276
11880
11880
1000
1000
25156
25156

0
0
0
0

Pasien
900
1503
57964
1044
1503
112860
738
307296
633600
852720
2640
14988
8415
37245
68904
7500
2109820

Penjamin
900
1503
57964
1044
1503
112860
738
307296
633600
852720
2640
14988
8415
37245
68904
7500
2109820

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
BOT
UNT
UNT
UNT
UNT
PKG
TAB
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
BOT
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Pasien
Penjamin
1094
1094
3500
3500
150
150
147
147
3564
3564
22176
22176
1044
1044
4752
4752
1503
1503
16395
16395
7920
7920
88596
88596
153648
153648
4620
4620
2061
2061
14988
14988
8415
8415
15060
15060
1686
1686
5940
5940
8500
8500
365759
365759

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1503
1503
900
900
1215
1215
2376
2376
348
348
1686
1686
3564
3564
126741
126741
968298
968298
307296
307296
189759
189759
15300
15300
9240
9240
14988
14988
8415
8415
15060
15060
1068
1068

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
UNT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

5940
9500
1684484

5940
9500
1684484

0
0
0

Pasien
Penjamin
1287
1287
11880
11880
68310
68310
307296
307296
4620
4620
14988
14988
8415
8415
15060
15060
2136
2136
4500
4500
438492
438492

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
2376
2376
348
348
1686
1686
3564
3564
3168
3168
15660
15660
62370
62370
68310
68310
15300
15300
4620
4620
7476
7476
5940
5940
14988
14988
8415
8415
15060
15060
8000
8000
295245
295245

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686

0
0
0

TAB
TAB
TAB
BOT
AMP
AMP
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
BOT
VIL
VIL
BOT
UNT
UNT
PKG
UNT
PKG
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB

3564
3825
1287
57964
15660
62370
968298
98502
15300
9240
14988
8415
15060
7120
5940
9000
1300943

3564
3825
1287
57964
15660
62370
968298
98502
15300
9240
14988
8415
15060
7120
5940
9000
1300943

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1044
1044
1503
1503
2902
2902
65340
65340
608640
608640
663774
663774
49251
49251
14988
14988
8415
8415
15060
15060
2136
2136
5940
5940
1503
1503
6500
6500
1446996 1446996

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
774
1344
44352
11880
3168
1044
1503

Penjamin
774
1344
44352
11880
3168
1044
1503

0
0
0
0
0
0
0

BOT
VIL
BOT
VIL
AMP
VIL
VIL
UNT
UNT
UNT
PKG
BOT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
VIL
BOT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
VIL
AMP
BOT
UNT

57964
16395
7920
511632
14766
37245
68904
19125
4620
5340
5940
49251
2061
3564
10500
879292

57964
16395
7920
511632
14766
37245
68904
19125
4620
5340
5940
49251
2061
3564
10500
879292

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1200
1200
1152
1152
30217
30217
583440
583440
307296
307296
14988
14988
8415
8415
15060
15060
2136
2136
5940
5940
5000
5000
974844
974844

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
2970
2970
3168
3168
968298
968298
98502
98502
37245
37245
126741
126741
307296
307296
14988
14988

0
0
0
0
0
0
0
0
0
0
0

UNT
PKG
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
AMP
BOT
BOT
VIL
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
PKG
AMP

8415
7530
3825
9240
2136
5940
8500
1609204

8415
7530
3825
9240
2136
5940
8500
1609204

0
0
0
0
0
0
0
0

Pasien
Penjamin
4608
4608
2376
2376
348
348
1686
1686
3564
3564
108
108
1900800 1900800
26400
26400
17346
17346
37572
37572
35286
35286
189759
189759
16395
16395
12750
12750
4620
4620
2061
2061
7120
7120
5940
5940
14988
14988
8415
8415
10000
10000
2302142 2302142

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
108
108
14988
14988
356
356
15060
15060
633942
633942

0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
AMP
UNT
UNT
UNT
UNT
UNT
PKG
BOT
TAB
BOT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
UNT
UNT
UNT
PKG

4500
676928

4500
676928

0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
1287
1287
1503
1503
68310
68310
511632
511632
51048
51048
15300
15300
15400
15400
29976
29976
8415
8415
5340
5340
5940
5940
98502
98502
5949
5949
57964
57964
9500
9500
897208
897208

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
900
900
2376
2376
348
348
1686
1686
3564
3564
3168
3168
1044
1044
29700
29700
1638
1638
98502
98502
434976
434976
15300
15300
14988
14988
8415
8415
5940
5940

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
AMP
VIL
VIL
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
UNT
UNT
UNT
PKG
UNT
AMP
VIL
VIL
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
UNT

3560
26460
37245
45936
10000
803710

3560
26460
37245
45936
10000
803710

0
0
0
0
0
0

Pasien
Penjamin
57964
57964
900
900
2376
2376
348
348
1686
1686
3564
3564
3168
3168
1044
1044
29700
29700
1638
1638
98502
98502
434976
434976
15300
15300
14988
14988
8415
8415
5940
5940
3560
3560
26460
26460
37245
37245
45936
45936
10000
10000
803710
803710

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
1002
1002
2376
2376
348
348
1686
1686
3564
3564
3168
3168
858
858
68310
68310
44250
44250
11475
11475

0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
PKG
VIL
VIL
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT

4620
14988
8415
15060
37245
68904
3204
14988
9500
371925

4620
14988
8415
15060
37245
68904
3204
14988
9500
371925

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
28512
28512
4752
4752
1641
1641
348
348
843
843
1782
1782
738
738
6468
6468
37245
37245
68904
68904
49251
49251
14988
14988
8415
8415
15060
15060
7500
7500
304411
304411

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11880
11880
2481
2481
15048
15048
2376
2376
348
348
1686
1686
3564
3564
3168
3168
594
594
112860
112860
858
858
57964
57964

0
0
0
0
0
0
0
0
0
0
0
0

VIL
VIL
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal

511632
37245
68904
10200
356
14988
15060
9500
880712

511632
37245
68904
10200
356
14988
15060
9500
880712

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2440
2440
7920
7920
1160
1160
5620
5620
11880
11880
10560
10560
3000
3000
3500
3500
46080
46080

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16500
16500
500
500
17000
17000

0
0
0

Pasien
429
308880
32834
9240
14988
8415
2136
10040
4000
390962

Pasien

Penjamin
429
308880
32834
9240
14988
8415
2136
10040
4000
390962

Penjamin

0
0
0
0
0
0
0
0
0
0

UNT
UNT
CTG
UNT

Apotik Panel
Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
AMP
AMP
VIL
UNT
UNT
UNT
UNT
BOT
UNT
UNT
UNT

10560
3560
162043
1500
177663

10560
3560
162043
1500
177663

0
0
0
0
0

Pasien
Penjamin
24393
24393
500
500
24893
24893

0
0
0

Pasien
Penjamin
5732
5732
18343
18343
5280
5280
5809
5809
26950
26950
2500
2500
64614
64614

0
0
0
0
0
0
0

Pasien
Penjamin
62563
62563
500
500
63063
63063

0
0
0

Pasien
Penjamin
10440
10440
41580
41580
45540
45540
10200
10200
9240
9240
14988
14988
8415
8415
307296
307296
26611
26611
3560
3560
5000
5000
482870
482870

0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
BOT
VIL
AMP
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Emergency Mawar
Subtotal
UNT
TUB
UNT
BOT
UNT
UNT

Pasien
Penjamin
336600
336600
500
500
337100
337100

0
0
0

Pasien
Penjamin
190080
190080
65668
65668
74490
74490
253482
253482
14988
14988
8415
8415
10040
10040
26611
26611
4000
4000
647774
647774

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
858
7920
45540
65668
3080
712
14988
8415
26611
10040
5000
188832

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5809
5809
56262
56262
1997
1997
3992
3992
18343
18343
2500
2500
88903
88903

0
0
0
0
0
0
0

858
7920
45540
65668
3080
712
14988
8415
26611
10040
5000
188832

Emergency Mawar
Subtotal
TUB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
UNT

Depo Unit Dose

Subtotal
GM

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB

Pasien
Penjamin
56262
56262
500
500
56762
56762

Pasien

0
0
0

Penjamin
547
98
1000
1645

0
0
0
0

Penjamin
126
126
126
126

0
0

Pasien
Penjamin
6375
6375
1170
1170
17880
17880
2145
2145
2000
2000
29570
29570

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2500
2500
29440
29440

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920

547
98
1000
1645

Pasien

TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
AMP
VIL
BOT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT

1160
5620
11880
360
2500
29440

1160
5620
11880
360
2500
29440

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2500
2500
29440
29440

0
0
0
0
0
0
0

Pasien
756
164
341088
34032
45540
32834
102432
12750
3080
10040
3560
5500
591776

Pasien
600
1002
696
1002
75240
756
170544
1267200
10560

Penjamin
756
164
341088
34032
45540
32834
102432
12750
3080
10040
3560
5500
591776

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
600
1002
696
1002
75240
756
170544
1267200
10560

0
0
0
0
0
0
0
0
0

BOT
VIL
VIL
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
VIL
AMP
VIL
UNT
UNT
PKG
BOT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
VIL
VIL
AMP
UNT

204864
74490
137808
2550
14988
8415
2848
8000
1981563

204864
74490
137808
2550
14988
8415
2848
8000
1981563

0
0
0
0
0
0
0
0
0

Penjamin
720
3308
240
3500
300
492
304
858
341088
34032
45540
15300
3080
10040
98502
1002
6500
564806

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
858
858
1002
1002
3966
3966
12672
12672
45540
45540
341088
341088
34032
34032
3080
3080

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
720
3308
240
3500
300
492
304
858
341088
34032
45540
15300
3080
10040
98502
1002
6500
564806

UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
VIL
UNT
UNT
UNT
BOT
UNT
AMP
AMP
VIL
VIL
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
VIL
UNT
PKG
BOT

3560
14988
8415
10040
8000
492557

Pasien
72
547
98
2376
17346
10930
645532
17850
3080
1374
5280
7120
35280
253482
74490
137808
10040
8500
1231205

Pasien
696
1451
858
1002
1584
232
1124
2376
1267200
10560
60192
2136
10040
65668

3560
14988
8415
10040
8000
492557

0
0
0
0
0
0

Penjamin
72
547
98
2376
17346
10930
645532
17850
3080
1374
5280
7120
35280
253482
74490
137808
10040
8500
1231205

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
696
1451
858
1002
1584
232
1124
2376
1267200
10560
60192
2136
10040
65668

0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
AMP
UNT
BOT
UNT
PKG
BOT
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
VIL
AMP
UNT
UNT
UNT
UNT

Depo Unit Dose

7000
1432119

7000
1432119

0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
858
858
1002
1002
400
400
422400
422400
1023264 1023264
11760
11760
25500
25500
5280
5280
7120
7120
10040
10040
65668
65668
60192
60192
8000
8000
1646800 1646800

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
668
1584
232
1124
2376
572
74490
137808
204864
45540
29500
7650
3080
2136
7000
518624

Penjamin
668
1584
232
1124
2376
572
74490
137808
204864
45540
29500
7650
3080
2136
7000
518624

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
VIL
VIL
AMP
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
PKG
UNT
UNT
UNT

Pasien
Penjamin
14256
14256
1584
1584
232
232
756
756
492
492
4312
4312
74490
74490
137808
137808
23524
23524
1275
1275
10040
10040
5500
5500
274269
274269

Pasien
72
645532
170544
35280
15300
6160
10040
7120
4000
894048

Pasien
858
756
1094
232
843
1782
492
33264
172
32834
9290
10040
5100
712
7000

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
72
645532
170544
35280
15300
6160
10040
7120
4000
894048

0
0
0
0
0
0
0
0
0
0

Penjamin
858
756
1094
232
843
1782
492
33264
172
32834
9290
10040
5100
712
7000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

104469

Depo Unit Dose

Subtotal
TAB
TAB
AMP
VIL
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
PKG
UNT
UNT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT

104469

Penjamin
858
1002
337976
80256
2550
2500
425142

0
0
0
0
0
0
0

Penjamin
858
14784
1584
232
1124
2376
948
65668
10040
1424
7650
3996
6000
116684

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
52578
52578
500
500
53078
53078

0
0
0

Pasien
858
1002
337976
80256
2550
2500
425142

Pasien
858
14784
1584
232
1124
2376
948
65668
10040
1424
7650
3996
6000
116684

Pasien
492
858
7920
126
3500
300

Penjamin
492
858
7920
126
3500
300

0
0
0
0
0
0

TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB

2156
154
1094
232
1782
244
608
5000
24466

2156
154
1094
232
1782
244
608
5000
24466

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
72
72
422628
422628
2550
2550
2136
2136
10040
10040
4500
4500
447242
447242

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
154
1584
232
1124
2376
45540
92382
65668
5100
3080
10040
2848
6000
236128

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
858
858

154
1584
232
1124
2376
45540
92382
65668
5100
3080
10040
2848
6000
236128

Pasien

TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

1002
600
810
1584
232
1124
3564
168988
35280
74490
91872
126506
25500
6160
6408
10040
8500
563518

1002
600
810
1584
232
1124
3564
168988
35280
74490
91872
126506
25500
6160
6408
10040
8500
563518

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
1584
1584
232
232
1124
1124
2376
2376
2550
2550
858
858
10440
10440
41580
41580
645532
645532
204864
204864
65668
65668
10200
10200
6160
6160
10040
10040
3560
3560
8000
8000
1015770 1015770

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
216
216
1002
1002
14784
14784

0
0
0

GM
UNT
UNT
TAB
AMP
VIL
AMP
BOT
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
VIL
AMP
AMP
AMP
UNT
VIL
VIL
UNT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
VIL
UNT
UNT
PKG

126
3500
300
33264
71280
170544
22688
102432
27488
12750
3560
15060
6000
484994

126
3500
300
33264
71280
170544
22688
102432
27488
12750
3560
15060
6000
484994

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1451
1451
600
600
1267200 1267200
170544
170544
57024
57024
253482
253482
92382
92382
12672
12672
74490
74490
137808
137808
25500
25500
52800
52800
2136
2136
10040
10040
7500
7500
2173549 2173549

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
1188
1188
341088
341088
3080
3080
1424
1424
10040
10040

0
0
0
0
0
0
0
0

BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
UNT
VIL
VIL
UNT
BOT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
AMP
UNT
PKG

204864
4500
569124

204864
4500
569124

0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
1002
1002
858
858
244
244
617760
617760
170544
170544
2550
2550
6160
6160
14988
14988
8415
8415
74490
74490
137808
137808
2136
2136
65668
65668
8500
8500
1116439 1116439

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5948
5948
500
500
6448
6448

0
0
0

Pasien

Penjamin
732
500
1232

0
0
0

Pasien
Penjamin
83674
83674
20213
20213
26950
26950

0
0
0

732
500
1232

UNT
UNT
UNT
UNT
TUB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
BOT
VIL
VIL
VIL
VIL
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
VIL
BOT
UNT
UNT

5732
12012
5809
18343
56262
696
4500
234191

Pasien
516
896
29568
7920
1392
1002
492
14766
336600
442516
341088
74490
137808
15300
4984
10040
8000
1427378

Pasien
244
14784
696
1002
547
3500
50
98
2376
10930
5280
1374
10200

5732
12012
5809
18343
56262
696
4500
234191

0
0
0
0
0
0
0
0

Penjamin
516
896
29568
7920
1392
1002
492
14766
336600
442516
341088
74490
137808
15300
4984
10040
8000
1427378

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
244
14784
696
1002
547
3500
50
98
2376
10930
5280
1374
10200

0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
AMP
PKG
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
VIL
BOT
PKG
VIL
VIL
UNT
TAB
TAB
TAB
UNT

3080
14766
10040
2848
204864
7500
294179

3080
14766
10040
2848
204864
7500
294179

0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
504
504
322766
322766
32834
32834
6160
6160
1424
1424
10040
10040
5000
5000
384044
384044

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
600
1584
232
1124
2376
341088
65668
1267200
10560
10040
74490
137808
3560
1044
1503
29700
8000
1956577

Penjamin
600
1584
232
1124
2376
341088
65668
1267200
10560
10040
74490
137808
3560
1044
1503
29700
8000
1956577

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
GM
UNT
UNT
AMP
BOT
VIL
BOT
BAG
BOT
UNT
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
VIL
UNT
VIL
VIL
UNT
UNT
UNT
PKG
UNT

Pasien

Penjamin
858
232
126
3500
300
34032
336600
1267200
190080
205200
102432
10200
10560
14988
8415
4272
10040
7000
2206035

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1654
1654
10032
10032
1584
1584
232
232
1124
1124
2376
2376
572
572
396
396
336600
336600
341088
341088
997920
997920
7650
7650
74490
74490
137808
137808
4272
4272
14988
14988
8415
8415
10040
10040
9500
9500
1968661 1968661

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

858
232
126
3500
300
34032
336600
1267200
190080
205200
102432
10200
10560
14988
8415
4272
10040
7000
2206035

Depo Unit Dose

Subtotal
TAB
BOT
AMP
UNT
VIL
BOT
AMP
AMP
BOT
UNT
UNT
UNT
VIL
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
AMP
BOT
BOT
BOT
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

Pasien

Penjamin
756
190080
168988
20400
1267200
336600
17346
23520
10560
14988
8415
4984
74490
137808
7000
2283135

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3072
3072
2376
2376
348
348
1686
1686
3564
3564
108
108
1267200 1267200
17640
17640
17346
17346
336600
336600
23524
23524
126506
126506
15300
15300
10560
10560
10040
10040
7500
7500
1843370 1843370

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
11880
11880
2376
2376

0
0
0

756
190080
168988
20400
1267200
336600
17346
23520
10560
14988
8415
4984
74490
137808
7000
2283135

TAB
TAB
TAB
BOT
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB

348
1686
3564
98502
1267200
15840
14988
8415
2136
15060
6500
1449782

348
1686
3564
98502
1267200
15840
14988
8415
2136
15060
6500
1449782

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5949
5949
57964
57964
1782
1782
1044
1044
2376
2376
348
348
3564
3564
1686
1686
68310
68310
380223
380223
111735
111735
206712
206712
98502
98502
15300
15300
4620
4620
3560
3560
5940
5940
14988
14988
8415
8415
15060
15060
10000
10000
1018078 1018078

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
54549
54549

0
0
0
0
0

BOT
BOT
UNT
UNT
PKG
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
BOT
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
PKG
TAB
UNT

Depo Unit Dose

Subtotal
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL

49251
153648
14988
8415
15060
3825
1269
6000
314979

49251
153648
14988
8415
15060
3825
1269
6000
314979

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1044
1044
1503
1503
2902
2902
65340
65340
2376
2376
348
348
1686
1686
3564
3564
912960
912960
663774
663774
49251
49251
4272
4272
14988
14988
8415
8415
15060
15060
1503
1503
8000
8000
1756986 1756986

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8210
8210
360
360
3500
3500
450
450
2376
2376
348
348
1686
1686
4428
4428
24987
24987
25020
25020
1344
1344
111735
111735

0
0
0
0
0
0
0
0
0
0
0
0

VIL
BOT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
BOT
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Depo Unit Dose

68904
49251
1068
15060
14988
8415
7500
349630

68904
49251
1068
15060
14988
8415
7500
349630

0
0
0
0
0
0
0
0

Pasien
Penjamin
5470
5470
1160
1160
5620
5620
11880
11880
360
360
2370
2370
9990
9990
3500
3500
40350
40350

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1670
1670
57964
57964
1000
1000
60634
60634

0
0
0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Depo Unit Dose

Subtotal
VIL

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Pasien
Penjamin
30096
30096
500
500
30596
30596

0
0
0

Pasien
Penjamin
30096
30096
500
500
30596
30596

0
0
0

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Pasien
Penjamin
22770
22770

UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT

500
23270

500
23270

0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Pasien
Penjamin
30096
30096
500
500
30596
30596

0
0
0

Pasien
Penjamin
37245
37245
500
500
37745
37745

0
0
0

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Pasien
Penjamin
30096
30096
500
500
30596
30596

0
0
0

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Depo Unit Dose

Subtotal
VIL
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
VIL
UNT

Depo Unit Dose

Subtotal
BAG

Pasien
Penjamin
37245
37245
68904
68904
1000
1000
107149
107149

0
0
0
0

Pasien
Penjamin
6600
6600
500
500
7100
7100

0
0
0

Pasien
Penjamin
21450
21450
500
500
21950
21950

0
0
0

Pasien
Penjamin
13200
13200
500
500
13700
13700

0
0
0

Pasien
Penjamin
21450
21450
500
500
21950
21950

0
0
0

Pasien
Penjamin
6600
6600
21450
21450
1000
1000
29050
29050

0
0
0
0

Pasien
Penjamin
205200
205200

UNT

Depo Unit Dose

Subtotal
TAB
BOT
BOT
AMP
UNT
UNT
VIL
BOT
AMP
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
VIL
UNT
UNT
UNT
UNT
BOT
UNT
PKG
AMP
AMP
VIL
UNT
UNT
UNT

500
205700

Pasien
756
57964
190080
168988
3300
20400
1267200
224400
23520
10560
14988
8415
5696
6500
2002767

Pasien
72
547
98
2376
5782
10930
645532
3300
15300
3080
1374
5280
3560
5940
35280
253482
24830
14988
8415
9500
1049666

500
205700

0
0

Penjamin
756
57964
190080
168988
3300
20400
1267200
224400
23520
10560
14988
8415
5696
6500
2002767

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
72
547
98
2376
5782
10930
645532
3300
15300
3080
1374
5280
3560
5940
35280
253482
24830
14988
8415
9500
1049666

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
AMP
VIL
BOT
BOT
UNT
UNT
UNT
PKG
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
TAB
VIL
VIL
UNT
UNT
UNT
UNT
VIL
UNT
BOT

Pasien

Penjamin
858
1002
600
810
1584
232
2376
1124
253482
645532
35280
74490
204864
126506
25500
6160
6408
5940
10040
14988
8415
10500
1436691

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
1002
1002
57964
57964
858
858
244
244
617760
617760
170544
170544
2550
2550
6160
6160
14988
14988
8415
8415
24830
24830
2136
2136
65668
65668

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

858
1002
600
810
1584
232
2376
1124
253482
645532
35280
74490
204864
126506
25500
6160
6408
5940
10040
14988
8415
10500
1436691

UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
VIL
VIL
AMP
AMP
AMP
UNT
VIL
UNT
BOT
UNT
UNT
UNT
PKG
UNT

8500
986935

8500
986935

0
0

Pasien
Penjamin
57964
57964
572
572
756
756
1094
1094
232
232
843
843
1782
1782
492
492
33264
33264
86
86
32834
32834
9290
9290
14988
14988
8415
8415
10040
10040
5100
5100
712
712
8500
8500
186964
186964

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
7920
7920
1451
1451
600
600
1267200 1267200
170544
170544
57024
57024
253482
253482
92382
92382
12672
12672
37245
37245
25500
25500
10560
10560
7120
7120
14988
14988
8415
8415
10040
10040
8500
8500

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2043607

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
VIL
UNT
UNT
UNT
UNT
PKG
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
AMP
UNT
UNT
UNT
PKG
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

2043607

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
57964
57964
170544
170544
3080
3080
1424
1424
14988
14988
8415
8415
10040
10040
5940
5940
204864
204864
6500
6500
489075
489075

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
858
1584
232
2376
1124
41580
281752
3560
14988
8415
10040
5940
65668
6500
444617

Pasien
858
1584
232
1124

Penjamin
858
1584
232
2376
1124
41580
281752
3560
14988
8415
10040
5940
65668
6500
444617

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
858
1584
232
1124

0
0
0
0

TAB
TAB
VIL
BOT
BOT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
VIL
VIL
AMP
AMP
UNT
BOT
UNT
UNT
UNT
PKG
BOT
VIL
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB

2376
72
341088
32834
102432
7650
1424
14988
8415
10040
5940
7500
538557

2376
72
341088
32834
102432
7650
1424
14988
8415
10040
5940
7500
538557

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
858
858
1002
1002
57964
57964
600
600
844800
844800
170544
170544
35280
35280
19688
19688
22950
22950
5280
5280
2848
2848
14988
14988
8415
8415
10040
10040
65668
65668
20064
20064
10000
10000
1296305 1296305

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
1584
1584
232
232
2376
2376

0
0
0
0

TAB
TAB
VIL
BOT
BOT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
VIL
AMP
UNT
UNT
UNT
UNT
PKG
PKG
BOT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT

1124
756
645532
32834
102432
6160
1424
14988
8415
10040
5940
7500
899301

Pasien
720
3966
240
3500
300
492
304
858
341088
34032
7650
3080
14988
8415
10040
5940
98502
1002
7500
542617

Pasien
288
1002
14784
126
3500
300

1124
756
645532
32834
102432
6160
1424
14988
8415
10040
5940
7500
899301

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
720
3966
240
3500
300
492
304
858
341088
34032
7650
3080
14988
8415
10040
5940
98502
1002
7500
542617

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
288
1002
14784
126
3500
300

0
0
0
0
0
0

TAB
AMP
AMP
BOT
BOT
UNT
UNT
PKG
UNT
UNT
PKG
VIL
UNT

Depo Unit Dose

Subtotal
TAB
BOT
AMP
VIL
UNT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB
VIL
VIL
AMP
UNT
UNT
UNT
PKG
UNT
UNT

33264
71280
22688
102432
27488
12750
3560
5940
14988
8415
10040
170544
7500
510889

33264
71280
22688
102432
27488
12750
3560
5940
14988
8415
10040
170544
7500
510889

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
57964
57964
34032
34032
170544
170544
12750
12750
3080
3080
14988
14988
8415
8415
10040
10040
3560
3560
5940
5940
5500
5500
327815
327815

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
72
72
645532
645532
170544
170544
35280
35280
17850
17850
6160
6160
14988
14988
10040
10040
7120
7120
5000
5000
960271
960271

0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
VIL
AMP
PKG
BOT
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB

Pasien

Penjamin
756
164
341088
34032
5940
32834
102432
15300
3080
14988
8415
10040
3560
6500
579129

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21450
21450
500
500
21950
21950

0
0
0

Pasien
Penjamin
52578
52578
6600
6600
1000
1000
60178
60178

0
0
0
0

756
164
341088
34032
5940
32834
102432
15300
3080
14988
8415
10040
3560
6500
579129

Pasien
492
858
7920
126
3500
300
2156
154
1094

Penjamin
492
858
7920
126
3500
300
2156
154
1094

0
0
0
0
0
0
0
0
0

TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
AMP
VIL
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
TAB

232
1782
244
608
5000
24466

232
1782
244
608
5000
24466

0
0
0
0
0
0

Penjamin
858
1002
337976
20064
2550
14988
10040
3500
390978

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21450
21450
500
500
21950
21950

0
0
0

Pasien
Penjamin
8184
8184
500
500
8684
8684

0
0
0

Pasien
Penjamin
8652
8652
6600
6600
1000
1000
16252
16252

0
0
0
0

Pasien
Penjamin
47685
47685
154
154

0
0

Pasien
858
1002
337976
20064
2550
14988
10040
3500
390978

TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
VIL
UNT
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB

1584
232
1124
2376
92382
65668
10200
3080
14988
8415
10040
2848
7000
267776

1584
232
1124
2376
92382
65668
10200
3080
14988
8415
10040
2848
7000
267776

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1654
1654
10032
10032
1584
1584
232
232
1124
1124
2376
2376
572
572
396
396
336600
336600
341088
341088
997920
997920
7650
7650
74490
74490
4272
4272
14988
14988
8415
8415
10040
10040
9000
9000
1830353 1830353

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
7128
7128
858
858

0
0
0
0
0

TAB
TAB
UNT
VIL
AMP
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Emergency Mawar
Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
VIL
UNT
BOT
VIL
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

1002
3966
12672
341088
34032
10200
3080
3560
14988
8415
10040
5940
8500
468409

1002
3966
12672
341088
34032
10200
3080
3560
14988
8415
10040
5940
8500
468409

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
1002
1002
600
600
344
344
1002
1002
47685
47685
645532
645532
6160
6160
32834
32834
20064
20064
1424
1424
5940
5940
14988
14988
8415
8415
6500
6500
792490
792490

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
696
696
1451
1451
858
858

0
0
0

TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
TAB
VIL
BOT
UNT
UNT
UNT
AMP
UNT
UNT
PKG
UNT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

1002
1584
232
1124
1267200
10560
2136
14988
8415
10040
65668
7000
1392954

1002
1584
232
1124
1267200
10560
2136
14988
8415
10040
65668
7000
1392954

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
244
14784
696
1002
547
3500
100
98
10930
5280
1374
5100
3080
14766
14988
8415
10040
2848
2970
204864
8500
314126

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3072
3072
1584
1584
232
232
1124
1124

0
0
0
0

Pasien
244
14784
696
1002
547
3500
100
98
10930
5280
1374
5100
3080
14766
14988
8415
10040
2848
2970
204864
8500
314126

TAB
TAB
VIL
AMP
AMP
BOT
BOT
BOT
UNT
UNT
PKG
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
PKG
VIL
BOT
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB

1188
72
1267200
17640
17346
336600
23524
126506
14988
8415
5940
15300
10560
10040
9000
1870331

1188
72
1267200
17640
17346
336600
23524
126506
14988
8415
5940
15300
10560
10040
9000
1870331

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
668
668
1584
1584
232
232
1124
1124
2376
2376
572
572
5940
5940
24830
24830
204864
204864
29500
29500
7650
7650
9240
9240
2136
2136
14988
14988
8415
8415
8000
8000
369804
369804

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
19008
19008
1094
1094
232
232
756
756

0
0
0
0
0

TAB
TAB
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
GM
UNT
UNT
AMP
BOT
VIL
BOT
BOT
UNT
BOT
UNT
UNT
UNT
PKG

492
4312
37245
23524
2550
14988
8415
10040
6500
176841

492
4312
37245
23524
2550
14988
8415
10040
6500
176841

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
72
72
422628
422628
2550
2550
14988
14988
2136
2136
10040
10040
5000
5000
462730
462730

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
858
286110
232
126
3500
300
34032
336600
1267200
190080
102432
10200
10560
14988
8415
4272
2970

Penjamin
858
286110
232
126
3500
300
34032
336600
1267200
190080
102432
10200
10560
14988
8415
4272
2970

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
VIL
UNT
BOT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
PKG
PKG
UNT
UNT
TAB
UNT

10040
7500
2290415

Pasien
858
1584
232
1124
2376
41580
442516
12672
307296
2550
3560
5940
14988
8415
10040
7500
863231

Pasien
858
14784
1584
232
1124
2376
948
65668
14988
8415
10040
5940
1424
7650
3996
7500
147527

10040
7500
2290415

0
0
0

Penjamin
858
1584
232
1124
2376
41580
442516
12672
307296
2550
3560
5940
14988
8415
10040
7500
863231

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
858
14784
1584
232
1124
2376
948
65668
14988
8415
10040
5940
1424
7650
3996
7500
147527

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
TAB
VIL
VIL
BOT
BOT
VIL
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
BOT
VIL
VIL
VIL
UNT
UNT
UNT
UNT
PKG
PKG
BAG
UNT

Pasien
600
1002
47685
696
1002
75240
756
170544
1267200
10560
204864
24830
2550
14988
8415
5940
2848
8500
1848220

Pasien
516
896
29568
7920
696
1002
492
47685
14766
336600
442516
341088
24830
15300
4984
14988
8415
10040
5940
9633
10000
1327875

Penjamin
600
1002
47685
696
1002
75240
756
170544
1267200
10560
204864
24830
2550
14988
8415
5940
2848
8500
1848220

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
516
896
29568
7920
696
1002
492
47685
14766
336600
442516
341088
24830
15300
4984
14988
8415
10040
5940
9633
10000
1327875

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
BOT
UNT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
47685
47685
792
792
75240
75240
37245
37245
65668
65668
14988
14988
8415
8415
10040
10040
6000
6000
271389
271389

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
1584
1584
232
232
1124
1124
2376
2376
2550
2550
858
858
10440
10440
41580
41580
645532
645532
204864
204864
65668
65668
10200
10200
6160
6160
14988
14988
8415
8415
10040
10040
7120
7120
2970
2970
9500
9500
1047203 1047203

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

BOT
TAB
TAB
TAB
TAB
TAB
VIL
BOT
VIL
UNT
BOT
UNT
UNT
PKG
VIL
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
UNT
PKG
VIL
UNT

Depo Unit Dose

Subtotal

47685
600
1584
232
1124
2376
341088
65668
1267200
3300
10560
14988
8415
10040
24830
2848
5940
8500
1816978

Pasien
858
4928
1584
232
1124
2376
72
696
1002
488
22770
307296
3080
712
14988
8415
10040
24830
9000
414491

Pasien

47685
600
1584
232
1124
2376
341088
65668
1267200
3300
10560
14988
8415
10040
24830
2848
5940
8500
1816978

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
858
4928
1584
232
1124
2376
72
696
1002
488
22770
307296
3080
712
14988
8415
10040
24830
9000
414491

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
BOT
UNT
UNT
PKG
UNT

3960
580
5940
2810
180
5940
3000
22410

3960
580
5940
2810
180
5940
3000
22410

0
0
0
0
0
0
0
0

Pasien
Penjamin
3270
3270
17880
17880
1170
1170
2145
2145
2000
2000
26465
26465

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
2000
2000
28580
28580

0
0
0
0
0
0

Pasien
Penjamin
3168
3168
464
464
2248
2248
4752
4752
1716
1716
2004
2004
291720
291720
2848
2848
49251
49251
29976
29976
16830
16830
10040
10040
6000
6000
421017
421017

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
BOT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
VIL

Pasien
Penjamin
25500
25500
500
500
26000
26000

0
0
0

Pasien
Penjamin
9504
9504
116
116
378
378
11762
11762
5020
5020
1275
1275
3000
3000
31055
31055

0
0
0
0
0
0
0
0

Pasien
348
1451
429
501
792
116
562
1188
3960
30096
16417
5020
6000
66880

Pasien
300
501
348
501
37620
85272
37245

Penjamin
348
1451
429
501
792
116
562
1188
3960
30096
16417
5020
6000
66880

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
300
501
348
501
37620
85272
37245

0
0
0
0
0
0
0

BOT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BAG
VIL
UNT
BOT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
BOT
UNT

102432
1540
5020
356
5500
276635

Pasien
792
116
562
1188
501
122
308880
85272
12012
37245
3080
126506
429
6500
583205

Pasien
88
1983
120
3500
150
246
152
360
465
170544
17016
10200
1780
16417
5500
228521

102432
1540
5020
356
5500
276635

0
0
0
0
0
0

Penjamin
792
116
562
1188
501
122
308880
85272
12012
37245
3080
126506
429
6500
583205

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
88
1983
120
3500
150
246
152
360
465
170544
17016
10200
1780
16417
5500
228521

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
UNT
BOT
TUB
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
AMP
VIL
BAG
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT
VIL
AMP
AMP
BOT
BOT
BAG
UNT

Pasien
Penjamin
16088
16088
5280
5280
112524
112524
24024
24024
5809
5809
18343
18343
3000
3000
185068
185068

Pasien
348
8976
7854
1451
2942
11385
5220
20790
255816
12012
16417
5100
1540
2848
7000
359699

Pasien
144
501
7392
63
3500
150
85272
11344
35640
51216
63253
12012
3825

0
0
0
0
0
0
0
0

Penjamin
348
8976
7854
1451
2942
11385
5220
20790
255816
12012
16417
5100
1540
2848
7000
359699

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
144
501
7392
63
3500
150
85272
11344
35640
51216
63253
12012
3825

0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT

1780
5500
281592

1780
5500
281592

0
0
0

Penjamin
246
429
3960
63
3500
150
1078
154
498960
16417
3080
712
5020
5000
538769

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6600
6600
500
500
7100
7100

0
0
0

Pasien
Penjamin
26289
26289
500
500
26789
26789

0
0
0

Pasien
246
429
3960
63
3500
150
1078
154
498960
16417
3080
712
5020
5000
538769

Pasien
547
116
562
1188
384
633600
2640

Penjamin
547
116
562
1188
384
633600
2640

0
0
0
0
0
0
0

PKG
BOT
VIL
BAG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
GM
UNT
UNT
TAB
BOT
BOT
VIL
BOT
BOT
BOT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
VIL

5020
112211
37245
36326
63253
6000
899092

5020
112211
37245
36326
63253
6000
899092

0
0
0
0
0
0
0

Penjamin
429
116
63
3500
150
5940
168300
101952
633600
95040
51216
5280
1068
5000
1071654

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4326
4326
500
500
4826
4826

0
0
0

Pasien
Penjamin
3960
3960
827
827
5016
5016
792
792
116
116
562
562
1188
1188
498960
498960
24024
24024
170544
170544

0
0
0
0
0
0
0
0
0
0

Pasien
429
116
63
3500
150
5940
168300
101952
633600
95040
51216
5280
1068
5000
1071654

VIL
UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
VIL
UNT
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
UNT
BOT
UNT
UNT

Depo Unit Dose

Subtotal

37245
3825
1780
198
7000
756037

37245
3825
1780
198
7000
756037

0
0
0
0
0
0

Penjamin
300
501
172
501
5880
322766
30096
3825
3080
1424
16417
5500
390462

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
348
348
546
546
1188
1188
501
501
322766
322766
5465
5465
2640
2640
1275
1275
4620
4620
1068
1068
687
687
102432
102432
14988
14988
7000
7000
472916
472916

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
300
501
172
501
5880
322766
30096
3825
3080
1424
16417
5500
390462

Pasien

Penjamin

TAB
TAB
TAB
VIL
VIL
VIL
AMP
UNT
UNT
BOT
UNT
BAG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
AMP
UNT
UNT
UNT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

429
501
300
20064
422400
85272
17640
8925
1780
16417
14988
12012
5280
6500
612508

Pasien
300
501
172
258
594
792
116
562
1188
30096
322766
17640
7650
3080
1424
102432
14988
5020
9000
518579

Pasien
36
792
116
562

429
501
300
20064
422400
85272
17640
8925
1780
16417
14988
12012
5280
6500
612508

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
300
501
172
258
594
792
116
562
1188
30096
322766
17640
7650
3080
1424
102432
14988
5020
9000
518579

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
36
792
116
562

0
0
0
0

TAB
VIL
VIL
UNT
UNT
PKG
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
UNT
BAG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BAG
UNT
BOT
UNT
UNT
UNT

1188
322766
85272
2550
3080
5020
1068
102432
6000
530882

Pasien
429
1998
898
37620
170544
100980
3825
1540
14988
12012
1068
5020
6000
356922

Pasien
792
116
562
1188
396
85272
498960
12012
1068
32834
2550
3080
6000
644830

1188
322766
85272
2550
3080
5020
1068
102432
6000
530882

0
0
0
0
0
0
0
0
0
0

Penjamin
429
1998
898
37620
170544
100980
3825
1540
14988
12012
1068
5020
6000
356922

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
396
85272
498960
12012
1068
32834
2550
3080
6000
644830

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BAG
VIL
UNT
UNT
UNT
BOT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

Pasien
429
792
116
562
1188
11385
12012
170544
3825
1540
1068
16417
51216
14988
5020
7500
298602

Pasien
429
7392
547
116
562
1188
474
1998
32834
5100
712
14988
15060
6500
87900

Pasien
792
116
562
1188

Penjamin
429
792
116
562
1188
11385
12012
170544
3825
1540
1068
16417
51216
14988
5020
7500
298602

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
7392
547
116
562
1188
474
1998
32834
5100
712
14988
15060
6500
87900

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188

0
0
0
0

VIL
BOT
PKG
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
AMP
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
VIL
UNT
UNT
BOT
UNT
BOT
UNT
UNT

322766
32834
5020
2550
3080
712
5000
374620

Pasien
286
378
547
116
562
1188
246
172
16632
16417
422400
4645
2640
2550
1068
7500
477347

Pasien
36
1188
221258
5465
2550
3080
2640
687
16417
1780
5000
260101

322766
32834
5020
2550
3080
712
5000
374620

0
0
0
0
0
0
0
0

Penjamin
286
378
547
116
562
1188
246
172
16632
16417
422400
4645
2640
2550
1068
7500
477347

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
36
1188
221258
5465
2550
3080
2640
687
16417
1780
5000
260101

0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
CAP
VIL
BOT
VIL
BAG
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
BOT
VIL
VIL
UNT
UNT
UNT

Pasien
792
116
562
1188
9240
30096
102432
11385
12012
1275
1540
356
14988
6500
192482

Pasien
423
547
116
562
1188
429
16417
14988
5020
4500
44190

Pasien
792
116
562
1188
16417
51216
322766
37245
1275
3080
1068

Penjamin
792
116
562
1188
9240
30096
102432
11385
12012
1275
1540
356
14988
6500
192482

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
423
547
116
562
1188
429
16417
14988
5020
4500
44190

0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
16417
51216
322766
37245
1275
3080
1068

0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

5500
441225

Pasien
792
116
562
1188
36
211314
1068
14988
4000
234064

Pasien
501
792
116
562
1188
1275
429
5220
20790
322766
32834
5100
3080
5020
2848
7500
410021

Pasien
792
116
562
1188
501
378

5500
441225

0
0

Penjamin
792
116
562
1188
36
211314
1068
14988
4000
234064

0
0
0
0
0
0
0
0
0
0

Penjamin
501
792
116
562
1188
1275
429
5220
20790
322766
32834
5100
3080
5020
2848
7500
410021

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
501
378

0
0
0
0
0
0

TAB
TAB
VIL
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
VIL
BAG
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT
VIL
UNT
PKG
UNT
UNT
UNT

Apotik Panel 2

594
36
498960
102432
14988
1780
6000
628327

Pasien
792
116
562
1188
11385
12012
1275
1540
356
4500
33726

Pasien
429
2464
792
116
562
1188
36
11385
12012
153648
37245
14988
5020
1275
1540
7500
250200

594
36
498960
102432
14988
1780
6000
628327

0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
11385
12012
1275
1540
356
4500
33726

0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
2464
792
116
562
1188
36
11385
12012
153648
37245
14988
5020
1275
1540
7500
250200

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
AMP
VIL
AMP
AMP
AMP
BOT
VIL
UNT
UNT
BOT
BAG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
VIL
AMP

Pasien
Penjamin
4326
4326
500
500
4826
4826

0
0
0

Pasien
Penjamin
3300
3300
4326
4326
1000
1000
8626
8626

0
0
0
0

Pasien
Penjamin
3960
3960
1451
1451
300
300
633600
633600
8820
8820
85272
85272
28512
28512
126741
126741
46191
46191
32834
32834
37245
37245
12750
12750
3560
3560
2640
2640
12012
12012
7500
7500
1043388 1043388

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
429
501
792
116
562
1188
11385
12012
170544
17016

Penjamin
429
501
792
116
562
1188
11385
12012
170544
17016

0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
TAB
BOT
UNT

Depo Unit Dose

Subtotal
TAB
VIL
BAG
AMP
VIL
BOT
BOT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BOT
VIL
BAG
UNT
BAG
BOT
UNT
UNT

Depo Unit Dose

Subtotal
TAB

5100
4620
14988
1780
827
16417
8000
266277

5100
4620
14988
1780
827
16417
8000
266277

0
0
0
0
0
0
0
0

Penjamin
501
22770
12012
17016
85272
63253
51216
5100
1540
14988
5020
1424
6000
286112

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
378
3960
422400
2640
85272
9633
14988
18163
16417
1068
5000
579919

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
258
258

Pasien
501
22770
12012
17016
85272
63253
51216
5100
1540
14988
5020
1424
6000
286112

Pasien
378
3960
422400
2640
85272
9633
14988
18163
16417
1068
5000
579919

Pasien

TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
VIL
BAG
AMP
UNT
UNT
UNT
VIL
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
AMP
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
VIL
VIL
BAG
UNT
BOT
UNT
PKG
UNT
UNT

448
7392
3960
348
501
246
4922
221258
170544
9633
100980
6375
14988
2848
37245
32834
8500
623280

Pasien
429
501
126741
30096
2000
159767

Pasien
792
116
562
1188
85272
11385
9633
1540
102432
14988
5020
712
6000
239640

448
7392
3960
348
501
246
4922
221258
170544
9633
100980
6375
14988
2848
37245
32834
8500
623280

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
501
126741
30096
2000
159767

0
0
0
0
0
0

Penjamin
792
116
562
1188
85272
11385
9633
1540
102432
14988
5020
712
6000
239640

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
BOT
UNT
PKG
UNT
TAB
UNT

Depo Unit Dose

Subtotal
VIL
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien

Penjamin
501
378
300
792
116
562
1188
633600
37245
5280
32834
14988
5020
1424
429
7500
742157

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
633600
633600
3080
3080
3300
3300
168300
168300
2000
2000
810280
810280

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2500
2500
29440
29440

0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232

0
0

501
378
300
792
116
562
1188
633600
37245
5280
32834
14988
5020
1424
429
7500
742157

TAB
TAB
TAB
TAB
BOT
BOT
UNT
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
BOT
UNT
UNT
VIL
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal

1124
2376
858
1002
49251
189759
13979
1021020
5000
1286185

1124
2376
858
1002
49251
189759
13979
1021020
5000
1286185

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
858
858
1002
1002
16417
16417
63253
63253
14988
14988
8415
8415
145860
145860
1997
1997
2848
2848
6500
6500
267454
267454

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8652
8652
500
500
9152
9152

0
0
0

Pasien
Penjamin
8652
8652
500
500
9152
9152

0
0
0

Pasien

Penjamin

TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
BOT
VIL
BAG
AMP
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT

8652
500
9152

8652
500
9152

0
0
0

Pasien
Penjamin
78867
78867
500
500
79367
79367

0
0
0

Pasien
Penjamin
1503
1503
47685
47685
45540
45540
19266
19266
51048
51048
255816
255816
102432
102432
15300
15300
4620
4620
14988
14988
8415
8415
15060
15060
4272
4272
5940
5940
7000
7000
598885
598885

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1044
1044
900
900
23562
23562
1503
1503
2376
2376
348
348
1686
1686
3564
3564
1188
1188
366
366
22176
22176
2400
2400
307296
307296

0
0
0
0
0
0
0
0
0
0
0
0
0

VIL
AMP
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
VIL
VIL
VIL
AMP
UNT
UNT
BOT
UNT
BAG
BOT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
VIL
AMP
VIL
AMP
AMP
AMP
BOT
VIL
UNT
UNT
BOT
BAG
UNT

111735
17346
11475
14988
8500
532453

111735
17346
11475
14988
8500
532453

0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1503
1503
47685
47685
900
900
60192
60192
1267200 1267200
255816
255816
52920
52920
26775
26775
5340
5340
49251
49251
14988
14988
19266
19266
7920
7920
7000
7000
1818043 1818043

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
11880
11880
2902
2902
900
900
1900800 1900800
26460
26460
255816
255816
85536
85536
380223
380223
138573
138573
98502
98502
111735
111735
38250
38250
7120
7120
15840
15840
19266
19266
8000
8000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

3149488

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
VIL
VIL
BAG
VIL
UNT
UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
AMP
BAG
BOT
UNT
UNT
UNT
UNT
UNT
VIL
UNT

Depo Unit Dose

Subtotal

3149488

Pasien
Penjamin
2376
2376
348
348
1686
1686
594
594
167
167
143055
143055
1389960 1389960
255816
255816
19266
19266
111735
111735
9240
9240
14988
14988
8415
8415
1287
1287
7000
7000
1965933 1965933

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1044
1044
26928
26928
23562
23562
4353
4353
8826
8826
68310
68310
15660
15660
62370
62370
57798
57798
49251
49251
15300
15300
4620
4620
7120
7120
14988
14988
8415
8415
767448
767448
8000
8000
1143993 1143993

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
BOT
TAB
GM
UNT
UNT
TAB
BOT
BOT
VIL
BOT
BOT
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT
VIL
AMP
AMP
BOT
BAG
UNT
UNT
PKG
TAB
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB

1287
429165
348
189
3500
450
15680
504900
305856
1900800
285120
153648
15840
3204
14988
8415
6500
3649890

1287
429165
348
189
3500
450
15680
504900
305856
1900800
285120
153648
15840
3204
14988
8415
6500
3649890

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
432
1503
22176
189
3500
450
255816
34032
106920
153648
19266
11475
10680
5940
49896
6000
681923

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
2376
2376
348
348
1686
1686

0
0
0
0

Pasien
432
1503
22176
189
3500
450
255816
34032
106920
153648
19266
11475
10680
5940
49896
6000
681923

TAB
VIL
VIL
BAG
UNT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
VIL
AMP
UNT
UNT
UNT
UNT
UNT
TAB
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB

2970
255816
68310
28899
4620
307296
14988
8415
15060
2136
7000
767605

2970
255816
68310
28899
4620
307296
14988
8415
15060
2136
7000
767605

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1503
1503
2376
2376
348
348
1686
1686
3564
3564
68310
68310
19266
19266
511632
511632
51048
51048
15300
15300
13860
13860
14988
14988
8415
8415
5340
5340
2481
2481
49251
49251
8500
8500
779155
779155

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1044
1044
2902
2902
1287
1287
1503
1503
2376
2376
348
348
1686
1686
3564
3564

0
0
0
0
0
0
0
0

TAB
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
UNT
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
BOT

11880
90288
49251
14988
8415
15060
7000
211592

11880
90288
49251
14988
8415
15060
7000
211592

0
0
0
0
0
0
0
0

Pasien
Penjamin
1080
1080
5949
5949
360
360
3500
3500
450
450
738
738
456
456
264
264
1395
1395
511632
511632
51048
51048
22950
22950
14988
14988
8415
8415
5340
5340
49251
49251
5940
5940
7000
7000
690756
690756

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30217
30217
1641
1641
348
348
3564
3564
1686
1686
1152
1152
1900800 1900800
15840
15840
14988
14988
8415
8415
15060
15060
336633
336633

0
0
0
0
0
0
0
0
0
0
0
0

VIL
BAG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
VIL
VIL
BOT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
VIL
BOT
VIL
BAG
UNT
UNT
BAG
BOT
UNT
UNT

Depo Unit Dose

111735
108978
7000
2558057

111735
108978
7000
2558057

0
0
0
0

Pasien
Penjamin
1503
1503
900
900
2376
2376
348
348
1686
1686
3564
3564
108
108
26611
26611
663774
663774
90288
90288
307296
307296
14988
14988
8415
8415
15060
15060
2136
2136
5940
5940
8000
8000
1152993 1152993

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
11880
11880
57964
57964
1267200 1267200
7920
7920
255816
255816
9633
9633
14988
14988
8415
8415
54489
54489
49251
49251
3204
3204
6000
6000
1747894 1747894

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
AMP
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT
VIL
UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
BOT
UNT
UNT
PKG

Pasien
Penjamin
1287
1287
1503
1503
380223
380223
90288
90288
2000
2000
475301
475301

0
0
0
0
0
0

Pasien
Penjamin
1287
1287
7392
7392
2376
2376
348
348
3564
3564
1686
1686
108
108
68310
68310
28899
28899
460944
460944
111735
111735
14988
14988
8415
8415
15060
15060
3825
3825
4620
4620
8000
8000
741557
741557

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
1134
1134
1200
1200
2376
2376
348
348
1686
1686
3564
3564
1900800 1900800
111735
111735
21120
21120
98502
98502
14988
14988
8415
8415
15060
15060

0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT
UNT
PKG
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL

3204
1287
8000
2194922

3204
1287
8000
2194922

0
0
0
0

Penjamin
738
1287
11880
189
3500
450
3234
462
2245320
98502
13860
3204
5940
14988
8415
30622
348
2970
366
912
1641
9000
2457828

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
858
858
1134
1134
1641
1641
348
348
1405
1405
2970
2970
738
738
430
430
16632
16632
49251
49251
1267200 1267200

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
738
1287
11880
189
3500
450
3234
462
2245320
98502
13860
3204
5940
14988
8415
30622
348
2970
366
912
1641
9000
2457828

AMP
BOT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
BAG
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
BOT
BOT
UNT
UNT
VIL
VIL
UNT
UNT
UNT
PKG
UNT

13935
7920
7650
3994
3204
14988
8415
9500
1470177

13935
7920
7650
3994
3204
14988
8415
9500
1470177

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1269
1269
1641
1641
348
348
1405
1405
2970
2970
1287
1287
49251
49251
102600
102600
14988
14988
8415
8415
15060
15060
5500
5500
204734
204734

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
2376
2376
348
348
1686
1686
3564
3564
49251
49251
153648
153648
14988
14988
8415
8415
968298
968298
111735
111735
3825
3825
9240
9240
2136
2136
5940
5940
7500
7500
1400914 1400914

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1503
1503
1134
1134
1782
1782
108
108
1496880 1496880
307296
307296
14988
14988
8415
8415
5940
5940
2136
2136
7000
7000
1855156 1855156

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
2376
2376
348
348
1686
1686
3564
3564
968298
968298
98502
98502
14988
14988
8415
8415
15060
15060
7650
7650
9240
9240
356
356
5940
5940
26611
26611
7500
7500
1228498 1228498

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348

0
0

TAB
TAB
CAP
BOT
VIL
BOT
VIL
BAG
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
VIL
UNT
UNT
UNT
BOT
BOT
UNT
UNT
PKG
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB

1686
3564
27720
57964
90288
307296
68310
19266
3825
4620
1068
14988
8415
5940
8000
625674

1686
3564
27720
57964
90288
307296
68310
19266
3825
4620
1068
14988
8415
5940
8000
625674

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
2376
2376
348
348
1686
1686
3564
3564
108
108
68310
68310
28899
28899
511632
511632
11475
11475
4620
4620
3204
3204
49251
49251
153648
153648
14988
14988
8415
8415
10040
10040
5940
5940
9000
9000
888791
888791

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
28512
28512
1641
1641

0
0
0

TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
BOT
VIL
UNT
UNT
UNT
UNT
UNT
PKG
PKG
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
VIL
BAG
UNT
UNT
UNT
UNT

348
1134
90288
35286
14988
8415
15060
3825
5500
262961

348
1134
90288
35286
14988
8415
15060
3825
5500
262961

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
307296
307296
663774
663774
3825
3825
11982
11982
2136
2136
14988
14988
8415
8415
15060
15060
2970
2970
108
108
2376
2376
348
348
1686
1686
3564
3564
7000
7000
1045528 1045528

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
462
462
2376
2376
348
348
1686
1686
3564
3564
68310
68310
38532
38532
3825
3825
4620
4620
1068
1068
5500
5500
188255
188255

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
VIL
VIL
UNT
UNT
UNT
UNT
PKG
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal

Pasien
Penjamin
1287
1287
22176
22176
1641
1641
348
348
3564
3564
1686
1686
2133
2133
3996
3996
98502
98502
11475
11475
2136
2136
5940
5940
14988
14988
8415
8415
15060
15060
7500
7500
200847
200847

Pasien
108
2376
348
1686
3564
57964
968298
255816
7650
9240
14988
8415
15060
3204
307296
5940
8000
1669953

Pasien

Penjamin
108
2376
348
1686
3564
57964
968298
255816
7650
9240
14988
8415
15060
3204
307296
5940
8000
1669953

Penjamin

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

TAB
TAB
TAB
TAB
BOT
TAB
VIL
VIL
BAG
UNT
UNT
UNT
PKG
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT

2376
348
1686
3564
57964
1188
255816
1496880
28899
14988
75735
712
17820
98502
7650
3080
1997
8500
2077705

2376
348
1686
3564
57964
1188
255816
1496880
28899
14988
75735
712
17820
98502
7650
3080
1997
8500
2077705

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8448
8448
500
500
8948
8948

0
0
0

Pasien
900
1503
57964
1044
1503
112860
255816
111735
307296
4620
14988
8415
15060
1068
7000
901772

Penjamin
900
1503
57964
1044
1503
112860
255816
111735
307296
4620
14988
8415
15060
1068
7000
901772

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
PKG
UNT
PKG
UNT
AMP
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
VIL
VIL
BOT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
108
108
3204
3204
5940
5940
14988
14988
15060
15060
11982
11982
633942
633942
5500
5500
698698
698698

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
1044
1044
1503
1503
3564
3564
1503
1503
65340
65340
968298
968298
16395
16395
7920
7920
3825
3825
13860
13860
3204
3204
2061
2061
14988
14988
8415
8415
307296
307296
5940
5940
8500
8500
1455832 1455832

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
57964
57964
5994
5994
2694
2694

0
0
0
0

TAB
VIL
AMP
UNT
UNT
UNT
PKG
BAG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
VIL
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
VIL
AMP

112860
511632
201960
11475
4620
14988
2970
28899
3204
15060
7000
982607

112860
511632
201960
11475
4620
14988
2970
28899
3204
15060
7000
982607

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
29700
29700
57964
57964
3234
3234
11880
11880
2376
2376
348
348
3564
3564
1686
1686
653007
653007
253482
253482
673200
673200
120384
120384
49251
49251
11475
11475
9240
9240
4272
4272
14988
14988
8415
8415
15060
15060
10000
10000
1935029 1935029

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
108
3564
663774
10930
8673

Penjamin
108
3564
663774
10930
8673

0
0
0
0
0

UNT
UNT
BOT
UNT
BOT
BAG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
VIL
VIL
AMP
BAG
UNT
UNT
UNT
UNT
PKG
VIL
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
AMP
BOT
VIL

7650
9240
7920
2061
49251
102600
10680
5940
6500
888891

7650
9240
7920
2061
49251
102600
10680
5940
6500
888891

0
0
0
0
0
0
0
0
0
0

Penjamin
774
1344
44352
11880
1044
738
57964
14766
663774
511632
302940
28899
19125
14988
8415
6408
5940
111735
98502
9500
1914720

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
3564
3564
1686
1686
57964
57964
2891
2891
168300
168300
968298
968298

0
0
0
0
0
0
0
0

Pasien
774
1344
44352
11880
1044
738
57964
14766
663774
511632
302940
28899
19125
14988
8415
6408
5940
111735
98502
9500
1914720

UNT
UNT
VIL
BOT
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
AMP
VIL
VIL
UNT
UNT
UNT
UNT
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BAG
VIL
VIL

11475
9240
111735
49251
153648
14988
8415
4272
8000
1576451

11475
9240
111735
49251
153648
14988
8415
4272
8000
1576451

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
900
900
516
516
1503
1503
57964
57964
17640
17640
968298
968298
90288
90288
11475
11475
9240
9240
4272
4272
14988
14988
8415
8415
49251
49251
5940
5940
7500
7500
1249693 1249693

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11880
11880
2481
2481
15048
15048
2376
2376
348
348
3564
3564
1686
1686
1496880 1496880
605880
605880
57798
57798
511632
511632
111735
111735

0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
PKG
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
AMP
UNT
UNT
UNT
BOT
UNT
UNT
PKG
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
AMP

14988
11475
6408
15060
594
8500
2878333

14988
11475
6408
15060
594
8500
2878333

0
0
0
0
0
0
0

Penjamin
900
1503
516
774
1782
2376
348
1686
3564
90288
968298
35280
19125
9240
6408
307296
14988
8415
15060
5940
10000
1503787

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
2376
2376
348
348
3564
3564
1686
1686
3825
3825
1287
1287
57964
57964
15660
15660
62370
62370

0
0
0
0
0
0
0
0
0
0

Pasien
900
1503
516
774
1782
2376
348
1686
3564
90288
968298
35280
19125
9240
6408
307296
14988
8415
15060
5940
10000
1503787

VIL
BOT
PKG
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
VIL
VIL
BAG
UNT
UNT
UNT
UNT

968298
32834
2970
15300
9240
14988
8415
15060
8544
9500
1235732

968298
32834
2970
15300
9240
14988
8415
15060
8544
9500
1235732

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
360
360
1170
1170
2145
2145
3500
3500
33755
33755

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2500
2500
29440
29440

0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
30096
30096
22770
22770
9633
9633
1275
1275
1540
1540
356
356
14988
14988

0
0
0
0
0
0
0
0

UNT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
BOT
BOT
UNT
UNT
VIL
VIL
UNT

8415
2970
5000
155007

8415
2970
5000
155007

0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien

Penjamin
792
116
562
1188
501
378
594
36
498960
102432
14988
8415
2970
712
7000
639644

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
792
792
116
116
562
562
1188
1188
16417
16417
51216
51216
14988
14988
8415
8415
322766
322766
37245
37245
1275
1275

0
0
0
0
0
0
0
0
0
0
0
0

792
116
562
1188
501
378
594
36
498960
102432
14988
8415
2970
712
7000
639644

UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT
UNT
UNT
PKG
UNT
UNT

Emergency Mawar
Subtotal
BOT
BOT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
BOT

3080
712
2970
7500
527206

3080
712
2970
7500
527206

0
0
0
0
0

Pasien
Penjamin
57964
57964
792
792
116
116
562
562
1188
1188
322766
322766
32834
32834
14988
14988
8415
8415
5020
5020
2550
2550
3080
3080
712
712
2970
2970
26611
26611
7500
7500
488068
488068

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
6531
6531
14988
14988
1500
1500
28900
28900

0
0
0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien
Penjamin
225500
225500

UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
AMP
UNT

Depo Unit Dose

Subtotal
AMP
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
AMP
VIL

500
226000

500
226000

0
0

Pasien
Penjamin
153648
153648
500
500
154148
154148

0
0
0

Pasien
Penjamin
2891
2891
500
500
3391
3391

0
0
0

Pasien
Penjamin
14750
14750
500
500
15250
15250

0
0
0

Pasien
Penjamin
153450
153450
500
500
153950
153950

0
0
0

Pasien
Penjamin
225500
225500
500
500
226000
226000

0
0
0

Pasien
Penjamin
1002
1002
600
600
344
344
1002
1002
17640
17640
645532
645532

0
0
0
0
0
0

VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
VIL
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
UNT

60192
32834
12750
6160
14988
8415
10040
3300
41388
7500
863687

60192
32834
12750
6160
14988
8415
10040
3300
41388
7500
863687

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
19800
19800
2156
2156
7920
7920
1584
1584
232
232
1124
1124
2376
2376
870676
870676
168988
168988
448800
448800
60192
60192
32834
32834
14988
14988
8415
8415
7500
7500
1648587 1648587

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
72
1584
232
1124
2376
645532
32834
14988
8415
2550
6160

Penjamin
72
1584
232
1124
2376
645532
32834
14988
8415
2550
6160

0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
UNT
UNT
UNT
UNT
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
VIL

5500
721367

5500
721367

0
0

Pasien
Penjamin
1002
1002
1584
1584
232
232
1124
1124
2376
2376
2550
2550
858
858
10440
10440
41580
41580
645532
645532
3300
3300
12750
12750
9240
9240
1997
1997
65668
65668
14988
14988
8415
8415
10040
10040
9000
9000
842676
842676

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
846
1094
232
843
1782
858
32834
14988
8415
10040
5000
76932

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
153450
153450

846
1094
232
843
1782
858
32834
14988
8415
10040
5000
76932

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BAG
UNT
UNT
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB

500
153950

500
153950

0
0

Pasien
Penjamin
1540
1540
14510
14510
1230
1230
1500
1500
18780
18780

0
0
0
0
0

Pasien
Penjamin
8270
8270
1740
1740
13460
13460
1500
1500
24970
24970

0
0
0
0
0

Pasien
Penjamin
57964
57964
308
308
2376
2376
348
348
1686
1686
3564
3564
68310
68310
138573
138573
28899
28899
15300
15300
4620
4620
98502
98502
14988
14988
8415
8415
15060
15060
7500
7500
466413
466413

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
2376
2376

0
0

TAB
TAB
TAB
VIL
VIL
BOT
UNT
BAG
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
AMP
VIL
BOT

348
1686
3564
255816
68310
153648
712
28899
3825
4620
5991
2970
14988
8415
8000
622132

348
1686
3564
255816
68310
153648
712
28899
3825
4620
5991
2970
14988
8415
8000
622132

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28512
28512
2376
2376
348
348
1686
1686
3564
3564
663774
663774
49251
49251
3825
3825
11982
11982
14988
14988
8415
8415
15060
15060
2136
2136
6500
6500
812417
812417

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
57964
57964
5782
5782
968298
968298
49251
49251

0
0
0
0
0
0
0
0

BOT
VIL
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BAG
UNT
UNT
UNT
UNT

153648
111735
14988
8415
15060
4272
7000
1404387

153648
111735
14988
8415
15060
4272
7000
1404387

0
0
0
0
0
0
0
0

Pasien
Penjamin
1044
1044
2902
2902
1287
1287
1503
1503
2376
2376
348
348
1686
1686
3564
3564
11880
11880
673200
673200
90288
90288
3825
3825
9240
9240
2136
2136
98502
98502
14988
14988
8415
8415
15060
15060
9000
9000
951244
951244

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
1638
1638
1044
1044
516
516
1503
1503
68310
68310
28899
28899
12750
12750
4620
4620
3560
3560
14988
14988

0
0
0
0
0
0
0
0
0
0
0

UNT
AMP
PKG
BOT
UNT

Depo Unit Dose

Subtotal
BOT
GM
UNT
UNT
TAB
VIL
VIL
VIL
BOT
BAG
UNT
UNT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
VIL
VIL
BOT
UNT
UNT
UNT
BAG

8415
14766
15060
49251
7500
254996

8415
14766
15060
49251
7500
254996

0
0
0
0
0
0

Pasien
Penjamin
57964
57964
189
189
3500
3500
450
450
1134
1134
968298
968298
255816
255816
90288
90288
35286
35286
28899
28899
3825
3825
9240
9240
5991
5991
14988
14988
8415
8415
15060
15060
3560
3560
2970
2970
7500
7500
1513373 1513373

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
57964
57964
1782
1782
255816
255816
148980
148980
49251
49251
3825
3825
9240
9240
5991
5991
28899
28899

0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
PKG
VIL
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
BOT
BOT
UNT
UNT
UNT
UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
UNT
TUB
UNT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

3560
14988
8415
15060
1496880
9000
2117625

3560
14988
8415
15060
1496880
9000
2117625

0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
858
858
1134
1134
1641
1641
348
348
1405
1405
2970
2970
968298
968298
13935
13935
504900
504900
98502
98502
153648
153648
7650
7650
9240
9240
14988
14988
8415
8415
3560
3560
33264
33264
9000
9000
1891720 1891720

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
56262
56262
22688
22688
1500
1500
96538
96538

0
0
0
0
0

Pasien
Penjamin
78867
78867
9900
9900
1000
1000

0
0
0

89767

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
PKG
UNT

89767

Pasien
Penjamin
7931
7931
6600
6600
1000
1000
15531
15531

0
0
0
0

Pasien
Penjamin
8652
8652
500
500
9152
9152

0
0
0

Pasien
Penjamin
19800
19800
12978
12978
1000
1000
33778
33778

0
0
0
0

Pasien
738
1287
11880
189
3500
450
3234
308
2970
348
366
912
17643
14988
8415
15060
6500
88788

Penjamin
738
1287
11880
189
3500
450
3234
308
2970
348
366
912
17643
14988
8415
15060
6500
88788

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
BOT
BAG
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
UNT
TUB
UNT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
VIL

Pasien
Penjamin
1287
1287
2376
2376
348
348
1686
1686
3564
3564
108
108
68310
68310
511632
511632
147753
147753
460944
460944
28899
28899
3560
3560
2970
2970
14988
14988
8415
8415
7500
7500
1264340 1264340

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
56262
56262
22688
22688
1500
1500
96538
96538

0
0
0
0
0

Pasien
Penjamin
12144
12144
500
500
12644
12644

0
0
0

Pasien
Penjamin
30217
30217
1503
1503
2376
2376
348
348
1686
1686
3564
3564
111735
111735

0
0
0
0
0
0
0

BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
VIL
UNT
AMP
AMP
VIL
BOT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT
UNT
UNT

98502
14988
8415
15060
3825
6000
298219

98502
14988
8415
15060
3825
6000
298219

0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
4353
4353
1503
1503
900
900
968298
968298
62563
62563
58420
58420
52920
52920
124150
124150
49251
49251
14988
14988
8415
8415
15060
15060
26775
26775
9240
9240
19970
19970
10680
10680
2970
2970
9000
9000
1440590 1440590

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
7392
7392
2376
2376
348
348
1686
1686
3564
3564
108
108
68310
68310
28899
28899
460944
460944
3825
3825
4620
4620

0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
BOT
BOT
BAG
VIL
BAG
UNT
UNT
AMP
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
UNT
UNT
BOT

14988
8415
15060
1068
8000
630890

14988
8415
15060
1068
8000
630890

0
0
0
0
0
0

Pasien
Penjamin
1134
1134
30217
30217
11880
11880
57964
57964
49251
49251
54489
54489
255816
255816
28899
28899
7650
7650
5991
5991
13935
13935
2136
2136
14988
14988
8415
8415
15060
15060
7500
7500
565325
565325

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11880
11880
2481
2481
15048
15048
2376
2376
348
348
1686
1686
3564
3564
1496880 1496880
111735
111735
504900
504900
3825
3825
9240
9240
14988
14988
8415
8415
2136
2136
98502
98502

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
VIL
VIL
AMP
BOT
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
AMP
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
BOT

594
8500
2297098

594
8500
2297098

0
0
0

Pasien
Penjamin
22176
22176
1044
1044
1503
1503
3564
3564
1503
1503
65340
65340
968298
968298
16395
16395
29532
29532
307296
307296
7920
7920
15300
15300
15400
15400
6408
6408
14988
14988
8415
8415
15060
15060
8500
8500
1508642 1508642

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1503
1503
506964
506964
120384
120384
3825
3825
13860
13860
3204
3204
14988
14988
15060
15060
4500
4500
685575
685575

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
57964
57964

0
0

TAB
GM
UNT
UNT
BOT
AMP
BOT
BOT
BAG
BOT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
VIL
AMP
UNT
TAB
TAB
TAB
TAB
TAB
VIL
BAG
UNT
UNT
UNT
PKG
BOT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
VIL

348
189
3500
450
305856
51048
504900
285120
102600
153648
15300
4272
2970
14988
8415
7000
1519855

348
189
3500
450
305856
51048
504900
285120
102600
153648
15300
4272
2970
14988
8415
7000
1519855

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
255816
255816
51048
51048
15300
15300
2376
2376
348
348
1686
1686
3564
3564
1503
1503
68310
68310
28899
28899
4620
4620
14988
14988
8415
8415
15060
15060
153648
153648
1068
1068
8000
8000
634649
634649

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1503
1503
57964
57964
1267200 1267200

0
0
0
0

VIL
BAG
UNT
UNT
UNT
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
AMP
AMP
UNT
UNT
UNT
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
UNT
UNT

511632
28899
3825
17973
3560
60192
49251
14988
8415
15060
7000
2048749

511632
28899
3825
17973
3560
60192
49251
14988
8415
15060
7000
2048749

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1503
1503
900
900
1267200 1267200
52920
52920
380223
380223
25500
25500
17973
17973
10680
10680
90288
90288
35286
35286
14988
14988
8415
8415
15060
15060
7000
7000
1929223 1929223

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
108
108
211314
211314
98502
98502
3825
3825
17973
17973
3204
3204
14988
14988

0
0
0
0
0
0
0
0
0
0
0

UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
PKG
UNT
UNT
UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB

8415
15060
6500
387863

8415
15060
6500
387863

0
0
0
0

Pasien
Penjamin
1287
1287
22176
22176
1641
1641
348
348
1686
1686
3564
3564
1422
1422
98502
98502
15060
15060
14988
14988
8415
8415
12750
12750
2136
2136
5994
5994
7000
7000
196969
196969

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
57964
57964
3825
3825
5994
5994
98502
98502
35052
35052
3825
3825
11982
11982
14988
14988
8415
8415
15060
15060
5500
5500
262394
262394

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
1503

Penjamin
900
1503

0
0

TAB
TAB
AMP
VIL
AMP
VIL
BOT
UNT
UNT
PKG
UNT
UNT
PKG
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
VIL
AMP

1044
1503
211314
255816
17640
111735
307296
14988
8415
15060
12750
23964
2970
7120
57964
8500
1060482

1044
1503
211314
255816
17640
111735
307296
14988
8415
15060
12750
23964
2970
7120
57964
8500
1060482

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
300
429
792
116
562
1188
322766
20790
204864
4620
5991
14988
8415
5020
1780
7500
600121

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
11880
11880
2902
2902
1900800 1900800
380223
380223

0
0
0
0
0

Pasien
300
429
792
116
562
1188
322766
20790
204864
4620
5991
14988
8415
5020
1780
7500
600121

VIL
AMP
BOT
VIL
AMP
BAG
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
VIL
AMP
UNT
UNT
UNT
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB

255816
85536
98502
111735
138573
28899
18480
38250
19970
11392
14988
8415
15060
9000
3208385

255816
85536
98502
111735
138573
28899
18480
38250
19970
11392
14988
8415
15060
9000
3208385

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3240
3240
5949
5949
360
360
3500
3500
450
450
738
738
456
456
264
264
1395
1395
1287
1287
1503
1503
68310
68310
28899
28899
511632
511632
51048
51048
22950
22950
4620
4620
6408
6408
98502
98502
14988
14988
8415
8415
9000
9000
843914
843914

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
774
774

TAB
TAB
TAB
TAB
TAB
TAB
AMP
BOT
VIL
UNT
UNT
UNT
UNT
UNT
PKG
VIL
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
VIL
AMP
UNT
UNT
UNT
VIL
BOT
UNT
UNT
UNT
PKG
GM
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB

1344
44352
11880
1044
1503
738
14766
504900
663774
12750
11982
4272
14988
8415
15060
111735
49251
9000
1482528

1344
44352
11880
1044
1503
738
14766
504900
663774
12750
11982
4272
14988
8415
15060
111735
49251
9000
1482528

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
22176
22176
504900
504900
255816
255816
34032
34032
12750
12750
9240
9240
5991
5991
926640
926640
49251
49251
5696
5696
14988
14988
8415
8415
15060
15060
189
189
3500
3500
450
450
7000
7000
1877597 1877597

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503

TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
PKG
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

1134
1200
2376
348
1686
3564
1900800
111735
98502
14988
8415
15060
26400
3825
17973
3204
8500
2221213

1134
1200
2376
348
1686
3564
1900800
111735
98502
14988
8415
15060
26400
3825
17973
3204
8500
2221213

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30217
30217
1641
1641
348
348
1686
1686
2970
2970
2304
2304
1900800 1900800
111735
111735
336633
336633
3825
3825
17973
17973
3204
3204
14988
14988
8415
8415
15060
15060
7500
7500
2459299 2459299

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1044
1044
900
900
23562
23562
1503
1503

0
0
0
0

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
AMP
VIL
UNT
UNT
UNT
UNT
BOT
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB

2376
348
1686
3564
1188
366
2400
22176
2891
111735
14988
8415
2136
12750
9000
223028

2376
348
1686
3564
1188
366
2400
22176
2891
111735
14988
8415
2136
12750
9000
223028

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
108
3564
663774
2891
16395
2061
12750
4620
11982
7920
49251
14988
8415
15060
7000
820779

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
2970
2970
1503
1503
57964
57964
366
366

0
0
0
0
0
0
0

Pasien
108
3564
663774
2891
16395
2061
12750
4620
11982
7920
49251
14988
8415
15060
7000
820779

TAB
VIL
VIL
VIL
BAG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
BOT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB

1287
111735
926640
255816
28899
3825
9240
5991
3560
14988
8415
15060
9500
1462169

1287
111735
926640
255816
28899
3825
9240
5991
3560
14988
8415
15060
9500
1462169

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
29700
29700
1044
1044
26928
26928
23562
23562
8826
8826
68310
68310
6336
6336
49251
49251
14988
14988
8415
8415
15060
15060
3825
3825
4620
4620
1068
1068
7500
7500
270936
270936

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
1503
516
774
1782
2376
348
1686

Penjamin
900
1503
516
774
1782
2376
348
1686

0
0
0
0
0
0
0
0

TAB
VIL
AMP
BOT
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

3564
968298
52920
307296
90288
14988
8415
26775
9240
8544
2970
9500
1512683

3564
968298
52920
307296
90288
14988
8415
26775
9240
8544
2970
9500
1512683

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3340
3340
180
180
1000
1000
4520
4520

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
17880
17880
2145
2145
2190
2190
360
360
27325
27325
7700
7700
3435
3435
13200
13200
6000
6000
106815
106815

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880

0
0
0
0

TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB

360
2500
29440

360
2500
29440

0
0
0

Pasien
Penjamin
1160
1160
5620
5620
11880
11880
360
360
2000
2000
21020
21020

0
0
0
0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien

Penjamin
348
1451
286
501
792
116
562
1188
3960
30096
224400
9096
1275
3080
712
5020
8000
290883

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9504
9504

348
1451
286
501
792
116
562
1188
3960
30096
224400
9096
1275
3080
712
5020
8000
290883

GM
UNT
UNT
VIL
VIL
BAG
UNT
UNT
UNT
VIL
BOT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
UNT
UNT
UNT
PKG
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BAG

63
3500
1050
322766
85272
9633
1275
3080
1997
30096
11762
126506
1068
5020
6000
618592

Pasien
286
378
547
116
562
1188
322766
4645
32834
2550
3080
1068
5020
16632
7000
398672

Pasien
501
9900
348
7854
1451
22770
9633

63
3500
1050
322766
85272
9633
1275
3080
1997
30096
11762
126506
1068
5020
6000
618592

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
286
378
547
116
562
1188
322766
4645
32834
2550
3080
1068
5020
16632
7000
398672

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
501
9900
348
7854
1451
22770
9633

0
0
0
0
0
0
0

UNT
UNT
UNT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
BOT
BOT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
VIL
AMP
VIL
BAG
UNT
UNT
UNT
BAG
BOT
UNT
UNT

Depo Unit Dose

Subtotal
VIL

6336
1275
1540
16417
356
5020
6500
89901

6336
1275
1540
16417
356
5020
6500
89901

0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
501
308880
3825
3080
189759
153648
5020
1424
6000
674795

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
11344
11344
22770
22770
19266
19266
3825
3825
1540
1540
1997
1997
18163
18163
63253
63253
1780
1780
5000
5000
234210
234210

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544

Pasien
792
116
562
1188
501
308880
3825
3080
189759
153648
5020
1424
6000
674795

BAG
VIL
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BAG
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
BOT
AMP
UNT
UNT
PKG
UNT

28899
22770
24830
1540
1275
3994
1068
5020
4500
264440

28899
22770
24830
1540
1275
3994
1068
5020
4500
264440

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9504
9504
547
547
116
116
562
562
1188
1188
221258
221258
16417
16417
102600
102600
1275
1275
3994
3994
712
712
5020
5020
6000
6000
369193
369193

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
378
792
116
562
1188
3960
422400
2640
63253
16417
4645
2550
3994
5020
1068

Penjamin
378
792
116
562
1188
3960
422400
2640
63253
16417
4645
2550
3994
5020
1068

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BOT
UNT
UNT
BOT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
AMP
AMP
UNT
UNT
UNT
VIL
BOT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
PKG

7500
536483

Pasien
501
378
633600
5280
1275
3994
32834
1068
4000
682930

Pasien
539
501
633600
84494
2461
5100
5991
2136
37245
16417
5280
5500
799264

Pasien
501
9900
1078
792
116
562
1188
37245
16417
5020

7500
536483

0
0

Penjamin
501
378
633600
5280
1275
3994
32834
1068
4000
682930

0
0
0
0
0
0
0
0
0
0

Penjamin
539
501
633600
84494
2461
5100
5991
2136
37245
16417
5280
5500
799264

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
501
9900
1078
792
116
562
1188
37245
16417
5020

0
0
0
0
0
0
0
0
0
0

TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
UNT
BOT
VIL
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
BOT
BOT
SUP
TAB
UNT

Depo Unit Dose

Subtotal
UNT
TAB
TAB
TAB
TAB
TAB

37620
5500
115939

37620
5500
115939

0
0
0

Penjamin
429
501
422400
3994
16417
20064
712
3500
468017

0
0
0
0
0
0
0
0
0

Penjamin
300
429
792
116
562
1188
322766
5465
2550
4620
1424
168300
32834
35343
3576
7500
587765

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1780
1780
792
792
116
116
562
562
1188
1188
36
36

0
0
0
0
0
0

Pasien
429
501
422400
3994
16417
20064
712
3500
468017

Pasien
300
429
792
116
562
1188
322766
5465
2550
4620
1424
168300
32834
35343
3576
7500
587765

TAB
VIL
BAG
AMP
AMP
AMP
AMP
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BOT
BOT
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
BOT
VIL
VIL
UNT
UNT
BOT
UNT

15386
291720
19266
13860
3480
4922
211235
37245
7000
608588

Pasien
429
1275
322766
16417
51216
20790
5220
5100
3080
5991
1780
5020
6000
445084

Pasien
258
448
14784
3960
348
501
246
4922
168300
322766
37245
3825
3080
16417
1424

15386
291720
19266
13860
3480
4922
211235
37245
7000
608588

0
0
0
0
0
0
0
0
0
0

Penjamin
429
1275
322766
16417
51216
20790
5220
5100
3080
5991
1780
5020
6000
445084

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
258
448
14784
3960
348
501
246
4922
168300
322766
37245
3825
3080
16417
1424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
AMP
UNT
UNT
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
UNT
UNT
UNT
BOT
PKG
UNT

7500
586024

Pasien
429
7392
547
116
562
1188
20790
5220
211314
8925
4620
5991
65668
5020
7000
344782

Pasien
300
7854
501
792
116
562
1188
396
14784
800
122
8820
5782
633600
5280
7650
5991
1780
16417
5020
10000

7500
586024

0
0

Penjamin
429
7392
547
116
562
1188
20790
5220
211314
8925
4620
5991
65668
5020
7000
344782

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
300
7854
501
792
116
562
1188
396
14784
800
122
8820
5782
633600
5280
7650
5991
1780
16417
5020
10000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

727755

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BAG
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

Pasien
792
116
562
1188
501
22770
9633
9096
63253
1275
1540
5020
356
6500
122602

Pasien
36
792
116
562
1188
221258
5782
102600
16417
3825
3994
5020
1424
6500
369514

Pasien
792
116
562
1188

727755

Penjamin
792
116
562
1188
501
22770
9633
9096
63253
1275
1540
5020
356
6500
122602

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
36
792
116
562
1188
221258
5782
102600
16417
3825
3994
5020
1424
6500
369514

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188

0
0
0
0

TAB
VIL
VIL
BAG
VIL
BOT
AMP
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
AMP
VIL
BOT
UNT

396
633600
85272
9633
37245
16417
5842
5280
1275
9985
1780
7500
816883

396
633600
85272
9633
37245
16417
5842
5280
1275
9985
1780
7500
816883

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
501
792
116
562
1188
22770
9633
32834
37245
1275
1540
356
5020
6500
120332

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
258
258
827
827
1275
1275
547
547
37245
37245
4922
4922
46191
46191
633600
633600
5280
5280
7650
7650

0
0
0
0
0
0
0
0
0
0
0

Pasien
501
792
116
562
1188
22770
9633
32834
37245
1275
1540
356
5020
6500
120332

UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
BOT
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
AMP
BOT
VIL
UNT
UNT
UNT
AMP
UNT
VIL
PKG
UNT

5991
1780
378
7000
760336

Pasien
792
116
562
1188
501
633600
5881
63253
51216
5280
1275
5991
1068
5020
7000
782743

Pasien
792
116
562
1188
5782
56100
322766
3825
3080
3994
11684
1780
37245
5020
7000
460934

5991
1780
378
7000
760336

0
0
0
0
0

Penjamin
792
116
562
1188
501
633600
5881
63253
51216
5280
1275
5991
1068
5020
7000
782743

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
5782
56100
322766
3825
3080
3994
11684
1780
37245
5020
7000
460934

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
AMP
VIL
VIL
UNT
UNT
UNT
BAG
BOT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
AMP
AMP
AMP
BOT
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB

Pasien
Penjamin
304320
304320
500
500
304820
304820

0
0
0

Pasien
Penjamin
3960
3960
1451
1451
633600
633600
8820
8820
85272
85272
30096
30096
6336
6336
5100
5100
7988
7988
9633
9633
5280
5280
1780
1780
6000
6000
805316
805316

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
300
501
348
501
211314
5782
5880
102432
37245
6375
5991
1780
5020
6500
389969

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392

300
501
348
501
211314
5782
5880
102432
37245
6375
5991
1780
5020
6500
389969

TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
BAG
PKG
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
BOT
UNT
UNT
VIL
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT

546
348
172
501
22770
4922
2550
1540
9633
5020
1424
9096
6500
72414

546
348
172
501
22770
4922
2550
1540
9633
5020
1424
9096
6500
72414

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
827
827
5016
5016
792
792
116
116
562
562
1188
1188
168300
168300
633600
633600
5280
5280
1275
1275
5991
5991
37245
37245
1068
1068
198
198
7500
7500
872918
872918

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
378
792
116
562
1188
22770
9633
11762

Penjamin
378
792
116
562
1188
22770
9633
11762

0
0
0
0
0
0
0
0

BOT
PKG
UNT
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
BOT
BAG
PKG
UNT

51216
5020
356
30096
6000
139889

Pasien
246
429
3960
1078
154
116
244
304
5881
5020
5000
22432

Pasien
732
500
1232

Pasien
547
116
562
1188
768
422400
37245
1275
3994
712
63253
18163
5020
6500

51216
5020
356
30096
6000
139889

0
0
0
0
0
0

Penjamin
246
429
3960
1078
154
116
244
304
5881
5020
5000
22432

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
732
500
1232

0
0
0

Penjamin
547
116
562
1188
768
422400
37245
1275
3994
712
63253
18163
5020
6500

0
0
0
0
0
0
0
0
0
0
0
0
0
0

561743

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BAG
AMP
UNT
UNT
BOT
VIL
PKG
UNT
UNT

Depo Unit Dose

Subtotal
AMP

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
UNT
UNT
UNT
TUB
AMP
UNT
PKG
TAB
TAB

561743

Penjamin
792
116
562
1188
501
22770
9633
8820
5100
1540
126506
37245
5020
1424
7000
228217

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14766
14766
14766
14766

0
0

Pasien
Penjamin
608640
608640
500
500
609140
609140

0
0
0

Pasien
Penjamin
16088
16088
1997
1997
12012
12012
56262
56262
95040
95040
20213
20213
26950
26950
1503
1503
29700
29700

0
0
0
0
0
0
0
0
0

Pasien
792
116
562
1188
501
22770
9633
8820
5100
1540
126506
37245
5020
1424
7000
228217

TAB
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
AMP
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
UNT
UNT
UNT

3234
18343
5280
6000
292622

3234
18343
5280
6000
292622

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2500
2500
29440
29440

0
0
0
0
0
0
0

Pasien
Penjamin
1898
1898
500
500
2398
2398

0
0
0

Pasien
Penjamin
62370
62370
5732
5732
20213
20213
26950
26950
62563
62563
2500
2500
180328
180328

0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
108
108
633942
633942
3825
3825
11982
11982
14988
14988

0
0
0
0
0
0
0
0
0

UNT
BOT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
UNT
UNT
UNT

Apotik Panel 2

8415
153648
189759
3204
2970
7000
1037815

8415
153648
189759
3204
2970
7000
1037815

0
0
0
0
0
0
0

Pasien
Penjamin
3240
3240
2481
2481
6534
6534
360
360
3500
3500
450
450
738
738
456
456
264
264
1395
1395
511632
511632
51048
51048
22950
22950
14988
14988
15060
15060
5340
5340
6500
6500
646936
646936

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
918
918
1503
1503
2376
2376
348
348
108
108
79992
79992
26611
26611
3825
3825
4500
4500
142357
142357

0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
UNT

Emergency Mawar
Subtotal
UNT
UNT

Emergency Mawar
Subtotal
UNT
UNT

Apotik Panel
Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
AMP
TAB
BOT
BOT
UNT
UNT
PKG
UNT

Pasien
Penjamin
68000
68000
500
500
68500
68500

0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
208089
208089
500
500
208589
208589

0
0
0

Pasien
738
1287
11880
189
3500
450
3234
462
348
13332
456
372392
17643
14988
8415
15060
6500
470874

Penjamin
738
1287
11880
189
3500
450
3234
462
348
13332
456
372392
17643
14988
8415
15060
6500
470874

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
UNT
UNT
UNT
UNT
UNT
PKG
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG

Pasien
Penjamin
57964
57964
858
858
1134
1134
1641
1641
348
348
1405
1405
2970
2970
968298
968298
13935
13935
54576
54576
7650
7650
9240
9240
3204
3204
14988
14988
8415
8415
15060
15060
49896
49896
8500
8500
1220082 1220082

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26289
26289
500
500
26789
26789

0
0
0

Pasien
Penjamin
2902
2902
1503
1503
29700
29700
3234
3234
2376
2376
348
348
1686
1686
3564
3564
111735
111735
27288
27288
14988
14988
8415
8415
15060
15060

0
0
0
0
0
0
0
0
0
0
0
0
0

TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
AMP
BOT
VIL
UNT
UNT
AMP
UNT
VIL
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
UNT
UNT
UNT
BOT
UNT
PKG
UNT
UNT
UNT

112860
7000
342659

112860
7000
342659

0
0
0

Pasien
Penjamin
2376
2376
348
348
3564
3564
1686
1686
57964
57964
17346
17346
168300
168300
968298
968298
11475
11475
9240
9240
35052
35052
5340
5340
111735
111735
14988
14988
8415
8415
7500
7500
1423627 1423627

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
29700
29700
918
918
26928
26928
23562
23562
4353
4353
40242
40242
28899
28899
19008
19008
3825
3825
4620
4620
27288
27288
1068
1068
15060
15060
14988
14988
8415
8415
8000
8000
258377
258377

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
BOT
TAB
VIL
BOT
BOT
AMP
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
AMP
AMP
AMP
BOT
VIL
UNT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB

Pasien
Penjamin
1287
1287
57964
57964
3825
3825
968298
968298
27288
27288
153648
153648
62370
62370
15660
15660
15300
15300
11982
11982
9240
9240
5340
5340
14988
14988
2970
2970
8415
8415
7500
7500
1366075 1366075

Pasien

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
900
1503
57964
918
1503
633942
17346
17640
307296
111735
19125
11982
7476
14988
8415
7500
1220233

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30217
30217
1503
1503

0
0

900
1503
57964
918
1503
633942
17346
17640
307296
111735
19125
11982
7476
14988
8415
7500
1220233

TAB
TAB
TAB
TAB
VIL
BAG
BOT
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BAG
UNT
UNT
UNT
UNT
PKG
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

2376
348
1686
3564
40242
28899
54576
111735
3825
4620
14988
8415
1068
15060
8000
331122

Pasien
108
2376
348
1686
3564
663774
17346
307800
11475
7988
14988
8415
15060
4272
27288
7500
1093988

Pasien
900
1287
14304
2376
348
1686

2376
348
1686
3564
40242
28899
54576
111735
3825
4620
14988
8415
1068
15060
8000
331122

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
108
2376
348
1686
3564
663774
17346
307800
11475
7988
14988
8415
15060
4272
27288
7500
1093988

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
900
1287
14304
2376
348
1686

0
0
0
0
0
0

TAB
VIL
VIL
UNT
UNT
UNT
PKG
BOT
UNT
UNT
BOT
SUP
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT
VIL
BOT
BOT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BOT
UNT
UNT
UNT
UNT

3564
968298
16395
7650
13860
4272
2970
504900
14988
8415
54576
106029
9000
1735818

3564
968298
16395
7650
13860
4272
2970
504900
14988
8415
54576
106029
9000
1735818

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1617
1617
1503
1503
1900800 1900800
253482
253482
6666
6666
15300
15300
11982
11982
6408
6408
14988
14988
8415
8415
111735
111735
16417
16417
18192
18192
2970
2970
15840
15840
7500
7500
2393815 2393815

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
1134
1134
1900800 1900800
15840
15840
3825
3825
3994
3994
14988
14988
8415
8415

0
0
0
0
0
0
0
0

BOT
BOT
UNT
UNT

Depo Unit Dose

Subtotal
PKG
UNT
UNT
UNT
UNT
PKG
BOT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
VIL
AMP
AMP
AMP
AMP
VIL
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
VIL
VIL
AMP
TAB
BOT
BOT

32834
36384
3204
5500
2028421

32834
36384
3204
5500
2028421

0
0
0
0
0

Pasien
Penjamin
10040
10040
16088
16088
1997
1997
12012
12012
8544
8544
2970
2970
57964
57964
2376
2376
348
348
1686
1686
3564
3564
108
108
46158
46158
1233508 1233508
57798
57798
291720
291720
41580
41580
10440
10440
13332
13332
633705
633705
111735
111735
14988
14988
8415
8415
11500
11500
2592576 2592576

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
57964
1287
995661
181416
380223
1350
204864
126506

Penjamin
900
57964
1287
995661
181416
380223
1350
204864
126506

0
0
0
0
0
0
0
0
0

VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal

111735
30600
7988
14988
8415
15060
7500
2146457

111735
30600
7988
14988
8415
15060
7500
2146457

0
0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
36384
36384
500
500
36884
36884

0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
72768
72768
500
500
73268
73268

0
0
0

Pasien

Penjamin

BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB

18192
500
18692

18192
500
18692

0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

Pasien
Penjamin
30217
30217
1641
1641
348
348
1686
1686
2970
2970

0
0
0
0
0

TAB
VIL
VIL
UNT
UNT
UNT
BOT
BAG
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
VIL
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
VIL
BAG
VIL
VIL
UNT
UNT
UNT
UNT
PKG
PKG
UNT

2304
1267200
111735
3825
11982
2136
189759
54489
14988
8415
15060
8000
1726755

2304
1267200
111735
3825
11982
2136
189759
54489
14988
8415
15060
8000
1726755

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
221258
221258
3994
3994
3080
3080
3300
3300
2000
2000
233632
233632

0
0
0
0
0
0

Pasien
Penjamin
32834
32834
500
500
33334
33334

0
0
0

Pasien
Penjamin
57964
57964
289984
289984
86697
86697
40242
40242
74490
74490
3825
3825
4620
4620
11982
11982
3204
3204
41388
41388
15060
15060
5500
5500
634956
634956

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
BOT
VIL
AMP
VIL
BAG
UNT
UNT
UNT
UNT
UNT
BAG
BOT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
VIL
AMP
VIL
VIL
UNT
UNT
UNT
BAG
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
BOT

Pasien
Penjamin
57964
57964
217488
217488
34032
34032
40242
40242
57798
57798
11475
11475
4620
4620
5991
5991
14988
14988
8415
8415
54489
54489
189759
189759
5340
5340
6500
6500
709101
709101

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
11880
11880
2902
2902
1900800 1900800
26460
26460
217488
217488
90288
90288
19008
19008
15300
15300
23964
23964
28899
28899
15840
15840
7476
7476
14988
14988
8415
8415
15060
15060
8000
8000
2464732 2464732

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28512
28512
57964
57964

0
0

TAB
TAB
TAB
TAB
VIL
BOT
BAG
UNT
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
BOT
UNT
UNT
VIL
UNT
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Unit Dose

2376
348
1405
2970
663774
16417
307800
14988
8415
3825
11982
2136
15060
18192
8000
1164164

2376
348
1405
2970
663774
16417
307800
14988
8415
3825
11982
2136
15060
18192
8000
1164164

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11880
11880
2481
2481
15048
15048
2376
2376
348
348
1686
1686
3564
3564
504900
504900
1900800 1900800
15840
15840
3825
3825
17973
17973
111735
111735
3204
3204
594
594
7500
7500
2603754 2603754

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
153450
153450
500
500
153950
153950

0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
BOT
UNT
UNT
UNT
UNT
PKG
UNT
AMP
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
VIL
AMP
AMP
VIL
BOT
UNT
UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
BOT

Pasien
Penjamin
1134
1134
2376
2376
348
348
1686
1686
3564
3564
11880
11880
1267200 1267200
7920
7920
189759
189759
16417
16417
7650
7650
11982
11982
14988
14988
8415
8415
15060
15060
3204
3204
13935
13935
8500
8500
1586018 1586018

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
57964
57964
774
774
2481
2481
3825
3825
1641
1641
111735
111735
13332
13332
138573
138573
1900800 1900800
15840
15840
22950
22950
17973
17973
5340
5340
1134
1134
7500
7500
2324038 2324038

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
57964
57964

0
0

TAB
TAB
TAB
VIL
BAG
BOT
BOT
UNT
UNT
PKG
UNT
PKG
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
VIL
BOT
UNT
UNT
UNT
UNT
BOT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB

348
1686
3564
40242
28899
35286
153648
14988
8415
15060
1068
2970
90288
7500
463060

348
1686
3564
40242
28899
35286
153648
14988
8415
15060
1068
2970
90288
7500
463060

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
774
1344
44352
11880
918
1503
738
13332
968298
111735
504900
11475
9240
14988
8415
16417
4272
8500
1733081

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
2304
2304
30217
30217
348
348
1686
1686

0
0
0
0
0

Pasien
774
1344
44352
11880
918
1503
738
13332
968298
111735
504900
11475
9240
14988
8415
16417
4272
8500
1733081

TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
BOT
BOT
BOT
UNT
UNT
UNT
PKG
PKG
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT
BOT
UNT
UNT

3564
900
158400
90288
32834
14988
8415
15060
3825
7000
370963

3564
900
158400
90288
32834
14988
8415
15060
3825
7000
370963

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1503
1503
17643
17643
189759
189759
153648
153648
15840
15840
3825
3825
17973
17973
3204
3204
2970
2970
15060
15060
1900800 1900800
7500
7500
2337699 2337699

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1503
1503
40242
40242
28899
28899
16417
16417
189759
189759
3825
3825
4620
4620

0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
BOT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
BOT
PKG
UNT

14988
8415
15060
1068
7500
340270

14988
8415
15060
1068
7500
340270

0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1503
1503
926640
926640
11475
11475
9240
9240
569277
569277
460944
460944
14988
14988
8415
8415
15060
15060
4272
4272
7000
7000
2036788 2036788

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
29568
29568
1641
1641
348
348
1686
1686
3564
3564
62370
62370
15660
15660
633942
633942
26775
26775
13860
13860
17973
17973
14988
14988
8415
8415
65668
65668
15060
15060
8000
8000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

920805

Depo Unit Dose

Subtotal
TAB
TAB
AMP
BOT
BOT
BOT
AMP
VIL
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
VIL
VIL
BAG
VIL
BOT
AMP
BOT
UNT
UNT
UNT
UNT
UNT
UNT

920805

Pasien
Penjamin
1287
1287
1503
1503
13935
13935
460944
460944
253012
253012
18216
18216
380223
380223
90288
90288
7650
7650
13860
13860
14988
14988
8415
8415
356
356
2970
2970
15060
15060
7500
7500
1290207 1290207

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
57964
57964
1188
1188
1900800 1900800
217488
217488
28899
28899
111735
111735
16417
16417
17526
17526
21120
21120
3825
3825
29955
29955
5340
5340
14988
14988
8415
8415
9000
9000
2452634 2452634

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
BAG
UNT
UNT
PKG
UNT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
UNT
PKG
TAB
TAB
UNT

Depo Unit Dose

Pasien
Penjamin
22176
22176
1638
1638
918
918
516
516
1503
1503
40242
40242
13332
13332
7650
7650
4620
4620
28899
28899
14988
14988
8415
8415
15060
15060
4272
4272
2970
2970
16417
16417
8000
8000
191616
191616

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1344
1344
918
918
858
858
2376
2376
348
348
1686
1686
3564
3564
108
108
141075
141075
16417
16417
11475
11475
2136
2136
14988
14988
8415
8415
15060
15060
15708
15708
1503
1503
8500
8500
246479
246479

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
VIL
UNT
UNT
BOT
VIL
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB
GM
UNT
UNT

Pasien
Penjamin
1287
1287
1503
1503
1267200 1267200
3300
3300
11982
11982
49251
49251
60192
60192
14988
14988
8415
8415
2136
2136
5000
5000
1425254 1425254

Pasien

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
918
2902
858
1503
2376
348
1686
3564
11880
90288
673200
16417
3825
9240
2136
2970
14988
8415
15060
9500
872074

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
28512
28512
189
189
3500
3500
450
450

0
0
0
0
0

918
2902
858
1503
2376
348
1686
3564
11880
90288
673200
16417
3825
9240
2136
2970
14988
8415
15060
9500
872074

VIL
VIL
BAG
UNT
UNT
UNT
VIL
BOT
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
UNT
UNT
UNT
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal

968298
217488
28899
3825
9240
5991
90288
35286
253012
14988
8415
2848
15060
7500
1751753

Pasien
900
23562
1503
2376
348
1686
3564
1188
44352
2400
366
26460
17346
1900800
21120
22950
17973
8544
16417
14988
8415
15060
11000
2163318

Pasien

968298
217488
28899
3825
9240
5991
90288
35286
253012
14988
8415
2848
15060
7500
1751753

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
900
23562
1503
2376
348
1686
3564
1188
44352
2400
366
26460
17346
1900800
21120
22950
17973
8544
16417
14988
8415
15060
11000
2163318

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin

TAB
TAB
TAB
TAB
BOT
VIL
BAG
AMP
UNT
UNT
BOT
VIL
UNT
UNT
PKG
UNT
TAB
UNT

Depo Unit Dose

Subtotal
BOT
VIL
BAG
VIL
VIL
UNT
UNT
UNT
PKG
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
BOT

2376
348
1686
3564
57964
40242
28899
26460
15300
4620
379518
111735
14988
8415
15060
4272
1503
8500
725450

2376
348
1686
3564
57964
40242
28899
26460
15300
4620
379518
111735
14988
8415
15060
4272
1503
8500
725450

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
144992
144992
28899
28899
13414
13414
24830
24830
1275
1275
1540
1540
1068
1068
41388
41388
5020
5020
5000
5000
325390
325390

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
57964
57964

VIL
AMP
VIL
UNT
UNT
UNT
UNT
BAG
BOT
UNT
BAG
UNT

Depo Unit Dose

Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
CAP
TAB
TAB
TAB
BOT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal

72496
11344
13414
1540
3825
14988
8415
18163
63253
1424
19266
6000
292092

72496
11344
13414
1540
3825
14988
8415
18163
63253
1424
19266
6000
292092

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
490
490
500
500
990
990

0
0
0

Pasien
Penjamin
11060
11060
1160
1160
11880
11880
5620
5620
30217
30217
360
360
3000
3000
63297
63297

0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2500
2500
29440
29440

0
0
0
0
0
0
0

Pasien

Pasien

Penjamin

TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
VIL
UNT
UNT
VIL
BOT
UNT
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

12750
1170
2145
180
2000
18245

12750
1170
2145
180
2000
18245

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2500
2500
29440
29440

0
0
0
0
0
0
0

Pasien
Penjamin
322766
322766
3300
3300
6160
6160
5465
5465
2640
2640
1032
1032
792
792
116
116
562
562
1188
1188
5000
5000
349021
349021

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
52578
52578
500
500
53078
53078

0
0
0

Pasien
Penjamin
24200
24200
500
500
24700
24700

0
0
0

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT

Pasien
Penjamin
178200
178200
500
500
178700
178700

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
3994
3994
500
500
4494
4494

0
0
0

Pasien
Penjamin
3994
3994
500
500
4494
4494

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
5991
5991

UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

500
6491

500
6491

0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
11982
11982
500
500
12482
12482

0
0
0

Pasien
Penjamin
11982
11982
500
500
12482
12482

0
0
0

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
VIL
UNT
UNT
UNT
BOT
UNT
AMP
UNT
UNT
UNT
TUB

Pasien
Penjamin
11982
11982
500
500
12482
12482

0
0
0

Pasien
Penjamin
11982
11982
500
500
12482
12482

0
0
0

Pasien
Penjamin
17973
17973
500
500
18473
18473

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
178200
178200
500
500
178700
178700

0
0
0

Pasien
Penjamin
1267200 1267200
3300
3300
7650
7650
13979
13979
15840
15840
62563
62563
17640
17640
18343
18343
5809
5809
12012
12012
56262
56262

0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
UNT
UNT
VIL
AMP
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
UNT
UNT
BAG
BOT
UNT
UNT
PKG
UNT
TAB
UNT

Depo Unit Dose

5500
1486098

5500
1486098

0
0

Pasien
Penjamin
2916
2916
1002
1002
617760
617760
3300
3300
6160
6160
40128
40128
111100
111100
32834
32834
14988
14988
8415
8415
10040
10040
1424
1424
6000
6000
856067
856067

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30217
30217
2112
2112
1094
1094
232
232
1124
1124
1782
1782
844800
844800
5280
5280
178200
178200
2550
2550
7988
7988
72652
72652
126506
126506
14988
14988
8415
8415
10040
10040
1424
1424
768
768
9000
9000
1319172 1319172

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
VIL
BAG
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT
BOT
UNT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BAG
BOT
VIL
UNT

Pasien
Penjamin
13414
13414
19266
19266
11564
11564
65668
65668
7650
7650
3080
3080
14988
14988
2136
2136
10040
10040
8415
8415
5000
5000
161221
161221

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
2112
2112
1002
1002
26828
26828
19266
19266
32834
32834
126506
126506
2550
2550
3080
3080
712
712
2970
2970
14988
14988
8415
8415
10040
10040
8500
8500
265119
265119

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
858
1002
26828
19266
32834
60192
2550

Penjamin
858
1002
26828
19266
32834
60192
2550

0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
VIL
BAG
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
UNT
BAG
BOT
UNT
UNT
PKG
UNT
UNT

3080
712
14988
8415
10040
6000
186765

3080
712
14988
8415
10040
6000
186765

0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
26828
26828
19266
19266
126506
126506
2550
2550
3080
3080
14988
14988
8415
8415
5020
5020
712
712
6500
6500
219181
219181

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
19800
19800
612
612
17952
17952
15708
15708
26828
26828
4224
4224
2550
2550
3080
3080
19266
19266
32834
32834
14988
14988
8415
8415
5020
5020
712
712
7500
7500
180491
180491

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
47685
47685
1500
1500
58265
58265

0
0
0
0
0

Pasien
Penjamin
1500
1500
2145
2145
1000
1000
4645
4645

0
0
0
0

Pasien
Penjamin
2025
2025
47520
47520
1000
1000
50545
50545

0
0
0
0

Pasien
Penjamin
26135
26135
500
500
26635
26635

0
0
0

Pasien
Penjamin
1500
1500
2505
2505
3270
3270

0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal

1500
8775

1500
8775

0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
2505
2505
11880
11880
2500
2500
31585
31585

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
2115
2115
2500
2500
31195
31195

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
2145
2145
2000
2000
25105
25105

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
1500
1500
22460
22460

0
0
0
0
0

Pasien

Penjamin

BOT
TAB
TAB
TAB
TAB
VIL
BAG
BOT
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
TAB
AMP
VIL

30217
1503
2376
1686
3564
40242
28899
98502
111735
3825
4620
14988
8415
15060
7000
372632

30217
1503
2376
1686
3564
40242
28899
98502
111735
3825
4620
14988
8415
15060
7000
372632

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1503
1503
528
528
1134
1134
188100
188100
14988
14988
8415
8415
98502
98502
3825
3825
15060
15060
5500
5500
340279
340279

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1686
1686
900
900
288
288
2574
2574
3564
3564
57964
57964
3825
3825
10728
10728
8820
8820
511632
511632

0
0
0
0
0
0
0
0
0
0

BOT
AMP
UNT
UNT
AMP
AMP
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
VIL
AMP
AMP
BOT
BOT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
AMP
UNT
UNT
UNT

336633
1013928
7650
11982
35052
6666
14988
8415
9000
2046295

336633
1013928
7650
11982
35052
6666
14988
8415
9000
2046295

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
57964
57964
3825
3825
968298
968298
62370
62370
15660
15660
49251
49251
153648
153648
15300
15300
9240
9240
11982
11982
5340
5340
2970
2970
15060
15060
7000
7000
1379195 1379195

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
22176
22176
2376
2376
348
348
1686
1686
3564
3564
1503
1503
62370
62370
15660
15660
563504
563504
20400
20400
24640
24640
15976
15976

0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
VIL
VIL
VIL
BOT
BOT
UNT
UNT
UNT
BAG
UNT
UNT
UNT

14988
8415
147753
10680
502
9000
926828

14988
8415
147753
10680
502
9000
926828

0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
2376
2376
348
348
3564
3564
6840
6840
1350
1350
3825
3825
968298
968298
111735
111735
3825
3825
9240
9240
2136
2136
6000
6000
1177501 1177501

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
2376
2376
348
348
3564
3564
1686
1686
217488
217488
968298
968298
111735
111735
49251
49251
153648
153648
7650
7650
9240
9240
5991
5991
28899
28899
14988
14988
8415
8415
8000
8000
1649541 1649541

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
VIL
VIL
BOT
UNT

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1451
1451
1503
1503
29700
29700
3234
3234
2376
2376
348
348
1686
1686
3564
3564
1056
1056
968298
968298
111735
111735
49251
49251
3825
3825
9240
9240
2136
2136
14988
14988
8415
8415
8500
8500
1221306 1221306

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
738
1287
11880
1056
189
3500
450
3234
308
498960
551760
17643
3825

Penjamin
738
1287
11880
1056
189
3500
450
3234
308
498960
551760
17643
3825

0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
UNT
UNT
BOT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
TAB
VIL
BOT

9240
2136
14988
8415
732
3825
912
8500
1143578

Pasien
918
2902
1056
1287
1503
2376
348
1686
3564
11880
673200
37572
90288
14988
8415
49251
3560
8500
913294

Pasien
858
1134
1641
1405
2970
4752
57964
738
49896
968298
17643

9240
2136
14988
8415
732
3825
912
8500
1143578

0
0
0
0
0
0
0
0
0

Penjamin
918
2902
1056
1287
1503
2376
348
1686
3564
11880
673200
37572
90288
14988
8415
49251
3560
8500
913294

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
858
1134
1641
1405
2970
4752
57964
738
49896
968298
17643

0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
VIL
BAG
BOT
VIL
UNT
UNT
PKG
PKG
UNT
UNT

3825
9240
14988
8415
2136
348
8500
1154751

3825
9240
14988
8415
2136
348
8500
1154751

0
0
0
0
0
0
0
0

Pasien
Penjamin
4752
4752
108
108
2376
2376
348
348
1686
1686
3564
3564
663774
663774
98502
98502
3825
3825
14988
14988
8415
8415
15060
15060
2136
2136
6500
6500
826034
826034

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
57964
57964
2376
2376
348
348
1686
1686
3564
3564
40242
40242
28899
28899
98502
98502
90288
90288
3825
3825
1068
1068
2970
2970
15060
15060
14988
14988
8415
8415

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
PKG
VIL
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
VIL
VIL
BOT
AMP
UNT
UNT
UNT
UNT
BOT
UNT

Depo Unit Dose

8000
379329

8000
379329

0
0

Pasien
Penjamin
1134
1134
2304
2304
30217
30217
348
348
1686
1686
3564
3564
900
900
158400
158400
98502
98502
14988
14988
8415
8415
15060
15060
90288
90288
3825
3825
7000
7000
436631
436631

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1056
1056
57964
57964
1188
1188
1900800 1900800
111735
111735
49251
49251
35052
35052
3825
3825
3204
3204
14988
14988
8415
8415
13200
13200
8000
8000
2216652 2216652

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BAG
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
TAB
TAB
AMP
VIL
VIL
BOT

Pasien
Penjamin
28512
28512
1641
1641
348
348
1405
1405
2970
2970
3168
3168
663774
663774
49251
49251
307800
307800
3825
3825
1424
1424
14988
14988
8415
8415
15060
15060
7000
7000
1109581 1109581

Pasien

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
810
108
2376
348
3564
1686
15060
3825
4000
31777

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
2112
2112
57964
57964
774
774
2481
2481
3825
3825
1641
1641
1134
1134
19998
19998
1900800 1900800
111735
111735
49251
49251

0
0
0
0
0
0
0
0
0
0
0
0

810
108
2376
348
3564
1686
15060
3825
4000
31777

UNT
BOT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
BAG
UNT
UNT
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
VIL
BAG
VIL
AMP
AMP
AMP
AMP
VIL
UNT
UNT
UNT
UNT
BOT
PKG
UNT

22950
23760
14988
8415
15060
8544
2970
9500
2280078

22950
23760
14988
8415
15060
8544
2970
9500
2280078

0
0
0
0
0
0
0
0
0

Penjamin
900
1287
10728
40242
28899
7650
4620
90288
98502
14988
8415
2136
2970
6500
318125

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1850262 1850262
57798
57798
511632
511632
41580
41580
10440
10440
13332
13332
253482
253482
111735
111735
38250
38250
10680
10680
14988
14988
8415
8415
49251
49251
15060
15060
7000
7000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
1287
10728
40242
28899
7650
4620
90288
98502
14988
8415
2136
2970
6500
318125

2993905

Depo Unit Dose

Subtotal
TAB
TAB
AMP
VIL
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
AMP
VIL
UNT
UNT
UNT
UNT
BOT
TUB
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB

2993905

Penjamin
900
1503
422628
544248
90288
307296
15300
5340
14988
8415
15060
5500
1431466

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
9072
9072
663774
663774
106920
106920
111735
111735
11475
11475
4272
4272
18343
18343
5809
5809
2640
2640
56262
56262
12012
12012
6000
6000
1009448 1009448

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
1503
1503
7374
7374

0
0
0
0
0
0
0

Pasien
900
1503
422628
544248
90288
307296
15300
5340
14988
8415
15060
5500
1431466

UNT
VIL
BOT
BOT
BOT
BOT
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
BOT
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
AMP
AMP
VIL
UNT
UNT
UNT
UNT

19008
1900800
178200
17643
189759
153648
26400
3825
3204
14988
8500
2535994

19008
1900800
178200
17643
189759
153648
26400
3825
3204
14988
8500
2535994

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1503
1503
3168
3168
14750
14750
926640
926640
189759
189759
153648
153648
11475
11475
9240
9240
14988
14988
8415
8415
4272
4272
2970
2970
8000
8000
1356802 1356802

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1314
1314
62370
62370
15660
15660
673200
673200
25500
25500
9240
9240
10680
10680
14988
14988

0
0
0
0
0
0
0
0
0

UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

8415
98502
15060
6000
942216

8415
98502
15060
6000
942216

0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
108
108
900
900
1503
1503
995661
995661
147753
147753
3825
3825
14988
14988
8415
8415
15060
15060
6500
6500
1202687 1202687

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
900
900
108
108
2376
2376
348
348
1686
1686
3564
3564
422628
422628
544248
544248
307296
307296
15300
15300
14988
14988
8415
8415
15060
15060
7000
7000
1345051 1345051

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
BOT
TAB
TAB
VIL
BOT
BAG
VIL
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
VIL
AMP
VIL
BAG
UNT
VIL
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
AMP
AMP
VIL

Pasien
Penjamin
57964
57964
28512
28512
3168
3168
968298
968298
98502
98502
615600
615600
90288
90288
3825
3825
9240
9240
14988
14988
8415
8415
15060
15060
2136
2136
6500
6500
1922496 1922496

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
11880
11880
2112
2112
1900800 1900800
26460
26460
217488
217488
28899
28899
15300
15300
90288
90288
15840
15840
7476
7476
19008
19008
6000
6000
2399515 2399515

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
2376
2376
348
348
1686
1686
3564
3564
57964
57964
62370
62370
15660
15660
968298
968298

0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
UNT
BOT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
AMP
UNT
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL

15300
9240
14988
8415
8544
98502
2112
8000
1278654

15300
9240
14988
8415
8544
98502
2112
8000
1278654

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
30217
30217
2376
2376
348
348
1686
1686
3564
3564
2112
2112
11880
11880
1267200 1267200
189759
189759
49251
49251
13935
13935
7650
7650
15840
15840
14988
14988
8415
8415
3560
3560
8500
8500
1632415 1632415

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
23562
1503
2376
348
1686
3564
1188
2400
44352
1900800

Penjamin
900
23562
1503
2376
348
1686
3564
1188
2400
44352
1900800

0
0
0
0
0
0
0
0
0
0
0

AMP
AMP
BOT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT
PKG
UNT
TAB
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
BOT

26460
26019
15840
22950
14988
8415
7476
9000
2113827

26460
26019
15840
22950
14988
8415
7476
9000
2113827

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1344
1344
918
918
2376
2376
348
348
1686
1686
3564
3564
108
108
14750
14750
141075
141075
49251
49251
12750
12750
14988
14988
8415
8415
15060
15060
2136
2136
15708
15708
858
858
8500
8500
293835
293835

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
153450
153450
500
500
153950
153950

0
0
0

Pasien
Penjamin
1287
1287
1503
1503
1056
1056
153648
153648

0
0
0
0

AMP
BOT
BOT
UNT
UNT
UNT
UNT
UNT
PKG
AMP
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
VIL
PKG
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
BOT

13935
18216
189759
7650
13860
3560
14988
8415
15060
380223
90288
7500
920948

13935
18216
189759
7650
13860
3560
14988
8415
15060
380223
90288
7500
920948

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11880
11880
2481
2481
15048
15048
2376
2376
348
348
1686
1686
3564
3564
1056
1056
968298
968298
178200
178200
111735
111735
41388
41388
3825
3825
9240
9240
2136
2136
7500
7500
1360761 1360761

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
774
1344
44352
11880
1056
918
1503
13332
178200

Penjamin
774
1344
44352
11880
1056
918
1503
13332
178200

0
0
0
0
0
0
0
0
0

VIL
VIL
UNT
UNT
UNT
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
UNT
UNT
UNT
UNT
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
BOT
VIL
VIL
AMP
VIL

968298
111735
11475
9240
4272
14988
8415
8000
1389782

968298
111735
11475
9240
4272
14988
8415
8000
1389782

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19800
19800
500
500
20300
20300

0
0
0

Pasien
Penjamin
15708
15708
1344
1344
7920
7920
516
516
918
918
968298
968298
19998
19998
90288
90288
15300
15300
9240
9240
5340
5340
14988
14988
8415
8415
49251
49251
15060
15060
7500
7500
1230084 1230084

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
57964
995661
544248
380223
255816

Penjamin
900
57964
995661
544248
380223
255816

0
0
0
0
0
0

UNT
BOT
BOT
VIL
UNT
UNT
UNT
PKG
PKG
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
UNT
UNT
TAB
UNT

19125
307296
189759
111735
5340
14988
8415
2970
15060
7500
2917000

19125
307296
189759
111735
5340
14988
8415
2970
15060
7500
2917000

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12100
12100
500
500
12600
12600

0
0
0

Pasien
Penjamin
76725
76725
500
500
77225
77225

0
0
0

Pasien
448
306
286
792
116
562
1188
36
4444
14750
47025
16417
6375
1540
7854
7500
109639

Penjamin
448
306
286
792
116
562
1188
36
4444
14750
47025
16417
6375
1540
7854
7500
109639

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
BOT
AMP
UNT
UNT
BAG
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
VIL
TAB
UNT

Depo Unit Dose

Subtotal

Pasien

Penjamin
792
116
562
1188
501
1056
13414
14750
63253
16417
4645
5100
1540
9633
1424
5020
8000
147411

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26289
26289
500
500
26789
26789

0
0
0

Pasien
Penjamin
6600
6600
500
500
7100
7100

0
0
0

Pasien
Penjamin
12100
12100
3300
3300
1000
1000
16400
16400

0
0
0
0

792
116
562
1188
501
1056
13414
14750
63253
16417
4645
5100
1540
9633
1424
5020
8000
147411

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
BOT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
UNT
UNT
UNT

Depo Unit Dose

1056
792
116
1188
450
1275
322766
37245
1540
2550
1424
5020
6000
381422

1056
792
116
1188
450
1275
322766
37245
1540
2550
1424
5020
6000
381422

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
32834
32834
5020
5020
1275
1275
2000
2000
42713
42713

0
0
0
0
0
0

Pasien
246
429
3960
1056
1078
154
244
1275
5220
20790
422400
5881
5100
1780
7000
476613

Penjamin
246
429
3960
1056
1078
154
244
1275
5220
20790
422400
5881
5100
1780
7000
476613

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

Pasien

Penjamin
501
9900
258
1078
792
116
562
1188
1056
322766
37245
16417
1275
3080
712
7500
404446

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7854
7854
448
448
2640
2640
172
172
306
306
322766
322766
6666
6666
16417
16417
30096
30096
3080
3080
5100
5100
1780
1780
5020
5020
6500
6500
408845
408845

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
827
827
5016
5016
792
792
116
116
562
562

0
0
0
0
0
0

501
9900
258
1078
792
116
562
1188
1056
322766
37245
16417
1275
3080
712
7500
404446

TAB
VIL
BOT
UNT
UNT
VIL
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
AMP
VIL
UNT
BOT
VIL
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
BOT
VIL
UNT
UNT
VIL
BOT
UNT
UNT

1056
322766
178200
1275
3080
37245
5020
6500
566415

1056
322766
178200
1275
3080
37245
5020
6500
566415

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
1056
1056
258
258
4444
4444
633600
633600
7650
7650
16417
16417
37245
37245
1780
1780
4500
4500
714342
714342

0
0
0
0
0
0
0
0
0
0
0

Pasien
258
448
7392
3960
1584
306
501
4444
178200
322766
3825
3080
37245
16417
1780
7500
589706

Penjamin
258
448
7392
3960
1584
306
501
4444
178200
322766
3825
3080
37245
16417
1780
7500
589706

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
UNT
UNT
UNT
BOT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
VIL
AMP
VIL
BOT
BOT
UNT

Pasien
429
792
116
562
1188
1056
20790
5220
322766
5100
3080
1780
16417
51216
5020
7500
443032

Pasien
792
116
501
17640
47025
49251
37245
10200
1540
2136
5020
5500
176966

Pasien
378
221258
35640
37245
51216
63253
3825

Penjamin
429
792
116
562
1188
1056
20790
5220
322766
5100
3080
1780
16417
51216
5020
7500
443032

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
501
17640
47025
49251
37245
10200
1540
2136
5020
5500
176966

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
378
221258
35640
37245
51216
63253
3825

0
0
0
0
0
0
0

PKG
UNT
UNT

Depo Unit Dose

Subtotal
BOT
BOT
VIL
UNT
VIL
AMP
VIL
PKG
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
PKG
UNT

Depo Unit Dose

Subtotal
TAB
AMP
VIL
AMP
AMP
VIL

5020
1424
4500
423759

5020
1424
4500
423759

0
0
0
0

Pasien
Penjamin
102432
102432
63253
63253
331887
331887
8925
8925
181416
181416
126741
126741
37245
37245
5020
5020
1780
1780
300
300
5000
5000
863999
863999

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
378
768
116
562
1188
300
400
52800
16417
30096
5020
5500
113545

Pasien
378
8820
72496
11344
11684
37245

Penjamin
378
768
116
562
1188
300
400
52800
16417
30096
5020
5500
113545

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
378
8820
72496
11344
11684
37245

0
0
0
0
0
0

VIL
UNT
UNT
BAG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
AMP
AMP
VIL
UNT
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB

322766
7650
3080
9633
5000
490096

Pasien
378
547
116
562
1188
1584
322766
32834
1275
3080
5020
712
6000
376062

Pasien
429
20790
5220
224400
8925
4620
1068
16417
4000
285869

Pasien
562
1188
300
858
1275

322766
7650
3080
9633
5000
490096

0
0
0
0
0
0

Penjamin
378
547
116
562
1188
1584
322766
32834
1275
3080
5020
712
6000
376062

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
20790
5220
224400
8925
4620
1068
16417
4000
285869

0
0
0
0
0
0
0
0
0
0

Penjamin
562
1188
300
858
1275

0
0
0
0
0

AMP
VIL
BOT
VIL
AMP
AMP
AMP
UNT
UNT
AMP
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
BOT
VIL
BAG
UNT
UNT
UNT
PKG
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
AMP
VIL
AMP
BOT
UNT
UNT
PKG
UNT
UNT

5880
170544
112211
37245
5220
2222
126741
12750
1540
11684
32834
8000
531054

Pasien
300
429
3576
13414
32834
30096
9633
2550
1540
1068
2970
5020
6000
109430

Pasien
429
1275
378
20790
322766
5220
32834
5100
3080
5020
1780
6336

5880
170544
112211
37245
5220
2222
126741
12750
1540
11684
32834
8000
531054

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
300
429
3576
13414
32834
30096
9633
2550
1540
1068
2970
5020
6000
109430

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
1275
378
20790
322766
5220
32834
5100
3080
5020
1780
6336

0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
AMP
AMP
UNT
UNT
BOT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
AMP
BOT
BOT
BOT
AMP
AMP
VIL
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB

6000
411008

6000
411008

0
0

Penjamin
792
116
562
1188
1056
429
13414
9633
20790
5220
7650
1540
32834
5020
1780
7500
109524

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
501
1056
17640
16417
6072
63253
4645
84494
20064
10200
4620
5020
6500
240911

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
378
378

Pasien
792
116
562
1188
1056
429
13414
9633
20790
5220
7650
1540
32834
5020
1780
7500
109524

Pasien
429
501
1056
17640
16417
6072
63253
4645
84494
20064
10200
4620
5020
6500
240911

Pasien

VIL
BAG
UNT
UNT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
BOT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
BOT
UNT
UNT
PKG
UNT

13414
9633
1275
1540
5020
32834
3500
67594

Pasien
792
116
562
1188
1056
501
422400
5881
51216
63253
5020
1275
712
6500
560472

Pasien
378
300
36
792
116
562
1188
211314
120944
204864
2550
1424
5020
6500
555988

13414
9633
1275
1540
5020
32834
3500
67594

0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
1056
501
422400
5881
51216
63253
5020
1275
712
6500
560472

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
378
300
36
792
116
562
1188
211314
120944
204864
2550
1424
5020
6500
555988

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Apotik Panel
Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
VIL
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
VIL
UNT
UNT
PKG
UNT

Depo Unit Dose

Pasien
Penjamin
10683
10683
500
500
11183
11183

Pasien
792
116
562
1188
1056
396
633600
16417
5842
37245
1275
1424
6000
705913

Pasien
429
36
792
116
562
1188
96
768
178200
5782
322766
3825
1780
5020
7000
528360

0
0
0

Penjamin
792
116
562
1188
1056
396
633600
16417
5842
37245
1275
1424
6000
705913

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
36
792
116
562
1188
96
768
178200
5782
322766
3825
1780
5020
7000
528360

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
PKG
UNT
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
VIL
BOT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB

Pasien

Penjamin
300
7854
501
792
116
562
1188
633600
37245
1275
5020
1068
396
14784
800
7500
713001

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
360
360
1500
1500
10940
10940

0
0
0
0
0

Pasien
Penjamin
5184
5184
6072
6072
1000
1000
12256
12256

0
0
0
0

Pasien
Penjamin
36300
36300
500
500
36800
36800

0
0
0

Pasien
Penjamin
78867
78867

300
7854
501
792
116
562
1188
633600
37245
1275
5020
1068
396
14784
800
7500
713001

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
BOT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
UNT

500
79367

500
79367

0
0

Pasien
Penjamin
12276
12276
500
500
12776
12776

0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
1503
1503
1267200 1267200
17643
17643
153648
153648
189759
189759
14988
14988
8415
8415
15060
15060
3825
3825
2848
2848
7500
7500
1693531 1693531

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1344
1344
1224
1224
858
858
2376
2376
348
348
1686
1686
3564
3564
108
108
13332
13332
14750
14750
141075
141075
49251
49251
19125
19125

0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
TAB
TAB
BOT
BOT
VIL
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
TAB
VIL
BAG
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB

14988
8415
15708
8000
296152

14988
8415
15708
8000
296152

0
0
0
0
0

Pasien
Penjamin
1134
1134
2304
2304
30217
30217
348
348
1686
1686
3564
3564
900
900
1200
1200
673266
673266
49251
49251
90288
90288
14988
14988
8415
8415
15060
15060
7000
7000
899621
899621

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30217
30217
1134
1134
40242
40242
28899
28899
3825
3825
4620
4620
14988
14988
8415
8415
15060
15060
98502
98502
5000
5000
250902
250902

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1503
1503

0
0

TAB
AMP
VIL
BOT
BOT
BOT
AMP
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
VIL
UNT

3168
52920
133812
49251
18216
189759
27870
60192
30600
13860
14988
8415
15060
7500
628401

3168
52920
133812
49251
18216
189759
27870
60192
30600
13860
14988
8415
15060
7500
628401

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23562
23562
1344
1344
7920
7920
516
516
918
918
968298
968298
19998
19998
49251
49251
90288
90288
15300
15300
9240
9240
5340
5340
14988
14988
15060
15060
7000
7000
1229023 1229023

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1503
1503
52920
52920
141075
141075
147753
147753
111735
111735
30600
30600

0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
BOT
VIL
BOT
UNT
UNT
BAG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
AMP
AMP
VIL
UNT
BOT
UNT
UNT
VIL
UNT
UNT
UNT

Depo Unit Dose

3080
14988
8415
6408
15060
6500
542761

3080
14988
8415
6408
15060
6500
542761

0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
900
900
516
516
57964
57964
1850262 1850262
153648
153648
14988
14988
8415
8415
57798
57798
3825
3825
2136
2136
5500
5500
2157239 2157239

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
3168
3168
57964
57964
774
774
13332
13332
61588
61588
1900800 1900800
22950
22950
49251
49251
14988
14988
8415
8415
111735
111735
5340
5340
26535
26535
7000
7000
2306016 2306016

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
VIL
BAG
AMP
AMP
UNT
UNT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
VIL
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
57964
57964
1287
1287
40242
40242
28899
28899
62370
62370
15660
15660
22950
22950
4620
4620
98502
98502
14988
14988
8415
8415
15060
15060
5340
5340
9000
9000
396439
396439

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11880
11880
2481
2481
15048
15048
2376
2376
348
348
1686
1686
3168
3168
968298
968298
534600
534600
3825
3825
9240
9240
14988
14988
111735
111735
15060
15060
7000
7000
1701733 1701733

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1451
1451
1503
1503

0
0

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
AMP
VIL
BAG
UNT
UNT
UNT
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
BOT
BOT
VIL
UNT
UNT
VIL
AMP
VIL

29700
774
3234
2376
348
1686
3564
3168
968298
111735
49251
3825
9240
2136
14988
8415
9000
1224692

29700
774
3234
2376
348
1686
3564
3168
968298
111735
49251
3825
9240
2136
14988
8415
9000
1224692

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
2670
2670
17016
17016
40242
40242
28899
28899
7650
7650
4620
4620
14988
14988
8415
8415
197004
197004
15060
15060
5500
5500
343198
343198

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
204864
204864
126506
126506
995661
995661
3300
3300
11475
11475
362832
362832
253482
253482
74490
74490

0
0
0
0
0
0
0
0

PKG
UNT
UNT
PKG
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
PKG
UNT
UNT
UNT
PKG
UNT
TAB
TAB

41388
26611
8415
15060
5340
600
7000
2137024

41388
26611
8415
15060
5340
600
7000
2137024

0
0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
57964
57964
2376
2376
348
348
3564
3564
1350
1350
3825
3825
968298
968298
111735
111735
3825
3825
9240
9240
2136
2136
15060
15060
6500
6500
1189389 1189389

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
1503
2376
348
1686
3564
1900800
111735
41388
3825
14988
8415
15060
4272
1188
44352

Penjamin
900
1503
2376
348
1686
3564
1900800
111735
41388
3825
14988
8415
15060
4272
1188
44352

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
BOT
AMP
VIL
AMP
AMP
VIL
VIL
UNT
UNT
BAG
UNT
UNT
UNT

Depo Unit Dose

2400
23562
9000
2191362

2400
23562
9000
2191362

0
0
0
0

Pasien
Penjamin
1134
1134
1641
1641
348
348
1405
1405
2970
2970
4752
4752
57964
57964
968298
968298
98502
98502
3825
3825
9240
9240
14988
14988
8415
8415
15060
15060
2136
2136
7500
7500
1198178 1198178

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
57964
57964
26460
26460
217488
217488
34032
34032
35052
35052
111735
111735
968298
968298
22950
22950
9240
9240
28899
28899
8415
8415
14988
14988
6500
6500
1543155 1543155

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
CAP
TAB
TAB
TAB
TAB
AMP
BOT
VIL
AMP
AMP
UNT
BOT
UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
BOT
CAP
TAB
TAB
VIL
BAG
UNT
UNT
UNT
VIL
UNT

Depo Unit Dose

Subtotal
TAB
VIL
AMP
VIL
BOT

Pasien
Penjamin
2304
2304
19800
19800
158400
158400
1503
1503
2376
2376
348
348
37572
37572
326040
326040
90288
90288
380223
380223
33330
33330
22950
22950
98502
98502
14988
14988
8415
8415
108
108
8000
8000
1205147 1205147

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
516
516
3168
3168
57964
57964
27720
27720
1287
1287
22176
22176
217488
217488
28899
28899
1068
1068
3825
3825
14988
14988
111735
111735
6500
6500
498837
498837

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
663774
663774
160380
160380
111735
111735
153648
153648

0
0
0
0
0

BOT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
AMP
VIL
UNT
UNT
UNT
UNT
BOT
BOT
UNT
UNT
PKG
UNT

189759
14988
8415
15060
2136
11475
5500
1338004

189759
14988
8415
15060
2136
11475
5500
1338004

0
0
0
0
0
0
0
0

Pasien
Penjamin
4752
4752
98502
98502
14988
14988
8415
8415
15060
15060
3825
3825
3000
3000
148542
148542

0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
2376
2376
348
348
1686
1686
3564
3564
3168
3168
57964
57964
62370
62370
15660
15660
968298
968298
15300
15300
9240
9240
5340
5340
26535
26535
49251
49251
153648
153648
14988
14988
8415
8415
15060
15060
9500
9500
1423998 1423998

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
AMP
AMP
VIL
UNT
UNT
UNT
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
BOT
VIL
BAG
UNT

Pasien
Penjamin
1287
1287
62370
62370
15660
15660
673200
673200
26775
26775
9240
9240
3204
3204
14988
14988
8415
8415
49251
49251
5000
5000
869390
869390

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
900
900
108
108
2376
2376
348
348
1686
1686
3564
3564
422628
422628
544248
544248
307296
307296
356
356
14988
14988
8415
8415
15060
15060
15300
15300
7500
7500
1345907 1345907

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
1287
10728
40242
98502
90288
28899
7650

Penjamin
900
1287
10728
40242
98502
90288
28899
7650

0
0
0
0
0
0
0
0

UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
BOT
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
UNT

4620
14988
8415
15060
3204
8910
7000
340693

4620
14988
8415
15060
3204
8910
7000
340693

0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
108
108
2376
2376
348
348
1686
1686
3564
3564
288
288
2304
2304
30217
30217
534600
534600
968298
968298
307296
307296
11475
11475
4272
4272
14988
14988
8415
8415
15060
15060
8500
8500
1915082 1915082

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
738
1287
11880
3168
3234
462
366
15660
62370
1267200
17643
15300

Penjamin
738
1287
11880
3168
3234
462
366
15660
62370
1267200
17643
15300

0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
VIL
BOT
AMP
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
AMP
VIL
AMP
BOT
UNT
UNT
UNT
UNT
UNT
PKG

7988
14988
8415
5340
8000
1444039

7988
14988
8415
5340
8000
1444039

0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
57964
57964
1188
1188
1900800 1900800
49251
49251
17526
17526
148980
148980
14988
14988
8415
8415
3825
3825
7988
7988
4272
4272
8910
8910
8500
8500
2243749 2243749

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
57964
57964
3825
3825
1134
1134
62370
62370
968298
968298
15660
15660
98502
98502
15300
15300
9240
9240
11982
11982
14988
14988
8415
8415
15060
15060

0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
VIL
BOT
VIL
PKG
AMP
AMP
AMP
UNT
UNT
UNT
AMP
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
PKG
UNT
UNT
AMP
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

5340
12672
8000
1310037

5340
12672
8000
1310037

0
0
0
0

Pasien
Penjamin
1686
1686
3564
3564
900
900
2574
2574
3825
3825
17640
17640
511632
511632
336633
336633
148980
148980
41388
41388
15660
15660
6666
6666
380223
380223
38250
38250
4620
4620
11982
11982
35052
35052
98502
98502
14988
14988
8415
8415
10000
10000
1693180 1693180

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
20213
20213
5732
5732
62370
62370
2000
2000
117265
117265

0
0
0
0
0
0

Pasien

Penjamin
516
516
1344
1344
44352
44352

0
0
0

TAB
TAB
TAB
TAB
AMP
BOT
VIL
UNT
UNT
VIL
BOT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP

11880
4752
1836
1503
13332
534600
968298
11475
9240
111735
49251
14988
8415
5340
8500
1801357

11880
4752
1836
1503
13332
534600
968298
11475
9240
111735
49251
14988
8415
5340
8500
1801357

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
3564
3564
1686
1686
1287
1287
3168
3168
926640
926640
189759
189759
153648
153648
14988
14988
8415
8415
15060
15060
1540
1540
6500
6500
1328979 1328979

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1503
1503
3168
3168
40242
40242
44250
44250

0
0
0
0
0
0
0
0

BOT
AMP
UNT
UNT
BAG
UNT
UNT
PKG
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
CAP
VIL
BAG
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
TAB
TAB
TAB
TAB
TAB

189759
13935
4620
17850
28899
14988
8415
15060
4984
49251
9000
453898

189759
13935
4620
17850
28899
14988
8415
15060
4984
49251
9000
453898

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
126506
126506
500
500
127006
127006

0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
1782
1782
10454
10454
858
858
18480
18480
26828
26828
19266
19266
3080
3080
32834
32834
5500
5500
122022
122022

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
858
858
1002
1002
1584
1584
232
232
1124
1124

0
0
0
0
0
0
0

TAB
UNT
UNT

Depo Unit Dose

Subtotal
VIL
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
VIL
BAG
UNT
PKG
UNT
UNT
UNT
TAB
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
PKG
BOT
BOT
BOT
UNT

2376
712
4500
35791

2376
712
4500
35791

0
0
0
0

Pasien
Penjamin
422400
422400
3994
3994
3080
3080
3300
3300
2000
2000
434774
434774

0
0
0
0
0
0

Pasien
Penjamin
32834
32834
26828
26828
19266
19266
8415
8415
10040
10040
2550
2550
3080
3080
712
712
756
756
14988
14988
5000
5000
124469
124469

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
2112
2112
1002
1002
1267200 1267200
2136
2136
2970
2970
17643
17643
153648
153648
189759
189759
14988
14988

0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
PKG
UNT
UNT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
VIL
BAG

8415
10040
2550
11982
8500
1698261

8415
10040
2550
11982
8500
1698261

0
0
0
0
0
0

Pasien
Penjamin
704000
704000
500
500
704500
704500

0
0
0

Pasien
Penjamin
352000
352000
500
500
352500
352500

0
0
0

Pasien
Penjamin
704000
704000
500
500
704500
704500

0
0
0

Pasien
Penjamin
59193
59193
500
500
59693
59693

0
0
0

Pasien
792
116
562
1188
528
429
9240
13414
9633

Penjamin
792
116
562
1188
528
429
9240
13414
9633

0
0
0
0
0
0
0
0
0

BOT
BOT
UNT
UNT
UNT
UNT
UNT

Apotik Panel
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
VIL
VIL
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
BOT

16417
63253
1275
1540
14988
8415
7500
149290

16417
63253
1275
1540
14988
8415
7500
149290

0
0
0
0
0
0
0
0

Pasien
Penjamin
56916
56916
500
500
57416
57416

0
0
0

Pasien
Penjamin
12276
12276
500
500
12776
12776

0
0
0

Pasien
Penjamin
1134
1134
663774
663774
111735
111735
506024
506024
3825
3825
9240
9240
3000
3000
1298732 1298732

0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
2376
2376
348
348
1686
1686
3564
3564
3168
3168
57964
57964
774
774
49251
49251

0
0
0
0
0
0
0
0
0

VIL
VIL
AMP
AMP
UNT
UNT
BAG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
BOT
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
CAP
TAB
TAB
TAB
TAB
TAB
AMP
VIL

111735
40242
13332
138573
26775
4620
28899
29976
8415
9000
552874

111735
40242
13332
138573
26775
4620
28899
29976
8415
9000
552874

0
0
0
0
0
0
0
0
0
0
0

Penjamin
430
1344
22176
11880
918
1503
3168
49251
111735
534600
968298
13332
11475
9240
14988
8415
15060
8500
1786313

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2304
2304
19800
19800
158400
158400
1503
1503
2376
2376
348
348
108
108
33330
33330
90288
90288

0
0
0
0
0
0
0
0
0

Pasien
430
1344
22176
11880
918
1503
3168
49251
111735
534600
968298
13332
11475
9240
14988
8415
15060
8500
1786313

AMP
UNT
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
AMP
VIL
BOT
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SYR
VIL
VIL

380223
22950
49251
8415
14988
7000
791284

380223
22950
49251
8415
14988
7000
791284

0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
2376
2376
348
348
1686
1686
3564
3564
3168
3168
57964
57964
62370
62370
15660
15660
968298
968298
49251
49251
153648
153648
14988
14988
8415
8415
15300
15300
9240
9240
11982
11982
15060
15060
9000
9000
1403605 1403605

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1451
1451
1503
1503
29700
29700
3234
3234
2376
2376
348
348
1686
1686
3564
3564
3168
3168
821998
821998
968298
968298
111735
111735

0
0
0
0
0
0
0
0
0
0
0
0

BOT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
AMP
UNT
BOT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB

49251
14988
8415
3825
9240
8500
2043280

49251
14988
8415
3825
9240
8500
2043280

0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
2902
2902
2376
2376
348
348
1686
1686
3564
3564
108
108
1836
1836
138474
138474
1503
1503
1782
1782
10440
10440
41580
41580
511632
511632
19998
19998
25344
25344
98502
98502
29976
29976
15060
15060
8415
8415
30600
30600
11982
11982
10500
10500
968608
968608

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
24453

Penjamin
900
24453

0
0

TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
UNT
UNT
PKG
BOT
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
BOT
BOT
AMP
UNT
UNT
UNT
PKG
UNT
BOT
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
AMP

1503
2376
348
1686
3564
1900800
3825
17973
14988
8415
15060
49251
111735
7500
2164377

1503
2376
348
1686
3564
1900800
3825
17973
14988
8415
15060
49251
111735
7500
2164377

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
108
108
2376
2376
348
348
1686
1686
3564
3564
19800
19800
2304
2304
30217
30217
189759
189759
13935
13935
3825
3825
11982
11982
29976
29976
15060
15060
8415
8415
49251
49251
1267200 1267200
9000
9000
1660093 1660093

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
1287
40242
62370

Penjamin
900
1287
40242
62370

0
0
0
0

AMP
UNT
UNT
UNT
UNT
UNT
VIL
BOT
BAG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
AMP
BOT
BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
UNT
UNT
UNT
UNT
AMP
UNT
UNT
UNT

49516
7650
4620
11982
14988
8415
90288
98502
28899
6500
426159

49516
7650
4620
11982
14988
8415
90288
98502
28899
6500
426159

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1503
1503
3168
3168
40242
40242
36036
36036
44250
44250
189759
189759
49251
49251
13935
13935
14988
14988
8415
8415
15300
15300
4620
4620
15060
15060
8500
8500
453001
453001

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16788
16788
16335
16335
1275
1275
12610
12610
4146
4146
24024
24024
40426
40426
3500
3500
119104
119104

0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
VIL
VIL
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
BOT
CAP
TAB
AMP
VIL
BAG
UNT
UNT
BOT
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
VIL

Pasien
Penjamin
57964
57964
918
918
1638
1638
3168
3168
1900800 1900800
255816
255816
111735
111735
35286
35286
3825
3825
23964
23964
14988
14988
8415
8415
15060
15060
6500
6500
2440077 2440077

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
516
516
3168
3168
57964
57964
27720
27720
1287
1287
253482
253482
217488
217488
28899
28899
11475
11475
5991
5991
534600
534600
111735
111735
147753
147753
14988
14988
8415
8415
15060
15060
8500
8500
1450544 1450544

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
673200
673200

UNT
UNT
TAB
AMP
AMP
VIL
BAG
UNT
UNT
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
VIL

3300
1540
1287
62370
15660
40242
28899
3825
17973
14988
8415
49251
6500
927450

3300
1540
1287
62370
15660
40242
28899
3825
17973
14988
8415
49251
6500
927450

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11880
11880
2481
2481
15048
15048
2376
2376
348
348
1686
1686
3168
3168
968298
968298
534600
534600
111735
111735
29976
29976
3825
3825
9240
9240
15060
15060
7000
7000
1716721 1716721

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
1900800 1900800
49251
49251
17526
17526
111735
111735

0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
AMP
AMP
VIL
UNT
UNT
UNT
UNT
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
AMP
TAB
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal

3825
23964
14988
8415
6500
2148146

3825
23964
14988
8415
6500
2148146

0
0
0
0
0
0

Pasien
Penjamin
15660
15660
62370
62370
1267200 1267200
15300
15300
29955
29955
29976
29976
8415
8415
738
738
1287
1287
11880
11880
3168
3168
189
189
3500
3500
450
450
3234
3234
462
462
6666
6666
2550
2550
15060
15060
8000
8000
1486060 1486060

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
360
360
5010
5010
3000
3000
3000
3000
26070
26070

0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
BOT
TAB
TAB
TAB
TAB
TAB
VIL
BAG
VIL
UNT
UNT
PKG
UNT
UNT

3825
500
4325

3825
500
4325

0
0
0

Pasien
Penjamin
24453
24453
1344
1344
7920
7920
516
516
918
918
1503
1503
968298
968298
13332
13332
49251
49251
90288
90288
11475
11475
9240
9240
14988
14988
8415
8415
15060
15060
7500
7500
1224501 1224501

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
918
1503
29700
8210
65340
57964
40392
2376
348
1686
3564
434976
57798
463320
14988
8415
15060
3825
9240

Penjamin
918
1503
29700
8210
65340
57964
40392
2376
348
1686
3564
434976
57798
463320
14988
8415
15060
3825
9240

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
TAB
TAB
VIL
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
BOT

11982
1503
3168
60192
1451
12000
1309919

11982
1503
3168
60192
1451
12000
1309919

0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
3168
3168
57964
57964
1350
1350
2376
2376
348
348
4560
4560
3564
3564
617760
617760
111735
111735
14988
14988
3825
3825
9240
9240
6000
6000
836878
836878

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1287
1287
1503
1503
2112
2112
617760
617760
189759
189759
18216
18216
49251
49251

0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
VIL
BOT
VIL
AMP
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
BOT
UNT
UNT
UNT

29976
8415
15060
3825
9240
8000
962378

29976
8415
15060
3825
9240
8000
962378

0
0
0
0
0
0
0

Pasien
Penjamin
3825
3825
1686
1686
3564
3564
900
900
288
288
2574
2574
57964
57964
17640
17640
511632
511632
336633
336633
111735
111735
20880
20880
22950
22950
4620
4620
5991
5991
7500
7500
1110382 1110382

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
141075
141075
1344
1344
612
612
858
858
2376
2376
348
348
1686
1686
3564
3564
108
108
13332
13332
44250
44250
49251
49251
19125
19125
4620
4620
29976
29976

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
AMP
VIL
VIL
AMP
UNT
UNT
UNT
BOT
VIL
BAG
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB
VIL
BAG
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

15060
8415
8500
344500

15060
8415
8500
344500

0
0
0
0

Pasien
Penjamin
1134
1134
26460
26460
40242
40242
217488
217488
34032
34032
22950
22950
4620
4620
5991
5991
98502
98502
111735
111735
57798
57798
14988
14988
8415
8415
57964
57964
7000
7000
709319
709319

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
57964
57964
1287
1287
40242
40242
28899
28899
62370
62370
98502
98502
15300
15300
4620
4620
17973
17973
29976
29976
15060
15060
8000
8000
391335
391335

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
BOT
TAB
VIL
AMP
AMP
BOT
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
VIL
BAG
UNT
UNT
TAB
TAB
TAB
TAB
BOT
AMP
UNT
UNT
BOT
AMP
UNT
UNT
UNT

Depo Unit Dose

Subtotal
VIL
AMP

Pasien
Penjamin
1287
1287
57964
57964
3825
3825
673200
673200
41580
41580
10440
10440
49251
49251
153648
153648
11475
11475
9240
9240
11982
11982
29976
29976
15060
15060
8415
8415
7000
7000
1084343 1084343

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1850262 1850262
57798
57798
3300
3300
9240
9240
1287
1287
1971
1971
900
900
516
516
57964
57964
31320
31320
26775
26775
17973
17973
460944
460944
62370
62370
14988
14988
8415
8415
8000
8000
2614023 2614023

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
188100
188100
52920
52920

0
0

VIL
UNT
UNT
TAB
TAB
TAB
BAG
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
TAB
TAB
TAB
SUP
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
TAB

111735
3300
22950
1503
2376
348
38532
614592
14988
8415
15060
6160
7000
1087979

111735
3300
22950
1503
2376
348
38532
614592
14988
8415
15060
6160
7000
1087979

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
2304
2304
90651
90651
348
348
1686
1686
3564
3564
900
900
1200
1200
158400
158400
106029
106029
90288
90288
98502
98502
3825
3825
14988
14988
8415
8415
15060
15060
8000
8000
605294
605294

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
57964
57964
1287
1287

0
0
0
0
0
0
0

VIL
BOT
AMP
BAG
UNT
UNT
UNT
UNT
PKG
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
BOT
AMP
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
VIL
BAG
BOT
BAG

968298
49251
380223
28899
3825
9240
29976
8415
10040
90288
8500
1657348

968298
49251
380223
28899
3825
9240
29976
8415
10040
90288
8500
1657348

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
108
108
2376
2376
348
348
1686
1686
3564
3564
288
288
1152
1152
30217
30217
534600
534600
17346
17346
968298
968298
307296
307296
12750
12750
9240
9240
14988
14988
8415
8415
15060
15060
9000
9000
1938019 1938019

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
57964
57964
1269
1269
40242
40242
28899
28899
49251
49251
307800
307800

0
0
0
0
0
0
0

UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
VIL
AMP
BOT
UNT
UNT
UNT
UNT
PKG
TAB
TAB
TAB
CAP
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
BAG
AMP
AMP
UNT
UNT
UNT

14988
14988
8415
15060
3825
4620
6500
556989

14988
14988
8415
15060
3825
4620
6500
556989

0
0
0
0
0
0
0
0

Pasien
Penjamin
544248
544248
422628
422628
307296
307296
15300
15300
11982
11982
14988
14988
8415
8415
15060
15060
1134
1134
900
900
108
108
3318
3318
348
348
1686
1686
3564
3564
7500
7500
1358475 1358475

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
2376
2376
348
348
3564
3564
1686
1686
3168
3168
57964
57964
40242
40242
28899
28899
41580
41580
10440
10440
11475
11475
4620
4620
11982
11982

0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB

14988
8415
15060
8500
266594

14988
8415
15060
8500
266594

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
10560
10560
57964
57964
3000
3000
98104
98104

0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2040
2040
5010
5010
99000
99000
7255
7255
4500
4500
144745
144745

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
1500
1500
16200
16200

0
0
0
0
0

Pasien
Penjamin
6375
6375
2025
2025

0
0

TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BAG
BOT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
VIL
BOT
AMP
VIL
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

1500
2505
2000
14405

1500
2505
2000
14405

0
0
0
0

Penjamin
792
116
13414
9633
153648
14988
8415
5020
1275
1540
5000
213841

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
1056
57964
633600
16417
5842
37245
1275
7988
14988
8415
7000
794448

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6375
6375
4290
4290
2340
2340

0
0
0

Pasien
792
116
13414
9633
153648
14988
8415
5020
1275
1540
5000
213841

Pasien
792
116
562
1188
1056
57964
633600
16417
5842
37245
1275
7988
14988
8415
7000
794448

TAB
UNT

Depo Unit Dose

Subtotal
TAB
VIL
VIL
BOT
BOT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
AMP
AMP
AMP
VIL
BAG
UNT
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

35760
2000
50765

35760
2000
50765

0
0
0

Penjamin
378
221258
37245
102432
126506
14988
8415
3080
1275
4500
520077

0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
20790
5220
19635
13414
9633
1540
8925
5991
14988
8415
5020
16417
6500
136917

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
7700
7700
2580
2580

0
0
0
0
0
0

Pasien
378
221258
37245
102432
126506
14988
8415
3080
1275
4500
520077

Pasien
429
20790
5220
19635
13414
9633
1540
8925
5991
14988
8415
5020
16417
6500
136917

TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Emergency Mawar
Subtotal
UNT
BOT
UNT

Emergency Mawar
Subtotal
PKG
UNT
UNT

Emergency Mawar

360
3500
40720

360
3500
40720

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2500
2500
29440
29440

0
0
0
0
0
0
0

Pasien
Penjamin
4092
4092
500
500
4592
4592

0
0
0

Pasien
Penjamin
4092
4092
500
500
4592
4592

0
0
0

Pasien
Penjamin
20213
20213
6072
6072
1000
1000
27285
27285

0
0
0
0

Pasien
Penjamin
41388
41388
26611
26611
1000
1000
68999
68999

0
0
0
0

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
AMP
UNT
UNT
PKG
BOT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GM
UNT
UNT
VIL
AMP
UNT
UNT
BOT
BOT
UNT

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
2532
2532
176
176
429
429
1188
1188
2222
2222
221258
221258
5220
5220
6375
6375
1540
1540
5020
5020
51216
51216
63253
63253
6000
6000
366429
366429

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1056
1056
300
300
39204
39204
1458
1458
4105
4105
792
792
116
116
562
562
492
492
246
246
120
120
3500
3500
150
150
170544
170544
2222
2222
5100
5100
3994
3994
63253
63253
16417
16417
8000
8000
321631
321631

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
UNT
UNT

Depo Unit Dose

Subtotal
AMP
AMP
VIL
UNT
UNT
UNT
BAG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
VIL
BAG
BOT
VIL
UNT
UNT
UNT
PKG
TAB
UNT

Depo Unit Dose

Subtotal

Pasien

Penjamin
300
1275
1524
827
126741
37245
5100
3500
176512

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20790
20790
5220
5220
13414
13414
7650
7650
1540
1540
5991
5991
9633
9633
32834
32834
4000
4000
101072
101072

0
0
0
0
0
0
0
0
0
0

300
1275
1524
827
126741
37245
5100
3500
176512

Pasien
501
13414
9633
32834
30096
1275
1540
14988
5020
300
5000
114601

Pasien

Penjamin
501
13414
9633
32834
30096
1275
1540
14988
5020
300
5000
114601

Penjamin

0
0
0
0
0
0
0
0
0
0
0
0

TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
AMP
BOT

774
306
44
1584
122
224400
16417
1275
3080
5020
5000
258022

774
306
44
1584
122
224400
16417
1275
3080
5020
5000
258022

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
378
300
12415
5881
5020
2500
26494

0
0
0
0
0
0
0

Pasien
Penjamin
1056
1056
450
450
792
792
116
116
4632
4632
2280
2280
1188
1188
308880
308880
37245
37245
1275
1275
3080
3080
5500
5500
366494
366494

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
378
300
12415
5881
5020
2500
26494

Pasien

Penjamin
448
448
17776
17776
16417
16417

0
0
0

PKG
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BAG
BOT
VIL
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
BAG
AMP
UNT
UNT
UNT
BOT
TAB
TAB
UNT

Depo Unit Dose

5020
1275
8151
3000
52087

5020
1275
8151
3000
52087

0
0
0
0
0

Pasien
Penjamin
14784
14784
792
792
116
116
2304
2304
1808
1808
1056
1056
258
258
13414
13414
4444
4444
9633
9633
16417
16417
37245
37245
3825
3825
1540
1540
5020
5020
7500
7500
120156
120156

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1056
1056
792
792
116
116
13414
13414
9633
9633
5782
5782
3825
3825
3080
3080
14988
14988
32834
32834
1808
1808
2304
2304
6000
6000
95632
95632

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
AMP
UNT
UNT
UNT
AMP
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BAG
UNT
UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
CAP

Pasien
792
116
2304
1808
36
306
501
170544
13860
3480
4224
8925
3994
4444
7000
222334

Pasien
306
501
9900
4105
792
116
2304
1808
1056
501
1451
144992
308880
19266
2550
3994
1540
38504
9000
551566

Pasien
768
6600

Penjamin
792
116
2304
1808
36
306
501
170544
13860
3480
4224
8925
3994
4444
7000
222334

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
306
501
9900
4105
792
116
2304
1808
1056
501
1451
144992
308880
19266
2550
3994
1540
38504
9000
551566

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
768
6600

0
0

TAB
AMP
VIL
AMP
UNT
BOT
PKG
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
BAG
VIL
BOT
VIL
AMP
AMP
UNT
UNT

52800
11110
30096
126741
7650
49251
5020
501
5000
295537

Pasien
792
116
1188
562
306
546
1056
633600
5842
16417
30096
5500
696021

Pasien
562
1188
300
96
429
942
8820
616754
19266
170544
112211
37245
5220
6545
10200
3994

52800
11110
30096
126741
7650
49251
5020
501
5000
295537

0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
1188
562
306
546
1056
633600
5842
16417
30096
5500
696021

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
562
1188
300
96
429
942
8820
616754
19266
170544
112211
37245
5220
6545
10200
3994

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

PKG
UNT

Depo Unit Dose

Subtotal
TAB
AMP
AMP
AMP
BOT
PKG
VIL
UNT
UNT
UNT
BAG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
BOT
BOT
VIL
BAG
UNT

Depo Unit Dose

Subtotal
TAB
VIL

5020
8500
1007836

Pasien
429
5220
19635
20790
16417
5020
13414
8925
1540
5991
9633
5500
112514

Pasien
429
4928
792
116
1188
562
36
501
13414
1275
1540
178200
32834
37245
9633
7500
290193

Pasien
429
224400

5020
8500
1007836

0
0
0

Penjamin
429
5220
19635
20790
16417
5020
13414
8925
1540
5991
9633
5500
112514

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
4928
792
116
1188
562
36
501
13414
1275
1540
178200
32834
37245
9633
7500
290193

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
224400

0
0

AMP
AMP
UNT
UNT
BOT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
AMP
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BOT
AMP
UNT
UNT
PKG
UNT

13860
3480
3825
7988
16417
51216
10040
4500
336155

Pasien
429
657
300
10440
221258
153648
20790
8925
5991
5020
5000
432458

Pasien
792
116
562
1188
429
501
1056
308880
63253
6072
4645
2550
3080
5020
7000
405144

13860
3480
3825
7988
16417
51216
10040
4500
336155

0
0
0
0
0
0
0
0
0

Penjamin
429
657
300
10440
221258
153648
20790
8925
5991
5020
5000
432458

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
429
501
1056
308880
63253
6072
4645
2550
3080
5020
7000
405144

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
BOT
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
BAG
VIL
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
BOT

Pasien
Penjamin
3960
3960
827
827
5016
5016
322766
322766
178200
178200
37245
37245
204864
204864
14988
14988
1275
1275
3080
3080
5020
5020
5500
5500
782741
782741

Pasien
501
792
116
562
36
1654
300
396
170544
17016
616754
19266
30096
7650
3994
7500
877177

Pasien
429
792
116
562
1188
16417
51216

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
501
792
116
562
36
1654
300
396
170544
17016
616754
19266
30096
7650
3994
7500
877177

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
792
116
562
1188
16417
51216

0
0
0
0
0
0
0

VIL
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
BOT
BOT
AMP
VIL
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
UNT
UNT
AMP

13414
20790
5220
3825
1540
3994
14988
5020
7500
147011

Pasien
429
36
792
116
562
1188
6600
768
63253
16417
4645
422400
2550
3994
14988
5020
8000
551758

Pasien
792
116
562
1188
501
1056
13414
9633
5100
1540
4645

13414
20790
5220
3825
1540
3994
14988
5020
7500
147011

0
0
0
0
0
0
0
0
0
0

Penjamin
429
36
792
116
562
1188
6600
768
63253
16417
4645
422400
2550
3994
14988
5020
8000
551758

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
501
1056
13414
9633
5100
1540
4645

0
0
0
0
0
0
0
0
0
0
0

BOT
BOT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
BAG
UNT
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
VIL
UNT
UNT
UNT
PKG
BOT
UNT

16417
63253
14988
5020
7500
145725

Pasien
792
116
562
1188
1056
36
768
144992
224422
19266
14988
32834
1275
3994
7000
453289

Pasien
429
36
792
116
562
1188
96
384
178200
5782
322766
3825
3080
14988
5020
204864
8000

16417
63253
14988
5020
7500
145725

0
0
0
0
0
0

Penjamin
792
116
562
1188
1056
36
768
144992
224422
19266
14988
32834
1275
3994
7000
453289

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
429
36
792
116
562
1188
96
384
178200
5782
322766
3825
3080
14988
5020
204864
8000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

750128

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
BOT
VIL
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
VIL
BOT
UNT
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

750128

Penjamin
516
448
7392
3960
1056
322766
1275
3080
178200
37245
14988
5020
6000
581946

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
300
8151
86
792
116
562
1188
633600
6336
37245
32834
14988
5020
1275
5991
7500
755984

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
378
378
792
792
116
116

0
0
0

Pasien
516
448
7392
3960
1056
322766
1275
3080
178200
37245
14988
5020
6000
581946

Pasien
300
8151
86
792
116
562
1188
633600
6336
37245
32834
14988
5020
1275
5991
7500
755984

Pasien

TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
VIL
AMP
BOT
BAG
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
CAP
TAB
AMP
VIL
BOT
VIL
BOT
UNT
UNT
BAG
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

562
306
39204
2692
120
3500
150
738
1458
4105
144992
126741
112211
19266
3825
3994
16417
8500
490067

Pasien
501
172
1056
9240
429
84494
72496
178200
37245
65668
3825
1997
9633
5020
7000
476976

Pasien
792
116
562
1188

562
306
39204
2692
120
3500
150
738
1458
4105
144992
126741
112211
19266
3825
3994
16417
8500
490067

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
501
172
1056
9240
429
84494
72496
178200
37245
65668
3825
1997
9633
5020
7000
476976

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188

0
0
0
0

TAB
TAB
VIL
AMP
VIL
AMP
AMP
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
UNT
BOT
VIL
AMP
BAG
UNT

1056
4928
255816
11344
633600
5220
20790
5500
940912

Pasien
378
768
116
1188
562
300
30096
14988
5020
1275
5000
59691

Pasien
792
116
562
1188
1056
429
322766
46191
6375
1997
14988
16417
10032
42247
9633
7500
482289

1056
4928
255816
11344
633600
5220
20790
5500
940912

0
0
0
0
0
0
0
0
0

Penjamin
378
768
116
1188
562
300
30096
14988
5020
1275
5000
59691

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
1056
429
322766
46191
6375
1997
14988
16417
10032
42247
9633
7500
482289

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
AMP
BOT
UNT
UNT
PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BAG
AMP
UNT
UNT
UNT
UNT
BOT
UNT

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
8151
8151
896
896
35552
35552
49251
49251
14988
14988
8415
8415
10040
10040
2550
2550
4000
4000
133843
133843

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2112
2112
1584
1584
232
232
1124
1124
2376
2376
26828
26828
19266
19266
11564
11564
7650
7650
3080
3080
14988
14988
8415
8415
49251
49251
6500
6500
154970
154970

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
TAB
VIL
AMP
BAG
BOT
VIL
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
AMP
AMP
AMP
BOT
UNT
UNT
PKG
VIL
UNT
UNT
UNT

Pasien
Penjamin
14784
14784
1584
1584
232
232
1124
1124
2376
2376
2112
2112
57964
57964
516
516
26828
26828
8888
8888
19266
19266
32834
32834
74490
74490
14988
14988
8415
8415
7650
7650
3080
3080
41388
41388
10040
10040
9500
9500
338059
338059

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8184
8184
500
500
8684
8684

0
0
0

Pasien
858
10440
39270
41580
32834
14988
8415
10040
26828
17850
3080
11982

Penjamin
858
10440
39270
41580
32834
14988
8415
10040
26828
17850
3080
11982

0
0
0
0
0
0
0
0
0
0
0
0

BAG
UNT

Depo Unit Dose

Subtotal
TAB
BOT
VIL
BOT
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
CAP
TAB
TAB
AMP
VIL
AMP
UNT
UNT
UNT
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
PKG

19266
6500
243931

19266
6500
243931

0
0
0

Pasien
Penjamin
2112
2112
57964
57964
1267200 1267200
11762
11762
13744
13744
14988
14988
8415
8415
2550
2550
11982
11982
10040
10040
5000
5000
1405757 1405757

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1536
1536
13200
13200
105600
105600
1002
1002
22220
22220
60192
60192
253482
253482
15300
15300
14988
14988
8415
8415
98502
98502
10040
10040
6000
6000
610477
610477

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
334
792
116
2304
36
5020

Penjamin
334
792
116
2304
36
5020

0
0
0
0
0
0

UNT
UNT

Depo Unit Dose

Subtotal
AMP
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

1275
3500
13377

1275
3500
13377

0
0
0

Pasien
Penjamin
190080
190080
5732
5732
20213
20213
62563
62563
2000
2000
280588
280588

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500

0
0

15488

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BAG
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
AMP
AMP
AMP
UNT
UNT
BOT
UNT
UNT
PKG
UNT

15488

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
1134
1134
1641
1641
348
348
1405
1405
2970
2970
108
108
3168
3168
434976
434976
1850262 1850262
57798
57798
11475
11475
11982
11982
14988
14988
8415
8415
7000
7000
2407670 2407670

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2574
2574
1314
1314
900
900
15660
15660
62370
62370
422628
422628
19125
19125
35946
35946
49251
49251
14988
14988
8415
8415
15060
15060
6000
6000
654231
654231

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
BOT
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
AMP
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
CTG
UNT

Pasien
Penjamin
11880
11880
2481
2481
15048
15048
968298
968298
534600
534600
111735
111735
14988
14988
8415
8415
3825
3825
9240
9240
15060
15060
5500
5500
1701070 1701070

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
14784
14784
57964
57964
767448
767448
34032
34032
1900800 1900800
15660
15660
62370
62370
19008
19008
30600
30600
35946
35946
14988
14988
8415
8415
15060
15060
9000
9000
2997217 2997217

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
185680
185680
500
500
186180
186180

0
0
0

Depo Unit Dose

Subtotal
UNT
UNT
BAG
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
AMP
AMP
VIL
UNT
UNT
UNT
BAG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
AMP
UNT
UNT
UNT
UNT
BOT
TAB
UNT

Pasien
Penjamin
7650
7650
9240
9240
28899
28899
14988
14988
8415
8415
336633
336633
3000
3000
408825
408825

0
0
0
0
0
0
0
0

Pasien
Penjamin
62370
62370
15660
15660
40242
40242
15300
15300
4620
4620
17973
17973
28899
28899
98502
98502
4000
4000
287566
287566

0
0
0
0
0
0
0
0
0
0

Pasien
429
501
116
562
1188
900
17016
633600
28512
6375
5991
14988
8415
32834
516
7500
759443

Penjamin
429
501
116
562
1188
900
17016
633600
28512
6375
5991
14988
8415
32834
516
7500
759443

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
3168
3168
57964
57964
1350
1350
2376
2376
348
348
13896
13896
6840
6840
3564
3564
463320
463320
111735
111735
3825
3825
9240
9240
6000
6000
683626
683626

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564

0
0
0
0

TAB
TAB
TAB
AMP
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
BAG
VIL
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
TAB
TAB
TAB
TAB
TAB

108
918
1503
13332
511632
41580
10440
12672
26775
11982
14988
8415
8000
670319

108
918
1503
13332
511632
41580
10440
12672
26775
11982
14988
8415
8000
670319

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
2376
2376
348
348
1686
1686
108
108
4962
4962
900
900
1188
1188
511632
511632
51048
51048
1850262 1850262
57798
57798
111735
111735
22950
22950
11982
11982
14988
14988
8415
8415
8500
8500
2662381 2662381

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
1002
1002
1641
1641
348
348
843
843
108
108

0
0
0
0
0
0

PKG
UNT
UNT

Depo Unit Dose

Subtotal
TAB
VIL
BAG
BOT
VIL
UNT
UNT
UNT
UNT
PKG
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
VIL
AMP
BOT
BAG
UNT
UNT
BOT
UNT
UNT

15060
3825
4000
84791

15060
3825
4000
84791

0
0
0
0

Pasien
Penjamin
1503
1503
40242
40242
28899
28899
98502
98502
111735
111735
3825
3825
4620
4620
14988
14988
8415
8415
15060
15060
900
900
5500
5500
334189
334189

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
2376
2376
348
348
1686
1686
1836
1836
117612
117612
8076
8076
360
360
3500
3500
450
450
2214
2214
4374
4374
12315
12315
434976
434976
380223
380223
336633
336633
57798
57798
15300
15300
11982
11982
49251
49251
14988
14988
8415
8415

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
AMP
BOT
BOT
BAG
UNT
UNT
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
UNT
PKG

9500
1475347

9500
1475347

0
0

Pasien
Penjamin
1641
1641
348
348
1686
1686
3564
3564
108
108
80484
80484
35280
35280
17346
17346
336633
336633
54648
54648
57798
57798
25500
25500
13860
13860
14988
14988
8415
8415
15060
15060
8000
8000
675359
675359

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12276
12276
500
500
12776
12776

0
0
0

Pasien
Penjamin
2322
2322
918
918
132
132
4752
4752
366
366
673200
673200
49251
49251
3825
3825
9240
9240
14988
14988
8415
8415
15060
15060

0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
BOT
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
AMP
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

6000
788469

6000
788469

0
0

Pasien
Penjamin
1287
1287
2376
2376
348
348
1686
1686
3564
3564
57964
57964
49251
49251
40242
40242
41580
41580
10440
10440
11475
11475
4620
4620
11982
11982
14988
14988
8415
8415
15060
15060
8000
8000
283278
283278

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
252
252
810
810
4620
4620
60363
60363
62370
62370
342
342
5000
5000
141731
141731

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4752
4752
348
348
1686
1686

0
0
0

TAB
TAB
BOT
TAB
VIL
AMP
UNT
UNT
UNT
UNT
BOT
AMP
VIL
BAG
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL

3564
3168
57964
1287
968298
138573
22950
35946
14988
8415
49251
126741
37245
9633
15060
9000
1508869

3564
3168
57964
1287
968298
138573
22950
35946
14988
8415
49251
126741
37245
9633
15060
9000
1508869

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
1971
1971
900
900
31320
31320
663774
663774
102432
102432
62370
62370
22950
22950
17973
17973
14988
14988
8415
8415
15060
15060
6000
6000
949440
949440

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1287
1287
1503
1503
3168
3168
926640
926640

0
0
0
0
0
0
0
0

BOT
BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
BAG
UNT
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
AMP

189759
18216
13935
7650
9240
14988
8415
15060
8000
1225835

189759
18216
13935
7650
9240
14988
8415
15060
8000
1225835

0
0
0
0
0
0
0
0
0
0

Penjamin
918
1002
19800
8210
57964
26928
2376
348
1686
3564
3168
1503
2902
434976
926640
57798
7650
11982
14988
8415
10000
1602818

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7596
7596
528
528
1287
1287
3564
3564
6666
6666
663774
663774
15660
15660

0
0
0
0
0
0
0

Pasien
918
1002
19800
8210
57964
26928
2376
348
1686
3564
3168
1503
2902
434976
926640
57798
7650
11982
14988
8415
10000
1602818

UNT
UNT
UNT
UNT
PKG
BOT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
TAB
VIL
UNT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
VIL
BOT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB

15300
4620
14988
8415
15060
51216
189759
7000
1005433

15300
4620
14988
8415
15060
51216
189759
7000
1005433

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
2304
2304
30217
30217
348
348
1686
1686
3564
3564
900
900
111735
111735
14988
14988
252450
252450
3825
3825
5500
5500
428651
428651

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
57964
57964
900
900
12415
12415
5881
5881
15060
15060
3000
3000
96354
96354

0
0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
900
900
117612
117612
4374
4374
12315
12315

0
0
0
0
0

TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
VIL
AMP
UNT
UNT
BOT
BOT
AMP
UNT
UNT
UNT
PKG
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
VIL
BAG
VIL
BOT
VIL
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT

2376
348
1686
1476
360
3500
450
738
511632
6666
15300
11982
189759
49251
17526
19008
14988
8415
502
111735
11000
1117067

2376
348
1686
1476
360
3500
450
738
511632
6666
15300
11982
189759
49251
17526
19008
14988
8415
502
111735
11000
1117067

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1686
1686
3564
3564
900
900
288
288
1287
1287
2826
2826
57964
57964
26460
26460
1850262 1850262
57798
57798
511632
511632
336633
336633
111735
111735
15660
15660
19635
19635
30600
30600
11982
11982
14988
14988
8415
8415
15060
15060
10000
10000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

3089375

Depo Unit Dose

Subtotal
TAB
BOT
VIL
AMP
AMP
UNT
UNT
BOT
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
BOT
TAB
AMP
VIL
BOT
VIL
BOT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB

3089375

Pasien
Penjamin
1287
1287
57964
57964
673200
673200
41580
41580
10440
10440
11475
11475
23964
23964
49251
49251
153648
153648
14988
14988
8415
8415
15060
15060
6000
6000
1067272 1067272

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
516
516
3168
3168
57964
57964
1287
1287
253482
253482
217488
217488
534600
534600
111735
111735
147753
147753
14988
14988
8415
8415
11475
11475
5991
5991
28899
28899
15060
15060
8000
8000
1422324 1422324

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348

0
0

TAB
TAB
BOT
TAB
TAB
TAB
VIL
TAB
BOT
VIL
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
AMP
UNT
UNT
AMP
BOT
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

1686
3564
57964
918
1638
3168
1900800
405
49251
111735
14988
8415
7000
2164256

1686
3564
57964
918
1638
3168
1900800
405
49251
111735
14988
8415
7000
2164256

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
1503
1503
3168
3168
40242
40242
28899
28899
22125
22125
15300
15300
4620
4620
13935
13935
49251
49251
189759
189759
14988
14988
8415
8415
15060
15060
8500
8500
423739
423739

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
24453
172
1503
2376
348

Penjamin
900
24453
172
1503
2376
348

0
0
0
0
0
0

TAB
TAB
VIL
UNT
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
BOT
BOT
BOT
VIL
UNT
UNT
UNT
UNT
AMP
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

1686
3564
1900800
19008
111735
98502
14988
8415
15060
7500
2211010

1686
3564
1900800
19008
111735
98502
14988
8415
15060
7500
2211010

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
108
108
2376
2376
348
348
1686
1686
3564
3564
19800
19800
2304
2304
30217
30217
189759
189759
49251
49251
1267200 1267200
7650
7650
11982
11982
14988
14988
8415
8415
13935
13935
8500
8500
1633370 1633370

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
792
116
562
1056
2000
4526

Penjamin
792
116
562
1056
2000
4526

0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
BOT
BOT
VIL
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
BOT
BAG
UNT
UNT
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB

Pasien

Penjamin
774
1344
22176
11880
3168
968298
3825
9240
534600
49251
111735
14988
8415
15060
7000
1761754

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
3168
3168
108
108
2304
2304
30217
30217
434976
434976
673266
673266
57798
57798
14988
14988
8415
8415
98502
98502
3825
3825
11982
11982
8000
8000
1355523 1355523

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
162
162
2376
2376
348
348

0
0
0
0

774
1344
22176
11880
3168
968298
3825
9240
534600
49251
111735
14988
8415
15060
7000
1761754

TAB
TAB
TAB
TAB
BOT
AMP
VIL
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
BOT
TAB
TAB
TAB
AMP
VIL
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
UNT
BOT
BOT

1686
3564
288
1152
534600
17346
968298
11475
9240
14988
8415
15060
30217
8500
1629002

1686
3564
288
1152
534600
17346
968298
11475
9240
14988
8415
15060
30217
8500
1629002

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
900
30217
3825
4572
2481
380223
111735
15300
4000
553253

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1287
1287
14784
14784
2376
2376
348
348
1686
1686
3564
3564
108
108
1503
1503
40242
40242
3300
3300
3825
3825
4620
4620
534600
534600
98502
98502

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
30217
3825
4572
2481
380223
111735
15300
4000
553253

VIL
UNT
UNT
UNT

Apotik Panel
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Emergency Mawar
Subtotal
UNT
TUB
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

111735
14988
8415
8500
854383

111735
14988
8415
8500
854383

0
0
0
0
0

Pasien
Penjamin
18972
18972
500
500
19472
19472

0
0
0

Pasien
Penjamin
1500
1500
2025
2025
1000
1000
4525
4525

0
0
0
0

Pasien
Penjamin
18343
18343
56262
56262
5809
5809
1500
1500
81914
81914

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
420
420
5940
5940
9000
9000
1220
1220
5010
5010
3440
3440
5500
5500
57470
57470

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
VIL
BOT
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
AMP
UNT

Depo Unit Dose

Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
VIL
BOT
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB

Pasien
Penjamin
633600
633600
5881
5881
6872
6872
1275
1275
5991
5991
2500
2500
656119
656119

0
0
0
0
0
0
0

Pasien
Penjamin
126741
126741
500
500
127241
127241

0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
3960
3960
827
827
5016
5016
322766
322766
178200
178200
37245
37245
14988
14988
8415
8415
1275
1275
3080
3080
5020
5020
5500
5500
586292
586292

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
858
438

Penjamin
858
438

0
0

TAB
AMP
AMP
AMP
UNT
UNT
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
AMP
AMP
VIL
UNT
UNT
UNT
BAG
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
VIL
BOT
UNT
UNT
BAG
UNT
PKG
TAB
TAB
TAB
TAB
TAB
AMP
AMP
UNT

300
5220
20790
140876
6375
11982
16417
14988
8415
5020
6000
237679

300
5220
20790
140876
6375
11982
16417
14988
8415
5020
6000
237679

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20790
20790
5220
5220
13414
13414
5100
5100
1540
1540
5991
5991
9633
9633
14988
14988
8415
8415
32834
32834
5000
5000
122925
122925

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
16417
16417
2550
2550
3994
3994
57798
57798
2136
2136
5020
5020
792
792
116
116
562
562
1188
1188
36
36
11760
11760
5782
5782
7000
7000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

128565

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
AMP
BOT
UNT

128565

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
2500
2500
29440
29440

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
1170
1170
17880
17880
2145
2145
4000
4000
52135
52135

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
420
420
3000
3000
30360
30360

0
0
0
0
0
0
0
0

Pasien
810
600
35280
190080
25500

Penjamin
810
600
35280
190080
25500

0
0
0
0
0

UNT
UNT
UNT
PKG
AMP
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
PKG
UNT
UNT
UNT

Depo Unit Dose

Subtotal
UNT
UNT

9240
3994
2136
10040
35052
5000
317732

9240
3994
2136
10040
35052
5000
317732

0
0
0
0
0
0
0

Pasien
Penjamin
2145
2145
17880
17880
1170
1170
1500
1500
22695
22695

0
0
0
0
0

Pasien

Penjamin
300
405
17640
448800
41388
11982
5100
3500
529115

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

300
405
17640
448800
41388
11982
5100
3500
529115

Waktu
30 Mei 2013 13:30
Item
BD MICRO-FINE
ALKOHOL SWAB
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

30 Mei 2013 09:07

Item
ASPAR-K TABLET, COATED 300 mg
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

30 Mei 2013 06:51

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

30 Mei 2013 06:37

Item
DISP SYRINGE 5 CC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

28 Mei 2013 09:59

Item
METFORMIN HCL 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
5,00
10,00
10,00
15,00
15,00
1,00
8,00

25 Mei 2013 22:07

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
DRAINAGE BAG STERIL
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 20 CC WIHTOUT NED
IVENA IV CATH 22
IVENA IV CATH 24
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
3,00
1,00
9,00

23 Mei 2013 13:54

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

22 Mei 2013 14:49

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 11:24

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

22 Mei 2013 11:24

Item
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 10:25

Item
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

1,00
2,00

22 Mei 2013 09:25

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 09:14

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 3 CC
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
5,00
6,00
1,00
4,00

21 Mei 2013 15:02

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
CERTOFIX TRIO HF V1220
MAPROLEN 2/0 DS24
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
2,00
2,00
2,00
7,00

18 Mei 2013 12:17

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

18 Mei 2013 10:49

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
1,00

TOTAL

18 Mei 2013 10:46

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

18 Mei 2013 10:46

Item
DISP SYRINGE 3 CC
ONDANSENTRON INF 8 MG/4ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

18 Mei 2013 09:51

Item
RINGER LACTATE WIDATRA 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
ONDANSENTRON INF 8 MG/4ML INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
3,00
3,00
2,00
1,00
7,00

18 Mei 2013 09:47

Item
AMINOFLUID 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

18 Mei 2013 09:31

Item
CEFIXIME GENERIK CAPSULE
LANSOPRAZOLE GENERIK CAPSULE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
30,00
3,00

18 Mei 2013 09:21

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

18 Mei 2013 09:20

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
ONDANSETRON 8 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
20,00
20,00
20,00
20,00
3,00

17 Mei 2013 13:54

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 10:24

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

17 Mei 2013 10:15

Item
VITAMIN B1 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

17 Mei 2013 10:15

Item

JAKARTA SEHAT
Quantity

CEFIXIME GENERIK CAPSULE

LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
2,00

17 Mei 2013 09:53

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

17 Mei 2013 09:53

Item
OTSU SALIN 3% INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 12:03

Item
LESICHOL-300
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
2,00
1,00
1,00
4,00

16 Mei 2013 10:20

Item
FUROSEMID INF INJECTION
DISP SYRINGE 5 CC
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
10,00
3,00

16 Mei 2013 10:06

Item
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

16 Mei 2013 10:06

Item
AMOXICILLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

16 Mei 2013 10:06

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 22:01

Item
RING AS SANBE 500 ML
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00
1,00
4,00

14 Mei 2013 12:49

Item
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
2,00
2,00
1,00
10,00
1,00
5,00
8,00

14 Mei 2013 11:29

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

11 Mei 2013 12:48

Item

ASKES
Quantity

SIMVASTATIN TABLET 20 MG
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
30,00
2,00

11 Mei 2013 11:59

Item
GEMFIBROZIL INF 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 11:34

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 11:33

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 11:21

Item
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

11 Mei 2013 11:16

Item
ONDANSETRON 8 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
6,00
2,00

11 Mei 2013 11:04

Item
GLIQUIDONE 30 MG TABLET
DOMPERIDON INF TABLET 10 MG
LANSOPRAZOLE GENERIK CAPSULE

JAKARTA SEHAT
Quantity
14,00
42,00
10,00

ALLOPURINOL INF TABLET 100 MG

SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

14,00
14,00
5,00

11 Mei 2013 10:29

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
60,00
1,00

11 Mei 2013 09:59

Item
RANITIDINE INF TABLET 150 MG
VITAMIN K KIMIA FARMA TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
2,00

11 Mei 2013 09:57

Item
PARACETAMOL INF TABLET 500 mg
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

11 Mei 2013 09:55

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
METFORMIN HCL 500 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
20,00
14,00
14,00
4,00

4 Mei 2013 11:21

Item
GEMFIBROZIL INF 300 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
2,00

4 Mei 2013 11:16

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

4 Mei 2013 11:10

Item
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

4 Mei 2013 11:10

Item
PROPYLTHIOURASIL 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
300,00
1,00

4 Mei 2013 09:42

Item
CEFIXIME GENERIK CAPSULE
TUZALOS TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

4 Mei 2013 09:26

Item
LEVOFLOXACIN INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
10,00
2,00

4 Mei 2013 09:19

Item
GLIQUIDONE 30 MG TABLET
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

2 Mei 2013 09:44

Item

JAKARTA SEHAT
Quantity

TRANSFUSION SET JMS

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

1 Mei 2013 08:43

Item
GLIQUIDONE 30 MG TABLET
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

1 Mei 2013 08:42

Item
GLIQUIDONE 30 MG TABLET
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

1 Mei 2013 08:39

Item
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
AMLODIPIN 10 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
10,00
10,00
10,00
1,00
10,00
4,00

1 Mei 2013 08:27

Item
LEVOFLOXACIN INF TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
2,00

Depo
Depo Atas
Subtotal
UNT
UNT
CAP
UNT

Depo Atas
Subtotal
TAB
CAP
UNT

Apotik Panel 2
Subtotal
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Pasien
Penjamin
18280
18280
3560
3560
26940
26940
1500
1500
50280
50280

0
0
0
0
0

Pasien
Penjamin
24640
24640
13510
13510
1000
1000
39150
39150

0
0
0
0

Pasien
Penjamin
5060
5060
500
500
5560
5560

0
0
0

Pasien
Penjamin
1540
1540
3796
3796
1000
1000
6336
6336

0
0
0
0

Pasien
Penjamin
1980
1980
3960
3960
580
580
5940
5940
2810
2810
2145
2145
2505
2505
47685
47685
4000
4000
71605
71605

0
0
0
0
0
0
0
0
0
0

Emergency IW
Subtotal
UNT
TUB
UNT
UNT
UNT
UNT
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
BAG
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT

Depo Atas
Subtotal
AMP
UNT

Emergency Mawar
Subtotal
UNT

Pasien
Penjamin
16036
16036
56262
56262
9831
9831
5809
5809
26950
26950
5732
5732
23980
23980
35970
35970
62370
62370
4500
4500
247440
247440

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28899
28899
500
500
29399
29399

0
0
0

Pasien
Penjamin
3994
3994
500
500
4494
4494

0
0
0

Pasien
Penjamin
633600
633600
3300
3300
1000
1000
637900
637900

0
0
0
0

Pasien
Penjamin
12524
12524
500
500
13024
13024

0
0
0

Pasien
Penjamin
16335
16335

BOT
UNT

Depo Atas
Subtotal
CTG
UNT

Depo Atas
Subtotal
BAG
AMP
UNT
BOT
UNT

Emergency ICU
Subtotal
BOT
UNT
UNT
PKG
AMP
UNT
UNT
UNT

Depo Unit Dose

Subtotal
AMP
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

5881
1000
23216

5881
1000
23216

0
0
0

Pasien
Penjamin
180048
180048
500
500
180548
180548

0
0
0

Pasien
Penjamin
57798
57798
48005
48005
7650
7650
47685
47685
2000
2000
163138
163138

0
0
0
0
0
0

Pasien
Penjamin
5881
5881
24024
24024
1110780 1110780
56788
56788
2764
2764
2550
2550
3994
3994
3500
3500
1210281 1210281

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46191
46191
3825
3825
1000
1000
51016
51016

0
0
0
0

Pasien
Penjamin
33000
33000
500
500

0
0

33500

Depo Atas
Subtotal
CAP
UNT

Depo Atas
Subtotal
UNT
AMP
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
BAG
UNT
AMP
BOT
UNT

Depo Atas
Subtotal
BAG
UNT

Depo Atas
Subtotal
CAP
CAP
TAB
UNT

33500

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
2550
2550
19202
19202
1000
1000
22752
22752

0
0
0
0

Pasien
Penjamin
18192
18192
4645
4645
3825
3825
28899
28899
5991
5991
19202
19202
57964
57964
3500
3500
142218
142218

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
102600
102600
500
500
103100
103100

0
0
0

Pasien
Penjamin
26940
26940
19460
19460
2460
2460
1500
1500
50360
50360

0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
GM
UNT
UNT
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
170000
170000
500
500
170500
170500

Pasien

0
0
0

Penjamin
800
3500
1000
16540
2440
118800
1500
144580

0
0
0
0
0
0
0
0

Pasien
Penjamin
2942
2942
500
500
3442
3442

0
0
0

Pasien
Penjamin
13414
13414
3300
3300
1997
1997
9633
9633
2000
2000
30344
30344

0
0
0
0
0
0

800
3500
1000
16540
2440
118800
1500
144580

Pasien
460
160
180
1500
2300

Pasien

Penjamin
460
160
180
1500
2300

Penjamin

0
0
0
0
0

CAP
CAP
UNT

Depo Unit Dose

Subtotal
AMP
UNT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Atas
Subtotal
CAP
VIL
UNT
BAG
UNT

Depo Atas
Subtotal
AMP
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

26940
9730
1000
37670

26940
9730
1000
37670

0
0
0
0

Pasien
Penjamin
28512
28512
3825
3825
1000
1000
33337
33337

0
0
0
0

Pasien
Penjamin
13621
13621
500
500
14121
14121

0
0
0

Pasien
Penjamin
86720
86720
13414
13414
3300
3300
9633
9633
2000
2000
115067
115067

0
0
0
0
0
0

Pasien
Penjamin
4444
4444
1540
1540
1520
1520
1500
1500
9004
9004

0
0
0
0
0

Pasien
Penjamin
6375
6375
500
500
6875
6875

0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
VIL
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
BOT
UNT
UNT
PKG
PKG
BAG
UNT
UNT

Depo Atas
Subtotal
CAP
UNT

Depo IGD
Subtotal

Pasien
Penjamin
6660
6660
500
500
7160
7160

0
0
0

Pasien
Penjamin
47685
47685
500
500
48185
48185

0
0
0

Pasien
Penjamin
32834
32834
85272
85272
3994
3994
9633
9633
2000
2000
133733
133733

0
0
0
0
0
0

Pasien

Penjamin
378
32834
3994
2550
2970
5020
9633
1780
4000
63159

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

378
32834
3994
2550
2970
5020
9633
1780
4000
63159

Pasien

Penjamin

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
CAP

28728
59430
1000
89158

28728
59430
1000
89158

0
0
0
0

Pasien
Penjamin
4620
4620
500
500
5120
5120

0
0
0

Pasien
Penjamin
32928
32928
500
500
33428
33428

0
0
0

Pasien
Penjamin
20594
20594
500
500
21094
21094

0
0
0

Pasien
Penjamin
20412
20412
500
500
20912
20912

0
0
0

Pasien
Penjamin
118800
118800
5838
5838
1000
1000
125638
125638

0
0
0
0

Pasien
Penjamin
20594
20594
21966
21966
9730
9730

0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CTG
UNT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

2128
28728
2500
85646

2128
28728
2500
85646

0
0
0
0

Pasien
Penjamin
5160
5160
500
500
5660
5660

0
0
0

Pasien
Penjamin
4740
4740
1170
1170
1000
1000
6910
6910

0
0
0
0

Pasien
Penjamin
1260
1260
10410
10410
1000
1000
12670
12670

0
0
0
0

Pasien
Penjamin
360096
360096
36560
36560
2772
2772
11578
11578
2000
2000
413006
413006

0
0
0
0
0
0

Pasien
Penjamin
9240
9240
13622
13622
1000
1000
23862
23862

0
0
0
0

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Emergency Dahlia
Subtotal

Pasien
Penjamin
7546
7546
500
500
8046
8046

0
0
0

Pasien
Penjamin
19460
19460
500
500
19960
19960

0
0
0

Pasien
Penjamin
108000
108000
500
500
108500
108500

0
0
0

Pasien
Penjamin
26940
26940
6680
6680
1000
1000
34620
34620

0
0
0
0

Pasien
Penjamin
10410
10410
9730
9730
1000
1000
21140
21140

0
0
0
0

Pasien
Penjamin
14710
14710
24580
24580
1000
1000
40290
40290

0
0
0
0

Pasien

Penjamin

UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
TAB
GM
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
CAP
UNT

16335
500
16835

16335
500
16835

0
0
0

Pasien
Penjamin
14710
14710
12290
12290
1000
1000
28000
28000

0
0
0
0

Pasien
Penjamin
14710
14710
12290
12290
1000
1000
28000
28000

0
0
0
0

Pasien
Penjamin
32834
32834
22220
22220
12750
12750
14580
14580
400
400
3500
3500
500
500
2000
2000
88784
88784

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6375
6375
9730
9730
1000
1000
17105
17105

0
0
0
0

Waktu
24 Mei 2013 11:36
Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

Jaminan
JPK PNS
Quantity
10,00
1,00

Depo
Apotik Panel 2
Subtotal
TAB
UNT

24 Mei 2013 11:09

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

24 Mei 2013 11:08

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH RACIKAN EMBALASE
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00
15,00
1,00
1,00

Depo IGD
Subtotal
CAP
UNT
UNT
BOT
UNT

24 Mei 2013 10:57

Item
CEFAT CAPSULE 500 mg
St II
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASURANSI BOSOWA
Quantity
10,00
15,00
1,00
15,00
1,00

Depo IGD
Subtotal
CAP
CAP
UNT
UNT
UNT

24 Mei 2013 10:54

Item
TANTUM VERDE 60 ML SOLUTION, MOUTHWASH
TUSLAH NON RACIKAN
TOTAL

ASURANSI BOSOWA
Quantity
1,00
1,00

Apotik Panel
Subtotal
BOT
UNT

24 Mei 2013 10:42

Item
PROLIC SANBE 300 mg
ALDISA SR CAPSULE
BISOLVON TABLET 8 mg

UMUM
Quantity
15,00
5,00
20,00

Depo Atas
Subtotal
CAP
CAP
TAB

DEXAMETHASONE INF TABLET 0.5 MG

TUSLAH RACIKAN EMBALASE
IMBOOST FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
20,00
9,00
2,00

TAB
UNT
UNT
TAB
UNT

24 Mei 2013 10:33

Item
PROLIC SANBE 300 mg
DEXAMETHASONE INF TABLET 0.5 MG
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

24 Mei 2013 10:31

Item
CEFAT CAPSULE 500 mg
St I
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
10,00
1,00

Depo IGD
Subtotal
CAP
CAP
UNT
UNT
UNT

24 Mei 2013 09:44

Item
CEFAT CAPSULE 500 mg
TUSLAH RACIKAN EMBALASE
St I
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
8,00
1,00
16,00
10,00
1,00
10,00

Depo IGD
Subtotal
CAP
UNT
UNT
CAP
UNT
UNT

24 Mei 2013 09:36

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

24 Mei 2013 09:25

Item

UMUM
Quantity

Depo IGD
Subtotal

PROLIC SANBE 300 mg

H2O2 3% 30ML
TUSLAH RACIKAN
EMBALASE
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
1,00
1,00
1,00
2,00

CAP
BOT
UNT
UNT
BOT
UNT

23 Mei 2013 14:12

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
St III
TUSLAH RACIKAN EMBALASE
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
10,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
CAP
UNT
UNT
BOT
BOT
UNT
UNT
UNT

23 Mei 2013 14:07

Item
PARACETAMOL 60 ML SYRUP
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

Depo Atas
Subtotal
BOT
BOT
TAB
UNT

23 Mei 2013 13:30

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

23 Mei 2013 13:18

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

23 Mei 2013 13:07

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
2,00

Depo IGD
Subtotal
VIL
PKG
UNT

23 Mei 2013 12:57

Item
ALDISA SR CAPSULE
BISOLVON TABLET 8 mg
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH RACIKAN EMBALASE
TOTAL

JPK PNS
Quantity
3,00
10,00
10,00
1,00
10,00

Depo Atas
Subtotal
CAP
TAB
TAB
UNT
UNT

23 Mei 2013 12:54

Item
St I
TUSLAH RACIKAN
EMBALASE
St II
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
7,00
1,00
7,00
7,00
1,00
7,00

Depo IGD
Subtotal
CAP
UNT
UNT
CAP
UNT
UNT

23 Mei 2013 12:53

Item
MEFINAL 500 MG TABLET
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
TAB
BOT
UNT

23 Mei 2013 12:53

Item
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

23 Mei 2013 12:52

Item

UMUM
Quantity

Depo IGD
Subtotal

CARBO GLYCERIN 10% 30 ML

TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
1,00
1,00

BOT
UNT
UNT

23 Mei 2013 12:52

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

23 Mei 2013 12:52

Item
PROLIC SANBE 300 mg
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

23 Mei 2013 12:38

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

23 Mei 2013 12:37

Item
CEFADROXIL INF CAPSULE 500 MG
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

23 Mei 2013 12:36

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

23 Mei 2013 12:25

Item

UMUM
Quantity

Depo IGD
Subtotal

CEFADROXIL INF CAPSULE 500 MG

BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
2,00

CAP
BOT
UNT

23 Mei 2013 12:22

Item
CEFADROXIL INF CAPSULE 500 MG
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

23 Mei 2013 12:20

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

23 Mei 2013 12:19

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
3,00
3,00
1,00
1,00
12,00
1,00

Depo Atas
Subtotal
BOT
TAB
TAB
CAP
PKG
UNT
UNT
UNT

23 Mei 2013 12:08

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

23 Mei 2013 12:07

Item
CEFADROXIL INF CAPSULE 500 MG
AMBROXOL INF 30 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET

JAKARTA SEHAT
Quantity
10,00
15,00
10,00

Depo IGD
Subtotal
CAP
TAB
TAB

TUSLAH NON RACIKAN

TOTAL

3,00

UNT

23 Mei 2013 12:01

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
15,00
2,00

Depo IGD
Subtotal
BOT
TAB
UNT

23 Mei 2013 11:54

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

23 Mei 2013 11:54

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

23 Mei 2013 11:51

Item
PROLIC SANBE 300 mg
MEFINAL 500 MG TABLET
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

23 Mei 2013 11:44

Item
CEFAT FORTE 60 ML POWDER, FOR ORAL SUSPENSION
PARACETAMOL INF TABLET 500 mg
ALDISA SR CAPSULE
AMBROXOL INF 30 MG TABLET
TUSLAH RACIKAN EMBALASE
CARBO GLYCERIN 10% 30 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
8,00
8,00
8,00
1,00
15,00
1,00
2,00

Depo Atas
Subtotal
BOT
TAB
CAP
TAB
UNT
UNT
BOT
UNT

23 Mei 2013 11:31

Item
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

23 Mei 2013 11:04

Item
PRECUT SILK 2/0 PS24
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
6,00
5,00

Emergency OK
Subtotal
PKG
BOT
UNT
UNT
PKG
UNT

23 Mei 2013 11:01

Item
St I
TUSLAH RACIKAN EMBALASE
CEFAT 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00
15,00
1,00
1,00

Depo IGD
Subtotal
CAP
UNT
UNT
BOT
UNT

23 Mei 2013 10:21

Item
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

23 Mei 2013 09:58

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

23 Mei 2013 09:56

Item
CEFAT CAPSULE 500 mg

UMUM
Quantity
10,00

Depo IGD
Subtotal
CAP

St I
TUSLAH RACIKAN EMBALASE
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

15,00
1,00
15,00
1,00
2,00

CAP
UNT
UNT
BOT
UNT

23 Mei 2013 09:54

Item
ASAM MEFENAMAT INF 500 MG TABLET
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
TAB
BOT
UNT

23 Mei 2013 09:53

Item
CEFAT CAPSULE 500 mg
TUSLAH RACIKAN EMBALASE
ALDISA SR CAPSULE
PARACETAMOL INF TABLET 500 mg
AMBROXOL INF 30 MG TABLET
TUSLAH RACIKAN EMBALASE
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
1,00
15,00
8,00
8,00
8,00
1,00
15,00
1,00
1,00

Depo Atas
Subtotal
CAP
UNT
UNT
CAP
TAB
TAB
UNT
UNT
BOT
UNT

23 Mei 2013 09:44

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

23 Mei 2013 09:24

Item
LORATADINE INF TABLET 10 MG
H2O2 3% 30ML
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
TAB
BOT
UNT
UNT
UNT

23 Mei 2013 09:09

Item
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

21 Mei 2013 14:06

Item
BETADINE GARGLE 100 ML 1 %vv
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

Apotik Panel
Subtotal
BOT
UNT

21 Mei 2013 14:06

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
CAP
UNT

21 Mei 2013 14:06

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
CAP
UNT

21 Mei 2013 11:09

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH RACIKAN EMBALASE
St III
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
8,00
1,00
15,00
10,00
1,00
10,00

Depo Atas
Subtotal
CAP
UNT
UNT
CAP
UNT
UNT

21 Mei 2013 10:59

Item
TANTUM VERDE 60 ML SOLUTION, MOUTHWASH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BOT
UNT

21 Mei 2013 10:52

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

21 Mei 2013 10:09

Item
DEXAMETHASONE INF TABLET 0.5 MG
CEFIXIME GENERIK CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
1,00
10,00
1,00

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

21 Mei 2013 09:54

Item
CEFADROXIL INF CAPSULE 500 MG
LORATADINE INF TABLET 10 MG
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

20 Mei 2013 14:32

Item
PROLIC SANBE 300 mg
St I
TUSLAH RACIKAN EMBALASE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
1,00
15,00
10,00
2,00

Depo IGD
Subtotal
CAP
CAP
UNT
UNT
TAB
UNT

20 Mei 2013 14:09

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
4,00
3,00

Depo Atas
Subtotal
CAP
TAB
TAB
UNT

20 Mei 2013 13:56

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH RACIKAN EMBALASE
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00
15,00
15,00
1,00

Depo IGD
Subtotal
CAP
UNT
UNT
TAB
UNT

20 Mei 2013 12:35

Item
CEFADROXIL INF CAPSULE 500 MG
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

20 Mei 2013 12:26

Item
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BOT
UNT

20 Mei 2013 12:25

Item
LORATADINE INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

20 Mei 2013 12:20

Item
CEFADROXIL INF CAPSULE 500 MG
St I
TUSLAH RACIKAN EMBALASE
NEUROSANBE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
1,00
15,00
15,00
2,00

Depo IGD
Subtotal
CAP
CAP
UNT
UNT
TAB
UNT

20 Mei 2013 12:16

Item
CEFADROXIL INF CAPSULE 500 MG
LORATADINE INF TABLET 10 MG

JAKARTA SEHAT
Quantity
10,00
5,00

Depo IGD
Subtotal
CAP
TAB

AMBROXOL INF 30 MG TABLET

TUSLAH NON RACIKAN
TOTAL

15,00
3,00

TAB
UNT

20 Mei 2013 12:03

Item
CEFAT CAPSULE 500 mg
TUSLAH RACIKAN EMBALASE
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
1,00
15,00
1,00
1,00

Depo IGD
Subtotal
CAP
UNT
UNT
BOT
UNT

20 Mei 2013 11:59

Item
CEFADROXIL INF CAPSULE 500 MG
ALDISA SR CAPSULE
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
3,00

Depo IGD
Subtotal
CAP
CAP
BOT
UNT

20 Mei 2013 11:55

Item
PROLIC SANBE 300 mg
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

20 Mei 2013 11:52

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH RACIKAN EMBALASE
St III
TUSLAH RACIKAN EMBALASE
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
8,00
1,00
15,00
8,00
1,00
15,00
1,00
1,00
1,00

Depo Atas
Subtotal
CAP
UNT
UNT
CAP
UNT
UNT
BOT
UNT
UNT

20 Mei 2013 11:36

UMUM

Depo IGD

Item
IMBOOST FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00

Subtotal
TAB
UNT

20 Mei 2013 11:35

Item
PROLIC SANBE 300 mg
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

20 Mei 2013 11:32

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

20 Mei 2013 11:17

Item
LORATADINE INF TABLET 10 MG
CARBO GLYCERIN 10% 30 ML
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
1,00
2,00
3,00

Depo Atas
Subtotal
TAB
BOT
BOT
UNT

20 Mei 2013 11:12

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
EPHINEPRIN ETHICA INJECTION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
CENDO GENTAMYCIN 3.5 GM OINTMENT
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
3,00
3,00
2,00
1,00
10,00
7,00

Emergency OK
Subtotal
AMP
UNT
AMP
UNT
UNT
TUB
PKG
UNT

18 Mei 2013 11:41

Item
ALDISA SR CAPSULE

ASKES
Quantity
2,00

Depo Atas
Subtotal
CAP

AMBROXOL INF 30 MG TABLET

DEXAMETHASONE INF TABLET 0.5 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

4,00
4,00
1,00
1,00
15,00

TAB
TAB
PKG
UNT
UNT

18 Mei 2013 10:03

Item
CEFAT FORTE 60 ML POWDER, FOR ORAL SUSPENSION
St III
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
8,00
1,00
15,00
1,00

Depo Atas
Subtotal
BOT
CAP
UNT
UNT
UNT

18 Mei 2013 08:57

Item
NEUROSANBE TABLET
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
TAB
BOT
UNT
UNT
UNT

18 Mei 2013 08:51

Item
PROLIC SANBE 300 mg
St I
TUSLAH RACIKAN EMBALASE
BLECIDEX EYE/EAR 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
1,00
15,00
1,00
2,00

Depo IGD
Subtotal
CAP
CAP
UNT
UNT
BOT
UNT

17 Mei 2013 12:31

Item
LORATADINE INF TABLET 10 MG
BLECIDEX EYE/EAR 15 ML DROPS
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
CEFADROXIL INF CAPSULE 500 MG

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
8,00

Depo IGD
Subtotal
TAB
BOT
BOT
UNT
UNT
CAP

TUSLAH RACIKAN EMBALASE

TUSLAH NON RACIKAN
TOTAL

1,00
15,00
2,00

UNT
UNT
UNT

17 Mei 2013 11:47

Item
PROLIC SANBE 300 mg
MEFINAL 500 MG TABLET
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

17 Mei 2013 11:33

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

17 Mei 2013 11:15

Item
TANTUM VERDE 60 ML SOLUTION, MOUTHWASH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel
Subtotal
BOT
UNT

17 Mei 2013 11:11

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

17 Mei 2013 10:51

Item
CEFAT 60 ML POWDER, FOR ORAL SOLUTION
St III
TUSLAH RACIKAN EMBALASE
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
1,00
10,00
1,00
2,00

Depo Atas
Subtotal
BOT
CAP
UNT
UNT
BOT
UNT

17 Mei 2013 10:42

Item
CEFADROXIL INF CAPSULE 500 MG
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
15,00
15,00
4,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

17 Mei 2013 10:37

Item
ALDISA SR CAPSULE
BISOLVON TABLET 8 mg
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH RACIKAN EMBALASE
TOTAL

JPK PNS
Quantity
15,00
15,00
15,00
1,00
15,00

Depo Atas
Subtotal
CAP
TAB
TAB
UNT
UNT

17 Mei 2013 10:28

Item
CEFAT CAPSULE 500 mg
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

17 Mei 2013 10:22

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

17 Mei 2013 10:05

Item
NEUROSANBE TABLET
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00
2,00

Depo IGD
Subtotal
TAB
BOT
UNT

17 Mei 2013 10:03

Item

UMUM
Quantity

Depo IGD
Subtotal

MERTIGO TABLET 6 MG
DEXAMETHASONE INF TABLET 0.5 MG
NEUROSANBE TABLET
TUSLAH NON RACIKAN
TOTAL

15,00
15,00
15,00
3,00

TAB
TAB
TAB
UNT

17 Mei 2013 09:50

Item
CEFADROXIL INF CAPSULE 500 MG
MEFINAL 500 MG TABLET
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

17 Mei 2013 09:49

Item
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

17 Mei 2013 09:39

Item
NEUROSANBE TABLET
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

17 Mei 2013 09:11

Item
PROLIC SANBE 300 mg
H2O2 3% 30ML
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
UNT

17 Mei 2013 09:09

Item
PROLIC SANBE 300 mg
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

17 Mei 2013 08:59

Item
St I
TUSLAH RACIKAN EMBALASE
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PIPET
TUSLAH RACIKAN
EMBALASE
CEFIXIME GENERIK CAPSULE
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
8,00
1,00
15,00
1,00
1,00
1,00
1,00
8,00
1,00
15,00

Depo IGD
Subtotal
CAP
UNT
UNT
BAG
PKG
UNT
UNT
CAP
UNT
UNT

16 Mei 2013 20:25

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00
3,00
5,00

Depo IGD
Subtotal
CAP
TAB
TAB
AMP
UNT
UNT

16 Mei 2013 14:38

Item
PRECUT SILK 2 PS27
SILK 2-0 REVERSE CUTTING
ASAM TRANEKSAMAT 500/5 ML INJECTION
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
6,00

Emergency OK
Subtotal
PKG
PKG
AMP
UNT
UNT
UNT
UNT

16 Mei 2013 11:13

Item
CEFADROXIL INF CAPSULE 500 MG
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

16 Mei 2013 10:46

Item
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
CETIRIZINE 10 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
1,00
10,00
1,00

Depo IGD
Subtotal
BOT
TAB
UNT
UNT
UNT

16 Mei 2013 10:45

Item
CEFADROXIL INF CAPSULE 500 MG
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

16 Mei 2013 10:37

Item
LORATADINE INF TABLET 10 MG
H2O2 3% 30ML
TUSLAH RACIKAN
EMBALASE
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
10,00
2,00

Depo IGD
Subtotal
TAB
BOT
UNT
UNT
TAB
UNT

16 Mei 2013 10:06

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
EPHINEPRIN ETHICA INJECTION
SILK 2-0 REVERSE CUTTING
APRON FILM WHITE
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
5,00
10,00

Emergency OK
Subtotal
AMP
UNT
UNT
AMP
PKG
PKG
BOT
UNT
UNT
PKG
UNT

15 Mei 2013 13:54

UMUM

Depo IGD

Item
LORATADINE INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00

Subtotal
TAB
UNT

14 Mei 2013 15:12

Item
CEFAT FORTE 60 ML POWDER, FOR ORAL SUSPENSION
St I
TUSLAH RACIKAN EMBALASE
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
8,00
1,00
16,00
1,00
2,00

Depo IGD
Subtotal
BOT
CAP
UNT
UNT
BOT
UNT

14 Mei 2013 14:24

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

PRAKTEK SORE
Quantity
10,00
10,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

14 Mei 2013 14:15

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH RACIKAN
EMBALASE
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
St I
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

PRAKTEK SORE
Quantity
4,00
1,00
8,00
1,00
4,00
1,00
8,00
1,00

Depo IGD
Subtotal
CAP
UNT
UNT
BOT
CAP
UNT
UNT
UNT

14 Mei 2013 11:20

Item
St I
TUSLAH RACIKAN
EMBALASE
St II
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
7,00
1,00
7,00
7,00
1,00
7,00

Depo IGD
Subtotal
CAP
UNT
UNT
CAP
UNT
UNT

TOTAL

14 Mei 2013 10:38

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

14 Mei 2013 10:35

Item
CEFADROXIL INF CAPSULE 500 MG
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

14 Mei 2013 10:34

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

14 Mei 2013 10:34

Item
PROLIC SANBE 300 mg
St I
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
1,00
15,00
1,00

Depo IGD
Subtotal
CAP
CAP
UNT
UNT
UNT

14 Mei 2013 10:20

Item
CEFAT CAPSULE 500 mg
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

14 Mei 2013 10:20

Item
ALDISA SR CAPSULE

UMUM
Quantity
10,00

Depo IGD
Subtotal
CAP

OTOPAIN 8 ML 100 ml/ml; 4 g/ml

TUSLAH NON RACIKAN
TOTAL

1,00
2,00

BOT
UNT

14 Mei 2013 10:12

Item
CEFAT 60 ML POWDER, FOR ORAL SOLUTION
St III
TUSLAH RACIKAN EMBALASE
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
1,00
10,00
1,00
2,00

Depo Atas
Subtotal
BOT
CAP
UNT
UNT
BOT
UNT

14 Mei 2013 09:57

Item
St II
TUSLAH RACIKAN EMBALASE
TOTAL

JPK PNS
Quantity
15,00
1,00
15,00

Depo IGD
Subtotal
CAP
UNT
UNT

13 Mei 2013 13:33

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

Apotik Panel
Subtotal
TAB
UNT

13 Mei 2013 13:32

Item
RHINOFED DEXA TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

13 Mei 2013 13:24

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

13 Mei 2013 13:11

Item
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

13 Mei 2013 13:06

Item
CEFAT CAPSULE 500 mg
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

13 Mei 2013 13:00

Item
ALDISA SR CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
1,00

Depo Atas
Subtotal
CAP
UNT

13 Mei 2013 12:51

Item
St I
TUSLAH RACIKAN EMBALASE
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
15,00
15,00
1,00

Depo IGD
Subtotal
CAP
UNT
UNT
CAP
UNT

13 Mei 2013 12:47

Item
PROLIC SANBE 300 mg
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

13 Mei 2013 12:45

Item
CEFAT 60 ML POWDER, FOR ORAL SOLUTION
St III
TUSLAH RACIKAN EMBALASE
OTOPAIN 8 ML 100 ml/ml; 4 g/ml

UMUM
Quantity
1,00
3,00
1,00
15,00
1,00

Depo Atas
Subtotal
BOT
CAP
UNT
UNT
BOT

TUSLAH NON RACIKAN

TOTAL

2,00

UNT

13 Mei 2013 12:44

Item
PLASMINEX SANBE 500 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

13 Mei 2013 12:39

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
St I
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
8,00
1,00
16,00

Depo IGD
Subtotal
BOT
UNT
UNT
CAP
UNT
UNT

13 Mei 2013 12:38

Item
MEFINAL 500 MG TABLET
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
TAB
BOT
UNT

13 Mei 2013 12:37

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

13 Mei 2013 12:28

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

13 Mei 2013 12:27

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

St III
TUSLAH RACIKAN EMBALASE
TOTAL

10,00
1,00
10,00

CAP
UNT
UNT

13 Mei 2013 12:05

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

13 Mei 2013 11:43

Item
CEFIXIME GENERIK CAPSULE
TREMENZA TABLET
BISOLVON TABLET 8 mg
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
15,00
15,00
15,00
1,00
15,00
1,00

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
UNT
UNT
UNT

13 Mei 2013 10:34

Item
CEFADROXIL INF CAPSULE 500 MG
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

13 Mei 2013 10:28

Item
CEFAT CAPSULE 500 mg
MEFINAL 500 MG TABLET
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

13 Mei 2013 10:26

Item
CEFAT CAPSULE 500 mg
IMBOOST FORCE TABLET

UMUM
Quantity
10,00
10,00

Depo IGD
Subtotal
CAP
TAB

TUSLAH NON RACIKAN

TOTAL

2,00

UNT

13 Mei 2013 10:14

Item
CEFAT CAPSULE 500 mg
MEFINAL 500 MG TABLET
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT

13 Mei 2013 10:07

Item
AKILEN TETES TELINGA
CEFAT CAPSULE 500 mg
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
10,00
3,00

Depo IGD
Subtotal
BOT
CAP
TAB
UNT

13 Mei 2013 10:05

Item
SPORETIK SANBE 100 MG
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

11 Mei 2013 13:12

Item
ALDISA SR CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
1,00

Depo Atas
Subtotal
CAP
UNT

11 Mei 2013 13:10

Item
ALDISA SR CAPSULE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
1,00

Depo Atas
Subtotal
CAP
UNT

11 Mei 2013 12:23

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
BOT

PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

1,00
2,00

BOT
UNT

11 Mei 2013 12:08

Item
CEFIXIME GENERIK CAPSULE
BISOLVON TABLET 8 mg
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
15,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

11 Mei 2013 12:08

Item
BISOLVON TABLET 8 mg
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
1,00

Depo Atas
Subtotal
TAB
UNT

11 Mei 2013 10:47

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

11 Mei 2013 10:43

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

11 Mei 2013 10:38

Item
CEFADROXIL INF CAPSULE 500 MG
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

11 Mei 2013 10:23

Item
CEFADROXIL INF CAPSULE 500 MG
H2O2 3% 30ML
TUSLAH RACIKAN

UMUM
Quantity
10,00
1,00
1,00

Depo IGD
Subtotal
CAP
BOT
UNT

EMBALASE
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00

UNT
BOT
UNT
UNT
UNT

11 Mei 2013 10:01

Item
CARBO GLYCERIN 10% 30 ML
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
St III
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
8,00
1,00
1,00
15,00
2,00

Depo Atas
Subtotal
BOT
BOT
CAP
PKG
UNT
UNT
UNT

10 Mei 2013 15:26

Item
QIDROX FORTE SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

10 Mei 2013 13:57

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

Depo Atas
Subtotal
BOT
BOT
TAB
UNT

10 Mei 2013 11:47

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH RACIKAN EMBALASE
TREMENZA TABLET
AMBROXOL INF 30 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE

UMUM
Quantity
8,00
1,00
15,00
8,00
8,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
TAB
TAB
PKG
UNT
UNT

TOTAL

10 Mei 2013 11:06

Item
SILK 2/0 tap HR22 Assut
PRECUT SILK 2 PS27
EQUISPON 80X50X10MM
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
10,00
7,00

Emergency OK
Subtotal
PKG
PKG
UNT
BOT
UNT
UNT
PKG
UNT

10 Mei 2013 08:45

Item
AKILEN TETES TELINGA
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
15,00
2,00

Depo IGD
Subtotal
BOT
TAB
UNT

7 Mei 2013 10:32

Item
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
30,00
1,00

Depo Atas
Subtotal
CAP
UNT

6 Mei 2013 14:50

Item
BISOLVON TABLET 8 mg
TREMENZA TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

6 Mei 2013 14:18

Item
TANTUM VERDE 60 ML SOLUTION, MOUTHWASH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel
Subtotal
BOT
UNT

6 Mei 2013 12:34

JAKARTA SEHAT

Depo IGD

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
10,00
15,00
3,00

Subtotal
CAP
TAB
TAB
UNT

6 Mei 2013 12:27

Item
DEXAMETHASONE INF TABLET 0.5 MG
CEFADROXIL INF CAPSULE 500 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
1,00
10,00
1,00

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

6 Mei 2013 12:08

Item
CEFAT CAPSULE 500 mg
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

6 Mei 2013 12:07

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

6 Mei 2013 12:06

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

6 Mei 2013 12:03

Item
MEFINAL 500 MG TABLET
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN

UMUM
Quantity
10,00
1,00
1,00

Depo IGD
Subtotal
TAB
BOT
UNT

EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00

UNT
UNT

4 Mei 2013 10:03

Item
CEFAT CAPSULE 500 mg
St I
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
1,00
15,00
1,00

Depo IGD
Subtotal
CAP
CAP
UNT
UNT
UNT

4 Mei 2013 10:00

Item
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

4 Mei 2013 09:55

Item
CEFAT CAPSULE 500 mg
TUSLAH RACIKAN EMBALASE
AKILEN TETES TELINGA
EPEXOL TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
1,00
15,00
1,00
15,00
2,00

Depo IGD
Subtotal
CAP
UNT
UNT
BOT
TAB
UNT

4 Mei 2013 09:31

Item
CEFAT CAPSULE 500 mg
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

4 Mei 2013 09:29

Item
PROLIC SANBE 300 mg
NEUROSANBE TABLET
St I
TUSLAH RACIKAN -

UMUM
Quantity
10,00
10,00
15,00
1,00

Depo IGD
Subtotal
CAP
TAB
CAP
UNT

EMBALASE
TUSLAH NON RACIKAN
TOTAL

15,00
2,00

UNT
UNT

4 Mei 2013 09:21

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

4 Mei 2013 09:15

Item
St I
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
4,00
1,00
16,00

Depo IGD
Subtotal
CAP
UNT
UNT

4 Mei 2013 09:09

Item
CEFAT FORTE 60 ML POWDER, FOR ORAL SUSPENSION
St III
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
8,00
1,00
15,00
1,00

Depo Atas
Subtotal
BOT
CAP
UNT
UNT
UNT

4 Mei 2013 09:08

Item
PROLIC SANBE 300 mg
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

4 Mei 2013 08:57

Item
CEFAT CAPSULE 500 mg
OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

4 Mei 2013 08:53

Item
RHINOFED DEXA TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

4 Mei 2013 08:52

Item
CEFAT CAPSULE 500 mg
AKILEN TETES TELINGA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

3 Mei 2013 11:09

Item
AMOXICILLIN 500 MG TABLET
St I
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
1,00
15,00
1,00

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

3 Mei 2013 10:39

Item
CEFAT CAPSULE 500 mg
St I
TUSLAH RACIKAN
EMBALASE
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
8,00
1,00
8,00
10,00
2,00

Depo IGD
Subtotal
CAP
CAP
UNT
UNT
CAP
UNT

3 Mei 2013 08:59

Item
CARBO GLYCERIN 10% 30 ML
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

2 Mei 2013 12:57

Item
AMOXICILLIN 500 MG TABLET

JAKARTA SEHAT
Quantity
8,00

Depo IGD
Subtotal
TAB

ASAM MEFENAMAT INF 500 MG TABLET

OTOPAIN 8 ML 100 ml/ml; 4 g/ml
TUSLAH NON RACIKAN
TOTAL

8,00
1,00
3,00

TAB
BOT
UNT

2 Mei 2013 12:56

Item
CEFADROXIL INF CAPSULE 500 MG
AMBROXOL INF 30 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
TREMENZA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
20,00
15,00
15,00
4,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

2 Mei 2013 12:14

Item
CEFADROXIL INF CAPSULE 500 MG
RHINOFED DEXA TABLET
AMBROXOL INF 30 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
10,00
4,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

2 Mei 2013 11:41

Item
CEFIXIME GENERIK CAPSULE
RHINOFED DEXA TABLET
BISOLVON TABLET 8 mg
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
10,00
15,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

2 Mei 2013 11:21

Item
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

2 Mei 2013 11:15

Item
CEFADROXIL INF CAPSULE 500 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN -

JAKARTA SEHAT
Quantity
5,00
1,00
1,00

Depo Atas
Subtotal
CAP
PKG
UNT

EMBALASE
LORATADINE INF TABLET 10 MG
DEXAMETHASONE INF TABLET 0.5 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

10,00
0,00
8,00
1,00
1,00
15,00

UNT
TAB
TAB
PKG
UNT
UNT

2 Mei 2013 11:02

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH RACIKAN EMBALASE
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
10,00
10,00
1,00

Depo IGD
Subtotal
CAP
UNT
UNT
TAB
UNT

2 Mei 2013 10:43

Item
St I
TUSLAH RACIKAN
EMBALASE
St II
TUSLAH RACIKAN
EMBALASE
TOTAL

ASKES
Quantity
7,00
1,00
7,00
7,00
1,00
7,00

Depo IGD
Subtotal
CAP
UNT
UNT
CAP
UNT
UNT

2 Mei 2013 10:30

Item
PROLIC SANBE 300 mg
RHINOFED DEXA TABLET
H2O2 3% 30ML
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT
UNT
UNT

2 Mei 2013 10:28

Item
TANTUM VERDE 60 ML SOLUTION, MOUTHWASH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel
Subtotal
BOT
UNT

2 Mei 2013 10:26

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

Pasien
Penjamin
23250
23250
500
500
23750
23750

0
0
0

Pasien
Penjamin
23250
23250
500
500
23750
23750

0
0
0

Pasien
Penjamin
7640
7640
3500
3500
750
750
37609
37609
500
500
49999
49999

0
0
0
0
0
0

Pasien
Penjamin
100380
100380
30315
30315
3500
3500
750
750
500
500
135445
135445

0
0
0
0
0
0

Pasien
Penjamin
37268
37268
500
500
37768
37768

0
0
0

Pasien
Penjamin
102465
102465
18850
18850
27260
27260

0
0
0

2560
3500
1000
53460
1000
210095

2560
3500
1000
53460
1000
210095

0
0
0
0
0
0

Pasien
Penjamin
68310
68310
1920
1920
55651
55651
1500
1500
127381
127381

0
0
0
0
0

Pasien
Penjamin
100380
100380
52920
52920
3500
3500
3500
3500
500
500
160800
160800

0
0
0
0
0
0

Pasien
Penjamin
80304
80304
3500
3500
800
800
52920
52920
3500
3500
3500
3500
144524
144524

0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien

Penjamin

68310
1800
3500
450
55651
1000
130711

68310
1800
3500
450
55651
1000
130711

0
0
0
0
0
0
0

Pasien
Penjamin
9841
9841
7770
7770
3500
3500
500
500
35458
35458
1800
1800
3500
3500
450
450
1000
1000
63819
63819

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
19682
19682
2384
2384
1500
1500
26326
26326

0
0
0
0
0

Pasien
Penjamin
23250
23250
500
500
23750
23750

0
0
0

Pasien
Penjamin
9550
9550
1410
1410
37609
37609
1500
1500
50069
50069

0
0
0
0
0

Pasien
Penjamin
49660
49660
41388
41388
1000
1000
92048
92048

0
0
0
0

Pasien
Penjamin
11310
11310
13630
13630
1280
1280
3500
3500
500
500
30220
30220

0
0
0
0
0
0

Pasien
Penjamin
37044
37044
3500
3500
2450
2450
14147
14147
3500
3500
2450
2450
63091
63091

0
0
0
0
0
0
0

Pasien
Penjamin
12120
12120
37609
37609
1000
1000
50729
50729

0
0
0
0

Pasien
Penjamin
55651
55651
500
500
56151
56151

0
0
0

Pasien

Penjamin

1800
3500
50
5350

1800
3500
50
5350

0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
450
450
5750
5750

0
0
0
0

Pasien
Penjamin
68310
68310
55651
55651
1000
1000
124961
124961

0
0
0
0

Pasien
Penjamin
23250
23250
500
500
23750
23750

0
0
0

Pasien
Penjamin
9550
9550
1280
1280
1000
1000
11830
11830

0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien

Penjamin

9550
37609
1000
48159

9550
37609
1000
48159

0
0
0
0

Pasien
Penjamin
9550
9550
55651
55651
1000
1000
66201
66201

0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien
Penjamin
9841
9841
501
501
378
378
11310
11310
196
196
3500
3500
600
600
500
500
26826
26826

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23250
23250
500
500
23750
23750

0
0
0

Pasien
Penjamin
9550
9550
2505
2505
1410
1410

0
0
0

1500
14965

1500
14965

0
0

Pasien
Penjamin
19682
19682
1920
1920
1000
1000
22602
22602

0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
68310
68310
12120
12120
37609
37609
1500
1500
119539
119539

0
0
0
0
0

Pasien
Penjamin
71113
71113
1008
1008
30160
30160
1336
1336
3500
3500
750
750
1800
1800
1000
1000
110667
110667

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
55651
55651
500
500
56151
56151

0
0
0

Pasien
Penjamin
10560
10560
5881
5881
24024
24024
24024
24024
3012
3012
2500
2500
70001
70001

0
0
0
0
0
0
0

Pasien
Penjamin
21168
21168
3500
3500
750
750
41379
41379
500
500
67297
67297

0
0
0
0
0
0

Pasien
Penjamin
8106
8106
500
500
8606
8606

0
0
0

Pasien
Penjamin
9550
9550
1410
1410
1000
1000
11960
11960

0
0
0
0

Pasien
Penjamin
100380
100380

79380
3500
750
37609
1000
222619

79380
3500
750
37609
1000
222619

0
0
0
0
0
0

Pasien
Penjamin
1410
1410
55651
55651
1000
1000
58061
58061

0
0
0
0

Pasien
Penjamin
80304
80304
3500
3500
750
750
30160
30160
1008
1008
1336
1336
3500
3500
750
750
55651
55651
500
500
177459
177459

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23250
23250
500
500
23750
23750

0
0
0

Pasien
Penjamin
4000
4000
1800
1800
3500
3500
50
50
500
500
9850
9850

0
0
0
0
0
0

Pasien
Penjamin
37609
37609
500
500
38109
38109

0
0
0

Pasien
Penjamin
9790
9790
500
500
10290
10290

0
0
0

Pasien
Penjamin
2694
2694
500
500
3194
3194

0
0
0

Pasien
Penjamin
2694
2694
500
500
3194
3194

0
0
0

Pasien
Penjamin
7640
7640
3500
3500
750
750
49440
49440
3500
3500
500
500
65330
65330

0
0
0
0
0
0
0

Pasien
Penjamin
24420
24420
500
500
24920
24920

0
0
0

Pasien
Penjamin
9550
9550
1410
1410
1000
1000
11960
11960

0
0
0
0

Pasien
Penjamin
1280
1280
13470
13470
3500
3500
3500
3500
500
500
22250
22250

0
0
0
0
0
0

Pasien
Penjamin
9550
9550
2000
2000
37609
37609
1500
1500
50659
50659

0
0
0
0
0

Pasien
Penjamin
68310
68310
79380
79380
3500
3500
5250
5250
1410
1410
1000
1000
158850
158850

0
0
0
0
0
0
0

Pasien
Penjamin
9550
9550
1410
1410
4768
4768
1500
1500
17228
17228

0
0
0
0
0

Pasien
Penjamin
7640
7640
3500
3500
5250
5250
1920
1920
500
500
18810
18810

0
0
0
0
0
0

Pasien
Penjamin
9550
9550
1280
1280
1000
1000
11830
11830

0
0
0
0

Pasien
Penjamin
41800
41800
500
500
42300
42300

0
0
0

Pasien
Penjamin
4000
4000
500
500
4500
4500

0
0
0

Pasien
Penjamin
14325
14325
79380
79380
3500
3500
750
750
14985
14985
1000
1000
113940
113940

0
0
0
0
0
0
0

Pasien
Penjamin
9550
9550
2000
2000

0
0

2505
1500
15555

2505
1500
15555

0
0
0

Pasien
Penjamin
80304
80304
3500
3500
750
750
37609
37609
500
500
122663
122663

0
0
0
0
0
0

Pasien
Penjamin
9550
9550
37700
37700
55651
55651
1500
1500
104401
104401

0
0
0
0
0

Pasien
Penjamin
68310
68310
37609
37609
1000
1000
106919
106919

0
0
0
0

Pasien
Penjamin
7640
7640
3500
3500
750
750
39552
39552
3500
3500
750
750
1800
1800
3500
3500
50
50
61042
61042

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
68310
68310
55651
55651
1000
1000
124961
124961

0
0
0
0

Pasien
Penjamin
9550
9550
1410
1410
1000
1000
11960
11960

0
0
0
0

Pasien
Penjamin
4000
4000
1800
1800
9240
9240
1500
1500
16540
16540

0
0
0
0
0

Pasien
Penjamin
13820
13820
1997
1997
9108
9108
36036
36036
24024
24024
32010
32010
5020
5020
3500
3500
125515
125515

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7540
7540

668
512
196
3500
750
13166

668
512
196
3500
750
13166

0
0
0
0
0
0

Pasien
Penjamin
71113
71113
39552
39552
3500
3500
750
750
500
500
115415
115415

0
0
0
0
0
0

Pasien
Penjamin
9990
9990
1800
1800
3500
3500
450
450
500
500
16240
16240

0
0
0
0
0
0

Pasien
Penjamin
68310
68310
79380
79380
3500
3500
5250
5250
37609
37609
1000
1000
195049
195049

0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
37609
37609
1800
1800
3500
3500
50
50
7056
7056

0
0
0
0
0
0

3500
750
1000
57265

3500
750
1000
57265

0
0
0
0

Pasien
Penjamin
68310
68310
12120
12120
55651
55651
1500
1500
137581
137581

0
0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
450
450
5750
5750

0
0
0
0

Pasien
Penjamin
37268
37268
500
500
37768
37768

0
0
0

Pasien
Penjamin
23250
23250
500
500
23750
23750

0
0
0

Pasien
Penjamin
41379
41379
14832
14832
3500
3500
500
500
35458
35458
1000
1000
96669
96669

0
0
0
0
0
0
0

Pasien
Penjamin
8820
8820
690
690
270
270
240
240
2000
2000
12020
12020

0
0
0
0
0
0

Pasien
Penjamin
56550
56550
20445
20445
1920
1920
3500
3500
750
750
83165
83165

0
0
0
0
0
0

Pasien
Penjamin
100380
100380
35458
35458
1000
1000
136838
136838

0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
450
450
5750
5750

0
0
0
0

Pasien
Penjamin
14985
14985
55651
55651
1000
1000
71636
71636

0
0
0
0

Pasien

Penjamin

40980
1920
14985
1500
59385

40980
1920
14985
1500
59385

0
0
0
0
0

Pasien
Penjamin
8820
8820
12120
12120
55651
55651
1500
1500
78091
78091

0
0
0
0
0

Pasien
Penjamin
35458
35458
500
500
35958
35958

0
0
0

Pasien
Penjamin
14985
14985
40980
40980
1000
1000
56965
56965

0
0
0
0

Pasien
Penjamin
68310
68310
1800
1800
3500
3500
450
450
500
500
74560
74560

0
0
0
0
0
0

Pasien
Penjamin
68310
68310
55651
55651
1000
1000
124961
124961

0
0
0
0

Pasien
Penjamin
42336
42336
3500
3500
750
750
9633
9633
2062
2062
3500
3500
50
50
21552
21552
3500
3500
750
750
87633
87633

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1764
1764
282
282
2384
2384
5220
5220
3825
3825
2500
2500
15975
15975

0
0
0
0
0
0
0

Pasien
Penjamin
11827
11827
56100
56100
9490.25 9490.25
18342
18342
5809
5809
1997
1997
3000
3000
106565.3 106565.3

0
0
0
0
0
0
0
0

Pasien
Penjamin
8820
8820
1280
1280
1000
1000
11100
11100

0
0
0
0

Pasien
Penjamin
35458
35458
1200
1200
3500
3500
500
500
500
500
41158
41158

0
0
0
0
0
0

Pasien
Penjamin
8820
8820
55651
55651
1000
1000
65471
65471

0
0
0
0

Pasien
Penjamin
4000
4000
1800
1800
3500
3500
50
50
12120
12120
1000
1000
22470
22470

0
0
0
0
0
0
0

Pasien
Penjamin
11056
11056
1997
1997
1757
1757
3036
3036
56100
56100
7246
7246
5881
5881
24024
24024
24024
24024
2510
2510
5000
5000
142631
142631

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4000
4000
500
500
4500
4500

0
0
0

Pasien
Penjamin
71113
71113
42336
42336
3500
3500
5600
5600
35458
35458
1000
1000
159007
159007

0
0
0
0
0
0
0

Pasien
Penjamin
8820
8820
1410
1410
55651
55651
1500
1500
67381
67381

0
0
0
0
0

Pasien
Penjamin
3528
3528
3500
3500
400
400
35458
35458
21168
21168
3500
3500
400
400
500
500
68454
68454

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37044
37044
3500
3500
350
350
14147
14147
3500
3500
350
350

0
0
0
0
0
0

58891

58891

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien
Penjamin
8820
8820
35458
35458
1000
1000
45278
45278

0
0
0
0

Pasien
Penjamin
20970
20970
500
500
21470
21470

0
0
0

Pasien
Penjamin
68310
68310
79380
79380
3500
3500
750
750
500
500
152440
152440

0
0
0
0
0
0

Pasien
Penjamin
100380
100380
55651
55651
1000
1000
157031
157031

0
0
0
0

Pasien
Penjamin
37700
37700

35458
1000
74158

35458
1000
74158

0
0
0

Pasien
Penjamin
41379
41379
14832
14832
3500
3500
500
500
35458
35458
1000
1000
96669
96669

0
0
0
0
0
0
0

Pasien
Penjamin
30315
30315
3500
3500
5250
5250
39065
39065

0
0
0
0

Pasien
Penjamin
9485
9485
500
500
9985
9985

0
0
0

Pasien
Penjamin
8910
8910
11920
11920
1000
1000
21830
21830

0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien
Penjamin
35458
35458
500
500
35958
35958

0
0
0

Pasien
Penjamin
100380
100380
55651
55651
1000
1000
157031
157031

0
0
0
0

Pasien
Penjamin
56550
56550
500
500
57050
57050

0
0
0

Pasien
Penjamin
79380
79380
3500
3500
750
750
14595
14595
500
500
98725
98725

0
0
0
0
0
0

Pasien
Penjamin
68310
68310
35458
35458
1000
1000
104768
104768

0
0
0
0

Pasien
Penjamin
41379
41379
14832
14832
3500
3500
750
750
35458
35458

0
0
0
0
0

1000
96919

1000
96919

0
0

Pasien
Penjamin
24800
24800
500
500
25300
25300

0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
42336
42336
3500
3500
800
800
51986
51986

0
0
0
0
0
0
0

Pasien
Penjamin
12120
12120
55651
55651
1000
1000
68771
68771

0
0
0
0

Pasien
Penjamin
17820
17820
500
500
18320
18320

0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien

Penjamin

25900
3500
3500
32900

25900
3500
3500
32900

0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien
Penjamin
26940
26940
13710
13710
20445
20445
1920
1920
3500
3500
750
750
500
500
67765
67765

0
0
0
0
0
0
0
0

Pasien
Penjamin
8820
8820
35458
35458
1000
1000
45278
45278

0
0
0
0

Pasien
Penjamin
100380
100380
12120
12120
55651
55651
1500
1500
169651
169651

0
0
0
0
0

Pasien
Penjamin
100380
100380
59400
59400

0
0

1000
160780

1000
160780

0
0

Pasien
Penjamin
100380
100380
12120
12120
55651
55651
1500
1500
169651
169651

0
0
0
0
0

Pasien
Penjamin
55651
55651
100380
100380
12120
12120
1500
1500
169651
169651

0
0
0
0
0

Pasien
Penjamin
186090
186090
35458
35458
1000
1000
222548
222548

0
0
0
0

Pasien
Penjamin
37700
37700
500
500
38200
38200

0
0
0

Pasien
Penjamin
37700
37700
500
500
38200
38200

0
0
0

Pasien
Penjamin
9841
9841

2760
1000
13601

2760
1000
13601

0
0
0

Pasien
Penjamin
26940
26940
20445
20445
1000
1000
48385
48385

0
0
0
0

Pasien
Penjamin
20445
20445
500
500
20945
20945

0
0
0

Pasien
Penjamin
20970
20970
500
500
21470
21470

0
0
0

Pasien
Penjamin
8820
8820
500
500
9320
9320

0
0
0

Pasien
Penjamin
8820
8820
55651
55651
1000
1000
65471
65471

0
0
0
0

Pasien
Penjamin
8820
8820
1800
1800
3500
3500

0
0
0

450
1800
3500
450
500
20820

450
1800
3500
450
500
20820

0
0
0
0
0
0

Pasien
Penjamin
1800
1800
19682
19682
39552
39552
196
196
3500
3500
750
750
1000
1000
66480
66480

0
0
0
0
0
0
0
0

Pasien
Penjamin
71280
71280
500
500
71780
71780

0
0
0

Pasien
Penjamin
9841
9841
2760
2760
2384
2384
1500
1500
16485
16485

0
0
0
0
0

Pasien
Penjamin
7056
7056
3500
3500
750
750
7312
7312
1336
1336
1024
1024
196
196
3500
3500
750
750

0
0
0
0
0
0
0
0
0

25424

25424

Pasien
Penjamin
54903
54903
11827
11827
43197
43197
5881
5881
24024
24024
24024
24024
5020
5020
3500
3500
172376
172376

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
55651
55651
7620
7620
1000
1000
64271
64271

0
0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien
Penjamin
20445
20445
9140
9140
1000
1000
30585
30585

0
0
0
0

Pasien
Penjamin
37268
37268
500
500
37768
37768

0
0
0

Pasien
Penjamin
8820
8820
1410
1410
1920
1920
1500
1500
13650
13650

0
0
0
0
0

Pasien
Penjamin
1280
1280
4410
4410
3500
3500
500
500
500
500
10190
10190

0
0
0
0
0
0

Pasien
Penjamin
100380
100380
55651
55651
1000
1000
157031
157031

0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien
Penjamin
12120
12120
1800
1800
3500
3500

0
0
0

50
500
17970

50
500
17970

0
0
0

Pasien
Penjamin
100380
100380
79380
79380
3500
3500
5250
5250
500
500
189010
189010

0
0
0
0
0
0

Pasien
Penjamin
35458
35458
500
500
35958
35958

0
0
0

Pasien
Penjamin
80304
80304
3500
3500
5250
5250
55651
55651
11280
11280
1000
1000
156985
156985

0
0
0
0
0
0
0

Pasien
Penjamin
100380
100380
35458
35458
1000
1000
136838
136838

0
0
0
0

Pasien
Penjamin
68310
68310
9990
9990
79380
79380
3500
3500

0
0
0
0

5250
1000
167430

5250
1000
167430

0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien
Penjamin
21168
21168
3500
3500
800
800
25468
25468

0
0
0
0

Pasien
Penjamin
71113
71113
39552
39552
3500
3500
750
750
500
500
115415
115415

0
0
0
0
0
0

Pasien
Penjamin
68310
68310
35458
35458
1000
1000
104768
104768

0
0
0
0

Pasien
Penjamin
100380
100380
35458
35458
1000
1000
136838
136838

0
0
0
0

Pasien
Penjamin
17820
17820
500
500
18320
18320

0
0
0

Pasien
Penjamin
100380
100380
55651
55651
1000
1000
157031
157031

0
0
0
0

Pasien
Penjamin
6660
6660
79380
79380
3500
3500
5250
5250
500
500
95290
95290

0
0
0
0
0
0

Pasien
Penjamin
50190
50190
42336
42336
3500
3500
2800
2800
9730
9730
1000
1000
109556
109556

0
0
0
0
0
0
0

Pasien
Penjamin
1800
1800
3500
3500
50
50
5350
5350

0
0
0
0

Pasien
Penjamin
3552
3552

1128
35458
1500
41638

1128
35458
1500
41638

0
0
0
0

Pasien
Penjamin
13230
13230
3340
3340
1920
1920
13710
13710
2000
2000
34200
34200

0
0
0
0
0
0

Pasien
Penjamin
8820
8820
17820
17820
2505
2505
1280
1280
2000
2000
32425
32425

0
0
0
0
0
0

Pasien
Penjamin
26940
26940
17820
17820
20445
20445
1500
1500
66705
66705

0
0
0
0
0

Pasien
Penjamin
12120
12120
500
500
12620
12620

0
0
0

Pasien
Penjamin
4410
4410
196
196
3500
3500

0
0
0

500
0
1024
196
3500
750
14076

500
0
1024
196
3500
750
14076

0
0
0
0
0
0
0

Pasien
Penjamin
4410
4410
3500
3500
500
500
1280
1280
500
500
10190
10190

0
0
0
0
0
0

Pasien
Penjamin
37044
37044
3500
3500
2450
2450
14147
14147
3500
3500
2450
2450
63091
63091

0
0
0
0
0
0
0

Pasien
Penjamin
68310
68310
17820
17820
1800
1800
3500
3500
450
450
1000
1000
92880
92880

0
0
0
0
0
0
0

Pasien
Penjamin
37268
37268
500
500
37768
37768

0
0
0

Pasien
Penjamin
8820
8820
1410
1410
1000
1000
11230
11230

0
0
0
0

Waktu
31 Mei 2013 14:43
Item
VASCON SOLUTION, INJECTION 4 MG/4 ML
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 14:42

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 14:15

Item
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 14:12

Item
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 12:38

Item
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
INPEPSA 100 ML SYRUP 500 mg/5 ml
NOVALGIN SOLUTION, INJECTION 500 mg/ml
METRONIDAZOLE 100 ML INFUSION
FUROSEMID INF INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO. 23 THERUMO
NEEDLE NO.18 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 12:16

Item
DISP ONEMED 3CC
VALISANBE INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 2 (DWS)
RING AS SANBE 500 ML
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN TABLET 20 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
CATAPRES INJECTION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO. 23 THERUMO
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 12:16

Item
MARTOS 10 INFUSION 10 %/500 ML
INFUS SET JMS
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 5 CC
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO. 23 THERUMO
NEEDLE NO.18 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VERBAND ROLL
MICROPORE 1 INC
RING AS SANBE 500 ML
NATRIUM PHENITOIN 50MG /ML INJ
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CATAPRES INJECTION
NOVALGIN SOLUTION, INJECTION 500 mg/ml
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CEREMAX IV INFUS 50ml
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 12:02

Item
DISP SYRINGE 5 CC
DISP ONEMED 3CC
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO. 23 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DERMAFIX-1V
AMINOFLUID 500 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
PANTOPRAZOLE INJECTION
SANMOL INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
PRIMPERAN MG INJECTION
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 12:01

Item
CLINOLEIC 20% 250 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 10:36

Item
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO. 23 THERUMO
HANDSCOON NON STERIL S (PCS)
DISP ONEMED 3CC
RING AS SANBE 500 ML
IVENA IV CATH 20
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
NORMOTEN 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN TABLET 20 MG
H.C.T 25 MG TABLET

TUSLAH NON RACIKAN

TOTAL

31 Mei 2013 02:07

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 01:24

Item
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 23:55

Item
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 23:54

Item
AMLODIPIN 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 23:53

Item
LOVENOX SOLUTION, INJECTION 40 mg
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN

TOTAL

30 Mei 2013 23:30

Item
CTM 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 23:28

Item
CURCUMA 200 MG TABLET
OMEPRAZOLE 40 MG INJECTION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 22:26

Item
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 22:24

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 19:16

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 14:34

Item
NOVALGIN SOLUTION, INJECTION 500 mg/ml
SANKORBIN AMP INJECTION
DISP SYRINGE 50 CC CATH TIP
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN

TOTAL

30 Mei 2013 14:31

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 14:29

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 14:28

Item
FUROSEMID INF INJECTION
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 14:20

Item
VERBAND ROLL
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:56

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
PANTOPRAZOLE INJECTION
SANMOL INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
PRIMPERAN MG INJECTION
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 5 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)

DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:53

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:52

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 12:06

Item
IVENA IV CATH 20
IVENA IV CATH 18
STOMACH TUBE 16 THERUMO
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO 25 THERUMO
METRONIDAZOLE 100 ML INFUSION
SELANG OKSIGEN ADULT
NON REBREATHING MASK ADULT(1102)
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
VERBAND ROLL
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
INFUS SET JMS
SELANG NEBUL WITH MASK(1493)
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 11:38

Item
HANDSCOON NON STERIL S (PCS)
CATAPRES INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

M-20 INFUSAN (MANITOL) 500 ML

SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO. 23 THERUMO
INFUS SET JMS
SUCTION CATHETER 14
SANMOL INFUSION
THREE WAY STOPCOCK
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 11:29

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
ISOSORBIDE DINITRATE INF TABLET
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO. 23 THERUMO
DISP SYRINGE 3 CC
SELANG OKSIGEN ADULT
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 11:29

Item
RING AS SANBE 500 ML
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
NORMOTEN 10 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
DISP SYRINGE 20 CC WIHTOUT NED

HANDSCOON NON STERIL S (PCS)

H.C.T 25 MG TABLET
DISP SYRINGE 3 CC
NEEDLE NO. 23 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DERMAFIX-1V
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 11:27

Item
VERBAND ROLL
RING AS SANBE 500 ML
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN TABLET 20 MG
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
AMLODIPIN 5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 10:23

Item
DISP SYRINGE 10 CC
FUROSEMID INF INJECTION
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 10:13

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 20:11

Item
AMINOFLUID 500 ML INFUSION
MARTOS 10 INFUSION 10 %/500 ML
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 14:11

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 14:04

Item
FUROSEMID INF INJECTION
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:29

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 09:59

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

BD VACUTAINER
AMINOFLUID 500 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
FARMADOL 100 ML INFUSION
VASCON SOLUTION, INJECTION 4 MG/4 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 09:56

Item
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN TABLET 20 MG
DISP SYRINGE 20 CC WIHTOUT NED
IVENA IV CATH 20
DERMAFIX-1V
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
CATAPRES INJECTION
NORMOTEN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 09:53

Item
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 1 CC INSULIN
NEEDLE NO.18 THERUMO
DERMAFIX-1V
VERBAND ROLL

TUSLAH NON RACIKAN

TOTAL

29 Mei 2013 09:53

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
IVENA IV CATH 22
IVENA IV CATH 20
BISOPROLOL 5 MG TABLET
RING AS SANBE 500 ML
CATAPRES INJECTION
NORMOTEN 10 MG TABLET
ASPAR-K TABLET, COATED 300 mg
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 08:52

Item
IVENA IV CATH 22
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 08:52

Item
DISP SYRINGE 3 CC
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 08:52

Item
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
TRANSFUSION SET JMS
DISP SYRINGE 5 CC

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 08:51

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 08:51

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
PLASMINEX 100 MG/ML INJECTION
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ISOSORBIDE DINITRATE INF TABLET
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 07:20

Item
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 07:19

Item
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 07:18

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 03:05

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 01:00

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 00:52

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
ASAM TRANEKSAMAT 500/5 ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 00:13

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 21:50

Item
CAPTOPRIL 12.5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN

TOTAL

28 Mei 2013 21:48

Item
MUSIN OTTO 120 ML SUSPENSION
ISOSORBIDE DINITRATE INF TABLET
VIVACE 10 MG TABLET
LASIX SOLUTION, INJECTION 20 MG/2 ML
PANSO INJEKSI 1 VIL
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 21:46

Item
OPIGRAN INJ 3
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 21:45

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
PANSO INJEKSI 1 VIL
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 21:42

Item
LIPITOR TABLET, COATED 20 mg
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 19:18

Item
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 17:50

Item

BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 17:46

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 17:40

Item
HALOPERIDOL INF 0.5 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 17:39

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 16:59

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 15:04

Item
PRO IV NON WOVEN
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 14:46

Item
DISP SYRINGE 20 CC WIHTOUT NED
AMINOFLUID 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 14:42

Item
FUROSEMID INF INJECTION
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 10:17

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
DERMAFIX-1V
CATAPRES INJECTION
DISP SYRINGE 50 CC WITHOUT NED
NORMOTEN 10 MG TABLET
H.C.T 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 10:15

Item
INFUS SET JMS
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
BD VACUTAINER
DISP SYRINGE 5 CC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION

OMEPRAZOLE 40 MG INJECTION
FARMADOL 100 ML INFUSION
VASCON SOLUTION, INJECTION 4 MG/4 ML
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 10:12

Item
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
TRANSFUSION SET JMS
CATAPRES INJECTION
NORMOTEN 10 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.20 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 18:43

Item
MAGNESIUM SULFAT 20% INJECTION
CALCIUM GLUCONAS ETHICA INJECTION
DISP SYRINGE 50 CC WITHOUT NED
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 15:13

Item
AMINOFLUID 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 14:55

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 13:58

Item
ALPENTIN 300 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 12:32

Item
DERMAFIX-1V
FARMADOL 100 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 12:06

Item
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
DERMAFIX-1V
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
MUSIN OTTO 120 ML SUSPENSION
MICROPORE 2 INC
RING AS SANBE 500 ML
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC

TUSLAH NON RACIKAN

TOTAL

27 Mei 2013 12:01

Item
DERMAFIX-1V
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 10:57

Item
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
DISP SYRINGE 20 CC WIHTOUT NED
FUROSEMID INF INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
MICROPORE 2 INC
FARMADOL 100 ML INFUSION
VASCON SOLUTION, INJECTION 4 MG/4 ML
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 10:50

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

TRANSFUSION SET JMS

FARMADOL 100 ML INFUSION
MICROPORE 2 INC
RING AS SANBE 500 ML
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 09:16

Item
IVENA IV CATH 22
PARACETAMOL INF TABLET 500 mg
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 09:16

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 09:16

Item
NEEDLE NO. 23 THERUMO
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 22
IVENA IV CATH 24
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 09:13

Item
DISP SYRINGE 3 CC

RING AS SANBE 500 ML

NEEDLE NO 25 THERUMO
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 09:13

Item
RING AS SANBE 500 ML
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 24
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 09:00

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 24
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 08:59

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
RINGER LACTATE WIDATRA 500 ML
RING AS SANBE 500 ML
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 20:28

Item
LORATADINE INF TABLET 10 MG
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
SANMOL INFUSION
TUSLAH NON RACIKAN

TOTAL

26 Mei 2013 20:20

Item
OMEPRAZOLE 40 MG INJECTION
OPIGRAN INJ 3
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 20:19

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 20:18

Item
PANSO INJEKSI 1 VIL
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 20:17

Item
DISP SYRINGE 10 CC
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 20:15

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 20:10

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION

TUSLAH NON RACIKAN

TOTAL

26 Mei 2013 19:58

Item
MEMORAN TABLET 100 MG
FORMUNO TABLET
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 19:43

Item
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 19:26

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 19:25

Item
OMEPRAZOLE 40 MG INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 19:06

Item
IVENA IV CATH 22
SELANG OKSIGEN ADULT
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 18:51

Item
SELANG OKSIGEN ADULT
IVENA IV CATH 24
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 18:49

Item
IVENA IV CATH 22
SELANG OKSIGEN ADULT
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 14:29

Item
HANDSCOON NON STERIL S (PCS)
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 14:13

Item
CEDANTRON TABLET 8 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
PANSO INJEKSI 1 VIL
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 13:32

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 13:14

Item

AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 13:14

Item
ISOSORBIDE DINITRATE INF TABLET
ACETYLCYSTEIN 200MG CAPS
MAGARD FA TABLET, CHEWABLE
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
VENTOLIN NEBULE SOLUTION, FOR INHALATION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 13:12

Item
HANDSCOON NON STERIL S (PCS)
AMLODIPIN 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CEFPIROME 1GR VIL
LOVENOX 0,6 SOLUTION, INJECTION
AMBROXOL INF 30 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 13:10

Item
ASPAR-K TABLET, COATED 300 mg
RING AS SANBE 500 ML
LOVENOX 0,6 SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
VECTRINE DEXA CAPSULE 300 mg

TUSLAH NON RACIKAN

TOTAL

26 Mei 2013 13:09

Item
KETOROLAC 30 MG SOLUTION, INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DEXAMETHASONE 5 MG INJECTION
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
ACRAN 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 13:09

Item
ISOSORBIDE DINITRATE INF TABLET
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 13:08

Item
DOBUTAMIN GENERIK 50 MG/ML
ATORVASTATIN 20 MG TABLET
ASPAR-K TABLET, COATED 300 mg
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 13:06

Item
OMEPRAZOLE 40 MG INJECTION
BISOLVON 2 ML INJECTION
PIRACETAM INJ 3 GR/ 15 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 12:59

Item
IVENA IV CATH 22
AMLODIPIN 5 MG TABLET
IVENA IV CATH 20
ACETYLCYSTEIN 200MG CAPS
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 12:38

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 10 CC
BD MICRO-FINE
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
CEDANTRON 4 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

RING AS SANBE 500 ML

TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 12:14

Item
SANMOL TABLET 500 mg
DOMPERIDON INF TABLET 10 MG
OMEPRAZOLE GEN 20 MG CAPSULE
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 12:05

Item
SANMOL TABLET 500 mg
RANITIDINE INF TABLET 150 MG
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 11:59

Item
METRONIDAZOLE 100 ML INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
STOMACH TUBE 16 THERUMO
INFUS SET JMS
TRANSFUSION SET JMS
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO

DISP SYRINGE 50 CC WITHOUT NED

TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 11:58

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 11:56

Item
ANALSIK TABLET
GASTRIDIN INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 11:52

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 10 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NEEDLE NO.20 THERUMO
DERMAFIX-1V
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 11:37

Item
SPORETIK SANBE 100 MG
KETESSE 25 MG/ML INJECTION
CALCIUM GLUCONAS ETHICA INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)

FUTROLIT INFUSION
IMIPENEM CILASTATIN 1 GR INJECTION
DISP SYRINGE 1 CC INSULIN
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 11:17

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 10:20

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 10:13

Item
CEFPIROME 1GR VIL
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 10:10

Item
PRONALGES SUPPOSITORY 100 MG
MECOBALAMIN AMP INJECTION

TUSLAH NON RACIKAN

TOTAL

26 Mei 2013 10:07

Item
VITAMIN B6 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
SOHOLIN 125 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 10:04

Item
AMLODIPIN 5 MG TABLET
MERTIGO TABLET 6 MG
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 10:02

Item
HALOPERIDOL INF 0.5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 09:59

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 09:59

Item
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 08:17

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 14:16

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 14:04

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 12:21

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 12:10

Item
MAPROLEN 2/0 DS24
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 11:00

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML

AQUA FOR INJECT OTSUKA 25 ML

FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 11:00

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
METRONIDAZOLE 100 ML INFUSION
NYMIKO SANBE 12 ML SUSPENSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 10:56

Item
RING AS SANBE 500 ML
CEFEPIME 1 GR INJECTION
ATROPIN ETHICA 0.25 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 14:32

Item
AMINOFLUID 500 ML INFUSION
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 14:13

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 13:27

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN

TOTAL

23 Mei 2013 12:02

Item
OMEPRAZOLE 40 MG INJECTION
METRONIDAZOLE 100 ML INFUSION
VASCON SOLUTION, INJECTION 4 MG/4 ML
KETOROLAC 30 MG SOLUTION, INJECTION
FLUCONAZOLE 150 MG TABLET
DISP SYRINGE 3 CC
NEEDLE NO. 23 THERUMO
VERBAND ROLL
DISP SYRINGE 1 CC INSULIN
MICROPORE 2 INC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 11:49

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
FUROSEMID INF INJECTION
ASPAR-K TABLET, COATED 300 mg
AMLODIPIN 5 MG TABLET
DRAINAGE BAG STERIL
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 11:47

Item
NEEDLE NO. 23 THERUMO
DISP SYRINGE 3 CC
IVENA IV CATH 18
GUEDEL AIRWAYS SIZE 9.0
VALISANBE INJECTION

TUSLAH NON RACIKAN

TOTAL

23 Mei 2013 11:45

Item
RENXAMIN INFUSION
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 11:44

Item
NEEDLE NO. 23 THERUMO
METRONIDAZOLE 100 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 11:42

Item
RINGER LACTATE WIDATRA 500 ML
CITICHOLIN 2 ML 125 MG/ML INJECTION
HYPERIL 5 MG TABLET
HANDSCOON NON STERIL S (PCS)
NEEDLE NO. 23 THERUMO
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:52

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:39

Item
CATAPRES INJECTION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:38

Item
RENXAMIN INFUSION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:35

Item
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:33

Item
RENXAMIN INFUSION
CLINOLEIC 20% 250 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:28

Item
VASCON SOLUTION, INJECTION 4 MG/4 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFEPIME 1 GR INJECTION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:42

Item
IVENA IV CATH 22
IVENA IV CATH 20
IVENA IV CATH 18
INFUS SET JMS
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 11:30

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
NEEDLE NO. 23 THERUMO
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CALCIUM GLUCONAS ETHICA INJECTION
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
FUROSEMID INF INJECTION
ASPAR-K TABLET, COATED 300 mg
ALBAPURE 20% 100 ML SOLUTION, INJECTION
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 11:24

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 11:15

Item
BD VACUTAINER
CLINOLEIC 20% 100 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO. 23 THERUMO
MICROPORE 1/2 INC
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 11:11

Item

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO. 23 THERUMO
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 11:09

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 50 CC CATH TIP
VERBAND ROLL
HANDSCOON NON STERIL S (PCS)
NEEDLE NO. 23 THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 1 CC INSULIN
STOMACH TUBE 16 THERUMO
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
METRONIDAZOLE 100 ML INFUSION
VASCON SOLUTION, INJECTION 4 MG/4 ML
MUSIN OTTO 120 ML SUSPENSION
FLUCONAZOLE 150 MG TABLET
STOMACH TUBE 18 JMS
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 11:05

Item
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO. 23 THERUMO
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 11:05

Item

SANMOL INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
CITICHOLIN 2 ML 125 MG/ML INJECTION
HYPERIL 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
VERBAND ROLL
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
SELANG OKSIGEN ADULT
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
COMBIFLEX PERI 1000 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 11:02

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 09:11

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 14:24

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 14:22

Item
MUSIN OTTO 120 ML SUSPENSION
VASCON SOLUTION, INJECTION 4 MG/4 ML
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 13:55

Item
VITAMIN B6 10 MG TABLET
ACETYLCYSTEIN 200MG CAPS
OMEPRAZOLE GEN 20 MG CAPSULE
HALOPERIDOL INF 1.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 13:52

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
FUROSEMID INF INJECTION
MICARDIS TABLET 80 mg
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOPROLOL 5 MG TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 10:27

Item
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 10:26

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 10:24

Item
DISP SYRINGE 10 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
OMEPRAZOLE 40 MG INJECTION
METRONIDAZOLE 100 ML INFUSION
FLUCONAZOLE 150 MG TABLET

MUSIN OTTO 120 ML SUSPENSION

NYMIKO SANBE 12 ML SUSPENSION
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 10:23

Item
IVENA IV CATH 18
DISP SYRINGE 10 CC
METRONIDAZOLE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 10:16

Item
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
MICROPORE 1/2 INC
RING AS SANBE 500 ML
FLUCONAZOL INFUS 100 ML
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
SALBUTAMOL INF TABLET 2 MG
DOBUTAMIN GENERIK 50 MG/ML
NATRIUM PHENITOIN 50MG /ML INJ
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 10:15

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TRANSFUSION SET JMS

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

IVENA IV CATH 18
IVENA IV CATH 20
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
MICROPORE 1/2 INC
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
PYTOGIN S INJECTION
NIFEDIPIN GENERIK TABLET
KALTROFEN KALBE SUPPOSITORY 100 mg
H.C.T 25 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 10:15

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
CLINOLEIC 20% 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 06:33

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 05:31

Item
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 03:33

Item
SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 03:32

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 03:31

Item
PANSO INJEKSI 1 VIL
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 03:30

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 03:29

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
MAGNESIUM SULFAT 20% INJECTION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 03:28

Item
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 03:17

Item
DISP SYRINGE 5 CC
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
STOMACH TUBE 16 THERUMO
HANDSCOON GAMEX 7
IVENA IV CATH 20
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC CATH TIP
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
ANESFAR INJEKSI
VASCON SOLUTION, INJECTION 4 MG/4 ML
DEXTROSE 10% WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 03:02

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
INFUS SET JMS
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 10 CC
MORPHINE KIMIA FARMA 10 MG INJECTION
SANMOL INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION

DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 02:54

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 02:48

Item
ONDANSETRON INF 4 MG INJECTION
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 00:56

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
NYMIKO SANBE 12 ML SUSPENSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 00:54

Item
NATRIUM PHENITOIN 50MG /ML INJ
OMEPRAZOLE 40 MG INJECTION
DOBUTAMIN GENERIK 50 MG/ML

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 10 CC
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 00:52

Item
CAPTOPRIL 12.5 MG TABLET
PYTOGIN S INJECTION
FUROSEMID INF INJECTION
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 21:52

Item
SOHOLIN 125 MG/ML INJECTION
MEMORAN TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 19:12

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 14:07

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:44

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN

TOTAL

20 Mei 2013 13:32

Item
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
SUCTION CATHETER 14
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
SANMOL INFUSION
DERMAFIX-1V
MUSIN OTTO 120 ML SUSPENSION
CLINOLEIC 20% 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 12:29

Item
BD VACUTAINER
METRONIDAZOLE 100 ML INFUSION
NIFEDIPIN GENERIK TABLET
H.C.T 25 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
INFUS SET JMS
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 12:26

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 12:25

Item
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
DISP SYRINGE 50 CC CATH TIP
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FLUCONAZOL INFUS 100 ML
BISOLVON 2 ML INJECTION
DEXAMETHASONE 5 MG INJECTION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
MUSIN OTTO 120 ML SUSPENSION
VITAMIN B6 10 MG TABLET
SALBUTAMOL INF TABLET 2 MG
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 19:27

Item
ASPAR-K TABLET, COATED 300 mg
VITAMIN C 50 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ALLOPURINOL INF TABLET 100 MG
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
LASIX SOLUTION, INJECTION 20 MG/2 ML
IVENA IV CATH 24
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 13:57

Item
MARTOS 10 INFUSION 10 %/500 ML
RING AS SANBE 500 ML
GENTAMYCIN INF 40 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
PANTOPRAZOLE INJECTION

DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
MICROPORE 2 INC
NEEDLE NO.20 THERUMO
NEEDLE NO.18 THERUMO
WUNDRES F 5x20x0,2 cm
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 13:20

Item
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
MICROPORE 2 INC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
SUCTION CATHETER 14
SUCTION CATHETER 16
DEXTROSE 10% WIDATRA 500 ML INFUSION
RENXAMIN INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
PANTOPRAZOLE INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 13:12

Item
METRONIDAZOLE 100 ML INFUSION
PYTOGIN S INJECTION
PRONALGES SUPPOSITORY 100 MG
NIFEDIPIN GENERIK TABLET
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC

DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
HANDSCOON NON STERIL S (PCS)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 13:12

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:46

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 50 CC CATH TIP
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:42

Item
SOLAC SYRUP
ACETYLCYSTEIN 200MG CAPS
DOBUTAMIN GENERIK 50 MG/ML
SIMVASTATIN GENERIK 10 MG TABLET
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:39

Item
ISOKET INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:37

Item
IVENA IV CATH 20
ANESFAR INJEKSI
CAPTOPRIL 12.5 MG TABLET
CALCIUM GLUCONAS ETHICA INJECTION
MAGNESIUM SULFAT 20% INJECTION
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:35

Item
HYPERIL 5 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:28

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

19 Mei 2013 12:27

Item
RING AS SANBE 500 ML
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:07

Item
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC

RING AS SANBE 500 ML

DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:04

Item
KETESSE 25 MG/ML INJECTION
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:03

Item
PLAVOS 75MG TAB
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 12:02

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

19 Mei 2013 09:27

Item
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 09:26

Item
AMINORAL TABLET
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN

TOTAL

19 Mei 2013 09:25

Item
DISP SYRINGE 10 CC
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 09:22

Item
AMINORAL TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 08:08

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
TRANSFUSION SET JMS
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
PYTOGIN S INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NIFEDIPIN GENERIK TABLET
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 08:05

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
IVENA IV CATH 20

IVENA IV CATH 18
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
SUCTION CATHETER 14
SUCTION CATHETER 16
BISOLVON SOLUTION 50 ML
IMIPENEM CILASTATIN 1 GR INJECTION
FLUCONAZOL INFUS 100 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 07:58

Item
DISP SYRINGE 50 CC CATH TIP
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 02:51

Item
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 02:49

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 02:49

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

19 Mei 2013 02:49

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

19 Mei 2013 02:47

Item
SANMOL INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 00:29

Item
MEDIKLIN SDM 15 GM GEL
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 00:28

Item
FG TROCHES MEIJI
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 22:33

Item
MEMORAN TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 19:45

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 19:45

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 19:45

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 19:44

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 19:44

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 19:44

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 19:34

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 17:52

Item
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
MAGNESIUM SULFAT 20% INJECTION
BISOLVON 2 ML INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 13:45

Item
MAPROLEN 2/0 DS24
LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
SUCTION CATHETER 14
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 13:44

Item
FILTERHUMIDIFLER+HME

CIRCUIT VENTILATOR DISP (2009) ( BREATHING SYST)

ATROPIN ETHICA 0.25 MG INJECTION
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 3 CC
SUCTION CATHETER 14
CIRRUS NEBULIZER T>2505
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:55

Item
COMBIFLEX PERI 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:50

Item
COMBIFLEX PERI 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:32

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:29

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:25

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
METRONIDAZOLE 100 ML INFUSION
MARTOS 10 INFUSION 10 %/500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)

STOMACH TUBE 16 THERUMO

DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:10

Item
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
RING AS SANBE 500 ML
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:10

Item
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
VASCON SOLUTION, INJECTION 4 MG/4 ML
DISP SYRINGE 50 CC WITHOUT NED
CLINOLEIC 20% 100 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:08

Item
GUEDEL AIRWAYS SIZE 8.0
DISP SYRINGE 10 CC

FOLLEY CATHETER 16 RUSCH

STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
AQUA FOR INJECT OTSUKA 25 ML
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:05

Item
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
PANTOPRAZOLE INJECTION
AMLODIPIN 5 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:05

Item
OMEPRAZOLE 40 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON SOLUTION 50 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 14:44

Item
OMEPRAZOLE 40 MG INJECTION
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 11:50

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
IVENA IV CATH 18
IVENA IV CATH 22
DISP SYRINGE 3 CC
VASCON SOLUTION, INJECTION 4 MG/4 ML
DISP SYRINGE 50 CC CATH TIP
HANDSCOON NON STERIL S (PCS)
MUSIN OTTO 120 ML SUSPENSION
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 11:36

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 11:18

Item
PERDIPINE SOLUTION, INJECTION
DISP SYRINGE 50 CC WITHOUT NED
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 11:18

Item
RINGER LACTATE WIDATRA 500 ML
SANMOL INFUSION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC

ANBACIM INJECTION
HANDSCOON NON STERIL S (PCS)
SELANG OKSIGEN ADULT
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC INSULIN
STOMACH TUBE 14 THERUMO
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 10:59

Item
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 10:54

Item
IVENA IV CATH 22
NICARDIPINE INJ
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 10:52

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 50 CC CATH TIP
RENXAMIN INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
CLINOLEIC 20% 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 10:27

Item

IVENA IV CATH 18
IVENA IV CATH 20
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 10:16

Item
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
DISP SYRINGE 50 CC CATH TIP
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
FUROSEMID INF INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SOLAC SYRUP
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 10:12

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
SELANG OKSIGEN ADULT
HANDSCOON NON STERIL S (PCS)
AMLODIPIN 5 MG TABLET
TRANSFUSION SET JMS
INFUS SET JMS
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 10:12

Item
PERDIPINE SOLUTION, INJECTION

TUSLAH NON RACIKAN

TOTAL

17 Mei 2013 09:37

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 09:37

Item
DISP SYRINGE 3 CC
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 09:37

Item
DISP SYRINGE 3 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 09:35

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 09:34

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
IVENA IV CATH 22
DISP SYRINGE 5 CC

DISP SYRINGE 3 CC
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 02:50

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
SUCTION CATHETER 16
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 02:48

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 02:47

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
ANBACIM INJECTION
FARMADOL 100 ML INFUSION
FUTROLIT INFUSION
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
DIGOXIN INF TABLET
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 3 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
NEEDLE NO 25 THERUMO
NEEDLE NO.20 THERUMO
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 02:43

Item

PERDIPINE SOLUTION, INJECTION

TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 02:42

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 23:56

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 23:56

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 23:55

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 23:54

Item
AMBROXOL INF 30 MG TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RIFAMPICIN INF 300 MG CAPSULE
RANITIDINE GENERIK 25 MG/ML INJECTION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 23:35

Item
BETAHISTIN NOVELL TABLET 6 MG

PARACETAMOL INF TABLET 500 mg

NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
FLUNARIZINE 5 MG TABLET
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
PRONALGES SUPPOSITORY 100 MG
KETESSE 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
CEFEPIME 1 GR INJECTION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 23:29

Item
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 23:24

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 23:23

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN

TOTAL

16 Mei 2013 20:01

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 19:13

Item
IVENA IV CATH 18
IVENA IV CATH 20
RING AS SANBE 500 ML
TRANSFUSION SET JMS
INFUS SET JMS
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
KALTROFEN KALBE SUPPOSITORY 100 mg
PANTOPRAZOLE INJECTION
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 19:12

Item
CALCIUM GLUCONAS ETHICA INJECTION
MAGNESIUM SULFAT 20% INJECTION
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 50 CC WITHOUT NED
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 19:12

Item
IVENA IV CATH 20

IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 14:48

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 14:45

Item
DISP SYRINGE 10 CC
PANTOPRAZOLE INJECTION
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 14:42

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 13:41

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 13:37

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 13:36

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 12:49

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 10:39

Item
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
H.C.T 25 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
MICROPORE 1/2 INC
STOMACH TUBE 14 THERUMO
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 10:39

Item
ETHAMBUTOL500mg TABLET
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
SELANG OKSIGEN ADULT
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
AMINOFLUID 500 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FARMADOL 100 ML INFUSION

MECOBALAMIN AMP INJECTION

RANITIDINE GENERIK 25 MG/ML INJECTION
ALPENTIN 100 MG TABLET
LEVOFLOXACIN INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 10:29

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
FUROSEMID INF INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC CATH TIP
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
MICROPORE 1/2 INC
INFUS SET JMS
DISP SYRINGE 5 CC
SANMOL INFUSION
SELANG NEBUL WITH MASK(1493)
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 10:29

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
IVENA IV CATH 18
INFUS SET JMS
IVENA IV CATH 20
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
METRONIDAZOLE 100 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
AMLODIPIN 5 MG TABLET
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
MICROPORE 1/2 INC
DERMAFIX-1V

TUSLAH NON RACIKAN

TOTAL

16 Mei 2013 10:20

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
STOMACH TUBE 16 THERUMO
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
DISP SYRINGE 50 CC CATH TIP
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VERBAND ROLL
H.C.T 25 MG TABLET
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
PANTOPRAZOLE INJECTION
PRIMPERAN MG INJECTION
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 10:20

Item
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
MUSIN OTTO 120 ML SUSPENSION
SELANG OKSIGEN ADULT
HANDSCOON NON STERIL S (PCS)
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
IVENA IV CATH 20
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED

NEEDLE NO.20 THERUMO

BD VACUTAINER
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 09:39

Item
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 14:39

Item
M-20 INFUSAN (MANITOL) 500 ML
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 14:08

Item
BISOLVON SOLUTION 50 ML
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 14:07

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 14:02

Item
DISP SYRINGE 50 CC CATH TIP
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 13:25

Item
OMEPRAZOLE 40 MG INJECTION

THREE WAY STOPCOCK

TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 13:22

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 13:15

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 13:14

Item
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 12:14

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 12:14

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN

TOTAL

15 Mei 2013 11:42

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH RACIKAN
EMBALASE
ALDISA SR CAPSULE
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 11:40

Item
INH 300 MG TABLET
BISOLVON 2 ML INJECTION
CEFEPIME 1 GR INJECTION
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 11:40

Item
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 11:39

Item
SALBUTAMOL INF TABLET 2 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 11:34

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
SANBE HEST
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 11:14

Item
VERBAND ROLL
MICROPORE 1/2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 18
MUSIN OTTO 120 ML SUSPENSION
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
IVENA IV CATH 20
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 10:46

Item
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
GUEDEL AIRWAYS SIZE 8.0
NON REBREATHING MASK ADULT(1102)
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
DISP SYRINGE 50 CC CATH TIP
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 10:41

Item
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
NEEDLE NO.20 THERUMO
IVENA IV CATH 20
TRANSFUSION SET JMS
INFUS SET JMS
FARMADOL 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
AMLODIPIN 5 MG TABLET
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 10:40

Item
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VASCON SOLUTION, INJECTION 4 MG/4 ML
IVENA IV CATH 22

CEFOPERAZONE SULBACTAM 1 GM INJECTION

RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MECOBALAMIN AMP INJECTION
ALPENTIN 100 MG TABLET
DISP SYRINGE 50 CC CATH TIP
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
SELANG NEBUL WITH MASK(1493)
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 10:39

Item
DISP SYRINGE 20 CC WIHTOUT NED
IVENA IV CATH 22
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
IVENA IV CATH 20
IVENA IV CATH 18
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
VERBAND ROLL
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
FARMADOL 100 ML INFUSION
H.C.T 25 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 10:34

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 17:03

Item
INFUS SET JMS
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 14:17

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 14:09

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 14:06

Item
YAL JELLY SOLUTION
DEXTROSE 5% WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 14:04

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 13:14

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 13:05

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 12:33

Item
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 11:54

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
VERBAND ROLL
DISP SYRINGE 50 CC CATH TIP
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
NICARDIPINE INJ
AMLODIPIN 10 MG TABLET
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 11:17

Item
DERMAFIX-1V

DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
VERBAND ROLL
NEEDLE NO 25 THERUMO
DISP SYRINGE 50 CC CATH TIP
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
H.C.T 25 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 11:17

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 11:08

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
IVENA IV CATH 20
IVENA IV CATH 22
INFUS SET JMS
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
VERBAND ROLL
DOBUTAMIN GENERIK 50 MG/ML
SOLAC SYRUP

TUSLAH NON RACIKAN

TOTAL

14 Mei 2013 11:07

Item
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
LEVOFLOXACIN INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEEDLE NO.18 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 11:07

Item
GUEDEL AIRWAYS SIZE 8.0
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
M-20 INFUSAN (MANITOL) 500 ML
CEREMAX IV INFUS 50ml
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
H.C.T 25 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
DISP SYRINGE 50 CC CATH TIP
SUCTION CATHETER 14
SUCTION CATHETER 16
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 01:42

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 01:41

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 01:39

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 23:16

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 23:13

Item
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 14:31

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 14:31

Item
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 13:21

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:56

Item
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL S (PCS)
IMIPENEM CILASTATIN 1 GR INJECTION
IVENA IV CATH 20
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:53

Item
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
HANDSCOON NON STERIL M (PCS)
VERBAND ROLL
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 1 CC INSULIN
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

PANTOPRAZOLE INJECTION
MANITOL OTSU 500 ML INFUSION 20 %WV
MUSIN OTTO 120 ML SUSPENSION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:53

Item
INFUS SET JMS
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
LEVOFLOXACIN INFUSION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
MANITOL OTSU 500 ML INFUSION 20 %WV
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
MUSIN OTTO 120 ML SUSPENSION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:52

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FARMADOL 100 ML INFUSION
MANITOL OTSU 500 ML INFUSION 20 %WV
CEREMAX IV INFUS 50ml

AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:52

Item
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 50 CC WITHOUT NED
SUCTION CATHETER 14
SUCTION CATHETER 16
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

12 Mei 2013 12:44

Item
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FARMADOL 100 ML INFUSION
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
CEREMAX IV INFUS 50ml
MUSIN OTTO 120 ML SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
MICROPORE 1/2 INC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

VERBAND ROLL
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

12 Mei 2013 12:40

Item
LEVOFLOXACIN INFUSION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
MANITOL OTSU 500 ML INFUSION 20 %WV
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
HALOPERIDOL INF 0.5 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
MICROPORE 1/2 INC
STOMACH TUBE 16 THERUMO
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VERBAND ROLL
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 13:10

Item
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 13:09

Item
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 10:45

Item
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 50 CC WITHOUT NED
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
STOMACH TUBE 16 THERUMO
NEEDLE NO.18 THERUMO
MICROPORE 1/2 INC
DISP SYRINGE 50 CC CATH TIP
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 10:44

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON SOLUTION 50 ML
DISP SYRINGE 50 CC CATH TIP
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
GUEDEL AIRWAYS SIZE 8.0
DISP SYRINGE 5 CC
NEEDLE NO.18 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
SUCTION CATHETER 14
MICROPORE 1/2 INC
VERBAND ROLL
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEREMAX IV INFUS 50ml
MANITOL OTSU 500 ML INFUSION 20 %WV
FARMADOL 100 ML INFUSION
HYPERIL 5 MG TABLET
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 10:44

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

RING AS SANBE 500 ML

AMINOFLUID 500 ML INFUSION
DISP SYRINGE 50 CC WITHOUT NED
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
HANDSCOON GAMEX 6.5
MANITOL OTSU 500 ML INFUSION 20 %WV
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 5 CC
NEEDLE NO.18 THERUMO
VERBAND ROLL
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 10:43

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VERBAND ROLL
SUCTION CATHETER 14
NEEDLE NO.20 THERUMO
SUCTION CATHETER 16
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
RING AS SANBE 500 ML
DISP SYRINGE 50 CC CATH TIP
MARTOS 10 INFUSION 10 %/500 ML
FARMADOL 100 ML INFUSION
MANITOL OTSU 500 ML INFUSION 20 %WV
CAPTOPRIL 12.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
NEEDLE NO.18 THERUMO
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 14:50

Item
BISOLVON SOLUTION 50 ML

TUSLAH NON RACIKAN

TOTAL

10 Mei 2013 14:50

Item
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 14:41

Item
CAPTOPRIL 12.5 MG TABLET
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:02

Item
SELANG OKSIGEN ADULT
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NON REBREATHING MASK ADULT(1102)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
MANITOL OTSU 500 ML INFUSION 20 %WV
DISP SYRINGE 50 CC CATH TIP
VERBAND ROLL
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:00

Item
SELANG OKSIGEN ADULT
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
AMINOFLUID 500 ML INFUSION
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 11:59

Item
CINAM 1.5 GM INJECTION
AMLODIPIN 10 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
SELANG OKSIGEN ADULT
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO.20 THERUMO
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 11:49

Item
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 10 CC
NEEDLE NO. 23 THERUMO
CITICHOLIN 2 ML 125 MG/ML INJECTION
ASPAR-K TABLET, COATED 300 mg
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET

H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN TABLET 20 MG
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
MICROPORE 1/2 INC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 11:49

Item
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
THREE WAY STOPCOCK
INPEPSA 100 ML SYRUP 500 mg/5 ml
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
HANDSCOON NON STERIL M (PCS)
VERBAND ROLL
DISP SYRINGE 50 CC CATH TIP
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
GUEDEL AIRWAYS SIZE 8.0
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEREMAX IV INFUS 50ml
MANITOL OTSU 500 ML INFUSION 20 %WV
FARMADOL 100 ML INFUSION
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 11:49

Item
CLINOLEIC 20% 250 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NEEDLE NO.18 THERUMO
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

ASAM TRANEKSAMAT 500/5 ML INJECTION

FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INPEPSA 100 ML SYRUP 500 mg/5 ml
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 11:48

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 5 CC
NEEDLE NO.20 THERUMO
NEEDLE NO.18 THERUMO
HANDSCOON NON STERIL M (PCS)
VERBAND ROLL
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
FARMADOL 100 ML INFUSION
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 11:48

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
MARTOS 10 INFUSION 10 %/500 ML
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 50 CC CATH TIP
SELANG OKSIGEN ADULT
NON REBREATHING MASK ADULT(1102)
DISP SYRINGE 3 CC

DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TRANSFUSION SET JMS
DERMAFIX-1V
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
NEEDLE NO 25 THERUMO
NEEDLE NO.20 THERUMO
VERBAND ROLL
GUEDEL AIRWAYS SIZE 9.0
FARMADOL 100 ML INFUSION
MANITOL OTSU 500 ML INFUSION 20 %WV
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

9 Mei 2013 23:27

Item
ANALSIK TABLET
AMBROXOL INF 30 MG TABLET
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

9 Mei 2013 23:26

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
AMINOFLUID 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

9 Mei 2013 23:23

Item
PANTOPRAZOLE INJECTION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

9 Mei 2013 14:11

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

9 Mei 2013 11:46

Item
COMBIFLEX PERI 1000 ML INFUSION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NEEDLE NO.18 THERUMO
SELANG OKSIGEN ADULT
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 23:13

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
CEREMAX IV INFUS 50ml
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
THREE WAY STOPCOCK
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 09:44

Item
CLINOLEIC 20% 250 ML INFUSION
VERBAND ROLL
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
DISP SYRINGE 20 CC WIHTOUT NED
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
MICROPORE 1 INC
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 10 CC
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 09:40

Item
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
INPEPSA 100 ML SYRUP 500 mg/5 ml
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
M-20 INFUSAN (MANITOL) 500 ML
FARMADOL 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)

NEEDLE NO.18 THERUMO

NEEDLE NO.20 THERUMO
VERBAND ROLL
MICROPORE 1 INC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HALOPERIDOL INF 1.5 MG TABLET
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 09:40

Item
STOMACH TUBE 16 THERUMO
HANDSCOON GAMEX 6.5
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH
INPEPSA 100 ML SYRUP 500 mg/5 ml
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL M (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
VERBAND ROLL
MICROPORE 1 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
FARMADOL 100 ML INFUSION
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 13:59

Item
NICARDIPINE INJ
TUSLAH NON RACIKAN

TOTAL

7 Mei 2013 11:00

Item
VASCON SOLUTION, INJECTION 4 MG/4 ML
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 10:52

Item
MAPROLEN 2/0 DS24
HANDSCOON GAMEX 6.5
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 09:31

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
DISP SYRINGE 50 CC CATH TIP
GUEDEL AIRWAYS SIZE 8.0
AMINOFLUID 500 ML INFUSION
CLINOLEIC 20% 250 ML INFUSION
PANTOPRAZOLE INJECTION
FLUCONAZOL INFUS 100 ML
PRIMPERAN MG INJECTION
BISOLVON 2 ML INJECTION
FARMADOL 100 ML INFUSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
FUROSEMID INF INJECTION
CAPTOPRIL 12.5 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 09:21

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
M-20 INFUSAN (MANITOL) 500 ML
CAPTOPRIL 12.5 MG TABLET
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VERBAND ROLL
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 09:21

Item
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
M-20 INFUSAN (MANITOL) 500 ML
FARMADOL 100 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

HANDSCOON NON STERIL M (PCS)

NEEDLE NO.18 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VERBAND ROLL
MICROPORE 1/2 INC
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 14:13

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 13:51

Item
TRANSFUSION SET JMS
THREE WAY STOPCOCK
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 25 THERUMO
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 13:47

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 13:45

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 13:44

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
MORPHINE KIMIA FARMA 10 MG INJECTION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 12:53

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 12:53

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 11:07

Item
FILTERHUMIDIFLER+HME
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 11:01

Item

PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
FLUCONAZOL INFUS 100 ML
LEVOFLOXACIN INFUSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ANTRAIN INJECTION
SANMOL INFUSION
H.C.T 25 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
CLONIDINE INF 150 MG TABLET
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
AMLODIPIN 10 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEEDLE NO.20 THERUMO
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 50 CC CATH TIP
SUCTION CATHETER 14
SUCTION CATHETER 16
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 11:01

Item
FLUCONAZOL INFUS 100 ML
PANTOPRAZOLE INJECTION
PRIMPERAN MG INJECTION
BISOLVON 2 ML INJECTION
SANMOL INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
AMINOFLUID 500 ML INFUSION
CLINOLEIC 20% 250 ML INFUSION
INPEPSA 100 ML SYRUP 500 mg/5 ml
CAPTOPRIL 12.5 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NEEDLE NO.18 THERUMO
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
NEEDLE NO.20 THERUMO
MICROPORE 1/2 INC
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 50 CC WITHOUT NED

FUROSEMID INF INJECTION

DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 11:00

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
MANITOL OTSU 500 ML INFUSION 20 %WV
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
NEEDLE NO.20 THERUMO
NEEDLE NO.18 THERUMO
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 50 CC CATH TIP
MICROPORE 1/2 INC
AMLODIPIN 10 MG TABLET
SANMOL INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 09:57

Item
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 09:45

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 09:44

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 09:44

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
SELANG OKSIGEN ADULT
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 22
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 06:26

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 04:30

Item
CAPTOPRIL 12.5 MG TABLET
V-BLOC 6,25MG TABLET
H.C.T 25 MG TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 01:28

Item
ANESFAR INJEKSI
BISOLVON 2 ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FARMADOL 100 ML INFUSION
MUSIN OTTO 120 ML SUSPENSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 01:26

Item
DISP SYRINGE 10 CC
MORPHINE KIMIA FARMA 10 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 00:46

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 23:53

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
ANESFAR INJEKSI
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 23:52

Item
MUSIN OTTO 120 ML SUSPENSION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC

TUSLAH NON RACIKAN

TOTAL

5 Mei 2013 23:13

Item
SOHOLIN 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 23:12

Item
BIFOTIK POWDER, FOR INJECTION SUSPENSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 22:37

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 13:32

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 12:02

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
MICROPORE 1/2 INC
VERBAND ROLL

NYMIKO SANBE 12 ML SUSPENSION

DISP SYRINGE 50 CC WITHOUT NED
FLUCONAZOL INFUS 100 ML
PANTOPRAZOLE INJECTION
PRIMPERAN MG INJECTION
BISOLVON 2 ML INJECTION
SANMOL INFUSION
INPEPSA 100 ML SYRUP 500 mg/5 ml
CAPTOPRIL 12.5 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUROSEMID INF INJECTION
AMINOFLUID 500 ML INFUSION
CLINOLEIC 20% 250 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:58

Item
THREE WAY STOPCOCK
MANITOL OTSU 500 ML INFUSION 20 %WV
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DERMAFIX-1V
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
COMBIFLEX PERI 1000 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 50 CC CATH TIP
ANESFAR INJEKSI
DISP SYRINGE 10 CC
PANTOPRAZOLE INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
INFUS SET JMS
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL S (PCS)
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:45

Item

IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:45

Item
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:45

Item
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:39

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
NOVALGIN SOLUTION, INJECTION 500 mg/ml
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
VERBAND ROLL
MICROPORE 1/2 INC
NICARDIPINE INJ
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
SUCTION CATHETER 14
SUCTION CATHETER 16
RING AS SANBE 500 ML
MARTOS 10 INFUSION 10 %/500 ML
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
FLUCONAZOL INFUS 100 ML
LEVOFLOXACIN INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
MICARDIS TABLET 80 mg

AMLODIPIN 5 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:36

Item
BD VACUTAINER
TRANSFUSION SET JMS
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 10:41

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 16:44

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 16:36

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN

TOTAL

3 Mei 2013 14:17

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 13:38

Item
GLIDABET 80 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:55

Item
IVENA IV CATH 20
IVENA IV CATH 22
STOMACH TUBE 14 THERUMO
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:54

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED
ASAM MEFENAMAT INF 500 MG TABLET
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:53

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:09

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
VERBAND ROLL
DISP SYRINGE 20 CC WIHTOUT NED
CLINOLEIC 20% 250 ML INFUSION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
FLUCONAZOL INFUS 100 ML
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
PRIMPERAN MG INJECTION
FARMADOL 100 ML INFUSION
CAPTOPRIL 12.5 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:06

Item
FLUCONAZOLE 150 MG TABLET
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:05

Item
DERMAFIX-1V
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
NATRIUM PHENITOIN 50MG /ML INJ
MANITOL OTSU 500 ML INFUSION 20 %WV
HYPERIL 5 MG TABLET

AMLODIPIN 5 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:05

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
MICARDIS TABLET 80 mg
AMLODIPIN 5 MG TABLET
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
GUEDEL AIRWAYS SIZE 8.0
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
DISP SYRINGE 50 CC CATH TIP
MARTOS 10 INFUSION 10 %/500 ML
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
FLUCONAZOL INFUS 100 ML
LEVOFLOXACIN INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 09:34

Item
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 50 CC CATH TIP

XYLOCAINE 2% 10 GM JELLY
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
SANMOL INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
METFORMIN HCL 500 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 09:34

Item
DISP SYRINGE 10 CC
DISP SYRINGE 50 CC CATH TIP
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 1 CC INSULIN
MARTOS 10 INFUSION 10 %/500 ML
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 22:46

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
NEW DIATABS TABLET 600 mg
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 22:44

Item
LOVENOX 0,6 SOLUTION, INJECTION
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 22:43

Item
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
FLUCONAZOLE 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 22:42

Item
CEFEPIME 1 GR INJECTION
GEMFIBROZIL INF 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 20:04

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 19:04

Item
MAGNESIUM SULFAT 20% INJECTION
CALCIUM GLUCONAS ETHICA INJECTION
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 13:34

Item
ANESFAR INJEKSI
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 13:13

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
MORPHINE KIMIA FARMA 10 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 13:12

Item
BISOLVON SOLUTION 50 ML

TUSLAH NON RACIKAN

TOTAL

2 Mei 2013 13:10

Item
CEFEPIME 1 GR INJECTION
NICARDIPINE INJ
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 13:08

Item
NICARDIPINE INJ
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:20

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
SELANG NEBUL WITH MASK(1493)
LEVOFLOXACIN INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
MICROPORE 2 INC
VERBAND ROLL
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:00

Item
NEEDLE NO 25 THERUMO
NEEDLE NO.20 THERUMO
BD VACUTAINER
INPEPSA 100 ML SYRUP 500 mg/5 ml
BISOLVON 2 ML INJECTION
VERBAND ROLL
RECOFOL SOLUTION, INJECTION 10 mg/ml
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 11:54

Item

INPEPSA 100 ML SYRUP 500 mg/5 ml

TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 11:54

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 10:26

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
MORPHINE KIMIA FARMA 10 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
COMBIFLEX PERI 1000 ML INFUSION
AMINOFLUID 500 ML INFUSION
CLINOLEIC 20% 250 ML INFUSION
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
FLUCONAZOL INFUS 100 ML
PRIMPERAN MG INJECTION
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 10:23

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 50 CC CATH TIP
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION

AMINOFLUID 500 ML INFUSION

RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 20
HANDSCOON NON STERIL S (PCS)
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 10:21

Item
SIMVASTATIN GENERIK 10 MG TABLET
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 18 RUSCH
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
THREE WAY STOPCOCK
DRAINAGE BAG STERIL
NEEDLE NO 25 THERUMO
IVENA IV CATH 20
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
METFORMIN HCL 500 MG TABLET
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 10:14

Item
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
MARTOS 10 INFUSION 10 %/500 ML
RING AS SANBE 500 ML

VALAMIN SANBE INFUSION

FLUCONAZOL INFUS 100 ML
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
FARMADOL 100 ML INFUSION
OTSU SALIN 3% INFUSION
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 10:10

Item
NEEDLE NO 25 THERUMO
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NEEDLE NO.18 THERUMO
DISP SYRINGE 50 CC CATH TIP
HANDSCOON NON STERIL S (PCS)
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 10:07

Item
SUCTION CATHETER 14
PERDIPINE SOLUTION, INJECTION
DISP SYRINGE 50 CC CATH TIP
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
DEXAMETHASONE 5 MG INJECTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
VERBAND ROLL
SELANG OKSIGEN ADULT
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 19:30

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:45

Item
IVENA IV CATH 22
RING AS SANBE 500 ML
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 1 CC INSULIN
FOLLEY CATHETER 18 RUSCH
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
LEVOFLOXACIN INFUSION
FLUCONAZOL INFUS 100 ML
GUEDEL AIRWAYS SIZE 8.0
INFUS SET JMS
FARMADOL 100 ML INFUSION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
SELANG OKSIGEN ADULT
SELANG NEBUL WITH MASK(1493)
SUCTION CATHETER 14
SUCTION CATHETER 16
MARTOS 10 INFUSION 10 %/500 ML
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:43

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:27

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:25

Item
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.20 THERUMO
NEEDLE NO.18 THERUMO
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
MARTOS 10 INFUSION 10 %/500 ML
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RAIVAS 4 ML SOLUTION, INJECTION 1 MG/ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:23

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 12:11

Item
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NEEDLE NO.18 THERUMO
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
CAPTOPRIL 12.5 MG TABLET
COMBIFLEX PERI 1000 ML INFUSION
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FARMADOL 100 ML INFUSION

FLUCONAZOL INFUS 100 ML

TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 12:10

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 12:09

Item
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
VERBAND ROLL
DISP SYRINGE 50 CC CATH TIP
INFUS SET JMS
IVENA IV CATH 20
IVENA IV CATH 18
IVENA IV CATH 24
IVENA IV CATH 22
NEEDLE NO.18 THERUMO
NEEDLE NO.20 THERUMO
MARTOS 10 INFUSION 10 %/500 ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 11:59

Item
CLINOLEIC 20% 250 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
3,00
1,00

Depo
Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
5,00
1,00

Apotik Panel 2
Subtotal
VIL
UNT

JAMPERSAL
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
5,00
3,00
1,00
3,00
3,00
3,00
3,00
5,00
100,00
2,00
2,00
1,00
12,00

Depo Atas
Subtotal
UNT
UNT
BOT
AMP
BOT
AMP
VIL
PKG
PKG
UNT
UNT
BOT
UNT

Pasien
Penjamin
285120
285120
500
500
285620
285620

0
0
0

Pasien
Penjamin
19250
19250
500
500
19750
19750

0
0
0

Pasien
Penjamin
12635
12635
26975
26975
1000
1000
40610
40610

0
0
0
0

Pasien
Penjamin
126741
126741
500
500
127241
127241

0
0
0

Pasien
Penjamin
7700
7700
37830
37830
57964
57964
30033
30033
101952
101952
7383
7383
37245
37245
2610
2610
50200
50200
1374
1374
1374
1374
5881
5881
6000
6000
347546
347546

0
0
0
0
0
0
0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
5,00
1,00
3,00
2,00
1,00
1,00
1,00
6,00
3,00
5,00
1.000,00
2,00
12,00

Depo Atas
Subtotal
PKG
AMP
UNT
PKG
BOT
TAB
TAB
AMP
AMP
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
5,00
5,00
100,00
2,00
2,00
1,00
2,00
1,00
1,00
3,00
3,00
4,00
3,00
3,00
3,00
3,00
3,00
2,00
1,00
22,00

Depo Atas
Subtotal
BAG
UNT
BAG
UNT
PKG
PKG
UNT
UNT
BOT
PKG
UNT
BOT
AMP
VIL
AMP
VIL
AMP
AMP
AMP
AMP
VIL
BOT
UNT

Pasien
Penjamin
2610
2610
12080
12080
17196
17196
53900
53900
16417
16417
501
501
2052
2052
106920
106920
133401
133401
7700
7700
502000
502000
1374
1374
6000
6000
862151
862151

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
88857
88857
8415
8415
102600
102600
7700
7700
2610
2610
50200
50200
1374
1374
1374
1374
5881
5881
7392
7392
26600
26600
16417
16417
161064
161064
37245
37245
26180
26180
217488
217488
5220
5220
20790
20790
133401
133401
30033
30033
22770
22770
247401
247401
11000
11000
1232012 1232012

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

JAMPERSAL
Quantity
8,00
8,00
1,00
100,00
2,00
2,00
1,00
1,00
2,00
4,00
3,00
3,00
2,00
3,00
3,00
3,00
3,00
3,00
18,00

Depo Atas
Subtotal
UNT
PKG
UNT
PKG
UNT
UNT
BOT
PKG
BAG
VIL
BOT
AMP
VIL
BOT
AMP
AMP
VIL
AMP
UNT

JAMPERSAL
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BAG
UNT

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
100,00
5,00
1,00
1,00
1,00
4,00
3,00
1,00
6,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
PKG
BOT
UNT
BOT
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
12520
12520
4176
4176
12635
12635
65875
65875
1424
1424
1424
1424
5906
5906
2970
2970
256562.5 256562.5
448940
448940
101952
101952
17121
17121
144992
144992
168300
168300
20925
20925
5295
5295
37320
37320
41302.5 41302.5
9000
9000
1358640 1358640

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
381160
381160
500
500
381660
381660

0
0
0

Pasien
Penjamin
17196
17196
1374
1374
1374
1374
50200
50200
2610
2610
16417
16417
14988
14988
67716
67716
19960
19960
7392
7392
501
501
516
516
2052
2052
88
88

0
0
0
0
0
0
0
0
0
0
0
0
0
0

14,00

UNT

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
VIL
BOT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
TAB
UNT

JPK PNS
Quantity
2,00
1,00

Depo IGD
Subtotal
UNT
UNT

UMUM
Quantity
1,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
6,00

Depo IGD
Subtotal
TAB
VIL
UNT
BOT
UNT
UNT
GM
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

Depo IGD
Subtotal
VIL
AMP
UNT
UNT

7000
209384

7000
209384

0
0

Pasien
Penjamin
5184
5184
16417
16417
1000
1000
22601
22601

0
0
0
0

Pasien
Penjamin
25020
25020
500
500
25520
25520

0
0
0

Pasien
Penjamin
3080
3080
500
500
3580
3580

0
0
0

Pasien
Penjamin
1983
1983
22770
22770
3300
3300
278981
278981
5500
5500
11464
11464
28
28
3500
3500
900
900
3000
3000
331426
331426

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
152160
152160
4922
4922
2550
2550
1500
1500

0
0
0
0

161132

ASKES
Quantity
2,00
1,00

Depo IGD
Subtotal
TAB
UNT

JPK PNS
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
TAB
VIL
BOT
UNT

JPK PNS
Quantity
2,00
1,00

Depo IGD
Subtotal
UNT
UNT

ASKES
Quantity
2,00
1,00

Depo IGD
Subtotal
UNT
UNT

ASKES
Quantity
3,00
1,00

Depo IGD
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
9,00
1,00
1,00
2,00
4,00

Depo Atas
Subtotal
AMP
AMP
UNT
UNT
UNT

161132

Penjamin
64
64
500
500
564
564

0
0
0

Penjamin
528
85272
59400
1500
146700

0
0
0
0
0

Pasien
Penjamin
3080
3080
500
500
3580
3580

0
0
0

Pasien
Penjamin
2550
2550
500
500
3050
3050

0
0
0

Pasien
Penjamin
3231
3231
500
500
3731
3731

0
0
0

Pasien
Penjamin
90099
90099
24758
24758
22688
22688
53900
53900
2000
2000

0
0
0
0
0

Pasien

Pasien
528
85272
59400
1500
146700

193445

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
3,00
2,00

Depo Atas
Subtotal
AMP
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

JAMPERSAL
Quantity
4,00
3,00
3,00
2,00
3,00
3,00
3,00
3,00
3,00
3,00
5,00
2,00

Depo Atas
Subtotal
VIL
BOT
AMP
VIL
BOT
AMP
AMP
AMP
AMP
UNT
UNT
UNT

193445

Pasien
Penjamin
15180
15180
500
500
15680
15680

0
0
0

Pasien
Penjamin
7590
7590
500
500
8090
8090

0
0
0

Pasien
Penjamin
4922
4922
68064
68064
1000
1000
73986
73986

0
0
0
0

Pasien
Penjamin
3696
3696
53900
53900
1000
1000
58596
58596

0
0
0
0

Pasien
Penjamin
448940
448940
101952
101952
17121
17121
144992
144992
168300
168300
20925
20925
5295
5295
285195
285195
41302.5 41302.5
37905
37905
7825
7825
53950
53950

0
0
0
0
0
0
0
0
0
0
0
0

2,00
100,00
14,00

PKG
PKG
UNT

JAKARTA SEHAT
Quantity
15,00
1,00

Apotik Panel
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
5,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
3,00
3,00
1,00
1,00
3,00
1,00
4,00
4,00
1,00
1,00
100,00
2,00
16,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
BOT
UNT
UNT
VIL
PKG
VIL
UNT
UNT
PKG
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
100,00
9,00
2,00

Depo Atas
Subtotal
PKG
AMP
VIL

5940
65875
7000
1412518

5940
65875
7000
1412518

0
0
0
0

Pasien
Penjamin
56925
56925
500
500
57425
57425

0
0
0

Pasien
Penjamin
34360
34360
500
500
34860
34860

0
0
0

Pasien
Penjamin
29976
29976
29976
29976
32176
32176
11464
11464
2061
2061
101952
101952
26611
26611
62563
62563
633600
633600
3696
3696
49660
49660
5100
5100
8415
8415
41388
41388
50200
50200
6600
6600
8000
8000
1103438 1103438

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
50200
50200
400203
400203
22770
22770

0
0
0

1,00
1,00
1,00
5,00
6,00
3,00
3,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
3,00
3,00
3,00
20,00

BOT
UNT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
UNT
UNT
TUB
VIL
AMP
AMP
AMP
UNT

JAKARTA SEHAT
Quantity
4,00
3,00
2,00
1,00
3,00
3,00
2,00
2,00
3,00
1,00
100,00
8,00

Depo Atas
Subtotal
VIL
TAB
GM
UNT
UNT
TAB
UNT
UNT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
6,00
3,00

Depo Atas
Subtotal
BOT
BOT
TAB
TAB
TAB
TAB
UNT

78634
26611
16417
6375
9240
17196
2061
8415
10588
56100
20213
32176
56262
72496
5220
20790
126741
10000
1048708

78634
26611
16417
6375
9240
17196
2061
8415
10588
56100
20213
32176
56262
72496
5220
20790
126741
10000
1048708

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
448800
448800
246
246
80
80
3500
3500
150
150
348
348
11464
11464
1374
1374
3825
3825
26611
26611
50200
50200
4000
4000
550598
550598

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
67716
67716
7722
7722
7392
7392
501
501
516
516
17196
17196

0
0
0
0
0
0
0

100,00
2,00
4,00
3,00
2,00
2,00
3,00
14,00

PKG
TAB
UNT
UNT
BOT
PKG
VIL
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
100,00
2,00
6,00
8,00

Depo Atas
Subtotal
PKG
BOT
TAB
TAB
PKG
PKG
TAB
AMP
UNT

JAKARTA SEHAT
Quantity
3,00
10,00
2,00
3,00

Emergency ICU
Subtotal
UNT
AMP
AMP
UNT

JPK PNS
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
6,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT
BOT
BOT
AMP
UNT

JAKARTA SEHAT

Depo IGD

50200
88
5100
2061
11762
5940
7776
7000
207387

50200
88
5100
2061
11762
5940
7776
7000
207387

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11088
11088
16417
16417
501
501
2052
2052
2970
2970
50200
50200
1654
1654
106920
106920
4000
4000
195802
195802

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5991
5991
24610
24610
150480
150480
1500
1500
182581
182581

0
0
0
0
0

Pasien
Penjamin
1540
1540
1275
1275
32670
32670
5881
5881
2640
2640
1740
1740
3000
3000
48746
48746

0
0
0
0
0
0
0
0

Quantity
2,00
2,00
1,00
1,00
1,00
3,00
3,00
2,00
5,00
5,00
1,00
11,00

Subtotal
BAG
BAG
BOT
BOT
VIL
AMP
AMP
VIL
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
8,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
5,00
1,00
2,00

Depo Atas
Subtotal
AMP
UNT
UNT

JAMPERSAL
Quantity
14,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAMPERSAL
Quantity
3,00
3,00
5,00
5,00
100,00
2,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT
PKG

Pasien
Penjamin
205200
205200
177714
177714
16417
16417
5881
5881
72496
72496
5220
5220
20790
20790
22770
22770
7700
7700
6375
6375
3300
3300
5500
5500
549363
549363

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19688
19688
500
500
20188
20188

0
0
0

Pasien
Penjamin
12305
12305
20213
20213
1000
1000
33518
33518

0
0
0
0

Pasien
Penjamin
34804
34804
500
500
35304
35304

0
0
0

Pasien
Penjamin
37905
37905
17271
17271
7825
7825
6500
6500
65875
65875
1424
1424
3692.5
3692.5

0
0
0
0
0
0
0

1,00
2,00
2,00
4,00
3,00
3,00
2,00
3,00
3,00
4,00
4,00
3,00
19,00

BOT
UNT
BAG
VIL
BOT
AMP
VIL
BOT
AMP
AMP
AMP
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
5,00
100,00
1,00
3,00
2,00
11,00

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
PKG
UNT
UNT
PKG
BOT
AMP
TAB
UNT

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00
100,00
3,00
1,00
3,00
1,00
2,00
2,00
1,00

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
PKG
UNT
BOT
VIL
UNT
UNT
PKG
PKG

5906
5906
3846
3846
256562.5 256562.5
448940
448940
101952
101952
17121
17121
170544
170544
178200
178200
285195
285195
27900
27900
7060
7060
37320
37320
9500
9500
1690539 1690539

Pasien

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
501
2052
11464
29976
5940
37830
6375
50200
16417
133401
15444
5500
315100

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
37245
37245
4620
4620
3825
3825
50200
50200
17196
17196
5881
5881
336600
336600
3300
3300
1374
1374
5940
5940
3696
3696

0
0
0
0
0
0
0
0
0
0
0
0

501
2052
11464
29976
5940
37830
6375
50200
16417
133401
15444
5500
315100

12,00

UNT

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
2,00
6,00
2,00
3,00
3,00
100,00
2,00
2,00
2,00
13,00

Depo Atas
Subtotal
BOT
UNT
UNT
TAB
BOT
AMP
TAB
TAB
UNT
PKG
UNT
UNT
BOT
UNT

ASKES
Quantity
2,00
1,00
2,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
1,00
3,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT
UNT

JPK PNS
Quantity
2,00
3,00
1,00
1,00
1,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT
UNT
UNT

6000
508711

6000
508711

0
0

Pasien
Penjamin
67716
67716
29976
29976
14988
14988
1451
1451
32834
32834
266802
266802
15444
15444
7392
7392
37830
37830
50200
50200
1374
1374
1374
1374
11762
11762
6500
6500
545643
545643

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
1275
1275
1000
1000
32251
32251

0
0
0
0

Pasien
Penjamin
1275
1275
14988
14988
14988
14988
1500
1500
32751
32751

0
0
0
0
0

Pasien
Penjamin
2550
2550
44964
44964
8415
8415
16335
16335
1540
1540

0
0
0
0
0

1,00
6,00

BOT
UNT

JPK PNS
Quantity
1,00
3,00
1,00
1,00
1,00
1,00
6,00

Emergency Anggrek
Subtotal
AMP
UNT
BOT
BOT
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

Emergency Anggrek
Subtotal
AMP
AMP
UNT
UNT
BOT
TAB
UNT
UNT

ASKES
Quantity
3,00
2,00
2,00
3,00

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

ASKES
Quantity
2,00
1,00

Depo IGD
Subtotal
AMP
UNT

ASKES

Depo IGD

5881
3000
82685

5881
3000
82685

0
0
0

Pasien
Penjamin
1740
1740
3825
3825
16417
16417
5881
5881
16335
16335
1540
1540
3000
3000
48738
48738

0
0
0
0
0
0
0
0

Pasien
Penjamin
1740
1740
11020
11020
1275
1275
16335
16335
5881
5881
116
116
14988
14988
3500
3500
54855
54855

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22053
22053
3080
3080
2550
2550
1500
1500
29183
29183

0
0
0
0
0

Pasien
Penjamin
14702
14702
500
500
15202
15202

0
0
0

Quantity
2,00
1,00

Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

Depo IGD
Subtotal
VIL
UNT
BAG
UNT

UMUM
Quantity
3,00
1,00

Depo IGD
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
3,00
3,00
6,00

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
AMP
AMP
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
AMP
UNT

UMUM
Quantity
2,00
1,00
1,00
3,00

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Pasien
Penjamin
32670
32670
500
500
33170
33170

0
0
0

Pasien
Penjamin
85272
85272
11464
11464
175824
175824
1500
1500
274060
274060

0
0
0
0
0

Pasien
Penjamin
49251
49251
500
500
49751
49751

0
0
0

Pasien
Penjamin
22770
22770
3994
3994
3080
3080
3300
3300
20790
20790
46191
46191
3000
3000
103125
103125

0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
500
500
13100
13100

0
0
0

Pasien
172
1320
47685
1500

Penjamin
172
1320
47685
1500

0
0
0
0

50677

UMUM
Quantity
1,00
2,00
1,00
4,00
1,00
1,00
6,00

Depo IGD
Subtotal
BOT
TAB
TAB
AMP
VIL
UNT
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
AMP
UNT

JPK PNS
Quantity
2,00
3,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
VIL
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
TAB
UNT

UMUM
Quantity
6,00
1,00

Depo IGD
Subtotal
TAB
UNT

ASKES
Quantity

Depo IGD
Subtotal

50677

Pasien
Penjamin
47685
47685
232
232
12540
12540
52740
52740
142560
142560
1540
1540
3000
3000
260297
260297

0
0
0
0
0
0
0
0

Pasien
Penjamin
100980
100980
500
500
101480
101480

0
0
0

Pasien
Penjamin
2550
2550
4620
4620
142560
142560
1500
1500
151230
151230

0
0
0
0
0

Pasien
Penjamin
19252
19252
500
500
19752
19752

0
0
0

Pasien
Penjamin
1482
1482
500
500
1982
1982

0
0
0

Pasien

Penjamin

1,00
1,00

UNT
UNT

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

Emergency Anggrek
Subtotal
UNT
UNT
BOT
UNT
TUB
UNT

UMUM
Quantity
3,00
3,00
2,00

Depo IGD
Subtotal
TAB
VIL
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

UMUM
Quantity
4,00
1,00

Depo IGD
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT

JAMPERSAL

Depo Atas

1828
500
2328

1828
500
2328

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
5280
5280
1540
1540
56262
56262
2500
2500
89734
89734

0
0
0
0
0
0
0

Pasien

Penjamin
216
30096
1000
31312

0
0
0
0

Pasien
Penjamin
85272
85272
500
500
85772
85772

0
0
0

Pasien
Penjamin
45540
45540
500
500
46040
46040

0
0
0

Pasien
Penjamin
2494
2494
17196
17196
1000
1000
20690
20690

0
0
0
0

216
30096
1000
31312

Quantity
4,00
1,00
2,00

Subtotal
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
5,00
1,00
2,00

Depo Atas
Subtotal
AMP
UNT
UNT

JAKARTA SEHAT
Quantity
5,00
5,00
100,00
2,00
2,00
1,00
6,00
5,00
1,00
3,00
3,00
2,00
12,00

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
PKG
PKG
AMP
UNT
TAB
TAB
TAB
BOT
UNT

JAMPERSAL
Quantity
1,00
3,00
8,00
100,00
2,00
2,00
2,00
2,00
3,00
4,00
3,00
3,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
BOT
UNT
UNT
UNT
UNT
VIL
BOT
AMP

Pasien
Penjamin
23028
23028
128281.3 128281.3
1000
1000
152309.3 152309.3

0
0
0
0

Pasien
Penjamin
12305
12305
46101
46101
1000
1000
59406
59406

0
0
0
0

Pasien
Penjamin
7700
7700
6375
6375
50200
50200
1374
1374
2904
2904
2970
2970
266802
266802
63050
63050
7722
7722
132
132
7392
7392
32834
32834
6000
6000
455455
455455

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8440
8440
37905
37905
10400
10400
65875
65875
11812
11812
1424
1424
1424
1424
3846
3846
4695
4695
448940
448940
101952
101952
17121
17121

0
0
0
0
0
0
0
0
0
0
0
0

4,00
3,00
3,00
15,00

VIL
BOT
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
5,00
3,00
2,00
1,00
5,00
1,00
2,00
100,00
2,00
1,00
11,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT
AMP
TAB
BOT
PKG
PKG
BOT
UNT

JAMSOSTEK
Quantity
1,00
3,00
1,00
3,00
4,00

Depo IGD
Subtotal
AMP
AMP
UNT
SUP
UNT

JAMPERSAL
Quantity
2,00
1,00

Depo Atas
Subtotal
BAG
UNT

JAMSOSTEK
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

341088
178200
285195
7500
1525817

341088
178200
285195
7500
1525817

0
0
0
0
0

Pasien
Penjamin
2970
2970
6375
6375
4620
4620
25220
25220
16335
16335
222335
222335
7722
7722
32834
32834
50200
50200
2904
2904
5881
5881
5500
5500
382896
382896

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4634
4634
37572
37572
12610
12610
39186
39186
2000
2000
96002
96002

0
0
0
0
0
0

Pasien
Penjamin
256562.5 256562.5
500
500
257062.5 257062.5

0
0
0

Pasien
Penjamin
8415
8415
500
500
8915
8915

0
0
0

JPK PNS
Quantity
14,00
3,00
2,00
2,00
1,00
1,00
4,00
4,00
2,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

UMUM
Quantity
1,00
3,00
1,00
3,00
1,00
3,00
3,00
100,00
2,00
2,00
1,00
11,00

Depo Atas
Subtotal
PKG
BOT
UNT
AMP
BOT
UNT
UNT
PKG
UNT
PKG
UNT
UNT

UMUM
Quantity
6,00
100,00
2,00
2,00
1,00
1,00
3,00
3,00
1,00
1,00
2,00
2,00
3,00

Depo Atas
Subtotal
UNT
PKG
UNT
PKG
PKG
BOT
AMP
AMP
BOT
UNT
BOT
UNT
UNT

Pasien
Penjamin
110600
110600
378
378
522
522
274
274
219
219
3500
3500
200
200
948
948
1000
1000
117641
117641

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2970
2970
178200
178200
22688
22688
20790
20790
16417
16417
3825
3825
4620
4620
50200
50200
1374
1374
2904
2904
46101
46101
5500
5500
355589
355589

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7650
7650
50200
50200
1374
1374
2904
2904
2970
2970
5881
5881
20790
20790
5220
5220
47685
47685
46101
46101
32834
32834
11464
11464
4620
4620

0
0
0
0
0
0
0
0
0
0
0
0
0

13,00

UNT

UMUM
Quantity
1,00
3,00
3,00
1,00
3,00
1,00
3,00
3,00
100,00
2,00
2,00
1,00
12,00

Depo Atas
Subtotal
PKG
AMP
BOT
UNT
AMP
BOT
UNT
UNT
PKG
UNT
PKG
UNT
UNT

JAMPERSAL
Quantity
1,00
100,00
2,00
2,00
3,00
50,00
3,00
7,00
7,00
4,00
3,00
3,00
1,00
3,00
5,00
15,00

Depo Atas
Subtotal
PKG
PKG
UNT
PKG
UNT
AMP
BOT
UNT
UNT
VIL
BOT
AMP
UNT
BOT
AMP
UNT

JAMSOSTEK
Quantity
1,00
2,00

Depo Atas
Subtotal
BOT
BOT

6500
246193

6500
246193

0
0

Pasien
Penjamin
2970
2970
8673
8673
178200
178200
22688
22688
20790
20790
16417
16417
3825
3825
4620
4620
50200
50200
1374
1374
2904
2904
46101
46101
6000
6000
364762
364762

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2970
2970
65875
65875
1424
1424
3692.5
3692.5
17271
17271
124300
124300
17718
17718
9100
9100
10955
10955
448940
448940
101952
101952
17121
17121
46101
46101
178200
178200
475325
475325
7500
7500
1528445 1528445

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
67716
67716
11762
11762

0
0

1,00
3,00
1,00
3,00
2,00
3,00
3,00
100,00
2,00
2,00
12,00

UNT
BOT
UNT
BOT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

UMUM
Quantity
2,00
2,00
1,00
3,00

Emergency Anggrek
Subtotal
UNT
TAB
BOT
UNT

ASKES
Quantity
1,00
1,00
2,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

Emergency Anggrek
Subtotal
UNT
BOT
UNT
UNT
UNT
UNT
UNT
UNT

UMUM
Quantity
1,00

Emergency Anggrek
Subtotal
UNT

16335
178200
46101
49251
11464
3825
4620
50200
1374
2904
6000
449752

16335
178200
46101
49251
11464
3825
4620
50200
1374
2904
6000
449752

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
252
252
5881
5881
1500
1500
37609
37609

0
0
0
0
0

Pasien
Penjamin
1540
1540
1275
1275
1000
1000
3815
3815

0
0
0
0

Pasien
Penjamin
1374
1374
16417
16417
1540
1540
1275
1275
14988
14988
14988
14988
26611
26611
3500
3500
80693
80693

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1275
1275

1,00
1,00
1,00
4,00

BOT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00
1,00
1,00
4,00

Emergency Anggrek
Subtotal
BOT
BOT
UNT
AMP
UNT

ASKES
Quantity
1,00
1,00
2,00
1,00
4,00

Emergency Anggrek VIP

Subtotal
UNT
UNT
UNT
UNT
UNT

ASKES
Quantity
1,00
2,00
1,00
2,00
1,00
2,00
1,00
7,00

Emergency Anggrek VIP

Subtotal
BAG
UNT
BOT
UNT
BOT
BOT
UNT
UNT

JPK PNS
Quantity
3,00
2,00
3,00
1,00
4,00

Depo IGD
Subtotal
TAB
AMP
UNT
BOT
UNT

16417
687
23719
2000
44098

16417
687
23719
2000
44098

0
0
0
0
0

Pasien
Penjamin
16417
16417
2640
2640
14988
14988
15397
15397
2000
2000
51442
51442

0
0
0
0
0
0

Pasien
Penjamin
1540
1540
1275
1275
29976
29976
14988
14988
2000
2000
49779
49779

0
0
0
0
0
0

Pasien
Penjamin
9633
9633
3994
3994
2640
2640
3080
3080
9096
9096
32834
32834
3300
3300
3500
3500
68077
68077

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1200
1200
14702
14702
3825
3825
56100
56100
2000
2000

0
0
0
0
0

77827

JPK PNS
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
VIL
AMP
BAG
UNT

ASKES
Quantity
2,00
4,00
3,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
VIL
UNT

UMUM
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
UNT
TAB
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BAG
UNT

ASKES
Quantity
1,00
3,00

Depo IGD
Subtotal
VIL
AMP

77827

Pasien
Penjamin
85272
85272
100980
100980
9633
9633
1500
1500
197385
197385

0
0
0
0
0

Pasien
Penjamin
3994
3994
5100
5100
4620
4620
1500
1500
15214
15214

0
0
0
0
0

Pasien
Penjamin
285120
285120
500
500
285620
285620

0
0
0

Pasien
Penjamin
3994
3994
792
792
1000
1000
5786
5786

0
0
0
0

Pasien
Penjamin
9633
9633
500
500
10133
10133

0
0
0

Pasien
Penjamin
85272
85272
22053
22053

0
0

2,00

UNT

UMUM
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
AMP
UNT

JAMPERSAL
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
VIL
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
6,00
2,00
3,00

Depo IGD
Subtotal
VIL
AMP
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
4,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT

Depo IGD

1000
108325

1000
108325

0
0

Pasien
Penjamin
13662
13662
11556
11556
1000
1000
26218
26218

0
0
0
0

Pasien
Penjamin
12524
12524
500
500
13024
13024

0
0
0

Pasien
Penjamin
85272
85272
4044
4044
1000
1000
90316
90316

0
0
0
0

Pasien
Penjamin
170544
170544
570240
570240
11464
11464
1500
1500
753748
753748

0
0
0
0
0

Pasien
Penjamin
14988
14988
26611
26611
29976
29976
8415
8415
2000
2000
81990
81990

0
0
0
0
0
0

Quantity
1,00
2,00
2,00
3,00

Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

JPK PNS
Quantity
10,00
1,00
2,00

Depo IGD
Subtotal
PKG
BOT
UNT

UMUM
Quantity
2,00
2,00
4,00
3,00
1,00
10,00
2,00
7,00

Depo IGD
Subtotal
TAB
VIL
UNT
BAG
BOT
PKG
VIL
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
BAG
UNT

JAKARTA SEHAT
Quantity

Apotik Panel 2
Subtotal

Pasien
Penjamin
26611
26611
29976
29976
29976
29976
1500
1500
88063
88063

0
0
0
0
0

Pasien
Penjamin
29976
29976
26611
26611
8415
8415
1500
1500
66502
66502

0
0
0
0
0

Pasien
Penjamin
5020
5020
39500
39500
1000
1000
45520
45520

0
0
0
0

Pasien
Penjamin
39204
39204
224400
224400
7988
7988
28899
28899
51216
51216
5020
5020
285120
285120
3500
3500
645347
645347

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9633
9633
500
500
10133
10133

0
0
0

Pasien

Penjamin

3,00
1,00

TAB
UNT

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
3,00
1,00
3,00
3,00
2,00
1,00
3,00
2,00
10,00
9,00

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT
UNT
VIL
VIL
VIL
UNT
BOT
PKG
UNT

JAKARTA SEHAT
Quantity
10,00
2,00
3,00
2,00
1,00
3,00
3,00
3,00
3,00
9,00

Depo IGD
Subtotal
PKG
TAB
TAB
VIL
VIL
TAB
UNT
UNT
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00
3,00
20,00
3,00

Depo IGD
Subtotal
TAB
BOT
VIL
UNT
UNT
PKG
CAP

25500
500
26000

25500
500
26000

0
0
0

Penjamin
696
3960
14256
123
3500
150
30096
422400
85272
5991
32834
5020
4500
608798

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
1654
1654
3960
3960
275880
275880
226738
226738
501
501
5991
5991
3825
3825
30096
30096
4500
4500
558165
558165

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4928
4928
16417
16417
226738
226738
3825
3825
4620
4620
10040
10040
13860
13860

0
0
0
0
0
0
0

Pasien
696
3960
14256
123
3500
150
30096
422400
85272
5991
32834
5020
4500
608798

7,00

UNT

UMUM
Quantity
3,00
3,00
2,00
2,00
1,00
1,00
1,00
1,00
10,00
10,00
2,00
1,00
3,00
13,00

Depo IGD
Subtotal
AMP
AMP
BOT
BOT
AMP
UNT
UNT
TUB
UNT
UNT
UNT
UNT
AMP
UNT

JAKARTA SEHAT
Quantity
3,00
10,00
1,00
3,00
4,00

Depo IGD
Subtotal
TAB
PKG
UNT
CAP
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
2,00
3,00
2,00
1,00
10,00
8,00

Depo IGD
Subtotal
AMP
TAB
TAB
UNT
UNT
UNT
BOT
PKG
UNT

3500
283928

3500
283928

0
0

Pasien
Penjamin
46191
46191
20790
20790
32834
32834
11762
11762
2940
2940
16088
16088
22688
22688
56262
56262
12750
12750
15400
15400
3994
3994
3300
3300
57393
57393
6500
6500
308892
308892

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
348
5020
14988
13860
2000
36216

0
0
0
0
0
0

Pasien
Penjamin
62370
62370
8976
8976
7392
7392
3994
3994
3825
3825
11464
11464
16417
16417
5020
5020
4000
4000
123458
123458

0
0
0
0
0
0
0
0
0
0

348
5020
14988
13860
2000
36216

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
2,00
3,00
3,00
3,00
10,00
8,00

Depo IGD
Subtotal
VIL
AMP
AMP
BOT
UNT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00
2,00
3,00
3,00
3,00
3,00
1,00
10,00
11,00

Depo IGD
Subtotal
UNT
TAB
UNT
TAB
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

UMUM
Quantity
2,00
1,00
1,00
6,00
3,00
1,00
1,00
3,00
2,00
2,00
2,00
3,00
4,00
4,00

Depo IGD
Subtotal
BOT
BAG
UNT
UNT
UNT
TAB
TAB
TAB
TAB
VIL
VIL
AMP
UNT
UNT

Pasien
Penjamin
85272
85272
126741
126741
14952
14952
32834
32834
5991
5991
4620
4620
3825
3825
5020
5020
4000
4000
283255
283255

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
1654
1654
14988
14988
3960
3960
422400
422400
22053
22053
5991
5991
3825
3825
4620
4620
5732
5732
5020
5020
5500
5500
510731
510731

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11762
11762
9633
9633
12610
12610
11982
11982
5484
5484
501
501
9900
9900
258
258
1078
1078
224400
224400
170544
170544
74844
74844
5100
5100
6160
6160

0
0
0
0
0
0
0
0
0
0
0
0
0
0

1,00
15,00

BOT
UNT

UMUM
Quantity
4,00
3,00
2,00
5,00
3,00
10,00
1,00
7,00

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
UNT
PKG
PKG
UNT

UMUM
Quantity
3,00
2,00
4,00
10,00
1,00
2,00
6,00

Depo IGD
Subtotal
TAB
TAB
UNT
PKG
PKG
BOT
UNT

JAMPERSAL
Quantity
2,00
3,00
3,00
2,00
5,00
2,00
4,00
1,00
3,00
1,00
1,00
1,00
1,00
3,00
3,00

Depo IGD
Subtotal
BOT
AMP
AMP
BOT
UNT
UNT
UNT
UNT
BOT
UNT
UNT
UNT
UNT
UNT
UNT

16417
7500
568173

16417
7500
568173

0
0
0

Penjamin
988
1569
900
45480
3825
5020
2970
3500
64252

0
0
0
0
0
0
0
0
0

Penjamin
741
474
5100
5020
2970
18192
3000
35497

0
0
0
0
0
0
0
0

Pasien
Penjamin
67968
67968
27750
27750
285180
285180
32884
32884
6500
6500
4044
4044
6260
6260
3325
3325
17718
17718
22713
22713
16113
16113
8440
8440
16360
16360
17271
17271
2136
2136

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
988
1569
900
45480
3825
5020
2970
3500
64252

Pasien
741
474
5100
5020
2970
18192
3000
35497

2,00
16,00

UNT
UNT

JAMPERSAL
Quantity
1,00
1,00

Depo IGD
Subtotal
AMP
UNT

ASURANSI JIWA SINARMAS MSIG

Quantity
3,00
2,00
2,00
2,00
10,00
5,00

Depo IGD
Subtotal
TAB
AMP
BOT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00
3,00
3,00
1,00
1,00
1,00
1,00
10,00

Depo IGD
Subtotal
VIL
AMP
UNT
UNT
VIL
PKG
PKG
UNT
UNT
BOT
UNT

UMUM
Quantity
2,00
2,00
2,00
3,00
2,00
10,00

Depo IGD
Subtotal
CAP
AMP
AMP
UNT
UNT
PKG

25270
8000
567932

25270
8000
567932

0
0
0

Pasien
Penjamin
15781.25 15781.25
500
500
16281.25 16281.25

0
0
0

Pasien
Penjamin
3231
3231
36614
36614
32834
32834
2550
2550
5020
5020
2500
2500
82749
82749

0
0
0
0
0
0
0

Pasien
Penjamin
224400
224400
190080
190080
25220
25220
5991
5991
37245
37245
4356
4356
2970
2970
8415
8415
3300
3300
47685
47685
5000
5000
554662
554662

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37218
37218
93614
93614
25048
25048
3825
3825
3994
3994
5020
5020

0
0
0
0
0
0

2,00
1,00
1,00
1,00
10,00

BOT
VIL
UNT
BOT
UNT

UMUM
Quantity
3,00
3,00
3,00
3,00
2,00
10,00
2,00
10,00
1,00
2,00
10,00

Depo IGD
Subtotal
AMP
AMP
AMP
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
3,00
2,00
2,00
6,00

Depo IGD
Subtotal
VIL
AMP
UNT
UNT
UNT
UNT
UNT

JPK PNS
Quantity
3,00
1,00

Depo IGD
Subtotal
SUP
AMP

102432
145860
3300
2640
5000
427951

102432
145860
3300
2640
5000
427951

0
0
0
0
0
0

Pasien
Penjamin
20790
20790
5220
5220
46191
46191
8673
8673
32834
32834
12750
12750
3994
3994
15400
15400
5732
5732
7392
7392
5000
5000
163976
163976

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51216
51216
500
500
51716
51716

0
0
0

Pasien
Penjamin
137940
137940
30794
30794
7988
7988
4620
4620
29976
29976
29976
29976
3000
3000
244294
244294

0
0
0
0
0
0
0
0

Pasien
Penjamin
39186
39186
9504
9504

0
0

2,00

UNT

UMUM
Quantity
2,00
6,00
1,00
2,00
2,00
1,00
2,00
4,00
3,00
2,00
10,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
BAG
AMP
VIL
AMP
BOT
UNT

UMUM
Quantity
1,00
2,00
2,00
1,00
4,00

Depo IGD
Subtotal
TAB
TAB
UNT
BOT
UNT

UMUM
Quantity
12,00
2,00
1,00
1,00
4,00

Depo IGD
Subtotal
TAB
TAB
TAB
BAG
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

1000
49690

1000
49690

0
0

Penjamin
36
516
792
562
1188
9633
76032
49660
126741
32834
5000
302994

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
827
5464
3994
16417
2000
28702

0
0
0
0
0
0

Penjamin
864
172
450
9633
2000
13119

0
0
0
0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
36
516
792
562
1188
9633
76032
49660
126741
32834
5000
302994

Pasien
827
5464
3994
16417
2000
28702

Pasien
864
172
450
9633
2000
13119

JPK PNS
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
VIL
BOT
UNT

ASKES
Quantity
2,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency ICU
Subtotal
PKG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00

Depo Atas
Subtotal
VIL
BOT

Pasien
Penjamin
85272
85272
32834
32834
1000
1000
119106
119106

0
0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
170544
170544
500
500
171044
171044

0
0
0

Pasien
Penjamin
170544
170544
500
500
171044
171044

0
0
0

Pasien
Penjamin
67716
67716
500
500
68216
68216

0
0
0

Pasien
Penjamin
56788
56788
500
500
57288
57288

0
0
0

Pasien
Penjamin
224400
224400
32834
32834

0
0

3,00
1,00
1,00
5,00

BOT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
2,00
2,00
5,00

Depo Atas
Subtotal
BOT
BOT
BOT
BOT
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00

Depo Atas
Subtotal
BOT
VIL
AMP
UNT

JAKARTA SEHAT
Quantity
2,00
4,00
2,00

Depo Atas
Subtotal
BAG
PKG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo Atas
Subtotal
VIL
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
VIL
UNT

7920
18342
5809
2500
291805

7920
18342
5809
2500
291805

0
0
0
0
0

Pasien
Penjamin
1251250 1251250
101952
101952
30217
30217
11762
11762
32834
32834
2500
2500
1430515 1430515

0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
308880
308880
3280
3280
1500
1500
346494
346494

0
0
0
0
0

Pasien
Penjamin
205200
205200
14784
14784
1000
1000
220984
220984

0
0
0
0

Pasien
Penjamin
22770
22770
170544
170544
1000
1000
194314
194314

0
0
0
0

Pasien
Penjamin
170544
170544
500
500

0
0

171044

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00
2,00
5,00
2,00
4,00
3,00
1,00
1,00
100,00
1,00
13,00

Depo Atas
Subtotal
VIL
BOT
AMP
AMP
TAB
UNT
UNT
PKG
UNT
UNT
BOT
PKG
UNT
UNT

JAMPERSAL
Quantity
4,00
3,00
6,00
2,00
3,00
2,00
3,00
1,00
1,00
2,00
100,00
1,00
12,00

Depo Atas
Subtotal
VIL
BOT
TAB
TAB
TAB
AMP
TAB
TAB
UNT
UNT
PKG
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
5,00
3,00
2,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
AMP

171044

Pasien
Penjamin
170544
170544
101952
101952
285120
285120
46191
46191
52800
52800
6375
6375
1374
1374
14784
14784
9900
9900
46101
46101
5881
5881
50200
50200
22688
22688
6500
6500
820410
820410

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
448940
448940
101952
101952
666
666
138
138
498
498
4972
4972
7467
7467
872
872
5809
5809
2600
2600
65875
65875
5906
5906
6000
6000
651695
651695

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1374
1374
6375
6375
44964
44964
19250
19250
12080
12080

0
0
0
0
0

5,00

UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
3,00

Depo Atas
Subtotal
UNT
BOT
BOT
UNT

JAKARTA SEHAT
Quantity
4,00
6,00
2,00
100,00
2,00
5,00
6,00

Depo Atas
Subtotal
BOT
AMP
TAB
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAMPERSAL
Quantity
2,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT

Apotik Panel 2

2500
86543

2500
86543

0
0

Pasien
Penjamin
101200
101200
500
500
101700
101700

0
0
0

Pasien
Penjamin
1374
1374
101952
101952
13744
13744
1500
1500
118570
118570

0
0
0
0
0

Pasien
Penjamin
36384
36384
106920
106920
15708
15708
50200
50200
1374
1374
6375
6375
3000
3000
219961
219961

0
0
0
0
0
0
0
0

Pasien
Penjamin
3994
3994
500
500
4494
4494

0
0
0

Pasien
Penjamin
111230
111230
500
500
111730
111730

0
0
0

Quantity
1,00
1,00

Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Apotik Panel 2
Subtotal
BOT
BAG
UNT

JAKARTA SEHAT
Quantity
5,00
3,00
3,00
1,00
100,00
1,00
1,00
1,00
8,00

Depo Atas
Subtotal
AMP
AMP
AMP
VIL
PKG
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
1,00
2,00
5,00

Emergency ICU
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT

JAMPERSAL

Depo Atas

Pasien
Penjamin
101200
101200
500
500
101700
101700

0
0
0

Pasien
Penjamin
62370
62370
500
500
62870
62870

0
0
0

Pasien
Penjamin
101200
101200
381150
381150
1000
1000
483350
483350

0
0
0
0

Pasien
Penjamin
475200
475200
20790
20790
5220
5220
154440
154440
50200
50200
1997
1997
1275
1275
1540
1540
4000
4000
714662
714662

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
44964
44964
14988
14988
8415
8415
53900
53900
2500
2500
154743
154743

0
0
0
0
0
0
0

Quantity
1,00
1,00
2,00
3,00
3,00
100,00
1,00
3,00
2,00
3,00
6,00
2,00
3,00
2,00
3,00
1,00
3,00
17,00

Subtotal
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
VIL
AMP
TAB
TAB
TAB
AMP
TAB
BOT
BOT
UNT

JAMPERSAL
Quantity
4,00
1,00

Depo Atas
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
5,00
5,00
100,00
2,00
1,00
2,00
10,00

Depo Atas
Subtotal
UNT
BAG
BOT
BOT
UNT
UNT
PKG
UNT
UNT
VIL
UNT

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

Pasien
Penjamin
5906
5906
16360
16360
16880
16880
3900
3900
4695
4695
65875
65875
26560
26560
2136
2136
22770
22770
37647
37647
666
666
138
138
498
498
4972
4972
7467
7467
1251275 1251275
101952
101952
8500
8500
1578197 1578197

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3488
3488
500
500
3988
3988

0
0
0

Pasien
Penjamin
3796
3796
190080
190080
67716
67716
5881
5881
6375
6375
7700
7700
50200
50200
1374
1374
26535
26535
1320000 1320000
5000
5000
1684657 1684657

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

1,00
1,00
5,00
5,00
100,00
2,00
6,00

BOT
BOT
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
2,00
5,00
100,00
3,00
1,00
3,00
1,00
2,00
2,00
3,00
3,00
1,00
2,00
1,00
15,00

Depo Atas
Subtotal
UNT
UNT
PKG
PKG
UNT
TUB
UNT
UNT
VIL
BOT
BOT
AMP
BOT
TAB
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
4,00
5,00
100,00
2,00
1,00
8,00

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
UNT
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

67716
33984
6375
7700
50200
1374
3000
170349

67716
33984
6375
7700
50200
1374
3000
170349

0
0
0
0
0
0
0
0

Pasien
Penjamin
37830
37830
45376
45376
18480
18480
50200
50200
2061
2061
56262
56262
9900
9900
16088
16088
422400
422400
32834
32834
101952
101952
285120
285120
47685
47685
52800
52800
21120
21120
7500
7500
1207608 1207608

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1188
1188
36
36
300
300
448800
448800
6375
6375
50200
50200
1374
1374
26535
26535
4000
4000
538808
538808

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

3,00
1,00
5,00
5,00
6,00
4,00
1,00
1,00
1,00
1,00
1,00
100,00
1,00
2,00
14,00

BOT
BOT
UNT
UNT
AMP
TAB
BOT
PKG
BOT
UNT
UNT
PKG
BAG
BOT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo Atas
Subtotal
BOT
AMP
UNT

168300
5881
6375
7700
106920
31416
47685
3696
67716
26611
26535
50200
332640
18192
7000
906867

168300
5881
6375
7700
106920
31416
47685
3696
67716
26611
26535
50200
332640
18192
7000
906867

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1005180 1005180
500
500
1005680 1005680

0
0
0

Pasien
Penjamin
67716
67716
500
500
68216
68216

0
0
0

Pasien
Penjamin
67716
67716
500
500
68216
68216

0
0
0

Pasien
Penjamin
47685
47685
190080
190080
1000
1000
238765
238765

0
0
0
0

UMUM
Quantity
3,00
3,00
3,00
3,00
4,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
4,00
3,00
2,00
2,00
4,00
2,00
3,00
7,00

Depo Atas
Subtotal
AMP
AMP
AMP
TAB
VIL
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00

Depo Atas
Subtotal
BOT
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
4,00
1,00
3,00
1,00
3,00
2,00

Depo Atas
Subtotal
UNT
BOT
UNT
VIL
BOT
TAB

Pasien

Penjamin
54
3960
1350
327
2000
7691

0
0
0
0
0
0

Pasien
Penjamin
11564
11564
17016
17016
4922
4922
40700
40700
40128
40128
2902
2902
4359
4359
3500
3500
125091
125091

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
500
500
22676
22676

0
0
0

Pasien
Penjamin
5881
5881
2550
2550
168300
168300
1500
1500
178231
178231

0
0
0
0
0

Pasien
Penjamin
7988
7988
5881
5881
3825
3825
85272
85272
101952
101952
52800
52800

0
0
0
0
0
0

54
3960
1350
327
2000
7691

1,00
1,00
2,00
9,00

BOT
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
5,00
3,00
2,00
2,00
2,00
2,00
5,00
3,00
9,00

Depo Atas
Subtotal
UNT
UNT
BOT
VIL
AMP
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
100,00
2,00
2,00
1,00
1,00
2,00
2,00
2,00
3,00
3,00
3,00
4,00
15,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT
UNT
BOT
BOT
TAB
TAB
TAB
AMP
AMP
VIL
UNT

JAMPERSAL
Quantity
1,00
2,00

Depo Atas
Subtotal
BOT
UNT

47685
30217
25220
4500
365340

47685
30217
25220
4500
365340

0
0
0
0
0

Pasien
Penjamin
14988
14988
9985
9985
101952
101952
170544
170544
190080
190080
25220
25220
11464
11464
6375
6375
4620
4620
4500
4500
539728
539728

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9985
9985
7700
7700
6375
6375
50200
50200
1374
1374
1374
1374
26535
26535
16417
16417
224422
224422
1188
1188
36
36
300
300
187110
187110
161064
161064
49660
49660
7500
7500
751240
751240

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1251275 1251275
32720
32720

0
0

2,00
2,00
2,00
2,00
3,00
3,00
3,00
100,00
2,00
2,00
1,00
2,00
2,00
3,00
2,00
3,00
2,00
2,00
3,00
3,00
22,00

BOT
UNT
UNT
PKG
UNT
UNT
UNT
PKG
UNT
UNT
UNT
BOT
VIL
BOT
AMP
TAB
SUP
TAB
TAB
AMP
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00
3,00
3,00
100,00
2,00
1,00
9,00

Depo Atas
Subtotal
VIL
BAG
VIL
UNT
UNT
UNT
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
4,00

Depo IGD
Subtotal
VIL
UNT
BAG
UNT
UNT

11812
37532.5
30026
5940
6066
4695
3900
65875
1424
1424
26560
32884
22770
101952
10844
540
23612
138
498
37647
11000
1721135

11812
37532.5
30026
5940
6066
4695
3900
65875
1424
1424
26560
32884
22770
101952
10844
540
23612
138
498
37647
11000
1721135

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1980000 1980000
190080
190080
37245
37245
5991
5991
4620
4620
3825
3825
50200
50200
1374
1374
26535
26535
4500
4500
2304370 2304370

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5184
5184
6600
6600
19266
19266
29976
29976
2000
2000
63026
63026

0
0
0
0
0
0

ASKES
Quantity
3,00
1,00

Depo IGD
Subtotal
AMP
UNT

JPK PNS
Quantity
3,00
2,00
2,00

Depo IGD
Subtotal
BOT
VIL
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

UMUM
Quantity
2,00
2,00
1,00
3,00

Depo IGD
Subtotal
VIL
UNT
BAG
UNT

ASKES
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BAG
AMP
UNT

Pasien
Penjamin
22053
22053
500
500
22553
22553

0
0
0

Pasien
Penjamin
168300
168300
170544
170544
1000
1000
339844
339844

0
0
0
0

Pasien
Penjamin
1997
1997
500
500
2497
2497

0
0
0

Pasien
Penjamin
285120
285120
3994
3994
9633
9633
1500
1500
300247
300247

0
0
0
0
0

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
9633
9633
4634
4634
1000
1000
15267
15267

0
0
0
0

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
SUP
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
5,00
4,00
1,00
1,00
2,00
2,00
2,00
2,00
1,00
3,00
2,00
1,00
1,00
1,00
1,00
2,00
23,00

Depo IGD
Subtotal
UNT
TUB
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
VIL
BOT
AMP
AMP
VIL
AMP
AMP
BOT
BOT
BOT
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00
1,00
2,00
2,00

Depo IGD
Subtotal
BOT
AMP
UNT
UNT
UNT
AMP
BOT
AMP

Pasien
Penjamin
12630
12630
500
500
13130
13130

0
0
0

Pasien
Penjamin
3080
3080
56262
56262
18343
18343
5809
5809
16088
16088
12012
12012
14988
14988
9985
9985
5100
5100
5732
5732
22688
22688
422400
422400
67968
67968
13860
13860
3480
3480
85272
85272
46332
46332
190080
190080
6872
6872
51216
51216
5881
5881
16417
16417
53900
53900
11500
11500
1145265 1145265

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
7351
7351
8415
8415
26950
26950
7988
7988
12600
12600
112200
112200
13860
13860

0
0
0
0
0
0
0
0

3,00
2,00
3,00
1,00
2,00
13,00

UNT
VIL
UNT
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
1,00
1,00
5,00

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
BOT
UNT

ASKES
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
AMP
BAG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
1,00
2,00
1,00
7,00

Depo IGD
Subtotal
AMP
VIL
BOT
VIL
BOT
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00

Depo IGD
Subtotal
AMP
VIL
AMP

4620
22770
3825
3300
32834
6500
269094

4620
22770
3825
3300
32834
6500
269094

0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
5991
5991
2550
2550
3300
3300
5881
5881
2500
2500
190766
190766

0
0
0
0
0
0
0

Pasien
Penjamin
7351
7351
18793
18793
1540
1540
1500
1500
29184
29184

0
0
0
0
0

Pasien
Penjamin
12600
12600
422400
422400
67968
67968
170544
170544
30217
30217
32834
32834
1997
1997
3500
3500
742060
742060

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
107376
107376
85272
85272
62370
62370

0
0
0

1,00
2,00
1,00
6,00

UNT
UNT
UNT
UNT

JAMPERSAL
Quantity
1,00
3,00
1,00
2,00
1,00
1,00
1,00
4,00
8,00

Depo IGD
Subtotal
TAB
AMP
AMP
PKG
UNT
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
3,00
2,00

Depo IGD
Subtotal
AMP
TAB
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAMPERSAL
Quantity
2,00
1,00

Apotik Panel 2
Subtotal
AMP
UNT

3300
3994
12610
3000
277922

3300
3994
12610
3000
277922

0
0
0
0
0

Penjamin
111
16266
2486
53900
12635
5757
2022
5200
4000
102377

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
76032
76032
20493
20493
1000
1000
97525
97525

0
0
0
0

Pasien
Penjamin
1884
1884
500
500
2384
2384

0
0
0

Pasien
Penjamin
1980000 1980000
500
500
1980500 1980500

0
0
0

Pasien
Penjamin
670140
670140
500
500

0
0

Pasien
111
16266
2486
53900
12635
5757
2022
5200
4000
102377

670640

JAKARTA SEHAT
Quantity
1,00
100,00
2,00
4,00
3,00
3,00
3,00
1,00
1,00
1,00
3,00
5,00
5,00
2,00
14,00

Depo Atas
Subtotal
UNT
PKG
UNT
VIL
AMP
AMP
BOT
PKG
BOT
BAG
VIL
UNT
UNT
BOT
UNT

JAMPERSAL
Quantity
2,00
3,00
3,00
2,00
3,00
2,00
1,00
1,00
3,00
1,00
1,00
11,00

Depo Atas
Subtotal
UNT
BOT
TAB
TAB
TAB
VIL
BOT
BAG
UNT
UNT
UNT
UNT

JAMPERSAL
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

670640

Pasien
Penjamin
26535
26535
50200
50200
10588
10588
448800
448800
20790
20790
5220
5220
168300
168300
2970
2970
47685
47685
190080
190080
37245
37245
6375
6375
7700
7700
13744
13744
7000
7000
1043232 1043232

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3846
3846
101952
101952
540
540
138
138
498
498
22770
22770
5906
5906
9633
9633
6066
6066
8440
8440
12635
12635
5500
5500
177924
177924

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1251275 1251275
500
500
1251775 1251775

0
0
0

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
100,00
2,00
3,00
3,00
4,00
2,00
3,00
6,00
1,00
1,00
2,00
2,00
2,00
3,00
18,00

Depo Atas
Subtotal
UNT
PKG
UNT
UNT
PKG
PKG
UNT
UNT
VIL
BOT
AMP
AMP
VIL
BOT
TAB
TAB
BOT
VIL
UNT

UMUM
Quantity
6,00
1,00
5,00
2,00
10,00
3,00
12,00
2,00
1,00
9,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
PKG
BAG
AMP
UNT
UNT
UNT

UMUM
Quantity
2,00
2,00
2,00
2,00
3,00
1,00

Depo IGD
Subtotal
BAG
BOT
AMP
VIL
BOT
VIL

Pasien
Penjamin
1374
1374
2904
2904
22688
22688
26535
26535
50200
50200
5940
5940
5991
5991
17196
17196
448800
448800
224422
224422
126741
126741
17640
17640
5465
5465
47685
47685
36
36
200
200
32834
32834
37245
37245
9000
9000
1082896 1082896

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14784
14784
38
38
2240
2240
304
304
5020
5020
28899
28899
158220
158220
29976
29976
14988
14988
4500
4500
258969
258969

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
177714
177714
32834
32834
8870
8870
22770
22770
101952
101952
72496
72496

0
0
0
0
0
0

3,00
5,00
50,00
1,00
2,00
2,00
1,00
3,00
1,00
15,00

UNT
UNT
PKG
UNT
PKG
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
5,00
3,00
3,00
2,00
20,00
2,00
2,00
2,00
2,00
2,00
1,00
4,00
3,00
3,00
2,00
3,00
3,00
19,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
BOT
BOT
VIL
AMP
AMP
VIL
AMP
VIL
UNT

JAMPERSAL
Quantity
3,00
2,00
4,00
3,00
2,00
2,00
5,00

Depo IGD
Subtotal
BOT
AMP
SUP
TAB
BAG
BOT
UNT

5991
6375
25100
27640
2904
1374
166320
37830
26950
7500
724620

5991
6375
25100
27640
2904
1374
166320
37830
26950
7500
724620

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53900
53900
27640
27640
9985
9985
4620
4620
3825
3825
25220
25220
10040
10040
1374
1374
1374
1374
10588
10588
10588
10588
13744
13744
87912
87912
448800
448800
20790
20790
5220
5220
144992
144992
285120
285120
37245
37245
9500
9500
1212477 1212477

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
101952
101952
10844
10844
52348
52348
477
477
256562.5 256562.5
32884
32884
10110
10110

0
0
0
0
0
0
0

5,00
5,00
2,00
2,00
20,00
2,00
13,00

UNT
UNT
UNT
UNT
PKG
VIL
UNT

JAMPERSAL
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
5,00
4,00

Depo IGD
Subtotal
UNT
TUB
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
2,00
5,00
5,00

Depo IGD
Subtotal
BOT
TAB
AMP
TAB
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
5,00
3,00

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

7825
7825
6500
6500
1424
1424
1424
1424
10540
10540
22830
22830
6500
6500
522220.5 522220.5

0
0
0
0
0
0
0
0

Pasien
Penjamin
335070
335070
500
500
335570
335570

0
0
0

Pasien
Penjamin
16088
16088
56262
56262
22688
22688
1780
1780
2000
2000
98818
98818

0
0
0
0
0
0

Pasien
Penjamin
65340
65340
3960
3960
62370
62370
1078
1078
1780
1780
2500
2500
137028
137028

0
0
0
0
0
0
0

Pasien
Penjamin
225720
225720
26950
26950
1780
1780
1500
1500
255950
255950

0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
3,00
6,00
3,00
1,00
2,00
5,00
7,00

Depo IGD
Subtotal
UNT
AMP
TAB
AMP
AMP
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
TAB
VIL
UNT

ASKES
Quantity
4,00
3,00
2,00
2,00
1,00
6,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

JPK PNS
Quantity
1,00
1,00
10,00
5,00
4,00

Depo IGD
Subtotal
BOT
BOT
PKG
UNT
UNT

JPK PNS
Quantity
5,00
2,00
2,00

Depo IGD
Subtotal
UNT
BAG
UNT

Pasien
Penjamin
14988
14988
46332
46332
516
516
37572
37572
4634
4634
32834
32834
1780
1780
3500
3500
142156
142156

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7854
7854
226738
226738
1000
1000
235592
235592

0
0
0
0

Pasien

Penjamin
504
783
274
438
3500
300
5799

0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
51216
51216
5020
5020
1780
1780
2000
2000
76433
76433

0
0
0
0
0
0

Pasien
Penjamin
1780
1780
19266
19266
2550
2550

0
0
0

504
783
274
438
3500
300
5799

1,00
2,00
10,00
6,00

BOT
UNT
PKG
UNT

JPK PNS
Quantity
3,00
3,00
2,00

Depo IGD
Subtotal
AMP
SUP
UNT

UMUM
Quantity
1,00
3,00
2,00

Depo IGD
Subtotal
TAB
VIL
UNT

UMUM
Quantity
4,00
3,00
2,00
2,00
1,00
6,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

JPK PNS
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
BAG
UNT

JPK PNS
Quantity
6,00
2,00
2,00

Depo IGD
Subtotal
TAB
UNT
UNT

16417
3994
5020
3000
52027

16417
3994
5020
3000
52027

0
0
0
0
0

Pasien
Penjamin
140421
140421
39186
39186
1000
1000
180607
180607

0
0
0
0

Pasien
Penjamin
13068
13068
30096
30096
1000
1000
44164
44164

0
0
0
0

Pasien

Penjamin
504
783
274
438
3500
300
5799

0
0
0
0
0
0
0

Pasien
Penjamin
1997
1997
9633
9633
1000
1000
12630
12630

0
0
0
0

Pasien
Penjamin
39204
39204
3080
3080
1000
1000

0
0
0

504
783
274
438
3500
300
5799

43284

ASKES
Quantity
3,00
1,00
2,00

Depo IGD
Subtotal
UNT
TAB
UNT

ASKES
Quantity
4,00
4,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

JAMPERSAL
Quantity
1,00
2,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
3,00
2,00
2,00
3,00
3,00
4,00
3,00
3,00
18,00

Depo IGD
Subtotal
AMP
BAG
BOT
BOT
BAG
UNT
UNT
UNT
UNT
VIL
BOT
AMP
BOT
UNT
UNT
UNT
TAB
SUP
UNT

JAKARTA SEHAT
Quantity
2,00
2,00

Depo IGD
Subtotal
AMP
UNT

43284

Pasien
Penjamin
5991
5991
18
18
1000
1000
7009
7009

0
0
0
0

Pasien
Penjamin
26136
26136
668
668
1000
1000
27804
27804

0
0
0
0

Pasien
15781.25
256562.5
32884
5906
19266
3325
16360
12635
26975
22830
101952
10844
5330
6066
4695
5200
477
39261
9000
595349.8

Penjamin
15781.25
256562.5
32884
5906
19266
3325
16360
12635
26975
22830
101952
10844
5330
6066
4695
5200
477
39261
9000
595349.8

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25200
25200
29976
29976

0
0

1,00
1,00
3,00
5,00
1,00
5,00
5,00
10,00
2,00
2,00
2,00
2,00
1,00
2,00
1,00
3,00
2,00
2,00
3,00
3,00
2,00
23,00

UNT
UNT
BOT
UNT
VIL
UNT
UNT
PKG
UNT
UNT
UNT
UNT
BOT
VIL
BOT
AMP
AMP
AMP
AMP
VIL
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
20,00
4,00

Depo IGD
Subtotal
UNT
PKG
VIL
AMP
UNT

JPK PNS
Quantity
3,00
1,00

Depo IGD
Subtotal
SUP
UNT

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
VIL
UNT

14988
26950
49251
9985
72496
7700
6375
5020
1374
1374
10588
10588
64548
291720
115500
20790
3480
4922
126741
37245
11762
11500
960073

14988
26950
49251
9985
72496
7700
6375
5020
1374
1374
10588
10588
64548
291720
115500
20790
3480
4922
126741
37245
11762
11500
960073

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22688
22688
41388
41388
37245
37245
49220
49220
2000
2000
152541
152541

0
0
0
0
0
0

Pasien
Penjamin
39186
39186
500
500
39686
39686

0
0
0

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

UMUM
Quantity
2,00
3,00
2,00
3,00
1,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

ASKES
Quantity
2,00
3,00
2,00
3,00
1,00
1,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

JPK PNS
Quantity
2,00
2,00
2,00
1,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
TUB
UNT

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

Pasien

Penjamin
252
606
274
423
3500
150
5205

0
0
0
0
0
0
0

Penjamin
252
606
274
423
3500
50
5105

0
0
0
0
0
0
0

Pasien
Penjamin
112200
112200
3080
3080
2550
2550
117040
117040
2000
2000
236870
236870

0
0
0
0
0
0

Pasien
Penjamin
36311.4 36311.4
450
450
36761.4 36761.4

0
0
0

Pasien
Penjamin
8730
8730
450
450
9180
9180

0
0
0

252
606
274
423
3500
150
5205

Pasien
252
606
274
423
3500
50
5105

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
BAG
UNT

Pasien
Penjamin
13662
13662
500
500
14162
14162

0
0
0

Pasien
Penjamin
32670
32670
19266
19266
1000
1000
52936
52936

0
0
0
0

Pasien
Penjamin
32670
32670
19266
19266
1000
1000
52936
52936

0
0
0
0

Pasien
Penjamin
32670
32670
19266
19266
1000
1000
52936
52936

0
0
0
0

Pasien
Penjamin
32670
32670
19266
19266
1000
1000
52936
52936

0
0
0
0

Pasien
Penjamin
32670
32670
19266
19266
1000
1000
52936
52936

0
0
0
0

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
BAG
UNT

UMUM
Quantity
1,00
2,00
2,00
2,00
4,00

Depo IGD
Subtotal
BOT
BOT
UNT
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo IGD
Subtotal
UNT
BOT
AMP
AMP
AMP
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
1,00
1,00
1,00
7,00

Emergency ICU
Subtotal
PKG
AMP
UNT
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00

Emergency ICU
Subtotal
UNT

Pasien
Penjamin
32670
32670
19266
19266
1000
1000
52936
52936

0
0
0
0

Pasien
Penjamin
57964
57964
32834
32834
3994
3994
120944
120944
2000
2000
217736
217736

0
0
0
0
0
0

Pasien
Penjamin
5732
5732
5881
5881
12524
12524
4634
4634
42247
42247
453476
453476
3000
3000
527494
527494

0
0
0
0
0
0
0
0

Pasien
Penjamin
56788
56788
1382
1382
4620
4620
5991
5991
5294
5294
12012
12012
12012
12012
3500
3500
101599
101599

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46200
46200

1,00
2,00
2,00
2,00
1,00
1,00
7,00

PKG
AMP
AMP
UNT
UNT
PKG
UNT

JAMPERSAL
Quantity
1,00
1,00

Depo Atas
Subtotal
BAG
UNT

JAMPERSAL
Quantity
1,00
1,00

Depo Atas
Subtotal
BAG
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
UNT
UNT

UMUM
Quantity
4,00
4,00
2,00
4,00
3,00
1,00
5,00

Depo Atas
Subtotal
BOT
VIL
AMP
BOT
BAG
BAG
UNT

173250
3280
6072
2550
5294
39078
3500
279224

173250
3280
6072
2550
5294
39078
3500
279224

0
0
0
0
0
0
0
0

Pasien
Penjamin
415831.3 415831.3
500
500
416331.3 416331.3

0
0
0

Pasien
Penjamin
415831.3 415831.3
500
500
416331.3 416331.3

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
22000
22000
500
500
22500
22500

0
0
0

Pasien
Penjamin
65668
65668
26828
26828
8870
8870
135936
135936
266571
266571
9633
9633
585200
585200

0
0
0
0
0
0
0

1,00
1,00
5,00
5,00
3,00
100,00
2,00
2,00
1,00
16,00

UNT
UNT
UNT
UNT
UNT
PKG
UNT
PKG
UNT
UNT

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00

Emergency ICU
Subtotal
UNT
BOT
PKG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
100,00
5,00
5,00
1,00
2,00
4,00
3,00
3,00
3,00
3,00
3,00
3,00
15,00

Depo Atas
Subtotal
UNT
UNT
BAG
PKG
AMP
UNT
BAG
BOT
VIL
AMP
AMP
VIL
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Emergency ICU
Subtotal
UNT
UNT

16088
3300
7700
9985
3825
50200
1032
2904
26535
8000
1228275

16088
3300
7700
9985
3825
50200
1032
2904
26535
8000
1228275

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
16417
16417
26950
26950
1500
1500
71817
71817

0
0
0
0
0

Pasien
Penjamin
1032
1032
756
756
9633
9633
50200
50200
475200
475200
63050
63050
190080
190080
13744
13744
448800
448800
20790
20790
5220
5220
37245
37245
5991
5991
3825
3825
4620
4620
7500
7500
1337686 1337686

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28875
28875
1997
1997

0
0

1,00
1,00
1,00
2,00
1,00
1,00
8,00

UNT
UNT
TUB
BOT
UNT
UNT
UNT

JAMPERSAL
Quantity
1,00
3,00
3,00
1,00
4,00
5,00
5,00
5,00
100,00
2,00
2,00
1,00
12,00

Depo Atas
Subtotal
BAG
VIL
BOT
VIL
TAB
UNT
UNT
UNT
PKG
UNT
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
56,00
4,00
1,00
3,00
3,00
3,00
3,00
100,00
2,00
2,00
1,00
1,00
14,00

Depo Atas
Subtotal
VIL
VIL
AMP
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
BAG
BOT
UNT

18343
16088
56262
5280
5809
12012
4000
148666

18343
16088
56262
5280
5809
12012
4000
148666

0
0
0
0
0
0
0
0

Pasien
Penjamin
128281.3 128281.3
20121
20121
101952
101952
72496
72496
3488
3488
10110
10110
6500
6500
7825
7825
65875
65875
1082
1082
806
806
5906
5906
6000
6000
430442.3 430442.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
422400
422400
124432
124432
49660
49660
64548
64548
5991
5991
3825
3825
17196
17196
4620
4620
50200
50200
756
756
1032
1032
9633
9633
5881
5881
7000
7000
937718
937718

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

JAMPERSAL
Quantity
1,00
2,00
5,00
3,00

Depo Atas
Subtotal
VIL
BAG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00
5,00
2,00
100,00
1,00
1,00
9,00

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
AMP
UNT
PKG
BOT
UNT
UNT

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

Apotik Panel 2
Subtotal
AMP
UNT
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
3,00

Depo Atas
Subtotal
BOT
BOT
AMP
UNT

Pasien
Penjamin
85272
85272
36390
36390
10110
10110
1500
1500
133272
133272

0
0
0
0
0

Pasien
Penjamin
1251250 1251250
29976
29976
29976
29976
3825
3825
475200
475200
45376
45376
50200
50200
47685
47685
26611
26611
4500
4500
1964599 1964599

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
Penjamin
335060
335060
22000
22000
9086
9086
1500
1500
367646
367646

0
0
0
0
0

Pasien
Penjamin
9096
9096
168300
168300
11344
11344
3825
3825

0
0
0
0

3,00
100,00
1,00
6,00
4,00
1,00
2,00
2,00
2,00
2,00
2,00
15,00

AMP
PKG
UNT
UNT
UNT
UNT
UNT
TAB
TAB
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
TUB
UNT

JAKARTA SEHAT
Quantity
4,00
2,00
2,00

Emergency ICU
Subtotal
UNT
AMP
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
4,00
3,00
2,00
1,00
5,00
100,00
1,00
9,00

Depo Atas
Subtotal
BOT
BOT
VIL
AMP
UNT
BOT
UNT
PKG
BAG
UNT

JAMPERSAL
Quantity

Emergency ICU
Subtotal

211314
50200
26611
11982
22928
3300
47520
308
3088
1654
2902
7500
581872

211314
50200
26611
11982
22928
3300
47520
308
3088
1654
2902
7500
581872

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2220
2220
500
500
2720
2720

0
0
0

Pasien
Penjamin
59952
59952
308880
308880
1000
1000
369832
369832

0
0
0
0

Pasien
Penjamin
13744
13744
5881
5881
448800
448800
20790
20790
45376
45376
87912
87912
6375
6375
50200
50200
190080
190080
4500
4500
873658
873658

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

5,00
5,00
5,00
2,00
1,00
5,00

UNT
UNT
UNT
BOT
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
2,00
2,00
3,00
30,00
3,00
1,00
3,00
3,00
5,00
100,00
14,00

Depo Atas
Subtotal
UNT
UNT
UNT
BAG
VIL
VIL
BOT
AMP
VIL
BOT
UNT
UNT
UNT
PKG
UNT

JAMPERSAL
Quantity
3,00
1,00
100,00
4,00
1,00
1,00
3,00
1,00
5,00
9,00

Depo Atas
Subtotal
SUP
UNT
PKG
TAB
UNT
UNT
VIL
BAG
UNT
UNT

JAMPERSAL
Quantity
2,00

Apotik Panel 2
Subtotal
AMP

74940
74940
7700
32834
190740
2500
383654

74940
74940
7700
32834
190740
2500
383654

0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
756
756
22688
22688
9633
9633
170544
170544
422400
422400
168300
168300
66660
66660
37245
37245
65340
65340
17196
17196
3825
3825
7700
7700
50200
50200
7000
7000
1050519 1050519

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
35418
35418
26636
26636
65875
65875
3488
3488
16360
16360
8440
8440
20121
20121
128281.3 128281.3
7825
7825
4500
4500
316944.3 316944.3

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
670140
670140

1,00

UNT

JPK PNS
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
BOT
UNT

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT
TUB
UNT

JPK PNS
Quantity
1,00
1,00
2,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT

UMUM
Quantity
2,00
2,00
1,00
1,00
1,00
1,00
6,00

Emergency Anggrek
Subtotal
UNT
TUB
UNT
BAG
UNT
UNT
UNT

ASKES
Quantity
1,00
2,00
3,00
1,00

Emergency Anggrek
Subtotal
UNT
BOT
UNT
UNT

500
670640

500
670640

0
0

Pasien
Penjamin
9096
9096
500
500
9596
9596

0
0
0

Pasien
Penjamin
1275
1275
18343
18343
5809
5809
56262
56262
2000
2000
83689
83689

0
0
0
0
0
0

Pasien
Penjamin
1275
1275
8415
8415
1000
1000
10690
10690

0
0
0
0

Pasien
Penjamin
32176
32176
112524
112524
14988
14988
9633
9633
1540
1540
26611
26611
3000
3000
200472
200472

0
0
0
0
0
0
0
0

Pasien
Penjamin
26611
26611
32834
32834
44964
44964
1540
1540

0
0
0
0

2,00
1,00
6,00

UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Apotik Panel
Subtotal
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
10,00
16,00

Depo IGD
Subtotal
AMP
AMP
BOT
BOT
BOT
BOT
TAB
TAB
TAB
UNT
UNT
UNT
UNT
UNT
PKG
AMP
UNT

JAMPERSAL
Quantity

Apotik Panel 2
Subtotal

2550
14988
3000
126487

2550
14988
3000
126487

0
0
0
0

Pasien
Penjamin
6864
6864
53900
53900
5294
5294
1500
1500
67558
67558

0
0
0
0
0

Pasien
Penjamin
1625
1625
9936
9936
1000
1000
12561
12561

0
0
0
0

Pasien
Penjamin
12600
12600
140876
140876
178200
178200
51216
51216
16417
16417
5881
5881
827
827
1451
1451
154
154
16088
16088
22688
22688
3825
3825
26950
26950
378
378
1452
1452
22220
22220
8000
8000
509223
509223

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

2,00
1,00

AMP
UNT

JAMPERSAL
Quantity
2,00
1,00

Depo IGD
Subtotal
VIL
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

ASKES
Quantity
2,00
1,00

Depo IGD
Subtotal
VIL
UNT

UMUM
Quantity
3,00
1,00
2,00
2,00
1,00
5,00

Depo IGD
Subtotal
TAB
BOT
TAB
AMP
BOT
UNT

UMUM
Quantity
2,00

Depo IGD
Subtotal
TAB

670140
500
670640

670140
500
670640

0
0
0

Pasien
Penjamin
144992
144992
500
500
145492
145492

0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
422400
422400
500
500
422900
422900

0
0
0

Pasien

Penjamin
501
5881
1094
5782
51216
2500
66974

0
0
0
0
0
0
0

Pasien
Penjamin
1332
1332

501
5881
1094
5782
51216
2500
66974

1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
8,00
2,00
2,00
2,00
2,00
1,00
1,00
1,00
11,00

TAB
TAB
TAB
TAB
UNT
UNT
TAB
VIL
AMP
SUP
AMP
UNT
UNT
BOT
VIL
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
4,00

Depo IGD
Subtotal
UNT
UNT
PKG
BAG
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
3,00
5,00

Depo IGD
Subtotal
VIL
UNT
UNT
PKG
UNT
UNT

126
261
137
1756
3500
100
1796
72496
142560
26124
93614
2550
3080
2640
154440
3300
5500
515312

126
261
137
1756
3500
100
1796
72496
142560
26124
93614
2550
3080
2640
154440
3300
5500
515312

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
2970
2970
8415
8415
1500
1500
27873
27873

0
0
0
0
0

Pasien
Penjamin
16335
16335
29976
29976
2970
2970
19266
19266
2000
2000
70547
70547

0
0
0
0
0
0

Pasien
Penjamin
7776
7776
8415
8415
14988
14988
2970
2970
1068
1068
2500
2500

0
0
0
0
0
0

37717

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

JAMPERSAL
Quantity
2,00
2,00
3,00
1,00
1,00
3,00
2,00
2,00
1,00
2,00
2,00
2,00
2,00
2,00
2,00
2,00
16,00

Depo IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
VIL
BOT
SUP
VIL
BAG
UNT
UNT
UNT
BOT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
4,00
6,00

Depo IGD
Subtotal
AMP
AMP
UNT
UNT
UNT
TAB
UNT

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
UNT

37717

Pasien
Penjamin
2592
2592
500
500
3092
3092

0
0
0

Pasien
Penjamin
30026
30026
30026
30026
49326
49326
16360
16360
8440
8440
20211
20211
67968
67968
23612
23612
72496
72496
256562.5 256562.5
3130
3130
2600
2600
53950
53950
11812
11812
1082
1082
2904
2904
8000
8000
658505.5 658505.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25048
25048
4634
4634
20213
20213
26950
26950
12610
12610
9856
9856
3000
3000
102311
102311

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988

1,00
2,00

UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
5,00
2,00
1,00
3,00

Depo Atas
Subtotal
UNT
VIL
BOT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
4,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
UNT
UNT

14988
1000
30976

14988
1000
30976

0
0
0

Pasien
Penjamin
3994
3994
500
500
4494
4494

0
0
0

Pasien
Penjamin
9985
9985
144992
144992
1251250 1251250
1500
1500
1407727 1407727

0
0
0
0
0

Pasien
Penjamin
217488
217488
500
500
217988
217988

0
0
0

Pasien
Penjamin
7988
7988
500
500
8488
8488

0
0
0

Pasien
Penjamin
1005180 1005180
500
500
1005680 1005680

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
4,00
2,00
1,00
1,00
1,00
5,00
5,00
100,00
3,00
2,00
1,00
1,00
1,00
16,00

Depo Atas
Subtotal
BOT
BAG
VIL
AMP
TAB
TAB
TAB
BOT
UNT
UNT
PKG
UNT
UNT
BAG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
4,00
5,00
1,00
100,00
2,00
2,00
2,00
1,00
2,00
4,00
3,00

Depo Atas
Subtotal
TAB
UNT
UNT
UNT
PKG
UNT
UNT
BAG
UNT
BAG
VIL
BOT

Pasien
Penjamin
255816
255816
4620
4620
3825
3825
1500
1500
265761
265761

0
0
0
0
0

Pasien
Penjamin
16417
16417
102600
102600
13414
13414
71280
71280
88
88
7854
7854
827
827
47685
47685
7700
7700
6375
6375
50200
50200
17196
17196
1032
1032
9633
9633
26535
26535
23760
23760
8000
8000
410596
410596

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1188
1188
5100
5100
7700
7700
26611
26611
50200
50200
756
756
1032
1032
19266
19266
22688
22688
205200
205200
448800
448800
178200
178200

0
0
0
0
0
0
0
0
0
0
0
0

1,00
2,00
3,00
1,00
4,00
17,00

AMP
AMP
TAB
BOT
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
4,00
54,00
4,00
2,00
3,00
2,00
2,00
1,00
1,00
5,00
3,00
1,00
100,00
16,00

Depo Atas
Subtotal
BAG
VIL
VIL
AMP
AMP
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
PKG
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
100,00
1,00
3,00
3,00
3,00
1,00
3,00
3,00
1,00
2,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
BOT
BOT
AMP
AMP
TAB
UNT
UNT
UNT
PKG

9504
5782
12792
95040
49660
8500
1148019

9504
5782
12792
95040
49660
8500
1148019

0
0
0
0
0
0
0

Pasien
Penjamin
9633
9633
170544
170544
633600
633600
380160
380160
119988
119988
49660
49660
11464
11464
68064
68064
756
756
1032
1032
26535
26535
8415
8415
7700
7700
168300
168300
41388
41388
50200
50200
8000
8000
1755439 1755439

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
29976
29976
16830
16830
29976
29976
50200
50200
16417
16417
101952
101952
20790
20790
5220
5220
827
827
3825
3825
4620
4620
26535
26535
5940
5940

0
0
0
0
0
0
0
0
0
0
0
0
0
0

14,00

UNT

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
100,00
2,00
1,00
1,00
1,00
2,00
2,00
2,00
3,00
3,00
2,00
3,00
3,00
16,00

Depo Atas
Subtotal
VIL
UNT
UNT
PKG
UNT
UNT
BAG
PKG
TAB
BOT
VIL
BOT
BOT
VIL
AMP
TAB
UNT

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
1,00
1,00
100,00
2,00
3,00
3,00
3,00
3,00
2,00
4,00
5,00
1,00
2,00
2,00
2,00
3,00

Depo Atas
Subtotal
VIL
BOT
UNT
BOT
UNT
PKG
VIL
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
BOT
BAG
UNT

7000
1445201

7000
1445201

0
0

Pasien
Penjamin
1125093 1125093
16088
16088
7700
7700
50200
50200
1032
1032
22688
22688
9633
9633
3696
3696
88
88
32834
32834
13414
13414
101952
101952
168300
168300
144992
144992
32967
32967
258
258
8000
8000
1738935 1738935

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
289984
289984
16417
16417
8415
8415
47685
47685
26611
26611
50200
50200
224400
224400
20790
20790
5220
5220
285120
285120
44964
44964
29976
29976
5100
5100
7700
7700
16088
16088
45376
45376
11762
11762
19266
19266
17196
17196

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2,00
2,00
1,00
22,00

PKG
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
UNT
UNT

UMUM
Quantity
2,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
2,00

Depo Atas
Subtotal
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel 2
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
2,00

Depo Atas
Subtotal
VIL

2904
3796
16335
11000
1206305

2904
3796
16335
11000
1206305

0
0
0
0
0

Pasien
Penjamin
1540
1540
500
500
2040
2040

0
0
0

Pasien
Penjamin
157268
157268
500
500
157768
157768

0
0
0

Pasien
Penjamin
64548
64548
60639
60639
1000
1000
126187
126187

0
0
0
0

Pasien
Penjamin
44000
44000
500
500
44500
44500

0
0
0

Pasien
Penjamin
22688
22688
59400
59400
1000
1000
83088
83088

0
0
0
0

Pasien
Penjamin
170544
170544

2,00
2,00

UNT
UNT

UMUM
Quantity
3,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
5,00
2,00
2,00
1,00
10,00
2,00
3,00
2,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
VIL
UNT
UNT

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
2,00
4,00

Depo Atas
Subtotal
VIL
VIL
UNT
UNT
UNT

40426
1000
211970

40426
1000
211970

0
0
0

Pasien
Penjamin
178200
178200
500
500
178700
178700

0
0
0

Pasien
Penjamin
22000
22000
500
500
22500
22500

0
0
0

Pasien
Penjamin
26535
26535
500
500
27035
27035

0
0
0

Pasien

Penjamin
756
1305
274
438
3500
500
120944
4620
1000
133337

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
49660
49660
144992
144992
3994
3994
2550
2550
2000
2000

0
0
0
0
0

756
1305
274
438
3500
500
120944
4620
1000
133337

203196

UMUM
Quantity
1,00
2,00
4,00
5,00
5,00
20,00
5,00
1,00
1,00
1,00
10,00
8,00

Depo Atas
Subtotal
BAG
VIL
AMP
UNT
UNT
PKG
UNT
BAG
UNT
UNT
CAP
UNT

UMUM
Quantity
1,00
2,00
2,00
6,00
4,00
20,00
1,00
5,00
8,00

Depo Atas
Subtotal
TAB
AMP
VIL
AMP
VIL
PKG
BAG
UNT
UNT

UMUM
Quantity
2,00
2,00
1,00
2,00
4,00
1,00
20,00
5,00
8,00

Depo Atas
Subtotal
VIL
BOT
BOT
VIL
UNT
BAG
PKG
UNT
UNT

203196

Pasien
Penjamin
9633
9633
144992
144992
71280
71280
9985
9985
7700
7700
10040
10040
1780
1780
9633
9633
3500
3500
50
50
37700
37700
4000
4000
310293
310293

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
116
84494
308880
17640
49660
10040
9633
1780
4000
486243

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
32834
32834
63253
63253
13414
13414
7988
7988
9633
9633
10040
10040
1780
1780
4000
4000
313486
313486

0
0
0
0
0
0
0
0
0
0

116
84494
308880
17640
49660
10040
9633
1780
4000
486243

RSUD TARAKAN
Quantity
3,00
2,00
4,00
2,00
1,00
5,00

Depo Atas
Subtotal
TAB
VIL
VIL
UNT
BAG
UNT

UMUM
Quantity
3,00
3,00
5,00
1,00
4,00

Depo Atas
Subtotal
AMP
UNT
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
3,00
2,00
2,00
2,00
2,00
2,00
3,00
2,00
2,00
4,00
3,00
100,00
2,00
2,00
19,00

Depo Atas
Subtotal
PKG
UNT
BAG
UNT
BOT
TAB
TAB
UNT
BAG
BOT
VIL
BOT
BOT
VIL
UNT
UNT
PKG
UNT
UNT
UNT

Pasien

Penjamin
300
13414
40128
3994
9633
2500
69969

0
0
0
0
0
0
0

Pasien
Penjamin
8673
8673
3825
3825
1780
1780
184008
184008
2000
2000
200286
200286

0
0
0
0
0
0

Pasien
Penjamin
3696
3696
26535
26535
9633
9633
29976
29976
47685
47685
258
258
1654
1654
29976
29976
205200
205200
32834
32834
13414
13414
101952
101952
118800
118800
144992
144992
7988
7988
4620
4620
50200
50200
1032
1032
756
756
9500
9500
840701
840701

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

300
13414
40128
3994
9633
2500
69969

JAKARTA SEHAT
Quantity
20,00
5,00
1,00
1,00
3,00
3,00
6,00
100,00
2,00
2,00
2,00
1,00
12,00

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
VIL
VIL
UNT
PKG
UNT
UNT
UNT
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
100,00
2,00
2,00
6,00
1,00
2,00
2,00
1,00
3,00
3,00
3,00
1,00
2,00
3,00
2,00
17,00

Depo Atas
Subtotal
UNT
UNT
PKG
PKG
PKG
UNT
UNT
UNT
BOT
VIL
BOT
AMP
AMP
TAB
BOT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
3,00
2,00
3,00

Depo Atas
Subtotal
UNT
BAG
AMP
UNT

Pasien
Penjamin
44440
44440
6375
6375
9625
9625
62563
62563
633600
633600
37245
37245
11982
11982
50200
50200
1032
1032
756
756
45376
45376
1125093 1125093
6000
6000
2034287 2034287

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2550
2550
5732
5732
50200
50200
5940
5940
2904
2904
89928
89928
16335
16335
16830
16830
118800
118800
6707
6707
101952
101952
20790
20790
5220
5220
827
827
32834
32834
5991
5991
3080
3080
8500
8500
495120
495120

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7650
7650
28899
28899
190080
190080
44964
44964

0
0
0
0

4,00
4,00
4,00
3,00
2,00
3,00
1,00
2,00
2,00
4,00
1,00
1,00
100,00
1,00
2,00
19,00

VIL
AMP
UNT
BOT
AMP
TAB
UNT
BOT
BAG
VIL
AMP
PKG
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
2,00
5,00
5,00
2,00
2,00
4,00
4,00
100,00
2,00
2,00
1,00
1,00
3,00
2,00
2,00
1,00
4,00
3,00
2,00
2,00
4,00
22,00

Depo Atas
Subtotal
UNT
UNT
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT
PKG
BAG
BOT
BAG
VIL
VIL
AMP
BOT
TAB
TAB
TAB
UNT

448800
11564
7988
17643
19008
12792
22688
32834
205200
49660
42247
41388
50200
8415
29976
9500
1281496

448800
11564
7988
17643
19008
12792
22688
32834
205200
49660
42247
41388
50200
8415
29976
9500
1281496

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17196
17196
29976
29976
8700
8700
34650
34650
29976
29976
29976
29976
7988
7988
6160
6160
50200
50200
756
756
1032
1032
3696
3696
9633
9633
49251
49251
205200
205200
13414
13414
72496
72496
71280
71280
178200
178200
88
88
15708
15708
3308
3308
11000
11000
849884
849884

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

UMUM
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
5,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
5,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
5,00
3,00

Depo Atas
Subtotal
BOT
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
2,00

Depo Atas
Subtotal
BAG
BOT
UNT

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
8415
8415
26950
26950
20213
20213
1500
1500
57078
57078

0
0
0
0
0

Pasien
Penjamin
9985
9985
500
500
10485
10485

0
0
0

Pasien
Penjamin
9985
9985
500
500
10485
10485

0
0
0

Pasien
Penjamin
81510
81510
12144
12144
9985
9985
1500
1500
105139
105139

0
0
0
0
0

Pasien
Penjamin
9633
9633
178200
178200
1000
1000
188833
188833

0
0
0
0

UMUM
Quantity
100,00
1,00

Depo Atas
Subtotal
PKG
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

Depo Atas
Subtotal
AMP
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

Depo Atas
Subtotal
BOT
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
100,00
2,00
2,00
1,00
1,00
2,00
2,00
2,00
2,00
4,00
2,00
3,00
1,00
15,00

Depo Atas
Subtotal
VIL
UNT
PKG
UNT
UNT
PKG
UNT
BAG
BOT
VIL
VIL
AMP
TAB
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
PKG

Pasien
Penjamin
50200
50200
500
500
50700
50700

0
0
0

Pasien
Penjamin
5220
5220
26535
26535
1000
1000
32755
32755

0
0
0
0

Pasien
Penjamin
178200
178200
72496
72496
1000
1000
251696
251696

0
0
0
0

Pasien
Penjamin
1125093 1125093
4620
4620
50200
50200
1032
1032
756
756
3696
3696
22688
22688
205200
205200
32834
32834
13414
13414
144992
144992
617760
617760
2916
2916
101952
101952
12610
12610
7500
7500
2347263 2347263

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2970
2970

3,00
2,00
100,00
2,00
1,00
2,00
1,00
2,00
2,00
2,00
4,00
2,00
2,00
14,00

UNT
UNT
PKG
UNT
PKG
UNT
UNT
BOT
BAG
VIL
AMP
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
2,00
3,00
1,00
1,00
5,00
5,00
2,00
100,00
11,00

Depo Atas
Subtotal
SUP
BOT
BAG
VIL
AMP
UNT
PKG
UNT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
2,00
1,00
3,00
3,00
2,00
3,00
2,00
1,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
VIL
UNT
UNT
UNT
PKG
AMP
BOT

4620
2550
50200
1032
3696
756
22688
32834
205200
13414
71280
88
15708
7000
434036

4620
2550
50200
1032
3696
756
22688
32834
205200
13414
71280
88
15708
7000
434036

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
35343
35343
32834
32834
102600
102600
13414
13414
20790
20790
516
516
1452
1452
6375
6375
7700
7700
11464
11464
50200
50200
5500
5500
288188
288188

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
44964
44964
44964
44964
16830
16830
211200
211200
68064
68064
17196
17196
40426
40426
11088
11088
124740
124740
65340
65340

0
0
0
0
0
0
0
0
0
0
0

11,00

UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
3,00
3,00
2,00
1,00
100,00
10,00

Depo Atas
Subtotal
BOT
BAG
VIL
BOT
VIL
UNT
UNT
UNT
BAG
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
4,00
3,00
3,00
1,00
1,00
2,00
2,00
3,00
3,00
5,00
5,00
100,00
2,00
1,00
2,00
2,00
1,00
20,00

Depo Atas
Subtotal
UNT
BAG
BOT
VIL
AMP
AMP
BOT
BOT
TAB
TAB
TAB
VIL
UNT
UNT
PKG
UNT
UNT
UNT
UNT
BAG
UNT

JAKARTA SEHAT

Depo IGD

5500
1775405

5500
1775405

0
0

Pasien
Penjamin
16417
16417
102600
102600
13414
13414
190080
190080
37245
37245
3825
3825
4620
4620
1032
1032
9633
9633
50200
50200
5000
5000
434066
434066

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9625
9625
102600
102600
16417
16417
448800
448800
20790
20790
5220
5220
78634
78634
247401
247401
1654
1654
15708
15708
132
132
37245
37245
6375
6375
7700
7700
50200
50200
1032
1032
22688
22688
10588
10588
10588
10588
9633
9633
10000
10000
1113030 1113030

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Quantity
3,00
1,00

Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
1,00
1,00
6,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
TAB
UNT

JAKARTA SEHAT

Depo Atas

Pasien
Penjamin
178200
178200
500
500
178700
178700

0
0
0

Pasien
Penjamin
1005180 1005180
500
500
1005680 1005680

0
0
0

Pasien
Penjamin
1005180 1005180
500
500
1005680 1005680

0
0
0

Pasien
Penjamin
317628
317628
500
500
318128
318128

0
0
0

Pasien
Penjamin
32834
32834
2550
2550
6600
6600
25220
25220
26950
26950
5881
5881
3000
3000
103035
103035

0
0
0
0
0
0
0
0

Pasien
Penjamin
7854
7854
500
500
8354
8354

0
0
0

Quantity
3,00
1,00

Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
1,00
4,00
5,00

Depo Atas
Subtotal
VIL
UNT
UNT
BAG
TAB
UNT

JAKARTA SEHAT
Quantity
5,00
1,00
100,00
2,00
2,00
2,00
3,00
3,00
3,00
4,00
1,00
2,00
4,00
12,00
14,00

Depo Atas
Subtotal
UNT
UNT
PKG
VIL
UNT
VIL
AMP
AMP
AMP
AMP
BOT
BAG
VIL
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
100,00
1,00
2,00
2,00
6,00
2,00
2,00

Depo Atas
Subtotal
UNT
PKG
PKG
UNT
PKG
AMP
UNT
VIL

Pasien
Penjamin
101952
101952
500
500
102452
102452

0
0
0

Pasien
Penjamin
448800
448800
11464
11464
3300
3300
9633
9633
176
176
2500
2500
475873
475873

0
0
0
0
0
0
0

Pasien
Penjamin
7700
7700
12610
12610
50200
50200
291720
291720
29976
29976
170544
170544
20790
20790
5220
5220
6666
6666
168988
168988
16417
16417
19266
19266
49660
49660
15300
15300
7000
7000
872057
872057

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
50200
50200
3696
3696
1032
1032
2904
2904
106920
106920
6600
6600
13414
13414

0
0
0
0
0
0
0
0

2,00
1,00
1,00
3,00
2,00
5,00
5,00
2,00
16,00

VIL
BAG
BOT
BOT
BAG
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
3,00
1,00
1,00
3,00
1,00
2,00
2,00
100,00
13,00

Depo Atas
Subtotal
UNT
BAG
BOT
VIL
BOT
BOT
VIL
BAG
VIL
BOT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
5,00
5,00
100,00
1,00
2,00
1,00
3,00
3,00
3,00
1,00
1,00

Depo Atas
Subtotal
VIL
BAG
BOT
UNT
UNT
PKG
BOT
VIL
VIL
AMP
AMP
BOT
BAG
BOT

144992
78509
47685
49251
205200
7700
6375
25220
8000
784648

144992
78509
47685
49251
205200
7700
6375
25220
8000
784648

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
102600
102600
16417
16417
13414
13414
190080
190080
178200
178200
72496
72496
78509
78509
37245
37245
47685
47685
11464
11464
25220
25220
50200
50200
6500
6500
838445
838445

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37245
37245
102600
102600
32834
32834
7700
7700
6375
6375
50200
50200
5881
5881
13414
13414
72496
72496
20790
20790
5220
5220
178200
178200
78509
78509
247401
247401

0
0
0
0
0
0
0
0
0
0
0
0
0
0

1,00
1,00
16,00

TAB
TAB
UNT

JAKARTA SEHAT
Quantity
100,00
1,00
2,00
2,00
2,00
2,00
3,00
2,00
3,00
2,00
2,00
5,00
5,00
13,00

Depo Atas
Subtotal
PKG
BOT
UNT
UNT
UNT
VIL
BOT
VIL
AMP
BAG
BOT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
3,00
3,00
3,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
3,00
20,00
2,00
1,00
1,00
1,00

Depo IGD
Subtotal
BAG
BOT
VIL
VIL
AMP
AMP
BOT
TAB
TAB
BOT
BOT
VIL
UNT
UNT
UNT
PKG
UNT
UNT
BOT
BAG

827
7854
8000
875546

827
7854
8000
875546

0
0
0
0

Pasien
Penjamin
50200
50200
5881
5881
25220
25220
10588
10588
10588
10588
13414
13414
178200
178200
144992
144992
17016
17016
205200
205200
32834
32834
6375
6375
7700
7700
6500
6500
714708
714708

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
102600
102600
32834
32834
13414
13414
72496
72496
20790
20790
5220
5220
178200
178200
827
827
7854
7854
247401
247401
47685
47685
37245
37245
22688
22688
4620
4620
3825
3825
10040
10040
1032
1032
26535
26535
5881
5881
9633
9633

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1,00
3,00
22,00

PKG
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
2,00
1,00
1,00
2,00
2,00
3,00
1,00
2,00
3,00
1,00
1,00
20,00
2,00
1,00
1,00
1,00
1,00
20,00

Depo IGD
Subtotal
BOT
BOT
BAG
BOT
VIL
BAG
VIL
TAB
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT
BAG
BOT
PKG
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel
Subtotal
UNT
UNT

JAKARTA SEHAT

Depo Atas

3696
37830
11000
903346

3696
37830
11000
903346

0
0
0
0

Pasien
Penjamin
190080
190080
49251
49251
102600
102600
118800
118800
72496
72496
78509
78509
13414
13414
144
144
37245
37245
22688
22688
25220
25220
3825
3825
26535
26535
16088
16088
10040
10040
1032
1032
9633
9633
5881
5881
3696
3696
2592
2592
10000
10000
799769
799769

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26600
26600
500
500
27100
27100

0
0
0

Pasien
Penjamin
10683
10683
500
500
11183
11183

0
0
0

Quantity
2,00
2,00
2,00
3,00
1,00
1,00
1,00
3,00
1,00
2,00
100,00
11,00

Subtotal
BAG
UNT
VIL
BOT
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
1,00
1,00
3,00
2,00
1,00
2,00
1,00
1,00
2,00
2,00
2,00
2,00
3,00
1,00
1,00
3,00
1,00
100,00
22,00

