BERITA ACARA PERHITUNGAN PERSEDIAAN AKHIR OBAT DAN

STOK PER
NO NAMA OBAT BMHP SATUAN 31 DES 2018 HARGA SATUAN

1 ALOPURINOL TABLET 100 MG TABLET 200 117.00

2 ALPRAZOLAM TABLET 0,5 MG TABLET - 88.