Depo Atas
Subtotal
AMP
VIL
BOT
UNT
UNT
UNT
UNT
UNT
BAG
UNT
UNT
PKG
BAG
BOT
VIL
VIL
AMP
BOT
BAG
BOT
TAB
PKG
UNT

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
BAG

Pasien
Penjamin
205200
205200
25220
25220
13414
13414
178200
178200
72496
72496
5732
5732
16088
16088
1548
1548
26535
26535
45376
45376
50200
50200
5500
5500
645509
645509

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5220
5220
37245
37245
64548
64548
22688
22688
26950
26950
9625
9625
4620
4620
1032
1032
9633
9633
10588
10588
26535
26535
3696
3696
205200
205200
32834
32834
13414
13414
144992
144992
20790
20790
247401
247401
78509
78509
178200
178200
7854
7854
50200
50200
11000
11000
1212774 1212774

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9633
9633

1,00
1,00
2,00
3,00
1,00
1,00
1,00
2,00
1,00
3,00
2,00
1,00
100,00
14,00

BOT
BAG
UNT
BOT
VIL
UNT
BAG
VIL
UNT
UNT
UNT
PKG
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
2,00
1,00
4,00
3,00
4,00
2,00
1,00
2,00
3,00
1,00
6,00
2,00
1,00
3,00
2,00
2,00
100,00
21,00

Depo Atas
Subtotal
AMP
BOT
PKG
UNT
PKG
UNT
UNT
UNT
UNT
BOT
UNT
BAG
BOT
BAG
TAB
VIL
VIL
UNT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
BOT

16417
102600
25220
178200
72496
12012
78509
13414
22688
4620
1032
3696
50200
7000
597737

16417
102600
25220
178200
72496
12012
78509
13414
22688
4620
1032
3696
50200
7000
597737

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
11762
11762
7392
7392
10588
10588
2904
2904
5294
5294
107800
107800
17196
17196
80852
80852
32834
32834
22688
22688
177714
177714
178200
178200
78509
78509
516
516
13414
13414
72496
72496
37830
37830
2550
2550
1032
1032
50200
50200
10500
10500
934871
934871

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
64548
64548

1,00

UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
2,00
2,00

Depo Atas
Subtotal
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
100,00
1,00
1,00
2,00
3,00
1,00
1,00
3,00
4,00
2,00
1,00
4,00
3,00
3,00
15,00

Depo Atas
Subtotal
UNT
PKG
BOT
UNT
VIL
BOT
BAG
UNT
PKG
BOT
BAG
AMP
VIL
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
2,00

Depo Atas
Subtotal
UNT
BOT
BAG
UNT
VIL

500
65048

500
65048

0
0

Pasien
Penjamin
18343
18343
500
500
18843
18843

0
0
0

Pasien

Penjamin
258
492
1000
1750

0
0
0
0

Pasien
Penjamin
26611
26611
50200
50200
5881
5881
62563
62563
13414
13414
178200
178200
78509
78509
22688
22688
11088
11088
65668
65668
205200
205200
42247
42247
49660
49660
5991
5991
3825
3825
7500
7500
829245
829245

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26611
26611
11762
11762
19266
19266
45376
45376
13414
13414

0
0
0
0
0

258
492
1000
1750

4,00
1,00
2,00
4,00
100,00
2,00
5,00
1,00
13,00

UNT
UNT
UNT
UNT
PKG
BAG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00
1,00
1,00
3,00
3,00
100,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
19,00

Depo Atas
Subtotal
VIL
TAB
AMP
TAB
BOT
UNT
UNT
UNT
PKG
UNT
UNT
BOT
UNT
UNT
UNT
TUB
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
2,00
6,00
3,00
2,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
AMP
TAB
TAB
TAB

7988
5732
1032
5100
50200
205200
585200
26535
6500
1009916

7988
5732
1032
5100
50200
205200
585200
26535
6500
1009916

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
262638
262638
2916
2916
8673
8673
423
423
16417
16417
8415
8415
5991
5991
3825
3825
50200
50200
26950
26950
20213
20213
5881
5881
26611
26611
5809
5809
24024
24024
56262
56262
5732
5732
25220
25220
2904
2904
9500
9500
568604
568604

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4620
4620
25220
25220
5991
5991
1032
1032
106920
106920
7392
7392
15708
15708
9900
9900

0
0
0
0
0
0
0
0

1,00
1,00
1,00
2,00
100,00
1,00
1,00
15,00

TAB
TAB
TAB
BOT
PKG
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
2,00
1,00
5,00
3,00
5,00
3,00
100,00
1,00
2,00
2,00
3,00
2,00
2,00
3,00
1,00
2,00
3,00
1,00
22,00

Depo Atas
Subtotal
BAG
BOT
UNT
BOT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
PKG
UNT
UNT
UNT
VIL
VIL
AMP
BOT
BAG
BOT
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
5,00
100,00
3,00
2,00
2,00

Depo Atas
Subtotal
BAG
UNT
PKG
BAG
UNT
VIL

44
827
2052
32834
50200
26535
2970
7500
299745

44
827
2052
32834
50200
26535
2970
7500
299745

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
205200
205200
32834
32834
20213
20213
57964
57964
2550
2550
1540
1540
9985
9985
17196
17196
2580
2580
4356
4356
50200
50200
3696
3696
45376
45376
53900
53900
28875
28875
13414
13414
144992
144992
20790
20790
247401
247401
157018
157018
178200
178200
7854
7854
11000
11000
1317134 1317134

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
332640
332640
6375
6375
50200
50200
28899
28899
1032
1032
13414
13414

0
0
0
0
0
0

2,00
3,00
2,00
4,00
1,00
1,00
4,00
4,00
5,00
1,00
16,00

AMP
BOT
VIL
BOT
BOT
BOT
UNT
UNT
BAG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
5,00
3,00
3,00
2,00
2,00
100,00
2,00
2,00
1,00
4,00
3,00
1,00
1,00
15,00

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
UNT
PKG
UNT
PKG
PKG
VIL
VIL
BOT
TAB
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
1,00
3,00
1,00
1,00
1,00
2,00

Depo Atas
Subtotal
BAG
BOT
VIL
BAG
VIL
UNT
UNT
UNT
UNT
UNT

13860
178200
144992
65668
5881
57964
7988
6160
513000
22688
8000
1456961

13860
178200
144992
65668
5881
57964
7988
6160
513000
22688
8000
1456961

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
32834
32834
9985
9985
37830
37830
4620
4620
2904
2904
1032
1032
50200
50200
7392
7392
13414
13414
72496
72496
237600
237600
258
258
44
44
827
827
7500
7500
536900
536900

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19266
19266
32834
32834
13414
13414
177714
177714
72496
72496
5991
5991
22688
22688
26611
26611
62563
62563
2550
2550

0
0
0
0
0
0
0
0
0
0

2,00
100,00
1,00
2,00
1,00
2,00
3,00
2,00
2,00
3,00
2,00
3,00
2,00
3,00
1,00
6,00
26,00

UNT
PKG
UNT
PKG
BOT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT
BOT
BAG
TAB
UNT

ASKES
Quantity
1,00
1,00
2,00
3,00

Depo IGD
Subtotal
TAB
TAB
AMP
UNT

UMUM
Quantity
1,00
1,00
2,00
2,00
1,00
5,00

Depo IGD
Subtotal
VIL
UNT
UNT
BAG
BAG
UNT

UMUM
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
VIL
BOT
UNT

3080
50200
16335
5940
5881
6600
37830
53900
40426
1134
2904
11088
19250
178200
78509
516
13000
960920

3080
50200
16335
5940
5881
6600
37830
53900
40426
1134
2904
11088
19250
178200
78509
516
13000
960920

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1077
1077
167
167
14702
14702
1500
1500
17446
17446

0
0
0
0
0

Pasien
Penjamin
72496
72496
1540
1540
2550
2550
205200
205200
9633
9633
2500
2500
293919
293919

0
0
0
0
0
0
0

Pasien
Penjamin
72496
72496
118800
118800
1000
1000
192296
192296

0
0
0
0

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
2,00
2,00
3,00
1,00
2,00
1,00
1,00
12,00

Depo IGD
Subtotal
BAG
BOT
VIL
AMP
BOT
UNT
UNT
UNT
BAG
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
1,00
3,00
5,00
3,00
2,00
3,00
2,00
2,00
2,00
1,00
2,00
2,00
15,00

Depo IGD
Subtotal
AMP
VIL
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
BOT
BAG
BOT
UNT

Pasien
Penjamin
635256
635256
500
500
635756
635756

0
0
0

Pasien
Penjamin
332640
332640
16417
16417
13414
13414
5782
5782
178200
178200
3994
3994
2550
2550
4620
4620
9633
9633
1032
1032
26611
26611
27640
27640
6000
6000
628533
628533

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20790
20790
13414
13414
178200
178200
247401
247401
5991
5991
7700
7700
3825
3825
11464
11464
37830
37830
1032
1032
2904
2904
40426
40426
5881
5881
205200
205200
32834
32834
7500
7500
822392
822392

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
3,00
5,00
5,00
2,00
2,00
2,00
3,00
2,00
2,00
3,00
4,00
2,00
2,00
1,00
100,00
1,00
2,00
8,00
1,00
20,00

Depo Atas
Subtotal
BAG
PKG
UNT
UNT
UNT
UNT
PKG
UNT
VIL
AMP
BOT
BOT
BAG
BOT
UNT
PKG
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
4,00
2,00
1,00
2,00
1,00
2,00
2,00
3,00
3,00
6,00
2,00
3,00
5,00
5,00
5,00
100,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
BOT
BOT
BAG
VIL
VIL
AMP
AMP
AMP
BOT
BOT
UNT
UNT
UNT
PKG

Pasien
Penjamin
332640
332640
11088
11088
7700
7700
6375
6375
53900
53900
1032
1032
2904
2904
17196
17196
13414
13414
5782
5782
178200
178200
23524
23524
205200
205200
32834
32834
26600
26600
50200
50200
22688
22688
25220
25220
15976
15976
16335
16335
10000
10000
1058808 1058808

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20213
20213
80850
80850
44964
44964
11880
11880
16830
16830
57964
57964
32834
32834
102600
102600
13414
13414
144992
144992
5220
5220
20790
20790
106920
106920
157268
157268
178200
178200
9985
9985
7700
7700
6375
6375
50200
50200

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
25,00

UNT
PKG
PKG
UNT
BOT
BAG
TAB
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
3,00
100,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
2,00
2,00
2,00
1,00
3,00
6,00
1,00
1,00
24,00

Depo Atas
Subtotal
UNT
UNT
UNT
TUB
UNT
BOT
UNT
PKG
UNT
UNT
PKG
UNT
BAG
BOT
UNT
VIL
BOT
BAG
VIL
VIL
BOT
TAB
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
7,00
1,00

Depo Atas
Subtotal
AMP
UNT

1032
2904
3696
26600
11762
9633
109
3500
150
12500
1141085

1032
2904
3696
26600
11762
9633
109
3500
150
12500
1141085

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
12012
12012
5809
5809
56262
56262
18343
18343
57964
57964
37830
37830
50200
50200
1032
1032
756
756
3696
3696
26600
26600
9633
9633
5881
5881
22688
22688
37245
37245
32834
32834
205200
205200
13414
13414
72496
72496
178200
178200
516
516
44
44
1458
1458
12000
12000
878201
878201

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1081080 1081080
500
500

0
0

1081580

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

Emergency ICU
Subtotal
PKG
UNT
AMP
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
4,00
3,00
4,00
3,00
3,00
3,00
30,00
3,00
3,00
5,00
5,00
5,00
100,00
2,00
2,00

Depo Atas
Subtotal
VIL
UNT
UNT
TUB
UNT
UNT
UNT
BAG
BAG
VIL
BOT
AMP
AMP
BOT
AMP
AMP
AMP
AMP
TAB
VIL
UNT
UNT
UNT
PKG
UNT
UNT

1081580

Pasien
Penjamin
285120
285120
500
500
285620
285620

0
0
0

Pasien
Penjamin
56788
56788
12012
12012
2764
2764
1500
1500
73064
73064

0
0
0
0
0

Pasien
Penjamin
1320000 1320000
36684
36684
5809
5809
56262
56262
12012
12012
22688
22688
9625
9625
102600
102600
332640
332640
144992
144992
112211
112211
43956
43956
126741
126741
237600
237600
5220
5220
20790
20790
285120
285120
66660
66660
258
258
37245
37245
9985
9985
6375
6375
7700
7700
50200
50200
1032
1032
756
756

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1,00
1,00
1,00
29,00

BAG
BOT
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
2,00
1,00
1,00
6,00
3,00
3,00
3,00
3,00
3,00
3,00
100,00
2,00
2,00
1,00
1,00
1,00
19,00

Depo Atas
Subtotal
BOT
BOT
BAG
VIL
VIL
BOT
TAB
BOT
VIL
AMP
UNT
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00
3,00
6,00
1,00
3,00
1,00
4,00
3,00
5,00

Depo Atas
Subtotal
BAG
BOT
VIL
VIL
AMP
AMP
AMP
BOT
BOT
UNT
UNT
UNT
UNT

9633
5881
1125093
14500
4210268

9633
5881
1125093
14500
4210268

0
0
0
0
0

Pasien
Penjamin
5881
5881
32834
32834
307800
307800
13414
13414
72496
72496
78634
78634
516
516
178200
178200
37245
37245
126741
126741
5991
5991
3825
3825
4620
4620
50200
50200
756
756
1032
1032
9633
9633
3696
3696
46101
46101
9500
9500
989115
989115

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
102600
102600
16417
16417
13414
13414
144992
144992
5220
5220
20790
20790
106920
106920
78634
78634
178200
178200
22688
22688
7988
7988
3825
3825
7700
7700

0
0
0
0
0
0
0
0
0
0
0
0
0

100,00
2,00
1,00
1,00
1,00
2,00
19,00

PKG
UNT
BOT
PKG
UNT
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
40,00
2,00

Depo Atas
Subtotal
VIL
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
1,00
2,00
2,00
1,00
4,00
3,00
100,00
1,00
11,00

Depo Atas
Subtotal
UNT
UNT
AMP
UNT
UNT
UNT
BOT
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Apotik Panel
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel
Subtotal
BOX
UNT

50200
1032
5881
3696
26535
144
9500
806376

50200
1032
5881
3696
26535
144
9500
806376

0
0
0
0
0
0
0
0

Pasien
Penjamin
660000
660000
88880
88880
1000
1000
749880
749880

0
0
0
0

Pasien
Penjamin
16335
16335
40426
40426
71280
71280
22688
22688
25220
25220
756
756
16417
16417
7988
7988
4620
4620
50200
50200
16088
16088
5500
5500
277518
277518

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3126
3126
500
500
3626
3626

0
0
0

Pasien
Penjamin
17210
17210
500
500
17710
17710

0
0
0

JAKARTA SEHAT
Quantity
4,00
2,00
3,00
3,00
6,00
1,00
2,00
1,00
1,00
2,00
2,00
5,00
3,00
100,00
1,00
2,00
16,00

Depo Atas
Subtotal
VIL
VIL
AMP
AMP
AMP
BOT
BOT
BAG
UNT
UNT
UNT
UNT
UNT
PKG
AMP
BOT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
5,00
1,00

Apotik Panel 2
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Emergency ICU
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

Pasien
Penjamin
26828
26828
144992
144992
5220
5220
20790
20790
106920
106920
57964
57964
32834
32834
102600
102600
22688
22688
25220
25220
3994
3994
7700
7700
3825
3825
50200
50200
12600
12600
118800
118800
8000
8000
751175
751175

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
528000
528000
500
500
528500
528500

0
0
0

Pasien
Penjamin
880000
880000
500
500
880500
880500

0
0
0

Pasien
Penjamin
92400
92400
500
500
92900
92900

0
0
0

Pasien

Penjamin

2,00
2,00
1,00
2,00
3,00
3,00
3,00
3,00
1,00
3,00
2,00
2,00
2,00
5,00
5,00
5,00
2,00
100,00
1,00
2,00
2,00
1,00
22,00

VIL
AMP
BOT
BOT
AMP
AMP
AMP
BOT
TAB
VIL
TAB
VIL
TAB
UNT
UNT
UNT
PKG
PKG
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00
3,00
3,00
3,00
1,00
1,00
1,00
3,00
3,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00

Depo Atas
Subtotal
BOT
VIL
AMP
AMP
BOT
AMP
AMP
BAG
BAG
BOT
TAB
VIL
UNT
VIL
VIL
PKG
UNT
UNT
UNT

144992
35640
112211
190080
5220
20790
29106
168300
44
30096
492
1320000
2916
9985
6375
7700
2904
50200
22688
10588
10588
26535
11000
2218450

144992
35640
112211
190080
5220
20790
29106
168300
44
30096
492
1320000
2916
9985
6375
7700
2904
50200
22688
10588
10588
26535
11000
2218450

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112211
112211
144992
144992
32967
32967
126741
126741
168300
168300
20790
20790
5220
5220
102600
102600
332640
332640
57964
57964
258
258
37245
37245
1032
1032
660000
660000
1125093 1125093
2904
2904
26535
26535
22688
22688
25220
25220

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

10,00
5,00
2,00
5,00
5,00
100,00
2,00
26,00

AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
2,00
2,00
2,00
2,00
5,00
5,00
5,00
3,00
3,00
100,00
1,00
1,00
1,00
3,00
1,00
19,00

Depo Atas
Subtotal
AMP
VIL
VIL
BAG
BOT
BAG
PKG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
TAB
BOT
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency Catelia
Subtotal
UNT
UNT
UNT

UMUM
Quantity
2,00

Emergency Anggrek
Subtotal
AMP

22220
9985
11464
6375
7700
50200
32670
13000
3159014

22220
9985
11464
6375
7700
50200
32670
13000
3159014

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12600
12600
13414
13414
72496
72496
78509
78509
32834
32834
205200
205200
2904
2904
1032
1032
9985
9985
6375
6375
7700
7700
17196
17196
37830
37830
50200
50200
22688
22688
26535
26535
1458
1458
168300
168300
5881
5881
9500
9500
782637
782637

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
3480
3480

1,00
2,00

UNT
UNT

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

Emergency Anggrek
Subtotal
VIL
UNT
PKG
BOT
UNT

UMUM
Quantity
1,00
1,00
3,00
2,00
4,00
1,00
1,00
1,00
8,00

Emergency Anggrek
Subtotal
BAG
UNT
UNT
BOT
UNT
UNT
BOT
AMP
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
12,00
8,00
1,00
2,00
1,00
5,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

1275
1000
5755

1275
1000
5755

0
0
0

Pasien
Penjamin
2317
2317
20213
20213
26950
26950
9096
9096
2000
2000
60576
60576

0
0
0
0
0
0

Pasien
Penjamin
9633
9633
26611
26611
49005
49005
11762
11762
5100
5100
14988
14988
16417
16417
2222
2222
4000
4000
139738
139738

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
1032
1032
21536
21536
44
44
2916
2916
4105
4105
2500
2500
32133
32133

0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
1,00
1,00
2,00
2,00
2,00
9,00

Depo IGD
Subtotal
AMP
AMP
AMP
AMP
BOT
BOT
UNT
UNT
UNT
UNT

UMUM
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
UNT
AMP
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
3,00
3,00
3,00
6,00

Depo IGD
Subtotal
AMP
AMP
BOT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT

Pasien
Penjamin
30888
30888
84494
84494
13860
13860
3480
3480
59400
59400
47685
47685
3080
3080
2550
2550
3994
3994
4500
4500
253931
253931

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1997
1997
25200
25200
1000
1000
28197
28197

0
0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
35640
35640
15444
15444
118800
118800
3825
3825
4620
4620
5991
5991
3000
3000
187320
187320

0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
3080
3080
3994
3994

0
0
0

3,00

UNT

UMUM
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
AMP
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
VIL
BOT
UNT
UNT

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
4,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
5,00
5,00
5,00
5,00
100,00
2,00
1,00
1,00

Depo Atas
Subtotal
VIL
VIL
UNT
UNT
UNT
UNT
PKG
UNT
UNT
PKG

1500
56259

1500
56259

0
0

Pasien
Penjamin
76032
76032
1540
1540
1000
1000
78572
78572

0
0
0
0

Pasien
Penjamin
161383
161383
5881
5881
1997
1997
1500
1500
170761
170761

0
0
0
0
0

Pasien
Penjamin
32670
32670
500
500
33170
33170

0
0
0

Pasien
Penjamin
8888
8888
500
500
9388
9388

0
0
0

Pasien
Penjamin
1980000 1980000
1125093 1125093
9985
9985
28660
28660
7700
7700
6375
6375
50200
50200
1032
1032
26535
26535
3696
3696

0
0
0
0
0
0
0
0
0
0

1,00
3,00
1,00
1,00
3,00
3,00
3,00
1,00
3,00
3,00
1,00
1,00
1,00
23,00

BOT
UNT
BOT
VIL
AMP
AMP
BOT
BOT
TAB
VIL
AMP
BAG
BAG
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00
3,00
3,00
1,00
1,00
1,00
3,00
1,00
2,00
1,00
1,00
2,00
5,00
2,00
1,00
1,00
2,00
100,00
2,00
22,00

Depo Atas
Subtotal
UNT
BAG
AMP
AMP
UNT
UNT
PKG
BOT
BOT
BOT
BAG
VIL
UNT
UNT
AMP
UNT
VIL
UNT
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

30217
37830
112211
72496
32967
126741
168300
57964
258
37245
2222
102600
332640
11500
4364467

30217
37830
112211
72496
32967
126741
168300
57964
258
37245
2222
102600
332640
11500
4364467

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40426
40426
157018
157018
5220
5220
20790
20790
4620
4620
3825
3825
2970
2970
67716
67716
5881
5881
49251
49251
332640
332640
13414
13414
3300
3300
22688
22688
30888
30888
9985
9985
144992
144992
5732
5732
8415
8415
25220
25220
50200
50200
53900
53900
11000
11000
1070091 1070091

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

1,00
1,00
2,00

UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
4,00
1,00
3,00
5,00
5,00
5,00
100,00
1,00
1,00
3,00
1,00
2,00
2,00
2,00
1,00
2,00
4,00
1,00
1,00
3,00
3,00
3,00
1,00

Depo Atas
Subtotal
VIL
VIL
AMP
UNT
UNT
UNT
PKG
PKG
UNT
AMP
BAG
UNT
UNT
BOT
BAG
VIL
AMP
BOT
BOT
AMP
AMP
AMP
TAB

14988
14988
1000
30976

14988
14988
1000
30976

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
2640000 2640000
1125093 1125093
30033
30033
9985
9985
7700
7700
6375
6375
50200
50200
3696
3696
26535
26535
463320
463320
9633
9633
10588
10588
10588
10588
32834
32834
88857
88857
144992
144992
71280
71280
112211
112211
95040
95040
37572
37572
5220
5220
20790
20790
20350
20350

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1,00
3,00
2,00
2,00
27,00

TAB
VIL
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00
3,00
1,00
1,00
4,00
3,00
4,00
1,00
5,00
100,00
1,00
3,00
15,00

Depo Atas
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT
UNT
AMP
UNT
UNT
BAG
UNT
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
4,00
1,00

Depo IGD
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
AMP
UNT

827
37245
53900
40426
13500
5168790

827
37245
53900
40426
13500
5168790

0
0
0
0
0
0

Pasien
Penjamin
3796
3796
16335
16335
8415
8415
49251
49251
37830
37830
26950
26950
20213
20213
71280
71280
5991
5991
6160
6160
9633
9633
6375
6375
50200
50200
22688
22688
9900
9900
7500
7500
352517
352517

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25200
25200
500
500
25700
25700

0
0
0

Pasien
Penjamin
71280
71280
500
500
71780
71780

0
0
0

Pasien
Penjamin
878913
878913
500
500

0
0

879413

JAKARTA SEHAT
Quantity
49,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
5,00
5,00
1,00
2,00
1,00
2,00
6,00

Emergency ICU
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
2,00
1,00
1,00
6,00

Depo Atas
Subtotal
TAB
TAB
UNT
BAG
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
AMP
UNT

879413

Pasien
Penjamin
108878
108878
500
500
109378
109378

0
0
0

Pasien

Penjamin
693
198
1000
1891

0
0
0
0

Pasien
Penjamin
74940
74940
74940
74940
23760
23760
53900
53900
20213
20213
3994
3994
3000
3000
254747
254747

0
0
0
0
0
0
0
0

Pasien
Penjamin
57580
57580
1410
1410
5991
5991
19266
19266
8415
8415
16417
16417
3000
3000
112079
112079

0
0
0
0
0
0
0
0

Pasien
Penjamin
2222
2222
500
500
2722
2722

0
0
0

693
198
1000
1891

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
5,00
5,00
5,00
100,00
2,00
2,00
2,00
1,00
1,00
1,00
4,00
3,00
3,00
3,00
3,00
2,00
3,00
20,00

Depo Atas
Subtotal
VIL
VIL
BAG
UNT
UNT
UNT
PKG
UNT
PKG
UNT
BAG
VIL
BOT
VIL
AMP
AMP
AMP
BOT
TAB
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo Atas
Subtotal
TAB
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
1,00
6,00
3,00
1,00
2,00

Depo Atas
Subtotal
PKG
BAG
BOT
VIL
VIL
AMP
AMP
BAG
TAB

Pasien
Penjamin
1125093 1125093
1980000 1980000
102600
102600
9985
9985
7700
7700
6375
6375
50200
50200
1032
1032
7392
7392
11464
11464
332640
332640
60472
60472
112211
112211
289984
289984
20790
20790
5220
5220
32967
32967
178200
178200
172
172
37245
37245
10000
10000
4381742 4381742

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
52800
52800
25220
25220
1000
1000
79020
79020

0
0
0
0

Pasien
Penjamin
2970
2970
205200
205200
32834
32834
13414
13414
72496
72496
106920
106920
161064
161064
78509
78509
15708
15708

0
0
0
0
0
0
0
0
0

2,00
3,00
6,00
2,00
100,00
2,00
1,00
16,00

TAB
UNT
UNT
BAG
PKG
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
6,00
6,00
5,00
100,00
1,00
1,00
2,00
2,00
1,00
2,00
2,00
1,00
3,00
3,00
2,00
4,00
1,00
2,00
3,00
3,00
25,00

Depo Atas
Subtotal
VIL
TAB
TAB
VIL
UNT
UNT
UNT
UNT
PKG
BAG
BOT
UNT
UNT
UNT
BAG
BOT
BOT
VIL
BOT
VIL
AMP
BOT
BOT
AMP
VIL
UNT

JAKARTA SEHAT
Quantity
5,00
100,00
1,00

Depo Atas
Subtotal
UNT
PKG
UNT

1654
5991
9240
19266
50200
1032
3696
8000
788194

1654
5991
9240
19266
50200
1032
3696
8000
788194

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
20350
20350
827
827
205293
205293
19250
19250
11982
11982
34392
34392
6375
6375
50200
50200
9633
9633
5881
5881
1032
1032
756
756
22688
22688
177714
177714
32834
32834
63253
63253
633600
633600
178200
178200
144992
144992
71280
71280
112211
112211
190080
190080
37572
37572
37245
37245
12500
12500
3205233 3205233

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9985
9985
50200
50200
22688
22688

0
0
0

1,00
2,00
3,00
2,00
3,00
4,00
1,00
1,00
11,00

TUB
BOT
VIL
VIL
BOT
VIL
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
100,00
3,00
2,00
5,00

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
4,00
4,00

Depo IGD
Subtotal
VIL
TAB
AMP
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
VIL
SUP
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
AMP
TAB
UNT

56262
32834
633600
144992
168300
49660
198
2052
5500
1176271

56262
32834
633600
144992
168300
49660
198
2052
5500
1176271

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5991
5991
22688
22688
50200
50200
9900
9900
177714
177714
2500
2500
268993
268993

0
0
0
0
0
0
0

Pasien
Penjamin
205293
205293
980
980
71280
71280
6160
6160
2000
2000
285713
285713

0
0
0
0
0
0

Pasien
Penjamin
226738
226738
25260
25260
1000
1000
252998
252998

0
0
0
0

Pasien
Penjamin
13090
13090
26400
26400
1000
1000
40490
40490

0
0
0
0

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
VIL
TAB
UNT

JPK PNS
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
VIL
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
AMP
AMP
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

Depo Atas
Subtotal
VIL
AMP
UNT

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
BOT

Pasien
Penjamin
308880
308880
660
660
1000
1000
310540
310540

0
0
0
0

Pasien
Penjamin
170544
170544
3994
3994
1000
1000
175538
175538

0
0
0
0

Pasien
Penjamin
4634
4634
25048
25048
12610
12610
26950
26950
20213
20213
2500
2500
91955
91955

0
0
0
0
0
0
0

Pasien
Penjamin
30888
30888
500
500
31388
31388

0
0
0

Pasien
Penjamin
1980000 1980000
37800
37800
1000
1000
2018800 2018800

0
0
0
0

Pasien
Penjamin
64548
64548

1,00

UNT

JAKARTA SEHAT
Quantity
3,00
2,00
2,00

Depo Atas
Subtotal
VIL
AMP
UNT

JAKARTA SEHAT
Quantity
5,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00
1,00
2,00
2,00
7,00

Depo Atas
Subtotal
BOT
PKG
BOT
AMP
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
3,00
2,00
1,00
7,00

Depo Atas
Subtotal
UNT
PKG
UNT
BOT
AMP
PKG
AMP
UNT

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

500
65048

500
65048

0
0

Pasien
Penjamin
463320
463320
308880
308880
1000
1000
773200
773200

0
0
0
0

Pasien
Penjamin
772200
772200
500
500
772700
772700

0
0
0

Pasien
Penjamin
57964
57964
41388
41388
190080
190080
37572
37572
46101
46101
7392
7392
45376
45376
3500
3500
429373
429373

0
0
0
0
0
0
0
0
0

Pasien
756
2904
3796
57964
126741
7392
96180
3500
299233

Pasien

Penjamin
756
2904
3796
57964
126741
7392
96180
3500
299233

Penjamin

0
0
0
0
0
0
0
0
0

1,00
1,00

BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
3,00
4,00
3,00
10,00
2,00
100,00
2,00
2,00
1,00
1,00
1,00
2,00
1,00
4,00
3,00
3,00
1,00
3,00
1,00
3,00
2,00
22,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT
BAG
BOT
BAG
BAG
BAG
VIL
AMP
AMP
VIL
BOT
BOT
AMP
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
2,00

Depo Atas
Subtotal
BAG
UNT
UNT
VIL
VIL

57964
500
58464

57964
500
58464

0
0
0

Pasien
Penjamin
57964
57964
500
500
58464
58464

0
0
0

Pasien
Penjamin
1125093 1125093
37800
37800
7988
7988
4620
4620
12750
12750
11464
11464
50200
50200
1032
1032
756
756
9633
9633
5881
5881
332640
332640
205200
205200
332640
332640
289984
289984
20790
20790
5220
5220
60472
60472
178200
178200
112211
112211
32967
32967
172
172
11000
11000
2848713 2848713

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9633
9633
6600
6600
45376
45376
13414
13414
144992
144992

0
0
0
0
0

2,00
2,00
5,00
5,00
5,00
2,00
100,00
2,00
13,00

BAG
BOT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
100,00
1,00
2,00
1,00
2,00
3,00
2,00
2,00
2,00
7,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
TUB
UNT
PKG
UNT
UNT
UNT
UNT
UNT
BOT
VIL
TAB
UNT
BAG
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
7,00
3,00
100,00
2,00
2,00
1,00
1,00
3,00
3,00
2,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
PKG
BAG
BOT
AMP
AMP
BAG
BOT

205200
32834
9985
7700
6375
29976
50200
7392
6500
576177

205200
32834
9985
7700
6375
29976
50200
7392
6500
576177

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1078
1078
56262
56262
18342
18342
50200
50200
8415
8415
40426
40426
5809
5809
756
756
44964
44964
32834
32834
144992
144992
396
396
13979
13979
9633
9633
22688
22688
7500
7500
458274
458274

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4620
4620
13979
13979
17196
17196
50200
50200
1032
1032
2904
2904
9633
9633
5881
5881
20790
20790
5220
5220
177714
177714
32834
32834

0
0
0
0
0
0
0
0
0
0
0
0

1,00
1,00
2,00
4,00
3,00
1,00
1,00
19,00

BOT
BOT
VIL
AMP
BOT
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
1,00
2,00
1,00
100,00
1,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
BAG
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
7,00
2,00
3,00
2,00
1,00
2,00
3,00
3,00
3,00
3,00
3,00
2,00
2,00
2,00
1,00
1,00
17,00

Depo Atas
Subtotal
UNT
AMP
UNT
BAG
VIL
VIL
AMP
BOT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT
PKG
UNT

63253
112211
144992
71280
178200
13621
8415
9500
943475

63253
112211
144992
71280
178200
13621
8415
9500
943475

0
0
0
0
0
0
0
0
0

Penjamin
756
5991
9900
9633
1032
22688
50200
16088
4000
120288

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15882
15882
2273929 2273929
45376
45376
307800
307800
13414
13414
72496
72496
5880
5880
178200
178200
17196
17196
5991
5991
4620
4620
3825
3825
1032
1032
2904
2904
7392
7392
26611
26611
41388
41388
8500
8500
3032436 3032436

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
756
5991
9900
9633
1032
22688
50200
16088
4000
120288

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
3,00
4,00
2,00
2,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
4,00
100,00
1,00
1,00
2,00
2,00
2,00
21,00

Depo Atas
Subtotal
UNT
BOT
UNT
UNT
UNT
BOT
UNT
TUB
UNT
BOT
BOT
UNT
UNT
BOT
UNT
PKG
UNT
PKG
UNT
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel 2
Subtotal
VIL
UNT

Pasien
Penjamin
205293
205293
500
500
205793
205793

0
0
0

Pasien
Penjamin
44964
44964
65668
65668
45376
45376
6600
6600
18342
18342
11762
11762
16088
16088
56262
56262
5809
5809
190080
190080
112211
112211
9625
9625
8415
8415
178200
178200
7988
7988
50200
50200
26611
26611
41388
41388
10588
10588
10588
10588
177714
177714
10500
10500
1104979 1104979

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
67716
67716
500
500
68216
68216

0
0
0

Pasien
Penjamin
2722500 2722500
500
500
2723000 2723000

0
0
0

JAKARTA SEHAT
Quantity
6,00
5,00
5,00
2,00
2,00
2,00
3,00
2,00
100,00
2,00
2,00
3,00
3,00
1,00
2,00
1,00
1,00
2,00
18,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT
VIL
BAG
PKG
BOT
VIL
AMP
AMP
AMP
VIL
BOT
BAG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
100,00
5,00
3,00
3,00
1,00
4,00
3,00
3,00
3,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT
TAB
BAG
VIL
AMP
AMP
BOT

Pasien
Penjamin
11982
11982
7700
7700
6375
6375
11464
11464
2904
2904
1032
1032
633600
633600
177714
177714
50200
50200
32834
32834
144992
144992
20790
20790
5220
5220
116160
116160
5184
5184
5881
5881
12012
12012
45376
45376
9000
9000
1300420 1300420

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
5991
5991
4620
4620
1032
1032
50200
50200
6375
6375
17196
17196
258
258
332640
332640
289984
289984
20790
20790
5220
5220
178200
178200

0
0
0
0
0
0
0
0
0
0
0
0

1,00
13,00

BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
100,00
2,00
1,00
2,00
5,00
3,00
2,00
2,00
2,00
2,00
3,00
2,00
2,00
2,00
17,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
BAG
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BAG
UNT

112211
6500
1031217

112211
6500
1031217

0
0
0

Pasien
Penjamin
67716
67716
500
500
68216
68216

0
0
0

Pasien
Penjamin
9985
9985
7700
7700
6375
6375
50200
50200
7392
7392
22688
22688
16830
16830
74940
74940
44964
44964
29976
29976
29976
29976
1032
1032
2904
2904
266571
266571
53900
53900
40426
40426
11464
11464
8500
8500
685823
685823

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
381150
381150
500
500
381650
381650

0
0
0

Waktu
30 Mei 2013 20:28
Item
SIMVASTATIN GENERIK 10 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

Jaminan
UMUM
Quantity
2,00
2,00
2,00
3,00

30 Mei 2013 18:11

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
FUROSEMID INF INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

30 Mei 2013 14:01

Item
ISOSORBIDE DINITRATE INF TABLET
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 20 CC WIHTOUT NED
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
EXTENSION TUBE ET 2 (DWS)
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
14,00

30 Mei 2013 10:45

Item
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

30 Mei 2013 09:09

Item
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 50 CC WITHOUT NED
STOMACH TUBE 16 THERUMO
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
7,00

30 Mei 2013 05:51

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

30 Mei 2013 05:46

Item
VASCON SOLUTION, INJECTION 4 MG/4 ML
DISP SYRINGE 50 CC WITHOUT NED
RING AS SANBE 500 ML
NON REBREATHING MASK ADULT(1102)
DISP SYRINGE 3 CC
EPHINEPRIN ETHICA INJECTION
ATROPIN ETHICA 0.25 MG INJECTION
IVENA IV CATH 20
INFUS SET JMS
SELANG OKSIGEN ADULT
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 7.5
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

SUCTION CATHETER 12
GUEDEL AIRWAYS SIZE 3.5
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
20,00

30 Mei 2013 05:25

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

30 Mei 2013 04:37

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
1,00
5,00
6,00

30 Mei 2013 02:18

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
SELANG OKSIGEN ADULT
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
7,00

30 Mei 2013 02:16

Item
SELANG OKSIGEN CHILD
KA-EN 3B 500 ML INFUSION
SANMOL 15 ML DROPS
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE

UMUM
Quantity
1,00
2,00
1,00
4,00
1,00
10,00

NATRIUM PHENITOIN 50MG /ML INJ

TUSLAH NON RACIKAN
TOTAL

2,00
4,00

30 Mei 2013 02:11

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
3,00

30 Mei 2013 02:09

Item
ASAM MEFENAMAT INF 500 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
6,00
2,00
3,00

30 Mei 2013 02:03

Item
KETOROLAC 30 MG SOLUTION, INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
3,00
1,00
5,00

30 Mei 2013 01:42

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
2,00
4,00

30 Mei 2013 01:00

Item
RING AS SANBE 500 ML

UMUM
Quantity
1,00

INFUS SET JMS

IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00

30 Mei 2013 00:53

Item
COTRIMOXAZOLE 480 MG TABLET
FLUCONAZOL INFUS 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00

30 Mei 2013 00:45

Item
CEREMAX IV INFUS 50ml
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
BISOLVON 2 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00
1,00
3,00
1,00
7,00

30 Mei 2013 00:42

Item
IVENA IV CATH 20
SELANG OKSIGEN ADULT
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

29 Mei 2013 23:39

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION

UMUM
Quantity
1,00
2,00
2,00
2,00
2,00

DISP SYRINGE 20 CC WIHTOUT NED

FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
1,00
10,00

29 Mei 2013 21:43

Item
BISOLVON 2 ML INJECTION
LEVOFLOXACIN INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
3,00
4,00
4,00

29 Mei 2013 21:39

Item
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

29 Mei 2013 21:30

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
10,00
3,00

29 Mei 2013 06:21

Item
ASPILETS TABLET, CHEWABLE 80 MG
ASPAR-K TABLET, COATED 300 mg
OPIGRAN INJ 3
SELANG OKSIGEN ADULT
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00

IVENA IV CATH 20
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
13,00

28 Mei 2013 20:20

Item
TRANSFUSION SET JMS
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 20
INFUS SET JMS
HANDSCOON GAMEX 6.5
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
FOLLEY CATHETER 14 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
12,00

28 Mei 2013 20:02

Item
AMLODIPIN 5 MG TABLET
WINGED NEEDLE NO. 25 JMS
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 20:02

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00

HANDSCOON GAMEX 7
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
2,00
15,00

28 Mei 2013 19:56

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC INSULIN
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
FUROSEMID INF INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00
1,00
1,00
1,00
1,00
1,00
1,00
5,00
2,00
13,00

28 Mei 2013 19:30

Item
CIPROFLOXACIN TABLET
METRONIDAZOLE 500 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
ASAM MEFENAMAT INF 500 MG TABLET
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
3,00
1,00
2,00
6,00

28 Mei 2013 18:39

Item
NON REBREATHING MASK ADULT(1102)
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
3,00
2,00

TOTAL

28 Mei 2013 18:36

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

28 Mei 2013 17:20

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

28 Mei 2013 16:56

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

28 Mei 2013 16:37

Item
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
1,00
4,00

28 Mei 2013 15:52

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SELANG NEBUL WITH MASK(1493)
METRONIDAZOLE 100 ML INFUSION

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
6,00

25 Mei 2013 21:44

Item
NON REBREATHING MASK ADULT(1102)
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
3,00
3,00
1,00
5,00

25 Mei 2013 21:42

Item
PARACETAMOL INF TABLET 500 mg
CIPROFLOXACIN TABLET
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
4,00

25 Mei 2013 20:11

Item
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
3,00

25 Mei 2013 18:49

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

25 Mei 2013 18:29

Item
CEDANTRON 4 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

25 Mei 2013 18:27

Item
METFORMIN HCL 500 MG TABLET
CACO3 500 MG CAPSULE
FOLIC ACID 1 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
10,00
1,00
5,00

25 Mei 2013 17:27

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
DEXTROMETHORPHAN INF TABLET 15 MG
GASTRIDIN INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
10,00
10,00
4,00
4,00

25 Mei 2013 17:16

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

25 Mei 2013 16:31

Item
PARACETAMOL 60 ML SYRUP
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
2,00
3,00

25 Mei 2013 15:40

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 10 CC
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

25 Mei 2013 15:09

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 15:03

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
ORALIT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
10,00
4,00

25 Mei 2013 14:42

Item
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 17:32

Item
CARDIO ASPIRIN TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
18,00
2,00

23 Mei 2013 22:28

Item

JAKARTA SEHAT
Quantity

LOVENOX 0,6 SOLUTION, INJECTION

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
2,00

23 Mei 2013 18:52

Item
IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
STOMACH TUBE 16 JMS
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
EPHINEPRIN ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
3,00
2,00
1,00
1,00
1,00
9,00

23 Mei 2013 14:51

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
STOMACH TUBE 16 JMS
FOLLEY CATHETER 16 RUSCH
HANDSCOON GAMEX 6.5
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
6,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
11,00

23 Mei 2013 08:53

Item
CEFEPIME 1 GR INJECTION
METRONIDAZOLE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

23 Mei 2013 08:35

Item
IVENA IV CATH 22
RING AS SANBE 500 ML
INFUS SET JMS
NON REBREATHING MASK ADULT(1102)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

23 Mei 2013 07:44

Item
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 07:42

Item
OPIGRAN INJ 3
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
2,00
2,00
1,00
2,00
7,00

23 Mei 2013 07:33

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
6,00

23 Mei 2013 06:04

Item

UMUM
Quantity

OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

2,00
1,00

23 Mei 2013 05:35

Item
RING AS SANBE 500 ML
GUEDEL AIRWAYS SIZE 7.0
ATROPIN ETHICA 0.25 MG INJECTION
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
1,00
2,00
5,00

23 Mei 2013 02:00

Item
AMOXICILLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

23 Mei 2013 01:43

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
4,00

23 Mei 2013 01:39

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
3,00
4,00

23 Mei 2013 01:33

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

23 Mei 2013 01:25

Item
CONDOM CATHETER M
DRAINAGE BAG STERIL
IVENA IV CATH 20
TRANSFUSION SET JMS
RING AS SANBE 500 ML
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

23 Mei 2013 01:07

Item
ASAM MEFENAMAT INF 500 MG TABLET
AMOXICILLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

23 Mei 2013 00:49

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
4,00
1,00
1,00
7,00

23 Mei 2013 00:45

Item
MAPROLEN 4/0 DS19
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
3,00

23 Mei 2013 00:30

UMUM

Item
RING AS SANBE 500 ML
ISOSORBIDE DINITRATE INF TABLET
ISOKET INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
ACETYLCYSTEIN 200MG CAPS
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
5,00
2,00
5,00
6,00
10,00
3,00
3,00
2,00
3,00
10,00

23 Mei 2013 00:16

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 00:09

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
INFUS SET JMS
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
4,00
2,00
1,00
2,00
9,00

22 Mei 2013 23:29

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
10,00
3,00

22 Mei 2013 23:01

UMUM

Item
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
10,00
3,00

22 Mei 2013 22:31

Item
CIPROFLOXACIN TABLET
DOXYCYCLINE INF TABLET 100 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
3,00

22 Mei 2013 22:29

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

22 Mei 2013 22:16

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 21:36

Item
LOVENOX 0,6 SOLUTION, INJECTION
OMEPRAZOLE 40 MG INJECTION
SIMVASTATIN GENERIK 10 MG TABLET
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
5,00

22 Mei 2013 21:34

Item

JAKARTA SEHAT
Quantity

RINGER LACTATE WIDATRA 500 ML

IVENA IV CATH 18
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
3,00

22 Mei 2013 21:09

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

22 Mei 2013 13:53

Item
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
4,00
24,00
3,00

22 Mei 2013 08:30

Item
ZINKID 10MG/5ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 21:00

Item
RINGER LACTATE WIDATRA 500 ML
KA-EN 3B 500 ML INFUSION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
4,00

21 Mei 2013 20:30

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

RING AS SANBE 500 ML

TUSLAH NON RACIKAN
TOTAL

1,00
5,00

21 Mei 2013 19:32

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
PARACETAMOL INF TABLET 500 mg
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
2,00
3,00
2,00
2,00
1,00
3,00
3,00
10,00

21 Mei 2013 19:32

Item
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
4,00
1,00
1,00
11,00

21 Mei 2013 19:31

Item
RING AS SANBE 500 ML
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
4,00
2,00
1,00
1,00

INPEPSA 100 ML SYRUP 500 mg/5 ml

TUSLAH NON RACIKAN
TOTAL

1,00
8,00

21 Mei 2013 19:20

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
10,00

21 Mei 2013 19:14

Item
RANITIDINE INF TABLET 150 MG
DEXTROMETHORPHAN INF TABLET 15 MG
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
3,00

21 Mei 2013 19:09

Item
ORALIT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

21 Mei 2013 19:05

Item
SELANG OKSIGEN ADULT
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

21 Mei 2013 17:34

Item

UMUM
Quantity

AMOXICILLIN 500 MG TABLET

ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
2,00

21 Mei 2013 17:12

Item
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
MAPROLEN 3/0 DS24
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

20 Mei 2013 10:42

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

20 Mei 2013 10:22

Item
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

19 Mei 2013 22:44

Item
CLOPIDOGREL 75 MG TABLET
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
11,00

19 Mei 2013 21:27

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

19 Mei 2013 21:01

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00

19 Mei 2013 20:50

Item
CAPTOPRIL 12.5 MG TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
4,00
4,00
1,00
4,00
2,00

19 Mei 2013 20:00

Item
OMEPRAZOLE GEN 20 MG CAPSULE
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

19 Mei 2013 19:27

Item
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML

JAKARTA SEHAT
Quantity
1,00
1,00

INFUS SET JMS

IVENA IV CATH 20
DISP SYRINGE 10 CC
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
7,00

19 Mei 2013 19:23

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

19 Mei 2013 18:52

Item
DOMPERIDON SYRUP
ORALIT
PARACETAMOL 60 ML SYRUP
ZINC INF 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
5,00
1,00
10,00
4,00

19 Mei 2013 17:04

Item
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
2,00
3,00
7,00

19 Mei 2013 16:04

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
4,00

19 Mei 2013 15:16

Item
RINGER LACTATE WIDATRA 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
10,00
5,00

16 Mei 2013 23:38

Item
FUTROLIT INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
HYPERIL 5 MG TABLET
FARMADOL 100 ML INFUSION
CIPROFLOXACIN DRIP INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
1,00
1,00
5,00

16 Mei 2013 12:26

Item
IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
SELANG OKSIGEN ADULT
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

16 Mei 2013 11:47

Item
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
INFUS SET JMS
IVENA IV CATH 20
NON REBREATHING MASK ADULT(1102)
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
AQUA FOR INJECT OTSUKA 25 ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)

UMUM
Quantity
3,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00

THREE WAY STOPCOCK

GUEDEL AIRWAYS SIZE 6.5
GUEDEL AIRWAYS SIZE 7.0
SUCTION CATHETER 16
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 3 CC
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
XYLOCAINE 2% 10 GM JELLY
IVENA IV CATH 22
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
4,00
2,00
22,00

16 Mei 2013 09:40

Item
TRANSFUSION SET JMS
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 06:39

Item
LOVENOX 0,6 SOLUTION, INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
2,00
2,00
4,00

16 Mei 2013 06:36

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

16 Mei 2013 06:34

Item
NIFEDIPIN GENERIK TABLET
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00

TOTAL

16 Mei 2013 06:32

Item
DISP SYRINGE 3 CC
MAPROLEN 3/0 DS24
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00
1,00
4,00

16 Mei 2013 06:27

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 05:39

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 00:06

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
4,00
3,00
1,00
1,00
5,00
1,00
3,00
8,00

16 Mei 2013 00:05

Item

JAKARTA SEHAT
Quantity

ASAM TRANEKSAMAT 500 MG TABLET

VITAMIN K KIMIA FARMA TABLET 10 MG
CIPROFLOXACIN TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
6,00
10,00
4,00

16 Mei 2013 00:04

Item
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

15 Mei 2013 23:55

Item
INFUS SET JMS
IVENA IV CATH 20
IVENA IV CATH 22
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

15 Mei 2013 23:33

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
ONDANSETRON 8 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
5,00
3,00

15 Mei 2013 23:23

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC

RSUD TARAKAN
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
2,00

SELANG OKSIGEN ADULT

TUSLAH NON RACIKAN
TOTAL

1,00
8,00

15 Mei 2013 23:03

Item
AMOXICILLIN 500 MG TABLET
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
6,00
3,00

15 Mei 2013 22:26

Item
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

15 Mei 2013 22:09

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

15 Mei 2013 21:38

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
4,00
10,00
3,00

15 Mei 2013 21:37

Item
PANTOPRAZOLE INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml

UMUM
Quantity
1,00
1,00
1,00

OMEPRAZOLE GEN 20 MG CAPSULE

AMOXICILLIN 500 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
10,00
6,00

15 Mei 2013 10:57

Item
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

15 Mei 2013 10:53

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

15 Mei 2013 10:23

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 05:54

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

15 Mei 2013 03:27

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 23:38

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
CAPTOPRIL 12.5 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
8,00

14 Mei 2013 22:35

Item
PARACETAMOL INF TABLET 500 mg
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
6,00
2,00
2,00
2,00
1,00
1,00
3,00
1,00
11,00

14 Mei 2013 22:33

Item
LOVENOX 0,6 SOLUTION, INJECTION
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

14 Mei 2013 22:11

Item
RING AS SANBE 500 ML
IVENA IV CATH 20

JAKARTA SEHAT
Quantity
1,00
1,00

INFUS SET JMS

SELANG OKSIGEN ADULT
FUROSEMID INF INJECTION
DISP SYRINGE 5 CC
CAPTOPRIL 12.5 MG TABLET
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
DISP SYRINGE 10 CC
DRAINAGE BAG STERIL
FOLLEY CATHETER 20 RUSCH
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
14,00

14 Mei 2013 22:04

Item
DRAINAGE BAG STERIL
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 7
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

14 Mei 2013 22:02

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 20:53

Item
PARACETAMOL 60 ML SYRUP
AMOXICILLIN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

14 Mei 2013 20:38

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
MAPROLEN 3/0 DS24

JAKARTA SEHAT
Quantity
2,00
2,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

14 Mei 2013 20:12

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
PLASMINEX 100 MG/ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

14 Mei 2013 20:02

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
DRAINAGE BAG STERIL
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
12,00

14 Mei 2013 19:57

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
PARACETAMOL INF TABLET 500 mg
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
1,00
3,00
1,00
1,00
1,00
3,00
20,00

TUSLAH NON RACIKAN

TOTAL

10,00

14 Mei 2013 19:47

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
XYLOCAINE 2% 10 GM JELLY
STOMACH TUBE 16 THERUMO
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
10,00

14 Mei 2013 19:26

Item
FUROSEMID INF INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ASPAR-K TABLET, COATED 300 mg
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
2,00
2,00
4,00
2,00
6,00

14 Mei 2013 19:25

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PIRACETAM INJ 3 GR/ 15 ML INJECTION
AMLODIPIN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
4,00
1,00
1,00
2,00
5,00
8,00

14 Mei 2013 19:24

JAKARTA SEHAT

Item
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
AQUA FOR INJECT OTSUKA 25 ML
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

14 Mei 2013 19:22

Item
ASPAR-K TABLET, COATED 300 mg
FUROSEMID INF INJECTION
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
5,00
3,00
4,00

14 Mei 2013 18:57

Item
SELANG OKSIGEN ADULT
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
11,00

14 Mei 2013 17:39

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

TOTAL

14 Mei 2013 17:17

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
4,00
1,00
1,00
3,00
1,00
3,00
8,00

14 Mei 2013 17:07

Item
PARACETAMOL INF TABLET 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
5,00
4,00

14 Mei 2013 17:02

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

14 Mei 2013 16:59

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

14 Mei 2013 16:56

Item
RING AS SANBE 500 ML
IVENA IV CATH 20

UMUM
Quantity
1,00
1,00

INFUS SET JMS

TUSLAH NON RACIKAN
TOTAL

1,00
3,00

14 Mei 2013 16:22

Item
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 16:12

Item
INFUS SET JMS
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
SELANG OKSIGEN CHILD
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

14 Mei 2013 16:08

Item
KA-EN 1B 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL 60 ML SYRUP
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
3,00
1,00
1,00
1,00
5,00
9,00

12 Mei 2013 17:45

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
NON REBREATHING MASK ANAK(1192)
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 5 CC
HANDSCOON GAMEX 7

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

FUROSEMID INF INJECTION

DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
DISP SYRINGE 1 CC TUBERCULIN
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
1,00
1,00
1,00
1,00
14,00

12 Mei 2013 17:25

Item
RING AS SANBE 500 ML
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
SPIRONOLACTONE 25 MG TABLET
ISOKET INJECTION
CAPTOPRIL 12.5 MG TABLET
ATORVASTATIN 20 MG TABLET
AMLODIPIN 5 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
2,00
2,00
6,00
2,00
2,00
1,00
10,00

12 Mei 2013 16:57

Item
SELANG OKSIGEN ADULT
ISOKET INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUROSEMID INF INJECTION
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
IVENA IV CATH 20
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
2,00
1,00
1,00
2,00
2,00
1,00
2,00
3,00
2,00
1,00
1,00
1,00
1,00
4,00
1,00
1,00
1,00
18,00

TOTAL

12 Mei 2013 16:50

Item
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SPIRONOLACTONE 25 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
2,00
2,00
1,00
2,00
6,00
8,00

12 Mei 2013 15:19

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
SELANG OKSIGEN ADULT
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
13,00

12 Mei 2013 14:47

Item
IMOVAX RABIES INJECTION
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
10,00
2,00

12 Mei 2013 14:42

Item
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
2,00

AMINOPHYLLINE 24mg SOLUTION

VENTOLIN NEBULE SOLUTION, FOR INHALATION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
PANTOPRAZOLE INJECTION
ACETYLCYSTEIN 200MG CAPS
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
1,00
3,00
1,00
3,00
1,00
8,00

12 Mei 2013 12:42

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

12 Mei 2013 11:59

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

12 Mei 2013 11:44

Item
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OPIGRAN INJ 3
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
1,00
1,00
2,00
4,00
2,00
1,00
8,00

12 Mei 2013 10:46

Item
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
EXTENSION TUBE ET 1 V:0.79ML(ANAK)

JPK PNS
Quantity
2,00
1,00
1,00
2,00
4,00
1,00

THREE WAY STOPCOCK

TUSLAH NON RACIKAN
TOTAL

1,00
7,00

12 Mei 2013 09:21

Item
NEEDLE NO.18 THERUMO
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
WIDAHES 130
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
STOMACH TUBE 8 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

12 Mei 2013 08:52

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 08:24

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

9 Mei 2013 13:39

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

9 Mei 2013 10:29

JAKARTA SEHAT

Item
RING AS SANBE 500 ML
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL INF TABLET 500 mg
NEW DIATABS TABLET 600 mg
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
2,00
3,00
6,00
1,00
2,00
1,00
8,00

9 Mei 2013 09:47

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
2,00
16,00

9 Mei 2013 09:24

Item
INFUS SET JMS
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

9 Mei 2013 08:40

JAKARTA SEHAT

Item
OMEPRAZOLE GEN 20 MG CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00
10,00
3,00

9 Mei 2013 08:30

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED
PARACETAMOL INF TABLET 500 mg
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
3,00

9 Mei 2013 08:27

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
7,00

9 Mei 2013 08:00

Item
RING AS SANBE 500 ML
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CAPTOPRIL 12.5 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
3,00
6,00
1,00
1,00
3,00
8,00

9 Mei 2013 07:57

Item
FUROSEMID INF INJECTION

JAKARTA SEHAT
Quantity
3,00

KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML

TUSLAH NON RACIKAN
TOTAL

4,00
2,00

9 Mei 2013 07:19

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
10,00

9 Mei 2013 07:12

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
REBREATHING MASK ADULT (1102)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
8,00

9 Mei 2013 05:56

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
DOMPERIDON SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
3,00

9 Mei 2013 05:39

Item
SELANG OKSIGEN ADULT

JAKARTA SEHAT
Quantity
1,00

CAPTOPRIL 12.5 MG TABLET

ASPILETS TABLET, CHEWABLE 80 MG
IVENA IV CATH 20
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
2,00
5,00

9 Mei 2013 04:55

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
3,00

9 Mei 2013 04:49

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 04:36

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

9 Mei 2013 03:10

Item
PARACETAMOL INF TABLET 500 mg
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
2,00

9 Mei 2013 02:00

Item

JAKARTA SEHAT
Quantity

SELANG OKSIGEN ADULT

FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
XYLOCAINE 2% 10 GM JELLY
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
14,00

9 Mei 2013 01:54

Item
RING AS SANBE 500 ML
ISOSORBIDE DINITRATE INF TABLET
CEDOCARD 10 ML SOLUTION, INJECTION
AMLODIPIN 5 MG TABLET
FUROSEMID INF INJECTION
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
10,00
4,00
4,00
6,00

9 Mei 2013 01:38

Item
MAPROLEN 4/0 DS19
DISP SYRINGE 3 CC
HANDSCOON GAMEX 6.5
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
4,00

9 Mei 2013 01:36

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

9 Mei 2013 01:35

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

9 Mei 2013 01:34

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
10,00
3,00

9 Mei 2013 00:25

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
TRANSFUSION SET JMS
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

8 Mei 2013 23:39

Item
IVENA IV CATH 20
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

8 Mei 2013 23:37

Item
WIDAHES 130
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00

8 Mei 2013 23:10

Item

UMUM
Quantity

IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
3,00

8 Mei 2013 23:10

Item
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
3,00

8 Mei 2013 23:00

Item
RINGER LACTATE WIDATRA 500 ML
ACRAN 2 ML INJECTION
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
10,00
3,00

8 Mei 2013 22:59

Item
PARACETAMOL INF TABLET 500 mg
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

8 Mei 2013 00:06

Item
LACTODIA POLYBAG
ZINKID 10MG/5ML SYRUP
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
3,00

7 Mei 2013 23:56

Item
FOLLEY CATHETER 6 RUSCH
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00

7 Mei 2013 22:41

Item
HEALFLON IV.CATH NO.26G HARSORIA
IVENA IV CATH 24
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
RINGER LACTATE WIDATRA 500 ML
SELANG OKSIGEN CHILD
FOLLEY CATHETER 6 RUSCH
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
2,00
2,00
2,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
13,00

7 Mei 2013 22:20

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00
3,00
1,00
6,00

7 Mei 2013 21:53

Item
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

7 Mei 2013 21:19

Item

UMUM
Quantity

KA-EN 3B 500 ML INFUSION

SANMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
2,00

7 Mei 2013 21:09

Item
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

7 Mei 2013 20:51

Item
IVENA IV CATH 20
BD VACUTAINER
RING AS SANBE 500 ML
INFUS SET JMS
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

7 Mei 2013 20:25

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

7 Mei 2013 20:13

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
10,00
1,00
1,00
3,00
6,00

7 Mei 2013 19:05

Item
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 18:43

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
2,00
7,00

7 Mei 2013 18:10

Item
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
BISOPROLOL 5 MG TABLET
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
3,00
5,00

7 Mei 2013 18:02

Item
VITAMIN B12 KF 50 MCG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
2,00

7 Mei 2013 17:41

Item
IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
PANTOPRAZOLE INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
6,00

7 Mei 2013 17:03

Item
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

7 Mei 2013 16:31

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 16:19

Item
KA-EN 3B 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
4,00

7 Mei 2013 16:16

Item
KA-EN 3B 500 ML INFUSION
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
5,00
3,00

7 Mei 2013 15:48

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

5 Mei 2013 19:16

Item
IMOVAX RABIES INJECTION
CLINDAMYCIN 300 MG CAPSULE
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
10,00
10,00
3,00

5 Mei 2013 19:16

Item
IMOVAX RABIES INJECTION
AMOXICILLIN 60 ML SYRUP
SANMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

5 Mei 2013 18:21

Item
ACTIMOVE UMERUS "M"
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

5 Mei 2013 18:13

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 6.5
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
MAPROLEN 2/0 DS24
RINGER LACTATE WIDATRA 500 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VALISANBE INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
STOMACH TUBE 16 THERUMO

UMUM
Quantity
3,00
1,00
1,00
4,00
1,00
5,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

19,00

5 Mei 2013 17:35

Item
M-20 INFUSAN (MANITOL) 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

5 Mei 2013 16:30

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

5 Mei 2013 15:49

Item
RANITIDINE INF TABLET 150 MG
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

5 Mei 2013 15:23

Item
CAPTOPRIL 12.5 MG TABLET
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

5 Mei 2013 15:16

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

5 Mei 2013 14:46

Item
KA-EN 1B 500 ML INFUSION
PARACETAMOL 60 ML SYRUP
VALISANBE INJECTION
ZINKID INF 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

5 Mei 2013 13:23

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

5 Mei 2013 12:57

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
9,00

5 Mei 2013 12:38

Item
RING AS SANBE 500 ML
M-20 INFUSAN (MANITOL) 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
2,00
3,00
2,00
1,00
3,00
1,00
7,00

5 Mei 2013 11:36

Item
RING AS SANBE 500 ML
M-20 INFUSAN (MANITOL) 500 ML
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
3,00
2,00
2,00
1,00
1,00
3,00
8,00

5 Mei 2013 11:24

Item
PARACETAMOL 60 ML SYRUP
CEFIXIME GENERIK CAPSULE
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
10,00
3,00

5 Mei 2013 11:02

Item
ASAM MEFENAMAT INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

5 Mei 2013 10:51

Item
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

5 Mei 2013 10:34

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

5 Mei 2013 09:55

Item
IVENA IV CATH 24
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

5 Mei 2013 09:15

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DOMPERIDON SYRUP
ZINKID INF 20 MG TABLET
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
5,00

3 Mei 2013 11:03

Item
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 23:04

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
3,00
2,00
2,00
3,00

2 Mei 2013 19:52

Item
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

2 Mei 2013 18:09

JAKARTA SEHAT

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00

2 Mei 2013 12:26

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CAPTOPRIL 12.5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
BIFOTIK POWDER, FOR INJECTION SUSPENSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
1,00
1,00
3,00
3,00
2,00
2,00
1,00
1,00
11,00

2 Mei 2013 09:32

Item
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

2 Mei 2013 09:12

Item
ORALIT
ZINKID INF 20 MG TABLET
DOMPERIDON SYRUP
AMOXICILLIN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
1,00
1,00
4,00

2 Mei 2013 05:49

Item
DRAINAGE BAG STERIL
SELANG NEBUL WITH MASK(1493)
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
7,00

2 Mei 2013 05:42

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 20
INFUS SET JMS
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
8,00

2 Mei 2013 05:38

Item
IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
3,00
1,00
1,00
1,00
1,00
11,00

2 Mei 2013 05:00

Item
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
10,00
5,00

2 Mei 2013 04:32

Item
IVENA IV CATH 22
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
3,00
7,00

2 Mei 2013 04:20

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

2 Mei 2013 04:17

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
STESOLID TABLET 5 MG
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

2 Mei 2013 04:12

Item
IVENA IV CATH 24
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

2 Mei 2013 04:09

Item
CAPTOPRIL 12.5 MG TABLET
IRBESARTAN 300 MG TABLET

JAKARTA SEHAT
Quantity
10,00
5,00

FOLIC ACID 1 MG TABLET

RANITIDINE INF TABLET 150 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
BICNAT CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
10,00
1,00
10,00
5,00
1,00
5,00
4,00

2 Mei 2013 04:01

Item
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 10 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
DISP SYRINGE 1 CC INSULIN
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
3,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
4,00
19,00

2 Mei 2013 04:00

Item
IVENA IV CATH 20
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
7,00

TOTAL

2 Mei 2013 03:57

Item
INFUS SET JMS
IVENA IV CATH 22
IVENA IV CATH 20
RING AS SANBE 500 ML
MAGNESIUM SULFAT 40% INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
AQUA FOR INJECT OTSUKA 25 ML
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
13,00

2 Mei 2013 03:29

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 00:57

Item
RINGER LACTATE WIDATRA 500 ML
ONDANSETRON INF 4 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

2 Mei 2013 00:18

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 00:16

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 00:13

Item
IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
3,00

1 Mei 2013 23:35

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

1 Mei 2013 23:33

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

1 Mei 2013 23:30

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00

1 Mei 2013 23:21

UMUM

Item
RING AS SANBE 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
STOMACH TUBE 16 THERUMO
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
BD VACUTAINER
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
2,00
1,00
15,00

1 Mei 2013 22:52

Item
RINGER LACTATE WIDATRA 500 ML
PLASMINEX 100 MG/ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
PANSO INJEKSI 1 VIL
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
3,00
3,00
3,00
2,00
1,00
2,00
3,00
1,00
10,00

1 Mei 2013 22:45

Item
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
PAMOL 125 MG SUPPOSITORY
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
6,00

1 Mei 2013 22:43

Item
PARACETAMOL 60 ML SYRUP
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

1 Mei 2013 22:19

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 22:18

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

1 Mei 2013 00:55

Item
INFUS SET JMS
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Depo
Depo IGD
Subtotal
TAB
VIL
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
AMP
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
TAB
UNT
UNT
UNT
BOT
UNT
TUB
UNT
UNT
PKG
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT

Pasien
Penjamin
1078
1078
224400
224400
2550
2550
1500
1500
229528
229528

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
26950
26950
2461
2461
1540
1540
5732
5732
16500
16500
4000
4000
97003
97003

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
116
18343
5809
12012
2640
11464
56262
1540
1757
26950
16417
8415
14988
26611
7000
210324

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988

116
18343
5809
12012
2640
11464
56262
1540
1757
26950
16417
8415
14988
26611
7000
210324

UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
VIL
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT
BOT
UNT
UNT
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
TUB
UNT
AMP

500
15488

500
15488

0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
12610
12610
16088
16088
6864
6864
5732
5732
3500
3500
84614
84614

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112200
112200
2640
2640
5732
5732
3080
3080
3300
3300
2500
2500
129452
129452

0
0
0
0
0
0
0

Pasien
Penjamin
95040
95040
12610
12610
32834
32834
62563
62563
2550
2550
3036
3036
3280
3280
14988
14988
8415
8415
26611
26611
18343
18343
5809
5809
5732
5732
12012
12012
56262
56262
1540
1540
4922
4922

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
VIL
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
AMP
UNT
TAB
UNT

Depo IGD
Subtotal
UNT
BAG
BOT
TAB
UNT
UNT

5294
9625
5881
10000
397347

5294
9625
5881
10000
397347

0
0
0
0
0

Penjamin
430
430
500
500
930
930

0
0
0

Pasien
Penjamin
6864
6864
22770
22770
5280
5280
5732
5732
3300
3300
7700
7700
3000
3000
54646
54646

0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
26611
26611
15397
15397
1275
1275
1654
1654
3500
3500
88257
88257

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
31680
31680
37586
37586
14317
14317
876
876
3500
3500
500
500

0
0
0
0
0
0

Pasien

AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
VIL
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT

107376
2000
197835

107376
2000
197835

0
0
0

Pasien
Penjamin
9096
9096
8415
8415
23980
23980
1500
1500
42991
42991

0
0
0
0
0

Pasien

Penjamin
705
3996
282
1500
6483

0
0
0
0
0

Pasien
Penjamin
30794
30794
224400
224400
5280
5280
4620
4620
3300
3300
2500
2500
270894
270894

0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
19800
19800
464
464
4104
4104
2000
2000
27370
27370

0
0
0
0
0
0

Pasien
Penjamin
16417
16417

705
3996
282
1500
6483

UNT
UNT
AMP
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
BOT
UNT

Depo IGD
Subtotal
BOT
VIL
UNT
AMP
VIL
AMP
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
VIL

8415
14988
2891
15397
2550
3000
63658

8415
14988
2891
15397
2550
3000
63658

0
0
0
0
0
0
0

Pasien
Penjamin
1152
1152
115500
115500
1000
1000
117652
117652

0
0
0
0

Pasien
Penjamin
247401
247401
22770
22770
5991
5991
126741
126741
85272
85272
20790
20790
56100
56100
3500
3500
568565
568565

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
26611
26611
8415
8415
32834
32834
2000
2000
84848
84848

0
0
0
0
0
0

Pasien
Penjamin
26611
26611
32834
32834
29976
29976
16830
16830
6864
6864

0
0
0
0
0

UNT
UNT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
AMP
BOT
VIL
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
BOT
TAB
UNT

Trolley IGD
Subtotal
TAB
TAB
AMP
UNT
UNT
UNT
UNT

11464
18343
5809
12012
2640
5000
168383

11464
18343
5809
12012
2640
5000
168383

0
0
0
0
0
0
0

Pasien
Penjamin
211235
211235
95040
95040
37245
37245
400
400
2000
2000
345920
345920

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
1275
1275
1540
1540
2000
2000
28218
28218

0
0
0
0
0
0

Pasien
Penjamin
2891
2891
57964
57964
4500
4500
1500
1500
66855
66855

0
0
0
0
0

Pasien
501
2464
100980
26611
18343
5809
11464

Penjamin
501
2464
100980
26611
18343
5809
11464

0
0
0
0
0
0
0

UNT
TUB
UNT
PKG
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
TAB
UNT
UNT
UNT
UNT
UNT
BOT
UNT
TUB
UNT
UNT
UNT

Trolley IGD
Subtotal
TAB
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
UNT
UNT
UNT

14988
56262
12012
26950
1540
12610
6500
297034

14988
56262
12012
26950
1540
12610
6500
297034

0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
126
126
14988
14988
8415
8415
12012
12012
5809
5809
1997
1997
2640
2640
18342
18342
56262
56262
1540
1540
1275
1275
6000
6000
145741
145741

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
827
10560
12610
1500
25497

0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417
26611
26611
18343
18343
5809
5809
17196
17196
12610
12610

0
0
0
0
0
0
0
0

827
10560
12610
1500
25497

UNT
BOT
TUB
TAB
TAB
TAB
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
UNT
UNT
UNT
BOT
TUB
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
VIL
BAG
UNT

Depo IGD
Subtotal
UNT
TAB
UNT

12012
2640
56262
501
9900
116
53900
7500
263220

12012
2640
56262
501
9900
116
53900
7500
263220

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417
26611
26611
22928
22928
3300
3300
18343
18343
5809
5809
2640
2640
56262
56262
12012
12012
12305
12305
53900
53900
6500
6500
260430
260430

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
654
792
57964
423
85272
19266
3000
167371

0
0
0
0
0
0
0
0

Pasien
Penjamin
59193
59193
501
501
1000
1000

0
0
0

654
792
57964
423
85272
19266
3000
167371

60694

Apotik Panel
Subtotal
AMP
UNT

Apotik Panel
Subtotal
AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
VIL
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
VIL
PKG
BOT

60694

Pasien
Penjamin
11275
11275
500
500
11775
11775

0
0
0

Pasien
Penjamin
11275
11275
500
500
11775
11775

0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
15397
15397
1275
1275
3300
3300
1540
1540
12540
12540
4000
4000
78471
78471

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
22770
22770
7392
7392
1451
1451
2000
2000
118885
118885

0
0
0
0
0
0

Pasien
Penjamin
5184
5184
22770
22770
41388
41388
33984
33984

0
0
0
0

VIL
BOT
UNT

Depo IGD
Subtotal
UNT
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
TAB
UNT

24830
5881
3000
137037

24830
5881
3000
137037

0
0
0
0

Pasien
Penjamin
59193
59193
860
860
1344
1344
7392
7392
116
116
2500
2500
71405
71405

0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
3270
3270
1000
1000
1670
1670
2000
2000
9200
9200

0
0
0
0
0
0

Pasien
Penjamin
35970
35970
33000
33000
18793
18793
1500
1500
89263
89263

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
2891
2891
1275
1275
126
126
3000
3000
47112
47112

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
BOT
UNT

Pasien
Penjamin
24948
24948
500
500
25448
25448

0
0
0

Pasien
Penjamin
1980
1980
410
410
820
820
4500
4500
47685
47685
2500
2500
57895
57895

0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
1260
1260
1430
1430
73228
73228
2000
2000
114302
114302

0
0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
11990
11990
1500
1500
31001
31001

0
0
0
0
0

Pasien
Penjamin
2760
2760
5782
5782
18192
18192
1500
1500
28234
28234

0
0
0
0
0

Trolley IGD
Subtotal
BAG
UNT
UNT
UNT
VIL
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
PKG
UNT

Depo IGD
Subtotal
VIL
BAG
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
9633
9633
8415
8415
14988
14988
1997
1997
85272
85272
2500
2500
122805
122805

0
0
0
0
0
0
0

Pasien
Penjamin
56100
56100
500
500
56600
56600

0
0
0

Pasien
Penjamin
1260
1260
2370
2370
57964
57964
4570
4570
2000
2000
68164
68164

0
0
0
0
0
0

Pasien
Penjamin
85272
85272
9633
9633
1997
1997
1500
1500
98402
98402

0
0
0
0
0

Pasien
Penjamin
4359
4359
2088
2088
1000
1000
7447
7447

0
0
0
0

Pasien

Penjamin

VIL
PKG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
BOT
UNT
TUB
AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
VIL
UNT
UNT
UNT
UNT
BOT
TUB
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
VIL
AMP
UNT

226738
3012
1000
230750

226738
3012
1000
230750

0
0
0
0

Pasien
Penjamin
14988
14988
16830
16830
18192
18192
21120
21120
5991
5991
5280
5280
5809
5809
56262
56262
3036
3036
4500
4500
152008
152008

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
16830
16830
14988
14988
20592
20592
21120
21120
18343
18343
12012
12012
5991
5991
2640
2640
56262
56262
5809
5809
5500
5500
196504
196504

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
154440
154440
33984
33984
85272
85272
14702
14702
2000
2000
290398
290398

0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
BAG
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
AMP
BOT
VIL
VIL
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
14988
14988
16417
16417
8415
8415
62563
62563
9633
9633
1997
1997
3000
3000
117013
117013

0
0
0
0
0
0
0
0

Pasien
Penjamin
22688
22688
500
500
23188
23188

0
0
0

Pasien
Penjamin
100980
100980
5881
5881
224400
224400
170544
170544
5280
5280
1997
1997
3080
3080
3500
3500
515662
515662

0
0
0
0
0
0
0
0
0

Pasien
501
9900
116
1451
1078
219
3000
16265

Pasien

Penjamin
501
9900
116
1451
1078
219
3000
16265

Penjamin

0
0
0
0
0
0
0
0

VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
AMP
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
BOT

170544
500
171044

170544
500
171044

0
0
0

Pasien
Penjamin
16417
16417
9625
9625
4920
4920
3036
3036
2550
2550
2500
2500
39048
39048

0
0
0
0
0
0
0

Pasien
Penjamin
4440
4440
500
500
4940
4940

0
0
0

Pasien
Penjamin
16417
16417
14988
14988
2550
2550
3994
3994
2000
2000
39949
39949

0
0
0
0
0
0

Pasien
Penjamin
32834
32834
14988
14988
3080
3080
5991
5991
2000
2000
58893
58893

0
0
0
0
0
0

Pasien
Penjamin
211200
211200
56100
56100

0
0

UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
UNT
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
TAB
TAB
TAB
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD

1000
268300

1000
268300

0
0

Pasien
Penjamin
3575
3575
5809
5809
14988
14988
16335
16335
16417
16417
116
116
3000
3000
60240
60240

0
0
0
0
0
0
0
0

Pasien
Penjamin
1410
1410
4440
4440
1000
1000
6850
6850

0
0
0
0

Pasien
Penjamin
16417
16417
14988
14988
8415
8415
1002
1002
39600
39600
116
116
26611
26611
3500
3500
110649
110649

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
66198
66198
2550
2550
12012
12012
1500
1500
82260
82260

0
0
0
0
0

Subtotal
BOT
TAB
AMP
TAB
TAB
TAB
VIL
VIL
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
UNT

Depo IGD

Pasien
Penjamin
32834
32834
580
580
150480
150480
2505
2505
59400
59400
860
860
680214
680214
633600
633600
2640
2640
4353
4353
5000
5000
1572466 1572466

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112200
112200
500
500
112700
112700

0
0
0

Pasien
Penjamin
16417
16417
14988
14988
20213
20213
26950
26950
8415
8415
39600
39600
1002
1002
116
116
172
172
4500
4500
132373
132373

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
2370
2370
1260
1260
1500
1500
63094
63094

0
0
0
0
0

Subtotal
BOT
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
VIL
TAB
UNT
BAG
UNT

Trolley IGD
Subtotal

Pasien
Penjamin
13860
13860
4125
4125
1260
1260
1500
1500
20745
20745

0
0
0
0
0

Pasien
Penjamin
3270
3270
3030
3030
1260
1260
1500
1500
9060
9060

0
0
0
0
0

Pasien
Penjamin
18192
18192
2760
2760
1000
1000
21952
21952

0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
1500
1500
33999
33999

0
0
0
0
0

Pasien
Penjamin
226738
226738
85272
85272
1078
1078
3994
3994
19266
19266
2500
2500
338848
338848

0
0
0
0
0
0
0

Pasien

Penjamin

BOT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
BAG
VIL
BOT
UNT

Trolley IGD
Subtotal
BAG
UNT
UNT
UNT

9096
14988
16335
1500
41919

9096
14988
16335
1500
41919

0
0
0
0
0

Pasien
Penjamin
85272
85272
1997
1997
1000
1000
88269
88269

0
0
0
0

Pasien

Penjamin
88
3308
2064
1500
6960

0
0
0
0
0

Pasien
Penjamin
27060
27060
500
500
27560
27560

0
0
0

Pasien
Penjamin
18192
18192
37586
37586
5184
5184
2760
2760
2000
2000
65722
65722

0
0
0
0
0
0

Pasien
Penjamin
9633
9633
1540
1540
1997
1997
26950
26950

0
0
0
0

88
3308
2064
1500
6960

BOT
UNT

Depo IGD
Subtotal
BOT
BOT
VIL
AMP
TAB
BOT
UNT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
VIL
AMP
UNT
TAB
TAB
PKG
VIL
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
TAB
VIL
VIL

16417
2500
59037

16417
2500
59037

0
0
0

Pasien
Penjamin
11762
11762
51216
51216
22770
22770
14750
14750
378
378
5280
5280
3994
3994
3300
3300
3825
3825
4620
4620
5000
5000
126895
126895

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3994
3994
16417
16417
8415
8415
14988
14988
72496
72496
5672
5672
1275
1275
1002
1002
39600
39600
41388
41388
13416
13416
5500
5500
224163
224163

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
348
348
1503
1503
39600
39600
1078
1078
226738
226738
85272
85272

0
0
0
0
0
0
0

BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
UNT
TAB
VIL
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
PKG
UNT

Trolley IGD
Subtotal
UNT
TAB
UNT

Depo IGD
Subtotal

57964
4000
449337

57964
4000
449337

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
15397
15397
1275
1275
126
126
22770
22770
9633
9633
1997
1997
1757
1757
5000
5000
97775
97775

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2370
2370
1430
1430
2470
2470
1500
1500
7770
7770

0
0
0
0
0

Pasien
Penjamin
2285
2285
500
500
2785
2785

0
0
0

Pasien
Penjamin
26611
26611
126
126
1000
1000
27737
27737

0
0
0
0

Pasien

Penjamin

TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT

Trolley IGD
Subtotal
TAB
AMP
UNT
UNT
UNT
UNT
BOT
VIL
UNT
PKG
UNT
UNT

4440
1410
1000
6850

4440
1410
1000
6850

0
0
0
0

Pasien
Penjamin
1275
1275
1382
1382
66198
66198
12012
12012
2000
2000
82867
82867

0
0
0
0
0
0

Pasien
Penjamin
15397
15397
1275
1275
1000
1000
17672
17672

0
0
0
0

Pasien
Penjamin
75240
75240
500
500
75740
75740

0
0
0

Pasien
Penjamin
39600
39600
5672
5672
1275
1275
16830
16830
29976
29976
1540
1540
16417
16417
2592
2592
5732
5732
26950
26950
1997
1997
5500
5500
154081
154081

0
0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
BOT
TUB
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
VIL

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
18343
18343
5809
5809
1997
1997
2640
2640
56262
56262
12012
12012
4500
4500
141383
141383

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
46191
46191
1000
1000
69961
69961

0
0
0
0

Pasien

Penjamin
860
328
164
3500
200
1000
6052

0
0
0
0
0
0
0

Pasien
Penjamin
2700
2700
1260
1260
1000
1000
4960
4960

0
0
0
0

Pasien
Penjamin
16417
16417
2592
2592

0
0

860
328
164
3500
200
1000
6052

UNT
UNT
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
SUP
UNT

Depo IGD
Subtotal
BOT
PKG
BOT
TAB
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
UNT
BAG
VIL
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT
BOT
UNT

8415
14988
1997
5672
1275
3500
54856

8415
14988
1997
5672
1275
3500
54856

0
0
0
0
0
0
0

Pasien
Penjamin
15824
15824
500
500
16324
16324

0
0
0

Pasien
Penjamin
16394
16394
2285
2285
2760
2760
4980
4980
2000
2000
28419
28419

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
9096
9096
8415
8415
3300
3300
5991
5991
19266
19266
34155
34155
3500
3500
98711
98711

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2891
2891
2550
2550
1540
1540
6072
6072
2000
2000
15053
15053

0
0
0
0
0
0

Depo IGD
Subtotal
BOT
BAG
VIL
UNT
PKG
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
BOT
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
AMP
UNT
BOT
UNT

Pasien
Penjamin
18192
18192
9633
9633
22770
22770
1997
1997
5020
5020
2500
2500
60112
60112

0
0
0
0
0
0
0

Pasien
Penjamin
102432
102432
20790
20790
7854
7854
59400
59400
47025
47025
2500
2500
240001
240001

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9096
9096
26611
26611
827
827
86
86
3000
3000
63023
63023

0
0
0
0
0
0
0
0

Pasien
Penjamin
49251
49251
26611
26611
16830
16830
14988
14988
62563
62563
62370
62370
5732
5732
5280
5280
26950
26950

0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
AMP
UNT
UNT
UNT
UNT
TUB
UNT
VIL
UNT
UNT

Emergency Anggrek
Subtotal
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
VIL
UNT
UNT

Trolley IGD
Subtotal
SUP
UNT

Trolley IGD
Subtotal
TAB
UNT

20213
9625
9625
5294
6072
2550
5809
1997
12012
56262
14988
41496
25220
11000
492738

20213
9625
9625
5294
6072
2550
5809
1997
12012
56262
14988
41496
25220
11000
492738

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
2640
2640
1275
1275
1500
1500
21750
21750

0
0
0
0
0

Pasien
Penjamin
226738
226738
71280
71280
13414
13414
3080
3080
2000
2000
316512
316512

0
0
0
0
0
0

Pasien
Penjamin
7912
7912
500
500
8412
8412

0
0
0

Pasien
155
500

Penjamin
155
500

0
0

655

Trolley IGD
Subtotal
UNT
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
VIL
BOT
UNT
UNT
UNT
BOT
AMP
UNT

Depo IGD
Subtotal

655

Pasien
Penjamin
2550
2550
66198
66198
2764
2764
12012
12012
2000
2000
85524
85524

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
9096
9096
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
32834
32834
26828
26828
178200
178200
1997
1997
3300
3300
6375
6375
2640
2640
13935
13935
4000
4000
270109
270109

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
TUB
UNT
AMP
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
TAB
AMP
AMP
UNT

11920
780
1962
1410
2000
18072

11920
780
1962
1410
2000
18072

0
0
0
0
0
0

Pasien
Penjamin
56262
56262
12012
12012
15397
15397
1275
1275
5732
5732
2500
2500
93178
93178

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
14988
14988
16417
16417
2000
2000
56808
56808

0
0
0
0
0
0

Pasien
Penjamin
1134
1134
2133
2133
26730
26730
1350
1350
31347
31347

0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417
252
252
2891
2891
5672
5672
2550
2550

0
0
0
0
0
0
0

UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
BAG
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
UNT

Depo IGD
Subtotal
VIL
AMP
BOT

26611
4000
81796

26611
4000
81796

0
0
0

Pasien
Penjamin
4440
4440
1260
1260
1422
1422
1500
1500
8622
8622

0
0
0
0
0

Pasien
Penjamin
1540
1540
9633
9633
8415
8415
14988
14988
1275
1275
2500
2500
38351
38351

0
0
0
0
0
0
0

Pasien
Penjamin
1275
1275
1540
1540
1000
1000
3815
3815

0
0
0
0

Pasien
Penjamin
49251
49251
11564
11564
1260
1260
1500
1500
63575
63575

0
0
0
0
0

Pasien
Penjamin
72496
72496
2891
2891
57964
57964

0
0
0

TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
VIL
BAG
BOT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT

Trolley IGD
Subtotal
BAG
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT

4500
4440
1260
3000
146551

4500
4440
1260
3000
146551

0
0
0
0
0

Pasien
Penjamin
1540
1540
6707
6707
9633
9633
16417
16417
22688
22688
2500
2500
59485
59485

0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
1000
1000
18511
18511

0
0
0
0

Pasien
Penjamin
9096
9096
500
500
9596
9596

0
0
0

Pasien
Penjamin
9633
9633
1275
1275
1000
1000
11908
11908

0
0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
AMP
UNT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
VIL
UNT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT

Pasien
Penjamin
26611
26611
16417
16417
8415
8415
14988
14988
2222
2222
1275
1275
172
172
126
126
4000
4000
74226
74226

Pasien

0
0
0
0
0
0
0
0
0
0

Penjamin
378
306
1654
516
1092
4444
13414
3300
1997
4620
2640
5500
39861

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
226738
226738
1451
1451
501
501
9900
9900
18192
18192
2500
2500
259282
259282

0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
14988
14988

0
0

378
306
1654
516
1092
4444
13414
3300
1997
4620
2640
5500
39861

UNT
UNT
AMP
UNT
TAB
TUB
UNT
UNT
UNT
UNT
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
TUB
UNT

Trolley IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

8415
26611
4444
1540
172
56262
24024
1997
5809
16035
501
9900
7000
194115

8415
26611
4444
1540
172
56262
24024
1997
5809
16035
501
9900
7000
194115

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5809
5809
1540
1540
2640
2640
12012
12012
56262
56262
2500
2500
80763
80763

0
0
0
0
0
0
0

Pasien
Penjamin
1997
1997
500
500
2497
2497

0
0
0

Pasien
Penjamin
2760
2760
4262
4262
1000
1000
8022
8022

0
0
0
0

Pasien
Penjamin
2764
2764
2550
2550
66198
66198

0
0
0

UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
AMP
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
TAB
TAB
AMP
UNT
UNT
TUB
BOT
UNT

Depo IGD
Subtotal
BOT
VIL
AMP
BOT
TAB
VIL
UNT
UNT
UNT
PKG

1500
73012

1500
73012

0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
1540
1540
1275
1275
11439
11439
1740
1740
3500
3500
59314
59314

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417
26611
26611
5809
5809
9900
9900
501
501
2222
2222
1275
1275
1997
1997
56262
56262
2640
2640
6000
6000
153037
153037

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
13414
13414
8673
8673
59400
59400
378
378
2592
2592
1997
1997
3300
3300
4620
4620
10040
10040

0
0
0
0
0
0
0
0
0
0

UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
UNT
UNT
TUB
UNT
BOT
UNT

Depo IGD
Subtotal
AMP
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
AMP
TAB
TAB
BOT
UNT
UNT
UNT
UNT

Trolley IGD

5000
142248

5000
142248

0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417
26611
26611
5809
5809
1997
1997
12012
12012
56262
56262
16088
16088
5280
5280
5000
5000
168879
168879

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22220
22220
1002
1002
19800
19800
4928
4928
344
344
2916
2916
3000
3000
54210
54210

0
0
0
0
0
0
0
0

Pasien
Penjamin
26828
26828
29904
29904
2916
2916
344
344
2640
2640
3300
3300
3994
3994
7700
7700
4000
4000
81626
81626

0
0
0
0
0
0
0
0
0
0

Subtotal
UNT
UNT
TUB
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
TAB
AMP
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
BAG
VIL
UNT
UNT
AMP
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
TAB
AMP
UNT
UNT

Pasien
Penjamin
5809
5809
1997
1997
56262
56262
12012
12012
2640
2640
16088
16088
3000
3000
97808
97808

0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
22220
22220
49500
49500
1503
1503
2000
2000
82615
82615

0
0
0
0
0
0

Pasien
Penjamin
26611
26611
8415
8415
14988
14988
16417
16417
9633
9633
2592
2592
1757
1757
3994
3994
2891
2891
1275
1275
59400
59400
5500
5500
153473
153473

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417
126
126
2891
2891
1275
1275
3000
3000

0
0
0
0
0
0
0

47112

Depo IGD
Subtotal
BOT
AMP
VIL
UNT
UNT
UNT
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
UNT

Trolley IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT

47112

Pasien
Penjamin
49251
49251
8673
8673
26828
26828
3300
3300
1997
1997
4620
4620
2640
2640
378
378
4000
4000
101687
101687

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
1410
1410
47685
47685
2250
2250
2000
2000
54605
54605

0
0
0
0
0
0

Pasien

Penjamin
172
827
1000
1999

0
0
0
0

Pasien
Penjamin
15397
15397
1275
1275
1000
1000
17672
17672

0
0
0
0

Pasien
Penjamin
16417
16417
14988
14988

0
0

172
827
1000
1999

UNT
UNT

Trolley IGD
Subtotal
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BAG
VIL
BOT
BOT
PKG
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

8415
1500
41320

8415
1500
41320

0
0
0

Pasien
Penjamin
18793
18793
500
500
19293
19293

0
0
0

Pasien
Penjamin
8415
8415
11990
11990
9096
9096
31680
31680
2000
2000
63181
63181

0
0
0
0
0
0

Pasien
Penjamin
37586
37586
13414
13414
2760
2760
27060
27060
13167
13167
2640
2640
1757
1757
1997
1997
6375
6375
4500
4500
111256
111256

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
14988
14988
8415
8415
71706
71706
18342
18342
5809
5809
1540
1540
12012
12012

0
0
0
0
0
0
0
0

AMP
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
VIL
AMP
TAB
AMP
TAB
TAB
TAB
VIL
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
UNT
VIL
AMP
BAG
AMP
UNT
BOT
VIL
UNT
UNT
TAB
TAB
TAB
UNT
TAB
UNT

8888
5732
26950
20213
1757
16088
7000
235857

8888
5732
26950
20213
1757
16088
7000
235857

0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
35640
35640
13414
13414
4444
4444
896
896
150480
150480
516
516
8976
8976
1654
1654
226738
226738
5000
5000
480592
480592

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26611
26611
150480
150480
5732
5732
26950
26950
13414
13414
35640
35640
9633
9633
4444
4444
4620
4620
32834
32834
2592
2592
8415
8415
3300
3300
102
102
39600
39600
501
501
14988
14988
546
546
9000
9000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

389402

Depo IGD
Subtotal
BOT
AMP
TAB
TAB
TAB
VIL
VIL
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
VIL
BAG
UNT
UNT
VIL
PKG
UNT
AMP
UNT

Depo IGD
Subtotal
VIL
TAB
UNT

Depo IGD
Subtotal
BOT

389402

Pasien
Penjamin
32834
32834
6666
6666
1002
1002
19800
19800
896
896
226738
226738
13414
13414
516
516
4000
4000
305866
305866

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
5672
5672
2550
2550
13414
13414
9633
9633
1997
1997
1757
1757
10032
10032
41388
41388
26611
26611
2940
2940
6500
6500
162314
162314

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
262198
262198
1410
1410
1000
1000
264608
264608

0
0
0
0

Pasien
Penjamin
32834
32834

AMP
VIL
VIL
AMP
VIL
TAB
CTG
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
UNT
VIL
AMP
BAG
BOT
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
TAB
TAB
UNT

11684
30096
211200
8820
72496
3960
180048
4000
555138

11684
30096
211200
8820
72496
3960
180048
4000
555138

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
8415
8415
500
500
8915
8915

0
0
0

Pasien
Penjamin
4620
4620
13414
13414
100980
100980
9633
9633
32834
32834
39600
39600
1002
1002
102
102
4000
4000
206185
206185

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
9096
9096
8415
8415
1002
1002
39600
39600
26950
26950

0
0
0
0
0
0

UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
BOT
UNT
UNT
VIL
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD

20213
3500
138752

20213
3500
138752

0
0
0

Penjamin
516
1275
1382
196680
1757
1540
6274
17160
4000
230584

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
1500
1500
41320
41320

0
0
0
0
0

Pasien
516
1275
1382
196680
1757
1540
6274
17160
4000
230584

Subtotal
BOT
AMP
VIL
TAB
TAB
UNT
UNT
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
TUB
UNT
UNT
BAG
AMP
AMP
UNT
UNT
AMP
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
UNT
TAB
UNT

Depo IGD

Pasien
Penjamin
32834
32834
7351
7351
13414
13414
378
378
2940
2940
1275
1275
3994
3994
9633
9633
4000
4000
75819
75819

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
18342
18342
5809
5809
56262
56262
12012
12012
1997
1997
9633
9633
1740
1740
6930
6930
2550
2550
1540
1540
4444
4444
102
102
172
172
8000
8000
169353
169353

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
2891
2891
1275
1275
126
126
2500
2500
30195
30195

0
0
0
0
0
0
0

Subtotal
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
VIL
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
VIL
AMP
AMP
TAB
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP

Pasien
Penjamin
4500
4500
57964
57964
1430
1430
1500
1500
65394
65394

0
0
0
0
0

Pasien
Penjamin
57580
57580
1260
1260
260
260
1500
1500
60600
60600

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
13414
13414
1757
1757
12610
12610
5881
5881
3500
3500
76982
76982

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
112200
112200
20790
20790
5220
5220
516
516
1997
1997
3300
3300
4620
4620
4000
4000
185477
185477

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6666
6666

VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
VIL
BAG
TAB
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
VIL
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Trolley IGD
Subtotal
UNT

10368
1000
18034

10368
1000
18034

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
5672
5672
13414
13414
9633
9633
126
126
1757
1757
1997
1997
1275
1275
5000
5000
78694
78694

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
62563
62563
13414
13414
9633
9633
1757
1757
1997
1997
4000
4000
133184
133184

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
2370
2370
16394
16394
1500
1500
21524
21524

0
0
0
0
0

Pasien
Penjamin
26611
26611

TAB
TAB
UNT
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT
TAB
UNT

Trolley IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
AMP
VIL
UNT

Depo IGD
Subtotal
TAB
AMP
UNT

Trolley IGD
Subtotal

86
501
29976
29976
2500
89650

86
501
29976
29976
2500
89650

0
0
0
0
0
0

Pasien
Penjamin
15397
15397
1275
1275
1458
1458
1500
1500
19630
19630

0
0
0
0
0

Pasien

Penjamin
126
126
500
500
626
626

0
0
0

Pasien
Penjamin
16417
16417
14988
14988
8415
8415
1997
1997
1275
1275
5672
5672
85272
85272
3500
3500
137536
137536

0
0
0
0
0
0
0
0
0

Pasien
630
14702
1000
16332

Pasien

Penjamin
630
14702
1000
16332

Penjamin

0
0
0
0

UNT
UNT
UNT
UNT
UNT
TUB
BAG
TAB
TAB
BOT
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
BOT
TAB
AMP
TAB
AMP
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
AMP
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

26611
18342
5809
1997
12012
56262
9633
86
102
16417
8415
14988
1540
4444
7000
183658

26611
18342
5809
1997
12012
56262
9633
86
102
16417
8415
14988
1540
4444
7000
183658

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
49251
49251
204
204
136858
136858
8270
8270
8888
8888
26136
26136
3000
3000
232607
232607

0
0
0
0
0
0
0
0

Pasien
Penjamin
66198
66198
2550
2550
12012
12012
1382
1382
2000
2000
84142
84142

0
0
0
0
0
0

Pasien
Penjamin
2891
2891
1275
1275
1000
1000
5166
5166

0
0
0
0

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
VIL
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
VIL
UNT

Depo IGD
Subtotal
BOT
AMP
UNT

Trolley IGD
Subtotal

Pasien
Penjamin
49251
49251
500
500
49751
49751

0
0
0

Pasien
Penjamin
32834
32834
13414
13414
1260
1260
1500
1500
49008
49008

0
0
0
0
0

Pasien
Penjamin
9096
9096
14988
14988
16335
16335
126
126
2000
2000
42545
42545

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9633
9633
85272
85272
2000
2000
120308
120308

0
0
0
0
0
0

Pasien
Penjamin
393360
393360
5782
5782
1000
1000
400142
400142

0
0
0
0

Pasien

Penjamin

UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
PKG
BOT
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

14988
8415
9096
1500
33999

14988
8415
9096
1500
33999

0
0
0
0
0

Pasien
Penjamin
1430
1430
1260
1260
48
48
1500
1500
4238
4238

0
0
0
0
0

Pasien
Penjamin
18192
18192
38262
38262
2470
2470
1500
1500
60424
60424

0
0
0
0
0

Pasien
Penjamin
1260
1260
48
48
1000
1000
2308
2308

0
0
0
0

Pasien
Penjamin
26334
26334
27060
27060
6274
6274
1500
1500
61168
61168

0
0
0
0
0

Pasien
Penjamin
139563
139563
12012
12012
12012
12012

0
0
0

TUB
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
UNT
TUB
UNT
UNT
BAG
UNT
UNT

Depo IGD
Subtotal
VIL
BAG
UNT
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal

56262
1275
2500
223624

56262
1275
2500
223624

0
0
0
0

Pasien
Penjamin
66000
66000
71940
71940
29976
29976
16830
16830
32834
32834
18192
18192
31680
31680
139563
139563
56262
56262
24024
24024
1275
1275
9633
9633
5809
5809
6500
6500
510518
510518

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
37586
37586
1997
1997
3300
3300
3825
3825
2760
2760
3000
3000
65882
65882

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
11990
11990
1000
1000
21405
21405

0
0
0
0

Pasien

Penjamin

BAG
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
VIL
BAG
TAB
UNT

Depo IGD
Subtotal
BOT
VIL
TAB
UNT
UNT
UNT
UNT

37586
10592
1000
49178

37586
10592
1000
49178

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1997
1997
1500
1500
26900
26900

0
0
0
0
0

Pasien
Penjamin
14988
14988
1898
1898
16417
16417
8415
8415
2550
2550
2500
2500
46768
46768

0
0
0
0
0
0
0

Pasien
Penjamin
1757
1757
1997
1997
13414
13414
9633
9633
126
126
2500
2500
29427
29427

0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
20121
20121
1260
1260
1997
1997
3300
3300
4620
4620
3000
3000
67132
67132

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
AMP
AMP
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
VIL

Pasien
Penjamin
81510
81510
500
500
82010
82010

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
2550
2550
2891
2891
15397
15397
172
172
3500
3500
64330
64330

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
29904
29904
1451
1451
1458
1458
306
306
2500
2500
68453
68453

0
0
0
0
0
0
0

Pasien

Penjamin
48
2700
1000
3748

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9096
9096
72496
72496

0
0
0
0

48
2700
1000
3748

UNT
BAG
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
BAG
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BAG
BOT
PKG
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

1275
9633
3000
118903

1275
9633
3000
118903

0
0
0
0

Penjamin
80
80
500
500
580
580

0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
18793
18793
8415
8415
23980
23980
16500
16500
2000
2000
69688
69688

0
0
0
0
0
0

Pasien
Penjamin
56379
56379
27060
27060
21945
21945
1500
1500
106884
106884

0
0
0
0
0

Pasien
Penjamin
14988
14988
9096
9096
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien

Depo IGD
Subtotal
VIL
CAP
TAB
UNT

Depo IGD
Subtotal
VIL
BOT
BOT
UNT

Depo IGD
Subtotal
PKG
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
UNT
UNT
PKG
BOT
AMP
AMP
AMP
AMP
AMP
AMP
VIL
UNT
BAG
UNT

Pasien
Penjamin
262198
262198
11000
11000
2470
2470
1500
1500
277168
277168

0
0
0
0
0

Pasien
Penjamin
262198
262198
4262
4262
10592
10592
1500
1500
278552
278552

0
0
0
0
0

Pasien
Penjamin
146421
146421
500
500
146921
146921

0
0
0

Pasien
Penjamin
49251
49251
8415
8415
14988
14988
5528
5528
12012
12012
6375
6375
1540
1540
113576
113576
9096
9096
6930
6930
1740
1740
12080
12080
2891
2891
15397
15397
35640
35640
13414
13414
1997
1997
9633
9633
16088
16088

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo IGD
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Trolley IGD
Subtotal
TAB
UNT
UNT
TUB
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
SUP
UNT

9500
346091

9500
346091

0
0

Pasien
Penjamin
157268
157268
500
500
157768
157768

0
0
0

Pasien
Penjamin
7210
7210
500
500
7710
7710

0
0
0

Pasien
Penjamin
2370
2370
53880
53880
1000
1000
57250
57250

0
0
0
0

Pasien

Penjamin
172
18343
5809
56262
12012
1997
2640
3500
100735

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
7912
7912
2000
2000
49732
49732

0
0
0
0
0
0

172
18343
5809
56262
12012
1997
2640
3500
100735

Depo IGD
Subtotal
BAG
BOT
AMP
TAB
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
BAG
UNT
UNT
UNT
AMP
VIL
UNT

Depo IGD
Subtotal
BOT
BOT
AMP
VIL
UNT
UNT
UNT
UNT

Pasien
Penjamin
37586
37586
2760
2760
12080
12080
3300
3300
2000
2000
57726
57726

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
16417
16417
14988
14988
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
12012
12012
1997
1997
3300
3300
1275
1275
2891
2891
13414
13414
4500
4500
79209
79209

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
157268
157268
8673
8673
13414
13414
1997
1997
3825
3825
3300
3300
3500
3500
257645
257645

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BOT
BOT
AMP
AMP
VIL
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT

Depo IGD
Subtotal
CAP
UNT

Pasien
Penjamin
32834
32834
157268
157268
46191
46191
5782
5782
13414
13414
1997
1997
3300
3300
3825
3825
4000
4000
268611
268611

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
26940
26940
260
260
1500
1500
31460
31460

0
0
0
0
0

Pasien
Penjamin
1410
1410
13470
13470
1000
1000
15880
15880

0
0
0
0

Pasien
Penjamin
1275
1275
15397
15397
1000
1000
17672
17672

0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
BAG
VIL
BOT
TAB
BOT
UNT

Trolley IGD
Subtotal
BOT
VIL
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
UNT

Trolley IGD

Pasien
Penjamin
11990
11990
8415
8415
9096
9096
1500
1500
31001
31001

0
0
0
0
0

Pasien
Penjamin
37586
37586
6274
6274
16394
16394
3300
3300
2760
2760
2500
2500
68814
68814

0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
2592
2592
1997
1997
1500
1500
22506
22506

0
0
0
0
0

Pasien
Penjamin
7392
7392
1002
1002
172
172
1500
1500
10066
10066

0
0
0
0
0

Pasien
Penjamin
18738
18738
500
500
19238
19238

0
0
0

Subtotal
UNT
UNT

Depo IGD
Subtotal
BAG
TAB
TAB
TAB
VIL
VIL
VIL
BOT
AMP
UNT
UNT
UNT

Emergency Anggrek VIP

Subtotal
UNT
UNT

Depo IGD
Subtotal
PKG
TAB
BOT
BOT
UNT

Trolley IGD
Subtotal
UNT
PKG
UNT
TUB
UNT

Pasien
Penjamin
2550
2550
500
500
3050
3050

0
0
0

Pasien
Penjamin
9633
9633
172
172
7392
7392
1320
1320
161383
161383
37245
37245
68904
68904
32834
32834
4444
4444
1275
1275
1540
1540
5500
5500
331642
331642

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1540
1540
500
500
2040
2040

0
0
0

Pasien
Penjamin
2742
2742
33000
33000
16394
16394
4262
4262
2000
2000
58398
58398

0
0
0
0
0
0

Pasien
Penjamin
11618
11618
41388
41388
16088
16088
56262
56262
18343
18343

0
0
0
0
0

UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
UNT
VIL
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
VIL
UNT
UNT
UNT
AMP
AMP
AMP
VIL
UNT

Depo IGD
Subtotal
VIL
VIL
BAG
UNT
PKG
UNT

3300
1997
3500
152496

3300
1997
3500
152496

0
0
0
0

Pasien
Penjamin
9096
9096
14988
14988
8415
8415
5672
5672
1275
1275
3080
3080
85272
85272
9633
9633
4000
4000
141431
141431

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9096
9096
2592
2592
3994
3994
3080
3080
3825
3825
6545
6545
6930
6930
15397
15397
85272
85272
5500
5500
165634
165634

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
72496
72496
13414
13414
12012
12012
1997
1997
5020
5020
2500
2500
107439
107439

0
0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
BOT
UNT
AMP
AMP
AMP
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
TAB
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
14988
14988
9096
9096
8415
8415
15397
15397
2891
2891
5672
5672
3825
3825
3500
3500
63784
63784

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
500
500
171044
171044

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
2891
2891
1756
1756
14952
14952
1997
1997
3500
3500
64916
64916

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11990
11990
8415
8415
18192
18192
1500
1500
40097
40097

0
0
0
0
0

Pasien
860
20525

Penjamin
860
20525

0
0

TAB
TAB
CAP
UNT
UNT
CAP
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
VIL
PKG
UNT
UNT
UNT
TUB
UNT
UNT
UNT
UNT
VIL
AMP
BAG
VIL
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
BOT
UNT
UNT
VIL
UNT

410
1185
410
3500
3500
1500
3500
1750
2000
39140

410
1185
410
3500
3500
1500
3500
1750
2000
39140

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
16830
16830
5991
5991
13416
13416
41388
41388
6600
6600
18343
18343
5809
5809
56262
56262
12012
12012
5732
5732
20213
20213
26950
26950
6707
6707
2891
2891
12012
12012
2592
2592
1275
1275
65668
65668
9500
9500
360167
360167

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9633
9633
5881
5881
1997
1997
1540
1540
5184
5184
3500
3500

0
0
0
0
0
0
0
0

51138

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
AMP
BAG
UNT
UNT
UNT
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
AMP
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

51138

Pasien
Penjamin
8415
8415
29976
29976
29976
29976
16417
16417
5760
5760
12012
12012
1540
1540
3994
3994
3300
3300
2640
2640
18343
18343
5809
5809
16088
16088
6500
6500
160770
160770

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
8750
8750
14702
14702
5782
5782
1500
1500
30734
30734

0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
BOT
VIL
VIL
UNT

Trolley IGD

Pasien
Penjamin
14988
14988
9096
9096
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9096
9096
1500
1500
33999
33999

0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
60472
60472
1540
1540
1000
1000
63012
63012

0
0
0
0

Pasien
Penjamin
32834
32834
13414
13414
85272
85272
1500
1500
133020
133020

0
0
0
0
0

Subtotal
BOT
UNT
UNT
TUB
UNT
UNT
AMP
AMP
UNT
UNT
VIL
BAG
UNT
VIL
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
AMP
AMP
VIL
VIL
UNT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
SUP
UNT
AMP
UNT

Pasien
Penjamin
32834
32834
16335
16335
14988
14988
56262
56262
1997
1997
16088
16088
1740
1740
6930
6930
1540
1540
2550
2550
72496
72496
19266
19266
1898
1898
13414
13414
3300
3300
7500
7500
269138
269138

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17500
17500
34317
34317
5220
5220
19635
19635
427680
427680
13414
13414
1997
1997
3080
3080
3825
3825
3300
3300
5000
5000
534968
534968

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
9096
9096
11990
11990
15824
15824
1275
1275
2891
2891
3000
3000
52491
52491

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BOT
AMP
BOT
UNT

Apotik Panel 2
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
UNT
UNT

Pasien
Penjamin
2760
2760
2891
2891
8750
8750
1500
1500
15901
15901

0
0
0
0
0

Pasien
Penjamin
57750
57750
500
500
58250
58250

0
0
0

Pasien

Penjamin
378
378
500
500
878
878

0
0
0

Pasien
Penjamin
8415
8415
14988
14988
6240
6240
2891
2891
1275
1275
2500
2500
36309
36309

0
0
0
0
0
0
0

Waktu
31 Mei 2013 14:32
Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
20,00
1,00

31 Mei 2013 12:53

Item
SIMVASTATIN TABLET 20 MG
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

31 Mei 2013 11:35

Item
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

31 Mei 2013 11:20

Item
NORMOTEN 5 MG TABLET
H.C.T 25 MG TABLET
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
3,00

31 Mei 2013 11:19

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

31 Mei 2013 10:18

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

31 Mei 2013 09:57

JAKARTA SEHAT

Item
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 20
IVENA IV CATH 22
DISP SYRINGE 5 CC
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
6,00
6,00
6,00

31 Mei 2013 09:56

Item
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
DISP ONEMED 3CC
INFUS SET JMS
IVENA IV CATH 20
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
9,00
1,00
10,00
1,00
1,00
1,00
6,00

31 Mei 2013 09:38

Item
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

30 Mei 2013 14:34

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

30 Mei 2013 12:30

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

30 Mei 2013 12:30

Item
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
3,00

TUSLAH NON RACIKAN

TOTAL

1,00

30 Mei 2013 12:30

Item
SIMVASTATIN GENERIK 10 MG TABLET
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

30 Mei 2013 10:55

Item
IVENA IV CATH 20
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

30 Mei 2013 10:55

Item
IVENA IV CATH 20
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

30 Mei 2013 10:55

Item
IVENA IV CATH 24
IVENA IV CATH 22
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

29 Mei 2013 19:43

Item
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

29 Mei 2013 14:15

Item
VIVACE 5 MG TABLET

JAKARTA SEHAT
Quantity
5,00

TUSLAH NON RACIKAN

TOTAL

1,00

29 Mei 2013 14:10

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
1,00

29 Mei 2013 14:09

Item
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

29 Mei 2013 13:56

Item
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

29 Mei 2013 13:15

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 13:14

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

29 Mei 2013 13:04

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
8,00
1,00
20,00
20,00
1,00

TOTAL

29 Mei 2013 12:58

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

29 Mei 2013 12:57

Item
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

29 Mei 2013 12:56

Item
GLIQUIDONE 30 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
3,00
2,00

29 Mei 2013 12:56

Item
METFORMIN HCL 500 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
2,00

29 Mei 2013 12:42

Item
CLOPIDOGREL 75 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
2,00

29 Mei 2013 12:34

Item
HYPERIL 5 MG TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

29 Mei 2013 12:34

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
2,00

29 Mei 2013 12:18

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

29 Mei 2013 12:18

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
14,00
2,00

29 Mei 2013 12:09

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
MECOBALAMIN CAPSULE 500 MCG
GLURENORM TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
4,00
1,00
20,00
20,00
19,00
2,00

29 Mei 2013 11:44

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

29 Mei 2013 11:44

Item

JAKARTA SEHAT
Quantity

CLOPIDOGREL 75 MG TABLET
METFORMIN HCL 500 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

10,00
30,00
20,00
3,00

29 Mei 2013 11:16

Item
ANALSIK TABLET
PERMYO TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
2,00

29 Mei 2013 10:53

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
42,00
1,00

29 Mei 2013 10:45

Item
BISOPROLOL 5 MG TABLET
ANALSIK TABLET
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
20,00
5,00
3,00

29 Mei 2013 10:45

Item
VALISANBE TABLET 2 MG
TRIHEXYPHENYDIL INF TABLET 2 MG
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
30,00
5,00
3,00

29 Mei 2013 10:36

Item
NEUROSANBE 5000 TABLET
SOHOBAL SOHO 500 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
20,00
2,00

29 Mei 2013 10:28

Item
MECOBALAMIN CAPSULE 500 MCG
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

29 Mei 2013 10:13

Item
ULTRACET 37,5MG TABL
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
20,00
2,00

29 Mei 2013 09:48

Item
ULTRACET 37,5MG TABL
VALISANBE TABLET 2 MG
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
1,00
1,00
4,00

29 Mei 2013 09:42

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
1,00
20,00

29 Mei 2013 09:32

Item
MERTIGO TABLET 6 MG
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
20,00
2,00

28 Mei 2013 14:36

Item
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
10,00

STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION

DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
5,00
1,00
5,00

28 Mei 2013 13:44

Item
M-20 INFUSAN (MANITOL) 500 ML
CEREMAX IV INFUS 50ml
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
ULTRACET 37,5MG TABL
PLASMINEX SANBE 500 MG
INFUS SET JMS
DISP SYRINGE 5 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
1,00
3,00
10,00
3,00
1,00
15,00
1,00
9,00

28 Mei 2013 13:05

Item
VALISANBE TABLET 5 MG
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00

28 Mei 2013 13:01

Item
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 12:44

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 12:28

Item

JAKARTA SEHAT
Quantity

ULTRACET 37,5MG TABL

TUSLAH NON RACIKAN
TOTAL

10,00
1,00

28 Mei 2013 11:56

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00

28 Mei 2013 11:55

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

28 Mei 2013 11:52

Item
FUTROLIT INFUSION
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
2,00

27 Mei 2013 14:22

Item
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
50,00
1,00

27 Mei 2013 13:52

Item
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

27 Mei 2013 13:52

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
5,00
5,00
2,00

TOTAL

27 Mei 2013 13:34

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
50,00
2,00

27 Mei 2013 13:15

Item
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

27 Mei 2013 12:44

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
4,00
1,00
20,00

27 Mei 2013 12:35

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

27 Mei 2013 12:32

Item
CARBAMAZEPINE INF TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
20,00
2,00

27 Mei 2013 12:19

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG

JAKARTA SEHAT
Quantity
10,00
8,00

TUSLAH RACIKAN EMBALASE

ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
20,00
1,00

27 Mei 2013 12:17

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

27 Mei 2013 12:04

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

27 Mei 2013 11:27

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

27 Mei 2013 11:27

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
20,00
3,00

27 Mei 2013 11:15

Item
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
30,00

27 Mei 2013 11:08

JAKARTA SEHAT

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
CANDERIN 8 MG TABLET
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
14,00
20,00
4,00

27 Mei 2013 10:50

Item
NEUROSANBE 5000 TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
1,00
1,00
4,00

27 Mei 2013 10:43

Item
ANTALGIN 500 MG
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
5,00
20,00
3,00

27 Mei 2013 10:17

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

27 Mei 2013 10:06

Item
ASPILETS TABLET, CHEWABLE 80 MG
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

27 Mei 2013 09:55

Item
HYPERIL 10 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
5,00
1,00

TOTAL

27 Mei 2013 09:54

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
10,00
3,00

24 Mei 2013 14:49

Item
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

24 Mei 2013 14:35

Item
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

24 Mei 2013 14:27

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

24 Mei 2013 12:30

Item
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
4,00

24 Mei 2013 12:29

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
1,00

TOTAL

24 Mei 2013 12:28

Item
BETAHISTIN NOVELL TABLET 6 MG
AMOXICILLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

24 Mei 2013 12:06

Item
H.C.T 25 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00

24 Mei 2013 12:05

Item
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

24 Mei 2013 12:04

Item
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

24 Mei 2013 01:51

Item
FUTROLIT INFUSION
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00

23 Mei 2013 12:30

Item
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

23 Mei 2013 12:30

Item
BETAHISTIN NOVELL TABLET 6 MG
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

23 Mei 2013 12:17

Item
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

23 Mei 2013 12:03

Item
HYPERIL 5 MG TABLET
SPIRONOLACTONE 100 MG TABLET
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 40 mg
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
5,00
5,00
20,00
10,00
5,00

22 Mei 2013 13:52

Item
CODIPRONT CAPSULE 30 MG; 10 MG
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
13,00
20,00
2,00

22 Mei 2013 13:39

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
1,00
20,00
20,00
1,00

22 Mei 2013 12:56

Item
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 12:55

Item
HYPERIL 5 MG TABLET
METRONIDAZOLE 500 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
20,00
10,00
3,00

22 Mei 2013 12:55

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

22 Mei 2013 11:42

Item
NATRIUM DIKLOFENAK KF TABLET 25 MG
MECOBALAMIN CAPSULE 500 MCG
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
5,00
3,00

22 Mei 2013 11:36

Item
ANALSIK TABLET
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

22 Mei 2013 11:36

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
PHENOBARBITAL 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
10,00
10,00
3,00

22 Mei 2013 11:34

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
4,00
4,00
1,00
20,00
20,00
1,00

22 Mei 2013 11:32

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
4,00
1,00
20,00

22 Mei 2013 11:30

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

22 Mei 2013 11:30

Item
HYPERIL 5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
ASPILETS TABLET, CHEWABLE 80 MG
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
10,00
10,00
4,00

22 Mei 2013 11:26

Item
ALPENTIN 300 MG TABLET
TUSLAH RACIKAN EMBALASE
VALISANBE TABLET 5 MG

JAKARTA SEHAT
Quantity
10,00
1,00
30,00
6,00

AMITRYPTILIN 25 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

4,00
20,00
1,00
20,00

22 Mei 2013 11:25

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

22 Mei 2013 11:15

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

22 Mei 2013 11:12

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
1,00

22 Mei 2013 11:11

Item
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

22 Mei 2013 10:42

Item
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
10,00
4,00

22 Mei 2013 10:41

Item

JAKARTA SEHAT
Quantity

AMOXICILLIN 60 ML SYRUP
ANTALGIN 500 MG
TUSLAH NON RACIKAN
TOTAL

1,00
5,00
2,00

22 Mei 2013 10:17

Item
PHENOBARBITAL 30 MG TABLET
CARBAMAZEPINE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
21,00
2,00

22 Mei 2013 10:05

Item
CARBAMAZEPINE INF TABLET
PHENOBARBITAL 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
60,00
60,00
2,00

22 Mei 2013 09:41

Item
NEUROSANBE 5000 TABLET
SOHOBAL SOHO 500 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
20,00
2,00

22 Mei 2013 09:29

Item
PIROXICAM INF TABLET 10 MG
NEUROSANBE PLUS TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
20,00
10,00
3,00

21 Mei 2013 13:38

Item
CENDO FENICOL OINTMENT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 13:34

JAKARTA SEHAT

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
10,00
2,00

21 Mei 2013 13:31

Item
MICARDIS TABLET 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 13:30

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 10:13

Item
IVENA IV CATH 22
IVENA IV CATH 24
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00

20 Mei 2013 14:39

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

20 Mei 2013 13:47

Item
FENOFIBRAT 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

20 Mei 2013 13:35

Item
CODIPRONT CAPSULE 30 MG; 10 MG

RSUD TARAKAN
Quantity
10,00

TUSLAH NON RACIKAN

TOTAL

1,00

20 Mei 2013 13:25

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
1,00

20 Mei 2013 13:22

Item
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN TABLET 20 MG
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
20,00
5,00

20 Mei 2013 12:57

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

20 Mei 2013 12:57

Item
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

20 Mei 2013 12:40

Item
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

20 Mei 2013 12:22

Item
CLINDAMYCIN 300 MG CAPSULE

JAKARTA SEHAT
Quantity
10,00

TUSLAH NON RACIKAN

TOTAL

1,00

20 Mei 2013 12:21

Item
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
20,00
4,00

20 Mei 2013 12:10

Item
ANALSIK TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
8,00
1,00
20,00
1,00

20 Mei 2013 12:07

Item
LEUKOCREPE 3 INC
DISP SYRINGE 10 CC
IVENA IV CATH 18
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

20 Mei 2013 12:06

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

20 Mei 2013 12:05

Item
CLOPIDOGREL 75 MG TABLET
AMITRYPTILIN 25 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

TOTAL

20 Mei 2013 11:33

Item
SIMVASTATIN GENERIK 10 MG TABLET
FENOFIBRAT 200 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
28,00
42,00
3,00

20 Mei 2013 11:30

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
PHENOBARBITAL 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
28,00
3,00

20 Mei 2013 11:22

Item
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
3,00

20 Mei 2013 11:19

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
PHENOBARBITAL 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
50,00
15,00
60,00
3,00

20 Mei 2013 11:14

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

20 Mei 2013 10:33

UMUM

Item
NATRIUM DIKLOFENAK KF TABLET 25 MG
PERMYO TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
15,00
15,00
2,00

20 Mei 2013 10:33

Item
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
15,00
3,00

20 Mei 2013 10:33

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

20 Mei 2013 10:26

Item
NATRIUM DIKLOFENAK KF TABLET 25 MG
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

20 Mei 2013 10:07

Item
ANALSIK TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

19 Mei 2013 15:17

Item
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

18 Mei 2013 16:47

JAKARTA SEHAT

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
1,00

18 Mei 2013 08:55

Item
ADALAT OROS 30 MG TABLET
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
4,00
1,00
10,00
2,00

17 Mei 2013 15:02

Item
GLURENORM TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

17 Mei 2013 12:40

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
2,00

17 Mei 2013 12:14

Item
VALISANBE INJECTION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
1,00

17 Mei 2013 12:10

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
90,00
1,00

17 Mei 2013 11:43

JAKARTA SEHAT

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
5,00
1,00

17 Mei 2013 11:42

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

17 Mei 2013 11:40

Item
FUTROLIT INFUSION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00

16 Mei 2013 13:50

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
1,00

16 Mei 2013 11:34

Item
NATRIUM PHENITOIN 50MG /ML INJ
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
3,00
3,00
4,00

16 Mei 2013 10:43

Item
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
2,00

16 Mei 2013 10:28

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

15 Mei 2013 20:55

Item
STOMACH TUBE 16 THERUMO
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
4,00
2,00

15 Mei 2013 16:40

Item
HYPERIL 5 MG TABLET
ALLOPURINOL INF TABLET 100 MG
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
20,00
10,00
3,00

15 Mei 2013 14:45

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

15 Mei 2013 14:39

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
LEVOFLOXACIN INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
1,00
1,00
4,00

15 Mei 2013 13:39

Item
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN TABLET 20 MG
ALLOPURINOL INF TABLET 100 MG

JAKARTA SEHAT
Quantity
3,00
10,00
10,00
10,00

TUSLAH NON RACIKAN

TOTAL

4,00

15 Mei 2013 13:07

Item
METHYL PREDNISOLONE INF 4 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
2,00

15 Mei 2013 12:48

Item
ULTRACET 37,5MG TABL
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

15 Mei 2013 12:34

Item
HYPERIL 5 MG TABLET
PIRACETAM INF 1200 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
10,00
3,00

15 Mei 2013 12:23

Item
ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 12:20

Item
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
56,00
1,00

15 Mei 2013 12:19

Item
FOLIC ACID 1 MG TABLET
PHENOBARBITAL 30 MG TABLET

JAKARTA SEHAT
Quantity
14,00
42,00

TUSLAH NON RACIKAN

TOTAL

2,00

15 Mei 2013 12:15

Item
PHENOBARBITAL 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CARBAMAZEPINE INF TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
1,00
15,00
17,00
23,00
1,00
1,00
45,00

15 Mei 2013 12:15

Item
PHENOBARBITAL 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CARBAMAZEPINE INF TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
1,00
15,00
14,00
23,00
1,00
1,00
45,00

15 Mei 2013 12:05

Item
ANALSIK TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
2,00

15 Mei 2013 11:37

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
1,00
20,00

15 Mei 2013 11:16

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
10,00
3,00

15 Mei 2013 11:01

Item
HYPERIL 5 MG TABLET
VALISANBE TABLET 2 MG
ASTHIN FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
20,00
14,00
3,00

15 Mei 2013 10:51

Item
ULTRACET 37,5MG TABL
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

15 Mei 2013 09:50

Item
ANALSIK TABLET
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
20,00
2,00

14 Mei 2013 13:53

Item
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

14 Mei 2013 13:29

Item
ETHAMBUTOL500mg TABLET
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION

UMUM
Quantity
20,00
5,00

DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
1,00
5,00

14 Mei 2013 13:19

Item
VALISANBE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
20,00
10,00
2,00

14 Mei 2013 13:10

Item
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

14 Mei 2013 12:52

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NIMOTOP TAB 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
20,00
2,00

13 Mei 2013 14:23

Item
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

13 Mei 2013 13:58

Item
IVENA IV CATH 18
VERBAND ROLL
LEUKOCREPE 3 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

13 Mei 2013 13:11

Item
NATRIUM DIKLOFENAK 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

13 Mei 2013 13:11

Item
ULTRACET 37,5MG TABL
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

13 Mei 2013 13:08

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
VALISANBE TABLET 2 MG
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
10,00
20,00
20,00
5,00

13 Mei 2013 12:55

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
1,00
20,00

13 Mei 2013 12:46

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

13 Mei 2013 12:44

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

13 Mei 2013 12:43

Item
ASPILETS TABLET, CHEWABLE 80 MG
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

13 Mei 2013 12:37

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
TUSLAH RACIKAN EMBALASE
PHENOBARBITAL 30 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
30,00
30,00
1,00
60,00
25,00
1,00
30,00

13 Mei 2013 12:35

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

13 Mei 2013 12:21

Item
VALISANBE TABLET 5 MG
AMITRYPTILIN 25 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
15,00
1,00
30,00

13 Mei 2013 12:20

Item
VALISANBE TABLET 5 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
12,00
6,00
1,00
30,00
15,00
1,00

TOTAL

13 Mei 2013 12:19

Item
ANALSIK TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
2,00

13 Mei 2013 11:37

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

13 Mei 2013 11:35

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
1,00
20,00
10,00
1,00

13 Mei 2013 11:35

Item
MERTIGO TABLET 6 MG
VOMETA FT TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
2,00

13 Mei 2013 11:31

Item
VALISANBE TABLET 2 MG
MAINTATE TABLET, FILM COATED 2.5 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
60,00
20,00
2,00

13 Mei 2013 11:27

Item
CLOPIDOGREL 75 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

13 Mei 2013 11:26

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

13 Mei 2013 11:26

Item
CARBAMAZEPINE INF TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
PHENOBARBITAL 30 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
9,00
15,00
1,00
30,00
13,00
1,00
15,00

13 Mei 2013 11:26

Item
CARBAMAZEPINE INF TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
PHENOBARBITAL 30 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
9,00
15,00
1,00
30,00
13,00
1,00
15,00

13 Mei 2013 11:25

Item
NATRIUM DIKLOFENAK 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

13 Mei 2013 10:53

UMUM

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00

13 Mei 2013 10:43

Item
KETOPAIN 30 MG/ML INJECTION
DISP SYRINGE 3 CC
ANALSIK TABLET
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
20,00
5,00
20,00
5,00

13 Mei 2013 10:37

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

13 Mei 2013 10:36

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
10,00
20,00
4,00

13 Mei 2013 10:33

Item
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
20,00
1,00

13 Mei 2013 10:13

Item
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
NEUROSANBE 5000 TABLET
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00
10,00
3,00

TOTAL

13 Mei 2013 10:05

Item
ANTALGIN 500 MG
VALISANBE TABLET 2 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
10,00
3,00

13 Mei 2013 09:55

Item
ANALSIK TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
2,00

13 Mei 2013 09:43

Item
PLAVOS 75MG TAB
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

11 Mei 2013 09:23

Item
SUCTION CATHETER 14
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 12:36

Item
GLURENORM TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

10 Mei 2013 10:16

Item
HYPERIL 5 MG TABLET
GLIQUIDONE 30 MG TABLET
SIMVASTATIN TABLET 20 MG

JAKARTA SEHAT
Quantity
10,00
10,00
10,00

ALLOPURINOL INF TABLET 100 MG

ASPILETS TABLET, CHEWABLE 80 MG
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

30,00
10,00
10,00
15,00
15,00
1,00
1,00
1,00
1,00
9,00

10 Mei 2013 10:06

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

8 Mei 2013 17:37

Item
CLINDAMYCIN 300 MG CAPSULE
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
10,00
2,00

8 Mei 2013 13:46

Item
PRIMET TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

8 Mei 2013 13:41

Item
SIMVASTATIN GENERIK 10 MG TABLET
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
VALISANBE TABLET 2 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
7,00
4,00
1,00
20,00
1,00

8 Mei 2013 13:33

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
4,00
4,00
1,00
20,00
1,00
1,00

8 Mei 2013 12:39

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

8 Mei 2013 12:39

Item
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

8 Mei 2013 12:34

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
10,00
3,00

8 Mei 2013 12:23

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
2,00

8 Mei 2013 12:12

Item

JAKARTA SEHAT
Quantity

FUROSEMID INF TABLET

TUSLAH NON RACIKAN
TOTAL

5,00
1,00

8 Mei 2013 12:12

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

8 Mei 2013 11:31

Item
SIMVASTATIN TABLET 20 MG
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 2 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
4,00
1,00
20,00
1,00

8 Mei 2013 10:53

Item
MECOBALAMIN CAPSULE 500 MCG
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
2,00

8 Mei 2013 10:44

Item
SIFROL ER 0.375 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

8 Mei 2013 10:43

Item
SIFROL ER 0.375 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

8 Mei 2013 10:41

Item
CLOPIDOGREL 75 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
42,00
2,00

8 Mei 2013 10:34

Item
PLAVOS 75MG TAB
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
10,00
3,00

8 Mei 2013 10:29

Item
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

8 Mei 2013 10:22

Item
SIFROL TABLET 0.125 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

8 Mei 2013 10:21

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

8 Mei 2013 10:02

Item
SIFROL TABLET 0.125 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

8 Mei 2013 10:01

Item

JAKARTA SEHAT
Quantity

TRIHEXYPHENYDIL INF TABLET 2 MG

TUSLAH NON RACIKAN
TOTAL

30,00
1,00

8 Mei 2013 10:00

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
4,00

8 Mei 2013 09:55

Item
NATRIUM DIKLOFENAK KF TABLET 25 MG
NEUROSANBE 5000 TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
20,00
2,00

8 Mei 2013 09:45

Item
CARBAMAZEPINE INF TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
38,00
1,00
1,00
100,00

7 Mei 2013 14:05

Item
GLIQUIDONE 30 MG TABLET
ALLOPURINOL INF TABLET 100 MG
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
5,00
3,00

7 Mei 2013 11:54

Item
TRAMADOL INF TABLET 50 MG
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

7 Mei 2013 11:25

Item
TRILAC INJECTION
DISP SYRINGE 1 CC INSULIN
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Eksekutif
Quantity
1,00
1,00
1,00
3,00

7 Mei 2013 11:23

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
3,00

7 Mei 2013 03:05

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00

6 Mei 2013 15:09

Item
ANTALGIN 500 MG
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

6 Mei 2013 14:06

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

6 Mei 2013 14:05

Item

JAKARTA SEHAT
Quantity

CLOPIDOGREL 75 MG TABLET
KUTOIN-100 CAPSULE 100 MG
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
20,00
10,00
3,00

6 Mei 2013 13:42

Item
HYPERIL 5 MG TABLET
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

6 Mei 2013 13:21

Item
VALISANBE TABLET 2 MG
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
10,00
2,00

6 Mei 2013 13:08

Item
ANTALGIN 500 MG
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
5,00
2,00

6 Mei 2013 13:06

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
GLIQUIDONE 30 MG TABLET
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
168,00
5,00
10,00
20,00
10,00
5,00

6 Mei 2013 13:03

Item
ULTRACET 37,5MG TABL
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
15,00
20,00
2,00

TOTAL

6 Mei 2013 12:54

Item
ANALSIK TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
2,00

6 Mei 2013 12:54

Item
ULTRACET 37,5MG TABL
ANTALGIN 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
20,00
2,00

6 Mei 2013 12:54

Item
EPERISONE TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

6 Mei 2013 12:52

Item
ANTALGIN 500 MG
VALISANBE TABLET 2 MG
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
20,00
3,00

6 Mei 2013 12:42

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

6 Mei 2013 12:42

Item
EPERISONE TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

6 Mei 2013 12:36

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ACID SALICYL PULV GM
MENTHOL PULV
INERSON 15 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
LORATADINE INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
45,00
15,00
30,00
1,00
1,00
1,00
1,00
1,00
7,00
4,00

6 Mei 2013 12:33

Item
ASPILETS TABLET, CHEWABLE 80 MG
HYPERIL 5 MG TABLET
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
30,00
4,00

6 Mei 2013 11:44

Item
PLAVOS 75MG TAB
HYPERIL 5 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
20,00
3,00

6 Mei 2013 11:41

Item
ANALSIK TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
2,00

6 Mei 2013 11:09

Item
PHENOBARBITAL 30 MG TABLET

UMUM
Quantity
13,00

VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

15,00
1,00
1,00
30,00
1,00
1,00

6 Mei 2013 10:51

Item
MERTIGO TABLET 6 MG
VALISANBE TABLET 2 MG
NATRIUM DIKLOFENAK KF TABLET 25 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
10,00
10,00
3,00

6 Mei 2013 10:46

Item
ULTRACET 37,5MG TABL
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

6 Mei 2013 10:22

Item
HYPERIL 5 MG TABLET
H.C.T 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
3,00

6 Mei 2013 10:10

Item
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
8,00
4,00
1,00
20,00
10,00
1,00

6 Mei 2013 09:58

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

6 Mei 2013 09:58

Item
METHYL PREDNISOLONE INF 4 MG TABLET
NEUROSANBE 5000 TABLET
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
1,00
4,00

4 Mei 2013 12:03

Item
BIFOTIK POWDER, FOR INJECTION SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

3 Mei 2013 14:26

Item
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

3 Mei 2013 14:14

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

3 Mei 2013 12:23

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

2 Mei 2013 14:27

Item

JAKARTA SEHAT
Quantity

PRIMET TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
1,00

2 Mei 2013 12:18

Item
COTRIMOXAZOLE 480 MG TABLET
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

2 Mei 2013 11:46

Item
VALISANBE TABLET 5 MG
SIMVASTATIN GENERIK 10 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TROVENSIS 2 ML INJECTION
RING AS SANBE 500 ML
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
3,00
3,00
2,00
1,00
6,00

2 Mei 2013 11:46

Item
M-20 INFUSAN (MANITOL) 500 ML
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00

1 Mei 2013 13:10

Item
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
3,00

1 Mei 2013 12:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

INH 300 MG TABLET

VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
5,00

Depo
Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
CAP
UNT

Depo Atas
Subtotal
SUP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
CAP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas

Pasien
Penjamin
1720
1720
500
500
2220
2220

0
0
0

Pasien
Penjamin
6156
6156
2772
2772
1000
1000
9928
9928

0
0
0
0

Pasien
Penjamin
37890
37890
500
500
38390
38390

0
0
0

Pasien
Penjamin
99800
99800
440
440
83400
83400
1500
1500
185140
185140

0
0
0
0
0

Pasien
Penjamin
9240
9240
500
500
9740
9740

0
0
0

Pasien
Penjamin
19800
19800
500
500
20300
20300

0
0
0

Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
SUP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
8415
8415
16335
16335
14988
14988
14988
14988
9240
9240
3132
3132
3000
3000
70098
70098

0
0
0
0
0
0
0
0

Pasien
Penjamin
13860
13860
3300
3300
5220
5220
8415
8415
14988
14988
14988
14988
3000
3000
63771
63771

0
0
0
0
0
0
0
0

Pasien
Penjamin
25260
25260
500
500
25760
25760

0
0
0

Pasien
Penjamin
24453
24453
500
500
24953
24953

0
0
0

Pasien
Penjamin
1980
1980
500
500
2480
2480

0
0
0

Pasien
Penjamin
23562
23562

UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB

500
24062

500
24062

0
0

Pasien
Penjamin
5390
5390
83400
83400
1000
1000
89790
89790

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16088
16088
1500
1500
47564
47564

0
0
0
0
0

Pasien
Penjamin
25020
25020
500
500
25520
25520

0
0
0

Pasien
Penjamin
40755
40755

UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
CAP
UNT

500
41255

500
41255

0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
3840
3840
500
500
4340
4340

0
0
0

Pasien
Penjamin
2460
2460
500
500
2960
2960

0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien
Penjamin
39270
39270
500
500
39770
39770

0
0
0

Pasien
Penjamin
2610
2610
1752
1752
3500
3500
1000
1000
18480
18480
500
500

0
0
0
0
0
0

27842

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

27842

Pasien
Penjamin
41580
41580
500
500
42080
42080

0
0
0

Pasien
Penjamin
3840
3840
500
500
4340
4340

0
0
0

Pasien
Penjamin
16060
16060
28545
28545
1000
1000
45605
45605

0
0
0
0

Pasien
Penjamin
3960
3960
5010
5010
1000
1000
9970
9970

0
0
0
0

Pasien
Penjamin
99000
99000
27720
27720
1000
1000
127720
127720

0
0
0
0

Pasien
Penjamin
95150
95150
16060
16060
1000
1000
112210
112210

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
CAP
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
7255
7255
99000
99000
1000
1000
107255
107255

0
0
0
0

Pasien
Penjamin
95150
95150
500
500
95650
95650

0
0
0

Pasien
Penjamin
7255
7255
138600
138600
1000
1000
146855
146855

0
0
0
0

Pasien
Penjamin
2610
2610
1752
1752
548
548
3500
3500
1000
1000
18480
18480
55518
55518
1000
1000
84408
84408

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16060
16060
500
500
16560
16560

0
0
0

Pasien

Penjamin

TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

99000
5940
18480
1500
124920

99000
5940
18480
1500
124920

0
0
0
0
0

Pasien
Penjamin
21540
21540
96780
96780
1000
1000
119320
119320

0
0
0
0

Pasien
Penjamin
38808
38808
500
500
39308
39308

0
0
0

Pasien
Penjamin
7255
7255
21540
21540
10410
10410
1500
1500
40705
40705

0
0
0
0
0

Pasien
Penjamin
1410
1410
1470
1470
7255
7255
1500
1500
11635
11635

0
0
0
0
0

Pasien
Penjamin
21720
21720
40400
40400
1000
1000
63120
63120

0
0
0
0

Depo IGD
Subtotal
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
18480
18480
2820
2820
1000
1000
22300
22300

0
0
0
0

Pasien
Penjamin
125100
125100
2820
2820
1000
1000
128920
128920

0
0
0
0

Pasien
Penjamin
125100
125100
2115
2115
9504
9504
1275
1275
2000
2000
139994
139994

0
0
0
0
0
0

Pasien
Penjamin
2610
2610
1752
1752
3500
3500
1000
1000
8862
8862

0
0
0
0
0

Pasien
Penjamin
54640
54640
2820
2820
1000
1000
58460
58460

0
0
0
0

Pasien
Penjamin
5940
5940

VIL
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
TAB
TAB
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal

27325
3300
7700
2640
2500
49405

27325
3300
7700
2640
2500
49405

0
0
0
0
0
0

Pasien
Penjamin
235902
235902
247401
247401
12610
12610
3825
3825
83400
83400
7440
7440
8415
8415
23100
23100
14988
14988
4500
4500
641581
641581

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1095
1095
7255
7255
1000
1000
9350
9350

0
0
0
0

Pasien
Penjamin
1430
1430
500
500
1930
1930

0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Pasien

Penjamin

TAB
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

83400
500
83900

83400
500
83900

0
0
0

Pasien
Penjamin
53460
53460
2550
2550
1000
1000
57010
57010

0
0
0
0

Pasien
Penjamin
7255
7255
500
500
7755
7755

0
0
0

Pasien
Penjamin
102432
102432
260
260
1000
1000
103692
103692

0
0
0
0

Pasien
Penjamin
3600
3600
500
500
4100
4100

0
0
0

Pasien
Penjamin
83400
83400
500
500
83900
83900

0
0
0

Pasien
Penjamin
7255
7255
49500
49500
1000
1000

0
0
0

57755

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB

57755

Penjamin
980
3600
1000
5580

0
0
0
0

Pasien
Penjamin
83400
83400
500
500
83900
83900

0
0
0

Pasien
Penjamin
2610
2610
1752
1752
548
548
3500
3500
1000
1000
9410
9410

0
0
0
0
0
0

Pasien
Penjamin
21540
21540
500
500
22040
22040

0
0
0

Pasien
Penjamin
4425
4425
2820
2820
1000
1000
8245
8245

0
0
0
0

Pasien
Penjamin
2610
2610
1752
1752

0
0

Pasien
980
3600
1000
5580

UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT

Depo IGD

3500
1000
740
500
10102

3500
1000
740
500
10102

0
0
0
0
0

Penjamin
735
735
500
500
1235
1235

0
0
0

Pasien
Penjamin
21540
21540
500
500
22040
22040

0
0
0

Pasien
Penjamin
18840
18840
500
500
19340
19340

0
0
0

Pasien
Penjamin
7255
7255
5010
5010
3960
3960
1500
1500
17725
17725

0
0
0
0
0

Pasien
Penjamin
1644
1644
2628
2628
3500
3500
1500
1500
9272
9272

0
0
0
0
0

Pasien

Subtotal
AMP
UNT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
9504
9504
1275
1275
66528
66528
166800
166800
2000
2000
246107
246107

0
0
0
0
0
0

Pasien
Penjamin
32580
32580
7620
7620
2940
2940
1275
1275
2000
2000
46415
46415

0
0
0
0
0
0

Pasien
Penjamin
3380
3380
7255
7255
2820
2820
1500
1500
14955
14955

0
0
0
0
0

Pasien
Penjamin
18480
18480
500
500
18980
18980

0
0
0

Pasien
Penjamin
5010
5010
18480
18480
1000
1000
24490
24490

0
0
0
0

Pasien
Penjamin
34155
34155
500
500

0
0

34655

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
CAP
UNT

34655

Pasien
Penjamin
99000
99000
7255
7255
1410
1410
1500
1500
109165
109165

0
0
0
0
0

Pasien
Penjamin
10930
10930
500
500
11430
11430

0
0
0

Pasien

Penjamin
438
438
500
500
938
938

0
0
0

Pasien
Penjamin
53460
53460
500
500
53960
53960

0
0
0

Pasien
Penjamin
5465
5465
3825
3825
3300
3300
2640
2640
2000
2000
17230
17230

0
0
0
0
0
0

Pasien
Penjamin
9240
9240
500
500

0
0

9740

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

9740

Pasien
Penjamin
6660
6660
4440
4440
1000
1000
12100
12100

0
0
0
0

Pasien

Penjamin
220
7255
1000
8475

0
0
0
0

Pasien
Penjamin
2530
2530
500
500
3030
3030

0
0
0

220
7255
1000
8475

Pasien

Penjamin
220
220
500
500
720
720

0
0
0

Pasien
Penjamin
102432
102432
738
738
1000
1000
104170
104170

0
0
0
0

Pasien
Penjamin
78540
78540
99000
99000
1000
1000
178540
178540

0
0
0
0

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
CAP
UNT

Pasien
Penjamin
6660
6660
5230
5230
1000
1000
12890
12890

0
0
0
0

Pasien
Penjamin
83400
83400
500
500
83900
83900

0
0
0

Pasien
Penjamin
157080
157080
6330
6330
7255
7255
284160
284160
99000
99000
2500
2500
556325
556325

0
0
0
0
0
0
0

Pasien
Penjamin
97402.5 97402.5
3942
3942
900
900
102244.5 102244.5

0
0
0
0

Pasien
Penjamin
2610
2610
1752
1752
3500
3500
1000
1000
18480
18480
500
500
27842
27842

0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Pasien

Penjamin
438
438
500
500
938
938

0
0
0

Pasien
Penjamin
39270
39270
5280
5280
5010
5010
1500
1500
51060
51060

0
0
0
0
0

Pasien
Penjamin
18840
18840
500
500
19340
19340

0
0
0

Pasien
Penjamin
4040
4040
18480
18480
39270
39270
1500
1500
63290
63290

0
0
0
0
0

Pasien
Penjamin
10770
10770
657
657
1000
1000
12427
12427

0
0
0
0

Pasien
Penjamin
40980
40980
820
820
780
780
1500
1500
44080
44080

0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT
UNT
TAB

Pasien
Penjamin
2610
2610
876
876
548
548
3500
3500
1000
1000
740
740
500
500
9774
9774

0
0
0
0
0
0
0
0

Pasien
Penjamin
2610
2610
1752
1752
548
548
3500
3500
1000
1000
9410
9410

0
0
0
0
0
0

Pasien
Penjamin
18840
18840
500
500
19340
19340

0
0
0

Pasien
Penjamin
78540
78540
13320
13320
5010
5010
2190
2190
2000
2000
101060
101060

0
0
0
0
0
0

Pasien
Penjamin
79000
79000
3500
3500
1500
1500
1314
1314

0
0
0
0

TAB
TAB
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

548
360
3500
1000
90722

548
360
3500
1000
90722

0
0
0
0
0

Pasien
Penjamin
49500
49500
500
500
50000
50000

0
0
0

Pasien

Penjamin
686
686
500
500
1186
1186

0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
3840
3840
500
500
4340
4340

0
0
0

Pasien
Penjamin
99000
99000
78540
78540
7255
7255
2190
2190
2000
2000
188985
188985

0
0
0
0
0
0

Pasien

Penjamin

BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas

4262
845
1000
6107

4262
845
1000
6107

0
0
0
0

Pasien
Penjamin
3276
3276
6195
6195
1000
1000
10471
10471

0
0
0
0

Pasien
Penjamin
17700
17700
4680
4680
1000
1000
23380
23380

0
0
0
0

Pasien
Penjamin
21720
21720
40400
40400
1000
1000
63120
63120

0
0
0
0

Pasien
Penjamin
2040
2040
18860
18860
4480
4480
1500
1500
26880
26880

0
0
0
0
0

Pasien
Penjamin
20562
20562
500
500
21062
21062

0
0
0

Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Emergency Catelia
Subtotal
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP

Pasien
Penjamin
13660
13660
820
820
1000
1000
15480
15480

0
0
0
0

Pasien
Penjamin
142080
142080
500
500
142580
142580

0
0
0

Pasien
Penjamin
1980
1980
500
500
2480
2480

0
0
0

Pasien
Penjamin
14988
14988
14988
14988
348
348
1500
1500
31824
31824

0
0
0
0
0

Pasien
Penjamin
5390
5390
500
500
5890
5890

0
0
0

Pasien
Penjamin
47520
47520
500
500
48020
48020

0
0
0

Pasien
Penjamin
83250
83250

UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
CAP

500
83750

500
83750

0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
99000
99000
78540
78540
4480
4480
20520
20520
3040
3040
2500
2500
208080
208080

0
0
0
0
0
0
0

Pasien
Penjamin
29700
29700
500
500
30200
30200

0
0
0

Pasien
Penjamin
11880
11880
360
360
1000
1000
13240
13240

0
0
0
0

Pasien
Penjamin
1440
1440
500
500
1940
1940

0
0
0

Pasien
Penjamin
9900
9900

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

500
10400

500
10400

0
0

Pasien
Penjamin
3840
3840
7920
7920
1160
1160
5620
5620
2000
2000
20540
20540

0
0
0
0
0
0

Pasien
Penjamin
21540
21540
1752
1752
3500
3500
7000
7000
500
500
34292
34292

0
0
0
0
0
0

Pasien
Penjamin
57478
57478
1997
1997
14988
14988
3696
3696
2000
2000
80159
80159

0
0
0
0
0
0

Pasien
Penjamin
18840
18840
500
500
19340
19340

0
0
0

Pasien
Penjamin
99000
99000
1370
1370
3960
3960
1500
1500

0
0
0
0

105830

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD

105830

Pasien
Penjamin
15092
15092
133056
133056
6384
6384
1500
1500
156032
156032

0
0
0
0
0

Pasien
Penjamin
57372
57372
1148
1148
2184
2184
1500
1500
62204
62204

0
0
0
0
0

Pasien
Penjamin
78540
78540
99000
99000
9990
9990
1500
1500
189030
189030

0
0
0
0
0

Pasien
Penjamin
68300
68300
1230
1230
4680
4680
1500
1500
75710
75710

0
0
0
0
0

Pasien
Penjamin
21540
21540
500
500
22040
22040

0
0
0

Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD

Pasien
Penjamin
3030
3030
96780
96780
1000
1000
100810
100810

0
0
0
0

Pasien
Penjamin
78540
78540
5010
5010
9990
9990
1500
1500
95040
95040

0
0
0
0
0

Pasien
Penjamin
9990
9990
500
500
10490
10490

0
0
0

Pasien
Penjamin
3030
3030
4480
4480
1000
1000
8510
8510

0
0
0
0

Pasien
Penjamin
16155
16155
9990
9990
1000
1000
27145
27145

0
0
0
0

Pasien

Penjamin
896
896
500
500
1396
1396

0
0
0

Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas

Pasien
Penjamin
29700
29700
500
500
30200
30200

0
0
0

Pasien
Penjamin
83290
83290
14510
14510
876
876
3500
3500
500
500
1000
1000
103676
103676

0
0
0
0
0
0
0

Pasien
Penjamin
14610
14610
500
500
15110
15110

0
0
0

Pasien
Penjamin
106920
106920
4620
4620
1000
1000
112540
112540

0
0
0
0

Pasien
Penjamin
108720
108720
450
450
109170
109170

0
0
0

Pasien
Penjamin
43659
43659
450
450
44109
44109

0
0
0

Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
BAG
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
7255
7255
500
500
7755
7755

0
0
0

Pasien
Penjamin
7355
7355
500
500
7855
7855

0
0
0

Pasien
Penjamin
102432
102432
170544
170544
3825
3825
1500
1500
278301
278301

0
0
0
0
0

Pasien
Penjamin
10770
10770
500
500
11270
11270

0
0
0

Pasien
Penjamin
268440
268440
28899
28899
6666
6666
3825
3825
2000
2000
309830
309830

0
0
0
0
0
0

Pasien
Penjamin
157080
157080
4480
4480
1000
1000
162560
162560

0
0
0
0

Depo Atas
Subtotal
TAB
UNT

Emergency Anggrek
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB

Pasien
Penjamin
7255
7255
500
500
7755
7755

0
0
0

Pasien
Penjamin
16088
16088
5100
5100
1000
1000
22188
22188

0
0
0
0

Pasien
Penjamin
78540
78540
3040
3040
5390
5390
1500
1500
88470
88470

0
0
0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
633600
633600
95040
95040
3300
3300
1997
1997
2000
2000
735937
735937

0
0
0
0
0
0

Pasien
Penjamin
23562
23562
4480
4480
20520
20520
1520
1520

0
0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB

2000
52082

2000
52082

0
0

Pasien
Penjamin
10160
10160
5010
5010
1000
1000
16170
16170

0
0
0
0

Pasien
Penjamin
83400
83400
2115
2115
1000
1000
86515
86515

0
0
0
0

Pasien
Penjamin
78540
78540
30240
30240
99000
99000
1500
1500
209280
209280

0
0
0
0
0

Pasien
Penjamin
19635
19635
500
500
20135
20135

0
0
0

Pasien
Penjamin
87472
87472
500
500
87972
87972

0
0
0

Pasien
Penjamin
1148
1148
3276
3276

0
0

UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT

1000
5424

1000
5424

0
0

Pasien
Penjamin
1170
1170
196
196
3500
3500
750
750
5015
5015
414
414
196
196
3500
3500
2250
2250
16991
16991

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1170
1170
196
196
3500
3500
750
750
4130
4130
414
414
196
196
3500
3500
2250
2250
16106
16106

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21540
21540
2115
2115
1000
1000
24655
24655

0
0
0
0

Pasien
Penjamin
2610
2610
1752
1752
3500
3500
1000
1000
8862
8862

0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
VIL

Pasien
Penjamin
78540
78540
7255
7255
1410
1410
1500
1500
88705
88705

0
0
0
0
0

Pasien
Penjamin
78540
78540
2820
2820
95634
95634
1500
1500
178494
178494

0
0
0
0
0

Pasien
Penjamin
83400
83400
2115
2115
1000
1000
86515
86515

0
0
0
0

Pasien
Penjamin
21540
21540
54640
54640
1000
1000
77180
77180

0
0
0
0

Pasien
Penjamin
30240
30240
500
500
30740
30740

0
0
0

Pasien
Penjamin
11880
11880
27325
27325

0
0

UNT
UNT
BOT
UNT

Depo IGD
Subtotal
AMP
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
PKG
UNT
UNT

7700
3300
2640
2500
55345

7700
3300
2640
2500
55345

0
0
0
0
0

Pasien
Penjamin
217440
217440
60363
60363
900
900
278703
278703

0
0
0
0

Pasien
Penjamin
4353
4353
423
423
1000
1000
5776
5776

0
0
0
0

Pasien
Penjamin
17643
17643
161520
161520
1000
1000
180163
180163

0
0
0
0

Pasien
Penjamin
2460
2460
500
500
2960
2960

0
0
0

Pasien
Penjamin
14988
14988
3696
3696
57478
57478
1500
1500
77662
77662

0
0
0
0
0

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
2144
2144
500
500
2644
2644

0
0
0

Pasien
Penjamin
83400
83400
13860
13860
1000
1000
98260
98260

0
0
0
0

Pasien
Penjamin
7255
7255
78540
78540
99000
99000
2820
2820
3960
3960
2500
2500
194075
194075

0
0
0
0
0
0
0

Pasien
Penjamin
2610
2610
1752
1752
3500
3500
1000
1000
8862
8862

0
0
0
0
0

Pasien
Penjamin
14840
14840
500
500
15340
15340

0
0
0

Pasien
Penjamin
22720
22720
500
500
23220
23220

0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
CAP
TAB
UNT
UNT
TAB
UNT
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TAB
UNT

Pasien
Penjamin
5010
5010
78540
78540
1000
1000
84550
84550

0
0
0
0

Pasien
Penjamin
40980
40980
2460
2460
3500
3500
3000
3000
1950
1950
3500
3500
1500
1500
56890
56890

0
0
0
0
0
0
0
0

Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Pasien
Penjamin
1314
1314
822
822
270
270
3500
3500
1500
1500
7406
7406

0
0
0
0
0
0

Pasien
Penjamin
2628
2628
822
822
3500
3500
1500
1500
125100
125100
500
500

0
0
0
0
0
0

134050

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

134050

Pasien
Penjamin
21540
21540
2115
2115
1000
1000
24655
24655

0
0
0
0

Pasien
Penjamin
14510
14510
5010
5010
2820
2820
1500
1500
23840
23840

0
0
0
0
0

Pasien
Penjamin
2610
2610
1752
1752
3500
3500
1000
1000
8270
8270
500
500
17632
17632

0
0
0
0
0
0
0

Pasien
Penjamin
54640
54640
66330
66330
1000
1000
121970
121970

0
0
0
0

Pasien
Penjamin
8460
8460
110120
110120
1000
1000
119580
119580

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TAB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TAB
UNT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD

Pasien
Penjamin
99000
99000
2820
2820
1000
1000
102820
102820

0
0
0
0

Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Pasien
Penjamin
2655
2655
270
270
3500
3500
1500
1500
1014
1014
3500
3500
750
750
13189
13189

0
0
0
0
0
0
0
0

Pasien
Penjamin
2655
2655
270
270
3500
3500
1500
1500
1014
1014
3500
3500
750
750
13189
13189

0
0
0
0
0
0
0
0

Pasien
Penjamin
1340
1340
500
500
1840
1840

0
0
0

Subtotal
TAB
UNT

Depo IGD
Subtotal
AMP
UNT
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
AMP
UNT
TAB
UNT

Pasien
Penjamin
10770
10770
500
500
11270
11270

0
0
0

Pasien
Penjamin
35640
35640
1275
1275
21540
21540
7255
7255
2820
2820
2500
2500
71030
71030

0
0
0
0
0
0
0

Pasien
Penjamin
14840
14840
500
500
15340
15340

0
0
0

Pasien
Penjamin
7255
7255
78540
78540
5010
5010
2820
2820
2000
2000
95625
95625

0
0
0
0
0
0

Pasien
Penjamin
10460
10460
500
500
10960
10960

0
0
0

Pasien
Penjamin
2940
2940
1275
1275
21720
21720
1500
1500

0
0
0
0

27435

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Emergency Catelia
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

27435

Pasien
Penjamin
3380
3380
2820
2820
1370
1370
1500
1500
9070
9070

0
0
0
0
0

Pasien
Penjamin
21540
21540
2115
2115
1000
1000
24655
24655

0
0
0
0

Pasien
Penjamin
130680
130680
78540
78540
1000
1000
210220
210220

0
0
0
0

Pasien
Penjamin
5294
5294
500
500
5794
5794

0
0
0

Pasien
Penjamin
29220
29220
500
500
29720
29720

0
0
0

Pasien
Penjamin
78540
78540
14710
14710
20520
20520

0
0
0

TAB
TAB
CAP
TAB
TAB
UNT
BOT
UNT
UNT
UNT

Apotik Panel
Subtotal
BOX
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

4560
5010
26940
3960
2115
26535
2000
3500
50
4500
192940

4560
5010
26940
3960
2115
26535
2000
3500
50
4500
192940

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17210
17210
500
500
17710
17710

0
0
0

Pasien
Penjamin
33000
33000
1920
1920
1000
1000
35920
35920

0
0
0
0

Pasien
Penjamin
40920
40920
500
500
41420
41420

0
0
0

Pasien
Penjamin
5390
5390
2610
2610
219
219
987
987
548
548
3500
3500
1000
1000
500
500
14754
14754

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
2610
2610
876
876
548
548
3500
3500
1000
1000
37
37
500
500
9071
9071

0
0
0
0
0
0
0
0

Pasien
Penjamin
14840
14840
500
500
15340
15340

0
0
0

Pasien
Penjamin
78540
78540
5010
5010
1000
1000
84550
84550

0
0
0
0

Pasien
Penjamin
83290
83290
157080
157080
5010
5010
1500
1500
246880
246880

0
0
0
0
0

Pasien
686
21540
1000
23226

Pasien

Penjamin
686
21540
1000
23226

Penjamin

0
0
0
0

TAB
UNT

Depo Atas
Subtotal
AMP
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Apotik Panel
Subtotal
PKG
UNT

Apotik Panel
Subtotal
PKG
UNT

610
500
1110

610
500
1110

0
0
0

Pasien
Penjamin
20790
20790
5220
5220
1000
1000
27010
27010

0
0
0
0

Pasien
Penjamin
20520
20520
2610
2610
2820
2820
548
548
3500
3500
1000
1000
500
500
31498
31498

0
0
0
0
0
0
0
0

Pasien
Penjamin
27720
27720
2820
2820
1000
1000
31540
31540

0
0
0
0

Pasien
Penjamin
135000
135000
500
500
135500
135500

0
0
0

Pasien
Penjamin
135000
135000
500
500
135500
135500

0
0
0

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
99000
99000
38808
38808
1000
1000
138808
138808

0
0
0
0

Pasien
Penjamin
130680
130680
7255
7255
78540
78540
1500
1500
217975
217975

0
0
0
0
0

Pasien
Penjamin
5010
5010
500
500
5510
5510

0
0
0

Pasien
Penjamin
132000
132000
500
500
132500
132500

0
0
0

Pasien
Penjamin
1470
1470
500
500
1970
1970

0
0
0

Pasien
Penjamin
132000
132000
500
500
132500
132500

0
0
0

Pasien

Penjamin

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

1470
500
1970

1470
500
1970

0
0
0

Pasien
Penjamin
14510
14510
78540
78540
820
820
2820
2820
2000
2000
98690
98690

0
0
0
0
0
0

Pasien
Penjamin
4040
4040
43440
43440
1000
1000
48480
48480

0
0
0
0

Pasien
Penjamin
11210
11210
196
196
3500
3500
5000
5000
19906
19906

0
0
0
0
0

Pasien
Penjamin
7355
7355
1520
1520
10260
10260
1500
1500
20635
20635

0
0
0
0
0

Pasien
Penjamin
3360
3360
720
720
1000
1000
5080
5080

0
0
0
0

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
103488
103488
3325
3325
381
381
1500
1500
108694
108694

0
0
0
0
0

Pasien
Penjamin
78540
78540
8270
8270
7255
7255
1500
1500
95565
95565

0
0
0
0
0

Pasien
Penjamin
72496
72496
4620
4620
3825
3825
1500
1500
82441
82441

0
0
0
0
0

Pasien
Penjamin
3380
3380
2820
2820
1000
1000
7200
7200

0
0
0
0

Pasien
Penjamin
99000
99000
7255
7255
1000
1000
107255
107255

0
0
0
0

Pasien

Penjamin

TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

99000
27320
78540
1500
206360

99000
27320
78540
1500
206360

0
0
0
0
0

Pasien
Penjamin
78540
78540
30240
30240
1000
1000
109780
109780

0
0
0
0

Pasien
Penjamin
2820
2820
14510
14510
1000
1000
18330
18330

0
0
0
0

Pasien
Penjamin
2535
2535
7255
7255
1000
1000
10790
10790

0
0
0
0

Pasien
Penjamin
14448
14448
7255
7255
5010
5010
29420
29420
20520
20520
2500
2500
79153
79153

0
0
0
0
0
0
0

Pasien
Penjamin
125100
125100
2820
2820
1000
1000

0
0
0

128920

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

128920

Pasien
Penjamin
21540
21540
2115
2115
1000
1000
24655
24655

0
0
0
0

Pasien
Penjamin
125100
125100
3380
3380
1000
1000
129480
129480

0
0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Pasien
Penjamin
3380
3380
2820
2820
360
360
1500
1500
8060
8060

0
0
0
0
0

Pasien
Penjamin
16155
16155
500
500
16655
16655

0
0
0

Pasien
Penjamin
24750
24750
500
500
25250
25250

0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
GM
GM
TUB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
2205
2205
117810
117810
24810
24810
180
180
1068
1068
33825
33825
3500
3500
50
50
2800
2800
2000
2000
188248
188248

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5010
5010
78540
78540
14580
14580
7380
7380
2000
2000
107510
107510

0
0
0
0
0
0

Pasien
Penjamin
130680
130680
78540
78540
2820
2820
1500
1500
213540
213540

0
0
0
0
0

Pasien
Penjamin
21540
21540
2115
2115
1000
1000
24655
24655

0
0
0
0

Pasien
Penjamin
1014
1014

TAB
PKG
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
UNT

270
196
3500
1500
19635
500
26615

270
196
3500
1500
19635
500
26615

0
0
0
0
0
0
0

Pasien
Penjamin
40980
40980
1410
1410
2020
2020
1500
1500
45910
45910

0
0
0
0
0

Pasien
Penjamin
125100
125100
1410
1410
1000
1000
127510
127510

0
0
0
0

Pasien
Penjamin
78540
78540
440
440
5010
5010
1500
1500
85490
85490

0
0
0
0
0

Pasien
Penjamin
2610
2610
1752
1752
548
548
3500
3500
1000
1000
4480
4480
500
500
14390
14390

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
CAP
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal

Pasien
Penjamin
16155
16155
500
500
16655
16655

0
0
0

Pasien
Penjamin
5080
5080
21720
21720
2940
2940
1275
1275
2000
2000
33015
33015

0
0
0
0
0
0

Pasien
Penjamin
645532
645532
500
500
646032
646032

0
0
0

Pasien
Penjamin
13660
13660
500
500
14160
14160

0
0
0

Pasien
Penjamin
106920
106920
500
500
107420
107420

0
0
0

Pasien
Penjamin
49500
49500
500
500
50000
50000

0
0
0

Pasien

Penjamin

TAB
UNT

Depo Atas
Subtotal
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
BOT
UNT
UNT

Depo Atas
Subtotal
BOT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

27280
500
27780

27280
500
27780

0
0
0

Pasien
Penjamin
1920
1920
22000
22000
1000
1000
24920
24920

0
0
0
0

Pasien
Penjamin
2190
2190
5390
5390
1998
1998
95496
95496
32834
32834
1898
1898
3000
3000
142806
142806

0
0
0
0
0
0
0
0

Pasien
Penjamin
78634
78634
7255
7255
1000
1000
86889
86889

0
0
0
0

Pasien
Penjamin
78540
78540
99000
99000
9990
9990
1500
1500
189030
189030

0
0
0
0
0

Pasien

Penjamin
792
792
1188
1188
562
562

0
0
0

TAB
TAB
UNT

116
36
2500
5194

116
36
2500
5194

0
0
0
0

Waktu
31 Mei 2013 20:42
Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SELANG OKSIGEN ADULT
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
1,00
3,00
2,00
5,00
5,00
3,00
3,00
2,00
1,00
1,00
5,00
1,00
3,00
13,00

31 Mei 2013 20:41

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

31 Mei 2013 20:24

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

31 Mei 2013 20:21

Item
AMLODIPIN 10 MG TABLET
AMINORAL TABLET
CEFIXIME GENERIK CAPSULE
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
10,00
6,00
1,00
6,00
3,00

31 Mei 2013 19:58

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

31 Mei 2013 19:56

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
3,00
12,00

31 Mei 2013 19:38

Item
RING AS SANBE 500 ML
CAPTOPRIL 12.5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
4,00
1,00
4,00

31 Mei 2013 19:35

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
2,00

31 Mei 2013 19:25

Item

UMUM
Quantity

RINGER LACTATE WIDATRA 500 ML

RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

4,00
2,00
3,00
3,00

31 Mei 2013 18:32

Item
IVENA IV CATH 22
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
RINGER LACTATE WIDATRA 500 ML
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00
1,00
5,00

31 Mei 2013 18:28

Item
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

31 Mei 2013 18:07

Item
ORALIT
SANMOL 60 ML SYRUP
ZINKID 10MG/5ML SYRUP
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
1,00
4,00

31 Mei 2013 18:03

Item
INFUS SET JMS
DISP SYRINGE 3 CC
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
AMLODIPIN 5 MG TABLET
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

31 Mei 2013 16:25

UMUM

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
5,00

31 Mei 2013 15:54

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

31 Mei 2013 11:09

Item
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
LIDOCAIN 2% INJECTION
MAPROLEN 4/0 DS19
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
MAPROLEN 2/0 DS24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
1,00
2,00
1,00
4,00
1,00
1,00
1,00
2,00
1,00
12,00

30 Mei 2013 23:28

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
SODIUM CHLORIDE 0,9% 25 MG
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
5,00

30 Mei 2013 21:18

Item
KETOROLAC 30 MG SOLUTION, INJECTION
PLASMINEX 100 MG/ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
3,00
1,00
4,00
7,00
1,00
2,00
8,00

30 Mei 2013 20:48

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 19:33

Item
IVENA IV CATH 20
IVENA IV CATH 22
RING AS SANBE 500 ML
DOPAC 40 MG/ML INJECTION
EXTENSION TUBE ET 2 (DWS)
THREE WAY STOPCOCK
VASCON SOLUTION, INJECTION 4 MG/4 ML
DISP SYRINGE 50 CC WITHOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
12,00

30 Mei 2013 19:13

Item
RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

OMEPRAZOLE 40 MG INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00

30 Mei 2013 19:08

Item
RING AS SANBE 500 ML
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00

30 Mei 2013 19:07

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
6,00

30 Mei 2013 18:59

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
3,00

30 Mei 2013 18:20

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
6,00

30 Mei 2013 17:45

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
ANTASIDA DOEN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
1,00
4,00

30 Mei 2013 17:42

Item
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
DISP SYRINGE 20 CC WIHTOUT NED
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

30 Mei 2013 17:28

Item
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

30 Mei 2013 16:55

Item
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

30 Mei 2013 16:24

Item
WINGED NEEDLE NO. 27 JMS
DISP SYRINGE 20 CC WIHTOUT NED
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

30 Mei 2013 16:22

Item
SISTENOL TABLET, COATED 500 mg; 200 mg
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
2,00

30 Mei 2013 16:07

Item
IVENA IV CATH 24
INFUS SET JMS
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 15:33

Item
KETESSE 25 MG/ML INJECTION
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
WINGED NEEDLE NO. 25 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

30 Mei 2013 15:20

Item
RING AS SANBE 500 ML
MERSITROPIL 3 GR INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
3,00
1,00
2,00
5,00

30 Mei 2013 15:19

Item
ATS SERUM 1500
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

30 Mei 2013 15:12

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 15:12

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 15:10

Item
MERTIGO TABLET 6 MG
FLUNARIZINE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
10,00
2,00

30 Mei 2013 14:58

Item
SANMOL INFUSION
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

30 Mei 2013 14:55

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
KETESSE 25 MG/ML INJECTION
DISP SYRINGE 3 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7
DISP SYRINGE 1 CC TUBERCULIN
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
9,00

30 Mei 2013 14:46

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

30 Mei 2013 14:45

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
2,00
4,00

30 Mei 2013 14:25

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
3,00

30 Mei 2013 13:51

Item
IMOVAX RABIES INJECTION
SISTENOL TABLET, COATED 500 mg; 200 mg
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
12,00
10,00
3,00

30 Mei 2013 13:40

Item
RING AS SANBE 500 ML
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
3,00
3,00
7,00

TOTAL

30 Mei 2013 12:38

Item
ANALSIK TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

30 Mei 2013 12:26

Item
UROTRACTIN SANBE TABLET 400 mg
COTRIMOXAZOLE 480 MG TABLET
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
6,00
3,00

30 Mei 2013 11:51

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

30 Mei 2013 11:33

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

30 Mei 2013 11:29

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 11:27

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

30 Mei 2013 10:38

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
PLASMINEX 100 MG/ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 7
DRAINAGE BAG STERIL
FOLLEY CATHETER 16 RUSCH
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
16,00

30 Mei 2013 10:34

Item
SOMEROL 125 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
PIRACETAM INJ 3 GR/ 15 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
SOCEF 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
1,00
1,00
1,00
1,00
2,00
7,00

30 Mei 2013 10:06

Item
RING AS SANBE 500 ML
IVENA IV CATH 20

UMUM
Quantity
1,00
1,00

INFUS SET JMS

DISP SYRINGE 3 CC
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
1,00
5,00

30 Mei 2013 09:43

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
IVENA IV CATH 24
IVENA IV CATH 22
SELANG OKSIGEN ADULT
DISP SYRINGE 3 CC
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
4,00
1,00
1,00
1,00
8,00

30 Mei 2013 09:43

Item
MAPROLEN 3/0 DS24
MAPROLEN 4/0 DS19
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
3,00
2,00
5,00
5,00

30 Mei 2013 09:26

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
10,00
2,00

30 Mei 2013 09:22

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 09:01

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 08:50

Item
KETESSE 25 MG/ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 3 CC
SELANG OKSIGEN ADULT
VALISANBE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

29 Mei 2013 14:53

Item
ALDISA SR CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

29 Mei 2013 00:14

Item
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
9,00
4,00

28 Mei 2013 10:10

Item
LACTO-B
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

28 Mei 2013 09:20

JAKARTA SEHAT

Item
NYMIKO SANBE 12 ML SUSPENSION
VOMERIN SOHO 5MG/ML 10 ML DROPS
ZINKID 10MG/5ML SYRUP
ORALIT
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
6,00
4,00

28 Mei 2013 05:26

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 01:13

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
ANTRAIN INJECTION
PRONALGES SUPPOSITORY 100 MG
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
9,00

28 Mei 2013 01:06

Item
IVENA IV CATH 20
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VALISANBE INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

28 Mei 2013 00:55

Item
DOBUTAMIN GENERIK 50 MG/ML

JAKARTA SEHAT
Quantity
1,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

CEFPIROME 1GR VIL
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

27 Mei 2013 23:39

Item
FUTROLIT INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ADALAT OROS 30 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00
4,00

27 Mei 2013 23:31

Item
RING AS SANBE 500 ML
NOVALGIN SOLUTION, INJECTION 500 mg/ml
OMEPRAZOLE 40 MG INJECTION
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
1,00
4,00

27 Mei 2013 23:18

Item
RINGER LACTATE WIDATRA 500 ML
ANTASIDA DOEN 60 ML SYRUP
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00
3,00
3,00

27 Mei 2013 23:03

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 22:58

Item
IVENA IV CATH 20

JAKARTA SEHAT
Quantity
1,00

RING AS SANBE 500 ML

INFUS SET JMS
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
FOLLEY CATHETER 16 RUSCH
FOLLEY CATHETER 8 RUSCH
DRAINAGE BAG STERIL
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
CITICHOLIN 2 ML 125 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
16,00

27 Mei 2013 22:18

Item
UROTRACTIN SANBE TABLET 400 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

27 Mei 2013 22:08

Item
FOLLEY CATHETER 10 RUSCH
HANDSCOON GAMEX 7
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 21:44

Item
PANSO INJEKSI 1 VIL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

27 Mei 2013 21:43

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML

UMUM
Quantity
1,00
1,00
1,00

XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
6,00

27 Mei 2013 12:39

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
10,00
3,00

27 Mei 2013 09:39

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

27 Mei 2013 08:55

Item
CAPTOPRIL 12.5 MG TABLET
PERMYO TABLET
ANTALGIN 500 MG
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
10,00
10,00
1,00
10,00
2,00

27 Mei 2013 08:25

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF INJECTION
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
1,00
1,00
6,00

27 Mei 2013 07:40

Item
ARIXTRA SOLUTION, INJECTION 2.5 MG/0.5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 05:22

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 04:29

Item
OMEPRAZOLE GEN 20 MG CAPSULE
ANALSIK TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
1,00
3,00

27 Mei 2013 04:24

Item
STESOLID RECTAL 10 mg/2,5 ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

27 Mei 2013 04:20

Item
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 5 CC
IVENA IV CATH 24
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
7,00
1,00
4,00

27 Mei 2013 04:18

Item
SELANG OKSIGEN ADULT
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
3,00
3,00

RING AS SANBE 500 ML

IVENA IV CATH 20
INFUS SET JMS
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
7,00

27 Mei 2013 02:48

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL INF TABLET 500 mg
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
2,00
1,00
10,00
1,00

27 Mei 2013 02:30

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN GENERIK 10 MG TABLET
LOVENOX SOLUTION, INJECTION 40 mg
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

27 Mei 2013 00:58

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 00:26

Item
SELANG NEBU PEDRIATIC(1484)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

TOTAL

27 Mei 2013 00:01

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
VALISANBE INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

26 Mei 2013 23:53

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
LANSOPRAZOLE GENERIK CAPSULE
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
2,00
3,00

26 Mei 2013 23:41

Item
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

26 Mei 2013 23:22

Item
ASAM MEFENAMAT INF 500 MG TABLET
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

26 Mei 2013 23:08

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LOVENOX SOLUTION, INJECTION 40 mg
BISOPROLOL 5 MG TABLET
RINGER LACTATE WIDATRA 500 ML

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
1,00
1,00

ASPAR-K TABLET, COATED 300 mg

TUSLAH NON RACIKAN
TOTAL

3,00
8,00

26 Mei 2013 23:05

Item
IVENA IV CATH 24
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00

26 Mei 2013 22:42

Item
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
ATROPIN ETHICA 0.25 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
1,00
4,00

26 Mei 2013 22:11

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

26 Mei 2013 22:04

Item
KETESSE 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

26 Mei 2013 21:39

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

26 Mei 2013 21:39

JAKARTA SEHAT

Item
COTRIMOXAZOLE 480 MG TABLET
DOMPERIDON INF TABLET 10 MG
RANITIDINE INF TABLET 150 MG
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
12,00
9,00
6,00
9,00
4,00

26 Mei 2013 21:34

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00

26 Mei 2013 21:34

Item
HANDSCOON NON STERIL S (PCS)
NEUROSANBE 3 ML INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
2,00
3,00

26 Mei 2013 21:28

Item
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

26 Mei 2013 21:19

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

26 Mei 2013 21:08

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

26 Mei 2013 21:01

JAKARTA SEHAT

Item
SALBUTAMOL INF TABLET 2 MG
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
1,00
2,00

26 Mei 2013 00:28

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 22:31

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
SELANG OKSIGEN ADULT
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
12,00

25 Mei 2013 22:15

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
1,00
1,00
2,00
6,00

25 Mei 2013 21:28

Item
SELANG NEBUL WITH MASK(1493)

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

25 Mei 2013 21:15

Item
IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

25 Mei 2013 21:11

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00

25 Mei 2013 20:52

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

25 Mei 2013 19:53

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00

25 Mei 2013 19:48

Item
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

TOTAL

25 Mei 2013 19:42

Item
RING AS SANBE 500 ML
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
MUSIN OTTO 120 ML SUSPENSION
CACO3 500 MG CAPSULE
ISOSORBIDE DINITRATE INF TABLET
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
3,00
3,00
3,00
7,00

25 Mei 2013 19:35

Item
RING AS SANBE 500 ML
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
TRANSFUSION SET JMS
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

25 Mei 2013 19:19

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

25 Mei 2013 17:18

Item
UROTRACTIN SANBE TABLET 400 mg
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

25 Mei 2013 17:05

Item

UMUM
Quantity

FOLLEY CATHETER 16 RUSCH

FOLLEY CATHETER 10 RUSCH
XYLOCAINE 2% 10 GM JELLY
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7.5
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

24 Mei 2013 23:25

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7.5
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

24 Mei 2013 22:31

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 5 CC
MAPROLEN 2/0 DS24
PLAIN 2/0 CAT GUT
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
4,00
1,00
10,00

24 Mei 2013 22:00

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 21:30

JAKARTA SEHAT

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
LOVENOX SOLUTION, INJECTION 40 mg
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
2,00
2,00
1,00
1,00
2,00
6,00

24 Mei 2013 21:14

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
3,00
2,00
3,00

24 Mei 2013 20:38

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

24 Mei 2013 20:16

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NON REBREATHING MASK ADULT(1102)
SELANG OKSIGEN ADULT
IMPUGAN AMPUL INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
EXTENSION TUBE ET 2 (DWS)
STOMACH TUBE 16 THERUMO
ISOKET INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
DISP SYRINGE 50 CC WITHOUT NED
ATROPIN ETHICA 0.25 MG INJECTION
EPHINEPRIN ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
1,00
1,00
7,00
3,00
3,00
3,00
1,00
1,00
1,00
1,00
2,00
4,00
16,00

24 Mei 2013 19:42

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 19:38

Item
SANMOL 60 ML SYRUP
IMBOOST FORCE 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

24 Mei 2013 19:27

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

24 Mei 2013 19:26

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

24 Mei 2013 19:09

Item
DRAINAGE BAG STERIL
CONDOM CATHETER S
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 18:52

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

24 Mei 2013 18:41

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

24 Mei 2013 18:40

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00

24 Mei 2013 18:36

Item
PARACETAMOL 60 ML SYRUP
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

24 Mei 2013 18:33

Item
PARACETAMOL 60 ML SYRUP
NYMIKO SANBE 12 ML SUSPENSION
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 18:30

Item
RANITIDINE INF TABLET 150 MG
COTRIMOXAZOLE 480 MG TABLET
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
12,00
6,00
3,00

24 Mei 2013 18:25

Item
ORALIT
ANTASIDA DOEN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00
2,00

24 Mei 2013 18:25

Item
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

24 Mei 2013 18:06

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

24 Mei 2013 17:50

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

24 Mei 2013 17:31

Item
RING AS SANBE 500 ML
AMLODIPIN 5 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 17:30

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

UMUM
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

24 Mei 2013 17:29

Item
CEFPIROME 1GR VIL
AMBROXOL INF 30 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
5,00
3,00

24 Mei 2013 17:24

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

24 Mei 2013 17:07

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

24 Mei 2013 16:30

Item
MAPROLEN 2/0 DS24
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
1,00
4,00

24 Mei 2013 16:13

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 16:00

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

24 Mei 2013 15:54

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 15:42

Item
SANMOL 60 ML SYRUP
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

24 Mei 2013 15:14

Item
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 6.5
MAPROLEN 2/0 DS24
DISP SYRINGE 3 CC
PLAIN 2/0 CAT GUT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
2,00
1,00
5,00

24 Mei 2013 15:10

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00

24 Mei 2013 15:07

Item

ASKES
Quantity

NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

10,00
1,00

22 Mei 2013 21:11

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

22 Mei 2013 14:54

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

22 Mei 2013 13:13

Item
IVENA IV CATH 20
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

22 Mei 2013 12:43

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
VITAMIN C 50 MG TABLET
RING AS SANBE 500 ML
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 20
MICROPORE 1/2 INC
PYTOGIN S INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
20,00
3,00
3,00
20,00
10,00
1,00
1,00
1,00
3,00
11,00

22 Mei 2013 08:52

Item

JAKARTA SEHAT
Quantity

SOLAC SYRUP
SIMVASTATIN GENERIK 10 MG TABLET
LOVENOX SOLUTION, INJECTION 40 mg
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
1,00
4,00

22 Mei 2013 07:02

Item
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 05:28

Item
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

22 Mei 2013 03:37

Item
CEFADROXIL INF CAPSULE 500 MG
KETESSE TABLET, COATED 25 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
3,00
10,00
3,00

22 Mei 2013 02:38

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 1 CC INSULIN
ISOKET INJECTION
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
8,00

22 Mei 2013 01:00

JAKARTA SEHAT

Item
ANTALGIN 500 MG
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
6,00
2,00

22 Mei 2013 01:00

Item
PLAIN 2/0 CAT GUT
MAPROLEN 2/0 DS24
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
HANDSCOON GAMEX 7
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
10,00
1,00
1,00
1,00
9,00

21 Mei 2013 23:30

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

21 Mei 2013 22:47

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 22:10

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
IVENA IV CATH 22

UMUM
Quantity
2,00
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

4,00

21 Mei 2013 22:03

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

21 Mei 2013 21:52

Item
CEFADROXIL INF CAPSULE 500 MG
KETESSE TABLET, COATED 25 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
4,00
2,00

21 Mei 2013 21:33

Item
MAPROLEN 3/0 DS24
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
2,00
1,00
4,00

21 Mei 2013 21:20

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 21:12

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 20:58

Item
KETOROLAC 30 MG SOLUTION, INJECTION
OMEPRAZOLE GEN 20 MG CAPSULE
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
3,00
3,00

21 Mei 2013 20:57

Item
ISOKET INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 03:09

Item
SANPRIMA FORTE TABLET
UROTRACTIN SANBE TABLET 400 mg
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
6,00
3,00

21 Mei 2013 02:53

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL INF TABLET 500 mg
AMBROXOL INF 30 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00
2,00
1,00
6,00

21 Mei 2013 02:14

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC

UMUM
Quantity
1,00
1,00
1,00
1,00
2,00

VALISANBE INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
6,00

21 Mei 2013 01:26

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 00:39

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

21 Mei 2013 00:12

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 00:06

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

20 Mei 2013 23:52

Item
RING AS SANBE 500 ML
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00
1,00

IVENA IV CATH 20
SELANG OKSIGEN ADULT
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
6,00

20 Mei 2013 23:06

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

20 Mei 2013 17:27

Item
DISP SYRINGE 50 CC CATH TIP
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

20 Mei 2013 10:43

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

20 Mei 2013 10:41

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

19 Mei 2013 22:08

Item
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
SELANG OKSIGEN ADULT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

CONDOM CATHETER L
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH
DISP SYRINGE 10 CC
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 2 (DWS)
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
CLOPIDOGREL 75 MG TABLET
DISP SYRINGE 1 CC TUBERCULIN
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
20,00

19 Mei 2013 17:13

Item
AMINOPHYLLINE 24mg SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

19 Mei 2013 17:11

Item
IVENA IV CATH 20
PIRACETAM INJ 3 GR/ 15 ML INJECTION
INFUS SET JMS
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
9,00

19 Mei 2013 17:09

Item
DISP SYRINGE 50 CC CATH TIP

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

19 Mei 2013 15:36

Item
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
CEFEPIME 1 GR INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00
3,00
5,00

19 Mei 2013 15:36

Item
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
ACRAN 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

19 Mei 2013 09:29

Item
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
SANMOL INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
2,00
1,00
2,00
2,00
1,00
7,00

19 Mei 2013 09:27

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

19 Mei 2013 07:10

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

19 Mei 2013 07:03

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

19 Mei 2013 06:35

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

19 Mei 2013 06:01

Item
SANMOL 60 ML SYRUP
ZINKID 10MG/5ML SYRUP
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
3,00
3,00

19 Mei 2013 05:56

Item
SELANG OKSIGEN ADULT
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
STOMACH TUBE 16 JMS
DISP SYRINGE 50 CC CATH TIP
DRAINAGE BAG STERIL
FOLLEY CATHETER 20 RUSCH

UMUM
Quantity
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00

AQUA FOR INJECT OTSUKA 25 ML

CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
13,00

19 Mei 2013 05:48

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

19 Mei 2013 05:04

Item
PAMOL 125 MG SUPPOSITORY
INFUS SET JMS
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

19 Mei 2013 04:59

Item
EPHINEPRIN ETHICA INJECTION
ATROPIN ETHICA 0.25 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
NON REBREATHING MASK ADULT(1102)
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
RING AS SANBE 500 ML
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
4,00
10,00

19 Mei 2013 04:20

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

19 Mei 2013 03:53

Item
PLAIN 2/0 CAT GUT
DISP SYRINGE 5 CC
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
3,00

19 Mei 2013 03:33

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

19 Mei 2013 03:15

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
DRAINAGE BAG STERIL
CONDOM CATHETER M
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00
2,00
1,00
11,00

19 Mei 2013 02:59

Item
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
1,00
1,00

ISOSORBIDE DINITRATE INF TABLET

ATORVASTATIN 20 MG TABLET
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
2,00
10,00
9,00

19 Mei 2013 02:50

Item
AMINOFLUID 500 ML INFUSION
KA-EN 3A 500 ML INFUSION 60 mEq; 50 mEq
RANITIDINE GENERIK 25 MG/ML INJECTION
IMIPENEM CILASTATIN 1 GR INJECTION
COTRIMOXAZOLE 480 MG TABLET
FLUCONAZOLE 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
4,00
2,00
6,00

19 Mei 2013 02:45

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
10,00
4,00

19 Mei 2013 02:45

Item
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
CEFEPIME 1 GR INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SALBUTAMOL INF TABLET 2 MG
DEXAMETHASONE 5 MG INJECTION
ACETYLCYSTEIN 200MG CAPS
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
3,00
3,00
3,00
2,00
8,00

19 Mei 2013 02:44

Item
NOVALGIN SOLUTION, INJECTION 500 mg/ml
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
2,00
4,00

CITICHOLIN 2 ML 125 MG/ML INJECTION

RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

4,00
2,00
2,00
5,00

19 Mei 2013 02:43

Item
AMINORAL TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
1,00
3,00
2,00

19 Mei 2013 02:26

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

19 Mei 2013 01:48

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

19 Mei 2013 01:31

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

19 Mei 2013 01:14

Item
NATRIUM DIKLOFENAK KF TABLET 25 MG
NEUROSANBE 5000 TABLET

UMUM
Quantity
10,00
5,00

TUSLAH NON RACIKAN

TOTAL

2,00

19 Mei 2013 00:33

Item
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
2,00

19 Mei 2013 00:29

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

19 Mei 2013 00:20

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
6,00
2,00

18 Mei 2013 23:36

Item
RINGER LACTATE WIDATRA 500 ML
ACRAN 2 ML INJECTION
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
2,00
3,00
3,00

18 Mei 2013 23:35

Item
ACYCLOVIR INF TABLET 400 MG
TUSLAH RACIKAN
EMBALASE
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
SALYCIL TALK

JAKARTA SEHAT
Quantity
9,00
1,00
1,00
1,00
1,00

ACYCLOVIR INF 5 GM CREAM

TUSLAH NON RACIKAN
TOTAL

1,00
3,00

18 Mei 2013 23:31

Item
PARACETAMOL 60 ML SYRUP
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

18 Mei 2013 23:28

Item
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
9,00

18 Mei 2013 23:06

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

18 Mei 2013 23:03

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 23:01

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN

UMUM
Quantity
1,00
1,00
1,00

MAPROLEN 3/0 DS24

HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00

18 Mei 2013 22:57

Item
INFUS SET JMS
IVENA IV CATH 18
RING AS SANBE 500 ML
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
1,00
6,00

18 Mei 2013 22:48

Item
KETESSE TABLET, COATED 25 MG
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

18 Mei 2013 22:31

Item
CEFIXIME GENERIK CAPSULE
FLUCONAZOLE 150 MG TABLET
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
10,00
15,00
4,00

18 Mei 2013 22:31

Item
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 6.5
MAPROLEN 3/0 DS24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
1,00
4,00

18 Mei 2013 22:23

JAKARTA SEHAT

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

18 Mei 2013 22:23

Item
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

18 Mei 2013 21:53

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

18 Mei 2013 21:38

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
2,00

18 Mei 2013 21:18

Item
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

18 Mei 2013 21:06

Item
MEDIKLIN SDM 15 GM GEL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

18 Mei 2013 21:01

UMUM

Item
MAPROLEN 3/0 DS24
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
3,00
1,00
1,00
4,00

18 Mei 2013 20:41

Item
RING AS SANBE 500 ML
FUTROLIT INFUSION
ASPILETS TABLET, CHEWABLE 80 MG
PIRACETAM INJ 3 GR/ 15 ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00
3,00
5,00

18 Mei 2013 20:40

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 14:42

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
SANMOL INFUSION
NON REBREATHING MASK ADULT(1102)
SELANG OKSIGEN ADULT
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
AQUA FOR INJECT OTSUKA 25 ML
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
9,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
14,00

18 Mei 2013 13:04

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
INFUS SET JMS
NOVALGIN SOLUTION, INJECTION 500 mg/ml
STOMACH TUBE 16 THERUMO
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 7
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
4,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
12,00

18 Mei 2013 10:48

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
ASPAR-K TABLET, COATED 300 mg
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

18 Mei 2013 10:20

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
NON REBREATHING MASK ADULT(1102)
SANMOL INFUSION
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
FARGOXIN INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
11,00

18 Mei 2013 09:38

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
2,00
2,00
5,00

18 Mei 2013 09:19

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
SELANG OKSIGEN ADULT
BISOLVON 2 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
11,00

18 Mei 2013 07:03

Item
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
1,00

18 Mei 2013 06:58

Item
RING AS SANBE 500 ML
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
ISOKET INJECTION
SPIRONOLACTONE 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
1,00
1,00
1,00
1,00
1,00
7,00

18 Mei 2013 06:37

Item
CIPROFLOXACIN TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

18 Mei 2013 04:35

Item
RING AS SANBE 500 ML
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SALBUTAMOL INF TABLET 2 MG
VENTOLIN NEBULE SOLUTION, FOR INHALATION
METFORMIN HCL 500 MG TABLET
GLIBENCLAMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
3,00
3,00
3,00
2,00
3,00
8,00

18 Mei 2013 04:34

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
3,00

18 Mei 2013 03:17

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
LASIX SOLUTION, INJECTION 20 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

18 Mei 2013 00:51

Item
ANALSIK TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

17 Mei 2013 23:46

Item
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

17 Mei 2013 22:36

Item
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SELANG OKSIGEN ADULT
EXTENSION TUBE ET 2 (DWS)
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
10,00

17 Mei 2013 22:19

Item
INFUS SET JMS
IVENA IV CATH 20
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

17 Mei 2013 10:54

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

16 Mei 2013 22:04

JAKARTA SEHAT

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
SELANG OKSIGEN ADULT
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
11,00

16 Mei 2013 21:20

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 20:09

Item
FUROSEMID INF INJECTION
FARGOXIN INJECTION
RING AS SANBE 500 ML
ASPILETS TABLET, CHEWABLE 80 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
3,00
6,00

16 Mei 2013 20:08

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
5,00
1,00

16 Mei 2013 19:42

Item
IVENA IV CATH 20

UMUM
Quantity
1,00

INFUS SET JMS

RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
7,00

16 Mei 2013 19:28

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 19:12

Item
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
2,00
1,00
1,00
4,00

16 Mei 2013 19:02

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 19:00

Item
ORALIT
OMEPRAZOLE GEN 20 MG CAPSULE
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
PROPANOLOL 10 MG TABLET
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
5,00
5,00
1,00
20,00
20,00
10,00
10,00
1,00
8,00

TOTAL

16 Mei 2013 18:55

Item
IVENA IV CATH 22
IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

16 Mei 2013 18:54

Item
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

16 Mei 2013 18:51

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

16 Mei 2013 18:44

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00

16 Mei 2013 18:26

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL TABLET 500 mg
PROVITAL PLUS TABLET 1000 mcg; 50 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
2,00
3,00
1,00
4,00

16 Mei 2013 17:58

JAKARTA SEHAT

Item
IVENA IV CATH 20
IVENA IV CATH 24
INFUS SET JMS
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
7,00

16 Mei 2013 17:46

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 16:40

Item
PROVITAL PLUS TABLET 1000 mcg; 50 mg
SISTENOL TABLET, COATED 500 mg; 200 mg
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
5,00
10,00
2,00

16 Mei 2013 16:28

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
4,00

16 Mei 2013 15:59

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
4,00

16 Mei 2013 15:57

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 15:45

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 15:38

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 6.5
MAPROLEN 3/0 DS24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
1,00
4,00

16 Mei 2013 15:34

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

16 Mei 2013 14:40

Item
SANMOL TABLET 500 mg
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00
2,00

16 Mei 2013 14:37

Item

UMUM
Quantity

IMOVAX RABIES INJECTION

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

16 Mei 2013 14:31

Item
CLINDAMYCIN 150 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
18,00
1,00

16 Mei 2013 14:30

Item
ULTRACET 37,5MG TABL
CLINDAMYCIN 150 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
2,00
2,00

16 Mei 2013 14:11

Item
IVENA IV CATH 20
INFUS SET JMS
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

16 Mei 2013 13:33

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 3 CC
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

16 Mei 2013 13:29

Item
PARACETAMOL INF TABLET 500 mg
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

16 Mei 2013 13:00

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

16 Mei 2013 12:56

Item
SANMOL 60 ML SYRUP
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

16 Mei 2013 12:54

Item
MAPROLEN 4/0 DS19
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
HANDSCOON GAMEX 7.5
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

16 Mei 2013 12:30

Item
MAPROLEN 4/0 DS19
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
4,00

16 Mei 2013 12:15

Item
PARACETAMOL 60 ML SYRUP
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
3,00

TOTAL

16 Mei 2013 12:04

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

16 Mei 2013 11:47

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

16 Mei 2013 11:47

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 11:41

Item
ASAM TRANEKSAMAT 500 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

16 Mei 2013 11:26

Item
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 3 CC
PLASMINEX 100 MG/ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

16 Mei 2013 11:23

Item
INFUS SET JMS
IVENA IV CATH 24
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
3,00

16 Mei 2013 10:24

Item
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
STOMACH TUBE 16 THERUMO
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
10,00

16 Mei 2013 10:11

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

16 Mei 2013 09:53

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
6,00
1,00
1,00
1,00
1,00
5,00

16 Mei 2013 09:37

Item
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

15 Mei 2013 23:03

Item
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 22:04

Item
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG OKSIGEN ADULT
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ISOKET INJECTION
DISP SYRINGE 10 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
ASPAR-K TABLET, COATED 300 mg
DIGOXIN INF TABLET
THREE WAY STOPCOCK
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
2,00
3,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
17,00

15 Mei 2013 20:34

Item
INBION CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

15 Mei 2013 19:31

Item
UROTRACTIN SANBE TABLET 400 mg
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
6,00
1,00

15 Mei 2013 17:24

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
3,00

15 Mei 2013 17:22

Item
GELAFUSAL 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 17:20

Item
DISP SYRINGE 3 CC
PYTOGIN S INJECTION
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

15 Mei 2013 17:12

Item
RINGER LACTATE WIDATRA 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

15 Mei 2013 17:08

Item
FUTROLIT INFUSION
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ISOSORBIDE DINITRATE INF TABLET
INFUS SET JMS

JPK PNS
Quantity
1,00
1,00
1,00
1,00
1,00

IVENA IV CATH 20
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
9,00

15 Mei 2013 17:08

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

15 Mei 2013 17:02

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

15 Mei 2013 16:43

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
ISOSORBIDE DINITRATE INF TABLET
DIGOXIN INF TABLET
CAPTOPRIL 12.5 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
NON REBREATHING MASK ADULT(1102)
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 7
XYLOCAINE 2% 10 GM JELLY
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
15,00

15 Mei 2013 15:59

Item
RING AS SANBE 500 ML
ISOKET INJECTION
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
THROMBO ASPILETS 100 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
6,00
1,00
3,00
1,00
2,00
3,00
1,00
10,00

15 Mei 2013 14:44

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
3,00

15 Mei 2013 14:36

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
RING AS SANBE 500 ML
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
2,00
6,00
5,00

15 Mei 2013 13:19

Item
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
2,00

15 Mei 2013 12:26

Item

JAKARTA SEHAT
Quantity

SELANG OKSIGEN ADULT

ISOSORBIDE DINITRATE INF TABLET
RING AS SANBE 500 ML
IVENA IV CATH 20
FUROSEMID INF INJECTION
ISOKET INJECTION
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)
INFUS SET JMS
DISP SYRINGE 10 CC
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
7,00
1,00
1,00
2,00
1,00
3,00
1,00
1,00
1,00
13,00

15 Mei 2013 12:01

Item
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

15 Mei 2013 11:37

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
FUROSEMID INF INJECTION
ISOKET INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
7,00
1,00
1,00
1,00
7,00

15 Mei 2013 11:35

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
4,00

15 Mei 2013 11:23

Item
RINGER LACTATE WIDATRA 500 ML
AMOXICILLIN 500 MG TABLET
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
2,00
4,00

15 Mei 2013 11:07

Item
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
AMLODIPIN 10 MG TABLET
ONDANSENTRON INF 8 MG/4ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
2,00
5,00

15 Mei 2013 11:04

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TETAGAM P 250 UMG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

15 Mei 2013 10:52

Item
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 20
INFUS SET JMS
NEUROSANBE 3 ML INJECTION
KETESSE 25 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

15 Mei 2013 10:12

Item
RING AS SANBE 500 ML
INFUS SET JMS

UMUM
Quantity
1,00
1,00

IVENA IV CATH 20
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
5,00

15 Mei 2013 09:50

Item
KA-EN 1B 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 24
SELANG NEBU PEDRIATIC(1484)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
SELANG OKSIGEN CHILD
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

15 Mei 2013 09:42

Item
PARACETAMOL INF TABLET 500 mg
LANSOPRAZOLE GENERIK CAPSULE
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
12,00
3,00

13 Mei 2013 11:54

Item
PANTOPRAZOLE INJECTION
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
6,00
1,00
4,00

13 Mei 2013 10:47

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

SIMVASTATIN GENERIK 10 MG TABLET

TUSLAH NON RACIKAN
TOTAL

1,00
6,00

13 Mei 2013 08:05

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
MAPROLEN 4/0 DS19
HANDSCOON GAMEX 7
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00
1,00
5,00

13 Mei 2013 04:05

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
FOLLEY CATHETER 18 RUSCH
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
GUEDEL AIRWAYS SIZE 5.5
NEUROSANBE 3 ML INJECTION
PERDIPINE SOLUTION, INJECTION
DISP SYRINGE 50 CC CATH TIP
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
15,00

13 Mei 2013 03:12

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

13 Mei 2013 03:08

JAKARTA SEHAT

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
TUZALOS TABLET
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
10,00
10,00
10,00
4,00

13 Mei 2013 02:41

Item
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

13 Mei 2013 02:33

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

13 Mei 2013 02:30

Item
SELANG NEBU PEDRIATIC(1484)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DEXAMETHASONE 5 MG INJECTION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
WINGED NEEDLE NO. 25 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
4,00
1,00
6,00

13 Mei 2013 02:13

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00

FOLLEY CATHETER 18 RUSCH

AQUA FOR INJECT OTSUKA 25 ML
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
10,00

13 Mei 2013 01:58

Item
RING AS SANBE 500 ML
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
MORPHINE KIMIA FARMA 10 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
1,00
1,00
5,00

13 Mei 2013 01:15

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
IVENA IV CATH 22
DISP SYRINGE 20 CC WIHTOUT NED
PIRACETAM INJ 3 GR/ 15 ML INJECTION
FOLLEY CATHETER 18 RUSCH
DISP SYRINGE 5 CC
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
12,00

13 Mei 2013 00:42

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
HANDSCOON GAMEX 7
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

SELANG OKSIGEN ADULT

TUSLAH NON RACIKAN
TOTAL

1,00
10,00

13 Mei 2013 00:21

Item
FUROSEMID INF INJECTION
CEDOCARD 10 ML SOLUTION, INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
2,00
1,00
2,00
2,00
6,00

13 Mei 2013 00:12

Item
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

13 Mei 2013 00:05

Item
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
AMLODIPIN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
6,00
4,00

12 Mei 2013 22:53

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 22:53

Item
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
LOVENOX SOLUTION, INJECTION 40 mg

JAKARTA SEHAT
Quantity
2,00
2,00
1,00

SIMVASTATIN TABLET 20 MG
FARGOXIN INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
1,00
8,00

12 Mei 2013 22:47

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
2,00
4,00

12 Mei 2013 22:42

Item
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
2,00
1,00
1,00
1,00
2,00
4,00
8,00

12 Mei 2013 22:31

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 22:21

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS

UMUM
Quantity
1,00
2,00
1,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
7,00

12 Mei 2013 22:17

Item
PARACETAMOL INF TABLET 500 mg
TREMENZA TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
2,00

12 Mei 2013 21:36

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

12 Mei 2013 21:34

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

12 Mei 2013 21:18

Item
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

12 Mei 2013 21:16

Item
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml

UMUM
Quantity
10,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

12 Mei 2013 21:05

Item
RINGER LACTATE WIDATRA 500 ML
SANMOL TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
CEDANTRON 4 MG/ML INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
2,00
2,00
1,00
5,00

12 Mei 2013 20:52

Item
IVENA IV CATH 20
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 20:51

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

12 Mei 2013 20:49

Item
PANSO INJEKSI 1 VIL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

12 Mei 2013 20:18

Item
THROMBO ASPILETS 100 MG TABLET
SOHOLIN 125 MG/ML INJECTION
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
4,00
2,00
2,00
4,00

12 Mei 2013 19:38

Item
ASAM MEFENAMAT INF 500 MG TABLET
ANTALGIN 500 MG
AMOXICILLIN 500 MG TABLET
PREDNISON 5 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
10,00
10,00
5,00

11 Mei 2013 08:27

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
PLAIN 3/0 CATGUT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00
4,00

11 Mei 2013 08:11

Item
SELANG NEBU PEDRIATIC(1484)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

11 Mei 2013 08:09

Item
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 08:00

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 05:34

Item
FOLLEY CATHETER 18 RUSCH

JAKARTA SEHAT
Quantity
1,00

DRAINAGE BAG STERIL

DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
6,00

11 Mei 2013 01:54

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
CEDANTRON 4 MG/ML INJECTION
DISP SYRINGE 3 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
10,00

11 Mei 2013 01:51

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
AMBROXOL INF 30 MG TABLET
ANALSIK TABLET
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00
3,00
30,00
6,00

11 Mei 2013 01:37

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
2,00
10,00
5,00

11 Mei 2013 00:37

Item
INFUS SET JMS
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

11 Mei 2013 00:36

Item
RING AS SANBE 500 ML
ONDANSETRON INF 4 MG INJECTION
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
3,00
3,00

11 Mei 2013 00:32

Item
DOMPERIDON SYRUP
PARACETAMOL 60 ML SYRUP
ANTASIDA DOEN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

11 Mei 2013 00:18

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

11 Mei 2013 00:10

Item
DISP SYRINGE 10 CC
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
DEXTROSE 5% WIDATRA 500 ML INFUSION
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
1,00
3,00
1,00
1,00
7,00

10 Mei 2013 23:42

Item
IVENA IV CATH 22
RING AS SANBE 500 ML
INFUS SET JMS
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
6,00

10 Mei 2013 23:42

Item
RING AS SANBE 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

10 Mei 2013 23:34

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

10 Mei 2013 23:08

Item
INFUS SET JMS
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00
1,00
3,00

10 Mei 2013 22:43

Item
LASIX TABLET 40 MG
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

10 Mei 2013 21:17

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

10 Mei 2013 20:49

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

10 Mei 2013 09:53

Item
FOLLEY CATHETER 14 RUSCH
HANDSCOON GAMEX 6.5
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

10 Mei 2013 09:36

Item
INFUS SET JMS
NATRIUM PHENITOIN 50MG /ML INJ
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
6,00

10 Mei 2013 07:06

Item
RING AS SANBE 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

10 Mei 2013 06:15

Item
FUTROLIT INFUSION
MANITOL OTSU 500 ML INFUSION 20 %WV
CITICHOLIN 2 ML 125 MG/ML INJECTION
NATRIUM PHENITOIN 50MG /ML INJ
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
6,00
3,00
4,00

10 Mei 2013 02:15

Item
ANTASIDA DOEN 60 ML SYRUP
LANSOPRAZOLE GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
10,00
20,00
4,00

10 Mei 2013 01:29

Item
SELANG OKSIGEN ADULT
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NON REBREATHING MASK ADULT(1102)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
BISOLVON 2 ML INJECTION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
13,00

10 Mei 2013 01:21

Item
KETESSE TABLET, COATED 25 MG
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

10 Mei 2013 01:17

Item
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

10 Mei 2013 01:17

Item
IVENA IV CATH 20
INFUS SET JMS
DEXTROSE 10% WIDATRA 500 ML INFUSION
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
CAPTOPRIL 12.5 MG TABLET
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
1,00
6,00

10 Mei 2013 00:52

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

10 Mei 2013 00:38

Item
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
MAPROLEN 3/0 DS24
PLAIN 3/0 CATGUT
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
1,00
2,00
5,00

10 Mei 2013 00:24

Item
PARACETAMOL INF TABLET 500 mg
MAGARD FA TABLET, CHEWABLE
LANSOPRAZOLE GENERIK CAPSULE

JAKARTA SEHAT
Quantity
10,00
6,00
6,00

ASPAR-K TABLET, COATED 300 mg

TUSLAH NON RACIKAN
TOTAL

6,00
4,00

10 Mei 2013 00:17

Item
MAPROLEN 2/0 DS24
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
HANDSCOON GAMEX 6.5
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
LIDOCAIN 2% INJECTION
KUTOIN 100 MG INJECTION
NEUROSANBE 3 ML INJECTION
SELANG OKSIGEN ADULT
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
11,00

9 Mei 2013 23:24

Item
CEFADROXIL INF CAPSULE 500 MG
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

9 Mei 2013 23:23

Item
DISP SYRINGE 3 CC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

9 Mei 2013 23:13

Item
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

9 Mei 2013 23:00

UMUM

Item
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
2,00
1,00
2,00
5,00

9 Mei 2013 22:13

Item
AMINOFLUID 500 ML INFUSION
INPEPSA 100 ML SYRUP 500 mg/5 ml
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
2,00
1,00
5,00

9 Mei 2013 21:58

Item
NEUROSANBE 5000 TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

9 Mei 2013 21:57

Item
PIRACETAM INF 1200 MG TABLET
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

9 Mei 2013 21:50

Item
PANSO INJEKSI 1 VIL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

9 Mei 2013 21:44

Item
LEVOFLOXACIN INF TABLET
SANMOL TABLET 500 mg

UMUM
Quantity
6,00
10,00

LANSOPRAZOLE GENERIK CAPSULE

TUSLAH NON RACIKAN
TOTAL

10,00
3,00

9 Mei 2013 21:01

Item
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MAPROLEN 2/0 DS24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
4,00

9 Mei 2013 21:00

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
8,00

9 Mei 2013 20:34

Item
RING AS SANBE 500 ML
FUTROLIT INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FARMADOL 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00
2,00
1,00
3,00
6,00

9 Mei 2013 15:55

Item
AMOXICILLIN 500 MG TABLET
ANTALGIN 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG

UMUM
Quantity
50,00
50,00
50,00
50,00

PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

50,00
5,00

9 Mei 2013 06:31

Item
PYRAZINAMIDE INF 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
5,00
2,00

9 Mei 2013 02:08

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 22:09

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

8 Mei 2013 21:36

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

8 Mei 2013 20:57

Item
KA-EN 3B 500 ML INFUSION

JAKARTA SEHAT
Quantity
2,00

ZINKID 10MG/5ML SYRUP

LACTODIA POLYBAG
ORALIT
DOMPERIDON SYRUP
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
1,00
1,00
6,00

8 Mei 2013 20:48

Item
CEFIXIME GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
10,00
10,00
3,00

8 Mei 2013 20:42

Item
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

8 Mei 2013 20:37

Item
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 20:15

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 20
INFUS SET JMS
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
10,00

8 Mei 2013 20:04

Item
UROTRACTIN SANBE TABLET 400 mg
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

8 Mei 2013 19:36

Item
OMEPRAZOLE 40 MG INJECTION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

8 Mei 2013 18:41

Item
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
4,00

8 Mei 2013 18:33

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 18:32

Item
IVENA IV CATH 20
DEXTROSE 5% WIDATRA 500 ML INFUSION
INFUS SET JMS
DISP SYRINGE 5 CC
FARGOXIN INJECTION
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

8 Mei 2013 18:30

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

8 Mei 2013 18:23

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

8 Mei 2013 18:05

Item
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
4,00

8 Mei 2013 17:50

Item
UROTRACTIN SANBE TABLET 400 mg
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
6,00
2,00

8 Mei 2013 17:45

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
CIPROFLOXACIN TABLET
ONDANSETRON INF 4 MG INJECTION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
2,00
1,00
5,00

TOTAL

8 Mei 2013 17:41

Item
FUROSEMID INF INJECTION
FARGOXIN INJECTION
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
3,00

8 Mei 2013 17:25

Item
DISP SYRINGE 3 CC
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

8 Mei 2013 17:04

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

8 Mei 2013 16:53

Item
CLINDAMYCIN 300 MG CAPSULE
NATRIUM DIKLOFENAK KF TABLET 25 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

8 Mei 2013 16:31

Item
DISP SYRINGE 3 CC
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

8 Mei 2013 16:21

Item

JAKARTA SEHAT
Quantity

CAPTOPRIL 12.5 MG TABLET

DOMPERIDON INF TABLET 10 MG
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

40,00
12,00
6,00
3,00

8 Mei 2013 16:05

Item
ISOSORBIDE DINITRATE INF TABLET
SOLAC SYRUP
PROPANOLOL 10 MG TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00
3,00
1,00
3,00
3,00
1,00
9,00

8 Mei 2013 15:38

Item
BETAHISTIN NOVELL TABLET 6 MG
CTM 4 MG TABLET
DOMPERIDON INF TABLET 10 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
6,00
10,00
10,00
4,00

8 Mei 2013 15:37

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
ONDANSETRON INF 4 MG INJECTION
VALAMIN SANBE INFUSION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
3,00
4,00

8 Mei 2013 15:33

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPAR-K TABLET, COATED 300 mg
LASIX TABLET 40 MG

UMUM
Quantity
6,00
10,00
10,00

THROMBO ASPILETS 100 MG TABLET

TUSLAH NON RACIKAN
TOTAL

10,00
4,00

8 Mei 2013 14:32

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

8 Mei 2013 14:23

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
WIDAHES 130
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
4,00

8 Mei 2013 14:23

Item
BISOPROLOL 5 MG TABLET
MICARDIS TABLET 40 mg
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
10,00
3,00

8 Mei 2013 14:16

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
ONDANSETRON INF 4 MG INJECTION
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

8 Mei 2013 13:49

Item
RINGER LACTATE WIDATRA 500 ML
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
3,00
4,00

8 Mei 2013 13:49

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 13:33

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

8 Mei 2013 13:10

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

8 Mei 2013 12:40

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
VASCON SOLUTION, INJECTION 4 MG/4 ML
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
NON REBREATHING MASK ADULT(1102)
SELANG OKSIGEN ADULT
FOLLEY CATHETER 16 RUSCH

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00

FOLLEY CATHETER 8 RUSCH

DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
14,00

8 Mei 2013 10:45

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

8 Mei 2013 09:49

Item
FOLLEY CATHETER 10 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

8 Mei 2013 09:45

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 09:42

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

7 Mei 2013 21:59

Item
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

7 Mei 2013 21:29

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
3,00

7 Mei 2013 21:02

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

7 Mei 2013 20:45

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

7 Mei 2013 20:44

Item
BURNAZIN 35 GM CREAM
CEFADROXIL INF CAPSULE 500 MG
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
15,00
10,00
3,00

7 Mei 2013 20:42

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

7 Mei 2013 20:37

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

7 Mei 2013 19:56

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 18:40

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
INFUS SET JMS
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
IVENA IV CATH 20
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
8,00

7 Mei 2013 18:35

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
DISP SYRINGE 5 CC
VALISANBE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
KUTOIN 100 MG INJECTION
DISP SYRINGE 3 CC
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
1,00
12,00

7 Mei 2013 18:32

JAKARTA SEHAT

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

7 Mei 2013 18:16

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

7 Mei 2013 18:14

Item
ARDIUM TABLET
DULCOLAX SUPPOSITORY 5 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
26,00
2,00
2,00

7 Mei 2013 17:51

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
AMLODIPIN 10 MG TABLET
NATRIUM PHENITOIN 50MG /ML INJ
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
2,00
2,00
5,00

7 Mei 2013 17:47

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00

7 Mei 2013 17:03

Item
HEALFLON IV.CATH NO.26G HARSORIA
INFUS SET JMS
DEXTROSE 5% WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

7 Mei 2013 16:59

Item
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
IVENA IV CATH 20
DISP SYRINGE 3 CC
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
SIMPLE MASK ANAK (1196)
SELANG OKSIGEN CHILD
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
13,00

7 Mei 2013 16:59

Item
CINAM 1.5 GM INJECTION
GENTAMYCIN INF 40 MG/ML INJECTION
DEXTROSE 5% WIDATRA 500 ML INFUSION
PARACETAMOL DROP 15 ML
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

7 Mei 2013 16:14

Item
IVENA IV CATH 20
INFUS SET JMS
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

7 Mei 2013 16:03

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
1,00
4,00

7 Mei 2013 15:46

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

7 Mei 2013 10:13

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 01:59

Item
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
3,00

7 Mei 2013 00:44

Item
AMLODIPIN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
IVENA IV CATH 20
IVENA IV CATH 22
RING AS SANBE 500 ML
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00

DISP SYRINGE 5 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
11,00

7 Mei 2013 00:23

Item
IVENA IV CATH 22
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
ISOKET INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
10,00

7 Mei 2013 00:02

Item
RING AS SANBE 500 ML
PARACETAMOL INF TABLET 500 mg
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

6 Mei 2013 22:56

Item
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DISP SYRINGE 10 CC
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
1,00
4,00

6 Mei 2013 22:14

Item
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC

UMUM
Quantity
1,00
1,00

DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
3,00

6 Mei 2013 22:08

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

6 Mei 2013 21:30

Item
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
2,00
4,00

6 Mei 2013 21:27

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

6 Mei 2013 21:25

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

6 Mei 2013 21:12

Item
SANMOL TABLET 500 mg
ANALSIK TABLET

UMUM
Quantity
12,00
6,00

CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
3,00

6 Mei 2013 21:10

Item
DOBUTAMIN GENERIK 50 MG/ML
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00

6 Mei 2013 21:09

Item
PANSO INJEKSI 1 VIL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

6 Mei 2013 20:58

Item
IVENA IV CATH 20
IVENA IV CATH 22
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

6 Mei 2013 20:56

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

6 Mei 2013 20:55

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

6 Mei 2013 20:54

Item

JAKARTA SEHAT
Quantity

AMLODIPIN 10 MG TABLET
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
SELANG OKSIGEN ADULT
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

6 Mei 2013 20:41

Item
RINGER LACTATE WIDATRA 500 ML
NEUROSANBE 3 ML INJECTION
INFUS SET JMS
IVENA IV CATH 20
ANALSIK TABLET
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

6 Mei 2013 20:37

Item
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

6 Mei 2013 20:29

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
2,00
3,00
3,00

6 Mei 2013 20:25

Item
IVENA IV CATH 24

UMUM
Quantity
1,00

INFUS SET JMS

RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

6 Mei 2013 20:18

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

6 Mei 2013 19:58

Item
RING AS SANBE 500 ML
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
CANDESARTAN 8MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
6,00
2,00
5,00

6 Mei 2013 19:46

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
3,00
2,00
2,00
2,00
1,00
1,00
8,00

6 Mei 2013 19:38

Item
IVENA IV CATH 24
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

6 Mei 2013 19:33

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

6 Mei 2013 19:31

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL 60 ML SYRUP
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

6 Mei 2013 19:30

Item
RINGER LACTATE WIDATRA 500 ML
SANMOL 60 ML SYRUP
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
CINAM 1.5 GM INJECTION
DOMPERIDON SYRUP
ORALIT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
1,00
3,00
1,00
1,00
4,00
7,00

6 Mei 2013 19:30

Item
CEDOCARD 10 ML SOLUTION, INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
3,00
1,00
4,00

6 Mei 2013 19:29

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

6 Mei 2013 19:21

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00
4,00

6 Mei 2013 19:21

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00

6 Mei 2013 19:16

Item
RINGER LACTATE WIDATRA 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CURCUMA 200 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
3,00
2,00
4,00

6 Mei 2013 19:15

Item
UROTRACTIN SANBE TABLET 400 mg
COTRIMOXAZOLE 480 MG TABLET
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
12,00
6,00
3,00

6 Mei 2013 19:07

Item
LEVOFLOXACIN INFUSION
DISP SYRINGE 10 CC
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00
3,00

6 Mei 2013 18:36

Item
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
1,00
5,00

6 Mei 2013 18:11

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

6 Mei 2013 18:10

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

6 Mei 2013 17:42

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DOBUJECT 50 MG/ML INJECTION
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
4,00
1,00
1,00
1,00
1,00
10,00

6 Mei 2013 17:18

Item
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

6 Mei 2013 17:02

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

6 Mei 2013 17:01

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
2,00
4,00

6 Mei 2013 17:01

Item
CEFPIROME 1GR VIL
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
3,00

6 Mei 2013 17:00

Item
RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
LOVENOX 0,6 SOLUTION, INJECTION
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
4,00
1,00
1,00
6,00

6 Mei 2013 16:54

Item
MAGARD FA TABLET, CHEWABLE
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
6,00
2,00

6 Mei 2013 16:29

Item
IVENA IV CATH 22
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

6 Mei 2013 16:22

Item
MAPROLEN 3/0 DS24
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
3,00

6 Mei 2013 16:07

Item
DISP SYRINGE 10 CC
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

6 Mei 2013 15:59

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00

6 Mei 2013 15:49

Item
LEVOFLOXACIN INFUSION

JAKARTA SEHAT
Quantity
1,00

RING AS SANBE 500 ML

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
10,00
3,00

6 Mei 2013 15:30

Item
CEFADROXIL INF CAPSULE 500 MG
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

6 Mei 2013 15:18

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

6 Mei 2013 15:12

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

6 Mei 2013 15:02

Item
MAPROLEN 3/0 DS24
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
4,00

5 Mei 2013 21:39

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

TOTAL

5 Mei 2013 21:37

Item
DISP SYRINGE 5 CC
AMLODIPIN 10 MG TABLET
DISP SYRINGE 10 CC
PANTOPRAZOLE INJECTION
CONDOM CATHETER M
DRAINAGE BAG STERIL
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

5 Mei 2013 14:31

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

5 Mei 2013 14:04

Item
BIFOTIK POWDER, FOR INJECTION SUSPENSION
PLASMINEX 100 MG/ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DEXTROMETHORPHAN INF TABLET 15 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
3,00
3,00
1,00
2,00
6,00

5 Mei 2013 14:04

Item
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
VOMERIN SOHO 5MG/ML 10 ML DROPS
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

TOTAL

5 Mei 2013 13:56

Item
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

5 Mei 2013 13:46

Item
KA-EN 1B 500 ML INFUSION
SANMOL 15 ML DROPS
STESOLID RECTAL 10 mg/2,5 ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

5 Mei 2013 13:13

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
CEDANTRON 4 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
3,00
2,00
2,00
4,00

5 Mei 2013 12:38

Item
DISP SYRINGE 3 CC
DEXTROSE 5% WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

5 Mei 2013 12:37

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

5 Mei 2013 12:36

Item
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

5 Mei 2013 12:31

Item
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 1 CC TUBERCULIN
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
6,00

5 Mei 2013 12:27

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

5 Mei 2013 12:09

Item
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
MAPROLEN 3/0 DS24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

5 Mei 2013 11:51

Item
M-20 INFUSAN (MANITOL) 500 ML
RING AS SANBE 500 ML
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
20,00
3,00

DISP SYRINGE 5 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

3,00
2,00
2,00
8,00

5 Mei 2013 11:47

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

5 Mei 2013 11:12

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
ANALSIK TABLET
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

5 Mei 2013 11:02

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

5 Mei 2013 10:47

Item
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

5 Mei 2013 10:36

Item
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

PAMOL 125 MG SUPPOSITORY

TUSLAH NON RACIKAN
TOTAL

1,00
4,00

5 Mei 2013 10:35

Item
GLIBENCLAMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

5 Mei 2013 10:30

Item
IVENA IV CATH 24
INFUS SET JMS
KA-EN 3B 500 ML INFUSION
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00
4,00

5 Mei 2013 10:11

Item
IVENA IV CATH 22
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00

5 Mei 2013 10:08

Item
CIPROFLOXACIN TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
2,00

5 Mei 2013 09:50

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 18

UMUM
Quantity
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

5 Mei 2013 09:41

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

5 Mei 2013 09:35

Item
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
2,00
3,00
2,00
7,00

5 Mei 2013 09:34

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
2,00
2,00
2,00
6,00

5 Mei 2013 09:32

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

5 Mei 2013 09:26

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
M-20 INFUSAN (MANITOL) 500 ML

JAKARTA SEHAT
Quantity
2,00
1,00

CAPTOPRIL 12.5 MG TABLET

RING AS SANBE 500 ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
2,00
5,00

5 Mei 2013 09:19

Item
KA-EN 3B 500 ML INFUSION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

5 Mei 2013 09:18

Item
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

5 Mei 2013 09:17

Item
AMLODIPIN 5 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
2,00
1,00
1,00
1,00
7,00

5 Mei 2013 09:16

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
10,00
5,00

5 Mei 2013 09:10

UMUM

Item
DISP SYRINGE 3 CC
HANDSCOON GAMEX 6.5
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
1,00
3,00

5 Mei 2013 08:36

Item
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 10 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HERBESSER 50 MG/ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
30,00
9,00

3 Mei 2013 15:16

Item
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

3 Mei 2013 12:04

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
2,00
5,00

3 Mei 2013 10:17

Item
DEXTROSE 5% WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

3 Mei 2013 10:16

Item
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

3 Mei 2013 09:28

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
5,00

3 Mei 2013 09:27

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
METFORMIN HCL 500 MG TABLET
GLIBENCLAMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
10,00
15,00
10,00
5,00

3 Mei 2013 09:21

Item
FUROSEMID INF INJECTION
DOBUJECT 50 MG/ML INJECTION
FOLIC ACID 1 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
3,00
2,00
3,00
5,00

3 Mei 2013 07:45

Item
FUROSEMID INF INJECTION
ASPAR-K TABLET, COATED 300 mg
DIGOXIN INF TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
3,00
3,00
5,00

3 Mei 2013 07:20

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

3 Mei 2013 06:55

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
NEW DIATABS TABLET 600 mg
AMBROXOL INF 30 MG TABLET
FOTARAM 1 g
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
3,00
1,00
1,00
6,00

3 Mei 2013 06:53

Item
RENXAMIN INFUSION
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
3,00
1,00
3,00
6,00
5,00

3 Mei 2013 04:53

Item
CETIRIZINE 10 MG TABLET
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

3 Mei 2013 04:53

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

3 Mei 2013 04:14

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

3 Mei 2013 04:09

Item
MAPROLEN 3/0 DS24
DISP SYRINGE 3 CC
HANDSCOON GAMEX 6.5
LIDOCAIN 2% INJECTION
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

3 Mei 2013 04:06

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION
LIDOCAIN 2% INJECTION
MAPROLEN 3/0 DS24
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN

UMUM
Quantity
2,00
1,00
2,00
1,00
3,00
1,00
1,00
1,00
1,00
9,00

TOTAL

3 Mei 2013 04:04

Item
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
DISP SYRINGE 3 CC
FUROSEMID INF INJECTION
ISOSORBIDE DINITRATE INF TABLET
METFORMIN HCL 500 MG TABLET
GLIBENCLAMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
8,00

3 Mei 2013 04:03

Item
PIRACETAM INF 1200 MG TABLET
DOMPERIDON INF TABLET 10 MG
CEFIXIME GENERIK CAPSULE
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
10,00
10,00
6,00
4,00

3 Mei 2013 02:10

Item
LEVOFLOXACIN INF TABLET
AMBROXOL INF 30 MG TABLET
SANMOL TABLET 500 mg
PROVITAL PLUS TABLET 1000 mcg; 50 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
10,00
10,00
5,00
4,00

3 Mei 2013 02:07

Item
CEFIXIME GENERIK CAPSULE
SANMOL TABLET 500 mg
PROVITAL PLUS TABLET 1000 mcg; 50 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
10,00
5,00
3,00

3 Mei 2013 02:04

UMUM

Item
MAPROLEN 4/0 DS19
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
4,00

3 Mei 2013 01:51

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00

3 Mei 2013 01:28

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

3 Mei 2013 01:15

Item
METFORMIN HCL 500 MG TABLET
GLIBENCLAMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

3 Mei 2013 00:51

Item
PANSO INJEKSI 1 VIL
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
30,00
1,00
1,00
1,00
6,00

3 Mei 2013 00:13

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
SELANG OKSIGEN ADULT
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
DRAINAGE BAG STERIL
FOLLEY CATHETER 18 RUSCH
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

3 Mei 2013 00:06

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

2 Mei 2013 23:58

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
NEUROSANBE 3 ML INJECTION
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

2 Mei 2013 23:44

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
3,00
2,00
3,00

DOMPERIDON INF TABLET 10 MG

TUSLAH NON RACIKAN
TOTAL

3,00
4,00

2 Mei 2013 23:37

Item
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SPIRONOLACTONE 25 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
2,00
2,00
6,00

2 Mei 2013 23:24

Item
ULTRACET 37,5MG TABL
UROTRACTIN SANBE TABLET 400 mg
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
6,00
3,00

2 Mei 2013 23:14

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

2 Mei 2013 23:00

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TREMENZA TABLET
BISOLVON TABLET 8 mg
TUSLAH RACIKAN EMBALASE
PARACETAMOL INF TABLET 500 mg
STESOLID TABLET 5 MG
TUSLAH RACIKAN -

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
10,00
3,00
5,00
1,00

EMBALASE
TUSLAH NON RACIKAN
TOTAL

12,00
1,00

2 Mei 2013 22:58

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
INFUS SET JMS
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
1,00
2,00
8,00

2 Mei 2013 22:57

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 22:57

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 22:56

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
ONDANSETRON INF 4 MG INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

8,00

2 Mei 2013 22:56

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00
20,00
5,00

2 Mei 2013 22:52

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
MAPROLEN 2/0 DS24
PLAIN 2/0 CAT GUT
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
8,00

2 Mei 2013 22:40

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 22:30

Item
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
ONDANSETRON INF 4 MG INJECTION
FUROSEMID INF INJECTION
DEXTROSE 5% WIDATRA 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
1,00
1,00
1,00
3,00
8,00

TOTAL

2 Mei 2013 22:24

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

2 Mei 2013 21:55

Item
SPIRONOLACTONE 25 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
PROPANOLOL 10 MG TABLET
FOTARAM 1 g
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
2,00
3,00
6,00

2 Mei 2013 21:43

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

2 Mei 2013 21:43

Item
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

2 Mei 2013 21:39

Item
LOVENOX SOLUTION, INJECTION 40 mg
ISOSORBIDE DINITRATE INF TABLET

UMUM
Quantity
2,00
3,00

ASPILETS TABLET, CHEWABLE 80 MG

CLOPIDOGREL 75 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
HYPERIL 5 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
2,00
2,00
2,00
2,00
1,00
9,00

2 Mei 2013 21:31

Item
SALBUTAMOL INF TABLET 2 MG
FLUCONAZOLE 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
2,00

2 Mei 2013 21:18

Item
IVENA IV CATH 20
INFUS SET JMS
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

2 Mei 2013 21:02

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00

2 Mei 2013 20:56

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
AMLODIPIN 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
PIRACETAM INJ 3 GR/ 15 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
4,00

2 Mei 2013 20:24

Item
MAPROLEN 3/0 DS24
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
4,00

2 Mei 2013 16:36

Item
CALCIUM GLUCONAS ETHICA INJECTION
DEXTROSE 5% WIDATRA 500 ML INFUSION
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
FLUCONAZOLE 150 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
2,00
1,00
1,00
3,00
2,00
3,00
10,00
10,00

2 Mei 2013 08:49

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
STOMACH TUBE 16 THERUMO
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
DISP SYRINGE 10 CC
SUCTION CATHETER 14
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
11,00

2 Mei 2013 07:48

Item

JAKARTA SEHAT
Quantity

ORALIT
DOMPERIDON SYRUP
PARACETAMOL 60 ML SYRUP
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
1,00
1,00
4,00

2 Mei 2013 06:46

Item
GLIBENCLAMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

2 Mei 2013 04:59

Item
RING AS SANBE 500 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
2,00
4,00

2 Mei 2013 04:29

Item
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

2 Mei 2013 04:09

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
BETAHISTIN NOVELL TABLET 6 MG
CTM 4 MG TABLET
ASPAR-K TABLET, COATED 300 mg
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
2,00
2,00
2,00
6,00

TOTAL

2 Mei 2013 04:08

Item
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
3,00
2,00
2,00
6,00

2 Mei 2013 04:05

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
7,00

2 Mei 2013 03:51

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

2 Mei 2013 01:43

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

2 Mei 2013 00:46

Item
RING AS SANBE 500 ML
HYPERIL 5 MG TABLET

UMUM
Quantity
2,00
1,00

SOHOLIN 125 MG/ML INJECTION

TUSLAH NON RACIKAN
TOTAL

4,00
3,00

1 Mei 2013 23:19

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
CAPTOPRIL 12.5 MG TABLET
DISP SYRINGE 20 CC WIHTOUT NED
NICARDIPINE INJ
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
DISP SYRINGE 10 CC
DRAINAGE BAG STERIL
CONDOM CATHETER M
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
4,00
1,00
1,00
1,00
1,00
15,00

1 Mei 2013 22:41

Item
DISP SYRINGE 3 CC
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
1,00
5,00

1 Mei 2013 22:18

Item
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

1 Mei 2013 22:09

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
CAPTOPRIL 12.5 MG TABLET
V-BLOC 6,25MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
2,00
1,00
4,00

1 Mei 2013 21:51

Item
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

1 Mei 2013 21:32

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
2,00
3,00

1 Mei 2013 21:30

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

1 Mei 2013 21:30

Item
SALBUTAMOL INF TABLET 2 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00
3,00
5,00

1 Mei 2013 21:02

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
10,00
4,00

1 Mei 2013 20:34

Item
RINGER LACTATE WIDATRA 500 ML
CEFIXIME GENERIK CAPSULE
RANITIDINE GENERIK 25 MG/ML INJECTION
DOMPERIDON INF TABLET 10 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
3,00
3,00
5,00

1 Mei 2013 13:01

Item
RING AS SANBE 500 ML
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
DISP SYRINGE 10 CC
CEDOCARD 10 ML SOLUTION, INJECTION
KUTOIN 100 MG INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
3,00
1,00
1,00
1,00
1,00
7,00

1 Mei 2013 09:58

Item
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

1 Mei 2013 00:27

Item
CEFADROXIL INF CAPSULE 500 MG

JAKARTA SEHAT
Quantity
10,00

PARACETAMOL INF TABLET 500 mg

TUSLAH NON RACIKAN
TOTAL

10,00
2,00

1 Mei 2013 00:25

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 00:16

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
10,00
4,00

Depo
Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
UNT
UNT
BAG
VIL
UNT
AMP
AMP
AMP
AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
CAP
UNT
UNT
UNT

Pasien
Penjamin
8415
8415
49251
49251
29976
29976
6375
6375
7700
7700
9900
9900
28899
28899
22770
22770
26611
26611
2891
2891
28360
28360
1740
1740
20790
20790
6500
6500
250178
250178

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
8415
8415
14988
14988
1500
1500
43095
43095

0
0
0
0
0

Pasien
Penjamin
1210
1210
500
500
1710
1710

0
0
0

Pasien
Penjamin
11898
11898
65340
65340
26940
26940
246
246
3500
3500
2100
2100
1500
1500
111524
111524

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
VIL
AMP
AMP
AMP
AMP
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
AMP
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
1000
1000
1670
1670
1000
1000
3670
3670

0
0
0
0

Pasien
Penjamin
32834
32834
22770
22770
20790
20790
5220
5220
7351
7351
5782
5782
116
116
1188
1188
562
562
792
792
57964
57964
429
429
6000
6000
161798
161798

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
516
516
71280
71280
546
546
2000
2000
107176
107176

0
0
0
0
0
0

Pasien
Penjamin
36384
36384
378
378
1000
1000
37762
37762

0
0
0
0

Pasien

Penjamin

BOT
AMP
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
SUP
UNT

Depo IGD
Subtotal
PKG
BOT
BOT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
TAB
BAG
UNT

Trolley IGD

36384
5782
741
1500
44407

36384
5782
741
1500
44407

0
0
0
0
0

Pasien
Penjamin
44964
44964
35970
35970
16500
16500
27288
27288
26611
26611
2500
2500
153833
153833

0
0
0
0
0
0
0

Pasien
Penjamin
25080
25080
500
500
25580
25580

0
0
0

Pasien
Penjamin
2285
2285
10592
10592
27060
27060
4746
4746
2000
2000
46683
46683

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
1275
1275
7375
7375
827
827
9633
9633
2500
2500
30025
30025

0
0
0
0
0
0
0

Subtotal
BOT
UNT
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
AMP
UNT
BOT
UNT
UNT
UNT
VIL
PKG
UNT

Trolley IGD
Subtotal
VIL
UNT
UNT
BOT
UNT
UNT

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
4645
4645
1275
1275
2500
2500
48240
48240

0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
11990
11990
1500
1500
31001
31001

0
0
0
0
0

Pasien
Penjamin
6375
6375
16417
16417
8415
8415
14988
14988
2764
2764
66198
66198
23524
23524
12012
12012
3300
3300
1540
1540
22770
22770
56788
56788
6000
6000
241091
241091

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
3300
3300
1540
1540
2760
2760
5732
5732
2500
2500
38602
38602

0
0
0
0
0
0
0

Depo IGD
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
BOT
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
PKG
UNT
AMP
UNT
BOT
UNT
UNT
TUB
UNT

Depo IGD
Subtotal
BOT
BOT
VIL

Pasien
Penjamin
46191
46191
34317
34317
5220
5220
3300
3300
6160
6160
8925
8925
9096
9096
81600
81600
4000
4000
198809
198809

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
11990
11990
8415
8415
1500
1500
31001
31001

0
0
0
0
0

Pasien
Penjamin
14988
14988
59952
59952
16417
16417
95040
95040
53900
53900
20213
20213
95040
95040
12610
12610
5881
5881
22688
22688
16088
16088
56262
56262
6000
6000
475079
475079

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
6072
6072
22770
22770

0
0
0

VIL
BOT
UNT

Depo IGD
Subtotal
BOT
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
TAB
UNT
UNT

Depo IGD
Subtotal
BOT
VIL
AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
TAB
UNT
UNT

85272
57964
2500
190995

85272
57964
2500
190995

0
0
0
0

Pasien
Penjamin
32834
32834
111
111
1000
1000
33945
33945

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
32834
32834
2891
2891
126
126
1275
1275
3000
3000
63529
63529

0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
22770
22770
93614
93614
1500
1500
150718
150718

0
0
0
0
0

Pasien
Penjamin
32834
32834
8415
8415
14988
14988
2891
2891
126
126
1275
1275
3000
3000
63529
63529

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BOT
TAB
AMP
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT

Pasien
Penjamin
18192
18192
378
378
5782
5782
3221
3221
2000
2000
29573
29573

0
0
0
0
0
0

Pasien
Penjamin
3080
3080
3300
3300
1275
1275
16417
16417
5732
5732
14988
14988
8415
8415
3500
3500
56707
56707

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7383
7383
1275
1275
1000
1000
9658
9658

0
0
0
0

Pasien
Penjamin
3080
3080
500
500
3580
3580

0
0
0

Pasien
Penjamin
10560
10560
5732
5732
14988
14988
8415
8415
16417
16417
2500
2500
58612
58612

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
UNT

Trolley IGD
Subtotal
AMP
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
VIL
VIL
AMP
UNT

Apotik Panel 2
Subtotal
AMP
UNT

Pasien
Penjamin
18528
18528
12492
12492
1000
1000
32020
32020

0
0
0
0

Pasien
Penjamin
11990
11990
8415
8415
18793
18793
1500
1500
40698
40698

0
0
0
0
0

Pasien
Penjamin
44179
44179
1275
1275
2891
2891
10560
10560
2000
2000
60905
60905

0
0
0
0
0
0

Pasien
Penjamin
32834
32834
74844
74844
181416
181416
85272
85272
14750
14750
2500
2500
391616
391616

0
0
0
0
0
0
0

Pasien
Penjamin
156200
156200
500
500
156700
156700

0
0
0

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
BOT
AMP
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
BOT
UNT
UNT
BOT
UNT

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
32784
32784
8980
8980
1000
1000
42764
42764

0
0
0
0

Pasien
Penjamin
56100
56100
8415
8415
14988
14988
16417
16417
4645
4645
1540
1540
3000
3000
105105
105105

0
0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
16335
16335
14988
14988
44179
44179
2550
2550
5881
5881
12012
12012
1757
1757
16417
16417
4500
4500
136811
136811

0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
VIL
UNT

Depo IGD
Subtotal
BOT
TAB
AMP
UNT

Depo IGD
Subtotal
VIL
TAB
CAP
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
18192
18192
5782
5782
378
378
22770
22770
2000
2000
49122
49122

0
0
0
0
0
0

Pasien
Penjamin
18192
18192
378
378
5782
5782
1500
1500
25852
25852

0
0
0
0
0

Pasien
Penjamin
262198
262198
18528
18528
26940
26940
1500
1500
309166
309166

0
0
0
0
0

Pasien
Penjamin
49251
49251
792
792
116
116
562
562
1188
1188
429
429
501
501
3500
3500

0
0
0
0
0
0
0
0

56339

Trolley IGD
Subtotal
TAB
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

56339

Pasien
Penjamin
1077
1077
16417
16417
8415
8415
14988
14988
2000
2000
42897
42897

0
0
0
0
0
0

Pasien
Penjamin
29620
29620
3840
3840
2016
2016
1500
1500
36976
36976

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
26611
26611
2000
2000
68431
68431

0
0
0
0
0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
UNT
TUB
AMP
UNT
UNT
UNT
UNT
VIL
VIL
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
VIL
BOT
BOT
AMP
AMP
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
26611
26611
16417
16417
8415
8415
29976
29976
16088
16088
112524
112524
11439
11439
11464
11464
12012
12012
5809
5809
18343
18343
22770
22770
85272
85272
2640
2640
1757
1757
1540
1540
8000
8000
391077
391077

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
249480
249480
170544
170544
16417
16417
63253
63253
14952
14952
1740
1740
368280
368280
3500
3500
888166
888166

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
14988
14988

0
0

UNT
UNT
AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
BOT
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

8415
3825
4645
2500
50790

8415
3825
4645
2500
50790

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
29976
29976
11990
11990
59952
59952
26611
26611
1275
1275
4645
4645
4000
4000
163281
163281

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
132396
132396
66198
66198
3825
3825
24024
24024
6910
6910
2500
2500
235853
235853

0
0
0
0
0
0
0

Pasien
Penjamin
8856.9
8856.9
1269
1269
900
900
11025.9 11025.9

0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
TAB
UNT

Apotik Panel 2
Subtotal
PKG
UNT

Depo IGD

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
44179
44179
5500
5500
2550
2550
26611
26611
12080
12080
2500
2500
93420
93420

0
0
0
0
0
0
0

Pasien
Penjamin
33930
33930
450
450
34380
34380

0
0
0

Pasien
Penjamin
16417
16417
29904
29904
1654
1654
774
774
2000
2000
50749
50749

0
0
0
0
0
0

Pasien
Penjamin
28710
28710
500
500
29210
29210

0
0
0

Subtotal
BOT
BOT
BOT
PKG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
SUP
UNT
UNT
UNT
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
AMP
UNT
UNT

Depo IGD
Subtotal
AMP

Pasien
Penjamin
30217
30217
35640
35640
27060
27060
2742
2742
2000
2000
97659
97659

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
9702
9702
25080
25080
1540
1540
3300
3300
1275
1275
19266
19266
4500
4500
104483
104483

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9633
9633
12080
12080
2550
2550
2500
2500
50166
50166

0
0
0
0
0
0
0

Pasien
Penjamin
62370
62370

BAG
VIL
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
AMP
UNT

Depo IGD
Subtotal
BOT
AMP
VIL
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT

9633
137940
1500
211443

9633
137940
1500
211443

0
0
0
0

Pasien
Penjamin
102432
102432
13860
13860
8329
8329
53460
53460
2000
2000
180081
180081

0
0
0
0
0
0

Pasien
Penjamin
32834
32834
20022
20022
170544
170544
47685
47685
2000
2000
273085
273085

0
0
0
0
0
0

Pasien
Penjamin
36384
36384
3221
3221
741
741
1500
1500
41846
41846

0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
1500
1500
33999
33999

0
0
0
0
0

Pasien
Penjamin
14988
14988

BOT
UNT
UNT
BOT
TAB
TAB
UNT
UNT
UNT
UNT
UNT
TUB
UNT
AMP
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
TUB
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT

16417
8415
4620
2640
172
827
18343
51838
5809
16088
22688
56262
12012
35640
13860
8000
288619

16417
8415
4620
2640
172
827
18343
51838
5809
16088
22688
56262
12012
35640
13860
8000
288619

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29620
29620
500
500
30120
30120

0
0
0

Pasien
Penjamin
51838
51838
12012
12012
56262
56262
1500
1500
121612
121612

0
0
0
0
0

Pasien
Penjamin
142560
142560
500
500
143060
143060

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
2640
2640

0
0
0

TUB
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
PKG
UNT

Trolley IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
UNT

56262
1997
12012
3000
100063

56262
1997
12012
3000
100063

0
0
0
0
0

Pasien
Penjamin
18192
18192
378
378
5020
5020
1500
1500
25090
25090

0
0
0
0
0

Pasien
Penjamin
45480
45480
500
500
45980
45980

0
0
0

Pasien
860
38712
1690
1410
3500
3500
1000
50672

Pasien
232
1002
19800
1078
2461
152160
3000
179733

Penjamin
860
38712
1690
1410
3500
3500
1000
50672

0
0
0
0
0
0
0
0

Penjamin
232
1002
19800
1078
2461
152160
3000
179733

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
SYR
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Trolley IGD
Subtotal
TUB
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT
SUP
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT

Pasien
Penjamin
410999
410999
500
500
411499
411499

0
0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
2700
2700
6462
6462
57964
57964
1500
1500
68626
68626

0
0
0
0
0

Pasien
Penjamin
42768
42768
500
500
43268
43268

0
0
0

Pasien
Penjamin
3036
3036
1540
1540
83930
83930
7912
7912
2000
2000
98418
98418

0
0
0
0
0
0

Pasien
Penjamin
26611
26611
7383
7383
3825
3825

0
0
0

BOT
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
PKG
VIL
VIL
AMP
UNT
UNT

16417
14988
8415
116
3500
81255

16417
14988
8415
116
3500
81255

0
0
0
0
0
0

Pasien
Penjamin
9841
9841
378
378
438
438
3500
3500
500
500
500
500
15157
15157

0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
501
501
1078
1078
152160
152160
16417
16417
2500
2500
182556
182556

0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
14988
14988
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
43313
43313
10032
10032
13416
13416
2940
2940
1275
1275
2500
2500

0
0
0
0
0
0

73476

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
CAP
TAB
UNT

Trolley IGD
Subtotal
SUP
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
VIL
TAB
BOT

73476

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
12080
12080
1275
1275
2500
2500
55675
55675

0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
2702
2702
16680
16680
1500
1500
78846
78846

0
0
0
0
0

Pasien
Penjamin
12540
12540
500
500
13040
13040

0
0
0

Pasien
Penjamin
1410
1410
9550
9550
1000
1000
11960
11960

0
0
0
0

Pasien
348
501
9900
1078
304320
1451
9096

Penjamin
348
501
9900
1078
304320
1451
9096

0
0
0
0
0
0
0

TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
BAG
UNT

Depo IGD
Subtotal
PKG
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD

7392
4000
338086

7392
4000
338086

0
0
0

Pasien
Penjamin
35970
35970
8415
8415
9096
9096
1500
1500
54981
54981

0
0
0
0
0

Pasien
Penjamin
1997
1997
1540
1540
6560
6560
9633
9633
2000
2000
21730
21730

0
0
0
0
0
0

Pasien
Penjamin
15060
15060
500
500
15560
15560

0
0
0

Pasien
Penjamin
44179
44179
1275
1275
1000
1000
46454
46454

0
0
0
0

Pasien
Penjamin
5652
5652
500
500
6152
6152

0
0
0

Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
PKG
UNT

Depo IGD
Subtotal
PKG
AMP
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD

Pasien
Penjamin
2304
2304
4707
4707
1422
1422
5994
5994
2000
2000
16427
16427

0
0
0
0
0
0

Pasien
Penjamin
15060
15060
500
500
15560
15560

0
0
0

Pasien
Penjamin
15060
15060
4645
4645
14702
14702
1500
1500
35907
35907

0
0
0
0
0

Pasien

Penjamin
44
44
500
500
544
544

0
0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
85272
85272
500
500
85772
85772

0
0
0

Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
VIL
UNT
UNT
AMP
AMP
UNT
UNT
UNT
TUB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
AMP
UNT
UNT

Trolley IGD
Subtotal
PKG

Pasien

Penjamin
300
20350
1000
21650

0
0
0
0

Pasien
Penjamin
9633
9633
500
500
10133
10133

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
7776
7776
3994
3994
3080
3080
2891
2891
5672
5672
26611
26611
18343
18343
5809
5809
56262
56262
6000
6000
176258
176258

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
49251
49251
2891
2891
5672
5672
2550
2550
3000
3000
86767
86767

0
0
0
0
0
0
0
0

Pasien
Penjamin
41388
41388

300
20350
1000
21650

UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
AMP
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
BOT
UNT

500
41888

500
41888

0
0

Pasien
Penjamin
14988
14988
8415
8415
9096
9096
1500
1500
33999
33999

0
0
0
0
0

Pasien
Penjamin
15013
15013
9096
9096
16360
16360
1500
1500
41969
41969

0
0
0
0
0

Pasien
Penjamin
9924
9924
500
500
10424
10424

0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
2891
2891
5672
5672
2550
2550
3000
3000
46612
46612

0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
32834
32834
47685
47685
1500
1500

0
0
0
0

167291

Depo IGD
Subtotal
BOT
VIL
AMP
BOT
CAP
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
VIL
UNT
UNT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal

167291

Pasien
Penjamin
16417
16417
85272
85272
14702
14702
47685
47685
123
123
348
348
19602
19602
3500
3500
187649
187649

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
85272
85272
1997
1997
16335
16335
5732
5732
1275
1275
1898
1898
3500
3500
132426
132426

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
827
172
1000
1999

0
0
0
0

Pasien
Penjamin
29620
29620
3270
3270
1000
1000
33890
33890

0
0
0
0

827
172
1000
1999

Pasien

Penjamin

UNT
UNT
TUB
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
TUB
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
AMP
UNT
PKG
PKG
AMP
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT

Depo IGD

18343
51838
56262
2640
1997
12012
5809
3500
152401

18343
51838
56262
2640
1997
12012
5809
3500
152401

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
12012
12012
2640
2640
3000
3000
100063
100063

0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
2550
2550
4645
4645
1540
1540
56788
56788
68064
68064
5528
5528
12012
12012
5000
5000
195947
195947

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6872
6872
500
500
7372
7372

0
0
0

Subtotal
TAB
TAB
TAB
VIL
VIL
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
AMP
UNT

Depo IGD
Subtotal
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
BOT
UNT
UNT
AMP
UNT
UNT
PKG
UNT
AMP
AMP
UNT
AMP
AMP
UNT

Pasien

Penjamin
232
1002
19800
152160
85272
3994
3000
265460

0
0
0
0
0
0
0
0

Pasien
Penjamin
23524
23524
22125
22125
5782
5782
1500
1500
52931
52931

0
0
0
0
0

Pasien
Penjamin
112200
112200
500
500
112700
112700

0
0
0

Pasien
Penjamin
29976
29976
16830
16830
32834
32834
5881
5881
62563
62563
26611
26611
64960
64960
4620
4620
5991
5991
80850
80850
16088
16088
75240
75240
95040
95040
12610
12610
3280
3280
12144
12144
8000
8000
553518
553518

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

232
1002
19800
152160
85272
3994
3000
265460

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Trolley IGD
Subtotal
SUP
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
UNT

Pasien
Penjamin
16417
16417
14988
14988
8415
8415
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
10592
10592
53460
53460
1000
1000
65052
65052

0
0
0
0

Pasien
Penjamin
56100
56100
500
500
56600
56600

0
0
0

Pasien
Penjamin
15824
15824
500
500
16324
16324

0
0
0

Pasien
Penjamin
5809
5809
3575
3575
1000
1000
10384
10384

0
0
0
0

Pasien
Penjamin
27288
27288
378
378
1000
1000
28666
28666

0
0
0
0

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
BAG
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
26611
26611
2000
2000
68431
68431

0
0
0
0
0
0

Pasien
Penjamin
18192
18192
5782
5782
378
378
1500
1500
25852
25852

0
0
0
0
0

Pasien
Penjamin
2760
2760
9841
9841
1000
1000
13601
13601

0
0
0
0

Pasien
Penjamin
2760
2760
30217
30217
18793
18793
1500
1500
53270
53270

0
0
0
0
0

Pasien
Penjamin
1422
1422
2304
2304
6462
6462
1500
1500
11688
11688

0
0
0
0
0

Depo IGD
Subtotal
PKG
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
AMP
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
VIL
UNT

Depo IGD
Subtotal
VIL

Pasien
Penjamin
2742
2742
3221
3221
1000
1000
6963
6963

0
0
0
0

Pasien
Penjamin
1757
1757
500
500
2257
2257

0
0
0

Pasien
Penjamin
2891
2891
15397
15397
2550
2550
1500
1500
22338
22338

0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
2891
2891
1275
1275
2500
2500
46486
46486

0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
827
827
211200
211200
1500
1500
229944
229944

0
0
0
0
0

Pasien
Penjamin
12415
12415

UNT

Depo IGD
Subtotal
VIL
TAB
VIL
UNT

Depo IGD
Subtotal
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
UNT
UNT

Trolley IGD
Subtotal
PKG
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

500
12915

500
12915

0
0

Pasien
Penjamin
275880
275880
501
501
62075
62075
1500
1500
339956
339956

0
0
0
0
0

Pasien
Penjamin
56100
56100
500
500
56600
56600

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
32834
32834
2891
2891
1275
1275
2500
2500
62903
62903

0
0
0
0
0
0
0

Pasien
Penjamin
113576
113576
2550
2550
2764
2764
1757
1757
2000
2000
122647
122647

0
0
0
0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Trolley IGD
Subtotal
AMP
UNT
PKG
UNT
PKG
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
UNT

Apotik Panel 2
Subtotal

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
1500
1500
33999
33999

0
0
0
0
0

Pasien
Penjamin
10592
10592
9841
9841
1000
1000
21433
21433

0
0
0
0

Pasien
Penjamin
2764
2764
12012
12012
56788
56788
2550
2550
68064
68064
2500
2500
144678
144678

0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
378
378
111
111
1500
1500
20181
20181

0
0
0
0
0

Pasien

Penjamin

CAP
UNT

Depo IGD
Subtotal
BOT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Emergency Cempaka
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
BOT
PKG
UNT
PKG
UNT
UNT
AMP
UNT

Depo IGD
Subtotal

45830
500
46330

45830
500
46330

0
0
0

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

Pasien
Penjamin
3825
3825
4620
4620
1000
1000
9445
9445

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
8880
8880
2820
2820
760
760
49251
49251
27288
27288
10040
10040
3560
3560
2970
2970
14988
14988
26535
26535
16191
16191
5500
5500
168783
168783

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

BOT
TAB
VIL
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
TUB
UNT
BOT
UNT
AMP
UNT
UNT

Depo IGD

65340
1078
304320
219
2000
372957

65340
1078
304320
219
2000
372957

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien

Penjamin
792
1188
1000
2980

0
0
0
0

Pasien
Penjamin
11460
11460
23760
23760
1260
1260
1500
1500
37980
37980

0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
3994
3994
2640
2640
3300
3300
75240
75240
26611
26611
4000
4000
196199
196199

0
0
0
0
0
0
0
0
0
0

792
1188
1000
2980

Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
PKG
PKG
BOT
UNT
UNT
AMP
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Pasien
Penjamin
1690
1690
1422
1422
1000
1000
4112
4112

0
0
0
0

Pasien
Penjamin
68064
68064
56788
56788
9096
9096
8415
8415
14988
14988
13820
13820
1540
1540
12012
12012
1275
1275
4500
4500
190498
190498

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2891
2891
1275
1275
126
126
827
827
2000
2000
7119
7119

0
0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
32834
32834
8415
8415
14988
14988
14988
14988

0
0
0
0

UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

2000
73225

2000
73225

0
0

Pasien
Penjamin
15397
15397
1275
1275
1000
1000
17672
17672

0
0
0
0

Pasien
Penjamin
9550
9550
31680
31680
1000
1000
42230
42230

0
0
0
0

Pasien
Penjamin
66198
66198
2550
2550
2764
2764
12012
12012
2000
2000
85524
85524

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
9096
9096
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Depo IGD
Subtotal
AMP
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
VIL
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
VIL
TAB
TAB
VIL
AMP
UNT

Trolley IGD
Subtotal
BOT
AMP
UNT
UNT
UNT

Pasien
Penjamin
15397
15397
900
900
378
378
1500
1500
18175
18175

0
0
0
0
0

Pasien
Penjamin
75240
75240
226738
226738
2461
2461
1500
1500
305939
305939

0
0
0
0
0

Pasien
Penjamin
18180
18180
29620
29620
7272
7272
1500
1500
56572
56572

0
0
0
0
0

Pasien
Penjamin
16417
16417
22770
22770
378
378
501
501
24830
24830
2461
2461
3000
3000
70357
70357

0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
2891
2891
8415
8415
14988
14988
2550
2550

0
0
0
0
0

AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
BAG
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT

12080
3000
60341

12080
3000
60341

0
0
0

Pasien
Penjamin
9096
9096
15013
15013
16360
16360
1500
1500
41969
41969

0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
29976
29976
9633
9633
1997
1997
2500
2500
61617
61617

0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415

0
0

UNT
UNT
PKG
VIL
UNT

Trolley IGD
Subtotal
VIL
PKG
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

Trolley IGD
Subtotal
AMP
AMP
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT

Trolley IGD
Subtotal
BOT
BOT
UNT
UNT

14988
26611
41388
13416
3000
124235

14988
26611
41388
13416
3000
124235

0
0
0
0
0
0

Pasien
Penjamin
10032
10032
41388
41388
1000
1000
52420
52420

0
0
0
0

Pasien
Penjamin
45376
45376
14988
14988
1000
1000
61364
61364

0
0
0
0

Pasien
Penjamin
35640
35640
2891
2891
1540
1540
1275
1275
2000
2000
43346
43346

0
0
0
0
0
0

Pasien
Penjamin
9096
9096
500
500
9596
9596

0
0
0

Pasien
Penjamin
16417
16417
5881
5881
8415
8415
26611
26611

0
0
0
0

UNT
UNT
TUB
UNT
UNT
AMP
UNT
TAB
TAB
UNT
PKG
VIL
UNT
TAB
UNT
PKG
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
BOT
BOT
AMP
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT

3575
5809
56262
18343
3994
4922
1275
116
1002
12610
26950
20748
5732
9900
1757
41388
10000
281707

3575
5809
56262
18343
3994
4922
1275
116
1002
12610
26950
20748
5732
9900
1757
41388
10000
281707

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5842
5842
1997
1997
1275
1275
1500
1500
10614
10614

0
0
0
0
0

Pasien
Penjamin
14988
14988
14952
14952
8415
8415
16417
16417
5881
5881
2891
2891
1275
1275
35640
35640
1540
1540
4500
4500
106499
106499

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22688
22688

UNT

Depo IGD
Subtotal
TAB
TAB
VIL
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
TAB
AMP
BOT
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
BAG
UNT
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

500
23188

500
23188

0
0

Penjamin
300
3960
154440
8820
3825
2500
173845

0
0
0
0
0
0
0

Pasien
Penjamin
3825
3825
16417
16417
8415
8415
14988
14988
126
126
2891
2891
9096
9096
19131
19131
4000
4000
78889
78889

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
344
344
308
308
56100
56100
19266
19266
3994
3994
112200
112200
3500
3500
196714
196714

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
211200
211200
500
500
211700
211700

0
0
0

Pasien
300
3960
154440
8820
3825
2500
173845

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
BOT
BOT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT
UNT
UNT
UNT

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
10592
10592
27060
27060
27288
27288
1500
1500
66440
66440

0
0
0
0
0

Pasien
Penjamin
26611
26611
14988
14988
8415
8415
16417
16417
5991
5991
21120
21120
22688
22688
5809
5809
16035
16035

0
0
0
0
0
0
0
0
0

BOT
TAB
TAB
UNT
UNT

Depo IGD
Subtotal
BOT
VIL
UNT

Trolley IGD
Subtotal
SUP
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
AMP
AMP
UNT
UNT
BOT
UNT
BOT
UNT
BOT
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT

2640
86
827
62563
6500
210690

2640
86
827
62563
6500
210690

0
0
0
0
0
0

Pasien
Penjamin
57964
57964
72496
72496
1000
1000
131460
131460

0
0
0
0

Pasien
Penjamin
7912
7912
8415
8415
11990
11990
9096
9096
2000
2000
39413
39413

0
0
0
0
0
0

Pasien
Penjamin
9108
9108
3280
3280
1997
1997
1540
1540
5280
5280
62563
62563
6872
6872
5732
5732
16417
16417
13728
13728
5000
5000
131517
131517

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988

0
0
0

UNT

Trolley IGD
Subtotal
PKG
UNT
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
BOT
BOT
UNT
UNT
UNT
UNT
BOT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
VIL
VIL
TAB
TAB
AMP

1500
41919

1500
41919

0
0

Pasien
Penjamin
136128
136128
3080
3080
1382
1382
1500
1500
142090
142090

0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
5881
5881
16417
16417
8415
8415
14988
14988
3994
3994
3514
3514
2640
2640
3080
3080
5809
5809
7150
7150
26611
26611
5500
5500
103999
103999

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
30096
30096
211200
211200
9900
9900
501
501
2461
2461

0
0
0
0
0
0

TAB
TAB
PKG
UNT

Depo IGD
Subtotal
BAG
BAG
AMP
VIL
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
AMP
PKG
UNT

Depo IGD
Subtotal
BOT
AMP
VIL
VIL
TAB
AMP
TAB
UNT
UNT

Depo IGD
Subtotal
AMP
TAB

348
8976
5020
4500
289419

348
8976
5020
4500
289419

0
0
0
0
0

Pasien
Penjamin
102600
102600
15220
15220
5782
5782
145860
145860
768
768
52800
52800
3000
3000
326030
326030

0
0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
5782
5782
14702
14702
5020
5020
2000
2000
45696
45696

0
0
0
0
0
0

Pasien
Penjamin
16417
16417
5842
5842
154440
154440
37245
37245
300
300
8820
8820
3960
3960
3080
3080
4000
4000
234104
234104

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20022
20022
344
344

0
0

AMP
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB

71280
5782
2550
2500
102478

71280
5782
2550
2500
102478

0
0
0
0
0

Pasien
Penjamin
19602
19602
246
246
123
123
3500
3500
1050
1050
1000
1000
25521
25521

0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
1500
1500
33999
33999

0
0
0
0
0

Pasien
Penjamin
6462
6462
500
500
6962
6962

0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
2020
2020
10860
10860

0
0

UNT

Depo IGD
Subtotal
BOT
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
UNT

Depo IGD
Subtotal
TAB
UNT
UNT
BOT
BOX

1000
13880

1000
13880

0
0

Pasien
Penjamin
16417
16417
72496
72496
1000
1000
89913
89913

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
5672
5672
1275
1275
2500
2500
49267
49267

0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
6462
6462
1000
1000
65426
65426

0
0
0
0

Pasien
Penjamin
36384
36384
38262
38262
741
741
1500
1500
76887
76887

0
0
0
0
0

Pasien
Penjamin
5400
5400
3500
3500
50
50
9841
9841
1320
1320

0
0
0
0
0

TUB
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
UNT
UNT
VIL
BOT
UNT
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

2810
1500
24421

2810
1500
24421

0
0
0

Pasien
Penjamin
2760
2760
39500
39500
1000
1000
43260
43260

0
0
0
0

Pasien
Penjamin
11990
11990
8415
8415
9633
9633
1540
1540
5732
5732
10296
10296
16417
16417
1275
1275
2891
2891
4500
4500
72689
72689

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien

Penjamin
827
500
1327

0
0
0

Pasien
Penjamin
1382
1382
1275
1275
1757
1757

0
0
0

827
500
1327

UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
UNT
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
UNT
UNT

Trolley IGD

66198
12012
2500
85124

66198
12012
2500
85124

0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417
5672
5672
3825
3825
2891
2891
3000
3000
55208
55208

0
0
0
0
0
0
0
0

Pasien
Penjamin
47520
47520
3270
3270
1000
1000
51790
51790

0
0
0
0

Pasien
Penjamin
26940
26940
158400
158400
1000
1000
2505
2505
2000
2000
190845
190845

0
0
0
0
0
0

Pasien
Penjamin
2550
2550
4146
4146
12012
12012
66198
66198
2000
2000
86906
86906

0
0
0
0
0
0

Subtotal
SUP
UNT

Depo IGD
Subtotal
VIL
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Trolley IGD

Pasien
Penjamin
7912
7912
500
500
8412
8412

0
0
0

Pasien
Penjamin
72496
72496
9633
9633
1000
1000
83129
83129

0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
11460
11460
846
846
1000
1000
13306
13306

0
0
0
0

Pasien
Penjamin
2550
2550
12012
12012
1000
1000
15562
15562

0
0
0
0

Pasien
Penjamin
18155.7 18155.7
450
450
18605.7 18605.7

0
0
0

Subtotal
UNT
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
TAB
AMP
BAG
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
BOT
UNT
UNT
UNT
UNT
BOT
UNT
UNT
UNT
TUB
UNT
UNT

Pasien
Penjamin
66198
66198
3825
3825
1382
1382
12012
12012
2000
2000
85417
85417

0
0
0
0
0
0

Pasien
Penjamin
16417
16417
51216
51216
501
501
44856
44856
28899
28899
2500
2500
144389
144389

0
0
0
0
0
0
0

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
29976
29976
16830
16830
147753
147753
56100
56100
62563
62563
26611
26611
1757
1757
12610
12610
5280
5280
18343
18343
5809
5809
1997
1997
56262
56262
12012
12012
7000
7000
460903
460903

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal
AMP
UNT
UNT
BOT
UNT
AMP
UNT
UNT
BOT
UNT
TUB
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
TAB
VIL
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
BOT
TAB
AMP
UNT
AMP
UNT
BOT
UNT

Pasien
Penjamin
2891
2891
9240
9240
5100
5100
16417
16417
8415
8415
10011
10011
16088
16088
5809
5809
2640
2640
12012
12012
56262
56262
22688
22688
6000
6000
173573
173573

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
14988
14988
8415
8415
2464
2464
2592
2592
1997
1997
3000
3000
49873
49873

0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
62563
62563
56100
56100
501
501
2222
2222
1275
1275
35640
35640
5732
5732
6072
6072
5500
5500
215425
215425

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
AMP
AMP
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
VIL
PKG
UNT
AMP
VIL
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
AMP
TAB
TAB
VIL
UNT

Pasien
Penjamin
71280
71280
5782
5782
3080
3080
2550
2550
32834
32834
2500
2500
118026
118026

0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
13416
13416
41388
41388
26611
26611
42247
42247
13414
13414
1275
1275
1540
1540
5881
5881
5500
5500
191092
191092

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
81510
81510
500
500
82010
82010

0
0
0

Pasien
Penjamin
16417
16417
516
516
1458
1458
75240
75240
448
448
501
501
226738
226738
3500
3500
324818
324818

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
VIL
TAB
VIL
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
1962
1962
1260
1260
1000
1000
4222
4222

0
0
0
0

Pasien
Penjamin
32834
32834
501
501
13414
13414
300
300
30096
30096
594
594
172
172
258
258
4000
4000
82169
82169

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
49251
49251
5782
5782
378
378
1500
1500
56911
56911

0
0
0
0
0

Pasien
Penjamin
1544
1544
501
501
13185
13185
1500
1500
16730
16730

0
0
0
0
0

Pasien
Penjamin
3231
3231
1998
1998
1000
1000
6229
6229

0
0
0
0

Trolley IGD
Subtotal
UNT
UNT
UNT
TUB
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
UNT
BOT
TAB
TAB
UNT
PKG
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
UNT
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT

Trolley IGD

Pasien
Penjamin
5809
5809
12012
12012
1997
1997
56262
56262
2000
2000
78080
78080

0
0
0
0
0
0

Pasien
Penjamin
1540
1540
2222
2222
14988
14988
8415
8415
16417
16417
86
86
102
102
26611
26611
26950
26950
2916
2916
5000
5000
105247
105247

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
9633
9633
1540
1540
72496
72496
2500
2500
109572
109572

0
0
0
0
0
0
0

Pasien
Penjamin
6872
6872
500
500
7372
7372

0
0
0

Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
TUB
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
BOT
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
UNT

Pasien
Penjamin
16417
16417
14988
14988
8415
8415
26611
26611
1275
1275
11464
11464
26950
26950
18342
18342
5809
5809
56262
56262
12012
12012
5500
5500
204045
204045

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
1997
1997
12012
12012
1500
1500
21390
21390

0
0
0
0
0

Pasien
Penjamin
4444
4444
35640
35640
16417
16417
501
501
1544
1544
7392
7392
3000
3000
68938
68938

0
0
0
0
0
0
0
0

Pasien
Penjamin
5385
5385
500
500
5885
5885

0
0
0

Pasien
Penjamin
14988
14988

UNT
BOT
AMP
UNT
AMP
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
VIL
VIL
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
PKG
TAB
CTG
UNT
TAB
TAB
TAB
BOT
UNT

8415
16417
4645
1275
2891
126
3500
52257

8415
16417
4645
1275
2891
126
3500
52257

0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
7854
7854
164
164
72496
72496
112200
112200
2000
2000
194714
194714

0
0
0
0
0
0

Pasien
Penjamin
253000
253000
500
500
253500
253500

0
0
0

Pasien
Penjamin
2285
2285
2250
2250
180048
180048
36560
36560
1760
1760
12660
12660
1220
1220
57964
57964
4000
4000

0
0
0
0
0
0
0
0
0

298747

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
PKG
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
TAB
UNT

Trolley IGD

298747

Pasien
Penjamin
14988
14988
14988
14988
8415
8415
9096
9096
1540
1540
2500
2500
51527
51527

0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
22688
22688
1000
1000
39776
39776

0
0
0
0

Pasien
Penjamin
262198
262198
500
500
262698
262698

0
0
0

Pasien
Penjamin
15060
15060
500
500
15560
15560

0
0
0

Pasien
Penjamin
36384
36384
5782
5782
741
741
4441
4441
2000
2000
49348
49348

0
0
0
0
0
0

Subtotal
UNT
UNT
UNT
BOT
AMP
UNT
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT

Pasien
Penjamin
14988
14988
11990
11990
8415
8415
16417
16417
2891
2891
2550
2550
5672
5672
3500
3500
66423
66423

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
22205
22205
15440
15440
1000
1000
38645
38645

0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
2550
2550
2000
2000
44370
44370

0
0
0
0
0
0

Pasien
Penjamin
6872
6872
1540
1540
3300
3300
4645
4645
2000
2000
18357
18357

0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT
UNT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
BOT
UNT

Apotik Panel 2
Subtotal

Pasien
Penjamin
14988
14988
9096
9096
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
14988
14988
9096
9096
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
5528
5528
2550
2550
12012
12012
66198
66198
2000
2000
88288
88288

0
0
0
0
0
0

Pasien
Penjamin
161875
161875
500
500
162375
162375

0
0
0

Pasien
Penjamin
1482
1482
39500
39500
1000
1000
41982
41982

0
0
0
0

Pasien

Penjamin

VIL
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

161875
500
162375

161875
500
162375

0
0
0

Pasien
Penjamin
11160
11160
500
500
11660
11660

0
0
0

Pasien
Penjamin
83400
83400
1240
1240
1000
1000
85640
85640

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
4645
4645
1540
1540
2000
2000
31588
31588

0
0
0
0
0
0

Pasien
Penjamin
16417
16417
14988
14988
8415
8415
1275
1275
4645
4645
2500
2500
48240
48240

0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
8820
8820
1000
1000
11080
11080

0
0
0
0

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
UNT
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
BOT
UNT

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
12012
12012
2000
2000
54431
54431

0
0
0
0
0
0

Pasien
Penjamin
10592
10592
9841
9841
1000
1000
21433
21433

0
0
0
0

Pasien
Penjamin
66198
66198
1275
1275
3300
3300
12012
12012
1382
1382
2500
2500
86667
86667

0
0
0
0
0
0
0

Pasien
Penjamin
66198
66198
2550
2550
1382
1382
12012
12012
2000
2000
84142
84142

0
0
0
0
0
0

Pasien
Penjamin
2760
2760
5782
5782
36384
36384
1500
1500

0
0
0
0

46426

Trolley IGD
Subtotal
BOT
UNT
UNT
SUP
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
BOT
BOT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
AMP
UNT
AMP
AMP
UNT
UNT
UNT

46426

Pasien
Penjamin
9096
9096
8415
8415
11990
11990
15824
15824
2000
2000
47325
47325

0
0
0
0
0
0

Pasien
Penjamin
323750
323750
500
500
324250
324250

0
0
0

Pasien
Penjamin
9841
9841
2760
2760
1275
1275
1500
1500
15376
15376

0
0
0
0
0

Pasien
Penjamin
11920
11920
78540
78540
1000
1000
91460
91460

0
0
0
0

Pasien
Penjamin
3036
3036
1275
1275
11439
11439
1740
1740
1540
1540
5500
5500
3000
3000
27530
27530

0
0
0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
TUB
UNT
UNT
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
VIL
UNT
BOT
BOT
UNT
UNT

Pasien
Penjamin
8415
8415
11990
11990
65668
65668
1500
1500
87573
87573

0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
1997
1997
2640
2640
56262
56262
12012
12012
16088
16088
16417
16417
8415
8415
14988
14988
5000
5000
157970
157970

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
35640
35640
1540
1540
1275
1275
6872
6872
2000
2000
47327
47327

0
0
0
0
0
0

Pasien
Penjamin
20592
20592
1997
1997
5881
5881
6872
6872
5732
5732
2500
2500
43574
43574

0
0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT

Trolley IGD
Subtotal
PKG
VIL
UNT
UNT
UNT
BOT
AMP
UNT
TAB
TAB
AMP
UNT
UNT
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
UNT

Pasien
Penjamin
14988
14988
16417
16417
8415
8415
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
75240
75240
500
500
75740
75740

0
0
0

Pasien
Penjamin
41388
41388
13416
13416
53222
53222
29976
29976
16830
16830
32834
32834
6666
6666
1275
1275
172
172
204
204
75240
75240
1997
1997
26950
26950
2464
2464
154
154
20213
20213
11990
11990
8500
8500
343491
343491

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10395
10395
450
450
10845
10845

0
0
0

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
BOT
VIL
AMP
UNT

Depo IGD
Subtotal
BAG
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
BOT
BOT
UNT

Trolley IGD
Subtotal
BOT
VIL
BAG
TAB
UNT

Pasien
Penjamin
17772
17772
500
500
18272
18272

0
0
0

Pasien
Penjamin
6872
6872
6864
6864
71280
71280
1500
1500
86516
86516

0
0
0
0
0

Pasien
Penjamin
178200
178200
500
500
178700
178700

0
0
0

Pasien
Penjamin
1275
1275
5397
5397
14988
14988
1500
1500
23160
23160

0
0
0
0
0

Pasien
Penjamin
9096
9096
6072
6072
1000
1000
16168
16168

0
0
0
0

Pasien
Penjamin
51216
51216
72496
72496
9633
9633
102
102
8415
8415

0
0
0
0
0

UNT
UNT
TUB
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
TAB
TAB
TAB
UNT
UNT
UNT
UNT
BOT
UNT
TUB
UNT
UNT

14988
5809
56262
1997
4500
225418

14988
5809
56262
1997
4500
225418

0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
1997
1997
2000
2000
43817
43817

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
2222
2222
102
102
154
154
172
172
3994
3994
1757
1757
62563
62563
5809
5809
2640
2640
12012
12012
56262
56262
16088
16088
7500
7500
211095
211095

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BOT
AMP
TAB
TAB
TAB
TAB
TAB
VIL
VIL
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal

Pasien
Penjamin
16417
16417
75240
75240
610
610
516
516
448
448
7392
7392
546
546
224400
224400
30096
30096
1320
1320
5000
5000
361985
361985

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
5782
5782
2760
2760
1500
1500
37330
37330

0
0
0
0
0

Pasien
Penjamin
8329
8329
7854
7854
39600
39600
32834
32834
106920
106920
2500
2500
198037
198037

0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
1078
1078
1000
1000
11978
11978

0
0
0
0

Pasien

Penjamin

UNT
TAB
BOT
UNT
AMP
AMP
UNT
PKG
UNT
UNT
UNT
TUB
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
AMP
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

26611
102
16417
29976
15554
75240
20213
53900
8415
5991
5809
56262
2640
6500
323630

26611
102
16417
29976
15554
75240
20213
53900
8415
5991
5809
56262
2640
6500
323630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
453476
453476
500
500
453976
453976

0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
15554
15554
75240
75240
501
501
9900
9900
3500
3500
144515
144515

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
29976
29976
9096
9096
1898
1898
2000
2000
59305
59305

0
0
0
0
0
0

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
AMP
VIL
UNT

Depo IGD
Subtotal
VIL
AMP
BAG
UNT

Trolley IGD
Subtotal
UNT
BAG
UNT
UNT
AMP
AMP
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT

Pasien
Penjamin
9096
9096
1332
1332
378
378
474
474
2000
2000
13280
13280

0
0
0
0
0
0

Pasien
Penjamin
16417
16417
4444
4444
1458
1458
19202
19202
13414
13414
2500
2500
57435
57435

0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
204930
204930
9633
9633
1500
1500
229477
229477

0
0
0
0
0

Pasien
Penjamin
1275
1275
9633
9633
14988
14988
8415
8415
4645
4645
44179
44179
1540
1540
3500
3500
88175
88175

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415

0
0

UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
BAG
UNT
UNT
PKG
VIL
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
TAB
TAB

14988
4645
1275
2500
48240

14988
4645
1275
2500
48240

0
0
0
0
0

Pasien
Penjamin
18793
18793
8415
8415
11990
11990
43313
43313
10032
10032
13416
13416
1275
1275
31680
31680
4000
4000
142914
142914

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
2919
2919
2304
2304
1500
1500
7983
7983

0
0
0
0
0

Pasien
Penjamin
72496
72496
306
306
516
516
1451
1451
2000
2000
76769
76769

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
501
501
9900
9900

0
0
0
0
0

TAB
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
BOT
UNT
UNT
TUB
UNT
UNT
AMP
AMP
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD

539
3000
53760

539
3000
53760

0
0
0

Pasien
Penjamin
2764
2764
2550
2550
66198
66198
12012
12012
3300
3300
2500
2500
89324
89324

0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
18342
18342
2640
2640
1540
1540
5809
5809
56262
56262
12012
12012
13200
13200
4645
4645
324847
324847
22688
22688
20213
20213
26950
26950
7500
7500
556468
556468

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Subtotal
TAB
TAB
TAB
CAP
UNT

Trolley IGD
Subtotal
PKG
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
PKG
VIL
AMP
AMP
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
AMP
TAB

Pasien
Penjamin
1000
1000
1670
1670
6680
6680
8820
8820
2000
2000
20170
20170

0
0
0
0
0
0

Pasien
Penjamin
41388
41388
13416
13416
1000
1000
55804
55804

0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
43313
43313
26832
26832
2940
2940
42247
42247
5100
5100
10560
10560
3000
3000
133992
133992

0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
2550
2550
1540
1540
2222
2222
102
102

0
0
0
0
0
0
0

UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
AMP
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
UNT
AMP
UNT
UNT
UNT
TUB
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
TUB
BOT
UNT
UNT
BOT
UNT
UNT

18342
2640
5809
5000
78025

18342
2640
5809
5000
78025

0
0
0
0
0

Pasien
Penjamin
16417
16417
306
306
258
258
1451
1451
12600
12600
2500
2500
33532
33532

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
16417
16417
14988
14988
44964
44964
5732
5732
14952
14952
18342
18342
1540
1540
5809
5809
56262
56262
12012
12012
26611
26611
6000
6000
232044
232044

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262
2640
2640
1540
1540
12012
12012
16417
16417
8415
8415
14988
14988

0
0
0
0
0
0
0
0
0

UNT
UNT

Trolley IGD
Subtotal
AMP
AMP
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
TAB
UNT

Apotik Panel 2
Subtotal
AMP
UNT

Depo IGD
Subtotal
BOT
AMP
VIL

26611
5000
168036

26611
5000
168036

0
0
0

Pasien
Penjamin
15554
15554
68429
68429
11464
11464
20213
20213
53900
53900
29976
29976
3000
3000
202536
202536

0
0
0
0
0
0
0
0

Pasien
Penjamin
72496
72496
7351
7351
1000
1000
80847
80847

0
0
0
0

Pasien
Penjamin
32834
32834
29904
29904
1458
1458
516
516
2000
2000
66712
66712

0
0
0
0
0
0

Pasien
Penjamin
335060
335060
500
500
335560
335560

0
0
0

Pasien
Penjamin
32834
32834
29904
29904
152160
152160

0
0
0

TAB
AMP
AMP
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
SUP
UNT

Depo IGD
Subtotal
UNT
AMP
VIL
TAB
TAB
TAB
BOT
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT

2052
35640
5782
501
9900
4000
272773

2052
35640
5782
501
9900
4000
272773

0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
23980
23980
15824
15824
2000
2000
59315
59315

0
0
0
0
0
0

Pasien
Penjamin
3080
3080
8888
8888
453476
453476
9900
9900
501
501
448
448
32834
32834
26828
26828
4000
4000
539955
539955

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
16360
16360
15013
15013
1500
1500
41969
41969

0
0
0
0
0

Pasien
Penjamin
16417
16417
29976
29976
8415
8415

0
0
0

UNT
UNT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
CAP
BOT

1275
1540
1458
102
3500
62683

1275
1540
1458
102
3500
62683

0
0
0
0
0
0

Pasien
Penjamin
1260
1260
5484
5484
1000
1000
7744
7744

0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
1275
1275
2891
2891
2500
2500
39165
39165

0
0
0
0
0
0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
29976
29976
16417
16417
8415
8415
1500
1500
56308
56308

0
0
0
0
0

Pasien
Penjamin
9730
9730
57964
57964

0
0

UNT

Depo IGD
Subtotal
BOT
TAB
AMP
AMP
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
AMP
UNT
BOT
UNT

1000
68694

1000
68694

0
0

Pasien
Penjamin
27288
27288
741
741
5782
5782
49896
49896
57964
57964
2500
2500
144171
144171

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9633
9633
1500
1500
34536
34536

0
0
0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
142560
142560
500
500
143060
143060

0
0
0

Pasien
546
152064
3080
32834
2000
190524

Penjamin
546
152064
3080
32834
2000
190524

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
PKG
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
UNT

Pasien
Penjamin
1269
1269
1521
1521
3996
3996
675
675
1152
1152
2250
2250
10863
10863

0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
9096
9096
210375
210375
2000
2000
252794
252794

0
0
0
0
0
0

Pasien
Penjamin
43313
43313
13416
13416
1000
1000
57729
57729

0
0
0
0

Pasien
Penjamin
20213
20213
500
500
20713
20713

0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien
Penjamin
18342
18342

UNT
UNT
BOT
TUB
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
VIL
UNT
UNT
BAG
UNT
UNT

Depo IGD
Subtotal
BOT
VIL
VIL
TAB
TAB
PKG
UNT

Depo IGD
Subtotal
BOT
VIL
VIL
AMP
PKG
UNT

5809
1997
2640
56262
12012
3000
100062

5809
1997
2640
56262
12012
3000
100062

0
0
0
0
0
0
0

Pasien
Penjamin
49251
49251
8415
8415
14988
14988
24948
24948
1275
1275
13414
13414
1997
1997
3300
3300
9633
9633
5732
5732
5000
5000
137953
137953

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
13414
13414
37245
37245
501
501
3231
3231
15060
15060
3000
3000
105285
105285

0
0
0
0
0
0
0
0

Pasien
Penjamin
49251
49251
13414
13414
72496
72496
14702
14702
5020
5020
2500
2500
157383
157383

0
0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
UNT

Depo IGD
Subtotal
BOT
BOT
BOT
UNT

Trolley IGD
Subtotal
SUP
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BAG
UNT
BOT
UNT
UNT

Pasien
Penjamin
8415
8415
14988
14988
9096
9096
1500
1500
33999
33999

0
0
0
0
0

Pasien
Penjamin
16417
16417
22053
22053
741
741
1500
1500
40711
40711

0
0
0
0
0

Pasien
Penjamin
16394
16394
2760
2760
3221
3221
1500
1500
23875
23875

0
0
0
0
0

Pasien
Penjamin
15824
15824
500
500
16324
16324

0
0
0

Pasien
Penjamin
1997
1997
20213
20213
26950
26950
9633
9633
44964
44964
6072
6072
8415
8415
3500
3500
121744
121744

0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
AMP
AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
14988
14988
16417
16417
8415
8415
2550
2550
15397
15397
2891
2891
3000
3000
63658
63658

0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
16335
16335
14988
14988
1500
1500
49240
49240

0
0
0
0
0

Pasien
Penjamin
9841
9841
2760
2760
1000
1000
13601
13601

0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
9096
9096
1500
1500
33999
33999

0
0
0
0
0

Pasien
Penjamin
8524
8524
270
270
1000
1000
9794
9794

0
0
0
0

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
TUB
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
BAG
AMP
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Pasien
Penjamin
16335
16335
14988
14988
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
14988
14988
9096
9096
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
18342
18342
12012
12012
16088
16088
56262
56262
2000
2000
104704
104704

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
53688
53688
1275
1275
9633
9633
35640
35640
1540
1540
3000
3000
113191
113191

0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
16335
16335
14988
14988
1500
1500
49240
49240

0
0
0
0
0

Depo IGD
Subtotal
BOT
BAG
AMP
AMP
UNT

Depo IGD
Subtotal
BOT
CAP
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
PKG
VIL
UNT
BAG
VIL
UNT
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
102432
102432
78509
78509
106920
106920
161064
161064
2000
2000
450925
450925

0
0
0
0
0
0

Pasien
Penjamin
3221
3221
9730
9730
1260
1260
3840
3840
2000
2000
20051
20051

0
0
0
0
0
0

Pasien
Penjamin
26611
26611
14988
14988
8415
8415
16417
16417
41388
41388
26832
26832
62563
62563
9633
9633
13414
13414
1540
1540
1275
1275
42247
42247
3300
3300
6500
6500
275123
275123

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47520
47520
3270
3270
1000
1000
51790
51790

0
0
0
0

Trolley IGD
Subtotal
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
VIL
TAB
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
CAP

Pasien
Penjamin
5672
5672
1275
1275
1000
1000
7947
7947

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
6872
6872
10296
10296
86
86
5732
5732
3000
3000
49389
49389

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
2550
2550
4146
4146
66198
66198
70125
70125
24024
24024
2500
2500
169543
169543

0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
28512
28512
5838
5838

0
0
0

TAB
UNT

Trolley IGD
Subtotal
PKG
BOT
UNT
UNT
UNT
BAG
AMP
AMP
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

Trolley IGD

14784
2000
52394

14784
2000
52394

0
0
0

Pasien
Penjamin
56788
56788
16417
16417
8415
8415
14988
14988
12012
12012
9633
9633
1382
1382
88803
88803
4645
4645
26611
26611
2550
2550
5500
5500
247744
247744

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8820
8820
12120
12120
1000
1000
21940
21940

0
0
0
0

Pasien
Penjamin
1275
1275
1898
1898
1000
1000
4173
4173

0
0
0
0

Pasien
Penjamin
3036
3036
1275
1275
1000
1000
5311
5311

0
0
0
0

Subtotal
UNT
UNT
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
BAG
BOT
VIL
VIL
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
14988
14988
8415
8415
3080
3080
3300
3300
19266
19266
2500
2500
51549
51549

0
0
0
0
0
0
0

Pasien
Penjamin
102600
102600
57964
57964
144992
144992
13414
13414
4645
4645
2500
2500
326115
326115

0
0
0
0
0
0
0

Pasien
Penjamin
10860
10860
500
500
11360
11360

0
0
0

Pasien
Penjamin
15120
15120
10770
10770
1000
1000
26890
26890

0
0
0
0

Pasien
Penjamin
142560
142560
500
500
143060
143060

0
0
0

Pasien
Penjamin
11242.8 11242.8
2223
2223

0
0

CAP
UNT

Trolley IGD
Subtotal
UNT
AMP
BOT
PKG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
AMP
AMP
AMP
UNT

Depo IGD
Subtotal
BOT
BOT
VIL
BOT
VIL
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

8757
1350
23572.8

8757
1350
23572.8

0
0
0

Pasien
Penjamin
2550
2550
1382
1382
5881
5881
56788
56788
2000
2000
68601
68601

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
2550
2550
1540
1540
6545
6545
1740
1740
6930
6930
4000
4000
63125
63125

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
51216
51216
224400
224400
118800
118800
85272
85272
1569
1569
3000
3000
517091
517091

0
0
0
0
0
0
0
0

Pasien
Penjamin
19980
19980
7605
7605
6345
6345
5760
5760

0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
AMP
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
BAG

3375
2250
45315

3375
2250
45315

0
0
0

Pasien
Penjamin
1405
1405
3960
3960
1000
1000
6365
6365

0
0
0
0

Pasien
Penjamin
9096
9096
500
500
9596
9596

0
0
0

Pasien
Penjamin
9096
9096
1275
1275
8415
8415
14988
14988
2000
2000
35774
35774

0
0
0
0
0
0

Pasien
Penjamin
5881
5881
2550
2550
16335
16335
1740
1740
6930
6930
72496
72496
1540
1540
1997
1997
4000
4000
113469
113469

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586

BOT
PKG
PKG
BOT
BOT
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
TAB
AMP
UNT
VIL
UNT
UNT
BAG
UNT

27060
8778
914
16394
2760
3000
96492

27060
8778
914
16394
2760
3000
96492

0
0
0
0
0
0
0

Pasien
Penjamin
32328
32328
1260
1260
1430
1430
1500
1500
36518
36518

0
0
0
0
0

Pasien
Penjamin
1422
1422
500
500
1922
1922

0
0
0

Pasien
Penjamin
12012
12012
500
500
12512
12512

0
0
0

Pasien
Penjamin
9096
9096
14988
14988
8415
8415
126
126
2891
2891
1275
1275
13414
13414
1757
1757
1997
1997
9633
9633
5000
5000
68592
68592

0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
VIL
TAB
UNT
UNT

Trolley IGD
Subtotal
UNT
AMP
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
AMP
UNT
UNT

Pasien
Penjamin
26658
26658
9693
9693
900
900
37251
37251

0
0
0
0

Pasien
Penjamin
85272
85272
126
126
1997
1997
1500
1500
88895
88895

0
0
0
0
0

Pasien
Penjamin
1540
1540
4444
4444
501
501
102
102
2000
2000
8587
8587

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
6072
6072
8415
8415
1540
1540
35640
35640
26611
26611
3000
3000
96266
96266

0
0
0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
AMP
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
AMP
VIL
UNT

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
1275
1275
2891
2891
126
126
3000
3000
47112
47112

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
1275
1275
4620
4620
28899
28899
2000
2000
51782
51782

0
0
0
0
0
0

Pasien
Penjamin
29620
29620
6462
6462
1000
1000
37082
37082

0
0
0
0

Pasien
Penjamin
18192
18192
378
378
654
654
14702
14702
72496
72496
2500
2500

0
0
0
0
0
0

108922

Depo IGD
Subtotal
AMP
AMP
TAB
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT

Depo IGD
Subtotal

108922

Pasien
Penjamin
4444
4444
35640
35640
7392
7392
1500
1500
48976
48976

0
0
0
0
0

Pasien
Penjamin
1275
1275
44179
44179
1000
1000
46454
46454

0
0
0
0

Pasien
Penjamin
9096
9096
14988
14988
8415
8415
1500
1500
33999
33999

0
0
0
0
0

Pasien
Penjamin
11000
11000
2020
2020
1000
1000
14020
14020

0
0
0
0

Pasien
Penjamin
1275
1275
44179
44179
1000
1000
46454
46454

0
0
0
0

Pasien

Penjamin

TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
AMP
AMP
VIL
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
AMP
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

3440
6276
5838
1500
17054

3440
6276
5838
1500
17054

0
0
0
0
0

Penjamin
306
65340
88
5220
20790
72496
3825
4620
1997
4500
179182

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9990
9990
192
192
5230
5230
1260
1260
2000
2000
18672
18672

0
0
0
0
0
0

Pasien
Penjamin
422400
422400
22053
22053
126506
126506
378
378
2000
2000
573337
573337

0
0
0
0
0
0

Pasien
Penjamin
9264
9264
24640
24640
42620
42620

0
0
0

Pasien
306
65340
88
5220
20790
72496
3825
4620
1997
4500
179182

TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
AMP
BOT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
TAB
TAB
VIL
UNT
BOT
UNT

5460
2000
83984

5460
2000
83984

0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
13414
13414
5782
5782
32834
32834
393360
393360
2000
2000
447390
447390

0
0
0
0
0
0

Pasien
Penjamin
20314
20314
99456
99456
1020
1020
1500
1500
122290
122290

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
5672
5672
86
86
1458
1458
85272
85272
1997
1997
59400
59400
4500
4500
198205
198205

0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BOT
VIL
AMP
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Pasien
Penjamin
18192
18192
72496
72496
14702
14702
378
378
2000
2000
107768
107768

0
0
0
0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
32834
32834
95040
95040
62370
62370
11464
11464
53900
53900
40426
40426
62563
62563
26611
26611
18343
18343

0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
TUB
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
UNT

51838
1275
3994
7000
491061

51838
1275
3994
7000
491061

0
0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
51838
51838
5809
5809
12012
12012
56262
56262
1997
1997
2500
2500
130418
130418

0
0
0
0
0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
5230
5230
500
500
5730
5730

0
0
0

Trolley IGD
Subtotal
BAG
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TUB
CAP
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
VIL
UNT
BAG
UNT

Pasien
Penjamin
9633
9633
5732
5732
1540
1540
1500
1500
18405
18405

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
43362
43362
13230
13230
2470
2470
1500
1500
60562
60562

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
72496
72496
1997
1997
9633
9633
3000
3000
126946
126946

0
0
0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT

Trolley IGD
Subtotal
VIL
UNT
UNT
UNT
BOT
VIL
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
AMP
VIL
BAG
UNT
AMP
UNT
AMP
UNT
UNT

Trolley IGD

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
2592
2592
1997
1997
5732
5732
8415
8415
16417
16417
72496
72496
29976
29976
5881
5881
4000
4000
147506
147506

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
16417
16417
14988
14988
3080
3080
12080
12080
13414
13414
19266
19266
6600
6600
88803
88803
1275
1275
14952
14952
1997
1997
6000
6000
207287
207287

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
BOT
UNT
UNT
UNT
UNT
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
SUP
UNT

Depo IGD
Subtotal
VIL
TAB
AMP
BOT
AMP
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
UNT

Pasien
Penjamin
16417
16417
14988
14988
14988
14988
8415
8415
1275
1275
237
237
3000
3000
59320
59320

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
200018
200018
23826
23826
1000
1000
224844
224844

0
0
0
0

Pasien
Penjamin
13414
13414
1458
1458
161064
161064
32834
32834
29904
29904
2500
2500
241174
241174

0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
5782
5782
378
378
1500
1500
25852
25852

0
0
0
0
0

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
VIL
PKG
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
BOT
BOT
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

Pasien
Penjamin
16500
16500
8415
8415
6072
6072
1275
1275
17160
17160
2500
2500
51922
51922

0
0
0
0
0
0
0

Pasien
Penjamin
59950
59950
9096
9096
8415
8415
1997
1997
3300
3300
14988
14988
1275
1275
5809
5809
12012
12012
6274
6274
25988
25988
31680
31680
17160
17160
6500
6500
204444
204444

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
131319
131319
4435
4435
6072
6072
6171
6171
19483
19483
2500
2500
169980
169980

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16335
16335

0
0
0

UNT

Depo IGD
Subtotal
VIL
BOT
UNT
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT

Trolley IGD
Subtotal
AMP
AMP
UNT
UNT

Trolley IGD
Subtotal
TAB
TAB
UNT
UNT
BOT
UNT
UNT
UNT

1500
41238

1500
41238

0
0

Pasien
Penjamin
224400
224400
17643
17643
3994
3994
9633
9633
2000
2000
257670
257670

0
0
0
0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Pasien
Penjamin
9096
9096
500
500
9596
9596

0
0
0

Pasien
Penjamin
15397
15397
2891
2891
2550
2550
1500
1500
22338
22338

0
0
0
0
0

Pasien
Penjamin
1458
1458
172
172
14988
14988
14988
14988
16417
16417
8415
8415
3994
3994
1275
1275

0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT
AMP
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
TAB
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
AMP
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT

1540
26950
20213
5500
115910

1540
26950
20213
5500
115910

0
0
0
0
0

Pasien
Penjamin
29976
29976
29976
29976
8415
8415
16417
16417
18343
18343
5809
5809
75240
75240
53900
53900
40426
40426
26611
26611
5000
5000
310113
310113

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
126
126
14952
14952
1997
1997
2000
2000
35492
35492

0
0
0
0
0
0

Pasien

Penjamin
516
29904
3994
51216
2000
87630

0
0
0
0
0
0

Pasien
Penjamin
3300
3300
1275
1275

0
0

516
29904
3994
51216
2000
87630

UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
BOT
AMP
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
VIL
BAG
VIL
UNT

Depo IGD
Subtotal
TAB
TAB

1997
1500
8072

1997
1500
8072

0
0
0

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
2891
2891
1275
1275
2500
2500
46486
46486

0
0
0
0
0
0
0

Pasien

Penjamin
378
49251
5782
2550
2000
59961

0
0
0
0
0
0

Pasien
Penjamin
5782
5782
2550
2550
1000
1000
9332
9332

0
0
0
0

Pasien
Penjamin
13414
13414
9633
9633
72496
72496
1500
1500
97043
97043

0
0
0
0
0

Pasien
Penjamin
2964
2964
6462
6462

0
0

378
49251
5782
2550
2000
59961

TAB
UNT

Depo IGD
Subtotal
AMP
TAB
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Trolley IGD
Subtotal

3270
1500
14196

3270
1500
14196

0
0
0

Pasien
Penjamin
124740
124740
13464
13464
1000
1000
139204
139204

0
0
0
0

Pasien
Penjamin
285120
285120
500
500
285620
285620

0
0
0

Pasien
Penjamin
14988
14988
14988
14988
9096
9096
16335
16335
2000
2000
57407
57407

0
0
0
0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
27288
27288
2760
2760
1000
1000
31048
31048

0
0
0
0

Pasien

Penjamin

TAB
UNT
UNT
UNT
UNT
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
AMP
UNT
UNT
TAB
UNT
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
UNT

Trolley IGD
Subtotal
UNT

1458
22688
1997
1757
14988
9096
26611
1275
4000
83870

1458
22688
1997
1757
14988
9096
26611
1275
4000
83870

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
4645
4645
8415
8415
14988
14988
1077
1077
1275
1275
3000
3000
42496
42496

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
2891
2891
1275
1275
8415
8415
9096
9096
2500
2500
39165
39165

0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
5782
5782
741
741
1500
1500
44407
44407

0
0
0
0
0

Pasien
Penjamin
11990
11990

UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
AMP
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
VIL
UNT
UNT
UNT
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

8415
16417
1500
38322

8415
16417
1500
38322

0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
32834
32834
15708
15708
244
244
106920
106920
10032
10032
2500
2500
168238
168238

0
0
0
0
0
0
0

Pasien
Penjamin
49251
49251
5782
5782
741
741
13414
13414
3994
3994
3080
3080
3300
3300
9633
9633
4000
4000
93195
93195

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11990
11990
8415
8415
9096
9096
1500
1500
31001
31001

0
0
0
0
0

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
AMP
UNT

Depo IGD
Subtotal
BOT
BOT
BOT
PKG
VIL
BOT
PKG
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
18192
18192
2760
2760
2891
2891
1500
1500
25343
25343

0
0
0
0
0

Pasien
Penjamin
27288
27288
10592
10592
27060
27060
13167
13167
131319
131319
16394
16394
1828
1828
3500
3500
231148
231148

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
273716
273716
3300
3300
5991
5991
9633
9633
2000
2000
294640
294640

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
14988
14988
2000
2000
56808
56808

0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
BOT
UNT
TAB
UNT

Depo IGD
Subtotal
VIL
BOT
TAB
UNT

Depo IGD
Subtotal
BOT
VIL
TAB
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
UNT
BOT
UNT

Pasien
Penjamin
16830
16830
32834
32834
14988
14988
126
126
2000
2000
66778
66778

0
0
0
0
0
0

Pasien
Penjamin
112200
112200
32834
32834
3231
3231
1500
1500
149765
149765

0
0
0
0
0

Pasien
Penjamin
27288
27288
13414
13414
1584
1584
5782
5782
2000
2000
50068
50068

0
0
0
0
0
0

Pasien
Penjamin
29620
29620
2304
2304
6462
6462
1500
1500
39886
39886

0
0
0
0
0

Pasien
Penjamin
190080
190080
1997
1997
118800
118800
1500
1500
312377
312377

0
0
0
0
0

Trolley IGD
Subtotal
TAB
BOT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
AMP
TAB
TAB
AMP
UNT
UNT
UNT

Pasien

Penjamin
252
16417
8415
29976
26950
2500
84510

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
9096
9096
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
14988
14988
9096
9096
16335
16335
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
26950
26950
145345
145345
39600
39600
501
501
2222
2222
1275
1275
20213
20213
5000
5000
280926
280926

0
0
0
0
0
0
0
0
0
0
0
0

252
16417
8415
29976
26950
2500
84510

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
AMP
UNT

Depo IGD
Subtotal
VIL
UNT
PKG
UNT

Depo IGD
Subtotal
BOT
BOT
TAB
TAB
VIL
TAB
UNT

Pasien
Penjamin
11990
11990
9096
9096
8415
8415
1500
1500
31001
31001

0
0
0
0
0

Pasien
Penjamin
19266
19266
1997
1997
1540
1540
1500
1500
24303
24303

0
0
0
0
0

Pasien
Penjamin
27288
27288
5782
5782
378
378
14702
14702
2000
2000
50150
50150

0
0
0
0
0
0

Pasien
Penjamin
137940
137940
1997
1997
5020
5020
1500
1500
146457
146457

0
0
0
0
0

Pasien
Penjamin
16417
16417
6072
6072
39600
39600
2004
2004
226738
226738
4488
4488
3000
3000
298319
298319

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
TUB
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
BOT

Pasien
Penjamin
47520
47520
6462
6462
1000
1000
54982
54982

0
0
0
0

Pasien
Penjamin
29976
29976
29976
29976
1000
1000
60952
60952

0
0
0
0

Pasien
Penjamin
66198
66198
2550
2550
1382
1382
1500
1500
71630
71630

0
0
0
0
0

Pasien
Penjamin
1997
1997
5809
5809
56262
56262
18343
18343
2000
2000
84411
84411

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
95040
95040

BOT
PKG
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
UNT

16417
5020
1500
117977

16417
5020
1500
117977

0
0
0
0

Pasien
Penjamin
8820
8820
2470
2470
1000
1000
12290
12290

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
16335
16335
2000
2000
58155
58155

0
0
0
0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Pasien
Penjamin
66198
66198
2550
2550
1382
1382
12012
12012
2000
2000
84142
84142

0
0
0
0
0
0

Pasien
Penjamin
1997
1997
1275
1275
1540
1540
1500
1500

0
0
0
0

6312

Trolley IGD
Subtotal
UNT
TAB
UNT
VIL
UNT
UNT
UNT
AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
AMP
TAB
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

6312

Pasien
Penjamin
1540
1540
1458
1458
1997
1997
72496
72496
3575
3575
5809
5809
1275
1275
5672
5672
4000
4000
97822
97822

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
6930
6930
1740
1740
1275
1275
1540
1540
3500
3500
54805
54805

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
322766
322766
34317
34317
5220
5220
429
429
57964
57964
32834
32834
3000
3000
456530
456530

0
0
0
0
0
0
0
0

Pasien
Penjamin
4746
4746
35640
35640
1000
1000

0
0
0

41386

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BAG
BOT
TUB
UNT

Depo IGD
Subtotal
BOT
TAB
AMP
AMP
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

41386

Pasien
Penjamin
11990
11990
9096
9096
8415
8415
1500
1500
31001
31001

0
0
0
0
0

Pasien
Penjamin
18793
18793
14317
14317
42768
42768
1500
1500
77378
77378

0
0
0
0
0

Pasien
Penjamin
54576
54576
378
378
5782
5782
49896
49896
2000
2000
112632
112632

0
0
0
0
0
0

Pasien
Penjamin
2550
2550
6072
6072
16335
16335
1500
1500
26457
26457

0
0
0
0
0

Pasien
Penjamin
2550
2550
1540
1540
5881
5881
1500
1500
11471
11471

0
0
0
0
0

Trolley IGD
Subtotal
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
BAG
VIL
BOT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
BOT
PKG
UNT

Pasien
Penjamin
25245
25245
14988
14988
1000
1000
41233
41233

0
0
0
0

Pasien
Penjamin
1275
1275
9633
9633
13414
13414
5881
5881
1757
1757
16417
16417
3000
3000
51377
51377

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
2550
2550
1382
1382
66198
66198
1500
1500
71630
71630

0
0
0
0
0

Pasien
Penjamin
78634
78634
16417
16417
51216
51216
10040
10040
3825
3825

0
0
0
0
0

UNT
AMP
AMP
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
TAB
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
SUP
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT

4620
5782
30794
4000
205328

4620
5782
30794
4000
205328

0
0
0
0
0

Pasien
Penjamin
262198
262198
500
500
262698
262698

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
1077
1077
1997
1997
2500
2500
45394
45394

0
0
0
0
0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
Penjamin
11990
11990
9096
9096
8415
8415
7912
7912
2000
2000
39413
39413

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
9096
9096
11990
11990

0
0
0

SUP
UNT

Depo IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT

7912
2000
39413

7912
2000
39413

0
0
0

Penjamin
86
500
586

0
0
0

Pasien
Penjamin
35970
35970
8415
8415
18793
18793
49500
49500
2000
2000
114678
114678

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9096
9096
2891
2891
9601
9601
2550
2550
3000
3000
50541
50541

0
0
0
0
0
0
0
0

Pasien
Penjamin
1962
1962
846
846
1000
1000
3808
3808

0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988

0
0
0

Pasien
86
500
586

UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
BAG
VIL
UNT
BOT
UNT
AMP
UNT

Depo IGD
Subtotal
VIL
VIL
AMP
BOT
UNT
BAG
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
BAG
BOT

1500
33999

1500
33999

0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
72496
72496
19266
19266
13414
13414
3080
3080
11762
11762
3825
3825
4444
4444
3500
3500
131787
131787

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
85272
85272
14702
14702
18192
18192
3994
3994
19266
19266
3000
3000
157840
157840

0
0
0
0
0
0
0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
19266
19266
78634
78634

0
0

TAB
BOT
UNT
UNT

Depo IGD
Subtotal
BAG
VIL
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
AMP
VIL
AMP
BAG
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
BAG
BOT
BOT
PKG
UNT

Trolley IGD

516
32834
3994
2500
137744

516
32834
3994
2500
137744

0
0
0
0
0

Pasien
Penjamin
18793
18793
2592
2592
1000
1000
22385
22385

0
0
0
0

Pasien
Penjamin
39828
39828
500
500
40328
40328

0
0
0

Pasien
Penjamin
1654
1654
20790
20790
13414
13414
4444
4444
9633
9633
1540
1540
5881
5881
3500
3500
60856
60856

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
9633
9633
32834
32834
63253
63253
5020
5020
2500
2500
126654
126654

0
0
0
0
0
0
0

Subtotal
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
UNT
BAG
AMP
BOT
PKG
UNT

Depo IGD
Subtotal
TUB
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
BAG
UNT
UNT
UNT

Emergency Dahlia
Subtotal
BOT

Pasien
Penjamin
2550
2550
12012
12012
1382
1382
1500
1500
17444
17444

0
0
0
0
0

Pasien
Penjamin
15708
15708
9900
9900
1458
1458
322766
322766
1540
1540
9633
9633
338580
338580
16417
16417
15060
15060
4500
4500
735562
735562

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56262
56262
18343
18343
5809
5809
1997
1997
2000
2000
84411
84411

0
0
0
0
0
0

Pasien
Penjamin
13414
13414
5782
5782
9633
9633
1997
1997
2550
2550
2500
2500
35876
35876

0
0
0
0
0
0
0

Pasien
Penjamin
6072
6072

UNT

Emergency Dahlia
Subtotal
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
AMP
TAB
VIL
TAB
UNT

500
6572

500
6572

0
0

Pasien
Penjamin
25220
25220
26950
26950
20213
20213
62370
62370
2000
2000
136753
136753

0
0
0
0
0
0

Pasien

Penjamin
792
116
562
1188
18
2500
5176

0
0
0
0
0
0
0

Pasien
Penjamin
1220
1220
2240
2240
860
860
2970
2970
860
860
2500
2500
10650
10650

0
0
0
0
0
0
0

Pasien
Penjamin
11110
11110
145345
145345
246
246
224400
224400
3960
3960
2500
2500
387561
387561

0
0
0
0
0
0
0

792
116
562
1188
18
2500
5176

Depo IGD
Subtotal
AMP
TAB
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
VIL
BOT
UNT

Depo IGD
Subtotal
BOT
VIL
VIL
TAB
CAP
UNT
UNT
TAB
UNT

Pasien
Penjamin
4444
4444
7392
7392
308
308
258
258
1344
1344
2500
2500
16246
16246

0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
8415
8415
14988
14988
1997
1997
2000
2000
60234
60234

0
0
0
0
0
0

Pasien

Penjamin
258
2902
1470
501
110629
16417
3000
135177

0
0
0
0
0
0
0
0

Pasien
Penjamin
87912
87912
72496
72496
112200
112200
246
246
123
123
3500
3500
150
150
39204
39204
2500
2500
318331
318331

0
0
0
0
0
0
0
0
0
0

258
2902
1470
501
110629
16417
3000
135177

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
CAP
UNT

Trolley IGD
Subtotal
UNT
UNT
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
UNT
AMP
AMP
UNT
UNT
UNT

Pasien
Penjamin
4000
4000
1000
1000
1000
1000
6000
6000

0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
9096
9096
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
66198
66198
1275
1275
12012
12012
1382
1382
1757
1757
2500
2500
85124
85124

0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
8415
8415
32834
32834
4645
4645
3825
3825
5672
5672
1382
1382
66198
66198
12012
12012
4500
4500

0
0
0
0
0
0
0
0
0
0

169459

Trolley IGD
Subtotal
UNT
BOT
UNT
UNT
AMP
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Trolley IGD

169459

Pasien
Penjamin
14988
14988
16417
16417
8415
8415
1275
1275
4444
4444
102
102
198
198
86
86
4000
4000
49925
49925

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18144
18144
5230
5230
26940
26940
6462
6462
2000
2000
58776
58776

0
0
0
0
0
0

Pasien
Penjamin
12492
12492
1670
1670
2470
2470
22205
22205
2000
2000
40837
40837

0
0
0
0
0
0

Pasien
Penjamin
53880
53880
2470
2470
22205
22205
1500
1500
80055
80055

0
0
0
0
0

Subtotal
UNT
UNT
AMP
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
AMP
UNT
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
BOT
PKG
AMP
UNT
BAG
UNT

Pasien
Penjamin
66198
66198
1275
1275
1382
1382
12012
12012
2000
2000
82867
82867

0
0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
2891
2891
5672
5672
2550
2550
3000
3000
46612
46612

0
0
0
0
0
0
0
0

Pasien
Penjamin
2891
2891
1275
1275
1000
1000
5166
5166

0
0
0
0

Pasien

Penjamin
198
86
1000
1284

0
0
0
0

Pasien
Penjamin
142560
142560
32834
32834
15060
15060
4645
4645
1997
1997
9633
9633
3000
3000
209729
209729

0
0
0
0
0
0
0
0

198
86
1000
1284

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
TUB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
UNT
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
AMP
TAB
AMP
UNT

Depo IGD
Subtotal
BOT
AMP
TAB

Pasien
Penjamin
16417
16417
8415
8415
14988
14988
26611
26611
1997
1997
12012
12012
5809
5809
18342
18342
56262
56262
4500
4500
165353
165353

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
2222
2222
1275
1275
102
102
3000
3000
46419
46419

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
1275
1275
4645
4645
126
126
2891
2891
3500
3500
52257
52257

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26250
26250
5782
5782
378
378

0
0
0

TAB
UNT

Depo IGD
Subtotal
BOT
AMP
VIL
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
UNT
UNT
TAB
TAB
UNT

1569
2000
35979

1569
2000
35979

0
0
0

Pasien
Penjamin
16417
16417
4444
4444
13414
13414
448
448
286
286
204
204
3000
3000
38213
38213

0
0
0
0
0
0
0
0

Pasien
Penjamin
83400
83400
17772
17772
28512
28512
1500
1500
131184
131184

0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
1275
1275
2891
2891
2500
2500
39165
39165

0
0
0
0
0
0
0

Pasien
Penjamin
39500
39500
1828
1828
2726
2726
3500
3500
500
500
378
378
8780
8780
3500
3500

0
0
0
0
0
0
0
0

UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
AMP
UNT
BOT
VIL
UNT
UNT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
BOT
UNT
UNT
AMP
AMP

600
500
61812

600
500
61812

0
0
0

Pasien
Penjamin
14988
14988
16335
16335
2764
2764
1275
1275
5881
5881
5184
5184
8415
8415
3994
3994
4000
4000
62836
62836

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
16335
16335
14988
14988
1500
1500
41919
41919

0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
16417
16417
5881
5881
1540
1540
1275
1275
6930
6930
5672
5672

0
0
0
0
0
0
0
0

UNT

Depo IGD
Subtotal
VIL
BAG
VIL
UNT
PKG
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
PKG
PKG
UNT
UNT

Trolley IGD
Subtotal
SUP
UNT

Depo IGD
Subtotal
VIL
VIL
BOT
AMP
AMP
BOT
BOT
AMP
UNT

4000
73038

4000
73038

0
0

Pasien
Penjamin
422400
422400
19266
19266
72496
72496
4620
4620
10040
10040
2500
2500
531322
531322

0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
8415
8415
14988
14988
1382
1382
2550
2550
56788
56788
68064
68064
12012
12012
4000
4000
186391
186391

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7912
7912
500
500
8412
8412

0
0
0

Pasien
Penjamin
72496
72496
13414
13414
57964
57964
14702
14702
2222
2222
6072
6072
5881
5881
20790
20790
4000
4000

0
0
0
0
0
0
0
0
0

197541

Trolley IGD
Subtotal
UNT
UNT
BOT
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
AMP
UNT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
BAG
VIL
UNT

Depo IGD
Subtotal
VIL
TAB

197541

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
12012
12012
1540
1540
1757
1757
3000
3000
58129
58129

0
0
0
0
0
0
0
0

Pasien

Penjamin
896
286
176
110629
3480
3825
3000
122292

0
0
0
0
0
0
0
0

Pasien
Penjamin
8922
8922
500
500
9422
9422

0
0
0

Pasien
Penjamin
16417
16417
102600
102600
13414
13414
1500
1500
133931
133931

0
0
0
0
0

Pasien
Penjamin
304320
304320
306
306

0
0

896
286
176
110629
3480
3825
3000
122292

TAB
TAB
VIL
TAB
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Trolley IGD
Subtotal
UNT
UNT
BAG
AMP
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
TAB
UNT

Depo IGD
Subtotal
AMP
TAB
TAB
AMP
UNT

2004
39600
322766
15708
3994
6600
9633
4500
709431

2004
39600
322766
15708
3994
6600
9633
4500
709431

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1000
1000
211200
211200
1000
1000
213200
213200

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
12012
12012
4645
4645
1275
1275
2500
2500
43835
43835

0
0
0
0
0
0
0

Pasien
Penjamin
13860
13860
3480
3480
1056
1056
1500
1500
19896
19896

0
0
0
0
0

Pasien
Penjamin
5782
5782
1654
1654
1002
1002
14952
14952
2000
2000
25390
25390

0
0
0
0
0
0

Trolley IGD
Subtotal
UNT
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
AMP
BOT
TAB
TAB
TAB
VIL
AMP
AMP
UNT
PKG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
TUB
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
66198
66198
2550
2550
1382
1382
12012
12012
2000
2000
84142
84142

0
0
0
0
0
0

Pasien
Penjamin
25048
25048
6072
6072
1188
1188
562
562
26400
26400
6707
6707
8820
8820
5782
5782
3825
3825
5020
5020
5000
5000
94424
94424

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417
18343
18343
56262
56262
16088
16088
5809
5809
12012
12012
1997
1997
5294
5294
22688
22688
5500
5500
183813
183813

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

PKG
BOT
BOT
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
AMP
VIL
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
TAB
TAB
TAB
TAB
UNT

2285
16394
2760
4746
2000
28185

2285
16394
2760
4746
2000
28185

0
0
0
0
0
0

Penjamin
258
500
758

0
0
0

Pasien
Penjamin
32834
32834
20790
20790
5220
5220
13414
13414
2000
2000
74258
74258

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
1740
1740
6930
6930
1275
1275
1540
1540
3500
3500
54805
54805

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17643
17643
14702
14702
1998
1998
64
64
4928
4928
654
654
3000
3000

0
0
0
0
0
0
0

Pasien
258
500
758

42989

Depo IGD
Subtotal
AMP
AMP
VIL
UNT
UNT
BAG
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
AMP
AMP
UNT
UNT
UNT

Trolley IGD
Subtotal
TAB
UNT

Trolley IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
TAB

42989

Pasien
Penjamin
8820
8820
5782
5782
13414
13414
3825
3825
3994
3994
19266
19266
3000
3000
58101
58101

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
2891
2891
5672
5672
2550
2550
26611
26611
3500
3500
81044
81044

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
172
172
500
500
672
672

0
0
0

Pasien
Penjamin
2891
2891
2550
2550
1000
1000
6441
6441

0
0
0
0

Pasien
Penjamin
32834
32834
7854
7854

0
0

AMP
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
TAB
UNT
AMP
UNT
UNT
TAB
TAB
TAB
UNT
UNT
UNT
UNT
UNT

Trolley IGD
Subtotal
UNT
AMP
VIL
PKG
UNT
UNT

Trolley IGD
Subtotal
UNT
BOT
UNT
AMP
UNT

152064
1500
194252

152064
1500
194252

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
86
86
5732
5732
154440
154440
53900
53900
20213
20213
102
102
1002
1002
39600
39600
1997
1997
5809
5809
3575
3575
26611
26611
7500
7500
360387
360387

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2550
2550
2940
2940
26832
26832
41388
41388
26611
26611
2500
2500
102821
102821

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
9096
9096
1275
1275
2940
2940
2000
2000
30299
30299

0
0
0
0
0
0

Depo IGD
Subtotal
AMP
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
AMP
TAB
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
VIL
AMP
VIL
TAB
UNT

Pasien
Penjamin
12600
12600
516
516
5384
5384
16417
16417
2000
2000
36917
36917

0
0
0
0
0
0

Pasien
Penjamin
28728
28728
500
500
29228
29228

0
0
0

Pasien
Penjamin
8673
8673
504
504
32834
32834
1500
1500
43511
43511

0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
2891
2891
1275
1275
2500
2500
39165
39165

0
0
0
0
0
0
0

Pasien
300
211200
8820
37245
23562
2500
283627

Penjamin
300
211200
8820
37245
23562
2500
283627

0
0
0
0
0
0
0

Depo IGD
Subtotal
VIL
UNT
BOT
PKG
UNT

Depo IGD
Subtotal
BOT
CAP
AMP
TAB
TAB
UNT

Trolley IGD
Subtotal
BOT
VIL
UNT
AMP
AMP
BAG
VIL
UNT

Depo IGD
Subtotal
VIL
BAG
UNT
UNT

Depo IGD
Subtotal
CAP

Pasien
Penjamin
72496
72496
3994
3994
32834
32834
5020
5020
2000
2000
116344
116344

0
0
0
0
0
0

Pasien
Penjamin
26250
26250
5388
5388
5782
5782
1569
1569
378
378
2500
2500
41867
41867

0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
20748
20748
5991
5991
68429
68429
88803
88803
12012
12012
112200
112200
3500
3500
328100
328100

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
72496
72496
12012
12012
1540
1540
1500
1500
87548
87548

0
0
0
0
0

Pasien
Penjamin
8820
8820

TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
AMP
UNT
PKG
UNT

1260
1000
11080

1260
1000
11080

0
0
0

336
500
836

Penjamin
336
500
836

0
0
0

378
5782
2550
5020
2000
15730

Penjamin
378
5782
2550
5020
2000
15730

0
0
0
0
0
0

Pasien

Pasien

Waktu
31 Mei 2013 14:16
Item
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
5,00
1,00

31 Mei 2013 13:59

Item
IVENA IV CATH 20
IRBESARTAN 150 MG TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
IVENA IV CATH 22
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP ONEMED 5CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AMINOPHYLLINE 24mg SOLUTION
KA-EN 3B 500 ML INFUSION
INFUS SET JMS
TRANSFUSION SET JMS
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
9,00
9,00
1,00
9,00
9,00
1,00
9,00
1,00
6,00
9,00
6,00
10,00
20,00
2,00
2,00
1,00
1,00
3,00
14,00

31 Mei 2013 13:59

Item
CAPTOPRIL 12.5 MG TABLET
CLOPIDOGREL 75 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
FUROSEMID INF TABLET
CURCUMA 200 MG TABLET
DIGOXIN INF TABLET
RING AS SANBE 500 ML
IVENA IV CATH 22
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
6,00
3,00
9,00
3,00
6,00
1,00
12,00
9,00

31 Mei 2013 13:58

Item
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP ONEMED 3CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
12,00
9,00
12,00
12,00
12,00
30,00
1,00
8,00

31 Mei 2013 12:46

Item
ANBACIM INJECTION
SANMOL INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
10,00
20,00
3,00
1,00
1,00
7,00

31 Mei 2013 12:43

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RING AS SANBE 500 ML
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
DISP ONEMED 3CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
INFUS SET JMS
FOLLEY CATHETER 18 RUSCH
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET

JAKARTA SEHAT
Quantity
12,00
6,00
16,00
6,00
12,00
12,00
10,00
20,00
1,00
1,00
1,00
3,00
3,00
6,00
6,00
6,00

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

TUSLAH NON RACIKAN
TOTAL

6,00
17,00

31 Mei 2013 12:40

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
ASAM MEFENAMAT INF 500 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
SANMOL INFUSION
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 5 CC
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
10,00
20,00
9,00
9,00
6,00
9,00
1,00
1,00
12,00
12,00
12,00

31 Mei 2013 12:39

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

31 Mei 2013 12:33

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
12,00
9,00
10,00
20,00
6,00

31 Mei 2013 12:33

Item
VIVACE 5 MG TABLET
NORMOTEN 5 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
6,00
6,00
1,00

H.C.T 25 MG TABLET
BISOPROLOL 5 MG TABLET
ULTRACET 37,5MG TABL
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
2,00
4,00
1,00
1,00
8,00

31 Mei 2013 12:33

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
KETOROLAC 30 MG SOLUTION, INJECTION
CEFEPIME 1 GR INJECTION
METRONIDAZOLE 100 ML INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
DISP ONEMED 3CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
9,00
6,00
6,00
3,00
1,00
1,00
9,00
10,00
20,00
1,00
12,00

31 Mei 2013 12:22

Item
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
INFUS SET JMS
FOLLEY CATHETER 16 RUSCH
INPEPSA 100 ML SYRUP 500 mg/5 ml
ULTRACET 37,5MG TABL
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
3,00
3,00
10,00
20,00
1,00
1,00
1,00
1,00
9,00
9,00
3,00
12,00

31 Mei 2013 12:21

Item

JAKARTA SEHAT
Quantity

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
DISP ONEMED 3CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
16,00
16,00
10,00
20,00
1,00
7,00

31 Mei 2013 12:21

Item
VALISANBE TABLET 2 MG
PARACETAMOL INF TABLET 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP ONEMED 3CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
SANMOL INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
9,00
9,00
9,00
6,00
12,00
12,00
1,00
1,00
12,00
6,00
6,00
10,00
20,00
14,00

31 Mei 2013 11:37

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
PIRACETAM INJ 3 GR/ 15 ML INJECTION
INFUS SET JMS
IVENA IV CATH 20
CIPROFLOXACIN TABLET
NATRIUM PHENITOIN 50MG /ML INJ
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
6,00
5,00
10,00
30,00
1,00
6,00
1,00
1,00
6,00
3,00
6,00
6,00
6,00
6,00

TUSLAH NON RACIKAN

TOTAL

14,00

31 Mei 2013 11:37

Item
TRANSFUSION SET JMS
FOLIC ACID 1 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
NORMOTEN 5 MG TABLET
INFUS SET JMS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
AQUA FOR INJECT OTSUKA 25 ML
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
9,00
1,00
1,00
3,00
3,00
1,00
6,00
6,00
3,00
3,00
6,00
20,00
1,00
11,00

31 Mei 2013 10:17

Item
DISP SYRINGE 5 CC
DISP ONEMED 3CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 20
ANTALGIN 500 MG
BETAHISTIN NOVELL TABLET 6 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
10,00
20,00
2,00
1,00
1,00
1,00
9,00
9,00
9,00
9,00
12,00

31 Mei 2013 10:17

Item
SIMVASTATIN TABLET 20 MG
CAPTOPRIL 12.5 MG TABLET
DILTIAZEM INF TABLET 30 MG

JAKARTA SEHAT
Quantity
3,00
18,00
9,00

BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
DISP ONEMED 3CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
INFUS SET JMS
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
6,00
9,00
9,00
10,00
20,00
2,00
1,00
1,00
1,00
15,00

31 Mei 2013 10:16

Item
ANTASIDA DOEN 60 ML SYRUP
BIFOTIK POWDER, FOR INJECTION SUSPENSION
CITICHOLIN 2 ML 125 MG/ML INJECTION
PANTOPRAZOLE INJECTION
SANMOL INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
9,00
6,00
9,00
6,00
10,00
6,00
10,00
20,00
1,00
1,00
1,00
13,00

31 Mei 2013 10:01

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
9,00
6,00
6,00
9,00
1,00
8,00
10,00
20,00
1,00
9,00

TOTAL

31 Mei 2013 10:01

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP ONEMED 3CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
9,00
12,00
12,00
10,00
20,00
1,00
9,00

31 Mei 2013 10:00

Item
DISP ONEMED 3CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
10,00
20,00
3,00
1,00
5,00

31 Mei 2013 10:00

Item
IMIPENEM CILASTATIN 1 GR INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
30,00
3,00

31 Mei 2013 09:59

Item
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL 70% 100 ML

JAKARTA SEHAT
Quantity
9,00
1,00
9,00
6,00
9,00
30,00
10,00

DISP SYRINGE 5 CC
IVENA IV CATH 24
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

9,00
1,00
1,00
10,00

31 Mei 2013 09:58

Item
GLYCERIL GUAIACOLAT 100 MG TABLET
ANTALGIN 500 MG
RANITIDINE GENERIK 25 MG/ML INJECTION
KETESSE 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
PIRACETAM INJ 3 GR/ 15 ML INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
CEREMAX IV INFUS 50ml
OMEPRAZOLE 40 MG INJECTION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
9,00
6,00
6,00
6,00
6,00
1,00
6,00
6,00
1,00
3,00
12,00
6,00
3,00
10,00
20,00
16,00

31 Mei 2013 09:58

Item
ASPAR-K TABLET, COATED 300 mg
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
CAPTOPRIL 12.5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
FOLIC ACID 1 MG TABLET
FUROSEMID INF INJECTION
IVENA IV CATH 22
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
36,00
1,00
9,00
12,00
1,00
8,00
10,00
30,00
11,00

31 Mei 2013 09:58

JAKARTA SEHAT

Item
MUSIN OTTO 120 ML SUSPENSION
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
9,00
9,00
6,00
6,00
5,00
6,00

31 Mei 2013 09:57

Item
IVENA IV CATH 20
CEFOPERAZONE SULBACTAM 1 GM INJECTION
INFUS SET JMS
H.C.T 25 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
MECOBALAMIN AMP INJECTION
SANKORBIN AMP INJECTION
DISP ONEMED 3CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
1,00
3,00
9,00
3,00
3,00
9,00
3,00
10,00
20,00
11,00

31 Mei 2013 09:57

Item
TRANSFUSION SET JMS
THROMBO ASPILETS 100 MG TABLET
NORMOTEN 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
6,00
9,00
9,00
1,00
9,00
9,00
1,00
9,00
9,00
5,00

31 Mei 2013 09:56

Item

JAKARTA SEHAT
Quantity

SANMOL INFUSION
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
6,00
6,00
10,00
30,00
6,00
7,00

31 Mei 2013 09:56

Item
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
DISP ONEMED 3CC
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
6,00
9,00
3,00
10,00
10,00
6,00
6,00
1,00
1,00
11,00

31 Mei 2013 09:51

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
1,00

30 Mei 2013 10:59

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
15,00
3,00

29 Mei 2013 20:23

Item
OMEPRAZOLE GEN 20 MG CAPSULE

JAKARTA SEHAT
Quantity
2,00

SPIRONOLACTONE 100 MG TABLET

INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

29 Mei 2013 10:36

Item
TRAMIFEN CAPSUL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

29 Mei 2013 10:22

Item
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
MUSIN OTTO 120 ML SUSPENSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
5,00
10,00
20,00
1,00
1,00
12,00
9,00
3,00
9,00

28 Mei 2013 15:27

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

28 Mei 2013 15:24

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
GLURENORM TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
2,00

28 Mei 2013 15:14

Item
CEREMAX IV INFUS 50ml
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
1,00

TOTAL

28 Mei 2013 14:44

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 14:43

Item
CEFPIROME 1GR VIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

28 Mei 2013 14:27

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 14:22

Item
PLASMINEX 100 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
M-20 INFUSAN (MANITOL) 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 20
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
3,00
3,00
3,00
10,00
20,00
1,00
1,00
9,00

28 Mei 2013 14:06

Item
CIPROFLOXACIN TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
IVENA IV CATH 20

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
6,00
1,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
8,00

28 Mei 2013 14:04

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 14:02

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

28 Mei 2013 13:59

Item
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
20,00
1,00
4,00

28 Mei 2013 13:55

Item
NORMOTEN 10 MG TABLET
CEFPIROME 1GR VIL
KETOROLAC 30 MG SOLUTION, INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
9,00
3,00
10,00
10,00
20,00
7,00

28 Mei 2013 13:53

Item
GARAM INGGRIS
TUSLAH RACIKAN

JAKARTA SEHAT
Quantity
30,00
1,00

EMBALASE
CO AMOXYCLAV INF 625 MG TABLET, COATED
INFLESCO TABLET
ASAM MEFENAMAT INF 500 MG TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
9,00
9,00
9,00
3,00
4,00

28 Mei 2013 13:24

Item
H.C.T 25 MG TABLET
NORMOTEN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
IVENA IV CATH 20
METHYL PREDNISOLONE INF 4 MG TABLET
OMEPRAZOLE 40 MG INJECTION
FLUCONAZOL INFUS 100 ML
FARMADOL 100 ML INFUSION
MECOBALAMIN AMP INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
1,00
3,00
6,00
3,00
9,00
3,00
3,00
6,00
10,00
20,00
1,00
1,00
16,00

28 Mei 2013 13:21

Item
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
SIMVASTATIN TABLET 20 MG
CAPTOPRIL 12.5 MG TABLET
DILTIAZEM INF TABLET 30 MG
BISOPROLOL 5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
BISOLVON 2 ML INJECTION
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
1,00
3,00
36,00
9,00
3,00
3,00
5,00
1,00
11,00

28 Mei 2013 13:19

Item
CAPTOPRIL 12.5 MG TABLET
NORMOTEN 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 20
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
3,00
3,00
10,00
20,00
3,00
1,00
1,00
1,00
1,00
10,00

28 Mei 2013 13:17

Item
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
3,00
15,00
20,00
1,00
1,00
5,00
9,00

28 Mei 2013 13:17

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
IVENA IV CATH 22
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
6,00
10,00
20,00
1,00
1,00
1,00
1,00
5,00
5,00
11,00

28 Mei 2013 13:15

Item
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 18
DISP SYRINGE 5 CC
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
10,00
20,00
1,00
5,00
1,00
7,00

28 Mei 2013 13:13

Item
OBH MINOROCK 100 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
ANBACIM INJECTION
SANMOL INFUSION
VALAMIN SANBE INFUSION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
6,00
9,00
3,00
6,00
6,00
10,00
20,00
6,00
1,00
1,00
10,00
13,00

28 Mei 2013 13:10

Item
ONDANSETRON INF 4 MG INJECTION
IVENA IV CATH 22
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
INFUS SET JMS
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
12,00
20,00
20,00
20,00
1,00
1,00
1,00
9,00

28 Mei 2013 13:08

Item
ISOSORBIDE DINITRATE INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
H.C.T 25 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
MECOBALAMIN AMP INJECTION
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
6,00
3,00
9,00
3,00
1,00
5,00
5,00
8,00

28 Mei 2013 13:07

Item
ASPAR-K TABLET, COATED 300 mg
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
CAPTOPRIL 12.5 MG TABLET
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 20
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
18,00
9,00
10,00
20,00
1,00
5,00
9,00

28 Mei 2013 13:07

Item
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
NORMOTEN 10 MG TABLET
RING AS SANBE 500 ML
IVENA IV CATH 22
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
3,00
3,00
6,00
1,00
5,00
5,00
1,00
8,00

28 Mei 2013 13:04

Item

JAKARTA SEHAT
Quantity

ISOSORBIDE DINITRATE INF TABLET

BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
VALISANBE TABLET 5 MG
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
3,00
3,00
12,00
7,00
10,00
7,00

28 Mei 2013 13:02

Item
CAPTOPRIL 12.5 MG TABLET
CLOPIDOGREL 75 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
FUROSEMID INF TABLET
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
6,00
3,00
3,00
1,00
5,00
5,00
1,00
9,00

28 Mei 2013 13:02

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
9,00
4,00
1,00
9,00
4,00
1,00
9,00
9,00
1,00
5,00
5,00
1,00
8,00

28 Mei 2013 13:01

JAKARTA SEHAT

Item
TRAMADOL INF TABLET 50 MG
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 18
DISP SYRINGE 5 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
18,00
10,00
20,00
5,00
5,00
1,00
7,00

28 Mei 2013 12:49

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

27 Mei 2013 19:28

Item
DEXTROMETHORPHAN INF TABLET 15 MG
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
9,00
6,00
6,00
10,00
10,00
6,00

27 Mei 2013 15:14

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

27 Mei 2013 14:02

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
10,00
20,00
1,00
5,00

27 Mei 2013 14:01

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
6,00
10,00
20,00
4,00

27 Mei 2013 14:01

Item
KETESSE 25 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
6,00
6,00
3,00

27 Mei 2013 14:01

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
15,00
6,00
5,00

27 Mei 2013 14:00

Item
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
6,00
6,00
10,00
1,00
6,00

27 Mei 2013 13:51

Item
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
10,00

HANDSCOON NON STERIL S (PCS)

MICROPORE 2 INC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
1,00
4,00

27 Mei 2013 13:51

Item
IBUPROFEN INF 200 MG TABLET
OMEPRAZOLE 40 MG INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
10,00
4,00

27 Mei 2013 13:50

Item
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
20,00
1,00
4,00

27 Mei 2013 13:50

Item
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INJ 3 GR/ 15 ML INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
18,00
9,00
6,00
4,00

27 Mei 2013 13:50

Item
KETESSE 25 MG/ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
3,00
3,00
4,00

27 Mei 2013 13:49

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
10,00
20,00
1,00
5,00

27 Mei 2013 13:49

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUTROLIT INFUSION
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
6,00
4,00

27 Mei 2013 13:48

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
H.C.T 25 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
1,00
3,00
2,00
5,00

27 Mei 2013 13:34

Item
PARACETAMOL INF TABLET 500 mg
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
2,00

24 Mei 2013 10:06

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

24 Mei 2013 09:52

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 09:17

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 13:55

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
12,00
3,00
3,00

23 Mei 2013 13:31

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
2,00

23 Mei 2013 13:31

Item
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
3,00

23 Mei 2013 13:24

Item
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 13:24

Item
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

23 Mei 2013 13:23

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

23 Mei 2013 13:17

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

23 Mei 2013 13:16

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00

23 Mei 2013 13:15

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
2,00

23 Mei 2013 13:15

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

23 Mei 2013 13:14

Item
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
3,00

TUSLAH NON RACIKAN

TOTAL

1,00

23 Mei 2013 13:13

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

23 Mei 2013 13:09

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00

23 Mei 2013 11:10

Item
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
9,00
9,00
9,00
5,00
20,00
1,00
7,00

23 Mei 2013 11:09

Item
DEXAMETHASONE 5 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
MUSIN OTTO 120 ML SUSPENSION
HYPERIL 5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
3,00
3,00
15,00
10,00
20,00
1,00
1,00
3,00
3,00

INH 300 MG TABLET

ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
NEUROSANBE 3 ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

3,00
6,00
6,00
1,00
2,00
1,00
1,00
1,00
20,00

23 Mei 2013 11:09

Item
MUSIN OTTO 120 ML SUSPENSION
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
GRANISETRON 3 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
6,00
3,00
12,00
3,00
10,00
20,00
8,00

23 Mei 2013 11:09

Item
LANSOPRAZOLE GENERIK CAPSULE
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
PROPANOLOL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
4,00

23 Mei 2013 11:09

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
MUSIN OTTO 120 ML SUSPENSION
ASPAR-K TABLET, COATED 300 mg
SPIRONOLACTONE 100 MG TABLET
FLUCONAZOLE 150 MG TABLET
COTRIMOXAZOLE 480 MG TABLET

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
6,00
1,00
3,00
3,00
6,00
12,00

ALLOPURINOL INF TABLET 100 MG

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
9,00
10,00
20,00
1,00
15,00

23 Mei 2013 10:57

Item
AMBROXOL INF 30 MG TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
MUSIN OTTO 120 ML SUSPENSION
ANTASIDA DOEN 60 ML SYRUP
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
3,00
18,00
3,00
3,00
3,00
3,00
10,00
20,00
1,00
1,00
15,00

23 Mei 2013 10:56

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
MUSIN OTTO 120 ML SUSPENSION

JAKARTA SEHAT
Quantity
9,00
1,00
9,00
9,00
9,00
3,00
10,00
20,00
1,00
3,00
3,00
6,00
6,00
1,00

ALLOPURINOL INF TABLET 100 MG

TUSLAH NON RACIKAN
TOTAL

3,00
15,00

23 Mei 2013 10:56

Item
ULTRACET 37,5MG TABL
CITICHOLIN 2 ML 125 MG/ML INJECTION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
3,00

23 Mei 2013 10:56

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

23 Mei 2013 10:55

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

23 Mei 2013 10:52

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RINGER LACTATE WIDATRA 500 ML
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
SIMVASTATIN TABLET 20 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
1,00
10,00
10,00
6,00
6,00
3,00
3,00
3,00
3,00
10,00
3,00
3,00
3,00
15,00

23 Mei 2013 10:49

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
12,00
3,00

23 Mei 2013 10:49

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
FUROSEMID INF INJECTION
LOVENOX SOLUTION, INJECTION 40 mg
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
9,00
9,00
9,00
6,00
9,00
5,00
10,00
10,00

23 Mei 2013 10:48

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
NATRIUM DIKLOFENAK KF TABLET 25 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
NOVALGIN SOLUTION, INJECTION 500 mg/ml
M-20 INFUSAN (MANITOL) 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
3,00
6,00
9,00
6,00
6,00
6,00
6,00
9,00
6,00
6,00
5,00
20,00
1,00
14,00

23 Mei 2013 10:47

Item
MUSIN OTTO 120 ML SUSPENSION
NYMIKO SANBE 12 ML SUSPENSION
COTRIMOXAZOLE 480 MG TABLET
KETOCONAZOLE TABLET
SOLAC SYRUP
FLUCONAZOL INFUS 100 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
6,00
9,00
1,00
3,00
9,00
7,00

23 Mei 2013 10:38

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
12,00
9,00
20,00
1,00
6,00

23 Mei 2013 10:38

Item
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOKET INJECTION
FUROSEMID INF INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
3,00
3,00
3,00
9,00
20,00
1,00
8,00

23 Mei 2013 10:38

Item
KUTOIN-100 CAPSULE 100 MG
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
RING AS SANBE 500 ML
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
9,00
3,00
1,00
3,00
9,00
5,00

HANDSCOON NON STERIL S (PCS)

IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
5,00

23 Mei 2013 10:37

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

23 Mei 2013 10:31

Item
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
9,00
12,00
3,00
6,00
10,00
10,00
7,00

23 Mei 2013 10:30

Item
PARACETAMOL INF TABLET 500 mg
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
3,00
9,00
5,00
10,00
1,00
8,00

23 Mei 2013 10:30

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
20,00
1,00

IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

1,00
6,00

23 Mei 2013 10:30

Item
LIPOFIBRAT 300 MG TABLET
OMEPRAZOLE 40 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
SANMOL INFUSION
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
9,00
6,00
10,00
10,00
1,00
3,00
12,00

23 Mei 2013 10:29

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
VENTOLIN NEBULE SOLUTION, FOR INHALATION
PARACETAMOL INF TABLET 500 mg
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
15,00
5,00
20,00
1,00
9,00
9,00
6,00
3,00
6,00
6,00
9,00
13,00

23 Mei 2013 10:28

Item
ASPAR-K TABLET, COATED 300 mg
CAPTOPRIL 12.5 MG TABLET
CEFEPIME 1 GR INJECTION

JAKARTA SEHAT
Quantity
9,00
9,00
6,00

SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

9,00
6,00
10,00
6,00
7,00

23 Mei 2013 10:28

Item
AMLODIPIN 5 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
MUSIN OTTO 120 ML SUSPENSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
9,00
1,00
9,00
1,00
6,00
12,00
10,00
10,00
6,00

23 Mei 2013 10:28

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
1,00

22 Mei 2013 14:43

Item
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

22 Mei 2013 14:29

Item
DISP SYRINGE 10 CC
PYRAZINAMIDE INF 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
3,00

22 Mei 2013 13:13

JAKARTA SEHAT

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00

22 Mei 2013 12:02

Item
FUTROLIT INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
20,00
1,00
3,00
5,00

22 Mei 2013 11:25

Item
VITAMIN B6 10 MG TABLET
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
FUROSEMID INF INJECTION
ANBACIM INJECTION
FUTROLIT INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
3,00
6,00
4,00
6,00
3,00
10,00
20,00
10,00

22 Mei 2013 11:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
FOTARAM 1 g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
6,00
6,00

22 Mei 2013 11:23

Item

JAKARTA SEHAT
Quantity

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

9,00
3,00
9,00
6,00
20,00
1,00
6,00

22 Mei 2013 10:59

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
10,00
20,00
3,00
3,00
6,00
3,00
6,00
6,00
11,00

22 Mei 2013 10:59

Item
FOTARAM 1 g
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
3,00
3,00
10,00
20,00
1,00
7,00

22 Mei 2013 10:58

Item
ULTRACET 37,5MG TABL
CITICHOLIN 2 ML 125 MG/ML INJECTION
FUTROLIT INFUSION
DISP SYRINGE 5 CC
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
10,00
1,00
3,00
9,00
10,00

HANDSCOON NON STERIL S (PCS)

MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
7,00

22 Mei 2013 10:58

Item
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
3,00
1,00
5,00

22 Mei 2013 10:58

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
12,00
10,00
20,00
1,00
6,00

22 Mei 2013 10:57

Item
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
CEFEPIME 1 GR INJECTION
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
6,00
6,00
6,00

17 Mei 2013 09:36

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

17 Mei 2013 09:35

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00
2,00
4,00

17 Mei 2013 09:18

Item
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
NEEDLE NO. 23 THERUMO
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
1,00
4,00

17 Mei 2013 09:18

Item
RINGER LACTATE WIDATRA 500 ML
NEEDLE NO 25 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

16 Mei 2013 14:25

Item
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
2,00
6,00
10,00
1,00
5,00

16 Mei 2013 14:23

Item
CLOPIDOGREL 75 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00

16 Mei 2013 14:23

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

16 Mei 2013 14:22

Item
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
6,00
10,00
1,00
4,00

16 Mei 2013 12:01

Item
SALBUTAMOL INF TABLET 2 MG
METHYL PREDNISOLONE INF 4 MG TABLET
RANITIDINE INF TABLET 150 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
AMINOPHYLLINE 24mg SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
2,00
3,00
2,00
2,00
1,00
1,00
1,00
4,00
3,00
9,00

16 Mei 2013 12:00

Item
SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
2,00
2,00
6,00
10,00
5,00

16 Mei 2013 12:00

Item
ASAM MEFENAMAT INF 500 MG TABLET

UMUM
Quantity
3,00

INBION CAPSULE
POSPARGIN TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
3,00

16 Mei 2013 12:00

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

14 Mei 2013 14:57

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

14 Mei 2013 14:57

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

14 Mei 2013 13:52

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
6,00
10,00
4,00

14 Mei 2013 13:02

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

14 Mei 2013 12:28

Item
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
3,00

TUSLAH NON RACIKAN

TOTAL

1,00

14 Mei 2013 11:14

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

14 Mei 2013 11:10

Item
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 50 CC WITHOUT NED
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
10,00
1,00
1,00
1,00
3,00
7,00

14 Mei 2013 11:10

Item
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
15,00
15,00
5,00
1,00
1,00
3,00
7,00

14 Mei 2013 11:09

Item
MAGNESIUM SULFAT 20% INJECTION
IVENA IV CATH 22
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
2,00
4,00

14 Mei 2013 10:34

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
3,00
36,00
10,00
6,00

14 Mei 2013 10:33

Item
MUSIN OTTO 120 ML SUSPENSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
6,00
4,00
5,00
5,00
1,00
1,00
8,00

14 Mei 2013 10:33

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
RING AS SANBE 500 ML
IVENA IV CATH 22
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
4,00
4,00
1,00
2,00
7,00

14 Mei 2013 10:26

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
1,00
2,00
2,00
3,00

14 Mei 2013 08:24

Item
PARACETAMOL INF TABLET 500 mg
MUSIN OTTO 120 ML SUSPENSION
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
6,00
6,00
6,00
12,00
10,00
20,00
8,00

14 Mei 2013 08:24

Item
URISPAS TABLET, FILM COATED 200 MG
KETESSE TABLET, COATED 25 MG
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
4,00
3,00
2,00
2,00
6,00
10,00
8,00

14 Mei 2013 07:56

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
1,00
6,00
10,00
6,00

13 Mei 2013 13:54

Item
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

11 Mei 2013 10:44

Item
INBION CAPSULE
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
6,00
1,00

6 Mei 2013 13:09

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

3 Mei 2013 15:30

Item
KA-EN 3B 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 24
SELANG OKSIGEN BAYI
FOLLEY CATHETER 12 RUSCH
DISP SYRINGE 3 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

2 Mei 2013 11:55

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

2 Mei 2013 11:55

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

2 Mei 2013 11:54

Item
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
3,00

2 Mei 2013 11:53

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

2 Mei 2013 11:52

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

2 Mei 2013 11:51

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

2 Mei 2013 11:51

Item
BISOLVON 2 ML INJECTION
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

2 Mei 2013 05:24

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

1 Mei 2013 13:25

JAKARTA SEHAT

Item
CURCUMA 200 MG TABLET
SALBUTAMOL INF TABLET 2 MG
AMINORAL TABLET
AMLODIPIN 10 MG TABLET
IRBESARTAN 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
PANTOPRAZOLE INJECTION
NEUROSANBE 3 ML INJECTION
FUROSEMID INF INJECTION
PYRAZINAMIDE INF 500 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
6,00
12,00
2,00
2,00
2,00
2,00
6,00
6,00
1,00
6,00
4,00
4,00
2,00
4,00
2,00
13,00

1 Mei 2013 13:22

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CTM 4 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
BIFOTIK POWDER, FOR INJECTION SUSPENSION
NEW DIATABS TABLET 600 mg
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
2,00
2,00
4,00
4,00
6,00
4,00
4,00
2,00
4,00
12,00
8,00
6,00
20,00
15,00

1 Mei 2013 13:21

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
2,00
2,00
4,00

PYRAZINAMIDE INF 500 MG TABLET

CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
PANTOPRAZOLE INJECTION
PELASTIN INFUSION
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
4,00
8,00
4,00
4,00
4,00
12,00
20,00
12,00

1 Mei 2013 13:21

Item
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
ASPAR-K TABLET, COATED 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
6,00
4,00
12,00
6,00
6,00
2,00
2,00
4,00
4,00
2,00
2,00
12,00
20,00
15,00

1 Mei 2013 13:19

Item
COTRIMOXAZOLE 480 MG TABLET
DISP SYRINGE 10 CC
SANMOL INFUSION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
5,00
4,00

1 Mei 2013 13:18

Item
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
6,00

SALBUTAMOL INF TABLET 2 MG

NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
1,00
6,00
2,00
3,00

1 Mei 2013 13:18

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
4,00
6,00
12,00
20,00
7,00

1 Mei 2013 13:17

Item
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
8,00
2,00
4,00
4,00
6,00
6,00

1 Mei 2013 13:12

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
DEXTROMETHORPHAN INF TABLET 15 MG
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
10,00
6,00
12,00
20,00
6,00
4,00
4,00
6,00
6,00
6,00
4,00

AMBROXOL INF 30 MG TABLET

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
13,00

1 Mei 2013 13:10

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXAMETHASONE 5 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
6,00
4,00
4,00
2,00
4,00
12,00
20,00
2,00
13,00

1 Mei 2013 13:10

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
CURCUMA 200 MG TABLET
PANTOPRAZOLE INJECTION
PELASTIN INFUSION
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
4,00
4,00
4,00
4,00
8,00
12,00
20,00
12,00

1 Mei 2013 13:07

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
4,00
2,00

DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
H.C.T 25 MG TABLET
CURCUMA 200 MG TABLET
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
12,00
20,00
6,00
12,00
1,00
4,00
4,00
11,00

1 Mei 2013 13:03

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF INJECTION
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00
6,00
4,00
4,00
4,00
2,00
4,00
4,00
4,00
12,00
20,00
15,00

1 Mei 2013 13:02

Item
COTRIMOXAZOLE 480 MG TABLET
NEW DIATABS TABLET 600 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
4,00
12,00
4,00
4,00
4,00
6,00
4,00
4,00
8,00
4,00
12,00

HANDSCOON NON STERIL M (PCS)

TUSLAH NON RACIKAN
TOTAL

20,00
12,00

1 Mei 2013 13:02

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMINORAL TABLET
PANTOPRAZOLE INJECTION
FLUCONAZOL INFUS 100 ML
V-BLOC 6,25MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
AMLODIPIN 10 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
12,00
6,00
2,00
2,00
2,00
3,00
1,00
3,00
2,00
2,00
4,00
12,00
20,00
13,00

1 Mei 2013 13:01

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 150 MG TABLET
STATOR 10 MG TABLET
INH 300 MG TABLET
PANTOPRAZOLE INJECTION
CEFEPIME 1 GR INJECTION
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
1,00
4,00
2,00
4,00
4,00
4,00
4,00
6,00
4,00
1,00
13,00

1 Mei 2013 12:59

JAKARTA SEHAT

Item
ISOSORBIDE DINITRATE INF TABLET
ASPAR-K TABLET, COATED 300 mg
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
3,00
3,00
1,00
1,00
4,00
6,00
6,00
2,00
4,00
4,00
2,00
6,00
12,00
20,00
15,00

1 Mei 2013 12:57

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
FOTARAM 1 g
VALAMIN SANBE INFUSION
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
4,00
4,00
4,00
6,00
4,00
2,00
2,00
6,00
12,00
20,00
13,00

1 Mei 2013 12:26

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo
Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
TAB
TAB
GM
UNT
UNT
GM
UNT
UNT
UNT
VIL
BOT
PKG
UNT
PKG
AMP
BAG
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
CAP
TAB
TAB
TAB
BOT
UNT
UNT
UNT

Pasien
Penjamin
41700
41700
500
500
42200
42200

0
0
0

Pasien
Penjamin
14988
14988
6717
6717
738
738
360
360
3500
3500
450
450
351
351
3500
3500
450
450
14988
14988
1267200 1267200
147753
147753
3606
3606
3560
3560
10040
10040
11684
11684
37586
37586
8415
8415
16335
16335
5949
5949
7000
7000
1565170 1565170

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
774
29700
8106
366
4752
462
98502
14988
18480
4500
180630

Penjamin
774
29700
8106
366
4752
462
98502
14988
18480
4500
180630

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
VIL
AMP
BOT
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
BOT
UNT
PKG
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
BOT
UNT
PKG
UNT
PKG
UNT
UNT
UNT
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
511632
511632
35280
35280
147753
147753
18480
18480
6264
6264
4272
4272
15060
15060
14988
14988
4000
4000
757729
757729

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
633942
633942
504900
504900
3560
3560
10040
10040
7920
7920
14988
14988
8415
8415
3500
3500
1187265 1187265

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
83160
83160
44250
44250
262672
262672
15840
15840
18480
18480
6264
6264
3560
3560
10040
10040
14988
14988
8415
8415
18342
18342
1641
1641
348
348
1686
1686
3564
3564
3168
3168

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

VIL
UNT

Depo Atas
Subtotal
SUP
BOT
UNT
PKG
TAB
VIL
AMP
BOT
UNT
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo Atas
Subtotal
VIL
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT

68310
8500
573228

68310
8500
573228

0
0
0

Pasien
Penjamin
70686
70686
7920
7920
3560
3560
10040
10040
1269
1269
1009800 1009800
44250
44250
504900
504900
14988
14988
8415
8415
18480
18480
6264
6264
6000
6000
1706572 1706572

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5940
5940
500
500
6440
6440

0
0
0

Pasien
Penjamin
68310
68310
160380
160380
197004
197004
13860
13860
3560
3560
10040
10040
3000
3000
456154
456154

0
0
0
0
0
0
0
0

Pasien
Penjamin
48906
48906
29940
29940
57964
57964

0
0
0

TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
AMP
VIL
BOT
BOT
UNT
UNT
PKG
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
BOT
UNT
BOT
UNT
PKG
UNT
UNT
UNT
BOT
TAB
VIL
TAB
UNT

Depo Atas
Subtotal

132
2902
33360
14988
8415
4000
200607

132
2902
33360
14988
8415
4000
200607

0
0
0
0
0
0
0

Pasien
Penjamin
16164
16164
1269
1269
138573
138573
926640
926640
203904
203904
18216
18216
14988
14988
8415
8415
4698
4698
3560
3560
10040
10040
2640
2640
6000
6000
1355107 1355107

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
4620
4620
7920
7920
3560
3560
10040
10040
14988
14988
8415
8415
18343
18343
57964
57964
75060
75060
1900800 1900800
3825
3825
6000
6000
2127952 2127952

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

VIL
BOT
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
UNT
PKG
UNT
UNT
BOT
BOT
AMP
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT
PKG
PKG
UNT
AMP
UNT
UNT
TAB
AMP
VIL
AMP
BOT
AMP

68310
7920
24640
8352
3560
10040
14988
3500
141310

68310
7920
24640
8352
3560
10040
14988
3500
141310

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1269
1269
1134
1134
1269
1269
62370
62370
68310
68310
18480
18480
6264
6264
14988
14988
8415
8415
197004
197004
336600
336600
44250
44250
3560
3560
10040
10040
7000
7000
780953
780953

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68310
68310
7700
7700
5220
5220
15060
15060
14988
14988
89712
89712
8415
8415
14988
14988
1962
1962
161064
161064
362832
362832
34032
34032
98502
98502
44250
44250

0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
UNT
TAB
TAB
UNT
UNT
TAB
UNT
VIL
AMP
BOT
BOT
PKG
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
PKG
UNT
PKG
BOT
UNT
UNT
UNT
TAB
TAB
AMP
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

7000
934035

7000
934035

0
0

Pasien
Penjamin
16335
16335
738
738
1451
1451
3500
3500
150
150
14970
14970
8415
8415
673200
673200
14766
14766
49251
49251
7920
7920
3132
3132
10040
10040
14988
14988
5500
5500
824356
824356

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13860
13860
4698
4698
3560
3560
10040
10040
32834
32834
8415
8415
16335
16335
14988
14988
1521
1521
5994
5994
160380
160380
51048
51048
6000
6000
329673
329673

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6156
6156
1548
1548
1593
1593

0
0
0

TAB
TAB
VIL
VIL
AMP
PKG
UNT
PKG
BOT
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
AMP
VIL
BOT
BOT
UNT
BOT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
VIL
AMP
AMP
BOT
UNT
UNT
PKG
UNT
UNT

4353
132
255816
68310
380223
4698
3560
10040
32834
14952
8415
16335
7500
816465

4353
132
255816
68310
380223
4698
3560
10040
32834
14952
8415
16335
7500
816465

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3221
3221
968298
968298
160380
160380
434976
434976
504900
504900
41232
41232
15400
15400
15840
15840
3560
3560
10040
10040
8415
8415
16335
16335
14988
14988
6500
6500
2204085 2204085

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
511632
511632
41580
41580
15660
15660
9096
9096
12320
12320
3560
3560
10040
10040
14988
14988
4500
4500

0
0
0
0
0
0
0
0
0
0

624510

Depo Atas
Subtotal
TAB
VIL
AMP
AMP
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
PKG
UNT
PKG
BOT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
BOT
AMP
VIL
PKG
PKG
BOT

624510

Penjamin
378
511632
41580
15660
18480
6264
3560
10040
14988
4500
627082

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4698
4698
3560
3560
10040
10040
7920
7920
14988
14988
2500
2500
43706
43706

0
0
0
0
0
0
0

Pasien
Penjamin
145860
145860
3560
3560
15060
15060
1500
1500
165980
165980

0
0
0
0
0

Pasien
Penjamin
1134
1134
57964
57964
51048
51048
511632
511632
4698
4698
15060
15060
20900
20900

0
0
0
0
0
0
0

Pasien
378
511632
41580
15660
18480
6264
3560
10040
14988
4500
627082

UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
VIL
AMP
AMP
BOT
BOT
BOT
VIL
PKG
UNT
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas

13860
14988
14988
5000
711272

13860
14988
14988
5000
711272

0
0
0
0
0

Penjamin
396
1521
17346
280842
68310
106920
14952
98502
307296
247401
255816
6264
9240
7920
3560
10040
8000
1444326

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
1344
1344
462
462
3096
3096
47685
47685
738
738
29532
29532
14988
14988
12320
12320
3560
3560
15060
15060
5500
5500
156461
156461

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
396
1521
17346
280842
68310
106920
14952
98502
307296
247401
255816
6264
9240
7920
3560
10040
8000
1444326

Subtotal
BOT
AMP
BOT
BOT
AMP
UNT
UNT

Depo Atas
Subtotal
UNT
VIL
UNT
TAB
TAB
AMP
AMP
PKG
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
TAB
TAB
TAB
GM
UNT
UNT
GM
UNT
UNT
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
47685
47685
51048
51048
504900
504900
98502
98502
35052
35052
7700
7700
3000
3000
747887
747887

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
673200
673200
8415
8415
132
132
49896
49896
28512
28512
74274
74274
4698
4698
7920
7920
3560
3560
10040
10040
5500
5500
881135
881135

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
1638
1638
29940
29940
11880
11880
351
351
3500
3500
450
450
360
360
3500
3500
450
450
738
738
2500
2500
71642
71642

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

BOT
VIL
VIL
BOT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
BOT
VIL
BOT
BOT
UNT
PKG
UNT
PKG
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

336600
217488
68310
15840
3560
15060
98502
3500
758860

336600
217488
68310
15840
3560
15060
98502
3500
758860

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
57964
57964
511632
511632
147753
147753
7920
7920
3560
3560
5020
5020
9240
9240
3132
3132
14988
14988
8415
8415
5500
5500
776258
776258

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
153000
153000
500
500
153500
153500

0
0
0

Pasien
Penjamin
289980
289980
2115
2115
17880
17880
1500
1500
311475
311475

0
0
0
0
0

Pasien

Penjamin
900
900

TAB
BOT
UNT

Depo Atas
Subtotal
CAP
UNT

Depo Atas
Subtotal
UNT
BOT
UNT
PKG
UNT
BOT
VIL
AMP
BOT
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
VIL
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

1266
57964
1500
61630

1266
57964
1500
61630

0
0
0
0

Pasien
Penjamin
100980
100980
500
500
101480
101480

0
0
0

Pasien
Penjamin
11475
11475
13200
13200
3560
3560
10040
10040
14988
14988
47685
47685
136620
136620
26019
26019
49251
49251
4500
4500
317338
317338

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12305
12305
500
500
12805
12805

0
0
0

Pasien
Penjamin
22770
22770
17532
17532
1000
1000
41302
41302

0
0
0
0

Pasien
Penjamin
742203
742203
500
500

0
0

742703

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Atas
Subtotal
AMP
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
AMP
BOT
AMP
UNT

742703

Pasien
Penjamin
13029
13029
500
500
13529
13529

0
0
0

Pasien
Penjamin
827640
827640
500
500
828140
828140

0
0
0

Pasien
Penjamin
21450
21450
500
500
21950
21950

0
0
0

Pasien
Penjamin
34317
34317
22770
22770
235902
235902
3825
3825
4620
4620
3560
3560
10040
10040
14988
14988
16335
16335
4500
4500
350857
350857

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1962
1962
106920
106920
34032
34032
98502
98502
89712
89712
14988
14988

0
0
0
0
0
0

UNT
UNT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
GM
UNT

6375
1540
4000
358031

6375
1540
4000
358031

0
0
0
0

Pasien
Penjamin
10725
10725
500
500
11225
11225

0
0
0

Pasien
Penjamin
102000
102000
500
500
102500
102500

0
0
0

Pasien
Penjamin
7920
7920
3560
3560
10040
10040
14988
14988
2000
2000
38508
38508

0
0
0
0
0
0

Pasien
Penjamin
23166
23166
827640
827640
138573
138573
7920
7920
12750
12750
3560
3560
10040
10040
3500
3500
1027149 1027149

0
0
0
0
0
0
0
0
0

Pasien
840
3500

Penjamin
840
3500

0
0

UNT
TAB
TAB
TAB
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
UNT
TAB
VIL
BOT
BOT
AMP
BOT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT

50
54549
112860
1269
437580
2000
612648

50
54549
112860
1269
437580
2000
612648

0
0
0
0
0
0
0

Penjamin
132
23166
1476
106920
14988
1524
511632
336633
534600
28512
7920
7650
3560
10040
14988
14988
8000
1626729

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12750
12750
3560
3560
10040
10040
14988
14988
6156
6156
3096
3096
1593
1593
4353
4353
255816
255816
211235
211235
14988
14988
5500
5500
544075
544075

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
132
23166
1476
106920
14988
1524
511632
336633
534600
28512
7920
7650
3560
10040
14988
14988
8000
1626729

Depo Atas
Subtotal
TAB
TAB
VIL
UNT
PKG
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
BOT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
PKG
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Pasien
Penjamin
1548
1548
23166
23166
255816
255816
3560
3560
10040
10040
7920
7920
14988
14988
1540
1540
1275
1275
8415
8415
5000
5000
333268
333268

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
203904
203904
336600
336600
7650
7650
7920
7920
5340
5340
10040
10040
14988
14988
8415
8415
7700
7700
4500
4500
607057
607057

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
1422
1422
98502
98502
3560
3560
10040
10040
2970
2970
14988
14988
14988
14988
8415
8415
6375
6375
7700
7700
5500
5500
175594
175594

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
AMP
BOT
BOT
BOT
UNT
UNT
PKG
BOT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
UNT
PKG
BOT
UNT
UNT
UNT

Pasien
Penjamin
5280
5280
6375
6375
3560
3560
10040
10040
14988
14988
7700
7700
16335
16335
3500
3500
67778
67778

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4620
4620
41580
41580
422628
422628
504900
504900
189759
189759
54576
54576
9240
9240
3560
3560
10040
10040
15840
15840
14988
14988
8415
8415
12750
12750
6500
6500
1299396 1299396

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
34032
34032
14988
14988
18480
18480
25500
25500
7120
7120
10040
10040
2640
2640
8415
8415
16335
16335
4500
4500
142050
142050

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
VIL
TAB
TAB
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal

Pasien
Penjamin
2088
2088
673200
673200
132
132
49896
49896
28512
28512
14988
14988
6375
6375
7700
7700
4000
4000
786891
786891

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
1344
1344
462
462
1548
1548
13860
13860
3560
3560
10040
10040
14988
14988
6375
6375
4500
4500
78853
78853

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1548
1548
132
132
23166
23166
98502
98502
14988
14988
7700
7700
6375
6375
8415
8415
4000
4000
164826
164826

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
CAP
TAB
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
UNT
UNT
GM
UNT
UNT
TAB
UNT
UNT
UNT
UNT
UNT

Depo Atas

696
2902
2481
657
83160
8925
15400
3500
117721

696
2902
2481
657
83160
8925
15400
3500
117721

0
0
0
0
0
0
0
0
0

Penjamin
774
29700
8106
366
27288
14988
6375
7700
8415
4500
108212

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1638
1638
4962
4962
11880
11880
156
156
3500
3500
450
450
160
160
3500
3500
450
450
738
738
8415
8415
6375
6375
7700
7700
14988
14988
4000
4000
68912
68912

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
774
29700
8106
366
27288
14988
6375
7700
8415
4500
108212

Subtotal
TAB
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Apotik Panel 2
Subtotal
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT

Pasien
Penjamin
2016
2016
22950
22950
3560
3560
10040
10040
74940
74940
7700
7700
8415
8415
3500
3500
133121
133121

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19140
19140
500
500
19640
19640

0
0
0

Pasien
Penjamin
1287
1287
1134
1134
17346
17346
7650
7650
5020
5020
3560
3560
3000
3000
38997
38997

0
0
0
0
0
0
0
0

Pasien
Penjamin
81510
81510
500
500
82010
82010

0
0
0

Pasien
Penjamin
9240
9240
7650
7650
3560
3560
10040
10040
14988
14988
2500
2500
47978
47978

0
0
0
0
0
0
0

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
AMP
AMP
UNT

Depo Atas
Subtotal
VIL
AMP
VIL
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT

Pasien
Penjamin
26775
26775
9240
9240
3560
3560
10040
10040
2000
2000
51615
51615

0
0
0
0
0
0

Pasien
Penjamin
421263
421263
41580
41580
10440
10440
1500
1500
474783
474783

0
0
0
0
0

Pasien
Penjamin
673200
673200
34032
34032
511632
511632
19125
19125
15840
15840
2500
2500
1256329 1256329

0
0
0
0
0
0
0

Pasien

Penjamin
756
147753
7650
2136
5020
14988
3000
181303

0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560

756
147753
7650
2136
5020
14988
3000
181303

PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
VIL
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
BOT
UNT

10040
46101
14988
2000
76689

10040
46101
14988
2000
76689

0
0
0
0
0

Penjamin
810
511632
2136
5020
2000
521598

0
0
0
0
0
0

Pasien
Penjamin
7650
7650
3560
3560
10040
10040
14988
14988
2000
2000
38238
38238

0
0
0
0
0
0

Pasien
Penjamin
29700
29700
1548
1548
134568
134568
98502
98502
2000
2000
266318
266318

0
0
0
0
0
0

Pasien
Penjamin
280842
280842
106920
106920
49251
49251
153648
153648
2000
2000
592661
592661

0
0
0
0
0
0

Pasien
810
511632
2136
5020
2000
521598

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
7650
7650
9240
9240
3560
3560
10040
10040
14988
14988
2500
2500
47978
47978

0
0
0
0
0
0
0

Pasien
Penjamin
160380
160380
62370
62370
307296
307296
336600
336600
2000
2000
868646
868646

0
0
0
0
0
0

Pasien
Penjamin
47124
47124
4962
4962
47685
47685
132
132
2902
2902
2500
2500
105305
105305

0
0
0
0
0
0
0

Pasien

Penjamin
756
27288
1000
29044

0
0
0
0

Pasien
Penjamin
2460
2460
500
500
2960
2960

0
0
0

756
27288
1000
29044

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT
BAG
UNT

Depo Atas
Subtotal
VIL
BAG
UNT

Depo Atas
Subtotal
UNT
BAG
VIL
UNT

Depo Atas
Subtotal
PKG
UNT

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
68310
68310
23964
23964
28899
28899
1500
1500
122673
122673

0
0
0
0
0

Pasien
Penjamin
68310
68310
28899
28899
1000
1000
98209
98209

0
0
0
0

Pasien
Penjamin
5991
5991
28899
28899
68310
68310
1500
1500
104700
104700

0
0
0
0
0

Pasien
Penjamin
26950
26950
500
500
27450
27450

0
0
0

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
BAG
UNT

Depo Atas
Subtotal
VIL
BAG
UNT

Depo Atas
Subtotal
BAG
UNT

Depo Atas
Subtotal
UNT

Pasien
Penjamin
1920
1920
500
500
2420
2420

0
0
0

Pasien
Penjamin
14420
14420
500
500
14920
14920

0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Pasien
Penjamin
22770
22770
28899
28899
1000
1000
52669
52669

0
0
0
0

Pasien
Penjamin
68310
68310
28899
28899
1000
1000
98209
98209

0
0
0
0

Pasien
Penjamin
28899
28899
500
500
29399
29399

0
0
0

Pasien
Penjamin
5991
5991

UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
VIL
VIL
UNT
UNT
PKG
UNT
BOT
TAB
TAB

500
6491

500
6491

0
0

Pasien
Penjamin
68310
68310
500
500
68810
68810

0
0
0

Pasien
Penjamin
22770
22770
5991
5991
28899
28899
1500
1500
59160
59160

0
0
0
0
0

Pasien
Penjamin
23562
23562
89100
89100
160380
160380
13860
13860
1780
1780
10040
10040
14988
14988
3500
3500
317210
317210

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17640
17640
34032
34032
98502
98502
30096
30096
255816
255816
19125
19125
3560
3560
10040
10040
14988
14988
47685
47685
23562
23562
2376
2376

0
0
0
0
0
0
0
0
0
0
0
0

TAB
TAB
TAB
AMP
VIL
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
VIL
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
AMP
VIL
VIL
BOT
TAB
TAB
TAB
TAB

348
3564
1686
4645
422400
3300
1540
2640
10000
1007545

348
3564
1686
4645
422400
3300
1540
2640
10000
1007545

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
1134
1134
511632
511632
158400
158400
197004
197004
3825
3825
3560
3560
10040
10040
4000
4000
937280
937280

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4053
4053
1344
1344
366
366
264
264
2000
2000
8027
8027

0
0
0
0
0
0

Pasien
Penjamin
15660
15660
62370
62370
511632
511632
673200
673200
47685
47685
7392
7392
3798
3798
158400
158400
2304
2304

0
0
0
0
0
0
0
0
0

TAB
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
VIL
UNT
BOT
BOT
TAB
TAB
TAB
TAB
TAB
BOT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
CTG
AMP
VIL
UNT
BOT
UNT
PKG
UNT
TAB
TAB
TAB
TAB
BOT

1368
11475
13860
3560
10040
14988
7500
1545232

1368
11475
13860
3560
10040
14988
7500
1545232

0
0
0
0
0
0
0
0

Penjamin
501
85272
1275
47685
3221
2481
1548
1638
366
7392
49251
3560
10040
14988
26535
7500
263253

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1900800 1900800
180048
180048
380223
380223
90288
90288
11475
11475
7920
7920
3560
3560
10040
10040
14988
14988
1641
1641
348
348
3564
3564
1686
1686
47685
47685

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
501
85272
1275
47685
3221
2481
1548
1638
366
7392
49251
3560
10040
14988
26535
7500
263253

TAB
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
PKG
UNT
TAB
TAB
TAB
TAB
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

456
7500
2662222

456
7500
2662222

0
0
0

Pasien
Penjamin
75060
75060
160380
160380
307296
307296
1500
1500
544236
544236

0
0
0
0
0

Pasien

Penjamin
410
410
500
500
910
910

0
0
0

Penjamin
336
500
836

0
0
0

Pasien
Penjamin
3560
3560
10040
10040
14988
14988
1430
1430
1670
1670
1686
1686
3564
3564
27288
27288
23562
23562
1503
1503
1344
1344
820
820
6156
6156
2376
2376
348
348
7500
7500
107835
107835

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
336
500
836

Depo Atas
Subtotal
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
AMP
BOT
AMP
BOT
UNT
UNT
UNT
PKG
UNT
UNT

Pasien
Penjamin
1134
1134
2700
2700
109152
109152
1500
1500
114486
114486

0
0
0
0
0

Pasien
Penjamin
1503
1503
29700
29700
696
696
22176
22176
13059
13059
22149
22149
912960
912960
11475
11475
1780
1780
5020
5020
5000
5000
1025518 1025518

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1548
1548
4353
4353
4962
4962
1818
1818
106920
106920
17346
17346
98502
98502
60066
60066
707706
707706
9240
9240
7650
7650
1780
1780
10040
10040
14988
14988
7000
7000
1053919 1053919

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
BOT
TAB
TAB
BOT
BOT
VIL
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
AMP
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
CAP
GM
UNT
UNT
BOT
UNT

Pasien
Penjamin
47685
47685
30217
30217
1152
1152
4203
4203
65340
65340
336633
336633
111735
111735
3500
3500
600465
600465

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
255816
255816
197004
197004
3204
3204
10040
10040
14988
14988
3000
3000
485186
485186

0
0
0
0
0
0
0
0

Pasien

Penjamin
348
516
1503
225720
7383
3204
10040
14988
4000
267702

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12294
12294
63
63
3500
3500
150
150
147753
147753
1780
1780

0
0
0
0
0
0

348
516
1503
225720
7383
3204
10040
14988
4000
267702

PKG
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT
PKG
UNT

10040
14988
2500
193068

10040
14988
2500
193068

0
0
0
0

Pasien
Penjamin
29700
29700
500
500
30200
30200

0
0
0

Pasien
Penjamin
1344
1344
774
774
29532
29532
49251
49251
9240
9240
3560
3560
5020
5020
3500
3500
102221
102221

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
66375
66375
35286
35286
153648
153648
11475
11475
1780
1780
5020
5020
14988
14988
4000
4000
293706
293706

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138573
138573
11475
11475
3204
3204
10040
10040
26535
26535

0
0
0
0
0

UNT
UNT

Depo Atas
Subtotal
TAB
VIL
VIL
AMP
BOT
BOT
BOT
UNT
UNT
PKG
UNT
BOT
UNT

Depo Atas
Subtotal
AMP
BOT
UNT
UNT
PKG
UNT
VIL
TAB
TAB
TAB
TAB
VIL
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
VIL

14988
3000
207815

14988
3000
207815

0
0
0

Pasien
Penjamin
25863
25863
255816
255816
673200
673200
34032
34032
147753
147753
336600
336600
305856
305856
7650
7650
3560
3560
5020
5020
14988
14988
7920
7920
6000
6000
1824258 1824258

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17346
17346
7920
7920
19125
19125
1780
1780
10040
10040
14988
14988
90288
90288
1134
1134
4962
4962
4353
4353
516
516
968298
968298
51048
51048
6500
6500
1198298 1198298

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
774
774
926640
926640

0
0
0

BOT
VIL
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
BOT
VIL
BOT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
TAB
VIL
UNT

Emergency Cempaka

504900
511632
3560
15840
3500
1989022

504900
511632
3560
15840
3500
1989022

0
0
0
0
0
0

Pasien
Penjamin
2481
2481
360
360
3500
3500
450
450
47685
47685
673200
673200
197004
197004
3560
3560
5020
5020
3000
3000
936260
936260

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
153000
153000
500
500
153500
153500

0
0
0

Pasien
Penjamin
79220
79220
500
500
79720
79720

0
0
0

Pasien
Penjamin
5991
5991
843
843
68310
68310
1500
1500
76644
76644

0
0
0
0
0

Subtotal
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
AMP
BOT
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT

Depo Atas
Subtotal

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
307296
307296
3560
3560
10040
10040
26535
26535
7920
7920
2500
2500
357851
357851

0
0
0
0
0
0
0

Pasien

Penjamin
108
1002
756
7383
422628
204864
74490
3825
3560
10040
5000
733656

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
162
162
663774
663774
3000
3000
674910
674910

0
0
0
0
0
0
0
0

108
1002
756
7383
422628
204864
74490
3825
3560
10040
5000
733656

Pasien

Penjamin

VIL
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
VIL
UNT
UNT
PKG
TAB
TAB
TAB
TAB
TAB
AMP
UNT

Depo Atas
Subtotal
VIL
VIL
BOT
VIL
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
UNT

111735
7920
11475
2136
10040
26535
3000
172841

111735
7920
11475
2136
10040
26535
3000
172841

0
0
0
0
0
0
0
0

Pasien
Penjamin
60192
60192
74490
74490
7650
7650
3560
3560
10040
10040
2376
2376
348
348
108
108
843
843
3564
3564
253482
253482
5500
5500
422153
422153

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
663774
663774
511632
511632
49251
49251
37245
37245
3560
3560
10040
10040
26535
26535
3500
3500
1305537 1305537

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
83400
83400
17820
17820
153648
153648
13860
13860
3560
3560

0
0
0
0
0

PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
BOT
AMP
UNT

Emergency Anggrek
Subtotal
UNT
UNT

10040
26535
3500
312363

10040
26535
3500
312363

0
0
0
0

Pasien
Penjamin
1503
1503
900
900
22176
22176
1503
1503
47685
47685
2500
2500
76267
76267

0
0
0
0
0
0
0

Pasien

Penjamin
756
255816
197004
3560
10040
26535
3000
496711

0
0
0
0
0
0
0
0

Penjamin
600
7920
926640
17640
98502
35052
3000
1089354

0
0
0
0
0
0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

756
255816
197004
3560
10040
26535
3000
496711

Pasien
600
7920
926640
17640
98502
35052
3000
1089354

Emergency Anggrek
Subtotal
BOT
UNT
BOT
TAB
UNT

Emergency Anggrek VIP

Subtotal
UNT
BOT
UNT
UNT
UNT

Emergency Anggrek VIP

Subtotal
BOT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
UNT

Pasien
Penjamin
9096
9096
1540
1540
32834
32834
204
204
2000
2000
45674
45674

0
0
0
0
0
0

Pasien
Penjamin
1997
1997
16417
16417
1540
1540
516
516
2000
2000
22470
22470

0
0
0
0
0
0

Pasien
Penjamin
9096
9096
378
378
1000
1000
10474
10474

0
0
0
0

Pasien
Penjamin
32834
32834
2550
2550
2136
2136
5020
5020
26535
26535
2500
2500
71575
71575

0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
16417
16417
1000
1000
27317
27317

0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
AMP
BAG
BOT
VIL
BOT
UNT

Depo Atas
Subtotal
BOT
VIL
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
5445
5445
500
500
5945
5945

0
0
0

Pasien
Penjamin
3080
3080
2136
2136
5020
5020
26535
26535
2000
2000
38771
38771

0
0
0
0
0
0

Pasien

Penjamin
200
1524
474
13414
5842
9633
16417
40128
153648
4500
245780

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112200
112200
170544
170544
18192
18192
2136
2136
5020
5020
2500
2500
310592
310592

0
0
0
0
0
0
0

200
1524
474
13414
5842
9633
16417
40128
153648
4500
245780

Pasien

Penjamin
423
423

CAP
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
SUP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT

1155
1548
1500
4626

1155
1548
1500
4626

0
0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
1020
1020
500
500
1520
1520

0
0
0

Pasien
Penjamin
21780
21780
500
500
22280
22280

0
0
0

Pasien
Penjamin
23562
23562
3825
3825
2136
2136
5020
5020
2000
2000
36543
36543

0
0
0
0
0
0

Pasien
Penjamin
144992
144992
500
500
145492
145492

0
0
0

Pasien
Penjamin
4620
4620

UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
AMP
UNT
BOT
UNT
UNT

500
5120

500
5120

0
0

Penjamin
270
270
500
500
770
770

0
0
0

Pasien
Penjamin
2550
2550
2136
2136
5020
5020
12610
12610
14988
14988
8415
8415
49251
49251
3500
3500
98470
98470

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7650
7650
5340
5340
7530
7530
7700
7700
8415
8415
14988
14988
49251
49251
3500
3500
104374
104374

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4634
4634
14988
14988
49251
49251
2550
2550
2000
2000
73423
73423

0
0
0
0
0
0

Pasien

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
AMP
AMP
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
CTG
TAB
TAB
UNT

Pasien
Penjamin
1503
1503
29700
29700
4962
4962
132
132
3096
3096
1020
1020
3000
3000
43413
43413

0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
10440
10440
41580
41580
65668
65668
6375
6375
7700
7700
14988
14988
8415
8415
4000
4000
206851
206851

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2481
2481
4353
4353
4105
4105
190740
190740
65668
65668
14988
14988
3080
3080
3500
3500
288915
288915

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
180048
180048
15708
15708
2902
2902
1500
1500
200158
200158

0
0
0
0
0

Depo Atas
Subtotal
TAB
BOT
AMP
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
BOT
UNT
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
VIL
BOT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
SUP
UNT

Pasien
Penjamin
1134
1134
47685
47685
17346
17346
34032
34032
54576
54576
15300
15300
3560
3560
10040
10040
4000
4000
187673
187673

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16632
16632
15840
15840
448800
448800
178200
178200
2550
2550
5280
5280
2136
2136
5020
5020
4000
4000
678458
678458

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
144992
144992
49251
49251
9633
9633
2136
2136
5020
5020
3000
3000
227446
227446

0
0
0
0
0
0
0
0

Pasien
Penjamin
25260
25260
500
500
25760
25760

0
0
0

Depo Atas
Subtotal
CAP
UNT

Trolley IGD
Subtotal
UNT
UNT
BOT
TAB
TAB
UNT

Trolley IGD
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Pasien
Penjamin
6237
6237
450
450
6687
6687

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
102
102
9900
9900
2500
2500
52322
52322

0
0
0
0
0
0
0

Pasien
Penjamin
18793
18793
8415
8415
11990
11990
20625
20625
18343
18343
1275
1275
5881
5881
5809
5809
12012
12012
4500
4500
107643
107643

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
500
500
33334
33334

0
0
0

Pasien
Penjamin
32834
32834
500
500
33334
33334

0
0
0

Depo Unit Dose

Subtotal
BOT
VIL
AMP
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
AMP
TAB
UNT

Depo IGD
Subtotal
UNT
UNT

Depo Unit Dose

Pasien
Penjamin
32834
32834
37245
37245
84494
84494
1500
1500
156073
156073

0
0
0
0
0

Pasien
Penjamin
24830
24830
500
500
25330
25330

0
0
0

Pasien
Penjamin
37245
37245
500
500
37745
37745

0
0
0

Pasien
Penjamin
24830
24830
500
500
25330
25330

0
0
0

Pasien
Penjamin
126741
126741
19602
19602
1000
1000
147343
147343

0
0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GM
UNT
UNT
VIL
AMP
AMP
TAB
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
AMP
BOT
VIL
TAB
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

Pasien
Penjamin
2112
2112
600
600
78408
78408
2916
2916
8210
8210
1584
1584
232
232
492
492
240
240
3500
3500
300
300
289984
289984
18580
18580
4444
4444
1124
1124
32834
32834
6500
6500
452060
452060

Pasien

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
858
72
1584
232
1124
2376
192
11564
22688
32834
645532
6408
10200
2136
10040
7500
755340

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376

0
0
0

858
72
1584
232
1124
2376
192
11564
22688
32834
645532
6408
10200
2136
10040
7500
755340

TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
VIL
AMP
VIL
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
UNT
BOT
BOT
UNT

Depo Unit Dose

Subtotal
TAB

1124
2112
72
1536
289984
1233508
7988
4272
10040
6000
1560828

1124
2112
72
1536
289984
1233508
7988
4272
10040
6000
1560828

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
289984
289984
34032
34032
1267200 1267200
65668
65668
29568
29568
858
858
1002
1002
1584
1584
232
232
1124
1124
2376
2376
3994
3994
2550
2550
4272
4272
10040
10040
7500
7500
1721984 1721984

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
768
3994
56100
297000
2000
359862

0
0
0
0
0
0

Penjamin
756
756

768
3994
56100
297000
2000
359862

Pasien

TAB
GM
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
UNT
UNT
UNT
PKG
AMP
BOT
AMP
TAB
TAB
TAB
TAB

600
126
3500
300
11762
1500
18544

600
126
3500
300
11762
1500
18544

0
0
0
0
0
0
0

Penjamin
858
1002
1267200
23524
11982
4272
10040
3500
1322378

0
0
0
0
0
0
0
0
0

Penjamin
756
1536
232
1124
2376
600
3000
9624

0
0
0
0
0
0
0
0

Pasien
Penjamin
19970
19970
7650
7650
4272
4272
10040
10040
17640
17640
65668
65668
23368
23368
858
858
600
600
7920
7920
2376
2376

0
0
0
0
0
0
0
0
0
0
0

Pasien
858
1002
1267200
23524
11982
4272
10040
3500
1322378

Pasien
756
1536
232
1124
2376
600
3000
9624

TAB
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
VIL
AMP
UNT
UNT
UNT
PKG
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
VIL
BOT

1002
1267200
6500
1435064

1002
1267200
6500
1435064

0
0
0
0

Pasien
Penjamin
1002
1002
1584
1584
232
232
1124
1124
2376
2376
17640
17640
26828
26828
29500
29500
3994
3994
5100
5100
4272
4272
10040
10040
11762
11762
6500
6500
121954
121954

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
756
1584
232
1124
2376
72
2112
289984
1233508
15976
4272
10040
6000
1568036

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
448800
448800
32834
32834

0
0

756
1584
232
1124
2376
72
2112
289984
1233508
15976
4272
10040
6000
1568036

UNT
UNT
UNT
PKG
TAB
TAB
TAB
TAB
AMP
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
VIL
VIL
AMP
BOT
BOT
BAG
UNT
UNT
UNT

6160
7988
4272
10040
516
1224
44
2112
8888
5500
528378

6160
7988
4272
10040
516
1224
44
2112
8888
5500
528378

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2376
2376
72
72
612
612
8888
8888
289984
289984
27720
27720
11762
11762
5100
5100
7988
7988
6160
6160
4272
4272
10040
10040
7500
7500
385414
385414

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
768
6408
448800
289984
22688
35286
65668
410400
15976
5100
4272

Penjamin
768
6408
448800
289984
22688
35286
65668
410400
15976
5100
4272

0
0
0
0
0
0
0
0
0
0
0

PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
TAB
GM
UNT
UNT
TAB
UNT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

10040
6000
1321390

10040
6000
1321390

0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
1224
1224
39204
39204
144992
144992
224422
224422
5384
5384
120
120
3500
3500
150
150
2916
2916
3994
3994
5100
5100
4272
4272
10040
10040
6500
6500
454758
454758

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
612
1002
19800
2239
67584
232
289984
617760
2376
1124
1002
2112
1451
6500
1013778

Penjamin
612
1002
19800
2239
67584
232
289984
617760
2376
1124
1002
2112
1451
6500
1013778

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
VIL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
PKG
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
BAG
UNT
UNT
PKG
UNT

Apotik Panel
Subtotal
TAB
UNT

Pasien

Penjamin
306
7392
633600
122
448
1124
858
1002
1584
2376
2112
32834
11982
4272
10040
7500
717552

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
1094
1094
232
232
1124
1124
72
72
11564
11564
34032
34032
442516
442516
126506
126506
205200
205200
7650
7650
4272
4272
10040
10040
6500
6500
851804
851804

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5948
5948
500
500
6448
6448

0
0
0

306
7392
633600
122
448
1124
858
1002
1584
2376
2112
32834
11982
4272
10040
7500
717552

Waktu
31 Mei 2013 14:47
Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo
Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

31 Mei 2013 14:47

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT

31 Mei 2013 14:47

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

31 Mei 2013 14:46

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

TRANSFUSION SET JMS

DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
6,00
1,00
2,00
9,00

UNT
UNT
UNT
UNT
BOT
BOT
PKG
UNT
PKG
UNT

31 Mei 2013 14:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

31 Mei 2013 14:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT
UNT

31 Mei 2013 14:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

31 Mei 2013 14:45

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

31 Mei 2013 14:45

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

31 Mei 2013 14:45

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
3,00
9,00

BOT
BOT
UNT
PKG
PKG
UNT

31 Mei 2013 14:45

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT

30 Mei 2013 15:14

Item
N5 OTSUKA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BAG
UNT

30 Mei 2013 15:11

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 15:10

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

INFUS SET JMS

DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 15:10

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 15:09

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 15:08

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 15:07

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 15:06

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
1,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
PKG
BOT
BOT
UNT

30 Mei 2013 15:06

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
6,00
9,00

BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 15:02

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 15:00

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

30 Mei 2013 15:00

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT

MICROPORE 1/2 INC

HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
2,00
9,00

UNT
PKG
PKG
UNT

30 Mei 2013 15:00

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 14:59

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

30 Mei 2013 14:58

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG

KASA STERIL CSSD BESAR

TUSLAH NON RACIKAN
TOTAL

2,00
9,00

PKG
UNT

30 Mei 2013 14:55

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 14:54

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

30 Mei 2013 14:54

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

TOTAL

30 Mei 2013 14:52

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

30 Mei 2013 11:25

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

29 Mei 2013 14:55

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT
UNT

29 Mei 2013 14:54

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
6,00
2,00
9,00

BOT
BOT
PKG
PKG
UNT

29 Mei 2013 14:53

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

29 Mei 2013 14:52

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

29 Mei 2013 14:52

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT

KASA STERIL CSSD BESAR

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
6,00
9,00

PKG
PKG
UNT

29 Mei 2013 14:51

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

29 Mei 2013 14:51

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

29 Mei 2013 14:50

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

29 Mei 2013 14:50

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

29 Mei 2013 14:40

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

29 Mei 2013 14:40

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

29 Mei 2013 14:39

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

29 Mei 2013 14:39

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

29 Mei 2013 14:37

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
BOT
PKG
UNT

29 Mei 2013 11:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

29 Mei 2013 11:32

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

29 Mei 2013 10:56

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
14,00
20,00
20,00
1,00
20,00
3,00

Depo IGD
Subtotal
VIL
TAB
TAB
CAP
UNT
UNT
UNT

28 Mei 2013 15:18

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
BOT
UNT

28 Mei 2013 15:17

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
6,00
9,00

BOT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 15:17

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 15:17

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 15:16

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT

KASA STERIL CSSD BESAR

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
6,00
9,00

PKG
PKG
UNT

28 Mei 2013 15:16

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 15:16

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 15:15

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

TOTAL

28 Mei 2013 15:15

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 15:15

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 15:15

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 15:14

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 15:14

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

28 Mei 2013 12:54

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

28 Mei 2013 12:53

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

28 Mei 2013 12:53

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
BD VACUTAINER
DEXAMETHASONE 5 MG INJECTION
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

14,00
20,00
1,00
1,00
1,00
5,00

TAB
TAB
UNT
AMP
VIL
UNT

28 Mei 2013 12:53

Item
AMBROXOL INF 60 ML SYRUP
PARACETAMOL INF TABLET 500 mg
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
20,00
3,00

Depo IGD
Subtotal
BOT
TAB
TAB
UNT

28 Mei 2013 12:52

Item
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
7,00
2,00

Apotik Panel 2
Subtotal
TAB
TAB
UNT

28 Mei 2013 12:51

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
20,00
20,00
5,00
20,00
1,00
20,00
14,00
6,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
CAP
UNT
UNT
TAB
UNT

28 Mei 2013 12:49

Item
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET

JAKARTA SEHAT
Quantity
7,00
14,00
20,00
20,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

CACO3 500 MG CAPSULE

TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
20,00
4,00

CAP
UNT
UNT
UNT

28 Mei 2013 12:49

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

28 Mei 2013 12:48

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
BISOPROLOL 5 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
BD VACUTAINER
HYDROCORTISONE INF 2.5% 5 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
7,00
6,00
1,00
1,00
6,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
TUB
UNT

28 Mei 2013 12:48

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

28 Mei 2013 12:47

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
BD VACUTAINER
DEXAMETHASONE 5 MG INJECTION
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
20,00
1,00
1,00
42,00
1,00
42,00
5,00

Depo IGD
Subtotal
VIL
TAB
TAB
UNT
AMP
CAP
UNT
UNT
UNT

27 Mei 2013 19:08

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

27 Mei 2013 14:38

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

27 Mei 2013 14:37

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
4,00
20,00
20,00
20,00
20,00
1,00
20,00
20,00
7,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
UNT

27 Mei 2013 14:26

Item
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
20,00
20,00
1,00

Depo IGD
Subtotal
CAP
UNT
UNT
TAB
UNT

27 Mei 2013 14:19

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
1,00
7,00
4,00
20,00
10,00

Depo IGD
Subtotal
VIL
TAB
CAP
TAB
TAB

VITAMIN K KIMIA FARMA TABLET 10 MG

ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

20,00
5,00
7,00

TAB
TAB
UNT

27 Mei 2013 14:17

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BD VACUTAINER
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
20,00
7,00
5,00
1,00
20,00
1,00
20,00
6,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
UNT
CAP
UNT
UNT
UNT

27 Mei 2013 14:16

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
ASPILETS TABLET, CHEWABLE 80 MG
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
14,00
14,00
20,00
1,00
20,00
5,00
1,00
6,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
CAP
UNT
UNT
TAB
UNT
UNT

27 Mei 2013 14:15

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

27 Mei 2013 14:15

Item
V-BLOC 6,25MG TABLET
HYPERIL 10 MG TABLET

JAKARTA SEHAT
Quantity
14,00
4,00

Apotik Panel 2
Subtotal
TAB
TAB

TUSLAH NON RACIKAN

TOTAL

2,00

UNT

27 Mei 2013 14:14

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
20,00
1,00
20,00
20,00
20,00
1,00
5,00

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
TAB
TAB
UNT
UNT

27 Mei 2013 14:13

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

27 Mei 2013 14:12

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
14,00
20,00
20,00
20,00
20,00
1,00
20,00
5,00
6,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
UNT

27 Mei 2013 14:12

Item
FOLIC ACID 1 MG TABLET
CETIRIZINE 10 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE

JAKARTA SEHAT
Quantity
20,00
7,00
4,00
1,00
20,00

Depo IGD
Subtotal
TAB
TAB
CAP
VIL
CAP

TUSLAH RACIKAN EMBALASE

TUSLAH NON RACIKAN
TOTAL

1,00
20,00
4,00

UNT
UNT
UNT

27 Mei 2013 14:10

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

27 Mei 2013 14:07

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

27 Mei 2013 13:55

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:54

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

TOTAL

27 Mei 2013 13:54

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:53

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:52

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:52

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:51

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:51

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:51

JAKARTA SEHAT

Depo Atas

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:50

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:50

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:50

Item
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:50

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:48

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:48

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:47

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
6,00
9,00

BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:47

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT

KASA STERIL CSSD BESAR

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
6,00
9,00

PKG
PKG
UNT

27 Mei 2013 13:46

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:45

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:44

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

27 Mei 2013 13:44

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:44

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:43

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:43

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

27 Mei 2013 13:42

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
BOT
UNT

27 Mei 2013 13:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

27 Mei 2013 13:10

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

27 Mei 2013 13:08

JAKARTA SEHAT

Depo IGD

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
20,00
40,00
7,00
20,00
20,00
20,00
1,00
20,00
6,00

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

27 Mei 2013 12:25

Item
ADALAT OROS 30 MG TABLET
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
ANTASIDA DOEN KF TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
20,00
20,00
7,00
20,00
1,00
20,00
20,00
4,00
20,00
1,00
9,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
CAP
TAB
VIL
UNT

27 Mei 2013 12:23

Item
AMLODIPIN 5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
DEXAMETHASONE 5 MG INJECTION
BD VACUTAINER
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
4,00
20,00
1,00
20,00
20,00
10,00
1,00
1,00
1,00
7,00

Depo IGD
Subtotal
TAB
CAP
CAP
UNT
UNT
TAB
TAB
AMP
UNT
VIL
UNT

27 Mei 2013 12:22

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

27 Mei 2013 12:21

Item
AMLODIPIN 5 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
CTM 4 MG TABLET
OBH MINOROCK 100 ML
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
1,00
20,00
20,00
14,00
14,00
1,00
1,00
6,00

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
TAB
TAB
TAB
BOT
VIL
UNT

27 Mei 2013 12:20

Item
MECOBALAMIN CAPSULE 500 MCG
ASPILETS TABLET, CHEWABLE 80 MG
CTM 4 MG TABLET
PARACETAMOL INF TABLET 500 mg
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
5,00
20,00
10,00
1,00
5,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
VIL
UNT

27 Mei 2013 12:18

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

27 Mei 2013 12:17

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MICARDIS TABLET 40 mg
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET

JAKARTA SEHAT
Quantity
1,00
7,00
7,00
7,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB

SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
CTM 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
20,00
14,00
7,00

TAB
TAB
TAB
UNT

27 Mei 2013 12:09

Item
MECOBALAMIN CAPSULE 500 MCG
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
CLOPIDOGREL 75 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
7,00
20,00
20,00
20,00
10,00
20,00
1,00
20,00
7,00
1,00
9,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
VIL
UNT

27 Mei 2013 12:07

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

27 Mei 2013 12:06

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
RANITIDINE INF TABLET 150 MG
BD VACUTAINER
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
14,00
1,00
1,00
5,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT
VIL
UNT

27 Mei 2013 12:04

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

TOTAL

27 Mei 2013 12:04

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

27 Mei 2013 12:03

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

27 Mei 2013 12:03

Item
CTM 4 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
BD VACUTAINER
DEXAMETHASONE 5 MG INJECTION
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
5,00
20,00
1,00
20,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
UNT
AMP
VIL
UNT

27 Mei 2013 12:01

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
BD VACUTAINER
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
20,00
20,00
20,00
1,00
20,00
1,00
20,00
1,00
7,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
CAP
UNT
UNT
VIL
UNT

27 Mei 2013 11:59

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

27 Mei 2013 11:59

Item
MECOBALAMIN CAPSULE 500 MCG
NIFEDIPIN GENERIK TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
20,00
40,00
20,00
1,00
5,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT
UNT

27 Mei 2013 08:29

Item
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
7,00
1,00
1,00

Depo Atas
Subtotal
GM
UNT
UNT
UNT
UNT

24 Mei 2013 15:13

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

24 Mei 2013 15:13

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

24 Mei 2013 15:12

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

24 Mei 2013 15:12

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

24 Mei 2013 15:11

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
6,00
2,00
9,00

BOT
BOT
BOT
PKG
PKG
UNT

24 Mei 2013 15:10

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

24 Mei 2013 15:08

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
BOT
PKG
UNT

24 Mei 2013 15:06

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
2,00
9,00

BOT
PKG
PKG
UNT

24 Mei 2013 15:05

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

24 Mei 2013 15:04

Item
INFUS SET JMS
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT

24 Mei 2013 15:02

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

24 Mei 2013 15:01

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

24 Mei 2013 13:09

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:09

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:08

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:07

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:07

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:05

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:04

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:03

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:02

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:02

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:01

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 13:01

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

24 Mei 2013 12:10

Item
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
2,00

Apotik Panel 2
Subtotal
TAB
TAB
UNT

24 Mei 2013 12:08

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
BD VACUTAINER
PARACETAMOL INF TABLET 500 mg
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
20,00
1,00
10,00
20,00
1,00
20,00
5,00

Depo IGD
Subtotal
VIL
TAB
TAB
UNT
TAB
CAP
UNT
UNT
UNT

24 Mei 2013 12:07

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
KALIUM DIKLOFENAK 25 MG TABLET
CALCIUM LACTATE 500 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
14,00
20,00
14,00
20,00
10,00
20,00
20,00
1,00
20,00
8,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

24 Mei 2013 12:05

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
VITAMIN B12 KF 50 MCG TABLET
BD VACUTAINER
PARACETAMOL INF TABLET 500 mg
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
20,00
40,00
1,00
40,00
20,00
1,00
10,00
1,00
7,00

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT
UNT
TAB
UNT
TAB
VIL
UNT

24 Mei 2013 12:03

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

24 Mei 2013 12:03

Item
IRBESARTAN 300 MG TABLET
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
ISOSORBIDE DINITRATE INF TABLET
BD VACUTAINER
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
14,00
20,00
20,00
20,00
1,00
20,00
1,00
20,00
6,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
CAP
UNT
UNT
UNT

23 Mei 2013 10:14

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

23 Mei 2013 10:13

JAKARTA SEHAT

Depo IGD

Item
MICARDIS TABLET 40 mg
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

Quantity
7,00
7,00
7,00
7,00
20,00
1,00
20,00
20,00
10,00
1,00
7,00

Subtotal
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
TAB
BOT
UNT

22 Mei 2013 14:48

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:48

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:47

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

TRANSFUSION SET JMS

DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:47

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
6,00
7,00

UNT
UNT
BOT
PKG
PKG
UNT

22 Mei 2013 14:45

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:45

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:44

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
UNT
UNT

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
6,00
9,00

BOT
PKG
PKG
UNT

22 Mei 2013 14:44

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:43

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:43

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

2,00
9,00

BOT
UNT

22 Mei 2013 14:42

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

22 Mei 2013 14:41

Item
DISP SYRINGE 1 CC INSULIN
INFUS SET JMS
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
PKG
UNT

22 Mei 2013 14:41

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:50

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:49

JAKARTA SEHAT

Depo Atas

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:48

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC CATH TIP
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:48

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:47

Item
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:47

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:47

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 14:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

21 Mei 2013 12:56

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
14,00
20,00
20,00
20,00
5,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

21 Mei 2013 12:56

Item
MECOBALAMIN CAPSULE 500 MCG
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET

JAKARTA SEHAT
Quantity
4,00
20,00
20,00
20,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB

CACO3 500 MG CAPSULE

TUSLAH RACIKAN EMBALASE
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
20,00
10,00
5,00

CAP
UNT
UNT
TAB
UNT

21 Mei 2013 12:48

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
BISOPROLOL 5 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
14,00
20,00
7,00
20,00
1,00
20,00
4,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
CAP
UNT
UNT
UNT

21 Mei 2013 12:45

Item
VITAMIN B12 KF 50 MCG TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
40,00
1,00
40,00
1,00
3,00

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
VIL
UNT

21 Mei 2013 12:42

Item
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
CALCIUM LACTATE 500 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
KALIUM DIKLOFENAK 25 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
4,00
28,00
20,00
14,00
20,00
20,00
20,00
1,00
20,00
10,00
1,00
8,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
VIL
UNT

TOTAL

21 Mei 2013 12:39

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 14:29

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 13:32

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
40,00
7,00
7,00
20,00
20,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

20 Mei 2013 13:27

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
20,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB

VITAMIN B12 KF 50 MCG TABLET

CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

20,00
20,00
1,00
20,00
6,00

TAB
CAP
UNT
UNT
UNT

20 Mei 2013 13:20

Item
MECOBALAMIN CAPSULE 500 MCG
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
20,00
20,00
5,00
4,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

20 Mei 2013 13:18

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 13:18

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 13:17

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

20 Mei 2013 13:17

Item
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN -

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
5,00
20,00
1,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

EMBALASE
EPREX SOLUTION, INJECTION 2000 IU/vial
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
20,00
6,00

UNT
VIL
TAB
UNT

20 Mei 2013 13:15

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
7,00
14,00
5,00
20,00
1,00
20,00
5,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
CAP
UNT
UNT
UNT

20 Mei 2013 13:13

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 13:13

Item
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
5,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

20 Mei 2013 13:12

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
FOLIC ACID 1 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
PARACETAMOL INF TABLET 500 mg
ASPILETS TABLET, CHEWABLE 80 MG

JAKARTA SEHAT
Quantity
1,00
7,00
4,00
20,00
20,00
20,00
10,00
5,00

Depo IGD
Subtotal
VIL
TAB
CAP
TAB
TAB
TAB
TAB
TAB

TUSLAH NON RACIKAN

TOTAL

8,00

UNT

20 Mei 2013 13:10

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

20 Mei 2013 13:10

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 13:09

Item
HYPERIL 5 MG TABLET
FOLIC ACID 1 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
CETIRIZINE 10 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
4,00
7,00
1,00
20,00
1,00
20,00
5,00

Depo IGD
Subtotal
TAB
TAB
CAP
TAB
VIL
CAP
UNT
UNT
UNT

20 Mei 2013 13:09

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 13:07

Item
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
1,00
20,00
20,00

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
TAB

VITAMIN B12 KF 50 MCG TABLET

EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
5,00

TAB
VIL
UNT

20 Mei 2013 13:06

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 13:05

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VITAMIN B12 KF 50 MCG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
7,00
20,00
20,00
20,00
10,00
7,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
TAB
UNT

20 Mei 2013 13:03

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 12:56

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:56

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:56

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:55

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:55

JAKARTA SEHAT

Depo Atas

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 50 CC CATH TIP
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:55

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:54

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:54

Item
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:54

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:53

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:52

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:52

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:52

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:51

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
6,00
9,00

BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:50

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:50

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

20 Mei 2013 12:17

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 12:06

Item

JAKARTA SEHAT
Quantity

Apotik Panel 2
Subtotal

V-BLOC 6,25MG TABLET

TUSLAH NON RACIKAN
TOTAL

14,00
1,00

TAB
UNT

20 Mei 2013 12:06

Item
MECOBALAMIN CAPSULE 500 MCG
NIFEDIPIN GENERIK TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
20,00
45,00
20,00
4,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

20 Mei 2013 11:56

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 11:56

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 11:55

Item
ADALAT OROS 30 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
MECOBALAMIN CAPSULE 500 MCG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
7,00
7,00
20,00
20,00
4,00
20,00
1,00
20,00
8,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
CAP
UNT
UNT
UNT

20 Mei 2013 09:59

JAKARTA SEHAT

Depo IGD

Item
AMLODIPIN 5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
DEXAMETHASONE 5 MG INJECTION
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
4,00
20,00
10,00
1,00
20,00
1,00
20,00
5,00

Subtotal
TAB
CAP
TAB
TAB
AMP
CAP
UNT
UNT
UNT

20 Mei 2013 09:52

Item
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
7,00
20,00
20,00
20,00
1,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
CAP
UNT
UNT
UNT

20 Mei 2013 09:50

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

20 Mei 2013 09:50

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
CTM 4 MG TABLET
OBH MINOROCK 100 ML
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
15,00
20,00
1,00
20,00
1,00
20,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
BOT
CAP
UNT
UNT

TUSLAH NON RACIKAN

TOTAL

6,00

UNT

20 Mei 2013 09:47

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

20 Mei 2013 09:47

Item
CTM 4 MG TABLET
ANTRAIN INJECTION
VALISANBE INJECTION
EPREX SOLUTION, INJECTION 2000 IU/vial
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
1,00
1,00
5,00
5,00

Depo IGD
Subtotal
TAB
AMP
AMP
VIL
TAB
UNT

20 Mei 2013 09:46

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

20 Mei 2013 09:43

Item
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
BD VACUTAINER
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
20,00
20,00
20,00
1,00
1,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
TAB
UNT
VIL
CAP
UNT
UNT
UNT

20 Mei 2013 09:41

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

EPREX SOLUTION, INJECTION 2000 IU/vial

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

VIL
UNT

18 Mei 2013 13:31

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:31

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:30

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

TOTAL

18 Mei 2013 13:30

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:28

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:27

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

18 Mei 2013 13:26

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

18 Mei 2013 13:25

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

18 Mei 2013 13:25

Item
INFUS SET JMS
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

18 Mei 2013 13:25

JAKARTA SEHAT

Depo Atas

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00
1,00
2,00
9,00

Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
UNT
PKG
UNT

18 Mei 2013 13:24

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

18 Mei 2013 13:24

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
BOT
UNT

18 Mei 2013 13:24

Item
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

18 Mei 2013 13:24

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:24

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
6,00
9,00

BOT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
PKG
UNT

18 Mei 2013 13:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

6,00
9,00

PKG
UNT

18 Mei 2013 13:22

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:22

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

18 Mei 2013 13:22

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

TOTAL

18 Mei 2013 13:21

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 15:06

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 15:05

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 15:05

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 15:05

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:29

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:28

JAKARTA SEHAT

Depo Atas

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:28

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:28

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:28

Item
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:27

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:26

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:26

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:26

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:25

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:25

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
6,00
9,00

BOT
BOT
PKG
PKG
UNT

17 Mei 2013 14:24

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

17 Mei 2013 12:59

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

17 Mei 2013 12:58

Item
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
SELANG OKSIGEN ADULT
NATRIUM DIKLOFENAK KF TABLET 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
20,00
20,00
20,00
1,00
10,00
4,00

Depo IGD
Subtotal
CAP
UNT
UNT
TAB
TAB
UNT
TAB
UNT

17 Mei 2013 12:56

Item
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET

JAKARTA SEHAT
Quantity
7,00
20,00

Depo IGD
Subtotal
TAB
TAB

CACO3 500 MG CAPSULE

TUSLAH RACIKAN EMBALASE
VITAMIN B12 KF 50 MCG TABLET
BD VACUTAINER
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

40,00
1,00
40,00
20,00
1,00
20,00
5,00

CAP
UNT
UNT
TAB
UNT
TAB
UNT

17 Mei 2013 12:55

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

Apotik Panel
Subtotal
TAB
UNT

17 Mei 2013 12:55

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

17 Mei 2013 12:54

Item
IRBESARTAN 300 MG TABLET
AMLODIPIN 10 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
20,00
1,00
20,00
20,00
20,00
1,00
5,00

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
TAB
TAB
UNT
UNT

17 Mei 2013 11:00

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

Apotik Panel
Subtotal
TAB
UNT

17 Mei 2013 10:59

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

CLONIDINE INF 150 MG TABLET

CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
AMLODIPIN 10 MG TABLET
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

20,00
20,00
1,00
20,00
7,00
7,00
10,00
1,00
5,00

TAB
CAP
UNT
UNT
TAB
TAB
TAB
VIL
UNT

17 Mei 2013 10:59

Item
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
HYDROCORTISONE INF 2.5% 5 GM CREAM
EPREX SOLUTION, INJECTION 2000 IU/vial
VALISANBE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
7,00
1,00
1,00
1,00
6,00

Depo IGD
Subtotal
TAB
TAB
TAB
TUB
VIL
AMP
UNT

17 Mei 2013 10:59

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

17 Mei 2013 10:58

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

17 Mei 2013 10:58

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

16 Mei 2013 15:19

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

INFUS SET JMS

DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:10

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:10

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:09

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:09

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:09

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:05

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
6,00
9,00

BOT
BOT
PKG
BOT
PKG
UNT

16 Mei 2013 15:04

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:03

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:02

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

6,00
7,00

PKG
UNT

16 Mei 2013 15:02

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:02

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
PKG
UNT

16 Mei 2013 15:02

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
BOT
PKG
UNT

16 Mei 2013 15:01

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 15:00

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 14:59

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 14:59

JAKARTA SEHAT

Depo Atas

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

16 Mei 2013 13:38

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
7,00
14,00
20,00
20,00
20,00
1,00
20,00
6,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

16 Mei 2013 13:33

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

16 Mei 2013 13:20

Item
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
2,00

Depo IGD
Subtotal
PKG
VIL
UNT

16 Mei 2013 13:11

Item
EPREX SOLUTION, INJECTION 2000 IU/vial

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
VIL

CTM 4 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
AMLODIPIN 5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

14,00
5,00
20,00
7,00
4,00
6,00

TAB
TAB
TAB
TAB
CAP
UNT

16 Mei 2013 13:10

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
14,00
20,00
20,00
20,00
20,00
20,00
1,00
20,00
6,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

16 Mei 2013 13:07

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

16 Mei 2013 12:59

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
V-BLOC 6,25MG TABLET
FOLIC ACID 1 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
7,00
20,00
5,00
20,00
1,00
20,00
6,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

16 Mei 2013 12:58

JAKARTA SEHAT

Depo IGD

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

Subtotal
VIL
UNT

16 Mei 2013 12:56

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

16 Mei 2013 12:43

Item
MICARDIS TABLET 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

16 Mei 2013 12:42

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
V-BLOC 6,25MG TABLET
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
7,00
7,00
7,00
20,00
10,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

16 Mei 2013 11:21

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
AMP
UNT

16 Mei 2013 11:17

Item
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 2 (DWS)

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
PKG

IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00

UNT
UNT
UNT

16 Mei 2013 09:41

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
DOMPERIDON INF TABLET 10 MG
ANTASIDA DOEN 60 ML SYRUP
RANITIDINE INF TABLET 150 MG
OMEPRAZOLE GEN 20 MG CAPSULE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
15,00
1,00
10,00
7,00
20,00
20,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
VIL
TAB
BOT
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

15 Mei 2013 13:50

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ACARBOSE 50 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
7,00
20,00
1,00
20,00
20,00
5,00
7,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
TAB
UNT

15 Mei 2013 13:45

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

15 Mei 2013 13:43

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

EPREX SOLUTION, INJECTION 2000 IU/vial

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

VIL
UNT

15 Mei 2013 13:42

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
20,00
1,00
20,00
1,00
20,00
6,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
BOT
CAP
UNT
UNT
UNT

15 Mei 2013 13:40

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
V-BLOC 6,25MG TABLET
HYPERIL 5 MG TABLET
CETIRIZINE 10 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
14,00
7,00
7,00
20,00
5,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
UNT

15 Mei 2013 13:27

Item
BD VACUTAINER
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
KALIUM DIKLOFENAK 25 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
7,00
20,00
1,00
20,00
20,00
20,00
5,00

Depo IGD
Subtotal
UNT
VIL
TAB
CAP
UNT
UNT
TAB
TAB
UNT

15 Mei 2013 12:56

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

EPREX SOLUTION, INJECTION 2000 IU/vial

MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
4,00
7,00
14,00
20,00
20,00
1,00
20,00
5,00

VIL
CAP
TAB
TAB
TAB
CAP
UNT
UNT
UNT

15 Mei 2013 12:54

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
4,00
20,00
20,00
5,00
10,00
7,00

Depo IGD
Subtotal
VIL
TAB
CAP
TAB
TAB
TAB
TAB
UNT

15 Mei 2013 12:48

Item
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
20,00
5,00
20,00
1,00
20,00
4,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
CAP
UNT
UNT
UNT

15 Mei 2013 12:46

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
V-BLOC 6,25MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET

JAKARTA SEHAT
Quantity
1,00
4,00
7,00
7,00
20,00
20,00
20,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
TAB

VITAMIN B12 KF 50 MCG TABLET

CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

20,00
20,00
1,00
20,00
8,00

TAB
CAP
UNT
UNT
UNT

15 Mei 2013 12:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
20,00
7,00
5,00
20,00
1,00
20,00
5,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
CAP
UNT
UNT
UNT

15 Mei 2013 12:42

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

15 Mei 2013 12:41

Item
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
20,00
20,00
1,00
20,00
6,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
VIL
TAB
UNT

15 Mei 2013 12:30

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
6,00
9,00

BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:29

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:28

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:28

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
6,00
9,00

BOT
PKG
PKG
UNT

15 Mei 2013 12:28

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:27

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:27

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

6,00
9,00

PKG
UNT

15 Mei 2013 12:27

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:26

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:25

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

TOTAL

15 Mei 2013 12:25

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
PKG
UNT

15 Mei 2013 12:25

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:24

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:24

JAKARTA SEHAT

Depo Atas

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:19

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 12:19

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

15 Mei 2013 11:21

Item
EPREX SOLUTION, INJECTION 2000 IU/vial

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
VIL

MECOBALAMIN CAPSULE 500 MCG

FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

4,00
20,00
20,00
1,00
20,00
20,00
4,00

CAP
TAB
CAP
UNT
UNT
TAB
UNT

14 Mei 2013 14:19

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

14 Mei 2013 14:18

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

14 Mei 2013 14:18

Item
INFUS SET JMS
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
BOT
UNT
UNT
UNT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
6,00
2,00
9,00

BOT
BOT
PKG
PKG
UNT

14 Mei 2013 14:17

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
PKG
UNT

14 Mei 2013 14:17

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

14 Mei 2013 14:17

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

14 Mei 2013 14:16

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

14 Mei 2013 14:16

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

14 Mei 2013 14:13

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

14 Mei 2013 14:12

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

14 Mei 2013 14:12

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

14 Mei 2013 11:58

Item
HYPERIL 5 MG TABLET
V-BLOC 6,25MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
20,00
20,00
1,00
20,00
20,00
4,00

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT
UNT
TAB
UNT

14 Mei 2013 11:57

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

EPREX SOLUTION, INJECTION 2000 IU/vial

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

VIL
UNT

14 Mei 2013 11:56

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

14 Mei 2013 11:55

Item
IRBESARTAN 300 MG TABLET
V-BLOC 6,25MG TABLET
AMLODIPIN 10 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
7,00
20,00
1,00
20,00
20,00
20,00
5,00

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT
UNT
TAB
TAB
UNT

14 Mei 2013 11:39

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
7,00
20,00
20,00
20,00
20,00
1,00
20,00
5,00
7,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
UNT

14 Mei 2013 11:38

Item
ADALAT OROS 30 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
7,00
20,00
20,00

Depo IGD
Subtotal
TAB
TAB
TAB

AMLODIPIN 10 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7,00
20,00
1,00
20,00
20,00
5,00

TAB
CAP
UNT
UNT
TAB
UNT

14 Mei 2013 11:37

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
VITAMIN B12 KF 50 MCG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
40,00
1,00
40,00
20,00
20,00
3,00

Depo IGD
Subtotal
VIL
CAP
UNT
UNT
TAB
TAB
UNT

14 Mei 2013 11:35

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

14 Mei 2013 11:35

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 22:51

Item
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

13 Mei 2013 20:23

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 16:40

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 15:31

Item
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 5 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
20,00
1,00
20,00
20,00
20,00
5,00
5,00

Depo IGD
Subtotal
CAP
TAB
CAP
UNT
UNT
TAB
TAB
TAB
UNT

13 Mei 2013 14:34

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 14:33

Item
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
AMBROXOL INF 30 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
4,00
20,00
20,00
10,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

13 Mei 2013 14:31

JAKARTA SEHAT

Depo IGD

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

Subtotal
VIL
UNT

13 Mei 2013 14:30

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 14:30

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 14:29

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 14:28

Item
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
1,00
20,00
20,00
2,00

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
TAB
UNT

13 Mei 2013 14:27

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 14:27

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

EPREX SOLUTION, INJECTION 2000 IU/vial

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

VIL
UNT

13 Mei 2013 14:26

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 14:00

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:54

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:54

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:53

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:53

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:53

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
6,00
9,00

BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:52

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:52

Item
ADALAT OROS 30 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
20,00
20,00
20,00
1,00
20,00
4,00
6,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
CAP
UNT

13 Mei 2013 13:49

Item
IRBESARTAN 300 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
4,00
7,00
7,00
20,00
20,00
20,00
10,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB

CACO3 500 MG CAPSULE

TUSLAH RACIKAN EMBALASE
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
20,00
1,00
8,00

CAP
UNT
UNT
VIL
UNT

13 Mei 2013 13:47

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 13:46

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
NIFEDIPIN GENERIK TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
20,00
20,00
14,00
20,00
1,00
20,00
4,00
6,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
CAP
UNT
UNT
CAP
UNT

13 Mei 2013 13:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 13:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 13:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
VIL

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

13 Mei 2013 13:42

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 13:42

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 13:41

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 13:41

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 13:41

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

13 Mei 2013 13:37

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
6,00
9,00

BOT
PKG
PKG
UNT

13 Mei 2013 13:37

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:36

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:36

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG

HANDSCOON NON STERIL M (PCS)

TUSLAH NON RACIKAN
TOTAL

6,00
9,00

PKG
UNT

13 Mei 2013 13:36

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL M (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:35

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:34

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

TOTAL

13 Mei 2013 13:34

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:34

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

13 Mei 2013 13:33

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:07

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
PKG
UNT

11 Mei 2013 13:06

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:05

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:05

Item
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:04

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:04

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:03

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:03

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:03

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:03

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
6,00
9,00

BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:01

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:01

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:01

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT

KASA STERIL CSSD BESAR

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
6,00
9,00

PKG
PKG
UNT

11 Mei 2013 13:01

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:00

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 13:00

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

11 Mei 2013 13:00

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

11 Mei 2013 11:40

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

11 Mei 2013 11:19

Item
BD VACUTAINER
DEXAMETHASONE 5 MG INJECTION
VITAMIN B12 KF 50 MCG TABLET
FOLIC ACID 1 MG TABLET
VALISANBE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
20,00
20,00
1,00
5,00

Depo IGD
Subtotal
UNT
AMP
TAB
TAB
AMP
UNT

11 Mei 2013 10:35

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

11 Mei 2013 10:34

Item
EPREX SOLUTION, INJECTION 2000 IU/vial

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
VIL

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

11 Mei 2013 10:33

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

11 Mei 2013 10:33

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

11 Mei 2013 10:32

Item
BD VACUTAINER
DEXAMETHASONE 5 MG INJECTION
PARACETAMOL INF TABLET 500 mg
ISOSORBIDE DINITRATE INF TABLET
EPHINEPRIN ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
20,00
4,00
5,00

Depo IGD
Subtotal
UNT
AMP
TAB
TAB
AMP
UNT

11 Mei 2013 10:31

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

10 Mei 2013 15:59

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

10 Mei 2013 15:58

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 15:58

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 15:58

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

10 Mei 2013 15:57

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 15:57

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT

10 Mei 2013 15:57

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 15:57

Item
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 15:56

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 15:56

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 15:56

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 15:56

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

10 Mei 2013 15:54

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
UNT
PKG
UNT

10 Mei 2013 15:54

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

MICROPORE 1/2 INC

KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
6,00
8,00

UNT
PKG
PKG
UNT

10 Mei 2013 15:45

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

10 Mei 2013 14:53

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:50

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:50

Item
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:50

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:48

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:48

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
6,00
9,00

BOT
BOT
PKG
PKG
UNT

10 Mei 2013 14:48

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:47

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

10 Mei 2013 14:47

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT

HANDSCOON NON STERIL S (PCS)

KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
9,00

PKG
PKG
UNT

10 Mei 2013 11:18

Item
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
OBH MINOROCK 100 ML
GLIQUIDONE 30 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
1,00
7,00
20,00
1,00
20,00
4,00

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
CAP
UNT
UNT
UNT

10 Mei 2013 11:15

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
20,00
40,00
1,00
40,00
5,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

10 Mei 2013 11:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
KALIUM DIKLOFENAK 25 MG TABLET
CALCIUM LACTATE 500 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
4,00
14,00
14,00
20,00
20,00
10,00
21,00
20,00
1,00
20,00
8,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

TOTAL

10 Mei 2013 10:33

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
HYDROCORTISONE INF 2.5% 5 GM CREAM
VALISANBE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
6,00
1,00
1,00
6,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TUB
AMP
UNT

10 Mei 2013 10:33

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
EPHINEPRIN ETHICA INJECTION
BD VACUTAINER
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
14,00
4,00
1,00
40,00
1,00
40,00
5,00

Depo IGD
Subtotal
VIL
TAB
TAB
AMP
UNT
CAP
UNT
UNT
UNT

10 Mei 2013 10:29

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 10 MG TABLET
FOLIC ACID 1 MG TABLET
BD VACUTAINER
DEXAMETHASONE 5 MG INJECTION
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
20,00
7,00
20,00
1,00
1,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
UNT
AMP
CAP
UNT
UNT
UNT

10 Mei 2013 10:27

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

EPREX SOLUTION, INJECTION 2000 IU/vial

ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
FOLIC ACID 1 MG TABLET
AMBROXOL INF 30 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
EPHINEPRIN ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
20,00
4,00
20,00
14,00
5,00
1,00
8,00

VIL
TAB
TAB
CAP
TAB
TAB
TAB
AMP
UNT

10 Mei 2013 10:26

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
ADALAT OROS 30 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 10 MG TABLET
CLOPIDOGREL 75 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
FOLIC ACID 1 MG TABLET
AMBROXOL INF 30 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
7,00
7,00
6,00
20,00
14,00
20,00
1,00
20,00
9,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

9 Mei 2013 20:21

Item
ACYCLOVIR 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

8 Mei 2013 17:57

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 17:15

Item
EPREX SOLUTION, INJECTION 2000 IU/vial

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
VIL

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

8 Mei 2013 17:15

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 17:15

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 17:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 17:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 17:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 17:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 17:14

JAKARTA SEHAT

Depo IGD

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

Subtotal
VIL
UNT

8 Mei 2013 17:13

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 15:19

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
7,00
20,00
1,00
5,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
UNT
UNT

8 Mei 2013 15:15

Item
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
14,00
20,00
20,00
1,00
20,00
1,00
5,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
CAP
UNT
UNT
VIL
UNT

8 Mei 2013 15:12

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 15:10

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

BD VACUTAINER
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
DEXAMETHASONE 5 MG INJECTION
ASAM MEFENAMAT INF 500 MG TABLET
AMOXICILLIN 500 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
20,00
1,00
10,00
10,00
20,00
1,00
20,00
6,00

UNT
TAB
TAB
AMP
TAB
TAB
CAP
UNT
UNT
UNT

8 Mei 2013 15:10

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 15:09

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
1,00
20,00
20,00
20,00
1,00
6,00

Depo IGD
Subtotal
VIL
TAB
TAB
CAP
UNT
UNT
TAB
TAB
BOT
UNT

8 Mei 2013 15:06

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
4,00
20,00
20,00
1,00
20,00
4,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
CAP
UNT
UNT
UNT

8 Mei 2013 15:04

Item
AMLODIPIN 5 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
5,00
20,00
4,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

8 Mei 2013 14:20

Item
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
20,00
1,00
20,00
20,00
5,00
5,00

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT
UNT
TAB
TAB
UNT

8 Mei 2013 14:19

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
ASAM MEFENAMAT INF 500 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
4,00
10,00
5,00
5,00

Depo IGD
Subtotal
VIL
TAB
CAP
TAB
TAB
UNT

8 Mei 2013 14:19

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CALCIUM LACTATE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
1,00
20,00
20,00
20,00
20,00
4,00

Depo IGD
Subtotal
VIL
CAP
UNT
UNT
TAB
TAB
TAB
UNT

8 Mei 2013 14:17

Item
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel
Subtotal
TAB
UNT

8 Mei 2013 14:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
7,00
20,00
20,00
20,00
40,00
1,00
40,00
6,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

8 Mei 2013 14:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
7,00
20,00
20,00
20,00
6,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
UNT

8 Mei 2013 13:57

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

8 Mei 2013 13:23

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL M (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 13:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL M (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 13:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 13:20

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL M (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
6,00
2,00
9,00

BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 13:19

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL M (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 13:19

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 13:19

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT

MICROPORE 1/2 INC

KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
6,00
9,00

UNT
PKG
PKG
UNT

8 Mei 2013 13:18

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 13:18

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL M (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 13:18

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG

HANDSCOON NON STERIL M (PCS)

TUSLAH NON RACIKAN
TOTAL

6,00
9,00

PKG
UNT

8 Mei 2013 13:18

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 13:17

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 12:52

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

TOTAL

8 Mei 2013 12:52

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 12:51

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

8 Mei 2013 12:51

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
MICROPORE 1/2 INC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
UNT
PKG
UNT

8 Mei 2013 12:51

Item
INFUS SET JMS
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

7 Mei 2013 13:55

Item
ONDANSETRON 8 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
1,00

Depo Atas
Subtotal
TAB
UNT

7 Mei 2013 12:23

Item
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel
Subtotal
TAB
UNT

7 Mei 2013 12:23

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

7 Mei 2013 12:22

Item
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
VITAMIN B12 KF 50 MCG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
1,00
20,00
20,00
4,00
4,00

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
TAB
CAP
UNT

7 Mei 2013 12:10

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

7 Mei 2013 12:07

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

7 Mei 2013 11:48

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

7 Mei 2013 11:46

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

7 Mei 2013 11:42

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

7 Mei 2013 11:42

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

7 Mei 2013 11:36

Item
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
7,00

Depo IGD
Subtotal
TAB

V-BLOC 6,25MG TABLET

ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

7,00
20,00
20,00
20,00
1,00
20,00
1,00
5,00

TAB
TAB
TAB
CAP
UNT
UNT
VIL
UNT

7 Mei 2013 11:35

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

7 Mei 2013 11:30

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

7 Mei 2013 10:41

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel
Subtotal
TAB
UNT

7 Mei 2013 10:41

Item
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
1,00
20,00
20,00
5,00
1,00
5,00

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
TAB
TAB
VIL
UNT

7 Mei 2013 10:39

JAKARTA SEHAT

Depo IGD

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
HYDROCORTISONE INF 2.5% 5 GM CREAM
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
4,00
20,00
1,00
20,00
7,00
20,00
10,00
1,00
6,00

Subtotal
VIL
CAP
CAP
UNT
UNT
TAB
TAB
TAB
TUB
UNT

6 Mei 2013 15:25

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL M (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

6 Mei 2013 15:25

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

6 Mei 2013 15:24

Item
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

6 Mei 2013 15:24

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

6 Mei 2013 15:24

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL M (PCS)
KASA STERIL CSSD BESAR
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT
PKG
PKG
BOT
UNT

6 Mei 2013 15:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
UNT
PKG
PKG
UNT

6 Mei 2013 15:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

6 Mei 2013 15:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00
1,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
UNT
PKG
UNT

6 Mei 2013 15:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
MICROPORE 1/2 INC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT

KASA STERIL CSSD BESAR

HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
6,00
7,00

PKG
PKG
UNT

6 Mei 2013 15:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

6 Mei 2013 15:22

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL M (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT
UNT

6 Mei 2013 14:32

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
1,00
14,00
20,00
20,00
20,00
20,00
20,00
1,00
20,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT

TUSLAH NON RACIKAN

TOTAL

6,00

UNT

6 Mei 2013 10:44

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

6 Mei 2013 10:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
CTM 4 MG TABLET
DEXAMETHASONE 5 MG INJECTION
VALISANBE INJECTION
BD VACUTAINER
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
14,00
1,00
1,00
1,00
5,00
6,00

Depo IGD
Subtotal
VIL
TAB
AMP
AMP
UNT
TAB
UNT

6 Mei 2013 10:42

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

6 Mei 2013 10:41

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

6 Mei 2013 10:41

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
CTM 4 MG TABLET

JAKARTA SEHAT
Quantity
1,00
4,00
20,00
1,00
20,00
20,00
10,00
14,00

Depo IGD
Subtotal
VIL
TAB
CAP
UNT
UNT
TAB
TAB
TAB

HYPAFIX 10 CM X 5 CM
TUSLAH NON RACIKAN
TOTAL

1,00
6,00

UNT
UNT

6 Mei 2013 10:39

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

6 Mei 2013 10:38

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MICARDIS TABLET 40 mg
V-BLOC 6,25MG TABLET
AMLODIPIN 10 MG TABLET
SPIRONOLACTONE 25 MG TABLET
H.C.T 25 MG TABLET
CURCUMA 200 MG TABLET
FOLIC ACID 1 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
7,00
4,00
7,00
7,00
14,00
20,00
10,00
9,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

6 Mei 2013 10:36

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

6 Mei 2013 10:36

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
PARACETAMOL INF TABLET 500 mg
ASPILETS TABLET, CHEWABLE 80 MG
CTM 4 MG TABLET
HYPAFIX 10 CM X 5 CM

JAKARTA SEHAT
Quantity
1,00
4,00
4,00
20,00
20,00
1,00
20,00
10,00
5,00
14,00
1,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
CAP
UNT
UNT
TAB
TAB
TAB
UNT

TUSLAH NON RACIKAN

TOTAL

8,00

UNT

6 Mei 2013 10:34

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
7,00
14,00
20,00
1,00
20,00
20,00
1,00
6,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
CAP
UNT
UNT
TAB
BOT
UNT

5 Mei 2013 19:56

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

4 Mei 2013 13:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

4 Mei 2013 13:46

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
6,00
9,00

BOT
BOT
BOT
PKG
PKG
UNT

4 Mei 2013 13:46

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

4 Mei 2013 13:45

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
BOT
UNT

4 Mei 2013 13:45

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
6,00
9,00

BOT
PKG
PKG
UNT

4 Mei 2013 13:45

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 13:44

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 13:44

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

6,00
9,00

PKG
UNT

4 Mei 2013 13:44

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 13:44

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT
PKG
PKG
BOT
UNT

4 Mei 2013 13:43

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

TOTAL

4 Mei 2013 13:43

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 13:43

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BAG
BOT
PKG
PKG
UNT

4 Mei 2013 13:43

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 13:43

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

4 Mei 2013 13:42

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 13:39

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 13:39

JAKARTA SEHAT

Depo Atas

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

4 Mei 2013 13:38

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 13:38

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 13:38

Item
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 11:42

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 11:42

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
UNT
PKG
UNT

4 Mei 2013 11:39

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 11:39

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 11:39

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 11:37

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
6,00
9,00

BOT
UNT
PKG
PKG
UNT

4 Mei 2013 11:37

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT
UNT

4 Mei 2013 11:36

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 11:36

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT

HANDSCOON NON STERIL S (PCS)

KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
9,00

PKG
PKG
UNT

4 Mei 2013 11:36

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 11:32

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
KASA STERIL CSSD BESAR
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
UNT
PKG
UNT

4 Mei 2013 11:31

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

4 Mei 2013 11:31

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 11:31

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
MICROPORE 1/2 INC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
2,00
1,00
1,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
PKG
UNT
BOT
BOT
UNT

4 Mei 2013 11:30

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

4 Mei 2013 10:59

Item
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
20,00
20,00
1,00
20,00
4,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

4 Mei 2013 10:46

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
KALIUM DIKLOFENAK 25 MG TABLET
CALCIUM LACTATE 500 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
7,00
14,00
20,00
20,00
10,00
20,00
20,00
1,00
20,00
8,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

4 Mei 2013 10:45

Item
IRBESARTAN 300 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
2,00

Apotik Panel
Subtotal
TAB
TAB
UNT

4 Mei 2013 10:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
20,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB

CACO3 500 MG CAPSULE

TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
20,00
5,00

CAP
UNT
UNT
UNT

4 Mei 2013 09:52

Item
ADALAT OROS 30 MG TABLET
FOLIC ACID 1 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
SELANG NEBUL WITH MASK(1493)
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
20,00
20,00
20,00
1,00
20,00
1,00
20,00
5,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
PKG
CAP
UNT
UNT
UNT

4 Mei 2013 09:47

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

4 Mei 2013 09:45

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

4 Mei 2013 09:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

4 Mei 2013 09:42

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

3 Mei 2013 16:26

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

3 Mei 2013 14:28

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

3 Mei 2013 14:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

3 Mei 2013 14:23

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT

MICROPORE 1/2 INC

KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
6,00
9,00

UNT
PKG
PKG
UNT

3 Mei 2013 14:22

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

3 Mei 2013 14:22

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT

3 Mei 2013 14:21

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

3 Mei 2013 14:20

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
PKG
UNT

3 Mei 2013 14:20

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
1,00
2,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

3 Mei 2013 14:20

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

3 Mei 2013 14:19

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

INFUS SET JMS

DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

3 Mei 2013 14:19

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

3 Mei 2013 14:19

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

2 Mei 2013 15:35

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

TOTAL

2 Mei 2013 15:34

Item
CEFIXIME GENERIK CAPSULE
ISOSORBIDE DINITRATE INF TABLET
VALISANBE INJECTION
IVENA IV CATH 22
DEXAMETHASONE 5 MG INJECTION
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
1,00
1,00
1,00
1,00
6,00

Depo IGD
Subtotal
CAP
TAB
AMP
UNT
AMP
BOT
UNT

2 Mei 2013 15:28

Item
MECOBALAMIN CAPSULE 500 MCG
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
14,00
20,00
15,00
14,00
1,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
CAP
TAB
VIL
CAP
UNT
UNT
UNT

2 Mei 2013 15:27

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 15:26

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 15:25

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

EPREX SOLUTION, INJECTION 2000 IU/vial

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

VIL
UNT

2 Mei 2013 15:25

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 15:21

Item
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
AMLODIPIN 10 MG TABLET
ACARBOSE 100 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
7,00
4,00
20,00
1,00
20,00
20,00
5,00
1,00
7,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
TAB
VIL
UNT

2 Mei 2013 15:19

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 15:18

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 15:18

Item
MECOBALAMIN CAPSULE 500 MCG
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
4,00
20,00
7,00

Depo IGD
Subtotal
CAP
TAB
TAB

FOLIC ACID 1 MG TABLET

ASPILETS TABLET, CHEWABLE 80 MG
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

20,00
5,00
20,00
1,00
20,00
5,00

TAB
TAB
CAP
UNT
UNT
UNT

2 Mei 2013 15:05

Item
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
VITAMIN B12 KF 50 MCG TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
40,00
20,00
20,00
20,00
4,00
1,00
7,00

Depo IGD
Subtotal
TAB
CAP
TAB
TAB
TAB
CAP
VIL
UNT

2 Mei 2013 14:56

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 13:20

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
20,00
20,00
40,00
1,00
40,00
6,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

2 Mei 2013 12:58

Item
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
UNT

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

2 Mei 2013 12:57

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

2 Mei 2013 12:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
3,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

2 Mei 2013 12:49

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT

DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
6,00
9,00

UNT
BOT
BOT
UNT
PKG
PKG
UNT

2 Mei 2013 12:49

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

2 Mei 2013 12:44

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

2 Mei 2013 12:43

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

MICROPORE 1 INC
HANDSCOON NON STERIL S (PCS)
KASA STERIL CSSD BESAR
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
6,00
2,00
9,00

BOT
UNT
PKG
PKG
UNT

2 Mei 2013 12:42

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
PKG
UNT

2 Mei 2013 12:42

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

2 Mei 2013 12:41

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

2 Mei 2013 12:41

Item
INFUS SET JMS
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
UNT
UNT

2 Mei 2013 12:40

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

2 Mei 2013 12:40

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1 INC
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

2 Mei 2013 12:38

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

2 Mei 2013 12:38

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

2 Mei 2013 12:38

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
BOT
PKG
PKG
UNT

2 Mei 2013 12:37

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
KASA STERIL CSSD BESAR
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
6,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
BOT
PKG
PKG
BOT
UNT

2 Mei 2013 12:17

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
VITAMIN B12 KF 50 MCG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
4,00
20,00
20,00
1,00
20,00
20,00
14,00
8,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
TAB
TAB
UNT

2 Mei 2013 11:49

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 11:28

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

2 Mei 2013 11:28

JAKARTA SEHAT

Depo IGD

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
CTM 4 MG TABLET
DEXAMETHASONE 5 MG INJECTION
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
7,00
20,00
10,00
14,00
1,00
20,00
1,00
20,00
6,00

Subtotal
VIL
TAB
TAB
TAB
TAB
AMP
CAP
UNT
UNT
UNT

2 Mei 2013 11:27

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
20,00
20,00
20,00
10,00
20,00
1,00
20,00
6,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

2 Mei 2013 11:26

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel
Subtotal
TAB
UNT

2 Mei 2013 11:19

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 11:18

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel
Subtotal
TAB
UNT

TOTAL

2 Mei 2013 11:17

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
NIFEDIPIN GENERIK TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
20,00
20,00
20,00
20,00
6,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
TAB
UNT

2 Mei 2013 11:15

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 11:15

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 11:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
FOLIC ACID 1 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
BD VACUTAINER
DEXAMETHASONE 5 MG INJECTION
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
14,00
20,00
20,00
1,00
1,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
UNT
AMP
CAP
UNT
UNT
UNT

2 Mei 2013 11:12

Item

JAKARTA SEHAT
Quantity

Apotik Panel 2
Subtotal

ACARBOSE 100 MG TABLET

TUSLAH NON RACIKAN
TOTAL

4,00
1,00

TAB
UNT

2 Mei 2013 11:12

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
MECOBALAMIN CAPSULE 500 MCG
FOLIC ACID 1 MG TABLET
CTM 4 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DEXAMETHASONE 5 MG INJECTION
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
20,00
10,00
5,00
1,00
20,00
1,00
20,00
6,00

Depo IGD
Subtotal
VIL
CAP
TAB
TAB
TAB
AMP
CAP
UNT
UNT
UNT

2 Mei 2013 10:28

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 10:25

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 10:23

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 10:22

Item
V-BLOC 6,25MG TABLET
MICARDIS TABLET 80 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
4,00
2,00

Apotik Panel
Subtotal
TAB
TAB
UNT

2 Mei 2013 10:21

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
CURCUMA 200 MG TABLET
H.C.T 25 MG TABLET
FOLIC ACID 1 MG TABLET
SPIRONOLACTONE 100 MG TABLET
OBH MINOROCK 100 ML
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
14,00
7,00
20,00
2,00
1,00
20,00
1,00
20,00
7,00

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
BOT
CAP
UNT
UNT
UNT

2 Mei 2013 10:19

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 10:18

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 10:16

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

2 Mei 2013 10:16

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
21600
21600
3012
3012
4000
4000
66020
66020

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

16335
3300
5732
1540
5881
12540
3012
26535
21600
4500
100975

16335
3300
5732
1540
5881
12540
3012
26535
21600
4500
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
3012
3012
21600
21600
26535
26535
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300

0
0

5732
1540
5881
12540
26535
21600
3012
4500
93055

5732
1540
5881
12540
26535
21600
3012
4500
93055

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540

0
0
0
0

5881
12540
26535
21600
1506
4500
91549

5881
12540
26535
21600
1506
4500
91549

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
3012
3012
21600
21600
4000
4000
66020
66020

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12421
12421
500
500
12921
12921

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

8415
3300
1540
5732
12540
5881
26535
3012
21600
4500
93055

8415
3300
1540
5732
12540
5881
26535
3012
21600
4500
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
3012
3012
21600
21600
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300

0
0

1540
5732
12540
5881
26535
21600
3012
4500
100975

1540
5732
12540
5881
26535
21600
3012
4500
100975

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
26535
26535
21600
21600
3012
3012
12540
12540
5881
5881
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732

0
0
0
0

12540
5881
26535
21600
3012
4500
93055

12540
5881
26535
21600
3012
4500
93055

0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881

0
0
0
0
0
0

26535
3012
21600
4500
100975

26535
3012
21600
4500
100975

0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
3012
3012

0
0
0
0
0
0
0
0

21600
4500
93055

21600
4500
93055

0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
3012
3012
21600
21600
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
3012
3012
21600
21600
4500
4500

0
0
0
0
0
0
0
0
0
0

100975

100975

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
21600
21600
3012
3012
26535
26535
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540

0
0
0
0
0

5881
67716
3012
21600
4500
134236

5881
67716
3012
21600
4500
134236

0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716

0
0
0
0
0
0
0

21600
3012
4500
134236

21600
3012
4500
134236

0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012

0
0
0
0
0
0
0
0
0

4500
134236

4500
134236

0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
3012
3012
21600
21600
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
21600
21600
67716
67716
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
11578
11578
4920
4920
820
820
3500
3500
1000
1000
1500
1500
268756
268756

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
21600
21600
3012
3012
67716
67716
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732

0
0
0
0

5881
12540
67716
21600
3012
4500
134236

5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
21600
21600
3012
3012
4000
4000
66020
66020

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716

0
0
0
0
0
0
0

21600
3012
4500
142156

21600
3012
4500
142156

0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
3012
3012
21600
21600
4000
4000
73940
73940

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500

0
0
0
0
0
0
0
0
0
0

134236

134236

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
6000
6000
500
500
6500
6500

0
0
0

Pasien

Penjamin

11578
4920
1898
2940
245438
2500
269274

11578
4920
1898
2940
245438
2500
269274

0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
1260
1260
1640
1640
1500
1500
7960
7960

0
0
0
0
0

Pasien
Penjamin
6000
6000
22841
22841
1000
1000
29841
29841

0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
4920
4920
1640
1640
2505
2505
820
820
3500
3500
7000
7000
11578
11578
3000
3000
284097
284097

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28735
28735
11578
11578
1640
1640
320
320

0
0
0
0

820
3500
7000
2000
55593

820
3500
7000
2000
55593

0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
11578
11578
4920
4920
10157
10157
2700
2700
1898
1898
3214
3214
3000
3000
37467
37467

0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
1640
1640
320
320
1898
1898
2940
2940
1722
1722
3500
3500
14700
14700
2500
2500
274658
274658

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
22841
22841
500
500
23341
23341

0
0
0

Pasien
Penjamin
245438
245438
3696
3696
3308
3308
4920
4920
2320
2320
1640
1640
820
820
3500
3500
1000
1000
320
320
3500
3500
270462
270462

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
820
3500
1000
1640
500
7460

0
0
0
0
0
0

Pasien
Penjamin
245438
245438
5789
5789
3696
3696
1640
1640
1260
1260

0
0
0
0
0

820
3500
1000
1640
500
7460

1560
2505
3500
265388

1560
2505
3500
265388

0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
2320
2320
69300
69300
2505
2505
1898
1898
820
820
3500
3500
1000
1000
3000
3000
333477
333477

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
11578
11578
1624
1624
820
820
3500
3500
7000
7000
2505
2505
1898
1898
3000
3000
281059
281059

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
45682
45682
27324
27324

0
0

1000
74006

1000
74006

0
0

Pasien
Penjamin
11578
11578
4920
4920
820
820
3500
3500
7000
7000
1640
1640
320
320
1898
1898
2500
2500
34176
34176

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9408
9408
500
500
9908
9908

0
0
0

Pasien
Penjamin
245438
245438
11578
11578
4920
4920
2320
2320
1640
1640
820
820
3500
3500
7000
7000
2505
2505
3000
3000
282721
282721

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1640
1640
2800
2800
3696
3696
245438
245438
820
820

0
0
0
0
0

3500
1000
2000
260894

3500
1000
2000
260894

0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500

0
0
0
0
0
0
0
0
0
0

134236

134236

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415

3300
5732
1540
5881
12540
67716
21600
3012
4500
134236

3300
5732
1540
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732

0
0
0

1540
5881
12540
67716
21600
3012
4500
134236

1540
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881

0
0
0
0
0

12540
67716
21600
3012
4500
134236

12540
67716
21600
3012
4500
134236

0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716

0
0
0
0
0
0
0

21600
3012
4500
134236

21600
3012
4500
134236

0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012

0
0
0
0
0
0
0
0
0

4500
142156

4500
142156

0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
21600
21600
3012
3012
67716
67716
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
11578
11578
4920
4920
4640
4640
10157
10157
1640
1640
320
320
820
820
3500
3500
1000
1000
3000
3000
41575
41575

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
58303
58303
5789
5789
4920
4920
2320
2320
10157
10157
820
820
3500
3500
7000
7000
1640
1640
3696
3696
740
740
245438
245438
4500
4500
348823
348823

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5789
5789
3696
3696
820
820
3500
3500
7000
7000
1640
1640
1260
1260
2940
2940
1898
1898
245438
245438
3500
3500
277481
277481

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9408
9408
500
500
9908
9908

0
0
0

Pasien
Penjamin
5789
5789
820
820
3500
3500
7000
7000
1640
1640
1764
1764
448
448
4620
4620
245438
245438
3000
3000
274019
274019

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3696
3696
2505
2505
640
640
1260
1260
245438
245438
2500
2500
256039
256039

0
0
0
0
0
0
0

Pasien
Penjamin
22841
22841
500
500
23341
23341

0
0
0

Pasien
Penjamin
245438
245438
99456
99456
5789
5789
308
308

0
0
0
0

3136
1640
448
3500
359715

3136
1640
448
3500
359715

0
0
0
0
0

Pasien
Penjamin
3696
3696
28735
28735
5789
5789
2320
2320
4920
4920
1640
1640
1260
1260
820
820
3500
3500
7000
7000
69300
69300
245438
245438
4500
4500
378918
378918

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22841
22841
500
500
23341
23341

0
0
0

Pasien
Penjamin
11578
11578
4920
4920
3318
3318
1898
1898
245438
245438
2500
2500
269652
269652

0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500

0
0

245938

245938

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
9408
9408
500
500
9908
9908

0
0
0

Pasien

Penjamin
448
2505
820
3500
7000
1898
2940
245438
2500
267049

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
4920
4920
2320
2320
1640
1640
320
320
1898
1898
820
820
3500
3500
7000
7000
245438
245438
3500
3500
282934
282934

0
0
0
0
0
0
0
0
0
0
0
0

448
2505
820
3500
7000
1898
2940
245438
2500
267049

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
3696
3696
2680
2680
4640
4640
4920
4920
1898
1898
2500
2500
20334
20334

0
0
0
0
0
0
0

Pasien

Penjamin
156
3500
350
12610
500
17116

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300

0
0

156
3500
350
12610
500
17116

1540
5732
12540
5881
67716
3012
21600
4500
134236

1540
5732
12540
5881
67716
3012
21600
4500
134236

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732

0
0
0
0

5881
12540
67716
3012
21600
4500
134236

5881
12540
67716
3012
21600
4500
134236

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
10800
10800
135432
135432
3012
3012
4500
4500
191152
191152

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881

0
0
0
0
0
0

67716
3012
21600
4500
134236

67716
3012
21600
4500
134236

0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
1540
1540
5732
5732
3300
3300
12540
12540
5881
5881
21600
21600
3012
3012
4000
4000
66020
66020

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600

0
0
0
0
0
0
0
0
0

4500
134236

4500
134236

0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
66605
66605
22841
22841
1000
1000
90446
90446

0
0
0
0

Pasien
Penjamin
245438
245438
2320
2320
1640
1640
1898
1898
1260
1260
820
820
3500
3500
1000
1000
2500
2500
260376
260376

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
11578
11578
2320
2320
3444
3444
1640
1640
4680
4680
920
920
820
820
3500
3500
1000
1000
4000
4000
283036
283036

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
4920
4920
1640
1640
1640
1640
3500
3500
2000
2000
320
320
1898
1898
1260
1260
245438
245438
3500
3500
277694
277694

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22841
22841
500
500
23341
23341

0
0
0

Pasien
Penjamin
28735
28735
11578
11578
1640
1640
320
320
2320
2320
1898
1898
820
820
3500
3500
1000
1000
3000
3000
54811
54811

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22841
22841
500
500
23341
23341

0
0
0

Pasien
Penjamin
99456
99456
5789
5789
308
308
3136
3136
820
820
3500
3500
1000
1000
1640
1640
1260
1260
4620
4620
3500
3500
125029
125029

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

16335
3300
1540
5732
12540
5881
67716
21600
3012
4500
142156

16335
3300
1540
5732
12540
5881
67716
21600
3012
4500
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300

0
0

1540
5732
67716
21600
3012
3500
114815

1540
5732
67716
21600
3012
3500
114815

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
12540
12540
8415
8415
3300
3300
5732
5732
1540
1540

0
0
0
0
0
0

67716
21600
3012
4500
134236

67716
21600
3012
4500
134236

0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
67716
67716
21600
21600
3012
3012

0
0
0
0
0
0
0
0

25080
4500
146776

25080
4500
146776

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3300
3300
8415
8415
1540
1540
5732
5732
67716
67716
21600
21600
3012
3012
3500
3500
114815
114815

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
1757
1757
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
140613
140613

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
22688
22688
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
155384
155384

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335

3300
5732
1540
5881
12540
67716
21600
3012
4500
142156

3300
5732
1540
5881
12540
67716
21600
3012
4500
142156

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732

0
0
0

1540
5881
12540
67716
21600
3012
4500
134236

1540
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
11578
11578
4920
4920
2320
2320
1640
1640
2505
2505
820
820
3500
3500
1000
1000
3500
3500
280917
280917

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3696
3696
4920
4920
2320
2320
1640
1640

0
0
0
0

820
3500
1000
1260
2500
21656

820
3500
1000
1260
2500
21656

0
0
0
0
0
0

Pasien
Penjamin
245438
245438
11578
11578
4920
4920
10157
10157
820
820
3500
3500
1000
1000
2000
2000
279413
279413

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
320
1640
1640
3500
2000
245438
1500
256038

0
0
0
0
0
0
0
0

Pasien
Penjamin
3696
3696
23156
23156
2320
2320
3444
3444
1640
1640
920
920
820
820
3500
3500
1000
1000
4680
4680
245438
245438
4000
4000

0
0
0
0
0
0
0
0
0
0
0
0

320
1640
1640
3500
2000
245438
1500
256038

294614

294614

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1275
1275
5732
5732
5881
5881
12540
12540
21600
21600
3012
3012
4000
4000
73675
73675

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
4920
4920
4640
4640
10157
10157
854
854
1640
1640
320
320
820
820
3500
3500
7000
7000
3500
3500
48929
48929

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
13881
13881
4920
4920
2320
2320
1640
1640

0
0
0
0
0

320
820
3500
7000
3000
282839

320
820
3500
7000
3000
282839

0
0
0
0
0
0

Pasien
Penjamin
3696
3696
1640
1640
320
320
2505
2505
2000
2000
10161
10161

0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
9408
9408
500
500
9908
9908

0
0
0

Pasien
Penjamin
13881
13881
4920
4920
1640
1640
2505
2505
820
820
3500
3500

0
0
0
0
0
0

7000
245438
2320
3000
285024

7000
245438
2320
3000
285024

0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
13881
13881
1624
1624
2505
2505
820
820
3500
3500
7000
7000
2500
2500
280964
280964

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
3696
3696
13881
13881
2505
2505
1500
1500
21582
21582

0
0
0
0
0

Pasien
Penjamin
245438
245438
5789
5789
3696
3696
1640
1640
23840
23840
1560
1560
1260
1260
2505
2505

0
0
0
0
0
0
0
0

4000
289728

4000
289728

0
0

Pasien
Penjamin
45682
45682
500
500
46182
46182

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
54978
54978
1640
1640
3696
3696
2800
2800
245438
245438
820
820
3500
3500
7000
7000
2500
2500
322372
322372

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
13881
13881
4920
4920
820
820
3500
3500
1000
1000
1640
1640

0
0
0
0
0
0

320
245438
2500
274019

320
245438
2500
274019

0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
3696
3696
13881
13881
4920
4920
2320
2320
320
320
1260
1260
3500
3500
275335
275335

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1275
1275
22688
22688
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
158847
158847

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415

3300
5732
1540
5881
12540
67716
21600
3012
4500
134236

3300
5732
1540
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732

0
0
0

1540
5881
12540
67716
21600
3012
4500
134236

1540
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881

0
0
0
0
0

12540
67716
21600
3012
4500
134236

12540
67716
21600
3012
4500
134236

0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien

Penjamin

45682
500
46182

45682
500
46182

0
0
0

Pasien
Penjamin
3696
3696
2680
2680
5220
5220
4920
4920
2000
2000
18516
18516

0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
58303
58303
4920
4920
2320
2320
5789
5789
10157
10157
1640
1640
320
320
3696
3696
820
820
3500
3500
7000
7000
4000
4000
102465
102465

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3308
3308
3696
3696
1640
1640
1260
1260
2940
2940
820
820
3500
3500
7000
7000
2500
2500
26664
26664

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16420
16420
69300
69300
13881
13881
2320
2320
4920
4920
1640
1640
245438
245438
820
820
3500
3500
7000
7000
3500
3500
368739
368739

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9408
9408
500
500
9908
9908

0
0
0

Pasien
Penjamin
245438
245438
5789
5789
1640
1640
1890
1890
640
640
4620
4620
820
820
3500
3500
7000
7000

0
0
0
0
0
0
0
0
0

3000
274337

3000
274337

0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien

Penjamin
640
9702
12080
245438
2505
2500
272865

0
0
0
0
0
0
0

Pasien
Penjamin
16464
16464
500
500
16964
16964

0
0
0

Pasien
Penjamin
3696
3696
13881
13881
4920
4920
2320
2320
1640
1640
1898
1898
245438
245438
820
820
3500
3500
7000
7000
3500
3500
288613
288613

0
0
0
0
0
0
0
0
0
0
0
0

640
9702
12080
245438
2505
2500
272865

Pasien

Penjamin

245438
500
245938

245438
500
245938

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500

0
0
0
0
0
0
0
0
0
0

134236

134236

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
1540
1540
3300
3300
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
3012
3012
26535
26535
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
21600
21600
3012
3012
67716
67716
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335

3300
1540
5732
12540
5881
26535
21600
3012
4500
100975

3300
1540
5732
12540
5881
26535
21600
3012
4500
100975

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
21600
21600
3012
3012
4000
4000
73940
73940

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732

0
0
0
0

5881
12540
67716
21600
3012
4500
134236

5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
67716
67716
21600
21600
3012
3012
3500
3500
114815
114815

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600

0
0
0
0
0
0
0
0

3012
4500
134236

3012
4500
134236

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
3012
3012
21600
21600
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500

0
0
0
0
0
0
0
0
0
0

134236

134236

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415

3300
5732
1540
5881
12540
67716
21600
3012
4500
134236

3300
5732
1540
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732

0
0
0

1540
5881
12540
67716
21600
3012
4500
134236

1540
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881

0
0
0
0
0

12540
67716
21600
3012
4500
134236

12540
67716
21600
3012
4500
134236

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6594
6594
500
500
7094
7094

0
0
0

Pasien

Penjamin
820
3500
1000
1640
320
26611
2020
2000
37911

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10206
10206
4920
4920

0
0

820
3500
1000
1640
320
26611
2020
2000
37911

1640
3500
2000
320
1898
1640
2500
28624

1640
3500
2000
320
1898
1640
2500
28624

0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
500
500
2500
2500

0
0
0

Pasien
Penjamin
22841
22841
500
500
23341
23341

0
0
0

Pasien
Penjamin
28735
28735
10206
10206
820
820
3500
3500
1000
1000
1640
1640
320
320
1898
1898
2500
2500
50619
50619

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
500
500
2500
2500

0
0
0

Pasien

Penjamin

4920
820
3500
1000
10206
1169
1260
245438
2500
270813

4920
820
3500
1000
10206
1169
1260
245438
2500
270813

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10206
10206
4920
4920
3150
3150
3214
3214
245438
245438
12080
12080
3000
3000
282008
282008

0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien

Penjamin

8415
3300
1540
5732
5881
12540
67716
21600
3012
4500
134236

8415
3300
1540
5732
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300

0
0

1540
5732
12540
5881
67716
3012
21600
4500
134236

1540
5732
12540
5881
67716
3012
21600
4500
134236

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732

0
0
0
0

12540
5881
21600
67716
3012
4500
134236

12540
5881
21600
67716
3012
4500
134236

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
67716
67716
21600
21600

0
0
0
0
0
0

3012
3500
114815

3012
3500
114815

0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
67716
67716
21600
21600
3012
3012
3500
3500
114815
114815

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
21600
21600
67716
67716
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
6468
6468
10206
10206
3444
3444
1640
1640
320
320
820
820
3500
3500
1000
1000
3000
3000
275836
275836

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
41388
41388
49660
49660
1000
1000
92048
92048

0
0
0
0

Pasien
Penjamin
245438
245438

448
2505
1640
5789
3696
3000
262516

448
2505
1640
5789
3696
3000
262516

0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
11578
11578
4920
4920
2040
2040
1640
1640
320
320
820
820
3500
3500
1000
1000
3000
3000
274256
274256

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
10206
10206
4920
4920
18844
18844
1640
1640
2505
2505
820
820
3500
3500
1000
1000
3000
3000
291873
291873

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
100856
100856
500
500
101356
101356

0
0
0

Pasien
Penjamin
245438
245438
18844
18844
5789
5789
308
308
3136
3136
1640
1640
1260
1260
820
820
3500
3500
1000
1000
3500
3500
285235
285235

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
335060
335060
500
500
335560
335560

0
0
0

Pasien
Penjamin
5732
5732
26950
26950

0
0

14988
8415
2000
58085

14988
8415
2000
58085

0
0
0
0

Pasien
Penjamin
245438
245438
7845
7845
3221
3221
2370
2370
3150
3150
1640
1640
320
320
820
820
3500
3500
1000
1000
3500
3500
272804
272804

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
10206
10206
4920
4920
2040
2040
8603
8603
820
820
3500
3500
1000
1000
1640
1640
2505
2505
3500
3500
284172
284172

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien

Penjamin

245438
500
245938

245438
500
245938

0
0
0

Pasien
Penjamin
245438
245438
10206
10206
4920
4920
1640
1640
320
320
4125
4125
820
820
3500
3500
7000
7000
3000
3000
280969
280969

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
37688
37688
54978
54978
2800
2800
1640
1640
2500
2500
345044
345044

0
0
0
0
0
0
0

Pasien
Penjamin
1898
1898
6864
6864
3276
3276
820
820
3500
3500
1000
1000
1640
1640
320
320
2500
2500
21818
21818

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

245438
3696
10206
1428
1640
820
3500
1000
2500
270228

245438
3696
10206
1428
1640
820
3500
1000
2500
270228

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
5789
5789
3696
3696
1640
1640
320
320
2505
2505
1260
1260
3500
3500
264148
264148

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3696
3696
5789
5789
1640
1640
2505
2505
820
820
3500
3500
7000
7000
2000
2000
26950
26950

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
10206
10206
18844
18844
4920
4920
2040
2040
1640
1640

0
0
0
0
0
0
0

320
820
3500
7000
4000
302424

320
820
3500
7000
4000
302424

0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
2040
2040
69300
69300
2505
2505
820
820
3500
3500
7000
7000
2500
2500
336799
336799

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
3696
3696
10206
10206
4920
4920
320
320
245438
245438
1640
1640
3000
3000
269220
269220

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732

0
0
0
0

12540
5881
67716
21600
3012
4500
134236

12540
5881
67716
21600
3012
4500
134236

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881

0
0
0
0
0
0

67716
21600
3012
4500
134236

67716
21600
3012
4500
134236

0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600

0
0
0
0
0
0
0
0

3012
4500
134236

3012
4500
134236

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500

0
0
0
0
0
0
0
0
0
0

134236

134236

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
67716
67716
21600
21600
3012
3012
3500
3500
114815
114815

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438

3696
1640
820
3500
1000
320
2000
258414

3696
1640
820
3500
1000
320
2000
258414

0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
67716
67716
3300
3300
1540
1540
5732
5732

0
0
0
0
0

12540
5881
3012
21600
4500
134236

12540
5881
3012
21600
4500
134236

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
67716
67716
21600
21600
3012
3012
3500
3500
114815
114815

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1997
1997
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012

0
0
0
0
0
0
0
0
0

4500
134693

4500
134693

0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54978
54978
18844
18844
2040
2040
820
820
3500
3500
1000
1000
1640
1640
2000
2000
84822
84822

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

245438
500
245938

245438
500
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
28735
28735
18844
18844
10206
10206
820
820
3500
3500
1000
1000
1640
1640
320
320
2500
2500
67565
67565

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
10206
10206
4920
4920
2040
2040
1640
1640
820
820
3500
3500
1000
1000
2505
2505
3500
3500
279265
279265

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
58303
58303
4920
4920
2040
2040

0
0
0

10206
820
3500
1000
1640
2500
84929

10206
820
3500
1000
1640
2500
84929

0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
1640
1640
3500
3500
2000
2000
320
320
1640
1640
1500
1500
256038
256038

0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
20213
20213
500
500
20713
20713

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
3696
3696
5789
5789
820
820
3500
3500
7000
7000
1640
1640
320
320
2505
2505
2500
2500
27770
27770

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
10206
10206
4920
4920
2040
2040
5804
5804
1640
1640
320
320
1670
1670
820
820
3500
3500
7000
7000
3500
3500
41420
41420

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
1640
1640
820
820
3500
3500
7000
7000
320
320
1000
1000
14280
14280

0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien

Penjamin

245438
500
245938

245438
500
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732

0
0
0

1540
5881
12540
67716
21600
3012
4500
134236

1540
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881

0
0
0
0
0

12540
67716
21600
3012
4500
134236

12540
67716
21600
3012
4500
134236

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
58303
58303
4920
4920
2040
2040
1640
1640
320
320
820
820
3500
3500
1000
1000
3696
3696
3000
3000
79239
79239

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16420
16420
69300
69300
10206
10206
2040
2040
4920
4920
1640
1640
1260
1260

0
0
0
0
0
0
0

820
3500
1000
245438
4000
360544

820
3500
1000
245438
4000
360544

0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
2680
2680
4920
4920
2040
2040
37688
37688
820
820
3500
3500
1000
1000
3696
3696
3000
3000
304782
304782

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438

500
245938

500
245938

0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540

0
0
0
0
0
0

67716
21600
3012
4500
134236

67716
21600
3012
4500
134236

0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600

0
0
0
0
0
0
0
0

3012
4500
134236

3012
4500
134236

0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
3012
3012
21600
21600
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500

0
0
0
0
0
0
0
0
0
0

134236

134236

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
67716
67716
21600
21600
3012
3012
3500
3500
122735
122735

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335

3300
1540
5732
5881
12540
67716
21600
3012
4500
142156

3300
1540
5732
5881
12540
67716
21600
3012
4500
142156

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540

0
0
0

5732
5881
12540
67716
21600
3012
4500
134236

5732
5881
12540
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881

0
0
0
0
0

12540
67716
21600
3012
4500
134236

12540
67716
21600
3012
4500
134236

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716

0
0
0
0
0
0
0

21600
3012
4500
134236

21600
3012
4500
134236

0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012

0
0
0
0
0
0
0
0
0

4500
134236

4500
134236

0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
1898
1898
2940
2940
320
320
1640
1640
12080
12080
2500
2500
21378
21378

0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438

500
245938

500
245938

0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
1898
1898
2940
2940
1260
1260
2040
2040
12144
12144
2500
2500
22782
22782

0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012

0
0
0
0
0
0
0
0
0

4500
93055

4500
93055

0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
26535
26535
21600
21600
3012
3012
3500
3500
81554
81554

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
1004
1004
64800
64800
4000
4000
107212
107212

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415

3300
1540
5732
12540
5881
26535
3012
21600
4500
93055

3300
1540
5732
12540
5881
26535
3012
21600
4500
93055

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540

0
0
0

5732
12540
5881
26535
21600
3012
4500
93055

5732
12540
5881
26535
21600
3012
4500
93055

0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
21600
21600
26535
26535
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540

0
0
0
0
0

26535
21600
3012
4000
86674

26535
21600
3012
4000
86674

0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415

3300
1540
5732
5881
12540
26535
3012
21600
4500
93055

3300
1540
5732
5881
12540
26535
3012
21600
4500
93055

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540

0
0
0

5732
5881
12540
26535
21600
3012
4500
93055

5732
5881
12540
26535
21600
3012
4500
93055

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881

0
0
0
0
0

12540
67716
21600
3012
4500
142156

12540
67716
21600
3012
4500
142156

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535

0
0
0
0
0
0
0

3012
21600
4500
93055

3012
21600
4500
93055

0
0
0
0

Pasien
Penjamin
1640
1640
320
320
4620
4620
10297
10297
820
820
3500
3500
7000
7000
2000
2000
30197
30197

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
10206
10206
4920
4920
1640
1640
320
320
1640
1640
3500
3500
14000
14000
2500
2500
284164
284164

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
20412
20412
3444
3444
2040
2040
1640
1640
4680
4680
966
966
820
820
3500
3500
7000
7000
4000
4000

0
0
0
0
0
0
0
0
0
0
0
0

297636

297636

Pasien
Penjamin
245438
245438
10206
10206
4920
4920
2700
2700
3214
3214
12080
12080
3000
3000
281558
281558

0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
4920
4920
1428
1428
12144
12144
1898
1898
1640
1640
3500
3500
14000
14000
2500
2500
287468
287468

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
4920
4920
2040
2040
10206
10206
1640
1640
1898
1898
2940
2940
820
820
3500
3500
7000
7000
3500
3500
283902
283902

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

245438
2040
4920
3696
1640
2338
2505
3036
4000
269613

245438
2040
4920
3696
1640
2338
2505
3036
4000
269613

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
58303
58303
4920
4920
2040
2040
10206
10206
69300
69300
2700
2700
1640
1640
2338
2338
820
820
3500
3500
7000
7000
4500
4500
412705
412705

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4180
4180
500
500
4680
4680

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438

500
245938

500
245938

0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
54978
54978
5789
5789
1640
1640
26611
26611
2500
2500
336956
336956

0
0
0
0
0
0
0

Pasien
Penjamin
3696
3696
10206
10206
1428
1428
1640
1640
820
820
3500
3500
1000
1000
245438
245438
2500
2500
270228
270228

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien

Penjamin

1898
1640
320
2940
1410
4440
820
3500
1000
3000
20968

1898
1640
320
2940
1410
4440
820
3500
1000
3000
20968

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
10206
10206
4920
4920
820
820
3500
3500
1000
1000
1640
1640
320
320
4125
4125
3000
3000
274969
274969

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
3308
3308
1640
1640
820
820
3500
3500
1000
1000
2000
2000
261402
261402

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5789
5789
320
320
2505
2505
4920
4920
2000
2000
15534
15534

0
0
0
0
0
0

Pasien
Penjamin
10206
10206
4920
4920
2040
2040
820
820
3500
3500
1000
1000
1640
1640
2505
2505
2500
2500
29131
29131

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
5789
5789
3696
3696
1410
1410
2505
2505
2500
2500
261338
261338

0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
820
820
3500
3500
1000
1000
1640
1640
320
320
920
920
2000
2000
255638
255638

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9289
9289
500
500
9789
9789

0
0
0

Pasien
Penjamin
981752
981752
6468
6468
5789
5789
4920
4920
2040
2040
1640
1640
1640
1640
3500
3500
2000
2000
3000
3000
1012749 1012749

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
10206
10206
4920
4920
1640
1640
320
320
3000
3000
269220
269220

0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
16335
16335
3300
3300

0
0

1540
5732
5881
12540
26535
3012
21600
4500
100975

1540
5732
5881
12540
26535
3012
21600
4500
100975

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540

0
0
0
0

5881
12540
26535
3012
21600
4500
93055

5881
12540
26535
3012
21600
4500
93055

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540

0
0
0
0
0
0

26535
21600
3012
4500
93055

26535
21600
3012
4500
93055

0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600

0
0
0
0
0
0
0
0

3012
4500
100975

3012
4500
100975

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500

0
0
0
0
0
0
0
0
0
0

100975

100975

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
10800
10800
53070
53070
3012
3012
4500
4500
116710
116710

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4000
4000
89255
89255

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
37940
37940
500
500
38440
38440

0
0
0

Pasien
Penjamin
22841
22841
500
500
23341
23341

0
0
0

Pasien
Penjamin
10206
10206
2040
2040
820
820
3500
3500
1000
1000
320
320
3696
3696
2000
2000
23582
23582

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
54978
54978

18844
2040
1640
820
3500
1000
245438
2500
330760

18844
2040
1640
820
3500
1000
245438
2500
330760

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
22162
22162
500
500
22662
22662

0
0
0

Pasien
Penjamin
10206
10206
4920
4920
820
820
3500
3500
1000
1000
1640
1640
2505
2505
245438
245438
2500
2500
272529
272529

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
820
820
3500
3500
1000
1000
5789
5789
1640
1640
1260
1260
3214
3214
3000
3000
269357
269357

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415

3300
1540
5732
12540
5881
26535
21600
3012
4500
93055

3300
1540
5732
12540
5881
26535
21600
3012
4500
93055

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
26535
26535
3012
3012
21600
21600
12540
12540
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540

0
0
0

5732
12540
5881
26535
21600
3012
4500
93055

5732
12540
5881
26535
21600
3012
4500
93055

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
3012
3012
26535
26535
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
26535
26535

0
0
0
0
0

21600
3012
3500
73634

21600
3012
3500
73634

0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
21600
21600
3012
3012
26535
26535
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
11578
11578
4920
4920
2040
2040
1640
1640
320
320
820
820
3500
3500
7000
7000

0
0
0
0
0
0
0
0
0

3000
280256

3000
280256

0
0

Pasien
Penjamin
9408
9408
500
500
9908
9908

0
0
0

Pasien
Penjamin
245438
245438
448
448
2940
2940
12080
12080
1898
1898
2505
2505
3000
3000
268309
268309

0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
9408
9408
500
500
9908
9908

0
0
0

Pasien
Penjamin
245438
245438
5832
5832
820
820
3500
3500
1000
1000
1640
1640
1260
1260
448
448

0
0
0
0
0
0
0
0

107870
3000
370808

107870
3000
370808

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
99456
99456
18844
18844
5832
5832
3136
3136
308
308
7392
7392
1640
1640
4000
4000
4500
4500
390546
390546

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
3696
3696
5832
5832
1640
1640
820
820
3500
3500
1000
1000
1260
1260
2505
2505
448
448
107870
107870

0
0
0
0
0
0
0
0
0
0
0

4000
378009

4000
378009

0
0

Pasien
Penjamin
245438
245438
3696
3696
10206
10206
3444
3444
820
820
3500
3500
1000
1000
1640
1640
4620
4620
3000
3000
277364
277364

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732

0
0
0
0

5881
12540
67716
21600
3012
4500
142156

5881
12540
67716
21600
3012
4500
142156

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
67716
67716
3012
3012
21600
21600
5881
5881
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540

0
0
0
0
0
0

67716
21600
3012
4500
134236

67716
21600
3012
4500
134236

0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600

0
0
0
0
0
0
0
0

3012
4500
93055

3012
4500
93055

0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
26535
26535
21600
21600
3012
3012
12540
12540
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500

0
0
0
0
0
0
0
0
0
0

93055

93055

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
9633
9633
67716
67716
21600
21600
3012
3012
4500
4500
131329
131329

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
3012
3012
21600
21600
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415

3300
1540
5732
5881
12540
26535
3012
21600
4500
93055

3300
1540
5732
5881
12540
26535
3012
21600
4500
93055

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
21600
21600
26535
26535
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540

0
0
0

5732
5881
12540
26535
21600
3012
4500
93055

5732
5881
12540
26535
21600
3012
4500
93055

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881

0
0
0
0
0

12540
26535
21600
3012
4500
93055

12540
26535
21600
3012
4500
93055

0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
3012
3012
21600
21600
26535
26535
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535

0
0
0
0
0
0
0

3012
21600
4500
93055

3012
21600
4500
93055

0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
21600
21600
26535
26535
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26535
26535
3012
3012
21600
21600

0
0
0
0
0
0
0
0
0

4500
100975

4500
100975

0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
3012
3012
21600
21600
26535
26535
5881
5881
12540
12540
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
3012
3012
21600
21600
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10206
10206
2040
2040
1640
1640
320
320
820
820
3500
3500
7000
7000
2000
2000
27526
27526

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
3696
3696
10206
10206
3444
3444
2040
2040
1640
1640
4680
4680
920
920
820
820
3500
3500
7000
7000
4000
4000
287384
287384

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37940
37940
22162
22162
1000
1000
61102
61102

0
0
0
0

Pasien
Penjamin
245438
245438
10206
10206
4920
4920
1640
1640
320
320

0
0
0
0
0

820
3500
7000
2500
276344

820
3500
7000
2500
276344

0
0
0
0
0

Pasien
Penjamin
58303
58303
1640
1640
2040
2040
4920
4920
41388
41388
820
820
3500
3500
7000
7000
2500
2500
122111
122111

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881

0
0
0
0
0
0

26535
21600
3012
4500
93055

26535
21600
3012
4500
93055

0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
21600
21600
3012
3012
4000
4000
66020
66020

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012

0
0
0
0
0
0
0
0
0

4500
93055

4500
93055

0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
67716
67716
21600
21600
3012
3012
3500
3500
122735
122735

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
3012
3012
26535
26535
21600
21600
3500
3500
73634
73634

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
26535
26535
21600
21600
3012
3012
4500
4500
100975
100975

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

8415
3300
5732
1540
5881
12540
26535
21600
3012
4500
93055

8415
3300
5732
1540
5881
12540
26535
21600
3012
4500
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
26535
26535
21600
21600
3012
3012
4500
4500
93055
93055

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500

0
0

245938

245938

Pasien
Penjamin
37716
37716
2040
2040
12080
12080
14988
14988
2940
2940
4125
4125
3000
3000
76889
76889

0
0
0
0
0
0
0
0

Pasien
Penjamin
3696
3696
10206
10206
1428
1428
1640
1640
16500
16500
1974
1974
245438
245438
820
820
3500
3500
1000
1000
3500
3500
289702
289702

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien

Penjamin

245438
500
245938

245438
500
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
2040
2040
4920
4920
10206
10206
7924
7924
820
820
3500
3500
1000
1000
1640
1640
2505
2505
245438
245438
3500
3500
283493
283493

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
3696
3696
2040
2040
69300
69300

0
0
0

1640
2505
820
3500
1000
2500
87001

1640
2505
820
3500
1000
2500
87001

0
0
0
0
0
0
0

Pasien
Penjamin
1640
1640
1640
1640
320
320
1560
1560
23840
23840
3696
3696
245438
245438
3500
3500
281634
281634

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
5789
5789
4920
4920
2040
2040
1640
1640
320
320
1640
1640
3500
3500
2000
2000
3000
3000
270287
270287

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415

3300
5732
1540
12540
5881
67716
21600
3012
4500
134236

3300
5732
1540
12540
5881
67716
21600
3012
4500
134236

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
26600
26600
3012
3012
21600
21600
4500
4500
101040
101040

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
67716
67716
21600
21600
1506
1506
4500
4500
132730
132730

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
5732
5732

0
0
0

1540
12540
5881
26600
21600
3012
4500
101040

1540
12540
5881
26600
21600
3012
4500
101040

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26600
26600
3012
3012
21600
21600
4500
4500
101040
101040

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540

0
0
0
0
0

5881
26600
3012
21600
4500
93120

5881
26600
3012
21600
4500
93120

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
67716
67716
21600
21600
3012
3012
3500
3500
114815
114815

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
26600
26600
21600
21600
3012
3012
4500
4500
93120
93120

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
26600
26600
21600
21600
3012
3012

0
0
0
0
0
0
0
0
0

4500
93120

4500
93120

0
0

Pasien
Penjamin
8415
8415
5732
5732
3300
3300
1540
1540
12540
12540
5881
5881
21600
21600
3012
3012
26600
26600
4500
4500
93120
93120

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
5732
5732
1540
1540
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
26600
26600
21600
21600
3012
3012
4500
4500
93120
93120

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
5881
5881
67716
67716
21600
21600
3012
3012
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
3300
3300
1540
1540
5732
5732
5881
5881
12540
12540
67716
67716
21600
21600
3012
3012
4500
4500
142156
142156

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
1540
1540
5732
5732
12540
12540
67716
67716
21600
21600
3012
3012
5881
5881
4500
4500
134236
134236

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
10206
10206
4920
4920
2040
2040
5804
5804
1640
1640
820
820
3500
3500
1000
1000
320
320
2338
2338
4000
4000
282026
282026

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
9408
9408
500
500
9908
9908

0
0
0

Pasien
Penjamin
245438
245438
5789
5789
1640
1640
1260
1260
448
448
2940
2940
820
820
3500
3500
1000
1000
3000
3000
265835
265835

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
10206
10206
4920
4920
2040
2040
1640
1640
1260
1260
820
820
3500
3500
1000
1000
3000
3000
273824
273824

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85372
85372
500
500
85872
85872

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
44324
44324
500
500

0
0

44824

44824

Pasien
Penjamin
245438
245438
3696
3696
2680
2680
2040
2040
4920
4920
1640
1640
3000
3000
263414
263414

0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
10206
10206
3444
3444
1640
1640
320
320
1898
1898
2940
2940
820
820
3500
3500
1000
1000
3500
3500
274706
274706

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

9408
500
9908

9408
500
9908

0
0
0

Pasien
Penjamin
245438
245438
3696
3696
1640
1640
320
320
2505
2505
2940
2940
820
820
3500
3500
1000
1000
3000
3000
264859
264859

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
22162
22162
79656
79656
1000
1000
102818
102818

0
0
0
0

Pasien
Penjamin
245438
245438
5789
5789
7392
7392
308
308
1640
1640
2532
2532
4620
4620
820
820
3500
3500
1000
1000
3500
3500
276539
276539

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Waktu
31 Mei 2013 13:09
Item
IOPAMIRO 300/ 50 ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

Jaminan
UMUM
Quantity
1,00
1,00
1,00
3,00

Depo
Depo IGD
Subtotal
BOT
UNT
UNT
UNT

31 Mei 2013 11:37

Item
IOPAMIRO 300/ 50 ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT

31 Mei 2013 11:09

Item
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
IOPAMIRO 300/100 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00
1,00
3,00

Depo Atas
Subtotal
UNT
UNT
BOT
UNT

31 Mei 2013 10:39

Item
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
IOPAMIRO 300/ 50 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
BOT
UNT

31 Mei 2013 10:31

Item
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
IOPAMIRO 370/ 100 ML
IOPAMIRO 300/ 50 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
UNT
UNT
BOT
BOT
UNT

Pasien
Penjamin
278981
278981
5732
5732
5500
5500
1500
1500
291713
291713

0
0
0
0
0

Pasien
Penjamin
278981
278981
11464
11464
5500
5500
1500
1500
297445
297445

0
0
0
0
0

Pasien
Penjamin
22928
22928
5500
5500
602580
602580
1500
1500
632508
632508

0
0
0
0
0

Pasien
Penjamin
11464
11464
5500
5500
278981
278981
1500
1500
297445
297445

0
0
0
0
0

Pasien
Penjamin
28660
28660
5500
5500
559878
559878
278981
278981
2000
2000
875019
875019

0
0
0
0
0
0

31 Mei 2013 09:52

Item
IOPAMIRO 370/ 100 ML
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT

28 Mei 2013 19:00

Item
IOPAMIRO 300/ 50 ML INJECTION
FOLLEY CATHETER 18 RUSCH
DISP SYRINGE 20 CC WIHTOUT NED
IOPAMIRO 300/ 30 ML INJECTION
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
4,00
1,00
1,00
5,00

Depo IGD
Subtotal
BOT
UNT
UNT
VIL
UNT
UNT

28 Mei 2013 10:24

Item
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
30,00
1,00
1,00

Depo IGD
Subtotal
GM
UNT
UNT

22 Mei 2013 11:48

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
30,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
GM
UNT
UNT
UNT

20 Mei 2013 14:29

Item
DISP SYRINGE 20 CC WIHTOUT NED
IOPAMIRO 300/ 50 ML INJECTION
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

Depo Unit Dose

Subtotal
UNT
BOT
UNT
UNT

Pasien
Penjamin
559878
559878
17196
17196
5500
5500
1500
1500
584074
584074

0
0
0
0
0

Pasien
Penjamin
278981
278981
18342
18342
22928
22928
186416
186416
5500
5500
2500
2500
514667
514667

0
0
0
0
0
0
0

Pasien

Penjamin
840
3500
50
4390

0
0
0
0

Pasien
Penjamin
278981
278981
5500
5500
11464
11464
840
840
3500
3500
50
50
1500
1500
301835
301835

0
0
0
0
0
0
0
0

Pasien
Penjamin
11464
11464
278981
278981
18343
18343
1500
1500
310288
310288

0
0
0
0
0

840
3500
50
4390

20 Mei 2013 12:34

Item
IOPAMIRO 300/ 30 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
VIL
UNT

20 Mei 2013 12:34

Item
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
IOPAMIRO 300/100 ML INJECTION
FOLLEY CATHETER 18 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

20 Mei 2013 05:37

Item
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
UNT
UNT
UNT

20 Mei 2013 05:37

Item
IOPAMIRO 300/ 50 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BOT
UNT

18 Mei 2013 13:55

Item
MICROBAR CAT 2 SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

18 Mei 2013 13:30

Item
MICROBAR POWDER
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
300,00
1,00
1,00

Depo IGD
Subtotal
GM
UNT
UNT

Pasien
Penjamin
246875
246875
500
500
247375
247375

0
0
0

Pasien
Penjamin
34392
34392
1275
1275
602580
602580
18342
18342
2000
2000
658589
658589

0
0
0
0
0
0

Pasien
Penjamin
11464
11464
5500
5500
1000
1000
17964
17964

0
0
0
0

Pasien
Penjamin
323735
323735
500
500
324235
324235

0
0
0

Pasien
Penjamin
47025
47025
500
500
47525
47525

0
0
0

Pasien
Penjamin
49200
49200
3500
3500
900
900
53600
53600

0
0
0
0

18 Mei 2013 12:47

Item
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
30,00
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
GM
UNT
UNT
UNT

18 Mei 2013 12:44

Item
IOPAMIRO 300/ 50 ML INJECTION
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
30,00
1,00
1,00
2,00
1,00
3,00

Depo Atas
Subtotal
BOT
GM
UNT
UNT
UNT
UNT
UNT

18 Mei 2013 10:28

Item
IOPAMIRO 300/100 ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT

17 Mei 2013 14:56

Item
IOPAMIRO 300/ 50 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BOT
UNT

17 Mei 2013 14:55

Item
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
UNT
GM
UNT
UNT

Pasien
Penjamin
5500
5500
11464
11464
840
840
3500
3500
50
50
1000
1000
22354
22354

0
0
0
0
0
0
0

Pasien
Penjamin
278981
278981
840
840
3500
3500
50
50
11464
11464
5500
5500
1500
1500
301835
301835

0
0
0
0
0
0
0
0

Pasien
Penjamin
602580
602580
11464
11464
1000
1000
615044
615044

0
0
0
0

Pasien
Penjamin
323735
323735
500
500
324235
324235

0
0
0

Pasien
Penjamin
5500
5500
11464
11464
28
28
3500
3500
50
50

0
0
0
0
0

TUSLAH NON RACIKAN

TOTAL

2,00

UNT

17 Mei 2013 14:53

Item
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

17 Mei 2013 14:18

Item
IOPAMIRO 300/ 50 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BOT
UNT

17 Mei 2013 14:17

Item
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

17 Mei 2013 14:10

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS 30GR
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
30,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT

17 Mei 2013 13:22

Item
IOPAMIRO 300/100 ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT

17 Mei 2013 11:47

UMUM

Depo IGD

1000
21542

1000
21542

0
0

Pasien
Penjamin
5809
5809
500
500
6309
6309

0
0
0

Pasien
Penjamin
323735
323735
500
500
324235
324235

0
0
0

Pasien
Penjamin
5732
5732
500
500
6232
6232

0
0
0

Pasien
Penjamin
278981
278981
5500
5500
11464
11464
30000
30000
3500
3500
50
50
1500
1500
330995
330995

0
0
0
0
0
0
0
0

Pasien
Penjamin
602580
602580
22928
22928
5500
5500
1500
1500
632508
632508

0
0
0
0
0

Item
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TOTAL

Quantity
30,00
1,00
1,00

Subtotal
GM
UNT
UNT

16 Mei 2013 11:44

Item
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
30,00
1,00
1,00

Depo IGD
Subtotal
GM
UNT
UNT

16 Mei 2013 09:16

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS 30GR
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT

15 Mei 2013 14:31

Item
MICROBAR 100GR
TUSLAH RACIKAN
EMBALASE
ULTRACET 37,5MG TABL
SOCLOR TABLET
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
7,00
10,00
12,00
3,00

Depo IGD
Subtotal
PKG
UNT
UNT
TAB
TAB
TAB
UNT

15 Mei 2013 14:28

Item
IOPAMIRO 300/ 50 ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT

Pasien

Penjamin
840
3500
50
4390

0
0
0
0

Penjamin
840
3500
50
4390

0
0
0
0

Pasien
Penjamin
278981
278981
5500
5500
11464
11464
1000
1000
3500
3500
900
900
1500
1500
302845
302845

0
0
0
0
0
0
0
0

Pasien
Penjamin
33000
33000
3500
3500
1800
1800
58380
58380
188100
188100
57024
57024
1500
1500
343304
343304

0
0
0
0
0
0
0
0

Pasien
Penjamin
278981
278981
5732
5732
1000
1000
285713
285713

0
0
0
0

840
3500
50
4390

Pasien
840
3500
50
4390

15 Mei 2013 11:08

Item
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
GM
UNT
UNT

15 Mei 2013 10:28

Item
IOPAMIRO 300/100 ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
1,00
1,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
AMP
UNT

15 Mei 2013 10:12

Item
IOPAMIRO 300/ 50 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BOT
UNT

15 Mei 2013 10:12

Item
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
4,00

Depo IGD
Subtotal
UNT
UNT
AMP
UNT
UNT

14 Mei 2013 08:58

Item
MICROBAR POWDER
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
300,00
1,00
1,00

Depo IGD
Subtotal
GM
UNT
UNT

13 Mei 2013 13:55

Item
GARAM INGGRIS 30GR
TUSLAH RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
PKG
UNT

Pasien

Penjamin
28
3500
450
3978

0
0
0
0

Pasien
Penjamin
602580
602580
22928
22928
5500
5500
2940
2940
2000
2000
635948
635948

0
0
0
0
0
0

Pasien
Penjamin
323735
323735
500
500
324235
324235

0
0
0

Pasien
Penjamin
5500
5500
11464
11464
2940
2940
1275
1275
2000
2000
23179
23179

0
0
0
0
0
0

Pasien
Penjamin
49200
49200
3500
3500
900
900
53600
53600

0
0
0
0

Pasien
Penjamin
1000
1000
3500
3500

0
0

28
3500
450
3978

EMBALASE
TOTAL

1,00

UNT

13 Mei 2013 08:14

Item
IOPAMIRO 300/ 30 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

Apotik Panel
Subtotal
VIL
UNT

11 Mei 2013 14:36

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS 30GR
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT

10 Mei 2013 14:48

Item
IOPAMIRO 300/ 50 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

10 Mei 2013 11:10

Item
DISP SYRINGE 20 CC WIHTOUT NED
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

Depo Atas
Subtotal
UNT
AMP
UNT
UNT

10 Mei 2013 11:07

Item
GARAM INGGRIS 30GR
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
PKG
UNT
UNT

50
4550

50
4550

0
0

Pasien
Penjamin
186416
186416
500
500
186916
186916

0
0
0

Pasien
Penjamin
278981
278981
5500
5500
11464
11464
1000
1000
3500
3500
50
50
1500
1500
301995
301995

0
0
0
0
0
0
0
0

Pasien
Penjamin
278981
278981
500
500
279481
279481

0
0
0

Pasien
Penjamin
11464
11464
2940
2940
1275
1275
1500
1500
17179
17179

0
0
0
0
0

Pasien
Penjamin
1000
1000
3500
3500
900
900
5400
5400

0
0
0
0

8 Mei 2013 16:03

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
GM
UNT
UNT
UNT

8 Mei 2013 15:31

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
30,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
GM
UNT
UNT
UNT

8 Mei 2013 13:55

Item
IOPAMIRO 300/ 30 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
3,00

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

8 Mei 2013 12:23

Item
IOPAMIRO 300/ 50 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

8 Mei 2013 10:49

Item
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT

Pasien
Penjamin
278981
278981
5500
5500
11464
11464
28
28
3500
3500
50
50
1500
1500
301023
301023

0
0
0
0
0
0
0
0

Pasien
Penjamin
278981
278981
5500
5500
11464
11464
840
840
3500
3500
50
50
1500
1500
301835
301835

0
0
0
0
0
0
0
0

Pasien
Penjamin
139812
139812
4125
4125
8598
8598
1125
1125
153660
153660

0
0
0
0
0

Pasien
Penjamin
278981
278981
500
500
279481
279481

0
0
0

Pasien
Penjamin
11464
11464
5500
5500
1000
1000
17964
17964

0
0
0
0

7 Mei 2013 14:04

Item
MICROBAR POWDER
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
250,00
1,00
1,00

Depo IGD
Subtotal
GM
UNT
UNT

7 Mei 2013 13:56

Item
IOPAMIRO 300/ 50 ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
1,00
30,00
1,00
1,00
5,00

Depo IGD
Subtotal
BOT
UNT
UNT
AMP
UNT
GM
UNT
UNT
UNT

7 Mei 2013 12:54

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
30,00
4,00

Depo Atas
Subtotal
BOT
UNT
UNT
GM
UNT

7 Mei 2013 11:06

Item
MICROBAR POWDER
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
300,00
1,00
1,00

Depo IGD
Subtotal
GM
UNT
UNT

5 Mei 2013 18:48

Item
GARAM INGGRIS 30GR
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
PKG
UNT
UNT

Pasien
Penjamin
41000
41000
3500
3500
50
50
44550
44550

0
0
0
0

Pasien
Penjamin
278981
278981
11464
11464
5500
5500
2940
2940
1275
1275
840
840
3500
3500
50
50
2500
2500
307050
307050

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
278981
278981
5500
5500
11464
11464
840
840
2000
2000
298785
298785

0
0
0
0
0
0

Pasien
Penjamin
49200
49200
3500
3500
900
900
53600
53600

0
0
0
0

Pasien
Penjamin
1000
1000
3500
3500
50
50
4550
4550

0
0
0
0

3 Mei 2013 16:36

Item
IOPAMIRO 300/ 50 ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
WINGED NEEDLE NO. 23 JMS
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
GM
UNT
UNT
UNT

3 Mei 2013 14:17

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
IOPAMIRO 300/ 30 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
4,00
1,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
VIL
UNT

3 Mei 2013 11:22

Item
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
30,00
1,00
1,00

Depo IGD
Subtotal
GM
UNT
UNT

Pasien
Penjamin
278981
278981
11464
11464
5500
5500
28
28
3500
3500
900
900
1500
1500
301873
301873

0
0
0
0
0
0
0
0

Pasien
Penjamin
557962
557962
5500
5500
22928
22928
186416
186416
2000
2000
774806
774806

0
0
0
0
0
0

Pasien
840
3500
50
4390

Penjamin
840
3500
50
4390

0
0
0
0

Waktu
31 Mei 2013 13:27
Item
PREDNISON 5 MG TABLET
GENTAMYCIN INF 5 GM OINTMENT
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
15,00
1,00
14,00
14,00
14,00
5,00

31 Mei 2013 12:53

Item
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00

31 Mei 2013 11:32

Item
KETOCONAZOLE TABLET
CERINI TABLET 10 mg
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
5,00
1,00
3,00

31 Mei 2013 11:03

Item
LORATADINE INF TABLET 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
1,00
1,00
2,00
1,00
1,00
1,00

31 Mei 2013 10:09

Item
MEDIKLIN SDM 15 GM GEL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

31 Mei 2013 09:53

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

31 Mei 2013 09:37

Item
METHYL PREDNISOLONE INF 4 MG TABLET
MEDIKLIN SDM 15 GM GEL
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
1,00
1,00
2,00

31 Mei 2013 09:15

Item
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN B1 50 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
21,00
4,00

31 Mei 2013 09:12

Item
LORATADINE INF TABLET 10 MG
GENTAMYCIN INF 5 GM OINTMENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
2,00
1,00
1,00
1,00
1,00

31 Mei 2013 09:10

Item
KETOCONAZOLE 10 GM CREAM

UMUM
Quantity
1,00

MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
1,00
1,00

31 Mei 2013 09:07

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
7,00
1,00

31 Mei 2013 09:03

Item
CEFIXIME GENERIK CAPSULE
DOXYCYCLINE INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
14,00
2,00

31 Mei 2013 08:54

Item
ASTHIN FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00

31 Mei 2013 08:47

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

31 Mei 2013 08:28

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE

UMUM
Quantity
2,00
5,00
1,00
1,00
10,00

ACID SALICYL PULV GM

LIQ. CARBONAS DITERGENT
LANOLIN
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
1,00
3,00
3,00
1,00
1,00

31 Mei 2013 08:16

Item
VERBAND ROLL
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
1,00
1,00
1,00
1,00

30 Mei 2013 14:20

Item
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 12:14

Item
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 11:05

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

30 Mei 2013 10:53

Item
CERINI TABLET 10 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00

30 Mei 2013 10:45

Item
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

30 Mei 2013 10:34

Item
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.025% 15 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

30 Mei 2013 10:20

Item
LEVOFLOXACIN INF TABLET
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
6,00
2,00

30 Mei 2013 10:18

Item
KETOCONAZOLE TABLET
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00

30 Mei 2013 10:14

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

30 Mei 2013 09:58

Item
KETOCONAZOLE 10 GM CREAM
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00

30 Mei 2013 09:48

Item
PROLIC SANBE 300 mg
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
15,00
2,00

30 Mei 2013 09:44

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
4,00
8,00
1,00
1,00
15,00

30 Mei 2013 09:42

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
KETOCONAZOLE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
3,00
1,00
1,00
7,00
1,00
1,00
2,00
1,00
1,00
14,00
2,00

30 Mei 2013 09:37

Item
PREDNISON 5 MG TABLET
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
30,00
30,00
30,00
4,00

30 Mei 2013 08:53

Item
CETIRIZINE 10 MG TABLET
LORATADINE INF TABLET 10 MG
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
14,00
14,00
28,00
1,00
14,00
1,00
2,00
1,00
1,00

30 Mei 2013 08:51

Item
MENTHOL PULV
LIQ. CARBONAS DITERGENT
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

30 Mei 2013 08:51

Item
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

30 Mei 2013 08:48

Item
PREDNISON 5 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
30,00
15,00
1,00
15,00
1,00
2,00
1,00
1,00

29 Mei 2013 20:30

Item
T-LENE 5-0 L17 TRITON
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

29 Mei 2013 13:54

Item
NEUROSANBE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

29 Mei 2013 12:52

Item
CETIRIZINE 10 MG TABLET
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
3,00
3,00
1,00
1,00
1,00

29 Mei 2013 12:23

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

29 Mei 2013 12:22

Item
LORATADINE INF TABLET 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM CREAM
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
2,00
20,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

29 Mei 2013 11:33

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
1,00
1,00
2,00
1,00
1,00
2,00

29 Mei 2013 11:33

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
KETOCONAZOLE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
14,00
2,00

29 Mei 2013 11:33

Item
HANDSCOON GAMEX 6.5
T-LENE 5-0 L17 TRITON
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

29 Mei 2013 11:29

Item
MOFACORT 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

29 Mei 2013 11:26

Item

JAKARTA SEHAT
Quantity

LORATADINE INF TABLET 10 MG

ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

7,00
1,00
1,00
1,00
1,00
1,00
1,00

29 Mei 2013 11:11

Item
CERINI TABLET 10 mg
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
1,00
1,00
1,00

29 Mei 2013 10:12

Item
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00

29 Mei 2013 10:08

Item
PARASOL SPF 30 120 ML LOTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

29 Mei 2013 10:07

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
15,00
7,00
1,00
1,00
2,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

29 Mei 2013 09:59

Item
IBUPROFEN INF 200 MG TABLET
BURNAZIN 35 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

29 Mei 2013 09:44

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

29 Mei 2013 09:31

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CERINI TABLET 10 mg
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
20,00
10,00
1,00
10,00
1,00
1,00
2,00
1,00
1,00

29 Mei 2013 09:01

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
CETIRIZINE 10 MG TABLET

UMUM
Quantity
1,00
1,00
3,00
30,00
1,00
1,00
10,00

METHYL PREDNISOLONE INF 4 MG TABLET

TUSLAH NON RACIKAN
TOTAL

30,00
2,00

29 Mei 2013 09:01

Item
DEXAMETHASONE INF TABLET 0.5 MG
CETIRIZINE 10 MG TABLET
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
7,00
1,00
2,00
1,00
1,00
2,00

29 Mei 2013 08:51

Item
MEFINAL 500 MG TABLET
SAGESTAM SANBE 10 GM CREAM
CLINDAMYCIN 150 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00
42,00
3,00

29 Mei 2013 08:36

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
SAGESTAM SANBE 10 GM CREAM
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
8,00
1,00
15,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00

29 Mei 2013 08:30

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET

UMUM
Quantity
5,00
8,00
1,00

TUSLAH RACIKAN EMBALASE

ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
15,00
1,00
1,00
2,00
1,00
1,00

29 Mei 2013 08:26

Item
METHYL PREDNISOLONE INF 4 MG TABLET
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
1,00
1,00
2,00
1,00
1,00
2,00

29 Mei 2013 08:17

Item
ALLORIS 10 MG TABLET
MENTHOL PULV
LIQ. CARBONAS DITERGENT
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
1,00
1,00
1,00

29 Mei 2013 08:14

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

28 Mei 2013 14:36

Item
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 12:40

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 12:21

Item
OFLOXACIN INF TABLET 400 MG
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
42,00
2,00

28 Mei 2013 12:16

Item
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.025% 15 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

28 Mei 2013 12:06

Item
CERINI TABLET 10 mg
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
LANOLIN
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
1,00
6,00
3,00
30,00
1,00
1,00

28 Mei 2013 11:50

UMUM

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

Quantity
1,00
2,00
2,00
1,00
1,00

28 Mei 2013 11:45

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
CERINI TABLET 10 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
3,00
1,00
1,00
7,00
1,00

28 Mei 2013 11:41

Item
VITACID SDM 0.05% 20 GM CREAM
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

28 Mei 2013 11:38

Item
CETIRIZINE 10 MG TABLET
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
2,00

28 Mei 2013 11:33

Item
PROLIC SANBE 300 mg
SANMOL TABLET 500 mg
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
15,00
2,00
3,00

28 Mei 2013 11:08

Item
DOXYCYCLINE INF TABLET 100 MG
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.05% 20 GM CREAM
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
1,00
1,00
1,00
1,00
2,00

28 Mei 2013 10:50

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MENTHOL PULV
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00

27 Mei 2013 12:51

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 12:19

Item
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 11:31

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

27 Mei 2013 11:26

ASKES

Item
VITACID SDM 0.05% 20 GM CREAM
OPICLAM 10 GM GEL 10 mg/g
PARACETAMOL INF TABLET 500 mg
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
15,00
15,00
4,00

27 Mei 2013 11:14

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

27 Mei 2013 10:54

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
KETOCONAZOLE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
14,00
2,00

27 Mei 2013 10:46

Item
GENTAMYCIN INF 5 GM OINTMENT
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
15,00
2,00

27 Mei 2013 10:30

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM CREAM
VASELIN ALBUM
TUSLAH RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
28,00
1,00

EMBALASE
TOTAL

1,00

27 Mei 2013 10:22

Item
PREDNISON 5 MG TABLET
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
21,00
2,00

27 Mei 2013 10:13

Item
MEFINAL 500 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
NEUROSANBE TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
1,00
15,00
10,00
1,00
1,00
2,00
1,00
1,00
1,00

27 Mei 2013 10:05

Item
CIPROFLOXACIN TABLET
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

27 Mei 2013 09:58

Item
PREDNISON 5 MG TABLET
CTM 4 MG TABLET
TUSLAH RACIKAN EMBALASE
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
1,00
10,00
1,00
1,00

27 Mei 2013 09:55

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

27 Mei 2013 09:54

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
5,00
8,00
1,00
15,00
1,00
1,00
3,00
1,00
1,00

27 Mei 2013 09:42

Item
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
5,00
1,00
1,00
15,00
1,00
1,00
1,00
1,00
1,00

27 Mei 2013 09:29

Item
KETOCONAZOLE TABLET
CETIRIZINE 10 MG TABLET
SAGESTAM SANBE 10 GM CREAM
FORMYCO 10 GM CREAM 20 mg/g
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
14,00
7,00
2,00
2,00
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

4,00

27 Mei 2013 09:26

Item
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00

27 Mei 2013 09:25

Item
CTM 4 MG TABLET
AMOXICILLIN 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
4,00
3,00
1,00
1,00
10,00
1,00
1,00
2,00
1,00
1,00

27 Mei 2013 09:24

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
1,00

27 Mei 2013 09:24

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

27 Mei 2013 09:11

Item
PREDNISON 5 MG TABLET
CETIRIZINE 10 MG TABLET
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
5,00
1,00
3,00

27 Mei 2013 09:10

Item
KETOCONAZOLE 10 GM CREAM
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00

27 Mei 2013 09:08

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00

27 Mei 2013 08:53

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

27 Mei 2013 08:51

Item
CTM 4 MG TABLET

UMUM
Quantity
5,00

PREDNISON 5 MG TABLET
AMOXICILLIN 250mg TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
SAGESTAM SANBE 10 GM CREAM
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

8,00
5,00
1,00
1,00
15,00
1,00
2,00
2,00
1,00
1,00
1,00

27 Mei 2013 08:44

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00

27 Mei 2013 08:43

Item
OPICLAM 10 GM GEL 10 mg/g
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
7,00
2,00

27 Mei 2013 08:42

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
30,00
1,00
1,00
1,00

27 Mei 2013 08:42

Item

UMUM
Quantity

CERINI TABLET 10 mg
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

10,00
5,00
1,00
10,00
1,00
1,00
3,00
1,00
1,00
1,00

24 Mei 2013 10:51

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

24 Mei 2013 10:49

Item
SAGESTAM SANBE 10 GM CREAM
CEFAT 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

24 Mei 2013 10:40

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
10,00
1,00
1,00
1,00

24 Mei 2013 09:52

JAKARTA SEHAT

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
MOFACORT 5 GM CREAM
FOLIC ACID 1 MG TABLET
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
5,00
1,00
10,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00

24 Mei 2013 09:38

Item
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
21,00
4,00

24 Mei 2013 09:18

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CERINI TABLET 10 mg
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
28,00
14,00
1,00
14,00
1,00
1,00
1,00
3,00
30,00
1,00
1,00

24 Mei 2013 09:15

Item
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.025% 15 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

24 Mei 2013 08:50

Item
RYZO 10 MG
KETOCONAZOLE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
14,00
2,00

23 Mei 2013 13:22

Item
LANOLIN
INERSON 15 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

JPK PNS
Quantity
6,00
2,00
30,00
1,00
1,00

23 Mei 2013 12:56

Item
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

23 Mei 2013 11:53

Item
KETOCONAZOLE 10 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00

23 Mei 2013 11:21

Item
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
1,00

23 Mei 2013 10:18

Item

JAKARTA SEHAT
Quantity

LORATADINE INF TABLET 10 MG

MOFACORT 10 GM CREAM
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
15,00
3,00

23 Mei 2013 10:12

Item
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

23 Mei 2013 10:02

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
3,00
5,00
1,00
1,00
10,00
1,00
1,00
1,00
1,00
1,00

23 Mei 2013 10:02

Item
LORATADINE INF TABLET 10 MG
MOFACORT 5 GM CREAM
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
15,00
3,00

23 Mei 2013 09:56

Item
BENOSON 15 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

23 Mei 2013 09:44

Item

UMUM
Quantity

METHYL PREDNISOLONE INF 4 MG TABLET

CETIRIZINE 10 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

10,00
10,00
1,00
10,00
1,00
1,00
2,00
2,00
1,00
1,00

23 Mei 2013 09:33

Item
OFLOXACIN INF TABLET 400 MG
DOXYCYCLINE INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
14,00
2,00

23 Mei 2013 09:27

Item
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

23 Mei 2013 09:24

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
10,00
1,00
1,00
2,00
28,00
1,00
1,00
2,00

23 Mei 2013 09:22

Item
ICHTYOL

UMUM
Quantity
1,00

ZINCI OXYDUM (ZNO) BOT POWDER

BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

5,00
3,00
1,00
1,00

23 Mei 2013 09:15

Item
LORATADINE INF TABLET 10 MG
INERSON 15 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
5,00
1,00
2,00

23 Mei 2013 09:12

Item
LORATADINE INF TABLET 10 MG
VASELIN ALBUM
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
30,00
2,00

23 Mei 2013 08:53

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
5,00
20,00
1,00
10,00
1,00
1,00
2,00
1,00
1,00

22 Mei 2013 13:16

Item
IMBOOST FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

22 Mei 2013 12:38

Item
LANOLIN

JAKARTA SEHAT
Quantity
1,00

SAGESTAM SANBE 10 GM CREAM

MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
1,00
1,00
1,00

22 Mei 2013 12:33

Item
VITACID SDM 0.025% 15 GM CREAM
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

22 Mei 2013 12:31

Item
MOFACORT 5 GM CREAM
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

22 Mei 2013 12:22

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
DESOLEX-N 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

22 Mei 2013 12:18

Item
PREDNISON 5 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
LANOLIN
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
1,00
1,00
6,00
3,00
30,00
1,00
1,00
1,00

22 Mei 2013 10:24

Item
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

22 Mei 2013 10:08

Item
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.1 % 20 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
BENOSON 15 GM CREAM
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00

22 Mei 2013 10:05

Item
CETIRIZINE 10 MG TABLET
ALLORIS 10 MG TABLET
TUSLAH RACIKAN
EMBALASE
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
7,00
1,00
7,00
1,00
1,00

22 Mei 2013 10:03

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
KETOCONAZOLE 10 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00
1,00

22 Mei 2013 09:32

UMUM

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
LANOLIN
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

Quantity
3,00
7,00
1,00
1,00
14,00
5,00
5,00
1,00
1,00

22 Mei 2013 09:16

Item
CIPROFLOXACIN TABLET
CETIRIZINE 10 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
5,00
10,00
1,00
4,00

22 Mei 2013 08:39

Item
KETOCONAZOLE TABLET
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
7,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

22 Mei 2013 08:34

Item
CETIRIZINE 10 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
1,00
3,00
1,00

EMBALASE
TOTAL

1,00

22 Mei 2013 08:31

Item
LORATADINE INF TABLET 10 MG
SAGESTAM SANBE 10 GM CREAM
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00

22 Mei 2013 08:31

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
5,00
20,00
1,00
10,00
1,00
1,00
2,00
1,00
1,00

21 Mei 2013 14:17

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

ASKES
Quantity
1,00
1,00
1,00
2,00
1,00
1,00

21 Mei 2013 13:31

Item
LANOLIN
VASELIN ALBUM
TUSLAH RACIKAN

JAKARTA SEHAT
Quantity
1,00
10,00
1,00

EMBALASE
TOTAL

1,00

21 Mei 2013 12:32

Item
ASAM MEFENAMAT INF 500 MG TABLET
ACID SALICYL PULV GM
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
2,00
1,00
1,00
1,00

21 Mei 2013 12:32

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

21 Mei 2013 12:10

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
LIQ. CARBONAS DITERGENT
LANOLIN
DESOLEX-N 10 GM CREAM
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
1,00
1,00
15,00
1,00
1,00
3,00
1,00
20,00
1,00
1,00

21 Mei 2013 12:03

Item
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
CETIRIZINE 10 MG TABLET

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
7,00

TUSLAH NON RACIKAN

TOTAL

1,00

21 Mei 2013 11:50

Item
CETIRIZINE 10 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
5,00
15,00
1,00
1,00
15,00
1,00
2,00
1,00
1,00

21 Mei 2013 11:31

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
SAGESTAM SANBE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
1,00
1,00
2,00
1,00
1,00
1,00

21 Mei 2013 11:29

Item
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

21 Mei 2013 11:20

Item
ALLORIS 10 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
7,00
15,00
1,00
1,00
1,00
3,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

21 Mei 2013 10:59

Item
OPICLAM 10 GM GEL 10 mg/g
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
1,00

21 Mei 2013 10:49

Item
AMOXICILLIN 500 MG TABLET
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
5,00
1,00
1,00
15,00
1,00
1,00

21 Mei 2013 10:40

Item
KETOCONAZOLE TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
10,00
1,00
1,00
1,00
1,00
1,00
1,00

21 Mei 2013 10:38

Item
DOXYCYCLINE INF TABLET 100 MG
METHYL PREDNISOLONE INF 4 MG TABLET
OPICLAM 10 GM GEL 10 mg/g
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN

UMUM
Quantity
30,00
10,00
1,00
1,00
1,00
1,00

EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
3,00

21 Mei 2013 10:13

Item
CTM 4 MG TABLET
AMOXICILLIN 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
5,00
1,00
1,00
10,00
1,00
1,00

21 Mei 2013 10:06

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LINCOMYCIN INF TABLET 500 MG
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
7,00
1,00
1,00
2,00
1,00
1,00
2,00

21 Mei 2013 10:02

Item
METHYL PREDNISOLONE INF 4 MG TABLET
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.025% 15 GM CREAM
MELANOX FORTE CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00

21 Mei 2013 10:02

Item
PROLIC SANBE 300 mg
ASAM MEFENAMAT INF 500 MG TABLET

UMUM
Quantity
7,00
5,00

KALIUM DIKLOFENAK 50 MG TABLET

SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
4,00

21 Mei 2013 09:48

Item
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

21 Mei 2013 09:31

Item
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

21 Mei 2013 09:25

Item
CERINI TABLET 10 mg
SAGESTAM SANBE 10 GM CREAM
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00

21 Mei 2013 09:18

Item
KETOCONAZOLE TABLET
CERINI TABLET 10 mg
KETOCONAZOLE 10 GM CREAM
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
1,00
1,00
1,00
1,00
2,00

21 Mei 2013 09:05

Item

UMUM
Quantity

SAGESTAM SANBE 10 GM CREAM

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

21 Mei 2013 08:58

Item
PROLIC SANBE 300 mg
MEFINAL 500 MG TABLET
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
10,00
1,00
3,00

21 Mei 2013 08:34

Item
DOXYCYCLINE INF TABLET 100 MG
OPICLAM 10 GM GEL 10 mg/g
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
1,00
2,00
1,00
1,00
2,00

21 Mei 2013 08:34

Item
OPICLAM 10 GM GEL 10 mg/g
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

20 Mei 2013 13:46

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

20 Mei 2013 12:13

Item
OPICLAM 10 GM GEL 10 mg/g

UMUM
Quantity
1,00

VITACID SDM 0.025% 15 GM CREAM

TUSLAH NON RACIKAN
TOTAL

1,00
2,00

20 Mei 2013 11:56

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
GENTAMYCIN INF 5 GM OINTMENT
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
4,00
5,00
1,00
1,00
10,00
1,00
1,00
1,00
3,00
1,00
1,00
2,00

20 Mei 2013 11:50

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
20,00
1,00
10,00
1,00
1,00
1,00
2,00
1,00
1,00

20 Mei 2013 11:31

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
CERINI TABLET 10 mg
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00
3,00
1,00
1,00
7,00
1,00

TOTAL

20 Mei 2013 11:31

Item
CERINI TABLET 10 mg
MENTHOL PULV
ELOSKIN 10 GM CREAM
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
3,00
30,00
1,00
1,00
1,00

20 Mei 2013 11:27

Item
CTM 4 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
1,00
1,00
1,00

20 Mei 2013 10:58

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH RACIKAN EMBALASE
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
28,00
14,00
1,00
14,00
1,00
1,00

20 Mei 2013 10:42

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
CERINI TABLET 10 mg
METHYL PREDNISOLONE INF 4 MG TABLET

UMUM
Quantity
1,00
1,00
3,00
1,00
1,00
10,00
20,00

TUSLAH RACIKAN EMBALASE

TOTAL

1,00
10,00

20 Mei 2013 10:36

Item
LORATADINE INF TABLET 10 MG
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
1,00
1,00
1,00

20 Mei 2013 10:34

Item
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
KETOCONAZOLE 10 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
3,00
1,00
1,00
10,00
1,00
1,00
1,00
1,00

20 Mei 2013 10:33

Item
PREDNISON 5 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
21,00
7,00
2,00

20 Mei 2013 10:33

Item
PREDNISON 5 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
21,00
7,00
2,00

20 Mei 2013 10:33

Item
PREDNISON 5 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
21,00
7,00
2,00

20 Mei 2013 10:30

Item
VASELIN ALBUM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
27,00
1,00

20 Mei 2013 10:27

Item
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
KETOCONAZOLE 10 GM CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
5,00
1,00
1,00
10,00
1,00
1,00
1,00
1,00

20 Mei 2013 10:17

Item
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

20 Mei 2013 10:09

Item
CETIRIZINE 10 MG TABLET
OPICLAM 10 GM GEL 10 mg/g
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
2,00

20 Mei 2013 10:00

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
7,00
1,00
1,00
3,00
1,00
1,00
2,00

20 Mei 2013 09:55

Item
ASAM MEFENAMAT INF 500 MG TABLET
SAGESTAM SANBE 10 GM CREAM
SULFUR PRAECIPITAT 200 MG
ACID SALICYL PULV GM
KETOCONAZOLE 10 GM CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

20 Mei 2013 09:49

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
1,00

20 Mei 2013 09:48

Item
RYZO 10 MG
SAGESTAM SANBE 10 GM CREAM
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00

20 Mei 2013 09:37

Item
CETIRIZINE 10 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
LIQ. CARBONAS DITERGENT
LANOLIN
DESOLEX 10 GM CREAM 0.5 mg/g
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
6,00
3,00
3,00
1,00
1,00

20 Mei 2013 09:31

Item
LORATADINE INF TABLET 10 MG
INERSON 15 GM OINTMENT
VASELIN ALBUM
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
5,00
1,00
30,00
3,00

20 Mei 2013 09:28

Item
CTM 4 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
11,00
42,00
1,00
21,00
1,00
1,00
1,00
3,00
30,00
1,00
1,00

20 Mei 2013 09:27

Item
CEFIXIME GENERIK CAPSULE
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

20 Mei 2013 09:19

Item
ACYCLOVIR INF TABLET 400 MG
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
7,00
1,00
1,00
21,00
1,00
1,00

20 Mei 2013 09:13

Item
DOXYCYCLINE INF TABLET 100 MG
OPICLAM 10 GM GEL 10 mg/g
METHYL PREDNISOLONE INF 4 MG TABLET
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00
10,00
1,00
1,00
1,00
1,00
3,00

20 Mei 2013 09:09

Item
PREDNISON 5 MG TABLET
CERINI TABLET 10 mg
TUSLAH RACIKAN EMBALASE
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
10,00
1,00
10,00
1,00
1,00

20 Mei 2013 09:03

Item
OFLOXACIN INF TABLET 400 MG
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
21,00
2,00

18 Mei 2013 11:54

UMUM

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00

18 Mei 2013 11:53

Item
NEUROSANBE TABLET
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
21,00
2,00

18 Mei 2013 11:50

Item
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
2,00

18 Mei 2013 11:40

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
1,00
2,00
20,00
1,00
1,00
1,00

18 Mei 2013 11:35

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

TOTAL

18 Mei 2013 11:35

Item
ACID SALICYL PULV GM
LANOLIN
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
30,00
1,00
1,00

18 Mei 2013 11:28

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
KETOCONAZOLE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
1,00
1,00
14,00
2,00

18 Mei 2013 11:25

Item
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00

18 Mei 2013 10:57

Item
KETOCONAZOLE TABLET
LORATADINE INF TABLET 10 MG
KETOCONAZOLE TABLET
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
2,00
1,00
1,00
1,00
2,00

18 Mei 2013 10:56

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CTM 4 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
10,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
10,00
1,00
1,00
2,00

18 Mei 2013 10:53

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

18 Mei 2013 10:52

Item
CTM 4 MG TABLET
SANMOL TABLET 500 mg
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
SAGESTAM SANBE 10 GM CREAM
ELOSKIN 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
5,00
1,00
1,00
15,00
1,00
1,00
2,00

18 Mei 2013 10:47

Item
KETOCONAZOLE TABLET
CERINI TABLET 10 mg
LIQ. CARBONAS DITERGENT
ALKOHOL 70% 100 ML
TUSLAH RACIKAN

UMUM
Quantity
10,00
7,00
1,00
1,00
1,00

EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00

18 Mei 2013 10:41

Item
PROLIC SANBE 300 mg
SAGESTAM SANBE 10 GM CREAM
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
3,00
1,00
1,00
2,00

18 Mei 2013 10:37

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

18 Mei 2013 10:32

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00

18 Mei 2013 10:26

Item
RYZO 10 MG
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON 10 GM CREAM 0.25 mg/g

UMUM
Quantity
7,00
1,00
1,00
3,00

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00

18 Mei 2013 10:23

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
1,00
1,00
1,00

18 Mei 2013 09:47

Item
MOFACORT 5 GM CREAM
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00

18 Mei 2013 09:39

Item
DOXYCYCLINE INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
1,00

18 Mei 2013 09:13

Item
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00

18 Mei 2013 09:11

Item
MELANOX FORTE CREAM
MOFACORT 5 GM CREAM

ASKES
Quantity
1,00
1,00

TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
1,00

18 Mei 2013 09:05

Item
MELANOX FORTE CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

18 Mei 2013 08:58

Item
RYZO 10 MG
ACID SALICYL PULV GM
LANOLIN
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
1,00
1,00
1,00

18 Mei 2013 08:42

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.05% 20 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
28,00
1,00
14,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00
2,00

18 Mei 2013 06:20

Item
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
3,00

IVENA IV CATH 22
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

17 Mei 2013 21:04

Item
ACID SALYCIL PULV 100 MG
LIQ. CARBONAS DITERGENT
DESOLEX-N 10 GM CREAM
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

17 Mei 2013 20:55

Item
ACID SALYCIL PULV 100 MG
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00

17 Mei 2013 12:45

Item
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 12:11

Item
KETOCONAZOLE TABLET
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

17 Mei 2013 11:33

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN

ASKES
Quantity
1,00
1,00
1,00
1,00

EMBALASE
TOTAL

1,00

17 Mei 2013 11:32

Item
CIPROFLOXACIN TABLET
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
14,00
15,00
2,00

17 Mei 2013 11:30

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

17 Mei 2013 11:11

Item
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

17 Mei 2013 11:09

Item
DOXYCYCLINE INF TABLET 100 MG
CLINDAMYCIN PULV 100 MG
VITACID SDM 0.1 % 20 GM CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
1,00
1,00
1,00
1,00
1,00

17 Mei 2013 11:05

Item
ACID SALICYL PULV GM
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
ASAM MEFENAMAT INF 500 MG TABLET
SALICYL WATER 100 ML
TUSLAH RACIKAN

UMUM
Quantity
1,00
1,00
1,00
1,00
15,00
1,00
1,00

EMBALASE
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
2,00

17 Mei 2013 10:46

Item
ALLORIS 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

17 Mei 2013 10:36

Item
DOXYCYCLINE INF TABLET 100 MG
OPICLAM 10 GM GEL 10 mg/g
MELANOX FORTE CREAM
VITACID SDM 0.05% 20 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
1,00
1,00
1,00
1,00
2,00

17 Mei 2013 10:34

Item
VITACID SDM 0.05% 20 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

JPK PNS
Quantity
1,00
2,00
1,00
1,00

17 Mei 2013 10:16

Item
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
30,00
4,00

17 Mei 2013 09:59

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

17 Mei 2013 09:57

Item
PREDNISON 5 MG TABLET
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH RACIKAN
EMBALASE
KASA STERIL HUSADA
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
1,00
1,00
15,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

17 Mei 2013 09:56

Item
DOXYCYCLINE INF TABLET 100 MG
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00
2,00

17 Mei 2013 09:51

Item
CERINI TABLET 10 mg
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN

UMUM
Quantity
5,00
1,00
2,00
1,00

EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00

17 Mei 2013 09:28

Item
SANMOL 60 ML SYRUP
SAGESTAM SANBE 10 GM CREAM
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH RACIKAN
EMBALASE
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
3,00

17 Mei 2013 09:20

Item
OFLOXACIN INF TABLET 400 MG
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
30,00
30,00
30,00
4,00

17 Mei 2013 09:11

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
KETOCONAZOLE 10 GM CREAM
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
7,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00

16 Mei 2013 14:38

Item
SANMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

16 Mei 2013 13:07

Item
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

16 Mei 2013 10:59

Item
MELANOX FORTE CREAM
VITACID SDM 0.05% 20 GM CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

15 Mei 2013 13:11

Item
LORATADINE INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
7,00
1,00

15 Mei 2013 11:36

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

15 Mei 2013 11:28

Item
IBUPROFEN INF 200 MG TABLET
SALICYL WATER 100 ML
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
21,00
1,00
1,00
1,00
2,00
1,00
15,00
4,00

TOTAL

15 Mei 2013 11:00

Item
CETIRIZINE 10 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
1,00
2,00
1,00
1,00

15 Mei 2013 10:50

Item
LORATADINE INF TABLET 10 MG
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
LIQ. CARBONAS DITERGENT
LANOLIN
KLODERMA 10 GM OINTMENT
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
1,00
2,00
1,00
1,00
1,00

15 Mei 2013 10:16

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00
1,00
1,00

15 Mei 2013 10:16

Item
CERINI TABLET 10 mg
KETOCONAZOLE 10 GM CREAM

UMUM
Quantity
7,00
1,00

DESOLEX 10 GM CREAM 0.5 mg/g

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00

15 Mei 2013 09:58

Item
PARASOL SPF 33 CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

15 Mei 2013 09:37

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

15 Mei 2013 09:37

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
MOFACORT 5 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
6,00
1,00
1,00

15 Mei 2013 09:33

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
LANOLIN
KETOCONAZOLE 10 GM CREAM
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
4,00
5,00
1,00
10,00
1,00
1,00
1,00
1,00
1,00

15 Mei 2013 09:21

UMUM

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

14 Mei 2013 13:29

Item
ACID SALICYL PULV GM
LANOLIN
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
30,00
1,00
1,00

14 Mei 2013 13:28

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

14 Mei 2013 11:59

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00

14 Mei 2013 11:55

Item
CEFAT CAPSULE 500 mg
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
1,00
2,00

14 Mei 2013 11:41

Item
CETIRIZINE 10 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
1,00
3,00
1,00
1,00

14 Mei 2013 11:34

Item
KLODERMA 10 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

14 Mei 2013 11:19

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CTM 4 MG TABLET
BURNAZIN 35 GM CREAM
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
45,00
14,00
1,00
3,00
4,00

14 Mei 2013 11:01

Item
LORATADINE INF TABLET 10 MG
KETOCONAZOLE 10 GM CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
ASAM MEFENAMAT INF 500 MG TABLET
CTM 4 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
1,00
1,00
1,00
15,00
15,00
1,00
15,00
1,00

14 Mei 2013 10:48

JAKARTA SEHAT

Item
LORATADINE INF TABLET 10 MG
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
7,00
1,00
1,00
1,00
30,00
1,00
1,00
1,00

14 Mei 2013 10:46

Item
METHYL PREDNISOLONE INF 4 MG TABLET
OPICLAM 10 GM GEL 10 mg/g
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
KLODERMA 10 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00

14 Mei 2013 10:29

Item
FORMYCO TABL 200 mg
RYZO 10 MG
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
7,00
1,00
1,00
3,00
1,00
1,00
2,00

14 Mei 2013 10:26

Item
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

14 Mei 2013 10:09

Item

UMUM
Quantity

CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

7,00
1,00
1,00
3,00
1,00
1,00
1,00

14 Mei 2013 10:00

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
GENTAMYCIN INF 5 GM OINTMENT
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
2,00
1,00
1,00
1,00
1,00

14 Mei 2013 09:48

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
15,00
1,00
2,00

14 Mei 2013 09:46

Item
CERINI TABLET 10 mg
METHYL PREDNISOLONE INF 4 MG TABLET
MOFACORT 5 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
15,00
1,00
3,00

14 Mei 2013 08:26

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
15,00
15,00
1,00
1,00
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

14 Mei 2013 08:24

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
DESOLEX 10 GM CREAM 0.5 mg/g
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
5,00
1,00
1,00
1,00
1,00
2,00

13 Mei 2013 12:56

Item
CLINDAMYCIN 300 MG CAPSULE
OPICLAM 10 GM GEL 10 mg/g
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
VITACID SDM 0.05% 20 GM CREAM
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
20,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00

13 Mei 2013 12:22

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

13 Mei 2013 12:22

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
5,00
1,00
10,00
1,00
1,00
1,00
1,00

13 Mei 2013 11:44

Item
CTM 4 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
LANOLIN
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00
1,00
1,00
1,00
10,00
1,00
1,00
1,00

13 Mei 2013 11:39

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00

13 Mei 2013 11:14

Item
DESOLEX 10 GM CREAM 0.5 mg/g
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
CERINI TABLET 10 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
5,00
1,00

13 Mei 2013 10:56

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

13 Mei 2013 10:47

Item
FORMYCO TABL 200 mg
RYZO 10 MG
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
5,00
1,00
1,00
2,00
1,00
1,00
2,00

13 Mei 2013 10:43

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

13 Mei 2013 10:43

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
ELOSKIN 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
6,00
1,00
1,00

13 Mei 2013 10:41

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

13 Mei 2013 10:23

Item

JAKARTA SEHAT
Quantity

CLINDAMYCIN 300 MG CAPSULE

ASAM MEFENAMAT INF 500 MG TABLET
GENTAMYCIN INF 5 GM OINTMENT
BETADINE 60 ML SOLUTION 10 %WV
TUSLAH NON RACIKAN
TOTAL

15,00
15,00
1,00
1,00
4,00

13 Mei 2013 10:07

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

13 Mei 2013 10:02

Item
CLINDAMYCIN 300 MG CAPSULE
CETIRIZINE 10 MG TABLET
TUSLAH RACIKAN EMBALASE
LANOLIN
KLODERMA 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

ASKES
Quantity
10,00
10,00
1,00
10,00
1,00
2,00
1,00
1,00

13 Mei 2013 09:50

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

13 Mei 2013 09:49

Item
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ACID SALICYL PULV GM

UMUM
Quantity
30,00
30,00
30,00
1,00
1,00

PIBAKSIN SANBE 10 GM CREAM 20 mg/g

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
4,00

13 Mei 2013 09:37

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

13 Mei 2013 09:37

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
ELOSKIN 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
5,00
1,00
10,00
2,00
1,00

13 Mei 2013 09:19

Item
CERINI TABLET 10 mg
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
1,00
1,00
1,00

13 Mei 2013 09:02

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00
1,00

13 Mei 2013 08:27

Item
ACID SALICYL PULV GM
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
MELANOX FORTE CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00

11 Mei 2013 13:10

Item
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 12:54

Item
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 11:52

Item
CLINDAMYCIN 300 MG CAPSULE
METHYL PREDNISOLONE INF 4 MG TABLET
OPICLAM 10 GM GEL 10 mg/g
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
10,00
1,00
1,00
1,00
1,00
1,00
3,00

11 Mei 2013 11:50

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

11 Mei 2013 11:34

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
3,00
1,00
1,00

11 Mei 2013 11:31

Item
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
OPICLAM 10 GM GEL 10 mg/g
CLINDAMYCIN 300 MG CAPSULE
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
30,00
10,00
3,00

11 Mei 2013 11:30

Item
PROLIC SANBE 300 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
1,00

11 Mei 2013 11:29

Item
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.05% 20 GM CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
ELOSKIN 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00

11 Mei 2013 11:29

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM

UMUM
Quantity
1,00
1,00
4,00

TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
1,00

11 Mei 2013 11:19

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
5,00
2,00

11 Mei 2013 11:17

Item
PREDNISON 5 MG TABLET
CTM 4 MG TABLET
TUSLAH RACIKAN EMBALASE
KLODERMA 10 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
8,00
1,00
15,00
1,00
1,00

11 Mei 2013 11:17

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

11 Mei 2013 11:05

Item
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

11 Mei 2013 11:02

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CETIRIZINE 10 MG TABLET
MOFACORT 10 GM CREAM
INH 100 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
7,00
1,00
10,00
10,00
5,00

11 Mei 2013 10:58

Item
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.1 % 20 GM CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

11 Mei 2013 10:58

Item
CLINDAMYCIN 300 MG CAPSULE
CETIRIZINE 10 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
CENDO CATARLENT 15 ML
CENDO MYDRIATYL 0.5% 5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
15,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
5,00

11 Mei 2013 10:50

Item
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.05% 20 GM CREAM
HYDROCORTISONE INF 2.5% 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

11 Mei 2013 10:40

Item
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00
3,00

SUCTION CATHETER 8
THREE WAY STOPCOCK
KA-EN 1B 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
SELANG OKSIGEN CHILD
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
1,00
1,00
1,00
30,00
11,00

11 Mei 2013 10:39

Item
CERINI TABLET 10 mg
METHYL PREDNISOLONE INF 4 MG TABLET
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
10,00
1,00
1,00
1,00
6,00
1,00
1,00
2,00

11 Mei 2013 10:21

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

11 Mei 2013 10:14

Item
MELANOX FORTE CREAM
VITACID SDM 0.1 % 20 GM CREAM
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
MELANOX FORTE CREAM
VITACID SDM 0.05% 20 GM CREAM
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

EMBALASE
TOTAL

1,00

11 Mei 2013 10:05

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

11 Mei 2013 10:05

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

11 Mei 2013 10:00

Item
NEUROSANBE TABLET
PREDNISON 5 MG TABLET
OFLOXACIN INF TABLET 400 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
15,00
30,00
3,00

11 Mei 2013 09:55

Item
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN

UMUM
Quantity
6,00
1,00
1,00
15,00
1,00
1,00
2,00
1,00

EMBALASE
TOTAL

1,00

11 Mei 2013 09:53

Item
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00

11 Mei 2013 09:52

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
7,00
1,00
1,00
1,00
1,00
1,00
2,00

11 Mei 2013 09:33

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
1,00
1,00

11 Mei 2013 09:15

Item
CERINI TABLET 10 mg
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
2,00
1,00
1,00
1,00

11 Mei 2013 09:11

Item
VITACID SDM 0.025% 15 GM CREAM
MELANOX FORTE CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00

11 Mei 2013 09:09

Item
CERINI TABLET 10 mg
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00

11 Mei 2013 09:07

Item
AMOXICILLIN 500 MG TABLET
CTM 4 MG TABLET
SANMOL TABLET 500 mg
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
3,00
4,00
1,00
1,00
15,00
1,00
1,00

11 Mei 2013 09:04

Item
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00

11 Mei 2013 08:57

Item

UMUM
Quantity

ACYCLOVIR INF TABLET 400 MG

ASAM MEFENAMAT INF 500 MG TABLET
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

50,00
21,00
1,00
3,00

11 Mei 2013 08:44

Item
CERINI TABLET 10 mg
CLINDAMYCIN 300 MG CAPSULE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
14,00
1,00
1,00
1,00
1,00
1,00
2,00

10 Mei 2013 15:19

Item
LORATADINE INF TABLET 10 MG
MOFACORT 5 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
2,00

10 Mei 2013 13:58

Item
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00

10 Mei 2013 11:32

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM

JAKARTA SEHAT
Quantity
3,00
5,00
1,00
1,00
10,00
1,00
1,00

LIQ. CARBONAS DITERGENT

DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
2,00
1,00
1,00

10 Mei 2013 11:23

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
HYDROCORTISONE INF 2.5% 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
CTM 4 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
1,00
21,00
21,00
2,00

10 Mei 2013 11:18

Item
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00

10 Mei 2013 11:10

Item
DOXYCYCLINE INF TABLET 100 MG
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
2,00

10 Mei 2013 10:56

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
INERSON 15 GM OINTMENT

ASKES
Quantity
1,00
1,00
1,00
3,00
1,00
1,00
2,00

TUSLAH NON RACIKAN

TOTAL

1,00

10 Mei 2013 10:52

Item
VITACID SDM 0.05% 20 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

10 Mei 2013 10:47

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
1,00
1,00
1,00
1,00
1,00
2,00

10 Mei 2013 10:43

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

10 Mei 2013 10:40

Item
CERINI TABLET 10 mg
RANITIDINE INF TABLET 150 MG
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
14,00
14,00
1,00
14,00
1,00
2,00
1,00
1,00

10 Mei 2013 10:33

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
7,00
2,00

10 Mei 2013 10:10

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00
1,00
1,00

10 Mei 2013 09:56

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

10 Mei 2013 09:48

Item
CERINI TABLET 10 mg
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
1,00
1,00
1,00
1,00
1,00

10 Mei 2013 09:45

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00

10 Mei 2013 09:04

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
5,00
8,00
1,00
15,00

10 Mei 2013 08:51

Item
DESOLEX 10 GM CREAM 0.5 mg/g
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00

10 Mei 2013 08:45

Item
CERINI TABLET 10 mg
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
14,00
28,00
1,00
14,00
1,00
1,00
3,00
3,00
1,00
1,00

10 Mei 2013 08:39

Item

UMUM
Quantity

KLODERMA 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

1,00
1,00

10 Mei 2013 08:32

Item
CEFAT 60 ML POWDER, FOR ORAL SOLUTION
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

8 Mei 2013 15:07

Item
CLINDAMYCIN 300 MG CAPSULE
PARACETAMOL INF TABLET 500 mg
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
3,00

8 Mei 2013 14:26

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
1,00

8 Mei 2013 14:23

Item
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
20,00
1,00

8 Mei 2013 14:09

Item
SAGESTAM SANBE 10 GM CREAM
ALDISA SR CAPSULE
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
15,00
0,10
1,00
1,00
2,00

8 Mei 2013 12:43

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

8 Mei 2013 12:18

Item
ITRACONAZOLE HEXPHARM CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
28,00
1,00

8 Mei 2013 11:24

Item
ACID SALICYL PULV GM
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00

8 Mei 2013 11:05

Item
PREDNISON 5 MG TABLET
CTM 4 MG TABLET
TUSLAH RACIKAN EMBALASE
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
5,00
2,00
1,00
10,00
1,00
1,00

8 Mei 2013 11:03

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
5,00
1,00
1,00
3,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

8 Mei 2013 10:42

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

8 Mei 2013 10:35

Item
METHYL PREDNISOLONE INF 4 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00

8 Mei 2013 10:15

Item
MELANOX FORTE CREAM
VITACID SDM 0.05% 20 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00
1,00
1,00
1,00

8 Mei 2013 10:14

Item
IMBOOST FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

8 Mei 2013 09:21

UMUM

Item
CERINI TABLET 10 mg
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
LANOLIN
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
7,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
15,00
2,00

8 Mei 2013 09:15

Item
VASELIN ALBUM
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
20,00
1,00

8 Mei 2013 08:52

Item
RYZO 10 MG
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00

8 Mei 2013 08:51

Item
SAGESTAM SANBE 10 GM CREAM
KETOCONAZOLE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
14,00
2,00

8 Mei 2013 08:49

Item
LORATADINE INF TABLET 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT

UMUM
Quantity
7,00
1,00
1,00

KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00

8 Mei 2013 08:37

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
3,00
5,00
1,00
10,00
1,00
3,00
1,00
1,00

7 Mei 2013 14:45

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
LANOLIN
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
10,00
1,00
1,00

7 Mei 2013 14:44

Item
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

7 Mei 2013 14:37

Item
METHYL PREDNISOLONE INF 4 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM CREAM
TUSLAH RACIKAN

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
2,00
1,00

EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00

7 Mei 2013 12:44

Item
KETOCONAZOLE TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00
1,00
1,00
1,00
1,00
1,00

7 Mei 2013 12:41

Item
IMBOOST FORCE TABLET
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00
2,00

7 Mei 2013 12:20

Item
CERINI TABLET 10 mg
LORATADINE INF TABLET 10 MG
RANITIDINE INF TABLET 150 MG
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

RSUD TARAKAN
Quantity
14,00
14,00
14,00
28,00
1,00
14,00

7 Mei 2013 11:59

Item
VITAMIN B6 10 MG TABLET
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00
2,00

7 Mei 2013 11:40

Item
FORMYCO TABL 200 mg

UMUM
Quantity
14,00

CERINI TABLET 10 mg
TUSLAH NON RACIKAN
TOTAL

7,00
2,00

7 Mei 2013 11:36

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00
1,00
1,00

7 Mei 2013 11:21

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
MELANOX FORTE CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

7 Mei 2013 11:17

Item
OPICLAM 10 GM GEL 10 mg/g
MELANOX FORTE CREAM
VITACID SDM 0.1 % 20 GM CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

7 Mei 2013 11:08

Item
HANDSCOON GAMEX 6.5

UMUM
Quantity
1,00

T-LENE 6-0 L42 TRITON

TUSLAH NON RACIKAN
TOTAL

1,00
2,00

7 Mei 2013 11:00

Item
CERINI TABLET 10 mg
RANITIDINE INF TABLET 150 MG
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
14,00
14,00
1,00
14,00
1,00
1,00
1,00
2,00
1,00
1,00

7 Mei 2013 10:54

Item
CEFIXIME GENERIK CAPSULE
DOXYCYCLINE INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
14,00
2,00

7 Mei 2013 10:53

Item
DOXYCYCLINE INF TABLET 100 MG
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00
2,00

7 Mei 2013 10:53

Item
DOXYCYCLINE INF TABLET 100 MG
OPICLAM 10 GM GEL 10 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00
2,00

7 Mei 2013 10:47

Item
FORMYCO TABL 200 mg

UMUM
Quantity
14,00

CERINI TABLET 10 mg
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

7,00
1,00
1,00
2,00
1,00
1,00
2,00

7 Mei 2013 10:45

Item
RYZO 10 MG
SANEXON 4 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
15,00
1,00
1,00
2,00
1,00
1,00
2,00

7 Mei 2013 10:44

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
ELOSKIN 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
1,00
6,00
1,00
1,00

7 Mei 2013 10:34

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
1,00
1,00

7 Mei 2013 10:07

Item
OPICEF 500 MG CAPSULE

UMUM
Quantity
10,00

MEFINAL 500 MG TABLET

ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
1,00
1,00
1,00
1,00
2,00

7 Mei 2013 09:59

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

7 Mei 2013 09:55

Item
ASTHIN FORCE TABLET
OPICLAM 10 GM GEL 10 mg/g
VITACID SDM 0.05% 20 GM CREAM
MELANOX FORTE CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

7 Mei 2013 09:46

Item
METHYL PREDNISOLONE INF 4 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
28,00
1,00
1,00
2,00
1,00
1,00
1,00

7 Mei 2013 09:43

Item
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
28,00
1,00

7 Mei 2013 09:31

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
5,00
1,00
3,00

7 Mei 2013 09:29

Item
RYZO 10 MG
METHYL PREDNISOLONE INF 4 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
21,00
1,00
1,00
3,00
1,00
1,00
2,00

7 Mei 2013 09:22

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CERINI TABLET 10 mg
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
20,00
10,00
1,00
10,00
1,00
1,00
1,00
5,00
1,00
1,00

7 Mei 2013 09:11

Item
METHYL PREDNISOLONE INF 4 MG TABLET

UMUM
Quantity
10,00

TUSLAH NON RACIKAN

TOTAL

1,00

7 Mei 2013 09:09

Item
MEDIKLIN SDM 15 GM GEL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

7 Mei 2013 09:08

Item
CLINDAMYCIN 300 MG CAPSULE
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
2,00
1,00
1,00
1,00

7 Mei 2013 08:37

Item
MENTHOL PULV
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00

7 Mei 2013 08:21

Item
CLINDAMYCIN 300 MG CAPSULE
OPICLAM 10 GM GEL 10 mg/g
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
1,00
2,00
1,00
1,00
2,00

6 Mei 2013 15:08

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT

RSUD TARAKAN
Quantity
1,00
1,00

CINOLON 10 GM CREAM 0.25 mg/g

TUSLAH RACIKAN
EMBALASE
TOTAL

2,00
1,00
1,00

6 Mei 2013 14:59

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
5,00
1,00

6 Mei 2013 13:15

Item
MENTHOL PULV
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
CERINI TABLET 10 mg
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
30,00
1,00
1,00
5,00
1,00

6 Mei 2013 13:02

Item
KETOCONAZOLE TABLET
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
7,00
1,00
1,00
2,00
1,00
1,00
2,00

6 Mei 2013 12:45

Item
CETIRIZINE 10 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
10,00
1,00
1,00
1,00
1,00

6 Mei 2013 12:33

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
CINOLON 10 GM CREAM 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
1,00

6 Mei 2013 12:07

Item
METHYL PREDNISOLONE inf 16 MG TABLET
CERINI TABLET 10 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
10,00
2,00

6 Mei 2013 12:03

Item
CLINDAMYCIN 300 MG CAPSULE
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00
1,00
1,00
1,00
1,00

6 Mei 2013 11:55

Item

UMUM
Quantity

MEDIKLIN SDM 15 GM GEL

TUSLAH NON RACIKAN
TOTAL

2,00
1,00

6 Mei 2013 11:50

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
5,00
1,00
1,00
1,00

6 Mei 2013 10:49

Item
AMOXICILLIN 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
3,00
1,00
1,00
10,00

6 Mei 2013 10:46

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

6 Mei 2013 10:32

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
ELOSKIN 10 GM CREAM
VASELIN ALBUM

UMUM
Quantity
3,00
5,00
1,00
1,00
15,00
1,00
1,00
3,00
30,00

TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
1,00

6 Mei 2013 10:28

Item
METHYL PREDNISOLONE INF 4 MG TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
21,00
2,00

6 Mei 2013 10:14

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

6 Mei 2013 10:13

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
7,00
1,00
1,00
3,00
30,00
1,00
1,00
2,00

6 Mei 2013 10:08

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

6 Mei 2013 09:53

UMUM

Item
CLINDAMYCIN 300 MG CAPSULE
MEDIKLIN SDM 15 GM GEL
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
15,00
1,00
1,00
1,00
1,00
1,00
2,00

6 Mei 2013 09:49

Item
MEDIKLIN SDM 15 GM GEL
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

6 Mei 2013 09:47

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
4,00
5,00
1,00
1,00
10,00
1,00
1,00
1,00
1,00
1,00

6 Mei 2013 09:29

Item
CERINI TABLET 10 mg
SANEXON 4 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
1,00
2,00
1,00
1,00

6 Mei 2013 09:28

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00
1,00
1,00

6 Mei 2013 09:17

Item
SANEXON 4 MG TABLET
CERINI TABLET 10 mg
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
7,00
1,00
1,00
1,00
4,00
1,00
1,00
2,00

6 Mei 2013 09:05

Item
KETOCONAZOLE TABLET
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
KETOCONAZOLE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
7,00
1,00
1,00
3,00
1,00
1,00
2,00

6 Mei 2013 09:02

Item
CLINDAMYCIN 300 MG CAPSULE
SANEXON 4 MG TABLET
TUSLAH RACIKAN EMBALASE
LANOLIN
KLODERMA 10 GM OINTMENT

UMUM
Quantity
10,00
20,00
1,00
10,00
1,00
2,00

TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
1,00

6 Mei 2013 09:01

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
LANOLIN
MOFACORT 10 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
2,00
3,00
1,00
1,00
6,00
1,00
1,00
2,00
1,00
1,00

6 Mei 2013 08:57

Item
CERINI TABLET 10 mg
SANEXON 4 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
21,00
42,00
1,00
21,00
1,00
1,00
1,00
3,00
1,00
1,00

4 Mei 2013 12:14

Item
CTM 4 MG TABLET
CEFADROXIL INF CAPSULE 500 MG
SANMOL TABLET 500 mg
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
4,00
5,00
4,00
1,00
15,00
1,00
1,00
2,00
1,00
1,00

TOTAL

4 Mei 2013 11:56

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

4 Mei 2013 11:28

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CTM 4 MG TABLET
BURNAZIN 35 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
21,00
1,00
3,00

4 Mei 2013 11:10

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00
1,00
1,00
1,00

4 Mei 2013 10:33

Item
PIPET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 10:33

Item
PROLIC SANBE 300 mg
MEFINAL 500 MG TABLET
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
15,00
1,00
3,00

4 Mei 2013 10:32

Item

UMUM
Quantity

LEVOFLOXACIN INF TABLET

SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
2,00

4 Mei 2013 10:04

Item
SAGESTAM SANBE 10 GM CREAM
IMBOOST FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
2,00

4 Mei 2013 09:38

Item
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH RACIKAN
EMBALASE
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
ACID SALICYL PULV GM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
21,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

4 Mei 2013 09:29

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASURANSI JIWA SINARMAS MSIG

Quantity
7,00
1,00
1,00
2,00
1,00
1,00
1,00

4 Mei 2013 09:21

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

4 Mei 2013 09:06

Item
RYZO 10 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
LOTASBAT INTERBAT 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
1,00
1,00
2,00
1,00
1,00
1,00

4 Mei 2013 09:02

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
5,00
1,00
1,00
3,00
1,00
1,00
1,00

4 Mei 2013 08:59

Item
CEFIXIME GENERIK CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
8,00
1,00
1,00
10,00

4 Mei 2013 08:35

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 10 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE

UMUM
Quantity
3,00
5,00
1,00
1,00
15,00
1,00
1,00
1,00
1,00
1,00
1,00

TOTAL

4 Mei 2013 08:35

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
1,00
1,00
1,00

4 Mei 2013 08:34

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
8,00
15,00
1,00
15,00
1,00
1,00
1,00
3,00
1,00
1,00

4 Mei 2013 08:22

Item
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00

4 Mei 2013 08:11

Item
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN

UMUM
Quantity
30,00
30,00
30,00
3,00

TOTAL

3 Mei 2013 12:32

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
MOFACORT 10 GM CREAM
VASELIN ALBUM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
1,00
1,00
15,00
1,00
1,00
1,00
1,00

3 Mei 2013 12:03

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
7,00
1,00
1,00
2,00
1,00
1,00
2,00

3 Mei 2013 11:35

Item
MEDIKLIN SDM 15 GM GEL
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CLINDAMYCIN 300 MG CAPSULE
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

3 Mei 2013 11:34

Item
MEDIKLIN SDM 15 GM GEL
ACID SALICYL PULV GM

ASKES
Quantity
1,00
1,00

SULFUR PRAECIPITAT 200 MG

CLINDAMYCIN 300 MG CAPSULE
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00

3 Mei 2013 11:13

Item
NEUROSANBE TABLET
IBUPROFEN INF 200 MG TABLET
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
21,00
1,00
1,00
2,00
1,00
1,00
2,00

3 Mei 2013 10:47

Item
PROLIC SANBE 300 mg
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
1,00
2,00

3 Mei 2013 10:46

Item
CERINI TABLET 10 mg
FORMYCO 10 GM CREAM 20 mg/g
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
1,00
1,00

3 Mei 2013 10:41

Item
CERINI TABLET 10 mg
MENTHOL PULV
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT

UMUM
Quantity
14,00
1,00
1,00
1,00

DESOLEX 10 GM CREAM 0.5 mg/g

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
1,00
1,00

3 Mei 2013 10:40

Item
PROLIC SANBE 300 mg
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
1,00
2,00

3 Mei 2013 10:11

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
1,00

3 Mei 2013 09:36

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
7,00
2,00

3 Mei 2013 09:04

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
4,00
8,00
1,00
15,00
1,00
1,00
1,00
1,00
1,00

3 Mei 2013 08:58

Item
CETIRIZINE 10 MG TABLET

UMUM
Quantity
14,00

RANITIDINE INF TABLET 150 MG

METHYL PREDNISOLONE inf 16 MG TABLET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

14,00
2,00
1,00
14,00
1,00
1,00
1,00
1,00

3 Mei 2013 08:53

Item
CLINDAMYCIN 300 MG CAPSULE
MEDIKLIN SDM 15 GM GEL
VITACID SDM 0.05% 20 GM CREAM
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
1,00
1,00
1,00
1,00
2,00

3 Mei 2013 08:48

Item
KLODERMA 10 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

3 Mei 2013 08:44

Item
CETIRIZINE 10 MG TABLET
CLINDAMYCIN 300 MG CAPSULE
LIQ. CARBONAS DITERGENT
CLINDAMYCIN 150 MG CAPSULE
ALKOHOL 70% 100 ML
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
30,00
1,00
1,00
1,00
1,00
1,00
2,00

3 Mei 2013 08:42

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00

TOTAL

3 Mei 2013 08:36

Item
ALLORIS 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
CINOLON 10 GM CREAM 0.25 mg/g
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

3 Mei 2013 08:31

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
7,00
1,00
1,00
2,00
1,00
1,00
2,00

2 Mei 2013 14:29

Item
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 14:22

Item
ACID SALYCIL PULV 100 MG
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
5,00
1,00
1,00

2 Mei 2013 12:35

JAKARTA SEHAT

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
2,00
1,00
1,00
7,00
1,00

2 Mei 2013 12:20

Item
ACYCLOVIR INF TABLET 400 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
50,00
15,00
2,00

2 Mei 2013 11:36

Item
DOXYCYCLINE INF TABLET 100 MG
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
14,00
2,00

2 Mei 2013 11:22

Item
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
LANOLIN
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
15,00
1,00
20,00
1,00
1,00
3,00

2 Mei 2013 11:09

Item
CETIRIZINE 10 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN

UMUM
Quantity
7,00
1,00
1,00
3,00
1,00

EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00

2 Mei 2013 11:08

Item
CLINDAMYCIN 300 MG CAPSULE
MEDIKLIN SDM 15 GM GEL
ACID SALICYL PULV GM
CLINDAMYCIN 150 MG CAPSULE
SULFUR PRAECIPITAT 200 MG
SAGESTAM SANBE 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00

2 Mei 2013 11:06

Item
SAGESTAM SANBE 10 GM CREAM
FORMYCO 10 GM CREAM 20 mg/g
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH RACIKAN
EMBALASE
CLINDAMYCIN 300 MG CAPSULE
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
14,00
6,00
6,00
1,00
6,00
2,00

2 Mei 2013 10:52

Item
METHYL PREDNISOLONE INF 4 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
30,00
2,00

2 Mei 2013 10:39

UMUM

Item
CIPROFLOXACIN TABLET
CETIRIZINE 10 MG TABLET
SANMOL TABLET 500 mg
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

Quantity
14,00
5,00
10,00
1,00
4,00

2 Mei 2013 10:28

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
DESOLEX 10 GM CREAM 0.5 mg/g
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
5,00
1,00
1,00
1,00
1,00
2,00

2 Mei 2013 10:11

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
KLODERMA 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
8,00
1,00
15,00
1,00
1,00

2 Mei 2013 10:01

Item
FORMYCO TABL 200 mg
CERINI TABLET 10 mg
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN

UMUM
Quantity
14,00
7,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00

TOTAL

2 Mei 2013 09:59

Item
CTM 4 MG TABLET
AMOXICILLIN 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
SAGESTAM SANBE 10 GM CREAM
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
CINOLON-N 10 GM CREAM 5 mg/g; 0.25 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
6,00
1,00
1,00
21,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00

2 Mei 2013 09:58

Item
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
3,00

2 Mei 2013 09:44

Item
FORMYCO 10 GM CREAM 20 mg/g
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00

2 Mei 2013 09:41

Item
ASTHIN FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

2 Mei 2013 09:40

Item

UMUM
Quantity

VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
TUSLAH NON RACIKAN
TOTAL

30,00
30,00
30,00
3,00

2 Mei 2013 09:30

Item
ACID SALICYL PULV GM
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
15,00
1,00
1,00

2 Mei 2013 09:27

Item
VITACID SDM 0.025% 15 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

2 Mei 2013 09:14

Item
MEDIKLIN SDM 15 GM GEL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

2 Mei 2013 09:13

Item
ITRACONAZOLE HEXPHARM CAPSULE 100 MG
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
28,00
1,00
1,00
1,00
1,00
1,00
1,00

2 Mei 2013 08:45

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET

UMUM
Quantity
2,00
3,00
1,00

TUSLAH RACIKAN
EMBALASE
LANOLIN
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
6,00
1,00
2,00
1,00
1,00

2 Mei 2013 08:44

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
SAGESTAM SANBE 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
8,00
1,00
1,00
15,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

2 Mei 2013 08:34

Item
CLINDAMYCIN 300 MG CAPSULE
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
10,00
2,00

2 Mei 2013 08:27

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00

1 Mei 2013 20:57

Item
CLINDAMYCIN 300 MG CAPSULE

JAKARTA SEHAT
Quantity
21,00

ASAM MEFENAMAT INF 500 MG TABLET

GENTAMYCIN INF 5 GM OINTMENT
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

15,00
1,00
2,00
2,00
5,00

1 Mei 2013 11:57

Item
KETOCONAZOLE TABLET
CTM 4 MG TABLET
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
HYDROCORTISONE INF 2.5% 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
15,00
1,00
1,00
2,00
1,00
1,00
2,00

1 Mei 2013 11:55

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
8,00
1,00
1,00
30,00
20,00
15,00
1,00
1,00
30,00

1 Mei 2013 11:45

Item
PREDNISON 5 MG TABLET
CETIRIZINE 10 MG TABLET
MUCERA TAB 30 MG
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
21,00
7,00
10,00
1,00
1,00
3,00
1,00
1,00
3,00

1 Mei 2013 11:32

Item
ICHTYOL
ZINCI OXYDUM (ZNO) BOT POWDER
BENOSON 15 GM CREAM
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00

1 Mei 2013 09:54

Item
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
15,00
1,00
3,00

1 Mei 2013 09:46

Item
ELOSKIN 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

1 Mei 2013 08:58

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
SULFUR PRAECIPITAT 200 MG
FORMYCO 10 GM CREAM 20 mg/g
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
2,00
1,00
1,00
1,00

1 Mei 2013 08:56

Item
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
14,00
10,00
2,00

1 Mei 2013 08:44

Item
CERINI TABLET 10 mg
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
KLODERMA 10 GM OINTMENT
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
2,00
1,00
1,00
1,00

1 Mei 2013 08:39

Item
ACID SALICYL PULV GM
LIQ. CARBONAS DITERGENT
DESOLEX 10 GM CREAM 0.5 mg/g
VASELIN ALBUM
TUSLAH RACIKAN
EMBALASE
ALLORIS 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
20,00
1,00
1,00
5,00
1,00

Depo
Depo IGD
Subtotal
TAB
TUB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Pasien
Penjamin
1125
1125
2220
2220
644
644
252
252
224
224
2500
2500
6965
6965

Pasien

0
0
0
0
0
0
0

Penjamin
287
53428
3500
900
58115

0
0
0
0
0

Pasien
Penjamin
6538
6538
15345
15345
16438
16438
1500
1500
39821
39821

0
0
0
0
0

Pasien
Penjamin
4000
4000
180
180
1560
1560
53428
53428
3500
3500
900
900
500
500
64068
64068

0
0
0
0
0
0
0
0

Pasien
Penjamin
20173
20173
500
500
20673
20673

0
0
0

287
53428
3500
900
58115

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB

Pasien
Penjamin
18343
18343
5809
5809
12012
12012
1500
1500
37664
37664

0
0
0
0
0

Pasien
Penjamin
5080
5080
20173
20173
31
31
16438
16438
3500
3500
50
50
1000
1000
46272
46272

0
0
0
0
0
0
0
0

Pasien

Penjamin
540
480
1380
1575
2000
5975

0
0
0
0
0
0

Pasien
Penjamin
2800
2800
4440
4440
26714
26714
3500
3500
50
50
500
500
38004
38004

0
0
0
0
0
0
0

Pasien
Penjamin
7560
7560

540
480
1380
1575
2000
5975

TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT

58506
3500
50
69616

58506
3500
50
69616

0
0
0
0

Penjamin
570
100
22440
3500
50
2800
500
29960

0
0
0
0
0
0
0
0

Pasien
Penjamin
10776
10776
4242
4242
1000
1000
16018
16018

0
0
0
0

Pasien
Penjamin
204930
204930
500
500
205430
205430

0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

Pasien
570
100
22440
3500
50
2800
500
29960

Pasien
64
375
196
3500
500

Penjamin
64
375
196
3500
500

0
0
0
0
0

GM
ML
GM
TUB
UNT
UNT

Depo IGD
Subtotal
PKG
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
UNT

180
1560
861
175518
3500
50
186304

180
1560
861
175518
3500
50
186304

0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
5881
5881
3500
3500
50
50
500
500
17323
17323

0
0
0
0
0
0

Pasien
Penjamin
2220
2220
500
500
2720
2720

0
0
0

Pasien
Penjamin
2220
2220
500
500
2720
2720

0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

Pasien
Penjamin
21483
21483
500
500
21983
21983

0
0
0

Depo Atas
Subtotal
TUB
UNT

Depo IGD
Subtotal
TUB
TUB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TUB
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT

Pasien
Penjamin
30294
30294
450
450
30744
30744

0
0
0

Pasien
Penjamin
16830
16830
21062
21062
1000
1000
38892
38892

0
0
0
0

Pasien
Penjamin
20820
20820
33264
33264
1000
1000
55084
55084

0
0
0
0

Pasien

Penjamin
467
58506
3500
50
62523

0
0
0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

Pasien
Penjamin
7560
7560
58506
58506
3500
3500
50
50
69616
69616

0
0
0
0
0

467
58506
3500
50
62523

Depo Atas
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT
TAB
GM
GM
TUB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
95634
95634
18180
18180
1000
1000
114814
114814

Pasien

0
0
0
0

Penjamin
128
600
196
3500
750
5174

0
0
0
0
0
0

Penjamin
162
1404
157966.2
3150
45
2520
162
27.9
13608
3150
45
5884.2
900
189024.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1575
1575
1380
1380
540
540
480
480
2000
2000
5975
5975

0
0
0
0
0
0

128
600
196
3500
750
5174

Pasien
162
1404
157966.2
3150
45
2520
162
27.9
13608
3150
45
5884.2
900
189024.3

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
GM
TUB
UNT
UNT

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
TUB
UNT
UNT

Pasien
Penjamin
5600
5600
5600
5600
2100
2100
3500
3500
700
700
1068
1068
30092
30092
3500
3500
50
50
52210
52210

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1068
1068
1560
1560
22440
22440
3500
3500
50
50
28618
28618

0
0
0
0
0
0

Pasien

Penjamin
180
31
7560
3500
50
11321

0
0
0
0
0
0

Pasien
Penjamin
2250
2250
6000
6000
3500
3500
750
750
1068
1068
117012
117012
3500
3500
50
50
134130
134130

0
0
0
0
0
0
0
0
0

180
31
7560
3500
50
11321

Depo IGD
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
GM
UNT
UNT

Pasien
Penjamin
66528
66528
12012
12012
1000
1000
79540
79540

0
0
0
0

Pasien
Penjamin
17982
17982
450
450
18432
18432

0
0
0

Pasien
Penjamin
2800
2800
861
861
80142
80142
3500
3500
50
50
500
500
87853
87853

0
0
0
0
0
0
0

Pasien
Penjamin
2800
2800
180
180
1560
1560
117012
117012
3500
3500
900
900
500
500
126452
126452

0
0
0
0
0
0
0
0

Pasien
Penjamin
4000
4000
180
180
1560
1560
53428
53428
1500
1500
3500
3500
900
900

0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal

500
65568

500
65568

0
0

Penjamin
480
1125
180
1560
53428
3500
50
1000
61323

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
31
31
15120
15120
3500
3500
50
50
6538
6538
1000
1000
47902
47902

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12012
12012
66528
66528
1000
1000
79540
79540

0
0
0
0

Pasien
Penjamin
58506
58506
500
500
59006
59006

0
0
0

Pasien
480
1125
180
1560
53428
3500
50
1000
61323

Pasien

Penjamin

TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
UNT
UNT

2800
180
1560
26714
3500
50
500
35304

2800
180
1560
26714
3500
50
500
35304

0
0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
570
570
100
100
22440
22440
3500
3500
50
50
500
500
48643
48643

0
0
0
0
0
0
0
0

Pasien

Penjamin
287
26714
3500
50
30551

0
0
0
0
0

Pasien
Penjamin
83853
83853
500
500
84353
84353

0
0
0

Pasien
Penjamin
7620
7620
2800
2800
180
180
1560
1560
53428
53428
3500
3500
50
50

0
0
0
0
0
0
0

287
26714
3500
50
30551

UNT

Depo Atas
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
GM
ML
TUB
GM
UNT
UNT
TAB

1000
70138

1000
70138

0
0

Pasien
Penjamin
1350
1350
43362
43362
1000
1000
45712
45712

0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
80701
80701

0
0
0
0
0
0
0
0

Pasien
Penjamin
10160
10160
30690
30690
3500
3500
500
500
180
180
1560
1560
53428
53428
3500
3500
50
50
103568
103568

0
0
0
0
0
0
0
0
0
0

Pasien
180
1560
80142
2250
3500
50
4000

Penjamin
180
1560
80142
2250
3500
50
4000

0
0
0
0
0
0
0

TAB
UNT

Depo Atas
Subtotal
TAB
TAB
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TUB
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG

15240
1000
107922

15240
1000
107922

0
0
0

Pasien
Penjamin
2688
2688
2800
2800
287
287
53428
53428
3500
3500
50
50
1000
1000
63753
63753

0
0
0
0
0
0
0
0

Pasien
Penjamin
18180
18180
11182
11182
26040
26040
1500
1500
56902
56902

0
0
0
0
0

Pasien

Penjamin
256
600
3500
750
11182
180
1560
53428
3500
50
500
75506

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
160
160
600
600
196
196

0
0
0

256
600
3500
750
11182
180
1560
53428
3500
50
500
75506

Pasien

UNT
UNT
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

3500
750
180
31
32876
3500
50
41843

3500
750
180
31
32876
3500
50
41843

0
0
0
0
0
0
0
0

Pasien
Penjamin
5080
5080
17820
17820
180
180
1560
1560
53428
53428
3500
3500
50
50
1000
1000
82618
82618

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30086
30086
1068
1068
1560
1560
58506
58506
3500
3500
50
50
500
500
95270
95270

0
0
0
0
0
0
0
0

Pasien
Penjamin
24948
24948
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
84166
84166

0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TUB
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
GM
TUB
GM
UNT
UNT

Depo Atas

Pasien
Penjamin
1350
1350
500
500
1850
1850

0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

Pasien
Penjamin
15316
15316
3150
3150
1000
1000
19466
19466

0
0
0
0

Pasien
Penjamin
16830
16830
21062
21062
1000
1000
38892
38892

0
0
0
0

Pasien
Penjamin
30690
30690
1500
1500
3500
3500
500
500
180
180
1560
1560
1722
1722
80142
80142
2250
2250
3500
3500
50
50
125594
125594

0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT
TUB
UNT

Depo IGD
Subtotal
TAB
TUB
UNT

Depo IGD
Subtotal
CAP
TAB
TUB
UNT

Pasien

Penjamin
570
200
44880
3500
50
49200

0
0
0
0
0
0

Penjamin
180
1560
80142
3500
50
21483
500
107415

0
0
0
0
0
0
0
0

Pasien
Penjamin
30932
30932
58506
58506
3500
3500
50
50
16830
16830
500
500
110318
110318

0
0
0
0
0
0
0

Pasien
Penjamin
2800
2800
16438
16438
1000
1000
20238
20238

0
0
0
0

Pasien
Penjamin
143451
143451
3705
3705
22364
22364
1500
1500
171020
171020

0
0
0
0
0

570
200
44880
3500
50
49200

Pasien
180
1560
80142
3500
50
21483
500
107415

Depo Atas
Subtotal
TAB
TUB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
ML
GM
TUB
UNT
UNT

Depo Unit Dose

Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas

Pasien
Penjamin
9090
9090
16830
16830
30932
30932
58506
58506
3500
3500
50
50
1000
1000
119908
119908

Pasien

0
0
0
0
0
0
0
0

Penjamin
162
1404
961.2
105310.8
3150
810
111798

0
0
0
0
0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

Pasien
Penjamin
37644
37644
500
500
38144
38144

0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

162
1404
961.2
105310.8
3150
810
111798

Subtotal
TUB
TUB
TAB
TAB
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TUB
TAB
UNT

Depo Atas
Subtotal
GM
ML
TUB
GM
UNT

Pasien
Penjamin
30932
30932
16830
16830
1890
1890
1920
1920
2000
2000
53572
53572

Pasien

0
0
0
0
0
0

Penjamin
570
100
22440
3500
50
26660

0
0
0
0
0
0

Pasien
Penjamin
2800
2800
180
180
31
31
15120
15120
3500
3500
50
50
6538
6538
1000
1000
29219
29219

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2220
2220
1890
1890
1000
1000
5110
5110

0
0
0
0

570
100
22440
3500
50
26660

Pasien
180
1560
53428
2100
3500

Penjamin
180
1560
53428
2100
3500

0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

50
60818

50
60818

0
0

Pasien
Penjamin
2250
2250
2835
2835
1000
1000
6085
6085

0
0
0
0

Pasien
Penjamin
18180
18180
1125
1125
3500
3500
750
750
9990
9990
180
180
31
31
15120
15120
3500
3500
50
50
500
500
52926
52926

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3270
3270
12120
12120
1000
1000
16390
16390

0
0
0
0

Pasien
750
160
3500
500
16438
500
21848

Penjamin
750
160
3500
500
16438
500
21848

0
0
0
0
0
0
0

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
GM
GM
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TUB
TUB
BOT
UNT
UNT

Pasien

Penjamin
180
1560
58506
3500
50
63796

0
0
0
0
0
0

Penjamin
160
600
3500
750
180
1560
80142
3500
50
90442

0
0
0
0
0
0
0
0
0
0

Penjamin
160
196
3500
750
180
31
58506
3500
50
66873

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6538
6538
2800
2800
22364
22364
32876
32876
5881
5881
3500
3500
450
450

0
0
0
0
0
0
0

180
1560
58506
3500
50
63796

Pasien
160
600
3500
750
180
1560
80142
3500
50
90442

Pasien
160
196
3500
750
180
31
58506
3500
50
66873

UNT

Depo IGD
Subtotal
AMP
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT

2000
76409

2000
76409

0
0

Pasien
Penjamin
8820
8820
5782
5782
1000
1000
15602
15602

0
0
0
0

Pasien

Penjamin
128
1332
196
3500
500
180
31
117012
3500
50
126429

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
180
180
31
31
15046
15046
3500
3500
50
50
500
500
21307
21307

0
0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
31
31
30092
30092
3500
3500
50
50

0
0
0
0
0
0

128
1332
196
3500
500
180
31
117012
3500
50
126429

UNT

Depo IGD
Subtotal
TAB
TAB
TUB
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB

500
55836

500
55836

0
0

Pasien
Penjamin
1125
1125
2000
2000
11182
11182
1500
1500
15807
15807

0
0
0
0
0

Pasien
Penjamin
7560
7560
58506
58506
3500
3500
50
50
69616
69616

0
0
0
0
0

Pasien

Penjamin
180
1560
53428
3500
50
58718

0
0
0
0
0
0

Pasien
Penjamin
24948
24948
180
180
1560
1560
80142
80142
3500
3500
50
50
500
500
110880
110880

0
0
0
0
0
0
0
0

180
1560
53428
3500
50
58718

Pasien

Penjamin
160
160

TAB
TAB
PKG
UNT
UNT
TUB
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo IGD
Subtotal
TUB
TAB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
GM
UNT
UNT
UNT

Depo Atas
Subtotal

600
1805
196
3500
750
11182
574
53428
3500
50
500
76245

600
1805
196
3500
750
11182
574
53428
3500
50
500
76245

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
570
100
44880
3500
50
49100

0
0
0
0
0
0

Pasien
Penjamin
16830
16830
2800
2800
1000
1000
20630
20630

0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
80142
80142
2250
2250
3500
3500
50
50
500
500
109665
109665

0
0
0
0
0
0
0
0
0

Pasien
570
100
44880
3500
50
49100

Pasien

Penjamin

TAB
TAB
UNT
UNT
GM
ML
TUB
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
BOT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
GM
UNT
UNT
UNT

Depo Atas

30690
2540
3500
500
180
1560
80142
37644
3500
50
160306

30690
2540
3500
500
180
1560
80142
37644
3500
50
160306

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
31
31
30092
30092
3500
3500
50
50
500
500
55836
55836

0
0
0
0
0
0
0
0

Pasien
Penjamin
11182
11182
41379
41379
1000
1000
53561
53561

0
0
0
0

Pasien
Penjamin
4000
4000
180
180
1560
1560
26714
26714
750
750
3500
3500
50
50
500
500
37254
37254

0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
UNT
UNT
TUB
TAB
ML
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
GM
ML
TUB
GM
UNT
UNT

Depo IGD
Subtotal
TUB
TUB
UNT

Pasien

Penjamin
128
375
3500
500
30567
82
1560
53428
3500
50
500
94190

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1380
1380
540
540
480
480
1575
1575
2000
2000
5975
5975

0
0
0
0
0
0

Pasien
Penjamin
14224
14224
42966
42966
3500
3500
700
700
1068
1068
180
180
1560
1560
80142
80142
2250
2250
3500
3500
50
50
150140
150140

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16830
16830
21062
21062
1000
1000
38892
38892

0
0
0
0

128
375
3500
500
30567
82
1560
53428
3500
50
500
94190

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
GM
TUB
GM
UNT
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
24948
24948
6538
6538
1000
1000
32486
32486

0
0
0
0

Pasien
Penjamin
1722
1722
67650
67650
2250
2250
3500
3500
50
50
75172
75172

0
0
0
0
0
0

Pasien
Penjamin
16830
16830
500
500
17330
17330

0
0
0

Pasien
Penjamin
7560
7560
30567
30567
3500
3500
50
50
41677
41677

0
0
0
0
0

Pasien
287
26714
3500
50
30551

Pasien

Penjamin
287
26714
3500
50
30551

Penjamin

0
0
0
0
0

TAB
TUB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
ML
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
TUB
TAB
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal

2000
58506
2115
1500
64121

2000
58506
2115
1500
64121

0
0
0
0
0

Pasien
Penjamin
5080
5080
500
500
5580
5580

0
0
0

Pasien

Penjamin
96
375
196
3500
500
180
1560
22440
3500
50
32397

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
30567
30567
2115
2115
1500
1500
36182
36182

0
0
0
0
0

Pasien
Penjamin
22440
22440
500
500
22940
22940

0
0
0

96
375
196
3500
500
180
1560
22440
3500
50
32397

Pasien

Penjamin

TAB
TAB
UNT
UNT
GM
ML
TUB
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TUB
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
GM
UNT
UNT
UNT

Depo Atas
Subtotal
GM

5080
4000
3500
500
180
1560
130680
15120
3500
50
164170

5080
4000
3500
500
180
1560
130680
15120
3500
50
164170

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1094
1094
4242
4242
1000
1000
6336
6336

0
0
0
0

Pasien
Penjamin
37644
37644
5881
5881
7392
7392
1500
1500
52417
52417

0
0
0
0
0

Pasien
Penjamin
7112
7112
4000
4000
180
180
1560
1560
53428
53428
2100
2100
3500
3500
50
50
1000
1000
72930
72930

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
570
570

GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
GM
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
GM

500
67320
3500
50
71940

500
67320
3500
50
71940

0
0
0
0
0

Pasien
Penjamin
2000
2000
33825
33825
1000
1000
36825
36825

0
0
0
0

Pasien

Penjamin
800
2250
1000
4050

0
0
0
0

Penjamin
160
1500
3500
500
180
1560
53428
3500
50
64378

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

800
2250
1000
4050

Pasien
160
1500
3500
500
180
1560
53428
3500
50
64378

Pasien

Penjamin
287
287

TUB
TUB
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
GM
TUB
GM
UNT
UNT
UNT

11182
30567
3500
50
45586

11182
30567
3500
50
45586

0
0
0
0
0

Pasien
Penjamin
18955.8 18955.8
450
450
19405.8 19405.8

0
0
0

Pasien
Penjamin
30567
30567
500
500
31067
31067

0
0
0

Pasien
Penjamin
2800
2800
180
180
1560
1560
47262
47262
3500
3500
50
50
500
500
55852
55852

0
0
0
0
0
0
0
0

Pasien
Penjamin
1575
1575
180
180
1560
1560
1722
1722
80142
80142
2250
2250
3500
3500
50
50
500
500
91479
91479

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
TUB
TUB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT
TUB
TUB
UNT
UNT
TAB
UNT

Depo Atas

Pasien
Penjamin
37644
37644
500
500
38144
38144

0
0
0

Pasien
Penjamin
16830
16830
39683
39683
30567
30567
3500
3500
50
50
22440
22440
1000
1000
114070
114070

0
0
0
0
0
0
0
0

Pasien
Penjamin
2800
2800
30086
30086
3500
3500
350
350
15046
15046
500
500
52282
52282

0
0
0
0
0
0
0

Pasien
180
1560
53428
3500
50
7560
30567
3500
50
2800
500
103695

Penjamin
180
1560
53428
3500
50
7560
30567
3500
50
2800
500
103695

0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
PKG
UNT
UNT
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
TUB
UNT

Pasien

Penjamin
96
525
196
3500
700
1435
326700
3500
50
336702

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3270
3270
2000
2000
1410
1410
11182
11182
2000
2000
19862
19862

0
0
0
0
0
0

Pasien
Penjamin
6538
6538
2800
2800
180
180
31
31
7560
7560
30567
30567
3500
3500
50
50
1000
1000
52226
52226

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4000
4000
10160
10160
3500
3500
500
500
180
180
1560
1560
196020
196020
3500
3500

0
0
0
0
0
0
0
0

96
525
196
3500
700
1435
326700
3500
50
336702

UNT

Depo Atas
Subtotal
TAB
TUB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
UNT

50
219470

50
219470

0
0

Pasien
Penjamin
2800
2800
11182
11182
180
180
1560
1560
53428
53428
3500
3500
50
50
1000
1000
73700
73700

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
160
1500
3500
500
180
1560
53428
3500
50
64378

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1068
1068
180
180
1560
1560
53428
53428
3500
3500
900
900
60636
60636

0
0
0
0
0
0
0

160
1500
3500
500
180
1560
53428
3500
50
64378

Pasien

Penjamin
287
287
750
750
3500
3500

0
0
0

UNT

Depo Atas
Subtotal
TAB
GM
TUB
UNT
UNT
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
ML
GM
TUB
GM
UNT
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT
TAB

900
5437

900
5437

0
0

Pasien
Penjamin
2115
2115
180
180
4440
4440
3500
3500
50
50
500
500
10785
10785

0
0
0
0
0
0
0

Pasien
Penjamin
13860
13860
500
500
14360
14360

0
0
0

Pasien
128
600
196
3500
750
1068
1560
861
23631
1500
3500
50
37344

Pasien
180
31
16438
3500
50
2800

Penjamin
128
600
196
3500
750
1068
1560
861
23631
1500
3500
50
37344

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
180
31
16438
3500
50
2800

0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
ML
TUB
UNT
UNT

500
23499

500
23499

0
0

Pasien
Penjamin
2000
2000
1125
1125
196
196
3500
3500
750
750
1068
1068
130680
130680
3500
3500
50
50
142869
142869

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5600
5600
180
180
31
31
22364
22364
3500
3500
50
50
500
500
32225
32225

0
0
0
0
0
0
0
0

Pasien
Penjamin
5500
5500
500
500
6000
6000

0
0
0

Pasien
Penjamin
30086
30086
7620
7620
1068
1068
180
180
1560
1560
196020
196020
3500
3500
50
50

0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TUB
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TUB
GM
TUB
UNT

1000
241084

1000
241084

0
0

Pasien
Penjamin
16830
16830
31
31
32876
32876
3500
3500
50
50
500
500
53787
53787

0
0
0
0
0
0
0

Pasien
Penjamin
1776
1776
160
160
196
196
3500
3500
750
750
11182
11182
500
500
18064
18064

0
0
0
0
0
0
0
0

Pasien
Penjamin
4670
4670
180
180
31
31
7560
7560
3500
3500
50
50
500
500
16491
16491

0
0
0
0
0
0
0
0

Pasien
Penjamin
9090
9090
5080
5080
16830
16830
31
31
16438
16438
3500
3500

0
0
0
0
0
0

UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
GM
TAB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
TUB
TUB
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TAB

50
1500
52519

50
1500
52519

0
0
0

Penjamin
128
2220
196
3500
500
16438
500
23482

0
0
0
0
0
0
0
0

Pasien
Penjamin
10668
10668
2800
2800
180
180
682
682
53428
53428
3500
3500
50
50
1000
1000
72308
72308

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5080
5080
16830
16830
21062
21062
25836
25836
61134
61134
3500
3500
50
50
1000
1000
134492
134492

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47817
47817
705
705

0
0

Pasien
128
2220
196
3500
500
16438
500
23482

TAB
TUB
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
TUB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TUB
TUB
UNT
UNT
UNT

Depo IGD
Subtotal

4245
11182
2000
65949

4245
11182
2000
65949

0
0
0
0

Pasien
Penjamin
16830
16830
500
500
17330
17330

0
0
0

Pasien
Penjamin
16830
16830
500
500
17330
17330

0
0
0

Pasien
Penjamin
15345
15345
11182
11182
180
180
1560
1560
53428
53428
3500
3500
50
50
1000
1000
86245
86245

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4670
4670
15345
15345
7560
7560
16438
16438
3500
3500
50
50
1000
1000
48563
48563

0
0
0
0
0
0
0
0

Pasien

Penjamin

TUB
UNT

Depo IGD
Subtotal
CAP
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
TUB
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
GM
TUB
UNT
UNT
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TUB

11182
500
11682

11182
500
11682

0
0
0

Pasien
Penjamin
95634
95634
12120
12120
11182
11182
1500
1500
120436
120436

0
0
0
0
0

Pasien
Penjamin
9090
9090
16830
16830
31
31
32876
32876
3500
3500
50
50
1000
1000
63377
63377

0
0
0
0
0
0
0
0

Pasien
Penjamin
16830
16830
31
31
16438
16438
3500
3500
50
50
500
500
37349
37349

0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
16830
16830

TUB
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
PKG
UNT
UNT
TUB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT
TAB
UNT

21062
1000
38892

21062
1000
38892

0
0
0

Pasien
Penjamin
9841
9841
128
128
375
375
196
196
3500
3500
500
500
2220
2220
180
180
1560
1560
196020
196020
3500
3500
50
50
1000
1000
219070
219070

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
160
1500
3500
500
1068
180
1560
130680
3500
50
142698

Pasien
180
1560
80142
3500
50
21483
500

Penjamin
160
1500
3500
500
1068
180
1560
130680
3500
50
142698

0
0
0
0
0
0
0
0
0
0
0

Penjamin
180
1560
80142
3500
50
21483
500

0
0
0
0
0
0
0

107415

Depo Atas
Subtotal
TAB
GM
TUB
GM
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT
TAB
TAB

107415

Pasien
Penjamin
21483
21483
1068
1068
196020
196020
2250
2250
3500
3500
50
50
500
500
224871
224871

0
0
0
0
0
0
0
0

Pasien

Penjamin
320
180
31
16438
3500
50
500
21019

0
0
0
0
0
0
0
0

Pasien
Penjamin
14224
14224
5600
5600
3500
3500
700
700
16438
16438
500
500
40962
40962

0
0
0
0
0
0
0

320
180
31
16438
3500
50
500
21019

Pasien
180
1560
80142
3500
50
30690
10160

Penjamin
180
1560
80142
3500
50
30690
10160

0
0
0
0
0
0
0

UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
TUB
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

3500
500
130282

3500
500
130282

0
0
0

Pasien
Penjamin
4000
4000
10160
10160
3500
3500
500
500
1068
1068
65340
65340
3500
3500
50
50
88118
88118

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
96
196
3500
500
7560
30567
3500
50
45969

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1575
1575
2800
2800
1000
1000
5375
5375

0
0
0
0

Pasien
Penjamin
1575
1575
2800
2800
1000
1000
5375
5375

0
0
0
0

96
196
3500
500
7560
30567
3500
50
45969

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
GM
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
TUB
TUB
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
TUB
GM
TUB
UNT
UNT
UNT

Pasien
Penjamin
1575
1575
2800
2800
1000
1000
5375
5375

0
0
0
0

Pasien
Penjamin
2025
2025
500
500
2525
2525

0
0
0

Pasien

Penjamin
160
196
3500
500
7560
20846
3500
50
36312

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16438
16438
500
500
16938
16938

0
0
0

Pasien
Penjamin
2800
2800
16830
16830
31
31
32876
32876
3500
3500
50
50
1000
1000
57087
57087

0
0
0
0
0
0
0
0

160
196
3500
500
7560
20846
3500
50
36312

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
GM
GM
TUB
TUB
UNT
UNT
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo Atas
Subtotal
TAB
TUB
GM
GM
ML
TUB
UNT
UNT
UNT

Pasien
Penjamin
32522
32522
21483
21483
180
180
31
31
22680
22680
3500
3500
50
50
1000
1000
81446
81446

Pasien

0
0
0
0
0
0
0
0
0

Penjamin
846
11182
31
180
7560
20846
3500
50
1000
45195

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13860
13860
500
500
14360
14360

0
0
0

Pasien
Penjamin
24948
24948
11182
11182
1068
1068
180
180
1560
1560
130680
130680
3500
3500
50
50
1000
1000
174168
174168

0
0
0
0
0
0
0
0
0
0

846
11182
31
180
7560
20846
3500
50
1000
45195

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
ML
GM
TUB
GM
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
GM
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
GM
ML
TUB
GM
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Pasien
Penjamin
4000
4000
10160
10160
3500
3500
500
500
1560
1560
1722
1722
62538
62538
225
225
3500
3500
50
50
87755
87755

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
33825
33825
2250
2250
1500
1500
39575
39575

0
0
0
0
0

Pasien

Penjamin
352
21336
3500
1050
1068
180
1560
80142
2250
3500
50
114988

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
55440
55440
1000
1000
83380
83380

0
0
0
0

352
21336
3500
1050
1068
180
1560
80142
2250
3500
50
114988

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
TUB
TAB
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas

Pasien
Penjamin
12600
12600
224
224
196
196
3500
3500
1050
1050
11182
11182
500
500
29252
29252

0
0
0
0
0
0
0
0

Pasien
Penjamin
6060
6060
16830
16830
5080
5080
31
31
16438
16438
3500
3500
50
50
1500
1500
49489
49489

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1500
1500
30690
30690
3500
3500
500
500
16438
16438
500
500
53128
53128

0
0
0
0
0
0
0

Pasien
Penjamin
16410
16410
10668
10668
1000
1000
28078
28078

0
0
0
0

Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TUB
TAB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
GM
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Pasien

Penjamin
570
100
22440
3500
50
26660

0
0
0
0
0
0

Pasien
Penjamin
29970
29970
1575
1575
1000
1000
32545
32545

0
0
0
0

Pasien
Penjamin
37644
37644
2400
2400
1000
1000
41044
41044

0
0
0
0

Pasien
Penjamin
2800
2800
180
180
1560
1560
53428
53428
1500
1500
3500
3500
50
50
500
500
63518
63518

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2800
2800
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500

0
0
0
0
0
0
0

570
100
22440
3500
50
26660

62018

Depo Atas
Subtotal
GM
GM
GM
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TUB
UNT
UNT
UNT

62018

Penjamin
180
861
2250
3500
50
6841

0
0
0
0
0
0

Pasien
Penjamin
24948
24948
180
180
1560
1560
26714
26714
3500
3500
50
50
6538
6538
1000
1000
64490
64490

0
0
0
0
0
0
0
0
0

Pasien
180
861
2250
3500
50
6841

Pasien

Penjamin
180
31
15120
3500
50
18881

0
0
0
0
0
0

Pasien
Penjamin
6538
6538
2800
2800
934
934
20846
20846
3500
3500
50
50
1000
1000
35668
35668

0
0
0
0
0
0
0
0

180
31
15120
3500
50
18881

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
UNT
UNT
GM
ML
TUB
GM
UNT
UNT
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
TUB
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
ML
BOT
UNT

Pasien
Penjamin
10668
10668
320
320
180
180
1560
1560
61134
61134
3500
3500
50
50
180
180
1560
1560
26714
26714
750
750
3500
3500
50
50
1000
1000
111166
111166

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4950
4950
500
500
5450
5450

0
0
0

Pasien

Penjamin
128
1235
196
3500
750
11182
65340
1000
83331

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4670
4670
21483
21483
1560
1560
2090
2090
3500
3500

0
0
0
0
0

128
1235
196
3500
750
11182
65340
1000
83331

UNT
UNT

Depo Atas
Subtotal
CAP
TUB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
ML
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB

50
1000
34353

50
1000
34353

0
0
0

Pasien
Penjamin
68310
68310
11182
11182
180
180
31
31
22680
22680
3500
3500
50
50
1000
1000
106933
106933

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
80142
80142
3500
3500
50
50
500
500
107415
107415

0
0
0
0
0
0
0
0

Pasien

Penjamin
180
1560
287
53428
3500
50
59005

0
0
0
0
0
0
0

Pasien
Penjamin
24948
24948
180
180
31
31
45138
45138

0
0
0
0

180
1560
287
53428
3500
50
59005

UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TUB
TUB

3500
50
500
74347

3500
50
500
74347

0
0
0
0

Pasien
Penjamin
2800
2800
180
180
31
31
16438
16438
3500
3500
50
50
500
500
23499
23499

0
0
0
0
0
0
0
0

Pasien
Penjamin
61134
61134
7560
7560
3500
3500
50
50
72244
72244

0
0
0
0
0

Pasien
Penjamin
4242
4242
500
500
4742
4742

0
0
0

Pasien

Penjamin
31
32876
3500
50
36457

0
0
0
0
0

Pasien
Penjamin
25836
25836
30567
30567

0
0

31
32876
3500
50
36457

UNT
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
GM
ML
TUB
UNT
UNT
TUB
TUB
UNT

Depo IGD
Subtotal
UNT

3500
50
59953

3500
50
59953

0
0
0

Pasien
Penjamin
25836
25836
20846
20846
3500
3500
50
50
50232
50232

0
0
0
0
0

Pasien
Penjamin
24948
24948
180
180
287
287
22440
22440
3500
3500
50
50
500
500
51905
51905

0
0
0
0
0
0
0
0

Pasien

Penjamin
448
2100
3500
700
1068
180
1560
62538
3500
50
16830
30932
1000
124406

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4620
4620

448
2100
3500
700
1068
180
1560
62538
3500
50
16830
30932
1000
124406

UNT
UNT
UNT

Depo IGD
Subtotal
PKG
ML
TUB
TUB
UNT
UNT

Depo IGD
Subtotal
PKG
TUB
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT

14988
14988
1500
36096

14988
14988
1500
36096

0
0
0
0

Penjamin
81
1560
23631
7560
3500
50
36382

0
0
0
0
0
0
0

Penjamin
81
37644
3500
50
41275

0
0
0
0
0

Pasien
Penjamin
37644
37644
500
500
38144
38144

0
0
0

Pasien
Penjamin
4670
4670
16438
16438
1000
1000
22108
22108

0
0
0
0

Pasien
81
1560
23631
7560
3500
50
36382

Pasien
81
37644
3500
50
41275

Pasien
570
100
22440
3500

Penjamin
570
100
22440
3500

0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
PKG
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT
TAB
BOT
UNT

50
26660

50
26660

0
0

Pasien
Penjamin
4578
4578
3705
3705
1000
1000
9283
9283

0
0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

Pasien
Penjamin
16830
16830
500
500
17330
17330

0
0
0

Pasien
Penjamin
9090
9090
363
363
39683
39683
20846
20846
3500
3500
50
50
500
500
74032
74032

0
0
0
0
0
0
0
0

Pasien
180
37644
3500
50
2115
2000
3500

Penjamin
180
37644
3500
50
2115
2000
3500

0
0
0
0
0
0
0

UNT
BOX
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

50
29493
1000
79532

50
29493
1000
79532

0
0
0
0

Pasien
Penjamin
30086
30086
180
180
1560
1560
80142
80142
3500
3500
50
50
500
500
116018
116018

0
0
0
0
0
0
0
0

Pasien
Penjamin
9090
9090
16830
16830
25836
25836
30932
30932
3500
3500
50
50
1000
1000
87238
87238

0
0
0
0
0
0
0
0

Pasien
Penjamin
30932
30932
61134
61134
3500
3500
50
50
95616
95616

0
0
0
0
0

Pasien
Penjamin
1380
1380
540
540
480
480
1140
1140
2000
2000
5540
5540

0
0
0
0
0
0

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
BAG
UNT
UNT
BOX
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
GM
TUB
UNT

Pasien
Penjamin
21483
21483
180
180
1560
1560
80142
80142
3500
3500
50
50
500
500
107415
107415

Pasien

0
0
0
0
0
0
0
0

Penjamin
600
256
196
3500
750
9633
3500
50
9831
287
26714
3500
50
500
59367

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6060
6060
16830
16830
1000
1000
23890
23890

0
0
0
0

Pasien
Penjamin
15345
15345
287
287
53428
53428
3500
3500

0
0
0
0

600
256
196
3500
750
9633
3500
50
9831
287
26714
3500
50
500
59367

UNT
UNT

Depo Atas
Subtotal
BOT
TUB
BAG
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TUB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

50
500
73110

50
500
73110

0
0
0

Pasien
Penjamin
10592
10592
11182
11182
9633
9633
3500
3500
50
50
9841
9841
1500
1500
46298
46298

0
0
0
0
0
0
0
0

Pasien
Penjamin
16410
16410
1380
1380
540
540
480
480
2000
2000
20810
20810

0
0
0
0
0
0

Pasien
Penjamin
32522
32522
21483
21483
7560
7560
180
180
1560
1560
16438
16438
3500
3500
50
50
1500
1500
84793
84793

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10592
10592
500
500
11092
11092

0
0
0

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
TUB
TUB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
BOT
UNT
UNT
PKG
TUB
TAB
UNT

Pasien
Penjamin
15147
15147
450
450
15597
15597

0
0
0

Pasien
Penjamin
25836
25836
30932
30932
20846
20846
3500
3500
50
50
16830
16830
500
500
98494
98494

0
0
0
0
0
0
0
0

Pasien
Penjamin
2800
2800
500
500
3300
3300

0
0
0

Pasien

Penjamin
570
100
22440
3500
50
26660

0
0
0
0
0
0

Pasien
Penjamin
2835
2835
2000
2000
3500
3500
50
50
7392
7392
37644
37644
1125
1125
2000
2000

0
0
0
0
0
0
0
0

570
100
22440
3500
50
26660

56546

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
ML
GM
TUB
TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TUB

56546

Pasien
Penjamin
4000
4000
10160
10160
3500
3500
500
500
180
180
1560
1560
53428
53428
3500
3500
50
50
76878
76878

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4000
4000
1500
1500
3500
3500
500
500
1560
1560
287
287
53428
53428
37644
37644
3500
3500
50
50
105969
105969

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1068
1068
180
180
1560
1560
196020
196020
3500
3500
50
50
202378
202378

0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
7560
7560

0
0

TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
TUB
TUB
UNT
UNT

Depo Atas

20846
3500
50
500
53939

20846
3500
50
500
53939

0
0
0
0
0

Pasien
Penjamin
50820
50820
500
500
51320
51320

0
0
0

Pasien

Penjamin
980
980
500
500
1480
1480

Pasien
64
225
3500
300
30567
500
35156

Pasien
128
375
3500
500
287
7560
26714
3500
900
43464

0
0
0

Penjamin
64
225
3500
300
30567
500
35156

0
0
0
0
0
0
0

Penjamin
128
375
3500
500
287
7560
26714
3500
900
43464

0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
GM
GM
UNT
UNT

Depo Atas
Subtotal
GM
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
CAP
UNT

Depo IGD
Subtotal
CAP
TUB
UNT

Pasien
Penjamin
24948
24948
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
84166
84166

Pasien

0
0
0
0
0
0
0
0

Penjamin
180
861
2250
3500
900
7691

0
0
0
0
0
0

Pasien
Penjamin
1068
1068
180
180
1560
1560
20846
20846
3500
3500
900
900
28054
28054

0
0
0
0
0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Pasien
Penjamin
140532
140532
2220
2220
1000
1000
143752
143752

0
0
0
0

180
861
2250
3500
900
7691

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
TUB
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
TAB
TAB
TUB
TAB
UNT

Depo Atas
Subtotal
TAB
TUB
TUB
UNT
UNT
TAB
TAB
UNT
UNT
UNT

Depo Atas

Pasien
Penjamin
4000
4000
10160
10160
3500
3500
500
500
180
180
1560
1560
80142
80142
3500
3500
50
50
103592
103592

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26714
26714
500
500
27214
27214

0
0
0

Pasien
Penjamin
22860
22860
448
448
43362
43362
366
366
2000
2000
69036
69036

0
0
0
0
0
0

Pasien
Penjamin
2800
2800
7560
7560
20846
20846
3500
3500
50
50
2115
2115
480
480
3500
3500
750
750
500
500
42101
42101

0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
GM
GM
ML
GM
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
GM
TUB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
2800
2800
1068
1068
180
180
1560
1560
2250
2250
3500
3500
50
50
500
500
11908
11908

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5080
5080
16830
16830
31
31
32876
32876
3500
3500
50
50
26714
26714
1500
1500
86581
86581

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32522
32522
24948
24948
180
180
31
31
22680
22680
3500
3500
50
50
1000
1000
84911
84911

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2220
2220
500
500
2720
2720

0
0
0

Pasien

Penjamin

TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
TUB
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TUB
UNT

Depo IGD
Subtotal
TAB
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
UNT
UNT

21483
180
1560
80142
3500
50
500
107415

21483
180
1560
80142
3500
50
500
107415

0
0
0
0
0
0
0
0

Pasien
Penjamin
9841
9841
4440
4440
20846
20846
3500
3500
50
50
500
500
39177
39177

0
0
0
0
0
0
0

Pasien
Penjamin
6858
6858
13541.4 13541.4
900
900
21299.4 21299.4

0
0
0
0

Pasien
Penjamin
21483
21483
7620
7620
30567
30567
1500
1500
61170
61170

0
0
0
0
0

Pasien
480
1125
180
1560
26714
3500
50

Penjamin
480
1125
180
1560
26714
3500
50

0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TUB
GM
TUB
UNT
UNT
TUB
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
TUB
UNT
UNT

1000
34609

1000
34609

0
0

Pasien
Penjamin
32522
32522
15345
15345
20846
20846
7560
7560
3500
3500
50
50
1000
1000
80823
80823

0
0
0
0
0
0
0
0

Pasien
Penjamin
22000
22000
16830
16830
31
31
16438
16438
3500
3500
50
50
30932
30932
1500
1500
91281
91281

0
0
0
0
0
0
0
0
0

Pasien
980
500
1480

Pasien
128
375
3500
500
1068
20846
3500
50
29967

Penjamin
980
500
1480

0
0
0

Penjamin
128
375
3500
500
1068
20846
3500
50
29967

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
GM
ML
GM
TUB
GM
UNT
UNT
UNT

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Pasien

Penjamin
448
180
1560
287
16438
750
3500
50
500
23713

0
0
0
0
0
0
0
0
0
0

Penjamin
180
1560
53428
3500
50
58718

0
0
0
0
0
0

Pasien
Penjamin
20846
20846
7560
7560
3500
3500
50
50
15345
15345
500
500
47801
47801

0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
80142
80142
3500
3500
50
50
500
500
107415
107415

0
0
0
0
0
0
0
0

448
180
1560
287
16438
750
3500
50
500
23713

Pasien
180
1560
53428
3500
50
58718

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
32522
32522
17820
17820
180
180
31
31
15120
15120
3500
3500
50
50
1000
1000
70223
70223

Penjamin
980
980
500
500
1480
1480

0
0
0
0
0
0
0
0
0

Pasien

Pasien

0
0
0

Penjamin
64
150
3500
300
65340
500
69854

0
0
0
0
0
0
0

Pasien
Penjamin
2800
2800
180
180
1560
1560
130680
130680
3500
3500
50
50
500
500
139270
139270

0
0
0
0
0
0
0
0

64
150
3500
300
65340
500
69854

Pasien

Penjamin

CAP
TAB
TUB
BOT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
UNT
UNT
GM
TUB
UNT
UNT

Apotik Panel
Subtotal
BOX
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
GM

16500
2115
2220
15000
2000
37835

16500
2115
2220
15000
2000
37835

0
0
0
0
0
0

Pasien
Penjamin
24948
24948
180
180
1560
1560
49314
49314
3500
3500
50
50
500
500
80052
80052

0
0
0
0
0
0
0
0

Pasien
Penjamin
11000
11000
4000
4000
3500
3500
500
500
287
287
53428
53428
3500
3500
50
50
76265
76265

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17210
17210
500
500
17710
17710

0
0
0

Pasien
Penjamin
1380
1380
540
540
480
480
5881
5881
180
180

0
0
0
0
0

TUB
UNT
UNT
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

75288
3500
50
2000
89299

75288
3500
50
2000
89299

0
0
0
0
0

Penjamin
980
980
500
500
1480
1480

0
0
0

Pasien

Pasien

Penjamin
64
375
3500
500
130680
500
135619

0
0
0
0
0
0
0

Pasien
Penjamin
30690
30690
1500
1500
3500
3500
500
500
287
287
26714
26714
3500
3500
50
50
66741
66741

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1140
1140
200
200
22440
22440
3500
3500
50
50
27330
27330

0
0
0
0
0
0

64
375
3500
500
130680
500
135619

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
PKG
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
CAP
TAB
TUB
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Pasien

Penjamin
180
287
53428
3500
50
25836
500
83781

0
0
0
0
0
0
0
0

Pasien
Penjamin
43313
43313
500
500
43813
43813

0
0
0

Pasien
Penjamin
2220
2220
500
500
2720
2720

0
0
0

Pasien
Penjamin
33000
33000
5080
5080
16830
16830
31
31
16438
16438
3500
3500
50
50
1500
1500
76429
76429

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

180
287
53428
3500
50
25836
500
83781

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT
TUB
CAP
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo Atas
Subtotal
TUB
TUB
TUB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
GM
GM
TUB

Pasien

Penjamin
180
1560
80142
3500
50
85432

0
0
0
0
0
0

Penjamin
31
16438
3500
50
16830
33000
5080
1500
76429

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
143451
143451
500
500
143951
143951

0
0
0

Pasien
Penjamin
16830
16830
30932
30932
20846
20846
3500
3500
50
50
65340
65340
1000
1000
138498
138498

0
0
0
0
0
0
0
0

180
1560
80142
3500
50
85432

Pasien
31
16438
3500
50
16830
33000
5080
1500
76429

Pasien

Penjamin
570
570
100
100
89760
89760

0
0
0

UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
TAB
TAB
TUB
TAB
TAB
UNT

3500
50
93980

3500
50
93980

0
0
0

Pasien
Penjamin
32522
32522
15345
15345
1000
1000
48867
48867

0
0
0
0

Pasien
Penjamin
1125
1125
256
256
3500
3500
750
750
26714
26714
500
500
32845
32845

0
0
0
0
0
0
0

Pasien

Penjamin
980
500
1480

0
0
0

Pasien
Penjamin
16830
16830
500
500
17330
17330

0
0
0

Pasien
Penjamin
10668
10668
2800
2800
58506
58506
490
490
2810
2810
2500
2500
77774
77774

0
0
0
0
0
0
0

980
500
1480

Depo Atas
Subtotal
TUB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
GM
GM
TUB
UNT
UNT
BOT
BOT
UNT

Depo Atas
Subtotal
TUB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
UNT

Pasien
Penjamin
16830
16830
39683
39683
20846
20846
3500
3500
50
50
500
500
81409
81409

0
0
0
0
0
0
0

Pasien
Penjamin
15400
15400
2800
2800
2115
2115
180
180
31
31
15120
15120
3500
3500
50
50
28849
28849
25321
25321
2500
2500
95866
95866

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16830
16830
30932
30932
3214
3214
3500
3500
50
50
500
500
55026
55026

0
0
0
0
0
0
0

Pasien
Penjamin
19483
19483
37830
37830
17196
17196
3825
3825
4620
4620

0
0
0
0
0

UNT
UNT
BAG
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
TUB
TUB
UNT
UNT
TUB
TUB
TUB
UNT

26470
20213
18793
5881
31680
15060
5500
206551

26470
20213
18793
5881
31680
15060
5500
206551

0
0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
5080
5080
1068
1068
180
180
1560
1560
183402
183402
3500
3500
50
50
1000
1000
217323
217323

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24948
24948
180
180
1560
1560
130680
130680
3500
3500
50
50
500
500
161418
161418

0
0
0
0
0
0
0
0

Pasien
Penjamin
25836
25836
39683
39683
65340
65340
3500
3500
50
50
25836
25836
30932
30932
26714
26714
3500
3500

0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
GM
GM
TUB
UNT

50
221441

50
221441

0
0

Pasien
Penjamin
24948
24948
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
84166
84166

0
0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
80142
80142
3500
3500
50
50
500
500
107415
107415

0
0
0
0
0
0
0
0

Pasien
Penjamin
29970
29970
1125
1125
32820
32820
1500
1500
65415
65415

0
0
0
0
0

Pasien
192
196
3500
750
180
31
32876
3500

Penjamin
192
196
3500
750
180
31
32876
3500

0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
TUB
UNT
UNT
UNT

50
41275

50
41275

0
0

Penjamin
180
31
15120
3500
50
18881

0
0
0
0
0
0

Pasien
Penjamin
32522
32522
21483
21483
570
570
100
100
22440
22440
3500
3500
50
50
1000
1000
81665
81665

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1710
1710
300
300
44880
44880
3500
3500
50
50
50440
50440

0
0
0
0
0
0

Pasien
Penjamin
21483
21483
287
287
53428
53428
3500
3500
50
50
500
500
79248
79248

0
0
0
0
0
0
0

Pasien
180
31
15120
3500
50
18881

Depo Atas
Subtotal
TUB
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
21062
21062
25836
25836
3500
3500
50
50
50448
50448

0
0
0
0
0

Pasien
Penjamin
21483
21483
1068
1068
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
81769
81769

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1776
1776
96
96
988
988
196
196
3500
3500
750
750
5881
5881
500
500
13687
13687

0
0
0
0
0
0
0
0
0

Pasien
574
53428
3500
50
57552

Pasien

Penjamin
574
53428
3500
50
57552

Penjamin

0
0
0
0
0

TAB
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
CAP
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
GM

30000
2961
11182
1500
45643

30000
2961
11182
1500
45643

0
0
0
0
0

Pasien
Penjamin
21483
21483
15400
15400
180
180
1560
1560
26714
26714
3500
3500
50
50
1000
1000
69887
69887

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2800
2800
30567
30567
1000
1000
34367
34367

0
0
0
0

Pasien
180
31
15120
3500
50
18881

Pasien
96
375
196
3500
500
1068
180

Penjamin
180
31
15120
3500
50
18881

0
0
0
0
0
0

Penjamin
96
375
196
3500
500
1068
180

0
0
0
0
0
0
0

ML
TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
ML
TUB
UNT
UNT
TAB
TAB
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
GM
GM
ML
TUB
UNT
UNT
TUB

1560
41692
3500
50
52717

1560
41692
3500
50
52717

0
0
0
0
0

Pasien
Penjamin
1068
1068
180
180
1560
1560
9642
9642
3500
3500
50
50
672
672
10668
10668
1000
1000
28340
28340

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
31
32876
3500
50
36457

0
0
0
0
0

Pasien
Penjamin
9090
9090
16830
16830
1000
1000
26920
26920

0
0
0
0

Pasien
Penjamin
1068
1068
180
180
1560
1560
62538
62538
3500
3500
50
50
67650
67650

0
0
0
0
0
0
0

31
32876
3500
50
36457

UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
TUB
UNT
UNT

500
137046

500
137046

0
0

Pasien
Penjamin
30932
30932
500
500
31432
31432

0
0
0

Pasien
Penjamin
5080
5080
15345
15345
180
180
1560
1560
26714
26714
3500
3500
50
50
1000
1000
53429
53429

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
91701
91701
3500
3500
50
50
500
500
118974
118974

0
0
0
0
0
0
0
0

Pasien
Penjamin
42966
42966
3318
3318
3500
3500
700
700
1068
1068
41692
41692
3500
3500
50
50
96794
96794

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
GM
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
GM
ML
TUB
UNT
UNT

Pasien
Penjamin
32522
32522
21483
21483
1000
1000
55005
55005

0
0
0
0

Pasien
Penjamin
1068
1068
180
180
1560
1560
196020
196020
3500
3500
50
50
202378
202378

0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
80701
80701

0
0
0
0
0
0
0
0

Pasien
Penjamin
30690
30690
10160
10160
3500
3500
500
500
1068
1068
180
180
1560
1560
65340
65340
3500
3500
50
50
116548
116548

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
GM
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
GM
TUB
UNT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
1068
1068
180
180
1560
1560
130680
130680
3500
3500
50
50
137038
137038

Pasien

0
0
0
0
0
0
0

Penjamin
160
600
3500
750
5010

0
0
0
0
0

Pasien
Penjamin
20846
20846
7560
7560
3500
3500
50
50
31956
31956

0
0
0
0
0

Pasien
Penjamin
42966
42966
14224
14224
3500
3500
700
700
180
180
1560
1560
861
861
80142
80142
3500
3500
50
50
147683
147683

0
0
0
0
0
0
0
0
0
0
0

160
600
3500
750
5010

Pasien

Penjamin

TUB
UNT

Depo IGD
Subtotal
BOT
TUB
UNT

Depo IGD
Subtotal
CAP
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TUB
CAP
BOT
UNT
UNT
UNT

26714
500
27214

26714
500
27214

0
0
0

Pasien
Penjamin
41379
41379
11182
11182
1000
1000
53561
53561

0
0
0
0

Pasien
Penjamin
11000
11000
1260
1260
2220
2220
1500
1500
15980
15980

0
0
0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
8000
8000
500
500
8500
8500

0
0
0

Pasien
Penjamin
11182
11182
56550
56550
1254
1254
3500
3500
450
450
1000
1000
73936
73936

0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT

Pasien
Penjamin
2800
2800
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
62018
62018

0
0
0
0
0
0
0
0

Pasien
Penjamin
55440
55440
500
500
55940
55940

0
0
0

Pasien

Penjamin
180
37644
3500
50
41374

0
0
0
0
0

Penjamin
375
64
3500
500
20846
500
25785

0
0
0
0
0
0
0

Pasien
Penjamin
15345
15345
180
180
1560
1560
80142
80142
3500
3500
50
50

0
0
0
0
0
0

180
37644
3500
50
41374

Pasien
375
64
3500
500
20846
500
25785

UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TUB
TUB
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas

500
101277

500
101277

0
0

Pasien
Penjamin
24948
24948
180
180
1560
1560
80142
80142
3500
3500
50
50
500
500
110880
110880

0
0
0
0
0
0
0
0

Pasien
Penjamin
7620
7620
180
180
1560
1560
130680
130680
3500
3500
50
50
16830
16830
1000
1000
161420
161420

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23252.4 23252.4
27838.8 27838.8
27510.3 27510.3
3150
3150
45
45
81796.5 81796.5

0
0
0
0
0
0

Pasien
Penjamin
118800
118800
500
500
119300
119300

0
0
0

Subtotal
TAB
GM
GM
ML
GM
TUB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
GM
UNT

Depo Atas
Subtotal
TAB
GM
GM
ML
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
TAB
UNT

Depo Atas
Subtotal
TAB
GM
ML

Pasien
Penjamin
21483
21483
1068
1068
180
180
1560
1560
287
287
175518
175518
3500
3500
50
50
7620
7620
1000
1000
212266
212266

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1500
1500
500
500
2000
2000

0
0
0

Pasien
Penjamin
24948
24948
1068
1068
180
180
1560
1560
30092
30092
3500
3500
50
50
500
500
61898
61898

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11182
11182
6538
6538
1000
1000
18720
18720

0
0
0
0

Pasien
Penjamin
2800
2800
180
180
1560
1560

0
0
0

TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
ML
GM
TUB
GM
UNT
UNT

Depo Unit Dose

Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT

53428
3500
50
500
62018

53428
3500
50
500
62018

0
0
0
0
0

Penjamin
96
375
3500
500
1068
91701
3500
50
100790

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1068
1068
180
180
1560
1560
287
287
26714
26714
750
750
3500
3500
50
50
34109
34109

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2400
2400
500
500
2900
2900

0
0
0

Pasien
Penjamin
5080
5080
180
180
1560
1560
53428
53428
3500
3500

0
0
0
0
0

Pasien
96
375
3500
500
1068
91701
3500
50
100790

UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

Depo IGD
Subtotal
TAB
TUB
UNT

Depo IGD
Subtotal
TAB

900
500
65148

900
500
65148

0
0
0

Pasien
Penjamin
6538
6538
180
180
31
31
7560
7560
3500
3500
900
900
500
500
19209
19209

0
0
0
0
0
0
0
0

Pasien
Penjamin
118800
118800
11182
11182
1000
1000
130982
130982

0
0
0
0

Pasien
Penjamin
38669.4 38669.4
5040
5040
2986.2
2986.2
12801.6 12801.6
3150
3150
630
630
63277.2 63277.2

0
0
0
0
0
0
0

Pasien

Penjamin
252
15046
1000
16298

0
0
0
0

Pasien
Penjamin
32522
32522

252
15046
1000
16298

TAB
UNT

Depo Atas
Subtotal
GM
ML
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
TUB
TUB
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
UNT

21483
1000
55005

21483
1000
55005

0
0
0

Penjamin
180
1560
287
80142
3500
50
85719

0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
196020
196020
3500
3500
50
50
25836
25836
20846
20846
3500
3500
50
50
500
500
273525
273525

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16830
16830
25836
25836
39683
39683
20846
20846
3500
3500
50
50
500
500
107245
107245

0
0
0
0
0
0
0
0

Pasien
Penjamin
12012
12012

Pasien
180
1560
287
80142
3500
50
85719

UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
GM
ML
TUB
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
TUB
UNT

Depo Atas
Subtotal
TAB

66528
1000
79540

66528
1000
79540

0
0
0

Pasien
Penjamin
42966
42966
3318
3318
3500
3500
700
700
1068
1068
180
180
1560
1560
30092
30092
3500
3500
50
50
86934
86934

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10776
10776
4242
4242
1000
1000
16018
16018

0
0
0
0

Pasien
Penjamin
6060
6060
16830
16830
1000
1000
23890
23890

0
0
0
0

Pasien
Penjamin
6060
6060
16830
16830
1000
1000
23890
23890

0
0
0
0

Pasien
Penjamin
32522
32522

TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
CAP

21483
180
31
15120
3500
50
1000
73886

21483
180
31
15120
3500
50
1000
73886

0
0
0
0
0
0
0
0

Pasien
Penjamin
24948
24948
30885
30885
180
180
1560
1560
53428
53428
3500
3500
50
50
1000
1000
115551
115551

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
64
225
3500
300
65340
500
69929

0
0
0
0
0
0
0

Penjamin
570
100
22440
3500
50
26660

0
0
0
0
0
0

Pasien
Penjamin
89760
89760

64
225
3500
300
65340
500
69929

Pasien
570
100
22440
3500
50
26660

TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TUB
TUB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

12120
180
1560
26714
3500
50
1000
134884

12120
180
1560
26714
3500
50
1000
134884

0
0
0
0
0
0
0
0

Pasien
Penjamin
24948
24948
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
84166
84166

0
0
0
0
0
0
0
0

Pasien
Penjamin
136620
136620
16830
16830
30932
30932
25836
25836
20846
20846
3500
3500
50
50
1000
1000
235614
235614

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14224
14224
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
73442
73442

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
2100
2100
500
500
2600
2600

0
0
0

Pasien
Penjamin
32522
32522
15345
15345
16438
16438
1500
1500
65805
65805

0
0
0
0
0

Pasien
Penjamin
24948
24948
10668
10668
180
180
1560
1560
196020
196020
3500
3500
50
50
1000
1000
237926
237926

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10160
10160
30690
30690
3500
3500
500
500
1068
1068
180
180
1560
1560
133570
133570
3500
3500
50
50
184778
184778

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5080
5080

UNT

Apotik Panel
Subtotal
TUB
UNT

Depo Atas
Subtotal
CAP
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
TUB
UNT
UNT

Depo Atas
Subtotal
CAP
TUB
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
ML

500
5580

500
5580

0
0

Pasien
Penjamin
20328
20328
500
500
20828
20828

0
0
0

Pasien
Penjamin
33000
33000
31
31
32876
32876
3500
3500
50
50
500
500
69957
69957

0
0
0
0
0
0
0

Pasien
Penjamin
1068
1068
41692
41692
3500
3500
50
50
46310
46310

0
0
0
0
0

Pasien
Penjamin
33000
33000
16830
16830
31
31
32876
32876
3500
3500
50
50
1000
1000
87287
87287

0
0
0
0
0
0
0
0

Pasien
180
1560

Penjamin
180
1560

0
0

TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
ML
TUB
UNT
UNT
GM
GM
TUB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
GM
GM
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
UNT

30092
3500
50
35382

30092
3500
50
35382

0
0
0
0

Pasien
Penjamin
1068
1068
180
180
1560
1560
53428
53428
3500
3500
50
50
180
180
31
31
15120
15120
3500
3500
50
50
2000
2000
500
500
81167
81167

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
961.2
961.2
2025
2025
3150
3150
45
45
13810.5 13810.5
450
450
20441.7 20441.7

0
0
0
0
0
0
0

Pasien
Penjamin
6538
6538
2800
2800
180
180
31
31
15120
15120
3500
3500
50
50
1000
1000
29219
29219

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
CAP
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal

Pasien
Penjamin
4000
4000
2370
2370
3500
3500
500
500
1068
1068
20846
20846
3500
3500
50
50
35834
35834

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
180
180
1560
1560
15046
15046
3500
3500
50
50
500
500
22836
22836

0
0
0
0
0
0
0
0

Pasien
Penjamin
22230
22230
30690
30690
1000
1000
53920
53920

0
0
0
0

Pasien
Penjamin
22000
22000
31
31
16438
16438
3500
3500
50
50
500
500
42519
42519

0
0
0
0
0
0
0

Pasien

Penjamin

TUB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
ML
TUB
GM

40346
500
40846

40346
500
40846

0
0
0

Pasien
Penjamin
4000
4000
180
180
1560
1560
326700
326700
3500
3500
50
50
500
500
336490
336490

0
0
0
0
0
0
0
0

Pasien
Penjamin
1332
1332
196
196
3500
3500
500
500
5528
5528

0
0
0
0
0

Pasien
570
100
22440
3500
50
26660

Pasien
96
375
196
3500
750
180
1560
196020
2250

Penjamin
570
100
22440
3500
50
26660

0
0
0
0
0
0

Penjamin
96
375
196
3500
750
180
1560
196020
2250

0
0
0
0
0
0
0
0
0

UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
GM
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas

3500
50
208477

3500
50
208477

0
0
0

Pasien
Penjamin
7620
7620
165900
165900
1000
1000
174520
174520

0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
80701
80701

0
0
0
0
0
0
0
0

Pasien
Penjamin
10668
10668
21483
21483
180
180
1560
1560
80142
80142
2250
2250
3500
3500
50
50
1000
1000
120833
120833

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

Subtotal
CAP
TUB
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
TUB
UNT
UNT

Pasien
Penjamin
16500
16500
20173
20173
31
31
16438
16438
3500
3500
50
50
1000
1000
57692
57692

0
0
0
0
0
0
0
0

Pasien
Penjamin
20173
20173
500
500
20673
20673

0
0
0

Pasien

Penjamin
128
375
196
3500
500
180
1560
22440
3500
50
32429

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30690
30690
41180
41180
3500
3500
500
500
180
180
1560
1560
53428
53428
3500
3500
50
50
134588
134588

0
0
0
0
0
0
0
0
0
0

128
375
196
3500
500
180
1560
22440
3500
50
32429

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
UNT
UNT
GM
TUB

Pasien
Penjamin
21483
21483
180
180
1560
1560
80142
80142
3500
3500
50
50
500
500
107415
107415

0
0
0
0
0
0
0
0

Pasien
Penjamin
43239
43239
21483
21483
1068
1068
180
180
1560
1560
122268
122268
3500
3500
50
50
1000
1000
194348
194348

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6538
6538
2800
2800
180
180
31
31
22680
22680
3500
3500
50
50
1000
1000
36779
36779

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11000
11000
41180
41180
3500
3500
500
500
287
287
53428
53428

0
0
0
0
0
0

UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
TUB
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
CAP
TAB
UNT
UNT
GM
ML
TUB
UNT
UNT

3500
50
113445

3500
50
113445

0
0
0

Penjamin
64
225
196
3500
300
287
58506
61134
3500
50
127762

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
64449
64449
86478
86478
3500
3500
1050
1050
1068
1068
180
180
1560
1560
49314
49314
3500
3500
50
50
211149
211149

0
0
0
0
0
0
0
0
0
0
0

Pasien
64
225
196
3500
300
287
58506
61134
3500
50
127762

Pasien
128
4410
988
3500
750
180
1560
32876
3500
50

Penjamin
128
4410
988
3500
750
180
1560
32876
3500
50

0
0
0
0
0
0
0
0
0
0

47942

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TUB
UNT

Depo Atas
Subtotal
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
PKG
UNT

Depo IGD
Subtotal
CAP
TAB
TUB
UNT

Depo IGD
Subtotal

47942

Pasien
Penjamin
4230
4230
500
500
4730
4730

0
0
0

Pasien
Penjamin
21336
21336
672
672
43362
43362
1500
1500
66870
66870

0
0
0
0
0

Pasien

Penjamin
180
1560
26714
3500
50
32004

0
0
0
0
0
0

Pasien
Penjamin
2062
2062
500
500
2562
2562

0
0
0

Pasien
Penjamin
95634
95634
18180
18180
11182
11182
1500
1500
126496
126496

0
0
0
0
0

180
1560
26714
3500
50
32004

Pasien

Penjamin

TAB
TUB
UNT

Depo IGD
Subtotal
TUB
TAB
UNT

Depo Atas
Subtotal
CAP
TAB
BAG
UNT
UNT
TUB
GM
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

20820
11182
1000
33002

20820
11182
1000
33002

0
0
0
0

Pasien
Penjamin
11182
11182
59400
59400
1000
1000
71582
71582

0
0
0
0

Pasien
Penjamin
15400
15400
2961
2961
12012
12012
3500
3500
50
50
37644
37644
180
180
3500
3500
50
50
1000
1000
76297
76297

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21483
21483
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
80701
80701

0
0
0
0
0
0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
ML
TUB
TUB
UNT
UNT

Pasien
Penjamin
49896
49896
180
180
1560
1560
63930
63930
3500
3500
50
50
500
500
119616
119616

0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
180
180
1560
1560
80142
80142
3500
3500
50
50
500
500
87932
87932

0
0
0
0
0
0
0
0

Pasien
Penjamin
21552
21552
196
196
3500
3500
500
500
25748
25748

0
0
0
0
0

Pasien
96
375
196
3500
750
180
1560
58506
30567
3500
50

Penjamin
96
375
196
3500
750
180
1560
58506
30567
3500
50

0
0
0
0
0
0
0
0
0
0
0

99280

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
GM
GM
ML
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

99280

Pasien
Penjamin
21483
21483
180
180
1560
1560
26714
26714
3500
3500
50
50
500
500
53987
53987

0
0
0
0
0
0
0
0

Pasien

Penjamin
256
1125
3500
750
1068
180
1560
175518
3500
50
187507

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1068
1068
180
180
1560
1560
53428
53428
3500
3500
50
50
59786
59786

0
0
0
0
0
0
0

Pasien
Penjamin
1380
1380
540
540
480
480
1500
1500

0
0
0
0

256
1125
3500
750
1068
180
1560
175518
3500
50
187507

3900

Depo Atas
Subtotal
TAB
GM
ML
TUB
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
GM
GM
CAP
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
GM

3900

Pasien
Penjamin
2800
2800
180
180
1560
1560
58506
58506
1125
1125
30567
30567
3500
3500
900
900
500
500
99638
99638

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23230
23230
21483
21483
180
180
31
31
32876
32876
3500
3500
900
900
1000
1000
83200
83200

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20173
20173
180
180
31
31
1100
1100
16438
16438
3500
3500
50
50
500
500
41972
41972

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20173
20173
180
180

0
0

GM
CAP
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TUB
UNT

Depo Atas
Subtotal
TAB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
GM
ML

31
1100
16438
3500
50
500
41972

31
1100
16438
3500
50
500
41972

0
0
0
0
0
0
0

Pasien
Penjamin
29970
29970
2835
2835
570
570
100
100
44880
44880
3500
3500
50
50
1000
1000
82905
82905

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
143451
143451
11182
11182
1000
1000
155633
155633

0
0
0
0

Pasien
Penjamin
21483
21483
16438
16438
20846
20846
3500
3500
900
900
500
500
63667
63667

0
0
0
0
0
0
0

Pasien
Penjamin
42966
42966
1068
1068
180
180
1560
1560

0
0
0
0

TUB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TUB
UNT

Depo Atas
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
GM
ML
TUB
UNT
UNT

Depo Atas
Subtotal
TAB

62538
3500
50
500
112362

62538
3500
50
500
112362

0
0
0
0
0

Pasien
Penjamin
95634
95634
11182
11182
1000
1000
107816
107816

0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
32522
32522
21483
21483
1000
1000
55005
55005

0
0
0
0

Pasien

Penjamin
128
600
3500
750
180
1560
26714
3500
900
37832

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5600
5600

128
600
3500
750
180
1560
26714
3500
900
37832

TAB
TAB
UNT
UNT
GM
TUB
UNT
UNT

Depo Atas
Subtotal
CAP
TUB
TUB
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
CAP
ML
CAP
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

3318
2964
3500
700
1068
20846
3500
50
41546

3318
2964
3500
700
1068
20846
3500
50
41546

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33000
33000
20173
20173
30932
30932
20846
20846
3500
3500
50
50
1000
1000
109501
109501

0
0
0
0
0
0
0
0

Pasien
Penjamin
26714
26714
500
500
27214
27214

0
0
0

Pasien
Penjamin
2800
2800
33000
33000
1560
1560
550
550
2090
2090
3500
3500
50
50
1000
1000
44550
44550

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11182
11182
500
500

0
0

11682

Depo Atas
Subtotal
TAB
GM
ML
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
UNT

Depo IGD
Subtotal
PKG
ML
TUB
UNT
UNT

Depo Atas

11682

Pasien
Penjamin
30086
30086
180
180
1560
1560
15046
15046
16438
16438
3500
3500
50
50
500
500
67360
67360

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32522
32522
21483
21483
180
180
31
31
32876
32876
3500
3500
50
50
1000
1000
91642
91642

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11182
11182
500
500
11682
11682

0
0
0

Pasien
Penjamin
72.9
72.9
1404
1404
120213
120213
3150
3150
45
45
124884.9 124884.9

0
0
0
0
0
0

Subtotal
GM
ML
TUB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
GM
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT

Pasien

Penjamin
180
1560
53428
3500
50
2800
500
62018

0
0
0
0
0
0
0
0

Pasien
Penjamin
30000
30000
2115
2115
1000
1000
33115
33115

0
0
0
0

Pasien
Penjamin
4242
4242
3696
3696
1000
1000
8938
8938

0
0
0
0

180
1560
53428
3500
50
2800
500
62018

Pasien

Penjamin
690
270
240
287
1500
3500
50
1500
8037

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2800
2800
180
180
1560
1560
80142
80142
3500
3500

0
0
0
0
0

690
270
240
287
1500
3500
50
1500
8037

UNT
UNT

Depo Atas
Subtotal
CAP
TUB
GM
CAP
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TUB
TUB
TUB
UNT
UNT
BAG
UNT
UNT
CAP
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD

50
500
88732

50
500
88732

0
0
0

Pasien
Penjamin
33000
33000
20173
20173
180
180
550
550
31
31
11182
11182
3500
3500
900
900
1000
1000
70516
70516

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11182
11182
16438
16438
20846
20846
3500
3500
50
50
9633
9633
3500
3500
50
50
15400
15400
192
192
450
450
3500
3500
300
300
1000
1000
86041
86041

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10668
10668
1140
1140
1000
1000
12808
12808

0
0
0
0

Subtotal
TAB
TAB
TAB
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
TAB
GM
GM
TUB
UNT
UNT
GM
ML
TUB
UNT
UNT
UNT

Pasien
Penjamin
4578
4578
2000
2000
2470
2470
11182
11182
2000
2000
22230
22230

0
0
0
0
0
0

Pasien
Penjamin
32522
32522
15345
15345
20846
20846
16438
16438
3500
3500
50
50
1000
1000
89701
89701

0
0
0
0
0
0
0
0

Pasien

Penjamin
256
600
3500
750
26714
500
32320

0
0
0
0
0
0
0

Pasien
Penjamin
32522
32522
21483
21483
180
180
31
31
32876
32876
3500
3500
50
50
180
180
1560
1560
53428
53428
3500
3500
50
50
1000
1000

0
0
0
0
0
0
0
0
0
0
0
0
0

256
600
3500
750
26714
500
32320

150360

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
TUB
GM
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TUB
TUB
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal

150360

Penjamin
160
2664
196
3500
1050
11182
180
31
32876
3500
50
500
55889

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1380
1380
540
540
480
480
1500
1500
3900
3900

0
0
0
0
0

Pasien
Penjamin
16438
16438
20846
20846
3500
3500
50
50
40834
40834

0
0
0
0
0

Pasien
Penjamin
136620
136620
500
500
137120
137120

0
0
0

Pasien
160
2664
196
3500
1050
11182
180
31
32876
3500
50
500
55889

Pasien

Penjamin

TAB
TAB
TAB
UNT

Depo Atas
Subtotal
GM
GM
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
CAP
GM
GM
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG

1380
540
480
1500
3900

1380
540
480
1500
3900

0
0
0
0
0

Penjamin
180
1125
3500
50
4855

0
0
0
0
0

Pasien
Penjamin
21062
21062
500
500
21562
21562

0
0
0

Pasien
Penjamin
20173
20173
500
500
20673
20673

0
0
0

Pasien
Penjamin
55440
55440
180
180
31
31
16438
16438
3500
3500
50
50
500
500
76139
76139

0
0
0
0
0
0
0
0

Pasien
180
1125
3500
50
4855

Pasien

Penjamin
64
64
225
225
196
196

0
0
0

UNT
UNT
GM
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
GM
ML
TUB
UNT
UNT
TUB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo IGD
Subtotal
CAP

3500
300
287
53428
3500
50
61550

3500
300
287
53428
3500
50
61550

0
0
0
0
0
0
0

Penjamin
160
600
196
3500
750
180
1560
26714
3500
50
11182
500
48892

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15400
15400
12120
12120
1000
1000
28520
28520

0
0
0
0

Pasien
160
600
196
3500
750
180
1560
26714
3500
50
11182
500
48892

Pasien

Penjamin
570
100
44880
3500
50
49100

0
0
0
0
0
0

Pasien
Penjamin
23100
23100

570
100
44880
3500
50
49100

TAB
TUB
BAG
BOX
UNT

Depo Atas
Subtotal
TAB
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
ML
TUB
UNT
UNT
UNT

2115
2220
24024
29040
2500
82999

2115
2220
24024
29040
2500
82999

0
0
0
0
0
0

Pasien
Penjamin
6538
6538
480
480
180
180
1560
1560
6428
6428
3500
3500
50
50
1000
1000
19736
19736

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8848
8848
196
196
3500
3500
1500
1500
2320
2320
270
270
196
196
3500
3500
1500
1500
21830
21830

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1575
1575
2800
2800
8460
8460
180
180
1560
1560
80142
80142
3500
3500
50
50
1500
1500
99767
99767

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
GM
GM
TUB
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
TUB
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
GM
GM
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Pasien

Penjamin
570
100
44880
3500
50
49100

0
0
0
0
0
0

Pasien
Penjamin
15400
15400
2115
2115
37644
37644
1500
1500
56659
56659

0
0
0
0
0

Pasien
Penjamin
65340
65340
500
500
65840
65840

0
0
0

Pasien
Penjamin
15345
15345
180
180
31
31
32876
32876
3500
3500
50
50
500
500
52482
52482

0
0
0
0
0
0
0
0

Pasien
Penjamin
15400
15400
1410
1410
1000
1000
17810
17810

0
0
0
0

570
100
44880
3500
50
49100

Depo Atas
Subtotal
TAB
GM
ML
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
ML
TUB
GM
UNT
UNT
TAB
UNT

Pasien
Penjamin
15345
15345
180
180
1560
1560
53428
53428
3500
3500
50
50
500
500
74563
74563

Pasien
180
1560
20846
1500
3500
50
21490
500
49626

Penjamin
180
1560
20846
1500
3500
50
21490
500
49626

0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0

Waktu
30 Mei 2013 19:36
Item
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

Jaminan
UMUM
Quantity
20,00
20,00
2,00

29 Mei 2013 14:12

Item
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
10,00
1,00

29 Mei 2013 13:22

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 27 THERUMO
STOMACH TUBE 4 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
7,00
30,00
10,00
5,00
3,00
5,00
3,00
9,00

29 Mei 2013 11:07

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
BENUTRION VE SANBE INFUSION
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
5,00
10,00
1,00
5,00
5,00
7,00

29 Mei 2013 10:45

Item
DISP SYRINGE 1 CC TUBERCULIN

JAMPERSAL
Quantity
3,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
HEALFLON IV.CATH NO.26G HARSORIA
HANDSCOON NON STERIL S (PCS)
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
3,00
10,00
5,00
5,00
3,00
30,00
2,00
11,00

29 Mei 2013 10:42

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
TRANSFUSION SET JMS
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
3,00
2,00
5,00
5,00
10,00
1,00
8,00

29 Mei 2013 10:41

Item
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
ALKOHOL SWAB
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
CALCIUM GLUCONAS ETHICA INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
30,00
6,00
6,00
3,00
10,00
2,00
2,00
1,00
5,00
5,00
2,00
11,00

29 Mei 2013 10:39

Item

JAMPERSAL
Quantity

DISP SYRINGE 1 CC TUBERCULIN

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO
BENUTRION VE SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
5,00
5,00
5,00
5,00
5,00
1,00
8,00

29 Mei 2013 10:38

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
ALKOHOL SWAB
HEALFLON IV.CATH NO.26G HARSORIA
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
5,00
10,00
3,00
5,00
5,00
7,00

29 Mei 2013 10:06

Item
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 10:01

Item
KA-EN 1B 500 ML INFUSION
AMIKACIN 250 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

29 Mei 2013 10:01

Item
TRANSFUSION SET JMS
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

28 Mei 2013 15:24

Item
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
1,00

28 Mei 2013 15:23

Item
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
1,00

28 Mei 2013 15:08

Item
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
1,00

28 Mei 2013 15:08

Item
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
1,00

28 Mei 2013 14:40

Item
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TRANSFUSION SET JMS
BD VACUTAINER
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
12,00
1,00
1,00
5,00
3,00

28 Mei 2013 14:40

Item
BRICASMA 2.5 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
1,00

TOTAL

28 Mei 2013 13:25

Item
MUCERA OTTO 15 ML DROPS
ZINKID 10MG/5ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

28 Mei 2013 11:27

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
6,00
8,00
30,00
5,00
6,00

28 Mei 2013 11:27

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
10,00
6,00
8,00
30,00
5,00
6,00

28 Mei 2013 11:26

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
6,00
8,00
30,00
5,00
6,00

28 Mei 2013 11:26

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
6,00
8,00
30,00
5,00
6,00

28 Mei 2013 11:26

Item
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

28 Mei 2013 09:25

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
TRANSFUSION SET JMS
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
5,00
5,00
2,00
5,00
5,00
10,00
30,00
1,00
10,00

28 Mei 2013 09:23

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
INFUS SET JMS
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
5,00
10,00
2,00
1,00
5,00
5,00

TUSLAH NON RACIKAN

TOTAL

9,00

28 Mei 2013 09:20

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
5,00
3,00
10,00
5,00
5,00
2,00
8,00

28 Mei 2013 09:18

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
ALKOHOL SWAB
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
3,00
10,00
1,00
5,00

28 Mei 2013 09:17

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC CATH TIP
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
HEALFLON IV.CATH NO.26G HARSORIA
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
3,00
5,00
5,00
10,00
2,00
1,00
8,00

28 Mei 2013 09:15

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
5,00
5,00

DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
10,00
2,00
6,00

26 Mei 2013 12:16

Item
VANCEP 0.5 MG POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
SUCTION CATHETER 6
SUCTION CATHETER 8
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
20,00
3,00
3,00
4,00

26 Mei 2013 11:50

Item
LACTO-B
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

26 Mei 2013 11:47

Item
HANDSCOON NON STERIL S (PCS)
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
KA-EN 3B 500 ML INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
2,00
2,00
2,00
2,00
3,00
3,00
1,00
5,00
11,00

26 Mei 2013 11:41

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
VENTOLIN NEBULE SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
10,00
5,00
3,00

AMIKACIN 250 MG INJECTION

DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
2,00
2,00
8,00

26 Mei 2013 11:39

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
KA-EN 1B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
VALISANBE INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
IVENA IV CATH 24
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00
1,00
1,00
2,00
2,00
2,00
2,00
2,00
2,00
2,00
5,00
5,00
2,00
1,00
16,00

26 Mei 2013 11:35

Item
MICROPORE 2 INC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL 60 ML SYRUP
SUCTION CATHETER 10
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
2,00
2,00
2,00
2,00
2,00
2,00
1,00
2,00
1,00
12,00

26 Mei 2013 07:20

Item
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
2,00
10,00
3,00
5,00
1,00
7,00

25 Mei 2013 23:58

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
METRONIDAZOLE 100 ML INFUSION
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
2,00
3,00
3,00
3,00
10,00
3,00
2,00
1,00
3,00
10,00

25 Mei 2013 22:18

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

25 Mei 2013 22:06

Item
BD VACUTAINER
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NIFEDIPIN GENERIK TABLET

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
2,00
6,00
10,00
5,00

MAGNESIUM SULFAT 40% INJECTION

TUSLAH NON RACIKAN
TOTAL

2,00
8,00

25 Mei 2013 22:04

Item
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
IVENA IV CATH 18
TRANSFUSION SET JMS
MICROPORE 1/2 INC
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
1,00
2,00
1,00
1,00
2,00
8,00
10,00
2,00
10,00

25 Mei 2013 22:02

Item
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
DEXAMETHASONE 5 MG INJECTION
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
2,00
2,00
10,00
4,00
2,00
1,00
10,00

25 Mei 2013 22:00

Item
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
1,00
1,00
2,00
2,00
10,00

BD VACUTAINER
RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB
UMBILICAL CORD CLAMB
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
6,00
1,00
12,00

25 Mei 2013 10:09

Item
KA-EN 1B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
GENTAMYCIN INF 40 MG/ML INJECTION
VALISANBE INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TRANSFUSION SET JMS
SUCTION CATHETER 10
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
1,00
10,00
5,00
1,00
1,00
3,00
3,00
1,00
12,00

25 Mei 2013 10:08

Item
SUCTION CATHETER 6
SUCTION CATHETER 10
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

25 Mei 2013 09:42

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
KA-EN 1B 500 ML INFUSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
5,00
4,00

25 Mei 2013 09:31

Item
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
10,00

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
PARACETAMOL 60 ML SYRUP
KA-EN 3B 500 ML INFUSION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
3,00
3,00
3,00
3,00
3,00
3,00
1,00
2,00
1,00
12,00

22 Mei 2013 18:59

Item
VANCEP 0.5 MG POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
1,00

22 Mei 2013 13:38

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

21 Mei 2013 15:29

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

21 Mei 2013 15:28

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

21 Mei 2013 15:20

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED

JAMPERSAL
Quantity
2,00
2,00

DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TRANSFUSION SET JMS
BD VACUTAINER
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
3,00
2,00
1,00
3,00
3,00
10,00
60,00
1,00
12,00

21 Mei 2013 15:09

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00

21 Mei 2013 15:07

Item
ZINC INF 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 15:05

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
2,00
2,00
2,00
2,00
2,00
10,00
60,00
2,00
2,00
10,00

21 Mei 2013 15:02

Item
DISP SYRINGE 50 CC WITHOUT NED

JAMPERSAL
Quantity
2,00

DISP SYRINGE 20 CC WIHTOUT NED

DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
2,00
3,00
10,00
60,00
5,00
5,00
1,00
10,00

21 Mei 2013 14:59

Item
INFANT ADHESIVE SENSOR SPO2
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TRANSFUSION SET JMS
MICROPORE 1/2 INC
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BENUTRION VE SANBE INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
1,00
1,00
1,00
10,00
30,00
1,00
1,00
2,00
16,00

21 Mei 2013 14:47

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

21 Mei 2013 14:00

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN

JAMPERSAL
Quantity
1,00
10,00
5,00

ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

8,00
30,00
5,00
6,00

21 Mei 2013 13:45

Item
STOMACH TUBE 3.5 THERUMO
STOMACH TUBE 8 JMS
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
DEXTROSE 10% WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
2,00
3,00
10,00
6,00
8,00
2,00
2,00
10,00

21 Mei 2013 13:44

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
8,00
5,00
10,00
5,00
30,00
7,00

21 Mei 2013 13:44

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
8,00
5,00
10,00
5,00
30,00
7,00

21 Mei 2013 13:43

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
8,00
5,00
10,00
5,00
30,00
7,00

21 Mei 2013 13:43

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
8,00
5,00
10,00
5,00
30,00
7,00

21 Mei 2013 13:43

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
8,00
3,00

21 Mei 2013 13:42

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
10,00
5,00
2,00

21 Mei 2013 13:42

Item

JAMPERSAL
Quantity

TRANSFUSION SET JMS

BD VACUTAINER
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
STOMACH TUBE 8 JMS
TUSLAH NON RACIKAN
TOTAL

3,00
2,00
2,00
2,00
2,00
5,00

21 Mei 2013 13:30

Item
STOMACH TUBE 4 JMS
STOMACH TUBE 8 JMS
EXTENSION TUBE ET 2 (DWS)
DEXTROSE 10% WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
SELANG OKSIGEN BAYI
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
2,00
2,00
1,00
3,00
5,00
30,00
3,00
4,00
10,00
5,00
1,00
2,00
8,00
16,00

21 Mei 2013 13:13

Item
STOMACH TUBE 4 JMS
STOMACH TUBE 8 JMS
EXTENSION TUBE ET 2 (DWS)
DEXTROSE 10% WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
2,00
2,00
5,00
5,00
8,00
30,00
9,00

21 Mei 2013 13:12

JAKARTA SEHAT

Item
DISP SYRINGE 3 CC
STOMACH TUBE 4 JMS
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
3,00
2,00

21 Mei 2013 13:12

Item
STOMACH TUBE 8 JMS
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
8,00
5,00
5,00
4,00

21 Mei 2013 13:00

Item
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
M-20 INFUSAN (MANITOL) 500 ML
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
5,00
5,00
5,00
5,00
2,00
2,00
10,00
10,00

21 Mei 2013 13:00

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
KA-EN 3B 500 ML INFUSION
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
SANMOL INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO.18 THERUMO

JAKARTA SEHAT
Quantity
5,00
1,00
2,00
2,00
2,00
1,00
1,00
5,00
5,00
5,00
5,00
5,00

NEEDLE NO 25 THERUMO
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
14,00

21 Mei 2013 12:55

Item
RINGER LACTATE WIDATRA 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
5,00
5,00
3,00
3,00
10,00
5,00
5,00
9,00

21 Mei 2013 12:54

Item
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
SELANG NEBU PEDRIATIC(1484)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
SELANG OKSIGEN CHILD
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
5,00
5,00
5,00
30,00
10,00
5,00
5,00
1,00
5,00
2,00
1,00
12,00

21 Mei 2013 12:52

Item
INFANT ADHESIVE SENSOR SPO2
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
5,00
5,00
3,00

DISP SYRINGE 1 CC TUBERCULIN

HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DEXTROSE 10% WIDATRA 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
STOMACH TUBE 6 JMS
AMIKACIN 250 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

5,00
30,00
10,00
1,00
1,00
5,00
5,00
2,00
1,00
15,00

21 Mei 2013 12:51

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DEXTROSE 10% WIDATRA 500 ML INFUSION
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO
SUCTION CATHETER 6
AMIKACIN 250 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
2,00
2,00
2,00
2,00
3,00
10,00
30,00
1,00
2,00
2,00
2,00
1,00
13,00

21 Mei 2013 12:51

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
2,00
2,00
2,00
2,00
3,00
5,00
30,00
1,00
1,00
10,00

21 Mei 2013 12:46

Item
SELANG NEBU PEDRIATIC(1484)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KA-EN 1B 500 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00
2,00
10,00
60,00
5,00
5,00
5,00
5,00
5,00
5,00
1,00
13,00

20 Mei 2013 13:57

Item
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

20 Mei 2013 12:48

Item
VANCEP 0.5 MG POWDER, FOR INJECTION SOLUTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
8,00
20,00
3,00

20 Mei 2013 12:47

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00
30,00
5,00

20 Mei 2013 12:47

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
5,00
8,00
30,00
2,00
7,00

20 Mei 2013 12:46

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
5,00
8,00
30,00
2,00
7,00

20 Mei 2013 12:46

Item
STOMACH TUBE 4 JMS
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
3,00
3,00
10,00
5,00
8,00
30,00
2,00
9,00

20 Mei 2013 12:46

Item
HEALFLON IV.CATH NO.26G HARSORIA
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED

UMUM
Quantity
2,00
2,00
3,00
3,00

DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

10,00
5,00
8,00
20,00
8,00

20 Mei 2013 12:46

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00
30,00
5,00

20 Mei 2013 12:45

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
30,00
8,00
4,00

20 Mei 2013 11:21

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BENUTRION VE SANBE INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
SUCTION CATHETER 6
INFUS SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN

JAMPERSAL
Quantity
5,00
5,00
5,00
5,00
5,00
5,00
30,00
10,00
1,00
1,00
5,00
5,00
2,00
1,00
1,00
15,00

TOTAL

20 Mei 2013 11:21

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
5,00
5,00
5,00
5,00
10,00
30,00
5,00
5,00
1,00
1,00
12,00

20 Mei 2013 11:20

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

20 Mei 2013 11:20

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

20 Mei 2013 10:38

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
SUCTION CATHETER 6
INFUS SET JMS
TRANSFUSION SET JMS
ALKOHOL SWAB

JAMPERSAL
Quantity
5,00
5,00
5,00
5,00
5,00
5,00
3,00
2,00
2,00
10,00

HANDSCOON NON STERIL S (PCS)

NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
BENUTRION VE SANBE INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

30,00
5,00
5,00
1,00
1,00
15,00

20 Mei 2013 10:36

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
3,00
3,00
3,00
3,00
10,00
30,00
3,00
3,00
12,00
11,00

20 Mei 2013 10:35

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
2,00
3,00
3,00
6,00
2,00
10,00
20,00
6,00
6,00
1,00
11,00

20 Mei 2013 10:34

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED

JAMPERSAL
Quantity
5,00
5,00

DISP SYRINGE 1 CC TUBERCULIN

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
CALCIUM GLUCONAS ETHICA INJECTION
INFUS SET JMS
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

5,00
6,00
2,00
3,00
20,00
10,00
5,00
5,00
1,00
1,00
1,00
2,00
14,00

20 Mei 2013 10:33

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
INFUS SET JMS
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
5,00
5,00
5,00
5,00
10,00
30,00
5,00
5,00
2,00
1,00
12,00

20 Mei 2013 09:53

Item
PARACETAMOL 60 ML SYRUP
RINGER LACTATE WIDATRA 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00

HYPAFIX 5CM x 5 M
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
10,00
30,00
14,00

20 Mei 2013 09:46

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
PARACETAMOL 60 ML SYRUP
KA-EN 3B 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
SANMOL INFUSION
TRANSFUSION SET JMS
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
ZOVIRAX POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
HYPAFIX 5CM x 5 M
ALKOHOL SWAB
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
1,00
10,00
1,00
18,00

20 Mei 2013 09:40

Item
KA-EN 3B 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HYPAFIX 5CM x 5 M
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
1,00
3,00
5,00

18 Mei 2013 12:21

Item
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

TOTAL

18 Mei 2013 12:17

Item
KA-EN 1B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
SUCTION CATHETER 6
SUCTION CATHETER 8
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
3,00
3,00
3,00
3,00
3,00
5,00
3,00
3,00
1,00
12,00

18 Mei 2013 12:05

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
ZOVIRAX POWDER, FOR INJECTION SOLUTION
TRANSFUSION SET JMS
KA-EN 3B 500 ML INFUSION
HYPAFIX 5CM x 5 M
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
5,00
5,00
7,00

18 Mei 2013 12:03

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

18 Mei 2013 10:07

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

18 Mei 2013 10:06

Item
SUCTION CATHETER 8
KA-EN 3B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
BD VACUTAINER
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
5,00
5,00
2,00
2,00
1,00
5,00
5,00
5,00
5,00
12,00

18 Mei 2013 10:05

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
BD VACUTAINER
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
3,00
3,00
3,00
3,00
1,00
3,00
3,00
9,00

18 Mei 2013 10:05

Item
RINGER LACTATE WIDATRA 500 ML
SANMOL INFUSION
BD VACUTAINER
IVENA IV CATH 20
NEEDLE NO. 23 THERUMO
NEEDLE NO.18 THERUMO
INFUS SET JMS
MICROPORE 1/2 INC
HYPAFIX 5CM x 5 M
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
8,00
3,00
1,00
3,00
3,00
3,00
1,00
1,00
1,00
5,00
5,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
13,00

17 Mei 2013 01:22

Item
AMIKACIN 250 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
1,00

11 Mei 2013 09:04

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

10 Mei 2013 12:36

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

10 Mei 2013 10:28

Item
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
SUCTION CATHETER 8
HANDSCOON NON STERIL M (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
LACTODIA POLYBAG
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
THREE WAY STOPCOCK
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ALKOHOL SWAB
EXTENSION TUBE ET 1 V:0.79ML(ANAK)

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
30,00
5,00
2,00
3,00
5,00
5,00
1,00
1,00
10,00
1,00

PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

1,00
19,00

10 Mei 2013 10:25

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
VERBAND ROLL
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
STOMACH TUBE 12 THERUMO
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
5,00
5,00
10,00
50,00
3,00
3,00
3,00
1,00
1,00
12,00

10 Mei 2013 10:24

Item
HALOPERIDOL INF 1.5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
GENTAMYCIN INF 40 MG/ML INJECTION
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
SUCTION CATHETER 8
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
10,00
10,00
50,00
3,00
3,00
2,00
2,00
2,00
5,00
5,00
3,00
5,00
5,00
5,00
5,00
5,00
5,00
16,00

10 Mei 2013 10:22

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
SUCTION CATHETER 10
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KA-EN 3B 500 ML INFUSION
PAMOL 125 MG SUPPOSITORY
BENUTRION VE SANBE INFUSION
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
PARACETAMOL 60 ML SYRUP
ZINKID 10MG/5ML SYRUP
MICONAZOLE KF 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
10,00
30,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
3,00
2,00
5,00
1,00
5,00
5,00
1,00
1,00
1,00
21,00

10 Mei 2013 10:20

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HANDSCOON NON STERIL M (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
VERBAND ROLL
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00
30,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
2,00
3,00
3,00

TUSLAH NON RACIKAN

TOTAL

16,00

10 Mei 2013 08:51

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

10 Mei 2013 08:51

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

10 Mei 2013 06:06

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

10 Mei 2013 06:06

Item
RINGER LACTATE WIDATRA 500 ML
FUTROLIT INFUSION
DRAINAGE BAG STERIL
FOLLEY CATHETER 16 RUSCH
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
2,00
2,00
2,00
5,00
10,00
1,00
10,00

10 Mei 2013 06:04

Item
RINGER LACTATE WIDATRA 500 ML
FUTROLIT INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
BD VACUTAINER

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
2,00
2,00
2,00
9,00

10 Mei 2013 06:01

Item
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 06:00

Item
FUTROLIT INFUSION
ALKOHOL SWAB
BD VACUTAINER
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
1,00
10,00
2,00
2,00
2,00
1,00
8,00

10 Mei 2013 06:00

Item
FUTROLIT INFUSION
ALKOHOL SWAB
BD VACUTAINER
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
1,00
10,00
2,00
2,00
2,00
1,00
8,00

7 Mei 2013 14:32

Item
SIBITAL SOLUTION, INJECTION 200 MG/2 ML

JAKARTA SEHAT
Quantity
2,00

TUSLAH NON RACIKAN

TOTAL

1,00

7 Mei 2013 14:29

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

7 Mei 2013 13:15

Item
HEALFLON IV.CATH NO.26G HARSORIA
DEXTROSE 10% WIDATRA 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00
2,00
5,00
5,00
20,00
12,00
5,00
3,00
10,00

7 Mei 2013 11:58

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
GENTAMYCIN INF 40 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
12,00
5,00
8,00
1,00
30,00
3,00
2,00
8,00

7 Mei 2013 11:58

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00

STOMACH TUBE 6 JMS

NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
2,00
7,00

7 Mei 2013 11:01

Item
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
6,00
6,00
10,00
20,00
1,00
6,00

7 Mei 2013 11:01

Item
INFANT ADHESIVE SENSOR SPO2
CALCIUM GLUCONAS ETHICA INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
BENUTRION VE SANBE INFUSION
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
MICROPORE 1/2 INC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
PELASTIN INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
4,00
1,00
3,00
5,00
5,00
5,00
5,00
2,00
10,00
60,00
1,00
2,00
5,00
5,00
1,00
1,00
20,00

7 Mei 2013 11:01

Item

JAMPERSAL
Quantity

N5 OTSUKA 500 ML INFUSION

CALCIUM GLUCONAS ETHICA INJECTION
INFUS SET JMS
TRANSFUSION SET JMS
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
AQUA BIDES 1000 ML SOLUTION, LIQUID
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
5,00
5,00
5,00
5,00
1,00
60,00
10,00
2,00
12,00

7 Mei 2013 11:01

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
MICROPORE 1/2 INC
PELASTIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
5,00
5,00
3,00
3,00
5,00
5,00
10,00
60,00
1,00
1,00
12,00

7 Mei 2013 11:00

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
INFUS SET JMS
BENUTRION VE SANBE INFUSION

JAMPERSAL
Quantity
5,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
10,00
2,00
1,00

HANDSCOON NON STERIL M (PCS)

BD VACUTAINER
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

60,00
2,00
2,00
14,00

7 Mei 2013 11:00

Item
FLUCONAZOL INFUS 100 ML
N5 OTSUKA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
INFUS SET JMS
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
1,00
5,00
3,00
6,00
3,00
10,00
60,00
11,00

7 Mei 2013 10:27

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM PHENITOIN 50MG /ML INJ
AQUA BIDES 1000 ML SOLUTION, LIQUID
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
CEFPIROME 1GR VIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
5,00
5,00
5,00
5,00
5,00
10,00
60,00
5,00
2,00
2,00
13,00

7 Mei 2013 10:26

Item
MICROPORE 1/2 INC
SUCTION CATHETER 10

JAKARTA SEHAT
Quantity
1,00
5,00

SUCTION CATHETER 8
ALKOHOL SWAB
RANITIDINE GENERIK 25 MG/ML INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
LACTODIA POLYBAG
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HYPAFIX 5CM x 5 M
AQUA BIDES 1000 ML SOLUTION, LIQUID
DEXAMETHASONE 5 MG INJECTION
CEFPIROME 1GR VIL
TUSLAH NON RACIKAN
TOTAL

5,00
60,00
2,00
2,00
2,00
2,00
5,00
5,00
5,00
1,00
1,00
3,00
1,00
15,00

7 Mei 2013 10:26

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BENUTRION VE SANBE INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
10,00
60,00
3,00
15,00

7 Mei 2013 10:25

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
5,00
5,00
1,00
2,00

ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

10,00
60,00
2,00
2,00
1,00
5,00
13,00

7 Mei 2013 10:25

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
MICROPORE 1/2 INC
HYPAFIX 5CM x 5 M
HANDSCOON NON STERIL M (PCS)
DEXTROSE 10% WIDATRA 500 ML INFUSION
BENUTRION VE SANBE INFUSION
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
60,00
2,00
1,00
2,00
2,00
5,00
9,00

7 Mei 2013 10:25

Item
KA-EN 1B 500 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL M (PCS)
THREE WAY STOPCOCK
HYPAFIX 5CM x 5 M
MICROPORE 1/2 INC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
5,00
3,00
5,00
5,00
60,00
1,00
1,00
1,00
2,00
11,00

6 Mei 2013 10:34

Item
SELANG OKSIGEN CHILD
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

5 Mei 2013 12:13

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RANITIDINE GENERIK 25 MG/ML INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
PELASTIN INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
5,00
3,00
3,00
1,00
1,00
2,00
1,00
2,00
3,00
3,00
3,00
12,00

5 Mei 2013 12:11

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
VENTOLIN NEBULE SOLUTION, FOR INHALATION
CEFPIROME 1GR VIL
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
LACTODIA POLYBAG
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
SUCTION CATHETER 8
SUCTION CATHETER 10
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
5,00
3,00
1,00
2,00
1,00
2,00
1,00
3,00
3,00
3,00
2,00
2,00
13,00

5 Mei 2013 12:04

Item
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00
3,00
5,00

TOTAL

5 Mei 2013 12:02

Item
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
3,00
5,00
5,00
20,00
8,00

5 Mei 2013 12:00

Item
CEFPIROME 1GR VIL
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00
20,00
10,00
3,00
7,00

4 Mei 2013 13:36

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 13:36

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

4 Mei 2013 13:36

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML

UMUM
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

4 Mei 2013 12:28

Item
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 12:05

Item
HALOPERIDOL INF 1.5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
1,00
15,00

4 Mei 2013 11:18

Item
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 11:13

Item
ETT TUBE 3.5 MURPHY (UNCUFF)
HANDSCOON GAMEX 7
STOMACH TUBE 6 JMS
INFUS SET JMS
NEEDLE NO 25 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

4 Mei 2013 11:12

Item
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 11:12

Item

JAKARTA SEHAT
Quantity

LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 6.5
SILK 2-0 REVERSE CUTTING
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
4,00

4 Mei 2013 11:00

Item
BENUTRION VE SANBE INFUSION
DISP SYRINGE 50 CC WITHOUT NED
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
4,00
1,00
3,00

4 Mei 2013 10:59

Item
BENUTRION VE SANBE INFUSION
DISP SYRINGE 50 CC WITHOUT NED
CALCIUM GLUCONAS ETHICA INJECTION
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
4,00

4 Mei 2013 10:58

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
12,00
6,00
10,00
30,00
2,00
1,00
7,00

4 Mei 2013 10:58

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 50 CC WITHOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
30,00
2,00
3,00

DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
CALCIUM GLUCONAS ETHICA INJECTION
STOMACH TUBE 6 JMS
STOMACH TUBE 4 JMS
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

12,00
6,00
10,00
2,00
2,00
3,00
1,00
12,00

4 Mei 2013 10:54

Item
BENUTRION VE SANBE INFUSION
DISP SYRINGE 50 CC WITHOUT NED
CALCIUM GLUCONAS ETHICA INJECTION
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
2,00
2,00
4,00

4 Mei 2013 10:54

Item
BENUTRION VE SANBE INFUSION
DISP SYRINGE 50 CC WITHOUT NED
CALCIUM GLUCONAS ETHICA INJECTION
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
1,00
4,00

4 Mei 2013 10:54

Item
BENUTRION VE SANBE INFUSION
DISP SYRINGE 50 CC WITHOUT NED
CALCIUM GLUCONAS ETHICA INJECTION
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
2,00
1,00
4,00

4 Mei 2013 10:51

Item
N5 OTSUKA 500 ML INFUSION
STOMACH TUBE 6 JMS
CALCIUM GLUCONAS ETHICA INJECTION
NEEDLE NO 27 THERUMO

JAMPERSAL
Quantity
1,00
1,00
1,00
4,00

NEEDLE NO.18 THERUMO

AQUA BIDES 1000 ML SOLUTION, LIQUID
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AMIKACIN 250 MG INJECTION
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
5,00
5,00
3,00
3,00
10,00
20,00
1,00
1,00
14,00

4 Mei 2013 10:50

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
N5 OTSUKA 500 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TAZOCIN 4.5 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 50 CC WITHOUT NED
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
6,00
6,00
1,00
5,00
10,00
1,00
5,00
3,00
1,00
10,00

4 Mei 2013 10:48

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
CALCIUM GLUCONAS ETHICA INJECTION
HANDSCOON NON STERIL S (PCS)
N5 OTSUKA 500 ML INFUSION
ALKOHOL SWAB
BENUTRION VE SANBE INFUSION
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
3,00
2,00
10,00
2,00
6,00
1,00
2,00
9,00

4 Mei 2013 10:45

Item

JAMPERSAL
Quantity

HANDSCOON NON STERIL S (PCS)

ALKOHOL SWAB
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

20,00
10,00
4,00
2,00
4,00

4 Mei 2013 10:44

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
N5 OTSUKA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
INFUS SET JMS
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
4,00
2,00
10,00
20,00
1,00
1,00
1,00
5,00
9,00

4 Mei 2013 10:43

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
CALCIUM GLUCONAS ETHICA INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
SUCTION CATHETER 6
SUCTION CATHETER 8
TRANSFUSION SET JMS
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
6,00
6,00
2,00
10,00
10,00
10,00
3,00
3,00
1,00
3,00
11,00

4 Mei 2013 10:40

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
N5 OTSUKA 500 ML INFUSION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
50,00
10,00
10,00
1,00
5,00

DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
BENUTRION VE SANBE INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
5,00
3,00
3,00
1,00
1,00
2,00
13,00

4 Mei 2013 10:38

Item
KALMICETINE 15 GM
BENUTRION VE SANBE INFUSION
DUMIN 125 MG SUPPOSITORY, INSERT
N5 OTSUKA 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
HANDSCOON NON STERIL S (PCS)
SUCTION CATHETER 8
SUCTION CATHETER 6
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
1,00
5,00
5,00
5,00
3,00
3,00
5,00
5,00
30,00
5,00
5,00
14,00

4 Mei 2013 10:36

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFPIROME 1GR VIL
KA-EN 3B 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
AQUA BIDES 1000 ML SOLUTION, LIQUID
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
KALMICETINE 15 GM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
30,00
1,00
5,00
5,00
1,00
8,00

4 Mei 2013 10:34

JAKARTA SEHAT

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
AQUA BIDES 1000 ML SOLUTION, LIQUID
VERBAND ROLL
CEFPIROME 1GR VIL
SUCTION CATHETER 8
KALMICETINE 15 GM
TUSLAH NON RACIKAN
TOTAL

Quantity
50,00
10,00
3,00
2,00
1,00
5,00
5,00
5,00
5,00
5,00
1,00
2,00
2,00
5,00
1,00
15,00

4 Mei 2013 10:32

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RANITIDINE GENERIK 25 MG/ML INJECTION
PELASTIN INFUSION
NATRIUM PHENITOIN 50MG /ML INJ
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
SANMOL INFUSION
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
IVENA IV CATH 24
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
50,00
10,00
3,00
2,00
2,00
1,00
3,00
1,00
2,00
3,00
3,00
3,00
3,00
5,00
5,00
5,00
2,00
1,00
18,00

2 Mei 2013 01:30

Item
PYTOGIN S INJECTION

UMUM
Quantity
4,00

DISP SYRINGE 3 CC
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
RINGER LACTATE WIDATRA 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

3,00
2,00
10,00
1,00
1,00
1,00
7,00

1 Mei 2013 09:00

Item
STOMACH TUBE 4 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 06:52

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Depo
Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
UNT
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT

Pasien

Penjamin
576
2304
900
3780

0
0
0
0

Pasien
Penjamin
3810
3810
500
500
4310
4310

0
0
0

Pasien
Penjamin
6274
6274
4435
4435
2492
2492
15060
15060
12750
12750
16500
16500
37830
37830
3435
3435
51480
51480
4500
4500
154756
154756

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8910
8910
6500
6500
7825
7825
3810
3810
97454
97454
3560
3560
3560
3560
3500
3500
135119
135119

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5346
5346

576
2304
900
3780

UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT
VIL
AMP
BOT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal

3900
3900
4695
4695
17271
17271
37905
37905
3810
3810
3560
3560
3560
3560
49575
49575
19762.5 19762.5
3846
3846
5500
5500
158730.5 158730.5

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6500
6500
8910
8910
4695
4695
32720
32720
3560
3560
3560
3560
3810
3810
5906
5906
4000
4000
73661
73661

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19762.5 19762.5
7800
7800
10692
10692
4695
4695
3810
3810
5234
5234
25098
25098
6897
6897
3560
3560
3560
3560
3846
3846
5500
5500
100454.5 100454.5

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Emergency PICU
Subtotal
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
UNT

Depo Atas
Subtotal
UNT
BAG
UNT

8910
6500
7825
28785
63175
3560
3560
97454
4000
223769

8910
6500
7825
28785
63175
3560
3560
97454
4000
223769

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6500
6500
8910
8910
7825
7825
3810
3810
49575
49575
3560
3560
3560
3560
3500
3500
87240
87240

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
500
500
27450
27450

0
0
0

Pasien
Penjamin
18793
18793
90288
90288
1000
1000
110081
110081

0
0
0
0

Pasien
Penjamin
16335
16335
18793
18793
1000
1000
36128
36128

0
0
0
0

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
UNT
UNT
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
28785
28785
500
500
29285
29285

0
0
0

Pasien
Penjamin
28785
28785
500
500
29285
29285

0
0
0

Pasien
Penjamin
17271
17271
500
500
17771
17771

0
0
0

Pasien
Penjamin
28785
28785
500
500
29285
29285

0
0
0

Pasien

Penjamin
501
7815
196
3500
600
16335
1898
62075
1500
94420

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5500
5500
500
500

0
0

501
7815
196
3500
600
16335
1898
62075
1500
94420

6000

Depo Atas
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT

6000

Pasien
Penjamin
33660
33660
27060
27060
1000
1000
61720
61720

0
0
0
0

Pasien
Penjamin
40800
40800
12750
12750
10542
10542
2848
2848
15060
15060
3435
3435
3000
3000
88435
88435

0
0
0
0
0
0
0
0

Pasien
Penjamin
164180
164180
13000
13000
10692
10692
3048
3048
19762.5 19762.5
3560
3560
3000
3000
217242.5 217242.5

0
0
0
0
0
0
0
0

Pasien
Penjamin
131319
131319
12750
12750
10542
10542
2848
2848
15060
15060
3435
3435
3000
3000
178954
178954

0
0
0
0
0
0
0
0

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
BOT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
VIL
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
VIL
UNT
UNT

Pasien
Penjamin
131319
131319
12750
12750
10542
10542
2848
2848
15060
15060
3435
3435
3000
3000
178954
178954

0
0
0
0
0
0
0
0

Pasien
Penjamin
32670
32670
5881
5881
1000
1000
39551
39551

0
0
0
0

Pasien
Penjamin
8910
8910
6500
6500
7825
7825
63175
63175
32720
32720
3560
3560
3560
3560
3810
3810
19762.5 19762.5
145860
145860
5000
5000
300682.5 300682.5

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6375
6375
7700
7700
8785
8785
63050
63050
3560
3560
16830
16830
40800
40800
3435
3435
3435
3435

0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
UNT
UNT

4500
158470

4500
158470

0
0

Pasien
Penjamin
8910
8910
6500
6500
7825
7825
37905
37905
3810
3810
3560
3560
3560
3560
16880
16880
4000
4000
92950
92950

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7800
7800
10692
10692
4695
4695
3810
3810
30242
30242
2500
2500
59739
59739

0
0
0
0
0
0
0

Pasien
Penjamin
3900
3900
4695
4695
85173.75 85173.75
3560
3560
3560
3560
3810
3810
33050
33050
30242
30242
4000
4000
171990.8 171990.8

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8785
8785
6375
6375

0
0

UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
PKG
UNT
UNT
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo IGD
Subtotal
PKG
VIL
BOT
UNT
UNT
UNT
UNT
UNT
UNT
BAG
UNT
UNT

Depo IGD
Subtotal
PKG
UNT
VIL

7700
63050
3560
16830
3000
109300

7700
63050
3560
16830
3000
109300

0
0
0
0
0
0

Pasien
Penjamin
213840
213840
10540
10540
15957
15957
15957
15957
2000
2000
258294
258294

0
0
0
0
0
0

Pasien
Penjamin
13212
13212
500
500
13712
13712

0
0
0

Pasien
Penjamin
5020
5020
211200
211200
33984
33984
2550
2550
3994
3994
11464
11464
25220
25220
2061
2061
2061
2061
18793
18793
1780
1780
5500
5500
323627
323627

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
1780
1780
30096
30096

0
0
0

VIL
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
PKG
UNT
BAG
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
PKG
UNT
UNT
UNT
UNT
UNT
UNT
BOT
BOT
UNT
UNT
UNT

90288
6600
2550
3080
3994
4000
147408

90288
6600
2550
3080
3994
4000
147408

0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
1780
1780
37586
37586
211200
211200
4435
4435
24160
24160
6600
6600
2550
2550
3080
3080
3994
3994
11464
11464
25220
25220
3435
3435
3435
3435
29976
29976
3696
3696
8000
8000
385631
385631

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27640
27640
5020
5020
1780
1780
25220
25220
11464
11464
3994
3994
3080
3080
2550
2550
18192
18192
2760
2760
10588
10588
8415
8415
6000
6000
126703
126703

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
AMP
UNT
UNT
PKG
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
BAG
BOT
UNT
UNT
UNT
PKG
UNT
BOT
BOT
SUP
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
UNT
AMP
UNT
BOT
UNT
PKG
TAB

Pasien
Penjamin
16266
16266
3900
3900
30092.5 30092.5
5270
5270
27348
27348
2381.25 2381.25
3325
3325
3500
3500
92082.75 92082.75

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28899
28899
18232
18232
6066
6066
3900
3900
4695
4695
5270
5270
1428.75 1428.75
5330
5330
33984
33984
39261
39261
5000
5000
152065.8 152065.8

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11762
11762
500
500
12262
12262

0
0
0

Pasien
Penjamin
3796
3796
5880
5880
3825
3825
18192
18192
2136
2136
5020
5020
670
670

0
0
0
0
0
0
0

AMP
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
AMP
UNT
PKG
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
UNT
UNT
UNT
BOT
UNT
PKG

11520
4000
55039

11520
4000
55039

0
0
0

Pasien
Penjamin
16266
16266
3900
3900
3325
3325
30026
30026
16360
16360
33200
33200
30092.5 30092.5
4216
4216
4762.5
4762.5
18232
18232
5000
5000
165380
165380

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5280
5280
3994
3994
2550
2550
3300
3300
5880
5880
24024
24024
5020
5020
1424
1424
18192
18192
1898
1898
5000
5000
76562
76562

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10794
10794
7518
7518
3825
3825
1997
1997
3300
3300
5280
5280
24024
24024
5020
5020

0
0
0
0
0
0
0
0

UNT
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
BAG
BOT
AMP
AMP
AMP
PKG
UNT
UNT
UNT
UNT
UNT
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
PKG
UNT
BAG
VIL
UNT

Depo IGD
Subtotal
PKG

1898
18192
2136
4331
6000
94315

1898
18192
2136
4331
6000
94315

0
0
0
0
0
0

Pasien
Penjamin
37586
37586
97429
97429
4435
4435
24160
24160
2891
2891
5020
5020
1780
1780
16335
16335
5294
5294
2061
2061
2061
2061
211200
211200
6000
6000
416252
416252

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10588
10588
10588
10588
1000
1000
22176
22176

0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
18793
18793
50160
50160
2000
2000
79533
79533

0
0
0
0
0
0

Pasien
Penjamin
5020
5020

VIL
BOT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
BAG
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

422400
67968
3825
5991
17196
37830
2061
2061
2760
37586
26535
6000
637233

422400
67968
3825
5991
17196
37830
2061
2061
2760
37586
26535
6000
637233

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
427680
427680
500
500
428180
428180

0
0
0

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

Pasien
Penjamin
5184
5184
500
500
5684
5684

0
0
0

Pasien
Penjamin
9985
9985
500
500
10485
10485

0
0
0

Pasien
Penjamin
25270
25270
11514
11514

0
0

UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
UNT

3130
2600
6066
32720
1923
2136
2136
3810
39525
16525
6000
153355

3130
2600
6066
32720
1923
2136
2136
3810
39525
16525
6000
153355

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7988
7988
500
500
8488
8488

0
0
0

Pasien
Penjamin
4980
4980
500
500
5480
5480

0
0
0

Pasien
Penjamin
25270
25270
11514
11514
4044
4044
3130
3130
2600
2600
3564
3564
3810
3810
39525
39525
1424
1424
1424
1424
5000
5000
101305
101305

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25270
25270

UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
BOT
BOT
AMP
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT

11514
4044
2600
5346
3810
39525
3560
3560
5906
5000
110135

11514
4044
2600
5346
3810
39525
3560
3560
5906
5000
110135

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
316823
316823
63175
63175
28785
28785
7825
7825
6500
6500
8910
8910
3560
3560
3560
3560
16360
16360
26560
26560
8440
8440
3810
3810
19762.5 19762.5
5906
5906
97454
97454
5832
5832
8000
8000
631262.5 631262.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9985
9985
500
500
10485
10485

0
0
0

Pasien
Penjamin
40800
40800
13000
13000
8910
8910

0
0
0

UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT
UNT
UNT
UNT
BOT
AMP
UNT

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

3048
19762.5
3560
3000
92080.5

3048
19762.5
3560
3000
92080.5

0
0
0
0
0

Pasien
Penjamin
74250
74250
34320
34320
53900
53900
25220
25220
17196
17196
12750
12750
10542
10542
2848
2848
13744
13744
25048
25048
5000
5000
274818
274818

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
4435
4435
2848
2848
3435
3435
12750
12750
8785
8785
15060
15060
3500
3500
57087
57087

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
4435
4435
2848
2848
3435
3435
12750
12750
8785
8785
15060
15060
3500
3500
57087
57087

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal

Pasien
Penjamin
6274
6274
4435
4435
2848
2848
3435
3435
12750
12750
8785
8785
15060
15060
3500
3500
57087
57087

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6299
6299
4460
4460
3048
3048
3560
3560
13000
13000
8910
8910
19762.5 19762.5
3500
3500
62539.5 62539.5

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12750
12750
8785
8785
2848
2848
1500
1500
25883
25883

0
0
0
0
0

Pasien
Penjamin
13000
13000
8910
8910
1000
1000
22910
22910

0
0
0
0

Pasien

Penjamin

UNT
UNT
BOT
BOT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
BOT
AMP
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
VIL
AMP
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
BOT
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas

49080
49080
3846
3846
11812
11812
13794
13794
42962.5 42962.5
2500
2500
123994.5 123994.5

0
0
0
0
0
0
0

Pasien
Penjamin
51480
51480
34320
34320
53900
53900
13744
13744
25048
25048
20625
20625
2061
2061
3435
3435
15060
15060
37830
37830
22928
22928
12750
12750
8785
8785
40800
40800
5782
5782
2848
2848
8000
8000
359396
359396

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51480
51480
34320
34320
53900
53900
13744
13744
25048
25048
3435
3435
3435
3435
2848
2848
15060
15060
4500
4500
207770
207770

0
0
0
0
0
0
0
0
0
0
0

Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
BAG
AMP
VIL
UNT
BOT
BOT
UNT
UNT
UNT
UNT
UNT

Pasien
Penjamin
7650
7650
51480
51480
1000
1000
60130
60130

0
0
0
0

Pasien
Penjamin
51480
51480
2848
2848
3435
3435
3435
3435
2000
2000
63198
63198

0
0
0
0
0
0

Pasien
Penjamin
18793
18793
97429
97429
78634
78634
3435
3435
3435
3435
6375
6375
7700
7700
11464
11464
25220
25220
3560
3560
5000
5000
261045
261045

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62075
62075
18793
18793
38966
38966
422400
422400
32670
32670
5881
5881
56100
56100
6375
6375
7700
7700
28660
28660
63050
63050
3435
3435

0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT
UNT
PKG
VIL
BOT
UNT
UNT

Depo Atas
Subtotal
PKG
VIL
UNT
UNT
UNT
UNT

3435
3560
7000
760100

3435
3560
7000
760100

0
0
0
0

Pasien
Penjamin
9096
9096
62075
62075
6375
6375
7700
7700
17196
17196
37830
37830
3560
3560
3435
3435
3435
3435
4500
4500
155202
155202

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20748
20748
6375
6375
7700
7700
63050
63050
15060
15060
3560
3560
3435
3435
3435
3435
43313
43313
62075
62075
11762
11762
31680
31680
6000
6000
278193
278193

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
316823
316823
40800
40800
63050
63050
28660
28660
6375
6375
5991
5991

0
0
0
0
0
0

UNT
PKG
UNT
BOT
BOT
UNT
UNT
UNT
VIL
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
BOT
UNT
UNT
UNT
VIL
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
BOT
UNT

8785
15060
3560
6872
5881
3435
3435
34320
90288
7500
640835

8785
15060
3560
6872
5881
3435
3435
34320
90288
7500
640835

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25270
25270
11514
11514
3130
3130
4044
4044
2600
2600
5346
5346
3810
3810
19762.5 19762.5
6897
6897
1424
1424
1424
1424
13297.5 13297.5
90288
90288
6500
6500
195307
195307

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25270
25270
11514
11514
4044
4044
3130
3130
2600
2600
5346
5346
1905
1905
19762.5 19762.5
26560
26560
6897
6897
5000
5000
112028.5 112028.5

0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
PKG
VIL
BOT
BAG
UNT
PKG
UNT
UNT
UNT
UNT
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
VIL
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT

Pasien
Penjamin
43313
43313
62075
62075
11762
11762
37586
37586
3560
3560
30120
30120
6375
6375
7700
7700
28660
28660
63050
63050
3435
3435
3435
3435
2220
2220
6500
6500
309791
309791

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
38966
38966
500
500
39466
39466

0
0
0

Pasien
Penjamin
213840
213840
3048
3048
13175
13175
1500
1500
231563
231563

0
0
0
0
0

Pasien
Penjamin
131319
131319
12750
12750
8785
8785
2848
2848
15060
15060
2500
2500
173262
173262

0
0
0
0
0
0
0

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
PKG
UNT
UNT
UNT
UNT
UNT
PKG
AMP
UNT

Depo Atas
Subtotal
UNT
PKG
UNT
UNT

Pasien
Penjamin
6274
6274
4435
4435
12750
12750
8785
8785
2848
2848
15060
15060
33000
33000
3500
3500
86652
86652

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
4435
4435
12750
12750
8785
8785
2848
2848
15060
15060
33000
33000
3500
3500
86652
86652

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51480
51480
53900
53900
37830
37830
17196
17196
12750
12750
8785
8785
2848
2848
15060
15060
25048
25048
4500
4500
229397
229397

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33000
33000
53900
53900
37830
37830
17196
17196

0
0
0
0

UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
BOT
AMP
UNT
UNT
UNT
UNT
BOT
UNT

12750
8785
2848
10040
4000
180349

12750
8785
2848
10040
4000
180349

0
0
0
0
0
0

Pasien
Penjamin
6274
6274
12750
12750
8785
8785
2848
2848
15060
15060
2500
2500
48217
48217

0
0
0
0
0
0
0

Pasien
Penjamin
12750
12750
8785
8785
15060
15060
2848
2848
2000
2000
41443
41443

0
0
0
0
0
0

Pasien
Penjamin
63175
63175
28785
28785
7825
7825
10110
10110
6500
6500
8910
8910
19762.5 19762.5
3810
3810
97454
97454
12549
12549
3560
3560
3560
3560
13297.5 13297.5
8440
8440
5906
5906
7500
7500

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

301144

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
BOT
AMP
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

301144

Pasien
Penjamin
63175
63175
28785
28785
6500
6500
7825
7825
10110
10110
8910
8910
3810
3810
19762.5 19762.5
3560
3560
3560
3560
5906
5906
12549
12549
6000
6000
180452.5 180452.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1251275 1251275
500
500
1251775 1251775

0
0
0

Pasien
Penjamin
1251275 1251275
500
500
1251775 1251775

0
0
0

Pasien
Penjamin
63175
63175
28785
28785
10110
10110
7825
7825
6500
6500
8910
8910
19946.25 19946.25
16880
16880
32720
32720
3810
3810

0
0
0
0
0
0
0
0
0
0

PKG
UNT
UNT
BOT
AMP
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
UNT
UNT

19762.5 19762.5
3560
3560
3560
3560
97454
97454
12549
12549
7500
7500
343046.8 343046.8

0
0
0
0
0
0
0

Pasien
Penjamin
37905
37905
17271
17271
3900
3900
4695
4695
6066
6066
5346
5346
3810
3810
19762.5 19762.5
2136
2136
2136
2136
206220
206220
5500
5500
314747.5 314747.5

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25270
25270
11514
11514
6066
6066
5346
5346
7800
7800
3130
3130
3810
3810
13175
13175
4272
4272
4272
4272
12549
12549
5500
5500
102704
102704

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63175
63175
28785
28785

0
0

UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
BOT
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT

8910
7800
3130
6066
13175
3810
3560
3560
12549
8440
16360
3846
7000
190166

8910
7800
3130
6066
13175
3810
3560
3560
12549
8440
16360
3846
7000
190166

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63175
63175
28785
28785
7825
7825
6500
6500
10110
10110
8910
8910
3810
3810
19762.5 19762.5
3560
3560
3560
3560
16880
16880
20238
20238
6000
6000
199115.5 199115.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
18192
18192
5881
5881
12548
12548
3435
3435
3435
3435
6375
6375
7700
7700
9985
9985
28660
28660
63050
63050

0
0
0
0
0
0
0
0
0
0
0

PKG
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
BAG
BOT
BOT
UNT
VIL
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
VIL
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
PKG
UNT

56632
3560
15060
7000
244273

56632
3560
15060
7000
244273

0
0
0
0
0

Pasien
Penjamin
62075
62075
2760
2760
37586
37586
5881
5881
56100
56100
16335
16335
422400
422400
501600
501600
6375
6375
7700
7700
9985
9985
28660
28660
63050
63050
3435
3435
3435
3435
56632
56632
3560
3560
20213
20213
9000
9000
1316782 1316782

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18793
18793
11385
11385
62075
62075
56632
56632
44964
44964
2500
2500
196349
196349

0
0
0
0
0
0
0

Pasien
Penjamin
20213
20213
26950
26950
1000
1000

0
0
0

48163

Depo Atas
Subtotal
BAG
VIL
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
VIL
UNT
BAG
PKG
UNT
UNT
UNT

Apotik Panel 2
Subtotal
UNT
UNT

Apotik Panel 2
Subtotal
UNT
UNT

48163

Pasien
Penjamin
18793
18793
211200
211200
40128
40128
5991
5991
4620
4620
3825
3825
17196
17196
15882
15882
26470
26470
2061
2061
2061
2061
1898
1898
6000
6000
356125
356125

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
422400
422400
250800
250800
16335
16335
18793
18793
56632
56632
7700
7700
6375
6375
3500
3500
782535
782535

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
110000
110000
500
500
110500
110500

0
0
0

Pasien
Penjamin
44000
44000
500
500
44500
44500

0
0
0

Depo Atas
Subtotal
UNT
BAG
VIL
UNT
UNT
UNT
UNT
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Pasien
Penjamin
26470
26470
18793
18793
211200
211200
1890
1890
2580
2580
3796
3796
32670
32670
5881
5881
28660
28660
9985
9985
7700
7700
6375
6375
6000
6000
362000
362000

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62075
62075
37586
37586
17196
17196
5991
5991
4620
4620
3825
3825
1898
1898
1134
1134
1548
1548
4500
4500
140373
140373

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
72768
72768
168300
168300
1898
1898
44964
44964
1548
1548
1548
1548
8415
8415
26535
26535
56632
56632
28660
28660
9985
9985

0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
SUP
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
VIL
VIL
PKG
UNT
UNT
UNT
BOT
UNT
UNT

6375
7700
6500
441828

6375
7700
6500
441828

0
0
0
0

Pasien
Penjamin
180576
180576
500
500
181076
181076

0
0
0

Pasien
Penjamin
211200
211200
500
500
211700
211700

0
0
0

Pasien
Penjamin
39560
39560
500
500
40060
40060

0
0
0

Pasien
Penjamin
74940
74940
82500
82500
63050
63050
28660
28660
7700
7700
6375
6375
8785
8785
26470
26470
15060
15060
62075
62075
13414
13414
13167
13167
2580
2580
1890
1890
20213
20213
5881
5881
3560
3560
26950
26950

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

BOT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
UNT
PKG
UNT
UNT
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

2760
9500
475530

2760
9500
475530

0
0
0

Pasien
Penjamin
6375
6375
7700
7700
9985
9985
1890
1890
2580
2580
3560
3560
25100
25100
11088
11088
44964
44964
49500
49500
16088
16088
2760
2760
6000
6000
187590
187590

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1090
1090
196
196
3500
3500
500
500
3560
3560
25100
25100
44964
44964
49500
49500
422400
422400
14750
14750
8870
8870
1890
1890
2580
2580
15882
15882
8785
8785
6375
6375
7700
7700
9985
9985
28660
28660
63050
63050
8000
8000
727337
727337

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
VIL
UNT
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
BAG
SUP
BOT
UNT
UNT
BOT
BOT
TUB
UNT

Depo Atas
Subtotal
VIL
BAG
BOT
VIL
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Pasien
Penjamin
49660
49660
3560
3560
15060
15060
26470
26470
74940
74940
82500
82500
63050
63050
28660
28660
9985
9985
6375
6375
7700
7700
8785
8785
17643
17643
37586
37586
39560
39560
97429
97429
1890
1890
2580
2580
2760
2760
27060
27060
3600
3600
10500
10500
617353
617353

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12548
12548
37586
37586
194858
194858
37245
37245
15060
15060
1890
1890
2580
2580
8785
8785
6375
6375
7700
7700
9985
9985
28660
28660
63050
63050
7392
7392
44964
44964
49500
49500

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
BOT
UNT

8000
536178

8000
536178

0
0

Pasien
Penjamin
32834
32834
500
500
33334
33334

0
0
0

Pasien
Penjamin
32834
32834
500
500
33334
33334

0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
18192
18192
51216
51216
5809
5809
18343
18343
3994
3994
2550
2550
3080
3080
1780
1780
5020
5020
1898
1898
5000
5000
116882
116882

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
51216
51216
6872
6872
1898
1898

0
0
0
0

UNT
PKG
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
AMP

1780
5020
3994
2550
3080
4500
90006

1780
5020
3994
2550
3080
4500
90006

0
0
0
0
0
0
0

Pasien
Penjamin
4645
4645
500
500
5145
5145

0
0
0

Pasien
Penjamin
51216
51216
1780
1780
1898
1898
5020
5020
3994
3994
2550
2550
3080
3080
4645
4645
4000
4000
78183
78183

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51216
51216
1780
1780
1898
1898
5020
5020
3994
3994
2550
2550
3080
3080
4645
4645
4000
4000
78183
78183

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
38966
38966

UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
BOT
BOT
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
AMP
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

500
39466

500
39466

0
0

Pasien
Penjamin
2617
2617
500
500
3117
3117

0
0
0

Pasien
Penjamin
33000
33000
6872
6872
11762
11762
25048
25048
3435
3435
2580
2580
7120
7120
15300
15300
8785
8785
37830
37830
5000
5000
156732
156732

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
131319
131319
15300
15300
8785
8785
2848
2848
4435
4435
15060
15060
2061
2061
1032
1032
4000
4000
184840
184840

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
131319
131319
12750
12750
8785
8785
2848
2848

0
0
0
0

UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
PKG
AMP
BOT
BOT
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
VIL
BOT
UNT

Depo Atas
Subtotal

17160
2061
1032
3500
179455

17160
2061
1032
3500
179455

0
0
0
0
0

Pasien
Penjamin
6066
6066
10692
10692
7800
7800
3810
3810
13175
13175
15046.25 15046.25
3000
3000
59589.25 59589.25

0
0
0
0
0
0
0
0

Pasien
Penjamin
316823
316823
12549
12549
6897
6897
97454
97454
13828
13828
5757
5757
37905
37905
8910
8910
6500
6500
7825
7825
10110
10110
16880
16880
3810
3810
39525
39525
26560
26560
53950
53950
3560
3560
2705
2705
308402
308402
5906
5906
10000
10000
995856
995856

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

BAG
AMP
UNT
UNT
UNT
UNT
UNT
UNT
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
VIL
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT

12446
12446
12549
12549
8440
8440
16360
16360
8910
8910
6500
6500
7825
7825
10110
10110
14963.75 14963.75
39525
39525
3810
3810
3846
3846
6000
6000
151284.8 151284.8

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8910
8910
6500
6500
7825
7825
10110
10110
17271
17271
37905
37905
3560
3560
2705
2705
3810
3810
39525
39525
26560
26560
308402
308402
6000
6000
479083
479083

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8910
8910
6500
6500
7825
7825
10110
10110
28785
28785
63175
63175
3560
3560
2705
2705
3810
3810
16880
16880
97454
97454

0
0
0
0
0
0
0
0
0
0
0

PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
BAG
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
BOT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

39525
3846
32720
7000
332805

39525
3846
32720
7000
332805

0
0
0
0
0

Pasien
Penjamin
112211
112211
12446
12446
12549
12549
8440
8440
26975
26975
8910
8910
37905
37905
7800
7800
6066
6066
3810
3810
39525
39525
5500
5500
282137
282137

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
107376
107376
11946
11946
9985
9985
6375
6375
7700
7700
28660
28660
63050
63050
3560
3560
30120
30120
2580
2580
756
756
275880
275880
6500
6500
560369
560369

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26535
26535
26470
26470

0
0

UNT
UNT
AMP
AMP
BOT
PKG
UNT
UNT
UNT
PKG
BOT
AMP
VIL
UNT

Depo Atas
Subtotal
BOT
BOT
BOT
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
BOT
BOT

26470
21360
5782
14750
13744
8778
6375
7700
9985
56632
11946
8820
137940
7500
390787

26470
21360
5782
14750
13744
8778
6375
7700
9985
56632
11946
8820
137940
7500
390787

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
97429
97429
6872
6872
18793
18793
12548
12548
6375
6375
7700
7700
9985
9985
28660
28660
63050
63050
2580
2580
1890
1890
3560
3560
30120
30120
49500
49500
7500
7500
352443
352443

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6375
6375
7700
7700
9985
9985
28660
28660
63050
63050
5881
5881
102432
102432

0
0
0
0
0
0
0

UNT
PKG
VIL
AMP
BOT
VIL
UNT

Depo Atas
Subtotal
VIL
UNT
PKG
PKG
BOT
BOT
AMP
AMP
UNT
UNT

Depo Atas
Subtotal
BAG
BOT
VIL
BOT
UNT
UNT
PKG
UNT
PKG
UNT
PKG
UNT

Emergency PICU
Subtotal
UNT
UNT

3560
30120
12548
5782
59400
62075
6500
404068

3560
30120
12548
5782
59400
62075
6500
404068

0
0
0
0
0
0
0
0

Pasien
Penjamin
62075
62075
26535
26535
56632
56632
30120
30120
13744
13744
97429
97429
18738
18738
5782
5782
63050
63050
4500
4500
378605
378605

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
6872
6872
62075
62075
17643
17643
6375
6375
63050
63050
30120
30120
20213
20213
56632
56632
26535
26535
7392
7392
5500
5500
339993
339993

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
31680
31680
500
500
32180
32180

0
0
0

Depo IGD
Subtotal
PKG
UNT
AMP
AMP
VIL
BOT
BAG
BOT
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
PKG
UNT
VIL
VIL
AMP
BOT
PKG
BOT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT

Pasien
Penjamin
10040
10040
1780
1780
8673
8673
22125
22125
308377
308377
5881
5881
37586
37586
97429
97429
118800
118800
3825
3825
4620
4620
37830
37830
6000
6000
662966
662966

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10040
10040
1780
1780
30096
30096
137940
137940
14750
14750
6872
6872
8778
8778
5881
5881
3825
3825
5991
5991
4620
4620
10588
10588
10588
10588
6500
6500
258249
258249

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9369
9369
3825
3825
4620
4620
5991
5991
17196
17196
2500
2500

0
0
0
0
0
0

43501

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL

43501

Pasien
Penjamin
5991
5991
17196
17196
3825
3825
5271
5271
4620
4620
1890
1890
2580
2580
10040
10040
4000
4000
55413
55413

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
137940
137940
5991
5991
4620
4620
37830
37830
10040
10040
3560
3560
5271
5271
3500
3500
208752
208752

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2592
2592
500
500
3092
3092

0
0
0

Pasien
Penjamin
2617
2617
500
500
3117
3117

0
0
0

Pasien
Penjamin
2592
2592

UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Emergency PICU
Subtotal
PKG
UNT
UNT
UNT
UNT
UNT

Emergency PICU
Subtotal
UNT
UNT

Emergency PICU
Subtotal

500
3092

500
3092

0
0

Pasien
Penjamin
62370
62370
500
500
62870
62870

0
0
0

Pasien
Penjamin
1635
1635
196
196
3500
3500
750
750
6081
6081

0
0
0
0
0

Pasien
Penjamin
63253
63253
500
500
63753
63753

0
0
0

Pasien
Penjamin
18287
18287
12012
12012
17160
17160
8415
8415
756
756
2500
2500
59130
59130

0
0
0
0
0
0
0

Pasien
Penjamin
20213
20213
500
500
20713
20713

0
0
0

Pasien

Penjamin

AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
AMP
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
PKG
UNT
UNT

1382
1275
12012
56100
2000
72769

1382
1275
12012
56100
2000
72769

0
0
0
0
0
0

Pasien
Penjamin
97429
97429
50440
50440
17160
17160
1500
1500
166529
166529

0
0
0
0
0

Pasien
Penjamin
97429
97429
25220
25220
25048
25048
17160
17160
2000
2000
166857
166857

0
0
0
0
0
0

Pasien
Penjamin
37830
37830
15300
15300
10542
10542
3560
3560
15060
15060
53900
53900
17160
17160
3500
3500
156852
156852

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
4435
4435
15060
15060
53900
53900
37830
37830

0
0
0
0
0

UNT
UNT
UNT
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
AMP
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
AMP
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
AMP
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
AMP
UNT

15300
10542
3560
25048
34320
51480
20213
6000
283962

15300
10542
3560
25048
34320
51480
20213
6000
283962

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
97429
97429
37830
37830
25048
25048
34320
34320
2000
2000
196627
196627

0
0
0
0
0
0

Pasien
Penjamin
97429
97429
37830
37830
25048
25048
17160
17160
2000
2000
179467
179467

0
0
0
0
0
0

Pasien
Penjamin
97429
97429
37830
37830
25048
25048
17160
17160
2000
2000
179467
179467

0
0
0
0
0
0

Pasien
Penjamin
12446
12446
17185
17185
12549
12549
2848
2848

0
0
0
0

UNT
BOT
UNT
UNT
UNT
UNT
UNT
PKG
VIL
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
BAG
UNT
PKG
VIL
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
AMP
PKG
BAG
UNT
BOT
UNT
UNT

Depo Atas
Subtotal

1082
1082
14963.75 14963.75
8910
8910
6500
6500
4695
4695
6066
6066
3810
3810
13175
13175
90288
90288
16525
16525
7000
7000
218042.8 218042.8

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6066
6066
7800
7800
10692
10692
12446
12446
1905
1905
6587.5
6587.5
365904
365904
63175
63175
49080
49080
9633
9633
5000
5000
538288.5 538288.5

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7800
7800
10692
10692
6066
6066
25098
25098
6587.5
6587.5
24892
24892
2286
2286
97454
97454
16880
16880
4500
4500
202255.5 202255.5

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
BAG
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
AMP
PKG
UNT
UNT
UNT
UNT
UNT
VIL
UNT

Depo Atas
Subtotal
PKG
UNT
VIL
BAG
UNT

13175
3810
2848
1082
2000
22915

13175
3810
2848
1082
2000
22915

0
0
0
0
0
0

Pasien
Penjamin
7800
7800
6260
6260
4044
4044
3810
3810
13175
13175
12446
12446
12549
12549
8440
8440
3560
3560
4500
4500
76584
76584

0
0
0
0
0
0
0
0
0
0
0

Pasien
37905
7800
10692
25098
6587.5
3810
7120
19946.25
19946.25
16360
37713.75
5500
198478.8

Penjamin
37905
7800
10692
25098
6587.5
3810
7120
19946.25
19946.25
16360
37713.75
5500
198478.8

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25100
25100
3560
3560
124150
124150
12421
12421
9985
9985

0
0
0
0
0

UNT
UNT
UNT
UNT
UNT
AMP
BOT
AMP
UNT

Depo Atas
Subtotal
TUB
BOT
TUB
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
BAG
PKG
BOT
UNT
UNT
TUB
UNT

Depo Atas

7700
6375
8785
37830
17196
9369
97429
25048
6500
391448

7700
6375
8785
37830
17196
9369
97429
25048
6500
391448

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10890
10890
97429
97429
38016
38016
12421
12421
9985
9985
6375
6375
7700
7700
17196
17196
37830
37830
2580
2580
1890
1890
15060
15060
26470
26470
26470
26470
7000
7000
317312
317312

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11762
11762
137940
137940
18793
18793
15060
15060
11946
11946
1890
1890
2580
2580
10890
10890
4000
4000
214861
214861

0
0
0
0
0
0
0
0
0
0

Subtotal
PKG
UNT
VIL
BOT
BOT
UNT
UNT
UNT
UNT
UNT
BOT
PKG
VIL
UNT
TUB
UNT

Depo Atas
Subtotal
PKG
UNT
AMP
VIL
AMP
BOT
BAG
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
AMP

Pasien
Penjamin
25100
25100
3560
3560
30096
30096
11762
11762
6872
6872
6375
6375
7700
7700
9985
9985
28660
28660
63050
63050
11946
11946
7392
7392
275880
275880
26470
26470
10890
10890
7500
7500
533238
533238

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25100
25100
3560
3560
8673
8673
616754
616754
107376
107376
5881
5881
56379
56379
97429
97429
112200
112200
1548
1548
1134
1134
3825
3825
4620
4620
9985
9985
28660
28660
63050
63050
29976
29976
5125
5125
9000
9000
1190275 1190275

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21588
21588

UNT
UNT
PKG
BOT
BOT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

3825
24024
5020
8750
6072
1898
3500
74677

3825
24024
5020
8750
6072
1898
3500
74677

0
0
0
0
0
0
0
0

Pasien
Penjamin
17160
17160
500
500
17660
17660

0
0
0

Pasien
Penjamin
1923
1923
500
500
2423
2423

0
0
0

Waktu
31 Mei 2013 20:32
Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
CLOPIDOGREL 75 MG TABLET
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

Jaminan
JPK PNS
Quantity
2,00
1,00
2,00
3,00

31 Mei 2013 20:19

Item
NATRIUM DIKLOFENAK KF TABLET 25 MG
CALCIUM GLUCONAS ETHICA INJECTION
MAGNESIUM SULFAT 20% INJECTION
EXTENSION TUBE ET 2 (DWS)
THREE WAY STOPCOCK
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
1,00
1,00
1,00
7,00

31 Mei 2013 20:11

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
CALCIUM GLUCONAS ETHICA INJECTION
MAGNESIUM SULFAT 20% INJECTION
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
8,00

31 Mei 2013 20:06

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00

31 Mei 2013 19:33

Item

JAKARTA SEHAT
Quantity

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

VALAMIN SANBE INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AMLODIPIN 5 MG TABLET
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 1 CC INSULIN
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
3,00
1,00
1,00
7,00

31 Mei 2013 16:20

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

31 Mei 2013 15:50

Item
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
HALOPERIDOL INF 0.5 MG TABLET
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
7,00
14,00
84,00
28,00
6,00

31 Mei 2013 14:21

Item
RANITIDINE INF TABLET 150 MG
METHYL PREDNISOLONE inf 16 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
7,00
9,00
8,00
3,00
3,00
1,00
15,00
2,00

31 Mei 2013 14:18

Item
THROMBO ASPILETS 100 MG TABLET

JAKARTA SEHAT
Quantity
10,00

KUTOIN-100 CAPSULE 100 MG

FOLIC ACID 1 MG TABLET
AMLODIPIN 10 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30,00
20,00
10,00
30,00
5,00

31 Mei 2013 14:11

Item
THROMBO ASPILETS 100 MG TABLET
H.C.T 25 MG TABLET
ADALAT OROS 30 MG TABLET
METFORMIN HCL 500 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
15,00
9,00
8,00
3,00
3,00
1,00
15,00
5,00

31 Mei 2013 14:06

Item
FENOFIBRAT 200 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

ASKES
Quantity
7,00
1,00
14,00

31 Mei 2013 14:05

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

31 Mei 2013 14:04

Item
FENOFIBRAT 200 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

ASKES
Quantity
8,00
1,00
16,00

31 Mei 2013 13:55

Item
PIRACETAM INF 1200 MG TABLET
MEMORAN TABLET 100 MG
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
8,00
5,00
3,00

31 Mei 2013 13:44

Item
SIMVASTATIN TABLET 20 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

31 Mei 2013 13:44

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
9,00
8,00
3,00
3,00
1,00
15,00
1,00

31 Mei 2013 13:43

Item
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

31 Mei 2013 13:37

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG

JAKARTA SEHAT
Quantity
9,00
8,00
30,00
3,00
3,00
1,00
15,00
15,00

ALPENTIN 100 MG TABLET

TUSLAH NON RACIKAN
TOTAL

15,00
2,00

31 Mei 2013 13:33

Item
VIVACE 10 MG TABLET
AMLODIPIN 10 MG TABLET
HALOPERIDOL INF 0.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
7,00
84,00
28,00
4,00

31 Mei 2013 13:28

Item
THROMBO ASPILETS 100 MG TABLET
ALPENTIN 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
84,00
3,00

31 Mei 2013 13:13

Item
BETAHISTIN NOVELL TABLET 6 MG
THROMBO ASPILETS 100 MG TABLET
METFORMIN HCL 500 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
30,00
20,00
4,00

31 Mei 2013 13:08

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
112,00
1,00

31 Mei 2013 13:06

Item
FOLIC ACID 1 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
20,00

ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
30,00
6,00

31 Mei 2013 13:05

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
9,00
8,00
3,00
3,00
1,00
15,00
1,00

31 Mei 2013 12:58

Item
ANALSIK TABLET
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

31 Mei 2013 12:44

Item
FENOFIBRAT 200 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

ASKES
Quantity
21,00
1,00
42,00

31 Mei 2013 12:40

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

31 Mei 2013 12:32

Item
MELOXICAM 15mg TABLET
PARACETAMOL INF TABLET 500 mg

UMUM
Quantity
5,00
3,00

NATRIUM DIKLOFENAK 50 MG TABLET

METHYL PREDNISOLONE inf 16 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
1,00
1,00
1,00
5,00
10,00
2,00

31 Mei 2013 12:31

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

31 Mei 2013 12:25

Item
ADALAT OROS 30 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ALPENTIN 300 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
6,00
5,00
2,00
2,00
1,00
10,00
4,00

31 Mei 2013 12:25

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
30,00
10,00
10,00
10,00
6,00
5,00
2,00
2,00
1,00
10,00
4,00

TOTAL

31 Mei 2013 12:23

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
28,00
3,00

31 Mei 2013 11:55

Item
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00
2,00
2,00
3,00
3,00
6,00

31 Mei 2013 11:35

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

31 Mei 2013 10:38

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
2,00

31 Mei 2013 10:38

Item
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
SOHOBAL SOHO 500 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
30,00
3,00

30 Mei 2013 13:06

Item
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
6,00
3,00

30 Mei 2013 12:32

Item
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

30 Mei 2013 12:09

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

30 Mei 2013 11:04

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 11:04

Item
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
BD MICRO-FINE
ASPILETS TABLET, CHEWABLE 80 MG
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
30,00
10,00
10,00
2,00
8,00
8,00
9,00

30 Mei 2013 10:47

Item
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
15,00
15,00
50,00
3,00

30 Mei 2013 10:29

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

30 Mei 2013 10:00

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
ALPENTIN 300 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
18,00
15,00
6,00
15,00
1,00
30,00
30,00
30,00
60,00
3,00

29 Mei 2013 13:10

Item
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

29 Mei 2013 11:43

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
6,00
10,00
2,00
2,00
1,00
10,00

TOTAL

29 Mei 2013 09:29

Item
BETAHISTIN NOVELL TABLET 6 MG
CLONIDINE INF 150 MG TABLET
DILTIAZEM INF TABLET 30 MG
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
30,00
30,00
30,00
120,00
10,00
1,00
10,00
10,00
6,00

29 Mei 2013 09:09

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
20,00
10,00
3,00

28 Mei 2013 12:02

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
30,00
5,00

28 Mei 2013 12:01

Item
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 11:58

Item

JAKARTA SEHAT
Quantity

CAPTOPRIL 12.5 MG TABLET

BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

60,00
10,00
10,00
15,00
10,00
5,00

28 Mei 2013 11:33

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

28 Mei 2013 10:46

Item
MECOBALAMIN CAPSULE 500 MCG
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
60,00
2,00

28 Mei 2013 10:45

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 10:42

Item
RIGID LUMBO DR-B034 UK M
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

28 Mei 2013 10:24

Item
NATRIUM DIKLOFENAK 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 14:05

Item

JAKARTA SEHAT
Quantity

CONDOM CATHETER S
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00

27 Mei 2013 14:05

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 14:05

Item
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
5,00
2,00
3,00

27 Mei 2013 13:44

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 13:44

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

27 Mei 2013 10:31

Item
ARICEPT TABLET, FILM COATED 10 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
1,00

25 Mei 2013 02:04

Item

JAKARTA SEHAT
Quantity

CLOPIDOGREL 75 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
3,00

25 Mei 2013 02:01

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 00:06

Item
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00

24 Mei 2013 15:29

Item
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

24 Mei 2013 15:20

Item
NEW DIATABS TABLET 600 mg
ONDANSETRON 8 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
5,00
2,00

24 Mei 2013 15:19

Item
COTRIMOXAZOLE 480 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

24 Mei 2013 15:14

Item
THROMBO ASPILETS 100 MG TABLET

JAKARTA SEHAT
Quantity
14,00

H.C.T 25 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

14,00
15,00
9,00
8,00
3,00
3,00
1,00
15,00
3,00

24 Mei 2013 15:10

Item
THROMBO ASPILETS 100 MG TABLET
MELOXICAM 15mg TABLET
RANITIDINE INF TABLET 150 MG
ALPENTIN 300 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
1,00
30,00
3,00

24 Mei 2013 14:50

Item
PHENOBARBITAL 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00

24 Mei 2013 14:45

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

24 Mei 2013 14:44

Item
ALPENTIN 300 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
FUROSEMID INF TABLET
CEFIXIME GENERIK CAPSULE
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
15,00
3,00
10,00
10,00
1,00
1,00
1,00

AQUA FOR INJECT OTSUKA 25 ML

DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
9,00

24 Mei 2013 14:38

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

24 Mei 2013 14:38

Item
CETIRIZINE 10 MG TABLET
MICONAZOLE KF 10 GM CREAM
ALPENTIN 300 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
20,00
10,00
5,00
10,00
6,00

24 Mei 2013 14:08

Item
PARACETAMOL INF TABLET 500 mg
AMITRYPTILIN 25 MG TABLET
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
10,00
4,00
4,00
1,00
20,00
20,00
1,00

24 Mei 2013 14:03

Item
ONDANSETRON 8 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

24 Mei 2013 14:03

Item

JAKARTA SEHAT
Quantity

ANALSIK TABLET
LANSOPRAZOLE GENERIK CAPSULE
CENDO STATROL 5 ML 3.5 mg/ml
TUSLAH NON RACIKAN
TOTAL

10,00
5,00
1,00
3,00

24 Mei 2013 14:01

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

24 Mei 2013 14:01

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
10,00
3,00

24 Mei 2013 13:52

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
10,00
4,00
10,00
1,00
20,00
20,00
1,00

24 Mei 2013 13:45

Item
CILOSTAZOL 100 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
10,00
20,00
5,00

24 Mei 2013 13:44

Item
MECOBALAMIN CAPSULE 500 MCG
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
20,00
15,00
15,00
3,00

24 Mei 2013 13:36

Item
TRILAC INJECTION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

24 Mei 2013 13:28

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
1,00

24 Mei 2013 13:25

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
10,00
4,00
10,00
1,00
20,00
20,00
10,00
2,00

24 Mei 2013 13:15

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
28,00
10,00
10,00
5,00

24 Mei 2013 13:09

Item
HALOPERIDOL INF 0.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
84,00
28,00
2,00

24 Mei 2013 13:09

Item
GLIBENCLAMID INF TABLET
BETAHISTIN NOVELL TABLET 6 MG
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
13,00
3,00

24 Mei 2013 12:46

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

24 Mei 2013 12:46

Item
THROMBO ASPILETS 100 MG TABLET
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

24 Mei 2013 12:40

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
60,00
10,00
20,00
20,00
5,00

24 Mei 2013 11:15

Item
PARACETAMOL INF TABLET 500 mg

UMUM
Quantity
6,00

NATRIUM DIKLOFENAK 50 MG TABLET

AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

5,00
2,00
2,00
1,00
10,00
10,00
15,00
60,00
3,00

24 Mei 2013 10:06

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

24 Mei 2013 10:06

Item
KASA STERYL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 09:24

Item
AMLODIPIN 5 MG TABLET
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
THROMBO ASPILETS 100 MG TABLET
METFORMIN HCL 500 MG TABLET
ALPENTIN 300 MG TABLET
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
20,00
10,00
30,00
20,00
2,00
1,00
1,00
1,00
1,00
8,00

23 Mei 2013 20:13

Item
HALOPERIDOL INF 0.5 MG TABLET

ASKES
Quantity
18,00

LEVOFLOXACIN INF TABLET

TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

3,00
6,00
3,00

23 Mei 2013 14:31

Item
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

23 Mei 2013 13:53

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 13:28

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
CEFIXIME GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
5,00
10,00
15,00
4,00

23 Mei 2013 13:27

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
PARACETAMOL INF TABLET 500 mg
AMBROXOL INF 60 ML SYRUP
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
60,00
10,00
1,00
10,00
6,00

23 Mei 2013 13:24

Item
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
1,00

TOTAL

23 Mei 2013 12:35

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
5,00
4,00
1,00
10,00
6,00
1,00

23 Mei 2013 12:31

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
6,00
2,00

23 Mei 2013 12:30

Item
M-20 INFUSAN (MANITOL) 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

23 Mei 2013 12:26

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
10,00
5,00

23 Mei 2013 12:09

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

23 Mei 2013 11:42

Item
CITICHOLIN 500 MG TABLET
DISP SYRINGE 3 CC
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00

22 Mei 2013 19:03

Item
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
2,00
2,00

22 Mei 2013 13:34

Item
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

22 Mei 2013 13:31

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

22 Mei 2013 13:30

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
BISOLVON 2 ML INJECTION
SODIUM CHLORIDE 0,9% 25 MG
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
1,00
5,00

22 Mei 2013 12:49

JAKARTA SEHAT

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
1,00

22 Mei 2013 12:48

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00

22 Mei 2013 12:48

Item
FLUNARIZINE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 12:37

Item
BETAHISTIN NOVELL TABLET 6 MG
CITICHOLIN 500 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
10,00
20,00
3,00

22 Mei 2013 12:30

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
6,00
5,00
2,00
2,00
1,00
1,00

22 Mei 2013 09:50

Item
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
VALISANBE TABLET 5 MG

JAKARTA SEHAT
Quantity
20,00
20,00
6,00

TUSLAH RACIKAN EMBALASE

TUSLAH NON RACIKAN
TOTAL

1,00
30,00
2,00

22 Mei 2013 08:51

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
10,00
6,00
5,00
2,00
2,00
1,00
10,00
3,00

22 Mei 2013 08:46

Item
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
20,00
2,00

22 Mei 2013 02:36

Item
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 01:10

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOLVON SOLUTION 50 ML
SODIUM CHLORIDE 0,9% 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00

22 Mei 2013 00:31

Item

JAKARTA SEHAT
Quantity

CHLORAMPHENICOL SALEP
STOMACH TUBE 16 THERUMO
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
3,00

22 Mei 2013 00:28

Item
BETAHISTIN NOVELL TABLET 6 MG
FLUNARIZINE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00

22 Mei 2013 00:17

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00

21 Mei 2013 13:22

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
3,00
1,00

21 Mei 2013 12:42

Item
AMLODIPIN 5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
60,00
3,00

21 Mei 2013 12:04

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
1,00
3,00

21 Mei 2013 10:44

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 09:01

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
5,00
2,00
2,00
1,00
10,00
10,00
10,00
2,00

21 Mei 2013 08:59

Item
BETAHISTIN NOVELL TABLET 6 MG
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

21 Mei 2013 03:35

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

21 Mei 2013 03:35

Item
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
NATRIUM PHENITOIN 50MG /ML INJ
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
3,00
4,00

21 Mei 2013 02:50

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 18:55

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00

20 Mei 2013 18:53

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00

20 Mei 2013 15:01

Item
VALAMIN SANBE INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
6,00

18 Mei 2013 17:02

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
CENDO PROTAGENTA E,D 5ML ML
CENDO FLOXA EYE DROP
DISP SYRINGE 10 CC
SOHOLIN 125 MG/ML INJECTION
KETOPAIN 30 MG/ML INJECTION

UMUM
Quantity
6,00
10,00
2,00
5,00
1,00
10,00
1,00
1,00
1,00
4,00
3,00

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
2,00
2,00
10,00

18 Mei 2013 16:51

Item
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
METFORMIN HCL 500 MG TABLET
SELANG NEBUL WITH MASK(1493)
BISOLVON SOLUTION 50 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SODIUM CHLORIDE 0,9% 25 MG
SOHOLIN 125 MG/ML INJECTION
DISP SYRINGE 5 CC
PLAVOS 75MG TAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00
2,00
1,00
1,00
1,00
3,00
4,00
2,00
1,00
11,00

18 Mei 2013 16:48

Item
SOHOBAL INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
2,00

18 Mei 2013 14:33

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
60,00
28,00
4,00

18 Mei 2013 14:32

Item
KUTOIN-100 CAPSULE 100 MG

JAKARTA SEHAT
Quantity
30,00

FOLIC ACID 1 MG TABLET

ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
15,00
3,00

18 Mei 2013 14:27

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
ANALSIK TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
15,00
4,00

18 Mei 2013 14:23

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

18 Mei 2013 14:20

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
10,00
2,00
5,00
1,00
10,00
1,00

18 Mei 2013 14:15

Item
AMLODIPIN 5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
2,00

18 Mei 2013 14:05

Item
ALPENTIN 300 MG TABLET

JAKARTA SEHAT
Quantity
5,00

TUSLAH RACIKAN EMBALASE

HYDROCORTISONE INF 2.5% 5 GM CREAM
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
15,00
1,00
15,00
9,00
8,00
3,00
3,00
1,00
15,00
2,00

18 Mei 2013 13:59

Item
CAPTOPRIL 12.5 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
56,00
15,00
9,00
8,00
3,00
3,00
1,00
15,00
2,00

18 Mei 2013 13:58

Item
RANITIDINE INF TABLET 150 MG
THROMBO ASPILETS 100 MG TABLET
CLOPIDOGREL 75 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
10,00
5,00
5,00
10,00
9,00
8,00
3,00
3,00
1,00
15,00
6,00

18 Mei 2013 13:36

ASKES

Item
BETAHISTIN NOVELL TABLET 6 MG
FLUNARIZINE 5 MG TABLET
TRAMADOL INF TABLET 50 MG
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
30,00
15,00
10,00
10,00
2,00
1,00
1,00
1,00
1,00
6,00

18 Mei 2013 13:29

Item
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

18 Mei 2013 13:23

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

18 Mei 2013 13:22

Item
LIPOFIBRAT 200 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

ASKES
Quantity
21,00
1,00
42,00

18 Mei 2013 13:19

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

18 Mei 2013 13:14

Item
THROMBO ASPILETS 100 MG TABLET
ALPENTIN 300 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00

TUSLAH RACIKAN EMBALASE

CAPTOPRIL 12.5 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

1,00
30,00
60,00
9,00
8,00
3,00
3,00
1,00
15,00
15,00
3,00

18 Mei 2013 13:07

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

18 Mei 2013 13:06

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
60,00
10,00
10,00
10,00
5,00

18 Mei 2013 13:04

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
5,00
2,00
2,00
1,00
10,00
10,00
1,00

18 Mei 2013 13:00

Item

JAKARTA SEHAT
Quantity

THROMBO ASPILETS 100 MG TABLET

METFORMIN HCL 500 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
30,00
60,00
20,00
4,00

18 Mei 2013 12:48

Item
BETAHISTIN NOVELL TABLET 6 MG
METFORMIN HCL 500 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
30,00
10,00
10,00
20,00
5,00

18 Mei 2013 12:40

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

18 Mei 2013 12:21

Item
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

18 Mei 2013 12:21

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

18 Mei 2013 12:03

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG

UMUM
Quantity
15,00
9,00
8,00
3,00
3,00

TUSLAH RACIKAN EMBALASE

TUSLAH NON RACIKAN
TOTAL

1,00
15,00
1,00

18 Mei 2013 11:38

Item
CARBAMAZEPINE INF TABLET
PHENOBARBITAL 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
60,00
100,00
2,00

18 Mei 2013 11:26

Item
OSTE FORTE CAPSULE
RANITIDINE INF TABLET 150 MG
METHYL PREDNISOLONE INF 4 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
VALISANBE TABLET 5 MG
AMITRYPTILIN 25 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
15,00
9,00
8,00
3,00
3,00
1,00
15,00
3,00

18 Mei 2013 11:10

Item
PHENOBARBITAL 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
100,00
1,00

18 Mei 2013 11:10

Item
PARACETAMOL INF TABLET 500 mg
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

18 Mei 2013 11:09

Item
NATRIUM DIKLOFENAK 50 MG TABLET

JAKARTA SEHAT
Quantity
3,00

TUSLAH NON RACIKAN

TOTAL

1,00

18 Mei 2013 10:31

Item
SUCTION CATHETER 16
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00

18 Mei 2013 09:41

Item
MECOBALAMIN CAPSULE 500 MCG
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
28,00
2,00

18 Mei 2013 09:07

Item
ELASTIS LUMBO SACRAL DR-B012 UK L
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

18 Mei 2013 09:05

Item
KNEE SUPPORT DR-K009 UK.U
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
1,00

17 Mei 2013 20:56

Item
MEMORAN TABLET 100 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
4,00
2,00
3,00

17 Mei 2013 14:26

Item
CLOPIDOGREL 75 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN

JPK PNS
Quantity
15,00
30,00
2,00

TOTAL

17 Mei 2013 14:09

Item
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

17 Mei 2013 14:05

Item
CLOPIDOGREL 75 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
30,00
2,00

17 Mei 2013 13:56

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
SIMVASTATIN GENERIK 10 MG TABLET
THROMBO ASPILETS 100 MG TABLET
GEMFIBROZIL INF 300 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
5,00
2,00
5,00
1,00
10,00
10,00
20,00
10,00
10,00
20,00
5,00

17 Mei 2013 13:48

Item
SIFROL ER 0.375 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
10,00
2,00

17 Mei 2013 13:44

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
5,00
10,00

CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
10,00
6,00
5,00
2,00
2,00
1,00
10,00
5,00

17 Mei 2013 13:32

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
2,00

17 Mei 2013 13:31

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
3,00

17 Mei 2013 13:28

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
9,00
8,00
3,00
8,00
1,00
15,00
15,00
1,00

17 Mei 2013 13:25

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET

JAKARTA SEHAT
Quantity
9,00
8,00

AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
ALLOPURINOL INF TABLET 100 MG
RANITIDINE INF TABLET 150 MG
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

3,00
8,00
1,00
15,00
20,00
10,00
20,00
3,00

17 Mei 2013 13:23

Item
RANITIDINE INF TABLET 150 MG
ALPENTIN 300 MG TABLET
TUSLAH RACIKAN EMBALASE
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
7,00
1,00
20,00
6,00
5,00
2,00
2,00
1,00
10,00
1,00

17 Mei 2013 13:13

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
8,00
3,00
3,00
1,00
15,00
15,00
1,00

17 Mei 2013 13:02

Item
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

17 Mei 2013 12:55

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ALPENTIN 300 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN TABLET 20 MG
LANSOPRAZOLE GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
60,00
10,00
10,00
10,00
10,00
6,00
5,00
2,00
2,00
1,00
10,00
6,00

17 Mei 2013 12:39

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
CIPROFLOXACIN TABLET
TUZALOS TABLET
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
15,00
3,00
8,00
1,00
15,00
15,00
10,00
10,00
1,00
4,00

17 Mei 2013 12:36

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
AMLODIPIN 5 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG

JAKARTA SEHAT
Quantity
20,00
10,00
6,00
5,00
2,00
2,00
1,00
10,00
10,00

SIFROL ER 0.375 MG TABLET

TUSLAH NON RACIKAN
TOTAL

7,00
4,00

17 Mei 2013 12:20

Item
THROMBO ASPILETS 100 MG TABLET
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

17 Mei 2013 12:07

Item
THROMBO ASPILETS 100 MG TABLET
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
13,00
20,00
3,00

17 Mei 2013 11:33

Item
FOLIC ACID 1 MG TABLET
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
30,00
2,00

17 Mei 2013 11:24

Item
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
28,00
1,00

17 Mei 2013 11:05

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

17 Mei 2013 10:33

Item

ASKES
Quantity

ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
1,00

17 Mei 2013 09:55

Item
RANITIDINE INF TABLET 150 MG
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00

17 Mei 2013 09:41

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
6,00
5,00
2,00
2,00
1,00
10,00

17 Mei 2013 08:54

Item
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
AMBROXOL INF 60 ML SYRUP
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
50,00
10,00
10,00
1,00
10,00
5,00

16 Mei 2013 14:29

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 13:24

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
6,00
4,00
2,00

TOTAL

16 Mei 2013 12:43

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
ALPENTIN 100 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
10,00
4,00

16 Mei 2013 11:18

Item
SHOULDER SUPPORT
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

16 Mei 2013 11:13

Item
KNEE SUPPORT DR-K009 UK.U
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
1,00

15 Mei 2013 19:44

Item
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 19:24

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
4,00

15 Mei 2013 18:14

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION

UMUM
Quantity
4,00

SELANG NEBUL WITH MASK(1493)

ACYCLOVIR INF TABLET 400 MG
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
10,00
1,00
4,00

15 Mei 2013 13:31

Item
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

15 Mei 2013 12:57

Item
MECOBALAMIN AMP INJECTION
AMBROXOL INF 60 ML SYRUP
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

15 Mei 2013 12:30

Item
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
2,00
3,00

15 Mei 2013 12:14

Item
NATRIUM DIKLOFENAK 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 10:50

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
M-20 INFUSAN (MANITOL) 500 ML
INFUS SET JMS
DERMAFIX-1V

UMUM
Quantity
2,00
1,00
1,00
4,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

6,00

15 Mei 2013 01:12

Item
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
1,00
3,00

14 Mei 2013 19:57

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
INPEPSA 100 ML SYRUP 500 mg/5 ml
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

14 Mei 2013 12:46

Item
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
NATRIUM DIKLOFENAK 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
3,00

14 Mei 2013 12:46

Item
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

14 Mei 2013 12:24

Item
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

14 Mei 2013 10:14

UMUM

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
2,00

14 Mei 2013 10:14

Item
STOMACH TUBE 16 THERUMO
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

14 Mei 2013 07:56

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
AMINOFLUID 500 ML INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
4,00
5,00
12,00
4,00
10,00
12,00
1,00
5,00
10,00

13 Mei 2013 22:03

Item
FARMADOL 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
PARACETAMOL INF TABLET 500 mg
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
4,00

13 Mei 2013 22:03

JAKARTA SEHAT

Item
PARACETAMOL INF TABLET 500 mg
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN
EMBALASE
PANTOPRAZOLE INJECTION
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00

13 Mei 2013 20:25

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
2,00
1,00
3,00

13 Mei 2013 16:31

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

13 Mei 2013 16:29

Item
ASAM MEFENAMAT INF 500 MG TABLET
MERTIGO TABLET 6 MG
CIPROFLOXACIN TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
1,00
4,00

13 Mei 2013 16:25

Item
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

13 Mei 2013 16:04

Item
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 1 CC INSULIN
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
1,00
8,00

13 Mei 2013 13:58

Item
ULTRACET 37,5MG TABL
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
2,00

13 Mei 2013 13:58

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 13:17

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

13 Mei 2013 13:17

Item
THROMBO ASPILETS 100 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

13 Mei 2013 13:17

JAKARTA SEHAT

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
1,00
3,00

13 Mei 2013 13:16

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
2,00
6,00
7,00

13 Mei 2013 13:14

Item
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

13 Mei 2013 12:09

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

13 Mei 2013 12:09

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

13 Mei 2013 08:41

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

13 Mei 2013 08:37

Item
NATRIUM DIKLOFENAK 50 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

13 Mei 2013 08:37

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

12 Mei 2013 17:55

Item
NATRIUM DIKLOFENAK 50 MG TABLET
RANITIDINE INF TABLET 150 MG
METHYL PREDNISOLONE inf 16 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
10,00
5,00
3,00

12 Mei 2013 02:11

Item
FARMADOL 100 ML INFUSION
THREE WAY STOPCOCK
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
AMIKACIN 250 MG INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
AMINOFLUID 500 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
3,00
6,00
6,00
4,00
2,00
10,00
3,00
2,00
6,00
6,00
12,00

11 Mei 2013 23:53

Item
DRAINAGE BAG STERIL

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

11 Mei 2013 23:49

Item
ASAM MEFENAMAT INF 500 MG TABLET
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

11 Mei 2013 23:46

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
ALPENTIN 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
3,00
4,00

11 Mei 2013 23:44

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

11 Mei 2013 23:42

Item
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

11 Mei 2013 23:26

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

11 Mei 2013 18:24

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN

ASKES
Quantity
1,00
1,00

BISOLVON 60 ML SYRUP
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
4,00
2,00
5,00
6,00

11 Mei 2013 17:25

Item
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
4,00
2,00

11 Mei 2013 16:56

Item
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
28,00
28,00
3,00

11 Mei 2013 14:48

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
10,00
10,00
3,00

11 Mei 2013 14:47

Item
THROMBO ASPILETS 100 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
9,00
8,00
3,00
3,00
1,00
15,00
15,00
2,00

11 Mei 2013 14:38

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
20,00
1,00

11 Mei 2013 14:34

Item
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

11 Mei 2013 14:34

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

11 Mei 2013 14:32

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
8,00
3,00
3,00
1,00
15,00
15,00
1,00

11 Mei 2013 14:27

Item
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
PIRACETAM INF 1200 MG TABLET
ONDANSETRON 8 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
168,00
5,00
14,00
28,00
5,00
7,00

11 Mei 2013 14:09

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

11 Mei 2013 14:00

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
8,00
3,00
3,00
1,00
15,00
15,00
1,00

11 Mei 2013 13:44

Item
NATRIUM DIKLOFENAK 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

11 Mei 2013 13:42

Item
RANITIDINE INF TABLET 150 MG
ALPENTIN 100 MG TABLET
PARACETAMOL INF TABLET 500 mg
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
7,00
3,00
7,00
1,00
15,00
2,00

11 Mei 2013 13:33

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG

JAKARTA SEHAT
Quantity
15,00
9,00
15,00

AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
ALPENTIN 300 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
1,00
15,00
7,00
1,00
20,00
1,00

11 Mei 2013 13:33

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
28,00
28,00
5,00

11 Mei 2013 13:32

Item
RANITIDINE INF TABLET 150 MG
H.C.T 25 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
14,00
9,00
8,00
3,00
3,00
1,00
15,00
2,00

11 Mei 2013 13:25

Item
CLOPIDOGREL 75 MG TABLET
FENOFIBRAT 200 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
21,00
1,00
42,00
1,00

11 Mei 2013 13:19

UMUM

Item
CAPTOPRIL 12.5 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
120,00
30,00
18,00
30,00
6,00
15,00
1,00
30,00
2,00

11 Mei 2013 13:15

Item
AMIKACIN 250 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

11 Mei 2013 13:04

Item
BETAHISTIN NOVELL TABLET 6 MG
ALPENTIN 300 MG TABLET
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 10 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
10,00
10,00
10,00
5,00

11 Mei 2013 13:02

Item
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

11 Mei 2013 13:02

Item
THROMBO ASPILETS 100 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
AMLODIPIN 10 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
6,00
10,00
2,00

STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
10,00
4,00

11 Mei 2013 13:02

Item
FOLIC ACID 1 MG TABLET
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

11 Mei 2013 12:39

Item
RANITIDINE INF TABLET 150 MG
ALPENTIN 300 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
9,00
20,00
4,00
10,00
1,00
20,00
2,00

11 Mei 2013 12:39

Item
ALPENTIN 300 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
ANALSIK TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
15,00
15,00
4,00

11 Mei 2013 12:37

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

11 Mei 2013 12:36

JAKARTA SEHAT

Item
TUZALOS TABLET
ALPENTIN 100 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
15,00
30,00
10,00
6,00
10,00
2,00
2,00
1,00
10,00
3,00

11 Mei 2013 12:33

Item
RANITIDINE INF TABLET 150 MG
ALPENTIN 100 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
6,00
10,00
2,00
2,00
1,00
10,00
2,00

11 Mei 2013 12:31

Item
MECOBALAMIN CAPSULE 500 MCG
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
40,00
2,00

11 Mei 2013 12:12

Item
RANITIDINE INF TABLET 150 MG
ALPENTIN 100 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
20,00
30,00
12,00
10,00
4,00
4,00
1,00
20,00
2,00

TOTAL

11 Mei 2013 11:27

Item
RANITIDINE INF TABLET 150 MG
CAPTOPRIL 12.5 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
60,00
9,00
8,00
3,00
3,00
1,00
15,00
2,00

11 Mei 2013 11:23

Item
PARACETAMOL INF TABLET 500 mg
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
10,00
2,00

11 Mei 2013 11:14

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
3,00
2,00
3,00
10,00
8,00

11 Mei 2013 10:50

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00

11 Mei 2013 10:33

UMUM

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
3,00
2,00

11 Mei 2013 10:20

Item
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

11 Mei 2013 09:55

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

11 Mei 2013 09:21

Item
ALPENTIN 100 MG TABLET
NATRIUM DIKLOFENAK 50 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VECTRINE DEXA CAPSULE 300 mg
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
20,00
10,00
15,00
1,00
7,00

11 Mei 2013 09:08

Item
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

10 Mei 2013 23:01

Item
CLINDAMYCIN 300 MG CAPSULE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
2,00
2,00

10 Mei 2013 17:43

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00
1,00
3,00
3,00
1,00

10 Mei 2013 17:30

Item
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
FENOFIBRAT 200 MG TABLET
TUSLAH RACIKAN EMBALASE
GLIBENCLAMID INF TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
7,00
4,00
10,00
1,00
20,00
4,00
2,00
4,00

10 Mei 2013 15:06

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

10 Mei 2013 15:06

Item
CITICHOLIN 500 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
VITAMIN B COMPLEX
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
18,00
3,00
4,00

10 Mei 2013 15:04

Item

JAKARTA SEHAT
Quantity

SISTENOL TABLET, COATED 500 mg; 200 mg

ONDANSETRON 4 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

9,00
6,00
1,00
9,00
4,00

10 Mei 2013 15:03

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
6,00
6,00
4,00

10 Mei 2013 14:58

Item
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
MECOBALAMIN CAPSULE 500 MCG
ACYCLOVIR INF TABLET 400 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
20,00
30,00
4,00

10 Mei 2013 14:58

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
MECOBALAMIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
3,00

10 Mei 2013 14:51

Item
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

10 Mei 2013 14:22

Item
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
1,00

INFUS SET JMS

IVENA IV CATH 20
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00
2,00
6,00
6,00
5,00
2,00
2,00
1,00
10,00
6,00

10 Mei 2013 14:14

Item
CLOPIDOGREL 75 MG TABLET
H.C.T 25 MG TABLET
ADALAT OROS 30 MG TABLET
METFORMIN HCL 500 MG TABLET
SIMVASTATIN TABLET 20 MG
MELOXICAM 15mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
10,00
10,00
6,00

10 Mei 2013 14:12

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 10 MG TABLET
OBH MINOROCK 100 ML
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
1,00
10,00
4,00

10 Mei 2013 14:11

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
ALPENTIN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
10,00
28,00
15,00
5,00

10 Mei 2013 14:10

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DRAINAGE BAG STERIL
ALPENTIN 300 MG TABLET
AMITRYPTILIN 25 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
20,00
15,00
3,00
14,00
14,00
12,00

10 Mei 2013 14:04

Item
PARACETAMOL INF TABLET 500 mg
KALIUM DIKLOFENAK 25 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
15,00
3,00
3,00
1,00
15,00
15,00
1,00

10 Mei 2013 14:01

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
8,00
3,00
3,00
1,00
15,00
15,00
15,00
2,00

10 Mei 2013 13:56

JAKARTA SEHAT

Item
TUZALOS TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00

10 Mei 2013 13:53

Item
PHENOBARBITAL 30 MG TABLET
OBH MINOROCK 100 ML
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
1,00
10,00
3,00

10 Mei 2013 13:46

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

10 Mei 2013 13:45

Item
ASPILETS TABLET, CHEWABLE 80 MG
VITAMIN B COMPLEX
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
3,00
3,00

10 Mei 2013 13:44

Item
CITICHOLIN 500 MG TABLET
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

10 Mei 2013 13:44

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE

UMUM
Quantity
18,00
15,00
6,00
6,00
1,00
30,00

RANITIDINE INF TABLET 150 MG

TUSLAH NON RACIKAN
TOTAL

30,00
1,00

10 Mei 2013 13:28

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
8,00
3,00
3,00
1,00
15,00
15,00
1,00

10 Mei 2013 13:27

Item
BETAHISTIN NOVELL TABLET 6 MG
FLUNARIZINE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
2,00

10 Mei 2013 13:19

Item
PHENOBARBITAL 30 MG TABLET
RANITIDINE INF TABLET 150 MG
SALYCIL TALK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
15,00
1,00
3,00

10 Mei 2013 13:19

Item
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
20,00
3,00

10 Mei 2013 13:18

Item
PARACETAMOL INF TABLET 500 mg

UMUM
Quantity
6,00

NATRIUM DIKLOFENAK KF TABLET 25 MG

AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
METHYL PREDNISOLONE inf 16 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
2,00
5,00
1,00
10,00
10,00
5,00
2,00

10 Mei 2013 13:03

Item
PIRACETAM INF 1200 MG TABLET
CAPTOPRIL 12.5 MG TABLET
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
20,00
3,00

10 Mei 2013 12:59

Item
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

10 Mei 2013 12:58

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

10 Mei 2013 12:53

Item
PHENOBARBITAL 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
43,00
1,00

10 Mei 2013 12:52

Item
THROMBO ASPILETS 100 MG TABLET
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

10 Mei 2013 12:41

Item
THROMBO ASPILETS 100 MG TABLET
FOLIC ACID 1 MG TABLET
AMLODIPIN 5 MG TABLET
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
10,00
30,00
4,00

10 Mei 2013 12:35

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
9,00
8,00
3,00
3,00
1,00
15,00
1,00

10 Mei 2013 12:27

Item
THROMBO ASPILETS 100 MG TABLET
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
20,00
3,00

10 Mei 2013 12:08

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
ALPENTIN 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
10,00
2,00
5,00
1,00
10,00
5,00
5,00
2,00

10 Mei 2013 11:54

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
15,00
3,00
8,00
1,00
15,00
15,00
1,00

10 Mei 2013 10:46

Item
ARICEPT TABLET, FILM COATED 10 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
1,00

10 Mei 2013 08:55

Item
THROMBO ASPILETS 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
10,00
60,00
2,00

9 Mei 2013 23:20

Item
IVENA IV CATH 22
OTSU SALIN 3% INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

8 Mei 2013 23:18

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
1,00
3,00

8 Mei 2013 23:16

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00

8 Mei 2013 14:42

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

8 Mei 2013 14:36

Item
ANTALGIN 500 MG
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
10,00
2,00

8 Mei 2013 14:04

Item
ASAM MEFENAMAT INF 500 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
5,00
10,00
3,00
3,00
1,00
1,00
1,00
5,00
2,00

8 Mei 2013 12:33

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
FLUCONAZOL INFUS 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

8 Mei 2013 12:32

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

7 Mei 2013 19:34

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

7 Mei 2013 19:18

Item
KALIUM DIKLOFENAK 50 MG TABLET
ALPENTIN 100 MG TABLET
MECOBALAMIN AMP INJECTION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
2,00
1,00
5,00

7 Mei 2013 17:23

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
1,00
1,00
1,00
6,00

7 Mei 2013 13:47

Item
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
1,00

7 Mei 2013 13:47

Item
NATRIUM PHENITOIN 50MG /ML INJ
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

7 Mei 2013 13:46

Item
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 13:46

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
6,00
5,00
2,00
2,00
1,00
10,00
2,00

7 Mei 2013 13:46

Item
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 12:44

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
4,00
2,00
4,00

7 Mei 2013 12:44

Item
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

7 Mei 2013 10:15

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

6 Mei 2013 19:33

Item
HALOPERIDOL INF 0.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

6 Mei 2013 19:27

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
FOLLEY CATHETER 18 RUSCH
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
1,00
6,00

6 Mei 2013 19:04

Item
STOMACH TUBE 16 THERUMO
FOLLEY CATHETER 18 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

CITICHOLIN 2 ML 125 MG/ML INJECTION

DISP SYRINGE 3 CC
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

4,00
2,00
1,00
8,00

6 Mei 2013 12:23

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
VALAMIN SANBE INFUSION
INPEPSA 100 ML SYRUP 500 mg/5 ml
BISOPROLOL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
H.C.T 25 MG TABLET
SOHOLIN 125 MG/ML INJECTION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
3,00
1,00
2,00
3,00
2,00
10,00
16,00

6 Mei 2013 11:11

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
ANTRAIN INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
4,00

6 Mei 2013 10:24

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 14:14

JAKARTA SEHAT

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

Quantity
20,00
1,00

4 Mei 2013 14:04

Item
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
INFUS SET JMS
IVENA IV CATH 22
STOMACH TUBE 16 THERUMO
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
7,00

4 Mei 2013 13:40

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
10,00
15,00
15,00
9,00
8,00
3,00
3,00
1,00
15,00
5,00

4 Mei 2013 13:37

Item
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
4,00

4 Mei 2013 13:36

JAKARTA SEHAT

Item
RANITIDINE INF TABLET 150 MG
BETAHISTIN NOVELL TABLET 6 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

Quantity
15,00
20,00
12,00
10,00
4,00
4,00
1,00
20,00
2,00

4 Mei 2013 13:34

Item
THROMBO ASPILETS 100 MG TABLET
ALPENTIN 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

4 Mei 2013 13:08

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
9,00
8,00
3,00
3,00
1,00
15,00
1,00

4 Mei 2013 13:01

Item
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
15,00
9,00
8,00
3,00
3,00
1,00
15,00
2,00

4 Mei 2013 12:49

Item
CILOSTAZOL 100 MG TABLET
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

4 Mei 2013 12:45

Item
BISOPROLOL 5 MG TABLET
ALPENTIN 300 MG TABLET
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
15,00
3,00

4 Mei 2013 12:43

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

4 Mei 2013 12:43

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

4 Mei 2013 12:24

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

4 Mei 2013 11:50

Item
PLAVOS 75MG TAB
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

4 Mei 2013 11:38

UMUM

Item
PHENOBARBITAL 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

Quantity
20,00
1,00
1,00
30,00

4 Mei 2013 11:37

Item
IVENA IV CATH 24
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

4 Mei 2013 11:06

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
9,00
8,00
3,00
3,00
1,00
15,00
1,00

4 Mei 2013 10:40

Item
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

4 Mei 2013 10:40

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

4 Mei 2013 08:21

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg

UMUM
Quantity
15,00
9,00

NATRIUM DIKLOFENAK 50 MG TABLET

AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

8,00
3,00
3,00
1,00
15,00
1,00

4 Mei 2013 02:06

Item
FUTROLIT INFUSION
RING AS SANBE 500 ML
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
NIMOTOP TAB 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
12,00
3,00

4 Mei 2013 02:00

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
NATRIUM DIKLOFENAK 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
4,00

3 Mei 2013 14:20

Item
ALPENTIN 100 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
9,00
8,00
3,00
3,00
1,00
15,00
2,00

3 Mei 2013 14:14

Item
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

3 Mei 2013 14:11

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

3 Mei 2013 14:11

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
9,00
8,00
3,00
3,00
1,00
15,00
1,00

3 Mei 2013 13:54

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
60,00
1,00

3 Mei 2013 13:52

Item
THROMBO ASPILETS 100 MG TABLET
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
20,00
10,00
4,00

3 Mei 2013 13:39

Item

JAKARTA SEHAT
Quantity

MECOBALAMIN CAPSULE 500 MCG

TUSLAH NON RACIKAN
TOTAL

30,00
1,00

3 Mei 2013 13:28

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 10 MG TABLET
H.C.T 25 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
5,00
5,00
10,00
6,00

3 Mei 2013 13:24

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

3 Mei 2013 12:57

Item
ACRAN 150 mg
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
9,00
8,00
3,00
3,00
1,00
15,00
1,00

3 Mei 2013 12:54

Item
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
15,00
9,00
8,00
3,00
3,00
1,00
15,00
1,00

TOTAL

3 Mei 2013 12:50

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
PHENOBARBITAL 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
120,00
200,00
2,00

3 Mei 2013 12:42

Item
KALMICETINE 15 GM
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

3 Mei 2013 12:38

Item
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
28,00
1,00

3 Mei 2013 12:35

Item
THROMBO ASPILETS 100 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
6,00
5,00
2,00
2,00
1,00
10,00
2,00

3 Mei 2013 12:21

Item
RANITIDINE INF TABLET 150 MG
ALPENTIN 100 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG

JAKARTA SEHAT
Quantity
15,00
30,00
9,00
8,00
3,00
3,00

TUSLAH RACIKAN EMBALASE

TUSLAH NON RACIKAN
TOTAL

1,00
15,00
2,00

3 Mei 2013 12:20

Item
RANITIDINE INF TABLET 150 MG
ALPENTIN 100 MG TABLET
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
30,00
9,00
8,00
3,00
3,00
1,00
15,00
2,00

3 Mei 2013 10:32

Item
PIRACETAM INF 1200 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
60,00
15,00
2,00

3 Mei 2013 06:43

Item
NIMOTOP TAB 30 mg
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
STESOLID TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00

3 Mei 2013 02:58

Item
FUTROLIT INFUSION
PARACETAMOL INF TABLET 500 mg
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
3,00

TOTAL

2 Mei 2013 18:59

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00

2 Mei 2013 11:31

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK 50 MG TABLET
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
RANITIDINE INF TABLET 150 MG
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
5,00
2,00
2,00
1,00
10,00
10,00
10,00
2,00

2 Mei 2013 10:59

Item
MECOBALAMIN CAPSULE 500 MCG
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
42,00
14,00
2,00

2 Mei 2013 09:51

Item
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

2 Mei 2013 09:49

Item
NON REBREATHING MASK ADULT(1102)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

2 Mei 2013 08:51

Item
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
THROMBO ASPILETS 100 MG TABLET
RANITIDINE INF TABLET 150 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
30,00
20,00
6,00
10,00
10,00
5,00

1 Mei 2013 19:53

Item
IVENA IV CATH 18
FOLLEY CATHETER 16 RUSCH
PELASTIN INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
GARAM INGGRIS 30GR
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

1 Mei 2013 15:05

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
1,00

1 Mei 2013 14:35

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

1 Mei 2013 14:05

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
2,00
6,00

TUSLAH NON RACIKAN

TOTAL

2,00

1 Mei 2013 13:50

Item
FLUCONAZOLE 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

1 Mei 2013 13:46

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

1 Mei 2013 12:32

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
10,00
10,00
3,00

1 Mei 2013 12:14

Item
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

1 Mei 2013 11:59

Item
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 08:46

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM DIKLOFENAK KF TABLET 25 MG
AMITRYPTILIN 25 MG TABLET

JAKARTA SEHAT
Quantity
6,00
5,00
2,00

VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TOTAL

2,00
1,00
10,00

Depo
Depo IGD
Subtotal
AMP
TAB
UNT
UNT

Depo IGD
Subtotal
TAB
AMP
AMP
PKG
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
AMP
AMP
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
35640
35640
9900
9900
3080
3080
1500
1500
50120
50120

Pasien

0
0
0
0
0

Penjamin
404
12524
9268
26950
20213
12610
5732
3500
91201

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
71280
71280
3080
3080
12524
12524
9268
9268
12610
12610
5732
5732
20213
20213
26950
26950
4000
4000
165657
165657

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4098
4098
164
164
1000
1000
5262
5262

0
0
0
0

404
12524
9268
26950
20213
12610
5732
3500
91201

Pasien

Penjamin

VIL
BOT
BAG
TAB
TAB
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB

22770
63253
9633
827
378
3300
20213
3500
123874

22770
63253
9633
827
378
3300
20213
3500
123874

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
Penjamin
7644
7644
28735
28735
10157
10157
1708
1708
6048
6048
42336
42336
3000
3000
99628
99628

0
0
0
0
0
0
0
0

Pasien
Penjamin
3555
3555
10374
10374
1134
1134
2088
2088
411
411
657
657
3500
3500
5250
5250
1000
1000
27969
27969

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460

CAP
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT
UNT

40980
1640
19830
5940
2500
76350

40980
1640
19830
5940
2500
76350

0
0
0
0
0
0

Pasien
Penjamin
5460
5460
440
440
83290
83290
3960
3960
3555
3555
1134
1134
2088
2088
411
411
657
657
3500
3500
5250
5250
2500
2500
112245
112245

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33264
33264
3500
3500
4900
4900
41664
41664

0
0
0
0

Pasien
Penjamin
2580
2580
500
500
3080
3080

0
0
0

Pasien
Penjamin
38016
38016
3500
3500
5600
5600
47116
47116

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
TAB

Pasien
Penjamin
22680
22680
54648
54648
9915
9915
1500
1500
88743
88743

0
0
0
0
0

Pasien
Penjamin
30780
30780
500
500
31280
31280

0
0
0

Pasien
Penjamin
3555
3555
1134
1134
2088
2088
411
411
657
657
3500
3500
5250
5250
500
500
17095
17095

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22680
22680
500
500
23180
23180

0
0
0

Pasien
Penjamin
1134
1134
2088
2088
15240
15240
411
411
657
657
3500
3500
750
750
3555
3555

0
0
0
0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

63960
1000
92295

63960
1000
92295

0
0
0

Pasien
Penjamin
62700
62700
13881
13881
6048
6048
1372
1372
2000
2000
86001
86001

0
0
0
0
0
0

Pasien
Penjamin
7644
7644
119392
119392
7224
7224
1500
1500
135760
135760

0
0
0
0
0

Pasien
Penjamin
13320
13320
5460
5460
5940
5940
18480
18480
2000
2000
45200
45200

0
0
0
0
0
0

Pasien
Penjamin
110880
110880
500
500
111380
111380

0
0
0

Pasien
Penjamin
1640
1640
7920
7920
1160
1160
5620
5620

0
0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB

11880
540
3000
31760

11880
540
3000
31760

0
0
0
0

Pasien
Penjamin
3555
3555
1134
1134
2088
2088
411
411
657
657
3500
3500
5250
5250
500
500
17095
17095

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10770
10770
118500
118500
1000
1000
130270
130270

0
0
0
0

Pasien
Penjamin
99792
99792
3500
3500
14700
14700
117992
117992

0
0
0
0

Pasien
Penjamin
5460
5460
19830
19830
1000
1000
26290
26290

0
0
0
0

Pasien
Penjamin
7685
7685
378
378

0
0

TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
TAB
TAB
TAB
TAB
UNT
UNT
UNT

783
4446
137
219
3500
250
2370
1000
20768

783
4446
137
219
3500
250
2370
1000
20768

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25872
25872
500
500
26372
26372

0
0
0

Pasien
Penjamin
83290
83290
5460
5460
14510
14510
79000
79000
756
756
1305
1305
274
274
438
438
3500
3500
500
500
2000
2000
191033
191033

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2580
2580
8270
8270
5460
5460
13510
13510
756
756
1305
1305
274
274
438
438
3500
3500
500
500
2000
2000

0
0
0
0
0
0
0
0
0
0
0

38593

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
VIL
VIL
AMP
PKG
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

38593

Pasien
Penjamin
40980
40980
1640
1640
2016
2016
1500
1500
46136
46136

0
0
0
0
0

Pasien
Penjamin
32834
32834
63253
63253
322766
322766
170544
170544
17016
17016
1566
1566
3000
3000
610979
610979

0
0
0
0
0
0
0
0

Pasien
Penjamin
10770
10770
500
500
11270
11270

0
0
0

Pasien
Penjamin
40980
40980
1640
1640
1000
1000
43620
43620

0
0
0
0

Pasien
Penjamin
14820
14820
2370
2370
60600
60600
1500
1500
79290
79290

0
0
0
0
0

Depo Unit Dose

Subtotal
AMP
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
TAB
TAB
UNT

Pasien
Penjamin
11760
11760
5782
5782
7650
7650
1500
1500
26692
26692

0
0
0
0
0

Pasien
Penjamin
49280
49280
500
500
49780
49780

0
0
0

Pasien
Penjamin
1260
1260
2370
2370
1000
1000
4630
4630

0
0
0
0

Pasien
Penjamin
222640
222640
500
500
223140
223140

0
0
0

Pasien
Penjamin
99000
99000
5390
5390
1220
1220
3480
3480
14510
14510
78540
78540
3656
3656
4008
4008
19712
19712
4500
4500
234016
234016

0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

Pasien
Penjamin
22230
22230
3555
3555
46200
46200
1500
1500
73485
73485

0
0
0
0
0

Pasien
Penjamin
5460
5460
8270
8270
1000
1000
14730
14730

0
0
0
0

Pasien
Penjamin
2268
2268
3915
3915
822
822
2115
2115
3500
3500
10500
10500
7110
7110
237000
237000
55440
55440
1500
1500
324170
324170

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
500
500
25140
25140

0
0
0

Pasien
756
2020
274
438
3500
3500

Penjamin
756
2020
274
438
3500
3500

0
0
0
0
0
0

10488

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal

10488

Pasien
Penjamin
1998
1998
7380
7380
5310
5310
3480
3480
10320
10320
400
400
3500
3500
500
500
820
820
3000
3000
36708
36708

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5160
5160
16540
16540
14510
14510
1500
1500
37710
37710

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
540
540
2500
2500
29620
29620

0
0
0
0
0
0
0

Pasien
Penjamin
1638
1638
500
500
2138
2138

0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
CAP
CAP
UNT

Depo Unit Dose

Subtotal
TAB
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Unit Dose

Subtotal

5160
14510
8270
1890
2370
2500
34700

5160
14510
8270
1890
2370
2500
34700

0
0
0
0
0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Pasien
Penjamin
25872
25872
81960
81960
1000
1000
108832
108832

0
0
0
0

Pasien
Penjamin
6660
6660
500
500
7160
7160

0
0
0

Pasien
Penjamin
1377001 1377001
500
500
1377501 1377501

0
0
0

Pasien

Penjamin
522
522
500
500
1022
1022

Pasien

Penjamin

0
0
0

UNT
UNT
UNT

Depo Unit Dose

Subtotal
UNT
TUB
UNT

Depo Unit Dose

Subtotal
AMP
UNT
AMP
UNT

Depo Atas
Subtotal
UNT
TUB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal

3575
5809
1000
10384

3575
5809
1000
10384

0
0
0
0

Pasien
Penjamin
16088
16088
56262
56262
1000
1000
73350
73350

0
0
0
0

Pasien
Penjamin
11760
11760
6375
6375
5782
5782
1500
1500
25417
25417

0
0
0
0
0

Pasien
Penjamin
16088
16088
56262
56262
1000
1000
73350
73350

0
0
0
0

Pasien

Penjamin
423
423
500
500
923
923

0
0
0

Pasien
Penjamin
455400
455400
500
500
455900
455900

0
0
0

Pasien

Penjamin

TAB
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
SUP
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

9900
35640
3080
1500
50120

9900
35640
3080
1500
50120

0
0
0
0
0

Penjamin
827
827
500
500
1327
1327

0
0
0

Pasien
Penjamin
26124
26124
500
500
26624
26624

0
0
0

Pasien
Penjamin
73920
73920
500
500
74420
74420

0
0
0

Pasien
Penjamin
10815
10815
17940
17940
1000
1000
29755
29755

0
0
0
0

Pasien
Penjamin
2880
2880
2370
2370
1000
1000
6250
6250

0
0
0
0

Pasien
Penjamin
7644
7644

Pasien

TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
SUP
TAB
CAP
UNT
TUB
UNT

616
3555
1134
2088
411
657
3500
750
1500
21855

616
3555
1134
2088
411
657
3500
750
1500
21855

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
15370
15370
2370
2370
79000
79000
3500
3500
10500
10500
1500
1500
117700
117700

0
0
0
0
0
0
0
0

Pasien
Penjamin
3276
3276
500
500
3776
3776

0
0
0

Pasien
Penjamin
12936
12936
500
500
13436
13436

0
0
0

Pasien
Penjamin
118500
118500
37890
37890
1220
1220
26940
26940
18343
18343
56262
56262
1997
1997

0
0
0
0
0
0
0

BOT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TUB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal

2640
5809
4500
274101

2640
5809
4500
274101

0
0
0
0

Pasien
Penjamin
4710
4710
500
500
5210
5210

0
0
0

Pasien
Penjamin
6000
6000
3600
3600
158000
158000
5460
5460
7255
7255
1220
1220
3000
3000
184535
184535

0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
1370
1370
1044
1044
876
876
3500
3500
1000
1000
4740
4740
500
500
14542
14542

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28704
28704
500
500
29204
29204

0
0
0

Pasien

Penjamin

TAB
CAP
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

10770
6755
22404
1500
41429

10770
6755
22404
1500
41429

0
0
0
0
0

Pasien
Penjamin
17600
17600
500
500
18100
18100

0
0
0

Pasien
Penjamin
7255
7255
1220
1220
5390
5390
1500
1500
15365
15365

0
0
0
0
0

Pasien
Penjamin
1512
1512
2610
2610
548
548
1410
1410
3500
3500
1000
1000
4740
4740
500
500
15820
15820

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
88000
88000
41050
41050
14510
14510
4500
4500
2320
2320
2500
2500
152880
152880

0
0
0
0
0
0
0

Depo Atas
Subtotal
CAP
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
18480
18480
22230
22230
3555
3555
1500
1500
45765
45765

0
0
0
0
0

Pasien
Penjamin
103488
103488
500
500
103988
103988

0
0
0

Pasien
Penjamin
6600
6600
500
500
7100
7100

0
0
0

Pasien
Penjamin
1512
1512
2610
2610
548
548
1410
1410
3500
3500
1000
1000
4740
4740
1430
1430
1000
1000
17750
17750

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13660
13660
820
820
2408
2408
4480
4480
1220
1220
2500
2500
25088
25088

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
6048
6048
1372
1372
1000
1000
8420
8420

Pasien

0
0
0
0

Penjamin
860
19980
637
1500
22977

0
0
0
0
0

Pasien
Penjamin
13860
13860
500
500
14360
14360

0
0
0

Pasien
Penjamin
5460
5460
30240
30240
1000
1000
36700
36700

0
0
0
0

Pasien
Penjamin
5460
5460
5160
5160
14510
14510
13320
13320
18480
18480
2500
2500
59430
59430

0
0
0
0
0
0
0

860
19980
637
1500
22977

Pasien

Penjamin
756
756

TAB
TAB
TAB
UNT
UNT
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
CTG
UNT
UNT

Apotik Panel 2
Subtotal
BOX
UNT

Depo Atas
Subtotal
TAB
CAP
TAB
TAB
TAB
TAB
PKG
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB

1305
274
438
3500
3500
2370
8190
5160
1500
26993

1305
274
438
3500
3500
2370
8190
5160
1500
26993

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
180048
180048
3656
3656
1000
1000
184704
184704

0
0
0
0

Pasien
Penjamin
8250
8250
500
500
8750
8750

0
0
0

Pasien
Penjamin
8270
8270
40980
40980
1640
1640
5460
5460
5940
5940
158000
158000
7392
7392
2000
2000
3500
3500
50
50
46101
46101
4000
4000
283333
283333

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1296
1296

TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

6246
294
1500
9336

6246
294
1500
9336

0
0
0
0

Penjamin
843
1782
1000
3625

0
0
0
0

Pasien
Penjamin
9633
9633
500
500
10133
10133

0
0
0

Pasien
Penjamin
5160
5160
7255
7255
26940
26940
1890
1890
2000
2000
43245
43245

0
0
0
0
0
0

Pasien
Penjamin
16540
16540
14510
14510
5160
5160
1260
1260
3560
3560
3270
3270
3000
3000
47300
47300

0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
500
500

0
0

Pasien
843
1782
1000
3625

5960

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
AMP
UNT
UNT

5960

Penjamin
756
1305
548
3500
500
1422
500
8531

0
0
0
0
0
0
0
0

Pasien
Penjamin
106920
106920
9240
9240
1000
1000
117160
117160

0
0
0
0

Pasien
Penjamin
157268
157268
500
500
157768
157768

0
0
0

Pasien
Penjamin
2376
2376
348
348
843
843
1782
1782
180
180
2500
2500
8029
8029

0
0
0
0
0
0
0

Pasien
Penjamin
35640
35640
3080
3080
1000
1000
39720
39720

0
0
0
0

Pasien
756
1305
548
3500
500
1422
500
8531

Depo Atas
Subtotal
TAB
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
AMP
BOT
PKG
UNT

Depo Unit Dose

Pasien
Penjamin
15844
15844
2550
2550
9900
9900
1500
1500
29794
29794

0
0
0
0
0

Pasien
Penjamin
206.425 206.425
98
98
1000
1000
1304.425 1304.425

0
0
0
0

Pasien
Penjamin
73920
73920
500
500
74420
74420

0
0
0

Pasien
Penjamin
22770
22770
3300
3300
1997
1997
1500
1500
29567
29567

0
0
0
0
0

Pasien
Penjamin
30096
30096
3825
3825
42247
42247
2760
2760
41388
41388
2500
2500
122816
122816

0
0
0
0
0
0
0

Subtotal
TAB
UNT

Depo Unit Dose

Subtotal
AMP
UNT
TAB
UNT

Depo Unit Dose

Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
1998
1998
500
500
2498
2498

0
0
0

Pasien
Penjamin
35640
35640
3080
3080
144
144
1500
1500
40364
40364

0
0
0
0
0

Pasien

Penjamin
898
898
500
500
1398
1398

0
0
0

Pasien
Penjamin
13320
13320
79220
79220
18480
18480
1500
1500
112520
112520

0
0
0
0
0

Pasien

Penjamin
756
1305
274
438
3500
50
6323

0
0
0
0
0
0
0

Pasien
Penjamin
2180
2180
980
980
1314
1314

0
0
0

756
1305
274
438
3500
50
6323

UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
VIL
BOT
BOT
UNT

Depo IGD
Subtotal

3500
1500
1000
10474

3500
1500
1000
10474

0
0
0
0

Pasien
Penjamin
40980
40980
1640
1640
2370
2370
756
756
1305
1305
274
274
438
438
3500
3500
500
500
1500
1500
53263
53263

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5160
5160
30240
30240
1000
1000
36400
36400

0
0
0
0

Pasien
Penjamin
56262
56262
500
500
56762
56762

0
0
0

Pasien
Penjamin
30096
30096
64548
64548
2760
2760
1500
1500
98904
98904

0
0
0
0
0

Pasien

Penjamin

TUB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
SUP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
AMP
UNT
UNT

3300
16088
1997
1500
22885

3300
16088
1997
1500
22885

0
0
0
0
0

Pasien
Penjamin
3996
3996
1796
1796
1000
1000
6792
6792

0
0
0
0

Pasien
Penjamin
9504
9504
1275
1275
1000
1000
11779
11779

0
0
0
0

Pasien
Penjamin
35343
35343
500
500
35843
35843

0
0
0

Pasien
Penjamin
8270
8270
9990
9990
5160
5160
1500
1500
24920
24920

0
0
0
0
0

Pasien
Penjamin
1350
1350
9504
9504
1275
1275
1500
1500
13629
13629

0
0
0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
BAG
UNT
AMP
UNT

Pasien
Penjamin
1410
1410
500
500
1910
1910

Pasien

0
0
0

Penjamin
756
1305
274
438
3500
500
2370
3270
1000
13413

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9990
9990
16155
16155
1000
1000
27145
27145

0
0
0
0

Pasien
Penjamin
1998
1998
500
500
2498
2498

0
0
0

Pasien
Penjamin
3825
3825
19266
19266
14988
14988
161064
161064
2000
2000
201143
201143

0
0
0
0
0
0

756
1305
274
438
3500
500
2370
3270
1000
13413

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
BOT
VIL
BAG
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
BOT
BOT
UNT
AMP
AMP

Pasien
Penjamin
56100
56100
500
500
56600
56600

0
0
0

Pasien
Penjamin
9504
9504
1275
1275
1000
1000
11779
11779

0
0
0
0

Pasien
Penjamin
2550
2550
500
500
3050
3050

0
0
0

Pasien
Penjamin
63253
63253
22770
22770
9633
9633
3300
3300
1997
1997
57964
57964
3000
3000
161917
161917

0
0
0
0
0
0
0
0

Pasien
756
2020
274
1095
3500
3500
44807
37472
1997
152064
106920

Penjamin
756
2020
274
1095
3500
3500
44807
37472
1997
152064
106920

0
0
0
0
0
0
0
0
0
0
0

VIL
BOT
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
TAB
PKG
BOT
VIL
BOT
AMP
UNT
TAB
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP

22770
5881
9633
2550
3080
5000
403319

22770
5881
9633
2550
3080
5000
403319

0
0
0
0
0
0
0

Pasien
Penjamin
322766
322766
3300
3300
3994
3994
396
396
41388
41388
64548
64548
10032
10032
8280
8280
152064
152064
3080
3080
13068
13068
5500
5500
628416
628416

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
49896
49896
3825
3825
1000
1000
54721
54721

0
0
0
0

Pasien
Penjamin
5460
5460
19830
19830
5160
5160
42336
42336
2000
2000
74786
74786

0
0
0
0
0
0

Pasien
Penjamin
40980
40980

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

1640
2115
1500
46235

1640
2115
1500
46235

0
0
0
0

Pasien
Penjamin
5460
5460
14510
14510
10770
10770
3555
3555
2000
2000
36295
36295

0
0
0
0
0
0

Pasien
Penjamin
27720
27720
500
500
28220
28220

0
0
0

Pasien
Penjamin
2370
2370
756
756
2020
2020
274
274
1095
1095
3500
3500
3500
3500
500
500
14015
14015

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
13320
13320
1000
1000
25898
25898

0
0
0
0

Pasien
Penjamin
39500
39500

UNT
UNT
TUB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD

3500
750
3214
3555
1134
2088
411
657
3500
750
1000
60059

3500
750
3214
3555
1134
2088
411
657
3500
750
1000
60059

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4816
4816
3555
3555
1134
1134
2088
2088
411
411
657
657
3500
3500
750
750
1000
1000
17911
17911

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3555
3555
5460
5460
99000
99000
20525
20525
7255
7255
5390
5390
1134
1134
2088
2088
411
411
657
657
3500
3500
750
750
3000
3000
152725
152725

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
CAP
PKG
UNT
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
19980
19980
13470
13470
3360
3360
26940
26940
7392
7392
26535
26535
2000
2000
3500
3500
450
450
3000
3000
106627
106627

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
158000
158000
500
500
158500
158500

0
0
0

Pasien
Penjamin
415800
415800
500
500
416300
416300

0
0
0

Pasien
Penjamin
124530
124530
3500
3500
14700
14700
142730
142730

0
0
0
0

Pasien
Penjamin
25872
25872
500
500
26372
26372

0
0
0

Pasien
Penjamin
5460
5460
79000
79000

0
0

UNT
UNT
TAB
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal

3500
1500
5160
1134
2088
411
657
3500
750
3555
1500
108215

3500
1500
5160
1134
2088
411
657
3500
750
3555
1500
108215

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3000
3000
500
500
3500
3500

0
0
0

Pasien
Penjamin
5460
5460
5160
5160
19830
19830
14510
14510
1220
1220
2500
2500
48680
48680

0
0
0
0
0
0
0

Pasien
756
1305
274
438
3500
500
2370
500
9643

Pasien

Penjamin
756
1305
274
438
3500
500
2370
500
9643

Penjamin

0
0
0
0
0
0
0
0
0

TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Apotik Panel
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

5460
5940
5160
10780
2000
29340

5460
5940
5160
10780
2000
29340

0
0
0
0
0
0

Pasien
Penjamin
13320
13320
5940
5940
5460
5460
8270
8270
10780
10780
2500
2500
46270
46270

0
0
0
0
0
0
0

Pasien
Penjamin
25872
25872
500
500
26372
26372

0
0
0

Pasien
Penjamin
9978
9978
500
500
10478
10478

0
0
0

Pasien
Penjamin
1372
1372
500
500
1872
1872

0
0
0

Pasien
Penjamin
3555
3555
1134
1134
2088
2088
411
411
657
657

0
0
0
0
0

UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
BOT
UNT

Depo Atas
Subtotal
TAB

3500
750
500
12595

3500
750
500
12595

0
0
0
0

Pasien
Penjamin
17700
17700
7800
7800
1000
1000
26500
26500

0
0
0
0

Pasien
Penjamin
92820
92820
3555
3555
7620
7620
1134
1134
2088
2088
657
657
411
411
3500
3500
750
750
1500
1500
114035
114035

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7800
7800
500
500
8300
8300

0
0
0

Pasien
Penjamin
1260
1260
56100
56100
1000
1000
58360
58360

0
0
0
0

Pasien

Penjamin
783
783

UNT

Emergency Dahlia
Subtotal
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
PKG
UNT

Depo IGD
Subtotal
TAB
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
CAP
UNT

500
1283

500
1283

0
0

Pasien
Penjamin
5294
5294
500
500
5794
5794

0
0
0

Pasien
Penjamin
25872
25872
15092
15092
1000
1000
41964
41964

0
0
0
0

Pasien
Penjamin
392700
392700
500
500
393200
393200

0
0
0

Pasien
Penjamin
771936
771936
500
500
772436
772436

0
0
0

Pasien
Penjamin
6831
6831
71280
71280
3080
3080
1500
1500
82691
82691

0
0
0
0
0

Pasien
Penjamin
148500
148500
27720
27720
1000
1000

0
0
0

177220

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
PKG
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

177220

Pasien
Penjamin
8190
8190
500
500
8690
8690

0
0
0

Pasien
Penjamin
148500
148500
27720
27720
1000
1000
177220
177220

0
0
0
0

Pasien

Penjamin
756
1305
274
705
3500
500
2370
10780
5460
3300
3960
2500
35410

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
94500
94500
490
490
1000
1000
95990
95990

0
0
0
0

Pasien
Penjamin
20525
20525
14510
14510

0
0

756
1305
274
705
3500
500
2370
10780
5460
3300
3960
2500
35410

TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

99000
1220
2370
756
1305
274
3512
3500
500
2500
149972

99000
1220
2370
756
1305
274
3512
3500
500
2500
149972

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40980
40980
1640
1640
1000
1000
43620
43620

0
0
0
0

Pasien
Penjamin
16417
16417
14988
14988
8415
8415
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
1134
1134
2088
2088
411
411
1128
1128
3500
3500
5250
5250
3555
3555
500
500
17566
17566

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
2088
2088

0
0

TAB
TAB
UNT
UNT
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT
UNT
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

411
1128
3500
5250
3040
2370
13320
1500
33741

411
1128
3500
5250
3040
2370
13320
1500
33741

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2370
2370
55300
55300
3500
3500
1000
1000
756
756
1305
1305
274
274
3512
3512
3500
3500
500
500
500
500
72517
72517

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
2088
2088
411
411
5268
5268
3500
3500
5250
5250
3555
3555
500
500
21706
21706

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14820
14820
2370
2370
18480
18480
1500
1500
37170
37170

0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
TAB

Pasien
Penjamin
5460
5460
5160
5160
79000
79000
8270
8270
20520
20520
9730
9730
756
756
1305
1305
274
274
438
438
3500
3500
500
500
3000
3000
137913
137913

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
3030
3030
411
411
1128
1128
3500
3500
5250
5250
3555
3555
3270
3270
6680
6680
4620
4620
2000
2000
34578
34578

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
980
8270
756
1305
274
3512
3500
500
2370

Penjamin
980
8270
756
1305
274
3512
3500
500
2370

0
0
0
0
0
0
0
0
0

PKG
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal

94500
2000
117967

94500
2000
117967

0
0
0

Pasien
Penjamin
5460
5460
30240
30240
1000
1000
36700
36700

0
0
0
0

Pasien
Penjamin
5460
5460
1341.763 1341.763
980
980
1500
1500
9281.763 9281.763

0
0
0
0
0

Pasien
Penjamin
1640
1640
40980
40980
1000
1000
43620
43620

0
0
0
0

Pasien
Penjamin
42336
42336
500
500
42836
42836

0
0
0

Pasien
Penjamin
5460
5460
1720
1720
1000
1000
8180
8180

0
0
0
0

Pasien

Penjamin

TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
CAP
TAB
UNT

21540
500
22040

21540
500
22040

0
0
0

Penjamin
474
1998
1000
3472

0
0
0
0

Penjamin
756
1305
274
438
3500
500
6773

0
0
0
0
0
0
0

Pasien
Penjamin
4300
4300
5460
5460
14510
14510
3560
3560
3270
3270
2500
2500
33600
33600

0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Pasien
Penjamin
8196
8196
328
328
1000
1000

0
0
0

Pasien
474
1998
1000
3472

Pasien
756
1305
274
438
3500
500
6773

9524

Depo Atas
Subtotal
AMP
UNT
TAB
TAB
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
PKG
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
BAG
UNT
TAB
UNT

Depo IGD
Subtotal
VIL

9524

Pasien
Penjamin
9504
9504
1275
1275
12792
12792
1260
1260
2000
2000
26831
26831

0
0
0
0
0
0

Pasien
Penjamin
250800
250800
500
500
251300
251300

0
0
0

Pasien
Penjamin
771936
771936
500
500
772436
772436

0
0
0

Pasien

Penjamin
546
500
1046

0
0
0

Pasien
Penjamin
13414
13414
9633
9633
3300
3300
3024
3024
2000
2000
31371
31371

0
0
0
0
0
0

Pasien
Penjamin
40128
40128

546
500
1046

PKG
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
BOT
UNT
UNT

Depo Unit Dose

Subtotal
AMP
UNT
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
BAG
UNT
BOT
UNT
PKG

41388
6000
63253
2000
152769

41388
6000
63253
2000
152769

0
0
0
0
0

Pasien
Penjamin
7845
7845
500
500
8345
8345

0
0
0

Pasien
Penjamin
9504
9504
3560
3560
1275
1275
1500
1500
15839
15839

0
0
0
0
0

Pasien
Penjamin
11760
11760
7650
7650
5782
5782
1500
1500
26692
26692

0
0
0
0
0

Pasien

Penjamin
783
500
1283

0
0
0

Pasien
Penjamin
13414
13414
9633
9633
1997
1997
314536
314536
8415
8415
2970
2970

0
0
0
0
0
0

783
500
1283

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
UNT
BOT
BAG
UNT

Depo Atas
Subtotal
BOT
BOT
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Emergency Catelia

3000
353965

3000
353965

0
0

Pasien
Penjamin
619.275 619.275
98
98
141
141
1500
1500
2358.275 2358.275

0
0
0
0
0

Pasien
Penjamin
72496
72496
1997
1997
57964
57964
9633
9633
2000
2000
144090
144090

0
0
0
0
0
0

Pasien
Penjamin
32834
32834
63253
63253
783
783
1500
1500
98370
98370

0
0
0
0
0

Pasien
Penjamin
8196
8196
500
500
8696
8696

0
0
0

Pasien
Penjamin
27320
27320
500
500
27820
27820

0
0
0

Subtotal
UNT
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
VIL
BAG
AMP
UNT
UNT
BAG
BOT
PKG
UNT
UNT

Depo IGD
Subtotal
BOT
VIL
BAG
UNT
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD

Pasien
Penjamin
18343
18343
5809
5809
1000
1000
25152
25152

0
0
0
0

Pasien
Penjamin
16088
16088
5809
5809
1000
1000
22897
22897

0
0
0
0

Pasien
Penjamin
53656
53656
341088
341088
410400
410400
36875
36875
15300
15300
6160
6160
96330
96330
197004
197004
2970
2970
1780
1780
5000
5000
1166563 1166563

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
59400
59400
13414
13414
9633
9633
3300
3300
252
252
137
137
1756
1756
3500
3500
150
150
2000
2000
93542
93542

0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
UNT
UNT
VIL
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
UNT

Emergency Dahlia
Subtotal
UNT
UNT

Pasien

Penjamin
252
137
141
3500
100
72496
1451
1000
79077

0
0
0
0
0
0
0
0
0

Penjamin
378
606
137
282
3500
150
5053

0
0
0
0
0
0
0

Penjamin
164
164
500
500
664
664

0
0
0

Pasien
Penjamin
1410
1410
27320
27320
3270
3270
5881
5881
2000
2000
39881
39881

0
0
0
0
0
0

Pasien
Penjamin
18343
18343
500
500
18843
18843

0
0
0

252
137
141
3500
100
72496
1451
1000
79077

Pasien
378
606
137
282
3500
150
5053

Pasien

Depo IGD
Subtotal
TUB
UNT
UNT
BOT
AMP
UNT
VIL
BAG
UNT

Depo Atas
Subtotal
TAB
CAP
UNT

Emergency Cempaka
Subtotal
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
AMP
UNT
UNT

Depo Atas

Pasien
Penjamin
56262
56262
3300
3300
5809
5809
2640
2640
5782
5782
2550
2550
13414
13414
9633
9633
4000
4000
103390
103390

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
50040
50040
5464
5464
1000
1000
56504
56504

0
0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
20490
20490
1230
1230
1000
1000
22720
22720

0
0
0
0

Pasien
546
35640
3080
1500
40766

Penjamin
546
35640
3080
1500
40766

0
0
0
0
0

Subtotal
VIL
BAG
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
UNT
AMP
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
CAP
UNT

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
13414
13414
9633
9633
3300
3300
1500
1500
27847
27847

0
0
0
0
0

Pasien
Penjamin
63253
63253
16417
16417
5782
5782
2550
2550
35640
35640
3080
3080
516
516
3500
3500
130738
130738

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3024
3024
500
500
3524
3524

0
0
0

Pasien
Penjamin
178200
178200
500
500
178700
178700

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
1260
1260
500
500
1760
1760

0
0
0

Depo Atas
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
UNT
VIL
AMP
AMP
AMP
VIL
AMP
BAG
BOT
VIL
AMP
UNT

Depo IGD
Subtotal
UNT

Pasien
Penjamin
3915
3915
2370
2370
1000
1000
7285
7285

0
0
0
0

Pasien
Penjamin
17040
17040
500
500
17540
17540

0
0
0

Pasien
Penjamin
2349
2349
2133
2133
6669
6669
1350
1350
12501
12501

0
0
0
0
0

Pasien
Penjamin
178200
178200
40426
40426
633600
633600
13332
13332
41580
41580
11564
11564
180576
180576
178200
178200
307800
307800
18192
18192
60192
60192
44106
44106
6000
6000
1713768 1713768

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5809
5809

UNT

Depo IGD
Subtotal
TAB
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
UNT
TAB
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
BAG
UNT

500
6309

500
6309

0
0

Penjamin
282
5809
1000
7091

0
0
0
0

Pasien
Penjamin
5782
5782
9504
9504
3825
3825
12792
12792
2000
2000
33903
33903

0
0
0
0
0
0

Pasien
Penjamin
13749
13749
500
500
14249
14249

0
0
0

Pasien
282
5809
1000
7091

Pasien

Penjamin
654
500
1154

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
9633
9633
3300
3300

0
0

654
500
1154

BOT
AMP
UNT
TAB
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

24955
71280
3080
49500
3000
164748

24955
71280
3080
49500
3000
164748

0
0
0
0
0
0

Pasien
Penjamin
11760
11760
5100
5100
1000
1000
17860
17860

0
0
0
0

Pasien
Penjamin
2889.95 2889.95
1372
1372
42336
42336
1500
1500
48097.95 48097.95

0
0
0
0
0

Pasien
Penjamin
5160
5160
14580
14580
14510
14510
1500
1500
35750
35750

0
0
0
0
0

Pasien
Penjamin
5460
5460
1134
1134
2088
2088
411
411
5268
5268
3500
3500
750
750
3555
3555
1000
1000
23166
23166

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
UNT

Apotik Panel
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
13320
13320
500
500
13820
13820

0
0
0

Pasien
Penjamin
46740
46740
500
500
47240
47240

0
0
0

Pasien
Penjamin
1640
1640
500
500
2140
2140

0
0
0

Pasien
Penjamin
1134
1134
2088
2088
411
411
5268
5268
3500
3500
750
750
3555
3555
500
500
17206
17206

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11578
11578
138600
138600
14448
14448
7255
7255
616
616
42336
42336
29700
29700
3500
3500
248033
248033

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
5460
5460
14580
14580
1000
1000
21040
21040

0
0
0
0

Pasien
Penjamin
1134
1134
2088
2088
411
411
5268
5268
3500
3500
750
750
3555
3555
500
500
17206
17206

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1876
1876
500
500
2376
2376

0
0
0

Pasien
Penjamin
3555
3555
63960
63960
882
882
411
411
987
987
3500
3500
5250
5250
1000
1000
79545
79545

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3555
3555
1134
1134
3030
3030

0
0
0

TAB
TAB
UNT
UNT
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT
UNT
UNT

Depo IGD

411
5268
3500
5250
55300
3500
7000
500
88448

411
5268
3500
5250
55300
3500
7000
500
88448

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21616
21616
109956
109956
11578
11578
2889.95 2889.95
1372
1372
2500
2500
149912
149912

0
0
0
0
0
0
0

Pasien
Penjamin
3555
3555
616
616
1134
1134
2088
2088
411
411
5268
5268
3500
3500
5250
5250
1000
1000
22822
22822

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138600
138600
99792
99792
3500
3500
14700
14700
500
500
257092
257092

0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
TAB
TAB
TAB
TAB

Pasien
Penjamin
10320
10320
7110
7110
2268
2268
6060
6060
822
822
2115
2115
3500
3500
1500
1500
1000
1000
34695
34695

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90288
90288
500
500
90788
90788

0
0
0

Pasien
Penjamin
9990
9990
118500
118500
5460
5460
14580
14580
9730
9730
2500
2500
160760
160760

0
0
0
0
0
0
0

Pasien
Penjamin
46860
46860
500
500
47360
47360

0
0
0

Pasien
Penjamin
5460
5460
1410
1410
9730
9730
14580
14580
756
756
2020
2020
274
274

0
0
0
0
0
0
0

TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo IGD

3512
3500
3500
2000
46742

3512
3500
3500
2000
46742

0
0
0
0
0

Pasien
Penjamin
1640
1640
1440
1440
1000
1000
4080
4080

0
0
0
0

Pasien
Penjamin
2370
2370
118500
118500
1134
1134
4040
4040
548
548
1410
1410
3500
3500
7000
7000
1000
1000
139502
139502

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
158000
158000
9990
9990
16155
16155
3555
3555
2000
2000
189700
189700

0
0
0
0
0
0

Pasien
Penjamin
178200
178200
500
500
178700
178700

0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Pasien
Penjamin
10020
10020
127920
127920
2370
2370
756
756
2020
2020
274
274
3512
3512
3500
3500
3500
3500
1500
1500
155372
155372

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2370
2370
127920
127920
756
756
2020
2020
274
274
3512
3512
3500
3500
3500
3500
1000
1000
144852
144852

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18480
18480
5400
5400
1000
1000
24880
24880

0
0
0
0

Pasien
Penjamin
4740
4740
127920
127920
1512
1512
2610
2610
548
548
7024
7024
3500
3500
7000
7000
1000
1000

0
0
0
0
0
0
0
0
0

155854

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
VIL
AMP
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas

155854

Pasien
Penjamin
3555
3555
5160
5160
1134
1134
2088
2088
411
411
657
657
3500
3500
5250
5250
1000
1000
22755
22755

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1890
1890
26940
26940
1000
1000
29830
29830

0
0
0
0

Pasien
Penjamin
32834
32834
14988
14988
8415
8415
144992
144992
22053
22053
3994
3994
3825
3825
10770
10770
4000
4000
245871
245871

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1470
1470
500
500
1970
1970

0
0
0

Subtotal
AMP
UNT
UNT

Depo Unit Dose

Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Pasien
Penjamin
46191
46191
3825
3825
1000
1000
51016
51016

0
0
0
0

Pasien
Penjamin
5280
5280
500
500
5780
5780

0
0
0

Pasien
Penjamin
78540
78540
500
500
79040
79040

0
0
0

Pasien
Penjamin
85280
85280
2610
2610
5010
5010
1720
1720
1020
1020
69300
69300
47685
47685
3500
3500
216125
216125

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22680
22680
500
500
23180
23180

0
0
0

Pasien
Penjamin
8800
8800
164
164
1000
1000
9964
9964

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal

Pasien

Penjamin
252
522
137
1756
3500
150
1998
500
8815

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
69300
69300
31416
31416
47520
47520
3500
3500
7000
7000
344
344
396
396
2000
2000
161476
161476

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
47532
47532
1503
1503
468
468
366
366
2000
2000
51869
51869

0
0
0
0
0
0

252
522
137
1756
3500
150
1998
500
8815

Pasien

Penjamin

TAB
TAB
BOT
TAB
UNT

Depo Atas
Subtotal
VIL
AMP
VIL
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
TAB
UNT

Depo Atas
Subtotal
VIL
VIL
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT

13896
23520
47685
1134
2000
88235

13896
23520
47685
1134
2000
88235

0
0
0
0
0
0

Pasien
Penjamin
511632
511632
51048
51048
40242
40242
846
846
2000
2000
605768
605768

0
0
0
0
0
0

Pasien
Penjamin
22230
22230
3555
3555
18480
18480
18000
18000
2000
2000
64265
64265

0
0
0
0
0
0

Pasien
Penjamin
40242
40242
217488
217488
28512
28512
1500
1500
287742
287742

0
0
0
0
0

Pasien
Penjamin
1920
1920
500
500
2420
2420

0
0
0

Pasien
Penjamin
16417
16417

UNT
UNT
AMP
AMP
UNT
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
TAB
UNT

8415
14988
11760
5782
7650
756
1305
274
3512
3500
500
3000
77859

8415
14988
11760
5782
7650
756
1305
274
3512
3500
500
3000
77859

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
99000
99000
440
440
83290
83290
3960
3960
20520
20520
15370
15370
3000
3000
225580
225580

0
0
0
0
0
0
0
0

Pasien
Penjamin
7644
7644
20412
20412
4620
4620
3270
3270
2000
2000
37946
37946

0
0
0
0
0
0

Pasien
Penjamin
21616
21616
20314
20314
440
440
25872
25872
118500
118500
2500
2500
189242
189242

0
0
0
0
0
0
0

Depo IGD
Subtotal
UNT
TUB
UNT
BOT
UNT
UNT
UNT
TAB
TAB
SUP
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
UNT

Depo IGD

Pasien
Penjamin
18343
18343
56262
56262
1997
1997
2640
2640
3300
3300
1275
1275
5809
5809
158000
158000
2055
2055
37890
37890
28728
28728
1708
1708
6000
6000
324007
324007

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
7020
7020
411
411
657
657
3500
3500
750
750
3555
3555
500
500
17527
17527

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
2088
2088
411
411
5268
5268
3500
3500
750
750
3555
3555
735
735
1000
1000
18441
18441

0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

Pasien
Penjamin
6680
6680
500
500
7180
7180

0
0
0

Pasien
Penjamin
3276
3276
4620
4620
3270
3270
1500
1500
12666
12666

0
0
0
0
0

Pasien
Penjamin
19800
19800
500
500
20300
20300

0
0
0

Pasien
Penjamin
5010
5010
520
520
4374
4374
1500
1500
11404
11404

0
0
0
0
0

Pasien
Penjamin
79220
79220
520
520
1000
1000
80740
80740

0
0
0
0

Pasien
Penjamin
2268
2268
3915
3915
822
822
10536
10536
3500
3500
1500
1500

0
0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOX
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB

7110
500
30151

7110
500
30151

0
0
0

Pasien
Penjamin
1134
1134
2088
2088
411
411
5268
5268
3500
3500
750
750
3555
3555
500
500
17206
17206

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13320
13320
13470
13470
1000
1000
27790
27790

0
0
0
0

Pasien
Penjamin
3276
3276
3555
3555
1320
1320
1500
1500
9651
9651

0
0
0
0
0

Pasien
Penjamin
22230
22230
3555
3555
18480
18480
1500
1500
45765
45765

0
0
0
0
0

Pasien

Penjamin
756
756

TAB
TAB
TAB
UNT
UNT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

2020
274
705
3500
3500
2370
7410
1000
21535

2020
274
705
3500
3500
2370
7410
1000
21535

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22680
22680
1290
1290
1440
1440
1500
1500
26910
26910

0
0
0
0
0

Pasien
Penjamin
46860
46860
500
500
47360
47360

0
0
0

Pasien
Penjamin
1640
1640
500
500
2140
2140

0
0
0

Pasien
Penjamin
3354
3354
500
500
3854
3854

0
0
0

Pasien
Penjamin
5460
5460
30240
30240
1000
1000
36700
36700

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
UNT

Pasien
Penjamin
5460
5460
1640
1640
8270
8270
40980
40980
2000
2000
58350
58350

0
0
0
0
0
0

Pasien
Penjamin
3555
3555
1134
1134
2088
2088
411
411
657
657
3500
3500
5250
5250
500
500
17095
17095

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
2064.25 2064.25
980
980
1500
1500
10004.25 10004.25

0
0
0
0
0

Pasien
756
2020
274
705
3500
3500
1185
21320
1000
34260

Penjamin
756
2020
274
705
3500
3500
1185
21320
1000
34260

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

Pasien
Penjamin
1134
1134
3030
3030
411
411
1128
1128
3500
3500
5250
5250
3555
3555
500
500
18508
18508

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
432000
432000
500
500
432500
432500

0
0
0

Pasien
Penjamin
5460
5460
5160
5160
1000
1000
11620
11620

0
0
0
0

Pasien
Penjamin
14988
14988
13621
13621
1000
1000
29609
29609

0
0
0
0

Pasien
126
404
137
282
3500
1050
5499

Penjamin
126
404
137
282
3500
1050
5499

0
0
0
0
0
0
0

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
TUB
UNT
BOT
UNT

Pasien
Penjamin
5782
5782
2550
2550
26535
26535
1500
1500
36367
36367

0
0
0
0
0

Pasien
Penjamin
3231
3231
500
500
3731
3731

0
0
0

Pasien

Penjamin
507
10770
1000
12277

0
0
0
0

Penjamin
705
2370
378
783
137
219
3500
250
1000
9342

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
56262
56262
1997
1997
112211
112211
2000
2000
188558
188558

0
0
0
0
0
0

507
10770
1000
12277

Pasien
705
2370
378
783
137
219
3500
250
1000
9342

Depo Atas
Subtotal
BOT
VIL
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
VIL
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
VIL
BAG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
57964
57964
144992
144992
1000
1000
203956
203956

0
0
0
0

Pasien
Penjamin
9504
9504
1275
1275
1000
1000
11779
11779

0
0
0
0

Pasien
Penjamin
1698
1698
12792
12792
9504
9504
5184
5184
1275
1275
2500
2500
32953
32953

0
0
0
0
0
0
0

Pasien
Penjamin
5782
5782
2550
2550
13414
13414
9633
9633
3300
3300
1997
1997
3000
3000
39676
39676

0
0
0
0
0
0
0
0

Pasien

Penjamin
546
546
500
500
1046
1046

0
0
0

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
AMP
UNT
AMP
AMP
UNT

Pasien
Penjamin
161064
161064
3825
3825
1000
1000
165889
165889

0
0
0
0

Pasien
Penjamin
27320
27320
500
500
27820
27820

0
0
0

Pasien
Penjamin
9504
9504
1275
1275
756
756
1305
1305
274
274
438
438
3500
3500
500
500
1000
1000
18552
18552

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63253
63253
500
500
63753
63753

0
0
0

Pasien
Penjamin
46191
46191
12750
12750
11760
11760
5782
5782
2000
2000
78483
78483

0
0
0
0
0
0

Depo IGD
Subtotal
UNT
UNT

Emergency Dahlia
Subtotal
UNT
TUB
UNT
UNT
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
SUP
UNT
TUB
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
BOT

Pasien
Penjamin
27640
27640
500
500
28140
28140

0
0
0

Pasien
Penjamin
18343
18343
56262
56262
5809
5809
12012
12012
2640
2640
1997
1997
20213
20213
26950
26950
4000
4000
148226
148226

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
144
500
644

0
0
0

Pasien
Penjamin
35343
35343
18342
18342
56262
56262
5809
5809
1997
1997
2640
2640
3000
3000
123393
123393

0
0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
18342
18342
56262
56262
1997
1997
2640
2640

0
0
0
0
0

144
500
644

AMP
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
BOT
BOT
TAB
TAB
TAB
TAB
TAB
AMP
BOT
BOT
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
UNT
UNT

Emergency Cempaka
Subtotal
UNT
UNT

Depo IGD

71280
2550
5809
4000
178968

71280
2550
5809
4000
178968

0
0
0
0
0

Pasien
Penjamin
144992
144992
3994
3994
63253
63253
57964
57964
1451
1451
546
546
7854
7854
122
122
44
44
76032
76032
178200
178200
16417
16417
19266
19266
3825
3825
3080
3080
5020
5020
8000
8000
590060
590060

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63253
63253
16417
16417
29106
29106
3825
3825
2000
2000
114601
114601

0
0
0
0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Subtotal
CAP
UNT

Depo IGD
Subtotal
BOT
BOT
UNT
UNT
UNT
UNT
TUB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD

Pasien
Penjamin
18480
18480
500
500
18980
18980

0
0
0

Pasien
Penjamin
16417
16417
63253
63253
8415
8415
29976
29976
16088
16088
1997
1997
56262
56262
3500
3500
195908
195908

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15440
15440
7290
7290
14510
14510
9990
9990
3555
3555
1134
1134
2088
2088
411
411
5268
5268
3500
3500
5250
5250
2500
2500
70936
70936

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
41050
41050
14510
14510
99000
99000
1220
1220
2000
2000
157780
157780

0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Pasien
Penjamin
3555
3555
13320
13320
1512
1512
2610
2610
548
548
7024
7024
3500
3500
7000
7000
1000
1000
40069
40069

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5460
5460
63960
63960
1000
1000
70420
70420

0
0
0
0

Pasien
Penjamin
3555
3555
1134
1134
2088
2088
411
411
5268
5268
3500
3500
5250
5250
500
500
21706
21706

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11856
11856
3555
3555
1134
1134
2088
2088
411
411
5268
5268
3500
3500
5250
5250
1000
1000
34062
34062

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas

Pasien
Penjamin
44000
44000
3270
3270
1000
1000
48270
48270

0
0
0
0

Pasien
Penjamin
14510
14510
118500
118500
16155
16155
1500
1500
150665
150665

0
0
0
0
0

Pasien
Penjamin
9990
9990
500
500
10490
10490

0
0
0

Pasien
Penjamin
25872
25872
500
500
26372
26372

0
0
0

Pasien
Penjamin
25872
25872
500
500
26372
26372

0
0
0

Pasien
Penjamin
182952
182952
500
500
183452
183452

0
0
0

Subtotal
TAB
PKG
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
1560
1560
196
196
3500
3500
1500
1500
6756
6756

0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
3555
3555
1134
1134
2088
2088
411
411
5268
5268
3500
3500
5250
5250
500
500
21706
21706

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46860
46860
500
500
47360
47360

0
0
0

Pasien
Penjamin
1640
1640
500
500
2140
2140

0
0
0

Pasien
Penjamin
3555
3555
1134
1134

0
0

TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
TAB
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
TUB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

2088
411
5268
3500
5250
500
21706

2088
411
5268
3500
5250
500
21706

0
0
0
0
0
0
0

Pasien
Penjamin
51216
51216
16417
16417
252
252
261
261
137
137
1756
1756
3500
3500
100
100
96912
96912
1500
1500
172051
172051

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
783
783
2000
2000
83197
83197

0
0
0
0
0
0

Pasien
Penjamin
85280
85280
3555
3555
1134
1134
2088
2088
411
411
5268
5268
3500
3500
750
750
1000
1000
102986
102986

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

Pasien
Penjamin
2370
2370
500
500
2870
2870

0
0
0

Pasien
Penjamin
68745
68745
500
500
69245
69245

0
0
0

Pasien
Penjamin
3555
3555
1134
1134
2088
2088
411
411
5268
5268
3500
3500
750
750
500
500
17206
17206

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2940
2940
500
500
3440
3440

0
0
0

Pasien
Penjamin
5460
5460
2064.25 2064.25
980
980
1410
1410
2000
2000
11914.25 11914.25

0
0
0
0
0
0

Pasien

Penjamin

CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

27720
500
28220

27720
500
28220

0
0
0

Pasien
Penjamin
5460
5460
14580
14580
220
220
20525
20525
7255
7255
5390
5390
3000
3000
56430
56430

0
0
0
0
0
0
0
0

Pasien
Penjamin
25872
25872
500
500
26372
26372

0
0
0

Pasien
Penjamin
69270
69270
1134
1134
2088
2088
411
411
5268
5268
3500
3500
5250
5250
500
500
87421
87421

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3555
3555
1134
1134
2088
2088
411
411
5268
5268
3500
3500
5250
5250
500
500

0
0
0
0
0
0
0
0

21706

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

21706

Pasien
Penjamin
5880
5880
15600
15600
1000
1000
22480
22480

0
0
0
0

Pasien
Penjamin
10890
10890
500
500
11390
11390

0
0
0

Pasien
Penjamin
42336
42336
500
500
42836
42836

0
0
0

Pasien
Penjamin
5460
5460
2370
2370
756
756
1305
1305
274
274
3512
3512
3500
3500
3500
3500
1000
1000
21677
21677

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3555
3555
127920
127920
1134
1134
2088
2088
411
411
5268
5268

0
0
0
0
0
0

UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
PKG
UNT

3500
5250
1000
150126

3500
5250
1000
150126

0
0
0
0

Pasien
Penjamin
3555
3555
127920
127920
1134
1134
2088
2088
411
411
5268
5268
3500
3500
5250
5250
1000
1000
150126
150126

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90720
90720
6000
6000
1000
1000
97720
97720

0
0
0
0

Pasien
Penjamin
96912
96912
126
126
261
261
274
274
1756
1756
3500
3500
100
100
500
500
103429
103429

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51216
51216
378
378
41388
41388
1500
1500

0
0
0
0

94482

Depo IGD
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

94482

Pasien
Penjamin
71280
71280
3080
3080
1000
1000
75360
75360

0
0
0
0

Pasien

Penjamin
756
1305
274
438
3500
500
2370
3270
1000
13413

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
38808
38808
7546
7546
1000
1000
47354
47354

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
62563
62563
14988
14988
1000
1000
78551
78551

0
0
0
0

756
1305
274
438
3500
500
2370
3270
1000
13413

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
VIL
UNT
UNT
UNT
BAG
PKG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Pasien
Penjamin
40980
40980
1640
1640
3276
3276
2370
2370
1410
1410
2500
2500
52176
52176

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
18343
18343
308377
308377
16335
16335
1997
1997
3300
3300
12012
12012
1000
1000
3500
3500
900
900
3500
3500
384252
384252

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
144992
144992
11982
11982

0
0

UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB

1000
157974

1000
157974

0
0

Pasien
Penjamin
52800
52800
500
500
53300
53300

0
0
0

Pasien
Penjamin
9504
9504
1275
1275
1000
1000
11779
11779

0
0
0
0

Pasien
Penjamin
5160
5160
14580
14580
14510
14510
1500
1500
35750
35750

0
0
0
0
0

Pasien
Penjamin
5460
5460
500
500
5960
5960

0
0
0

Pasien
Penjamin
63253
63253
500
500
63753
63753

0
0
0

Pasien

Penjamin
756
756
1010
1010
274
274

0
0
0

TAB
UNT
UNT

438
3500
3500
9478

438
3500
3500
9478

0
0
0
0

Waktu
31 Mei 2013 08:26
Item
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
CENDO GENTAMYCIN 3.5 GM OINTMENT
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FOLLEY CATHETER 12 RUSCH
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 8
APRON FILM WHITE
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

Jaminan
UMUM
Quantity
2,00
3,00
1,00
1,00
1,00
2,00
2,00
2,00
3,00
0,50
10,00

Depo
Emergency OK
Subtotal
PKG
PKG
TUB
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

30 Mei 2013 08:47

Item
CHROMIC 2/0 C 27 X 150 CM
SILK 2/0 tap HR22 Assut
T-LENE 2-0 L20
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
1,00
3,00
11,00

Emergency OK
Subtotal
PKG
PKG
PKG
UNT
UNT
UNT
BOT
UNT
UNT
UNT
PKG
UNT

29 Mei 2013 09:15

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
WUNDRES B
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
GUEDEL AIRWAYS SIZE 8.0
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
4,00
3,00
2,00
20,00
3,00
1,00
8,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
UNT
PKG
PKG
UNT
UNT

29 Mei 2013 09:09

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
5,00
20,00
3,00
5,00

Emergency OK
Subtotal
BOT
UNT
UNT
PKG
PKG
UNT

29 Mei 2013 08:56

Item
LEUKOCREPE 6 INC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00
3,00
20,00
3,00
7,00

Emergency OK
Subtotal
UMG
BOT
UNT
UNT
UNT
PKG
PKG
UNT

28 Mei 2013 21:08

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00

Depo IGD
Subtotal
VIL
BOT
AMP
UNT

27 Mei 2013 09:00

Item
SILK 3/0 HR27 REF609 ASSUT
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
STOMACH TUBE 3.5 THERUMO
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
9,00

Emergency OK
Subtotal
UNT
UNT
UNT
UNT
AMP
UNT
UNT
PKG
BOT
UNT

22 Mei 2013 08:53

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
1,00
1,00
2,00
2,00
20,00
2,00
8,00

Emergency OK
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
PKG
PKG
UNT

21 Mei 2013 14:24

Item
T-LENE 2-0 L20
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
APRON FILM WHITE
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00
1,00
5,00

Emergency OK
Subtotal
PKG
UNT
UNT
PKG
UNT
UNT

20 Mei 2013 17:51

Item
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
3,00
3,00

Emergency OK
Subtotal
UNT
UNT
PKG
UNT

20 Mei 2013 10:59

Item
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
AQUA BIDES 1000 ML SOLUTION, LIQUID
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
5,00
1,00
1,00
7,00

Emergency OK
Subtotal
UNT
UNT
PKG
PKG
AMP
UNT
BOT
UNT

20 Mei 2013 08:41

Item
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
SILK 2/0 tap HR22 Assut
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
INFUS SET JMS
STOMACH TUBE 3 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

Emergency OK
Subtotal
UNT
UNT
PKG
AMP
UNT
UNT
UNT
PKG
UNT

18 Mei 2013 13:07

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
LEUKOCREPE 4 INC
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
3,00
5,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT

18 Mei 2013 12:33

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
CENDO GENTAMYCIN 3.5 GM OINTMENT
PRECUT SILK 1 PS26
THORACIC CATHETER 32
STOMACH TUBE 20 JMS
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
8,00

Emergency OK
Subtotal
AMP
UNT
TUB
UNT
PKG
UNT
UNT
UNT
UNT

17 Mei 2013 07:34

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
LEUKOCREPE 4 INC

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT

HANDSCOON NON STERIL M (PCS)

APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

20,00
2,00
6,00

PKG
PKG
UNT

16 Mei 2013 08:05

Item
LEUKOCREPE 6 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
UMG
UNT

16 Mei 2013 08:04

Item
T-Vio 2/0 V9
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
WUNDRES N 10 x 10
FIXOMUL 76991 (15CM)
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
ROCKER SWITCH PENCIL 3M
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
0,25
2,00
2,00
2,00
20,00
3,00
0,15
0,25
11,00

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
UNT
UNT
UNT
PKG
PKG
PKG
UNT
UNT

15 Mei 2013 07:56

Item
T-VIO 2/0 V10
SILK 2/0 tap HR22 Assut
MAPROLEN 2/0 DS24
WUNDRES N 10 x 10
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 8
HANDSCOON NON STERIL M (PCS)
ROCKER SWITCH PENCIL 3M
DISPOS NE ELEC F ADULT & CHILDREN
APRON FILM WHITE
TIP CLEANER U ELECTRO CAUTERY

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
20,00
0,20
0,20
3,00
3,00

Emergency OK
Subtotal
PKG
PKG
PKG
UNT
UNT
UNT
BOT
UNT
UNT
UNT
PKG
PKG
UNT
PKG
UNT

TUSLAH NON RACIKAN

TOTAL

15,00

UNT

Pasien
Penjamin
109824
109824
239400
239400
32010
32010
5881
5881
18343
18343
24024
24024
24024
24024
24024
24024
10869
10869
23050.5 23050.5
5000
5000
516449.5 516449.5

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54912
54912
54903
54903
72336
72336
24024
24024
24024
24024
24024
24024
5881
5881
18343
18343
5809
5809
1997
1997
10869
10869
5500
5500
302622
302622

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25080
25080
66528
66528
48048
48048
36036
36036
24024
24024
10040
10040
10869
10869
9625
9625
4000
4000
234250
234250

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25080
25080
36036
36036
60060
60060
10040
10040
10869
10869
2500
2500
144585
144585

0
0
0
0
0
0
0

Pasien
Penjamin
87572
87572
25080
25080
24024
24024
36036
36036
36036
36036
10040
10040
10869
10869
3500
3500
233157
233157

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
67968
67968
46191
46191
1500
1500
138429
138429

0
0
0
0
0

Pasien
Penjamin
54903
54903
1757
1757
1275
1275
24750
24750
2764
2764
12012
12012
24024
24024
1004
1004
5881
5881
4500
4500
132870
132870

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17643
17643
6910
6910
1997
1997
5732
5732
24024
24024
24024
24024
10040
10040
7246
7246
4000
4000
101616
101616

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
72336
72336
24024
24024
24024
24024
10869
10869
26535
26535
2500
2500
160288
160288

0
0
0
0
0
0
0

Pasien
Penjamin
60060
60060
12012
12012
10869
10869
1500
1500
84441
84441

0
0
0
0
0

Pasien
Penjamin
12012
12012
24024
24024
502
502
7246
7246
6910
6910
1997
1997
11946
11946
3500
3500
68137
68137

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12012
12012
12012
12012
54903
54903
1382
1382
1275
1275
1757
1757
8415
8415
17160
17160
4000
4000
112916
112916

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25080
25080
24024
24024
24024
24024
68112
68112
10869
10869
2500
2500
154609
154609

0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
1997
1997
32010
32010
11722
11722
415392
415392
15400
15400
36036
36036
36036
36036
4000
4000
559503
559503

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12540
12540
24024
24024
24024
24024
68112
68112

0
0
0
0

10040
7246
3000
148986

10040
7246
3000
148986

0
0
0
0

Pasien
Penjamin
87572
87572
500
500
88072
88072

0
0
0

Pasien
Penjamin
203544
203544
239400
239400
152064
152064
35395
35395
24024
24024
24024
24024
24024
24024
10040
10040
10869
10869
17424
17424
21355.25 21355.25
5500
5500
767663.3 767663.3

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
67742
67742
54903
54903
56788
56788
76032
76032
18342
18342
5809
5809
5881
5881
24024
24024
24024
24024
24024
24024
10040
10040
23232
23232
17084.2 17084.2
10869
10869
69300
69300

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

7500
7500
495594.2 495594.2

0
0

Waktu
31 Mei 2013 14:22
Item
CURCUMA 200 MG TABLET
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
8,00
3,00
2,00

31 Mei 2013 14:21

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

31 Mei 2013 14:12

Item
AMINOFUSIN HEPAR INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 10:19

Item
CAPTOPRIL 12.5 MG TABLET
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
4,00
2,00

31 Mei 2013 09:15

Item
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
12,00
12,00
12,00
1,00
1,00
20,00
8,00

31 Mei 2013 08:54

Item

JAKARTA SEHAT
Quantity

FUROSEMID INF TABLET

SPIRONOLACTONE 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
4,00
12,00
8,00
8,00
4,00
1,00
1,00
20,00
9,00

31 Mei 2013 08:54

Item
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF INJECTION
DEXTROSE 5% WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
8,00
1,00
1,00
20,00
6,00

31 Mei 2013 08:54

Item
CLONIDINE INF 150 MG TABLET
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
8,00
4,00
24,00
12,00
8,00
12,00
8,00
12,00
20,00
10,00

31 Mei 2013 08:53

Item
CLOPIDOGREL 75 MG TABLET
VIVACE 5 MG TABLET
AMLODIPIN 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
4,00

INH 300 MG TABLET

PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
CLONIDINE INF 150 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

4,00
8,00
8,00
24,00
1,00
24,00
20,00
12,00
2,00
13,00

31 Mei 2013 08:48

Item
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE GEN 20 MG CAPSULE
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET
CIPROFLOXACIN TABLET
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
4,00
8,00
8,00
12,00
12,00
1,00
1,00
20,00
10,00

31 Mei 2013 08:47

Item
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
FUROSEMID INF INJECTION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
9,00
12,00
4,00
4,00
12,00
12,00
20,00
1,00
1,00
1,00
12,00

31 Mei 2013 08:47

Item
DOMPERIDON INF TABLET 10 MG
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
FUROSEMID INF INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
8,00
8,00
4,00
4,00
4,00
1,00
1,00
1,00
12,00
12,00
20,00
13,00

31 Mei 2013 08:46

Item
CETIRIZINE 10 MG TABLET
MAGARD FA TABLET, CHEWABLE
CLONIDINE INF 150 MG TABLET
AMLODIPIN 10 MG TABLET
LORATADINE INF TABLET 10 MG
GRANISETRON 3 ML INJECTION
INFUS SET JMS
PANTOPRAZOLE INJECTION
KETESSE 25 MG/ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
4,00
8,00
4,00
1,00
8,00
4,00
8,00
12,00
8,00
20,00
1,00
1,00
15,00

31 Mei 2013 08:45

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL INFUSION
INFUS SET JMS

JAKARTA SEHAT
Quantity
8,00
9,00
8,00
8,00
1,00

IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 20 CC WIHTOUT NED
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
8,00
12,00
20,00
11,00

31 Mei 2013 08:45

Item
MUSIN OTTO 120 ML SUSPENSION
SANMOL INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
PRIMPERAN MG INJECTION
FUTROLIT INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
8,00
12,00
12,00
12,00
1,00
1,00
1,00
12,00
12,00
20,00
12,00

31 Mei 2013 08:44

Item
METFORMIN HCL 500 MG TABLET
GLIMEPIRIDE 2 MG TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
8,00
12,00
8,00
6,00
8,00
4,00
16,00
12,00
20,00
1,00
1,00
1,00
14,00

31 Mei 2013 08:44

Item
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
8,00
1,00
1,00
1,00
20,00
6,00

31 Mei 2013 08:44

Item
AMLODIPIN 5 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
TRANSFUSION SET JMS
INFUS SET JMS
IVENA IV CATH 22
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
6,00
6,00
2,00
4,00
6,00
6,00
20,00
1,00
1,00
1,00
1,00
12,00

31 Mei 2013 08:43

Item
PROPANOLOL 10 MG TABLET
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET
DOMPERIDON INF TABLET 10 MG
LANSOPRAZOLE GENERIK CAPSULE
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
LOVENOX SOLUTION, INJECTION 40 mg
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
2,00
6,00
2,00
6,00
4,00
1,00
6,00
20,00
10,00

31 Mei 2013 07:58

Item
SPIRONOLACTONE 100 MG TABLET
PANTOPRAZOLE INJECTION
FUROSEMID INF INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 5 CC
DISP ONEMED 3CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
12,00
12,00
12,00
12,00
1,00
1,00
1,00
20,00
10,00

31 Mei 2013 07:53

Item
RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
8,00
8,00
1,00
1,00
1,00
12,00
12,00
20,00
1,00
11,00

31 Mei 2013 07:53

Item
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ACETYLCYSTEIN 200MG CAPS
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
AMLODIPIN 5 MG TABLET
FUROSEMID INF INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
DISP ONEMED 3CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
24,00
4,00
12,00
12,00
12,00
4,00
16,00
8,00
12,00
25,00
12,00

HANDSCOON NON STERIL S (PCS)

H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
4,00
14,00

31 Mei 2013 07:52

Item
METHYL PREDNISOLONE inf 16 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
8,00
8,00
20,00
4,00

31 Mei 2013 07:52

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
DILTIAZEM INF TABLET 30 MG
CAPTOPRIL 12.5 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
CLONIDINE INF 150 MG TABLET
GRANISETRON 3 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
12,00
12,00
24,00
12,00
1,00
12,00
12,00
4,00
16,00
11,00
24,00
15,00
12,00
9,00

31 Mei 2013 07:52

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
8,00
12,00
1,00
1,00
1,00

DISP ONEMED 3CC

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
20,00
10,00

31 Mei 2013 07:52

Item
FOLIC ACID 1 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
8,00
2,00
6,00
20,00
1,00
1,00
1,00
9,00

31 Mei 2013 07:51

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
CAPTOPRIL 12.5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FUTROLIT INFUSION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
24,00
8,00
12,00
12,00
24,00
9,00
8,00
16,00
16,00
20,00
1,00
1,00
1,00
14,00

31 Mei 2013 07:51

Item
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
DISP ONEMED 3CC

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
12,00

FUROSEMID INF INJECTION

RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
4,00
1,00
1,00
1,00
20,00
1,00
12,00

31 Mei 2013 07:51

Item
SPIRONOLACTONE 25 MG TABLET
KUTOIN-100 CAPSULE 100 MG
DILTIAZEM INF TABLET 30 MG
CLONIDINE INF 150 MG TABLET
H.C.T 25 MG TABLET
FUROSEMID INF INJECTION
ONDANSETRON INF 4 MG INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
PANTOPRAZOLE INJECTION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
12,00
12,00
12,00
4,00
16,00
12,00
24,00
8,00
16,00
24,00
20,00
1,00
1,00
4,00
36,00
13,00

31 Mei 2013 07:50

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
PARACETAMOL INF TABLET 500 mg
VITAMIN B COMPLEX
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ONDANSETRON INF 4 MG INJECTION
FUTROLIT INFUSION
DISP ONEMED 3CC

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
8,00
8,00
12,00
12,00
8,00
12,00
8,00
12,00

DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

8,00
20,00
1,00
14,00

31 Mei 2013 07:39

Item
NEW DIATABS TABLET 600 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
3,00
2,00

31 Mei 2013 07:36

Item
NEW DIATABS TABLET 600 mg
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
2,00
2,00

31 Mei 2013 07:33

Item
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

31 Mei 2013 07:32

Item
V BLOCK 25 MG TABLET
AMINORAL TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
24,00
4,00
3,00

31 Mei 2013 07:21

Item
SANMOL TABLET 500 mg
ASPAR-K TABLET, COATED 300 mg
NEUROSANBE 3 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
INFUS SET JMS

UMUM
Quantity
4,00
6,00
2,00
4,00
6,00
1,00

IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

2,00
4,00
4,00
20,00
1,00
11,00

31 Mei 2013 07:07

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

31 Mei 2013 00:50

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

31 Mei 2013 00:49

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

31 Mei 2013 00:48

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00
4,00

31 Mei 2013 00:41

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

31 Mei 2013 00:34

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
4,00

31 Mei 2013 00:18

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

30 Mei 2013 22:41

Item
DISP SYRINGE 10 CC
SANMOL INFUSION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
3,00

30 Mei 2013 22:37

Item
IVENA IV CATH 20
DEXTROSE 5% WIDATRA 500 ML INFUSION
INFUS SET JMS
DERMAFIX-1V
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
1,00
5,00

30 Mei 2013 19:53

Item
IVENA IV CATH 18
FOLLEY CATHETER 16 RUSCH
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BD VACUTAINER
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
10,00
7,00

30 Mei 2013 19:53

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRANSFUSION SET JMS
IVENA IV CATH 22
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
BD VACUTAINER
DISP SYRINGE 1 CC INSULIN
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
2,00
1,00
1,00
10,00
8,00

30 Mei 2013 18:22

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

30 Mei 2013 18:22

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

30 Mei 2013 18:22

Item
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
3,00

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3,00
2,00

30 Mei 2013 18:22

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00

30 Mei 2013 18:22

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00

30 Mei 2013 18:21

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

30 Mei 2013 18:21

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

30 Mei 2013 18:21

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

30 Mei 2013 18:14

Item
DISP SYRINGE 5 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

30 Mei 2013 18:13

Item
DISP SYRINGE 5 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

30 Mei 2013 18:12

Item
DISP SYRINGE 5 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

30 Mei 2013 14:41

Item
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

30 Mei 2013 14:22

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
1,00

30 Mei 2013 14:21

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
1,00

30 Mei 2013 13:58

Item

JAKARTA SEHAT
Quantity

IMIPENEM CILASTATIN 1 GR INJECTION

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

30 Mei 2013 13:31

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 12:06

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 11:48

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

30 Mei 2013 11:25

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 11:14

Item
PANTOPRAZOLE INJECTION
CEFEPIME 1 GR INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
12,00
12,00
12,00
12,00
20,00
1,00
1,00
1,00
10,00

30 Mei 2013 11:14

Item
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
RANITIDINE GENERIK 25 MG/ML INJECTION
COTRIMOXAZOLE 480 MG TABLET
FLUCONAZOLE 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
16,00
1,00
1,00
1,00
30,00
8,00
16,00
4,00
9,00

30 Mei 2013 11:14

Item
CEFEPIME 1 GR INJECTION
METRONIDAZOLE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
9,00
8,00
12,00
8,00
12,00
12,00
12,00
1,00
1,00
1,00
30,00
12,00

30 Mei 2013 11:13

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
NORMOTEN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

JAKARTA SEHAT
Quantity
1,00
8,00
24,00
4,00
24,00
6,00
8,00
20,00
12,00
12,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

12,00
12,00
1,00
1,00
1,00
15,00

30 Mei 2013 11:07

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
FARMADOL 100 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
10,00
15,00
15,00
8,00
8,00
8,00
12,00
8,00
12,00
12,00
20,00
1,00
1,00
1,00
17,00

30 Mei 2013 10:57

Item
CEFEPIME 1 GR INJECTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
FUTROLIT INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
4,00
2,00
2,00
2,00
4,00
4,00
20,00
9,00

30 Mei 2013 10:36

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 10:10

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 6.5
THREE WAY STOPCOCK
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
2,00
1,00
2,00
2,00
1,00
1,00
9,00

30 Mei 2013 10:07

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 6.5
THREE WAY STOPCOCK
TRANSFUSION SET JMS
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
10,00

30 Mei 2013 09:42

Item
SPIRONOLACTONE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

30 Mei 2013 09:07

Item

JAKARTA SEHAT
Quantity

MUSIN OTTO 120 ML SUSPENSION

PROPANOLOL 10 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

1,00
15,00
15,00
15,00
15,00
5,00

28 Mei 2013 21:17

Item
IVENA IV CATH 22
IVENA IV CATH 24
TRANSFUSION SET JMS
MICROPORE 1/2 INC
BD VACUTAINER
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

28 Mei 2013 15:26

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 15:23

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

28 Mei 2013 15:16

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 15:05

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 14:58

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

28 Mei 2013 14:57

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

28 Mei 2013 13:31

Item
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 13:30

Item
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 13:29

Item
INFUS SET JMS
IVENA IV CATH 20
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 13:28

Item
IVENA IV CATH 22
EXTENSION TUBE ET 2 (DWS)

JAKARTA SEHAT
Quantity
1,00
1,00

INFUS SET JMS

DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00

28 Mei 2013 13:27

Item
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 10:26

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
10,00
2,00

28 Mei 2013 07:21

Item
LORATADINE INF TABLET 10 MG
AMLODIPIN 5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFEPIME 1 GR INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
16,00
4,00
4,00
8,00
8,00
4,00
20,00
8,00

28 Mei 2013 07:21

Item
ASPILETS TABLET, CHEWABLE 80 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
SANMOL INFUSION

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
8,00
8,00
5,00
12,00
9,00

DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
IRBESARTAN 150 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

8,00
8,00
20,00
4,00
4,00
13,00

28 Mei 2013 07:20

Item
BETAHISTIN NOVELL TABLET 6 MG
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
12,00
12,00
12,00
1,00
12,00
8,00
12,00
8,00
8,00
12,00
12,00
20,00
9,00

28 Mei 2013 07:20

Item
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
12,00
1,00
12,00
8,00
1,00
8,00
9,00
12,00
12,00
20,00
9,00

28 Mei 2013 07:20

Item
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
9,00
1,00
8,00
12,00
12,00
1,00
1,00
1,00
20,00
10,00

28 Mei 2013 07:19

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF INJECTION
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFEPIME 1 GR INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
9,00
12,00
8,00
12,00
12,00
20,00
9,00

28 Mei 2013 07:19

Item
OMEPRAZOLE GEN 20 MG CAPSULE
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
4,00
8,00
1,00
1,00
1,00
20,00
8,00

28 Mei 2013 07:19

JAKARTA SEHAT

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
METRONIDAZOLE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
12,00
4,00
4,00
4,00
9,00
8,00
9,00
20,00
8,00

28 Mei 2013 07:19

Item
CETIRIZINE 10 MG TABLET
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
20,00
6,00
3,00

28 Mei 2013 07:18

Item
DISP SYRINGE 1 CC INSULIN
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
VERBAND ROLL
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
9,00
9,00
12,00
12,00
20,00
1,00
1,00
8,00
1,00
10,00

28 Mei 2013 07:17

Item
PARACETAMOL INF TABLET 500 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MECOBALAMIN AMP INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
8,00
6,00
8,00
12,00

DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
20,00
9,00

28 Mei 2013 07:17

Item
ADALAT OROS 30 MG TABLET
CLONIDINE INF 150 MG TABLET
DILTIAZEM INF TABLET 30 MG
ISOSORBIDE DINITRATE INF TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
V-BLOC 6,25MG TABLET
CAPTOPRIL 12.5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
CETIRIZINE 10 MG TABLET
NEUROSANBE 3 ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
24,00
12,00
1,00
12,00
12,00
2,00
96,00
12,00
4,00
8,00
8,00
4,00
12,00
12,00
20,00
15,00

28 Mei 2013 07:17

Item
AMINORAL TABLET
V-BLOC 6,25MG TABLET
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
3,00

28 Mei 2013 07:04

Item
AMINORAL TABLET
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
2,00

28 Mei 2013 07:02

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
2,00

27 Mei 2013 13:17

Item
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

27 Mei 2013 13:02

Item
MECOBALAMIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 12:47

Item
CEFIXIME GENERIK CAPSULE
MECOBALAMIN CAPSULE 500 MCG
ASAM MEFENAMAT INF 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
15,00
1,00
1,00
1,00
3,00

27 Mei 2013 12:47

Item
KASA STERYL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

27 Mei 2013 12:35

Item
PROPANOLOL 10 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
30,00
15,00
15,00
3,00

TOTAL

27 Mei 2013 12:33

Item
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

27 Mei 2013 12:30

Item
AMINOFUSIN HEPAR INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 11:47

Item
RANITIDINE INF TABLET 150 MG
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

27 Mei 2013 11:22

Item
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 11:22

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

27 Mei 2013 11:22

Item
ISOSORBIDE DINITRATE INF TABLET
H.C.T 25 MG TABLET
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
3,00

27 Mei 2013 10:56

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

24 Mei 2013 14:03

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

24 Mei 2013 13:58

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

24 Mei 2013 13:57

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

24 Mei 2013 13:56

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

24 Mei 2013 13:56

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

24 Mei 2013 13:55

Item
AMINORAL TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
8,00
1,00

TOTAL

24 Mei 2013 13:54

Item
VIVACE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

24 Mei 2013 13:31

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

24 Mei 2013 13:30

Item
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 13:30

Item
EXTENSION TUBE ET 2 (DWS)
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 13:27

Item
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

24 Mei 2013 12:22

Item
MUSIN OTTO 120 ML SUSPENSION
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
15,00
15,00
3,00

24 Mei 2013 11:36

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

24 Mei 2013 11:35

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

24 Mei 2013 11:34

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

24 Mei 2013 11:32

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

24 Mei 2013 11:30

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

24 Mei 2013 11:28

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

24 Mei 2013 11:22

Item
OMEPRAZOLE GEN 20 MG CAPSULE
SANMOL TABLET 500 mg

UMUM
Quantity
3,00
9,00

RING AS SANBE 500 ML

INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
1,00
1,00
1,00
1,00
20,00
8,00

24 Mei 2013 10:39

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPAR-K TABLET, COATED 300 mg
PARACETAMOL INF TABLET 500 mg
FUROSEMID INF INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00
1,00
3,00
4,00
2,00
2,00
3,00
2,00
2,00
10,00
3,00
12,00

24 Mei 2013 10:37

Item
PROPANOLOL 10 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
HANDSCOON NON STERIL S (PCS)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
12,00
3,00
9,00
9,00
20,00
6,00
12,00
6,00
3,00
12,00
11,00

24 Mei 2013 09:49

Item

JAKARTA SEHAT
Quantity

SIMVASTATIN GENERIK 10 MG TABLET

TUSLAH NON RACIKAN
TOTAL

10,00
1,00

24 Mei 2013 09:48

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

24 Mei 2013 09:44

Item
IVENA IV CATH 24
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 09:43

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
8,00
8,00
8,00
12,00
8,00
20,00
8,00

24 Mei 2013 09:43

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
BD VACUTAINER
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

24 Mei 2013 09:43

Item

JAKARTA SEHAT
Quantity

IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00

24 Mei 2013 09:43

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 09:43

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 09:38

Item
MAGARD FA TABLET, CHEWABLE
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
4,00
8,00
8,00
20,00
7,00

24 Mei 2013 09:23

Item
DOMPERIDON INF TABLET 10 MG
OMEPRAZOLE 40 MG INJECTION
FARMADOL 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

UMUM
Quantity
6,00
4,00
4,00
6,00
6,00
6,00
8,00
12,00
12,00

TUSLAH NON RACIKAN

TOTAL

9,00

24 Mei 2013 08:17

Item
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
12,00
12,00
1,00
1,00
40,00
1,00
9,00

24 Mei 2013 08:17

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF INJECTION
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFEPIME 1 GR INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
5,00
11,00
12,00
8,00
12,00
12,00
40,00
9,00

24 Mei 2013 08:16

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
METRONIDAZOLE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
4,00
6,00
8,00
4,00
40,00
8,00

24 Mei 2013 08:16

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
DEXAMETHASONE 5 MG INJECTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
8,00
12,00
12,00
4,00
4,00
40,00
8,00

24 Mei 2013 08:16

Item
ASPILETS TABLET, CHEWABLE 80 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
SANMOL INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
IRBESARTAN 150 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
8,00
8,00
12,00
12,00
9,00
8,00
8,00
40,00
4,00
4,00
13,00

24 Mei 2013 08:15

Item
LORATADINE INF TABLET 10 MG
AMLODIPIN 5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
FUROSEMID INF INJECTION
CEDOCARD 10 ML SOLUTION, INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
8,00
30,00
1,00
4,00
1,00
1,00
1,00
40,00

VITAMIN B6 10 MG TABLET
CEFEPIME 1 GR INJECTION
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

8,00
8,00
4,00
14,00

24 Mei 2013 08:14

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SISTENOL TABLET, COATED 500 mg; 200 mg
METRONIDAZOLE 500 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
OMEPRAZOLE 40 MG INJECTION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
24,00
12,00
12,00
12,00
12,00
1,00
12,00
4,00
1,00
8,00
40,00
9,00

24 Mei 2013 08:13

Item
CLONIDINE INF 150 MG TABLET
DILTIAZEM INF TABLET 30 MG
ISOSORBIDE DINITRATE INF TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
V-BLOC 6,25MG TABLET
CAPTOPRIL 12.5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
CETIRIZINE 10 MG TABLET
ADALAT OROS 30 MG TABLET
SOHOBION 5000 INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
MECOBALAMIN AMP INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
12,00
12,00
24,00
12,00
1,00
12,00
12,00
4,00
12,00
12,00
4,00
4,00
7,00
9,00
4,00
4,00
12,00
12,00
40,00
16,00

TOTAL

24 Mei 2013 08:13

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
NOVALGIN SOLUTION, INJECTION 500 mg/ml
M-20 INFUSAN (MANITOL) 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
4,00
4,00
8,00
8,00
8,00
8,00
4,00
7,00
40,00
10,00

24 Mei 2013 07:51

Item
BETAHISTIN NOVELL TABLET 6 MG
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
12,00
12,00
12,00
1,00
12,00
8,00
12,00
8,00
8,00
12,00
12,00
40,00
9,00

24 Mei 2013 07:51

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

24 Mei 2013 07:28

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
CEFEPIME 1 GR INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
4,00
4,00
12,00
4,00
4,00
8,00
1,00
1,00
1,00
40,00
11,00

24 Mei 2013 07:28

Item
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE GEN 20 MG CAPSULE
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
4,00
4,00
8,00
1,00
1,00
1,00
40,00
9,00

24 Mei 2013 07:28

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
DIGOXIN INF TABLET
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
8,00
24,00
36,00
8,00
4,00
12,00
40,00
8,00
11,00

24 Mei 2013 07:27

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
METRONIDAZOLE 100 ML INFUSION
KETOROLAC 30 MG SOLUTION, INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
8,00
12,00
12,00
12,00
12,00
12,00
12,00
12,00
40,00
12,00

24 Mei 2013 07:27

Item
VERBAND ROLL
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
SANMOL INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
12,00
8,00
1,00
1,00
1,00
40,00
12,00
12,00
11,00

24 Mei 2013 07:27

Item
PARACETAMOL INF TABLET 500 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
4,00
8,00
8,00
12,00
12,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

40,00
9,00

24 Mei 2013 07:27

Item
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
INH 300 MG TABLET
FLUCONAZOLE 150 MG TABLET
SANMOL INFUSION
FLUCONAZOL INFUS 100 ML
CEFOPERAZONE SULBACTAM 1 GM INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
32,00
4,00
8,00
8,00
4,00
6,00
9,00
4,00
6,00
8,00
12,00
20,00
20,00
40,00
14,00

24 Mei 2013 07:26

Item
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
12,00
1,00
12,00
8,00
12,00
8,00
12,00
12,00
12,00
40,00
9,00

24 Mei 2013 07:26

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
4,00
1,00

TOTAL

24 Mei 2013 07:13

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
KETOPROFEN 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
12,00
3,00

24 Mei 2013 07:13

Item
ASAM MEFENAMAT INF 500 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
12,00
8,00
12,00
12,00
12,00
40,00
8,00

24 Mei 2013 07:12

Item
ASPAR-K TABLET, COATED 300 mg
PROPANOLOL 10 MG TABLET
SPIRONOLACTONE 25 MG TABLET
OMEPRAZOLE 40 MG INJECTION
FUTROLIT INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
16,00
8,00
4,00
4,00
12,00
40,00
8,00

24 Mei 2013 07:12

Item
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
12,00
12,00
8,00
8,00
12,00

DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

16,00
16,00
40,00
8,00

24 Mei 2013 07:12

Item
CETIRIZINE 10 MG TABLET
GRANISETRON 3 ML INJECTION
LIVAMIN 500 ML INFUSION
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
4,00
1,00
1,00
1,00
40,00
8,00

24 Mei 2013 07:11

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
KUTOIN-100 CAPSULE 100 MG
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
12,00
8,00
1,00
1,00
1,00
40,00
8,00

24 Mei 2013 07:11

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

23 Mei 2013 14:17

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 13:25

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
TRANSFUSION SET JMS
INFUS SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
1,00
1,00
1,00
1,00
4,00
10,00
10,00
10,00
10,00

23 Mei 2013 13:04

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 12:48

Item
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

23 Mei 2013 12:15

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 12:12

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

23 Mei 2013 12:12

JAKARTA SEHAT

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
1,00

23 Mei 2013 12:12

Item
IRBESARTAN 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

23 Mei 2013 12:11

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

23 Mei 2013 12:11

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

23 Mei 2013 11:40

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 11:22

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
1,00
12,00
12,00
4,00
4,00
1,00
2,00
1,00
6,00

23 Mei 2013 10:23

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

23 Mei 2013 10:22

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

23 Mei 2013 09:53

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

23 Mei 2013 09:50

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 09:47

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
1,00
1,00
1,00
3,00

23 Mei 2013 09:25

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

22 Mei 2013 14:50

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
2,00

22 Mei 2013 14:49

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

22 Mei 2013 14:47

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00

22 Mei 2013 14:39

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

22 Mei 2013 14:39

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

22 Mei 2013 14:33

Item
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
10,00

TUSLAH NON RACIKAN

TOTAL

1,00

22 Mei 2013 14:32

Item
AMLODIPIN 5 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

22 Mei 2013 13:54

Item
SOMATOSTATIN-UCB 3 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

22 Mei 2013 13:54

Item
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00

22 Mei 2013 13:54

Item
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00

22 Mei 2013 13:33

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
INFUS SET JMS

JAKARTA SEHAT
Quantity
8,00
4,00
16,00
8,00
8,00
8,00
8,00
1,00

IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
11,00

22 Mei 2013 11:52

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00

22 Mei 2013 11:52

Item
PROPANOLOL 10 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
6,00
3,00

22 Mei 2013 10:56

Item
FUTROLIT INFUSION
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
ASPAR-K TABLET, COATED 300 mg
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
10,00
6,00
1,00
1,00
1,00
20,00
3,00
1,00
10,00

22 Mei 2013 10:56

Item
CETIRIZINE 10 MG TABLET
OPIGRAN INJ 3
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
4,00
3,00
1,00
1,00
3,00

DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
7,00

22 Mei 2013 10:55

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
6,00
6,00
6,00
6,00
6,00
20,00
8,00

22 Mei 2013 10:54

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFEPIME 1 GR INJECTION
DISP SYRINGE 3 CC
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
12,00
6,00
6,00
12,00
8,00
20,00
1,00
1,00
1,00
12,00

22 Mei 2013 10:53

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
9,00
9,00
6,00

METRONIDAZOLE 100 ML INFUSION

KETOROLAC 30 MG SOLUTION, INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
9,00
9,00
9,00
6,00
20,00
14,00

22 Mei 2013 10:53

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ASPAR-K TABLET, COATED 300 mg
VALISANBE TABLET 5 MG
ISOKET INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
2,00
2,00
3,00
6,00
2,00
3,00
4,00
1,00
1,00
1,00
1,00
3,00
6,00
20,00
6,00
18,00

22 Mei 2013 09:56

Item
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V

JAKARTA SEHAT
Quantity
12,00
6,00
12,00
12,00
12,00
12,00
20,00
1,00
1,00
1,00

MICROPORE 1/2 INC

TUSLAH NON RACIKAN
TOTAL

1,00
11,00

22 Mei 2013 09:53

Item
RINGER LACTATE WIDATRA 500 ML
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ONDANSETRON INF 4 MG INJECTION
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
6,00
6,00
1,00
1,00
6,00
1,00
1,00
12,00
20,00
8,00
12,00

22 Mei 2013 09:53

Item
LORATADINE INF TABLET 10 MG
ADALAT OROS 30 MG TABLET
AMLODIPIN 5 MG TABLET
CEFEPIME 1 GR INJECTION
FUROSEMID INF INJECTION
ISOKET INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
30,00
10,00
3,00
1,00
1,00
1,00
20,00
6,00
6,00
20,00
14,00

22 Mei 2013 01:35

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
1,00

TOTAL

22 Mei 2013 01:35

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 01:35

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 00:54

Item
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

22 Mei 2013 00:38

Item
CURCUMA 200 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

22 Mei 2013 00:36

Item
ANBACIM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 00:35

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 00:34

JAKARTA SEHAT

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

21 Mei 2013 23:16

Item
ADALAT OROS 30 MG TABLET
TRANSFUSION SET JMS
FUROSEMID INF INJECTION
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
4,00

21 Mei 2013 19:24

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
METRONIDAZOLE 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
4,00

21 Mei 2013 19:16

Item
NON REBREATHING MASK ADULT(1102)
AMLODIPIN 5 MG TABLET
FUROSEMID INF INJECTION
ISOKET INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
5,00
2,00
2,00
1,00
6,00

21 Mei 2013 19:14

Item
OTSU SALIN 3% INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

21 Mei 2013 15:21

Item

JAKARTA SEHAT
Quantity

BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

2,00
1,00

21 Mei 2013 15:21

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
2,00

21 Mei 2013 15:20

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

21 Mei 2013 15:20

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
1,00

21 Mei 2013 15:05

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

21 Mei 2013 14:59

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

21 Mei 2013 14:47

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 14:46

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

21 Mei 2013 14:45

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 14:44

Item
RINGER LACTATE WIDATRA 500 ML
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
4,00
2,00

21 Mei 2013 14:25

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
1,00

21 Mei 2013 14:23

Item
FLUCONAZOLE 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

21 Mei 2013 13:17

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
DIGOXIN INF TABLET
IRBESARTAN 300 MG TABLET
FUROSEMID INF TABLET

UMUM
Quantity
10,00
10,00
20,00
20,00
20,00
10,00
10,00
10,00

TUSLAH NON RACIKAN

TOTAL

8,00

21 Mei 2013 12:44

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
40,00
5,00
10,00

21 Mei 2013 12:44

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
CLONIDINE INF 150 MG TABLET
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ONDANSETRON INF 4 MG INJECTION
FUROSEMID INF INJECTION
ISOKET INJECTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
1,00
1,00
1,00
3,00
1,00
10,00
2,00
10,00
2,00
2,00
3,00
3,00
3,00
10,00
5,00
40,00
18,00

21 Mei 2013 12:43

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
FUROSEMID INF INJECTION
ISOKET INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
10,00
4,00
1,00
40,00
5,00
8,00

21 Mei 2013 12:43

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
DOXYCYCLINE INF TABLET 100 MG
CEFEPIME 1 GR INJECTION
FUROSEMID INF INJECTION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
4,00
2,00
4,00
1,00
7,00

21 Mei 2013 12:43

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
ISOKET INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
12,00
1,00
3,00
2,00
5,00
5,00
5,00
5,00
40,00
2,00
2,00
11,00

21 Mei 2013 12:43

Item
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
2,00

INH 300 MG TABLET

AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
FOLIC ACID 1 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
FUROSEMID INF INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
20,00
1,00
3,00
3,00
1,00
3,00
3,00
6,00
3,00
5,00
5,00
2,00
20,00
1,00
1,00
15,00

21 Mei 2013 12:42

Item
VITAMIN B6 10 MG TABLET
AMINOPHYLLINE 200 MG TABLET
SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
IVENA IV CATH 22
RING AS SANBE 500 ML
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FOLIC ACID 1 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
3,00
3,00
1,00
1,00
2,00
2,00
1,00
2,00
2,00
3,00
1,00
2,00
3,00
14,00

21 Mei 2013 12:42

Item
SELANG OKSIGEN ADULT
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
2,00
3,00
6,00
2,00
5,00
2,00
40,00
14,00

21 Mei 2013 10:43

Item
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
10,00
15,00
15,00
1,00
1,00
1,00
30,00
9,00

21 Mei 2013 10:42

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VALAMIN SANBE INFUSION
FUROSEMID INF INJECTION
ISOKET INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
12,00
8,00
4,00
30,00
6,00
10,00
15,00
15,00
30,00
1,00
1,00
1,00
14,00

21 Mei 2013 10:42

Item
OMEPRAZOLE GEN 20 MG CAPSULE
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
1,00
1,00
8,00
8,00
30,00
8,00

21 Mei 2013 10:42

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
INFUS SET JMS
RING AS DOUBLE PORT 500 ML
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
2,00
2,00
4,00
4,00
8,00
1,00
8,00
1,00
8,00
8,00
8,00
30,00
13,00

21 Mei 2013 10:41

Item
ASPILETS TABLET, CHEWABLE 80 MG
INH 300 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
SANMOL INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
6,00
4,00
12,00
12,00
12,00
10,00
20,00

DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
CALCIUM GLUCONAS ETHICA INJECTION
IVENA IV CATH 22
DERMAFIX-1V
SIMVASTATIN GENERIK 10 MG TABLET
IRBESARTAN 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

12,00
30,00
1,00
4,00
1,00
1,00
4,00
4,00
18,00

21 Mei 2013 10:37

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
ISOKET INJECTION
DISP SYRINGE 10 CC
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
2,00
1,00
4,00
20,00
4,00
2,00
2,00
4,00
4,00
11,00

21 Mei 2013 10:31

Item
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FLUCONAZOLE 150 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
SANMOL INFUSION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
32,00
4,00
4,00
8,00
8,00
6,00
8,00
12,00
12,00
12,00
10,00
12,00
12,00
30,00
14,00

21 Mei 2013 10:31

Item
PARACETAMOL INF TABLET 500 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION
MECOBALAMIN AMP INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
12,00
4,00
1,00
1,00
1,00
8,00
15,00
10,00
30,00
11,00

21 Mei 2013 10:26

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
KETOPROFEN 50 MG TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
8,00
1,00
1,00
1,00
30,00
8,00

21 Mei 2013 09:48

Item
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

21 Mei 2013 09:47

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

21 Mei 2013 09:46

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

21 Mei 2013 09:37

Item
GLURENORM TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

21 Mei 2013 09:30

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

21 Mei 2013 08:45

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
5,00
10,00
10,00
10,00
10,00
6,00

21 Mei 2013 08:38

Item
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 08:15

Item
SPIRONOLACTONE 100 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
8,00
8,00

AMBROXOL INF 30 MG TABLET

FUROSEMID INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
8,00
8,00
12,00
10,00
12,00
12,00
1,00
1,00
30,00
15,00

21 Mei 2013 08:08

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
ALLOPURINOL INF TABLET 100 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
KALTROFEN KALBE SUPPOSITORY 100 mg
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
12,00
12,00
4,00
4,00
8,00
1,00
1,00
10,00
6,00
1,00
10,00

21 Mei 2013 08:07

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VECTRINE DEXA CAPSULE 300 mg
CEFIXIME GENERIK CAPSULE
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
4,00
12,00
8,00
8,00
12,00
30,00
8,00

21 Mei 2013 08:07

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
8,00
4,00
4,00
8,00
1,00
1,00
1,00
30,00
10,00

21 Mei 2013 08:07

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
COTRIMOXAZOLE 480 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
ORALIT
FLUCONAZOL INFUS 100 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
KA-EN 3B 500 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
1,00
12,00
16,00
3,00
10,00
12,00
4,00
8,00
18,00
6,00
16,00
30,00
15,00
12,00

21 Mei 2013 08:05

Item
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
ONDANSENTRON INF 8 MG/4ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
METRONIDAZOLE 100 ML INFUSION

JAKARTA SEHAT
Quantity
8,00
4,00
12,00
1,00
12,00
12,00
8,00
12,00

RING AS SANBE 500 ML

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

8,00
6,00
10,00
12,00
30,00
8,00
11,00

21 Mei 2013 08:04

Item
METFORMIN HCL 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
KETOROLAC 30 MG SOLUTION, INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
12,00
12,00
8,00
12,00
8,00
30,00
8,00

21 Mei 2013 08:04

Item
AMLODIPIN 5 MG TABLET
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
METFORMIN HCL 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
DERMAFIX-1V
IVENA IV CATH 22
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
12,00
6,00
1,00
1,00
1,00
6,00
6,00
30,00
11,00

21 Mei 2013 08:04

Item
CLONIDINE INF 150 MG TABLET
DILTIAZEM INF TABLET 30 MG
ISOSORBIDE DINITRATE INF TABLET
CALCIUM CARBONATE 1000 GM POWDER

JAKARTA SEHAT
Quantity
12,00
12,00
24,00
12,00

TUSLAH RACIKAN EMBALASE

FOLIC ACID 1 MG TABLET
V-BLOC 6,25MG TABLET
CAPTOPRIL 12.5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
RING AS SANBE 500 ML
SOHOBION 5000 INJECTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
12,00
12,00
4,00
25,00
12,00
8,00
8,00
4,00
16,00
12,00
8,00
30,00
14,00

21 Mei 2013 08:03

Item
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 10 CC
LIVAMIN 500 ML INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
2,00
4,00
12,00
1,00
1,00
1,00
30,00
9,00

21 Mei 2013 07:13

Item
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
12,00
8,00
8,00
30,00
1,00
1,00
8,00
8,00
10,00

20 Mei 2013 19:03

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
DERMAFIX-1V
ONDANSETRON INF 4 MG INJECTION
MICROPORE 1/2 INC
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
10,00
2,00
2,00
2,00
1,00
13,00

20 Mei 2013 18:25

Item
CAPTOPRIL 12.5 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
CATAPRES INJECTION
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
3,00
3,00
3,00
4,00

20 Mei 2013 14:53

Item
SANMOL TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
4,00
8,00
1,00
2,00
4,00
20,00
1,00
1,00
9,00

20 Mei 2013 14:40

Item

JAKARTA SEHAT
Quantity

KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG

TUSLAH NON RACIKAN
TOTAL

8,00
1,00

20 Mei 2013 14:36

Item
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00

20 Mei 2013 13:52

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 13:50

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

20 Mei 2013 13:49

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

20 Mei 2013 13:33

Item
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

20 Mei 2013 13:28

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
METRONIDAZOLE 100 ML INFUSION

JAKARTA SEHAT
Quantity
4,00
4,00
6,00

SANMOL INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
4,00
1,00
1,00
1,00
30,00
9,00

20 Mei 2013 13:27

Item
TRANSFUSION SET JMS
BD VACUTAINER
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

20 Mei 2013 13:26

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
6,00
6,00
8,00
1,00
1,00
1,00
8,00
4,00
4,00
4,00
12,00

20 Mei 2013 13:23

Item
PARACETAMOL INF TABLET 500 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
12,00
8,00
4,00
4,00
12,00
8,00
8,00
8,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

4,00
30,00
1,00
1,00
1,00
13,00

20 Mei 2013 13:19

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DEXAMETHASONE 5 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
16,00
8,00
8,00
4,00
1,00
1,00
1,00
1,00
20,00
25,00
20,00
20,00
13,00

20 Mei 2013 13:19

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
4,00
4,00
15,00
4,00
1,00
1,00
15,00
20,00
1,00
1,00
13,00

20 Mei 2013 13:18

Item
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
8,00
8,00
8,00
12,00
6,00

20 Mei 2013 13:18

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SISTENOL TABLET, COATED 500 mg; 200 mg
METRONIDAZOLE 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
8,00
12,00
12,00
12,00
8,00
4,00
16,00
16,00
1,00
1,00
11,00

20 Mei 2013 13:17

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
8,00
12,00
8,00
6,00
12,00
12,00
1,00
1,00
16,00
12,00
20,00
14,00

20 Mei 2013 13:03

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

20 Mei 2013 12:25

Item
CAPTOPRIL 12.5 MG TABLET
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
40,00
1,00
1,00
10,00
1,00
5,00

20 Mei 2013 12:09

Item
FOLIC ACID 1 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ACETYLCYSTEIN 200MG CAPS
OMEPRAZOLE 40 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VALAMIN SANBE INFUSION
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
3,00
1,00
1,00
3,00
1,00
2,00
2,00
1,00
8,00

20 Mei 2013 12:09

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
FOLIC ACID 1 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
FUROSEMID INF INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
2,00
12,00
2,00
3,00
3,00
1,00
3,00
2,00
4,00
2,00
3,00

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
2,00
12,00

20 Mei 2013 12:08

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00
1,00
1,00
2,00
1,00
2,00
2,00
2,00
40,00
5,00
2,00
1,00
12,00

20 Mei 2013 12:08

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
FUROSEMID INF INJECTION
ISOKET INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
10,00
3,00
1,00
40,00
1,00
8,00

20 Mei 2013 12:08

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
6,00
1,00

BISOPROLOL 5 MG TABLET
DOXYCYCLINE INF TABLET 100 MG
CEFEPIME 1 GR INJECTION
FUROSEMID INF INJECTION
IVENA IV CATH 20
INFUS SET JMS
ISOSORBIDE DINITRATE INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
4,00
2,00
4,00
1,00
1,00
3,00
1,00
10,00

20 Mei 2013 11:59

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
ISOKET INJECTION
RING AS SANBE 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
6,00
3,00
6,00
4,00
8,00
4,00
2,00
1,00
8,00

20 Mei 2013 11:59

Item
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
TRANSFUSION SET JMS
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
2,00
2,00
3,00
3,00
20,00
6,00
3,00
2,00
2,00
1,00
1,00
1,00
16,00

20 Mei 2013 11:58

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
CLONIDINE INF 150 MG TABLET
OMEPRAZOLE 40 MG INJECTION
FUROSEMID INF INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
STOMACH TUBE 16 THERUMO
ONDANSETRON INF 4 MG INJECTION
XYLOCAINE 2% 10 GM JELLY
IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
NATRIUM PHENITOIN 50MG /ML INJ
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
1,00
1,00
1,00
3,00
2,00
10,00
3,00
1,00
3,00
1,00
3,00
1,00
1,00
1,00
1,00
3,00
18,00

20 Mei 2013 11:58

Item
METFORMIN HCL 500 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
DIGOXIN INF TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 20 CC WIHTOUT NED
TRANSFUSION SET JMS
FUROSEMID INF INJECTION
INFUS SET JMS
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ISOKET INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
15,00
2,00
1,00
2,00
2,00
1,00
2,00
1,00
3,00
1,00
40,00
4,00
5,00
17,00

20 Mei 2013 11:35

Item
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
GLIQUIDONE 30 MG TABLET
AMBROXOL INF 30 MG TABLET
CLONIDINE INF 150 MG TABLET
FUROSEMID INF INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
25,00
12,00
8,00
12,00
12,00
1,00
12,00
4,00
12,00
6,00
16,00
8,00
9,00

20 Mei 2013 11:20

Item
GLIQUIDONE 30 MG TABLET
ALPENTIN 300 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
4,00
1,00
1,00
1,00
1,00
3,00

20 Mei 2013 11:20

Item
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TRANSFUSION SET JMS
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
8,00
30,00
7,00

20 Mei 2013 11:20

Item
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
8,00

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

DISP SYRINGE 10 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
8,00
12,00
1,00
1,00
1,00
30,00
8,00

20 Mei 2013 11:19

Item
ONDANSENTRON INF 8 MG/4ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
12,00
8,00
8,00
12,00
1,00
16,00
1,00
1,00
15,00
12,00
10,00
30,00
14,00

20 Mei 2013 11:19

Item
CEFEPIME 1 GR INJECTION
DISP SYRINGE 10 CC
SANMOL INFUSION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
GRANISETRON 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
16,00
9,00
15,00
1,00
1,00
1,00
12,00
30,00
4,00
10,00

20 Mei 2013 10:59

Item
MUSIN OTTO 120 ML SUSPENSION
VITAMIN K KIMIA FARMA TABLET 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
20,00
15,00
4,00

20 Mei 2013 10:58

Item
RANITIDINE INF TABLET 150 MG
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

20 Mei 2013 10:56

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
1,00

20 Mei 2013 08:04

Item
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 00:47

Item
SANMOL INFUSION
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00

20 Mei 2013 00:46

Item
METFORMIN HCL 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
2,00
1,00
2,00
4,00

TOTAL

20 Mei 2013 00:45

Item
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00

20 Mei 2013 00:33

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
1,00

20 Mei 2013 00:31

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

19 Mei 2013 23:10

Item
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

19 Mei 2013 21:54

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

19 Mei 2013 21:27

Item
HERBESSER 50 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 2 (DWS)
FOLLEY CATHETER 18 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
1,00
1,00
5,00

19 Mei 2013 17:49

Item
HERBESSER 50 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

19 Mei 2013 17:00

Item
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

19 Mei 2013 16:59

Item
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

19 Mei 2013 15:28

Item
DOBUTAMIN GENERIK 50 MG/ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
SELANG NEBUL WITH MASK(1493)
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
THREE WAY STOPCOCK
NEUROSANBE 3 ML INJECTION
IVENA IV CATH 24
IVENA IV CATH 22
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00
1,00
11,00

19 Mei 2013 10:29

Item
PARACETAMOL INF TABLET 500 mg
ANALSIK TABLET
OMEPRAZOLE 40 MG INJECTION

UMUM
Quantity
3,00
3,00
2,00

DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
3,00
10,00
4,00
5,00
9,00

19 Mei 2013 10:12

Item
SOHOLIN 125 MG/ML INJECTION
ALKOHOL SWAB
KETOROLAC 30 MG SOLUTION, INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
10,00
3,00
2,00
2,00
4,00
10,00
1,00
8,00

19 Mei 2013 10:09

Item
SANMOL TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
4,00
4,00
10,00
5,00
6,00

19 Mei 2013 06:45

Item
IVENA IV CATH 22
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
4,00
2,00

18 Mei 2013 19:18

Item
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
2,00

SPIRONOLACTONE 100 MG TABLET

ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
2,00
3,00
1,00
2,00
3,00
2,00
3,00
10,00
1,00
1,00
13,00

18 Mei 2013 15:16

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00

18 Mei 2013 12:38

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
PARACETAMOL INF TABLET 500 mg
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00
1,00
1,00
1,00
20,00
12,00
12,00
8,00

18 Mei 2013 12:16

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
PARACETAMOL INF TABLET 500 mg
SANMOL TABLET 500 mg

UMUM
Quantity
6,00
1,00
1,00
1,00
1,00
20,00
12,00
12,00

DEXTROMETHORPHAN INF TABLET 15 MG

TUSLAH NON RACIKAN
TOTAL

12,00
9,00

18 Mei 2013 10:30

Item
DOBUTAMIN GENERIK 50 MG/ML
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

18 Mei 2013 09:32

Item
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

17 Mei 2013 16:51

Item
ASPAR-K TABLET, COATED 300 mg
CEDANTRON 4 MG/ML INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
3,00
1,00
1,00
1,00
3,00
2,00
7,00

17 Mei 2013 15:03

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00

17 Mei 2013 14:58

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 14:57

Item
PERDIPINE SOLUTION, INJECTION
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

17 Mei 2013 14:52

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

17 Mei 2013 14:46

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 14:27

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 14:25

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

17 Mei 2013 14:22

Item
GLURENORM TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

17 Mei 2013 14:22

Item
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
4,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

9,00
2,00

17 Mei 2013 14:22

Item
VALISANBE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

17 Mei 2013 14:21

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

17 Mei 2013 14:12

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

17 Mei 2013 13:14

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 12:24

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 12:12

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
1,00

17 Mei 2013 12:06

Item
PARACETAMOL INF TABLET 500 mg
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
IRBESARTAN 300 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
12,00
4,00
4,00
8,00
8,00
8,00
4,00
12,00
12,00
20,00
11,00

17 Mei 2013 11:16

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 10:26

Item
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
HANDSCOON NON STERIL S (PCS)
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
SANMOL INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FLUCONAZOL INFUS 100 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
32,00
4,00
4,00
8,00
8,00
30,00
9,00
16,00
6,00
12,00
9,00
8,00
2,00
1,00
1,00
1,00
1,00
12,00
18,00

17 Mei 2013 10:21

Item
INFUS SET JMS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
IVENA IV CATH 22
OMEPRAZOLE 40 MG INJECTION
METRONIDAZOLE 100 ML INFUSION
MECOBALAMIN AMP INJECTION
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
1,00
8,00
6,00
4,00
1,00
12,00
12,00
12,00
20,00
11,00

17 Mei 2013 10:21

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
AMBROXOL INF 30 MG TABLET
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
LIVAMIN 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
SPIRONOLACTONE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
8,00
12,00
4,00
4,00
8,00
12,00
2,00
16,00
12,00
12,00
30,00
4,00
15,00

17 Mei 2013 10:10

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 10:10

JAKARTA SEHAT

Item
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
DOPAC 40 MG/ML INJECTION
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 50 CC WITHOUT NED
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

17 Mei 2013 10:10

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 10:09

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

17 Mei 2013 10:09

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
SANMOL INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
6,00
8,00
12,00
1,00
1,00
4,00
8,00
16,00
16,00
8,00
30,00
1,00
1,00
14,00

17 Mei 2013 10:01

Item
AMLODIPIN 5 MG TABLET
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
THROMBO ASPILETS 100 MG TABLET
METFORMIN HCL 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
4,00
12,00
8,00
1,00
1,00
1,00
8,00
10,00
20,00
12,00

17 Mei 2013 09:38

Item
COTRIMOXAZOLE 480 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
4,00
10,00
12,00
20,00
1,00
1,00
1,00
9,00

17 Mei 2013 09:36

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
COTRIMOXAZOLE 480 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FLUCONAZOL INFUS 100 ML
AMINOFLUID 500 ML INFUSION
DERMAFIX-1V
KA-EN 3B 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
4,00
6,00
1,00
12,00
16,00
9,00
4,00
2,00
1,00
4,00
10,00

INFUS SET JMS

IVENA IV CATH 22
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
6,00
20,00
12,00

17 Mei 2013 09:34

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VECTRINE DEXA CAPSULE 300 mg
CEFIXIME GENERIK CAPSULE
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
12,00
8,00
8,00
12,00
1,00
1,00
1,00
20,00
11,00

17 Mei 2013 09:34

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
KETOPROFEN 50 MG TABLET
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
12,00
12,00
1,00
1,00
1,00
20,00
8,00

17 Mei 2013 09:33

Item
CAPTOPRIL 12.5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
IMIPENEM CILASTATIN 1 GR INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
INFUS SET JMS
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
24,00
8,00
6,00
12,00
1,00
1,00

DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
10,00
12,00
8,00
20,00
11,00

17 Mei 2013 09:25

Item
AMLODIPIN 5 MG TABLET
AMBROXOL INF 30 MG TABLET
CEFEPIME 1 GR INJECTION
INFUS SET JMS
VENTOLIN NEBULE SOLUTION, FOR INHALATION
IVENA IV CATH 22
FUROSEMID INF INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
1,00
8,00
1,00
6,00
8,00
8,00
20,00
30,00
1,00
10,00
13,00

17 Mei 2013 09:24

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
4,00
24,00
8,00
24,00
1,00
1,00
1,00
6,00
30,00
12,00

17 Mei 2013 09:24

JAKARTA SEHAT

Item
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
AMINOPHYLLINE 24mg SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

Quantity
12,00
12,00
8,00
18,00
8,00
12,00
24,00
12,00
12,00
12,00
30,00
1,00
1,00
1,00
14,00

17 Mei 2013 09:24

Item
PARACETAMOL INF TABLET 500 mg
FOLIC ACID 1 MG TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
8,00
1,00
1,00
1,00
4,00
6,00
8,00
30,00
10,00

17 Mei 2013 09:23

Item
HALOPERIDOL INF 1.5 MG TABLET
TRIHEXYPHENYDIL INF TABLET 2 MG
VALISANBE TABLET 2 MG
KUTOIN-100 CAPSULE 100 MG
FOLIC ACID 1 MG TABLET
RINGER LACTATE WIDATRA 500 ML
FUTROLIT INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V

JAKARTA SEHAT
Quantity
8,00
8,00
3,00
12,00
8,00
4,00
4,00
1,00
1,00
1,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

30,00
11,00

17 Mei 2013 09:23

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
9,00
4,00
8,00
4,00
1,00
1,00
1,00
30,00
4,00
10,00

17 Mei 2013 09:23

Item
ASPAR-K TABLET, COATED 300 mg
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETESSE 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
4,00
12,00
1,00
1,00
1,00
16,00
16,00
8,00
8,00
30,00
13,00

17 Mei 2013 09:21

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

17 Mei 2013 09:21

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
1,00
12,00
1,00
1,00
1,00
20,00
12,00
16,00
12,00
30,00
13,00

17 Mei 2013 09:21

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
ONDANSENTRON INF 8 MG/4ML INJECTION
RINGER LACTATE WIDATRA 500 ML
ISOKET INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
4,00
12,00
4,00
8,00
1,00
8,00
12,00
10,00
4,00
1,00
20,00
16,00
16,00
30,00
15,00

17 Mei 2013 09:20

Item
MUSIN OTTO 120 ML SUSPENSION
ONDANSETRON INF 4 MG INJECTION
LIVAMIN 500 ML INFUSION
FUTROLIT INFUSION
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00
12,00
2,00
4,00
1,00

IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
12,00
12,00
9,00
12,00
30,00
13,00

17 Mei 2013 09:20

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

17 Mei 2013 09:19

Item
CLONIDINE INF 150 MG TABLET
DILTIAZEM INF TABLET 30 MG
ISOSORBIDE DINITRATE INF TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
V-BLOC 6,25MG TABLET
HALOPERIDOL INF 0.5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
24,00
12,00
1,00
12,00
12,00
4,00
8,00
24,00
12,00
8,00

17 Mei 2013 09:18

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
12,00
4,00
2,00
2,00
9,00
8,00
12,00
8,00
10,00

HANDSCOON NON STERIL S (PCS)

INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

30,00
1,00
12,00
1,00
1,00
14,00

17 Mei 2013 09:17

Item
METFORMIN HCL 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
METRONIDAZOLE 100 ML INFUSION
TRANSFUSION SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
4,00
9,00
1,00
1,00
1,00
8,00
12,00
30,00
10,00

17 Mei 2013 09:17

Item
SIMVASTATIN GENERIK 10 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VERBAND ROLL
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
BISOLVON 2 ML INJECTION

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
4,00
4,00
8,00
8,00
12,00
12,00
12,00
1,00
16,00
8,00
1,00
1,00
8,00
20,00
12,00
30,00
12,00

VENTOLIN NEBULE SOLUTION, FOR INHALATION

TUSLAH NON RACIKAN
TOTAL

12,00
21,00

17 Mei 2013 09:16

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
LEVOFLOXACIN INF TABLET
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
1,00
1,00
30,00
4,00
12,00
7,00

17 Mei 2013 09:16

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RINGER LACTATE WIDATRA 500 ML
KALTROFEN KALBE SUPPOSITORY 100 mg
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
12,00
9,00
12,00
4,00
10,00
12,00
10,00
30,00
8,00

17 Mei 2013 09:14

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
1,00
1,00
1,00
1,00
6,00
1,00

HANDSCOON NON STERIL S (PCS)

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

20,00
2,00
12,00

17 Mei 2013 09:14

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
12,00
1,00

17 Mei 2013 09:13

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
9,00
9,00
12,00
1,00
1,00
1,00
1,00
12,00
12,00
12,00
5,00
20,00
14,00

17 Mei 2013 09:13

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V

KLB
Quantity
12,00
4,00
8,00
4,00
8,00
12,00
12,00
12,00
4,00
1,00
1,00
1,00

MICROPORE 1/2 INC

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
16,00
16,00
16,00
30,00
17,00

17 Mei 2013 09:13

Item
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET
RINGER LACTATE WIDATRA 500 ML
AMINOFLUID 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
4,00
1,00
1,00
1,00
20,00
8,00

17 Mei 2013 08:50

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
1,00
1,00
1,00
20,00
8,00
7,00

17 Mei 2013 08:50

Item
ALPENTIN 100 MG TABLET
NATRIUM DIKLOFENAK 50 MG TABLET
DISP SYRINGE 10 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
MECOBALAMIN AMP INJECTION
INFUS SET JMS

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
8,00
6,00
6,00
20,00
4,00
1,00

IVENA IV CATH 22
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
8,00
8,00
12,00

16 Mei 2013 23:22

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

16 Mei 2013 17:43

Item
IVENA IV CATH 24
FARMADOL 100 ML INFUSION
MICROPORE 1/2 INC
RING AS SANBE 500 ML
IVENA IV CATH 22
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
PRO IV NON WOVEN
PANTOPRAZOLE INJECTION
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
3,00
1,00
1,00
1,00
1,00
10,00

16 Mei 2013 14:38

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 14:35

Item
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

16 Mei 2013 14:34

Item
DOBUTAMIN GENERIK 50 MG/ML

JAKARTA SEHAT
Quantity
2,00

DOPAC 40 MG/ML INJECTION

INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
3,00

16 Mei 2013 14:30

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

16 Mei 2013 13:50

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 13:50

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 13:50

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

16 Mei 2013 13:49

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 13:49

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 13:18

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
3,00

16 Mei 2013 13:10

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
5,00
3,00

16 Mei 2013 13:10

Item
DISP SYRINGE 1 CC INSULIN
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

16 Mei 2013 13:10

Item
DISP SYRINGE 1 CC INSULIN
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

16 Mei 2013 13:05

Item
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

16 Mei 2013 13:04

Item
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

16 Mei 2013 13:03

Item
DISP SYRINGE 1 CC INSULIN
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

16 Mei 2013 13:03

Item
DISP SYRINGE 1 CC INSULIN
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

16 Mei 2013 13:03

Item
DISP SYRINGE 1 CC INSULIN
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

16 Mei 2013 13:03

Item
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

16 Mei 2013 09:08

Item
STOMACH TUBE 16 THERUMO
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

15 Mei 2013 13:41

Item
SANMOL TABLET 500 mg
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

UMUM
Quantity
6,00
6,00
2,00
2,00

PYRAZINAMIDE INF 500 MG TABLET

ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
IRBESARTAN 300 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
LASIX SOLUTION, INJECTION 20 MG/2 ML
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
4,00
2,00
4,00
4,00
6,00
6,00
4,00
4,00
40,00
2,00
16,00

15 Mei 2013 12:46

Item
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
MUSIN OTTO 120 ML SUSPENSION
AMINOPHYLLINE 24mg SOLUTION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
MICROPORE 1/2 INC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
1,00
4,00
4,00
4,00
20,00
4,00
6,00
10,00
10,00
10,00
1,00
1,00
1,00
1,00
16,00

15 Mei 2013 12:15

Item
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VECTRINE DEXA CAPSULE 300 mg
CEFIXIME GENERIK CAPSULE
LOVENOX 0,6 SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
6,00
4,00
4,00
4,00

RING AS SANBE 500 ML

INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
1,00
1,00
20,00
12,00

15 Mei 2013 12:15

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

15 Mei 2013 12:15

Item
DOPAC 40 MG/ML INJECTION
DOBUTAMIN GENERIK 50 MG/ML
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00

15 Mei 2013 11:28

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

15 Mei 2013 11:28

Item
BD MICRO-FINE
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
2,00

15 Mei 2013 11:27

Item
BD MICRO-FINE
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
5,00
1,00
2,00

TOTAL

15 Mei 2013 11:27

Item
LIDOCAIN 2% INJECTION
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 6.5
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
5,00
5,00
5,00
7,00

15 Mei 2013 10:12

Item
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

15 Mei 2013 10:11

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 09:36

Item
DOPAC 40 MG/ML INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

15 Mei 2013 09:19

Item
FOLIC ACID 1 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
30,00
10,00
60,00
5,00
10,00
10,00
6,00

TOTAL

15 Mei 2013 09:19

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

14 Mei 2013 20:54

Item
PELASTIN INFUSION
IVENA IV CATH 20
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

14 Mei 2013 15:04

Item
ANALSIK TABLET
IVENA IV CATH 22
DEXAMETHASONE 5 MG INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
PRONALGES SUPPOSITORY 100 MG
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
2,00
8,00
6,00
6,00
4,00
4,00
6,00
12,00
12,00
20,00
11,00

14 Mei 2013 14:53

Item
TUZALOS TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

14 Mei 2013 14:30

Item
ATORVASTATIN 20 MG TABLET

JAKARTA SEHAT
Quantity
2,00

TUSLAH NON RACIKAN

TOTAL

1,00

14 Mei 2013 14:25

Item
SOCLOR TABLET
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PANTOPRAZOLE INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
4,00
4,00
4,00
40,00
4,00
6,00

14 Mei 2013 14:25

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00

14 Mei 2013 14:25

Item
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

14 Mei 2013 14:22

Item
GLURENORM TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

14 Mei 2013 14:16

Item
RING AS SANBE 500 ML
INFUS SET JMS
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
IVENA IV CATH 22
ASAM TRANEKSAMAT 500/5 ML INJECTION
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC

UMUM
Quantity
6,00
1,00
6,00
1,00
6,00
2,00
2,00
6,00

DISP SYRINGE 3 CC
DERMAFIX-1V
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
1,00
1,00
20,00
12,00

14 Mei 2013 14:11

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

14 Mei 2013 13:25

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

14 Mei 2013 13:17

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

14 Mei 2013 13:16

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

14 Mei 2013 13:08

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

14 Mei 2013 13:08

Item
CURCUMA BLISTER
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
1,00

TOTAL

14 Mei 2013 13:07

Item
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

14 Mei 2013 13:02

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

14 Mei 2013 13:02

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

14 Mei 2013 12:59

Item
SELANG OKSIGEN ADULT
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

14 Mei 2013 12:08

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
30,00
5,00
20,00
30,00
9,00

14 Mei 2013 12:04

Item
METRONIDAZOLE 100 ML INFUSION
NATRIUM PHENITOIN 50MG /ML INJ
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

14 Mei 2013 11:37

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00
1,00
1,00
60,00
6,00
6,00

14 Mei 2013 11:19

Item
MUSIN OTTO 120 ML SUSPENSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
4,00
10,00
1,00
8,00

14 Mei 2013 11:19

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
1,00
1,00

14 Mei 2013 11:19

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 11:17

Item
DOPAC 40 MG/ML INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 50 CC CATH TIP
INFUS SET JMS
IVENA IV CATH 22
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
6,00

14 Mei 2013 11:17

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 11:16

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 11:14

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

14 Mei 2013 10:21

Item
BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
INH 300 MG TABLET
CLONIDINE INF 150 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
FOLIC ACID 1 MG TABLET

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
6,00
3,00
2,00
3,00
8,00
2,00
4,00

NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
ISOSORBIDE DINITRATE INF TABLET
AMINORAL TABLET
V-BLOC 6,25MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
ISOKET INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
4,00
12,00
4,00
16,00
3,00
3,00
3,00
3,00
17,00

14 Mei 2013 10:20

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ASPAR-K TABLET, COATED 300 mg
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
LOVENOX SOLUTION, INJECTION 40 mg
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
3,00
3,00
6,00
2,00
2,00
4,00
2,00
9,00

14 Mei 2013 10:11

Item
CLOPIDOGREL 75 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
2,00
2,00

14 Mei 2013 09:51

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

14 Mei 2013 09:50

Item

JAKARTA SEHAT
Quantity

DOBUTAMIN GENERIK 50 MG/ML

DISP SYRINGE 50 CC WITHOUT NED
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
STOMACH TUBE 16 THERUMO
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
10,00

14 Mei 2013 09:50

Item
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

14 Mei 2013 09:47

Item
FUROSEMID INF INJECTION
THREE WAY STOPCOCK
ISOKET INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
HERBESSER 50 MG/ML INJECTION
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
AMINORAL TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
2,00
1,00
2,00
3,00
3,00
2,00
3,00
3,00
1,00
3,00
12,00
10,00

14 Mei 2013 09:44

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

14 Mei 2013 09:44

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
ISOKET INJECTION
FUROSEMID INF INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
5,00
2,00
6,00

14 Mei 2013 09:44

Item
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
FUROSEMID INF INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
2,00
1,00
3,00
1,00
1,00
8,00

14 Mei 2013 09:43

Item
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
CAPTOPRIL 12.5 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
2,00
3,00
3,00
3,00
4,00
1,00
1,00
10,00

14 Mei 2013 09:43

Item
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
3,00
6,00
1,00

RING AS SANBE 500 ML

TUSLAH NON RACIKAN
TOTAL

1,00
4,00

14 Mei 2013 09:43

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

14 Mei 2013 09:43

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
ISOKET INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
MAGNESIUM SULFAT 20% INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
1,00
2,00
1,00
10,00
5,00
1,00
1,00
1,00
10,00

14 Mei 2013 09:42

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
ACETYLCYSTEIN 200MG CAPS
CITICHOLIN 2 ML 125 MG/ML INJECTION
SOPIROM INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NON REBREATHING MASK ADULT(1102)
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
4,00
2,00
3,00
1,00
1,00
7,00

14 Mei 2013 09:29

Item
COTRIMOXAZOLE 480 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION

JAKARTA SEHAT
Quantity
6,00
6,00
3,00
3,00

RING AS SANBE 500 ML

INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
1,00
1,00
6,00
30,00
10,00

14 Mei 2013 09:29

Item
SOCLOR TABLET
OMEPRAZOLE 40 MG INJECTION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
3,00
6,00
1,00
1,00
30,00
1,00
9,00

14 Mei 2013 09:28

Item
CAPTOPRIL 12.5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
6,00
3,00
3,00
6,00
6,00
5,00
3,00
9,00
6,00
3,00
30,00
12,00

14 Mei 2013 09:28

Item
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

JAKARTA SEHAT
Quantity
4,00
9,00

ASAM TRANEKSAMAT 500/5 ML INJECTION

CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
1,00
1,00
1,00
12,00
12,00
8,00
30,00
11,00

14 Mei 2013 09:28

Item
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 22
PANTOPRAZOLE INJECTION
INFUS SET JMS
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
9,00
6,00
1,00
6,00
1,00
12,00
3,00
6,00
12,00
9,00
30,00
1,00
14,00

14 Mei 2013 09:25

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
INFUS SET JMS
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
ISOKET INJECTION
IVENA IV CATH 22
LOVENOX 0,6 SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
18,00
3,00
1,00
6,00
4,00
12,00
9,00
10,00
1,00
6,00
16,00
6,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

6,00
60,00
1,00
15,00

14 Mei 2013 09:25

Item
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NEUROSANBE 3 ML INJECTION
AMINOFLUID 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
3,00
3,00
6,00
3,00
60,00
1,00
1,00
1,00
10,00

14 Mei 2013 09:23

Item
CAPTOPRIL 12.5 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
6,00
6,00
9,00
9,00
9,00
1,00
9,00
9,00
1,00
1,00
60,00
9,00
13,00

14 Mei 2013 09:21

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION

JAKARTA SEHAT
Quantity
6,00
4,00
3,00

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
9,00
6,00
3,00
60,00
8,00

14 Mei 2013 09:17

Item
PANTOPRAZOLE INJECTION
FUROSEMID INF INJECTION
METRONIDAZOLE 100 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
3,00
6,00
6,00
1,00
1,00
1,00
15,00
6,00
6,00
30,00
12,00

14 Mei 2013 09:16

Item
PARACETAMOL INF TABLET 500 mg
FOLIC ACID 1 MG TABLET
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
5,00
6,00
6,00
1,00
1,00
1,00
6,00
30,00
10,00

14 Mei 2013 09:16

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG

KLB
Quantity
9,00
3,00

CAPTOPRIL 12.5 MG TABLET

SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
12,00
9,00
8,00
8,00
1,00
1,00
1,00
16,00
9,00
30,00
14,00

14 Mei 2013 09:14

Item
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
INH 300 MG TABLET
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
PANTOPRAZOLE INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
3,00
6,00
6,00
3,00
6,00
9,00
9,00
6,00
9,00
9,00
9,00
20,00
13,00

14 Mei 2013 09:11

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

14 Mei 2013 09:10

Item
VERBAND ROLL
HANDSCOON NON STERIL M (PCS)
V-BLOC 6,25MG TABLET

JAKARTA SEHAT
Quantity
6,00
20,00
3,00

IRBESARTAN 150 MG TABLET

SIMARC-2 FAHRENHEIT 2 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
6,00

14 Mei 2013 09:09

Item
ASPAR-K TABLET, COATED 300 mg
FUROSEMID INF TABLET
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
AMINOPHYLLINE 200 MG TABLET
SPIRONOLACTONE 100 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
9,00
9,00
9,00
3,00
6,00
8,00
12,00
6,00
8,00
8,00
40,00
13,00

14 Mei 2013 09:07

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
FARMADOL 100 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
8,00
6,00
20,00
5,00

14 Mei 2013 09:06

Item
SPIRONOLACTONE 100 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
FUROSEMID INF TABLET
CIPROFLOXACIN TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
6,00
5,00
5,00
1,00
9,00

IMIPENEM CILASTATIN 1 GR INJECTION

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
9,00
9,00
6,00
30,00
10,00

14 Mei 2013 09:06

Item
FOLIC ACID 1 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
18,00
3,00
3,00
6,00
9,00
6,00
12,00
6,00
9,00
20,00
12,00

14 Mei 2013 09:05

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
1,00

14 Mei 2013 09:05

Item
ASPAR-K TABLET, COATED 300 mg
METFORMIN HCL 500 MG TABLET
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
8,00
3,00
9,00
6,00
6,00
1,00
1,00
9,00
6,00
1,00
40,00

TUSLAH NON RACIKAN

TOTAL

11,00

14 Mei 2013 09:05

Item
CLONIDINE INF 150 MG TABLET
DILTIAZEM INF TABLET 30 MG
ISOSORBIDE DINITRATE INF TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
AMINORAL TABLET
FOLIC ACID 1 MG TABLET
V-BLOC 6,25MG TABLET
HALOPERIDOL INF 0.5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
MERTIGO TABLET 6 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
18,00
9,00
1,00
9,00
18,00
9,00
4,00
6,00
18,00
9,00
6,00
3,00
3,00
3,00
13,00

14 Mei 2013 09:04

Item
AMINORAL TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
COTRIMOXAZOLE 480 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FLUCONAZOL INFUS 100 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
9,00
1,00
9,00
12,00
6,00
3,00
9,00
1,00
1,00
1,00
60,00
10,00

14 Mei 2013 09:03

Item

JAKARTA SEHAT
Quantity

AMLODIPIN 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
KUTOIN 100 MG INJECTION
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
DERMAFIX-1V
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

3,00
6,00
9,00
9,00
6,00
6,00
6,00
1,00
1,00
9,00
20,00
1,00
12,00

14 Mei 2013 09:03

Item
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ONDANSETRON INF 4 MG INJECTION
BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
6,00
6,00
6,00
9,00
6,00
6,00
9,00
10,00
9,00
9,00
10,00
16,00
15,00

14 Mei 2013 08:45

Item
SALBUTAMOL INF TABLET 2 MG
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
CLOPIDOGREL 75 MG TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
9,00
18,00
3,00
3,00
9,00
9,00
1,00
9,00

ACETYLCYSTEIN 200MG CAPS

AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
DEXAMETHASONE 5 MG INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
2,00
9,00
18,00
6,00
9,00
12,00
18,00
30,00
8,00
16,00

14 Mei 2013 08:42

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
30,00
4,00

14 Mei 2013 08:42

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
METRONIDAZOLE 100 ML INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
3,00
2,00
9,00
3,00
6,00
6,00
30,00
9,00

14 Mei 2013 08:42

Item
INFUS SET JMS
RING AS SANBE 500 ML
DERMAFIX-1V
VALAMIN SANBE INFUSION
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
1,00
6,00
1,00
3,00
1,00

PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
AMBROXOL INF 60 ML SYRUP
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

3,00
9,00
6,00
10,00
9,00
30,00
1,00
9,00
13,00

14 Mei 2013 08:42

Item
ISOSORBIDE DINITRATE INF TABLET
PROPANOLOL 10 MG TABLET
DISP SYRINGE 5 CC
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
9,00
9,00
9,00
9,00
6,00
9,00
30,00
6,00
10,00

14 Mei 2013 08:41

Item
ETHAMBUTOL500mg TABLET
SPIRONOLACTONE 100 MG TABLET
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
RIFAMPICIN GENERIK 450 MG TABLET
AMBROXOL INF 30 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
6,00
9,00
8,00
8,00
8,00
30,00
3,00
9,00
3,00
8,00
14,00

14 Mei 2013 08:41

Item
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
1,00
3,00
3,00
30,00
6,00

14 Mei 2013 08:09

Item
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
30,00
1,00
1,00
7,00

14 Mei 2013 08:09

Item
FOLIC ACID 1 MG TABLET
VITAMIN C 50 MG TABLET
AMLODIPIN 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
AMOXICILLIN 500 MG TABLET
FG TROCHES MEIJI
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
3,00
9,00
9,00
9,00
3,00
30,00
8,00

14 Mei 2013 08:07

Item
METFORMIN HCL 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION

JAKARTA SEHAT
Quantity
6,00
6,00
30,00
6,00
3,00

INFUS SET JMS

IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
8,00

14 Mei 2013 08:06

Item
ONDANSETRON INF 4 MG INJECTION
PANTOPRAZOLE INJECTION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
3,00
9,00
6,00
30,00
6,00

14 Mei 2013 08:06

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
6,00
6,00
1,00
1,00
6,00
6,00
30,00
9,00

14 Mei 2013 08:06

Item
GLIQUIDONE 30 MG TABLET
ALPENTIN 100 MG TABLET
NATRIUM DIKLOFENAK 50 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
1,00
9,00
9,00
6,00
9,00
6,00
3,00
6,00
6,00
6,00
30,00

INFUS SET JMS

IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
14,00

14 Mei 2013 08:05

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
NATRIUM PHENITOIN 50MG /ML INJ
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
9,00
6,00
6,00
1,00
1,00
12,00
9,00
6,00
30,00
11,00

14 Mei 2013 06:46

Item
DISP SYRINGE 5 CC
IVENA IV CATH 22
SELANG NEBUL WITH MASK(1493)
BD VACUTAINER
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
3,00
4,00
5,00

14 Mei 2013 06:43

Item
IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
MICROPORE 1/2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NEEDLE NO. 23 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
3,00
3,00
3,00
8,00

14 Mei 2013 00:52

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

14 Mei 2013 00:47

Item
DOBUTAMIN GENERIK 50 MG/ML
IVENA IV CATH 22
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

14 Mei 2013 00:45

Item
BD VACUTAINER
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

14 Mei 2013 00:23

Item
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
FARMADOL 100 ML INFUSION
PELASTIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
1,00
1,00
6,00

14 Mei 2013 00:22

Item
DISP SYRINGE 5 CC
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

14 Mei 2013 00:18

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
4,00

14 Mei 2013 00:14

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
2,00
4,00

14 Mei 2013 00:11

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
5,00
5,00
7,00

13 Mei 2013 23:01

Item
RINGER LACTATE WIDATRA 500 ML
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
5,00
5,00
1,00
5,00

13 Mei 2013 22:06

JAKARTA SEHAT

Item
YAL JELLY SOLUTION
IVENA IV CATH 18
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
3,00

13 Mei 2013 22:04

Item
CINAM 1.5 GM INJECTION
YAL JELLY SOLUTION
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

13 Mei 2013 20:29

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

13 Mei 2013 20:29

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

13 Mei 2013 20:29

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

13 Mei 2013 19:05

Item
GUEDEL AIRWAYS SIZE 8.0
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00
3,00
2,00
4,00

TOTAL

13 Mei 2013 13:35

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
6,00
3,00

13 Mei 2013 13:22

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 13:10

Item
BIFOTIK POWDER, FOR INJECTION SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

13 Mei 2013 13:04

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
2,00

13 Mei 2013 12:22

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 12:06

Item
SANMOL TABLET 500 mg
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML

UMUM
Quantity
6,00
6,00
4,00
6,00

INFUS SET JMS

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
1,00
40,00
9,00

13 Mei 2013 11:57

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

13 Mei 2013 11:49

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 11:41

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
1,00
1,00

13 Mei 2013 11:40

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 11:37

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

13 Mei 2013 11:37

Item
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
2,00

TUSLAH NON RACIKAN

TOTAL

1,00

13 Mei 2013 11:36

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

13 Mei 2013 11:36

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

13 Mei 2013 11:29

Item
ANALSIK TABLET
DEXAMETHASONE 5 MG INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
8,00
6,00
6,00
12,00
6,00
6,00
7,00

13 Mei 2013 11:23

Item
GLIQUIDONE 30 MG TABLET
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
1,00
1,00
1,00
1,00
3,00

13 Mei 2013 11:12

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
6,00
1,00

TOTAL

13 Mei 2013 11:12

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

13 Mei 2013 09:34

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

13 Mei 2013 09:04

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

12 Mei 2013 19:55

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
2,00
2,00

12 Mei 2013 18:41

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

12 Mei 2013 16:53

Item
RING AS SANBE 500 ML
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

12 Mei 2013 13:52

Item
MECOBALAMIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

12 Mei 2013 13:13

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
N2 OTSUKA 500 ML INFUSION 27.5 GM; 2.25 GM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
2,00
4,00
1,00
2,00
6,00

12 Mei 2013 12:47

Item
TRANSFUSION SET JMS
THREE WAY STOPCOCK
IVENA IV CATH 18
HANDSCOON GAMEX 7
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

12 Mei 2013 12:45

Item
VALAMIN SANBE INFUSION
RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
2,00
10,00
20,00
4,00

12 Mei 2013 12:32

Item
DOBUTAMIN GENERIK 50 MG/ML
LOVENOX 0,6 SOLUTION, INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
3,00
1,00
4,00

RING AS SANBE 500 ML

DISP SYRINGE 5 CC
THREE WAY STOPCOCK
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON NON STERIL S (PCS)
NEEDLE NO. 23 THERUMO
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
IVENA IV CATH 22
RENXAMIN INFUSION
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
2,00
20,00
3,00
3,00
3,00
1,00
2,00
2,00
15,00

12 Mei 2013 12:23

Item
GELAFUSAL 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
IVENA IV CATH 24
THREE WAY STOPCOCK
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00
6,00

12 Mei 2013 12:22

Item
MAGNESIUM SULFAT 20% INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
20,00
5,00
5,00

12 Mei 2013 12:19

Item
CLOPIDOGREL 75 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
GELAFUSAL 500 ML INFUSION

JPK PNS
Quantity
1,00
2,00
20,00
3,00
3,00
2,00

DRAINAGE BAG STERIL

XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
9,00

12 Mei 2013 12:16

Item
INFUS SET JMS
NON REBREATHING MASK ADULT(1102)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DEXAMETHASONE 5 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
1,00
2,00
3,00
3,00
2,00
3,00
2,00
2,00
3,00
20,00
1,00
14,00

12 Mei 2013 11:59

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
3,00
2,00
10,00
2,00
1,00
8,00

12 Mei 2013 11:55

Item
MECOBALAMIN AMP INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC

UMUM
Quantity
1,00
2,00
2,00
2,00

DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

2,00
10,00
10,00
6,00
8,00

12 Mei 2013 11:49

Item
ANALSIK TABLET
MEMORAN TABLET 100 MG
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
10,00
3,00
4,00

12 Mei 2013 11:46

Item
SANMOL TABLET 500 mg
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
SAGESTAM SANBE 10 GM CREAM
WIDAHES 130
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
ONDANSENTRON INF 8 MG/4ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
2,00
3,00
1,00
1,00
10,00
10,00
2,00
9,00

12 Mei 2013 11:36

Item
FOTARAM 1 g
BISOLVON 2 ML INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
THREE WAY STOPCOCK
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
NEEDLE NO.18 THERUMO
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
1,00
10,00
10,00
2,00
1,00
1,00
1,00
3,00
2,00
10,00

12 Mei 2013 11:30

Item
SANMOL TABLET 500 mg
INBION CAPSULE
PANSO INJEKSI 1 VIL
CEDANTRON 4 MG/ML INJECTION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
10,00
10,00
3,00
3,00
2,00
13,00

12 Mei 2013 11:27

Item
SANMOL TABLET 500 mg
SANPRIMA FORTE TABLET
METRONIDAZOLE 500 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FLUCONAZOL INFUS 100 ML
DEXAMETHASONE 5 MG INJECTION
FARMADOL 100 ML INFUSION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
4,00
3,00
2,00
2,00
1,00
6,00
1,00
1,00
1,00
3,00
3,00
10,00
10,00
14,00

12 Mei 2013 11:23

Item
INFUS SET JMS
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

12 Mei 2013 11:23

Item
DISP SYRINGE 50 CC WITHOUT NED
AMINOPHYLLINE 24mg SOLUTION
MAGNESIUM SULFAT 20% INJECTION
HANDSCOON NON STERIL S (PCS)
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
ATORVASTATIN 20 MG TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
20,00
1,00
2,00
1,00
1,00
8,00

12 Mei 2013 11:20

Item
CALCIUM GLUCONAS ETHICA INJECTION
MAGNESIUM SULFAT 20% INJECTION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
20,00
2,00
4,00

12 Mei 2013 11:19

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
ALKOHOL SWAB
ISOSORBIDE DINITRATE INF TABLET
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
5,00
3,00
20,00
6,00

12 Mei 2013 11:11

Item
FARGOXIN INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
20,00
2,00
4,00

12 Mei 2013 11:07

Item
PIRACETAM INJ 3 GR/ 15 ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
3,00
1,00
1,00
3,00

12 Mei 2013 11:05

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
2,00
2,00
20,00
4,00

12 Mei 2013 11:03

Item
SOHOLIN 125 MG/ML INJECTION
PRONALGES SUPPOSITORY 100 MG
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00
2,00
3,00

12 Mei 2013 11:01

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

12 Mei 2013 10:59

Item
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
2,00
4,00

TOTAL

12 Mei 2013 10:58

Item
FOLLEY CATHETER 18 RUSCH
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
IVENA IV CATH 22
DISP SYRINGE 50 CC WITHOUT NED
THREE WAY STOPCOCK
TRANSFUSION SET JMS
IVENA IV CATH 24
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
2,00
9,00

12 Mei 2013 10:56

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
OMEPRAZOLE 40 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
ANTRAIN INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
1,00
2,00
1,00
6,00

12 Mei 2013 10:41

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

12 Mei 2013 10:38

Item
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
2,00
2,00
2,00
4,00

12 Mei 2013 09:30

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

11 Mei 2013 11:59

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 10:05

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 18:25

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

10 Mei 2013 15:29

Item
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KALTROFEN KALBE SUPPOSITORY 100 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
3,00
9,00
4,00

10 Mei 2013 15:03

Item
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
2,00
9,00
3,00

TOTAL

9 Mei 2013 18:51

Item
PANTOPRAZOLE INJECTION
OPIGRAN INJ 3
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
3,00

9 Mei 2013 18:49

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
YAL JELLY SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
IVENA IV CATH 18
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
3,00
1,00
1,00
1,00
7,00

9 Mei 2013 18:47

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
YAL JELLY SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
IVENA IV CATH 18
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
1,00
1,00
1,00
7,00

9 Mei 2013 17:50

Item
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

9 Mei 2013 17:42

JAKARTA SEHAT

Item
DISP SYRINGE 20 CC WIHTOUT NED
VASCON SOLUTION, INJECTION 4 MG/4 ML
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
3,00
2,00
3,00

9 Mei 2013 17:42

Item
ISOKET INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00

9 Mei 2013 17:41

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
ATORVASTATIN 20 MG TABLET
CAPTOPRIL 12.5 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
2,00
6,00
1,00
7,00

9 Mei 2013 17:01

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

9 Mei 2013 16:59

Item
DISP SYRINGE 10 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
PANTOPRAZOLE INJECTION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
RINGER LACTATE WIDATRA 500 ML

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
2,00
2,00
2,00
1,00
1,00

COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)

MICROPORE 1/2 INC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
3,00
10,00
1,00
13,00

9 Mei 2013 16:54

Item
CINAM 1.5 GM INJECTION
PRONALGES SUPPOSITORY 100 MG
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
2,00
20,00
1,00
6,00

9 Mei 2013 16:53

Item
DISP SYRINGE 50 CC CATH TIP
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
M-20 INFUSAN (MANITOL) 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NON REBREATHING MASK ADULT(1102)
DISP SYRINGE 5 CC
INPEPSA 100 ML SYRUP 500 mg/5 ml
SUCTION CATHETER 16
GUEDEL AIRWAYS SIZE 9.0
DEXAMETHASONE 5 MG INJECTION
VERBAND ROLL
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
1,00
2,00
4,00
4,00
2,00
1,00
3,00
1,00
4,00
1,00
1,00
1,00
1,00
2,00
1,00
19,00

9 Mei 2013 14:56

UMUM

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
2,00
2,00

9 Mei 2013 13:29

Item
SANMOL TABLET 500 mg
MAGARD FA TABLET, CHEWABLE
FARMADOL 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
OPIGRAN INJ 3
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
3,00
2,00
2,00
2,00
5,00
10,00
1,00
1,00
1,00
2,00
11,00

9 Mei 2013 12:53

Item
DOBUTAMIN GENERIK 50 MG/ML
LOVENOX 0,6 SOLUTION, INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
ASPAR-K TABLET, COATED 300 mg
ATORVASTATIN 20 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
10,00
5,00
3,00
2,00
1,00
7,00

9 Mei 2013 12:52

Item
DRAINAGE BAG STERIL
FUROSEMID INF INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 60 ML SYRUP
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
10,00
2,00
1,00
1,00
5,00
20,00
3,00

DISP SYRINGE 20 CC WIHTOUT NED

DISP SYRINGE 3 CC
ATORVASTATIN 20 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DISP SYRINGE 5 CC
BISOLVON SOLUTION 50 ML
CORDARONE 50 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
2,00
3,00
2,00
1,00
2,00
15,00

9 Mei 2013 12:49

Item
GUEDEL AIRWAYS SIZE 9.0
SUCTION CATHETER 16
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 50 CC CATH TIP
AMLODIPIN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00
1,00
2,00
6,00
2,00
30,00
1,00
1,00
6,00
12,00

9 Mei 2013 12:47

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

9 Mei 2013 12:45

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 12:44

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

9 Mei 2013 12:01

Item
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
2,00
2,00
1,00
3,00
4,00

9 Mei 2013 12:00

Item
KETOROLAC 30 MG SOLUTION, INJECTION
PRONALGES SUPPOSITORY 100 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
4,00
3,00
4,00

9 Mei 2013 11:43

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD VACUTAINER
HANDSCOON NON STERIL S (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
2,00
30,00
1,00
7,00

9 Mei 2013 11:41

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
NEEDLE NO 25 THERUMO
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
6,00
6,00
2,00
2,00
2,00
3,00
5,00
30,00
1,00

HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

2,00
10,00

9 Mei 2013 11:39

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEREMAX IV INFUS 50ml
MANITOL OTSU 500 ML INFUSION 20 %WV
DISP SYRINGE 5 CC
AMINOFLUID 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
INFUS SET JMS
SUCTION CATHETER 14
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
2,00
3,00
1,00
1,00
3,00
1,00
4,00
1,00
1,00
2,00
2,00
10,00
14,00

9 Mei 2013 11:36

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
CONDOM CATHETER S
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
3,00
5,00
100,00
1,00
2,00
2,00
1,00
9,00

9 Mei 2013 11:10

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

9 Mei 2013 10:53

Item
ISOKET INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
NEEDLE NO.18 THERUMO
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00
1,00
5,00
2,00
2,00
2,00
20,00
1,00
11,00

9 Mei 2013 10:51

Item
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
ISOKET INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
20,00
5,00
2,00
2,00
1,00
8,00

9 Mei 2013 10:51

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
5,00
10,00
4,00
2,00
7,00

9 Mei 2013 10:49

Item
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
6,00

BISOPROLOL 5 MG TABLET
CEFPIROME 1GR VIL
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
10,00
2,00
2,00
2,00
1,00
5,00
9,00

9 Mei 2013 10:46

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RENXAMIN INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
20,00
3,00

9 Mei 2013 10:45

Item
AMINORAL TABLET
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
HANDSCOON NON STERIL M (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
3,00
1,00
1,00
2,00
20,00
2,00
2,00
1,00
10,00

9 Mei 2013 10:43

Item
DISP SYRINGE 50 CC WITHOUT NED
MAGNESIUM SULFAT 20% INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
SELANG NEBUL WITH MASK(1493)
SELANG OKSIGEN ADULT
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00

TUSLAH NON RACIKAN

TOTAL

8,00

9 Mei 2013 10:35

Item
SANMOL TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FLUCONAZOL INFUS 100 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
2,00
1,00
1,00
4,00
2,00
10,00
1,00
9,00

9 Mei 2013 10:15

Item
ISOKET INJECTION
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

9 Mei 2013 10:14

Item
SOCLOR TABLET
DOMPERIDON INF TABLET 10 MG
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
WIDAHES 130
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
1,00
1,00
2,00
2,00
10,00
10,00
1,00
1,00
10,00

9 Mei 2013 10:14

Item
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)

JAKARTA SEHAT
Quantity
1,00
1,00

THREE WAY STOPCOCK

AMINOPHYLLINE 24mg SOLUTION
NEEDLE NO.18 THERUMO
IVENA IV CATH 24
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
1,00
7,00

8 Mei 2013 13:55

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
1,00

8 Mei 2013 13:55

Item
ISOSORBIDE DINITRATE INF TABLET
PROPANOLOL 10 MG TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
HANDSCOON NON STERIL M (PCS)
PANTOPRAZOLE INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
12,00
12,00
20,00
4,00
1,00
1,00
1,00
1,00
12,00
12,00
4,00
4,00
14,00

8 Mei 2013 13:51

Item
ANALSIK TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
KALTROFEN KALBE SUPPOSITORY 100 mg
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)

UMUM
Quantity
6,00
4,00
8,00
4,00
8,00
6,00
6,00
8,00
20,00

TUSLAH NON RACIKAN

TOTAL

9,00

8 Mei 2013 13:50

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

8 Mei 2013 13:48

Item
DISP SYRINGE 3 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
3,00

8 Mei 2013 13:47

Item
AMLODIPIN 10 MG TABLET
AMBROXOL INF 30 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
15,00
10,00
4,00

8 Mei 2013 12:33

Item
ALPENTIN 100 MG TABLET
NATRIUM DIKLOFENAK 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
2,00

8 Mei 2013 12:10

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00

8 Mei 2013 12:09

Item

JAKARTA SEHAT
Quantity

VALAMIN SANBE INFUSION

INFUS SET JMS
FUROSEMID INF INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
PANTOPRAZOLE INJECTION
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

6,00
1,00
8,00
2,00
4,00
1,00
1,00
8,00
8,00
8,00
30,00
8,00
12,00

8 Mei 2013 12:09

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL M (PCS)
FOLIC ACID 1 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
1,00
30,00
12,00
12,00
7,00

8 Mei 2013 12:09

Item
PANTOPRAZOLE INJECTION
IVENA IV CATH 22
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
2,00
4,00
2,00
1,00
40,00
2,00
7,00

8 Mei 2013 12:09

Item
RING AS SANBE 500 ML
CEFOPERAZONE SULBACTAM 1 GM INJECTION
INFUS SET JMS

JAKARTA SEHAT
Quantity
12,00
6,00
1,00

IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
8,00
6,00
20,00
12,00
10,00

8 Mei 2013 12:09

Item
PANTOPRAZOLE INJECTION
FUROSEMID INF INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
8,00
1,00
1,00
1,00
12,00
6,00
12,00
20,00
10,00

8 Mei 2013 12:09

Item
RING AS SANBE 500 ML
INFUS SET JMS
DISP SYRINGE 5 CC
DERMAFIX-1V
HANDSCOON NON STERIL M (PCS)
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
4,00
1,00
30,00
12,00
6,00

8 Mei 2013 12:08

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
6,00
12,00
1,00
1,00
1,00
8,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
20,00
8,00

8 Mei 2013 12:08

Item
DERMAFIX-1V
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
OMEPRAZOLE GEN 20 MG CAPSULE
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
16,00
1,00
1,00
30,00
8,00
12,00
7,00

8 Mei 2013 12:07

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

8 Mei 2013 12:02

Item
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
9,00
4,00
4,00
1,00
1,00
1,00
16,00
8,00
30,00
10,00

8 Mei 2013 09:18

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 20:16

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
BD VACUTAINER
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
5,00

7 Mei 2013 19:05

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

7 Mei 2013 17:08

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
3,00
1,00
2,00
1,00
1,00
2,00
2,00
1,00
10,00
11,00

7 Mei 2013 14:55

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 14:53

UMUM

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

7 Mei 2013 14:44

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

7 Mei 2013 14:29

Item
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
HANDSCOON NON STERIL M (PCS)
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
20,00
1,00
10,00

7 Mei 2013 14:29

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 14:26

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FARMADOL 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
1,00
1,00
4,00

7 Mei 2013 13:56

JAKARTA SEHAT

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
5,00
1,00

7 Mei 2013 13:53

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

7 Mei 2013 13:52

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

7 Mei 2013 13:26

Item
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
2,00
1,00
1,00
20,00
7,00

7 Mei 2013 13:16

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 13:05

Item
METRONIDAZOLE 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
IVENA IV CATH 22
DERMAFIX-1V

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
1,00
1,00

DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
30,00
8,00

7 Mei 2013 10:25

Item
METHYL PREDNISOLONE INF 4 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
30,00
3,00

7 Mei 2013 10:17

Item
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 10:16

Item
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
1,00
1,00
2,00

7 Mei 2013 10:16

Item
DOBURAN INJ
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 10:16

Item
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
4,00

7 Mei 2013 10:10

Item
METFORMIN HCL 500 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
VALAMIN SANBE INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00
8,00
8,00
8,00
30,00
4,00
1,00
1,00
1,00
4,00
8,00
12,00

7 Mei 2013 10:10

Item
AMLODIPIN 5 MG TABLET
MICARDIS TABLET 80 mg
PANTOPRAZOLE INJECTION
TRANSFUSION SET JMS
ONDANSETRON INF 4 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 20
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
1,00
12,00
8,00
8,00
4,00
12,00
4,00
1,00
1,00
12,00
12,00
30,00
15,00

7 Mei 2013 10:09

Item
DISP SYRINGE 5 CC
OMEPRAZOLE 40 MG INJECTION
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
INFUS SET JMS

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
8,00
1,00

IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00
4,00
30,00
10,00

7 Mei 2013 10:09

Item
HYPERIL 5 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
INFUS SET JMS
ONDANSETRON INF 4 MG INJECTION
HANDSCOON NON STERIL S (PCS)
FARMADOL 100 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
1,00
8,00
30,00
9,00
8,00
8,00
12,00
1,00
1,00
6,00
12,00
13,00

7 Mei 2013 09:52

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
4,00
16,00
4,00
4,00
1,00
1,00
1,00
30,00
1,00
11,00

7 Mei 2013 09:52

Item

JAKARTA SEHAT
Quantity

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

FARMADOL 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
9,00
1,00
1,00
4,00
8,00
1,00
30,00
8,00

7 Mei 2013 09:52

Item
CAPTOPRIL 12.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
8,00
8,00
8,00
4,00
30,00
6,00

7 Mei 2013 09:50

Item
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FOLIC ACID 1 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
AMBROXOL INF 30 MG TABLET
FUROSEMID INF INJECTION
DISP SYRINGE 10 CC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
DERMAFIX-1V
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
1,00
1,00
12,00
12,00
1,00
12,00
12,00
12,00
5,00
8,00
8,00
4,00
1,00
1,00
1,00
12,00
8,00
16,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

30,00
16,00

7 Mei 2013 09:39

Item
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 09:39

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 09:27

Item
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
CEFOPERAZONE SULBACTAM 1 GM INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
12,00
8,00
1,00
1,00
1,00
8,00
30,00
4,00
7,00

7 Mei 2013 09:26

Item
AMINORAL TABLET
AMINOFLUID 500 ML INFUSION
INFUS SET JMS
KA-EN 3B 500 ML INFUSION
FLUCONAZOL INFUS 100 ML
IVENA IV CATH 22
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
12,00
4,00
1,00
4,00
4,00
1,00
12,00
8,00
6,00
8,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

HANDSCOON NON STERIL S (PCS)
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

8,00
30,00
4,00
12,00
1,00
12,00
16,00
14,00

7 Mei 2013 09:26

Item
GLIBENCLAMID INF TABLET
METFORMIN HCL 500 MG TABLET
RANITIDINE INF TABLET 150 MG
ASAM MEFENAMAT INF 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DERMAFIX-1V
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
8,00
12,00
8,00
1,00
4,00
8,00
30,00
9,00

7 Mei 2013 09:16

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
AMINORAL TABLET
ASPAR-K TABLET, COATED 300 mg
PANTOPRAZOLE INJECTION
INFUS SET JMS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
GRANISETRON 3 ML INJECTION
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
12,00
24,00
24,00
8,00
1,00
8,00
1,00
8,00
4,00
1,00
4,00
8,00
30,00
13,00

7 Mei 2013 09:15

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
8,00
4,00
4,00
4,00
8,00
1,00
1,00
1,00
30,00
11,00

7 Mei 2013 09:06

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
FUROSEMID INF INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
8,00
8,00
8,00
12,00
8,00
8,00
4,00
12,00
4,00
8,00
1,00
1,00
1,00
30,00
17,00

7 Mei 2013 09:06

Item
DOMPERIDON INF TABLET 10 MG
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
6,00

RING AS SANBE 500 ML

INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
1,00
1,00
1,00
16,00
30,00
10,00

7 Mei 2013 09:02

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
INH 300 MG TABLET
LEVOFLOXACIN INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DEXAMETHASONE 5 MG INJECTION
PANTOPRAZOLE INJECTION
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
32,00
4,00
8,00
8,00
4,00
4,00
8,00
12,00
12,00
1,00
1,00
15,00
5,00
8,00
30,00
16,00

7 Mei 2013 08:51

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
VECTRINE DEXA CAPSULE 300 mg
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN TABLET 20 MG
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
FARMADOL 100 ML INFUSION
DISP SYRINGE 10 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

JAKARTA SEHAT
Quantity
1,00
8,00
12,00
4,00
12,00
1,00
12,00
9,00
6,00
8,00
8,00
16,00
12,00

ASAM TRANEKSAMAT 500/5 ML INJECTION

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
12,00
8,00
16,00
30,00
15,00

7 Mei 2013 08:50

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
8,00
8,00
12,00
1,00
1,00
1,00
1,00
8,00
4,00
8,00
30,00
8,00
14,00

7 Mei 2013 08:50

Item
ASPAR-K TABLET, COATED 300 mg
FUROSEMID INF TABLET
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
12,00
8,00
12,00
12,00
8,00
8,00
9,00
8,00
16,00
12,00
1,00
1,00
1,00
1,00
6,00
12,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
30,00
18,00

7 Mei 2013 08:50

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE 40 MG INJECTION
INFUS SET JMS
ONDANSETRON INF 4 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
KETESSE 25 MG/ML INJECTION
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
1,00
12,00
12,00
4,00
8,00
1,00
1,00
4,00
16,00
4,00
30,00
13,00

7 Mei 2013 08:50

Item
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
1,00
1,00
12,00
30,00
1,00
7,00

7 Mei 2013 08:49

Item
CAPTOPRIL 12.5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
OTSU SALIN 3% INFUSION
INFUS SET JMS
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
24,00
8,00
8,00
12,00
3,00
1,00
1,00

DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
12,00
4,00
8,00
30,00
13,00

7 Mei 2013 08:49

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
12,00
4,00
8,00
30,00
4,00
1,00
1,00
1,00
5,00
30,00
10,00

7 Mei 2013 08:26

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DERMAFIX-1V
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
16,00
1,00
1,00
16,00
1,00
1,00
30,00
4,00
11,00

7 Mei 2013 08:26

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
2,00
4,00

ISOSORBIDE DINITRATE INF TABLET

GLIMEPIRIDE 2 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
LOVENOX 0,6 SOLUTION, INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
4,00
4,00
4,00
4,00
8,00
4,00
4,00
1,00
1,00
6,00
8,00
30,00
15,00

7 Mei 2013 08:26

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00
1,00
1,00
1,00
4,00
30,00
7,00

7 Mei 2013 08:26

Item
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
IRBESARTAN 300 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
PANTOPRAZOLE INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ONDANSETRON INF 4 MG INJECTION
BISOLVON 2 ML INJECTION
ISOKET INJECTION

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
8,00
8,00
3,00
12,00
2,00
8,00
8,00
8,00
12,00
12,00
12,00
8,00

INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML

DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
9,00
12,00
30,00
20,00

7 Mei 2013 08:09

Item
METRONIDAZOLE 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
1,00
1,00
1,00
1,00
8,00
8,00
30,00
10,00

7 Mei 2013 08:06

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
12,00
12,00
8,00
1,00
1,00
1,00
1,00
12,00
30,00
12,00

7 Mei 2013 08:06

Item
SPIRONOLACTONE 100 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE

JAKARTA SEHAT
Quantity
4,00
8,00

DOMPERIDON INF TABLET 10 MG

FUROSEMID INF TABLET
CIPROFLOXACIN TABLET
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
8,00
8,00
8,00
4,00
12,00
1,00
1,00
1,00
1,00
8,00
6,00
15,00
30,00
16,00

7 Mei 2013 06:13

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

7 Mei 2013 03:09

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 03:06

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 03:03

Item
NON REBREATHING MASK ADULT(1102)
IVENA IV CATH 24
IVENA IV CATH 22
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

MICROPORE 1/2 INC

INFUS SET JMS
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
8,00

7 Mei 2013 03:03

Item
SELANG OKSIGEN ADULT
IVENA IV CATH 22
IVENA IV CATH 20
STOMACH TUBE 16 THERUMO
MICROPORE 1/2 INC
TRANSFUSION SET JMS
FARMADOL 100 ML INFUSION
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
6,00
8,00

7 Mei 2013 03:02

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

7 Mei 2013 03:01

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NACL CAPS 500 mg CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
3,00
1,00

7 Mei 2013 03:01

Item
ASPAR-K TABLET, COATED 300 mg
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

7 Mei 2013 03:00

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

7 Mei 2013 01:28

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

7 Mei 2013 01:28

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

7 Mei 2013 01:16

Item
AMINOFLUID 500 ML INFUSION
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

7 Mei 2013 00:32

Item
RING AS SANBE 500 ML
YAL JELLY SOLUTION
IVENA IV CATH 18
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

7 Mei 2013 00:22

Item
KA-EN 3B 500 ML INFUSION
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00

TUSLAH NON RACIKAN

TOTAL

4,00

7 Mei 2013 00:20

Item
YAL JELLY SOLUTION
IVENA IV CATH 18
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
3,00

7 Mei 2013 00:17

Item
RING AS SANBE 500 ML
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

7 Mei 2013 00:17

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
3,00

7 Mei 2013 00:16

Item
RING AS SANBE 500 ML
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

7 Mei 2013 00:09

Item
RINGER LACTATE WIDATRA 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
IVENA IV CATH 20
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

6 Mei 2013 22:54

Item
DISP SYRINGE 1 CC INSULIN
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

6 Mei 2013 22:45

Item
PANTOPRAZOLE INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

6 Mei 2013 19:06

Item
FOLLEY CATHETER 18 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
DRAINAGE BAG STERIL
FUROSEMID INF INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
8,00

6 Mei 2013 15:08

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

6 Mei 2013 13:22

Item
CAPTOPRIL 12.5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
6,00
4,00
3,00
6,00
6,00
1,00
1,00

DERMAFIX-1V
DISP SYRINGE 3 CC
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
8,00
1,00
4,00
30,00
12,00

6 Mei 2013 13:22

Item
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
4,00
4,00
1,00
1,00
40,00
8,00

6 Mei 2013 13:21

Item
METFORMIN HCL 500 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
4,00
4,00
2,00
2,00
1,00
1,00
1,00
1,00
4,00
4,00
40,00
13,00

6 Mei 2013 13:21

Item
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
4,00
1,00
4,00

CEFOPERAZONE SULBACTAM 1 GM INJECTION

RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
4,00
1,00
1,00
1,00
1,00
4,00
40,00
9,00

6 Mei 2013 12:59

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
4,00
6,00
8,00
1,00
1,00
6,00
7,00

6 Mei 2013 11:10

Item
OTSU SALIN 3% INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

6 Mei 2013 11:10

Item
GLIMEPIRIDE 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

6 Mei 2013 10:54

Item
DOMPERIDON INF TABLET 10 MG
ACPULSIF 5 MG TABLET 5 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE GEN 20 MG CAPSULE

JAKARTA SEHAT
Quantity
20,00
20,00
1,00
15,00

TUSLAH NON RACIKAN

TOTAL

4,00

6 Mei 2013 10:43

Item
OMEPRAZOLE GEN 20 MG CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
PROPANOLOL 10 MG TABLET
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
15,00
7,00
7,00
20,00
6,00

4 Mei 2013 12:11

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

4 Mei 2013 12:11

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

4 Mei 2013 12:11

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

4 Mei 2013 12:11

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

4 Mei 2013 12:10

Item
DISP SYRINGE 1 CC INSULIN

JAKARTA SEHAT
Quantity
9,00

TUSLAH NON RACIKAN

TOTAL

1,00

4 Mei 2013 11:20

Item
FLUCONAZOL INFUS 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 11:05

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

4 Mei 2013 10:49

Item
IOPAMIRO 300/ 50 ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

4 Mei 2013 10:28

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

3 Mei 2013 14:17

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

3 Mei 2013 13:28

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

3 Mei 2013 13:12

Item
IMBOOST FORCE TABLET
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
16,00
2,00

3 Mei 2013 13:10

Item
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
NEUROSANBE 3 ML INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
5,00
3,00
11,00
4,00

3 Mei 2013 13:07

Item
LEVOFLOXACIN INFUSION
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
2,00

3 Mei 2013 11:21

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
1,00
1,00
1,00
1,00
1,00
10,00
6,00

3 Mei 2013 11:10

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

3 Mei 2013 10:17

Item
DRAINAGE BAG STERIL
THREE WAY STOPCOCK
DISP SYRINGE 10 CC
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

3 Mei 2013 09:17

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE 40 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
12,00
10,00
12,00
8,00
20,00
13,00

3 Mei 2013 09:14

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

3 Mei 2013 09:13

Item
BETAHISTIN NOVELL TABLET 6 MG
AMLODIPIN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
METFORMIN HCL 500 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
12,00
4,00
8,00
12,00
8,00
8,00
8,00

INFUS SET JMS

IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
8,00
8,00
8,00
20,00
15,00

3 Mei 2013 09:13

Item
GLIBENCLAMID INF TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
MICROPORE 1/2 INC
DERMAFIX-1V
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
9,00
9,00
1,00
1,00
1,00
1,00
8,00
8,00
20,00
11,00

3 Mei 2013 09:12

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
FLUCONAZOL INFUS 100 ML
DISP SYRINGE 10 CC
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
8,00
8,00
8,00
8,00
4,00
8,00
6,00
4,00
1,00
1,00
1,00
1,00
8,00

DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
20,00
18,00

3 Mei 2013 09:12

Item
ASAM MEFENAMAT INF 500 MG TABLET
CIPROFLOXACIN TABLET
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
12,00
8,00
8,00
1,00
1,00
1,00
12,00
20,00
10,00

3 Mei 2013 09:10

Item
CAPTOPRIL 12.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
8,00
8,00
8,00
1,00
1,00
1,00
8,00
8,00
30,00
12,00

3 Mei 2013 09:09

Item
PROPANOLOL 10 MG TABLET
SPIRONOLACTONE 100 MG TABLET
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

JAKARTA SEHAT
Quantity
8,00
4,00
8,00
6,00
12,00

FUROSEMID INF INJECTION

INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
1,00
1,00
12,00
8,00
8,00
30,00
13,00

3 Mei 2013 09:07

Item
AMLODIPIN 10 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
8,00
8,00
8,00
8,00
1,00
1,00
1,00
8,00
8,00
8,00
30,00
14,00

3 Mei 2013 09:05

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
12,00
1,00
1,00
1,00
8,00
8,00
30,00
9,00

3 Mei 2013 09:03

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
ETHAMBUTOL500mg TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CILOSTAZOL 100 MG TABLET
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
1,00
1,00
12,00
8,00
4,00
4,00
12,00
6,00

3 Mei 2013 09:02

Item
ASPAR-K TABLET, COATED 300 mg
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
24,00
4,00
8,00
8,00
12,00
8,00
16,00
16,00
12,00
1,00
1,00
16,00
30,00
14,00

3 Mei 2013 09:02

Item
CETIRIZINE 10 MG TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
COTRIMOXAZOLE 480 MG TABLET

JAKARTA SEHAT
Quantity
4,00
12,00
1,00
12,00
4,00
8,00
8,00
4,00
8,00
16,00

CLINDAMYCIN 300 MG CAPSULE

DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

24,00
12,00
12,00
10,00

3 Mei 2013 09:01

Item
PARACETAMOL INF TABLET 500 mg
METFORMIN HCL 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
8,00
8,00
8,00
12,00
1,00
1,00
8,00
8,00
30,00
11,00

3 Mei 2013 09:01

Item
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
THROMBO ASPILETS 100 MG TABLET
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
DEXAMETHASONE 5 MG INJECTION
INFUS SET JMS
FUROSEMID INF INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
12,00
12,00
4,00
2,00
4,00
24,00
1,00
16,00
8,00
12,00
1,00
11,00

3 Mei 2013 09:01

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
1,00

PARACETAMOL INF TABLET 500 mg

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

12,00
8,00
8,00
8,00
1,00
1,00
1,00
1,00
6,00
8,00
8,00
30,00
13,00

3 Mei 2013 09:00

Item
FOLIC ACID 1 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
AMLODIPIN 10 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
1,00
24,00
4,00
1,00
1,00
12,00
8,00
12,00
12,00
4,00
1,00
1,00
1,00
8,00
8,00
30,00
12,00

3 Mei 2013 08:45

Item
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
ANTALGIN 500 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
8,00
8,00

DERMAFIX-1V
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
12,00
30,00
1,00
1,00
8,00
8,00
8,00
13,00

3 Mei 2013 08:44

Item
OMEPRAZOLE 40 MG INJECTION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
8,00
1,00
1,00
1,00
8,00
8,00
30,00
9,00

3 Mei 2013 08:44

Item
AMINORAL TABLET
FOLIC ACID 1 MG TABLET
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
8,00
12,00
1,00
1,00
8,00
8,00
30,00
1,00
11,00

3 Mei 2013 08:44

Item
AMINORAL TABLET

JAKARTA SEHAT
Quantity
12,00

FOLIC ACID 1 MG TABLET

CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
COTRIMOXAZOLE 480 MG TABLET
FLUCONAZOL INFUS 100 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
1,00
12,00
16,00
4,00
1,00
1,00
12,00
12,00
1,00
8,00
30,00
11,00

3 Mei 2013 08:44

Item
SPIRONOLACTONE 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
4,00
8,00
8,00
8,00
12,00
8,00
8,00
1,00
1,00
8,00
12,00
12,00
8,00
30,00
16,00

3 Mei 2013 08:43

Item
GLIQUIDONE 30 MG TABLET
GLURENORM TABLET 30 mg
LEVOFLOXACIN INF TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
9,00
1,00
1,00

DERMAFIX-1V
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
4,00
4,00
20,00
10,00

3 Mei 2013 08:43

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ACARBOSE 50 MG TABLET
LORATADINE INF TABLET 10 MG
METHYL PREDNISOLONE INF 4 MG TABLET
CEFIXIME GENERIK CAPSULE
KALTROFEN KALBE SUPPOSITORY 100 mg
OMEPRAZOLE 40 MG INJECTION
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
4,00
4,00
8,00
8,00
8,00
1,00
1,00
8,00
8,00
30,00
13,00

3 Mei 2013 08:43

Item
COTRIMOXAZOLE 480 MG TABLET
RANITIDINE INF TABLET 150 MG
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
AMINOFLUID 500 ML INFUSION
KA-EN 3B 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
8,00
12,00
4,00
4,00
8,00
8,00
8,00
4,00
8,00
1,00
1,00
30,00
13,00

3 Mei 2013 08:42

JAKARTA SEHAT

Item
DISP SYRINGE 10 CC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
MECOBALAMIN AMP INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
8,00
8,00
8,00
8,00
8,00
8,00
4,00
1,00
1,00
1,00
8,00
8,00
30,00
13,00

3 Mei 2013 08:42

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
8,00
4,00
4,00
1,00
1,00
12,00
12,00
8,00
30,00
12,00

3 Mei 2013 08:32

Item
HYPERIL 5 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V

JAKARTA SEHAT
Quantity
8,00
6,00
8,00
8,00
9,00
8,00
1,00
1,00
1,00

DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
8,00
20,00
12,00

3 Mei 2013 08:31

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
12,00
9,00
8,00
1,00
1,00
1,00
12,00
20,00
11,00

3 Mei 2013 08:22

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

2 Mei 2013 14:29

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 14:28

Item
ANBACIM CAPSULE, FILM COATED 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

2 Mei 2013 14:27

Item

JAKARTA SEHAT
Quantity

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

TUSLAH NON RACIKAN
TOTAL

2,00
1,00

2 Mei 2013 14:25

Item
KUTOIN-100 CAPSULE 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 13:27

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

2 Mei 2013 13:25

Item
HYPERIL 5 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
INFUS SET JMS
ONDANSETRON 4 MG TABLET
SANMOL INFUSION
RING AS SANBE 500 ML
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00
4,00
2,00
1,00
3,00
3,00
3,00
20,00
11,00

2 Mei 2013 13:24

Item
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
INFUS SET JMS
INPEPSA 100 ML SYRUP 500 mg/5 ml
PARACETAMOL INF TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
1,00
1,00
3,00
2,00
2,00
2,00

HANDSCOON NON STERIL S (PCS)

IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
11,00

2 Mei 2013 13:23

Item
SANMOL TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
2,00
6,00
3,00

2 Mei 2013 13:22

Item
AMINORAL TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
MICROPORE 2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
4,00
1,00
1,00
1,00
6,00
6,00
80,00
9,00

2 Mei 2013 13:22

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
MICROPORE 2 INC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
2,00
4,00
4,00
3,00
1,00
1,00
1,00
4,00
4,00
20,00
12,00

2 Mei 2013 12:43

Item
DISP SYRINGE 20 CC WIHTOUT NED
CEREMAX IV INFUS 50ml
FARMADOL 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
MANITOL OTSU 500 ML INFUSION 20 %WV
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
2,00
1,00
2,00
6,00
4,00
4,00
2,00
2,00
2,00
40,00
13,00

2 Mei 2013 12:41

Item
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
2,00
2,00
1,00
5,00
2,00
3,00
2,00
2,00
6,00
2,00
40,00
1,00
15,00

2 Mei 2013 12:41

Item
CLONIDINE INF 150 MG TABLET
DILTIAZEM INF TABLET 30 MG
ISOSORBIDE DINITRATE INF TABLET
CALCIUM CARBONATE 1000 GM POWDER

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
3,00

TUSLAH RACIKAN
EMBALASE
AMINORAL TABLET
FOLIC ACID 1 MG TABLET
V-BLOC 6,25MG TABLET
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
NICARDIPINE INJ
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
6,00
3,00
1,00
2,00
3,00
3,00
10,00
5,00
1,00
12,00

2 Mei 2013 12:40

Item
AMLODIPIN 10 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
NICARDIPINE INJ
INFUS SET JMS
THREE WAY STOPCOCK
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
6,00
3,00
2,00
3,00
1,00
1,00
3,00
1,00
1,00
2,00
2,00
5,00
12,00

2 Mei 2013 12:40

Item
KUTOIN-100 CAPSULE 100 MG
CAPTOPRIL 12.5 MG TABLET
V-BLOC 6,25MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
DISP SYRINGE 20 CC WIHTOUT NED
PANTOPRAZOLE INJECTION
LEVOFLOXACIN INFUSION
NICARDIPINE INJ
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
2,00
9,00
2,00
1,00
1,00
2,00
1,00
4,00
2,00

FUROSEMID INF INJECTION

IVENA IV CATH 22
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
1,00
4,00
1,00
2,00
2,00
8,00
40,00
1,00
19,00

2 Mei 2013 12:39

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
MANITOL OTSU 500 ML INFUSION 20 %WV
HANDSCOON NON STERIL S (PCS)
ISOKET INJECTION
NICARDIPINE INJ
DISP SYRINGE 20 CC WIHTOUT NED
INFUS SET JMS
THREE WAY STOPCOCK
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NOVALGIN SOLUTION, INJECTION 500 mg/ml
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
3,00
1,00
40,00
5,00
3,00
1,00
1,00
1,00
3,00
1,00
2,00
3,00
2,00
2,00
2,00
18,00

2 Mei 2013 12:39

Item
AMIKACIN 250 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
2,00
2,00
5,00

RING AS SANBE 500 ML

INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
40,00
3,00
12,00

2 Mei 2013 12:33

Item
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

2 Mei 2013 12:18

Item
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
FUROSEMID INF INJECTION
NEEDLE NO 27 THERUMO
NEEDLE NO. 23 THERUMO
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
6,00
3,00
1,00
1,00
60,00
3,00
3,00
3,00
3,00
2,00
2,00
3,00
1,00
3,00
16,00

2 Mei 2013 12:17

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 10:50

Item

JAKARTA SEHAT
Quantity

CEDOCARD 10 ML SOLUTION, INJECTION

TUSLAH NON RACIKAN
TOTAL

6,00
1,00

2 Mei 2013 10:37

Item
METFORMIN HCL 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
6,00
8,00
4,00
8,00
80,00
8,00

2 Mei 2013 10:27

Item
CEFIXIME GENERIK CAPSULE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
30,00
2,00

2 Mei 2013 10:03

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 09:59

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 09:59

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 09:58

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 09:44

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

2 Mei 2013 09:44

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 09:44

Item
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

2 Mei 2013 09:34

Item
METFORMIN HCL 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
FUTROLIT INFUSION
INFUS SET JMS
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
4,00
2,00
1,00
3,00
1,00
1,00
4,00
4,00
4,00
20,00
12,00

2 Mei 2013 09:26

Item
COTRIMOXAZOLE 480 MG TABLET
CURCUMA 200 MG TABLET
FLUCONAZOLE 150 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
OMEPRAZOLE GEN 20 MG CAPSULE
DEXAMETHASONE INF TABLET 0.5 MG
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
30,00
20,00
1,00
10,00
30,00
20,00
7,00

1 Mei 2013 14:30

Item
DISP SYRINGE 10 CC
RENXAMIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
6,00
6,00
1,00
1,00
1,00
18,00
1,00
18,00
9,00
8,00

1 Mei 2013 14:21

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 14:13

Item
AMINORAL TABLET
FOLIC ACID 1 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
INFUS SET JMS
DERMAFIX-1V
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
6,00
9,00
6,00
9,00
1,00
1,00
10,00

NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION

HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
30,00
9,00

1 Mei 2013 14:06

Item
ASAM MEFENAMAT INF 500 MG TABLET
CIPROFLOXACIN TABLET
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
12,00
6,00
6,00
12,00
6,00
1,00
1,00
1,00
30,00
11,00

1 Mei 2013 14:02

Item
AMLODIPIN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
18,00
9,00
6,00
8,00
9,00
6,00
9,00
3,00
1,00
1,00
1,00
6,00
6,00
30,00
15,00

1 Mei 2013 13:44

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

1 Mei 2013 13:44

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 13:44

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 13:30

Item
MAGARD FA TABLET, CHEWABLE
PANTOPRAZOLE INJECTION
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
6,00
1,00
1,00
1,00
6,00
6,00
30,00
9,00

1 Mei 2013 13:24

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
4,00

1 Mei 2013 13:09

Item
PRIMPERAN MG INJECTION
PANTOPRAZOLE INJECTION

JAKARTA SEHAT
Quantity
2,00
4,00

DOMPERIDON INF TABLET 10 MG

TUSLAH NON RACIKAN
TOTAL

15,00
3,00

1 Mei 2013 13:08

Item
PROPANOLOL 10 MG TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
2,00

1 Mei 2013 13:08

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

1 Mei 2013 13:06

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 12:17

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
6,00
1,00
1,00
1,00
4,00
4,00
4,00
4,00
20,00
11,00

1 Mei 2013 11:33

Item

JAKARTA SEHAT
Quantity

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

TUSLAH NON RACIKAN
TOTAL

6,00
1,00

1 Mei 2013 09:17

Item
CEDOCARD 10 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

1 Mei 2013 09:06

Item
CEFIXIME GENERIK CAPSULE
VITAMIN K KIMIA FARMA TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

1 Mei 2013 08:28

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 08:28

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 08:27

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
EPHINEPRIN ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

1 Mei 2013 06:45

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET

ASKES
Quantity
2,00
1,00

LOVENOX SOLUTION, INJECTION 40 mg

INFUS SET JMS
IVENA IV CATH 22
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
2,00
1,00
6,00

Depo
Depo Atas
Subtotal
TAB
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
AMP
AMP
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal

Pasien
Penjamin
4224
4224
217488
217488
1000
1000
222712
222712

0
0
0
0

Pasien
Penjamin
13200
13200
500
500
13700
13700

0
0
0

Pasien
Penjamin
217800
217800
500
500
218300
218300

0
0
0

Pasien
Penjamin
2064
2064
984
984
1000
1000
4048
4048

0
0
0
0

Pasien
Penjamin
579968
579968
83160
83160
20880
20880
6264
6264
18480
18480
8415
8415
14988
14988
10040
10040
4000
4000
746195
746195

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
VIL
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB

976
5064
1032
682176
13920
65668
8415
14988
10040
4500
806779

976
5064
1032
682176
13920
65668
8415
14988
10040
4500
806779

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5064
5064
19688
19688
48576
48576
8415
8415
14988
14988
10040
10040
3000
3000
109771
109771

0
0
0
0
0
0
0
0

Pasien
Penjamin
1476
1476
6616
6616
176
176
2064
2064
1464
1464
682176
682176
68064
68064
897600
897600
6264
6264
10040
10040
5000
5000
1680940 1680940

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39600
39600
65208
65208
7932
7932
3168
3168

0
0
0
0

TAB
TAB
TAB
AMP
VIL
UNT
PKG
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
VIL
BOT
BOT
VIL
AMP
PKG
UNT
PKG
UNT
UNT
PKG
UNT

464
2248
4752
427680
72496
36960
10040
2952
2902
6500
682902

464
2248
4752
427680
72496
36960
10040
2952
2902
6500
682902

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
3600
3600
5064
5064
976
976
2616
2616
75288
75288
197004
197004
8415
8415
14988
14988
10040
10040
5000
5000
370676
370676

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
579968
579968
91080
91080
305856
305856
197004
197004
10368
10368
9844
9844
6264
6264
18480
18480
10040
10040
8415
8415
14988
14988
2970
2970
6000
6000
1261277 1261277

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
VIL
AMP
VIL
BOT
BOT
AMP
UNT
UNT
PKG
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
UNT
VIL
AMP
VIL
PKG
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
AMP
BOT
UNT

Pasien
Penjamin
6276
6276
289984
289984
45376
45376
91080
91080
65668
65668
24288
24288
9844
9844
8415
8415
14988
14988
2970
2970
6264
6264
18480
18480
10040
10040
6500
6500
600173
600173

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1600
1600
57024
57024
2952
2952
7932
7932
3200
3200
211200
211200
8415
8415
579968
579968
187228
187228
897600
897600
6264
6264
12320
12320
10040
10040
14988
14988
2970
2970
7500
7500
2011201 2011201

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
91080
91080
305856
305856
23128
23128
448800
448800
8415
8415

0
0
0
0
0

UNT
PKG
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
VIL
BOT
AMP
BOT
UNT
UNT
PKG
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
VIL
AMP
BOT
AMP
PKG
UNT
PKG
UNT
UNT
PKG
UNT

14988
2970
5732
4176
18480
10040
5500
939165

14988
2970
5732
4176
18480
10040
5500
939165

0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
224400
224400
91080
91080
407808
407808
131868
131868
614592
614592
8415
8415
14988
14988
2970
2970
6264
6264
18480
18480
10040
10040
6000
6000
1584590 1584590

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
7512
7512
682176
682176
68064
68064
91080
91080
44250
44250
131336
131336
18580
18580
8352
8352
18480
18480
10040
10040
8415
8415
14988
14988
2970
2970
7000
7000
1115619 1115619

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
BOT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
AMP
VIL
BOT
UNT
PKG
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
CAP
VIL
AMP
VIL
UNT
PKG
UNT

Pasien

Penjamin
756
131336
8415
14988
2970
10040
3000
171505

0
0
0
0
0
0
0
0

Pasien
Penjamin
1654
1654
41580
41580
10440
10440
170544
170544
65668
65668
9240
9240
3132
3132
10040
10040
16335
16335
8415
8415
14988
14988
14988
14988
6000
6000
373024
373024

0
0
0
0
0
0
0
0
0
0
0
0
0
0

756
131336
8415
14988
2970
10040
3000
171505

Pasien
264
5064
244
3138
2702
1267200
17740
152160
9240
10040
5000
1472792

Penjamin
264
5064
244
3138
2702
1267200
17740
152160
9240
10040
5000
1472792

0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
VIL
AMP
AMP
UNT
PKG
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
VIL
VIL
UNT
UNT
PKG
PKG
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
VIL
PKG
UNT

Pasien
Penjamin
5064
5064
579968
579968
29532
29532
68064
68064
18480
18480
6264
6264
8415
8415
14988
14988
2970
2970
10040
10040
5000
5000
748785
748785

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
131336
131336
24288
24288
91080
91080
682176
682176
8415
8415
14988
14988
2970
2970
6264
6264
18480
18480
10040
10040
57964
57964
5500
5500
1053501 1053501

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
35640
35640
2064
2064
2004
2004
15840
15840
1200
1200
1716
1716
3308
3308
39376
39376
897600
897600
275616
275616
13050
13050
18480
18480

0
0
0
0
0
0
0
0
0
0
0
0

PKG
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
PKG
UNT

Depo Atas
Subtotal
GM
UNT
UNT
TAB
TAB
GM
UNT
UNT
TAB
TAB
AMP
VIL
PKG
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
BOT
UNT
UNT
PKG

10040
176
7000
1323110

10040
176
7000
1323110

0
0
0
0

Pasien
Penjamin
23712
23712
3600
3600
91080
91080
10040
10040
2000
2000
130432
130432

0
0
0
0
0
0

Pasien
480
3500
600
2124
2064
252
3500
600
984
984
844800
110352
12528
23100
1512
4500
1011880

Pasien
344
2004
2156
19688
197004
8415
14988
2970

Penjamin
480
3500
600
2124
2064
252
3500
600
984
984
844800
110352
12528
23100
1512
4500
1011880

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
344
2004
2156
19688
197004
8415
14988
2970

0
0
0
0
0
0
0
0

PKG
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
VIL
PKG
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
VIL
AMP
AMP
AMP
VIL
BOT
PKG
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
VIL
VIL
PKG

6264
10040
5000
268873

6264
10040
5000
268873

0
0
0
0

Penjamin
984
11385
131336
5184
3132
10040
8415
14988
2970
4500
192934

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
2064
2064
682176
682176
83160
83160
20880
20880
427680
427680
1900800 1900800
409728
409728
8352
8352
24640
24640
10040
10040
8415
8415
14988
14988
2970
2970
7000
7000
3660857 3660857

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18480
18480
91080
91080
682176
682176
6264
6264

0
0
0
0

Pasien
984
11385
131336
5184
3132
10040
8415
14988
2970
4500
192934

AMP
BOT
BOT
UNT
UNT
PKG
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
CAP
TAB
TAB
TAB
AMP
AMP
AMP
VIL
PKG
UNT
PKG
TAB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
PKG

9844
65668
24288
8415
14988
2970
10040
57964
6000
998177

9844
65668
24288
8415
14988
2970
10040
57964
6000
998177

0
0
0
0
0
0
0
0
0
0

Penjamin
896
16392
2124
2952
176
39376
68064
427680
579968
8352
36960
10040
1451
3500
200
3096
6500
1207727

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
464
464
2248
2248
4752
4752
144
144
1512
1512
312
312
91080
91080
68064
68064
409728
409728
6264
6264

0
0
0
0
0
0
0
0
0
0
0

Pasien
896
16392
2124
2952
176
39376
68064
427680
579968
8352
36960
10040
1451
3500
200
3096
6500
1207727

UNT
PKG
BOT
UNT

Apotik Panel 2
Subtotal
TAB
VIL
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
VIL
BOT
UNT

12320
10040
4746
7000
621842

12320
10040
4746
7000
621842

0
0
0
0
0

Pasien
Penjamin
8652
8652
32175
32175
1000
1000
41827
41827

0
0
0
0

Pasien
Penjamin
8652
8652
538
538
1000
1000
10190
10190

0
0
0
0

Pasien
Penjamin
65040
65040
500
500
65540
65540

0
0
0

Pasien
Penjamin
16830
16830
204000
204000
3212
3212
1500
1500
225542
225542

0
0
0
0
0

Pasien
988
14784
9290
45540
98502
8415

Penjamin
988
14784
9290
45540
98502
8415

0
0
0
0
0
0

UNT
UNT
UNT
PKG
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
UNT

29976
5100
6160
10040
2970
5500
237265

29976
5100
6160
10040
2970
5500
237265

0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
5280
5280
16088
16088
12610
12610
2500
2500
60630
60630

0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
14988
14988
8415
8415
1500
1500
47673
47673

0
0
0
0
0

Pasien
Penjamin
112200
112200
14988
14988
8415
8415
1500
1500
137103
137103

0
0
0
0
0

Pasien
Penjamin
112200
112200
3825
3825
4620
4620
5991
5991
2000
2000
128636
128636

0
0
0
0
0
0

Depo IGD
Subtotal
VIL
BOT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
UNT

Depo IGD
Subtotal
UNT
BOT
BOT
UNT

Depo IGD
Subtotal
UNT
BOT
UNT
PKG
UNT
UNT

Pasien
Penjamin
22770
22770
59400
59400
14988
14988
1500
1500
98658
98658

0
0
0
0
0

Pasien
Penjamin
12548
12548
2550
2550
3080
3080
3994
3994
2000
2000
24172
24172

0
0
0
0
0
0

Pasien
Penjamin
1740
1740
6930
6930
1000
1000
9670
9670

0
0
0
0

Pasien
Penjamin
3994
3994
56100
56100
18192
18192
1500
1500
79786
79786

0
0
0
0
0

Pasien
Penjamin
29976
29976
12144
12144
16830
16830
2970
2970
16335
16335
2500
2500
80755
80755

0
0
0
0
0
0
0

Depo IGD
Subtotal
UNT
UNT
VIL
UNT
BOT
UNT
PKG
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
BOT
BOT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT

Pasien
Penjamin
14988
14988
18343
18343
11385
11385
1898
1898
9096
9096
16335
16335
5020
5020
3500
3500
80565
80565

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
16335
16335
14988
14988
5881
5881
18192
18192
1898
1898
3300
3300
5020
5020
4000
4000
92384
92384

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4620
4620
3825
3825
1000
1000
9445
9445

0
0
0
0

Pasien
Penjamin
4620
4620
3825
3825
1000
1000
9445
9445

0
0
0
0

Pasien
Penjamin
4620
4620

UNT
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

3825
1000
9445

3825
1000
9445

0
0
0

Pasien
Penjamin
3825
3825
4620
4620
67716
67716
1500
1500
77661
77661

0
0
0
0
0

Pasien
Penjamin
4620
4620
3825
3825
8415
8415
1500
1500
18360
18360

0
0
0
0
0

Pasien
Penjamin
3825
3825
4620
4620
1000
1000
9445
9445

0
0
0
0

Pasien
Penjamin
3825
3825
4620
4620
1000
1000
9445
9445

0
0
0
0

Pasien
Penjamin
4620
4620
3825
3825
1000
1000
9445
9445

0
0
0
0

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
15400
15400
14988
14988
1000
1000
31388
31388

0
0
0
0

Pasien
Penjamin
15400
15400
14988
14988
1000
1000
31388
31388

0
0
0
0

Pasien
Penjamin
15400
15400
14988
14988
1000
1000
31388
31388

0
0
0
0

Pasien
Penjamin
729300
729300
500
500
729800
729800

0
0
0

Pasien
Penjamin
2064
2064
500
500
2564
2564

0
0
0

Pasien
Penjamin
7200
7200
500
500
7700
7700

0
0
0

Pasien

Penjamin

VIL
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
VIL
AMP
AMP
UNT
UNT
PKG
UNT
UNT
PKG
UNT

145860
500
146360

145860
500
146360

0
0
0

Pasien
Penjamin
57964
57964
500
500
58464
58464

0
0
0

Pasien
Penjamin
8415
8415
500
500
8915
8915

0
0
0

Pasien
Penjamin
12548
12548
500
500
13048
13048

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
579968
579968
1235520 1235520
83160
83160
20880
20880
15300
15300
18480
18480
10040
10040
8415
8415
14988
14988
2970
2970
5000
5000
1994721 1994721

0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
UNT
BOT
UNT
UNT
PKG
PKG
AMP
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
BOT
VIL
AMP
BOT
AMP
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
VIL
PKG
AMP
AMP

Pasien
Penjamin
10200
10200
145536
145536
8415
8415
14988
14988
2970
2970
15060
15060
23128
23128
3072
3072
105600
105600
4500
4500
333469
333469

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1235520 1235520
305856
305856
682176
682176
68064
68064
47048
47048
184764
184764
15300
15300
18480
18480
8415
8415
14988
14988
2970
2970
15060
15060
6000
6000
2604641 2604641

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
39920
39920
2064
2064
176
176
2784
2784
1476
1476
682176
682176
10040
10040
83160
83160
20880
20880

0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
VIL
AMP
BOT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
VIL
AMP
BOT
BOT
BOT
UNT
UNT
PKG
UNT

15300
18480
8415
14988
2970
7500
968293

15300
18480
8415
14988
2970
7500
968293

0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
580
580
2810
2810
5940
5940
1500
1500
2505
2505
475200
475200
897600
897600
682176
682176
68064
68064
47048
47048
18480
18480
15300
15300
10040
10040
8415
8415
14988
14988
2970
2970
8500
8500
2266076 2266076

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
308880
308880
170544
170544
22688
22688
112200
112200
102432
102432
11762
11762
5100
5100
6160
6160
10040
10040
4500
4500
754306
754306

0
0
0
0
0
0
0
0
0
0
0

Emergency Dahlia
Subtotal
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
8415
8415
500
500
8915
8915

0
0
0

Pasien
Penjamin
4146
4146
2550
2550
3080
3080
11464
11464
5809
5809
24024
24024
24024
24024
20213
20213
16335
16335
4500
4500
116145
116145

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4146
4146
2550
2550
3080
3080
11464
11464
5809
5809
24024
24024
24024
24024
20213
20213
16335
16335
8415
8415
5000
5000
125060
125060

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18990
18990
500
500
19490
19490

0
0
0

Pasien

Penjamin

BOT
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
BOT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

47685
1320
1830
6720
6750
2500
66805

47685
1320
1830
6720
6750
2500
66805

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
26535
26535
1898
1898
5881
5881
3000
3000
83625
83625

0
0
0
0
0
0
0
0

Pasien
Penjamin
21450
21450
500
500
21950
21950

0
0
0

Pasien
Penjamin
32604
32604
500
500
33104
33104

0
0
0

Pasien
Penjamin
16302
16302
500
500
16802
16802

0
0
0

Pasien
Penjamin
21450
21450
500
500
21950
21950

0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
PKG

Pasien
Penjamin
17372
17372
500
500
17872
17872

0
0
0

Pasien
Penjamin
9844
9844
500
500
10344
10344

0
0
0

Pasien
Penjamin
14988
14988
2970
2970
8415
8415
1500
1500
27873
27873

0
0
0
0
0

Pasien
Penjamin
14988
14988
2970
2970
8415
8415
1500
1500
27873
27873

0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
2970
2970
1500
1500
27873
27873

0
0
0
0
0

Pasien
Penjamin
14988
14988
26950
26950

0
0

UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
VIL
VIL
AMP
BOT

8415
2970
2000
55323

8415
2970
2000
55323

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
2970
2970
1500
1500
27873
27873

0
0
0
0
0

Pasien
Penjamin
25096
25096
2640
2640
1000
1000
28736
28736

0
0
0
0

Pasien
Penjamin
1600
1600
13232
13232
3168
3168
464
464
2248
2248
1235520 1235520
65668
65668
10040
10040
4000
4000
1335940 1335940

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
6176
6176
4752
4752
1689600 1689600
682176
682176
50160
50160
506964
506964
504900
504900

0
0
0
0
0
0
0
0

UNT
UNT
PKG
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
GM
UNT
UNT
TAB
TAB
VIL
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
GM
UNT
UNT
VIL
AMP
VIL
BOT
UNT
UNT
PKG
UNT

12320
10200
10040
8956
2156
6500
3496904

12320
10200
10040
8956
2156
6500
3496904

0
0
0
0
0
0
0

Pasien
Penjamin
7992
7992
252
252
3500
3500
600
600
984
984
480
480
3500
3500
600
600
6616
6616
1392
1392
897600
897600
682176
682176
15300
15300
18480
18480
10040
10040
4500
4500
1654012 1654012

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6616
6616
31416
31416
252
252
3500
3500
600
600
682176
682176
5672
5672
897600
897600
305856
305856
18480
18480
15300
15300
10040
10040
4500
4500
1982008 1982008

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
AMP
VIL
BOT
AMP
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
VIL
AMP
AMP
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
UNT
UNT
PKG
PKG
UNT

Depo Atas

Pasien
Penjamin
45376
45376
767448
767448
16417
16417
37160
37160
15300
15300
18480
18480
8415
8415
14988
14988
2970
2970
10040
10040
5000
5000
941594
941594

Pasien

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
464
9844
682176
62370
20880
1235520
15300
18480
10040
4500
2059574

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3600
3600
3584
3584
488
488
131336
131336
8415
8415
14988
14988
2970
2970
10040
10040
4000
4000
179421
179421

0
0
0
0
0
0
0
0
0
0

464
9844
682176
62370
20880
1235520
15300
18480
10040
4500
2059574

Subtotal
TAB
TAB
TAB
TAB
VIL
VIL
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
BOT
BOT
UNT
UNT
PKG
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
VIL
BOT
AMP
BOT
UNT

Pasien
Penjamin
1392
1392
5804
5804
31416
31416
2004
2004
1900800 1900800
682176
682176
305856
305856
10040
10040
4000
4000
2943488 2943488

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1600
1600
10040
10040
9240
9240
1500
1500
22380
22380

0
0
0
0
0

Pasien
Penjamin
26400
26400
305856
305856
504900
504900
18480
18480
15300
15300
10040
10040
8415
8415
14988
14988
29568
29568
2970
2970
5000
5000
941917
941917

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
897600
897600
682176
682176
47048
47048
57024
57024
131336
131336
18480
18480

0
0
0
0
0
0
0

UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
AMP
VIL
AMP
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

15300
10040
4500
1865016

15300
10040
4500
1865016

0
0
0
0

Pasien
Penjamin
33316
33316
2952
2952
2124
2124
2784
2784
480
480
3500
3500
600
600
984
984
5384
5384
8256
8256
7992
7992
1600
1600
37160
37160
1689600 1689600
38016
38016
15300
15300
18480
18480
10040
10040
7500
7500
1886068 1886068

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
102000
102000
13052
13052
13200
13200
1500
1500
129752
129752

0
0
0
0
0

Pasien
Penjamin
68000
68000
13200
13200
1000
1000
82200
82200

0
0
0
0

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
CAP
CAP
TAB
BOT
UNT
UNT
UNT

Apotik Panel 2
Subtotal
BOX
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
26400
26400
102000
102000
1000
1000
129400
129400

0
0
0
0

Pasien
Penjamin
3960
3960
500
500
4460
4460

0
0
0

Pasien
Penjamin
9504
9504
500
500
10004
10004

0
0
0

Pasien
Penjamin
26940
26940
13860
13860
2115
2115
2000
2000
3500
3500
50
50
1500
1500
49965
49965

0
0
0
0
0
0
0
0

Pasien
Penjamin
24750
24750
500
500
25250
25250

0
0
0

Pasien
Penjamin
2640
2640
1830
1830
18990
18990
1500
1500

0
0
0
0

24960

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

24960

Pasien
Penjamin
3270
3270
500
500
3770
3770

0
0
0

Pasien
Penjamin
217800
217800
500
500
218300
218300

0
0
0

Pasien
Penjamin
3555
3555
9990
9990
1000
1000
14545
14545

0
0
0
0

Pasien
Penjamin
65340
65340
500
500
65840
65840

0
0
0

Pasien
348
500
848

Penjamin
348
500
848

0
0
0

348
44
492
1500
2384

Penjamin
348
44
492
1500
2384

0
0
0
0
0

Pasien

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
255816
255816
500
500
256316
256316

0
0
0

Pasien
Penjamin
68310
68310
500
500
68810
68810

0
0
0

Pasien
Penjamin
102000
102000
500
500
102500
102500

0
0
0

Pasien
Penjamin
68310
68310
500
500
68810
68810

0
0
0

Pasien
Penjamin
91080
91080
500
500
91580
91580

0
0
0

Pasien
Penjamin
68000
68000
500
500

0
0

68500

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
PKG
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
UNT

68500

Pasien
Penjamin
54208
54208
500
500
54708
54708

0
0
0

Pasien
Penjamin
91080
91080
500
500
91580
91580

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
26950
26950
75240
75240
1000
1000
103190
103190

0
0
0
0

Pasien
Penjamin
5376
5376
500
500
5876
5876

0
0
0

Pasien
Penjamin
47685
47685
2115
2115
17880
17880
1500
1500
69180
69180

0
0
0
0
0

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB

Pasien
Penjamin
45540
45540
500
500
46040
46040

0
0
0

Pasien
Penjamin
68310
68310
500
500
68810
68810

0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien

Penjamin
464
464
500
500
964
964

0
0
0

Pasien
Penjamin
68310
68310
500
500
68810
68810

0
0
0

Pasien
Penjamin
10200
10200
500
500
10700
10700

0
0
0

Pasien
Penjamin
1350
1350
2223
2223

0
0

BOT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
VIL
BOT
BOT
UNT
PKG
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
AMP
PKG
VIL
UNT
BOT
BOT
UNT
UNT

Depo Atas
Subtotal

197004
8415
14988
2970
46101
10040
4000
287091

Pasien
516
501
1544
7392
504
4922
224400
178200
32834
3080
5020
3960
6000
468873

Pasien
792
5376
366
15660
62370
10040
68310
15300
98502
189759
18480
5500
490455

Pasien

197004
8415
14988
2970
46101
10040
4000
287091

0
0
0
0
0
0
0
0

Penjamin
516
501
1544
7392
504
4922
224400
178200
32834
3080
5020
3960
6000
468873

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
5376
366
15660
62370
10040
68310
15300
98502
189759
18480
5500
490455

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin

TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal

5390
500
5890

5390
500
5890

0
0
0

Pasien
Penjamin
5384
5384
500
500
5884
5884

0
0
0

Pasien
Penjamin
14988
14988
26950
26950
26611
26611
1500
1500
70049
70049

0
0
0
0
0

Pasien

Penjamin
976
5064
688
45376
682176
197004
10200
10040
4000
955524

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1898
1898
5881
5881
2000
2000
41102
41102

0
0
0
0
0
0

976
5064
688
45376
682176
197004
10200
10040
4000
955524

Pasien

Penjamin

UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
BOT
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
AMP
AMP
AMP
BOT
UNT
UNT

14988
16335
1000
32323

14988
16335
1000
32323

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1898
1898
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
42768
42768
305856
305856
504900
504900
341088
341088
10200
10200
12320
12320
10040
10040
3500
3500
1230672 1230672

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3138
3138
341088
341088
237600
237600
34032
34032
10440
10440
41580
41580
131336
131336
15300
15300
18480
18480

0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
AMP
BOT
AMP
UNT
UNT
UNT
PKG
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
VIL
AMP
AMP
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
VIL
BOT
PKG
UNT

4500
837494

4500
837494

0
0

Pasien
Penjamin
45376
45376
131336
131336
37160
37160
15300
15300
18480
18480
8415
8415
2970
2970
20080
20080
14988
14988
4500
4500
298605
298605

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
464
19688
426360
76230
20880
1235520
15300
18480
20080
4500
1837502

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1392
1392
5804
5804
31416
31416
2004
2004
1267200 1267200
682176
682176
135936
135936
20080
20080
4000
4000
2150008 2150008

0
0
0
0
0
0
0
0
0
0

464
19688
426360
76230
20880
1235520
15300
18480
20080
4500
1837502

Depo Atas
Subtotal
AMP
AMP
BOT
UNT
UNT
AMP
AMP
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
VIL
VIL
AMP
BOT
UNT
UNT
PKG
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
AMP
BOT
UNT
UNT
PKG
PKG

Pasien
Penjamin
20880
20880
83160
83160
131336
131336
15300
15300
18480
18480
9844
9844
11760
11760
20080
20080
4000
4000
314840
314840

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
6176
6176
4752
4752
1689600 1689600
682176
682176
120384
120384
506964
506964
504900
504900
12320
12320
10200
10200
20080
20080
8956
8956
2156
2156
6500
6500
3577168 3577168

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1600
1600
6616
6616
3168
3168
2248
2248
73830
73830
68429
68429
65668
65668
8415
8415
14988
14988
2970
2970
20080
20080

0
0
0
0
0
0
0
0
0
0
0

TAB
VIL
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
GM
UNT
UNT
VIL
BAG
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
AMP
AMP
UNT
UNT
PKG
UNT

144
1235520
464
7000
1511140

144
1235520
464
7000
1511140

0
0
0
0
0

Pasien
Penjamin
6616
6616
2064
2064
1392
1392
18528
18528
3168
3168
252
252
3500
3500
600
600
341088
341088
102600
102600
131336
131336
20080
20080
4500
4500
635724
635724

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2952
2952
2124
2124
2784
2784
480
480
3500
3500
600
600
984
984
10768
10768
1032
1032
7992
7992
1600
1600
33316
33316
41580
41580
1900800 1900800
38016
38016
9844
9844
18480
18480
15300
15300
20080
20080
8000
8000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2120232

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
UNT
AMP
BOT
AMP
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
GM
UNT
UNT
TAB
TAB
VIL
VIL
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

2120232

Pasien
Penjamin
2064
2064
5804
5804
3308
3308
142560
142560
12320
12320
23128
23128
131336
131336
40044
40044
550438
550438
20080
20080
5000
5000
936082
936082

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7992
7992
252
252
3500
3500
600
600
984
984
480
480
3500
3500
600
600
6616
6616
1392
1392
897600
897600
682176
682176
15300
15300
18480
18480
20080
20080
4500
4500
1664052 1664052

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26400
26400
500
500
26900
26900

0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
BOT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
PKG
TAB
UNT

Pasien
Penjamin
2064
2064
3308
3308
5804
5804
1392
1392
1792
1792
488
488
1235520 1235520
8415
8415
14988
14988
2970
2970
20080
20080
5500
5500
1302321 1302321

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
3600
3600
5064
5064
488
488
131336
131336
8415
8415
14988
14988
2970
2970
20080
20080
4500
4500
239126
239126

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39600
39600
5804
5804
2004
2004
3584
3584
2784
2784
3096
3096
6616
6616
616
616
15300
15300
20080
20080
1584
1584
5500
5500
106568
106568

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
PKG
BOT
UNT
BOT
AMP
UNT
UNT
PKG
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
VIL
VIL
AMP
BOT
BOT
UNT
UNT

Pasien
Penjamin
3168
3168
464
464
2248
2248
4752
4752
1716
1716
2004
2004
407808
407808
184764
184764
109152
109152
18480
18480
15300
15300
20080
20080
6000
6000
775936
775936

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
407808
407808
26400
26400
673200
673200
23128
23128
8415
8415
14988
14988
2970
2970
20080
20080
18480
18480
15300
15300
5500
5500
1245837 1245837

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
897600
897600
682176
682176
38016
38016
47048
47048
131336
131336
15300
15300
18480
18480

0
0
0
0
0
0
0
0

PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
BOT
VIL
VIL
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
GM
UNT
UNT
VIL
AMP
VIL
BOT
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

20080
4500
1856048

20080
4500
1856048

0
0
0

Pasien
Penjamin
6144
6144
3168
3168
4752
4752
2248
2248
464
464
158400
158400
504900
504900
448844
448844
673200
673200
99320
99320
506964
506964
25500
25500
30800
30800
20080
20080
7000
7000
2491784 2491784

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6616
6616
31416
31416
252
252
3500
3500
600
600
682176
682176
68064
68064
897600
897600
407808
407808
18480
18480
15300
15300
20080
20080
4500
4500
2156392 2156392

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13200
13200
500
500

0
0

13700

Depo Atas
Subtotal
CAP
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
BOT
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
AMP
VIL

13700

Pasien
Penjamin
21552
21552
3168
3168
9120
9120
1500
1500
35340
35340

0
0
0
0
0

Pasien
Penjamin
1692
1692
897600
897600
83160
83160
131336
131336
34692
34692
15300
15300
18480
18480
20080
20080
4000
4000
1206340 1206340

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9856
9856
528
528
7168
7168
682176
682176
204864
204864
65668
65668
15300
15300
20080
20080
4000
4000
1009640 1009640

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1200
1200
15840
15840
131336
131336
46736
46736
120384
120384

0
0
0
0
0

UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
CAP
BOT
UNT
UNT
PKG
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

24640
20400
20080
4000
384616

24640
20400
20080
4000
384616

0
0
0
0
0

Pasien
Penjamin
1600
1600
105600
105600
372392
372392
6160
6160
8415
8415
14988
14988
2970
2970
20080
20080
4000
4000
536205
536205

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
31416
31416
3308
3308
16392
16392
131336
131336
8415
8415
14988
14988
2970
2970
20080
20080
4000
4000
232905
232905

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26400
26400
500
500
26900
26900

0
0
0

Pasien
Penjamin
11385
11385
500
500
11885
11885

0
0
0

Depo Atas
Subtotal
UNT
UNT
UNT
AMP
UNT
UNT
BOT
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas

Pasien
Penjamin
3080
3080
7650
7650
14988
14988
2891
2891
16335
16335
8415
8415
23524
23524
8270
8270
14510
14510
440
440
5000
5000
105103
105103

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien

Penjamin
444
444
500
500
944
944

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien

Penjamin
488
488
500
500
988
988

0
0
0

Subtotal
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
GM
UNT
UNT
TAB
VIL
BOT
UNT
UNT
PKG
UNT

Pasien
Penjamin
9844
9844
500
500
10344
10344

0
0
0

Pasien
Penjamin
8956
8956
500
500
9456
9456

0
0
0

Pasien
Penjamin
3308
3308
500
500
3808
3808

0
0
0

Pasien

Penjamin
172
172
500
500
672
672

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
480
3500
600
984
448800
65668
8415
29976
2970
3000
564393

Penjamin
480
3500
600
984
448800
65668
8415
29976
2970
3000
564393

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
BOT
UNT

Emergency Dahlia
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
TUB
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
CAP
TAB
UNT
BOT
UNT
UNT
UNT

Pasien
Penjamin
4500
4500
47685
47685
1000
1000
53185
53185

0
0
0
0

Pasien
Penjamin
6864
6864
500
500
7364
7364

0
0
0

Pasien
Penjamin
16088
16088
56262
56262
18343
18343
5809
5809
12012
12012
2500
2500
111014
111014

0
0
0
0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
9550
9550
1410
1410
26535
26535
2000
2000
3500
3500
50
50
1500
1500
44545
44545

0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
CTG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
22770
22770
9985
9985
1000
1000
33755
33755

0
0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
180048
180048
9140
9140
1000
1000
190188
190188

0
0
0
0

Pasien
Penjamin
11982
11982
500
500
12482
12482

0
0
0

Pasien
Penjamin
11982
11982
500
500
12482
12482

0
0
0

Pasien
Penjamin
4480
4480

UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT

500
4980

500
4980

0
0

Pasien
Penjamin
1654
1654
900
900
1000
1000
3554
3554

0
0
0
0

Pasien
Penjamin
810810
810810
500
500
811310
811310

0
0
0

Pasien
Penjamin
2902
2902
19800
19800
15708
15708
1500
1500
39910
39910

0
0
0
0
0

Pasien
88
1654
170544
1500
173786

Pasien
976
5064
90752
682176
131336
10200
15976
8415

Penjamin
88
1654
170544
1500
173786

0
0
0
0
0

Penjamin
976
5064
90752
682176
131336
10200
15976
8415

0
0
0
0
0
0
0
0

UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
BAG
VIL
UNT
UNT
PKG
PKG
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
AMP
UNT
UNT
UNT

14988
2970
26535
5500
994888

14988
2970
26535
5500
994888

0
0
0
0
0

Pasien
Penjamin
673200
673200
3300
3300
1000
1000
677500
677500

0
0
0
0

Pasien

Penjamin
880
610
7596
1500
10586

0
0
0
0
0

Pasien
Penjamin
153648
153648
49251
49251
96330
96330
68310
68310
8415
8415
14988
14988
2970
2970
10040
10040
7392
7392
47685
47685
5000
5000
464029
464029

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1600
1600
302940
302940
8415
8415
14988
14988
3825
3825

0
0
0
0
0

880
610
7596
1500
10586

PKG
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
BOT
AMP
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
AMP
AMP
VIL
UNT
AMP
BOT
UNT
BAG
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL

2970
10040
3500
348278

2970
10040
3500
348278

0
0
0
0

Pasien
Penjamin
68310
68310
305856
305856
336600
336600
17346
17346
7650
7650
9240
9240
57798
57798
10040
10040
4000
4000
816840
816840

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
41580
41580
10440
10440
926640
926640
15300
15300
14766
14766
98502
98502
18480
18480
77064
77064
10040
10040
8415
8415
14988
14988
2970
2970
6000
6000
1245185 1245185

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
3564
3564
1686
1686
1287
1287
1503
1503
68310
68310

0
0
0
0
0
0
0

BOT
AMP
BOT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
PKG
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
AMP
VIL
BOT
UNT
UNT
BAG
PKG
UNT
UNT
PKG

305856
138573
81864
11475
13860
57798
10040
7000
705540

305856
138573
81864
11475
13860
57798
10040
7000
705540

0
0
0
0
0
0
0
0
0

Penjamin
516
2481
4353
88
1078
1503
14784
438
225720
65668
8415
14988
2970
26535
3825
9240
10040
57798
9000
459440

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68064
68064
511632
511632
109152
109152
15300
15300
18480
18480
115596
115596
10040
10040
8415
8415
14988
14988
2970
2970

0
0
0
0
0
0
0
0
0
0

Pasien
516
2481
4353
88
1078
1503
14784
438
225720
65668
8415
14988
2970
26535
3825
9240
10040
57798
9000
459440

UNT
UNT

Depo Atas
Subtotal
BOT
VIL
VIL
AMP
UNT
UNT
UNT
PKG
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
AMP
AMP
BOT
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo IGD
Subtotal
UNT
UNT

26535
5500
906672

26535
5500
906672

0
0
0

Pasien
Penjamin
109152
109152
511632
511632
68310
68310
34032
34032
8415
8415
14988
14988
7650
7650
2970
2970
26535
26535
18480
18480
10040
10040
77064
77064
6000
6000
895268
895268

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1200
1200
24987
24987
4962
4962
926640
926640
73830
73830
752400
752400
49251
49251
8415
8415
14988
14988
2970
2970
30800
30800
7650
7650
57798
57798
10040
10040
7000
7000
1972931 1972931

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6600
6600
500
500

0
0

7100

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD

7100

Pasien
Penjamin
6600
6600
500
500
7100
7100

0
0
0

Pasien
Penjamin
6600
6600
500
500
7100
7100

0
0
0

Pasien

Penjamin
429
429
500
500
929
929

0
0
0

Pasien
Penjamin
1584
1584
47685
47685
1000
1000
50269
50269

0
0
0
0

Pasien
Penjamin
70438
70438
500
500
70938
70938

0
0
0

Pasien
Penjamin
3796
3796
500
500
4296
4296

0
0
0

Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
BOT
AMP
UNT

Depo IGD
Subtotal
UNT
TAB
AMP
AMP
UNT
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Depo Atas
Subtotal

Pasien
Penjamin
56100
56100
500
500
56600
56600

0
0
0

Pasien
Penjamin
8329
8329
16335
16335
4922
4922
14988
14988
2000
2000
46574
46574

0
0
0
0
0
0

Pasien
Penjamin
22770
22770
112200
112200
67968
67968
5782
5782
2000
2000
210720
210720

0
0
0
0
0
0

Pasien
Penjamin
59193
59193
1654
1654
12305
12305
150480
150480
53900
53900
116
116
3000
3000
280648
280648

0
0
0
0
0
0
0
0

Pasien
Penjamin
27242
27242
500
500
27742
27742

0
0
0

Pasien

Penjamin

AMP
UNT

Depo Atas
Subtotal
VIL
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

84494
500
84994

84494
500
84994

0
0
0

Pasien
Penjamin
170544
170544
9985
9985
1000
1000
181529
181529

0
0
0
0

Pasien
Penjamin
25500
25500
500
500
26000
26000

0
0
0

Pasien
Penjamin
19970
19970
500
500
20470
20470

0
0
0

Pasien
Penjamin
9985
9985
500
500
10485
10485

0
0
0

Pasien
Penjamin
9985
9985
500
500
10485
10485

0
0
0

Pasien

Penjamin
116
116
500
500
616
616

0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
25500
25500
500
500
26000
26000

0
0
0

Pasien
Penjamin
19970
19970
500
500
20470
20470

0
0
0

Pasien
Penjamin
145536
145536
341088
341088
1000
1000
487624
487624

0
0
0
0

Pasien
Penjamin
204000
204000
500
500
204500
204500

0
0
0

Pasien
Penjamin
52800
52800
500
500
53300
53300

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
1540
1540
41050
41050
1220
1220

0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
VIL
AMP
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
BOT
UNT
UNT
TUB
AMP
AMP
AMP
AMP
AMP
PKG
UNT

4000
74750

Pasien
246
120
3500
150
792
116
281
167
422400
4922
18192
20080
6375
5000
482341

Pasien
827
516
501
448
1451
738
9096
12750
32834
15400
32176
112524
5220
20790
17016
24610
376200
20080
9000
692177

4000
74750

0
0

Penjamin
246
120
3500
150
792
116
281
167
422400
4922
18192
20080
6375
5000
482341

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
827
516
501
448
1451
738
9096
12750
32834
15400
32176
112524
5220
20790
17016
24610
376200
20080
9000
692177

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
AMP
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
AMP
AMP
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB

Pasien

Penjamin
546
827
3960
24610
300960
16417
20080
6375
4000
377775

0
0
0
0
0
0
0
0
0
0

Penjamin
516
827
1451
1212
308880
9844
14988
3500
341218

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
501
501
246
246
224400
224400
12305
12305
376200
376200
7700
7700
6375
6375
20080
20080
29976
29976
29976
29976
5500
5500
714291
714291

0
0
0
0
0
0
0
0
0
0
0
0
0

546
827
3960
24610
300960
16417
20080
6375
4000
377775

Pasien
516
827
1451
1212
308880
9844
14988
3500
341218

Pasien

Penjamin
562
562

TAB
TAB
TAB
TAB
TAB
GM
UNT
UNT
AMP
AMP
VIL
UNT
UNT
BOT
PKG
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
BOT
VIL
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
TAB
TAB
TAB

116
1654
1720
44
246
117
3500
150
7383
106920
30096
7700
6375
32834
10040
687
792
7500
218436

116
1654
1720
44
246
117
3500
150
7383
106920
30096
7700
6375
32834
10040
687
792
7500
218436

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
36
405
300
792
116
1188
562
14988
32834
224400
246
154
3088
3960
7000
290069

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26611
26611
9900
9900
15708
15708
1654
1654

0
0
0
0

Pasien
36
405
300
792
116
1188
562
14988
32834
224400
246
154
3088
3960
7000
290069

TAB
TAB
TAB
TAB
VIL
AMP
VIL
UNT
BOT
PKG
UNT

Depo Atas
Subtotal
AMP
VIL
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
BOT
AMP
AMP
UNT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

792
116
1188
562
30096
106920
22770
6375
32834
20080
7000
282606

792
116
1188
562
30096
106920
22770
6375
32834
20080
7000
282606

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68064
68064
91080
91080
19970
19970
23100
23100
19125
19125
8415
8415
14988
14988
2970
2970
15060
15060
4500
4500
267272
267272

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1392
1392
39600
39600
15840
15840
897600
897600
253012
253012
73830
73830
451440
451440
19970
19970
23100
23100
19125
19125
15060
15060
8415
8415
14988
14988
2970
2970
7000
7000
1843342 1843342

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
BOT
UNT
BAG
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
VIL
VIL
AMP
BOT
UNT
UNT

Pasien
Penjamin
3600
3600
91080
91080
72768
72768
14988
14988
2970
2970
15976
15976
10200
10200
15060
15060
4000
4000
230642
230642

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1392
1392
2902
2902
15708
15708
2004
2004
844800
844800
271872
271872
8415
8415
145560
145560
2970
2970
15976
15976
10200
10200
12320
12320
15060
15060
6500
6500
1355679 1355679

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
464
464
6176
6176
98502
98502
844800
844800
120384
120384
506964
506964
673200
673200
19970
19970
30800
30800

0
0
0
0
0
0
0
0
0
0

UNT
PKG
UNT
AMP
UNT
PKG
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
UNT
PKG
BOT
VIL
AMP
UNT
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
VIL
UNT
UNT
UNT
PKG
UNT

15300
15060
8415
50096
14988
2970
2156
8956
9000
2430205

15300
15060
8415
50096
14988
2970
2156
8956
9000
2430205

0
0
0
0
0
0
0
0
0
0

Penjamin
580
9900
4104
5672
5100
10040
65668
5184
150480
7988
341088
5500
611304

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6144
6144
3168
3168
464
464
2248
2248
4752
4752
158400
158400
897600
897600
673200
673200
506964
506964
148980
148980
19970
19970
18480
18480
15300
15300
15060
15060
7000
7000
2477730 2477730

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
580
9900
4104
5672
5100
10040
65668
5184
150480
7988
341088
5500
611304

Depo Atas
Subtotal
TAB
VIL
BOT
AMP
UNT
UNT
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
BOT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Pasien
Penjamin
1512
1512
897600
897600
407808
407808
38016
38016
8415
8415
14988
14988
2970
2970
10200
10200
23100
23100
19970
19970
15060
15060
5500
5500
1445139 1445139

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32328
32328
3168
3168
9120
9120
131336
131336
8415
8415
14988
14988
2970
2970
15060
15060
4000
4000
221385
221385

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
876
876
500
500
1376
1376

0
0
0

Pasien
Penjamin
511632
511632
500
500
512132
512132

0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
39600
39600
500
500
40100
40100

0
0
0

Pasien
Penjamin
11688
11688
500
500
12188
12188

0
0
0

Pasien
Penjamin
26928
26928
500
500
27428
27428

0
0
0

Pasien
Penjamin
5160
5160
7255
7255
5010
5010
99000
99000
4480
4480
1220
1220
3000
3000
125125
125125

0
0
0
0
0
0
0
0

Pasien
Penjamin
41388
41388
500
500
41888
41888

0
0
0

Pasien
Penjamin
5064
5064
3168
3168
464
464
4752
4752
144
144

0
0
0
0
0

TAB
TAB
VIL
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
VIL
SUP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
CAP
CAP
BOT
PKG
UNT

2004
976
897600
20880
19970
18480
15300
8415
14988
15060
7500
1034765

2004
976
897600
20880
19970
18480
15300
8415
14988
15060
7500
1034765

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
984
480
3500
600
1824
844800
47124
131336
8415
14988
19970
9240
2970
5000
1091231

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2902
2902
2004
2004
39600
39600
1392
1392
36960
36960
21552
21552
197004
197004
15060
15060
4000
4000
320474
320474

0
0
0
0
0
0
0
0
0
0

Pasien
984
480
3500
600
1824
844800
47124
131336
8415
14988
19970
9240
2970
5000
1091231

Depo Atas
Subtotal
AMP
BOT
AMP
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
VIL
UNT
PKG
BOT
AMP
UNT
BAG
AMP
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
GM
UNT
UNT
AMP
VIL
BOT

Pasien
Penjamin
6960
6960
131336
131336
37160
37160
7988
7988
5100
5100
12320
12320
8415
8415
14988
14988
2970
2970
15060
15060
5000
5000
247297
247297

Pasien

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
328
480
3500
600
3072
633600
19970
2100
448844
23128
22950
112758
90752
15060
144495
6000
1527637

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6616
6616
31416
31416
252
252
3500
3500
600
600
115212
115212
897600
897600
407808
407808

0
0
0
0
0
0
0
0

328
480
3500
600
3072
633600
19970
2100
448844
23128
22950
112758
90752
15060
144495
6000
1527637

BOT
BAG
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
AMP
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
CAP
TAB
TAB
VIL
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM

131336
57798
19970
15300
15060
12320
5500
1720288

131336
57798
19970
15300
15060
12320
5500
1720288

0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
91080
91080
407808
407808
184764
184764
77064
77064
23964
23964
10200
10200
15060
15060
4000
4000
815524
815524

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6616
6616
16392
16392
656
656
2376
2376
68310
68310
8415
8415
2970
2970
14988
14988
11982
11982
57798
57798
15060
15060
5500
5500
211063
211063

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2952
2952
2124
2124
2784
2784
480
480

0
0
0
0

UNT
UNT
TAB
TAB
TAB
TAB
BOT
AMP
AMP
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
AMP
UNT
BOT
BOT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
CAP
TAB
VIL
PKG
UNT
UNT
UNT
BAG
UNT

3500
600
984
10768
2150
7992
131336
47520
38016
20400
23964
77064
15060
7000
394694

3500
600
984
10768
2150
7992
131336
47520
38016
20400
23964
77064
15060
7000
394694

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68064
68064
15976
15976
372392
372392
253012
253012
15300
15300
8415
8415
14988
14988
2970
2970
15060
15060
4500
4500
770677
770677

0
0
0
0
0
0
0
0
0
0
0

Pasien
872
392
16392
656
91080
15060
8415
14988
15976
77064
5000
245895

Penjamin
872
392
16392
656
91080
15060
8415
14988
15976
77064
5000
245895

0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
PKG
AMP
UNT
VIL
BOT
UNT
PKG
UNT
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
TAB
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Apotik Panel 2
Subtotal

Pasien

Penjamin
244
1266
2970
14702
26535
85272
32834
29976
5020
3994
19266
2550
8415
6500
239544

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
688
16632
133401
738
2000
153459

0
0
0
0
0
0

Pasien
Penjamin
2964
2964
11564
11564
72768
72768
8415
8415
29976
29976
5100
5100
10040
10040
26535
26535
2970
2970
4500
4500
174832
174832

0
0
0
0
0
0
0
0
0
0
0

244
1266
2970
14702
26535
85272
32834
29976
5020
3994
19266
2550
8415
6500
239544

Pasien
688
16632
133401
738
2000
153459

Pasien

Penjamin

TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
VIL
AMP
BOT

26400
500
26900

26400
500
26900

0
0
0

Pasien
Penjamin
2902
2902
244
244
8976
8976
1500
1500
13622
13622

0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
1032
1032
500
500
1532
1532

0
0
0

Pasien
Penjamin
24396
24396
500
500
24896
24896

0
0
0

Pasien
Penjamin
376200
376200
500
500
376700
376700

0
0
0

Pasien
Penjamin
45540
45540
11564
11564
203904
203904

0
0
0

BOT
BOT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
BOT
BOT
BOT
UNT
UNT
PKG
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
VIL
AMP
AMP
BOT
UNT
UNT
UNT

336600
65668
8415
14988
2970
15060
4500
709209

336600
65668
8415
14988
2970
15060
4500
709209

0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
1898
1898
14988
14988
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
45540
45540
11564
11564
203904
203904
336600
336600
131336
131336
8415
8415
14988
14988
2970
2970
10200
10200
7988
7988
6160
6160
38532
38532
6000
6000
824197
824197

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
897600
897600
11564
11564
22688
22688
197004
197004
15976
15976
10200
10200
12320
12320

0
0
0
0
0
0
0
0

BAG
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
AMP
VIL
BOT
BOT
UNT
UNT
PKG
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
UNT
PKG
PKG
UNT
UNT

38532
15060
8415
14988
2970
6500
1255329

38532
15060
8415
14988
2970
6500
1255329

0
0
0
0
0
0
0

Pasien
Penjamin
154128
154128
47040
47040
91080
91080
131336
131336
253012
253012
8415
8415
14988
14988
2970
2970
26535
26535
10040
10040
49925
49925
30800
30800
25500
25500
6500
6500
852269
852269

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
5804
5804
2004
2004
39600
39600
1792
1792
36915
36915
65668
65668
8415
8415
14988
14988
29955
29955
10040
10040
2970
2970
26535
26535
6500
6500
252218
252218

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
VIL
BOT
AMP
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
BAG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Pasien
Penjamin
1200
1200
15840
15840
91080
91080
131336
131336
46736
46736
120384
120384
3000
3000
409576
409576

0
0
0
0
0
0
0
0

Pasien
Penjamin
2064
2064
6616
6616
1392
1392
18528
18528
3168
3168
91080
91080
65668
65668
31952
31952
154128
154128
8415
8415
14988
14988
5500
5500
403499
403499

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
464
464
2248
2248
4752
4752
1716
1716
91080
91080
203904
203904
184764
184764
197004
197004
8415
8415
14988
14988
31952
31952
18480
18480
10040
10040
7000
7000
779975
779975

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
BOT
BOT
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
AMP
AMP
AMP
VIL

Pasien
Penjamin
21780
21780
500
500
22280
22280

0
0
0

Pasien
Penjamin
3440
3440
35640
35640
4125
4125
4500
4500
47685
47685
2500
2500
97890
97890

0
0
0
0
0
0
0

Pasien

Penjamin
246
154
1544
3960
85272
224400
126506
8415
4000
454497

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1654
1654
1032
1032
88
88
246
246
117
117
3500
3500
150
150
4922
4922
71280
71280
84494
84494
30096
30096

0
0
0
0
0
0
0
0
0
0
0

246
154
1544
3960
85272
224400
126506
8415
4000
454497

TAB
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
VIL
AMP
BOT
PKG
UNT
BAG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
AMP
BOT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB

792
116
562
32834
6000
237883

Pasien
246
120
3500
150
792
116
562
167
422400
4922
18192
20080
9985
19266
14988
6000
521486

Pasien
546
827
3960
24610
225720
16417
20080
9633
4000
305793

Pasien
516
827

792
116
562
32834
6000
237883

0
0
0
0
0
0

Penjamin
246
120
3500
150
792
116
562
167
422400
4922
18192
20080
9985
19266
14988
6000
521486

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
546
827
3960
24610
225720
16417
20080
9633
4000
305793

0
0
0
0
0
0
0
0
0
0

Penjamin
516
827

0
0

TAB
TAB
VIL
AMP
UNT
UNT
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
AMP
AMP
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
PKG
AMP
UNT
VIL
VIL
UNT
UNT
UNT
UNT

1451
1212
308880
9844
14988
8415
348
448
5000
351929

1451
1212
308880
9844
14988
8415
348
448
5000
351929

0
0
0
0
0
0
0
0
0
0

Penjamin
516
1503
492
448800
19688
300960
32834
16335
4000
825128

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
15708
15708
792
792
116
116
562
562
1188
1188
30096
30096
3825
3825
10040
10040
106920
106920
4620
4620
22770
22770
170544
170544
16335
16335
8415
8415
14988
14988
8000
8000
424819
424819

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
516
1503
492
448800
19688
300960
32834
16335
4000
825128

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
AMP
BOT
AMP
UNT
AMP
TUB
UNT
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
AMP
UNT
VIL
BOT
PKG
AMP
UNT
UNT

Pasien
827
516
501
448
1451
738
170544
24610
5220
9096
20790
16088
17016
56262
14988
14988
8415
161064
9000
532562

Pasien
396
501
9900
896
1290
1654
154
22770
11464
16335
4922
8415
37245
16417
20080
300960
9985
8500
471884

Penjamin
827
516
501
448
1451
738
170544
24610
5220
9096
20790
16088
17016
56262
14988
14988
8415
161064
9000
532562

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
396
501
9900
896
1290
1654
154
22770
11464
16335
4922
8415
37245
16417
20080
300960
9985
8500
471884

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
AMP
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
BOT
PKG
UNT

Depo Atas
Subtotal
UNT

Pasien
Penjamin
2150
2150
1392
1392
6616
6616
984
984
480
480
3500
3500
600
600
5884
5884
2004
2004
1476
1476
39376
39376
80256
80256
4500
4500
149218
149218

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29420
29420
31600
31600
26535
26535
2000
2000
3500
3500
50
50
1500
1500
94605
94605

0
0
0
0
0
0
0
0

Pasien
Penjamin
3994
3994
8415
8415
14988
14988
2970
2970
16335
16335
131336
131336
15060
15060
3500
3500
196598
196598

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10200
10200

VIL
UNT
BOT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
AMP
AMP
AMP
VIL
VIL
BOT
UNT
BAG
UNT
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT
BOT
UNT
UNT
UNT
PKG
UNT
PKG
AMP
UNT

91080
15976
197004
8415
14988
2970
15060
4000
359693

91080
15976
197004
8415
14988
2970
15060
4000
359693

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
76808
76808
83160
83160
20880
20880
91080
91080
682176
682176
197004
197004
8415
8415
154128
154128
14988
14988
2970
2970
19125
19125
18480
18480
19970
19970
15060
15060
7000
7000
1411244 1411244

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
926640
926640
31952
31952
504900
504900
19125
19125
8415
8415
14988
14988
2970
2970
18480
18480
15060
15060
211200
211200
5000
5000
1758730 1758730

0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
CAP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT

Depo IGD
Subtotal
TAB
VIL
BAG
AMP
UNT

Pasien
Penjamin
47685
47685
1560
1560
23840
23840
40410
40410
2000
2000
115495
115495

0
0
0
0
0
0

Pasien
Penjamin
3555
3555
13510
13510
1000
1000
18065
18065

0
0
0
0

Pasien
Penjamin
11536
11536
500
500
12036
12036

0
0
0

Pasien
Penjamin
20213
20213
500
500
20713
20713

0
0
0

Pasien
Penjamin
56100
56100
117040
117040
1000
1000
174140
174140

0
0
0
0

Pasien
198
22770
9633
35640
2000

Penjamin
198
22770
9633
35640
2000

0
0
0
0
0

70241

Depo IGD
Subtotal
BAG
UNT

Apotik Panel 2
Subtotal
AMP
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
PKG
UNT
UNT

70241

Pasien
Penjamin
37586
37586
500
500
38086
38086

0
0
0

Pasien
Penjamin
670140
670140
500
500
670640
670640

0
0
0

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
2220
2220
500
500
2720
2720

0
0
0

Pasien
Penjamin
112200
112200
500
500
112700
112700

0
0
0

Pasien
Penjamin
1015740 1015740
3994
3994
12610
12610
26950
26950
18342
18342
2500
2500
1080136 1080136

0
0
0
0
0
0
0

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
AMP
VIL
UNT
PKG
UNT
UNT
UNT
AMP
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
VIL

Pasien
Penjamin
338580
338580
500
500
339080
339080

0
0
0

Pasien
Penjamin
5465
5465
1275
1275
1000
1000
7740
7740

0
0
0
0

Pasien
Penjamin
5465
5465
1275
1275
1000
1000
7740
7740

0
0
0
0

Pasien
Penjamin
62370
62370
37245
37245
26950
26950
41388
41388
12610
12610
3825
3825
20213
20213
4645
4645
14988
14988
14988
14988
59193
59193
5500
5500
303915
303915

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
378
378
3231
3231
170544
170544

0
0
0

UNT
BOT
UNT
PKG
BOT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
AMP
VIL
BAG
BOT
PKG
UNT
UNT

Depo IGD
Subtotal
TAB
AMP
UNT
BOT
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
BOT
UNT

Depo IGD
Subtotal
TAB

3994
2640
3825
5020
65668
1780
4500
261580

3994
2640
3825
5020
65668
1780
4500
261580

0
0
0
0
0
0
0
0

Pasien
Penjamin
304128
304128
3560
3560
46191
46191
22770
22770
19266
19266
65668
65668
5020
5020
1997
1997
4000
4000
472600
472600

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
741
2891
5100
65668
5020
1780
3000
84200

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
36384
36384
1000
1000
52372
52372

0
0
0
0

741
2891
5100
65668
5020
1780
3000
84200

Pasien

Penjamin
244
244

TAB
AMP
VIL
BOT
UNT
UNT
UNT
BAG
UNT
PKG
UNT
PKG
UNT

Depo IGD
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
PKG
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
PKG
TAB
TAB

2532
22053
170544
49251
8415
29976
5991
19266
3825
5020
26535
2970
6500
353122

2532
22053
170544
49251
8415
29976
5991
19266
3825
5020
26535
2970
6500
353122

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
500
500
66168
66168

0
0
0

Pasien
Penjamin
98502
98502
8415
8415
14988
14988
2970
2970
26535
26535
10040
10040
1512
1512
1716
1716
4000
4000
168678
168678

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
98502
98502
8415
8415
14988
14988
2970
2970
26535
26535
10040
10040
1512
1512
2964
2964

0
0
0
0
0
0
0
0

TAB
UNT

Emergency Dahlia
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
AMP
BOT
UNT
UNT
UNT
VIL
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

1716
4500
172142

1716
4500
172142

0
0
0

Pasien
Penjamin
62370
62370
20213
20213
1000
1000
83583
83583

0
0
0
0

Pasien
Penjamin
3960
3960
500
500
4460
4460

0
0
0

Pasien
Penjamin
14784
14784
74844
74844
16417
16417
8415
8415
14988
14988
3825
3825
170544
170544
3500
3500
307317
307317

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6375
6375
7700
7700
1000
1000
15075
15075

0
0
0
0

Pasien
Penjamin
511632
511632
500
500
512132
512132

0
0
0

Apotik Panel 2
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL

Pasien
Penjamin
670120
670120
22000
22000
1000
1000
693120
693120

0
0
0
0

Pasien
Penjamin
341088
341088
500
500
341588
341588

0
0
0

Pasien
Penjamin
511632
511632
500
500
512132
512132

0
0
0

Pasien
Penjamin
362832
362832
500
500
363332
363332

0
0
0

Pasien
Penjamin
241888
241888
500
500
242388
242388

0
0
0

Pasien
Penjamin
23376
23376
500
500
23876
23876

0
0
0

Pasien
Penjamin
341088
341088

BAG
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

86697
1000
428785

86697
1000
428785

0
0
0

Pasien
Penjamin
48320
48320
500
500
48820
48820

0
0
0

Pasien
Penjamin
341088
341088
500
500
341588
341588

0
0
0

Pasien
Penjamin
39600
39600
500
500
40100
40100

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
153000
153000
500
500
153500
153500

0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
PKG
VIL
UNT
VIL
UNT
BOT
BAG
BOT
UNT
UNT
PKG
UNT
UNT
UNT

Pasien
Penjamin
1512
1512
2004
2004
3168
3168
464
464
2248
2248
4752
4752
144
144
16420
16420
120384
120384
15300
15300
10040
10040
5500
5500
181936
181936

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
6144
6144
3168
3168
464
464
2248
2248
4752
4752
15060
15060
767448
767448
31952
31952
1267200 1267200
15300
15300
504900
504900
77064
77064
224422
224422
8415
8415
14988
14988
2970
2970
26535
26535
18480
18480
9000
9000
3000510 3000510

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
UNT
VIL
UNT
VIL
BOT
AMP
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
VIL
AMP
AMP
BOT
UNT
UNT
UNT
PKG
TAB
UNT

Emergency Dahlia
Subtotal
UNT
UNT

Emergency Dahlia

Pasien
Penjamin
8415
8415
897600
897600
14988
14988
682176
682176
203904
203904
38016
38016
2970
2970
15300
15300
18480
18480
115596
115596
10040
10040
5500
5500
2012985 2012985

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
464
464
4752
4752
144
144
2004
2004
289984
289984
448800
448800
17776
17776
20880
20880
372392
372392
31952
31952
15300
15300
18480
18480
15060
15060
5064
5064
7500
7500
1253720 1253720

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Subtotal
TUB
UNT
UNT
AMP
UNT
UNT
UNT
BAG
UNT
UNT

Emergency Dahlia
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
VIL
AMP
BOT
UNT
UNT
BOT
UNT
UNT
UNT
BAG
PKG
UNT
PKG
UNT

Pasien
Penjamin
112524
112524
5809
5809
12012
12012
47520
47520
20213
20213
26950
26950
12610
12610
12012
12012
16088
16088
4500
4500
270238
270238

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
500
500
9596
9596

0
0
0

Pasien
Penjamin
8652
8652
500
500
9152
9152

0
0
0

Pasien
Penjamin
53656
53656
511632
511632
76808
76808
109152
109152
8415
8415
14988
14988
224400
224400
10200
10200
31952
31952
24640
24640
77064
77064
15060
15060
26535
26535
2970
2970
7000
7000
1194472 1194472

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
CAP
TAB
TAB
TAB
VIL
UNT
UNT
PKG
BAG
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
BAG
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
VIL
BOT
BAG
PKG
BAG
BAG

Pasien
Penjamin
6616
6616
16392
16392
656
656
2184
2184
2376
2376
53656
53656
8415
8415
14988
14988
2970
2970
77064
77064
90960
90960
10040
10040
6000
6000
292317
292317

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1536
1536
897600
897600
204864
204864
12750
12750
115596
115596
10040
10040
8415
8415
14988
14988
2970
2970
4500
4500
1273259 1273259

0
0
0
0
0
0
0
0
0
0
0

Pasien
328
240
3500
600
3072
1900800
448844
205200
2970
75172
96330

Penjamin
328
240
3500
600
3072
1900800
448844
205200
2970
75172
96330

0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
CAP
CAP
BOT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
BOT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
UNT
UNT

8415
14988
9240
10040
6000
2785739

8415
14988
9240
10040
6000
2785739

0
0
0
0
0
0

Pasien
Penjamin
5804
5804
2004
2004
39600
39600
1224
1224
36960
36960
21552
21552
109152
109152
8415
8415
14988
14988
2970
2970
10040
10040
5500
5500
258209
258209

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21552
21552
3168
3168
9120
9120
109152
109152
8415
8415
14988
14988
2970
2970
10040
10040
4000
4000
183405
183405

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2064
2064
10560
10560
875160
875160
148980
148980
8415
8415
14988
14988

0
0
0
0
0
0

PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
UNT
VIL
UNT
AMP
UNT
UNT
UNT
PKG
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Atas

2970
19970
15300
12320
10040
5500
1126267

2970
19970
15300
12320
10040
5500
1126267

0
0
0
0
0
0
0

Pasien
Penjamin
6616
6616
2004
2004
1235520 1235520
8415
8415
80256
80256
14988
14988
13332
13332
15976
15976
10200
10200
30800
30800
15060
15060
2970
2970
96330
96330
6500
6500
1538967 1538967

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33316
33316
31416
31416
39600
39600
5804
5804
427680
427680
72768
72768
36960
36960
8415
8415
14988
14988
2970
2970
7650
7650
15060
15060
6000
6000
702627
702627

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
AMP
BAG
VIL
VIL
UNT
UNT
BOT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
TAB
BOT
BOT
UNT
UNT
PKG

Pasien
Penjamin
1200
1200
15840
15840
46736
46736
173394
173394
53656
53656
120384
120384
30600
30600
23964
23964
70572
70572
18480
18480
15060
15060
8415
8415
14988
14988
2970
2970
7000
7000
603259
603259

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
984
984
47048
47048
8415
8415
14988
14988
2970
2970
7988
7988
7650
7650
77064
77064
15060
15060
5000
5000
188679
188679

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
872
392
423
16392
656
36384
204864
8415
14988
2970

Penjamin
872
392
423
16392
656
36384
204864
8415
14988
2970

0
0
0
0
0
0
0
0
0
0

PKG
UNT

Depo Atas
Subtotal
VIL
AMP
UNT
BAG
UNT
UNT
UNT
PKG
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
AMP
VIL
AMP
BOT
UNT
UNT
PKG
UNT
UNT
UNT
BAG
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

15060
5500
306916

15060
5500
306916

0
0
0

Pasien
Penjamin
1689600 1689600
85536
85536
7988
7988
77064
77064
5100
5100
8415
8415
14988
14988
2970
2970
15060
15060
36384
36384
5000
5000
1948105 1948105

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19712
19712
68064
68064
53656
53656
187228
187228
109152
109152
8415
8415
14988
14988
2970
2970
20400
20400
24640
24640
15976
15976
77064
77064
15060
15060
6500
6500
623825
623825

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
65340
65340
500
500
65840
65840

0
0
0

Depo Atas
Subtotal
AMP
AMP
VIL
UNT
BOT
UNT
PKG
UNT
UNT
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
UNT
AMP
BOT
AMP
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
BOT
BOT
UNT

Pasien
Penjamin
83160
83160
20880
20880
75288
75288
8415
8415
109152
109152
14988
14988
2970
2970
26535
26535
39940
39940
115596
115596
24640
24640
15300
15300
15060
15060
6500
6500
558424
558424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2064
2064
3308
3308
1224
1224
2184
2184
53656
53656
8415
8415
76808
76808
109152
109152
752400
752400
870676
870676
14988
14988
25500
25500
24640
24640
31952
31952
15060
15060
7500
7500
1999527 1999527

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
68064
68064
372392
372392
204864
204864
8415
8415

0
0
0
0
0

UNT
PKG
UNT
UNT
UNT
BAG
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
BOT
BOT
UNT
UNT

14988
2970
26535
15300
18480
86697
23964
15060
6500
911914

14988
2970
26535
15300
18480
86697
23964
15060
6500
911914

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
102000
102000
500
500
102500
102500

0
0
0

Pasien
Penjamin
2952
2952
2124
2124
2448
2448
480
480
3500
3500
600
600
984
984
10768
10768
576
576
2064
2064
7992
7992
4000
4000
38488
38488

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224
2004
2004
2902
2902
15708
15708
1900800 1900800
271872
271872
109152
109152
15976
15976
12750
12750

0
0
0
0
0
0
0
0
0

PKG
UNT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
UNT
BOT
UNT
UNT
PKG
BAG
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
UNT
BAG
PKG
UNT
PKG
UNT
UNT
UNT
PKG
AMP

15060
8415
115596
14988
2970
7000
2496417

15060
8415
115596
14988
2970
7000
2496417

0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
53656
53656
7988
7988
305856
305856
16335
16335
14988
14988
2970
2970
77064
77064
109152
109152
15060
15060
5000
5000
609653
609653

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2156
2156
6176
6176
2004
2004
3168
3168
464
464
2248
2248
4752
4752
2534400 2534400
70572
70572
68064
68064
8415
8415
154128
154128
29568
29568
14988
14988
2970
2970
15976
15976
25500
25500
18480
18480
15060
15060
506964
506964

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

VIL
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
PKG
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
VIL
BOT
SUP
UNT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
AMP
UNT
BOT
UNT
UNT
PKG
UNT
UNT
UNT

120384
10500
3616937

120384
10500
3616937

0
0
0

Pasien
Penjamin
109152
109152
8415
8415
14988
14988
2970
2970
15060
15060
5100
5100
3168
3168
3500
3500
162353
162353

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
984
480
3500
600
1900800
109152
47124
19970
115596
12750
15060
4000
2230016

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10440
10440
41580
41580
7650
7650
54576
54576
8415
8415
14988
14988
2970
2970
26535
26535
9240
9240
1997
1997

0
0
0
0
0
0
0
0
0
0

984
480
3500
600
1900800
109152
47124
19970
115596
12750
15060
4000
2230016

PKG
BAG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
AMP
BOT
BOT
BOT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
AMP
AMP
BAG
VIL
UNT
UNT
PKG

10040
19266
6000
213697

10040
19266
6000
213697

0
0
0
0

Pasien
Penjamin
8652
8652
500
500
9152
9152

0
0
0

Pasien
Penjamin
53656
53656
23128
23128
305856
305856
504900
504900
109152
109152
8415
8415
14988
14988
2970
2970
26535
26535
15300
15300
18480
18480
23964
23964
48165
48165
10040
10040
7000
7000
1172549 1172549

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
2004
2004
688
688
1792
1792
17776
17776
20880
20880
83160
83160
115596
115596
341088
341088
8415
8415
14988
14988
2970
2970

0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
BAG
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
VIL
BOT
VIL
PKG
AMP
UNT

26535
20400
24640
31952
15060
8500
766012

26535
20400
24640
31952
15060
8500
766012

0
0
0
0
0
0
0

Pasien
Penjamin
5064
5064
488
488
36384
36384
410400
410400
8415
8415
14988
14988
2970
2970
10040
10040
4000
4000
492749
492749

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
82464
82464
8415
8415
14988
14988
2970
2970
26535
26535
10040
10040
15976
15976
3500
3500
164888
164888

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51168
51168
2088
2088
15976
15976
53656
53656
203904
203904
511632
511632
10040
10040
38016
38016
8415
8415

0
0
0
0
0
0
0
0
0

UNT
UNT
BAG
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
BOT
UNT
BOT
UNT
UNT
UNT
UNT
VIL
TUB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
AMP

14988
12320
77064
6000
1005267

14988
12320
77064
6000
1005267

0
0
0
0
0

Pasien
Penjamin
13728
13728
500
500
14228
14228

0
0
0

Pasien
Penjamin
14988
14988
59400
59400
26535
26535
16417
16417
29976
29976
3825
3825
16335
16335
2495
2495
72496
72496
56262
56262
5000
5000
303729
303729

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
3435
3435
500
500
3935
3935

0
0
0

Pasien
Penjamin
124740
124740

AMP
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

95040
8415
1500
229695

95040
8415
1500
229695

0
0
0
0

Pasien
Penjamin
144992
144992
500
500
145492
145492

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Depo Atas
Subtotal
AMP
BAG
UNT
UNT

Depo Atas
Subtotal
CTG
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Pasien
Penjamin
6960
6960
9633
9633
1275
1275
1500
1500
19368
19368

0
0
0
0
0

Pasien
Penjamin
180048
180048
9140
9140
3435
3435
1500
1500
194123
194123

0
0
0
0
0

Pasien
Penjamin
33000
33000
2061
2061
1000
1000
36061
36061

0
0
0
0

Pasien
Penjamin
33000
33000
2061
2061
1000
1000
36061
36061

0
0
0
0

Pasien
Penjamin
3435
3435
500
500
3935
3935

0
0
0

Pasien
Penjamin
3435
3435
500
500
3935
3935

0
0
0

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Emergency Dahlia
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB

Pasien
Penjamin
33000
33000
687
687
1000
1000
34687
34687

0
0
0
0

Pasien
Penjamin
33000
33000
2061
2061
1000
1000
36061
36061

0
0
0
0

Pasien
Penjamin
33000
33000
2061
2061
1000
1000
36061
36061

0
0
0
0

Pasien
Penjamin
3435
3435
500
500
3935
3935

0
0
0

Pasien
Penjamin
16088
16088
1997
1997
1000
1000
19085
19085

0
0
0
0

Pasien
Penjamin
1482
1482
1002
1002
1584
1584
232
232

0
0
0
0

TAB
TAB
TAB
TAB
VIL
AMP
BOT
VIL
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
AMP
BOT
VIL
PKG
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
CAP
CAP
VIL

1124
2376
72
8210
26828
52740
98502
60192
7988
5100
20080
19266
8000
314778

1124
2376
72
8210
26828
52740
98502
60192
7988
5100
20080
19266
8000
314778

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
600
7920
47685
23368
65668
26828
10040
38532
60192
19970
15400
12750
8415
14988
26535
2970
8000
389861

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2902
2902
1503
1503
29700
29700
612
612
18480
18480
10776
10776
870676
870676

0
0
0
0
0
0
0

Pasien
600
7920
47685
23368
65668
26828
10040
38532
60192
19970
15400
12750
8415
14988
26535
2970
8000
389861

BOT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
AMP
AMP
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
CTG
UNT

Depo Atas
Subtotal
UNT
CTG
UNT

65668
8415
14988
2970
10040
6000
1042730

65668
8415
14988
2970
10040
6000
1042730

0
0
0
0
0
0
0

Pasien
Penjamin
13744
13744
18192
18192
1000
1000
32936
32936

0
0
0
0

Pasien
Penjamin
95040
95040
124740
124740
8820
8820
1500
1500
230100
230100

0
0
0
0
0

Pasien

Penjamin
366
3798
1000
5164

0
0
0
0

Pasien
Penjamin
9140
9140
180048
180048
1000
1000
190188
190188

0
0
0
0

Pasien
Penjamin
9140
9140
180048
180048
1000
1000

0
0
0

366
3798
1000
5164

190188

Depo Atas
Subtotal
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
AMP
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

190188

Pasien
Penjamin
2764
2764
31660
31660
24024
24024
24024
24024
6375
6375
7700
7700
28660
28660
3500
3500
128707
128707

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
291720
291720
500
500
292220
292220

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
95040
95040
13744
13744
1000
1000
109784
109784

0
0
0
0

Pasien
Penjamin
2460
2460
15440
15440
5160
5160
7255
7255
4480
4480
1220
1220
3000
3000

0
0
0
0
0
0
0

39015

Depo Atas
Subtotal
TAB
BOT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT
AMP
AMP
AMP
VIL
AMP
SUP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB

39015

Pasien
Penjamin
4500
4500
47685
47685
1000
1000
53185
53185

0
0
0
0

Pasien
Penjamin
308377
308377
14988
14988
16335
16335
1500
1500
341200
341200

0
0
0
0
0

Pasien
Penjamin
6462
6462
29976
29976
23520
23520
92382
92382
44106
44106
26828
26828
11564
11564
78372
78372
15300
15300
18480
18480
10040
10040
5500
5500
362530
362530

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6680
6680
500
500
7180
7180

0
0
0

Pasien
Penjamin
10890
10890

UNT

Depo Atas
Subtotal
TAB
BAG
VIL
BOT
PKG
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
AMP
UNT
AMP
VIL
BAG
UNT

500
11390

500
11390

0
0

Pasien
Penjamin
75240
75240
38532
38532
289984
289984
27488
27488
20080
20080
7988
7988
3000
3000
462312
462312

0
0
0
0
0
0
0
0

Pasien
Penjamin
13200
13200
500
500
13700
13700

0
0
0

Pasien
Penjamin
23225
23225
500
500
23725
23725

0
0
0

Pasien
Penjamin
8766
8766
500
500
9266
9266

0
0
0

Pasien
Penjamin
98502
98502
8415
8415
10440
10440
14988
14988
41580
41580
144992
144992
19266
19266
9240
9240

0
0
0
0
0
0
0
0

UNT
PKG
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

7650
2970
26535
10040
6000
400618

7650
2970
26535
10040
6000
400618

0
0
0
0
0
0

Pasien
Penjamin
19800
19800
500
500
20300
20300

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
74490
74490
500
500
74990
74990

0
0
0

Pasien
Penjamin
724960
724960
500
500
725460
725460

0
0
0

Pasien
Penjamin
32670
32670
500
500
33170
33170

0
0
0

Pasien
Penjamin
7920
7920
500
500

0
0

8420

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

8420

Pasien
Penjamin
203904
203904
500
500
204404
204404

0
0
0

Pasien
Penjamin
217488
217488
500
500
217988
217988

0
0
0

Pasien
Penjamin
289984
289984
500
500
290484
290484

0
0
0

Pasien
Penjamin
26611
26611
144992
144992
1000
1000
172603
172603

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
360
360
3660
3660
430
430
9000
9000
15240
15240
4500
4500
59770
59770

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
AMP
VIL
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
PKG
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
BAG
PKG
AMP
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Pasien
Penjamin
33984
33984
107376
107376
72496
72496
1500
1500
215356
215356

0
0
0
0
0

Pasien
Penjamin
36384
36384
8415
8415
14988
14988
2970
2970
30120
30120
756
756
3000
3000
96633
96633

0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
8415
8415
14988
14988
2970
2970
26535
26535
38532
38532
5020
5020
5672
5672
4000
4000
153817
153817

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
AMP
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
95040
95040
26950
26950
22688
22688
8415
8415
14988
14988
20213
20213
3000
3000
191294
191294

0
0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
84494
84494
32834
32834
2376
2376
1686
1686
348
348
492
492
2481
2481
688
688
88
88
328
328

0
0
0
0
0
0
0
0
0
0

GM
UNT
UNT
TAB
TAB
TAB
VIL
AMP
AMP
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
UNT

Depo Atas
Subtotal
TAB
BOT
UNT

Emergency Dahlia
Subtotal
VIL
BOT
UNT

Emergency Dahlia
Subtotal

156
3500
200
1224
26136
43072
336600
6666
225720
30096
8500
807685

156
3500
200
1224
26136
43072
336600
6666
225720
30096
8500
807685

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
408
1503
29700
7392
516
1654
304320
8888
32834
4500
391715

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
32834
32834
1000
1000
43734
43734

0
0
0
0

Pasien
Penjamin
3432
3432
11762
11762
1000
1000
16194
16194

0
0
0
0

Pasien
408
1503
29700
7392
516
1654
304320
8888
32834
4500
391715

Pasien

Penjamin

AMP
UNT
BAG
UNT
UNT
UNT
BOT
UNT
VIL
BOT
UNT

Emergency Dahlia
Subtotal
AMP
UNT

Depo Atas
Subtotal
AMP
UNT
AMP
UNT
AMP
VIL
VIL
BOT
TAB
GM
UNT
UNT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

124740
12610
12012
26950
20213
8415
9096
16088
3432
11762
5000
250318

124740
12610
12012
26950
20213
8415
9096
16088
3432
11762
5000
250318

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5880
5880
500
500
6380
6380

0
0
0

Pasien
Penjamin
6666
6666
20213
20213
150480
150480
5732
5732
677160
677160
10296
10296
336600
336600
32834
32834
19602
19602
117
117
3500
3500
150
150
1032
1032
5000
5000
1269382 1269382

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10890
10890
500
500
11390
11390

0
0
0

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
AMP
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
AMP
VIL
BOT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
AMP
AMP
AMP
VIL
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
1002
1002
19800
19800
435338
435338
150480
150480
11110
11110
13414
13414
3000
3000
634144
634144

Pasien

0
0
0
0
0
0
0
0

Penjamin
539
501
633600
84494
2222
37245
16417
5881
4000
784899

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
2052
2052
258
258
224400
224400
5220
5220
20790
20790
8673
8673
40128
40128
16417
16417
14988
14988
5000
5000
347826
347826

0
0
0
0
0
0
0
0
0
0
0
0

539
501
633600
84494
2222
37245
16417
5881
4000
784899

Pasien

Penjamin
306
306
516
516
1451
1451

0
0
0

BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
BOT
AMP
AMP
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
BOT
TAB
AMP
VIL
BOT
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
BOT

16417
2000
20690

16417
2000
20690

0
0
0

Pasien
Penjamin
21780
21780
500
500
22280
22280

0
0
0

Pasien
Penjamin
1032
1032
1451
1451
448
448
435338
435338
16417
16417
22220
22220
376200
376200
5732
5732
20213
20213
4634
4634
5000
5000
888685
888685

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
3960
3960
71280
71280
498960
498960
17643
17643
62563
62563
63253
63253
3500
3500
779123
779123

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1152
1152
673200
673200
153648
153648
189759
189759

0
0
0
0

BOT
UNT
UNT
PKG
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
BOT
BAG
UNT
PKG
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
AMP

49251
8415
14988
2970
57798
15060
5000
1171241

49251
8415
14988
2970
57798
15060
5000
1171241

0
0
0
0
0
0
0
0

Pasien
Penjamin
169290
169290
85272
85272
153648
153648
189759
189759
57798
57798
8415
8415
2970
2970
15060
15060
14988
14988
4500
4500
701700
701700

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1548
1548
7920
7920
2376
2376
348
348
1686
1686
3564
3564
90
90
49251
49251
90288
90288
57798
57798
4620
4620
15060
15060
6000
6000
240549
240549

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
289984
289984
15660
15660

0
0

AMP
VIL
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
UNT
VIL
UNT
AMP
BOT
BOT
BAG
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
VIL
VIL
AMP
BOT
AMP
UNT
VIL
UNT
UNT

62370
56466
8415
14988
2970
15300
18480
77064
15060
5500
582257

62370
56466
8415
14988
2970
15300
18480
77064
15060
5500
582257

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1344
1344
15708
15708
918
918
1267200 1267200
14988
14988
434976
434976
8415
8415
26664
26664
49251
49251
35286
35286
115596
115596
13860
13860
15060
15060
2970
2970
7000
7000
2009236 2009236

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1548
1548
2481
2481
8415
8415
40242
40242
289984
289984
68064
68064
147753
147753
752400
752400
14988
14988
1306014 1306014
20400
20400
9240
9240

0
0
0
0
0
0
0
0
0
0
0
0

BAG
PKG
PKG
UNT

Depo Atas
Subtotal
VIL
VIL
AMP
BAG
BAG
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BAG
AMP
AMP
BOT
UNT
UNT
UNT
UNT
PKG
PKG
BOT
UNT

Depo Atas
Subtotal
VIL
VIL
AMP

57798
30120
2970
7500
2759917

57798
30120
2970
7500
2759917

0
0
0
0
0

Pasien
Penjamin
434976
434976
40242
40242
13935
13935
307800
307800
57798
57798
3825
3825
30120
30120
14988
14988
8415
8415
2970
2970
5000
5000
920069
920069

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1548
1548
673200
673200
57798
57798
62370
62370
15660
15660
52929
52929
8415
8415
11475
11475
13860
13860
14988
14988
2970
2970
30120
30120
147753
147753
6500
6500
1099586 1099586

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
673200
673200
341088
341088
28512
28512

0
0
0

BOT
BOT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
AMP
BOT
VIL
BOT
UNT
UNT
PKG
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
BOT
UNT
UNT
PKG
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB

35286
147753
57798
3825
30120
4000
1321582

35286
147753
57798
3825
30120
4000
1321582

0
0
0
0
0
0
0

Pasien
Penjamin
434976
434976
8888
8888
101952
101952
1267200 1267200
54576
54576
8415
8415
14988
14988
2970
2970
144495
144495
7650
7650
9240
9240
15060
15060
6000
6000
2076410 2076410

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
738
738
302360
302360
434976
434976
35286
35286
8415
8415
14988
14988
2970
2970
57798
57798
15060
15060
5000
5000
878725
878725

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22176
22176
1503
1503

0
0

TAB
TAB
AMP
AMP
AMP
BAG
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
UNT
VIL
AMP
VIL
UNT
BAG
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
PKG
PKG
TAB

516
1344
26664
15660
55440
77064
8415
14988
2970
20400
13860
15060
7000
283060

516
1344
26664
15660
55440
77064
8415
14988
2970
20400
13860
15060
7000
283060

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4608
4608
2376
2376
3564
3564
1686
1686
348
348
17640
17640
11475
11475
652464
652464
17346
17346
1900800 1900800
13860
13860
86697
86697
10040
10040
6500
6500
2729404 2729404

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
22176
22176
10040
10040
8076
8076

0
0
0

TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
BOT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
GM
UNT
UNT

6717
4632
1617
3000
56258

6717
4632
1617
3000
56258

0
0
0
0
0

Pasien
Penjamin
22176
22176
732
732
900
900
1503
1503
1215
1215
3798
3798
1267200 1267200
77064
77064
197004
197004
35052
35052
12320
12320
10200
10200
20080
20080
6500
6500
1655744 1655744

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40242
40242
305856
305856
475200
475200
57798
57798
10040
10040
2500
2500
891636
891636

0
0
0
0
0
0
0

Pasien
Penjamin
3798
3798
2700
2700
3138
3138
732
732
1635
1635
105
105
3500
3500
450
450

0
0
0
0
0
0
0
0

VIL
VIL
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
AMP
BAG
UNT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT
BAG
PKG
PKG

875160
111735
11475
57798
15060
5000
1092286

875160
111735
11475
57798
15060
5000
1092286

0
0
0
0
0
0
0

Penjamin
738
4632
1548
4353
1344
434976
51048
673200
26664
57798
11475
10040
6000
1283816

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12978
12978
500
500
13478
13478

0
0
0

Pasien
Penjamin
19712
19712
594
594
51048
51048
40242
40242
98502
98502
8415
8415
14988
14988
11475
11475
57798
57798
2970
2970
20080
20080

0
0
0
0
0
0
0
0
0
0
0

Pasien
738
4632
1548
4353
1344
434976
51048
673200
26664
57798
11475
10040
6000
1283816

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
GM
UNT
UNT
TAB
VIL
BOT
BAG
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal

5500
331324

5500
331324

0
0

Pasien
Penjamin
2214
2214
1593
1593
1836
1836
360
360
3500
3500
450
450
117612
117612
738
738
10768
10768
432
432
1548
1548
24588
24588
1267200 1267200
28512
28512
3825
3825
28899
28899
6500
6500
1500575 1500575

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
58806
58806
246
246
360
360
3500
3500
450
450
2304
2304
1267200 1267200
336633
336633
86697
86697
8415
8415
14988
14988
2970
2970
30120
30120
5000
5000
1817689 1817689

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
VIL
UNT
AMP
BOT
AMP
BAG
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
VIL
AMP
AMP
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
GM
UNT
UNT

4374
40242
13860
799227
98502
89712
57798
8415
2970
11475
10040
14988
6000
1157603

4374
40242
13860
799227
98502
89712
57798
8415
2970
11475
10040
14988
6000
1157603

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
2376
2376
348
348
1686
1686
3564
3564
108
108
918
918
1267200 1267200
434976
434976
90288
90288
56720
56720
380223
380223
147753
147753
15400
15400
20400
20400
7500
7500
2430963 2430963

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
900
1836
8076
29700
738
360
3500
450

Penjamin
900
1836
8076
29700
738
360
3500
450

0
0
0
0
0
0
0
0

TAB
TAB
TAB
TAB
AMP
VIL
VIL
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
VIL
BOT
BOT
PKG
UNT

Depo Atas
Subtotal
UNT
BOT
PKG
BOT
UNT

7920
4962
15708
49896
52920
968298
90288
18480
22950
15060
77064
8000
1377106

7920
4962
15708
49896
52920
968298
90288
18480
22950
15060
77064
8000
1377106

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
2970
2970
15060
15060
2000
2000
51353
51353

0
0
0
0
0
0

Pasien

Penjamin
918
1503
29700
2902
1900800
217488
203904
98502
15060
4500
2475277

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
98502
98502
2970
2970
189759
189759
14988
14988

0
0
0
0
0

918
1503
29700
2902
1900800
217488
203904
98502
15060
4500
2475277

VIL
AMP
VIL
BAG
UNT
PKG
BOT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
AMP
AMP
UNT
VIL
BOT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
AMP
AMP
UNT
UNT
BAG
PKG
TAB
TAB
TAB
TAB
UNT

217488
51048
673200
96330
11475
15060
3560
11880
6500
1401175

217488
51048
673200
96330
11475
15060
3560
11880
6500
1401175

0
0
0
0
0
0
0
0
0
0

Penjamin
918
264
13860
15660
62370
11475
434976
147753
15060
57798
5000
765134

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3564
3564
7596
7596
434976
434976
673200
673200
13332
13332
15660
15660
12320
12320
10200
10200
77064
77064
15060
15060
2376
2376
1503
1503
348
348
144
144
7000
7000
1274343 1274343

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
918
264
13860
15660
62370
11475
434976
147753
15060
57798
5000
765134

Depo Atas
Subtotal
VIL
BOT
AMP
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
PKG
BOT
BOT

Pasien
Penjamin
434976
434976
98502
98502
4645
4645
28899
28899
3825
3825
15060
15060
3000
3000
588907
588907

0
0
0
0
0
0
0
0

Pasien
Penjamin
3798
3798
366
366
5881
5881
8415
8415
15060
15060
14988
14988
2970
2970
3500
3500
54978
54978

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
738
342
2481
1269
3996
8730
49251
15060
4000
85867

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1188
1188
40242
40242
15060
15060
98502
98502
189759
189759

0
0
0
0
0

738
342
2481
1269
3996
8730
49251
15060
4000
85867

UNT
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
VIL
BOT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
BOT
BOT
UNT
UNT
PKG
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
BOT
VIL
AMP
BAG
UNT
UNT
PKG

8415
14988
2970
4000
375124

8415
14988
2970
4000
375124

0
0
0
0
0

Pasien
Penjamin
51048
51048
434976
434976
189759
189759
11475
11475
57798
57798
15060
15060
3000
3000
763116
763116

0
0
0
0
0
0
0
0

Pasien
Penjamin
40242
40242
305856
305856
356400
356400
98502
98502
8415
8415
14988
14988
17820
17820
57798
57798
15060
15060
4500
4500
919581
919581

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1471
1471
38376
38376
2349
2349
40242
40242
305856
305856
511632
511632
28512
28512
57798
57798
7650
7650
9240
9240
15060
15060

0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT
AMP
BOT
AMP
UNT
PKG
BAG
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
PKG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
BAG
UNT
UNT
UNT
UNT

8415
14988
2970
7000
1051559

8415
14988
2970
7000
1051559

0
0
0
0
0

Pasien
Penjamin
40242
40242
8415
8415
483192
483192
98502
98502
89712
89712
14988
14988
2970
2970
115596
115596
11475
11475
9240
9240
15060
15060
5500
5500
894892
894892

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6160
6160
29976
29976
41388
41388
5694
5694
5100
5100
2500
2500
90818
90818

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
8415
8415
26535
26535
19266
19266
1548
1548
3825
3825
4620
4620
4000
4000
98185
98185

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BOT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BAG
UNT
UNT
BOT
BOT
VIL
UNT

Depo IGD
Subtotal
UNT
BOT
UNT

Pasien
Penjamin
11762
11762
29976
29976
1000
1000
42738
42738

0
0
0
0

Pasien
Penjamin
62370
62370
14988
14988
32834
32834
1500
1500
111692
111692

0
0
0
0
0

Pasien
Penjamin
1898
1898
16335
16335
5881
5881
14988
14988
2000
2000
41102
41102

0
0
0
0
0
0

Pasien
Penjamin
102600
102600
2550
2550
3080
3080
5280
5280
59400
59400
308377
308377
3000
3000
484287
484287

0
0
0
0
0
0
0
0

Pasien
Penjamin
3080
3080
59400
59400
1000
1000
63480
63480

0
0
0
0

Depo IGD
Subtotal
BOT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
BOT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT

Depo IGD

Pasien
Penjamin
9096
9096
2550
2550
3080
3080
33984
33984
2000
2000
50710
50710

0
0
0
0
0
0

Pasien
Penjamin
3080
3080
2550
2550
16335
16335
29976
29976
2000
2000
53941
53941

0
0
0
0
0
0

Pasien
Penjamin
112200
112200
16335
16335
18192
18192
14988
14988
3300
3300
6375
6375
7700
7700
3500
3500
182590
182590

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
46191
46191
6375
6375
7700
7700
16335
16335
2500
2500
97293
97293

0
0
0
0
0
0
0

Subtotal
BOT
UNT
VIL
UNT

Depo IGD
Subtotal
VIL
BOT
UNT
UNT

Depo IGD
Subtotal
VIL
VIL
UNT

Depo IGD
Subtotal
VIL
VIL
UNT

Depo IGD
Subtotal
SUP
UNT

Depo IGD
Subtotal
UNT
PKG
VIL
BOT
UNT

Pasien
Penjamin
81510
81510
14988
14988
6707
6707
1500
1500
104705
104705

0
0
0
0
0

Pasien
Penjamin
131319
131319
81510
81510
14988
14988
1500
1500
229317
229317

0
0
0
0
0

Pasien
Penjamin
112200
112200
72496
72496
1000
1000
185696
185696

0
0
0
0

Pasien
Penjamin
211200
211200
72496
72496
1000
1000
284696
284696

0
0
0
0

Pasien
Penjamin
23562
23562
500
500
24062
24062

0
0
0

Pasien
Penjamin
9625
9625
41388
41388
37245
37245
118800
118800
2000
2000

0
0
0
0
0

209058

Depo Atas
Subtotal
VIL
VIL
AMP
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
AMP
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
BOT

209058

Pasien
Penjamin
448800
448800
144992
144992
34032
34032
1500
1500
629324
629324

0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
645532
645532
500
500
646032
646032

0
0
0

Pasien
Penjamin
448800
448800
10440
10440
1000
1000
460240
460240

0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1482
1482
1002
1002
26828
26828
98502
98502

0
0
0
0

UNT
BAG
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT

8415
19266
29976
2970
20080
4500
213021

8415
19266
29976
2970
20080
4500
213021

0
0
0
0
0
0
0

Pasien
Penjamin
1267200 1267200
500
500
1267700 1267700

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
29976
29976

UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
AMP
AMP
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

500
30476

500
30476

0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
6462
6462
23520
23520
92382
92382
34032
34032
15300
15300
9240
9240
98502
98502
3500
3500
282938
282938

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14710
14710
11088
11088
26535
26535
2000
2000
3500
3500
50
50
1500
1500
59383
59383

0
0
0
0
0
0
0
0

Pasien
Penjamin
1267200 1267200
500
500

0
0

1267700

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
CAP
UNT

Depo Atas
Subtotal
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
BAG
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

1267700

Pasien
Penjamin
1267200 1267200
500
500
1267700 1267700

0
0
0

Pasien
Penjamin
53880
53880
500
500
54380
54380

0
0
0

Pasien
Penjamin
118800
118800
500
500
119300
119300

0
0
0

Pasien
Penjamin
2550
2550
6600
6600
1000
1000
10150
10150

0
0
0
0

Pasien
Penjamin
13414
13414
3300
3300
9633
9633
1500
1500
27847
27847

0
0
0
0
0

Pasien
Penjamin
16417
16417
51216
51216
1000
1000
68633
68633

0
0
0
0

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
TAB
AMP
VIL
UNT
BOT
BAG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT
PKG
UNT

Depo IGD
Subtotal
AMP
VIL
VIL

Pasien
Penjamin
9504
9504
500
500
10004
10004

Pasien

0
0
0

Penjamin
378
8673
13414
5100
2640
26004
3000
59209

0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
20213
20213
14988
14988
12012
12012
1540
1540
2500
2500
67588
67588

0
0
0
0
0
0
0

Pasien
Penjamin
63253
63253
18192
18192
3560
3560
10040
10040
2000
2000
97045
97045

0
0
0
0
0
0

Pasien
Penjamin
187110
187110
226738
226738
26828
26828

0
0
0

378
8673
13414
5100
2640
26004
3000
59209

BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
BOT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
TAB
BOT
PKG
UNT
UNT
BAG

32834
1540
20213
1275
11464
10040
1548
2061
1548
14988
175824
29976
7500
751487

32834
1540
20213
1275
11464
10040
1548
2061
1548
14988
175824
29976
7500
751487

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
356400
356400
8415
8415
14988
14988
14988
14988
20213
20213
11464
11464
3000
3000
429468
429468

0
0
0
0
0
0
0
0

Pasien
Penjamin
9268
9268
5881
5881
44964
44964
10040
10040
1780
1780
2500
2500
74433
74433

0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
32834
32834
10040
10040
3825
3825
4620
4620
356400
356400

0
0
0
0
0
0

UNT
TUB
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
VIL
AMP
VIL
BOT
BOT
VIL
AMP
BAG
BOT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
BOT
BOT
VIL
PKG
UNT
BOT
UNT

Depo IGD
Subtotal
AMP
VIL
AMP
UNT

5809
56262
12012
4500
496202

5809
56262
12012
4500
496202

0
0
0
0
0

Pasien
Penjamin
8415
8415
59193
59193
37245
37245
2940
2940
13414
13414
101952
101952
178200
178200
144992
144992
22053
22053
205200
205200
32834
32834
4620
4620
10040
10040
22688
22688
7000
7000
850786
850786

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
5782
5782
118800
118800
49251
49251
144992
144992
5020
5020
2550
2550
2640
2640
4000
4000
346449
346449

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9504
9504
120944
120944
5782
5782
2550
2550

0
0
0
0

UNT
UNT
PKG
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
PKG
UNT
UNT

Depo IGD
Subtotal
TAB
BOT
BOT
UNT
TUB
BOT
UNT
PKG
AMP
UNT

Depo IGD
Subtotal
VIL
AMP
UNT
PKG
UNT
UNT
UNT
UNT
UNT
VIL
UNT

3080
3560
5020
98502
4000
252942

3080
3560
5020
98502
4000
252942

0
0
0
0
0
0

Pasien
Penjamin
3231
3231
20493
20493
5020
5020
3825
3825
2000
2000
34569
34569

0
0
0
0
0
0

Pasien

Penjamin
741
118800
32834
4620
11182
196680
3560
5020
19202
4500
397139

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
221258
221258
42247
42247
3560
3560
5020
5020
3080
3080
20213
20213
12610
12610
26950
26950
1548
1548
6864
6864
5000
5000
348350
348350

0
0
0
0
0
0
0
0
0
0
0
0

741
118800
32834
4620
11182
196680
3560
5020
19202
4500
397139

Depo IGD
Subtotal
TAB
CAP
VIL
AMP
BOT
BOT
BOT
BAG
UNT
PKG
UNT
UNT
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
AMP
BOT
BAG
BOT
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Pasien

Penjamin
741
2310
142560
49896
51216
63253
16417
9633
3560
5020
3825
9900
13414
6500
378245

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
741
7272
792
5782
13414
115500
17640
59400
102600
16417
4620
3825
3560
5020
7000
363583

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
16335
16335
1000
1000
25750
25750

0
0
0
0

741
2310
142560
49896
51216
63253
16417
9633
3560
5020
3825
9900
13414
6500
378245

Pasien
741
7272
792
5782
13414
115500
17640
59400
102600
16417
4620
3825
3560
5020
7000
363583

Depo IGD
Subtotal
UNT
AMP
AMP
PKG
UNT
BOT
TAB
BOT
UNT

Depo IGD
Subtotal
AMP
AMP
PKG
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
VIL
UNT
TAB
PKG
UNT

Depo IGD
Subtotal
AMP
BOT
PKG
TAB
UNT

Pasien
Penjamin
37830
37830
11684
11684
9268
9268
10040
10040
5809
5809
5280
5280
4488
4488
5881
5881
4000
4000
94280
94280

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25048
25048
4634
4634
10040
10040
3080
3080
2000
2000
44802
44802

0
0
0
0
0
0

Pasien

Penjamin
501
9900
226738
1780
306
10040
3000
252265

0
0
0
0
0
0
0
0

Pasien
Penjamin
71280
71280
16417
16417
10040
10040
8976
8976
2000
2000
108713
108713

0
0
0
0
0
0

501
9900
226738
1780
306
10040
3000
252265

Depo IGD
Subtotal
AMP
BAG
VIL
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
AMP
SUP
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
TUB
PKG
UNT
UNT

Pasien
Penjamin
44856
44856
9633
9633
6707
6707
1500
1500
62696
62696

0
0
0
0
0

Pasien
Penjamin
5184
5184
11464
11464
40426
40426
10040
10040
2000
2000
69114
69114

0
0
0
0
0
0

Pasien
Penjamin
152064
152064
13062
13062
3080
3080
1500
1500
169706
169706

0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262
12012
12012
5280
5280
2500
2500
100205
100205

0
0
0
0
0
0
0

Pasien
Penjamin
5809
5809
56262
56262
5020
5020
11464
11464
2000
2000

0
0
0
0
0

80555

Depo IGD
Subtotal
UNT
TUB
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
VIL
BOT
UNT
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
AMP
UNT
BOT
UNT

80555

Pasien
Penjamin
18342
18342
56262
56262
12012
12012
29976
29976
12610
12610
20213
20213
32670
32670
29976
29976
11464
11464
4500
4500
228025
228025

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3480
3480
2550
2550
170544
170544
2640
2640
3080
3080
9702
9702
3000
3000
194996
194996

0
0
0
0
0
0
0
0

Pasien
Penjamin
634.5
634.5
450
450
1084.5
1084.5

0
0
0

Pasien
Penjamin
72496
72496
14702
14702
2550
2550
32834
32834
2000
2000
124582
124582

0
0
0
0
0
0

Depo IGD
Subtotal
UNT
UNT

Emergency Dahlia
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
TUB
BOT
UNT

Depo Atas
Subtotal
CAP
TAB
VIL
SUP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
6872
6872
500
500
7372
7372

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
18192
18192
2000
2000
100606
100606

0
0
0
0
0
0

Pasien
Penjamin
6600
6600
1269
1269
20121
20121
106029
106029
2000
2000
136019
136019

0
0
0
0
0
0

Pasien
Penjamin
4374
4374
2902
2902
918
918
1500
1500

0
0
0
0

9694

Depo IGD
Subtotal
VIL
AMP
BAG
UNT

Depo IGD
Subtotal
VIL
BOT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
UNT
UNT
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
PKG
UNT

Depo IGD

9694

Pasien
Penjamin
144992
144992
201960
201960
19266
19266
1500
1500
367718
367718

0
0
0
0
0

Pasien
Penjamin
13414
13414
81510
81510
3994
3994
3825
3825
3300
3300
14988
14988
8415
8415
3500
3500
132946
132946

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
81510
81510
3994
3994
3300
3300
2592
2592
14988
14988
8415
8415
3500
3500
131713
131713

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
2970
2970
1000
1000
33946
33946

0
0
0
0

Subtotal
UNT
AMP
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
UNT
VIL
AMP
VIL
VIL
BOT
BAG
BOT

Pasien
Penjamin
11464
11464
285120
285120
1032
1032
1500
1500
299116
299116

0
0
0
0
0

Pasien
Penjamin
150480
150480
11464
11464
384
384
1500
1500
163828
163828

0
0
0
0
0

Pasien
Penjamin
1002
1002
19800
19800
1654
1654
88
88
8976
8976
516
516
226738
226738
3500
3500
262274
262274

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
500
500
58464
58464

0
0
0

Pasien
Penjamin
5991
5991
13414
13414
46191
46191
144992
144992
5184
5184
32834
32834
102600
102600
9096
9096

0
0
0
0
0
0
0
0

UNT
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
VIL
SUP
BOT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
VIL
BOT
VIL
UNT
UNT
BOT
BAG
VIL
UNT
UNT
BOT
UNT
UNT
AMP
PKG
UNT
UNT

Depo IGD

234080
26535
3825
5020
26611
6500
662873

234080
26535
3825
5020
26611
6500
662873

0
0
0
0
0
0
0

Pasien
Penjamin
262638
262638
39186
39186
49251
49251
3994
3994
10040
10040
12610
12610
3000
3000
380719
380719

0
0
0
0
0
0
0
0

Pasien
Penjamin
22688
22688
53900
53900
118800
118800
72496
72496
78634
78634
422400
422400
7988
7988
5100
5100
32834
32834
102600
102600
37245
37245
59193
59193
6160
6160
57964
57964
5294
5294
9625
9625
2940
2940
7392
7392
3300
3300
9500
9500
1116053 1116053

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT
UNT
UNT
PKG
BOT
BOT
BOT
AMP
UNT

Depo IGD
Subtotal
AMP
VIL
PKG
UNT
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
AMP
VIL
BOT
BOT
UNT
PKG
UNT

Pasien
Penjamin
144992
144992
3994
3994
1000
1000
149986
149986

Pasien

0
0
0
0

Penjamin
988
14256
118800
3994
2550
1780
5020
16417
63253
51216
201960
5500
485734

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
124740
124740
453476
453476
5020
5020
1780
1780
7392
7392
8976
8976
448
448
3500
3500
605332
605332

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5809
5809
22220
22220
13414
13414
24955
24955
16417
16417
1780
1780
10040
10040
5991
5991

0
0
0
0
0
0
0
0

988
14256
118800
3994
2550
1780
5020
16417
63253
51216
201960
5500
485734

UNT
UNT
TAB
TAB
UNT
BOT
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
VIL
BOT
VIL
BOT
UNT
UNT
PKG
UNT
TAB
TAB
UNT

Apotik Panel
Subtotal
AMP
UNT

Apotik Panel
Subtotal
AMP
UNT

Apotik Panel
Subtotal
AMP
UNT

11464
2550
8976
306
3080
64548
70000
7500
269050

11464
2550
8976
306
3080
64548
70000
7500
269050

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9625
9625
5294
5294
13414
13414
178200
178200
72496
72496
32834
32834
11982
11982
2550
2550
15060
15060
22688
22688
1458
1458
516
516
6000
6000
372117
372117

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
635256
635256
500
500
635756
635756

0
0
0

Pasien
Penjamin
317628
317628
500
500
318128
318128

0
0
0

Pasien
Penjamin
317628
317628
500
500

0
0

318128

Depo IGD
Subtotal
VIL
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
SUP
AMP
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
UNT
BOT
UNT
PKG
VIL
UNT

Depo IGD
Subtotal
AMP
AMP
BOT
UNT
UNT
UNT
UNT
PKG
TAB

318128

Pasien
Penjamin
144992
144992
14702
14702
1997
1997
3825
3825
2000
2000
167516
167516

0
0
0
0
0
0

Pasien
Penjamin
30794
30794
39186
39186
71280
71280
4620
4620
2000
2000
147880
147880

0
0
0
0
0
0

Pasien
Penjamin
20790
20790
5220
5220
16335
16335
5881
5881
3796
3796
15060
15060
12415
12415
3500
3500
82997
82997

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
106920
106920
13332
13332
32834
32834
756
756
3994
3994
4620
4620
6375
6375
15060
15060
9900
9900

0
0
0
0
0
0
0
0
0

TAB
UNT

Depo IGD
Subtotal
VIL
UNT
VIL
AMP
BOT
BAG
UNT
BAG
VIL
PKG
UNT
UNT
BAG
PKG
UNT

Depo IGD
Subtotal
VIL
AMP
BOT
UNT
PKG
BOT
BOT
UNT
VIL
UNT

Depo IGD
Subtotal
PKG
UNT

15708
5000
214499

15708
5000
214499

0
0
0

Pasien
Penjamin
13414
13414
7988
7988
144992
144992
20790
20790
247401
247401
78509
78509
4620
4620
102600
102600
49660
49660
41388
41388
8415
8415
10588
10588
19266
19266
5020
5020
7000
7000
761651
761651

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
5782
5782
178200
178200
1780
1780
50200
50200
63253
63253
32834
32834
7150
7150
72496
72496
4500
4500
429609
429609

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
AMP
PKG
UNT
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
PKG
BOT
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
225720
225720
17196
17196
20213
20213
1548
1548
26950
26950
1780
1780
2550
2550
3994
3994
3080
3080
10040
10040
1451
1451
5500
5500
320022
320022

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
40426
40426
150480
150480
10040
10040
1780
1780
2550
2550
3080
3080
122
122
4000
4000
239428
239428

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
3994
3994
2550
2550
1780
1780
5020
5020
65668
65668
252
252
3500
3500
253308
253308

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
516
516

TAB
VIL
AMP
BOT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
BOT
PKG
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
VIL
AMP
PKG
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
AMP
UNT
VIL
UNT
PKG
UNT
VIL

1451
137940
22220
32834
3994
3080
12610
1780
4500
220925

1451
137940
22220
32834
3994
3080
12610
1780
4500
220925

0
0
0
0
0
0
0
0
0
0

Penjamin
429
87912
10040
1500
99881

0
0
0
0
0

Pasien
Penjamin
39204
39204
4928
4928
306
306
546
546
112200
112200
4444
4444
10040
10040
19266
19266
29976
29976
8415
8415
5000
5000
234325
234325

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12610
12610
4634
4634
26950
26950
2592
2592
5732
5732
41388
41388
26611
26611
37245
37245

0
0
0
0
0
0
0
0

Pasien
429
87912
10040
1500
99881

UNT

Depo IGD
Subtotal
TAB
VIL
AMP
BOT
BAG
UNT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
AMP
PKG
UNT

Depo IGD
Subtotal
TAB
TAB
VIL
BAG
UNT
UNT
PKG
UNT
BOT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT

4000
161762

4000
161762

0
0

Penjamin
741
13414
5782
115500
9633
5100
3994
3560
16417
4500
178641

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
225720
225720
41388
41388
1000
1000
268108
268108

0
0
0
0

Pasien
Penjamin
37620
37620
1569
1569
72496
72496
9633
9633
2550
2550
3994
3994
5020
5020
3560
3560
196680
196680
9096
9096
5000
5000
347218
347218

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5732
5732
26950
26950

0
0

Pasien
741
13414
5782
115500
9633
5100
3994
3560
16417
4500
178641

UNT
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
PKG
VIL
UNT
UNT
PKG
UNT
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
AMP
UNT
AMP
AMP
BOT
SUP
UNT
PKG

20213
5842
1032
14988
41388
3500
119645

20213
5842
1032
14988
41388
3500
119645

0
0
0
0
0
0
0

Pasien
Penjamin
12816
12816
500
500
13316
13316

0
0
0

Pasien
Penjamin
1224
1224
352
352
20880
20880
83160
83160
10040
10040
289984
289984
8415
8415
14988
14988
2970
2970
26535
26535
15300
15300
18480
18480
7988
7988
38532
38532
7000
7000
545848
545848

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6462
6462
11564
11564
10200
10200
22688
22688
23520
23520
98502
98502
70686
70686
12320
12320
10040
10040

0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
VIL
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal

4500
270482

4500
270482

0
0

Pasien
Penjamin
241888
241888
500
500
242388
242388

0
0
0

Pasien
Penjamin
15300
15300
148980
148980
41388
41388
1500
1500
207168
207168

0
0
0
0
0

Pasien
Penjamin
14580
14580
5010
5010
6750
6750
26940
26940
2000
2000
55280
55280

0
0
0
0
0
0

Pasien
Penjamin
51168
51168
2088
2088
1000
1000
54256
54256

0
0
0
0

Pasien
Penjamin
13200
13200
500
500
13700
13700

0
0
0

Pasien

Penjamin

BOT
UNT
AMP
VIL
VIL
UNT
PKG
UNT
UNT
BAG
PKG
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
PKG
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT
BOT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
BOT
VIL
UNT

379518
8415
17776
224400
289984
14988
2970
15976
12320
77064
15060
3584
6000
1068055

379518
8415
17776
224400
289984
14988
2970
15976
12320
77064
15060
3584
6000
1068055

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
8415
8415
14988
14988
2970
2970
15060
15060
984
984
456
456
3500
3500
112041
112041

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
289984
289984
29976
29976
27488
27488
3994
3994
8415
8415
20080
20080
19266
19266
3500
3500
402703
402703

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
197004
197004
673200
673200
8415
8415

0
0
0

UNT
PKG
UNT
UNT
BAG
PKG
TAB
UNT

Depo Atas
Subtotal
VIL
AMP
VIL
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
PKG
TAB
UNT

Depo Atas
Subtotal
VIL
BOT
UNT
UNT
PKG
UNT

14988
2970
26535
15976
57798
10040
12924
5000
1024850

14988
2970
26535
15976
57798
10040
12924
5000
1024850

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
434976
434976
8888
8888
53656
53656
8415
8415
14988
14988
2970
2970
23964
23964
9240
9240
115596
115596
10040
10040
5000
5000
687733
687733

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
8415
8415
6160
6160
2970
2970
15060
15060
1512
1512
3000
3000
102785
102785

0
0
0
0
0
0
0
0

Pasien
Penjamin
673200
673200
197004
197004
8415
8415
14988
14988
2970
2970
15976
15976

0
0
0
0
0
0

BAG
PKG
UNT

Depo Atas
Subtotal
PKG
BOT
UNT
UNT
PKG
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
VIL
VIL
VIL
UNT
UNT
PKG
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT

77064
10040
4000
1003657

77064
10040
4000
1003657

0
0
0
0

Pasien
Penjamin
2970
2970
262672
262672
8415
8415
14988
14988
15060
15060
3600
3600
1512
1512
3500
3500
312717
312717

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26400
26400
500
500
26900
26900

0
0
0

Pasien
Penjamin
131336
131336
1900800 1900800
289984
289984
870676
870676
8415
8415
14988
14988
2970
2970
154128
154128
15976
15976
15060
15060
5000
5000
3409333 3409333

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Depo IGD
Subtotal
UNT
BAG
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
BAG
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
BOT
UNT
UNT
PKG
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas

Pasien
Penjamin
16335
16335
19266
19266
1275
1275
1898
1898
14988
14988
2500
2500
56262
56262

0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
9633
9633
14988
14988
1500
1500
42456
42456

0
0
0
0
0

Pasien
Penjamin
13414
13414
5782
5782
27288
27288
8415
8415
29976
29976
2970
2970
26535
26535
2550
2550
3994
3994
9633
9633
5020
5020
5500
5500
141077
141077

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Subtotal
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
BAG
UNT
UNT
PKG
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
UNT

Depo Atas

Pasien
Penjamin
8415
8415
500
500
8915
8915

0
0
0

Pasien
Penjamin
26400
26400
500
500
26900
26900

0
0
0

Pasien
Penjamin
32834
32834
72496
72496
1997
1997
9633
9633
8415
8415
29976
29976
2970
2970
26535
26535
10040
10040
57964
57964
5000
5000
257860
257860

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
70572
70572
356400
356400
8415
8415
14988
14988
2000
2000
452375
452375

0
0
0
0
0
0

Subtotal
TAB
UNT

Depo Atas
Subtotal
BAG
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
VIL
BAG
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
PKG

Pasien

Penjamin
90
500
590

0
0
0

Pasien
Penjamin
115596
115596
500
500
116096
116096

0
0
0

Pasien
Penjamin
5184
5184
500
500
5684
5684

0
0
0

Pasien
Penjamin
32834
32834
144992
144992
19266
19266
3994
3994
14988
14988
2970
2970
10040
10040
3500
3500
232584
232584

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1670
1670
500
500
2170
2170

0
0
0

Pasien
Penjamin
3168
3168
53656
53656
131336
131336
14988
14988
2970
2970

0
0
0
0
0

90
500
590

UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Emergency Dahlia
Subtotal
UNT
UNT

Emergency Dahlia
Subtotal
UNT
UNT
UNT

Emergency Dahlia
Subtotal
AMP
UNT

Emergency Dahlia
Subtotal
TUB
UNT
UNT
UNT
UNT

7988
38532
15060
4000
271698

7988
38532
15060
4000
271698

0
0
0
0
0

Pasien
Penjamin
15240
15240
9000
9000
2460
2460
1500
1500
28200
28200

0
0
0
0
0

Pasien
Penjamin
16088
16088
500
500
16588
16588

0
0
0

Pasien
Penjamin
20213
20213
26950
26950
1000
1000
48163
48163

0
0
0
0

Pasien
Penjamin
97944
97944
500
500
98444
98444

0
0
0

Pasien
Penjamin
112524
112524
12610
12610
24024
24024
12012
12012
2000
2000
163170
163170

0
0
0
0
0
0

Depo Atas
Subtotal
TAB
BOT
AMP
VIL
BOT
PKG
BOT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
UNT
AMP
BAG
VIL
UNT
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
VIL
AMP
BOT
UNT

Pasien
Penjamin
1584
1584
57964
57964
23128
23128
53656
53656
131336
131336
15060
15060
253012
253012
8415
8415
14988
14988
2970
2970
7988
7988
10200
10200
6000
6000
586301
586301

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3308
3308
81400
81400
579968
579968
16335
16335
68064
68064
77064
77064
53656
53656
7988
7988
83160
83160
23524
23524
14988
14988
14988
14988
15300
15300
18480
18480
15060
15060
7500
7500
1080783 1080783

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6160
6160
682176
682176
8888
8888
131336
131336
8415
8415

0
0
0
0
0

UNT
PKG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
UNT
AMP
PKG
BOT
BAG
BOT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
VIL
AMP
BAG
UNT
UNT
UNT
UNT
PKG
PKG
BOT
UNT

Depo Atas
Subtotal

14988
2970
7988
38532
15060
5000
921513

14988
2970
7988
38532
15060
5000
921513

0
0
0
0
0
0
0

Pasien
Penjamin
62832
62832
1291064 1291064
8415
8415
45376
45376
15060
15060
534600
534600
77064
77064
131336
131336
18480
18480
14988
14988
2970
2970
11982
11982
15300
15300
6500
6500
2235967 2235967

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
897600
897600
682176
682176
38016
38016
154128
154128
7988
7988
5100
5100
8415
8415
14988
14988
2970
2970
15060
15060
57964
57964
5500
5500
1889905 1889905

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

VIL
BOT
UNT
UNT
UNT
BAG
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
UNT
UNT
GM
UNT
UNT
TAB
AMP
UNT
VIL
VIL
BOT
PKG
UNT
UNT
UNT
UNT
BAG

53656
534600
8415
14988
7988
77064
2970
15060
4000
718741

53656
534600
8415
14988
7988
77064
2970
15060
4000
718741

0
0
0
0
0
0
0
0
0
0

Penjamin
516
53656
475200
77064
7988
15060
3000
632484

0
0
0
0
0
0
0
0

Pasien
Penjamin
5832
5832
1224
1224
984
984
39
39
3500
3500
600
600
480
480
3500
3500
600
600
2004
2004
26664
26664
9985
9985
897600
897600
579968
579968
65668
65668
2970
2970
8415
8415
14988
14988
18480
18480
10200
10200
154128
154128

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
516
53656
475200
77064
7988
15060
3000
632484

PKG
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
GM
UNT
UNT
VIL
UNT
UNT
PKG
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
BAG
UNT
BAG
BOT
UNT
VIL
UNT
UNT
UNT

15060
8000
1830889

15060
8000
1830889

0
0
0

Pasien
Penjamin
17570
17570
500
500
18070
18070

0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Pasien

Penjamin
39
3500
600
897600
8415
14988
2970
15976
15060
38532
3500
1001180

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
78408
78408
410400
410400
8415
8415
75172
75172
448844
448844
14988
14988
2534400 2534400
10200
10200
11982
11982
12320
12320

0
0
0
0
0
0
0
0
0
0

39
3500
600
897600
8415
14988
2970
15976
15060
38532
3500
1001180

BAG
PKG
TAB
GM
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
PKG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
VIL
UNT
VIL
UNT
BAG
AMP
PKG
UNT
UNT
PKG
UNT

77064
15060
328
480
3500
600
3072
7000
3712233

Pasien
344
1584
1896
1692
53656
2970
7988
77064
15060
4500
166754

Pasien
984
480
3500
600
156816
59136
579968
8415
897600
14988
77064
211200
2970
7988
10200
15060
6500
2053469

77064
15060
328
480
3500
600
3072
7000
3712233

0
0
0
0
0
0
0
0
0

Penjamin
344
1584
1896
1692
53656
2970
7988
77064
15060
4500
166754

0
0
0
0
0
0
0
0
0
0
0

Penjamin
984
480
3500
600
156816
59136
579968
8415
897600
14988
77064
211200
2970
7988
10200
15060
6500
2053469

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
VIL
AMP
BOT
BAG
UNT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
UNT
AMP
VIL
VIL
UNT
UNT
BAG
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
VIL
UNT

Pasien
Penjamin
57964
57964
579968
579968
45376
45376
65668
65668
38532
38532
7988
7988
10200
10200
8415
8415
14988
14988
2970
2970
15060
15060
5500
5500
852629
852629

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
3168
3168
464
464
2248
2248
4752
4752
23128
23128
15300
15300
17776
17776
1689600 1689600
289984
289984
18480
18480
7988
7988
77064
77064
8415
8415
14988
14988
2970
2970
15060
15060
8500
8500
2201397 2201397

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4184
4184
682176
682176
53656
53656
11982
11982

0
0
0
0

BOT
UNT
UNT
PKG
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
BOT
AMP
AMP
VIL
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
CAP
TAB
TAB
GM
UNT
UNT
BOT
UNT
VIL
VIL
UNT
AMP

197004
8415
14988
2970
154128
15060
5000
1149563

197004
8415
14988
2970
154128
15060
5000
1149563

0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
6144
6144
3168
3168
4752
4752
2248
2248
464
464
380160
380160
23128
23128
35280
35280
869952
869952
8415
8415
14988
14988
19125
19125
9985
9985
77064
77064
15060
15060
8000
8000
1535897 1535897

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
36960
36960
1224
1224
8208
8208
252
252
3500
3500
600
600
534600
534600
11982
11982
53656
53656
579968
579968
20400
20400
20880
20880

0
0
0
0
0
0
0
0
0
0
0
0
0

AMP
VIL
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
AMP
VIL
BOT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
VIL
VIL
BOT
UNT
VIL
UNT
UNT
PKG
UNT
UNT
UNT

83160
148980
131336
24640
15060
7500
1740870

83160
148980
131336
24640
15060
7500
1740870

0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
55440
55440
13920
13920
682176
682176
197004
197004
8415
8415
14988
14988
2970
2970
26535
26535
10200
10200
7988
7988
12320
12320
15060
15060
77064
77064
7000
7000
1189044 1189044

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
976
976
1200
1200
2004
2004
53656
53656
682176
682176
544248
544248
131336
131336
20400
20400
148980
148980
8415
8415
14988
14988
2970
2970
26535
26535
11982
11982
18480
18480

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

BAG
PKG
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
AMP
BOT
AMP
AMP
UNT
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
BOT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
BOT
UNT
UNT

115596
15060
9000
1837570

115596
15060
9000
1837570

0
0
0
0

Pasien
Penjamin
57964
57964
682176
682176
8415
8415
68064
68064
70572
70572
18580
18580
374456
374456
14988
14988
2970
2970
5100
5100
24640
24640
7988
7988
15060
15060
6500
6500
1357473 1357473

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
35280
35280
131336
131336
16335
16335
14988
14988
15300
15300
15060
15060
2970
2970
3500
3500
234769
234769

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2064
2064
10560
10560
897600
897600
148980
148980
40863
40863
8415
8415
14988
14988

0
0
0
0
0
0
0

PKG
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
BOT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
AMP
BOT
UNT
UNT
UNT
PKG
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB

2970
25500
18480
7988
77064
15060
6500
1277032

2970
25500
18480
7988
77064
15060
6500
1277032

0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
2004
2004
688
688
66660
66660
65668
65668
8415
8415
14988
14988
2970
2970
9985
9985
15060
15060
5000
5000
221006
221006

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
23128
23128
45376
45376
262672
262672
8415
8415
14988
14988
20400
20400
2970
2970
26535
26535
15060
15060
38532
38532
5500
5500
465088
465088

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2902
2902
31416
31416

0
0

TAB
TAB
TAB
TAB
VIL
VIL
VIL
BOT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
VIL
VIL
AMP
AMP
AMP

1224
7512
2004
39600
289984
53656
870676
65668
8415
14988
11982
77064
15060
7500
1499651

1224
7512
2004
39600
289984
53656
870676
65668
8415
14988
11982
77064
15060
7500
1499651

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47048
47048
8415
8415
14988
14988
2970
2970
26535
26535
7988
7988
15060
15060
3500
3500
126504
126504

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
3168
3168
464
464
2248
2248
4752
4752
54
54
1224
1224
8210
8210
1689600 1689600
12320
12320
579968
579968
120384
120384
68064
68064
506964
506964
601920
601920

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

BOT
UNT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB

67716
11982
86697
15300
15060
10000
3808099

67716
11982
86697
15300
15060
10000
3808099

0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
53656
53656
131336
131336
8415
8415
14988
14988
2970
2970
26535
26535
15976
15976
77064
77064
15060
15060
5000
5000
354168
354168

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33316
33316
62832
62832
39600
39600
7992
7992
68064
68064
131336
131336
8415
8415
14988
14988
2970
2970
26535
26535
15300
15300
15060
15060
6000
6000
432408
432408

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5064
5064
3600
3600

0
0

TAB
TAB
TAB
VIL
BOT
VIL
UNT
UNT
PKG
UNT
BAG
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
VIL
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT

4184
976
2616
50192
65668
148980
8415
14988
2970
26535
77064
11982
19125
15060
8000
465419

4184
976
2616
50192
65668
148980
8415
14988
2970
26535
77064
11982
19125
15060
8000
465419

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5184
5184
16417
16417
1000
1000
22601
22601

0
0
0
0

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
59193
59193
14988
14988
14988
14988
26950
26950
20213
20213

0
0
0
0
0

UNT
UNT
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
BOT
AMP
UNT

Depo IGD
Subtotal
BOT
UNT
UNT

Depo IGD
Subtotal
BOT
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT
UNT

26535
8415
292971
4000
468253

26535
8415
292971
4000
468253

0
0
0
0
0

Pasien
Penjamin
26611
26611
14988
14988
14988
14988
16088
16088
26535
26535
16335
16335
59400
59400
106920
106920
4000
4000
285865
285865

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
1898
1898
1000
1000
8779
8779

0
0
0
0

Pasien
Penjamin
5881
5881
1125
1125
3500
3500
1050
1050
500
500
12056
12056

0
0
0
0
0
0

Pasien
Penjamin
7392
7392
1898
1898
1000
1000
10290
10290

0
0
0
0

Depo IGD
Subtotal
VIL
BOT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
BAG
BAG
UNT

Depo IGD
Subtotal
BOT
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
BAG
BOT
BOT
UNT

Pasien
Penjamin
5184
5184
16417
16417
1997
1997
1500
1500
25098
25098

0
0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
102600
102600
18793
18793
1000
1000
122393
122393

0
0
0
0

Pasien
Penjamin
16417
16417
81510
81510
14988
14988
16335
16335
2000
2000
131250
131250

0
0
0
0
0
0

Pasien
Penjamin
37586
37586
32834
32834
102432
102432
14988
14988

0
0
0
0

UNT

Depo IGD
Subtotal
BOT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT
AMP
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT
AMP
UNT

2000
189840

2000
189840

0
0

Pasien
Penjamin
81510
81510
14988
14988
125400
125400
1500
1500
223398
223398

0
0
0
0
0

Pasien
Penjamin
32834
32834
59400
59400
1000
1000
93234
93234

0
0
0
0

Pasien
Penjamin
32834
32834
14988
14988
30794
30794
1500
1500
80116
80116

0
0
0
0
0

Pasien
Penjamin
32834
32834
59400
59400
1000
1000
93234
93234

0
0
0
0

Pasien
Penjamin
9096
9096
6072
6072
14988
14988
30794
30794
2000
2000
62950
62950

0
0
0
0
0
0

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
VIL
UNT

Depo IGD
Subtotal
UNT
TUB
UNT
UNT
UNT
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
BOT
UNT
UNT

Pasien
Penjamin
3300
3300
16088
16088
1000
1000
20388
20388

0
0
0
0

Pasien
Penjamin
72496
72496
211200
211200
1000
1000
284696
284696

0
0
0
0

Pasien
Penjamin
18342
18342
56262
56262
3994
3994
12012
12012
5809
5809
2222
2222
26950
26950
20213
20213
4000
4000
149804
149804

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
516
516
500
500
1016
1016

Pasien
516
5280
336600
74490
35286
8415
14988

Penjamin
516
5280
336600
74490
35286
8415
14988

0
0
0

0
0
0
0
0
0
0

PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
UNT
VIL
BOT
BOT
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
GM
UNT
UNT

2970
10200
26535
7988
15060
6000
544328

2970
10200
26535
7988
15060
6000
544328

0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
289984
289984
38404
38404
7988
7988
5100
5100
8415
8415
14988
14988
20080
20080
4000
4000
454627
454627

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1188
1188
11564
11564
5100
5100
26828
26828
32834
32834
126506
126506
8415
8415
14988
14988
2970
2970
26535
26535
7988
7988
38532
38532
20080
20080
6500
6500
330028
330028

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
156
156
3500
3500
200
200

0
0
0

VIL
BOT
BAG
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
AMP
UNT
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
BOT
BAG
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
TAB

448800
65668
38532
8415
14988
2970
26535
7988
20080
4500
642332

448800
65668
38532
8415
14988
2970
26535
7988
20080
4500
642332

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
98502
98502
11564
11564
34032
34032
10200
10200
8415
8415
14988
14988
6462
6462
3500
3500
187663
187663

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13621
13621
9633
9633
1000
1000
24254
24254

0
0
0
0

Pasien
Penjamin
13146
13146
500
500
13646
13646

0
0
0

Pasien
Penjamin
10460
10460
99120
99120
57964
57964
6750
6750

0
0
0
0

UNT

Depo Atas
Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT

2000
176294

2000
176294

0
0

Pasien
Penjamin
6750
6750
57964
57964
1320
1320
8862
8862
854
854
1560
1560
3000
3000
80310
80310

0
0
0
0
0
0
0
0

Pasien
Penjamin
29700
29700
500
500
30200
30200

0
0
0

Pasien
Penjamin
29700
29700
500
500
30200
30200

0
0
0

Pasien
Penjamin
29700
29700
500
500
30200
30200

0
0
0

Pasien
Penjamin
29700
29700
500
500
30200
30200

0
0
0

Pasien
Penjamin
29700
29700

UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

500
30200

500
30200

0
0

Pasien
Penjamin
112211
112211
500
500
112711
112711

0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Pasien
Penjamin
278981
278981
5732
5732
1000
1000
285713
285713

0
0
0
0

Pasien
Penjamin
7355
7355
500
500
7855
7855

0
0
0

Pasien
Penjamin
844800
844800
500
500
845300
845300

0
0
0

Pasien
Penjamin
10368
10368
500
500
10868
10868

0
0
0

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
VIL
AMP
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
UNT
BOT
UNT
UNT
VIL
UNT
UNT

Apotik Panel
Subtotal
BOX
UNT

Pasien
Penjamin
35640
35640
3952
3952
1000
1000
40592
40592

0
0
0
0

Pasien
Penjamin
68064
68064
426360
426360
13935
13935
64691
64691
2000
2000
575050
575050

0
0
0
0
0
0

Pasien
Penjamin
380160
380160
9832
9832
1000
1000
390992
390992

0
0
0
0

Pasien
Penjamin
26940
26940
2640
2640
2115
2115
26535
26535
2000
2000
3500
3500
50
50
205293
205293
18280
18280
3000
3000
290353
290353

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25815
25815
500
500
26315
26315

0
0
0

Emergency Dahlia
Subtotal
UNT
UNT
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
BOT
VIL
BOT
AMP
UNT
UNT
PKG
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
AMP
BOT

Pasien
Penjamin
5809
5809
20213
20213
1997
1997
16088
16088
56262
56262
2500
2500
102869
102869

0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
85272
85272
5881
5881
4645
4645
8415
8415
14988
14988
2970
2970
26535
26535
15300
15300
15400
15400
23964
23964
77064
77064
10040
10040
6500
6500
354938
354938

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
135432
135432
500
500
135932
135932

0
0
0

Pasien
Penjamin
7992
7992
5832
5832
688
688
2376
2376
23128
23128
76808
76808
131336
131336

0
0
0
0
0
0
0

UNT
UNT
PKG
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
BOT
UNT
UNT
UNT
PKG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
UNT
BOT
UNT
VIL
VIL
UNT
UNT
PKG
UNT
BAG

8415
14988
2970
26535
10200
12320
77064
10040
7500
418192

8415
14988
2970
26535
10200
12320
77064
10040
7500
418192

0
0
0
0
0
0
0
0
0
0

Penjamin
688
53656
504900
52929
14988
8415
26535
2970
15976
77064
10040
5500
773661

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
3168
3168
464
464
2248
2248
4752
4752
23128
23128
10200
10200
448844
448844
15976
15976
1267200 1267200
289984
289984
8415
8415
14988
14988
2970
2970
26535
26535
77064
77064

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
688
53656
504900
52929
14988
8415
26535
2970
15976
77064
10040
5500
773661

UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
UNT
AMP
UNT
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
BOT
BOT
BAG
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
UNT
AMP

12320
10040
9000
2228808

12320
10040
9000
2228808

0
0
0
0

Pasien
Penjamin
1692
1692
2616
2616
35280
35280
10200
10200
23128
23128
8415
8415
14988
14988
2970
2970
18480
18480
10040
10040
5000
5000
132809
132809

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
688
53656
475200
47048
131336
77064
8415
14988
2970
10200
15976
15060
6000
858601

Pasien
704
5064
579968
9240
20880

Penjamin
688
53656
475200
47048
131336
77064
8415
14988
2970
10200
15976
15060
6000
858601

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
704
5064
579968
9240
20880

0
0
0
0
0

AMP
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
VIL
UNT
AMP
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
VIL
VIL
BOT
UNT
UNT
PKG
UNT
BAG
PKG
UNT

8888
8415
14988
2970
15300
15976
77064
15060
6500
781017

8888
8415
14988
2970
15300
15976
77064
15060
6500
781017

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5832
5832
488
488
5064
5064
53656
53656
579968
579968
10200
10200
13920
13920
8415
8415
14988
14988
2970
2970
15976
15976
12320
12320
77064
77064
15060
15060
7000
7000
822921
822921

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53656
53656
682176
682176
197004
197004
8415
8415
14988
14988
2970
2970
15976
15976
77064
77064
15060
15060
4500
4500
1071809 1071809

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
3168
3168
464
464
21
21
3500
3500
600
600
4752
4752
2004
2004
17600
17600
3168
3168
3000
3000
38277
38277

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19712
19712
2064
2064
5832
5832
53656
53656
682176
682176
68064
68064
23128
23128
31952
31952
20400
20400
18480
18480
8415
8415
14988
14988
154128
154128
15060
15060
7000
7000
1125055 1125055

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1600
1600
252
252
3500
3500
600
600
3168
3168
2248
2248
4752
4752
464
464
144
144
3072
3072

0
0
0
0
0
0
0
0
0
0

CAP
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
BAG
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
UNT
UNT
TAB
TAB
TAB
TAB
TAB
AMP
UNT
AMP
VIL
BOT
UNT
UNT

Depo Atas
Subtotal
BOT

26400
1716
2004
5000
54920

26400
1716
2004
5000
54920

0
0
0
0
0

Pasien
Penjamin
1512
1512
2376
2376
53656
53656
77064
77064
23128
23128
197004
197004
8415
8415
14988
14988
15976
15976
10200
10200
15060
15060
5500
5500
424879
424879

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1451
1451
3500
3500
200
200
2004
2004
1200
1200
2184
2184
8210
8210
1792
1792
70560
70560
8415
8415
35552
35552
579968
579968
197004
197004
14988
14988
5500
5500
932528
932528

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964

TAB
VIL
VIL
BOT
VIL
UNT
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
GM
UNT
UNT
VIL
AMP
UNT
BOT
UNT
UNT
PKG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
BAG

1512
53656
579968
131336
2592
8415
14988
2970
9240
15976
77064
15060
6500
977241

1512
53656
579968
131336
2592
8415
14988
2970
9240
15976
77064
15060
6500
977241

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
984
39
3500
1200
5832
40
3500
600
897600
26664
15300
65668
8415
14988
2970
15976
77064
15060
6000
1161400

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
1200
1200
2028
2028
53656
53656
77064
77064

0
0
0
0
0

Pasien
984
39
3500
1200
5832
40
3500
600
897600
26664
15300
65668
8415
14988
2970
15976
77064
15060
6000
1161400

PKG
BOT
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
BAG
BOT
UNT
UNT
PKG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
BAG
PKG
PKG
UNT

Depo Atas
Subtotal
TAB

2970
197004
15060
8415
14988
15976
10200
12320
6500
419385

2970
197004
15060
8415
14988
15976
10200
12320
6500
419385

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
682176
682176
410400
410400
131336
131336
8415
8415
14988
14988
2970
2970
15976
15976
77064
77064
15060
15060
4500
4500
1362885 1362885

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
78408
78408
656
656
682176
682176
53656
53656
197004
197004
8415
8415
14988
14988
15976
15976
77064
77064
15060
15060
2970
2970
5500
5500
1151873 1151873

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
78408
78408

TAB
GM
UNT
UNT
TAB
BOT
UNT
UNT
UNT
UNT
PKG
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
AMP
AMP
VIL
UNT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
UNT
UNT

328
40
3500
600
3072
448844
8415
14988
23964
15300
2970
77064
15060
5500
698053

328
40
3500
600
3072
448844
8415
14988
23964
15300
2970
77064
15060
5500
698053

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5064
5064
1224
1224
464
464
4752
4752
144
144
579968
579968
20880
20880
17776
17776
53656
53656
8415
8415
14988
14988
15976
15976
18480
18480
15300
15300
77064
77064
15060
15060
8000
8000
857211
857211

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5884
5884
23376
23376
5100
5100
147753
147753
8415
8415
14988
14988

0
0
0
0
0
0

PKG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
SUP
VIL
UNT
UNT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BAG
BAG
UNT
UNT
PKG
UNT

Depo Atas

2970
6160
38532
10040
5000
268218

2970
6160
38532
10040
5000
268218

0
0
0
0
0
0

Pasien
Penjamin
39600
39600
2004
2004
9832
9832
1600
1600
2032
2032
21552
21552
94248
94248
682176
682176
8415
8415
14988
14988
77064
77064
15976
15976
15060
15060
6500
6500
991047
991047

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3072
3072
1896
1896
1512
1512
3168
3168
464
464
2248
2248
4752
4752
144
144
410400
410400
150344
150344
8415
8415
14988
14988
15060
15060
6500
6500
622963
622963

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
UNT
VIL
VIL
BOT
BOT
UNT
AMP
UNT
UNT
PKG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
AMP
UNT
AMP
VIL
AMP
BOT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
UNT
AMP
BOT
BOT
UNT
UNT
PKG

Pasien
Penjamin
15976
15976
897600
897600
682176
682176
47048
47048
131336
131336
12320
12320
38016
38016
8415
8415
14988
14988
2970
2970
10200
10200
77064
77064
15060
15060
6500
6500
1959669 1959669

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20880
20880
18480
18480
83160
83160
682176
682176
11760
11760
65668
65668
8415
8415
14988
14988
15300
15300
23964
23964
77064
77064
15060
15060
6000
6000
1042915 1042915

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62832
62832
968298
968298
10200
10200
45376
45376
504900
504900
131336
131336
8415
8415
14988
14988
2970
2970

0
0
0
0
0
0
0
0
0

UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
PKG
UNT
PKG
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal

15976
77064
10040
6000
1858395

15976
77064
10040
6000
1858395

0
0
0
0
0

Pasien
Penjamin
33316
33316
62832
62832
39600
39600
7992
7992
51048
51048
131336
131336
8415
8415
14988
14988
2970
2970
15300
15300
10040
10040
5500
5500
383337
383337

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17844
17844
500
500
18344
18344

0
0
0

Pasien
Penjamin
211200
211200
500
500
211700
211700

0
0
0

Pasien
Penjamin
57996
57996
500
500
58496
58496

0
0
0

Pasien

Penjamin

VIL
UNT

Apotik Panel
Subtotal
CAP
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
VIL
UNT
TAB
BOT
BOT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
UNT
BOT
VIL
UNT
BOT
TAB
VIL
VIL
BAG

422400
500
422900

422400
500
422900

0
0
0

Pasien
Penjamin
1558
1558
500
500
2058
2058

0
0
0

Pasien
Penjamin
8922
8922
500
500
9422
9422

0
0
0

Pasien
Penjamin
23562
23562
484149
484149
8415
8415
11760
11760
224400
224400
32834
32834
14988
14988
3825
3825
5991
5991
28899
28899
10040
10040
5500
5500
854363
854363

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7988
7988
32834
32834
5184
5184
8415
8415
57964
57964
378
378
13414
13414
144992
144992
19266
19266

0
0
0
0
0
0
0
0
0

PKG
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
UNT
UNT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

10040
14988
5500
320963

10040
14988
5500
320963

0
0
0
0

Penjamin
988
5782
54576
1500
62846

0
0
0
0
0

Pasien
Penjamin
26136
26136
20121
20121
65668
65668
8415
8415
14988
14988
46101
46101
57798
57798
11982
11982
40160
40160
4500
4500
295869
295869

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16658
16658
31416
31416
19800
19800
2664
2664
22688
22688
49251
49251
8415
8415
14988
14988
46101
46101
5100
5100
38532
38532
10040
10040
6000
6000
271653
271653

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
988
5782
54576
1500
62846

Depo Atas
Subtotal
UNT
BOT
BOT
AMP
BAG
UNT
UNT
UNT
BAG
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
UNT
AMP
BOT
BAG
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM

Pasien
Penjamin
11464
11464
247401
247401
178200
178200
5782
5782
78509
78509
3080
3080
7650
7650
7988
7988
38532
38532
11762
11762
29976
29976
16830
16830
20080
20080
6500
6500
663754
663754

Pasien
501
246
3960
172
13414
8415
11110
32834
28899
2550
3080
11982
29976
20080
5881
7500
180600

Pasien
738
531
612
120

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
501
246
3960
172
13414
8415
11110
32834
28899
2550
3080
11982
29976
20080
5881
7500
180600

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
738
531
612
120

0
0
0
0

UNT
UNT
TAB
TAB
TAB
VIL
AMP
AMP
AMP
AMP
BOT
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
VIL
AMP
UNT
UNT
BAG
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
BOT
UNT
VIL
BOT
AMP
VIL

3500
150
39204
246
2692
144992
20790
5220
22220
772200
16417
6000
1035632

3500
150
39204
246
2692
144992
20790
5220
22220
772200
16417
6000
1035632

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1458
1458
39
39
3500
3500
300
300
246
246
224400
224400
463320
463320
8415
8415
20213
20213
28899
28899
5881
5881
5732
5732
2550
2550
3080
3080
9985
9985
6000
6000
784018
784018

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2732
2732
774
774
5384
5384
57964
57964
5732
5732
144992
144992
95040
95040
617760
617760
120944
120944

0
0
0
0
0
0
0
0
0

AMP
UNT
UNT
BAG
BOT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BAG
PKG
AMP
AMP
UNT
UNT
UNT
BAG
BOT
AMP
BOT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
BAG
BOT
UNT
UNT
UNT
UNT

11110
14988
16335
38532
5881
2550
3080
15976
20080
26611
9500
1215965

11110
14988
16335
38532
5881
2550
3080
15976
20080
26611
9500
1215965

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
516
1458
1451
7392
78509
20080
376200
463320
5732
8415
20213
28899
5881
20022
49251
2550
3080
3994
9000
1105963

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90288
90288
28899
28899
5881
5881
5732
5732
2550
2550
3080
3080
9985
9985

0
0
0
0
0
0
0

Pasien
516
1458
1451
7392
78509
20080
376200
463320
5732
8415
20213
28899
5881
20022
49251
2550
3080
3994
9000
1105963

BOT
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
AMP
AMP
AMP
UNT
UNT
PKG
BOT
UNT
UNT
UNT
UNT
UNT
BAG
BOT
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal

32834
8415
14988
20080
178200
6000
406932

32834
8415
14988
20080
178200
6000
406932

0
0
0
0
0
0
0

Penjamin
792
792
500
500
1292
1292

0
0
0

Pasien
Penjamin
144992
144992
71280
71280
570240
570240
6666
6666
687
687
516
516
30120
30120
49251
49251
5991
5991
3825
3825
4620
4620
29976
29976
29976
29976
28899
28899
5881
5881
3960
3960
8000
8000
994880
994880

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4488
4488
500
500
4988
4988

0
0
0

Pasien

Pasien

Penjamin

AMP
UNT

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
UNT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

410574
500
411074

410574
500
411074

0
0
0

Pasien
Penjamin
2376
2376
53656
53656
23128
23128
356400
356400
15976
15976
38532
38532
10200
10200
40160
40160
4000
4000
544428
544428

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53880
53880
2460
2460
1000
1000
57340
57340

0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Depo Atas
Subtotal
VIL
UNT

Emergency Dahlia
Subtotal
UNT
TUB
UNT

Emergency Dahlia
Subtotal
UNT
UNT

Emergency Dahlia
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
BOT
UNT
AMP
UNT
PKG
UNT
UNT
BAG
PKG
UNT

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
16088
16088
56262
56262
1000
1000
73350
73350

0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
6072
6072
500
500
6572
6572

0
0
0

Pasien
792
20121
224400
102432
8415
8673
14988
2970
7988
5100
38532
10040
6000
450451

Penjamin
792
20121
224400
102432
8415
8673
14988
2970
7988
5100
38532
10040
6000
450451

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
UNT
BOT
BAG
VIL
UNT
UNT
PKG
GM
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
BOT
UNT
PKG
UNT

Pasien
Penjamin
11520
11520
15840
15840
528000
528000
30217
30217
4500
4500
3840
3840
53880
53880
3500
3500
651297
651297

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11982
11982
351648
351648
57798
57798
40242
40242
8415
8415
14988
14988
2970
2970
702
702
3500
3500
900
900
738
738
4000
4000
497883
497883

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
500
500
58464
58464

0
0
0

Pasien
Penjamin
39204
39204
738
738
40242
40242
147753
147753
8415
8415
2970
2970
19970
19970

0
0
0
0
0
0
0

BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
UNT
AMP
UNT
BAG
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
UNT
AMP
AMP
BOT
VIL
UNT
UNT
PKG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
VIL

72072
15060
4500
350924

72072
15060
4500
350924

0
0
0
0

Pasien
Penjamin
1269
1269
1962
1962
35280
35280
7650
7650
17346
17346
18480
18480
57798
57798
8415
8415
14988
14988
2970
2970
15060
15060
5500
5500
186718
186718

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5832
5832
1548
1548
918
918
40242
40242
10200
10200
138573
138573
17346
17346
147753
147753
217488
217488
8415
8415
14988
14988
2970
2970
9240
9240
57798
57798
15060
15060
7500
7500
695871
695871

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093

UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
UNT
PKG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
VIL

500
1125593

500
1125593

0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
28512
28512
217488
217488
54576
54576
8415
8415
14988
14988
2970
2970
11982
11982
57798
57798
15060
15060
4500
4500
416289
416289

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
3564
3564
108
108
2000
2000
8396
8396

0
0
0
0
0
0

Pasien
Penjamin
21978
21978
289984
289984

0
0

TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
BOT
BOT
UNT
UNT
PKG
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal

7845
1500
321307

7845
1500
321307

0
0
0

Penjamin
880
468
1000
2348

0
0
0
0

Pasien
Penjamin
13230
13230
17880
17880
1000
1000
32110
32110

0
0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
26828
26828
356400
356400
35286
35286
8415
8415
14988
14988
2970
2970
7988
7988
6160
6160
5100
5100
38532
38532
10040
10040
5500
5500
518207
518207

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
880
468
1000
2348

Pasien

Penjamin

VIL
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
CAP
TAB
UNT

Emergency Dahlia
Subtotal
VIL
UNT

Emergency Dahlia
Subtotal
UNT
UNT

Emergency Dahlia
Subtotal
VIL
UNT
AMP
UNT

Depo IGD
Subtotal
TAB
TAB

1267200
500
1267700

1267200
500
1267700

0
0
0

Pasien
Penjamin
205287
205287
500
500
205787
205787

0
0
0

Pasien
Penjamin
26940
26940
1170
1170
1000
1000
29110
29110

0
0
0
0

Pasien
Penjamin
3432
3432
500
500
3932
3932

0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
3432
3432
1275
1275
3036
3036
1500
1500
9243
9243

0
0
0
0
0

Pasien
Penjamin
1092
1092
1451
1451

0
0

VIL
UNT
UNT
AMP
UNT

304320
8415
29976
2891
3000
351145

304320
8415
29976
2891
3000
351145

0
0
0
0
0
0

Waktu
31 Mei 2013 14:23
Item
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
MECOBALAMIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
6,00
4,00
2,00

31 Mei 2013 14:22

Item
VIVACE 5 MG TABLET
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
2,00

31 Mei 2013 14:20

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

31 Mei 2013 14:20

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

31 Mei 2013 14:19

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

31 Mei 2013 14:13

Item
ARIXTRA SOLUTION, INJECTION 2.5 MG/0.5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

31 Mei 2013 14:11

Item

JAKARTA SEHAT
Quantity

VENTOLIN NEBULE SOLUTION, FOR INHALATION

TUSLAH NON RACIKAN
TOTAL

3,00
1,00

31 Mei 2013 14:05

Item
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 14:01

Item
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 13:12

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 12:54

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

31 Mei 2013 09:42

Item
ULTRACET 37,5MG TABL
BETAHISTIN NOVELL TABLET 6 MG
BIFOTIK POWDER, FOR INJECTION SUSPENSION
SOHOLIN 125 MG/ML INJECTION
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
6,00
4,00
6,00
6,00
4,00
1,00
1,00
8,00

31 Mei 2013 09:33

Item
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
20,00
3,00

31 Mei 2013 09:33

Item
NORMOTEN 5 MG TABLET
H.C.T 25 MG TABLET
ACETYLCYSTEIN 200MG CAPS
ATORVASTATIN 20 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
CLONIDINE INF 150 MG TABLET
CEFEPIME 1 GR INJECTION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
12,00
4,00
24,00
1,00
24,00
12,00
12,00
8,00
30,00
8,00

31 Mei 2013 09:33

Item
DISP ONEMED 3CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
1,00
20,00
4,00

31 Mei 2013 09:32

Item
ASPAR-K TABLET, COATED 300 mg
NORMOTEN 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
INFUS SET JMS
IVENA IV CATH 22
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
30,00
1,00
1,00
20,00
20,00
8,00

TOTAL

31 Mei 2013 09:32

Item
VALISANBE TABLET 5 MG
CAPTOPRIL 12.5 MG TABLET
ATORVASTATIN 20 MG TABLET
BISOPROLOL 5 MG TABLET
NORMOTEN 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
H.C.T 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
PARACETAMOL INF TABLET 500 mg
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
48,00
4,00
4,00
8,00
4,00
8,00
4,00
12,00
4,00
3,00
16,00
12,00
10,00
10,00
1,00
1,00
20,00
18,00

31 Mei 2013 09:32

Item
CLOPIDOGREL 75 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
NORMOTEN 5 MG TABLET
FUROSEMID INF INJECTION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
1,00
12,00
12,00
4,00
4,00
8,00
12,00
10,00
10,00
20,00
1,00
1,00
11,00

31 Mei 2013 09:31

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

31 Mei 2013 09:25

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

31 Mei 2013 09:21

Item
AMLODIPIN 5 MG TABLET
VIVACE 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 2 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
NEUROSANBE 3 ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
12,00
2,00
8,00
12,00
8,00
8,00
8,00
1,00
1,00
11,00

31 Mei 2013 09:15

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
48,00
4,00
4,00
4,00
4,00
12,00
1,00
1,00
4,00
4,00
4,00
6,00
20,00
10,00

TOTAL

31 Mei 2013 09:15

Item
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
MECOBALAMIN AMP INJECTION
SANKORBIN AMP INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
4,00
4,00
12,00
20,00
1,00
1,00
10,00
9,00

31 Mei 2013 09:14

Item
ANTALGIN 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
ASPAR-K TABLET, COATED 300 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
MECOBALAMIN AMP INJECTION
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
8,00
4,00
8,00
2,00
10,00
1,00
1,00
10,00

31 Mei 2013 09:14

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
4,00
3,00

31 Mei 2013 09:14

Item
FUROSEMID INF TABLET
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
12,00
12,00

FOLIC ACID 1 MG TABLET

TUSLAH NON RACIKAN
TOTAL

12,00
3,00

31 Mei 2013 09:13

Item
ASPILETS TABLET, CHEWABLE 80 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
CLOPIDOGREL 75 MG TABLET
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
DIGOXIN INF TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
24,00
4,00
2,00
4,00
8,00
16,00
8,00

31 Mei 2013 09:11

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

31 Mei 2013 09:07

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

31 Mei 2013 08:58

Item
ADALAT OROS 30 MG TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
12,00
1,00
1,00
4,00
7,00

31 Mei 2013 08:54

JAKARTA SEHAT

Item
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
DISP ONEMED 3CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
24,00
30,00
4,00
10,00
1,00
1,00
7,00

31 Mei 2013 08:54

Item
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
PANTOPRAZOLE INJECTION
CEFPIROME 1GR VIL
FUROSEMID INF INJECTION
DISP ONEMED 3CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
FARGOXIN INJECTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
4,00
6,00
6,00
6,00
10,00
10,00
1,00
1,00
4,00
20,00
13,00

31 Mei 2013 08:54

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
SANKORBIN AMP INJECTION
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
2,00
8,00
8,00
8,00
4,00
5,00
8,00

31 Mei 2013 08:53

Item

JAKARTA SEHAT
Quantity

DISP ONEMED 3CC

DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
1,00
1,00
20,00
1,00
6,00

31 Mei 2013 08:53

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 5 MG
SIMVASTATIN TABLET 20 MG
FUROSEMID INF INJECTION
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
2,00
4,00
4,00
8,00
8,00
7,00

31 Mei 2013 08:53

Item
FUROSEMID INF TABLET
RING AS SANBE 500 ML
DOMPERIDON INF TABLET 10 MG
CLOPIDOGREL 75 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
MICROPORE 1 INC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
12,00
4,00
4,00
1,00
1,00
1,00
8,00

31 Mei 2013 08:52

Item
THROMBO ASPILETS 100 MG TABLET
MELOXICAM 7.5 MG TABLET
AMLODIPIN 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
VALAMIN SANBE INFUSION
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
6,00
6,00
12,00
4,00
4,00

RING AS SANBE 500 ML

DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

4,00
10,00
10,00

31 Mei 2013 08:52

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
2,00
4,00
24,00
5,00

31 Mei 2013 08:52

Item
CLOPIDOGREL 75 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
16,00
12,00
6,00
8,00
1,00
1,00
20,00
8,00

31 Mei 2013 08:51

Item
ADALAT OROS 30 MG TABLET
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
12,00
8,00
1,00
1,00
7,00

31 Mei 2013 08:39

Item
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
12,00

TUSLAH NON RACIKAN

TOTAL

1,00

31 Mei 2013 08:25

Item
V BLOCK 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

31 Mei 2013 08:25

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

31 Mei 2013 08:22

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

31 Mei 2013 08:13

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

30 Mei 2013 14:07

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
FUTROLIT INFUSION
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
8,00
12,00
1,00
1,00
20,00
7,00

30 Mei 2013 14:06

Item

JAKARTA SEHAT
Quantity

KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG

TUSLAH NON RACIKAN
TOTAL

4,00
1,00

30 Mei 2013 13:49

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

30 Mei 2013 13:48

Item
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

30 Mei 2013 08:55

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
VALISANBE TABLET 5 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
4,00
4,00
8,00
8,00
16,00
8,00

30 Mei 2013 08:55

Item
DISP ONEMED 3CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
1,00
20,00
5,00

29 Mei 2013 11:23

Item
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00

DRAINAGE BAG STERIL

TUSLAH NON RACIKAN
TOTAL

1,00
2,00

29 Mei 2013 09:30

Item
STOMACH TUBE 16 THERUMO
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

29 Mei 2013 08:36

Item
CITICHOLIN 500 MG TABLET
AMLODIPIN 5 MG TABLET
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
20,00
20,00
3,00

28 Mei 2013 15:31

Item
ATORVASTATIN 20 MG TABLET
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
2,00

28 Mei 2013 15:25

Item
LIVAMIN 500 ML INFUSION
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ONDANSETRON 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
10,00
4,00

28 Mei 2013 15:24

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 15:23

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

28 Mei 2013 15:23

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 15:16

Item
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

28 Mei 2013 15:16

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

28 Mei 2013 15:10

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

28 Mei 2013 15:08

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 15:06

Item

JAKARTA SEHAT
Quantity

FOLLEY CATHETER 18 RUSCH

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

28 Mei 2013 14:57

Item
HANDSCOON NON STERIL S (PCS)
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
2,00

28 Mei 2013 14:56

Item
CANDESARTAN 8MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 14:24

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 14:24

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
4,00

28 Mei 2013 14:19

Item
FORMUNO TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
11,00
1,00

28 Mei 2013 13:52

Item
LOVENOX SOLUTION, INJECTION 40 mg

JAKARTA SEHAT
Quantity
2,00

TUSLAH NON RACIKAN

TOTAL

1,00

28 Mei 2013 13:45

Item
VIVACE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 10:39

Item
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 10:05

Item
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 09:59

Item
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 09:29

Item
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 08:52

Item
IVENA IV CATH 24
IVENA IV CATH 22
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
3,00

28 Mei 2013 08:51

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
3,00

28 Mei 2013 08:51

Item
IVENA IV CATH 22
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00

28 Mei 2013 08:51

Item
IVENA IV CATH 24
IVENA IV CATH 22
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
3,00

28 Mei 2013 08:50

Item
MUSIN OTTO 120 ML SUSPENSION
DISP SYRINGE 5 CC
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
1,00
3,00

28 Mei 2013 08:47

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
5,00
3,00

28 Mei 2013 08:47

Item

JAKARTA SEHAT
Quantity

AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
1,00

28 Mei 2013 08:46

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

28 Mei 2013 08:38

Item
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
10,00
6,00
6,00
1,00
1,00
20,00
8,00

28 Mei 2013 08:38

Item
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
3,00
3,00
3,00
6,00
4,00
8,00

28 Mei 2013 08:38

Item
ANTALGIN 500 MG
MECOBALAMIN AMP INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
10,00
3,00
6,00
1,00
1,00

HANDSCOON NON STERIL S (PCS)

DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

20,00
10,00
7,00

28 Mei 2013 08:37

Item
ASPAR-K TABLET, COATED 300 mg
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
10,00
1,00
1,00
20,00
6,00

28 Mei 2013 08:37

Item
NORMOTEN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
30,00
10,00
6,00
10,00
10,00
1,00
1,00
8,00

28 Mei 2013 08:37

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
1,00
1,00
20,00
7,00

28 Mei 2013 08:35

Item

JAKARTA SEHAT
Quantity

DISP SYRINGE 3 CC
NORMOTEN 5 MG TABLET
H.C.T 25 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
CLONIDINE INF 150 MG TABLET
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

10,00
4,00
3,00
10,00
10,00
1,00
10,00
10,00
10,00
1,00
1,00
20,00
9,00

28 Mei 2013 08:35

Item
NORMOTEN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
VALISANBE TABLET 2 MG
OMEPRAZOLE 40 MG INJECTION
LOVENOX SOLUTION, INJECTION 40 mg
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
20,00
3,00
3,00
2,00
4,00
1,00
1,00
8,00

28 Mei 2013 08:35

Item
ASPILETS TABLET, CHEWABLE 80 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
5,00
3,00

28 Mei 2013 08:27

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
1,00

28 Mei 2013 07:47

JAKARTA SEHAT

Item
THROMBO ASPILETS 100 MG TABLET
MELOXICAM 7.5 MG TABLET
AMLODIPIN 5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
3,00
3,00
6,00
1,00
10,00
10,00
1,00
1,00
9,00

28 Mei 2013 07:47

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN TABLET 20 MG
CAPTOPRIL 12.5 MG TABLET
VALISANBE TABLET 5 MG
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
10,00
3,00
40,00
3,00
6,00
3,00
6,00
10,00
1,00
1,00
20,00
13,00

28 Mei 2013 07:47

Item
ISOSORBIDE DINITRATE INF TABLET
METFORMIN HCL 500 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
3,00
4,00
3,00

28 Mei 2013 07:46

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG

JAKARTA SEHAT
Quantity
3,00
3,00
3,00

PARACETAMOL INF TABLET 500 mg

VALISANBE TABLET 5 MG
BISOPROLOL 5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
INFUS SET JMS
IVENA IV CATH 22
CAPTOPRIL 12.5 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
6,00
1,00
1,00
5,00
6,00
11,00

28 Mei 2013 07:46

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
OMEPRAZOLE 40 MG INJECTION
BISOLVON 2 ML INJECTION
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
6,00
6,00
3,00
10,00
10,00
1,00
1,00
8,00

28 Mei 2013 07:46

Item
ASPAR-K TABLET, COATED 300 mg
AMLODIPIN 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
6,00
1,00
1,00
20,00
10,00
8,00

28 Mei 2013 07:46

Item
AMLODIPIN 5 MG TABLET
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
6,00
10,00
15,00
1,00
1,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

20,00
6,00

28 Mei 2013 07:45

Item
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
10,00
3,00
3,00
3,00
6,00
1,00
1,00
9,00

28 Mei 2013 07:45

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
3,00
10,00
3,00
5,00

28 Mei 2013 04:16

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

28 Mei 2013 04:05

Item
DOBUTAMIN GENERIK 50 MG/ML
IVENA IV CATH 24
INFUS SET JMS
EXTENSION TUBE ET 2 (DWS)
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

6,00

28 Mei 2013 03:59

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

28 Mei 2013 03:57

Item
IVENA IV CATH 22
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

28 Mei 2013 03:57

Item
IVENA IV CATH 22
INFUS SET JMS
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

28 Mei 2013 03:56

Item
IVENA IV CATH 24
INFUS SET JMS
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

28 Mei 2013 03:52

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

28 Mei 2013 03:50

Item
IVENA IV CATH 22
INFUS SET JMS
MICROPORE 1/2 INC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

28 Mei 2013 03:49

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 03:49

Item
IVENA IV CATH 24
INFUS SET JMS
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

27 Mei 2013 23:34

Item
IVENA IV CATH 20
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 23:33

Item
IVENA IV CATH 20
ANBACIM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 23:25

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 20:11

Item
EXTENSION TUBE ET 2 (DWS)
IVENA IV CATH 20
IVENA IV CATH 22
TRANSFUSION SET JMS
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

27 Mei 2013 20:10

Item
IVENA IV CATH 22
IVENA IV CATH 24
TRANSFUSION SET JMS
BD VACUTAINER
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

27 Mei 2013 19:59

Item
IVENA IV CATH 20
IVENA IV CATH 22
TRANSFUSION SET JMS
BD VACUTAINER
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

27 Mei 2013 18:51

Item
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 18:49

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

27 Mei 2013 15:23

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

27 Mei 2013 15:22

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
10,00
2,00
3,00

27 Mei 2013 15:22

Item
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

27 Mei 2013 13:16

Item
SANMOL INFUSION
CITICHOLIN 2 ML 125 MG/ML INJECTION
FUROSEMID INF INJECTION
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
16,00
10,00
1,00
10,00
3,00
3,00
5,00

27 Mei 2013 12:59

Item

UMUM
Quantity

ASPILETS TABLET, CHEWABLE 80 MG

DIGOXIN INF TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
15,00
4,00
10,00
5,00

27 Mei 2013 12:59

Item
HYPERIL 10 MG TABLET
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
18,00
2,00

27 Mei 2013 12:58

Item
KUTOIN-100 CAPSULE 100 MG
ADALAT OROS 30 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
3,00
10,00
1,00
10,00
6,00
10,00
10,00
5,00

27 Mei 2013 09:32

Item
IRBESARTAN 150 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
H.C.T 25 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
5,00
10,00
10,00
20,00
8,00

27 Mei 2013 08:36

Item

JAKARTA SEHAT
Quantity

ASPAR-K TABLET, COATED 300 mg

NORMOTEN 5 MG TABLET
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

10,00
6,00
6,00
4,00
10,00
1,00
1,00
20,00
8,00

27 Mei 2013 07:01

Item
FOLLEY CATHETER 16 RUSCH
TRANSFUSION SET JMS
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00

27 Mei 2013 07:01

Item
FOLLEY CATHETER 16 RUSCH
DERMAFIX-1V
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
3,00

27 Mei 2013 07:00

Item
FOLLEY CATHETER 16 RUSCH
TRANSFUSION SET JMS
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

27 Mei 2013 06:31

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00

26 Mei 2013 19:35

JAKARTA SEHAT

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00

26 Mei 2013 19:33

Item
EXTENSION TUBE ET 2 (DWS)
THREE WAY STOPCOCK
IVENA IV CATH 18
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
10,00
4,00

26 Mei 2013 19:31

Item
CINAM 1.5 GM INJECTION
IVENA IV CATH 18
IVENA IV CATH 20
BD VACUTAINER
HANDSCOON NON STERIL S (PCS)
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
10,00
1,00
6,00

26 Mei 2013 19:29

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
VALISANBE TABLET 5 MG
FOLLEY CATHETER 16 RUSCH
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
20,00
5,00

26 Mei 2013 15:15

Item
IVENA IV CATH 24
INFUS SET JMS
ONDANSETRON INF 4 MG INJECTION
MAGARD FA TABLET, CHEWABLE
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
4,00
1,00
5,00

TOTAL

26 Mei 2013 13:39

Item
NEUROSANBE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

26 Mei 2013 12:43

Item
TRANSFUSION SET JMS
BD VACUTAINER
IVENA IV CATH 20
IVENA IV CATH 22
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

26 Mei 2013 12:32

Item
VERBAND ROLL
IVENA IV CATH 20
TRANSFUSION SET JMS
BD VACUTAINER
DERMAFIX-1V
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

26 Mei 2013 12:21

Item
VERBAND ROLL
IVENA IV CATH 22
METRONIDAZOLE 100 ML INFUSION
INFUS SET JMS
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
5,00

26 Mei 2013 10:56

JAKARTA SEHAT

Item
DOBUTAMIN GENERIK 50 MG/ML
THREE WAY STOPCOCK
DISP SYRINGE 50 CC WITHOUT NED
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
1,00
1,00
4,00

24 Mei 2013 19:29

Item
MAGNESIUM SULFAT 20% INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 18:33

Item
NON REBREATHING MASK ADULT(1102)
DOBUTAMIN GENERIK 50 MG/ML
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

24 Mei 2013 10:54

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

24 Mei 2013 10:14

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
120,00
10,00
10,00
30,00
10,00
5,00
6,00

24 Mei 2013 10:07

Item
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
30,00

SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
10,00
10,00
20,00
6,00

24 Mei 2013 09:26

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
60,00
20,00
30,00
5,00
10,00
7,00

24 Mei 2013 09:26

Item
FUROSEMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
7,00
3,00

24 Mei 2013 09:25

Item
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
DIGOXIN INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
21,00
7,00
7,00
7,00
5,00

24 Mei 2013 09:24

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

24 Mei 2013 08:56

Item
IRBESARTAN 150 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CLONIDINE INF 150 MG TABLET
ADALAT OROS 30 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
1,00
12,00
4,00
4,00
8,00
12,00
4,00
4,00
7,00

24 Mei 2013 08:53

Item
SPIRONOLACTONE 25 MG TABLET
HYPERIL 5 MG TABLET
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
DIGOXIN INF TABLET
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
4,00
4,00
15,00
1,00
1,00
20,00
9,00

24 Mei 2013 08:52

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
LOVENOX SOLUTION, INJECTION 40 mg
OMEPRAZOLE 40 MG INJECTION
BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
4,00
8,00
4,00
4,00
12,00
8,00
7,00

24 Mei 2013 08:50

JAKARTA SEHAT

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
12,00
4,00
20,00
1,00
1,00
40,00
6,00

24 Mei 2013 08:50

Item
ASAM MEFENAMAT INF 500 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
8,00
8,00
10,00
1,00
1,00
8,00

24 Mei 2013 08:50

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
BISOLVON 2 ML INJECTION
MECOBALAMIN AMP INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
12,00
4,00
8,00
10,00
10,00
1,00
1,00
20,00
10,00

24 Mei 2013 08:49

Item
THROMBO ASPILETS 100 MG TABLET
MELOXICAM 7.5 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
4,00

ONDANSETRON INF 4 MG INJECTION

RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

12,00
12,00
6,00

24 Mei 2013 08:49

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
1,00
20,00
5,00

24 Mei 2013 08:48

Item
BETAHISTIN NOVELL TABLET 6 MG
FLUNARIZINE 5 MG TABLET
RANITIDINE INF TABLET 150 MG
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
8,00
20,00
20,00
1,00
1,00
8,00

24 Mei 2013 08:48

Item
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
12,00
6,00
1,00
12,00
12,00
4,00
12,00
6,00

24 Mei 2013 08:48

JAKARTA SEHAT

Item
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 150 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
H.C.T 25 MG TABLET
SIMVASTATIN TABLET 20 MG
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
4,00
4,00
4,00
2,00
4,00
4,00
10,00
8,00

24 Mei 2013 08:48

Item
KUTOIN-100 CAPSULE 100 MG
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
CLONIDINE INF 150 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
4,00
8,00
12,00
12,00
1,00
12,00
8,00
5,00

24 Mei 2013 08:48

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
6,00
1,00
1,00
40,00
7,00

24 Mei 2013 08:47

Item
DIGOXIN INF TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SIMARC-2 FAHRENHEIT 2 MG TABLET
H.C.T 25 MG TABLET
LOVENOX SOLUTION, INJECTION 40 mg

JAKARTA SEHAT
Quantity
4,00
12,00
4,00
4,00
4,00

INFUS SET JMS

IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
40,00
10,00
10,00
10,00

24 Mei 2013 08:46

Item
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
12,00
4,00
4,00
20,00
4,00
7,00

24 Mei 2013 08:46

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
ASPAR-K TABLET, COATED 300 mg
THROMBO ASPILETS 100 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ACETYLCYSTEIN 200MG CAPS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
4,00
2,00
12,00
4,00
24,00
12,00
6,00
8,00

24 Mei 2013 08:45

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ACETYLCYSTEIN 200MG CAPS
FOLIC ACID 1 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS

JAKARTA SEHAT
Quantity
18,00
4,00
4,00
12,00
12,00
8,00
4,00
20,00
1,00

IVENA IV CATH 22
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
1,00
12,00
10,00

24 Mei 2013 08:40

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
12,00
15,00
15,00
1,00
1,00
20,00
8,00

24 Mei 2013 08:40

Item
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
6,00
4,00
6,00
6,00

24 Mei 2013 08:39

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
FUROSEMID INF INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
20,00
3,00
20,00
1,00
1,00
7,00

24 Mei 2013 08:36

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
10,00
10,00
1,00
1,00
5,00

24 Mei 2013 08:35

Item
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
DIGOXIN INF TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
12,00
4,00
4,00
4,00
4,00
4,00
4,00
2,00
4,00
10,00

24 Mei 2013 08:34

Item
RING AS SANBE 500 ML
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMVASTATIN TABLET 20 MG
MICARDIS TABLET 40 mg
CITICHOLIN 2 ML 125 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
4,00
8,00
4,00
8,00
12,00
20,00
1,00
1,00
11,00

24 Mei 2013 08:33

Item
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
12,00

CAPTOPRIL 12.5 MG TABLET

ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

12,00
4,00
4,00
4,00
4,00
20,00
7,00

24 Mei 2013 08:32

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
3,00

24 Mei 2013 08:26

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

24 Mei 2013 08:21

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 07:05

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 02:05

Item
ISOKET INJECTION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
1,00

IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

1,00
3,00

24 Mei 2013 02:02

Item
BD VACUTAINER
STOMACH TUBE 16 THERUMO
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
4,00
2,00
1,00
6,00

24 Mei 2013 01:52

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

23 Mei 2013 23:04

Item
DOBUTAMIN GENERIK 50 MG/ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

23 Mei 2013 22:27

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
NON REBREATHING MASK ADULT(1102)
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
1,00
1,00
6,00

23 Mei 2013 20:07

JAKARTA SEHAT

Item
ASPAR-K TABLET, COATED 300 mg
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
1,00
2,00

23 Mei 2013 19:32

Item
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

23 Mei 2013 11:54

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
30,00
5,00
10,00
10,00
6,00

23 Mei 2013 11:50

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

23 Mei 2013 09:47

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 12:34

Item
MECOBALAMIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 09:59

Item
LOVENOX 0,6 SOLUTION, INJECTION
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

22 Mei 2013 09:52

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
3,00

22 Mei 2013 09:52

Item
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
30,00
20,00
30,00
6,00

22 Mei 2013 09:52

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF INJECTION
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
30,00
3,00
5,00

22 Mei 2013 09:47

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

22 Mei 2013 08:51

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

22 Mei 2013 08:51

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
INTERPRIL 5 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
30,00
20,00
5,00
15,00
6,00

21 Mei 2013 14:53

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

21 Mei 2013 14:35

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

21 Mei 2013 14:30

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

21 Mei 2013 11:01

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 10:14

Item
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SIMARC-2 FAHRENHEIT 2 MG TABLET
H.C.T 25 MG TABLET
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
10,00
5,00
3,00
3,00
10,00
3,00
3,00
6,00
10,00

21 Mei 2013 10:14

Item
THROMBO ASPILETS 100 MG TABLET
MELOXICAM 7.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
10,00
10,00
10,00
1,00
1,00
10,00
6,00
11,00

21 Mei 2013 10:13

Item
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
10,00
3,00
3,00
3,00
4,00
1,00
1,00
9,00

21 Mei 2013 10:13

Item
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INF 1200 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
6,00
6,00
6,00
6,00
6,00
1,00
1,00
40,00
9,00

21 Mei 2013 10:12

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
LOVENOX SOLUTION, INJECTION 40 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
6,00
6,00
3,00
6,00
10,00
6,00
6,00
3,00
10,00
10,00
10,00
1,00
1,00
40,00
15,00

21 Mei 2013 10:12

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
8,00
8,00
1,00
1,00
40,00
6,00
7,00

TOTAL

21 Mei 2013 10:11

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMLODIPIN 5 MG TABLET
KUTOIN-100 CAPSULE 100 MG
DEXTROMETHORPHAN INF TABLET 15 MG
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
12,00
10,00
10,00
10,00
4,00
10,00
10,00
1,00
1,00
12,00

21 Mei 2013 10:11

Item
GLIMEPIRIDE 2 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
METFORMIN HCL 500 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
BD MICRO-FINE
LORATADINE INF TABLET 10 MG
AMBROXOL INF 30 MG TABLET
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
6,00
3,00
10,00
6,00
10,00
3,00
1,00
1,00
3,00
10,00
2,00
10,00
1,00
1,00
40,00
13,00

21 Mei 2013 10:11

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET

JAKARTA SEHAT
Quantity
3,00
3,00

ISOSORBIDE DINITRATE INF TABLET

FUROSEMID INF TABLET
INTERPRIL 5 MG TABLET
CEFIXIME GENERIK CAPSULE
SANMOL INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

10,00
3,00
3,00
6,00
6,00
6,00
1,00
1,00
10,00

21 Mei 2013 10:10

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
6,00
15,00
10,00
1,00
1,00
40,00
8,00

21 Mei 2013 10:10

Item
SPIRONOLACTONE 25 MG TABLET
IRBESARTAN 150 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
H.C.T 25 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00
3,00
3,00
20,00
4,00
10,00
9,00

21 Mei 2013 10:10

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
3,00
3,00
20,00
6,00

ISOSORBIDE DINITRATE INF TABLET

FUROSEMID INF TABLET
LOVENOX 0,6 SOLUTION, INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

10,00
3,00
1,00
6,00
8,00

21 Mei 2013 09:55

Item
ASAM MEFENAMAT INF 500 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
6,00
6,00
1,00
40,00
1,00
1,00
9,00

21 Mei 2013 09:55

Item
IRBESARTAN 150 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CLONIDINE INF 150 MG TABLET
AMLODIPIN 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
KALTROFEN KALBE SUPPOSITORY 100 mg
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
1,00
10,00
3,00
3,00
6,00
10,00
6,00
3,00
10,00
2,00
1,00
1,00
10,00
10,00
10,00
40,00
15,00

21 Mei 2013 09:55

Item
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
20,00
3,00
12,00
4,00
6,00
6,00
10,00
10,00
10,00
10,00

21 Mei 2013 09:54

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
30,00
3,00
3,00
6,00
4,00
1,00
1,00
10,00

21 Mei 2013 09:54

Item
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
40,00
3,00

21 Mei 2013 09:53

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ACETYLCYSTEIN 200MG CAPS

JAKARTA SEHAT
Quantity
30,00
2,00
3,00
10,00

FOLIC ACID 1 MG TABLET

FUROSEMID INF INJECTION
BD MICRO-FINE
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

10,00
20,00
1,00
4,00
8,00

21 Mei 2013 09:53

Item
PARACETAMOL INF TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
6,00
6,00
10,00
10,00
40,00
1,00
1,00
9,00

21 Mei 2013 09:53

Item
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
NATRIUM PHENITOIN 50MG /ML INJ
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
10,00
4,00
12,00
6,00
40,00
1,00
1,00
9,00

21 Mei 2013 09:47

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

21 Mei 2013 09:37

Item

JAKARTA SEHAT
Quantity

KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG

TUSLAH NON RACIKAN
TOTAL

3,00
1,00

21 Mei 2013 09:08

Item
MICROBAR CAT 2 SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 08:39

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 07:16

Item
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
2,00
6,00
10,00
10,00
1,00
1,00
40,00
9,00

21 Mei 2013 07:16

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
20,00
10,00
40,00
1,00
1,00
8,00

21 Mei 2013 07:15

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
8,00
6,00
1,00
1,00
40,00
6,00

21 Mei 2013 07:15

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
20,00
6,00
6,00
6,00
40,00
1,00
1,00
8,00

21 Mei 2013 07:15

Item
ASPAR-K TABLET, COATED 300 mg
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DIGOXIN INF TABLET
HYPERIL 5 MG TABLET
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
3,00
3,00
6,00
10,00
7,00

21 Mei 2013 07:14

Item
ISOSORBIDE DINITRATE INF TABLET
VECTRINE DEXA CAPSULE 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
OMEPRAZOLE GEN 20 MG CAPSULE
CAPTOPRIL 12.5 MG TABLET

JAMKESMAS
Quantity
10,00
6,00
6,00
3,00
20,00

ASAM TRANEKSAMAT 500 MG TABLET

TUSLAH NON RACIKAN
TOTAL

10,00
6,00

21 Mei 2013 07:14

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DISP SYRINGE 3 CC
LOVENOX 0,6 SOLUTION, INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
12,00
6,00
4,00
1,00
1,00
7,00

21 Mei 2013 07:14

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
CLONIDINE INF 150 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
SANMOL INFUSION
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
ISOKET INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
10,00
18,00
1,00
18,00
10,00
10,00
1,00
10,00
10,00
10,00
8,00
3,00
10,00
10,00
10,00
10,00
40,00
13,00

21 Mei 2013 07:14

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET

JAKARTA SEHAT
Quantity
6,00
6,00

PROPANOLOL 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

6,00
3,00
6,00
4,00
1,00
1,00
8,00

21 Mei 2013 07:13

Item
CLOPIDOGREL 75 MG TABLET
GLIQUIDONE 30 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
10,00
1,00
1,00
5,00

20 Mei 2013 23:28

Item
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00

20 Mei 2013 12:58

Item
AMLODIPIN 5 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
3,00

20 Mei 2013 12:57

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

20 Mei 2013 12:57

JAKARTA SEHAT

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00

20 Mei 2013 11:12

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 05:50

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

19 Mei 2013 18:57

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ISOKET INJECTION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
3,00

19 Mei 2013 14:49

Item
CALCIUM GLUCONAS ETHICA INJECTION
BISOLVON 2 ML INJECTION
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
3,00

19 Mei 2013 13:37

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

19 Mei 2013 13:37

Item

JAKARTA SEHAT
Quantity

DOBUTAMIN GENERIK 50 MG/ML

TUSLAH NON RACIKAN
TOTAL

2,00
1,00

19 Mei 2013 13:36

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

19 Mei 2013 13:33

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

19 Mei 2013 13:12

Item
ANBACIM INJECTION
DISP SYRINGE 10 CC
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
4,00

19 Mei 2013 13:11

Item
ANBACIM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

19 Mei 2013 13:10

Item
ANBACIM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

19 Mei 2013 13:07

Item
DILTIAZEM INF TABLET 30 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
5,00
1,00

TOTAL

19 Mei 2013 13:06

Item
ANBACIM INJECTION
DISP SYRINGE 10 CC
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

19 Mei 2013 12:16

Item
CEFEPIME 1 GR INJECTION
ALLOPURINOL INF TABLET 100 MG
PRONALGES SUPPOSITORY 100 MG
RING AS SANBE 500 ML
MINOPHAGEN INJ
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
1,00
2,00
1,00
5,00

19 Mei 2013 12:13

Item
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 50 CC WITHOUT NED
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

19 Mei 2013 12:12

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00

19 Mei 2013 12:11

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

19 Mei 2013 12:10

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00

19 Mei 2013 12:04

Item
PANTOPRAZOLE INJECTION
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

19 Mei 2013 11:49

Item
NATRIUM DIKLOFENAK KF TABLET 25 MG
KETOROLAC 30 MG SOLUTION, INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
5,00
4,00

19 Mei 2013 11:48

Item
ANBACIM INJECTION
SANMOL INFUSION
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

19 Mei 2013 11:47

Item
ANBACIM INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

19 Mei 2013 11:46

Item
ANBACIM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

19 Mei 2013 11:45

Item
FUROSEMID INF INJECTION
IVENA IV CATH 22
IVENA IV CATH 20
IVENA IV CATH 18
INFUS SET JMS
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
6,00

19 Mei 2013 11:44

Item
FOLLEY CATHETER 16 RUSCH
STOMACH TUBE 16 THERUMO
SELANG OKSIGEN ADULT
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

19 Mei 2013 11:43

Item
GARAM INGGRIS 30GR
TUSLAH RACIKAN
EMBALASE
IVENA IV CATH 20
IVENA IV CATH 18
IVENA IV CATH 24
INFUS SET JMS
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
5,00

19 Mei 2013 11:41

Item
ANBACIM INJECTION

JAKARTA SEHAT
Quantity
1,00

METRONIDAZOLE 100 ML INFUSION

SANMOL INFUSION
IVENA IV CATH 20
IVENA IV CATH 18
IVENA IV CATH 22
INFUS SET JMS
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

19 Mei 2013 11:40

Item
HERBESSER 50 MG/ML INJECTION
FUROSEMID INF INJECTION
FOLLEY CATHETER 16 RUSCH
STOMACH TUBE 16 THERUMO
SELANG OKSIGEN ADULT
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
1,00
1,00
1,00
1,00
6,00

19 Mei 2013 11:39

Item
AMINOFLUID 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

19 Mei 2013 11:37

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
2,00

18 Mei 2013 12:48

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
1,00
5,00

TOTAL

18 Mei 2013 11:41

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
7,00
2,00

18 Mei 2013 11:41

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
3,00
3,00
3,00
10,00
5,00

18 Mei 2013 11:40

Item
ISOKET INJECTION
HYPAFIX 5CM x 5 M
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00

18 Mei 2013 11:35

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 11:35

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

18 Mei 2013 11:13

Item
BD VACUTAINER

JAKARTA SEHAT
Quantity
3,00

TUSLAH NON RACIKAN

TOTAL

1,00

18 Mei 2013 10:32

Item
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

18 Mei 2013 09:40

Item
ISOSORBIDE DINITRATE INF TABLET
PROPANOLOL 10 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
45,00
30,00
1,00
3,00

17 Mei 2013 10:13

Item
TRANSFUSION SET JMS
DRAINAGE BAG STERIL
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

17 Mei 2013 08:53

Item
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INF 1200 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
8,00
8,00
2,00
8,00
10,00
15,00
1,00
1,00
20,00
8,00
11,00

17 Mei 2013 08:52

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SANMOL INFUSION
FUROSEMID INF INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
4,00
8,00
12,00
8,00
8,00
1,00
8,00
1,00
1,00
20,00
12,00

17 Mei 2013 08:52

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
16,00
8,00
12,00
1,00
1,00
15,00
20,00
16,00
8,00

17 Mei 2013 08:52

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
EXTENSION TUBE ET 2 (DWS)
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
8,00
4,00
4,00
12,00
4,00
8,00
8,00
3,00
10,00
10,00
1,00
1,00
12,00

TOTAL

17 Mei 2013 08:51

Item
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF INJECTION
H.C.T 25 MG TABLET
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
6,00
6,00
4,00
4,00
12,00
4,00
20,00
4,00
8,00
4,00
13,00

17 Mei 2013 08:51

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
2,00
12,00
8,00
8,00
10,00
10,00
1,00
1,00
20,00
10,00
11,00

17 Mei 2013 08:51

Item
ASPAR-K TABLET, COATED 300 mg
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
4,00
12,00
1,00

TUSLAH RACIKAN
EMBALASE
FUROSEMID INF INJECTION
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

1,00
4,00
16,00
3,00
7,00

17 Mei 2013 08:50

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
8,00
4,00
3,00
1,00
1,00
8,00

17 Mei 2013 08:37

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DISP SYRINGE 5 CC
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
24,00
8,00
8,00
10,00
1,00
20,00
1,00
8,00
9,00

17 Mei 2013 08:37

Item
AMLODIPIN 5 MG TABLET
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
8,00
10,00
10,00
1,00
1,00

HANDSCOON NON STERIL S (PCS)

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

20,00
8,00
10,00

17 Mei 2013 08:37

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMLODIPIN 5 MG TABLET
KUTOIN-100 CAPSULE 100 MG
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
8,00
12,00
8,00
6,00

17 Mei 2013 08:36

Item
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
EXTENSION TUBE ET 2 (DWS)
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
1,00
1,00
1,00
1,00
6,00

17 Mei 2013 08:36

Item
SANMOL INFUSION
CITICHOLIN 2 ML 125 MG/ML INJECTION
ISOKET INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
3,00
10,00
1,00
1,00
6,00

17 Mei 2013 08:36

Item
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF INJECTION
LOVENOX SOLUTION, INJECTION 40 mg

JAKARTA SEHAT
Quantity
4,00
16,00
4,00

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

16,00
4,00

17 Mei 2013 08:35

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
LOVENOX SOLUTION, INJECTION 40 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
24,00
12,00
4,00
6,00
8,00
10,00
15,00
1,00
1,00
20,00
6,00
13,00

17 Mei 2013 08:35

Item
ASPAR-K TABLET, COATED 300 mg
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
12,00
12,00
1,00
1,00
20,00
8,00

17 Mei 2013 08:35

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
NATRIUM BICARBONAT
TUSLAH RACIKAN -

JAKARTA SEHAT
Quantity
5,00
12,00
12,00
1,00
12,00
24,00
1,00

EMBALASE
ASPAR-K TABLET, COATED 300 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

24,00
8,00
8,00
12,00
5,00
10,00
1,00
1,00
20,00
10,00

17 Mei 2013 08:34

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
HYPERIL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
LOVENOX 0,6 SOLUTION, INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
12,00
2,00
1,00
4,00
4,00
4,00
6,00
8,00
1,00
1,00
10,00
10,00
20,00
12,00

17 Mei 2013 08:34

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
4,00
3,00

17 Mei 2013 08:06

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
4,00
8,00

CLONIDINE INF 150 MG TABLET

CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
CEFOPERAZONE SULBACTAM 1 GM INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

12,00
12,00
1,00
12,00
12,00
12,00
1,00
12,00
6,00
8,00
6,00

17 Mei 2013 08:06

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
DOBUTAMIN GENERIK 50 MG/ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
8,00
8,00
6,00
4,00
1,00
1,00
20,00
9,00

17 Mei 2013 08:05

Item
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
DIGOXIN INF TABLET
SANMOL INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
12,00
4,00
4,00
6,00
6,00
10,00
8,00

17 Mei 2013 08:05

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RIFAMPICIN GENERIK 450 MG TABLET

JAKARTA SEHAT
Quantity
8,00
4,00

INH 300 MG TABLET

PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
8,00
8,00
1,00
1,00
20,00
8,00

17 Mei 2013 08:05

Item
FUROSEMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
12,00
4,00
4,00
8,00
8,00
8,00

17 Mei 2013 08:05

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
11,00
1,00
1,00
40,00
6,00

17 Mei 2013 08:04

Item
ISOSORBIDE DINITRATE INF TABLET
VECTRINE DEXA CAPSULE 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
CAPTOPRIL 12.5 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAMKESMAS
Quantity
12,00
8,00
8,00
16,00
12,00
1,00
1,00
40,00
8,00

TOTAL

17 Mei 2013 08:04

Item
IRBESARTAN 300 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
4,00
4,00
2,00
4,00
4,00
12,00
4,00
7,00

17 Mei 2013 08:04

Item
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 20
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
8,00
3,00
8,00
10,00
1,00
1,00
6,00
10,00

17 Mei 2013 08:03

Item
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
8,00
3,00

17 Mei 2013 08:03

Item
METFORMIN HCL 500 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN GENERIK 10 MG TABLET
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
12,00
4,00
8,00
4,00

ISOSORBIDE DINITRATE INF TABLET

BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

12,00
4,00
4,00
4,00
8,00

17 Mei 2013 08:02

Item
GLIMEPIRIDE 1 MG TABLET
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
METFORMIN HCL 500 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
4,00
4,00
12,00
8,00
12,00
4,00
4,00
1,00
1,00
4,00
10,00
10,00

17 Mei 2013 08:02

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
SELANG NEBUL WITH MASK(1493)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
12,00
4,00
4,00
8,00
6,00
12,00
8,00
1,00
8,00
8,00

17 Mei 2013 08:02

Item
RANITIDINE GENERIK 25 MG/ML INJECTION

JAKARTA SEHAT
Quantity
8,00

RING AS SANBE 500 ML

INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
1,00
20,00
5,00

17 Mei 2013 08:02

Item
HALOPERIDOL INF 0.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
6,00
4,00
1,00
1,00
20,00
1,00
8,00

17 Mei 2013 06:32

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
2,00
4,00

17 Mei 2013 03:31

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
PANTOPRAZOLE INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
4,00

17 Mei 2013 03:01

Item
PANTOPRAZOLE INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
5,00

17 Mei 2013 03:00

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

17 Mei 2013 02:59

Item
PANTOPRAZOLE INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
4,00

17 Mei 2013 02:58

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

17 Mei 2013 02:57

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

17 Mei 2013 02:56

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
2,00
3,00

DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

3,00
3,00

17 Mei 2013 02:55

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

17 Mei 2013 02:53

Item
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
4,00

17 Mei 2013 02:51

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
2,00
4,00

17 Mei 2013 02:40

Item
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00
3,00
5,00

17 Mei 2013 02:31

Item

JAKARTA SEHAT
Quantity

CITICHOLIN 2 ML 125 MG/ML INJECTION

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

6,00
2,00
2,00
3,00

17 Mei 2013 02:27

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
3,00
3,00
1,00
3,00
3,00
5,00

17 Mei 2013 01:30

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00

17 Mei 2013 01:29

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
1,00
5,00

17 Mei 2013 01:28

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00

17 Mei 2013 01:27

Item
DISP SYRINGE 5 CC
PANTOPRAZOLE INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00

17 Mei 2013 01:26

Item
DISP SYRINGE 5 CC
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

17 Mei 2013 01:25

Item
DISP SYRINGE 3 CC
CEFEPIME 1 GR INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00
4,00

17 Mei 2013 01:25

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

17 Mei 2013 01:24

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

17 Mei 2013 01:23

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

TOTAL

17 Mei 2013 01:23

Item
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00

16 Mei 2013 23:57

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 23:40

Item
YAL JELLY SOLUTION
IVENA IV CATH 18
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00
3,00
1,00
6,00

16 Mei 2013 23:39

Item
YAL JELLY SOLUTION
IVENA IV CATH 18
FOLLEY CATHETER 16 RUSCH
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
3,00
5,00

16 Mei 2013 23:36

Item
YAL JELLY SOLUTION
IVENA IV CATH 18
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
1,00
3,00

DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

3,00
4,00

16 Mei 2013 23:32

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
IVENA IV CATH 20
DISP SYRINGE 5 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
1,00
4,00

16 Mei 2013 19:25

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
BD VACUTAINER
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
1,00
6,00

16 Mei 2013 19:21

Item
IVENA IV CATH 20
INFUS SET JMS
MICROPORE 1/2 INC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
6,00

16 Mei 2013 19:20

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
1,00
5,00

TOTAL

16 Mei 2013 19:15

Item
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
IVENA IV CATH 20
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
1,00
1,00
1,00
5,00

16 Mei 2013 19:14

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
5,00

16 Mei 2013 09:50

Item
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

16 Mei 2013 09:49

Item
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

16 Mei 2013 08:36

Item
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
8,00
4,00
12,00
1,00
1,00
40,00

TUSLAH NON RACIKAN

TOTAL

6,00

15 Mei 2013 21:03

Item
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

15 Mei 2013 11:27

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 09:55

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
PROCAINE PENICILLIN-G MEIJI
FARMADOL 100 ML INFUSION
LOVENOX 0,6 SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
1,00
2,00
2,00
2,00
2,00
1,00
2,00
10,00

15 Mei 2013 09:50

Item
LEVOFLOXACIN INF TABLET
HALOPERIDOL INF 0.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00
1,00
3,00
5,00
5,00
1,00
1,00
10,00

TOTAL

15 Mei 2013 09:43

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
LOVENOX SOLUTION, INJECTION 40 mg
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
1,00
2,00
4,00
2,00
1,00
1,00
4,00
10,00

15 Mei 2013 08:56

Item
FUROSEMID INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
6,00
1,00
1,00
20,00
1,00
8,00

15 Mei 2013 08:51

Item
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF INJECTION
LOVENOX SOLUTION, INJECTION 40 mg
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
8,00
4,00
1,00
1,00
20,00
4,00
8,00
8,00

15 Mei 2013 08:50

Item
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INJ 3 GR/ 15 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
2,00
3,00
3,00
5,00
5,00
1,00
1,00
9,00

15 Mei 2013 08:50

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
8,00
8,00
1,00
1,00
20,00
6,00
7,00

15 Mei 2013 08:42

Item
GLIMEPIRIDE 2 MG TABLET
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
METFORMIN HCL 500 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
BD MICRO-FINE
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
2,00
6,00
4,00
6,00
2,00
2,00
1,00
1,00
2,00
6,00
2,00
11,00

15 Mei 2013 08:42

Item
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
2,00
2,00

15 Mei 2013 08:42

Item
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
2,00
10,00
10,00
1,00
1,00
7,00

15 Mei 2013 08:42

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
3,00
4,00
4,00
4,00
5,00
5,00
1,00
1,00
5,00
11,00

15 Mei 2013 08:42

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

15 Mei 2013 08:41

JAKARTA SEHAT

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
2,00
2,00
4,00
2,00
2,00
2,00
1,00
1,00
20,00
10,00

15 Mei 2013 08:41

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
2,00
4,00
2,00
5,00
10,00
8,00

15 Mei 2013 08:41

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMLODIPIN 10 MG TABLET
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
2,00
4,00
4,00
20,00
1,00
1,00
9,00

15 Mei 2013 08:41

Item
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
5,00

FOLIC ACID 1 MG TABLET

CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
ASPAR-K TABLET, COATED 300 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
1,00
6,00
12,00
1,00
12,00
4,00
4,00
6,00
40,00
5,00
5,00
2,00
9,00

15 Mei 2013 08:41

Item
THROMBO ASPILETS 100 MG TABLET
ALPENTIN 100 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
MECOBALAMIN AMP INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
4,00
3,00
4,00
2,00
5,00
5,00
1,00
1,00
1,00
11,00

15 Mei 2013 08:41

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DOBUTAMIN GENERIK 50 MG/ML
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
2,00
2,00
3,00
3,00
2,00
1,00
2,00

HANDSCOON NON STERIL S (PCS)

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

20,00
4,00
12,00

15 Mei 2013 08:41

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
CEFEPIME 1 GR INJECTION
ONDANSETRON INF 4 MG INJECTION
BD MICRO-FINE
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
4,00
6,00
5,00
4,00
5,00
5,00
5,00
1,00
1,00
20,00
5,00
13,00

15 Mei 2013 08:40

Item
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
2,00
2,00
4,00
2,00
4,00
1,00
1,00
5,00
5,00
5,00
20,00
12,00

15 Mei 2013 08:36

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN

JAMKESMAS
Quantity
4,00
1,00

TOTAL

15 Mei 2013 08:26

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
1,00
1,00
20,00
6,00

15 Mei 2013 08:26

Item
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
4,00
6,00
1,00
1,00
7,00

15 Mei 2013 08:26

Item
ISOSORBIDE DINITRATE INF TABLET
VECTRINE DEXA CAPSULE 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
OMEPRAZOLE GEN 20 MG CAPSULE
CAPTOPRIL 12.5 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
3,00
6,00
8,00
2,00
8,00
6,00
1,00
1,00
20,00
9,00

15 Mei 2013 08:25

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
4,00
12,00

BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
1,00
1,00
20,00
1,00
4,00
9,00

15 Mei 2013 08:18

Item
ASAM MEFENAMAT INF 500 MG TABLET
ULTRACET 37,5MG TABL
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
6,00
5,00
1,00
1,00
20,00
6,00
8,00

15 Mei 2013 08:17

Item
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
THROMBO ASPILETS 100 MG TABLET
DIGOXIN INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
4,00
2,00
2,00
6,00
4,00
5,00
5,00
1,00
1,00
4,00
12,00

15 Mei 2013 08:17

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
5,00
5,00

INFUS SET JMS

IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
20,00
5,00

15 Mei 2013 08:17

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
CLONIDINE INF 150 MG TABLET
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
CEFOPERAZONE SULBACTAM 1 GM INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
12,00
6,00
1,00
6,00
6,00
1,00
1,00
6,00
4,00
6,00
4,00
8,00

15 Mei 2013 08:16

Item
AMBROXOL INF 60 ML SYRUP
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
4,00
4,00
6,00
2,00
4,00
2,00
6,00
6,00
9,00

15 Mei 2013 08:16

Item
RING AS SANBE 500 ML
DOBUTAMIN GENERIK 50 MG/ML
INFUS SET JMS

JAKARTA SEHAT
Quantity
4,00
2,00
1,00

IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
2,00
2,00
7,00

15 Mei 2013 08:16

Item
ASPAR-K TABLET, COATED 300 mg
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ATORVASTATIN 20 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
FUROSEMID INF INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
1,00
2,00
6,00
1,00
1,00
2,00
8,00
4,00
8,00
5,00
5,00
11,00

15 Mei 2013 08:15

Item
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
20,00
5,00

15 Mei 2013 08:15

Item
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUROSEMID INF INJECTION

JAKARTA SEHAT
Quantity
2,00
6,00
6,00
12,00
4,00
8,00

SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SIMARC-2 FAHRENHEIT 2 MG TABLET
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
4,00
2,00
8,00
5,00
1,00
1,00
14,00

14 Mei 2013 10:22

Item
DISP SYRINGE 1 CC INSULIN
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
CEFOPERAZONE SULBACTAM 1 GM INJECTION
AQUA BIDES 1000 ML SOLUTION, LIQUID
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00
1,00
6,00

14 Mei 2013 10:21

Item
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

14 Mei 2013 09:24

Item
CITICHOLIN 500 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
10,00
3,00

14 Mei 2013 08:16

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
20,00

MICROPORE 1/2 INC

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
5,00
6,00

11 Mei 2013 13:23

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

11 Mei 2013 13:23

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 13:23

Item
DOMPERIDON INF TABLET 10 MG
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
12,00
2,00

11 Mei 2013 13:06

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

11 Mei 2013 12:37

Item
VITAMIN K KIMIA FARMA TABLET 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
3,00
3,00
2,00

11 Mei 2013 12:37

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

11 Mei 2013 12:37

Item
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 11:51

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

11 Mei 2013 11:20

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 11:19

Item
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
40,00
20,00
4,00

11 Mei 2013 10:38

Item
ASPILETS TABLET, CHEWABLE 80 MG
VALISANBE TABLET 2 MG
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
8,00
9,00
4,00
10,00
10,00
1,00
1,00
20,00

TUSLAH NON RACIKAN

TOTAL

11,00

11 Mei 2013 10:38

Item
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INJ 3 GR/ 15 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
MANITOL OTSU 500 ML INFUSION 20 %WV
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
12,00
8,00
8,00
6,00
2,00
10,00
10,00
1,00
1,00
20,00
4,00
12,00

11 Mei 2013 10:38

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMLODIPIN 10 MG TABLET
NATRIUM PHENITOIN 50MG /ML INJ
VALAMIN SANBE INFUSION
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
4,00
6,00
4,00
1,00
1,00
20,00
9,00

11 Mei 2013 10:15

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RING AS DOUBLE PORT 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
2,00
4,00
4,00
6,00

11 Mei 2013 10:13

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
MANITOL OTSU 500 ML INFUSION 20 %WV
MECOBALAMIN AMP INJECTION
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
4,00
8,00
10,00
1,00
1,00
20,00
9,00

11 Mei 2013 10:12

Item
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
12,00
1,00
12,00
4,00
4,00
8,00
8,00
4,00
4,00
12,00
10,00
10,00
20,00
11,00

11 Mei 2013 10:12

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
ASPAR-K TABLET, COATED 300 mg

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
12,00
24,00
1,00
24,00
8,00

OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

4,00
8,00
12,00
8,00
10,00
1,00
1,00
9,00

11 Mei 2013 10:12

Item
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
METFORMIN HCL 500 MG TABLET
ALLOPURINOL INF TABLET 100 MG
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF TABLET
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
12,00
8,00
12,00
4,00
4,00
1,00
9,00

11 Mei 2013 10:10

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
CEFEPIME 1 GR INJECTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
FARMADOL 100 ML INFUSION
BD MICRO-FINE
RING AS DOUBLE PORT 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
24,00
4,00
8,00
8,00
12,00
8,00
10,00
8,00
20,00
1,00
1,00
10,00
10,00
14,00

11 Mei 2013 10:00

JAKARTA SEHAT

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

11 Mei 2013 09:54

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
RING AS DOUBLE PORT 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
12,00
8,00
8,00
8,00
10,00
1,00
1,00
8,00
10,00

11 Mei 2013 09:53

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
RING AS DOUBLE PORT 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
8,00
4,00
4,00
4,00
7,00

11 Mei 2013 09:39

Item
ASPAR-K TABLET, COATED 300 mg
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF INJECTION
PANTOPRAZOLE INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
RING AS DOUBLE PORT 500 ML
DOBUTAMIN GENERIK 50 MG/ML

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
4,00
12,00
16,00
8,00
8,00
6,00
2,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
10,00
13,00

11 Mei 2013 09:39

Item
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
8,00
4,00
10,00
10,00
1,00
1,00
20,00
8,00

11 Mei 2013 09:36

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF TABLET
RING AS DOUBLE PORT 500 ML
ISOKET INJECTION
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
4,00
4,00
4,00
4,00
3,00
1,00
1,00
10,00

11 Mei 2013 09:36

Item
KUTOIN-100 CAPSULE 100 MG
DILTIAZEM INF TABLET 30 MG
CAPTOPRIL 12.5 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
V-BLOC 6,25MG TABLET
DOMPERIDON INF TABLET 10 MG
PANTOPRAZOLE INJECTION
LEVOFLOXACIN INFUSION

JAKARTA SEHAT
Quantity
12,00
12,00
20,00
12,00
8,00
12,00
8,00
4,00

BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

8,00
9,00

11 Mei 2013 09:36

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NICARDIPINE INJ
FUROSEMID INF INJECTION
ACETYLCYSTEIN 200MG CAPS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
12,00
4,00
10,00
12,00
10,00
10,00
1,00
1,00
9,00

11 Mei 2013 09:35

Item
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
6,00
8,00
2,00
8,00
12,00
10,00
1,00
1,00
11,00

11 Mei 2013 09:24

Item
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
THROMBO ASPILETS 100 MG TABLET
FARMADOL 100 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RINGER LACTATE WIDATRA 500 ML
FARGOXIN INJECTION

JAKARTA SEHAT
Quantity
6,00
4,00
8,00
4,00
9,00
8,00
8,00
2,00

INFUS SET JMS

IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
20,00
11,00

11 Mei 2013 09:24

Item
NATRIUM DIKLOFENAK 50 MG TABLET
MERTIGO TABLET 6 MG
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
MANITOL OTSU 500 ML INFUSION 20 %WV
RING AS DOUBLE PORT 500 ML
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
8,00
8,00
3,00
6,00
2,00
10,00
10,00
1,00
1,00
11,00

11 Mei 2013 09:19

Item
ADALAT OROS 30 MG TABLET
HYPERIL 5 MG TABLET
CLONIDINE INF 150 MG TABLET
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
NATRIUM PHENITOIN 50MG /ML INJ
CEFOPERAZONE SULBACTAM 1 GM INJECTION
INFUS SET JMS
IVENA IV CATH 22
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
12,00
24,00
12,00
1,00
12,00
12,00
12,00
8,00
1,00
1,00
8,00
10,00
11,00

11 Mei 2013 09:19

Item
ISOSORBIDE DINITRATE INF TABLET

JAKARTA SEHAT
Quantity
12,00

ASPILETS TABLET, CHEWABLE 80 MG

CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN TABLET 20 MG
BISOPROLOL 5 MG TABLET
PANTOPRAZOLE INJECTION
CEFPIROME 1GR VIL
LOVENOX SOLUTION, INJECTION 40 mg
FUROSEMID INF INJECTION
BD MICRO-FINE
RING AS DOUBLE PORT 500 ML
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
48,00
4,00
4,00
8,00
8,00
8,00
8,00
10,00
8,00
12,00

11 Mei 2013 09:18

Item
FUROSEMID INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
12,00
1,00
1,00
6,00

11 Mei 2013 09:13

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
1,00
1,00
20,00
6,00

11 Mei 2013 09:07

Item
THROMBO ASPILETS 100 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
4,00
8,00
4,00
1,00
1,00
20,00

TUSLAH NON RACIKAN

TOTAL

6,00

11 Mei 2013 09:07

Item
MANITOL OTSU 500 ML INFUSION 20 %WV
CITICHOLIN 2 ML 125 MG/ML INJECTION
NATRIUM PHENITOIN 50MG /ML INJ
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
12,00
12,00
10,00
4,00
1,00
1,00
1,00
20,00
9,00

11 Mei 2013 09:06

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DOBUTAMIN GENERIK 50 MG/ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
8,00
10,00
3,00
1,00
1,00
20,00
9,00

11 Mei 2013 09:06

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
VALISANBE TABLET 5 MG
FUROSEMID INF TABLET
AMBROXOL INF 30 MG TABLET
CAPTOPRIL 12.5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
CEFEPIME 1 GR INJECTION
INFUS SET JMS
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
24,00
2,00
4,00
4,00
4,00
12,00
6,00
8,00
8,00
1,00
1,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

20,00
12,00

11 Mei 2013 09:05

Item
ISOSORBIDE DINITRATE INF TABLET
VECTRINE DEXA CAPSULE 300 mg
DEXTROMETHORPHAN INF TABLET 15 MG
OMEPRAZOLE GEN 20 MG CAPSULE
CAPTOPRIL 12.5 MG TABLET
INFUS SET JMS
IVENA IV CATH 22
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
4,00
8,00
8,00
4,00
16,00
1,00
1,00
4,00
20,00
9,00

11 Mei 2013 08:58

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUROSEMID INF INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
2,00
4,00
12,00
8,00
12,00
2,00
4,00
1,00
1,00
20,00
4,00
12,00

11 Mei 2013 08:49

Item
ASPILETS TABLET, CHEWABLE 80 MG
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

11 Mei 2013 08:49

JAKARTA SEHAT

Item
VERBAND ROLL
DARYANT-TULLE STERIL GZ
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
1,00
1,00
4,00

10 Mei 2013 11:09

Item
GLURENORM TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

10 Mei 2013 10:58

Item
SOLAC SYRUP
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
2,00

10 Mei 2013 10:17

Item
AMLODIPIN 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
V-BLOC 6,25MG TABLET
AMINORAL TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
5,00
7,00
15,00
7,00
7,00
30,00
10,00
8,00

10 Mei 2013 00:41

Item
FOLLEY CATHETER 14 RUSCH
HANDSCOON GAMEX 6.5
IVENA IV CATH 18
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

10 Mei 2013 00:40

Item
IVENA IV CATH 18
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
2,00

10 Mei 2013 00:40

Item
IVENA IV CATH 20
IVENA IV CATH 22
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

9 Mei 2013 22:51

Item
FUTROLIT INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
4,00

8 Mei 2013 12:11

Item
LOVENOX SOLUTION, INJECTION 40 mg
ANTALGIN 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
2,00

7 Mei 2013 14:48

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
10,00
1,00

7 Mei 2013 14:48

Item

JAMKESMAS
Quantity

NEW DIATABS TABLET 600 mg

TUSLAH NON RACIKAN
TOTAL

10,00
1,00

7 Mei 2013 14:27

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

7 Mei 2013 14:03

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

7 Mei 2013 12:00

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUROSEMID INF INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
12,00
8,00
12,00
4,00
4,00
10,00
10,00
5,00
1,00
1,00
2,00
20,00
14,00

7 Mei 2013 11:59

Item
AMLODIPIN 5 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
MECOBALAMIN CAPSULE 500 MCG
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET

JAKARTA SEHAT
Quantity
4,00
9,00
8,00
12,00
4,00
8,00

V-BLOC 6,25MG TABLET

FUROSEMID INF INJECTION
BD MICRO-FINE
KETESSE 25 MG/ML INJECTION
PANTOPRAZOLE INJECTION
CEFPIROME 1GR VIL
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
8,00
10,00
4,00
4,00
8,00
4,00
10,00
10,00
5,00
1,00
1,00
20,00
19,00

7 Mei 2013 11:59

Item
ISOSORBIDE DINITRATE INF TABLET
CIPROFLOXACIN TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
12,00
8,00
12,00
3,00

7 Mei 2013 11:58

Item
DILTIAZEM INF TABLET 30 MG
CAPTOPRIL 12.5 MG TABLET
URISPAS TABLET, FILM COATED 200 MG
V-BLOC 6,25MG TABLET
DOMPERIDON INF TABLET 10 MG
CURCUMA 200 MG TABLET
PANTOPRAZOLE INJECTION
LEVOFLOXACIN INFUSION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NICARDIPINE INJ
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
12,00
26,00
12,00
16,00
12,00
12,00
8,00
4,00
8,00
12,00
4,00
30,00
15,00
15,00
5,00
1,00
1,00
20,00
18,00

TOTAL

7 Mei 2013 11:41

Item
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
12,00
1,00
12,00
4,00
4,00
8,00
8,00
8,00
4,00
4,00
12,00
1,00
1,00
10,00
10,00
13,00

7 Mei 2013 11:40

Item
PARACETAMOL INF TABLET 500 mg
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ANTRAIN INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 20
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
8,00
9,00
8,00
3,00
4,00
4,00
1,00
1,00
20,00
5,00
10,00
10,00
15,00

7 Mei 2013 11:40

JAKARTA SEHAT

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
4,00
12,00
8,00
8,00
4,00
4,00
8,00
4,00
10,00
5,00
11,00

7 Mei 2013 11:40

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
BISOPROLOL 5 MG TABLET
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
4,00
2,00
4,00
10,00
10,00
1,00
1,00
20,00
9,00

7 Mei 2013 11:39

Item
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
VALISANBE TABLET 2 MG
ASPILETS TABLET, CHEWABLE 80 MG
RANITIDINE INF TABLET 150 MG
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
8,00
8,00
8,00
8,00
8,00
20,00
1,00
1,00
10,00
11,00

7 Mei 2013 11:39

Item
ASPILETS TABLET, CHEWABLE 80 MG
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
CAPTOPRIL 12.5 MG TABLET
PANTOPRAZOLE INJECTION
FUROSEMID INF INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DOBUTAMIN GENERIK 50 MG/ML
RING AS SANBE 500 ML
ISOKET INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
12,00
6,00
4,00
24,00
8,00
4,00
4,00
4,00
10,00
10,00
5,00
1,00
1,00
10,00
20,00
17,00

7 Mei 2013 11:36

Item
CAPTOPRIL 12.5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
12,00
8,00
8,00
8,00
10,00
20,00
6,00

7 Mei 2013 11:15

Item
HYPERIL 5 MG TABLET
CLONIDINE INF 150 MG TABLET
CURCUMA 200 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
PANTOPRAZOLE INJECTION
VALAMIN SANBE INFUSION
INFUS SET JMS

JAKARTA SEHAT
Quantity
4,00
12,00
8,00
12,00
12,00
12,00
8,00
4,00
1,00

IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
10,00
10,00
5,00
10,00
20,00
15,00

7 Mei 2013 11:14

Item
NIMOTOP TAB 30 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
11,00
8,00
12,00
4,00
10,00
5,00
1,00
1,00
8,00

7 Mei 2013 11:13

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
MICROPORE 1/2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
4,00
12,00
5,00
7,00
1,00
1,00
1,00
10,00
11,00

7 Mei 2013 11:13

Item
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
12,00

FUROSEMID INF TABLET

BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
1,00
1,00
4,00
8,00
12,00
10,00
5,00
20,00
10,00

7 Mei 2013 10:55

Item
CTM 4 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
FLUCONAZOL INFUS 100 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
LEVOFLOXACIN INF TABLET
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
8,00
8,00
12,00
4,00
12,00
4,00
10,00
10,00
10,00
1,00
1,00
20,00
15,00

7 Mei 2013 10:55

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN TABLET 20 MG
GLIQUIDONE 30 MG TABLET
ACETYLCYSTEIN 200MG CAPS
BISOPROLOL 5 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
BD MICRO-FINE
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
8,00
12,00
12,00
24,00
4,00
4,00
12,00
2,00
8,00
10,00
5,00

TUSLAH NON RACIKAN

TOTAL

11,00

7 Mei 2013 10:55

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
12,00
2,00
1,00
24,00
4,00
8,00
1,00
4,00
1,00
1,00
7,00

7 Mei 2013 10:54

Item
PARACETAMOL INF TABLET 500 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
VALAMIN SANBE INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
8,00
8,00
4,00
5,00
7,00

7 Mei 2013 10:54

Item
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
M-20 INFUSAN (MANITOL) 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS

UMUM
Quantity
3,00
8,00
4,00
8,00
4,00
10,00
10,00
5,00
1,00

IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
11,00

7 Mei 2013 10:54

Item
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INJ 3 GR/ 15 ML INJECTION
RING AS SANBE 500 ML
M-20 INFUSAN (MANITOL) 500 ML
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
12,00
4,00
4,00
5,00
1,00
1,00
7,00

7 Mei 2013 10:53

Item
KALIUM DIKLOFENAK 50 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
M-20 INFUSAN (MANITOL) 500 ML
RING AS SANBE 500 ML
FUTROLIT INFUSION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
2,00
4,00
4,00
2,00
10,00
10,00
20,00
10,00

7 Mei 2013 10:53

Item
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
4,00
2,00
4,00
4,00
7,00

7 Mei 2013 10:53

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
AMINORAL TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
12,00
12,00
12,00
1,00
8,00
8,00
4,00
10,00
10,00
5,00
9,00

7 Mei 2013 10:36

Item
PANTOPRAZOLE INJECTION
NEUROSANBE 3 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
8,00
6,00
2,00
10,00
10,00
10,00
9,00

7 Mei 2013 10:36

Item
ASAM MEFENAMAT INF 500 MG TABLET
ARDIUM TABLET
PARACETAMOL INF TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
8,00
2,00
4,00
10,00
10,00
1,00
4,00
1,00

TUSLAH NON RACIKAN

TOTAL

11,00

7 Mei 2013 10:35

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
VALISANBE TABLET 5 MG
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
DULCOLAX SUPPOSITORY 10 mg
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
2,00
4,00
4,00
6,00
4,00
12,00
8,00
2,00
8,00
1,00
1,00
12,00

7 Mei 2013 10:35

Item
CAPTOPRIL 12.5 MG TABLET
DIGOXIN INF TABLET
ASPAR-K TABLET, COATED 300 mg
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
24,00
2,00
4,00
16,00
4,00
10,00
1,00
1,00
10,00

7 Mei 2013 10:35

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
DOBUTAMIN GENERIK 50 MG/ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
4,00
1,00
1,00
20,00

TUSLAH NON RACIKAN

TOTAL

7,00

7 Mei 2013 10:34

Item
ISOSORBIDE DINITRATE INF TABLET
CIPROFLOXACIN TABLET
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
12,00
8,00
20,00
3,00

6 Mei 2013 13:21

Item
CITICHOLIN 500 MG TABLET
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
ASAM MEFENAMAT INF 500 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
5,00
5,00

6 Mei 2013 13:19

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
10,00
10,00
5,00
4,00

6 Mei 2013 09:58

Item
IVENA IV CATH 22
IVENA IV CATH 24
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

4 Mei 2013 08:37

Item
MANITOL OTSU 500 ML INFUSION 20 %WV
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
5,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
1,00
1,00
6,00

4 Mei 2013 07:58

Item
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
5,00
3,00
1,00
1,00
5,00

4 Mei 2013 02:13

Item
MAGNESIUM SULFAT 20% INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

4 Mei 2013 02:12

Item
DOBUTAMIN GENERIK 50 MG/ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 10 CC
THREE WAY STOPCOCK
DEXTROSE 10% WIDATRA 500 ML INFUSION
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
6,00
6,00

4 Mei 2013 02:10

Item
DOPAC 40 MG/ML INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

4 Mei 2013 02:09

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
1,00
1,00
1,00
6,00

4 Mei 2013 02:07

Item
DOBUTAMIN GENERIK 50 MG/ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

3 Mei 2013 18:01

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
IVENA IV CATH 22
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00
1,00
4,00

3 Mei 2013 12:29

Item
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ASAM MEFENAMAT INF 500 MG TABLET
ARDIUM TABLET
PARACETAMOL INF TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANKORBIN AMP INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
15,00
15,00
12,00
12,00
12,00
8,00
4,00
3,00
4,00
1,00
1,00
20,00
12,00

TOTAL

3 Mei 2013 12:29

Item
HYPERIL 5 MG TABLET
CLONIDINE INF 150 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
12,00
12,00
12,00
8,00
3,00
4,00
12,00
12,00
12,00
20,00
1,00
1,00
13,00

3 Mei 2013 12:23

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
FOLIC ACID 1 MG TABLET
VALISANBE TABLET 5 MG
FUROSEMID INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
4,00
4,00
4,00
2,00
12,00
4,00
4,00
8,00
4,00
10,00

3 Mei 2013 12:22

Item
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
10,00
10,00
1,00
1,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

20,00
8,00

3 Mei 2013 12:22

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
8,00
24,00
8,00
1,00
1,00
20,00
7,00

3 Mei 2013 12:21

Item
FUROSEMID INF INJECTION
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
8,00
6,00
8,00
6,00
15,00
10,00
8,00

3 Mei 2013 12:18

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
BD MICRO-FINE
FUROSEMID INF INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
2,00
4,00
4,00
10,00
4,00
8,00
10,00
10,00
11,00

3 Mei 2013 12:18

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
16,00
4,00
8,00
8,00
8,00
1,00
1,00
20,00
9,00

3 Mei 2013 12:17

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
VALISANBE TABLET 5 MG
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
5,00
8,00
4,00
6,00
4,00
8,00
12,00
10,00

3 Mei 2013 12:16

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
OMEPRAZOLE 40 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
12,00
10,00
1,00
12,00
10,00
1,00
24,00
4,00
12,00
12,00
3,00
10,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
20,00
1,00
1,00
11,00

3 Mei 2013 12:16

Item
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
CLONIDINE INF 150 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
12,00
12,00
8,00
6,00
12,00
10,00
4,00
9,00

3 Mei 2013 11:02

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

3 Mei 2013 10:16

Item
CONDOM CATHETER M
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

3 Mei 2013 08:19

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPAR-K TABLET, COATED 300 mg

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
12,00
12,00
24,00

AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
1,00
4,00
1,00
1,00
9,00

3 Mei 2013 08:19

Item
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
1,00
3,00

3 Mei 2013 08:19

Item
CAPTOPRIL 12.5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
FUROSEMID INF INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
24,00
8,00
4,00
10,00
10,00
1,00
1,00
6,00
9,00

3 Mei 2013 08:18

Item
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
1,00
10,00
10,00
4,00
6,00

3 Mei 2013 08:18

JAKARTA SEHAT

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
NOVALGIN SOLUTION, INJECTION 500 mg/ml
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
8,00
8,00
8,00
4,00
10,00
10,00
10,00
1,00
1,00
10,00

3 Mei 2013 08:18

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
6,00
1,00
1,00
20,00
7,00

3 Mei 2013 08:17

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
ASPAR-K TABLET, COATED 300 mg
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
2,00
4,00
4,00
12,00
10,00
1,00
1,00
20,00
10,00

3 Mei 2013 08:17

Item
THROMBO ASPILETS 100 MG TABLET

JAKARTA SEHAT
Quantity
4,00

CLOPIDOGREL 75 MG TABLET
V-BLOC 6,25MG TABLET
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
GLIQUIDONE 30 MG TABLET
METFORMIN HCL 500 MG TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
4,00
8,00
4,00
8,00
8,00
1,00
1,00
10,00

3 Mei 2013 08:17

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
CURCUMA 200 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
4,00
4,00
8,00
20,00
7,00

3 Mei 2013 08:16

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 08:16

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
8,00
2,00
8,00
4,00
20,00
1,00
1,00
10,00

3 Mei 2013 08:16

Item
AMIKACIN 250 MG INJECTION
CEFPIROME 1GR VIL
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
1,00
1,00
10,00
10,00
10,00
7,00

3 Mei 2013 08:15

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
AMINORAL TABLET
NEUROSANBE 3 ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
12,00
12,00
12,00
4,00
4,00
6,00
1,00
1,00
20,00
8,00

2 Mei 2013 14:33

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
4,00
4,00
5,00

2 Mei 2013 14:07

Item
BD VACUTAINER
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

2 Mei 2013 14:06

Item
CTM 4 MG TABLET
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
FLUCONAZOL INFUS 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
4,00
4,00
24,00
8,00
3,00
4,00
8,00

2 Mei 2013 14:05

Item
H.C.T 25 MG TABLET
FOLIC ACID 1 MG TABLET
AMINORAL TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
V-BLOC 6,25MG TABLET
CLONIDINE INF 150 MG TABLET
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
48,00
8,00
8,00
15,00
4,00
12,00
16,00
10,00

2 Mei 2013 14:05

Item
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
4,00
4,00
2,00
4,00
4,00
7,00

2 Mei 2013 09:52

JAKARTA SEHAT

Item
IVENA IV CATH 24
INFUS SET JMS
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
4,00

1 Mei 2013 12:34

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
FUROSEMID INF INJECTION
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
5,00
5,00
3,00

1 Mei 2013 09:15

Item
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 09:06

Item
STOMACH TUBE 16 THERUMO
FOLLEY CATHETER 18 RUSCH
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Depo
Depo Atas
Subtotal
AMP
AMP
UNT

Depo Atas
Subtotal
TAB
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
SYR
UNT

Depo Atas
Subtotal

Pasien
Penjamin
44250
44250
38016
38016
1000
1000
83266
83266

0
0
0
0

Pasien
Penjamin
32604
32604
26600
26600
1000
1000
60204
60204

0
0
0
0

Pasien
Penjamin
1267200 1267200
500
500
1267700 1267700

0
0
0

Pasien
Penjamin
32604
32604
500
500
33104
33104

0
0
0

Pasien
Penjamin
16302
16302
500
500
16802
16802

0
0
0

Pasien
Penjamin
892100
892100
500
500
892600
892600

0
0
0

Pasien

Penjamin

VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
UNT
BOT
UNT
UNT
UNT

30096
500
30596

30096
500
30596

0
0
0

Pasien
Penjamin
26600
26600
500
500
27100
27100

0
0
0

Pasien
Penjamin
26600
26600
500
500
27100
27100

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14766
14766
500
500
15266
15266

0
0
0

Pasien
Penjamin
50040
50040
3996
3996
645532
645532
228096
228096
9240
9240
65668
65668
8415
8415
14988
14988
4000
4000
1029975 1029975

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
VIL
AMP
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
UNT
UNT
PKG
PKG
UNT

Pasien
Penjamin
8415
8415
14988
14988
10040
10040
1500
1500
34943
34943

0
0
0
0
0

Pasien
Penjamin
39920
39920
176
176
15840
15840
17952
17952
960
960
3500
3500
1200
1200
984
984
2952
2952
1235520 1235520
73830
73830
4000
4000
1396834 1396834

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10440
10440
8415
8415
14988
14988
10040
10040
2000
2000
45883
45883

0
0
0
0
0
0

Pasien
Penjamin
29568
29568
19960
19960
2004
2004
73830
73830
8415
8415
14988
14988
10440
10440
10040
10040
4000
4000

0
0
0
0
0
0
0
0
0

173245

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
AMP
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
AMP
VIL
AMP
PKG
UNT
PKG
UNT
UNT
UNT

173245

Penjamin
876
4128
17952
5804
39920
2004
79200
176
29568
504
633600
39376
68064
5220
15400
8415
14988
10040
9000
984235

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39600
39600
480
480
3500
3500
600
600
984
984
19960
19960
9844
9844
579968
579968
68064
68064
5220
5220
15400
15400
10040
10040
8415
8415
14988
14988
5500
5500
782563
782563

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
876
4128
17952
5804
39920
2004
79200
176
29568
504
633600
39376
68064
5220
15400
8415
14988
10040
9000
984235

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
BOT
BOT
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
AMP
BOT
PKG
PKG
UNT

Pasien
Penjamin
102000
102000
500
500
102500
102500

0
0
0

Pasien
Penjamin
102000
102000
500
500
102500
102500

0
0
0

Pasien
Penjamin
3308
3308
32604
32604
118800
118800
2902
2902
1128
1128
213840
213840
131336
131336
409728
409728
37160
37160
8415
8415
14988
14988
5500
5500
979709
979709

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4128
4128
2004
2004
39600
39600
2156
2156
1792
1792
29568
29568
1451
1451
3500
3500
200
200
9844
9844
65668
65668
3132
3132
10040
10040
5000
5000

0
0
0
0
0
0
0
0
0
0
0
0
0
0

178083

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
BOT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
AMP
BOT
VIL
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB

178083

Pasien
Penjamin
7932
7932
2902
2902
38016
38016
99032
99032
197004
197004
10040
10040
8415
8415
14988
14988
15400
15400
4500
4500
398229
398229

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2028
2028
1692
1692
29568
29568
91080
91080
38016
38016
131336
131336
5184
5184
15400
15400
8415
8415
14988
14988
5000
5000
342707
342707

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
688
2004
65668
1500
69860

0
0
0
0
0

Pasien
Penjamin
1464
1464
9924
9924

0
0

688
2004
65668
1500
69860

TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BOT
TAB
VIL
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
UNT
UNT
BOT
UNT

Depo Atas

984
1500
13872

984
1500
13872

0
0
0

Pasien
Penjamin
2004
2004
6176
6176
2064
2064
39600
39600
135432
135432
616
616
91080
91080
2016
2016
4000
4000
282988
282988

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
102000
102000
500
500
102500
102500

0
0
0

Pasien
Penjamin
26400
26400
500
500
26900
26900

0
0
0

Pasien
Penjamin
33316
33316
5804
5804
39600
39600
213840
213840
8415
8415
14988
14988
65668
65668
3500
3500
385131
385131

0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
AMP
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
VIL
AMP
PKG
UNT
UNT
UNT
AMP
PKG
UNT

Depo Atas
Subtotal
VIL
VIL
AMP
VIL
BOT
BOT
AMP
AMP
UNT

Depo Atas
Subtotal

Pasien
Penjamin
2004
2004
2064
2064
73830
73830
65668
65668
5220
5220
8415
8415
14988
14988
3500
3500
175689
175689

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1792
1792
688
688
616
616
6176
6176
434976
434976
827640
827640
14766
14766
5220
5220
15400
15400
8415
8415
14988
14988
142560
142560
10040
10040
6500
6500
1489777 1489777

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
362832
362832
341088
341088
14750
14750
91080
91080
131336
131336
506024
506024
99032
99032
211235
211235
4000
4000
1761377 1761377

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

PKG
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
PKG
UNT

Depo Atas
Subtotal
TAB
BOT
TAB
TAB
CAP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
VIL
AMP
BOT
BOT

5220
15400
8415
14988
10040
26600
3000
83663

5220
15400
8415
14988
10040
26600
3000
83663

0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
39600
39600
2902
2902
876
876
8208
8208
19688
19688
4176
4176
3500
3500
80954
80954

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
488
131336
6276
39600
5404
26600
8415
14988
4000
237107

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2184
2184
3308
3308
3308
3308
68310
68310
511632
511632
68064
68064
253012
253012
204864
204864

0
0
0
0
0
0
0
0

488
131336
6276
39600
5404
26600
8415
14988
4000
237107

BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
BOT
UNT
UNT
UNT

Apotik Panel
Subtotal
TAB

65668
5220
5000
1190570

65668
5220
5000
1190570

0
0
0
0

Pasien
Penjamin
2004
2004
39600
39600
2902
2902
3308
3308
2064
2064
2500
2500
52378
52378

0
0
0
0
0
0
0

Pasien
Penjamin
39600
39600
2288
2288
213840
213840
968298
968298
47048
47048
8415
8415
14988
14988
10040
10040
4000
4000
1308517 1308517

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33316
33316
39600
39600
688
688
213840
213840
131336
131336
8415
8415
14988
14988
3500
3500
445683
445683

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1200
1200

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
UNT
UNT
UNT
PKG
UNT

Apotik Panel 2
Subtotal

500
1700

500
1700

0
0

Pasien
Penjamin
16830
16830
500
500
17330
17330

0
0
0

Pasien

Penjamin
800
800
500
500
1300
1300

0
0
0

Pasien
Penjamin
1200
1200
500
500
1700
1700

0
0
0

Pasien
Penjamin
1000
1000
500
500
1500
1500

0
0
0

Pasien
Penjamin
83160
83160
213840
213840
409728
409728
18480
18480
8415
8415
14988
14988
10040
10040
3500
3500
762151
762151

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
VIL
AMP
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT

13200
500
13700

13200
500
13700

0
0
0

Penjamin
258
500
758

0
0
0

Pasien
Penjamin
1503
1503
500
500
2003
2003

0
0
0

Pasien
Penjamin
2004
2004
79200
79200
8208
8208
876
876
6176
6176
579968
579968
897600
897600
39376
39376
4000
4000
1617408 1617408

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5220
5220
15400
15400
8415
8415
14988
14988
10040
10040
2500
2500
56563
56563

0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335

Pasien
258
500
758

UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
VIL
VIL
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

5809
1000
23144

5809
1000
23144

0
0
0

Pasien
Penjamin
16088
16088
18343
18343
5809
5809
12012
12012
2000
2000
54252
54252

0
0
0
0
0
0

Pasien
Penjamin
110908
110908
16540
16540
520
520
1500
1500
129468
129468

0
0
0
0
0

Pasien
Penjamin
10890
10890
85000
85000
1000
1000
96890
96890

0
0
0
0

Pasien
Penjamin
186196
186196
217488
217488
22770
22770
39200
39200
2000
2000
467654
467654

0
0
0
0
0
0

Pasien
Penjamin
24453
24453
500
500
24953
24953

0
0
0

Apotik Panel 2
Subtotal
AMP
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Atas
Subtotal

Pasien
Penjamin
12760
12760
500
500
13260
13260

0
0
0

Pasien
Penjamin
304320
304320
500
500
304820
304820

0
0
0

Pasien
Penjamin
379518
379518
500
500
380018
380018

0
0
0

Pasien
Penjamin
64350
64350
500
500
64850
64850

0
0
0

Pasien
Penjamin
511632
511632
39200
39200
1000
1000
551832
551832

0
0
0
0

Pasien
Penjamin
21450
21450
500
500
21950
21950

0
0
0

Pasien

Penjamin

UNT
UNT

Depo Atas
Subtotal
PKG
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL

18342
500
18842

18342
500
18842

0
0
0

Pasien
Penjamin
10040
10040
56720
56720
1000
1000
67760
67760

0
0
0
0

Pasien
Penjamin
10032
10032
500
500
10532
10532

0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Pasien

Penjamin
732
7596
528
511632
2000
522488

0
0
0
0
0
0

Pasien
Penjamin
63558
63558
500
500
64058
64058

0
0
0

Pasien
Penjamin
304320
304320

732
7596
528
511632
2000
522488

UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

500
304820

500
304820

0
0

Pasien
Penjamin
24453
24453
500
500
24953
24953

0
0
0

Pasien
Penjamin
79220
79220
500
500
79720
79720

0
0
0

Pasien
Penjamin
79220
79220
500
500
79720
79720

0
0
0

Pasien
Penjamin
79220
79220
500
500
79720
79720

0
0
0

Pasien
Penjamin
62563
62563
500
500
63063
63063

0
0
0

Pasien
Penjamin
14988
14988
14988
14988
7700
7700
1500
1500
39176
39176

0
0
0
0
0

Depo Atas
Subtotal
UNT
TUB
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
16088
16088
56262
56262
7700
7700
1500
1500
81550
81550

0
0
0
0
0

Pasien
Penjamin
14988
14988
7700
7700
1000
1000
23688
23688

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
7700
7700
1500
1500
39176
39176

0
0
0
0
0

Pasien
Penjamin
47685
47685
7700
7700
26950
26950
1500
1500
83835
83835

0
0
0
0
0

Pasien
Penjamin
8270
8270
1720
1720
12320
12320
1500
1500
23810
23810

0
0
0
0
0

Pasien

Penjamin

TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
UNT

8270
500
8770

8270
500
8770

0
0
0

Pasien
Penjamin
16540
16540
500
500
17040
17040

0
0
0

Pasien
Penjamin
23562
23562
29700
29700
178200
178200
968298
968298
35286
35286
8415
8415
14988
14988
10040
10040
4000
4000
1272489 1272489

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1160
1160
860
860
1503
1503
29700
29700
6156
6156
1344
1344
14784
14784
5100
5100
4000
4000
64607
64607

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1690
1690
28512
28512
98502
98502
8415
8415
14988
14988

0
0
0
0
0

PKG
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal

10040
15400
3500
181047

10040
15400
3500
181047

0
0
0
0

Pasien
Penjamin
24640
24640
98502
98502
12750
12750
8415
8415
14988
14988
10040
10040
3000
3000
172335
172335

0
0
0
0
0
0
0
0

Pasien
Penjamin
23166
23166
2580
2580
422470
422470
98502
98502
12750
12750
15400
15400
8415
8415
14988
14988
4000
4000
602271
602271

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17400
17400
164170
164170
12750
12750
15400
15400
8415
8415
14988
14988
10040
10040
3500
3500
246663
246663

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

UNT
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas

12750
19960
132
13200
400
3500
500
820
2460
8415
14988
10040
4500
91665

12750
19960
132
13200
400
3500
500
820
2460
8415
14988
10040
4500
91665

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23166
23166
1720
1720
423
423
255816
255816
304320
304320
65668
65668
8415
8415
14988
14988
4000
4000
678516
678516

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
4632
4632
430
430
1500
1500
8065
8065

0
0
0
0
0

Pasien
Penjamin
12978
12978
500
500
13478
13478

0
0
0

Subtotal
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
1638
1638
2481
2481
2481
2481
511632
511632
63253
63253
12750
12750
15400
15400
8415
8415
14988
14988
4500
4500
637538
637538

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
29700
29700
1160
1160
6156
6156
3440
3440
657
657
4962
4962
132
132
673200
673200
12750
12750
8415
8415
14988
14988
10040
10040
6500
6500
773603
773603

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1392
1392
594
594
65668
65668
1500
1500
69154
69154

0
0
0
0
0

Pasien
Penjamin
1503
1503
29700
29700
6156
6156

0
0
0

TAB
TAB
TAB
VIL
UNT
UNT
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
UNT
UNT
UNT
UNT

378
657
4353
511632
8415
14988
430
98502
5500
682214

378
657
4353
511632
8415
14988
430
98502
5500
682214

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1720
1720
4962
4962
14784
14784
255816
255816
422470
422470
15400
15400
8415
8415
14988
14988
4000
4000
742555
742555

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
2481
2481
1503
1503
98502
98502
8415
8415
14988
14988
10040
10040
12750
12750
4000
4000
177319
177319

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4962
4962
12750
12750
23100
23100
8415
8415
14988
14988

0
0
0
0
0

PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BAG
VIL
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
PKG
UNT
TUB

10040
3000
77255

10040
3000
77255

0
0
0

Pasien
Penjamin
1617
1617
244
244
1160
1160
4353
4353
23562
23562
29700
29700
106920
106920
8415
8415
14988
14988
4500
4500
195459
195459

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4632
4632
516
516
1344
1344
1160
1160
2481
2481
2500
2500
12633
12633

0
0
0
0
0
0
0

Pasien
Penjamin
19266
19266
145860
145860
1000
1000
166126
166126

0
0
0
0

Pasien
Penjamin
62370
62370
14988
14988
8415
8415
26950
26950
16088
16088
56262
56262

0
0
0
0
0
0

UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
BOT
UNT

3000
188073

3000
188073

0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
25220
25220
1000
1000
41208
41208

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
26950
26950
5732
5732
2000
2000
58085
58085

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
26950
26950
6600
6600
2000
2000
58953
58953

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
3300
3300
65340
65340
2000
2000
101963
101963

0
0
0
0
0
0

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
VIL
UNT

Depo IGD
Subtotal
UNT
AMP
UNT

Pasien
Penjamin
14988
14988
8415
8415
26535
26535
6600
6600
2000
2000
58538
58538

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
8415
8415
1500
1500
41238
41238

0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
26950
26950
6600
6600
2000
2000
58953
58953

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
145860
145860
1000
1000
161848
161848

0
0
0
0

Pasien
Penjamin
14988
14988
70438
70438
1000
1000
86426
86426

0
0
0
0

Depo IGD
Subtotal
BOT
UNT
UNT

Depo IGD
Subtotal
PKG
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
PKG
UNT

Pasien
Penjamin
67716
67716
14988
14988
1000
1000
83704
83704

0
0
0
0

Pasien
Penjamin
26950
26950
14988
14988
14988
14988
16335
16335
2970
2970
2500
2500
78731
78731

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
1898
1898
5881
5881
2500
2500
56590
56590

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
1898
1898
26535
26535
2500
2500
77244
77244

0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
500
500
27450
27450

0
0
0

Depo IGD
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
AMP
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
AMP
AMP
GM
UNT
UNT
BOT
BOT
UNT

Depo Atas
Subtotal

Pasien
Penjamin
27288
27288
500
500
27788
27788

0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
341088
341088
56720
56720
22770
22770
1500
1500
422078
422078

0
0
0
0
0

Pasien
Penjamin
2460
2460
500
500
2960
2960

0
0
0

Pasien
Penjamin
336600
336600
178200
178200
39376
39376
390
390
3500
3500
500
500
189759
189759
153648
153648
2500
2500
904473
904473

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
AMP
BOT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
CAP
TAB
GM
UNT
UNT
TAB
AMP
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal

1503
462
36915
65668
12750
2500
119798

1503
462
36915
65668
12750
2500
119798

0
0
0
0
0
0
0

Pasien
Penjamin
20493
20493
153000
153000
1000
1000
174493
174493

0
0
0
0

Pasien
Penjamin
21856
21856
24987
24987
400
400
3500
3500
500
500
492
492
17400
17400
69300
69300
2500
2500
140935
140935

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22390
22390
4480
4480
5010
5010
99000
99000
220
220
20520
20520
1220
1220
53840
53840
4000
4000
210680
210680

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
BOT
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
BOT
UNT

Apotik Panel 2

24640
29940
756
65668
12750
8415
14988
10040
4000
171197

24640
29940
756
65668
12750
8415
14988
10040
4000
171197

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
16335
16335
8910
8910
1500
1500
45088
45088

0
0
0
0
0

Pasien
Penjamin
18343
18343
8910
8910
14988
14988
1500
1500
43741
43741

0
0
0
0
0

Pasien
Penjamin
18343
18343
16335
16335
5940
5940
1500
1500
42118
42118

0
0
0
0
0

Pasien
Penjamin
65668
65668
500
500
66168
66168

0
0
0

Subtotal
AMP
UNT

Depo IGD
Subtotal
PKG
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
TAB
SUP
TAB
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
AMP
TAB
UNT
UNT

Pasien
Penjamin
670120
670120
500
500
670620
670620

0
0
0

Pasien
Penjamin
26950
26950
60639
60639
14988
14988
5020
5020
2000
2000
109597
109597

0
0
0
0
0
0

Pasien
Penjamin
131319
131319
14988
14988
29976
29976
1898
1898
5020
5020
18343
18343
3000
3000
204544
204544

0
0
0
0
0
0
0
0

Pasien
Penjamin
3042
3042
37890
37890
219
219
18343
18343
250800
250800
2500
2500
312794
312794

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
14702
14702
19008
19008
1997
1997
2500
2500

0
0
0
0
0
0

61610

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
PKG
UNT
UNT
UNT
PKG
UNT
TUB
UNT

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

Depo IGD

61610

Pasien
Penjamin
9990
9990
500
500
10490
10490

0
0
0

Pasien
Penjamin
16335
16335
1898
1898
14988
14988
14988
14988
5881
5881
27640
27640
3000
3000
84730
84730

0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
14988
14988
16335
16335
1898
1898
2970
2970
18343
18343
56262
56262
3500
3500
121688
121688

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
14988
14988
33984
33984
8415
8415
27640
27640
2500
2500
94919
94919

0
0
0
0
0
0
0

Subtotal
AMP
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
UNT
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
124740
124740
20213
20213
12610
12610
9633
9633
2000
2000
169196
169196

0
0
0
0
0
0

Pasien
Penjamin
4634
4634
500
500
5134
5134

0
0
0

Pasien
Penjamin
59193
59193
124740
124740
3796
3796
1500
1500
189229
189229

0
0
0
0
0

Pasien
Penjamin
3480
3480
500
500
3980
3980

0
0
0

Pasien
Penjamin
10320
10320
4480
4480
1220
1220
3480
3480
5460
5460
770
770
3000
3000
28730
28730

0
0
0
0
0
0
0
0

Pasien
Penjamin
2580
2580

TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

2240
770
15440
5010
2440
3000
31480

2240
770
15440
5010
2440
3000
31480

0
0
0
0
0
0
0

Pasien
Penjamin
5010
5010
99000
99000
5160
5160
16540
16540
3480
3480
7255
7255
1220
1220
3500
3500
141165
141165

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
854
3507
69300
1500
75161

0
0
0
0
0

Pasien
Penjamin
2580
2580
2436
2436
5789
5789
1078
1078
3136
3136
2500
2500
17519
17519

0
0
0
0
0
0
0

Pasien
Penjamin
5384
5384
500
500
5884
5884

0
0
0

854
3507
69300
1500
75161

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
VIL
AMP
BOT
UNT

Depo Atas

Pasien
Penjamin
8956
8956
240
240
3500
3500
600
600
3168
3168
464
464
2248
2248
2952
2952
33316
33316
1792
1792
3500
3500
60736
60736

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1792
1792
31416
31416
5812
5812
39600
39600
616
616
19125
19125
8415
8415
14988
14988
10040
10040
4500
4500
136304
136304

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2064
2064
3308
3308
19712
19712
608640
608640
341088
341088
506964
506964
131336
131336
3500
3500
1616612 1616612

0
0
0
0
0
0
0
0
0

Subtotal
VIL
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL

Pasien
Penjamin
120384
120384
65668
65668
25500
25500
8415
8415
14988
14988
20080
20080
3000
3000
258035
258035

0
0
0
0
0
0
0
0

Pasien
Penjamin
1692
1692
7992
7992
213840
213840
1291064 1291064
131336
131336
15400
15400
8415
8415
14988
14988
4000
4000
1688727 1688727

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6616
6616
1032
1032
506964
506964
38016
38016
131336
131336
12750
12750
15400
15400
8415
8415
14988
14988
10040
10040
5000
5000
750557
750557

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2184
2184
3308
3308
23128
23128
341088
341088

0
0
0
0

AMP
BOT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
UNT

Depo Atas

68064
197004
3000
637776

68064
197004
3000
637776

0
0
0
0

Pasien
Penjamin
12750
12750
15400
15400
8415
8415
14988
14988
10040
10040
2500
2500
64093
64093

0
0
0
0
0
0
0

Pasien
Penjamin
7992
7992
7184
7184
1896
1896
131336
131336
10040
10040
25500
25500
8415
8415
14988
14988
4000
4000
211351
211351

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3308
3308
176
176
15840
15840
240
240
3500
3500
600
600
984
984
464
464
2952
2952
3000
3000
31064
31064

0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
GM
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
TAB
TAB
VIL

Pasien
Penjamin
1792
1792
8956
8956
2004
2004
39600
39600
88
88
8208
8208
65668
65668
12750
12750
4000
4000
143066
143066

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21856
21856
33316
33316
62832
62832
2952
2952
480
480
3500
3500
600
600
656
656
2500
2500
128692
128692

0
0
0
0
0
0
0
0
0
0

Pasien
976
10128
704
511632
8415
14988
20080
3500
570423

Pasien
616
120384
6176
176
608640

Penjamin
976
10128
704
511632
8415
14988
20080
3500
570423

0
0
0
0
0
0
0
0
0

Penjamin
616
120384
6176
176
608640

0
0
0
0
0

UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
PKG
UNT

8415
14988
20080
12750
15400
5000
812625

8415
14988
20080
12750
15400
5000
812625

0
0
0
0
0
0
0

Pasien
Penjamin
2156
2156
488
488
1392
1392
5804
5804
31416
31416
10040
10040
65668
65668
3500
3500
120464
120464

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2064
2064
1792
1792
308
308
29568
29568
2184
2184
2784
2784
15840
15840
673200
673200
4000
4000
731740
731740

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1548
1548
2004
2004
39600
39600
15840
15840
984
984
44352
44352
65668
65668
10040
10040
8415
8415

0
0
0
0
0
0
0
0
0

UNT
GM
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT

Depo Atas
Subtotal
VIL
VIL
AMP
SUP
UNT
UNT
UNT
UNT

14988
234
3500
600
5000
212773

14988
234
3500
600
5000
212773

0
0
0
0
0
0

Pasien
Penjamin
20880
20880
55440
55440
213840
213840
19125
19125
23100
23100
8415
8415
14988
14988
10040
10040
4000
4000
369828
369828

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
984
984
15840
15840
516
516
1792
1792
511632
511632
3000
3000
535768
535768

0
0
0
0
0
0
0
0

Pasien
Penjamin
1689600 1689600
341088
341088
49220
49220
35343
35343
25500
25500
14988
14988
8415
8415
3500
3500
2167654 2167654

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
AMP
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
38016
38016
12750
12750
15400
15400
8415
8415
14988
14988
2500
2500
92069
92069

0
0
0
0
0
0
0

Pasien
Penjamin
1376
1376
1392
1392
3308
3308
616
616
1792
1792
488
488
2004
2004
39600
39600
2902
2902
65668
65668
5000
5000
124146
124146

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
62832
62832
39600
39600
5804
5804
3584
3584
8208
8208
113664
113664
213840
213840
10040
10040
8415
8415
14988
14988
5500
5500
552143
552143

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1392
1392

TAB
TAB
TAB
TAB
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
AMP
UNT

1032
2004
39600
8208
36384
25500
3500
117620

1032
2004
39600
8208
36384
25500
3500
117620

0
0
0
0
0
0
0
0

Pasien
Penjamin
6176
6176
688
688
1792
1792
1500
1500
10156
10156

0
0
0
0
0

Pasien
Penjamin
26400
26400
500
500
26900
26900

0
0
0

Pasien
Penjamin
16335
16335
14988
14988
2970
2970
1500
1500
35793
35793

0
0
0
0
0

Pasien
Penjamin
85272
85272
1997
1997
1000
1000
88269
88269

0
0
0
0

Pasien
Penjamin
75240
75240
1997
1997

0
0

UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
BAG
BOT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
AMP
BOT
UNT

Depo IGD
Subtotal
VIL
AMP
UNT
UNT
UNT
TUB
UNT

Depo IGD

14988
1500
93725

14988
1500
93725

0
0
0

Pasien
Penjamin
1898
1898
16088
16088
3994
3994
38532
38532
32834
32834
16335
16335
3000
3000
112681
112681

0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
19266
19266
1500
1500
52089
52089

0
0
0
0
0

Pasien
Penjamin
62370
62370
5881
5881
1000
1000
69251
69251

0
0
0
0

Pasien
Penjamin
24830
24830
84494
84494
59193
59193
18343
18343
5809
5809
56262
56262
3000
3000
251931
251931

0
0
0
0
0
0
0
0

Subtotal
TAB
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
AMP
UNT

Pasien
Penjamin
7392
7392
12524
12524
1000
1000
20916
20916

0
0
0
0

Pasien
Penjamin
1569
1569
500
500
2069
2069

0
0
0

Pasien
Penjamin
99000
99000
5010
5010
3480
3480
7255
7255
78540
78540
1220
1220
3000
3000
197505
197505

0
0
0
0
0
0
0
0

Pasien

Penjamin
244
244
500
500
744
744

0
0
0

Pasien
Penjamin
3796
3796
500
500
4296
4296

0
0
0

Pasien
Penjamin
9504
9504
500
500
10004
10004

0
0
0

Depo Atas
Subtotal
VIL
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
435338
435338
1451
1451
1000
1000
437789
437789

0
0
0
0

Pasien
Penjamin
1220
1220
4480
4480
1290
1290
1500
1500
8490
8490

0
0
0
0
0

Pasien
Penjamin
14510
14510
4480
4480
1220
1220
2580
2580
16540
16540
3480
3480
3000
3000
45810
45810

0
0
0
0
0
0
0
0

Pasien
Penjamin
1720
1720
4480
4480
24610
24610
3480
3480
4353
4353
2500
2500
41143
41143

0
0
0
0
0
0
0

Pasien
Penjamin
54450
54450
500
500
54950
54950

0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
UNT

Pasien
Penjamin
54450
54450
500
500
54950
54950

0
0
0

Pasien
Penjamin
5010
5010
99000
99000
3480
3480
2440
2440
13945
13945
40410
40410
3000
3000
167285
167285

0
0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
500
500
171044
171044

0
0
0

Pasien
Penjamin
13200
13200
500
500
13700
13700

0
0
0

Pasien
Penjamin
511632
511632
500
500
512132
512132

0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
TAB
TAB
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
UNT
UNT
UNT
UNT
UNT
BOT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
UNT

Pasien
Penjamin
1503
1503
820
820
13200
13200
430
430
1344
1344
462
462
100320
100320
4632
4632
132
132
912960
912960
5000
5000
1040803 1040803

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1638
1638
2481
2481
68310
68310
17346
17346
12750
12750
15400
15400
19970
19970
8415
8415
14988
14988
164170
164170
379518
379518
5500
5500
710486
710486

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1617
1617
366
366
1160
1160
4353
4353
29700
29700
23562
23562
65668
65668
8415
8415
14988
14988
4500
4500
154329
154329

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
VIL
AMP
BOT
AMP
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
BOT
BOT
UNT
UNT
PKG
UNT
UNT

Pasien
Penjamin
1720
1720
9072
9072
17346
17346
68310
68310
7650
7650
9240
9240
8415
8415
14988
14988
20080
20080
4500
4500
161321
161321

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1720
1720
4962
4962
14784
14784
456480
456480
68310
68310
422470
422470
98502
98502
89712
89712
28512
28512
12750
12750
15400
15400
19970
19970
8415
8415
14988
14988
20080
20080
7500
7500
1284555 1284555

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
47048
47048
131336
131336
8415
8415
14988
14988
20080
20080
11982
11982
3500
3500

0
0
0
0
0
0
0
0

238609

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
BOT
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT
TAB
TAB
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB

238609

Pasien
Penjamin
2376
2376
348
348
1686
1686
9924
9924
13660
13660
1430
1430
164170
164170
253012
253012
15400
15400
19970
19970
8415
8415
14988
14988
6000
6000
511379
511379

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9390
9390
516
516
1344
1344
1980
1980
912
912
1160
1160
366
366
1451
1451
3500
3500
150
150
18280
18280
800
800
1670
1670
8415
8415
14988
14988
20080
20080
6500
6500
91502
91502

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
29700
29700

0
0

TAB
TAB
TAB
CAP
BOT
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB

1160
366
8367
16164
336600
98502
8415
14988
5000
520765

1160
366
8367
16164
336600
98502
8415
14988
5000
520765

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17400
17400
69300
69300
68310
68310
23100
23100
19970
19970
8415
8415
14988
14988
20080
20080
4000
4000
245563
245563

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1344
1344
2239
2239
1503
1503
29700
29700
132
132
6156
6156
49220
49220
65668
65668
12750
12750
4500
4500
173212
173212

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1503
1503
29700
29700
1720
1720
4962
4962

0
0
0
0

TAB
TAB
VIL
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BOT
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
SUP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

1160
366
217669
98502
4000
359582

1160
366
217669
98502
4000
359582

0
0
0
0
0
0

Pasien
Penjamin
1410
1410
6660
6660
178200
178200
968298
968298
98502
98502
51216
51216
20080
20080
8415
8415
14988
14988
4500
4500
1352269 1352269

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6717
6717
400
400
3500
3500
500
500
2376
2376
348
348
1686
1686
2460
2460
4962
4962
1344
1344
124150
124150
23562
23562
8415
8415
14988
14988
12750
12750
15400
15400
19970
19970
20080
20080
7500
7500
271108
271108

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
AMP
VIL
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB

Pasien
Penjamin
1344
1344
1720
1720
2481
2481
29532
29532
870676
870676
106920
106920
68310
68310
12750
12750
15400
15400
19970
19970
5000
5000
1134103 1134103

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
1503
1503
29700
29700
2580
2580
462
462
4632
4632
14766
14766
65668
65668
8415
8415
14988
14988
5000
5000
172354
172354

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1344
1344
366
366
20080
20080
1500
1500
23290
23290

0
0
0
0
0

Pasien
Penjamin
2580
2580
1002
1002
29700
29700
13200
13200

0
0
0
0

TAB
AMP
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
VIL
UNT
UNT
BOT
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
AMP
BOT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal

820
49220
1828
65668
4000
168018

820
49220
1828
65668
4000
168018

0
0
0
0
0
0

Pasien
Penjamin
1512
1512
68310
68310
11982
11982
7650
7650
164170
164170
512160
512160
20080
20080
8415
8415
14988
14988
4500
4500
813767
813767

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
35280
35280
17346
17346
536880
536880
65668
65668
18480
18480
7650
7650
20080
20080
8415
8415
14988
14988
4500
4500
729287
729287

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
511632
511632
500
500
512132
512132

0
0
0

Pasien

Penjamin

TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
UNT
UNT
PKG
UNT
UNT
UNT

9900
500
10400

9900
500
10400

0
0
0

Pasien
Penjamin
47025
47025
500
500
47525
47525

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
23562
23562
99000
99000
2902
2902
2688
2688
178200
178200
19970
19970
8415
8415
14988
14988
20080
20080
4500
4500
374305
374305

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17400
17400
69300
69300
49251
49251
25500
25500
15400
15400
20080
20080
8415
8415
14988
14988
4000
4000
224334
224334

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
AMP
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
BAG
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
CAP
TAB
TAB
TAB

Pasien
Penjamin
17346
17346
131336
131336
9240
9240
8415
8415
14988
14988
20080
20080
3000
3000
204405
204405

0
0
0
0
0
0
0
0

Pasien
Penjamin
4962
4962
1720
1720
98502
98502
9240
9240
57798
57798
20080
20080
8415
8415
14988
14988
4000
4000
219705
219705

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
29700
29700
1503
1503
462
462
23562
23562
98502
98502
12750
12750
3500
3500
194619
194619

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1160
1160
27720
27720
858
858
1350
1350
1720
1720

0
0
0
0
0

TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
VIL
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
GM
UNT
UNT
BOT
AMP
BOT
AMP
BAG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB

11920
3000
47728

11920
3000
47728

0
0
0

Pasien
Penjamin
29700
29700
1503
1503
15300
15300
1306014 1306014
65668
65668
8415
8415
14988
14988
3500
3500
1445088 1445088

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24987
24987
47124
47124
2460
2460
720
720
3500
3500
900
900
820
820
390
390
3500
3500
500
500
561000
561000
178200
178200
131336
131336
225720
225720
96330
96330
12750
12750
15400
15400
19970
19970
20080
20080
6500
6500
1352187 1352187

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
732
7596

Penjamin
732
7596

0
0

TAB
VIL
BAG
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
VIL
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas

528
255816
57798
65668
8415
14988
4000
415541

528
255816
57798
65668
8415
14988
4000
415541

0
0
0
0
0
0
0
0

Pasien
Penjamin
29700
29700
1471
1471
178200
178200
8415
8415
14988
14988
2500
2500
235274
235274

0
0
0
0
0
0
0

Pasien
Penjamin
84494
84494
3825
3825
5991
5991
1500
1500
95810
95810

0
0
0
0
0

Pasien
Penjamin
3308
3308
435338
435338
244
244
1500
1500
440390
440390

0
0
0
0
0

Pasien

Penjamin
244
244
500
500
744
744

0
0
0

Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo IGD
Subtotal
CTG
UNT

Depo IGD
Subtotal
VIL
AMP
AMP
UNT

Depo IGD
Subtotal
AMP
AMP
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal

Pasien

Penjamin
244
500
744

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
180048
180048
500
500
180548
180548

0
0
0

Pasien
Penjamin
112200
112200
75240
75240
12305
12305
1500
1500
201245
201245

0
0
0
0
0

Pasien
Penjamin
12524
12524
126741
126741
112200
112200
1500
1500
252965
252965

0
0
0
0
0

Pasien
Penjamin
5184
5184
500
500
5684
5684

0
0
0

244
500
744

Pasien

Penjamin

AMP
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
AMP
UNT
BOT
BOT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

124740
500
125240

124740
500
125240

0
0
0

Pasien
Penjamin
1898
1898
500
500
2398
2398

0
0
0

Pasien
Penjamin
170544
170544
500
500
171044
171044

0
0
0

Pasien
Penjamin
70438
70438
3994
3994
67968
67968
112200
112200
2000
2000
256600
256600

0
0
0
0
0
0

Pasien
Penjamin
70438
70438
500
500
70938
70938

0
0
0

Pasien
Penjamin
70438
70438
500
500
70938
70938

0
0
0

Pasien
885
500

Penjamin
885
500

0
0

1385

Depo IGD
Subtotal
AMP
UNT
AMP
UNT

Depo IGD
Subtotal
VIL
TAB
SUP
BOT
AMP
UNT

Depo IGD
Subtotal
PKG
UNT
AMP
UNT

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

1385

Pasien
Penjamin
70438
70438
3994
3994
30794
30794
1500
1500
106726
106726

0
0
0
0
0

Pasien
Penjamin
308880
308880
608
608
13062
13062
32834
32834
114708
114708
2500
2500
472592
472592

0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
12610
12610
124740
124740
1500
1500
165800
165800

0
0
0
0
0

Pasien
Penjamin
144992
144992
4620
4620
1000
1000
150612
150612

0
0
0
0

Pasien
Penjamin
46191
46191
4620
4620
1000
1000
51811
51811

0
0
0
0

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
UNT

Depo IGD
Subtotal
TAB
AMP
AMP
TAB
UNT

Depo IGD
Subtotal
AMP
BOT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
UNT

Pasien
Penjamin
144992
144992
4620
4620
1000
1000
150612
150612

0
0
0
0

Pasien
Penjamin
144992
144992
112200
112200
1000
1000
258192
258192

0
0
0
0

Pasien

Penjamin
606
30794
22125
430
2000
55955

0
0
0
0
0
0

Pasien
Penjamin
70438
70438
56100
56100
8415
8415
16335
16335
14988
14988
14988
14988
3000
3000
184264
184264

0
0
0
0
0
0
0
0

Pasien
Penjamin
70438
70438
30794
30794
1000
1000
102232
102232

0
0
0
0

606
30794
22125
430
2000
55955

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP

Pasien
Penjamin
70438
70438
500
500
70938
70938

0
0
0

Pasien
Penjamin
12305
12305
14988
14988
14988
14988
14988
14988
8415
8415
16335
16335
3000
3000
85019
85019

0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
16088
16088
26611
26611
14988
14988
14988
14988
2500
2500
93518
93518

0
0
0
0
0
0
0

Pasien
Penjamin
1000
1000
3500
3500
50
50
14988
14988
14988
14988
14988
14988
8415
8415
16335
16335
2500
2500
76764
76764

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70438
70438

BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BAG
BOT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
UNT
UNT
UNT

33984
56100
14988
14988
14988
8415
16335
4000
234236

33984
56100
14988
14988
14988
8415
16335
4000
234236

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
338580
338580
12305
12305
18343
18343
16088
16088
26611
26611
14988
14988
3000
3000
429915
429915

0
0
0
0
0
0
0
0

Pasien
Penjamin
102600
102600
11762
11762
1000
1000
115362
115362

0
0
0
0

Pasien
Penjamin
144992
144992
7700
7700
1000
1000
153692
153692

0
0
0
0

Pasien
Penjamin
5220
5220
20790
20790
16417
16417
14988
14988
16335
16335
2500
2500

0
0
0
0
0
0

76250

Depo Atas
Subtotal
AMP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
UNT
UNT

Depo Atas
Subtotal
AMP
PKG
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT

76250

Pasien
Penjamin
11564
11564
882
882
1000
1000
13446
13446

0
0
0
0

Pasien
Penjamin
1720
1720
1503
1503
29700
29700
49251
49251
12750
12750
2500
2500
97424
97424

0
0
0
0
0
0
0

Pasien
Penjamin
451440
451440
56632
56632
1000
1000
509072
509072

0
0
0
0

Pasien
Penjamin
1708
1708
500
500
2208
2208

0
0
0

Pasien
Penjamin
46200
46200
500
500
46700
46700

0
0
0

Pasien
Penjamin
5694
5694

UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
VIL
UNT
UNT
UNT
UNT
PKG
BAG
UNT

500
6194

500
6194

0
0

Pasien
Penjamin
26950
26950
20213
20213
1000
1000
48163
48163

0
0
0
0

Pasien
Penjamin
4590
4590
2640
2640
47685
47685
1500
1500
56415
56415

0
0
0
0
0

Pasien
Penjamin
16335
16335
5809
5809
20213
20213
1500
1500
43857
43857

0
0
0
0
0

Pasien
Penjamin
2064
2064
12096
12096
23128
23128
112200
112200
53656
53656
12750
12750
23100
23100
8415
8415
14988
14988
10040
10040
77064
77064
5500
5500
355001
355001

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
UNT
UNT
TAB
TAB
TAB
BOT
AMP
VIL
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
VIL
AMP
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
BAG
TAB
TAB
TAB
TAB
VIL
AMP
AMP
UNT
UNT
PKG
BOT
UNT

Pasien
Penjamin
12750
12750
15400
15400
2004
2004
79200
79200
1224
1224
448800
448800
17776
17776
217669
217669
47048
47048
8415
8415
14988
14988
10040
10040
6000
6000
881314
881314

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
285120
285120
53656
53656
506964
506964
8415
8415
14988
14988
23100
23100
10040
10040
154128
154128
4000
4000
1060411 1060411

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
77064
77064
2004
2004
39600
39600
1224
1224
31416
31416
53656
53656
17776
17776
187110
187110
12750
12750
15400
15400
26950
26950
2640
2640
6000
6000

0
0
0
0
0
0
0
0
0
0
0
0
0

473590

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
TAB
TAB
VIL
TAB
AMP
TAB
BAG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
UNT
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

473590

Pasien
Penjamin
2004
2004
984
984
15840
15840
516
516
968298
968298
1792
1792
616
616
120384
120384
6176
6176
44440
44440
176
176
77064
77064
6160
6160
6500
6500
1250950 1250950

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224
2902
2902
1032
1032
45376
45376
682176
682176
12750
12750
15400
15400
8415
8415
14988
14988
10040
10040
96330
96330
5500
5500
896133
896133

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
39600
39600
2004
2004
1792
1792
1224
1224
1451
1451

0
0
0
0
0
0

UNT
UNT
AMP
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
UNT
UNT
PKG
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
AMP
VIL
AMP
UNT
UNT
UNT
UNT

3500
200
35552
187110
3500
305501

3500
200
35552
187110
3500
305501

0
0
0
0
0
0

Pasien
Penjamin
29568
29568
2004
2004
39600
39600
688
688
616
616
4632
4632
8415
8415
14988
14988
4000
4000
104511
104511

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6616
6616
2064
2064
53656
53656
119616
119616
15400
15400
8415
8415
10040
10040
14988
14988
77064
77064
4500
4500
312359
312359

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6616
6616
68064
68064
53656
53656
17776
17776
12750
12750
15400
15400
14988
14988
8415
8415

0
0
0
0
0
0
0
0

PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
BAG
PKG
BOT
UNT

Depo Atas
Subtotal
BOT
AMP
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
VIL

10040
77064
5000
289769

10040
77064
5000
289769

0
0
0
0

Pasien
Penjamin
3168
3168
464
464
2248
2248
6616
6616
16392
16392
1144
1144
3000
3000
33032
33032

0
0
0
0
0
0
0
0

Pasien
Penjamin
19125
19125
8415
8415
14988
14988
9633
9633
26950
26950
2640
2640
3000
3000
84751
84751

0
0
0
0
0
0
0
0

Pasien
Penjamin
673200
673200
213840
213840
225720
225720
12750
12750
8415
8415
14988
14988
3000
3000
1151913 1151913

0
0
0
0
0
0
0
0

Pasien
Penjamin
1792
1792
35552
35552
608640
608640

0
0
0

UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
VIL
VIL
UNT
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
TAB
GM
UNT
UNT
GM
UNT

20400
2000
668384

20400
2000
668384

0
0
0

Pasien
Penjamin
31416
31416
6616
6616
2064
2064
213840
213840
341088
341088
912960
912960
53656
53656
12750
12750
23100
23100
8415
8415
14988
14988
10040
10040
57798
57798
6500
6500
1695231 1695231

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
39600
39600
2004
2004
26664
26664
15300
15300
8415
8415
14988
14988
10040
10040
4000
4000
150579
150579

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
48165
48165
984
984
480
480
3500
3500
600
600
936
936
3500
3500

0
0
0
0
0
0
0

UNT
TAB
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TAB
TAB
VIL
VIL
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
AMP
UNT

Depo Atas
Subtotal
TAB
TAB

1200
19712
53656
83160
6375
15400
8415
14988
10040
5000
276111

1200
19712
53656
83160
6375
15400
8415
14988
10040
5000
276111

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
39600
39600
1224
1224
2902
2902
3500
3500
200
200
31416
31416
8208
8208
1306014 1306014
53656
53656
8415
8415
14988
14988
15400
15400
96330
96330
10040
10040
6000
6000
1599897 1599897

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53656
53656
23524
23524
18580
18580
1500
1500
97260
97260

0
0
0
0
0

Pasien
Penjamin
33316
33316
62832
62832

0
0

TAB
GM
UNT
UNT
TAB
GM
UNT
UNT
VIL
BAG
UNT

Depo Atas
Subtotal
BAG
TAB
TAB
TAB
VIL
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
VIL
UNT
UNT

Depo Atas
Subtotal
BAG
TAB

2952
480
3500
600
984
468
3500
600
673200
77064
3000
862496

2952
480
3500
600
984
468
3500
600
673200
77064
3000
862496

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
96330
96330
976
976
10128
10128
704
704
511632
511632
249480
249480
8415
8415
14988
14988
10040
10040
4500
4500
907193
907193

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
516
488
29568
2004
616
336600
673200
15400
4000
1062392

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
77064
77064
3168
3168

0
0

516
488
29568
2004
616
336600
673200
15400
4000
1062392

TAB
TAB
TAB
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
CAP
TAB
TAB
TAB
UNT
UNT
PKG
UNT

464
2248
4752
8415
14988
10040
4000
125139

464
2248
4752
8415
14988
10040
4000
125139

0
0
0
0
0
0
0
0

Penjamin
488
2004
6176
1224
3168
464
2248
4752
4000
24524

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
3308
3308
180587
180587
8415
8415
14988
14988
20080
20080
3000
3000
231410
231410

0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224
36960
36960
1144
1144
1376
1376
14304
14304
8415
8415
14988
14988
20080
20080
4000
4000

0
0
0
0
0
0
0
0
0

Pasien
488
2004
6176
1224
3168
464
2248
4752
4000
24524

102491

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB

102491

Pasien
Penjamin
16420
16420
2004
2004
2902
2902
39600
39600
488
488
1224
1224
65668
65668
3500
3500
131806
131806

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
2184
2184
5804
5804
142560
142560
217488
217488
131336
131336
15400
15400
8415
8415
14988
14988
57798
57798
5000
5000
602005
602005

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
896
6176
131336
1500
139908

0
0
0
0
0

Pasien
Penjamin
2376
2376
2004
2004
4312
4312
488
488

0
0
0
0

896
6176
131336
1500
139908

TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
GM
UNT
UNT
TAB
TAB
TAB
VIL
VIL
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
AMP

1224
5804
39600
31416
4000
91224

1224
5804
39600
31416
4000
91224

0
0
0
0
0
0

Pasien
Penjamin
7016
7016
39600
39600
344
344
1792
1792
2376
2376
1216
1216
1224
1224
2004
2004
488
488
1451
1451
3500
3500
200
200
18280
18280
5000
5000
84491
84491

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
480
3500
600
3168
464
2248
673200
148980
12320
41388
77064
4000
967412

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23128
23128

480
3500
600
3168
464
2248
673200
148980
12320
41388
77064
4000
967412

BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
VIL
BOT
UNT
UNT
PKG
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
VIL
VIL
UNT

Depo IGD
Subtotal
VIL
VIL
VIL

65668
8415
14988
10040
2500
124739

65668
8415
14988
10040
2500
124739

0
0
0
0
0
0

Penjamin
576
53656
74490
65668
8415
14988
10040
41388
4000
273221

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2550
2550
3080
3080
57964
57964
170544
170544
2000
2000
236138
236138

0
0
0
0
0
0

Pasien
Penjamin
3825
3825
4620
4620
72496
72496
211200
211200
2000
2000
294141
294141

0
0
0
0
0
0

Pasien
Penjamin
72496
72496
226738
226738
13414
13414

0
0
0

Pasien
576
53656
74490
65668
8415
14988
10040
41388
4000
273221

UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

2550
3080
2500
320778

2550
3080
2500
320778

0
0
0
0

Pasien
Penjamin
85272
85272
2550
2550
3080
3080
1500
1500
92402
92402

0
0
0
0
0

Pasien
Penjamin
72496
72496
226738
226738
2550
2550
3080
3080
2000
2000
306864
306864

0
0
0
0
0
0

Pasien
Penjamin
72496
72496
2550
2550
3080
3080
1500
1500
79626
79626

0
0
0
0
0

Pasien
Penjamin
72496
72496
2550
2550
3080
3080
1500
1500
79626
79626

0
0
0
0
0

Pasien
Penjamin
144992
144992
3825
3825

0
0

UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
AMP
UNT
UNT
UNT

Depo IGD
Subtotal

4620
1500
154937

4620
1500
154937

0
0
0

Pasien
Penjamin
72496
72496
3080
3080
1275
1275
1500
1500
78351
78351

0
0
0
0
0

Pasien
Penjamin
72496
72496
13414
13414
3080
3080
2550
2550
2000
2000
93540
93540

0
0
0
0
0
0

Pasien
Penjamin
211200
211200
72496
72496
3825
3825
3080
3080
2000
2000
292601
292601

0
0
0
0
0
0

Pasien
Penjamin
72496
72496
5220
5220
20790
20790
3825
3825
4620
4620
2500
2500
109451
109451

0
0
0
0
0
0
0

Pasien

Penjamin

AMP
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
VIL
BOT
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
TAB
UNT

106920
2550
3080
1500
114050

106920
2550
3080
1500
114050

0
0
0
0
0

Pasien
Penjamin
5220
5220
20790
20790
85272
85272
3825
3825
4620
4620
2500
2500
122227
122227

0
0
0
0
0
0
0

Pasien
Penjamin
4620
4620
3825
3825
85272
85272
1500
1500
95217
95217

0
0
0
0
0

Pasien
Penjamin
4620
4620
3825
3825
211200
211200
33984
33984
72496
72496
2500
2500
328625
328625

0
0
0
0
0
0
0

Pasien
Penjamin
4620
4620
3825
3825
198
198
1500
1500
10143
10143

0
0
0
0
0

Depo IGD
Subtotal
UNT
VIL
VIL
UNT

Depo IGD
Subtotal
UNT
VIL
UNT

Depo IGD
Subtotal
UNT
VIL
VIL
AMP
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Pasien
Penjamin
4620
4620
72496
72496
211200
211200
1500
1500
289816
289816

0
0
0
0
0

Pasien
Penjamin
4620
4620
72496
72496
1000
1000
78116
78116

0
0
0
0

Pasien
Penjamin
3825
3825
154440
154440
10032
10032
6666
6666
2000
2000
176963
176963

0
0
0
0
0
0

Pasien
Penjamin
3825
3825
500
500
4325
4325

0
0
0

Pasien
Penjamin
4620
4620
3825
3825
1000
1000
9445
9445

0
0
0
0

Pasien
Penjamin
3825
3825
4620
4620
1000
1000

0
0
0

9445

Depo IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
VIL
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT

9445

Pasien
Penjamin
4620
4620
3300
3300
59400
59400
1500
1500
68820
68820

0
0
0
0
0

Pasien
Penjamin
8415
8415
500
500
8915
8915

0
0
0

Pasien
Penjamin
81510
81510
29976
29976
13414
13414
3825
3825
4620
4620
16335
16335
3000
3000
152680
152680

0
0
0
0
0
0
0
0

Pasien
Penjamin
81510
81510
14988
14988
18343
18343
3825
3825
4620
4620
2500
2500
125786
125786

0
0
0
0
0
0
0

Pasien
Penjamin
81510
81510
14988
14988
3825
3825

0
0
0

UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

4620
2000
106943

4620
2000
106943

0
0
0

Pasien
Penjamin
10296
10296
29976
29976
4620
4620
8415
8415
2000
2000
55307
55307

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
2550
2550
3080
3080
1898
1898
2970
2970
3000
3000
44821
44821

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
26535
26535
2550
2550
3080
3080
6600
6600
3000
3000
65168
65168

0
0
0
0
0
0
0
0

Pasien
Penjamin
3080
3080
2550
2550
6600
6600
14988
14988
16335
16335
2500
2500

0
0
0
0
0
0

46053

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
UNT
UNT
PKG

46053

Pasien
Penjamin
22928
22928
6160
6160
14988
14988
16335
16335
1898
1898
2500
2500
64809
64809

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
2550
2550
3080
3080
6600
6600
2500
2500
46053
46053

0
0
0
0
0
0
0

Pasien
Penjamin
45376
45376
500
500
45876
45876

0
0
0

Pasien
Penjamin
45376
45376
500
500
45876
45876

0
0
0

Pasien
Penjamin
62832
62832
488
488
213840
213840
8415
8415
14988
14988
20080
20080

0
0
0
0
0
0

UNT

Depo IGD
Subtotal
AMP
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
BOT
VIL
UNT
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
BOT
VIL
VIL
UNT
UNT
UNT
UNT
UNT

3000
323643

3000
323643

0
0

Pasien
Penjamin
124740
124740
500
500
125240
125240

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
1002
1002
9900
9900
306
306
12936
12936
118800
118800
435338
435338
2550
2550
3080
3080
1997
1997
4444
4444
5000
5000
595353
595353

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2550
2550
144
144
13414
13414
178200
178200
72496
72496
37245
37245
7700
7700
9985
9985
8415
8415
14988
14988
5000
5000

0
0
0
0
0
0
0
0
0
0
0

350137

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
VIL
UNT
UNT
PKG
BOT
UNT
UNT

Pasien
612
1002
19800
7854
244
608640
32834
8415
14988
2156
5000
701545

Pasien
244
1002
3088
612
8415
14988
10040
26535
4000
68924

Pasien
896
17776
608640
8415
14988
10040
65668
10200
4000
740623

350137

Penjamin
612
1002
19800
7854
244
608640
32834
8415
14988
2156
5000
701545

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
244
1002
3088
612
8415
14988
10040
26535
4000
68924

0
0
0
0
0
0
0
0
0
0

Penjamin
896
17776
608640
8415
14988
10040
65668
10200
4000
740623

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
AMP
AMP
BOT
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT
BOT
UNT

Pasien

Penjamin
516
44856
5782
49251
189759
6375
9985
8415
14988
4500
334427

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15300
15300
12320
12320
15976
15976
8415
8415
14988
14988
10040
10040
57798
57798
3500
3500
138337
138337

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7512
7512
19800
19800
172
172
896
896
1188
1188
608
608
612
612
1002
1002
244
244
1451
1451
3500
3500
100
100
10968
10968
32834
32834
5500
5500
86387
86387

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

516
44856
5782
49251
189759
6375
9985
8415
14988
4500
334427

Depo Atas
Subtotal
BOT
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
BOT
AMP
UNT
UNT
UNT
UNT
BAG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas

Pasien
Penjamin
65668
65668
3080
3080
1000
1000
69748
69748

0
0
0
0

Pasien
Penjamin
17640
17640
11564
11564
32834
32834
12750
12750
5020
5020
8415
8415
14988
14988
3500
3500
106711
106711

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
612
2902
258
22688
65668
18580
6375
9985
8415
14988
48165
5500
204136

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19800
19800
500
500
20300
20300

0
0
0

612
2902
258
22688
65668
18580
6375
9985
8415
14988
48165
5500
204136

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
TAB
TAB
TAB
VIL
AMP
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BOT
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
UNT

Pasien
Penjamin
14784
14784
1002
1002
19800
19800
344
344
308
308
3088
3088
32834
32834
8415
8415
14988
14988
10040
10040
5000
5000
110603
110603

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
38532
38532
488
488
5064
5064
176
176
341088
341088
124740
124740
9985
9985
5020
5020
4000
4000
529093
529093

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1124
1124
2916
2916
253012
253012
65668
65668
10040
10040
8415
8415
14988
14988
4500
4500
362479
362479

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7700
7700

TAB
GM
UNT
UNT
GM
UNT
UNT
TAB
VIL
AMP
PKG
BAG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
VIL
BOT
UNT
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
AMP
UNT
UNT
UNT
AMP
BOT

492
240
3500
300
468
3500
600
9856
26828
41580
20080
48165
6375
3994
4500
178178

492
240
3500
300
468
3500
600
9856
26828
41580
20080
48165
6375
3994
4500
178178

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1638
1638
25584
25584
11564
11564
28512
28512
26828
26828
32834
32834
6375
6375
7700
7700
8415
8415
14988
14988
9633
9633
5500
5500
179571
179571

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
19800
19800
612
612
13414
13414
4444
4444
3825
3825
4620
4620
3994
3994
62370
62370
32834
32834

0
0
0
0
0
0
0
0
0
0

PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
UNT
BOT
UNT
UNT
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

10040
38532
6000
201487

10040
38532
6000
201487

0
0
0
0

Penjamin
516
2916
617760
34032
9140
65668
6375
7700
9985
8415
14988
10040
48165
6500
842200

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
1092
1092
2902
2902
71280
71280
144992
144992
65668
65668
8415
8415
14988
14988
7700
7700
9985
9985
48165
48165
10040
10040
6000
6000
392259
392259

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2884
2884
500
500

0
0

Pasien
516
2916
617760
34032
9140
65668
6375
7700
9985
8415
14988
10040
48165
6500
842200

3384

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
CAP
TAB
TAB
TAB
TAB
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB

3384

Penjamin
516
1654
32834
8415
14988
10040
3000
71447

0
0
0
0
0
0
0
0

Pasien
Penjamin
15708
15708
244
244
106920
106920
65668
65668
9240
9240
8415
8415
14988
14988
3500
3500
224683
224683

0
0
0
0
0
0
0
0
0

Pasien
516
1654
32834
8415
14988
10040
3000
71447

Pasien
306
27720
1144
900
688
7152
8415
14988
10040
4500
75853

Pasien
488
1224

Penjamin
306
27720
1144
900
688
7152
8415
14988
10040
4500
75853

0
0
0
0
0
0
0
0
0
0
0

Penjamin
488
1224

0
0

TAB
TAB
UNT
UNT
PKG
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
UNT
UNT

5804
1792
8415
14988
10040
26535
65668
4500
139454

5804
1792
8415
14988
10040
26535
65668
4500
139454

0
0
0
0
0
0
0
0
0

Penjamin
564
50040
106920
82085
8415
14988
10040
9240
4000
286292

0
0
0
0
0
0
0
0
0
0

Penjamin
258
244
9856
1092
308
673200
65668
7700
9985
8415
14988
38532
6000
836246

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6375
6375
7700
7700

0
0

Pasien
564
50040
106920
82085
8415
14988
10040
9240
4000
286292

Pasien
258
244
9856
1092
308
673200
65668
7700
9985
8415
14988
38532
6000
836246

UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
GM
UNT
UNT
VIL
AMP
BAG
UNT

Depo Atas
Subtotal
BOT
AMP
VIL
AMP
VIL
BOT
BOT
AMP
AMP
UNT

Depo Atas
Subtotal
BOT
AMP
UNT

8415
14988
10040
2500
50018

8415
14988
10040
2500
50018

0
0
0
0
0

Pasien
Penjamin
16658
16658
15708
15708
1476
1476
78408
78408
240
240
3500
3500
300
300
492
492
39
39
3500
3500
300
300
448800
448800
106920
106920
38532
38532
4000
4000
718873
718873

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
71280
71280
26828
26828
253482
253482
144992
144992
65668
65668
126506
126506
41580
41580
10440
10440
4500
4500
748836
748836

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
124740
124740
8415
8415

0
0
0

UNT
PKG
BAG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
AMP
VIL
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
AMP

14988
10040
19266
3994
3500
250611

14988
10040
19266
3994
3500
250611

0
0
0
0
0
0

Pasien
Penjamin
14784
14784
19800
19800
1002
1002
4488
4488
896
896
612
612
1451
1451
3500
3500
100
100
17776
17776
289984
289984
10200
10200
9985
9985
48165
48165
5500
5500
428243
428243

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
448
3088
8415
14988
10040
2500
39479

0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
492
492
7920
7920
1032
1032
645532
645532
17776
17776

0
0
0
0
0
0

448
3088
8415
14988
10040
2500
39479

TAB
TAB
VIL
TAB
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
TUB
UNT
VIL
BOT
UNT

Depo Atas
Subtotal
PKG
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG

896
308
40128
3088
10200
9985
8415
14988
7000
768762

896
308
40128
3088
10200
9985
8415
14988
7000
768762

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3300
3300
5809
5809
56262
56262
12012
12012
448800
448800
11946
11946
3000
3000
541129
541129

0
0
0
0
0
0
0
0

Pasien
Penjamin
41388
41388
12415
12415
1000
1000
54803
54803

0
0
0
0

Pasien
Penjamin
39610
39610
860
860
5010
5010
1500
1500
46980
46980

0
0
0
0
0

Pasien
Penjamin
65668
65668
8415
8415
14988
14988
10040
10040

0
0
0
0

UNT
BAG
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

26535
48165
3000
176811

26535
48165
3000
176811

0
0
0
0

Pasien
Penjamin
71280
71280
500
500
71780
71780

0
0
0

Pasien
Penjamin
9633
9633
500
500
10133
10133

0
0
0

Pasien
Penjamin
5230
5230
6336
6336
1000
1000
12566
12566

0
0
0
0

Pasien
Penjamin
35904
35904
500
500
36404
36404

0
0
0

Pasien

Penjamin
234
3576
1000
4810

0
0
0
0

Pasien
Penjamin
14988
14988
500
500

0
0

234
3576
1000
4810

15488

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
AMP
AMP
UNT
UNT
UNT
UNT
PKG

15488

Pasien
Penjamin
2220
2220
500
500
2720
2720

0
0
0

Pasien
Penjamin
1230
1230
500
500
1730
1730

0
0
0

Pasien
Penjamin
1451
1451
500
500
1951
1951

0
0
0

Pasien
Penjamin
5010
5010
6720
6720
3440
3440
2440
2440
2000
2000
19610
19610

0
0
0
0
0
0

Pasien
Penjamin
2004
2004
564
564
23128
23128
131336
131336
134568
134568
38016
38016
12750
12750
15400
15400
8415
8415
14988
14988
10040
10040

0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
AMP
AMP
BOT
BOT
BAG
UNT
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
BAG
UNT

5500
396709

5500
396709

0
0

Pasien
Penjamin
2064
2064
179424
179424
23128
23128
131336
131336
379518
379518
157018
157018
12750
12750
15400
15400
8415
8415
14988
14988
10040
10040
38532
38532
6000
6000
978613
978613

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
464
464
2248
2248
5832
5832
322128
322128
253012
253012
8415
8415
14988
14988
10040
10040
4500
4500
624795
624795

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5804
5804
3308
3308
488
488
896
896
2004
2004
72780
72780
3000
3000
88280
88280

0
0
0
0
0
0
0
0

Depo Atas
Subtotal
AMP
VIL
BAG
AMP
BAG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
TAB
VIL
BOT
AMP
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
GM
UNT
UNT
TAB

Pasien
Penjamin
23128
23128
1689600 1689600
628072
628072
38016
38016
145560
145560
12750
12750
8415
8415
14988
14988
10040
10040
4500
4500
2575069 2575069

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
156816
156816
480
480
3500
3500
600
600
3168
3168
464
464
2248
2248
897600
897600
65668
65668
23368
23368
148980
148980
12750
12750
15400
15400
10040
10040
5500
5500
1346582 1346582

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
984
480
3500
600
936
3500
1200
19712

Penjamin
984
480
3500
600
936
3500
1200
19712

0
0
0
0
0
0
0
0

VIL
VIL
AMP
BAG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT

Depo Atas
Subtotal
BAG
TAB
TAB
VIL
VIL
AMP
BOT
UNT
BAG
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas

341088
53656
83160
145560
15400
8415
14988
4500
697679

341088
53656
83160
145560
15400
8415
14988
4500
697679

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39600
39600
344
344
1792
1792
2376
2376
1216
1216
1224
1224
2004
2004
488
488
1828
1828
4500
4500
55372
55372

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
96330
96330
2064
2064
5832
5832
1235520 1235520
682176
682176
68064
68064
475200
475200
18280
18280
145560
145560
10040
10040
8415
8415
14988
14988
12750
12750
15400
15400
7000
7000
2797619 2797619

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
VIL
VIL
BAG
AMP

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

Pasien

0
0
0

Penjamin
102
2902
1032
45376
682176
47048
15400
8415
14988
145560
5000
967999

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
2004
2004
39600
39600
688
688
616
616
6176
6176
72780
72780
3500
3500
154932
154932

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
39600
39600
2004
2004
1792
1792
1224
1224
35552
35552
579968
579968
1741352 1741352
109170
109170
124740
124740

0
0
0
0
0
0
0
0
0
0

102
2902
1032
45376
682176
47048
15400
8415
14988
145560
5000
967999

UNT
UNT
BAG
UNT

Depo Atas
Subtotal
AMP
AMP
BAG
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BAG
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
VIL
BOT

12750
15400
96330
6500
2795950

12750
15400
96330
6500
2795950

0
0
0
0
0

Pasien
Penjamin
47040
47040
23128
23128
72780
72780
15400
15400
12750
12750
8415
8415
14988
14988
10040
10040
4000
4000
208541
208541

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224
2004
2004
39600
39600
5804
5804
1792
1792
488
488
72780
72780
225720
225720
8415
8415
14988
14988
5000
5000
377815
377815

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16392
16392
2124
2124
1720
1720
66528
66528
21536
21536
6276
6276
579968
579968
380160
380160

0
0
0
0
0
0
0
0

AMP
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
AMP
TAB
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BOT
VIL
BOT
AMP

337976
4500
1417180

337976
4500
1417180

0
0
0

Pasien
Penjamin
96330
96330
148980
148980
617760
617760
22220
22220
15840
15840
12750
12750
15400
15400
8415
8415
14988
14988
4500
4500
957183
957183

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
984
984
15840
15840
516
516
976
976
2902
2902
1291064 1291064
120384
120384
12750
12750
8415
8415
14988
14988
5500
5500
1476323 1476323

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
516
488
19712
2184
534600
897600
72768
71280

Penjamin
516
488
19712
2184
534600
897600
72768
71280

0
0
0
0
0
0
0
0

UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BAG
BAG
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
AMP
VIL
UNT
UNT
BAG
UNT
UNT

Depo Atas
Subtotal
TAB

8415
14988
10040
5500
1638091

8415
14988
10040
5500
1638091

0
0
0
0
0

Pasien
Penjamin
3132
3132
32784
32784
23128
23128
53656
53656
235527
235527
109170
109170
118800
118800
12750
12750
15400
15400
8415
8415
14988
14988
5500
5500
633250
633250

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33316
33316
31416
31416
2952
2952
156816
156816
480
480
3500
3500
600
600
984
984
644256
644256
897600
897600
8415
8415
14988
14988
145560
145560
15400
15400
5500
5500
1961783 1961783

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224

TAB
TAB
TAB
TAB
TAB
VIL
VIL
VIL
AMP
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
UNT
PKG

2004
39600
4128
8208
5804
579968
1103520
1217280
17776
18280
145560
6000
3149352

2004
39600
4128
8208
5804
579968
1103520
1217280
17776
18280
145560
6000
3149352

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
488
6176
2004
1224
8415
14988
3000
36295

0
0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
3308
3308
65668
65668
8415
8415
14988
14988
10040
10040
3000
3000
106451
106451

0
0
0
0
0
0
0
0

Pasien
Penjamin
2184
2184
142560
142560
65668
65668
8415
8415
14988
14988
10040
10040

0
0
0
0
0
0

Pasien
488
6176
2004
1224
8415
14988
3000
36295

UNT

Depo Atas
Subtotal
BAG
AMP
AMP
UNT
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
BAG
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT

3000
246855

3000
246855

0
0

Pasien
Penjamin
157018
157018
213840
213840
644256
644256
15400
15400
65668
65668
8415
8415
14988
14988
26535
26535
10040
10040
4500
4500
1160660 1160660

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
976
10128
704
682176
96330
187110
8415
14988
10040
4500
1015367

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2448
2448
2902
2902
8208
8208
876
876
488
488
2004
2004
516
516
1144
1144
1235520 1235520
8415
8415
14988
14988

0
0
0
0
0
0
0
0
0
0
0

976
10128
704
682176
96330
187110
8415
14988
10040
4500
1015367

PKG
UNT

Depo Atas
Subtotal
TAB
CAP
TAB
TAB
TAB
UNT
UNT
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
AMP
AMP
VIL
BOT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas

10040
6000
1293549

10040
6000
1293549

0
0
0

Penjamin
408
36960
1144
1800
1376
8415
14988
65668
10040
4500
145299

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62832
62832
1654
1654
488
488
83160
83160
17776
17776
213840
213840
144992
144992
65668
65668
8415
8415
14988
14988
10040
10040
38532
38532
6000
6000
668385
668385

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5010
5010
79220
79220
1000
1000
85230
85230

0
0
0
0

Pasien
408
36960
1144
1800
1376
8415
14988
65668
10040
4500
145299

Subtotal
PKG
PKG
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
TUB
UNT

Pasien
Penjamin
7392
7392
14850
14850
5881
5881
26600
26600
2000
2000
56723
56723

0
0
0
0
0
0

Pasien
Penjamin
29220
29220
500
500
29720
29720

0
0
0

Pasien
Penjamin
65340
65340
18844
18844
1000
1000
85184
85184

0
0
0
0

Pasien
Penjamin
5789
5789
510
510
69300
69300
117810
117810
14364
14364
18844
18844
196020
196020
14710
14710
4000
4000
441347
441347

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
12012
12012
14988
14988
56262
56262
2000
2000
103604
103604

0
0
0
0
0
0

Depo IGD
Subtotal
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal

Pasien
Penjamin
14988
14988
5020
5020
1000
1000
21008
21008

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
5881
5881
1898
1898
2500
2500
56590
56590

0
0
0
0
0
0
0

Pasien
Penjamin
51216
51216
5782
5782
1275
1275
8415
8415
2000
2000
68688
68688

0
0
0
0
0
0

Pasien
Penjamin
456480
456480
1690
1690
1000
1000
459170
459170

0
0
0
0

Pasien
Penjamin
7210
7210
500
500
7710
7710

0
0
0

Pasien

Penjamin

TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
AMP
VIL
BOT
UNT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
CAP
TAB
TAB
TAB

7210
500
7710

7210
500
7710

0
0
0

Pasien
Penjamin
13200
13200
500
500
13700
13700

0
0
0

Pasien
Penjamin
21780
21780
500
500
22280
22280

0
0
0

Pasien
Penjamin
62832
62832
3308
3308
83160
83160
17776
17776
213840
213840
289984
289984
65668
65668
12750
12750
15400
15400
9985
9985
8415
8415
14988
14988
19266
19266
10040
10040
7000
7000
834412
834412

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3308
3308
5994
5994
7392
7392
1224
1224
39600
39600
62832
62832

0
0
0
0
0
0

TAB
AMP
UNT
AMP
VIL
VIL
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

21536
17776
18280
187228
289984
1103520
65668
12750
15400
9985
8415
14988
10040
9500
1905420

21536
17776
18280
187228
289984
1103520
65668
12750
15400
9985
8415
14988
10040
9500
1905420

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224
2616
2616
197004
197004
1500
1500
202344
202344

0
0
0
0
0

Pasien
Penjamin
2124
2124
2236
2236
66528
66528
43072
43072
6276
6276
6336
6336
579968
579968
380160
380160
337976
337976
148980
148980
617760
617760
66660
66660
19125
19125
23100
23100
9985
9985
8415
8415
14988
14988
10040
10040
9000
9000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2352729

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
VIL
BOT
AMP
VIL
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
AMP
VIL
AMP
BOT
BOT
VIL
BAG
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas

2352729

Pasien
Penjamin
156816
156816
480
480
3500
3500
600
600
3168
3168
464
464
2248
2248
4224
4224
897600
897600
65668
65668
23368
23368
148980
148980
8415
8415
14988
14988
12750
12750
15400
15400
6500
6500
1365169 1365169

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
504
83160
20880
53656
87318
131336
189759
289984
38532
8415
14988
10040
9985
12750
15400
7500
974207

Penjamin
504
83160
20880
53656
87318
131336
189759
289984
38532
8415
14988
10040
9985
12750
15400
7500
974207

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
AMP
VIL
AMP
BOT
BOT
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
AMP
PKG
UNT
UNT
UNT
UNT

Pasien
Penjamin
39600
39600
2004
2004
1224
1224
45376
45376
682176
682176
11564
11564
23524
23524
131336
131336
249480
249480
15400
15400
9985
9985
5500
5500
1217169 1217169

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2064
2064
1792
1792
2902
2902
65668
65668
22220
22220
12750
12750
8415
8415
14988
14988
10040
10040
4500
4500
145339
145339

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5832
5832
2902
2902
1128
1128
4008
4008
1896
1896
131336
131336
119616
119616
10040
10040
8415
8415
14988
14988
15400
15400
5500
5500
321061
321061

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
AMP
VIL
AMP
BOT
AMP
UNT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
AMP
VIL
VIL
BOT
UNT

Pasien
Penjamin
2004
2004
896
896
984
984
516
516
289984
289984
53328
53328
53656
53656
249480
249480
65668
65668
300960
300960
12750
12750
15400
15400
9985
9985
8415
8415
14988
14988
96330
96330
10040
10040
8500
8500
1193884 1193884

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
142560
142560
131336
131336
409728
409728
19970
19970
10040
10040
3000
3000
717666
717666

0
0
0
0
0
0
0
0

Pasien
Penjamin
31416
31416
2952
2952
4224
4224
213840
213840
506964
506964
120384
120384
579968
579968
253012
253012
8415
8415

0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
VIL
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
AMP
UNT
UNT
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB

14988
12750
15400
9985
96330
10040
7500
1888168

14988
12750
15400
9985
96330
10040
7500
1888168

0
0
0
0
0
0
0
0

Pasien
Penjamin
88836
88836
23128
23128
2534400 2534400
65668
65668
12750
12750
9985
9985
8415
8415
14988
14988
4000
4000
2762170 2762170

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
31416
31416
3308
3308
53656
53656
289984
289984
213840
213840
7700
7700
13979
13979
8415
8415
14988
14988
26535
26535
96330
96330
5500
5500
765651
765651

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2004
2004
984
984
15840
15840
1032
1032

0
0
0
0

TAB
TAB
UNT
UNT
VIL
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
AMP
BOT
VIL
TAB
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT

976
1451
3500
200
53656
120384
15400
9985
10040
5000
240452

976
1451
3500
200
53656
120384
15400
9985
10040
5000
240452

0
0
0
0
0
0
0
0
0
0
0

Penjamin
384
3168
464
1008
23128
68064
448844
120384
5100
12750
15400
19970
8415
14988
10040
7500
759607

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4008
4008
118800
118800
1224
1224
2064
2064
8208
8208
5884
5884
15840
15840
2902
2902
897600
897600
18280
18280
9985
9985

0
0
0
0
0
0
0
0
0
0
0

Pasien
384
3168
464
1008
23128
68064
448844
120384
5100
12750
15400
19970
8415
14988
10040
7500
759607

UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
GM
UNT
UNT
VIL
BOT
UNT
BAG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
VIL
BOT
BOT
UNT
UNT
UNT
UNT

5500
1090295

5500
1090295

0
0

Penjamin
984
480
3500
600
78
3500
1200
341088
131336
1997
38532
8415
14988
3500
550198

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
504
3168
464
2248
4224
253012
9985
3500
277105

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46191
46191
23128
23128
26828
26828
131336
131336
314536
314536
12750
12750
15400
15400
9985
9985
8415
8415

0
0
0
0
0
0
0
0
0

Pasien
984
480
3500
600
78
3500
1200
341088
131336
1997
38532
8415
14988
3500
550198

Pasien
504
3168
464
2248
4224
253012
9985
3500
277105

UNT
PKG
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
BOT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
VIL
BOT
BOT
BOT
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

14988
10040
5500
619097

14988
10040
5500
619097

0
0
0
0

Pasien
Penjamin
2064
2064
179424
179424
65668
65668
314536
314536
9985
9985
14988
14988
8415
8415
3500
3500
598580
598580

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10188
10188
23128
23128
53656
53656
157268
157268
65668
65668
204864
204864
118800
118800
12750
12750
15400
15400
10040
10040
5000
5000
676762
676762

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16420
16420
408
408
39600
39600
488
488
2902
2902
2004
2004
65668
65668
3500
3500
130990
130990

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
GM
UNT
UNT
TAB
TAB
BOT
VIL
VIL
BOT
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
VIL
BOT
BOT
AMP
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
AMP
BOT
UNT
UNT
UNT
BAG
UNT

Pasien

Penjamin
480
3500
600
984
78408
57964
53656
579968
65668
17400
15400
9985
4500
888513

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
289984
289984
18580
18580
53656
53656
131336
131336
379518
379518
25048
25048
15400
15400
19970
19970
96330
96330
4500
4500
1034322 1034322

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1692
1692
92316
92316
1512
1512
53656
53656
30794
30794
65668
65668
15400
15400
19970
19970
8415
8415
38532
38532
14988
14988

0
0
0
0
0
0
0
0
0
0
0

480
3500
600
984
78408
57964
53656
579968
65668
17400
15400
9985
4500
888513

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SUP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
BOT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
UNT
UNT
PKG

5500
348443

5500
348443

0
0

Pasien
Penjamin
2448
2448
2902
2902
8208
8208
876
876
516
516
488
488
2004
2004
1144
1144
25260
25260
15976
15976
8415
8415
14988
14988
6000
6000
89225
89225

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
516
462
59136
896
6176
35552
65668
12750
8415
14988
5000
209559

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1464
1464
10128
10128
704
704
249480
249480
8415
8415
14988
14988
10040
10040

0
0
0
0
0
0
0

516
462
59136
896
6176
35552
65668
12750
8415
14988
5000
209559

UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
UNT

3500
298719

3500
298719

0
0

Pasien
Penjamin
1224
1224
2616
2616
10040
10040
1500
1500
15380
15380

0
0
0
0
0

Pasien
Penjamin
79220
79220
14820
14820
2370
2370
1410
1410
705
705
2500
2500
101025
101025

0
0
0
0
0
0
0

Pasien
Penjamin
3060
3060
14510
14510
1220
1220
2240
2240
2000
2000
23030
23030

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
1500
1500
47811
47811

0
0
0
0
0

Pasien
Penjamin
78509
78509
9985
9985

0
0

UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
BOT
VIL
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
VIL
UNT

6375
7700
14988
14988
3000
135545

6375
7700
14988
14988
3000
135545

0
0
0
0
0
0

Pasien
Penjamin
13979
13979
7700
7700
3825
3825
14988
14988
14988
14988
2500
2500
57980
57980

0
0
0
0
0
0
0

Pasien
Penjamin
9268
9268
500
500
9768
9768

0
0
0

Pasien
Penjamin
124740
124740
26950
26950
1997
1997
20213
20213
6872
6872
20592
20592
3000
3000
204364
204364

0
0
0
0
0
0
0
0

Pasien
Penjamin
47520
47520
26950
26950
5732
5732
20213
20213
20592
20592
2500
2500
123507
123507

0
0
0
0
0
0
0

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
TUB
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
BOT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
TAB
TAB
TAB
VIL
AMP
AMP
BOT
UNT
UNT
PKG
UNT

Pasien
Penjamin
25220
25220
5991
5991
4620
4620
12012
12012
12012
12012
56262
56262
3000
3000
119117
119117

0
0
0
0
0
0
0
0

Pasien
Penjamin
124740
124740
26950
26950
1000
1000
152690
152690

0
0
0
0

Pasien
Penjamin
125400
125400
14988
14988
11762
11762
16335
16335
2000
2000
170485
170485

0
0
0
0
0
0

Pasien
Penjamin
23100
23100
29955
29955
1692
1692
92316
92316
1512
1512
53656
53656
99032
99032
46191
46191
65668
65668
8415
8415
14988
14988
10040
10040
6000
6000

0
0
0
0
0
0
0
0
0
0
0
0
0

452565

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
VIL
BOT
BOT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT

Depo Atas
Subtotal
VIL
VIL
BOT
UNT
UNT
UNT
UNT

452565

Pasien
Penjamin
31416
31416
2952
2952
83160
83160
213840
213840
53656
53656
168300
168300
65668
65668
15300
15300
18480
18480
23964
23964
10040
10040
8415
8415
14988
14988
6500
6500
716679
716679

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2448
2448
2004
2004
39600
39600
31416
31416
2902
2902
984
984
876
876
488
488
4312
4312
289984
289984
5000
5000
380014
380014

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
289984
289984
448800
448800
23524
23524
12750
12750
19970
19970
8415
8415
14988
14988

0
0
0
0
0
0
0

PKG
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
TAB
TAB
VIL
VIL
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
AMP
VIL
UNT
UNT
UNT

10040
4000
832471

10040
4000
832471

0
0
0

Pasien
Penjamin
1512
1512
23128
23128
394008
394008
10200
10200
8415
8415
14988
14988
10040
10040
3500
3500
465791
465791

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17776
17776
5064
5064
704
704
511632
511632
50192
50192
9240
9240
29955
29955
96330
96330
4000
4000
724893
724893

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224
2004
2004
39600
39600
2902
2902
31416
31416
8208
8208
18280
18280
8888
8888
53656
53656
12750
12750
15400
15400
5500
5500
199828
199828

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
GM
UNT
UNT
VIL
AMP
AMP
AMP
UNT

Pasien
Penjamin
1224
1224
8016
8016
5804
5804
688
688
17776
17776
10200
10200
8415
8415
14988
14988
10040
10040
4500
4500
81651
81651

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224
2004
2004
39600
39600
7255
7255
4312
4312
876
876
516
516
8888
8888
1144
1144
2004
2004
5000
5000
72823
72823

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
984
400
3500
4200
390
3500
8400
341088
20880
83160
6666
19970

Penjamin
984
400
3500
4200
390
3500
8400
341088
20880
83160
6666
19970

0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
AMP
BOT
AMP
BOT
UNT

Emergency Catelia
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

12750
15400
10040
8415
14988
5500
560231

12750
15400
10040
8415
14988
5500
560231

0
0
0
0
0
0
0

Pasien
Penjamin
39600
39600
31416
31416
2952
2952
213840
213840
53656
53656
253482
253482
197004
197004
46450
46450
204864
204864
4500
4500
1047764 1047764

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32670
32670
500
500
33170
33170

0
0
0

Pasien
Penjamin
3575
3575
5809
5809
1000
1000
10384
10384

0
0
0
0

Pasien
Penjamin
4008
4008
79200
79200
4312
4312
1032
1032
1224
1224
59136
59136

0
0
0
0
0
0

TAB
TAB
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
UNT
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT
VIL
UNT

Depo Atas

3308
1451
3500
200
8415
14988
4500
185274

3308
1451
3500
200
8415
14988
4500
185274

0
0
0
0
0
0
0
0

Pasien
Penjamin
10040
10040
8415
8415
14988
14988
1500
1500
34943
34943

0
0
0
0
0

Pasien
Penjamin
1032
1032
59136
59136
17776
17776
289984
289984
19970
19970
12750
12750
8415
8415
14988
14988
57798
57798
4500
4500
486349
486349

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10040
10040
8415
8415
14988
14988
12750
12750
19970
19970
448800
448800
3000
3000
517963
517963

0
0
0
0
0
0
0
0

Subtotal
TAB
AMP
VIL
BOT
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB

Pasien

Penjamin
504
23128
53656
131336
40044
12750
15400
19970
8415
14988
5000
325191

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12750
12750
15400
15400
19970
19970
57798
57798
8415
8415
14988
14988
10040
10040
3500
3500
142861
142861

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224
2004
2004
2902
2902
39600
39600
9856
9856
26664
26664
12750
12750
8415
8415
14988
14988
10040
10040
5000
5000
133443
133443

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2184
2184

504
23128
53656
131336
40044
12750
15400
19970
8415
14988
5000
325191

TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
AMP
BOT
PKG
UNT
UNT
UNT

39600
10768
488
1216
5884
1584
131336
8415
14988
5000
221463

39600
10768
488
1216
5884
1584
131336
8415
14988
5000
221463

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3308
3308
16420
16420
4224
4224
3168
3168
464
464
2248
2248
44440
44440
3500
3500
77772
77772

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1898
1898
500
500
2398
2398

0
0
0

Pasien
Penjamin
1224
1224
2004
2004
39600
39600
4312
4312
435338
435338
23128
23128
65668
65668
10040
10040
8415
8415
14988
14988
5000
5000
609717
609717

0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
VIL
VIL
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
GM
UNT
UNT
TAB
TAB
AMP
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
UNT
UNT

Pasien
Penjamin
361152
361152
551760
551760
8415
8415
14988
14988
12750
12750
15400
15400
19970
19970
3500
3500
987935
987935

Pasien

0
0
0
0
0
0
0
0
0

Penjamin
40
3500
600
984
78408
18580
65668
7650
8415
14988
10040
4000
212873

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1224
1224
39600
39600
2004
2004
5804
5804
24288
24288
2500
2500
75420
75420

0
0
0
0
0
0
0

Pasien
Penjamin
1898
1898
500
500

0
0

40
3500
600
984
78408
18580
65668
7650
8415
14988
10040
4000
212873

2398

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
AMP
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Emergency Catelia

2398

Penjamin
384
144
3168
464
3024
23128
17016
448844
4000
500172

0
0
0
0
0
0
0
0
0
0

Penjamin
176
984
78408
4128
6616
10560
1530
10768
2952
35552
5000
156674

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16420
16420
306
306
39600
39600
488
488
2902
2902
2004
2004
65668
65668
3500
3500
130888
130888

0
0
0
0
0
0
0
0
0

Pasien
384
144
3168
464
3024
23128
17016
448844
4000
500172

Pasien
176
984
78408
4128
6616
10560
1530
10768
2952
35552
5000
156674

Subtotal
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
AMP
TAB
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
TUB
UNT
UNT
UNT

Pasien
Penjamin
14988
14988
8415
8415
20213
20213
26950
26950
2000
2000
72566
72566

0
0
0
0
0
0

Pasien
Penjamin
10440
10440
11110
11110
2240
2240
1500
1500
25290
25290

0
0
0
0
0

Pasien
Penjamin
41388
41388
500
500
41888
41888

0
0
0

Pasien
Penjamin
16088
16088
18342
18342
56262
56262
5809
5809
1997
1997
2500
2500
100998
100998

0
0
0
0
0
0
0

Waktu
31 Mei 2013 17:33
Item
DISP SYRINGE 10 CC
ANBACIM INJECTION
FARMADOL 100 ML INFUSION
VALAMIN SANBE INFUSION
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
2,00
1,00
1,00
10,00
8,00

Depo
Depo IGD
Subtotal
UNT
AMP
BOT
BOT
BOT
UNT
BAG
PKG
UNT

31 Mei 2013 14:19

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

31 Mei 2013 14:05

Item
T-LENE 4-0 L18 TRITON
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
1,00
2,00
2,00
5,00

Emergency OK
Subtotal
UNT
AMP
UNT
UNT
UNT
UNT

31 Mei 2013 13:12

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

31 Mei 2013 12:02

Item
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
CHROMIC 2/0 C 27 X 150 CM
LEUKOCREPE 6 INC

UMUM
Quantity
1,00
1,00
1,00

Emergency OK
Subtotal
PKG
PKG
UMG

DUODERM EXTRATHIN 4X4

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 6.5
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00
2,00
3,00
0,50
0,25
10,00

UNT
BOT
UNT
UNT
PKG
UNT
UNT
UNT

31 Mei 2013 11:01

Item
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
DUODERM EXTRATHIN 4X4
LEUKOCREPE 6 INC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 8
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
3,00
9,00

Emergency OK
Subtotal
PKG
PKG
UNT
UMG
BOT
UNT
UNT
UNT
PKG
UNT

31 Mei 2013 09:17

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
CHROMIC 2/0 C 27 X 150 CM
WUNDRES F 5X5
LEUKOCREPE 3 INC
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
3,00
1,00
1,00
1,00
2,00
0,25
9,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
PKG
PKG
UNT
UNT
UNT
UNT

30 Mei 2013 12:22

Item
T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
T-LENE 2-0 L20
SILK 2/0 tap HR22 Assut

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
PKG
PKG
PKG
PKG

DUODERM EXTRATHIN 4X4

FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
APRON FILM WHITE
T-HERNIA MESH LM3 6 X 10 CM
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
2,00
2,00
3,00
1,00
1,00
14,00

UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
BOT
UNT

30 Mei 2013 10:16

Item
CHROMIC 2/0 C 27 X 150 CM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

30 Mei 2013 10:13

Item
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
DUODERM EXTRATHIN 4X4
LEUKOCREPE 6 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
3,00
0,25
3,00
10,00

Emergency OK
Subtotal
PKG
PKG
UNT
UMG
UNT
UNT
UNT
PKG
UNT
PKG
UNT

30 Mei 2013 09:24

Item
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
DUODERM EXTRATHIN 4X4
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
APRON FILM WHITE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00

Emergency OK
Subtotal
PKG
PKG
UNT
BOT
UNT
UNT
UNT
PKG

LEUKOCREPE 6 INC
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

1,00
0,25
10,00

UMG
UNT
UNT

29 Mei 2013 20:16

Item
ANBACIM INJECTION
SANMOL INFUSION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00
4,00

Depo IGD
Subtotal
AMP
BOT
BOT
UNT
UNT

29 Mei 2013 14:31

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

29 Mei 2013 13:59

Item
T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
T-LENE 2-0 L20
DUODERM EXTRATHIN 4X4
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
8,00
3,00
12,00

Emergency OK
Subtotal
PKG
PKG
PKG
PKG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

29 Mei 2013 13:23

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7

UMUM
Quantity
2,00
1,00
1,00

Emergency OK
Subtotal
AMP
UNT
UNT

HANDSCOON GAMEX 7.5

TUSLAH NON RACIKAN
TOTAL

1,00
4,00

UNT
UNT

29 Mei 2013 13:22

Item
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL S (PCS)
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
LIDOCAIN 2% INJECTION
PEHACAIN PHAPROS INJECTION
DISP SYRINGE 10 CC
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
1,00
3,00
1,00
1,00
0,25
8,00

Emergency OK
Subtotal
UNT
UNT
PKG
PKG
AMP
AMP
UNT
UNT
UNT

29 Mei 2013 13:20

Item
LIDOCAIN 2% INJECTION
PEHACAIN PHAPROS INJECTION
T-LENE 3-0 L19 TRITON
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL S (PCS)
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00
1,00
1,00
1,00
2,00
4,00
0,25
8,00

Emergency OK
Subtotal
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT

29 Mei 2013 13:06

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

29 Mei 2013 13:05

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo Atas
Subtotal
VIL
BOT
UNT

29 Mei 2013 12:31

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
UNT

29 Mei 2013 11:21

Item
LIDOCAIN 2% INJECTION
PEHACAIN PHAPROS INJECTION
T-LENE 3-0 L19 TRITON
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
2,00
1,00
6,00

Emergency OK
Subtotal
AMP
AMP
UNT
UNT
UNT
UNT
UNT

29 Mei 2013 11:09

Item
LIDOCAIN 2% INJECTION
T-LENE 3-0 L19 TRITON
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
2,00
1,00
1,00
2,00
4,00
1,00
6,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
PKG
UNT
UNT

29 Mei 2013 11:07

Item
T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
2,00
3,00
20,00
3,00
0,50
9,00

Emergency OK
Subtotal
PKG
PKG
PKG
UNT
UNT
UNT
PKG
PKG
UNT
UNT

29 Mei 2013 09:53

Item
CHROMIC 2/0 C 27 X 150 CM
MICROPORE 2 INC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
0,25
3,00
3,00
3,00
10,00
3,00
0,50
1,00
9,00

Emergency OK
Subtotal
PKG
UNT
UNT
UNT
UNT
PKG
PKG
UNT
BOT
UNT

28 Mei 2013 13:57

Item
T-LENE 3-0 L19 TRITON
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
1,00
3,00
6,00

Emergency OK
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
UNT

28 Mei 2013 12:50

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00

Apotik Panel 2
Subtotal
AMP
UNT

28 Mei 2013 12:29

Item
METRONIDAZOLE 100 ML INFUSION
VERBAND ROLL
MICROPORE 1/2 INC
ASAM MEFENAMAT INF 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
2,00
1,00
15,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
BOT
PKG
UNT
TAB
BOT
UNT
UNT
UNT

28 Mei 2013 12:09

Item
ANBACIM INJECTION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00

Depo Atas
Subtotal
AMP
UNT

28 Mei 2013 12:03

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
10,00
15,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
TAB
TAB
UNT

28 Mei 2013 12:01

Item
VERBAND ROLL
MICROPORE 1/2 INC
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
10,00
10,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
PKG
UNT
TAB
TAB
BOT
UNT
UNT
UNT

28 Mei 2013 11:35

Item
VERBAND ROLL
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
10,00
15,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
PKG
UNT
CAP
TAB
BOT
UNT
UNT
UNT

28 Mei 2013 11:10

Item
CIPROFLOXACIN TABLET
MICROPORE 1/2 INC
METRONIDAZOLE 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00
20,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
TAB
UNT
TAB
BOT
UNT
UNT
UNT

28 Mei 2013 11:01

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

28 Mei 2013 11:00

Item
ANBACIM CAPSULE, FILM COATED 500 mg
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
TAB
PKG
UNT
BOT
UNT
UNT
UNT

28 Mei 2013 10:54

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

28 Mei 2013 10:53

Item
CIPROFLOXACIN TABLET
DOXYCYCLINE INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

28 Mei 2013 10:21

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

28 Mei 2013 10:20

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

27 Mei 2013 23:24

Item
ANBACIM INJECTION
SANMOL INFUSION
VALAMIN SANBE INFUSION
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
6,00

Depo IGD
Subtotal
AMP
BOT
BOT
BOT
UNT
UNT
UNT

27 Mei 2013 17:08

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
TAB
TAB
UNT
BOT
UNT
UNT
UNT

27 Mei 2013 15:38

Item
T-HERNIA MESH LM3 6 X 10 CM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

27 Mei 2013 15:05

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

ANBACIM CAPSULE, FILM COATED 500 mg

ASAM MEFENAMAT INF 500 MG TABLET
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

10,00
15,00
2,00
1,00
1,00
1,00
1,00
4,00

TAB
TAB
PKG
UNT
BOT
UNT
UNT
UNT

27 Mei 2013 14:31

Item
T-Vio 2/0 V9
SILK 2/0 tap HR22 Assut
CHROMIC 2/0 C 27 X 150 CM
T-LENE 3-0 L19 TRITON
STOMACH TUBE 14 THERUMO
EQUISPON 10x10x10 mm
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
2,00
1,00
4,00
5,00
20,00
3,00
0,50
12,00

Emergency OK
Subtotal
PKG
PKG
PKG
UNT
UNT
UNT
BOT
UNT
UNT
PKG
PKG
UNT
UNT

27 Mei 2013 13:23

Item
ANBACIM CAPSULE, FILM COATED 500 mg
SANMOL INFUSION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
1,00
4,00

Depo Atas
Subtotal
TAB
BOT
BOT
UNT
UNT

27 Mei 2013 12:54

Item
LEUKOCREPE 6 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
10,00
15,00

Depo Atas
Subtotal
UMG
BOT
UNT
UNT
CAP
TAB

TUSLAH NON RACIKAN

TOTAL

3,00

UNT

27 Mei 2013 11:35

Item
T-LENE 2-0 L20
CHROMIC 2/0 C 27 X 150 CM
T-Vio 2/0 V9
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL M (PCS)
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
3,00
9,00
0,50
12,00

Emergency OK
Subtotal
PKG
PKG
PKG
BOT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

27 Mei 2013 10:56

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

27 Mei 2013 10:38

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
LEUKOCREPE 6 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
2,00
1,00
4,00

Emergency OK
Subtotal
BOT
UNT
UNT
UMG
UNT

27 Mei 2013 09:33

Item
CHROMIC 2/0 C 27 X 150 CM
T-LENE 3-0 L19 TRITON

UMUM
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

WUNDRES F 5X5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
APRON FILM WHITE
LEUKOCREPE 6 INC
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
4,00
20,00
1,00
3,00
1,00
0,50
10,00

UNT
UNT
UNT
PKG
BOT
PKG
UMG
UNT
UNT

26 Mei 2013 19:07

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
BOT
TAB
UNT

24 Mei 2013 15:34

Item
SPORETIK SANBE 100 MG
TRICHODAZOLSANBE TABLET 500 mg
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
15,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

24 Mei 2013 13:55

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

24 Mei 2013 12:46

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

24 Mei 2013 12:39

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

CEFIXIME GENERIK CAPSULE

BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
1,00
1,00
2,00
1,00
10,00
10,00
5,00

CAP
BOT
UNT
UNT
PKG
UNT
TAB
TAB
UNT

24 Mei 2013 12:38

Item
MICROPORE 1/2 INC
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
PKG
BOT
UNT
UNT
UNT

24 Mei 2013 12:35

Item
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

Depo IGD
Subtotal
TAB
UNT

24 Mei 2013 12:31

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

24 Mei 2013 12:17

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG

MICROPORE 1/2 INC

TUSLAH NON RACIKAN
TOTAL

1,00
2,00

UNT
UNT

24 Mei 2013 11:41

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

24 Mei 2013 11:40

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
28,00
1,00

Depo IGD
Subtotal
TAB
UNT

24 Mei 2013 10:51

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

24 Mei 2013 10:22

Item
CEFIXIME GENERIK CAPSULE
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
CAP
UNT
BOT
UNT
UNT
UNT

24 Mei 2013 10:22

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
SANMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
UNT

24 Mei 2013 10:07

JAKARTA SEHAT

Depo Atas

Item
CEFIXIME GENERIK CAPSULE
MICROPORE 2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00
1,00
1,00
1,00
10,00
3,00

Subtotal
CAP
UNT
BOT
UNT
UNT
TAB
UNT

24 Mei 2013 10:05

Item
KASA STERYL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BOX
UNT

24 Mei 2013 09:59

Item
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel
Subtotal
UNT
UNT

24 Mei 2013 09:56

Item
CEFIXIME GENERIK CAPSULE
MEFINAL 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT
UNT
UNT
UNT

24 Mei 2013 09:46

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
PARACETAMOL 60 ML SYRUP
BOORWATER 100 ML SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

Depo Atas
Subtotal
BOT
BOT
BOT
UNT

23 Mei 2013 13:16

JAKARTA SEHAT

Apotik Panel 2

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00

Subtotal
CAP
UNT

23 Mei 2013 13:16

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

Depo IGD
Subtotal
TAB
UNT

23 Mei 2013 13:08

Item
ARDIUM TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

23 Mei 2013 13:07

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

23 Mei 2013 08:23

Item
LEUKOCREPE 6 INC
WUNDRES B
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
5,00
3,00
20,00
3,00
7,00

Emergency OK
Subtotal
UMG
UNT
BOT
UNT
UNT
PKG
PKG
UNT

22 Mei 2013 19:37

Item
FOTARAM 1 g
SANMOL INFUSION
RINGER LACTATE WIDATRA 500 ML

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
VIL
BOT
BOT

DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
FOLLEY CATHETER 16 RUSCH
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
1,00
1,00
6,00
1,00
9,00

UNT
UNT
UNT
UNT
PKG
UNT
UNT

22 Mei 2013 19:27

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
PRONALGES SUPPOSITORY 100 MG
ASAM TRANEKSAMAT 500/5 ML INJECTION
FOLLEY CATHETER 16 RUSCH
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
IVENA IV CATH 18
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
2,00
1,00
6,00
2,00
1,00
1,00
2,00
10,00

Depo IGD
Subtotal
VIL
BOT
SUP
AMP
UNT
PKG
UNT
UNT
UNT
UNT
UNT

22 Mei 2013 12:43

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
T-Vio 2/0 V9
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
5,00
3,00
20,00
3,00
0,50
11,00

Emergency OK
Subtotal
BOT
PKG
PKG
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT
UNT

22 Mei 2013 11:16

Item
HANDSCOON GAMEX 7.5
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency ICU
Subtotal
UNT
BOT

TUSLAH NON RACIKAN

TOTAL

2,00

UNT

22 Mei 2013 10:43

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 20 CC WIHTOUT NED
T-LENE 2-0 L20
T-LENE 3-0 L19 TRITON
SILK 2/0 tap HR22 Assut
T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
DUODERM EXTRATHIN 4X4
T-HERNIA MESH LM3 6 X 10 CM
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
3,00
20,00
3,00
0,50
17,00

Emergency OK
Subtotal
UNT
UNT
UNT
PKG
UNT
PKG
PKG
PKG
UNT
PKG
BOT
UNT
UNT
UNT
PKG
PKG
UNT
UNT

22 Mei 2013 09:40

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
T-LENE 2-0 L20
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
2,00
2,00
5,00

Emergency OK
Subtotal
AMP
UNT
PKG
UNT
PKG
UNT

21 Mei 2013 14:25

Item
VERBAND ROLL
MICROPORE 1/2 INC
ASAM MEFENAMAT INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
2,00
1,00
15,00
10,00
1,00
1,00
1,00

Depo IGD
Subtotal
PKG
UNT
TAB
CAP
BOT
UNT
UNT

TUSLAH NON RACIKAN

TOTAL

4,00

UNT

21 Mei 2013 14:24

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

21 Mei 2013 13:20

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
SANMOL INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
6,00
10,00
3,00
1,00
3,00
100,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
AMP
VIL
BOT
PKG
UNT

21 Mei 2013 13:13

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

21 Mei 2013 13:12

Item
CIPROFLOXACIN TABLET
DOXYCYCLINE INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

21 Mei 2013 13:02

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

BURNAZIN 35 GM CREAM
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00

TUB
PKG
UNT

21 Mei 2013 12:54

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

21 Mei 2013 11:31

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

21 Mei 2013 11:31

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

21 Mei 2013 11:11

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

21 Mei 2013 11:01

Item
VERBAND ROLL
MICROPORE 1/2 INC

JPK PNS
Quantity
2,00
1,00

Depo IGD
Subtotal
PKG
UNT

BOORWATER 100 ML SOLUTION

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00

BOT
UNT
UNT
UNT

21 Mei 2013 10:09

Item
FILTERHUMIDIFLER+HME
CIRRUS NEBULIZER T>2505
CIRCUIT VENTILATOR DISP (2009) ( BREATHING SYST)
ANESFAR INJEKSI
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
6,00

Emergency ICU
Subtotal
UNT
PKG
PKG
AMP
UNT
UNT
UNT

20 Mei 2013 17:45

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
INFUS SET JMS
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
2,00
5,00

Depo IGD
Subtotal
VIL
BOT
UNT
UNT
BOT
UNT

20 Mei 2013 15:32

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

20 Mei 2013 15:25

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

20 Mei 2013 14:24

JAKARTA SEHAT

Emergency OK

Item
T-LENE 3-0 L19 TRITON
LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
5,00
1,00
2,00
2,00
5,00

Subtotal
UNT
AMP
UNT
UNT
PKG
UNT

20 Mei 2013 14:23

Item
WUNDRES F 5x20x0,2 cm
WUNDRES N 10 x 10
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT

20 Mei 2013 14:07

Item
T-HERNIA MESH LM3 6 X 10 CM
DUODERM EXTRATHIN 4X4
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency OK
Subtotal
PKG
UNT
UNT

20 Mei 2013 14:05

Item
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
T-LENE 2-0 L20
CHROMIC 2/0 C 27 X 150 CM
T-Vio 2/0 V9
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
20,00
3,00
1,00
1,00
1,00
1,00
1,00
1,00
0,50
12,00

Emergency OK
Subtotal
UNT
UNT
UNT
PKG
PKG
PKG
PKG
PKG
UNT
UNT
UNT
UNT
UNT

20 Mei 2013 12:51

Item
ANALSIK TABLET

UMUM
Quantity
10,00

Depo Atas
Subtotal
TAB

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

20 Mei 2013 12:50

Item
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

Depo Atas
Subtotal
UNT
UNT

20 Mei 2013 12:22

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
T-LENE 2-0 L20
CHROMIC 2/0 C 27 X 150 CM
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
2,00
7,00

Emergency OK
Subtotal
AMP
UNT
PKG
PKG
UNT
UNT
UNT
UNT

20 Mei 2013 12:19

Item
CHROMIC 2/0 C 27 X 150 CM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

20 Mei 2013 12:15

Item
CHROMIC 2/0 C 27 X 150 CM
T-VIO 1 V16
T-LENE 2-0 L20
THORACIC CATHETER 28
STOMACH TUBE 20 JMS
WUNDRES B
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
FOLLEY CATHETER 16 RUSCH
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
FIXOMUL 76991 (15CM)
APRON FILM WHITE
DISP SYRINGE 10 CC

UMUM
Quantity
2,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
5,00
3,00
0,20
3,00
1,00

Emergency OK
Subtotal
PKG
PKG
PKG
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

TUSLAH NON RACIKAN

TOTAL

14,00

UNT

20 Mei 2013 10:46

Item
WUNDRES B
FOLLEY CATHETER 16 RUSCH
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
EQUISPON 80X50X10MM
T-VIO 1 V16
T-Vio 2/0 V9
T-LENE 2-0 L20
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
PLAIN 2/0 CAT GUT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
2,00
3,00
20,00
3,00
0,50
1,00
16,00

Emergency OK
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
PKG
UNT
UNT
UNT
PKG
PKG
UNT
PKG
UNT

18 Mei 2013 07:56

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
SURFLO IV CATH NO 16
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
2,00
2,00
1,00
1,00
2,00
2,00
7,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
BOT
UNT
UNT
UNT

17 Mei 2013 14:51

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
SILK 2/0 tap HR22 Assut
T-LENE 2-0 L20
MICROPORE 1/2 INC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
3,00
3,00

Emergency OK
Subtotal
BOT
PKG
PKG
UNT
UNT
UNT

HANDSCOON NON STERIL M (PCS)

TIP CLEANER U ELECTRO CAUTERY
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
3,00
9,00

PKG
UNT
PKG
UNT

17 Mei 2013 13:32

Item
FOLLEY CATHETER 12 RUSCH
T-DIO 1 D73
T-VIO 2/0 V10
T-Vio 2/0 V9
SILK 2/0 tap HR22 Assut
T-LENE 2-0 L20
TIP CLEANER U ELECTRO CAUTERY
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
STOMACH TUBE 20 JMS
Assucryl 3/0 Tapper
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
SUCTION CONECTING TUBE
AQUA BIDES 1000 ML SOLUTION, LIQUID
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
6,00
2,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00
5,00
5,00
3,00
20,00
20,00

Emergency OK
Subtotal
UNT
PKG
PKG
PKG
PKG
PKG
UNT
UNT
UNT
PKG
UNT
UNT
UNT
TUB
BOT
BOT
UNT
UNT
UNT
PKG
UNT

16 Mei 2013 16:24

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 200 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFIXIME GENERIK CAPSULE
KETOPROFEN 50 MG TABLET
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
15,00
20,00
20,00
5,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
CAP
TAB
TAB
UNT

16 Mei 2013 14:53

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
10,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

16 Mei 2013 14:12

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
WUNDRES B
LEUKOCREPE 4 INC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
10,00
6,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
UNT
PKG
UNT

16 Mei 2013 12:48

Item
T-LENE 2-0 L20
CHROMIC 2/0 C 27 X 150 CM
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 8
HANDSCOON NON STERIL M (PCS)
DISPOS NE ELEC F ADULT & CHILDREN
LEUKOCREPE 6 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
10,00
0,20
1,00
9,00

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
UNT
UNT
PKG
UNT
UMG
UNT

16 Mei 2013 11:47

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
10,00
3,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
CAP
UNT

16 Mei 2013 08:45

Item
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
10,00
10,00
3,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT

15 Mei 2013 12:39

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

14 Mei 2013 14:45

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

14 Mei 2013 14:03

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

14 Mei 2013 13:53

Item
ASAM MEFENAMAT INF 500 MG TABLET
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
2,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
TAB
PKG
BOT
UNT
UNT
UNT
UNT

14 Mei 2013 13:23

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
VERBAND ROLL
ASAM MEFENAMAT INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
15,00
10,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
PKG
TAB
CAP
UNT

14 Mei 2013 13:21

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
VERBAND ROLL
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
15,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
PKG
TAB
UNT

14 Mei 2013 13:19

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

14 Mei 2013 13:18

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

14 Mei 2013 13:17

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

COTRIMOXAZOLE 240 MG/5ML SUSPENSION

VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
1,00
1,00
3,00

BOT
PKG
UNT
BOT
UNT
UNT
UNT

14 Mei 2013 12:57

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
BOT
UNT
UNT
UNT
UNT

14 Mei 2013 12:52

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

14 Mei 2013 12:45

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
10,00
3,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
CAP
UNT

14 Mei 2013 12:23

JAKARTA SEHAT

Apotik Panel 2

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00

Subtotal
CAP
UNT

14 Mei 2013 12:03

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

14 Mei 2013 10:39

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

14 Mei 2013 10:30

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
UNT

14 Mei 2013 10:27

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
ASAM MEFENAMAT INF 500 MG TABLET

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
15,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
TAB

TUSLAH NON RACIKAN

TOTAL

4,00

UNT

14 Mei 2013 10:09

Item
ARDIUM TABLET
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

14 Mei 2013 09:49

Item
BETADINE 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
TUB
UNT

14 Mei 2013 00:09

Item
ANBACIM INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
1,00
4,00

Depo IGD
Subtotal
AMP
AMP
AMP
BOT
UNT

13 Mei 2013 22:09

Item
ANBACIM INJECTION
METRONIDAZOLE 100 ML INFUSION
FARMADOL 100 ML INFUSION
VALAMIN SANBE INFUSION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

Depo IGD
Subtotal
AMP
BOT
BOT
BOT
BOT
UNT

13 Mei 2013 22:08

Item
ANBACIM INJECTION
FARMADOL 100 ML INFUSION
VALAMIN SANBE INFUSION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
AMP
BOT
BOT
BOT
UNT

TOTAL

13 Mei 2013 14:34

Item
T-HERNIA MESH LM3 6 X 10 CM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

13 Mei 2013 14:33

Item
T-HERNIA MESH LM3 6 X 10 CM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

13 Mei 2013 14:31

Item
T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
T-LENE 3-0 L19 TRITON
DUODERM EXTRATHIN 4X4
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
FOLLEY CATHETER 18 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
4,00
4,00
20,00
3,00
3,00
15,00

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
UNT
UNT
UNT
TUB
UNT
BOT
UNT
UNT
PKG
PKG
PKG
UNT

13 Mei 2013 12:50

Item
T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
PKG
PKG
PKG
UNT
UNT
TUB
UNT

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
ROCKER SWITCH PENCIL 3M
DISPOS NE ELEC F ADULT & CHILDREN
DUODERM EXTRATHIN 4X4
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
20,00
3,00
0,25
0,25
1,00
15,00

BOT
UNT
UNT
PKG
PKG
PKG
UNT
UNT
UNT

13 Mei 2013 11:50

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

13 Mei 2013 11:19

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

13 Mei 2013 11:06

Item
LEUKOCREPE 6 INC
T-LENE 3-0 L19 TRITON
CHROMIC 2/0 C 27 X 150 CM
SILK 2/0 tap HR22 Assut
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 8
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
1,00
2,00
2,00
2,00
20,00
3,00
1,00
11,00

Emergency OK
Subtotal
UMG
UNT
PKG
PKG
BOT
UNT
UNT
UNT
PKG
PKG
PKG
UNT

13 Mei 2013 11:04

Item

JAKARTA SEHAT
Quantity

Emergency OK
Subtotal

LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
T-LENE 4-0 L18 TRITON
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
MICROPORE 1/2 INC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
1,00
2,00
2,00
0,20
1,00
7,00

AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT

13 Mei 2013 10:08

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
T-LENE 3-0 L19 TRITON
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
1,00
2,00
1,00
1,00
7,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
UNT
BOT
UNT
UNT

13 Mei 2013 09:16

Item
STOMACH TUBE 3.5 THERUMO
VASOFIX SAFETY G 20
IVENA IV CATH 22
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
SILK 2-0 REVERSE CUTTING
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
10,00

Emergency OK
Subtotal
UNT
UNT
UNT
BOT
UNT
PKG
AMP
UNT
UNT
UNT
UNT

13 Mei 2013 09:14

Item
STOMACH TUBE 3.5 THERUMO
IVENA IV CATH 24
VASOFIX SAFETY G 20
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS

UMUM
Quantity
1,00
2,00
1,00
1,00
1,00

Emergency OK
Subtotal
UNT
UNT
UNT
BOT
UNT

SILK 2-0 REVERSE CUTTING

LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
9,00

PKG
AMP
UNT
UNT
UNT

13 Mei 2013 08:44

Item
SILK 2/0 tap HR22 Assut
T-DIO 1 D73
CHROMIC 2/0 C 27 X 150 CM
T-LENE 3-0 L19 TRITON
STOMACH TUBE 20 JMS
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 8
HANDSCOON NON STERIL M (PCS)
DISPOS NE ELEC F ADULT & CHILDREN
ROCKER SWITCH PENCIL 3M
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
APRON FILM WHITE
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
1,00
1,00
3,00
3,00
3,00
20,00
0,25
0,25
5,00
3,00
3,00
15,00

Emergency OK
Subtotal
PKG
PKG
PKG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
PKG
BOT
PKG
PKG
UNT

11 Mei 2013 11:51

Item
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

Depo IGD
Subtotal
TAB
UNT

11 Mei 2013 09:58

Item
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency ICU
Subtotal
UNT
UNT
UNT

11 Mei 2013 09:10

Item
IMOVAX RABIES INJECTION

UMUM
Quantity
1,00

Depo IGD
Subtotal
VIL

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

10 Mei 2013 20:08

Item
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency ICU
Subtotal
UNT
UNT

10 Mei 2013 15:55

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
UNT
UNT

10 Mei 2013 14:57

Item
CEFADROXIL INF CAPSULE 500 MG
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
15,00
15,00
5,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
TAB
TAB
UNT

10 Mei 2013 14:50

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

10 Mei 2013 14:39

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

10 Mei 2013 14:35

Item
ASAM MEFENAMAT INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
1,00
1,00
2,00
1,00
4,00

Depo IGD
Subtotal
TAB
CAP
BOT
UNT
UNT
PKG
UNT
UNT

10 Mei 2013 14:20

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

10 Mei 2013 13:43

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
1,00
10,00
3,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
UNT
TAB
UNT

10 Mei 2013 13:29

Item
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
10,00
2,00
15,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
CAP
PKG
TAB
UNT
BOT
UNT
UNT

TUSLAH NON RACIKAN

TOTAL

4,00

UNT

10 Mei 2013 13:17

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

10 Mei 2013 13:16

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

Depo IGD
Subtotal
TAB
UNT

10 Mei 2013 13:13

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

10 Mei 2013 13:12

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

10 Mei 2013 12:57

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT

10 Mei 2013 12:54

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET

JAKARTA SEHAT
Quantity
20,00
15,00

Depo IGD
Subtotal
CAP
TAB

TUSLAH NON RACIKAN

TOTAL

2,00

UNT

10 Mei 2013 12:48

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
1,00
2,00
3,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
UNT
PKG
UNT

10 Mei 2013 11:52

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

10 Mei 2013 11:52

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

Depo IGD
Subtotal
CAP
UNT

10 Mei 2013 11:06

Item
CEFIXIME GENERIK CAPSULE
MEFINAL 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
CAP
TAB
UNT
BOT
UNT
UNT
UNT

10 Mei 2013 10:55

Item
KALMICETINE 15 GM
MICROPORE 1/2 INC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
TUB
UNT
UNT

TOTAL

10 Mei 2013 10:38

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
1,00
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
CAP
TAB
UNT
BOT
UNT
UNT
UNT

10 Mei 2013 10:38

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel
Subtotal
BOX
UNT

10 Mei 2013 09:17

Item
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo Atas
Subtotal
TAB
UNT

8 Mei 2013 19:00

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo IGD
Subtotal
TAB
UNT

8 Mei 2013 16:16

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
15,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

8 Mei 2013 16:14

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

CEFIXIME GENERIK CAPSULE

ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
2,00

CAP
TAB
UNT

8 Mei 2013 15:28

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

8 Mei 2013 14:53

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
MICROPORE 1/2 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
2,00
2,00
1,00
6,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
UNT
BOT
UNT

8 Mei 2013 14:52

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

8 Mei 2013 14:43

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
WUNDRES N 10 x 10
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
FIXOMUL 76991 (15CM)
HANDSCOON GAMEX 7.5

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
1,00
0,15
1,00

Emergency OK
Subtotal
BOT
UNT
AMP
UNT
UNT
UNT

HANDSCOON GAMEX 6.5

TUSLAH NON RACIKAN
TOTAL

1,00
7,00

UNT
UNT

8 Mei 2013 14:16

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
T-LENE 3-0 L19 TRITON
CHROMIC 2/0 C 27 X 150 CM
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
20,00
8,00

Emergency OK
Subtotal
BOT
UNT
PKG
UNT
UNT
UNT
UNT
PKG
UNT

8 Mei 2013 14:13

Item
STOMACH TUBE 18 JMS
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
2,00
2,00

Depo Atas
Subtotal
UNT
BOT
UNT

8 Mei 2013 13:44

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

8 Mei 2013 13:39

Item
CHROMIC 2/0 C 27 X 150 CM
T-LENE 3-0 L19 TRITON
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
5,00

Emergency OK
Subtotal
PKG
UNT
UNT
UNT
BOT
UNT

8 Mei 2013 13:23

UMUM

Depo IGD

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
30,00
1,00

Subtotal
TAB
UNT

8 Mei 2013 12:11

Item
XYLOCAINE 2% 10 GM JELLY
MICROPORE 1/2 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
0,25
2,00
2,00
4,00

Emergency OK
Subtotal
TUB
UNT
UNT
UNT
UNT

8 Mei 2013 12:09

Item
T-LENE 3-0 L19 TRITON
CHROMIC 2/0 C 27 X 150 CM
LEUKOCREPE 3 INC
DUODERM EXTRATHIN 4X4
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 8
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
2,00
10,00
8,00

Emergency OK
Subtotal
UNT
PKG
UNT
UNT
BOT
UNT
UNT
PKG
UNT

8 Mei 2013 11:12

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
CHROMIC 2/0 C 27 X 150 CM
T-LENE 3-0 L19 TRITON
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
6,00

Emergency OK
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT

8 Mei 2013 11:02

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
T-LENE 3-0 L19 TRITON
CHROMIC 2/0 C 27 X 150 CM

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Emergency OK
Subtotal
BOT
UNT
PKG

T-Vio 2/0 V9
T-HERNIA MESH LM3 6 X 10 CM
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
DUODERM EXTRATHIN 4X4
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
4,00
5,00
20,00
1,00
2,00
14,00

PKG
PKG
UNT
UNT
TUB
UNT
UNT
UNT
PKG
UNT
PKG
UNT

8 Mei 2013 10:53

Item
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Emergency OK
Subtotal
TUB
UNT
UNT

8 Mei 2013 10:48

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
T-LENE 3-0 L19 TRITON
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
CHROMIC 2/0 C 27 X 150 CM
DUODERM EXTRATHIN 4X4
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
UNT
PKG
UNT
BOT
PKG
UNT

8 Mei 2013 10:05

Item
ARDIUM TABLET
ASAM TRANEKSAMAT 500 MG TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
3,00

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

8 Mei 2013 09:41

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
T-LENE 3-0 L19 TRITON
HANDSCOON GAMEX 7.5
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
3,00
1,00
0,50
6,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
BOT
UNT
UNT

8 Mei 2013 09:25

Item
CIRCUIT VENTILATOR DISP (2009) ( BREATHING SYST)
FILTERHUMIDIFLER+HME
INFUS SET JMS
RING AS SANBE 500 ML
PROANES 10 MG/ML INJECTION
MORPHINE KIMIA FARMA 10 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MEDIFIX LINE
THREE WAY STOPCOCK
DISP SYRINGE 10 CC
RAIVAS 4 ML SOLUTION, INJECTION 1 MG/ML
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
2,00
12,00

Emergency ICU
Subtotal
PKG
UNT
UNT
BOT
AMP
AMP
BOT
UNT
UNT
UNT
AMP
UNT
UNT

8 Mei 2013 09:23

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
PRECUT SILK 1 PS26
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
THORACIC CATHETER 28
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
1,00
6,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
UNT
PKG
UNT

8 Mei 2013 07:48

Item
T-VIO 1 V14
CHROMIC 2/0 C 27 X 150 CM
T-DIO 1 D73

JAKARTA SEHAT
Quantity
4,00
1,00
1,00

Emergency OK
Subtotal
PKG
PKG
PKG

PRECUT SILK 2 PS27

SILK 2/0 tap HR22 Assut
T-LENE 3-0 L19 TRITON
Assucryl 3/0 Tapper
STOMACH TUBE 20 JMS
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
SURGICAL GOWN SIZE XL
SURGICAL GOWN SIZE L
MEDICAL CAPS
SUCTION BAG GREEN 2000ML
POLY SUCTION SET ( YANKUAR)
UNIVERSAL DRAPE SET
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
2,00
1,00
1,00
2,00
2,00
2,00
1,00
3,00
1,00
1,00
1,00
16,00

PKG
PKG
UNT
PKG
UNT
UNT
UNT
PKG
UNT
PKG
UNT
PKG
PKG
UNT

7 Mei 2013 19:34

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
4,00

Depo IGD
Subtotal
VIL
AMP
UNT
UNT
UNT

7 Mei 2013 14:08

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

7 Mei 2013 14:07

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
10,00
3,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
CAP
UNT

7 Mei 2013 13:48

JAKARTA SEHAT

Emergency OK

Item
CENDO GENTAMYCIN 3.5 GM OINTMENT
MICROPORE 1/2 INC
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
15,00
4,00

Subtotal
TUB
UNT
AMP
CC
UNT

7 Mei 2013 13:43

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
1,00
1,00
1,00
1,00
3,00
3,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
UNT
PKG
UNT

7 Mei 2013 13:39

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

7 Mei 2013 13:14

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
10,00
1,00
1,00
1,00
1,00
2,00
5,00

Depo IGD
Subtotal
CAP
TAB
TAB
BOT
UNT
UNT
UNT
PKG
UNT

7 Mei 2013 13:12

JAKARTA SEHAT

Depo IGD

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
1,00
1,00
1,00
10,00
15,00
4,00

Subtotal
PKG
UNT
BOT
UNT
UNT
CAP
TAB
UNT

7 Mei 2013 13:11

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

7 Mei 2013 13:10

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

7 Mei 2013 12:27

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
10,00
4,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
TAB
UNT

7 Mei 2013 12:06

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

Depo IGD
Subtotal
TAB
UNT

7 Mei 2013 11:39

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

7 Mei 2013 11:23

Item
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
MEFINAL 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
15,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
CAP
TAB
BOT
UNT
UNT
UNT

7 Mei 2013 11:21

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
10,00
15,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
CAP
TAB
UNT

7 Mei 2013 10:43

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
BOT

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00

UNT
UNT
UNT

7 Mei 2013 10:43

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
BOT
UNT
UNT
UNT

7 Mei 2013 10:42

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
3,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
UNT

7 Mei 2013 10:34

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

7 Mei 2013 10:19

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT

TUSLAH NON RACIKAN

TOTAL

3,00

UNT

7 Mei 2013 10:18

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
BOT
UNT
UNT
UNT
UNT

7 Mei 2013 10:06

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
UNT
UNT

6 Mei 2013 19:24

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00
3,00
1,00
2,00
7,00

Depo IGD
Subtotal
VIL
BOT
UNT
UNT
UNT
UNT
BAG
UNT

6 Mei 2013 19:23

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00

Depo IGD
Subtotal
VIL
BOT
UNT
UNT

DISP SYRINGE 10 CC
IVENA IV CATH 20
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
2,00
7,00

UNT
UNT
BAG
UNT

6 Mei 2013 14:38

Item
T-HERNIA MESH LM3 6 X 10 CM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

6 Mei 2013 13:14

Item
T-Vio 2/0 V9
Chromic 2/0 atramat
T-LENE 2-0 L20
DUODERM EXTRATHIN 4X4
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
13,00

Emergency OK
Subtotal
PKG
UNT
PKG
UNT
UNT
UNT
TUB
UNT
BOT
UNT
UNT
UNT
PKG
UNT

6 Mei 2013 11:44

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
PARACETAMOL 60 ML SYRUP
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
BOT
BOT
UNT
BOT
UNT
UNT
UNT

6 Mei 2013 11:21

Item

JAKARTA SEHAT
Quantity

Emergency OK
Subtotal

T-LENE 2-0 L20

WUNDRES B
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
LEUKOCREPE 6 INC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
4,00
3,00
5,00
1,00
7,00

PKG
UNT
BOT
UNT
UNT
PKG
UMG
UNT

6 Mei 2013 10:57

Item
T-LENE 2-0 L20
FIXOMUL 76991 (15CM)
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
0,20
2,00
2,00
4,00

Emergency OK
Subtotal
PKG
UNT
UNT
UNT
UNT

6 Mei 2013 10:06

Item
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
5,00
5,00

Emergency OK
Subtotal
TUB
UNT
UNT
UNT
PKG
UNT

4 Mei 2013 12:03

Item
CEFIXIME GENERIK CAPSULE
OMEPRAZOLE GEN 20 MG CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
AMLODIPIN 10 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
10,00
10,00
1,00
5,00
5,00
10,00
1,00
1,00
1,00
6,00

Depo Atas
Subtotal
CAP
TAB
BOT
TAB
TAB
TAB
BOT
UNT
UNT
UNT

4 Mei 2013 11:54

Item
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
PKG
UNT

4 Mei 2013 11:37

Item
METRONIDAZOLE 500 MG TABLET
VERBAND ROLL
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
2,00
1,00
101,00
15,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
TAB
PKG
UNT
CAP
TAB
BOT
UNT
UNT
UNT

4 Mei 2013 11:29

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ARDIUM TABLET
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
20,00
3,00
4,00

Depo Atas
Subtotal
AMP
AMP
TAB
BOT
UNT

4 Mei 2013 11:27

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
ASAM MEFENAMAT INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
15,00
10,00
3,00

Depo IGD
Subtotal
UNT
BOT
UNT
UNT
TAB
CAP
UNT

4 Mei 2013 11:14

Item
SANMOL INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
3,00
3,00

Depo Atas
Subtotal
BOT
VIL

TUSLAH NON RACIKAN

TOTAL

2,00

UNT

4 Mei 2013 10:01

Item
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
1,00
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
TAB
TAB
UNT
BOT
UNT
UNT
UNT

4 Mei 2013 10:01

Item
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
1,00
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
TAB
TAB
UNT
BOT
UNT
UNT
UNT

4 Mei 2013 10:00

Item
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
1,00
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
TAB
TAB
UNT
BOT
UNT
UNT
UNT

4 Mei 2013 09:59

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Apotik Panel
Subtotal
BOX
UNT

4 Mei 2013 09:58

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Apotik Panel
Subtotal
BOX
UNT

3 Mei 2013 12:59

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00

Depo IGD
Subtotal
TAB
UNT

2 Mei 2013 14:20

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
Chromic 2/0 atramat
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
2,00
2,00
5,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT

2 Mei 2013 12:55

Item
T-HERNIA MESH LM3 6 X 10 CM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Emergency OK
Subtotal
PKG
UNT

2 Mei 2013 12:06

Item
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
PKG
UNT

2 Mei 2013 11:43

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT

2 Mei 2013 11:42

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

2 Mei 2013 11:33

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
ANBACIM CAPSULE, FILM COATED 500 mg
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
10,00
15,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
TAB
TAB
UNT

2 Mei 2013 11:33

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

2 Mei 2013 10:23

Item
ULTRACET 37,5MG TABL
OMEPRAZOLE GEN 20 MG CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
ANBACIM CAPSULE, FILM COATED 500 mg
LEUKOCREPE 6 INC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
7,00
1,00
1,00
1,00
10,00
1,00
4,00

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
UNT
TAB
UMG
UNT

2 Mei 2013 10:22

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
4,00
1,00

Apotik Panel
Subtotal
BOX
UNT

2 Mei 2013 10:19

Item
ARDIUM TABLET
PK 30 GM CRYSTAL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
2,00

Depo Atas
Subtotal
TAB
POT
UNT

2 Mei 2013 10:15

Item
METRONIDAZOLE 500 MG TABLET
BOORWATER 100 ML SOLUTION
KETOPROFEN 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
5,00
3,00

Depo Atas
Subtotal
TAB
BOT
TAB
UNT

2 Mei 2013 10:14

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel
Subtotal
BOX
UNT

2 Mei 2013 09:43

Item
T-LENE 2-0 L20
Chromic 2/0 atramat
T-Vio 2/0 V9
DUODERM EXTRATHIN 4X4
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
FOLLEY CATHETER 18 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 8
HANDSCOON NON STERIL M (PCS)
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
5,00
3,00
20,00
3,00
13,00

Emergency OK
Subtotal
PKG
UNT
PKG
UNT
UNT
UNT
UNT
TUB
UNT
UNT
UNT
PKG
PKG
UNT

2 Mei 2013 07:23

Item
PRECUT SILK 1 PS26
LIDOCAIN 2% INJECTION

JAKARTA SEHAT
Quantity
1,00
3,00

Emergency OK
Subtotal
UNT
AMP

CENDO GENTAMYCIN 3.5 GM OINTMENT

MICROPORE 1 INC
DISP SYRINGE 10 CC
STOMACH TUBE 20 JMS
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 8
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
2,00
1,00
9,00

TUB
UNT
UNT
UNT
UNT
UNT
BOT
UNT

2 Mei 2013 07:15

Item
WUNDRES B
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
LEUKOCREPE 6 INC
HANDSCOON GAMEX 6
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
3,00
10,00
3,00
7,00

Emergency OK
Subtotal
UNT
BOT
UMG
UNT
UNT
PKG
PKG
UNT

2 Mei 2013 07:03

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
WUNDRES B
LEUKOCREPE 6 INC
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 8
HANDSCOON NON STERIL M (PCS)
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
3,00
20,00
0,50
7,00

Emergency OK
Subtotal
BOT
UNT
UMG
UNT
UNT
PKG
UNT
UNT

1 Mei 2013 21:49

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

1 Mei 2013 21:29

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

FARMADOL 100 ML INFUSION

ANBACIM INJECTION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
2,00
3,00

BOT
AMP
BOT
UNT

1 Mei 2013 15:21

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

1 Mei 2013 15:16

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

1 Mei 2013 14:42

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

1 Mei 2013 14:28

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DUODERM EXTRA THIN 2X8
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
1,00
2,00
2,00
5,00

Emergency OK
Subtotal
AMP
UNT
PKG
UNT
UNT
UNT

1 Mei 2013 13:47

Item
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
Chromic 2/0 atramat
DUODERM EXTRA THIN 2X8

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Emergency OK
Subtotal
PKG
UNT
PKG

HANDSCOON GAMEX 6.5

HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
1,00
7,00

UNT
UNT
UNT
BOT
UNT

1 Mei 2013 13:43

Item
Chromic 2/0 atramat
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
DUODERM EXTRA THIN 2X8
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
6,00

Emergency OK
Subtotal
UNT
PKG
PKG
UNT
UNT
BOT
UNT

1 Mei 2013 12:16

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
T-LENE 3-0 L19 TRITON
Chromic 2/0 atramat
DUODERM EXTRA THIN 2X8
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
2,00
2,00
7,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
PKG
UNT
UNT
UNT

1 Mei 2013 09:07

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
Chromic 2/0 atramat
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
SILK 2/0 tap HR22 Assut
DUODERM EXTRA THIN 2X8
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
8,00

Emergency OK
Subtotal
AMP
UNT
UNT
PKG
PKG
PKG
UNT
UNT
UNT

1 Mei 2013 08:57

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
HANDSCOON GAMEX 6
HANDSCOON GAMEX 6.5
DUODERM EXTRA THIN 2X8
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
2,00
2,00
1,00
6,00

Emergency OK
Subtotal
AMP
UNT
PKG
UNT
UNT
PKG
UNT

1 Mei 2013 08:39

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
IVENA IV CATH 22
STOMACH TUBE 3 THERUMO
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
2,00
1,00
3,00
5,00

Emergency OK
Subtotal
AMP
UNT
UNT
PKG
UNT
UNT

Pasien
Penjamin
3994
3994
70438
70438
59400
59400
63253
63253
18192
18192
8415
8415
9633
9633
5020
5020
4000
4000
242345
242345

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
193320
193320
2115
2115
1000
1000
196435
196435

0
0
0
0

Pasien
Penjamin
66739
66739
4146
4146
1997
1997
24024
24024
24024
24024
2500
2500
123430
123430

0
0
0
0
0
0
0

Pasien
Penjamin
193320
193320
2115
2115
1000
1000
196435
196435

0
0
0
0

Pasien
Penjamin
79800
79800
54912
54912
87572
87572

0
0
0

46970
46970
5881
5881
60060
60060
24024
24024
10869
10869
42710.5 42710.5
11525.25 11525.25
5000
5000
429323.8 429323.8

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
109824
109824
79800
79800
46970
46970
87572
87572
5881
5881
24024
24024
24024
24024
24024
24024
10869
10869
4500
4500
417488
417488

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
36036
36036
24024
24024
36036
36036
79800
79800
54912
54912
89100
89100
114956
114956
21355.25 21355.25
4500
4500
466600.3 466600.3

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
67848
67848
54912
54912
72336
72336
54903
54903

0
0
0
0

46970
18343
5809
5732
24024
24024
24024
10869
158400
5881
7000
581075

46970
18343
5809
5732
24024
24024
24024
10869
158400
5881
7000
581075

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54912
54912
500
500
55412
55412

0
0
0

Pasien
Penjamin
54912
54912
79800
79800
46970
46970
87572
87572
24024
24024
24024
24024
24024
24024
10869
10869
21355.25 21355.25
39600
39600
5000
5000
418150.3 418150.3

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54912
54912
79800
79800
46970
46970
5881
5881
12012
12012
24024
24024
24024
24024
10869
10869

0
0
0
0
0
0
0
0

87572
87572
21355.25 21355.25
5000
5000
372419.3 372419.3

0
0
0
0

Pasien
Penjamin
70438
70438
56100
56100
18192
18192
3825
3825
2000
2000
150555
150555

0
0
0
0
0
0

Pasien
Penjamin
26940
26940
705
705
1000
1000
28645
28645

0
0
0
0

Pasien
Penjamin
67848
67848
54912
54912
79800
79800
72336
72336
46970
46970
18343
18343
5809
5809
24024
24024
24024
24024
24024
24024
4016
4016
10869
10869
6000
6000
438975
438975

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2764
2764
1997
1997
12012
12012

0
0
0

12012
2000
30785

12012
2000
30785

0
0
0

Pasien
Penjamin
12012
12012
24024
24024
2008
2008
79800
79800
4146
4146
3736
3736
1997
1997
11525.25 11525.25
4000
4000
143248.3 143248.3

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5528
5528
3736
3736
75350
75350
1997
1997
12012
12012
24024
24024
2008
2008
11525.25 11525.25
4000
4000
140180.3 140180.3

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
193320
193320
1410
1410
1000
1000
195730
195730

0
0
0
0

Pasien
Penjamin
11385
11385
112200
112200
1000
1000
124585
124585

0
0
0
0

Pasien
Penjamin
39500
39500
2760
2760
1000
1000
43260
43260

0
0
0
0

Pasien
Penjamin
2764
2764
3736
3736
75350
75350
24024
24024
24024
24024
1997
1997
3000
3000
134895
134895

0
0
0
0
0
0
0
0

Pasien
Penjamin
2764
2764
75350
75350
12012
12012
24024
24024
2008
2008
1275
1275
3000
3000
120433
120433

0
0
0
0
0
0
0
0

Pasien
Penjamin
67848
67848
54912
54912
79800
79800
36036
36036
24024
24024
36036
36036
10040
10040
10869
10869
42710.5 42710.5
4500
4500
366775.5 366775.5

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54912
54912
11525.25 11525.25
36036
36036
36036
36036
36036
36036
5020
5020
10869
10869
42710.5 42710.5
12540
12540
4500
4500
250184.8 250184.8

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75350
75350
24024
24024
24024
24024
24024
24024
12540
12540
10869
10869
3000
3000
173831
173831

0
0
0
0
0
0
0
0

Pasien
Penjamin
6380
6380
500
500
6880
6880

0
0
0

Pasien
Penjamin
509760
509760
7392
7392
26535
26535
2115
2115
2000
2000
3500
3500
450
450
2000
2000
553752
553752

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
140876
140876
500
500
141376
141376

0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
7392
7392
26535
26535
193320
193320
2115
2115
2000
2000
237312
237312

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
193320
193320
1410
1410
2000
2000
3500
3500
450
450
2000
2000
236607
236607

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
26940
26940
2115
2115
2000
2000
3500
3500
450
450
2000
2000
70932
70932

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4905
4905
26535
26535
5280
5280
2000
2000
3500
3500
50
50
1500
1500
43770
43770

0
0
0
0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
193320
193320
7392
7392
26535
26535
2000
2000
3500
3500
450
450
1500
1500
234697
234697

0
0
0
0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
3270
3270
3030
3030
1000
1000
7300
7300

0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
70438
70438
56100
56100
63253
63253
18192
18192
16335
16335
14988
14988
3000
3000
242306
242306

0
0
0
0
0
0
0
0

Pasien
Penjamin
193320
193320
2115
2115
26535
26535
2000
2000
3500
3500
450
450
1500
1500
229420
229420

0
0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
500
500
158900
158900

0
0
0

Pasien

Penjamin

193320
2115
7392
26535
2000
3500
50
2000
236912

193320
2115
7392
26535
2000
3500
50
2000
236912

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
67848
67848
109806
109806
54912
54912
75350
75350
23760
23760
19662
19662
5881
5881
48048
48048
60060
60060
10040
10040
10869
10869
42710.5 42710.5
6000
6000
534946.5 534946.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
38664
38664
168300
168300
27288
27288
14988
14988
2000
2000
251240
251240

0
0
0
0
0
0

Pasien
Penjamin
87572
87572
2000
2000
3500
3500
50
50
26940
26940
2115
2115

0
0
0
0
0
0

1500
123677

1500
123677

0
0

Pasien
Penjamin
72336
72336
54912
54912
67848
67848
5881
5881
18342
18342
5809
5809
5732
5732
36036
36036
36036
36036
36036
36036
4518
4518
42710.5 42710.5
6000
6000
392196.5 392196.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
36036
36036
24024
24024
87572
87572
2000
2000
155513
155513

0
0
0
0
0
0

Pasien
Penjamin
54912
54912
75350
75350

0
0

89100
89100
36036
36036
48048
48048
10040
10040
5881
5881
10869
10869
87572
87572
42710.5 42710.5
5000
5000
465518.5 465518.5

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39500
39500
282
282
1000
1000
40782
40782

0
0
0
0

Pasien
Penjamin
186090
186090
14940
14940
18180
18180
1500
1500
220710
220710

0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
40410
40410
3960
3960
1000
1000
45370
45370

0
0
0
0

Pasien

Penjamin

26940
2000
3500
50
7392
26535
2640
1410
2500
72967

26940
2000
3500
50
7392
26535
2640
1410
2500
72967

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26535
26535
7392
7392
2000
2000
3500
3500
50
50
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
500
500
4460
4460

0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392

0
0
0
0

26535
1000
40477

26535
1000
40477

0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
215404
215404
500
500
215904
215904

0
0
0

Pasien
Penjamin
26940
26940
2640
2640
1000
1000
30580
30580

0
0
0
0

Pasien
Penjamin
26940
26940
26535
26535
2000
2000
3500
3500
450
450
1000
1000
60425
60425

0
0
0
0
0
0
0

Pasien
Penjamin
39500
39500
10592
10592
1000
1000
51092
51092

0
0
0
0

Pasien
Penjamin
26940
26940
46101
46101
2000
2000
3500
3500
50
50
2370
2370
1500
1500
82461
82461

0
0
0
0
0
0
0
0

Pasien
Penjamin
8250
8250
500
500
8750
8750

0
0
0

Pasien
Penjamin
10683
10683
500
500
11183
11183

0
0
0

Pasien
Penjamin
26940
26940
18180
18180
2000
2000
3500
3500
450
450
26535
26535
1500
1500
79105
79105

0
0
0
0
0
0
0
0

Pasien
Penjamin
39500
39500
2760
2760
4000
4000
1500
1500
47760
47760

0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
153860
153860
500
500
154360
154360

0
0
0

Pasien
Penjamin
153860
153860
780
780
11920
11920
1500
1500
168060
168060

0
0
0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Pasien
Penjamin
87572
87572
66528
66528
11762
11762
60060
60060
36036
36036
10040
10040
10869
10869
3500
3500
286367
286367

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
110629
110629
56100
56100
18192
18192

0
0
0

3994
2550
3300
18343
3012
14988
4500
235608

3994
2550
3300
18343
3012
14988
4500
235608

0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
56100
56100
26124
26124
13860
13860
18343
18343
3012
3012
3994
3994
3300
3300
14988
14988
2550
2550
5000
5000
170041
170041

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
67848
67848
79800
79800
18343
18343
5809
5809
5732
5732
60060
60060
36036
36036
10040
10040
10869
10869
42710.5 42710.5
5500
5500
348628.5 348628.5

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12012
12012
5881
5881

0
0

1000
18893

1000
18893

0
0

Pasien
Penjamin
36686
36686
5809
5809
5732
5732
144672
144672
75350
75350
54903
54903
67848
67848
54912
54912
46970
46970
158400
158400
5881
5881
36036
36036
36036
36036
36036
36036
10040
10040
10869
10869
42710.5 42710.5
8500
8500
837390.5 837390.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2764
2764
1275
1275
72336
72336
24024
24024
1004
1004
2500
2500
103903
103903

0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2115
2115
26940
26940
2000
2000
3500
3500
450
450

0
0
0
0
0
0
0

2000
70932

2000
70932

0
0

Pasien
Penjamin
26940
26940
2115
2115
7392
7392
26535
26535
2000
2000
3500
3500
450
450
2000
2000
70932
70932

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1275
1275
9240
9240
3560
3560
5220
5220
85272
85272
168300
168300
50200
50200
3500
3500
326567
326567

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
3270
3270
3030
3030
1000
1000
7300
7300

0
0
0
0

Pasien

Penjamin

43362
7392
1000
51754

43362
7392
1000
51754

0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
26940
26940
2640
2640
1000
1000
30580
30580

0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
450
450
1000
1000
40877
40877

0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535

0
0

2000
3500
450
1000
40877

2000
3500
450
1000
40877

0
0
0
0
0

Pasien
Penjamin
46200
46200
39078
39078
173250
173250
30888
30888
3994
3994
2550
2550
3000
3000
298960
298960

0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
56100
56100
8415
8415
14988
14988
18192
18192
2500
2500
122965
122965

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
75350
75350
6910
6910
1540
1540
24024
24024
1004
1004
2500
2500
111328
111328

0
0
0
0
0
0
0

Pasien
Penjamin
166320
166320
76032
76032
1000
1000
243352
243352

0
0
0
0

Pasien
Penjamin
158400
158400
46970
46970
1000
1000
206370
206370

0
0
0
0

Pasien
Penjamin
36036
36036
36036
36036
36036
36036
10040
10040
10869
10869
72336
72336
54912
54912
67848
67848
18343
18343
5809
5809
1997
1997
42710.5 42710.5
6000
6000
398972.5 398972.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10770
10770

500
11270

500
11270

0
0

Pasien
Penjamin
234080
234080
500
500
234580
234580

0
0
0

Pasien
Penjamin
6910
6910
1540
1540
72336
72336
54912
54912
46970
46970
12012
12012
24024
24024
3500
3500
222204
222204

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54912
54912
500
500
55412
55412

0
0
0

Pasien
Penjamin
109824
109824
76138
76138
144672
144672
415392
415392
15400
15400
133056
133056
18342
18342
5809
5809
18343
18343
60060
60060
36036
36036
28316
28316
10869
10869
1997
1997

0
0
0
0
0
0
0
0
0
0
0
0
0
0

7000
1081254

7000
1081254

0
0

Pasien
Penjamin
66528
66528
18343
18343
18342
18342
5809
5809
1997
1997
86394
86394
76138
76138
67848
67848
144672
144672
24024
24024
24024
24024
36036
36036
10040
10040
10869
10869
42710.5 42710.5
68064
68064
8000
8000
709838.5 709838.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
3994
3994
2550
2550
16788
16788
12540
12540
24024
24024
24024
24024
3500
3500
94330
94330

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12540
12540
54903
54903
144672
144672
26535
26535
36036
36036
36036
36036

0
0
0
0
0
0

10040
23100
10869
4500
359231

10040
23100
10869
4500
359231

0
0
0
0
0

Pasien
Penjamin
18343
18343
132950
132950
406452
406452
135696
135696
54903
54903
144672
144672
23100
23100
117040
117040
30800
30800
64886
64886
18342
18342
5809
5809
1997
1997
32918
32918
11946
11946
87780
87780
60060
60060
60060
60060
36036
36036
10040
10040
10000
10000
1463830 1463830

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
4000
4000
3500
3500
450
450
40410
40410
15200
15200
5280
5280
2500
2500
105267
105267

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2115
2115
11920
11920
1500
1500
42475
42475

0
0
0
0
0

Pasien
Penjamin
12540
12540
66528
66528
68112
68112
24024
24024
24024
24024
5020
5020
3000
3000
203248
203248

0
0
0
0
0
0
0
0

Pasien
Penjamin
72336
72336
54912
54912
46970
46970
24024
24024
24024
24024
24024
24024
5020
5020
17084.2 17084.2
87572
87572
4500
4500
360466.2 360466.2

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
26940
26940
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
63253
63253
5020
5020
3560
3560
1500
1500
73333
73333

0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
2115
2115
7392
7392
2000
2000
3500
3500
50
50
26535
26535
1500
1500
43092
43092

0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
26535
26535
7392
7392
2115
2115
26940
26940
2000
2000
70532
70532

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
26535
26535
7392
7392
2115
2115
1500
1500
43092
43092

0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien

Penjamin

4746
7392
26535
2000
3500
50
1500
45723

4746
7392
26535
2000
3500
50
1500
45723

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2115
2115
7392
7392
2000
2000
3500
3500
50
50
26535
26535
2000
2000
70532
70532

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
8820
8820
1500
1500
49797
49797

0
0
0
0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
27640
27640
500
500
33690
33690

0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
2115
2115

0
0
0
0
0
0
0

2000
70532

2000
70532

0
0

Pasien
Penjamin
153860
153860
3960
3960
1000
1000
158820
158820

0
0
0
0

Pasien
Penjamin
8778
8778
500
500
9278
9278

0
0
0

Pasien
Penjamin
70438
70438
22125
22125
20790
20790
59400
59400
2000
2000
174753
174753

0
0
0
0
0
0

Pasien
Penjamin
70438
70438
33984
33984
59400
59400
63253
63253
18192
18192
2500
2500
247767
247767

0
0
0
0
0
0
0

Pasien
Penjamin
70438
70438
59400
59400
63253
63253
9096
9096
2000
2000

0
0
0
0
0

204187

204187

Pasien
Penjamin
158400
158400
500
500
158900
158900

0
0
0

Pasien
Penjamin
158400
158400
500
500
158900
158900

0
0
0

Pasien
Penjamin
135696
135696
54912
54912
150700
150700
46970
46970
18342
18342
5809
5809
18342
18342
56262
56262
5732
5732
5881
5881
48048
48048
48048
48048
10040
10040
10869
10869
39600
39600
7500
7500
662751
662751

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
67848
67848
54912
54912
79800
79800
18342
18342
5809
5809
56262
56262
5732
5732

0
0
0
0
0
0
0

5881
5881
24024
24024
24024
24024
10040
10040
10869
10869
29040
29040
21355.25 21355.25
46970
46970
7500
7500
468408.3 468408.3

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
26940
26940
2115
2115
1000
1000
30055
30055

0
0
0
0

Pasien
Penjamin
87572
87572
150700
150700
109824
109824
54903
54903
5881
5881
24024
24024
24024
24024
24024
24024
10040
10040
10869
10869
13200
13200
5500
5500
520561
520561

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

4146
1275
66739
24024
24024
5307
1757
3500
130772

4146
1275
66739
24024
24024
5307
1757
3500
130772

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5528
5528
1997
1997
12012
12012
12012
12012
150700
150700
5881
5881
26535
26535
3500
3500
218165
218165

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24750
24750
33792
33792
29976
29976
5881
5881
8415
8415
56100
56100
1382
1382
1275
1275
12012
12012
12012
12012
5000
5000
190595
190595

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24750
24750
29976
29976
33792
33792
5881
5881
8415
8415

0
0
0
0
0

56100
1382
12012
12012
4500
188820

56100
1382
12012
12012
4500
188820

0
0
0
0
0
0

Pasien
Penjamin
109806
109806
132950
132950
54912
54912
150700
150700
15400
15400
5809
5809
36036
36036
36036
36036
36036
36036
10040
10040
21355.25 21355.25
29040
29040
29405
29405
10869
10869
39600
39600
7500
7500
725494.3 725494.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
500
500
4460
4460

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
131099
131099

500
131599

500
131599

0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
26940
26940
3960
3960
27640
27640
1500
1500
60040
60040

0
0
0
0
0

Pasien
Penjamin
8820
8820
2000
2000
3500
3500
50
50
7392
7392
26535
26535
3960
3960
2115
2115
2500
2500
56872
56872

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2115
2115
1000
1000
30055
30055

0
0
0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
1410
1410
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
2000
2000
69827
69827

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
26535
26535
12120
12120
1500
1500
72645
72645

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
7392
7392
2115
2115
26535
26535
2000
2000
3500
3500
450
450

0
0
0
0
0
0
0

2000
70932

2000
70932

0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
230790
230790
500
500
231290
231290

0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
26535
26535
7392
7392
1000
1000
40877
40877

0
0
0
0
0
0
0

Pasien
Penjamin
53880
53880
3960
3960

0
0

1000
58840

1000
58840

0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
26535
26535
7392
7392
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
40410
40410
500
500
40910
40910

0
0
0

Pasien
Penjamin
26940
26940
12120
12120
26535
26535
2000
2000
3500
3500
450
450
1500
1500
73045
73045

0
0
0
0
0
0
0
0

Pasien
Penjamin
10890
10890
26535
26535
1000
1000

0
0
0

38425

38425

Pasien
Penjamin
26940
26940
2115
2115
26535
26535
2000
2000
3500
3500
50
50
1500
1500
62640
62640

0
0
0
0
0
0
0
0

Pasien
Penjamin
17210
17210
500
500
17710
17710

0
0
0

Pasien
Penjamin
2640
2640
500
500
3140
3140

0
0
0

Pasien
Penjamin
46158
46158
500
500
46658
46658

0
0
0

Pasien
Penjamin
26940
26940
2115
2115
3960
3960
1500
1500
34515
34515

0
0
0
0
0

Pasien

Penjamin

26940
1410
1000
29350

26940
1410
1000
29350

0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
6910
6910
1997
1997
26535
26535
24024
24024
24024
24024
5881
5881
3000
3000
92371
92371

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
7392
7392
26535
26535
2000
2000
3500
3500
50
50
2000
2000
69827
69827

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
76032
76032
6910
6910
1997
1997
21237
21237
12012
12012

0
0
0
0
0
0

12012
3500
139581

12012
3500
139581

0
0
0

Pasien
Penjamin
5881
5881
75350
75350
54912
54912
46970
46970
24024
24024
24024
24024
24024
24024
10040
10040
4000
4000
269225
269225

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21120
21120
126506
126506
1000
1000
148626
148626

0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
54912
54912
75350
75350
12012
12012
36036
36036
5881
5881
2500
2500
186691
186691

0
0
0
0
0
0
0

Pasien
Penjamin
230790
230790
500
500
231290
231290

0
0
0

Pasien
Penjamin
56262
56262
6633.75 6633.75
24024
24024
24024
24024
2000
2000
112943.8 112943.8

0
0
0
0
0
0

Pasien
Penjamin
75350
75350
54912
54912
57478
57478
46970
46970
5881
5881
24024
24024
24024
24024
5020
5020
4000
4000
297659
297659

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
12012
12012
24024
24024
54912
54912
75350
75350
26535
26535
3000
3000
201714
201714

0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
75350
75350
54912
54912

0
0
0

67848
158400
18343
5809
56262
5732
48048
60060
10040
46970
26400
7000
647055

67848
158400
18343
5809
56262
5732
48048
60060
10040
46970
26400
7000
647055

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56262
56262
12012
12012
1000
1000
69274
69274

0
0
0
0

Pasien
Penjamin
6910
6910
1997
1997
75350
75350
12012
12012
12012
12012
54912
54912
46970
46970
5881
5881
13200
13200
4500
4500
233744
233744

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
153860
153860
11920
11920
780
780
1500
1500
168060
168060

0
0
0
0
0

Pasien
Penjamin
5528
5528
1997
1997
75350
75350
36036
36036
5881
5881
13267.5 13267.5
3000
3000
141059.5 141059.5

0
0
0
0
0
0
0
0

Pasien
Penjamin
173250
173250
46200
46200
8415
8415
16417
16417
70731
70731
12600
12600
11762
11762
106590
106590
20213
20213
3994
3994
116160
116160
25220
25220
6000
6000
617552
617552

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4146
4146
1997
1997
11722
11722
24024
24024
24024
24024
373853
373853
3000
3000
442766
442766

0
0
0
0
0
0
0
0

Pasien
Penjamin
285964
285964
54912
54912
132950
132950

0
0
0

23654
54903
150700
64886
15400
24024
24024
209088
96360
290505
71280
66000
782500
8000
2355150

23654
54903
150700
64886
15400
24024
24024
209088
96360
290505
71280
66000
782500
8000
2355150

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
30794
30794
3994
3994
2550
2550
2000
2000
52752
52752

0
0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
26940
26940
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
32010
32010
26535
26535
46958
46958
160380
160380
2000
2000
267883
267883

0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
26535
26535
11088
11088
1500
1500
71613
71613

0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3960
3960
4500
4500
2000
2000
3500
3500
50
50
26535
26535
7392
7392
2500
2500
77377
77377

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
26940
26940
2115
2115
2000
2000
70532
70532

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1410
1410
2000
2000
69827
69827

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2115
2115
500
500
2615
2615

0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
26535
26535
26940
26940
18180
18180
2000
2000
3500
3500
450
450
1500
1500
79105
79105

0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
26940
26940
2115
2115
2000
2000
70532
70532

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26535
26535
2000
2000

0
0

3500
450
500
32985

3500
450
500
32985

0
0
0
0

Pasien
Penjamin
26535
26535
2000
2000
3500
3500
450
450
500
500
32985
32985

0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
450
450
7392
7392
26535
26535

0
0
0
0
0
0

1500
68317

1500
68317

0
0

Pasien
Penjamin
26940
26940
2115
2115
7392
7392
2000
2000
3500
3500
450
450
26535
26535
2000
2000
70932
70932

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
26535
26535
1000
1000
60025
60025

0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
118800
118800
3825
3825
4620
4620
5991
5991
14988
14988
19266
19266
3500
3500
184404
184404

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
118800
118800
3825
3825
4620
4620

0
0
0
0

5991
14988
19266
3500
184404

5991
14988
19266
3500
184404

0
0
0
0
0

Pasien
Penjamin
158400
158400
500
500
158900
158900

0
0
0

Pasien
Penjamin
67848
67848
74869
74869
72336
72336
46970
46970
18343
18343
5809
5809
56262
56262
5732
5732
5881
5881
12012
12012
24024
24024
24024
24024
39600
39600
6500
6500
460210
460210

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39500
39500
2760
2760
26535
26535
2000
2000
3500
3500
50
50
1500
1500
75845
75845

0
0
0
0
0
0
0
0

Pasien

Penjamin

72336
66528
5881
48048
36036
2510
87572
3500
322411

72336
66528
5881
48048
36036
2510
87572
3500
322411

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
72336
72336
28316
28316
24024
24024
24024
24024
2000
2000
150700
150700

0
0
0
0
0
0

Pasien
Penjamin
56262
56262
5732
5732
24024
24024
24024
24024
2510
2510
2500
2500
115052
115052

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
4500
4500
57964
57964
7255
7255
2505
2505
14580
14580
2000
2000
3500
3500
50
50
3000
3000
122294
122294

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
500
500
7892
7892

0
0
0

Pasien
Penjamin
3960
3960
7392
7392
26535
26535
272094
272094
2115
2115
2000
2000
3500
3500
450
450
2500
2500
320546
320546

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5220
5220
27720
27720
153860
153860
168300
168300
2000
2000
357100
357100

0
0
0
0
0
0

Pasien
Penjamin
26535
26535
2000
2000
3500
3500
50
50
2115
2115
26940
26940
1500
1500
62640
62640

0
0
0
0
0
0
0
0

Pasien
Penjamin
168300
168300
20121
20121

0
0

1000
189421

1000
189421

0
0

Pasien
Penjamin
3960
3960
1410
1410
26535
26535
2000
2000
3500
3500
50
50
1500
1500
38955
38955

0
0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
1410
1410
26535
26535
2000
2000
3500
3500
50
50
1500
1500
38955
38955

0
0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
1410
1410
26535
26535
2000
2000
3500
3500
50
50
1500
1500
38955
38955

0
0
0
0
0
0
0
0

Pasien
Penjamin
25815
25815
500
500
26315
26315

0
0
0

Pasien
Penjamin
25815
25815
500
500
26315
26315

0
0
0

Pasien
Penjamin
230790
230790
500
500
231290
231290

0
0
0

Pasien
Penjamin
6910
6910
1997
1997
74869
74869
24024
24024
24024
24024
2500
2500
134324
134324

0
0
0
0
0
0
0

Pasien
Penjamin
316800
316800
500
500
317300
317300

0
0
0

Pasien
Penjamin
7392
7392
500
500
7892
7892

0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
5950
5950

0
0
0
0

Pasien
Penjamin
193320
193320
2115
2115
1000
1000
196435
196435

0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
193320
193320
3960
3960
1000
1000
204230
204230

0
0
0
0
0
0
0

Pasien
Penjamin
193320
193320
1410
1410
1000
1000
195730
195730

0
0
0
0

Pasien
Penjamin
83400
83400
3150
3150
2000
2000
3500
3500
50
50
193320
193320
87572
87572
2000
2000
374992
374992

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
34420
34420
500
500
34920
34920

0
0
0

Pasien
Penjamin
230790
230790
350
350
1000
1000
232140
232140

0
0
0
0

Pasien
Penjamin
3960
3960
2000
2000
8750
8750
1500
1500
16210
16210

0
0
0
0
0

Pasien
Penjamin
17210
17210
500
500
17710
17710

0
0
0

Pasien
Penjamin
144672
144672
149738
149738
135696
135696
93940
93940
18343
18343
5809
5809
18342
18342
56262
56262
5732
5732
60060
60060
36036
36036
10040
10040
39600
39600
6500
6500
780770
780770

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11722
11722
4146
4146

0
0

32010
26600
1997
15400
24024
24024
5881
4500
150304

32010
26600
1997
15400
24024
24024
5881
4500
150304

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
66528
66528
11762
11762
87572
87572
24024
24024
36036
36036
5020
5020
39600
39600
3500
3500
274042
274042

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37620
37620
66528
66528
87572
87572
24024
24024
36036
36036
10040
10040
13300
13300
3500
3500
278620
278620

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
193320
193320
1410
1410
1000
1000
195730
195730

0
0
0
0

Pasien

Penjamin

118800
140876
102432
1500
363608

118800
140876
102432
1500
363608

0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
26940
26940
2640
2640
1410
1410
1500
1500
32490
32490

0
0
0
0
0

Pasien
Penjamin
193320
193320
2115
2115
1000
1000
196435
196435

0
0
0
0

Pasien
Penjamin
4146
4146
1997
1997
62948
62948
24024
24024
24024
24024
2500
2500
119639
119639

0
0
0
0
0
0
0

Pasien
Penjamin
79800
79800
74869
74869
62948
62948

0
0
0

12012
24024
24024
5881
3500
287058

12012
24024
24024
5881
3500
287058

0
0
0
0
0
0

Pasien
Penjamin
74869
74869
79800
79800
62948
62948
24024
24024
24024
24024
5881
5881
3000
3000
274546
274546

0
0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
1997
1997
75350
75350
74869
74869
62948
62948
24024
24024
24024
24024
3500
3500
273622
273622

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
1540
1540
74869
74869
79800
79800
54903
54903
62948
62948
24024
24024
24024
24024
4000
4000
333018
333018

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
1997
1997
79800
79800
24024
24024
24024
24024
62948
62948
3000
3000
202703
202703

0
0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
1997
1997
29976
29976
17160
17160
36036
36036
2500
2500
94579
94579

0
0
0
0
0
0
0

Waktu
31 Mei 2013 14:34
Item
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

31 Mei 2013 14:34

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
4,00

31 Mei 2013 14:34

Item
CEFEPIME 1 GR INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
4,00

31 Mei 2013 13:48

Item
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
1,00
1,00
1,00
2,00
3,00
3,00
2,00
2,00
4,00
11,00

31 Mei 2013 13:36

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
AMINOPHYLLINE 24mg SOLUTION
DEXAMETHASONE 5 MG INJECTION
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
1,00
1,00
3,00
3,00
3,00
3,00
10,00

31 Mei 2013 12:53

Item
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00

31 Mei 2013 12:37

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP ONEMED 5CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

31 Mei 2013 12:32

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00
5,00

31 Mei 2013 12:32

Item

JAKARTA SEHAT
Quantity

VALAMIN SANBE INFUSION

TUSLAH NON RACIKAN
TOTAL

2,00
1,00

31 Mei 2013 12:32

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

31 Mei 2013 10:09

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
10,00
10,00
5,00

31 Mei 2013 09:56

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

31 Mei 2013 09:42

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

31 Mei 2013 09:34

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

30 Mei 2013 20:20

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

30 Mei 2013 19:29

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

30 Mei 2013 16:19

Item
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

30 Mei 2013 16:04

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

30 Mei 2013 14:24

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
20,00
1,00

30 Mei 2013 14:19

Item
IMIPENEM CILASTATIN 1 GR INJECTION
COTRIMOXAZOLE 480 MG TABLET

JAKARTA SEHAT
Quantity
2,00
4,00

FUTROLIT INFUSION
NYMIKO SANBE 12 ML SUSPENSION
FLUCONAZOL INFUS 100 ML
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
2,00
6,00

30 Mei 2013 14:00

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

30 Mei 2013 13:58

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

30 Mei 2013 13:57

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
1,00
15,00
4,00

30 Mei 2013 13:47

Item
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

30 Mei 2013 13:44

Item
RIFAMPICIN INFA CAPSULE 600 MG

JAKARTA SEHAT
Quantity
10,00

INH 100 MG TABLET

INH 300 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
15,00
4,00

30 Mei 2013 13:38

Item
OMEPRAZOLE GEN 20 MG CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
2,00

30 Mei 2013 13:38

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

30 Mei 2013 13:20

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
20,00
5,00

30 Mei 2013 13:16

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
20,00
20,00
5,00

30 Mei 2013 13:11

Item
RIFAMPICIN GENERIK 450 MG TABLET

JAKARTA SEHAT
Quantity
10,00

INH 300 MG TABLET

ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
20,00
20,00
4,00

30 Mei 2013 13:08

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
20,00
20,00
3,00

30 Mei 2013 13:06

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

30 Mei 2013 13:03

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

30 Mei 2013 13:02

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

30 Mei 2013 12:40

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

30 Mei 2013 12:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
NEUROSANBE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
3,00

30 Mei 2013 12:29

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

30 Mei 2013 12:25

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

30 Mei 2013 12:20

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

30 Mei 2013 12:18

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
20,00
4,00

30 Mei 2013 12:17

Item
CEFEPIME 1 GR INJECTION

UMUM
Quantity
2,00

RING AS SANBE 500 ML

DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
3,00

30 Mei 2013 12:15

Item
RANITIDINE INF TABLET 150 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
4,00
3,00

30 Mei 2013 12:13

Item
CETIRIZINE 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
20,00
20,00
30,00
30,00
5,00

30 Mei 2013 12:09

Item
SPORETIK SANBE 100 MG
DEXTROMETHORPHAN INF TABLET 15 MG
EPEXOL TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
20,00
15,00
3,00

30 Mei 2013 12:00

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

30 Mei 2013 12:00

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00

TUSLAH NON RACIKAN

TOTAL

2,00

30 Mei 2013 11:59

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

30 Mei 2013 11:50

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
AZYTHROMICIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
5,00
3,00

30 Mei 2013 11:47

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 11:46

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00

30 Mei 2013 11:42

Item
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 11:42

Item
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
METHYL PREDNISOLONE INF 4 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
15,00
10,00
4,00

30 Mei 2013 11:37

Item
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFEPIME 1 GR INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
RIFAMPICIN GENERIK 450 MG TABLET
NATRIUM PHENITOIN 50MG /ML INJ
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
4,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
10,00

30 Mei 2013 11:26

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

30 Mei 2013 11:24

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

30 Mei 2013 11:24

Item
RIFAMPICIN GENERIK 450 MG TABLET

JAKARTA SEHAT
Quantity
5,00

INH 300 MG TABLET

PYRAZINAMIDE INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
10,00
15,00
5,00

30 Mei 2013 11:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
15,00
15,00
6,00

30 Mei 2013 11:17

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

30 Mei 2013 11:14

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

30 Mei 2013 10:57

Item
CEFIXIME GENERIK CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
5,00
8,00
10,00
5,00

30 Mei 2013 10:43

Item
OMEPRAZOLE GEN 20 MG CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

30 Mei 2013 10:40

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

30 Mei 2013 10:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
3,00

30 Mei 2013 10:19

Item
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
SPORETIK SANBE 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
10,00
10,00
3,00

30 Mei 2013 08:31

Item
CEFIXIME GENERIK CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
5,00
10,00
10,00
5,00

30 Mei 2013 01:31

Item
PANTOPRAZOLE INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

29 Mei 2013 20:00

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

29 Mei 2013 15:01

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

29 Mei 2013 14:32

Item
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
20,00
10,00
10,00
15,00
6,00

29 Mei 2013 14:32

Item
SALBUTAMOL INF TABLET 2 MG
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

29 Mei 2013 14:31

Item
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
20,00
1,00

TOTAL

29 Mei 2013 14:30

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

29 Mei 2013 14:29

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

29 Mei 2013 14:28

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
15,00
5,00

29 Mei 2013 14:27

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
10,00
4,00

29 Mei 2013 14:26

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
1,00

29 Mei 2013 14:24

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

29 Mei 2013 14:22

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

29 Mei 2013 14:16

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

29 Mei 2013 14:14

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
3,00

29 Mei 2013 14:11

Item
CEFIXIME GENERIK CAPSULE
VITAMIN B6 10 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
20,00
20,00

AMBROXOL INF 30 MG TABLET

DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

10,00
20,00
8,00

29 Mei 2013 14:08

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
2,00

29 Mei 2013 14:08

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

29 Mei 2013 14:01

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

29 Mei 2013 13:59

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
3,00
3,00

29 Mei 2013 13:58

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

29 Mei 2013 13:57

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
20,00
6,00

29 Mei 2013 13:43

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

29 Mei 2013 13:34

Item
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

29 Mei 2013 13:25

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
15,00
3,00

29 Mei 2013 13:22

Item
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 13:22

Item
ACETYLCYSTEIN 200MG CAPS
OMEPRAZOLE GEN 20 MG CAPSULE
AMINOPHYLLINE 200 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
15,00
15,00
15,00
5,00

29 Mei 2013 13:18

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
15,00
20,00
4,00

29 Mei 2013 13:12

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

29 Mei 2013 13:10

Item
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

29 Mei 2013 12:10

Item
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
20,00
10,00
4,00

29 Mei 2013 12:07

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
15,00
5,00

29 Mei 2013 12:04

Item
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
2,00

29 Mei 2013 11:30

Item
CETIRIZINE 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
20,00
5,00

29 Mei 2013 11:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
AZYTHROMICIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00
4,00

29 Mei 2013 11:07

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

29 Mei 2013 11:04

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

29 Mei 2013 10:45

Item
OMEPRAZOLE GEN 20 MG CAPSULE
CEFIXIME GENERIK CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
10,00
20,00
20,00
6,00

29 Mei 2013 10:44

Item
OMEPRAZOLE GEN 20 MG CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
20,00
5,00

29 Mei 2013 10:36

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
1,00

29 Mei 2013 10:35

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
11,00
10,00
2,00

29 Mei 2013 10:35

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
RING AS SANBE 500 ML
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
2,00
1,00
1,00
2,00
2,00
8,00

29 Mei 2013 10:28

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
3,00
2,00
4,00

29 Mei 2013 10:13

Item
DEXTROMETHORPHAN INF TABLET 15 MG
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
12,00
2,00

29 Mei 2013 08:50

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
1,00
4,00
20,00
4,00
6,00

28 Mei 2013 10:39

JAKARTA SEHAT

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
2,00
4,00
4,00
3,00
5,00

28 Mei 2013 10:38

Item
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 10:38

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

28 Mei 2013 10:38

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
5,00

28 Mei 2013 10:30

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

28 Mei 2013 10:03

Item

JAKARTA SEHAT
Quantity

SELANG OKSIGEN ADULT

TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00

27 Mei 2013 16:52

Item
TRANSFUSION SET JMS
HANDSCOON GAMEX 7
IVENA IV CATH 18
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
2,00
5,00

27 Mei 2013 12:46

Item
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AMBROXOL INF 30 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
1,00
3,00
3,00
1,00
8,00

27 Mei 2013 12:46

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
4,00

27 Mei 2013 12:45

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

TOTAL

27 Mei 2013 12:45

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

27 Mei 2013 12:38

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
ACETYLCYSTEIN 200MG CAPS
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00
3,00
5,00

27 Mei 2013 12:37

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00

27 Mei 2013 12:06

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

27 Mei 2013 12:06

Item
OBH MINOROCK 100 ML
RING AS SANBE 500 ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

TOTAL

27 Mei 2013 12:01

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
CEFIXIME GENERIK CAPSULE
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
10,00
10,00
15,00
6,00

27 Mei 2013 11:28

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

27 Mei 2013 10:14

Item
REBREATHING MASK ADULT (1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 09:36

Item
CONDOM CATHETER M
CONDOM CATHETER L
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 09:04

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
10,00
10,00
5,00

25 Mei 2013 10:49

Item
SALBUTAMOL INF TABLET 2 MG
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00

24 Mei 2013 10:57

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
10,00
4,00

24 Mei 2013 10:27

Item
RING AS SANBE 500 ML
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00
6,00

24 Mei 2013 09:51

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 09:51

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
10,00
4,00

24 Mei 2013 09:50

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
1,00
4,00

23 Mei 2013 18:57

Item
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

23 Mei 2013 14:45

Item
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
IMIPENEM CILASTATIN 1 GR INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
3,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
12,00

23 Mei 2013 14:37

Item
METFORMIN HCL 500 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
10,00
20,00
1,00
5,00

23 Mei 2013 13:55

Item
SELANG OKSIGEN ADULT
STOMACH TUBE 16 THERUMO
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 13:53

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

23 Mei 2013 13:36

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
1,00

23 Mei 2013 13:33

Item
RIFAMPICIN INFA CAPSULE 600 MG
INH 300 MG TABLET
INH 100 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
15,00
4,00

23 Mei 2013 13:30

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ACETYLCYSTEIN 200MG CAPS
DEXTROMETHORPHAN INF TABLET 15 MG
OMEPRAZOLE GEN 20 MG CAPSULE
CEFIXIME GENERIK CAPSULE
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
5,00
15,00
15,00
10,00
10,00
1,00
8,00

23 Mei 2013 13:27

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
20,00
4,00

23 Mei 2013 13:27

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
10,00
10,00
3,00

23 Mei 2013 13:27

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

23 Mei 2013 13:23

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
1,00

23 Mei 2013 13:17

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
2,00

23 Mei 2013 13:16

Item

JAKARTA SEHAT
Quantity

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
2,00

23 Mei 2013 13:15

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
20,00
5,00

23 Mei 2013 13:15

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

23 Mei 2013 13:15

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

23 Mei 2013 13:12

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

23 Mei 2013 13:09

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
2,00

23 Mei 2013 13:08

Item
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 13:08

Item
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

23 Mei 2013 13:07

Item
PYRAZINAMIDE INF 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
15,00
4,00

23 Mei 2013 13:07

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
20,00
5,00

23 Mei 2013 13:05

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

23 Mei 2013 12:56

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG

JAKARTA SEHAT
Quantity
6,00

TUSLAH NON RACIKAN

TOTAL

1,00

23 Mei 2013 12:55

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

23 Mei 2013 12:51

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
10,00
4,00

23 Mei 2013 12:41

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
15,00
4,00

23 Mei 2013 12:39

Item
DEXTROMETHORPHAN INF TABLET 15 MG
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
2,00

23 Mei 2013 12:36

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
14,00
14,00

ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

28,00
28,00
4,00

23 Mei 2013 12:35

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

23 Mei 2013 12:35

Item
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

23 Mei 2013 12:18

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
3,00

23 Mei 2013 12:02

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

23 Mei 2013 11:59

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

23 Mei 2013 11:58

Item
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
20,00

LEVOFLOXACIN INF TABLET

SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

5,00
15,00
3,00

23 Mei 2013 11:53

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

23 Mei 2013 11:53

Item
DEXTROMETHORPHAN INF TABLET 15 MG
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

23 Mei 2013 11:49

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

23 Mei 2013 11:48

Item
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

23 Mei 2013 11:48

Item
FUROSEMID INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPAR-K TABLET, COATED 300 mg
ONDANSETRON 8 MG TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
10,00
5,00

23 Mei 2013 11:47

JAKARTA SEHAT

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
20,00
10,00
10,00
10,00
10,00
5,00
6,00

23 Mei 2013 11:47

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
15,00
15,00
15,00
10,00
10,00
5,00

23 Mei 2013 11:27

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

23 Mei 2013 11:26

Item
METHYL PREDNISOLONE INF 4 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

23 Mei 2013 11:26

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

23 Mei 2013 11:24

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

23 Mei 2013 11:20

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
10,00
10,00
3,00

23 Mei 2013 11:12

Item
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
2,00

23 Mei 2013 11:11

Item
COTRIMOXAZOLE 480 MG TABLET
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
6,00
2,00

23 Mei 2013 11:05

Item
COTRIMOXAZOLE 480 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
9,00
9,00
10,00
20,00
5,00

23 Mei 2013 11:00

Item
FOLIC ACID 1 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
9,00
1,00
4,00

23 Mei 2013 10:55

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
1,00
6,00

23 Mei 2013 10:48

Item
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

23 Mei 2013 10:47

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
3,00
2,00
1,00
2,00
1,00
9,00

23 Mei 2013 10:46

JAKARTA SEHAT

Item
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
8,00
1,00

23 Mei 2013 10:40

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00

23 Mei 2013 10:38

Item
VITAMIN K KIMIA FARMA TABLET 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
20,00
3,00

23 Mei 2013 10:34

Item
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
4,00
3,00
3,00
10,00
6,00

23 Mei 2013 10:33

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

23 Mei 2013 10:29

Item
VITAMIN K KIMIA FARMA TABLET 10 MG

JAKARTA SEHAT
Quantity
15,00

ASAM TRANEKSAMAT 500/5 ML INJECTION

DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

15,00
20,00
3,00

23 Mei 2013 10:24

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
6,00
2,00

23 Mei 2013 10:14

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

22 Mei 2013 10:26

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 10:29

Item
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00

21 Mei 2013 10:29

Item
DOBUTAMIN GENERIK 50 MG/ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
2,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

7,00

20 Mei 2013 13:26

Item
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
4,00
4,00
3,00
6,00

18 Mei 2013 18:47

Item
ACETYLCYSTEIN 200MG CAPS
AMINOPHYLLINE 200 MG TABLET
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
1,00
3,00

18 Mei 2013 18:45

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

18 Mei 2013 12:22

Item
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 10:49

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00

TOTAL

18 Mei 2013 10:48

Item
FUTROLIT INFUSION
NEUROSANBE 3 ML INJECTION
TRANSFUSION SET JMS
IVENA IV CATH 20
IVENA IV CATH 18
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00
2,00
7,00

18 Mei 2013 10:46

Item
VALAMIN SANBE INFUSION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

18 Mei 2013 10:46

Item
SELANG NEBUL WITH MASK(1493)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00

18 Mei 2013 10:37

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 10:16

Item
METHYL PREDNISOLONE INF 4 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
SALBUTAMOL INF TABLET 2 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET

UMUM
Quantity
12,00
10,00
15,00
5,00
5,00
10,00

TUSLAH NON RACIKAN

TOTAL

6,00

18 Mei 2013 09:34

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
3,00
1,00

18 Mei 2013 08:47

Item
ISOSORBIDE DINITRATE INF TABLET
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
36,00
12,00
2,00
48,00
4,00

17 Mei 2013 13:48

Item
SELANG NEBUL WITH MASK(1493)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00

17 Mei 2013 13:39

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 12:39

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

17 Mei 2013 11:54

Item
HYPERIL 5 MG TABLET
DIGOXIN INF TABLET

JAKARTA SEHAT
Quantity
20,00
6,00

FUROSEMID INF TABLET

RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
10,00
20,00
20,00
20,00
8,00

17 Mei 2013 10:14

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
3,00

17 Mei 2013 10:05

Item
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
4,00

17 Mei 2013 08:29

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
10,00
10,00
6,00
4,00

16 Mei 2013 20:03

Item
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

16 Mei 2013 15:07

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

16 Mei 2013 14:58

Item
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
15,00
3,00

16 Mei 2013 14:54

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
ALPENTIN 300 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
HYALOPH EYE DROPS
CENDO CENFRESH 5 ML
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
8,00
15,00
15,00
15,00
45,00
1,00
1,00
7,00

16 Mei 2013 14:51

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
RING AS SANBE 500 ML
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
2,00
2,00
4,00
4,00
1,00
4,00
4,00
11,00

16 Mei 2013 14:42

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
10,00
3,00

16 Mei 2013 14:38

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
15,00
6,00

16 Mei 2013 14:36

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

16 Mei 2013 14:17

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

16 Mei 2013 14:17

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

16 Mei 2013 14:16

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
INFUS SET JMS

UMUM
Quantity
15,00
15,00
1,00

IVENA IV CATH 22
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
2,00
4,00
4,00
10,00

16 Mei 2013 14:11

Item
VITAMIN B6 10 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

16 Mei 2013 14:11

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

16 Mei 2013 14:10

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
5,00

16 Mei 2013 14:09

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
20,00
20,00
5,00

16 Mei 2013 14:08

Item
AMBROXOL INF 30 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
2,00

16 Mei 2013 14:08

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

16 Mei 2013 14:07

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

16 Mei 2013 14:06

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
ACETYLCYSTEIN 200MG CAPS
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
21,00
20,00
20,00
4,00

16 Mei 2013 14:06

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

16 Mei 2013 14:02

Item
RIFAMPICIN GENERIK 450 MG TABLET

JAKARTA SEHAT
Quantity
10,00

INH 300 MG TABLET

DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

10,00
20,00
3,00

16 Mei 2013 14:01

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

16 Mei 2013 14:00

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CARDIO ASPIRIN TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
28,00
14,00
14,00
7,00
6,00

16 Mei 2013 13:58

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
4,00

16 Mei 2013 13:58

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

16 Mei 2013 13:50

Item

JAKARTA SEHAT
Quantity

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
2,00

16 Mei 2013 13:47

Item
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
5,00
2,00

16 Mei 2013 13:45

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
10,00
3,00

16 Mei 2013 13:44

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

16 Mei 2013 13:39

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
2,00

16 Mei 2013 13:34

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
2,00

16 Mei 2013 13:32

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

16 Mei 2013 13:32

Item
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
15,00
3,00

16 Mei 2013 13:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
15,00
5,00

16 Mei 2013 13:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
20,00
10,00
10,00
6,00

16 Mei 2013 13:29

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
12,00

TUSLAH NON RACIKAN

TOTAL

5,00

16 Mei 2013 13:27

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

16 Mei 2013 13:19

Item
RIFAMPICIN INFA CAPSULE 600 MG
INH 100 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

16 Mei 2013 13:18

Item
PYRAZINAMIDE INF 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
15,00
4,00

16 Mei 2013 13:06

Item
VITAMIN B6 10 MG TABLET
FORTIBI CAP
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
60,00
15,00
3,00

16 Mei 2013 12:57

Item
PYRAZINAMIDE INF 500 MG TABLET
VECTRINE DEXA CAPSULE 300 mg
BIOCURLIV CAPSULE

UMUM
Quantity
25,00
20,00
10,00

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

15,00
15,00
25,00
6,00

16 Mei 2013 12:55

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

16 Mei 2013 12:38

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
2,00

16 Mei 2013 12:26

Item
CETIRIZINE 10 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

16 Mei 2013 12:25

Item
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
20,00
15,00
1,00
5,00

16 Mei 2013 12:23

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00

ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

20,00
20,00
20,00
5,00

16 Mei 2013 12:15

Item
NEUROSANBE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

16 Mei 2013 12:13

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
20,00
10,00
5,00

16 Mei 2013 12:09

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
15,00
20,00
10,00
5,00

16 Mei 2013 12:08

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

16 Mei 2013 12:07

Item
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

16 Mei 2013 11:53

Item
PYRAZINAMIDE INF 500 MG TABLET
BIOCURLIV CAPSULE
NEUROSANBE TABLET
RIFAMPICIN INFA CAPSULE 600 MG
INH 100 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
15,00
15,00
15,00
15,00
15,00
30,00
7,00

16 Mei 2013 11:50

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
10,00
4,00

16 Mei 2013 11:21

Item
SALBUTAMOL INF TABLET 2 MG
VECTRINE DEXA CAPSULE 300 mg
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
12,00
15,00
4,00

16 Mei 2013 10:48

Item
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
25,00
30,00
2,00

16 Mei 2013 10:25

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

16 Mei 2013 10:22

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 10:18

Item
INH 100 MG TABLET
INH 300 MG TABLET
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
15,00
3,00

16 Mei 2013 08:48

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
AMBROXOL INF 30 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
2,00
4,00

16 Mei 2013 08:48

Item
DEXAMETHASONE 5 MG INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

16 Mei 2013 08:42

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00

FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
2,00

15 Mei 2013 17:09

Item
SALBUTAMOL INF TABLET 2 MG
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIOCURLIV CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
RING AS SANBE 500 ML
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
5,00
3,00
3,00
6,00
3,00
3,00
3,00
6,00
6,00
3,00
1,00
1,00
3,00
1,00
1,00
17,00

15 Mei 2013 13:58

Item
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

15 Mei 2013 13:21

Item
CURCUMA BLISTER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

15 Mei 2013 12:59

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
AMLODIPIN 5 MG TABLET

RSUD TARAKAN
Quantity
20,00
10,00
10,00

BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
4,00

15 Mei 2013 11:12

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00

15 Mei 2013 11:12

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TRIDEX 27B INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
2,00
5,00

14 Mei 2013 18:19

Item
PYRAZINAMIDE INF 500 MG TABLET
BIOCURLIV CAPSULE
NEUROSANBE TABLET
INH 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
15,00
15,00
15,00
15,00
30,00
6,00

14 Mei 2013 14:37

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

14 Mei 2013 14:34

Item

JAKARTA SEHAT
Quantity

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
20,00
20,00
10,00
5,00

14 Mei 2013 14:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

14 Mei 2013 14:30

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

14 Mei 2013 14:27

Item
DEXTROMETHORPHAN INF TABLET 15 MG
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
2,00

14 Mei 2013 14:17

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
1,00
3,00

14 Mei 2013 14:13

JPK PNS

Item
HALOPERIDOL INF 1.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
30,00
1,00

14 Mei 2013 14:12

Item
AMBROXOL INF 30 MG TABLET
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
30,00
4,00
4,00
3,00

14 Mei 2013 14:02

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
CETIRIZINE 10 MG TABLET
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
14,00
1,00
4,00

14 Mei 2013 14:00

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

14 Mei 2013 13:56

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

14 Mei 2013 13:53

Item
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
30,00

TUSLAH NON RACIKAN

TOTAL

1,00

14 Mei 2013 13:52

Item
PYRAZINAMIDE INF 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
15,00
4,00

14 Mei 2013 13:51

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
4,00
10,00

14 Mei 2013 13:49

Item
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
1,00
3,00

14 Mei 2013 13:46

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
SALBUTAMOL INF TABLET 2 MG
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
15,00
10,00
5,00

TOTAL

14 Mei 2013 13:44

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

14 Mei 2013 13:43

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

14 Mei 2013 13:08

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

14 Mei 2013 13:03

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
15,00
6,00

14 Mei 2013 12:59

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET

JAKARTA SEHAT
Quantity
10,00
10,00
10,00

PYRAZINAMIDE INF 500 MG TABLET

AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
15,00
5,00

14 Mei 2013 12:53

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

14 Mei 2013 12:48

Item
CEFIXIME GENERIK CAPSULE
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
15,00
3,00

14 Mei 2013 12:38

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

14 Mei 2013 12:30

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

14 Mei 2013 12:13

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
12,00
3,00

14 Mei 2013 12:10

Item
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

14 Mei 2013 12:03

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
20,00
20,00
7,00

14 Mei 2013 11:51

Item
RIFAMPICIN INFA CAPSULE 600 MG
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

14 Mei 2013 11:48

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
20,00
3,00

14 Mei 2013 11:45

Item
BIOCURLIV CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

14 Mei 2013 11:45

Item
AZYTHROMICIN 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
15,00
15,00
3,00

14 Mei 2013 11:41

Item
AMBROXOL INF 30 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
12,00
2,00

14 Mei 2013 11:36

Item
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
15,00
12,00
10,00
4,00

14 Mei 2013 11:28

Item
FUTROLIT INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

14 Mei 2013 11:27

Item
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
15,00
12,00
3,00

14 Mei 2013 11:19

Item

UMUM
Quantity

CEFIXIME GENERIK CAPSULE

DEXTROMETHORPHAN INF TABLET 15 MG
EPEXOL TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

12,00
15,00
15,00
3,00

14 Mei 2013 09:54

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
20,00
20,00
5,00

14 Mei 2013 09:44

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

14 Mei 2013 09:39

Item
NEUROSANBE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00

14 Mei 2013 08:36

Item
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
AMINOPHYLLINE 200 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
SELANG NEBUL WITH MASK(1493)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
1,00
1,00
1,00
5,00
1,00
9,00

13 Mei 2013 13:58

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 12:57

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
5,00

13 Mei 2013 12:57

Item
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

13 Mei 2013 12:56

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

13 Mei 2013 12:56

Item
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

13 Mei 2013 11:52

Item

JAKARTA SEHAT
Quantity

DEXTROMETHORPHAN INF TABLET 15 MG

ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
2,00

13 Mei 2013 11:52

Item
OBH MINOROCK 100 ML
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

13 Mei 2013 11:52

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00

11 Mei 2013 17:31

Item
ETHAMBUTOL500mg TABLET
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
THREE WAY STOPCOCK
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
1,00
2,00
1,00
7,00

11 Mei 2013 17:29

Item
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

11 Mei 2013 13:19

JAMKESMAS

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
1,00

11 Mei 2013 11:02

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
5,00
6,00
4,00

11 Mei 2013 10:25

Item
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 15:30

Item
THREE WAY STOPCOCK
INFUS SET JMS
HANDSCOON GAMEX 7
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 18
IVENA IV CATH 20
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
BIOCURLIV CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
2,00
2,00
1,00
1,00
4,00
4,00
8,00
4,00
4,00
12,00
8,00
8,00
4,00
4,00
4,00
1,00
19,00

10 Mei 2013 14:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
10,00
10,00
5,00

10 Mei 2013 14:01

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
6,00

10 Mei 2013 13:54

Item
FUTROLIT INFUSION
TRIDEX 27B INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

10 Mei 2013 13:54

Item
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
5,00
3,00

10 Mei 2013 13:54

Item
CEFEPIME 1 GR INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

TOTAL

10 Mei 2013 10:57

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOPROLOL 5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
5,00
5,00
10,00
10,00
10,00
8,00

10 Mei 2013 10:41

Item
DEXTROMETHORPHAN INF TABLET 15 MG
EPEXOL TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
2,00

8 Mei 2013 13:44

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
10,00
10,00
15,00
6,00

7 Mei 2013 15:38

Item
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET

JAKARTA SEHAT
Quantity
15,00
20,00
1,00
10,00
10,00
20,00
20,00
10,00

TUSLAH NON RACIKAN

TOTAL

8,00

7 Mei 2013 15:37

Item
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 15:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

7 Mei 2013 15:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

7 Mei 2013 15:17

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

7 Mei 2013 15:17

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

7 Mei 2013 15:17

Item
RANITIDINE INF TABLET 150 MG
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
2,00

7 Mei 2013 15:16

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

7 Mei 2013 15:15

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

7 Mei 2013 14:39

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

7 Mei 2013 14:38

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
4,00

7 Mei 2013 14:38

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00

DEXTROMETHORPHAN INF TABLET 15 MG

AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
20,00
4,00

7 Mei 2013 14:21

Item
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 14:20

Item
DISP SYRINGE 5 CC
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
10,00
10,00
20,00
10,00
6,00

7 Mei 2013 14:19

Item
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 14:18

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 14:17

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
10,00

TUSLAH NON RACIKAN

TOTAL

6,00

7 Mei 2013 14:16

Item
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
SELANG NEBUL WITH MASK(1493)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
FLIXOTIDE NEBULE SUSPENSION, FOR INHALATION
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
3,00
1,00
5,00
5,00
2,00
2,00
4,00
4,00
1,00
1,00
3,00
1,00
3,00
15,00

7 Mei 2013 14:16

Item
CURCUMA 200 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
4,00
4,00
2,00
1,00
1,00
1,00
1,00
1,00
11,00

7 Mei 2013 14:16

Item
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

TOTAL

7 Mei 2013 14:15

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

7 Mei 2013 14:09

Item
CURCUMA 200 MG TABLET
CEFIXIME GENERIK CAPSULE
VITAMIN B6 10 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
15,00
4,00

7 Mei 2013 14:08

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
20,00
6,00

7 Mei 2013 14:07

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
10,00
10,00
5,00

7 Mei 2013 14:05

Item

JAKARTA SEHAT
Quantity

VITAMIN B COMPLEX
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

30,00
20,00
2,00

7 Mei 2013 13:55

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
15,00
6,00

7 Mei 2013 13:54

Item
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

7 Mei 2013 13:50

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

7 Mei 2013 13:44

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
AZYTHROMICIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
5,00
3,00

7 Mei 2013 13:41

JAKARTA SEHAT

Item
CURCUMA 200 MG TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
10,00
10,00
15,00
20,00
5,00

7 Mei 2013 13:33

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN INFA CAPSULE 600 MG
INH 300 MG TABLET
INH 100 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
20,00
20,00
20,00
7,00

7 Mei 2013 13:30

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
15,00
30,00
4,00

7 Mei 2013 13:28

Item
PYRAZINAMIDE INF 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
10,00
10,00
10,00
15,00
6,00

7 Mei 2013 13:21

Item

JAKARTA SEHAT
Quantity

VALAMIN SANBE INFUSION

FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00

7 Mei 2013 13:06

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
10,00
4,00

7 Mei 2013 13:03

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
3,00

7 Mei 2013 13:02

Item
ACETYLCYSTEIN 200MG CAPS
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 200 MG TABLET
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
20,00
10,00
1,00
10,00
5,00

7 Mei 2013 13:01

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
10,00
5,00

7 Mei 2013 12:52

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

7 Mei 2013 12:49

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
10,00
3,00

7 Mei 2013 12:45

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 12:45

Item
OMEPRAZOLE GEN 20 MG CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
15,00
10,00
4,00

7 Mei 2013 12:28

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

7 Mei 2013 12:27

Item
DEXTROMETHORPHAN INF TABLET 15 MG

UMUM
Quantity
15,00

VECTRINE DEXA CAPSULE 300 mg

OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
3,00

7 Mei 2013 12:24

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

7 Mei 2013 12:18

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
10,00
4,00

7 Mei 2013 12:13

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
10,00
4,00

7 Mei 2013 12:10

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
15,00
20,00
5,00

7 Mei 2013 12:05

JAKARTA SEHAT

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
10,00
20,00
3,00

7 Mei 2013 12:04

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 12:04

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
4,00

7 Mei 2013 11:56

Item
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

7 Mei 2013 11:53

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
AZYTHROMICIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
10,00
3,00
3,00

7 Mei 2013 11:52

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00

CURCUMA 200 MG TABLET

CEFIXIME GENERIK CAPSULE
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
10,00
15,00
7,00

7 Mei 2013 11:45

Item
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
20,00
10,00
20,00
5,00

7 Mei 2013 11:38

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
30,00
4,00

7 Mei 2013 11:36

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
4,00

7 Mei 2013 11:25

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFIXIME GENERIK CAPSULE

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
20,00
20,00
20,00
10,00

TUSLAH NON RACIKAN

TOTAL

7,00

7 Mei 2013 11:21

Item
PYRAZINAMIDE INF 500 MG TABLET
BIOCURLIV CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
15,00
15,00
15,00
30,00
5,00

7 Mei 2013 11:17

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
1,00

7 Mei 2013 11:11

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
NEUROSANBE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
30,00
4,00

7 Mei 2013 11:07

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
AZYTHROMICIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
10,00
2,00
3,00

7 Mei 2013 10:54

Item
BIOCURLIV CAPSULE
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

7 Mei 2013 10:33

Item
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
BIOCURLIV CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
30,00
4,00

7 Mei 2013 10:31

Item
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

7 Mei 2013 09:52

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
7,00
14,00
14,00
14,00
15,00
15,00
7,00

6 Mei 2013 13:18

Item
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
5,00
2,00

4 Mei 2013 17:50

Item
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

3 Mei 2013 14:22

Item
RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

3 Mei 2013 09:30

Item
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
15,00
5,00
5,00
10,00
10,00
10,00
8,00

3 Mei 2013 02:58

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 02:57

Item
LOVENOX SOLUTION, INJECTION 40 mg
FUROSEMID INF INJECTION
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
2,00
5,00

3 Mei 2013 02:47

Item
PYRAZINAMIDE INF 500 MG TABLET
BIOCURLIV CAPSULE
VITAMIN B6 10 MG TABLET

UMUM
Quantity
30,00
15,00
15,00

RIFAMPICIN GENERIK 450 MG TABLET

INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

15,00
15,00
30,00
6,00

2 Mei 2013 14:15

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

2 Mei 2013 14:09

Item
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

2 Mei 2013 14:04

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

2 Mei 2013 13:59

Item
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

2 Mei 2013 13:54

Item
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
15,00
15,00
4,00

2 Mei 2013 13:38

Item
DEXTROMETHORPHAN INF TABLET 15 MG
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
20,00
20,00
10,00
10,00
20,00
6,00

2 Mei 2013 13:26

Item
SALBUTAMOL INF TABLET 2 MG
METHYL PREDNISOLONE INF 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
15,00
15,00
10,00
5,00

2 Mei 2013 13:24

Item
CURCUMA 200 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
2,00

2 Mei 2013 13:20

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
20,00
20,00
20,00
6,00

2 Mei 2013 13:19

Item
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
20,00
20,00

TUSLAH NON RACIKAN

TOTAL

2,00

2 Mei 2013 13:13

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
15,00
20,00
20,00
10,00
6,00

2 Mei 2013 13:12

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
10,00
6,00

2 Mei 2013 13:12

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
20,00
10,00
7,00

2 Mei 2013 13:04

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
20,00
15,00
5,00
3,00

TOTAL

2 Mei 2013 13:02

Item
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

2 Mei 2013 13:02

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

2 Mei 2013 12:54

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

2 Mei 2013 12:47

Item
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN K KIMIA FARMA TABLET 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
15,00
10,00
4,00

2 Mei 2013 12:45

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
CURCUMA 200 MG TABLET
RANITIDINE INF TABLET 150 MG
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
10,00
6,00

TOTAL

2 Mei 2013 12:44

Item
DEXTROMETHORPHAN INF TABLET 15 MG
MAGARD FA TABLET, CHEWABLE
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
1,00
3,00

2 Mei 2013 12:39

Item
MEFINAL 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
30,00
30,00
30,00
4,00

2 Mei 2013 12:31

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
20,00
15,00
6,00

2 Mei 2013 12:12

Item
CEFIXIME GENERIK CAPSULE
MUCERA TAB 30 MG
DEXTROMETHORPHAN INF TABLET 15 MG
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
15,00
15,00
10,00
4,00

2 Mei 2013 12:04

Item
DEXTROMETHORPHAN INF TABLET 15 MG

JAKARTA SEHAT
Quantity
20,00

AMBROXOL INF 30 MG TABLET

CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

15,00
20,00
3,00

2 Mei 2013 11:37

Item
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
12,00
3,00

2 Mei 2013 11:28

Item
FORTIBI CAP
CURCUMA 200 MG TABLET
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
15,00
15,00
3,00

2 Mei 2013 11:01

Item
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
15,00
15,00
10,00
10,00
20,00
7,00

2 Mei 2013 10:56

Item
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
MUCERA TAB 30 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
10,00
3,00

2 Mei 2013 10:54

UMUM

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
15,00
15,00
20,00
30,00
4,00

2 Mei 2013 10:49

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
INH 100 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
20,00
20,00
20,00
6,00

2 Mei 2013 10:36

Item
CEFIXIME GENERIK CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
15,00
3,00

2 Mei 2013 10:23

Item
BIOCURLIV CAPSULE
CURCUMA 200 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
30,00
20,00
3,00

2 Mei 2013 08:51

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
VITAMIN B6 10 MG TABLET

KLB
Quantity
6,00
6,00
12,00
12,00
12,00
6,00

TUSLAH NON RACIKAN

TOTAL

6,00

2 Mei 2013 08:48

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
10,00
10,00
10,00
10,00
7,00

1 Mei 2013 23:41

Item
CEFEPIME 1 GR INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
5,00

1 Mei 2013 13:44

Item
AZYTHROMICIN 500 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
5,00
20,00
15,00
3,00

1 Mei 2013 13:17

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
4,00
5,00

1 Mei 2013 11:52

Item
CURCUMA 200 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
5,00
10,00
10,00
6,00

1 Mei 2013 00:37

Item
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo
Depo Unit Dose
Subtotal
BOT
BOT
BOT
UNT

Depo Unit Dose

Subtotal
VIL
UNT
UNT
BOT
UNT

Depo Unit Dose

Subtotal
VIL
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
BOT
VIL
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
63253
63253
51216
51216
6072
6072
1500
1500
122041
122041

0
0
0
0
0

Pasien
Penjamin
633600
633600
3300
3300
1540
1540
2640
2640
2000
2000
643080
643080

0
0
0
0
0
0

Pasien
Penjamin
308880
308880
3300
3300
1540
1540
5280
5280
2000
2000
321000
321000

0
0
0
0
0
0

Pasien
Penjamin
1124
1124
2112
2112
3300
3300
1540
1540
5881
5881
22770
22770
429
429
3960
3960
1584
1584
232
232
2376
2376
5500
5500
50808
50808

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
VIL
UNT
UNT
BAG
PKG
VIL
AMP
AMP
TAB
TAB
UNT

Depo Atas
Subtotal
PKG
VIL
UNT

Depo Atas
Subtotal
VIL
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
22770
22770
3300
3300
1540
1540
19266
19266
41388
41388
12415
12415
17526
17526
8820
8820
300
300
3960
3960
5000
5000
136285
136285

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
41388
41388
62075
62075
1000
1000
104463
104463

0
0
0
0

Pasien
Penjamin
422400
422400
3300
3300
601
601
2640
2640
2000
2000
430941
430941

0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
2112
2112
2500
2500
9928
9928

0
0
0
0
0
0
0

Pasien

Penjamin

BOT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

126506
500
127006

126506
500
127006

0
0
0

Pasien
Penjamin
63253
63253
16417
16417
1000
1000
80670
80670

0
0
0
0

Pasien
Penjamin
3960
3960
580
580
5940
5940
2810
2810
5280
5280
2500
2500
21070
21070

0
0
0
0
0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Pasien
Penjamin
126506
126506
16417
16417
1000
1000
143923
143923

0
0
0
0

Pasien
Penjamin
1584
1584
232
232
1000
1000
2816
2816

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
TAB

Pasien
Penjamin
1930.5
1930.5
17820
17820
900
900
20650.5 20650.5

0
0
0
0

Pasien
Penjamin
422400
422400
3300
3300
1540
1540
2640
2640
2000
2000
431880
431880

0
0
0
0
0
0

Pasien
Penjamin
26400
26400
500
500
26900
26900

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2500
2500
29260
29260

0
0
0
0
0
0
0

Pasien
Penjamin
3340
3340
500
500
3840
3840

0
0
0

Pasien
Penjamin
291720
291720
768
768

0
0

BOT
BOT
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP

102432
30217
112211
800
3000
541148

102432
30217
112211
800
3000
541148

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
3340
3340
2500
2500
32420
32420

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
2000
2000
2700
2700
105336
105336
7620
7620
2000
2000
119656
119656

0
0
0
0
0
0

Pasien
Penjamin
19800
19800
500
500
20300
20300

0
0
0

Pasien
Penjamin
11060
11060

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

490
1160
2505
2000
17215

490
1160
2505
2000
17215

0
0
0
0
0

Pasien
Penjamin
9000
9000
57964
57964
1000
1000
67964
67964

0
0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Pasien

Penjamin
180
7920
1160
11880
5620
2500
29260

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
11880
11880
5620
5620
2500
2500
29260
29260

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920

180
7920
1160
11880
5620
2500
29260

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

1160
11880
5620
2000
28580

1160
11880
5620
2000
28580

0
0
0
0
0

Pasien
Penjamin
1500
1500
2700
2700
26400
26400
1500
1500
32100
32100

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
2145
2145
19800
19800
1000
1000
22945
22945

0
0
0
0

Pasien

Penjamin
180
500
680

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2000
2000
28580
28580

0
0
0
0
0
0

180
500
680

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
VIL

Pasien
Penjamin
23760
23760
3480
3480
29970
29970
1500
1500
58710
58710

0
0
0
0
0

Pasien
Penjamin
100320
100320
500
500
100820
100820

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
1500
1500
22460
22460

0
0
0
0
0

Pasien
Penjamin
2505
2505
500
500
3005
3005

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
5620
5620
2000
2000
25610
25610

0
0
0
0
0
0

Pasien
Penjamin
308880
308880

BOT
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

32834
429
1500
343643

32834
429
1500
343643

0
0
0
0

Pasien
Penjamin
2370
2370
57964
57964
2092
2092
1500
1500
63926
63926

0
0
0
0
0

Pasien
Penjamin
6000
6000
15840
15840
2320
2320
17820
17820
8430
8430
2500
2500
52910
52910

0
0
0
0
0
0
0

Pasien
Penjamin
186090
186090
2860
2860
11280
11280
1500
1500
201730
201730

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160

0
0

UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
BOT
UNT

1000
10080

1000
10080

0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
2145
2145
19800
19800
66000
66000
1500
1500
89445
89445

0
0
0
0
0

Pasien
Penjamin
63253
63253
16417
16417
4645
4645
1500
1500
85815
85815

0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
2000
2000
7316
7316

0
0
0
0
0
0

Pasien
Penjamin
114400
114400
500
500
114900
114900

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
UNT
UNT
BOT
TAB
AMP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB

Pasien
Penjamin
1500
1500
13200
13200
7620
7620
26940
26940
2000
2000
51260
51260

Pasien

0
0
0
0
0
0

Penjamin
232
2376
1124
154440
3300
1540
2640
1584
107376
164
5000
279776

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
3960
3960

232
2376
1124
154440
3300
1540
2640
1584
107376
164
5000
279776

TAB
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
CAP
TAB
TAB
TAB
TAB
UNT

580
2810
26940
2145
2500
38935

580
2810
26940
2145
2500
38935

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2145
2145
2505
2505
3000
3000
34230
34230

0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
1500
1500
22460
22460

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
26940
26940
3960
3960
580
580
4752
4752
2810
2810
2500
2500
41542
41542

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo Unit Dose

Subtotal
CAP
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
6750
6750
2145
2145
1000
1000
9895
9895

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
2505
2505
1500
1500
13085
13085

0
0
0
0
0

Pasien
Penjamin
1500
1500
1430
1430
186090
186090
1500
1500
190520
190520

0
0
0
0
0

Pasien
Penjamin
26940
26940
3960
3960
580
580
5940
5940
2810
2810
2500
2500
42730
42730

0
0
0
0
0
0
0

Depo IGD
Subtotal
VIL
BOT
UNT

Depo IGD
Subtotal
VIL
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Pasien
Penjamin
72496
72496
57964
57964
1000
1000
131460
131460

0
0
0
0

Pasien
Penjamin
37245
37245
3960
3960
1000
1000
42205
42205

0
0
0
0

Pasien
Penjamin
2902
2902
500
500
3402
3402

0
0
0

Pasien
Penjamin
5620
5620
2860
2860
3340
3340
7920
7920
1160
1160
8910
8910
3000
3000
32810
32810

0
0
0
0
0
0
0
0

Pasien
Penjamin
1500
1500
26940
26940
1000
1000
29440
29440

0
0
0
0

Pasien
Penjamin
2000
2000
500
500

0
0

2500

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

2500

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2000
2000
28580
28580

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2505
2505
2500
2500
31585
31585

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
180
180
2000
2000
20170
20170

0
0
0
0
0
0

Pasien
Penjamin
2505
2505
500
500
3005
3005

0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2500
2500
29260
29260

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1500
1500
1500
1500
12080
12080

0
0
0
0
0

Pasien
Penjamin
26940
26940
180
180
5470
5470
1160
1160
11880
11880
5620
5620

0
0
0
0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

1670
2860
4000
59780

1670
2860
4000
59780

0
0
0
0

Pasien
Penjamin
23760
23760
3480
3480
1000
1000
28240
28240

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2500
2500
29260
29260

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
2145
2145
2505
2505
1350
1350
1500
1500
7500
7500

0
0
0
0
0

Pasien
Penjamin
2505
2505
500
500
3005
3005

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
BOT
UNT

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2860
2860
3000
3000
32620
32620

0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2000
2000
28580
28580

0
0
0
0
0
0

Pasien
Penjamin
2505
2505
2145
2145
1000
1000
5650
5650

0
0
0
0

Pasien
Penjamin
2000
2000
2700
2700
19800
19800
1500
1500
26000
26000

0
0
0
0
0

Pasien
Penjamin
114400
114400
500
500
114900
114900

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
19800
19800
4500
4500
2025
2025
7620
7620
1500
1500
2500
2500
37945
37945

0
0
0
0
0
0
0

Pasien
Penjamin
2145
2145
2505
2505
1500
1500
2700
2700
2000
2000
10850
10850

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
2505
2505
2145
2145
1000
1000
5650
5650

0
0
0
0

Pasien
Penjamin
1160
1160
11880
11880
5620
5620
7920
7920
2000
2000
28580
28580

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2145
2145
2500
2500
31225
31225

0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
4500
4500
1000
1000
53185
53185

0
0
0
0

Pasien
Penjamin
4000
4000
7920
7920
1160
1160
11880
11880
5620
5620
2500
2500
33080
33080

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
39600
39600
2000
2000
50860
50860

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
TAB
UNT

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
9000
9000
26940
26940
7920
7920
1160
1160
11880
11880
5620
5620
3000
3000
65520
65520

0
0
0
0
0
0
0
0

Pasien
Penjamin
4500
4500
7920
7920
1160
1160
5620
5620
11880
11880
2500
2500
33580
33580

0
0
0
0
0
0
0

Pasien
Penjamin
2505
2505
500
500
3005
3005

0
0
0

Pasien
Penjamin
110352
110352
13200
13200
1000
1000
124552
124552

0
0
0
0

Depo IGD
Subtotal
VIL
TAB
TAB
BOT
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas

Pasien
Penjamin
211200
211200
429
429
3960
3960
32834
32834
792
792
116
116
1188
1188
562
562
4000
4000
255081
255081

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
429
429
3960
3960
32834
32834
2000
2000
61993
61993

0
0
0
0
0
0

Pasien
Penjamin
4290
4290
32328
32328
1000
1000
37618
37618

0
0
0
0

Pasien
Penjamin
1160
1160
1503
1503
1451
1451
39600
39600
1720
1720
3308
3308
3000
3000
51742
51742

0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Emergency Cempaka
Subtotal

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
501
501
2500
2500
8317
8317

0
0
0
0
0
0
0

Pasien
Penjamin
8820
8820
500
500
9320
9320

0
0
0

Pasien
Penjamin
63253
63253
16417
16417
9290
9290
1500
1500
90460
90460

0
0
0
0
0

Pasien
Penjamin
633600
633600
3300
3300
1540
1540
2640
2640
41388
41388
2500
2500
684968
684968

0
0
0
0
0
0
0

Pasien
429
3960
1000
5389

Pasien

Penjamin
429
3960
1000
5389

Penjamin

0
0
0
0

UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
PKG
VIL
UNT
UNT
BAG
TAB
TAB
VIL
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
BOT
AMP
UNT

26611
16335
1000
43946

26611
16335
1000
43946

0
0
0
0

Pasien
Penjamin
16335
16335
12012
12012
14988
14988
2550
2550
3080
3080
2500
2500
51465
51465

0
0
0
0
0
0
0

Pasien
Penjamin
41388
41388
37245
37245
3300
3300
1540
1540
9633
9633
501
501
348
348
85272
85272
4000
4000
183227
183227

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
792
116
562
1188
2000
4658

0
0
0
0
0
0

Pasien
Penjamin
126506
126506
16417
16417
4645
4645
1500
1500

0
0
0
0

792
116
562
1188
2000
4658

149068

Depo Unit Dose

Subtotal
BOT
BOT
AMP
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
TAB
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

149068

Pasien
Penjamin
126506
126506
16417
16417
4645
4645
1500
1500
149068
149068

0
0
0
0
0

Pasien
Penjamin
633600
633600
3300
3300
1540
1540
3960
3960
8820
8820
2500
2500
653720
653720

0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
2000
2000
7316
7316

0
0
0
0
0
0

Pasien
Penjamin
126506
126506
16417
16417
4645
4645
1500
1500
149068
149068

0
0
0
0
0

Pasien
Penjamin
4620
4620
16417
16417
1000
1000

0
0
0

22037

Depo Unit Dose

Subtotal
TAB
TAB
TAB
CAP
TAB
TAB
UNT

Depo Atas
Subtotal
SUP
UNT

Emergency Cempaka
Subtotal
UNT
UNT

Emergency Cempaka
Subtotal
UNT
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

22037

Pasien
Penjamin
3960
3960
580
580
5940
5940
26940
26940
2810
2810
2505
2505
3000
3000
45735
45735

0
0
0
0
0
0
0
0

Pasien
Penjamin
35343
35343
500
500
35843
35843

0
0
0

Pasien
Penjamin
62563
62563
500
500
63063
63063

0
0
0

Pasien
Penjamin
3575
3575
3575
3575
1000
1000
8150
8150

0
0
0
0

Pasien
Penjamin
3960
3960
580
580
5940
5940
2810
2810
1000
1000
2500
2500
16790
16790

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Emergency Mawar
Subtotal
BOT
UNT
UNT
TUB
UNT
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Pasien

Penjamin
100
30096
1000
31196

0
0
0
0

Pasien
Penjamin
3960
3960
580
580
5940
5940
2810
2810
2000
2000
15290
15290

0
0
0
0
0
0

Pasien
Penjamin
29744
29744
18343
18343
5809
5809
56262
56262
1997
1997
3992
3992
3000
3000
119147
119147

0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
500
500
48185
48185

0
0
0

Pasien
Penjamin
3960
3960
580
580
5940
5940
2810
2810
2000
2000
15290
15290

0
0
0
0
0
0

100
30096
1000
31196

Depo Atas
Subtotal
VIL
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
BOT
BOT
VIL
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
VIL
UNT
PKG
UNT
UNT

Pasien
Penjamin
633600
633600
3300
3300
5280
5280
1540
1540
2000
2000
645720
645720

0
0
0
0
0
0

Pasien
Penjamin
1524
1524
500
500
2024
2024

0
0
0

Pasien

Penjamin
562
429
501
792
116
1188
63253
16417
145860
3300
1540
5280
6000
245238

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1980
1980
561000
561000
3560
3560
10040
10040
14988
14988
2500
2500
594068
594068

0
0
0
0
0
0
0

562
429
501
792
116
1188
63253
16417
145860
3300
1540
5280
6000
245238

Emergency Cempaka
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
VIL
TAB
TAB
TAB
CAP
BOT
UNT

Pasien
Penjamin
26611
26611
16088
16088
16335
16335
1500
1500
60534
60534

0
0
0
0
0

Pasien
Penjamin
2145
2145
2505
2505
1000
1000
5650
5650

0
0
0
0

Pasien
Penjamin
2505
2505
500
500
3005
3005

0
0
0

Pasien
Penjamin
11060
11060
1160
1160
490
490
19800
19800
2000
2000
34510
34510

0
0
0
0
0
0

Pasien
Penjamin
1500
1500
2025
2025
50160
50160
19800
19800
2145
2145
4500
4500
26940
26940
105336
105336
4000
4000
216406
216406

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
BAG
UNT

Depo IGD
Subtotal

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
5620
5620
2000
2000
25610
25610

0
0
0
0
0
0

Pasien
Penjamin
2145
2145
46200
46200
26940
26940
1500
1500
76785
76785

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2000
2000
28580
28580

0
0
0
0
0
0

Pasien
Penjamin
12978
12978
500
500
13478
13478

0
0
0

Pasien
Penjamin
68310
68310
28899
28899
1000
1000
98209
98209

0
0
0
0

Pasien

Penjamin

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

7920
1160
1000
10080

7920
1160
1000
10080

0
0
0
0

Penjamin
180
7920
1160
11880
5620
2500
29260

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
2860
2860
2505
2505
1000
1000
6365
6365

0
0
0
0

Pasien
180
7920
1160
11880
5620
2500
29260

Apotik Panel 2
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB

Pasien
Penjamin
105536
105536
500
500
106036
106036

0
0
0

Pasien
Penjamin
19800
19800
500
500
20300
20300

0
0
0

Pasien
Penjamin
5620
5620
7920
7920
1160
1160
8910
8910
2000
2000
25610
25610

0
0
0
0
0
0

Pasien

Penjamin
180
7920
1160
11880
5620
2500
29260

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
19800
19800

180
7920
1160
11880
5620
2500
29260

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

500
20300

500
20300

0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
4000
4000
2500
2500
33080
33080

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
2860
2860
4500
4500
2000
2000
18440
18440

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
6750
6750
2000
2000
18010
18010

0
0
0
0
0
0

Pasien
Penjamin
2860
2860
4500
4500
1000
1000
8360
8360

0
0
0
0

Pasien
Penjamin
11088
11088
1624
1624

0
0

TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

16632
7868
2000
39212

16632
7868
2000
39212

0
0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Pasien
Penjamin
2860
2860
500
500
3360
3360

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
1500
1500
19490
19490

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Pasien
Penjamin
2860
2860

TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas

10410
1500
1500
16270

10410
1500
1500
16270

0
0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Pasien
Penjamin
2145
2145
26940
26940
1000
1000
30085
30085

0
0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Pasien
Penjamin
2860
2860
500
500
3360
3360

0
0
0

Pasien
Penjamin
1220
1220
15440
15440
24640
24640
59400
59400
1540
1540
2500
2500
104740
104740

0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
2320
2320
5010
5010
99000
99000
1220
1220
24640
24640
7255
7255
3000
3000
142445
142445

0
0
0
0
0
0
0
0

Pasien
Penjamin
1740
1740
7515
7515
148500
148500
78540
78540
14510
14510
2500
2500
253305
253305

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
5080
5080
2000
2000
1000
1000
8080
8080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2000
2000
28580
28580

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
VIL
VIL
UNT
PKG
UNT

Pasien

Penjamin
180
7920
1160
1500
10760

0
0
0
0
0

Pasien
Penjamin
2145
2145
46200
46200
26940
26940
1500
1500
76785
76785

0
0
0
0
0

Pasien
Penjamin
11880
11880
4215
4215
1000
1000
17095
17095

0
0
0
0

Pasien
Penjamin
2152
2152
19800
19800
1000
1000
22952
22952

0
0
0
0

Pasien
Penjamin
2304
2304
111735
111735
90288
90288
3560
3560
10040
10040
2500
2500
220427
220427

0
0
0
0
0
0
0

180
7920
1160
1500
10760

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
UNT
UNT
BOT
UNT
UNT

Depo Atas

Pasien

Penjamin
738
9264
1269
30217
2000
43488

0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
108
108
1686
1686
3564
3564
47685
47685
3000
3000
58767
58767

0
0
0
0
0
0
0
0

Pasien
Penjamin
63253
63253
51216
51216
9290
9290
1500
1500
125259
125259

0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
633600
633600
6600
6600
1540
1540
5280
5280
62563
62563
4500
4500
719399
719399

0
0
0
0
0
0
0
0
0
0
0

738
9264
1269
30217
2000
43488

Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
1536
1536
500
500
2036
2036

0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
2000
2000
7316
7316

0
0
0
0
0
0

Pasien
Penjamin
1170
1170
17880
17880
2860
2860
1500
1500
23410
23410

0
0
0
0
0

Pasien

Penjamin
232
2376
1124
429
501
7920
3000
15582

0
0
0
0
0
0
0
0

Pasien
Penjamin
8270
8270
500
500
8770
8770

0
0
0

Pasien
Penjamin
1170
1170

232
2376
1124
429
501
7920
3000
15582

AMP
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Emergency Mawar
Subtotal
UNT
UNT

Emergency Mawar
Subtotal
UNT
BOT
UNT
UNT

Emergency Mawar
Subtotal
AMP
UNT
UNT
UNT
BOT
BOT
UNT

103950
2860
1500
109480

103950
2860
1500
109480

0
0
0
0

Pasien
Penjamin
2145
2145
27720
27720
1000
1000
30865
30865

0
0
0
0

Pasien
Penjamin
11880
11880
1740
1740
1000
1000
14620
14620

0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
32670
32670
11762
11762
14988
14988
1500
1500
60920
60920

0
0
0
0
0

Pasien
Penjamin
124740
124740
26950
26950
5732
5732
1997
1997
11762
11762
6072
6072
14988
14988

0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

3500
195741

3500
195741

0
0

Penjamin
501
1584
232
2376
1124
429
3000
9246

0
0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
540
540
1898
1898
1500
1500
7898
7898

0
0
0
0
0

Pasien
Penjamin
57964
57964
16335
16335
1000
1000
75299
75299

0
0
0
0

Pasien
Penjamin
20213
20213
500
500
20713
20713

0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
2000
2000

0
0
0
0
0

Pasien
501
1584
232
2376
1124
429
3000
9246

7316

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
PKG
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

7316

Pasien
Penjamin
102432
102432
4645
4645
16335
16335
14988
14988
14988
14988
2550
2550
3080
3080
3500
3500
162518
162518

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
126506
126506
9096
9096
1000
1000
136602
136602

0
0
0
0

Pasien
Penjamin
41388
41388
50160
50160
1000
1000
92548
92548

0
0
0
0

Pasien
Penjamin
85272
85272
500
500
85772
85772

0
0
0

Pasien
Penjamin
6096
6096
2810
2810
1500
1500
3960
3960
580
580
5940
5940

0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
PKG
VIL
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB

3000
23886

3000
23886

0
0

Pasien
Penjamin
4353
4353
500
500
4853
4853

0
0
0

Pasien
Penjamin
3672
3672
6552
6552
2902
2902
4128
4128
2000
2000
19254
19254

0
0
0
0
0
0

Pasien
Penjamin
41388
41388
50160
50160
1000
1000
92548
92548

0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
15440
15440
500
500
15940
15940

0
0
0

Pasien
Penjamin
157080
157080
924
924

0
0

TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Emergency Mawar
Subtotal
UNT
BOT
TUB
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
BOT
UNT

610
7920
1160
5620
11880
360
4000
189554

610
7920
1160
5620
11880
360
4000
189554

0
0
0
0
0
0
0
0

Pasien
Penjamin
2735
2735
580
580
5940
5940
1500
1500
10755
10755

0
0
0
0
0

Pasien
Penjamin
1540
1540
3992
3992
56262
56262
5809
5809
2000
2000
69603
69603

0
0
0
0
0
0

Pasien
Penjamin
3060
3060
5010
5010
99000
99000
8706
8706
2000
2000
117776
117776

0
0
0
0
0
0

Pasien
Penjamin
16335
16335
5881
5881
1000
1000
23216
23216

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
CAP
BOT
BOT
UNT

Depo IGD
Subtotal
VIL
BAG
UNT
UNT
TAB
TAB
TAB
TAB
BOT
TAB
TAB
UNT

Pasien
Penjamin
2860
2860
3340
3340
1000
1000
7200
7200

0
0
0
0

Pasien
Penjamin
26940
26940
2860
2860
2505
2505
1500
1500
33805
33805

0
0
0
0
0

Pasien
Penjamin
11608
11608
12405
12405
148500
148500
118500
118500
41580
41580
57761
57761
21636
21636
3500
3500
415490
415490

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
19266
19266
3300
3300
1540
1540
1584
1584
232
232
2376
2376
1124
1124
16417
16417
572
572
668
668
5500
5500
65993
65993

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
2860
2860
3340
3340
26940
26940
1500
1500
34640
34640

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
3340
3340
2145
2145
3000
3000
35065
35065

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
2505
2505
500
500
3005
3005

0
0
0

Pasien
Penjamin
13414
13414
500
500
13914
13914

0
0
0

Pasien
Penjamin
2145
2145
2505
2505
8415
8415

0
0
0

UNT
BOT
BOT
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

14988
63253
51216
1584
232
2376
1124
5000
152838

14988
63253
51216
1584
232
2376
1124
5000
152838

0
0
0
0
0
0
0
0
0

Penjamin
180
2860
1000
4040

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2860
2860
2500
2500
31940
31940

0
0
0
0
0
0
0

Pasien
Penjamin
2860
2860
7920
7920
1160
1160
11880
11880
5620
5620
2500
2500
31940
31940

0
0
0
0
0
0
0

Pasien
180
2860
1000
4040

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
3340
3340
180
180
1000
1000
4520
4520

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
2860
2860
1500
1500
13440
13440

0
0
0
0
0

Pasien
Penjamin
3000
3000
2835
2835
26400
26400
2860
2860
2000
2000
37095
37095

0
0
0
0
0
0

Pasien

Penjamin
180
500
680

0
0
0

Pasien
Penjamin
7920
7920

180
500
680

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal

1160
2860
1500
13440

1160
2860
1500
13440

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2000
2000
28580
28580

0
0
0
0
0
0

Pasien
Penjamin
109956
109956
20314
20314
15092
15092
20342
20342
138600
138600
854
854
3000
3000
308158
308158

0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5940
5940
5620
5620
2000
2000
22640
22640

0
0
0
0
0
0

Pasien

Pasien

Penjamin
180
180
500
500
680
680

Penjamin

0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

7920
1160
1000
10080

7920
1160
1000
10080

0
0
0
0

Pasien
Penjamin
2970
2970
1405
1405
1000
1000
5375
5375

0
0
0
0

Pasien
Penjamin
2860
2860
2505
2505
26940
26940
1500
1500
33805
33805

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
23760
23760
3480
3480
1000
1000
28240
28240

0
0
0
0

Pasien
Penjamin
2860
2860
2505
2505
1000
1000
6365
6365

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
26940
26940
2860
2860
2505
2505
1500
1500
33805
33805

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2145
2145
2500
2500
31225
31225

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
5620
5620
180
180
26940
26940
3000
3000
53730
53730

0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
5400
5400

0
0
0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
CAP

2500
34480

2500
34480

0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2000
2000
28580
28580

0
0
0
0
0
0

Pasien
Penjamin
11060
11060
490
490
1160
1160
1500
1500
14210
14210

0
0
0
0
0

Pasien
Penjamin
5620
5620
7920
7920
1160
1160
8910
8910
2000
2000
25610
25610

0
0
0
0
0
0

Pasien

Penjamin
540
149700
1500
1500
153240

0
0
0
0
0

Pasien
Penjamin
7025
7025
92400
92400
52270
52270

0
0
0

540
149700
1500
1500
153240

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

11880
1740
14850
3000
183165

11880
1740
14850
3000
183165

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
23760
23760
3480
3480
1000
1000
28240
28240

0
0
0
0

Pasien
Penjamin
2400
2400
5080
5080
1000
1000
8480
8480

0
0
0
0

Pasien
Penjamin
7920
7920
11880
11880
5620
5620
2505
2505
116
116
2500
2500
30541
30541

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160

0
0

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

11880
5620
520
2500
29600

11880
5620
520
2500
29600

0
0
0
0
0

Pasien
Penjamin
14985
14985
500
500
15485
15485

0
0
0

Pasien
Penjamin
5470
5470
1160
1160
8910
8910
5620
5620
26940
26940
2500
2500
50600
50600

0
0
0
0
0
0
0

Pasien
Penjamin
5470
5470
1160
1160
8910
8910
5620
5620
26940
26940
2500
2500
50600
50600

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2500
2500
29260
29260

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
CAP
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
2860
2860
500
500
3360
3360

0
0
0

Pasien
Penjamin
8430
8430
78405
78405
14985
14985
16590
16590
735
735
1740
1740
17820
17820
3500
3500
142205
142205

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
180
180
2000
2000
23140
23140

0
0
0
0
0
0

Pasien
Penjamin
1500
1500
69300
69300
32328
32328
2145
2145
2000
2000
107273
107273

0
0
0
0
0
0

Pasien
Penjamin
14850
14850
8430
8430
1000
1000
24280
24280

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Emergency Cempaka
Subtotal
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo Unit Dose

Subtotal
VIL
PKG
TAB
TAB
UNT

Depo Unit Dose

Subtotal
AMP
BOT
UNT

Depo Unit Dose

Subtotal
BOT

Pasien
Penjamin
5470
5470
1160
1160
180
180
1500
1500
8310
8310

0
0
0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien

Penjamin
735
1740
16590
1500
20565

0
0
0
0
0

Pasien
Penjamin
30096
30096
41388
41388
501
501
1056
1056
2000
2000
75041
75041

0
0
0
0
0
0

Pasien
Penjamin
8820
8820
57964
57964
1000
1000
67784
67784

0
0
0
0

Pasien
Penjamin
5881
5881

735
1740
16590
1500
20565

BOT
UNT

Depo IGD
Subtotal
TAB
PKG
VIL
TAB
TAB
TAB
TAB
CAP
TAB
CAP
VIL
BAG
UNT
UNT
UNT
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

102432
1000
109313

102432
1000
109313

0
0
0

Penjamin
300
41388
62075
2376
348
1686
1782
15681
429
27720
40242
28899
14988
8415
1068
16417
2970
8500
275284

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2112
2112
500
500
2612
2612

0
0
0

Pasien
Penjamin
10560
10560
500
500
11060
11060

0
0
0

Pasien
Penjamin
2040
2040
5010
5010
8270
8270

0
0
0

Pasien
300
41388
62075
2376
348
1686
1782
15681
429
27720
40242
28899
14988
8415
1068
16417
2970
8500
275284

TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BAG
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal

14510
2000
31830

14510
2000
31830

0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
2000
2000
7316
7316

0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
36326
36326
2500
2500
44142
44142

0
0
0
0
0
0
0

Pasien
Penjamin
8430
8430
78405
78405
14985
14985
1740
1740
11880
11880
17820
17820
3000
3000
136260
136260

0
0
0
0
0
0
0
0

Pasien

Pasien

Penjamin
180
180
500
500
680
680

Penjamin

0
0
0

TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Depo Atas

7920
1160
11880
5620
4000
2500
33080

7920
1160
11880
5620
4000
2500
33080

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2500
2500
29260
29260

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
2860
2860
1500
1500
1000
1000
5360
5360

0
0
0
0

Pasien
Penjamin
1500
1500
2025
2025
105336
105336
1500
1500
110361
110361

0
0
0
0
0

Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
3270
3270
500
500
3770
3770

0
0
0

Pasien
Penjamin
5010
5010
38016
38016
5100
5100
1500
1500
49626
49626

0
0
0
0
0

Pasien
Penjamin
2000
2000
2700
2700
5600
5600
105336
105336
2000
2000
117636
117636

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2500
2500
29260
29260

0
0
0
0
0
0
0

Pasien
Penjamin
4290
4290

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
BAG
BOT
BOT
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

500
4790

500
4790

0
0

Pasien
Penjamin
5620
5620
7920
7920
1160
1160
8910
8910
2000
2000
25610
25610

0
0
0
0
0
0

Pasien
Penjamin
13414
13414
3300
3300
1540
1540
9633
9633
63253
63253
51216
51216
1094
1094
232
232
1188
1188
1124
1124
5000
5000
150994
150994

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
1350
1350
105336
105336
1500
1500
110186
110186

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
1500
1500
46200
46200
2500
2500

0
0
0
0
0
0

71160

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

71160

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
2860
2860
3340
3340
1000
1000
7200
7200

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2500
2500
29260
29260

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
7620
7620
3000
3000
37380
37380

0
0
0
0
0
0
0
0

Pasien
Penjamin
5470
5470
1160
1160
5940
5940

0
0
0

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

5620
2505
2500
23195

5620
2505
2500
23195

0
0
0
0

Penjamin
180
180
500
500
680
680

0
0
0

Pasien
Penjamin
26940
26940
2000
2000
19800
19800
1500
1500
50240
50240

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
2000
2000
28580
28580

0
0
0
0
0
0

Pasien

Pasien

Penjamin
180
500
680

0
0
0

Pasien
Penjamin
2860
2860
2505
2505
32328
32328
1500
1500
39193
39193

0
0
0
0
0

180
500
680

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
TAB
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Pasien
Penjamin
2860
2860
500
500
3360
3360

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
2000
2000
26940
26940
2860
2860
3340
3340
3500
3500
53340
53340

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11060
11060
1160
1160
11880
11880
5620
5620
180
180
2500
2500
32400
32400

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
1500
1500
22460
22460

0
0
0
0
0

Pasien
Penjamin
78405
78405
500
500
78905
78905

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
CAP
TAB
CAP
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
CAP
TAB
CAP
UNT

Depo IGD
Subtotal

Pasien
Penjamin
39600
39600
2145
2145
2505
2505
1500
1500
45750
45750

0
0
0
0
0

Pasien
Penjamin
2505
2505
32328
32328
1000
1000
35833
35833

0
0
0
0

Pasien
Penjamin
32328
32328
2145
2145
55440
55440
2370
2370
2000
2000
94283
94283

0
0
0
0
0
0

Pasien
Penjamin
102432
102432
16417
16417
1000
1000
119849
119849

0
0
0
0

Pasien
Penjamin
32328
32328
2145
2145
55440
55440
1500
1500
91413
91413

0
0
0
0
0

Pasien

Penjamin

CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
UNT
UNT
PKG
VIL
BOT
UNT

32328
2145
11280
1500
47253

32328
2145
11280
1500
47253

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
5620
5620
2860
2860
2500
2500
28970
28970

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
29970
29970
500
500
30470
30470

0
0
0

Pasien
300
3960
405
13414
3300
1540
41388
50160
47685
4500
166652

Penjamin
300
3960
405
13414
3300
1540
41388
50160
47685
4500
166652

0
0
0
0
0
0
0
0
0
0
0

Emergency Cempaka
Subtotal
UNT
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
BOT
BOT
AMP
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
BOT
AMP
UNT

Depo Atas
Subtotal

Pasien
Penjamin
26611
26611
500
500
27111
27111

Pasien

0
0
0

Penjamin
792
116
1188
562
1056
2500
6214

0
0
0
0
0
0
0

Pasien
Penjamin
63253
63253
51216
51216
6072
6072
4645
4645
2000
2000
127186
127186

0
0
0
0
0
0

Pasien
Penjamin
11762
11762
500
500
12262
12262

0
0
0

Pasien
Penjamin
63253
63253
16417
16417
4645
4645
1500
1500
85815
85815

0
0
0
0
0

792
116
1188
562
1056
2500
6214

Pasien

Penjamin

TAB
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
BOT
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
VIL
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel

429
3960
1000
5389

429
3960
1000
5389

0
0
0
0

Pasien
Penjamin
4620
4620
63253
63253
16417
16417
9290
9290
2000
2000
95580
95580

0
0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
2000
2000
7316
7316

0
0
0
0
0
0

Pasien
Penjamin
1188
1188
10930
10930
3300
3300
1540
1540
20213
20213
2550
2550
12012
12012
3500
3500
55233
55233

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
768
768
500
500
1268
1268

0
0
0

Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Emergency Mawar
Subtotal
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
TAB
TAB
TAB
TAB
CAP
TAB
CAP
VIL
BAG
BOT
BOT
UNT
UNT

Pasien
Penjamin
1626
1626
500
500
2126
2126

0
0
0

Pasien
Penjamin
2040
2040
5010
5010
7255
7255
59400
59400
2000
2000
75705
75705

0
0
0
0
0
0

Pasien
Penjamin
41388
41388
500
500
41888
41888

0
0
0

Pasien
Penjamin
20213
20213
16830
16830
12012
12012
2550
2550
3080
3080
14988
14988
14988
14988
3168
3168
464
464
2248
2248
2376
2376
20908
20908
1716
1716
36960
36960
53656
53656
38532
38532
65668
65668
253012
253012
14988
14988
9500
9500
587857
587857

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
BAG
UNT

Depo Unit Dose

Subtotal
AMP
AMP
VIL
UNT

Depo Unit Dose

Subtotal
VIL
UNT
UNT
UNT

Pasien
Penjamin
3960
3960
580
580
5940
5940
2810
2810
5280
5280
2500
2500
21070
21070

Pasien

0
0
0
0
0
0
0

Penjamin
792
116
1188
562
1056
3960
3000
10674

0
0
0
0
0
0
0
0

Pasien
Penjamin
51216
51216
18163
18163
1000
1000
70379
70379

0
0
0
0

Pasien
Penjamin
8820
8820
5782
5782
50160
50160
1500
1500
66262
66262

0
0
0
0
0

Pasien
Penjamin
308880
308880
3300
3300
1540
1540
1500
1500

0
0
0
0

792
116
1188
562
1056
3960
3000
10674

315220

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
TAB
TAB
TAB
TAB

315220

Pasien
Penjamin
2040
2040
5010
5010
14510
14510
3960
3960
580
580
5940
5940
2810
2810
5280
5280
4000
4000
44130
44130

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
429
2256
1000
3685

0
0
0
0

Pasien
Penjamin
3960
3960
580
580
5940
5940
2810
2810
5280
5280
2145
2145
3000
3000
23715
23715

0
0
0
0
0
0
0
0

Pasien
Penjamin
2505
2505
2000
2000
105336
105336
7920
7920
1160
1160
11880
11880
5620
5620
180
180

0
0
0
0
0
0
0
0

429
2256
1000
3685

UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

4000
140601

4000
140601

0
0

Pasien
Penjamin
4000
4000
500
500
4500
4500

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2500
2500
29260
29260

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
4740
4740
180
180
1000
1000
5920
5920

0
0
0
0

Pasien
Penjamin
2860
2860
3340
3340
1000
1000
7200
7200

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1000
1000
10080
10080

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
1430
1430
180
180
2000
2000
12690
12690

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160

0
0

TAB
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

2860
3340
2000
17280

2860
3340
2000
17280

0
0
0
0

Pasien
Penjamin
62700
62700
500
500
63200
63200

0
0
0

Pasien
Penjamin
15400
15400
5620
5620
180
180
1160
1160
11880
11880
7920
7920
3000
3000
45160
45160

0
0
0
0
0
0
0
0

Pasien
Penjamin
5280
5280
500
500
5780
5780

0
0
0

Pasien

Penjamin
180
500
680

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
5280
5280
180
180

0
0
0
0
0
0

180
500
680

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
PKG
VIL
VIL
TAB
TAB
TAB
TAB
VIL
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
UNT
UNT
BAG
BOT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

3000
35040

3000
35040

0
0

Pasien
Penjamin
2112
2112
429
429
501
501
41388
41388
50160
50160
114840
114840
1584
1584
232
232
2376
2376
1124
1124
112200
112200
501
501
306
306
1451
1451
29700
29700
7500
7500
366404
366404

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1056
1056
1584
1584
232
232
2376
2376
1124
1124
13414
13414
3300
3300
1540
1540
9633
9633
51216
51216
63253
63253
5500
5500
154228
154228

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5280
5280
180
180
1000
1000

0
0
0

6460

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal

6460

Pasien
Penjamin
7920
7920
1160
1160
5280
5280
1500
1500
15860
15860

0
0
0
0
0

Pasien
Penjamin
5280
5280
26940
26940
180
180
2505
2505
2000
2000
36905
36905

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
5280
5280
26400
26400
3000
3000
61260
61260

0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
5280
5280
180
180
2500
2500
25950
25950

0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD

780
9000
1000
10780

780
9000
1000
10780

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
10560
10560
2505
2505
3000
3000
42645
42645

0
0
0
0
0
0
0
0

Pasien
Penjamin
63253
63253
102432
102432
1000
1000
166685
166685

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
5280
5280
2500
2500
34360
34360

0
0
0
0
0
0
0

Pasien
Penjamin
2145
2145
19800
19800
66000
66000
1500
1500
89445
89445

0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal

Pasien
Penjamin
5280
5280
5470
5470
1160
1160
8910
8910
5620
5620
2500
2500
28940
28940

Pasien

0
0
0
0
0
0
0

Penjamin
180
11060
1160
490
11880
5620
2860
3500
36750

0
0
0
0
0
0
0
0
0

Penjamin
270
11880
1740
17820
2000
33710

0
0
0
0
0
0

Pasien
Penjamin
5620
5620
2860
2860
1670
1670
7920
7920
1160
1160
8910
8910
3000
3000
31140
31140

0
0
0
0
0
0
0
0

180
11060
1160
490
11880
5620
2860
3500
36750

Pasien
270
11880
1740
17820
2000
33710

Pasien

Penjamin

BOT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

63253
102432
1000
166685

63253
102432
1000
166685

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
180
180
2000
2000
16880
16880

0
0
0
0
0
0

Pasien
Penjamin
23760
23760
3480
3480
540
540
1500
1500
29280
29280

0
0
0
0
0

Pasien
Penjamin
19800
19800
2000
2000
1350
1350
105336
105336
26940
26940
2500
2500
157926
157926

0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
180
180
2500
2500
29260
29260

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
2145
2145
2505
2505
180
180
1500
1500
6330
6330

0
0
0
0
0

Pasien
Penjamin
57750
57750
500
500
58250
58250

0
0
0

Pasien
Penjamin
4500
4500
2145
2145
2505
2505
26940
26940
2000
2000
38090
38090

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
1500
1500
22460
22460

0
0
0
0
0

Pasien
Penjamin
2145
2145

CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD

46200
4500
1500
54345

46200
4500
1500
54345

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
1500
1500
10760
10760

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
10560
10560
180
180
2000
2000
21820
21820

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
10560
10560
180
180
2000
2000
21820
21820

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
8910
8910
10560
10560
2500
2500
36670
36670

0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

Pasien
Penjamin
7920
7920
1160
1160
10560
10560
1500
1500
21140
21140

0
0
0
0
0

Pasien
Penjamin
57750
57750
500
500
58250
58250

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5280
5280
9000
9000
2000
2000
25360
25360

0
0
0
0
0
0

Pasien
Penjamin
7392
7392
500
500
7892
7892

0
0
0

Pasien
Penjamin
2145
2145
46200
46200
39600
39600
1500
1500
89445
89445

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620

0
0
0
0

TAB
CAP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP

10560
26940
2505
3500
70085

10560
26940
2505
3500
70085

0
0
0
0
0

Pasien
Penjamin
1160
1160
11880
11880
5620
5620
180
180
10560
10560
2500
2500
31900
31900

0
0
0
0
0
0
0

Pasien
Penjamin
23760
23760
3480
3480
15840
15840
540
540
2000
2000
45620
45620

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
180
180
10560
10560
2000
2000
21820
21820

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
10560
10560
2860
2860
3340
3340
26940
26940

0
0
0
0
0
0
0

UNT

Depo IGD
Subtotal
TAB
CAP
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

3500
65190

3500
65190

0
0

Pasien
Penjamin
8430
8430
78405
78405
11880
11880
1740
1740
17820
17820
2500
2500
120775
120775

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
23760
23760
3480
3480
15840
15840
29970
29970
2000
2000
75050
75050

0
0
0
0
0
0

Pasien
Penjamin
2145
2145
46200
46200
26400
26400
1500
1500
76245
76245

0
0
0
0
0

Pasien
Penjamin
78405
78405
270
270
1000
1000
79675
79675

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
UNT

Pasien

Penjamin
540
23760
3480
156810
2000
186590

0
0
0
0
0
0

Pasien
Penjamin
63253
63253
102432
102432
1000
1000
166685
166685

0
0
0
0

Pasien
Penjamin
5544
5544
812
812
8316
8316
3934
3934
7392
7392
2145
2145
2505
2505
3500
3500
34148
34148

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2040
2040
7255
7255
1000
1000
10295
10295

0
0
0
0

Pasien
Penjamin
46191
46191
500
500
46691
46691

0
0
0

540
23760
3480
156810
2000
186590

Depo Unit Dose

Subtotal
BOT
BOT
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
AMP
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
TAB

Pasien
Penjamin
16417
16417
6072
6072
4645
4645
1500
1500
28634
28634

0
0
0
0
0

Pasien
Penjamin
5280
5280
2145
2145
2505
2505
3960
3960
580
580
5940
5940
2810
2810
9240
9240
4000
4000
36460
36460

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
122
500
622

0
0
0

Pasien
Penjamin
152160
152160
4444
4444
122
122
204
204
1002
1002
2500
2500
160432
160432

0
0
0
0
0
0
0

Pasien
Penjamin
8430
8430
78405
78405
270
270

0
0
0

122
500
622

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

11880
1740
17820
3000
121545

11880
1740
17820
3000
121545

0
0
0
0
0

Pasien
Penjamin
1708
1708
500
500
2208
2208

0
0
0

Pasien
Penjamin
10560
10560
3340
3340
1000
1000
14900
14900

0
0
0
0

Pasien
Penjamin
8270
8270
500
500
8770
8770

0
0
0

Pasien
Penjamin
10560
10560
3340
3340
1000
1000
14900
14900

0
0
0
0

Pasien
Penjamin
26940
26940
2860
2860
19800
19800
1500
1500
2000
2000
53100
53100

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
2145
2145
5620
5620
10560
10560
7920
7920
1160
1160
11880
11880
3000
3000
42285
42285

0
0
0
0
0
0
0
0

Pasien
Penjamin
1500
1500
7620
7620
2145
2145
2505
2505
26940
26940
2500
2500
43210
43210

0
0
0
0
0
0
0

Pasien
Penjamin
10560
10560
4000
4000
1000
1000
15560
15560

0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
5620
5620
10560
10560
4740
4740
3000
3000
41910
41910

0
0
0
0
0
0
0
0

Pasien
Penjamin
10560
10560
2860
2860

0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

1000
14420

1000
14420

0
0

Pasien
Penjamin
7920
7920
1160
1160
8910
8910
5620
5620
10560
10560
26940
26940
3000
3000
64110
64110

0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
10560
10560
26940
26940
3000
3000
67080
67080

0
0
0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
9000
9000
5620
5620
10560
10560
180
180
3500
3500
49820
49820

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2860
2860
2505
2505
10410
10410
1500
1500

0
0
0
0

17275

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

17275

Pasien
Penjamin
10560
10560
500
500
11060
11060

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5280
5280
1500
1500
15860
15860

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
10560
10560
1500
1500
21140
21140

0
0
0
0
0

Pasien
Penjamin
2145
2145
1170
1170
17880
17880
26940
26940
2000
2000
50135
50135

0
0
0
0
0
0

Pasien
Penjamin
5470
5470
1160
1160
11880
11880
10560
10560
4740
4740
180
180
3000
3000

0
0
0
0
0
0
0

36990

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

36990

Pasien
Penjamin
4290
4290
95040
95040
57964
57964
1500
1500
158794
158794

0
0
0
0
0

Pasien
Penjamin
4848
4848
23760
23760
3480
3480
15840
15840
2000
2000
49928
49928

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
11880
11880
5620
5620
10560
10560
2505
2505
3000
3000
42645
42645

0
0
0
0
0
0
0
0

Pasien
Penjamin
32328
32328
12690
12690
2145
2145
1000
1000
2000
2000
50163
50163

0
0
0
0
0
0

Pasien
Penjamin
2860
2860

TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo IGD
Subtotal
CAP
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo IGD

2505
10560
1500
17425

2505
10560
1500
17425

0
0
0
0

Pasien
Penjamin
1500
1500
2505
2505
32328
32328
1500
1500
37833
37833

0
0
0
0
0

Pasien
Penjamin
49900
49900
7920
7920
69300
69300
1500
1500
128620
128620

0
0
0
0
0

Pasien
Penjamin
5620
5620
10560
10560
2145
2145
2505
2505
7920
7920
1160
1160
11880
11880
3500
3500
45290
45290

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2145
2145
8460
8460
1500
1500
39045
39045

0
0
0
0
0

Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB

Pasien
Penjamin
11880
11880
1740
1740
2860
2860
15840
15840
2000
2000
34320
34320

0
0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
490
490
11880
11880
5620
5620
10560
10560
3000
3000
40630
40630

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2145
2145
2505
2505
1500
1500
33090
33090

0
0
0
0
0

Pasien
Penjamin
78405
78405
15840
15840
4740
4740
1500
1500
100485
100485

0
0
0
0
0

Pasien
Penjamin
4752
4752
696
696
7128
7128
3372
3372
6336
6336
108
108

0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

3000
25392

3000
25392

0
0

Pasien
Penjamin
3960
3960
580
580
5940
5940
2810
2810
5280
5280
1430
1430
1670
1670
3500
3500
25170
25170

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
154440
154440
3300
3300
1540
1540
286
286
334
334
2500
2500
162400
162400

0
0
0
0
0
0
0

Pasien
Penjamin
66000
66000
2860
2860
19800
19800
1500
1500
90160
90160

0
0
0
0
0

Pasien
Penjamin
1584
1584
232
232
2376
2376
1124
1124
2112
2112
2500
2500
9928
9928

0
0
0
0
0
0
0

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Apotik Panel
Subtotal
VIL
UNT

Pasien
Penjamin
5280
5280
1430
1430
2735
2735
580
580
5940
5940
2810
2810
3000
3000
21775
21775

0
0
0
0
0
0
0
0

Pasien
Penjamin
6233
6233
500
500
6733
6733

0
0
0

Waktu
30 Mei 2013 09:40
Item
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
GENTAMYCIN INF 5 GM OINTMENT
PARACETAMOL 60 ML SYRUP
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

Jaminan
ASURANSI BOSOWA
Quantity
4,00
4,00
2,00
1,00
1,00
15,00
1,00
1,00
1,00
3,00

28 Mei 2013 23:01

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 13:01

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
TRIAMCORT TABLET 4 mg
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
4,00
4,00
2,00
1,00
1,00
15,00
1,00
1,00

28 Mei 2013 10:23

Item
STOMACH TUBE 4 JMS
STOMACH TUBE 6 JMS
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN

JAMPERSAL
Quantity
2,00
1,00
1,00
2,00
1,00
5,00

TOTAL

28 Mei 2013 09:58

Item
SALBUTAMOL 100 ML SYRUP
AMBROXOL INF 60 ML SYRUP
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 09:26

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
6,00
1,00
1,00
30,00
6,00
30,00
1,00
1,00
30,00

27 Mei 2013 12:01

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 11:55

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

27 Mei 2013 11:55

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 11:45

Item
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
ALDISA SR CAPSULE
SALBUTAMOL INF TABLET 2 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
5,00
5,00
4,00
2,00
6,00
1,00
1,00
15,00

27 Mei 2013 10:45

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
8,00
1,00
1,00
30,00
8,00
30,00
1,00
1,00
30,00

27 Mei 2013 10:39

Item
OPICEF 60 SYRUP 125 mg/5 ml
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
ALDISA SR CAPSULE
SALBUTAMOL INF TABLET 2 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
SELANG NEBU PEDRIATIC(1484)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
3,00
3,00
2,00
6,00
1,00
1,00
15,00
1,00
2,00
3,00

27 Mei 2013 10:35

UMUM

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
ANTASIDA DOEN 60 ML SYRUP
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
TRIAMCORT TABLET 4 mg
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
COBAZIM TABLET 1000 mcg
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
5,00
5,00
5,00
1,00
1,00
15,00
6,00
3,00

27 Mei 2013 10:32

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
STOMACH TUBE 8 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
1,00
1,00
15,00
1,00
1,00
1,00
1,00
4,00

27 Mei 2013 09:22

Item
MICONAZOLE KF 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

25 Mei 2013 13:48

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 13:47

Item

JAKARTA SEHAT
Quantity

CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

25 Mei 2013 13:46

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 13:43

Item
ZINKID 10MG/5ML SYRUP
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

25 Mei 2013 13:41

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

25 Mei 2013 13:40

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 19:08

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 19:06

Item
AMBROXOL INF 60 ML SYRUP
PARACETAMOL 60 ML SYRUP

JAKARTA SEHAT
Quantity
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

24 Mei 2013 19:05

Item
PARACETAMOL 60 ML SYRUP
AMBROXOL INF 60 ML SYRUP
ZINKID 10MG/5ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 19:04

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 16:31

Item
MICRODRIP OI-34 OTSUKA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

24 Mei 2013 12:49

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
ALDISA SR CAPSULE
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH RACIKAN EMBALASE
PARACETAMOL 60 ML SYRUP
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
2,00
3,00
1,00
15,00
1,00
1,00
3,00

24 Mei 2013 12:26

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 12:25

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 12:13

Item
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 12:06

Item
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
7,00
15,00
1,00
15,00
7,00
1,00
15,00

24 Mei 2013 11:50

Item
AMOXICILLIN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 11:17

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET

JAKARTA SEHAT
Quantity
3,00
1,00
15,00
3,00
15,00
1,00
15,00
1,00
2,00
3,00

DEXAMETHASONE INF TABLET 0.5 MG

TUSLAH RACIKAN EMBALASE
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
15,00
1,00
2,00

24 Mei 2013 11:14

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
ZINKID 10MG/5ML SYRUP
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
15,00
3,00
15,00
1,00
15,00
1,00
3,00
3,00
3,00
1,00
15,00
1,00

24 Mei 2013 10:47

Item
COBAZIM TABLET 1000 mcg
INH 300 MG TABLET
TUSLAH RACIKAN
EMBALASE
AMOXICILLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
5,00
1,00
2,00

24 Mei 2013 10:32

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN -

JAKARTA SEHAT
Quantity
2,00
1,00
15,00
4,00
2,00
8,00
1,00

EMBALASE
TOTAL

15,00

23 Mei 2013 14:27

Item
MOFACORT 5 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 12:39

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
GENTAMYCIN INF 5 GM OINTMENT
KETOCONAZOLE 10 GM CREAM
MOFACORT 5 GM CREAM
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00

23 Mei 2013 12:28

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

23 Mei 2013 11:50

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
DEXAMETHASONE INF TABLET 0.5 MG
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
5,00
1,00
1,00
15,00
1,00

23 Mei 2013 11:39

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TRIAMCORT TABLET 4 mg

UMUM
Quantity
1,00
4,00

CTM 4 MG TABLET
ALDISA SR CAPSULE
AMBROXOL INF 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
1,00
1,00
15,00
1,00

23 Mei 2013 11:16

Item
AMOXICILLIN 60 ML SYRUP
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

23 Mei 2013 11:16

Item
GENTAMYCIN INF 5 GM OINTMENT
ANTASIDA DOEN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

23 Mei 2013 10:36

Item
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
3,00
4,00
3,00
1,00
1,00
1,00
15,00
1,00
1,00

23 Mei 2013 10:31

Item
ANTASIDA DOEN 60 ML SYRUP
TRIAMCORT TABLET 4 mg
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN -

UMUM
Quantity
1,00
5,00
8,00
1,00
1,00

EMBALASE
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

15,00
1,00
2,00

23 Mei 2013 10:20

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
COBAZIM TABLET 1000 mcg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
13,00
1,00
1,00
30,00
13,00
30,00
1,00
1,00
30,00
15,00
1,00

23 Mei 2013 09:59

Item
ANTASIDA DOEN 60 ML SYRUP
PARACETAMOL 60 ML SYRUP
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 09:57

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
1,00
1,00
1,00
15,00

22 Mei 2013 14:49

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

22 Mei 2013 13:34

Item
URDAFALK CAPSULE 250 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
15,00

22 Mei 2013 12:07

Item
ORALIT
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
ALDISA SR CAPSULE
TRIAMCORT TABLET 4 mg
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
ZINKID 10MG/5ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
2,00
3,00
1,00
3,00
1,00
1,00
15,00
1,00
1,00
3,00

22 Mei 2013 12:05

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
SALYCIL TALK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
15,00
10,00
15,00
1,00
1,00
15,00
1,00
1,00

22 Mei 2013 12:03

Item
AMBROXOL INF 30 MG TABLET

JAKARTA SEHAT
Quantity
2,00

CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

3,00
3,00
1,00
1,00
15,00

22 Mei 2013 11:34

Item
STOMACH TUBE 10 JMS
GUEDEL AIRWAYS SIZE 5.5
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 11:10

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

22 Mei 2013 10:59

Item
PARACETAMOL 60 ML SYRUP
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
FOLIC ACID 1 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
5,00
1,00
1,00
1,00
20,00
1,00
1,00
20,00
2,00

22 Mei 2013 10:51

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

22 Mei 2013 10:15

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
DOMPERIDON SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
15,00
3,00
15,00
1,00
1,00
15,00
1,00
1,00

22 Mei 2013 10:14

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
15,00
3,00
15,00
1,00
1,00
15,00

22 Mei 2013 09:13

Item
CEFADROXIL INF CAPSULE 500 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
10,00

21 Mei 2013 13:31

Item
CEFADROXIL INF CAPSULE 500 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
10,00

21 Mei 2013 13:31

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 12:49

Item
DISP SYRINGE 10 CC
DISP SYRINGE 50 CC WITHOUT NED
THREE WAY STOPCOCK
ETT PORTEX 4
ETT CUFF 4,5
HANDSCOON GAMEX 7
EPHINEPRIN ETHICA INJECTION
RINGER LACTATE WIDATRA 500 ML
DOBURAN INJ
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
11,00

21 Mei 2013 12:25

Item
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
AMBROXOL INF 60 ML SYRUP
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

21 Mei 2013 12:14

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
ALDISA SR CAPSULE
TRIAMCORT TABLET 4 mg
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
1,00
4,00
4,00
2,00
4,00
1,00
1,00
15,00

TUSLAH NON RACIKAN

TOTAL

1,00

21 Mei 2013 12:04

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
ALDISA SR CAPSULE
EQUAL REFILL SACHET
CTM 4 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
4,00
5,00
2,00
1,00
4,00
1,00
15,00
1,00

21 Mei 2013 11:45

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
4,00
15,00
1,00
1,00
15,00

21 Mei 2013 11:42

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
4,00
15,00
1,00
1,00
15,00

20 Mei 2013 21:15

UMUM

Item
PELASTIN INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

20 Mei 2013 13:51

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
ALDISA SR CAPSULE
TUSLAH RACIKAN EMBALASE
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBU PEDRIATIC(1484)
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
CAPTOPRIL 12.5 MG TABLET
TUSLAH RACIKAN EMBALASE
FUROSEMID INF TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
1,00
15,00
2,00
1,00
1,00
5,00
1,00
30,00
1,00
1,00
10,00
3,00

20 Mei 2013 13:18

Item
STOMACH TUBE 10 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 13:17

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 12:51

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

20 Mei 2013 11:49

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
1,00
1,00
1,00
15,00
1,00
1,00

20 Mei 2013 11:45

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00
1,00
1,00
1,00
15,00
1,00

20 Mei 2013 11:17

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

20 Mei 2013 11:12

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
AMBROXOL INF 30 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
CTM 4 MG TABLET
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00
1,00
1,00
1,00
15,00

TUSLAH NON RACIKAN

TOTAL

1,00

20 Mei 2013 11:03

Item
DOMPERIDON SYRUP
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

20 Mei 2013 10:28

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

19 Mei 2013 21:13

Item
SELANG NEBU PEDRIATIC(1484)
ETT CUFF 4,5
GUEDEL AIRWAYS SIZE 5.5
HANDSCOON GAMEX 6.5
CIRRUS NEBULIZER T KIT ( ANAK)>2506
THREE WAY STOPCOCK
EPHINEPRIN ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

19 Mei 2013 08:35

Item
STOMACH TUBE 12 THERUMO
FOLLEY CATHETER 12 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 3 CC
N2 OTSUKA 500 ML INFUSION 27.5 GM; 2.25 GM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

18 Mei 2013 10:21

Item
SELANG OKSIGEN BAYI
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

17 Mei 2013 10:24

Item
AMBROXOL INF 60 ML SYRUP
VALISANBE TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
2,00

16 Mei 2013 08:56

Item
STOMACH TUBE 8 JMS
DEXAMETHASONE 5 MG INJECTION
MEROPENEM 500 MG INJECTION, SOLUTION
SELANG OKSIGEN BAYI
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

15 Mei 2013 14:37

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
RHINOFED DEXA TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00
1,00
1,00
15,00
1,00
1,00

15 Mei 2013 14:23

Item
MICONAZOLE KF 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 14:22

Item

JAKARTA SEHAT
Quantity

PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

1,00
1,00

15 Mei 2013 12:57

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CURVIT CL EMULSION 175 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
4,00
5,00
5,00
5,00
1,00
1,00
15,00
1,00
2,00

15 Mei 2013 12:53

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
15,00
5,00
15,00
1,00
1,00
15,00
1,00
1,00

15 Mei 2013 12:41

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
TRIAMCORT TABLET 4 mg
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00
3,00
1,00
1,00
15,00
2,00

SELANG NEBU PEDRIATIC(1484)

TUSLAH NON RACIKAN
TOTAL

1,00
3,00

15 Mei 2013 12:31

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

13 Mei 2013 13:13

Item
IMBOOST FORCE 60 ML SYRUP
SANMOL TABLET 500 mg
VOMERIN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
6,00
1,00
3,00

13 Mei 2013 12:30

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
5,00
1,00

13 Mei 2013 12:30

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
ALDISA SR CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
6,00
5,00
5,00
5,00
1,00
15,00
2,00

13 Mei 2013 11:09

Item
IMBOOST FORCE 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

13 Mei 2013 09:34

Item
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
ORALIT
MUCERA OTTO 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
6,00
5,00
1,00
4,00

13 Mei 2013 09:15

Item
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH RACIKAN EMBALASE
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
4,00
1,00
15,00
6,00
1,00

13 Mei 2013 09:14

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

11 Mei 2013 12:22

Item
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INF 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
15,00
14,00
1,00
15,00
15,00
1,00

11 Mei 2013 12:21

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET

JAKARTA SEHAT
Quantity
15,00
8,00
15,00

PYRAZINAMIDE INF 500 MG TABLET

TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

14,00
1,00
15,00
1,00

11 Mei 2013 11:53

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
15,00
10,00
13,00
14,00
1,00
15,00

11 Mei 2013 11:44

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

11 Mei 2013 11:43

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00
15,00
8,00
15,00
1,00
15,00

11 Mei 2013 11:37

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

11 Mei 2013 11:37

JAKARTA SEHAT

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
TUSLAH RACIKAN EMBALASE
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

Quantity
8,00
1,00
15,00
8,00
15,00
14,00
9,00
1,00
15,00
1,00
1,00

11 Mei 2013 11:23

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

11 Mei 2013 11:22

Item
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH RACIKAN EMBALASE
COBAZIM TABLET 1000 mcg
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
30,00
9,00
1,00
30,00
10,00
5,00
1,00
30,00
1,00

11 Mei 2013 11:19

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET

RSUD TARAKAN
Quantity
9,00
5,00
1,00
30,00
9,00
17,00
30,00
5,00

TUSLAH RACIKAN EMBALASE

AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
TREMENZA TABLET
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
MENTHOL PULV
DESOLEX 10 GM CREAM 0.5 mg/g
TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
30,00
4,00
4,00
5,00
5,00
5,00
1,00
15,00
1,00
2,00
1,00
1,00

11 Mei 2013 10:09

Item
SALBUTAMOL 100 ML SYRUP
AMBROXOL INF 60 ML SYRUP
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
5,00
5,00

10 Mei 2013 12:09

Item
GENTAMYCIN INF 5 GM OINTMENT
AMOXICILLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
2,00

10 Mei 2013 11:10

Item
ANTASIDA DOEN 60 ML SYRUP
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

10 Mei 2013 10:36

Item
RIFAMPICIN GENERIK 450 MG TABLET
EQUAL REFILL SACHET

UMUM
Quantity
8,00
1,00

TUSLAH RACIKAN EMBALASE

INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
COBAZIM TABLET 1000 mcg
TUSLAH NON RACIKAN
TOTAL

1,00
34,00
6,00
34,00
1,00
1,00
34,00
10,00
1,00

10 Mei 2013 10:05

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
4,00
15,00
1,00
1,00
15,00

10 Mei 2013 10:03

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
4,00
15,00
1,00
1,00
15,00

10 Mei 2013 09:52

Item
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
TREMENZA TABLET
EQUAL REFILL SACHET

UMUM
Quantity
3,00
4,00
3,00
3,00
1,00

TUSLAH RACIKAN EMBALASE

OPICEF 60 SYRUP 125 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

1,00
15,00
1,00
1,00

8 Mei 2013 15:27

Item
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
ORALIT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
5,00
3,00

8 Mei 2013 13:25

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ANTASIDA DOEN 60 ML SYRUP
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
4,00
4,00
4,00
1,00
1,00
15,00
1,00
1,00
3,00

8 Mei 2013 12:48

Item
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
7,00
15,00
1,00
15,00
5,00
1,00
15,00

7 Mei 2013 14:56

Item
IMBOOST FORCE 60 ML SYRUP
TUSLAH NON RACIKAN

ASKES
Quantity
1,00
1,00

TOTAL

7 Mei 2013 13:21

Item
ORALIT
LACTODIA POLYBAG
ZINKID 10MG/5ML SYRUP
DOMPERIDON SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
6,00
1,00
1,00
4,00

7 Mei 2013 13:13

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

7 Mei 2013 12:47

Item
RIFAMPICIN GENERIK 450 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
4,00
7,00
1,00
1,00
15,00
1,00
1,00

7 Mei 2013 12:43

Item
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
ZINC INF 20 MG TABLET
TREMENZA TABLET
AMBROXOL INF 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
10,00
4,00
4,00
1,00
1,00
15,00
2,00

TOTAL

7 Mei 2013 12:31

Item
MICONAZOLE KF 10 GM CREAM
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
AMBROXOL INF 30 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
CTM 4 MG TABLET
TREMENZA TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
4,00
4,00
4,00
1,00
1,00
15,00
1,00
3,00

7 Mei 2013 12:30

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
1,00
1,00
15,00

7 Mei 2013 12:10

Item
MICONAZOLE KF 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 12:10

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN -

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
4,00
7,00
1,00
1,00

EMBALASE
TOTAL

15,00

7 Mei 2013 12:07

Item
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
TREMENZA TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
5,00
5,00
4,00
5,00
1,00
1,00
15,00
1,00
1,00

7 Mei 2013 11:16

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBU PEDRIATIC(1484)
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
TREMENZA TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
3,00
3,00
3,00
1,00
1,00
15,00
3,00

7 Mei 2013 10:41

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

4 Mei 2013 12:18

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
15,00

INH 300 MG TABLET

VITAMIN B6 10 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

5,00
15,00
9,00
1,00
1,00
15,00

4 Mei 2013 12:00

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
10,00
1,00
1,00
30,00
10,00
30,00
1,00
1,00
30,00

4 Mei 2013 12:00

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
COBAZIM TABLET 1000 mcg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
1,00
1,00
30,00
8,00
30,00
1,00
1,00
30,00
5,00
1,00

4 Mei 2013 11:48

Item
MUCERA OTTO 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 11:12

RSUD TARAKAN

Item
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
6,00
1,00
3,00

4 Mei 2013 11:01

Item
AMBROXOL INF 30 MG TABLET
TRIAMCORT TABLET 4 mg
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

RSUD TARAKAN
Quantity
3,00
4,00
3,00
1,00
1,00
15,00

3 Mei 2013 13:44

Item
THROMBOPHOB 20 GM GEL 20 GM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo
Depo Atas
Subtotal
TAB
TAB
CAP
PKG
UNT
UNT
TUB
BOT
BOT
UNT

Trolley IGD
Subtotal
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
PKG
UNT
UNT
BOT
UNT

Emergency NICU
Subtotal
UNT
UNT
UNT
UNT
AMP
UNT

Pasien
Penjamin
10420
10420
128
128
7540
7540
196
196
3500
3500
750
750
2220
2220
2760
2760
39500
39500
1500
1500
68514
68514

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
16500
16500
1500
1500
35511
35511

0
0
0
0
0

Pasien

Penjamin
668
128
10420
7540
196
3500
750
9841
500
33543

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
34320
34320
17160
17160
12610
12610
53900
53900
2940
2940
2500
2500

0
0
0
0
0
0

668
128
10420
7540
196
3500
750
9841
500
33543

123430

Depo IGD
Subtotal
BOT
BOT
BOT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo IGD
Subtotal
BOT
VIL
AMP
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

123430

Pasien
Penjamin
6435
6435
3560
3560
9841
9841
1500
1500
21336
21336

0
0
0
0
0

Pasien
Penjamin
6636
6636
196
196
3500
3500
1500
1500
696
696
540
540
196
196
3500
3500
1500
1500
18264
18264

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6872
6872
6274
6274
4435
4435
1500
1500
19081
19081

0
0
0
0
0

Pasien
Penjamin
37802.5 37802.5
500
500
38302.5 38302.5

0
0
0

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
CAP
TAB
PKG
UNT
UNT
PKG
VIL
UNT

Depo Atas

Pasien

Penjamin
835
13025
128
7540
600
196
3500
750
26574

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8848
8848
196
196
3500
3500
1500
1500
928
928
540
540
196
196
3500
3500
1500
1500
20708
20708

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39270
39270
501
501
7815
7815
96
96
7540
7540
600
600
196
196
3500
3500
750
750
43313
43313
24830
24830
1500
1500
129911
129911

0
0
0
0
0
0
0
0
0
0
0
0
0

835
13025
128
7540
600
196
3500
750
26574

Subtotal
BOT
BOT
TAB
TAB
TAB
PKG
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
PKG
UNT
UNT
BOT
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
39500
39500
3221
3221
835
835
160
160
13025
13025
196
196
3500
3500
750
750
17466
17466
1500
1500
80153
80153

Pasien

0
0
0
0
0
0
0
0
0
0
0

Penjamin
501
96
384
7540
196
3500
750
39500
5881
1275
17160
2000
78783

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3625
3625
500
500
4125
4125

0
0
0

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

501
96
384
7540
196
3500
750
39500
5881
1275
17160
2000
78783

Pasien

Penjamin

BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
AMP
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
BOT

39500
500
40000

39500
500
40000

0
0
0

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

Pasien
Penjamin
27060
27060
3560
3560
1000
1000
31620
31620

0
0
0
0

Pasien
Penjamin
5782
5782
3560
3560
1000
1000
10342
10342

0
0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Pasien
Penjamin
39500
39500
3560
3560
1000
1000
44060
44060

0
0
0
0

Pasien
Penjamin
3560
3560
2760
2760

0
0

UNT

Depo IGD
Subtotal
BOT
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Emergency PICU
Subtotal
UNT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
CAP
TAB
UNT
UNT
BOT
PKG
UNT

Depo IGD
Subtotal
BOT
UNT

1000
7320

1000
7320

0
0

Pasien
Penjamin
2760
2760
3560
3560
27060
27060
1500
1500
34880
34880

0
0
0
0
0

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

Pasien
Penjamin
15280
15280
500
500
15780
15780

0
0
0

Pasien
Penjamin
39500
39500
501
501
96
96
7540
7540
384
384
3500
3500
750
750
2760
2760
43313
43313
1500
1500
99844
99844

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Depo Atas
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
CAP
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
TAB
UNT
UNT
BOT
TAB
TAB

Pasien
Penjamin
47685
47685
500
500
48185
48185

0
0
0

Pasien
Penjamin
13860
13860
500
500
14360
14360

0
0
0

Pasien

Penjamin
812
270
3500
750
7742
3500
750
17324

0
0
0
0
0
0
0
0

Pasien
Penjamin
4262
4262
500
500
4762
4762

0
0
0

Pasien
Penjamin
3318
3318
3500
3500
750
750
348
348
270
270
3500
3500
750
750
9841
9841
334
334
96
96

0
0
0
0
0
0
0
0
0
0

812
270
3500
750
7742
3500
750
17324

TAB
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
TAB
UNT
UNT
BOT
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
TAB
TAB
UNT

384
3500
750
2760
1000
31101

384
3500
750
2760
1000
31101

0
0
0
0
0
0

Pasien
Penjamin
3318
3318
3500
3500
750
750
348
348
270
270
3500
3500
750
750
27060
27060
501
501
96
96
384
384
3500
3500
750
750
500
500
45227
45227

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29110
29110
116
116
3500
3500
250
250
444
444
1000
1000
34420
34420

0
0
0
0
0
0
0

Pasien
Penjamin
2212
2212
3500
3500
750
750
1124
1124
232
232
144
144
3500
3500

0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
BOT
TUB
TUB
TUB
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
TAB

750
12212

750
12212

0
0

Pasien
Penjamin
30567
30567
500
500
31067
31067

0
0
0

Pasien
Penjamin
39500
39500
2220
2220
7560
7560
30567
30567
3500
3500
50
50
1000
1000
84397
84397

0
0
0
0
0
0
0
0

Pasien
Penjamin
24830
24830
43313
43313
1000
1000
69143
69143

0
0
0
0

Pasien
Penjamin
39500
39500
640
640
190
190
196
196
3500
3500
750
750
500
500
45276
45276

0
0
0
0
0
0
0
0

Pasien
Penjamin
39500
39500
10420
10420

0
0

TAB
CAP
TAB
PKG
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
TUB
UNT

Depo IGD
Subtotal
TUB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
PKG
UNT

96
11310
501
196
3500
750
500
66773

96
11310
501
196
3500
750
500
66773

0
0
0
0
0
0
0
0

Pasien
Penjamin
4262
4262
2220
2220
1000
1000
7482
7482

0
0
0
0

Pasien
Penjamin
2220
2220
3221
3221
1000
1000
6441
6441

0
0
0
0

Pasien

Penjamin
501
10420
96
3770
196
3500
750
9841
500
29574

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3221
3221
13025
13025
304
304
196
196
3500
3500

0
0
0
0
0

501
10420
96
3770
196
3500
750
9841
500
29574

UNT
BOT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

750
39500
1000
61496

750
39500
1000
61496

0
0
0
0

Pasien
Penjamin
14378
14378
196
196
3500
3500
1500
1500
1508
1508
540
540
196
196
3500
3500
1500
1500
43665
43665
500
500
70983
70983

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3221
3221
2760
2760
3560
3560
1500
1500
11041
11041

0
0
0
0
0

Pasien

Penjamin
334
96
384
3770
196
3500
750
9030

0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
500
500

0
0

334
96
384
3770
196
3500
750
9030

4060

Depo Atas
Subtotal
CAP
PKG
UNT
UNT

Depo Atas
Subtotal
PKG
TAB
TAB
CAP
TAB
PKG
UNT
UNT
BOT
BOT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
BOX
UNT

Depo Atas
Subtotal
TAB

4060

Pasien
Penjamin
48905
48905
196
196
3500
3500
750
750
53351
53351

0
0
0
0
0

Pasien

Penjamin
875
334
96
3770
7815
196
3500
750
39500
27060
1500
85396

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11060
11060
196
196
3500
3500
750
750
1160
1160
270
270
196
196
3500
3500
750
750
1320
1320
500
500
23202
23202

0
0
0
0
0
0
0
0
0
0
0
0

875
334
96
3770
7815
196
3500
750
39500
27060
1500
85396

Pasien

Penjamin
334
334

TAB
TAB
PKG
UNT
UNT

Emergency PICU
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

96
384
196
3500
750
5260

96
384
196
3500
750
5260

0
0
0
0
0
0

Pasien
Penjamin
17160
17160
13200
13200
8415
8415
1500
1500
40275
40275

0
0
0
0
0

Pasien
Penjamin
24830
24830
43313
43313
1000
1000
69143
69143

0
0
0
0

Pasien
Penjamin
2760
2760
39500
39500
410
410
196
196
3500
3500
50
50
1640
1640
196
196
3500
3500
1000
1000
1000
1000
53752
53752

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2022
2022
500
500
2522
2522

0
0
0

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT

Pasien
Penjamin
3318
3318
196
196
3500
3500
750
750
348
348
270
270
196
196
3500
3500
750
750
16394
16394
500
500
29722
29722

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3318
3318
196
196
3500
3500
750
750
348
348
270
270
196
196
3500
3500
750
750
12828
12828

0
0
0
0
0
0
0
0
0
0

Pasien
955
196
3500
500
5151

Pasien
955
196
3500
500
5151

Penjamin
955
196
3500
500
5151

0
0
0
0
0

Penjamin
955
196
3500
500
5151

0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT

Emergency PICU
Subtotal
UNT
UNT
UNT
PKG
PKG
UNT
AMP
BOT
AMP
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
BOT
VIL
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
CAP
TAB
PKG
UNT
UNT

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

Pasien
Penjamin
3994
3994
12610
12610
40426
40426
91194
91194
46200
46200
12012
12012
3036
3036
9096
9096
97944
97944
53900
53900
43313
43313
5500
5500
419225
419225

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18793
18793
6274
6274
3560
3560
24830
24830
43313
43313
2500
2500
99270
99270

0
0
0
0
0
0
0

Pasien
Penjamin
39500
39500
668
668
128
128
7540
7540
10420
10420
196
196
3500
3500
750
750

0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
BOT
TAB
TAB
CAP
PKG
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo IGD

500
63202

500
63202

0
0

Pasien
Penjamin
39500
39500
668
668
13025
13025
7540
7540
196
196
128
128
3500
3500
750
750
500
500
65807
65807

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4424
4424
196
196
3500
3500
750
750
464
464
270
270
196
196
3500
3500
750
750
14050
14050

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4424
4424
196
196
3500
3500
750
750
464
464
270
270
196
196
3500
3500
750
750
14050
14050

0
0
0
0
0
0
0
0
0
0

Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
UNT
UNT
VIL
PKG
BOT
TAB
UNT
UNT
TAB
UNT
UNT
UNT

Emergency PICU
Subtotal
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
BOT
UNT

Pasien
Penjamin
308377
308377
500
500
308877
308877

Pasien

0
0
0

Penjamin
167
64
256
7540
3500
750
24830
43313
9841
430
3500
1500
122
3500
500
1500
101313

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17160
17160
500
500
17660
17660

0
0
0

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

Pasien
Penjamin
11385
11385
33984
33984
1000
1000
46369
46369

0
0
0
0

167
64
256
7540
3500
750
24830
43313
9841
430
3500
1500
122
3500
500
1500
101313

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
CAP
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
CAP
PKG
UNT
UNT

Pasien

Penjamin
334
96
384
3770
196
3500
750
39500
500
49030

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9841
9841
334
334
96
96
384
384
3770
3770
196
196
3500
3500
750
750
500
500
19371
19371

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24830
24830
500
500
25330
25330

0
0
0

Pasien
Penjamin
39500
39500
501
501
384
384
96
96
3770
3770
196
196
3500
3500
750
750

0
0
0
0
0
0
0
0

334
96
384
3770
196
3500
750
39500
500
49030

UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Emergency PICU
Subtotal
PKG
PKG
UNT
UNT
PKG
UNT
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
BAG
UNT

Emergency PICU
Subtotal
UNT
UNT

500
49197

500
49197

0
0

Pasien
Penjamin
16394
16394
39500
39500
1000
1000
56894
56894

0
0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Pasien
Penjamin
43313
43313
46200
46200
13200
13200
12012
12012
48125
48125
20213
20213
3036
3036
3500
3500
189599
189599

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
18343
18343
5809
5809
1275
1275
26004
26004
2500
2500
70019
70019

0
0
0
0
0
0
0

Pasien
Penjamin
20625
20625
500
500

0
0

21125

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
BOT
UNT

Emergency PICU
Subtotal
UNT
AMP
VIL
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal

21125

Pasien
Penjamin
3560
3560
219
219
3500
3500
150
150
2760
2760
1000
1000
11189
11189

0
0
0
0
0
0
0

Pasien
Penjamin
17160
17160
2940
2940
158400
158400
20625
20625
2000
2000
201125
201125

0
0
0
0
0
0

Pasien

Penjamin
334
96
384
5346
196
3500
750
43313
500
54419

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3600
3600
500
500
4100
4100

0
0
0

334
96
384
5346
196
3500
750
43313
500
54419

Pasien

Penjamin

BOT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
CAP
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
CAP
PKG
UNT
UNT
VIL

2760
500
3260

2760
500
3260

0
0
0

Pasien
Penjamin
9841
9841
668
668
13025
13025
160
160
18850
18850
196
196
3500
3500
750
750
47520
47520
1000
1000
95510
95510

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5530
5530
196
196
3500
3500
750
750
580
580
270
270
196
196
3500
3500
750
750
3560
3560
500
500
19332
19332

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9841
9841
334
334
96
96
7815
7815
11310
11310
196
196
3500
3500
750
750
24830
24830

0
0
0
0
0
0
0
0
0

PKG
UNT

Depo Atas
Subtotal
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
BOT
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
TAB
TAB
TAB
CAP
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

43313
1500
103485

43313
1500
103485

0
0
0

Pasien
Penjamin
2022
2022
500
500
2522
2522

0
0
0

Pasien
Penjamin
53460
53460
1482
1482
33264
33264
1500
1500
89706
89706

0
0
0
0
0

Pasien

Penjamin
980
500
1480

0
0
0

Pasien
Penjamin
9841
9841
5125
5125
1002
1002
13025
13025
160
160
18850
18850
3500
3500
750
750
1000
1000
53253
53253

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
48114
48114
450
450
48564
48564

0
0
0

980
500
1480

Depo IGD
Subtotal
BOT
PKG
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TAB
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
27060
27060
26334
26334
2285
2285
17952
17952
2000
2000
75631
75631

Pasien

0
0
0
0
0
0

Penjamin
128
512
3500
750
228
500
5618

0
0
0
0
0
0
0

Penjamin
980
980
500
500
1480
1480

0
0
0

128
512
3500
750
228
500
5618

Pasien

Pasien

Penjamin
928
270
3934
3500
750
8205
500
18087

0
0
0
0
0
0
0
0

Pasien
Penjamin
8205
8205
928
928
270
270

0
0
0

928
270
3934
3500
750
8205
500
18087

TAB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
TAB
TAB
UNT
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
TAB
UNT
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas

3934
3500
750
500
18087

3934
3500
750
500
18087

0
0
0
0
0

Pasien
Penjamin
9954
9954
3500
3500
750
750
1160
1160
234
234
3934
3934
3500
3500
750
750
23782
23782

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Pasien
Penjamin
8848
8848
3500
3500
750
750
928
928
270
270
3500
3500
750
750
18546
18546

0
0
0
0
0
0
0
0

Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Subtotal
CAP
UNT
UNT
TAB
TAB
TAB
TAB
UNT
UNT
BOT
UNT

Apotik Panel
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
CAP
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
TAB
PKG

Pasien
Penjamin
8848
8848
3500
3500
750
750
928
928
270
270
3934
3934
5346
5346
3500
3500
750
750
5125
5125
500
500
33451
33451

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Pasien

Penjamin
580
540
2529
3500
1500
29110
5530
3500
1500
500
48789

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9954
9954
980
980
3500
3500
1500
1500
1044
1044
4777
4777
540
540
980
980

0
0
0
0
0
0
0
0

580
540
2529
3500
1500
29110
5530
3500
1500
500
48789

UNT
UNT
TAB
TAB
TAB
TAB
PKG
UNT
UNT
GM
TUB
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
BOT
BOT
PKG
UNT

Depo IGD
Subtotal
TUB
TAB
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
TAB
PKG

3500
1500
668
10420
4570
160
980
3500
750
1068
41692
3500
50
95633

3500
1500
668
10420
4570
160
980
3500
750
1068
41692
3500
50
95633

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6435
6435
3560
3560
9841
9841
2760
2760
21945
21945
2500
2500
47041
47041

0
0
0
0
0
0
0

Pasien
Penjamin
2220
2220
4440
4440
1000
1000
7660
7660

0
0
0
0

Pasien
Penjamin
3221
3221
57964
57964
1000
1000
62185
62185

0
0
0
0

Pasien
Penjamin
6336
6336
196
196

0
0

UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG

3500
1700
696
612
196
3500
1700
29110
500
48046

3500
1700
696
612
196
3500
1700
29110
500
48046

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4424
4424
196
196
3500
3500
750
750
464
464
270
270
196
196
3500
3500
750
750
14050
14050

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4424
4424
196
196
3500
3500
750
750
464
464
270
270
196
196
3500
3500
750
750
14050
14050

0
0
0
0
0
0
0
0
0
0

Pasien
501
10420
96
2742
196

Penjamin
501
10420
96
2742
196

0
0
0
0
0

UNT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
PKG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
PKG
UNT
UNT
BOT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TAB
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

3500
750
39270
500
57975

3500
750
39270
500
57975

0
0
0
0
0

Pasien
Penjamin
27060
27060
26334
26334
2285
2285
1500
1500
57179
57179

0
0
0
0
0

Pasien
Penjamin
9841
9841
668
668
10420
10420
128
128
196
196
3500
3500
750
750
3221
3221
2760
2760
1500
1500
32984
32984

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
812
270
3500
750
3960
3500
750
13542

0
0
0
0
0
0
0
0

Pasien
Penjamin
53460
53460
500
500

0
0

812
270
3500
750
3960
3500
750
13542

53960

Depo IGD
Subtotal
PKG
PKG
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
PKG
UNT
UNT
UNT

53960

Pasien
Penjamin
2285
2285
26334
26334
27060
27060
16394
16394
2000
2000
74073
74073

0
0
0
0
0
0

Pasien
Penjamin
39500
39500
2760
2760
1000
1000
43260
43260

0
0
0
0

Pasien
Penjamin
3168
3168
196
196
3500
3500
750
750
464
464
1967
1967
196
196
3500
3500
750
750
30217
30217
500
500
45208
45208

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4746
4746
4980
4980
3656
3656
668
668
196
196
3500
3500
750
750
1000
1000

0
0
0
0
0
0
0
0

19496

Depo Atas
Subtotal
TUB
BOT
TAB
TAB
TAB
TAB
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
UNT
UNT

Depo IGD
Subtotal
TUB
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT

19496

Pasien
Penjamin
3600
3600
39500
39500
668
668
512
512
128
128
3656
3656
196
196
3500
3500
750
750
2760
2760
1500
1500
56770
56770

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
835
160
640
196
3500
750
6081

0
0
0
0
0
0
0

Pasien
Penjamin
3600
3600
500
500
4100
4100

0
0
0

Pasien
Penjamin
4424
4424
196
196
3500
3500
750
750
464
464
1967
1967
196
196
3500
3500

0
0
0
0
0
0
0
0

835
160
640
196
3500
750
6081

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
VIL
PKG
BOT
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT

750
15747

750
15747

0
0

Penjamin
835
13025
128
4570
196
3500
750
9841
500
33345

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24830
24830
43313
43313
9841
9841
334
334
7815
7815
96
96
2742
2742
196
196
3500
3500
750
750
1500
1500
94917
94917

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9841
9841
500
500
10341
10341

0
0
0

Pasien
Penjamin
5530
5530
196
196
3500
3500
750
750

0
0
0
0

Pasien
835
13025
128
4570
196
3500
750
9841
500
33345

TAB
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Depo Atas

580
270
2529
196
3500
750
17801

580
270
2529
196
3500
750
17801

0
0
0
0
0
0
0

Pasien
Penjamin
11060
11060
196
196
3500
3500
1500
1500
1160
1160
540
540
196
196
3500
3500
1500
1500
23152
23152

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8848
8848
196
196
3500
3500
1500
1500
928
928
540
540
196
196
3500
3500
1500
1500
14555
14555
500
500
35763
35763

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33660
33660
500
500
34160
34160

0
0
0

Subtotal
BOT
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
UNT
UNT

Apotik Panel 2
Subtotal
TUB
UNT

Pasien
Penjamin
27060
27060
26334
26334
39500
39500
1500
1500
94394
94394

Pasien

0
0
0
0
0

Penjamin
501
10420
96
196
3500
750
15463

0
0
0
0
0
0
0

Pasien
Penjamin
61600
61600
500
500
62100
62100

0
0
0

501
10420
96
196
3500
750
15463

Waktu
31 Mei 2013 13:53
Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
MYOMERGIN 0.2 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUTROLIT INFUSION
WIDAHES 130
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
12,00

Depo
Emergency OK
Subtotal
AMP
PKG
AMP
AMP
BOT
BOT
AMP
UNT
UNT
UNT
UNT
UNT
UNT

31 Mei 2013 13:49

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
LIDOCAIN 2% INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
METRONIDAZOLE 100 ML INFUSION
RING AS SANBE 500 ML
WIDAHES 130
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
3,00
3,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BOT
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

31 Mei 2013 12:11

Item
CERTOFIX DUO PAED S 513
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
FENESTRATION DRAPE
HANDSCOON GAMEX 7.5

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00

Emergency OK
Subtotal
UNT
AMP
UNT
PKG
UNT

SILK 2-0 REVERSE CUTTING

TUSLAH NON RACIKAN
TOTAL

1,00
6,00

PKG
UNT

31 Mei 2013 12:05

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
WIDAHES 130
RING AS SANBE 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
ANESFAR INJEKSI
INFLESCO TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
3,00
3,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
16,00

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
BOT
AMP
AMP
AMP
AMP
TAB
UNT
UNT
UNT
AMP
UNT
BOT
UNT

31 Mei 2013 12:01

Item
VASOFIX SAFETY G 20
INFUS SET JMS
RING AS SANBE 500 ML
PROANES 10 MG/ML INJECTION
FUTROLIT INFUSION
STIMUPLEX A 0.70 X 50 MM (22 G X 2")
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
EPHINEPRIN ETHICA INJECTION
ANESFAR INJEKSI
SOJOURN 250 CC INHALATION
SUCTION CATHETER 14
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
20,00
1,00
1,00
2,00
1,00
14,00

Emergency OK
Subtotal
UNT
UNT
BOT
AMP
BOT
PKG
AMP
AMP
AMP
CC
UNT
UNT
UNT
UNT
UNT

31 Mei 2013 11:50

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
WIDAHES 130
RING AS SANBE 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ANESFAR INJEKSI
INFLESCO TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
2,00
1,00
2,00
2,00
3,00
3,00
14,00

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
BOT
AMP
AMP
AMP
TAB
UNT
UNT
UNT
UNT
UNT
UNT

31 Mei 2013 11:36

Item
PROANES 10 MG/ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ANESFAR INJEKSI
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
VASOFIX SAFETY G 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
9,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
BOT
UNT
UNT
UNT

31 Mei 2013 11:22

Item
STIMUPLEX A 0.80 X 100 MM (21 G X 4")
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
MARCAIN 0.50% PDF 20 ML INJECTION
PROANES 10 MG/ML INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
SUCTION CATHETER 14
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED

UMUM
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
50,00
2,00
1,00

Emergency OK
Subtotal
PKG
AMP
VIL
AMP
BOT
BOT
UNT
CC
UNT
UNT

DISP SYRINGE 1 CC TUBERCULIN

DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
13,00

UNT
UNT
BOT
UNT

31 Mei 2013 11:09

Item
RING AS SANBE 500 ML
INFUS SET JMS
PROANES 10 MG/ML INJECTION
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
LIDOCAIN 2% INJECTION
WHITE SENSOR ELECTRODE
VASOFIX SAFETY G 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
30,00
1,00
1,00
1,00
1,00
3,00
1,00
10,00

Emergency OK
Subtotal
BOT
UNT
AMP
CC
UNT
UNT
UNT
AMP
UNT
UNT
UNT

31 Mei 2013 11:01

Item
PROANES 10 MG/ML INJECTION
LIDOCAIN 2% INJECTION
SOJOURN 250 CC INHALATION
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
STIMUPLEX A 0.70 X 50 MM (22 G X 2")
RING AS SANBE 500 ML
INFUS SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
30,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
13,00

Emergency OK
Subtotal
AMP
AMP
CC
VIL
AMP
PKG
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

31 Mei 2013 10:20

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
MYOMERGIN 0.2 MG/ML INJECTION

JAMPERSAL
Quantity
1,00
1,00
2,00

Emergency OK
Subtotal
AMP
PKG
AMP

PYTOGIN S INJECTION
LIDOCAIN 2% INJECTION
INFLESCO TABLET
RING AS SANBE 500 ML
WIDAHES 130
TRANSFUSION SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
EPHEDRINE HCL ETHICA INJECTION
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
17,00

AMP
AMP
TAB
BOT
BOT
UNT
UNT
UNT
UNT
UNT
AMP
AMP
UNT
UNT
UNT

31 Mei 2013 10:08

Item
SOJOURN 250 CC INHALATION
IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
RING AS SANBE 500 ML
PROANES 10 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
SUCTION CATHETER 8
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
10,00

Emergency OK
Subtotal
CC
UNT
UNT
UNT
BOT
AMP
UNT
UNT
UNT
UNT
UNT

31 Mei 2013 09:45

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
KETOROLAC 30 MG SOLUTION, INJECTION
CATAPRES INJECTION
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
EPHEDRINE HCL ETHICA INJECTION
RING AS SANBE 500 ML
WIDAHES 130
TRANSFUSION SET JMS
Vasofix Safety G18
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BOT
BOT
UNT
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

DISP SYRINGE 1 CC TUBERCULIN
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00
3,00
15,00

UNT
UNT
UNT
UNT
UNT

31 Mei 2013 09:18

Item
VASOFIX SAFETY G 20
INFUS SET JMS
RING AS SANBE 500 ML
KETOROLAC 30 MG SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
Vasofix Safety G18
ALKOHOL SWAB
SUCTION CATHETER 14
PROANES 10 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
50,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
3,00
14,00

Emergency OK
Subtotal
UNT
UNT
BOT
AMP
CC
UNT
UNT
UNT
AMP
UNT
UNT
UNT
UNT
UNT
UNT

31 Mei 2013 09:06

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
INFLESCO TABLET
WIDAHES 130
RING AS SANBE 500 ML
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
LIDOCAIN 2% INJECTION
Vasofix Safety G18
TUSLAH NON RACIKAN

JAMPERSAL
Quantity
1,00
1,00
3,00
3,00
1,00
2,00
1,00
2,00
1,00
2,00
2,00
2,00
3,00
3,00
1,00
1,00
16,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
TAB
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
AMP
UNT
UNT

TOTAL

29 Mei 2013 11:15

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
RING AS SANBE 500 ML
FUTROLIT INFUSION
KETOROLAC 30 MG SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
LIDOCAIN 2% INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
3,00
3,00
13,00

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
BOT
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT

29 Mei 2013 11:06

Item
IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
RING AS SANBE 500 ML
KETOROLAC 30 MG SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
SUCTION CATHETER 8
SOJOURN 250 CC INHALATION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
40,00
1,00
2,00
2,00
1,00
12,00

Emergency OK
Subtotal
UNT
UNT
UNT
BOT
AMP
AMP
UNT
CC
BOT
UNT
UNT
UNT
UNT

29 Mei 2013 09:52

Item
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
SUCTION CATHETER 8
IVENA IV CATH 22
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
1,00
30,00
1,00
2,00
1,00

Emergency OK
Subtotal
AMP
CC
UNT
UNT
UNT

KETOROLAC 30 MG SOLUTION, INJECTION

DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
MICROPORE 2 INC
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
0,25
1,00
1,00
12,00

AMP
UNT
UNT
BOT
UNT
UNT
BOT
UNT

28 Mei 2013 14:22

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
Vasofix Safety G18
TRANSFUSION SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
1,00
1,00
3,00
12,00

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT

27 Mei 2013 16:35

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
FUTROLIT INFUSION
EPHEDRINE HCL ETHICA INJECTION
ANESFAR INJEKSI
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
9,00

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
AMP
AMP
UNT
UNT
BAG
UNT

27 Mei 2013 16:30

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
1,00

Emergency OK
Subtotal
AMP

ATRAUCAN G 26
SANBE HEST
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
2,00
10,00

PKG
BOT
BAG
BOT
AMP
UNT
UNT
UNT
BOT
UNT

27 Mei 2013 16:25

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
2,00
2,00
3,00
1,00
12,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
BOT
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT

27 Mei 2013 15:59

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
EPHEDRINE HCL ETHICA INJECTION
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
SANBE HEST
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
TRANSFUSION SET JMS
ANESFAR INJEKSI
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
DISP SYRINGE 10 CC

UMUM
Quantity
1,00
1,00
4,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BOT
BAG
BOT
UNT
AMP
PKG
PKG
UNT

DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
3,00
17,00

UNT
UNT
UNT
UNT

27 Mei 2013 15:36

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
LIDOCAIN 2% INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
14,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
BOT
AMP
AMP
AMP
UNT
UNT
UNT
UNT
AMP
AMP
UNT

27 Mei 2013 14:30

Item
REINFORCED TRACHEAL CUFF 7.5
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION
NOVERON INJ
ASAM TRANEKSAMAT 500/5 ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
RING AS DOUBLE PORT 500 ML
TRANSFUSION SET JMS
VASOFIX SAFETY G 20
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
SUCTION CATHETER 12
MICROPORE 2 INC
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
80,00
3,00
1,00
1,00
1,00
1,00
0,50
2,00
2,00
15,00

Emergency OK
Subtotal
PKG
AMP
AMP
VIL
AMP
AMP
CC
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

27 Mei 2013 12:02

Item
SOJOURN 250 CC INHALATION
REINFORCED TRACHEAL CUFF 7.5
SUCTION CATHETER 12
NOVERON INJ
ASAM TRANEKSAMAT 500/5 ML INJECTION
DEXAMETHASONE 5 MG INJECTION
PROSTIGMIN SOLUTION, INJECTION 0.5 mg
ATROPIN ETHICA 0.25 MG INJECTION
RING AS DOUBLE PORT 500 ML
INFUS SET JMS
Vasofix Safety G18
ANESFAR INJEKSI
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
0,50
1,00
1,00
2,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
12,00

Emergency OK
Subtotal
CC
PKG
UNT
VIL
AMP
AMP
AMP
AMP
BAG
UNT
UNT
AMP
UNT

27 Mei 2013 12:00

Item
STIMUPLEX A 0.80 X 100 MM (21 G X 4")
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
EPHINEPRIN ETHICA INJECTION
ANESFAR INJEKSI
RING AS DOUBLE PORT 500 ML
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
2,00
2,00
11,00

Emergency OK
Subtotal
PKG
VIL
AMP
AMP
AMP
BAG
UNT
UNT
UNT
UNT
UNT
UNT

27 Mei 2013 11:35

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
Vasofix Safety G18
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
BOT
AMP
AMP
UNT
UNT

DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
ANESFAR INJEKSI
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
2,00
1,00
1,00
14,00

UNT
UNT
UNT
UNT
AMP
UNT

27 Mei 2013 11:30

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
LIDOCAIN 2% INJECTION
EPHEDRINE HCL ETHICA INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
SANBE HEST
RING AS DOUBLE PORT 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
TRANSFUSION SET JMS
Vasofix Safety G18
KETOROLAC 30 MG SOLUTION, INJECTION
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
BD VACUTAINER
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
4,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
21,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BOT
BAG
BOT
BOT
UNT
UNT
AMP
PKG
PKG
UNT
UNT
UNT
UNT
UNT
BOT
UNT

27 Mei 2013 11:26

Item
ESPOCAN
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
MARCAIN 0.50% PDF 20 ML INJECTION
LIDOCAIN 2% INJECTION
ANESFAR INJEKSI
ONDANSENTRON INF 8 MG/4ML INJECTION
SANBE HEST
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00

Emergency OK
Subtotal
PKG
AMP
VIL
AMP
AMP
AMP
BOT
BAG
BOT

disp infusion pump biotek 100ml

DISCOFIX + 10 CM TUBING
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
Vasofix Safety G18
TRANSFUSION SET JMS
WHITE SENSOR ELECTRODE
FOLLEY CATHETER 12 RUSCH
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00
2,00
1,00
1,00
2,00
1,00
1,00
3,00
1,00
20,00

PKG
PKG
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

27 Mei 2013 10:39

Item
VASOFIX SAFETY G 20
INFUS SET JMS
RING AS DOUBLE PORT 500 ML
SOJOURN 250 CC INHALATION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
SUCTION CATHETER 12
SILICONLARINGEAL MASK 3
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
50,00
1,00
1,00
1,00
1,00
1,00
1,00
0,20
11,00

Emergency OK
Subtotal
UNT
UNT
BAG
CC
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT

27 Mei 2013 09:58

Item
NON REBREATHING MASK ADULT(1102)
SELANG NEBUL WITH MASK(1493)
ANESFAR INJEKSI
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

Emergency ICU
Subtotal
UNT
PKG
AMP
UNT
UNT

27 Mei 2013 09:36

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
ONDANSENTRON INF 8 MG/4ML INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP

KETOROLAC 30 MG SOLUTION, INJECTION

FUROSEMID INF INJECTION
EPHEDRINE HCL ETHICA INJECTION
BD VACUTAINER
RING AS DOUBLE PORT 500 ML
SANBE HEST
TRANSFUSION SET JMS
Vasofix Safety G18
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC TUBERCULIN
ASAM TRANEKSAMAT 500/5 ML INJECTION
WHITE SENSOR ELECTRODE
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
3,00
2,00
1,00
1,00
2,00
3,00
1,00
18,00

AMP
AMP
AMP
UNT
BAG
BOT
UNT
UNT
UNT
UNT
UNT
UNT
AMP
UNT
BOT
UNT

27 Mei 2013 09:32

Item
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
SOJOURN 250 CC INHALATION
INFUS SET JMS
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
SUCTION CATHETER 14
MICROPORE 2 INC
Vasofix Safety G18
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
30,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
0,50
1,00
13,00

Emergency OK
Subtotal
AMP
AMP
AMP
CC
UNT
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

24 Mei 2013 14:40

Item
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
STIMUPLEX A 0.80 X 100 MM (21 G X 4")
EPHINEPRIN ETHICA INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
VIL
AMP
PKG
AMP
BAG
AMP
AMP

DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
Vasofix Safety G18
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
1,00
12,00

UNT
UNT
UNT
UNT
UNT
UNT

24 Mei 2013 13:29

Item
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE 2% 10 GM JELLY
STIMUPLEX A 0.70 X 50 MM (22 G X 2")
EPHINEPRIN ETHICA INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
10,00

Emergency OK
Subtotal
VIL
TUB
PKG
AMP
AMP
BAG
UNT
UNT
UNT
UNT
UNT

24 Mei 2013 13:19

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
INFLESCO TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
LIDOCAIN 2% INJECTION
EPHEDRINE HCL ETHICA INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ALKOHOL SWAB
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
16,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
TAB
UNT
UNT
UNT
AMP
AMP
AMP
UNT
BAG
UNT

24 Mei 2013 11:30

Item
STIMUPLEX A 0.80 X 100 MM (21 G X 4")
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
Vasofix Safety G18
VASOFIX SAFETY G 20
INFUS SET JMS
FUTROLIT INFUSION
ALKOHOL SWAB
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
17,00

Emergency OK
Subtotal
PKG
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
UNT
VIL
AMP
BAG
UNT
UNT

24 Mei 2013 10:52

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS DOUBLE PORT 500 ML
HEMOHES/TETRASPAN 6% 500 ML INFUSION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
12,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
AMP
UNT
UNT
BOT
UNT
UNT

24 Mei 2013 10:47

Item
STIMUPLEX A 0.70 X 50 MM (22 G X 2")
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
EPHINEPRIN ETHICA INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
PKG
AMP
AMP
BOT

FENTANYL KF 2 ML SOLUTION, INJECTION

INFUS SET JMS
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
12,00

AMP
UNT
BAG
UNT
UNT
UNT
UNT
UNT
UNT

24 Mei 2013 10:37

Item
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
VASOFIX SAFETY G 20
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
8,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
BAG
UNT
UNT
UNT
UNT

24 Mei 2013 09:59

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS DOUBLE PORT 500 ML
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
3,00
3,00
13,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT

24 Mei 2013 09:54

Item

JAMPERSAL
Quantity

Emergency OK
Subtotal

BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION

ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS DOUBLE PORT 500 ML
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
3,00
14,00

AMP
PKG
AMP
AMP
AMP
UNT
UNT
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT

24 Mei 2013 09:52

Item
CERTOFIX DUO HF V1220
SILK 2-0 REVERSE CUTTING
Vasofix Safety G18
LIDOCAIN 2% INJECTION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
0,30
2,00
2,00
1,00
8,00

Emergency OK
Subtotal
PKG
PKG
UNT
AMP
BOT
UNT
UNT
UNT
UNT

24 Mei 2013 09:43

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
ONDANSENTRON INF 8 MG/4ML INJECTION
FUROSEMID INF INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
ALKOHOL SWAB
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
12,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT

TOTAL

24 Mei 2013 09:37

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
LIDOCAIN 2% INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
3,00
14,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
VIL
BAG
BOT
UNT
UNT
UNT
BOT
UNT
UNT

24 Mei 2013 08:53

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS DOUBLE PORT 500 ML
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
EPHEDRINE HCL ETHICA INJECTION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
3,00
1,00
1,00
1,00
17,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
BAG
AMP
BOT
UNT

24 Mei 2013 08:43

JAKARTA SEHAT

Emergency OK

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS DOUBLE PORT 500 ML
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
3,00
3,00
15,00

Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT

23 Mei 2013 10:48

Item
CERTOFIX DUO HF V1220
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
SILK 2-0 REVERSE CUTTING
LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
10,00
8,00

Emergency OK
Subtotal
PKG
BAG
PKG
AMP
UNT
UNT
UNT
PKG
UNT

20 Mei 2013 15:16

Item
disp infusion pump biotek 100ml
FENTANYL KF 2 ML SOLUTION, INJECTION
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
3,00
3,00

Emergency OK
Subtotal
PKG
AMP
BOT
UNT

20 Mei 2013 15:12

Item
CERTOFIX DUO HF V1215
HANDSCOON GAMEX 7

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

HANDSCOON GAMEX 7.5

LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
0,50
6,00

UNT
AMP
UNT
BOT
UNT

20 Mei 2013 15:11

Item
IVENA IV CATH 22
MICRODRIP OI-34 OTSUKA
SOJOURN 250 CC INHALATION
FENTANYL KF 2 ML SOLUTION, INJECTION
ETT PORTEX 4
SUCTION CATHETER 10
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
50,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
10,00

Emergency OK
Subtotal
UNT
UNT
CC
AMP
PKG
UNT
BAG
UNT
UNT
UNT
UNT

20 Mei 2013 14:31

Item
Vasofix Safety G18
TRANSFUSION SET JMS
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
ANESFAR INJEKSI
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
COVERPLAST LATEX FREE
LIDOCAIN 2% INJECTION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
14,00

Emergency OK
Subtotal
UNT
UNT
AMP
PKG
VIL
BAG
AMP
AMP
AMP
UNT
UNT
PKG
AMP
BOT
UNT

20 Mei 2013 14:05

Item
Vasofix Safety G18

JAKARTA SEHAT
Quantity
1,00

Emergency OK
Subtotal
UNT

TRANSFUSION SET JMS

BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
ANESFAR INJEKSI
LIDOCAIN 2% INJECTION
EMLA 5 GM CREAM 25 MG/1 GM; 25 MG/1 GM
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
0,20
1,00
1,00
1,00
1,00
1,00
1,00
18,00

UNT
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
AMP
TUB
AMP
UNT
UNT
UNT
UNT
PKG
UNT

20 Mei 2013 13:33

Item
ETT PORTEX 4
SUCTION CATHETER 10
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
RING AS DOUBLE PORT 500 ML
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
40,00
1,00
2,00
1,00
1,00
1,00
1,00
3,00
1,00
14,00

Emergency OK
Subtotal
PKG
UNT
AMP
AMP
AMP
CC
BAG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

20 Mei 2013 13:27

Item
IVENA IV CATH 22
INFUS SET JMS
RING AS DOUBLE PORT 500 ML
PROPOFOL LIPURO 20 ML EMULSION, INJECTION

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00

Emergency OK
Subtotal
UNT
UNT
BAG
AMP

TRAMUS 1% 5 ML AMP
ONDANSENTRON INF 8 MG/4ML INJECTION
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ETT PORTEX 6.5
SUCTION CATHETER 12
ATROPIN ETHICA 0.25 MG INJECTION
PROSTIGMIN SOLUTION, INJECTION 0.5 mg
DEXAMETHASONE 5 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
30,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00
17,00

AMP
AMP
CC
UNT
UNT
UNT
UNT
UNT
AMP
AMP
AMP
AMP
UNT
UNT

20 Mei 2013 12:28

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
CATAPRES INJECTION
LIDOCAIN 2% INJECTION
RING AS DOUBLE PORT 500 ML
HEMOHES/TETRASPAN 6% 500 ML INFUSION
Vasofix Safety G18
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
16,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
PKG
BOT
UNT

20 Mei 2013 12:15

Item
REINFORCED TRACHEAL CUFF 7.5
SUCTION CATHETER 10
TRAMUS 1% 5 ML AMP
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
4,00

Emergency OK
Subtotal
PKG
UNT
AMP
AMP
VIL
BAG

Vasofix Safety G18

TRANSFUSION SET JMS
SOJOURN 250 CC INHALATION
ONDANSENTRON INF 8 MG/4ML INJECTION
ATROPIN ETHICA 0.25 MG INJECTION
PROSTIGMIN SOLUTION, INJECTION 0.5 mg
FENTANYL KF 2 ML SOLUTION, INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ANESFAR INJEKSI
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
40,00
1,00
2,00
2,00
2,00
2,00
1,00
1,00
2,00
2,00
18,00

UNT
UNT
CC
AMP
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT

20 Mei 2013 11:11

Item
REINFORCED TRACHEAL CUFF 7
SUCTION CATHETER 10
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
TRAMUS 1% 5 ML AMP
ATROPIN ETHICA 0.25 MG INJECTION
PROSTIGMIN SOLUTION, INJECTION 0.5 mg
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
SOJOURN 250 CC INHALATION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DEXAMETHASONE 5 MG INJECTION
VASOFIX SAFETY G 20
INFUS SET JMS
RING AS DOUBLE PORT 500 ML
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
30,00
2,00
1,00
1,00
1,00
1,00
0,50
15,00

Emergency OK
Subtotal
PKG
UNT
AMP
AMP
AMP
AMP
AMP
UNT
CC
AMP
AMP
UNT
UNT
BAG
UNT
UNT

20 Mei 2013 10:53

Item
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
LIDOCAIN 2% INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
STIMUPLEX A 0.70 X 50 MM (22 G X 2")
ANESFAR INJEKSI
VASOFIX SAFETY G 20
IVENA IV CATH 22
DISP SYRINGE 10 CC

JAMSOSTEK
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
AMP
AMP
PKG
AMP
UNT
UNT
UNT

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
11,00

UNT
UNT
BOT
UNT

20 Mei 2013 10:47

Item
TRAMUS 1% 5 ML AMP
REINFORCED TRACHEAL CUFF 7.5
SUCTION CATHETER 10
SOJOURN 250 CC INHALATION
Vasofix Safety G18
TRANSFUSION SET JMS
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
ANESFAR INJEKSI
MICROPORE 1/2 INC
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ATROPIN ETHICA 0.25 MG INJECTION
PROSTIGMIN SOLUTION, INJECTION 0.5 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
50,00
1,00
1,00
1,00
3,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
17,00

Emergency OK
Subtotal
AMP
PKG
UNT
CC
UNT
UNT
VIL
BAG
AMP
AMP
AMP
UNT
UNT
UNT
UNT
AMP
AMP
UNT

20 Mei 2013 10:14

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
DEXAMETHASONE 5 MG INJECTION
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
FUTROLIT INFUSION
SPINOCAN 27
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
3,00
1,00
1,00
1,00
14,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
UNT
UNT
AMP
AMP
UNT
PKG
BOT
UNT
UNT

TOTAL

20 Mei 2013 10:10

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ANESFAR INJEKSI
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGERFUNDIN INFUSION
RING AS DOUBLE PORT 500 ML
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
BD VACUTAINER
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
FUTROLIT INFUSION
COVERPLAST LATEX FREE
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
2,00
1,00
3,00
1,00
1,00
1,00
22,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
AMP
AMP
AMP
BAG
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
BOT
PKG
AMP
UNT

19 Mei 2013 20:34

Item
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
TUB
UNT

19 Mei 2013 19:41

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

Depo IGD
Subtotal
VIL
UNT

19 Mei 2013 18:17

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
3,00

VIL
UNT
BAG
UNT

19 Mei 2013 17:34

Item
ISOKET INJECTION
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
6,00
5,00
5,00
5,00
5,00

Depo IGD
Subtotal
AMP
TAB
TAB
TAB
VIL
UNT

18 Mei 2013 08:49

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
COVERPLAST LATEX FREE
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
14,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
PKG
AMP
AMP
UNT

18 Mei 2013 08:44

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP

RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
2,00
1,00
13,00

BAG
VIL
UNT
UNT
UNT
PKG
UNT

17 Mei 2013 15:30

Item
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
RINGERFUNDIN INFUSION
ATROPIN ETHICA 0.25 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
BAG
AMP
UNT

17 Mei 2013 14:11

Item
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
RINGERFUNDIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
BAG
UNT

17 Mei 2013 13:58

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Emergency OK
Subtotal
SUP
UNT
UNT

17 Mei 2013 13:56

Item
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
VIL
UNT

17 Mei 2013 13:32

Item
FENTANYL KF 2 ML SOLUTION, INJECTION
TRAMUS 1% 5 ML AMP
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISCOFIX + 10 CM TUBING
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
ETT PORTEX 7.5
SUCTION CATHETER 12
DISP SYRINGE 10 CC
SOJOURN 250 CC INHALATION
MICROPORE 1/2 INC
ONDANSENTRON INF 8 MG/4ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
1,00
4,00
1,00
1,00
1,00
2,00
100,00
1,00
1,00
13,00

Emergency OK
Subtotal
AMP
AMP
UNT
PKG
VIL
BAG
BOT
UNT
UNT
UNT
CC
UNT
AMP
UNT

17 Mei 2013 13:30

Item
MYOMERGIN 0.2 MG/ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
ANTRAIN INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

Emergency OK
Subtotal
AMP
AMP
UNT
BAG
AMP
AMP
UNT

17 Mei 2013 13:19

Item
SILICONLARINGEAL MASK 3
ONDANSENTRON INF 8 MG/4ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
RINGERFUNDIN INFUSION
INFUS SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
SUCTION CATHETER 12
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
0,25
1,00
1,00
50,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
11,00

Emergency OK
Subtotal
PKG
AMP
AMP
CC
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT

17 Mei 2013 11:48

Item
IVENA IV CATH 22
MICRODRIP OI-34 OTSUKA
RINGERFUNDIN INFUSION
SOJOURN 250 CC INHALATION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
SUCTION CATHETER 8
SILICON LARINGEAL MASK 2
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
50,00
1,00
1,00
1,00
1,00
0,50
1,00
10,00

Emergency OK
Subtotal
UNT
UNT
BAG
CC
AMP
UNT
UNT
UNT
PKG
UNT
UNT

17 Mei 2013 11:24

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
3,00
14,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
VIL
AMP
UNT
UNT
PKG
UNT
UNT

17 Mei 2013 11:19

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
3,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP

MYOMERGIN 0.2 MG/ML INJECTION

INFLESCO TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

3,00
4,00
2,00
1,00
1,00
2,00
1,00
3,00
1,00
3,00
17,00

AMP
TAB
AMP
AMP
AMP
UNT
UNT
UNT
PKG
UNT
UNT

17 Mei 2013 10:41

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
PKG
UNT
UNT

17 Mei 2013 10:10

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
disp infusion pump biotek 100ml
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
2,00

Emergency OK
Subtotal
AMP
PKG
BAG
BOT
AMP
AMP
AMP
PKG
AMP
UNT

DISP SYRINGE 1 CC TUBERCULIN

LIDOCAIN 2% INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
3,00
3,00
16,00

UNT
AMP
AMP
PKG
UNT
UNT
UNT

17 Mei 2013 09:47

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUROSEMID INF INJECTION
BD VACUTAINER
TRANSFUSION SET JMS
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
3,00
3,00
15,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
UNT
UNT
AMP
UNT
UNT
PKG
UNT
UNT
UNT

17 Mei 2013 08:50

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
AQUA FOR INJECT OTSUKA 25 ML
WHITE SENSOR ELECTRODE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
3,00
3,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
3,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
AMP
AMP
AMP
AMP
AMP
AMP
UNT
UNT
BOT
UNT

COVERPLAST LATEX FREE

ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
16,00

PKG
UNT
UNT

17 Mei 2013 08:40

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
1,00
3,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
PKG
UNT
UNT

16 Mei 2013 13:01

Item
REBREATHING MASK ADULT (1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
UNT
UNT

16 Mei 2013 11:36

Item
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency OK
Subtotal
PKG
PKG
UNT

16 Mei 2013 10:58

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
PERIFIX 400 G18 x 3
SPINOCAN 27

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
UNT

FENTANYL KF 2 ML SOLUTION, INJECTION

ONDANSENTRON INF 8 MG/4ML INJECTION
TRAMUS 1% 5 ML AMP
RINGERFUNDIN INFUSION
SILICONLARINGEAL MASK 3
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
Vasofix Safety G18
DISP SYRINGE 10 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
SOJOURN 250 CC INHALATION
SUCTION CATHETER 12
PROANES 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
0,25
1,00
1,00
1,00
2,00
3,00
1,00
3,00
40,00
1,00
1,00
18,00

AMP
AMP
AMP
BAG
PKG
VIL
UNT
UNT
UNT
UNT
PKG
UNT
CC
UNT
AMP
UNT

13 Mei 2013 15:35

Item
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
REINFORCED TRACHEAL CUFF 7.5
PROANES 10 MG/ML INJECTION
TRAMUS 1% 5 ML AMP
ANESFAR INJEKSI
TRANSFUSION SET JMS
Vasofix Safety G18
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
SOJOURN 250 CC INHALATION
CERTOFIX TRIO V720
SILK 2-0 REVERSE CUTTING
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISCOFIX + 10 CM TUBING
DISP SYRINGE 20 CC WIHTOUT NED
disp infusion pump biotek 100ml
PERIFIX 400 G18 x 3
MARCAIN 0.50% PDF 20 ML INJECTION
AQUA FOR INJECT OTSUKA 25 ML

JAKARTA SEHAT
Quantity
2,00
4,00
1,00
1,00
2,00
1,00
3,00
2,00
2,00
2,00
2,00
1,00
2,00
2,00
1,00
3,00
80,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00

Emergency OK
Subtotal
VIL
BAG
BOT
AMP
AMP
PKG
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT
CC
UNT
PKG
UNT
PKG
UNT
PKG
PKG
VIL
BOT

TUSLAH NON RACIKAN

TOTAL

26,00

UNT

13 Mei 2013 15:10

Item
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ATRAUCAN G 26
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
LIDOCAIN 2% INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
3,00
3,00
15,00

Emergency OK
Subtotal
VIL
BAG
AMP
AMP
PKG
AMP
AMP
AMP
UNT
UNT
UNT
AMP
PKG
UNT
UNT
UNT

13 Mei 2013 14:56

Item
PROANES 10 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RINGERFUNDIN INFUSION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
3,00
7,00

Emergency OK
Subtotal
AMP
AMP
BAG
AMP
UNT
UNT
UNT
UNT

13 Mei 2013 14:48

Item
REINFORCED TRACHEAL CUFF 7.5
FENTANYL KF 2 ML SOLUTION, INJECTION
PROANES 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DEXAMETHASONE 5 MG INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
ANESFAR INJEKSI

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00

Emergency OK
Subtotal
PKG
AMP
AMP
AMP
AMP
AMP
AMP

SOJOURN 250 CC INHALATION

RINGERFUNDIN INFUSION
INFUS SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
SUCTION CATHETER 14
TUSLAH NON RACIKAN
TOTAL

30,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
16,00

CC
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

13 Mei 2013 14:30

Item
ESPOCAN
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TRANSFUSION SET JMS
Vasofix Safety G18
MARCAIN 0.50% PDF 20 ML INJECTION
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
3,00
3,00
1,00
1,00
1,00
1,00
1,00
3,00
20,00

Emergency OK
Subtotal
PKG
AMP
AMP
AMP
AMP
VIL
BAG
BOT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
VIL
PKG
PKG
BOT
UNT

13 Mei 2013 14:11

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
LIDOCAIN 2% INJECTION

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
2,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP

PETHIDIN HCL KIMIA FARMA 50 MG INJECTION

RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
1,00
17,00

AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

13 Mei 2013 12:50

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
14,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

13 Mei 2013 12:14

Item
disp infusion pump biotek 100ml
MARCAIN 0.50% PDF 20 ML INJECTION
DISCOFIX + 10 CM TUBING
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
1,00
6,00

Emergency OK
Subtotal
PKG
VIL
PKG
BOT
UNT
UNT
UNT

13 Mei 2013 12:12

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
1,00
3,00
2,00
14,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
PKG
UNT
AMP
UNT

13 Mei 2013 11:54

Item
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ESPOCAN
TRANSFUSION SET JMS
ASAM TRANEKSAMAT 500/5 ML INJECTION
ANESFAR INJEKSI
WHITE SENSOR ELECTRODE
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
1,00
2,00
2,00
1,00
3,00
14,00

Emergency OK
Subtotal
VIL
BAG
AMP
AMP
PKG
UNT
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT

13 Mei 2013 11:06

Item
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
MARCAIN 0.50% PDF 20 ML INJECTION
LOCOPLEX BEVEL 30 G21,50mm&100mm
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
VIL
UNT
AMP
AMP

INFUS SET JMS

RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
2,00
3,00
11,00

UNT
BAG
UNT
UNT
UNT
UNT
UNT

13 Mei 2013 11:02

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
Vasofix Safety G18
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
3,00
17,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

13 Mei 2013 10:24

Item
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
MARCAIN 0.50% PDF 20 ML INJECTION
STIMUPLEX A 0.80 X 100 MM (21 G X 4")
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
COVERPLAST LATEX FREE
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
3,00

Emergency OK
Subtotal
AMP
VIL
PKG
AMP
AMP
CC
UNT
UNT
UNT
UNT
PKG
UNT

RINGERFUNDIN INFUSION
TRANSFUSION SET JMS
Vasofix Safety G18
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
15,00

BAG
UNT
UNT
UNT

13 Mei 2013 10:03

Item
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
TRANSFUSION SET JMS
WHITE SENSOR ELECTRODE
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
BD VACUTAINER
FUTROLIT INFUSION
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
2,00
2,00
1,00
2,00
2,00
1,00
1,00
3,00
18,00

Emergency OK
Subtotal
VIL
BAG
AMP
PKG
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
AMP
AMP
UNT
BOT
PKG
UNT
UNT

13 Mei 2013 09:59

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
EPHEDRINE HCL ETHICA INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
Vasofix Safety G18
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
PKG

ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

3,00
15,00

UNT
UNT

13 Mei 2013 09:50

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
LIDOCAIN 2% INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
INFUS SET JMS
VASOFIX SAFETY G 20
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
10,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
BAG
UNT
UNT
UNT
AMP
UNT

13 Mei 2013 09:48

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
LIDOCAIN 2% INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
UNT
UNT
UNT
VIL
BAG
BOT
PKG
UNT
UNT
UNT

12 Mei 2013 16:41

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML

UMUM
Quantity
1,00
1,00
1,00

Trolley IGD
Subtotal
UNT
UNT
BOT

DEXTROSE 10% WIDATRA 500 ML INFUSION

DISP SYRINGE 20 CC WIHTOUT NED
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
HANDSCOON GAMEX 7
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 5 CC
ISOKET INJECTION
THREE WAY STOPCOCK
WINGED NEEDLE NO. 25 JMS
TUSLAH NON RACIKAN
TOTAL

1,00
4,00
3,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
13,00

BOT
UNT
VIL
UNT
UNT
TUB
UNT
AMP
UNT
UNT
UNT

11 Mei 2013 09:03

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
1,00
16,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

11 Mei 2013 08:37

Item
REINFORCED TRACHEAL CUFF 7.5
TRAMUS 1% 5 ML AMP
FENTANYL KF 2 ML SOLUTION, INJECTION
PROANES 10 MG/ML INJECTION
SOJOURN 250 CC INHALATION
ANESFAR INJEKSI
DISCOFIX + 10 CM TUBING
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
Vasofix Safety G18

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00
100,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
PKG
AMP
AMP
AMP
CC
AMP
PKG
UNT
UNT

IVENA IV CATH 22
TRANSFUSION SET JMS
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00
1,00
1,00
1,00
1,00
1,00
2,00
3,00
3,00
20,00

UNT
UNT
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

10 Mei 2013 15:25

Item
PROANES 10 MG/ML INJECTION
RINGERFUNDIN INFUSION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
7,00

Emergency OK
Subtotal
AMP
BAG
AMP
AMP
AMP
UNT
UNT
UNT

10 Mei 2013 15:16

Item
CERTOFIX TRIO V720
SILK 2-0 REVERSE CUTTING
TRAMUS 1% 5 ML AMP
FENTANYL KF 2 ML SOLUTION, INJECTION
PROANES 10 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISCOFIX + 10 CM TUBING
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
M-20 INFUSAN (MANITOL) 500 ML
ANESFAR INJEKSI
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
REINFORCED TRACHEAL CUFF 8
SUCTION CATHETER 12

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
3,00
1,00
3,00
3,00
2,00
1,00
3,00
1,00
2,00
1,00
2,00
1,00
1,00

Emergency OK
Subtotal
UNT
PKG
AMP
AMP
AMP
AMP
PKG
UNT
BAG
VIL
BOT
AMP
UNT
UNT
UNT
PKG
UNT

DISP SYRINGE 20 CC WIHTOUT NED

WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
19,00

UNT
UNT
UNT

10 Mei 2013 15:01

Item
VASOFIX SAFETY G 20
INFUS SET JMS
RINGERFUNDIN INFUSION
LOCOPLEX BEVEL 30 G21,50mm&100mm
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
10,00

Emergency OK
Subtotal
UNT
UNT
BAG
UNT
VIL
AMP
AMP
UNT
UNT
UNT
UNT

10 Mei 2013 14:48

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
ATRAUCAN G 26
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
INFUS SET JMS
Vasofix Safety G18
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
1,00
15,00

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
AMP
PKG
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

10 Mei 2013 13:30

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
AMP
PKG

FENTANYL KF 2 ML SOLUTION, INJECTION

MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
1,00
3,00
15,00

AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
BAG
VIL
UNT
PKG
UNT
UNT

10 Mei 2013 12:22

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
SOJOURN 250 CC INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
3,00
1,00
3,00
30,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT
CC
UNT

10 Mei 2013 11:24

Item
PROANES 10 MG/ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
SOJOURN 250 CC INHALATION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
30,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
CC

INFUS SET JMS

RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
3,00
1,00
3,00
13,00

UNT
BAG
VIL
UNT
PKG
UNT
UNT

10 Mei 2013 11:07

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
KA-EN 1B 500 ML INFUSION
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
30,00
1,00
1,00
1,00
1,00
3,00
3,00
9,00

Emergency OK
Subtotal
AMP
AMP
CC
UNT
BAG
AMP
UNT
UNT
UNT
UNT

10 Mei 2013 10:51

Item
MARCAIN 0.50% PDF 20 ML INJECTION
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
VASOFIX SAFETY G 20
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
30,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
11,00

Emergency OK
Subtotal
VIL
AMP
AMP
CC
UNT
BAG
UNT
UNT
UNT
AMP
UNT
UNT

10 Mei 2013 10:26

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
VIL

FUTROLIT INFUSION
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
LIDOCAIN 2% INJECTION
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
17,00

BOT
BAG
AMP
AMP
AMP
PKG
UNT
UNT
UNT
UNT
UNT
UNT
AMP
AMP
UNT

10 Mei 2013 10:20

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ANESFAR INJEKSI
Vasofix Safety G18
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
UNT

10 Mei 2013 10:17

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
3,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT

COVERPLAST LATEX FREE

ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
17,00

PKG
UNT
UNT

10 Mei 2013 10:12

Item
ESPOCAN
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
COVERPLAST LATEX FREE
TRANSFUSION SET JMS
Vasofix Safety G18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
3,00
1,00
1,00
1,00
14,00

Emergency OK
Subtotal
PKG
AMP
AMP
AMP
VIL
BAG
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

10 Mei 2013 10:12

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUROSEMID INF INJECTION
TRANSFUSION SET JMS
BD VACUTAINER
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
RINGERFUNDIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
2,00
15,00

Emergency OK
Subtotal
AMP
PKG
VIL
BOT
AMP
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT
BAG
UNT

10 Mei 2013 09:31

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
LIDOCAIN 2% INJECTION
VASOFIX SAFETY G 20
TRANSFUSION SET JMS
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
11,00

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
AMP
UNT
UNT
BAG
UNT
UNT
UNT
UNT

10 Mei 2013 09:26

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
RINGERFUNDIN INFUSION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
3,00
3,00
14,00

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
AMP
AMP
AMP
AMP
BOT
UNT
UNT
PKG
UNT
UNT
UNT

9 Mei 2013 09:14

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
TRANSFUSION SET JMS
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
7,00

Trolley IGD
Subtotal
UNT
UNT
BOT
UNT
AMP
AMP
UNT
UNT

TOTAL

7 Mei 2013 14:30

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
SPINOCAN 27
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
2,00

Emergency OK
Subtotal
AMP
UNT
UNT

7 Mei 2013 14:05

Item
DISP SYRINGE 10 CC
PROANES 10 MG/ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

Emergency OK
Subtotal
UNT
AMP
AMP
UNT

7 Mei 2013 13:59

Item
SUCTION CATHETER 12
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION
PROANES 10 MG/ML INJECTION
RINGERFUNDIN INFUSION
VASOFIX SAFETY G 20
INFUS SET JMS
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
30,00
2,00
1,00
10,00

Emergency OK
Subtotal
UNT
AMP
AMP
AMP
BAG
UNT
UNT
CC
UNT
UNT
UNT

7 Mei 2013 13:01

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
TRANSFUSION SET JMS
DISP SYRINGE 10 CC

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BAG
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00
3,00
13,00

UNT
PKG
UNT
UNT
UNT

7 Mei 2013 12:57

Item
ESPOCAN
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 10 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TRANSFUSION SET JMS
RINGERFUNDIN INFUSION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
1,00
3,00
1,00
2,00
1,00
13,00

Emergency OK
Subtotal
PKG
AMP
AMP
AMP
AMP
AMP
UNT
UNT
PKG
UNT
UNT
BAG
BAG
UNT

7 Mei 2013 12:25

Item
LOCOPLEX BEVEL 30 G21,50mm&100mm
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
DISP SYRINGE 10 CC
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
Vasofix Safety G18
RINGERFUNDIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

Emergency OK
Subtotal
UNT
VIL
AMP
UNT
AMP
AMP
UNT
BAG
UNT

7 Mei 2013 11:40

Item
PROANES 10 MG/ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RINGERFUNDIN INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
AMP
AMP
BAG

DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
6,00

UNT
UNT
UNT

7 Mei 2013 11:30

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
DEXAMETHASONE 5 MG INJECTION
RING AS DOUBLE PORT 500 ML
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
2,00
1,00
2,00
1,00
2,00
3,00
2,00
3,00
16,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
PKG
UNT
UNT

7 Mei 2013 11:03

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
VASOFIX SAFETY G 20
RINGERFUNDIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
BAG
UNT

7 Mei 2013 10:59

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
MARCAIN 0.50% PDF 20 ML INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
AMP
VIL

LIDOCAIN 2% INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
SOJOURN 250 CC INHALATION
VASOFIX SAFETY G 20
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
COVERPLAST LATEX FREE
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
30,00
1,00
1,00
1,00
1,00
1,00
3,00
11,00

AMP
AMP
CC
UNT
BAG
UNT
UNT
PKG
UNT
UNT

7 Mei 2013 10:29

Item
ESPOCAN
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
MARCAIN 0.50% PDF 20 ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
TRANSFUSION SET JMS
Vasofix Safety G18
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
RINGERFUNDIN INFUSION
disp infusion pump biotek 100ml
AQUA FOR INJECT OTSUKA 25 ML
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
COVERPLAST LATEX FREE
ALKOHOL SWAB
MICROPORE 1/2 INC
WHITE SENSOR ELECTRODE
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
2,00
2,00
1,00
3,00
1,00
3,00
1,00
1,00
20,00

Emergency OK
Subtotal
PKG
AMP
VIL
AMP
UNT
UNT
AMP
AMP
BAG
PKG
BOT
AMP
UNT
UNT
PKG
UNT
UNT
UNT
BAG
BOT
UNT

7 Mei 2013 10:11

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP

LIDOCAIN 2% INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGERFUNDIN INFUSION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
1,00
1,00
3,00
1,00
3,00
15,00

AMP
AMP
BAG
BAG
UNT
UNT
UNT
PKG
UNT
UNT

7 Mei 2013 09:59

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
RINGERFUNDIN INFUSION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUROSEMID INF INJECTION
BD VACUTAINER
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
3,00
1,00
3,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
UNT
BAG
BAG
AMP
AMP
UNT
UNT
UNT
PKG
UNT
UNT

7 Mei 2013 09:31

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00
2,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
BAG
UNT
UNT

WHITE SENSOR ELECTRODE

COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
3,00
14,00

UNT
PKG
UNT
UNT

6 Mei 2013 17:38

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ESPOCAN
MARCAIN 0.50% PDF 20 ML INJECTION
disp infusion pump biotek 100ml
TRANSFUSION SET JMS
Vasofix Safety G18
BD VACUTAINER
ONDANSENTRON INF 8 MG/4ML INJECTION
WIDAHES 130
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
AQUA FOR INJECT OTSUKA 25 ML
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
2,00
2,00
1,00
3,00
3,00
16,00

Emergency OK
Subtotal
AMP
PKG
VIL
PKG
UNT
UNT
UNT
AMP
BOT
BOT
UNT
UNT
BOT
PKG
UNT
UNT
UNT

6 Mei 2013 17:20

Item
LOCOPLEX BEVEL 30 G21,50mm&100mm
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
RINGERFUNDIN INFUSION
Vasofix Safety G18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

Emergency OK
Subtotal
UNT
VIL
AMP
AMP
UNT
UNT
BAG
UNT
UNT

6 Mei 2013 16:57

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
AMP
PKG

LIDOCAIN 2% INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
3,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
12,00

AMP
AMP
AMP
AMP
BAG
BAG
BOT
UNT
UNT
BOT
UNT

6 Mei 2013 16:54

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
WIDAHES 130
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
DISP SYRINGE 10 CC
WHITE SENSOR ELECTRODE
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
3,00
2,00
3,00
1,00
13,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
BOT
AMP
AMP
AMP
PKG
UNT
UNT
UNT
AMP
UNT

6 Mei 2013 16:13

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
WIDAHES 130
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
LIDOCAIN 2% INJECTION
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
2,00
1,00
3,00
1,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
BOT
AMP
AMP
AMP
UNT
AMP
UNT
PKG

ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

3,00
13,00

UNT
UNT

6 Mei 2013 16:02

Item
ANESFAR INJEKSI
VASOFIX SAFETY G 20
INFUS SET JMS
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Emergency OK
Subtotal
AMP
UNT
UNT
BAG
UNT
UNT

6 Mei 2013 15:25

Item
PROANES 10 MG/ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
3,00
7,00

Emergency OK
Subtotal
AMP
AMP
AMP
BAG
UNT
UNT
UNT
UNT

6 Mei 2013 14:37

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
LIDOCAIN 2% INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RINGERFUNDIN INFUSION
WIDAHES 130
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
TRANSFUSION SET THERUMO
Vasofix Safety G18
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
COVERPLAST LATEX FREE
FUTROLIT INFUSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
2,00
1,00
1,00
3,00
3,00
1,00
1,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
BAG
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
BOT
UNT

TOTAL

6 Mei 2013 13:52

Item
CERTOFIX TRIO V1215 HF
SILK 2-0 REVERSE CUTTING
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
7,00

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
AMP
UNT
UNT
UNT

6 Mei 2013 13:13

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
WIDAHES 130
TRANSFUSION SET THERUMO
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
1,00
3,00
1,00
3,00
14,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

6 Mei 2013 13:05

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
WIDAHES 130

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
BOT

TRANSFUSION SET JMS

DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
3,00
3,00
1,00
16,00

UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

6 Mei 2013 13:01

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
WIDAHES 130
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
2,00
2,00
1,00
3,00
16,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BOT
UNT
UNT
UNT
UNT
UNT
AMP
AMP
PKG
UNT
UNT

6 Mei 2013 11:20

Item
VASOFIX SAFETY G 20
INFUS SET JMS
RINGERFUNDIN INFUSION
PROANES 10 MG/ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
SUCTION CATHETER 12
WHITE SENSOR ELECTRODE

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
45,00
2,00
1,00
1,00
1,00
3,00

Emergency OK
Subtotal
UNT
UNT
BAG
AMP
AMP
AMP
CC
UNT
UNT
UNT
UNT
UNT

MICROPORE 1/2 INC

TUSLAH NON RACIKAN
TOTAL

1,00
13,00

UNT
UNT

6 Mei 2013 10:57

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
SOJOURN 250 CC INHALATION
MARCAIN 0.50% PDF 20 ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
SUCTION CATHETER 10
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
30,00
1,00
1,00
1,00
2,00
1,00
3,00
10,00

Emergency OK
Subtotal
AMP
AMP
AMP
CC
VIL
UNT
UNT
UNT
UNT
UNT
UNT

6 Mei 2013 10:55

Item
LOCOPLEX BEVEL 30 G21,50mm&100mm
MARCAIN 0.50% PDF 20 ML INJECTION
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Emergency OK
Subtotal
UNT
VIL
AMP
UNT

6 Mei 2013 10:45

Item
DEXAMETHASONE 5 MG INJECTION
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
MARCAIN 0.50% PDF 20 ML INJECTION
KA-EN 1B 500 ML INFUSION
MICRODRIP OI-34 OTSUKA
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
SUCTION CATHETER 8
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
30,00
1,00
1,00
1,00
2,00
3,00
1,00
3,00

Emergency OK
Subtotal
AMP
AMP
AMP
VIL
BAG
UNT
VIL
CC
UNT
UNT
UNT
UNT
UNT
PKG
UNT

TUSLAH NON RACIKAN

TOTAL

15,00

UNT

6 Mei 2013 10:15

Item
LIDOCAIN 2% INJECTION
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
WIDAHES 130
RINGERFUNDIN INFUSION
TRANSFUSION SET JMS
SPINOCAN 27
ESPOCAN
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MARCAIN 0.50% PDF 20 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
2,00
16,00

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
BOT
BAG
UNT
UNT
PKG
UNT
UNT
UNT
PKG
PKG
BOT
VIL
UNT

6 Mei 2013 09:52

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
WIDAHES 130
RINGERFUNDIN INFUSION
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
ASAM TRANEKSAMAT 500/5 ML INJECTION
FUROSEMID INF INJECTION
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
3,00
1,00
3,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BOT
BAG
UNT
UNT
UNT
AMP
AMP
UNT
PKG
UNT
UNT

6 Mei 2013 09:18

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
MYOMERGIN 0.2 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
3,00
1,00
11,00

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
AMP
UNT

Pasien
Penjamin
68419
68419
118800
118800
7518
7518
9490.25 9490.25
102432
102432
196680
196680
1382
1382
1997
1997
5732
5732
1757
1757
1068
1068
6336
6336
6000
6000
527611.3 527611.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
1407
1407
7568
7568
5422
5422
9490.25 9490.25
34009
34009
32884
32884
196705
196705
2022
2022
1782
1782
2600
2600
3130
3130
1143
1143
6336
6336
7500
7500
499267.3 499267.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
801900
801900
1382
1382
1275
1275
104280
104280
24024
24024

0
0
0
0
0

56100
3000
991961

56100
3000
991961

0
0
0

Pasien
Penjamin
68419
68419
118800
118800
196680
196680
32834
32834
51216
51216
16191
16191
11277
11277
17952
17952
15444
15444
12540
12540
3994
3994
1757
1757
2550
2550
1382
1382
1540
1540
2640
2640
8000
8000
563216
563216

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792
8415
8415
32834
32834
70731
70731
51216
51216
213840
213840
63630
63630
3036
3036
15444
15444
213840
213840
5294
5294
1997
1997
2550
2550
1540
1540
7000
7000
725159
725159

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
196705
196705
32884
32884
51241
51241
10844
10844
7568
7568
15444
15444
25130
25130
2022
2022
2600
2600
3130
3130
1143
1143
6336
6336
7000
7000
549316
549316

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
3759
3759
15444
15444
3994
3994
1275
1275
1540
1540
16417
16417
33792
33792
8415
8415
4500
4500
159867
159867

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
213840
213840
63630
63630
83718
83718
70731
70731
32834
32834
51216
51216
5294
5294
534600
534600
3994
3994
5732
5732

0
0
0
0
0
0
0
0
0
0

1757
1540
5280
6500
1080666

1757
1540
5280
6500
1080666

0
0
0
0
0

Pasien
Penjamin
16417
16417
8415
8415
70731
70731
320760
320760
1997
1997
1275
1275
1757
1757
1382
1382
6336
6336
33792
33792
5000
5000
467862
467862

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
1382
1382
320760
320760
83718
83718
63630
63630
213840
213840
16417
16417
8415
8415
33792
33792
1997
1997
1275
1275
1540
1540
6336
6336
6500
6500
830333
830333

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
7568
7568

0
0
0

10844
1407
25130
32884
196705
16360
33817
5757
2022
1782
17977
15855
6336
1143
8500
571356

10844
1407
25130
32884
196705
16360
33817
5757
2022
1782
17977
15855
6336
1143
8500
571356

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
320760
320760
29976
29976
14988
14988
8415
8415
16417
16417
70731
70731
1997
1997
5732
5732
2550
2550
5294
5294
5000
5000
481860
481860

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
15397
15397
44467
44467
15830
15830
17952
17952
32834
32834
196680
196680
16335
16335
33792
33792
1997
1997

0
0
0
0
0
0
0
0
0
0
0

5732
1757
6336
1068
7500
584896

5732
1757
6336
1068
7500
584896

0
0
0
0
0
0

Pasien
Penjamin
33792
33792
8415
8415
32834
32834
15397
15397
534600
534600
33792
33792
356
356
5294
5294
70731
70731
3994
3994
5732
5732
2550
2550
3080
3080
6336
6336
7000
7000
763903
763903

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
16266
16266
11352
11352
17977
17977
25130
25130
196705
196705
32884
32884
5757
5757
4044
4044
2600
2600
3130
3130
6336
6336
1143
1143
1407
1407
33817
33817
8000
8000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

553817

553817

Pasien
Penjamin
68419
68419
118800
118800
184008
184008
32834
32834
51216
51216
15397
15397
17952
17952
1382
1382
46958
46958
1757
1757
3994
3994
3825
3825
1068
1068
6500
6500
554110
554110

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
8415
8415
16417
16417
15397
15397
46958
46958
5294
5294
427680
427680
2640
2640
3994
3994
2550
2550
1757
1757
6000
6000
567078
567078

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46958
46958
320760
320760
5294
5294
29976
29976
14988
14988

0
0
0
0
0

15397
15397
1997
1997
1275
1275
5280
5280
11525.25 11525.25
8415
8415
16417
16417
6000
6000
484282.3 484282.3

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
184008
184008
51216
51216
9601
9601
15397
15397
3994
3994
1275
1275
6336
6336
33792
33792
16335
16335
1068
1068
6000
6000
516241
516241

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
184008
184008
51216
51216
17952
17952
15444
15444
3994
3994
2550
2550
8195
8195
4500
4500
475078
475078

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419

118800
184008
36390
51216
17952
1757
3994
2550
5280
5000
495366

118800
184008
36390
51216
17952
1757
3994
2550
5280
5000
495366

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
184008
184008
36390
36390
51216
51216
10794
10794
7518
7518
15397
15397
712
712
3994
3994
3825
3825
1757
1757
6000
6000
508830
508830

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
187832
187832
1382
1382
17952
17952
15830
15830
184008
184008
54585
54585
51216
51216
16335
16335
15444
15444
158400
158400
32670
32670
1997
1997

0
0
0
0
0
0
0
0
0
0
0
0
0
0

3825
1757
1068
8500
940020

3825
1757
1068
8500
940020

0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
184008
184008
36390
36390
51216
51216
10794
10794
7518
7518
15397
15397
356
356
1997
1997
2550
2550
1757
1757
1382
1382
46958
46958
7000
7000
554542
554542

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
481197
481197
15444
15444
46958
46958
98736
98736
9490.25 9490.25
15397
15397
855360
855360
54585
54585
16335
16335
33792
33792
26950
26950
5294
5294
23050.5 23050.5
3994
3994
2550
2550
7500
7500
1696633 1696633

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
213840
213840
240598.5 240598.5
5294
5294
98736
98736
9490.25 9490.25
2940
2940
17706
17706
3280
3280
36390
36390
8415
8415
33792
33792
15444
15444
6000
6000
691925.8 691925.8

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
213840
213840
83718
83718
63630
63630
3036
3036
15444
15444
36390
36390
8415
8415
3994
3994
1275
1275
11464
11464
4224
4224
5500
5500
450930
450930

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
184008
184008
36390
36390
51216
51216
9601
9601
15397
15397
33792
33792
16335
16335

0
0
0
0
0
0
0
0
0

3994
1757
2550
5732
15444
7000
570435

3994
1757
2550
5732
15444
7000
570435

0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
1382
1382
17952
17952
9490.25 9490.25
9601
9601
184008
184008
72780
72780
5881
5881
51216
51216
16335
16335
33792
33792
46191
46191
158400
158400
32670
32670
1898
1898
3994
3994
1757
1757
5732
5732
2550
2550
5280
5280
10500
10500
858628.3 858628.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
570240
570240
68419
68419
83718
83718
1382
1382
15444
15444
9601
9601
184008
184008
54585
54585
51216
51216

0
0
0
0
0
0
0
0
0

158400
32670
46191
3994
1757
5732
2550
33792
16335
6336
18343
10000
1374713

158400
32670
46191
3994
1757
5732
2550
33792
16335
6336
18343
10000
1374713

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792
8415
8415
36390
36390
534600
534600
9601
9601
15397
15397
1997
1997
5732
5732
1275
1275
5294
5294
56806.6 56806.6
5500
5500
714799.6 714799.6

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62563
62563
41388
41388
15444
15444
26611
26611
2000
2000
148006
148006

0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
9601
9601

0
0
0

15397
15397
2461
2461
17952
17952
3796
3796
36390
36390
184008
184008
16335
16335
33792
33792
5991
5991
2550
2550
5732
5732
1757
1757
9490.25 9490.25
6336
6336
51216
51216
9000
9000
599023.3 599023.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9601
9601
15397
15397
1382
1382
320760
320760
8415
8415
18195
18195
1997
1997
1275
1275
5732
5732
6336
6336
5294
5294
23050.5 23050.5
33792
33792
6500
6500
457726.5 457726.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
83718
83718
63630
63630
213840
213840
3036
3036
8195
8195
15444
15444
46958
46958

0
0
0
0
0
0
0

1997
2550
1540
33792
8415
6000
489115

1997
2550
1540
33792
8415
6000
489115

0
0
0
0
0
0
0

Pasien
Penjamin
83718
83718
56262
56262
213840
213840
3036
3036
46958
46958
18195
18195
1997
1997
5732
5732
1540
1540
3825
3825
5000
5000
440103
440103

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
190765
190765
36390
36390
51241
51241
2891
2891
15422
15422
37695
37695
2022
2022
1300
1300
1565
1565
1407
1407
17977
17977
46983
46983
762
762
8220
8220
8000
8000
609909
609909

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
213840
213840
46958
46958
9601
9601
15397
15397
5991
5991
1275
1275
1540
1540
11464
11464
33792
33792
33792
33792
8415
8415
51216
51216
712
712
83718
83718
63630
63630
8195
8195
26535
26535
8500
8500
624571
624571

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
9626
9626
2891
2891
36390
36390
190765
190765
17977
17977
2022
2022
1300
1300
2665
2665
6336
6336
6000
6000
510224
510224

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
213840
213840
63630
63630
3036
3036
5881
5881

0
0
0
0

46958
8415
18195
1997
5732
1540
1757
6336
6000
383317

46958
8415
18195
1997
5732
1540
1757
6336
6000
383317

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46958
46958
9601
9601
15397
15397
33792
33792
18195
18195
1997
1997
1275
1275
6336
6336
4000
4000
137551
137551

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
2891
2891
36390
36390
190740
190740
1997
1997
1275
1275
1757
1757
1068
1068
6336
6336
6500
6500
494114
494114

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

68444
118825
46983
9626
1407
2022
1300
2891
36390
190765
1565
1782
1143
6336
7000
496479

68444
118825
46983
9626
1407
2022
1300
2891
36390
190765
1565
1782
1143
6336
7000
496479

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1088340 1088340
56100
56100
33792
33792
2764
2764
20314.8 20314.8
24024
24024
24024
24024
1275
1275
4000
4000
1254634 1254634

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
36390
36390
9601
9601
2461
2461
15397
15397
712
712
16335
16335
1997
1997
2550
2550
1540
1540
6000
6000

0
0
0
0
0
0
0
0
0
0
0
0
0

470942

470942

Pasien
Penjamin
68444
68444
118825
118825
1407
1407
46983
46983
17977
17977
9626
9626
190765
190765
36390
36390
51241
51241
4044
4044
2600
2600
1565
1565
2665
2665
6336
6336
7000
7000
565868
565868

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
3784
3784
9626
9626
1407
1407
15422
15422
36390
36390
190765
190765
4044
4044
2600
2600
5757
5757
381
381
6336
6336
8220
8220
17977
17977
51241
51241
8500
8500
596702
596702

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
10794
10794
7518
7518
9601
9601
1382
1382
15397
15397
36390
36390
190740
190740
3994
3994
2550
2550
5732
5732
1068
1068
6336
6336
7500
7500
533179
533179

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1088340 1088340
8195
8195
56100
56100
2764
2764
1540
1540
24024
24024
24024
24024
5020
5020
4000
4000
1214007 1214007

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
46958
46958
7920
7920
1500
1500
214778
214778

0
0
0
0
0

Pasien
Penjamin
1088340 1088340
12012
12012

0
0

12012
1382
1540
33858
3000
1152144

12012
1382
1540
33858
3000
1152144

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
15280
15280
534600
534600
46958
46958
91194
91194
5294
5294
18195
18195
1997
1997
2550
2550
1540
1540
5000
5000
737596
737596

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792
16335
16335
68419
68419
118800
118800
190740
190740
18195
18195
9601
9601
17952
17952
15444
15444
1540
1540
1275
1275
382
382
1382
1382
51216
51216
7000
7000
552073
552073

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792

16335
16335
68419
68419
118800
118800
190740
190740
36390
36390
51216
51216
9601
9601
17952
17952
15444
15444
1382
1382
12742.2 12742.2
46958
46958
1757
1757
1997
1997
1540
1540
1275
1275
382
382
9000
9000
635722.2 635722.2

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
91194
91194
5294
5294
92664
92664
15444
15444
46958
46958
427680
427680
18195
18195
29976
29976
8415
8415
1997
1997
1275
1275
1540
1540
6336
6336
382
382
7000
7000
754350
754350

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
8415
8415
18195
18195
92664
92664

0
0
0
0

83160
83160
9601
9601
320760
320760
1997
1997
1275
1275
3080
3080
109887
109887
5294
5294
3280
3280
17706
17706
2940
2940
9490.25 9490.25
26535
26535
8500
8500
752755.3 752755.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
44467
44467
1382
1382
36390
36390
190740
190740
33792
33792
16335
16335
1997
1997
1540
1540
1275
1275
6336
6336
382
382
51216
51216
8000
8000
637630
637630

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
481197
481197
5294
5294
83160
83160
92664
92664
190740
190740
72780
72780

0
0
0
0
0
0

33792
16335
427680
9601
3280
17706
93916
9490.25
15444
1997
2550
3080
9000
1569706

33792
16335
427680
9601
3280
17706
93916
9490.25
15444
1997
2550
3080
9000
1569706

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
481197
481197
5294
5294
92664
92664
83160
83160
3280
3280
17706
17706
9601
9601
1997
1997
320760
320760
9490.25 9490.25
2940
2940
33792
33792
8415
8415
18195
18195
13267.5 13267.5
7500
7500
1109259 1109259

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63630
63630
1382
1382
46958
46958
213840
213840
15444
15444
33792
33792
14988
14988
1997
1997

0
0
0
0
0
0
0
0

1275
1540
51216
5500
451562

1275
1540
51216
5500
451562

0
0
0
0
0

Pasien
Penjamin
83160
83160
481197
481197
5294
5294
534600
534600
33792
33792
16335
16335
190740
190740
54585
54585
93916
93916
9601
9601
15444
15444
26535
26535
1997
1997
2550
2550
1540
1540
3280
3280
17706
17706
8500
8500
1580772 1580772

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
2940
2940
15830
15830
36390
36390
1997
1997
1540
1540
9490.25 9490.25
2891
2891
6336
6336
382
382
51216
51216
28958
28958
7000
7000

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

399147.3 399147.3

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
10794
10794
7518
7518
17952
17952
9490.25 9490.25
15444
15444
2891
2891
16929
16929
36390
36390
190740
190740
16335
16335
3796
3796
1997
1997
2550
2550
1540
1540
6336
6336
51216
51216
382
382
1382
1382
11000
11000
648460.3 648460.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2220
2220
500
500
2720
2720

0
0
0

Pasien
Penjamin
217488
217488
500
500
217988
217988

0
0
0

Pasien

Penjamin

72496
1997
9633
1500
85626

72496
1997
9633
1500
85626

0
0
0
0
0

Pasien
Penjamin
225720
225720
516
516
2695
2695
2505
2505
362480
362480
2500
2500
596416
596416

0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
9626
9626
2814
2814
16954
16954
190765
190765
16360
16360
2022
2022
1300
1300
1782
1782
382
382
7568
7568
10844
10844
7000
7000
501669
501669

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
7568
7568
10844
10844
9626
9626
1407
1407

0
0
0
0
0
0
0

33908
190765
2022
1300
3564
382
6500
502138

33908
190765
2022
1300
3564
382
6500
502138

0
0
0
0
0
0
0
0

Pasien
Penjamin
3759
3759
9601
9601
46958
46958
1997
1997
16929
16929
1640
1640
3000
3000
83884
83884

0
0
0
0
0
0
0
0

Pasien
Penjamin
46958
46958
3759
3759
9601
9601
1997
1997
16929
16929
2500
2500
81744
81744

0
0
0
0
0
0
0

Pasien
Penjamin
23562
23562
3796
3796
1000
1000
28358
28358

0
0
0
0

Pasien
Penjamin
190740
190740
500
500
191240
191240

0
0
0

Pasien
Penjamin
46958
46958
166320
166320
26950
26950
32670
32670
190740
190740
67716
67716
51216
51216
336501
336501
5294
5294
3994
3994
1069200 1069200
26535
26535
9601
9601
6500
6500
2040195 2040195

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3759
3759
46958
46958
1997
1997
16929
16929
9601
9601
9702
9702
3000
3000
91946
91946

0
0
0
0
0
0
0
0

Pasien
Penjamin
71008.25 71008.25
9601
9601
46958
46958
534600
534600
33858
33858
8415
8415
33792
33792
3994
3994
1757
1757
5294
5294
26535
26535
5500
5500
781312.3 781312.3

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
15280
15280
16929
16929
534600
534600
46958
46958
1997
1997
1757
1757
5294
5294
106029
106029
356
356
5000
5000
764176
764176

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
10844
10844
7568
7568
9626
9626
1407
1407
33908
33908
190765
190765
17977
17977
4044
4044
1782
1782
382
382
1143
1143
7000
7000
520698
520698

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858
51216
51216
46958
46958
16191
16191

0
0
0
0
0
0
0

11277
11277
50160
50160
9490.25 9490.25
9601
9601
1382
1382
3994
3994
1757
1757
6336
6336
382
382
1068
1068
8500
8500
630129.3 630129.3

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
7518
7518
10794
10794
9601
9601
1382
1382
33858
33858
190740
190740
16335
16335
1997
1997
1757
1757
6336
6336
382
382
1068
1068
7500
7500
523445
523445

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
33858
33858
51216
51216
10794
10794
7518
7518
9601
9601
158400
158400
17952
17952
3994
3994

0
0
0
0
0
0
0
0
0
0

1757
1382
46958
382
1068
6336
8000
546435

1757
1382
46958
382
1068
6336
8000
546435

0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858
51216
51216
9490.25 9490.25
2222
2222
3796
3796
16335
16335
17952
17952
3994
3994
1757
1757
382
382
1068
1068
6336
6336
7500
7500
533865.3 533865.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858
16191
16191
11277
11277
9601
9601
46958
46958
1382
1382
17952
17952
3994
3994
1757
1757
2640
2640
6336
6336

0
0
0
0
0
0
0
0
0
0
0
0
0
0

382
1068
8000
539355

382
1068
8000
539355

0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
10794
10794
7518
7518
9601
9601
17952
17952
1382
1382
16929
16929
190740
190740
3994
3994
1757
1757
6336
6336
382
382
1068
1068
7500
7500
510130
510130

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62563
62563
500
500
63063
63063

0
0
0

Pasien
Penjamin
158400
158400
32670
32670
1000
1000
192070
192070

0
0
0
0

Pasien
Penjamin
68419
68419
326700
326700
28958
28958

0
0
0

46958
46958
9601
9601
83160
83160
33858
33858
71008.25 71008.25
190740
190740
16335
16335
33792
33792
3994
3994
6336
6336
382
382
1068
1068
427680
427680
5294
5294
70731
70731
9000
9000
1434014 1434014

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
381480
381480
67716
67716
51216
51216
9601
9601
93916
93916
481197
481197
212193
212193
166320
166320
30888
30888
32670
32670
67584
67584
1997
1997
2550
2550
3080
3080
382
382
1068
1068
855360
855360
869550
869550
56100
56100
26950
26950
65340
65340
5732
5732
158400
158400
326700
326700
83718
83718
5280
5280

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

13000
4069988

13000
4069988

0
0

Pasien
Penjamin
190765
190765
33908
33908
68444
68444
46983
46983
118825
118825
10844
10844
9626
9626
17977
17977
2022
2022
2600
2600
3130
3130
1407
1407
382
382
1143
1143
6336
6336
7500
7500
521892
521892

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
9601
9601
16929
16929
46958
46958
3994
3994
1275
1275
6336
6336
3500
3500
159324
159324

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
481197
481197
46958
46958
70731
70731
9490.25 9490.25
2940
2940
9601
9601
15444
15444

0
0
0
0
0
0
0

320760
16929
8415
33792
3994
5732
2550
3080
5294
8000
1044907

320760
16929
8415
33792
3994
5732
2550
3080
5294
8000
1044907

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
570240
570240
68419
68419
46958
46958
17952
17952
9601
9601
190740
190740
33858
33858
51216
51216
3994
3994
2550
2550
1540
1540
382
382
1068
1068
6336
6336
16335
16335
33792
33792
83718
83718
158400
158400
32670
32670
7920
7920
10000
10000
1347689 1347689

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
9626
9626
9490.25 9490.25
1407
1407

0
0
0
0
0
0

15855
15855
33908
33908
190765
190765
16360
16360
2022
2022
5757
5757
1300
1300
1565
1565
6336
6336
1143
1143
382
382
8500
8500
538668.3 538668.3

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
190740
190740
16335
16335
1997
1997
1275
1275
1540
1540
6336
6336
382
382
1068
1068
7000
7000
505691
505691

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
83718
83718
32670
32670
7920
7920
5732
5732
1997
1997
3000
3000
293437
293437

0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
10794
10794
15830
15830
33858
33858
190740
190740
1997
1997
5732
5732
2550
2550
3080
3080
382
382
1068
1068
9490.25 9490.25
7000
7000
516698.3 516698.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
381480
381480
33858
33858
68419
68419
46958
46958
570240
570240
16335
16335
9490.25 9490.25
15444
15444
6336
6336
1997
1997
2550
2550
3080
3080
382
382
1068
1068
7000
7000
1164637 1164637

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63630
63630
83718
83718
181632
181632
92664
92664
46958
46958

0
0
0
0
0

8415
16929
1997
2550
3080
1068
5500
508141

8415
16929
1997
2550
3080
1068
5500
508141

0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
10844
10844
9626
9626
1407
1407
33908
33908
190765
190765
16360
16360
33817
33817
2022
2022
1300
1300
5757
5757
3130
3130
382
382
1143
1143
6336
6336
8500
8500
559549
559549

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63630
63630
83718
83718
213840
213840
92664
92664
46958
46958
10692
10692
1997
1997
2550
2550
3080
3080
5732
5732
382
382
1068
1068

0
0
0
0
0
0
0
0
0
0
0
0

16929
16335
33792
7500
600867

16929
16335
33792
7500
600867

0
0
0
0
0

Pasien
Penjamin
190740
190740
33858
33858
68419
68419
118800
118800
46958
46958
9601
9601
16335
16335
6336
6336
1757
1757
1997
1997
2550
2550
3080
3080
2222
2222
9490.25 9490.25
3796
3796
51216
51216
382
382
1068
1068
9000
9000
577605.3 577605.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
17952
17952
46958
46958
9601
9601
1382
1382
33858
33858
190740
190740
16335
16335
33792
33792
1997
1997
2550
2550
3080
3080
382
382

0
0
0
0
0
0
0
0
0
0
0
0
0
0

1068
7500
554414

1068
7500
554414

0
0
0

Pasien
Penjamin
92664
92664
1382
1382
9601
9601
8415
8415
33792
33792
16929
16929
3994
3994
1275
1275
1540
1540
9490.25 9490.25
5000
5000
184082.3 184082.3

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
10794
10794
1382
1382
9601
9601
1997
1997
2550
2550
1540
1540
190740
190740
16929
16929
51216
51216
382
382
1068
1068
6336
6336
7500
7500
536212
536212

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
16417
16417

0
0
0

6872
22928
10296
12012
5809
56262
1540
150480
20213
10560
6500
343292

6872
22928
10296
12012
5809
56262
1540
150480
20213
10560
6500
343292

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
7518
7518
10794
10794
1382
1382
33858
33858
190740
190740
16335
16335
1997
1997
5732
5732
1275
1275
6336
6336
1068
1068
382
382
8000
8000
529195
529195

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
481197
481197
249480
249480
140874
140874
212193
212193
1069200 1069200
15444
15444
32670
32670
26950
26950
33792
33792

0
0
0
0
0
0
0
0
0

14988
16335
50787
190740
1997
5732
1275
1757
3080
6336
1068
10000
2565895

14988
16335
50787
190740
1997
5732
1275
1757
3080
6336
1068
10000
2565895

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
16929
16929
3759
3759
9601
9601
46958
46958
3994
3994
1275
1275
3500
3500
156747
156747

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
869550
869550
56100
56100
249480
249480
140874
140874
212193
212193
9601
9601
98010
98010
80850
80850
33858
33858
190740
190740
235902
235902
15444
15444
3994
3994
1275
1275
3080
3080
481197
481197
5294
5294

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

5732
6336
9500
2709010

5732
6336
9500
2709010

0
0
0
0

Pasien
Penjamin
33792
33792
8415
8415
33858
33858
181632
181632
83718
83718
63630
63630
3036
3036
1997
1997
2550
2550
26535
26535
5000
5000
444163
444163

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
46958
46958
7518
7518
10794
10794
9601
9601
118800
118800
33858
33858
190740
190740
8415
8415
33792
33792
1997
1997
2550
2550
3080
3080
6336
6336
382
382
7500
7500
550740
550740

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800

0
0

46958
7518
10794
9601
1382
1997
5732
1275
33858
190740
6336
382
1068
7500
512360

46958
7518
10794
9601
1382
1997
5732
1275
33858
190740
6336
382
1068
7500
512360

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
190740
190740
8415
8415
1997
1997
2550
2550
3080
3080
6336
6336
382
382
1068
1068
320760
320760
7500
7500
821846
821846

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
46958
46958
1382
1382
3994
3994
5732
5732
2550
2550
320760
320760

0
0
0
0
0
0
0

8415
33858
190740
6336
382
1068
6500
699406

8415
33858
190740
6336
382
1068
6500
699406

0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
320760
320760
1997
1997
18793
18793
1382
1382
1275
1275
6336
6336
1068
1068
4500
4500
495733
495733

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
83718
83718
92664
92664
46958
46958
320760
320760
33792
33792
18793
18793
1997
1997
5732
5732
1275
1275
1382
1382
6336
6336
5500
5500
618907
618907

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740

0
0
0

51216
33858
10794
7518
9601
382
356
3994
5732
2112
2550
1540
1382
15830
8500
533324

51216
33858
10794
7518
9601
382
356
3994
5732
2112
2550
1540
1382
15830
8500
533324

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
15444
15444
33792
33792
1997
1997
1275
1275
3000
3000
195130
195130

0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
7518
7518
10794
10794
9601
9601
1382
1382
33858
33858
190740
190740
8415
8415
3994
3994
5732
5732
1757
1757
2550
2550
6336
6336

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

382
1068
8500
526804

382
1068
8500
526804

0
0
0
0

Pasien
Penjamin
570240
570240
68419
68419
9601
9601
1382
1382
190740
190740
33858
33858
51216
51216
1997
1997
5732
5732
6336
6336
1068
1068
382
382
16335
16335
33792
33792
7000
7000
998098
998098

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
51216
51216
9601
9601
9490.25 9490.25
2222
2222
16335
16335
1898
1898
1997
1997
5732
5732
382
382
1068
1068
6336
6336
33858
33858
7500
7500
525594.3 525594.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
9601
9601
3759
3759
1382
1382
33792
33792
16335
16335
16929
16929
3994
3994
5732
5732
6336
6336
5500
5500
242982
242982

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
175824
175824
33858
33858
7518
7518
10794
10794
9601
9601
1382
1382
51216
51216
3994
3994
5732
5732
382
382
1068
1068
6336
6336
7000
7000
501924
501924

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
16417
16417
16335
16335
15397
15397
2891
2891
2550
2550
3500
3500

0
0
0
0
0
0
0
0

80493

80493

Pasien
Penjamin
68419
68419
28958
28958
1000
1000
98377
98377

0
0
0
0

Pasien
Penjamin
3994
3994
70731
70731
46958
46958
1500
1500
123183
123183

0
0
0
0
0

Pasien
Penjamin
5294
5294
15444
15444
46958
46958
70731
70731
33858
33858
33792
33792
8415
8415
320760
320760
3994
3994
5732
5732
5000
5000
549978
549978

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
175824
175824
16335
16335
1997
1997

0
0
0
0
0
0
0
0
0

5732
382
1068
6336
6500
493192

5732
382
1068
6336
6500
493192

0
0
0
0
0
0

Pasien
Penjamin
570240
570240
68419
68419
46958
46958
9601
9601
1382
1382
5880
5880
1997
1997
6336
6336
382
382
1068
1068
16335
16335
33858
33858
175824
175824
6500
6500
944780
944780

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
181632
181632
83718
83718
63630
63630
1997
1997
92664
92664
46958
46958
33792
33792
16929
16929
4000
4000
525320
525320

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
3759
3759
9601
9601
16929
16929

0
0
0
0

1997
5732
3000
111749

1997
5732
3000
111749

0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
15397
15397
7518
7518
10794
10794
5880
5880
36390
36390
175824
175824
3994
3994
5732
5732
3080
3080
6336
6336
764
764
1068
1068
8000
8000
524555
524555

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
3759
3759
9601
9601
1382
1382
1997
1997
5732
5732
33792
33792
16929
16929
4500
4500
217314
217314

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
83718
83718

0
0

1382
9601
320760
33792
18793
1997
5732
382
6336
5500
580657

1382
9601
320760
33792
18793
1997
5732
382
6336
5500
580657

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
570240
570240
68419
68419
83718
83718
9601
9601
16335
16335
33792
33792
15830
15830
2940
2940
33858
33858
158400
158400
5280
5280
1382
1382
3994
3994
11464
11464
382
382
1068
1068
26535
26535
6336
6336
175824
175824
51216
51216
10000
10000
1286614 1286614

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
10794
10794
7518
7518
9601
9601

0
0
0
0
0
0

1382
2891
33858
175824
1997
5732
6336
382
1068
7500
499060

1382
2891
33858
175824
1997
5732
6336
382
1068
7500
499060

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
1997
1997
33858
33858
175824
175824
9490.25 9490.25
2222
2222
1898
1898
5732
5732
6336
6336
382
382
1068
1068
7500
7500
491467.3 491467.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
10794
10794
7518
7518
1382
1382
33858
33858
175824
175824
3994
3994
5732
5732

0
0
0
0
0
0
0
0
0
0
0

6336
382
1068
7000
497666

6336
382
1068
7000
497666

0
0
0
0
0

Pasien
Penjamin
68419
68419
570240
570240
83718
83718
158400
158400
16335
16335
33792
33792
3796
3796
9601
9601
196680
196680
102432
102432
3994
3994
11464
11464
5280
5280
382
382
1068
1068
6336
6336
8000
8000
1279937 1279937

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
181632
181632
83718
83718
63630
63630
3036
3036
1997
1997
5732
5732
16929
16929
33792
33792
4000
4000
394466
394466

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800

0
0

1382
10794
11277
9601
175824
33858
51216
3994
5732
2640
6000
499537

1382
10794
11277
9601
175824
33858
51216
3994
5732
2640
6000
499537

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
196680
196680
33858
33858
51216
51216
10794
10794
7518
7518
9601
9601
382
382
1068
1068
3994
3994
6336
6336
1382
1382
6500
6500
516548
516548

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
196680
196680
33858
33858
51216
51216
10794
10794
7518
7518
9601
9601
3994
3994
1382
1382
6336
6336
382
382

0
0
0
0
0
0
0
0
0
0
0
0

1068
6500
516548

1068
6500
516548

0
0
0

Pasien
Penjamin
15444
15444
33792
33792
8415
8415
16929
16929
1997
1997
2500
2500
79077
79077

0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
3759
3759
9601
9601
16929
16929
3994
3994
1540
1540
6336
6336
3500
3500
116390
116390

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
1382
1382
9601
9601
33858
33858
196680
196680
3994
3994
5732
5732
3080
3080
17325
17325
33792
33792
6336
6336
1068
1068
382
382
51216
51216
7500
7500

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

559165

559165

Pasien
Penjamin
1110780 1110780
56100
56100
12012
12012
24024
24024
2764
2764
1540
1540
26535
26535
3500
3500
1237255 1237255

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
196680
196680
17325
17325
3994
3994
3080
3080
5732
5732
6336
6336
382
382
1068
1068
7000
7000
520615
520615

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
7518
7518
10794
10794
1382
1382
33858
33858
196680
196680

0
0
0
0
0
0
0
0
0

16335
3994
5732
1540
6336
1068
382
8000
537397

16335
3994
5732
1540
6336
1068
382
8000
537397

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
196680
196680
16335
16335
1997
1997
5732
5732
1540
1540
6336
6336
10794
10794
7518
7518
382
382
1068
1068
8000
8000
535400
535400

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792
8415
8415
33858
33858
70731
70731
46958
46958
9601
9601
481140
481140
3994
3994
5732
5732
1540
1540
5294
5294
6336
6336

0
0
0
0
0
0
0
0
0
0
0
0

26535
6500
740426

26535
6500
740426

0
0
0

Pasien
Penjamin
92664
92664
46958
46958
9601
9601
320760
320760
83718
83718
1997
1997
5732
5732
3080
3080
5294
5294
6336
6336
5000
5000
581140
581140

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
181632
181632
83718
83718
63630
63630
1500
1500
330480
330480

0
0
0
0
0

Pasien
Penjamin
5880
5880
92664
92664
46958
46958
83718
83718
18793
18793
15280
15280
6274
6274
320760
320760
1997
1997
5732
5732
1540
1540
10588
10588
6336
6336
382
382
1068
1068

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

7500
625470

7500
625470

0
0

Pasien
Penjamin
1382
1382
68419
68419
46958
46958
9601
9601
196680
196680
50787
50787
16335
16335
28958
28958
570240
570240
3994
3994
5732
5732
3080
3080
158400
158400
32670
32670
5881
5881
167436
167436
8000
8000
1374553 1374553

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
196680
196680
33858
33858
33792
33792
1997
1997
5732
5732
9490.25 9490.25
2222
2222
6336
6336
382
382
1068
1068
7500
7500
544217.3 544217.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
9601
9601
1382
1382
33792
33792
1997
1997
3080
3080
5732
5732
1068
1068
6336
6336
3759
3759
5500
5500
211869
211869

0
0
0
0
0
0
0
0
0
0
0
0
0

Waktu
31 Mei 2013 13:52
Item
LYRICA CAPSULE 75 MG
TUSLAH NON RACIKAN
TOTAL

Jaminan
ASKES
Quantity
28,00
1,00

31 Mei 2013 13:03

Item
URISPAS TABLET, FILM COATED 200 MG
CEFEPIME 1 GR INJECTION
SANMOL INFUSION
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
4,00
3,00
3,00
1,00
4,00

31 Mei 2013 11:27

Item
SURFLO IV CATH NO 16
SURFLO IV CATH 14G
LIDOCAIN 2% INJECTION
DISP ONEMED 3CC
TRANSFUSION SET JMS
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
1,00
1,00
6,00

31 Mei 2013 11:26

Item
DULCOLAX 5 MG TABLET
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
2,00
2,00

31 Mei 2013 11:21

Item
CURCUMA 200 MG TABLET
KETESSE TABLET, COATED 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
10,00
2,00

31 Mei 2013 11:20

JAKARTA SEHAT

Item
GRANISETRON 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

31 Mei 2013 11:18

Item
GRANISETRON 3 ML INJECTION
CURLIV PLUS 120 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

31 Mei 2013 11:11

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

30 Mei 2013 19:01

Item
KETESSE 25 MG/ML INJECTION
DULCOLAX SUPPOSITORY 10 mg
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
3,00
4,00

30 Mei 2013 18:47

Item
SANMOL INFUSION
BD VACUTAINER
WIDAHES 130
TRANSFUSION SET JMS
RING AS SANBE 500 ML
DULCOLAX 5 MG TABLET
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
2,00
2,00
1,00
7,00

30 Mei 2013 13:56

Item
SPIRONOLACTONE 100 MG TABLET

JAKARTA SEHAT
Quantity
7,00

TUSLAH NON RACIKAN

TOTAL

1,00

30 Mei 2013 12:42

Item
HYPERIL 5 MG TABLET
PARACETAMOL INF TABLET 500 mg
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
9,00
6,00
1,00
15,00
1,00

30 Mei 2013 11:29

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
20,00
20,00
1,00
2,00

30 Mei 2013 11:19

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

30 Mei 2013 11:09

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
8,00
8,00
8,00
4,00

29 Mei 2013 20:07

Item
GLIQUIDONE 30 MG TABLET
AMINORAL TABLET

JAKARTA SEHAT
Quantity
10,00
30,00

TUSLAH NON RACIKAN

TOTAL

2,00

29 Mei 2013 20:06

Item
ALLOPURINOL INF TABLET 100 MG
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
28,00
2,00

29 Mei 2013 14:25

Item
GLIQUIDONE 30 MG TABLET
AMINORAL TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
30,00
1,00
3,00

29 Mei 2013 14:25

Item
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
28,00
1,00
28,00
1,00

29 Mei 2013 14:20

Item
PROPYLTHIOURASIL 100 MG TABLET
CANDESARTAN 16MG TABL
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
LORATADINE INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
7,00
1,00
14,00
4,00

29 Mei 2013 14:17

Item
TREMENZA TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
URISPAS TABLET, FILM COATED 200 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
10,00
1,00
20,00
1,00

SOCLOR TABLET
METHYL PREDNISOLONE inf 16 MG TABLET
TUSLAH NON RACIKAN
TOTAL

12,00
21,00
6,00

29 Mei 2013 14:17

Item
GLIQUIDONE 30 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
30,00
2,00

29 Mei 2013 14:16

Item
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 14:01

Item
PROPANOLOL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

29 Mei 2013 14:00

Item
THYRAX TABLET 100 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

29 Mei 2013 14:00

Item
PROPANOLOL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

29 Mei 2013 13:59

Item
ACARBOSE 100 MG TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
20,00
28,00
2,00

TOTAL

29 Mei 2013 13:58

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

29 Mei 2013 13:56

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
1,00

29 Mei 2013 13:50

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 13:50

Item
METFORMIN HCL 500 MG TABLET
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
15,00
2,00

29 Mei 2013 13:47

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 13:45

Item
AMBROXOL INF 30 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
10,00
12,00
4,00

29 Mei 2013 13:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 13:36

Item
GLIQUIDONE 30 MG TABLET
AMINORAL TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
1,00
3,00

29 Mei 2013 13:35

Item
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
30,00
15,00
3,00

29 Mei 2013 13:30

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

29 Mei 2013 13:30

Item
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
30,00
30,00
1,00
30,00
2,00

29 Mei 2013 12:55

Item

JAKARTA SEHAT
Quantity

FOLIC ACID 1 MG TABLET

TUSLAH NON RACIKAN
TOTAL

30,00
1,00

29 Mei 2013 12:55

Item
AMINORAL TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
30,00
2,00

29 Mei 2013 12:54

Item
AMINORAL TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
28,00
2,00

29 Mei 2013 12:54

Item
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
AMLODIPIN 5 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
15,00
30,00
30,00
1,00
30,00
3,00

29 Mei 2013 12:40

Item
AMBROXOL INF 30 MG TABLET
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
14,00
30,00
1,00
30,00
1,00
30,00
4,00

29 Mei 2013 12:36

JAKARTA SEHAT

Item
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
5,00
1,00

29 Mei 2013 12:36

Item
MELOXICAM 7.5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
30,00
28,00
3,00

29 Mei 2013 12:12

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 12:12

Item
BD MICRO-FINE
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
28,00
2,00

29 Mei 2013 12:11

Item
SOCLOR TABLET
AMBROXOL INF 60 ML SYRUP
GLIMEPIRIDE 1 MG TABLET
SALBUTAMOL INF TABLET 2 MG
PROPYLTHIOURASIL 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
14,00
20,00
30,00
5,00

29 Mei 2013 11:57

Item
KETESSE TABLET, COATED 25 MG
HI-BONE TABLET, FILM COATED
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
30,00
2,00

29 Mei 2013 11:50

Item
MAGARD FA TABLET, CHEWABLE
FLUCONAZOLE 150 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
5,00
10,00
3,00

29 Mei 2013 11:18

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
7,00
1,00

29 Mei 2013 11:17

Item
ALKOHOL SWAB
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
30,00
2,00

29 Mei 2013 11:12

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

29 Mei 2013 11:11

Item
DOMPERIDON INF TABLET 10 MG
FOLIC ACID 1 MG TABLET
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
15,00
3,00

29 Mei 2013 11:01

Item
VITAMIN K KIMIA FARMA TABLET 10 MG
VITAMIN C 50 MG TABLET
ACETYLCYSTEIN 200MG CAPS

UMUM
Quantity
10,00
10,00
10,00

TUSLAH NON RACIKAN

TOTAL

3,00

29 Mei 2013 10:58

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00

29 Mei 2013 10:58

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

29 Mei 2013 10:55

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
7,00
1,00

29 Mei 2013 10:37

Item
TREMENZA TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

29 Mei 2013 10:27

Item
MAGARD FA TABLET, CHEWABLE
PUMPITOR SANBE 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

29 Mei 2013 09:38

Item
PUMPITOR SANBE 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

29 Mei 2013 09:09

Item
LORATADINE INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

29 Mei 2013 08:51

Item
IVENA IV CATH 22
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00

28 Mei 2013 19:14

Item
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 19:11

Item
EPHINEPRIN ETHICA INJECTION
ATROPIN ETHICA 0.25 MG INJECTION
DISP SYRINGE 50 CC WITHOUT NED
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

28 Mei 2013 14:57

Item
ENZYPLEX TABLET 10000 UNT; 9000 UNT
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
16,00
1,00

28 Mei 2013 14:55

Item
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 14:18

Item
METFORMIN HCL 500 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
FUROSEMID INF INJECTION
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
10,00
5,00
1,00
1,00
1,00
7,00

28 Mei 2013 14:09

Item
VITAMIN K KIMIA FARMA TABLET 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

28 Mei 2013 14:07

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
METFORMIN HCL 500 MG TABLET
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
14,00
20,00
14,00
4,00

28 Mei 2013 13:52

Item
PROPYLTHIOURASIL 100 MG TABLET
PROPANOLOL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
14,00
2,00

28 Mei 2013 13:43

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

28 Mei 2013 13:42

JAKARTA SEHAT

Item
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00

28 Mei 2013 13:40

Item
GLIQUIDONE 30 MG TABLET
ACARBOSE 100 MG TABLET
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
1,00
3,00

28 Mei 2013 13:40

Item
BD MICRO-FINE
URISPAS TABLET, FILM COATED 200 MG
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
10,00
3,00

28 Mei 2013 13:38

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

28 Mei 2013 13:37

Item
LORATADINE INF TABLET 10 MG
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
14,00
3,00

28 Mei 2013 13:33

Item
INFUS SET JMS
IVENA IV CATH 20
CEFEPIME 1 GR INJECTION
DISP SYRINGE 10 CC
BICNAT CAPSULE

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
15,00

TUSLAH RACIKAN EMBALASE

DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

1,00
15,00
1,00
5,00

28 Mei 2013 13:31

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

28 Mei 2013 13:31

Item
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
1,00
30,00
1,00

28 Mei 2013 13:23

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

28 Mei 2013 13:23

Item
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
30,00
1,00
30,00
2,00

28 Mei 2013 13:21

Item
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE GEN 20 MG CAPSULE
ASPAR-K TABLET, COATED 300 mg

JAKARTA SEHAT
Quantity
1,00
6,00
15,00

TUSLAH NON RACIKAN

TOTAL

3,00

28 Mei 2013 13:20

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 13:19

Item
AMINORAL TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
2,00

28 Mei 2013 13:18

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 13:18

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
METRONIDAZOLE 500 MG TABLET
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
2,00
6,00
1,00
5,00

28 Mei 2013 13:12

Item
URDAFALK CAPSULE 250 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

28 Mei 2013 12:34

Item
PROPYLTHIOURASIL 100 MG TABLET

JAKARTA SEHAT
Quantity
30,00

PROPANOLOL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
2,00

28 Mei 2013 12:33

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

28 Mei 2013 12:32

Item
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
15,00
3,00

28 Mei 2013 12:23

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

28 Mei 2013 12:22

Item
FOLIC ACID 1 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
6,00
30,00
1,00
30,00
2,00

28 Mei 2013 11:13

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

28 Mei 2013 11:03

JAKARTA SEHAT

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
12,00
1,00

28 Mei 2013 10:58

Item
NEUROSANBE 3 ML INJECTION
SANBE HEST
RING AS SANBE 500 ML
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
2,00
10,00
1,00
1,00
6,00

28 Mei 2013 10:38

Item
ISOKET INJECTION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

28 Mei 2013 10:03

Item
AMLODIPIN 5 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
20,00
2,00

28 Mei 2013 09:57

Item
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
12,00
2,00

28 Mei 2013 09:15

Item
PUMPITOR SANBE 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
MUSIN OTTO 120 ML SUSPENSION

UMUM
Quantity
10,00
15,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

27 Mei 2013 15:20

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

27 Mei 2013 14:50

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

27 Mei 2013 14:16

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

27 Mei 2013 12:45

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 12:18

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
15,00
1,00

27 Mei 2013 12:18

Item
BD MICRO-FINE
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
15,00
1,00
2,00

27 Mei 2013 12:06

Item
URISPAS TABLET, FILM COATED 200 MG
FLUCONAZOL INFUS 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

27 Mei 2013 11:47

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 11:36

Item
TRANSFUSION SET JMS
FUTROLIT INFUSION
RING AS SANBE 500 ML
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00
3,00
10,00
6,00

27 Mei 2013 10:05

Item
METFORMIN HCL 500 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
15,00
30,00
2,00

27 Mei 2013 08:53

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

25 Mei 2013 10:48

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

24 Mei 2013 15:00

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 15:00

Item
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

24 Mei 2013 10:46

Item
URISPAS TABLET, FILM COATED 200 MG
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
12,00
2,00

24 Mei 2013 10:33

Item
EXTENSION TUBE ET 2 (DWS)
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 09:38

Item
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

24 Mei 2013 09:17

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 08:50

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 20:09

Item
ISOSORBIDE DINITRATE INF TABLET
ULTRACET 37,5MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

23 Mei 2013 18:30

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
15,00
3,00

23 Mei 2013 13:00

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 13:00

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 12:35

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 12:20

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 12:20

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 11:03

Item
CEDANTRON 4 MG/ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUTROLIT INFUSION
NON REBREATHING MASK ADULT(1102)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
2,00
1,00
1,00
2,00
2,00
1,00
7,00

23 Mei 2013 10:19

Item
MAGARD FA TABLET, CHEWABLE
CEDANTRON 4 MG/ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUTROLIT INFUSION
NON REBREATHING MASK ADULT(1102)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
6,00
2,00
1,00
1,00
2,00
2,00
1,00
8,00

22 Mei 2013 14:24

Item
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 14:23

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

22 Mei 2013 14:22

Item
LANSOPRAZOLE GENERIK CAPSULE
LEVOFLOXACIN INF TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
7,00
1,00
3,00

22 Mei 2013 14:11

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 14:10

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 14:07

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

22 Mei 2013 14:07

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 13:51

Item

JAKARTA SEHAT
Quantity

AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

30,00
1,00

22 Mei 2013 13:51

Item
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
30,00
40,00
3,00

22 Mei 2013 13:50

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

22 Mei 2013 13:47

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

22 Mei 2013 13:46

Item
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
1,00
30,00
1,00

22 Mei 2013 13:24

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

22 Mei 2013 13:12

Item

JAKARTA SEHAT
Quantity

METFORMIN HCL 850 MG TABLET

TUSLAH NON RACIKAN
TOTAL

30,00
1,00

22 Mei 2013 13:06

Item
MELOXICAM 7.5 MG TABLET
CANDESARTAN 8MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

22 Mei 2013 12:39

Item
PROPYLTHIOURASIL 100 MG TABLET
PROPANOLOL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
2,00

22 Mei 2013 12:27

Item
GLIQUIDONE 30 MG TABLET
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
7,00
2,00

22 Mei 2013 12:25

Item
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
2,00

22 Mei 2013 12:20

Item
MAGARD FA TABLET, CHEWABLE
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

22 Mei 2013 12:15

Item

JAKARTA SEHAT
Quantity

GLIQUIDONE 30 MG TABLET
DECULIN 30 MG TABLET
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
7,00
20,00
3,00

22 Mei 2013 12:15

Item
LEVOFLOXACIN INF TABLET
ISOSORBIDE DINITRATE INF TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
30,00
1,00
3,00

22 Mei 2013 12:14

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

22 Mei 2013 12:10

Item
AMINORAL TABLET
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
28,00
2,00

22 Mei 2013 12:09

Item
AMLODIPIN 5 MG TABLET
CANDESARTAN 8MG TABL
FENOFIBRAT 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
3,00

22 Mei 2013 11:44

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
1,00

22 Mei 2013 11:43

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

22 Mei 2013 11:41

Item
VITAMIN K KIMIA FARMA TABLET 10 MG
PROPANOLOL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
2,00

22 Mei 2013 11:17

Item
FENOFIBRAT 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
7,00
1,00

22 Mei 2013 11:14

Item
METHYL PREDNISOLONE INF 4 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
FOLIC ACID 1 MG TABLET
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
28,00
30,00
4,00

22 Mei 2013 10:38

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
30,00
1,00

22 Mei 2013 09:54

Item
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

21 Mei 2013 20:12

JAKARTA SEHAT

Item
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

21 Mei 2013 19:18

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

21 Mei 2013 19:13

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

21 Mei 2013 19:12

Item
NACL CAPS 500 mg CAPSULE
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00

21 Mei 2013 14:50

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 14:49

Item
MUSIN OTTO 120 ML SUSPENSION
DEXTROMETHORPHAN INF TABLET 15 MG
MECOBALAMIN CAPSULE 500 MCG
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
30,00
15,00
12,00
4,00

21 Mei 2013 14:44

ASKES

Item
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
20,00
1,00

21 Mei 2013 14:30

Item
CONDOM CATHETER S
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 14:24

Item
LORATADINE INF TABLET 10 MG
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
12,00
2,00

21 Mei 2013 14:16

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

21 Mei 2013 14:16

Item
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 14:15

Item
METFORMIN HCL 500 MG TABLET
ACARBOSE 100 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
30,00
3,00

21 Mei 2013 14:07

Item
EPREX SOLUTION, INJECTION 2000 IU/vial

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

21 Mei 2013 14:05

Item
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
1,00
30,00
1,00

21 Mei 2013 14:02

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
30,00
2,00

21 Mei 2013 14:01

Item
FUROSEMID INF TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
1,00
30,00
30,00
2,00

21 Mei 2013 14:01

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
30,00
1,00

21 Mei 2013 14:00

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

PT Kereta Api Indonesia

Quantity
15,00
1,00

21 Mei 2013 13:57

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 13:56

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
30,00
30,00
1,00

21 Mei 2013 13:48

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

21 Mei 2013 13:47

Item
LORATADINE INF TABLET 10 MG
SOCLOR TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
30,00
1,00
30,00
2,00

21 Mei 2013 13:45

Item
GLIQUIDONE 30 MG TABLET
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
30,00
2,00

21 Mei 2013 13:44

Item
ACARBOSE 100 MG TABLET
CACO3 500 MG CAPSULE

JAKARTA SEHAT
Quantity
20,00
20,00

TUSLAH RACIKAN EMBALASE

TUSLAH NON RACIKAN
TOTAL

1,00
20,00
1,00

21 Mei 2013 13:31

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 13:30

Item
OMEPRAZOLE GEN 20 MG CAPSULE
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
15,00
10,00
4,00

21 Mei 2013 13:20

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

21 Mei 2013 13:20

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
30,00
30,00
1,00
30,00
2,00

21 Mei 2013 13:13

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 13:09

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
2,00

21 Mei 2013 13:08

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

21 Mei 2013 13:05

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

21 Mei 2013 13:02

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 13:01

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 13:00

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 12:53

Item
ISOSORBIDE DINITRATE INF TABLET

JAMPERSAL
Quantity
15,00

TUSLAH NON RACIKAN

TOTAL

1,00

21 Mei 2013 12:43

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
15,00
15,00
3,00

21 Mei 2013 12:29

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 12:28

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
1,00

21 Mei 2013 12:27

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00
20,00
20,00
1,00
2,00

21 Mei 2013 12:26

Item
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 12:25

Item

JAKARTA SEHAT
Quantity

EPREX SOLUTION, INJECTION 2000 IU/vial

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

21 Mei 2013 12:21

Item
NEUROSANBE 3 ML INJECTION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

21 Mei 2013 12:21

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

21 Mei 2013 12:11

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
15,00
15,00
3,00

21 Mei 2013 12:10

Item
SALBUTAMOL INF TABLET 2 MG
SOCLOR TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
1,00
3,00

21 Mei 2013 11:58

Item
GLIQUIDONE 30 MG TABLET
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

21 Mei 2013 11:57

JAKARTA SEHAT

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
20,00
1,00

21 Mei 2013 11:53

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

21 Mei 2013 11:53

Item
ATORVASTATIN 20 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
30,00
2,00

21 Mei 2013 11:30

Item
SOCLOR TABLET
FG TROCHES MEIJI
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
10,00
2,00

21 Mei 2013 11:28

Item
DOMPERIDON INF TABLET 10 MG
KETESSE TABLET, COATED 25 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
10,00
2,00

21 Mei 2013 10:48

Item
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
12,00
1,00

21 Mei 2013 10:17

Item
DISP SYRINGE 50 CC WITHOUT NED

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

21 Mei 2013 09:41

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 14:16

Item
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
MAGARD FA TABLET, CHEWABLE
OMEPRAZOLE 40 MG INJECTION
GRANISETRON 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
2,00
2,00
5,00

20 Mei 2013 14:15

Item
METFORMIN HCL 500 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
25,00
1,00
20,00
3,00

20 Mei 2013 14:15

Item
GRANISETRON 3 ML INJECTION
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

20 Mei 2013 14:14

Item
SOHOBION 5000 INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

20 Mei 2013 14:13

JAKARTA SEHAT

Item
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
TOTAL

Quantity
10,00
1,00
10,00

20 Mei 2013 14:12

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

20 Mei 2013 14:11

Item
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

20 Mei 2013 14:06

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 14:05

Item
RING AS SANBE 500 ML
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

20 Mei 2013 14:03

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00

20 Mei 2013 14:03

Item

JAKARTA SEHAT
Quantity

EPREX SOLUTION, INJECTION 2000 IU/vial

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

20 Mei 2013 14:03

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 13:52

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
1,00

20 Mei 2013 13:23

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 13:16

Item
KETESSE TABLET, COATED 25 MG
MAGARD FA TABLET, CHEWABLE
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

20 Mei 2013 13:08

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
4,00
4,00
1,00
10,00
10,00
6,00

20 Mei 2013 13:07

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
30,00
1,00

20 Mei 2013 11:14

Item
CURLIV PLUS 120 ML SYRUP
IMBOOST FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
10,00
2,00

20 Mei 2013 11:13

Item
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
20,00
1,00

20 Mei 2013 10:13

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

20 Mei 2013 10:13

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
8,00
3,00
2,00
1,00
10,00
6,00

19 Mei 2013 12:47

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 12:58

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

18 Mei 2013 12:50

Item
MUSIN OTTO 120 ML SUSPENSION
PANTOPRAZOLE INJECTION
CEFEPIME 1 GR INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
10,00
1,00
10,00
4,00

18 Mei 2013 12:36

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

18 Mei 2013 11:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 10:56

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 10:36

Item
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

18 Mei 2013 10:33

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 10:33

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 10:33

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 09:44

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 09:22

Item
SPIRONOLACTONE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

17 Mei 2013 14:52

Item
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 13:53

Item
LIVAMIN 500 ML INFUSION

JAKARTA SEHAT
Quantity
2,00

RINGER LACTATE WIDATRA 500 ML

STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
4,00

17 Mei 2013 13:53

Item
LIVAMIN 500 ML INFUSION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

17 Mei 2013 13:21

Item
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 13:15

Item
LIVAMIN 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 13:14

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

17 Mei 2013 12:53

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

17 Mei 2013 12:37

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

17 Mei 2013 12:35

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

17 Mei 2013 12:29

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 12:25

Item
KETESSE 25 MG/ML INJECTION
MECOBALAMIN AMP INJECTION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
5,00
2,00
10,00
10,00
2,00
2,00
2,00
8,00

17 Mei 2013 11:19

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 11:15

Item
IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

17 Mei 2013 10:25

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 10:23

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

17 Mei 2013 10:09

Item
DISP SYRINGE 5 CC
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

17 Mei 2013 09:37

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 09:36

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 09:36

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 08:30

Item
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
10,00

MAGARD FA TABLET, CHEWABLE

TUSLAH NON RACIKAN
TOTAL

15,00
2,00

17 Mei 2013 03:33

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

16 Mei 2013 20:23

Item
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

16 Mei 2013 14:46

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 14:36

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 14:35

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

16 Mei 2013 14:33

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG

JAKARTA SEHAT
Quantity
42,00
14,00
14,00
14,00

HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14,00
5,00

16 Mei 2013 14:31

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

16 Mei 2013 14:26

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 12:39

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

16 Mei 2013 12:38

Item
VALAMIN SANBE INFUSION
FLUCONAZOL INFUS 100 ML
MECOBALAMIN AMP INJECTION
BD MICRO-FINE
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
10,00
2,00
5,00

16 Mei 2013 12:37

Item
AMLODIPIN 5 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
10,00
1,00
10,00
2,00

16 Mei 2013 12:35

Item
SOCLOR TABLET
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

16 Mei 2013 12:35

Item
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

16 Mei 2013 12:34

Item
FENOFIBRAT 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

16 Mei 2013 12:29

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 12:29

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 12:28

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 11:58

Item

JAKARTA SEHAT
Quantity

PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

16 Mei 2013 11:43

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
10,00
1,00
1,00

16 Mei 2013 11:43

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 11:41

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 11:39

Item
MAGARD FA TABLET, CHEWABLE
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

16 Mei 2013 11:39

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

16 Mei 2013 10:06

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

16 Mei 2013 09:53

Item
FG TROCHES MEIJI
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
20,00
1,00

16 Mei 2013 09:46

Item
SOCLOR TABLET
TREMENZA TABLET
FG TROCHES MEIJI
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
15,00
10,00
1,00
4,00

16 Mei 2013 09:37

Item
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
3,00
1,00

16 Mei 2013 09:29

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
1,00

16 Mei 2013 09:06

Item
SOCLOR TABLET
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
15,00
2,00

16 Mei 2013 08:51

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

16 Mei 2013 08:51

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 08:49

Item
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP
OPIGRAN INJ 3
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

16 Mei 2013 08:40

Item
METFORMIN HCL 500 MG TABLET
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
2,00

16 Mei 2013 08:40

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 08:35

Item
AMLODIPIN 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

16 Mei 2013 08:35

Item
SOCLOR TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
7,00
10,00
2,00

TOTAL

15 Mei 2013 23:26

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 22:33

Item
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 21:54

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
RING AS SANBE 500 ML
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

15 Mei 2013 15:36

Item
URISPAS TABLET, FILM COATED 200 MG
CANDERIN 8 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
6,00
2,00

15 Mei 2013 14:58

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

15 Mei 2013 14:58

Item
KETESSE TABLET, COATED 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

15 Mei 2013 14:57

Item
FUROSEMID INF TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
2,00

15 Mei 2013 14:57

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

15 Mei 2013 14:54

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

15 Mei 2013 14:43

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

SKTM
Quantity
20,00
1,00

15 Mei 2013 14:42

Item
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
KETESSE TABLET, COATED 25 MG
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

SKTM
Quantity
1,00
7,00
10,00
3,00

15 Mei 2013 14:41

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

15 Mei 2013 14:10

JAKARTA SEHAT

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
30,00
1,00

15 Mei 2013 14:08

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

15 Mei 2013 14:07

Item
AMBROXOL INF 30 MG TABLET
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

15 Mei 2013 14:06

Item
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
ACETYLCYSTEIN 200MG CAPS
SOCLOR TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
10,00
1,00
4,00

15 Mei 2013 13:39

Item
METHYL PREDNISOLONE INF 4 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
20,00
1,00
14,00
4,00

15 Mei 2013 13:10

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

15 Mei 2013 13:09

Item
MAGARD FA TABLET, CHEWABLE
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

15 Mei 2013 13:02

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

15 Mei 2013 13:02

Item
CANDESARTAN 8MG TABL
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
1,00
30,00
10,00
2,00

15 Mei 2013 13:01

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

15 Mei 2013 12:58

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

15 Mei 2013 12:58

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

15 Mei 2013 12:57

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
20,00
1,00
20,00
2,00

15 Mei 2013 12:57

Item
DULCOLAX 5 MG TABLET
KETESSE TABLET, COATED 25 MG
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
10,00
10,00
3,00

15 Mei 2013 12:51

Item
VITAMIN C 50 MG TABLET
IMBOOST FORCE TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

15 Mei 2013 12:41

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

15 Mei 2013 12:41

Item
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
30,00
30,00
10,00
30,00
1,00
4,00

15 Mei 2013 12:29

Item
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
URISPAS TABLET, FILM COATED 200 MG
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
3,00
3,00
3,00
2,00
6,00

15 Mei 2013 12:16

Item
ISOSORBIDE DINITRATE INF TABLET
CANDESARTAN 8MG TABL
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
42,00
14,00
10,00
3,00

15 Mei 2013 12:15

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 12:15

Item
BD MICRO-FINE
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
2,00
2,00

15 Mei 2013 12:14

Item
AMBROXOL INF 60 ML SYRUP
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
ADALAT OROS 30 MG TABLET
ALLOPURINOL INF TABLET 100 MG
SOCLOR TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
30,00
14,00
10,00
30,00
15,00
6,00

TOTAL

15 Mei 2013 12:12

Item
CAPTOPRIL 12.5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00
2,00

15 Mei 2013 11:56

Item
KETESSE TABLET, COATED 25 MG
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

15 Mei 2013 11:54

Item
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

15 Mei 2013 11:39

Item
FLUCONAZOL INFUS 100 ML
URISPAS TABLET, FILM COATED 200 MG
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
3,00
3,00
10,00
5,00

15 Mei 2013 11:31

Item
METRONIDAZOLE 500 MG TABLET
MAGARD FA TABLET, CHEWABLE
DOMPERIDON INF TABLET 10 MG
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
15,00
10,00
4,00

15 Mei 2013 11:16

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 11:15

Item
BD MICRO-FINE
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
2,00

15 Mei 2013 11:13

Item
METRONIDAZOLE 500 MG TABLET
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

15 Mei 2013 11:12

Item
SANBE HEST
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

15 Mei 2013 11:11

Item
RING AS SANBE 500 ML
SANBE HEST
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
2,00
3,00

15 Mei 2013 11:03

Item
BD MICRO-FINE
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
30,00
30,00
2,00

15 Mei 2013 09:59

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
2,00

15 Mei 2013 09:58

Item
BD MICRO-FINE
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00
2,00

15 Mei 2013 00:04

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TRANSFUSION SET JMS
IVENA IV CATH 22
ALLOPURINOL INF TABLET 100 MG
SOHOBION 5000 INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00
2,00
5,00

15 Mei 2013 00:01

Item
CEFEPIME 1 GR INJECTION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

15 Mei 2013 00:00

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

14 Mei 2013 23:59

Item

JAKARTA SEHAT
Quantity

PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE

IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
3,00

14 Mei 2013 19:56

Item
PRONALGES SUPPOSITORY 100 MG
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

14 Mei 2013 19:56

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 19:55

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

14 Mei 2013 19:55

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

14 Mei 2013 19:54

Item
ISOKET INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

14 Mei 2013 14:55

Item

JAKARTA SEHAT
Quantity

FARMADOL 100 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

3,00
1,00

14 Mei 2013 14:09

Item
DOMPERIDON INF TABLET 10 MG
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
15,00
2,00

14 Mei 2013 14:08

Item
SOCLOR TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
8,00
3,00

14 Mei 2013 13:40

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

14 Mei 2013 13:39

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
AMLODIPIN 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
30,00
1,00
30,00
10,00
10,00
3,00

14 Mei 2013 13:16

Item
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

14 Mei 2013 13:13

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

14 Mei 2013 13:11

Item
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
7,00
1,00

14 Mei 2013 13:10

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
7,00
1,00

14 Mei 2013 13:05

Item
SOCLOR TABLET
URISPAS TABLET, FILM COATED 200 MG
METHYL PREDNISOLONE inf 16 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
30,00
21,00
3,00

14 Mei 2013 12:42

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

14 Mei 2013 12:41

Item
FOLIC ACID 1 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
30,00
1,00
30,00
2,00

14 Mei 2013 12:34

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

14 Mei 2013 12:33

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
30,00
1,00
30,00
30,00
2,00

14 Mei 2013 12:28

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 12:02

Item
URISPAS TABLET, FILM COATED 200 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FLUCONAZOL INFUS 100 ML
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
3,00
4,00

14 Mei 2013 11:38

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 11:27

Item
AMLODIPIN 5 MG TABLET

JAKARTA SEHAT
Quantity
14,00

SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

20,00
2,00

14 Mei 2013 11:19

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
1,00

14 Mei 2013 11:00

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
7,00
1,00

14 Mei 2013 10:59

Item
EPERISONE TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
14,00
1,00

14 Mei 2013 10:59

Item
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
7,00
1,00

14 Mei 2013 10:32

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00

14 Mei 2013 10:29

Item
FENOFIBRAT 200 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
30,00
2,00

14 Mei 2013 10:22

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

14 Mei 2013 10:22

Item
CIPROFLOXACIN TABLET
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
30,00
15,00
1,00
4,00

14 Mei 2013 10:21

Item
GLIQUIDONE 30 MG TABLET
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
2,00

14 Mei 2013 10:20

Item
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
30,00
30,00
1,00
2,00

14 Mei 2013 10:18

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

14 Mei 2013 10:18

Item
EPREX SOLUTION, INJECTION 2000 IU/vial

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

14 Mei 2013 10:17

Item
GLIQUIDONE 30 MG TABLET
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
30,00
2,00

14 Mei 2013 10:16

Item
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
30,00
1,00
1,00

14 Mei 2013 10:13

Item
SANBE HEST
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

14 Mei 2013 10:01

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
15,00
2,00

14 Mei 2013 09:51

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

14 Mei 2013 01:36

Item
URISPAS TABLET, FILM COATED 200 MG

JPK PNS
Quantity
3,00

CEFOPERAZONE SULBACTAM 1 GM INJECTION

TUSLAH NON RACIKAN
TOTAL

2,00
2,00

14 Mei 2013 00:25

Item
PANTOPRAZOLE INJECTION
FUTROLIT INFUSION
RING AS SANBE 500 ML
OPIGRAN INJ 3
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
4,00

14 Mei 2013 00:24

Item
PANTOPRAZOLE INJECTION
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

13 Mei 2013 22:04

Item
FG TROCHES MEIJI
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

13 Mei 2013 21:12

Item
KA-EN 3B 500 ML INFUSION
DULCOLAX 5 MG TABLET
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
4,00

13 Mei 2013 20:23

Item
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

13 Mei 2013 16:31

Item
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

13 Mei 2013 16:21

Item
FUTROLIT INFUSION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

13 Mei 2013 16:21

Item
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

13 Mei 2013 16:20

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 16:19

Item
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

13 Mei 2013 16:18

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 15:06

Item
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

13 Mei 2013 14:22

Item
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
10,00
1,00
20,00
30,00
2,00

13 Mei 2013 13:03

Item
SANBE HEST
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

13 Mei 2013 11:42

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 11:09

Item
ACARBOSE 100 MG TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

13 Mei 2013 11:08

Item
SANBE HEST
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

13 Mei 2013 10:57

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 10:56

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 10:55

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 10:55

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

13 Mei 2013 10:09

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 09:52

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 09:25

Item

JAKARTA SEHAT
Quantity

EPREX SOLUTION, INJECTION 2000 IU/vial

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

12 Mei 2013 19:07

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
6,00
10,00
4,00

12 Mei 2013 10:21

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00

11 Mei 2013 18:25

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

11 Mei 2013 11:38

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 11:17

Item
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

11 Mei 2013 11:16

Item

JAKARTA SEHAT
Quantity

METFORMIN HCL 500 MG TABLET

ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SIMVASTATIN GENERIK 10 MG TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
20,00
10,00
10,00
20,00
5,00
10,00
7,00

11 Mei 2013 10:30

Item
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
10,00

11 Mei 2013 10:13

Item
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00

11 Mei 2013 10:01

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 09:52

Item
IVENA IV CATH 20
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

11 Mei 2013 09:28

Item
IVENA IV CATH 22
DISP SYRINGE 50 CC WITHOUT NED
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
1,00
1,00
3,00

TUSLAH NON RACIKAN

TOTAL

3,00

11 Mei 2013 09:22

Item
IVENA IV CATH 24
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

10 Mei 2013 23:01

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

10 Mei 2013 15:31

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 15:07

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 13:36

Item
OMEPRAZOLE GEN 20 MG CAPSULE
METHYL PREDNISOLONE inf 16 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
1,00
3,00

10 Mei 2013 13:35

Item
MECOBALAMIN AMP INJECTION
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
10,00
2,00

TOTAL

10 Mei 2013 13:35

Item
SANBE HEST
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

10 Mei 2013 13:35

Item
RING AS SANBE 500 ML
FUTROLIT INFUSION
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
3,00

10 Mei 2013 13:34

Item
SANBE HEST
RING AS SANBE 500 ML
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
10,00
3,00

10 Mei 2013 13:12

Item
FARMADOL 100 ML INFUSION
BIOCURLIV CAPSULE
SANBE HEST
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
10,00
2,00
3,00

10 Mei 2013 12:37

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 11:05

Item
CALCIUM GLUCONAS ETHICA INJECTION

JAKARTA SEHAT
Quantity
3,00

TUSLAH NON RACIKAN

TOTAL

1,00

10 Mei 2013 10:16

Item
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
1,00
15,00
10,00
2,00

9 Mei 2013 03:24

Item
CEFPIROME 1GR VIL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

8 Mei 2013 23:37

Item
PANTOPRAZOLE INJECTION
FUTROLIT INFUSION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
4,00

8 Mei 2013 23:25

Item
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

8 Mei 2013 23:23

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 16:24

JAKARTA SEHAT

Item
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
5,00
1,00

8 Mei 2013 16:07

Item
RING AS SANBE 500 ML
ULTRACET 37,5MG TABL
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
1,00
1,00
4,00

8 Mei 2013 15:32

Item
RENXAMIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 15:21

Item
CLONIDINE INF 150 MG TABLET
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
14,00
30,00
4,00

8 Mei 2013 15:07

Item
INFUS SET JMS
IVENA IV CATH 20
AMINORAL TABLET
FARMADOL 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
2,00
3,00
5,00

8 Mei 2013 15:02

Item
GLIQUIDONE 30 MG TABLET

JAKARTA SEHAT
Quantity
28,00

TUSLAH NON RACIKAN

TOTAL

1,00

8 Mei 2013 15:00

Item
FUROSEMID INF TABLET
ALLOPURINOL INF TABLET 100 MG
AMINORAL TABLET
AMLODIPIN 5 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
28,00
30,00
10,00
30,00
1,00
30,00
4,00

8 Mei 2013 15:00

Item
DOMPERIDON INF TABLET 10 MG
KETESSE TABLET, COATED 25 MG
LIPOFIBRAT 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
14,00
14,00
3,00

8 Mei 2013 14:57

Item
EPERISONE TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

8 Mei 2013 14:53

Item
AMINORAL TABLET
SOCLOR TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
12,00
1,00
3,00

8 Mei 2013 14:52

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
7,00
1,00

8 Mei 2013 14:45

Item
PROPYLTHIOURASIL 100 MG TABLET
MELOXICAM 7.5 MG TABLET
PROPANOLOL 10 MG TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
10,00
7,00
7,00
4,00

8 Mei 2013 14:29

Item
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
CANDESARTAN 16MG TABL
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
30,00
30,00
14,00
28,00
3,00

8 Mei 2013 14:26

Item
CANDESARTAN 8MG TABL
KETESSE TABLET, COATED 25 MG
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

8 Mei 2013 14:25

Item
ADALAT OROS 30 MG TABLET
GLIQUIDONE 30 MG TABLET
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
10,00
30,00
4,00

8 Mei 2013 14:24

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
MUSIN OTTO 120 ML SUSPENSION

JAKARTA SEHAT
Quantity
1,00
1,00

HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML

TUSLAH NON RACIKAN
TOTAL

1,00
3,00

8 Mei 2013 14:24

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

8 Mei 2013 14:11

Item
NEW DIATABS TABLET 600 mg
COTRIMOXAZOLE 480 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
BD MICRO-FINE
PARACETAMOL INF TABLET 500 mg
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
10,00
10,00
15,00
2,00
6,00

8 Mei 2013 13:18

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
30,00
30,00
3,00

8 Mei 2013 13:17

Item
FARMADOL 100 ML INFUSION
OPIGRAN INJ 3
SANMOL TABLET 500 mg
DISP SYRINGE 10 CC
FUTROLIT INFUSION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
AQUA BIDES 1000 ML SOLUTION, LIQUID
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
3,00
1,00
1,00
10,00
5,00
1,00
8,00

8 Mei 2013 12:54

Item
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
AMINORAL TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
30,00
30,00
30,00
1,00
3,00

8 Mei 2013 12:53

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

8 Mei 2013 12:52

Item
FOLIC ACID 1 MG TABLET
AMINORAL TABLET
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
20,00
3,00

8 Mei 2013 12:51

Item
AMLODIPIN 5 MG TABLET
KETESSE TABLET, COATED 25 MG
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
30,00
28,00
30,00
5,00

8 Mei 2013 12:28

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

ASURANSI BOSOWA
Quantity
15,00
1,00
15,00
3,00

8 Mei 2013 12:27

Item
SOCLOR TABLET
MAGARD FA TABLET, CHEWABLE
FG TROCHES MEIJI
TUSLAH NON RACIKAN
TOTAL

ASURANSI BOSOWA
Quantity
10,00
10,00
12,00
3,00

8 Mei 2013 12:16

Item
FARMADOL 100 ML INFUSION
DISP SYRINGE 10 CC
PARACETAMOL INF TABLET 500 mg
PANTOPRAZOLE INJECTION
VALAMIN SANBE INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
2,00
1,00
10,00
10,00
8,00

8 Mei 2013 12:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMINORAL TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
30,00
30,00
1,00
30,00
30,00
3,00

8 Mei 2013 12:13

Item
VITAMIN C 50 MG TABLET
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

8 Mei 2013 12:11

Item
URISPAS TABLET, FILM COATED 200 MG

UMUM
Quantity
15,00

TUSLAH NON RACIKAN

TOTAL

1,00

8 Mei 2013 10:37

Item
SOCLOR TABLET
MAGARD FA TABLET, CHEWABLE
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
15,00
10,00
3,00

8 Mei 2013 10:19

Item
METHYL PREDNISOLONE inf 16 MG TABLET
SIMVASTATIN TABLET 20 MG
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
35,00
14,00
28,00
14,00
4,00

8 Mei 2013 10:17

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 10:08

Item
BD MICRO-FINE
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

8 Mei 2013 09:12

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

8 Mei 2013 00:14

Item

JAKARTA SEHAT
Quantity

PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

7 Mei 2013 19:44

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
METHYL PREDNISOLONE INF 4 MG TABLET
MAGARD FA TABLET, CHEWABLE
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
1,00
1,00
3,00
1,00
8,00

7 Mei 2013 19:44

Item
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

7 Mei 2013 19:35

Item
WIDAHES 130
COTRIMOXAZOLE 480 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
2,00
2,00
4,00

7 Mei 2013 19:34

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
BICNAT CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
3,00
1,00

7 Mei 2013 19:19

UMUM

Item
BIOCURLIV CAPSULE
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00

7 Mei 2013 17:14

Item
LIVAMIN 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 17:05

Item
WIDAHES 130
DOMPERIDON INF TABLET 10 MG
SOCLOR TABLET
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
6,00
6,00
1,00
4,00

7 Mei 2013 16:03

Item
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
FARMADOL 100 ML INFUSION
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
6,00
4,00

7 Mei 2013 15:15

Item
BD MICRO-FINE
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
30,00
1,00
2,00

7 Mei 2013 14:51

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 14:23

Item
MAGARD FA TABLET, CHEWABLE
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

7 Mei 2013 14:17

Item
GLIQUIDONE 30 MG TABLET
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
7,00
2,00

7 Mei 2013 14:17

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

7 Mei 2013 14:13

Item
GLIQUIDONE 30 MG TABLET
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
5,00
2,00

7 Mei 2013 14:13

Item
MAGARD FA TABLET, CHEWABLE
OMEPRAZOLE GEN 20 MG CAPSULE
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
5,00
3,00

7 Mei 2013 14:07

Item
VECTRINE 60 ML POWDER, FOR ORAL SUSPENSION 175 MG/5 ML
TREMENZA TABLET
SOCLOR TABLET
AMINORAL TABLET

JAKARTA SEHAT
Quantity
1,00
15,00
15,00
20,00

TUSLAH NON RACIKAN

TOTAL

4,00

7 Mei 2013 14:05

Item
PROPYLTHIOURASIL 100 MG TABLET
PROPANOLOL 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
14,00
2,00

7 Mei 2013 14:04

Item
GLIQUIDONE 30 MG TABLET
ACARBOSE 100 MG TABLET
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
28,00
7,00
3,00

7 Mei 2013 14:03

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 13:53

Item
CANDESARTAN 8MG TABL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 13:53

Item
PROPYLTHIOURASIL 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

7 Mei 2013 13:47

Item
RING AS SANBE 500 ML
FOLIC ACID 1 MG TABLET
VITAMIN C 50 MG TABLET

JAKARTA SEHAT
Quantity
1,00
3,00
3,00

TRANSFUSION SET JMS

IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00

7 Mei 2013 13:46

Item
ASAM MEFENAMAT INF 500 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
20,00
20,00
10,00
4,00

7 Mei 2013 13:43

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 13:28

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

7 Mei 2013 13:17

Item
SOCLOR TABLET
NYMIKO SANBE 12 ML SUSPENSION
PROPYLTHIOURASIL 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00
60,00
3,00

7 Mei 2013 13:06

Item
AMINORAL TABLET
CETIRIZINE 10 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
30,00
10,00
1,00
3,00

7 Mei 2013 13:05

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE GEN 20 MG CAPSULE
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
15,00
20,00
20,00
1,00
20,00
3,00

7 Mei 2013 13:04

Item
ISOSORBIDE DINITRATE INF TABLET
AMINORAL TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
30,00
1,00
30,00
30,00
1,00
4,00

7 Mei 2013 12:57

Item
AMINORAL TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
SALBUTAMOL INF TABLET 2 MG
VENTOLIN INHALER SOLUTION, AEROSOL 100 MCG/1 SPR
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
15,00
20,00
1,00
4,00

7 Mei 2013 12:01

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMINORAL TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
MELOXICAM 7.5 MG TABLET
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
30,00
30,00
1,00
30,00
30,00
10,00
1,00
5,00

TOTAL

7 Mei 2013 11:50

Item
DEXTROMETHORPHAN INF TABLET 15 MG
TREMENZA TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
15,00
28,00
3,00

7 Mei 2013 11:47

Item
MAGARD FA TABLET, CHEWABLE
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

7 Mei 2013 11:08

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
30,00
3,00

7 Mei 2013 10:54

Item
AMINORAL TABLET
GLIQUIDONE 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
AMLODIPIN 5 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
14,00
15,00
30,00
1,00
30,00
10,00
1,00
5,00

7 Mei 2013 10:48

Item
AMINORAL TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
30,00
1,00

TOTAL

7 Mei 2013 10:48

Item
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 10:47

Item
FOLIC ACID 1 MG TABLET
SOCLOR TABLET
PARACETAMOL INF TABLET 500 mg
EPREX SOLUTION, INJECTION 2000 IU/vial
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
12,00
10,00
1,00
1,00
5,00

7 Mei 2013 10:24

Item
METFORMIN HCL 500 MG TABLET
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
2,00

7 Mei 2013 09:16

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
7,00
1,00

7 Mei 2013 08:05

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 03:35

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
1,00

TOTAL

7 Mei 2013 03:10

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

6 Mei 2013 13:25

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

6 Mei 2013 13:25

Item
METFORMIN HCL 500 MG TABLET
CTM 4 MG TABLET
PARACETAMOL INF TABLET 500 mg
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
1,00
1,00
1,00
1,00
4,00

4 Mei 2013 16:58

Item
AMINORAL TABLET
ONDANSETRON INF 4 MG INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
CEFOPERAZONE SULBACTAM 1 GM INJECTION
AMLODIPIN 5 MG TABLET
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
H.C.T 25 MG TABLET
CLONIDINE INF 150 MG TABLET
BICNAT CAPSULE
FOLIC ACID 1 MG TABLET
FUROSEMID INF INJECTION
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
6,00
3,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
3,00
3,00
2,00

TUSLAH NON RACIKAN

TOTAL

15,00

4 Mei 2013 12:06

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 11:38

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

4 Mei 2013 11:37

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 10:43

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

4 Mei 2013 10:26

Item
ASPAR-K TABLET, COATED 300 mg
PANTOPRAZOLE INJECTION
GRANISETRON 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
2,00
2,00
3,00

4 Mei 2013 10:26

Item
LIVAMIN 500 ML INFUSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

4 Mei 2013 09:55

Item
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
AMINOPHYLLINE 24mg SOLUTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
1,00
10,00
1,00
2,00
3,00

4 Mei 2013 09:53

Item
CEFPIROME 1GR VIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

3 Mei 2013 13:35

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 09:23

Item
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
20,00
1,00
30,00
30,00
6,00
3,00

3 Mei 2013 08:33

Item
ACARBOSE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
30,00
1,00

2 Mei 2013 15:15

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

2 Mei 2013 15:14

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
30,00
30,00
10,00
4,00

2 Mei 2013 14:46

Item
MECOBALAMIN CAPSULE 500 MCG
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
10,00
2,00

2 Mei 2013 14:26

Item
METFORMIN HCL 500 MG TABLET
ACARBOSE 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

2 Mei 2013 14:26

Item
GLIQUIDONE 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

2 Mei 2013 11:54

Item
MAGARD FA TABLET, CHEWABLE
FUCOIDAN 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
10,00
2,00

2 Mei 2013 11:32

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
8,00
3,00

2 Mei 2013 10:39

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 10:33

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

2 Mei 2013 10:32

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
30,00
1,00
30,00
2,00

2 Mei 2013 10:32

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 10:31

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

2 Mei 2013 10:17

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 10:12

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

2 Mei 2013 10:11

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 10:10

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 10:09

Item
METFORMIN HCL 500 MG TABLET
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
10,00
2,00

2 Mei 2013 09:59

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 09:50

JAKARTA SEHAT

Item
AMLODIPIN 5 MG TABLET
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
15,00
2,00

2 Mei 2013 09:49

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

2 Mei 2013 08:49

Item
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

2 Mei 2013 08:24

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
BD MICRO-FINE
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
7,00
3,00
3,00
4,00

1 Mei 2013 22:11

Item
MECOBALAMIN CAPSULE 500 MCG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
28,00
1,00

1 Mei 2013 22:09

Item
KETESSE TABLET, COATED 25 MG
ISOSORBIDE DINITRATE INF TABLET
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
30,00
21,00
3,00

1 Mei 2013 22:03

Item
ADALAT OROS 30 MG TABLET
GLIQUIDONE 30 MG TABLET
ALLOPURINOL INF TABLET 100 MG
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
28,00
28,00
30,00
4,00

1 Mei 2013 21:58

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMLODIPIN 10 MG TABLET
FUROSEMID INF TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
10,00
30,00
1,00
30,00
28,00
4,00

1 Mei 2013 21:48

Item
FOLIC ACID 1 MG TABLET
UROTRACTIN SANBE TABLET 400 mg
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
30,00
1,00
30,00
2,00

1 Mei 2013 21:44

Item
AMINORAL TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
30,00
1,00
30,00
30,00
1,00
3,00

1 Mei 2013 21:41

JAKARTA SEHAT

Item
MECOBALAMIN CAPSULE 500 MCG
AMITRYPTILIN 25 MG TABLET
MELOXICAM 7.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
28,00
14,00
10,00
3,00

1 Mei 2013 21:39

Item
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
14,00
1,00

1 Mei 2013 21:38

Item
KETESSE TABLET, COATED 25 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00

1 Mei 2013 21:34

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
METFORMIN HCL 500 MG TABLET
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
28,00
1,00
3,00

1 Mei 2013 21:27

Item
METHYL PREDNISOLONE inf 16 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
10,00
2,00

1 Mei 2013 21:26

Item
GLIQUIDONE 30 MG TABLET
MELOXICAM 7.5 MG TABLET
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
14,00
10,00
3,00

1 Mei 2013 21:13

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

1 Mei 2013 21:13

Item
GENTAMYCIN INF 5 GM OINTMENT
FUROSEMID INF TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
20,00
1,00
20,00
20,00
1,00
4,00

1 Mei 2013 20:54

Item
EPREX SOLUTION, INJECTION 2000 IU/vial
AMINORAL TABLET
FOLIC ACID 1 MG TABLET
AMLODIPIN 5 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
20,00
20,00
10,00
30,00
1,00
30,00
4,00

1 Mei 2013 20:49

Item
MAGARD FA TABLET, CHEWABLE
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

1 Mei 2013 20:30

Item
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
5,00
10,00

ASPAR-K TABLET, COATED 300 mg

AMINORAL TABLET
EPREX SOLUTION, INJECTION 2000 IU/vial
TUSLAH NON RACIKAN
TOTAL

10,00
30,00
1,00
5,00

1 Mei 2013 20:14

Item
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

1 Mei 2013 20:12

Item
AMLODIPIN 10 MG TABLET
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
DEXTROMETHORPHAN INF TABLET 15 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
20,00
15,00
4,00

1 Mei 2013 16:00

Item
KETESSE TABLET, COATED 25 MG
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

1 Mei 2013 14:17

Item
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
1,00

1 Mei 2013 11:54

Item
DOMPERIDON INF TABLET 10 MG
MAGARD FA TABLET, CHEWABLE
LANSOPRAZOLE GENERIK CAPSULE
FUCOIDAN 100 MG
TUSLAH NON RACIKAN
TOTAL

ASURANSI BOSOWA
Quantity
10,00
15,00
6,00
10,00
4,00

1 Mei 2013 09:27

Item
METRONIDAZOLE 500 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
12,00
10,00
3,00

1 Mei 2013 09:08

Item
MAGARD FA TABLET, CHEWABLE
ISOSORBIDE DINITRATE INF TABLET
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
3,00

1 Mei 2013 03:24

Item
LIVAMIN 500 ML INFUSION
FUTROLIT INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

1 Mei 2013 03:23

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

1 Mei 2013 03:22

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 03:19

Item
FLUCONAZOL INFUS 100 ML
PANTOPRAZOLE INJECTION

JAKARTA SEHAT
Quantity
1,00
2,00

METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION

TUSLAH NON RACIKAN
TOTAL

2,00
3,00

Depo
Apotik Panel 2
Subtotal
CAP
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
AMP
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas

Pasien
Penjamin
394240
394240
500
500
394740
394740

0
0
0

Pasien
Penjamin
27845
27845
463320
463320
168300
168300
41413
41413
2000
2000
702878
702878

0
0
0
0
0
0

Pasien
Penjamin
16788
16788
16788
16788
4146
4146
1566
1566
16335
16335
12012
12012
3000
3000
70635
70635

0
0
0
0
0
0
0
0

Pasien
Penjamin
7098
7098
93614
93614
1000
1000
101712
101712

0
0
0
0

Pasien
Penjamin
15840
15840
79200
79200
1000
1000
96040
96040

0
0
0
0

Subtotal
AMP
UNT

Depo Atas
Subtotal
AMP
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
AMP
SUP
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
BOT
UNT
BOT
TAB
UNT
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
52800
52800
500
500
53300
53300

0
0
0

Pasien
Penjamin
105600
105600
35640
35640
1000
1000
142240
142240

0
0
0
0

Pasien
Penjamin
170000
170000
500
500
170500
170500

0
0
0

Pasien
Penjamin
140421
140421
25260
25260
4620
4620
3825
3825
2000
2000
176126
176126

0
0
0
0
0
0

Pasien
Penjamin
112200
112200
1898
1898
393360
393360
16335
16335
32834
32834
2028
2028
14988
14988
3500
3500
577143
577143

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8862
8862

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
GM
UNT
UNT
TAB
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB

500
9362

500
9362

0
0

Pasien
Penjamin
78540
78540
1134
1134
1314
1314
3500
3500
750
750
500
500
85738
85738

0
0
0
0
0
0
0

Pasien

Penjamin
800
3500
1000
1640
245438
1000
253378

0
0
0
0
0
0
0

Pasien
Penjamin
170000
170000
500
500
170500
170500

0
0
0

Pasien
Penjamin
2436
2436
4008
4008
79200
79200
11608
11608
2000
2000
99252
99252

0
0
0
0
0
0

Pasien
Penjamin
8030
8030
255000
255000

0
0

800
3500
1000
1640
245438
1000
253378

UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
VIL
UNT

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
BOT

1000
264030

1000
264030

0
0

Pasien
Penjamin
4256
4256
23156
23156
1000
1000
28412
28412

0
0
0
0

Pasien
Penjamin
22484
22484
255000
255000
364650
364650
1500
1500
643634
643634

0
0
0
0
0

Pasien
Penjamin
2460
2460
1148
1148
3500
3500
9800
9800
500
500
17408
17408

0
0
0
0
0
0

Pasien
Penjamin
15120
15120
52668
52668
4125
4125
5600
5600
2000
2000
79513
79513

0
0
0
0
0
0

Pasien
Penjamin
9140
9140
4125
4125
110880
110880
57964
57964

0
0
0
0

TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

225720
31122
3000
441951

225720
31122
3000
441951

0
0
0
0

Pasien
Penjamin
11242
11242
9000
9000
1000
1000
21242
21242

0
0
0
0

Pasien
Penjamin
18914
18914
500
500
19414
19414

0
0
0

Pasien

Penjamin
352
500
852

0
0
0

Pasien
Penjamin
31318
31318
500
500
31818
31818

0
0
0

352
500
852

Pasien

Penjamin
880
500
1380

0
0
0

Pasien
Penjamin
47040
47040
22484
22484
1000
1000

0
0
0

880
500
1380

70524

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
UNT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
BOT
CAP
TAB
UNT

70524

Pasien
Penjamin
5940
5940
500
500
6440
6440

0
0
0

Pasien
Penjamin
83160
83160
500
500
83660
83660

0
0
0

Pasien
Penjamin
222640
222640
500
500
223140
223140

0
0
0

Pasien
Penjamin
5544
5544
27420
27420
1000
1000
33964
33964

0
0
0
0

Pasien
Penjamin
364650
364650
500
500
365150
365150

0
0
0

Pasien
Penjamin
5010
5010
47685
47685
13510
13510
225720
225720
2000
2000
293925
293925

0
0
0
0
0
0

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
TAB
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
364650
364650
500
500
365150
365150

0
0
0

Pasien
Penjamin
8030
8030
255000
255000
364650
364650
1500
1500
629180
629180

0
0
0
0
0

Pasien
Penjamin
12405
12405
2460
2460
1830
1830
1500
1500
18195
18195

0
0
0
0
0

Pasien
Penjamin
255000
255000
500
500
255500
255500

0
0
0

Pasien
Penjamin
23156
23156
2460
2460
1230
1230
3500
3500
1500
1500
1000
1000
32846
32846

0
0
0
0
0
0
0

Pasien

Penjamin

TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
CAP
UNT
UNT
UNT

Apotik Panel 2

2460
500
2960

2460
500
2960

0
0
0

Pasien
Penjamin
170000
170000
24090
24090
1000
1000
195090
195090

0
0
0
0

Pasien
Penjamin
170000
170000
22484
22484
1000
1000
193484
193484

0
0
0
0

Pasien
Penjamin
2460
2460
1890
1890
24810
24810
1230
1230
3500
3500
1500
1500
1500
1500
36890
36890

0
0
0
0
0
0
0
0

Pasien
Penjamin
1670
1670
11578
11578
2460
2460
245438
245438
1230
1230
3500
3500
10500
10500
2000
2000
278376
278376

0
0
0
0
0
0
0
0
0

Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Pasien
Penjamin
59950
59950
500
500
60450
60450

0
0
0

Pasien
Penjamin
11578
11578
4230
4230
5544
5544
1500
1500
22852
22852

0
0
0
0
0

Pasien
Penjamin
222640
222640
500
500
223140
223140

0
0
0

Pasien
Penjamin
27420
27420
5544
5544
1000
1000
33964
33964

0
0
0
0

Pasien
Penjamin
282150
282150
3560
3560
12278
12278
2000
2000
10800
10800
2500
2500
313288
313288

0
0
0
0
0
0
0

Pasien
Penjamin
79200
79200
94230
94230
1000
1000
174430
174430

0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
71280
71280
132000
132000
4500
4500
1500
1500
209280
209280

0
0
0
0
0

Pasien
Penjamin
38115
38115
500
500
38615
38615

0
0
0

Pasien
Penjamin
5340
5340
54840
54840
1000
1000
61180
61180

0
0
0
0

Pasien
Penjamin
127500
127500
500
500
128000
128000

0
0
0

Pasien
Penjamin
7845
7845
1230
1230
9990
9990
1500
1500
20565
20565

0
0
0
0
0

Pasien

Penjamin
780
780
380
380
13200
13200

0
0
0

UNT

Apotik Panel 2
Subtotal
VIL
TAB
UNT

Depo IGD
Subtotal
CTG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
CAP
UNT

1500
15860

1500
15860

0
0

Pasien
Penjamin
222640
222640
59950
59950
1000
1000
283590
283590

0
0
0
0

Pasien
Penjamin
360096
360096
500
500
360596
360596

0
0
0

Pasien
Penjamin
23100
23100
500
500
23600
23600

0
0
0

Pasien
Penjamin
13710
13710
500
500
14210
14210

0
0
0

Pasien
Penjamin
71280
71280
182190
182190
1000
1000
254470
254470

0
0
0
0

Pasien
Penjamin
121460
121460
500
500
121960
121960

0
0
0

Depo Atas
Subtotal
TAB
UNT

Emergency Anggrek
Subtotal
UNT
BOT
UNT

Depo IGD
Subtotal
AMP
UNT

Emergency IW
Subtotal
AMP
AMP
UNT
UNT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Pasien
Penjamin
2000
2000
500
500
2500
2500

0
0
0

Pasien
Penjamin
14988
14988
16417
16417
1000
1000
32405
32405

0
0
0
0

Pasien
Penjamin
93614
93614
500
500
94114
94114

0
0
0

Pasien
Penjamin
6072
6072
3716
3716
12610
12610
62563
62563
2000
2000
86961
86961

0
0
0
0
0
0

Pasien
Penjamin
15104
15104
500
500
15604
15604

0
0
0

Pasien
Penjamin
67968
67968
500
500
68468
68468

0
0
0

Depo IGD
Subtotal
TAB
BOT
PKG
AMP
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CTG
UNT
TAB
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD

Pasien

Penjamin
594
32834
5020
12305
9900
546
67716
3500
132415

0
0
0
0
0
0
0
0
0

Penjamin
780
17880
1000
19660

0
0
0
0

Pasien
Penjamin
180048
180048
25592
25592
3960
3960
4984
4984
2000
2000
216584
216584

0
0
0
0
0
0

Pasien
Penjamin
10800
10800
1232
1232
1000
1000
13032
13032

0
0
0
0

Pasien
Penjamin
13188
13188
500
500
13688
13688

0
0
0

594
32834
5020
12305
9900
546
67716
3500
132415

Pasien
780
17880
1000
19660

Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
VIL
UNT

Depo IGD
Subtotal
UNT
TAB
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
VIL
UNT
CAP

Pasien
Penjamin
8270
8270
500
500
8770
8770

0
0
0

Pasien
Penjamin
18840
18840
47040
47040
222640
222640
1500
1500
290020
290020

0
0
0
0
0

Pasien
Penjamin
18280
18280
83160
83160
3560
3560
1500
1500
106500
106500

0
0
0
0
0

Pasien
Penjamin
170000
170000
500
500
170500
170500

0
0
0

Pasien
Penjamin
4000
4000
8270
8270
3444
3444
1500
1500
17214
17214

0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
308880
308880
3994
3994
4500
4500

0
0
0
0
0

UNT
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
TAB

3500
5250
3300
2500
355327

3500
5250
3300
2500
355327

0
0
0
0
0

Pasien
Penjamin
13188
13188
500
500
13688
13688

0
0
0

Pasien
Penjamin
2460
2460
1230
1230
3500
3500
10500
10500
500
500
18190
18190

0
0
0
0
0
0

Pasien
Penjamin
170000
170000
500
500
170500
170500

0
0
0

Pasien
Penjamin
8270
8270
2460
2460
1230
1230
3500
3500
10500
10500
1000
1000
26960
26960

0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
2700
2700
36960
36960

0
0
0

UNT

Depo IGD
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
TAB
VIL
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
TAB
VIL
TAB
UNT
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB

1500
88845

1500
88845

0
0

Pasien
Penjamin
47685
47685
500
500
48185
48185

0
0
0

Pasien
Penjamin
170000
170000
364650
364650
1000
1000
535650
535650

0
0
0
0

Pasien
Penjamin
364650
364650
500
500
365150
365150

0
0
0

Pasien
Penjamin
224400
224400
756
756
170544
170544
1584
1584
14988
14988
2500
2500
414772
414772

0
0
0
0
0
0
0

Pasien
Penjamin
195620
195620
500
500
196120
196120

0
0
0

Pasien
Penjamin
10800
10800

TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
CAP
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas

1760
1000
13560

1760
1000
13560

0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Pasien
Penjamin
47685
47685
8106
8106
7845
7845
1500
1500
65136
65136

0
0
0
0
0

Pasien
Penjamin
13188
13188
500
500
13688
13688

0
0
0

Pasien
Penjamin
2460
2460
2700
2700
1230
1230
3500
3500
10500
10500
1000
1000
21390
21390

0
0
0
0
0
0
0

Pasien
Penjamin
4500
4500
500
500
5000
5000

0
0
0

Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
BOT
BOT
TAB
UNT
UNT
UNT

Emergency Dahlia
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
BOT

Pasien
Penjamin
66528
66528
500
500
67028
67028

0
0
0

Pasien
Penjamin
9290
9290
736032
736032
32834
32834
1260
1260
14988
14988
8415
8415
3000
3000
805819
805819

0
0
0
0
0
0
0
0

Pasien
Penjamin
75240
75240
16335
16335
1000
1000
92575
92575

0
0
0
0

Pasien
Penjamin
8270
8270
3960
3960
1000
1000
13230
13230

0
0
0
0

Pasien
Penjamin
4125
4125
225720
225720
1000
1000
230845
230845

0
0
0
0

Pasien
Penjamin
121460
121460
7845
7845
47685
47685

0
0
0

UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
CTG
UNT

1500
178490

1500
178490

0
0

Pasien
Penjamin
217488
217488
500
500
217988
217988

0
0
0

Pasien
Penjamin
8270
8270
2460
2460
1000
1000
11730
11730

0
0
0
0

Pasien
Penjamin
673200
673200
500
500
673700
673700

0
0
0

Pasien
Penjamin
6872
6872
500
500
7372
7372

0
0
0

Pasien
Penjamin
35280
35280
500
500
35780
35780

0
0
0

Pasien
Penjamin
27420
27420
180048
180048
1000
1000
208468
208468

0
0
0
0

Depo Atas
Subtotal
TAB
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
UNT
BOT
BOT
AMP
AMP
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
BOT
UNT

Pasien
Penjamin
55440
55440
336633
336633
1000
1000
393073
393073

0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
16335
16335
51216
51216
16417
16417
5220
5220
20790
20790
5390
5390
3000
3000
118368
118368

0
0
0
0
0
0
0
0

Pasien
Penjamin
2970
2970
3480
3480
1000
1000
7450
7450

0
0
0
0

Pasien
Penjamin
308880
308880
500
500
309380
309380

0
0
0

Pasien
Penjamin
1251250 1251250
500
500

0
0

1251750

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Emergency Dahlia
Subtotal
PKG
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

1251750

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien

Penjamin
738
500
1238

0
0
0

Pasien
Penjamin
83160
83160
225720
225720
1000
1000
309880
309880

0
0
0
0

Pasien
Penjamin
26950
26950
75240
75240
1000
1000
103190
103190

0
0
0
0

Pasien
Penjamin
71280
71280
500
500
71780
71780

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

738
500
1238

Depo Atas
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CTG
UNT
TAB
UNT

Depo Unit Dose

Subtotal
BOT
BOT
UNT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

Pasien

0
0
0

Penjamin
348
8340
1000
9688

0
0
0
0

Pasien
Penjamin
180048
180048
18280
18280
71280
71280
1500
1500
271108
271108

0
0
0
0
0

Pasien
Penjamin
5881
5881
51216
51216
2112
2112
1500
1500
60709
60709

0
0
0
0
0

Pasien
Penjamin
253000
253000
500
500
253500
253500

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

348
8340
1000
9688

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
AMP
VIL
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
VIL
BOT
UNT
UNT
UNT
UNT
UNT

Apotik Panel
Subtotal
BOT
UNT

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
149688
149688
224400
224400
51216
51216
62563
62563
2550
2550
3080
3080
3300
3300
3500
3500
500297
500297

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28512
28512
149688
149688
224400
224400
51216
51216
62563
62563
2550
2550
3080
3080
3300
3300
4000
4000
529309
529309

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
108460
108460
500
500
108960
108960

0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal

Pasien
Penjamin
255000
255000
500
500
255500
255500

0
0
0

Pasien
Penjamin
8106
8106
14574
14574
245438
245438
1500
1500
269618
269618

0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
255000
255000
500
500
255500
255500

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien

Penjamin

TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal

255000
500
255500

255000
500
255500

0
0
0

Pasien
Penjamin
16540
16540
7380
7380
4880
4880
1500
1500
30300
30300

0
0
0
0
0

Pasien
Penjamin
255000
255000
500
500
255500
255500

0
0
0

Pasien
Penjamin
255000
255000
500
500
255500
255500

0
0
0

Pasien
Penjamin
2460
2460
1230
1230
3500
3500
1500
1500
500
500
9190
9190

0
0
0
0
0
0

Pasien
Penjamin
2115
2115
500
500
2615
2615

0
0
0

Pasien

Penjamin

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal

12840
500
13340

12840
500
13340

0
0
0

Pasien
Penjamin
11578
11578
70224
70224
1000
1000
82802
82802

0
0
0
0

Pasien
Penjamin
15120
15120
1232
1232
1000
1000
17352
17352

0
0
0
0

Pasien
Penjamin
13188
13188
38115
38115
1000
1000
52303
52303

0
0
0
0

Pasien
Penjamin
1708
1708
4256
4256
1000
1000
6964
6964

0
0
0
0

Pasien
Penjamin
47520
47520
1350
1350
1000
1000
49870
49870

0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT

18840
83930
170000
1500
274270

18840
83930
170000
1500
274270

0
0
0
0
0

Pasien
Penjamin
14574
14574
3480
3480
4125
4125
1500
1500
23679
23679

0
0
0
0
0

Pasien
Penjamin
4256
4256
500
500
4756
4756

0
0
0

Pasien
Penjamin
255000
255000
26376
26376
1000
1000
282376
282376

0
0
0
0

Pasien
Penjamin
23156
23156
70224
70224
66528
66528
1500
1500
161408
161408

0
0
0
0
0

Pasien
Penjamin
9240
9240
500
500
9740
9740

0
0
0

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD

Pasien
Penjamin
25592
25592
500
500
26092
26092

0
0
0

Pasien
Penjamin
2340
2340
2640
2640
1000
1000
5980
5980

0
0
0
0

Pasien
Penjamin
33264
33264
500
500
33764
33764

0
0
0

Pasien
Penjamin
21336
21336
6300
6300
2296
2296
142560
142560
2000
2000
174492
174492

0
0
0
0
0
0

Pasien
Penjamin
54840
54840
500
500
55340
55340

0
0
0

Pasien
Penjamin
71280
71280
500
500
71780
71780

0
0
0

Subtotal
PKG
UNT

Depo IGD
Subtotal
BOT
VIL
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
UNT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
BOT
TAB
CAP
TAB
UNT

Depo IGD

Pasien
Penjamin
41388
41388
500
500
41888
41888

0
0
0

Pasien
Penjamin
6872
6872
1125093 1125093
1000
1000
1132965 1132965

0
0
0
0

Pasien
Penjamin
1998
1998
500
500
2498
2498

0
0
0

Pasien
Penjamin
1125
1125
3500
3500
1050
1050
5675
5675

0
0
0
0

Pasien
Penjamin
364650
364650
500
500
365150
365150

0
0
0

Pasien
Penjamin
47685
47685
4290
4290
13860
13860
225720
225720
2000
2000
293555
293555

0
0
0
0
0
0

Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
VIL

Pasien
Penjamin
10460
10460
500
500
10960
10960

0
0
0

Pasien
Penjamin
3575
3575
500
500
4075
4075

0
0
0

Pasien
Penjamin
4000
4000
6096
6096
1000
1000
11096
11096

0
0
0
0

Pasien
Penjamin
49500
49500
500
500
50000
50000

0
0
0

Pasien
Penjamin
188100
188100
500
500
188600
188600

0
0
0

Pasien
Penjamin
5940
5940
59430
59430
4290
4290
1500
1500
71160
71160

0
0
0
0
0

Pasien
Penjamin
364650
364650

UNT

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

Apotik Panel 2
Subtotal
VIL
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
UNT

500
365150

500
365150

0
0

Pasien
Penjamin
2460
2460
1230
1230
3500
3500
10500
10500
500
500
18190
18190

0
0
0
0
0
0

Pasien
Penjamin
364650
364650
255000
255000
1000
1000
620650
620650

0
0
0
0

Pasien
Penjamin
1220
1220
1230
1230
3500
3500
10500
10500
2460
2460
1000
1000
19910
19910

0
0
0
0
0
0
0

Pasien
Penjamin
28260
28260
500
500
28760
28760

0
0
0

Pasien
Penjamin
27420
27420
500
500
27920
27920

0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
GM
UNT
UNT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
CAP

Pasien
Penjamin
85000
85000
500
500
85500
85500

0
0
0

Pasien
Penjamin
1200
1200
3500
3500
1500
1500
2460
2460
500
500
9160
9160

0
0
0
0
0
0

Pasien
Penjamin
255000
255000
500
500
255500
255500

0
0
0

Pasien
Penjamin
4000
4000
282150
282150
1230
1230
3500
3500
10500
10500
1000
1000
302380
302380

0
0
0
0
0
0
0

Pasien
Penjamin
18840
18840
255000
255000
1000
1000
274840
274840

0
0
0
0

Pasien
Penjamin
39620
39620
820
820

0
0

UNT
UNT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
CTG
UNT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

3500
7000
500
51440

3500
7000
500
51440

0
0
0
0

Pasien
Penjamin
253000
253000
500
500
253500
253500

0
0
0

Pasien
Penjamin
2700
2700
360096
360096
27420
27420
8270
8270
2000
2000
400486
400486

0
0
0
0
0
0

Pasien
Penjamin
255000
255000
500
500
255500
255500

0
0
0

Pasien
Penjamin
245438
245438
2460
2460
1230
1230
3500
3500
1500
1500
1000
1000
255128
255128

0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Depo IGD
Subtotal
VIL
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
CTG
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
245438
245438
8270
8270
1000
1000
254708
254708

0
0
0
0

Pasien
Penjamin
255000
255000
500
500
255500
255500

0
0
0

Pasien
Penjamin
255000
255000
500
500
255500
255500

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
253000
253000
500
500
253500
253500

0
0
0

Pasien
Penjamin
180048
180048
500
500
180548
180548

0
0
0

Pasien
Penjamin
1740
1740

UNT

Depo IGD
Subtotal
BOT
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
GM
UNT
UNT
TAB
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal

500
2240

500
2240

0
0

Pasien
Penjamin
57964
57964
6750
6750
7845
7845
1500
1500
74059
74059

0
0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
170772
170772
500
500
171272
171272

0
0
0

Pasien

Penjamin
800
3500
1000
1640
245438
1000
253378

0
0
0
0
0
0
0

Pasien
Penjamin
5809
5809
500
500
6309
6309

0
0
0

800
3500
1000
1640
245438
1000
253378

Pasien

Penjamin

VIL
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD

245438
500
245938

245438
500
245938

0
0
0

Pasien
Penjamin
13935
13935
14988
14988
1000
1000
29923
29923

0
0
0
0

Pasien
Penjamin
3960
3960
500
500
4460
4460

0
0
0

Pasien
Penjamin
57964
57964
6750
6750
7845
7845
1500
1500
74059
74059

0
0
0
0
0

Pasien
Penjamin
1500
1500
282150
282150
4125
4125
1500
1500
289275
289275

0
0
0
0
0

Pasien
Penjamin
18840
18840
47040
47040
1000
1000
66880
66880

0
0
0
0

Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Emergency Dahlia
Subtotal
UNT

Pasien
Penjamin
3960
3960
500
500
4460
4460

0
0
0

Pasien
Penjamin
2580
2580
500
500
3080
3080

0
0
0

Pasien
Penjamin
76230
76230
9000
9000
1000
1000
86230
86230

0
0
0
0

Pasien
Penjamin
225720
225720
9700
9700
1000
1000
236420
236420

0
0
0
0

Pasien
Penjamin
7845
7845
79200
79200
1000
1000
88045
88045

0
0
0
0

Pasien
Penjamin
225720
225720
500
500
226220
226220

0
0
0

Pasien
Penjamin
12610
12610

UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
BOT
TAB
VIL
AMP
UNT

Depo Atas
Subtotal
TAB
BOT
TAB
UNT

Depo Atas
Subtotal
AMP
BOT
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas

500
13110

500
13110

0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
51216
51216
63253
63253
47520
47520
170544
170544
105600
105600
2500
2500
440633
440633

0
0
0
0
0
0
0

Pasien
Penjamin
4950
4950
47685
47685
24580
24580
1500
1500
78715
78715

0
0
0
0
0

Pasien
Penjamin
105600
105600
126506
126506
1000
1000
233106
233106

0
0
0
0

Pasien
Penjamin
17820
17820
500
500
18320
18320

0
0
0

Subtotal
GM
UNT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT

Depo Unit Dose

Subtotal
BOT
UNT
TUB
UNT

Depo Unit Dose

Subtotal
VIL
BOT
UNT

Depo Atas
Subtotal

Pasien

Penjamin
390
3500
500
4390

0
0
0
0

Pasien
Penjamin
162640
162640
500
500
163140
163140

0
0
0

Pasien
Penjamin
126506
126506
500
500
127006
127006

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
32834
32834
16088
16088
56262
56262
1500
1500
106684
106684

0
0
0
0
0

Pasien
Penjamin
7776
7776
126506
126506
1000
1000
135282
135282

0
0
0
0

390
3500
500
4390

Pasien

Penjamin

VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
BOT
PKG
UNT
UNT

245438
500
245938

245438
500
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
6750
6750
500
500
7250
7250

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
79200
79200
47520
47520
8270
8270
1500
1500
136490
136490

0
0
0
0
0

Pasien
Penjamin
245438
245438
6160
6160
5100
5100
63253
63253
5020
5020
3560
3560
3000
3000
331531
331531

0
0
0
0
0
0
0
0

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
BOT
UNT
UNT
CTG
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Pasien
Penjamin
243960
243960
500
500
244460
244460

0
0
0

Pasien
Penjamin
35640
35640
59400
59400
1000
1000
96040
96040

0
0
0
0

Pasien
Penjamin
95040
95040
500
500
95540
95540

0
0
0

Pasien
Penjamin
112200
112200
500
500
112700
112700

0
0
0

Pasien
Penjamin
422400
422400
271872
271872
5991
5991
6600
6600
180048
180048
18280
18280
3000
3000
908191
908191

0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
VIL
VIL
BAG
GM
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
42500
42500
500
500
43000
43000

0
0
0

Pasien
Penjamin
47685
47685
144992
144992
308880
308880
19266
19266
390
390
3500
3500
500
500
2000
2000
527213
527213

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
144992
144992
500
500
145492
145492

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
47520
47520
500
500
48020
48020

0
0
0

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Unit Dose

Subtotal
BOT

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
8862
8862
500
500
9362
9362

0
0
0

Pasien
Penjamin
46807
46807
500
500
47307
47307

0
0
0

Pasien
Penjamin
372392
372392

BOT
UNT
UNT
UNT

Depo Unit Dose

Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

9096
16088
22688
2000
422264

9096
16088
22688
2000
422264

0
0
0
0
0

Pasien
Penjamin
186196
186196
51216
51216
1000
1000
238412
238412

0
0
0
0

Pasien
Penjamin
46807
46807
500
500
47307
47307

0
0
0

Pasien
Penjamin
372392
372392
500
500
372892
372892

0
0
0

Pasien
Penjamin
1020
1020
500
500
1520
1520

0
0
0

Pasien
Penjamin
85000
85000
500
500
85500
85500

0
0
0

Pasien
Penjamin
47685
47685
500
500

0
0

48185

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Emergency IW
Subtotal
UNT
UNT
UNT
UNT

48185

Pasien
Penjamin
3040
3040
500
500
3540
3540

0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
93614
93614
47520
47520
18192
18192
5020
5020
3560
3560
3994
3994
3080
3080
2550
2550
4000
4000
181530
181530

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
11990
11990
11990
11990
8415
8415
1500
1500
33895
33895

0
0
0
0
0

Depo IGD
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Emergency Dahlia
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
2970
2970
500
500
3470
3470

0
0
0

Pasien
Penjamin
1540
1540
12610
12610
2550
2550
1500
1500
18200
18200

0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
8270
8270

TAB
UNT

Depo IGD
Subtotal
VIL
VIL
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB

71280
1000
80550

71280
1000
80550

0
0
0

Pasien
Penjamin
211200
211200
72496
72496
1000
1000
284696
284696

0
0
0
0

Pasien

Penjamin
334
500
834

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
144992
144992
500
500
145492
145492

0
0
0

Pasien
Penjamin
4284
4284
7014
7014
138600
138600
28728
28728

0
0
0
0

334
500
834

TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
CTG
BOT
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
UNT
AMP
UNT

Depo Atas
Subtotal
TAB
VIL
GM
UNT
UNT
UNT

109956
2500
291082

109956
2500
291082

0
0
0

Pasien
Penjamin
74530
74530
500
500
75030
75030

0
0
0

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
180048
180048
47685
47685
1000
1000
228733
228733

0
0
0
0

Pasien
Penjamin
63253
63253
336633
336633
19008
19008
18280
18280
93614
93614
2500
2500
533288
533288

0
0
0
0
0
0
0

Pasien
Penjamin
4135
4135
224400
224400
400
400
3500
3500
500
500
1000
1000
233935
233935

0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal

Pasien
Penjamin
188100
188100
47520
47520
1000
1000
236620
236620

0
0
0
0

Pasien
Penjamin
47520
47520
500
500
48020
48020

0
0
0

Pasien
Penjamin
23760
23760
500
500
24260
24260

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien

Penjamin

VIL
UNT

Depo Atas
Subtotal
GM
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL

1125093
500
1125593

1125093
500
1125593

0
0
0

Penjamin
400
3500
500
63253
500
68153

0
0
0
0
0
0

Pasien
Penjamin
47685
47685
500
500
48185
48185

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
71280
71280
4500
4500
1000
1000
76780
76780

0
0
0
0

Pasien
Penjamin
39600
39600
500
500
40100
40100

0
0
0

Pasien
Penjamin
1125093 1125093

Pasien
400
3500
500
63253
500
68153

UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
UNT

Emergency Anggrek
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Unit Dose

Subtotal
VIL
UNT

500
1125593

500
1125593

0
0

Pasien
Penjamin
19400
19400
500
500
19900
19900

0
0
0

Pasien
Penjamin
282150
282150
13710
13710
9700
9700
35640
35640
2000
2000
343200
343200

0
0
0
0
0
0

Pasien
Penjamin
4620
4620
500
500
5120
5120

0
0
0

Pasien
Penjamin
83160
83160
500
500
83660
83660

0
0
0

Pasien
Penjamin
225720
225720
71280
71280
1000
1000
298000
298000

0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500

0
0

1125593

Depo Unit Dose

Subtotal
VIL
UNT

Depo Unit Dose

Subtotal
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

1125593

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
16088
16088
22688
22688
201960
201960
1500
1500
242236
242236

0
0
0
0
0

Pasien
Penjamin
5940
5940
39620
39620
1000
1000
46560
46560

0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
8270
8270
2115
2115
1000
1000
11385
11385

0
0
0
0

Pasien
Penjamin
131670
131670
1410
1410
1000
1000

0
0
0

134080

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
VIL
BOT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

134080

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
46807
46807
500
500
47307
47307

0
0
0

Pasien
Penjamin
5184
5184
16417
16417
51216
51216
1500
1500
74317
74317

0
0
0
0
0

Pasien
Penjamin
83160
83160
28512
28512
1000
1000
112672
112672

0
0
0
0

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
55440
55440
500
500
55940
55940

0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2

Pasien
Penjamin
1220
1220
8960
8960
1000
1000
11180
11180

0
0
0
0

Pasien
Penjamin
149600
149600
500
500
150100
150100

0
0
0

Pasien
Penjamin
83160
83160
500
500
83660
83660

0
0
0

Pasien
Penjamin
149600
149600
500
500
150100
150100

0
0
0

Pasien
Penjamin
4125
4125
55440
55440
188100
188100
1500
1500
249165
249165

0
0
0
0
0

Pasien
Penjamin
3060
3060
500
500
3560
3560

0
0
0

Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
2505
2505
188100
188100
1000
1000
191605
191605

0
0
0
0

Pasien
Penjamin
105336
105336
26400
26400
188100
188100
4125
4125
2000
2000
325961
325961

0
0
0
0
0
0

Pasien
Penjamin
30480
30480
9000
9000
47685
47685
1708
1708
2000
2000
90873
90873

0
0
0
0
0
0

Pasien
Penjamin
9420
9420
500
500
9920
9920

0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
71280
71280
8270
8270
1000
1000
80550
80550

0
0
0
0

Pasien
Penjamin
149600
149600
500
500
150100
150100

0
0
0

Pasien
Penjamin
50160
50160
1230
1230
3500
3500
1500
1500
1220
1220
1000
1000
58610
58610

0
0
0
0
0
0
0

Pasien
Penjamin
3060
3060
500
500
3560
3560

0
0
0

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
9420
9420
500
500
9920
9920

0
0
0

Depo IGD
Subtotal
VIL
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
CAP
UNT
UNT
TAB
TAB
TAB
VIL
UNT

Pasien
Penjamin
245438
245438
1640
1640
820
820
3500
3500
1000
1000
1000
1000
253398
253398

0
0
0
0
0
0
0

Pasien
Penjamin
4056
4056
79200
79200
8270
8270
1500
1500
93026
93026

0
0
0
0
0

Pasien

Penjamin
380
59400
1000
60780

0
0
0
0

Pasien
Penjamin
112200
112200
500
500
112700
112700

0
0
0

Pasien
Penjamin
1230
1230
3500
3500
1500
1500
2460
2460
14580
14580
7380
7380
245438
245438
2000
2000
278088
278088

0
0
0
0
0
0
0
0
0

380
59400
1000
60780

Depo Atas
Subtotal
BOT
BOT
TAB
VIL
AMP
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
CTG
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
16417
16417
63253
63253
16632
16632
217488
217488
17016
17016
224400
224400
3000
3000
558206
558206

0
0
0
0
0
0
0
0

Pasien
Penjamin
4284
4284
70224
70224
10770
10770
1500
1500
86778
86778

0
0
0
0
0

Pasien
Penjamin
208200
208200
500
500
208700
208700

0
0
0

Pasien
Penjamin
54840
54840
360096
360096
1000
1000
415936
415936

0
0
0
0

Pasien
Penjamin
3560
3560
3060
3060
1708
1708
83290
83290
4560
4560
282150
282150
3000
3000

0
0
0
0
0
0
0

381328

Depo IGD
Subtotal
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
TAB
BOT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

381328

Pasien
Penjamin
2580
2580
47685
47685
1000
1000
51265
51265

0
0
0
0

Pasien
Penjamin
110880
110880
12936
12936
1000
1000
124816
124816

0
0
0
0

Pasien
Penjamin
71280
71280
500
500
71780
71780

0
0
0

Pasien
Penjamin
112211
112211
55440
55440
27288
27288
5991
5991
1260
1260
2500
2500
204690
204690

0
0
0
0
0
0
0

Pasien
Penjamin
2640
2640
71280
71280
7845
7845
4500
4500
2000
2000
88265
88265

0
0
0
0
0
0

Apotik Panel 2
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
UNT

Depo IGD
Subtotal
UNT
TAB
UNT

Pasien
Penjamin
208200
208200
500
500
208700
208700

0
0
0

Pasien
Penjamin
25592
25592
2772
2772
1000
1000
29364
29364

0
0
0
0

Pasien
Penjamin
2640
2640
14988
14988
1000
1000
18628
18628

0
0
0
0

Pasien
Penjamin
368016
368016
32834
32834
1000
1000
401850
401850

0
0
0
0

Pasien
Penjamin
65668
65668
736032
736032
29976
29976
1500
1500
833176
833176

0
0
0
0
0

Pasien
Penjamin
54840
54840
59430
59430
1000
1000
115270
115270

0
0
0
0

Apotik Panel 2
Subtotal
VIL
TAB
UNT

Depo IGD
Subtotal
UNT
CTG
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
TAB
AMP
UNT

Depo IGD
Subtotal
VIL
BOT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
208200
208200
83930
83930
1000
1000
293130
293130

0
0
0
0

Pasien
Penjamin
25592
25592
180048
180048
1000
1000
206640
206640

0
0
0
0

Pasien
Penjamin
1125093 1125093
32670
32670
29976
29976
456
456
11880
11880
2500
2500
1202575 1202575

0
0
0
0
0
0
0

Pasien
Penjamin
154440
154440
59400
59400
1000
1000
214840
214840

0
0
0
0

Pasien
Penjamin
1125093 1125093
16335
16335
14988
14988
1500
1500
1157916 1157916

0
0
0
0
0

Pasien

Penjamin

VIL
UNT
UNT
UNT

Depo IGD
Subtotal
SUP
PKG
UNT

Depo IGD
Subtotal
BAG
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
AMP
BAG
UNT
UNT

Depo Atas
Subtotal

1125093
29976
8415
1500
1164984

1125093
29976
8415
1500
1164984

0
0
0
0
0

Pasien
Penjamin
26124
26124
41388
41388
1000
1000
68512
68512

0
0
0
0

Pasien
Penjamin
9633
9633
500
500
10133
10133

0
0
0

Pasien
Penjamin
32834
32834
500
500
33334
33334

0
0
0

Pasien
Penjamin
102432
102432
500
500
102932
102932

0
0
0

Pasien
Penjamin
150480
150480
9633
9633
5732
5732
1500
1500
167345
167345

0
0
0
0
0

Pasien

Penjamin

BOT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
CAP
UNT
UNT
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT

178200
500
178700

178200
500
178700

0
0
0

Pasien
Penjamin
7845
7845
71280
71280
1000
1000
80125
80125

0
0
0
0

Pasien
Penjamin
94050
94050
4125
4125
3600
3600
1500
1500
103275
103275

0
0
0
0
0

Pasien
Penjamin
10388
10388
500
500
10888
10888

0
0
0

Pasien
Penjamin
245438
245438
1230
1230
3500
3500
1500
1500
8270
8270
24640
24640
1500
1500
286078
286078

0
0
0
0
0
0
0
0

Pasien

Penjamin
712
712
500
500
1212
1212

0
0
0

Depo IGD
Subtotal
CAP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
VIL
CAP
UNT
UNT
UNT

Pasien
Penjamin
12936
12936
500
500
13436
13436

0
0
0

Pasien
Penjamin
83930
83930
500
500
84430
84430

0
0
0

Pasien
Penjamin
31416
31416
500
500
31916
31916

0
0
0

Pasien
Penjamin
225720
225720
166320
166320
31122
31122
1500
1500
424662
424662

0
0
0
0
0

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
2460
2460
245438
245438
1230
1230
3500
3500
1500
1500
1000
1000
255128
255128

0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
CAP
UNT
UNT
TAB
UNT

Depo Unit Dose

Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
245438
245438
1230
1230
3500
3500
1500
1500
2460
2460
1000
1000
255128
255128

0
0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
55440
55440
633600
633600
336633
336633
27288
27288
2000
2000
1054961 1054961

0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
11578
11578

TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

8960
1000
21538

8960
1000
21538

0
0
0

Pasien
Penjamin
117612
117612
500
500
118112
118112

0
0
0

Pasien
Penjamin
3773
3773
500
500
4273
4273

0
0
0

Pasien
Penjamin
23100
23100
500
500
23600
23600

0
0
0

Pasien
Penjamin
83930
83930
500
500
84430
84430

0
0
0

Pasien
Penjamin
16170
16170
500
500
16670
16670

0
0
0

Pasien
Penjamin
71280
71280
24810
24810
1000
1000
97090
97090

0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT
UNT
TAB
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
3924
3924
2460
2460
1890
1890
245438
245438
2000
2000
255712
255712

0
0
0
0
0
0

Pasien
Penjamin
28260
28260
224400
224400
1000
1000
253660
253660

0
0
0
0

Pasien
Penjamin
1230
1230
3500
3500
1500
1500
2460
2460
245438
245438
1000
1000
255128
255128

0
0
0
0
0
0
0

Pasien
Penjamin
224400
224400
500
500
224900
224900

0
0
0

Pasien
Penjamin
245438
245438

UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT
UNT
VIL
UNT

Depo Atas
Subtotal
BOT
UNT

Depo IGD
Subtotal
CTG
UNT
UNT

Emergency Dahlia
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB

500
245938

500
245938

0
0

Pasien
Penjamin
26376
26376
224400
224400
1000
1000
251776
251776

0
0
0
0

Pasien
Penjamin
1230
1230
3500
3500
10500
10500
245438
245438
500
500
261168
261168

0
0
0
0
0
0

Pasien
Penjamin
368016
368016
500
500
368516
368516

0
0
0

Pasien
Penjamin
180048
180048
27420
27420
1000
1000
208468
208468

0
0
0
0

Pasien
Penjamin
10296
10296
500
500
10796
10796

0
0
0

Pasien
Penjamin
16632
16632

VIL
UNT

Depo IGD
Subtotal
VIL
BOT
BOT
AMP
UNT

Depo IGD
Subtotal
VIL
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
BAG
TAB
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
BOT
UNT

224400
1000
242032

224400
1000
242032

0
0
0

Pasien
Penjamin
72496
72496
102432
102432
32834
32834
100980
100980
2000
2000
310742
310742

0
0
0
0
0
0

Pasien
Penjamin
72496
72496
47685
47685
1000
1000
121181
121181

0
0
0
0

Pasien
Penjamin
2910
2910
500
500
3410
3410

0
0
0

Pasien
Penjamin
18793
18793
2028
2028
51216
51216
63253
63253
2000
2000
137290
137290

0
0
0
0
0
0

Pasien
Penjamin
63253
63253
51216
51216
32834
32834
1500
1500
148803
148803

0
0
0
0
0

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
VIL
UNT

Depo IGD
Subtotal
BOT
BOT
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
BOT
BOT
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Pasien
Penjamin
3960
3960
500
500
4460
4460

0
0
0

Pasien
Penjamin
102432
102432
72496
72496
1000
1000
175928
175928

0
0
0
0

Pasien
Penjamin
63253
63253
51216
51216
85272
85272
1500
1500
201241
201241

0
0
0
0
0

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
102432
102432
63253
63253
72496
72496
1500
1500
239681
239681

0
0
0
0
0

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT

Pasien
Penjamin
188100
188100
500
500
188600
188600

0
0
0

Pasien
Penjamin
196020
196020
400
400
3500
3500
1000
1000
2460
2460
1000
1000
204380
204380

0
0
0
0
0
0
0

Pasien
Penjamin
368016
368016
32834
32834
1000
1000
401850
401850

0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
19810
19810
7290
7290
1000
1000
28100
28100

0
0
0
0

Pasien
Penjamin
184008
184008
500
500

0
0

184508

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Emergency Catelia
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal

184508

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien

Penjamin

VIL
UNT

Depo IGD
Subtotal
VIL
BOT
UNT
PKG
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
VIL
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal

245438
500
245938

245438
500
245938

0
0
0

Pasien
Penjamin
211200
211200
59400
59400
2136
2136
5020
5020
2000
2000
279756
279756

0
0
0
0
0
0

Pasien
Penjamin
54576
54576
500
500
55076
55076

0
0
0

Pasien
Penjamin
422400
422400
118800
118800
1000
1000
542200
542200

0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
GM
UNT
UNT

Depo Atas
Subtotal
GM
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

1980
10020
99000
1020
10780
7255
1220
3500
134775

1980
10020
99000
1020
10780
7255
1220
3500
134775

0
0
0
0
0
0
0
0
0

Penjamin
390
3500
500
4390

0
0
0
0

Penjamin
39
3500
500
4039

0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
44964
44964
12610
12610
1000
1000
58574
58574

0
0
0
0

Pasien
Penjamin
14988
14988
12610
12610
44964
44964

0
0
0

Pasien
390
3500
500
4390

Pasien
39
3500
500
4039

UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
AMP
CAP
UNT

1500
74062

1500
74062

0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
16632
16632
500
500
17132
17132

0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien
Penjamin
4500
4500
22230
22230
47685
47685
1500
1500
75915
75915

0
0
0
0
0

Pasien
Penjamin
28512
28512
9240
9240
1000
1000

0
0
0

38752

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
BOT
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
TAB
UNT

Depo Atas
Subtotal
BOT
CAP
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
AMP

38752

Pasien
Penjamin
368016
368016
500
500
368516
368516

0
0
0

Pasien
Penjamin
16417
16417
51216
51216
5280
5280
1500
1500
74413
74413

0
0
0
0
0

Pasien
Penjamin
368016
368016
32834
32834
5280
5280
1500
1500
407630
407630

0
0
0
0
0

Pasien
Penjamin
118800
118800
52270
52270
368016
368016
1500
1500
540586
540586

0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
37572
37572

UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
BOT
BOT
BOT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
BOT
UNT

Apotik Panel 2

500
38072

500
38072

0
0

Pasien
Penjamin
98010
98010
400
400
3500
3500
750
750
188100
188100
1000
1000
291760
291760

0
0
0
0
0
0
0

Pasien
Penjamin
275880
275880
500
500
276380
276380

0
0
0

Pasien
Penjamin
72496
72496
102432
102432
32834
32834
63253
63253
2000
2000
273015
273015

0
0
0
0
0
0

Pasien
Penjamin
8820
8820
500
500
9320
9320

0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
TAB
BOT
AMP
UNT

Apotik Panel
Subtotal
TAB

Pasien
Penjamin
59950
59950
500
500
60450
60450

0
0
0

Pasien
Penjamin
16417
16417
41700
41700
8415
8415
14988
14988
2000
2000
83520
83520

0
0
0
0
0
0

Pasien
Penjamin
87912
87912
500
500
88412
88412

0
0
0

Pasien
Penjamin
6888
6888
1708
1708
20314
20314
196020
196020
2000
2000
226930
226930

0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
19602
19602
118800
118800
22053
22053
2500
2500
186358
186358

0
0
0
0
0
0
0

Pasien
Penjamin
20776
20776

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

500
21276

500
21276

0
0

Pasien
Penjamin
1220
1220
4256
4256
196020
196020
8270
8270
1230
1230
3500
3500
1500
1500
2000
2000
217996
217996

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7845
7845
110880
110880
83020
83020
1500
1500
203245
203245

0
0
0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Pasien
Penjamin
196020
196020
225720
225720
4125
4125
1500
1500
427365
427365

0
0
0
0
0

Pasien
Penjamin
31416
31416
500
500
31916
31916

0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
CAP
UNT
UNT
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Apotik Panel 2
Subtotal
VIL
BOT

Pasien
Penjamin
10800
10800
8270
8270
616
616
10206
10206
2000
2000
31892
31892

0
0
0
0
0
0

Pasien
Penjamin
1230
1230
3500
3500
1500
1500
2460
2460
105336
105336
41188
41188
1500
1500
156714
156714

0
0
0
0
0
0
0
0

Pasien
Penjamin
70224
70224
110880
110880
20594
20594
1500
1500
203198
203198

0
0
0
0
0

Pasien
Penjamin
116606
116606
41188
41188
99000
99000
3060
3060
2000
2000
261854
261854

0
0
0
0
0
0

Pasien
Penjamin
208200
208200
57750
57750

0
0

CTG
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT
TAB
CTG
UNT

Depo IGD
Subtotal
CTG
UNT
TAB
UNT

Depo Atas
Subtotal
BOT
AMP
TAB
UNT
BOT
PKG
UNT
BOT
UNT

185680
1500
453130

185680
1500
453130

0
0
0

Pasien
Penjamin
6750
6750
500
500
7250
7250

0
0
0

Pasien
Penjamin
14700
14700
3840
3840
4500
4500
18280
18280
1890
1890
360096
360096
3000
3000
406306
406306

0
0
0
0
0
0
0
0

Pasien
Penjamin
360096
360096
54840
54840
196020
196020
1500
1500
612456
612456

0
0
0
0
0

Pasien
Penjamin
118800
118800
201960
201960
741
741
1997
1997
51216
51216
5020
5020
1780
1780
11946
11946
4000
4000
397460
397460

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
CAP
UNT
UNT
TAB
TAB
VIL
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
UNT

Pasien
Penjamin
1230
1230
3500
3500
1500
1500
2460
2460
196020
196020
245438
245438
1500
1500
451648
451648

0
0
0
0
0
0
0
0

Pasien
Penjamin
10388
10388
500
500
10888
10888

0
0
0

Pasien
Penjamin
2460
2460
130680
130680
10460
10460
1500
1500
145100
145100

0
0
0
0
0

Pasien
Penjamin
8270
8270
79200
79200
2460
2460
4256
4256
196020
196020
2500
2500
292706
292706

0
0
0
0
0
0
0

Pasien
Penjamin
6750
6750
47685
47685
7845
7845
1500
1500
63780
63780

0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
TAB
VIL
BOT
BOT
PKG
UNT
UNT

Depo IGD
Subtotal
VIL
TAB
CAP
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
188100
188100
47520
47520
11640
11640
1500
1500
248760
248760

0
0
0
0
0

Pasien
Penjamin
59400
59400
1997
1997
252
252
72496
72496
126506
126506
16417
16417
5020
5020
3560
3560
4000
4000
289648
289648

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
196020
196020
1230
1230
3500
3500
1500
1500
2460
2460
1500
1500
451648
451648

0
0
0
0
0
0
0
0

Pasien

Penjamin
380
10770
1000
12150

0
0
0
0

Pasien
Penjamin
83160
83160

380
10770
1000
12150

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
TAB
UNT

Emergency Anggrek
Subtotal
UNT
UNT

Depo IGD
Subtotal

500
83660

500
83660

0
0

Pasien
Penjamin
188100
188100
71280
71280
4500
4500
1500
1500
265380
265380

0
0
0
0
0

Pasien
Penjamin
51870
51870
28728
28728
3416
3416
1204
1204
2000
2000
87218
87218

0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
27420
27420
8270
8270
1000
1000
36690
36690

0
0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Pasien

Penjamin

VIL
UNT

Depo IGD
Subtotal
UNT
UNT
TAB
TAB
BAG
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
VIL
AMP
UNT

Depo IGD
Subtotal
VIL
CAP
UNT
UNT
UNT

Depo IGD

1125093
500
1125593

1125093
500
1125593

0
0
0

Pasien
Penjamin
16335
16335
14988
14988
1524
1524
14256
14256
9633
9633
2940
2940
3825
3825
1898
1898
4000
4000
69399
69399

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37620
37620
500
500
38120
38120

0
0
0

Pasien
Penjamin
196680
196680
1152
1152
13414
13414
13860
13860
2000
2000
227106
227106

0
0
0
0
0
0

Pasien
Penjamin
112200
112200
900
900
3500
3500
150
150
500
500
117250
117250

0
0
0
0
0
0

Subtotal
CAP
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
VIL
UNT

Depo IGD
Subtotal
BOT
BOT
BOT
TAB
UNT

Depo IGD
Subtotal
UNT
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Pasien
Penjamin
52270
52270
500
500
52770
52770

0
0
0

Pasien
Penjamin
186196
186196
500
500
186696
186696

0
0
0

Pasien
Penjamin
196680
196680
3138
3138
112860
112860
72496
72496
2000
2000
387174
387174

0
0
0
0
0
0

Pasien
Penjamin
51216
51216
63253
63253
59400
59400
28512
28512
2000
2000
204381
204381

0
0
0
0
0
0

Pasien
Penjamin
54840
54840
35640
35640
1000
1000
91480
91480

0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
TAB

Pasien
Penjamin
71280
71280
4500
4500
1000
1000
76780
76780

0
0
0
0

Pasien
Penjamin
20776
20776
83482
83482
1000
1000
105258
105258

0
0
0
0

Pasien
Penjamin
5544
5544
500
500
6044
6044

0
0
0

Pasien
Penjamin
20776
20776
59630
59630
1000
1000
81406
81406

0
0
0
0

Pasien
Penjamin
71280
71280
4500
4500
7290
7290
1500
1500
84570
84570

0
0
0
0
0

Pasien
Penjamin
35640
35640
13710
13710
282150
282150
130680
130680

0
0
0
0

UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Apotik Panel
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
TAB

2000
464180

2000
464180

0
0

Pasien
Penjamin
10800
10800
1232
1232
1000
1000
13032
13032

0
0
0
0

Pasien
Penjamin
20776
20776
60088
60088
83482
83482
1500
1500
165846
165846

0
0
0
0
0

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

Pasien
Penjamin
50160
50160
500
500
50660
50660

0
0
0

Pasien
Penjamin
10800
10800
500
500
11300
11300

0
0
0

Pasien
Penjamin
16417
16417
246
246
114
114

0
0
0

UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
VIL
UNT

16335
14988
2500
50600

16335
14988
2500
50600

0
0
0
0

Pasien
Penjamin
2115
2115
9000
9000
10460
10460
5280
5280
2000
2000
28855
28855

0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
11578
11578
500
500
12078
12078

0
0
0

Pasien
Penjamin
282150
282150
30217
30217
21600
21600
1500
1500
335467
335467

0
0
0
0
0

Pasien
Penjamin
196020
196020
4000
4000
245438
245438
1500
1500
446958
446958

0
0
0
0
0

Depo Atas
Subtotal
BOT
TAB
TAB
GM
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
TAB
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
VIL
TAB
CAP
UNT
UNT
TAB
TAB
BOT
UNT

Pasien
Penjamin
57964
57964
6750
6750
130680
130680
800
800
3500
3500
1000
1000
1500
1500
202194
202194

0
0
0
0
0
0
0
0

Pasien
Penjamin
3060
3060
196020
196020
1230
1230
3500
3500
1500
1500
2460
2460
245438
245438
2000
2000
455208
455208

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
196020
196020
6750
6750
2000
2000
105336
105336
2000
2000
312106
312106

0
0
0
0
0
0

Pasien
Penjamin
245438
245438
196020
196020
1230
1230
3500
3500
1500
1500
2460
2460
8270
8270
4125
4125
2500
2500

0
0
0
0
0
0
0
0
0

465043

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
BOT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT
UNT
TAB
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

465043

Penjamin
143
13710
2856
1500
18209

0
0
0
0
0

Pasien
Penjamin
71280
71280
7845
7845
1000
1000
80125
80125

0
0
0
0

Pasien
Penjamin
245438
245438
4125
4125
196020
196020
1500
1500
447083
447083

0
0
0
0
0

Pasien
Penjamin
196020
196020
20594
20594
1890
1890
1230
1230
3500
3500
1500
1500
8270
8270
245438
245438
2500
2500
480942
480942

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
224400
224400
500
500

0
0

Pasien
143
13710
2856
1500
18209

224900

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
UNT

224900

Pasien
Penjamin
3860
3860
500
500
4360
4360

0
0
0

Pasien
Penjamin
2460
2460
225720
225720
1260
1260
245438
245438
4125
4125
2500
2500
481503
481503

0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
29715
29715
1000
1000
34675
34675

0
0
0
0

Pasien
Penjamin
31416
31416
500
500
31916
31916

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1998
1998
500
500

0
0

2498

Depo IGD
Subtotal
BOT
UNT

Apotik Panel
Subtotal
BOX
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
AMP
VIL
BOT
VIL
TAB
UNT
BAG
UNT
TAB
TAB
CAP
TAB
AMP
UNT

2498

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

Pasien
Penjamin
17210
17210
500
500
17710
17710

0
0
0

Pasien
Penjamin
1980
1980
320
320
1260
1260
2000
2000
3500
3500
50
50
26535
26535
2000
2000
37645
37645

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39204
39204
22053
22053
72496
72496
32834
32834
112200
112200
827
827
1997
1997
9633
9633
3300
3300
44
44
738
738
900
900
246
246
6666
6666
3080
3080

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
VIL
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
VIL
AMP
UNT

Depo Atas
Subtotal
BOT
UNT

7500
313718

7500
313718

0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
14988
14988
16335
16335
20213
20213
1500
1500
53036
53036

0
0
0
0
0

Pasien
Penjamin
12610
12610
500
500
13110
13110

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
29568
29568
144992
144992
105600
105600
1500
1500
281660
281660

0
0
0
0
0

Pasien
Penjamin
186196
186196
500
500

0
0

186696

Depo Atas
Subtotal
TAB
GM
UNT
UNT
AMP
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Emergency Catelia
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

186696

Pasien
Penjamin
98010
98010
400
400
3500
3500
500
500
5842
5842
224400
224400
1500
1500
334152
334152

0
0
0
0
0
0
0
0

Pasien
Penjamin
275880
275880
500
500
276380
276380

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
196020
196020
800
800
3500
3500
1500
1500
2460
2460
7920
7920
1500
1500
213700
213700

0
0
0
0
0
0
0
0

Pasien
Penjamin
70560
70560
500
500
71060
71060

0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
TAB
CAP
TAB
UNT

Depo IGD
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CAP
UNT

Pasien
Penjamin
149600
149600
500
500
150100
150100

0
0
0

Pasien
Penjamin
245438
245438
2460
2460
1230
1230
8270
8270
2000
2000
259398
259398

0
0
0
0
0
0

Pasien
Penjamin
12936
12936
4500
4500
1000
1000
18436
18436

0
0
0
0

Pasien
Penjamin
2970
2970
18435
18435
1000
1000
22405
22405

0
0
0
0

Pasien
Penjamin
22065
22065
500
500
22565
22565

0
0
0

Pasien
Penjamin
71280
71280
124740
124740
1000
1000
197020
197020

0
0
0
0

Depo Atas
Subtotal
BOT
VIL
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
TAB
CAP
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
UNT

Pasien
Penjamin
57964
57964
579968
579968
15976
15976
1500
1500
655408
655408

0
0
0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
209440
209440
500
500
209940
209940

0
0
0

Pasien
Penjamin
245438
245438
14580
14580
1230
1230
3500
3500
1500
1500
1000
1000
267248
267248

0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
57964
57964
500
500

0
0

58464

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
UNT

Apotik Panel 2
Subtotal
CTG
UNT

Apotik Panel 2
Subtotal
CTG
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas

58464

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Pasien
Penjamin
18280
18280
500
500
18780
18780

0
0
0

Pasien
Penjamin
185680
185680
500
500
186180
186180

0
0
0

Pasien
Penjamin
185680
185680
500
500
186180
186180

0
0
0

Pasien
Penjamin
2772
2772
99000
99000
1000
1000
102772
102772

0
0
0
0

Pasien
Penjamin
245438
245438
500
500
245938
245938

0
0
0

Subtotal
TAB
UNT
UNT

Apotik Panel
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT
VIL
AMP
UNT

Depo IGD
Subtotal
CAP
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
8270
8270
27420
27420
1000
1000
36690
36690

0
0
0
0

Pasien
Penjamin
208089
208089
500
500
208589
208589

0
0
0

Pasien
Penjamin
253012
253012
500
500
253512
253512

0
0
0

Pasien
Penjamin
205293
205293
12796
12796
217488
217488
5220
5220
2000
2000
442797
442797

0
0
0
0
0
0

Pasien
Penjamin
25872
25872
500
500
26372
26372

0
0
0

Pasien
Penjamin
79200
79200
3060
3060
395010
395010
1500
1500
478770
478770

0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
VIL
TAB
TAB
CAP
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
TAB
VIL
UNT

Depo IGD

Pasien
Penjamin
116606
116606
41188
41188
4256
4256
196020
196020
2000
2000
360070
360070

0
0
0
0
0
0

Pasien
Penjamin
245438
245438
14580
14580
1220
1220
1230
1230
3500
3500
10500
10500
182952
182952
2000
2000
461420
461420

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2460
2460
88860
88860
1230
1230
3500
3500
10500
10500
1000
1000
107550
107550

0
0
0
0
0
0
0

Pasien
Penjamin
196020
196020
1230
1230
3500
3500
10500
10500
2460
2460
245438
245438
1500
1500
460648
460648

0
0
0
0
0
0
0
0

Subtotal
CAP
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
BOT
UNT

Depo IGD
Subtotal
VIL
TAB
CTG
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
25872
25872
1918
1918
8270
8270
1500
1500
37560
37560

0
0
0
0
0

Pasien
Penjamin
138600
138600
500
500
139100
139100

0
0
0

Pasien
Penjamin
47520
47520
57964
57964
1000
1000
106484
106484

0
0
0
0

Pasien
Penjamin
205293
205293
5544
5544
180048
180048
1500
1500
392385
392385

0
0
0
0
0

Pasien
Penjamin
22230
22230
4500
4500
1000
1000
27730
27730

0
0
0
0

Pasien
Penjamin
29420
29420
11578
11578
14580
14580
1500
1500
57078
57078

0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TUB
TAB
CAP
UNT
UNT
TAB
VIL
UNT

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
149600
149600
500
500
150100
150100

0
0
0

Pasien
Penjamin
2220
2220
2440
2440
820
820
3500
3500
1000
1000
1640
1640
245438
245438
2000
2000
259058
259058

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
245438
245438
130680
130680
1640
1640
8270
8270
1230
1230
3500
3500
10500
10500
2000
2000
403258
403258

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
71280
71280
6750
6750
1000
1000
79030
79030

0
0
0
0

Pasien
Penjamin
6330
6330
1220
1220

0
0

TAB
TAB
VIL
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
CTG
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
CAP
CAP
UNT

24640
196020
245438
2500
476148

24640
196020
245438
2500
476148

0
0
0
0
0

Pasien
Penjamin
59630
59630
500
500
60130
60130

0
0
0

Pasien
Penjamin
7290
7290
180048
180048
2860
2860
2115
2115
2000
2000
194313
194313

0
0
0
0
0
0

Pasien
Penjamin
79200
79200
6750
6750
1000
1000
86950
86950

0
0
0
0

Pasien
Penjamin
7845
7845
500
500
8345
8345

0
0
0

Pasien
Penjamin
5230
5230
71280
71280
5838
5838
124740
124740
2000
2000
209088
209088

0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
UNT

Depo IGD
Subtotal
BOT
BOT
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
BOT
VIL

Pasien
Penjamin
3960
3960
2304
2304
9730
9730
1500
1500
17494
17494

0
0
0
0
0

Pasien
Penjamin
47520
47520
1020
1020
72496
72496
1500
1500
122536
122536

0
0
0
0
0

Pasien
Penjamin
186196
186196
51216
51216
16417
16417
1500
1500
255329
255329

0
0
0
0
0

Pasien
Penjamin
144992
144992
500
500
145492
145492

0
0
0

Pasien
Penjamin
154440
154440
500
500
154940
154940

0
0
0

Pasien
Penjamin
115500
115500
144992
144992

0
0

VIL
UNT

120944
1500
382936

120944
1500
382936

0
0
0

Waktu
31 Mei 2013 13:37
Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
7,00
1,00

Depo
Apotik Panel 2
Subtotal
CAP
UNT

31 Mei 2013 13:36

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

31 Mei 2013 13:32

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
6,00
3,00

Depo IGD
Subtotal
UNT
UNT
CAP
UNT

31 Mei 2013 13:17

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

31 Mei 2013 13:10

Item
PRONALGES SUPPOSITORY 100 MG
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
10,00
3,00

Depo IGD
Subtotal
SUP
CAP
TAB
UNT

31 Mei 2013 12:57

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
6,00
4,00

Depo IGD
Subtotal
UNT
UNT
UNT
CAP
UNT

TOTAL

31 Mei 2013 12:54

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo IGD
Subtotal
TAB
UNT

31 Mei 2013 12:33

Item
TERFACEF INJECTION 1 g
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
UNT

31 Mei 2013 12:06

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
6,00
3,00

Depo IGD
Subtotal
UNT
UNT
CAP
UNT

31 Mei 2013 11:40

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
6,00
4,00

Depo IGD
Subtotal
UNT
UNT
UNT
CAP
UNT

31 Mei 2013 11:17

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

31 Mei 2013 11:09

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

31 Mei 2013 09:58

Item
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

Depo IGD
Subtotal
TAB
UNT

31 Mei 2013 09:44

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

30 Mei 2013 14:48

Item
FOLLEY CATHETER 16 RUSCH
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP ONEMED 3CC
IVENA IV CATH 20
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
1,00
6,00

Depo Atas
Subtotal
UNT
VIL
AMP
PKG
UNT
UNT
UNT

30 Mei 2013 11:09

Item
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
TAB
UNT

30 Mei 2013 11:08

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

30 Mei 2013 09:56

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
2,00
4,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
UNT

30 Mei 2013 09:34

Item
PLAIN 3/0 CATGUT
T-VIO 3/0 V33
PRECUT SILK 2/0 PS24
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
3,00
7,00

Emergency OK
Subtotal
UNT
PKG
PKG
BOT
UNT
UNT
PKG
UNT

29 Mei 2013 16:46

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
4,00
4,00
6,00

Depo IGD
Subtotal
TAB
SUP
VIL
UNT
UNT
AMP
UNT

29 Mei 2013 14:21

Item
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
1,00
15,00
1,00

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

29 Mei 2013 14:20

Item
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

29 Mei 2013 14:11

Item
TERFACEF INJECTION 1 g
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
NEEDLE NO.18 THERUMO
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
UNT
UNT

29 Mei 2013 14:05

Item
ASAM MEFENAMAT INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
CAP
UNT

29 Mei 2013 13:45

Item
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

29 Mei 2013 13:26

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

29 Mei 2013 13:09

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP

TUSLAH NON RACIKAN

TOTAL

5,00

UNT

29 Mei 2013 12:47

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

29 Mei 2013 12:42

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo IGD
Subtotal
CAP
UNT

29 Mei 2013 12:06

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

29 Mei 2013 11:58

Item
CIPROFLOXACIN TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

29 Mei 2013 11:39

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
6,00
9,00
6,00
12,00
14,00
70,00
3,00

Depo Atas
Subtotal
VIL
AMP
AMP
UNT
UNT
BOT
BOT

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

20,00
8,00

PKG
UNT

29 Mei 2013 11:01

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
6,00
6,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
BOT
CAP
UNT

29 Mei 2013 10:32

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETESSE 25 MG/ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
12,00
6,00
14,00
7,00
6,00
6,00

Depo Atas
Subtotal
VIL
AMP
AMP
AMP
UNT
UNT
UNT

29 Mei 2013 09:59

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
UROGARD THERUMO
TRANSFUSION SET THERUMO
FOLLEY CATH 24 , 3WAY REMEDI
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
MICROPORE 2 INC
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
1,00
1,00
1,00
3,00
3,00
3,00
20,00
3,00
0,25
0,50
11,00

Emergency OK
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT
PKG
PKG
UNT
UNT
UNT

28 Mei 2013 13:37

UMUM

Emergency OK

Item
STOMACH TUBE 8 JMS
FOLLEY CATHETER 6 RUSCH
FOLLEY CATHETER 12 RUSCH
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
T-VIO 2/0 V10
T-VIO4-0 V2 RB
PLAIN 2/0 CUT TS 24 REF 1805
SILK 2-0 REVERSE CUTTING
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
MICROPORE 2 INC
CENDO GENTAMYCIN 3.5 GM OINTMENT
T-VIO 1 V16
DRAINAGE BAG STERIL
FOLLEY CATHETER 3 WAY NO. 18 RUSCH
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
STOMACH TUBE 16 THERUMO
HANDSCOON NON STERIL S (PCS)
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
2,00
2,00
1,00
2,00
3,00
2,00
2,00
0,25
1,00
1,00
1,00
1,00
3,00
4,00
3,00
3,00
1,00
20,00
0,50
22,00

Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT
PKG
PKG
UNT
TUB
PKG
UNT
PKG
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

28 Mei 2013 13:15

Item
DULCOLAX SUPPOSITORY 10 mg
DULCOLAX SUPPOSITORY 5 MG
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
IVENA IV CATH 18
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
4,00
1,00
4,00
30,00
1,00
1,00
8,00

Depo Atas
Subtotal
SUP
SUP
AMP
UNT
UNT
BOT
UNT
UNT
UNT

28 Mei 2013 08:51

Item
TERFACEF INJECTION 1 g
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN

UMUM
Quantity
2,00
1,00
1,00
3,00

Depo IGD
Subtotal
VIL
UNT
UNT
UNT

TOTAL

27 Mei 2013 14:42

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

27 Mei 2013 13:15

Item
MEFINAL 500 MG TABLET
CEDANTRON TABLET 8 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
3,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

27 Mei 2013 13:09

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

27 Mei 2013 13:02

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
10,00
10,00
6,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
TAB
UNT

27 Mei 2013 12:37

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

27 Mei 2013 12:03

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

27 Mei 2013 12:02

Item
DULCOLAX 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
TAB
UNT

27 Mei 2013 11:57

Item
SPORETIK SANBE 100 MG
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

27 Mei 2013 11:30

Item
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

27 Mei 2013 11:17

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

27 Mei 2013 11:14

Item
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
1,00
5,00

Depo IGD
Subtotal
UNT
UNT
TAB
SUP
VIL
UNT

27 Mei 2013 10:47

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
2,00
30,00
5,00

Depo Atas
Subtotal
AMP
AMP
UNT
UNT
BOT
UNT

27 Mei 2013 10:30

Item
INFUS SET JMS
DISP SYRINGE 1 CC INSULIN
DULCOLAX SUPPOSITORY 10 mg
DULCOLAX 5 MG TABLET
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
3,00
3,00
1,00
5,00

Depo Atas
Subtotal
UNT
UNT
SUP
TAB
UNT
UNT

27 Mei 2013 09:36

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
FOLLEY CATH 24 , 3WAY REMEDI
UROGARD THERUMO
TRANSFUSION SET THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
SCRUB BRUSH
DISPOS NE ELEC F ADULT & CHILDREN
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
1,00
3,00
4,00
20,00
3,00
3,00
0,50
1,00
12,00

Emergency OK
Subtotal
BOT
PKG
UNT
UNT
BOT
UNT
UNT
PKG
PKG
PKG
UNT
UNT
UNT

27 Mei 2013 08:51

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT

GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
3,00

GM
UNT
UNT
UNT

24 Mei 2013 13:37

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

24 Mei 2013 12:53

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

24 Mei 2013 12:41

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

24 Mei 2013 12:41

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo IGD
Subtotal
CAP
UNT

24 Mei 2013 12:32

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo IGD
Subtotal
CAP
UNT

24 Mei 2013 12:30

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

24 Mei 2013 12:28

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo IGD
Subtotal
CAP
UNT

24 Mei 2013 11:25

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

24 Mei 2013 10:47

Item
SPORETIK SANBE 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

24 Mei 2013 10:20

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

24 Mei 2013 09:43

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
1,00
1,00
5,00
3,00
10,00
3,00
9,00

Emergency OK
Subtotal
BOT
UNT
UNT
TUB
UNT
UNT
UNT
PKG
PKG
UNT

23 Mei 2013 14:33

Item

JAKARTA SEHAT
Quantity

Apotik Panel 2
Subtotal

AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

12,00
1,00

TAB
UNT

23 Mei 2013 14:14

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

23 Mei 2013 14:13

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

23 Mei 2013 14:12

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

23 Mei 2013 12:47

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
1,00
5,00

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT

23 Mei 2013 12:33

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
1,00
6,00
6,00
2,00

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
UNT

23 Mei 2013 12:33

Item
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
20,00
1,00
3,00

Depo Atas
Subtotal
UNT
PKG
UNT
UNT

23 Mei 2013 12:03

Item
CEFIXIME GENERIK CAPSULE
VITAMIN C 50 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
15,00
3,00

Depo Atas
Subtotal
CAP
TAB
TAB
UNT

23 Mei 2013 11:39

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

23 Mei 2013 10:09

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

23 Mei 2013 09:30

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
APRON FILM WHITE
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
3,00
3,00
3,00
10,00
9,00

Emergency OK
Subtotal
BOT
UNT
UNT
TUB
UNT
PKG
UNT
UNT
PKG
UNT

23 Mei 2013 09:27

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
10,00
2,00
11,00

Emergency OK
Subtotal
BOT
UNT
UNT
TUB
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

22 Mei 2013 14:41

Item
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
1,00
15,00
1,00

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

22 Mei 2013 14:31

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

Depo IGD
Subtotal
TAB
UNT

22 Mei 2013 14:16

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
2,00
1,00
1,00
2,00
7,00

Depo IGD
Subtotal
TAB
SUP
VIL
AMP
UNT
UNT
UNT
UNT

22 Mei 2013 13:00

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo IGD
Subtotal
CAP
UNT

22 Mei 2013 12:58

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

22 Mei 2013 12:53

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
4,00
1,00
1,00
4,00
30,00
8,00

Depo IGD
Subtotal
TAB
SUP
VIL
AMP
UNT
UNT
UNT
BOT
UNT

22 Mei 2013 12:46

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
6,00
4,00

Depo IGD
Subtotal
UNT
UNT
UNT
CAP
UNT

22 Mei 2013 11:42

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
15,00
1,00

Depo Atas
Subtotal
TAB
UNT

22 Mei 2013 11:19

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

22 Mei 2013 10:59

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

22 Mei 2013 10:34

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00

Depo Atas
Subtotal
TAB
SUP
UNT
UNT

22 Mei 2013 10:33

Item
CEFIXIME GENERIK CAPSULE
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

22 Mei 2013 10:25

Item
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo Atas
Subtotal
TAB
UNT

22 Mei 2013 10:25

JAKARTA SEHAT

Depo Atas

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
1,00

Subtotal
CAP
UNT

21 Mei 2013 13:41

Item
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
4,00

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
UNT

21 Mei 2013 12:21

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
4,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT

21 Mei 2013 11:10

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
AQUA BIDES 1000 ML SOLUTION, LIQUID
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 8
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
2,00
2,00
2,00
3,00
9,00

Emergency OK
Subtotal
UNT
UNT
TUB
UNT
BOT
UNT
UNT
UNT
PKG
UNT

21 Mei 2013 10:17

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Emergency Dahlia
Subtotal
UNT
UNT
TUB
UNT

TUSLAH NON RACIKAN

TOTAL

4,00

UNT

21 Mei 2013 09:41

Item
PLAIN 3/0 CATGUT
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 8
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
20,00
3,00
2,00
11,00

Emergency OK
Subtotal
UNT
UNT
UNT
TUB
UNT
UNT
UNT
UNT
PKG
PKG
PKG
UNT

20 Mei 2013 13:48

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

20 Mei 2013 13:39

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

20 Mei 2013 13:37

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

20 Mei 2013 13:34

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
UNT
TUB

DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
5,00

UNT
CAP
UNT

20 Mei 2013 13:28

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

20 Mei 2013 12:52

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

20 Mei 2013 11:26

Item
CEFIXIME GENERIK CAPSULE
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

20 Mei 2013 11:25

Item
CEFIXIME GENERIK CAPSULE
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

20 Mei 2013 11:25

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

20 Mei 2013 11:04

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
1,00
2,00
3,00
1,00
1,00
8,00

Depo Atas
Subtotal
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT

20 Mei 2013 10:13

Item
PLAIN 3/0 CATGUT
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
SCRUB BRUSH
FIXOMUL 76991 (15CM)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
20,00
3,00
0,20
6,00

Emergency OK
Subtotal
UNT
UNT
UNT
PKG
PKG
UNT
UNT

20 Mei 2013 10:02

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
3,00
5,00

Depo IGD
Subtotal
VIL
UNT
UNT
TAB
SUP
UNT

20 Mei 2013 09:47

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Depo Atas
Subtotal
CAP
UNT

20 Mei 2013 09:32

Item
NEW DIATABS TABLET 600 mg

JAKARTA SEHAT
Quantity
6,00

Apotik Panel 2
Subtotal
TAB

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

19 Mei 2013 18:11

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
IVENA IV CATH 18
INFUS SET JMS
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
6,00

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
UNT
SUP
UNT

18 Mei 2013 12:46

Item
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo Atas
Subtotal
TAB
UNT

17 Mei 2013 14:18

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

17 Mei 2013 13:21

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

17 Mei 2013 13:18

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

17 Mei 2013 13:18

Item
CEFIXIME GENERIK CAPSULE

JAKARTA SEHAT
Quantity
10,00

Depo IGD
Subtotal
CAP

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

17 Mei 2013 13:07

Item
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
6,00
3,00

Depo IGD
Subtotal
UNT
TUB
CAP
UNT

17 Mei 2013 12:59

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

17 Mei 2013 12:59

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel
Subtotal
CAP
UNT

17 Mei 2013 12:32

Item
FOLLEY CATHETER 10 RUSCH
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

17 Mei 2013 12:25

Item
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
6,00
3,00

Depo IGD
Subtotal
UNT
TUB
CAP
UNT

17 Mei 2013 11:17

Item
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

XYLOCAINE 2% 10 GM JELLY
SPORETIK SANBE 100 MG
TUSLAH NON RACIKAN
TOTAL

1,00
5,00
4,00

TUB
CAP
UNT

17 Mei 2013 10:58

Item
CEFIXIME GENERIK CAPSULE
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
2,00
3,00
1,00
1,00
6,00

Depo Atas
Subtotal
CAP
UNT
UNT
UNT
UNT
UNT
UNT

17 Mei 2013 10:58

Item
IVENA IV CATH 20
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
4,00
4,00
3,00
3,00
1,00
15,00
8,00

Depo Atas
Subtotal
UNT
VIL
AMP
AMP
UNT
UNT
UNT
BOT
UNT

17 Mei 2013 09:47

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
FOLLEY CATH 24 , 3WAY REMEDI
UROGARD THERUMO
TRANSFUSION SET THERUMO
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
1,00
1,00
1,00
2,00
2,00
2,00
10,00
3,00
0,50
11,00

Emergency OK
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT
UNT

16 Mei 2013 11:35

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
2,00
2,00
2,00
4,00
1,00
1,00
8,00

Depo Atas
Subtotal
BOT
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT

16 Mei 2013 09:35

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
UROGARD THERUMO
FOLLEY CATH 24 , 3WAY REMEDI
TRANSFUSION SET THERUMO
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
2,00
0,50
10,00

Emergency OK
Subtotal
BOT
UNT
PKG
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

15 Mei 2013 15:58

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 5 MG
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
6,00
1,00
1,00
5,00

Depo IGD
Subtotal
VIL
TAB
SUP
UNT
UNT
UNT

15 Mei 2013 15:56

Item
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
TUB

DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
HANDSCOON GAMEX 7
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
1,00
2,00
6,00

UNT
CAP
UNT
BOT
UNT

15 Mei 2013 14:58

Item
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
6,00
4,00

Depo IGD
Subtotal
UNT
TUB
UNT
CAP
UNT

15 Mei 2013 14:52

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

15 Mei 2013 14:33

Item
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
6,00
4,00

Depo IGD
Subtotal
UNT
TUB
UNT
CAP
UNT

15 Mei 2013 14:28

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

Depo IGD
Subtotal
TAB
UNT

15 Mei 2013 14:13

Item
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

15 Mei 2013 13:59

Item
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
AMP
UNT

15 Mei 2013 13:47

Item
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
6,00
4,00

Depo IGD
Subtotal
UNT
TUB
UNT
CAP
UNT

15 Mei 2013 13:42

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

15 Mei 2013 13:35

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

15 Mei 2013 12:25

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
8,00
12,00
6,00
8,00

Depo Atas
Subtotal
VIL
AMP
AMP
UNT

DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

12,00
8,00
70,00
6,00
8,00

UNT
UNT
BOT
BOT
UNT

15 Mei 2013 11:32

Item
PARACETAMOL 60 ML SYRUP
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
BOT
BOT
UNT

15 Mei 2013 09:48

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
UROGARD THERUMO
FOLLEY CATH 24 , 3WAY REMEDI
TRANSFUSION SET THERUMO
DISP SYRINGE 10 CC
DISPOS NE ELEC F ADULT & CHILDREN
FIXOMUL 76991 (15CM)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
3,00
2,00
2,00
10,00
1,00
1,00
1,00
1,00
0,50
0,20
11,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT
PKG
UNT
UNT
UNT
UNT
UNT

14 Mei 2013 19:57

Item
DULCOLAX SUPPOSITORY 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
SUP
UNT

14 Mei 2013 19:01

Item
CEFIXIME GENERIK CAPSULE
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

14 Mei 2013 11:18

Item
Assucryl 3/0 Tapper
SILK 3/0 HR27 REF609 ASSUT
PLAIN 2/0 TAP
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
APRON FILM WHITE
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
20,00
2,00
3,00
3,00
10,00

Emergency OK
Subtotal
PKG
UNT
PKG
UNT
UNT
UNT
PKG
BOT
PKG
PKG
UNT

13 Mei 2013 14:53

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
CEFIXIME GENERIK CAPSULE
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
6,00
1,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
CAP
UNT
UNT

13 Mei 2013 14:52

Item
DULCOLAX 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DULCOLAX SUPPOSITORY 10 mg
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
4,00
4,00
1,00
4,00
27,00
7,00

Depo IGD
Subtotal
TAB
VIL
SUP
AMP
UNT
UNT
BOT
UNT

13 Mei 2013 14:19

Item
VERBAND ROLL
FOLLEY CATHETER 18 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
PKG
UNT
TUB
UNT

CEFIXIME GENERIK CAPSULE

TUSLAH NON RACIKAN
TOTAL

6,00
5,00

CAP
UNT

13 Mei 2013 14:09

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
4,00
2,00
1,00
2,00
20,00
1,00
1,00
1,00
6,00
11,00

Depo IGD
Subtotal
TAB
SUP
AMP
VIL
UNT
UNT
BOT
UNT
UNT
TUB
CAP
UNT

13 Mei 2013 13:57

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 5 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

13 Mei 2013 13:54

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
15,00
3,00
1,00
20,00
7,00

Depo Atas
Subtotal
VIL
AMP
AMP
UNT
BOT
UNT
PKG
UNT

13 Mei 2013 13:42

JAKARTA SEHAT

Depo IGD

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
3,00
4,00
1,00
1,00
4,00
30,00
7,00

Subtotal
TAB
SUP
AMP
VIL
UNT
UNT
BOT
UNT

13 Mei 2013 12:17

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

13 Mei 2013 11:38

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

13 Mei 2013 11:18

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT

13 Mei 2013 10:56

Item
OMEPRAZOLE GEN 20 MG CAPSULE
PERMYO TABLET
NATRIUM DIKLOFENAK KF TABLET 25 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
20,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

13 Mei 2013 10:05

Item
T-VIO 1 V16

JAKARTA SEHAT
Quantity
1,00

Emergency OK
Subtotal
PKG

Assucryl 3/0 Tapper

SILK 2-0 REVERSE CUTTING
PLAIN 2/0 TAP
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
TRANSFUSION SET THERUMO
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC CATH TIP
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
ROCKER SWITCH PENCIL 3M
AQUA BIDES 1000 ML SOLUTION, LIQUID
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
4,00
3,00
20,00
3,00
0,25
0,25
5,00
17,00

PKG
PKG
PKG
UNT
UNT
TUB
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT
PKG
BOT
UNT

12 Mei 2013 17:09

Item
IVENA IV CATH 18
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
2,00
3,00
3,00
10,00
1,00
9,00

Depo IGD
Subtotal
UNT
VIL
AMP
UNT
UNT
TAB
SUP
BOT
BOT
UNT

11 Mei 2013 12:37

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

10 Mei 2013 13:47

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

10 Mei 2013 13:43

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo IGD
Subtotal
TAB
UNT

10 Mei 2013 13:43

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

10 Mei 2013 13:39

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
2,00
4,00
30,00
7,00

Depo Atas
Subtotal
VIL
AMP
AMP
AMP
UNT
UNT
BOT
UNT

10 Mei 2013 13:37

Item
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
FOLLEY CATHETER 18 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
6,00
1,00
5,00

Depo IGD
Subtotal
UNT
TUB
UNT
CAP
UNT
UNT

10 Mei 2013 13:29

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

10 Mei 2013 13:26

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

10 Mei 2013 13:25

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

Depo IGD
Subtotal
TAB
UNT

10 Mei 2013 11:10

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

10 Mei 2013 09:53

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
FOLLEY CATH 24 , 3WAY REMEDI
UROGARD THERUMO
XYLOCAINE 2% 10 GM JELLY
TRANSFUSION SET THERUMO
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
SCRUB BRUSH
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
18,00
1,00
1,00
1,00
1,00
3,00
3,00
10,00
3,00
1,00
1,00
11,00

Emergency OK
Subtotal
BOT
PKG
UNT
TUB
UNT
UNT
UNT
PKG
PKG
UNT
UNT
UNT

9 Mei 2013 13:54

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
6,00
3,00
1,00
3,00
3,00
3,00

Depo IGD
Subtotal
TAB
SUP
VIL
AMP
UNT
UNT

DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

3,00
20,00
1,00
9,00

UNT
BOT
BOT
UNT

9 Mei 2013 11:35

Item
ANBACIM INJECTION
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

8 Mei 2013 14:25

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
6,00
1,00

Depo IGD
Subtotal
CAP
UNT

8 Mei 2013 14:10

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

8 Mei 2013 13:28

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

8 Mei 2013 13:14

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

TOTAL

8 Mei 2013 12:32

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

8 Mei 2013 10:39

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
3,00
4,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT

8 Mei 2013 10:32

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

7 Mei 2013 14:41

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

7 Mei 2013 12:45

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
VIL
UNT
UNT

7 Mei 2013 12:32

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION

JAKARTA SEHAT
Quantity
1,00
3,00
3,00

Depo Atas
Subtotal
VIL
AMP
AMP

ASAM TRANEKSAMAT 500/5 ML INJECTION

DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
4,00
2,00
30,00
8,00

AMP
UNT
UNT
UNT
BOT
UNT

7 Mei 2013 11:57

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

7 Mei 2013 10:00

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
TRANSFUSION SET THERUMO
UROGARD THERUMO
DISP SYRINGE 50 CC CATH TIP
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
FOLLEY CATH 24 , 3WAY REMEDI
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
21,00
1,00
1,00
1,00
2,00
2,00
2,00
1,00
20,00
1,00
10,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
BOT
UNT

6 Mei 2013 19:53

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

6 Mei 2013 15:07

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
8,00
8,00
3,00
15,00
4,00
3,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
BOT
BAG

INFUS SET JMS

IVENA IV CATH 20
DERMAFIX-1V
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
20,00
10,00

UNT
UNT
PKG
PKG
UNT

6 Mei 2013 14:20

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
4,00
1,00
1,00
4,00
20,00
8,00

Depo Atas
Subtotal
TAB
SUP
VIL
AMP
UNT
UNT
UNT
BOT
UNT

6 Mei 2013 13:58

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

6 Mei 2013 13:58

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

6 Mei 2013 13:57

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

6 Mei 2013 13:56

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

TOTAL

6 Mei 2013 13:49

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

6 Mei 2013 13:41

Item
FOLIC ACID 1 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
1,00
20,00
1,00

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

6 Mei 2013 13:36

Item
ASAM MEFENAMAT INF 500 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
TAB
CAP
UNT

6 Mei 2013 13:33

Item
CEFIXIME GENERIK CAPSULE
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
CAP
UNT
UNT
TUB
UNT
UNT

6 Mei 2013 12:51

Item
CEFIXIME GENERIK CAPSULE
ASAM TRANEKSAMAT 500 MG TABLET
ALLOPURINOL INF TABLET 100 MG
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
6,00
4,00

Depo IGD
Subtotal
CAP
TAB
TAB
TAB
UNT

6 Mei 2013 12:49

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

6 Mei 2013 09:52

Item
Assucryl 3/0 Tapper
SILK 2/0 tap HR22 Assut
T-VIO 1 V16
PLAIN 2/0 TAP
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FIXOMUL 76991 (15CM)
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
DISPOS NE ELEC F ADULT & CHILDREN
ROCKER SWITCH PENCIL 3M
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
20,00
1,00
0,25
1,00
1,00
1,00
1,00
0,25
0,25
3,00
17,00

Emergency OK
Subtotal
PKG
PKG
PKG
PKG
UNT
UNT
UNT
PKG
BOT
UNT
UNT
UNT
TUB
UNT
UNT
PKG
PKG
UNT

4 Mei 2013 11:25

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

4 Mei 2013 11:10

Item
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
AMP
UNT

TUSLAH NON RACIKAN

TOTAL

2,00

UNT

4 Mei 2013 10:36

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
3,00
1,00

Depo Atas
Subtotal
CAP
UNT

3 Mei 2013 12:44

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
2,00
4,00
7,00
7,00

Depo Atas
Subtotal
VIL
AMP
AMP
UNT
UNT
UNT
BOT
UNT

3 Mei 2013 12:33

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

3 Mei 2013 12:09

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

3 Mei 2013 11:56

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
UNT
TUB

DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
4,00

UNT
UNT

3 Mei 2013 11:39

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
4,00
2,00
30,00
7,00

Depo Atas
Subtotal
VIL
AMP
AMP
UNT
UNT
UNT
BOT
UNT

3 Mei 2013 11:28

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

3 Mei 2013 10:06

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

3 Mei 2013 09:59

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
UROGARD THERUMO
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATH 24 , 3WAY REMEDI
TRANSFUSION SET THERUMO

JAKARTA SEHAT
Quantity
14,00
1,00
2,00
1,00
1,00

Emergency OK
Subtotal
BOT
UNT
TUB
PKG
UNT

HANDSCOON GAMEX 6.5

HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
3,00
20,00
3,00
10,00

UNT
UNT
UNT
PKG
PKG
UNT

2 Mei 2013 15:04

Item
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
1,00
2,00
1,00
50,00
5,00

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
PKG
UNT

2 Mei 2013 14:54

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

2 Mei 2013 11:50

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

2 Mei 2013 10:54

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
SPORETIK SANBE 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

2 Mei 2013 10:45

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

2 Mei 2013 10:44

Item
CEFIXIME GENERIK CAPSULE
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

2 Mei 2013 09:28

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
FOLLEY CATHETER 3 WAY NO. 24 RUSCH
UROGARD THERUMO
TRANSFUSION SET THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC CATH TIP
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 8
SCRUB BRUSH
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
15,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
10,00
11,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
TUB
UNT
UNT
UNT
UNT
PKG
PKG
UNT

1 Mei 2013 22:06

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

1 Mei 2013 22:02

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

FOLLEY CATHETER 16 RUSCH

DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
6,00
5,00

UNT
UNT
TUB
UNT
CAP
UNT

1 Mei 2013 21:56

Item
HARNAL CAPSULE, HARD GELATIN 0.2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

1 Mei 2013 21:55

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
6,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
CAP
UNT

1 Mei 2013 21:45

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
TAB
SUP
VIL
UNT
UNT
UNT

1 Mei 2013 21:45

Item
DULCOLAX 5 MG TABLET
DULCOLAX SUPPOSITORY 10 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
TAB
SUP
VIL
UNT
UNT
UNT

1 Mei 2013 21:17

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

1 Mei 2013 15:13

Item
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
4,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Pasien
Penjamin
103950
103950
500
500
104450
104450

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
16164
16164
1500
1500
41816
41816

0
0
0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
26124
26124
16164
16164
1410
1410
1500
1500
45198
45198

0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
1997
1997
16164
16164
2000
2000

0
0
0
0
0

44313

44313

Pasien
Penjamin
2016
2016
500
500
2516
2516

0
0
0

Pasien
Penjamin
198987
198987
3300
3300
1997
1997
5500
5500
2000
2000
211784
211784

0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
16164
16164
1500
1500
41816
41816

0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
1997
1997
16164
16164
2000
2000
44313
44313

0
0
0
0
0
0

Pasien
Penjamin
16164
16164
1410
1410
1000
1000
18574
18574

0
0
0
0

Pasien
Penjamin
16164
16164
1410
1410
1000
1000
18574
18574

0
0
0
0

Pasien
Penjamin
14304
14304
500
500
14804
14804

0
0
0

Pasien
Penjamin
16164
16164
1410
1410
1000
1000
18574
18574

0
0
0
0

Pasien
Penjamin
18343
18343
11385
11385
14750
14750
1044
1044
14988
14988
16335
16335
3000
3000
79845
79845

0
0
0
0
0
0
0
0

Pasien
Penjamin
7152
7152
500
500
7652
7652

0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
35838
35838
24024
24024
24024
24024
24024
24024
2000
2000
109910
109910

0
0
0
0
0
0

Pasien
Penjamin
70125
70125
61776
61776
10560
10560
5881
5881
24024
24024
24024
24024
10869
10869
3500
3500
210759
210759

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3042
3042
37890
37890
11385
11385
1997
1997
6160
6160
27720
27720
3000
3000
91194
91194

0
0
0
0
0
0
0
0

Pasien
Penjamin
1230
1230
615
615
3500
3500
750
750
500
500
6595
6595

0
0
0
0
0
0

Pasien
Penjamin
3270
3270
500
500
3770
3770

0
0
0

Pasien
Penjamin
397974
397974
3300
3300
1997
1997
687
687
5500
5500
2500
2500
411958
411958

0
0
0
0
0
0
0

Pasien
Penjamin
1410
1410
26940
26940
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
5500
5500
500
500
6000
6000

0
0
0

Pasien
Penjamin
207900
207900
500
500
208400
208400

0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262
1997
1997
16164
16164

0
0
0
0
0

2500
101074

2500
101074

0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
3270
3270
1410
1410
1000
1000
5680
5680

0
0
0
0

Pasien
Penjamin
68310
68310
62370
62370
17346
17346
18480
18480
17850
17850
877800
877800
49251
49251

0
0
0
0
0
0
0

10040
4000
1125447

10040
4000
1125447

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
5280
5280
16164
16164
3000
3000
106855
106855

0
0
0
0
0
0
0
0

Pasien
Penjamin
68310
68310
561684
561684
17346
17346
97020
97020
10780
10780
7650
7650
3000
3000
765790
765790

0
0
0
0
0
0
0
0

Pasien
Penjamin
215028
215028
49500
49500
17325
17325
74250
74250
36036
36036
36036
36036
36036
36036
10040
10040
10869
10869
11525.25 11525.25
42710.5 42710.5
5500
5500
544855.8 544855.8

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17160
17160
139563
139563
18343
18343
3994
3994
2550
2550
67742
67742
130944
130944
113550
113550
112200
112200
159600
159600
11525.25 11525.25
32010
32010
76138
76138
5809
5809
78342
78342
37620
37620
48048
48048
36036
36036
36036
36036
16088
16088
10040
10040
42710.5 42710.5
11000
11000
1207049 1207049

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37890
37890
35739
35739
27720
27720
3300
3300
6160
6160
376200
376200
14988
14988
16335
16335
4000
4000
522332
522332

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
397974
397974
3300
3300
1997
1997
1500
1500

0
0
0
0

404771

404771

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
12120
12120
58806
58806
1000
1000
71926
71926

0
0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
26940
26940
380
380
3000
3000
112731
112731

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
103950
103950
500
500
104450
104450

0
0
0

Pasien
Penjamin
3042
3042
500
500
3542
3542

0
0
0

Pasien
Penjamin
186090
186090
12120
12120
1000
1000
199210
199210

0
0
0
0

Pasien
Penjamin
12120
12120
500
500
12620
12620

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
3300
3300
1997
1997
3042
3042
37890
37890
11385
11385
2500
2500
60114
60114

0
0
0
0
0
0
0

Pasien
Penjamin
13860
13860
5782
5782
5100
5100
3080
3080
376200
376200
2500
2500
406522
406522

0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
3300
3300
37890
37890
3042
3042
14988
14988
2500
2500
70135
70135

0
0
0
0
0
0
0

Pasien
Penjamin
119460
119460
74250
74250
49500
49500
17325
17325
5881
5881
36036
36036
48048
48048
10040
10040
10869
10869
39600
39600
42710.5 42710.5
5732
5732
6000
6000
465451.5 465451.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
278981
278981
5500
5500
11464
11464

0
0
0

28
3500
900
1500
301873

28
3500
900
1500
301873

0
0
0
0
0

Pasien
Penjamin
207900
207900
500
500
208400
208400

0
0
0

Pasien
Penjamin
207900
207900
500
500
208400
208400

0
0
0

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
186090
186090
500
500
186590
186590

0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
59730
59730
18343
18343
5809
5809
56262
56262
5732
5732
60060
60060
36036
36036
5020
5020
10869
10869
4500
4500
262361
262361

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

102000
500
102500

102000
500
102500

0
0
0

Pasien
Penjamin
11385
11385
500
500
11885
11885

0
0
0

Pasien
Penjamin
11385
11385
500
500
11885
11885

0
0
0

Pasien
Penjamin
11385
11385
500
500
11885
11885

0
0
0

Pasien
Penjamin
13860
13860
3080
3080
8415
8415
16335
16335
14988
14988
2500
2500
59178
59178

0
0
0
0
0
0
0

Pasien
492
240
3500
300
912
1000
6444

Penjamin
492
240
3500
300
912
1000
6444

0
0
0
0
0
0
0

Pasien
Penjamin
2550
2550
10040
10040
16335
16335
1500
1500
30425
30425

0
0
0
0
0

Pasien
Penjamin
26940
26940
570
570
17880
17880
1500
1500
46890
46890

0
0
0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
23892
23892
18342
18342
5809
5809
56262
56262
5732
5732
10869
10869
36036
36036
36036
36036
5020
5020
4500
4500
202498
202498

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23892
23892
18343
18343
5809
5809
56262
56262
5732
5732
1275
1275
1540
1540
36036
36036
36036
36036
5020
5020
7246
7246
5500
5500
202691
202691

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1230
1230
615
615
3500
3500
750
750
500
500
6595
6595

0
0
0
0
0
0

Pasien
Penjamin
4560
4560
500
500
5060
5060

0
0
0

Pasien
Penjamin
3042
3042
37890
37890
11385
11385
13860
13860
3300
3300
1997
1997
3080
3080
3500
3500
78054
78054

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
3042
3042
37890
37890
11385
11385
27720
27720
3300
3300
1997
1997
6160
6160
376200
376200
4000
4000
471694
471694

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
1997
1997
16164
16164
2000
2000
44313
44313

0
0
0
0
0
0

Pasien
Penjamin
83160
83160
500
500
83660
83660

0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101074
101074

0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
3042
3042
37890
37890
14988
14988
1500
1500
57420
57420

0
0
0
0
0

Pasien
Penjamin
16164
16164
11920
11920
1000
1000
29084
29084

0
0
0
0

Pasien
Penjamin
11920
11920
500
500
12420
12420

0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
14750
14750
2550
2550
14988
14988
8415
8415
2000
2000
42703
42703

0
0
0
0
0
0

Pasien
Penjamin
11385
11385
14750
14750
1997
1997
2550
2550
2000
2000
32682
32682

0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
5732
5732
71676
71676
24024
24024
24024
24024
24024
24024
10869
10869
4500
4500
245263
245263

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
12012
12012

0
0
0
0

2000
94426

2000
94426

0
0

Pasien
Penjamin
70125
70125
18342
18342
5809
5809
56262
56262
5732
5732
12012
12012
24024
24024
24024
24024
10040
10040
10869
10869
26400
26400
5500
5500
269139
269139

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
207900
207900
500
500
208400
208400

0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262

0
0
0

1997
16164
2500
101075

1997
16164
2500
101075

0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
10776
10776
228
228
1000
1000
12004
12004

0
0
0
0

Pasien
Penjamin
16164
16164
11920
11920
1000
1000
29084
29084

0
0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
11385
11385
14750
14750
20790
20790
1997
1997
2550
2550
4620
4620
8415
8415
14988
14988
4000
4000
83495
83495

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70125
70125
36036
36036
24024
24024
10040
10040
39600
39600
28316
28316
3000
3000
211141
211141

0
0
0
0
0
0
0
0

Pasien
Penjamin
11385
11385
3300
3300
1997
1997
3042
3042
37890
37890
2500
2500
60114
60114

0
0
0
0
0
0
0

Pasien
Penjamin
10776
10776
500
500
11276
11276

0
0
0

Pasien
Penjamin
4326
4326

500
4826

500
4826

0
0

Pasien
Penjamin
11385
11385
3300
3300
1997
1997
14988
14988
8415
8415
25260
25260
3000
3000
68345
68345

0
0
0
0
0
0
0
0

Pasien

Penjamin
380
500
880

0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
26940
26940

380
500
880

500
27440

500
27440

0
0

Pasien
Penjamin
5809
5809
56262
56262
16164
16164
1500
1500
79735
79735

0
0
0
0
0

Pasien
Penjamin
55440
55440
500
500
55940
55940

0
0
0

Pasien
Penjamin
234570
234570
500
500
235070
235070

0
0
0

Pasien
Penjamin
51838
51838
500
500
52338
52338

0
0
0

Pasien
Penjamin
5809
5809
56262
56262
16164
16164
1500
1500
79735
79735

0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809

0
0

56262
93045
2000
175458

56262
93045
2000
175458

0
0
0
0

Pasien
Penjamin
10776
10776
14988
14988
2550
2550
4620
4620
8415
8415
16335
16335
3000
3000
60684
60684

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
20121
20121
27720
27720
11564
11564
3825
3825
4620
4620
8415
8415
188100
188100
4000
4000
283353
283353

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
119460
119460
148500
148500
49500
49500
17325
17325
1997
1997
24024
24024
24024
24024
24024
24024
5020
5020
10869
10869
42710.5 42710.5
5500
5500
472953.5 472953.5

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
376200
376200
6707
6707
5782
5782
13860
13860
3080
3080
5100
5100
14988
14988
8415
8415
4000
4000
438132
438132

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
107514
107514
49500
49500
74250
74250
17325
17325
1997
1997
24024
24024
24024
24024
24024
24024
7246
7246
42710.5 42710.5
5000
5000
377614.5 377614.5

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6707
6707
3042
3042
71478
71478
3300
3300
1997
1997
2500
2500
89024
89024

0
0
0
0
0
0
0

Pasien
Penjamin
5809
5809
56262
56262

0
0

1997
16164
12012
5280
3000
100524

1997
16164
12012
5280
3000
100524

0
0
0
0
0
0

Pasien
Penjamin
5809
5809
56262
56262
1997
1997
16164
16164
2000
2000
82232
82232

0
0
0
0
0
0

Pasien
Penjamin
207900
207900
500
500
208400
208400

0
0
0

Pasien
Penjamin
5809
5809
56262
56262
1997
1997
16164
16164
2000
2000
82232
82232

0
0
0
0
0
0

Pasien
Penjamin
83160
83160
500
500
83660
83660

0
0
0

Pasien
Penjamin
3270
3270
500
500
3770
3770

0
0
0

Pasien
Penjamin
14750
14750
500
500
15250
15250

0
0
0

Pasien
Penjamin
5809
5809
56262
56262
1997
1997
16164
16164
2000
2000
82232
82232

0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
53656
53656
83160
83160
17346
17346
15976
15976

0
0
0
0

18480
10200
877800
98502
4000
1179120

18480
10200
877800
98502
4000
1179120

0
0
0
0
0
0

Pasien
Penjamin
2760
2760
39500
39500
1000
1000
43260
43260

0
0
0
0

Pasien
Penjamin
215028
215028
36036
36036
24024
24024
24024
24024
5020
5020
49500
49500
74250
74250
17325
17325
1997
1997
42710.5 42710.5
28316
28316
5500
5500
523730.5 523730.5

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
35739
35739
500
500
36239
36239

0
0
0

Pasien
Penjamin
16164
16164
11920
11920
1000
1000
29084
29084

0
0
0
0

Pasien
Penjamin
64886
64886
54903
54903
57853
57853
24024
24024
24024
24024
24024
24024
10040
10040
11762
11762
10869
10869
39600
39600
5000
5000
326985
326985

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262
16164
16164
1540
1540
2500
2500
100617
100617

0
0
0
0
0
0
0

Pasien
Penjamin
3042
3042
6707
6707
50520
50520
27720
27720
3300
3300
6160
6160
338580
338580
3500
3500
439529
439529

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3696
3696
18342
18342
56262
56262
1540
1540

0
0
0
0

16164
2500
98504

16164
2500
98504

0
0
0

Pasien
Penjamin
3042
3042
37890
37890
27720
27720
13414
13414
3300
3300
3080
3080
250800
250800
18342
18342
5809
5809
56262
56262
16164
16164
5500
5500
441323
441323

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262
1540
1540
16164
16164
2500
2500
100617
100617

0
0
0
0
0
0
0

Pasien
Penjamin
53656
53656
59000
59000
23128
23128
19125
19125
27288
27288
16335
16335
10040
10040
3500
3500
212072
212072

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3042
3042
37890
37890
27720
27720
6707
6707
3300
3300
6160
6160
376200
376200
3500
3500
464519
464519

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262
1500
1500
81913
81913

0
0
0
0
0

Pasien
Penjamin
4500
4500
64520
64520
4040
4040
1500
1500
74560
74560

0
0
0
0
0

Pasien
Penjamin
76138
76138

64886
64886
56100
56100
57853
57853
18342
18342
5809
5809
112524
112524
34650
34650
5732
5732
22688
22688
48048
48048
36036
36036
10040
10040
10869
10869
21355.25 21355.25
29040
29040
59730
59730
8500
8500
678340.3 678340.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
6707
6707
13860
13860
3300
3300
3080
3080
3042
3042
37890
37890
125400
125400
81510
81510
4500
4500
294277
294277

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
2016
2016
500
500
2516
2516

0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
6707
6707
13860
13860
5782
5782
14750
14750
3080
3080
5100
5100
376200
376200
3500
3500
428979
428979

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5809
5809
56262
56262
1997
1997
16164
16164
18342
18342
2500
2500
101074
101074

0
0
0
0
0
0
0

Pasien
Penjamin
207900
207900
500
500
208400
208400

0
0
0

Pasien
Penjamin
148500
148500
500
500
149000
149000

0
0
0

Pasien
Penjamin
4560
4560
500
500
5060
5060

0
0
0

Pasien
Penjamin
16164
16164
1410
1410
1000
1000
18574
18574

0
0
0
0

Pasien
Penjamin
215028
215028
74250
74250
49500
49500
56262
56262
17325
17325
36036
36036
36036
36036
5020
5020
39600
39600
5732
5732
22688
22688
5500
5500
562977
562977

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6084
6084
37890
37890
6707
6707
20790
20790
9900
9900
5991
5991

0
0
0
0
0
0

4620
250800
81510
4500
428792

4620
250800
81510
4500
428792

0
0
0
0
0

Pasien
Penjamin
70438
70438
8415
8415
14988
14988
1500
1500
95341
95341

0
0
0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000

0
0
0

29350

29350

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
6707
6707
20790
20790
1997
1997
4620
4620
2000
2000
36114
36114

0
0
0
0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien
Penjamin
6707
6707
1997
1997
1000
1000
9704
9704

0
0
0
0

Pasien
Penjamin
6707
6707
22125
22125
8673
8673

0
0
0

13860
3994
5100
3080
376200
4000
443739

13860
3994
5100
3080
376200
4000
443739

0
0
0
0
0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
250866
250866
17325
17325
49500
49500
22688
22688
24024
24024
24024
24024
24024
24024
74250
74250
10040
10040
5881
5881
5000
5000
507622
507622

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1520
1520
500
500
2020
2020

0
0
0

Pasien
Penjamin
53656
53656
23128
23128
5991
5991
19125
19125
36384
36384
28899
28899

0
0
0
0
0
0

8415
14988
2970
10040
5000
208596

8415
14988
2970
10040
5000
208596

0
0
0
0
0
0

Pasien
Penjamin
3042
3042
37890
37890
6707
6707
27720
27720
1757
1757
1997
1997
6160
6160
250800
250800
4000
4000
340073
340073

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68745
68745
500
500
69245
69245

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
1410
1410
500
500

0
0

1910

1910

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
1640
1640
820
820
3500
3500
7000
7000
500
500
13460
13460

0
0
0
0
0
0

Pasien
Penjamin
1410
1410
26940
26940
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
16164
16164
18343
18343
5809
5809
56262
56262
1997
1997
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
11920
11920
760
760
2016
2016
2000
2000
43636
43636

0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
64886
64886
54903
54903
76138
76138
57853
57853
24024
24024
24024
24024
24024
24024
10040
10040
5881
5881
35395
35395
18343
18343
5809
5809
56262
56262
5732
5732
21355.25 21355.25
29040
29040
39600
39600
8500
8500
561809.3 561809.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
5672
5672
1275
1275

0
0

1000
7947

1000
7947

0
0

Pasien
Penjamin
8082
8082
500
500
8582
8582

0
0
0

Pasien
Penjamin
6707
6707
13860
13860
5782
5782
1997
1997
3080
3080
5100
5100
87780
87780
3500
3500
127806
127806

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262

0
0
0

1997
2000
84410

1997
2000
84410

0
0
0

Pasien
Penjamin
6707
6707
13860
13860
5782
5782
1997
1997
5100
5100
3080
3080
376200
376200
3500
3500
416226
416226

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101074
101074

0
0
0
0
0
0
0

Pasien
Penjamin
167244
167244
49500
49500
112524
112524
74250
74250
17325
17325

0
0
0
0
0

24024
24024
36036
10040
39600
5000
559567

24024
24024
36036
10040
39600
5000
559567

0
0
0
0
0
0
0

Pasien
Penjamin
14750
14750
1997
1997
3080
3080
1275
1275
25100
25100
2500
2500
48702
48702

0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
55440
55440
500
500
55940
55940

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
111654
111654
2500
2500
196565
196565

0
0
0
0
0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
16164
16164
11920
11920
1000
1000
29084
29084

0
0
0
0

Pasien
Penjamin
179190
179190
61875
61875
49500
49500
17325
17325
56262
56262
5732
5732
22688
22688
24024
24024
24024
24024
39600
39600
5020
5020
5500
5500
490740
490740

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien

Penjamin

18343
5809
56262
1997
16164
2500
101075

18343
5809
56262
1997
16164
2500
101075

0
0
0
0
0
0
0

Pasien
Penjamin
207900
207900
500
500
208400
208400

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
1997
1997
16164
16164
2500
2500
101075
101075

0
0
0
0
0
0
0

Pasien
Penjamin
3042
3042
37890
37890
6707
6707
3300
3300
1997
1997
2500
2500
55436
55436

0
0
0
0
0
0
0

Pasien
Penjamin
3042
3042
37890
37890
6707
6707
3300
3300
1997
1997
2500
2500
55436
55436

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
3300
3300
1997
1997
6160
6160
1500
1500
12957
12957

0
0
0
0
0

Waktu
31 Mei 2013 14:59
Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
CURCUMA 200 MG TABLET
CEFEPIME 1 GR INJECTION
OMEPRAZOLE 40 MG INJECTION
CEDANTRON 4 MG/ML INJECTION
SANMOL INFUSION
FUTROLIT INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

Jaminan
UMUM
Quantity
1,00
10,00
3,00
3,00
6,00
3,00
3,00
3,00
20,00
10,00
10,00

31 Mei 2013 14:00

Item
IVENA IV CATH 20
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

31 Mei 2013 13:59

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

31 Mei 2013 12:10

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

31 Mei 2013 12:10

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

31 Mei 2013 12:09

JAKARTA SEHAT

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
8,00
9,00
20,00
3,00

31 Mei 2013 12:09

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEREMAX IV INFUS 50ml
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
3,00
16,00
3,00
15,00
12,00
20,00
8,00

31 Mei 2013 12:09

Item
PARACETAMOL INF TABLET 500 mg
ASPAR-K TABLET, COATED 300 mg
NEUROSANBE 3 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
3,00
6,00
10,00
3,00
20,00
7,00

31 Mei 2013 11:34

Item
FUROSEMID INF INJECTION
DILTIAZEM INF TABLET 30 MG
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
4,00
10,00
30,00
4,00

31 Mei 2013 11:34

Item

JAKARTA SEHAT
Quantity

DRAINAGE BAG STERIL

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

31 Mei 2013 11:33

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
PARACETAMOL INF TABLET 500 mg
ASPAR-K TABLET, COATED 300 mg
PANTOPRAZOLE INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
10,00
6,00
3,00
20,00
6,00

31 Mei 2013 11:32

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

31 Mei 2013 11:31

Item
CEDOCARD TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

31 Mei 2013 11:09

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

31 Mei 2013 11:09

Item
ASPILETS TABLET, CHEWABLE 80 MG
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

31 Mei 2013 11:02

JAKARTA SEHAT

Item
BD MICRO-FINE
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
5,00
5,00
10,00
10,00
10,00
5,00

31 Mei 2013 10:58

Item
ORALIT
INFUS SET JMS
IVENA IV CATH 24
DISP ONEMED 3CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
2,00
5,00
5,00
5,00
2,00
3,00
8,00

31 Mei 2013 10:47

Item
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
DISP ONEMED 3CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
20,00
5,00
5,00
5,00

31 Mei 2013 10:47

Item
IVENA IV CATH 24
INFUS SET JMS
DISP ONEMED 3CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
5,00
5,00
2,00
20,00
6,00

31 Mei 2013 10:47

Item
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP ONEMED 3CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
20,00
5,00
5,00
5,00
6,00

31 Mei 2013 10:46

Item
PAMOL 125 MG SUPPOSITORY
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 24
INFUS SET JMS
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
2,00
5,00
5,00
20,00
7,00

31 Mei 2013 10:44

Item
KA-EN 3B 500 ML INFUSION
NATRIUM PHENITOIN 50MG /ML INJ
SELANG OKSIGEN CHILD
PAMOL 125 MG SUPPOSITORY
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 24
INFUS SET JMS
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
1,00
3,00
3,00
2,00
1,00
5,00
5,00
20,00
10,00

31 Mei 2013 10:44

Item
KA-EN 1B 500 ML INFUSION
STESOLID RECTAL 5 mg/2,5 ml
CINAM 1.5 GM INJECTION
DISP ONEMED 3CC

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
5,00

DISP SYRINGE 5 CC
PAMOL 125 MG SUPPOSITORY
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

5,00
3,00
3,00
2,00
2,00
20,00
10,00

31 Mei 2013 10:44

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
5,00
20,00
2,00
3,00
8,00

31 Mei 2013 10:43

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
DISP ONEMED 3CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
2,00
20,00
5,00
2,00
5,00
5,00
9,00

31 Mei 2013 10:32

Item
DISP ONEMED 3CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TRANSFUSION SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
2,00
2,00
5,00

TOTAL

31 Mei 2013 10:32

Item
TRIDEX 27B INFUSION
CINAM 1.5 GM INJECTION
INFUS SET JMS
IVENA IV CATH 24
DISP ONEMED 3CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
1,00
2,00
5,00
5,00
5,00
20,00
2,00
1,00
10,00

31 Mei 2013 10:31

Item
CINAM 1.5 GM INJECTION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP ONEMED 3CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

GIZI BURUK
Quantity
3,00
2,00
1,00
20,00
5,00
5,00
5,00
2,00
3,00
9,00

31 Mei 2013 10:31

Item
KA-EN 3B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
DISP ONEMED 3CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
1,00
20,00
2,00
5,00
5,00
5,00
9,00

31 Mei 2013 10:31

Item
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
INFUS SET JMS
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
DISP ONEMED 3CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
3,00
1,00
2,00
5,00
20,00
2,00
5,00
5,00
10,00

31 Mei 2013 10:30

Item
CINAM 1.5 GM INJECTION
INFUS SET JMS
IVENA IV CATH 24
DISP ONEMED 3CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
2,00
5,00
5,00
20,00
5,00
7,00

31 Mei 2013 10:30

Item
KA-EN 3B 500 ML INFUSION
GENTAMYCIN INF 40 MG/ML INJECTION
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP ONEMED 3CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
1,00
5,00
20,00
5,00
5,00
8,00

31 Mei 2013 10:30

Item

JAKARTA SEHAT
Quantity

AMOXICILLIN 500 MG TABLET

OBH MINOROCK 100 ML
FG TROCHES MEIJI
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
10,00
3,00

30 Mei 2013 11:45

Item
CINAM 1.5 GM INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SELANG NEBU PEDRIATIC(1484)
MUCERA OTTO 15 ML DROPS
SANMOL 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00
1,00
5,00

30 Mei 2013 10:25

Item
EXTENSION TUBE ET 2 (DWS)
THREE WAY STOPCOCK
NACL ECOSOL/B BRAUN 100 ML INFUSION
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

30 Mei 2013 06:36

Item
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

30 Mei 2013 05:49

Item
PANTOPRAZOLE INJECTION
KETESSE 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

30 Mei 2013 01:17

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

30 Mei 2013 00:49

Item
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
2,00
4,00

30 Mei 2013 00:48

Item
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
4,00
1,00
4,00

29 Mei 2013 23:03

Item
IVENA IV CATH 24
BD VACUTAINER
SELANG OKSIGEN ADULT
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

29 Mei 2013 23:02

Item
IVENA IV CATH 20
IVENA IV CATH 22
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

BD VACUTAINER
DERMAFIX-1V
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
6,00

29 Mei 2013 23:00

Item
IVENA IV CATH 20
NON REBREATHING MASK ADULT(1102)
DERMAFIX-1V
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
STOMACH TUBE 16 THERUMO
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
8,00

29 Mei 2013 22:58

Item
IVENA IV CATH 24
IVENA IV CATH 22
TRANSFUSION SET JMS
SANMOL INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

29 Mei 2013 22:57

Item
DISP SYRINGE 3 CC
IVENA IV CATH 20
TRANSFUSION SET JMS
DERMAFIX-1V
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

29 Mei 2013 22:56

Item

JAKARTA SEHAT
Quantity

IVENA IV CATH 20
IVENA IV CATH 22
TRANSFUSION SET JMS
DERMAFIX-1V
DISP SYRINGE 3 CC
BD VACUTAINER
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
2,00
1,00
1,00
7,00

29 Mei 2013 22:55

Item
IVENA IV CATH 24
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

29 Mei 2013 22:53

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
IVENA IV CATH 24
TRANSFUSION SET JMS
SELANG OKSIGEN ADULT
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

29 Mei 2013 21:54

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
IVENA IV CATH 20
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
1,00
4,00

29 Mei 2013 21:53

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML

JAKARTA SEHAT
Quantity
2,00

DISP SYRINGE 10 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
3,00

29 Mei 2013 21:41

Item
BD VACUTAINER
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

29 Mei 2013 21:39

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

29 Mei 2013 20:25

Item
ANBACIM INJECTION
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

29 Mei 2013 19:53

Item
BD VACUTAINER
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

29 Mei 2013 19:50

Item
DISP SYRINGE 5 CC
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

TOTAL

29 Mei 2013 13:31

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

29 Mei 2013 11:31

Item
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
1,00
1,00
10,00

29 Mei 2013 11:14

Item
KA-EN 1B 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
ALKOHOL SWAB
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
20,00
1,00
5,00
2,00
5,00
5,00
7,00

29 Mei 2013 11:13

Item
RINGER LACTATE WIDATRA 500 ML
CINAM 1.5 GM INJECTION
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
1,00
5,00
20,00
2,00
6,00

29 Mei 2013 11:08

Item

JAKARTA SEHAT
Quantity

KA-EN 3B 500 ML INFUSION

KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
5,00
5,00
5,00
2,00
1,00
7,00

29 Mei 2013 11:07

Item
RINGER LACTATE WIDATRA 500 ML
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DEXAMETHASONE 5 MG INJECTION
INFUS SET JMS
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
5,00
2,00
1,00
1,00
5,00
10,00
8,00

29 Mei 2013 11:07

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
5,00
5,00
10,00
2,00
1,00
1,00
9,00

29 Mei 2013 11:07

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL 60 ML SYRUP
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
5,00
10,00

IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

1,00
6,00

29 Mei 2013 11:05

Item
RINGER LACTATE WIDATRA 500 ML
AMBROXOL INF 60 ML SYRUP
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
5,00
10,00
1,00
6,00

29 Mei 2013 11:05

Item
KA-EN 1B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
5,00
4,00
3,00
2,00
20,00
1,00
9,00

29 Mei 2013 11:05

Item
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
20,00
3,00
3,00

29 Mei 2013 11:05

Item
KA-EN 1B 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
5,00

IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

2,00
5,00
20,00
1,00
8,00

29 Mei 2013 11:04

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
3,00
5,00
5,00
2,00
5,00
20,00
1,00
2,00
10,00

29 Mei 2013 11:04

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
PIRACETAM INF 1200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00
20,00
1,00
5,00
6,00
2,00
8,00

29 Mei 2013 11:03

Item
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
INFUS SET JMS

JAKARTA SEHAT
Quantity
4,00
20,00
2,00
5,00
5,00
5,00
1,00

TUSLAH NON RACIKAN

TOTAL

7,00

29 Mei 2013 11:03

Item
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
20,00
2,00
5,00
5,00
1,00
5,00
7,00

29 Mei 2013 11:03

Item
KA-EN 3B 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
20,00
5,00
5,00
5,00
2,00
1,00
7,00

29 Mei 2013 11:01

Item
INFUS SET JMS
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
KA-EN 3B 500 ML INFUSION
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
5,00
5,00
2,00
20,00
3,00
5,00
8,00

29 Mei 2013 10:35

Item
KA-EN 1B 500 ML INFUSION

JAKARTA SEHAT
Quantity
6,00

RANITIDINE GENERIK 25 MG/ML INJECTION

AQUA FOR INJECT OTSUKA 25 ML
INFUS SET JMS
ALKOHOL SWAB
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

3,00
2,00
1,00
5,00
1,00
10,00
5,00
5,00
9,00

28 Mei 2013 11:42

Item
ZINKID 10MG/5ML SYRUP
IVENA IV CATH 24
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

28 Mei 2013 11:14

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 10:37

Item
ACETYLCYSTEIN 200MG CAPS
TRIAMCORT TABLET 4 mg
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
10,00

28 Mei 2013 10:37

Item
BRICASMA 2.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 15:08

Item

JAKARTA SEHAT
Quantity

STESOLID RECTAL 10 mg/2,5 ml

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

27 Mei 2013 13:16

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
2,00
3,00
3,00
5,00
2,00
20,00
8,00

27 Mei 2013 13:15

Item
KA-EN 3B 500 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
3,00
8,00
1,00
1,00
5,00
20,00
8,00

27 Mei 2013 11:20

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
4,00
3,00
2,00
1,00
5,00
20,00
2,00
9,00

27 Mei 2013 11:19

Item
KA-EN 1B 500 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
4,00
2,00
1,00
5,00
2,00
20,00
8,00

27 Mei 2013 11:19

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
4,00
2,00
1,00
2,00
5,00
7,00

27 Mei 2013 11:19

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
3,00
2,00
5,00
20,00
6,00
6,00

27 Mei 2013 11:19

Item
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
4,00
5,00
2,00
1,00
5,00

HANDSCOON NON STERIL S (PCS)

AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

20,00
2,00
7,00

27 Mei 2013 11:18

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
5,00
5,00
20,00
2,00
7,00

27 Mei 2013 11:09

Item
RINGER LACTATE WIDATRA 500 ML
CEFEPIME 1 GR INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
3,00
20,00
6,00
5,00
1,00
1,00
9,00

27 Mei 2013 11:09

Item
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 24
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
1,00
1,00
4,00

27 Mei 2013 11:09

Item
KA-EN 1B 500 ML INFUSION

JAKARTA SEHAT
Quantity
3,00

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

DEXAMETHASONE 5 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NYMIKO SANBE 12 ML SUSPENSION
PARACETAMOL DROP 15 ML
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
3,00
7,00
3,00
20,00
1,00
1,00
2,00
10,00

27 Mei 2013 11:08

Item
KA-EN 3B 500 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
6,00
3,00
1,00
20,00
1,00
7,00

27 Mei 2013 11:08

Item
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
20,00
6,00
1,00
1,00
2,00
8,00

27 Mei 2013 11:08

Item
KA-EN MG3 500 ML INFUSION 100 g; 50 mEq
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS

JAKARTA SEHAT
Quantity
3,00
2,00
20,00
1,00
1,00

AQUA FOR INJECT OTSUKA 25 ML

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
5,00
7,00

27 Mei 2013 11:08

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
1,00
20,00
1,00
1,00
6,00

27 Mei 2013 11:07

Item
KA-EN 1B 500 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
20,00
1,00
1,00
1,00
6,00

27 Mei 2013 11:07

Item
DISP SYRINGE 3 CC
DUMIN 125 MG SUPPOSITORY, INSERT
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
20,00
3,00

27 Mei 2013 11:07

Item
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
3,00
3,00
20,00
2,00
2,00
5,00

INFUS SET JMS

TUSLAH NON RACIKAN
TOTAL

1,00
7,00

27 Mei 2013 11:06

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
6,00
20,00
5,00
2,00
7,00

27 Mei 2013 00:37

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

26 Mei 2013 10:18

Item
CATAPRES INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
3,00
3,00

26 Mei 2013 10:16

Item
CEREMAX IV INFUS 50ml
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
IVENA IV CATH 20
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00
2,00
2,00
2,00
7,00

26 Mei 2013 07:20

Item
NATRIUM PHENITOIN 50MG /ML INJ
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

26 Mei 2013 06:28

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

26 Mei 2013 06:28

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
3,00

26 Mei 2013 06:28

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
3,00
3,00
1,00
8,00

26 Mei 2013 06:27

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

26 Mei 2013 06:27

JAKARTA SEHAT

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
2,00

26 Mei 2013 06:21

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

26 Mei 2013 06:20

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

26 Mei 2013 06:17

Item
IVENA IV CATH 24
IVENA IV CATH 20
TRANSFUSION SET JMS
SELANG OKSIGEN ADULT
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
5,00

26 Mei 2013 06:15

Item
IVENA IV CATH 24
IVENA IV CATH 20
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
5,00

25 Mei 2013 23:57

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
2,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

25 Mei 2013 23:25

Item
CEREMAX IV INFUS 50ml
NEEDLE NO.18 THERUMO
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

25 Mei 2013 23:23

Item
HANDSCOON GAMEX 6.5
FOLLEY CATHETER 16 RUSCH
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 20
VERBAND ROLL
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
3,00
2,00
1,00
1,00
1,00
1,00
11,00

25 Mei 2013 23:14

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

25 Mei 2013 23:12

Item
BD VACUTAINER
RING AS SANBE 500 ML
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 18
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
2,00

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

2,00
6,00

25 Mei 2013 23:11

Item
IVENA IV CATH 20
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
2,00

25 Mei 2013 23:09

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

25 Mei 2013 21:10

Item
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
2,00
3,00
3,00

25 Mei 2013 21:07

Item
OPIGRAN INJ 3
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00
3,00

25 Mei 2013 21:05

Item
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
3,00
1,00

25 Mei 2013 20:34

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
5,00
2,00
2,00
3,00

25 Mei 2013 20:31

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

25 Mei 2013 20:30

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
3,00
2,00
1,00
4,00

25 Mei 2013 20:19

Item
CAPTOPRIL 12.5 MG TABLET
PARACETAMOL INF TABLET 500 mg
ASPAR-K TABLET, COATED 300 mg
NACL CAPS 500 mg CAPSULE
TUSLAH RACIKAN
EMBALASE
VIVACE 10 MG TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
3,00
1,00
3,00
1,00
1,00
2,00
6,00

25 Mei 2013 19:39

Item
PROPANOLOL 10 MG TABLET
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET

JAKARTA SEHAT
Quantity
2,00
3,00
3,00

OMEPRAZOLE 40 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
IMIPENEM CILASTATIN 1 GR INJECTION
PRONALGES SUPPOSITORY 100 MG
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
1,00
3,00
2,00
2,00
2,00
10,00

25 Mei 2013 19:27

Item
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00

25 Mei 2013 19:26

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
FLUCONAZOLE 150 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
ONDANSETRON INF 4 MG INJECTION
SALBUTAMOL INF TABLET 2 MG
RING AS SANBE 500 ML
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
8,00
1,00
1,00
2,00
2,00
2,00
1,00
4,00
3,00
2,00
1,00
14,00

25 Mei 2013 19:18

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

25 Mei 2013 19:17

Item

JAKARTA SEHAT
Quantity

AMLODIPIN 5 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
1,00
3,00
2,00
1,00
2,00
2,00
2,00
6,00

25 Mei 2013 19:13

Item
ACARBOSE 100 MG TABLET
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

25 Mei 2013 19:12

Item
RING AS SANBE 500 ML
KETESSE 25 MG/ML INJECTION
MECOBALAMIN AMP INJECTION
CEFEPIME 1 GR INJECTION
SANMOL INFUSION
METRONIDAZOLE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD MICRO-FINE
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
2,00
1,00
2,00
2,00
3,00
2,00
9,00

25 Mei 2013 19:11

Item
ASPAR-K TABLET, COATED 300 mg
KUTOIN-100 CAPSULE 100 MG
RING AS SANBE 500 ML
IVENA IV CATH 20
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
1,00
2,00
1,00
6,00

25 Mei 2013 19:09

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
KETOROLAC 30 MG SOLUTION, INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
SANMOL INFUSION
PRONALGES SUPPOSITORY 100 MG
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
INFUS SET JMS
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
1,00
3,00
1,00
2,00
2,00
1,00
2,00
10,00

25 Mei 2013 19:08

Item
PARACETAMOL INF TABLET 500 mg
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
2,00
2,00
5,00

25 Mei 2013 19:04

Item
LANSOPRAZOLE GENERIK CAPSULE
FUROSEMID INF TABLET
SANMOL INFUSION
PRONALGES SUPPOSITORY 100 MG
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD VACUTAINER
TRANSFUSION SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
2,00
1,00
1,00
2,00
8,00

25 Mei 2013 19:02

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

1,00
4,00

25 Mei 2013 19:01

Item
SIMVASTATIN GENERIK 10 MG TABLET
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
ASPILETS TABLET, CHEWABLE 80 MG
DEXAMETHASONE 5 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
AMINOPHYLLINE 24mg SOLUTION
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
1,00
3,00
3,00
2,00
1,00
1,00
2,00
1,00
11,00

25 Mei 2013 18:58

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
ASPAR-K TABLET, COATED 300 mg
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
2,00
2,00
2,00
3,00
2,00
1,00
2,00
1,00
10,00

25 Mei 2013 18:57

Item
ASPAR-K TABLET, COATED 300 mg
INH 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
ONDANSETRON INF 4 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
2,00
2,00
3,00
3,00

RING AS SANBE 500 ML

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
9,00

25 Mei 2013 18:55

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
NATRIUM DIKLOFENAK 50 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00
3,00
4,00
2,00
1,00
2,00
1,00
2,00
2,00
11,00

25 Mei 2013 18:53

Item
DIGOXIN INF TABLET
VITAMIN B6 10 MG TABLET
SALBUTAMOL INF TABLET 2 MG
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
BISOLVON 2 ML INJECTION
DEXAMETHASONE 5 MG INJECTION
IMIPENEM CILASTATIN 1 GR INJECTION
PYRAZINAMIDE INF 500 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00
1,00
1,00
1,00
2,00
2,00
1,00
3,00
3,00
1,00
2,00
2,00
15,00

25 Mei 2013 18:51

Item
SPIRONOLACTONE 25 MG TABLET

JAKARTA SEHAT
Quantity
2,00

RING AS SANBE 500 ML

DISP SYRINGE 3 CC
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
BICNAT CAPSULE
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
3,00
1,00
3,00
3,00
1,00
3,00
3,00
4,00

25 Mei 2013 18:49

Item
ASPAR-K TABLET, COATED 300 mg
SPIRONOLACTONE 100 MG TABLET
FLUCONAZOLE 150 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
8,00
3,00
3,00
2,00
2,00
2,00
2,00
1,00
1,00
12,00

25 Mei 2013 18:46

Item
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
AMBROXOL INF 30 MG TABLET
VIVACE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
3,00
2,00
2,00
1,00
3,00
1,00
9,00

25 Mei 2013 18:44

JAKARTA SEHAT

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00

25 Mei 2013 18:44

Item
FOLIC ACID 1 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
8,00
1,00
3,00
4,00

25 Mei 2013 18:42

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
CEFEPIME 1 GR INJECTION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NEEDLE NO. 23 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
1,00
1,00
3,00
1,00
2,00
2,00
3,00
10,00

25 Mei 2013 18:41

Item
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
SPIRONOLACTONE 100 MG TABLET
PROPANOLOL 10 MG TABLET
FUROSEMID INF TABLET
FOTARAM 1 g
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
2,00
2,00
1,00
3,00
7,00

25 Mei 2013 18:39

Item

JAKARTA SEHAT
Quantity

ASPAR-K TABLET, COATED 300 mg

TUSLAH NON RACIKAN
TOTAL

2,00
1,00

25 Mei 2013 18:39

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPAR-K TABLET, COATED 300 mg
CEFIXIME GENERIK CAPSULE
DIGOXIN INF TABLET
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
2,00
2,00
1,00
3,00
2,00
2,00
9,00

25 Mei 2013 18:33

Item
SPIRONOLACTONE 100 MG TABLET
CIPROFLOXACIN TABLET
OMEPRAZOLE 40 MG INJECTION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
2,00
2,00
2,00
2,00
1,00
8,00

25 Mei 2013 18:31

Item
ADALAT OROS 30 MG TABLET
DOMPERIDON INF TABLET 10 MG
OMEPRAZOLE GEN 20 MG CAPSULE
CIPROFLOXACIN TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
6,00
2,00
2,00
2,00
2,00
1,00
9,00

25 Mei 2013 18:06

Item
COTRIMOXAZOLE 480 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00
1,00
2,00
2,00
2,00
2,00
7,00

25 Mei 2013 18:03

Item
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 18:02

Item
FENOFIBRAT 200 MG TABLET
OMEPRAZOLE 40 MG INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
NEUROSANBE 3 ML INJECTION
SANMOL INFUSION
METRONIDAZOLE 100 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
4,00
2,00
1,00
2,00
2,00
2,00
2,00
2,00
10,00

25 Mei 2013 18:00

Item
VIVACE 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
4,00
1,00

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
3,00
12,00

25 Mei 2013 17:55

Item
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
2,00
2,00
1,00
2,00
2,00
2,00
8,00

25 Mei 2013 17:53

Item
CAPTOPRIL 12.5 MG TABLET
SANMOL INFUSION
CEFEPIME 1 GR INJECTION
IVENA IV CATH 22
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
2,00
2,00
2,00
11,00

25 Mei 2013 17:50

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
3,00

FOTARAM 1 g
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
2,00
2,00
3,00
10,00

25 Mei 2013 17:47

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
BD VACUTAINER
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
3,00
3,00
2,00
1,00
2,00
2,00
1,00
1,00
3,00
3,00
3,00
11,00

25 Mei 2013 17:45

Item
DEXTROMETHORPHAN INF TABLET 15 MG
ACETYLCYSTEIN 200MG CAPS
ISOSORBIDE DINITRATE INF TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
RING AS SANBE 500 ML
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
3,00
1,00
3,00
3,00
8,00

25 Mei 2013 13:50

Item
FARGOXIN INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

25 Mei 2013 13:37

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 13:36

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 13:35

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 13:34

Item
LOVENOX SOLUTION, INJECTION 40 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 13:14

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
2,00
2,00
2,00
3,00
3,00
3,00
3,00
10,00
10,00
3,00
13,00

25 Mei 2013 13:00

Item
ASPAR-K TABLET, COATED 300 mg
DOMPERIDON INF TABLET 10 MG
OMEPRAZOLE 40 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
2,00
10,00
2,00
2,00
2,00
10,00
9,00

25 Mei 2013 12:39

Item
OMEPRAZOLE 40 MG INJECTION
CEFEPIME 1 GR INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

25 Mei 2013 12:38

Item
OPIGRAN INJ 3
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00

25 Mei 2013 12:36

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00

25 Mei 2013 12:36

Item
RING AS SANBE 500 ML

UMUM
Quantity
2,00

DISP SYRINGE 10 CC
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
3,00

25 Mei 2013 12:36

Item
CAPTOPRIL 12.5 MG TABLET
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00
2,00
3,00

25 Mei 2013 12:35

Item
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
AMBROXOL INF 30 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
CEFPIROME 1GR VIL
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
ALKOHOL SWAB
DISP SYRINGE 3 CC
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
6,00
2,00
2,00
2,00
3,00
3,00
1,00
2,00
2,00
1,00
5,00
2,00
2,00
15,00

25 Mei 2013 12:32

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ISOSORBIDE DINITRATE INF TABLET
AMINORAL TABLET
MAGARD FA TABLET, CHEWABLE
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
AMLODIPIN 5 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
2,00
6,00
6,00
3,00
3,00
1,00
3,00
2,00
3,00

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
1,00
2,00
2,00
5,00
10,00
1,00
14,00

25 Mei 2013 12:29

Item
ALKOHOL SWAB
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
STOMACH TUBE 16 THERUMO
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
OMEPRAZOLE 40 MG INJECTION
BISOLVON 2 ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SELANG OKSIGEN ADULT
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
2,00
1,00
6,00
2,00
2,00
1,00
3,00
2,00
1,00
3,00
3,00
1,00
14,00

25 Mei 2013 12:29

Item
RING AS SANBE 500 ML
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
6,00
1,00
2,00
5,00
10,00
8,00

25 Mei 2013 12:29

JAKARTA SEHAT

Item
ATORVASTATIN 20 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPAR-K TABLET, COATED 300 mg
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
3,00
3,00
2,00
1,00
2,00
10,00
5,00
9,00

25 Mei 2013 12:26

Item
RING AS SANBE 500 ML
SIMVASTATIN GENERIK 10 MG TABLET
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
10,00
3,00
6,00

25 Mei 2013 12:24

Item
VALISANBE INJECTION
STOMACH TUBE 16 THERUMO
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
ONDANSETRON INF 4 MG INJECTION
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
1,00
2,00
3,00
1,00
3,00
3,00
3,00
10,00
12,00

25 Mei 2013 12:10

Item
CEDANTRON TABLET 8 mg

UMUM
Quantity
1,00

AMLODIPIN 5 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OPIGRAN INJ 3
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
3,00
3,00
3,00
5,00
1,00
1,00
10,00

25 Mei 2013 12:02

Item
KETESSE 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
FUTROLIT INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
3,00
2,00
10,00
10,00
6,00

25 Mei 2013 10:53

Item
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 10:52

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
1,00
5,00

25 Mei 2013 10:51

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
3,00

FUTROLIT INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00

25 Mei 2013 10:51

Item
URISPAS TABLET, FILM COATED 200 MG
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00

25 Mei 2013 10:51

Item
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 10:48

Item
IVENA IV CATH 20
IVENA IV CATH 22
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DRAINAGE BAG STERIL
ULTRACET 37,5MG TABL
HERBESSER 50 MG/ML INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
7,00

25 Mei 2013 10:44

Item
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
MUSIN OTTO 120 ML SUSPENSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC

UMUM
Quantity
1,00
2,00
4,00
3,00
3,00
3,00
3,00
1,00
1,00
3,00

DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC CATH TIP
NEEDLE NO.18 THERUMO
SUCTION CATHETER 14
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
1,00
1,00
1,00
1,00
1,00
17,00

24 Mei 2013 14:52

Item
LIVAMIN 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 14:49

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

24 Mei 2013 14:36

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

24 Mei 2013 14:26

Item
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

24 Mei 2013 13:58

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

24 Mei 2013 11:17

JAKARTA SEHAT

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
KUTOIN 100 MG INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
3,00
10,00
6,00
4,00

24 Mei 2013 11:17

Item
CEFEPIME 1 GR INJECTION
METRONIDAZOLE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
FUTROLIT INFUSION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
6,00
10,00
3,00
3,00
3,00
7,00

24 Mei 2013 11:10

Item
MUSIN OTTO 120 ML SUSPENSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
5,00
6,00
6,00
6,00

24 Mei 2013 11:10

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
NOVALGIN SOLUTION, INJECTION 500 mg/ml
M-20 INFUSAN (MANITOL) 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
3,00
3,00
6,00
6,00
6,00
6,00
3,00
8,00

24 Mei 2013 10:53

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
ANALSIK TABLET
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
7,00
5,00
5,00
1,00
6,00
20,00
7,00

24 Mei 2013 10:50

Item
SANMOL INFUSION
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
5,00
3,00
5,00
20,00
2,00
8,00

24 Mei 2013 10:50

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
6,00
1,00
1,00
5,00
3,00
5,00
20,00
8,00

24 Mei 2013 10:50

Item
KA-EN 1B 500 ML INFUSION
SODIUM CHLORIDE 0,9% 25 MG
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
5,00
3,00
5,00

DEXAMETHASONE 5 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
20,00
5,00
5,00
3,00
1,00
1,00
10,00

24 Mei 2013 10:49

Item
ASPAR-K TABLET, COATED 300 mg
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
6,00
6,00
3,00
3,00
6,00

24 Mei 2013 10:49

Item
MUSIN OTTO 120 ML SUSPENSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
10,00
4,00

24 Mei 2013 10:38

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 22
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
1,00
5,00
20,00
5,00
3,00
7,00

24 Mei 2013 10:37

JAKARTA SEHAT

Item
KA-EN 1B 500 ML INFUSION
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
5,00
6,00
1,00
1,00
10,00
5,00
5,00
3,00
8,00

24 Mei 2013 10:37

Item
KA-EN 1B 500 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
3,00
2,00
1,00
1,00
10,00
20,00
2,00
5,00
3,00
11,00

24 Mei 2013 10:22

Item
KA-EN 3B 500 ML INFUSION
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
5,00
20,00
5,00
3,00
6,00

24 Mei 2013 10:22

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
5,00
10,00
1,00

INFUS SET JMS

HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
5,00
5,00
3,00
8,00

24 Mei 2013 10:21

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
10,00
5,00
10,00
5,00
7,00

24 Mei 2013 10:21

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
20,00
5,00
5,00
3,00
1,00
8,00

24 Mei 2013 10:21

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
5,00
2,00
2,00
1,00
1,00
20,00
5,00
3,00
5,00

TUSLAH NON RACIKAN

TOTAL

9,00

24 Mei 2013 10:19

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
INFUS SET JMS
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
5,00
3,00
5,00
20,00
8,00

24 Mei 2013 10:19

Item
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
SODIUM CHLORIDE 0,9% 25 MG
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
2,00
1,00
1,00
5,00
20,00
5,00
3,00
9,00

24 Mei 2013 10:19

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
20,00
5,00
3,00
5,00
7,00

24 Mei 2013 10:18

JAKARTA SEHAT

Item
KA-EN 1B 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
5,00
1,00
1,00
5,00
20,00
5,00
3,00
7,00

24 Mei 2013 10:18

Item
KA-EN 3B 500 ML INFUSION
METRONIDAZOLE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL 60 ML SYRUP
HEALFLON IV.CATH NO.26G HARSORIA
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
3,00
1,00
1,00
5,00
3,00
1,00
20,00
5,00
10,00

24 Mei 2013 10:18

Item
SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 10:11

Item
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
ALKOHOL SWAB
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
20,00
1,00
5,00
5,00
2,00
2,00
5,00
3,00
9,00

TOTAL

23 Mei 2013 10:28

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

23 Mei 2013 10:28

Item
THREE WAY STOPCOCK
DEXTROSE 5% WIDATRA 500 ML INFUSION
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 10:08

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

23 Mei 2013 01:18

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 00:14

Item
BD VACUTAINER
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

22 Mei 2013 23:41

JAKARTA SEHAT

Item
DOBUTAMIN GENERIK 50 MG/ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
CONDOM CATHETER S
DISP SYRINGE 20 CC WIHTOUT NED
THREE WAY STOPCOCK
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
11,00

22 Mei 2013 20:37

Item
HERBESSER 50 MG/ML INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

22 Mei 2013 19:23

Item
BD VACUTAINER
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 19:22

Item
MAGNESIUM SULFAT 20% INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 19:20

Item
DISP SYRINGE 10 CC
TRANSFUSION SET JMS
DISP SYRINGE 1 CC INSULIN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

22 Mei 2013 19:20

Item
MAGNESIUM SULFAT 20% INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
4,00

22 Mei 2013 19:18

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 19:15

Item
CALCIUM GLUCONAS ETHICA INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

22 Mei 2013 19:13

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 19:13

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 14:59

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
5,00
5,00

DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

3,00
3,00

22 Mei 2013 14:51

Item
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
5,00
5,00
3,00

22 Mei 2013 14:46

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 14:45

Item
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 14:44

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 12:57

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
MICROPORE 1/2 INC
PYTOGIN S INJECTION
IVENA IV CATH 20
RING AS SANBE 500 ML
TUSLAH NON RACIKAN

JAMPERSAL
Quantity
20,00
20,00
20,00
10,00
1,00
1,00
3,00
1,00
3,00
9,00

TOTAL

22 Mei 2013 12:48

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
FOLIC ACID 1 MG TABLET
RING AS SANBE 500 ML
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
20,00
3,00
3,00
20,00
10,00
3,00
1,00
9,00

22 Mei 2013 12:45

Item
VITAMIN C 50 MG TABLET
VITAMIN B COMPLEX
FOLIC ACID 1 MG TABLET
RING AS SANBE 500 ML
DERMAFIX-1V
MICROPORE 1/2 INC
IVENA IV CATH 20
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
20,00
3,00
1,00
1,00
1,00
20,00
10,00
9,00

22 Mei 2013 11:45

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

22 Mei 2013 11:41

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 10:41

Item
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
6,00
2,00
3,00
10,00
2,00
9,00

22 Mei 2013 10:41

Item
RINGER LACTATE WIDATRA 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
3,00
10,00
2,00
5,00

22 Mei 2013 10:41

Item
KETOROLAC 30 MG SOLUTION, INJECTION
KA-EN 1B 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
10,00
3,00
6,00
5,00

22 Mei 2013 10:40

Item
KA-EN 3B 500 ML INFUSION
PARACETAMOL INF TABLET 500 mg
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
10,00
10,00
4,00

22 Mei 2013 10:40

Item
RINGER LACTATE WIDATRA 500 ML
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
5,00
10,00
5,00

22 Mei 2013 10:39

Item
RINGER LACTATE WIDATRA 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
6,00
3,00
10,00
5,00

22 Mei 2013 10:39

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
5,00
10,00
4,00

22 Mei 2013 10:39

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
10,00
5,00
5,00
5,00

22 Mei 2013 10:39

Item
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 3 CC

UMUM
Quantity
1,00
3,00

HANDSCOON NON STERIL S (PCS)

ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

10,00
5,00
4,00

22 Mei 2013 10:38

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
10,00
5,00
4,00

22 Mei 2013 10:37

Item
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
10,00
5,00
4,00

22 Mei 2013 10:37

Item
KA-EN 3B 500 ML INFUSION
METRONIDAZOLE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
10,00
5,00
4,00

22 Mei 2013 10:37

Item
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
5,00
10,00
4,00

22 Mei 2013 10:37

JAKARTA SEHAT

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
2,00
5,00
10,00
4,00

22 Mei 2013 10:36

Item
KA-EN 1B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
1,00
10,00
5,00
6,00

22 Mei 2013 10:36

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
5,00
10,00
4,00

21 Mei 2013 14:45

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

21 Mei 2013 13:44

Item
VITAMIN B COMPLEX
FOLIC ACID 1 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
3,00

21 Mei 2013 13:42

Item
VITAMIN B COMPLEX
FOLIC ACID 1 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

21 Mei 2013 12:39

Item
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
MICROPORE 1/2 INC
BD VACUTAINER
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
3,00
20,00
10,00
1,00
1,00
2,00
1,00
8,00

21 Mei 2013 12:38

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
MICROPORE 1/2 INC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
3,00
20,00
10,00
1,00
1,00
2,00
8,00

21 Mei 2013 12:37

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
MICROPORE 1/2 INC

JAMPERSAL
Quantity
3,00
3,00
3,00
2,00
20,00
10,00
1,00
1,00

BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

2,00
9,00

21 Mei 2013 12:25

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DERMAFIX-1V
BD VACUTAINER
IVENA IV CATH 18
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
20,00
10,00
1,00
2,00
1,00
1,00
9,00

21 Mei 2013 12:25

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
10,00
10,00
3,00
3,00
3,00
3,00
1,00
1,00
20,00
10,00
2,00
11,00

21 Mei 2013 12:25

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
2,00
3,00
3,00
3,00
20,00

ALKOHOL SWAB
BD VACUTAINER
DERMAFIX-1V
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

10,00
2,00
1,00
1,00
12,00

21 Mei 2013 12:24

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
IVENA IV CATH 20
MICROPORE 1/2 INC
BD VACUTAINER
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
3,00
3,00
3,00
20,00
1,00
1,00
1,00
2,00
1,00
12,00

21 Mei 2013 12:23

Item
PHENOBARBITAL 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
10,00

21 Mei 2013 12:02

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
PYTOGIN S INJECTION
DERMAFIX-1V
MICROPORE 1/2 INC
BD VACUTAINER
IVENA IV CATH 20
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
3,00
1,00
1,00
2,00
1,00
20,00
10,00

TUSLAH NON RACIKAN

TOTAL

10,00

21 Mei 2013 11:29

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KALTROFEN KALBE SUPPOSITORY 100 mg
RING AS SANBE 500 ML
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BD VACUTAINER
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
2,00
20,00
10,00
2,00
2,00
1,00
3,00
3,00
3,00
12,00

21 Mei 2013 11:25

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KALTROFEN KALBE SUPPOSITORY 100 mg
RING AS SANBE 500 ML
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BD VACUTAINER
DERMAFIX-1V
MICROPORE 1/2 INC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
2,00
20,00
10,00
2,00
2,00
1,00
3,00
3,00
3,00
12,00

21 Mei 2013 11:22

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
DEXAMETHASONE 5 MG INJECTION
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
2,00
10,00

HANDSCOON NON STERIL S (PCS)

DERMAFIX-1V
BD VACUTAINER
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
2,00
1,00
9,00

21 Mei 2013 11:21

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

21 Mei 2013 11:17

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KALTROFEN KALBE SUPPOSITORY 100 mg
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
BD VACUTAINER
MICROPORE 1/2 INC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
3,00
3,00
3,00
10,00
20,00
2,00
1,00
1,00
12,00

21 Mei 2013 11:14

Item
ONDANSETRON INF 4 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
KA-EN 3B 500 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
3,00
3,00
20,00
10,00
1,00
8,00

21 Mei 2013 11:13

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
MICROPORE 1/2 INC
BD VACUTAINER
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00
3,00
3,00
1,00
1,00
2,00
20,00
10,00
3,00
12,00

20 Mei 2013 13:56

Item
DUMIN 125 MG SUPPOSITORY, INSERT
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

20 Mei 2013 13:56

Item
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

20 Mei 2013 13:54

Item
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

20 Mei 2013 13:54

Item
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

20 Mei 2013 13:53

Item
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

20 Mei 2013 13:53

Item
MICRODRIP OI-34 OTSUKA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 13:51

Item
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

20 Mei 2013 13:50

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 13:38

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 11:22

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
5,00
3,00
3,00
5,00
10,00
7,00

20 Mei 2013 11:22

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
3,00
3,00
2,00
1,00
5,00
10,00
4,00
9,00

20 Mei 2013 11:21

Item
KA-EN 1B 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
3,00
2,00
1,00
5,00
10,00
3,00
8,00

20 Mei 2013 11:21

Item
KA-EN 1B 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
SANMOL INFUSION
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
3,00
5,00
2,00
1,00
5,00
10,00
8,00

20 Mei 2013 11:20

Item
KA-EN 3B 500 ML INFUSION

JAKARTA SEHAT
Quantity
6,00

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8,00
7,00
10,00
5,00
3,00
3,00
2,00
5,00
10,00
10,00

20 Mei 2013 11:00

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
MICROPORE 1/2 INC
SODIUM CHLORIDE 0,9% 25 MG
PAMOL 125 MG SUPPOSITORY
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
2,00
2,00
2,00
1,00
5,00
1,00
4,00
3,00
10,00
11,00

20 Mei 2013 10:57

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
INFUS SET JMS
ALKOHOL SWAB
MICROPORE 1/2 INC
SELANG OKSIGEN ADULT
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
6,00
6,00
5,00
3,00
3,00
1,00
1,00
5,00
1,00
1,00
10,00
13,00

20 Mei 2013 10:57

Item
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
MICROPORE 1/2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
3,00
5,00
3,00
3,00
1,00
1,00
5,00
1,00
3,00
10,00
5,00
14,00

20 Mei 2013 10:56

Item
KA-EN 1B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
GENTAMYCIN INF 40 MG/ML INJECTION
IVENA IV CATH 24
DUMIN 125 MG SUPPOSITORY, INSERT
SELANG OKSIGEN CHILD
STOMACH TUBE 8 JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
5,00
2,00
2,00
1,00
6,00
1,00
1,00
10,00
10,00

20 Mei 2013 10:55

Item
KA-EN 3B 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
5,00
3,00
2,00
5,00
3,00
3,00
1,00

INFUS SET JMS

ALKOHOL SWAB
DUMIN 125 MG SUPPOSITORY, INSERT
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
5,00
5,00
2,00
10,00
12,00

20 Mei 2013 10:54

Item
RINGER LACTATE WIDATRA 500 ML
PHENOBARBITAL 30 MG TABLET
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
SELANG OKSIGEN ADULT
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
5,00
3,00
3,00
2,00
1,00
1,00
5,00
10,00
10,00

20 Mei 2013 10:52

Item
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
ALKOHOL SWAB
DUMIN 125 MG SUPPOSITORY, INSERT
HANDSCOON NON STERIL S (PCS)
SODIUM CHLORIDE 0,9% 25 MG
STOMACH TUBE 8 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
5,00
2,00
2,00
2,00
3,00
5,00
10,00
4,00
1,00
10,00

20 Mei 2013 10:52

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
10,00
5,00
5,00
2,00

DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
1,00
5,00
1,00
10,00
10,00

20 Mei 2013 10:52

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
SODIUM CHLORIDE 0,9% 25 MG
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
2,00
2,00
2,00
1,00
4,00
5,00
10,00
1,00
11,00

20 Mei 2013 10:51

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
DUMIN 125 MG SUPPOSITORY, INSERT
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
5,00
2,00
2,00
1,00
5,00
5,00
10,00
9,00

20 Mei 2013 10:51

Item
KA-EN 3B 500 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC

UMUM
Quantity
2,00
2,00
3,00

TUSLAH NON RACIKAN

TOTAL

3,00

20 Mei 2013 10:51

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
10,00
4,00

20 Mei 2013 10:50

Item
KA-EN 3B 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
2,00
2,00
5,00
3,00
3,00
5,00
10,00
9,00

20 Mei 2013 10:50

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
DUMIN 125 MG SUPPOSITORY, INSERT
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
5,00
2,00
2,00
2,00
1,00
2,00
5,00
3,00
10,00
11,00

20 Mei 2013 10:50

UMUM

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
3,00
10,00
3,00

20 Mei 2013 10:38

Item
KA-EN 3B 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
6,00
5,00
3,00
3,00
2,00
1,00
5,00
1,00
10,00
11,00

20 Mei 2013 10:37

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

20 Mei 2013 10:37

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
VITAMIN B COMPLEX
VITAMIN C 50 MG TABLET
IVENA IV CATH 24
INFUS SET JMS
STOMACH TUBE 10 JMS
SELANG OKSIGEN CHILD
ALKOHOL SWAB
PAMOL 125 MG SUPPOSITORY
SODIUM CHLORIDE 0,9% 25 MG

JAKARTA SEHAT
Quantity
5,00
5,00
3,00
3,00
3,00
3,00
2,00
1,00
1,00
1,00
5,00
5,00
4,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

10,00
14,00

20 Mei 2013 10:37

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
MICROPORE 1/2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
2,00
2,00
2,00
1,00
5,00
1,00
2,00
10,00
10,00

20 Mei 2013 10:37

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
SODIUM CHLORIDE 0,9% 25 MG
HANDSCOON NON STERIL S (PCS)
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00
2,00
2,00
1,00
5,00
4,00
10,00
5,00
10,00

20 Mei 2013 10:36

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PAMOL 125 MG SUPPOSITORY

JAKARTA SEHAT
Quantity
2,00
2,00
5,00
3,00
2,00
5,00
2,00
3,00

HANDSCOON NON STERIL S (PCS)

SELANG OKSIGEN CHILD
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
10,00

20 Mei 2013 10:36

Item
KA-EN 3B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
PAMOL 125 MG SUPPOSITORY
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
SELANG OKSIGEN CHILD
STOMACH TUBE 10 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
5,00
2,00
2,00
2,00
1,00
5,00
3,00
2,00
10,00
1,00
1,00
14,00

20 Mei 2013 06:00

Item
IVENA IV CATH 20
IVENA IV CATH 22
IVENA IV CATH 24
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
7,00

20 Mei 2013 05:51

Item
DISP SYRINGE 3 CC
IVENA IV CATH 20
IVENA IV CATH 22
IVENA IV CATH 24
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

DEXTROSE 10% WIDATRA 500 ML INFUSION

MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
8,00

20 Mei 2013 05:50

Item
IVENA IV CATH 24
IVENA IV CATH 22
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
6,00

20 Mei 2013 05:50

Item
IVENA IV CATH 20
IVENA IV CATH 22
IVENA IV CATH 24
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
7,00

20 Mei 2013 05:50

Item
IVENA IV CATH 20
IVENA IV CATH 22
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
6,00

19 Mei 2013 15:18

Item
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
4,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

18 Mei 2013 22:45

Item
CETIRIZINE 10 MG TABLET
LEVOFLOXACIN INF TABLET
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
20,00
20,00
3,00

18 Mei 2013 13:06

Item
MINOPHAGEN INJ
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

18 Mei 2013 11:49

Item
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
DEXAMETHASONE 5 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
12,00
6,00
6,00
6,00
6,00
7,00

18 Mei 2013 11:45

Item
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
3,00
4,00

17 Mei 2013 23:14

Item
RING AS SANBE 500 ML
OMEPRAZOLE 40 MG INJECTION

UMUM
Quantity
2,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

17 Mei 2013 14:42

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

17 Mei 2013 14:41

Item
GLURENORM TABLET 30 mg
AMBROXOL INF 30 MG TABLET
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
7,00
3,00

17 Mei 2013 14:37

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 14:26

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

17 Mei 2013 13:20

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
RINGER LACTATE WIDATRA 500 ML
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
2,00
3,00
3,00
3,00
2,00
3,00
6,00
8,00

17 Mei 2013 11:14

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
MUSIN OTTO 120 ML SUSPENSION
H.C.T 25 MG TABLET
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00
6,00
6,00
3,00
3,00
3,00
3,00
9,00

17 Mei 2013 11:12

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
METRONIDAZOLE 500 MG TABLET
CEFEPIME 1 GR INJECTION
OPIGRAN INJ 3
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
3,00
10,00
5,00
1,00
10,00
10,00
6,00
3,00
5,00
7,00

17 Mei 2013 11:07

Item
KA-EN 1B 500 ML INFUSION
INFUS SET JMS
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
1,00
5,00
10,00
3,00
7,00

17 Mei 2013 11:07

Item

JAKARTA SEHAT
Quantity

CINAM 1.5 GM INJECTION

INFUS SET JMS
IVENA IV CATH 24
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

6,00
1,00
2,00
6,00
5,00
20,00
5,00
2,00
2,00
3,00
10,00

17 Mei 2013 11:06

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

17 Mei 2013 11:06

Item
KA-EN 1B 500 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
PAMOL 125 MG SUPPOSITORY
INFUS SET JMS
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
10,00
1,00
5,00
20,00
5,00
2,00
2,00
2,00
1,00
1,00
12,00

17 Mei 2013 11:05

Item
KA-EN 3B 500 ML INFUSION
INFUS SET JMS
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
3,00
5,00
2,00

DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

2,00
5,00
20,00
3,00
10,00

17 Mei 2013 11:05

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
PAMOL 125 MG SUPPOSITORY
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
5,00
2,00
2,00
20,00
5,00
3,00
1,00
10,00

17 Mei 2013 11:05

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
5,00
2,00
2,00
5,00
20,00
1,00
3,00
9,00

17 Mei 2013 11:04

Item
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
5,00
20,00
5,00
3,00
5,00

TOTAL

17 Mei 2013 11:04

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
PAMOL 125 MG SUPPOSITORY
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
5,00
2,00
2,00
5,00
20,00
1,00
3,00
1,00
10,00

17 Mei 2013 10:46

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PAMOL 125 MG SUPPOSITORY
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
6,00
5,00
2,00
2,00
2,00
2,00
10,00
2,00
3,00
10,00
11,00

17 Mei 2013 10:46

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 24
INFUS SET JMS
ONDANSETRON INF 4 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PAMOL 125 MG SUPPOSITORY
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
5,00
3,00
2,00
1,00
5,00
2,00
3,00
10,00
8,00

TOTAL

17 Mei 2013 10:46

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
PAMOL 125 MG SUPPOSITORY
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
5,00
2,00
2,00
2,00
1,00
10,00
2,00
3,00
10,00
11,00

17 Mei 2013 10:46

Item
CINAM 1.5 GM INJECTION
PAMOL 125 MG SUPPOSITORY
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
2,00
10,00
2,00
1,00
5,00
5,00
2,00
2,00
10,00

17 Mei 2013 10:45

Item
RINGER LACTATE WIDATRA 500 ML
PAMOL 125 MG SUPPOSITORY
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
5,00
5,00
2,00
1,00
5,00
5,00
2,00
2,00
20,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

2,00
10,00

17 Mei 2013 10:45

Item
RINGER LACTATE WIDATRA 500 ML
ORALIT
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
5,00
2,00
1,00
10,00
5,00
2,00
2,00
20,00
1,00
10,00

17 Mei 2013 10:45

Item
KA-EN 3B 500 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SODIUM CHLORIDE 0,9% 25 MG
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
5,00
2,00
5,00
3,00
3,00
20,00
1,00
1,00
10,00

17 Mei 2013 10:44

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
5,00
20,00
1,00
5,00

17 Mei 2013 10:44

Item
RINGER LACTATE WIDATRA 500 ML
ONDANSETRON INF 4 MG INJECTION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
5,00
2,00
2,00
20,00
5,00
1,00
10,00

17 Mei 2013 10:44

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
5,00
3,00
2,00
20,00
5,00
1,00
1,00
3,00
10,00

17 Mei 2013 10:44

Item
KA-EN 3B 500 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
1,00
1,00
10,00
5,00
5,00
2,00
2,00
3,00
10,00

17 Mei 2013 10:43

Item
INFUS SET JMS
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
20,00
5,00
2,00
2,00
3,00
8,00

17 Mei 2013 10:22

Item
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

17 Mei 2013 10:13

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 13:10

Item
CINAM 1.5 GM INJECTION
AQUA FOR INJECT OTSUKA 25 ML
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00

16 Mei 2013 09:10

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
1,00

TOTAL

16 Mei 2013 09:09

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 09:05

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

16 Mei 2013 09:05

Item
IVENA IV CATH 22
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

16 Mei 2013 09:04

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 09:04

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 09:04

Item
IVENA IV CATH 22
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

16 Mei 2013 09:03

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 09:03

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 00:29

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00

16 Mei 2013 00:26

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00

16 Mei 2013 00:25

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00

16 Mei 2013 00:24

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
2,00

15 Mei 2013 23:34

JAKARTA SEHAT

Item
CIPROFLOXACIN DRIP INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

15 Mei 2013 23:31

Item
HYPERIL 5 MG TABLET
DOXYCYCLINE INF TABLET 100 MG
FARMADOL 100 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
2,00
2,00
6,00

15 Mei 2013 23:25

Item
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

15 Mei 2013 23:23

Item
IVENA IV CATH 22
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00

15 Mei 2013 23:20

Item
IVENA IV CATH 22
MICROPORE 1/2 INC
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
3,00

15 Mei 2013 23:20

Item
FARMADOL 100 ML INFUSION

JAKARTA SEHAT
Quantity
1,00

PELASTIN INFUSION
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 5 CC
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
3,00
3,00
6,00

15 Mei 2013 22:54

Item
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 22:35

Item
IVENA IV CATH 22
INFUS SET JMS
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

15 Mei 2013 22:32

Item
CALCIUM GLUCONAS ETHICA INJECTION
IVENA IV CATH 22
INFUS SET JMS
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
2,00
5,00

15 Mei 2013 22:28

Item
IVENA IV CATH 22
INFUS SET JMS
METRONIDAZOLE 100 ML INFUSION
FARMADOL 100 ML INFUSION
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

15 Mei 2013 21:58

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 21:58

Item
INFUS SET JMS
IVENA IV CATH 22
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

15 Mei 2013 19:36

Item
IVENA IV CATH 18
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
YAL JELLY SOLUTION
FOLLEY CATHETER 16 RUSCH
AQUA FOR INJECT OTSUKA 25 ML
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
1,00
1,00
1,00
1,00
1,00
8,00

15 Mei 2013 19:35

Item
IVENA IV CATH 18
BD VACUTAINER
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

15 Mei 2013 19:03

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
2,00

15 Mei 2013 14:28

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
15,00
3,00
1,00
1,00
15,00
6,00
1,00
1,00
15,00

15 Mei 2013 13:28

Item
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

15 Mei 2013 13:20

Item
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 13:15

Item
LODIA 2 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

15 Mei 2013 11:07

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
10,00
2,00
5,00
2,00
3,00

ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
7,00

15 Mei 2013 11:07

Item
IVENA IV CATH 24
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
SODIUM CHLORIDE 0,9% 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
5,00
3,00
3,00
5,00
10,00
5,00
8,00

15 Mei 2013 11:06

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
SODIUM CHLORIDE 0,9% 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
2,00
5,00
3,00
3,00
5,00
10,00
5,00
9,00

15 Mei 2013 11:06

Item
KA-EN 1B 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
2,00
5,00
3,00
2,00
2,00
5,00
10,00
3,00
9,00

TOTAL

15 Mei 2013 11:06

Item
CINAM 1.5 GM INJECTION
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
2,00
5,00
2,00
2,00
10,00
5,00
8,00

15 Mei 2013 11:05

Item
IVENA IV CATH 24
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
5,00
3,00
3,00
5,00
10,00
7,00

15 Mei 2013 11:05

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TRANSFUSION SET JMS
BD VACUTAINER
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
5,00
2,00
3,00
2,00
2,00
6,00
10,00
2,00
9,00

15 Mei 2013 10:53

Item

JAKARTA SEHAT
Quantity

CINAM 1.5 GM INJECTION

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
SELANG NEBU PEDRIATIC(1484)
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

3,00
5,00
1,00
1,00
5,00
3,00
3,00
3,00
10,00
5,00
10,00

15 Mei 2013 10:53

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00
5,00
2,00
2,00
5,00
10,00
9,00

15 Mei 2013 10:53

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
8,00
2,00
5,00
3,00
2,00
5,00
10,00
9,00

15 Mei 2013 10:47

Item
KA-EN 3B 500 ML INFUSION

JAKARTA SEHAT
Quantity
3,00

CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
8,00
3,00
5,00
2,00
2,00
5,00
10,00
2,00
1,00
11,00

15 Mei 2013 10:46

Item
KA-EN 3B 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
8,00
5,00
5,00
2,00
3,00
2,00
5,00
10,00
10,00

15 Mei 2013 10:46

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
5,00
3,00
2,00
5,00
10,00
8,00

15 Mei 2013 10:46

Item
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
2,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

5,00
3,00
3,00
5,00
10,00
6,00

15 Mei 2013 10:45

Item
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
3,00
5,00
10,00
3,00
6,00

15 Mei 2013 10:45

Item
RINGER LACTATE WIDATRA 500 ML
ORALIT
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
8,00
2,00
2,00
1,00
5,00
2,00
2,00
5,00
10,00
11,00

15 Mei 2013 10:45

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB

UMUM
Quantity
3,00
2,00
1,00
5,00
3,00
3,00
5,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

10,00
8,00

15 Mei 2013 10:45

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
2,00
5,00
2,00
2,00
5,00
10,00
8,00

15 Mei 2013 10:31

Item
RINGER LACTATE WIDATRA 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
5,00
5,00
4,00

15 Mei 2013 10:31

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
3,00
2,00
1,00
5,00
5,00
3,00
3,00
10,00
10,00

15 Mei 2013 10:30

Item

JAKARTA SEHAT
Quantity

RINGER LACTATE WIDATRA 500 ML

RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

10,00
6,00
10,00
2,00
2,00
2,00
5,00
10,00
8,00

15 Mei 2013 10:30

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 20
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
6,00
2,00
8,00
3,00
3,00
1,00
10,00
9,00

15 Mei 2013 10:30

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
8,00
10,00
7,00
3,00
3,00
2,00
5,00
10,00
1,00
10,00

15 Mei 2013 10:30

Item
KA-EN 1B 500 ML INFUSION
MICRODRIP OI-34 OTSUKA

JAKARTA SEHAT
Quantity
2,00
1,00

IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
5,00
2,00
2,00
5,00
10,00
8,00

15 Mei 2013 10:29

Item
IVENA IV CATH 24
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
5,00
2,00
2,00
1,00
2,00
5,00
10,00
9,00

15 Mei 2013 10:29

Item
IVENA IV CATH 20
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
5,00
2,00
2,00
1,00
10,00
5,00
9,00

15 Mei 2013 10:29

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
10,00
8,00
10,00
5,00
2,00

DISP SYRINGE 10 CC
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
5,00
10,00
9,00

15 Mei 2013 10:29

Item
IVENA IV CATH 22
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
5,00
3,00
2,00
5,00
10,00
8,00

15 Mei 2013 10:28

Item
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
MICRODRIP OI-34 OTSUKA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
8,00
3,00
5,00
2,00
2,00
5,00
10,00
2,00
1,00
12,00

13 Mei 2013 14:37

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

13 Mei 2013 14:36

Item
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

13 Mei 2013 14:33

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

13 Mei 2013 11:25

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
5,00
2,00
1,00
1,00
1,00
10,00
9,00

13 Mei 2013 10:59

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 10:51

Item
RINGER LACTATE WIDATRA 500 ML
LACTODIA POLYBAG
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
3,00
4,00
2,00
5,00
2,00
1,00
2,00
1,00
10,00

TUSLAH NON RACIKAN

TOTAL

9,00

13 Mei 2013 10:50

Item
RINGER LACTATE WIDATRA 500 ML
LACTODIA POLYBAG
ORALIT
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
5,00
5,00
1,00
1,00
1,00
10,00
8,00

13 Mei 2013 10:50

Item
RINGER LACTATE WIDATRA 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
1,00
5,00
1,00
1,00
10,00
7,00

13 Mei 2013 10:49

Item
RINGER LACTATE WIDATRA 500 ML
LACTODIA POLYBAG
VALISANBE INJECTION
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
3,00
5,00
1,00
3,00
1,00
10,00
8,00

13 Mei 2013 10:49

Item

JAKARTA SEHAT
Quantity

CINAM 1.5 GM INJECTION

GENTAMYCIN INF 40 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
3,00
5,00
2,00
1,00
1,00
10,00
7,00

13 Mei 2013 10:49

Item
RINGER LACTATE WIDATRA 500 ML
DOMPERIDON INF TABLET 10 MG
DISP SYRINGE 3 CC
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
5,00
1,00
1,00
10,00
6,00

13 Mei 2013 10:30

Item
ORALIT
LACTODIA POLYBAG
VITAMIN C 50 MG TABLET
VITAMIN B6 10 MG TABLET
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
6,00
6,00
1,00
1,00
1,00
10,00
8,00

13 Mei 2013 10:30

Item
RINGER LACTATE WIDATRA 500 ML
LACTODIA POLYBAG
ORALIT
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS

JAKARTA SEHAT
Quantity
3,00
5,00
5,00
5,00
2,00
1,00
1,00
1,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

10,00
9,00

13 Mei 2013 10:30

Item
RINGER LACTATE WIDATRA 500 ML
LACTODIA POLYBAG
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
5,00
2,00
1,00
1,00
10,00
7,00

13 Mei 2013 10:29

Item
KA-EN 3B 500 ML INFUSION
KA-EN 1B 500 ML INFUSION
LACTODIA POLYBAG
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
5,00
5,00
3,00
1,00
1,00
1,00
10,00
9,00

13 Mei 2013 10:29

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
5,00
2,00
1,00
1,00
1,00
10,00
7,00

13 Mei 2013 10:29

JAKARTA SEHAT

Item
KA-EN 3B 500 ML INFUSION
LACTODIA POLYBAG
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
5,00
5,00
2,00
1,00
1,00
1,00
10,00
8,00

13 Mei 2013 10:29

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
LACTODIA POLYBAG
PAMOL 125 MG SUPPOSITORY
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
5,00
4,00
5,00
2,00
1,00
1,00
1,00
10,00
10,00

13 Mei 2013 10:28

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
FARMADOL 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
5,00
5,00
2,00
1,00
1,00
1,00
10,00
4,00
11,00

13 Mei 2013 10:28

JAKARTA SEHAT

Item
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
1,00
2,00
3,00
5,00
2,00
1,00
1,00
1,00
10,00
10,00

13 Mei 2013 10:27

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
LACTODIA POLYBAG
PAMOL 125 MG SUPPOSITORY
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
5,00
5,00
4,00
5,00
2,00
1,00
1,00
1,00
10,00
11,00

13 Mei 2013 10:27

Item
KA-EN 3B 500 ML INFUSION
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
ORALIT
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
5,00
5,00
2,00
1,00
1,00
10,00
9,00

12 Mei 2013 19:52

Item
WIDAHES 130
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

12 Mei 2013 18:44

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

12 Mei 2013 18:44

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

12 Mei 2013 17:36

Item
IVENA IV CATH 22
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

12 Mei 2013 17:35

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

12 Mei 2013 17:34

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

12 Mei 2013 17:27

Item

UMUM
Quantity

IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
2,00

12 Mei 2013 17:26

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
BD VACUTAINER
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

12 Mei 2013 17:23

Item
STOMACH TUBE 16 THERUMO
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

12 Mei 2013 17:13

Item
MUSIN OTTO 120 ML SUSPENSION
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 17:10

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

12 Mei 2013 17:07

Item
IVENA IV CATH 22
RENXAMIN INFUSION
INFUS SET JMS

JAKARTA SEHAT
Quantity
2,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

12 Mei 2013 17:05

Item
BD VACUTAINER
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 16:50

Item
TRANSFUSION SET JMS
INFUS SET JMS
IVENA IV CATH 20
BD VACUTAINER
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

12 Mei 2013 15:32

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 15:31

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 15:31

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 15:29

Item

JAKARTA SEHAT
Quantity

IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

1,00
1,00

12 Mei 2013 15:29

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 15:28

Item
IVENA IV CATH 24
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

12 Mei 2013 15:26

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 14:28

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

12 Mei 2013 13:38

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

12 Mei 2013 13:38

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

12 Mei 2013 13:36

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

12 Mei 2013 13:35

Item
BD VACUTAINER
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 13:32

Item
NATRIUM PHENITOIN 50MG /ML INJ
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

12 Mei 2013 13:32

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
BD VACUTAINER
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

12 Mei 2013 13:30

Item
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

12 Mei 2013 13:30

Item
THREE WAY STOPCOCK
DISP SYRINGE 50 CC CATH TIP

JAKARTA SEHAT
Quantity
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

12 Mei 2013 13:27

Item
FOLLEY CATHETER 18 RUSCH
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 18
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
BD VACUTAINER
YAL JELLY SOLUTION
DISP SYRINGE 1 CC INSULIN
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

12 Mei 2013 13:07

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

12 Mei 2013 13:07

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

12 Mei 2013 13:07

Item
BD VACUTAINER
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 13:06

Item
BD VACUTAINER
TRANSFUSION SET JMS
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

12 Mei 2013 13:06

Item
BD VACUTAINER
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

12 Mei 2013 12:55

Item
DEXAMETHASONE 5 MG INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
3,00
3,00
3,00

12 Mei 2013 11:40

Item
FUTROLIT INFUSION
NATRIUM PHENITOIN 50MG /ML INJ
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

12 Mei 2013 05:19

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

12 Mei 2013 02:26

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 02:19

JAKARTA SEHAT

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
2,00

12 Mei 2013 02:19

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
DISP SYRINGE 1 CC INSULIN
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 02:18

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

12 Mei 2013 02:17

Item
IVENA IV CATH 24
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

12 Mei 2013 02:16

Item
IVENA IV CATH 24
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

12 Mei 2013 02:15

Item
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

12 Mei 2013 02:14

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

11 Mei 2013 23:54

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 23:48

Item
DRAINAGE BAG STERIL
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

11 Mei 2013 19:13

Item
BD VACUTAINER
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

11 Mei 2013 19:12

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

11 Mei 2013 19:11

Item
BD VACUTAINER
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

11 Mei 2013 19:11

Item
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

11 Mei 2013 18:37

Item
DECULIN 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 18:36

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

11 Mei 2013 18:12

Item
DISP SYRINGE 50 CC WITHOUT NED
DOBUTAMIN GENERIK 50 MG/ML
FUROSEMID INF INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

11 Mei 2013 18:06

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
MICROPORE 1/2 INC
IVENA IV CATH 20
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

TOTAL

11 Mei 2013 17:53

Item
IVENA IV CATH 22
INFUS SET JMS
PRO IV NON WOVEN
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
4,00

11 Mei 2013 17:52

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
BD VACUTAINER
DISP SYRINGE 3 CC
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

11 Mei 2013 13:15

Item
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

11 Mei 2013 13:14

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

11 Mei 2013 13:13

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

11 Mei 2013 13:13

Item

JAKARTA SEHAT
Quantity

METRONIDAZOLE 100 ML INFUSION

RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

3,00
9,00
2,00

11 Mei 2013 13:11

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

11 Mei 2013 13:04

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 11:25

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

11 Mei 2013 11:24

Item
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 11:18

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
4,00

11 Mei 2013 10:55

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE

KLB
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

11 Mei 2013 10:55

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 10:55

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 10:42

Item
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 01:19

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

11 Mei 2013 01:18

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 15:30

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

10 Mei 2013 15:30

JAKARTA SEHAT

Item
GLURENORM TABLET 30 mg
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
3,00
2,00

10 Mei 2013 15:26

Item
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

10 Mei 2013 15:26

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

10 Mei 2013 15:08

Item
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

10 Mei 2013 15:02

Item
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 14:47

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

10 Mei 2013 14:39

Item
DOMPERIDON INF TABLET 10 MG
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
6,00
1,00
6,00

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

RING AS SANBE 500 ML
FUROSEMID INF INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

4,00
7,00
3,00
4,00
3,00
8,00

10 Mei 2013 14:38

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
AMINORAL TABLET
ASPAR-K TABLET, COATED 300 mg
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
GRANISETRON 3 ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
10,00
18,00
18,00
6,00
6,00
3,00
3,00
7,00

10 Mei 2013 14:38

Item
MUSIN OTTO 120 ML SUSPENSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
6,00
3,00
6,00
3,00
10,00
7,00

10 Mei 2013 14:38

Item
ASPAR-K TABLET, COATED 300 mg
FUROSEMID INF TABLET
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
1,00
6,00
6,00

OMEPRAZOLE 40 MG INJECTION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
AMINOPHYLLINE 24mg SOLUTION
TUSLAH NON RACIKAN
TOTAL

9,00
6,00
9,00
6,00
6,00
3,00
13,00

10 Mei 2013 14:37

Item
SPIRONOLACTONE 100 MG TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

10 Mei 2013 14:37

Item
CLONIDINE INF 150 MG TABLET
DILTIAZEM INF TABLET 30 MG
ISOSORBIDE DINITRATE INF TABLET
HALOPERIDOL INF 0.5 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
AMINORAL TABLET
FOLIC ACID 1 MG TABLET
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
6,00
10,00
1,00
10,00
18,00
10,00
3,00
7,00

10 Mei 2013 14:36

Item
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
GLIMEPIRIDE 2 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
METFORMIN HCL 500 MG TABLET
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
2,00
3,00
3,00
2,00
2,00
3,00
8,00

10 Mei 2013 14:36

Item
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

10 Mei 2013 14:36

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
FOLIC ACID 1 MG TABLET
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
6,00
6,00
6,00
6,00
10,00
30,00
8,00

10 Mei 2013 14:20

Item
THROMBO ASPILETS 100 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
AMBROXOL INF 30 MG TABLET
FOTARAM 1 g
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
3,00
1,00
1,00
3,00
3,00
3,00
6,00
1,00
3,00
2,00
6,00
8,00

10 Mei 2013 14:20

Item
MUSIN OTTO 120 ML SUSPENSION
METFORMIN HCL 500 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
6,00
4,00
6,00
6,00
4,00

HANDSCOON NON STERIL M (PCS)

TUSLAH NON RACIKAN
TOTAL

30,00
7,00

10 Mei 2013 14:19

Item
CAPTOPRIL 12.5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
ETHAMBUTOL500mg TABLET
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
3,00
3,00
6,00
1,00
6,00
6,00
9,00
9,00

10 Mei 2013 14:19

Item
CURCUMA 200 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
PARACETAMOL INF TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
12,00
6,00
6,00
6,00
3,00
3,00
30,00
10,00

10 Mei 2013 14:18

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
6,00
3,00
6,00
3,00
3,00
3,00
30,00
7,00

10 Mei 2013 14:18

Item
AMINORAL TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
COTRIMOXAZOLE 480 MG TABLET
ORALIT
FLUCONAZOL INFUS 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
1,00
3,00
12,00
10,00
3,00
5,00

10 Mei 2013 14:18

Item
COTRIMOXAZOLE 480 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
3,00
30,00
4,00

10 Mei 2013 14:18

Item
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
3,00
3,00
30,00
5,00

10 Mei 2013 14:17

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
30,00
3,00

10 Mei 2013 14:17

UMUM

Item
PANTOPRAZOLE INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
6,00
30,00
3,00

10 Mei 2013 14:17

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
2,00
6,00
1,00
9,00
3,00
6,00
3,00
3,00
30,00
12,00

10 Mei 2013 14:16

Item
V-BLOC 6,25MG TABLET
CLOPIDOGREL 75 MG TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
HYPERIL 5 MG TABLET
DEXAMETHASONE 5 MG INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DEXTROMETHORPHAN INF TABLET 15 MG
ISOSORBIDE DINITRATE INF TABLET
SALBUTAMOL INF TABLET 2 MG
AMINOPHYLLINE 24mg SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
10,00
10,00
1,00
10,00
6,00
3,00
1,00
6,00
2,00
6,00
6,00
6,00
6,00
6,00
3,00
14,00

10 Mei 2013 14:16

Item
GLIQUIDONE 30 MG TABLET
ALPENTIN 100 MG TABLET
KALIUM DIKLOFENAK 50 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
6,00
6,00
6,00
3,00
6,00
3,00
8,00

10 Mei 2013 13:59

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

10 Mei 2013 13:59

Item
MUSIN OTTO 120 ML SUSPENSION
ONDANSETRON INF 4 MG INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
3,00
3,00
30,00
5,00

10 Mei 2013 13:59

Item
LEVOFLOXACIN INFUSION
MUSIN OTTO 120 ML SUSPENSION
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
INH 300 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
PANTOPRAZOLE INJECTION

JAKARTA SEHAT
Quantity
3,00
1,00
18,00
3,00
6,00
6,00
3,00
8,00
20,00
6,00

RANITIDINE GENERIK 25 MG/ML INJECTION

DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
10,00
30,00
8,00
15,00

10 Mei 2013 13:58

Item
MUSIN OTTO 120 ML SUSPENSION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
6,00
6,00
6,00
30,00
6,00

10 Mei 2013 13:58

Item
ISOSORBIDE DINITRATE INF TABLET
SOLAC SYRUP
PANTOPRAZOLE INJECTION
MUSIN OTTO 120 ML SUSPENSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
3,00
1,00
3,00
3,00
30,00
7,00

10 Mei 2013 13:57

Item
MUSIN OTTO 120 ML SUSPENSION
AMLODIPIN 5 MG TABLET
MICARDIS TABLET 80 mg
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
6,00
6,00
6,00
3,00
6,00
8,00
9,00

10 Mei 2013 13:57

Item
CAPTOPRIL 12.5 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
6,00
10,00
30,00
4,00

10 Mei 2013 13:57

Item
MUSIN OTTO 120 ML SUSPENSION
ISOSORBIDE DINITRATE INF TABLET
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN EMBALASE
FARMADOL 100 ML INFUSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
10,00
1,00
10,00
9,00
6,00
6,00
6,00
30,00
7,00

10 Mei 2013 13:57

Item
AMINORAL TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
10,00
1,00
10,00
4,00
6,00
9,00
6,00
6,00
30,00
7,00

10 Mei 2013 13:56

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
6,00

RING AS SANBE 500 ML

HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

6,00
30,00
3,00

10 Mei 2013 13:56

Item
SPIRONOLACTONE 100 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
MUSIN OTTO 120 ML SUSPENSION
FUROSEMID INF INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
1,00
6,00
6,00
6,00
3,00
30,00
9,00

10 Mei 2013 13:56

Item
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

10 Mei 2013 13:56

Item
PARACETAMOL INF TABLET 500 mg
METHYL PREDNISOLONE INF 4 MG TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
6,00
3,00

10 Mei 2013 13:32

Item
MAGARD FA TABLET, CHEWABLE
SOCLOR TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
6,00
6,00
6,00
3,00
5,00

TOTAL

10 Mei 2013 13:30

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

10 Mei 2013 13:30

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

10 Mei 2013 13:29

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

10 Mei 2013 13:29

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

10 Mei 2013 12:47

Item
SPIRONOLACTONE 25 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
FUROSEMID INF INJECTION
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VALAMIN SANBE INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
6,00
3,00
6,00
4,00
3,00
3,00
8,00

10 Mei 2013 12:47

Item
FOLIC ACID 1 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
FUROSEMID INF INJECTION
CAPTOPRIL 12.5 MG TABLET
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
3,00
5,00
4,00
6,00
6,00
6,00
6,00
30,00
11,00

10 Mei 2013 12:47

Item
ANTALGIN 500 MG
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
3,00
1,00
2,00
30,00
6,00

10 Mei 2013 12:46

Item
CURCUMA 200 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
6,00
6,00
6,00
9,00
6,00
6,00
30,00
8,00

10 Mei 2013 12:35

Item

JAKARTA SEHAT
Quantity

IMIPENEM CILASTATIN 1 GR INJECTION

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

10 Mei 2013 10:18

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
LACTODIA POLYBAG
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
10,00
4,00

10 Mei 2013 10:18

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
10,00
4,00

10 Mei 2013 10:17

Item
CINAM 1.5 GM INJECTION
GENTAMYCIN INF 40 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
3,00
10,00
1,00
5,00

10 Mei 2013 10:17

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
3,00
1,00
10,00
1,00
6,00

10 Mei 2013 10:17

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
5,00
10,00
1,00
5,00

10 Mei 2013 10:16

Item
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

10 Mei 2013 10:16

Item
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
1,00
3,00

10 Mei 2013 10:16

Item
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
HANDSCOON NON STERIL M (PCS)
FOLLEY CATHETER 18 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
2,00
3,00

10 Mei 2013 10:16

Item
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
10,00
1,00
4,00

10 Mei 2013 10:16

Item
RING AS SANBE 500 ML
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
10,00
3,00

10 Mei 2013 10:15

Item
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
1,00
3,00

10 Mei 2013 10:15

Item
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

10 Mei 2013 10:15

Item
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

10 Mei 2013 10:15

Item
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
5,00
10,00
1,00
6,00

10 Mei 2013 10:14

Item

JAKARTA SEHAT
Quantity

RING AS SANBE 500 ML

IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
10,00
3,00

10 Mei 2013 10:14

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
3,00
1,00
10,00
5,00

10 Mei 2013 10:14

Item
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
10,00
1,00
3,00

10 Mei 2013 10:14

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
5,00
4,00

10 Mei 2013 09:52

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
10,00
1,00
5,00

10 Mei 2013 09:52

Item
KA-EN 3B 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
HANDSCOON NON STERIL M (PCS)
INFUS SET JMS
IVENA IV CATH 24
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
10,00
1,00
2,00
6,00
6,00

10 Mei 2013 09:52

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
DISP SYRINGE 3 CC
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
5,00
1,00
10,00
2,00
6,00

10 Mei 2013 09:51

Item
KA-EN 3B 500 ML INFUSION
FUROSEMID INF INJECTION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
5,00
3,00
10,00
7,00

10 Mei 2013 09:51

Item
KA-EN 3B 500 ML INFUSION
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)

JAKARTA SEHAT
Quantity
2,00
1,00
5,00
5,00
2,00
1,00
10,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

SODIUM CHLORIDE 0,9% 25 MG
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
9,00

10 Mei 2013 09:51

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
5,00
10,00
4,00

10 Mei 2013 09:51

Item
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
1,00
2,00
10,00
6,00

10 Mei 2013 09:50

Item
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
1,00
5,00
5,00
1,00
10,00
7,00

10 Mei 2013 09:50

Item
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
2,00
5,00
5,00
2,00

HANDSCOON NON STERIL M (PCS)

TUSLAH NON RACIKAN
TOTAL

10,00
5,00

10 Mei 2013 09:50

Item
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

10 Mei 2013 09:50

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
2,00
10,00
5,00
2,00
1,00
1,00
8,00

10 Mei 2013 09:49

Item
ONDANSETRON INF 4 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
5,00
5,00
1,00
10,00
3,00
7,00

10 Mei 2013 09:49

Item
TRIDEX 27B INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
5,00
5,00
1,00
10,00
5,00

TOTAL

10 Mei 2013 09:49

Item
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SODIUM CHLORIDE 0,9% 25 MG
DISP SYRINGE 3 CC
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
1,00
2,00
1,00
10,00
6,00

10 Mei 2013 09:49

Item
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
5,00
2,00
4,00

10 Mei 2013 09:49

Item
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
1,00
10,00
2,00
5,00

10 Mei 2013 09:48

Item
RING AS SANBE 500 ML
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
5,00
1,00
10,00
5,00

10 Mei 2013 09:47

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
10,00
3,00
5,00

10 Mei 2013 09:39

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
2,00
5,00
10,00
4,00

10 Mei 2013 09:38

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
10,00
3,00

10 Mei 2013 09:38

Item
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
10,00
2,00

10 Mei 2013 06:11

Item
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 23:19

Item

JAKARTA SEHAT
Quantity

CEFPIROME 1GR VIL

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

9 Mei 2013 11:44

Item
STOMACH TUBE 12 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 03:48

Item
BD VACUTAINER
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
6,00

9 Mei 2013 03:28

Item
ISOKET INJECTION
SELANG NEBUL WITH MASK(1493)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

9 Mei 2013 03:23

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
BD VACUTAINER
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

9 Mei 2013 03:20

Item
TRANSFUSION SET JMS

UMUM
Quantity
1,00

IVENA IV CATH 22
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

9 Mei 2013 03:20

Item
TRANSFUSION SET JMS
BD VACUTAINER
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

9 Mei 2013 01:46

Item
STOMACH TUBE 14 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 01:46

Item
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

9 Mei 2013 01:29

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 23:30

Item
IVENA IV CATH 20
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

8 Mei 2013 23:30

JAKARTA SEHAT

Item
IVENA IV CATH 20
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
3,00

8 Mei 2013 23:22

Item
SUCTION CATHETER 16
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

8 Mei 2013 23:21

Item
IVENA IV CATH 20
IVENA IV CATH 22
INFUS SET JMS
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

8 Mei 2013 23:03

Item
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

8 Mei 2013 23:02

Item
BD VACUTAINER
TRANSFUSION SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

8 Mei 2013 22:43

Item
SOLAC SYRUP

UMUM
Quantity
1,00

STESOLID TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

30,00
2,00

8 Mei 2013 19:44

Item
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

8 Mei 2013 19:15

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

8 Mei 2013 11:47

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

8 Mei 2013 11:05

Item
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
2,00

8 Mei 2013 11:03

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
5,00
10,00
5,00

8 Mei 2013 10:59

Item
RING AS SANBE 500 ML
IVENA IV CATH 24
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00
4,00
1,00
1,00
10,00
7,00

8 Mei 2013 10:59

Item
N5 OTSUKA 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ALKOHOL SWAB
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
10,00
1,00
2,00
5,00
1,00
10,00
9,00

8 Mei 2013 10:58

Item
FUTROLIT INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
FUROSEMID INF INJECTION
SPIRONOLACTONE 25 MG TABLET
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
5,00
2,00
2,00
10,00
6,00

8 Mei 2013 10:58

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
ALKOHOL SWAB
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)

JAKARTA SEHAT
Quantity
2,00
1,00
5,00
2,00
10,00

TUSLAH NON RACIKAN

TOTAL

5,00

8 Mei 2013 10:58

Item
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
4,00
1,00
5,00
10,00
6,00

8 Mei 2013 10:53

Item
KA-EN 1B 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
2,00
1,00
5,00

8 Mei 2013 10:53

Item
KA-EN 3B 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
1,00
5,00
5,00
10,00
6,00

8 Mei 2013 10:52

Item
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
5,00
10,00
2,00

TUSLAH NON RACIKAN

TOTAL

6,00

8 Mei 2013 10:52

Item
DISP SYRINGE 10 CC
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
6,00
4,00
1,00
1,00
5,00
10,00
7,00

8 Mei 2013 10:52

Item
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
NATRIUM PHENITOIN 50MG /ML INJ
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
2,00
3,00
1,00
5,00
10,00
8,00

8 Mei 2013 10:52

Item
BENUTRION VE SANBE INFUSION
KA-EN 3B 500 ML INFUSION
TRANSFUSION SET JMS
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
5,00
10,00
6,00

8 Mei 2013 10:52

Item
RING AS SANBE 500 ML
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
4,00
1,00

ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
4,00

8 Mei 2013 10:39

Item
RING AS SANBE 500 ML
IVENA IV CATH 24
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
6,00
10,00
5,00
6,00

8 Mei 2013 10:39

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
1,00
4,00
4,00
10,00
5,00
3,00
3,00
10,00

8 Mei 2013 10:39

Item
KA-EN 3B 500 ML INFUSION
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
PELASTIN INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
2,00
6,00
1,00
1,00
5,00

8 Mei 2013 10:38

Item

JAKARTA SEHAT
Quantity

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

10,00
1,00

8 Mei 2013 10:38

Item
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 24
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
10,00
5,00
1,00
2,00
5,00

8 Mei 2013 10:38

Item
RING AS SANBE 500 ML
IVENA IV CATH 24
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
10,00
5,00
5,00

8 Mei 2013 10:37

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
10,00
5,00
5,00

8 Mei 2013 10:37

Item
RING AS SANBE 500 ML
CINAM 1.5 GM INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
6,00
1,00
1,00
5,00

8 Mei 2013 10:26

Item
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
1,00
10,00
5,00
6,00

8 Mei 2013 10:26

Item
RING AS SANBE 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

8 Mei 2013 10:26

Item
RING AS SANBE 500 ML
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
6,00
1,00
6,00
6,00

8 Mei 2013 10:25

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
10,00
5,00
1,00
1,00
6,00

8 Mei 2013 10:25

JAKARTA SEHAT

Item
RING AS SANBE 500 ML
INFUS SET JMS
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00
4,00
4,00
10,00
5,00
6,00

8 Mei 2013 10:25

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
2,00
10,00
5,00
6,00

8 Mei 2013 10:24

Item
TRIDEX 27B INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
5,00
1,00
10,00
5,00
1,00
7,00

8 Mei 2013 10:24

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
10,00
5,00
5,00

8 Mei 2013 10:24

Item
RING AS SANBE 500 ML
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
2,00
10,00
5,00
6,00

8 Mei 2013 10:24

Item
RING AS SANBE 500 ML
IVENA IV CATH 24
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00
4,00
10,00
5,00
6,00

8 Mei 2013 10:18

Item
RING AS SANBE 500 ML
ONDANSETRON INF 4 MG INJECTION
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
1,00
10,00
5,00
6,00

8 Mei 2013 10:07

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
5,00
10,00
1,00
5,00

8 Mei 2013 10:07

Item
RING AS SANBE 500 ML
IVENA IV CATH 24
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
5,00
10,00
5,00

8 Mei 2013 10:06

Item
KA-EN 3B 500 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
1,00
5,00
10,00
5,00

8 Mei 2013 10:06

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00
1,00
5,00
10,00
6,00

8 Mei 2013 10:06

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
10,00
5,00
10,00
6,00

8 Mei 2013 10:06

JAKARTA SEHAT

Item
FUTROLIT INFUSION
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
1,00
5,00
10,00
4,00

7 Mei 2013 14:24

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 11:24

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 11:06

Item
PELASTIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

7 Mei 2013 11:04

Item
FUROSEMID INF TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
15,00

6 Mei 2013 14:03

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KA-EN 1B 500 ML INFUSION
CHLORAMPHENICOL250mg CAPSULE
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
2,00
2,00
5,00

DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
1,00
10,00
2,00
11,00

6 Mei 2013 13:39

Item
RINGER LACTATE WIDATRA 500 ML
LACTODIA POLYBAG
ORALIT
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
5,00
2,00
1,00
1,00
10,00
7,00

6 Mei 2013 13:38

Item
RINGER LACTATE WIDATRA 500 ML
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
3,00
2,00
10,00
1,00
6,00
7,00

6 Mei 2013 13:36

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
3,00
2,00
10,00
6,00
1,00
8,00

6 Mei 2013 13:34

Item
RINGER LACTATE WIDATRA 500 ML
OMEPRAZOLE 40 MG INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
6,00
10,00
3,00
2,00
1,00
7,00

6 Mei 2013 13:33

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ALKOHOL SWAB
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
3,00
2,00
2,00
3,00
10,00
2,00
1,00
2,00
6,00
1,00
10,00

6 Mei 2013 13:26

Item
KA-EN 3B 500 ML INFUSION
SELANG OKSIGEN CHILD
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
10,00
6,00

6 Mei 2013 13:26

Item
RINGER LACTATE WIDATRA 500 ML
ORALIT

JAKARTA SEHAT
Quantity
3,00
5,00

LACTODIA POLYBAG
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

5,00
3,00
1,00
1,00
5,00
10,00
8,00

6 Mei 2013 13:24

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
4,00
5,00
2,00
1,00
10,00
6,00

6 Mei 2013 13:23

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
5,00
1,00
1,00
10,00
6,00

6 Mei 2013 13:21

Item
TRIDEX 27B INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
5,00
1,00
10,00
7,00

6 Mei 2013 13:20

Item
RING AS SANBE 500 ML
ONDANSETRON INF 4 MG INJECTION
CHLORAMPHENICOL250mg CAPSULE
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
1,00
4,00
1,00
1,00
1,00
10,00
9,00

6 Mei 2013 13:20

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
CHLORAMPHENICOL250mg CAPSULE
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
5,00
5,00
1,00
1,00
10,00
8,00

6 Mei 2013 13:20

Item
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
10,00
4,00

6 Mei 2013 13:20

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
3,00
2,00
5,00
1,00
1,00
1,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

10,00
7,00

6 Mei 2013 13:18

Item
KA-EN 1B 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
10,00
5,00

6 Mei 2013 13:18

Item
KA-EN 1B 500 ML INFUSION
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
10,00
4,00

6 Mei 2013 13:18

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
ZINC INF 20 MG TABLET
DISP SYRINGE 3 CC
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
4,00
4,00
1,00
1,00
10,00
7,00

6 Mei 2013 13:18

Item
RINGER LACTATE WIDATRA 500 ML
DEXTROSE 10% WIDATRA 500 ML INFUSION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
3,00
1,00
1,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1,00
10,00
8,00

6 Mei 2013 13:18

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
4,00
3,00
1,00
1,00
10,00
7,00

6 Mei 2013 13:17

Item
RINGER LACTATE WIDATRA 500 ML
LACTODIA POLYBAG
ORALIT
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
5,00
5,00
1,00
1,00
1,00
10,00
8,00

6 Mei 2013 13:17

Item
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
5,00
1,00
1,00
1,00
10,00
7,00

6 Mei 2013 13:16

JAKARTA SEHAT

Item
FUTROLIT INFUSION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 24
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
2,00
3,00
1,00
1,00
10,00
6,00

6 Mei 2013 12:40

Item
KA-EN 3B 500 ML INFUSION
ORALIT
LACTODIA POLYBAG
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
5,00
1,00
1,00
1,00
10,00
7,00

6 Mei 2013 12:39

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 24
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
1,00
1,00
1,00
10,00
6,00

6 Mei 2013 12:39

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
10,00
4,00

5 Mei 2013 10:46

JAMKESMAS

Item
TRANSFUSION SET JMS
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
3,00
2,00
2,00
4,00

5 Mei 2013 10:44

Item
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

5 Mei 2013 06:57

Item
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

5 Mei 2013 06:55

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

5 Mei 2013 06:54

Item
ANESFAR INJEKSI
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00
1,00
1,00
6,00

4 Mei 2013 19:34

Item
LEVOCIN SANBE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

4 Mei 2013 18:21

Item
FOTARAM 1 g
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00
4,00

4 Mei 2013 17:54

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

4 Mei 2013 13:33

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

4 Mei 2013 11:19

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
ONDANSETRON INF 4 MG INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
DEXTROSE 10% WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
6,00
6,00
3,00
16,00
10,00
12,00
30,00
9,00

4 Mei 2013 11:19

Item
FUROSEMID INF INJECTION
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
6,00

PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
FOLIC ACID 1 MG TABLET
AMINORAL TABLET
HANDSCOON NON STERIL S (PCS)
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

6,00
9,00
10,00
10,00
20,00
5,00
1,00
10,00
5,00
1,00
10,00
9,00

4 Mei 2013 11:18

Item
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
6,00
3,00
6,00
6,00
20,00
7,00

4 Mei 2013 11:10

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
COTRIMOXAZOLE 480 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
INH 300 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
PANTOPRAZOLE INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
24,00
3,00
6,00
6,00
3,00
12,00
24,00
9,00
6,00
6,00
12,00
9,00
13,00

4 Mei 2013 11:10

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
AMINORAL TABLET
ASPAR-K TABLET, COATED 300 mg
PANTOPRAZOLE INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
GRANISETRON 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
10,00
10,00
1,00
10,00
20,00
20,00
2,00
6,00
3,00
9,00

4 Mei 2013 11:04

Item
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
AMOXICILLIN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

4 Mei 2013 11:00

Item
KA-EN 1B 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TRANSFUSION SET JMS
IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
ALKOHOL SWAB
SELANG OKSIGEN ADULT
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
3,00
6,00
1,00
1,00
6,00
3,00
3,00
6,00
1,00
1,00
10,00

4 Mei 2013 10:59

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
6,00
3,00
3,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
1,00
6,00

4 Mei 2013 10:59

Item
KA-EN 1B 500 ML INFUSION
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
ALKOHOL SWAB
INFUS SET JMS
SELANG OKSIGEN CHILD
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
3,00
2,00
6,00
1,00
1,00
8,00

4 Mei 2013 10:58

Item
RINGER LACTATE WIDATRA 500 ML
LACTODIA POLYBAG
DISP SYRINGE 3 CC
ALKOHOL SWAB
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
4,00
6,00
1,00
10,00
6,00

4 Mei 2013 10:58

Item
KA-EN 1B 500 ML INFUSION
LACTODIA POLYBAG
IVENA IV CATH 24
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00
6,00
10,00
6,00

4 Mei 2013 10:58

Item

JAKARTA SEHAT
Quantity

DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
2,00

4 Mei 2013 10:57

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
2,00
1,00

4 Mei 2013 10:56

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
5,00
5,00
5,00
3,00
6,00
3,00
7,00

4 Mei 2013 10:56

Item
GLIDABET 80 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

4 Mei 2013 10:28

Item
HYPERIL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
3,00
6,00
9,00
10,00
10,00
3,00
8,00

3 Mei 2013 14:19

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 13:56

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
4,00

3 Mei 2013 13:38

Item
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

3 Mei 2013 12:47

Item
BD VACUTAINER
EPHINEPRIN ETHICA INJECTION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

3 Mei 2013 12:13

Item
LACTODIA POLYBAG
IVENA IV CATH 24
ALKOHOL SWAB
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
2,00
1,00
10,00
5,00

3 Mei 2013 12:11

Item
KA-EN 3B 500 ML INFUSION

UMUM
Quantity
3,00

NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION

IVENA IV CATH 24
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
PAMOL 125 MG SUPPOSITORY
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00
2,00
10,00
1,00
2,00
1,00
9,00

3 Mei 2013 11:18

Item
RINGERFUNDIN INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
4,00
10,00
1,00
1,00
6,00

3 Mei 2013 11:08

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

3 Mei 2013 11:03

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 11:01

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
PARACETAMOL 60 ML SYRUP
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
3,00

TOTAL

3 Mei 2013 10:34

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
2,00
5,00
3,00
10,00
2,00
1,00
1,00
8,00

3 Mei 2013 10:34

Item
RINGER LACTATE WIDATRA 500 ML
DEXTROSE 10% WIDATRA 500 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
IVENA IV CATH 24
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
4,00
1,00
3,00
2,00
10,00
7,00

3 Mei 2013 10:34

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 24
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
5,00
1,00
3,00
2,00
10,00
7,00

3 Mei 2013 10:34

Item
RINGER LACTATE WIDATRA 500 ML
CHLORAMPHENICOL250mg CAPSULE

JAKARTA SEHAT
Quantity
6,00
2,00

IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
10,00
3,00
6,00

3 Mei 2013 10:33

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
5,00
10,00
5,00

3 Mei 2013 10:33

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
AMIKACIN 250 MG INJECTION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
SELANG OKSIGEN CHILD
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
1,00
1,00
10,00
1,00
7,00

3 Mei 2013 10:33

Item
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
XYLOCAINE 2% 10 GM JELLY
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

3 Mei 2013 10:32

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
SANMOL INFUSION
HYPAFIX 5CM x 5 M
RANITIDINE GENERIK 25 MG/ML INJECTION

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

5,00
2,00
2,00
10,00
1,00
1,00
10,00

3 Mei 2013 10:31

Item
DEXTROSE 10% WIDATRA 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AMIKACIN 250 MG INJECTION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
STOMACH TUBE 10 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
3,00
1,00
1,00
10,00
1,00
7,00

3 Mei 2013 10:16

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 10:13

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
3,00
2,00

3 Mei 2013 10:13

Item
RINGER LACTATE WIDATRA 500 ML
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
AQUA BIDES 1000 ML SOLUTION, LIQUID

JAKARTA SEHAT
Quantity
5,00
2,00
3,00
5,00
2,00
5,00
2,00

HANDSCOON NON STERIL S (PCS)

PARACETAMOL INF TABLET 500 mg
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
1,00
10,00

3 Mei 2013 10:12

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
PARACETAMOL INF TABLET 500 mg
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
2,00
10,00
10,00
1,00
6,00

3 Mei 2013 10:12

Item
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
FUROSEMID INF INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 24
MICROPORE 1/2 INC
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
3,00
1,00
5,00
2,00
10,00
5,00
1,00
1,00
1,00
1,00
13,00

3 Mei 2013 09:59

Item
RINGER LACTATE WIDATRA 500 ML
BENUTRION VE SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
6,00
2,00
5,00
3,00
2,00
10,00
10,00

MICROPORE 1/2 INC

TUSLAH NON RACIKAN
TOTAL

1,00
8,00

3 Mei 2013 09:58

Item
FUTROLIT INFUSION
FUROSEMID INF INJECTION
SELANG OKSIGEN CHILD
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
3,00
5,00
10,00
1,00
7,00

3 Mei 2013 09:57

Item
KA-EN 3B 500 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
5,00
2,00
2,00
1,00
1,00
10,00
9,00

3 Mei 2013 09:51

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
12,00
4,00
8,00
4,00
4,00

3 Mei 2013 09:47

Item
RING AS SANBE 500 ML
COTRIMOXAZOLE 480 MG TABLET

JAKARTA SEHAT
Quantity
8,00
24,00

RANITIDINE INF TABLET 150 MG

DEXAMETHASONE INF TABLET 0.5 MG
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

8,00
16,00
8,00
5,00

3 Mei 2013 09:46

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CURCUMA 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
3,00

3 Mei 2013 09:39

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

3 Mei 2013 09:38

Item
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
AMBROXOL INF 30 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
V-BLOC 6,25MG TABLET
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
20,00
20,00
20,00
20,00
7,00
20,00
7,00
7,00
7,00

3 Mei 2013 09:24

Item
HYPAFIX 5CM x 5 M
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

2 Mei 2013 19:49

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

2 Mei 2013 09:49

Item
NON REBREATHING MASK ADULT(1102)
IVENA IV CATH 24
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
EPHINEPRIN ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
5,00
4,00

2 Mei 2013 07:15

Item
IVENA IV CATH 22
IVENA IV CATH 24
TRANSFUSION SET JMS
NON REBREATHING MASK ADULT(1102)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

2 Mei 2013 07:14

Item
IVENA IV CATH 22
IVENA IV CATH 24
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
NON REBREATHING MASK ADULT(1102)
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

2 Mei 2013 00:47

Item
IRBESARTAN 300 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CEDOCARD 10 ML SOLUTION, INJECTION
V-BLOC 6,25MG TABLET
ATORVASTATIN 20 MG TABLET

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
1,00
2,00

TUSLAH NON RACIKAN

TOTAL

5,00

1 Mei 2013 23:42

Item
FARMADOL 100 ML INFUSION
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

1 Mei 2013 23:42

Item
FARMADOL 100 ML INFUSION
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

1 Mei 2013 22:22

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 20:09

Item
IVENA IV CATH 22
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
2,00

1 Mei 2013 20:08

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

1 Mei 2013 20:07

Item
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00

IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

2,00
2,00

1 Mei 2013 20:06

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

1 Mei 2013 20:05

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

1 Mei 2013 14:08

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
IVENA IV CATH 24
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
1,00
5,00
1,00
10,00
6,00

1 Mei 2013 14:07

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
6,00
1,00
1,00
3,00
6,00
1,00
10,00
8,00

1 Mei 2013 14:07

Item

JAKARTA SEHAT
Quantity

RINGER LACTATE WIDATRA 500 ML

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 24
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

10,00
2,00
5,00
2,00
1,00
5,00
6,00

1 Mei 2013 13:50

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
2,00
1,00
3,00
3,00
6,00

1 Mei 2013 13:49

Item
RINGER LACTATE WIDATRA 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
VALISANBE INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
3,00
3,00
3,00
1,00
1,00
4,00
10,00
9,00

1 Mei 2013 13:48

Item
KA-EN 3B 500 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00
1,00
5,00

1 Mei 2013 13:48

Item
FUTROLIT INFUSION
IVENA IV CATH 24
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
10,00
6,00
1,00
6,00

1 Mei 2013 13:48

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
6,00
5,00
6,00
2,00
2,00
4,00
3,00
10,00
9,00

1 Mei 2013 13:48

Item
RINGER LACTATE WIDATRA 500 ML
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
5,00
6,00
2,00
1,00
1,00
5,00
7,00

1 Mei 2013 13:47

Item
TRIDEX 27B INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
4,00

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
10,00
2,00
1,00
8,00

1 Mei 2013 13:43

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
5,00
20,00
1,00
5,00

1 Mei 2013 13:26

Item
KA-EN 3B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
ALKOHOL SWAB
STOMACH TUBE 10 JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
4,00
2,00
2,00
4,00
1,00
1,00
10,00
9,00

1 Mei 2013 13:25

Item
DEXTROSE 5% WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
1,00
3,00
1,00
10,00
7,00

1 Mei 2013 13:25

Item
RINGER LACTATE WIDATRA 500 ML
CINAM 1.5 GM INJECTION
ORALIT
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
IVENA IV CATH 24
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
4,00
4,00
6,00
3,00
2,00
5,00
1,00
10,00
9,00

1 Mei 2013 13:19

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
DISP SYRINGE 3 CC
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
6,00
1,00
5,00

1 Mei 2013 13:18

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 24
ALKOHOL SWAB
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
1,00
3,00
1,00
1,00
10,00
8,00

1 Mei 2013 13:08

Item
ALKOHOL SWAB
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
10,00
3,00

1 Mei 2013 13:07

Item
DEXTROSE 5% WIDATRA 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
IVENA IV CATH 24
DISP SYRINGE 3 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
1,00
3,00
1,00
6,00

1 Mei 2013 13:06

Item
RINGER LACTATE WIDATRA 500 ML
KA-EN 1B 500 ML INFUSION
LACTODIA POLYBAG
DISP SYRINGE 3 CC
IVENA IV CATH 24
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
5,00
2,00
1,00
3,00
20,00
7,00

1 Mei 2013 13:05

Item
KA-EN 1B 500 ML INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
2,00
3,00
1,00
10,00
7,00

1 Mei 2013 09:05

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo
Depo Atas
Subtotal
BOT
TAB
VIL
VIL
AMP
BOT
BOT
BOT
PKG
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas

Pasien
Penjamin
57964
57964
5280
5280
463320
463320
255816
255816
149688
149688
168300
168300
153648
153648
17643
17643
10040
10040
5220
5220
5000
5000
1291919 1291919

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
39600
39600
500
500
40100
40100

0
0
0

Pasien
Penjamin
56466
56466
500
500
56966
56966

0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Subtotal
VIL
BOT
PKG
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
AMP
BOT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BOT
PKG
PKG
UNT

Depo Atas
Subtotal
AMP
TAB
PKG
PKG
UNT

Depo Atas
Subtotal

Pasien
Penjamin
91080
91080
305856
305856
10040
10040
1500
1500
408476
408476

0
0
0
0
0

Pasien
Penjamin
6960
6960
83160
83160
49251
49251
285120
285120
742203
742203
7830
7830
18480
18480
10040
10040
4000
4000
1207044 1207044

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
24640
24640
13935
13935
68310
68310
164170
164170
1566
1566
10040
10040
3500
3500
287421
287421

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24610
24610
708
708
5220
5220
15060
15060
2000
2000
47598
47598

0
0
0
0
0
0

Pasien

Penjamin

UNT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
VIL
BOT
PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
CAP
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas

5809
500
6309

5809
500
6309

0
0
0

Pasien
Penjamin
57964
57964
1260
1260
24640
24640
434976
434976
17643
17643
10040
10040
3000
3000
549523
549523

0
0
0
0
0
0
0
0

Pasien
Penjamin
2884
2884
500
500
3384
3384

0
0
0

Pasien
Penjamin
10590
10590
500
500
11090
11090

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
5010
5010
260
260
1000
1000
6270
6270

0
0
0
0

Subtotal
UNT
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
PKG
UNT
UNT
BOT
SUP
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Pasien
Penjamin
9140
9140
7255
7255
5010
5010
99000
99000
5390
5390
2500
2500
128295
128295

Pasien

0
0
0
0
0
0
0

Penjamin
700
8415
29976
2610
7700
1780
5280
23736
4000
84197

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
29976
29976
10040
10040
2610
2610
7700
7700
2500
2500
61241
61241

0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
8415
8415
2610
2610
7700
7700
712
712
10040
10040
3000
3000
62453
62453

0
0
0
0
0
0
0
0

700
8415
29976
2610
7700
1780
5280
23736
4000
84197

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
SUP
BOT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
AMP
UNT
SUP
BOT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
TUB
VIL
PKG

Pasien
Penjamin
8415
8415
29976
29976
10040
10040
1780
1780
2610
2610
7700
7700
3000
3000
63521
63521

0
0
0
0
0
0
0
0

Pasien
Penjamin
23736
23736
7920
7920
29976
29976
16830
16830
2610
2610
7700
7700
10040
10040
3500
3500
102312
102312

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
107376
107376
31680
31680
23736
23736
7920
7920
29976
29976
8415
8415
2610
2610
7700
7700
10040
10040
5000
5000
290832
290832

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
57024
57024
393957
393957
2610
2610

0
0
0
0

UNT
SUP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
UNT
UNT
UNT
PKG
BOT
SUP
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
PKG
UNT
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT
UNT

7700
23736
7920
29976
16830
10040
5000
611172

7700
23736
7920
29976
16830
10040
5000
611172

0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
112200
112200
29976
29976
8415
8415
1780
1780
10040
10040
5280
5280
23736
23736
4000
4000
218197
218197

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
18822
18822
8415
8415
29976
29976
10040
10040
1780
1780
5280
5280
2610
2610
7700
7700
4500
4500
126709
126709

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2610
2610
7700
7700
1780
1780
32670
32670
29976
29976
2500
2500

0
0
0
0
0
0

77236

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
PKG
UNT
UNT
PKG
BOT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
PKG
UNT
PKG
UNT
BOT
SUP
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
PKG
BOT
UNT
PKG
UNT
UNT

77236

Pasien
Penjamin
72652
72652
393957
393957
8415
8415
29976
29976
2610
2610
7700
7700
1780
1780
10040
10040
5280
5280
16335
16335
5000
5000
553745
553745

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
393957
393957
29976
29976
8415
8415
10040
10040
1780
1780
2610
2610
7700
7700
5280
5280
23736
23736
4500
4500
487994
487994

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
422400
422400
29976
29976
8415
8415
10040
10040
5280
5280
1780
1780
2610
2610
7700
7700
4500
4500
567873
567873

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BAG
VIL
AMP
UNT
UNT
UNT
PKG
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
AMP
UNT
UNT
UNT
PKG
PKG
UNT
UNT

Depo Atas
Subtotal

Pasien
Penjamin
75172
75172
18822
18822
13305
13305
8415
8415
29976
29976
1780
1780
10040
10040
5280
5280
2610
2610
7700
7700
5000
5000
178100
178100

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
525276
525276
8415
8415
29976
29976
2610
2610
7700
7700
10040
10040
1780
1780
3500
3500
589297
589297

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
8870
8870
29976
29976
8415
8415
1780
1780
10040
10040
2610
2610
7700
7700
4000
4000
148563
148563

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
BOT
TAB
UNT

Depo Atas
Subtotal
VIL
VIL
PKG
BOT
BOT
UNT

Emergency Bougenville
Subtotal
PKG
UNT
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
TUB
UNT
UNT

Depo IGD
Subtotal
VIL
AMP
UNT

4440
4620
9700
1500
20260

4440
4620
9700
1500
20260

0
0
0
0
0

Pasien
Penjamin
262638
262638
20064
20064
43313
43313
33660
33660
14317
14317
2500
2500
376492
376492

0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
20213
20213
6864
6864
12610
12610
1997
1997
2500
2500
71134
71134

0
0
0
0
0
0
0

Pasien
Penjamin
12610
12610
12012
12012
12012
12012
1997
1997
56262
56262
27640
27640
3000
3000
125533
125533

0
0
0
0
0
0
0
0

Pasien
Penjamin
72496
72496
46807
46807
1000
1000
120303
120303

0
0
0
0

Depo IGD
Subtotal
VIL
VIL
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Pasien
Penjamin
12548
12548
85272
85272
1000
1000
98820
98820

0
0
0
0

Pasien
Penjamin
33984
33984
4620
4620
5991
5991
12144
12144
2000
2000
58739
58739

0
0
0
0
0
0

Pasien
Penjamin
33984
33984
6160
6160
7988
7988
211200
211200
2000
2000
261332
261332

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
1898
1898
26611
26611
1540
1540
1275
1275
41388
41388
3000
3000
90700
90700

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335

0
0
0

UNT
PKG
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
PKG
UNT
UNT
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
PKG
BOT
BOT
PKG
UNT

Depo IGD
Subtotal

1898
2970
5881
3000
60060

1898
2970
5881
3000
60060

0
0
0
0
0

Pasien
Penjamin
14988
14988
59193
59193
2970
2970
18343
18343
5809
5809
56262
56262
16088
16088
3994
3994
4000
4000
181647
181647

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
56100
56100
2550
2550
2500
2500
107461
107461

0
0
0
0
0
0
0

Pasien
Penjamin
2550
2550
14988
14988
16335
16335
2970
2970
5881
5881
16417
16417
41388
41388
3500
3500
104029
104029

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL

14988
14988
16335
2970
2550
1898
26611
3500
83840

14988
14988
16335
2970
2550
1898
26611
3500
83840

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
8415
8415
2970
2970
2550
2550
2500
2500
46411
46411

0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
14988
14988
14988
14988
16335
16335
26611
26611
1898
1898
3000
3000
83701
83701

0
0
0
0
0
0
0
0

Pasien
Penjamin
5184
5184
5991
5991
14988
14988
14988
14988
2000
2000
43151
43151

0
0
0
0
0
0

Pasien
Penjamin
5184
5184

UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
PKG
BAG
UNT

Depo IGD
Subtotal
AMP
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

1997
29976
1500
38657

1997
29976
1500
38657

0
0
0
0

Pasien
Penjamin
3796
3796
16335
16335
14988
14988
1500
1500
36619
36619

0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
2970
2970
9633
9633
2000
2000
45926
45926

0
0
0
0
0
0

Pasien
Penjamin
70438
70438
56100
56100
1000
1000
127538
127538

0
0
0
0

Pasien
Penjamin
3796
3796
32670
32670
1000
1000
37466
37466

0
0
0
0

Pasien
Penjamin
1540
1540
16335
16335
1898
1898
1500
1500

0
0
0
0

21273

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal

21273

Penjamin
630
630
500
500
1130
1130

0
0
0

Pasien

Pasien

Penjamin
116
90
196
3500
500
4402

0
0
0
0
0
0

Pasien
Penjamin
56379
56379
10040
10040
8415
8415
1780
1780
29976
29976
6375
6375
7700
7700
3500
3500
124165
124165

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
393957
393957
8415
8415
1780
1780
10040
10040
29976
29976
3000
3000
483552
483552

0
0
0
0
0
0
0
0

116
90
196
3500
500
4402

Pasien

Penjamin

BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
AMP
BAG
UNT
UNT
PKG
VIL
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
PKG

56379
7776
6375
7700
1780
29976
8415
3500
121901

56379
7776
6375
7700
1780
29976
8415
3500
121901

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
28512
28512
6375
6375
5880
5880
8415
8415
14988
14988
1780
1780
5020
5020
4000
4000
102258
102258

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
81600
81600
4435
4435
37586
37586
6375
6375
1780
1780
5020
5020
24830
24830
14988
14988
8415
8415
4500
4500
189529
189529

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
2760
2760
8415
8415
1780
1780
5020
5020

0
0
0
0
0

UNT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
UNT
PKG
TUB
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT

14988
3000
90539

14988
3000
90539

0
0
0

Pasien
Penjamin
54576
54576
3560
3560
8415
8415
1780
1780
5020
5020
14988
14988
3000
3000
91339
91339

0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
422400
422400
8415
8415
1780
1780
5100
5100
4620
4620
29976
29976
10040
10040
2640
2640
4500
4500
564643
564643

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3825
3825
10040
10040
38016
38016
1500
1500
53381
53381

0
0
0
0
0

Pasien
Penjamin
93965
93965
62075
62075
6375
6375
7700
7700

0
0
0
0

UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT
BOT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT
BOT
TAB
UNT

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT
UNT

29976
1780
10040
8415
4000
224326

29976
1780
10040
8415
4000
224326

0
0
0
0
0
0

Pasien
Penjamin
93965
93965
12548
12548
8820
8820
6375
6375
7700
7700
29976
29976
1780
1780
10040
10040
8415
8415
5280
5280
5000
5000
189899
189899

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6375
6375
7700
7700
29976
29976
10040
10040
8415
8415
1780
1780
54576
54576
3024
3024
4000
4000
125886
125886

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
10040
10040
29976
29976
6375
6375
7700
7700
1780
1780
8415
8415

0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
BAG
TUB
UNT

Depo Atas
Subtotal
BAG

3500
104170

3500
104170

0
0

Pasien
Penjamin
36384
36384
10040
10040
29976
29976
6375
6375
7700
7700
8415
8415
1780
1780
3500
3500
104170
104170

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
10040
10040
6375
6375
7700
7700
1780
1780
29976
29976
8415
8415
3500
3500
124165
124165

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
1780
1780
6375
6375
7700
7700
29976
29976
10040
10040
56379
56379
63360
63360
4000
4000
188025
188025

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112758
112758

AMP
BOT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
BAG
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal

8673
5280
8415
1780
14988
5020
6375
7700
4500
175489

8673
5280
8415
1780
14988
5020
6375
7700
4500
175489

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27060
27060
29976
29976
37586
37586
1500
1500
96122
96122

0
0
0
0
0

Pasien
Penjamin
32670
32670
500
500
33170
33170

0
0
0

Pasien
Penjamin
2640
2640
5210
5210
196
196
3500
3500
500
500
12046
12046

0
0
0
0
0
0

Pasien
Penjamin
5500
5500
500
500
6000
6000

0
0
0

Pasien

Penjamin

TUB
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
BOT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
UNT
PKG
BOT
UNT

42768
500
43268

42768
500
43268

0
0
0

Pasien
Penjamin
36384
36384
8415
8415
29976
29976
3825
3825
4620
4620
1780
1780
5280
5280
10040
10040
4000
4000
104320
104320

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
224400
224400
8820
8820
10200
10200
14988
14988
8415
8415
1780
1780
10040
10040
4000
4000
357815
357815

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
8673
8673
5100
5100
4620
4620
29976
29976
8415
8415
1780
1780
10040
10040
5280
5280
4500
4500
114768
114768

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BAG
AMP
UNT
UNT
UNT
UNT
BOT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
BOT
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT

Pasien
Penjamin
75172
75172
8673
8673
5100
5100
29976
29976
8415
8415
1780
1780
5280
5280
10040
10040
4000
4000
148436
148436

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
8673
8673
5100
5100
29976
29976
8415
8415
5280
5280
1780
1780
3500
3500
99108
99108

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
8673
8673
29976
29976
1780
1780
10040
10040
7650
7650
3000
3000
97503
97503

0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
6375
6375
29976
29976
8415
8415
1780
1780

0
0
0
0
0

PKG
BOT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
BOT
VIL
AMP
BOT
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
BOT
UNT
TUB
UNT

Depo Atas
Subtotal
BAG

10040
5280
3500
140538

10040
5280
3500
140538

0
0
0
0

Pasien
Penjamin
27288
27288
29976
29976
8415
8415
6375
6375
1780
1780
10040
10040
5280
5280
3500
3500
92654
92654

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
308880
308880
30794
30794
7920
7920
10040
10040
7650
7650
7700
7700
14988
14988
8415
8415
4500
4500
428175
428175

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6375
6375
7920
7920
14988
14988
12672
12672
2000
2000
43955
43955

0
0
0
0
0
0

Pasien
Penjamin
56379
56379

VIL
AMP
BOT
UNT
UNT
PKG
BOT
BOT
UNT
UNT

Depo Atas
Subtotal
BAG
BOT
UNT
UNT
UNT
PKG
TUB
UNT

Depo Atas
Subtotal
BAG
VIL
BOT
PKG
UNT
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
BAG
VIL
PKG
UNT
UNT

422400
8820
7920
8925
4620
10040
30217
6171
29976
5000
590468

422400
8820
7920
8925
4620
10040
30217
6171
29976
5000
590468

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
5280
5280
7650
7650
4620
4620
14988
14988
10040
10040
12672
12672
3500
3500
115129
115129

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
12548
12548
5280
5280
10040
10040
7650
7650
14988
14988
8415
8415
25344
25344
4000
4000
144644
144644

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51255
51255
12548
12548
10040
10040
14988
14988
8415
8415

0
0
0
0
0

BOT
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
BOT
PKG
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
UNT
TUB
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
PKG
UNT
BOT
UNT

2640
6375
3500
109761

2640
6375
3500
109761

0
0
0
0

Pasien
Penjamin
56379
56379
6375
6375
2640
2640
10040
10040
14988
14988
8415
8415
3000
3000
101837
101837

0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
7920
7920
10040
10040
14988
14988
8415
8415
12672
12672
3000
3000
113414
113414

0
0
0
0
0
0
0
0

Pasien
Penjamin
3825
3825
38016
38016
10040
10040
1500
1500
53381
53381

0
0
0
0
0

Pasien
Penjamin
56379
56379
3825
3825
10040
10040
29976
29976
5280
5280
1780
1780

0
0
0
0
0
0

UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

8415
3500
119195

8415
3500
119195

0
0
0

Pasien
Penjamin
27288
27288
8415
8415
29976
29976
7650
7650
10040
10040
1780
1780
5280
5280
3500
3500
93929
93929

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
166845
166845
6066
6066
4695
4695
1500
1500
179106
179106

0
0
0
0
0

Pasien
Penjamin
247401
247401
25220
25220
5991
5991
4620
4620
53900
53900
29976
29976
29976
29976
3500
3500
400584
400584

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
TUB
UNT
UNT
UNT
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD

Pasien
Penjamin
53688
53688
500
500
54188
54188

0
0
0

Pasien
Penjamin
29976
29976
16335
16335
1000
1000
47311
47311

0
0
0
0

Pasien
Penjamin
29976
29976
16335
16335
3796
3796
1500
1500
51607
51607

0
0
0
0
0

Pasien
Penjamin
18343
18343
56262
56262
12012
12012
29976
29976
8415
8415
3825
3825
5991
5991
4105
4105
4000
4000
142929
142929

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
8415
8415
1000
1000
39391
39391

0
0
0
0

Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
BAG
UNT

Depo IGD
Subtotal
BAG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Pasien
Penjamin
29976
29976
16335
16335
1000
1000
47311
47311

0
0
0
0

Pasien
Penjamin
9633
9633
500
500
10133
10133

0
0
0

Pasien
Penjamin
28899
28899
500
500
29399
29399

0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
26611
26611
5991
5991
2500
2500
81413
81413

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
5991
5991
26611
26611
2500
2500
81413
81413

0
0
0
0
0
0
0

Pasien
Penjamin
11762
11762
1997
1997

0
0

UNT

Depo IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
TUB
UNT
UNT
UNT
BOT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
BOT
BAG
UNT
UNT

1000
14759

1000
14759

0
0

Pasien
Penjamin
247401
247401
687
687
8415
8415
1500
1500
258003
258003

0
0
0
0
0

Pasien
Penjamin
12012
12012
18343
18343
16088
16088
56262
56262
5809
5809
5991
5991
2550
2550
2640
2640
14988
14988
3696
3696
1898
1898
5500
5500
145777
145777

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
56262
56262
12012
12012
1898
1898
2000
2000
90515
90515

0
0
0
0
0
0

Pasien
Penjamin
3796
3796
32834
32834
18793
18793
14988
14988
3994
3994

0
0
0
0
0

UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
BOT
UNT
UNT

Depo IGD
Subtotal
SUP
UNT

2550
3000
79955

2550
3000
79955

0
0
0

Pasien
Penjamin
15013
15013
1923
1923
1000
1000
17936
17936

0
0
0
0

Pasien
Penjamin
16088
16088
56262
56262
1997
1997
14988
14988
2000
2000
91335
91335

0
0
0
0
0
0

Pasien
Penjamin
16417
16417
3080
3080
5991
5991
1500
1500
26988
26988

0
0
0
0
0

Pasien
Penjamin
100980
100980
16417
16417
3994
3994
1500
1500
122891
122891

0
0
0
0
0

Pasien
Penjamin
39186
39186
500
500
39686
39686

0
0
0

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
CAP
UNT
UNT
TAB
VIL
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB

Pasien
Penjamin
6375
6375
3080
3080
3994
3994
1500
1500
14949
14949

0
0
0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
85272
85272
3825
3825
3994
3994
9096
9096
2000
2000
104187
104187

0
0
0
0
0
0

Pasien

Penjamin
258
378
4928
1125
3500
150
12540
145860
32834
3000
204573

0
0
0
0
0
0
0
0
0
0
0

Penjamin
176
176
3798
3798
366
366

0
0
0

258
378
4928
1125
3500
150
12540
145860
32834
3000
204573

Pasien

VIL
AMP
VIL
SUP
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
TAB
BOT
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal

85272
5220
145860
39186
32834
2550
3080
5000
323342

85272
5220
145860
39186
32834
2550
3080
5000
323342

0
0
0
0
0
0
0
0
0

Penjamin
800
800
500
500
1300
1300

0
0
0

Pasien
Penjamin
37245
37245
501
501
429
429
1536
1536
792
792
116
116
562
562
1188
1188
52800
52800
211200
211200
29404
29404
300
300
32834
32834
51216
51216
7000
7000
427123
427123

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51000
51000
500
500
51500
51500

0
0
0

Pasien

Pasien

Penjamin

TAB
CAP
UNT
UNT
VIL
UNT
BAG
BOT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
BOT
AMP
AMP
VIL
BOT
BOT
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
CAP
BOT
UNT
UNT
BAG
UNT

1654
123
3500
150
224400
16335
19266
32834
3994
3000
305256

1654
123
3500
150
224400
16335
19266
32834
3994
3000
305256

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4704
4704
11990
11990
1000
1000
17694
17694

0
0
0
0

Pasien
Penjamin
32834
32834
140421
140421
19008
19008
308880
308880
56100
56100
67968
67968
11762
11762
5484
5484
3994
3994
4500
4500
650951
650951

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
4098
4098
32834
32834
14988
14988
3994
3994
9633
9633
3000
3000
75939
75939

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BAG
AMP
VIL
BOT
SUP
BOT
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
BAG
AMP
BOT
BOT
UNT

Depo IGD
Subtotal
CAP
TAB
BOT
SUP
BOT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
TAB
VIL
BOT

Pasien
Penjamin
9633
9633
46191
46191
224400
224400
56100
56100
39186
39186
5881
5881
32834
32834
3994
3994
8415
8415
2550
2550
5000
5000
434184
434184

Pasien

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
378
9633
22125
32834
11762
2500
79232

0
0
0
0
0
0
0

Pasien
Penjamin
1351
1351
122
122
56100
56100
39186
39186
11762
11762
1898
1898
16335
16335
32834
32834
4000
4000
163588
163588

0
0
0
0
0
0
0
0
0
0

378
9633
22125
32834
11762
2500
79232

Pasien

Penjamin
378
378
85272
85272
32834
32834

0
0
0

UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
AMP
UNT
UNT
BOT
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BAG
BOT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
VIL

14988
2000
135472

14988
2000
135472

0
0
0

Pasien
Penjamin
1078
1078
300
300
3960
3960
501
501
8820
8820
37245
37245
11684
11684
14988
14988
8415
8415
32834
32834
211200
211200
5500
5500
336525
336525

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2481
2481
516
516
1092
1092
244
244
4928
4928
501
501
22770
22770
9633
9633
32834
32834
14988
14988
5000
5000
94987
94987

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
116
116
792
792
1188
1188
562
562
22053
22053
37245
37245

0
0
0
0
0
0
0

BOT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
BAG
BOT
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
VIL
AMP
AMP
VIL
TAB
BOT
UNT

Depo IGD
Subtotal
TAB

32834
2550
4500
109232

32834
2550
4500
109232

0
0
0
0

Penjamin
516
1451
1654
783
71280
22770
9633
32834
51216
3994
3080
5500
204711

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
154
36
300
7392
501
792
116
1188
22770
85272
126741
8820
145860
562
32834
7500
440838

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
896
896

Pasien
516
1451
1654
783
71280
22770
9633
32834
51216
3994
3080
5500
204711

Pasien
154
36
300
7392
501
792
116
1188
22770
85272
126741
8820
145860
562
32834
7500
440838

Pasien

BOT
UNT
CAP
UNT
UNT
CAP
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
AMP
AMP
VIL
BOT
UNT
UNT
UNT
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
VIL
VIL
TAB
TAB
UNT

Apotik Panel 2

32834
2550
123
3500
150
900
3500
150
246
2000
46849

32834
2550
123
3500
150
900
3500
150
246
2000
46849

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
3798
3798
52800
52800
1536
1536
5220
5220
20790
20790
224400
224400
32834
32834
3994
3994
2550
2550
3300
3300
85272
85272
6000
6000
449886
449886

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
448
246
1078
429
32834
22770
85272
501
12540
4500
160618

Penjamin
448
246
1078
429
32834
22770
85272
501
12540
4500
160618

0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
BOT
UNT

Depo IGD
Subtotal
TAB
VIL
AMP
BOT
VIL
BOT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
3520
3520
500
500
4020
4020

Pasien
492
1536
5881
49251
2000
59160

Pasien
756
85272
22053
56100
154440
27288
14988
3994
3080
2061
5000
375032

Pasien
900
1569
2532
176
244
110629
49251
3500
168801

Pasien

0
0
0

Penjamin
492
1536
5881
49251
2000
59160

0
0
0
0
0
0

Penjamin
756
85272
22053
56100
154440
27288
14988
3994
3080
2061
5000
375032

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
900
1569
2532
176
244
110629
49251
3500
168801

0
0
0
0
0
0
0
0
0

Penjamin

TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
VIL
BAG
BOT
UNT
UNT
UNT

4928
500
5428

4928
500
5428

0
0
0

Penjamin
501
9900
348
4928
5388
154
49251
2550
3994
4500
81514

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2532
2532
654
654
85272
85272
12548
12548
32834
32834
3994
3994
3080
3080
14988
14988
4000
4000
159902
159902

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16658
16658
1569
1569
900
900
1962
1962
22770
22770
19266
19266
32834
32834
3994
3994
14988
14988
4500
4500
119441
119441

0
0
0
0
0
0
0
0
0
0
0

Pasien
501
9900
348
4928
5388
154
49251
2550
3994
4500
81514

Depo IGD
Subtotal
TAB
VIL
VIL
UNT
BOT
VIL
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
VIL
AMP
AMP
BOT
BOT
VIL
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP
VIL

Pasien
Penjamin
1536
1536
211200
211200
5465
5465
6600
6600
32834
32834
24830
24830
20064
20064
3500
3500
306029
306029

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11990
11990
500
500
12490
12490

0
0
0

Pasien
Penjamin
9504
9504
85272
85272
71280
71280
9290
9290
56100
56100
67968
67968
422400
422400
32834
32834
3994
3994
3080
3080
5000
5000
766722
766722

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12540
12540
792
792
116
116
1188
1188
562
562
29404
29404
85272
85272

0
0
0
0
0
0
0

VIL
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
VIL
BAG
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
BOT
VIL
UNT
UNT
BAG
BOT
BOT
UNT
UNT
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB

422400
16417
14988
8415
5991
6000
604085

Pasien
232
516
1002
22770
9633
32834
3994
2550
4000
77531

Pasien
258
56100
308880
14988
8415
9633
11762
32834
3994
2550
170544
5500
625458

Pasien
792
116
562
1188
54

422400
16417
14988
8415
5991
6000
604085

0
0
0
0
0
0
0

Penjamin
232
516
1002
22770
9633
32834
3994
2550
4000
77531

0
0
0
0
0
0
0
0
0
0

Penjamin
258
56100
308880
14988
8415
9633
11762
32834
3994
2550
170544
5500
625458

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
792
116
562
1188
54

0
0
0
0
0

VIL
BOT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
AMP
AMP
VIL
VIL
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
TAB
UNT

Depo IGD
Subtotal
AMP
UNT

221258
49251
3994
2550
22053
5000
306818

221258
49251
3994
2550
22053
5000
306818

0
0
0
0
0
0
0

Pasien
Penjamin
20790
20790
5220
5220
22770
22770
85272
85272
32834
32834
11762
11762
16335
16335
1898
1898
5991
5991
3825
3825
4620
4620
5500
5500
216817
216817

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
429
3960
348
4353
2481
161383
49251
1638
4000
227843

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
71280
71280
500
500
71780
71780

0
0
0

429
3960
348
4353
2481
161383
49251
1638
4000
227843

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
VIL
VIL
BOT
UNT
UNT
UNT
UNT
PKG
AMP
UNT

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
Penjamin
152160
152160
500
500
152660
152660

0
0
0

Pasien
501
9900
172
1078
224400
170544
17643
5991
4620
3825
3560
5020
22053
6500
475807

Penjamin
501
9900
172
1078
224400
170544
17643
5991
4620
3825
3560
5020
22053
6500
475807

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
VIL
VIL
AMP
UNT
UNT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
VIL
TAB
UNT

Depo IGD
Subtotal
BOT

Pasien
Penjamin
4928
4928
1046
1046
170544
170544
5782
5782
3560
3560
3994
3994
3080
3080
2550
2550
5020
5020
4500
4500
205004
205004

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
154440
154440
7351
7351
3300
3300
1275
1275
1540
1540
1997
1997
2640
2640
4000
4000
261815
261815

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
201960
201960
500
500
202460
202460

0
0
0

Pasien
Penjamin
24830
24830
562
562
1000
1000
26392
26392

0
0
0
0

Pasien
Penjamin
32834
32834

UNT
TAB
UNT

Depo IGD
Subtotal
TAB
BAG
UNT
UNT

Depo IGD
Subtotal
PKG
BOT
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
CAP
UNT
UNT
TAB
VIL

1997
5464
1500
41795

1997
5464
1500
41795

0
0
0
0

Penjamin
516
9633
3994
1500
15643

0
0
0
0
0

Pasien
Penjamin
5020
5020
32834
32834
516
516
1654
1654
19800
19800
1002
1002
501
501
30096
30096
137940
137940
3994
3994
3080
3080
3300
3300
1780
1780
2550
2550
1374
1374
7500
7500
252941
252941

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11762
11762
696
696
39204
39204
14256
14256
123
123
3500
3500
1050
1050
1654
1654
30096
30096

0
0
0
0
0
0
0
0
0

Pasien
516
9633
3994
1500
15643

VIL
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
BOT
AMP
UNT
TAB
TAB
TAB
VIL
AMP
VIL
UNT
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
UNT
UNT
UNT
PKG
UNT

Depo IGD

211200
22053
1997
2550
3080
1780
5020
5732
7000
362753

211200
22053
1997
2550
3080
1780
5020
5732
7000
362753

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1780
1780
16417
16417
29904
29904
16088
16088
696
696
1002
1002
19800
19800
85272
85272
126741
126741
22770
22770
26611
26611
5991
5991
3825
3825
9633
9633
7000
7000
373530
373530

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
1002
1002
19800
19800
696
696
5732
5732
2550
2550
1780
1780
5020
5020
4000
4000
56997
56997

0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
TAB
TAB
AMP
UNT
BOT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
BOT
TAB
UNT
UNT
PKG
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
UNT
VIL
AMP
CTG
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
TAB

Pasien
Penjamin
4488
4488
448
448
7392
7392
187110
187110
11464
11464
16417
16417
2550
2550
5020
5020
1780
1780
4500
4500
241169
241169

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
1078
1078
2550
2550
5732
5732
5020
5020
1068
1068
3000
3000
34865
34865

0
0
0
0
0
0
0
0

Pasien
Penjamin
12080
12080
16088
16088
3825
3825
17196
17196
687
687
422400
422400
22053
22053
180048
180048
5484
5484
4620
4620
1068
1068
5020
5020
6000
6000
696569
696569

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19602
19602

TAB
VIL
AMP
UNT
UNT
UNT
UNT
BAG
BOT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
BOT
UNT
PKG
UNT

Depo IGD
Subtotal
PKG
UNT

Depo IGD
Subtotal
VIL
AMP
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
VIL
UNT

827
112200
100980
5991
4620
3825
1780
9633
51216
5000
315674

827
112200
100980
5991
4620
3825
1780
9633
51216
5000
315674

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93614
93614
3825
3825
5991
5991
102432
102432
3560
3560
5020
5020
3000
3000
217442
217442

0
0
0
0
0
0
0
0

Pasien
Penjamin
41388
41388
500
500
41888
41888

0
0
0

Pasien
Penjamin
37245
37245
187110
187110
5732
5732
26950
26950
41388
41388
2500
2500
300925
300925

0
0
0
0
0
0
0

Pasien
Penjamin
60472
60472
5991
5991

0
0

BOT
BOT
UNT

Depo IGD
Subtotal
TAB
BOT
UNT
UNT

Depo IGD
Subtotal
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
TAB
AMP
BOT
UNT

Depo IGD
Subtotal
AMP
BOT
VIL
AMP
AMP
AMP
AMP
BOT
UNT
UNT

51216
16417
2000
136096

51216
16417
2000
136096

0
0
0
0

Pasien
Penjamin
16632
16632
9096
9096
5991
5991
1500
1500
33219
33219

0
0
0
0
0

Pasien
Penjamin
41388
41388
500
500
41888
41888

0
0
0

Pasien
Penjamin
14988
14988
14988
14988
26950
26950
5809
5809
16680
16680
338580
338580
16417
16417
3500
3500
437912
437912

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2940
2940
32834
32834
45540
45540
20790
20790
5220
5220
46191
46191
8673
8673
47685
47685
3300
3300
3825
3825

0
0
0
0
0
0
0
0
0
0

UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas

4620
5991
5732
22688
687
5294
26611
8500
297121

4620
5991
5732
22688
687
5294
26611
8500
297121

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
186196
186196
500
500
186696
186696

0
0
0

Pasien
Penjamin
19800
19800
500
500
20300
20300

0
0
0

Pasien
Penjamin
37245
37245
500
500
37745
37745

0
0
0

Pasien
Penjamin
8820
8820
500
500
9320
9320

0
0
0

Pasien
Penjamin
37245
37245
500
500
37745
37745

0
0
0

Subtotal
TAB
TAB
AMP
BOT
UNT

Depo Atas
Subtotal
VIL
BOT
VIL
AMP
BOT
BOT
BOT
UNT

Depo Atas
Subtotal
BOT
AMP
AMP
VIL
BOT
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
AMP
BOT
AMP
BOT
UNT

Pasien
Penjamin
23562
23562
2481
2481
888030
888030
98502
98502
2000
2000
1014575 1014575

0
0
0
0
0
0

Pasien
Penjamin
926640
926640
339840
339840
511632
511632
56720
56720
153648
153648
49251
49251
189759
189759
3500
3500
2230990 2230990

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
20790
20790
5220
5220
56925
56925
35286
35286
511632
511632
3000
3000
680538
680538

0
0
0
0
0
0
0
0

Pasien
Penjamin
1720
1720
4353
4353
2481
2481
106920
106920
17346
17346
98502
98502
60066
60066
235902
235902
4000
4000
531290
531290

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
TAB
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
BOT
VIL

Pasien
Penjamin
45480
45480
8925
8925
7700
7700
1780
1780
14988
14988
6462
6462
10040
10040
3500
3500
98875
98875

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112200
112200
8415
8415
14988
14988
6375
6375
4620
4620
1780
1780
10040
10040
5280
5280
4000
4000
167698
167698

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
756
756
14988
14988
8415
8415
6375
6375
4620
4620
1780
1780
10040
10040
4000
4000
96454
96454

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93965
93965
8280
8280
1056000 1056000

0
0
0

AMP
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
VIL
VIL
BOT
BOT
UNT

Depo Atas
Subtotal
BOT
AMP
AMP
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas

8820
10040
1780
6375
4620
14988
8415
5000
1218283

8820
10040
1780
6375
4620
14988
8415
5000
1218283

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14784
14784
47685
47685
511632
511632
68310
68310
49251
49251
153648
153648
3000
3000
848310
848310

0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
5220
5220
20790
20790
164170
164170
2000
2000
239865
239865

0
0
0
0
0
0

Pasien
Penjamin
54576
54576
756
756
14988
14988
1780
1780
10040
10040
6375
6375
4620
4620
3500
3500
96635
96635

0
0
0
0
0
0
0
0
0

Subtotal
BAG
TAB
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
AMP
VIL
BOT
UNT
UNT
UNT
PKG
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
TAB
UNT

Pasien
Penjamin
93965
93965
756
756
14988
14988
8415
8415
5020
5020
1780
1780
6375
6375
4620
4620
4000
4000
139919
139919

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93965
93965
8673
8673
633600
633600
112200
112200
14988
14988
8415
8415
3560
3560
10040
10040
5280
5280
6375
6375
4620
4620
5500
5500
907216
907216

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93965
93965
8415
8415
1780
1780
10040
10040
6375
6375
4620
4620
3000
3000
128195
128195

0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
1260
1260
14988
14988

0
0
0

UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
BAG
VIL
BOT
UNT
UNT
PKG
UNT
UNT
UNT

8415
10040
1780
6375
4620
4000
96958

8415
10040
1780
6375
4620
4000
96958

0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
8415
8415
14988
14988
5020
5020
1780
1780
12750
12750
7700
7700
3500
3500
99633
99633

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
82085
82085
14988
14988
8415
8415
10040
10040
1780
1780
6375
6375
4620
4620
2640
2640
4000
4000
134943
134943

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93965
93965
12548
12548
5280
5280
8415
8415
14988
14988
10040
10040
6375
6375
4620
4620
1780
1780

0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas

4500
162511

4500
162511

0
0

Pasien
Penjamin
93965
93965
6274
6274
8415
8415
14988
14988
6375
6375
4620
4620
1780
1780
10040
10040
4000
4000
150457
150457

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93965
93965
12548
12548
5520
5520
14988
14988
8415
8415
1780
1780
10040
10040
6375
6375
4620
4620
4500
4500
162751
162751

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
8415
8415
14988
14988
10040
10040
6375
6375
4620
4620
1780
1780
3500
3500
95198
95198

0
0
0
0
0
0
0
0
0

Subtotal
BAG
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
BOT
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
UNT
PKG
UNT
UNT
BAG
VIL
BOT
UNT
UNT
UNT

Pasien
Penjamin
93965
93965
8415
8415
14988
14988
1780
1780
10040
10040
6375
6375
4620
4620
3500
3500
143683
143683

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93965
93965
33984
33984
34155
34155
2760
2760
16500
16500
6375
6375
4620
4620
8415
8415
10040
10040
1780
1780
5000
5000
217594
217594

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
41388
41388
500
500
41888
41888

0
0
0

Pasien
Penjamin
14988
14988
10040
10040
8415
8415
1780
1780
93965
93965
12548
12548
5280
5280
6375
6375
4620
4620
4500
4500

0
0
0
0
0
0
0
0
0
0

162511

Emergency Mawar
Subtotal
UNT
UNT
UNT

Emergency Mawar
Subtotal
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
VIL
UNT
BAG
UNT

Depo IGD
Subtotal
UNT
UNT
BAG
UNT
UNT

Depo IGD

162511

Pasien
Penjamin
44964
44964
16335
16335
1000
1000
62299
62299

0
0
0
0

Pasien
Penjamin
20213
20213
6072
6072
14988
14988
1500
1500
42773
42773

0
0
0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
85272
85272
1997
1997
9633
9633
1500
1500
98402
98402

0
0
0
0
0

Pasien
Penjamin
1898
1898
16335
16335
9633
9633
2550
2550
2000
2000
32416
32416

0
0
0
0
0
0

Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
TUB
UNT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
UNT
BAG
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Pasien
Penjamin
62370
62370
26950
26950
3575
3575
5732
5732
20213
20213
18343
18343
56262
56262
5809
5809
12012
12012
2640
2640
1997
1997
5500
5500
221403
221403

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
338580
338580
26950
26950
1000
1000
366530
366530

0
0
0
0

Pasien
Penjamin
1898
1898
9633
9633
16335
16335
1500
1500
29366
29366

0
0
0
0
0

Pasien
Penjamin
4634
4634
26950
26950
5732
5732
1500
1500
38816
38816

0
0
0
0
0

Pasien
Penjamin
1997
1997
16335
16335
3300
3300

0
0
0

UNT

Depo IGD
Subtotal
AMP
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

1500
23132

1500
23132

0
0

Pasien
Penjamin
9268
9268
19266
19266
12610
12610
26950
26950
2000
2000
70094
70094

0
0
0
0
0
0

Pasien
Penjamin
1828
1828
500
500
2328
2328

0
0
0

Pasien
Penjamin
12524
12524
1997
1997
1000
1000
15521
15521

0
0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
7700
7700
6375
6375

0
0

UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
PKG
UNT
AMP
UNT
BOT
UNT

5991
1500
21566

5991
1500
21566

0
0
0

Pasien
Penjamin
6066
6066
7825
7825
6500
6500
1500
1500
21891
21891

0
0
0
0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
25344
25344
500
500
25844
25844

0
0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
9380
9380
3320
3320
13175
13175
3810
3810
2970
2970
26560
26560
16266
16266
15013
15013
49326
49326
4500
4500

0
0
0
0
0
0
0
0
0
0

144320

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
BOT
PKG
UNT
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
PKG
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
AMP
UNT

144320

Pasien
Penjamin
8880
8880
2820
2820
1640
1640
49251
49251
27288
27288
10040
10040
3560
3560
7920
7920
26535
26535
4500
4500
142434
142434

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
760
390
1640
49251
2970
26535
14988
10040
3560
4500
114634

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
633600
633600
500
500
634100
634100

0
0
0

Pasien
Penjamin
5782
5782
500
500
6282
6282

0
0
0

760
390
1640
49251
2970
26535
14988
10040
3560
4500
114634

Depo Atas
Subtotal
BAG
BOT
BOT
BOT
UNT
UNT
UNT
PKG
SUP
UNT

Depo Atas
Subtotal
BOT
BAG
UNT
PKG
TUB
UNT

Depo Atas
Subtotal
AMP
BAG
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
TAB
PKG
UNT
UNT

Pasien
Penjamin
37586
37586
97429
97429
67968
67968
56100
56100
7650
7650
29976
29976
1068
1068
5020
5020
15824
15824
4500
4500
323121
323121

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
19266
19266
3825
3825
5020
5020
25344
25344
2500
2500
92339
92339

0
0
0
0
0
0
0

Pasien
Penjamin
61588
61588
56379
56379
5020
5020
1068
1068
7650
7650
2500
2500
134205
134205

0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
1260
1260
5020
5020
3560
3560
2000
2000
68219
68219

0
0
0
0
0
0

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
TAB
UNT

Depo Atas
Subtotal
BAG
UNT

Pasien
Penjamin
18192
18192
30794
30794
5100
5100
1780
1780
5020
5020
2500
2500
63386
63386

0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
11762
11762
7650
7650
1068
1068
5020
5020
2500
2500
55288
55288

0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
3825
3825
1780
1780
5020
5020
2000
2000
39913
39913

0
0
0
0
0
0

Pasien
Penjamin
27288
27288
3825
3825
5020
5020
1780
1780
630
630
2500
2500
41043
41043

0
0
0
0
0
0
0

Pasien
Penjamin
18793
18793
3825
3825

0
0

PKG
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
UNT

Depo Atas

5020
1780
2000
31418

5020
1780
2000
31418

0
0
0
0

Pasien
Penjamin
18192
18192
7650
7650
5020
5020
1780
1780
2000
2000
34642
34642

0
0
0
0
0
0

Pasien
Penjamin
56379
56379
2550
2550
5020
5020
1780
1780
2000
2000
67729
67729

0
0
0
0
0
0

Pasien
Penjamin
37586
37586
33984
33984
5020
5020
1780
1780
2000
2000
80370
80370

0
0
0
0
0
0

Pasien
Penjamin
37586
37586
2550
2550
1780
1780
5020
5020
2000
2000
48936
48936

0
0
0
0
0
0

Subtotal
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
BAG
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
37586
37586
2550
2550
1780
1780
5020
5020
2000
2000
48936
48936

0
0
0
0
0
0

Pasien
Penjamin
37586
37586
422400
422400
7650
7650
9633
9633
5020
5020
1780
1780
3000
3000
487069
487069

0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
3825
3825
1780
1780
5020
5020
2000
2000
50211
50211

0
0
0
0
0
0

Pasien
Penjamin
32834
32834
500
500
33334
33334

0
0
0

Pasien
130
410
190
1500
2230

Penjamin
130
410
190
1500
2230

0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
BOT
PKG
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
PKG
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
SUP
BOT
PKG
UNT
PKG
UNT

Pasien

Penjamin
260
820
380
1500
2960

0
0
0
0
0

Pasien
Penjamin
2115
2115
49251
49251
10040
10040
3560
3560
2970
2970
26535
26535
3796
3796
14988
14988
4000
4000
117255
117255

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6660
6660
2115
2115
49251
49251
10040
10040
3560
3560
2970
2970
26535
26535
3796
3796
4000
4000
108927
108927

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
34155
34155
22200
22200
35418
35418
18242
18242
13175
13175
3810
3810
2970
2970
26560
26560

0
0
0
0
0
0
0
0

260
820
380
1500
2960

UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
PKG
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
UNT
UNT
PKG
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
BOT
UNT
UNT
UNT
PKG

3846
4500
164876

3846
4500
164876

0
0
0

Pasien
Penjamin
4440
4440
423
423
49251
49251
10040
10040
3560
3560
2970
2970
3796
3796
14988
14988
26535
26535
4500
4500
120503
120503

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4690
4690
1660
1660
27363
27363
6066
6066
3900
3900
4695
4695
2970
2970
26560
26560
13175
13175
3810
3810
3846
3846
5500
5500
104235
104235

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4440
4440
1410
1410
49251
49251
18192
18192
3825
3825
4620
4620
5991
5991
10040
10040

0
0
0
0
0
0
0
0

UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
BOT
UNT
UNT
PKG
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
AMP
PKG
UNT
UNT
UNT
PKG
UNT

3560
3796
2970
26535
6000
140630

3560
3796
2970
26535
6000
140630

0
0
0
0
0
0

Pasien
Penjamin
4440
4440
1410
1410
32834
32834
27288
27288
3825
3825
5991
5991
10040
10040
2970
2970
14988
14988
26535
26535
3796
3796
356
356
6000
6000
140473
140473

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
234
196
3500
500
4430

0
0
0
0
0

Pasien
Penjamin
4440
4440
1410
1410
49251
49251
16191
16191
2970
2970
26535
26535
3796
3796
14988
14988
10040
10040
3560
3560

0
0
0
0
0
0
0
0
0
0

234
196
3500
500
4430

UNT

Depo Atas
Subtotal
VIL
SUP
BOT
BOT
PKG
UNT
UNT
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
SUP
BOT
BOT
PKG
UNT
UNT
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
AMP
UNT

5000
138181

5000
138181

0
0

Pasien
Penjamin
22770
22770
23562
23562
49251
49251
18192
18192
10040
10040
3560
3560
3796
3796
5940
5940
26535
26535
4620
4620
3825
3825
5991
5991
6000
6000
184082
184082

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
23562
23562
49251
49251
18192
18192
10040
10040
3560
3560
3796
3796
5940
5940
26535
26535
4620
4620
5991
5991
3825
3825
6000
6000
184082
184082

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4440
4440
1410
1410
49251
49251
5880
5880
3560
3560

0
0
0
0
0

PKG
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
SUP
AMP
UNT
UNT
UNT
BOT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
AMP
UNT
BAG
BOT
PKG
UNT
UNT
UNT

10040
2970
3796
26535
4500
112382

10040
2970
3796
26535
4500
112382

0
0
0
0
0
0

Pasien
Penjamin
633600
633600
500
500
634100
634100

0
0
0

Pasien
Penjamin
34155
34155
35343
35343
22125
22125
4620
4620
3825
3825
5991
5991
27288
27288
3560
3560
10040
10040
3796
3796
26535
26535
2970
2970
6000
6000
186248
186248

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17016
17016
8673
8673
7650
7650
56379
56379
20616
20616
10040
10040
3560
3560
26535
26535
4000
4000
154469
154469

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
VIL
AMP
SUP
UNT
UNT
UNT
PKG
UNT
UNT
PKG
UNT
BOT
UNT

Depo Atas
Subtotal
TUB
SUP
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
AMP
UNT

Pasien
Penjamin
22770
22770
14750
14750
23562
23562
5991
5991
3825
3825
4620
4620
2970
2970
26535
26535
3796
3796
10040
10040
3560
3560
27288
27288
6000
6000
155707
155707

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
38016
38016
23736
23736
1000
1000
62752
62752

0
0
0
0

Pasien
Penjamin
63360
63360
500
500
63860
63860

0
0
0

Pasien
Penjamin
38016
38016
500
500
38516
38516

0
0
0

Pasien
Penjamin
38966
38966
500
500
39466
39466

0
0
0

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TUB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Pasien
Penjamin
38016
38016
500
500
38516
38516

0
0
0

Pasien
Penjamin
15280
15280
500
500
15780
15780

0
0
0

Pasien
Penjamin
38016
38016
500
500
38516
38516

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

Pasien
Penjamin
18192
18192
5782
5782
6375
6375
4620
4620
5991
5991
1780
1780
5020
5020
3500
3500
51260
51260

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
BAG
VIL
BAG
UNT
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
BAG
VIL
BAG
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG

Pasien
Penjamin
34155
34155
6375
6375
4620
4620
5991
5991
29976
29976
8415
8415
1780
1780
5020
5020
75172
75172
4500
4500
176004
176004

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93965
93965
34155
34155
28899
28899
29976
29976
8415
8415
1780
1780
5020
5020
168300
168300
4000
4000
374510
374510

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93965
93965
34155
34155
28899
28899
280500
280500
29976
29976
8415
8415
1780
1780
5020
5020
4000
4000
486710
486710

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112758
112758

VIL
BAG
TAB
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
SUP
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
VIL
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

91080
67431
1260
6375
4620
5991
29976
1780
5020
5000
331291

91080
67431
1260
6375
4620
5991
29976
1780
5020
5000
331291

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
6375
6375
3080
3080
3994
3994
29976
29976
8415
8415
1780
1780
26535
26535
11040
11040
23736
23736
5020
5020
5500
5500
163037
163037

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
1260
1260
68310
68310
57798
57798
6375
6375
4620
4620
5991
5991
14988
14988
8415
8415
1780
1780
26535
26535
26611
26611
5020
5020
6500
6500
325163
325163

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BAG
BOT
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BAG
PKG
TUB
UNT

Depo Atas
Subtotal
BAG
VIL
VIL
BAG
AMP
UNT
TUB
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
VIL
UNT
UNT
UNT
UNT

Pasien
Penjamin
56379
56379
194858
194858
101952
101952
168300
168300
6375
6375
4620
4620
5991
5991
14988
14988
8415
8415
1780
1780
26535
26535
28899
28899
5020
5020
63360
63360
7000
7000
694472
694472

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
422400
422400
50160
50160
19266
19266
8870
8870
14988
14988
76032
76032
31680
31680
17160
17160
5020
5020
5000
5000
725748
725748

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93965
93965
34155
34155
422400
422400
6375
6375
4620
4620
5991
5991
14988
14988

0
0
0
0
0
0
0

UNT
UNT
TUB
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
TUB
PKG
BOT
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT

8415
1780
63360
19266
5020
6000
686335

8415
1780
63360
19266
5020
6000
686335

0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
780
780
6375
6375
4620
4620
5991
5991
29976
29976
8415
8415
26611
26611
1780
1780
5020
5020
5000
5000
112760
112760

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
6375
6375
3080
3080
3994
3994
29976
29976
1068
1068
63360
63360
5020
5020
11040
11040
17160
17160
5000
5000
221245
221245

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
14455
14455
6375
6375
3080
3080

0
0
0
0

UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
UNT
UNT
UNT
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
BAG
UNT
TUB
PKG
UNT

Depo Atas
Subtotal
BAG
AMP
UNT

3994
29976
8415
1780
26535
5020
5000
195590

3994
29976
8415
1780
26535
5020
5000
195590

0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
1260
1260
6375
6375
3080
3080
3994
3994
29976
29976
8415
8415
11040
11040
1780
1780
5020
5020
26611
26611
5500
5500
194011
194011

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
29976
29976
6375
6375
3080
3080
3994
3994
9633
9633
1780
1780
63360
63360
5020
5020
4500
4500
218678
218678

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
5782
5782
3825
3825

0
0
0

UNT

Depo Atas
Subtotal
BOT
TAB
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
BOT
BAG
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
UNT
BAG
UNT
TUB
PKG
UNT

Depo Atas

1500
48693

1500
48693

0
0

Pasien
Penjamin
54576
54576
378
378
3825
3825
5020
5020
2000
2000
65799
65799

0
0
0
0
0
0

Pasien
Penjamin
56379
56379
34155
34155
112200
112200
19266
19266
6375
6375
4620
4620
5991
5991
1780
1780
5020
5020
4500
4500
250286
250286

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
8673
8673
6375
6375
3080
3080
3994
3994
29976
29976
8415
8415
19266
19266
1780
1780
38016
38016
5020
5020
5500
5500
221055
221055

0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
TAB
TAB
UNT
UNT
UNT
UNT
UNT
SUP
BOT

Pasien
Penjamin
18192
18192
3825
3825
5020
5020
1500
1500
28537
28537

0
0
0
0
0

Pasien
Penjamin
93965
93965
34155
34155
17346
17346
6375
6375
4620
4620
5991
5991
29976
29976
8415
8415
1780
1780
26535
26535
5020
5020
5500
5500
239678
239678

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
500
500
48185
48185

0
0
0

Pasien
Penjamin
45480
45480
6375
6375
4620
4620
5991
5991
78
78
114
114
29976
29976
8415
8415
17160
17160
31680
31680
1780
1780
39560
39560
11040
11040

0
0
0
0
0
0
0
0
0
0
0
0
0

PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
PKG
SUP
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
BAG
SUP

5020
7000
214289

5020
7000
214289

0
0
0

Pasien
Penjamin
37586
37586
6375
6375
3080
3080
3994
3994
29976
29976
8415
8415
1780
1780
26535
26535
19266
19266
5020
5020
5000
5000
147027
147027

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
6375
6375
3080
3080
3994
3994
29976
29976
8415
8415
1780
1780
11040
11040
5020
5020
39560
39560
5000
5000
159720
159720

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
29976
29976
6375
6375
4620
4620
3994
3994
1780
1780
19266
19266
23736
23736

0
0
0
0
0
0
0
0

PKG
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
BOT
UNT
UNT
UNT
UNT
UNT
UNT
SUP
BAG
PKG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
VIL

5020
31680
5000
169033

5020
31680
5000
169033

0
0
0
0

Pasien
Penjamin
37586
37586
422400
422400
112200
112200
6375
6375
3080
3080
3994
3994
29976
29976
8415
8415
1780
1780
23736
23736
19266
19266
5020
5020
31680
31680
17160
17160
7000
7000
729668
729668

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
14988
14988
6872
6872
3080
3080
2550
2550
3994
3994
3500
3500
64960
64960

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2550
2550
14988
14988
14988
14988
14988
14988
26950
26950
6864
6864

0
0
0
0
0
0

BOT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

6872
26535
4000
118735

6872
26535
4000
118735

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
2550
2550
3080
3080
3994
3994
3000
3000
58935
58935

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
14988
14988
26950
26950
3080
3080
3994
3994
2550
2550
3500
3500
85038
85038

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
26950
26950
3994
3994
3080
3080
2550
2550
3000
3000
69550
69550

0
0
0
0
0
0
0
0

Pasien
Penjamin
37108
37108
14988
14988

0
0

UNT

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
VIL
VIL
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
BOT
VIL

1000
53096

1000
53096

0
0

Pasien
Penjamin
7200
7200
37476
37476
2304
2304
1350
1350
48330
48330

0
0
0
0
0

Pasien
Penjamin
114708
114708
500
500
115208
115208

0
0
0

Pasien
Penjamin
164170
164170
379518
379518
35280
35280
511632
511632
40242
40242
9240
9240
7650
7650
3500
3500
1151232 1151232

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9985
9985
7700
7700
6375
6375
28899
28899
2000
2000
54959
54959

0
0
0
0
0
0

Pasien
Penjamin
32834
32834
85272
85272

0
0

UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
UNT

1000
119106

1000
119106

0
0

Pasien
Penjamin
85000
85000
500
500
85500
85500

0
0
0

Pasien
Penjamin
8766
8766
1670
1670
15554
15554
1500
1500
27490
27490

0
0
0
0
0

Pasien
Penjamin
32670
32670
500
500
33170
33170

0
0
0

Pasien
Penjamin
335060
335060
500
500
335560
335560

0
0
0

Pasien
Penjamin
1720
1720
2902
2902
1344
1344
1503
1503
29700
29700
435338
435338
27288
27288
451440
451440
4000
4000
955235
955235

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
VIL
BOT
TAB
TAB
TAB
BOT
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
VIL
AMP
AMP
UNT

Depo Atas
Subtotal
BAG
UNT
BOT
UNT
UNT
PKG
TUB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
40242
40242
47685
47685
88
88
47124
47124
4962
4962
27288
27288
3825
3825
4620
4620
378
378
4500
4500
180712
180712

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1720
1720
2481
2481
820
820
200
200
3500
3500
500
500
2640
2640
926640
926640
302940
302940
376200
376200
3500
3500
1621141 1621141

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
8415
8415
5280
5280
14988
14988
1780
1780
5020
5020
38016
38016
3500
3500
133378
133378

0
0
0
0
0
0
0
0
0

Pasien

Penjamin

VIL
UNT
UNT
VIL
UNT
PKG
UNT
UNT
UNT
TUB
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BAG
BOT
VIL
UNT
UNT
PKG
UNT
UNT
UNT
SUP
UNT
TUB
UNT

Depo Atas
Subtotal
BAG
UNT
VIL
AMP
UNT
UNT

787914
8415
29976
60192
1780
10040
6375
3080
3994
38016
5000
954782

787914
8415
29976
60192
1780
10040
6375
3080
3994
38016
5000
954782

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
500
500
27788
27788

0
0
0

Pasien
Penjamin
93965
93965
5280
5280
100320
100320
14988
14988
1780
1780
10040
10040
6375
6375
3080
3080
3994
3994
15824
15824
8415
8415
12672
12672
6000
6000
282733
282733

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
8415
8415
13414
13414
8673
8673
6375
6375
3080
3080

0
0
0
0
0
0

UNT
UNT
PKG
SUP
UNT

Depo Atas
Subtotal
VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT
SUP
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT
SUP
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
SUP
UNT

3994
1780
10040
23736
5000
140886

3994
1780
10040
23736
5000
140886

0
0
0
0
0
0

Pasien
Penjamin
20121
20121
5280
5280
14988
14988
6375
6375
3080
3080
3994
3994
10040
10040
1780
1780
23736
23736
8415
8415
5000
5000
102809
102809

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
8673
8673
6375
6375
3080
3080
3994
3994
1780
1780
10040
10040
14988
14988
23736
23736
4500
4500
131742
131742

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
1780
1780
10040
10040
6375
6375
23736
23736
2500
2500

0
0
0
0
0
0

59419

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT
SUP
UNT
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
UNT
UNT
UNT
UNT
BAG
SUP
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
AMP
BAG
SUP
PKG
UNT

59419

Pasien
Penjamin
54576
54576
8673
8673
6375
6375
3080
3080
3994
3994
1780
1780
10040
10040
14988
14988
23736
23736
8415
8415
5000
5000
140657
140657

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
756
756
6375
6375
3080
3080
3994
3994
29976
29976
16830
16830
3560
3560
19266
19266
23736
23736
5020
5020
5500
5500
163573
163573

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
8673
8673
29976
29976
8415
8415
28360
28360
19266
19266
23736
23736
5020
5020
4000
4000

0
0
0
0
0
0
0
0
0

172926

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
UNT
UNT
BAG
SUP
PKG
UNT

Depo Atas
Subtotal
VIL
SUP
BAG
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
SUP
UNT
UNT
UNT
UNT
UNT
UNT
PKG

172926

Pasien
Penjamin
45480
45480
8673
8673
6375
6375
3080
3080
3994
3994
29976
29976
8415
8415
3560
3560
19266
19266
23736
23736
5020
5020
5500
5500
163075
163075

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
393957
393957
39560
39560
19266
19266
5020
5020
29976
29976
8415
8415
1780
1780
6375
6375
3080
3080
3994
3994
5000
5000
516423
516423

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
39560
39560
29976
29976
8415
8415
1780
1780
6375
6375
3080
3080
3994
3994
10040
10040

0
0
0
0
0
0
0
0
0

BAG
UNT

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
BAG
AMP
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

19266
5000
172966

19266
5000
172966

0
0
0

Pasien
Penjamin
45480
45480
875
875
29976
29976
8415
8415
3560
3560
6375
6375
3080
3080
3994
3994
10040
10040
9633
9633
5000
5000
126428
126428

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
8673
8673
62075
62075
5520
5520
6375
6375
4620
4620
5991
5991
10040
10040
14988
14988
8415
8415
5000
5000
188076
188076

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
14988
14988
1780
1780
10040
10040
8415
8415
2500
2500
128683
128683

0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
AMP
VIL
BOT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
PKG
UNT
UNT
UNT
SUP
UNT

Depo Atas
Subtotal
BAG
AMP
UNT
UNT
PKG
UNT
UNT
UNT
UNT
SUP
UNT

Pasien
Penjamin
27288
27288
17016
17016
18822
18822
5280
5280
6375
6375
3080
3080
3994
3994
10040
10040
1780
1780
8415
8415
5000
5000
107090
107090

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
8673
8673
6375
6375
4620
4620
3994
3994
10040
10040
1780
1780
14988
14988
8415
8415
23736
23736
5000
5000
142197
142197

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112758
112758
17016
17016
8415
8415
14988
14988
5020
5020
1780
1780
6375
6375
3080
3080
3994
3994
23736
23736
5000
5000
202162
202162

0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT
UNT
SUP
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
BOT
BOT
UNT

Emergency Dahlia
Subtotal
UNT
UNT

Pasien
Penjamin
8415
8415
14988
14988
1780
1780
10040
10040
6375
6375
3080
3080
3994
3994
23736
23736
4000
4000
76408
76408

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
1997
1997
8415
8415
14988
14988
9633
9633
2500
2500
64483
64483

0
0
0
0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
262638
262638
5280
5280
2760
2760
1500
1500
272178
272178

0
0
0
0
0

Pasien
Penjamin
3994
3994
500
500

0
0

4494

Emergency Dahlia
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

4494

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
32670
32670
500
500
33170
33170

0
0
0

Pasien
Penjamin
14988
14988
3300
3300
1000
1000
19288
19288

0
0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

Pasien
Penjamin
14988
14988
3300
3300
1000
1000
19288
19288

0
0
0
0

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
6375
6375
7700
7700
1000
1000
15075
15075

0
0
0
0

Pasien
Penjamin
6375
6375
7700
7700
1000
1000
15075
15075

0
0
0
0

Pasien
Penjamin
7700
7700
6375
6375
1000
1000
15075
15075

0
0
0
0

Pasien
Penjamin
7700
7700
6375
6375
1000
1000
15075
15075

0
0
0
0

Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT

Pasien
Penjamin
47025
47025
500
500
47525
47525

0
0
0

Pasien
Penjamin
7854
7854
606
606
59400
59400
14988
14988
16830
16830
3080
3080
3000
3000
105758
105758

0
0
0
0
0
0
0
0

Pasien
Penjamin
56262
56262
12012
12012
12012
12012
1500
1500
81786
81786

0
0
0
0
0

Pasien
Penjamin
14988
14988
9900
9900
1000
1000
25888
25888

0
0
0
0

Pasien
Penjamin
29976
29976
26535
26535
9900
9900
1500
1500
67911
67911

0
0
0
0
0

Pasien
Penjamin
59400
59400

VIL
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
BOT
TAB
UNT

308377
14988
8415
4620
5220
3000
404020

308377
14988
8415
4620
5220
3000
404020

0
0
0
0
0
0
0

Pasien
Penjamin
59193
59193
500
500
59693
59693

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
59400
59400
1500
1500
84303
84303

0
0
0
0
0

Pasien
Penjamin
12524
12524
29976
29976
8415
8415
26950
26950
15844
15844
2500
2500
96209
96209

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
33984
33984
59400
59400
448
448
2500
2500
119735
119735

0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
VIL
UNT
UNT
BOT
UNT
BOT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT

Pasien
Penjamin
335060
335060
500
500
335560
335560

0
0
0

Pasien
Penjamin
8415
8415
29976
29976
33984
33984
1500
1500
73875
73875

0
0
0
0
0

Pasien
Penjamin
14988
14988
6707
6707
9985
9985
3300
3300
81510
81510
18343
18343
2640
2640
1898
1898
4000
4000
143371
143371

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
1898
1898
16335
16335
1997
1997
5881
5881
2500
2500
43599
43599

0
0
0
0
0
0
0

Pasien
Penjamin
11762
11762
11982
11982
1000
1000
24744
24744

0
0
0
0

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
PKG
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT

Pasien

Penjamin
580
196
3500
750
3318
196
3500
750
1686
196
3500
750
18922

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8778
8778
500
500
9278
9278

0
0
0

Pasien
Penjamin
4389
4389
500
500
4889
4889

0
0
0

Pasien
Penjamin
2222
2222
500
500
2722
2722

0
0
0

Pasien
Penjamin
90960
90960
29976
29976
6375
6375
3080
3080
5991
5991

0
0
0
0
0

580
196
3500
750
3318
196
3500
750
1686
196
3500
750
18922

UNT
PKG
UNT

Depo Atas
Subtotal
UNT
VIL
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
UNT
UNT
PKG
BAG
UNT

1780
5020
3500
146682

1780
5020
3500
146682

0
0
0
0

Pasien
Penjamin
29976
29976
13414
13414
6375
6375
4620
4620
5991
5991
1780
1780
5020
5020
13800
13800
4000
4000
84976
84976

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
23128
23128
29976
29976
6375
6375
4620
4620
5991
5991
1780
1780
5020
5020
13800
13800
4500
4500
186150
186150

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
13414
13414
6375
6375
4620
4620
3994
3994
29976
29976
1780
1780
5020
5020
28899
28899
4500
4500

0
0
0
0
0
0
0
0
0
0

154957

Depo Atas
Subtotal
VIL
TAB
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
BAG
PKG
UNT
UNT

Depo Atas
Subtotal

154957

Pasien
Penjamin
393957
393957
1260
1260
29976
29976
6375
6375
3080
3080
3994
3994
5020
5020
1780
1780
4000
4000
449442
449442

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
12548
12548
6375
6375
4620
4620
5991
5991
1780
1780
5020
5020
3500
3500
69810
69810

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23524
23524
6375
6375
3080
3080
5991
5991
32670
32670
3796
3796
57798
57798
5020
5020
29976
29976
4500
4500
172730
172730

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

VIL
BAG
PKG
UNT
UNT
UNT
UNT
UNT
PKG
VIL
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
BAG
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG

393957
48165
43313
14988
6375
4620
5991
1068
5020
50160
5000
578657

393957
48165
43313
14988
6375
4620
5991
1068
5020
50160
5000
578657

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
29976
29976
8415
8415
28899
28899
6375
6375
3080
3080
3994
3994
1780
1780
5020
5020
4500
4500
105453
105453

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
1260
1260
23128
23128
29976
29976
6375
6375
4620
4620
3994
3994
1780
1780
5020
5020
4500
4500
171613
171613

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379

VIL
VIL
BAG
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
BAG
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT

6274
99320
28899
6375
3080
3994
1780
5020
29976
8415
5500
255012

6274
99320
28899
6375
3080
3994
1780
5020
29976
8415
5500
255012

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
13414
13414
23128
23128
48165
48165
6375
6375
3080
3080
5991
5991
29976
29976
1780
1780
5020
5020
5000
5000
198308
198308

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
29976
29976
8415
8415
6375
6375
4620
4620
3994
3994
1780
1780
5020
5020
4000
4000
139352
139352

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976

UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
PKG
VIL
BAG
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
UNT

6375
4620
5991
1780
5020
3000
56762

6375
4620
5991
1780
5020
3000
56762

0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
6375
6375
5991
5991
1780
1780
5020
5020
4620
4620
3000
3000
56762
56762

0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
350
350
99320
99320
19266
19266
29976
29976
8415
8415
6375
6375
3080
3080
3994
3994
1780
1780
5020
5020
5500
5500
228556
228556

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
29976
29976
8415
8415
6375
6375
4620
4620
5991
5991
1780
1780

0
0
0
0
0
0
0

PKG
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
VIL
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal

5020
4000
122556

5020
4000
122556

0
0
0

Pasien
Penjamin
90960
90960
17346
17346
29976
29976
6375
6375
3080
3080
3994
3994
1780
1780
5020
5020
4000
4000
162531
162531

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
422400
422400
6375
6375
7700
7700
2000
2000
483955
483955

0
0
0
0
0
0

Pasien
Penjamin
72768
72768
23128
23128
20121
20121
29976
29976
8415
8415
1780
1780
6375
6375
4620
4620
5991
5991
5020
5020
5000
5000
183194
183194

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

BOT
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
AMP
AMP
BAG
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
TAB
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT

90960
17346
12750
3080
3994
29976
1780
5020
4000
168906

90960
17346
12750
3080
3994
29976
1780
5020
4000
168906

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
4435
4435
17346
17346
37586
37586
10200
10200
4620
4620
5991
5991
14988
14988
5020
5020
4500
4500
110960
110960

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
23128
23128
1260
1260
8925
8925
4620
4620
5991
5991
29976
29976
1780
1780
5020
5020
8415
8415
5000
5000
185075
185075

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
15280
15280

0
0

UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
VIL
UNT
UNT
UNT
UNT
BAG
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
VIL
BAG
UNT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
TAB
UNT
UNT

29976
6375
3080
3994
1780
5020
4000
107091

29976
6375
3080
3994
1780
5020
4000
107091

0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
6707
6707
6375
6375
3080
3080
3994
3994
8415
8415
19266
19266
1780
1780
5020
5020
4500
4500
89113
89113

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
13414
13414
57798
57798
6375
6375
3080
3080
3994
3994
8415
8415
5020
5020
1780
1780
4500
4500
134352
134352

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
90960
90960
23128
23128
1260
1260
6375
6375
3080
3080

0
0
0
0
0

UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
VIL
BAG
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
VIL
BAG
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
SUP
UNT

3994
8415
1780
5020
4500
148512

3994
8415
1780
5020
4500
148512

0
0
0
0
0
0

Pasien
Penjamin
29976
29976
13414
13414
57798
57798
6375
6375
4620
4620
3994
3994
1780
1780
5020
5020
4000
4000
126977
126977

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
6274
6274
4435
4435
80256
80256
28899
28899
6375
6375
3080
3080
3994
3994
1780
1780
5020
5020
29976
29976
15280
15280
6000
6000
247748
247748

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23736
23736
500
500
24236
24236

0
0
0

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
AMP
VIL
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Emergency Catelia
Subtotal
UNT
UNT

Depo Atas
Subtotal
BOT
PKG
VIL
UNT
UNT
BAG
UNT
UNT
PKG

Pasien
Penjamin
291720
291720
500
500
292220
292220

0
0
0

Pasien
Penjamin
2250
2250
500
500
2750
2750

0
0
0

Pasien
Penjamin
27288
27288
5782
5782
393957
393957
6375
6375
3080
3080
14988
14988
8415
8415
9633
9633
5020
5020
4500
4500
479038
479038

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
27288
27288
17556
17556
12548
12548
6375
6375
3080
3080
9633
9633
29976
29976
8415
8415
5020
5020

0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
BOT
PKG
PKG
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
VIL
BAG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
PKG
AMP
UNT
BAG
BAG
UNT
PKG
UNT

Depo Atas
Subtotal

4500
124391

4500
124391

0
0

Pasien
Penjamin
27288
27288
21945
21945
875
875
6375
6375
14988
14988
8415
8415
9633
9633
5020
5020
4000
4000
98539
98539

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
49660
49660
9633
9633
6375
6375
14988
14988
8415
8415
5020
5020
3500
3500
124879
124879

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
21945
21945
36240
36240
6375
6375
9633
9633
56379
56379
14988
14988
5020
5020
4000
4000
181868
181868

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

VIL
AMP
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
PKG
PKG
TAB
TAB
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
PKG
PKG
UNT
UNT
BAG
UNT
UNT

262638
13305
6375
3080
14988
9633
5020
3500
318539

262638
13305
6375
3080
14988
9633
5020
3500
318539

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
2615
2615
6375
6375
14988
14988
9633
9633
5020
5020
3000
3000
68919
68919

0
0
0
0
0
0
0
0

Pasien

Penjamin
875
21945
228
108
14988
8415
9633
5020
4000
65212

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
21945
21945
875
875
6375
6375
3080
3080
9633
9633
14988
14988
8415
8415

0
0
0
0
0
0
0
0

875
21945
228
108
14988
8415
9633
5020
4000
65212

PKG
UNT

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
BAG
PKG
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas

5020
4500
102119

5020
4500
102119

0
0
0

Pasien
Penjamin
27288
27288
21945
21945
6375
6375
3080
3080
14988
14988
8415
8415
5020
5020
3500
3500
90611
90611

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
56379
56379
21945
21945
6375
6375
4620
4620
14988
14988
8415
8415
9633
9633
5020
5020
4500
4500
188254
188254

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
6375
6375
3080
3080
14988
14988
8415
8415
9633
9633
5020
5020
3500
3500
107390
107390

0
0
0
0
0
0
0
0
0

Subtotal
BAG
PKG
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
PKG
SUP
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
BOT
VIL
UNT
UNT
UNT
UNT
BAG
PKG
UNT
UNT

Depo Atas

Pasien
Penjamin
56379
56379
21945
21945
6375
6375
3080
3080
14988
14988
8415
8415
9633
9633
5020
5020
4000
4000
129835
129835

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
6274
6274
21945
21945
31648
31648
6375
6375
3080
3080
14988
14988
8415
8415
9633
9633
5020
5020
5000
5000
168757
168757

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
422400
422400
67968
67968
118800
118800
62075
62075
6375
6375
3080
3080
14988
14988
8415
8415
9633
9633
5020
5020
48048
48048
5500
5500
772302
772302

0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
BAG
BOT
VIL
AMP
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
PKG
SUP
VIL
UNT
UNT
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
BAG
VIL
PKG
UNT
UNT
UNT
UNT
PKG
UNT

Pasien
Penjamin
56379
56379
97429
97429
13414
13414
8673
8673
6375
6375
3080
3080
14988
14988
8415
8415
9633
9633
5020
5020
5000
5000
228406
228406

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
12548
12548
21945
21945
39560
39560
49660
49660
6375
6375
3080
3080
9633
9633
14988
14988
8415
8415
5020
5020
5500
5500
233103
233103

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
56379
56379
12548
12548
875
875
6375
6375
3080
3080
14988
14988
8415
8415
5020
5020
4500
4500
168559
168559

0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal
BOT
CTG
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
393360
393360
180048
180048
1828
1828
1500
1500
576736
576736

0
0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
14988
14988
3300
3300
1000
1000
19288
19288

0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
6600
6600
500
500
7100
7100

0
0
0

Pasien

Penjamin

UNT
UNT
UNT

Depo IGD
Subtotal
UNT
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
TUB
UNT

Depo IGD
Subtotal
BOT
VIL
BAG
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
BOT
UNT

29976
8415
1000
39391

29976
8415
1000
39391

0
0
0
0

Pasien
Penjamin
16335
16335
9633
9633
1898
1898
14988
14988
2000
2000
44854
44854

0
0
0
0
0
0

Pasien
Penjamin
16088
16088
5809
5809
12012
12012
56262
56262
2000
2000
92171
92171

0
0
0
0
0
0

Pasien
Penjamin
47685
47685
72496
72496
9633
9633
1500
1500
131314
131314

0
0
0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
29976
29976
87912
87912
8415
8415

0
0
0

UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal

1500
127803

1500
127803

0
0

Pasien
Penjamin
1898
1898
16335
16335
14988
14988
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
16335
16335
8415
8415
14988
14988
1898
1898
9633
9633
2500
2500
53769
53769

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien

Penjamin

UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

14988
500
15488

14988
500
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
1332
1332
423
423
1000
1000
2755
2755

0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
BAG
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TUB
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
Penjamin
1898
1898
16335
16335
14988
14988
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
161064
161064
500
500
161564
161564

0
0
0

Pasien
Penjamin
9633
9633
1898
1898
16335
16335
14988
14988
2000
2000
44854
44854

0
0
0
0
0
0

Pasien
Penjamin
56262
56262
12012
12012
1000
1000
69274
69274

0
0
0
0

Pasien
Penjamin
20213
20213
22688
22688

0
0

UNT

Depo IGD
Subtotal
UNT
VIL
UNT
BOT
UNT
UNT
BOT
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

1000
43901

1000
43901

0
0

Pasien
Penjamin
18342
18342
6707
6707
14988
14988
5881
5881
16335
16335
1898
1898
81510
81510
3300
3300
2640
2640
4500
4500
156101
156101

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
422400
422400
500
500
422900
422900

0
0
0

Pasien
Penjamin
422400
422400
500
500
422900
422900

0
0
0

Pasien
Penjamin
1898
1898
16335
16335
14988
14988
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
1898
1898
16335
16335
14988
14988

0
0
0

UNT

Depo IGD
Subtotal
UNT
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
AMP
UNT

Depo IGD
Subtotal
BOT
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD

1500
34721

1500
34721

0
0

Pasien
Penjamin
1898
1898
9633
9633
16335
16335
2550
2550
2000
2000
32416
32416

0
0
0
0
0
0

Pasien
Penjamin
11760
11760
46191
46191
22053
22053
1500
1500
81504
81504

0
0
0
0
0

Pasien
Penjamin
51216
51216
53688
53688
1000
1000
105904
105904

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Subtotal
CTG
UNT
UNT

Depo IGD
Subtotal
CTG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
PKG
UNT

Depo IGD
Subtotal
SUP
UNT

Pasien
Penjamin
180048
180048
3300
3300
1000
1000
184348
184348

0
0
0
0

Pasien
Penjamin
180048
180048
3300
3300
14988
14988
1500
1500
199836
199836

0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1000
1000
32323
32323

0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1000
1000
32323
32323

0
0
0
0

Pasien
Penjamin
14988
14988
2970
2970
1000
1000
18958
18958

0
0
0
0

Pasien
Penjamin
26124
26124
500
500
26624
26624

0
0
0

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
UNT
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
UNT

Pasien
Penjamin
14988
14988
16335
16335
1000
1000
32323
32323

0
0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Pasien
Penjamin
5809
5809
124740
124740
1000
1000
131549
131549

0
0
0
0

Pasien
Penjamin
1898
1898
16335
16335
5881
5881
1500
1500
25614
25614

0
0
0
0
0

Pasien
Penjamin
5184
5184
5881
5881
1000
1000
12065
12065

0
0
0
0

Pasien
Penjamin
1898
1898
16335
16335
5881
5881
1500
1500
25614
25614

0
0
0
0
0

Depo IGD
Subtotal
UNT
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
CTG
UNT
UNT

Depo IGD
Subtotal
UNT
AMP
AMP
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
TUB
UNT
UNT
UNT
UNT
UNT

Pasien
Penjamin
16335
16335
5881
5881
1000
1000
23216
23216

0
0
0
0

Pasien
Penjamin
11990
11990
500
500
12490
12490

0
0
0

Pasien
Penjamin
180048
180048
1540
1540
1000
1000
182588
182588

0
0
0
0

Pasien
Penjamin
12610
12610
62370
62370
2222
2222
26950
26950
20213
20213
14988
14988
14988
14988
3500
3500
157841
157841

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
56262
56262
26535
26535
14988
14988
16335
16335
1898
1898
3000
3000

0
0
0
0
0
0
0

135106

Depo IGD
Subtotal
UNT
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal

135106

Pasien
Penjamin
14988
14988
8415
8415
2495
2495
3231
3231
2000
2000
31129
31129

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1898
1898
2550
2550
59400
59400
2500
2500
97671
97671

0
0
0
0
0
0
0

Pasien
Penjamin
435338
435338
500
500
435838
435838

0
0
0

Pasien
Penjamin
32670
32670
500
500
33170
33170

0
0
0

Pasien
Penjamin
29700
29700
500
500
30200
30200

0
0
0

Pasien

Penjamin

BOT
BOT
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
SUP
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
VIL
BAG
BOT
UNT

Depo Atas
Subtotal
VIL

101952
81864
1000
184816

101952
81864
1000
184816

0
0
0
0

Pasien
Penjamin
15060
15060
500
500
15560
15560

0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Pasien
Penjamin
23562
23562
500
500
24062
24062

0
0
0

Pasien
Penjamin
5809
5809
500
500
6309
6309

0
0
0

Pasien
Penjamin
120944
120944
144992
144992
19266
19266
47685
47685
2000
2000
334887
334887

0
0
0
0
0
0

Pasien
Penjamin
1125093 1125093

UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
AMP
UNT

Depo IGD
Subtotal
BAG
UNT

Depo IGD
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas

500
1125593

500
1125593

0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
2940
2940
500
500
3440
3440

0
0
0

Pasien
Penjamin
19266
19266
500
500
19766
19766

0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
7210
7210
500
500
7710
7710

0
0
0

Subtotal
TAB
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
BOT
VIL

Pasien
Penjamin
11688
11688
101952
101952
1000
1000
114640
114640

0
0
0
0

Pasien
Penjamin
875160
875160
500
500
875660
875660

0
0
0

Pasien
Penjamin
633600
633600
500
500
634100
634100

0
0
0

Pasien
Penjamin
101952
101952
500
500
102452
102452

0
0
0

Pasien
Penjamin
33984
33984
500
500
34484
34484

0
0
0

Pasien
Penjamin
5184
5184
500
500
5684
5684

0
0
0

Pasien
Penjamin
3138
3138
47685
47685
511632
511632

0
0
0

VIL
BOT
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
VIL
VIL
AMP
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
VIL
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BOT
VIL
AMP

26828
114919
6666
6160
3825
4000
724853

26828
114919
6666
6160
3825
4000
724853

0
0
0
0
0
0
0

Penjamin
820
400
3500
500
117612
44352
434976
673200
158400
3825
3500
1441085

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
40242
40242
434976
434976
6666
6666
7650
7650
4620
4620
5020
5020
3500
3500
550359
550359

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24640
24640
1220
1220
1000
1000
1670
1670
47685
47685
40242
40242
17640
17640

0
0
0
0
0
0
0

Pasien
820
400
3500
500
117612
44352
434976
673200
158400
3825
3500
1441085

VIL
VIL
VIL
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT

767448
362832
111735
9240
7650
17526
6500
1417028

767448
362832
111735
9240
7650
17526
6500
1417028

0
0
0
0
0
0
0
0

Pasien
Penjamin
3798
3798
366
366
1000
1000
5164
5164

0
0
0
0

Pasien
Penjamin
2460
2460
1770
1770
2040
2040
432
432
400
400
3500
3500
500
500
117612
117612
820
820
8076
8076
3500
3500
141110
141110

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23562
23562
1020
1020
3756
3756
1503
1503
29700
29700
2902
2902
396
396
217488
217488
4000
4000
284327
284327

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
VIL
AMP
AMP
AMP
TAB
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
TAB
TAB
TAB
BOT
TAB
VIL
BOT
UNT

Depo Atas
Subtotal
BOT
TAB
AMP
VIL
BOT
UNT

Pasien

Penjamin
576
576
500
500
1076
1076

0
0
0

Pasien
Penjamin
40242
40242
217488
217488
10440
10440
17346
17346
34032
34032
492
492
12750
12750
15060
15060
4000
4000
351850
351850

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1638
1638
1451
1451
3500
3500
150
150
2376
2376
348
348
1686
1686
47685
47685
501
501
221258
221258
98502
98502
4000
4000
383095
383095

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
1188
1188
11564
11564
40242
40242
98502
98502
5100
5100

0
0
0
0
0
0

PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
BOT
VIL
UNT

Depo Atas
Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
TAB
AMP
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
UNT
PKG
UNT

15060
3500
222841

15060
3500
222841

0
0
0

Pasien
Penjamin
1720
1720
13200
13200
2376
2376
348
348
1686
1686
18
18
3564
3564
98502
98502
111735
111735
4500
4500
237649
237649

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3168
3168
47685
47685
378
378
2304
2304
696
696
1686
1686
3564
3564
20790
20790
4620
4620
15060
15060
5000
5000
104951
104951

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14784
14784
1503
1503
516
516
1344
1344
6666
6666
3825
3825
15060
15060
3500
3500
47198
47198

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
GM
UNT
UNT
TAB
PKG
BOT
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
PKG
UNT

Depo Atas
Subtotal
BOT
VIL
AMP
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
PKG
UNT

Depo Atas

Pasien
Penjamin
65340
65340
246
246
120
120
3500
3500
150
150
2304
2304
1750
1750
336633
336633
2500
2500
412543
412543

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1152
1152
673200
673200
49251
49251
15060
15060
2000
2000
740663
740663

0
0
0
0
0
0

Pasien
Penjamin
47685
47685
511632
511632
28512
28512
4620
4620
15060
15060
2500
2500
610009
610009

0
0
0
0
0
0
0

Pasien
Penjamin
40242
40242
178200
178200
15060
15060
1500
1500
235002
235002

0
0
0
0
0

Subtotal
VIL
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
VIL
VIL
VIL
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
AMP
VIL
UNT
UNT
TAB
TAB
TAB
AMP
UNT

Pasien
Penjamin
434976
434976
41232
41232
15060
15060
1500
1500
492768
492768

0
0
0
0
0

Pasien
Penjamin
1020
1020
1503
1503
29700
29700
2902
2902
17346
17346
217669
217669
1900800 1900800
217488
217488
98502
98502
3825
3825
4620
4620
15060
15060
6000
6000
2516435 2516435

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16152
16152
29700
29700
820
820
400
400
3500
3500
500
500
7920
7920
2481
2481
7854
7854
17640
17640
322766
322766
7650
7650
9240
9240
858
858
612
612
600
600
17526
17526
7000
7000
453219
453219

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
VIL
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
VIL
BOT
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL

Pasien
Penjamin
8826
8826
42640
42640
5094
5094
40242
40242
511632
511632
28512
28512
7650
7650
4620
4620
4000
4000
653216
653216

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
1000
1000
32323
32323

0
0
0
0

Pasien
Penjamin
47685
47685
56720
56720
217488
217488
49251
49251
15060
15060
2500
2500
388704
388704

0
0
0
0
0
0
0

Pasien
Penjamin
285120
285120
47685
47685
3456
3456
2376
2376
3564
3564
1686
1686
348
348
53656
53656
58800
58800
434976
434976

0
0
0
0
0
0
0
0
0
0

AMP
UNT
UNT
PKG
VIL
UNT

Depo Atas
Subtotal
BOT
VIL
AMP
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
BOT
VIL
BOT
AMP
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
VIL
AMP
VIL
AMP
UNT
UNT
UNT

17346
9240
12750
15060
1235520
7500
2189083

17346
9240
12750
15060
1235520
7500
2189083

0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
434976
434976
34032
34032
98502
98502
7650
7650
15060
15060
3000
3000
640905
640905

0
0
0
0
0
0
0
0

Pasien
Penjamin
1020
1020
65340
65340
217488
217488
47685
47685
5220
5220
3825
3825
15060
15060
3500
3500
359138
359138

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
2481
2481
61050
61050
434976
434976
34032
34032
40242
40242
20790
20790
7650
7650
12320
12320
4500
4500
665726
665726

0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
VIL
BOT
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
GM
UNT
UNT
BOT
AMP
VIL
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
VIL
AMP
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL

Pasien
Penjamin
1720
1720
673200
673200
164170
164170
15060
15060
2000
2000
856150
856150

0
0
0
0
0
0

Pasien
Penjamin
47685
47685
918
918
210
210
3500
3500
500
500
534600
534600
10440
10440
434976
434976
7650
7650
15060
15060
3500
3500
1059039 1059039

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39204
39204
400
400
3500
3500
500
500
289984
289984
34032
34032
147753
147753
7650
7650
9240
9240
15060
15060
3500
3500
550823
550823

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40242
40242

BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
AMP
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
AMP
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
BOT
UNT

98502
15060
1500
155304

98502
15060
1500
155304

0
0
0
0

Pasien
Penjamin
3798
3798
1350
1350
3138
3138
47685
47685
13332
13332
40242
40242
7650
7650
4620
4620
15060
15060
4500
4500
141375
141375

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29400
29400
12750
12750
5020
5020
1500
1500
48670
48670

0
0
0
0
0

Pasien
Penjamin
1260
1260
1524
1524
35286
35286
1500
1500
39570
39570

0
0
0
0
0

Pasien
Penjamin
47520
47520
112860
112860
17346
17346
34032
34032
49251
49251
2500
2500

0
0
0
0
0
0

263509

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
AMP
VIL
VIL
BOT
UNT
UNT
UNT

263509

Pasien
Penjamin
16335
16335
14988
14988
1000
1000
32323
32323

0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
1000
1000
32323
32323

0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
1000
1000
32323
32323

0
0
0
0

Pasien
Penjamin
2688
2688
47685
47685
13332
13332
217488
217488
673200
673200
253012
253012
4620
4620
3825
3825
4000
4000
1219850 1219850

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
TAB
VIL
AMP
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
VIL
AMP
VIL
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal

Pasien

Penjamin
492
462
4632
6666
430
289984
34032
673200
9240
7650
15060
5500
1047348

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1690
1690
673200
673200
178200
178200
3300
3300
3994
3994
15060
15060
3000
3000
878444
878444

0
0
0
0
0
0
0
0

Pasien
Penjamin
5280
5280
40242
40242
17346
17346
434976
434976
147753
147753
7650
7650
9240
9240
15060
15060
4000
4000
681547
681547

0
0
0
0
0
0
0
0
0
0

492
462
4632
6666
430
289984
34032
673200
9240
7650
15060
5500
1047348

Pasien

Penjamin

VIL
UNT

Depo Atas
Subtotal
BAG
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
AMP
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
PKG
UNT
UNT

145860
500
146360

145860
500
146360

0
0
0

Pasien
Penjamin
18793
18793
14988
14988
13167
13167
5020
5020
2000
2000
53968
53968

0
0
0
0
0
0

Pasien
Penjamin
18793
18793
14988
14988
3825
3825
5020
5020
2000
2000
44626
44626

0
0
0
0
0
0

Pasien
Penjamin
131319
131319
4435
4435
3825
3825
5020
5020
14988
14988
2500
2500
162087
162087

0
0
0
0
0
0
0

Pasien
Penjamin
82085
82085
2891
2891
3825
3825
14988
14988
5020
5020
8415
8415
3000
3000
120224
120224

0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
AMP
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
UNT
PKG
VIL
UNT

Depo Atas
Subtotal
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
PKG
UNT
UNT

Pasien
Penjamin
82085
82085
2891
2891
6375
6375
5020
5020
14988
14988
2500
2500
113859
113859

0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Pasien
Penjamin
6375
6375
5020
5020
112200
112200
1500
1500
125095
125095

0
0
0
0
0

Pasien
Penjamin
234080
234080
5020
5020
36684
36684
1500
1500
277284
277284

0
0
0
0
0

Pasien
Penjamin
7375
7375
6375
6375
5020
5020
14988
14988
2000
2000
35758
35758

0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
PKG
UNT
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
BAG
BOT
AMP
UNT
PKG
UNT
UNT

Depo Atas
Subtotal

Pasien
Penjamin
82085
82085
14988
14988
5020
5020
1500
1500
103593
103593

0
0
0
0
0

Pasien
Penjamin
82085
82085
5020
5020
14988
14988
1500
1500
103593
103593

0
0
0
0
0

Pasien
Penjamin
5020
5020
14988
14988
1000
1000
21008
21008

0
0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Pasien
Penjamin
37586
37586
194858
194858
5782
5782
6375
6375
5020
5020
14988
14988
3000
3000
267609
267609

0
0
0
0
0
0
0
0

Pasien

Penjamin

BOT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
UNT
UNT

82085
14988
5020
1500
103593

82085
14988
5020
1500
103593

0
0
0
0
0

Pasien
Penjamin
82085
82085
5782
5782
3825
3825
14988
14988
5020
5020
2500
2500
114200
114200

0
0
0
0
0
0
0

Pasien
Penjamin
82085
82085
5020
5020
14988
14988
1500
1500
103593
103593

0
0
0
0
0

Pasien
Penjamin
93965
93965
14988
14988
8415
8415
6375
6375
2000
2000
125743
125743

0
0
0
0
0
0

Pasien
Penjamin
37586
37586
29976
29976
2550
2550
5020
5020
8415
8415
2500
2500
86047
86047

0
0
0
0
0
0
0

Depo Atas
Subtotal
BAG
VIL
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
PKG
VIL
UNT

Depo Atas
Subtotal
BAG
AMP
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
AMP
UNT
UNT
UNT
UNT
PKG

Pasien
Penjamin
37586
37586
24830
24830
5020
5020
8415
8415
29976
29976
7650
7650
3000
3000
116477
116477

0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
29976
29976
6375
6375
8415
8415
5020
5020
24830
24830
3000
3000
115202
115202

0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
4444
4444
29976
29976
8415
8415
6375
6375
4620
4620
5020
5020
3500
3500
99936
99936

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
9369
9369
6375
6375
7700
7700
29976
29976
8415
8415
5020
5020

0
0
0
0
0
0
0

VIL
BOT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT

24830
2760
4500
136531

24830
2760
4500
136531

0
0
0
0

Pasien
Penjamin
37586
37586
29976
29976
6375
6375
5020
5020
2000
2000
80957
80957

0
0
0
0
0
0

Pasien
Penjamin
82085
82085
6375
6375
7700
7700
1997
1997
29976
29976
5020
5020
3000
3000
136153
136153

0
0
0
0
0
0
0
0

Pasien
Penjamin
82085
82085
29976
29976
8415
8415
6375
6375
7700
7700
1997
1997
5020
5020
3500
3500
145068
145068

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
102432
102432
6375
6375
7700
7700
29976
29976

0
0
0
0

PKG
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
BAG
UNT
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
PKG
UNT

5020
2500
154003

5020
2500
154003

0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Pasien
Penjamin
82085
82085
5782
5782
29976
29976
5020
5020
6375
6375
3080
3080
1997
1997
8415
8415
4000
4000
146730
146730

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11344
11344
19266
19266
6375
6375
7700
7700
1997
1997
5020
5020
49251
49251
3500
3500
104453
104453

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
36326
36326
6375
6375
7700
7700
14988
14988
5020
5020
2500
2500

0
0
0
0
0
0

72909

Depo Atas
Subtotal
BOT
VIL
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
PKG
UNT

72909

Pasien
Penjamin
82085
82085
24830
24830
2760
2760
2550
2550
14988
14988
5020
5020
3000
3000
135233
135233

0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
6375
6375
7700
7700
29976
29976
2000
2000
83637
83637

0
0
0
0
0
0

Pasien
Penjamin
18793
18793
6375
6375
1997
1997
5020
5020
29976
29976
2500
2500
64661
64661

0
0
0
0
0
0
0

Pasien
Penjamin
82085
82085
131319
131319
6375
6375
14988
14988
5020
5020
2500
2500
242287
242287

0
0
0
0
0
0
0

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal

Pasien
Penjamin
37586
37586
3825
3825
29976
29976
5020
5020
13167
13167
2500
2500
92074
92074

0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
5782
5782
7700
7700
5020
5020
2000
2000
65982
65982

0
0
0
0
0
0

Pasien
Penjamin
18192
18192
14988
14988
5020
5020
1500
1500
39700
39700

0
0
0
0
0

Pasien
Penjamin
45480
45480
5020
5020
1000
1000
51500
51500

0
0
0
0

Pasien
Penjamin
26950
26950
500
500
27450
27450

0
0
0

Pasien

Penjamin

VIL
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
BAG
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
BAG
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT

137940
500
138440

137940
500
138440

0
0
0

Pasien
Penjamin
16088
16088
500
500
16588
16588

0
0
0

Pasien
Penjamin
1898
1898
9633
9633
16335
16335
2550
2550
1540
1540
14988
14988
3000
3000
49944
49944

0
0
0
0
0
0
0
0

Pasien
Penjamin
150480
150480
41388
41388
14988
14988
1500
1500
208356
208356

0
0
0
0
0

Pasien
Penjamin
16335
16335
9633
9633
1898
1898
2550
2550
1540
1540
2500
2500
34456
34456

0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335

UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
VIL
BAG
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD

14988
1898
1500
34721

14988
1898
1500
34721

0
0
0
0

Pasien
Penjamin
16335
16335
1898
1898
14988
14988
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
21120
21120
500
500
21620
21620

0
0
0

Pasien
Penjamin
308377
308377
9633
9633
1000
1000
319010
319010

0
0
0
0

Pasien
Penjamin
660000
660000
500
500
660500
660500

0
0
0

Pasien
Penjamin
14988
14988
14988
14988
8415
8415
1500
1500
39891
39891

0
0
0
0
0

Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
BAG
UNT

Depo IGD
Subtotal
BOT

Pasien
Penjamin
14988
14988
14988
14988
8415
8415
1500
1500
39891
39891

0
0
0
0
0

Pasien
Penjamin
5294
5294
8415
8415
1000
1000
14709
14709

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
8415
8415
26535
26535
2000
2000
66926
66926

0
0
0
0
0
0

Pasien
Penjamin
16335
16335
1898
1898
1000
1000
19233
19233

0
0
0
0

Pasien
Penjamin
1898
1898
16335
16335
14988
14988
9633
9633
2000
2000
44854
44854

0
0
0
0
0
0

Pasien
Penjamin
58806
58806

TAB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
PKG
UNT

47412
900
107118

47412
900
107118

0
0
0

Pasien
Penjamin
16335
16335
1898
1898
1000
1000
19233
19233

0
0
0
0

Pasien
Penjamin
7776
7776
16417
16417
1000
1000
25193
25193

0
0
0
0

Pasien
Penjamin
38372
38372
500
500
38872
38872

0
0
0

Pasien
Penjamin
234080
234080
5020
5020
1000
1000
240100
240100

0
0
0
0

Pasien
Penjamin
75172
75172
2550
2550
14988
14988
1780
1780
5020
5020
2500
2500
102010
102010

0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT
VIL
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
UNT
UNT
VIL
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
AMP
TAB
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
PKG

Pasien
Penjamin
98502
98502
14988
14988
12548
12548
6160
6160
1997
1997
356
356
5020
5020
3500
3500
143071
143071

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
49684
49684
6274
6274
9369
9369
12750
12750
1997
1997
24830
24830
1780
1780
14988
14988
5020
5020
4500
4500
131192
131192

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
204864
204864
2550
2550
1780
1780
4444
4444
896
896
5020
5020
3000
3000
222554
222554

0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
14988
14988
1780
1780
2550
2550
5020
5020

0
0
0
0
0

UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT

2500
64424

2500
64424

0
0

Pasien
Penjamin
37586
37586
6274
6274
5100
5100
14988
14988
1780
1780
5020
5020
3000
3000
73748
73748

0
0
0
0
0
0
0
0

Pasien
Penjamin
18793
18793
5020
5020
1780
1780
2550
2550
14988
14988
2500
2500
45631
45631

0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
49660
49660
16335
16335
6375
6375
1780
1780
5020
5020
3000
3000
157342
157342

0
0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
14988
14988
8415
8415
1780
1780
5020
5020
2550
2550

0
0
0
0
0
0

UNT

Depo Atas
Subtotal
UNT
AMP
BAG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
VIL
AMP
AMP
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
BAG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT

3000
101421

3000
101421

0
0

Pasien
Penjamin
7988
7988
44250
44250
38532
38532
14988
14988
8415
8415
1780
1780
5020
5020
3500
3500
124473
124473

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12750
12750
1997
1997
112200
112200
38966
38966
161064
161064
14988
14988
1780
1780
5020
5020
4000
4000
352765
352765

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
97429
97429
56379
56379
16335
16335
14988
14988
1780
1780
5020
5020
3000
3000
194931
194931

0
0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
14988
14988

0
0

UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
AMP
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
PKG
UNT
VIL
AMP
UNT

Depo Atas
Subtotal
BAG
AMP
UNT
UNT
VIL
UNT

Depo Atas
Subtotal

1780
5020
2000
89456

1780
5020
2000
89456

0
0
0
0

Pasien
Penjamin
98502
98502
14988
14988
8673
8673
7650
7650
5020
5020
1780
1780
3000
3000
139613
139613

0
0
0
0
0
0
0
0

Pasien
Penjamin
112758
112758
14988
14988
8415
8415
16335
16335
7988
7988
5100
5100
5020
5020
1780
1780
18822
18822
8673
8673
5000
5000
204879
204879

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
18738
18738
9240
9240
1997
1997
308377
308377
2500
2500
416024
416024

0
0
0
0
0
0
0

Pasien

Penjamin

PKG
UNT

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
UNT
UNT

5020
500
5520

5020
500
5520

0
0
0

Pasien
Penjamin
65668
65668
5020
5020
1780
1780
14988
14988
2550
2550
2500
2500
92506
92506

0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
14988
14988
2550
2550
5020
5020
1780
1780
2500
2500
59672
59672

0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
2550
2550
14988
14988
5020
5020
1780
1780
2500
2500
102010
102010

0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
393957
393957
9240
9240
1997
1997
14988
14988
2500
2500
488350
488350

0
0
0
0
0
0
0

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
AMP
AMP
UNT

Depo Atas
Subtotal
VIL
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas

Pasien
Penjamin
18793
18793
6274
6274
3825
3825
14988
14988
5020
5020
1780
1780
3000
3000
53680
53680

0
0
0
0
0
0
0
0

Pasien
Penjamin
49251
49251
37245
37245
1000
1000
87496
87496

0
0
0
0

Pasien
Penjamin
65668
65668
12548
12548
3994
3994
7650
7650
15397
15397
34032
34032
3000
3000
142289
142289

0
0
0
0
0
0
0
0

Pasien
Penjamin
131319
131319
12750
12750
5020
5020
1780
1780
14988
14988
8415
8415
3000
3000
177272
177272

0
0
0
0
0
0
0
0

Subtotal
BOT
UNT
AMP
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

Pasien
Penjamin
32834
32834
8415
8415
11564
11564
5100
5100
5020
5020
1780
1780
3000
3000
67713
67713

0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
14988
14988
8415
8415
2550
2550
5020
5020
1780
1780
3000
3000
110925
110925

0
0
0
0
0
0
0
0

Pasien
Penjamin
108978
108978
13414
13414
7700
7700
1997
1997
5020
5020
1780
1780
14988
14988
3500
3500
157377
157377

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
65668
65668
8415
8415
14988
14988
5020
5020
1780
1780
2500
2500
98371
98371

0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
AMP
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
PKG
UNT
UNT

Pasien
Penjamin
65668
65668
14988
14988
8415
8415
2550
2550
5020
5020
1780
1780
3000
3000
101421
101421

0
0
0
0
0
0
0
0

Pasien
Penjamin
98502
98502
14988
14988
5782
5782
5100
5100
5020
5020
1780
1780
3000
3000
134172
134172

0
0
0
0
0
0
0
0

Pasien
Penjamin
98502
98502
5672
5672
8415
8415
14988
14988
5020
5020
1780
1780
3000
3000
137377
137377

0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
14988
14988
1780
1780
5020
5020
8415
8415
2500
2500
70289
70289

0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
UNT
UNT
PKG
UNT

Depo Atas

Pasien
Penjamin
32834
32834
14988
14988
2550
2550
1780
1780
5020
5020
2500
2500
59672
59672

0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
5100
5100
14988
14988
1780
1780
5020
5020
2500
2500
85767
85767

0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
6274
6274
2550
2550
1997
1997
1780
1780
5020
5020
3000
3000
77000
77000

0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
6274
6274
9369
9369
12750
12750
1780
1780
5020
5020
3000
3000
75779
75779

0
0
0
0
0
0
0
0

Subtotal
BOT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
BAG
CAP
VIL
AMP
UNT

Pasien
Penjamin
153648
153648
14988
14988
1780
1780
5020
5020
2000
2000
177436
177436

0
0
0
0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
925131
925131
500
500
925631
925631

0
0
0

Pasien

Penjamin
244
196
3500
750
4690

0
0
0
0
0

Pasien
Penjamin
17643
17643
56379
56379
622
622
12548
12548
5880
5880
6375
6375

0
0
0
0
0
0

244
196
3500
750
4690

UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
PKG
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
AMP
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
TAB
AMP
AMP
UNT
PKG
UNT
UNT
UNT

7700
14988
8415
5020
3994
5500
145064

7700
14988
8415
5020
3994
5500
145064

0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
21945
21945
875
875
29976
29976
8415
8415
9633
9633
5020
5020
3500
3500
106652
106652

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
56214
56214
8673
8673
29976
29976
5020
5020
8415
8415
2136
2136
3500
3500
141222
141222

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
756
756
56214
56214
8673
8673
29976
29976
5020
5020
2136
2136
8415
8415
4000
4000
142478
142478

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
VIL
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
AMP
PKG
UNT
UNT
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
PKG

Pasien
Penjamin
27288
27288
341088
341088
2136
2136
5020
5020
3825
3825
29976
29976
8415
8415
3500
3500
421248
421248

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
12548
12548
4444
4444
8673
8673
5020
5020
29976
29976
16335
16335
11762
11762
2136
2136
8415
8415
5000
5000
160688
160688

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
31680
31680
14988
14988
8415
8415
9633
9633
5020
5020
3000
3000
129115
129115

0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
875
875

0
0

PKG
VIL
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
BAG
PKG
UNT

21945
18822
14988
8415
6375
5020
4000
107728

21945
18822
14988
8415
6375
5020
4000
107728

0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
504
504
6375
6375
29976
29976
9633
9633
5020
5020
3000
3000
81796
81796

0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
12548
12548
6375
6375
14988
14988
9633
9633
5020
5020
3000
3000
107943
107943

0
0
0
0
0
0
0
0

Pasien
Penjamin
54489
54489
18822
18822
14988
14988
8415
8415
6375
6375
9633
9633
5020
5020
3500
3500
121242
121242

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
AMP
CAP
UNT
TAB
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
CAP
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
BAG

Pasien
Penjamin
49251
49251
17016
17016
933
933
1275
1275
504
504
14988
14988
8415
8415
9633
9633
5020
5020
4500
4500
111535
111535

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
12548
12548
622
622
6375
6375
7700
7700
14988
14988
9633
9633
5020
5020
4000
4000
117265
117265

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
194858
194858
8415
8415
5020
5020
2000
2000
266672
266672

0
0
0
0
0
0

Pasien
Penjamin
27288
27288
5782
5782
6375
6375
16335
16335
14988
14988
9633
9633

0
0
0
0
0
0

PKG
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
TAB
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
UNT
UNT
UNT

5020
3500
88921

5020
3500
88921

0
0
0

Pasien
Penjamin
56379
56379
14988
14988
8415
8415
9633
9633
5020
5020
2500
2500
96935
96935

0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
14988
14988
9633
9633
5020
5020
2000
2000
88020
88020

0
0
0
0
0
0

Pasien
Penjamin
56379
56379
12548
12548
1992
1992
5100
5100
14988
14988
9633
9633
5020
5020
3500
3500
109160
109160

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
20616
20616
5880
5880
3825
3825
14988
14988
8415
8415

0
0
0
0
0
0

BAG
PKG
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
PKG
PKG
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
BOT
PKG
UNT

Depo Atas

9633
5020
4000
99665

9633
5020
4000
99665

0
0
0
0

Pasien
Penjamin
17643
17643
12548
12548
5100
5100
4620
4620
14988
14988
8415
8415
5020
5020
3500
3500
71834
71834

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
21945
21945
875
875
6375
6375
14988
14988
8415
8415
9633
9633
5020
5020
4000
4000
98539
98539

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
12548
12548
6375
6375
14988
14988
8415
8415
5881
5881
5020
5020
3500
3500
113106
113106

0
0
0
0
0
0
0
0
0

Subtotal
BOT
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
PKG
PKG
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
VIL
UNT
BAG
PKG
UNT

Depo IGD

Pasien
Penjamin
153648
153648
4444
4444
3825
3825
8415
8415
14988
14988
5020
5020
3000
3000
193340
193340

0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
875
875
21945
21945
14988
14988
8415
8415
9633
9633
5020
5020
3500
3500
120755
120755

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
756
756
14988
14988
8415
8415
9633
9633
5020
5020
3000
3000
69100
69100

0
0
0
0
0
0
0
0

Pasien
Penjamin
18822
18822
1275
1275
9633
9633
5020
5020
2000
2000
36750
36750

0
0
0
0
0
0

Subtotal
UNT
AMP
AMP
UNT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
AMP
BAG
UNT
UNT
UNT
VIL
UNT

Depo IGD
Subtotal
TAB
UNT

Pasien
Penjamin
16335
16335
8673
8673
14702
14702
3796
3796
2000
2000
45506
45506

0
0
0
0
0
0

Pasien
Penjamin
14702
14702
500
500
15202
15202

0
0
0

Pasien

Penjamin
132
500
632

0
0
0

Pasien
Penjamin
71280
71280
500
500
71780
71780

0
0
0

Pasien
Penjamin
30888
30888
205200
205200
3825
3825
4620
4620
1997
1997
72496
72496
3000
3000
322026
322026

0
0
0
0
0
0
0
0

Pasien
Penjamin
34782
34782
500
500
35282
35282

0
0
0

132
500
632

Depo IGD
Subtotal
VIL
VIL
TAB
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
AMP
VIL
BOT
BOT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
AMP
TAB
TAB
VIL

Pasien
Penjamin
221258
221258
37245
37245
300
300
501
501
2000
2000
261304
261304

0
0
0
0
0
0

Pasien
Penjamin
26289
26289
500
500
26789
26789

0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Pasien
Penjamin
1267200 1267200
56720
56720
434976
434976
98502
98502
20616
20616
31952
31952
12750
12750
115596
115596
15060
15060
4500
4500
2057872 2057872

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22220
22220
4374
4374
306
306
673200
673200

0
0
0
0

VIL
BOT
TAB
TAB
PKG
GM
UNT
UNT
GM
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
VIL
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
VIL
AMP
VIL
AMP
UNT
UNT
UNT
UNT

434976
147753
820
65340
10040
200
3500
500
195
3500
500
4500
1371924

434976
147753
820
65340
10040
200
3500
500
195
3500
500
4500
1371924

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
164170
164170
6666
6666
511632
511632
3825
3825
11982
11982
57798
57798
10040
10040
3500
3500
769613
769613

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
4608
4608
2376
2376
3564
3564
1686
1686
348
348
80484
80484
70560
70560
652464
652464
17346
17346
7650
7650
18480
18480
17973
17973
6500
6500
942003
942003

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
UNT
UNT
UNT
TAB
GM
UNT
UNT
TAB
TAB
VIL
VIL
AMP
UNT

Depo Atas
Subtotal
BOT
BOT
UNT

Depo Atas
Subtotal
BAG
BAG
UNT
UNT
UNT
UNT
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
BAG

Pasien
Penjamin
6375
6375
7700
7700
9985
9985
820
820
400
400
3500
3500
500
500
130680
130680
49280
49280
144992
144992
673200
673200
158400
158400
4500
4500
1190332 1190332

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5125
5125
4262
4262
1000
1000
10387
10387

0
0
0
0

Pasien
Penjamin
56379
56379
57798
57798
16335
16335
14988
14988
7650
7650
4620
4620
6666
6666
2136
2136
26611
26611
8415
8415
5000
5000
206598
206598

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
49005
49005
28899
28899

0
0
0

UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal

3825
4620
14988
3000
158913

3825
4620
14988
3000
158913

0
0
0
0
0

Pasien
Penjamin
56379
56379
38372
38372
3825
3825
4620
4620
29976
29976
2136
2136
8415
8415
31680
31680
4000
4000
179403
179403

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
8778
8778
5100
5100
2136
2136
14988
14988
5020
5020
3000
3000
66310
66310

0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
8778
8778
14988
14988
3825
3825
2136
2136
5020
5020
3000
3000
75333
75333

0
0
0
0
0
0
0
0

Pasien

Penjamin

AMP
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
BAG
BOT
BAG
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
BOT
UNT
UNT
BAG
UNT

29400
12750
1000
43150

29400
12750
1000
43150

0
0
0
0

Pasien
Penjamin
32670
32670
500
500
33170
33170

0
0
0

Pasien
Penjamin
40242
40242
9985
9985
6375
6375
7700
7700
28899
28899
98502
98502
307800
307800
3500
3500
503003
503003

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6930
6930
500
500
7430
7430

0
0
0

Pasien
Penjamin
23562
23562
1020
1020
217488
217488
40242
40242
81864
81864
12750
12750
15400
15400
28899
28899
4000
4000
425225
425225

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
UNT
AMP
UNT
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
360
360
2000
2000
17060
17060

0
0
0
0
0
0

Pasien
Penjamin
18738
18738
500
500
19238
19238

0
0
0

Pasien
Penjamin
1898
1898
3036
3036
16335
16335
1500
1500
22769
22769

0
0
0
0
0

Pasien
Penjamin
21945
21945
14988
14988
712
712
26535
26535
5020
5020
2500
2500
71700
71700

0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379

BAG
UNT
UNT
UNT
PKG
UNT
SUP
UNT
UNT

Depo Atas
Subtotal
BAG
VIL
AMP
PKG
UNT
UNT
UNT

Apotik Panel
Subtotal
BOX
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
UNT
BOT
UNT
UNT
BOT
BOT
UNT

12012
14988
6375
3080
5020
8415
15824
26535
4500
153128

12012
14988
6375
3080
5020
8415
15824
26535
4500
153128

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
50787
50787
13414
13414
11564
11564
5020
5020
14988
14988
8415
8415
3000
3000
107188
107188

0
0
0
0
0
0
0
0

Pasien
Penjamin
17210
17210
500
500
17710
17710

0
0
0

Pasien
Penjamin
9841
9841
500
500
10341
10341

0
0
0

Pasien
Penjamin
26535
26535
2000
2000
3500
3500
50
50
2760
2760
39500
39500
1500
1500

0
0
0
0
0
0
0

75845

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
AMP
TAB
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
CAP

75845

Pasien
Penjamin
93965
93965
12548
12548
6375
6375
4620
4620
5020
5020
712
712
14988
14988
8415
8415
4000
4000
150643
150643

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
20616
20616
11564
11564
14988
14988
3825
3825
712
712
5020
5020
3500
3500
96609
96609

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
14455
14455
630
630
14988
14988
3825
3825
712
712
5020
5020
3500
3500
70418
70418

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
622
622

0
0

UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
VIL
VIL
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
TUB
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
PKG
AMP

14988
712
5020
3825
3000
82743

14988
712
5020
3825
3000
82743

0
0
0
0
0
0

Pasien
Penjamin
54576
54576
14988
14988
3825
3825
1780
1780
5020
5020
2500
2500
82689
82689

0
0
0
0
0
0
0

Pasien
Penjamin
20616
20616
270864
270864
18822
18822
14988
14988
8415
8415
5020
5020
31680
31680
3500
3500
373905
373905

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
117040
117040
56262
56262
7392
7392
1500
1500
182194
182194

0
0
0
0
0

Pasien
Penjamin
20616
20616
56100
56100
56632
56632
8673
8673

0
0
0
0

UNT
UNT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
VIL
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
BAG
UNT

Depo Atas
Subtotal
BOT
VIL
AMP
UNT
UNT
UNT
BOT

6375
3080
712
5020
14988
8415
5000
185611

6375
3080
712
5020
14988
8415
5000
185611

0
0
0
0
0
0
0
0

Pasien
Penjamin
27488
27488
633600
633600
270864
270864
14988
14988
8415
8415
5020
5020
17160
17160
3500
3500
981035
981035

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
16335
16335
28899
28899
1000
1000
46234
46234

0
0
0
0

Pasien
Penjamin
45480
45480
12548
12548
8673
8673
6375
6375
3080
3080
1780
1780
23892
23892

0
0
0
0
0
0
0

PKG
TAB
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
TAB
UNT
UNT

Depo Atas
Subtotal
BAG
BOT
AMP
VIL
BAG
UNT
UNT
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
UNT
PKG
TAB

5020
1260
26535
5000
139643

5020
1260
26535
5000
139643

0
0
0
0
0

Pasien
Penjamin
36384
36384
3825
3825
712
712
5020
5020
1260
1260
26535
26535
3000
3000
76736
76736

0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
194858
194858
4444
4444
37245
37245
9633
9633
6375
6375
3080
3080
5020
5020
1780
1780
14988
14988
26535
26535
5809
5809
12012
12012
6500
6500
384658
384658

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
194858
194858
6375
6375
4620
4620
712
712
5020
5020
1260
1260

0
0
0
0
0
0
0

UNT
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BAG
BOT
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
UNT

Depo Atas
Subtotal
BOT
TAB

26535
4000
297956

26535
4000
297956

0
0
0

Pasien
Penjamin
204864
204864
4444
4444
31680
31680
3825
3825
1780
1780
5020
5020
26535
26535
3500
3500
281648
281648

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
13744
13744
12548
12548
6375
6375
3080
3080
712
712
14988
14988
8415
8415
5020
5020
4500
4500
106968
106968

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
2004
2004
688
688
8888
8888
2000
2000
43148
43148

0
0
0
0
0
0

Pasien
Penjamin
131336
131336
4608
4608

0
0

TAB
TAB
AMP
UNT

Depo Atas
Subtotal
AMP
AMP
TAB
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
GM
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
PKG
UNT
UNT

1896
2048
23128
2500
165516

1896
2048
23128
2500
165516

0
0
0
0
0

Pasien
Penjamin
13920
13920
55440
55440
4224
4224
1500
1500
75084
75084

0
0
0
0
0

Pasien
Penjamin
20818
20818
500
500
21318
21318

0
0
0

Pasien

Penjamin
400
3500
1000
1640
3340
2040
5789
2860
18844
54978
3500
97891

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56632
56632
26535
26535
1000
1000
84167
84167

0
0
0
0

400
3500
1000
1640
3340
2040
5789
2860
18844
54978
3500
97891

Depo IGD
Subtotal
BOT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
AMP
TAB
TAB

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
62563
62563
14988
14988
26950
26950
15180
15180
2000
2000
121681
121681

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
59193
59193
20213
20213
2500
2500
128217
128217

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
26950
26950
20213
20213
59193
59193
5732
5732
3000
3000
145064
145064

0
0
0
0
0
0
0
0

Pasien
Penjamin
4105
4105
306
306
136858
136858
2692
2692
8976
8976

0
0
0
0
0

UNT

Depo IGD
Subtotal
BOT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
UNT
VIL
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
UNT

Depo IGD
Subtotal
UNT

2500
155437

2500
155437

0
0

Pasien
Penjamin
59400
59400
59193
59193
1000
1000
119593
119593

0
0
0
0

Pasien
Penjamin
59400
59400
59193
59193
1000
1000
119593
119593

0
0
0
0

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

Pasien
Penjamin
29976
29976
10368
10368
1000
1000
41344
41344

0
0
0
0

Pasien
Penjamin
16335
16335
29976
29976
5881
5881
1500
1500
53692
53692

0
0
0
0
0

Pasien
Penjamin
16335
16335

UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal

29976
1000
47311

29976
1000
47311

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
45480
45480
3825
3825
14988
14988
1780
1780
9633
9633
5020
5020
3000
3000
83726
83726

0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
756
756
14988
14988
8415
8415
3825
3825
2136
2136
9633
9633
5020
5020
4000
4000
94253
94253

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

BOT
BAG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
TAB
UNT
BAG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
AMP
UNT
UNT
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
BOT
UNT
UNT
BAG
UNT

90960
19266
6375
29976
8415
1780
3000
159772

90960
19266
6375
29976
8415
1780
3000
159772

0
0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
756
756
29976
29976
9633
9633
3825
3825
1068
1068
3000
3000
102834
102834

0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
20121
20121
36240
36240
3825
3825
4620
4620
9633
9633
14988
14988
1424
1424
5020
5020
4500
4500
145851
145851

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
18192
18192
14988
14988
3825
3825
9633
9633
2500
2500
86724
86724

0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
BAG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
UNT
UNT
VIL
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
UNT
BAG
UNT
UNT

Depo Atas
Subtotal
BAG
UNT
UNT
UNT

Pasien
Penjamin
153648
153648
29976
29976
8415
8415
5020
5020
2136
2136
9633
9633
3000
3000
211828
211828

0
0
0
0
0
0
0
0

Pasien
Penjamin
45480
45480
756
756
1185
1185
7650
7650
3994
3994
13414
13414
1424
1424
28899
28899
5020
5020
4500
4500
112322
112322

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
31370
31370
9240
9240
2550
2550
14988
14988
9633
9633
1780
1780
3500
3500
100349
100349

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
72652
72652
2550
2550
3080
3080
1424
1424

0
0
0
0

BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

5881
5020
29976
8415
4000
132998

5881
5020
29976
8415
4000
132998

0
0
0
0
0
0

Pasien
Penjamin
27288
27288
3825
3825
1780
1780
10040
10040
9633
9633
2500
2500
55066
55066

0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
18822
18822
5100
5100
3080
3080
29976
29976
1424
1424
17160
17160
9633
9633
5020
5020
4500
4500
151094
151094

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12144
12144
3825
3825
4620
4620
14988
14988
1068
1068
9633
9633
5020
5020
3500
3500
54798
54798

0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
VIL
PKG
UNT
UNT
BAG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
PKG
UNT

Pasien
Penjamin
45480
45480
525276
525276
700
700
9240
9240
3825
3825
19266
19266
1780
1780
14988
14988
5020
5020
4500
4500
630075
630075

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
14988
14988
3825
3825
2136
2136
9633
9633
2500
2500
87658
87658

0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
2550
2550
3080
3080
14988
14988
1068
1068
8415
8415
9633
9633
5020
5020
4000
4000
103330
103330

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1780
1780
3825
3825
5020
5020
1500
1500
12125
12125

0
0
0
0
0

Depo Atas
Subtotal
BOT
VIL
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
BAG
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BAG
VIL
UNT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT

Pasien
Penjamin
18216
18216
37644
37644
11982
11982
14988
14988
3825
3825
8415
8415
3000
3000
98070
98070

0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
37586
37586
21945
21945
2550
2550
14988
14988
1068
1068
10040
10040
3500
3500
118965
118965

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75172
75172
25096
25096
5100
5100
3994
3994
1068
1068
8415
8415
5020
5020
3500
3500
127365
127365

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1898
1898
500
500
2398
2398

0
0
0

Waktu
30 Mei 2013 10:48
Item
BENUTRION VE SANBE INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00
8,00
5,00
8,00
30,00
8,00

Depo
Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

30 Mei 2013 10:48

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
30,00
8,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

30 Mei 2013 10:48

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:47

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
30,00
8,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

30 Mei 2013 10:47

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:47

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
30,00
8,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

30 Mei 2013 10:47

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:46

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:46

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:46

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:46

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:46

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:45

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
30,00
8,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

30 Mei 2013 10:45

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:28

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
30,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

30 Mei 2013 10:28

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
30,00
8,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

30 Mei 2013 10:28

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
30,00
8,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

30 Mei 2013 10:27

Item
TRANSFUSION SET JMS
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DEXTROSE 10% WIDATRA 500 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
BENUTRION VE SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
5,00
10,00
2,00
8,00
30,00
1,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT
PKG
BOT
UNT

30 Mei 2013 10:27

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
BENUTRION VE SANBE INFUSION
DISP SYRINGE 50 CC WITHOUT NED
IMIPENEM CILASTATIN 1 GR INJECTION
AMIKACIN 250 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
2,00
1,00
2,00
1,00
1,00
6,00

Depo Atas
Subtotal
VIL
BOT
BOT
UNT
VIL
VIL
UNT

30 Mei 2013 10:27

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00
30,00
5,00
6,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT

30 Mei 2013 10:27

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)

JAMPERSAL
Quantity
1,00
10,00
5,00
8,00
30,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG

NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

5,00
6,00

UNT
UNT

30 Mei 2013 10:26

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
10,00
5,00
8,00
30,00
5,00
6,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT

30 Mei 2013 10:26

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
10,00
5,00
2,00
10,00
5,00
8,00
5,00
7,00

Depo Atas
Subtotal
VIL
AMP
AMP
UNT
UNT
UNT
UNT
UNT

30 Mei 2013 10:26

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
ALKOHOL SWAB
EXTENSION TUBE ET 2 (DWS)
CALCIUM GLUCONAS ETHICA INJECTION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
10,00
5,00
3,00
2,00
30,00
2,00
2,00
1,00
1,00
11,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
UNT
UNT
PKG
AMP
VIL
BOT
UNT

30 Mei 2013 03:33

Item
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
BD VACUTAINER
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
UMBILICAL CORD CLAMB
AQUA FOR INJECT OTSUKA 25 ML
FOLLEY CATHETER 16 RUSCH
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
1,00
1,00
10,00
1,00
1,00
1,00
5,00
2,00
2,00
11,00

Depo IGD
Subtotal
AMP
UNT
UNT
VIL
PKG
UNT
BOT
UNT
UNT
BOT
BOT
UNT

30 Mei 2013 03:31

Item
UMBILICAL CORD CLAMB
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 1 CC INSULIN
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
2,00
2,00
1,00
10,00
5,00

Depo IGD
Subtotal
UNT
AMP
UNT
UNT
PKG
UNT

30 Mei 2013 01:35

Item
NON REBREATHING MASK ADULT(1102)
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
UNT
SUP
UNT

30 Mei 2013 01:13

Item
MUCERA OTTO 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

30 Mei 2013 00:16

Item
FOLLEY CATHETER 16 RUSCH
RINGER LACTATE WIDATRA 500 ML

JAMPERSAL
Quantity
1,00
2,00

Depo IGD
Subtotal
UNT
BOT

DEXTROSE 5% WIDATRA 500 ML INFUSION

PYTOGIN S INJECTION
IVENA IV CATH 18
TRANSFUSION SET JMS
ALKOHOL SWAB
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
BD VACUTAINER
NIFEDIPIN GENERIK TABLET
MAGNESIUM SULFAT 40% INJECTION
TUSLAH NON RACIKAN
TOTAL

2,00
6,00
1,00
1,00
5,00
2,00
10,00
3,00
1,00
3,00
2,00
13,00

BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT
TAB
AMP
UNT

29 Mei 2013 11:22

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
EXTENSION TUBE ET 2 (DWS)
HEALFLON IV.CATH NO.26G HARSORIA
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
10,00
5,00
2,00
4,00
8,00
30,00
5,00
5,00
10,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT
UNT
PKG
UNT
UNT
UNT

29 Mei 2013 11:22

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
5,00
8,00
30,00
5,00
6,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT

29 Mei 2013 11:21

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
AMP

ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 27 THERUMO
STOMACH TUBE 4 JMS
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

8,00
30,00
10,00
5,00
3,00
5,00
3,00
2,00
10,00

UNT
PKG
UNT
UNT
UNT
UNT
UNT
PKG
UNT

29 Mei 2013 11:21

Item
STOMACH TUBE 4 JMS
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
2,00
3,00
3,00
10,00
5,00
8,00
30,00
5,00
9,00

Depo Atas
Subtotal
UNT
PKG
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

27 Mei 2013 15:12

Item
DUMIN 125 MG SUPPOSITORY, INSERT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
TUB
UNT

27 Mei 2013 14:56

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

27 Mei 2013 11:49

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

HANDSCOON NON STERIL S (PCS)

NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

30,00
5,00
5,00
7,00

PKG
UNT
UNT
UNT

27 Mei 2013 11:46

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
AMIKACIN 250 MG INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
6,00
5,00
30,00
6,00

Depo Atas
Subtotal
VIL
VIL
UNT
UNT
UNT
PKG
UNT

27 Mei 2013 11:46

Item
ALKOHOL SWAB
MICRODRIP OI-34 OTSUKA
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
3,00
3,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

27 Mei 2013 11:46

Item
IMIPENEM CILASTATIN 1 GR INJECTION
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
10,00
5,00
30,00
5,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT

27 Mei 2013 11:45

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAMPERSAL
Quantity
1,00
10,00
5,00
8,00
30,00
5,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT

TOTAL

27 Mei 2013 11:45

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
10,00
8,00
30,00
5,00
5,00

Depo Atas
Subtotal
VIL
UNT
UNT
PKG
UNT
UNT

27 Mei 2013 11:45

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
10,00
8,00
30,00
5,00
5,00

Depo Atas
Subtotal
VIL
UNT
UNT
PKG
UNT
UNT

27 Mei 2013 11:44

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
8,00
30,00
5,00
5,00

Depo Atas
Subtotal
VIL
UNT
UNT
PKG
UNT
UNT

27 Mei 2013 11:44

Item
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
RANITIDINE GENERIK 25 MG/ML INJECTION
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
10,00
5,00
8,00
1,00
1,00
5,00

Depo Atas
Subtotal
UNT
UNT
UNT
AMP
VIL
UNT

27 Mei 2013 11:31

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00
30,00
5,00
5,00
7,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT
UNT

27 Mei 2013 11:31

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
5,00
8,00
30,00
5,00
5,00
7,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT
UNT

27 Mei 2013 11:30

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
STOMACH TUBE 4 JMS
EXTENSION TUBE ET 2 (DWS)
CALCIUM GLUCONAS ETHICA INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
6,00
3,00
3,00
2,00
2,00
2,00
2,00
5,00
5,00
11,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
UNT
PKG
AMP
BOT
BOT
UNT
UNT
UNT

27 Mei 2013 11:30

Item
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN

UMUM
Quantity
10,00
5,00

Depo Atas
Subtotal
UNT
UNT

ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

8,00
30,00
5,00
5,00

UNT
PKG
UNT
UNT

27 Mei 2013 11:30

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
30,00
10,00
5,00
5,00

Depo Atas
Subtotal
VIL
UNT
PKG
UNT
UNT
UNT

27 Mei 2013 11:30

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
8,00
30,00
4,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT

27 Mei 2013 11:29

Item
TRANSFUSION SET JMS
BD VACUTAINER
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
1,00
5,00
10,00
5,00
8,00
30,00
5,00
5,00
11,00

Depo Atas
Subtotal
UNT
UNT
BOT
VIL
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

27 Mei 2013 11:29

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

DISP SYRINGE 1 CC TUBERCULIN

ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

5,00
8,00
30,00
5,00
5,00
1,00
6,00

UNT
UNT
PKG
UNT
UNT
BOT
UNT

27 Mei 2013 11:23

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ALKOHOL SWAB
PARACETAMOL DROP 15 ML
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
1,00
3,00
4,00

Depo Atas
Subtotal
BOT
UNT
BOT
UNT
UNT

27 Mei 2013 11:23

Item
ALKOHOL SWAB
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
HEALFLON IV.CATH NO.26G HARSORIA
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
5,00
3,00
2,00
5,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT

27 Mei 2013 10:42

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NYMIKO SANBE 12 ML SUSPENSION
CALCIUM GLUCONAS ETHICA INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
5,00
5,00
5,00
5,00
5,00
10,00
60,00
1,00
1,00
1,00
12,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
BOT
AMP
BOT
UNT

27 Mei 2013 10:42

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
5,00
5,00
5,00
10,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT

27 Mei 2013 10:42

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DEXTROSE 10% WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
VANCEP 0.5 MG POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
5,00
5,00
5,00
60,00
10,00
1,00
1,00
1,00
10,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
UNT
BOT
AMP
VIL
UNT

27 Mei 2013 10:41

Item
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
CALCIUM GLUCONAS ETHICA INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
3,00
3,00
5,00
5,00
10,00
60,00
1,00
1,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
PKG
AMP
BOT
UNT

27 Mei 2013 10:41

Item

JAMPERSAL
Quantity

Depo Atas
Subtotal

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
HEALFLON IV.CATH NO.26G HARSORIA
DEXTROSE 10% WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

3,00
5,00
3,00
5,00
5,00
10,00
60,00
3,00
1,00
1,00
1,00
11,00

UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
BOT
AMP
UNT
UNT

27 Mei 2013 09:51

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00
30,00
5,00
5,00
7,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT
UNT

23 Mei 2013 09:40

Item
TRANSFUSION SET JMS
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
4,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT

23 Mei 2013 09:39

Item
TRANSFUSION SET JMS
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
BD VACUTAINER
STOMACH TUBE 4 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
3,00
5,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

23 Mei 2013 09:39

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00
30,00
5,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT

23 Mei 2013 09:39

Item
IMIPENEM CILASTATIN 1 GR INJECTION
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
2,00

Depo Atas
Subtotal
VIL
BOT
UNT

23 Mei 2013 09:39

Item
STOMACH TUBE 4 JMS
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
VALISANBE INJECTION
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
SELANG OKSIGEN BAYI
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
10,00
5,00
8,00
30,00
2,00
1,00
1,00
1,00
12,00

Depo Atas
Subtotal
UNT
PKG
UNT
UNT
UNT
UNT
UNT
PKG
AMP
VIL
BOT
UNT
UNT

23 Mei 2013 09:32

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAMPERSAL
Quantity
1,00
10,00
5,00
8,00
30,00
5,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT

TOTAL

23 Mei 2013 09:30

Item
CEFIXIME GENERIK CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
2,00
1,00
1,00
10,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT

21 Mei 2013 11:23

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
5,00
5,00
5,00
5,00
5,00
10,00
2,00
5,00
9,00

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
VIL
UNT

20 Mei 2013 12:23

Item
IVENA IV CATH 20
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
3,00
3,00

Depo Atas
Subtotal
UNT
UNT
BOT
UNT

20 Mei 2013 12:22

Item
IVENA IV CATH 20
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
3,00
3,00

Depo Atas
Subtotal
UNT
UNT
BOT
UNT

20 Mei 2013 12:16

Item

JAMPERSAL
Quantity

Depo Atas
Subtotal

RINGER LACTATE WIDATRA 500 ML

PYTOGIN S INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BD VACUTAINER
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
3,00
3,00
1,00
20,00
10,00
2,00
15,00
10,00

BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT
TAB
UNT

20 Mei 2013 12:01

Item
RINGER LACTATE WIDATRA 500 ML
DEXTROSE 10% WIDATRA 500 ML INFUSION
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
3,00
3,00
3,00
1,00
20,00
10,00
2,00
10,00

Depo Atas
Subtotal
BOT
BOT
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

19 Mei 2013 19:31

Item
TRANSFUSION SET JMS
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
UNT
UNT

19 Mei 2013 19:26

Item
TRANSFUSION SET JMS
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
UNT
UNT

19 Mei 2013 19:24

JAMPERSAL

Depo IGD

Item
TRANSFUSION SET JMS
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
2,00
2,00

Subtotal
UNT
UNT
UNT

19 Mei 2013 19:23

Item
TRANSFUSION SET JMS
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
UNT
UNT

19 Mei 2013 17:52

Item
AMLODIPIN 5 MG TABLET
PARACETAMOL INF TABLET 500 mg
IRBESARTAN 300 MG TABLET
RINGER LACTATE WIDATRA 500 ML
PYTOGIN S INJECTION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
3,00
2,00
5,00
1,00
6,00

Depo IGD
Subtotal
TAB
TAB
TAB
BOT
AMP
UNT
UNT

19 Mei 2013 17:20

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

19 Mei 2013 02:51

Item
VANCEP 0.5 MG POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

17 Mei 2013 15:03

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
1,00

Depo Atas
Subtotal
UNT
UNT

17 Mei 2013 15:02

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
1,00

Depo Atas
Subtotal
UNT
UNT

17 Mei 2013 14:55

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
UNT
UNT

17 Mei 2013 14:54

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
UNT
UNT

17 Mei 2013 14:48

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
UNT
UNT

17 Mei 2013 14:23

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel 2
Subtotal
UNT
UNT

17 Mei 2013 11:37

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
MICROPORE 1/2 INC
HEALFLON IV.CATH NO.26G HARSORIA
STOMACH TUBE 6 JMS
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN

JAMPERSAL
Quantity
5,00
3,00
3,00
10,00
1,00
2,00
1,00
10,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

TOTAL

17 Mei 2013 11:36

Item
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TRANSFUSION SET JMS
HANDSCOON NON STERIL S (PCS)
HYPAFIX 5CM x 5 M
ALKOHOL SWAB
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
3,00
2,00
60,00
1,00
10,00
1,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
PKG
UNT
BOT
UNT

17 Mei 2013 11:36

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
NYMIKO SANBE 12 ML SUSPENSION
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
40,00
1,00
10,00
5,00

Depo Atas
Subtotal
UNT
UNT
PKG
BOT
UNT
UNT

17 Mei 2013 11:36

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
40,00
6,00
2,00
5,00

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT
UNT

17 Mei 2013 11:36

Item
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
TRANSFUSION SET JMS

JAMPERSAL
Quantity
3,00
3,00
3,00
6,00
5,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT

SUCTION CATHETER 6
HANDSCOON NON STERIL S (PCS)
BD VACUTAINER
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

3,00
40,00
3,00
1,00
10,00

UNT
PKG
UNT
UNT
UNT

17 Mei 2013 11:35

Item
STOMACH TUBE 6 JMS
ALKOHOL SWAB
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
NYMIKO SANBE 12 ML SUSPENSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
10,00
3,00
40,00
1,00
1,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
BOT
BOT
UNT

17 Mei 2013 11:35

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
STOMACH TUBE 6 JMS
HEALFLON IV.CATH NO.26G HARSORIA
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
6,00
1,00
2,00
40,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
UNT

17 Mei 2013 10:24

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
PARACETAMOL 60 ML SYRUP
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO

JAKARTA SEHAT
Quantity
60,00
10,00
5,00
2,00
2,00
2,00
2,00
5,00
5,00
5,00
3,00
5,00
5,00

Depo Atas
Subtotal
PKG
UNT
VIL
BOT
BOT
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT

TUSLAH NON RACIKAN

TOTAL

13,00

UNT

17 Mei 2013 10:12

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KA-EN 1B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
60,00
1,00
1,00
1,00
3,00
3,00
3,00
3,00
3,00
3,00
3,00
3,00
13,00

Depo Atas
Subtotal
UNT
PKG
BOT
BAG
VIL
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

17 Mei 2013 10:11

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
ZOVIRAX POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
5,00
3,00
3,00
4,00
1,00
2,00
2,00
5,00
5,00
5,00
3,00
12,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
VIL
BOT
AMP
VIL
UNT
UNT
UNT
UNT
UNT

17 Mei 2013 10:11

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION

JAKARTA SEHAT
Quantity
60,00
5,00
2,00
1,00

Depo Atas
Subtotal
PKG
UNT
BAG
BOT

METRONIDAZOLE 100 ML INFUSION

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

3,00
5,00
5,00
5,00
3,00
3,00
3,00
11,00

BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

17 Mei 2013 10:11

Item
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
4,00
4,00
4,00
30,00
10,00
1,00
8,00

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

17 Mei 2013 10:11

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
60,00
5,00
2,00
3,00
3,00
3,00
7,00

Depo Atas
Subtotal
UNT
PKG
VIL
BOT
UNT
UNT
UNT
UNT

17 Mei 2013 10:10

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
SUCTION CATHETER 8
SUCTION CATHETER 10
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
KA-EN 3B 500 ML INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
30,00
10,00
5,00
1,00
4,00
1,00
1,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
VIL
BAG
VIL

METRONIDAZOLE 100 ML INFUSION

NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

1,00
5,00
5,00
10,00

BOT
UNT
UNT
UNT

17 Mei 2013 09:41

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
RANITIDINE GENERIK 25 MG/ML INJECTION
AMIKACIN 250 MG INJECTION
AMINOPHYLLINE 24mg SOLUTION
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
6,00
2,00
2,00
1,00
2,00
2,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
AMP
VIL
AMP
UNT
UNT
UNT

17 Mei 2013 09:38

Item
BENUTRION VE SANBE INFUSION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
STOMACH TUBE 6 JMS
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 20 CC WIHTOUT NED
TRANSFUSION SET JMS
BD VACUTAINER
AMIKACIN 250 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
7,00
10,00
5,00
4,00
2,00
3,00
2,00
11,00

Depo Atas
Subtotal
BOT
VIL
UNT
PKG
UNT
UNT
UNT
UNT
UNT
UNT
VIL
UNT

17 Mei 2013 09:37

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
5,00
8,00
30,00
6,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
PKG
UNT

TOTAL

17 Mei 2013 09:37

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
VIL
UNT
UNT

17 Mei 2013 09:37

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
5,00
3,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

17 Mei 2013 09:36

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

17 Mei 2013 09:36

Item
AMIKACIN 250 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
10,00
5,00
3,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

17 Mei 2013 09:35

Item
IMIPENEM CILASTATIN 1 GR INJECTION
AMIKACIN 250 MG INJECTION
AMINOPHYLLINE 24mg SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
10,00
5,00
5,00

Depo Atas
Subtotal
VIL
VIL
AMP
UNT
UNT
UNT

17 Mei 2013 09:35

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
2,00
3,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

16 Mei 2013 13:32

Item
PERDIPINE SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
AMP
UNT

16 Mei 2013 13:31

Item
HANDSCOON GAMEX 6
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
1,00

Depo Atas
Subtotal
UNT
UNT

16 Mei 2013 13:29

Item
SUCTION CATHETER 8
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

16 Mei 2013 13:12

Item
DULCOLAX SUPPOSITORY 5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
SUP
UNT

16 Mei 2013 13:09

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
UNT
UNT

16 Mei 2013 13:05

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION

JAMPERSAL
Quantity
2,00

Depo Atas
Subtotal
VIL

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

16 Mei 2013 12:58

Item
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
5,00
2,00
4,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT

16 Mei 2013 12:56

Item
STOMACH TUBE 6 JMS
STOMACH TUBE 4 JMS
ALKOHOL SWAB
EXTENSION TUBE ET 2 (DWS)
CALCIUM GLUCONAS ETHICA INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
10,00
1,00
1,00
5,00
5,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
AMP
UNT
UNT
UNT

16 Mei 2013 12:56

Item
STOMACH TUBE 6 JMS
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
5,00
3,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

16 Mei 2013 12:55

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
EXTENSION TUBE ET 2 (DWS)
STOMACH TUBE 6 JMS
DEXTROSE 10% WIDATRA 500 ML INFUSION
ALKOHOL SWAB
CALCIUM GLUCONAS ETHICA INJECTION
STOMACH TUBE 4 JMS
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
5,00
5,00
2,00
1,00
1,00
10,00
1,00
2,00
8,00

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
BOT
UNT
AMP
UNT
UNT

TOTAL

16 Mei 2013 12:46

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
10,00
5,00
10,00
3,00

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

16 Mei 2013 11:35

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

16 Mei 2013 10:07

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
5,00
2,00
5,00
5,00
3,00
3,00
7,00

Depo Atas
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT
UNT
UNT

16 Mei 2013 09:58

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ZINKID 10MG/5ML SYRUP
KA-EN 3B 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ZOVIRAX POWDER, FOR INJECTION SOLUTION
M-20 INFUSAN (MANITOL) 500 ML
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
5,00
3,00
3,00
3,00
1,00
1,00
2,00
2,00
1,00
3,00
11,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
VIL
BOT
BAG
BOT
VIL
BOT
UNT
UNT

16 Mei 2013 09:56

Item
HANDSCOON NON STERIL S (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KA-EN 1B 500 ML INFUSION
GENTAMYCIN INF 40 MG/ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
100,00
3,00
2,00
1,00
5,00
4,00
5,00
5,00
5,00
9,00

Depo Atas
Subtotal
PKG
BOT
BAG
AMP
VIL
UNT
UNT
UNT
UNT
UNT

16 Mei 2013 09:55

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SUCTION CATHETER 10
SUCTION CATHETER 8
RANITIDINE GENERIK 25 MG/ML INJECTION
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
XYLOCAINE 2% 10 GM JELLY
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
60,00
5,00
5,00
5,00
5,00
5,00
5,00
4,00
1,00
5,00
5,00
1,00
1,00
5,00
5,00
16,00

Depo Atas
Subtotal
UNT
PKG
UNT
UNT
UNT
UNT
VIL
UNT
UNT
AMP
UNT
UNT
BOT
TUB
UNT
UNT
UNT

16 Mei 2013 09:53

Item
ALKOHOL SWAB
RANITIDINE GENERIK 25 MG/ML INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
10,00
1,00
2,00
2,00
5,00
5,00

Depo Atas
Subtotal
UNT
AMP
BOT
BOT
VIL
UNT

DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
TRANSFUSION SET JMS
HANDSCOON NON STERIL S (PCS)
SUCTION CATHETER 10
DULCOLAX 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
5,00
1,00
60,00
5,00
1,00
13,00

UNT
UNT
UNT
UNT
PKG
UNT
TAB
UNT

16 Mei 2013 09:43

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON GAMEX 6
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
4,00
6,00
6,00
10,00
2,00
1,00
2,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
BAG
UNT
UNT

16 Mei 2013 09:43

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
DISP SYRINGE 10 CC
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
1,00
4,00
5,00
5,00
2,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

16 Mei 2013 09:42

Item
INFANT ADHESIVE SENSOR SPO2
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
INFUS SET JMS
STOMACH TUBE 6 JMS

JAMPERSAL
Quantity
1,00
3,00
4,00
6,00
6,00
10,00
2,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT

SUCTION CATHETER 8
HANDSCOON GAMEX 6
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
1,00
11,00

UNT
UNT
UNT
UNT

16 Mei 2013 09:42

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
STOMACH TUBE 6 JMS
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
6,00
6,00
10,00
1,00
2,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT

16 Mei 2013 09:42

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
3,00
3,00
10,00
1,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT

16 Mei 2013 09:42

Item
TRANSFUSION SET JMS
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DEXTROSE 10% WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
10,00
6,00
6,00
3,00
3,00
1,00
1,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
BOT
AMP
UNT

16 Mei 2013 09:41

Item

JAMPERSAL
Quantity

Depo Atas
Subtotal

DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
6,00
6,00
10,00
1,00
6,00

UNT
UNT
UNT
UNT
UNT
BOT
UNT

15 Mei 2013 10:12

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
10,00
5,00
8,00
30,00
6,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
PKG
UNT

15 Mei 2013 10:11

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00
30,00
5,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT

15 Mei 2013 10:11

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
GENTAMYCIN INF 40 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
10,00
5,00
8,00
30,00
6,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
PKG
UNT

15 Mei 2013 10:11

Item

UMUM
Quantity

Depo Atas
Subtotal

TRANSFUSION SET JMS

BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
2,00

UNT
UNT
UNT

15 Mei 2013 10:11

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
10,00
5,00
3,00

Depo Atas
Subtotal
AMP
UNT
UNT
UNT

15 Mei 2013 10:10

Item
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00

Depo Atas
Subtotal
UNT
UNT
VIL
UNT

15 Mei 2013 10:10

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
5,00
2,00
4,00

Depo Atas
Subtotal
VIL
UNT
UNT
AMP
UNT

15 Mei 2013 10:10

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
5,00
5,00
5,00
4,00

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
UNT

15 Mei 2013 10:09

Item
STOMACH TUBE 3.5 THERUMO

UMUM
Quantity
3,00

Depo Atas
Subtotal
UNT

STOMACH TUBE 8 JMS

EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
3,00
2,00
10,00
6,00
10,00
30,00
2,00
10,00

UNT
PKG
UNT
UNT
UNT
UNT
UNT
PKG
AMP
UNT

15 Mei 2013 10:09

Item
STOMACH TUBE 3.5 THERUMO
STOMACH TUBE 8 JMS
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
3,00
4,00
2,00
3,00
10,00
6,00
10,00
30,00
2,00
10,00

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT
UNT
UNT
UNT
PKG
AMP
UNT

14 Mei 2013 14:56

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

14 Mei 2013 14:52

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
1,00

Depo Atas
Subtotal
UNT
UNT

14 Mei 2013 14:52

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

TOTAL

14 Mei 2013 14:50

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
16,00
1,00

Apotik Panel
Subtotal
CAP
UNT

14 Mei 2013 14:34

Item
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
AMP
UNT

14 Mei 2013 14:34

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

14 Mei 2013 14:31

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

14 Mei 2013 13:03

Item
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

14 Mei 2013 12:57

Item
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

14 Mei 2013 12:21

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

ASAM MEFENAMAT INF 500 MG TABLET

RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
PYTOGIN S INJECTION
TUSLAH NON RACIKAN
TOTAL

10,00
3,00
3,00
3,00
3,00
5,00

TAB
BOT
UNT
UNT
AMP
UNT

14 Mei 2013 12:15

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KALTROFEN KALBE SUPPOSITORY 100 mg
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
3,00
3,00
3,00
20,00
10,00
2,00
8,00

Depo Atas
Subtotal
VIL
SUP
UNT
UNT
BOT
PKG
UNT
UNT
UNT

14 Mei 2013 12:15

Item
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
VITAMIN B COMPLEX
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
15,00
20,00
3,00
2,00
3,00
3,00
10,00
20,00
9,00

Depo Atas
Subtotal
CAP
TAB
TAB
BOT
BOT
UNT
UNT
UNT
PKG
UNT

14 Mei 2013 12:14

Item
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
VITAMIN B COMPLEX
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
PYTOGIN S INJECTION
DISP SYRINGE 3 CC

UMUM
Quantity
15,00
15,00
20,00
3,00
2,00
3,00
3,00

Depo Atas
Subtotal
CAP
TAB
TAB
BOT
BOT
AMP
UNT

DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

3,00
8,00

UNT
UNT

14 Mei 2013 12:11

Item
ASAM MEFENAMAT INF 500 MG TABLET
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
2,00
3,00

Depo Atas
Subtotal
TAB
BOT
BOT
UNT

14 Mei 2013 12:10

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
3,00
3,00
20,00
7,00

Depo Atas
Subtotal
VIL
AMP
SUP
BOT
UNT
UNT
PKG
UNT

14 Mei 2013 12:10

Item
ASAM MEFENAMAT INF 500 MG TABLET
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
3,00
3,00
20,00
5,00
6,00

Depo Atas
Subtotal
TAB
BOT
UNT
UNT
PKG
UNT
UNT

14 Mei 2013 12:08

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
TRANSFUSION SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
20,00
10,00
3,00

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
BOT

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
9,00

VIL
UNT
UNT
UNT

14 Mei 2013 12:04

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

14 Mei 2013 12:04

Item
ASAM MEFENAMAT INF 500 MG TABLET
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
2,00
3,00
3,00
10,00
10,00
6,00

Depo Atas
Subtotal
TAB
BOT
UNT
UNT
UNT
PKG
UNT

14 Mei 2013 12:03

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
3,00
3,00

Depo Atas
Subtotal
CAP
TAB
BOT
UNT

14 Mei 2013 12:03

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
RINGER LACTATE WIDATRA 500 ML
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
20,00
20,00
3,00
3,00
3,00
3,00
20,00
7,00

Depo Atas
Subtotal
CAP
TAB
BOT
AMP
UNT
UNT
PKG
UNT

14 Mei 2013 12:03

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RINGER LACTATE WIDATRA 500 ML
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
3,00
3,00
3,00
3,00
3,00
7,00

Depo Atas
Subtotal
CAP
TAB
AMP
UNT
UNT
BOT
UNT
UNT

14 Mei 2013 12:02

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
POSPARGIN TABLET
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
BD VACUTAINER
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
10,00
3,00
3,00
3,00
10,00
7,00

Depo Atas
Subtotal
VIL
AMP
TAB
BOT
UNT
UNT
UNT
UNT

14 Mei 2013 12:02

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
15,00
15,00
3,00
3,00

Depo Atas
Subtotal
CAP
TAB
BOT
UNT

14 Mei 2013 12:01

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
3,00
3,00
3,00
5,00

Depo Atas
Subtotal
AMP
VIL
BOT
UNT
UNT
UNT

14 Mei 2013 12:01

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
3,00
3,00
3,00
3,00
10,00
10,00
1,00
9,00

Depo Atas
Subtotal
VIL
AMP
AMP
UNT
UNT
BOT
UNT
PKG
UNT
UNT

14 Mei 2013 10:56

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:56

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:56

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:56

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:55

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:55

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:55

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:55

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:54

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:54

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:54

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:54

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:53

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:53

Item
STOMACH TUBE 4 JMS
STOMACH TUBE 8 JMS
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
THREE WAY STOPCOCK
BENUTRION VE SANBE INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
10,00
6,00
10,00
30,00
1,00
1,00
2,00
2,00
10,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
UNT
BOT
BOT
BOT
UNT

14 Mei 2013 10:53

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

30,00
5,00

PKG
UNT

14 Mei 2013 10:53

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
20,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

14 Mei 2013 10:53

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
LACTODIA POLYBAG
KA-EN 3B 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
SUCTION CATHETER 8
SUCTION CATHETER 10
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
ALKOHOL SWAB
AQUA BIDES 1000 ML SOLUTION, LIQUID
VERBAND ROLL
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
2,00
1,00
2,00
2,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
10,00
1,00
2,00
1,00
60,00
18,00

Depo Atas
Subtotal
VIL
PKG
BAG
BOT
VIL
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
PKG
UNT
PKG
UNT

14 Mei 2013 10:49

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
KA-EN 1B 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
GENTAMYCIN INF 40 MG/ML INJECTION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
VERBAND ROLL
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
2,00
2,00
5,00
5,00

Depo Atas
Subtotal
VIL
BAG
BOT
AMP
VIL
PKG
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

ALKOHOL SWAB
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
SUCTION CATHETER 8
PHENOBARBITAL 30 MG TABLET
TUSLAH RACIKAN EMBALASE
MUCERA OTTO 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

5,00
10,00
5,00
5,00
5,00
3,00
1,00
10,00
1,00
14,00

UNT
UNT
UNT
UNT
UNT
TAB
UNT
UNT
BOT
UNT

14 Mei 2013 10:47

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
M-20 INFUSAN (MANITOL) 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 1 CC TUBERCULIN
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
VERBAND ROLL
IVENA IV CATH 24
ZOVIRAX POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
2,00
2,00
2,00
2,00
2,00
1,00
1,00
5,00
5,00
5,00
5,00
5,00
5,00
10,00
2,00
3,00
2,00
60,00
20,00

Depo Atas
Subtotal
BOT
VIL
UNT
BAG
BAG
BOT
AMP
VIL
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
VIL
PKG
UNT

14 Mei 2013 10:46

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
PAMOL 125 MG SUPPOSITORY
PARACETAMOL 60 ML SYRUP
KA-EN 3B 500 ML INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BENUTRION VE SANBE INFUSION

JAKARTA SEHAT
Quantity
5,00
3,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
VIL
SUP
BOT
BAG
BOT
BOT

M-20 INFUSAN (MANITOL) 500 ML

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
SUCTION CATHETER 10
SUCTION CATHETER 8
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
AQUA BIDES 1000 ML SOLUTION, LIQUID
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
ZOVIRAX POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
5,00
5,00
5,00
5,00
5,00
5,00
5,00
1,00
10,00
60,00
2,00
19,00

BOT
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
UNT
PKG
VIL
UNT

14 Mei 2013 10:25

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RANITIDINE GENERIK 25 MG/ML INJECTION
TRANSFUSION SET JMS
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
60,00
3,00
5,00
5,00
2,00
1,00
2,00
8,00

Depo Atas
Subtotal
BOT
PKG
BOT
UNT
VIL
AMP
UNT
VIL
UNT

14 Mei 2013 10:08

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
STOMACH TUBE 8 JMS
SUCTION CATHETER 6
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
2,00
3,00
3,00
3,00
10,00
2,00
2,00
2,00
9,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

14 Mei 2013 10:07

JAMPERSAL

Depo Atas

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
ALKOHOL SWAB
STOMACH TUBE 8 JMS
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

Quantity
6,00
6,00
5,00
10,00
1,00
5,00
5,00
7,00

Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

14 Mei 2013 10:01

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
CALCIUM GLUCONAS ETHICA INJECTION
HEALFLON IV.CATH NO.26G HARSORIA
SUCTION CATHETER 6
STOMACH TUBE 8 JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
2,00
3,00
3,00
3,00
10,00
3,00
1,00
2,00
1,00
1,00
11,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
AMP
UNT
UNT
UNT
UNT

14 Mei 2013 10:01

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
SUCTION CATHETER 6
STOMACH TUBE 8 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
5,00
1,00
10,00
60,00
5,00
1,00
1,00
10,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

14 Mei 2013 10:01

Item

JAMPERSAL
Quantity

Depo Atas
Subtotal

DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
DEXTROSE 10% WIDATRA 500 ML INFUSION
STOMACH TUBE 8 JMS
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
10,00
1,00
1,00
5,00

UNT
UNT
UNT
BOT
UNT
UNT

14 Mei 2013 10:00

Item
STOMACH TUBE 8 JMS
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
6,00
10,00
1,00
5,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
VIL
UNT

14 Mei 2013 09:59

Item
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
SUCTION CATHETER 6
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NEEDLE NO 27 THERUMO
HEALFLON IV.CATH NO.26G HARSORIA
TRANSFUSION SET JMS
STOMACH TUBE 8 JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
3,00
3,00
3,00
5,00
3,00
10,00
60,00
3,00
2,00
2,00
1,00
12,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
UNT

14 Mei 2013 02:58

Item
FLUCONAZOL INFUS 100 ML
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00

Depo IGD
Subtotal
BOT
TAB
UNT

9 Mei 2013 17:41

JAKARTA SEHAT

Depo IGD

Item
BD VACUTAINER
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
PYTOGIN S INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
2,00
2,00
10,00
5,00
2,00
6,00

Subtotal
UNT
UNT
UNT
PKG
UNT
AMP
UNT

9 Mei 2013 17:31

Item
BD VACUTAINER
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
2,00
3,00
5,00

Depo IGD
Subtotal
UNT
PKG
UNT
UNT
UNT
UNT

9 Mei 2013 17:31

Item
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
BD VACUTAINER
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
2,00
1,00
10,00
5,00
5,00

Depo IGD
Subtotal
AMP
UNT
UNT
PKG
UNT
UNT

9 Mei 2013 17:31

Item
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

9 Mei 2013 17:31

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

9 Mei 2013 17:30

Item
GENTAMYCIN INF 5 GM OINTMENT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
TUB
UNT

8 Mei 2013 15:31

Item
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
ALKOHOL SWAB
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
3,00
10,00
1,00
2,00
5,00

Depo Atas
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT

8 Mei 2013 14:11

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
TRANSFUSION SET JMS
BD VACUTAINER
SUCTION CATHETER 6
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
5,00
5,00
5,00
3,00
2,00
3,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

8 Mei 2013 13:50

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

8 Mei 2013 13:49

Item
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
UNT
UNT

8 Mei 2013 12:54

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
5,00
8,00
30,00
5,00
5,00
7,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT
UNT

8 Mei 2013 12:35

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
8,00
30,00
5,00
3,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT
UNT

8 Mei 2013 12:35

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
5,00
8,00
30,00
5,00
3,00
7,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
PKG
UNT
UNT
UNT

8 Mei 2013 12:34

Item
CINAM 1.5 GM INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ALKOHOL SWAB
HEALFLON IV.CATH NO.26G HARSORIA
HANDSCOON NON STERIL M (PCS)
NEEDLE NO 27 THERUMO

UMUM
Quantity
1,00
1,00
8,00
2,00
30,00
5,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
PKG
UNT

TUSLAH NON RACIKAN

TOTAL

6,00

UNT

8 Mei 2013 12:34

Item
CINAM 1.5 GM INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ALKOHOL SWAB
HEALFLON IV.CATH NO.26G HARSORIA
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
8,00
2,00
30,00
5,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
PKG
UNT

8 Mei 2013 12:34

Item
N5 OTSUKA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
BAG
UNT

8 Mei 2013 11:57

Item
AMOXICILLIN 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TRANSFUSION SET JMS
UMBILICAL CORD CLAMB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
3,00
3,00
1,00
1,00
10,00
8,00

Depo Atas
Subtotal
TAB
TAB
AMP
UNT
BOT
UNT
UNT
PKG
UNT

8 Mei 2013 11:50

Item
HANDSCOON NON STERIL M (PCS)
TRANSFUSION SET JMS
ASAM MEFENAMAT INF 500 MG TABLET
HANDSCOON GAMEX 6.5
CEFADROXIL INF CAPSULE 500 MG
IVENA IV CATH 20
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
UMBILICAL CORD CLAMB

JAKARTA SEHAT
Quantity
10,00
1,00
10,00
2,00
10,00
1,00
3,00
3,00
1,00

Depo Atas
Subtotal
PKG
UNT
TAB
UNT
CAP
UNT
AMP
UNT
UNT

TUSLAH NON RACIKAN

TOTAL

9,00

UNT

8 Mei 2013 11:50

Item
HANDSCOON GAMEX 7
ASAM MEFENAMAT INF 500 MG TABLET
CEFADROXIL INF CAPSULE 500 MG
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
UMBILICAL CORD CLAMB
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
10,00
3,00
3,00
1,00
1,00
1,00
8,00

Depo Atas
Subtotal
UNT
TAB
CAP
AMP
UNT
UNT
UNT
UNT
UNT

8 Mei 2013 11:50

Item
ASAM MEFENAMAT INF 500 MG TABLET
CEFADROXIL INF CAPSULE 500 MG
PYTOGIN S INJECTION
UMBILICAL CORD CLAMB
TRANSFUSION SET JMS
IVENA IV CATH 20
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
1,00
1,00
1,00
2,00
10,00
8,00

Depo Atas
Subtotal
TAB
CAP
AMP
UNT
UNT
UNT
UNT
PKG
UNT

8 Mei 2013 11:50

Item
ASAM MEFENAMAT INF 500 MG TABLET
AMOXICILLIN 500 MG TABLET
METRONIDAZOLE 500 MG TABLET
PRONALGES SUPPOSITORY 100 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
3,00
3,00
3,00
6,00

Depo Atas
Subtotal
TAB
TAB
TAB
SUP
VIL
UNT
UNT

8 Mei 2013 11:35

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED

JAKARTA SEHAT
Quantity
10,00

Depo Atas
Subtotal
TAB

ASAM MEFENAMAT INF 500 MG TABLET

HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 3 CC
IVENA IV CATH 20
TRANSFUSION SET JMS
PYTOGIN S INJECTION
TUSLAH NON RACIKAN
TOTAL

10,00
2,00
10,00
3,00
1,00
1,00
3,00
8,00

TAB
UNT
PKG
UNT
UNT
UNT
AMP
UNT

8 Mei 2013 11:34

Item
WUNDRES F 5x20x0,2 cm
ASAM MEFENAMAT INF 500 MG TABLET
CO AMOXYCLAV INF 625 MG TABLET, COATED
CINAM 1.5 GM INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
10,00
3,00
3,00
3,00
3,00
1,00
1,00
9,00

Depo Atas
Subtotal
UNT
TAB
TAB
VIL
SUP
BOT
UNT
UNT
UNT
UNT

8 Mei 2013 11:34

Item
IVENA IV CATH 20
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
TRANSFUSION SET JMS
UMBILICAL CORD CLAMB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
10,00
3,00
3,00
2,00
10,00
1,00
1,00
9,00

Depo Atas
Subtotal
UNT
CAP
TAB
AMP
UNT
UNT
PKG
UNT
UNT
UNT

8 Mei 2013 11:34

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED
ASAM MEFENAMAT INF 500 MG TABLET
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
10,00

Depo Atas
Subtotal
TAB
TAB
UNT
PKG

PYTOGIN S INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
6,00

AMP
UNT
UNT

8 Mei 2013 11:33

Item
ASAM MEFENAMAT INF 500 MG TABLET
CLINDAMYCIN 300 MG CAPSULE
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
3,00
3,00
2,00
10,00
6,00

Depo Atas
Subtotal
TAB
CAP
VIL
UNT
UNT
PKG
UNT

8 Mei 2013 11:33

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

8 Mei 2013 11:33

Item
ASAM MEFENAMAT INF 500 MG TABLET
AMOXICILLIN 500 MG TABLET
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
3,00

Depo Atas
Subtotal
TAB
TAB
UNT
UNT

8 Mei 2013 11:32

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
IVENA IV CATH 20
UMBILICAL CORD CLAMB
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN

UMUM
Quantity
10,00
10,00
3,00
3,00
1,00
1,00
1,00
2,00
10,00
9,00

Depo Atas
Subtotal
CAP
TAB
AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT

TOTAL

8 Mei 2013 11:32

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
3,00
1,00
1,00
6,00

Depo Atas
Subtotal
SUP
AMP
UNT
BOT
UNT
UNT
UNT

8 Mei 2013 11:21

Item
INFANT ADHESIVE SENSOR SPO2
TRANSFUSION SET JMS
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
INFUS SET JMS
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
ALKOHOL SWAB
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
BENUTRION VE SANBE INFUSION
SUCTION CATHETER 6
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
5,00
5,00
5,00
5,00
2,00
2,00
10,00
5,00
5,00
1,00
2,00
2,00
14,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
UNT
UNT
UNT

8 Mei 2013 11:20

Item
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
SUCTION CATHETER 8
SUCTION CATHETER 10
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HALOPERIDOL INF 1.5 MG TABLET
TUSLAH RACIKAN EMBALASE
CEFPIROME 1GR VIL
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
60,00
10,00
3,00
3,00
2,00
10,00
1,00
10,00
1,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
BOT
TAB
UNT
UNT
VIL
AMP

LACTODIA POLYBAG
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO 25 THERUMO
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

2,00
5,00
5,00
5,00
3,00
3,00
3,00
3,00
15,00

PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

8 Mei 2013 11:20

Item
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
10,00
3,00
3,00
4,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT

8 Mei 2013 11:19

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
5,00
5,00
1,00
2,00
10,00
60,00
2,00
2,00
5,00
12,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
BOT
BOT
UNT
PKG
VIL
AMP
VIL
UNT

8 Mei 2013 11:19

Item
N5 OTSUKA 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
3,00
60,00
10,00
5,00
5,00

Depo Atas
Subtotal
BAG
PKG
UNT
UNT
UNT

DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

5,00
5,00
3,00
1,00
1,00
3,00
11,00

UNT
UNT
UNT
UNT
BOT
PKG
UNT

8 Mei 2013 11:19

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
IVENA IV CATH 24
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
3,00
5,00
5,00
5,00
5,00
5,00
60,00
1,00
1,00
2,00
13,00

Depo Atas
Subtotal
VIL
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
BOT
UNT

8 Mei 2013 11:16

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
ALKOHOL SWAB
SUCTION CATHETER 6
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
4,00
10,00
2,00
1,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
BAG
UNT

8 Mei 2013 11:16

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
ALKOHOL SWAB
MICROPORE 1 INC

JAMPERSAL
Quantity
5,00
5,00
10,00
1,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

BD VACUTAINER
SUCTION CATHETER 6
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
6,00

UNT
UNT
UNT

8 Mei 2013 11:07

Item
TRANSFUSION SET JMS
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
ALKOHOL SWAB
SUCTION CATHETER 6
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
5,00
5,00
1,00
1,00
3,00
3,00
10,00
3,00
2,00
10,00

Depo Atas
Subtotal
UNT
UNT
UNT
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

5 Mei 2013 07:31

Item
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
RINGER LACTATE WIDATRA 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
UNT
UNT
BOT
BOT
UNT

5 Mei 2013 00:32

Item
H.C.T 25 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 10 MG TABLET
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
3,00
1,00
1,00
2,00
2,00
7,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT
UNT
UNT
UNT
UNT

4 Mei 2013 22:54

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

TRAMADOL INF 50 MG/ML SOLUTION, INJECTION

TUSLAH NON RACIKAN
TOTAL

5,00
1,00

AMP
UNT

3 Mei 2013 18:03

Item
CINAM 1.5 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

3 Mei 2013 03:01

Item
ANESFAR INJEKSI
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
AMP
UNT

2 Mei 2013 23:45

Item
FARMADOL 100 ML INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
M-20 INFUSAN (MANITOL) 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
1,00
4,00

Depo IGD
Subtotal
BOT
AMP
AMP
BOT
UNT

1 Mei 2013 14:16

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
KA-EN 3B 500 ML INFUSION
BENUTRION VE SANBE INFUSION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
10,00
2,00
1,00
2,00
1,00
1,00
5,00
5,00
5,00
5,00
3,00
3,00
13,00

Depo Atas
Subtotal
PKG
UNT
BAG
BOT
VIL
BOT
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT

1 Mei 2013 14:16

Item
ALKOHOL SWAB
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
AMIKACIN 250 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
DEXTROSE 10% WIDATRA 500 ML INFUSION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
INFUS SET JMS
IVENA IV CATH 24
PARACETAMOL 60 ML SYRUP
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
100,00
10,00

Depo Atas
Subtotal
UNT
VIL
VIL
AMP
BOT
UNT
UNT
UNT
BOT
PKG
UNT

1 Mei 2013 14:05

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DEXAMETHASONE 5 MG INJECTION
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
TRADOSIK 50 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
PELASTIN INFUSION
NATRIUM PHENITOIN 50MG /ML INJ
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
PARACETAMOL 60 ML SYRUP
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
10,00
3,00
2,00
2,00
2,00
2,00
1,00
1,00
2,00
1,00
5,00
5,00
5,00
3,00
3,00
3,00
3,00
18,00

Depo Atas
Subtotal
PKG
UNT
AMP
AMP
AMP
AMP
VIL
AMP
BOT
PKG
BOT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

1 Mei 2013 14:02

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN

JAKARTA SEHAT
Quantity
5,00
5,00
5,00
5,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

DISP SYRINGE 20 CC WIHTOUT NED

ACETYLCYSTEIN 200MG CAPS
ANESFAR INJEKSI
NATRIUM PHENITOIN 50MG /ML INJ
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
SOPIROM INJECTION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

5,00
2,00
3,00
2,00
2,00
2,00
10,00
100,00
12,00

UNT
TAB
AMP
AMP
AMP
VIL
UNT
PKG
UNT

1 Mei 2013 13:47

Item
HANDSCOON NON STERIL S (PCS)
DEXTROSE 5% WIDATRA 500 ML INFUSION
ALKOHOL SWAB
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
MANITOL OTSU 500 ML INFUSION 20 %WV
NATRIUM PHENITOIN 50MG /ML INJ
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
NEEDLE NO.18 THERUMO
NEEDLE NO 25 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
60,00
4,00
10,00
2,00
1,00
2,00
3,00
3,00
3,00
3,00
3,00
3,00
3,00
13,00

Depo Atas
Subtotal
PKG
BOT
UNT
VIL
BAG
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

1 Mei 2013 13:46

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
STOMACH TUBE 6 JMS
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
6,00
6,00
10,00
20,00
1,00
1,00
2,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT
BAG
UNT
UNT

1 Mei 2013 13:23

Item

JAMPERSAL
Quantity

Depo Atas
Subtotal

INFUS SET JMS

EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
INFANT ADHESIVE SENSOR SPO2
DEXTROSE 10% WIDATRA 500 ML INFUSION
CALCIUM GLUCONAS ETHICA INJECTION
PELASTIN INFUSION
STOMACH TUBE 6 JMS
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
AMIKACIN 250 MG INJECTION
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
4,00
6,00
6,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
13,00

UNT
UNT
UNT
UNT
UNT
PKG
BOT
AMP
VIL
UNT
BAG
VIL
UNT
UNT

1 Mei 2013 13:14

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
ZINKID 10MG/5ML SYRUP
NYMIKO SANBE 12 ML SUSPENSION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
LACTODIA POLYBAG
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
10,00
1,00
1,00
5,00
5,00
5,00
3,00
5,00
2,00
10,00

Depo Atas
Subtotal
PKG
UNT
BOT
BOT
UNT
UNT
UNT
UNT
PKG
BAG
UNT

1 Mei 2013 13:13

Item
N5 OTSUKA 500 ML INFUSION
HEALFLON IV.CATH NO.26G HARSORIA
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
STOMACH TUBE 6 JMS
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
2,00
4,00
6,00
6,00
4,00
20,00
1,00
2,00
9,00

Depo Atas
Subtotal
BAG
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

1 Mei 2013 13:13

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
STOMACH TUBE 6 JMS
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
HANDSCOON GAMEX 6.5
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
3,00
6,00
6,00
1,00
10,00
20,00
2,00
2,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

1 Mei 2013 13:13

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
STOMACH TUBE 6 JMS
N5 OTSUKA 500 ML INFUSION
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
6,00
6,00
10,00
20,00
2,00
1,00
2,00
7,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
UNT
BAG
UNT
UNT

1 Mei 2013 13:12

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
STOMACH TUBE 6 JMS
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
6,00
6,00
10,00
20,00
2,00
1,00
2,00
8,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
VIL
UNT
UNT
UNT

1 Mei 2013 12:17

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

JAKARTA SEHAT
Quantity
100,00
10,00
2,00

Depo Atas
Subtotal
PKG
UNT
VIL

AMIKACIN 250 MG INJECTION

DEXAMETHASONE 5 MG INJECTION
FLUCONAZOL INFUS 100 ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
IVENA IV CATH 24
SELANG NEBU PEDRIATIC(1484)
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
1,00
1,00
1,00
2,00
1,00
1,00
11,00

VIL
AMP
BOT
UNT
UNT
UNT
PKG
PKG
UNT

1 Mei 2013 11:41

Item
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency PICU
Subtotal
BOT
UNT

Pasien
Penjamin
97429
97429
32670
32670
12610
12610
17196
17196
10200
10200
8785
8785
2848
2848
15060
15060
4000
4000
200798
200798

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19762.5 19762.5
3048
3048
1000
1000
23810.5 23810.5

0
0
0
0

Pasien
Penjamin
3048
3048
19762.5 19762.5
1000
1000
23810.5 23810.5

0
0
0
0

Pasien
Penjamin
19762.5 19762.5
3048
3048
1000
1000
23810.5 23810.5

0
0
0
0

Pasien
Penjamin
2848
2848
15060
15060
1000
1000
18908
18908

0
0
0
0

Pasien
Penjamin
19762.5 19762.5
3048
3048
1000
1000
23810.5 23810.5

0
0
0
0

Pasien
Penjamin
2848
2848
15060
15060
1000
1000
18908
18908

0
0
0
0

Pasien
Penjamin
2848
2848
15060
15060
1000
1000
18908
18908

0
0
0
0

Pasien
Penjamin
2848
2848
15060
15060
1000
1000
18908
18908

0
0
0
0

Pasien
Penjamin
2848
2848
15060
15060
1000
1000
18908
18908

0
0
0
0

Pasien
Penjamin
2848
2848
15060
15060
1000
1000
18908
18908

0
0
0
0

Pasien
Penjamin
2848
2848
15060
15060
1000
1000
18908
18908

0
0
0
0

Pasien
Penjamin
19762.5 19762.5
3048
3048
1000
1000
23810.5 23810.5

0
0
0
0

Pasien
Penjamin
2848
2848
15060
15060
1000
1000
18908
18908

0
0
0
0

Pasien
Penjamin
2848
2848
15060
15060
1000
1000
18908
18908

0
0
0
0

Pasien
Penjamin
19762.5 19762.5
3048
3048
1000
1000
23810.5 23810.5

0
0
0
0

Pasien
Penjamin
19762.5 19762.5
3048
3048
1000
1000
23810.5 23810.5

0
0
0
0

Pasien
Penjamin
49080
49080
17271
17271
6500
6500
17820
17820
13794
13794
3048
3048
19762.5 19762.5
97454
97454
4000
4000
228729.5 228729.5

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
285153.8 285153.8
6662.5
6662.5
97454
97454
25270
25270
145860
145860
90288
90288
3000
3000
653688.3 653688.3

0
0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
12750
12750
8785
8785
2848
2848
15060
15060
3435
3435
3000
3000
52152
52152

0
0
0
0
0
0
0
0

Pasien
Penjamin
164180
164180
13000
13000
8910
8910
3048
3048
19762.5 19762.5

0
0
0
0
0

3560
3560
3000
3000
215460.5 215460.5

0
0
0

Pasien
Penjamin
6299
6299
13000
13000
8910
8910
3048
3048
19762.5 19762.5
3560
3560
3000
3000
57579.5 57579.5

0
0
0
0
0
0
0
0

Pasien
Penjamin
62990
62990
22300
22300
5832
5832
13000
13000
8910
8910
3048
3048
3560
3560
3500
3500
123140
123140

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6299
6299
4460
4460
13000
13000
8910
8910
37905
37905
11514
11514
11430
11430
53950
53950
25098
25098
2617
2617
6897
6897
5500
5500
187580
187580

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16266
16266
3900
3900
1923
1923
11415
11415
5270
5270
4356
4356
2665
2665
18368
18368
2381.25 2381.25
18232
18232
12194
12194
5500
5500
102470.3 102470.3

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4356
4356
3530
3530
6650
6650
15046.25 15046.25
5270
5270
2500
2500
37352.25 37352.25

0
0
0
0
0
0
0

Pasien
Penjamin
59193
59193
26124
26124
1000
1000
86317
86317

0
0
0
0

Pasien
Penjamin
33660
33660
500
500
34160
34160

0
0
0

Pasien
Penjamin
18368
18368
18232
18232

0
0

12194
12194
32532
32532
15013
15013
16360
16360
2381.25 2381.25
30092.5 30092.5
5270
5270
3900
3900
1923
1923
477
477
11570
11570
6500
6500
174812.8 174812.8

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37905
37905
17271
17271
13000
13000
8910
8910
53950
53950
66100
66100
3048
3048
19762.5 19762.5
3560
3560
3560
3560
5000
5000
232066.5 232066.5

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
131319
131319
12750
12750
8785
8785
2848
2848
15060
15060
3435
3435
3000
3000
177197
177197

0
0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
4435
4435

0
0

2848
15060
12750
8785
37830
3435
51480
53900
5000
201797

2848
15060
12750
8785
37830
3435
51480
53900
5000
201797

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51555
51555
53950
53950
37905
37905
17271
17271
13000
13000
8910
8910
3048
3048
19762.5 19762.5
3560
3560
4500
4500
213461.5 213461.5

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
38016
38016
500
500
38516
38516

0
0
0

Pasien
Penjamin
8440
8440
500
500
8940
8940

0
0
0

Pasien
Penjamin
40800
40800
12750
12750
8785
8785
2848
2848

0
0
0
0

15060
3435
3435
3500
90613

15060
3435
3435
3500
90613

0
0
0
0
0

Pasien
Penjamin
211200
211200
90288
90288
15400
15400
7650
7650
8785
8785
15060
15060
3000
3000
351383
351383

0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
15280
15280
44964
44964
1500
1500
65304
65304

0
0
0
0
0

Pasien
Penjamin
145860
145860
2848
2848
15400
15400
8785
8785
15060
15060
2500
2500
190453
190453

0
0
0
0
0
0
0

Pasien
Penjamin
40800
40800
13000
13000
8910
8910
3048
3048
19762.5 19762.5
2500
2500

0
0
0
0
0
0

88020.5

88020.5

Pasien
Penjamin
40800
40800
13000
13000
3048
3048
19762.5 19762.5
3560
3560
2500
2500
82670.5 82670.5

0
0
0
0
0
0
0

Pasien
Penjamin
40800
40800
13000
13000
3048
3048
19762.5 19762.5
3560
3560
2500
2500
82670.5 82670.5

0
0
0
0
0
0
0

Pasien
Penjamin
40800
40800
12750
12750
2848
2848
15060
15060
3435
3435
2500
2500
77393
77393

0
0
0
0
0
0
0

Pasien
Penjamin
15650
15650
8910
8910
3048
3048
2916
2916
145860
145860
2500
2500
178884
178884

0
0
0
0
0
0
0

Pasien
Penjamin
40800
40800
12750
12750
8785
8785
2848
2848
15060
15060
3435
3435
3435
3435
3500
3500
90613
90613

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40800
40800
12750
12750
8785
8785
2848
2848
15060
15060
3435
3435
3435
3435
3500
3500
90613
90613

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40800
40800
12750
12750
10542
10542
37830
37830
51480
51480
53900
53900
25048
25048
13744
13744
11762
11762
3435
3435
3435
3435
5500
5500
270226
270226

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15400
15400
8785
8785

0
0

2848
15060
3435
2500
48028

2848
15060
3435
2500
48028

0
0
0
0
0

Pasien
Penjamin
40800
40800
2848
2848
15060
15060
12750
12750
8785
8785
2500
2500
82743
82743

0
0
0
0
0
0
0

Pasien
Penjamin
12750
12750
10542
10542
2848
2848
15060
15060
2000
2000
43200
43200

0
0
0
0
0
0

Pasien
Penjamin
49005
49005
5694
5694
11762
11762
40800
40800
63050
63050
12750
12750
8785
8785
2848
2848
15060
15060
3435
3435
3435
3435
5500
5500
222124
222124

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

8785
2848
15060
3435
3435
6872
3000
43435

8785
2848
15060
3435
3435
6872
3000
43435

0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
3560
3560
6171
6171
44964
44964
2000
2000
62576
62576

0
0
0
0
0
0

Pasien
Penjamin
3560
3560
3435
3435
3435
3435
49500
49500
7392
7392
2500
2500
69822
69822

0
0
0
0
0
0
0

Pasien
Penjamin
7800
7800
10692
10692
7825
7825
28785
28785
63175
63175
3560
3560
3560
3560
3810
3810
39525
39525
30242
30242
12549
12549
6897
6897
6000
6000
224420
224420

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10692
10692
7800
7800
7825
7825
3560
3560
3560
3560
3810
3810
3000
3000
40247
40247

0
0
0
0
0
0
0
0

Pasien
Penjamin
10692
10692
7800
7800
7825
7825
3560
3560
3560
3560
39525
39525
3810
3810
6897
6897
12549
12549
213840
213840
5000
5000
315058
315058

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6500
6500
17271
17271
37905
37905
3560
3560
3560
3560
3810
3810
39525
39525
12549
12549
6897
6897
4500
4500
136077
136077

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

3900
7825
5346
3560
3560
3810
39525
49575
6897
12549
8440
5500
150487

3900
7825
5346
3560
3560
3810
39525
49575
6897
12549
8440
5500
150487

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40800
40800
12750
12750
8785
8785
2848
2848
15060
15060
3435
3435
3435
3435
3500
3500
90613
90613

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32670
32670
25220
25220
11464
11464
3796
3796
2000
2000
75150
75150

0
0
0
0
0
0

Pasien
Penjamin
32670
32670
25220
25220
11464
11464
3796
3796
51480
51480
2500
2500
127130
127130

0
0
0
0
0
0
0

Pasien
Penjamin
40800
40800
12750
12750
8785
8785
2848
2848
15060
15060
2500
2500
82743
82743

0
0
0
0
0
0
0

Pasien
Penjamin
145860
145860
10560
10560
1000
1000
157420
157420

0
0
0
0

Pasien
Penjamin
51480
51480
80850
80850
37830
37830
11464
11464
12750
12750
8785
8785
2848
2848
15060
15060
24160
24160
40800
40800
2640
2640
20625
20625
6000
6000
315292
315292

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40800
40800
13000
13000
8910
8910
3048
3048
19762.5 19762.5
2500
2500

0
0
0
0
0
0

88020.5

88020.5

Pasien
Penjamin
5388
5388
196
196
3500
3500
500
500
9584
9584

0
0
0
0
0

Pasien
Penjamin
1251250 1251250
6375
6375
7700
7700
9985
9985
28660
28660
63050
63050
3560
3560
11762
11762
62075
62075
4500
4500
1448917 1448917

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29976
29976
3560
3560
27288
27288
1500
1500
62324
62324

0
0
0
0
0

Pasien
Penjamin
14988
14988
1780
1780
27288
27288
1500
1500
45556
45556

0
0
0
0
0

Pasien

Penjamin

27363
16266
3900
4695
6066
26560
13175
3810
3846
2490
5000
113171

27363
16266
3900
4695
6066
26560
13175
3810
3846
2490
5000
113171

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
13744
13744
16191
16191
3825
3825
4620
4620
5991
5991
26535
26535
10040
10040
3560
3560
3796
3796
5000
5000
120590
120590

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32670
32670
25220
25220
1000
1000
58890
58890

0
0
0
0

Pasien
Penjamin
32670
32670
25220
25220
1000
1000
58890
58890

0
0
0
0

Pasien
Penjamin
32720
32720
25270
25270
1000
1000
58990
58990

0
0
0
0

Pasien
Penjamin
32670
32670
25220
25220
1000
1000
58890
58890

0
0
0
0

Pasien
Penjamin
8270
8270
1260
1260
12315
12315
18192
18192
26985
26985
26535
26535
3000
3000
96557
96557

0
0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
213840
213840
500
500
214340
214340

0
0
0

Pasien
Penjamin
3900
3900
500
500
4400
4400

0
0
0

Pasien
Penjamin
6066
6066
500
500
6566
6566

0
0
0

Pasien
Penjamin
22010
22010
500
500
22510
22510

0
0
0

Pasien
Penjamin
37830
37830
500
500
38330
38330

0
0
0

Pasien
Penjamin
66000
66000
500
500
66500
66500

0
0
0

Pasien
Penjamin
44000
44000
500
500
44500
44500

0
0
0

Pasien
Penjamin
7825
7825
3900
3900
5346
5346
3810
3810
26560
26560
33050
33050
17185
17185
7120
7120
4000
4000

0
0
0
0
0
0
0
0
0

108796

108796

Pasien
Penjamin
17271
17271
3900
3900
5346
5346
32720
32720
39525
39525
56632
56632
3810
3810
30242
30242
4000
4000
193446
193446

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7800
7800
10692
10692
26350
26350
30242
30242
7120
7120
2500
2500
84704
84704

0
0
0
0
0
0
0

Pasien
Penjamin
10692
10692
7800
7800
26350
26350
2286
2286
16880
16880
2500
2500
66508
66508

0
0
0
0
0
0
0

Pasien
Penjamin
17271
17271
3900
3900
4695
4695
10692
10692
1905
1905
32720
32720

0
0
0
0
0
0

19946.25 19946.25
26350
26350
5769
5769
26560
26560
5000
5000
154808.3 154808.3

0
0
0
0
0
0

Pasien
Penjamin
17185
17185
3810
3810
4695
4695
26350
26350
30242
30242
5906
5906
3000
3000
91188
91188

0
0
0
0
0
0
0
0

Pasien
Penjamin
3900
3900
5346
5346
2286
2286
17185
17185
33050
33050
26350
26350
3000
3000
91117
91117

0
0
0
0
0
0
0
0

Pasien
Penjamin
30120
30120
3560
3560
62075
62075
11762
11762
13744
13744
5520
5520
18192
18192
6375
6375
7700
7700
9985
9985
17196
17196
2580
2580
1890
1890

0
0
0
0
0
0
0
0
0
0
0
0
0

6500
197199

6500
197199

0
0

Pasien
Penjamin
3560
3560
30120
30120
5881
5881
18793
18793
211200
211200
30096
30096
1134
1134
1548
1548
5991
5991
4620
4620
3825
3825
5271
5271
17196
17196
6500
6500
345735
345735

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30120
30120
1780
1780
1548
1548
1134
1134
49660
49660
5881
5881
38966
38966
501600
501600
6375
6375
7700
7700
9985
9985
17196
17196
6000
6000
677945
677945

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30120
30120
1780
1780
37586
37586
97429
97429

0
0
0
0

101952
6375
7700
9985
1548
1134
17196
5500
318305

101952
6375
7700
9985
1548
1134
17196
5500
318305

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54576
54576
7988
7988
5100
5100
6160
6160
7028
7028
15060
15060
3560
3560
1898
1898
4000
4000
105370
105370

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1780
1780
30120
30120
62075
62075
18192
18192
5991
5991
4620
4620
3825
3825
3500
3500
130103
130103

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15060
15060
3560
3560
26470
26470
5294
5294
49660
49660
18793
18793
211200
211200

0
0
0
0
0
0
0

33984
1890
2580
5000
373491

33984
1890
2580
5000
373491

0
0
0
0
0

Pasien
Penjamin
12132
12132
7800
7800
10692
10692
5832
5832
180576
180576
5867
5867
32720
32720
3846
3846
4000
4000
263465
263465

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
97429
97429
211200
211200
34320
34320
53900
53900
13979
13979
12750
12750
8785
8785
22928
22928
32670
32670
5694
5694
180576
180576
5500
5500
679731
679731

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
211200
211200
4435
4435
12750
12750
8785
8785
2848
2848
15060
15060
3000
3000

0
0
0
0
0
0
0

258078

258078

Pasien
Penjamin
211200
211200
17160
17160
1000
1000
229360
229360

0
0
0
0

Pasien
Penjamin
211200
211200
12750
12750
8785
8785
1500
1500
234235
234235

0
0
0
0
0

Pasien
Penjamin
285153.8 285153.8
500
500
285653.8 285653.8

0
0
0

Pasien
Penjamin
180576
180576
12750
12750
8785
8785
1500
1500
203611
203611

0
0
0
0
0

Pasien
Penjamin
145860
145860
180576
180576
5842
5842
12750
12750
8785
8785
2500
2500
356313
356313

0
0
0
0
0
0
0

Pasien
Penjamin
211200
211200
32670
32670
3796
3796
1500
1500
249166
249166

0
0
0
0
0

Pasien
Penjamin
335070
335070
500
500
335570
335570

0
0
0

Pasien
Penjamin
24024
24024
500
500
24524
24524

0
0
0

Pasien
Penjamin
5294
5294
500
500
5794
5794

0
0
0

Pasien
Penjamin
11913
11913
500
500
12413
12413

0
0
0

Pasien
Penjamin
5991
5991
500
500
6491
6491

0
0
0

Pasien
Penjamin
6914
6914

500
7414

500
7414

0
0

Pasien
Penjamin
53900
53900
3825
3825
8785
8785
33000
33000
2000
2000
101510
101510

0
0
0
0
0
0

Pasien
Penjamin
17185
17185
17185
17185
3810
3810
26975
26975
12549
12549
6500
6500
8910
8910
3500
3500
96614
96614

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17160
17160
6375
6375
8785
8785
1500
1500
33820
33820

0
0
0
0
0

Pasien
Penjamin
6375
6375
8785
8785
53900
53900
17160
17160
6872
6872
3560
3560
12524
12524
34320
34320
4000
4000

0
0
0
0
0
0
0
0
0

147496

147496

Pasien
Penjamin
8720
8720
7505
7505
41050
41050
1500
1500
58775
58775

0
0
0
0
0

Pasien
Penjamin
211200
211200
500
500
211700
211700

0
0
0

Pasien
Penjamin
30120
30120
1780
1780
67968
67968
6375
6375
7700
7700
1134
1134
1548
1548
3500
3500
120125
120125

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30120
30120
1780
1780
1548
1548
1134
1134
37245
37245
27060
27060
18793
18793
11762
11762
501600
501600
78634
78634
4620
4620
5500
5500
719796
719796

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
50200
50200
17643
17643
37586
37586
4435
4435
50160
50160
7988
7988
7700
7700
6375
6375
8785
8785
4500
4500
195372
195372

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
30120
30120
9985
9985
7700
7700
6375
6375
8785
8785
62075
62075
26470
26470
21176
21176
2891
2891
1890
1890
2580
2580
5881
5881
56262
56262
74940
74940
82500
82500
8000
8000
411190
411190

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
2891
2891
11762
11762
18192
18192
62075
62075
9985
9985

0
0
0
0
0
0

6375
8785
7700
16335
30120
26470
1014
6500
211764

6375
8785
7700
16335
30120
26470
1014
6500
211764

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8088
8088
7800
7800
10692
10692
3810
3810
32720
32720
9633
9633
24024
24024
3500
3500
100267
100267

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7800
7800
10692
10692
381
381
8088
8088
3560
3560
2705
2705
1317.5
1317.5
3500
3500
38043.5 38043.5

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
316823
316823
17271
17271
6260
6260
7800
7800
10692
10692
3810
3810
16880
16880
34370
34370

0
0
0
0
0
0
0
0

13297.5 13297.5
24024
24024
20238
20238
5500
5500
476965.5 476965.5

0
0
0
0
0

Pasien
Penjamin
6066
6066
7800
7800
10692
10692
3810
3810
17185
17185
33050
33050
3000
3000
81603
81603

0
0
0
0
0
0
0
0

Pasien
Penjamin
7800
7800
10692
10692
4695
4695
6066
6066
3810
3810
26560
26560
3000
3000
62623
62623

0
0
0
0
0
0
0
0

Pasien
Penjamin
49080
49080
3810
3810
7800
7800
10692
10692
4695
4695
6066
6066
6897
6897
12549
12549
4000
4000
105589
105589

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

4695
6066
7800
10692
3810
6897
3000
42960

4695
6066
7800
10692
3810
6897
3000
42960

0
0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
5782
5782
12750
12750
8785
8785
2848
2848
15060
15060
3000
3000
54499
54499

0
0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
12750
12750
8785
8785
2848
2848
15060
15060
2500
2500
48217
48217

0
0
0
0
0
0
0

Pasien
Penjamin
6274
6274
4435
4435
12750
12750
8785
8785
2848
2848
15060
15060
3000
3000
53152
53152

0
0
0
0
0
0
0
0

Pasien

Penjamin

32670
3796
1000
37466

32670
3796
1000
37466

0
0
0
0

Pasien
Penjamin
5832
5832
13000
13000
8910
8910
1500
1500
29242
29242

0
0
0
0
0

Pasien
Penjamin
49005
49005
5991
5991
145860
145860
1500
1500
202356
202356

0
0
0
0
0

Pasien
Penjamin
211200
211200
12750
12750
8785
8785
5782
5782
2000
2000
240517
240517

0
0
0
0
0
0

Pasien
Penjamin
5832
5832
10110
10110
6500
6500
8910
8910
2000
2000
33352
33352

0
0
0
0
0
0

Pasien
Penjamin
74250
74250

68640
107800
5991
11464
12750
10542
3560
15060
25048
5000
340105

68640
107800
5991
11464
12750
10542
3560
15060
25048
5000
340105

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
99000
99000
51480
51480
107800
107800
11464
11464
5991
5991
12750
12750
10542
10542
3560
3560
15060
15060
25048
25048
5000
5000
347695
347695

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10450
10450
500
500
10950
10950

0
0
0

Pasien
Penjamin
6066
6066
500
500
6566
6566

0
0
0

Pasien
Penjamin
10450
10450
500
500

0
0

10950

10950

Pasien
Penjamin
14832
14832
500
500
15332
15332

0
0
0

Pasien
Penjamin
38966
38966
500
500
39466
39466

0
0
0

Pasien
Penjamin
12610
12610
500
500
13110
13110

0
0
0

Pasien
Penjamin
12610
12610
500
500
13110
13110

0
0
0

Pasien
Penjamin
26535
26535
500
500
27035
27035

0
0
0

Pasien
Penjamin
33984
33984
500
500
34484
34484

0
0
0

Pasien

Penjamin

1410
27288
3825
4620
16191
2500
55834

1410
27288
3825
4620
16191
2500
55834

0
0
0
0
0
0
0

Pasien
Penjamin
20121
20121
35418
35418
3900
3900
4695
4695
27363
27363
13175
13175
3810
3810
11000
11000
4000
4000
123482
123482

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15400
15400
2115
2115
520
520
49251
49251
11762
11762
3825
3825
4620
4620
3560
3560
10040
10040
4500
4500
105593
105593

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16500
16500
2115
2115
520
520
49251
49251
11762
11762
16191
16191
3825
3825

0
0
0
0
0
0
0

4620
4000
108784

4620
4000
108784

0
0
0

Pasien
Penjamin
1410
1410
32834
32834
11762
11762
1500
1500
47506
47506

0
0
0
0
0

Pasien
Penjamin
20121
20121
20790
20790
35343
35343
27288
27288
4620
4620
3825
3825
10040
10040
3500
3500
125527
125527

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1410
1410
27288
27288
3825
3825
4620
4620
10040
10040
1780
1780
3000
3000
51963
51963

0
0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
14988
14988
16335
16335
10040
10040
3560
3560
7920
7920

0
0
0
0
0
0

20121
4620
3825
4500
113197

20121
4620
3825
4500
113197

0
0
0
0
0

Pasien
Penjamin
20900
20900
500
500
21400
21400

0
0
0

Pasien
Penjamin
2820
2820
18192
18192
3825
3825
4620
4620
3560
3560
5020
5020
3000
3000
41037
41037

0
0
0
0
0
0
0
0

Pasien
Penjamin
17640
17640
2820
2820
27288
27288
1500
1500
49248
49248

0
0
0
0
0

Pasien
Penjamin
17640
17640
3320
3320
27363
27363
16266
16266
3900
3900
4695
4695
13175
13175
3500
3500
89859
89859

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13230
13230
2115
2115
16191
16191
3825
3825
4620
4620
27288
27288
5694
5694
3500
3500
76463
76463

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
20121
20121
20790
20790
5160
5160
27288
27288
4620
4620
5694
5694
3560
3560
3500
3500
90733
90733

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13230
13230
2490
2490
27363
27363
1500
1500
44583
44583

0
0
0
0
0

Pasien
Penjamin
8673
8673
20121
20121
27288
27288
4620
4620
5694
5694
2500
2500
68896
68896

0
0
0
0
0
0
0

Pasien
Penjamin
20121
20121
20925
20925
8748
8748
3900
3900
4695
4695
49326
49326
3810
3810
6587.5
6587.5
5500
5500
4500
4500
128112.5 128112.5

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
3048
3048
13175
13175
1000
1000
17223
17223

0
0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
3048
3048
13175
13175
1000
1000
17223
17223

0
0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
3048
3048
13175
13175
1000
1000
17223
17223

0
0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
3048
3048
13175
13175
1000
1000
17223
17223

0
0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
51480
51480
34320
34320
12750
12750
10542
10542
3560
3560
15060
15060
20213
20213
97429
97429
13744
13744
11762
11762
5000
5000
275860
275860

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
211200
211200
12750
12750
8785
8785
2848
2848

0
0
0
0

15060
2500
253143

15060
2500
253143

0
0
0

Pasien
Penjamin
2848
2848
10040
10040
1000
1000
13888
13888

0
0
0
0

Pasien
Penjamin
62075
62075
13167
13167
37586
37586
5881
5881
13414
13414
5782
5782
26470
26470
26470
26470
6375
6375
7700
7700
28660
28660
2580
2580
1890
1890
3560
3560
11946
11946
7392
7392
26535
26535
30120
30120
9000
9000
326603
326603

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
50160
50160
18793
18793
5881
5881
4435
4435
12548
12548
7392
7392
6375
6375
7700
7700

0
0
0
0
0
0
0
0

28660
3560
1890
2580
26470
234
3500
500
33660
7000
221338

28660
3560
1890
2580
26470
234
3500
500
33660
7000
221338

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11762
11762
62075
62075
32670
32670
19266
19266
37586
37586
194858
194858
5782
5782
6274
6274
78634
78634
6375
6375
7700
7700
28660
28660
8785
8785
1890
1890
2580
2580
3560
3560
7392
7392
44964
44964
501600
501600
30120
30120
10000
10000
1102533 1102533

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62075
62075
23736
23736
2760
2760
18793
18793
5881
5881
97429
97429

0
0
0
0
0
0

78634
13414
6375
7700
28660
26470
26470
1890
2580
11946
3560
30120
501600
9500
959593

78634
13414
6375
7700
28660
26470
26470
1890
2580
11946
3560
30120
501600
9500
959593

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11762
11762
30120
30120
27288
27288
6375
6375
62075
62075
5782
5782
16335
16335
12548
12548
4000
4000
176285
176285

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12635
12635
11514
11514
3900
3900
4695
4695
5346
5346
3810
3810
42962.5 42962.5
13297.5 13297.5
33050
33050
4500
4500
135710
135710

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7800
7800
10692
10692
7825
7825
3810
3810
21481.25 21481.25
3560
3560
2705
2705
3500
3500
61373.25 61373.25

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
25270
25270
11514
11514
4695
4695
3900
3900
5346
5346
3810
3810
2136
2136
12549
12549
33050
33050
6648.75 6648.75
21481.25 21481.25
5500
5500
135900
135900

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37830
37830
4620
4620
3825
3825
8785
8785
8415
8415
3560
3560
30120
30120
3435
3435
5294
5294
17160
17160
5000
5000
128044
128044

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

7800
7800
10692
10692
3810
3810
6897
6897
21481.25 21481.25
2500
2500
53180.25 53180.25

0
0
0
0
0
0
0

Pasien
Penjamin
17160
17160
7650
7650
10542
10542
3560
3560
211200
211200
2500
2500
252612
252612

0
0
0
0
0
0
0

Pasien
37905
17271
4695
3900
8910
19946.25
3810
39525
2136
33050
32720
21481.25
6000
231349.5

Penjamin
37905
17271
4695
3900
8910
19946.25
3810
39525
2136
33050
32720
21481.25
6000
231349.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
115500
115500
16632
16632
1000
1000
133132
133132

0
0
0
0

Pasien
Penjamin
1898
1898
2550
2550
3080
3080
5020
5020
1780
1780
10794
10794
3000
3000
28122
28122

0
0
0
0
0
0
0
0

Pasien
Penjamin
1898
1898
5020
5020
1780
1780
2550
2550
5991
5991
2500
2500
19739
19739

0
0
0
0
0
0
0

Pasien
Penjamin
8895
8895
2600
2600
1923
1923
5270
5270
2381.25 2381.25
2500
2500
23569.25 23569.25

0
0
0
0
0
0
0

Pasien
Penjamin
10794
10794
2550
2550
1898
1898
1500
1500
16742
16742

0
0
0
0
0

Pasien
Penjamin
37802.5 37802.5
500
500
38302.5 38302.5

0
0
0

Pasien
Penjamin
2220
2220
500
500
2720
2720

0
0
0

Pasien
Penjamin
16625
16625
6066
6066
3810
3810
5906
5906
32720
32720
2500
2500
67627
67627

0
0
0
0
0
0
0

Pasien
Penjamin
8910
8910
6500
6500
7825
7825
10110
10110
28785
28785
49080
49080
3846
3846
19946.25 19946.25
4000
4000
139002.3 139002.3

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
38372
38372
500
500
38872
38872

0
0
0

Pasien
Penjamin
33000
33000
500
500
33500
33500

0
0
0

Pasien
Penjamin
131319
131319
12750
12750
8785
8785
2848
2848
15060
15060
1890
1890
2580
2580
3500
3500
178732
178732

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12750
12750
8785
8785
2848
2848
15060
15060
1890
1890
1548
1548
3000
3000
45881
45881

0
0
0
0
0
0
0
0

Pasien
Penjamin
131319
131319
12750
12750
8785
8785
2848
2848
15060
15060
1890
1890
1548
1548
3500
3500
177700
177700

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
131319
131319
2891
2891
2848
2848
33000
33000
15060
15060
3435
3435

0
0
0
0
0
0

3000
191553

3000
191553

0
0

Pasien
Penjamin
131319
131319
2891
2891
2848
2848
33000
33000
15060
15060
2500
2500
187618
187618

0
0
0
0
0
0
0

Pasien
Penjamin
12421
12421
500
500
12921
12921

0
0
0

Pasien
Penjamin
4440
4440
1410
1410
16191
16191
3825
3825
49251
49251
16335
16335
4331
4331
5020
5020
4000
4000
104803
104803

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
16335
16335
1410
1410
24024
24024
8820
8820
14988
14988
16191
16191
3825
3825
4331
4331

0
0
0
0
0
0
0
0
0

4500
99444

4500
99444

0
0

Pasien
Penjamin
24024
24024
1410
1410
8820
8820
16191
16191
3825
3825
4331
4331
16335
16335
14988
14988
4000
4000
93924
93924

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1410
1410
8820
8820
16191
16191
4331
4331
16335
16335
14988
14988
24024
24024
5020
5020
4000
4000
95119
95119

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1410
1410
4440
4440
792
792
37620
37620
20121
20121
4620
4620
3000
3000
72003
72003

0
0
0
0
0
0
0
0

Pasien
Penjamin
57580
57580

1410
24024
5020
3825
14988
16335
16191
4000
143373

1410
24024
5020
3825
14988
16335
16191
4000
143373

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
166320
166320
1410
1410
57580
57580
393957
393957
35343
35343
49251
49251
4620
4620
16335
16335
14988
14988
4500
4500
744304
744304

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8820
8820
1410
1410
16191
16191
3825
3825
24024
24024
5020
5020
16335
16335
4331
4331
4500
4500
99444
99444

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57580
57580
1410
1410
24024
24024
5020
5020

0
0
0
0

16191
3825
3000
111050

16191
3825
3000
111050

0
0
0
0

Pasien
Penjamin
1410
1410
11000
11000
336600
336600
5991
5991
24024
24024
5020
5020
3000
3000
387045
387045

0
0
0
0
0
0
0
0

Pasien
Penjamin
8820
8820
1410
1410
1000
1000
11230
11230

0
0
0
0

Pasien
Penjamin
1410
1410
4440
4440
26611
26611
1500
1500
33961
33961

0
0
0
0
0

Pasien
Penjamin
8820
8820
1410
1410
16191
16191
3825
3825
16335
16335
14988
14988
4331
4331
24024
24024
5020
5020
4500
4500

0
0
0
0
0
0
0
0
0
0

99444

99444

Pasien
Penjamin
35343
35343
5782
5782
2550
2550
49251
49251
16335
16335
14988
14988
3000
3000
127249
127249

0
0
0
0
0
0
0
0

Pasien
Penjamin
316823
316823
32670
32670
8785
8785
6375
6375
7700
7700
9985
9985
16830
16830
53900
53900
3560
3560
3435
3435
2580
2580
97429
97429
10588
10588
3796
3796
7000
7000
581456
581456

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30120
30120
3560
3560
15882
15882
15882
15882
11762
11762
1090
1090
3500
3500
500
500
137940
137940
14750
14750

0
0
0
0
0
0
0
0
0
0

8778
7700
6375
9985
17196
37830
1134
1548
7500
333032

8778
7700
6375
9985
17196
37830
1134
1548
7500
333032

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30120
30120
3560
3560
44964
44964
49500
49500
2000
2000
130144
130144

0
0
0
0
0
0

Pasien
Penjamin
6375
6375
7700
7700
9985
9985
28660
28660
63050
63050
5881
5881
102432
102432
3560
3560
30120
30120
12548
12548
5782
5782
62075
62075
6000
6000
344168
344168

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37263
37263
30120
30120
3560
3560
9985
9985
7700
7700

0
0
0
0
0

6375
8785
17196
26950
5881
13167
5500
172482

6375
8785
17196
26950
5881
13167
5500
172482

0
0
0
0
0
0
0
0

Pasien
Penjamin
12548
12548
29976
29976
37830
37830
17196
17196
9985
9985
7700
7700
6375
6375
8785
8785
1780
1780
30120
30120
20213
20213
26950
26950
11762
11762
6500
6500
227720
227720

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8910
8910
6500
6500
65440
65440
3810
3810
13297.5 13297.5
9633
9633
3000
3000
110590.5 110590.5

0
0
0
0
0
0
0
0

Pasien
Penjamin
8910
8910
6500
6500
3810
3810
26625
26625

0
0
0
0

3846
3846
6648.75 6648.75
3000
3000
59339.75 59339.75

0
0
0
0

Pasien
Penjamin
32720
32720
8910
8910
6500
6500
5906
5906
8440
8440
17271
17271
37905
37905
3810
3810
19946.25 19946.25
3846
3846
5000
5000
150254.3 150254.3

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
20213
20213
9096
9096
6072
6072
2000
2000
64331
64331

0
0
0
0
0
0

Pasien
220
4353
4374
18343
5809
3994
24024
3500
64617

Pasien

Penjamin
220
4353
4374
18343
5809
3994
24024
3500
64617

Penjamin

0
0
0
0
0
0
0
0
0

36875
500
37375

36875
500
37375

0
0
0

Pasien
Penjamin
131319
131319
500
500
131819
131819

0
0
0

Pasien
Penjamin
30888
30888
500
500
31388
31388

0
0
0

Pasien
Penjamin
59400
59400
22125
22125
8673
8673
78634
78634
2000
2000
170832
170832

0
0
0
0
0
0

Pasien
Penjamin
30120
30120
3560
3560
37586
37586
97429
97429
12548
12548
56100
56100
2891
2891
6375
6375
7700
7700
9985
9985
28660
28660
1548
1548
1134
1134
6500
6500
302136
302136

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
6274
6274
90288
90288
5880
5880
6872
6872
26950
26950
8415
8415
29976
29976
2760
2760
50200
50200
5000
5000
236175
236175

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30120
30120
3560
3560
8820
8820
38966
38966
57738
57738
13860
13860
616754
616754
53688
53688
27060
27060
8778
8778
2760
2760
6375
6375
8785
8785
7700
7700
5991
5991
17196
17196
1548
1548
1134
1134
9000
9000
919833
919833

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9985
9985
6375
6375
7700
7700
8785
8785

0
0
0
0

28660
2640
46332
107376
38966
498960
3560
50200
6000
815539

28660
2640
46332
107376
38966
498960
3560
50200
6000
815539

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30120
30120
24288
24288
3560
3560
13414
13414
78509
78509
107376
107376
17196
17196
5991
5991
3825
3825
4620
4620
5271
5271
1548
1548
1134
1134
6500
6500
303352
303352

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6066
6066
7800
7800
10692
10692
3810
3810
13175
13175
17185
17185
12037
12037
40476
40476
4000
4000
115241
115241

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

8440
53950
8088
7800
10692
316823
6897
12549
308402
17185
12037
90288
40476
6500
900127

8440
53950
8088
7800
10692
316823
6897
12549
308402
17185
12037
90288
40476
6500
900127

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15060
15060
3560
3560
27060
27060
30217
30217
28660
28660
6375
6375
7700
7700
5991
5991
21945
21945
37586
37586
5000
5000
189154
189154

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12446
12446
33050
33050
8088
8088
7800
7800
19950
19950
1524
1524
13175
13175
17185
17185
40476
40476
4500
4500
158194
158194

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6066
6066
7800
7800
19950
19950
17185
17185
3810
3810
13175
13175
30092.5 30092.5
40476
40476
4000
4000
142554.5 142554.5

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7800
7800
10692
10692
3810
3810
13175
13175
34370
34370
12446
12446
40476
40476
3500
3500
126269
126269

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10110
10110
7800
7800
10692
10692
3810
3810
13175
13175
6914
6914
17185
17185
40476
40476
4000
4000
114162
114162

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
50200
50200
3560
3560
422400
422400

0
0
0

90288
8820
112211
26950
20213
29976
43313
3696
5500
817127

90288
8820
112211
26950
20213
29976
43313
3696
5500
817127

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6072
6072
500
500
6572
6572

0
0
0

Waktu
30 Mei 2013 23:47
Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
IVENA IV CATH 22
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

Jaminan
UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

30 Mei 2013 22:42

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
STOMACH TUBE 16 THERUMO
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
2,00
1,00
1,00
1,00
2,00
9,00

30 Mei 2013 21:20

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
3,00
3,00
5,00

30 Mei 2013 21:19

Item
OMEPRAZOLE GEN 20 MG CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
NATRIUM DIKLOFENAK 50 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
6,00
6,00
4,00

30 Mei 2013 21:05

Item
ASPAR-K TABLET, COATED 300 mg
SALBUTAMOL INF TABLET 2 MG
BISOLVON 2 ML INJECTION
LEVOFLOXACIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
1,00
4,00

30 Mei 2013 20:45

Item
CEDOCARD 10 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 20:45

Item
CAPTOPRIL 12.5 MG TABLET
CLONIDINE INF 150 MG TABLET
DILTIAZEM INF TABLET 30 MG
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
3,00
2,00
5,00
4,00

30 Mei 2013 20:37

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

30 Mei 2013 20:37

Item
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

30 Mei 2013 19:39

Item
RING AS SANBE 500 ML
IVENA IV CATH 20

UMUM
Quantity
1,00
2,00

SELANG OKSIGEN ADULT

DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
4,00
4,00

30 Mei 2013 19:38

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
3,00
3,00

30 Mei 2013 19:34

Item
LOVENOX SOLUTION, INJECTION 40 mg
DISP SYRINGE 3 CC
AMLODIPIN 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
4,00
5,00

30 Mei 2013 19:31

Item
DEXAMETHASONE 5 MG INJECTION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
DOPAC 40 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
4,00
1,00
10,00
5,00

30 Mei 2013 19:17

Item
AMOXICILLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

30 Mei 2013 18:48

Item
IVENA IV CATH 18

JAKARTA SEHAT
Quantity
1,00

TRANSFUSION SET JMS

RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

30 Mei 2013 18:40

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 18:33

Item
KA-EN 3B 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

30 Mei 2013 18:30

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

30 Mei 2013 18:27

Item
AMLODIPIN 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
DISP SYRINGE 3 CC
CONDOM CATHETER L
DRAINAGE BAG STERIL
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
10,00

TOTAL

30 Mei 2013 17:44

Item
SANMOL TABLET 500 mg
CEFIXIME GENERIK CAPSULE
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
20,00
10,00
3,00

28 Mei 2013 10:28

Item
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00

28 Mei 2013 08:48

Item
ORALIT
CINAM 1.5 GM INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
4,00
3,00

28 Mei 2013 07:55

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00
2,00
1,00
7,00

28 Mei 2013 07:42

Item
SELANG OKSIGEN ADULT
CAPTOPRIL 12.5 MG TABLET
IVENA IV CATH 20
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

RING AS SANBE 500 ML

FUROSEMID INF INJECTION
DISP SYRINGE 5 CC
ISOSORBIDE DINITRATE INF TABLET
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
13,00

28 Mei 2013 07:19

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 04:47

Item
INFUS SET JMS
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

28 Mei 2013 04:07

Item
PARACETAMOL 60 ML SYRUP
ZINKID 10MG/5ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

28 Mei 2013 03:48

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00

DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
10,00
8,00

28 Mei 2013 03:44

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 03:43

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

28 Mei 2013 03:41

Item
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
PARACETAMOL INF TABLET 500 mg
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
10,00
12,00
4,00

28 Mei 2013 03:41

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

28 Mei 2013 02:16

Item
CIPROFLOXACIN TABLET
NATRIUM DIKLOFENAK 50 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
3,00
3,00

28 Mei 2013 01:28

Item
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
4,00

28 Mei 2013 01:19

Item
IVENA IV CATH 20
INFUS SET JMS
FUTROLIT INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
2,00
7,00

28 Mei 2013 00:51

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
FOLLEY CATHETER 16 RUSCH
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
DRAINAGE BAG STERIL
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
12,00

28 Mei 2013 00:14

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
CAPTOPRIL 12.5 MG TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

AMLODIPIN 5 MG TABLET
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
6,00

28 Mei 2013 00:02

Item
IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
STOMACH TUBE 16 THERUMO
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
10,00

27 Mei 2013 23:55

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

27 Mei 2013 23:47

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

27 Mei 2013 22:58

Item
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)

UMUM
Quantity
10,00
10,00

PLASMINEX 100 MG/ML INJECTION

VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
MUSIN OTTO 120 ML SUSPENSION
PROPANOLOL 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
1,00
1,00
2,00
3,00
1,00
9,00

26 Mei 2013 20:02

Item
CAPTOPRIL 12.5 MG TABLET
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

26 Mei 2013 18:37

Item
CAPTOPRIL 12.5 MG TABLET
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

26 Mei 2013 16:00

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

26 Mei 2013 15:51

Item
KA-EN 1B 500 ML INFUSION
PAMOL 125 MG SUPPOSITORY
SELANG NEBU PEDRIATIC(1484)
REBREATHING MASK ADULT (1102)
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
1,00

INFUS SET JMS

DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
9,00

26 Mei 2013 15:40

Item
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7
LIDOCAIN 2% INJECTION
MAPROLEN 2/0 DS24
STOMACH TUBE 16 THERUMO
FOLLEY CATHETER 16 RUSCH
LEUKOCREPE 4 INC
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
12,00

26 Mei 2013 15:26

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
CAPTOPRIL 12.5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
8,00

26 Mei 2013 15:24

Item
CENDO CARPINE 1% 5 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

26 Mei 2013 15:17

Item

JAKARTA SEHAT
Quantity

KA-EN 1B 500 ML INFUSION

CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
PAMOL 125 MG SUPPOSITORY
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
4,00

26 Mei 2013 14:47

Item
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
ACETYLCYSTEIN 200MG CAPS
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
3,00
2,00
5,00

26 Mei 2013 14:16

Item
KA-EN 1B 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

26 Mei 2013 14:13

Item
IVENA IV CATH 20
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

26 Mei 2013 14:08

Item
IVENA IV CATH 20
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
1,00

SELANG OKSIGEN ADULT

SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
8,00

26 Mei 2013 14:06

Item
IMOVAX RABIES INJECTION
DISP SYRINGE 3 CC
ANBACIM CAPSULE, FILM COATED 500 mg
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00
6,00
3,00

26 Mei 2013 14:05

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

26 Mei 2013 12:30

Item
HYPERIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

26 Mei 2013 12:27

Item
NEW DIATABS TABLET 600 mg
RANITIDINE INF TABLET 150 MG
ORALIT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
3,00

26 Mei 2013 12:23

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

RANITIDINE GENERIK 25 MG/ML INJECTION

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
7,00

26 Mei 2013 12:19

Item
PARACETAMOL 60 ML SYRUP
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

26 Mei 2013 11:25

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

26 Mei 2013 11:20

Item
IVENA IV CATH 20
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

26 Mei 2013 11:02

Item
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

26 Mei 2013 10:38

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

26 Mei 2013 10:37

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

26 Mei 2013 09:39

Item
NEUROSANBE 3 ML INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

26 Mei 2013 09:19

Item
DOMPERIDON SYRUP
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

26 Mei 2013 08:54

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

24 Mei 2013 12:12

Item
SANMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

24 Mei 2013 11:24

JAKARTA SEHAT

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
4,00

23 Mei 2013 23:34

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
7,00

23 Mei 2013 23:01

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
CEFEPIME 1 GR INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
2,00
5,00

23 Mei 2013 22:58

Item
PARACETAMOL 60 ML SYRUP
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

23 Mei 2013 22:34

Item
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

TOTAL

23 Mei 2013 22:29

Item
OMEPRAZOLE 40 MG INJECTION
APIDRA 3 ML SOLUTION, INJECTION 100 IU/1 ML
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 22:27

Item
INFUS SET JMS
IVENA IV CATH 22
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 22:26

Item
RANITIDINE INF TABLET 150 MG
SANMOL INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
10,00
4,00

23 Mei 2013 22:05

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

23 Mei 2013 21:59

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FOTARAM 1 g
DEXTROMETHORPHAN INF TABLET 15 MG
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
2,00
2,00
3,00
1,00
3,00
2,00
3,00

TUSLAH NON RACIKAN

TOTAL

7,00

23 Mei 2013 20:43

Item
INFUS SET JMS
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 18:54

Item
APIDRA 3 ML SOLUTION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 18:54

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

23 Mei 2013 16:46

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

23 Mei 2013 16:30

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 16:14

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN

UMUM
Quantity
3,00
3,00
6,00
3,00

TOTAL

23 Mei 2013 16:07

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
6,00
4,00

23 Mei 2013 15:56

Item
IVENA IV CATH 24
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

23 Mei 2013 15:28

Item
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
INFUS SET JMS
PANSO INJEKSI 1 VIL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

23 Mei 2013 14:21

Item
CEFEPIME 1 GR INJECTION
METRONIDAZOLE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
2,00
5,00

21 Mei 2013 13:27

Item

JAKARTA SEHAT
Quantity

IVENA IV CATH 22
INFUS SET JMS
NON REBREATHING MASK ADULT(1102)
SELANG OKSIGEN ADULT
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
10,00

21 Mei 2013 09:50

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00
5,00
1,00
1,00
7,00

21 Mei 2013 08:43

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

21 Mei 2013 08:38

Item
ASPILETS TABLET, CHEWABLE 80 MG
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
SIMARC-2 FAHRENHEIT 2 MG TABLET
SANMOL INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
3,00
2,00
1,00
1,00
2,00
7,00

21 Mei 2013 08:35

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
3,00
1,00
5,00

21 Mei 2013 08:28

Item
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
ISOKET INJECTION
CAPTOPRIL 12.5 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
1,00
2,00
1,00
6,00

21 Mei 2013 06:58

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DEXAMETHASONE 5 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FLUCONAZOL INFUS 100 ML
SANMOL INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
2,00
1,00
1,00
2,00
1,00
3,00
3,00
9,00

21 Mei 2013 06:40

Item
PARACETAMOL INF TABLET 500 mg
SALBUTAMOL INF TABLET 2 MG
ACETYLCYSTEIN 200MG CAPS
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
10,00
4,00

21 Mei 2013 06:21

Item
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
SELANG NEBUL WITH MASK(1493)
VENTOLIN NEBULE SOLUTION, FOR INHALATION
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00
2,00
6,00

21 Mei 2013 05:32

Item
LOVENOX 0,6 SOLUTION, INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

21 Mei 2013 05:25

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 04:06

Item
WUNDRES F 5x20x0,2 cm
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 02:52

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 02:51

Item
IVENA IV CATH 24

UMUM
Quantity
1,00

DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
4,00

20 Mei 2013 23:37

Item
SELANG OKSIGEN ADULT
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
KETOROLAC 30 MG SOLUTION, INJECTION
PARACETAMOL INF TABLET 500 mg
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF TABLET
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBUL WITH MASK(1493)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
14,00

20 Mei 2013 23:32

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
STOMACH TUBE 16 THERUMO
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 7
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
11,00

20 Mei 2013 22:55

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION

UMUM
Quantity
1,00

KA-EN 1B 500 ML INFUSION

PAMOL 125 MG SUPPOSITORY
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
4,00
4,00

19 Mei 2013 08:04

Item
IVENA IV CATH 22
FUROSEMID INF INJECTION
CEDOCARD 10 ML SOLUTION, INJECTION
AMLODIPIN 5 MG TABLET
INFUS SET JMS
RING AS SANBE 500 ML
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
7,00

18 Mei 2013 22:02

Item
NATRIUM DIKLOFENAK KF TABLET 25 MG
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

18 Mei 2013 21:27

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
NATRIUM DIKLOFENAK KF TABLET 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
3,00
4,00

18 Mei 2013 21:20

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
5,00

18 Mei 2013 21:14

Item
SELANG OKSIGEN ADULT
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

18 Mei 2013 19:52

Item
OMEPRAZOLE GEN 20 MG CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
2,00

18 Mei 2013 19:52

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

18 Mei 2013 17:53

Item
BETAHISTIN NOVELL TABLET 6 MG
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00

18 Mei 2013 17:30

Item
APIDRA 3 ML SOLUTION, INJECTION 100 IU/1 ML
CEFIXIME GENERIK CAPSULE
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
12,00
5,00
3,00

17 Mei 2013 18:30

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
SELANG OKSIGEN ADULT
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

16 Mei 2013 23:06

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
FUROSEMID INF INJECTION
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
1,00
1,00
3,00
8,00

16 Mei 2013 21:32

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FUROSEMID INF INJECTION
CLOPIDOGREL 75 MG TABLET
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
3,00
1,00
3,00
5,00

16 Mei 2013 20:42

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

16 Mei 2013 20:38

UMUM

Item
OMEPRAZOLE GEN 20 MG CAPSULE
CEFIXIME GENERIK CAPSULE
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

Quantity
5,00
20,00
10,00
3,00

16 Mei 2013 20:35

Item
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 20:33

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

16 Mei 2013 19:54

Item
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

16 Mei 2013 19:31

Item
FUROSEMID INF INJECTION
ASPAR-K TABLET, COATED 300 mg
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
1,00
3,00
5,00

16 Mei 2013 18:31

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
3,00

16 Mei 2013 18:18

Item
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

16 Mei 2013 17:40

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
HYDROCORTISONE INF 2.5% 5 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

14 Mei 2013 21:18

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

14 Mei 2013 11:08

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 10:43

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

RANITIDINE GENERIK 25 MG/ML INJECTION

TUSLAH NON RACIKAN
TOTAL

1,00
4,00

14 Mei 2013 10:42

Item
NATRIUM DIKLOFENAK 50 MG TABLET
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

14 Mei 2013 07:53

Item
RING AS SANBE 500 ML
LOVENOX SOLUTION, INJECTION 40 mg
OMEPRAZOLE 40 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
AMLODIPIN 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
PIRACETAM INJ 3 GR/ 15 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
1,00
6,00
3,00
7,00

14 Mei 2013 06:45

Item
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

14 Mei 2013 06:37

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
1,00
3,00

14 Mei 2013 06:19

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN

UMUM
Quantity
10,00
10,00
2,00

TOTAL

14 Mei 2013 06:15

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
SELANG NEBUL WITH MASK(1493)
SELANG OKSIGEN ADULT
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

14 Mei 2013 05:54

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 6.5
STOMACH TUBE 16 THERUMO
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
11,00

14 Mei 2013 05:04

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
INFUS SET JMS
DISP SYRINGE 3 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00
5,00

14 Mei 2013 05:02

UMUM

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
3,00

14 Mei 2013 05:01

Item
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

14 Mei 2013 05:00

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

14 Mei 2013 04:33

Item
SELANG NEBUL WITH MASK(1493)
SELANG OKSIGEN ADULT
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

14 Mei 2013 04:23

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

14 Mei 2013 04:19

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18

JAKARTA SEHAT
Quantity
1,00
1,00

TRANSFUSION SET JMS

TUSLAH NON RACIKAN
TOTAL

1,00
3,00

14 Mei 2013 03:01

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

14 Mei 2013 01:30

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

14 Mei 2013 01:25

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

14 Mei 2013 01:07

Item
KA-EN 1B 500 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
2,00
6,00
1,00
6,00

14 Mei 2013 00:51

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
AMBROXOL INF 30 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
3,00

TOTAL

14 Mei 2013 00:10

Item
RING AS SANBE 500 ML
INFUS SET JMS
ASPILETS TABLET, CHEWABLE 80 MG
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

13 Mei 2013 23:39

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

13 Mei 2013 22:18

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
3,00

12 Mei 2013 09:50

Item
HERBESSER 50 MG/ML INJECTION
DISP SYRINGE 50 CC WITHOUT NED
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
CAPTOPRIL 12.5 MG TABLET
MANITOL OTSU 500 ML INFUSION 20 %WV
GUEDEL AIRWAYS SIZE 8.0
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
SELANG OKSIGEN ADULT
CONDOM CATHETER L
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP

UMUM
Quantity
4,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

ISOSORBIDE DINITRATE INF TABLET

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
CITICHOLIN 2 ML 125 MG/ML INJECTION
AMLODIPIN 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
21,00

12 Mei 2013 09:24

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
BUSCOPAN INJECTION 20 mg/ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
1,00
1,00
1,00
1,00
1,00
7,00

12 Mei 2013 06:53

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 06:45

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 06:31

Item
PANTOPRAZOLE INJECTION
OMEPRAZOLE GEN 20 MG CAPSULE
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
10,00
3,00

12 Mei 2013 06:27

Item

JAKARTA SEHAT
Quantity

CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

12 Mei 2013 06:18

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

12 Mei 2013 06:09

Item
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
4,00

12 Mei 2013 06:01

Item
HERBESSER 50 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

12 Mei 2013 04:53

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SALBUTAMOL INF TABLET 2 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
PULMICORT RESPULES 0.25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
3,00
4,00
3,00
2,00
3,00
2,00
4,00
7,00

12 Mei 2013 04:00

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

12 Mei 2013 03:11

Item
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
12,00

12 Mei 2013 02:59

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

12 Mei 2013 01:25

Item
AMINORAL TABLET
BICNAT CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
1,00
3,00
1,00

12 Mei 2013 01:09

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
3,00

12 Mei 2013 01:05

Item
RING AS SANBE 500 ML
MANITOL OTSU 500 ML INFUSION 20 %WV
RANITIDINE GENERIK 25 MG/ML INJECTION
HERBESSER 50 MG/ML INJECTION
CLONIDINE INF 150 MG TABLET
DISP SYRINGE 5 CC
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00
1,00
3,00
3,00
2,00
7,00

12 Mei 2013 01:03

Item
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
1,00
2,00
6,00

12 Mei 2013 00:59

Item
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
8,00

12 Mei 2013 00:50

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 00:43

Item
CINAM 1.5 GM INJECTION
GENTAMYCIN INF 40 MG/ML INJECTION
PARACETAMOL DROP 15 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
N4 OTSUKA 500 ML INFUSION 50 GM/1 L; 2.25 GM/1 L
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00
1,00
1,00
6,00

12 Mei 2013 00:09

Item
N2 OTSUKA 500 ML INFUSION 27.5 GM; 2.25 GM
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 00:04

Item
IVENA IV CATH 24
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

11 Mei 2013 23:59

Item
PANTOPRAZOLE INJECTION
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00

11 Mei 2013 23:56

Item
OMEPRAZOLE 40 MG INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
2,00

11 Mei 2013 23:49

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
4,00
2,00
2,00
5,00

11 Mei 2013 23:45

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 23:22

Item
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

11 Mei 2013 21:10

Item
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

11 Mei 2013 21:05

Item
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

11 Mei 2013 21:02

Item
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
1,00

INFUS SET JMS

IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

10 Mei 2013 01:04

Item
KA-EN 3B 500 ML INFUSION
PAMOL 125 MG SUPPOSITORY
PARACETAMOL 60 ML SYRUP
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
1,00
1,00
3,00
5,00

9 Mei 2013 23:10

Item
DISP SYRINGE 5 CC
DRAINAGE BAG STERIL
FOLLEY CATHETER 6 RUSCH
STOMACH TUBE 8 JMS
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

9 Mei 2013 22:55

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

9 Mei 2013 21:53

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

9 Mei 2013 21:40

UMUM

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
2,00
2,00

9 Mei 2013 20:21

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

9 Mei 2013 19:53

Item
IVENA IV CATH 20
INFUS SET JMS
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
SELANG OKSIGEN ADULT
BD VACUTAINER
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7.5
XYLOCAINE 2% 10 GM JELLY
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
14,00

9 Mei 2013 18:02

Item
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

9 Mei 2013 17:55

UMUM

Item
SANMOL 60 ML SYRUP
AMOXICILLIN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
2,00

9 Mei 2013 17:47

Item
LIDOCAIN 2% INJECTION
MAPROLEN 4/0 DS19
DISP SYRINGE 1 CC INSULIN
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
1,00
4,00

9 Mei 2013 17:44

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

9 Mei 2013 17:29

Item
PAMOL 125 MG SUPPOSITORY
KA-EN 3B 500 ML INFUSION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

9 Mei 2013 17:23

Item
RING AS SANBE 500 ML
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
URISPAS TABLET, FILM COATED 200 MG
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
3,00
1,00
3,00
1,00
3,00

FUROSEMID INF INJECTION

TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
11,00

9 Mei 2013 17:00

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

9 Mei 2013 16:35

Item
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00

9 Mei 2013 16:11

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

7 Mei 2013 12:16

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC TUBERCULIN
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
9,00

TOTAL

7 Mei 2013 11:12

Item
DISP SYRINGE 10 CC
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

7 Mei 2013 10:00

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

7 Mei 2013 09:54

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

7 Mei 2013 09:49

Item
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

7 Mei 2013 09:28

Item
IVENA IV CATH 20
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 20 CC WIHTOUT NED
DOBUTAMIN GENERIK 50 MG/ML
NON REBREATHING MASK ADULT(1102)
FOLLEY CATHETER 16 RUSCH

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

DISP SYRINGE 10 CC
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
12,00

7 Mei 2013 08:36

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 18
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

7 Mei 2013 07:30

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

7 Mei 2013 07:23

Item
RING AS SANBE 500 ML
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
ATORVASTATIN 20 MG TABLET
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
4,00
2,00
3,00
1,00
2,00
3,00
8,00

7 Mei 2013 07:19

Item
CORDARONE 50 MG/ML INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

TOTAL

7 Mei 2013 07:16

Item
KA-EN 3B 500 ML INFUSION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
VALISANBE INJECTION
DISP SYRINGE 3 CC
PARACETAMOL 60 ML SYRUP
VALISANBE TABLET 2 MG
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00
6,00
1,00
6,00
5,00

7 Mei 2013 06:28

Item
KA-EN 1B 500 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
PAMOL 125 MG SUPPOSITORY
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00
1,00
1,00
6,00

7 Mei 2013 06:14

Item
NON REBREATHING MASK ADULT(1102)
SELANG OKSIGEN ADULT
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

7 Mei 2013 06:14

Item
FUTROLIT INFUSION
ANBACIM INJECTION
PARACETAMOL INF TABLET 500 mg
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
4,00

7 Mei 2013 05:46

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
WINGED NEEDLE NO. 27 JMS
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
4,00

7 Mei 2013 04:39

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
SELANG OKSIGEN ADULT
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CORDARONE 50 MG/ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
10,00

7 Mei 2013 03:37

Item
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
ASAM TRANEKSAMAT 500/5 ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
6,00

7 Mei 2013 03:02

Item
HYPERIL 5 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00

7 Mei 2013 02:59

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

7 Mei 2013 02:37

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
2,00

7 Mei 2013 01:46

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
2,00

7 Mei 2013 01:44

Item
RINGER LACTATE WIDATRA 500 ML
CORDARONE 50 MG/ML INJECTION
FUROSEMID INF INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ATORVASTATIN 20 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
HYPERIL 5 MG TABLET
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
4,00
2,00
4,00
2,00
2,00
1,00
5,00
9,00

7 Mei 2013 01:40

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00

7 Mei 2013 01:03

Item
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

7 Mei 2013 00:49

Item
RING AS SANBE 500 ML
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

7 Mei 2013 00:35

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 00:34

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

7 Mei 2013 00:27

Item
RINGER LACTATE WIDATRA 500 ML
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
PANTOPRAZOLE INJECTION
PROPANOLOL 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
SOLAC SYRUP

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
1,00
1,00
3,00
1,00

FUROSEMID INF INJECTION

TUSLAH NON RACIKAN
TOTAL

1,00
8,00

7 Mei 2013 00:27

Item
IVENA IV CATH 20
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

7 Mei 2013 00:25

Item
HERBESSER 50 MG/ML INJECTION
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

7 Mei 2013 00:25

Item
ISOKET INJECTION
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 10 MG TABLET
FUROSEMID INF INJECTION
ONDANSETRON INF 4 MG INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
1,00
6,00
2,00
1,00
1,00
7,00

7 Mei 2013 00:19

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
3,00
4,00

6 Mei 2013 22:13

Item

JAKARTA SEHAT
Quantity

PYTOGIN S INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
3,00

6 Mei 2013 22:07

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

6 Mei 2013 21:56

Item
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
1,00
5,00
1,00
1,00
10,00
7,00

6 Mei 2013 21:49

Item
METFORMIN HCL 500 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

6 Mei 2013 21:33

Item
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

6 Mei 2013 21:20

Item
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00
4,00

5 Mei 2013 23:05

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
LOVENOX 0,6 SOLUTION, INJECTION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
2,00
1,00
1,00
1,00
8,00

5 Mei 2013 22:46

Item
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

5 Mei 2013 22:19

Item
PANTOPRAZOLE INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
1,00
6,00

5 Mei 2013 21:57

Item
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

5 Mei 2013 21:20

Item
PIRACETAM INJ 3 GR/ 15 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

5 Mei 2013 21:18

Item
FOLLEY CATHETER 8 RUSCH
DRAINAGE BAG STERIL
STOMACH TUBE 8 JMS
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NON REBREATHING MASK ADULT(1102)
HANDSCOON GAMEX 7
IVENA IV CATH 24
KA-EN 1B 500 ML INFUSION
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
5,00
1,00
1,00
11,00

5 Mei 2013 21:12

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00

5 Mei 2013 21:04

Item
PYTOGIN S INJECTION

JAMPERSAL
Quantity
2,00

TUSLAH NON RACIKAN

TOTAL

1,00

5 Mei 2013 20:53

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
5,00
2,00

5 Mei 2013 20:52

Item
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

5 Mei 2013 20:45

Item
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

5 Mei 2013 20:30

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
PYTOGIN S INJECTION
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

5 Mei 2013 20:24

Item
PYTOGIN S INJECTION
DISP SYRINGE 3 CC

JAMPERSAL
Quantity
1,00
2,00

PLAIN 2/0 CAT GUT

LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
4,00

5 Mei 2013 19:58

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
2,00

5 Mei 2013 19:32

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

5 Mei 2013 19:20

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

5 Mei 2013 18:06

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

5 Mei 2013 17:56

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

5 Mei 2013 17:22

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

3 Mei 2013 21:08

Item
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
3,00

3 Mei 2013 02:15

Item
INFUS SET JMS
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
SELANG OKSIGEN ADULT
RINGER LACTATE WIDATRA 500 ML
KA-EN 1B 500 ML INFUSION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

3 Mei 2013 01:55

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20

UMUM
Quantity
1,00
1,00
3,00

THREE WAY STOPCOCK

DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
STOMACH TUBE 16 THERUMO
HANDSCOON GAMEX 6.5
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH
NON REBREATHING MASK ADULT(1102)
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

1,00
5,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
15,00

2 Mei 2013 21:09

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

2 Mei 2013 21:08

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

2 Mei 2013 20:55

Item
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

2 Mei 2013 20:26

Item
INFUS SET JMS
IVENA IV CATH 20

JAKARTA SEHAT
Quantity
1,00
1,00

RING AS SANBE 500 ML

SELANG OKSIGEN ADULT
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
DOBUJECT 50 MG/ML INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
13,00

2 Mei 2013 20:05

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 20:01

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 18:59

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 16:45

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
TRANSFUSION SET JMS

UMUM
Quantity
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

2 Mei 2013 16:00

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
TRANSFUSION SET JMS
IVENA IV CATH 20
SELANG OKSIGEN ADULT
MAPROLEN 3/0 DS24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00
1,00
1,00
1,00
1,00
7,00

2 Mei 2013 15:51

Item
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
NEUROSANBE 3 ML INJECTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
20,00
4,00

2 Mei 2013 15:50

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
7,00

2 Mei 2013 13:13

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo
Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
8415
8415
UNT
14988
14988
UNT
14988
14988
BOT
16417
16417
UNT
2500
2500
66404
66404

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
16830
16830
UNT
29976
29976
BOT
32834
32834
UNT
26611
26611
UNT
11464
11464
UNT
1540
1540
UNT
1275
1275
UNT
16088
16088
VIL
5184
5184
UNT
4500
4500
146302
146302

0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
170544
170544
AMP
22053
22053
BOT
57964
57964
AMP
5220
5220
AMP
20790
20790
UNT
2500
2500
279071
279071

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1350
1350
BOT
57964
57964
TAB
1566
1566
TAB
768
768
UNT
2000
2000
63648
63648

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
7392
7392
TAB
200
200
AMP
126741
126741
BOT
95040
95040
UNT
2000
2000
231373
231373

0
0
0
0
0
0

Apotik Panel 2
Subtotal Pasien
Penjamin
AMP
93500
93500
UNT
500
500
94000
94000

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
688
688
TAB
738
738
TAB
354
354
AMP
12305
12305
UNT
2000
2000
16085
16085

0
0
0
0
0
0

Apotik Panel 2
Subtotal Pasien
Penjamin
TAB
900
900
UNT
500
500
1400
1400

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1275
1275
AMP
15397
15397
UNT
1000
1000
17672
17672

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
29976
29976

0
0

UNT
VIL
UNT

26611
13728
2000
88732

26611
13728
2000
88732

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
5782
5782
UNT
2550
2550
TAB
741
741
UNT
1500
1500
10573
10573

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
152160
152160
UNT
2550
2550
TAB
827
827
TAB
1002
1002
TAB
39600
39600
UNT
2500
2500
198639
198639

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
8820
8820
AMP
84494
84494
UNT
5100
5100
AMP
47520
47520
PKG
5020
5020
UNT
2500
2500
153454
153454

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
7992
7992
UNT
450
450
8442
8442

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988

UNT
BOT
UNT

16335
9096
1500
41919

16335
9096
1500
41919

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
16335
16335
UNT
14988
14988
UNT
1500
1500
41919
41919

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BAG
18793
18793
UNT
8415
8415
UNT
14988
14988
UNT
1275
1275
AMP
2891
2891
TAB
126
126
UNT
3000
3000
49488
49488

0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal Pasien
Penjamin
AMP
17710
17710
UNT
500
500
18210
18210

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
TAB
827
827
TAB
1002
1002
TAB
39600
39600
UNT
1275
1275
UNT
3575
3575
UNT
5809
5809
UNT
29976
29976
UNT
8415
8415
BOT
16417
16417
UNT
26611
26611
UNT
5000
5000

0
0
0
0
0
0
0
0
0
0
0

138507

138507

Depo IGD
Subtotal Pasien
Penjamin
TAB
2470
2470
CAP
53880
53880
TAB
4500
4500
UNT
1500
1500
62350
62350

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1540
1540
UNT
500
500
2040
2040

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
PKG
2285
2285
VIL
131319
131319
UNT
6160
6160
UNT
1500
1500
141264
141264

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
BOT
16417
16417
TAB
116
116
TAB
39600
39600
TAB
1002
1002
TAB
86
86
UNT
3500
3500
84124
84124

0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
26611
26611
TAB
86
86
UNT
14988
14988
UNT
8415
8415

0
0
0
0

BOT
AMP
UNT
TAB
UNT
UNT
BOT
UNT
UNT
UNT

16417
2461
1540
116
18343
5809
2640
1997
12012
6500
117935

16417
2461
1540
116
18343
5809
2640
1997
12012
6500
117935

0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
UNT
1500
1500
41320
41320

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
UNT
23980
23980
BOT
9096
9096
UNT
1500
1500
42991
42991

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
2760
2760
BOT
27060
27060
UNT
1000
1000
30820
30820

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
792
792
TAB
116
116
TAB
1188
1188
TAB
281
281
VIL
161383
161383
BOT
51216
51216

0
0
0
0
0
0

UNT
PKG
UNT

2550
5020
4000
226546

2550
5020
4000
226546

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
56100
56100
UNT
500
500
56600
56600

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
500
500
9596
9596

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
85272
85272
PKG
5020
5020
TAB
1260
1260
CAP
32328
32328
UNT
2000
2000
125880
125880

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
16335
16335
UNT
14988
14988
UNT
1000
1000
32323
32323

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1962
1962
TAB
2610
2610
TAB
1350
1350
UNT
1500
1500
7422
7422

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
15397
15397
AMP
2891
2891
UNT
2550
2550
UNT
5500
5500
UNT
2000
2000
28338
28338

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
29976
29976
UNT
8415
8415
BOT
51216
51216
VIL
161383
161383
UNT
3300
3300
UNT
1540
1540
UNT
2550
2550
UNT
3500
3500
261880
261880

0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
UNT
18343
18343
BOT
2640
2640
UNT
1997
1997
UNT
12012
12012
UNT
5809
5809
AMP
1740
1740
AMP
6930
6930
UNT
3825
3825
UNT
1540
1540
UNT
6000
6000
100656
100656

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
TAB
86
86

0
0
0
0

TAB
UNT
UNT

827
26611
3000
70344

827
26611
3000
70344

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
BOT
18192
18192
UNT
16088
16088
AMP
6930
6930
AMP
1740
1740
UNT
3080
3080
UNT
1275
1275
VIL
6274
6274
UNT
1757
1757
UNT
5000
5000
83739
83739

0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
12548
12548
UNT
1540
1540
UNT
1000
1000
15088
15088

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
18343
18343
UNT
5809
5809
UNT
1997
1997
BOT
2640
2640
TUB
56262
56262
UNT
12012
12012
BAG
9633
9633
UNT
3500
3500
110196
110196

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
UNT
12750
12750
PKG
5020
5020

0
0

AMP
AMP
VIL
BOT
TAB
TAB
BOT
UNT

34317
5220
85272
47685
176
348
65340
4500
260628

34317
5220
85272
47685
176
348
65340
4500
260628

0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
TAB
86
86
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
UNT
26611
26611
UNT
2500
2500
69017
69017

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
860
860
TAB
1980
1980
UNT
1000
1000
3840
3840

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
172
172
TAB
501
501
UNT
1000
1000
1673
1673

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BAG
18793
18793
SUP
15824
15824
PKG
43313
43313
UNT
62563
62563
UNT
1540
1540
UNT
1275
1275
UNT
11990
11990

0
0
0
0
0
0
0

UNT
UNT
UNT

8415
3300
4500
171513

8415
3300
4500
171513

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1275
1275
UNT
24024
24024
AMP
2764
2764
PKG
56788
56788
UNT
16088
16088
UNT
18343
18343
UNT
68112
68112
TUB
56262
56262
UNT
1997
1997
BOT
5881
5881
BOT
2640
2640
UNT
5809
5809
UNT
6000
6000
265983
265983

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
26611
26611
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
TAB
172
172
TAB
116
116
TAB
501
501
TAB
9900
9900
UNT
4000
4000
81120
81120

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
20460
20460
UNT
500
500
20960
20960

0
0
0

Depo IGD
Subtotal Pasien

Penjamin

BAG
VIL
SUP
BOT
UNT

18793
6274
15824
2760
2000
45651

18793
6274
15824
2760
2000
45651

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
32834
32834
AMP
5842
5842
VIL
30096
30096
TAB
3960
3960
TAB
1654
1654
UNT
2500
2500
76886
76886

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BAG
18793
18793
UNT
8415
8415
UNT
11990
11990
UNT
1500
1500
40698
40698

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
BAG
9633
9633
UNT
2550
2550
AMP
7375
7375
AMP
2940
2940
UNT
2500
2500
39986
39986

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
29976
29976
UNT
8415
8415
BOT
16417
16417
AMP
2461
2461
VIL
10032
10032

0
0
0
0
0
0

UNT
PKG
UNT

26611
43313
4000
156213

26611
43313
4000
156213

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
262198
262198
UNT
1275
1275
TAB
115992
115992
UNT
1500
1500
380965
380965

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
8415
8415
UNT
23980
23980
UNT
1500
1500
42991
42991

0
0
0
0
0

Apotik Panel 2
Subtotal Pasien
Penjamin
TAB
47575
47575
UNT
500
500
48075
48075

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
4900
4900
TAB
2370
2370
PKG
2285
2285
UNT
1500
1500
11055
11055

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
8415
8415
UNT
14988
14988
VIL
2592
2592
UNT
1997
1997

0
0
0
0
0

AMP
UNT
UNT

2891
1275
3500
44754

2891
1275
3500
44754

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
2760
2760
BOT
9841
9841
UNT
1000
1000
13601
13601

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
UNT
1000
1000
24403
24403

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
BOT
9096
9096
UNT
1500
1500
33999
33999

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
4645
4645
UNT
1275
1275
UNT
1000
1000
6920
6920

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
5881
5881
UNT
24024
24024
UNT
1000
1000
30905
30905

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
18343
18343
UNT
5809
5809
UNT
12012
12012
TUB
56262
56262
UNT
1997
1997
BOT
2640
2640
AMP
15397
15397
UNT
1275
1275
UNT
4000
4000
117735
117735

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
4645
4645
BOT
9096
9096
UNT
1275
1275
UNT
1500
1500
16516
16516

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
16394
16394
BOT
3560
3560
UNT
1000
1000
20954
20954

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
2891
2891
UNT
1275
1275
UNT
1000
1000
5166
5166

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
9532.8
9532.8
UNT
450
450
9982.8
9982.8

0
0
0

Trolley IGD

Subtotal
UNT
TUB
UNT
BOT
UNT

Pasien
Penjamin
18343
18343
56262
56262
1997
1997
2640
2640
2000
2000
81242
81242

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
UNT
14988
14988
BOT
16417
16417
UNT
26611
26611
AMP
11344
11344
UNT
2550
2550
UNT
1997
1997
UNT
3500
3500
85822
85822

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
57964
57964
VIL
85272
85272
BOT
32834
32834
VIL
154440
154440
UNT
3080
3080
UNT
2500
2500
336090
336090

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
2760
2760
BAG
18793
18793
UNT
1000
1000
22553
22553

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1275
1275
UNT
14988
14988
UNT
8415
8415
UNT
1500
1500

0
0
0
0

26178

26178

Depo IGD
Subtotal Pasien
Penjamin
VIL
85272
85272
CTG
170076
170076
TAB
1983
1983
UNT
1500
1500
258831
258831

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
UNT
14988
14988
BOT
16417
16417
UNT
1500
1500
41320
41320

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1422
1422
BOT
56100
56100
AMP
2891
2891
TAB
1260
1260
UNT
2000
2000
63673
63673

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
630
630
UNT
500
500
1130
1130

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
11762
11762
BOT
102432
102432
AMP
20790
20790
VIL
110629
110629
TAB
429
429
UNT
6600
6600
UNT
4620
4620

0
0
0
0
0
0
0

UNT

3500
260762

3500
260762

0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
UNT
11990
11990
BOT
9096
9096
UNT
1500
1500
31001
31001

0
0
0
0
0

Apotik Panel
Subtotal Pasien
Penjamin
CTG
183801
183801
UNT
500
500
184301
184301

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
UNT
9140
9140
UNT
500
500
9640
9640

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
22770
22770
UNT
500
500
23270
23270

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
85272
85272
UNT
500
500
85772
85772

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
20790
20790
AMP
5220
5220
UNT
7650
7650
UNT
1500
1500

0
0
0
0

35160

35160

Depo IGD
Subtotal Pasien
Penjamin
TAB
2481
2481
TAB
4353
4353
TAB
1503
1503
TAB
3996
3996
UNT
2000
2000
14333
14333

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
11990
11990
UNT
8415
8415
BOT
9096
9096
SUP
7912
7912
UNT
2000
2000
39413
39413

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
7351
7351
UNT
1997
1997
UNT
1275
1275
UNT
8415
8415
VIL
142560
142560
UNT
2500
2500
164098
164098

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
154440
154440
BOT
33984
33984
VIL
85272
85272
AMP
22053
22053
UNT
3994
3994
UNT
2500
2500
302243
302243

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien

Penjamin

UNT
UNT
UNT
UNT
TAB
TAB
AMP
UNT
UNT
AMP
UNT

74940
8415
62563
26611
9900
501
2461
2550
1997
75240
5000
270178

74940
8415
62563
26611
9900
501
2461
2550
1997
75240
5000
270178

0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
BOT
16417
16417
UNT
29976
29976
TAB
1503
1503
TAB
49500
49500
TAB
116
116
UNT
26611
26611
UNT
3500
3500
136038
136038

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
258
258
UNT
500
500
758
758

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
501
501
VIL
5184
5184
TAB
258
258
AMP
4922
4922
TAB
1544
1544
BOT
56100
56100
VIL
224400
224400
UNT
3500
3500
296409
296409

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
12600
12600
TAB
258
258
TAB
1078
1078
TAB
348
348
UNT
1275
1275
UNT
2500
2500
18059
18059

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
18554
18554
AMP
75240
75240
TAB
258
258
TAB
9900
9900
TAB
1078
1078
BOT
56100
56100
UNT
3000
3000
164130
164130

0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
211200
211200
AMP
11760
11760
AMP
5782
5782
BOT
115500
115500
BOT
56100
56100
BOT
11762
11762
BOT
63253
63253
UNT
3825
3825
UNT
4620
4620
UNT
4500
4500
488302
488302

0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1260
1260
TAB
1000
1000
TAB
13200
13200
CAP
26940
26940
UNT
2000
2000
44400
44400

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
29976
29976
UNT
8415
8415
BOT
16417
16417
PKG
41388
41388
VIL
10032
10032
SUP
15824
15824
UNT
3000
3000
125052
125052

0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
226738
226738
BOT
32834
32834
UNT
1000
1000
260572
260572

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
14988
14988
UNT
16335
16335
UNT
1500
1500
41919
41919

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
UNT
166320
166320
UNT
500
500
166820
166820

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
56100
56100
UNT
500
500
56600
56600

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
11990
11990

UNT
AMP
SUP
UNT

1275
2891
15824
2000
33980

1275
2891
15824
2000
33980

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
26611
26611
UNT
14988
14988
BOT
16417
16417
UNT
8415
8415
AMP
15397
15397
TAB
126
126
TAB
86
86
TAB
122
122
UNT
3080
3080
VIL
11385
11385
BAG
9633
9633
VIL
13416
13416
PKG
41388
41388
UNT
1275
1275
UNT
7000
7000
169339
169339

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
BOT
16417
16417
UNT
3080
3080
UNT
16088
16088
UNT
18342
18342
UNT
5809
5809
UNT
1997
1997
BOT
2640
2640
UNT
12012
12012
UNT
26611
26611
UNT
5500
5500
131899
131899

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
6274
6274

BAG
SUP
VIL
UNT

18793
15824
40128
2000
83019

18793
15824
40128
2000
83019

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
AMP
2461
2461
AMP
68429
68429
TAB
827
827
UNT
8415
8415
BOT
32834
32834
AMP
75240
75240
UNT
3500
3500
206694
206694

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
2020
2020
TAB
2370
2370
UNT
1000
1000
5390
5390

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
827
827
TAB
2902
2902
TAB
344
344
TAB
606
606
UNT
2000
2000
6679
6679

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
15397
15397
UNT
2550
2550
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
UNT
2500
2500
60267
60267

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
26611
26611
PKG
41388
41388
VIL
26832
26832
VIL
60472
60472
UNT
1275
1275
UNT
2500
2500
159078
159078

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
2700
2700
BOT
57964
57964
UNT
1000
1000
61664
61664

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BAG
9633
9633
UNT
1540
1540
UNT
8415
8415
UNT
14988
14988
UNT
2000
2000
36576
36576

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1998
1998
UNT
53900
53900
UNT
1000
1000
56898
56898

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
CTG
170076
170076
CAP
32328
32328
UNT
9140
9140
UNT
1500
1500
213044
213044

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
32834
32834
UNT
8415
8415
UNT
14988
14988
UNT
5809
5809
TUB
56262
56262
UNT
26611
26611
UNT
1275
1275
UNT
3500
3500
149694
149694

0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
26611
26611
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
AMP
6666
6666
TAB
102
102
TAB
501
501
UNT
3825
3825
UNT
4000
4000
81525
81525

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
516
516
TAB
501
501
AMP
6666
6666
TAB
9900
9900
UNT
3825
3825
UNT
2500
2500
23908
23908

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
2250
2250
UNT
500
500
2750
2750

0
0
0

Depo IGD

Subtotal
TAB
CAP
TAB
UNT

Pasien
Penjamin
2250
2250
53880
53880
1260
1260
1500
1500
58890
58890

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
UNT
1540
1540
UNT
1500
1500
26443
26443

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
VIL
72496
72496
UNT
1540
1540
BAG
9633
9633
UNT
3000
3000
126489
126489

0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
72496
72496
BAG
9633
9633
UNT
1000
1000
83129
83129

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
13332
13332
TAB
7392
7392
TAB
306
306
TAB
501
501
UNT
3825
3825
UNT
2500
2500
27856
27856

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
2891
2891
AMP
5672
5672
UNT
2550
2550
UNT
1500
1500
12613
12613

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
BOT
16417
16417
UNT
8415
8415
UNT
1500
1500
41320
41320

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
9841
9841
TUB
3214
3214
UNT
1000
1000
14055
14055

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
6930
6930
AMP
1740
1740
UNT
1000
1000
9670
9670

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
TAB
539
539
UNT
500
500
1039
1039

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1540
1540
UNT
1275
1275
AMP
11344
11344

0
0
0

AMP
UNT

2891
2000
19050

2891
2000
19050

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
2610
2610
TAB
3270
3270
UNT
1000
1000
6880
6880

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
32834
32834
VIL
152160
152160
VIL
85272
85272
VIL
13414
13414
TAB
1458
1458
TAB
516
516
AMP
44856
44856
UNT
3500
3500
334010
334010

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
UNT
5809
5809
UNT
500
500
6309
6309

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
BOT
27288
27288
UNT
8415
8415
UNT
1500
1500
52191
52191

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1260
1260
TAB
4500
4500
UNT
1000
1000

0
0
0

6760

6760

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
BOT
16417
16417
UNT
14988
14988
PKG
41388
41388
UNT
26611
26611
VIL
13416
13416
VIL
10032
10032
UNT
1540
1540
VIL
60472
60472
UNT
4500
4500
197779
197779

0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
26611
26611
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
UNT
18342
18342
UNT
11618
11618
UNT
1997
1997
BOT
2640
2640
UNT
24024
24024
UNT
16088
16088
UNT
1275
1275
UNT
5500
5500
147915
147915

0
0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
26611
26611
BOT
16417
16417
UNT
8415
8415
UNT
1275
1275
UNT
59952
59952
UNT
2500
2500
115170
115170

0
0
0
0
0
0
0

Trolley IGD

Subtotal
BOT
UNT
UNT
UNT

Pasien
Penjamin
16417
16417
14988
14988
8415
8415
1500
1500
41320
41320

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
7375
7375
UNT
1275
1275
UNT
1000
1000
9650
9650

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
14988
14988
UNT
8415
8415
UNT
1500
1500
41320
41320

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
PKG
41388
41388
UNT
26611
26611
VIL
10032
10032
UNT
1500
1500
79531
79531

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
14988
14988
UNT
16335
16335
UNT
1500
1500
41919
41919

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
14988
14988

0
0

UNT
UNT

16335
1500
41919

16335
1500
41919

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
15397
15397
UNT
1275
1275
UNT
1000
1000
17672
17672

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
CAP
11000
11000
UNT
500
500
11500
11500

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
8415
8415
UNT
14988
14988
UNT
1500
1500
33999
33999

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BAG
37586
37586
BOT
9096
9096
VIL
13414
13414
AMP
5782
5782
UNT
7650
7650
BOT
2760
2760
UNT
3000
3000
79288
79288

0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
20064
20064
VIL
60472
60472
TAB
501
501
UNT
1500
1500

0
0
0
0

82537

82537

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
8415
8415
TAB
501
501
UNT
14988
14988
UNT
2000
2000
42321
42321

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
SUP
7912
7912
UNT
500
500
8412
8412

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
15397
15397
UNT
2550
2550
AMP
7375
7375
UNT
1500
1500
26822
26822

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
1354320 1354320
UNT
12610
12610
UNT
20213
20213
UNT
26950
26950
TAB
172
172
BAG
78509
78509
UNT
9625
9625
BOT
16417
16417
UNT
14988
14988
UNT
8415
8415
UNT
26611
26611
UNT
3575
3575
UNT
5809
5809
TUB
56262
56262
UNT
16088
16088
UNT
22688
22688

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

TAB
UNT
UNT
AMP
TAB
UNT

102
1275
1540
17820
1458
10500
1705947

102
1275
1540
17820
1458
10500
1705947

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
15397
15397
UNT
3825
3825
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
AMP
7375
7375
AMP
23136
23136
UNT
3500
3500
93053
93053

0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1275
1275
UNT
500
500
1775
1775

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
59400
59400
UNT
500
500
59900
59900

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
72496
72496
TAB
2250
2250
TAB
860
860
UNT
1500
1500
77106
77106

0
0
0
0
0

Depo IGD
Subtotal Pasien

Penjamin

BOT
UNT

9841
500
10341

9841
500
10341

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
9841
9841
UNT
500
500
10341
10341

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
44964
44964
UNT
16500
16500
UNT
8415
8415
BOT
9096
9096
UNT
2000
2000
80975
80975

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
677160
677160
UNT
500
500
677660
677660

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
181416
181416
VIL
40128
40128
TAB
300
300
VIL
13414
13414
UNT
3825
3825
UNT
3080
3080
AMP
67932
67932
UNT
3500
3500
313595
313595

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
12548
12548
UNT
500
500
13048
13048

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
BOT
16417
16417
UNT
26611
26611
VIL
13416
13416
AMP
2940
2940
UNT
1275
1275
VIL
60472
60472
UNT
3080
3080
VIL
13414
13414
UNT
3300
3300
BAG
9633
9633
UNT
6000
6000
179961
179961

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
2891
2891
UNT
1275
1275
UNT
1000
1000
5166
5166

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
6534
6534
CAP
900
900
UNT
3500
3500
UNT
1050
1050
UNT
500
500
12484
12484

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BAG
19266
19266
VIL
161383
161383
BOT
118800
118800
UNT
1500
1500
300949
300949

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
32834
32834
BAG
78509
78509
AMP
5782
5782
AMP
338580
338580
TAB
738
738
UNT
4620
4620
AMP
35640
35640
UNT
3500
3500
500203
500203

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1451
1451
TAB
306
306
TAB
501
501
TAB
9900
9900
VIL
226738
226738
BOT
32834
32834
UNT
3000
3000
274730
274730

0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
TAB
1458
1458
TAB
102
102
TAB
9900
9900
TAB
501
501
UNT
8415
8415
BOT
16417
16417
UNT
14988
14988
TAB
172
172
UNT
4000
4000
55953
55953

0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
16360
16360
UNT
15013
15013
UNT
1500
1500
41969
41969

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
131319
131319
AMP
8870
8870
BOT
6171
6171
UNT
4620
4620
UNT
1275
1275
BAG
11709
11709
UNT
3000
3000
166964
166964

0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BAG
13002
13002
UNT
8415
8415
UNT
11990
11990
UNT
1500
1500
34907
34907

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
11990
11990
UNT
8415
8415
BOT
9096
9096
UNT
1500
1500
31001
31001

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
72496
72496
TAB
1350
1350
UNT
1000
1000
74846
74846

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
85272
85272
TAB
504
504
UNT
1000
1000
86776
86776

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
8415
8415
UNT
47960
47960
UNT
33000
33000
SUP
15824
15824
UNT
2500
2500
116795
116795

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1275
1275
UNT
500
500
1775
1775

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
16335
16335
BOT
9096
9096
UNT
14988
14988
UNT
1500
1500
41919
41919

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BAG
18793
18793
UNT
11990
11990
UNT
8415
8415
UNT
1500
1500
40698
40698

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
5672
5672
UNT
1275
1275
UNT
1000
1000
7947
7947

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417

UNT
UNT
UNT

8415
14988
1500
41320

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BAG
37586
37586
SUP
23736
23736
BOT
2760
2760
VIL
2592
2592
PKG
13167
13167
UNT
2500
2500
82341
82341

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1540
1540
UNT
5809
5809
UNT
139563
139563
UNT
17160
17160
TUB
56262
56262
UNT
2500
2500
222834
222834

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
BOT
16417
16417
UNT
1275
1275
AMP
2891
2891
UNT
2500
2500
46486
46486

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
CTG
180048
180048
UNT
500
500
180548
180548

0
0
0

Depo IGD

8415
14988
1500
41320

Subtotal
AMP
UNT
UNT

Pasien
Penjamin
5782
5782
2550
2550
1000
1000
9332
9332

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
BOT
16417
16417
AMP
2222
2222
UNT
1275
1275
UNT
2500
2500
45817
45817

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
BOT
16417
16417
AMP
2891
2891
AMP
15397
15397
UNT
3825
3825
UNT
26611
26611
UNT
1898
1898
UNT
5809
5809
UNT
12012
12012
TUB
56262
56262
AMP
1740
1740
AMP
6930
6930
UNT
1540
1540
UNT
7000
7000
181735
181735

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
2940
2940
UNT
1275
1275
UNT
1000
1000
5215
5215

0
0
0
0

Depo IGD

Subtotal
BOT
BOT
UNT

Pasien
Penjamin
10592
10592
4262
4262
1000
1000
15854
15854

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
1382
1382
UNT
66198
66198
UNT
6600
6600
UNT
12012
12012
UNT
2000
2000
88192
88192

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
23980
23980
UNT
500
500
24480
24480

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
SUP
7912
7912
BAG
18793
18793
VIL
2592
2592
UNT
1997
1997
UNT
8415
8415
UNT
11990
11990
UNT
3000
3000
54699
54699

0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
VIL
2592
2592
AMP
20790
20790
AMP
5220
5220
TAB
16632
16632
VIL
112200
112200
UNT
3825
3825
UNT
3300
3300
UNT
4620
4620

0
0
0
0
0
0
0
0
0

AMP
UNT
UNT

2222
16335
5500
209653

2222
16335
5500
209653

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
VIL
2592
2592
UNT
1997
1997
UNT
2500
2500
46909
46909

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
858
858
UNT
500
500
1358
1358

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
AMP
2891
2891
UNT
1275
1275
UNT
2500
2500
46486
46486

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
VIL
13414
13414
UNT
1757
1757
UNT
16088
16088
UNT
22688
22688
TUB
56262
56262
UNT
1997
1997
UNT
4500
4500

0
0
0
0
0
0
0
0
0
0

156526

156526

Trolley IGD
Subtotal Pasien
Penjamin
UNT
3994
3994
UNT
5809
5809
UNT
12012
12012
UNT
18343
18343
TUB
56262
56262
BOT
2640
2640
UNT
1540
1540
UNT
3500
3500
104100
104100

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
2250
2250
UNT
500
500
2750
2750

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
224400
224400
UNT
500
500
224900
224900

0
0
0

Emergency Anggrek
Subtotal Pasien
Penjamin
UNT
3994
3994
BAG
9633
9633
UNT
3300
3300
UNT
1500
1500
18427
18427

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
26950
26950
UNT
5732
5732
AMP
62370
62370
UNT
62563
62563
UNT
18343
18343

0
0
0
0
0
0

UNT
UNT
TUB
UNT
AMP
UNT
UNT

1997
5809
56262
12012
2222
1275
6000
276523

1997
5809
56262
12012
2222
1275
6000
276523

0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
8415
8415
UNT
14988
14988
UNT
16335
16335
UNT
1898
1898
UNT
2500
2500
53232
53232

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
TAB
126
126
UNT
500
500
626
626

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
49251
49251
TAB
1002
1002
TAB
39600
39600
VIL
453476
453476
TAB
306
306
TAB
7854
7854
TAB
8976
8976
UNT
3825
3825
UNT
4000
4000
568290
568290

0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
35000
35000
VIL
226738
226738
UNT
1000
1000

0
0
0

262738

262738

Depo IGD
Subtotal Pasien
Penjamin
BAG
37586
37586
VIL
2592
2592
AMP
12080
12080
UNT
1275
1275
BOT
2760
2760
TAB
846
846
UNT
3500
3500
UNT
300
300
UNT
2500
2500
63439
63439

0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BAG
37586
37586
BOT
9096
9096
UNT
8415
8415
UNT
35970
35970
SUP
7912
7912
UNT
26611
26611
UNT
3000
3000
128590
128590

0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
62563
62563
UNT
26611
26611
UNT
14988
14988
UNT
8415
8415
UNT
2000
2000
114577
114577

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
51216
51216
AMP
70438
70438
TAB
378
378
TAB
300
300
UNT
2000
2000
124332
124332

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
2891
2891
AMP
15397
15397
UNT
10560
10560
UNT
3080
3080
UNT
2000
2000
33928
33928

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
BOT
16417
16417
UNT
14988
14988
UNT
26611
26611
TAB
19800
19800
TAB
1002
1002
AMP
35000
35000
UNT
5732
5732
UNT
26950
26950
UNT
20213
20213
UNT
5000
5000
180128
180128

0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
BOT
16417
16417
UNT
8415
8415
AMP
6930
6930
AMP
35640
35640
UNT
3080
3080
UNT
3000
3000
88470
88470

0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
7854
7854
AMP
20790
20790
AMP
53460
53460
UNT
1500
1500
83604
83604

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
16335
16335
UNT
14988
14988
UNT
1500
1500
41919
41919

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1260
1260
TAB
2250
2250
UNT
1000
1000
4510
4510

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
13414
13414
TAB
378
378
UNT
1000
1000
14792
14792

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
AMP
70000
70000
AMP
8888
8888
TAB
1002
1002
TAB
39600
39600
TAB
8976
8976
VIL
13414
13414
TAB
7854
7854
UNT
6375
6375
UNT
4500
4500
169705
169705

0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
SUP
31648
31648
UNT
500
500
32148
32148

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
UNT
8415
8415
BOT
16417
16417
BAG
9633
9633
UNT
1997
1997
UNT
2500
2500
53950
53950

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
TAB
7854
7854
TAB
501
501
TAB
9900
9900
AMP
4645
4645
UNT
2500
2500
41817
41817

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
TAB
102
102
UNT
500
500
602
602

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
72496
72496
UNT
500
500
72996
72996

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
18192
18192
AMP
5220
5220
AMP
20790
20790
VIL
72496
72496
TAB
88
88
TAB
306
306
BOT
65340
65340

0
0
0
0
0
0
0

AMP
UNT

2222
4000
188654

2222
4000
188654

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
BOT
9096
9096
UNT
8415
8415
UNT
1500
1500
33999
33999

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
338580
338580
UNT
22688
22688
UNT
1000
1000
362268
362268

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
75240
75240
TAB
516
516
TAB
1458
1458
AMP
13332
13332
AMP
14702
14702
VIL
72496
72496
BOT
16417
16417
UNT
3500
3500
197661
197661

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
32834
32834
VIL
13414
13414
VIL
72496
72496
TAB
378
378
UNT
2000
2000
121122
121122

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien

Penjamin

AMP
UNT
BOT
UNT

5397
2550
16417
1500
25864

5397
2550
16417
1500
25864

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
8415
8415
UNT
14988
14988
AMP
2891
2891
UNT
1275
1275
UNT
2500
2500
39165
39165

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
46191
46191
AMP
5782
5782
VIL
6707
6707
UNT
6375
6375
UNT
1997
1997
BOT
16417
16417
PKG
5020
5020
UNT
3500
3500
91989
91989

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1980
1980
TAB
2250
2250
UNT
1000
1000
5230
5230

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1275
1275
AMP
2891
2891
UNT
3300
3300
UNT
1500
1500
8966
8966

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
BOT
32834
32834
AMP
5782
5782
UNT
2550
2550
TAB
378
378
UNT
2000
2000
43544
43544

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1002
1002
TAB
19800
19800
TAB
2902
2902
AMP
5782
5782
UNT
2550
2550
VIL
211200
211200
VIL
226738
226738
VIL
72496
72496
UNT
4000
4000
546470
546470

0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1275
1275
UNT
1997
1997
BAG
9633
9633
AMP
2891
2891
UNT
6600
6600
UNT
2500
2500
24896
24896

0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
72496
72496
TAB
501
501
TAB
9900
9900
TAB
306
306
VIL
211200
211200
UNT
1997
1997
UNT
3000
3000
299400
299400

0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
UNT
2000
2000
56808
56808

0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
29904
29904
UNT
500
500
30404
30404

0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
51838
51838
UNT
5809
5809
UNT
17160
17160
TUB
56262
56262
UNT
1275
1275
UNT
4620
4620
UNT
62563
62563
UNT
12012
12012
UNT
59950
59950
BAG
18793
18793
UNT
8415
8415
UNT
5500
5500
304197
304197

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
5220
5220
AMP
20790
20790
VIL
72496
72496
UNT
1500
1500
100006
100006

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
10844
10844

UNT

500
11344

500
11344

0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1260
1260
TAB
2250
2250
UNT
1000
1000
4510
4510

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
1275
1275
AMP
15397
15397
UNT
1757
1757
UNT
1500
1500
19929
19929

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
BOT
16417
16417
UNT
8415
8415
AMP
2891
2891
UNT
1275
1275
UNT
2500
2500
46486
46486

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
BOT
9096
9096
AMP
5397
5397
UNT
1275
1275
UNT
16335
16335
UNT
2500
2500
49591
49591

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
AMP
5422
5422
UNT
2600
2600

0
0

PKG
AMP
UNT

68064
2814
2000
80900

68064
2814
2000
80900

0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1260
1260
TAB
2250
2250
UNT
1000
1000
4510
4510

0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
16335
16335
UNT
14988
14988
UNT
1500
1500
41919
41919

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
VIL
2592
2592
UNT
1997
1997
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
UNT
2500
2500
46909
46909

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
8415
8415
UNT
14988
14988
UNT
1275
1275
AMP
2891
2891
VIL
2592
2592
UNT
1997
1997
UNT
3500
3500
44754
44754

0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
18192
18192
UNT
8415
8415
UNT
14988
14988
UNT
1500
1500
43095
43095

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
16417
16417
UNT
8415
8415
UNT
14988
14988
UNT
1500
1500
41320
41320

0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
VIL
144992
144992
UNT
1997
1997
BAG
19266
19266
UNT
1500
1500
167755
167755

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
UNT
23980
23980
UNT
16500
16500
UNT
26611
26611
BOT
9096
9096
BAG
18793
18793
UNT
1757
1757
UNT
1997
1997
UNT
62563
62563
UNT
4500
4500
174212
174212

0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
BOT
16417
16417
UNT
44964
44964

0
0
0

UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
TUB
UNT
UNT
UNT
UNT

20213
9985
1757
12610
26950
16088
12012
5809
56262
18343
62563
26611
7500
346499

20213
9985
1757
12610
26950
16088
12012
5809
56262
18343
62563
26611
7500
346499

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
CAP
26940
26940
UNT
500
500
27440
27440

0
0
0

Depo IGD
Subtotal Pasien
Penjamin
TAB
1260
1260
TAB
4500
4500
CAP
26940
26940
UNT
1500
1500
34200
34200

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
14988
14988
BOT
16417
16417
UNT
8415
8415
UNT
1275
1275
AMP
2891
2891
UNT
2500
2500
46486
46486

0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
UNT
14988
14988

0
0

BOT
UNT
UNT
UNT
TUB
UNT
UNT
AMP
UNT
UNT
AMP
UNT

16417
26611
18343
5809
56262
1997
12012
145345
5732
1540
4444
6500
324415

16417
26611
18343
5809
56262
1997
12012
145345
5732
1540
4444
6500
324415

0
0
0
0
0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
UNT
14988
14988
BOT
16417
16417
UNT
1500
1500
41320
41320

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
UNT
14988
14988
BOT
16417
16417
UNT
1500
1500
41320
41320

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
16335
16335
UNT
14988
14988
BOT
9096
9096
UNT
1500
1500
41919
41919

0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
14988
14988
UNT
16335
16335

0
0
0

UNT

1500
41919

1500
41919

0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
18192
18192
UNT
8415
8415
UNT
23980
23980
UNT
16335
16335
UNT
14988
14988
UNT
26611
26611
UNT
66198
66198
UNT
3500
3500
178219
178219

0
0
0
0
0
0
0
0
0

Depo IGD
Subtotal Pasien
Penjamin
AMP
30794
30794
AMP
5782
5782
AMP
4645
4645
PKG
10040
10040
UNT
2000
2000
53261
53261

0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
UNT
8415
8415
UNT
14988
14988
BOT
16417
16417
AMP
4645
4645
UNT
2550
2550
AMP
2891
2891
AMP
15397
15397
UNT
3500
3500
68803
68803

0
0
0
0
0
0
0
0
0

Trolley IGD
Subtotal Pasien
Penjamin
BOT
9096
9096
UNT
16335
16335
UNT
14988
14988
UNT
1500
1500
41919
41919

0
0
0
0
0

Waktu
31 Mei 2013 09:20
Item
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
15,00
15,00
2,00

30 Mei 2013 15:10

Item
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

29 Mei 2013 10:34

Item
VALISANBE TABLET 2 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
20,00
2,00

28 Mei 2013 14:26

Item
ANBACIM CAPSULE, FILM COATED 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
12,00
3,00

28 Mei 2013 10:58

Item
DEXAMETHASONE 5 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
2,00
3,00
3,00

28 Mei 2013 10:57

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

28 Mei 2013 08:14

Item
IBUPROFEN INF 200 MG TABLET
OMEPRAZOLE 40 MG INJECTION
RINGER LACTATE WIDATRA 500 ML
SANBE HEST
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
2,00
2,00
4,00

27 Mei 2013 15:20

Item
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 15:11

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 13:51

Item
METRONIDAZOLE 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
2,00
12,00
4,00

27 Mei 2013 13:04

Item
CEREMAX IV INFUS 50ml
DISP SYRINGE 50 CC WITHOUT NED
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
2,00
4,00

27 Mei 2013 13:03

JAKARTA SEHAT

Item
CAPTOPRIL 12.5 MG TABLET
BISOLVON 2 ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
20,00
3,00
2,00
1,00
4,00

27 Mei 2013 13:02

Item
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 13:02

Item
PIRACETAM INJ 3 GR/ 15 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
DEXAMETHASONE 5 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
2,00
1,00
5,00

27 Mei 2013 11:27

Item
MECOBALAMIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 11:00

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
10,00
3,00

27 Mei 2013 10:19

Item
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

24 Mei 2013 23:30

Item
CEREMAX IV INFUS 50ml
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 14:50

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
12,00
3,00

24 Mei 2013 14:50

Item
AMLODIPIN 5 MG TABLET
KETOROLAC 30 MG SOLUTION, INJECTION
CEFPIROME 1GR VIL
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
4,00
12,00
12,00
1,00
20,00
1,00
8,00

24 Mei 2013 14:50

Item
AMLODIPIN 5 MG TABLET
GLURENORM TABLET 30 mg
CAPTOPRIL 12.5 MG TABLET
MECOBALAMIN AMP INJECTION
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
24,00
4,00
10,00
1,00
1,00
12,00
8,00

24 Mei 2013 14:49

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
AMINOFLUID 500 ML INFUSION
SANMOL INFUSION
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
2,00
4,00
1,00
5,00

24 Mei 2013 14:49

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
2,00

24 Mei 2013 14:49

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
ASPAR-K TABLET, COATED 300 mg
DIGOXIN INF TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
24,00
4,00
4,00
12,00
12,00
4,00
4,00
1,00
20,00
1,00
10,00

24 Mei 2013 14:45

Item
FUTROLIT INFUSION
KETOROLAC 30 MG SOLUTION, INJECTION
CEFEPIME 1 GR INJECTION
METRONIDAZOLE 100 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
9,00
12,00
1,00
6,00

24 Mei 2013 14:45

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
MUSIN OTTO 120 ML SUSPENSION
SOLAC SYRUP
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
1,00
1,00
6,00
8,00
12,00
1,00
1,00
9,00

24 Mei 2013 14:35

Item
OMEPRAZOLE GEN 20 MG CAPSULE
FARMADOL 100 ML INFUSION
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
9,00
1,00
16,00
4,00

24 Mei 2013 14:35

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
KALTROFEN KALBE SUPPOSITORY 100 mg
RING AS SANBE 500 ML
DERMAFIX-1V
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
ALLOPURINOL INF TABLET 100 MG
MUSIN OTTO 120 ML SUSPENSION
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
8,00
1,00
1,00
20,00
4,00
1,00
12,00
1,00
12,00
12,00
10,00

24 Mei 2013 14:33

Item

JAKARTA SEHAT
Quantity

RIFAMPICIN GENERIK 450 MG TABLET

PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
20,00
10,00
10,00
10,00
5,00

24 Mei 2013 14:31

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 14:30

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
2,00

24 Mei 2013 14:30

Item
FUTROLIT INFUSION
SANMOL INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
9,00
1,00
40,00
1,00
5,00

24 Mei 2013 14:30

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
8,00
1,00

24 Mei 2013 14:30

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
4,00
4,00
2,00

TOTAL

24 Mei 2013 14:30

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
DOXYCYCLINE INF TABLET 100 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
12,00
12,00
12,00
1,00
12,00
8,00
8,00
9,00
1,00
1,00
1,00
10,00

24 Mei 2013 14:30

Item
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
H.C.T 25 MG TABLET
BISOPROLOL 5 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
1,00
4,00
4,00
12,00
12,00
4,00
8,00
20,00
10,00

24 Mei 2013 14:29

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
2,00

24 Mei 2013 14:29

JAKARTA SEHAT

Item
AMLODIPIN 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
12,00
12,00
12,00
12,00
12,00
12,00
4,00
4,00
9,00

24 Mei 2013 14:29

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

24 Mei 2013 14:20

Item
OMEPRAZOLE 40 MG INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
12,00
2,00

24 Mei 2013 14:10

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00
2,00

24 Mei 2013 14:03

Item
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

24 Mei 2013 13:45

Item
ASPAR-K TABLET, COATED 300 mg

JAKARTA SEHAT
Quantity
12,00

SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
CAPTOPRIL 12.5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
12,00
1,00
8,00
8,00
1,00
10,00
9,00

24 Mei 2013 13:45

Item
DERMAFIX-1V
ALKOHOL SWAB
INFUS SET JMS
ASPAR-K TABLET, COATED 300 mg
SIMARC-2 FAHRENHEIT 2 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DIGOXIN INF TABLET
BISOPROLOL 5 MG TABLET
FUROSEMID INF TABLET
LOVENOX SOLUTION, INJECTION 40 mg
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
1,00
12,00
4,00
4,00
4,00
4,00
4,00
4,00
12,00
11,00

24 Mei 2013 13:44

Item
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
CITICHOLIN 500 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FLUCONAZOL INFUS 100 ML
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
1,00
12,00
12,00
4,00
9,00
8,00

24 Mei 2013 13:39

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
8,00
12,00

ALKOHOL SWAB
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
IRBESARTAN 150 MG TABLET
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
PARACETAMOL INF TABLET 500 mg
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
20,00
4,00
12,00
12,00
1,00
12,00
12,00
1,00
12,00
12,00
4,00
9,00

24 Mei 2013 13:39

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
48,00
4,00
12,00
12,00
8,00
12,00
12,00
1,00
5,00
1,00
10,00

24 Mei 2013 13:39

Item
CAPTOPRIL 12.5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
SOLAC SYRUP
RANITIDINE GENERIK 25 MG/ML INJECTION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DISP SYRINGE 5 CC
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
24,00
1,00
1,00
8,00
12,00
15,00
12,00
8,00
8,00
4,00
10,00

24 Mei 2013 13:39

Item
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
8,00
8,00
12,00
4,00
7,00

24 Mei 2013 13:32

Item
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
DERMAFIX-1V
SOLAC SYRUP
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
8,00
12,00
12,00
12,00
1,00
1,00
1,00
9,00

24 Mei 2013 13:32

Item
DERMAFIX-1V
IVENA IV CATH 22
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
BISOPROLOL 5 MG TABLET
DILTIAZEM INF TABLET 30 MG
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
12,00
12,00
4,00
4,00
4,00
12,00
4,00
12,00
4,00
11,00

24 Mei 2013 13:31

Item
PARACETAMOL INF TABLET 500 mg
MUSIN OTTO 120 ML SUSPENSION
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
4,00
12,00
16,00
20,00
10,00
8,00

24 Mei 2013 13:19

Item
CAPTOPRIL 12.5 MG TABLET
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
8,00
12,00
4,00
12,00
1,00
8,00

24 Mei 2013 13:19

Item
MUSIN OTTO 120 ML SUSPENSION
CLOPIDOGREL 75 MG TABLET
ASPAR-K TABLET, COATED 300 mg
RING AS SANBE 500 ML
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
12,00
12,00
12,00
4,00
1,00
20,00
1,00
9,00

24 Mei 2013 13:18

Item
THROMBO ASPILETS 100 MG TABLET
AMLODIPIN 5 MG TABLET

ASKES
Quantity
4,00
4,00

CAPTOPRIL 12.5 MG TABLET

RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

24,00
4,00
4,00
8,00
8,00
7,00

24 Mei 2013 13:18

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
BISOLVON 2 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
4,00
20,00
12,00
12,00
4,00
8,00
4,00
7,00

24 Mei 2013 12:28

Item
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
15,00
3,00

24 Mei 2013 12:09

Item
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

24 Mei 2013 10:26

Item
CIPROFLOXACIN TABLET
AMLODIPIN 5 MG TABLET
RANITIDINE INF TABLET 150 MG
TRAMADOL INF TABLET 50 MG
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
10,00
5,00

24 Mei 2013 10:11

Item
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

24 Mei 2013 10:11

Item
CAPTOPRIL 12.5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
2,00

24 Mei 2013 10:11

Item
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
2,00

24 Mei 2013 10:10

Item
ASPILETS TABLET, CHEWABLE 80 MG
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
2,00

24 Mei 2013 10:06

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN TABLET 20 MG
BISOPROLOL 5 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
120,00
10,00
5,00
30,00
10,00
7,00

24 Mei 2013 10:06

JAKARTA SEHAT

Item
AMLODIPIN 5 MG TABLET
IRBESARTAN 300 MG TABLET
BISOPROLOL 5 MG TABLET
H.C.T 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
20,00
10,00
5,00
5,00
30,00
5,00

24 Mei 2013 09:46

Item
AMBROXOL INF 30 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
2,00

23 Mei 2013 19:04

Item
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
3,00
6,00
4,00

23 Mei 2013 12:33

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ASAM MEFENAMAT INF 500 MG TABLET
PRIMPERAN MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
15,00
1,00
4,00

23 Mei 2013 10:28

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
2,00
1,00

23 Mei 2013 10:20

Item

JAKARTA SEHAT
Quantity

CEFIXIME GENERIK CAPSULE

ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
2,00

22 Mei 2013 19:29

Item
CINAM 1.5 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
PRONALGES SUPPOSITORY 100 MG
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
3,00
3,00
3,00
2,00
1,00
3,00
3,00
1,00
1,00
11,00

22 Mei 2013 19:29

Item
IVENA IV CATH 18
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
2,00
1,00
6,00
6,00

22 Mei 2013 19:27

Item
FOLLEY CATHETER 16 RUSCH
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

22 Mei 2013 11:32

Item
RING AS SANBE 500 ML
INFUS SET JMS

JAKARTA SEHAT
Quantity
2,00
1,00

IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

1,00
3,00

22 Mei 2013 11:32

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

21 Mei 2013 19:11

Item
FOLLEY CATHETER 16 RUSCH
CINAM 1.5 GM INJECTION
IVENA IV CATH 18
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

21 Mei 2013 19:09

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 15:27

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00

21 Mei 2013 15:25

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

21 Mei 2013 15:24

Item

JAKARTA SEHAT
Quantity

AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

12,00
1,00

21 Mei 2013 15:24

Item
AMINORAL TABLET
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
4,00
2,00

21 Mei 2013 15:23

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

21 Mei 2013 15:22

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

21 Mei 2013 15:09

Item
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 15:06

Item
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

21 Mei 2013 14:55

Item
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
IVENA IV CATH 22
DERMAFIX-1V

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
1,00

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

20,00
5,00

21 Mei 2013 14:51

Item
INTERPRIL TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

21 Mei 2013 14:50

Item
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

21 Mei 2013 14:49

Item
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
14,00
2,00

21 Mei 2013 14:46

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

21 Mei 2013 14:42

Item
MUSIN OTTO 120 ML SUSPENSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
4,00
12,00
4,00

21 Mei 2013 14:39

Item
OMEPRAZOLE 40 MG INJECTION

JAKARTA SEHAT
Quantity
4,00

TUSLAH NON RACIKAN

TOTAL

1,00

21 Mei 2013 14:38

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

21 Mei 2013 14:37

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

21 Mei 2013 14:36

Item
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
8,00
2,00

21 Mei 2013 13:19

Item
CEFPIROME 1GR VIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
1,00

21 Mei 2013 12:22

Item
NOVALGIN SOLUTION, INJECTION 500 mg/ml
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
M-20 INFUSAN (MANITOL) 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
DERMAFIX-1V
ALKOHOL SWAB
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
12,00
8,00
4,00
4,00
1,00
8,00
4,00
8,00
8,00
1,00
10,00
8,00

DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

8,00
13,00

21 Mei 2013 12:22

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN TABLET 20 MG
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
ISOSORBIDE DINITRATE INF TABLET
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DERMAFIX-1V
IVENA IV CATH 22
TRANSFUSION SET JMS
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
36,00
4,00
1,00
1,00
4,00
12,00
4,00
4,00
1,00
1,00
1,00
4,00
10,00
12,00

21 Mei 2013 12:22

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
DISP SYRINGE 10 CC
DERMAFIX-1V
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
1,00
1,00
20,00
12,00
10,00
8,00

21 Mei 2013 12:21

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
8,00
4,00
12,00
12,00
12,00

DISP SYRINGE 5 CC
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
RING AS SANBE 500 ML
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

12,00
2,00
4,00
12,00
10,00
1,00
1,00
12,00

21 Mei 2013 12:21

Item
FOTARAM 1 g
SANMOL INFUSION
DISP SYRINGE 10 CC
NOROID DERMA RASH 60 ML CREAM
ALKOHOL SWAB
TRANSFUSION SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
1,00
10,00
1,00
9,00
1,00
20,00
9,00

21 Mei 2013 12:05

Item
DERMAFIX-1V
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
IVENA IV CATH 22
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
PIRACETAM INJ 3 GR/ 15 ML INJECTION
RING AS SANBE 500 ML
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
20,00
1,00
1,00
36,00
4,00
8,00
8,00
8,00
8,00
8,00
4,00
12,00
14,00

21 Mei 2013 12:05

JAKARTA SEHAT

Item
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
LOVENOX SOLUTION, INJECTION 40 mg
SIMARC-2 FAHRENHEIT 2 MG TABLET
DIGOXIN INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ASPAR-K TABLET, COATED 300 mg
DERMAFIX-1V
IVENA IV CATH 22
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
4,00
8,00
4,00
4,00
4,00
12,00
1,00
1,00
12,00
10,00
11,00

21 Mei 2013 12:05

Item
ASPAR-K TABLET, COATED 300 mg
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DERMAFIX-1V
IVENA IV CATH 22
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
24,00
24,00
15,00
1,00
1,00
12,00
20,00
1,00
11,00

21 Mei 2013 12:05

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
12,00
12,00
8,00
4,00
12,00
12,00
1,00
1,00
20,00
1,00
10,00
11,00

TOTAL

21 Mei 2013 12:04

Item
RINGER LACTATE WIDATRA 500 ML
DERMAFIX-1V
IVENA IV CATH 22
ASAM MEFENAMAT INF 500 MG TABLET
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
12,00
10,00
5,00

21 Mei 2013 12:04

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
DERMAFIX-1V
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
8,00
1,00
1,00
20,00
1,00
1,00
9,00

21 Mei 2013 12:04

Item
MUSIN OTTO 120 ML SUSPENSION
LANSOPRAZOLE GENERIK CAPSULE
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
12,00
8,00
12,00
4,00

21 Mei 2013 12:04

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DERMAFIX-1V
IVENA IV CATH 22
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
8,00
4,00
1,00
1,00
12,00
8,00

INFUS SET JMS

HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
20,00
12,00
9,00

21 Mei 2013 12:03

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DERMAFIX-1V
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
ALKOHOL SWAB
TRANSFUSION SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
12,00
4,00
1,00
12,00
1,00
10,00
1,00
20,00
10,00

21 Mei 2013 12:03

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 10 CC
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
RING AS SANBE 500 ML
ALKOHOL SWAB
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
12,00
12,00
12,00
1,00
20,00
1,00
8,00
10,00
1,00
10,00

21 Mei 2013 12:02

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
8,00
4,00
12,00
8,00
8,00
16,00

IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
5,00
10,00

21 Mei 2013 12:02

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
12,00
12,00
8,00
8,00
8,00
1,00
1,00
20,00
1,00
10,00
12,00

21 Mei 2013 11:45

Item
ASPAR-K TABLET, COATED 300 mg
THROMBO ASPILETS 100 MG TABLET
DIGOXIN INF TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
SPIRONOLACTONE 25 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
4,00
4,00
12,00
12,00
8,00
8,00
8,00
8,00
12,00
1,00
13,00

21 Mei 2013 11:45

Item

JAKARTA SEHAT
Quantity

MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION

AMLODIPIN 5 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
PARACETAMOL INF TABLET 500 mg
DERMAFIX-1V
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
12,00
1,00
12,00
12,00
1,00
12,00
12,00
12,00
1,00
1,00
20,00
7,00

21 Mei 2013 11:45

Item
INFUS SET JMS
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
MUSIN OTTO 120 ML SUSPENSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
20,00
1,00
1,00
8,00
10,00
12,00
12,00
8,00
10,00

21 Mei 2013 11:44

Item
VITAMIN B COMPLEX
V-BLOC 6,25MG TABLET
H.C.T 25 MG TABLET
CLONIDINE INF 150 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
AMLODIPIN 5 MG TABLET
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
RING AS SANBE 500 ML
IVENA IV CATH 22

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
12,00
12,00
8,00
24,00
15,00
20,00
1,00
12,00
1,00

TUSLAH NON RACIKAN

TOTAL

12,00

21 Mei 2013 11:44

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
SIMARC-2 FAHRENHEIT 2 MG TABLET
DOXYCYCLINE INF TABLET 100 MG
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
ALLOPURINOL INF TABLET 100 MG
IVENA IV CATH 22
DERMAFIX-1V
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
12,00
1,00
12,00
12,00
4,00
12,00
4,00
1,00
1,00
12,00
10,00
10,00
12,00

21 Mei 2013 11:43

Item
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
CEFEPIME 1 GR INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 22
DERMAFIX-1V
RING AS SANBE 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
12,00
12,00
12,00
1,00
1,00
12,00
1,00
10,00

21 Mei 2013 11:43

Item
RING AS SANBE 500 ML
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC

ASKES
Quantity
12,00
8,00
8,00
12,00

DISP SYRINGE 5 CC
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INH 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

8,00
8,00
8,00
4,00
4,00
4,00
4,00
11,00

21 Mei 2013 11:20

Item
IRBESARTAN 300 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CEFIXIME GENERIK CAPSULE
VITAMIN C 50 MG TABLET
DERMAFIX-1V
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
4,00
8,00
8,00
12,00
1,00
1,00
8,00

21 Mei 2013 11:19

Item
HYPERIL 5 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
TRANSFUSION SET JMS
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
4,00
1,00
1,00
1,00
1,00
1,00
6,00

21 Mei 2013 11:19

Item
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMLODIPIN 5 MG TABLET
ONDANSETRON INF 4 MG INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg

JAKARTA SEHAT
Quantity
12,00
1,00
8,00
12,00
4,00

DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

8,00
12,00
8,00
1,00
1,00
20,00
1,00
12,00

21 Mei 2013 11:19

Item
BISOPROLOL 5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
FOLIC ACID 1 MG TABLET
DIGOXIN INF TABLET
DISP SYRINGE 5 CC
IRBESARTAN 300 MG TABLET
DERMAFIX-1V
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
12,00
4,00
8,00
4,00
1,00
1,00
20,00
10,00
1,00
11,00

21 Mei 2013 11:18

Item
SIMVASTATIN TABLET 20 MG
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
DILTIAZEM INF TABLET 30 MG
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DERMAFIX-1V
ALKOHOL SWAB
STOMACH TUBE 16 THERUMO
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
24,00
4,00
4,00
4,00
8,00
11,00
8,00
12,00
1,00
10,00
1,00
2,00
13,00

21 Mei 2013 11:18

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 150 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
LEVOFLOXACIN INF TABLET
DOMPERIDON INF TABLET 10 MG
H.C.T 25 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
4,00
1,00
4,00
12,00
4,00
12,00
8,00
8,00
1,00
20,00
12,00

21 Mei 2013 11:08

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
IVENA IV CATH 22
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
RING AS DOUBLE PORT 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
1,00
20,00
3,00
6,00

21 Mei 2013 11:07

Item
DISP SYRINGE 10 CC
CEFPIROME 1GR VIL
SANMOL INFUSION
FLUCONAZOL INFUS 100 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
MUSIN OTTO 120 ML SUSPENSION
CITICHOLIN 500 MG TABLET
CLONIDINE INF 150 MG TABLET
AMLODIPIN 5 MG TABLET
H.C.T 25 MG TABLET
STOMACH TUBE 16 THERUMO
FOLLEY CATHETER 16 RUSCH

JAKARTA SEHAT
Quantity
8,00
8,00
12,00
4,00
12,00
12,00
12,00
12,00
1,00
8,00
8,00
4,00
4,00
1,00
1,00

DRAINAGE BAG STERIL

SELANG NEBUL WITH MASK(1493)
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
17,00

21 Mei 2013 11:07

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
SANMOL INFUSION
RINGER LACTATE WIDATRA 500 ML
DERMAFIX-1V
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
H.C.T 25 MG TABLET
BISOPROLOL 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
SIMARC-2 FAHRENHEIT 2 MG TABLET
DIGOXIN INF TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
12,00
12,00
1,00
1,00
20,00
4,00
4,00
12,00
4,00
4,00
36,00
4,00
1,00
1,00
16,00

21 Mei 2013 11:01

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
MUSIN OTTO 120 ML SUSPENSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
1,00
1,00
20,00
1,00
7,00

21 Mei 2013 11:00

Item
MUSIN OTTO 120 ML SUSPENSION
HYPERIL 5 MG TABLET
AMLODIPIN 5 MG TABLET
V-BLOC 6,25MG TABLET

JAKARTA SEHAT
Quantity
1,00
8,00
8,00
4,00

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DERMAFIX-1V
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

8,00
10,00
8,00
12,00
4,00
8,00
1,00
4,00
12,00

21 Mei 2013 10:53

Item
SIMARC-2 FAHRENHEIT 2 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
12,00
4,00
4,00
8,00
8,00
1,00
1,00
1,00
11,00

21 Mei 2013 10:49

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED
ASAM TRANEKSAMAT 500 MG TABLET
POSPARGIN TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
12,00
12,00
3,00

21 Mei 2013 10:12

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
20,00
15,00
5,00

21 Mei 2013 00:49

Item
CEFPIROME 1GR VIL
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

21 Mei 2013 00:48

Item
CEFPIROME 1GR VIL
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

20 Mei 2013 23:34

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

20 Mei 2013 23:29

Item
ISOKET INJECTION
DISP SYRINGE 10 CC
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

20 Mei 2013 23:19

Item
GARAM INGGRIS 30GR
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

20 Mei 2013 23:18

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
IVENA IV CATH 22
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
1,00
8,00

20 Mei 2013 23:05

Item
OMEPRAZOLE 40 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
PRONALGES SUPPOSITORY 100 MG
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
1,00
6,00

20 Mei 2013 23:02

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
BD VACUTAINER
ANTASIDA DOEN 60 ML SYRUP
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

20 Mei 2013 23:01

Item
ASPAR-K TABLET, COATED 300 mg
ANTASIDA DOEN 60 ML SYRUP
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

20 Mei 2013 22:59

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

TOTAL

20 Mei 2013 22:58

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

20 Mei 2013 22:57

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

20 Mei 2013 22:49

Item
OPIGRAN INJ 3
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

20 Mei 2013 22:25

Item
IMIPENEM CILASTATIN 1 GR INJECTION
PRONALGES SUPPOSITORY 100 MG
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

20 Mei 2013 19:03

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
5,00

20 Mei 2013 19:01

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
5,00

20 Mei 2013 19:00

Item
INH 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
MECOBALAMIN AMP INJECTION
VITAMIN B6 10 MG TABLET
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
2,00
3,00
2,00
3,00
3,00
11,00

20 Mei 2013 18:56

Item
BISOLVON 2 ML INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
1,00
4,00

20 Mei 2013 14:39

Item
SOHOBION 5000 INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

20 Mei 2013 13:49

Item

JAKARTA SEHAT
Quantity

SANKORBIN AMP INJECTION

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

20 Mei 2013 13:31

Item
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

20 Mei 2013 13:30

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
MUSIN OTTO 120 ML SUSPENSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00
3,00
5,00

20 Mei 2013 13:27

Item
GENTAMYCIN INF 40 MG/ML INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

20 Mei 2013 12:42

Item
HERBESSER 50 MG/ML INJECTION
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
2,00

20 Mei 2013 11:34

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION

ASKES
Quantity
6,00
18,00
6,00
9,00
3,00

DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

4,00
9,00
7,00

20 Mei 2013 11:34

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
10,00
4,00
4,00

20 Mei 2013 11:33

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HALOPERIDOL INF 1.5 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
14,00
2,00
1,00
10,00
3,00

20 Mei 2013 11:33

Item
MECOBALAMIN AMP INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00

20 Mei 2013 09:01

Item
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

18 Mei 2013 12:04

Item

JAKARTA SEHAT
Quantity

MUSIN OTTO 120 ML SUSPENSION

ANBACIM INJECTION
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
INFUS SET JMS
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
9,00
6,00
6,00
6,00
6,00
1,00
1,00
10,00
5,00
11,00

18 Mei 2013 12:04

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
6,00
1,00
5,00

18 Mei 2013 12:04

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
12,00
12,00
5,00
7,00
1,00
1,00
10,00
9,00

18 Mei 2013 12:03

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
6,00
12,00
3,00
3,00

IVENA IV CATH 22
RING AS SANBE 500 ML
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
9,00
1,00
10,00
8,00

18 Mei 2013 10:22

Item
SIMVASTATIN TABLET 20 MG
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
DIGOXIN INF TABLET
AMLODIPIN 5 MG TABLET
DISP SYRINGE 3 CC
DERMAFIX-1V
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
12,00
3,00
3,00
3,00
16,00
1,00
1,00
20,00
9,00
1,00
10,00
12,00

18 Mei 2013 10:21

Item
DULCOLAX 5 MG TABLET
DIGOXIN INF TABLET
IRBESARTAN 150 MG TABLET
SPIRONOLACTONE 25 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CEFIXIME GENERIK CAPSULE
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
3,00
6,00
6,00
12,00
1,00
1,00
10,00
1,00
3,00
3,00
14,00

18 Mei 2013 10:15

JAKARTA SEHAT

Item
PARACETAMOL INF TABLET 500 mg
MUSIN OTTO 120 ML SUSPENSION
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RINGER LACTATE WIDATRA 500 ML
CEFEPIME 1 GR INJECTION
DISP SYRINGE 10 CC
IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Quantity
9,00
1,00
6,00
6,00
8,00
8,00
6,00
6,00
8,00
1,00
1,00
10,00
12,00

18 Mei 2013 10:13

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
MECOBALAMIN AMP INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
6,00
3,00
3,00
12,00
1,00
1,00
10,00
11,00

18 Mei 2013 09:59

Item
CAPTOPRIL 12.5 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
BISOPROLOL 5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INH 300 MG TABLET
OMEPRAZOLE 40 MG INJECTION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
9,00
1,00
3,00
3,00
6,00
6,00
3,00
6,00
6,00
5,00
10,00

KALTROFEN KALBE SUPPOSITORY 100 mg

ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

12,00
3,00
1,00
14,00

18 Mei 2013 09:59

Item
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
IRBESARTAN 300 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
LEVOFLOXACIN INF TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
ALKOHOL SWAB
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
1,00
3,00
6,00
6,00
8,00
6,00
1,00
1,00
1,00
12,00

18 Mei 2013 09:58

Item
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
FOLIC ACID 1 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
9,00
9,00
5,00
9,00
1,00
1,00
1,00
10,00
9,00
11,00

18 Mei 2013 09:58

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
12,00
6,00
12,00

IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00
6,00

18 Mei 2013 09:58

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
8,00
1,00
3,00

18 Mei 2013 09:50

Item
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
PRIMPERAN MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
6,00
6,00
12,00
6,00
6,00
12,00
8,00
6,00
11,00

18 Mei 2013 09:41

Item
SANMOL INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
RINGER LACTATE WIDATRA 500 ML
DERMAFIX-1V
ALKOHOL SWAB
INFUS SET JMS
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
CLONIDINE INF 150 MG TABLET
MICARDIS TABLET 40 mg

JAKARTA SEHAT
Quantity
6,00
1,00
20,00
12,00
1,00
10,00
1,00
9,00
3,00
3,00
6,00
3,00

MUSIN OTTO 120 ML SUSPENSION

OMEPRAZOLE 40 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
FLUCONAZOL INFUS 100 ML
CEFPIROME 1GR VIL
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
9,00
12,00
12,00
3,00
6,00
3,00
20,00

18 Mei 2013 09:33

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
ANTASIDA DOEN KF TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
9,00
6,00
8,00
1,00
20,00
10,00
9,00

18 Mei 2013 09:32

Item
VALAMIN SANBE INFUSION
DERMAFIX-1V
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
ISOSORBIDE DINITRATE INF TABLET
PARACETAMOL INF TABLET 500 mg
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
20,00
10,00
9,00
9,00
3,00
3,00
3,00
3,00
3,00
3,00
3,00
6,00
9,00
6,00
9,00

TUSLAH NON RACIKAN

TOTAL

18,00

18 Mei 2013 09:32

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
12,00
12,00
12,00
6,00
1,00
1,00
10,00
20,00
9,00

18 Mei 2013 09:31

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
9,00
1,00
1,00
10,00
6,00

18 Mei 2013 09:30

Item
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
HYPERIL 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
SIMARC-2 FAHRENHEIT 2 MG TABLET
SPIRONOLACTONE 25 MG TABLET
DIGOXIN INF TABLET
THROMBO ASPILETS 100 MG TABLET
ASPAR-K TABLET, COATED 300 mg
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
12,00
6,00
9,00
12,00
9,00
3,00
3,00
3,00
3,00
9,00
1,00
12,00

18 Mei 2013 09:24

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
1,00
1,00
10,00
5,00

18 Mei 2013 09:20

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
RINGER LACTATE WIDATRA 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DERMAFIX-1V
IVENA IV CATH 22
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
36,00
3,00
6,00
3,00
1,00
1,00
10,00
7,00

18 Mei 2013 09:17

Item
BISOPROLOL 5 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
FOLIC ACID 1 MG TABLET
DIGOXIN INF TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
RINGER LACTATE WIDATRA 500 ML
DERMAFIX-1V
INFUS SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
9,00
3,00
9,00
18,00
6,00
6,00
3,00
1,00
1,00
10,00
12,00

18 Mei 2013 09:17

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml

JAKARTA SEHAT
Quantity
1,00

PARACETAMOL INF TABLET 500 mg

ASPAR-K TABLET, COATED 300 mg
AMBROXOL INF 30 MG TABLET
DOMPERIDON INF TABLET 10 MG
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
ALKOHOL SWAB
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

12,00
6,00
12,00
12,00
1,00
20,00
1,00
10,00
9,00
3,00
12,00
12,00
13,00

18 Mei 2013 09:16

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 14:04

Item
LEUKOCREPE 6 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

17 Mei 2013 12:24

Item
FOLIC ACID 1 MG TABLET
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
1,00
10,00
5,00
1,00
10,00
10,00
2,00

17 Mei 2013 11:59

Item
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
10,00

DISP SYRINGE 3 CC
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
3,00

17 Mei 2013 11:59

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
2,00

17 Mei 2013 11:58

Item
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

17 Mei 2013 11:58

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
2,00

17 Mei 2013 11:58

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
2,00

17 Mei 2013 11:58

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
3,00

17 Mei 2013 10:55

JAKARTA SEHAT

Item
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
10,00
2,00

16 Mei 2013 17:29

Item
VALISANBE INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

16 Mei 2013 11:43

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 6
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

16 Mei 2013 11:34

Item
STOMACH TUBE 16 THERUMO
HANDSCOON GAMEX 6
XYLOCAINE 2% 10 GM JELLY
VALAMIN SANBE INFUSION
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
8,00
10,00
5,00

16 Mei 2013 11:34

Item
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

16 Mei 2013 11:33

Item
PERDIPINE SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

16 Mei 2013 09:32

Item
KETOPROFEN 100 MG TABLET
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
15,00
2,00

15 Mei 2013 18:34

Item
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

15 Mei 2013 12:34

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
10,00
1,00

15 Mei 2013 12:33

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

15 Mei 2013 11:27

Item
MAGARD FA TABLET, CHEWABLE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

15 Mei 2013 07:25

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

15 Mei 2013 07:14

Item
DOPAC 40 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

15 Mei 2013 06:22

Item
DISP SYRINGE 5 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
2,00

15 Mei 2013 01:09

Item
BD VACUTAINER
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

15 Mei 2013 01:09

Item
TRANSFUSION SET JMS
BD VACUTAINER
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

15 Mei 2013 01:02

Item
SELANG NEBUL WITH MASK(1493)
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

14 Mei 2013 23:58

Item
DOPAC 40 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 19:27

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
3,00
2,00
1,00
2,00
7,00

14 Mei 2013 17:40

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
IVENA IV CATH 18
YAL JELLY SOLUTION
AQUA FOR INJECT OTSUKA 25 ML
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
FOLLEY CATHETER 18 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
20,00
1,00
10,00

14 Mei 2013 17:30

Item
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

14 Mei 2013 14:53

Item
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

14 Mei 2013 14:22

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION

JAKARTA SEHAT
Quantity
4,00

TUSLAH NON RACIKAN

TOTAL

1,00

14 Mei 2013 14:22

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

14 Mei 2013 14:21

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

14 Mei 2013 13:45

Item
IOPAMIRO 300/ 50 ML INJECTION
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
GARAM INGGRIS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
30,00
4,00

14 Mei 2013 10:49

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

14 Mei 2013 10:13

Item
M-20 INFUSAN (MANITOL) 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

14 Mei 2013 10:12

Item
AMLODIPIN 10 MG TABLET

JAKARTA SEHAT
Quantity
3,00

CAPTOPRIL 12.5 MG TABLET

ASAM MEFENAMAT INF 500 MG TABLET
VALISANBE TABLET 2 MG
CTM 4 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

9,00
9,00
6,00
3,00
6,00
9,00
17,00
8,00

14 Mei 2013 08:36

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 6.5
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00
6,00

14 Mei 2013 08:36

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 6.5
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

14 Mei 2013 08:36

Item
FOLLEY CATHETER 18 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 6.5
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00
6,00

14 Mei 2013 08:36

JAKARTA SEHAT

Item
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 6.5
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
5,00
5,00

14 Mei 2013 08:25

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
FARMADOL 100 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
TRANSFUSION SET JMS
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
6,00
6,00
6,00
8,00
1,00
20,00
1,00
1,00
5,00
11,00

14 Mei 2013 08:14

Item
BIOCURLIV CAPSULE
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
SANBE HEST
IVENA IV CATH 22
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
8,00
8,00
8,00
3,00
1,00
1,00
10,00
8,00

14 Mei 2013 08:14

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION

JAKARTA SEHAT
Quantity
8,00
12,00
8,00
8,00

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
RING AS SANBE 500 ML
DERMAFIX-1V
TRANSFUSION SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

16,00
12,00
6,00
1,00
12,00
1,00
1,00
5,00
12,00

14 Mei 2013 08:13

Item
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
DERMAFIX-1V
ALKOHOL SWAB
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

KLB
Quantity
12,00
12,00
1,00
20,00
1,00
10,00
1,00
7,00

14 Mei 2013 08:13

Item
CITICHOLIN 500 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
VITAMIN B COMPLEX
DIGOXIN INF TABLET
URISPAS TABLET, FILM COATED 200 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
RING AS SANBE 500 ML
INFUS SET JMS
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
24,00
4,00
8,00
4,00
8,00
8,00
8,00
1,00
12,00
1,00
1,00
20,00
14,00

14 Mei 2013 08:11

Item

JAKARTA SEHAT
Quantity

KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG

TUSLAH NON RACIKAN
TOTAL

4,00
1,00

14 Mei 2013 07:59

Item
URISPAS TABLET, FILM COATED 200 MG
CEFOPERAZONE SULBACTAM 1 GM INJECTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
6,00
4,00
1,00
10,00
6,00

14 Mei 2013 07:57

Item
PARACETAMOL INF TABLET 500 mg
MUSIN OTTO 120 ML SUSPENSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
8,00
16,00
8,00
16,00
1,00
1,00
1,00
5,00
20,00
11,00

14 Mei 2013 07:57

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
MUSIN OTTO 120 ML SUSPENSION
IVENA IV CATH 22
DERMAFIX-1V
TRANSFUSION SET JMS
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
8,00
6,00
8,00
10,00
10,00
1,00
1,00
1,00
1,00
20,00
5,00

TUSLAH NON RACIKAN

TOTAL

11,00

14 Mei 2013 07:56

Item
METFORMIN HCL 500 MG TABLET
GLIDABET 80 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FLUCONAZOLE 150 MG TABLET
ASPAR-K TABLET, COATED 300 mg
SALBUTAMOL INF TABLET 2 MG
LEVOFLOXACIN INF TABLET
IVENA IV CATH 22
DERMAFIX-1V
RING AS SANBE 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
4,00
4,00
12,00
12,00
4,00
1,00
1,00
18,00
1,00
11,00

14 Mei 2013 07:55

Item
URISPAS TABLET, FILM COATED 200 MG
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
15,00
8,00
1,00
1,00
20,00
1,00
1,00
10,00

14 Mei 2013 07:55

Item
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
ASPAR-K TABLET, COATED 300 mg
PARACETAMOL INF TABLET 500 mg
MUSIN OTTO 120 ML SUSPENSION
DERMAFIX-1V
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
12,00
15,00
12,00
8,00
12,00
1,00
1,00
3,00

TUSLAH NON RACIKAN

TOTAL

8,00

14 Mei 2013 07:54

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
ATORVASTATIN 20 MG TABLET
PARACETAMOL INF TABLET 500 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
TRANSFUSION SET JMS
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
4,00
12,00
4,00
12,00
1,00
1,00
1,00
1,00
1,00
11,00

14 Mei 2013 07:54

Item
MERTIGO TABLET 6 MG
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
8,00
1,00
1,00
1,00
20,00
3,00
9,00

14 Mei 2013 07:54

Item
CAPTOPRIL 12.5 MG TABLET
VALISANBE TABLET 2 MG
MUSIN OTTO 120 ML SUSPENSION
BISOPROLOL 5 MG TABLET
TUSLAH RACIKAN
EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
12,00
12,00
1,00
1,00
1,00
4,00
4,00
4,00
8,00

ETHAMBUTOL500mg TABLET
BIFOTIK POWDER, FOR INJECTION SUSPENSION
OMEPRAZOLE 40 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

8,00
8,00
4,00
8,00
4,00
8,00
12,00
1,00
1,00
15,00

14 Mei 2013 07:53

Item
DOMPERIDON INF TABLET 10 MG
OMEPRAZOLE GEN 20 MG CAPSULE
IVENA IV CATH 22
RING AS SANBE 500 ML
DERMAFIX-1V
ALKOHOL SWAB
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
1,00
12,00
1,00
1,00
1,00
7,00

14 Mei 2013 07:53

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
8,00
8,00
12,00
1,00
5,00

14 Mei 2013 07:53

Item
AMINORAL TABLET
AMLODIPIN 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ISOKET INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)

JAKARTA SEHAT
Quantity
12,00
8,00
12,00
1,00
10,00
10,00
1,00
20,00

INFUS SET JMS

DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
11,00

14 Mei 2013 07:52

Item
URISPAS TABLET, FILM COATED 200 MG
ASPAR-K TABLET, COATED 300 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
KETESSE 25 MG/ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
12,00
8,00
4,00
8,00
12,00
8,00
8,00
1,00
1,00
10,00

14 Mei 2013 07:51

Item
H.C.T 25 MG TABLET
AMLODIPIN 10 MG TABLET
CLONIDINE INF 150 MG TABLET
MICARDIS TABLET 40 mg
CITICHOLIN 500 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
OMEPRAZOLE 40 MG INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FLUCONAZOL INFUS 100 ML
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
DERMAFIX-1V
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
8,00
4,00
8,00
1,00
8,00
12,00
4,00
12,00
1,00
20,00
12,00
1,00
8,00
8,00
16,00

14 Mei 2013 07:51

Item

JAKARTA SEHAT
Quantity

UROTRACTIN SANBE TABLET 400 mg

OMEPRAZOLE GEN 20 MG CAPSULE
LEVOFLOXACIN INF TABLET
IVENA IV CATH 22
RING AS SANBE 500 ML
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

8,00
8,00
8,00
1,00
12,00
1,00
3,00
7,00

14 Mei 2013 07:27

Item
MUSIN OTTO 120 ML SUSPENSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
RING AS DOUBLE PORT 500 ML
RING AS SANBE 500 ML
DERMAFIX-1V
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
8,00
8,00
8,00
1,00
20,00
7,00
11,00
1,00
10,00
10,00

14 Mei 2013 07:19

Item
PARACETAMOL INF TABLET 500 mg
MUSIN OTTO 120 ML SUSPENSION
AMLODIPIN 10 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
CIPROFLOXACIN DRIP INFUSION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
AMINOFLUID 500 ML INFUSION
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
3,00
7,00
6,00
12,00
12,00
8,00
4,00
18,00
5,00
4,00
1,00
1,00
14,00

13 Mei 2013 13:17

Item
URISPAS TABLET, FILM COATED 200 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

13 Mei 2013 13:07

Item
IVENA IV CATH 18
BD VACUTAINER
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
1,00
20,00
2,00
2,00
2,00
9,00

13 Mei 2013 11:29

Item
ANTALGIN 500 MG
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
4,00
2,00

13 Mei 2013 11:22

Item
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

13 Mei 2013 10:10

Item
SANKORBIN AMP INJECTION
NEUROSANBE 3 ML INJECTION
AQUA FOR INJECT OTSUKA 25 ML
WINGED NEEDLE NO. 25 JMS
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

TOTAL

13 Mei 2013 09:37

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

13 Mei 2013 02:02

Item
DERMAFIX-1V
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
THREE WAY STOPCOCK
DISP SYRINGE 3 CC
IVENA IV CATH 20
IVENA IV CATH 24
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
1,00
9,00

13 Mei 2013 02:00

Item
ISOKET INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 5 CC
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

13 Mei 2013 01:59

Item
TRANSFUSION SET JMS
BD VACUTAINER
IVENA IV CATH 20
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
6,00

13 Mei 2013 00:11

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
7,00
1,00
3,00

13 Mei 2013 00:09

Item
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
4,00
2,00
4,00

13 Mei 2013 00:05

Item
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
5,00
3,00

13 Mei 2013 00:04

Item
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
3,00
3,00

13 Mei 2013 00:03

Item
DOBUTAMIN GENERIK 50 MG/ML
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
2,00
4,00

13 Mei 2013 00:02

Item
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
2,00

12 Mei 2013 23:59

Item
OMEPRAZOLE 40 MG INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PRONALGES SUPPOSITORY 100 MG
RING AS SANBE 500 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
5,00

12 Mei 2013 23:24

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 23:22

Item
MICROPORE 1/2 INC
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

12 Mei 2013 22:55

Item
ISOKET INJECTION
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

12 Mei 2013 22:49

Item
DISP SYRINGE 1 CC INSULIN
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

12 Mei 2013 22:48

Item
PELASTIN INFUSION
AMBROXOL INF 30 MG TABLET
IVENA IV CATH 22
TRANSFUSION SET JMS
MICROPORE 1/2 INC
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
1,00
3,00
6,00

12 Mei 2013 22:48

Item
IVENA IV CATH 22
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 1 CC INSULIN
ISOKET INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
5,00
2,00
5,00

12 Mei 2013 22:45

Item
CAPTOPRIL 12.5 MG TABLET
CLONIDINE INF 150 MG TABLET
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
3,00

12 Mei 2013 22:40

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
IVENA IV CATH 20
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

BD VACUTAINER
AMBROXOL INF 30 MG TABLET
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
3,00
3,00
2,00
9,00

12 Mei 2013 22:38

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
EXTENSION TUBE ET 2 (DWS)
THREE WAY STOPCOCK
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

12 Mei 2013 21:57

Item
YAL JELLY SOLUTION
SURFLO IV CATH NO 16
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
20,00
3,00

12 Mei 2013 21:54

Item
YAL JELLY SOLUTION
IVENA IV CATH 18
PELASTIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

12 Mei 2013 21:53

Item
AMINOFLUID 500 ML INFUSION
YAL JELLY SOLUTION
IVENA IV CATH 18
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

TOTAL

12 Mei 2013 18:59

Item
LOVENOX 0,6 SOLUTION, INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
FLUNARIZINE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

11 Mei 2013 13:13

Item
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

11 Mei 2013 13:13

Item
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 13:13

Item
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 12:21

Item
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
10,00
10,00
4,00

11 Mei 2013 12:06

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION

JAKARTA SEHAT
Quantity
2,00
3,00

RANITIDINE GENERIK 25 MG/ML INJECTION

KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
4,00

11 Mei 2013 11:46

Item
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
6,00
1,00
1,00
5,00

11 Mei 2013 11:45

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
1,00
3,00

11 Mei 2013 11:43

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
1,00
20,00
10,00
5,00

11 Mei 2013 11:41

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
1,00
3,00

11 Mei 2013 11:40

JAKARTA SEHAT

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

Quantity
9,00
1,00
20,00
6,00
4,00

11 Mei 2013 11:40

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00
20,00
3,00

11 Mei 2013 11:40

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
1,00
20,00
1,00
10,00
5,00

11 Mei 2013 11:40

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
20,00
1,00
4,00

11 Mei 2013 11:38

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
20,00
10,00
4,00

11 Mei 2013 11:38

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
20,00
1,00
10,00
5,00

11 Mei 2013 11:37

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
2,00

11 Mei 2013 11:37

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
1,00
20,00
1,00
10,00
5,00

11 Mei 2013 11:37

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
12,00
1,00
1,00
20,00
10,00
5,00

11 Mei 2013 11:24

Item
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
RANITIDINE INF TABLET 150 MG

JAKARTA SEHAT
Quantity
1,00
10,00

MICROPORE 1 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
3,00

11 Mei 2013 11:22

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
1,00
20,00
3,00

11 Mei 2013 11:22

Item
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
4,00
10,00
3,00

11 Mei 2013 11:22

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
6,00
6,00
1,00
5,00

11 Mei 2013 11:21

Item
RINGER LACTATE WIDATRA 500 ML
DERMAFIX-1V
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
4,00

11 Mei 2013 11:21

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

11 Mei 2013 11:21

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

11 Mei 2013 11:21

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
20,00
1,00
4,00

11 Mei 2013 09:52

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 09:51

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 09:41

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
10,00
10,00
3,00

TOTAL

11 Mei 2013 09:40

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
1,00
1,00
1,00
1,00
4,00

11 Mei 2013 09:38

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

11 Mei 2013 09:22

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

11 Mei 2013 08:57

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FUROSEMID INF INJECTION
PIRACETAM INJ 3 GR/ 15 ML INJECTION
VALISANBE INJECTION
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
3,00
3,00
1,00
5,00

11 Mei 2013 08:57

Item
URISPAS TABLET, FILM COATED 200 MG
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

JAKARTA SEHAT
Quantity
9,00
9,00
9,00

CEFOPERAZONE SULBACTAM 1 GM INJECTION

TUSLAH NON RACIKAN
TOTAL

6,00
4,00

11 Mei 2013 08:56

Item
AMLODIPIN 5 MG TABLET
ISOKET INJECTION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
3,00
3,00

11 Mei 2013 08:49

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

11 Mei 2013 08:46

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
2,00

11 Mei 2013 08:45

Item
AMLODIPIN 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
6,00
6,00
4,00

11 Mei 2013 08:45

Item
URISPAS TABLET, FILM COATED 200 MG
SIMARC-2 FAHRENHEIT 2 MG TABLET
DIGOXIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
3,00

11 Mei 2013 08:45

Item
MUSIN OTTO 120 ML SUSPENSION
PARACETAMOL INF TABLET 500 mg
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
9,00
9,00
6,00
9,00
3,00
6,00

11 Mei 2013 08:38

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

10 Mei 2013 17:18

Item
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

10 Mei 2013 14:24

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
9,00
1,00
3,00
3,00

10 Mei 2013 14:19

Item
SPIRONOLACTONE 100 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
PROPANOLOL 10 MG TABLET
FUROSEMID INF TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
9,00
2,00
9,00
6,00
9,00
5,00

10 Mei 2013 14:18

Item
DOMPERIDON INF TABLET 10 MG
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
2,00

10 Mei 2013 14:15

Item
METFORMIN HCL 500 MG TABLET
SIMVASTATIN TABLET 20 MG
FLUCONAZOLE 150 MG TABLET
ASPAR-K TABLET, COATED 300 mg
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
16,00
9,00
5,00

10 Mei 2013 11:09

Item
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 11:09

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
6,00
1,00

10 Mei 2013 11:09

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
3,00
3,00

10 Mei 2013 11:08

Item
MECOBALAMIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 11:08

Item
MECOBALAMIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

10 Mei 2013 11:07

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

9 Mei 2013 23:22

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 23:22

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

9 Mei 2013 23:21

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 23:20

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 19:24

Item
RING AS SANBE 500 ML

UMUM
Quantity
1,00

FUTROLIT INFUSION
DEXTROSE 10% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

9 Mei 2013 17:32

Item
HYPAFIX 10 CM X 5 CM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 17:16

Item
IVENA IV CATH 22
ISOKET INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
10,00
4,00

9 Mei 2013 17:14

Item
DRAINAGE BAG STERIL
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

9 Mei 2013 17:13

Item
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

9 Mei 2013 17:12

Item
IVENA IV CATH 22
IVENA IV CATH 24

JAKARTA SEHAT
Quantity
1,00
1,00

TRANSFUSION SET JMS

BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00

9 Mei 2013 17:12

Item
CONDOM CATHETER M
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

9 Mei 2013 13:28

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 10 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
4,00

9 Mei 2013 13:27

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00

9 Mei 2013 13:24

Item
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

9 Mei 2013 13:23

Item
IVENA IV CATH 20
IVENA IV CATH 22
BD VACUTAINER
TRANSFUSION SET JMS

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00

TUSLAH NON RACIKAN

TOTAL

4,00

9 Mei 2013 12:39

Item
PARACETAMOL 60 ML SYRUP
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

9 Mei 2013 10:59

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
10,00
2,00
2,00
4,00

8 Mei 2013 12:00

Item
CITICHOLIN 500 MG TABLET
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
IBUPROFEN INF 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
4,00

8 Mei 2013 00:09

Item
MAGNESIUM SULFAT 20% INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

8 Mei 2013 00:08

Item
MAGNESIUM SULFAT 20% INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

7 Mei 2013 19:34

JAKARTA SEHAT

Item
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
4,00

7 Mei 2013 19:34

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
YAL JELLY SOLUTION
IVENA IV CATH 18
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

7 Mei 2013 17:35

Item
OMEPRAZOLE 40 MG INJECTION
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

7 Mei 2013 16:03

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

7 Mei 2013 14:50

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

7 Mei 2013 14:34

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
8,00
1,00

TOTAL

7 Mei 2013 14:30

Item
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

7 Mei 2013 11:23

Item
ONDANSETRON 4 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

7 Mei 2013 10:43

Item
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

7 Mei 2013 10:26

Item
TRAMADOL INF TABLET 50 MG
RANITIDINE INF TABLET 150 MG
BETAHISTIN NOVELL TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

7 Mei 2013 10:12

Item
ASAM MEFENAMAT INF 500 MG TABLET
VITAMIN B COMPLEX
CLINDAMYCIN 300 MG CAPSULE
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
4,00
12,00
12,00
4,00

7 Mei 2013 10:12

Item

JAKARTA SEHAT
Quantity

ASPILETS TABLET, CHEWABLE 80 MG

AMLODIPIN 5 MG TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
PARACETAMOL INF TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
DERMAFIX-1V
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

4,00
4,00
1,00
12,00
8,00
4,00
4,00
4,00
4,00
12,00
1,00
1,00
1,00
20,00
14,00

7 Mei 2013 10:11

Item
DISP SYRINGE 10 CC
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
IVENA IV CATH 22
RING AS SANBE 500 ML
DERMAFIX-1V
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
8,00
1,00
12,00
1,00
1,00
7,00

7 Mei 2013 09:52

Item
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
DISP SYRINGE 50 CC WITHOUT NED
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
SELANG OKSIGEN ADULT
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00
4,00
1,00
1,00
1,00
9,00

7 Mei 2013 09:09

JAKARTA SEHAT

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00

7 Mei 2013 08:59

Item
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
IVENA IV CATH 22
DISP SYRINGE 3 CC
HANDSCOON NON STERIL M (PCS)
INFUS SET JMS
BD VACUTAINER
RINGER LACTATE WIDATRA 500 ML
DERMAFIX-1V
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
12,00
10,00
1,00
9,00
20,00
1,00
1,00
7,00
1,00
3,00
12,00

7 Mei 2013 08:59

Item
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
FUTROLIT INFUSION
IVENA IV CATH 22
DERMAFIX-1V
BETAHISTIN NOVELL TABLET 6 MG
FLUNARIZINE 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
MICROPORE 1/2 INC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
12,00
7,00
7,00
1,00
1,00
12,00
4,00
24,00
2,00
4,00
1,00
20,00
1,00
5,00
15,00

7 Mei 2013 08:58

Item

JAKARTA SEHAT
Quantity

INPEPSA 100 ML SYRUP 500 mg/5 ml

PARACETAMOL INF TABLET 500 mg
DERMAFIX-1V
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

1,00
12,00
1,00
12,00
11,00
16,00
1,00
1,00
20,00
10,00
10,00

7 Mei 2013 08:58

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DERMAFIX-1V
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
8,00
12,00
12,00
8,00
8,00
10,00
20,00
1,00
1,00
1,00
20,00
13,00

7 Mei 2013 08:58

Item
ZINC INF 20 MG TABLET
TRANSFUSION SET JMS
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
FUTROLIT INFUSION
KA-EN 3B 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 24
DERMAFIX-1V

JAKARTA SEHAT
Quantity
12,00
1,00
12,00
12,00
12,00
12,00
6,00
6,00
7,00
20,00
1,00
1,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

3,00
13,00

7 Mei 2013 08:52

Item
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
SPIRONOLACTONE 25 MG TABLET
FOLIC ACID 1 MG TABLET
IVENA IV CATH 22
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DERMAFIX-1V
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
3,00
6,00
14,00
1,00
8,00
1,00
1,00
20,00
3,00
1,00
3,00
12,00

7 Mei 2013 08:51

Item
DOMPERIDON INF TABLET 10 MG
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN EMBALASE
CURCUMA 200 MG TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL M (PCS)
DERMAFIX-1V
INFUS SET JMS
FARMADOL 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
1,00
12,00
18,00
6,00
15,00
20,00
1,00
1,00
6,00
10,00
1,00
3,00
11,00

7 Mei 2013 08:51

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
PARACETAMOL INF TABLET 500 mg

JAKARTA SEHAT
Quantity
1,00
14,00

AMLODIPIN 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
IVENA IV CATH 18
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
FARMADOL 100 ML INFUSION
KALTROFEN KALBE SUPPOSITORY 100 mg
DERMAFIX-1V
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TRANSFUSION SET JMS
AMINOFLUID 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

4,00
6,00
1,00
6,00
6,00
10,00
6,00
8,00
1,00
8,00
20,00
1,00
7,00
3,00
16,00

7 Mei 2013 08:51

Item
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
CETIRIZINE 10 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
MECOBALAMIN AMP INJECTION
DISP SYRINGE 5 CC
DERMAFIX-1V
INFUS SET JMS
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
RING AS SANBE 500 ML
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
16,00
2,00
5,00
15,00
7,00
8,00
1,00
1,00
1,00
20,00
12,00
4,00
13,00

7 Mei 2013 08:50

Item
SPIRONOLACTONE 25 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
PROPANOLOL 10 MG TABLET
FUROSEMID INF TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DEXAMETHASONE 5 MG INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22

JAMKESMAS
Quantity
4,00
4,00
3,00
4,00
15,00
9,00
20,00
1,00

ALKOHOL SWAB
DERMAFIX-1V
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD VACUTAINER
HANDSCOON NON STERIL M (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
1,00
6,00
6,00
1,00
20,00
4,00
16,00

7 Mei 2013 08:47

Item
DOMPERIDON INF TABLET 10 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
OMEPRAZOLE 40 MG INJECTION
IVENA IV CATH 22
DISP SYRINGE 5 CC
INFUS SET JMS
ALKOHOL SWAB
DERMAFIX-1V
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
DISP SYRINGE 50 CC CATH TIP
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
4,00
8,00
6,00
1,00
8,00
1,00
10,00
1,00
12,00
20,00
1,00
1,00
14,00

7 Mei 2013 08:46

Item
METFORMIN HCL 500 MG TABLET
GLIDABET 80 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
FLUCONAZOLE 150 MG TABLET
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DERMAFIX-1V
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
SELANG NEBUL WITH MASK(1493)
INFUS SET JMS
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
6,00
6,00
6,00
6,00
9,00
8,00
2,00
1,00
20,00
1,00
1,00
12,00

TOTAL

7 Mei 2013 08:46

Item
FARMADOL 100 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
VANCEP 0.5 MG POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
IVENA IV CATH 22
HANDSCOON NON STERIL M (PCS)
DERMAFIX-1V
INFUS SET JMS
MICROPORE 1/2 INC
DISP SYRINGE 50 CC WITHOUT NED
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
12,00
2,00
8,00
12,00
10,00
1,00
20,00
1,00
1,00
1,00
1,00
8,00
14,00

7 Mei 2013 08:45

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
14,00
20,00
3,00

6 Mei 2013 19:00

Item
NEUROSANBE 3 ML INJECTION
RING AS SANBE 500 ML
LASIX SOLUTION, INJECTION 20 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
20,00
3,00

6 Mei 2013 13:49

Item
COTRIMOXAZOLE 480 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

6 Mei 2013 13:33

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE GEN 20 MG CAPSULE
DERMAFIX-1V
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
12,00
4,00
4,00
4,00
12,00
1,00
1,00
1,00
1,00
20,00
12,00

6 Mei 2013 13:17

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
15,00
2,00

6 Mei 2013 11:33

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

6 Mei 2013 11:19

Item
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

6 Mei 2013 11:19

Item
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

6 Mei 2013 09:56

Item
IVENA IV CATH 22
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

6 Mei 2013 09:56

Item
IVENA IV CATH 24
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

6 Mei 2013 04:31

Item
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
HYPAFIX 5CM x 5 M
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
2,00
1,00
1,00
1,00
5,00

6 Mei 2013 01:36

Item
REBREATHING MASK ADULT (1102)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

6 Mei 2013 01:35

Item
SOLAC SYRUP
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DOBUTAMIN GENERIK 50 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
4,00
3,00

5 Mei 2013 20:03

JAKARTA SEHAT

Item
IVENA IV CATH 22
IVENA IV CATH 20
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
3,00

5 Mei 2013 20:01

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00
4,00
6,00

5 Mei 2013 20:01

Item
STOMACH TUBE 8 JMS
FOLLEY CATHETER 8 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

5 Mei 2013 20:00

Item
IVENA IV CATH 22
IVENA IV CATH 20
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
2,00
2,00
2,00
3,00

5 Mei 2013 19:59

Item
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

5 Mei 2013 19:59

JAKARTA SEHAT

Item
IVENA IV CATH 22
IVENA IV CATH 20
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
2,00
2,00
3,00

5 Mei 2013 19:54

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

5 Mei 2013 19:54

Item
SOLAC SYRUP
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
2,00

5 Mei 2013 19:36

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

5 Mei 2013 18:37

Item
MEFINAL 500 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
2,00
2,00
10,00
10,00
2,00
6,00

5 Mei 2013 17:15

Item
FOLLEY CATHETER 16 RUSCH
IVENA IV CATH 18
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

1,00
4,00

5 Mei 2013 17:12

Item
IVENA IV CATH 18
FOLLEY CATHETER 16 RUSCH
YAL JELLY SOLUTION
GARAM INGGRIS 30GR
TUSLAH RACIKAN
EMBALASE
PELASTIN INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
BD VACUTAINER
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

5 Mei 2013 16:56

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
BD VACUTAINER
FOLLEY CATHETER 16 RUSCH
CINAM 1.5 GM INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
10,00
8,00

5 Mei 2013 16:55

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
MICROPORE 1/2 INC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
10,00
5,00

5 Mei 2013 16:53

JAKARTA SEHAT

Item
IVENA IV CATH 18
FOLLEY CATHETER 16 RUSCH
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD VACUTAINER
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
YAL JELLY SOLUTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
10,00
9,00

5 Mei 2013 15:57

Item
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00
2,00

5 Mei 2013 15:57

Item
DERMAFIX-1V
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
2,00
4,00
4,00
1,00
5,00

5 Mei 2013 15:55

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

5 Mei 2013 14:53

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

5 Mei 2013 14:52

Item
TYGACIL 50 MG/5 ML POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

5 Mei 2013 14:43

Item
AMINOPHYLLINE 200 MG TABLET
OBH MINOROCK 100 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

5 Mei 2013 13:34

Item
RING AS SANBE 500 ML
FUTROLIT INFUSION
H.C.T 25 MG TABLET
FUROSEMID INF TABLET
HYPERIL 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
GEMFIBROZIL INF 300 MG TABLET
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
TERFACEF INJECTION 1 g
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
SOHOLIN 125 MG/ML INJECTION
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
4,00
1,00
1,00
15,00

5 Mei 2013 12:33

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

5 Mei 2013 12:29

Item
PIRACETAM INF 1200 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG

JAKARTA SEHAT
Quantity
4,00
2,00

RING AS SANBE 500 ML

VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
4,00

5 Mei 2013 12:26

Item
H.C.T 25 MG TABLET
BICNAT CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
6,00
1,00
6,00
1,00

5 Mei 2013 12:26

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

5 Mei 2013 11:37

Item
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
CLONIDINE INF 150 MG TABLET
RING AS SANBE 500 ML
SUCTION CATHETER 14
LEVOFLOXACIN INFUSION
AMLODIPIN 5 MG TABLET
MARTOS 10 INFUSION 10 %/500 ML
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ANTRAIN INJECTION
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
2,00
1,00
1,00
1,00
3,00
3,00
3,00
3,00
20,00
3,00
3,00
3,00
16,00

5 Mei 2013 11:33

Item

JAKARTA SEHAT
Quantity

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

FLUCONAZOL INFUS 100 ML
PANTOPRAZOLE INJECTION
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
GUEDEL AIRWAYS SIZE 8.0
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
HANDSCOON NON STERIL S (PCS)
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
BISOLVON 2 ML INJECTION
FARMADOL 100 ML INFUSION
CAPTOPRIL 12.5 MG TABLET
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
SUCTION CATHETER 14
SUCTION CATHETER 16
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
20,00
2,00
2,00
2,00
3,00
3,00
3,00
2,00
2,00
2,00
18,00

5 Mei 2013 11:30

Item
LEVOFLOXACIN INF TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

5 Mei 2013 11:29

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

5 Mei 2013 11:28

Item
FOLIC ACID 1 MG TABLET
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
CONDOM CATHETER L
CEDOCARD 10 ML SOLUTION, INJECTION
ACETYLCYSTEIN 200MG CAPS
BIFOTIK POWDER, FOR INJECTION SUSPENSION

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
3,00
3,00
1,00
3,00
2,00
1,00

HANDSCOON NON STERIL S (PCS)

DRAINAGE BAG STERIL
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
AMLODIPIN 5 MG TABLET
ATORVASTATIN 20 MG TABLET
V-BLOC 6,25MG TABLET
CLOPIDOGREL 75 MG TABLET
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

20,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
18,00

5 Mei 2013 11:23

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
FOLIC ACID 1 MG TABLET
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMINORAL TABLET
BICNAT CAPSULE
TUSLAH RACIKAN
EMBALASE
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DRAINAGE BAG STERIL
RING AS SANBE 500 ML
H.C.T 25 MG TABLET
HANDSCOON NON STERIL S (PCS)
FUROSEMID INF INJECTION
CEDOCARD 10 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
3,00
2,00
6,00
3,00
3,00
1,00
3,00
3,00
3,00
3,00
1,00
1,00
1,00
20,00
10,00
3,00
16,00

5 Mei 2013 11:19

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
4,00
2,00
1,00
3,00

DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

2,00
20,00
1,00
7,00

5 Mei 2013 11:18

Item
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 10 CC
VERBAND ROLL
DISP SYRINGE 50 CC WITHOUT NED
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
ANESFAR INJEKSI
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00
2,00
2,00
3,00
3,00
6,00
4,00
3,00
3,00
12,00

5 Mei 2013 11:16

Item
HYPERIL 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
BISOLVON 2 ML INJECTION
CEDOCARD 10 ML SOLUTION, INJECTION
FUROSEMID INF INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NEEDLE NO. 23 THERUMO
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO
RING AS SANBE 500 ML
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
2,00
2,00
2,00
2,00
2,00
2,00
2,00
3,00
2,00
20,00
4,00
4,00
4,00
17,00

5 Mei 2013 11:03

Item
DORNER TABLET 20 MCG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

5 Mei 2013 11:02

Item
CURCUMA 200 MG TABLET
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
2,00

5 Mei 2013 11:01

Item
FOLIC ACID 1 MG TABLET
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
FARGOXIN INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DEXTROSE 5% WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
NEEDLE NO.18 THERUMO
NEEDLE NO. 23 THERUMO
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
2,00
2,00
2,00
1,00
2,00
20,00
2,00
1,00
2,00
2,00
2,00
13,00

5 Mei 2013 10:56

Item
RING AS SANBE 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
NEEDLE NO. 23 THERUMO
NEEDLE NO 27 THERUMO
NEEDLE NO.18 THERUMO
DOBUTAMIN GENERIK 50 MG/ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
2,00
2,00
8,00
8,00

5 Mei 2013 10:55

Item
HALOPERIDOL INF 0.5 MG TABLET
V-BLOC 6,25MG TABLET
CATAPRES INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
AMINOFLUID 500 ML INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
4,00
4,00
2,00
2,00
2,00
2,00
1,00
4,00
4,00
4,00
10,00
10,00
14,00

5 Mei 2013 10:50

Item
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
H.C.T 25 MG TABLET
BISOPROLOL 5 MG TABLET
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
M-20 INFUSAN (MANITOL) 500 ML
PANTOPRAZOLE INJECTION
DEXTROSE 5% WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
IVENA IV CATH 24
NEEDLE NO.18 THERUMO
NEEDLE NO 27 THERUMO
NEEDLE NO. 23 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
2,00
2,00
2,00
1,00
1,00
1,00
20,00
2,00
2,00
2,00
2,00
2,00
15,00

3 Mei 2013 14:52

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
1,00

TOTAL

3 Mei 2013 14:52

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

3 Mei 2013 14:51

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

3 Mei 2013 14:48

Item
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

3 Mei 2013 14:26

Item
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

3 Mei 2013 14:01

Item
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
ALKOHOL SWAB
INFUS SET JMS
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
6,00
1,00
1,00
1,00
1,00
20,00
7,00

3 Mei 2013 14:01

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED

JAKARTA SEHAT
Quantity
9,00

ASAM MEFENAMAT INF 500 MG TABLET

INFUS SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

9,00
1,00
1,00
4,00

3 Mei 2013 14:01

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
9,00
9,00
9,00
6,00
6,00
6,00
1,00
1,00
1,00
20,00
12,00

3 Mei 2013 14:00

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
SANMOL INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
IVENA IV CATH 22
ALKOHOL SWAB
DERMAFIX-1V
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
9,00
9,00
9,00
9,00
4,00
9,00
1,00
1,00
1,00
1,00
20,00
12,00

3 Mei 2013 14:00

Item
DISP SYRINGE 10 CC
INFUS SET JMS

JAKARTA SEHAT
Quantity
9,00
1,00

ALKOHOL SWAB
IVENA IV CATH 22
DERMAFIX-1V
RING AS SANBE 500 ML
BD VACUTAINER
TRANSFUSION SET JMS
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
9,00
1,00
1,00
20,00
4,00
10,00

3 Mei 2013 14:00

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
CINAM 1.5 GM INJECTION
RINGER LACTATE WIDATRA 500 ML
FUTROLIT INFUSION
KA-EN 3B 500 ML INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
9,00
9,00
9,00
6,00
4,00
3,00
4,00
1,00
20,00
9,00
9,00
1,00
1,00
15,00

3 Mei 2013 13:59

Item
CIPROFLOXACIN TABLET
ASAM MEFENAMAT INF 500 MG TABLET
METRONIDAZOLE 500 MG TABLET
VITAMIN B COMPLEX
DERMAFIX-1V
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
9,00
9,00
3,00
1,00
2,00
6,00

3 Mei 2013 13:59

Item

KLB
Quantity

CEFIXIME GENERIK CAPSULE

METRONIDAZOLE 500 MG TABLET
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMLODIPIN 5 MG TABLET
BISOPROLOL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
MECOBALAMIN AMP INJECTION
DERMAFIX-1V
DISP SYRINGE 5 CC
SANKORBIN AMP INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
INFUS SET JMS
IVENA IV CATH 22
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

6,00
9,00
6,00
1,00
3,00
3,00
3,00
3,00
1,00
15,00
3,00
15,00
1,00
1,00
1,00
3,00
16,00

3 Mei 2013 13:38

Item
CIPROFLOXACIN TABLET
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
9,00
3,00

3 Mei 2013 13:38

Item
ASAM MEFENAMAT INF 500 MG TABLET
VITAMIN B COMPLEX
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
INFUS SET JMS
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
3,00
1,00
20,00
9,00
1,00
1,00
7,00

3 Mei 2013 13:38

Item
ETHAMBUTOL500mg TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
6,00
3,00
3,00

PYRAZINAMIDE INF 500 MG TABLET

SALBUTAMOL INF TABLET 2 MG
CURCUMA 200 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DERMAFIX-1V
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

6,00
9,00
6,00
6,00
9,00
9,00
9,00
18,00
9,00
9,00
3,00
1,00
1,00
1,00
17,00

3 Mei 2013 13:21

Item
ONDANSETRON INF 4 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DERMAFIX-1V
IVENA IV CATH 22
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
12,00
1,00
1,00
10,00
20,00
1,00
3,00
9,00

3 Mei 2013 13:21

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
ONDANSETRON INF 4 MG INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DERMAFIX-1V

JAKARTA SEHAT
Quantity
10,00
8,00
1,00
10,00
10,00
10,00
15,00
6,00
1,00
20,00
5,00
1,00

INFUS SET JMS

TUSLAH NON RACIKAN
TOTAL

1,00
13,00

3 Mei 2013 13:21

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
URISPAS TABLET, FILM COATED 200 MG
DIGOXIN INF TABLET
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
6,00
6,00
9,00
7,00
3,00
4,00
7,00
1,00
20,00
1,00
13,00

3 Mei 2013 13:20

Item
DULCOLAX SUPPOSITORY 10 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
TRANSFUSION SET JMS
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
8,00
10,00
10,00
10,00
6,00
1,00
6,00
20,00
1,00
1,00
11,00

3 Mei 2013 13:20

Item
RING AS SANBE 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00
2,00

3 Mei 2013 13:13

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
SIMVASTATIN GENERIK 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DERMAFIX-1V
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
9,00
6,00
8,00
15,00
15,00
15,00
1,00
1,00
1,00
20,00
12,00

3 Mei 2013 13:12

Item
CITICHOLIN 500 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
RANITIDINE INF TABLET 150 MG
VITAMIN B COMPLEX
FUROSEMID INF TABLET
BISOPROLOL 5 MG TABLET
DERMAFIX-1V
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
4,00
6,00
4,00
4,00
1,00
1,00
4,00
9,00

3 Mei 2013 13:12

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
IVENA IV CATH 22
ALKOHOL SWAB
DERMAFIX-1V
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
9,00
9,00
1,00
5,00
1,00
1,00
20,00
9,00

TOTAL

3 Mei 2013 13:12

Item
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH
DISP SYRINGE 10 CC
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

3 Mei 2013 13:11

Item
AMLODIPIN 5 MG TABLET
NATRIUM BICARBONAT
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
CLONIDINE INF 150 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
ALKOHOL SWAB
DERMAFIX-1V
IVENA IV CATH 22
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
18,00
9,00
6,00
8,00
8,00
6,00
1,00
1,00
9,00
20,00
6,00
11,00

3 Mei 2013 13:11

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
IVENA IV CATH 20
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TRANSFUSION SET JMS
BD VACUTAINER
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
1,00
20,00
2,00
3,00
5,00
8,00

3 Mei 2013 13:10

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
ASPAR-K TABLET, COATED 300 mg
ACETYLCYSTEIN 200MG CAPS
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
DERMAFIX-1V
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
IVENA IV CATH 24
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
8,00
9,00
12,00
12,00
8,00
8,00
1,00
6,00
1,00
1,00
9,00
10,00
1,00
1,00
20,00
17,00

3 Mei 2013 13:09

Item
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
RINGER LACTATE WIDATRA 500 ML
DERMAFIX-1V
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
8,00
15,00
10,00
1,00
20,00
9,00
1,00
1,00
9,00

3 Mei 2013 13:09

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
6,00
6,00

DISP SYRINGE 10 CC
DERMAFIX-1V
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

6,00
1,00
1,00
20,00
9,00
1,00
1,00
12,00

3 Mei 2013 13:09

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

3 Mei 2013 13:08

Item
BD VACUTAINER
RINGER LACTATE WIDATRA 500 ML
FUTROLIT INFUSION
KA-EN 3B 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
ASAM MEFENAMAT INF 500 MG TABLET
IVENA IV CATH 22
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
6,00
6,00
6,00
12,00
9,00
1,00
1,00
20,00
1,00
11,00

3 Mei 2013 12:53

Item
BD VACUTAINER
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

3 Mei 2013 12:52

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
BISOPROLOL 5 MG TABLET

JAKARTA SEHAT
Quantity
1,00
5,00

TUSLAH NON RACIKAN

TOTAL

2,00

3 Mei 2013 12:50

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
MICROPORE 1/2 INC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
1,00
1,00
6,00

3 Mei 2013 12:44

Item
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
AMLODIPIN 5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 10 CC
KALTROFEN KALBE SUPPOSITORY 100 mg
DISP SYRINGE 5 CC
IVENA IV CATH 22
ALKOHOL SWAB
DERMAFIX-1V
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
6,00
6,00
6,00
12,00
6,00
12,00
1,00
6,00
1,00
9,00
5,00
10,00
20,00
1,00
16,00

3 Mei 2013 12:44

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DEXAMETHASONE 5 MG INJECTION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
IVENA IV CATH 22
DERMAFIX-1V
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAMKESMAS
Quantity
9,00
8,00
20,00
12,00
1,00
1,00
5,00

SPIRONOLACTONE 25 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
PROPANOLOL 10 MG TABLET
FUROSEMID INF TABLET
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

3,00
6,00
10,00
4,00
1,00
1,00
13,00

3 Mei 2013 12:43

Item
DOMPERIDON INF TABLET 10 MG
PARACETAMOL INF TABLET 500 mg
CALCIUM CARBONATE 1000 GM POWDER
TUSLAH RACIKAN
EMBALASE
CURCUMA 200 MG TABLET
OMEPRAZOLE 40 MG INJECTION
CALCIUM GLUCONAS ETHICA INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TRANSFUSION SET JMS
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
KA-EN 3B 500 ML INFUSION
AMINOFLUID 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
1,00
9,00
8,00
6,00
3,00
10,00
10,00
1,00
1,00
20,00
6,00
4,00
12,00

3 Mei 2013 11:50

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
KETOPROFEN 100 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
4,00

3 Mei 2013 10:12

Item
CLINDAMYCIN 300 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

3 Mei 2013 09:59

Item
ACETYLCYSTEIN 200MG CAPS
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

3 Mei 2013 09:57

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

3 Mei 2013 09:56

Item
FUROSEMID INF TABLET
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
10,00
10,00
10,00
6,00

3 Mei 2013 09:55

Item
CITICHOLIN 500 MG TABLET
METHYL PREDNISOLONE inf 16 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

3 Mei 2013 09:54

Item
DISP SYRINGE 3 CC
MECOBALAMIN AMP INJECTION
SANKORBIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00

2 Mei 2013 21:38

UMUM

Item
FUTROLIT INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
2,00

2 Mei 2013 19:36

Item
STOMACH TUBE 16 THERUMO
FOLLEY CATHETER 8 RUSCH
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

2 Mei 2013 13:06

Item
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

2 Mei 2013 11:36

Item
CINAM 1.5 GM INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
12,00
12,00
3,00
10,00
12,00
4,00
7,00

2 Mei 2013 11:35

Item
CIPROFLOXACIN TABLET
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
15,00
3,00

2 Mei 2013 11:32

Item

KLB
Quantity

ASPILETS TABLET, CHEWABLE 80 MG

SANKORBIN AMP INJECTION
MECOBALAMIN AMP INJECTION
AMLODIPIN 10 MG TABLET
BISOPROLOL 5 MG TABLET
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
3,00
3,00
2,00
3,00
6,00

2 Mei 2013 11:29

Item
CENDO CENFRESH 5 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

2 Mei 2013 10:06

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
4,00
8,00
1,00
8,00
10,00
1,00
7,00

2 Mei 2013 10:06

Item
ASAM MEFENAMAT INF 500 MG TABLET
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
4,00
6,00
1,00
20,00
4,00
6,00
8,00

2 Mei 2013 10:03

Item
CIPROFLOXACIN TABLET

JAKARTA SEHAT
Quantity
4,00

METRONIDAZOLE 500 MG TABLET

ASAM MEFENAMAT INF 500 MG TABLET
VITAMIN B COMPLEX
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

6,00
6,00
2,00
6,00
1,00
6,00

2 Mei 2013 10:03

Item
RINGER LACTATE WIDATRA 500 ML
FUTROLIT INFUSION
KA-EN 3B 500 ML INFUSION
NEUROSANBE 3 ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
6,00
6,00
6,00
6,00
8,00

2 Mei 2013 10:03

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
IVENA IV CATH 22
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
4,00
4,00
2,00
1,00
6,00
6,00

2 Mei 2013 09:50

Item
CIPROFLOXACIN TABLET
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
IVENA IV CATH 22
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
1,00
6,00
5,00

1 Mei 2013 23:41

JAKARTA SEHAT

Item
ZINKID 10MG/5ML SYRUP
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
2,00

1 Mei 2013 19:58

Item
IVENA IV CATH 18
BISOPROLOL 5 MG TABLET
HYPERIL 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

1 Mei 2013 19:55

Item
ANBACIM INJECTION
FARMADOL 100 ML INFUSION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
3,00
1,00
1,00
7,00

1 Mei 2013 19:51

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
FOLLEY CATHETER 16 RUSCH
BD VACUTAINER
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
7,00

1 Mei 2013 13:40

Item
CEFIXIME GENERIK CAPSULE
SOLAC SYRUP

JAKARTA SEHAT
Quantity
20,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

1 Mei 2013 11:58

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
20,00
3,00

1 Mei 2013 00:46

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
5,00

1 Mei 2013 00:37

Item
STREPTOMYCIN SULPHATE MEIJI 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

1 Mei 2013 00:32

Item
VASCON SOLUTION, INJECTION 4 MG/4 ML
DOBUJECT 50 MG/ML INJECTION
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

1 Mei 2013 00:12

Item
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

2,00

1 Mei 2013 00:10

Item
DOBUJECT 50 MG/ML INJECTION
TRANSFUSION SET JMS
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

Depo
Depo Atas
Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
VIL
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Pasien
Penjamin
2115
2115
17880
17880
1000
1000
20995
20995

0
0
0
0

Pasien
Penjamin
12120
12120
500
500
12620
12620

0
0
0

Pasien
Penjamin
2820
2820
2520
2520
1000
1000
6340
6340

0
0
0
0

Pasien
Penjamin
193320
193320
2115
2115
14304
14304
1500
1500
211239
211239

0
0
0
0
0

Pasien
Penjamin
17640
17640
170544
170544
3825
3825
1500
1500
193509
193509

0
0
0
0
0

Pasien
Penjamin
376200
376200
500
500
376700
376700

0
0
0

Depo Atas
Subtotal
TAB
VIL
BOT
BOT
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
BOT
BOT
BOT
SUP
UNT

Depo Atas
Subtotal
BOT
UNT
BOT
AMP
UNT

Depo Atas

Pasien

Penjamin
405
170544
18192
368016
2000
559157

0
0
0
0
0
0

Pasien
Penjamin
26950
26950
500
500
27450
27450

0
0
0

Pasien
Penjamin
17820
17820
500
500
18320
18320

0
0
0

Pasien
Penjamin
135936
135936
27288
27288
11762
11762
150480
150480
2000
2000
327466
327466

0
0
0
0
0
0

Pasien
Penjamin
494802
494802
12610
12610
32834
32834
29904
29904
2000
2000
572150
572150

0
0
0
0
0
0

405
170544
18192
368016
2000
559157

Subtotal
TAB
AMP
AMP
BOT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
VIL
AMP
BOT
UNT
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Emergency Mawar
Subtotal
AMP
UNT

Pasien
Penjamin
1720
1720
126741
126741
30794
30794
63253
63253
2000
2000
224508
224508

0
0
0
0
0
0

Pasien
Penjamin
15844
15844
500
500
16344
16344

0
0
0

Pasien
Penjamin
29904
29904
85272
85272
8820
8820
32834
32834
12610
12610
2500
2500
171940
171940

0
0
0
0
0
0
0

Pasien
Penjamin
9504
9504
500
500
10004
10004

0
0
0

Pasien
Penjamin
8270
8270
1720
1720
79220
79220
1500
1500
90710
90710

0
0
0
0
0

Pasien
Penjamin
62370
62370
500
500

0
0

62870

Depo IGD
Subtotal
BOT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
AMP
VIL
UNT
BOT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
UNT
UNT
UNT
BOT
UNT

62870

Pasien
Penjamin
247401
247401
14988
14988
1000
1000
263389
263389

0
0
0
0

Pasien
Penjamin
7640
7640
1692
1692
14304
14304
1500
1500
25136
25136

0
0
0
0
0

Pasien
Penjamin
3308
3308
184764
184764
551760
551760
15300
15300
197004
197004
14988
14988
10040
10040
2970
2970
4000
4000
984134
984134

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6616
6616
23376
23376
2064
2064
38016
38016
15400
15400
14988
14988
8415
8415
197004
197004
4000
4000
309879
309879

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
AMP
UNT
BAG
BOT
BOT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
AMP
VIL
BOT
UNT
UNT
UNT

Pasien
Penjamin
55440
55440
12320
12320
205200
205200
224400
224400
65340
65340
2500
2500
565200
565200

0
0
0
0
0
0
0

Pasien
Penjamin
184764
184764
15300
15300
1000
1000
201064
201064

0
0
0
0

Pasien
Penjamin
2664
2664
3488
3488
276
276
1992
1992
29868
29868
716
716
448940
448940
15013
15013
13175
13175
8440
8440
5000
5000
529572
529572

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
409728
409728
184764
184764
1235520 1235520
305856
305856
15300
15300
14988
14988
3000
3000
2169156 2169156

0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
BOT
BOT
VIL
UNT
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
BOT
BOT
BOT
UNT

Depo Atas
Subtotal
VIL
UNT
SUP
BOT
PKG
UNT
PKG
TAB
BOT
GM
UNT
UNT
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
1512
1512
1896
1896
47685
47685
65340
65340
511632
511632
12320
12320
197004
197004
14988
14988
2970
2970
4500
4500
859847
859847

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1800
1800
534600
534600
4125
4125
262672
262672
2000
2000
805197
805197

0
0
0
0
0
0

Pasien
Penjamin
682176
682176
12320
12320
94248
94248
131336
131336
2970
2970
14988
14988
10040
10040
608
608
47685
47685
480
480
3500
3500
600
600
984
984
5000
5000
1006935 1006935

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
TAB
UNT

7920
5620
5940
1160
180
2500
23320

7920
5620
5940
1160
180
2500
23320

0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
72732
72732
1692
1692
1000
1000
75424
75424

0
0
0
0

Pasien
Penjamin
409728
409728
504900
504900
14988
14988
20080
20080
16335
16335
2500
2500
968531
968531

0
0
0
0
0
0
0

Pasien
Penjamin
91080
91080
500
500
91580
91580

0
0
0

Pasien
Penjamin
45540
45540
876
876
1000
1000

0
0
0

47416

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
GM
UNT
UNT
TAB
TAB
VIL
CTG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
TAB
TAB
AMP
AMP
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas

47416

Penjamin
516
2004
984
1824
468
3500
600
2424
12352
1900800
180048
16335
14988
5000
2141843

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
31416
31416
3308
3308
47685
47685
176
176
5804
5804
213840
213840
83160
83160
11564
11564
10200
10200
30800
30800
5000
5000
442953
442953

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
72732
72732
1692
1692
1000
1000
75424
75424

0
0
0
0

Pasien
516
2004
984
1824
468
3500
600
2424
12352
1900800
180048
16335
14988
5000
2141843

Subtotal
TAB
TAB
TAB
AMP
AMP
UNT
UNT
BOT
BAG
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
VIL
VIL
UNT

Depo Atas
Subtotal
VIL
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB

Pasien
Penjamin
3308
3308
1692
1692
1032
1032
83160
83160
20880
20880
18480
18480
15300
15300
36384
36384
75172
75172
4500
4500
259908
259908

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
500
500
171044
171044

0
0
0

Pasien
Penjamin
255816
255816
148980
148980
1000
1000
405796
405796

0
0
0
0

Pasien
Penjamin
91080
91080
16335
16335
1000
1000
108415
108415

0
0
0
0

Pasien
Penjamin
12750
12750
500
500
13250
13250

0
0
0

Pasien
Penjamin
29568
29568

TAB
TAB
TAB
BOT
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
PKG
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
AMP
AMP
BOT
BOT
UNT

Depo Atas
Subtotal
VIL
BOT

1792
616
1032
47685
19688
10200
14988
3560
4500
133629

1792
616
1032
47685
19688
10200
14988
3560
4500
133629

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2970
2970
3560
3560
8415
8415
29568
29568
6176
6176
2004
2004
616
616
5804
5804
488
488
608640
608640
197004
197004
5500
5500
870745
870745

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
176
3308
63376
47685
20880
83160
448844
534600
4000
1206029

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1689600 1689600
197004
197004

0
0

176
3308
63376
47685
20880
83160
448844
534600
4000
1206029

UNT
UNT
PKG
TAB
TAB
GM
UNT
UNT
GM
UNT
UNT
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
BOT
BOT
AMP
AMP
UNT
BOT
AMP
UNT
BOT
UNT

1780
14988
10040
8956
984
480
3500
600
468
3500
600
1512
3308
4500
1941820

1780
14988
10040
8956
984
480
3500
600
468
3500
600
1512
3308
4500
1941820

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4128
4128
2004
2004
984
984
15840
15840
897600
897600
29532
29532
15300
15300
14988
14988
1780
1780
2970
2970
5000
5000
990126
990126

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2064
2064
47685
47685
65340
65340
23128
23128
506964
506964
19125
19125
197004
197004
119616
119616
12320
12320
253012
253012
5000
5000
1251258 1251258

0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
AMP
UNT
BOT
VIL
UNT
TAB
TAB
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
AMP
UNT
BOT
PKG
BOT
UNT
UNT

Depo Atas
Subtotal
PKG
UNT
AMP
UNT
VIL
UNT
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
29532
29532
15300
15300
197004
197004
682176
682176
12320
12320
1032
1032
1792
1792
3500
3500
942656
942656

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
682176
682176
12320
12320
68064
68064
15300
15300
197004
197004
2970
2970
65340
65340
8415
8415
4500
4500
1103774 1103774

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2970
2970
14988
14988
506964
506964
15300
15300
341088
341088
6160
6160
5804
5804
2124
2124
3308
3308
1032
1032
2156
2156
5500
5500
907394
907394

0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
BOT
BOT
VIL
AMP
BOT
UNT
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
TAB
TAB
BOT
UNT
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
BOT
TAB
TAB
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB

Pasien
Penjamin
1260
1260
47685
47685
4125
4125
341088
341088
68064
68064
145536
145536
25500
25500
2370
2370
4000
4000
639628
639628

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
39600
39600
2156
2156
10808
10808
1392
1392
488
488
109152
109152
14988
14988
4000
4000
183616
183616

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
39600
39600
29568
29568
197004
197004
1392
1392
2004
2004
14988
14988
10040
10040
8415
8415
4500
4500
355196
355196

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2184
2184
3308
3308

0
0

TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
UNT
BOT
AMP
VIL
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

2064
3168
464
4752
2248
3500
21688

2064
3168
464
4752
2248
3500
21688

0
0
0
0
0
0
0

Pasien
Penjamin
38016
38016
25500
25500
197004
197004
506964
506964
341088
341088
23128
23128
6160
6160
3500
3500
1141360 1141360

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2115
2115
17880
17880
3555
3555
1500
1500
25050
25050

0
0
0
0
0

Pasien
Penjamin
18343
18343
500
500
18843
18843

0
0
0

Pasien
Penjamin
3270
3270
8270
8270
2370
2370
3360
3360
14510
14510
2500
2500
34280
34280

0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas

Pasien

Penjamin
176
500
676

0
0
0

Pasien
Penjamin
1032
1032
1792
1792
1000
1000
3824
3824

0
0
0
0

Pasien
Penjamin
1392
1392
732
732
1000
1000
3124
3124

0
0
0
0

Pasien
Penjamin
1002
1002
464
464
1000
1000
2466
2466

0
0
0
0

Pasien
Penjamin
5010
5010
99000
99000
10320
10320
20520
20520
7255
7255
3480
3480
1220
1220
3500
3500
150305
150305

0
0
0
0
0
0
0
0
0

176
500
676

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
AMP
TAB
AMP
UNT

Emergency Mawar
Subtotal
UNT
UNT

Depo Atas
Subtotal

Pasien
Penjamin
16540
16540
41050
41050
7255
7255
220
220
3480
3480
2500
2500
71045
71045

0
0
0
0
0
0
0

Pasien
Penjamin
2505
2505
270
270
1000
1000
3775
3775

0
0
0
0

Pasien
Penjamin
12315
12315
896
896
4632
4632
696
696
2000
2000
20539
20539

0
0
0
0
0
0

Pasien
Penjamin
20790
20790
8673
8673
2115
2115
10989
10989
2000
2000
44567
44567

0
0
0
0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien

Penjamin

CAP
TAB
UNT

Depo IGD
Subtotal
VIL
AMP
AMP
SUP
AMP
BOT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
VIL
UNT
UNT
BOT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

26940
1410
1000
29350

26940
1410
1000
29350

0
0
0
0

Pasien
Penjamin
131319
131319
20790
20790
46191
46191
39186
39186
8673
8673
18192
18192
14988
14988
5991
5991
3825
3825
3300
3300
18343
18343
5500
5500
316298
316298

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
11385
11385
5991
5991
6600
6600
2640
2640
3012
3012
3000
3000
47616
47616

0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
14988
14988
1000
1000
34331
34331

0
0
0
0

Pasien
Penjamin
32834
32834
8415
8415

0
0

UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
VIL
UNT
BOT
UNT

Depo IGD
Subtotal
UNT
TUB
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BAG
UNT

Apotik Panel 2
Subtotal

14988
1500
57737

14988
1500
57737

0
0
0

Pasien
Penjamin
8652
8652
500
500
9152
9152

0
0
0

Pasien
Penjamin
18343
18343
131319
131319
14988
14988
33984
33984
2000
2000
200634
200634

0
0
0
0
0
0

Pasien
Penjamin
18343
18343
56262
56262
5809
5809
1500
1500
81914
81914

0
0
0
0
0

Pasien
Penjamin
197004
197004
500
500
197504
197504

0
0
0

Pasien
Penjamin
38532
38532
500
500
39032
39032

0
0
0

Pasien

Penjamin

TAB
UNT

Apotik Panel 2
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
BAG
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
BOT
UNT
PKG

102000
500
102500

102000
500
102500

0
0
0

Pasien
Penjamin
170000
170000
13200
13200
1000
1000
184200
184200

0
0
0
0

Pasien
Penjamin
38532
38532
500
500
39032
39032

0
0
0

Pasien
Penjamin
131336
131336
500
500
131836
131836

0
0
0

Pasien
Penjamin
2970
2970
500
500
3470
3470

0
0
0

Pasien
Penjamin
435338
435338
500
500
435838
435838

0
0
0

Pasien
Penjamin
1512
1512
197004
197004
14988
14988
2970
2970

0
0
0
0

PKG
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
BOT
BAG
VIL
BOT
UNT

Depo Atas
Subtotal
VIL

10040
2500
229014

10040
2500
229014

0
0
0

Pasien
Penjamin
40887
40887
500
500
41387
41387

0
0
0

Pasien
Penjamin
3204
3204
500
500
3704
3704

0
0
0

Pasien
Penjamin
341088
341088
229838
229838
1000
1000
571926
571926

0
0
0
0

Pasien
Penjamin
341088
341088
500
500
341588
341588

0
0
0

Pasien
Penjamin
47685
47685
38532
38532
341088
341088
197004
197004
2000
2000
626309
626309

0
0
0
0
0
0

Pasien
Penjamin
341088
341088

UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
BOT
UNT

Depo Atas
Subtotal
VIL
UNT

Depo Atas
Subtotal
AMP
BOT
BOT
BOT
BOT
VIL
UNT
AMP
AMP
PKG
UNT
UNT

500
341588

500
341588

0
0

Pasien
Penjamin
341088
341088
500
500
341588
341588

0
0
0

Pasien
Penjamin
15976
15976
500
500
16476
16476

0
0
0

Pasien
Penjamin
341088
341088
131336
131336
1000
1000
473424
473424

0
0
0
0

Pasien
Penjamin
1103520 1103520
500
500
1104020 1104020

0
0
0

Pasien
Penjamin
120132
120132
131336
131336
253012
253012
23524
23524
78634
78634
91080
91080
7988
7988
23128
23128
142560
142560
2970
2970
3560
3560
12320
12320

0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
TAB
AMP
UNT
PKG
UNT
UNT
BOT
UNT
UNT

Depo Atas
Subtotal
VIL
BOT
UNT
PKG
UNT
PKG
BOT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
AMP
UNT
AMP

10200
6500
906944

10200
6500
906944

0
0
0

Pasien
Penjamin
2004
2004
39600
39600
3096
3096
8208
8208
1451
1451
3500
3500
200
200
1392
1392
9844
9844
5100
5100
2970
2970
14988
14988
16335
16335
65668
65668
3560
3560
6000
6000
183916
183916

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
91080
91080
673200
673200
15976
15976
2970
2970
14988
14988
10040
10040
197004
197004
3560
3560
4000
4000
1012818 1012818

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
91080
91080
7988
7988
83160
83160
15300
15300
88500
88500

0
0
0
0
0

UNT
TAB
TAB
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
BOT
UNT
TUB
UNT
UNT
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
PKG
UNT
PKG
UNT
UNT
TAB
TAB
VIL
UNT
UNT
AMP
BOT
AMP
UNT
UNT

Depo Atas

18480
2902
31416
197004
3560
2970
14988
6000
563348

18480
2902
31416
197004
3560
2970
14988
6000
563348

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
885032
885032
673200
673200
15976
15976
118800
118800
3560
3560
16335
16335
147753
147753
14988
14988
10040
10040
4500
4500
1890184 1890184

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2970
2970
356
356
10040
10040
8415
8415
14988
14988
3096
3096
3308
3308
91080
91080
12320
12320
15976
15976
119616
119616
131336
131336
38016
38016
15300
15300
7000
7000
473817
473817

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
AMP
UNT
VIL
TAB
TAB
TAB
TAB
PKG
UNT
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
UNT
PKG
UNT
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
VIL
UNT
UNT
UNT
UNT
PKG
PKG
UNT
UNT
UNT

Pasien
Penjamin
9844
9844
5100
5100
1217280 1217280
6176
6176
616
616
2004
2004
29568
29568
2970
2970
14988
14988
197004
197004
3560
3560
5500
5500
1494610 1494610

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
1792
1792
616
616
2064
2064
59064
59064
19125
19125
2970
2970
14988
14988
109152
109152
10040
10040
16335
16335
5500
5500
271214
271214

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
83160
83160
20880
20880
91080
91080
7988
7988
18480
18480
15300
15300
14988
14988
2970
2970
10040
10040
8415
8415
3560
3560
5500
5500

0
0
0
0
0
0
0
0
0
0
0
0

282361

Depo Atas
Subtotal
BOT
PKG
UNT
TAB
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
AMP
UNT
PKG
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
CAP
CAP
TAB
UNT

Depo Atas
Subtotal
VIL
UNT
PKG
UNT
AMP
BOT

282361

Pasien
Penjamin
36384
36384
2970
2970
14988
14988
1692
1692
3560
3560
2500
2500
62094
62094

0
0
0
0
0
0
0

Pasien
Penjamin
7640
7640
1128
1128
55440
55440
12320
12320
2970
2970
356
356
10040
10040
14988
14988
8415
8415
4500
4500
117797
117797

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
16212
16212
21552
21552
1692
1692
2000
2000
89141
89141

0
0
0
0
0
0

Pasien
Penjamin
91080
91080
7988
7988
2970
2970
14988
14988
184764
184764
131336
131336

0
0
0
0
0
0

UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
PKG
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT
AMP
UNT
UNT
PKG
PKG
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
AMP
AMP
AMP
UNT

8415
10040
15300
4500
471381

8415
10040
15300
4500
471381

0
0
0
0
0

Pasien
Penjamin
91080
91080
184764
184764
15300
15300
7988
7988
2970
2970
109152
109152
14988
14988
3560
3560
16335
16335
10040
10040
5000
5000
461177
461177

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1575828 1575828
23964
23964
184764
184764
15300
15300
14988
14988
10040
10040
2970
2970
131336
131336
3560
3560
8415
8415
5000
5000
1976165 1976165

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
91080
91080
7988
7988
83160
83160
59000
59000
23128
23128
20400
20400

0
0
0
0
0
0

UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
AMP
UNT
AMP
UNT
BOT
UNT
UNT
PKG
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
VIL
UNT
UNT
VIL
PKG
UNT

Depo Atas
Subtotal

14988
2970
8415
1780
5000
317909

14988
2970
8415
1780
5000
317909

0
0
0
0
0
0

Pasien
Penjamin
91080
91080
7988
7988
83160
83160
18480
18480
59000
59000
10200
10200
131336
131336
14988
14988
8415
8415
10040
10040
2970
2970
3560
3560
6000
6000
447217
447217

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29568
29568
2184
2184
616
616
6176
6176
1792
1792
15840
15840
1032
1032
19688
19688
897600
897600
15976
15976
10200
10200
148980
148980
2970
2970
6500
6500
1159122 1159122

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

VIL
TAB
GM
UNT
UNT
GM
UNT
UNT
TAB
TAB
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
PKG
PKG
UNT
BOT
VIL
UNT
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
AMP
UNT
PKG
PKG
BOT
UNT

844800
3308
468
3500
600
480
3500
600
984
1512
2970
14988
10040
3500
891250

844800
3308
468
3500
600
480
3500
600
984
1512
2970
14988
10040
3500
891250

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
2970
2970
10040
10040
14988
14988
47685
47685
91080
91080
19970
19970
29532
29532
15300
15300
12320
12320
5000
5000
257300
257300

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
312
10768
176
2952
1392
6616
59064
19125
10040
2970
197004
14988

Penjamin
312
10768
176
2952
1392
6616
59064
19125
10040
2970
197004
14988

0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
VIL
TAB
TAB
GM
UNT
UNT
TAB
TAB
TAB
TAB
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
BOT
VIL
UNT
UNT
UNT
UNT
PKG
BOT
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
UNT
UNT

6000
331407

6000
331407

0
0

Pasien
Penjamin
844800
844800
6176
6176
2424
2424
468
468
3500
3500
600
600
1032
1032
2004
2004
984
984
608
608
14988
14988
2970
2970
18480
18480
19970
19970
3560
3560
6000
6000
928564
928564

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45376
45376
448800
448800
1235520 1235520
23964
23964
18480
18480
15300
15300
14988
14988
2970
2970
197004
197004
8415
8415
5000
5000
2015817 2015817

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
197004
197004
91080
91080
15976
15976
15300
15300

0
0
0
0

UNT
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
CAP
TAB
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
TAB
AMP
SUP

12320
2248
4752
464
3168
3308
2184
5500
353304

12320
2248
4752
464
3168
3308
2184
5500
353304

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16420
16420
896
896
6176
6176
928
928
21552
21552
456
456
2970
2970
14988
14988
4000
4000
68386
68386

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
31416
31416
1451
1451
3500
3500
200
200
14988
14988
2970
2970
356
356
16335
16335
16088
16088
3000
3000
90304
90304

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
57964
57964
6616
6616
68064
68064
47124
47124

0
0
0
0
0

UNT
UNT
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
TAB
TAB
UNT
TAB
PKG
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
VIL
AMP
UNT
UNT
PKG
UNT
UNT
TAB
UNT

15976
15300
12320
2970
8415
10040
14988
6000
267289

15976
15300
12320
2970
8415
10040
14988
6000
267289

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5804
5804
47685
47685
984
984
616
616
12320
12320
16420
16420
2970
2970
14988
14988
10040
10040
3560
3560
16088
16088
5500
5500
136975
136975

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8208
8208
2064
2064
3308
3308
708
708
6160
6160
91080
91080
464717
464717
15976
15976
15300
15300
2970
2970
3560
3560
16088
16088
2902
2902
6500
6500
639541
639541

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
TAB
TAB
TAB
TAB
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
PKG
PKG
BAG
UNT

Depo Atas
Subtotal
UNT
VIL
BOT
BOT
AMP
AMP
UNT
UNT
BOT
TAB
TAB
TAB
TAB
UNT
UNT

Pasien
Penjamin
6616
6616
5804
5804
8956
8956
47685
47685
5100
5100
6276
6276
176
176
1392
1392
15976
15976
12320
12320
2970
2970
10040
10040
6000
6000
129311
129311

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
2844
2844
14988
14988
2970
2970
10040
10040
54585
54585
3000
3000
89939
89939

0
0
0
0
0
0
0
0

Pasien
Penjamin
15976
15976
1103520 1103520
673200
673200
448844
448844
83160
83160
20880
20880
15300
15300
18480
18480
47685
47685
63376
63376
1968
1968
3308
3308
176
176
16088
16088
18343
18343

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT
BOT
BOT
PKG
UNT
PKG
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
CAP
BOT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
BOT
TAB
TAB
TAB

5809
41388
8500
2586001

5809
41388
8500
2586001

0
0
0
0

Pasien
Penjamin
897600
897600
15976
15976
673200
673200
109152
109152
2970
2970
356
356
10040
10040
176
176
5804
5804
15840
15840
6176
6176
616
616
3096
3096
2004
2004
14988
14988
8415
8415
8000
8000
1774409 1774409

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
21552
21552
1692
1692
10808
10808
47685
47685
14988
14988
10040
10040
2970
2970
3500
3500
113235
113235

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
62832
62832
6616
6616
10768
10768

0
0
0
0

VIL
UNT
UNT
UNT
AMP
UNT
PKG
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

91080
19970
12320
179856
38016
10200
2970
176
6000
488489

91080
19970
12320
179856
38016
10200
2970
176
6000
488489

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6176
6176
3308
3308
5804
5804
29568
29568
3168
3168
464
464
2248
2248
4752
4752
14988
14988
2970
2970
8415
8415
5500
5500
87361
87361

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
72732
72732
14304
14304
6192
6192
1500
1500
94728
94728

0
0
0
0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
11880
11880
270
270
2500
2500
29350
29350

0
0
0
0
0
0
0

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
PKG
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
VIL

Pasien
Penjamin
137940
137940
3300
3300
1000
1000
142240
142240

0
0
0
0

Pasien
Penjamin
137940
137940
3300
3300
1000
1000
142240
142240

0
0
0
0

Pasien
Penjamin
154440
154440
500
500
154940
154940

0
0
0

Pasien
Penjamin
75240
75240
3994
3994
29976
29976
1500
1500
110710
110710

0
0
0
0
0

Pasien
Penjamin
1000
1000
3500
3500
900
900
5400
5400

0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
24830
24830

0
0
0

UNT
TUB
UNT
BOT
BOT
UNT

Depo IGD
Subtotal
VIL
VIL
UNT
SUP
UNT
BAG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
BOT
VIL
UNT

Depo IGD
Subtotal
TAB
BOT
UNT
UNT

Depo IGD
Subtotal
VIL
VIL
UNT
UNT

1997
56262
14988
32834
63253
4000
222316

1997
56262
14988
32834
63253
4000
222316

0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
211200
211200
3994
3994
26124
26124
3080
3080
9633
9633
3000
3000
342303
342303

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1898
1898
3221
3221
145860
145860
2500
2500
184802
184802

0
0
0
0
0
0
0

Pasien
Penjamin
4928
4928
3221
3221
14988
14988
1500
1500
24637
24637

0
0
0
0
0

Pasien
Penjamin
112200
112200
85272
85272
3994
3994
1500
1500

0
0
0
0

202966

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo IGD
Subtotal
VIL
SUP
BOT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

202966

Pasien
Penjamin
112200
112200
1997
1997
1000
1000
115197
115197

0
0
0
0

Pasien
Penjamin
112200
112200
3994
3994
1000
1000
117194
117194

0
0
0
0

Pasien
Penjamin
100980
100980
3994
3994
1000
1000
105974
105974

0
0
0
0

Pasien
Penjamin
145860
145860
13062
13062
9096
9096
1500
1500
169518
169518

0
0
0
0
0

Pasien
792
116
562
1188
36
2500
5194

Penjamin
792
116
562
1188
36
2500
5194

0
0
0
0
0
0
0

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
AMP
TAB
VIL
AMP
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal

Pasien

Penjamin
792
116
562
1188
36
2500
5194

0
0
0
0
0
0
0

Penjamin
116
792
562
1188
19008
54
120944
8673
32834
3825
4620
5500
198116

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
84494
84494
8820
8820
3825
3825
1898
1898
2000
2000
101037
101037

0
0
0
0
0
0

Pasien
Penjamin
11880
11880
500
500
12380
12380

0
0
0

792
116
562
1188
36
2500
5194

Pasien
116
792
562
1188
19008
54
120944
8673
32834
3825
4620
5500
198116

Pasien

Penjamin

AMP
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
VIL

24758
500
25258

24758
500
25258

0
0
0

Pasien
Penjamin
9290
9290
2550
2550
1000
1000
12840
12840

0
0
0
0

Pasien
Penjamin
5220
5220
20790
20790
47685
47685
4620
4620
3825
3825
2500
2500
84640
84640

0
0
0
0
0
0
0

Pasien
Penjamin
8870
8870
3994
3994
1000
1000
13864
13864

0
0
0
0

Pasien
Penjamin
1692900 1692900
14988
14988
1000
1000
1708888 1708888

0
0
0
0

Pasien
Penjamin
4962
4962
1548
1548
68310
68310
380223
380223
30096
30096

0
0
0
0
0

UNT
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal

7988
11475
3500
508102

7988
11475
3500
508102

0
0
0
0

Pasien
Penjamin
68310
68310
380223
380223
12750
12750
7988
7988
2000
2000
471271
471271

0
0
0
0
0
0

Pasien
Penjamin
28512
28512
3825
3825
4620
4620
1526
1526
438
438
3500
3500
500
500
1500
1500
44421
44421

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28512
28512
3825
3825
1000
1000
33337
33337

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien

Penjamin

BOT
AMP
BOT
BOT
VIL
UNT
UNT
PKG
UNT
BOT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
BAG
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
UNT
UNT
UNT
BAG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT
BAG

47685
422628
305856
336600
511632
11982
9240
2970
8415
164170
1780
5500
1828458

47685
422628
305856
336600
511632
11982
9240
2970
8415
164170
1780
5500
1828458

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
511632
511632
9240
9240
11982
11982
57798
57798
14988
14988
2500
2500
608140
608140

0
0
0
0
0
0
0

Pasien
Penjamin
83160
83160
17346
17346
15300
15300
18480
18480
9985
9985
67431
67431
14988
14988
2970
2970
3560
3560
4500
4500
237720
237720

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17346
17346
15300
15300
5991
5991
28899
28899

0
0
0
0

UNT
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
PKG
UNT
PKG
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
CAP
BOT
UNT
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas

14988
147753
2970
3560
4000
240807

14988
147753
2970
3560
4000
240807

0
0
0
0
0
0

Pasien
Penjamin
6156
6156
1032
1032
1503
1503
462
462
2481
2481
20400
20400
2970
2970
14988
14988
10040
10040
81864
81864
8415
8415
3560
3560
6000
6000
159871
159871

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3042
3042
462
462
6717
6717
1344
1344
4632
4632
612
612
16164
16164
109152
109152
14988
14988
2970
2970
3560
3560
16335
16335
5991
5991
4620
4620
7000
7000
197589
197589

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Subtotal
TAB
BOT
AMP
VIL
UNT
UNT
BOT
VIL
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
TAB
VIL
VIL
UNT
UNT

Pasien
Penjamin
1134
1134
47685
47685
34032
34032
511632
511632
10200
10200
12320
12320
54576
54576
926640
926640
15976
15976
14988
14988
2970
2970
3560
3560
6000
6000
1641713 1641713

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2376
2376
348
348
1686
1686
3564
3564
875160
875160
28512
28512
5991
5991
15300
15300
14988
14988
2970
2970
3560
3560
5500
5500
959955
959955

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
774
47685
4353
2376
1686
3564
348
511632
968298
9985
15400

Penjamin
774
47685
4353
2376
1686
3564
348
511632
968298
9985
15400

0
0
0
0
0
0
0
0
0
0
0

SUP
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
TAB
VIL
UNT
UNT
BOT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
UNT
UNT
UNT
PKG
UNT
UNT
BOT
UNT

Depo Atas
Subtotal
AMP
UNT
UNT

141372
1068
2970
7000
1718511

141372
1068
2970
7000
1718511

0
0
0
0
0

Pasien
Penjamin
4962
4962
4353
4353
12315
12315
47685
47685
3825
3825
511632
511632
7650
7650
12320
12320
54576
54576
14988
14988
356
356
16335
16335
6000
6000
696997
696997

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
516
1503
738
1900800
9985
13860
14988
2970
8415
3560
81864
5500
2044699

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
184764
184764
11982
11982
15300
15300

0
0
0

516
1503
738
1900800
9985
13860
14988
2970
8415
3560
81864
5500
2044699

UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
BOT
BOT
AMP
VIL
AMP
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
BOT
PKG
UNT
UNT
VIL
TAB
TAB
TAB
TAB

14988
2970
1780
3000
234784

14988
2970
1780
3000
234784

0
0
0
0
0

Pasien
Penjamin
255816
255816
15976
15976
14988
14988
1500
1500
288280
288280

0
0
0
0
0

Pasien

Penjamin
132
4962
40242
203904
336600
68064
511632
65934
15300
12320
57798
5500
1322388

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
336600
336600
14988
14988
10040
10040
109152
109152
2970
2970
3560
3560
8415
8415
111735
111735
132
132
2481
2481
1476
1476
42624
42624

0
0
0
0
0
0
0
0
0
0
0
0

132
4962
40242
203904
336600
68064
511632
65934
15300
12320
57798
5500
1322388

BOT
VIL
AMP
UNT
UNT
BOT
VIL
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
AMP
UNT
UNT
PKG
BOT
UNT

Depo Atas
Subtotal
BOT
PKG
UNT
PKG
UNT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT

47685
511632
15660
18480
15300
336633
827640
5991
10000
2433194

47685
511632
15660
18480
15300
336633
827640
5991
10000
2433194

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7938
7938
1269
1269
10728
10728
333
333
17346
17346
10200
10200
14988
14988
10040
10040
90960
90960
4500
4500
168302
168302

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
253012
253012
2970
2970
14988
14988
10040
10040
3560
3560
918
918
1134
1134
1503
1503
29700
29700
23562
23562
2376
2376
348
348
843
843
1782
1782
673200
673200
15660
15660
7650
7650
13860
13860

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
VIL
UNT
UNT
BAG
BOT
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
UNT
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
VIL
VIL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT

9000
1066106

9000
1066106

0
0

Pasien
Penjamin
40242
40242
15300
15300
18480
18480
115596
115596
54576
54576
14988
14988
2970
2970
3560
3560
10040
10040
4500
4500
280252
280252

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
673200
673200
11475
11475
81864
81864
14988
14988
2970
2970
3560
3560
3000
3000
791057
791057

0
0
0
0
0
0
0
0

Pasien
Penjamin
13332
13332
15300
15300
673200
673200
90288
90288
94248
94248
774
774
4632
4632
1344
1344
462
462
1638
1638
22176
22176
2970
2970
6000
6000
926364
926364

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
AMP
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
TAB
TAB
TAB
TAB
VIL
UNT
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT

Pasien
Penjamin
52929
52929
14988
14988
8415
8415
2970
2970
3560
3560
2500
2500
85362
85362

0
0
0
0
0
0
0

Pasien
Penjamin
3096
3096
2481
2481
54576
54576
44856
44856
2970
2970
14988
14988
3560
3560
3500
3500
130027
130027

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4353
4353
57964
57964
738
738
462
462
918
918
1548
1548
511632
511632
9240
9240
27288
27288
2970
2970
8415
8415
3560
3560
6000
6000
635088
635088

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964

TAB
TAB
TAB
TAB
UNT
PKG
PKG
UNT
BOT
UNT
UNT
UNT
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo Atas
Subtotal
UMG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
GM
UNT
UNT
TAB
UNT

Depo Atas
Subtotal
UNT

1512
14784
2004
6276
14988
10040
2970
3560
81864
4620
23964
15300
6500
246346

1512
14784
2004
6276
14988
10040
2970
3560
81864
4620
23964
15300
6500
246346

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6270
6270
500
500
6770
6770

0
0
0

Pasien
Penjamin
175144
175144
500
500
175644
175644

0
0
0

Pasien

Penjamin
820
200
3500
500
195
3500
500
24640
1000
34855

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15400
15400

820
200
3500
500
195
3500
500
24640
1000
34855

UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

Depo Atas

12750
14988
1500
44638

12750
14988
1500
44638

0
0
0
0

Pasien
Penjamin
7650
7650
9240
9240
1000
1000
17890
17890

0
0
0
0

Pasien
Penjamin
9240
9240
500
500
9740
9740

0
0
0

Pasien
Penjamin
12750
12750
9240
9240
1000
1000
22990
22990

0
0
0
0

Pasien
Penjamin
15300
15300
9240
9240
1000
1000
25540
25540

0
0
0
0

Pasien
Penjamin
12750
12750
15400
15400
14988
14988
1500
1500
44638
44638

0
0
0
0
0

Subtotal
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
TUB
BOT
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
TUB
BOT
UNT
UNT

Depo Atas
Subtotal
PKG
UNT

Apotik Panel 2
Subtotal
AMP

Pasien
Penjamin
1410
1410
11920
11920
1000
1000
14330
14330

0
0
0
0

Pasien
Penjamin
24160
24160
1275
1275
1000
1000
26435
26435

0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
56262
56262
2640
2640
12012
12012
2500
2500
97565
97565

0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
12012
12012
56262
56262
506024
506024
18280
18280
2500
2500
611166
611166

0
0
0
0
0
0
0

Pasien
Penjamin
26950
26950
500
500
27450
27450

0
0
0

Pasien
Penjamin
335060
335060

UNT

Depo Atas
Subtotal
TAB
CAP
UNT

Depo IGD
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
CAP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
UNT

500
335560

500
335560

0
0

Pasien
Penjamin
14000
14000
40410
40410
1000
1000
55410
55410

0
0
0
0

Pasien
Penjamin
4928
4928
500
500
5428
5428

0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
10450
10450
500
500
10950
10950

0
0
0

Pasien
Penjamin
47520
47520
500
500
48020
48020

0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
PKG
SUP
UNT

Depo IGD
Subtotal
AMP
UNT

Pasien
Penjamin
47520
47520
500
500
48020
48020

0
0
0

Pasien
Penjamin
7700
7700
14988
14988
1000
1000
23688
23688

0
0
0
0

Pasien
Penjamin
1898
1898
16335
16335
14988
14988
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
16335
16335
1898
1898
14988
14988
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
41388
41388
26124
26124
1000
1000
68512
68512

0
0
0
0

Pasien
Penjamin
47520
47520
500
500
48020
48020

0
0
0

Depo IGD
Subtotal
VIL
AMP
UNT
UNT
UNT
BAG
BOT
UNT

Depo IGD
Subtotal
VIL
AMP
UNT
UNT
UNT
UNT
BOT
BOT
BOT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL

Pasien
Penjamin
13414
13414
46191
46191
3300
3300
3825
3825
3994
3994
9633
9633
18192
18192
3500
3500
102049
102049

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6707
6707
6930
6930
1997
1997
1540
1540
3300
3300
14988
14988
81510
81510
2640
2640
250800
250800
18342
18342
5000
5000
393754
393754

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22688
22688
500
500
23188
23188

0
0
0

Pasien
Penjamin
1998
1998
500
500
2498
2498

0
0
0

Pasien
Penjamin
448800
448800

UNT

Depo Atas
Subtotal
TAB
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
GM
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
TAB

500
449300

500
449300

0
0

Pasien
Penjamin
10768
10768
500
500
11268
11268

0
0
0

Pasien
Penjamin
21780
21780
500
500
22280
22280

0
0
0

Pasien
Penjamin
278981
278981
5500
5500
11464
11464
840
840
2000
2000
298785
298785

0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
1997
1997
1500
1500
27649
27649

0
0
0
0
0

Pasien
Penjamin
707706
707706
500
500
708206
708206

0
0
0

Pasien
Penjamin
4374
4374

TAB
TAB
TAB
TAB
AMP
AMP
TAB
UNT

Depo Atas
Subtotal
UNT
UNT
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
BOT
UNT
PKG
UNT
UNT

Depo Atas

774
1269
846
96
17346
51048
11322
4000
91075

774
1269
846
96
17346
51048
11322
4000
91075

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
2640
2640
12012
12012
2970
2970
1780
1780
3000
3000
46553
46553

0
0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
2640
2640
12012
12012
2970
2970
2500
2500
44273
44273

0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
2640
2640
12012
12012
2970
2970
1780
1780
3000
3000
46553
46553

0
0
0
0
0
0
0
0

Subtotal
UNT
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
VIL
BOT
BOT
BAG
UNT
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
CAP
AMP
UNT
BOT
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
AMP
AMP

Pasien
Penjamin
5809
5809
2640
2640
12012
12012
2970
2970
1780
1780
2500
2500
27711
27711

0
0
0
0
0
0
0

Pasien
Penjamin
23128
23128
53656
53656
203904
203904
356400
356400
57798
57798
10200
10200
14988
14988
10040
10040
16335
16335
2970
2970
1780
1780
5500
5500
756699
756699

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62724
62724
23128
23128
10200
10200
72768
72768
552024
552024
14988
14988
2970
2970
3560
3560
4000
4000
746362
746362

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53656
53656
83160
83160
59000
59000
23128
23128

0
0
0
0

UNT
UNT
BAG
UNT
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
UNT
BOT
UNT
PKG
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
UNT
UNT
BOT
UNT
PKG
PKG
UNT

Apotik Panel 2
Subtotal

20400
18480
57798
14988
197004
2970
16335
1780
6000
554699

20400
18480
57798
14988
197004
2970
16335
1780
6000
554699

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15300
15300
197004
197004
14988
14988
10040
10040
2970
2970
3560
3560
8415
8415
3500
3500
255777
255777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15844
15844
2004
2004
624
624
616
616
44352
44352
6176
6176
53656
53656
17776
17776
10200
10200
14988
14988
197004
197004
8415
8415
2970
2970
10040
10040
7000
7000
391665
391665

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

TAB
UNT

Depo Atas
Subtotal
TAB
VIL
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
AMP
UNT
AMP
BOT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
BOT
VIL
BAG
UNT
BOT
UNT
PKG
UNT
PKG
UNT

13200
500
13700

13200
500
13700

0
0
0

Pasien
Penjamin
66528
66528
897600
897600
356400
356400
5100
5100
2970
2970
3560
3560
3000
3000
1335158 1335158

0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
47685
47685
23128
23128
20400
20400
45376
45376
145536
145536
14988
14988
2970
2970
8415
8415
1780
1780
10040
10040
5500
5500
327330
327330

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53656
53656
356400
356400
682176
682176
96330
96330
15400
15400
47685
47685
14988
14988
2970
2970
16335
16335
10040
10040
1780
1780

0
0
0
0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT
PKG
BOT
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
AMP
UNT
BOT
UNT
UNT
PKG
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
UNT
AMP
TAB
TAB
BOT
PKG
UNT

5500
1303260

5500
1303260

0
0

Pasien
Penjamin
1584
1584
2772
2772
2156
2156
105600
105600
29568
29568
1200
1200
5100
5100
14988
14988
2970
2970
295506
295506
8415
8415
5500
5500
475359
475359

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
66528
66528
20880
20880
83160
83160
19125
19125
131336
131336
14988
14988
8415
8415
10040
10040
2970
2970
356
356
5000
5000
362798
362798

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68064
68064
19125
19125
34692
34692
19712
19712
1512
1512
47685
47685
2970
2970
1068
1068

0
0
0
0
0
0
0
0

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
BOT
UNT
PKG
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
UNT
BOT
UNT
PKG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
TAB
UNT
UNT
TAB
TAB
TAB

4000
198828

4000
198828

0
0

Pasien
Penjamin
1224
1224
31416
31416
17952
17952
1512
1512
448800
448800
197004
197004
14988
14988
2970
2970
8415
8415
16335
16335
356
356
5500
5500
746472
746472

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32784
32784
68064
68064
15300
15300
131336
131336
14988
14988
2970
2970
8415
8415
10040
10040
1068
1068
4500
4500
289465
289465

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1032
1032
1692
1692
47685
47685
1451
1451
3500
3500
200
200
3168
3168
464
464
2248
2248

0
0
0
0
0
0
0
0
0

TAB
VIL
VIL
AMP
UNT
UNT
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
UNT
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
AMP
UNT
UNT
PKG

4752
1291064
341088
23128
6160
10200
197004
14988
2970
7500
1960294

4752
1291064
341088
23128
6160
10200
197004
14988
2970
7500
1960294

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6276
6276
3600
3600
14988
14988
197004
197004
2970
2970
356
356
8415
8415
3500
3500
237109
237109

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
23128
23128
10200
10200
197004
197004
2970
2970
2500
2500
237314
237314

0
0
0
0
0
0
0

Pasien
Penjamin
78408
78408
11664
11664
1224
1224
75240
75240
22220
22220
12750
12750
14988
14988
10040
10040

0
0
0
0
0
0
0
0

UNT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
AMP
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
BOT
VIL
AMP
BOT
VIL
UNT
PKG
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal

8415
2970
356
5500
243775

8415
2970
356
5500
243775

0
0
0
0
0

Pasien
Penjamin
66528
66528
29568
29568
897600
897600
187228
187228
23128
23128
197004
197004
12320
12320
10200
10200
14988
14988
2970
2970
5000
5000
1446534 1446534

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
176
5832
1968
56832
63376
47685
682176
83160
448844
148980
14988
10040
197004
2970
10200
12320
8000
1794551

Pasien

Penjamin
176
5832
1968
56832
63376
47685
682176
83160
448844
148980
14988
10040
197004
2970
10200
12320
8000
1794551

Penjamin

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

TAB
TAB
TAB
UNT
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
VIL
AMP
UNT
UNT
PKG
BAG
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
TAB
TAB
VIL
AMP
UNT
UNT
VIL
BOT
AMP
BAG
UNT
PKG
UNT

23696
3600
10200
14988
197004
2970
1068
3500
257026

23696
3600
10200
14988
197004
2970
1068
3500
257026

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
47685
47685
53656
53656
23128
23128
10200
10200
14988
14988
10040
10040
127365
127365
180587
180587
2970
2970
3560
3560
5000
5000
479179
479179

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
47685
47685
4374
4374
3150
3150
673200
673200
68064
68064
15300
15300
12320
12320
188100
188100
295506
295506
23225
23225
410400
410400
14988
14988
2970
2970
7000
7000
1767794 1767794

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
BAG
VIL
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
AMP
BOT
UNT
UNT
UNT

Pasien
Penjamin
55440
55440
500
500
55940
55940

0
0
0

Pasien
Penjamin
29976
29976
3796
3796
1275
1275
3300
3300
8415
8415
10040
10040
19266
19266
13414
13414
18192
18192
4500
4500
112174
112174

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1690
1690
564
564
1000
1000
3254
3254

0
0
0
0

Pasien
Penjamin
14580
14580
14510
14510
158440
158440
1500
1500
189030
189030

0
0
0
0
0

Pasien
Penjamin
24758
24758
4645
4645
2640
2640
10560
10560
5732
5732
2500
2500

0
0
0
0
0
0

50835

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT
PKG
UNT

50835

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
2970
2970
5732
5732
26950
26950
20213
20213
3825
3825
14988
14988
14988
14988
16335
16335
1898
1898
4500
4500
112399
112399

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75240
75240
26950
26950
3080
3080
14988
14988
2970
2970
2500
2500
125728
125728

0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
1898
1898
14988
14988
2550
2550
3080
3080
2970
2970
3000
3000
44821
44821

0
0
0
0
0
0
0
0

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
VIL
UNT
BOT
UNT

Pasien
Penjamin
3825
3825
10780
10780
26950
26950
1500
1500
43055
43055

0
0
0
0
0

Pasien
Penjamin
14988
14988
5100
5100
6160
6160
40426
40426
2000
2000
68674
68674

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
6375
6375
7700
7700
1500
1500
30563
30563

0
0
0
0
0

Pasien
Penjamin
14988
14988
6375
6375
4620
4620
1500
1500
27483
27483

0
0
0
0
0

Pasien
Penjamin
62370
62370
6864
6864
4620
4620
32834
32834
2000
2000
108688
108688

0
0
0
0
0
0

Depo IGD
Subtotal
UNT
BOT
UNT

Depo IGD
Subtotal
VIL
VIL
SUP
BOT
UNT
UNT

Depo IGD
Subtotal
UNT
TUB
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT
TUB
BOT
UNT
UNT

Pasien
Penjamin
7700
7700
49251
49251
1000
1000
57951
57951

0
0
0
0

Pasien
Penjamin
85272
85272
211200
211200
26124
26124
32834
32834
14988
14988
2500
2500
372918
372918

0
0
0
0
0
0
0

Pasien
Penjamin
16088
16088
56262
56262
12012
12012
1500
1500
85862
85862

0
0
0
0
0

Pasien
Penjamin
26535
26535
20213
20213
1000
1000
47748
47748

0
0
0
0

Pasien
Penjamin
75240
75240
5809
5809
56262
56262
5280
5280
12012
12012
2500
2500
157103
157103

0
0
0
0
0
0
0

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
TAB
UNT
UNT
UNT
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
AMP
UNT

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

Depo IGD
Subtotal
VIL
BOT
UNT
UNT

Pasien
Penjamin
9900
9900
14988
14988
1000
1000
25888
25888

0
0
0
0

Pasien
Penjamin
308377
308377
501
501
14988
14988
16335
16335
26535
26535
378
378
3000
3000
370114
370114

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
20213
20213
53900
53900
16500
16500
150480
150480
2500
2500
258581
258581

0
0
0
0
0
0
0

Pasien

Penjamin
516
492
118800
1500
121308

0
0
0
0
0

Pasien
Penjamin
211200
211200
33984
33984
14988
14988
16335
16335

0
0
0
0

516
492
118800
1500
121308

UNT
TAB
AMP
UNT
SUP
UNT

Depo IGD
Subtotal
VIL
BOT
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo IGD
Subtotal
BOT
UNT
BOT
UNT

Depo IGD
Subtotal
BOT
UNT
VIL
UNT

Depo IGD
Subtotal
BAG
BOT
UNT
UNT

1898
501
22053
3825
26124
4500
335408

1898
501
22053
3825
26124
4500
335408

0
0
0
0
0
0
0

Pasien
Penjamin
211200
211200
33984
33984
14988
14988
14988
14988
8415
8415
26950
26950
20213
20213
2970
2970
4000
4000
337708
337708

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
81510
81510
16788
16788
250800
250800
1500
1500
350598
350598

0
0
0
0
0

Pasien
Penjamin
81510
81510
14988
14988
308377
308377
1500
1500
406375
406375

0
0
0
0
0

Pasien
Penjamin
205200
205200
81510
81510
14988
14988
1500
1500

0
0
0
0

303198

Depo IGD
Subtotal
VIL
VIL
TAB
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
CAP
TAB
UNT

Depo Atas
Subtotal
VIL
BOT

303198

Pasien
Penjamin
226738
226738
20064
20064
1796
1796
1500
1500
250098
250098

0
0
0
0
0

Pasien
Penjamin
2970
2970
500
500
3470
3470

0
0
0

Pasien
Penjamin
2970
2970
500
500
3470
3470

0
0
0

Pasien
Penjamin
2970
2970
500
500
3470
3470

0
0
0

Pasien
Penjamin
8270
8270
1720
1720
11000
11000
1410
1410
2000
2000
24400
24400

0
0
0
0
0
0

Pasien
Penjamin
13414
13414
101952
101952

0
0

AMP
AMP
UNT

Depo Atas
Subtotal
BOT
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT

Depo Atas

8673
46191
2000
172230

8673
46191
2000
172230

0
0
0
0

Pasien
Penjamin
147753
147753
27870
27870
7650
7650
14988
14988
8415
8415
2500
2500
209176
209176

0
0
0
0
0
0
0

Pasien
Penjamin
147753
147753
14988
14988
8415
8415
1500
1500
172656
172656

0
0
0
0
0

Pasien
Penjamin
147753
147753
14988
14988
8415
8415
10040
10040
12750
12750
2500
2500
196446
196446

0
0
0
0
0
0
0

Pasien
Penjamin
147753
147753
14988
14988
8415
8415
1500
1500
172656
172656

0
0
0
0
0

Subtotal
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
UNT

Pasien
Penjamin
147753
147753
14988
14988
10040
10040
19800
19800
2000
2000
194581
194581

0
0
0
0
0
0

Pasien
Penjamin
98502
98502
14988
14988
10040
10040
1500
1500
125030
125030

0
0
0
0
0

Pasien
Penjamin
147753
147753
14988
14988
10040
10040
8415
8415
15400
15400
2500
2500
199096
199096

0
0
0
0
0
0
0

Pasien
Penjamin
81864
81864
14988
14988
10040
10040
8415
8415
2000
2000
117307
117307

0
0
0
0
0
0

Pasien
Penjamin
70572
70572
14988
14988
10040
10040
12750
12750
2000
2000
110350
110350

0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
BOT
TAB

Pasien
Penjamin
147753
147753
14988
14988
10040
10040
8415
8415
15400
15400
2500
2500
199096
199096

0
0
0
0
0
0
0

Pasien
Penjamin
81864
81864
14988
14988
1000
1000
97852
97852

0
0
0
0

Pasien
Penjamin
197004
197004
14988
14988
10040
10040
8415
8415
15400
15400
2500
2500
248347
248347

0
0
0
0
0
0
0

Pasien
Penjamin
109152
109152
14988
14988
8415
8415
10040
10040
12750
12750
2500
2500
157845
157845

0
0
0
0
0
0
0

Pasien
Penjamin
4746
4746
2370
2370

0
0

UNT
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
BOT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT

26600
2000
3500
50
1500
40766

26600
2000
3500
50
1500
40766

0
0
0
0
0
0

Pasien
Penjamin
52929
52929
14988
14988
10040
10040
1500
1500
79457
79457

0
0
0
0
0

Pasien
Penjamin
307296
307296
253012
253012
15400
15400
1500
1500
577208
577208

0
0
0
0
0

Pasien
Penjamin
197004
197004
14988
14988
9240
9240
7650
7650
2970
2970
2500
2500
234352
234352

0
0
0
0
0
0
0

Pasien
Penjamin
27288
27288
2970
2970
8415
8415
14988
14988
2000
2000
55661
55661

0
0
0
0
0
0

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
BOT
UNT
PKG
PKG
UNT

Apotik Panel
Subtotal
BOX
UNT

Apotik Panel
Subtotal
BOX
UNT

Depo Atas
Subtotal
UNT
BOT
UNT
UNT
CAP
TAB
UNT

Pasien
Penjamin
147753
147753
500
500
148253
148253

0
0
0

Pasien
Penjamin
81864
81864
500
500
82364
82364

0
0
0

Pasien
Penjamin
81864
81864
14988
14988
10040
10040
2970
2970
2000
2000
111862
111862

0
0
0
0
0
0

Pasien
Penjamin
8605
8605
500
500
9105
9105

0
0
0

Pasien
Penjamin
8605
8605
500
500
9105
9105

0
0
0

Pasien
Penjamin
26535
26535
2000
2000
3500
3500
50
50
26940
26940
1410
1410
1500
1500

0
0
0
0
0
0
0

61935

Depo Atas
Subtotal
CAP
TAB
TAB
UNT
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
TAB
UNT

Emergency Catelia
Subtotal
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
AMP
AMP
BOT
UNT

Depo Atas
Subtotal
TAB
AMP
AMP

61935

Pasien
Penjamin
26940
26940
2640
2640
1410
1410
26535
26535
2000
2000
3500
3500
50
50
2000
2000
65075
65075

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2115
2115
1000
1000
30055
30055

0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
40242
40242
13332
13332
44856
44856
36240
36240
3560
3560
2500
2500
140730
140730

0
0
0
0
0
0
0

Pasien
Penjamin
49896
49896
62370
62370
15660
15660

0
0
0

VIL
UNT

Depo Atas
Subtotal
TAB
AMP
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
AMP
UNT

Depo Atas
Subtotal
TAB
VIL
VIL
SUP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

673200
2000
803126

673200
2000
803126

0
0
0

Pasien
Penjamin
2481
2481
225720
225720
6666
6666
1500
1500
236367
236367

0
0
0
0
0

Pasien
Penjamin
230790
230790
500
500
231290
231290

0
0
0

Pasien
Penjamin
40242
40242
17346
17346
1000
1000
58588
58588

0
0
0
0

Pasien
Penjamin
4374
4374
511632
511632
673200
673200
70686
70686
2000
2000
1261892 1261892

0
0
0
0
0
0

Pasien
Penjamin
33264
33264
4632
4632
462
462
1500
1500
39858
39858

0
0
0
0
0

Depo Atas
Subtotal
BOT
TAB
AMP
VIL
BOT
AMP
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
AMP
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

Pasien
Penjamin
47685
47685
1134
1134
51048
51048
511632
511632
147753
147753
13935
13935
3000
3000
776187
776187

0
0
0
0
0
0
0
0

Pasien
Penjamin
78867
78867
500
500
79367
79367

0
0
0

Pasien
Penjamin
16088
16088
500
500
16588
16588

0
0
0

Pasien
Penjamin
1134
1134
2891
2891
49251
49251
1500
1500
54776
54776

0
0
0
0
0

Pasien
Penjamin
11394
11394
900
900
792
792
732
732
702
702
2500
2500
17020
17020

0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
VIL
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
AMP
TAB
TAB
UNT

Depo Atas
Subtotal
AMP
UNT

Pasien
Penjamin
4707
4707
511632
511632
1000
1000
517339
517339

0
0
0
0

Pasien
Penjamin
1188
1188
6156
6156
79200
79200
39424
39424
1900800 1900800
2500
2500
2029268 2029268

0
0
0
0
0
0
0

Pasien
Penjamin
1451
1451
500
500
1951
1951

0
0
0

Pasien

Penjamin
612
612
500
500
1112
1112

0
0
0

Pasien
Penjamin
71280
71280
378
378
423
423
1500
1500
73581
73581

0
0
0
0
0

Pasien
Penjamin
9504
9504
500
500
10004
10004

0
0
0

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
AMP
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
BOT

Pasien
Penjamin
9504
9504
500
500
10004
10004

0
0
0

Pasien
Penjamin
5782
5782
500
500
6282
6282

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
16417
16417

BOT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT

Depo IGD
Subtotal
UNT
AMP
UNT
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT

51216
6872
1500
76005

51216
6872
1500
76005

0
0
0
0

Pasien
Penjamin
107870
107870
500
500
108370
108370

0
0
0

Pasien
Penjamin
14988
14988
150480
150480
26950
26950
22220
22220
2000
2000
216638
216638

0
0
0
0
0
0

Pasien
Penjamin
5809
5809
18343
18343
56262
56262
14988
14988
14988
14988
8415
8415
3000
3000
121805
121805

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988

0
0

UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
VIL
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
AMP
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

16335
1898
2000
50209

16335
1898
2000
50209

0
0
0
0

Pasien
Penjamin
3575
3575
14988
14988
14988
14988
1500
1500
35051
35051

0
0
0
0
0

Pasien
Penjamin
211200
211200
72496
72496
3994
3994
14988
14988
2000
2000
304678
304678

0
0
0
0
0
0

Pasien
Penjamin
11762
11762
13935
13935
3825
3825
1500
1500
31022
31022

0
0
0
0
0

Pasien
Penjamin
65340
65340
500
500
65840
65840

0
0
0

Pasien
Penjamin
14988
14988
14988
14988
3796
3796
32670
32670

0
0
0
0

UNT

Depo IGD
Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
BOT
TAB
VIL
AMP
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD

2000
68442

2000
68442

0
0

Pasien
Penjamin
2760
2760
4746
4746
1000
1000
8506
8506

0
0
0
0

Pasien
Penjamin
18192
18192
1260
1260
170544
170544
14702
14702
2000
2000
206698
206698

0
0
0
0
0
0

Pasien
Penjamin
79220
79220
14820
14820
2370
2370
1350
1350
2000
2000
99760
99760

0
0
0
0
0
0

Pasien
Penjamin
9268
9268
500
500
9768
9768

0
0
0

Pasien
Penjamin
13902
13902
500
500
14402
14402

0
0
0

Subtotal
UNT
UNT
TUB
UNT
UNT

Depo IGD
Subtotal
VIL
UNT
UNT
BOT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
UNT

Depo IGD
Subtotal
BOT
UNT

Apotik Panel 2
Subtotal
VIL
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Pasien
Penjamin
5809
5809
1997
1997
56262
56262
12012
12012
2000
2000
78080
78080

0
0
0
0
0
0

Pasien
Penjamin
131319
131319
3300
3300
1997
1997
81510
81510
14988
14988
8415
8415
3000
3000
244529
244529

0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
47685
47685
1000
1000
133957
133957

0
0
0
0

Pasien
Penjamin
32834
32834
500
500
33334
33334

0
0
0

Pasien
Penjamin
352000
352000
500
500
352500
352500

0
0
0

Pasien
Penjamin
26400
26400
500
500

0
0

26900

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
CAP
TAB
UNT

Depo Atas
Subtotal

26900

Penjamin
260
260
500
500
760
760

0
0
0

Pasien
Penjamin
39200
39200
2370
2370
1000
1000
42570
42570

0
0
0
0

Pasien
Penjamin
11000
11000
1410
1410
1000
1000
13410
13410

0
0
0
0

Pasien
Penjamin
3360
3360
2370
2370
6660
6660
1500
1500
13890
13890

0
0
0
0
0

Pasien
Penjamin
1692
1692
104
104
13200
13200
14304
14304
2000
2000
31300
31300

0
0
0
0
0
0

Pasien

Pasien

Penjamin

TAB
TAB
BOT
TAB
VIL
BAG
UNT
VIL
UNT
BOT
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
AMP
UNT
UNT
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
UNT
UNT
UNT
TUB
UNT
UNT
AMP
UNT
BOT
UNT

Apotik Panel

2004
3308
57964
1512
53656
38532
7988
341088
6160
197004
14988
2970
8415
10040
7000
752629

2004
3308
57964
1512
53656
38532
7988
341088
6160
197004
14988
2970
8415
10040
7000
752629

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23964
23964
142560
142560
12320
12320
14988
14988
197004
197004
2970
2970
8415
8415
3500
3500
405721
405721

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12012
12012
12012
12012
12610
12610
56262
56262
5100
5100
6160
6160
15830
15830
26611
26611
81510
81510
4500
4500
232607
232607

0
0
0
0
0
0
0
0
0
0
0

Subtotal
VIL
UNT

Depo Atas
Subtotal
TAB
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT
BOT
PKG
BAG
UNT

Depo Atas
Subtotal
AMP
UNT
BOT
BOT
UNT
PKG
TAB
TAB
TAB
TAB
TAB
UNT
PKG
UNT
BAG
UNT

Depo Atas
Subtotal

Pasien
Penjamin
208089
208089
500
500
208589
208589

0
0
0

Pasien
Penjamin
1692
1692
83160
83160
18480
18480
19970
19970
14988
14988
11475
11475
10040
10040
8415
8415
1898
1898
63672
63672
2970
2970
28899
28899
6000
6000
271659
271659

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68064
68064
15300
15300
114919
114919
358512
358512
14988
14988
2970
2970
7992
7992
3592
3592
2064
2064
88
88
3308
3308
8415
8415
10040
10040
26535
26535
48165
48165
7500
7500
692452
692452

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

BOT
TAB
PKG
AMP
UNT
BOT
UNT
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
AMP
AMP
AMP
BOT
BOT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
UNT
AMP
AMP
UNT
UNT
BOT
BOT
BAG
PKG
UNT
PKG

57964
1512
2970
68064
14025
262672
14988
8415
10040
18280
5000
463930

57964
1512
2970
68064
14025
262672
14988
8415
10040
18280
5000
463930

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40242
40242
11982
11982
23128
23128
184764
184764
213840
213840
131336
131336
409728
409728
15400
15400
25500
25500
2970
2970
14988
14988
8415
8415
10040
10040
6500
6500
1098833 1098833

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5976
5976
16335
16335
83160
83160
34692
34692
18480
18480
15300
15300
54576
54576
307296
307296
131551
131551
10040
10040
14988
14988
2970
2970

0
0
0
0
0
0
0
0
0
0
0
0

BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
BOT
PKG
UNT
PKG
BOT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
VIL
UNT
PKG
PKG
UNT
BOT
BOT
UNT
BAG
UNT

Depo Atas
Subtotal
BOT
TAB

28899
6500
730763

28899
6500
730763

0
0
0

Pasien
Penjamin
7255
7255
23562
23562
2688
2688
1148
1148
14988
14988
47048
47048
2970
2970
8415
8415
10040
10040
27288
27288
1997
1997
28899
28899
6000
6000
182298
182298

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6276
6276
240
240
3500
3500
600
600
9504
9504
511632
511632
29955
29955
10040
10040
2970
2970
8415
8415
356400
356400
90960
90960
14988
14988
28899
28899
5500
5500
1079879 1079879

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
1764
1764

0
0

TAB
VIL
UNT
VIL
UNT
UNT
BOT
SUP
PKG
BOT
PKG
UNT
BAG
BAG
UNT

Depo Atas
Subtotal
AMP
AMP
TAB
UNT
UNT
AMP
UNT
PKG
UNT
UNT
PKG
BOT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
AMP
UNT
UNT

5832
511632
14988
673200
11982
15400
356400
94248
2970
131336
10040
16335
718200
28899
8000
2659190

5832
511632
14988
673200
11982
15400
356400
94248
2970
131336
10040
16335
718200
28899
8000
2659190

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
107779
107779
46256
46256
800
800
9985
9985
19125
19125
66528
66528
12320
12320
2970
2970
8415
8415
14988
14988
10040
10040
197004
197004
14784
14784
6500
6500
517494
517494

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1792
1792
1800
1800
264
264
488
488
26100
26100
26460
26460
25500
25500
14988
14988

0
0
0
0
0
0
0
0

UNT
PKG
UNT
BOT
BOT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
TAB
VIL
BAG
UNT
VIL
UNT
UNT
UNT
UNT
PKG
BOT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
VIL
VIL
UNT
PKG
UNT
PKG
PKG
UNT
UNT

3560
2970
16335
54576
35286
1898
10040
38532
8000
268589

3560
2970
16335
54576
35286
1898
10040
38532
8000
268589

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6276
6276
53656
53656
38532
38532
15976
15976
511632
511632
14988
14988
12320
12320
8415
8415
3560
3560
2970
2970
197004
197004
10040
10040
22688
22688
26950
26950
7000
7000
932007
932007

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1980
1980
4158
4158
3234
3234
158400
158400
1267200 1267200
111735
111735
15976
15976
5940
5940
14988
14988
10040
10040
41388
41388
8415
8415
6000
6000

0
0
0
0
0
0
0
0
0
0
0
0
0

1649454

Depo Atas
Subtotal
BOT
AMP
UNT
VIL
UNT
VIL
UNT
UNT
PKG
PKG
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
CAP
TAB
PKG
UNT

Depo IGD
Subtotal
AMP
BOT
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

1649454

Pasien
Penjamin
831600
831600
79408
79408
15300
15300
427680
427680
12320
12320
148980
148980
19970
19970
14988
14988
10040
10040
2970
2970
8415
8415
26535
26535
12610
12610
77064
77064
7000
7000
1694880 1694880

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
1974
1974
10040
10040
1500
1500
40454
40454

0
0
0
0
0

Pasien
Penjamin
4645
4645
16417
16417
263700
263700
1500
1500
286262
286262

0
0
0
0
0

Pasien
Penjamin
3840
3840
500
500
4340
4340

0
0
0

Depo Atas
Subtotal
BOT
AMP
AMP
VIL
UNT
BAG
TAB
PKG
UNT
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
CAP
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
36384
36384
34692
34692
68064
68064
26828
26828
7988
7988
38532
38532
5400
5400
2970
2970
356
356
14988
14988
8415
8415
10040
10040
6000
6000
260657
260657

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2115
2115
1000
1000
30055
30055

0
0
0
0

Pasien
Penjamin
57580
57580
1410
1410
1000
1000
59990
59990

0
0
0
0

Pasien
Penjamin
44964
44964
500
500
45464
45464

0
0
0

Pasien
Penjamin
17880
17880
500
500
18380
18380

0
0
0

Emergency Catelia
Subtotal
UNT
UNT
UNT

Emergency Catelia
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
BAG
UNT
PKG
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
AMP
UNT

Depo IGD

Pasien
Penjamin
14988
14988
5809
5809
1000
1000
21797
21797

0
0
0
0

Pasien
Penjamin
14988
14988
26611
26611
1000
1000
42599
42599

0
0
0
0

Pasien
Penjamin
74216
74216
32834
32834
9633
9633
1997
1997
56632
56632
2500
2500
177812
177812

0
0
0
0
0
0
0

Pasien
Penjamin
59193
59193
26535
26535
1000
1000
86728
86728

0
0
0
0

Pasien
Penjamin
65340
65340
17643
17643
249480
249480
1500
1500
333963
333963

0
0
0
0
0

Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
TUB
UNT
VIL
AMP
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
TUB
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD

Pasien
Penjamin
14988
14988
14988
14988
14988
14988
1500
1500
46464
46464

0
0
0
0
0

Pasien
Penjamin
16088
16088
56262
56262
1997
1997
170544
170544
29404
29404
5100
5100
3000
3000
282395
282395

0
0
0
0
0
0
0
0

Pasien
Penjamin
17160
17160
51838
51838
5809
5809
56262
56262
2000
2000
133069
133069

0
0
0
0
0
0

Pasien
Penjamin
29976
29976
29976
29976
29976
29976
1500
1500
91428
91428

0
0
0
0
0

Pasien

Penjamin
282
282
500
500
782
782

0
0
0

Subtotal
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
BOT
TAB
UNT

Depo IGD
Subtotal
BOT
UNT

Depo IGD
Subtotal
TAB
AMP
UNT
UNT
PKG
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT

Pasien
Penjamin
29976
29976
29976
29976
29976
29976
1500
1500
91428
91428

Pasien

0
0
0
0
0

Penjamin
396
500
896

0
0
0

Pasien
Penjamin
65340
65340
429
429
1000
1000
66769
66769

0
0
0
0

Pasien
Penjamin
153648
153648
500
500
154148
154148

0
0
0

Pasien
Penjamin
3636
3636
5782
5782
2550
2550
3560
3560
5020
5020
32834
32834
3000
3000
56382
56382

0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
14988
14988
8415
8415

0
0
0

396
500
896

BAG
UNT

Depo IGD
Subtotal
UNT
UNT
BOT
PKG
UNT
UNT
VIL
BAG
UNT
UNT
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
VIL
UNT
UNT
PKG
UNT

Depo IGD
Subtotal
BAG
VIL
UNT
UNT
PKG
UNT

Depo IGD

9633
2000
53379

9633
2000
53379

0
0
0

Pasien
Penjamin
14988
14988
18343
18343
81510
81510
1000
1000
3500
3500
50
50
308377
308377
9633
9633
1898
1898
16335
16335
3500
3500
459134
459134

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1898
1898
18343
18343
131319
131319
1997
1997
3300
3300
5020
5020
4000
4000
197200
197200

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9633
9633
12415
12415
14988
14988
26535
26535
5020
5020
2500
2500
71091
71091

0
0
0
0
0
0
0

Subtotal
UNT
UNT
UNT
BOT
UNT
UNT
UNT
BOT
PKG
UNT

Depo IGD
Subtotal
VIL
BAG
UNT

Depo IGD
Subtotal
PKG
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT

Depo IGD
Subtotal
VIL
UNT

Pasien
Penjamin
14988
14988
18343
18343
16335
16335
5881
5881
1898
1898
2550
2550
3994
3994
81510
81510
5020
5020
4500
4500
155019
155019

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
9633
9633
1000
1000
181177
181177

0
0
0
0

Pasien
Penjamin
2970
2970
3994
3994
5100
5100
6160
6160
14988
14988
2500
2500
35712
35712

0
0
0
0
0
0
0

Pasien
Penjamin
44440
44440
500
500
44940
44940

0
0
0

Pasien
Penjamin
1320000 1320000
500
500
1320500 1320500

0
0
0

Depo IGD
Subtotal
VIL
UNT

Depo IGD
Subtotal
TAB
BOT
UNT

Depo IGD
Subtotal
BOT
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP
BOT
AMP
PKG
VIL
UNT

Depo IGD
Subtotal
PKG
UNT

Depo IGD
Subtotal
TAB
TAB

Pasien
Penjamin
1320000 1320000
500
500
1320500 1320500

0
0
0

Pasien
Penjamin
1215
1215
4158
4158
900
900
6273
6273

0
0
0
0

Pasien
Penjamin
16417
16417
51216
51216
44
44
122
122
7854
7854
546
546
330
330
827
827
1451
1451
397974
397974
5782
5782
118800
118800
152064
152064
41388
41388
12415
12415
7500
7500
814730
814730

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Pasien
Penjamin
6048
6048
1002
1002

0
0

BOT
BOT
UNT

Depo IGD
Subtotal
TAB
CAP
UNT
UNT
UNT

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
VIL
AMP
TAB
BOT
UNT
BOT
TAB
BAG
AMP
AMP
AMP
UNT
PKG
UNT
UNT
VIL
UNT

Depo IGD
Subtotal

32834
63253
2000
105137

32834
63253
2000
105137

0
0
0
0

Penjamin
88
1800
3500
300
500
6188

0
0
0
0
0
0

Pasien
Penjamin
8763
8763
500
500
9263
9263

0
0
0

Pasien
Penjamin
144992
144992
35640
35640
492
492
32834
32834
10588
10588
95040
95040
827
827
88857
88857
5220
5220
20790
20790
29106
29106
4620
4620
10040
10040
3825
3825
5991
5991
30096
30096
8000
8000
526958
526958

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
88
1800
3500
300
500
6188

Pasien

Penjamin

VIL
BOT
VIL
BAG
UNT
BOT
UNT
UNT
PKG
VIL
AMP
BOT
TAB
UNT
UNT
UNT
UNT
VIL
UNT

Depo IGD
Subtotal
TAB
UNT

Depo IGD
Subtotal
BAG
UNT

Depo IGD
Subtotal
TAB
VIL
UNT
UNT
UNT
UNT
AMP
TAB
VIL

49660
115500
72496
102600
5732
5881
9625
26950
10040
422400
84494
118800
258
3825
5991
10588
10588
5184
9000
1069612

49660
115500
72496
102600
5732
5881
9625
26950
10040
422400
84494
118800
258
3825
5991
10588
10588
5184
9000
1069612

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2082
2082
500
500
2582
2582

0
0
0

Pasien
Penjamin
9633
9633
500
500
10133
10133

0
0
0

Pasien
246
30096
5991
3825
4620
3575
205287
2640
161383

Penjamin
246
30096
5991
3825
4620
3575
205287
2640
161383

0
0
0
0
0
0
0
0
0

PKG
UNT
UNT
BOT
BOT
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT

Depo IGD
Subtotal
BAG
VIL
VIL
TAB
TAB
TAB
TAB
CAP
UNT
UNT
UNT
UNT
UNT
UNT
BOT
TAB
PKG
AMP
AMP
UNT

Depo IGD
Subtotal
AMP
BOT
BOT
UNT

10040
5809
26611
16417
6072
827
4488
2692
9900
123
3500
150
9000
513292

10040
5809
26611
16417
6072
827
4488
2692
9900
123
3500
150
9000
513292

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28899
28899
224400
224400
170544
170544
246
246
1654
1654
516
516
19602
19602
900
900
3500
3500
150
150
5991
5991
3825
3825
4620
4620
5809
5809
16417
16417
44
44
10040
10040
22220
22220
205287
205287
8000
8000
732664
732664

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
71280
71280
32834
32834
5881
5881
5991
5991

0
0
0
0

UNT
PKG
UNT
UNT

Depo IGD
Subtotal
VIL
BOT
BAG
UNT
PKG
UNT
AMP
AMP
AMP
AMP
UNT
UNT
UNT

Depo IGD
Subtotal
TAB
TAB
TAB
AMP
AMP
AMP
VIL
UNT
UNT
UNT
BOT
VIL
BAG
PKG
UNT
UNT
UNT
UNT

3080
10040
20213
3500
152819

3080
10040
20213
3500
152819

0
0
0
0
0

Pasien
Penjamin
170544
170544
32834
32834
205200
205200
5991
5991
7392
7392
25220
25220
5220
5220
20790
20790
106920
106920
61776
61776
3825
3825
4620
4620
6000
6000
656332
656332

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15708
15708
1078
1078
1002
1002
84494
84494
136858
136858
4444
4444
24830
24830
1032
1032
1032
1032
1374
1374
32834
32834
633600
633600
19266
19266
10040
10040
7988
7988
5100
5100
6160
6160
8500
8500
995340
995340

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Apotik Panel 2
Subtotal
TAB
UNT

Depo IGD
Subtotal
TAB
VIL
UNT

Depo IGD
Subtotal
TAB
AMP
VIL
VIL
UNT
AMP
BAG
PKG
BOT
BOT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
BOT
BOT
UNT
UNT
UNT
AMP
BAG
AMP
UNT

Pasien
Penjamin
26289
26289
500
500
26789
26789

0
0
0

Pasien
Penjamin
1584
1584
1125093 1125093
1000
1000
1127677 1127677

0
0
0
0

Pasien

Penjamin
246
22053
170544
224400
2550
35640
19266
10040
12144
16417
1032
1032
1374
6500
523238

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
6072
6072
1032
1032
1374
1374
1032
1032
124740
124740
19266
19266
17776
17776
4000
4000
191709
191709

0
0
0
0
0
0
0
0
0
0

246
22053
170544
224400
2550
35640
19266
10040
12144
16417
1032
1032
1374
6500
523238

Depo IGD
Subtotal
TAB
TAB
AMP
AMP
BAG
UNT
BAG
BOT
UNT
UNT
UNT
UNT
PKG
AMP
UNT

Depo IGD
Subtotal
UNT
UNT
UNT
TAB
TAB
BAG
BOT
VIL
BOT
PKG
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
UNT

Pasien

Penjamin
144
5384
177868
71280
19266
29976
205200
12144
22688
7988
5100
6160
5020
22220
7000
597438

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3825
3825
4620
4620
5991
5991
88
88
2902
2902
19266
19266
78634
78634
72496
72496
6072
6072
10040
10040
29976
29976
29976
29976
1032
1032
1374
1374
1032
1032
7500
7500
274824
274824

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11000
11000
500
500

0
0

144
5384
177868
71280
19266
29976
205200
12144
22688
7988
5100
6160
5020
22220
7000
597438

11500

Depo Atas
Subtotal
CAP
UNT

Depo Atas
Subtotal
CAP
UNT

Depo Atas
Subtotal
AMP
UNT

Depo Atas
Subtotal
UNT
UNT

Depo Atas
Subtotal
UNT
BOT
UNT
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
TAB

11500

Pasien
Penjamin
11000
11000
500
500
11500
11500

0
0
0

Pasien
Penjamin
11000
11000
500
500
11500
11500

0
0
0

Pasien
Penjamin
37572
37572
500
500
38072
38072

0
0
0

Pasien
Penjamin
16088
16088
500
500
16588
16588

0
0
0

Pasien
Penjamin
11475
11475
54576
54576
14988
14988
356
356
8415
8415
2970
2970
10040
10040
3500
3500
106320
106320

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51822
51822

TAB
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
AMP
AMP
UNT
UNT
UNT
BAG
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
VIL
AMP
BOT
UNT
UNT
BAG
UNT
UNT
UNT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
UNT
UNT

1269
8415
14988
2000
78494

1269
8415
14988
2000
78494

0
0
0
0
0

Pasien
Penjamin
40242
40242
41580
41580
26019
26019
11475
11475
13860
13860
11982
11982
57798
57798
2136
2136
2970
2970
14988
14988
8415
8415
10040
10040
6000
6000
247505
247505

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53656
53656
26019
26019
504900
504900
13860
13860
11475
11475
38532
38532
17973
17973
14988
14988
356
356
2970
2970
8415
8415
10040
10040
6000
6000
709184
709184

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17973
17973
8415
8415

0
0

UNT
UNT
PKG
BOT
UNT
UNT
PKG
BAG
UNT

Depo Atas
Subtotal
VIL
BAG
UNT
AMP
AMP
VIL
BOT
BOT
BAG
UNT
PKG
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
BOT
UNT

Depo Atas
Subtotal

356
14988
2970
147753
1898
16335
10040
38532
5000
264260

356
14988
2970
147753
1898
16335
10040
38532
5000
264260

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40242
40242
57798
57798
17973
17973
62370
62370
26019
26019
787914
787914
36384
36384
153648
153648
75172
75172
14988
14988
10040
10040
11475
11475
13860
13860
8415
8415
16335
16335
7500
7500
1340133 1340133

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1962
1962
1269
1269
2376
2376
78
78
2970
2970
11762
11762
3000
3000
23417
23417

0
0
0
0
0
0
0
0

Pasien

Penjamin

CAP
TAB
CAP
BOT
TAB
TAB
TAB
AMP
PKG
UNT
AMP
UNT
UNT
UNT
UNT
BAG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
UNT
PKG
BOT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB

16164
2376
5838
57964
2481
4353
1503
28512
2970
23100
74274
19125
356
8415
14988
28899
8000
299318

16164
2376
5838
57964
2481
4353
1503
28512
2970
23100
74274
19125
356
8415
14988
28899
8000
299318

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2943
2943
1269
1269
10728
10728
1500
1500
16440
16440

0
0
0
0
0

Pasien
Penjamin
1269
1269
78
78
14988
14988
10040
10040
147753
147753
8415
8415
2970
2970
3500
3500
189013
189013

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3564
3564
2376
2376
348
348

0
0
0

TAB
TAB
TAB
VIL
AMP
AMP
AMP
UNT
UNT
UNT
BAG
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
UNT
PKG
UNT
BOT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
BOT
AMP
BOT
UNT
UNT
BOT
UNT
PKG
UNT
PKG

1686
900
3168
40242
138573
62370
15660
22950
13860
17973
28899
2970
16335
14988
8500
395362

1686
900
3168
40242
138573
62370
15660
22950
13860
17973
28899
2970
16335
14988
8500
395362

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
45376
45376
23128
23128
15300
15300
2970
2970
14988
14988
90960
90960
10040
10040
8415
8415
5991
5991
4500
4500
221668
221668

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
3600
3600
57964
57964
56720
56720
90960
90960
12750
12750
23100
23100
35286
35286
14988
14988
10040
10040
9985
9985
2970
2970

0
0
0
0
0
0
0
0
0
0
0
0

UNT
UNT

Depo Atas
Subtotal
AMP
UNT
VIL
UNT
BAG
BOT
TAB
TAB
AMP
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
SUP
VIL
AMP
UNT
UNT
BAG
UNT
BOT
PKG
UNT
PKG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT

8415
6500
334538

8415
6500
334538

0
0
0

Pasien
Penjamin
142560
142560
12320
12320
53656
53656
11982
11982
57798
57798
147753
147753
38808
38808
462
462
59808
59808
8925
8925
14988
14988
10040
10040
2970
2970
6500
6500
568570
568570

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37890
37890
53656
53656
69300
69300
15400
15400
19970
19970
57798
57798
14988
14988
54576
54576
10040
10040
16335
16335
2970
2970
5500
5500
358423
358423

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
147753
147753
8415
8415
1000
1000
157168
157168

0
0
0
0

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
AMP
UNT
UNT
UNT
PKG
UNT
UNT
PKG
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT
BAG
UNT

Depo Atas
Subtotal
AMP
UNT
TAB
BOT
UNT
UNT
PKG
UNT
PKG
UNT

Pasien
Penjamin
57964
57964
3234
3234
918
918
47124
47124
45376
45376
29955
29955
23100
23100
19125
19125
2970
2970
14988
14988
8415
8415
10040
10040
6000
6000
269209
269209

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
63376
63376
2004
2004
948
948
156
156
488
488
5804
5804
2970
2970
8415
8415
38532
38532
4500
4500
127193
127193

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28910
28910
12750
12750
1134
1134
147753
147753
14988
14988
1780
1780
2970
2970
8415
8415
10040
10040
4500
4500

0
0
0
0
0
0
0
0
0
0

233240

Depo Atas
Subtotal
TUB
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
TAB
VIL
UNT
UNT
PKG
UNT
BOT
PKG
BAG
UNT

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
PKG
UNT
UNT
BAG
UNT

233240

Pasien
Penjamin
56262
56262
18343
18343
1997
1997
5809
5809
12012
12012
26535
26535
3000
3000
123958
123958

0
0
0
0
0
0
0
0

Pasien
Penjamin
4962
4962
39
39
3500
3500
900
900
738
738
1476
1476
897600
897600
15976
15976
2136
2136
2970
2970
14988
14988
147753
147753
10040
10040
57798
57798
5500
5500
1166376 1166376

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
35286
35286
14988
14988
14988
14988
2970
2970
10040
10040
32670
32670
5694
5694
48165
48165
4000
4000
168801
168801

0
0
0
0
0
0
0
0
0
0

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
UNT
VIL
UNT
PKG
UNT
UNT
UNT
BOT
UNT
UNT
BAG
PKG
UNT

Depo Atas
Subtotal
AMP
AMP
UNT
UNT
UNT
PKG
BOT
PKG
UNT
UNT

Depo Atas
Subtotal
VIL
VIL
UNT
UNT
BAG

Pasien
Penjamin
59400
59400
3006
3006
19712
19712
11880
11880
26664
26664
15300
15300
897600
897600
15976
15976
2970
2970
2136
2136
14988
14988
8415
8415
147753
147753
15400
15400
14988
14988
9633
9633
10040
10040
8500
8500
1284361 1284361

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
138573
138573
23128
23128
19125
19125
15400
15400
14988
14988
10040
10040
81864
81864
2970
2970
8415
8415
4500
4500
319003
319003

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53656
53656
682176
682176
12320
12320
7650
7650
57798
57798

0
0
0
0
0

UNT
PKG
UNT
PKG
BOT
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
UNT

Depo Atas
Subtotal
UNT
BOT
BOT
BAG
AMP
UNT
TAB
UNT
UNT
PKG
PKG
UNT

Depo Atas
Subtotal
UNT
UNT
UNT

Depo Atas
Subtotal
BOT
TAB

11982
2970
14988
10040
147753
12610
26950
6000
1046893

11982
2970
14988
10040
147753
12610
26950
6000
1046893

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
500
500
58464
58464

0
0
0

Pasien
Penjamin
1898
1898
54576
54576
307296
307296
112758
112758
27870
27870
15300
15300
1269
1269
14988
14988
8415
8415
10040
10040
2970
2970
5500
5500
562880
562880

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1898
1898
26535
26535
1000
1000
29433
29433

0
0
0
0

Pasien
Penjamin
57964
57964
7255
7255

0
0

UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
BOT
TAB
VIL
VIL
UNT
SUP
UNT
UNT
UNT
PKG
BOT
BAG
UNT
PKG
UNT
UNT

Depo Atas
Subtotal
AMP
AMP
PKG
UNT
UNT
PKG
BOT

1000
66219

1000
66219

0
0

Pasien
Penjamin
1020
1020
5010
5010
99000
99000
20520
20520
26535
26535
1898
1898
3000
3000
156983
156983

0
0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
57964
57964
4962
4962
511632
511632
673200
673200
23964
23964
70686
70686
18480
18480
14988
14988
2136
2136
2970
2970
147753
147753
513000
513000
12750
12750
10040
10040
16335
16335
8000
8000
2090120 2090120

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15660
15660
23520
23520
10040
10040
15300
15300
14988
14988
2970
2970
29405
29405

0
0
0
0
0
0
0

TAB
TAB
TAB
TAB
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
GM
UNT
UNT
TAB
VIL
AMP
UNT
UNT
UNT
PKG
PKG
BAG
BAG
UNT

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
CAP
UNT

1344
2700
880
488
16335
1898
6500
142028

1344
2700
880
488
16335
1898
6500
142028

0
0
0
0
0
0
0
0

Pasien
Penjamin
4707
4707
1134
1134
240
240
3500
3500
450
450
4224
4224
511632
511632
37572
37572
15400
15400
19970
19970
16335
16335
2970
2970
10040
10040
112758
112758
410400
410400
6000
6000
1157332 1157332

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2640
2640
17500
17500
2370
2370
2000
2000
51450
51450

0
0
0
0
0
0

Pasien
Penjamin
11000
11000
500
500
11500
11500

0
0
0

Depo Atas
Subtotal
TAB
BOT
UNT

Apotik Panel
Subtotal
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal
UNT
AMP
AMP
UNT

Depo IGD

Pasien
Penjamin
13200
13200
57964
57964
1000
1000
72164
72164

0
0
0
0

Pasien
Penjamin
89760
89760
500
500
90260
90260

0
0
0

Pasien
Penjamin
1220
1220
1020
1020
78540
78540
5010
5010
99000
99000
14510
14510
3000
3000
202300
202300

0
0
0
0
0
0
0
0

Pasien
Penjamin
79220
79220
14820
14820
2370
2370
1500
1500
97910
97910

0
0
0
0
0

Pasien
Penjamin
3825
3825
9504
9504
24758
24758
1500
1500
39587
39587

0
0
0
0
0

Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
UNT
UNT
AMP
UNT

Depo Atas
Subtotal
TAB
UNT

Depo Atas
Subtotal
VIL
AMP
AMP
AMP
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

Depo Atas
Subtotal

Pasien
Penjamin
51216
51216
16417
16417
1000
1000
68633
68633

0
0
0
0

Pasien
Penjamin
16088
16088
51838
51838
1382
1382
1500
1500
70808
70808

0
0
0
0
0

Pasien

Penjamin
846
500
1346

0
0
0

Pasien
Penjamin
393957
393957
83160
83160
34692
34692
13935
13935
15400
15400
15300
15300
7988
7988
3500
3500
567932
567932

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4905
4905
2115
2115
17880
17880
1500
1500
26400
26400

0
0
0
0
0

846
500
1346

Pasien

Penjamin

TAB
AMP
AMP
TAB
TAB
UNT
UNT

Depo IGD
Subtotal
BOT
UNT

Depo Atas
Subtotal
VIL
AMP
BOT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
UNT
PKG
UNT
UNT
UNT

Depo Atas
Subtotal
TAB

1503
74274
28512
4374
2902
3825
3000
118390

1503
74274
28512
4374
2902
3825
3000
118390

0
0
0
0
0
0
0
0

Pasien
Penjamin
19472.4 19472.4
450
450
19922.4 19922.4

0
0
0

Pasien
Penjamin
53656
53656
11564
11564
47048
47048
14988
14988
15976
15976
12750
12750
8415
8415
3500
3500
167897
167897

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
846
362832
11564
98502
14988
10040
5100
9240
4000
517112

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1308
1308

846
362832
11564
98502
14988
10040
5100
9240
4000
517112

TAB
TAB
TAB
BOT
UNT
UNT

Depo Atas
Subtotal
BOT
BOT
BAG
AMP
AMP
AMP
UNT
UNT
UNT

Depo Atas
Subtotal
VIL
UNT
BAG
VIL
UNT
BOT
UNT

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
BOT
UNT

Depo IGD

1584
846
52
54576
14988
3000
76354

1584
846
52
54576
14988
3000
76354

0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
102432
102432
37586
37586
9290
9290
41580
41580
17346
17346
7650
7650
9240
9240
4000
4000
247316
247316

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26828
26828
7988
7988
38532
38532
170544
170544
14988
14988
98502
98502
3000
3000
360382
360382

0
0
0
0
0
0
0
0

Pasien
Penjamin
1962
1962
846
846
7152
7152
14988
14988
54576
54576
2500
2500
82024
82024

0
0
0
0
0
0
0

Subtotal
BOT
BOT
UNT

Depo IGD
Subtotal
UNT
TAB
TAB
VIL
UNT

Depo IGD
Subtotal
AMP
BOT
BOT
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
VIL
BAG
UNT
UNT
UNT
UNT
UNT
UNT

Depo Atas
Subtotal
CAP
BOT

Pasien
Penjamin
27060
27060
30217
30217
1000
1000
58277
58277

0
0
0
0

Pasien
Penjamin
14988
14988
1451
1451
7854
7854
13414
13414
2000
2000
39707
39707

0
0
0
0
0
0

Pasien
Penjamin
70438
70438
59400
59400
26250
26250
5991
5991
3825
3825
3300
3300
8415
8415
3500
3500
181119
181119

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112200
112200
12012
12012
3994
3994
3300
3300
18343
18343
1898
1898
14988
14988
3500
3500
170235
170235

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53880
53880
65340
65340

0
0

UNT

Depo Unit Dose

Subtotal
TAB
TAB
TAB
UNT

Depo IGD
Subtotal
UNT
UNT
TUB
UNT
UNT
UNT

Apotik Panel
Subtotal
VIL
UNT

Depo IGD
Subtotal
AMP
AMP
UNT
UNT
UNT
UNT
UNT

Depo IGD
Subtotal
AMP
UNT

1000
120220

1000
120220

0
0

Pasien
Penjamin
7920
7920
1160
1160
5620
5620
1500
1500
16200
16200

0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
112524
112524
3994
3994
16088
16088
2500
2500
159258
159258

0
0
0
0
0
0
0

Pasien
Penjamin
6233
6233
500
500
6733
6733

0
0
0

Pasien
Penjamin
95040
95040
145345
145345
20213
20213
26950
26950
14988
14988
8415
8415
3000
3000
313951
313951

0
0
0
0
0
0
0
0

Pasien
Penjamin
4645
4645
1275
1275

0
0

UNT

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
UNT

1000
6920

1000
6920

0
0

Pasien
Penjamin
290690
290690
16335
16335
18343
18343
5809
5809
2000
2000
333177
333177

0
0
0
0
0
0

Waktu
31 Mei 2013 12:29
Item
CENDO FENICOL 0.25% 5 ML
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAMPERSAL
Quantity
1,00
1,00

Depo
Depo Atas
Subtotal
BOT
UNT

31 Mei 2013 11:26

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
ZINC INF 20 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
8,00
6,00
15,00
1,00
5,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
TAB
UNT
UNT

31 Mei 2013 11:09

Item
EPHINEPRIN ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Emergency NICU
Subtotal
AMP
UNT

31 Mei 2013 10:59

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
VITAMIN B1 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
13,00
1,00
1,00
30,00
25,00
15,00
1,00
1,00
30,00
15,00
15,00
30,00
1,00
1,00
30,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
TAB
TAB
PKG
UNT
UNT

31 Mei 2013 10:54

Item
ASAM MEFENAMAT INF 500 MG TABLET
VITAMIN C 50 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
12,00
5,00
1,00
1,00
12,00

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
UNT
UNT

31 Mei 2013 10:45

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
15,00
7,00
8,00
1,00
1,00
15,00
8,00
1,00
1,00
30,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT

31 Mei 2013 10:31

Item
PHENOBARBITAL 30 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAMPERSAL
Quantity
2,00
5,00
1,00
1,00
10,00

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT

31 Mei 2013 10:24

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ELKANA TABL 200 mg; 100 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
20,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

31 Mei 2013 09:58

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
8,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

30 Mei 2013 17:08

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
AMBROXOL INF 30 MG TABLET
IBUPROFEN INF 200 MG TABLET
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
6,00
5,00
4,00
1,00
12,00
1,00

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
TAB
UNT
UNT
UNT

30 Mei 2013 12:32

Item
DOMPERIDON SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

30 Mei 2013 12:25

Item
CEFADROXIL INF CAPSULE 500 MG
CHLORAMPHENICOL250mg CAPSULE
VITAMIN C 50 MG TABLET
CTM 4 MG TABLET
AMBROXOL INF 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
16,00
20,00
10,00
4,00
1,00
1,00
20,00

Depo Atas
Subtotal
CAP
CAP
TAB
TAB
TAB
PKG
UNT
UNT

30 Mei 2013 11:51

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
HEPTASAN TABLET, FILM COATED 4 MG
PREDNISON 5 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
4,00
4,00
5,00
6,00
20,00
1,00
1,00
20,00
1,00

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT

30 Mei 2013 11:33

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
IBUPROFEN INF 200 MG TABLET
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CEFADROXIL INF CAPSULE 500 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
15,00
6,00
8,00
1,00
1,00
15,00
9,00
8,00
4,00
3,00
4,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
TAB
TAB
TAB
CAP
PKG
UNT
UNT

30 Mei 2013 11:01

Item
CHLORAMPHENICOL250mg CAPSULE
CEFADROXIL INF CAPSULE 500 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET

JAKARTA SEHAT
Quantity
20,00
3,00
1,00
1,00
20,00
10,00
10,00

Depo Atas
Subtotal
CAP
CAP
PKG
UNT
UNT
TAB
TAB

VITAMIN B12 KF 50 MCG TABLET

VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

10,00
20,00
1,00
1,00
20,00

TAB
TAB
PKG
UNT
UNT

29 Mei 2013 11:22

Item
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
1,00
1,00
10,00

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT

29 Mei 2013 10:53

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
STOMACH TUBE 4 JMS
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
4,00

Emergency NICU
Subtotal
BOT
UNT
UNT
UNT
UNT

29 Mei 2013 10:02

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Trolley IGD
Subtotal
BOT
UNT
TAB
UNT

28 Mei 2013 14:19

Item
SANMOL 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

28 Mei 2013 11:36

Item
SANMOL INFUSION

JAMPERSAL
Quantity
1,00

Depo Atas
Subtotal
BOT

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

28 Mei 2013 11:26

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00

Trolley IGD
Subtotal
BOT
AMP
UNT
UNT

28 Mei 2013 10:22

Item
INFUS SET JMS
NASAL PRONG NO. 8 (DOUBLE TUBE VENTILATOR)
AQUA BIDES 1000 ML SOLUTION, LIQUID
STOMACH TUBE 6 JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
4,00

Emergency NICU
Subtotal
UNT
PKG
BOT
UNT
UNT

27 Mei 2013 20:11

Item
PARACETAMOL DROP 15 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

27 Mei 2013 11:40

Item
CEFADROXIL INF CAPSULE 500 MG
CHLORAMPHENICOL250mg CAPSULE
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
10,00
40,00
10,00
1,00
1,00
20,00

Depo Atas
Subtotal
CAP
CAP
TAB
PKG
UNT
UNT

27 Mei 2013 11:33

Item
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE

UMUM
Quantity
78,00
1,00
1,00
30,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

1,00
1,00

BOT
UNT

27 Mei 2013 11:01

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
VITAMIN B1 50 MG TABLET
VITAMIN B COMPLEX
VITAMIN C 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
15,00
6,00
8,00
1,00
1,00
15,00
15,00
15,00
30,00
15,00
1,00
1,00
30,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
TAB
TAB
TAB
PKG
UNT
UNT

27 Mei 2013 10:41

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
15,00
7,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

27 Mei 2013 10:40

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
15,00
7,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB

VITAMIN B6 10 MG TABLET
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

8,00
4,00
1,00
1,00
15,00

TAB
TAB
PKG
UNT
UNT

27 Mei 2013 10:38

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
5,00
1,00
1,00
30,00
13,00
15,00
1,00
1,00
30,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

27 Mei 2013 10:32

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
EPHINEPRIN ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
2,00

Emergency NICU
Subtotal
BOT
AMP
UNT

27 Mei 2013 10:28

Item
CEFAT CAPSULE 500 mg
DEXTROMETHORPHAN INF TABLET 15 MG
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
AMBROXOL INF 30 MG TABLET
BISOLVON TABLET 8 mg
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
4,00
5,00
9,00
7,00
3,00
4,00
15,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT

24 Mei 2013 11:58

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

RIFAMPICIN INFA CAPSULE 600 MG

TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

5,00
1,00
15,00
12,00
8,00
1,00
15,00
15,00
1,00
30,00

CAP
UNT
UNT
TAB
TAB
UNT
UNT
TAB
UNT
UNT

24 Mei 2013 11:54

Item
DEXTROMETHORPHAN INF 60 ML SYRUP 10 MG/5 ML
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo Atas
Subtotal
BOT
BOT
UNT

24 Mei 2013 11:46

Item
AMBROXOL INF 30 MG TABLET
BISOLVON TABLET 8 mg
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
SALBUTAMOL INF TABLET 2 MG
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
3,00
3,00
5,00
15,00
6,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT

24 Mei 2013 11:45

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

Apotik Panel
Subtotal
PKG
UNT

22 Mei 2013 12:53

Item
AMBROXOL INF 30 MG TABLET
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
TAB
BOT
UNT

22 Mei 2013 12:13

Item
INH 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
15,00
18,00
1,00
1,00
30,00
2,00

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
UNT
UNT
UNT

22 Mei 2013 12:08

Item
AMBROXOL INF 30 MG TABLET
ALDISA SR CAPSULE
SALBUTAMOL INF TABLET 2 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
2,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
CAP
TAB
PKG
UNT
UNT

21 Mei 2013 10:54

Item
NASAL PRONG NO. 8 (DOUBLE TUBE VENTILATOR)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency NICU
Subtotal
PKG
UNT

20 Mei 2013 13:24

Item
CHLORAMPHENICOL250mg CAPSULE
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
IBUPROFEN INF 200 MG TABLET
VITAMIN C 50 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
12,00
8,00
6,00
8,00
8,00
5,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT

20 Mei 2013 13:21

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

RIFAMPICIN INFA CAPSULE 600 MG

EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

3,00
1,00
1,00
15,00
8,00
8,00
1,00
1,00
15,00

CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

20 Mei 2013 13:05

Item
CEFADROXIL INF CAPSULE 500 MG
CTM 4 MG TABLET
AMBROXOL INF 30 MG TABLET
PREDNISON 5 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
IBUPROFEN INF 200 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
9,00
3,00
7,00
4,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT

20 Mei 2013 12:15

Item
DOMPERIDON INF TABLET 10 MG
VITAMIN C 50 MG TABLET
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CHLORAMPHENICOL250mg CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
30,00
15,00
15,00
15,00
1,00
1,00
30,00
20,00
1,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT
CAP
UNT

20 Mei 2013 11:24

Item
IBUPROFEN INF 200 MG TABLET
PREDNISON 5 MG TABLET
CTM 4 MG TABLET
DOMPERIDON INF TABLET 10 MG

UMUM
Quantity
9,00
7,00
9,00
5,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB

VITAMIN C 50 MG TABLET
ALDISA SR CAPSULE
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

15,00
8,00
1,00
1,00
15,00

TAB
CAP
PKG
UNT
UNT

20 Mei 2013 10:43

Item
METHYL PREDNISOLONE inf 16 MG TABLET
ELKANA TABL 200 mg; 100 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
20,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

20 Mei 2013 10:12

Item
PREDNISON 5 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
30,00
15,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT

20 Mei 2013 09:14

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
7,00
1,00
1,00
30,00
18,00
15,00
1,00
1,00
30,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

16 Mei 2013 08:56

Item
DRAINAGE BAG STERIL
FOLLEY CATHETER 8 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency PICU
Subtotal
UNT
UNT
UNT

15 Mei 2013 15:02

Item
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
AMP
UNT

15 Mei 2013 13:04

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CHLORAMPHENICOL250mg CAPSULE
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
VITAMIN C 50 MG TABLET
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
10,00
8,00
1,00
1,00
15,00
13,00
8,00
4,00
20,00
10,00
1,00
1,00
20,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
CAP
TAB
TAB
TAB
TAB
PKG
UNT
UNT

15 Mei 2013 13:04

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
10,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

15 Mei 2013 12:50

Item
RIFAMPICIN INFA CAPSULE 600 MG

JAKARTA SEHAT
Quantity
3,00

Depo Atas
Subtotal
CAP

EQUAL REFILL SACHET

TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
VITAMIN C 50 MG TABLET
VITAMIN B1 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
15,00
7,00
8,00
1,00
1,00
15,00
30,00
15,00
15,00
1,00
1,00
30,00
1,00
1,00

PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
TAB
TAB
PKG
UNT
UNT
BOT
UNT

15 Mei 2013 12:47

Item
CHLORAMPHENICOL250mg CAPSULE
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
6,00
12,00
6,00
1,00
1,00
30,00
1,00
1,00

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
PKG
UNT
UNT
BOT
UNT

15 Mei 2013 12:41

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
9,00
8,00
1,00
1,00
15,00
1,00
1,00

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
UNT
UNT
BOT
UNT

15 Mei 2013 12:22

JAKARTA SEHAT

Depo Atas

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

Quantity
3,00
3,00
4,00
15,00
1,00
1,00
15,00

Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT

15 Mei 2013 12:21

Item
CEFADROXIL INF CAPSULE 500 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

15 Mei 2013 12:08

Item
IVENA IV CATH 24
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
ONDANSETRON INF 4 MG INJECTION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Depo Atas
Subtotal
UNT
UNT
BOT
AMP
VIL
UNT

15 Mei 2013 11:59

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

Depo Atas
Subtotal
PKG
UNT

15 Mei 2013 11:58

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
13,00
1,00
30,00
33,00
15,00
1,00
30,00

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
TAB
UNT
UNT

15 Mei 2013 11:18

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
INH 100 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
15,00
20,00
90,00
5,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

15 Mei 2013 10:55

Item
MUCERA OTTO 15 ML DROPS
SALBUTAMOL INF TABLET 2 MG
VITAMIN C 50 MG TABLET
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
15,00
5,00
5,00
1,00
15,00
1,00

Depo Atas
Subtotal
BOT
TAB
TAB
TAB
PKG
UNT
UNT
UNT

15 Mei 2013 10:22

Item
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
FUROSEMID INF TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
60,00
5,00
1,00
20,00
2,00
5,00
1,00
10,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT

15 Mei 2013 10:08

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Apotik Panel
Subtotal
PKG
UNT

15 Mei 2013 10:08

Item

UMUM
Quantity

Depo Atas
Subtotal

CHLORAMPHENICOL250mg CAPSULE
TUSLAH RACIKAN EMBALASE
BUFECT FORTE SYRUP 200 mg/5 ml
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

30,00
1,00
15,00
1,00
5,00
2,00

CAP
UNT
UNT
BOT
TAB
UNT

14 Mei 2013 12:16

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

13 Mei 2013 14:19

Item
IBUPROFEN INF 200 MG TABLET
CHLORAMPHENICOL250mg CAPSULE
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
15,00
30,00
1,00
15,00

Depo Atas
Subtotal
TAB
CAP
UNT
UNT

13 Mei 2013 14:18

Item
PARACETAMOL 60 ML SYRUP
PHENOBARBITAL 30 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
8,00
1,00
10,00
1,00

Depo Atas
Subtotal
BOT
TAB
UNT
UNT
UNT

13 Mei 2013 13:29

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

Apotik Panel
Subtotal
PKG
UNT

13 Mei 2013 13:29

Item
DEXTROMETHORPHAN INF TABLET 15 MG
GLYCERIL GUAIACOLAT 100 MG TABLET
IBUPROFEN INF 200 MG TABLET

JAKARTA SEHAT
Quantity
2,00
2,00
4,00

Depo Atas
Subtotal
TAB
TAB
TAB

CEFADROXIL INF CAPSULE 500 MG

VITAMIN C 50 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

2,00
10,00
1,00
10,00

CAP
TAB
UNT
UNT

13 Mei 2013 13:11

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

Apotik Panel
Subtotal
PKG
UNT

13 Mei 2013 13:11

Item
LACTODIA POLYBAG
PREDNISON 5 MG TABLET
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN EMBALASE
ZINKID 10MG/5ML SYRUP
IVENA IV CATH 24
INFUS SET JMS
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
6,00
8,00
1,00
15,00
1,00
1,00
1,00
2,00
4,00

Depo Atas
Subtotal
PKG
TAB
TAB
TAB
UNT
UNT
BOT
UNT
UNT
BAG
UNT

13 Mei 2013 12:34

Item
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00

Depo IGD
Subtotal
BOT
TAB
UNT

13 Mei 2013 12:10

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel
Subtotal
PKG
UNT

13 Mei 2013 12:09

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

CEFADROXIL INF CAPSULE 500 MG

PREDNISON 5 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN EMBALASE
SPIRONOLACTONE 25 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

6,00
8,00
6,00
15,00
1,00
15,00
8,00
1,00
15,00

CAP
TAB
TAB
TAB
UNT
UNT
TAB
UNT
UNT

13 Mei 2013 11:37

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

Apotik Panel
Subtotal
PKG
UNT

13 Mei 2013 11:37

Item
CEFADROXIL INF CAPSULE 500 MG
CHLORAMPHENICOL250mg CAPSULE
VITAMIN C 50 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
6,00
24,00
10,00
4,00
7,00
1,00
20,00

Depo Atas
Subtotal
CAP
CAP
TAB
TAB
TAB
UNT
UNT

13 Mei 2013 11:20

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00

Apotik Panel
Subtotal
PKG
UNT

13 Mei 2013 11:19

Item
CEFADROXIL INF CAPSULE 500 MG
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
3,00
6,00
4,00
1,00
10,00

Depo Atas
Subtotal
CAP
TAB
TAB
UNT
UNT

13 Mei 2013 11:07

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
12,00
1,00
15,00
20,00
8,00
1,00
15,00

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
TAB
UNT
UNT

13 Mei 2013 11:05

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel
Subtotal
PKG
UNT

13 Mei 2013 11:05

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
15,00
5,00
8,00
1,00
15,00

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
TAB
UNT
UNT

13 Mei 2013 11:04

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel
Subtotal
PKG
UNT

13 Mei 2013 10:12

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
5,00
1,00

Apotik Panel
Subtotal
PKG
UNT

13 Mei 2013 10:11

RSUD TARAKAN

Depo Atas

Item
MEFINAL 500 MG TABLET
PREDNISON 5 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

Quantity
4,00
5,00
10,00
1,00
10,00

Subtotal
TAB
TAB
TAB
UNT
UNT

11 Mei 2013 12:22

Item
VITAMIN B1 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
10,00
1,00
10,00

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT

11 Mei 2013 12:22

Item
AMBROXOL INF 30 MG TABLET
CETIRIZINE 10 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
CTM 4 MG TABLET
IBUPROFEN INF 200 MG TABLET
TUSLAH RACIKAN EMBALASE
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
8,00
9,00
15,00
1,00
15,00
2,00
1,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT
AMP
UNT

11 Mei 2013 01:23

Item
PELASTIN INFUSION
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
VIL
BOT
UNT

11 Mei 2013 01:21

Item
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
AMP
BOT
UNT

11 Mei 2013 01:19

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
15,00
1,00

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

10 Mei 2013 12:11

Item
CHLORAMPHENICOL250mg CAPSULE
CEFADROXIL INF CAPSULE 500 MG
VITAMIN C 50 MG TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
40,00
8,00
20,00
4,00
10,00
1,00
1,00
20,00

Depo Atas
Subtotal
CAP
CAP
TAB
TAB
TAB
PKG
UNT
UNT

10 Mei 2013 12:07

Item
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
15,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT

10 Mei 2013 11:31

Item
SALYCIL TALK
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
2,00

Depo Atas
Subtotal
BOX
PKG
UNT

10 Mei 2013 11:28

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
15,00
5,00
8,00
1,00
1,00
15,00
8,00
1,00
1,00
30,00
3,00
4,00
6,00
20,00
1,00
1,00
20,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT
TAB
TAB
TAB
TAB
PKG
UNT
UNT

10 Mei 2013 11:26

Item
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
CTM 4 MG TABLET
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
6,00
8,00
8,00
8,00
1,00
1,00
15,00
2,00

Depo Atas
Subtotal
BOT
BOT
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT

10 Mei 2013 11:12

Item
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
FUROSEMID INF TABLET

UMUM
Quantity
26,00
1,00
1,00
10,00
2,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
TAB

EQUAL REFILL SACHET

TUSLAH RACIKAN EMBALASE
TOTAL

1,00
1,00
10,00

PKG
UNT
UNT

10 Mei 2013 10:50

Item
VALISANBE TABLET 5 MG
ANTASIDA DOEN KF TABLET
RANITIDINE INF TABLET 150 MG
ASAM MEFENAMAT INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
8,00
4,00
3,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT

10 Mei 2013 10:46

Item
VALISANBE TABLET 5 MG
BUSCOPAN TABLET 10 mg
VITAMIN C 50 MG TABLET
MEFINAL 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
3,00
2,00
10,00
3,00
1,00
1,00
10,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT

10 Mei 2013 10:22

Item
PREDNISON 5 MG TABLET
VITAMIN C 50 MG TABLET
MEFINAL 500 MG TABLET
TUSLAH RACIKAN EMBALASE
PARACETAMOL INF TABLET 500 mg
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
18,00
12,00
5,00
1,00
12,00
10,00
15,00
2,00

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
TAB
UNT

10 Mei 2013 10:07

Item
BUFECT syrup BOT 100 mg/5 ml
CEFADROXIL INF CAPSULE 500 MG

UMUM
Quantity
1,00
2,00

Depo Atas
Subtotal
BOT
CAP

VITAMIN C 50 MG TABLET
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

10,00
3,00
1,00
1,00
10,00
1,00

TAB
TAB
PKG
UNT
UNT
UNT

10 Mei 2013 09:47

Item
CEFADROXIL INF CAPSULE 500 MG
TREMENZA TABLET
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
SALBUTAMOL INF TABLET 2 MG
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
3,00
5,00
11,00
9,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT

10 Mei 2013 09:39

Item
CEFADROXIL INF CAPSULE 500 MG
CHLORAMPHENICOL250mg CAPSULE
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
9,00
3,00
5,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
CAP
TAB
TAB
PKG
UNT
UNT

10 Mei 2013 08:24

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency PICU
Subtotal
UNT
UNT

9 Mei 2013 01:15

Item
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency PICU
Subtotal
UNT
BOT

STOMACH TUBE 12 THERUMO

DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00

UNT
UNT
UNT

8 Mei 2013 13:36

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
2,00
4,00
3,00
10,00
1,00
1,00
10,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT

8 Mei 2013 12:33

Item
COTRIMOXAZOLE 480 MG TABLET
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
4,00
20,00
1,00
20,00
1,00

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
UNT

8 Mei 2013 12:27

Item
CEFADROXIL INF CAPSULE 500 MG
CHLORAMPHENICOL250mg CAPSULE
TUSLAH RACIKAN EMBALASE
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
8,00
32,00
1,00
20,00
1,00
10,00
7,00
15,00
10,00
1,00
1,00
20,00
1,00

Depo Atas
Subtotal
CAP
CAP
UNT
UNT
BOT
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT

8 Mei 2013 12:13

Item
ETT TUBE 3.5 MURPHY (UNCUFF)
ETT PORTEX 4
THREE WAY STOPCOCK
EPHINEPRIN ETHICA INJECTION
CIRRUS NEBULIZER T KIT ( ANAK)>2506
XYLOCAINE 2% 10 GM JELLY
DOPAC 40 MG/ML INJECTION
HANDSCOON GAMEX 6.5
FOLLEY CATHETER 8 RUSCH
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

Emergency PICU
Subtotal
PKG
PKG
UNT
AMP
PKG
TUB
AMP
UNT
UNT
UNT

8 Mei 2013 11:36

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
VITAMIN B1 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
15,00
12,00
8,00
1,00
1,00
15,00
15,00
15,00
15,00
1,00
30,00
1,00
30,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
TAB
TAB
PKG
TAB
UNT
UNT

8 Mei 2013 11:29

Item
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
VITAMIN C 50 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
DOMPERIDON INF TABLET 10 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
LACTODIA POLYBAG

JAKARTA SEHAT
Quantity
6,00
5,00
15,00
3,00
2,00
1,00
1,00
15,00
3,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT
PKG

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

8 Mei 2013 10:46

Item
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

8 Mei 2013 09:59

Item
BENOSON 15 GM CREAM
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
TUB
UNT

8 Mei 2013 09:55

Item
METHYL PREDNISOLONE inf 16 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ELKANA SYRUP
VALISANBE TABLET 5 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
FUROSEMID INF TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
53,00
1,00
1,00
105,00
1,00
2,00
1,00
1,00
10,00
6,00
1,00
1,00
15,00
1,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
BOT
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT
UNT

8 Mei 2013 09:03

Item
GLYCERIL GUAIACOLAT 100 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN C 50 MG TABLET
CEFADROXIL INF CAPSULE 500 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
10,00
3,00
1,00
1,00
10,00

Depo Atas
Subtotal
TAB
TAB
TAB
CAP
PKG
UNT
UNT

8 Mei 2013 09:03

Item
AMBROXOL INF 30 MG TABLET
SALBUTAMOL INF TABLET 2 MG
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
5,00
4,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT

8 Mei 2013 09:03

Item
SPIRONOLACTONE 25 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
10,00

Depo Atas
Subtotal
TAB
UNT
UNT

8 Mei 2013 09:02

Item
PELASTIN INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

7 Mei 2013 19:33

Item
PLASBUMIN-20% 100 ML SOLUTION, CONCENTRATE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

7 Mei 2013 19:03

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

7 Mei 2013 14:59

Item
QIDROX FORTE SYRUP
TUSLAH NON RACIKAN

JAMKESMAS
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

TOTAL

7 Mei 2013 14:42

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
10,00
2,00

Depo Atas
Subtotal
BOT
TAB
UNT

7 Mei 2013 14:18

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
LACTODIA POLYBAG
DEXTROMETHORPHAN INF TABLET 15 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
8,00
5,00
5,00
4,00
1,00
1,00
15,00
1,00
4,00
2,00

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
TAB
PKG
UNT
UNT
VIL
UNT
UNT

7 Mei 2013 14:18

Item
MUCERA OTTO 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

7 Mei 2013 14:17

Item
SELANG NEBU PEDRIATIC(1484)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

Depo Atas
Subtotal
PKG
VIL
BOT
UNT

7 Mei 2013 14:17

Item
CTM 4 MG TABLET
AMBROXOL INF 30 MG TABLET

JAKARTA SEHAT
Quantity
2,00
2,00

Depo Atas
Subtotal
TAB
TAB

EQUAL REFILL SACHET

TUSLAH RACIKAN EMBALASE
TOTAL

1,00
1,00
10,00

PKG
UNT
UNT

7 Mei 2013 13:44

Item
CETIRIZINE 10 MG TABLET
PREDNISON 5 MG TABLET
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
3,00

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

7 Mei 2013 10:05

Item
STOMACH TUBE 8 JMS
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency PICU
Subtotal
UNT
PKG
UNT

7 Mei 2013 10:03

Item
ATROPIN ETHICA 0.25 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Emergency PICU
Subtotal
AMP
UNT

7 Mei 2013 10:01

Item
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency PICU
Subtotal
PKG
UNT

7 Mei 2013 06:32

Item
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

6 Mei 2013 23:54

Item
SELANG OKSIGEN ADULT

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
UNT

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

6 Mei 2013 20:31

Item
ZINC INF 20 MG TABLET
AMBROXOL INF 30 MG TABLET
PREDNISON 5 MG TABLET
CTM 4 MG TABLET
TUSLAH RACIKAN
EMBALASE
MICONAZOLE KF 10 GM CREAM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT
TUB
UNT

6 Mei 2013 20:30

Item
SELANG NEBU PEDRIATIC(1484)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
GLYCERIL GUAIACOLAT 100 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
2,00
1,00
3,00
2,00

Depo IGD
Subtotal
PKG
VIL
TAB
TAB
TAB
TAB
UNT
UNT
UNT

6 Mei 2013 20:25

Item
LACTODIA POLYBAG
VITAMIN C 50 MG TABLET
CTM 4 MG TABLET
TUSLAH RACIKAN
EMBALASE
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
1,00
3,00
1,00
1,00

Depo IGD
Subtotal
PKG
TAB
TAB
UNT
UNT
VIL
UNT

6 Mei 2013 19:32

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
BOT
UNT

TOTAL

6 Mei 2013 19:13

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
SELANG NEBU PEDRIATIC(1484)
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
1,00
2,00
1,00
5,00

Depo IGD
Subtotal
VIL
BAG
PKG
UNT
UNT
UNT

6 Mei 2013 19:10

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
BOT
UNT

6 Mei 2013 19:08

Item
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
3,00

Depo IGD
Subtotal
AMP
UNT
BOT
UNT

6 Mei 2013 19:07

Item
DEXTROMETHORPHAN INF TABLET 15 MG
SPIRONOLACTONE 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

6 Mei 2013 14:05

Item
LACTODIA POLYBAG
PREDNISON 5 MG TABLET
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
5,00
6,00
8,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
PKG
TAB
TAB
TAB
PKG
UNT
UNT

TOTAL

6 Mei 2013 14:05

Item
LACTODIA POLYBAG
PREDNISON 5 MG TABLET
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
5,00
8,00
15,00
1,00
1,00
15,00

Depo Atas
Subtotal
PKG
TAB
TAB
TAB
PKG
UNT
UNT

6 Mei 2013 13:39

Item
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

Depo Atas
Subtotal
TAB
UNT

6 Mei 2013 13:39

Item
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
CETIRIZINE 10 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
5,00
8,00
5,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT

6 Mei 2013 13:38

Item
PREDNISON 5 MG TABLET
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
TAB
TAB
UNT

6 Mei 2013 12:44

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
CAP
PKG

TUSLAH RACIKAN EMBALASE

INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

1,00
15,00
8,00
6,00
8,00
1,00
1,00
15,00
2,00
1,00
1,00
12,00

UNT
UNT
TAB
TAB
TAB
PKG
UNT
UNT
TAB
TAB
UNT
UNT

6 Mei 2013 12:30

Item
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ZINC INF 20 MG TABLET
LACTODIA POLYBAG
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
6,00
8,00
1,00
1,00
15,00
4,00
4,00
6,00
5,00
1,00
1,00
12,00

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
TAB
PKG
TAB
TAB
PKG
UNT
UNT

6 Mei 2013 12:12

Item
VITAMIN B1 50 MG TABLET
VITAMIN B6 10 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
VALISANBE TABLET 5 MG
DEXTROMETHORPHAN INF TABLET 15 MG
CTM 4 MG TABLET
AMBROXOL INF 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN -

JAKARTA SEHAT
Quantity
8,00
8,00
8,00
15,00
1,00
1,00
15,00
4,00
4,00
4,00
3,00
1,00
1,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT
TAB
TAB
TAB
TAB
PKG
UNT

EMBALASE
TOTAL

15,00

UNT

6 Mei 2013 12:07

Item
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
CEFADROXIL INF CAPSULE 500 MG
DEXTROMETHORPHAN INF TABLET 15 MG
CTM 4 MG TABLET
AMBROXOL INF 30 MG TABLET
VITAMIN C 50 MG TABLET
GLYCERIL GUAIACOLAT 100 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
6,00
8,00
4,00
15,00
3,00
1,00
1,00
15,00
1,00

Depo Atas
Subtotal
BOT
CAP
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT

6 Mei 2013 11:41

Item
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
SALBUTAMOL 100 ML SYRUP
CEFADROXIL INF CAPSULE 500 MG
CTM 4 MG TABLET
AMBROXOL INF 30 MG TABLET
PREDNISON 5 MG TABLET
VITAMIN C 50 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
8,00
15,00
6,00
12,00
30,00
10,00
1,00
1,00
30,00
2,00

Depo Atas
Subtotal
BOT
BOT
CAP
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT

6 Mei 2013 11:34

Item
HEPTASAN TABLET, FILM COATED 4 MG
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET

UMUM
Quantity
15,00
5,00
1,00
1,00
30,00
12,00
15,00
1,00

Depo Atas
Subtotal
TAB
CAP
PKG
UNT
UNT
TAB
TAB
PKG

TUSLAH RACIKAN EMBALASE

TOTAL

1,00
30,00

UNT
UNT

6 Mei 2013 11:15

Item
CEFADROXIL INF CAPSULE 500 MG
AMBROXOL INF 30 MG TABLET
CARBO GLYCERIN 10% 30 ML
SALBUTAMOL INF TABLET 2 MG
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
2,00
2,00
4,00
5,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
TAB
BOT
TAB
TAB
TAB
PKG
UNT
UNT

6 Mei 2013 11:14

Item
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
15,00
8,00
1,00
1,00
15,00
12,00
15,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

6 Mei 2013 10:50

Item
TREMENZA SANBE 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

6 Mei 2013 10:33

Item
CIRRUS NEBULIZER T KIT ( ANAK)>2506
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency PICU
Subtotal
PKG
UNT

6 Mei 2013 10:33

Item
STOMACH TUBE 12 JMS
SELANG NEBU PEDRIATIC(1484)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 50 CC CATH TIP
STOMACH TUBE 12 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
5,00

Emergency PICU
Subtotal
UNT
PKG
BOT
UNT
UNT
UNT

6 Mei 2013 10:32

Item
DOPAC 40 MG/ML INJECTION
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency PICU
Subtotal
AMP
UNT
UNT

6 Mei 2013 10:28

Item
VITAMIN C 50 MG TABLET
SALBUTAMOL INF TABLET 2 MG
DEXTROMETHORPHAN INF TABLET 15 MG
AMBROXOL INF 30 MG TABLET
GLYCERIL GUAIACOLAT 100 MG TABLET
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
3,00
4,00
2,00
4,00
1,00
1,00
20,00
1,00
1,00
2,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT
BOT
BOT
UNT

6 Mei 2013 09:58

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
GLYCERIL GUAIACOLAT 100 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET

JAKARTA SEHAT
Quantity
1,00
1,00
7,00
10,00
7,00
4,00
20,00
1,00

Depo Atas
Subtotal
BOT
BOT
TAB
TAB
TAB
TAB
TAB
PKG

TUSLAH RACIKAN EMBALASE

TUSLAH NON RACIKAN
TOTAL

1,00
20,00
2,00

UNT
UNT
UNT

5 Mei 2013 19:54

Item
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
3,00
4,00

Depo IGD
Subtotal
BOT
PKG
VIL
UNT
UNT

5 Mei 2013 14:43

Item
SELANG OKSIGEN BAYI
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

5 Mei 2013 10:59

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

4 Mei 2013 19:36

Item
LACTODIA POLYBAG
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
ZINC INF 20 MG TABLET
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
1,00
1,00
3,00

Depo IGD
Subtotal
PKG
TAB
TAB
TAB
UNT
UNT

4 Mei 2013 18:18

Item
CHLORAMPHENICOL250mg CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
CAP
UNT

4 Mei 2013 17:56

Item
N5 OTSUKA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BAG
UNT

4 Mei 2013 17:49

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
VIL
AMP
UNT

4 Mei 2013 12:13

Item
DOMPERIDON INF TABLET 10 MG
VALISANBE TABLET 5 MG
PHENOBARBITAL 30 MG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
3,00
15,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT

4 Mei 2013 12:10

Item
ONDANSETRON INF 4 MG INJECTION
LACTODIA POLYBAG
DOMPERIDON INF TABLET 10 MG
CTM 4 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
4,00
2,00
4,00
1,00
1,00
12,00
1,00

Depo Atas
Subtotal
AMP
PKG
TAB
TAB
PKG
UNT
UNT
UNT

4 Mei 2013 11:56

Item
PHENOBARBITAL 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
10,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

TOTAL

4 Mei 2013 11:56

Item
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
6,00
4,00
12,00
1,00
1,00
12,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT

4 Mei 2013 11:56

Item
PHENOBARBITAL 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00
1,00
10,00
1,00
1,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
BOT
UNT

4 Mei 2013 11:55

Item
HYDROCORTISONE INF 2.5% 5 GM CREAM
PHENOBARBITAL 30 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
7,00
1,00
1,00
10,00
1,00

Depo Atas
Subtotal
TUB
TAB
PKG
UNT
UNT
UNT

4 Mei 2013 11:13

Item
DRAINAGE BAG STERIL
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency PICU
Subtotal
UNT
AMP
UNT

4 Mei 2013 11:04

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

COTRIMOXAZOLE 240 MG/5ML SUSPENSION

TUSLAH NON RACIKAN
TOTAL

2,00
1,00

BOT
UNT

3 Mei 2013 20:03

Item
DOMPERIDON INF TABLET 10 MG
LACTODIA POLYBAG
ZINKID INF 20 MG TABLET
CTM 4 MG TABLET
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
TAB
PKG
TAB
TAB
UNT
UNT

3 Mei 2013 20:00

Item
LACTODIA POLYBAG
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
VITAMIN C 50 MG TABLET
DOMPERIDON INF TABLET 10 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00
1,00
1,00
3,00

Depo IGD
Subtotal
PKG
TAB
TAB
TAB
TAB
UNT
UNT

3 Mei 2013 19:58

Item
AMBROXOL INF 60 ML SYRUP
PHENOBARBITAL 30 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
2,00
1,00

Depo IGD
Subtotal
BOT
TAB
TAB
UNT
UNT
UNT

3 Mei 2013 19:56

Item
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
TAB
UNT

3 Mei 2013 19:55

JAKARTA SEHAT

Depo IGD

Item
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
3,00
1,00

Subtotal
TAB
UNT

3 Mei 2013 19:55

Item
CETIRIZINE 10 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

3 Mei 2013 19:54

Item
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
ONDANSETRON 4 MG TABLET
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
4,00

Depo IGD
Subtotal
AMP
TAB
TAB
BOT
UNT

3 Mei 2013 19:52

Item
OMEPRAZOLE GEN 20 MG CAPSULE
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

3 Mei 2013 12:06

Item
ETT PORTEX 4,5
HANDSCOON GAMEX 6.5
EPHINEPRIN ETHICA INJECTION
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

Emergency PICU
Subtotal
PKG
UNT
AMP
TUB
UNT

3 Mei 2013 11:32

Item
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
5,00
1,00
15,00

Apotik Panel
Subtotal
TAB
UNT
UNT

TOTAL

3 Mei 2013 11:30

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
VITAMIN B12 KF 50 MCG TABLET
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
15,00
14,00
1,00
1,00
15,00
15,00
30,00
1,00
1,00
30,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

3 Mei 2013 11:20

Item
COTRIMOXAZOLE 480 MG TABLET
VITAMIN C 50 MG TABLET
CTM 4 MG TABLET
IBUPROFEN INF 200 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
DOMPERIDON SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
19,00
30,00
15,00
23,00
1,00
1,00
30,00
1,00
1,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT
BOT
UNT

3 Mei 2013 10:50

Item
HEALFLON IV.CATH NO.26G HARSORIA
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
1,00
2,00

Emergency NICU
Subtotal
UNT
UNT
UNT

3 Mei 2013 10:42

Item
CIRRUS NEBULIZER T KIT ( ANAK)>2506
FOLLEY CATHETER 8 RUSCH

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency PICU
Subtotal
PKG
UNT

DISP SYRINGE 50 CC CATH TIP

EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DOBUJECT 50 MG/ML INJECTION
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
6,00

UNT
UNT
AMP
UNT
UNT

3 Mei 2013 10:09

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
25,00
1,00
1,00
30,00
7,00
1,00
1,00
30,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT

3 Mei 2013 10:07

Item
VITAMIN B6 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

Apotik Panel
Subtotal
TAB
UNT

3 Mei 2013 09:25

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
8,00
1,00
1,00
30,00
20,00
15,00
1,00
1,00
30,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT

3 Mei 2013 03:00

Item
SPIRONOLACTONE 25 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN

JAKARTA SEHAT
Quantity
1,00
2,00
1,00

Depo IGD
Subtotal
TAB
TAB
UNT

EMBALASE
TOTAL

2,00

UNT

3 Mei 2013 03:00

Item
PHENOBARBITAL 30 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT
UNT

2 Mei 2013 19:33

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
AMP
UNT

2 Mei 2013 13:18

Item
CEFADROXIL INF CAPSULE 500 MG
CHLORAMPHENICOL250mg CAPSULE
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
40,00
5,00
10,00
20,00
1,00
1,00
20,00

Depo Atas
Subtotal
CAP
CAP
TAB
TAB
TAB
PKG
UNT
UNT

2 Mei 2013 12:38

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
VITAMIN B1 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN C 50 MG TABLET

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
15,00
6,00
8,00
1,00
1,00
1,00
15,00
15,00
30,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
TAB
PKG
UNT
UNT
TAB
TAB
TAB

TUSLAH RACIKAN EMBALASE

TOTAL

1,00
30,00

UNT
UNT

1 Mei 2013 23:45

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PHENOBARBITAL 30 MG TABLET
CTM 4 MG TABLET
TREMENZA TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN C 50 MG TABLET
AMBROXOL INF 30 MG TABLET
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
1,00
2,00
3,00
1,00
1,00
3,00
1,00

Depo IGD
Subtotal
BOT
TAB
TAB
TAB
TAB
TAB
TAB
UNT
UNT
UNT

1 Mei 2013 22:26

Item
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
PKG
UNT

1 Mei 2013 22:23

Item
COLSANCETINE AMP POWDER, FOR INJECTION SOLUTION 1 g
RANITIDINE GENERIK 25 MG/ML INJECTION
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

Depo IGD
Subtotal
AMP
AMP
BOT
UNT

1 Mei 2013 22:22

Item
CEFADROXIL INF CAPSULE 500 MG
IBUPROFEN SUSPENSI 100MG/5ML 60 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

1 Mei 2013 21:12

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION

UMUM
Quantity
1,00

Depo IGD
Subtotal
VIL

SANPRIMA SANBE 60 ML SYRUP

DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
2,00
5,00

BOT
UNT
UNT
UNT
UNT

1 Mei 2013 13:12

Item
CEFAT CAPSULE 500 mg
AMBROXOL INF 30 MG TABLET
VITAMIN C 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN B1 50 MG TABLET
HEPTASAN TABLET, FILM COATED 4 MG
TUSLAH RACIKAN EMBALASE
TOTAL

UMUM
Quantity
3,00
3,00
15,00
8,00
8,00
5,00
1,00
15,00

Depo Atas
Subtotal
CAP
TAB
TAB
TAB
TAB
TAB
UNT
UNT

1 Mei 2013 11:43

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
6,00
3,00
1,00
1,00
5,00
1,00

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
UNT
UNT
UNT

1 Mei 2013 09:07

Item
CEFAT CAPSULE 500 mg
DEXTROMETHORPHAN INF TABLET 15 MG
VECTRINE DEXA CAPSULE 300 mg
CTM 4 MG TABLET
IBUPROFEN INF 200 MG TABLET
PREDNISON 5 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
VITAMIN B1 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN B6 10 MG TABLET

UMUM
Quantity
5,00
7,00
2,00
12,00
10,00
8,00
1,00
1,00
20,00
10,00
10,00
10,00

Depo Atas
Subtotal
CAP
TAB
CAP
TAB
TAB
TAB
PKG
UNT
UNT
TAB
TAB
TAB

VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

20,00
1,00
1,00
20,00

TAB
PKG
UNT
UNT

Pasien
Penjamin
18718
18718
500
500
19218
19218

Pasien

0
0
0

Penjamin
256
450
570
196
2490
3500
750
8212

0
0
0
0
0
0
0
0

Emergency NICU
Pasien
Penjamin
3036
3036
500
500
3536
3536

0
0
0

Pasien
Penjamin
14378
14378
196
196
3500
3500
1500
1500
2900
2900
270
270
196
196
3500
3500
1500
1500
690
690
240
240
1140
1140
196
196
3500
3500
1500
1500
35206
35206

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

256
450
570
196
2490
3500
750
8212

Pasien

Penjamin
564
456
375
196
3500
600
5691

0
0
0
0
0
0
0

Pasien
Penjamin
3318
3318
196
196
3500
3500
750
750
812
812
144
144
196
196
3500
3500
750
750
2248
2248
196
196
3500
3500
1500
1500
20610
20610

0
0
0
0
0
0
0
0
0
0
0
0
0
0

564
456
375
196
3500
600
5691

Pasien

Penjamin
206
315
221
3500
500
4742

0
0
0
0
0
0

Pasien
Penjamin
23760
23760
3480
3480
13460
13460
1500
1500
42200
42200

0
0
0
0
0

206
315
221
3500
500
4742

Pasien
Penjamin
4424
4424
196
196
3500
3500
750
750
928
928
144
144
196
196
3500
3500
750
750
14388
14388

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9841
9841
501
501
810
810
160
160
300
300
3500
3500
4200
4200
500
500
19812
19812

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16394
16394
500
500
16894
16894

0
0
0

Pasien
Penjamin
4775
4775
4976
4976
760
760
320
320
668
668
196
196
3500
3500
1000
1000
16195
16195

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39500
39500
668
668
572
572
1055
1055
450
450
760
760
196
196
3500
3500
1000
1000
500
500
48201
48201

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3318
3318
196
196
3500
3500
750
750
696
696
144
144
196
196
3500
3500
750
750
1215
1215
256
256
572
572
501
501
3820
3820
196
196
3500
3500
750
750
23860
23860

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6220
6220
2865
2865
196
196
3500
3500
1000
1000
460
460
180
180

0
0
0
0
0
0
0

160
760
196
3500
1000
20037

160
760
196
3500
1000
20037

0
0
0
0
0
0

Penjamin
116
90
196
3500
500
4402

0
0
0
0
0
0

Emergency NICU
Pasien
Penjamin
11946
11946
17160
17160
12012
12012
12012
12012
2000
2000
55130
55130

0
0
0
0
0
0

Pasien
116
90
196
3500
500
4402

Trolley IGD
Pasien
Penjamin
16417
16417
14988
14988
126
126
1500
1500
33031
33031

0
0
0
0
0

Pasien
Penjamin
14342
14342
500
500
14842
14842

0
0
0

Pasien
Penjamin
56100
56100

500
56600

500
56600

0
0

Pasien
Penjamin
5881
5881
5672
5672
3825
3825
1500
1500
16878
16878

0
0
0
0
0

Emergency NICU
Pasien
Penjamin
8415
8415
227700
227700
11946
11946
17160
17160
2000
2000
267221
267221

0
0
0
0
0
0

Pasien
Penjamin
6171
6171
500
500
6671
6671

0
0
0

Pasien
Penjamin
9550
9550
12440
12440
380
380
196
196
3500
3500
1000
1000
27066
27066

0
0
0
0
0
0
0

Pasien
Penjamin
5850
5850
196
196
3500
3500
1500
1500

0
0
0
0

Trolley IGD

19635
500
31181

19635
500
31181

0
0
0

Pasien
Penjamin
2212
2212
196
196
3500
3500
750
750
696
696
144
144
196
196
3500
3500
750
750
690
690
390
390
1140
1140
240
240
196
196
3500
3500
1500
1500
19600
19600

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3318
3318
196
196
3500
3500
750
750
812
812
144
144
196
196
3500
3500
750
750
13166
13166

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3318
3318
196
196
3500
3500
750
750
812
812

0
0
0
0
0

144
128
196
3500
750
13294

144
128
196
3500
750
13294

0
0
0
0
0
0

Pasien
Penjamin
5530
5530
196
196
3500
3500
1500
1500
1508
1508
270
270
196
196
3500
3500
1500
1500
17700
17700

0
0
0
0
0
0
0
0
0
0

Emergency NICU
Pasien
Penjamin
11946
11946
3036
3036
1000
1000
15982
15982

0
0
0
0

Pasien
Penjamin
40152
40152
715
715
288
288
525
525
501
501
5452
5452
570
570
196
196
3500
3500
750
750
52649
52649

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

5530
3500
750
1392
144
3500
750
4215
3500
1500
24781

5530
3500
750
1392
144
3500
750
4215
3500
1500
24781

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4125
4125
9492
9492
1000
1000
14617
14617

0
0
0
0

Pasien

Penjamin
501
4089
160
570
600
3500
750
10170

0
0
0
0
0
0
0
0

Penjamin
980
980
500
500
1480
1480

0
0
0

501
4089
160
570
600
3500
750
10170

Apotik Panel
Pasien

Pasien
167
30217
1000
31384

Penjamin
167
30217
1000
31384

0
0
0
0

Pasien
Penjamin
1740
1740
11880
11880
5058
5058
196
196
3500
3500
1500
1500
1000
1000
24874
24874

Pasien

0
0
0
0
0
0
0
0

Penjamin
668
7540
800
196
3500
750
13454

0
0
0
0
0
0
0

Emergency NICU
Pasien
Penjamin
227700
227700
500
500
228200
228200

0
0
0

Pasien
Penjamin
3732
3732
256
256
450
450
1080
1080
304
304
715
715
196
196
3500
3500
750
750
10983
10983

0
0
0
0
0
0
0
0
0
0

668
7540
800
196
3500
750
13454

Pasien

Penjamin

3318
196
3500
750
928
144
196
3500
750
13282

3318
196
3500
750
928
144
196
3500
750
13282

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3820
3820
288
288
501
501
525
525
572
572
1080
1080
196
196
3500
3500
750
750
11232
11232

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4707
4707
1140
1140
690
690
270
270
240
240
196
196
3500
3500
1500
1500
6220
6220
500
500
18963
18963

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1215
1215
525
525
288
288
2615
2615

0
0
0
0

570
30160
196
3500
750
39819

570
30160
196
3500
750
39819

0
0
0
0
0
0

Pasien
Penjamin
44460
44460
13460
13460
1000
1000
58920
58920

0
0
0
0

Pasien
Penjamin
2250
2250
570
570
196
196
3500
3500
750
750
7266
7266

0
0
0
0
0
0

Pasien
Penjamin
7742
7742
196
196
3500
3500
1500
1500
2088
2088
270
270
196
196
3500
3500
1500
1500
20492
20492

0
0
0
0
0
0
0
0
0
0

Emergency PICU
Pasien
Penjamin
5809
5809
51838
51838
1000
1000
58647
58647

0
0
0
0

Pasien
Penjamin
14702
14702
500
500
15202
15202

0
0
0

Pasien
Penjamin
4424
4424
196
196
3500
3500
750
750
1160
1160
144
144
196
196
3500
3500
750
750
4043
4043
1144
1144
668
668
760
760
320
320
196
196
3500
3500
1000
1000
26251
26251

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4424
4424
196
196
3500
3500
750
750
1160
1160
144
144
196
196
3500
3500
750
750
14620
14620

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3318
3318

196
3500
750
812
144
196
3500
750
1140
690
240
196
3500
1500
5125
500
26057

196
3500
750
812
144
196
3500
750
1140
690
240
196
3500
1500
5125
500
26057

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9330
9330
1002
1002
384
384
858
858
196
196
3500
3500
1500
1500
5125
5125
500
500
22395
22395

0
0
0
0
0
0
0
0
0
0

Pasien
501
288
304
196
3500
750
5125
500
11164

Penjamin
501
288
304
196
3500
750
5125
500
11164

0
0
0
0
0
0
0
0
0

Pasien

Penjamin
429
501
128
570
196
3500
750
6074

0
0
0
0
0
0
0
0

Apotik Panel 2
Pasien
Penjamin
3135
3135
500
500
3635
3635

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
9096
9096
5672
5672
6274
6274
2500
2500
46945
46945

0
0
0
0
0
0
0

429
501
128
570
196
3500
750
6074

Pasien

Penjamin
392
500
892

0
0
0

Pasien
Penjamin
14378
14378
3500
3500
1500
1500
3828
3828
270
270
3500
3500
1500
1500
28476
28476

0
0
0
0
0
0
0
0

392
500
892

Pasien
Penjamin
8205
8205
1740
1740
735
735
5620
5620
6750
6750
2500
2500
25550
25550

0
0
0
0
0
0
0

Pasien
Penjamin
33660
33660
500
500
570
570
160
160
980
980
3500
3500
750
750
500
500
40620
40620

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4500
4500
980
980
3500
3500
1000
1000
244
244
980
980
3500
3500
500
500
15204
15204

0
0
0
0
0
0
0
0
0

Apotik Panel
Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Pasien

Penjamin

9330
3500
750
18738
2250
1000
35568

9330
3500
750
18738
2250
1000
35568

0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
2025
2025
9330
9330
3500
3500
750
750
15605
15605

0
0
0
0
0

Pasien
Penjamin
2760
2760
624
624
3500
3500
500
500
500
500
7884
7884

0
0
0
0
0
0

Apotik Panel
Pasien

Penjamin
980
500
1480

0
0
0

Penjamin
286
286
56
56
540
540

0
0
0

980
500
1480

Pasien

1764
380
3500
500
7026

1764
380
3500
500
7026

0
0
0
0
0

Penjamin
980
980
500
500
1480
1480

0
0
0

Pasien
Penjamin
21945
21945
375
375
192
192
304
304
3500
3500
750
750
27060
27060
14988
14988
8415
8415
37586
37586
2000
2000
117115
117115

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5125
5125
705
705
1000
1000
6830
6830

0
0
0
0

Apotik Panel
Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Apotik Panel
Pasien

Pasien

Penjamin

5292
600
846
570
3500
750
3584
3500
750
19392

5292
600
846
570
3500
750
3584
3500
750
19392

0
0
0
0
0
0
0
0
0
0

Penjamin
980
980
500
500
1480
1480

0
0
0

Pasien
Penjamin
5292
5292
7464
7464
380
380
668
668
1001
1001
3500
3500
1000
1000
19305
19305

0
0
0
0
0
0
0
0

Apotik Panel
Pasien

Apotik Panel
Pasien

Penjamin
980
980
500
500
1480
1480

0
0
0

Pasien
Penjamin
2646
2646
192
192
300
300
3500
3500
500
500
7138
7138

0
0
0
0
0
0

Pasien
Penjamin
13272
13272
3500
3500
750
750
2320
2320
144
144
3500
3500
750
750
24236
24236

0
0
0
0
0
0
0
0

Apotik Panel
Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Pasien
Penjamin
2212
2212
3500
3500
750
750
580
580
144
144
3500
3500
750
750
11436
11436

0
0
0
0
0
0
0
0

Apotik Panel
Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Apotik Panel
Pasien

Penjamin
980
980
500
500
1480
1480

0
0
0

Pasien
Penjamin
4363.2
4363.2
337.5
337.5
342
342
3150
3150
450
450
8642.7
8642.7

Pasien

0
0
0
0
0
0

Penjamin
230
80
380
3500
500
4690

0
0
0
0
0
0

Penjamin
835
2000
1144
288
2025
3500
750
18738
500
29780

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
308377
308377
5125
5125
1000
1000
314502
314502

0
0
0
0

Pasien
Penjamin
18738
18738
2640
2640
1000
1000
22378
22378

0
0
0
0

230
80
380
3500
500
4690

Pasien
835
2000
1144
288
2025
3500
750
18738
500
29780

Pasien
Penjamin
9841
9841
167
167
100
100
32
32
143
143
38
38
3500
3500
750
750
500
500
15071
15071

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12440
12440
7056
7056
760
760
668
668
1430
1430
196
196
3500
3500
1000
1000
27050
27050

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1740
1740
144
144
196
196
3500
3500
750
750
6330
6330

0
0
0
0
0
0

Pasien
Penjamin
1320
1320
13167
13167
1000
1000
15487
15487

0
0
0
0

Pasien
Penjamin
2212
2212
196
196
3500
3500
750
750
580
580
144
144
196
196
3500
3500
750
750
2248
2248
196
196
3500
3500
1500
1500
429
429
668
668
192
192
760
760
196
196
3500
3500
1000
1000
26017
26017

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4746
4746
5125
5125
192
192
368
368
144
144
128
128
196
196
3500
3500
750
750
1000
1000
16149
16149

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1950
1950
196
196
3500
3500
500
500
244
244

0
0
0
0
0

196
3500
500
10586

196
3500
500
10586

0
0
0
0

Penjamin
657
296
948
423
196
3500
750
6770

0
0
0
0
0
0
0
0

Penjamin
657
4378
380
3636
196
3500
500
13247

0
0
0
0
0
0
0
0

Pasien
Penjamin
1350
1350
456
456
6060
6060
3500
3500
600
600
1260
1260
270
270
1000
1000
14496
14496

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13297
13297
1764
1764

0
0

Pasien
657
296
948
423
196
3500
750
6770

Pasien
657
4378
380
3636
196
3500
500
13247

380
96
196
3500
500
500
20233

380
96
196
3500
500
500
20233

0
0
0
0
0
0
0

Pasien
Penjamin
3528
3528
2742
2742
501
501
715
715
1100
1100
288
288
600
600
196
196
3500
3500
750
750
13920
13920

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2646
2646
2799
2799
501
501
500
500
196
196
3500
3500
750
750
10892
10892

0
0
0
0
0
0
0
0

Emergency PICU
Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Emergency PICU
Pasien
Penjamin
16335
16335
5881
5881

0
0

16088
22688
2000
62992

16088
22688
2000
62992

0
0
0
0

Penjamin
334
128
429
380
196
3500
500
5467

0
0
0
0
0
0
0
0

Pasien
Penjamin
3840
3840
128
128
760
760
3500
3500
1000
1000
500
500
9728
9728

0
0
0
0
0
0
0

Pasien
Penjamin
7056
7056
9952
9952
3500
3500
1000
1000
5125
5125
1430
1430
1169
1169
480
480
380
380
196
196
3500
3500
1000
1000
500
500
35288
35288

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
334
128
429
380
196
3500
500
5467

Emergency PICU
Pasien
Penjamin
18287
18287
91194
91194
20213
20213
3036
3036
48125
48125
56262
56262
47520
47520
12012
12012
51838
51838
4500
4500
352987
352987

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5530
5530
196
196
3500
3500
750
750
1392
1392
144
144
196
196
3500
3500
750
750
690
690
240
240
270
270
196
196
1140
1140
3500
3500
1500
1500
23494
23494

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
192
375
570
429
1046
196
3500
750
13167

Penjamin
192
375
570
429
1046
196
3500
750
13167

0
0
0
0
0
0
0
0
0

500
20725

500
20725

0
0

Pasien
Penjamin
4612.5
4612.5
450
450
5062.5
5062.5

0
0
0

Pasien
Penjamin
22440
22440
500
500
22940
22940

0
0
0

Pasien
Penjamin
78546
78546
196
196
3500
3500
5250
5250
19635
19635
438
438
196
196
3500
3500
500
500
732
732
196
196
3500
3500
750
750
500
500
117439
117439

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
56
286
380
2646
196
3500
500
7564

Penjamin
56
286
380
2646
196
3500
500
7564

0
0
0
0
0
0
0
0

Pasien

Penjamin
334
500
128
304
196
3500
750
5712

0
0
0
0
0
0
0
0

Pasien
Penjamin
2240
2240
3500
3500
500
500
6240
6240

0
0
0
0

Pasien
Penjamin
308377
308377
500
500
308877
308877

0
0
0

Pasien
Penjamin
1125093 1125093
500
500
1125593 1125593

0
0
0

Pasien
Penjamin
9841
9841
500
500
10341
10341

0
0
0

Pasien
Penjamin
71280
71280
500
500

0
0

334
500
128
304
196
3500
750
5712

71780

71780

Pasien
Penjamin
9841
9841
2370
2370
1000
1000
13211
13211

0
0
0
0

Pasien

Penjamin
501
256
375
21945
572
196
3500
750
6274
6160
1000
41529

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33660
33660
500
500
34160
34160

0
0
0

Pasien
Penjamin
43313
43313
24830
24830
5881
5881
1500
1500
75524
75524

0
0
0
0
0

501
256
375
21945
572
196
3500
750
6274
6160
1000
41529

Pasien
64
334

Penjamin
64
334

0
0

196
3500
500
4594

196
3500
500
4594

0
0
0
0

Pasien
Penjamin
4000
4000
750
750
1185
1185
1500
1500
7435
7435

0
0
0
0
0

Emergency PICU
Pasien
Penjamin
17160
17160
43313
43313
1000
1000
61473
61473

0
0
0
0

Emergency PICU
Pasien
Penjamin
3280
3280
500
500
3780
3780

0
0
0

Emergency PICU
Pasien
Penjamin
43313
43313
500
500
43813
43813

0
0
0

Pasien
Penjamin
117040
117040
500
500
117540
117540

0
0
0

Pasien
Penjamin
26611
26611

500
27111

500
27111

0
0

Penjamin
498
167
75
32
3500
150
3600
500
8522

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
43313
43313
24830
24830
167
167
32
32
28
28
76
76
3500
3500
150
150
1000
1000
73096
73096

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8778
8778
38
38
64
64
3500
3500
150
150
6274
6274
500
500
19304
19304

0
0
0
0
0
0
0
0

Pasien
Penjamin
153648
153648
500
500

0
0

Pasien
498
167
75
32
3500
150
3600
500
8522

154148

154148

Pasien
Penjamin
37245
37245
19266
19266
43313
43313
32670
32670
1898
1898
2500
2500
136892
136892

0
0
0
0
0
0
0

Pasien
Penjamin
102432
102432
500
500
102932
102932

0
0
0

Pasien
Penjamin
18738
18738
4620
4620
5881
5881
1500
1500
30739
30739

0
0
0
0
0

Pasien

Penjamin
286
896
1000
2182

0
0
0
0

Pasien
Penjamin
21945
21945
450
450
256
256
304
304
196
196
3500
3500
750
750

0
0
0
0
0
0
0

286
896
1000
2182

27401

27401

Pasien
Penjamin
21945
21945
375
375
256
256
570
570
196
196
3500
3500
750
750
27592
27592

0
0
0
0
0
0
0
0

Pasien
Penjamin
3960
3960
500
500
4460
4460

0
0
0

Pasien

Penjamin
572
835
256
2000
600
196
3500
750
8709

0
0
0
0
0
0
0
0
0

Penjamin
750
4000
1000
5750

0
0
0
0

Pasien
Penjamin
3318
3318
196
196

0
0

572
835
256
2000
600
196
3500
750
8709

Pasien
750
4000
1000
5750

3500
750
928
1686
144
196
3500
750
334
32
3500
600
19434

Pasien
696
144
196
3500
750
1992
17556
192
375
196
3500
600
29697

Pasien
368
144
128
570
196
3500
750
876
572
128
501
196
3500

3500
750
928
1686
144
196
3500
750
334
32
3500
600
19434

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
696
144
196
3500
750
1992
17556
192
375
196
3500
600
29697

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
368
144
128
570
196
3500
750
876
572
128
501
196
3500

0
0
0
0
0
0
0
0
0
0
0
0
0

750
12179

750
12179

0
0

Pasien
Penjamin
5125
5125
5292
5292
858
858
256
256
668
668
570
570
84
84
196
196
3500
3500
750
750
500
500
17799
17799

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5125
5125
6435
6435
7056
7056
480
480
1002
1002
900
900
1140
1140
1430
1430
196
196
3500
3500
1500
1500
1000
1000
29764
29764

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3165
3165
5530
5530
196
196
3500
3500
1500
1500
1392
1392
270
270
196
196

0
0
0
0
0
0
0
0

3500
1500
20749

3500
1500
20749

0
0
0

Pasien
Penjamin
2646
2646
334
334
3600
3600
400
400
160
160
304
304
196
196
3500
3500
750
750
11890
11890

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1740
1740
144
144
196
196
3500
3500
750
750
384
384
570
570
196
196
3500
3500
750
750
11730
11730

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13324
13324
500
500
13824
13824

0
0
0

Emergency PICU
Pasien
Penjamin
48125
48125
500
500
48625
48625

0
0
0

Emergency PICU
Pasien
Penjamin
15400
15400
43313
43313
11762
11762
22688
22688
16088
16088
2500
2500
111751
111751

0
0
0
0
0
0
0

Emergency PICU
Pasien
Penjamin
47520
47520
20213
20213
1000
1000
68733
68733

0
0
0
0

Pasien

Penjamin
380
600
429
668
56
128
196
3500
1000
9841
2760
1000
20558

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
39500
39500
4746
4746
1169
1169
320
320
1001
1001
112
112
760
760
196
196

0
0
0
0
0
0
0
0

380
600
429
668
56
128
196
3500
1000
9841
2760
1000
20558

3500
1000
1000
53304

3500
1000
1000
53304

0
0
0
0

Pasien
Penjamin
27060
27060
13167
13167
38372
38372
3825
3825
2000
2000
84424
84424

0
0
0
0
0
0

Pasien
Penjamin
20625
20625
500
500
21125
21125

0
0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
4389
4389
64
64
114
114
498
498
3500
3500
150
150
8715
8715

0
0
0
0
0
0
0

Pasien

Penjamin
933
933
500
500
1433
1433

0
0
0

Pasien
Penjamin
12421
12421
500
500
12921
12921

0
0
0

Pasien
Penjamin
6274
6274
18738
18738
1000
1000
26012
26012

0
0
0
0

Pasien
Penjamin
1569
1569
657
657
234
234
570
570
196
196
3500
3500
750
750
7476
7476

0
0
0
0
0
0
0
0

Pasien
Penjamin
5672
5672
17556
17556
1046
1046
128
128
196
196
3500
3500
600
600
500
500
29198
29198

0
0
0
0
0
0
0
0
0

Pasien
390
196
3500
500

Penjamin
390
196
3500
500

0
0
0
0

4586

4586

Penjamin
501
192
572
456
196
3500
600
6017

0
0
0
0
0
0
0
0

Penjamin
546
196
3500
500
2760
500
8002

0
0
0
0
0
0
0

Pasien
Penjamin
3214
3214
546
546
196
196
3500
3500
500
500
500
500
8456
8456

0
0
0
0
0
0
0

Emergency PICU
Pasien
Penjamin
5809
5809
12524
12524
1000
1000
19333
19333

0
0
0
0

Pasien
501
192
572
456
196
3500
600
6017

Pasien
546
196
3500
500
2760
500
8002

Pasien

Penjamin

9492
500
9992

9492
500
9992

0
0
0

Penjamin
523
4389
3300
32
3500
100
11844

0
0
0
0
0
0
0

Pasien
Penjamin
4389
4389
64
64
75
75
114
114
523
523
3500
3500
150
150
8815
8815

0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
78
78
76
76
3500
3500
100
100
500
500
7814
7814

0
0
0
0
0
0
0

Pasien
523
4389
3300
32
3500
100
11844

Pasien

Penjamin
792
792
500
500
1292
1292

0
0
0

Pasien

Penjamin
711
500
1211

0
0
0

Penjamin
400
150
1000
1550

0
0
0
0

Pasien
Penjamin
9369
9369
3804
3804
252
252
32834
32834
2000
2000
48259
48259

0
0
0
0
0
0

711
500
1211

Pasien
400
150
1000
1550

Pasien

Penjamin
450
252
1000
1702

0
0
0
0

Emergency PICU
Pasien
Penjamin
88539
88539
12012
12012
3036
3036
56262
56262
2000
2000
161849
161849

0
0
0
0
0
0

450
252
1000
1702

Apotik Panel
Pasien

Penjamin
105
105
3500
3500
750
750

0
0
0

4355

4355

Pasien
Penjamin
5530
5530
196
196
3500
3500
750
750
1624
1624
196
196
3500
3500
750
750
240
240
1140
1140
196
196
3500
3500
1500
1500
22622
22622

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3648
3648
1140
1140
480
480
3105
3105
196
196
3500
3500
1500
1500
16394
16394
500
500
30463
30463

0
0
0
0
0
0
0
0
0
0

Emergency NICU
Pasien
Penjamin
33000
33000
12610
12610
1000
1000
46610
46610

0
0
0
0

Emergency PICU
Pasien
Penjamin
48125
48125
51838
51838

0
0

22688
26950
145345
12610
3000
310556

22688
26950
145345
12610
3000
310556

0
0
0
0
0
0

Pasien
Penjamin
2900
2900
196
196
3500
3500
1500
1500
7742
7742
196
196
3500
3500
1500
1500
21034
21034

0
0
0
0
0
0
0
0
0

Apotik Panel
Pasien

Penjamin
315
500
815

0
0
0

Pasien
Penjamin
8848
8848
196
196
3500
3500
1500
1500
2320
2320
270
270
196
196
3500
3500
1500
1500
21830
21830

0
0
0
0
0
0
0
0
0
0

315
500
815

Pasien

Penjamin
448
448
76
76
3500
3500

0
0
0

100
4124

100
4124

0
0

Penjamin
156
76
3500
100
3832

0
0
0
0
0

Pasien
Penjamin
5782
5782
500
500
6282
6282

0
0
0

Pasien
Penjamin
4410
4410
12440
12440
835
835
1430
1430
760
760
196
196
3500
3500
1000
1000
24571
24571

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2212
2212
196
196
3500
3500
750
750
696
696
144
144
196
196
3500
3500
50
50
690
690
240
240
1140
1140

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
156
76
3500
100
3832

3500
1500
18314

3500
1500
18314

0
0
0

Pasien
Penjamin
9841
9841
234
234
64
64
914
914
286
286
114
114
167
167
3500
3500
150
150
500
500
15770
15770

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13167
13167
500
500
13667
13667

0
0
0

Pasien
Penjamin
9369
9369
2891
2891
5280
5280
1500
1500
19040
19040

0
0
0
0
0

Pasien
Penjamin
1764
1764
5125
5125
1000
1000
7889
7889

0
0
0
0

Pasien
Penjamin
6274
6274

23383
3994
3300
2550
2500
42001

23383
3994
3300
2550
2500
42001

0
0
0
0
0
0

Pasien
Penjamin
30114
30114
501
501
570
570
128
128
368
368
1055
1055
3500
3500
750
750
36986
36986

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2735
2735
696
696
54
54
196
196
3500
3500
250
250
500
500
7931
7931

0
0
0
0
0
0
0
0

Pasien
Penjamin
50190
50190
1001
1001
9240
9240
384
384
1350
1350
600
600
196
196
3500
3500
1000
1000
460
460
160
160
180
180

0
0
0
0
0
0
0
0
0
0
0
0

760
196
3500
1000
73717

760
196
3500
1000
73717

0
0
0
0
0

Waktu
30 Mei 2013 09:28
Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
RING AS SANBE 500 ML
Vasofix Safety G18
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

Depo
Emergency OK
Subtotal
AMP
AMP
BOT
UNT
UNT
UNT
UNT
UNT

30 Mei 2013 09:27

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
RING AS SANBE 500 ML
Vasofix Safety G18
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

Emergency OK
Subtotal
AMP
AMP
AMP
BOT
UNT
UNT
UNT
UNT

30 Mei 2013 08:53

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
SANBE HEST
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
10,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BOT
BOT
UNT
UNT
UNT
UNT

30 Mei 2013 08:49

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26

JAMPERSAL
Quantity
1,00
1,00

Emergency OK
Subtotal
AMP
PKG

FENTANYL KF 2 ML SOLUTION, INJECTION

PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
SANBE HEST
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
1,00
2,00
1,00
1,00
3,00
1,00
12,00

AMP
AMP
AMP
AMP
AMP
BOT
UNT
UNT
UNT
BOT
UNT

30 Mei 2013 08:48

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RING AS SANBE 500 ML
SANBE HEST
Vasofix Safety G18
TRANSFUSION SET JMS
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
12,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BOT
BOT
UNT
UNT
UNT
UNT
UNT
UNT

30 Mei 2013 08:46

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
RING AS SANBE 500 ML
SANBE HEST
TRANSFUSION SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BOT
BOT
UNT
UNT
UNT
UNT
UNT

TUSLAH NON RACIKAN

TOTAL

13,00

UNT

30 Mei 2013 07:54

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
SANBE HEST
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
10,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BOT
BOT
UNT
UNT
UNT
UNT

30 Mei 2013 07:46

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
FUTROLIT INFUSION
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
9,00

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
BOT
UNT
UNT
UNT
UNT
UNT

27 Mei 2013 17:41

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
SANBE HEST
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
INFUS SET JMS
EPHEDRINE HCL ETHICA INJECTION
ANESFAR INJEKSI

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
BOT
BOT
UNT
UNT
UNT
UNT
AMP
AMP

TUSLAH NON RACIKAN

TOTAL

10,00

UNT

24 Mei 2013 14:36

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
ALKOHOL SWAB
EPHEDRINE HCL ETHICA INJECTION
disp infusion pump biotek 100ml
FENTANYL KF 2 ML SOLUTION, INJECTION
DISCOFIX + 10 CM TUBING
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
3,00
1,00
2,00
1,00
2,00
17,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
AMP
UNT
AMP
PKG
AMP
PKG
UNT
UNT
UNT
UNT

24 Mei 2013 14:33

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
INFLESCO TABLET
EPHEDRINE HCL ETHICA INJECTION
LIDOCAIN 2% INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
disp infusion pump biotek 100ml
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
4,00
1,00
2,00
1,00
1,00
3,00
1,00
1,00
16,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
AMP
AMP
TAB
AMP
AMP
AMP
PKG
BAG
UNT

24 Mei 2013 14:29

Item
FENTANYL KF 2 ML SOLUTION, INJECTION
ANESFAR INJEKSI
ATROPIN ETHICA 0.25 MG INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
INFUS SET JMS
Vasofix Safety G18
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
12,00

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
AMP
AMP
UNT
UNT
BAG
UNT
UNT
UNT
UNT

23 Mei 2013 09:15

Item
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
ATROPIN ETHICA 0.25 MG INJECTION
Vasofix Safety G18
INFUS SET JMS
RING AS DOUBLE PORT 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
9,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
BAG
UNT
UNT
UNT
UNT

23 Mei 2013 08:56

Item
CERTOFIX DUO HF V1220
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
SILK 2-0 REVERSE CUTTING
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
2,00
4,00
1,00
7,00

Emergency OK
Subtotal
PKG
AMP
UNT
UNT
UNT
PKG
PKG
UNT

23 Mei 2013 08:44

Item
CERTOFIX DUO HF V1220
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
SILK 2-0 REVERSE CUTTING
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
1,00
1,00
6,00

Emergency OK
Subtotal
PKG
AMP
UNT
UNT
UNT
PKG
UNT

23 Mei 2013 08:43

Item
CERTOFIX DUO HF V1220
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
2,00
0,50
6,00

Emergency OK
Subtotal
PKG
AMP
UNT
UNT
UNT
UNT
UNT

23 Mei 2013 08:10

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
LIDOCAIN 2% INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
3,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
19,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
VIL
BAG
BOT
AMP
AMP
AMP
AMP
PKG
UNT
PKG
PKG
UNT
UNT
UNT
BAG
UNT

TOTAL

23 Mei 2013 08:03

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
PYTOGIN S INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
2,00
1,00
4,00
1,00
1,00
19,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
UNT
UNT
UNT
UNT
BAG
AMP
AMP
AMP
AMP
PKG
PKG
UNT

21 Mei 2013 08:47

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
COVERPLAST LATEX FREE
EPHEDRINE HCL ETHICA INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
15,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
PKG
AMP
AMP
UNT
UNT
UNT
UNT
UNT

21 Mei 2013 08:45

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
COVERPLAST LATEX FREE
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
14,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
PKG
AMP
UNT
UNT
UNT
AMP
UNT

20 Mei 2013 17:51

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
ONDANSENTRON INF 8 MG/4ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
8,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
AMP
AMP
UNT
UNT
UNT

20 Mei 2013 17:27

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
disp infusion pump biotek 100ml
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00

Emergency OK
Subtotal
AMP
PKG
PKG
AMP
BAG
BOT
AMP
AMP
AMP

EPHEDRINE HCL ETHICA INJECTION

PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
17,00

AMP
AMP
BOT
UNT
UNT
UNT
UNT
UNT
UNT

20 Mei 2013 17:22

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
RING AS DOUBLE PORT 500 ML
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
disp infusion pump biotek 100ml
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
14,00

Emergency OK
Subtotal
AMP
PKG
BAG
BOT
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
BOT
PKG
UNT

20 Mei 2013 17:15

Item
disp infusion pump biotek 100ml
ETT PORTEX 5
FENTANYL KF 2 ML SOLUTION, INJECTION
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
EPHINEPRIN ETHICA INJECTION
SOJOURN 250 CC INHALATION
INFUS SET JMS
RING AS DOUBLE PORT 500 ML
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
80,00
1,00
1,00
2,00
1,00
1,00
2,00
3,00

Emergency OK
Subtotal
PKG
UNT
AMP
AMP
AMP
CC
UNT
BAG
UNT
UNT
UNT
UNT
UNT

COVERPLAST LATEX FREE

TUSLAH NON RACIKAN
TOTAL

1,00
14,00

PKG
UNT

20 Mei 2013 09:40

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
LIDOCAIN 2% INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
15,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
PKG
UNT

20 Mei 2013 09:31

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
COVERPLAST LATEX FREE
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
13,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
PKG
UNT
UNT
UNT
AMP
UNT

20 Mei 2013 09:24

Item

JAKARTA SEHAT
Quantity

Emergency OK
Subtotal

TRAMUS 1% 5 ML AMP
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RING AS DOUBLE PORT 500 ML
ETT PORTEX 7.5
SOJOURN 250 CC INHALATION
SUCTION CATHETER 12
TRANSFUSION SET JMS
Vasofix Safety G18
FUTROLIT INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
FENTANYL KF 2 ML SOLUTION, INJECTION
disp infusion pump biotek 100ml
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00
1,00
50,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00
1,00
15,00

AMP
VIL
BAG
UNT
CC
UNT
UNT
UNT
BOT
UNT
UNT
UNT
AMP
PKG
AMP
UNT

20 Mei 2013 09:12

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
disp infusion pump biotek 100ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
15,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
PKG
PKG
UNT

20 Mei 2013 08:55

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT

RANITIDINE GENERIK 25 MG/ML INJECTION

disp infusion pump biotek 100ml
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
3,00
18,00

AMP
PKG
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT

20 Mei 2013 08:37

Item
PYTOGIN S INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ANESFAR INJEKSI
DISP SYRINGE 10 CC
RINGERFUNDIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
BAG
UNT

20 Mei 2013 08:31

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
disp infusion pump biotek 100ml
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
LIDOCAIN 2% INJECTION
AQUA FOR INJECT OTSUKA 25 ML
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
14,00

Emergency OK
Subtotal
AMP
AMP
PKG
VIL
BAG
AMP
AMP
PKG
UNT
UNT
UNT
AMP
BOT
BOT
UNT

20 Mei 2013 08:25

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
disp infusion pump biotek 100ml
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
LIDOCAIN 2% INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
15,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
PKG
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT

20 Mei 2013 08:20

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ATRAUCAN G 26
COVERPLAST LATEX FREE
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
FUTROLIT INFUSION
disp infusion pump biotek 100ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
16,00

Emergency OK
Subtotal
AMP
AMP
VIL
BAG
AMP
AMP
AMP
PKG
PKG
UNT
UNT
UNT
UNT
AMP
BOT
PKG
UNT

20 Mei 2013 08:14

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION

JAMPERSAL
Quantity
1,00

Emergency OK
Subtotal
AMP

FENTANYL KF 2 ML SOLUTION, INJECTION

ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
13,00

AMP
PKG
VIL
BAG
AMP
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT

20 Mei 2013 08:02

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
COVERPLAST LATEX FREE
EMLA 5 GM CREAM 25 MG/1 GM; 25 MG/1 GM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
0,20
16,00

Emergency OK
Subtotal
AMP
AMP
PKG
VIL
BAG
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
AMP
PKG
TUB
UNT

20 Mei 2013 07:57

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
disp infusion pump biotek 100ml

JAMPERSAL
Quantity
1,00
5,00
2,00
1,00
1,00
2,00
1,00

Emergency OK
Subtotal
AMP
AMP
AMP
PKG
VIL
BAG
PKG

ONDANSENTRON INF 8 MG/4ML INJECTION

PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
15,00

AMP
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT

18 Mei 2013 13:07

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
INFUS SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
COVERPLAST LATEX FREE
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
1,00
2,00
12,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
PKG
AMP
UNT

18 Mei 2013 12:41

Item
ETT PORTEX 8
TRAMUS 1% 5 ML AMP
ANESFAR INJEKSI
LIDOCAIN 2% INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
30,00
1,00
1,00
1,00
12,00

Emergency OK
Subtotal
UNT
AMP
AMP
AMP
AMP
BAG
VIL
UNT
CC
UNT
UNT
UNT
UNT

14 Mei 2013 07:38

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
SPINOCAN 27
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
2,00
2,00
1,00
3,00
3,00
13,00

Emergency OK
Subtotal
AMP
UNT
VIL
BAG
BOT
AMP
AMP
UNT
UNT
UNT
PKG
UNT
UNT
UNT

13 Mei 2013 18:01

Item
REINFORCED TRACHEAL CUFF 7.5
SUCTION CATHETER 12
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION
TRAMUS 1% 5 ML AMP
PROANES 10 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
Vasofix Safety G18
TRANSFUSION SET JMS
ALKOHOL SWAB
SOJOURN 250 CC INHALATION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISCOFIX + 10 CM TUBING
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
disp infusion pump biotek 100ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
3,00
1,00
2,00
1,00
3,00
80,00
1,00
1,00
2,00
2,00
1,00
3,00
1,00
21,00

Emergency OK
Subtotal
PKG
UNT
AMP
AMP
AMP
AMP
AMP
VIL
BAG
BOT
UNT
UNT
UNT
CC
UNT
UNT
UNT
UNT
PKG
AMP
PKG
UNT

13 Mei 2013 17:55

Item
VASOFIX SAFETY G 20
INFUS SET JMS
RINGERFUNDIN INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

Emergency OK
Subtotal
UNT
UNT
BAG
UNT

13 Mei 2013 17:54

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
SPINOCAN 27
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
LIDOCAIN 2% INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
9,00

Emergency OK
Subtotal
AMP
VIL
UNT
AMP
UNT
UNT
AMP
PKG
UNT
UNT

13 Mei 2013 17:02

Item
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
UNT
UNT

13 Mei 2013 16:55

Item
PROANES 10 MG/ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
SOJOURN 250 CC INHALATION
SILICON LARINGEAL MASK 2
SUCTION CATHETER 10
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
RINGERFUNDIN INFUSION
VASOFIX SAFETY G 20
INFUS SET JMS
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
40,00
0,50
1,00
1,00
1,00
1,00
3,00
2,00
1,00
1,00
13,00

Emergency OK
Subtotal
AMP
AMP
AMP
CC
PKG
UNT
UNT
UNT
UNT
UNT
BAG
UNT
UNT
UNT

TOTAL

13 Mei 2013 16:49

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
SOJOURN 250 CC INHALATION
SILICONLARINGEAL MASK 3
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ANESFAR INJEKSI
FENTANYL KF 2 ML SOLUTION, INJECTION
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
AQUA FOR INJECT OTSUKA 25 ML
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
PROANES 10 MG/ML INJECTION
SUCTION CATHETER 12
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
30,00
0,25
2,00
1,00
1,00
2,00
1,00
3,00
1,00
1,00
2,00
3,00
1,00
1,00
21,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
CC
PKG
UNT
UNT
UNT
UNT
AMP
AMP
PKG
PKG
BOT
AMP
AMP
UNT
UNT

13 Mei 2013 15:58

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
SILICON LARINGEAL MASK 2
SUCTION CATHETER 10
SOJOURN 250 CC INHALATION
RINGERFUNDIN INFUSION
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
PROANES 10 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
40,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
12,00

Emergency OK
Subtotal
AMP
PKG
UNT
CC
BAG
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT

13 Mei 2013 09:20

Item
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
FENTANYL KF 2 ML SOLUTION, INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
3,00
5,00

Emergency OK
Subtotal
PKG
PKG
AMP
AMP
BOT
UNT

13 Mei 2013 09:18

Item
disp infusion pump biotek 100ml
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
DISCOFIX + 10 CM TUBING
FENTANYL KF 2 ML SOLUTION, INJECTION
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
3,00
2,00
5,00

Emergency OK
Subtotal
PKG
AMP
PKG
AMP
BOT
UNT

13 Mei 2013 09:09

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
PYTOGIN S INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
3,00
1,00
1,00
1,00
2,00
1,00
12,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
BOT
UNT
UNT
UNT
UNT
UNT

13 Mei 2013 09:01

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG

FUTROLIT INFUSION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
COVERPLAST LATEX FREE
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
1,00
1,00
2,00
2,00
3,00
1,00
12,00

BOT
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT

13 Mei 2013 08:50

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
PYTOGIN S INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
3,00
1,00
1,00
2,00
2,00
1,00
3,00
1,00
1,00
15,00

Emergency OK
Subtotal
AMP
PKG
VIL
BAG
BOT
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT
BOT
AMP
UNT

11 Mei 2013 08:57

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC

UMUM
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT

WHITE SENSOR ELECTRODE

COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
3,00
15,00

UNT
PKG
UNT
UNT

11 Mei 2013 08:48

Item
REINFORCED TRACHEAL CUFF 7.5
PROANES 10 MG/ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
SOJOURN 250 CC INHALATION
RINGERFUNDIN INFUSION
TRANSFUSION SET JMS
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISCOFIX + 10 CM TUBING
ALKOHOL SWAB
TRAMUS 1% 5 ML AMP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
1,00
1,00
80,00
3,00
1,00
3,00
2,00
3,00
2,00
12,00

Emergency OK
Subtotal
PKG
AMP
AMP
AMP
AMP
CC
BAG
UNT
UNT
PKG
UNT
AMP
UNT

11 Mei 2013 08:31

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
PKG
UNT
UNT
UNT

11 Mei 2013 08:27

JAKARTA SEHAT

Emergency OK

Item
disp infusion pump biotek 100ml
FENTANYL KF 2 ML SOLUTION, INJECTION
DISCOFIX + 10 CM TUBING
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
3,00
1,00
1,00
1,00
4,00
6,00

Subtotal
PKG
AMP
PKG
UNT
BOT
AMP
UNT

11 Mei 2013 08:26

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
16,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

11 Mei 2013 08:19

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
WHITE SENSOR ELECTRODE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00
1,00
1,00
2,00
3,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BAG
VIL
UNT
UNT
UNT
UNT

ALKOHOL SWAB
COVERPLAST LATEX FREE
LIDOCAIN 2% INJECTION
TUSLAH NON RACIKAN
TOTAL

3,00
1,00
1,00
15,00

UNT
PKG
AMP
UNT

11 Mei 2013 08:08

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
3,00
3,00
1,00
1,00
1,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
VIL
BAG
AMP
AMP
AMP
AMP
PKG
UNT
UNT
UNT
UNT
UNT
UNT

11 Mei 2013 08:03

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
RINGERFUNDIN INFUSION
HEMOHES/TETRASPAN 6% 500 ML INFUSION
TRANSFUSION SET JMS
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
Vasofix Safety G18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
3,00
1,00
3,00
1,00
15,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
UNT
UNT
UNT
BAG
VIL
UNT
UNT
PKG
UNT
UNT
UNT

8 Mei 2013 16:28

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
3,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
15,00

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
BOT
AMP
AMP
AMP
AMP
AMP
UNT
UNT
PKG
UNT
UNT
UNT

8 Mei 2013 16:19

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
2,00
1,00
1,00
1,00
1,00
3,00
3,00
13,00

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
BOT
AMP
AMP
AMP
UNT
UNT
PKG
UNT
UNT
UNT

8 Mei 2013 15:54

Item
LIDOCAIN 2% INJECTION
SILK 2-0 REVERSE CUTTING
HANDSCOON GAMEX 7

JAKARTA SEHAT
Quantity
2,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
UNT

HANDSCOON GAMEX 7.5

DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00

UNT
UNT
UNT

8 Mei 2013 15:22

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
GELOFUSINE 500 ML INFUSION 4 GM/100 ML; 0.701 GM/100 ML
TRANSFUSION SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
14,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

6 Mei 2013 08:30

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
WIDAHES 130
RINGERFUNDIN INFUSION
FUTROLIT INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
3,00
1,00
1,00
1,00
3,00
1,00
3,00
2,00
1,00
1,00
16,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
BOT
AMP
AMP
AMP
AMP
AMP
UNT
PKG
UNT
UNT
UNT
BOT
UNT

4 Mei 2013 08:05

Item
WIDAHES 130
RINGERFUNDIN INFUSION
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ATRAUCAN G 26
ONDANSENTRON INF 8 MG/4ML INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
ALKOHOL SWAB
COVERPLAST LATEX FREE
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
4,00
2,00
1,00
2,00
1,00
2,00
3,00
1,00
3,00
15,00

Emergency OK
Subtotal
BOT
BAG
AMP
AMP
PKG
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT

4 Mei 2013 08:00

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RINGERFUNDIN INFUSION
WIDAHES 130
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
COVERPLAST LATEX FREE
disp infusion pump biotek 100ml
DISCOFIX + 10 CM TUBING
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
4,00
2,00
1,00
2,00
1,00
2,00
1,00
2,00
3,00
3,00
1,00
1,00
1,00
1,00
17,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
BAG
BOT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
PKG
BAG
UNT

4 Mei 2013 07:53

Item

UMUM
Quantity

Emergency OK
Subtotal

WIDAHES 130
RINGERFUNDIN INFUSION
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
ATRAUCAN G 26
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
1,00
2,00
3,00
1,00
1,00
1,00
1,00
1,00
3,00
1,00
3,00
15,00

BOT
BAG
AMP
AMP
PKG
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
PKG
UNT
UNT

4 Mei 2013 07:45

Item
FENTANYL KF 2 ML SOLUTION, INJECTION
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
VASOFIX SAFETY G 20
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
6,00

Emergency OK
Subtotal
AMP
AMP
AMP
UNT
UNT
UNT
UNT

4 Mei 2013 07:41

Item
WIDAHES 130
RINGERFUNDIN INFUSION
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
COVERPLAST LATEX FREE

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
2,00
2,00
1,00
1,00

Emergency OK
Subtotal
BOT
BAG
AMP
PKG
AMP
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
PKG

ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

3,00
3,00
16,00

UNT
UNT
UNT

3 Mei 2013 14:27

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
WIDAHES 130
RINGERFUNDIN INFUSION
Vasofix Safety G18
TRANSFUSION SET JMS
AQUA FOR INJECT OTSUKA 25 ML
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 20 CC WIHTOUT NED
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
1,00
3,00
3,00
14,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
UNT
UNT
BOT
AMP
UNT
UNT
UNT
PKG
UNT
UNT
UNT

3 Mei 2013 14:21

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
WIDAHES 130
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
3,00
2,00
1,00
2,00
1,00
3,00
3,00
12,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
AMP
AMP
UNT
UNT
UNT
PKG
UNT
UNT
UNT

3 Mei 2013 13:55

Item
Vasofix Safety G18

JAKARTA SEHAT
Quantity
1,00

Emergency OK
Subtotal
UNT

TRANSFUSION SET JMS

ALKOHOL SWAB
WIDAHES 130
RINGERFUNDIN INFUSION
CATAPRES INJECTION
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
1,00
2,00
1,00
3,00
1,00
1,00
1,00
2,00
1,00
2,00
13,00

UNT
UNT
BOT
BAG
AMP
UNT
PKG
AMP
PKG
UNT
UNT
UNT
UNT

3 Mei 2013 13:48

Item
PROANES 10 MG/ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
VASOFIX SAFETY G 20
INFUS SET JMS
RINGERFUNDIN INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
SUCTION CATHETER 14
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
40,00
1,00
1,00
2,00
2,00
1,00
2,00
1,00
3,00
11,00

Emergency OK
Subtotal
AMP
AMP
CC
UNT
UNT
BAG
UNT
UNT
UNT
UNT
UNT
UNT

3 Mei 2013 13:35

Item
CERTOFIX DUO HF V1215
SILK 2-0 REVERSE CUTTING
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
2,00
1,00
8,00

Emergency OK
Subtotal
PKG
PKG
AMP
UNT
UNT
UNT
UNT
UNT
UNT

3 Mei 2013 13:27

Item
VASOFIX SAFETY G 20
INFUS SET JMS
RINGERFUNDIN INFUSION
PROANES 10 MG/ML INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
SUCTION CATHETER 12
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
MICROPORE 1/2 INC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00
1,00
1,00
40,00
1,00
2,00
1,00
2,00
1,00
3,00
12,00

Emergency OK
Subtotal
UNT
UNT
BAG
AMP
AMP
CC
UNT
UNT
UNT
UNT
UNT
UNT
UNT

3 Mei 2013 12:33

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
WIDAHES 130
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
ASAM TRANEKSAMAT 500/5 ML INJECTION
TRANSFUSION SET JMS
Vasofix Safety G18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
4,00
1,00
1,00
1,00
1,00
2,00
1,00
3,00
3,00
2,00
1,00
1,00
17,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
AMP
AMP
AMP
AMP
UNT
UNT
UNT
PKG
UNT
UNT
AMP
UNT
UNT
UNT

3 Mei 2013 11:55

Item
disp infusion pump biotek 100ml
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 20 CC WIHTOUT NED
ANTRAIN INJECTION

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
4,00

Emergency OK
Subtotal
PKG
BOT
UNT
AMP

FENTANYL KF 2 ML SOLUTION, INJECTION

TUSLAH NON RACIKAN
TOTAL

3,00
5,00

AMP
UNT

3 Mei 2013 11:51

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
RINGERFUNDIN INFUSION
WIDAHES 130
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
1,00
1,00
2,00
1,00
2,00
1,00
3,00
3,00
13,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
BAG
BOT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

3 Mei 2013 10:07

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
FENTANYL KF 2 ML SOLUTION, INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
VASOFIX SAFETY G 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
3,00
1,00
9,00

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT

3 Mei 2013 09:59

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
WIDAHES 130
RINGERFUNDIN INFUSION
LIDOCAIN 2% INJECTION
FUROSEMID INF INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
BOT
BAG
AMP
AMP

ASAM TRANEKSAMAT 500/5 ML INJECTION

BD VACUTAINER
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
ALKOHOL SWAB
COVERPLAST LATEX FREE
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
2,00
3,00
1,00
3,00
14,00

AMP
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

3 Mei 2013 09:47

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
FENTANYL KF 2 ML SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
PYTOGIN S INJECTION
TRANSFUSION SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
INFLESCO TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
RINGERFUNDIN INFUSION
WIDAHES 130
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
2,00
3,00
3,00
1,00
4,00
2,00
2,00
1,00
18,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
TAB
AMP
BAG
BOT
UNT

3 Mei 2013 09:12

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
RINGERFUNDIN INFUSION
WIDAHES 130
DISP SYRINGE 10 CC
WHITE SENSOR ELECTRODE

JAKARTA SEHAT
Quantity
2,00
4,00
3,00
1,00
2,00
2,00
1,00
1,00
3,00

Emergency OK
Subtotal
AMP
AMP
AMP
AMP
PKG
BAG
BOT
UNT
UNT

PETHIDIN HCL KIMIA FARMA 50 MG INJECTION

ALKOHOL SWAB
COVERPLAST LATEX FREE
TRANSFUSION SET JMS
Vasofix Safety G18
INFLESCO TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
1,00
1,00
1,00
5,00
15,00

AMP
UNT
PKG
UNT
UNT
TAB
UNT

2 Mei 2013 09:52

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
12,00

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
AMP
AMP
AMP
AMP
BOT
UNT
UNT
UNT
UNT

2 Mei 2013 09:47

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RINGERFUNDIN INFUSION
GELAFUSAL 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
3,00
3,00
11,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
UNT
UNT

2 Mei 2013 09:43

Item

JAKARTA SEHAT
Quantity

Emergency OK
Subtotal

Vasofix Safety G18

TRANSFUSION SET JMS
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
3,00
3,00
13,00

UNT
UNT
AMP
PKG
BAG
BAG
AMP
AMP
UNT
UNT
PKG
UNT
UNT
UNT

2 Mei 2013 07:27

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
13,00

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
AMP
AMP
AMP
AMP
AMP
UNT
UNT
UNT
BOT
UNT

2 Mei 2013 07:19

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
AQUA FOR INJECT OTSUKA 25 ML

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
AMP
AMP
AMP
AMP
BOT

DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TRANSFUSION SET JMS
Vasofix Safety G18
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
2,00
3,00
2,00
3,00
1,00
1,00
17,00

UNT
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

2 Mei 2013 07:13

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
RINGERFUNDIN INFUSION
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
13,00

Emergency OK
Subtotal
AMP
PKG
BAG
AMP
AMP
UNT
UNT
UNT
BOT
BAG
PKG
UNT
UNT
UNT

2 Mei 2013 07:10

Item
CERTOFIX TRIO V720
REINFORCED TRACHEAL CUFF 8
PROANES 10 MG/ML INJECTION
TRAMUS 1% 5 ML AMP
SOJOURN 250 CC INHALATION
SILK 2/0 tap HR22 Assut
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
RING AS DOUBLE PORT 500 ML
GELAFUSAL 500 ML INFUSION
WHITE SENSOR ELECTRODE

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
40,00
1,00
1,00
1,00
2,00
3,00
2,00
2,00
1,00
3,00

Emergency OK
Subtotal
UNT
PKG
AMP
AMP
CC
PKG
AMP
AMP
UNT
UNT
UNT
BAG
BAG
UNT

ATROPIN ETHICA 0.25 MG INJECTION

PROSTIGMIN SOLUTION, INJECTION 0.5 mg
SUCTION CATHETER 12
TRANSFUSION SET JMS
Vasofix Safety G18
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
1,00
2,00
2,00
19,00

AMP
AMP
UNT
UNT
UNT
UNT

2 Mei 2013 07:03

Item
SPINOCAN 27
DISP SYRINGE 10 CC
XYLOCAINE PDF 2% SOLUTION, INJECTION 400 MG/20 ML
DISP SYRINGE 20 CC WIHTOUT NED
WHITE SENSOR ELECTRODE
RING AS DOUBLE PORT 500 ML
KETOROLAC 30 MG SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
8,00

Emergency OK
Subtotal
UNT
UNT
AMP
UNT
UNT
BAG
AMP
AMP
UNT

2 Mei 2013 07:00

Item
CERTOFIX DUO HF V1215
LIDOCAIN 2% INJECTION
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
SILK 2/0 tap HR22 Assut
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
SURFLO IV CATH NO 16
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
0,50
1,00
1,00
1,00
1,00
1,00
8,00

Emergency OK
Subtotal
PKG
AMP
BOT
PKG
UNT
UNT
UNT
UNT
UNT

2 Mei 2013 06:57

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
LIDOCAIN 2% INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
EPHEDRINE HCL ETHICA INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
AMP
AMP
AMP

AQUA FOR INJECT OTSUKA 25 ML

RING AS DOUBLE PORT 500 ML
GELAFUSAL 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
2,00
1,00
2,00
1,00
3,00
3,00
17,00

BOT
BAG
BAG
UNT
UNT
UNT
PKG
UNT
UNT
UNT

2 Mei 2013 06:54

Item
PROANES 10 MG/ML INJECTION
DISCOFIX + 10 CM TUBING
DISP SYRINGE 20 CC WIHTOUT NED
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DEXAMETHASONE 5 MG INJECTION
ANESFAR INJEKSI
RING AS DOUBLE PORT 500 ML
GELAFUSAL 500 ML INFUSION
VASOFIX SAFETY G 20
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
SOJOURN 250 CC INHALATION
SUCTION CATHETER 10
disp infusion pump biotek 100ml
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
CENDO GENTAMYCIN 3.5 GM OINTMENT
MICROPORE 1/2 INC
WHITE SENSOR ELECTRODE
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00
2,00
1,00
1,00
1,00
1,00
3,00
1,00
1,00
1,00
3,00
3,00
1,00
3,00
80,00
1,00
1,00
5,00
1,00
1,00
3,00
3,00
23,00

Emergency OK
Subtotal
AMP
PKG
UNT
AMP
AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
PKG
UNT
CC
UNT
PKG
AMP
TUB
UNT
UNT
BOT
UNT

2 Mei 2013 06:47

Item
REINFORCED TRACHEAL CUFF 8
PROSTIGMIN SOLUTION, INJECTION 0.5 mg
ATROPIN ETHICA 0.25 MG INJECTION

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Emergency OK
Subtotal
PKG
AMP
AMP

SOJOURN 250 CC INHALATION

PROANES 10 MG/ML INJECTION
TRAMUS 1% 5 ML AMP
SUCTION CATHETER 14
ANESFAR INJEKSI
RING AS DOUBLE PORT 500 ML
GELAFUSAL 500 ML INFUSION
TRANSFUSION SET JMS
Vasofix Safety G18
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISCOFIX + 10 CM TUBING
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
MICROPORE 1/2 INC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

40,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
1,00
3,00
19,00

CC
AMP
AMP
UNT
AMP
BAG
BAG
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT
UNT
UNT

2 Mei 2013 06:41

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
GELAFUSAL 500 ML INFUSION
RINGERFUNDIN INFUSION
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
EPHEDRINE HCL ETHICA INJECTION
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
1,00
3,00
3,00
16,00

Emergency OK
Subtotal
AMP
PKG
BAG
BAG
AMP
AMP
AMP
AMP
AMP
BOT
UNT
UNT
UNT
PKG
UNT
UNT
UNT

2 Mei 2013 06:38

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
PYTOGIN S INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
3,00

Emergency OK
Subtotal
AMP
PKG
AMP

MYOMERGIN 0.2 MG/ML INJECTION

ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS DOUBLE PORT 500 ML
GELAFUSAL 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
WHITE SENSOR ELECTRODE
COVERPLAST LATEX FREE
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

4,00
1,00
1,00
2,00
1,00
2,00
1,00
2,00
1,00
3,00
1,00
3,00
15,00

AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
BOT
UNT
PKG
UNT
UNT

2 Mei 2013 06:33

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
RING AS DOUBLE PORT 500 ML
GELAFUSAL 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
TRANSFUSION SET JMS
KETOROLAC 30 MG SOLUTION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
EPHEDRINE HCL ETHICA INJECTION
COVERPLAST LATEX FREE
ALKOHOL SWAB
WHITE SENSOR ELECTRODE
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
2,00
2,00
2,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
3,00
3,00
1,00
17,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
AMP
AMP
AMP
PKG
UNT
UNT
BOT
UNT

2 Mei 2013 06:29

Item
ETT PORTEX 8
ETT PORTEX 8.5
TRAMUS 1% 5 ML AMP
PROANES 10 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
SOJOURN 250 CC INHALATION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
30,00

Emergency OK
Subtotal
UNT
UNT
AMP
AMP
AMP
CC

Vasofix Safety G18

TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
RING AS DOUBLE PORT 500 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
2,00
3,00
3,00
2,00
14,00

UNT
UNT
UNT
UNT
UNT
UNT
UNT
BAG
UNT

2 Mei 2013 06:25

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
CATAPRES INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS DOUBLE PORT 500 ML
GELAFUSAL 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
COVERPLAST LATEX FREE
WHITE SENSOR ELECTRODE
ALKOHOL SWAB
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
3,00
1,00
2,00
1,00
1,00
1,00
3,00
3,00
1,00
14,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
PKG
UNT
UNT
UNT
UNT

1 Mei 2013 13:47

Item
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
SOJOURN 250 CC INHALATION
VASOFIX SAFETY G 20
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
WHITE SENSOR ELECTRODE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
0,50
1,00
1,00
30,00
1,00
1,00
2,00
2,00
1,00
3,00
10,00

Emergency OK
Subtotal
AMP
AMP
AMP
CC
UNT
UNT
UNT
UNT
UNT
UNT
UNT

1 Mei 2013 13:43

Item
ONDANSENTRON INF 8 MG/4ML INJECTION
PROANES 10 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RINGERFUNDIN INFUSION
GELAFUSAL 500 ML INFUSION
TRANSFUSION SET JMS
VASOFIX SAFETY G 20
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
1,00
2,00
3,00
11,00

Emergency OK
Subtotal
AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
UNT
UNT
UNT
UNT

1 Mei 2013 13:35

Item
CERTOFIX DUO HF V1215
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
PRECUT SILK 2/0 PS24
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
0,80
1,00
1,00
1,00
2,00
2,00
7,00

Emergency OK
Subtotal
PKG
BOT
AMP
UNT
PKG
UNT
UNT
UNT

1 Mei 2013 08:27

Item
BUNASCAN SPINAL 0,5% HEAVY 4 ML SOLUTION, INJECTION
ATRAUCAN G 26
ONDANSENTRON INF 8 MG/4ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
LIDOCAIN 2% INJECTION
RINGERFUNDIN INFUSION
GELAFUSAL 500 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
PYTOGIN S INJECTION
MYOMERGIN 0.2 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
2,00
12,00

Emergency OK
Subtotal
AMP
PKG
AMP
AMP
AMP
BAG
BAG
UNT
UNT
UNT
AMP
AMP
UNT

Pasien
Penjamin
92689
92689
46983
46983
16442
16442
33817
33817
8440
8440
2022
2022
1300
1300
3500
3500
205193
205193

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
1382
1382
16417
16417
33792
33792
1997
1997
1757
1757
3500
3500
198467
198467

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
15397
15397
32834
32834
184008
184008
1997
1997
1757
1757
1068
1068
5000
5000
485839
485839

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825

0
0

46983
10844
9626
15422
1407
32884
2022
1782
1143
184028
6000
499410

46983
10844
9626
15422
1407
32884
2022
1782
1143
184028
6000
499410

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
10844
10844
9626
9626
32884
32884
184028
184028
33817
33817
16360
16360
1782
1782
2022
2022
1143
1143
6000
6000
532758
532758

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
15397
15397
1382
1382
32834
32834
184008
184008
16335
16335
33792
33792
1997
1997
1757
1757
1068
1068

0
0
0
0
0
0
0
0
0
0
0
0
0

6500
538848

6500
538848

0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
15397
15397
32834
32834
184008
184008
1997
1997
1757
1757
1068
1068
5000
5000
485839
485839

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
9601
9601
1382
1382
51216
51216
8415
8415
1997
1997
1757
1757
1068
1068
4500
4500
219558
219558

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
136838
136838
118800
118800
184008
184008
51216
51216
3994
3994
2550
2550
1757
1757
8415
8415
17952
17952
15444
15444

0
0
0
0
0
0
0
0
0
0

5000
545974

5000
545974

0
0

Pasien
Penjamin
68444
68444
118825
118825
190765
190765
36390
36390
51241
51241
5422
5422
3784
3784
9626
9626
15422
15422
762
762
17977
17977
158400
158400
140949
140949
32670
32670
4044
4044
5757
5757
2600
2600
8500
8500
871578
871578

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
190765
190765
36390
36390
51241
51241
5422
5422
3784
3784
9626
9626
61688
61688
2891
2891
25130
25130
17977
17977
1407
1407
140949
140949
158400
158400
8220
8220
8000
8000
909159
909159

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46983
46983
15444
15444
1665
1665
3784
3784
9626
9626
15422
15422
8440
8440
33817
33817
18195
18195
2022
2022
5757
5757
2600
2600
6000
6000
169755
169755

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46958
46958
9601
9601
1640
1640
33792
33792
8415
8415
18195
18195
1997
1997
1540
1540
2550
2550
4500
4500
129188
129188

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1088340 1088340
2764
2764
1275
1275
12012
12012
24024
24024
2008
2008
56100
56100
3500
3500
1190023 1190023

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1088340 1088340
2764
2764
1275
1275
24024
24024
12012
12012
56100
56100
3000
3000
1187515 1187515

0
0
0
0
0
0
0
0

Pasien
Penjamin
1088340 1088340
2764
2764
1275
1275
12012
12012
24024
24024
13267.5 13267.5
3000
3000
1144683 1144683

0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
1382
1382
2891
2891
190740
190740
36390
36390
51216
51216
5397
5397
9601
9601
46191
46191
140874
140874
382
382
712
712
158400
158400
32670
32670
2550
2550
5732
5732
1540
1540
8195
8195
9500
9500

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

891582

891582

Pasien
Penjamin
68444
68444
118825
118825
190765
190765
54585
54585
51241
51241
9626
9626
10844
10844
17977
17977
2022
2022
2600
2600
3130
3130
11514
11514
8220
8220
2891
2891
9490.25 9490.25
46983
46983
61688
61688
158400
158400
32670
32670
9500
9500
871415.3 871415.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
190765
190765
36390
36390
51241
51241
10844
10844
3784
3784
9626
9626
382
382
17977
17977
1407
1407
1782
1782
2022
2022
2600
2600
1565
1565
7500
7500
525154
525154

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
36390
36390
51216
51216
10794
10794
3759
3759
9601
9601
382
382
17952
17952
1997
1997
2550
2550
1540
1540
2891
2891
7000
7000
524031
524031

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
18195
18195
9601
9601
46958
46958
2550
2550
1540
1540
4000
4000
460803
460803

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
158400
158400
2891
2891
36390
36390
51216
51216
10794
10794
7518
7518
9601
9601

0
0
0
0
0
0
0
0
0

17952
15830
2640
1997
5732
1275
1540
6336
8500
525831

17952
15830
2640
1997
5732
1275
1540
6336
8500
525831

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
18195
18195
51241
51241
10844
10844
3784
3784
9626
9626
17977
17977
2022
2022
5757
5757
1300
1300
1565
1565
5330
5330
158400
158400
7000
7000
480310
480310

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
109887
109887
46958
46958
92664
92664
3036
3036
855360
855360
8415
8415
18195
18195
29976
29976
1997
1997
1540
1540
2550
2550
6336
6336

0
0
0
0
0
0
0
0
0
0
0
0
0

382
7000
1342696

382
7000
1342696

0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
16929
16929
102432
102432
10794
10794
7518
7518
9601
9601
17952
17952
1382
1382
46958
46958
1997
1997
2550
2550
1540
1540
382
382
7500
7500
605494
605494

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858
51216
51216
10794
10794
7518
7518
9601
9601
382
382
1997
1997
1275
1275
1540
1540
2891
2891
6500
6500
505531
505531

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

83160
190740
54585
336501
534600
5294
16335
33792
51216
3994
2550
1540
93916
158400
2891
7500
1577014

83160
190740
54585
336501
534600
5294
16335
33792
51216
3994
2550
1540
93916
158400
2891
7500
1577014

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
16929
16929
102432
102432
9601
9601
10794
10794
3759
3759
17952
17952
1997
1997
1757
1757
1275
1275
1540
1540
382
382
158400
158400
7500
7500
712277
712277

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
16929
16929
102432
102432

0
0
0
0
0

2891
158400
5397
3759
9601
46958
1382
1757
1997
2550
1540
382
6336
9000
749270

2891
158400
5397
3759
9601
46958
1382
1757
1997
2550
1540
382
6336
9000
749270

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5397
5397
2891
2891
15444
15444
1997
1997
16929
16929
2500
2500
45158
45158

0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
46983
46983
118825
118825
190765
190765
33908
33908
10844
10844
3784
3784
158400
158400
2022
2022
1300
1300
1565
1565
1407
1407
5330
5330
51241
51241
7000
7000
701818
701818

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858
51216
51216
2891
2891
158400
158400
10794
10794
7518
7518
1382
1382
46958
46958
1757
1757
1997
1997
1275
1275
1540
1540
7500
7500
705045
705045

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
46958
46958
190740
190740
33858
33858
9601
9601
10794
10794
7518
7518
118800
118800
382
382
1757
1757
1997
1997
1540
1540
1275
1275
1382
1382
51216
51216
158400
158400
8000
8000
712637
712637

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444

46983
118825
190765
33908
10844
7568
9626
2022
1782
1565
1300
382
6500
500514

46983
118825
190765
33908
10844
7568
9626
2022
1782
1565
1300
382
6500
500514

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
46958
46958
118800
118800
190740
190740
33858
33858
10794
10794
3759
3759
9601
9601
17952
17952
1757
1757
1997
1997
2550
2550
1540
1540
2891
2891
382
382
12742.2 12742.2
8000
8000
532740.2 532740.2

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
234915
234915
18500
18500
118825
118825
190765
190765
33908
33908
158400
158400

0
0
0
0
0
0
0

9626
10844
7568
1782
2022
1300
1565
382
7500
866346

9626
10844
7568
1782
2022
1300
1565
382
7500
866346

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
190740
190740
8415
8415
3994
3994
2550
2550
382
382
5782
5782
6000
6000
496881
496881

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112200
112200
83160
83160
15444
15444
1382
1382
9601
9601
33858
33858
190740
190740
16335
16335
320760
320760
1997
1997
1275
1275
1540
1540
6000
6000
794292
794292

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
28958
28958
190740
190740
33858
33858
51216
51216
10794
10794
9601
9601
1997
1997
2550
2550
3080
3080
382
382
1068
1068
6336
6336
6500
6500
415499
415499

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
481197
481197
5294
5294
15444
15444
46958
46958
166320
166320
70731
70731
9601
9601
190740
190740
50787
50787
51216
51216
67584
67584
16335
16335
1068
1068
855360
855360
1997
1997
5732
5732
2550
2550
3080
3080
32670
32670
22125
22125
158400
158400
10500
10500
2265689 2265689

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792
8415
8415
16929
16929
1500
1500
60636
60636

0
0
0
0
0

Pasien
Penjamin
68419
68419
190740
190740
28958
28958
9601
9601
1275
1275
1540
1540
1382
1382
382
382
1068
1068
4500
4500
307865
307865

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
62563
62563
500
500
63063
63063

0
0
0

Pasien
Penjamin
70731
70731
46958
46958
9601
9601
427680
427680
106029
106029
5294
5294
1997
1997
5732
5732
1275
1275
6336
6336
33858
33858
33792
33792
8415
8415
6500
6500

0
0
0
0
0
0
0
0
0
0
0
0
0
0

764198

764198

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858
51216
51216
10794
10794
9601
9601
320760
320760
71008.25 71008.25
3994
3994
5732
5732
1275
1275
3080
3080
15444
15444
140874
140874
158400
158400
32670
32670
5280
5280
22125
22125
70731
70731
5294
5294
10500
10500
1350595 1350595

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
212058
212058
5294
5294
427680
427680
33858
33858
46958
46958
9601
9601
70731
70731
1997
1997
5732
5732
2550
2550
3080
3080
6000
6000
918203
918203

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
32670
32670
140874
140874
22125
22125
7920
7920
2500
2500
364489
364489

0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
22125
22125
32670
32670
140874
140874
5280
5280
2500
2500
361849
361849

0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858
51216
51216
9601
9601
16191
16191
2640
2640
1997
1997
5732
5732
2550
2550
1540
1540
6000
6000
509284
509284

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
190740
190740
33858
33858

0
0
0
0

51216
16191
9601
1997
2550
3080
1068
382
6000
503902

51216
16191
9601
1997
2550
3080
1068
382
6000
503902

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
190765
190765
33908
33908
51241
51241
9626
9626
16266
16266
2022
2022
5757
5757
2600
2600
3130
3130
382
382
1143
1143
2665
2665
1407
1407
7500
7500
515681
515681

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
7518
7518
10794
10794
9601
9601
1382
1382
33858
33858
190740
190740
1997
1997
1757
1757
1275
1275

0
0
0
0
0
0
0
0
0
0
0
0

6336
382
1068
7500
508385

6336
382
1068
7500
508385

0
0
0
0
0

Pasien
Penjamin
481197
481197
141462
141462
140874
140874
1382
1382
9601
9601
855360
855360
50787
50787
16335
16335
80850
80850
65340
65340
1068
1068
166320
166320
6000
6000
2016576 2016576

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
7518
7518
10794
10794
9601
9601
1382
1382
33858
33858
190740
190740
1997
1997
5732
5732
1275
1275
382
382
1068
1068
6336
6336
7500
7500
512360
512360

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
140874
140874
32670
32670
5732
5732
5881
5881
29500
29500
3000
3000
376057
376057

0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
7518
7518
10794
10794
9601
9601
1382
1382
33858
33858
190740
190740
16335
16335
1997
1997
5732
5732
1275
1275
6336
6336
382
382
1068
1068
8000
8000
529195
529195

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
7518
7518
10794
10794
9601
9601
33858
33858
190740
190740
1997
1997
5732
5732
2550
2550
6336
6336

0
0
0
0
0
0
0
0
0
0
0
0

1068
382
1382
7500
513635

1068
382
1382
7500
513635

0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
46983
46983
190765
190765
33908
33908
10844
10844
7568
7568
9626
9626
1407
1407
382
382
1143
1143
6336
6336
2022
2022
1300
1300
1565
1565
7500
7500
508618
508618

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
1997
1997
5732
5732
2550
2550
33858
33858
190740
190740
16335
16335
6336
6336
382
382
1068
1068
33792
33792
7500
7500
545450
545450

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
175824
175824
33858
33858
51216
51216
10794
10794
11277
11277
9601
9601
1382
1382
15830
15830
1997
1997
5732
5732
382
382
1068
1068
6336
6336
7500
7500
520016
520016

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
175824
175824
33858
33858
51216
51216
10794
10794
7518
7518
9601
9601
1997
1997
5732
5732
382
382
1068
1068
6336
6336
6500
6500
498045
498045

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2764
2764
56100
56100
12012
12012

0
0
0

12012
1997
2500
87385

12012
1997
2500
87385

0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
9601
9601
1382
1382
33858
33858
175824
175824
16335
16335
33792
33792
5732
5732
1997
1997
6336
6336
382
382
1068
1068
7000
7000
527484
527484

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
196680
196680
33858
33858
51216
51216
10794
10794
11277
11277
9601
9601
46958
46958
1382
1382
6336
6336
382
382
1068
1068
3994
3994
1540
1540
2640
2640
8000
8000
572945
572945

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
196680
196680
33858
33858
68419
68419
46958
46958
118800
118800
9601
9601
15036
15036
10794
10794
1382
1382
3994
3994
5732
5732
3080
3080
1068
1068
382
382
6336
6336
7500
7500
529620
529620

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
234790
234790
15036
15036
10794
10794
9601
9601
33858
33858
196680
196680
3994
3994
5732
5732
3080
3080
6336
6336
1068
1068
382
382
158400
158400
32670
32670
8195
8195
8500
8500
916335
916335

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

196680
33858
68419
46958
118800
10794
11277
9601
1382
1997
5732
1540
6336
382
1068
7500
522324

196680
33858
68419
46958
118800
10794
11277
9601
1382
1997
5732
1540
6336
382
1068
7500
522324

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46958
46958
92664
92664
3759
3759
3994
3994
3080
3080
33792
33792
3000
3000
187247
187247

0
0
0
0
0
0
0
0

Pasien
Penjamin
196680
196680
33858
33858
68419
68419
118800
118800
46958
46958
10794
10794
7518
7518
9490.25 9490.25
9601
9601
1382
1382
3994
3994
3080
3080
5732
5732
382
382

0
0
0
0
0
0
0
0
0
0
0
0
0
0

1068
1068
6336
6336
8000
8000
532092.3 532092.3

0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
196680
196680
33858
33858
33792
33792
16335
16335
5280
5280
1382
1382
1997
1997
3080
3080
11464
11464
382
382
1068
1068
6336
6336
7000
7000
505873
505873

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
196680
196680
33858
33858
10794
10794
11277
11277
3994
3994
5732
5732
3080
3080
382
382
1068
1068
6336
6336
6000
6000
466420
466420

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792

16335
1068
196680
33858
44467
6336
382
68419
118800
3994
5732
3080
6500
539443

16335
1068
196680
33858
44467
6336
382
68419
118800
3994
5732
3080
6500
539443

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
70731
70731
46958
46958
427680
427680
33792
33792
8415
8415
33858
33858
3994
3994
5732
5732
3080
3080
5294
5294
6336
6336
5500
5500
651370
651370

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1088340 1088340
56100
56100
2764
2764
1997
1997
1540
1540
24024
24024
24024
24024
26600
26600
4000
4000
1229389 1229389

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
33792
33792
8415
8415
33858
33858
70731
70731
46958
46958
427680
427680
5294
5294
3994
3994
5732
5732
3080
3080
26535
26535
6336
6336
6000
6000
678405
678405

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
196680
196680
16929
16929
5397
5397
15036
15036
7375
7375
17952
17952
1997
1997
5732
5732
3080
3080
382
382
1068
1068
6336
6336
9490.25 9490.25
16335
16335
33792
33792
8500
8500
533300.3 533300.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
7920
7920
5732
5732
38808
38808

0
0
0
0

140874
2500
354234

140874
2500
354234

0
0
0

Pasien
Penjamin
68419
68419
118800
118800
7518
7518
10794
10794
33858
33858
196680
196680
16335
16335
3994
3994
5732
5732
3080
3080
382
382
1068
1068
6336
6336
6500
6500
479496
479496

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
92664
92664
46958
46958
3759
3759
4745.125 4745.125
1997
1997
5732
5732
3080
3080
6336
6336
33792
33792
4500
4500
203563.1 203563.1

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
196680
196680
33858
33858
1382
1382
2222
2222

0
0
0
0
0
0

9490.25 9490.25
1898
1898
1997
1997
5732
5732
3080
3080
1068
1068
382
382
6336
6336
7000
7000
458344.3 458344.3

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
46958
46958
1382
1382
7518
7518
10794
10794
16335
16335
33792
33792
3994
3994
5732
5732
3080
3080
1068
1068
6336
6336
382
382
50160
50160
9490.25 9490.25
33858
33858
196680
196680
9000
9000
623778.3 623778.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9490.25 9490.25
21588
21588
11277
11277
68419
68419
237600
237600
33858
33858
196680
196680
1997
1997
6336
6336

0
0
0
0
0
0
0
0
0

15830
15830
1068
1068
382
382
16335
16335
33792
33792
62700
62700
7500
7500
724852.3 724852.3

0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
178200
178200
33908
33908
9626
9626
15422
15422
5422
5422
3784
3784
2665
2665
4044
4044
3130
3130
2112
2112
6000
6000
451582
451582

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
9601
9601
15397
15397
33858
33858
178200
178200
3994
3994
5732
5732
1540
1540
1068
1068
6336
6336
5500
5500
448445
448445

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

33792
16335
68419
118800
178200
33858
9601
15397
1997
3080
382
1068
6336
6500
493765

33792
16335
68419
118800
178200
33858
9601
15397
1997
3080
382
1068
6336
6500
493765

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
178200
178200
33858
33858
10794
10794
7518
7518
9601
9601
15397
15397
17952
17952
3994
3994
5732
5732
3080
3080
2640
2640
6500
6500
482485
482485

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
178200
178200
16929
16929
5397
5397
3759
3759
9601
9601
15397
15397
2640
2640

0
0
0
0
0
0
0
0
0

3994
5732
3080
6336
764
1068
16335
33792
8500
498743

3994
5732
3080
6336
764
1068
16335
33792
8500
498743

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
178200
178200
9601
9601
15397
15397
1997
1997
5732
5732
1540
1540
2640
2640
16929
16929
382
382
1068
1068
6336
6336
6500
6500
433541
433541

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
869550
869550
481197
481197
70731
70731
166320
166320
427680
427680
54903
54903
9601
9601
15397
15397
11464
11464
5991
5991
3080
3080
36390
36390
178200
178200
6336
6336

0
0
0
0
0
0
0
0
0
0
0
0
0
0

3280
17706
5294
32670
67584
9500
2472874

3280
17706
5294
32670
67584
9500
2472874

0
0
0
0
0
0
0

Pasien
Penjamin
28958
28958
1997
1997
63630
63630
5732
5732
6336
6336
18195
18195
15397
15397
9601
9601
4000
4000
153846
153846

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1088340 1088340
2764
2764
33858
33858
54903
54903
1540
1540
1997
1997
16788
16788
26600
26600
4000
4000
1230790 1230790

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
1382
1382
9601
9601
15397
15397
10794
10794
7518
7518
17952
17952

0
0
0
0
0
0
0
0

2640
36390
178200
3994
5732
3080
382
1068
6336
8500
496185

2640
36390
178200
3994
5732
3080
382
1068
6336
8500
496185

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
141462
141462
32670
32670
11464
11464
9601
9601
15397
15397
2940
2940
15444
15444
54585
54585
178200
178200
33792
33792
16335
16335
5991
5991
4620
4620
382
382
1068
1068
855360
855360
5294
5294
158400
158400
36875
36875
32010
32010
26535
26535
6336
6336
7920
7920
11500
11500
1664181 1664181

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
481197
481197
17706
17706
3280
3280

0
0
0

427680
141462
166320
5294
15444
36390
178200
16335
33792
26950
32670
3994
11464
3080
26535
6336
9500
1643629

427680
141462
166320
5294
15444
36390
178200
16335
33792
26950
32670
3994
11464
3080
26535
6336
9500
1643629

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
178200
178200
33858
33858
10794
10794
7518
7518
9601
9601
15397
15397
17952
17952
2640
2640
3994
3994
5732
5732
3080
3080
382
382
1068
1068
6336
6336
8000
8000
491771
491771

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
16191
16191

0
0
0

15036
9601
15397
36390
178200
3994
5732
3080
2640
6336
382
1068
7500
488766

15036
9601
15397
36390
178200
3994
5732
3080
2640
6336
382
1068
7500
488766

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68444
68444
118825
118825
10844
10844
7568
7568
36390
36390
178200
178200
4044
4044
5757
5757
3130
3130
16360
16360
15422
15422
9626
9626
17977
17977
382
382
1143
1143
6336
6336
2665
2665
8500
8500
511613
511613

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
112200
112200
116875
116875
83160
83160
70731
70731
15397
15397
320760
320760

0
0
0
0
0
0

33792
16335
3994
5732
3080
6336
1068
36390
7000
832850

33792
16335
3994
5732
3080
6336
1068
36390
7000
832850

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
44467
44467
9601
9601
15397
15397
54585
54585
178200
178200
3994
3994
5732
5732
1540
1540
382
382
6336
6336
1068
1068
16335
16335
7000
7000
531856
531856

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
46332
46332
9601
9601
15397
15397
320760
320760
33792
33792
16335
16335
3994
3994
11464
11464
1540
1540
6336
6336
5000
5000
470551
470551

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9601
9601
70731
70731
15397
15397
33858
33858
178200
178200
16335
16335
33792
33792
3994
3994
5732
5732
3080
3080
1068
1068
5500
5500
377288
377288

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1088340 1088340
54172.8 54172.8
1382
1382
1997
1997
10560
10560
24024
24024
24024
24024
3500
3500
1208000 1208000

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
68419
68419
118800
118800
9601
9601
15397
15397
1382
1382
33858
33858
178200
178200
1997
1997
5732
5732
3080
3080
10794
10794
7518
7518
6000
6000
460778
460778

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Waktu
30 Mei 2013 11:22
Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
10,00
1,00

Depo
Depo IGD
Subtotal
TAB
UNT

30 Mei 2013 10:55

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

30 Mei 2013 10:52

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT

30 Mei 2013 10:28

Item
KETOPROFEN 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

Depo IGD
Subtotal
TAB
UNT

30 Mei 2013 10:25

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT

30 Mei 2013 09:38

Item
BURNAZIN 35 GM CREAM
SPORETIK SANBE 100 MG

UMUM
Quantity
3,00
10,00

Depo IGD
Subtotal
TUB
CAP

TRAMADOL INF TABLET 50 MG

TUSLAH NON RACIKAN
TOTAL

10,00
3,00

TAB
UNT

30 Mei 2013 07:53

Item
CHROMIC 2/0 C 27 X 150 CM
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
SCRUB BRUSH
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
3,00
3,00
6,00

Emergency OK
Subtotal
PKG
BOT
UNT
UNT
PKG
PKG
UNT

29 Mei 2013 20:33

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
VIL
UNT

29 Mei 2013 14:46

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

29 Mei 2013 14:43

Item
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
PKG
BOT
UNT
UNT
UNT

29 Mei 2013 13:31

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

29 Mei 2013 13:30

Item
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
PROLIC SANBE 300 mg
METRONIDAZOLE 500 MG TABLET
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
3,00
1,00
3,00
30,00
30,00
20,00
4,00

Depo IGD
Subtotal
PKG
BOT
UNT
UNT
CAP
TAB
TAB
UNT

29 Mei 2013 12:47

Item
TRAMADOL INF TABLET 50 MG
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
CAP
UNT

29 Mei 2013 12:45

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

29 Mei 2013 12:33

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
1,00
1,00
2,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT
UNT
PKG
UNT

29 Mei 2013 12:28

Item
VERBAND ROLL
TRAMADOL INF TABLET 50 MG
CEFIXIME GENERIK CAPSULE

JAKARTA SEHAT
Quantity
2,00
10,00
10,00

Depo IGD
Subtotal
PKG
TAB
CAP

BOORWATER 100 ML SOLUTION

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
3,00

BOT
UNT
UNT
UNT

29 Mei 2013 11:55

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT

29 Mei 2013 11:42

Item
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
PKG
BOT
UNT
UNT
UNT

29 Mei 2013 11:08

Item
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
10,00
3,00

Depo IGD
Subtotal
PKG
BOT
UNT
UNT
UNT
TAB
UNT

29 Mei 2013 11:06

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
BOT
UNT
UNT
PKG

TUSLAH NON RACIKAN

TOTAL

3,00

UNT

29 Mei 2013 11:05

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT

29 Mei 2013 10:50

Item
FOLLEY CATHETER 16 RUSCH
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
UNT
UNT

29 Mei 2013 10:38

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
TRAMADOL INF TABLET 50 MG
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
10,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
TAB
UNT
UNT

28 Mei 2013 17:16

Item
METRONIDAZOLE 100 ML INFUSION
ANBACIM INJECTION
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
AMP
BOT
UNT

28 Mei 2013 16:55

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00

Depo IGD
Subtotal
CAP
TAB

TUSLAH NON RACIKAN

TOTAL

2,00

UNT

28 Mei 2013 16:35

Item
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

28 Mei 2013 16:35

Item
SANMOL INFUSION
DEXTROSE 5% WIDATRA 500 ML INFUSION
ANBACIM INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
BOT
BOT
AMP
VIL
UNT
UNT

28 Mei 2013 15:41

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
DEXTROSE 5% WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
3,00
1,00
6,00
2,00
2,00
7,00

Depo IGD
Subtotal
VIL
AMP
AMP
UNT
UNT
BOT
BOT
UNT

28 Mei 2013 15:15

Item
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Emergency OK
Subtotal
UNT
UNT

28 Mei 2013 14:58

Item
T-VIO 2/0 V10
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT

JPK PNS
Quantity
1,00
1,00
1,00

Emergency OK
Subtotal
PKG
PKG
PKG

WUNDRES F 5X5
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL S (PCS)
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
2,00
2,00
20,00
3,00
10,00

UNT
BOT
UNT
UNT
UNT
PKG
PKG
UNT

28 Mei 2013 12:24

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

28 Mei 2013 12:08

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

28 Mei 2013 11:05

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

28 Mei 2013 10:28

Item
T-LENE 3-0 L19 TRITON
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
PEHACAIN PHAPROS INJECTION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL S (PCS)
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
2,00
1,00
2,00
0,25
8,00

Emergency OK
Subtotal
UNT
AMP
UNT
AMP
UNT
UNT
PKG
UNT
UNT

28 Mei 2013 10:01

Item
T-LENE 3-0 L19 TRITON
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
4,00
1,00
1,00
2,00
2,00
1,00
7,00

Emergency OK
Subtotal
UNT
AMP
UNT
UNT
UNT
PKG
BAG
UNT

28 Mei 2013 09:40

Item
LIDOCAIN 2% INJECTION
PEHACAIN PHAPROS INJECTION
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
CHROMIC 2/0 C 27 X 150 CM
WUNDRES F 5X5
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
MICROPORE 2 INC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
0,25
1,00
10,00

Emergency OK
Subtotal
AMP
AMP
PKG
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT

28 Mei 2013 08:54

Item
DISP SYRINGE 3 CC
PEHACAIN PHAPROS INJECTION
LIDOCAIN 2% INJECTION
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
2,00
0,25
8,00

Emergency OK
Subtotal
UNT
AMP
AMP
PKG
PKG
UNT
UNT
UNT
UNT

27 Mei 2013 13:54

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

30,00
1,00

TAB
UNT

27 Mei 2013 13:00

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

27 Mei 2013 13:00

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
MICROPORE 1/2 INC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
20,00
10,00
1,00
2,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
CAP
TAB
UNT
PKG
UNT

27 Mei 2013 11:26

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

27 Mei 2013 11:09

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
1,00

Depo IGD
Subtotal
CAP
UNT

27 Mei 2013 10:21

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

25 Mei 2013 12:17

UMUM

Depo IGD

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TOTAL

Quantity
2,00
1,00
2,00

Subtotal
BOT
UNT
UNT

24 Mei 2013 14:41

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
LEUKOCREPE 4 INC
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
3,00
3,00
2,00
1,00
3,00
6,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
UNT
PKG
UNT

24 Mei 2013 14:34

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

24 Mei 2013 14:26

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
1,00

Depo IGD
Subtotal
TAB
UNT

24 Mei 2013 14:23

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

24 Mei 2013 14:17

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

TOTAL

24 Mei 2013 13:36

Item
LIDOCAIN 2% INJECTION
Assucryl 3/0 Tapper
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
WUNDRES F 5X5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
4,00
7,00

Emergency OK
Subtotal
AMP
PKG
PKG
UNT
UNT
UNT
PKG
UNT

24 Mei 2013 13:30

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
Vasofix Safety G18
HANDSCOON GAMEX 7
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
4,00
1,00
3,00
10,00
0,50
6,00

Emergency OK
Subtotal
BOT
UNT
UNT
UNT
PKG
UNT
UNT

24 Mei 2013 13:28

Item
LIDOCAIN 2% INJECTION
PEHACAIN PHAPROS INJECTION
T-LENE 4-0 L18 TRITON
DARYANT-TULLE STERIL GZ
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
2,00
2,00
1,00
0,50
8,00

Emergency OK
Subtotal
AMP
AMP
UNT
PKG
UNT
UNT
UNT
UNT
UNT

24 Mei 2013 13:26

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Emergency OK
Subtotal
BOT
UNT
UNT

HANDSCOON GAMEX 7.5

HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

2,00
10,00
5,00

UNT
PKG
UNT

24 Mei 2013 11:30

Item
T-Vio 2/0 V9
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
DUODERM EXTRATHIN 4X4
LEUKOCREPE 6 INC
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
DISPOS NE ELEC F ADULT & CHILDREN
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
3,00
3,00
20,00
3,00
0,50
1,00
11,00

Emergency OK
Subtotal
PKG
PKG
UNT
UMG
UNT
UNT
UNT
PKG
PKG
UNT
BOT
UNT

24 Mei 2013 10:56

Item
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
0,50
2,00
2,00

Emergency OK
Subtotal
TUB
UNT
UNT

24 Mei 2013 10:42

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
CHROMIC 2/0 C 27 X 150 CM
FIXOMUL 76991 (15CM)
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
0,10
2,00
2,00
6,00

Emergency OK
Subtotal
AMP
UNT
PKG
UNT
UNT
UNT
UNT

23 Mei 2013 13:26

Item
BURNAZIN 35 GM CREAM
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
TUB
UNT

TOTAL

23 Mei 2013 13:23

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
10,00
10,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
CAP
TAB
UNT

23 Mei 2013 12:47

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TRAMADOL INF TABLET 50 MG
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
10,00
10,00
4,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
TAB
CAP
UNT

23 Mei 2013 12:43

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
10,00
4,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
TAB
UNT

23 Mei 2013 12:24

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION

JAKARTA SEHAT
Quantity
2,00
1,00
1,00

Depo IGD
Subtotal
PKG
UNT
BOT

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00

UNT
UNT
UNT

23 Mei 2013 12:09

Item
PROLIC SANBE 300 mg
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
TRAMADOL INF TABLET 50 MG
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
1,00
10,00
10,00
4,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
UNT
TAB
TAB
UNT

23 Mei 2013 10:58

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

23 Mei 2013 10:48

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

23 Mei 2013 10:38

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
10,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
TAB
UNT

22 Mei 2013 12:38

Item
BOORWATER 100 ML SOLUTION

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
BOT

TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
2,00

UNT
UNT
PKG
UNT
UNT

22 Mei 2013 12:36

Item
THORACIC CATHETER 28
LIDOCAIN 2% INJECTION
STOMACH TUBE 20 JMS
DISP SYRINGE 5 CC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
PRECUT SILK 2 PS27
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
1,00
1,00
1,00
2,00
10,00
1,00
1,00
9,00

Emergency OK
Subtotal
PKG
AMP
UNT
UNT
UNT
UNT
PKG
BOT
PKG
UNT

22 Mei 2013 11:44

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 1 CC TUBERCULIN
T-LENE 3-0 L19 TRITON
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
4,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
UNT

22 Mei 2013 10:04

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

22 Mei 2013 09:58

Item
CEFIXIME GENERIK CAPSULE

JAKARTA SEHAT
Quantity
10,00

Depo IGD
Subtotal
CAP

METRONIDAZOLE 500 MG TABLET

TUSLAH NON RACIKAN
TOTAL

10,00
2,00

TAB
UNT

22 Mei 2013 09:46

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
1,00

Depo IGD
Subtotal
TAB
UNT

22 Mei 2013 09:22

Item
TRAMADOL INF TABLET 50 MG
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
TAB
CAP
PKG
UNT
BOT
UNT
UNT
UNT

21 Mei 2013 15:35

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

21 Mei 2013 14:19

Item
CHROMIC 2/0 C 27 X 150 CM
T-LENE 2-0 L20
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
3,00
6,00

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
UNT
PKG
UNT

21 Mei 2013 13:56

Item

UMUM
Quantity

Depo IGD
Subtotal

CEFIXIME GENERIK CAPSULE

TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

10,00
10,00
2,00

CAP
TAB
UNT

21 Mei 2013 13:32

Item
T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
T-LENE 2-0 L20
T-LENE 3-0 L19 TRITON
WUNDRES B
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 20 CC WIHTOUT NED
APRON FILM WHITE
T-HERNIA MESH LM3 6 X 10 CM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
1,00
1,00
3,00
1,00
12,00

Emergency OK
Subtotal
PKG
PKG
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT

21 Mei 2013 13:14

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

21 Mei 2013 11:56

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
UNT

21 Mei 2013 11:35

Item
Assucryl 3/0 Tapper
WUNDRES F 5X5
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
APRON FILM WHITE

UMUM
Quantity
1,00
1,00
2,00
2,00
3,00

Emergency OK
Subtotal
PKG
UNT
UNT
UNT
PKG

LEUKOCREPE 6 INC
TUSLAH NON RACIKAN
TOTAL

1,00
6,00

UMG
UNT

21 Mei 2013 10:45

Item
CHROMIC 2/0 C 27 X 150 CM
T-LENE 2-0 L20
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
LEUKOCREPE 6 INC
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
1,00
20,00
3,00
8,00

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
UNT
UMG
PKG
PKG
UNT

21 Mei 2013 10:18

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
EPHINEPRIN ETHICA INJECTION
CHROMIC 2/0 C 27 X 150 CM
PLAIN 2/0 CAT GUT
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
8,00

Emergency OK
Subtotal
AMP
UNT
UNT
AMP
PKG
PKG
UNT
UNT
UNT

21 Mei 2013 09:58

Item
Assucryl 3/0 Tapper
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
DISPOS NE ELEC F ADULT & CHILDREN
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
0,25
3,00
6,00

Emergency OK
Subtotal
PKG
UNT
UNT
UNT
UNT
PKG
UNT

20 Mei 2013 13:45

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
1,00
2,00

PKG
UNT
BOT
UNT
UNT
UNT

20 Mei 2013 13:43

Item
MICROPORE 1/2 INC
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
PKG
BOT
UNT
UNT
UNT

20 Mei 2013 13:15

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
10,00
4,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
TAB
UNT

20 Mei 2013 12:49

Item
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

20 Mei 2013 12:37

Item
CEFADROXIL INF CAPSULE 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00

Depo IGD
Subtotal
CAP
TAB
PKG
BOT
UNT

EMBALASE
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00

UNT
UNT
UNT

20 Mei 2013 12:34

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00

Depo IGD
Subtotal
TAB
UNT

20 Mei 2013 11:54

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TRAMADOL INF TABLET 50 MG
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
10,00
10,00
4,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
TAB
CAP
UNT

20 Mei 2013 11:13

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 2 INC
CEFAT 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
BOT
UNT

20 Mei 2013 11:11

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

20 Mei 2013 10:38

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

20 Mei 2013 08:00

Item
IMOVAX RABIES INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
VIL
UNT
UNT

18 Mei 2013 13:09

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
COLOSTOMY BAG (ACTIVE LIFE+SURFIT TAIL)
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
10,00
10,00
5,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT
CAP
TAB
UNT

18 Mei 2013 12:59

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
VERBAND ROLL
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
10,00
10,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
PKG
CAP
TAB
UNT

18 Mei 2013 12:58

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
BOT

MICROPORE 1/2 INC

VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
1,00
3,00

UNT
PKG
BOT
UNT
UNT
UNT

18 Mei 2013 12:58

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
10,00
2,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
CAP
PKG
UNT
UNT

18 Mei 2013 12:49

Item
CLINDAMYCIN 150 MG CAPSULE
TRAMADOL INF TABLET 50 MG
MICROPORE 1/2 INC
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
40,00
10,00
1,00
2,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
UNT
PKG
BOT
UNT
UNT
UNT

18 Mei 2013 12:45

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

18 Mei 2013 12:36

Item
ARDIUM TABLET
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
3,00

Depo IGD
Subtotal
TAB
CAP
TAB
UNT

18 Mei 2013 12:24

Item
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
2,00
2,00

Depo IGD
Subtotal
CAP
PKG
UNT

18 Mei 2013 12:01

Item
CIPROFLOXACIN TABLET
KETOPROFEN 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

18 Mei 2013 12:00

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

18 Mei 2013 11:55

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

Depo IGD
Subtotal
CAP
UNT

18 Mei 2013 11:45

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
1,00
10,00
10,00
4,00

PKG
BOT
UNT
UNT
UNT
CAP
TAB
UNT

18 Mei 2013 11:32

Item
VERBAND ROLL
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
10,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
PKG
UNT
CAP
BOT
UNT
UNT
UNT

18 Mei 2013 10:26

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
BOT
UNT
UNT
BOT
UNT

18 Mei 2013 10:24

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
20,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

18 Mei 2013 10:23

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

TOTAL

17 Mei 2013 17:06

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

17 Mei 2013 16:29

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

17 Mei 2013 15:34

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
T-LENE 2-0 L20
CHROMIC 2/0 C 27 X 150 CM
DUODERM EXTRATHIN 4X4
LEUKOCREPE 6 INC
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
20,00
1,00
1,00
1,00
1,00
3,00
9,00

Emergency OK
Subtotal
BOT
UNT
UNT
PKG
PKG
PKG
UNT
UMG
PKG
UNT

17 Mei 2013 14:15

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
THORACIC CATHETER 28
STOMACH TUBE 18 JMS
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
2,00
10,00
1,00
1,00
8,00

Emergency OK
Subtotal
AMP
UNT
PKG
UNT
UNT
PKG
BOT
UNT
UNT

17 Mei 2013 13:22

Item
T-Vio 2/0 V9
T-LENE 2-0 L20
WUNDRES F 5X5
FIXOMUL 76991 (15CM)
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
SCRUB BRUSH
DISPOS NE ELEC F ADULT & CHILDREN
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAMSOSTEK
Quantity
1,00
1,00
1,00
0,20
4,00
3,00
20,00
3,00
3,00
0,50
1,00
11,00

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
UNT
UNT
PKG
PKG
PKG
UNT
BOT
UNT

17 Mei 2013 11:48

Item
Assucryl 3/0 Tapper
WUNDRES F 5X5
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
4,00
2,00
20,00
0,50
7,00

Emergency OK
Subtotal
PKG
UNT
BOT
UNT
UNT
PKG
UNT
UNT

16 Mei 2013 15:04

Item
CEFADROXIL INF CAPSULE 500 MG
MICROPORE 1/2 INC
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
CAP
UNT
PKG
BOT
UNT
UNT
UNT

16 Mei 2013 14:47

Item
MICROPORE 1/2 INC
VERBAND ROLL

JAKARTA SEHAT
Quantity
1,00
2,00

Depo IGD
Subtotal
UNT
PKG

BOORWATER 100 ML SOLUTION

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00

BOT
UNT
UNT
UNT

16 Mei 2013 14:27

Item
TRAMADOL INF TABLET 50 MG
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

16 Mei 2013 14:25

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

16 Mei 2013 14:23

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

16 Mei 2013 14:13

Item
CIPROFLOXACIN TABLET
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

16 Mei 2013 14:01

Item
PARACETAMOL INF TABLET 500 mg
LEUKOCREPE 6 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
TAB
UMG
BOT
UNT
UNT
UNT
UNT

TOTAL

16 Mei 2013 13:40

Item
CEFIXIME GENERIK CAPSULE
MICROPORE 1/2 INC
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
CAP
UNT
PKG
BOT
UNT
UNT
UNT

16 Mei 2013 13:36

Item
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
TAB
PKG
UNT
BOT
UNT
UNT
UNT

16 Mei 2013 11:59

Item
FLAGYL SUPPOSITORY 1 GM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
1,00

Apotik Panel
Subtotal
SUP
UNT

16 Mei 2013 11:53

Item
KETOPROFEN 50 MG TABLET
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
1,00
1,00
1,00
1,00
10,00
4,00

Depo IGD
Subtotal
TAB
PKG
UNT
BOT
UNT
UNT
TAB
UNT

16 Mei 2013 11:38

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
VIL
UNT

16 Mei 2013 11:38

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

15 Mei 2013 14:23

Item
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
CAP
PKG
UNT
BOT
UNT
UNT
UNT

15 Mei 2013 14:12

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
BOT
UNT
UNT
UNT

15 Mei 2013 13:51

Item
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
PKG
UNT

15 Mei 2013 13:50

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG

JAKARTA SEHAT
Quantity
10,00
10,00

Depo IGD
Subtotal
CAP
TAB

MICROPORE 1/2 INC

VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
1,00
4,00

UNT
PKG
BOT
UNT
UNT
UNT

15 Mei 2013 13:49

Item
CEFIXIME GENERIK CAPSULE
MICROPORE 1/2 INC
TRAMADOL INF TABLET 50 MG
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
10,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
CAP
UNT
TAB
BOT
UNT
UNT
UNT

15 Mei 2013 13:40

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

15 Mei 2013 13:37

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

15 Mei 2013 13:17

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

15 Mei 2013 13:17

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

15 Mei 2013 13:05

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

15 Mei 2013 13:05

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

15 Mei 2013 12:22

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
20,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

15 Mei 2013 11:50

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

15 Mei 2013 11:38

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
VERBAND ROLL
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
10,00
10,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
PKG
CAP
TAB
UNT

15 Mei 2013 11:33

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
BOT
UNT
UNT
UNT

15 Mei 2013 11:21

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
BOT
UNT
UNT
UNT

15 Mei 2013 11:13

Item
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
BOT
UNT
UNT
UNT

14 Mei 2013 16:49

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

14 Mei 2013 15:43

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

14 Mei 2013 15:13

Item
T-VIO 2/0 V10
CHROMIC 2/0 C 27 X 150 CM
LEUKOCREPE 6 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
20,00
1,00
3,00
9,00

Emergency OK
Subtotal
PKG
PKG
UMG
UNT
UNT
UNT
PKG
BOT
PKG
UNT

14 Mei 2013 14:50

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

14 Mei 2013 14:16

Item
CHROMIC 2/0 C 27 X 150 CM
MAPROLEN 2/0 DS24
DUODERM EXTRA THIN 2X8
LEUKOCREPE 6 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
APRON FILM WHITE
ROCKER SWITCH PENCIL 3M
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
20,00
3,00
0,25
0,25
11,00

Emergency OK
Subtotal
PKG
PKG
PKG
UMG
UNT
UNT
UNT
PKG
PKG
PKG
UNT
UNT

14 Mei 2013 14:01

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

14 Mei 2013 13:33

Item
LIDOCAIN 2% INJECTION
MAPROLEN 2/0 DS24
HANDSCOON GAMEX 6
HANDSCOON GAMEX 7
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
1,00
2,00
0,20
5,00

Emergency OK
Subtotal
AMP
PKG
UNT
UNT
UNT
UNT

14 Mei 2013 12:00

Item
LIDOCAIN 2% INJECTION
T-LENE 4-0 L18 TRITON
MICROPORE 1/2 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
0,20
2,00
2,00
1,00
6,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT

14 Mei 2013 11:51

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
CHROMIC 2/0 C 27 X 150 CM
MAPROLEN 2/0 DS24
WUNDRES B
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
2,00
2,00
7,00

Emergency OK
Subtotal
AMP
UNT
PKG
PKG
UNT
UNT
UNT
UNT

14 Mei 2013 11:00

Item
T-LENE 3-0 L19 TRITON
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
DUODERM EXTRA THIN 2X8
EPHINEPRIN ETHICA INJECTION
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
1,00
2,00
2,00
7,00

Emergency OK
Subtotal
UNT
AMP
UNT
PKG
AMP
UNT
UNT
UNT

TOTAL

14 Mei 2013 09:39

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
MICROPORE 1/2 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
1,00
0,20
2,00
2,00
7,00

Emergency OK
Subtotal
AMP
UNT
PKG
PKG
UNT
UNT
UNT
UNT

13 Mei 2013 13:27

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

13 Mei 2013 12:55

Item
ARDIUM TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
20,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

13 Mei 2013 12:39

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
3,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
UNT

13 Mei 2013 11:33

Item
CEFIXIME GENERIK CAPSULE
ASAM TRANEKSAMAT 500 MG TABLET
TRAMADOL INF TABLET 50 MG
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT
BOT
UNT
UNT
UNT

13 Mei 2013 11:21

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
10,00
1,00

Depo Atas
Subtotal
CAP
UNT

13 Mei 2013 11:01

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
20,00
1,00

Depo IGD
Subtotal
TAB
UNT

13 Mei 2013 10:49

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
3,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
UNT

13 Mei 2013 10:24

Item
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

13 Mei 2013 10:04

JAKARTA SEHAT

Apotik Panel 2

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

Quantity
20,00
1,00

Subtotal
TAB
UNT

13 Mei 2013 09:42

Item
BAQUINOR FORTE TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

12 Mei 2013 09:51

Item
METRONIDAZOLE 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
TAB
BOT
UNT
UNT
UNT

11 Mei 2013 13:47

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
2,00
1,00
10,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
TAB
UNT

11 Mei 2013 13:28

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
4,00

Depo IGD
Subtotal
BOT
BOT
BOT
UNT
UNT
PKG
UNT
UNT

11 Mei 2013 13:22

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

11 Mei 2013 13:16

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

11 Mei 2013 13:13

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

11 Mei 2013 13:12

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00

UNT
UNT
UNT

11 Mei 2013 13:08

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
3,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
UNT

11 Mei 2013 12:51

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

11 Mei 2013 12:45

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

11 Mei 2013 12:41

Item
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
MICROPORE 1/2 INC
TRAMADOL INF TABLET 50 MG
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
10,00
2,00
1,00
10,00
1,00
1,00
1,00

Depo IGD
Subtotal
CAP
PKG
UNT
TAB
BOT
UNT
UNT

TUSLAH NON RACIKAN

TOTAL

4,00

UNT

11 Mei 2013 12:39

Item
FLAGYL SUPPOSITORY 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel
Subtotal
SUP
UNT

11 Mei 2013 12:37

Item
ARDIUM TABLET
TRAMADOL INF TABLET 50 MG
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
3,00

Depo IGD
Subtotal
TAB
TAB
CAP
UNT

11 Mei 2013 12:19

Item
CENDO FENICOL OINTMENT
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
TUB
BOT
BOT
UNT

11 Mei 2013 12:17

Item
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
MICROPORE 1/2 INC
TRAMADOL INF TABLET 50 MG
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
1,00
10,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
PKG
UNT
TAB
BOT
UNT
UNT
UNT

11 Mei 2013 12:09

Item
CEFIXIME GENERIK CAPSULE
KETOPROFEN 50 MG TABLET
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

TOTAL

11 Mei 2013 12:07

Item
ANBACIM INJECTION
FARMADOL 100 ML INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
9,00
9,00
6,00
6,00
9,00
12,00
6,00

Depo Atas
Subtotal
AMP
BOT
AMP
UNT
UNT
BOT
UNT

11 Mei 2013 11:46

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

11 Mei 2013 11:33

Item
TRAMADOL INF TABLET 50 MG
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
TAB
CAP
PKG
UNT
BOT
UNT
UNT
UNT

11 Mei 2013 11:06

Item
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
CAP
PKG
UNT
BOT
UNT
UNT
UNT

11 Mei 2013 10:57

Item
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
MICROPORE 1/2 INC
METOCLOPRAMIDE INF TABLET 10 MG
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
2,00
1,00
10,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
PKG
UNT
TAB
BOT
UNT
UNT
UNT

11 Mei 2013 08:36

Item
T-Vio 2/0 V9
Assucryl 3/0 Tapper
SILK 2/0 tap HR22 Assut
PRECUT SILK 2/0 PS24
Assucryl 2 43978 H
STOMACH TUBE 20 JMS
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
APRON FILM WHITE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
2,00
2,00
2,00
20,00
2,00
3,00
12,00

Emergency OK
Subtotal
PKG
PKG
PKG
PKG
UNT
UNT
UNT
UNT
UNT
PKG
BOT
PKG
UNT

11 Mei 2013 08:04

Item
SILK 2/0 tap HR22 Assut
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

11 Mei 2013 08:03

Item
T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
DUODERM EXTRATHIN 4X4
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
PKG
PKG
PKG
UNT
UNT
UNT
TUB

DISP SYRINGE 20 CC WIHTOUT NED

HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
ROCKER SWITCH PENCIL 3M
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
2,00
2,00
20,00
2,00
0,25
0,25
15,00

UNT
UNT
UNT
UNT
PKG
BOT
PKG
UNT
UNT

10 Mei 2013 18:20

Item
ANBACIM CAPSULE, FILM COATED 500 mg
FARMADOL 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
3,00
1,00
1,00
7,00

Depo IGD
Subtotal
TAB
BOT
UNT
UNT
BOT
UNT
UNT
UNT

10 Mei 2013 16:02

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
10,00
10,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

10 Mei 2013 15:01

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
10,00
0,50
5,00

Emergency OK
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

10 Mei 2013 14:57

Item

UMUM
Quantity

Emergency OK
Subtotal

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
5,00
1,00
0,50
6,00

BOT
UNT
UNT
AMP
UNT
UNT
UNT

10 Mei 2013 14:02

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

10 Mei 2013 13:30

Item
T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
T-LENE 3-0 L19 TRITON
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
ROCKER SWITCH PENCIL 3M
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
2,00
20,00
1,00
1,00
1,00
1,00
0,25
0,25
14,00

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT
TUB
UNT
PKG
UNT
UNT

10 Mei 2013 12:21

Item
T-LENE 3-0 L19 TRITON
CHROMIC 2/0 C 27 X 150 CM
LEUKOCREPE 6 INC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
2,00

Emergency OK
Subtotal
UNT
PKG
UMG
BOT
UNT
UNT
UNT

HANDSCOON NON STERIL M (PCS)

ROCKER SWITCH PENCIL 3M
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

10,00
0,25
0,25
10,00

PKG
PKG
UNT
UNT

10 Mei 2013 11:40

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

10 Mei 2013 10:51

Item
Assucryl 3/0 Tapper
WUNDRES B
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
5,00

Emergency OK
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

10 Mei 2013 10:06

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
T-LENE 4-0 L18 TRITON
MICROPORE 1/2 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
0,20
2,00
2,00
6,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT

9 Mei 2013 01:28

Item
ANBACIM INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
AMP
UNT

8 Mei 2013 15:22

Item

JAKARTA SEHAT
Quantity

Emergency OK
Subtotal

T-Vio 2/0 V9
CHROMIC 2/0 C 27 X 150 CM
T-LENE 3-0 L19 TRITON
T-LENE 4-0 L18 TRITON
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
T-HERNIA MESH LM3 6 X 10 CM
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
DISPOS NE ELEC F ADULT & CHILDREN
ROCKER SWITCH PENCIL 3M
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
2,00
2,00
20,00
1,00
1,00
1,00
1,00
1,00
0,25
0,25
15,00

PKG
PKG
UNT
UNT
UNT
UNT
UNT
PKG
PKG
UNT
UNT
TUB
UNT
UNT
PKG
UNT

8 Mei 2013 14:22

Item
VERBAND ROLL
CEFIXIME GENERIK CAPSULE
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
PKG
CAP
UNT
BOT
UNT
UNT
UNT

8 Mei 2013 14:17

Item
CEFADROXIL INF CAPSULE 500 MG
METRONIDAZOLE 500 MG TABLET
ONDANSETRON 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

8 Mei 2013 14:01

Item
MICROPORE 1/2 INC
KETOPROFEN 100 MG TABLET
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
BOORWATER 100 ML SOLUTION

UMUM
Quantity
1,00
10,00
10,00
10,00
1,00

Depo IGD
Subtotal
UNT
TAB
CAP
TAB
BOT

TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00

UNT
UNT
UNT

8 Mei 2013 13:44

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
3,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
UNT

8 Mei 2013 12:42

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

8 Mei 2013 12:30

Item
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

8 Mei 2013 12:29

Item
MICROPORE 1/2 INC
MEFINAL 500 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
10,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
TAB
BOT
UNT
UNT
UNT

8 Mei 2013 12:26

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
10,00
3,00

UNT
PKG
UNT
CAP
UNT

8 Mei 2013 12:16

Item
CEFADROXIL INF CAPSULE 500 MG
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

8 Mei 2013 10:50

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
10,00
10,00
10,00
4,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
CAP
TAB
TAB
UNT

8 Mei 2013 08:07

Item
SILK 2/0 tap HR22 Assut
CHROMIC 2/0 C 27 X 150 CM
T-Vio 2/0 V9
STOMACH TUBE 14 THERUMO
MICROPORE 1/2 INC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
T-LENE 3-0 L19 TRITON
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
5,00
1,00
2,00
2,00
20,00
10,00

Emergency OK
Subtotal
PKG
PKG
PKG
UNT
UNT
BOT
UNT
UNT
UNT
PKG
UNT

7 Mei 2013 19:43

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

FARMADOL 100 ML INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
2,00
2,00
2,00
1,00
1,00
2,00
1,00
10,00

VIL
BOT
UNT
UNT
UNT
UNT
UNT
UNT
BOT
BAG
UNT

7 Mei 2013 16:15

Item
ANBACIM INJECTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
4,00
4,00
4,00
2,00
6,00

Depo IGD
Subtotal
AMP
BOT
UNT
UNT
UNT
BAG
UNT

7 Mei 2013 15:37

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

7 Mei 2013 13:02

Item
T-VIO 3/0 V33
Assucryl 3/0 Tapper
SILK 2-0 REVERSE CUTTING
SILK 2/0 tap HR22 Assut
DUODERM EXTRATHIN 4X4
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
9,00

Emergency OK
Subtotal
PKG
PKG
PKG
PKG
UNT
BOT
UNT
UNT
UNT
UNT

7 Mei 2013 12:51

Item
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
2,00
3,00

Emergency OK
Subtotal
TUB
UNT
UNT
UNT

7 Mei 2013 12:40

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
UNT

7 Mei 2013 12:27

Item
XYLOCAINE 2% 10 GM JELLY
MICROPORE 1/2 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
0,25
2,00
2,00
4,00

Emergency OK
Subtotal
TUB
UNT
UNT
UNT
UNT

7 Mei 2013 12:24

Item
Chromic 2/0 atramat
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
DUODERM EXTRATHIN 4X4
LEUKOCREPE 6 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
2,00
1,00
7,00

Emergency OK
Subtotal
UNT
PKG
UNT
UMG
UNT
UNT
BOT
UNT

7 Mei 2013 11:37

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

TOTAL

7 Mei 2013 11:26

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

7 Mei 2013 10:59

Item
Assucryl 3/0 Tapper
DUODERM EXTRATHIN 4X4
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
10,00
1,00
6,00

Emergency OK
Subtotal
PKG
UNT
UNT
UNT
PKG
BOT
UNT

7 Mei 2013 10:04

Item
LIDOCAIN 2% INJECTION
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 10 CC
T-LENE 5-0 L17 TRITON
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
2,00
2,00
6,00

Emergency OK
Subtotal
AMP
AMP
UNT
UNT
UNT
UNT
UNT

7 Mei 2013 09:40

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
T-LENE 4-0 L18 TRITON
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
DUODERM EXTRATHIN 4X4
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
2,00
2,00
1,00
6,00

Emergency OK
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT

7 Mei 2013 09:11

Item
IMOVAX RABIES INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
VIL
UNT
UNT

6 Mei 2013 19:47

Item
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00
1,00

Depo IGD
Subtotal
GM
UNT
UNT

6 Mei 2013 14:51

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

6 Mei 2013 14:18

Item
DARYANT-TULLE STERIL GZ
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
PKG
UNT

6 Mei 2013 14:14

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

6 Mei 2013 14:13

Item
CEFIXIME GENERIK CAPSULE
VERBAND ROLL

JAKARTA SEHAT
Quantity
10,00
2,00

Depo IGD
Subtotal
CAP
PKG

TRAMADOL INF TABLET 50 MG

MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

10,00
1,00
1,00
1,00
1,00
4,00

TAB
UNT
BOT
UNT
UNT
UNT

6 Mei 2013 14:11

Item
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
10,00
1,00

Depo Atas
Subtotal
TAB
UNT

6 Mei 2013 14:05

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
KETOPROFEN 50 MG TABLET
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
1,00
1,00
1,00
1,00
2,00
5,00

Depo IGD
Subtotal
CAP
TAB
TAB
BOT
UNT
UNT
UNT
PKG
UNT

6 Mei 2013 14:02

Item
WUNDRES F 5x20x0,2 cm
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

6 Mei 2013 14:01

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
30,00
1,00

Depo IGD
Subtotal
TAB
UNT

6 Mei 2013 13:59

Item
MICROPORE 1/2 INC

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
UNT

BOORWATER 100 ML SOLUTION

TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
2,00

BOT
UNT
UNT
PKG
UNT

6 Mei 2013 13:34

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

6 Mei 2013 13:29

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

Apotik Panel 2
Subtotal
CAP
UNT

6 Mei 2013 13:28

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

6 Mei 2013 13:24

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

6 Mei 2013 12:37

JAKARTA SEHAT

Apotik Panel

Item
NONFLAMIN CAPSULE 50 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
10,00
1,00

Subtotal
CAP
UNT

6 Mei 2013 12:36

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
3,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
UNT

6 Mei 2013 12:28

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
2,00
1,00
10,00
4,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
PKG
UNT
TAB
UNT

6 Mei 2013 12:23

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
CAP
TAB
PKG
UNT
BOT
UNT
UNT
UNT

6 Mei 2013 11:32

Item
BOORWATER 100 ML SOLUTION

JAKARTA SEHAT
Quantity
1,00

Depo IGD
Subtotal
BOT

TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
1,00
10,00
3,00

UNT
UNT
PKG
UNT
CAP
UNT

6 Mei 2013 11:20

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
30,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

4 Mei 2013 11:44

Item
DRAINAGE BAG STERIL
FOLLEY CATHETER 18 RUSCH
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
UNT
UNT

4 Mei 2013 11:39

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

4 Mei 2013 11:17

Item
VERBAND ROLL
MICROPORE 1/2 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

4 Mei 2013 11:06

JAKARTA SEHAT

Depo Unit Dose

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
2,00
2,00

Subtotal
VIL
AMP
UNT

4 Mei 2013 11:05

Item
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Unit Dose

Subtotal
UNT
UNT

4 Mei 2013 10:53

Item
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

Depo IGD
Subtotal
TAB
UNT

4 Mei 2013 10:44

Item
IMOVAX RABIES INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
VIL
UNT
UNT

4 Mei 2013 10:35

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
5,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT
BOX
UNT

4 Mei 2013 10:24

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

Depo Atas
Subtotal
TAB
UNT

4 Mei 2013 10:24

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo Atas
Subtotal
TAB
UNT

4 Mei 2013 10:21

Item
TRICHODAZOLSANBE TABLET 500 mg
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
20,00
2,00

Depo IGD
Subtotal
TAB
CAP
UNT

3 Mei 2013 18:17

Item
ANBACIM INJECTION
FARMADOL 100 ML INFUSION
IVENA IV CATH 22
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

Depo IGD
Subtotal
AMP
BOT
UNT
BOT
UNT
UNT

3 Mei 2013 18:16

Item
ANBACIM INJECTION
FARMADOL 100 ML INFUSION
IVENA IV CATH 22
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

Depo IGD
Subtotal
AMP
BOT
UNT
BOT
UNT
UNT

3 Mei 2013 16:18

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
CAP
UNT

3 Mei 2013 16:13

Item
ANBACIM CAPSULE, FILM COATED 500 mg

JPK PNS
Quantity
8,00

Depo IGD
Subtotal
TAB

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

3 Mei 2013 16:08

Item
ARDIUM TABLET
CARDIO ASPIRIN TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
28,00
14,00
10,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

3 Mei 2013 16:05

Item
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

3 Mei 2013 15:14

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

3 Mei 2013 15:10

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
10,00
3,00

Depo IGD
Subtotal
CAP
TAB
TAB
UNT

3 Mei 2013 14:28

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
T-LENE 2-0 L20
Chromic 2/0 atramat
T-Vio 2/0 V9
DUODERM EXTRATHIN 4X4
FOLLEY CATHETER 16 RUSCH

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00

Emergency OK
Subtotal
BOT
PKG
UNT
PKG
UNT
UNT

DRAINAGE BAG STERIL

DISP SYRINGE 20 CC WIHTOUT NED
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
DISPOS NE ELEC F ADULT & CHILDREN
ROCKER SWITCH PENCIL 3M
T-HERNIA MESH LM3 6 X 10 CM
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00
4,00
20,00
0,25
0,25
1,00
14,00

UNT
UNT
UNT
UNT
PKG
UNT
PKG
PKG
UNT

3 Mei 2013 13:58

Item
T-HERNIA MESH LM3 6 X 10 CM
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency OK
Subtotal
PKG
UNT

3 Mei 2013 13:56

Item
T-Vio 2/0 V9
Chromic 2/0 atramat
T-LENE 3-0 L19 TRITON
T-LENE 2-0 L20
DUODERM EXTRATHIN 4X4
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 20 CC WIHTOUT NED
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5
DISPOS NE ELEC F ADULT & CHILDREN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
3,00
2,00
3,00
0,25
14,00

Emergency OK
Subtotal
PKG
UNT
UNT
PKG
UNT
UNT
UNT
TUB
UNT
BOT
UNT
UNT
UNT
UNT
UNT

3 Mei 2013 13:48

Item
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
Chromic 2/0 atramat
WUNDRES B
LEUKOCREPE 6 INC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 6.5

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00
2,00

Emergency OK
Subtotal
PKG
UNT
UNT
UMG
UNT
UNT

HANDSCOON NON STERIL M (PCS)

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

14,00
1,00
1,00
9,00

PKG
BOT
UNT
UNT

3 Mei 2013 13:43

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
Chromic 2/0 atramat
WUNDRES B
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00
1,00
1,00
1,00
2,00
2,00
6,00
1,00
9,00

Emergency OK
Subtotal
AMP
UNT
PKG
UNT
UNT
UNT
UNT
PKG
BOT
UNT

3 Mei 2013 13:29

Item
POLYPROPILENE 3-0 RC CE19 75 CM ATRAMAT
Chromic 2/0 atramat
LEUKOCREPE 6 INC
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
2,00
2,00
2,00
10,00
1,00
8,00

Emergency OK
Subtotal
PKG
UNT
UMG
UNT
UNT
UNT
PKG
BOT
UNT

3 Mei 2013 12:36

Item
LIDOCAIN 2% INJECTION
LEUKOCREPE 6 INC
DISP SYRINGE 5 CC
EQUISPON 80X50X10MM
PRECUT SILK 2/0 PS24
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
1,00
1,00
2,00
3,00
10,00
8,00

Emergency OK
Subtotal
AMP
UMG
UNT
UNT
PKG
UNT
UNT
PKG
UNT

TOTAL

3 Mei 2013 12:22

Item
THORACIC CATHETER 32
STOMACH TUBE 20 JMS
PRECUT SILK 2 PS27
LIDOCAIN 2% INJECTION
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
4,00
4,00
10,00
8,00

Emergency OK
Subtotal
PKG
UNT
PKG
AMP
UNT
UNT
UNT
PKG
UNT

2 Mei 2013 15:39

Item
VAGISTIN SUPP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Apotik Panel
Subtotal
SUP
UNT

2 Mei 2013 15:11

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel
Subtotal
BOX
UNT

2 Mei 2013 15:10

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
UNT

2 Mei 2013 15:01

Item
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
2,00
1,00

Depo IGD
Subtotal
PKG
UNT

2 Mei 2013 14:50

Item
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
BOX
UNT

2 Mei 2013 12:43

Item
CIPROFLOXACIN TABLET
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

2 Mei 2013 12:36

Item
CIPROFLOXACIN TABLET
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

2 Mei 2013 12:20

Item
TRAMADOL INF TABLET 50 MG
CEFIXIME GENERIK CAPSULE
VERBAND ROLL
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
TAB
CAP
PKG
BOT
UNT
UNT
UNT

2 Mei 2013 12:04

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00

Depo IGD
Subtotal
BOT
UNT
UNT
PKG
UNT

2 Mei 2013 11:56

JAKARTA SEHAT

Depo IGD

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
VERBAND ROLL
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
2,00
10,00
10,00
3,00

Subtotal
BOT
UNT
UNT
PKG
CAP
TAB
UNT

2 Mei 2013 11:53

Item
KETOPROFEN 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
1,00

Apotik Panel
Subtotal
TAB
UNT

2 Mei 2013 11:52

Item
VITAMIN C 50 MG TABLET
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
WUNDRES F 5x20x0,2 cm
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
10,00
10,00
1,00
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
TAB
CAP
BOT
UNT
UNT
UNT
UNT

2 Mei 2013 11:48

Item
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
1,00
1,00

Depo IGD
Subtotal
PKG
UNT

2 Mei 2013 11:21

Item
TRAMADOL INF TABLET 50 MG
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAMKESMAS
Quantity
10,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
TAB
BOT
UNT
UNT
UNT

2 Mei 2013 11:07

Item
CEFIXIME GENERIK CAPSULE
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
CAP
BOT
UNT
UNT
UNT

2 Mei 2013 10:44

Item
KASA STERIL HUSADA
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
BOX
BOT
UNT
UNT
UNT

2 Mei 2013 10:15

Item
CEFIXIME GENERIK CAPSULE
TRAMADOL INF TABLET 50 MG
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
1,00
1,00
1,00
2,00
3,00

Depo IGD
Subtotal
CAP
TAB
BOT
UNT
UNT
BOX
UNT

2 Mei 2013 09:52

Item
IMOVAX RABIES INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
VIL
UNT
UNT

2 Mei 2013 09:47

Item
Assucryl 3/0 Tapper
T-Vio 2/0 V9
WUNDRES N 10 x 10
HANDSCOON GAMEX 7.5
HANDSCOON GAMEX 8

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
5,00
3,00

Emergency OK
Subtotal
PKG
PKG
UNT
UNT
UNT

HANDSCOON NON STERIL M (PCS)

SCRUB BRUSH
TUSLAH NON RACIKAN
TOTAL

10,00
3,00
7,00

PKG
PKG
UNT

1 Mei 2013 21:17

Item
CIPROFLOXACIN TABLET
TRAMADOL INF TABLET 50 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

1 Mei 2013 20:05

Item
ANBACIM INJECTION
FARMADOL 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
RINGER LACTATE WIDATRA 500 ML
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
3,00
1,00
2,00
1,00
1,00
9,00

Depo IGD
Subtotal
AMP
BOT
VIL
UNT
UNT
UNT
BOT
UNT
UNT
UNT

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
1000
1000
40882
40882

0
0
0
0
0
0
0

Pasien
Penjamin
8750
8750
500
500
9250
9250

0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
500
500
13442
13442

0
0
0
0
0
0

Pasien
Penjamin
130086
130086
186090
186090

0
0

3360
1500
321036

3360
1500
321036

0
0
0

Pasien
Penjamin
54912
54912
11762
11762
24024
24024
24024
24024
39600
39600
10869
10869
3000
3000
168191
168191

0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
7392
7392
2000
2000
3500
3500
50
50
500
500
13442
13442

0
0
0
0
0
0

Pasien
Penjamin
5881
5881
500
500
6381
6381

0
0
0

Pasien
Penjamin
18480
18480
6000
6000
3500
3500
150
150
204930
204930
7920
7920
6720
6720
2000
2000
249700
249700

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3360
3360
26940
26940
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
2000
2000
3500
3500
50
50
7392
7392
1500
1500
44742
44742

0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
3360
3360
26940
26940

0
0
0

2000
3500
50
1500
44742

2000
3500
50
1500
44742

0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
500
500
13442
13442

0
0
0
0
0
0

Pasien
Penjamin
7392
7392
2000
2000
3500
3500
50
50
500
500
13442
13442

0
0
0
0
0
0

Pasien
Penjamin
7392
7392
2000
2000
3500
3500
50
50
26535
26535
3360
3360
1500
1500
44337
44337

0
0
0
0
0
0
0
0

Pasien
Penjamin
9841
9841
2760
2760
2000
2000
3500
3500
50
50
7392
7392

0
0
0
0
0
0

1500
27043

1500
27043

0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
500
500
13442
13442

0
0
0
0
0
0

Pasien
Penjamin
18343
18343
1275
1275
1000
1000
20618
20618

0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
7392
7392
3360
3360
27640
27640
1500
1500
45842
45842

0
0
0
0
0
0
0
0

Pasien
Penjamin
33984
33984
70438
70438
56100
56100
1500
1500
162022
162022

0
0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410

0
0

1000
29350

1000
29350

0
0

Pasien
Penjamin
33984
33984
500
500
34484
34484

0
0
0

Pasien
Penjamin
56100
56100
6072
6072
70438
70438
85272
85272
3300
3300
2500
2500
223682
223682

0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
5782
5782
46191
46191
3300
3300
7650
7650
18192
18192
12144
12144
3500
3500
119529
119529

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
24024
24024
500
500
24524
24524

0
0
0

Pasien
Penjamin
67742
67742
54912
54912
79800
79800

0
0
0

89100
12540
24024
24024
24024
10040
10869
5000
402075

89100
12540
24024
24024
24024
10040
10869
5000
402075

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
75350
75350
4146
4146
1997
1997
3736
3736
24024
24024
12012
12012
1004
1004
11525.25 11525.25
4000
4000
137794.3 137794.3

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75350
75350
5528
5528
1997
1997
12012
12012
24024
24024
1004
1004
8195
8195
3500
3500
131610
131610

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4146
4146
3736
3736
79800
79800
54912
54912
89100
89100
12012
12012
12012
12012
12012
12012
11525.25 11525.25
1997
1997
5000
5000
286252.3 286252.3

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1275
1275
3736
3736
2764
2764
54912
54912
79800
79800
24024
24024
24024
24024
11525.25 11525.25
4000
4000
206060.3 206060.3

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

230790
500
231290

230790
500
231290

0
0
0

Pasien
Penjamin
91660
91660
500
500
92160
92160

0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
53880
53880
3360
3360
26535
26535
7392
7392
2000
2000
99117
99117

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
75432
75432
500
500
75932
75932

0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
4000
4000
3500
3500
900
900
8400
8400

0
0
0
0

Pasien
Penjamin
23524
23524
36036
36036
36036
36036
24024
24024
68112
68112
10869
10869
3000
3000
201601
201601

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
230790
230790
500
500
231290
231290

0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000

0
0
0

31300

31300

Pasien
Penjamin
6910
6910
64886
64886
79800
79800
89100
89100
12012
12012
12012
12012
2008
2008
3500
3500
270228
270228

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11762
11762
48048
48048
33792
33792
36036
36036
5020
5020
13267.5 13267.5
3000
3000
150925.5 150925.5

0
0
0
0
0
0
0
0

Pasien
Penjamin
2764
2764
7472
7472
66739
66739
14850
14850
24024
24024
24024
24024
12012
12012
13267.5 13267.5
4000
4000
169152.5 169152.5

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
24024
24024
24024
24024

0
0
0

24024
5020
2500
85473

24024
5020
2500
85473

0
0
0
0

Pasien
Penjamin
67848
67848
79800
79800
46970
46970
87572
87572
36036
36036
36036
36036
36036
36036
10040
10040
10869
10869
42710.5 42710.5
5881
5881
5500
5500
465298.5 465298.5

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
28131
28131
24024
24024
1000
1000
53155
53155

0
0
0
0

Pasien
Penjamin
4146
4146
1275
1275
54912
54912
14158
14158
24024
24024
24024
24024
3000
3000
125539
125539

0
0
0
0
0
0
0
0

Pasien
Penjamin
43362
43362
500
500

0
0

43862

43862

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
26940
26940
3360
3360
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3696
3696
26535
26535
2000
2000
3500
3500
50
50
3360
3360
26940
26940
2000
2000
68081
68081

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
3360
3360
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000

0
0
0

3500
50
1000
40477

3500
50
1000
40477

0
0
0
0

Pasien
Penjamin
68310
68310
2000
2000
3500
3500
50
50
26535
26535
3360
3360
2640
2640
2000
2000
108395
108395

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
26535
26535
1410
1410
1000
1000
34495
34495

0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000

3500
50
7392
26535
1000
40477

3500
50
7392
26535
1000
40477

0
0
0
0
0
0

Pasien
Penjamin
415392
415392
8292
8292
15400
15400
1540
1540
12012
12012
24024
24024
5020
5020
5881
5881
11827
11827
4500
4500
503888
503888

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1382
1382
1757
1757
75350
75350
24024
24024
2000
2000
104513
104513

0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
7392
7392
26535
26535
1000
1000
40877
40877

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940

2640
1000
30580

2640
1000
30580

0
0
0

Pasien
Penjamin
61544
61544
500
500
62044
62044

0
0
0

Pasien
Penjamin
3360
3360
26940
26940
7392
7392
26535
26535
2000
2000
3500
3500
450
450
2000
2000
72177
72177

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
54912
54912
72336
72336
46970
46970
24024
24024
24024
24024
10869
10869
3000
3000
236135
236135

0
0
0
0
0
0
0
0

Pasien

Penjamin

26940
3360
1000
31300

26940
3360
1000
31300

0
0
0
0

Pasien
Penjamin
67848
67848
54912
54912
72336
72336
75350
75350
66528
66528
24024
24024
24024
24024
18343
18343
5809
5809
5732
5732
10869
10869
158400
158400
6000
6000
590175
590175

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
9841
9841
2760
2760
1000
1000
13601
13601

0
0
0
0

Pasien
Penjamin
64886
64886
89100
89100
24024
24024
24024
24024
10869
10869

0
0
0
0
0

87572
3000
303475

87572
3000
303475

0
0
0

Pasien
Penjamin
54912
54912
72336
72336
46970
46970
24024
24024
24024
24024
87572
87572
10040
10040
10869
10869
4000
4000
334747
334747

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5528
5528
1275
1275
1757
1757
3036
3036
54912
54912
68064
68064
24024
24024
24024
24024
4000
4000
186620
186620

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
64886
64886
46970
46970
24024
24024
24024
24024
21355.25 21355.25
10869
10869
3000
3000
195128.3 195128.3

0
0
0
0
0
0
0
0

Pasien

Penjamin

7392
26535
2000
3500
50
1000
40477

7392
26535
2000
3500
50
1000
40477

0
0
0
0
0
0
0

Pasien
Penjamin
26535
26535
7392
7392
2000
2000
3500
3500
50
50
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
3360
3360
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3270
3270
500
500
3770
3770

0
0
0

Pasien
Penjamin
9550
9550
1410
1410
7392
7392
2000
2000
3500
3500

0
0
0
0
0

450
26535
2000
52837

450
26535
2000
52837

0
0
0
0

Pasien
Penjamin
115395
115395
500
500
115895
115895

0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
3360
3360
26940
26940
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
27640
27640
41379
41379
1000
1000
75569
75569

0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
350
350
1000
1000
40777
40777

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
131099
131099
1275
1275
1000
1000
133374
133374

0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
234080
234080
26940
26940
3360
3360
2500
2500
306357
306357

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
26535
26535
7392
7392
26940
26940
3360
3360
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9841
9841

26535
7392
2000
3500
450
1500
51218

26535
7392
2000
3500
450
1500
51218

0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
26940
26940
7392
7392
26535
26535
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
24800
24800
3360
3360
26535
26535
7392
7392
2000
2000
3500
3500
450
450
2000
2000
70037
70037

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
450
450
2000
2000
72177
72177

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
153860
153860
26940
26940
3360
3360
1500
1500
185660
185660

0
0
0
0
0

Pasien
Penjamin
53880
53880
7392
7392
1000
1000
62272
62272

0
0
0
0

Pasien
Penjamin
3270
3270
7600
7600
1000
1000
11870
11870

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
450
450
2000
2000
72177
72177

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53880
53880
500
500
54380
54380

0
0
0

Pasien

Penjamin

7392
2000
3500
50
26535
26940
3360
2000
71777

7392
2000
3500
50
26535
26940
3360
2000
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
26940
26940
2000
2000
3500
3500
450
450
1500
1500
68317
68317

0
0
0
0
0
0
0
0

Pasien
Penjamin
26535
26535
2000
2000
3500
3500
50
50
9841
9841
1000
1000
42926
42926

0
0
0
0
0
0
0

Pasien
Penjamin
53880
53880
5280
5280
1000
1000
60160
60160

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000

0
0
0

31300

31300

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
12540
12540
12012
12012
48048
48048
10040
10040
72336
72336
54912
54912
46970
46970
87572
87572
10869
10869
4500
4500
359799
359799

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
1997
1997
415392
415392
21120
21120
24024
24024
5020
5020
12540
12540
26535
26535
4000
4000
517538
517538

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
67848
67848
72336
72336
89100
89100
28316
28316
48048
48048
36036
36036
10040
10040
10869
10869
39600
39600
42710.5 42710.5
12540
12540
5500
5500
462943.5 462943.5

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
64886
64886
89100
89100
12540
12540
48048
48048
24024
24024
10040
10040
13267.5 13267.5
3500
3500
265405.5 265405.5

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8820
8820
26535
26535
7392
7392
2000
2000
3500
3500
50
50
1500
1500
49797
49797

0
0
0
0
0
0
0
0

Pasien
Penjamin
26535
26535
7392
7392

0
0

2000
3500
50
1000
40477

2000
3500
50
1000
40477

0
0
0
0
0

Pasien
Penjamin
3360
3360
1260
1260
1000
1000
5620
5620

0
0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
26940
26940
1410
1410
1000
1000
29350
29350

0
0
0
0

Pasien
Penjamin
3270
3270
370
370
1000
1000
4640
4640

0
0
0
0

Pasien
Penjamin
1260
1260
87572
87572
2000
2000
3500
3500
50
50
26535
26535
1500
1500

0
0
0
0
0
0
0

122417

122417

Pasien
Penjamin
26940
26940
26535
26535
7392
7392
2000
2000
3500
3500
50
50
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
50
50
1500
1500
44337
44337

0
0
0
0
0
0
0
0

Pasien
Penjamin
229797
229797
500
500
230297
230297

0
0
0

Pasien
Penjamin
7600
7600
7392
7392
26535
26535
2000
2000
3500
3500
50
50
3270
3270
2000
2000
52347
52347

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
161875
161875
500
500
162375
162375

0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Pasien
Penjamin
26940
26940
3696
3696
26535
26535
2000
2000
3500
3500
450
450
1500
1500
64621
64621

0
0
0
0
0
0
0
0

Pasien
Penjamin
26535
26535
2000
2000
3500
3500
450
450
500
500
32985
32985

0
0
0
0
0
0

Pasien
Penjamin
7392
7392
500
500
7892
7892

0
0
0

Pasien
Penjamin
26940
26940
3360
3360

0
0

26535
7392
2000
3500
450
2000
72177

26535
7392
2000
3500
450
2000
72177

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
26535
26535
3360
3360
2000
2000
3500
3500
450
450
1500
1500
64285
64285

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
9841
9841
500
500
10341
10341

0
0
0

Pasien
Penjamin
53880
53880
5280
5280
1000
1000
60160
60160

0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
26535
26535
7392
7392
26940
26940
3360
3360
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26535
26535
2000
2000
3500
3500
450
450
500
500
32985
32985

0
0
0
0
0
0

Pasien
Penjamin
26535
26535
2000
2000
3500
3500
450
450
500
500
32985
32985

0
0
0
0
0
0

Pasien
Penjamin
26535
26535
2000
2000
3500
3500
450
450
500
500
32985
32985

0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
67742
67742
54912
54912
87572
87572
24024
24024
24024
24024
24024
24024
10040
10040
5881
5881
10869
10869
4500
4500
313588
313588

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
54912
54912
56788
56788
62948
62948
87572
87572
24024
24024
24024
24024
24024
24024
10040
10040
10869
10869
29040
29040
21355.25 21355.25
5500
5500
411096.3 411096.3

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
4146
4146
56788
56788
12012
12012
24024
24024
5307
5307
2500
2500
104777
104777

0
0
0
0
0
0
0

Pasien
Penjamin
4146
4146
66739
66739
5307
5307
24024
24024
24024
24024
1275
1275
3000
3000
128515
128515

0
0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
1275
1275
54912
54912
56788
56788
66528
66528
24024
24024
24024
24024
3500
3500
237961
237961

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75350
75350
4146
4146
1275
1275
62948
62948
3036
3036
24024
24024
24024
24024
3500
3500

0
0
0
0
0
0
0
0

198303

198303

Pasien
Penjamin
5528
5528
1997
1997
54912
54912
79800
79800
5307
5307
24024
24024
24024
24024
3500
3500
199092
199092

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
50
50
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
153860
153860
23840
23840
1000
1000
178700
178700

0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
450
450
7392
7392
26535
26535
1500
1500
68317
68317

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
11920
11920
3360
3360
26535
26535
2000
2000
3500
3500
450
450
2000
2000
76705
76705

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
153860
153860
500
500
154360
154360

0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
3270
3270
500
500
3770
3770

0
0
0

Pasien
Penjamin
171100
171100
500
500
171600
171600

0
0
0

Pasien
Penjamin
128130
128130
500
500
128630
128630

0
0
0

Pasien
Penjamin
3960
3960
2000
2000
3500
3500
50
50
500
500
10010
10010

0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
3360
3360
1500
1500
44337
44337

0
0
0
0
0
0
0
0

Pasien
Penjamin
9841
9841
2760
2760
2000
2000
3500
3500
50
50
7392
7392
26535
26535
2000
2000
54078
54078

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
50
50
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
50
50
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
50
50
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000

0
0
0
0
0

3500
450
2000
72177

3500
450
2000
72177

0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
45830
45830
500
500
46330
46330

0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
50
50
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
7392
7392
26535
26535
3360
3360
2000
2000
3500
3500
50
50

0
0
0
0
0
0
0

2000
71777

2000
71777

0
0

Pasien
Penjamin
133470
133470
500
500
133970
133970

0
0
0

Pasien
Penjamin
153860
153860
3360
3360
26940
26940
1500
1500
185660
185660

0
0
0
0
0

Pasien
Penjamin
20562
20562
9841
9841
2760
2760
1500
1500
34663
34663

0
0
0
0
0

Pasien
Penjamin
26940
26940
7392
7392
26535
26535
3360
3360
2000
2000
3500
3500
450
450
2000
2000
72177
72177

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
7600
7600
1000
1000

0
0
0

35540

35540

Pasien
Penjamin
633942
633942
534600
534600
17346
17346
7650
7650
13860
13860
197004
197004
3000
3000
1407402 1407402

0
0
0
0
0
0
0
0

Pasien
Penjamin
131099
131099
500
500
131599
131599

0
0
0

Pasien
Penjamin
3360
3360
26940
26940
7392
7392
26535
26535
2000
2000
3500
3500
450
450
2000
2000
72177
72177

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
7392
7392
26535
26535
2000
2000
3500
3500
450
450
1500
1500
68317
68317

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
7392
7392
26535
26535
1230
1230
2000
2000
3500
3500
450
450
2000
2000
70047
70047

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
67848
67848
64886
64886
109806
109806
10560
10560
75701
75701
15400
15400
24024
24024
24024
24024
24024
24024
10040
10040
11762
11762
10869
10869
6000
6000
454944
454944

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
54903
54903
500
500
55403
55403

0
0
0

Pasien
Penjamin
67848
67848
54912
54912
79800
79800
46970
46970
18343
18343
5809
5809
56262
56262

0
0
0
0
0
0
0

5732
5732
24024
24024
24024
24024
24024
24024
10040
10040
11762
11762
29040
29040
21355.25 21355.25
7500
7500
487445.3 487445.3

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
19332
19332
59400
59400
4620
4620
3825
3825
27288
27288
8415
8415
16335
16335
3500
3500
142715
142715

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53880
53880
2640
2640
1410
1410
1500
1500
59430
59430

0
0
0
0
0

Pasien
Penjamin
5881
5881
24024
24024
36036
36036
5020
5020
13267.5 13267.5
2500
2500
86728.5 86728.5

0
0
0
0
0
0
0

Pasien

Penjamin

5881
12012
12012
6910
1997
13267.5
3000
55079.5

5881
12012
12012
6910
1997
13267.5
3000
55079.5

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
67848
67848
54912
54912
75350
75350
46970
46970
24024
24024
24024
24024
24024
24024
10040
10040
18343
18343
5809
5809
56262
56262
5732
5732
29040
29040
21355.25 21355.25
7000
7000
470733.3 470733.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
75350
75350
54912
54912
87572
87572
5881
5881
46970
46970
24024
24024
24024
24024

0
0
0
0
0
0
0

5020
5020
29040
29040
21355.25 21355.25
5000
5000
379148.3 379148.3

0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
64886
64886
66528
66528
5881
5881
24024
24024
24024
24024
2500
2500
187843
187843

0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
1997
1997
66739
66739
5307
5307
24024
24024
24024
24024
3000
3000
132001
132001

0
0
0
0
0
0
0
0

Pasien
Penjamin
70438
70438
500
500
70938
70938

0
0
0

Pasien

Penjamin

67848
67848
54912
54912
75350
75350
66739
66739
46970
46970
24024
24024
24024
24024
10040
10040
158400
158400
18343
18343
5809
5809
56262
56262
5732
5732
21355.25 21355.25
29040
29040
7500
7500
672348.3 672348.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26940
26940
26535
26535
2000
2000
3500
3500
450
450
1500
1500
68317
68317

0
0
0
0
0
0
0
0

Pasien
Penjamin
8820
8820
2640
2640
19020
19020
1500
1500
31980
31980

0
0
0
0
0

Pasien
Penjamin
23085.45 23085.45
15225
15225
23437.8 23437.8
2296.8
2296.8
1740
1740

0
0
0
0
0

3045
3045
391.5
391.5
1740
1740
70961.55 70961.55

0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
3270
3270
500
500
3770
3770

0
0
0

Pasien
Penjamin
26535
26535
12120
12120
2000
2000
3500
3500
450
450
1000
1000
45605
45605

0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500

0
0

50
7392
26535
26940
1500
67917

50
7392
26535
26940
1500
67917

0
0
0
0
0
0

Pasien
Penjamin
8820
8820
2640
2640
1000
1000
12460
12460

0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
26535
26535
26940
26940
3360
3360
2370
2370
2000
2000
67155
67155

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
164709
164709
54912
54912
67848
67848
23760
23760
26535
26535
29405
29405
75350
75350
24024
24024
24024
24024
10040
10040
5000
5000
505607
505607

0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

13414
59400
3300
3994
2550
3080
8415
14988
18192
9633
5000
141966

13414
59400
3300
3994
2550
3080
8415
14988
18192
9633
5000
141966

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
211314
211314
178200
178200
5100
5100
6160
6160
7988
7988
19266
19266
3000
3000
431028
431028

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
61776
61776
64886
64886
56100
56100
54903
54903
46970
46970
5881
5881
24024
24024
24024
24024
24024
24024
4500
4500
367088
367088

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56262
56262
24024
24024
24024
24024
1500
1500
105810
105810

0
0
0
0
0

Pasien
Penjamin
9841
9841
2760
2760
1000
1000
13601
13601

0
0
0
0

Pasien
Penjamin
56262
56262
6633.75 6633.75
24024
24024
24024
24024
2000
2000
112943.8 112943.8

0
0
0
0
0
0

Pasien
Penjamin
74869
74869
79800
79800
46970
46970
87572
87572
24024
24024
24024
24024
5881
5881
3500
3500
346640
346640

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000

0
0
0

31300

31300

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
64886
64886
46970
46970
24024
24024
24024
24024
5020
5020
5881
5881
3000
3000
173805
173805

0
0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
3036
3036
1997
1997
66528
66528
24024
24024
24024
24024
3000
3000
129519
129519

0
0
0
0
0
0
0
0

Pasien
Penjamin
6910
6910
1997
1997
66739
66739
24024
24024
24024
24024
46970
46970
3000
3000
173664
173664

0
0
0
0
0
0
0
0

Pasien
Penjamin
131099
131099
1275
1275
1000
1000
133374
133374

Pasien

0
0
0
0

Penjamin
840
3500
900
5240

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
450
450
2000
2000
72177
72177

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
44550
44550
500
500
45050
45050

0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
26940
26940
7392
7392

0
0

840
3500
900
5240

3360
26535
2000
3500
450
2000
72177

3360
26535
2000
3500
450
2000
72177

0
0
0
0
0
0
0

Pasien
Penjamin
12120
12120
500
500
12620
12620

0
0
0

Pasien
Penjamin
26940
26940
2640
2640
7600
7600
2000
2000
3500
3500
50
50
26535
26535
7392
7392
2500
2500
79157
79157

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
166320
166320
500
500
166820
166820

0
0
0

Pasien
Penjamin
230790
230790
500
500
231290
231290

0
0
0

Pasien
Penjamin
26535
26535

2000
3500
50
7392
1000
40477

2000
3500
50
7392
1000
40477

0
0
0
0
0
0

Pasien
Penjamin
3360
3360
500
500
3860
3860

0
0
0

Pasien
Penjamin
137490
137490
500
500
137990
137990

0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
450
450
2000
2000
72177
72177

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1000
1000
40477
40477

0
0
0
0
0
0
0

Pasien
Penjamin
45610
45610
500
500
46110
46110

0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
1500
1500
67917
67917

0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
50
50
7392
7392
26535
26535
3360
3360
2000
2000
71777
71777

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
7392
7392
26535
26535
2000
2000
3500
3500
450
450
2000
2000
72177
72177

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000

3500
50
7392
26535
26940
1500
67917

3500
50
7392
26535
26940
1500
67917

0
0
0
0
0
0
0

Pasien
Penjamin
256650
256650
500
500
257150
257150

0
0
0

Pasien
Penjamin
5809
5809
18342
18342
1000
1000
25151
25151

0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
450
450
1000
1000
40877
40877

0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
26535
26535
2000
2000
3500
3500
450
450
1000
1000
40877
40877

0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
14750
14750
1000
1000
29164
29164

0
0
0
0

Pasien
Penjamin
22688
22688
500
500
23188
23188

0
0
0

Pasien
Penjamin
6720
6720
500
500
7220
7220

0
0
0

Pasien
Penjamin
131099
131099
1540
1540
1000
1000
133639
133639

0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
26535
26535
72600
72600
1000
1000
106085
106085

0
0
0
0
0
0
0

Pasien
Penjamin
2115
2115
500
500
2615
2615

0
0
0

Pasien
Penjamin
1410
1410
500
500
1910
1910

0
0
0

Pasien
Penjamin
29880
29880
53880
53880
1000
1000
84760
84760

0
0
0
0

Pasien
Penjamin
70438
70438
59400
59400
14988
14988
11762
11762
16335
16335
2500
2500
175423
175423

0
0
0
0
0
0
0

Pasien
Penjamin
70438
70438
59400
59400
14988
14988
11762
11762
16335
16335
2500
2500
175423
175423

0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
500
500
27440
27440

0
0
0

Pasien
Penjamin
154656
154656

500
155156

500
155156

0
0

Pasien
Penjamin
215404
215404
20342
20342
1260
1260
1500
1500
238506
238506

0
0
0
0
0

Pasien
Penjamin
26940
26940
1410
1410
11920
11920
1500
1500
41770
41770

0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
1000
1000
31300
31300

0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
11920
11920
1500
1500
43720
43720

0
0
0
0
0

Pasien
Penjamin
5881
5881
72336
72336
74869
74869
67848
67848
46970
46970
18343
18343

0
0
0
0
0
0

5809
5809
5732
5732
36036
36036
48048
48048
10040
10040
21355.25 21355.25
29040
29040
158400
158400
7000
7000
607707.3 607707.3

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
158400
158400
500
500
158900
158900

0
0
0

Pasien
Penjamin
67848
67848
74869
74869
75350
75350
72336
72336
46970
46970
18343
18343
5809
5809
56262
56262
5732
5732
11762
11762
36036
36036
24024
24024
36036
36036
21355.25 21355.25
7000
7000
559732.3 559732.3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
79800
79800
74869
74869
66528
66528
87572
87572
48048
48048
24024
24024

0
0
0
0
0
0

7028
5881
26535
4500
424785

7028
5881
26535
4500
424785

0
0
0
0
0

Pasien
Penjamin
8292
8292
1997
1997
79800
79800
74869
74869
66528
66528
24024
24024
24024
24024
3012
3012
5881
5881
4500
4500
292927
292927

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
79800
79800
74869
74869
87572
87572
24024
24024
24024
24024
24024
24024
5020
5020
5881
5881
4000
4000
329214
329214

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5528
5528
87572
87572
1540
1540
43197
43197
10560
10560
24024
24024
36036
36036
5020
5020
4000
4000

0
0
0
0
0
0
0
0
0

217477

217477

Pasien
Penjamin
415392
415392
15400
15400
11827
11827
2764
2764
1997
1997
48048
48048
48048
48048
5020
5020
4000
4000
552496
552496

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
59628
59628
500
500
60128
60128

0
0
0

Pasien
Penjamin
17210
17210
500
500
17710
17710

0
0
0

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
450
450
500
500
33390
33390

0
0
0
0
0
0

Pasien
Penjamin
7392
7392
500
500
7892
7892

0
0
0

Pasien
Penjamin
29040
29040
500
500
29540
29540

0
0
0

Pasien
Penjamin
3270
3270
3360
3360
1000
1000
7630
7630

0
0
0
0

Pasien
Penjamin
3270
3270
3360
3360
1000
1000
7630
7630

0
0
0
0

Pasien
Penjamin
3360
3360
26940
26940
7392
7392
2000
2000
3500
3500
450
450
1500
1500
45142
45142

0
0
0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
7392
7392
500
500
13842
13842

0
0
0
0
0
0

Pasien
Penjamin
2000
2000
3500
3500
450
450
7392
7392
26940
26940
3360
3360
1500
1500
45142
45142

0
0
0
0
0
0
0
0

Pasien
Penjamin
16800
16800
500
500
17300
17300

0
0
0

Pasien

Penjamin
380
26940
2000
3500
50
166320
1500
200690

0
0
0
0
0
0
0
0

Pasien
Penjamin
3696
3696
500
500
4196
4196

0
0
0

Pasien
Penjamin
3360
3360
2000
2000
3500
3500
450
450
500
500
9810
9810

0
0
0
0
0
0

380
26940
2000
3500
50
166320
1500
200690

Pasien
Penjamin
26940
26940
2000
2000
3500
3500
450
450
500
500
33390
33390

0
0
0
0
0
0

Pasien
Penjamin
29040
29040
2000
2000
3500
3500
450
450
500
500
35490
35490

0
0
0
0
0
0

Pasien
Penjamin
26940
26940
3360
3360
2000
2000
3500
3500
50
50
29040
29040
1500
1500
66390
66390

0
0
0
0
0
0
0
0

Pasien
Penjamin
131099
131099
1275
1275
1000
1000
133374
133374

0
0
0
0

Pasien
Penjamin
64886
64886
67848
67848
76032
76032
60060
60060
36036
36036

0
0
0
0
0

5020
39600
3500
352982

5020
39600
3500
352982

0
0
0
0

Pasien
Penjamin
3270
3270
3360
3360
1000
1000
7630
7630

0
0
0
0

Pasien
Penjamin
70438
70438
59400
59400
85272
85272
5991
5991
3825
3825
3300
3300
17500
17500
18343
18343
5809
5809
4500
4500
274378
274378

0
0
0
0
0
0
0
0
0
0
0

Waktu
31 Mei 2013 23:01
Item
CIPROFLOXACIN DRIP INFUSION
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 20:20

Item
CTM 4 MG TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 14:26

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 14:18

Item
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 14:15

Item
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 13:57

Item
SANMOL INFUSION
ANBACIM INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 22

TUSLAH NON RACIKAN

TOTAL

31 Mei 2013 13:52

Item
RING AS SANBE 500 ML
ONDANSETRON INF 4 MG INJECTION
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 13:45

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 13:43

Item
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP ONEMED 3CC
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 13:41

Item
CURCUMA 200 MG TABLET
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP ONEMED 3CC

NEEDLE NO. 23 THERUMO

MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 13:40

Item
CEDOCARD TABLET 5 MG
ASPILETS TABLET, CHEWABLE 80 MG
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 13:31

Item
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 13:25

Item
SANMOL TABLET 500 mg
DISP ONEMED 3CC
ALKOHOL SWAB
KA-EN 3B 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 12:58

Item
CEFTAZIDIME 1 GR POWDER, FOR INJECTION SOLUTION
KETOROLAC 30 MG SOLUTION, INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION

DISP SYRINGE 5 CC
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
MICROPORE 1 INC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:53

Item
SANMOL INFUSION
AMBROXOL INF 30 MG TABLET
MICROPORE 1 INC
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP ONEMED 3CC
NEEDLE NO. 23 THERUMO
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:53

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
GRANISETRON 3 ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP ONEMED 3CC
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:53

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)

ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP ONEMED 3CC
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:52

Item
DOMPERIDON INF TABLET 10 MG
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
MICROPORE 1 INC
DISP SYRINGE 5 CC
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:51

Item
CLOPIDOGREL 75 MG TABLET
ANTALGIN 500 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:51

Item
PARACETAMOL INF TABLET 500 mg
VALISANBE TABLET 5 MG
TUSLAH RACIKAN EMBALASE
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:25

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP ONEMED 3CC
IVENA IV CATH 20
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:25

Item
INVICLOT 5 ML SOLUTION, INJECTION 5000 UNT/1 ML
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 50 CC WITHOUT NED
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:25

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:24

Item
PARACETAMOL INF TABLET 500 mg
ANTASIDA DOEN KF TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP ONEMED 3CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:24

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP ONEMED 3CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 11:08

Item
VIVACE 5 MG TABLET
ATORVASTATIN 20 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANSO INJEKSI 1 VIL
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BIOCURLIV CAPSULE
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

31 Mei 2013 05:12

Item
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 14:49

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 14:45

Item
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN

TOTAL

30 Mei 2013 14:32

Item
VIVACE 5 MG TABLET
LASIX SOLUTION, INJECTION 20 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 14:27

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 14:22

Item
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 14:13

Item
CINAM 1.5 GM INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP ONEMED 3CC
DISP SYRINGE 5 CC
VENTOLIN NEBULE SOLUTION, FOR INHALATION
AMBROXOL INF 60 ML SYRUP
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:57

Item
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
ALKOHOL SWAB
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:24

Item
CLOPIDOGREL 75 MG TABLET
ANTALGIN 500 MG
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DERMAFIX-1V
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:24

Item
ONDANSETRON INF 4 MG INJECTION
AMBROXOL INF 30 MG TABLET
SANMOL INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:23

Item
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
SIMVASTATIN TABLET 20 MG
AMBROXOL INF 30 MG TABLET
ONDANSETRON INF 4 MG INJECTION
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:23

Item

DOMPERIDON INF TABLET 10 MG

CEFOPERAZONE SULBACTAM 1 GM INJECTION
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
DERMAFIX-1V
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP ONEMED 3CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:23

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
DISP ONEMED 3CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RING AS SANBE 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:22

Item
CLOPIDOGREL 75 MG TABLET
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:22

Item
OMEPRAZOLE 40 MG INJECTION
SANMOL INFUSION
ANBACIM INJECTION
NEEDLE NO.18 THERUMO
IVENA IV CATH 22
DERMAFIX-1V

ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:22

Item
RING AS SANBE 500 ML
GRANISETRON 3 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
DISP ONEMED 3CC
NEEDLE NO. 23 THERUMO
HANDSCOON NON STERIL S (PCS)
ONDANSENTRON INF 8 MG/4ML INJECTION
SANMOL INFUSION
ALKOHOL SWAB
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:21

Item
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP ONEMED 3CC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:16

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 13:16

Item
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG

CANDESARTAN 8MG TABL

BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 12:39

Item
SANMOL TABLET 500 mg
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
PLASMINEX 100 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 12:22

Item
SANMOL TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 12:20

Item
SANMOL TABLET 500 mg
RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 11:14

Item
ULTRACET 37,5MG TABL
VITAMIN B6 10 MG TABLET
BISOLVON 2 ML INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
IMIPENEM CILASTATIN 1 GR INJECTION
PYRAZINAMIDE INF 500 MG TABLET

VALISANBE TABLET 2 MG
HALOPERIDOL INF 1.5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 11:09

Item
AMLODIPIN 5 MG TABLET
CEFOPERAZONE SULBACTAM 1 GM INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 11:08

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
RIFAMPICIN INFA CAPSULE 600 MG
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
INH 100 MG TABLET
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 11:05

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 10:32

Item
DISP SYRINGE 50 CC WITHOUT NED
XYLOCAINE 2% 10 GM JELLY
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 10:14

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 10:14

Item
DISP SYRINGE 5 CC
INFUS SET JMS
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 10:14

Item
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 10:13

Item
IVENA IV CATH 22
NEEDLE NO. 23 THERUMO

PARACETAMOL INF TABLET 500 mg

TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 10:12

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 10:01

Item
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
IVENA IV CATH 24
INFUS SET JMS
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

30 Mei 2013 08:47

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 20:13

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 20:13

Item
CLOPIDOGREL 75 MG TABLET
THROMBO ASPILETS 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 16:13

Item
CALCIUM GLUCONAS ETHICA INJECTION
FOTARAM 1 g
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 15:02

Item
OTTOZOL INJ
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 15:02

Item
OPIGRAN INJ 3
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 15:01

Item
OTTOZOL INJ
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 14:59

Item
PANSO INJEKSI 1 VIL
LASIX SOLUTION, INJECTION 20 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 14:39

Item
OMEPRAZOLE 40 MG INJECTION
SANMOL INFUSION

ANBACIM INJECTION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 14:23

Item
CEDANTRON 8 MG INJECTION 4 ML
OMEPRAZOLE 40 MG INJECTION
PLASMINEX 100 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 14:02

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:58

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:52

Item
SIMVASTATIN TABLET 20 MG
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:49

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:48

Item
SOLAC SYRUP
ONDANSENTRON INF 8 MG/4ML INJECTION
SANMOL INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NEEDLE NO. 23 THERUMO
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:48

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
ONDANSENTRON INF 8 MG/4ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:48

Item
SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
NEEDLE NO. 23 THERUMO

CEFOPERAZONE SULBACTAM 1 GM INJECTION

TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:47

Item
CLOPIDOGREL 75 MG TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:47

Item
OMEPRAZOLE 40 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:37

Item
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:25

Item
KA-EN 1B 500 ML INFUSION
COBAZIM TABLET 1000 mcg
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 13:09

Item
CEDANTRON 4 MG/ML INJECTION
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
ALKOHOL SWAB

TUSLAH NON RACIKAN

TOTAL

29 Mei 2013 12:16

Item
CINAM 1.5 GM INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 5 CC
ALKOHOL SWAB
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 11:58

Item
SANMOL TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 11:13

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 11:13

Item
ISOSORBIDE DINITRATE INF TABLET
HYPERIL 5 MG TABLET
ACETYLCYSTEIN 200MG CAPS
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
GLURENORM TABLET 30 mg
VITAMIN K KIMIA FARMA TABLET 10 MG

VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 11:00

Item
HALOPERIDOL INF 1.5 MG TABLET
FUROSEMID INF TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ACETYLCYSTEIN 200MG CAPS
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 08:58

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 08:58

Item
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
INFUS SET JMS
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

29 Mei 2013 08:57

Item

RING AS SANBE 500 ML

IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 15:29

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 14:47

Item
SANMOL TABLET 500 mg
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 14:24

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 14:19

Item
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:53

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

HANDSCOON NON STERIL S (PCS)

ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:53

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:52

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:52

Item
SIMVASTATIN GENERIK 10 MG TABLET
OMEPRAZOLE 40 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:52

Item
FARMADOL 100 ML INFUSION
OMEPRAZOLE 40 MG INJECTION

HANDSCOON NON STERIL S (PCS)

ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NEEDLE NO. 23 THERUMO
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:51

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:51

Item
OMEPRAZOLE 40 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:51

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:24

Item

HANDSCOON NON STERIL S (PCS)

ALKOHOL SWAB
DERMAFIX-1V
SANMOL TABLET 500 mg
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:15

Item
KA-EN 1B 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 12:00

Item
COTRIMOXAZOLE 480 MG TABLET
KETESSE 25 MG/ML INJECTION
FOTARAM 1 g
DISP SYRINGE 1 CC INSULIN
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 20
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 11:15

Item
NORMOTEN 5 MG TABLET
BETAHISTIN TABLET
PANSO INJEKSI 1 VIL
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 11:15

Item

VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

PLASMINEX 100 MG/ML INJECTION
FUTROLIT INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

28 Mei 2013 11:15

Item
VALISANBE TABLET 2 MG
OMEPRAZOLE 40 MG INJECTION
ACETYLCYSTEIN 200MG CAPS
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
VITAMIN B6 10 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 17:20

Item
KA-EN 1B 500 ML INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 15:24

Item
PANSO INJEKSI 1 VIL
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 15:14

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 15:12

Item
GRANISETRON 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 14:40

Item
RANITIDINE INF TABLET 150 MG
OMEPRAZOLE GEN 20 MG CAPSULE
AMITRYPTILIN 25 MG TABLET
VALISANBE TABLET 5 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 13:33

Item
ANALSIK TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 12:52

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 12:49

Item
ONDANSETRON INF 4 MG INJECTION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
CEFEPIME 1 GR INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
MICROPORE 2 INC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 12:49

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 12:48

Item
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
MICROPORE 2 INC
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 12:48

Item
AMLODIPIN 5 MG TABLET
BETAHISTIN TABLET
RING AS SANBE 500 ML
FUTROLIT INFUSION

HANDSCOON NON STERIL S (PCS)

DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 11:50

Item
CAPTOPRIL 12.5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 11:50

Item
KSR TABLET, FILM COATED, EXTENDED RELEASE 600 MG
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 11:47

Item
SANMOL TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 11:30

Item
RINGER LACTATE WIDATRA 500 ML
RANITIDINE INF TABLET 150 MG
DISP SYRINGE 3 CC

TUSLAH NON RACIKAN

TOTAL

27 Mei 2013 10:57

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 10:52

Item
IVENA IV CATH 20
DERMAFIX-1V
MICROPORE 2 INC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 09:16

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 07:38

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 01:26

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:41

Item
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:41

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:40

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:37

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:35

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:34

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:33

Item
IVENA IV CATH 24
DISP SYRINGE 50 CC WITHOUT NED
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:32

Item
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:31

Item
TRANSFUSION SET JMS
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

27 Mei 2013 00:10

Item
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 23:49

Item
CEFPIROME 1GR VIL
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 23:49

Item
CEFPIROME 1GR VIL
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 23:48

Item
CEFPIROME 1GR VIL
DISP SYRINGE 5 CC
RING AS SANBE 500 ML

TUSLAH NON RACIKAN

TOTAL

26 Mei 2013 23:48

Item
CEFPIROME 1GR VIL
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 23:48

Item
CEFPIROME 1GR VIL
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 23:48

Item
CEFPIROME 1GR VIL
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 23:47

Item
DOBUTAMIN GENERIK 50 MG/ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 50 CC WITHOUT NED
THREE WAY STOPCOCK
EXTENSION TUBE ET 2 (DWS)
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

26 Mei 2013 22:08

Item
PIRACETAM INJ 3 GR/ 15 ML INJECTION

TUSLAH NON RACIKAN

TOTAL

26 Mei 2013 22:08

Item
PIRACETAM INJ 3 GR/ 15 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 19:00

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 17:47

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
BD VACUTAINER
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 17:46

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
BD VACUTAINER
DERMAFIX-1V
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 17:45

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
FOLLEY CATHETER 16 RUSCH

NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 17:44

Item
MICROPORE 2 INC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 17:42

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 17:41

Item
TRANSFUSION SET JMS
HANDSCOON GAMEX 6.5
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 17:40

Item
DOBUTAMIN GENERIK 50 MG/ML
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 17:24

Item
FOLLEY CATHETER 16 RUSCH
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN

TOTAL

25 Mei 2013 16:51

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 15:56

Item
FOLLEY CATHETER 16 RUSCH
TRANSFUSION SET JMS
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 15:54

Item
IVENA IV CATH 22
BD VACUTAINER
DERMAFIX-1V
DISP SYRINGE 3 CC
SELANG OKSIGEN ADULT
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 15:53

Item
IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
VERBAND ROLL
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 15:51

Item

IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
VERBAND ROLL
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 15:49

Item
IVENA IV CATH 22
IVENA IV CATH 24
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
MICROPORE 1/2 INC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 15:48

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
DERMAFIX-1V
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 14:18

Item
ATORVASTATIN 20 MG TABLET
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 14:17

Item
ISOSORBIDE DINITRATE INF TABLET
CLOPIDOGREL 75 MG TABLET
ACETYLCYSTEIN 200MG CAPS
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 13:39

Item
BD VACUTAINER
TRANSFUSION SET JMS
IVENA IV CATH 22
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 11:31

Item
DULCOLAX SUPPOSITORY 10 mg
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 08:41

Item
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 02:26

Item
REBREATHING MASK ADULT (1102)
IVENA IV CATH 22
TRANSFUSION SET JMS
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 02:25

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 02:25

Item
IVENA IV CATH 22

TRANSFUSION SET JMS

DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 02:24

Item
IVENA IV CATH 22
DISP SYRINGE 3 CC
TRANSFUSION SET JMS
VERBAND ROLL
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 00:49

Item
VALISANBE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 20
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 00:05

Item
MAGNESIUM SULFAT 20% INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

25 Mei 2013 00:04

Item
MAGNESIUM SULFAT 20% INJECTION
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 19:55

Item
SALBUTAMOL INF TABLET 2 MG

TUSLAH NON RACIKAN

TOTAL

24 Mei 2013 14:43

Item
FORMUNO TABLET
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 14:40

Item
CEDANTRON TABLET 8 mg
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
AMLODIPIN 5 MG TABLET
BD VACUTAINER
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 14:27

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 14:20

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 14:19

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 14:09

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 14:02

Item
ASPAR-K TABLET, COATED 300 mg
OMEPRAZOLE 40 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 13:36

Item
HALOPERIDOL INF 1.5 MG TABLET
BISOPROLOL 5 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 13:35

Item
CEFEPIME 1 GR INJECTION

ONDANSETRON INF 4 MG INJECTION

SANMOL INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 13:35

Item
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
MECOBALAMIN AMP INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 13:35

Item
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
SANMOL INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 13:34

Item
AMBROXOL INF 30 MG TABLET
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
CLOPIDOGREL 75 MG TABLET

HANDSCOON NON STERIL S (PCS)

ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 13:34

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 13:33

Item
ASPAR-K TABLET, COATED 300 mg
OMEPRAZOLE 40 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 13:26

Item
ONDANSETRON 8 MG TABLET
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 13:17

Item
ASPAR-K TABLET, COATED 300 mg
ANALSIK TABLET
ONDANSETRON INF 4 MG INJECTION
MECOBALAMIN AMP INJECTION
OPIGRAN INJ 3

RING AS SANBE 500 ML

DEXTROSE 10% WIDATRA 500 ML INFUSION
FUTROLIT INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 12:59

Item
ANALSIK TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
ALKOHOL SWAB
DERMAFIX-1V
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
MERSITROPIL 3 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 12:54

Item
KETESSE 25 MG/ML INJECTION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 11:17

Item
VITAMIN B6 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
METFORMIN HCL 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC

ETHAMBUTOL500mg TABLET
CARDIO ASPIRIN TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

24 Mei 2013 11:12

Item
HALOPERIDOL INF 1.5 MG TABLET
BISOPROLOL 5 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
IMIPENEM CILASTATIN 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 20:17

Item
CEFEPIME 1 GR INJECTION
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 20:16

Item
OPIGRAN INJ 3
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 17:47

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 15:38

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 15:22

Item
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 14:19

Item
ASPAR-K TABLET, COATED 300 mg
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
OMEPRAZOLE 40 MG INJECTION
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 14:19

Item
VALISANBE TABLET 5 MG
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 14:16

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 13:58

Item
SANMOL TABLET 500 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 13:52

Item
WUNDRES F 5x20x0,2 cm
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 13:28

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 13:18

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 12:47

Item
DOMPERIDON INF TABLET 10 MG
CEFIXIME GENERIK CAPSULE
BISOLVON 2 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 12:47

Item
AMBROXOL INF 30 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 12:47

Item
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
MECOBALAMIN AMP INJECTION
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 12:47

Item
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
SANMOL INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 12:46

Item
CEFIXIME GENERIK CAPSULE
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K KIMIA FARMA TABLET 10 MG
ANALSIK TABLET
TUSLAH NON RACIKAN

TOTAL

23 Mei 2013 12:36

Item
KETESSE 25 MG/ML INJECTION
DISP SYRINGE 3 CC
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 12:10

Item
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 11:16

Item
SOHOLIN 125 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RING AS SANBE 500 ML
VITAMIN B6 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
PLAVOS 75MG TAB
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 11:16

Item
SOHOLIN 125 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RING AS SANBE 500 ML

VITAMIN B6 10 MG TABLET
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
PLAVOS 75MG TAB
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CARDIO ASPIRIN TABLET
TUSLAH NON RACIKAN
TOTAL

23 Mei 2013 09:56

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 20:35

Item
ASPAR-K TABLET, COATED 300 mg
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 17:54

Item
BIFOTIK POWDER, FOR INJECTION SUSPENSION
CALCIUM GLUCONAS ETHICA INJECTION
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:57

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:47

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:47

Item
LODIA 2 mg
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 14:42

Item
RING AS SANBE 500 ML
OMEPRAZOLE 40 MG INJECTION
CEDANTRON 4 MG/ML INJECTION
SANMOL INFUSION
DISP SYRINGE 3 CC
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 13:08

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:49

Item
STOMACH TUBE 16 THERUMO
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC

DISP SYRINGE 50 CC CATH TIP

IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:29

Item
MECOBALAMIN AMP INJECTION
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:28

Item
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
SANMOL TABLET 500 mg
RANITIDINE INF TABLET 150 MG
DOMPERIDON INF TABLET 10 MG
ANTASIDA DOEN 60 ML SYRUP
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:24

Item
RING AS SANBE 500 ML
ALKOHOL SWAB
DISP SYRINGE 3 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:16

Item
RING AS SANBE 500 ML
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:15

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:15

Item
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:15

Item
BISOLVON 2 ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:14

Item
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC

DISP SYRINGE 3 CC
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:14

Item
BUSCOPAN INJECTION 20 mg/ml
CEFEPIME 1 GR INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:14

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:10

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:05

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:05

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
MECOBALAMIN AMP INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 12:05

Item
NATRIUM BICARBONAT
TUSLAH RACIKAN
EMBALASE
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

22 Mei 2013 11:51

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
VITAMIN B6 10 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
SOHOLIN 125 MG/ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 21:48

Item

RING AS SANBE 500 ML

TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 16:40

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
MICROPORE 2 INC
RING AS SANBE 500 ML
RANITIDINE INF TABLET 150 MG
VOSEDON 10 MG TABLET
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 15:06

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 14:53

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 14:38

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 13:26

Item
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC

BISOLVON 2 ML INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 13:22

Item
SANMOL INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 13:21

Item
DISP SYRINGE 50 CC WITHOUT NED
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
ARDIUM TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 13:21

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 13:21

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 13:20

Item
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 12:59

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 12:51

Item
BETAHISTIN TABLET
ALDISA SR CAPSULE
OMEPRAZOLE 40 MG INJECTION
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 12:23

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
CITICHOLIN 2 ML 125 MG/ML INJECTION

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 11:38

Item
ALBAPURE 20% 100 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 11:28

Item
TRIHEXYPHENYDIL INF TABLET 2 MG
HALOPERIDOL INF 0.5 MG TABLET
VALISANBE TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

21 Mei 2013 09:32

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 20:01

Item
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 18:10

Item
CTM 4 MG TABLET

ANALSIK TABLET
DARYANT-TULLE STERIL GZ
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 14:25

Item
ANTASIDA DOEN 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 14:15

Item
CLOPIDOGREL 75 MG TABLET
SIMVASTATIN TABLET 20 MG
ACETYLCYSTEIN 200MG CAPS
ONDANSETRON INF 4 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
IVENA IV CATH 22
IVENA IV CATH 24
DISP SYRINGE 50 CC WITHOUT NED
FOLLEY CATHETER 16 RUSCH
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:54

Item
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:10

Item

SANMOL INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:10

Item
KETESSE 25 MG/ML INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:10

Item
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:09

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:09

Item

VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

SANMOL INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:09

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
OMEPRAZOLE 40 MG INJECTION
BISOLVON SOLUTION 50 ML
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:08

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 13:08

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 12:28

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 12:16

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
KETOROLAC 30 MG SOLUTION, INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SOHOLIN 125 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 09:25

Item
PARACETAMOL INF TABLET 500 mg
ANTASIDA DOEN KF TABLET
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 09:25

Item
PARACETAMOL INF TABLET 500 mg
ANTASIDA DOEN KF TABLET
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
THREE WAY STOPCOCK

TUSLAH NON RACIKAN

TOTAL

20 Mei 2013 09:25

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN TABLET 20 MG
LOVENOX SOLUTION, INJECTION 40 mg
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 09:25

Item
SANMOL INFUSION
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 09:24

Item
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
ASPAR-K TABLET, COATED 300 mg
BISOPROLOL 5 MG TABLET
FUROSEMID INF INJECTION

LOVENOX 0,6 SOLUTION, INJECTION

INFUS SET JMS
ALKOHOL SWAB
TRANSFUSION SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

20 Mei 2013 09:22

Item
BETAHISTIN TABLET
ANALSIK TABLET
PARACETAMOL INF TABLET 500 mg
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

19 Mei 2013 22:00

Item
DISP SYRINGE 50 CC WITHOUT NED
NEEDLE NO.18 THERUMO
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 18:16

Item
RING AS SANBE 500 ML
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 17:03

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 17:02

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 14:54

Item
IVENA IV CATH 22
IVENA IV CATH 24
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 14:35

Item
VITAMIN B6 10 MG TABLET
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:50

Item
SANMOL TABLET 500 mg
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:40

Item
ALLOPURINOL INF TABLET 100 MG
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:32

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:24

Item
FLUNARIZINE 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:24

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:23

Item
CAPTOPRIL 12.5 MG TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:19

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 12:09

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
DIGOXIN INF TABLET
ALLOPURINOL INF TABLET 100 MG
VITAMIN C 50 MG TABLET
LORATADINE INF TABLET 10 MG
IVENA IV CATH 24
DERMAFIX-1V
DRAINAGE BAG STERIL
CONDOM CATHETER S
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:56

Item
SANMOL TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:51

Item
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:51

Item
IVENA IV CATH 22
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION

TUSLAH NON RACIKAN

TOTAL

18 Mei 2013 11:51

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:41

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:28

Item
PARACETAMOL INF TABLET 500 mg
ANALSIK TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:23

Item
CEFADROXIL INF CAPSULE 500 MG
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
M-20 INFUSAN (MANITOL) 500 ML
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:07

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:06

Item
SANMOL INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 11:06

Item
KETESSE 25 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:57

Item
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:56

Item
IVENA IV CATH 20
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS

DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:56

Item
DISP SYRINGE 3 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:56

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:55

Item
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:45

Item
BETAHISTIN TABLET
ALDISA SR CAPSULE
CEFEPIME 1 GR INJECTION
PANSO INJEKSI 1 VIL
SOHOLIN 125 MG/ML INJECTION
BD VACUTAINER
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:45

Item

CAPTOPRIL 12.5 MG TABLET

AMLODIPIN 5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:45

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 50 CC CATH TIP
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:44

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
VALAMIN SANBE INFUSION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:44

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BD VACUTAINER
MICROPORE 1/2 INC
TUSLAH NON RACIKAN

TOTAL

18 Mei 2013 10:44

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:44

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:44

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
SOHOLIN 125 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:44

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 10:43

Item
TUZALOS TABLET
VALAMIN SANBE INFUSION
KETESSE 25 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

18 Mei 2013 07:49

Item
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 50 CC WITHOUT NED
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 21:33

Item
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 16:22

Item
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 10 CC
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 16:21

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 14:29

Item
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 14:24

Item
DISP SYRINGE 10 CC

PANSO INJEKSI 1 VIL

TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 13:45

Item
RING AS DOUBLE PORT 500 ML
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 13:11

Item
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 12:47

Item
SANBE HEST
DOMPERIDON INF TABLET 10 MG
RANITIDINE INF TABLET 150 MG
SELANG OKSIGEN ADULT
SANMOL TABLET 500 mg
DISP SYRINGE 3 CC
ALKOHOL SWAB
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 12:27

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 12:26

Item
SANMOL INFUSION

HANDSCOON NON STERIL S (PCS)

ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 12:26

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 12:26

Item
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 12:25

Item
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 12:12

Item
ASPAR-K TABLET, COATED 300 mg
ASPILETS TABLET, CHEWABLE 80 MG
DIGOXIN INF TABLET
VITAMIN C 50 MG TABLET
LASIX SOLUTION, INJECTION 20 MG/2 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN

TOTAL

17 Mei 2013 11:19

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 10:31

Item
BETAHISTIN TABLET
FLUNARIZINE 5 MG TABLET
CEFEPIME 1 GR INJECTION
KETESSE 25 MG/ML INJECTION
FUTROLIT INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

17 Mei 2013 10:24

Item
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
RANITIDINE GENERIK 25 MG/ML INJECTION
FUTROLIT INFUSION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC

AQUA FOR INJECT OTSUKA 25 ML

TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 18:46

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 10:22

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 09:39

Item
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 09:37

Item
PARACETAMOL INF TABLET 500 mg
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

16 Mei 2013 09:37

Item
DISP SYRINGE 3 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 18:13

Item
BD VACUTAINER

TUSLAH NON RACIKAN

TOTAL

15 Mei 2013 14:00

Item
INBION CAPSULE
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 12:54

Item
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 12:29

Item
KETESSE 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 12:23

Item
INFUS SET JMS
MICROPORE 1/2 INC
BD VACUTAINER
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 12:22

Item

RING AS SANBE 500 ML

DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

15 Mei 2013 11:12

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 14:30

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 14:23

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 14:18

Item
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 14:13

Item
IVENA IV CATH 24
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 13:39

Item
VALAMIN SANBE INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 13:30

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 13:27

Item
AMINORAL TABLET
URISPAS TABLET, FILM COATED 200 MG
ONDANSETRON INF 4 MG INJECTION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 13:13

Item
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 13:04

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN

TOTAL

14 Mei 2013 13:00

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 12:55

Item
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 12:52

Item
ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 11:31

Item
ASAM TRANEKSAMAT 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 10:23

Item
KETESSE 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:42

Item
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN

TOTAL

14 Mei 2013 09:41

Item
CLOPIDOGREL 75 MG TABLET
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:41

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:39

Item
GARAM INGGRIS
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:37

Item
MERTIGO TABLET 6 MG
TUZALOS TABLET
KALTROFEN KALBE SUPPOSITORY 100 mg
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:36

Item
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:35

Item
SALBUTAMOL INF TABLET 2 MG
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
AMINOPHYLLINE 24mg SOLUTION
FUTROLIT INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:33

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:32

Item
SANMOL TABLET 500 mg
BIOCURLIV CAPSULE
METRONIDAZOLE 500 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
AMINOFLUID 500 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
HEPAMAX
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:32

Item
VITAMIN K KIMIA FARMA TABLET 10 MG
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 09:22

Item
LEUKOCREPE 6 INC
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
MICROPORE 1/2 INC
CEFIXIME GENERIK CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 02:56

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 02:54

Item
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 01:52

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION

VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

MAGNESIUM SULFAT 40% INJECTION
AMINOFLUID 500 ML INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 01:43

Item
OMEPRAZOLE 40 MG INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
SPIRONOLACTONE 100 MG TABLET
RING AS SANBE 500 ML
AMINOPHYLLINE 200 MG TABLET
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 01:38

Item
AMINOFLUID 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

14 Mei 2013 01:33

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 23:47

Item
RING AS SANBE 500 ML
OMEPRAZOLE 40 MG INJECTION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 22:56

Item
CLINDAMYCIN 300 MG CAPSULE

TUSLAH NON RACIKAN

TOTAL

13 Mei 2013 22:01

Item
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 21:39

Item
DULCOLAX SUPPOSITORY 5 MG
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 18:10

Item
FOTARAM 1 g
BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 16:09

Item
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 14:24

Item
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 14:21

Item
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 14:02

Item
SANMOL TABLET 500 mg
BIOCURLIV CAPSULE
ONDANSENTRON INF 8 MG/4ML INJECTION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
SANBE HEST
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 13:49

Item
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
GARAM INGGRIS
HANDSCOON GAMEX 6.5
HANDSCOON GAMEX 7.5
DISP SYRINGE 50 CC WITHOUT NED
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
ANESFAR INJEKSI
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 13:24

Item
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN

TOTAL

13 Mei 2013 13:20

Item
AMINORAL TABLET
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 13:07

Item
MANITOL OTSU 500 ML INFUSION 20 %WV
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 13:01

Item
SANMOL TABLET 500 mg
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
PLASMINEX 100 MG/ML INJECTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:54

Item
MERTIGO TABLET 6 MG
TUZALOS TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANSO INJEKSI 1 VIL
SOHOLIN 125 MG/ML INJECTION

KALTROFEN KALBE SUPPOSITORY 100 mg

HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:48

Item
IMBOOST FORCE 60 ML SYRUP
STESOLID RECTAL 10 mg/2,5 ml
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:48

Item
PLASMINEX 100 MG/ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NOVALGIN SOLUTION, INJECTION 500 mg/ml
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:48

Item
LACTODIA POLYBAG
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:47

Item
SALBUTAMOL INF TABLET 2 MG
METHYL PREDNISOLONE OGB POWDER, FOR INJECTION SOLUTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
VENTOLIN NEBULE SOLUTION, FOR INHALATION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

13 Mei 2013 10:47

Item
SANMOL TABLET 500 mg
COTRIMOXAZOLE 480 MG TABLET
METRONIDAZOLE 500 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

12 Mei 2013 02:13

Item
OPIGRAN INJ 3
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 17:52

Item
SANMOL TABLET 500 mg
PANTOPRAZOLE INJECTION
CEDANTRON 4 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 13:21

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 13:04

Item
BISOLVON 2 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 12:52

Item
ANALSIK TABLET
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 12:52

Item
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 12:30

Item
VALAMIN SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 12:23

Item
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 12:07

Item
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 12:07

Item
DOMPERIDON INF TABLET 10 MG
ACPULSIF 5 MG TABLET 5 mg
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 12:05

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
PANTOPRAZOLE INJECTION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 12:04

Item
DERMAFIX-1V
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 11:41

Item
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 11:41

Item
DISP SYRINGE 3 CC
AQUA FOR INJECT OTSUKA 25 ML
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 11:30

Item
MUSIN OTTO 120 ML SUSPENSION
DOMPERIDON INF TABLET 10 MG
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 11:17

Item
IVENA IV CATH 20
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
EXTENSION TUBE ET 2 (DWS)
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 11:16

Item
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 10:58

Item
HEPAMAX
SANMOL TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
METRONIDAZOLE 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RING AS SANBE 500 ML
AMINOFLUID 500 ML INFUSION
IVENA IV CATH 22
INFUS SET JMS
DERMAFIX-1V
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 10:51

Item
SANMOL TABLET 500 mg
ONDANSETRON INF 4 MG INJECTION
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 10:49

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

SODIUM CHLORIDE 0,9% 25 MG

TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 10:25

Item
MERTIGO TABLET 6 MG
NATRIUM CHLORIDA PH POWDER
TUSLAH RACIKAN
EMBALASE
TUZALOS TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 10:00

Item
AMBROXOL INF 30 MG TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
CEFEPIME 1 GR INJECTION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
IVENA IV CATH 22
INFUS SET JMS
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 09:59

Item
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
YAL JELLY SOLUTION
RING AS DOUBLE PORT 500 ML
HANDSCOON NON STERIL S (PCS)

INFUS SET JMS

IVENA IV CATH 22
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 09:59

Item
ASPAR-K TABLET, COATED 300 mg
HYPERIL 5 MG TABLET
CLOPIDOGREL 75 MG TABLET
H.C.T 25 MG TABLET
AMLODIPIN 5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
HANDSCOON NON STERIL S (PCS)
TRANSFUSION SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
CITICHOLIN 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 09:56

Item
RING AS DOUBLE PORT 500 ML
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 09:55

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
ONDANSETRON INF 4 MG INJECTION
RING AS DOUBLE PORT 500 ML
INFUS SET JMS
IVENA IV CATH 22
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 09:54

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
ONDANSETRON 4 MG TABLET
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 09:53

Item
GRANISETRON 3 ML INJECTION
PANTOPRAZOLE INJECTION
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AQUA FOR INJECT OTSUKA 25 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 09:10

Item
ANESFAR INJEKSI
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 08:29

Item
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 06:54

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

11 Mei 2013 02:10

Item
NATRIUM PHENITOIN 50MG /ML INJ
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 23:07

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7
DISP SYRINGE 3 CC
MICROPORE 1/2 INC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 23:06

Item
PRONALGES SUPPOSITORY 100 MG
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 7
DISP SYRINGE 3 CC
XYLOCAINE 2% 10 GM JELLY
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 23:03

Item
DISP SYRINGE 1 CC INSULIN
MICROPORE 1/2 INC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 23:02

Item
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 23:00

Item
ISOKET INJECTION
FUROSEMID INF INJECTION
DISP SYRINGE 10 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:57

Item
DISP SYRINGE 1 CC INSULIN
MICROPORE 1/2 INC
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:53

Item
DISP SYRINGE 1 CC INSULIN
MICROPORE 1/2 INC
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:53

Item
PELASTIN INFUSION
TUSLAH NON RACIKAN

TOTAL

10 Mei 2013 22:52

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:52

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:51

Item
PANTOPRAZOLE INJECTION
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:50

Item
PELASTIN INFUSION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:49

Item
IVENA IV CATH 22
CEFOPERAZONE SULBACTAM 1 GM INJECTION
RINGER LACTATE WIDATRA 500 ML
STOMACH TUBE 16 THERUMO
SELANG NEBUL WITH MASK(1493)
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
INFUS SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:47

Item
FARMADOL 100 ML INFUSION
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:42

Item
OMEPRAZOLE 40 MG INJECTION
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 22:19

Item
TUZALOS TABLET
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 20:11

Item
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 19:23

Item
XYLOCAINE 2% 10 GM JELLY
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 19:22

Item

KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML

RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 19:20

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 18:18

Item
RINGER LACTATE WIDATRA 500 ML
STOMACH TUBE 16 THERUMO
EXTENSION TUBE ET 2 (DWS)
TRANSFUSION SET JMS
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 18:00

Item
SANKORBIN AMP INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 16:34

Item
SANKORBIN AMP INJECTION
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 15:27

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 15:22

Item
DISP SYRINGE 3 CC
IVENA IV CATH 22
VALAMIN SANBE INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 15:07

Item
V-BLOC 6,25MG TABLET
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 15:06

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 15:01

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 15:01

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 14:55

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

IVENA IV CATH 22
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 14:34

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 14:29

Item
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 14:15

Item
PARACETAMOL INF TABLET 500 mg
ASPAR-K TABLET, COATED 300 mg
ONDANSETRON INF 4 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:59

Item
DULCOLAX 5 MG TABLET
UROTRACTIN SANBE TABLET 400 mg
GARAM INGGRIS
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:58

Item
ISOSORBIDE DINITRATE INF TABLET
ASPILETS TABLET, CHEWABLE 80 MG
CLOPIDOGREL 75 MG TABLET

HYPERIL 5 MG TABLET
PARACETAMOL INF TABLET 500 mg
CEFOPERAZONE SULBACTAM 1 GM INJECTION
LOVENOX 0,6 SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:57

Item
CAPTOPRIL 12.5 MG TABLET
V-BLOC 6,25MG TABLET
H.C.T 25 MG TABLET
AMLODIPIN 10 MG TABLET
ACYCLOVIR INF TABLET 400 MG
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:57

Item
PARACETAMOL INF TABLET 500 mg
ASPAR-K TABLET, COATED 300 mg
ONDANSETRON 4 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:50

Item
ASAM MEFENAMAT INF 500 MG TABLET
IRBESARTAN 300 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:50

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
DULCOLAX 5 MG TABLET

TUSLAH NON RACIKAN

TOTAL

10 Mei 2013 13:48

Item
CURCUMA 200 MG TABLET
CLINDAMYCIN 300 MG CAPSULE
ASAM MEFENAMAT INF 500 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VECTRINE DEXA CAPSULE 300 mg
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:44

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:40

Item
HALOPERIDOL INF 0.5 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:39

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:39

Item
ASAM MEFENAMAT INF 500 MG TABLET
ASAM TRANEKSAMAT 500/5 ML INJECTION
KALTROFEN KALBE SUPPOSITORY 100 mg
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:39

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:38

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
OMEPRAZOLE 40 MG INJECTION
METRONIDAZOLE 100 ML INFUSION
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:30

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 13:26

Item
MUSIN OTTO 120 ML SUSPENSION
PARACETAMOL INF TABLET 500 mg
ASPAR-K TABLET, COATED 300 mg
ONDANSETRON INF 4 MG INJECTION
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:53

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:51

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:49

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:49

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:48

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:48

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:48

Item
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:45

Item
DERMAFIX-1V
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:41

Item
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:32

Item
FOTARAM 1 g
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:32

Item
PANTOPRAZOLE INJECTION
ONDANSETRON INF 4 MG INJECTION
YAL JELLY SOLUTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:31

Item
SOCLOR TABLET
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:31

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:31

Item
PANTOPRAZOLE INJECTION
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
FLUCONAZOL INFUS 100 ML
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:30

Item
PANTOPRAZOLE INJECTION
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 12:30

Item
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 11:58

Item
SISTENOL TABLET, COATED 500 mg; 200 mg
CIPROFLOXACIN TABLET
PANTOPRAZOLE INJECTION
CEDANTRON 4 MG/ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 11:51

Item
SANMOL TABLET 500 mg
ONDANSENTRON INF 8 MG/4ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
SANBE HEST
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 10:36

Item
PANTOPRAZOLE INJECTION
OPIGRAN INJ 3
RING AS SANBE 500 ML
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 10:35

Item
KALTROFEN KALBE SUPPOSITORY 100 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
AMINOFLUID 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN

TOTAL

10 Mei 2013 10:19

Item
NOVALGIN SOLUTION, INJECTION 500 mg/ml
TUSLAH NON RACIKAN
TOTAL

10 Mei 2013 09:16

Item
TRANSFUSION SET JMS
INFUS SET JMS
IVENA IV CATH 20
IVENA IV CATH 22
DERMAFIX-1V
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

9 Mei 2013 22:24

Item
RING AS SANBE 500 ML
FUTROLIT INFUSION
VALAMIN SANBE INFUSION
SISTENOL TABLET, COATED 500 mg; 200 mg
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 17:48

Item
RING AS SANBE 500 ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 14:38

Item
CLOPIDOGREL 75 MG TABLET
RING AS SANBE 500 ML

HANDSCOON NON STERIL M (PCS)

INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
MICROPORE 1 INC
ANALSIK TABLET
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 14:20

Item
ANALSIK TABLET
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 14:15

Item
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
DERMAFIX-1V
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 14:04

Item
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 12:25

Item
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
IVENA IV CATH 22
TRANSFUSION SET JMS
INFUS SET JMS
MICROPORE 1/2 INC
TUSLAH NON RACIKAN

TOTAL

8 Mei 2013 12:25

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
CITICHOLIN 2 ML 125 MG/ML INJECTION
M-20 INFUSAN (MANITOL) 500 ML
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 12:23

Item
IOPAMIRO 300/ 50 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 12:20

Item
MERSITROPIL 3 GR INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
DERMAFIX-1V
MICROPORE 1 INC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 12:04

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 11:54

Item
SANMOL TABLET 500 mg
CURCUMA 200 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FLUCONAZOL INFUS 100 ML
WINGED NEEDLE NO. 23 JMS
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 09:12

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

8 Mei 2013 09:11

Item
TRANSFUSION SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 14:35

Item
SOHOLIN 125 MG/ML INJECTION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
VALAMIN SANBE INFUSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NEEDLE NO. 23 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 13:18

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 13:07

Item
PETHIDIN HCL KIMIA FARMA 50 MG INJECTION
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 12:21

Item
SANMOL TABLET 500 mg
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 10:39

Item
SANMOL TABLET 500 mg
CURCUMA 200 MG TABLET
COTRIMOXAZOLE 480 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FLUCONAZOLE 150 MG TABLET
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)

ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 10:36

Item
PARACETAMOL INF TABLET 500 mg
PANTOPRAZOLE INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DERMAFIX-1V
MICROPORE 1/2 INC
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 10:36

Item
KETOROLAC 30 MG SOLUTION, INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
PANTOPRAZOLE INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
SOHOLIN 125 MG/ML INJECTION
AMINOFLUID 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
BD VACUTAINER
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 10:27

Item
BD VACUTAINER
TUSLAH NON RACIKAN

TOTAL

7 Mei 2013 09:48

Item
DRAINAGE BAG STERIL
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 09:48

Item
DISP SYRINGE 10 CC
DEXTROSE 5% WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 09:48

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
IVENA IV CATH 22
NEEDLE NO. 23 THERUMO
TUSLAH NON RACIKAN
TOTAL

7 Mei 2013 09:38

Item
INFUS SET JMS
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 19:38

Item
CETIRIZINE 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 19:15

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
VALISANBE INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 17:21

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 13:53

Item
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 12:51

Item
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 12:24

Item

ARDIUM TABLET
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 12:24

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 12:16

Item
CURCUMA 200 MG TABLET
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 12:16

Item
DEXTROMETHORPHAN INF TABLET 15 MG
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 12:16

Item
AMINOFLUID 500 ML INFUSION
INPEPSA 100 ML SYRUP 500 mg/5 ml
PANTOPRAZOLE INJECTION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
PLASMINEX 100 MG/ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
SOHOLIN 125 MG/ML INJECTION

TUSLAH NON RACIKAN

TOTAL

6 Mei 2013 11:11

Item
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 10:23

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 10:23

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 10:14

Item
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 10:12

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 10:12

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
HANDSCOON GAMEX 6.5
DISP SYRINGE 10 CC

XYLOCAINE 2% 10 GM JELLY
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 10:12

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 10:06

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 09:57

Item
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 09:44

Item
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 09:44

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

6 Mei 2013 09:33

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

TUSLAH NON RACIKAN

TOTAL

6 Mei 2013 09:32

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 09:09

Item
ANALSIK TABLET
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 07:27

Item
DOBUTAMIN GENERIK 50 MG/ML
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 50 CC WITHOUT NED
THREE WAY STOPCOCK
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 07:23

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 07:21

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 07:18

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 07:18

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 00:38

Item
DOBUTAMIN GENERIK 50 MG/ML
IVENA IV CATH 22
HYPAFIX 5CM x 5 M
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 00:33

Item
FARMADOL 100 ML INFUSION
DOBUTAMIN GENERIK 50 MG/ML
EXTENSION TUBE ET 2 (DWS)
THREE WAY STOPCOCK
TUSLAH NON RACIKAN
TOTAL

5 Mei 2013 00:00

Item
CETIRIZINE 10 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 22:53

Item
IVENA IV CATH 22
IVENA IV CATH 24
TRANSFUSION SET JMS
BD VACUTAINER

SELANG OKSIGEN ADULT

STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 22:50

Item
COTRIMOXAZOLE 480 MG TABLET
PARACETAMOL INF TABLET 500 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
ONDANSETRON INF 4 MG INJECTION
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 22:47

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 22:45

Item
DISP SYRINGE 50 CC WITHOUT NED
HANDSCOON GAMEX 7
HANDSCOON GAMEX 7.5
XYLOCAINE 2% 10 GM JELLY
IVENA IV CATH 20
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 22:42

Item
IVENA IV CATH 22
INFUS SET JMS
BD VACUTAINER
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DERMAFIX-1V

TUSLAH NON RACIKAN

TOTAL

4 Mei 2013 22:40

Item
FARMADOL 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 22:39

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
BD VACUTAINER
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 19:37

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 19:37

Item
IVENA IV CATH 22
BD VACUTAINER
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 18:20

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 18:19

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 17:51

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 14:06

Item
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 13:38

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 12:38

Item
SIMVASTATIN GENERIK 10 MG TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 12:37

Item

OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 12:09

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
SANMOL INFUSION
AMLODIPIN 5 MG TABLET
THROMBO ASPILETS 100 MG TABLET
FUROSEMID INF TABLET
SOHOLIN 125 MG/ML INJECTION
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 12:00

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
URDAFALK CAPSULE 250 MG
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:24

Item
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
AMBROXOL INF 30 MG TABLET
CITICHOLIN 2 ML 125 MG/ML INJECTION
RING AS SANBE 500 ML

HANDSCOON NON STERIL S (PCS)

INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:21

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:09

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 11:09

Item
SANMOL TABLET 500 mg
CURCUMA 200 MG TABLET
RANITIDINE GENERIK 25 MG/ML INJECTION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

4 Mei 2013 10:20

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 23:18

Item
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 21:00

Item
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 20:59

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 18:08

Item
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 16:36

Item
SIMVASTATIN GENERIK 10 MG TABLET
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
HANDSCOON NON STERIL M (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 14:46

Item
SOHOLIN 125 MG/ML INJECTION

TERFACEF INJECTION 1 g
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
FUTROLIT INFUSION
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
AMLODIPIN 5 MG TABLET
GEMFIBROZIL INF 300 MG TABLET
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
H.C.T 25 MG TABLET
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 14:31

Item
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 14:03

Item
NACL CAPS 500 mg CAPSULE
TUSLAH RACIKAN
EMBALASE
ONDANSETRON INF 4 MG INJECTION
PRONALGES SUPPOSITORY 100 MG
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 13:46

Item
ATORVASTATIN 20 MG TABLET
SCANTAREN 20 GM GEL 1 %WW
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 12:48

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 12:45

Item
OMEPRAZOLE 40 MG INJECTION
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 12:42

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
RING AS SANBE 500 ML
ALKOHOL SWAB
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 12:14

Item
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 11:38

Item
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA ( NACL ) OTSU 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 11:18

Item
SANMOL TABLET 500 mg
METFORMIN HCL 500 MG TABLET
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 11:00

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 11:00

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:49

Item

AMINORAL TABLET
CEDANTRON 4 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
PROCAINE PENICILLIN-G MEIJI
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:48

Item
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:38

Item
PARACETAMOL INF TABLET 500 mg
SANPRIMA SANBE 480 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 10:13

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN

TOTAL

3 Mei 2013 09:56

Item
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 09:31

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUZALOS TABLET
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 09:30

Item
PARACETAMOL INF TABLET 500 mg
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 09:30

Item
PARACETAMOL INF TABLET 500 mg
DOMPERIDON INF TABLET 10 MG
RANITIDINE GENERIK 25 MG/ML INJECTION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
IVENA IV CATH 20
INFUS SET JMS
TRANSFUSION SET JMS

DERMAFIX-1V
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 09:20

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
FARMADOL 100 ML INFUSION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
IVENA IV CATH 22
TRANSFUSION SET JMS
INFUS SET JMS
DERMAFIX-1V
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 09:01

Item
PROPANOLOL 10 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
PANTOPRAZOLE INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
MICROPORE 1 INC
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 09:01

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
PANTOPRAZOLE INJECTION
RINGER LACTATE WIDATRA 500 ML
HANDSCOON NON STERIL S (PCS)
INFUS SET JMS
TRANSFUSION SET JMS
IVENA IV CATH 22
IVENA IV CATH 20
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION

TUSLAH NON RACIKAN

TOTAL

3 Mei 2013 07:01

Item
IVENA IV CATH 24
DOBUJECT 50 MG/ML INJECTION
VASCON SOLUTION, INJECTION 4 MG/4 ML
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 02:57

Item
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
IVENA IV CATH 22
IVENA IV CATH 20
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 02:57

Item
FOLLEY CATHETER 12 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
DISP SYRINGE 3 CC
IVENA IV CATH 22
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

3 Mei 2013 00:07

Item
RING AS SANBE 500 ML
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 23:52

Item
AMINOFLUID 500 ML INFUSION
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 23:51

Item
KA-EN 3B 500 ML INFUSION
TRANSFUSION SET JMS
BD VACUTAINER
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 23:49

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
RING AS SANBE 500 ML
CEDOCARD 10 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 23:48

Item
IVENA IV CATH 22
BD VACUTAINER
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 23:23

Item
IVENA IV CATH 18
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 23:21

Item
CAPTOPRIL 12.5 MG TABLET
CLOPIDOGREL 75 MG TABLET
FUROSEMID INF INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 23:20

Item
DOBUJECT 50 MG/ML INJECTION
THREE WAY STOPCOCK
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 20 CC WIHTOUT NED
IVENA IV CATH 20
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 20:03

Item
BETAHISTIN TABLET
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 18:55

Item
DULCOLAX SUPPOSITORY 10 mg
DULCOLAX 5 MG TABLET
YAL JELLY SOLUTION
IVENA IV CATH 18
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 18:46

Item
IVENA IV CATH 24
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 17:19

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 13:37

Item
OMEPRAZOLE 40 MG INJECTION
PRIMPERAN MG INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 13:25

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC

TUSLAH NON RACIKAN

TOTAL

2 Mei 2013 13:20

Item
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 13:05

Item
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:50

Item
OMEPRAZOLE GEN 20 MG CAPSULE
DOMPERIDON INF TABLET 10 MG
RING AS SANBE 500 ML
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:31

Item
PARACETAMOL INF TABLET 500 mg
SANPRIMA SANBE 480 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
AMINOFLUID 500 ML INFUSION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:18

Item
DISP SYRINGE 3 CC
INFUS SET JMS
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:17

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:17

Item
CEFIXIME GENERIK CAPSULE
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:17

Item
OMEPRAZOLE GEN 20 MG CAPSULE
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:17

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 12:16

Item
PARACETAMOL INF TABLET 500 mg
RANITIDINE INF TABLET 150 MG
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
FG TROCHES MEIJI
BD VACUTAINER
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 11:26

Item
SANMOL TABLET 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 11:02

Item
THROMBO ASPILETS 100 MG TABLET
HYPERIL 5 MG TABLET
FUROSEMID INF TABLET
SOHOLIN 125 MG/ML INJECTION
HANDSCOON NON STERIL S (PCS)
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
ALKOHOL SWAB
RANITIDINE GENERIK 25 MG/ML INJECTION
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 10:26

Item
ASAM MEFENAMAT INF 500 MG TABLET
LESICHOL-300
RANITIDINE GENERIK 25 MG/ML INJECTION
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 10:06

Item
PROPANOLOL 10 MG TABLET
ISOSORBIDE DINITRATE INF TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 09:50

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
DERMAFIX-1V
NATRIUM KLORIDA (NACL) 0.9% WIDATRA 1000 ML INFUSION
YAL JELLY SOLUTION
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 09:39

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

2 Mei 2013 09:39

Item
IVENA IV CATH 22

TUSLAH NON RACIKAN

TOTAL

2 Mei 2013 09:32

Item
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 18:56

Item
METFORMIN HCL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 14:21

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:57

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
DERMAFIX-1V
ALKOHOL SWAB
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:51

Item
CIPROFLOXACIN TABLET
KETOROLAC 30 MG SOLUTION, INJECTION

RANITIDINE GENERIK 25 MG/ML INJECTION

DISP SYRINGE 3 CC
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:46

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:20

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:07

Item
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:07

Item
CAPTOPRIL 12.5 MG TABLET
V-BLOC 6,25MG TABLET
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 13:02

Item

GEMFIBROZIL INF 300 MG TABLET

ALLOPURINOL INF TABLET 100 MG
AMINORAL TABLET
CEDANTRON 4 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
PROCAINE PENICILLIN-G MEIJI
FARMADOL 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 12:14

Item
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 12:14

Item
PARACETAMOL INF TABLET 500 mg
CEFADROXIL INF CAPSULE 500 MG
HANDSCOON NON STERIL S (PCS)
ALKOHOL SWAB
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 11:56

Item
HANDSCOON NON STERIL M (PCS)
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 11:42

Item
BISOPROLOL 5 MG TABLET
AMLODIPIN 5 MG TABLET

GEMFIBROZIL INF 300 MG TABLET

THROMBO ASPILETS 100 MG TABLET
H.C.T 25 MG TABLET
SOHOLIN 500MG TAB
HANDSCOON NON STERIL S (PCS)
RANITIDINE GENERIK 25 MG/ML INJECTION
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 11:39

Item
SANMOL TABLET 500 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 09:05

Item
IVENA IV CATH 24
IVENA IV CATH 22
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 09:05

Item
PARACETAMOL INF TABLET 500 mg
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

1 Mei 2013 09:01

Item
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAMSOSTEK
Quantity
1,00
1,00
2,00

Depo
Depo IGD
Subtotal
VIL
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
TAB
VIL
UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
BAG
UNT

ASKES
Quantity
1,00
1,00

Depo Atas
Subtotal
AMP
UNT

ASKES
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

JPK PNS
Quantity
3,00
3,00
10,00
5,00
1,00

Depo Atas
Subtotal
BOT
AMP
PKG
UNT
UNT

Pasien
Penjamin
47025
47025
3300
3300
1000
1000
51325
51325

Pasien

0
0
0
0

Penjamin
96
85272
1997
14988
2000
104353

0
0
0
0
0
0

Pasien
Penjamin
9633
9633
500
500
10133
10133

0
0
0

Pasien
Penjamin
5672
5672
500
500
6172
6172

0
0
0

Pasien
Penjamin
17016
17016
500
500
17516
17516

0
0
0

Pasien
Penjamin
168300
168300
211314
211314
5020
5020
1780
1780
14988
14988

0
0
0
0
0

96
85272
1997
14988
2000
104353

5,00

UNT

JPK PNS
Quantity
2,00
2,00
2,00
3,00

Depo Atas
Subtotal
BOT
AMP
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

JPK PNS
Quantity
1,00
1,00
3,00
2,00
1,00
10,00
10,00
3,00
8,00
1,00
10,00

Depo Atas
Subtotal
VIL
AMP
AMP
VIL
BOT
PKG
UNT
UNT
PKG
UNT
UNT

JPK PNS
Quantity
3,00
2,00
3,00
2,00
4,00
10,00
10,00
2,00
3,00

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
BOT
PKG
UNT
UNT
PKG

2500
403902

2500
403902

0
0

Pasien
Penjamin
32834
32834
11344
11344
1044
1044
1500
1500
46722
46722

0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
72496
72496
1740
1740
20790
20790
12548
12548
16417
16417
5020
5020
3560
3560
4620
4620
4176
4176
26600
26600
5000
5000
172967
172967

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1584
1584
170544
170544
17016
17016
112200
112200
65668
65668
5020
5020
3560
3560
3080
3080
1566
1566

0
0
0
0
0
0
0
0
0

2,00
1,00
11,00

UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00
1,00
10,00
10,00
1,00
6,00

Depo Atas
Subtotal
TAB
TAB
BOT
PKG
UNT
UNT
UNT

JPK PNS
Quantity
2,00
10,00
5,00
3,00
4,00

Depo Atas
Subtotal
BOT
PKG
UNT
PKG
UNT

UMUM
Quantity
3,00
2,00
10,00
3,00
10,00
1,00
6,00

Depo Atas
Subtotal
TAB
PKG
UNT
BAG
PKG
UNT
UNT

UMUM
Quantity
2,00
3,00
3,00
3,00
2,00

Depo Atas
Subtotal
VIL
AMP
AMP
AMP
AMP

1374
26600
5500
413712

1374
26600
5500
413712

0
0
0
0

Pasien
Penjamin
1059
1059
501
501
16417
16417
5020
5020
3560
3560
26600
26600
3000
3000
56157
56157

0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
5020
5020
1780
1780
1566
1566
2000
2000
43200
43200

0
0
0
0
0
0

Pasien

Penjamin
741
1044
3560
56379
5020
26600
3000
96344

0
0
0
0
0
0
0
0

Pasien
Penjamin
81600
81600
46191
46191
20790
20790
5220
5220
13090
13090

0
0
0
0
0

741
1044
3560
56379
5020
26600
3000
96344

4,00
8,00
10,00
5,00
1,00
4,00
11,00

UNT
PKG
PKG
UNT
UNT
BOT
UNT

ASKES
Quantity
2,00
3,00
1,00
2,00
2,00
3,00
10,00
10,00
2,00
5,00
3,00
11,00

Depo Atas
Subtotal
BOT
TAB
UNT
VIL
VIL
AMP
PKG
UNT
UNT
PKG
UNT
UNT

JPK PNS
Quantity
1,00
3,00
3,00
3,00
10,00
10,00
5,00
3,00
1,00
9,00

Depo Atas
Subtotal
VIL
AMP
BOT
AMP
PKG
UNT
UNT
PKG
UNT
UNT

JPK PNS
Quantity
2,00
2,00
10,00

Depo Atas
Subtotal
AMP
BOT
PKG

6160
4176
5020
1780
26600
65668
5500
281795

6160
4176
5020
1780
26600
65668
5500
281795

0
0
0
0
0
0
0
0

Pasien
Penjamin
112200
112200
501
501
26600
26600
224400
224400
170544
170544
17016
17016
5020
5020
3560
3560
3080
3080
2610
2610
2061
2061
5500
5500
573092
573092

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
17016
17016
49251
49251
158400
158400
5020
5020
3560
3560
7700
7700
1566
1566
26600
26600
4500
4500
358885
358885

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3480
3480
32834
32834
5020
5020

0
0
0

10,00
3,00
6,00
1,00
7,00

UNT
UNT
PKG
UNT
UNT

ASKES
Quantity
2,00
1,00
1,00
2,00
10,00
10,00
1,00
4,00
4,00
9,00

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
PKG
UNT
UNT
UNT
PKG
UNT

ASKES
Quantity
1,00
3,00
1,00
10,00
10,00
6,00
1,00
7,00

Depo Atas
Subtotal
TAB
TAB
AMP
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
6,00
4,00
1,00
10,00
10,00
10,00
1,00
3,00

Depo Atas
Subtotal
TAB
TAB
UNT
UNT
PKG
UNT
UNT
UNT

3560
4620
3132
26600
3500
82746

3560
4620
3132
26600
3500
82746

0
0
0
0
0
0

Pasien
Penjamin
1046
1046
72496
72496
5672
5672
32834
32834
5020
5020
3560
3560
26600
26600
6160
6160
2088
2088
4500
4500
159976
159976

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
507
507
17820
17820
5020
5020
3560
3560
9240
9240
26600
26600
3500
3500
76147
76147

0
0
0
0
0
0
0
0
0

Pasien
756
876
3500
3500
5020
3560
26600
1500
45312

Penjamin
756
876
3500
3500
5020
3560
26600
1500
45312

0
0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
10,00
6,00
6,00
20,00
10,00
6,00
6,00
1,00
1,00
9,00

Depo Atas
Subtotal
TAB
AMP
VIL
PKG
UNT
UNT
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
10,00
10,00
8,00
20,00
10,00
6,00
1,00
1,00
8,00

Depo Atas
Subtotal
TAB
TAB
AMP
PKG
UNT
PKG
UNT
UNT
UNT

Pasien
Penjamin
1260
1260
17346
17346
68310
68310
10040
10040
3560
3560
9240
9240
3132
3132
14988
14988
16335
16335
4500
4500
148711
148711

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
67716
67716
26950
26950
12610
12610
16335
16335
14988
14988
2500
2500
141099
141099

0
0
0
0
0
0
0

Pasien
Penjamin
12610
12610
500
500
13110
13110

0
0
0

Pasien
Penjamin
1260
1260
370
370
23128
23128
10040
10040
3560
3560
3132
3132
8415
8415
14988
14988
4000
4000
68893
68893

0
0
0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
10,00
6,00
20,00
10,00
6,00
1,00
1,00
7,00

Depo Atas
Subtotal
TAB
AMP
PKG
UNT
PKG
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
2,00
1,00
10,00
10,00
2,00
1,00
8,00

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
PKG
UNT
CAP
UNT
UNT

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
BAG
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
TAB
UNT

ASKES
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

Pasien
Penjamin
1260
1260
17346
17346
10040
10040
3560
3560
3132
3132
8415
8415
14988
14988
3500
3500
62241
62241

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8151
8151
4488
4488
22770
22770
142560
142560
5020
5020
3560
3560
10454
10454
26600
26600
4000
4000
227603
227603

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
500
500
38086
38086

0
0
0

Pasien

Penjamin
450
450
500
500
950
950

0
0
0

Pasien
Penjamin
17016
17016
500
500

0
0

17516

UMUM
Quantity
1,00
6,00
2,00

Depo Atas
Subtotal
TAB
AMP
UNT

UMUM
Quantity
2,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

UMUM
Quantity
2,00
1,00

Depo Atas
Subtotal
TAB
UNT

UMUM
Quantity
1,00
1,00
2,00
4,00
2,00
1,00
1,00
7,00

Depo Atas
Subtotal
VIL
BOT
PKG
UNT
VIL
BOT
PKG
UNT

JPK PNS
Quantity
1,00
1,00
5,00
2,00
4,00

Depo Atas
Subtotal
VIL
BOT
UNT
PKG
UNT

17516

Pasien
Penjamin
8151
8151
79110
79110
1000
1000
88261
88261

0
0
0
0

Pasien
Penjamin
6600
6600
500
500
7100
7100

0
0
0

Pasien
Penjamin
1654
1654
500
500
2154
2154

0
0
0

Pasien
Penjamin
131319
131319
9096
9096
1044
1044
6160
6160
20064
20064
3560
3560
43313
43313
3500
3500
218056
218056

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
16417
16417
1780
1780
1044
1044
2000
2000
106513
106513

0
0
0
0
0
0

ASKES
Quantity
1,00
2,00
6,00
2,00
10,00
10,00
6,00
1,00
2,00
9,00

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
PKG
UNT
UNT
PKG
PKG
UNT

ASKES
Quantity
2,00
1,00
2,00
2,00
3,00
10,00
10,00
2,00
1,00
9,00

Depo Atas
Subtotal
AMP
TAB
BOT
VIL
VIL
PKG
UNT
UNT
UNT
UNT

ASKES
Quantity
3,00
10,00
10,00
3,00
1,00
3,00
2,00
6,00
8,00

Depo Atas
Subtotal
VIL
PKG
UNT
UNT
TAB
TAB
AMP
PKG
UNT

ASKES
Quantity

Depo Atas
Subtotal

Pasien
Penjamin
9900
9900
338
338
106920
106920
32834
32834
5020
5020
3560
3560
9240
9240
2970
2970
1044
1044
4500
4500
176326
176326

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11344
11344
167
167
112200
112200
224400
224400
255816
255816
5020
5020
3560
3560
3080
3080
1275
1275
4500
4500
621362
621362

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
255816
255816
5020
5020
3560
3560
4620
4620
2052
2052
501
501
11344
11344
3132
3132
4000
4000
290045
290045

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin

3,00
4,00
1,00
3,00
1,00
2,00
10,00
10,00
4,00
3,00
10,00

TAB
VIL
VIL
AMP
PKG
BOT
PKG
UNT
UNT
PKG
UNT

JPK PNS
Quantity
3,00
3,00
1,00
6,00
10,00
10,00
2,00
1,00
8,00

Depo Atas
Subtotal
AMP
VIL
UNT
PKG
PKG
UNT
BOT
UNT
UNT

JPK PNS
Quantity
1,00
1,00
1,00
10,00
10,00
5,00

Depo Atas
Subtotal
TAB
TAB
TAB
PKG
UNT
UNT

JPK PNS
Quantity
1,00
3,00
3,00
3,00
1,00
1,00

Depo Atas
Subtotal
VIL
BOT
AMP
UNT
UNT
PKG

1569
448800
72496
17016
2970
32834
5020
3560
6160
1566
5000
596991

1569
448800
72496
17016
2970
32834
5020
3560
6160
1566
5000
596991

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5220
5220
217488
217488
1540
1540
3132
3132
5020
5020
3560
3560
32834
32834
16335
16335
4000
4000
289129
289129

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
1451
1451
827
827
5020
5020
3560
3560
2500
2500
23258
23258

0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
168300
168300
211314
211314
2061
2061
14988
14988
2970
2970

0
0
0
0
0
0

10,00
7,00

UNT
UNT

JPK PNS
Quantity
3,00
3,00
3,00
2,00
6,00
3,00
10,00
3,00
2,00
10,00
1,00
11,00

Depo Atas
Subtotal
BOT
AMP
VIL
UNT
PKG
UNT
PKG
AMP
BOT
UNT
PKG
UNT

JPK PNS
Quantity
3,00
3,00
1,00
10,00
10,00
3,00
6,00
1,00
8,00

Depo Atas
Subtotal
VIL
AMP
BOT
PKG
UNT
UNT
PKG
PKG
UNT

JPK PNS
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
TAB
TAB

3560
3500
491965

3560
3500
491965

0
0
0

Pasien
Penjamin
49251
49251
158400
158400
255816
255816
3080
3080
3132
3132
2061
2061
5020
5020
28803
28803
112200
112200
3560
3560
2970
2970
5500
5500
629793
629793

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
217488
217488
5220
5220
16417
16417
5020
5020
3560
3560
4620
4620
3132
3132
2970
2970
4000
4000
262427
262427

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5445
5445
500
500
5945
5945

0
0
0

Pasien
Penjamin
9900
9900
501
501

0
0

1,00
1,00
4,00

TAB
TAB
UNT

UMUM
Quantity
3,00
3,00
2,00
3,00
5,00
3,00
6,00

Depo Atas
Subtotal
TAB
AMP
VIL
AMP
UNT
UNT
UNT

UMUM
Quantity
4,00
2,00
4,00
4,00
5,00
5,00

Depo Atas
Subtotal
TAB
AMP
UNT
BOT
UNT
UNT

UMUM
Quantity
3,00
6,00
5,00
2,00
4,00

Depo Atas
Subtotal
TAB
BOT
UNT
UNT
UNT

UMUM
Quantity
2,00
2,00
4,00
4,00
1,00
4,00

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
VIL
TAB

5016
1451
2000
18868

5016
1451
2000
18868

0
0
0
0

Penjamin
741
17016
170544
34317
6375
4620
3000
236613

0
0
0
0
0
0
0
0

Penjamin
988
5782
5100
65668
1780
2500
81818

0
0
0
0
0
0
0

Penjamin
741
54576
1780
2550
2000
61647

0
0
0
0
0
0

Pasien
Penjamin
16680
16680
36
36
168988
168988
40128
40128
145860
145860
1124
1124

0
0
0
0
0
0

Pasien
741
17016
170544
34317
6375
4620
3000
236613

Pasien
988
5782
5100
65668
1780
2500
81818

Pasien
741
54576
1780
2550
2000
61647

1,00
3,00
6,00
1,00
1,00
4,00
10,00
10,00
14,00

TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT

UMUM
Quantity
1,00
2,00
2,00
2,00
10,00
10,00
2,00
2,00
8,00

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
10,00
10,00
6,00
2,00
2,00
1,00
1,00
4,00
4,00
1,00
1,00
17,00

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
BOT
AMP
PKG
UNT
UNT
UNT
VIL
CAP
TAB
TAB
TAB
TAB
AMP
UNT

141
327
516
792
116
2376
5020
3560
7000
392664

Pasien
827
224400
30794
32834
5020
3560
2550
3080
4000
307065

Pasien
116
7854
22770
72496
16417
11684
5020
3560
7650
3080
24830
1106
116
2376
1124
49
5672
8500
194420

141
327
516
792
116
2376
5020
3560
7000
392664

0
0
0
0
0
0
0
0
0
0

Penjamin
827
224400
30794
32834
5020
3560
2550
3080
4000
307065

0
0
0
0
0
0
0
0
0
0

Penjamin
116
7854
22770
72496
16417
11684
5020
3560
7650
3080
24830
1106
116
2376
1124
49
5672
8500
194420

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UMUM
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

UMUM
Quantity
1,00
1,00
1,00
3,00

Emergency Mawar
Subtotal
UNT
TUB
UNT
UNT

UMUM
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
BOT
UNT

JPK PNS
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT

JPK PNS
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
BOT
UNT

ASKES
Quantity
2,00
1,00

Emergency Anggrek
Subtotal
UNT
UNT

Pasien
Penjamin
5445
5445
500
500
5945
5945

0
0
0

Pasien
Penjamin
12610
12610
56262
56262
16088
16088
1500
1500
86460
86460

0
0
0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
1540
1540
8415
8415
18343
18343
5809
5809
5280
5280
2500
2500
41887
41887

0
0
0
0
0
0
0

Pasien
Penjamin
2640
2640
500
500
3140
3140

0
0
0

Pasien
Penjamin
29976
29976
687
687

0
0

2,00
3,00

TAB
UNT

JPK PNS
Quantity
1,00
1,00
1,00
3,00

Emergency Anggrek
Subtotal
UNT
BOT
UNT
UNT

JPK PNS
Quantity
1,00
2,00
1,00
1,00
1,00
1,00
6,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT
UNT
UNT
BOT
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

JPK PNS
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

JPK PNS
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

252
1500
32415

252
1500
32415

0
0
0

Pasien
Penjamin
8415
8415
16417
16417
14988
14988
1500
1500
41320
41320

0
0
0
0
0

Pasien
Penjamin
1540
1540
2550
2550
16335
16335
14988
14988
8415
8415
2640
2640
3000
3000
49468
49468

0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
5445
5445
500
500
5945
5945

0
0
0

Pasien
Penjamin
9900
9900
546
546
1000
1000
11446
11446

0
0
0
0

UMUM
Quantity
1,00
2,00
2,00
5,00
10,00
10,00
2,00
7,00

Depo IGD
Subtotal
AMP
VIL
VIL
UNT
UNT
PKG
BOT
UNT

JPK PNS
Quantity
3,00
1,00

Depo Atas
Subtotal
VIL
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
AMP
UNT

ASKES
Quantity
3,00
1,00

Depo Atas
Subtotal
VIL
UNT

UMUM
Quantity
1,00
5,00
2,00

Depo Atas
Subtotal
VIL
AMP
UNT

JPK PNS
Quantity
1,00
3,00

Depo Atas
Subtotal
VIL
BOT

Pasien
Penjamin
12524
12524
221258
221258
144992
144992
6375
6375
3560
3560
5020
5020
5280
5280
3500
3500
402509
402509

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
370260
370260
500
500
370760
370760

0
0
0

Pasien
Penjamin
100980
100980
500
500
101480
101480

0
0
0

Pasien
Penjamin
370260
370260
500
500
370760
370760

0
0
0

Pasien
Penjamin
142560
142560
65925
65925
1000
1000
209485
209485

0
0
0
0

Pasien
Penjamin
85272
85272
168300
168300

0
0

1,00
5,00
4,00

AMP
UNT
UNT

UMUM
Quantity
3,00
2,00
3,00
4,00
5,00
3,00
5,00
7,00

Depo Atas
Subtotal
AMP
VIL
AMP
BOT
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
1,00

Depo Atas
Subtotal
VIL
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

ASKES
Quantity
1,00
3,00
2,00
3,00
10,00
10,00
6,00
6,00
8,00

Depo Atas
Subtotal
TAB
AMP
VIL
AMP
PKG
UNT
UNT
UNT
UNT

70438
1780
2000
327790

70438
1780
2000
327790

0
0
0
0

Pasien
Penjamin
124740
124740
170544
170544
34317
34317
36384
36384
6375
6375
4620
4620
1780
1780
3500
3500
382260
382260

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
2052
2052
17016
17016
170544
170544
5220
5220
5020
5020
3560
3560
7650
7650
9240
9240
4000
4000
224302
224302

0
0
0
0
0
0
0
0
0
0

JPK PNS
Quantity
3,00
2,00
10,00
10,00
6,00
6,00
6,00

Depo Atas
Subtotal
AMP
BOT
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
3,00
2,00
10,00
10,00
2,00
5,00
7,00

Depo Atas
Subtotal
BOT
AMP
BOT
PKG
UNT
UNT
UNT
UNT

ASKES
Quantity
4,00
2,00
2,00
10,00
10,00
3,00
4,00
7,00

Depo Atas
Subtotal
VIL
AMP
BOT
PKG
UNT
UNT
UNT
UNT

ASKES
Quantity
3,00
2,00
3,00
10,00
10,00
2,00
3,00

Depo Atas
Subtotal
BOT
VIL
AMP
PKG
UNT
UNT
UNT

Pasien
Penjamin
5220
5220
32834
32834
5020
5020
3560
3560
7650
7650
9240
9240
3000
3000
66524
66524

0
0
0
0
0
0
0
0

Pasien
Penjamin
65340
65340
28803
28803
112200
112200
5020
5020
3560
3560
1374
1374
6375
6375
3500
3500
226172
226172

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
448800
448800
19202
19202
32834
32834
5020
5020
3560
3560
3825
3825
6160
6160
3500
3500
522901
522901

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
168300
168300
170544
170544
17016
17016
5020
5020
3560
3560
3080
3080
2061
2061

0
0
0
0
0
0
0

2,00
8,00

VIL
UNT

JPK PNS
Quantity
1,00
10,00
1,00
3,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

JPK PNS
Quantity
2,00
3,00
2,00
10,00
10,00
6,00
6,00

Depo Atas
Subtotal
VIL
AMP
BOT
PKG
UNT
UNT
UNT

JPK PNS
Quantity
5,00
1,00

Depo Atas
Subtotal
UNT
UNT

JPK PNS
Quantity
1,00
10,00
2,00

Depo Atas
Subtotal
BAG
TAB
UNT

UMUM
Quantity
3,00
5,00
5,00
5,00

Depo Atas
Subtotal
AMP
UNT
BOT
UNT

224400
4000
597981

224400
4000
597981

0
0
0

Pasien
Penjamin
9900
9900
5020
5020
356
356
1500
1500
16776
16776

0
0
0
0
0

Pasien
Penjamin
170544
170544
5220
5220
32834
32834
5020
5020
3560
3560
7650
7650
3000
3000
227828
227828

0
0
0
0
0
0
0
0

Pasien
Penjamin
1780
1780
500
500
2280
2280

0
0
0

Pasien
Penjamin
18793
18793
29110
29110
1000
1000
48903
48903

0
0
0
0

Pasien
Penjamin
74844
74844
6375
6375
45480
45480
1780
1780

0
0
0
0

4,00

UNT

UMUM
Quantity
2,00
2,00
4,00
5,00
1,00
5,00

Depo Atas
Subtotal
VIL
BOT
UNT
UNT
BOT
UNT

UMUM
Quantity
4,00
2,00
4,00
4,00
5,00
5,00

Depo Atas
Subtotal
TAB
AMP
UNT
BOT
UNT
UNT

UMUM
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

UMUM
Quantity
2,00
1,00
3,00
2,00
1,00
2,00
10,00
10,00
5,00
4,00
1,00
3,00

Depo Atas
Subtotal
TAB
TAB
TAB
VIL
BOT
AMP
PKG
UNT
UNT
UNT
TAB
TAB

2000
130479

2000
130479

0
0

Pasien
Penjamin
262638
262638
18192
18192
6160
6160
1780
1780
2640
2640
2500
2500
293910
293910

0
0
0
0
0
0
0

Pasien

Penjamin
988
5782
5100
65668
1780
2500
81818

0
0
0
0
0
0
0

Pasien
Penjamin
3300
3300
500
500
3800
3800

0
0
0

988
5782
5100
65668
1780
2500
81818

Pasien
232
7854
3960
22770
16417
11684
5020
3560
6375
6160
2922
234

Penjamin
232
7854
3960
22770
16417
11684
5020
3560
6375
6160
2922
234

0
0
0
0
0
0
0
0
0
0
0
0

2,00
13,00

TAB
UNT

UMUM
Quantity
3,00
1,00
6,00
1,00
2,00
10,00
10,00
1,00
3,00
3,00
1,00
1,00
2,00
2,00
2,00
3,00
16,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
BOT
PKG
UNT
UNT
UNT
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT

UMUM
Quantity
1,00
1,00

Emergency Anggrek VIP

Subtotal
UNT
UNT

ASKES
Quantity
1,00
2,00
1,00
1,00
1,00
5,00

Emergency Anggrek VIP

Subtotal
UNT
BOT
UNT
UNT
BAG
UNT

ASKES
Quantity

Emergency Anggrek VIP

Subtotal

76
6500
93764

76
6500
93764

0
0
0

Penjamin
327
122
516
1451
32834
5020
3560
1275
4620
3960
792
116
562
1188
36
437580
8000
501959

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1275
1275
500
500
1775
1775

0
0
0

Pasien
Penjamin
1275
1275
32834
32834
8415
8415
1540
1540
9633
9633
2500
2500
56197
56197

0
0
0
0
0
0
0

Pasien
327
122
516
1451
32834
5020
3560
1275
4620
3960
792
116
562
1188
36
437580
8000
501959

Pasien

Penjamin

1,00
1,00
1,00
3,00

BOT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

UMUM
Quantity
3,00
3,00
4,00
5,00
5,00
5,00

Depo IGD
Subtotal
TAB
UNT
BOT
PKG
UNT
UNT

JPK PNS
Quantity
5,00
10,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

UMUM
Quantity
3,00
3,00
5,00
10,00
5,00
5,00

Depo Atas
Subtotal
TAB
UNT
BOT
PKG
UNT
UNT

JPK PNS
Quantity
2,00

Depo Atas
Subtotal
AMP

16417
14988
14988
1500
47893

16417
14988
14988
1500
47893

0
0
0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien

Penjamin
741
3825
36384
2510
1780
2500
47740

0
0
0
0
0
0
0

Pasien
Penjamin
1780
1780
5020
5020
1000
1000
7800
7800

0
0
0
0

741
3825
36384
2510
1780
2500
47740

Pasien

Penjamin
378
3825
45480
5020
1780
2500
58983

0
0
0
0
0
0
0

Pasien
Penjamin
3480
3480

378
3825
45480
5020
1780
2500
58983

10,00
10,00
2,00
6,00
5,00

PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

JPK PNS
Quantity
3,00
3,00
2,00
3,00
10,00
10,00
2,00
3,00
8,00

Depo Atas
Subtotal
VIL
AMP
BOT
BOT
PKG
UNT
UNT
UNT
UNT

ASKES
Quantity
1,00
2,00
3,00
10,00
10,00
5,00
5,00
7,00

Depo Atas
Subtotal
TAB
VIL
AMP
PKG
UNT
UNT
UNT
UNT

ASKES
Quantity
3,00
3,00

Depo Atas
Subtotal
BOT
VIL

5020
3560
3080
7650
2500
25290

5020
3560
3080
7650
2500
25290

0
0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
1000
1000
9580
9580

0
0
0
0

Pasien
Penjamin
255816
255816
17016
17016
118800
118800
49251
49251
5020
5020
3560
3560
3080
3080
3825
3825
4000
4000
460368
460368

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
539
170544
5220
5020
3560
7700
6375
3500
202458

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
178200
178200
255816
255816

0
0

539
170544
5220
5020
3560
7700
6375
3500
202458

10,00
10,00
2,00
1,00
1,00
7,00

PKG
UNT
UNT
UNT
UNT
UNT

ASKES
Quantity
2,00
2,00
2,00
10,00
10,00
2,00
2,00
7,00

Depo Atas
Subtotal
VIL
AMP
BOT
PKG
UNT
UNT
UNT
UNT

ASKES
Quantity
1,00
2,00
2,00
10,00
10,00
4,00
3,00
7,00

Depo Atas
Subtotal
VIL
VIL
BOT
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
10,00
10,00
3,00
1,00
4,00

Depo Atas
Subtotal
PKG
UNT
AMP
UNT
UNT

UMUM
Quantity

Depo Atas
Subtotal

5020
3560
3080
1275
687
3500
451138

5020
3560
3080
1275
687
3500
451138

0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
11344
11344
32834
32834
5020
5020
3560
3560
2550
2550
3080
3080
3500
3500
232432
232432

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
224400
224400
32834
32834
5020
5020
3560
3560
6160
6160
3825
3825
3500
3500
364571
364571

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
5220
5220
16335
16335
2000
2000
32135
32135

0
0
0
0
0
0

Pasien

Penjamin

10,00
5,00
1,00
3,00
1,00
5,00

PKG
UNT
PKG
TAB
UNT
UNT

UMUM
Quantity
2,00
10,00
5,00
3,00

Depo Atas
Subtotal
BAG
PKG
UNT
UNT

UMUM
Quantity
2,00
3,00
2,00
1,00
10,00
10,00
1,00
1,00
8,00

Depo Atas
Subtotal
TAB
AMP
VIL
UNT
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity
1,00
2,00
1,00
2,00
10,00
10,00
1,00
7,00

Depo Atas
Subtotal
TAB
TAB
VIL
BOT
PKG
UNT
UNT
UNT

UMUM
Quantity

Depo Atas
Subtotal

5020
1780
2970
741
46101
2500
59112

5020
1780
2970
741
46101
2500
59112

0
0
0
0
0
0
0

Pasien
Penjamin
37586
37586
5020
5020
1780
1780
1500
1500
45886
45886

0
0
0
0
0

Pasien

Penjamin
384
140421
221258
3300
5020
3560
14988
16335
4000
409266

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
4990
4990
1332
1332
142560
142560
102432
102432
5020
5020
3560
3560
1275
1275
3500
3500
264669
264669

0
0
0
0
0
0
0
0
0

384
140421
221258
3300
5020
3560
14988
16335
4000
409266

Pasien

Penjamin

3,00
3,00
1,00
1,00
10,00
10,00
3,00
3,00
8,00

AMP
AMP
BOT
BOT
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
2,00
1,00
1,00
10,00
10,00
5,00
5,00
2,00
2,00
1,00
12,00

Depo Atas
Subtotal
TAB
VIL
TAB
TAB
TAB
PKG
UNT
UNT
UNT
TAB
TAB
VIL
UNT

UMUM
Quantity
3,00
10,00
10,00
3,00

Depo IGD
Subtotal
BAG
UNT
PKG
UNT

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

ASKES

Depo Atas

5220
34317
51216
16417
5020
3560
4620
3825
4000
128195

5220
34317
51216
16417
5020
3560
4620
3825
4000
128195

0
0
0
0
0
0
0
0
0
0

Penjamin
141
85272
2640
792
116
5020
3560
7700
6375
36
562
145860
6000
264074

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
56379
56379
3560
3560
5020
5020
1500
1500
66459
66459

0
0
0
0
0

Pasien
Penjamin
142560
142560
500
500
143060
143060

0
0
0

Pasien
141
85272
2640
792
116
5020
3560
7700
6375
36
562
145860
6000
264074

Quantity
3,00
1,00

Subtotal
BOT
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
AMP
UNT

ASURANSI JIWA SINARMAS MSIG

Quantity
20,00
20,00
4,00
4,00
1,00
1,00
20,00
2,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT

ASURANSI JIWA SINARMAS MSIG

Quantity
3,00
1,00
3,00
2,00
4,00

Depo Atas
Subtotal
TAB
VIL
UNT
BOT
UNT

ASKES
Quantity
2,00
2,00
10,00
10,00
3,00
5,00

Depo Atas
Subtotal
VIL
AMP
PKG
UNT
UNT
UNT

Pasien
Penjamin
168300
168300
500
500
168800
168800

0
0
0

Pasien
Penjamin
52800
52800
500
500
53300
53300

0
0
0

Pasien
Penjamin
4740
4740
9000
9000
548
548
876
876
196
196
3500
3500
1000
1000
1000
1000
20860
20860

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3231
3231
85272
85272
3825
3825
32834
32834
2000
2000
127162
127162

0
0
0
0
0
0

Pasien
Penjamin
170544
170544
11344
11344
5020
5020
3560
3560
4620
4620
2500
2500
197588
197588

0
0
0
0
0
0
0

JPK PNS
Quantity
3,00
2,00
2,00
1,00
10,00
10,00
3,00
3,00
1,00
1,00
10,00

Depo Atas
Subtotal
AMP
BOT
BOT
VIL
PKG
UNT
UNT
UNT
UNT
PKG
UNT

JPK PNS
Quantity
10,00
10,00
1,00
2,00
1,00
1,00
6,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
PKG
UNT
UNT

JPK PNS
Quantity
3,00
10,00
10,00
8,00
2,00
1,00
1,00
7,00

Depo Atas
Subtotal
VIL
PKG
UNT
UNT
UNT
PKG
UNT
UNT

UMUM
Quantity
1,00
2,00
1,00
1,00

Depo Atas
Subtotal
TAB
TAB
BOT
BOT

Pasien
Penjamin
17016
17016
118800
118800
32834
32834
154440
154440
5020
5020
3560
3560
3825
3825
4620
4620
46101
46101
2970
2970
5000
5000
394186
394186

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
1275
1275
3080
3080
2970
2970
46101
46101
3000
3000
65006
65006

0
0
0
0
0
0
0
0

Pasien
Penjamin
255816
255816
5020
5020
3560
3560
10200
10200
3080
3080
2970
2970
46101
46101
3500
3500
330247
330247

0
0
0
0
0
0
0
0
0

Pasien
827
1332
16417
51216

Penjamin
827
1332
16417
51216

0
0
0
0

10,00
2,00
1,00
1,00
8,00

PKG
UNT
UNT
PKG
UNT

UMUM
Quantity
6,00
1,00
1,00
1,00
10,00
10,00
4,00
4,00
2,00
3,00
10,00

Depo Atas
Subtotal
TAB
VIL
TAB
TAB
PKG
UNT
TAB
TAB
TAB
AMP
UNT

UMUM
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

UMUM
Quantity
4,00
1,00
3,00
3,00
3,00
5,00

Depo Atas
Subtotal
TAB
TAB
TAB
BOT
UNT
UNT

UMUM
Quantity
4,00
2,00
3,00

Depo Atas
Subtotal
BOT
TAB
UNT

5020
2550
1540
2970
4000
85872

5020
2550
1540
2970
4000
85872

0
0
0
0
0
0

Penjamin
516
85272
792
116
5020
3560
1124
2376
36
126741
5000
230553

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
500
500
10400
10400

0
0
0

Pasien
516
85272
792
116
5020
3560
1124
2376
36
126741
5000
230553

Pasien

Penjamin
988
450
1569
27288
3825
2500
36620

0
0
0
0
0
0
0

Pasien
Penjamin
36384
36384
474
474
3825
3825

0
0
0

988
450
1569
27288
3825
2500
36620

3,00

UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
UNT
UNT

UMUM
Quantity
1,00
1,00
1,00
10,00
4,00

Depo Atas
Subtotal
UNT
PKG
UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
BAG
UNT

1500
42183

1500
42183

0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
14988
14988
2970
2970
46101
46101
3560
3560
2000
2000
69619
69619

0
0
0
0
0
0

Pasien
Penjamin
5881
5881
500
500
6381
6381

0
0
0

Pasien
Penjamin
8415
8415
500
500
8915
8915

0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
37586
37586
500
500
38086
38086

0
0
0

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
14988
14988
12610
12610
26611
26611
1500
1500
55709
55709

0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
SUP
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

Depo IGD
Subtotal
VIL
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

Depo IGD
Subtotal
VIL
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
VIL
UNT
BOT

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
16335
16335
8415
8415
14988
14988
1500
1500
41238
41238

0
0
0
0
0

Pasien
Penjamin
25260
25260
500
500
25760
25760

0
0
0

Pasien
Penjamin
137940
137940
3080
3080
32834
32834
1500
1500
175354
175354

0
0
0
0
0

Pasien
Penjamin
137940
137940
3080
3080
32834
32834
1500
1500
175354
175354

0
0
0
0
0

Pasien
Penjamin
137940
137940
3080
3080
32834
32834

0
0
0

3,00

UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

Depo IGD
Subtotal
VIL
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

Depo IGD
Subtotal
VIL
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

Depo IGD
Subtotal
VIL
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

Depo IGD
Subtotal
AMP
BAG
UNT
UNT
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00

Depo IGD
Subtotal
AMP

1500
175354

1500
175354

0
0

Pasien
Penjamin
137940
137940
3080
3080
32834
32834
1500
1500
175354
175354

0
0
0
0
0

Pasien
Penjamin
137940
137940
3080
3080
32834
32834
1500
1500
175354
175354

0
0
0
0
0

Pasien
Penjamin
137940
137940
3080
3080
32834
32834
1500
1500
175354
175354

0
0
0
0
0

Pasien
Penjamin
124740
124740
9633
9633
12610
12610
20213
20213
26950
26950
8415
8415
14988
14988
3500
3500
221049
221049

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
29904
29904

1,00

UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
AMP
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
BOT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
UNT
UNT

500
30404

500
30404

0
0

Pasien
Penjamin
29904
29904
500
500
30404
30404

0
0
0

Pasien
Penjamin
3480
3480
14988
14988
1000
1000
19468
19468

0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1275
1275
1898
1898
5881
5881
2970
2970
3000
3000
46347
46347

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1898
1898
2970
2970
1275
1275
2500
2500
39966
39966

0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
18343
18343

0
0
0

1,00
4,00

BOT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00

Depo IGD
Subtotal
AMP
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

5881
2000
57547

5881
2000
57547

0
0
0

Pasien
Penjamin
27640
27640
7392
7392
1000
1000
36032
36032

0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
18343
18343
1500
1500
51166
51166

0
0
0
0
0

Pasien
Penjamin
16335
16335
12012
12012
56262
56262
1500
1500
86109
86109

0
0
0
0
0

Pasien
Penjamin
187110
187110
14988
14988
8415
8415
1500
1500
212013
212013

0
0
0
0
0

Pasien
Penjamin
18343
18343
16335
16335
5881
5881
26535
26535
2000
2000

0
0
0
0
0

69094

UMUM
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
TUB
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00
1,00
7,00

Depo IGD
Subtotal
UNT
UNT
PKG
UNT
UNT
UNT
TUB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

Depo IGD
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

69094

Pasien
Penjamin
16088
16088
56262
56262
12012
12012
1500
1500
85862
85862

0
0
0
0
0

Pasien
Penjamin
18343
18343
16335
16335
8415
8415
1500
1500
44593
44593

0
0
0
0
0

Pasien
Penjamin
14988
14988
1898
1898
2970
2970
2550
2550
26611
26611
16088
16088
56262
56262
3500
3500
124867
124867

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
8415
8415
7392
7392
26535
26535
2500
2500
74818
74818

0
0
0
0
0
0
0

Pasien

Penjamin

1,00
1,00
1,00
2,00
1,00
5,00

UNT
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

Depo IGD
Subtotal
UNT
UNT
BOT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

Depo IGD
Subtotal
UNT
UNT
PKG
VIL
UNT

JAKARTA SEHAT
Quantity
3,00
18,00
2,00

Apotik Panel 2
Subtotal
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
10,00
3,00
9,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

14988
14988
8415
7392
26611
2500
74894

14988
14988
8415
7392
26611
2500
74894

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
5881
5881
26535
26535
7392
7392
2500
2500
72284
72284

0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
2970
2970
18554
18554
2000
2000
54847
54847

0
0
0
0
0
0

Pasien
Penjamin
16335
16335
153000
153000
1000
1000
170335
170335

0
0
0
0

Pasien
Penjamin
1160
1160
29700
29700
11880
11880
1500
1500
44240
44240

0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
4,00

Depo IGD
Subtotal
UNT
UNT
UNT
AMP
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
SUP
UNT

UMUM
Quantity
6,00
1,00

Depo IGD
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
4,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
2,00
2,00
4,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00

Depo IGD
Subtotal
UNT

Pasien
Penjamin
1898
1898
16335
16335
14988
14988
22053
22053
2000
2000
57274
57274

0
0
0
0
0
0

Pasien
Penjamin
25260
25260
500
500
25760
25760

0
0
0

Pasien

Penjamin
696
696
500
500
1196
1196

0
0
0

Pasien
Penjamin
59193
59193
29976
29976
16335
16335
3994
3994
2000
2000
111498
111498

0
0
0
0
0
0

Pasien
Penjamin
29976
29976
16335
16335
2550
2550
3994
3994
2000
2000
54855
54855

0
0
0
0
0
0

Pasien
Penjamin
29976
29976

1,00
2,00
2,00
4,00

UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
1,00
2,00
5,00

Depo IGD
Subtotal
UNT
UNT
UNT
PKG
UNT
UNT

UMUM
Quantity
1,00
1,00
2,00
4,00
4,00

Depo IGD
Subtotal
AMP
BAG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
AMP
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
AMP
UNT
UNT

JAKARTA SEHAT
Quantity
10,00

Depo IGD
Subtotal
TAB

16335
2550
3994
2000
54855

16335
2550
3994
2000
54855

0
0
0
0
0

Pasien
Penjamin
29976
29976
2550
2550
16335
16335
3696
3696
3994
3994
2500
2500
59051
59051

0
0
0
0
0
0
0

Pasien
Penjamin
12080
12080
9633
9633
29976
29976
7988
7988
2000
2000
61677
61677

0
0
0
0
0
0

Pasien
Penjamin
4634
4634
26950
26950
1000
1000
32584
32584

0
0
0
0

Pasien
Penjamin
4634
4634
26950
26950
1000
1000
32584
32584

0
0
0
0

Pasien
Penjamin
1000
1000

1,00

UNT

UMUM
Quantity
9,00
1,00

Depo Atas
Subtotal
TAB
UNT

UMUM
Quantity
2,00
2,00
2,00
10,00
10,00
1,00
2,00
1,00
6,00
1,00
1,00
11,00

Depo Atas
Subtotal
TAB
UNT
UNT
UNT
PKG
PKG
BOT
BOT
TAB
UNT
UNT
UNT

ASKES
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

JPK PNS
Quantity
6,00
1,00

Depo Atas
Subtotal
VIL
UNT

JPK PNS
Quantity
6,00
1,00

Depo Atas
Subtotal
VIL
UNT

500
1500

500
1500

0
0

Pasien
Penjamin
52002
52002
500
500
52502
52502

0
0
0

Pasien
Penjamin
39204
39204
3080
3080
2550
2550
3560
3560
5020
5020
2970
2970
11762
11762
51216
51216
4962
4962
1898
1898
16335
16335
5500
5500
148057
148057

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
500
500
85772
85772

0
0
0

Pasien
Penjamin
511632
511632
500
500
512132
512132

0
0
0

Pasien
Penjamin
511632
511632
500
500
512132
512132

0
0
0

UMUM
Quantity
20,00
20,00
6,00
6,00
4,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
2,00
2,00
2,00
3,00
3,00
10,00
10,00
3,00
9,00

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
UNT
UNT
UNT
PKG
VIL
UNT

UMUM
Quantity
3,00
1,00
2,00
2,00
2,00
2,00
6,00
20,00
20,00
6,00
6,00
11,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
6,00

Depo Atas
Subtotal
VIL

Pasien
Penjamin
10040
10040
7120
7120
7650
7650
9240
9240
2000
2000
36050
36050

0
0
0
0
0
0

Pasien
Penjamin
4928
4928
170544
170544
5782
5782
18192
18192
3825
3825
4620
4620
3560
3560
5020
5020
7776
7776
4500
4500
228747
228747

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
327
1451
900
1584
232
562
875160
10040
7120
7650
9240
5500
919766

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
926640
926640

327
1451
900
1584
232
562
875160
10040
7120
7650
9240
5500
919766

9,00
6,00
30,00
20,00
5,00
12,00
7,00

AMP
BOT
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
5,00
1,00
9,00
30,00
20,00
3,00
3,00
3,00
4,00
4,00
7,00

Depo Atas
Subtotal
GM
UNT
UNT
PKG
UNT
UNT
UNT
AMP
BOT
BOT
UNT

JPK PNS
Quantity
5,00
1,00
9,00
6,00
6,00
30,00
20,00
6,00
9,00
6,00

Depo Atas
Subtotal
GM
UNT
UNT
BOT
BOT
PKG
UNT
UNT
UNT
UNT

ASKES
Quantity
6,00
9,00
9,00
3,00

Depo Atas
Subtotal
TAB
AMP
AMP
TAB

51048
336600
15060
7120
6375
18480
3500
1364823

51048
336600
15060
7120
6375
18480
3500
1364823

0
0
0
0
0
0
0
0

Penjamin
105
3500
450
15060
7120
3825
4620
28512
23524
65668
3500
155884

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
195
3500
450
336600
98502
15060
7120
7650
13860
3000
485937

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
15660
15660
51048
51048
29700
29700

0
0
0
0

Pasien
105
3500
450
15060
7120
3825
4620
28512
23524
65668
3500
155884

Pasien
195
3500
450
336600
98502
15060
7120
7650
13860
3000
485937

30,00
20,00
3,00
3,00
8,00

PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
9,00
30,00
20,00
10,00
10,00
5,00

Depo Atas
Subtotal
AMP
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
2,00
2,00
2,00
3,00
3,00
10,00
10,00
8,00

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
UNT
UNT
UNT
PKG
UNT

JPK PNS
Quantity
9,00
1,00

Depo Atas
Subtotal
TAB
UNT

UMUM
Quantity
2,00
3,00
3,00
1,00
2,00

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
AMP

15060
7120
3825
4620
4000
132035

15060
7120
3825
4620
4000
132035

0
0
0
0
0
0

Pasien
Penjamin
15660
15660
15060
15060
7120
7120
12750
12750
15400
15400
2500
2500
68490
68490

0
0
0
0
0
0
0

Pasien
Penjamin
4928
4928
170544
170544
5782
5782
18192
18192
3825
3825
4620
4620
3560
3560
5020
5020
4000
4000
220471
220471

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53460
53460
500
500
53960
53960

0
0
0

Pasien
Penjamin
4928
4928
3231
3231
17016
17016
9504
9504
201960
201960

0
0
0
0
0

1,00
1,00
1,00
10,00
9,00

BOT
BOT
BOT
UNT
UNT

ASURANSI JIWA SINARMAS MSIG

Quantity
3,00
2,00
2,00
10,00
1,00
2,00
2,00
2,00
8,00

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
PKG
UNT
UNT
AMP
UNT

UMUM
Quantity
2,00
1,00
2,00
2,00
10,00
10,00
6,00

Depo Atas
Subtotal
AMP
BOT
UNT
UNT
UNT
PKG
UNT

UMUM
Quantity
4,00
12,00
2,00
2,00
3,00
2,00
2,00
20,00
20,00
3,00
3,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT

16417
6872
51216
3560
4500
319204

16417
6872
51216
3560
4500
319204

0
0
0
0
0
0

Pasien
Penjamin
3231
3231
5782
5782
32834
32834
3560
3560
2970
2970
3080
3080
2550
2550
74844
74844
4000
4000
132851
132851

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
93614
93614
51216
51216
2550
2550
3080
3080
3560
3560
5020
5020
3000
3000
162040
162040

0
0
0
0
0
0
0
0

Pasien
72
1032
1654
19800
594
1584
232
10040
7120
4620
3825

Penjamin
72
1032
1654
19800
594
1584
232
10040
7120
4620
3825

0
0
0
0
0
0
0
0
0
0
0

4,00
2,00
8,00
6,00
15,00

TAB
TAB
AMP
AMP
UNT

UMUM
Quantity
3,00
2,00
2,00
2,00
2,00
4,00
4,00
7,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
VIL
UNT

JPK PNS
Quantity
2,00
2,00
2,00
3,00
3,00
2,00
6,00

Depo IGD
Subtotal
VIL
AMP
BOT
UNT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00
10,00
10,00
1,00
5,00
2,00
7,00

Depo IGD
Subtotal
AMP
AMP
PKG
UNT
UNT
UNT
VIL
UNT

UMUM

Depo IGD

2376
2906
142560
253482
7500
459397

2376
2906
142560
253482
7500
459397

0
0
0
0
0
0

Penjamin
327
2902
900
1584
232
1124
583440
3500
594009

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
308880
308880
14702
14702
112200
112200
5991
5991
3825
3825
3080
3080
3000
3000
451678
451678

0
0
0
0
0
0
0
0

Pasien
Penjamin
100980
100980
1740
1740
5020
5020
3560
3560
1540
1540
6375
6375
170544
170544
3500
3500
293259
293259

0
0
0
0
0
0
0
0
0

Pasien
327
2902
900
1584
232
1124
583440
3500
594009

Quantity
5,00
10,00
2,00
3,00

Subtotal
UNT
PKG
BOT
UNT

JPK PNS
Quantity
2,00
1,00

Depo IGD
Subtotal
UNT
UNT

UMUM
Quantity
5,00
2,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT

UMUM
Quantity
2,00
3,00
1,00
6,00
2,00
1,00
3,00

Depo Atas
Subtotal
TAB
GM
UNT
UNT
VIL
BAG
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
TAB
UNT

JPK PNS
Quantity
10,00
1,00

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
1780
1780
5020
5020
32834
32834
1500
1500
41134
41134

0
0
0
0
0

Pasien
Penjamin
3796
3796
500
500
4296
4296

0
0
0

Pasien
Penjamin
82085
82085
2550
2550
1000
1000
85635
85635

0
0
0
0

Pasien
Penjamin
4928
4928
117
117
3500
3500
300
300
170544
170544
18793
18793
1500
1500
199682
199682

0
0
0
0
0
0
0
0

Pasien

Penjamin
219
500
719

0
0
0

Pasien
Penjamin
10770
10770
500
500
11270
11270

0
0
0

219
500
719

UMUM
Quantity
3,00
2,00
2,00
6,00
4,00

Depo Atas
Subtotal
TAB
VIL
UNT
BOT
UNT

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

UMUM
Quantity
4,00
1,00
2,00

Depo Atas
Subtotal
VIL
TAB
UNT

JPK PNS
Quantity
1,00
2,00
2,00

Depo Atas
Subtotal
AMP
UNT
UNT

ASKES
Quantity
10,00
2,00
2,00
1,00
10,00
10,00
1,00
2,00
8,00

Depo Atas
Subtotal
TAB
CAP
AMP
VIL
PKG
UNT
UNT
UNT
UNT

Pasien

Penjamin
741
224400
2550
98502
2000
328193

0
0
0
0
0
0

Pasien
Penjamin
166320
166320
500
500
166820
166820

0
0
0

Pasien
Penjamin
45540
45540
86
86
1000
1000
46626
46626

0
0
0
0

Pasien
Penjamin
2891
2891
2550
2550
1000
1000
6441
6441

0
0
0
0

Pasien
Penjamin
5230
5230
5388
5388
84494
84494
85272
85272
5020
5020
3560
3560
1540
1540
2550
2550
4000
4000
197054
197054

0
0
0
0
0
0
0
0
0
0

741
224400
2550
98502
2000
328193

ASKES
Quantity
2,00
2,00
10,00
10,00
4,00

Depo Atas
Subtotal
TAB
BOT
PKG
UNT
UNT

JPK PNS
Quantity
2,00
1,00
2,00
1,00
2,00
10,00
10,00
4,00

Depo Atas
Subtotal
GM
UNT
UNT
AMP
BOT
UNT
PKG
UNT

JPK PNS
Quantity
2,00
1,00
2,00
3,00
10,00
10,00
1,00
2,00
2,00
6,00

Depo Atas
Subtotal
GM
UNT
UNT
BOT
PKG
UNT
UNT
UNT
BOT
UNT

JPK PNS
Quantity
10,00
4,00
7,00
10,00
4,00

Depo Atas
Subtotal
CAP
AMP
TAB
TAB
UNT

Pasien

Penjamin
334
32834
5020
3560
2000
43748

0
0
0
0
0
0

Penjamin
42
3500
100
9504
32834
3560
5020
2000
56560

0
0
0
0
0
0
0
0
0

Penjamin
78
3500
100
168300
5020
3560
1275
3080
32834
3000
220747

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26940
26940
27720
27720
546
546
10770
10770
2000
2000

0
0
0
0
0

334
32834
5020
3560
2000
43748

Pasien
42
3500
100
9504
32834
3560
5020
2000
56560

Pasien
78
3500
100
168300
5020
3560
1275
3080
32834
3000
220747

67976

UMUM
Quantity
2,00
3,00
2,00
3,00

Depo Atas
Subtotal
AMP
UNT
BOT
UNT

UMUM
Quantity
2,00
3,00
4,00
4,00
4,00

Depo Atas
Subtotal
VIL
AMP
UNT
BOT
UNT

UMUM
Quantity
4,00
10,00
10,00
2,00
2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
13,00

Depo Atas
Subtotal
AMP
PKG
UNT
BOT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

UMUM
Quantity
4,00
10,00
10,00
2,00

Depo Atas
Subtotal
AMP
PKG
UNT
BOT

67976

Pasien
Penjamin
93614
93614
3825
3825
102432
102432
1500
1500
201371
201371

0
0
0
0
0

Pasien
Penjamin
170544
170544
17016
17016
5100
5100
65668
65668
2000
2000
260328
260328

0
0
0
0
0
0

Pasien
Penjamin
152064
152064
5020
5020
3560
3560
32834
32834
36
36
86
86
827
827
13068
13068
792
792
116
116
562
562
1188
1188
1453
1453
6500
6500
218106
218106

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
152064
152064
5020
5020
3560
3560
32834
32834

0
0
0
0

2,00
1,00
1,00
1,00
1,00
1,00
2,00
2,00
1,00
13,00

TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
UNT

JPK PNS
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

Emergency Anggrek
Subtotal
UNT
UNT
AMP
UNT
UNT
UNT

UMUM
Quantity
3,00
3,00
1,00
3,00

Depo IGD
Subtotal
TAB
UNT
UNT
UNT

UMUM
Quantity
2,00
1,00
4,00
3,00
10,00
10,00
3,00
2,00
1,00
9,00

Depo IGD
Subtotal
VIL
AMP
BOT
BOT
PKG
UNT
UNT
UNT
BOT
UNT

36
86
827
13068
792
116
562
1188
1453
6500
218106

36
86
827
13068
792
116
562
1188
1453
6500
218106

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
1740
1740
1540
1540
2550
2550
2500
2500
39653
39653

0
0
0
0
0
0
0

Pasien
Penjamin
7392
7392
3825
3825
1997
1997
1500
1500
14714
14714

0
0
0
0
0

Pasien
Penjamin
322766
322766
12524
12524
253012
253012
153648
153648
5020
5020
3560
3560
4620
4620
2550
2550
1251250 1251250
4500
4500
2013450 2013450

0
0
0
0
0
0
0
0
0
0
0

ASKES
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

UMUM
Quantity
2,00
1,00

Depo Atas
Subtotal
VIL
UNT

JPK PNS
Quantity
3,00
1,00

Apotik Panel
Subtotal
TAB
UNT

UMUM
Quantity
5,00
2,00
2,00
2,00
3,00
1,00
1,00
7,00

Depo Atas
Subtotal
BOT
VIL
AMP
BOT
UNT
UNT
UNT
UNT

JPK PNS
Quantity
4,00
1,00

Depo Atas
Subtotal
UNT
UNT

UMUM
Quantity
1,00
4,00
5,00

Depo Atas
Subtotal
UNT
UNT
UNT

Pasien
Penjamin
25500
25500
500
500
26000
26000

0
0
0

Pasien
Penjamin
22770
22770
500
500
23270
23270

0
0
0

Pasien
Penjamin
3333
3333
500
500
3833
3833

0
0
0

Pasien
Penjamin
82085
82085
170544
170544
49896
49896
112200
112200
3825
3825
8415
8415
14988
14988
3500
3500
445453
445453

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5100
5100
500
500
5600
5600

0
0
0

Pasien
Penjamin
16088
16088
7988
7988
6375
6375

0
0
0

1,00
2,00
5,00

UNT
UNT
UNT

JPK PNS
Quantity
1,00
3,00
1,00
3,00
2,00
2,00
2,00
10,00
10,00
6,00

Depo Atas
Subtotal
AMP
GM
UNT
UNT
AMP
BOT
BOT
PKG
UNT
UNT

UMUM
Quantity
1,00
3,00
10,00
1,00
3,00
10,00
10,00
1,00
2,00
2,00
2,00
11,00

Depo Atas
Subtotal
BOT
UNT
PKG
PKG
TAB
TAB
TAB
BOT
VIL
UNT
UNT
UNT

UMUM
Quantity
8,00
5,00
2,00
2,00
4,00

Depo Atas
Subtotal
BOT
UNT
UNT
UNT
UNT

22688
29976
2500
85615

22688
29976
2500
85615

0
0
0
0

Pasien
Penjamin
9504
9504
63
63
3500
3500
150
150
11344
11344
32834
32834
126506
126506
5020
5020
3560
3560
3000
3000
195481
195481

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
3825
3825
5020
5020
2970
2970
741
741
2370
2370
5230
5230
3221
3221
224400
224400
6600
6600
3080
3080
5500
5500
279374
279374

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
131336
131336
1780
1780
2550
2550
29976
29976
2000
2000
167642
167642

0
0
0
0
0
0

UMUM
Quantity
5,00
5,00
2,00
3,00

Depo Atas
Subtotal
BOT
UNT
UNT
UNT

JPK PNS
Quantity
10,00
10,00
1,00
3,00

Depo Atas
Subtotal
PKG
UNT
BOT
UNT

JPK PNS
Quantity
2,00
2,00
3,00
3,00

Depo Atas
Subtotal
AMP
UNT
UNT
UNT

ASKES
Quantity
2,00
10,00
10,00
1,00
1,00
5,00
1,00
7,00

Depo Atas
Subtotal
AMP
PKG
UNT
UNT
UNT
AMP
VIL
UNT

ASKES
Quantity
2,00
10,00
10,00
3,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT

Pasien
Penjamin
82085
82085
1780
1780
2550
2550
1500
1500
87915
87915

0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
16417
16417
1500
1500
26497
26497

0
0
0
0
0

Pasien
Penjamin
29904
29904
2550
2550
4620
4620
1500
1500
38574
38574

0
0
0
0
0

Pasien
Penjamin
84494
84494
5020
5020
3560
3560
1540
1540
1275
1275
28360
28360
85272
85272
3500
3500
213021
213021

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
5020
5020
3560
3560
4620
4620

0
0
0
0

3,00
3,00
1,00
7,00

UNT
VIL
VIL
UNT

JPK PNS
Quantity
3,00
2,00
3,00
4,00
10,00
10,00
5,00
3,00
8,00

Depo Atas
Subtotal
AMP
VIL
AMP
BOT
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
3,00
1,00
10,00
10,00
1,00
5,00

Depo Atas
Subtotal
AMP
VIL
PKG
UNT
UNT
UNT

ASKES
Quantity
3,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

JPK PNS
Quantity
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT

3825
633600
85272
3500
772231

3825
633600
85272
3500
772231

0
0
0
0
0

Pasien
Penjamin
69408
69408
308880
308880
17016
17016
65668
65668
5020
5020
3560
3560
7700
7700
3825
3825
4000
4000
485077
485077

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5220
5220
85272
85272
5020
5020
3560
3560
14988
14988
2500
2500
116560
116560

0
0
0
0
0
0
0

Pasien
Penjamin
25500
25500
500
500
26000
26000

0
0
0

Pasien
Penjamin
16335
16335
14988
14988
14988
14988
1500
1500
47811
47811

0
0
0
0
0

JPK PNS
Quantity
3,00
1,00
2,00
10,00
10,00
5,00

Depo Atas
Subtotal
SUP
AMP
BOT
PKG
UNT
UNT

JPK PNS
Quantity
3,00
1,00
3,00
2,00
10,00
10,00
2,00
4,00

Depo Atas
Subtotal
GM
UNT
UNT
BOT
PKG
UNT
UNT
UNT

UMUM
Quantity
4,00
1,00
1,00
2,00
1,00
1,00
2,00
2,00
4,00
2,00
10,00
10,00
4,00
4,00
14,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
BOT
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity

Depo IGD
Subtotal

Pasien
Penjamin
35343
35343
9504
9504
32834
32834
5020
5020
3560
3560
2500
2500
88761
88761

Pasien
117
3500
150
32834
5020
3560
3080
2000
50261

Pasien
344
827
9900
36
792
116
562
1188
152064
32834
5020
3560
5100
6160
7000
225503

Pasien

0
0
0
0
0
0
0

Penjamin
117
3500
150
32834
5020
3560
3080
2000
50261

0
0
0
0
0
0
0
0
0

Penjamin
344
827
9900
36
792
116
562
1188
152064
32834
5020
3560
5100
6160
7000
225503

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin

2,00
1,00

BOT
UNT

UMUM
Quantity
5,00
10,00
1,00
1,00
3,00
10,00
10,00
10,00
8,00

Depo IGD
Subtotal
UNT
PKG
PKG
UNT
BOT
TAB
TAB
TAB
UNT

JPK PNS
Quantity
2,00
1,00

Depo Atas
Subtotal
UNT
UNT

ASKES
Quantity
2,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

ASKES
Quantity
4,00
1,00
2,00

Depo Atas
Subtotal
AMP
AMP
UNT

ASKES
Quantity
3,00
10,00
10,00
1,00

Depo Atas
Subtotal
UNT
PKG
UNT
UNT

32834
500
33334

32834
500
33334

0
0
0

Pasien
Penjamin
1780
1780
5020
5020
2970
2970
27640
27640
49251
49251
2370
2370
21210
21210
370
370
4000
4000
114611
114611

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3994
3994
500
500
4494
4494

0
0
0

Pasien
Penjamin
17000
17000
500
500
17500
17500

0
0
0

Pasien
Penjamin
71280
71280
42247
42247
1000
1000
114527
114527

0
0
0
0

Pasien
Penjamin
4620
4620
5020
5020
3560
3560
1275
1275

0
0
0
0

2,00
16,00
6,00

AMP
AMP
UNT

JPK PNS
Quantity
3,00
2,00
10,00
10,00
4,00
2,00
6,00

Depo Atas
Subtotal
BOT
BOT
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
2,00
2,00
2,00
2,00
4,00
4,00
4,00
1,00
20,00
10,00
10,00
11,00

Depo Atas
Subtotal
UNT
TUB
UNT
UNT
UNT
UNT
UNT
AMP
TAB
PKG
UNT
UNT

ASKES
Quantity
2,00
1,00
4,00
10,00
10,00
6,00
6,00

Depo Atas
Subtotal
VIL
VIL
AMP
PKG
UNT
UNT
UNT

84494
90752
3000
192721

84494
90752
3000
192721

0
0
0
0

Pasien
Penjamin
168300
168300
32834
32834
5020
5020
3560
3560
5100
5100
3080
3080
3000
3000
220894
220894

0
0
0
0
0
0
0
0

Pasien
Penjamin
25220
25220
112524
112524
24024
24024
24024
24024
6160
6160
5100
5100
13200
13200
15830
15830
153860
153860
5020
5020
3560
3560
5500
5500
394022
394022

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
422400
422400
85272
85272
71280
71280
5020
5020
3560
3560
9240
9240
3000
3000
599772
599772

0
0
0
0
0
0
0
0

JPK PNS
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

JPK PNS
Quantity
2,00
10,00
10,00
3,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT

JPK PNS
Quantity
2,00
1,00

Depo Atas
Subtotal
TAB
UNT

UMUM
Quantity
3,00
2,00
2,00
3,00
10,00
10,00
6,00

Depo Atas
Subtotal
TAB
CAP
VIL
BOT
PKG
UNT
UNT

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00
2,00
2,00
2,00
4,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIL
AMP

Pasien
Penjamin
5020
5020
3560
3560
1000
1000
9580
9580

0
0
0
0

Pasien
Penjamin
32834
32834
5020
5020
3560
3560
1500
1500
42914
42914

0
0
0
0
0

Pasien
Penjamin
1078
1078
500
500
1578
1578

0
0
0

Pasien
Penjamin
1998
1998
7540
7540
170544
170544
153648
153648
5020
5020
3560
3560
3000
3000
345310
345310

0
0
0
0
0
0
0
0

Pasien
172
827
9900
792
116
562
1188
22770
71280

Penjamin
172
827
9900
792
116
562
1188
22770
71280

0
0
0
0
0
0
0
0
0

1,00
10,00
10,00
2,00
4,00
2,00
15,00

VIL
PKG
UNT
UNT
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

JPK PNS
Quantity
24,00
24,00
4,00
1,00
8,00
4,00
3,00

Depo Atas
Subtotal
TAB
TAB
TAB
UNT
UNT
TAB
UNT

JPK PNS
Quantity
20,00
1,00

Depo Atas
Subtotal
CAP
UNT

UMUM
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
UNT
UNT
UNT

UMUM
Quantity
10,00

Depo IGD
Subtotal
TAB

12415
5020
3560
3994
6160
2550
7500
148806

12415
5020
3560
3994
6160
2550
7500
148806

0
0
0
0
0
0
0
0

Pasien
Penjamin
1251250 1251250
500
500
1251750 1251750

0
0
0

Pasien
Penjamin
1176
1176
1728
1728
876
876
3500
3500
400
400
564
564
1500
1500
9744
9744

0
0
0
0
0
0
0
0

Pasien
Penjamin
53880
53880
500
500
54380
54380

0
0
0

Pasien
Penjamin
25220
25220
26950
26950
1000
1000
53170
53170

0
0
0
0

Pasien

Penjamin
288
288

10,00
2,00
3,00

TAB
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

ASKES
Quantity
1,00
1,00
3,00
1,00
1,00
3,00
3,00
3,00
1,00
10,00
5,00
1,00
1,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
BAG
UNT
UNT
UNT
PKG
PKG
UNT
UNT
UNT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
2,00
2,00
10,00
5,00
5,00

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
UNT
UNT

JPK PNS
Quantity

Depo Atas
Subtotal

9693
26730
1350
38061

9693
26730
1350
38061

0
0
0
0

Pasien
Penjamin
3221
3221
500
500
3721
3721

0
0
0

Pasien
Penjamin
9900
9900
2052
2052
3960
3960
5672
5672
9633
9633
5991
5991
3825
3825
4620
4620
2970
2970
5020
5020
1780
1780
14988
14988
14988
14988
12610
12610
18343
18343
7500
7500
123852
123852

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
3080
3080
2550
2550
5020
5020
1780
1780
2500
2500
31347
31347

0
0
0
0
0
0
0

Pasien

Penjamin

3,00
2,00
10,00
10,00
3,00
2,00
6,00

BOT
BOT
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
2,00
2,00
10,00
10,00
5,00
5,00
7,00

Depo Atas
Subtotal
AMP
SUP
BOT
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
10,00
10,00
4,00
4,00
4,00
6,00

Depo Atas
Subtotal
VIL
PKG
UNT
UNT
UNT
UNT
UNT

JPK PNS
Quantity
10,00
10,00
2,00
2,00
4,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity

Depo Atas
Subtotal

168300
32834
5020
3560
4620
2550
3000
219884

168300
32834
5020
3560
4620
2550
3000
219884

0
0
0
0
0
0
0
0

Pasien
Penjamin
46807
46807
23562
23562
32834
32834
5020
5020
3560
3560
6375
6375
7700
7700
3500
3500
129358
129358

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
5020
5020
3560
3560
7988
7988
6160
6160
5100
5100
3000
3000
116100
116100

0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
3080
3080
3994
3994
2000
2000
17654
17654

0
0
0
0
0
0

Pasien

Penjamin

1,00
3,00
10,00
10,00
1,00
1,00
6,00

AMP
BOT
PKG
UNT
UNT
UNT
UNT

ASKES
Quantity
3,00
10,00
10,00
2,00
3,00
3,00
2,00
1,00
1,00
9,00

Depo Atas
Subtotal
VIL
PKG
UNT
UNT
UNT
UNT
BOT
VIL
BOT
UNT

JPK PNS
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

JPK PNS
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

ASKES
Quantity
2,00
1,00

Apotik Panel
Subtotal
TAB
UNT

1740
168300
5020
3560
1540
1275
3000
184435

1740
168300
5020
3560
1540
1275
3000
184435

0
0
0
0
0
0
0
0

Pasien
Penjamin
633600
633600
5020
5020
3560
3560
3994
3994
3825
3825
4620
4620
32834
32834
85272
85272
64548
64548
4500
4500
841773
841773

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
1000
1000
9580
9580

0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
1000
1000
9580
9580

0
0
0
0

Pasien
Penjamin
16264
16264
500
500
16764
16764

0
0
0

UMUM
Quantity
2,00
3,00
3,00
2,00
2,00
2,00
4,00
4,00
1,00
1,00
5,00
10,00
1,00
1,00
14,00

Depo Atas
Subtotal
AMP
AMP
AMP
VIL
AMP
UNT
UNT
UNT
BAG
BOT
UNT
PKG
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
2,00
8,00
20,00
20,00
1,00
1,00
1,00
1,00
9,00

Depo Atas
Subtotal
TAB
TAB
BOT
PKG
UNT
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
2,00
8,00
20,00
20,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
TAB
TAB
BOT
PKG
UNT
UNT
UNT
UNT
UNT

Pasien
Penjamin
5782
5782
17016
17016
46191
46191
22770
22770
76032
76032
3994
3994
6160
6160
5100
5100
9633
9633
2640
2640
1780
1780
5020
5020
2970
2970
26535
26535
7000
7000
238623
238623

Pasien
756
74
72768
10040
7120
8415
16335
14988
20213
4500
155209

Pasien
756
74
72768
10040
7120
8415
16335
14988
20213

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
756
74
72768
10040
7120
8415
16335
14988
20213
4500
155209

0
0
0
0
0
0
0
0
0
0
0

Penjamin
756
74
72768
10040
7120
8415
16335
14988
20213

0
0
0
0
0
0
0
0
0

9,00

UNT

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
6,00
2,00
4,00
20,00
20,00
1,00
1,00
1,00
1,00
12,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
PKG
UNT
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
4,00
6,00
8,00
20,00
1,00
1,00
1,00
4,00
4,00
4,00
11,00

Depo Atas
Subtotal
BOT
VIL
AMP
BOT
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
6,00
6,00
6,00
6,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
AMP

4500
155209

4500
155209

0
0

Pasien
Penjamin
1002
1002
19800
19800
696
696
516
516
4104
4104
608640
608640
10040
10040
7120
7120
8415
8415
16335
16335
14988
14988
20213
20213
6000
6000
717869
717869

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
336600
336600
341088
341088
34032
34032
131336
131336
10040
10040
8415
8415
16335
16335
14988
14988
7988
7988
6160
6160
5100
5100
5500
5500
917582
917582

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
19800
19800
696
696
14784
14784
8706
8706
14766
14766

0
0
0
0
0
0

4,00
1,00
20,00
1,00
1,00
2,00
2,00
20,00
14,00

VIL
UNT
UNT
UNT
UNT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
12,00
6,00
6,00
6,00
4,00
4,00
20,00
20,00
2,00
2,00
1,00
1,00
1,00
13,00

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
BOT
BOT
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT

UMUM
Quantity
1,00
3,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
BAG
UNT

JPK PNS
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
UNT

870676
8415
7120
16335
14988
2550
3080
10040
7000
999958

870676
8415
7120
16335
14988
2550
3080
10040
7000
999958

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
7992
7992
6462
6462
756
756
34032
34032
65668
65668
204864
204864
10040
10040
7120
7120
2550
2550
3080
3080
8415
8415
16335
16335
14988
14988
6500
6500
388802
388802

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
12610
12610
2061
2061
9633
9633
1500
1500
25804
25804

0
0
0
0
0

Pasien
Penjamin
16417
16417
51216
51216
1000
1000
68633
68633

0
0
0
0

JPK PNS
Quantity
2,00
2,00
2,00
3,00

Depo IGD
Subtotal
BAG
UNT
BAG
UNT

JAMKESMAS
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
UNT
BAG
UNT

UMUM
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
PKG
UNT

JPK PNS
Quantity
2,00
2,00
1,00
1,00
4,00

Depo IGD
Subtotal
TAB
UNT
UNT
BAG
UNT

UMUM
Quantity
3,00
4,00
10,00
3,00

Depo Atas
Subtotal
TAB
BOT
PKG
UNT

ASKES

Depo Atas

Pasien
Penjamin
19266
19266
3994
3994
37586
37586
1500
1500
62346
62346

0
0
0
0
0

Pasien
Penjamin
32670
32670
19266
19266
1000
1000
52936
52936

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
2970
2970
1500
1500
34446
34446

0
0
0
0
0

Pasien
36
3994
1275
9633
2000
16938

Pasien
741
65668
5020
1500
72929

Penjamin
36
3994
1275
9633
2000
16938

0
0
0
0
0
0

Penjamin
741
65668
5020
1500
72929

0
0
0
0
0

Quantity
2,00
1,00

Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
UNT
TUB
UNT
UNT

UMUM
Quantity
4,00
1,00

Depo Atas
Subtotal
TAB
UNT

ASKES
Quantity
3,00
1,00

Depo Atas
Subtotal
BOT
UNT

UMUM
Quantity
6,00
2,00
2,00

Depo Atas
Subtotal
TAB
BOT
UNT

JPK PNS
Quantity
20,00
20,00
1,00
3,00

Depo Atas
Subtotal
PKG
UNT
TAB
UNT

ASKES

Depo Atas

Pasien

Penjamin
304
500
804

0
0
0

Pasien
Penjamin
16088
16088
56262
56262
1997
1997
1500
1500
75847
75847

0
0
0
0
0

Pasien
Penjamin
3592
3592
500
500
4092
4092

0
0
0

Pasien
Penjamin
49251
49251
500
500
49751
49751

0
0
0

304
500
804

Pasien

Penjamin
516
32834
1000
34350

0
0
0
0

Pasien
Penjamin
10040
10040
7120
7120
1077
1077
1500
1500
19737
19737

0
0
0
0
0

516
32834
1000
34350

Quantity
6,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
10,00

Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
UNT
PKG
UNT
UNT
UNT

UMUM
Quantity
3,00
2,00
3,00
3,00
10,00
10,00
4,00
7,00

Depo Atas
Subtotal
TAB
AMP
UNT
UNT
UNT
PKG
BOT
UNT

UMUM
Quantity
2,00
1,00
1,00
2,00
4,00

Emergency Anggrek
Subtotal
UNT
UNT
BAG
UNT
UNT

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
2,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT
UNT
UNT
BOT
VIL

Pasien
Penjamin
14784
14784
501
501
154
154
304
304
38
38
400
400
29976
29976
2970
2970
5809
5809
7150
7150
5000
5000
67086
67086

Pasien

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
741
5782
3825
4620
3560
5020
36384
3500
63432

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3994
3994
3300
3300
9633
9633
2550
2550
2000
2000
21477
21477

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
1997
1997
1275
1275
1540
1540
3300
3300
5881
5881
4634
4634

0
0
0
0
0
0
0

741
5782
3825
4620
3560
5020
36384
3500
63432

7,00

UNT

JPK PNS
Quantity
1,00
1,00
2,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo Atas
Subtotal
VIL
UNT
UNT

UMUM
Quantity
3,00
3,00
2,00
3,00
3,00
10,00
4,00
7,00

Depo Atas
Subtotal
TAB
TAB
VIL
UNT
UNT
PKG
BOT
UNT

UMUM
Quantity
2,00
2,00
2,00
1,00
2,00
3,00
3,00
10,00
10,00
9,00

Depo Atas
Subtotal
CAP
AMP
AMP
BOT
BOT
UNT
UNT
UNT
PKG
UNT

3500
37115

3500
37115

0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
422400
422400
3796
3796
1000
1000
427196
427196

0
0
0
0

Pasien

Penjamin
378
3231
170544
5991
3825
5020
65668
3500
258157

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1764
1764
5782
5782
11344
11344
78634
78634
32834
32834
4620
4620
3825
3825
3560
3560
5020
5020
4500
4500
151883
151883

0
0
0
0
0
0
0
0
0
0
0

378
3231
170544
5991
3825
5020
65668
3500
258157

JPK PNS
Quantity
20,00
20,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

JPK PNS
Quantity
4,00
20,00
20,00
5,00
5,00
5,00
6,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT
UNT

JPK PNS
Quantity
3,00
20,00
20,00
4,00
6,00
1,00
6,00

Depo Atas
Subtotal
AMP
PKG
UNT
UNT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00
1,00
3,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
2,00
1,00

Emergency Anggrek
Subtotal
UNT
BOT
UNT

Pasien
Penjamin
10040
10040
7120
7120
1000
1000
18160
18160

0
0
0
0

Pasien
Penjamin
224400
224400
10040
10040
7120
7120
9985
9985
6375
6375
7700
7700
3000
3000
268620
268620

0
0
0
0
0
0
0
0

Pasien
Penjamin
140421
140421
10040
10040
7120
7120
5100
5100
9240
9240
26535
26535
3000
3000
201456
201456

0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
1275
1275
1500
1500
26178
26178

0
0
0
0
0

Pasien
Penjamin
14988
14988
11762
11762
16335
16335

0
0
0

2,00
1,00
1,00
6,00

UNT
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
2,00

Emergency Anggrek
Subtotal
UNT
BOT
UNT

UMUM
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
UNT
UNT

JPK PNS
Quantity
1,00
2,00
1,00
3,00

Emergency Anggrek
Subtotal
TAB
UNT
BOT
UNT

UMUM
Quantity
4,00
2,00
4,00
4,00
8,00
2,00
4,00
4,00
8,00

Depo Atas
Subtotal
TAB
CAP
VIL
VIL
AMP
UNT
UNT
UNT
UNT

UMUM
Quantity

Depo Atas
Subtotal

2550
1997
1540
3000
52172

2550
1997
1540
3000
52172

0
0
0
0
0

Pasien
Penjamin
1275
1275
5881
5881
1000
1000
8156
8156

0
0
0
0

Pasien
Penjamin
12610
12610
500
500
13110
13110

0
0
0

Pasien

Penjamin
126
2550
9096
1500
13272

0
0
0
0
0

Pasien
Penjamin
2664
2664
7540
7540
617760
617760
570240
570240
304128
304128
3796
3796
7988
7988
6160
6160
4000
4000
1524276 1524276

0
0
0
0
0
0
0
0
0
0

126
2550
9096
1500
13272

Pasien

Penjamin

6,00
2,00
2,00
20,00
10,00
4,00
4,00
4,00
8,00

TAB
TAB
VIL
PKG
UNT
UNT
UNT
UNT
UNT

UMUM
Quantity
4,00
4,00
2,00
20,00
20,00
4,00
4,00
2,00
8,00

Depo Atas
Subtotal
AMP
VIL
BOT
PKG
UNT
UNT
UNT
BOT
UNT

JPK PNS
Quantity
6,00
2,00
2,00
20,00
20,00
6,00
3,00
6,00
8,00

Depo Atas
Subtotal
AMP
BOT
BOT
PKG
UNT
UNT
UNT
UNT
UNT

JPK PNS
Quantity
20,00
20,00
2,00
1,00
4,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT

516
1654
13414
10040
3560
7988
5100
6160
4000
52432

516
1654
13414
10040
3560
7988
5100
6160
4000
52432

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11564
11564
448800
448800
11762
11762
10040
10040
7120
7120
7988
7988
90752
90752
5280
5280
4000
4000
597306
597306

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10440
10440
126506
126506
18192
18192
10040
10040
7120
7120
11982
11982
3825
3825
9240
9240
4000
4000
201345
201345

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10040
10040
7120
7120
3796
3796
26535
26535
2000
2000

0
0
0
0
0

49491

JPK PNS
Quantity
20,00
20,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

UMUM
Quantity
2,00
1,00

Emergency Anggrek VIP

Subtotal
BOT
UNT

ASKES
Quantity
5,00
8,00
20,00
20,00
4,00

Depo Atas
Subtotal
VIL
AMP
PKG
UNT
UNT

ASKES
Quantity
1,00
1,00

Emergency Anggrek VIP

Subtotal
BOT
UNT

JPK PNS
Quantity
6,00
2,00
2,00
20,00
20,00
4,00
6,00

Depo Atas
Subtotal
TAB
BOT
AMP
PKG
UNT
UNT
UNT

49491

Pasien
Penjamin
10040
10040
7120
7120
1000
1000
18160
18160

0
0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
1056000 1056000
304128
304128
10040
10040
7120
7120
2000
2000
1379288 1379288

0
0
0
0
0
0

Pasien
Penjamin
16417
16417
500
500
16917
16917

0
0
0

Pasien
Penjamin
4008
4008
126506
126506
93614
93614
10040
10040
7120
7120
5100
5100
3000
3000
249388
249388

0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
2,00
2,00
1,00
1,00
8,00

Depo Atas
Subtotal
UNT
UNT
TUB
UNT
UNT
UNT
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

UMUM
Quantity
2,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

UMUM
Quantity
10,00
1,00

Depo Atas
Subtotal
PKG
UNT

UMUM
Quantity
2,00

Depo Atas
Subtotal
UNT

Pasien
Penjamin
12012
12012
36036
36036
56262
56262
12610
12610
2550
2550
3080
3080
14988
14988
8415
8415
4000
4000
149953
149953

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26611
26611
500
500
27111
27111

0
0
0

Pasien
Penjamin
5280
5280
1997
1997
12012
12012
1500
1500
20789
20789

0
0
0
0
0

Pasien
Penjamin
154440
154440
500
500
154940
154940

0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Pasien
Penjamin
3994
3994

2,00
2,00

VIL
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
BAG
UNT

JPK PNS
Quantity
5,00
10,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

UMUM
Quantity
2,00
10,00
10,00
1,00
2,00
2,00
5,00
1,00
10,00
1,00
10,00

Depo Atas
Subtotal
BOT
TAB
TAB
UNT
TAB
UNT
UNT
PKG
PKG
UNT
UNT

ASKES
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

JPK PNS
Quantity
2,00

Depo Atas
Subtotal
BOT

285120
1000
290114

285120
1000
290114

0
0
0

Pasien
Penjamin
18195
18195
500
500
18695
18695

0
0
0

Pasien
Penjamin
1780
1780
5020
5020
1000
1000
7800
7800

0
0
0
0

Pasien
Penjamin
368016
368016
5230
5230
2370
2370
26611
26611
494
494
2550
2550
1780
1780
2970
2970
5020
5020
26535
26535
5000
5000
446576
446576

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
1000
1000
9580
9580

0
0
0
0

Pasien
Penjamin
112200
112200

10,00
10,00
4,00
4,00
5,00

PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
10,00
10,00
3,00
3,00
4,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
2,00
10,00
10,00
3,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT

ASKES
Quantity
3,00
10,00
10,00
4,00
4,00
5,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT

ASKES
Quantity
4,00
1,00
1,00
1,00
6,00
5,00
5,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
AMP
UNT
PKG

5020
3560
6160
5100
2500
134540

5020
3560
6160
5100
2500
134540

0
0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
4620
4620
3825
3825
2000
2000
19025
19025

0
0
0
0
0
0

Pasien
Penjamin
18192
18192
5020
5020
3560
3560
1500
1500
28272
28272

0
0
0
0
0

Pasien
Penjamin
27288
27288
5020
5020
3560
3560
6160
6160
5100
5100
2500
2500
49628
49628

0
0
0
0
0
0
0

Pasien
Penjamin
9856
9856
501
501
154
154
38
38
79110
79110
1780
1780
2510
2510

0
0
0
0
0
0
0

7,00

UNT

UMUM
Quantity
3,00
4,00
10,00
10,00
3,00
5,00

Depo Atas
Subtotal
AMP
BOT
PKG
UNT
UNT
UNT

UMUM
Quantity
2,00
1,00
2,00
2,00
3,00
10,00
10,00
4,00
4,00
2,00
10,00

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
BOT
PKG
UNT
UNT
UNT
BOT
UNT

UMUM
Quantity
1,00
1,00
4,00
4,00
1,00
2,00
1,00
2,00
1,00
1,00
10,00
10,00
4,00
4,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
VIL
BOT
AMP
BOT
BOT
PKG
UNT
UNT
UNT

3500
97449

3500
97449

0
0

Pasien
Penjamin
8673
8673
36384
36384
5020
5020
3560
3560
3825
3825
2500
2500
59962
59962

0
0
0
0
0
0
0

Pasien
Penjamin
1332
1332
898
898
308880
308880
93614
93614
153648
153648
5020
5020
3560
3560
5100
5100
6160
6160
5280
5280
5000
5000
588492
588492

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
547
116
1124
2376
167
13414
56100
5782
51216
5881
5020
3560
6160
5100

Penjamin
547
116
1124
2376
167
13414
56100
5782
51216
5881
5020
3560
6160
5100

0
0
0
0
0
0
0
0
0
0
0
0
0
0

2,00
15,00

BOT
UNT

JPK PNS
Quantity
2,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency Cempaka
Subtotal
UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
UNT
UNT

JPK PNS
Quantity
2,00
4,00
3,00
3,00

Emergency Anggrek
Subtotal
TAB
BOT
UNT
UNT

JPK PNS
Quantity
4,00
2,00
2,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT

UMUM
Quantity
2,00

Depo IGD
Subtotal
UNT

5280
7500
169343

5280
7500
169343

0
0
0

Pasien
Penjamin
29976
29976
500
500
30476
30476

0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1000
1000
32323
32323

0
0
0
0

Pasien
Penjamin
12610
12610
500
500
13110
13110

0
0
0

Pasien

Penjamin
252
36384
25245
1500
63381

0
0
0
0
0

Pasien
Penjamin
5100
5100
29976
29976
1000
1000
36076
36076

0
0
0
0

Pasien
Penjamin
3796
3796

252
36384
25245
1500
63381

1,00

UNT

ASKES
Quantity
10,00
1,00

Depo Atas
Subtotal
CAP
UNT

JPK PNS
Quantity
3,00
10,00
5,00
3,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT

JPK PNS
Quantity
2,00
3,00
1,00
5,00
2,00
3,00
10,00
5,00
8,00

Depo Atas
Subtotal
AMP
AMP
BOT
UNT
UNT
UNT
PKG
UNT
UNT

JPK PNS
Quantity
1,00
1,00
1,00
5,00
10,00
5,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT

JPK PNS
Quantity

Depo Atas
Subtotal

500
4296

500
4296

0
0

Pasien
Penjamin
11550
11550
500
500
12050
12050

0
0
0

Pasien
Penjamin
49251
49251
5020
5020
1780
1780
1500
1500
57551
57551

0
0
0
0
0

Pasien
Penjamin
93614
93614
17016
17016
16417
16417
9985
9985
3080
3080
3825
3825
5020
5020
1780
1780
4000
4000
154737
154737

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
26535
26535
1898
1898
1780
1780
5020
5020
2500
2500
46148
46148

0
0
0
0
0
0
0

Pasien

Penjamin

1,00
2,00
4,00
10,00
5,00
1,00
6,00

BOT
UNT
UNT
PKG
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
VIL
UNT

RSUD TARAKAN
Quantity
3,00
1,00

Depo Atas
Subtotal
VIL
UNT

JPK PNS
Quantity
1,00
2,00
1,00
5,00
4,00

Depo Atas
Subtotal
BAG
BOT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAMSOSTEK
Quantity
2,00
1,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

16417
3994
6160
5020
1780
9633
3000
46004

16417
3994
6160
5020
1780
9633
3000
46004

0
0
0
0
0
0
0
0

Pasien
Penjamin
633600
633600
500
500
634100
634100

0
0
0

Pasien
Penjamin
181416
181416
500
500
181916
181916

0
0
0

Pasien
Penjamin
9633
9633
32834
32834
1997
1997
1780
1780
2000
2000
48244
48244

0
0
0
0
0
0

Pasien
Penjamin
1997
1997
500
500
2497
2497

0
0
0

Pasien
Penjamin
29976
29976
2970
2970
1000
1000
33946
33946

0
0
0
0

JPK PNS
Quantity
2,00
5,00
2,00

Depo Atas
Subtotal
BOT
UNT
UNT

JPK PNS
Quantity
2,00
1,00

Depo Atas
Subtotal
VIL
UNT

JPK PNS
Quantity
3,00
2,00
2,00
2,00
2,00
2,00
10,00
10,00
6,00
5,00
10,00

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BOT
BOT
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity
3,00
3,00
6,00
5,00
4,00

Depo Atas
Subtotal
VIL
BAG
BOT
UNT
UNT

JPK PNS
Quantity
2,00
1,00

Depo Atas
Subtotal
VIL
UNT

Pasien
Penjamin
126506
126506
1780
1780
1000
1000
129286
129286

0
0
0
0

Pasien
Penjamin
144992
144992
500
500
145492
145492

0
0
0

Pasien
Penjamin
19602
19602
11088
11088
11344
11344
224400
224400
32834
32834
126506
126506
5020
5020
3560
3560
7650
7650
7700
7700
5000
5000
454704
454704

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
217488
217488
28899
28899
98502
98502
1780
1780
2000
2000
348669
348669

0
0
0
0
0
0

Pasien
Penjamin
144992
144992
500
500

0
0

145492

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
VIL
UNT

UMUM
Quantity
2,00
2,00
2,00

Depo Atas
Subtotal
BOT
VIL
UNT

JPK PNS
Quantity
20,00
1,00

Depo Atas
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
TAB
UNT

JPK PNS
Quantity
3,00
3,00
2,00

Depo Atas
Subtotal
AMP
AMP
UNT

JPK PNS
Quantity
10,00
10,00
1,00
1,00
4,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT

145492

Pasien
Penjamin
72496
72496
500
500
72996
72996

0
0
0

Pasien
Penjamin
118800
118800
144992
144992
1000
1000
264792
264792

0
0
0
0

Pasien
Penjamin
153860
153860
500
500
154360
154360

0
0
0

Pasien
Penjamin
3576
3576
500
500
4076
4076

0
0
0

Pasien
Penjamin
140421
140421
17016
17016
1000
1000
158437
158437

0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
1275
1275
1540
1540
2000
2000

0
0
0
0
0

13395

JPK PNS
Quantity
1,00
10,00
10,00
2,00
2,00
1,00
6,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
UNT
BOT
UNT

JPK PNS
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

JPK PNS
Quantity
30,00
2,00
10,00
10,00
2,00
2,00
6,00

Depo Atas
Subtotal
GM
BOT
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
1,00
2,00
10,00
10,00
2,00
2,00
7,00

Depo Atas
Subtotal
TAB
TAB
SUP
PKG
UNT
UNT
BOT
UNT

13395

Pasien
Penjamin
9900
9900
5020
5020
3560
3560
2550
2550
3080
3080
16417
16417
3000
3000
43527
43527

0
0
0
0
0
0
0
0

Pasien
Penjamin
5445
5445
500
500
5945
5945

0
0
0

Pasien

Penjamin
840
32834
5020
3560
2550
3080
3000
50884

0
0
0
0
0
0
0
0

Pasien
Penjamin
5464
5464
668
668
23562
23562
5020
5020
3560
3560
2550
2550
32834
32834
3500
3500
77158
77158

0
0
0
0
0
0
0
0
0

840
32834
5020
3560
2550
3080
3000
50884

UMUM
Quantity
2,00
10,00
10,00
1,00
1,00
5,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT

RSUD TARAKAN
Quantity
3,00
2,00
4,00
1,00
3,00
4,00
4,00
7,00

Depo Atas
Subtotal
TAB
VIL
VIL
AMP
BOT
UNT
UNT
UNT

RSUD TARAKAN
Quantity
2,00
1,00

Depo Atas
Subtotal
BOT
UNT

UMUM
Quantity
2,00
2,00
2,00
2,00
2,00
4,00
4,00
10,00
10,00
3,00
10,00

Depo Atas
Subtotal
TAB
CAP
TAB
AMP
BAG
UNT
UNT
PKG
UNT
TAB
UNT

Pasien
Penjamin
18192
18192
5020
5020
3560
3560
1275
1275
1540
1540
2500
2500
32087
32087

Pasien

0
0
0
0
0
0
0

Penjamin
300
13414
40128
5842
153648
5100
6160
3500
228092

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

300
13414
40128
5842
153648
5100
6160
3500
228092

Pasien
494
10454
528
5782
205200
5100
6160
5020
3560
22452
5000
269750

Penjamin
494
10454
528
5782
205200
5100
6160
5020
3560
22452
5000
269750

0
0
0
0
0
0
0
0
0
0
0
0

UMUM
Quantity
3,00
2,00
1,00
10,00
10,00
5,00
7,00
2,00
8,00

Depo Atas
Subtotal
TAB
BOT
BOT
PKG
UNT
UNT
UNT
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
10,00
15,00
4,00

Depo Atas
Subtotal
UMG
BOT
UNT
UNT
UNT
CAP
TAB
UNT

JPK PNS
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
BAG
UNT
UNT

RSUD TARAKAN
Quantity
2,00
2,00
2,00
3,00

Depo IGD
Subtotal
VIL
UNT
VIL
UNT

JAKARTA SEHAT
Quantity
3,00

Depo IGD
Subtotal
AMP

Pasien

Penjamin
234
32834
63253
5020
3560
6375
10780
13414
4000
139470

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
87572
87572
2000
2000
3500
3500
50
50
26535
26535
26940
26940
2115
2115
2000
2000
150712
150712

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9633
9633
3080
3080
1000
1000
13713
13713

0
0
0
0

Pasien
Penjamin
120944
120944
2550
2550
20064
20064
1500
1500
145058
145058

0
0
0
0
0

Pasien
Penjamin
20790
20790

234
32834
63253
5020
3560
6375
10780
13414
4000
139470

3,00
3,00
1,00
1,00
3,00
6,00

AMP
AMP
BAG
BAG
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
2,00
3,00
5,00

Depo IGD
Subtotal
VIL
BOT
TAB
BOT
TAB
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BAG
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

UMUM
Quantity
2,00
2,00
3,00
2,00
4,00

Depo IGD
Subtotal
BOT
VIL
TAB
UNT
UNT

UMUM
Quantity
6,00

Depo IGD
Subtotal
CAP

5220
17280
102600
9633
4620
3000
163143

5220
17280
102600
9633
4620
3000
163143

0
0
0
0
0
0
0

Pasien
Penjamin
170544
170544
57964
57964
1266
1266
32834
32834
405
405
2500
2500
265513
265513

0
0
0
0
0
0
0

Pasien
Penjamin
102600
102600
500
500
103100
103100

0
0
0

Pasien
Penjamin
47685
47685
500
500
48185
48185

0
0
0

Pasien
Penjamin
32834
32834
170544
170544
378
378
2550
2550
2000
2000
208306
208306

0
0
0
0
0
0

Pasien
Penjamin
6600
6600

1,00

UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
SUP
UNT

UMUM
Quantity
2,00
1,00
1,00
10,00
5,00
5,00

Depo IGD
Subtotal
VIL
AMP
BOT
PKG
UNT
UNT

UMUM
Quantity
2,00
2,00
2,00
5,00
100,00
5,00

Depo IGD
Subtotal
BOT
VIL
BOT
UNT
PKG
UNT

JPK PNS
Quantity
15,00
1,00

Depo Atas
Subtotal
TAB
UNT

500
7100

500
7100

0
0

Pasien
Penjamin
12524
12524
500
500
13024
13024

0
0
0

Pasien
Penjamin
23826
23826
500
500
24326
24326

0
0
0

Pasien
Penjamin
221258
221258
42247
42247
16417
16417
5020
5020
6375
6375
2500
2500
293817
293817

0
0
0
0
0
0
0

Pasien
Penjamin
118800
118800
144992
144992
32834
32834
6375
6375
50200
50200
2500
2500
355701
355701

0
0
0
0
0
0
0

Pasien
Penjamin
7845
7845
500
500
8345
8345

0
0
0

JPK PNS
Quantity
2,00
10,00
3,00
1,00
4,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT

UMUM
Quantity
3,00
1,00
2,00
2,00
2,00
2,00
5,00
2,00
10,00
5,00
10,00

Depo Atas
Subtotal
TAB
CAP
AMP
BOT
BOT
BOT
UNT
UNT
PKG
UNT
UNT

JPK PNS
Quantity
2,00
2,00
1,00
1,00
1,00
1,00
1,00
4,00
4,00
1,00
1,00
11,00

Depo Atas
Subtotal
BOT
VIL
GM
UNT
UNT
UNT
TUB
UNT
UNT
AMP
AMP
UNT

JPK PNS
Quantity
2,00
1,00

Depo Atas
Subtotal
BOT
UNT

Pasien
Penjamin
126506
126506
5020
5020
3825
3825
14988
14988
2000
2000
152339
152339

Pasien

0
0
0
0
0
0

Penjamin
741
5227
19202
118800
32834
368016
6375
3080
5020
1780
5000
566075

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
32834
32834
144992
144992
28
28
12012
12012
12012
12012
12610
12610
56262
56262
5100
5100
6160
6160
15830
15830
15444
15444
5500
5500
318784
318784

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
126506
126506
500
500

0
0

741
5227
19202
118800
32834
368016
6375
3080
5020
1780
5000
566075

127006

JPK PNS
Quantity
6,00
2,00
2,00
2,00
10,00
10,00
1,00
4,00
4,00
9,00

Depo Atas
Subtotal
TAB
VIL
AMP
BOT
PKG
UNT
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
1,00

Depo Atas
Subtotal
BAG
UNT

UMUM
Quantity
6,00
3,00
3,00
3,00
6,00
5,00
5,00
10,00
10,00
9,00

Depo Atas
Subtotal
TAB
AMP
AMP
VIL
BOT
UNT
UNT
PKG
UNT
UNT

UMUM
Quantity
3,00
2,00
2,00
2,00
8,00

Depo Atas
Subtotal
TAB
TAB
VIL
VIL
AMP

127006

Pasien
Penjamin
39204
39204
144992
144992
11344
11344
32834
32834
5020
5020
3560
3560
8415
8415
5100
5100
6160
6160
4500
4500
261129
261129

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
157018
157018
500
500
157518
157518

0
0
0

Pasien
Penjamin
1482
1482
5220
5220
34317
34317
217488
217488
98502
98502
7700
7700
6375
6375
5020
5020
3560
3560
4500
4500
384164
384164

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8196
8196
1336
1336
13414
13414
285120
285120
304128
304128

0
0
0
0
0

3,00
10,00
10,00
6,00
5,00
10,00

SUP
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
2,00
10,00
10,00
5,00

Depo Atas
Subtotal
BOT
TUB
BOT
PKG
UNT
UNT

UMUM
Quantity
2,00
3,00
2,00
2,00
1,00
10,00
10,00
2,00
3,00
2,00
3,00
2,00
12,00

Depo Atas
Subtotal
AMP
AMP
VIL
BOT
BOT
PKG
UNT
UNT
UNT
VIL
AMP
BAG
UNT

RSUD TARAKAN
Quantity
10,00
2,00
2,00

Depo Atas
Subtotal
PKG
BOT
UNT

RSUD TARAKAN

Depo Atas

35343
5020
3560
9240
6375
5000
676732

35343
5020
3560
9240
6375
5000
676732

0
0
0
0
0
0
0

Pasien
Penjamin
53460
53460
42768
42768
18192
18192
5020
5020
3560
3560
2500
2500
125500
125500

0
0
0
0
0
0
0

Pasien
Penjamin
22878
22878
5220
5220
170544
170544
32834
32834
63253
63253
5020
5020
3560
3560
3080
3080
3825
3825
13414
13414
30033
30033
19266
19266
6000
6000
378927
378927

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
43890
43890
32834
32834
1000
1000
77724
77724

0
0
0
0

Quantity
3,00
3,00
2,00
3,00
2,00
2,00
3,00
7,00

Subtotal
TAB
VIL
VIL
BOT
VIL
UNT
UNT
UNT

UMUM
Quantity
2,00
4,00
3,00
2,00
2,00
2,00
2,00
10,00
10,00
4,00
3,00
2,00
12,00

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
BAG
PKG
UNT
UNT
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
AMP
UNT

UMUM
Quantity
2,00
1,00
2,00
2,00
1,00
3,00
3,00
10,00

Depo IGD
Subtotal
TAB
VIL
AMP
VIL
BAG
UNT
UNT
UNT

Pasien

Penjamin
300
181416
13414
49251
20064
3080
3825
3500
274850

0
0
0
0
0
0
0
0
0

Penjamin
494
768
792
5782
13414
32834
205200
5020
3560
6160
3825
5280
6000
289129

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
201960
201960
500
500
202460
202460

0
0
0

300
181416
13414
49251
20064
3080
3825
3500
274850

Pasien
494
768
792
5782
13414
32834
205200
5020
3560
6160
3825
5280
6000
289129

Pasien
494
72496
49896
13414
9633
4620
3825
3560

Penjamin
494
72496
49896
13414
9633
4620
3825
3560

0
0
0
0
0
0
0
0

10,00
9,00

PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

UMUM
Quantity
1,00
3,00
3,00
10,00
10,00
5,00

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
PKG
UNT

ASKES
Quantity
2,00
1,00
1,00
10,00
10,00
1,00
6,00

Depo Atas
Subtotal
TAB
BOT
BOT
UNT
PKG
UNT
UNT

JPK PNS
Quantity
4,00
4,00
4,00
10,00
10,00
4,00
4,00
2,00
8,00

Depo Atas
Subtotal
VIL
AMP
BOT
PKG
UNT
UNT
UNT
BOT
UNT

5020
4500
167458

5020
4500
167458

0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
42247
42247
4620
4620
3825
3825
3560
3560
5020
5020
2500
2500
61772
61772

0
0
0
0
0
0
0

Pasien
Penjamin
2154
2154
16417
16417
63253
63253
3560
3560
5020
5020
14988
14988
3000
3000
108392
108392

0
0
0
0
0
0
0
0

Pasien
Penjamin
289984
289984
6960
6960
65668
65668
5020
5020
3560
3560
6160
6160
5100
5100
5280
5280
4000
4000
391732
391732

0
0
0
0
0
0
0
0
0
0

JPK PNS
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
20,00
20,00
1,00
3,00

Depo Atas
Subtotal
TAB
TAB
BOT
UNT

UMUM
Quantity
2,00
2,00
3,00
2,00
10,00
3,00
3,00
10,00
2,00
9,00

Depo Atas
Subtotal
VIL
AMP
BOT
VIL
PKG
UNT
UNT
UNT
BOT
UNT

Pasien
Penjamin
63253
63253
500
500
63753
63753

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
2970
2970
1500
1500
27873
27873

0
0
0
0
0

Pasien
Penjamin
81510
81510
500
500
82010
82010

0
0
0

Pasien
Penjamin
10460
10460
99120
99120
47685
47685
1500
1500
158765
158765

0
0
0
0
0

Pasien
Penjamin
13414
13414
5782
5782
178200
178200
144992
144992
5020
5020
3825
3825
4620
4620
3560
3560
32834
32834
4500
4500
396747
396747

0
0
0
0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
PKG
UNT
UNT

UMUM
Quantity
4,00
1,00
2,00
3,00

Depo Atas
Subtotal
UNT
BOT
BOT
UNT

UMUM
Quantity
4,00
1,00
2,00
3,00

Depo Atas
Subtotal
UNT
BOT
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
20,00
2,00

Depo Atas
Subtotal
BOT
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

Depo Atas
Subtotal
UNT
UNT
UNT
PKG
PKG
UNT

Pasien
Penjamin
2970
2970
14988
14988
1000
1000
18958
18958

0
0
0
0

Pasien
Penjamin
5100
5100
2640
2640
32834
32834
1500
1500
42074
42074

0
0
0
0
0

Pasien
Penjamin
5100
5100
2640
2640
32834
32834
1500
1500
42074
42074

0
0
0
0
0

Pasien
Penjamin
47685
47685
10460
10460
1000
1000
59145
59145

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
8415
8415
2970
2970
26950
26950
2500
2500
70811
70811

0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
UNT
UNT
UNT

UMUM
Quantity
10,00
3,00
2,00
3,00
2,00
1,00
3,00
3,00
10,00
1,00
1,00
2,00
1,00
1,00
10,00
15,00

Depo Atas
Subtotal
TAB
TAB
AMP
TAB
VIL
BAG
UNT
UNT
UNT
BOT
BAG
UNT
UNT
PKG
PKG
UNT

UMUM
Quantity
3,00
2,00
2,00
2,00
2,00
5,00

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
UNT
UNT

UMUM
Quantity
2,00
3,00
10,00
2,00
2,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT

Pasien
Penjamin
8415
8415
14988
14988
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
74840
74840
741
741
5782
5782
792
792
13414
13414
9633
9633
3825
3825
4620
4620
3560
3560
16417
16417
102600
102600
29976
29976
8415
8415
2970
2970
5020
5020
7500
7500
290105
290105

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
741
11344
118800
2550
3080
2500
139015

0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
8673
8673
3560
3560
2550
2550
3080
3080

0
0
0
0
0

741
11344
118800
2550
3080
2500
139015

2,00
6,00

BOT
UNT

UMUM
Quantity
6,00
3,00
1,00
6,00
6,00
4,00
4,00
4,00
4,00
10,00
10,00
6,00
9,00

Depo Atas
Subtotal
TAB
GM
UNT
UNT
TAB
VIL
VIL
AMP
SUP
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
6,00
1,00
1,00
4,00
10,00
10,00
1,00
1,00
3,00
3,00
11,00

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
VIL
PKG
UNT
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
6,00
1,00
6,00
10,00

Depo Atas
Subtotal
VIL
AMP
BOT
BAG
PKG

5520
3000
39797

5520
3000
39797

0
0
0

Pasien
Penjamin
16392
16392
63
63
3500
3500
300
300
4008
4008
26828
26828
289984
289984
71280
71280
47124
47124
5020
5020
3560
3560
9240
9240
4500
4500
481799
481799

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1002
1002
858
858
42247
42247
12415
12415
617760
617760
5020
5020
3560
3560
14988
14988
8415
8415
4620
4620
3825
3825
5500
5500
720210
720210

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
144992
144992
34032
34032
81510
81510
109170
109170
5020
5020

0
0
0
0
0

1,00
1,00
2,00
2,00
9,00

UNT
UNT
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
6,00
2,00
2,00
2,00
2,00
6,00
10,00
1,00
1,00
2,00
2,00
6,00
12,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
TAB
PKG
UNT
UNT
UNT
BAG
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
BAG
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
2,00
6,00
8,00
1,00
1,00
2,00
2,00
1,00
9,00

Depo Atas
Subtotal
TAB
TAB
AMP
BAG
UNT
UNT
UNT
BAG
UNT
UNT

8415
14988
2550
19266
4500
424443

8415
14988
2550
19266
4500
424443

0
0
0
0
0
0

Pasien
Penjamin
14784
14784
15708
15708
19800
19800
88
88
1654
1654
3234
3234
5020
5020
16335
16335
14988
14988
2550
2550
19266
19266
47532
47532
6000
6000
166959
166959

0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18195
18195
26600
26600
1000
1000
45795
45795

0
0
0
0

Pasien
756
900
34032
145560
8415
14988
2550
19266
26600
4500
257567

Penjamin
756
900
34032
145560
8415
14988
2550
19266
26600
4500
257567

0
0
0
0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
1,00
6,00
4,00
4,00
1,00
6,00

Depo Atas
Subtotal
AMP
AMP
TAB
TAB
TAB
UNT
UNT

JAKARTA SEHAT
Quantity
4,00
4,00
2,00
2,00
10,00
2,00
2,00
1,00
2,00
1,00
1,00
11,00

Depo Atas
Subtotal
AMP
VIL
BOT
BOT
PKG
UNT
UNT
BAG
BOT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
AMP
UNT

UMUM
Quantity
2,00
1,00
2,00

Depo Atas
Subtotal
UNT
PKG
UNT

JAKARTA SEHAT

Depo IGD

Pasien
Penjamin
6930
6930
1740
1740
756
756
1800
1800
15680
15680
26600
26600
3000
3000
56506
56506

0
0
0
0
0
0
0
0

Pasien
Penjamin
211200
211200
289984
289984
102432
102432
126506
126506
5020
5020
3080
3080
2550
2550
9633
9633
5280
5280
8415
8415
14988
14988
5500
5500
784588
784588

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15444
15444
500
500
15944
15944

0
0
0

Pasien
Penjamin
29976
29976
2970
2970
1000
1000
33946
33946

0
0
0
0

Quantity
20,00
1,00
1,00
2,00
1,00
1,00
1,00
7,00

Subtotal
BOT
UNT
UNT
BOT
UNT
UNT
TUB
UNT

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

Depo IGD
Subtotal
UNT
TUB
UNT
UNT
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
2,00
7,00

Depo IGD
Subtotal
SUP
UNT
UNT
UNT
UNT
TUB
UNT
UNT

JAKARTA SEHAT

Depo IGD

Pasien
Penjamin
250800
250800
16335
16335
14988
14988
18192
18192
8415
8415
5809
5809
56262
56262
3500
3500
374301
374301

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
107376
107376
500
500
107876
107876

0
0
0

Pasien
Penjamin
16088
16088
56262
56262
18343
18343
5809
5809
12012
12012
1275
1275
26535
26535
14988
14988
4000
4000
155312
155312

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
26124
26124
18343
18343
5809
5809
12012
12012
1275
1275
56262
56262
29976
29976
3500
3500
153301
153301

0
0
0
0
0
0
0
0
0

Quantity
1,00
1,00
2,00
3,00

Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
2,00
10,00
2,00
1,00
4,00

Depo IGD
Subtotal
AMP
AMP
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

Pasien
Penjamin
3300
3300
26535
26535
29976
29976
1500
1500
61311
61311

Pasien

0
0
0
0
0

Penjamin
282
500
782

0
0
0

Pasien
Penjamin
150480
150480
22220
22220
3994
3994
14988
14988
2000
2000
193682
193682

0
0
0
0
0
0

Pasien
Penjamin
3300
3300
26535
26535
29976
29976
1500
1500
61311
61311

0
0
0
0
0

Pasien
Penjamin
3300
3300
26535
26535
29976
29976
1500
1500
61311
61311

0
0
0
0
0

Pasien
Penjamin
308377
308377
500
500

0
0

282
500
782

308877

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
VIL
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Depo IGD
Subtotal
VIL
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
3,00
3,00
1,00
2,00
9,00

Depo IGD
Subtotal
UNT
VIL
BOT
UNT
PKG
UNT
UNT
UNT
BOT
UNT

308877

Pasien
Penjamin
211200
211200
500
500
211700
211700

0
0
0

Pasien
Penjamin
422400
422400
26535
26535
1000
1000
449935
449935

0
0
0
0

Pasien
Penjamin
144992
144992
67968
67968
1000
1000
213960
213960

0
0
0
0

Pasien
Penjamin
308377
308377
500
500
308877
308877

0
0
0

Pasien
Penjamin
14988
14988
112200
112200
18192
18192
16088
16088
41388
41388
5991
5991
4620
4620
8415
8415
11762
11762
4500
4500
238144
238144

0
0
0
0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
1,00
1,00
2,00
2,00
3,00
8,00

Depo IGD
Subtotal
BOT
VIL
UNT
UNT
UNT
BOT
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
VIL
SUP
UNT

UMUM
Quantity
3,00
1,00

Depo IGD
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
10,00
2,00

Depo IGD
Subtotal
TUB
PKG
UNT

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

Pasien
Penjamin
59400
59400
112200
112200
3825
3825
14988
14988
16335
16335
18192
18192
11762
11762
5991
5991
4000
4000
246693
246693

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
85272
85272
26124
26124
1000
1000
112396
112396

0
0
0
0

Pasien
Penjamin
2004
2004
500
500
2504
2504

0
0
0

Pasien
Penjamin
16088
16088
500
500
16588
16588

0
0
0

Pasien
Penjamin
56262
56262
5020
5020
1000
1000
62282
62282

0
0
0
0

Pasien

Penjamin

2,00
2,00
2,00

VIL
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
BOT
UNT
PKG
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
AMP
UNT

UMUM
Quantity
1,00
3,00
2,00

Depo IGD
Subtotal
AMP
TAB
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

JPK PNS

Depo IGD

5184
32834
1000
39018

5184
32834
1000
39018

0
0
0
0

Pasien
Penjamin
11762
11762
500
500
12262
12262

0
0
0

Pasien
Penjamin
18192
18192
16088
16088
26950
26950
16335
16335
8415
8415
2500
2500
88480
88480

0
0
0
0
0
0
0

Pasien
Penjamin
24758
24758
500
500
25258
25258

0
0
0

Pasien
Penjamin
24758
24758
1524
1524
1000
1000
27282
27282

0
0
0
0

Pasien
Penjamin
4326
4326
500
500
4826
4826

0
0
0

Quantity
3,00
2,00
2,00
5,00
10,00
5,00

Subtotal
UNT
UNT
BOT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
12,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

JAKARTA SEHAT
Quantity
12,00
1,00

Apotik Panel 2
Subtotal
TAB
UNT

UMUM
Quantity
2,00
2,00
1,00
3,00
3,00
1,00
3,00

Depo Atas
Subtotal
VIL
AMP
VIL
UNT
UNT
BOT
BAG

Pasien
Penjamin
3825
3825
29976
29976
126506
126506
1780
1780
5020
5020
2500
2500
169607
169607

0
0
0
0
0
0
0

Pasien
Penjamin
5384
5384
500
500
5884
5884

0
0
0

Pasien
Penjamin
53460
53460
500
500
53960
53960

0
0
0

Pasien
Penjamin
8652
8652
500
500
9152
9152

0
0
0

Pasien
Penjamin
8652
8652
500
500
9152
9152

0
0
0

Pasien
Penjamin
13414
13414
5782
5782
72496
72496
3825
3825
4620
4620
16417
16417
28899
28899

0
0
0
0
0
0
0

1,00
10,00
9,00

UNT
PKG
UNT

RSUD TARAKAN
Quantity
5,00
1,00

Depo Atas
Subtotal
TAB
UNT

UMUM
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
12,00
6,00
9,00
6,00
3,00
5,00

Depo Atas
Subtotal
TAB
TAB
AMP
AMP
AMP
UNT

JAKARTA SEHAT
Quantity
6,00
6,00
30,00
1,00
1,00
2,00

Depo Atas
Subtotal
TAB
TAB
GM
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
9,00
3,00
3,00

Depo Atas
Subtotal
TAB
TAB
TAB

14988
5020
4500
169961

14988
5020
4500
169961

0
0
0
0

Pasien
Penjamin
2250
2250
500
500
2750
2750

0
0
0

Pasien
Penjamin
46191
46191
500
500
46691
46691

0
0
0

Pasien
Penjamin
1512
1512
14784
14784
51048
51048
17346
17346
13935
13935
2500
2500
101125
101125

0
0
0
0
0
0
0

Pasien
Penjamin
6084
6084
17772
17772
840
840
3500
3500
50
50
1000
1000
29246
29246

0
0
0
0
0
0
0

Pasien

Penjamin
918
918
1503
1503
29700
29700

0
0
0

3,00
9,00
6,00
4,00
7,00

TAB
TAB
VIL
VIL
UNT

JAKARTA SEHAT
Quantity
36,00
6,00
3,00
6,00
30,00
5,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
12,00
6,00
9,00
6,00
1,00
5,00

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
BOT
UNT

JAKARTA SEHAT
Quantity
9,00
3,00
1,00
6,00
4,00

Depo Atas
Subtotal
TAB
TAB
BOT
VIL
UNT

JAKARTA SEHAT
Quantity
3,00
12,00
6,00
6,00
9,00

Depo Atas
Subtotal
VIL
AMP
AMP
AMP
TAB

23562
1134
673200
870676
3500
1604193

23562
1134
673200
870676
3500
1604193

0
0
0
0
0
0

Pasien
Penjamin
3096
3096
16152
16152
132
132
8748
8748
18000
18000
2500
2500
48628
48628

0
0
0
0
0
0
0

Pasien
Penjamin
1512
1512
14784
14784
35280
35280
17346
17346
47685
47685
2500
2500
119107
119107

0
0
0
0
0
0
0

Pasien
Penjamin
1269
1269
12315
12315
47685
47685
434976
434976
2000
2000
498245
498245

0
0
0
0
0
0

Pasien
Penjamin
20121
20121
83160
83160
44250
44250
17346
17346
9126
9126

0
0
0
0
0

5,00

UNT

JAKARTA SEHAT
Quantity
6,00
6,00
9,00
3,00
3,00
6,00
6,00
6,00
8,00

Depo Atas
Subtotal
TAB
CAP
TAB
TAB
TAB
TAB
TAB
CAP
UNT

JAKARTA SEHAT
Quantity
9,00
6,00
2,00

Depo Atas
Subtotal
TAB
VIL
UNT

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
3,00
3,00
5,00

Depo Atas
Subtotal
TAB
VIL
VIL
AMP
AMP
UNT

JAKARTA SEHAT
Quantity
2,00
4,00
2,00
2,00
4,00

Depo Atas
Subtotal
VIL
AMP
AMP
AMP
UNT

2500
176503

2500
176503

0
0

Pasien
Penjamin
3168
3168
6600
6600
1269
1269
2376
2376
348
348
1686
1686
3564
3564
27720
27720
4000
4000
50731
50731

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1134
1134
511632
511632
1000
1000
513766
513766

0
0
0
0

Pasien

Penjamin
432
20121
217488
20790
5220
2500
266551

0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
27720
27720
5782
5782
14750
14750
2000
2000
63666
63666

0
0
0
0
0
0

432
20121
217488
20790
5220
2500
266551

JAKARTA SEHAT
Quantity
9,00
3,00
9,00
3,00

Depo Atas
Subtotal
TAB
AMP
SUP
UNT

JAKARTA SEHAT
Quantity
6,00
6,00
2,00

Depo Atas
Subtotal
VIL
BOT
UNT

JAKARTA SEHAT
Quantity
6,00
3,00
9,00
6,00
4,00

Depo Atas
Subtotal
VIL
VIL
BOT
BOT
UNT

JAKARTA SEHAT
Quantity
6,00
3,00
9,00
3,00

Depo Atas
Subtotal
AMP
VIL
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
12,00
6,00
9,00
6,00
5,00

Depo Atas
Subtotal
BOT
TAB
TAB
AMP
AMP
UNT

Pasien
Penjamin
1269
1269
20790
20790
106029
106029
1500
1500
129588
129588

0
0
0
0
0

Pasien
Penjamin
40242
40242
356400
356400
1000
1000
397642
397642

0
0
0
0

Pasien
Penjamin
40242
40242
255816
255816
305856
305856
356400
356400
2000
2000
960314
960314

0
0
0
0
0
0

Pasien
Penjamin
17346
17346
20121
20121
305856
305856
1500
1500
344823
344823

0
0
0
0
0

Pasien
Penjamin
47685
47685
1512
1512
14784
14784
51048
51048
17346
17346
2500
2500
134875
134875

0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
12,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

Pasien
Penjamin
213840
213840
500
500
214340
214340

0
0
0

Pasien
Penjamin
434976
434976
500
500
435476
435476

0
0
0

Pasien
Penjamin
434976
434976
500
500
435476
435476

0
0
0

Pasien
Penjamin
511632
511632
500
500
512132
512132

0
0
0

Pasien
Penjamin
434976
434976
500
500
435476
435476

0
0
0

Pasien
Penjamin
434976
434976
500
500
435476
435476

0
0
0

Pasien
Penjamin
13935
13935
500
500
14435
14435

0
0
0

UMUM
Quantity
1,00
10,00
2,00

Depo Atas
Subtotal
PKG
PKG
UNT

ASKES
Quantity
1,00
1,00
3,00
3,00
5,00
10,00
1,00
7,00

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
3,00
2,00

Depo Atas
Subtotal
VIL
AMP
UNT

JAKARTA SEHAT
Quantity
3,00
6,00
1,00
1,00
4,00

Depo Atas
Subtotal
VIL
AMP
BOT
BOT
UNT

JAKARTA SEHAT
Quantity
9,00
1,00

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
2970
2970
5020
5020
1000
1000
8990
8990

0
0
0
0

Pasien
Penjamin
16417
16417
63253
63253
3825
3825
4620
4620
1780
1780
5020
5020
14988
14988
3500
3500
113403
113403

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
663774
663774
53460
53460
1000
1000
718234
718234

0
0
0
0

Pasien
Penjamin
217488
217488
34032
34032
81510
81510
57964
57964
2000
2000
392994
392994

0
0
0
0
0
0

Pasien
Penjamin
169290
169290
500
500
169790
169790

0
0
0

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
6,00
9,00
3,00
3,00

Depo Atas
Subtotal
VIL
VIL
BOT
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
VIL
UNT

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
TAB
UNT

UMUM
Quantity
3,00
2,00
1,00
2,00
1,00
2,00
2,00
2,00
1,00
1,00
1,00
5,00
12,00

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
BAG
UNT
UNT
UNT
BOT
BOT
BOT
UNT
UNT

Pasien
Penjamin
511632
511632
500
500
512132
512132

0
0
0

Pasien
Penjamin
434976
434976
1900800 1900800
336633
336633
1500
1500
2673909 2673909

0
0
0
0
0

Pasien
Penjamin
434976
434976
500
500
435476
435476

0
0
0

Pasien
Penjamin
2700
2700
500
500
3200
3200

0
0
0

Pasien
Penjamin
4632
4632
654
654
72496
72496
49896
49896
9633
9633
2550
2550
3080
3080
3994
3994
16417
16417
51216
51216
63253
63253
1780
1780
6000
6000
285601
285601

0
0
0
0
0
0
0
0
0
0
0
0
0
0

UMUM
Quantity
3,00
2,00
3,00
2,00
3,00
1,00
5,00
10,00
1,00
9,00

Depo Atas
Subtotal
TAB
AMP
UNT
UNT
BOT
BOT
UNT
PKG
PKG
UNT

UMUM
Quantity
2,00
2,00
3,00
3,00
3,00
10,00
10,00
4,00
4,00
1,00
1,00
11,00

Depo Atas
Subtotal
VIL
AMP
BOT
BOT
BOT
PKG
UNT
UNT
UNT
BAG
TAB
UNT

UMUM
Quantity
2,00
2,00
2,00
4,00
3,00
10,00
10,00
2,00
2,00
1,00
10,00

Depo Atas
Subtotal
SUP
VIL
VIL
AMP
BAG
PKG
UNT
UNT
UNT
BAG
UNT

Pasien

Penjamin
741
19202
3825
3080
49251
184008
1780
5020
2970
4500
274377

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
144992
144992
201960
201960
49251
49251
153648
153648
189759
189759
5020
5020
3560
3560
5100
5100
6160
6160
9633
9633
1077
1077
5500
5500
775660
775660

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
23562
23562
13414
13414
144992
144992
71280
71280
307800
307800
5020
5020
3560
3560
2550
2550
3080
3080
9633
9633
5000
5000

0
0
0
0
0
0
0
0
0
0
0

741
19202
3825
3080
49251
184008
1780
5020
2970
4500
274377

589891

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
UNT
UNT

UMUM
Quantity
1,00
1,00
1,00
2,00
4,00

Depo IGD
Subtotal
BOT
BOT
BOT
TAB
UNT

UMUM
Quantity
2,00
1,00
2,00
2,00
100,00
5,00

Depo IGD
Subtotal
BOT
BAG
UNT
UNT
PKG
UNT

ASKES
Quantity
1,00
3,00

Depo Atas
Subtotal
TAB
BOT

589891

Pasien
Penjamin
30033
30033
500
500
30533
30533

0
0
0

Pasien
Penjamin
16335
16335
8415
8415
14988
14988
14988
14988
2970
2970
26535
26535
3000
3000
87231
87231

0
0
0
0
0
0
0
0

Pasien
Penjamin
16417
16417
51216
51216
63253
63253
3088
3088
2000
2000
135974
135974

0
0
0
0
0
0

Pasien
Penjamin
32834
32834
9633
9633
3994
3994
2550
2550
50200
50200
2500
2500
101711
101711

0
0
0
0
0
0
0

Pasien
Penjamin
9900
9900
49251
49251

0
0

10,00
1,00
1,00
1,00
1,00
3,00
10,00
9,00

PKG
UNT
UNT
UNT
UNT
TAB
UNT
UNT

ASKES
Quantity
10,00
3,00
2,00

Depo Atas
Subtotal
TAB
AMP
UNT

ASKES
Quantity
5,00
5,00
10,00
1,00
1,00
5,00

Depo Atas
Subtotal
UNT
UNT
PKG
PKG
UNT
UNT

UMUM
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

RSUD TARAKAN
Quantity
3,00
10,00
10,00
1,00
1,00
1,00
1,00
7,00

Depo Atas
Subtotal
BOT
PKG
UNT
UNT
UNT
UNT
UNT
UNT

5020
8415
16335
14988
26600
3231
3560
4500
141800

5020
8415
16335
14988
26600
3231
3560
4500
141800

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
10770
10770
13935
13935
1000
1000
25705
25705

0
0
0
0

Pasien
Penjamin
6375
6375
1780
1780
5020
5020
2970
2970
26535
26535
2500
2500
45180
45180

0
0
0
0
0
0
0

Pasien
Penjamin
46191
46191
500
500
46691
46691

0
0
0

Pasien
Penjamin
49251
49251
5020
5020
3560
3560
14988
14988
16335
16335
8415
8415
26535
26535
3500
3500

0
0
0
0
0
0
0
0

127604

UMUM
Quantity
2,00
3,00
2,00
3,00
4,00
4,00
6,00

Depo Atas
Subtotal
VIL
AMP
VIL
AMP
AMP
BOT
UNT

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

ASKES
Quantity
2,00
2,00
2,00
5,00
10,00
1,00
1,00
1,00
8,00

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
PKG
PKG
UNT
BOT
UNT

UMUM
Quantity
2,00
2,00
3,00
2,00
5,00
10,00
6,00

Depo Atas
Subtotal
VIL
AMP
BOT
BOT
UNT
PKG
UNT

127604

Pasien
Penjamin
13414
13414
20790
20790
144992
144992
5220
5220
71280
71280
314536
314536
3000
3000
573232
573232

0
0
0
0
0
0
0
0

Pasien
Penjamin
278981
278981
500
500
279481
279481

0
0
0

Pasien
Penjamin
74844
74844
3994
3994
2550
2550
1780
1780
5020
5020
2970
2970
26600
26600
16417
16417
4000
4000
138175
138175

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
13414
13414
5782
5782
178200
178200
32834
32834
1780
1780
5020
5020
3000
3000
240030
240030

0
0
0
0
0
0
0
0

UMUM
Quantity
3,00
3,00
4,00
2,00
2,00
2,00
1,00
2,00
8,00

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
BOT
UNT
UNT
UNT

RSUD TARAKAN
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
TAB
UNT

UMUM
Quantity
2,00
4,00
2,00
1,00
2,00
5,00

Emergency Anggrek
Subtotal
UNT
BAG
UNT
AMP
UNT
UNT

UMUM
Quantity
4,00
3,00
1,00
2,00
3,00
2,00
3,00
3,00
5,00
10,00
10,00

Depo Atas
Subtotal
AMP
BOT
BOT
BOT
BAG
UNT
UNT
UNT
UNT
PKG
UNT

Pasien

Penjamin
741
1584
768
5782
13414
224422
5500
11464
4000
267675

0
0
0
0
0
0
0
0
0
0

Penjamin
126
126
500
500
626
626

0
0
0

Pasien
Penjamin
32670
32670
38532
38532
29976
29976
1740
1740
3994
3994
2500
2500
109412
109412

0
0
0
0
0
0
0

Pasien
Penjamin
152064
152064
178200
178200
16417
16417
126506
126506
28899
28899
2550
2550
5991
5991
1548
1548
1780
1780
5020
5020
5000
5000
523975
523975

0
0
0
0
0
0
0
0
0
0
0
0

741
1584
768
5782
13414
224422
5500
11464
4000
267675

Pasien

UMUM
Quantity
4,00
2,00
1,00
2,00
1,00
3,00
5,00
10,00
2,00
9,00

Depo Atas
Subtotal
TAB
AMP
UNT
UNT
BAG
BOT
UNT
PKG
VIL
UNT

UMUM
Quantity
2,00
3,00
2,00

Depo Atas
Subtotal
AMP
TAB
UNT

UMUM
Quantity
4,00
2,00
2,00
4,00
5,00
10,00
6,00

Depo Atas
Subtotal
TAB
AMP
BOT
UNT
UNT
PKG
UNT

UMUM
Quantity
3,00
3,00
4,00
2,00
2,00
2,00
2,00
10,00

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
VIL
TAB
BOT
PKG

Pasien

Penjamin
504
5782
1997
2550
9633
49251
1780
5020
13414
4500
94431

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
31660
31660
1200
1200
1000
1000
33860
33860

0
0
0
0

504
5782
1997
2550
9633
49251
1780
5020
13414
4500
94431

Pasien
988
5782
18192
5100
1780
5020
3000
39862

Pasien
741
1584
768
5782
13414
52800
32834
5020

Penjamin
988
5782
18192
5100
1780
5020
3000
39862

0
0
0
0
0
0
0
0

Penjamin
741
1584
768
5782
13414
52800
32834
5020

0
0
0
0
0
0
0
0

10,00
1,00
1,00
11,00

UNT
UNT
UNT
UNT

UMUM
Quantity
3,00
1,00
2,00
3,00
10,00
10,00
3,00
1,00
1,00
1,00
10,00

Depo Atas
Subtotal
TAB
VIL
VIL
BOT
PKG
UNT
UNT
BAG
PKG
UNT
UNT

UMUM
Quantity
2,00
2,00
3,00
2,00
3,00
4,00
3,00
10,00
10,00
2,00
3,00
6,00
5,00
1,00
14,00

Depo Atas
Subtotal
AMP
VIL
AMP
VIL
AMP
AMP
BAG
PKG
UNT
UNT
UNT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

3560
1997
1275
5500
125275

3560
1997
1275
5500
125275

0
0
0
0
0

Penjamin
378
72496
13414
49251
5020
3560
5991
9633
2970
26535
5000
194248

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30794
30794
13414
13414
20790
20790
144992
144992
5220
5220
152064
152064
307800
307800
5020
5020
3560
3560
3796
3796
5991
5991
7650
7650
7700
7700
3696
3696
7000
7000
719487
719487

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1898
1898
500
500

0
0

Pasien
378
72496
13414
49251
5020
3560
5991
9633
2970
26535
5000
194248

2398

UMUM
Quantity
1,00
1,00
2,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
1,00
1,00
2,00
5,00

Emergency Anggrek
Subtotal
UNT
BOT
UNT
UNT
BOT
UNT

UMUM
Quantity
1,00
4,00
3,00
1,00
1,00
1,00
1,00
1,00
8,00

Emergency Anggrek
Subtotal
AMP
UNT
UNT
UNT
AMP
BAG
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

Emergency Anggrek
Subtotal
UNT
BOT
UNT
UNT
UNT

JPK PNS

Depo IGD

2398

Pasien
Penjamin
5809
5809
1275
1275
1000
1000
8084
8084

0
0
0
0

Pasien
Penjamin
1997
1997
4538
4538
1275
1275
8415
8415
18192
18192
2500
2500
36917
36917

0
0
0
0
0
0
0

Pasien
Penjamin
15397
15397
6160
6160
3825
3825
1997
1997
1740
1740
9633
9633
14988
14988
516
516
4000
4000
58256
58256

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
8415
8415
16417
16417
1997
1997
1275
1275
2000
2000
30104
30104

0
0
0
0
0
0

Quantity
1,00
1,00

Subtotal
TAB
UNT

JPK PNS
Quantity
1,00
1,00
10,00
10,00
4,00
4,00
4,00
1,00
1,00
1,00
10,00

Depo IGD
Subtotal
AMP
AMP
PKG
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
PKG
UNT

UMUM
Quantity
3,00
1,00

Depo Atas
Subtotal
AMP
UNT

JPK PNS
Quantity
10,00
3,00
2,00
3,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

Pasien

Penjamin
400
500
900

0
0
0

Pasien
Penjamin
12600
12600
12080
12080
5020
5020
3560
3560
7988
7988
6160
6160
5100
5100
8415
8415
16335
16335
14988
14988
5000
5000
97246
97246

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Pasien
Penjamin
46191
46191
500
500
46691
46691

0
0
0

Pasien
Penjamin
5020
5020
3825
3825
3080
3080
1500
1500
13425
13425

0
0
0
0
0

400
500
900

Pasien

Penjamin

20,00
1,00

TAB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

UMUM
Quantity
2,00
10,00
10,00
1,00
4,00

Depo Atas
Subtotal
TAB
PKG
UNT
TAB
UNT

UMUM
Quantity
2,00
1,00
10,00
10,00
2,00
2,00
6,00

Depo Atas
Subtotal
TAB
BOT
PKG
UNT
UNT
AMP
UNT

UMUM
Quantity
2,00
1,00
2,00
10,00
10,00
6,00
6,00
6,00
3,00
3,00
4,00

Depo Atas
Subtotal
BAG
BOT
VIL
PKG
UNT
UNT
UNT
UNT
AMP
AMP
AMP

153860
500
154360

153860
500
154360

0
0
0

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

Pasien
Penjamin
1056
1056
5020
5020
3560
3560
247
247
2000
2000
11883
11883

0
0
0
0
0
0

Pasien

Penjamin
286
16417
5020
3560
2550
4444
3000
35277

0
0
0
0
0
0
0
0

Pasien
Penjamin
205200
205200
57964
57964
144992
144992
5020
5020
3560
3560
11982
11982
7650
7650
9240
9240
34317
34317
5220
5220
152064
152064

0
0
0
0
0
0
0
0
0
0
0

286
16417
5020
3560
2550
4444
3000
35277

11,00

UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

Emergency Cempaka
Subtotal
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency Cempaka
Subtotal
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency Catelia
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency Dahlia
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Emergency Dahlia
Subtotal
UNT
UNT
UNT
UNT

5500
642709

5500
642709

0
0

Pasien
Penjamin
3796
3796
500
500
4296
4296

0
0
0

Pasien
Penjamin
32670
32670
29976
29976
1000
1000
63646
63646

0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
1000
1000
32323
32323

0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
18343
18343
5809
5809
12012
12012
1997
1997

0
0
0
0

1,00
2,00
6,00

TUB
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency Dahlia
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

Depo Atas
Subtotal
CAP
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency Catelia
Subtotal
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
2,00

Emergency Anggrek
Subtotal
BOT
UNT
UNT

JPK PNS
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
BOT
UNT

JPK PNS
Quantity
1,00

Emergency Anggrek
Subtotal
BAG

56262
5280
3000
102703

56262
5280
3000
102703

0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
26940
26940
2640
2640
1000
1000
30580
30580

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
1000
1000
30976
30976

0
0
0
0

Pasien
Penjamin
16417
16417
26611
26611
1000
1000
44028
44028

0
0
0
0

Pasien
Penjamin
5881
5881
500
500
6381
6381

0
0
0

Pasien
Penjamin
9633
9633

1,00

UNT

RSUD TARAKAN
Quantity
1,00
1,00
2,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
2,00
5,00

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

500
10133

500
10133

0
0

Pasien
Penjamin
14988
14988
8415
8415
1000
1000
24403
24403

0
0
0
0

Pasien
Penjamin
9693
9693
24588
24588
900
900
35181
35181

0
0
0
0

Pasien
Penjamin
124740
124740
26950
26950
12610
12610
20213
20213
29976
29976
2500
2500
216989
216989

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1898
1898
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

Depo IGD
Subtotal
AMP
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
4,00

Depo IGD
Subtotal
BOT
AMP
PKG
UNT
UNT

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
TAB
TAB
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
124740
124740
14988
14988
56632
56632
1500
1500
197860
197860

0
0
0
0
0

Pasien
Penjamin
59400
59400
124740
124740
26950
26950
20213
20213
2000
2000
233303
233303

0
0
0
0
0
0

Pasien
Penjamin
4000
4000
750
750
1000
1000
5750
5750

0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
16335
16335
1898
1898

0
0
0
0

1,00
1,00
1,00
7,00

UNT
UNT
TUB
UNT

JAKARTA SEHAT
Quantity
2,00
3,00
1,00
2,00
1,00
5,00

Depo IGD
Subtotal
TAB
TAB
BOT
AMP
VIL
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
UNT
UNT
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

Depo IGD
Subtotal
UNT
UNT
UNT
TUB
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00

Depo IGD
Subtotal
UNT
UNT
UNT
BOT
PKG

26611
16088
56262
3500
150670

26611
16088
56262
3500
150670

0
0
0
0
0

Penjamin
384
378
57964
14702
85272
2500
161200

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16335
16335
5881
5881
1898
1898
2000
2000
41102
41102

0
0
0
0
0
0

Pasien
Penjamin
12610
12610
12012
12012
12012
12012
56262
56262
14988
14988
16335
16335
3000
3000
127219
127219

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
8415
8415
1898
1898
5881
5881
2970
2970

0
0
0
0
0

Pasien
384
378
57964
14702
85272
2500
161200

5,00

UNT

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
TUB
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
5,00
1,00

Depo IGD
Subtotal
UNT
UNT

JAKARTA SEHAT

Depo IGD

2500
36652

2500
36652

0
0

Pasien
Penjamin
59400
59400
500
500
59900
59900

0
0
0

Pasien
Penjamin
14988
14988
16335
16335
1898
1898
16088
16088
56262
56262
26611
26611
3000
3000
135182
135182

0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
14988
14988
1898
1898
16335
16335
1500
1500
34721
34721

0
0
0
0
0

Pasien
Penjamin
9140
9140
500
500
9640
9640

0
0
0

Quantity
1,00
5,00
2,00

Subtotal
VIL
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
VIL
UNT

UMUM
Quantity
7,00
4,00
10,00
3,00

Depo IGD
Subtotal
UNT
BOT
PKG
UNT

JPK PNS
Quantity
2,00
3,00
1,00
10,00
2,00
5,00

Depo IGD
Subtotal
VIL
UNT
BAG
PKG
UNT
UNT

JPK PNS
Quantity
2,00
20,00
10,00
4,00
4,00
5,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity

Depo Atas
Subtotal

Pasien
Penjamin
211200
211200
9140
9140
1000
1000
221340
221340

0
0
0
0

Pasien
Penjamin
5184
5184
500
500
5684
5684

0
0
0

Pasien
Penjamin
8925
8925
65668
65668
5020
5020
1500
1500
81113
81113

0
0
0
0
0

Pasien
Penjamin
170544
170544
5991
5991
9633
9633
5020
5020
2550
2550
2500
2500
196238
196238

0
0
0
0
0
0
0

Pasien
Penjamin
1078
1078
10040
10040
3560
3560
5100
5100
6160
6160
2500
2500
28438
28438

0
0
0
0
0
0
0

Pasien

Penjamin

4,00
2,00
4,00
10,00
10,00
6,00
7,00
6,00
2,00
9,00

VIL
AMP
BOT
PKG
UNT
UNT
UNT
UNT
BAG
UNT

UMUM
Quantity
2,00
2,00
4,00
3,00
3,00
1,00
1,00
1,00
4,00
1,00
10,00

Depo Atas
Subtotal
AMP
UNT
UNT
UNT
BOT
TAB
TAB
TAB
AMP
BOT
UNT

UMUM
Quantity
2,00
3,00
10,00
1,00
10,00
5,00

Depo Atas
Subtotal
AMP
UNT
PKG
BOT
CAP
UNT

JAKARTA SEHAT
Quantity
6,00
2,00
6,00
6,00
2,00

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
BOT

341088
11344
65668
5020
3560
11982
8925
9240
19266
4500
480593

341088
11344
65668
5020
3560
11982
8925
9240
19266
4500
480593

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5782
5782
3994
3994
6160
6160
3825
3825
168300
168300
827
827
546
546
122
122
152064
152064
16417
16417
5000
5000
363037
363037

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5782
5782
3825
3825
5020
5020
16417
16417
97810
97810
2500
2500
131354
131354

0
0
0
0
0
0
0

Pasien
516
2902
1002
106920
32834

Penjamin
516
2902
1002
106920
32834

0
0
0
0
0

10,00
1,00
1,00
1,00
9,00

PKG
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
3,00
4,00
1,00
1,00
1,00
5,00

Depo Atas
Subtotal
BOT
BOT
UNT
UNT
UNT
UNT

RSUD TARAKAN
Quantity
6,00
1,00

Depo Atas
Subtotal
TAB
UNT

UMUM
Quantity
6,00
6,00
4,00
4,00
4,00
20,00
20,00
4,00
4,00
2,00
10,00

Depo Atas
Subtotal
TAB
TAB
AMP
VIL
BOT
PKG
UNT
UNT
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency Cempaka
Subtotal
UNT
UNT

5020
8415
16335
14988
4500
193432

5020
8415
16335
14988
4500
193432

0
0
0
0
0
0

Pasien
Penjamin
17643
17643
65668
65668
8415
8415
16335
16335
14988
14988
2500
2500
125549
125549

0
0
0
0
0
0
0

Pasien

Penjamin
756
756
500
500
1256
1256

0
0
0

Pasien
Penjamin
1482
1482
3168
3168
11564
11564
26828
26828
36384
36384
10040
10040
7120
7120
6160
6160
5100
5100
19266
19266
5000
5000
132112
132112

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

JPK PNS
Quantity
10,00
1,00

Depo IGD
Subtotal
BOT
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
TAB
UNT

JPK PNS
Quantity
1,00
1,00

Depo IGD
Subtotal
VIL
UNT

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
PKG
UNT

JPK PNS
Quantity
1,00
2,00
10,00
10,00
210,00
2,00
2,00
1,00
8,00

Depo IGD
Subtotal
TAB
BOT
PKG
UNT
UNT
UNT
UNT
BOT
UNT

UMUM
Quantity
4,00

Depo IGD
Subtotal
AMP

Pasien
Penjamin
125400
125400
500
500
125900
125900

0
0
0

Pasien

Penjamin
539
539
500
500
1039
1039

0
0
0

Pasien
Penjamin
85272
85272
500
500
85772
85772

0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Pasien

Penjamin
539
11762
5020
3560
419370
2550
3080
81510
4000
531391

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
152064
152064

539
11762
5020
3560
419370
2550
3080
81510
4000
531391

2,00
2,00
3,00
3,00
3,00
1,00
1,00
10,00
10,00
1,00
1,00
1,00
1,00
1,00
1,00
16,00

VIL
AMP
UNT
UNT
UNT
BOT
BOT
UNT
PKG
TAB
TAB
TAB
TAB
TAB
TAB
UNT

UMUM
Quantity
2,00
3,00
2,00
10,00
10,00
5,00

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
PKG
UNT

UMUM
Quantity
1,00
1,00
3,00
2,00
3,00
2,00
3,00
3,00
3,00
10,00
10,00
8,00

Depo IGD
Subtotal
CAP
UNT
UNT
AMP
SUP
BOT
UNT
UNT
UNT
UNT
PKG
UNT

397974
5782
5991
4620
3825
16417
51216
3560
5020
827
330
546
7854
122
44
8000
664192

Pasien
900
1569
32834
3560
5020
2500
46383

Pasien
375
3500
1050
14702
39186
32834
5991
3825
4620
3560
5020
4000
118663

397974
5782
5991
4620
3825
16417
51216
3560
5020
827
330
546
7854
122
44
8000
664192

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
900
1569
32834
3560
5020
2500
46383

0
0
0
0
0
0
0

Penjamin
375
3500
1050
14702
39186
32834
5991
3825
4620
3560
5020
4000
118663

0
0
0
0
0
0
0
0
0
0
0
0
0

JPK PNS
Quantity
30,00
1,00
2,00

Apotik Panel 2
Subtotal
TAB
TUB
UNT

ASKES
Quantity
10,00
10,00
2,00
2,00
4,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT

JPK PNS
Quantity
2,00
10,00
1,00
2,00
2,00
2,00
1,00
7,00

Depo Atas
Subtotal
VIL
PKG
UNT
UNT
UNT
UNT
BAG
UNT

JPK PNS
Quantity
3,00
2,00
2,00
10,00
1,00
5,00

Depo Atas
Subtotal
UNT
UNT
BOT
UNT
BAG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

Pasien
Penjamin
163350
163350
30800
30800
1000
1000
195150
195150

0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
3080
3080
2550
2550
2000
2000
16210
16210

0
0
0
0
0
0

Pasien
Penjamin
170544
170544
5020
5020
356
356
3994
3994
2550
2550
3080
3080
12012
12012
3500
3500
201056
201056

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5991
5991
2550
2550
32834
32834
3560
3560
12012
12012
2500
2500
59447
59447

0
0
0
0
0
0
0

Pasien
Penjamin
30217
30217
500
500
30717
30717

0
0
0

JPK PNS
Quantity
2,00
2,00
3,00
2,00
2,00
1,00
10,00
10,00
1,00
9,00

Depo Atas
Subtotal
VIL
BAG
UNT
UNT
UNT
UNT
UNT
PKG
UNT
UNT

UMUM
Quantity
3,00
1,00
2,00
3,00
10,00
10,00
1,00
1,00
8,00

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
PKG
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency Cempaka
Subtotal
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency Cempaka
Subtotal
UNT
UNT

UMUM
Quantity

Depo Atas
Subtotal

Pasien
Penjamin
170544
170544
24024
24024
5991
5991
3080
3080
2550
2550
3300
3300
3560
3560
5020
5020
14988
14988
4500
4500
237557
237557

Pasien

0
0
0
0
0
0
0
0
0
0
0

Penjamin
741
198
11344
49251
5020
3560
1275
1540
4000
76929

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

Pasien
Penjamin
16335
16335
500
500
16835
16835

0
0
0

741
198
11344
49251
5020
3560
1275
1540
4000
76929

Pasien

Penjamin

3,00
3,00
2,00
1,00
3,00
3,00
3,00
10,00
2,00
9,00

TAB
AMP
VIL
VIL
UNT
UNT
UNT
UNT
BOT
UNT

UMUM
Quantity
2,00
3,00
2,00
2,00
10,00
5,00

Depo Atas
Subtotal
AMP
BOT
UNT
UNT
UNT
UNT

UMUM
Quantity
3,00
2,00
2,00
1,00
2,00
1,00
1,00
3,00
10,00
10,00
10,00

Depo Atas
Subtotal
TAB
TAB
VIL
BAG
BAG
BOT
UNT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

Emergency Mawar
Subtotal
UNT
TUB
UNT
BOT
UNT

19602
74844
170544
12936
5991
3825
4620
3560
11762
4500
312184

19602
74844
170544
12936
5991
3825
4620
3560
11762
4500
312184

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
5782
5782
49251
49251
3080
3080
2550
2550
3560
3560
2500
2500
66723
66723

0
0
0
0
0
0
0

Pasien

Penjamin
378
1570
13414
9633
205200
16417
1997
3825
3560
5020
5000
266014

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
56262
56262
1997
1997
3992
3992
2000
2000

0
0
0
0
0

378
1570
13414
9633
205200
16417
1997
3825
3560
5020
5000
266014

82594

ASKES
Quantity
3,00
4,00
4,00
10,00
10,00
1,00
6,00

Depo Atas
Subtotal
UNT
UNT
UNT
UNT
PKG
BAG
UNT

JAKARTA SEHAT
Quantity
1,00
10,00
2,00

Depo Atas
Subtotal
VIL
TAB
UNT

JAKARTA SEHAT
Quantity
6,00
8,00
10,00
1,00
1,00
1,00
1,00
7,00

Depo Atas
Subtotal
TAB
BOT
PKG
UNT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
6,00
6,00
4,00
4,00
10,00
1,00
1,00
1,00
1,00

Depo Atas
Subtotal
TAB
TAB
AMP
BOT
PKG
UNT
UNT
UNT
UNT

82594

Pasien
Penjamin
5991
5991
5100
5100
6160
6160
3560
3560
5020
5020
9633
9633
3000
3000
38464
38464

0
0
0
0
0
0
0
0

Pasien
Penjamin
6707
6707
6680
6680
1000
1000
14387
14387

0
0
0
0

Pasien
756
131336
5020
8415
16335
14988
2970
3500
183320

Pasien
756
3138
11564
36384
5020
14988
14988
8415
16335

Penjamin
756
131336
5020
8415
16335
14988
2970
3500
183320

0
0
0
0
0
0
0
0
0

Penjamin
756
3138
11564
36384
5020
14988
14988
8415
16335

0
0
0
0
0
0
0
0
0

1,00
10,00

PKG
UNT

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
10,00
1,00
1,00
1,00
1,00
1,00
9,00

Depo Atas
Subtotal
VIL
BOT
BOT
PKG
UNT
UNT
UNT
PKG
UNT
UNT

JAKARTA SEHAT
Quantity
4,00
2,00
2,00
4,00
10,00
1,00
1,00
1,00
1,00
9,00

Depo Atas
Subtotal
TAB
VIL
VIL
BOT
PKG
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
6,00
6,00
6,00
4,00
10,00
1,00
1,00
1,00
1,00
2,00

Depo Atas
Subtotal
AMP
AMP
VIL
BOT
PKG
UNT
UNT
UNT
UNT
VIL

2970
5000
119558

2970
5000
119558

0
0
0

Pasien
Penjamin
13414
13414
178200
178200
49251
49251
5020
5020
14988
14988
16335
16335
8415
8415
2970
2970
14988
14988
4500
4500
308081
308081

0
0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
352
13414
144992
65668
5020
8415
16335
14988
26600
4500
300284

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
41580
41580
10440
10440
434976
434976
36384
36384
5020
5020
8415
8415
16335
16335
14988
14988
14988
14988
13414
13414

0
0
0
0
0
0
0
0
0
0

352
13414
144992
65668
5020
8415
16335
14988
26600
4500
300284

10,00

UNT

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
1,00
1,00
2,00
6,00

Depo IGD
Subtotal
UNT
AMP
AMP
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
2,00
3,00
10,00

Depo IGD
Subtotal
UNT
UNT
UNT
TUB
UNT
UNT
UNT
UNT
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
3,00
2,00
10,00

Depo IGD
Subtotal
UNT
UNT
UNT
TUB
UNT
UNT
UNT
UNT
BOT
UNT
UNT

5000
601540

5000
601540

0
0

Pasien
Penjamin
29976
29976
290690
290690
190080
190080
20213
20213
26950
26950
11464
11464
3000
3000
572373
572373

0
0
0
0
0
0
0
0

Pasien
Penjamin
18342
18342
5809
5809
3994
3994
56262
56262
12012
12012
14988
14988
14988
14988
3080
3080
11762
11762
3825
3825
5000
5000
150062
150062

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
3994
3994
56262
56262
12012
12012
2550
2550
14988
14988
16335
16335
17643
17643
3080
3080
5000
5000
156016
156016

0
0
0
0
0
0
0
0
0
0
0
0

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
BOT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
BAG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

Depo IGD
Subtotal
BAG
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
3,00
5,00

Depo IGD
Subtotal
UNT
UNT
TUB
BOT
AMP
UNT

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
4,00

Depo IGD
Subtotal
UNT
UNT
UNT
BOT
UNT

Pasien
Penjamin
32834
32834
14988
14988
1000
1000
48822
48822

0
0
0
0

Pasien
Penjamin
102600
102600
14988
14988
16335
16335
1500
1500
135423
135423

0
0
0
0
0

Pasien
Penjamin
37586
37586
16335
16335
1898
1898
14988
14988
2000
2000
72807
72807

0
0
0
0
0
0

Pasien
Penjamin
18343
18343
5809
5809
56262
56262
32834
32834
205287
205287
2500
2500
321035
321035

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
1898
1898
16335
16335
17643
17643
2000
2000
52864
52864

0
0
0
0
0
0

JAKARTA SEHAT
Quantity
1,00
2,00
3,00
3,00
2,00
5,00

Depo IGD
Subtotal
UNT
UNT
UNT
UNT
BOT
UNT

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
1,00
3,00
3,00
1,00
7,00

Depo IGD
Subtotal
TAB
TAB
AMP
UNT
UNT
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00
2,00
1,00
1,00
3,00
8,00

Depo IGD
Subtotal
AMP
UNT
UNT
UNT
UNT
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
1,00
2,00

Depo IGD
Subtotal
TAB
BOT
UNT

Pasien
Penjamin
14988
14988
3994
3994
3825
3825
4620
4620
11762
11762
2500
2500
41689
41689

Pasien

0
0
0
0
0
0
0

Penjamin
516
29700
6666
5732
5991
4620
14988
3500
71713

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
290690
290690
20213
20213
26950
26950
5991
5991
2550
2550
5732
5732
14988
14988
4620
4620
4000
4000
375734
375734

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1332
1332
16417
16417
1000
1000
18749
18749

0
0
0
0

516
29700
6666
5732
5991
4620
14988
3500
71713

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
SUP
TAB
BOT
UNT
UNT
UNT

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
UNT
BOT
UNT

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
PKG
UNT

JPK PNS
Quantity
2,00
4,00
3,00
4,00
10,00
10,00
6,00

Depo Atas
Subtotal
VIL
AMP
UNT
UNT
UNT
PKG
UNT

JPK PNS
Quantity
10,00
10,00
2,00
4,00
4,00
4,00

Depo Atas
Subtotal
PKG
UNT
BOT
UNT
UNT
UNT

Pasien
Penjamin
37890
37890
3042
3042
81510
81510
14988
14988
8415
8415
2500
2500
148345
148345

0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
16417
16417
1000
1000
32405
32405

0
0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Pasien
Penjamin
170544
170544
43956
43956
5991
5991
5100
5100
3560
3560
5020
5020
3000
3000
237171
237171

0
0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
32834
32834
7988
7988
5100
5100
6160
6160

0
0
0
0
0
0

6,00

UNT

UMUM
Quantity
3,00
2,00
10,00
10,00
3,00
5,00

Depo Atas
Subtotal
AMP
BOT
PKG
UNT
UNT
UNT

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

UMUM
Quantity
2,00
3,00
4,00
10,00
10,00
5,00

Depo Atas
Subtotal
TAB
TAB
BOT
UNT
PKG
UNT

UMUM
Quantity
3,00
2,00
2,00
1,00
1,00
1,00
2,00
2,00
10,00
10,00
10,00

Depo Atas
Subtotal
TAB
TAB
VIL
BAG
BAG
BOT
UNT
UNT
UNT
PKG
UNT

3000
63662

3000
63662

0
0

Pasien
Penjamin
17016
17016
32834
32834
5020
5020
3560
3560
3825
3825
2500
2500
64755
64755

0
0
0
0
0
0
0

Pasien
Penjamin
57964
57964
500
500
58464
58464

0
0
0

Pasien
900
1569
65668
3560
5020
2500
79217

Pasien
378
1570
13414
9633
102600
16417
3994
2550
3560
5020
5000
164136

Penjamin
900
1569
65668
3560
5020
2500
79217

0
0
0
0
0
0
0

Penjamin
378
1570
13414
9633
102600
16417
3994
2550
3560
5020
5000
164136

0
0
0
0
0
0
0
0
0
0
0
0

JPK PNS
Quantity
2,00
1,00
10,00
10,00
1,00
5,00

Depo Atas
Subtotal
UNT
UNT
PKG
UNT
UNT
UNT

ASKES
Quantity
10,00
10,00
1,00
1,00
2,00
5,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT
UNT

JPK PNS
Quantity
6,00
1,00

Depo Atas
Subtotal
CAP
UNT

JPK PNS
Quantity
3,00
10,00
10,00
4,00
4,00
5,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
UNT
UNT

RSUD TARAKAN
Quantity
6,00
1,00

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
2550
2550
8415
8415
5020
5020
3560
3560
1898
1898
2500
2500
23943
23943

0
0
0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
8415
8415
14988
14988
2550
2550
2500
2500
37033
37033

0
0
0
0
0
0
0

Pasien
Penjamin
16164
16164
500
500
16664
16664

0
0
0

Pasien
Penjamin
1350
1350
5020
5020
3560
3560
6160
6160
5100
5100
2500
2500
23690
23690

0
0
0
0
0
0
0

Pasien

Penjamin
756
756
500
500
1256
1256

0
0
0

UMUM
Quantity
1,00
1,00
3,00
10,00
3,00
1,00
5,00
7,00

Depo Atas
Subtotal
TAB
TAB
BOT
PKG
TAB
UNT
TAB
UNT

UMUM
Quantity
3,00
3,00
2,00
2,00
4,00
2,00
2,00
10,00
10,00
9,00

Depo Atas
Subtotal
TAB
TAB
VIL
AMP
BOT
UNT
UNT
UNT
PKG
UNT

UMUM
Quantity
1,00
1,00
1,00
4,00
10,00
3,00
3,00
3,00
10,00
2,00
1,00
11,00

Depo Atas
Subtotal
TAB
TAB
TAB
AMP
PKG
UNT
UNT
UNT
UNT
AMP
TAB
UNT

Pasien
126
237
49251
5020
2910
1898
2250
3500
65192

Pasien
741
423
13414
5782
65668
3994
3080
3560
5020
4500
106182

Pasien
546
7854
122
152064
5020
5991
3825
4620
3560
5782
827
5500
195711

Penjamin
126
237
49251
5020
2910
1898
2250
3500
65192

0
0
0
0
0
0
0
0
0

Penjamin
741
423
13414
5782
65668
3994
3080
3560
5020
4500
106182

0
0
0
0
0
0
0
0
0
0
0

Penjamin
546
7854
122
152064
5020
5991
3825
4620
3560
5782
827
5500
195711

0
0
0
0
0
0
0
0
0
0
0
0
0

UMUM
Quantity
10,00
15,00
2,00
4,00
4,00
10,00
10,00
7,00

Depo Atas
Subtotal
TAB
CAP
AMP
BOT
UNT
UNT
PKG
UNT

JAKARTA SEHAT
Quantity
15,00
20,00
20,00
15,00
4,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

JPK PNS
Quantity
1,00
2,00
1,00
1,00
30,00
1,00
6,00

Depo IGD
Subtotal
UNT
BOT
UNT
PKG
BOT
BOT
UNT

JPK PNS
Quantity
1,00
1,00
1,00
3,00

Emergency Anggrek
Subtotal
BOT
UNT
BOT
UNT

JPK PNS
Quantity
2,00

Emergency Anggrek
Subtotal
UNT

Pasien
Penjamin
1410
1410
130080
130080
5782
5782
65668
65668
5100
5100
3560
3560
5020
5020
3500
3500
220120
220120

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1320
1320
2040
2040
1560
1560
6750
6750
2000
2000
13670
13670

0
0
0
0
0
0

Pasien
Penjamin
14988
14988
17500
17500
16335
16335
2970
2970
376200
376200
81510
81510
3000
3000
512503
512503

0
0
0
0
0
0
0
0

Pasien
Penjamin
5881
5881
8415
8415
9096
9096
1500
1500
24892
24892

0
0
0
0
0

Pasien
Penjamin
29976
29976

1,00

UNT

UMUM
Quantity
2,00
1,00
1,00
3,00

Emergency Anggrek VIP

Subtotal
UNT
BOT
UNT
UNT

UMUM
Quantity
5,00
1,00

Depo IGD
Subtotal
TAB
UNT

JPK PNS
Quantity
2,00
1,00

Depo Atas
Subtotal
VIL
UNT

UMUM
Quantity
3,00
1,00
2,00
1,00
1,00
2,00
10,00
1,00
10,00
1,00
10,00

Depo Atas
Subtotal
TAB
TAB
VIL
BAG
UNT
UNT
PKG
PKG
UNT
BOT
UNT

UMUM
Quantity
2,00
3,00

Depo Atas
Subtotal
TAB
AMP

500
30476

500
30476

0
0

Pasien
Penjamin
3080
3080
16417
16417
1275
1275
1500
1500
22272
22272

0
0
0
0
0

Pasien

Penjamin
990
500
1490

0
0
0

Pasien
Penjamin
170544
170544
500
500
171044
171044

0
0
0

990
500
1490

Pasien
378
450
13414
9633
1997
2550
5020
2970
3560
16417
5000
61389

Pasien
654
46191

Penjamin
378
450
13414
9633
1997
2550
5020
2970
3560
16417
5000
61389

0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
654
46191

0
0

2,00
6,00
2,00
5,00

AMP
UNT
BOT
UNT

UMUM
Quantity
4,00
1,00

Depo Atas
Subtotal
UNT
UNT

UMUM
Quantity
2,00
2,00
2,00
3,00

Depo Atas
Subtotal
VIL
UNT
BOT
UNT

JPK PNS
Quantity
10,00
10,00
2,00
2,00
1,00
1,00
6,00

Depo Atas
Subtotal
PKG
UNT
UNT
UNT
UNT
BAG
UNT

JPK PNS
Quantity
42,00
7,00
10,00
10,00
4,00

Depo Atas
Subtotal
TAB
TAB
PKG
UNT
UNT

UMUM
Quantity

Depo Atas
Subtotal

5782
7650
102432
2500
165209

5782
7650
102432
2500
165209

0
0
0
0
0

Pasien
Penjamin
5100
5100
500
500
5600
5600

0
0
0

Pasien
Penjamin
170544
170544
3994
3994
32834
32834
1500
1500
208872
208872

0
0
0
0
0

Pasien
Penjamin
5020
5020
3560
3560
3994
3994
2550
2550
1540
1540
9633
9633
3000
3000
29297
29297

0
0
0
0
0
0
0
0

Pasien
Penjamin
3612
3612
18844
18844
5020
5020
3560
3560
2000
2000
33036
33036

0
0
0
0
0
0

Pasien

Penjamin

1,00
1,00
1,00
3,00
2,00
1,00
1,00
1,00
2,00
1,00
10,00

TAB
TAB
TAB
AMP
VIL
VIL
BOT
UNT
UNT
UNT
UNT

UMUM
Quantity
2,00
3,00
10,00
10,00
1,00
1,00
6,00

Depo Atas
Subtotal
AMP
BOT
PKG
UNT
UNT
UNT
UNT

UMUM
Quantity
10,00
10,00
10,00
10,00
4,00

Depo Atas
Subtotal
TAB
CAP
PKG
UNT
UNT

UMUM
Quantity
10,00
1,00

Depo IGD
Subtotal
PKG
UNT

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
TAB
TAB

330
152
6534
74844
170544
12936
59400
1275
3080
1997
5000
336092

330
152
6534
74844
170544
12936
59400
1275
3080
1997
5000
336092

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
11344
11344
49251
49251
5020
5020
3560
3560
8415
8415
14988
14988
3000
3000
95578
95578

0
0
0
0
0
0
0
0

Pasien
Penjamin
1260
1260
8820
8820
5020
5020
3560
3560
2000
2000
20660
20660

0
0
0
0
0
0

Pasien
Penjamin
5020
5020
500
500
5520
5520

0
0
0

Pasien
Penjamin
1451
1451
827
827

0
0

1,00
1,00
1,00
4,00
20,00
1,00
1,00
9,00

TAB
TAB
TAB
TAB
PKG
AMP
UNT
UNT

UMUM
Quantity
3,00
2,00
1,00
1,00
2,00
10,00
2,00
1,00
8,00

Depo Atas
Subtotal
TAB
VIL
BAG
UNT
UNT
PKG
BOT
AMP
UNT

JPK PNS
Quantity
1,00
1,00
1,00
3,00

Emergency Anggrek
Subtotal
UNT
UNT
UNT
UNT

JPK PNS
Quantity
1,00
1,00
2,00

Emergency Anggrek
Subtotal
TAB
UNT
UNT

JPK PNS
Quantity
1,00
1,00

Emergency Anggrek
Subtotal
UNT
UNT

330
546
44
44352
10040
2891
16088
4500
81069

330
546
44
44352
10040
2891
16088
4500
81069

0
0
0
0
0
0
0
0
0

Penjamin
741
13414
9633
1997
2550
5020
32834
2891
4000
73080

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
14988
14988
14988
14988
5500
5500
1500
1500
36976
36976

0
0
0
0
0

Pasien
741
13414
9633
1997
2550
5020
32834
2891
4000
73080

Pasien

Penjamin
126
14988
1000
16114

0
0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

126
14988
1000
16114

Waktu
31 Mei 2013 20:30
Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
1,00
1,00

Depo
Depo IGD
Subtotal
BOT
UNT

31 Mei 2013 20:28

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

31 Mei 2013 20:28

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
KUTOIN 100 MG INJECTION
DISP SYRINGE 3 CC
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
2,00
4,00

Depo IGD
Subtotal
VIL
AMP
UNT
AMP
UNT

31 Mei 2013 20:26

Item
VALISANBE TABLET 5 MG
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00

Depo IGD
Subtotal
TAB
UNT
UNT

31 Mei 2013 15:55

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

31 Mei 2013 15:54

Item
INH 300 MG TABLET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN -

JAKARTA SEHAT
Quantity
8,00
1,00
15,00
6,00
1,00

Depo IGD
Subtotal
TAB
UNT
UNT
CAP
UNT

EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

15,00
8,00
1,00
15,00

UNT
TAB
UNT
UNT

31 Mei 2013 08:43

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

Depo IGD
Subtotal
VIL
UNT

31 Mei 2013 00:17

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

31 Mei 2013 00:14

Item
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

30 Mei 2013 19:05

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

30 Mei 2013 19:04

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo IGD
Subtotal
VIL
UNT

30 Mei 2013 14:12

Item
SPORETIK SANBE 30 ML SYRUP
SANMOL 60 ML SYRUP
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
UNT

TOTAL

30 Mei 2013 13:47

Item
LACTO-B
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel 2
Subtotal
PKG
UNT

30 Mei 2013 13:42

Item
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

GIZI BURUK
Quantity
1,00
1,00

Depo Atas
Subtotal
PKG
UNT

30 Mei 2013 13:41

Item
BD MICRO-FINE
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
2,00

Depo Atas
Subtotal
UNT
VIL
UNT

30 Mei 2013 13:38

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
EQUAL REFILL SACHET
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH RACIKAN
EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
5,00
1,00
1,00
1,00
5,00
2,00
1,00
1,00
5,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
PKG
TAB
UNT
UNT
TAB
PKG
UNT
UNT

30 Mei 2013 13:35

Item
SIBITAL SOLUTION, INJECTION 200 MG/2 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

Depo Atas
Subtotal
AMP
UNT

30 Mei 2013 12:11

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

Depo IGD
Subtotal
TAB
UNT

30 Mei 2013 11:43

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
VIL
UNT

30 Mei 2013 11:29

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

30 Mei 2013 11:16

Item
IMBOOST FORCE 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

30 Mei 2013 10:29

Item
NYMIKO SANBE 12 ML SUSPENSION
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
2,00
2,00

Depo IGD
Subtotal
BOT
PKG
UNT

30 Mei 2013 10:09

Item
INH 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
PREDNISON 5 MG TABLET
ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
30,00
1,00
5,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
BOT
UNT

29 Mei 2013 14:44

Item
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

GIZI BURUK
Quantity
5,00
1,00

Depo Atas
Subtotal
TAB
UNT

29 Mei 2013 14:16

Item
VITAMIN B COMPLEX
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

Depo Atas
Subtotal
TAB
UNT

29 Mei 2013 11:11

Item
PARACETAMOL 60 ML SYRUP
SELANG NEBU PEDRIATIC(1484)
KA-EN 3B 500 ML INFUSION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BENUTRION VE SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
5,00

Depo Atas
Subtotal
BOT
PKG
BAG
VIL
BOT
UNT

29 Mei 2013 11:06

Item
FOLIC ACID 1 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
VITAMIN B6 10 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
TOTAL

GIZI BURUK
Quantity
20,00
1,00
1,00
4,00
4,00
1,00
1,00
4,00
1,00
1,00
1,00
5,00
10,00
1,00
1,00
5,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT

29 Mei 2013 10:37

Item
NYMIKO SANBE 12 ML SUSPENSION
GENTAMYCIN INF 40 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
BOT
AMP
UNT

29 Mei 2013 10:36

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
EQUAL REFILL SACHET
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH RACIKAN
EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

GIZI BURUK
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
5,00
3,00
1,00
1,00
5,00
1,00
1,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
PKG
TAB
UNT
UNT
TAB
PKG
UNT
UNT
BOT
UNT

29 Mei 2013 10:32

Item
FOLIC ACID 1 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
VITAMIN C 50 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
5,00
1,00
1,00
5,00
4,00
1,00
1,00
4,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT

29 Mei 2013 10:32

Item

JAKARTA SEHAT
Quantity

Depo Atas
Subtotal

AMBROXOL INF 60 ML SYRUP

TUSLAH NON RACIKAN
TOTAL

1,00
1,00

BOT
UNT

29 Mei 2013 10:31

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ORALIT
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
15,00
6,00
1,00
1,00
15,00
8,00
1,00
1,00
15,00
6,00
1,00
2,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT
PKG
BOT
UNT

29 Mei 2013 10:06

Item
FOLLEY CATHETER 8 RUSCH
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency PICU
Subtotal
UNT
UNT
UNT

28 Mei 2013 20:29

Item
ANESFAR INJEKSI
ETT PORTEX 4
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency PICU
Subtotal
AMP
PKG
UNT

28 Mei 2013 20:21

Item
EPHINEPRIN ETHICA INJECTION
DISP SYRINGE 10 CC
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
HANDSCOON GAMEX 6.5

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00

Emergency PICU
Subtotal
AMP
UNT
UNT
UNT

RINGER LACTATE WIDATRA 500 ML

DEXTROSE 10% ECOSOL B. BRAUN 500 ML INFUSION
NON REBREATHING MASK ANAK(1192)
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
8,00

BOT
BAG
UNT
UNT
UNT

28 Mei 2013 18:58

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
BOT
UNT

28 Mei 2013 18:52

Item
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BAG
UNT

28 Mei 2013 18:41

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

28 Mei 2013 11:14

Item
CINAM 1.5 GM INJECTION
DISP SYRINGE 5 CC
BENUTRION VE SANBE INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
3,00
1,00
3,00

Depo Atas
Subtotal
VIL
UNT
BOT
UNT

28 Mei 2013 11:14

Item
ORALIT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
PKG
UNT

28 Mei 2013 04:13

Item

JAKARTA SEHAT
Quantity

Depo IGD
Subtotal

NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

INFUS SET JMS
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
2,00
3,00

BAG
UNT
UNT
UNT

27 Mei 2013 12:53

Item
PARACETAMOL 60 ML SYRUP
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
UNT

27 Mei 2013 11:31

Item
SANMOL 15 ML DROPS
MUCERA OTTO 15 ML DROPS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
UNT

27 Mei 2013 11:24

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
15,00
4,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT

27 Mei 2013 11:19

Item
INH 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
14,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

23 Mei 2013 09:09

Item

UMUM
Quantity

Depo Atas
Subtotal

RIFAMPICIN INFA CAPSULE 600 MG

EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
1,00
30,00
5,00
1,00
1,00
30,00
1,00
1,00

CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT
BOT
UNT

22 Mei 2013 10:47

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

22 Mei 2013 00:43

Item
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
AMP
UNT

22 Mei 2013 00:42

Item
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
AMP
UNT

21 Mei 2013 11:51

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
14,00
14,00
15,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

16 Mei 2013 12:12

Item
INH 300 MG TABLET
EQUAL REFILL SACHET

JAKARTA SEHAT
Quantity
5,00
1,00

Depo Atas
Subtotal
TAB
PKG

TUSLAH RACIKAN EMBALASE

RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

1,00
15,00
4,00
1,00
1,00
15,00
8,00
1,00
1,00
15,00

UNT
UNT
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT

16 Mei 2013 12:05

Item
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

16 Mei 2013 11:51

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
4,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT

16 Mei 2013 11:51

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
4,00
1,00
1,00
15,00
1,00
1,00
2,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
BOT
BOT
UNT

16 Mei 2013 09:54

Item
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
BOT
UNT

14 Mei 2013 12:17

Item
IVENA IV CATH 24
INFUS SET JMS
AMBROXOL INF 60 ML SYRUP
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SELANG NEBU PEDRIATIC(1484)
CINAM 1.5 GM INJECTION
DISP SYRINGE 5 CC
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
3,00
1,00
8,00

Depo Atas
Subtotal
UNT
UNT
BOT
VIL
PKG
VIL
UNT
BOT
UNT

14 Mei 2013 11:56

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
8,00
5,00
1,00
30,00
8,00
5,00
1,00
30,00
15,00
5,00
1,00
30,00
1,00
1,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT
BOT
UNT

14 Mei 2013 11:26

Item
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

14 Mei 2013 11:26

Item
INH 300 MG TABLET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
15,00
4,00
1,00
15,00
8,00
1,00
15,00

Depo Atas
Subtotal
TAB
UNT
UNT
CAP
UNT
UNT
TAB
UNT
UNT

14 Mei 2013 11:25

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
15,00
1,00

Apotik Panel
Subtotal
PKG
UNT

14 Mei 2013 09:38

Item
INH 300 MG TABLET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00
30,00
15,00
1,00
30,00
1,00
1,00

Depo Atas
Subtotal
TAB
UNT
UNT
CAP
UNT
UNT
BOT
UNT

14 Mei 2013 09:38

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

Apotik Panel
Subtotal
PKG
UNT

14 Mei 2013 09:32

Item
SANMOL 60 ML SYRUP
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

TOTAL

14 Mei 2013 09:23

Item
SPORETIK 50 MG CAPSULE
IMBOOST FORCE 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
1,00
2,00

Depo IGD
Subtotal
CAP
BOT
UNT

14 Mei 2013 00:42

Item
PARACETAMOL DROP 15 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

13 Mei 2013 01:57

Item
HANDSCOON GAMEX 6.5
FOLLEY CATHETER 14 RUSCH
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

Depo IGD
Subtotal
UNT
UNT
TUB
UNT

12 Mei 2013 12:48

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 3 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
3,00

Depo IGD
Subtotal
VIL
UNT
BAG
UNT

11 Mei 2013 12:38

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
ORALIT
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
2,00
5,00

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
PKG
UNT

11 Mei 2013 12:22

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
ORALIT
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00
1,00
3,00
6,00

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
BOT
PKG
UNT

11 Mei 2013 11:43

Item
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

Depo IGD
Subtotal
VIL
UNT

11 Mei 2013 11:43

Item
RIFAMPICIN INFA CAPSULE 600 MG
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
15,00
4,00
1,00
15,00

Depo Atas
Subtotal
CAP
UNT
UNT
TAB
UNT
UNT

11 Mei 2013 11:40

Item
EQUAL REFILL SACHET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Apotik Panel
Subtotal
PKG
UNT

11 Mei 2013 11:23

Item
ORALIT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
1,00

Depo Atas
Subtotal
PKG
UNT

11 Mei 2013 11:23

Item
COTRIMOXAZOLE 240 MG/5ML SUSPENSION

JAKARTA SEHAT
Quantity
1,00

Depo Atas
Subtotal
BOT

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

11 Mei 2013 11:03

Item
ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

11 Mei 2013 10:03

Item
ERYTHROMYCIN INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
20,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT

10 Mei 2013 13:32

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
INFUS SET JMS
ORALIT
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
5,00
1,00
3,00
6,00

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
BOT
PKG
UNT

10 Mei 2013 13:12

Item
PIBAKSIN SANBE 10 GM CREAM 20 mg/g
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Depo IGD
Subtotal
TUB
UNT

10 Mei 2013 12:58

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
BOT
BOT
UNT

10 Mei 2013 12:58

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
BOT
BOT
UNT

10 Mei 2013 12:28

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
VERBAND ROLL
GENTAMYCIN INF 40 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
2,00
5,00
3,00

Depo IGD
Subtotal
BOT
PKG
AMP
UNT

10 Mei 2013 11:34

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
15,00
3,00
1,00
1,00
15,00
5,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT

10 Mei 2013 09:55

Item
THREE WAY STOPCOCK
AQUA BIDES 1000 ML SOLUTION, LIQUID
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
2,00
1,00
2,00

Emergency NICU
Subtotal
UNT
BOT
UNT

9 Mei 2013 11:29

Item
SUCTION CATHETER 8
PELASTIN INFUSION
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION

JAKARTA SEHAT
Quantity
2,00
1,00
1,00

Depo IGD
Subtotal
UNT
VIL
AMP

TUSLAH NON RACIKAN

TOTAL

3,00

UNT

8 Mei 2013 12:15

Item
DOMPERIDON SYRUP
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
6,00
3,00

Depo Atas
Subtotal
BOT
BOT
PKG
UNT

7 Mei 2013 19:46

Item
FUROSEMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
TAB
UNT

7 Mei 2013 13:07

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo IGD
Subtotal
TAB
UNT

7 Mei 2013 12:27

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

7 Mei 2013 11:24

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00

Depo Atas
Subtotal
VIL
UNT
UNT

7 Mei 2013 11:23

Item
AMBROXOL INF 60 ML SYRUP
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG

JAKARTA SEHAT
Quantity
1,00
1,00
3,00

Depo Atas
Subtotal
BOT
BOT
PKG

CINAM 1.5 GM INJECTION

RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
SELANG NEBU PEDRIATIC(1484)
ALKOHOL SWAB
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
ORALIT
TUSLAH NON RACIKAN
TOTAL

1,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
3,00
13,00

VIL
BOT
UNT
UNT
UNT
UNT
PKG
UNT
VIL
PKG
UNT

7 Mei 2013 10:38

Item
MUCERA OTTO 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

7 Mei 2013 10:03

Item
DEXTROSE 5% WIDATRA 500 ML INFUSION
NON REBREATHING MASK ANAK(1192)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency PICU
Subtotal
BOT
UNT
UNT

7 Mei 2013 10:03

Item
NON REBREATHING MASK ANAK(1192)
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency PICU
Subtotal
UNT
PKG
UNT

7 Mei 2013 09:58

Item
CHLORAL HYDRAS
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo Atas
Subtotal
GM
UNT
UNT

7 Mei 2013 09:15

Item

UMUM
Quantity

Depo Atas
Subtotal

RINGER LACTATE WIDATRA 500 ML

VALISANBE INJECTION
PARACETAMOL 60 ML SYRUP
VALISANBE TABLET 5 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
5,00
1,00
1,00
10,00
3,00

BOT
AMP
BOT
TAB
PKG
UNT
UNT
UNT

7 Mei 2013 09:10

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
30,00
5,00
1,00
1,00
30,00
1,00
1,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
BOT
UNT

7 Mei 2013 09:02

Item
RIFAMPICIN INF 300 MG CAPSULE
PYRAZINAMIDE INF 500 MG TABLET
INH 300 MG TABLET
VITAMIN B6 10 MG TABLET
EPEXOL TABLET 30 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
30,00
15,00
15,00
5,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

6 Mei 2013 12:42

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
15,00
3,00
1,00
1,00
15,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT

TOTAL

6 Mei 2013 11:36

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
15,00
4,00
1,00
1,00
15,00
8,00
1,00
1,00
15,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT

6 Mei 2013 11:25

Item
INH 300 MG TABLET
RIFAMPICIN GENERIK 450 MG TABLET
ELKANA SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
30,00
30,00
1,00
3,00

Depo IGD
Subtotal
TAB
TAB
BOT
UNT

6 Mei 2013 11:03

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
DOMPERIDON SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
15,00
3,00
1,00
1,00
15,00
1,00
1,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
BOT
UNT

6 Mei 2013 11:03

Item
INH 300 MG TABLET

JAKARTA SEHAT
Quantity
5,00

Depo Atas
Subtotal
TAB

EQUAL REFILL SACHET

TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
15,00
4,00
1,00
1,00
15,00
1,00
1,00

PKG
UNT
UNT
CAP
PKG
UNT
UNT
BOT
UNT

6 Mei 2013 10:33

Item
MINI LINK T- PIECE PORTEX
STOMACH TUBE 8 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

Emergency PICU
Subtotal
PKG
UNT
UNT

5 Mei 2013 08:42

Item
TREMENZA TABLET
DEXTROMETHORPHAN INF TABLET 15 MG
VITAMIN C 50 MG TABLET
CTM 4 MG TABLET
PREDNISON 5 MG TABLET
TUSLAH RACIKAN EMBALASE
TOTAL

RSUD TARAKAN
Quantity
3,00
4,00
8,00
5,00
7,00
1,00
15,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT
UNT

4 Mei 2013 12:22

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

4 Mei 2013 11:57

Item
CEFIXIME 30 ML POWDER, FOR ORAL SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

4 Mei 2013 11:15

JAMPERSAL

Depo IGD

Item
NYMIKO SANBE 12 ML SUSPENSION
KASA STERIL HUSADA
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
2,00

Subtotal
BOT
BOX
UNT

4 Mei 2013 11:08

Item
AQUA BIDES 1000 ML SOLUTION, LIQUID
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00

Emergency NICU
Subtotal
BOT
UNT

4 Mei 2013 10:59

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 24
INFUS SET JMS
ORALIT
ZINKID 10MG/5ML SYRUP
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
5,00
1,00
2,00
1,00
7,00

Depo Atas
Subtotal
BOT
UNT
UNT
PKG
BOT
VIL
BOT
UNT

4 Mei 2013 10:59

Item
TRIDEX 27B INFUSION
PARACETAMOL 60 ML SYRUP
IVENA IV CATH 24
INFUS SET JMS
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
5,00
5,00

Depo Atas
Subtotal
BAG
BOT
UNT
UNT
UNT
UNT

4 Mei 2013 10:57

Item
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

4 Mei 2013 10:49

Item

RSUD TARAKAN
Quantity

Depo Atas
Subtotal

ORALIT
TUSLAH NON RACIKAN
TOTAL

10,00
1,00

PKG
UNT

4 Mei 2013 10:40

Item
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
ELKANA SYRUP
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
1,00
1,00
30,00
1,00
5,00
1,00
1,00
30,00
1,00

Depo Atas
Subtotal
CAP
PKG
UNT
UNT
BOT
TAB
PKG
UNT
UNT
UNT

4 Mei 2013 10:03

Item
IMBOOST FORCE 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

4 Mei 2013 09:46

Item
AMBROXOL INF 60 ML SYRUP
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00
2,00

Depo Atas
Subtotal
BOT
BOT
UNT

4 Mei 2013 09:41

Item
SOLAC SYRUP
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

3 Mei 2013 03:01

Item
GENTAMYCIN INF 40 MG/ML INJECTION
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC

JAKARTA SEHAT
Quantity
2,00
1,00
1,00

Depo IGD
Subtotal
AMP
BOT
UNT

TRAMADOL INF 50 MG/ML SOLUTION, INJECTION

TUSLAH NON RACIKAN
TOTAL

2,00
4,00

AMP
UNT

3 Mei 2013 03:01

Item
INH 100 MG TABLET
TUSLAH RACIKAN
EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH RACIKAN
EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
1,00
1,00
3,00
2,00
1,00
4,00

Depo IGD
Subtotal
TAB
UNT
UNT
TAB
UNT
UNT
TAB
UNT
UNT

3 Mei 2013 03:00

Item
PHENOBARBITAL 30 MG TABLET
CTM 4 MG TABLET
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
2,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT
UNT

3 Mei 2013 03:00

Item
VITAMIN C 50 MG TABLET
VITAMIN B1 50 MG TABLET
VITAMIN B12 KF 50 MCG TABLET
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
UNT
UNT

3 Mei 2013 02:58

Item
VITAMIN C 50 MG TABLET
STESOLID TABLET 5 MG
DOMPERIDON INF TABLET 10 MG
TUSLAH RACIKAN
EMBALASE

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
5,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT
UNT

TOTAL

2 Mei 2013 12:25

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
FOLIC ACID 1 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN
EMBALASE
FOLIC ACID 1 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
VITAMIN B COMPLEX
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
15,00
4,00
1,00
1,00
15,00
8,00
1,00
1,00
15,00
5,00
1,00
1,00
1,00
10,00
1,00
1,00
10,00
10,00
10,00
2,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT
TAB
PKG
UNT
UNT
TAB
TAB
UNT

2 Mei 2013 12:17

Item
AMBROXOL INF 60 ML SYRUP
PARACETAMOL 60 ML SYRUP
STOMACH TUBE 10 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

Depo IGD
Subtotal
BOT
BOT
UNT
UNT

2 Mei 2013 11:51

Item
CIRRUS NEBULIZER T KIT ( ANAK)>2506
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Emergency PICU
Subtotal
PKG
UNT

2 Mei 2013 11:35

Item
SPORETIK SANBE 30 ML SYRUP
SANMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

Depo IGD
Subtotal
BOT
BOT
UNT

2 Mei 2013 11:24

Item
SPORETIK 50 MG CAPSULE
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

2 Mei 2013 11:08

Item
ISOPRINOSINE 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Apotik Panel 2
Subtotal
BOT
UNT

2 Mei 2013 11:07

Item
COTRIMOXAZOLE 240 MG/5ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

2 Mei 2013 10:20

Item
AMBROXOL INF 60 ML SYRUP
PARACETAMOL INF TABLET 500 mg
IMBOOST FORCE 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
1,00
1,00
1,00
3,00

Depo Atas
Subtotal
BOT
TAB
BOT
UNT

2 Mei 2013 10:08

Item
ORALIT
ZINKID 10MG/5ML SYRUP
LACTODIA POLYBAG
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
5,00
1,00
10,00
3,00

Depo Atas
Subtotal
PKG
BOT
PKG
UNT

1 Mei 2013 23:41

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo IGD
Subtotal
BOT
UNT

1 Mei 2013 23:40

Item
VITAMIN B6 10 MG TABLET
TUSLAH RACIKAN
EMBALASE
VITAMIN C 50 MG TABLET
TUSLAH RACIKAN
EMBALASE
INH 100 MG TABLET
TUSLAH RACIKAN
EMBALASE
RIFAMPICIN GENERIK 450 MG TABLET
TUSLAH RACIKAN
EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
TUSLAH RACIKAN
EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
1,00
1,00
3,00
1,00
1,00
2,00

Depo IGD
Subtotal
TAB
UNT
UNT
TAB
UNT
UNT
TAB
UNT
UNT
TAB
UNT
UNT
TAB
UNT
UNT

1 Mei 2013 22:26

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

1 Mei 2013 22:25

Item
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo IGD
Subtotal
BOT
UNT

1 Mei 2013 22:24

Item
INH 300 MG TABLET
RIFAMPICIN INFA CAPSULE 600 MG
PYRAZINAMIDE INF 500 MG TABLET

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

Depo IGD
Subtotal
TAB
CAP
TAB

VITAMIN B COMPLEX
VITAMIN C 50 MG TABLET
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
5,00

TAB
TAB
UNT

1 Mei 2013 11:51

Item
INH 300 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
RIFAMPICIN INFA CAPSULE 600 MG
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
PYRAZINAMIDE INF 500 MG TABLET
EQUAL REFILL SACHET
TUSLAH RACIKAN EMBALASE
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00
1,00
14,00
4,00
1,00
1,00
14,00
7,00
1,00
1,00
14,00

Depo Atas
Subtotal
TAB
PKG
UNT
UNT
CAP
PKG
UNT
UNT
TAB
PKG
UNT
UNT

1 Mei 2013 11:47

Item
ANESFAR INJEKSI
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Emergency PICU
Subtotal
AMP
UNT

1 Mei 2013 11:38

Item
ANESFAR INJEKSI
HANDSCOON GAMEX 7
ETT PORTEX 4
GUEDEL AIRWAYS SIZE 5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

Emergency PICU
Subtotal
AMP
UNT
PKG
UNT
UNT

1 Mei 2013 00:32

Item
VITAMIN B COMPLEX
VITAMIN C 50 MG TABLET
FOLIC ACID 1 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
5,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

1 Mei 2013 00:11

Item
RIFAMPICIN INF 300 MG CAPSULE
PYRAZINAMIDE INF 500 MG TABLET
INH 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

Depo IGD
Subtotal
TAB
TAB
TAB
UNT

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
22770
22770
88803
88803
3825
3825
38966
38966
2000
2000
156364
156364

0
0
0
0
0
0

Pasien

Penjamin
438
3500
150
4088

0
0
0
0

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

438
3500
150
4088

Pasien
928
3500
750
6636
3500

Penjamin
928
3500
750
6636
3500

0
0
0
0
0

750
2248
3500
750
22562

750
2248
3500
750
22562

0
0
0
0
0

Pasien
Penjamin
49660
49660
500
500
50160
50160

0
0
0

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

Pasien
Penjamin
65340
65340
500
500
65840
65840

0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
7776
7776
500
500
8276
8276

0
0
0

Pasien
Penjamin
76735
76735
10592
10592
1000
1000

0
0
0

88327

88327

Pasien
Penjamin
9570
9570
500
500
10070
10070

0
0
0

Pasien
Penjamin
43313
43313
500
500
43813
43813

0
0
0

Pasien
Penjamin
1828
1828
50160
50160
1000
1000
52988
52988

0
0
0
0

Pasien

Penjamin
116
196
3500
250
196
792
3500
250
562
196
3500
250
13308

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
38966
38966
500
500
39466
39466

0
0
0

116
196
3500
250
196
792
3500
250
562
196
3500
250
13308

Pasien
Penjamin
1890
1890
500
500
2390
2390

0
0
0

Pasien
Penjamin
20064
20064
500
500
20564
20564

0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Pasien
Penjamin
53460
53460
500
500
53960
53960

0
0
0

Pasien
Penjamin
37802.5 37802.5
7442
7442
1000
1000
46244.5 46244.5

0
0
0
0

Pasien
Penjamin
3480
3480
23760
23760
8430
8430
2250
2250
19635
19635
2500
2500
60055
60055

0
0
0
0
0
0
0

Pasien

Penjamin
130
500
630

0
0
0

Penjamin
130
130
500
500
630
630

0
0
0

Pasien
Penjamin
2760
2760
43313
43313
37586
37586
24830
24830
194858
194858
2500
2500
305847
305847

0
0
0
0
0
0
0

Pasien
Penjamin
1640
1640
196
196
3500
3500
200
200
328
328
196
196
3500
3500
200
200
18
18
196
196
3500
3500
250
250
380
380
196
196
3500
3500
250
250
18050
18050

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

130
500
630

Pasien

Pasien
Penjamin
30217
30217
4435
4435
1000
1000
35652
35652

Pasien
116
196
3500
50
196
792
3500
250
843
196
3500
250
3560
500
17449

Pasien
410
196
3500
50
190
196
3500
250
328
196
3500
200
12516

Pasien

0
0
0
0

Penjamin
116
196
3500
50
196
792
3500
250
843
196
3500
250
3560
500
17449

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin
410
196
3500
50
190
196
3500
250
328
196
3500
200
12516

0
0
0
0
0
0
0
0
0
0
0
0
0

Penjamin

3560
500
4060

3560
500
4060

0
0
0

Penjamin
580
196
3500
750
6636
196
3500
750
2248
196
3500
750
1050
3560
1000
28412

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
51838
51838
5809
5809
1000
1000
58647
58647

0
0
0
0

Pasien
Penjamin
15444
15444
91194
91194
1000
1000
107638
107638

0
0
0
0

Pasien
Penjamin
3036
3036
1997
1997
26950
26950
12012
12012

0
0
0
0

Pasien
580
196
3500
750
6636
196
3500
750
2248
196
3500
750
1050
3560
1000
28412

9096
10349
71706
16335
4000
155481

9096
10349
71706
16335
4000
155481

0
0
0
0
0
0

Pasien
Penjamin
18192
18192
500
500
18692
18692

0
0
0

Pasien
Penjamin
18793
18793
500
500
19293
19293

0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Pasien
Penjamin
131319
131319
4620
4620
97429
97429
1500
1500
234868
234868

0
0
0
0
0

Pasien
Penjamin
1050
1050
500
500
1550
1550

0
0
0

Pasien

Penjamin

9633
8415
2550
1500
22098

9633
8415
2550
1500
22098

0
0
0
0
0

Pasien
Penjamin
2760
2760
39500
39500
1000
1000
43260
43260

0
0
0
0

Pasien
Penjamin
14317
14317
33660
33660
1000
1000
48977
48977

0
0
0
0

Pasien

Penjamin
580
196
3500
750
4424
196
3500
750
13896

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1624
1624
11088
11088
3934
3934
1500
1500
18146
18146

0
0
0
0
0

580
196
3500
750
4424
196
3500
750
13896

Pasien

Penjamin

5530
196
3500
1500
580
196
3500
1500
19635
500
36637

5530
196
3500
1500
580
196
3500
1500
19635
500
36637

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
30794
30794
500
500
31294
31294

0
0
0

Pasien
Penjamin
30794
30794
500
500
31294
31294

0
0
0

Pasien
Penjamin
11088
11088
1624
1624
1890
1890
1500
1500
16102
16102

0
0
0
0
0

Pasien
580
196

Penjamin
580
196

0
0

3500
750
4424
196
3500
750
2248
196
3500
750
20590

3500
750
4424
196
3500
750
2248
196
3500
750
20590

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
500
500
4060
4060

0
0
0

Pasien
464
196
3500
750
4424
196
3500
750
13780

Pasien
464
196
3500
750
4424
196
3500
750
4746
3560
1000
23086

Penjamin
464
196
3500
750
4424
196
3500
750
13780

0
0
0
0
0
0
0
0
0

Penjamin
464
196
3500
750
4424
196
3500
750
4746
3560
1000
23086

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
9492
9492
500
500
9992
9992

0
0
0

Pasien
Penjamin
14988
14988
8415
8415
3560
3560
20064
20064
43313
43313
262638
262638
4620
4620
2760
2760
4000
4000
364358
364358

0
0
0
0
0
0
0
0
0
0

Pasien

Penjamin
928
980
3500
1500
8848
980
3500
1500
4215
980
3500
1500
19635
500
52066

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
58806
58806
450
450
59256
59256

0
0
0

928
980
3500
1500
8848
980
3500
1500
4215
980
3500
1500
19635
500
52066

Pasien

Penjamin
580
3500
750
4424
3500
750
2248
3500
750
20002

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2940
2940
500
500
3440
3440

0
0
0

Pasien
Penjamin
1740
1740
3500
3500
1500
1500
16590
16590
3500
3500
1500
1500
19635
19635
500
500
48465
48465

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Pasien
Penjamin
10592
10592
500
500

0
0

580
3500
750
4424
3500
750
2248
3500
750
20002

11092

11092

Pasien
Penjamin
133305
133305
53460
53460
1000
1000
187765
187765

0
0
0
0

Pasien
Penjamin
6171
6171
500
500
6671
6671

0
0
0

Pasien
Penjamin
24024
24024
18342
18342
56262
56262
1500
1500
100128
100128

0
0
0
0
0

Pasien
Penjamin
211200
211200
3825
3825
9633
9633
1500
1500
226158
226158

0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
350
350
8778
8778
2500
2500
44127
44127

0
0
0
0
0
0
0

Pasien
Penjamin
9096
9096
8415
8415
14988
14988
525
525
27060
27060
13167
13167
3000
3000
76251
76251

0
0
0
0
0
0
0
0

Pasien
Penjamin
20064
20064
500
500
20564
20564

0
0
0

Pasien
Penjamin
3318
3318
3500
3500
750
750
464
464
3500
3500
750
750
12282
12282

0
0
0
0
0
0
0

Pasien
Penjamin
1960
1960
500
500
2460
2460

0
0
0

Pasien
Penjamin
1050
1050
500
500
1550
1550

0
0
0

Pasien
Penjamin
4746
4746

500
5246

500
5246

0
0

Pasien
Penjamin
19635
19635
500
500
20135
20135

0
0
0

Pasien
Penjamin
3792
3792
196
196
3500
3500
1000
1000
8488
8488

0
0
0
0
0

Pasien
Penjamin
9096
9096
14988
14988
8415
8415
875
875
27060
27060
13167
13167
3000
3000
76601
76601

0
0
0
0
0
0
0
0

Pasien
Penjamin
47086.25 47086.25
500
500
47586.25 47586.25

0
0
0

Pasien
Penjamin
39500
39500
2760
2760
1000
1000
43260
43260

0
0
0
0

Pasien
Penjamin
39500
39500
4746
4746
1000
1000
45246
45246

0
0
0
0

Pasien
Penjamin
5906
5906
7442
7442
27875
27875
1500
1500
42723
42723

0
0
0
0
0

Pasien

Penjamin
348
196
3500
750
3318
196
3500
750
1405
196
3500
750
18409

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
40426
40426
11946
11946
1000
1000
53372
53372

0
0
0
0

Pasien
Penjamin
10588
10588
308377
308377
7375
7375

0
0
0

348
196
3500
750
3318
196
3500
750
1405
196
3500
750
18409

1500
327840

1500
327840

0
0

Pasien
Penjamin
16394
16394
27060
27060
26334
26334
1500
1500
71288
71288

0
0
0
0
0

Pasien

Penjamin
122
500
622

0
0
0

Pasien
Penjamin
1260
1260
500
500
1760
1760

0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
6707
6707
3080
3080
1000
1000
10787
10787

0
0
0
0

Pasien
Penjamin
3560
3560
27060
27060
13167
13167

0
0
0

122
500
622

131319
18192
14988
8415
2550
1540
43313
712
12415
525
6500
284256

131319
18192
14988
8415
2550
1540
43313
712
12415
525
6500
284256

0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
17952
17952
500
500
18452
18452

0
0
0

Pasien
Penjamin
6072
6072
71706
71706
1000
1000
78778
78778

0
0
0
0

Pasien
Penjamin
71706
71706
43313
43313
1000
1000
116019
116019

0
0
0
0

Pasien
3
3500
50
3553

Pasien

Penjamin
3
3500
50
3553

Penjamin

0
0
0
0

9096
12080
2760
1095
196
3500
500
1500
30727

9096
12080
2760
1095
196
3500
500
1500
30727

0
0
0
0
0
0
0
0
0

Penjamin
580
196
3500
1500
5530
196
3500
1500
19635
500
36637

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16410
16410
8430
8430
3480
3480
270
270
11280
11280
2500
2500
42370
42370

0
0
0
0
0
0
0

Pasien
Penjamin
2212
2212
196
196
3500
3500
750
750
348
348
196
196
3500
3500
750
750

0
0
0
0
0
0
0
0

Pasien
580
196
3500
1500
5530
196
3500
1500
19635
500
36637

11452

11452

Penjamin
464
196
3500
750
4424
196
3500
750
2248
196
3500
750
20474

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3480
3480
23760
23760
19635
19635
1500
1500
48375
48375

0
0
0
0
0

Pasien
464
196
3500
750
4424
196
3500
750
2248
196
3500
750
20474

Pasien

Penjamin
348
196
3500
750
3318
196
3500
750
16394
500
29452

0
0
0
0
0
0
0
0
0
0
0

Penjamin
580
580

348
196
3500
750
3318
196
3500
750
16394
500
29452

Pasien

196
3500
750
4424
196
3500
750
3560
500
17956

196
3500
750
4424
196
3500
750
3560
500
17956

0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
97012
97012
17160
17160
1000
1000
115172
115172

0
0
0
0

Pasien
Penjamin
2742
2742
572
572
304
304
160
160
525
525
3500
3500
750
750
8553
8553

0
0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
39500
39500
500
500
40000
40000

0
0
0

Pasien
Penjamin
37802.5 37802.5
14540
14540
1000
1000
53342.5 53342.5

0
0
0
0

Pasien
Penjamin
11946
11946
500
500
12446
12446

0
0
0

Pasien
Penjamin
27288
27288
14988
14988
8415
8415
875
875
27060
27060
12548
12548
2760
2760
3500
3500
97434
97434

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
36326
36326
2760
2760
14988
14988
8415
8415
6375
6375
2500
2500
71364
71364

0
0
0
0
0
0
0

Pasien
Penjamin
4271.4
4271.4
450
450
4721.4
4721.4

0
0
0

Pasien

Penjamin

1750
500
2250

1750
500
2250

0
0
0

Pasien
Penjamin
5530
5530
196
196
3500
3500
1500
1500
19635
19635
580
580
196
196
3500
3500
1500
1500
500
500
36637
36637

0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
53460
53460
500
500
53960
53960

0
0
0

Pasien
Penjamin
3560
3560
2760
2760
1000
1000
7320
7320

0
0
0
0

Pasien
Penjamin
65340
65340
500
500
65840
65840

0
0
0

Pasien
Penjamin
8870
8870
5881
5881
1275
1275

0
0
0

14750
2000
32776

Pasien
147
3500
150
792
3500
150
562
3500
200
12501

Pasien
78
32
76
3500
100
3786

Pasien
76
46
16
18
3500
100
3756

Pasien
190
1756
523
3500
250

14750
2000
32776

0
0
0

Penjamin
147
3500
150
792
3500
150
562
3500
200
12501

0
0
0
0
0
0
0
0
0
0

Penjamin
78
32
76
3500
100
3786

0
0
0
0
0
0

Penjamin
76
46
16
18
3500
100
3756

0
0
0
0
0
0
0

Penjamin
190
1756
523
3500
250

0
0
0
0
0

6219

6219

Penjamin
580
196
3500
750
4424
196
3500
750
2248
196
3500
750
410
196
3500
50
820
196
3500
500
260
380
1000
31402

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
3560
3560
2760
2760
17160
17160
1500
1500
24980
24980

0
0
0
0
0

Pasien
Penjamin
48125
48125
500
500
48625
48625

0
0
0

Pasien
580
196
3500
750
4424
196
3500
750
2248
196
3500
750
410
196
3500
50
820
196
3500
500
260
380
1000
31402

Pasien
Penjamin
76735
76735
10592
10592
1000
1000
88327
88327

0
0
0
0

Pasien
Penjamin
88870
88870
1260
1260
1000
1000
91130
91130

0
0
0
0

Pasien
Penjamin
98450
98450
500
500
98950
98950

0
0
0

Pasien
Penjamin
4746
4746
500
500
5246
5246

0
0
0

Pasien
Penjamin
3560
3560
126
126
53460
53460
1500
1500
58646
58646

0
0
0
0
0

Pasien
Penjamin
787.5
787.5
24354
24354
39501
39501
1350
1350
65992.5 65992.5

0
0
0
0
0

Pasien
Penjamin
102432
102432
500
500
102932
102932

Pasien

0
0
0

Penjamin
18
3500
100
38
3500
100
49
3500
100
792
3500
150
281
3500
100
19228

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

Pasien
Penjamin
2760
2760
500
500
3260
3260

0
0
0

18
3500
100
38
3500
100
49
3500
100
792
3500
150
281
3500
100
19228

Pasien

Penjamin
116
116
1106
1106
281
281

0
0
0

26
38
2500
4067

26
38
2500
4067

0
0
0
0

Penjamin
464
196
3500
700
4424
196
3500
700
1967
196
3500
700
20043

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
30888
30888
500
500
31388
31388

0
0
0

Pasien
Penjamin
30888
30888
12012
12012
91194
91194
9625
9625
2000
2000
145719
145719

0
0
0
0
0
0

Pasien
464
196
3500
700
4424
196
3500
700
1967
196
3500
700
20043

Pasien
26
38
410
1500
1974

Penjamin
26
38
410
1500
1974

0
0
0
0
0

Pasien
547
281
98
1500
2426

Penjamin
547
281
98
1500
2426

0
0
0
0
0

Waktu
31 Mei 2013 14:00
Item
LANSOPRAZOLE GENERIK CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

Jaminan
JAKARTA SEHAT
Quantity
15,00
1,00
2,00

Depo
Depo Atas
Subtotal
CAP
BOT
UNT

31 Mei 2013 09:35

Item
FLUCONAZOLE 150 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
TAB
UNT

30 Mei 2013 11:26

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

29 Mei 2013 20:46

Item
FILTERHUMIDIFLER+HME
MEDIFIX LINE
CATAPRES INJECTION
MORPHINE KIMIA FARMA 10 MG INJECTION
PROPOFOL LIPURO 20 ML EMULSION, INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
CIRCUIT VENTILATOR DISP (2009) ( BREATHING SYST)
NEEDLE NO.18 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
1,00
1,00
1,00
3,00
2,00
2,00
1,00
3,00
11,00

Emergency ICU
Subtotal
UNT
UNT
AMP
AMP
AMP
UNT
UNT
UNT
BOT
PKG
UNT
UNT

29 Mei 2013 14:27

Item
KETOROLAC 30 MG SOLUTION, INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
6,00
6,00
3,00

Depo Atas
Subtotal
AMP
AMP
UNT
UNT

29 Mei 2013 14:26

Item
DISP SYRINGE 1 CC INSULIN
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
3,00

Depo Atas
Subtotal
UNT
VIL
BOT
UNT

29 Mei 2013 13:27

Item
HYPAFIX 5CM x 5 M
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
PKG
UNT

29 Mei 2013 11:06

Item
OMEPRAZOLE GEN 20 MG CAPSULE
METHYL PREDNISOLONE INF 4 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
6,00
2,00

Depo Atas
Subtotal
TAB
TAB
UNT

28 Mei 2013 12:04

Item
INFUS SET JMS
IVENA IV CATH 20
RING AS SANBE 500 ML
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
3,00
1,00
4,00

Depo Atas
Subtotal
UNT
UNT
BOT
UNT
UNT

27 Mei 2013 09:36

Item
PROLIC SANBE 300 mg
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
2,00

Depo IGD
Subtotal
CAP
TAB
UNT

21 Mei 2013 12:53

Item
DEXTROSE MONOHYDRAT 1 KG POWDER

JAMPERSAL
Quantity
75,00

Depo IGD
Subtotal
GM

TUSLAH RACIKAN
EMBALASE
TOTAL

1,00
1,00

UNT
UNT

18 Mei 2013 10:20

Item
DEXTROSE MONOHYDRAT 1 KG POWDER
TUSLAH RACIKAN
EMBALASE
TOTAL

JAMPERSAL
Quantity
75,00
1,00
1,00

Depo Atas
Subtotal
GM
UNT
UNT

14 Mei 2013 14:34

Item
SIMVASTATIN GENERIK 10 MG TABLET
HYPERIL 5 MG TABLET
H.C.T 25 MG TABLET
CLOPIDOGREL 75 MG TABLET
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
15,00
10,00
10,00
20,00
5,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
TAB
UNT

14 Mei 2013 12:07

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
7,00
1,00

Depo IGD
Subtotal
TAB
UNT

13 Mei 2013 14:45

Item
FLUCONAZOL INFUS 100 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

Depo Atas
Subtotal
BOT
UNT

11 Mei 2013 13:08

Item
HYPERIL 5 MG TABLET
AMLODIPIN 10 MG TABLET
VALISANBE TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
3,00
3,00
3,00

Depo Atas
Subtotal
TAB
TAB
TAB
UNT

8 Mei 2013 14:07

Item
SANPRIMA FORTE TABLET
RIFAMPICIN INF 300 MG CAPSULE
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
INBION CAPSULE
NYMIKO SANBE 12 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
15,00
15,00
15,00
30,00
25,00
15,00
1,00
7,00

Depo IGD
Subtotal
TAB
TAB
TAB
TAB
TAB
CAP
BOT
UNT

8 Mei 2013 11:42

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

Depo Atas
Subtotal
UNT
UNT
BOT
UNT
UNT

7 Mei 2013 12:34

Item
GLIBENCLAMID INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Depo Atas
Subtotal
TAB
UNT

7 Mei 2013 12:19

Item
DISP SYRINGE 1 CC TUBERCULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
UNT
UNT

7 Mei 2013 12:19

Item
CEFEPIME 1 GR INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

Apotik Panel 2
Subtotal
VIL
UNT

6 Mei 2013 14:33

Item
SIMVASTATIN GENERIK 10 MG TABLET

JPK PNS
Quantity
15,00

Depo Atas
Subtotal
TAB

TUSLAH NON RACIKAN

TOTAL

1,00

UNT

6 Mei 2013 11:19

Item
ANTASIDA DOEN KF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

Depo Atas
Subtotal
TAB
UNT

6 Mei 2013 11:11

Item
LEVOFLOXACIN INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

Depo Atas
Subtotal
BOT
UNT

4 Mei 2013 10:21

Item
GLIBENCLAMID INF TABLET
METFORMIN HCL 500 MG TABLET
ASAM MEFENAMAT INF 500 MG TABLET
CIPROFLOXACIN TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
20,00
10,00
10,00
4,00

Depo Atas
Subtotal
TAB
TAB
TAB
TAB
UNT

3 Mei 2013 08:09

Item
ERYTHROMYCIN INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
20,00
1,00

Depo Atas
Subtotal
TAB
UNT

Pasien
Penjamin
20265
20265
57964
57964
1000
1000
79229
79229

0
0
0
0

Pasien
Penjamin
79200
79200
500
500
79700
79700

0
0
0

Pasien
Penjamin
14988
14988
500
500
15488
15488

0
0
0

Pasien
Penjamin
46200
46200
106590
106590
133401
133401
12600
12600
92664
92664
1997
1997
17196
17196
2550
2550
11762
11762
173250
173250
2061
2061
5500
5500
605771
605771

0
0
0
0
0
0
0
0
0
0
0
0
0

Pasien
Penjamin
15397
15397
34032
34032
7650
7650
1500
1500
58579
58579

0
0
0
0
0

Pasien
Penjamin
3300
3300
5184
5184
11762
11762
1500
1500
21746
21746

0
0
0
0
0

Pasien
Penjamin
56632
56632
500
500
57132
57132

0
0
0

Pasien
Penjamin
2700
2700
3048
3048
1000
1000
6748
6748

0
0
0
0

Pasien
Penjamin
8415
8415
14988
14988
49251
49251
3300
3300
2000
2000
77954
77954

0
0
0
0
0
0

Pasien
Penjamin
102465
102465
18180
18180
1000
1000
121645
121645

0
0
0
0

Pasien
Penjamin
2550
2550

3500
900
6950

3500
900
6950

0
0
0

Pasien
Penjamin
2550
2550
3500
3500
50
50
6100
6100

0
0
0
0

Pasien
Penjamin
10780
10780
117810
117810
440
440
99000
99000
16540
16540
2500
2500
247070
247070

0
0
0
0
0
0
0

Pasien
Penjamin
31416
31416
500
500
31916
31916

0
0
0

Pasien
Penjamin
336633
336633
500
500
337133
337133

0
0
0

Pasien
Penjamin
47124
47124
4374
4374
423
423
1500
1500
53421
53421

0
0
0
0
0

Pasien
Penjamin
27270
27270
8205
8205
1740
1740
8430
8430
14850
14850
17325
17325
30217
30217
3500
3500
111537
111537

0
0
0
0
0
0
0
0
0

Pasien
Penjamin
16335
16335
14988
14988
5881
5881
1898
1898
2000
2000
41102
41102

0
0
0
0
0
0

Pasien

Penjamin
172
172
500
500
672
672

0
0
0

Pasien
Penjamin
1757
1757
500
500
2257
2257

0
0
0

Pasien
Penjamin
352000
352000
500
500
352500
352500

0
0
0

Pasien
Penjamin
8085
8085

500
8585

500
8585

0
0

Penjamin
370
370
500
500
870
870

0
0
0

Pasien
Penjamin
95040
95040
500
500
95540
95540

0
0
0

Pasien

Pasien

Penjamin
860
3960
1410
3270
2000
11500

0
0
0
0
0
0

Pasien
Penjamin
18960
18960
500
500
19460
19460

0
0
0

860
3960
1410
3270
2000
11500

Waktu
31 Mei 2013 20:34
Item
INTERPRIL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

Jaminan
ASKES
Quantity
1,00
1,00

31 Mei 2013 19:52

Item
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
SPIRONOLACTONE 100 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
3,00

31 Mei 2013 19:42

Item
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
NEUROSANBE 3 ML INJECTION
DISP SYRINGE 3 CC
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
3,00
1,00
4,00

31 Mei 2013 19:42

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 19:41

Item
GLIBENCLAMID INF TABLET
METFORMIN HCL 500 MG TABLET
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
1,00
4,00

31 Mei 2013 11:10

Item
DISP SYRINGE 1 CC INSULIN

JAKARTA SEHAT
Quantity
1,00

DISP SYRINGE 1 CC TUBERCULIN

TUSLAH NON RACIKAN
TOTAL

1,00
2,00

31 Mei 2013 10:27

Item
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 10:27

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

31 Mei 2013 10:22

Item
IVENA IV CATH 22
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

31 Mei 2013 10:22

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

31 Mei 2013 10:22

Item
INFUS SET JMS
IVENA IV CATH 22
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

31 Mei 2013 09:21

Item
TRANSFUSION SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

31 Mei 2013 09:21

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

31 Mei 2013 09:20

Item
IVENA IV CATH 22
IVENA IV CATH 24
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

31 Mei 2013 09:15

Item
DRAINAGE BAG STERIL
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC WITHOUT NED
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
4,00

31 Mei 2013 09:14

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 20 CC WIHTOUT NED
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
3,00
1,00
6,00

31 Mei 2013 09:00

Item
CLOPIDOGREL 75 MG TABLET
CARDIO ASPIRIN TABLET
CAPTOPRIL 12.5 MG TABLET
BISOPROLOL 5 MG TABLET
SIMVASTATIN TABLET 20 MG
LOVENOX SOLUTION, INJECTION 40 mg
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

31 Mei 2013 08:59

Item
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 08:59

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

31 Mei 2013 08:59

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

31 Mei 2013 07:28

Item
SELANG OKSIGEN ADULT
INFUS SET JMS
FUTROLIT INFUSION
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

31 Mei 2013 03:30

Item
LEVOFLOXACIN INFUSION

JAKARTA SEHAT
Quantity
2,00

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION

BISOLVON 2 ML INJECTION
RING AS SANBE 500 ML
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

2,00
2,00
1,00
2,00
5,00

31 Mei 2013 03:20

Item
LEVOFLOXACIN INF TABLET
KETESSE TABLET, COATED 25 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
5,00
10,00
2,00

31 Mei 2013 01:52

Item
VERBAND ROLL
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

31 Mei 2013 01:49

Item
ASPAR-K TABLET, COATED 300 mg
COTRIMOXAZOLE 480 MG TABLET
NEW DIATABS TABLET 600 mg
OMEPRAZOLE GEN 20 MG CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
10,00
10,00
10,00
1,00
5,00

31 Mei 2013 01:28

Item
PARACETAMOL 60 ML SYRUP
PAMOL 125 MG SUPPOSITORY
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
3,00

31 Mei 2013 01:15

Item
RING AS SANBE 500 ML
INFUS SET JMS

JPK PNS
Quantity
1,00
1,00

IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

1,00
3,00

31 Mei 2013 01:04

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 01:02

Item
RING AS SANBE 500 ML
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

31 Mei 2013 01:01

Item
METRONIDAZOLE 100 ML INFUSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
2,00
2,00
5,00

31 Mei 2013 00:48

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
INFUS SET JMS
MAPROLEN 3/0 DS24
PLAIN 3/0 CATGUT
DISP SYRINGE 3 CC
HANDSCOON GAMEX 6.5
LIDOCAIN 2% INJECTION

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

8,00

31 Mei 2013 00:39

Item
UROTRACTIN SANBE TABLET 400 mg
ASAM MEFENAMAT INF 500 MG TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
10,00
3,00

31 Mei 2013 00:19

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

31 Mei 2013 00:16

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00

31 Mei 2013 00:15

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
4,00

31 Mei 2013 00:14

Item
AMLODIPIN 10 MG TABLET
IVENA IV CATH 20
INFUS SET JMS
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

31 Mei 2013 00:08

Item
UROTRACTIN SANBE TABLET 400 mg
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
10,00
2,00

31 Mei 2013 00:04

Item
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

30 Mei 2013 23:58

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
RING AS SANBE 500 ML
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INPEPSA 100 ML SYRUP 500 mg/5 ml
PARACETAMOL INF TABLET 500 mg
NEW DIATABS TABLET 600 mg
ASPAR-K TABLET, COATED 300 mg
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
3,00
6,00
3,00
2,00
9,00

30 Mei 2013 23:51

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
BD VACUTAINER
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

30 Mei 2013 23:49

Item
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

HANDSCOON GAMEX 7
DISP SYRINGE 20 CC WIHTOUT NED
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
6,00

30 Mei 2013 23:37

Item
IVENA IV CATH 24
IVENA IV CATH 22
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
FOLLEY CATHETER 10 RUSCH
DRAINAGE BAG STERIL
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 3 CC
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
9,00

30 Mei 2013 22:15

Item
RING AS SANBE 500 ML
INPEPSA 100 ML SYRUP 500 mg/5 ml
PARACETAMOL INF TABLET 500 mg
ASPAR-K TABLET, COATED 300 mg
PANTOPRAZOLE INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
4,00
1,00
3,00
3,00
1,00
1,00
6,00

30 Mei 2013 21:22

Item
OMEPRAZOLE GEN 20 MG CAPSULE
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

30 Mei 2013 16:03

Item
METRONIDAZOLE 500 MG TABLET
ALDISA SR CAPSULE
TUSLAH NON RACIKAN

RSUD TARAKAN
Quantity
4,00
4,00
2,00

TOTAL

30 Mei 2013 11:18

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

30 Mei 2013 11:17

Item
CEDOCARD 10 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

30 Mei 2013 11:15

Item
ATROPIN ETHICA 0.25 MG INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 10:33

Item
SELANG OKSIGEN ADULT
NON REBREATHING MASK ADULT(1102)
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
EXTENSION TUBE ET 2 (DWS)
DISP SYRINGE 20 CC WIHTOUT NED
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
AQUA FOR INJECT OTSUKA 25 ML
ISOSORBIDE DINITRATE INF TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
3,00
1,00
1,00
1,00
1,00
1,00
1,00
13,00

30 Mei 2013 08:58

Item
INFUS SET JMS
IVENA IV CATH 22
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 08:28

Item
DILTIAZEM INF TABLET 30 MG
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
12,00
2,00

30 Mei 2013 08:11

Item
FUTROLIT INFUSION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
MUSIN OTTO 120 ML SUSPENSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
2,00
1,00
1,00
1,00
5,00
2,00
8,00

30 Mei 2013 08:09

Item
LACTO-B
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

30 Mei 2013 08:08

Item
ZINKID 10MG/5ML SYRUP
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

30 Mei 2013 08:06

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
ANALSIK TABLET
SANMOL TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
10,00
10,00
4,00

30 Mei 2013 07:02

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

30 Mei 2013 06:53

Item
CEDOCARD 10 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

30 Mei 2013 06:52

Item
CEDOCARD 10 ML SOLUTION, INJECTION
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
7,00
2,00

30 Mei 2013 06:16

Item
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00

30 Mei 2013 05:54

Item
DEXAMETHASONE 5 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

30 Mei 2013 02:59

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
4,00
1,00

30 Mei 2013 00:38

Item
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

30 Mei 2013 00:28

Item
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

30 Mei 2013 00:09

Item
ANALSIK TABLET
BETAHISTIN NOVELL TABLET 6 MG
NIMOTOP TAB 30 mg
CITICHOLIN 2 ML 125 MG/ML INJECTION
FUTROLIT INFUSION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
6,00
6,00
2,00
3,00
3,00
7,00

30 Mei 2013 00:03

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
METRONIDAZOLE 100 ML INFUSION
SANMOL INFUSION
ONDANSETRON INF 4 MG INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
2,00
2,00
1,00
3,00
1,00
3,00

DISP SYRINGE 1 CC INSULIN

DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
9,00

30 Mei 2013 00:01

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
ANALSIK TABLET
INPEPSA 100 ML SYRUP 500 mg/5 ml
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
2,00
1,00
4,00

29 Mei 2013 23:59

Item
UROTRACTIN SANBE TABLET 400 mg
INPEPSA 100 ML SYRUP 500 mg/5 ml
OMEPRAZOLE GEN 20 MG CAPSULE
CEFADROXIL INF CAPSULE 500 MG
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
10,00
10,00
6,00
5,00

29 Mei 2013 23:26

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
WINGED NEEDLE NO. 27 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

29 Mei 2013 22:55

Item
IVENA IV CATH 24
HEALFLON IV.CATH NO.26G HARSORIA
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
4,00

29 Mei 2013 22:46

Item
PARACETAMOL INF TABLET 500 mg
FUTROLIT INFUSION
IVENA IV CATH 20
INFUS SET JMS
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

29 Mei 2013 22:17

Item
FUTROLIT INFUSION
PLAVOS 75MG TAB
ANALSIK TABLET
DISP SYRINGE 5 CC
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
3,00
1,00
6,00
5,00

29 Mei 2013 22:11

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

29 Mei 2013 22:07

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

29 Mei 2013 21:58

Item
OMEPRAZOLE GEN 20 MG CAPSULE
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

29 Mei 2013 21:56

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
PANTOPRAZOLE INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
3,00
3,00
4,00
2,00
7,00

29 Mei 2013 21:55

Item
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

29 Mei 2013 21:53

Item
ANALSIK TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
10,00
2,00

29 Mei 2013 21:52

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

29 Mei 2013 21:45

Item
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

29 Mei 2013 21:27

Item
PANSO INJEKSI 1 VIL
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

29 Mei 2013 21:16

Item
IMOVAX RABIES INJECTION
DISP SYRINGE 3 CC
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
5,00
3,00

29 Mei 2013 21:02

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
RINGER LACTATE WIDATRA 500 ML
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

29 Mei 2013 08:31

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 08:31

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

29 Mei 2013 02:13

Item
IVENA IV CATH 22
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

TOTAL

28 Mei 2013 22:05

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 21:59

Item
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 21:02

Item
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

ASKES
Quantity
1,00
1,00

28 Mei 2013 20:54

Item
OMEPRAZOLE 40 MG INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
1,00
1,00
3,00
5,00

28 Mei 2013 20:33

Item
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

28 Mei 2013 20:18

Item
PARACETAMOL INF TABLET 500 mg
AMBROXOL INF 30 MG TABLET

JAKARTA SEHAT
Quantity
10,00
10,00

COTRIMOXAZOLE 480 MG TABLET

TUSLAH NON RACIKAN
TOTAL

10,00
3,00

28 Mei 2013 20:15

Item
IVENA IV CATH 22
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
RING AS SANBE 500 ML
OTSU SALIN 3% INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
1,00
1,00
2,00
6,00

28 Mei 2013 20:02

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 20:02

Item
KETOROLAC 30 MG SOLUTION, INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

28 Mei 2013 19:28

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

28 Mei 2013 19:26

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
7,00
1,00

28 Mei 2013 19:20

UMUM

Item
OMEPRAZOLE 40 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00

28 Mei 2013 19:18

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

28 Mei 2013 19:12

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
10,00
3,00

28 Mei 2013 19:07

Item
RING AS SANBE 500 ML
MUSIN OTTO 120 ML SUSPENSION
PARACETAMOL INF TABLET 500 mg
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
1,00
3,00
2,00
4,00

28 Mei 2013 19:07

Item
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

28 Mei 2013 19:06

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

TOTAL

28 Mei 2013 19:01

Item
MORPHINE KIMIA FARMA 10 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 19:01

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 18:50

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

28 Mei 2013 18:42

Item
INFUS SET JMS
IVENA IV CATH 18
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 18:40

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 18:19

Item
FUROSEMID INF INJECTION
EXTENSION TUBE ET 2 (DWS)

JAKARTA SEHAT
Quantity
5,00
1,00

DISP SYRINGE 20 CC WIHTOUT NED

TUSLAH NON RACIKAN
TOTAL

1,00
3,00

28 Mei 2013 18:18

Item
CITICHOLIN 2 ML 125 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

28 Mei 2013 18:17

Item
DISP SYRINGE 5 CC
CITICHOLIN 2 ML 125 MG/ML INJECTION
AQUA FOR INJECT OTSUKA 25 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
1,00
5,00

28 Mei 2013 18:16

Item
RING AS SANBE 500 ML
PIRACETAM INJ 3 GR/ 15 ML INJECTION
DISP SYRINGE 5 CC
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
AQUA FOR INJECT OTSUKA 25 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
1,00
1,00
1,00
1,00
1,00
8,00

28 Mei 2013 18:05

Item
PARACETAMOL INF TABLET 500 mg
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

28 Mei 2013 17:35

UMUM

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 17:26

Item
FUROSEMID INF INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 17:19

Item
IVENA IV CATH 20
RING AS SANBE 500 ML
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
3,00

28 Mei 2013 17:14

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

28 Mei 2013 16:57

Item
PARACETAMOL INF TABLET 500 mg
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

28 Mei 2013 16:56

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
1,00
3,00

28 Mei 2013 16:53

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 16:39

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

28 Mei 2013 16:05

Item
BOORWATER 100 ML SOLUTION
TUSLAH RACIKAN
EMBALASE
TOTAL

UMUM
Quantity
1,00
1,00
1,00

28 Mei 2013 16:01

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 3 CC
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 15:57

Item
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

28 Mei 2013 15:51

Item
IMOVAX RABIES INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
2,00

28 Mei 2013 15:35

Item
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

28 Mei 2013 15:26

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 15:20

Item
ISOSORBIDE DINITRATE INF TABLET
METRONIDAZOLE 500 MG TABLET
ALDISA SR CAPSULE
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
4,00
4,00
4,00
3,00

28 Mei 2013 15:09

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

28 Mei 2013 13:15

Item
AMOXICILLIN 500 MG TABLET
MEFINAL 500 MG TABLET
IMOVAX RABIES INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
2,00
1,00
4,00

28 Mei 2013 12:48

Item

JAKARTA SEHAT
Quantity

BIFOTIK POWDER, FOR INJECTION SUSPENSION

DEXAMETHASONE 5 MG INJECTION
BISOLVON 2 ML INJECTION
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SALBUTAMOL INF TABLET 2 MG
TUSLAH NON RACIKAN
TOTAL

1,00
6,00
3,00
3,00
3,00
5,00

28 Mei 2013 12:29

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
PYRAZINAMIDE INF 500 MG TABLET
ETHAMBUTOL500mg TABLET
VITAMIN B6 10 MG TABLET
AMBROXOL INF 30 MG TABLET
FOTARAM 1 g
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
4,00
4,00
2,00
3,00
1,00
7,00

28 Mei 2013 10:39

Item
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
SANMOL INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
3,00

28 Mei 2013 10:34

Item
NON REBREATHING MASK ADULT(1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

28 Mei 2013 10:14

Item
BISOPROLOL 5 MG TABLET
ERYTHROMYCIN INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

RSUD TARAKAN
Quantity
30,00
20,00
2,00

28 Mei 2013 09:41

UMUM

Item
ZINKID 10MG/5ML SYRUP
KA-EN 1B 500 ML INFUSION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 23:45

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 23:42

Item
OMEPRAZOLE 40 MG INJECTION
MUSIN OTTO 120 ML SUSPENSION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

27 Mei 2013 23:05

Item
CEFIXIME GENERIK CAPSULE
METRONIDAZOLE 500 MG TABLET
GLIMEPIRIDE 4 MG TABLET
METFORMIN HCL 850 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
5,00
5,00
4,00

27 Mei 2013 22:44

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

27 Mei 2013 22:42

JAKARTA SEHAT

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

Quantity
4,00
1,00
2,00

27 Mei 2013 21:55

Item
RING AS SANBE 500 ML
DEXTROSE 10% WIDATRA 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 20
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
13,00

27 Mei 2013 21:27

Item
SANMOL INFUSION
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 1 CC INSULIN
CITICHOLIN 2 ML 125 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
2,00
4,00

27 Mei 2013 21:22

Item
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

27 Mei 2013 21:16

Item
RING AS SANBE 500 ML
MAPROLEN 2/0 DS24

UMUM
Quantity
2,00
4,00

LIDOCAIN 2% INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
PLAIN 3/0 CATGUT
HANDSCOON GAMEX 7.5
SELANG OKSIGEN ADULT
ACTIMOVE CERVICAL COLLAR MEDIUM 'L'
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

11,00
1,00
1,00
2,00
2,00
1,00
1,00
2,00
10,00

27 Mei 2013 20:55

Item
BIFOTIK POWDER, FOR INJECTION SUSPENSION
ULTRACET 37,5MG TABL
SOHOLIN 125 MG/ML INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
3,00
3,00
1,00
1,00
5,00

27 Mei 2013 20:20

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

27 Mei 2013 20:13

Item
CAPTOPRIL 12.5 MG TABLET
ANALSIK TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
6,00
10,00
3,00

27 Mei 2013 20:09

Item
PARACETAMOL 60 ML SYRUP
CO AMOXYCLAV INF 625 MG TABLET, COATED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
10,00
2,00

27 Mei 2013 20:04

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

27 Mei 2013 19:44

Item
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC TUBERCULIN
HANDSCOON GAMEX 7
PRONALGES SUPPOSITORY 100 MG
MAPROLEN 4/0 DS19
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

27 Mei 2013 19:35

Item
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00

27 Mei 2013 19:33

Item
RINGER LACTATE WIDATRA 500 ML
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 19:19

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
3,00

27 Mei 2013 19:15

Item
RING AS SANBE 500 ML
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00
1,00

IVENA IV CATH 20
STOMACH TUBE 16 THERUMO
DISP SYRINGE 10 CC
DISP SYRINGE 50 CC CATH TIP
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
7,00

27 Mei 2013 19:07

Item
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 18:58

Item
CLOPIDOGREL 75 MG TABLET
HYPERIL 5 MG TABLET
CITICHOLIN 500 MG TABLET
AMLODIPIN 5 MG TABLET
FUTROLIT INFUSION
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
3,00
2,00
2,00
2,00
6,00

27 Mei 2013 18:46

Item
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
WINGED NEEDLE NO. 23 JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

27 Mei 2013 18:42

Item
BD MICRO-FINE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00

27 Mei 2013 18:39

Item
LACTO-B
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

27 Mei 2013 18:39

Item
DOMPERIDON SYRUP
AMBROXOL INF 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 18:17

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

27 Mei 2013 18:16

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 18:14

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

27 Mei 2013 18:13

Item
LANTUS SOLUTION, LIQUID, CONCENTRATE, INJECTION 100 UNT/10 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 18:13

Item
GLIBENCLAMID INF TABLET

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

27 Mei 2013 18:11

Item
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

27 Mei 2013 18:06

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
1,00
4,00

27 Mei 2013 18:00

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 17:55

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

27 Mei 2013 17:41

Item
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
DISP SYRINGE 3 CC
BD VACUTAINER
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
1,00

IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

2,00
7,00

27 Mei 2013 17:41

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 17:17

Item
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
3,00

27 Mei 2013 17:13

Item
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 16:35

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
ANALSIK TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
3,00

27 Mei 2013 16:27

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
ANALSIK TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
6,00
4,00

27 Mei 2013 16:17

Item
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 16:08

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

27 Mei 2013 15:58

Item
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 15:57

Item
SELANG NEBUL WITH MASK(1493)
ANALSIK TABLET
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
10,00
3,00

27 Mei 2013 15:57

Item
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 15:54

Item

UMUM
Quantity

BENOSON N 5 GM CREAM
TUSLAH NON RACIKAN
TOTAL

1,00
1,00

27 Mei 2013 15:51

Item
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 15:43

Item
INFUS SET JMS
IVENA IV CATH 20
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

27 Mei 2013 15:28

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

27 Mei 2013 15:15

Item
ATORVASTATIN 20 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 15:15

Item
ACETYLCYSTEIN 200MG CAPS
RANITIDINE GENERIK 25 MG/ML INJECTION
PRONALGES SUPPOSITORY 100 MG
CEFPIROME 1GR VIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
2,00
1,00
4,00

27 Mei 2013 15:14

Item
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
HANDSCOON GAMEX 7
MAPROLEN 3/0 DS24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
1,00
1,00
4,00

27 Mei 2013 15:06

Item
PANTOPRAZOLE INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 15:01

Item
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7
MAPROLEN 5/0 DS 16
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00
4,00

27 Mei 2013 14:56

Item
STOMACH TUBE 16 THERUMO
DISP SYRINGE 50 CC CATH TIP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 14:51

Item
FUTROLIT INFUSION
INFUS SET JMS
IVENA IV CATH 20
DISP SYRINGE 3 CC
NEUROSANBE 3 ML INJECTION
TUSLAH NON RACIKAN

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

TOTAL

27 Mei 2013 14:27

Item
IMOVAX RABIES INJECTION
DISP SYRINGE 3 CC
MEFINAL 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
4,00
3,00

27 Mei 2013 12:05

Item
HUMALOG CARTRIDGE 3 ML SUSPENSION, INJECTION 100 IU/1 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 11:48

Item
FUROSEMID INF INJECTION
AMLODIPIN 5 MG TABLET
CAPTOPRIL 12.5 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
SIMVASTATIN GENERIK 10 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
2,00
6,00
1,00
1,00
5,00

27 Mei 2013 10:20

Item
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 10:20

Item
REBREATHING MASK ADULT (1102)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 10:20

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

27 Mei 2013 10:19

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 10:18

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 10:06

Item
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 10:06

Item
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 10:05

Item
XYLOCAINE 2% 10 GM JELLY
STOMACH TUBE 16 THERUMO
HANDSCOON GAMEX 7
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

27 Mei 2013 10:05

Item
INFUS SET JMS

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

27 Mei 2013 10:05

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 09:57

Item
MEDIFIX LINE
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
2,00
2,00

27 Mei 2013 09:37

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 09:37

Item
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

27 Mei 2013 09:37

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

27 Mei 2013 09:37

Item
TRANSFUSION SET JMS
IVENA IV CATH 20
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

3,00

27 Mei 2013 09:36

Item
IVENA IV CATH 22
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

27 Mei 2013 09:36

Item
INFUS SET JMS
IVENA IV CATH 20
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

27 Mei 2013 09:35

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

26 Mei 2013 06:14

Item
ANALSIK TABLET
MECOBALAMIN AMP INJECTION
IVENA IV CATH 24
IVENA IV CATH 20
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00
1,00
1,00
3,00
3,00
6,00

26 Mei 2013 03:53

Item
OMEPRAZOLE 40 MG INJECTION
INPEPSA 100 ML SYRUP 500 mg/5 ml
ONDANSETRON 4 MG TABLET

UMUM
Quantity
1,00
1,00
10,00

TUSLAH NON RACIKAN

TOTAL

3,00

25 Mei 2013 09:00

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
KALIUM KLORIDA (KCL) OTSU 25 ML INFUSION 74.6 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
1,00
1,00
1,00
9,00

25 Mei 2013 08:48

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
INFUS SET JMS
IVENA IV CATH 24
VENTOLIN NEBULE SOLUTION, FOR INHALATION
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00
2,00
1,00
2,00
1,00
1,00
5,00
1,00
10,00

25 Mei 2013 07:41

Item
ASAM TRANEKSAMAT 500 MG TABLET
VITAMIN K KIMIA FARMA TABLET 10 MG
CIPROFLOXACIN TABLET
KETESSE TABLET, COATED 25 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
10,00
6,00
6,00
4,00

25 Mei 2013 07:40

Item

JAKARTA SEHAT
Quantity

ORALIT
DOMPERIDON SYRUP
PAMOL 125 MG SUPPOSITORY
ZINKID 10MG/5ML SYRUP
TUSLAH NON RACIKAN
TOTAL

5,00
1,00
1,00
1,00
4,00

25 Mei 2013 05:24

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
PAMOL 125 MG SUPPOSITORY
DISP SYRINGE 20 CC WIHTOUT NED
SELANG OKSIGEN CHILD
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

25 Mei 2013 05:17

Item
FUTROLIT INFUSION
RING AS SANBE 500 ML
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
OMEPRAZOLE 40 MG INJECTION
MUSIN OTTO 120 ML SUSPENSION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
1,00
1,00
2,00
1,00
1,00
2,00
10,00

25 Mei 2013 05:14

Item
CAPTOPRIL 12.5 MG TABLET
AMLODIPIN 5 MG TABLET
ASPAR-K TABLET, COATED 300 mg
RING AS SANBE 500 ML
BISOPROLOL 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
6,00
2,00
3,00
1,00
1,00
5,00

25 Mei 2013 05:06

Item
RING AS SANBE 500 ML
IVENA IV CATH 20
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
DISP SYRINGE 1 CC INSULIN
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
8,00

25 Mei 2013 05:03

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
FUROSEMID INF INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
5,00

25 Mei 2013 04:58

Item
WINGED NEEDLE NO. 25 JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 04:57

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

25 Mei 2013 03:42

Item
AMLODIPIN 5 MG TABLET
PANSO INJEKSI 1 VIL

UMUM
Quantity
1,00
2,00

MUSIN OTTO 120 ML SUSPENSION

RING AS SANBE 500 ML
FUTROLIT INFUSION
DISP SYRINGE 5 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
2,00
2,00
7,00

25 Mei 2013 03:35

Item
ZINKID 10MG/5ML SYRUP
SANMOL 15 ML DROPS
KA-EN 3B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

25 Mei 2013 03:25

Item
PARACETAMOL 60 ML SYRUP
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

25 Mei 2013 03:20

Item
MAPROLEN 2/0 DS24
HANDSCOON GAMEX 6.5
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00
2,00
4,00

25 Mei 2013 03:04

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

25 Mei 2013 03:01

Item

JAKARTA SEHAT
Quantity

OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 5 CC
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
4,00

25 Mei 2013 02:12

Item
PARACETAMOL INF TABLET 500 mg
OMEPRAZOLE GEN 20 MG CAPSULE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
10,00
2,00

25 Mei 2013 02:06

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 01:55

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

25 Mei 2013 01:18

Item
INFUS SET JMS
FUTROLIT INFUSION
IVENA IV CATH 20
AMLODIPIN 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

25 Mei 2013 00:47

Item
PANSO INJEKSI 1 VIL
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
MERTIGO TABLET 6 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

25 Mei 2013 00:40

Item
PARACETAMOL INF TABLET 500 mg
DEXAMETHASONE INF TABLET 0.5 MG
DOMPERIDON SYRUP
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
5,00
1,00
3,00

25 Mei 2013 00:16

Item
INFUS SET JMS
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

24 Mei 2013 23:55

Item
PANSO INJEKSI 1 VIL
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

24 Mei 2013 19:49

Item
ISOKET INJECTION
VENTOLIN NEBULE SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
2,00

24 Mei 2013 14:10

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 14:10

JAKARTA SEHAT

Item
IVENA IV CATH 22
INFUS SET JMS
NATRIUM KLORIDA ( NACL ) ECOSOL/B BRAUN 500 ML INFUSION 0.9 %WV
TUSLAH NON RACIKAN
TOTAL

Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 13:57

Item
SELANG OKSIGEN ADULT
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 13:57

Item
IVENA IV CATH 22
TRANSFUSION SET JMS
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 13:48

Item
IVENA IV CATH 22
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 13:02

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 13:01

Item
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

24 Mei 2013 13:01

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

24 Mei 2013 13:01

Item
FOLLEY CATHETER 16 RUSCH
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
DRAINAGE BAG STERIL
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
4,00

24 Mei 2013 10:32

Item
STOMACH TUBE 16 THERUMO
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 10:28

Item
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
NEEDLE NO.18 THERUMO
ALKOHOL SWAB
HANDSCOON NON STERIL S (PCS)
HEALFLON IV.CATH NO.26G HARSORIA
CALCIUM GLUCONAS ETHICA INJECTION
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
5,00
5,00
5,00
10,00
30,00
3,00
1,00
7,00

24 Mei 2013 10:23

Item
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

24 Mei 2013 10:19

Item

JAKARTA SEHAT
Quantity

LIDOCAIN 2% INJECTION
THREE WAY STOPCOCK
TRANSFUSION SET JMS
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 10 CC
DISP SYRINGE 50 CC WITHOUT NED
TUSLAH NON RACIKAN
TOTAL

2,00
1,00
1,00
1,00
1,00
1,00
1,00
7,00

24 Mei 2013 09:43

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
FUROSEMID INF INJECTION
ISOKET INJECTION
DISP SYRINGE 10 CC
FOLLEY CATHETER 16 RUSCH
NON REBREATHING MASK ADULT(1102)
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 6.5
ISOSORBIDE DINITRATE INF TABLET
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 2 (DWS)
EXTENSION TUBE ET 1 V:0.79ML(ANAK)
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
7,00
2,00
4,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
4,00
4,00
17,00

24 Mei 2013 09:26

Item
INFUS SET JMS
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 09:26

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC

JAKARTA SEHAT
Quantity
1,00
1,00

DISP SYRINGE 1 CC TUBERCULIN

RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
6,00

24 Mei 2013 09:20

Item
ISOSORBIDE DINITRATE INF TABLET
CAPTOPRIL 12.5 MG TABLET
SIMVASTATIN GENERIK 10 MG TABLET
LASIX TABLET 40 MG
INPEPSA 100 ML SYRUP 500 mg/5 ml
ARIXTRA SOLUTION, INJECTION 2.5 MG/0.5 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
3,00
3,00
2,00
1,00
1,00
1,00
6,00

24 Mei 2013 09:08

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 5 CC
RING AS SANBE 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
IVENA IV CATH 20
IVENA IV CATH 22
NON REBREATHING MASK ADULT(1102)
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
AQUA FOR INJECT OTSUKA 25 ML
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 50 CC WITHOUT NED
EXTENSION TUBE ET 2 (DWS)
MEYLON (NATRIUM BIKARBONAT) 25 ML SOLUTION, INJECTION 84 MG/ML
SELANG OKSIGEN ADULT
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
2,00
2,00
2,00
3,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
2,00
1,00
2,00
4,00
1,00
22,00

24 Mei 2013 09:00

Item
RANITIDINE INF TABLET 150 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

24 Mei 2013 08:56

Item
ANBACIM INJECTION
DEXTROMETHORPHAN INF TABLET 15 MG
FUTROLIT INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
3,00
1,00
3,00

24 Mei 2013 08:09

Item
PARACETAMOL 60 ML SYRUP
KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

24 Mei 2013 07:27

Item
IVENA IV CATH 22
INFUS SET JMS
RING AS SANBE 500 ML
FOLLEY CATHETER 16 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
CLOPIDOGREL 75 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
4,00
2,00
11,00

24 Mei 2013 06:54

Item
AMINORAL TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

24 Mei 2013 06:54

Item
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
HANDSCOON NON STERIL S (PCS)
CACO3 500 MG CAPSULE
TUSLAH RACIKAN
EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
10,00
2,00
1,00
2,00
3,00

24 Mei 2013 06:52

Item
CEFADROXIL 60 ML POWDER, FOR ORAL SOLUTION
ZINKID 10MG/5ML SYRUP
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
2,00

24 Mei 2013 05:31

Item
SELANG NEBUL WITH MASK(1493)
DISP SYRINGE 3 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

24 Mei 2013 05:16

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
20,00
1,00

24 Mei 2013 04:41

Item
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

24 Mei 2013 04:27

Item

JAKARTA SEHAT
Quantity

HANDSCOON NON STERIL S (PCS)

TUSLAH NON RACIKAN
TOTAL

20,00
1,00

24 Mei 2013 03:22

Item
SOPIROM INJECTION
IMPUGAN AMPUL INJECTION
CAPTOPRIL 12.5 MG TABLET
ISOKET INJECTION
AMLODIPIN 5 MG TABLET
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
5,00
6,00
1,00
2,00
1,00
1,00
7,00

24 Mei 2013 03:03

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
2,00

24 Mei 2013 03:02

Item
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

24 Mei 2013 02:59

Item
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7.5
MAPROLEN 3/0 DS24
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
1,00
1,00
4,00

24 Mei 2013 02:41

Item
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00

IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
3,00

24 Mei 2013 02:27

Item
MAPROLEN 3/0 DS24
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
4,00

24 Mei 2013 02:24

Item
MAPROLEN 3/0 DS24
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
HANDSCOON GAMEX 6.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
2,00
1,00
4,00

24 Mei 2013 01:59

Item
RHINOFED 60 ML SYRUP
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
3,00
2,00

24 Mei 2013 01:45

Item
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

23 Mei 2013 23:36

Item
AMBROXOL INF 30 MG TABLET
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
10,00
10,00
2,00

TOTAL

23 Mei 2013 23:15

Item
BISOLVON SOLUTION 50 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

23 Mei 2013 22:59

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 22:57

Item
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

23 Mei 2013 22:56

Item
ORALIT
DOMPERIDON SYRUP
PARACETAMOL 60 ML SYRUP
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
BISOLVON 2 ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
5,00
1,00
1,00
1,00
1,00
5,00

23 Mei 2013 22:53

Item
MAPROLEN 3/0 DS24
PLAIN 2/0 CAT GUT
HANDSCOON GAMEX 7.5
LIDOCAIN 2% INJECTION
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00
2,00
5,00

23 Mei 2013 22:38

Item
IVENA IV CATH 24
INFUS SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 22:32

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

23 Mei 2013 22:10

Item
INFUS SET JMS
IVENA IV CATH 24
RINGER LACTATE WIDATRA 500 ML
MAPROLEN 3/0 DS24
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
1,00
1,00
1,00
1,00
4,00

23 Mei 2013 21:43

Item
IVENA IV CATH 20
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
3,00

23 Mei 2013 21:41

Item
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 22:32

Item

JAKARTA SEHAT
Quantity

AMBROXOL INF 60 ML SYRUP

COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
SELANG NEBU PEDRIATIC(1484)
TUSLAH NON RACIKAN
TOTAL

1,00
3,00
1,00
1,00
4,00

22 Mei 2013 21:28

Item
KA-EN 1B 500 ML INFUSION
INFUS SET JMS
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 21:16

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

22 Mei 2013 21:13

Item
KA-EN 1B 500 ML INFUSION
PARACETAMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

22 Mei 2013 21:13

Item
IVENA IV CATH 20
IVENA IV CATH 22
INFUS SET JMS
RANITIDINE GENERIK 25 MG/ML INJECTION
DISP SYRINGE 3 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
1,00
6,00

22 Mei 2013 21:10

Item
RINGER LACTATE WIDATRA 500 ML

JAKARTA SEHAT
Quantity
1,00

INFUS SET JMS

IVENA IV CATH 24
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
SELANG NEBU PEDRIATIC(1484)
DISP SYRINGE 3 CC
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
1,00
1,00
1,00
1,00
7,00

22 Mei 2013 21:00

Item
OMEPRAZOLE GEN 20 MG CAPSULE
MUSIN OTTO 120 ML SUSPENSION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
1,00
2,00

22 Mei 2013 20:58

Item
CEFOTAXIME GENERIK 1 GM POWDER, FOR INJECTION SOLUTION
PARACETAMOL 60 ML SYRUP
STESOLID RECTAL 5 mg/2,5 ml
KA-EN 1B 500 ML INFUSION
PAMOL 125 MG SUPPOSITORY
DISP SYRINGE 10 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
2,00
1,00
2,00
6,00

22 Mei 2013 20:34

Item
PARACETAMOL INF TABLET 500 mg
ASAM MEFENAMAT INF 500 MG TABLET
AMBROXOL INF 30 MG TABLET
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
12,00
6,00
10,00
4,00
4,00

22 Mei 2013 20:22

Item
SELANG OKSIGEN CHILD
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

22 Mei 2013 20:07

Item
RING AS SANBE 500 ML
INFUS SET JMS
VALISANBE INJECTION
IVENA IV CATH 20
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
5,00

22 Mei 2013 19:35

Item
RING AS SANBE 500 ML
ASPAR-K TABLET, COATED 300 mg
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SANMOL INFUSION
CAPTOPRIL 12.5 MG TABLET
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
KASA STERIL HUSADA
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
1,00
3,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
12,00

22 Mei 2013 19:24

Item
CAPTOPRIL 12.5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
20,00
1,00

22 Mei 2013 18:55

Item
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

22 Mei 2013 18:48

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 5 CC

JAKARTA SEHAT
Quantity
1,00
1,00

DISP SYRINGE 1 CC INSULIN

TUSLAH NON RACIKAN
TOTAL

1,00
3,00

22 Mei 2013 18:25

Item
PARACETAMOL INF TABLET 500 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

22 Mei 2013 17:58

Item
VALAMIN SANBE INFUSION
FUTROLIT INFUSION
ONDANSETRON INF 4 MG INJECTION
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
3,00
1,00
4,00

22 Mei 2013 17:28

Item
DISP SYRINGE 3 CC
NEEDLE NO 27 THERUMO
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

22 Mei 2013 17:24

Item
INFUS SET JMS
RING AS SANBE 500 ML
SELANG OKSIGEN ADULT
IVENA IV CATH 20
AMLODIPIN 10 MG TABLET
PARACETAMOL INF TABLET 500 mg
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
XYLOCAINE 2% 10 GM JELLY
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 7.5
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
5,00
1,00
3,00
1,00
10,00
1,00
2,00
1,00
10,00
10,00
5,00
12,00

22 Mei 2013 17:08

Item
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
TRAMADOL INF 50 MG/ML SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 17:07

Item
IVENA IV CATH 24
INFUS SET JMS
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
1,00
3,00

22 Mei 2013 16:38

Item
SIMVASTATIN GENERIK 10 MG TABLET
LOVENOX 0,6 SOLUTION, INJECTION
HANDSCOON NON STERIL S (PCS)
RING AS SANBE 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
20,00
2,00
4,00

22 Mei 2013 16:37

Item
BIFOTIK POWDER, FOR INJECTION SUSPENSION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
RING AS SANBE 500 ML
AMINOPHYLLINE 24mg SOLUTION
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
2,00
1,00
2,00
2,00
10,00
6,00

22 Mei 2013 15:54

Item
ASAM MEFENAMAT INF 500 MG TABLET
UROTRACTIN SANBE TABLET 400 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
3,00
2,00

22 Mei 2013 15:47

Item
IVENA IV CATH 20
INFUS SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

22 Mei 2013 15:33

Item
FUTROLIT INFUSION
KETESSE 25 MG/ML INJECTION
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
2,00
3,00

22 Mei 2013 15:02

Item
IMOVAX RABIES INJECTION
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

22 Mei 2013 14:56

Item
HANDSCOON NON STERIL S (PCS)
CEFOPERAZONE SULBACTAM 1 GM INJECTION
OMEPRAZOLE 40 MG INJECTION
DISP SYRINGE 10 CC
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
2,00
1,00
5,00

22 Mei 2013 12:42

Item
CEFOPERAZONE SULBACTAM 1 GM INJECTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
ISOKET INJECTION
FUROSEMID INF INJECTION
AMLODIPIN 5 MG TABLET
THREE WAY STOPCOCK
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
3,00
2,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

8,00

22 Mei 2013 11:36

Item
DOBUTAMIN GENERIK 50 MG/ML
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

22 Mei 2013 11:35

Item
AMBROXOL INF 30 MG TABLET
MUSIN OTTO 120 ML SUSPENSION
VALISANBE TABLET 5 MG
ASPAR-K TABLET, COATED 300 mg
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00
1,00
6,00
4,00

22 Mei 2013 11:33

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
NON REBREATHING MASK ADULT(1102)
SELANG OKSIGEN ADULT
DEXTROSE OTSUKA 40% 25 ML SOLUTION, INJECTION
DISP SYRINGE 20 CC WIHTOUT NED
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
FUROSEMID INF INJECTION
XYLOCAINE 2% 10 GM JELLY
HANDSCOON GAMEX 7
DRAINAGE BAG STERIL
FOLLEY CATHETER 20 RUSCH
AQUA FOR INJECT OTSUKA 25 ML
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
15,00

22 Mei 2013 11:31

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
1,00
1,00

TOTAL

22 Mei 2013 11:29

Item
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 11:11

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 11:01

Item
FUTROLIT INFUSION
INFUS SET JMS
IVENA IV CATH 20
SELANG NEBUL WITH MASK(1493)
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 10 CC
DISP SYRINGE 1 CC INSULIN
SELANG OKSIGEN ADULT
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
10,00

22 Mei 2013 10:25

Item
NATRIUM CHLORIDA (NACL) WIDATRA 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 10:10

Item
SELANG OKSIGEN ADULT

JAKARTA SEHAT
Quantity
1,00

TUSLAH NON RACIKAN

TOTAL

1,00

22 Mei 2013 10:07

Item
DISP SYRINGE 1 CC INSULIN
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 10:06

Item
STOMACH TUBE 16 THERUMO
XYLOCAINE 2% 10 GM JELLY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
2,00

22 Mei 2013 10:04

Item
IVENA IV CATH 22
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00

22 Mei 2013 10:04

Item
IVENA IV CATH 22
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

22 Mei 2013 10:02

Item
SANMOL INFUSION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

22 Mei 2013 09:41

Item
SPIRONOLACTONE 25 MG TABLET
CAPTOPRIL 12.5 MG TABLET
FUROSEMID INF INJECTION
RING AS SANBE 500 ML

JAKARTA SEHAT
Quantity
1,00
3,00
4,00
1,00

TUSLAH NON RACIKAN

TOTAL

4,00

22 Mei 2013 09:26

Item
RIFAMPICIN GENERIK 450 MG TABLET
INH 300 MG TABLET
ETHAMBUTOL500mg TABLET
PYRAZINAMIDE INF 500 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
HANDSCOON NON STERIL S (PCS)
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
2,00
2,00
3,00
3,00
1,00
5,00
10,00
10,00

22 Mei 2013 08:34

Item
AMOXICILLIN 500 MG TABLET
ANTALGIN 500 MG
ASAM MEFENAMAT INF 500 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
PREDNISON 5 MG TABLET
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
10,00
10,00
10,00
10,00
10,00
5,00

22 Mei 2013 08:19

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

22 Mei 2013 00:14

Item
CEFEPIME 1 GR INJECTION
DISP SYRINGE 10 CC
OMEPRAZOLE 40 MG INJECTION
SANMOL INFUSION
DISP SYRINGE 3 CC

JPK PNS
Quantity
1,00
2,00
1,00
1,00
1,00

TUSLAH NON RACIKAN

TOTAL

5,00

21 Mei 2013 21:50

Item
KA-EN 1B 500 ML INFUSION
PARACETAMOL 60 ML SYRUP
AMBROXOL INF 30 MG TABLET
CTM 4 MG TABLET
DEXAMETHASONE INF TABLET 0.5 MG
DEXTROMETHORPHAN INF TABLET 15 MG
TUSLAH RACIKAN EMBALASE
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
3,00
3,00
3,00
3,00
1,00
12,00
2,00

21 Mei 2013 21:45

Item
SELANG OKSIGEN ADULT
RING AS SANBE 500 ML
FUROSEMID INF INJECTION
DISP SYRINGE 5 CC
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
AMLODIPIN 10 MG TABLET
ASPILETS TABLET, CHEWABLE 80 MG
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00
1,00
1,00
1,00
1,00
7,00

21 Mei 2013 21:06

Item
MAPROLEN 3/0 DS24
DISP SYRINGE 3 CC
LIDOCAIN 2% INJECTION
RING AS SANBE 500 ML
INFUS SET JMS
IVENA IV CATH 20
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
2,00
3,00
1,00
1,00
1,00
6,00

21 Mei 2013 21:03

Item
IVENA IV CATH 24
INFUS SET JMS

UMUM
Quantity
1,00
1,00

RINGER LACTATE WIDATRA 500 ML

KA-EN 1B 500 ML INFUSION
TUSLAH NON RACIKAN
TOTAL

1,00
1,00
4,00

21 Mei 2013 21:02

Item
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
SALBUTAMOL INF TABLET 2 MG
AMBROXOL INF 30 MG TABLET
COMBIVENT UDV 2.5 ML SOLUTION, FOR INHALATION
DEXAMETHASONE 5 MG INJECTION
ASPILETS TABLET, CHEWABLE 80 MG
CAPTOPRIL 12.5 MG TABLET
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
3,00
3,00
3,00
3,00
1,00
3,00
1,00
1,00
3,00
10,00

21 Mei 2013 20:11

Item
ASAM MEFENAMAT INF 500 MG TABLET
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
1,00

21 Mei 2013 19:52

Item
INFUS SET JMS
RING AS SANBE 500 ML
IVENA IV CATH 20
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
DISP SYRINGE 3 CC
DISP SYRINGE 5 CC
DISP SYRINGE 1 CC TUBERCULIN
DOBUTAMIN GENERIK 50 MG/ML
DISP SYRINGE 20 CC WIHTOUT NED
EXTENSION TUBE ET 2 (DWS)
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSUKA 25 ML
HANDSCOON GAMEX 7
TUSLAH NON RACIKAN

JAKARTA SEHAT
Quantity
2,00
3,00
2,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
1,00
15,00

TOTAL

21 Mei 2013 19:48

Item
DISP SYRINGE 3 CC
KETOROLAC 30 MG SOLUTION, INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
2,00

21 Mei 2013 19:37

Item
NEW DIATABS TABLET 600 mg
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
6,00
1,00

21 Mei 2013 19:37

Item
RING AS SANBE 500 ML
OMEPRAZOLE 40 MG INJECTION
ONDANSETRON INF 4 MG INJECTION
SANMOL INFUSION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JPK PNS
Quantity
3,00
2,00
3,00
2,00
1,00
1,00
4,00
7,00

21 Mei 2013 19:33

Item
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM TRANEKSAMAT 500/5 ML INJECTION
MUSIN OTTO 120 ML SUSPENSION
FUTROLIT INFUSION
AMBROXOL INF 30 MG TABLET
CEFTRIAXONE 1 GM POWDER, FOR INJECTION SOLUTION
DISP SYRINGE 1 CC INSULIN
DISP SYRINGE 10 CC
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
3,00
3,00
1,00
1,00
3,00
2,00
1,00
1,00
3,00
9,00

21 Mei 2013 19:30

JAKARTA SEHAT

Item
MEROPENEM 1 GR POWDER, FOR INJECTION SOLUTION
TUSLAH NON RACIKAN
TOTAL

Quantity
2,00
1,00

21 Mei 2013 19:02

Item
IVENA IV CATH 20
INFUS SET JMS
FUTROLIT INFUSION
DISP SYRINGE 1 CC TUBERCULIN
DISP SYRINGE 3 CC
VITAMIN C ETHICA (EXTRACE) 100 MG/ML INJECTION
VITAMIN K3 KIMIA FARMA 10 MG/ML INJECTION
ASAM MEFENAMAT INF 500 MG TABLET
DISP SYRINGE 5 CC
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00
1,00
1,00
2,00
1,00
1,00
1,00
1,00
9,00

21 Mei 2013 18:15

Item
CO AMOXYCLAV INF 625 MG TABLET, COATED
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
10,00
1,00

21 Mei 2013 17:22

Item
OMEPRAZOLE 40 MG INJECTION
NATRIUM KLORIDA (NACL) SANBE 100 ML INFUSION
MORPHINE KIMIA FARMA 10 MG INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 16:54

Item
DISP SYRINGE 3 CC
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00

21 Mei 2013 16:54

Item
VOMERIN 60 ML SYRUP

UMUM
Quantity
1,00

SANMOL 60 ML SYRUP
TUSLAH NON RACIKAN
TOTAL

1,00
2,00

21 Mei 2013 16:45

Item
RINGER LACTATE WIDATRA 500 ML
IVENA IV CATH 18
UMBILICAL CORD CLAMB
TRANSFUSION SET JMS
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00
1,00
1,00
4,00

21 Mei 2013 16:31

Item
PAMOL 125 MG SUPPOSITORY
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
1,00
1,00

21 Mei 2013 16:20

Item
RINGER LACTATE WIDATRA 500 ML
TRANSFUSION SET JMS
IVENA IV CATH 18
TUSLAH NON RACIKAN
TOTAL

JAMPERSAL
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 15:41

Item
IVENA IV CATH 18
TRANSFUSION SET JMS
RINGER LACTATE WIDATRA 500 ML
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
1,00
1,00
1,00
3,00

21 Mei 2013 15:19

Item
PRONALGES SUPPOSITORY 100 MG
TUSLAH NON RACIKAN
TOTAL

UMUM
Quantity
2,00
1,00

21 Mei 2013 15:16

Item
IVENA IV CATH 22
IVENA IV CATH 24
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
1,00
2,00

21 Mei 2013 15:14

Item
DISP SYRINGE 3 CC
RANITIDINE GENERIK 25 MG/ML INJECTION
TUSLAH NON RACIKAN
TOTAL

JAKARTA SEHAT
Quantity
2,00
2,00
2,00

21 Mei 2013 15:08

Item
RINGER LACTATE WIDATRA 500 ML
INFUS SET JMS
IVENA IV CATH 20
SELANG OKSIGEN ADULT
RANITIDINE GENERIK 25 MG/ML INJECTION
ONDANSETRON INF 4 MG INJECTION
DISP SYRINGE 3 CC
FOLLEY CATHETER 14 RUSCH
DRAINAGE BAG STERIL
DISP SYRINGE 10 CC
AQUA FOR INJECT OTSU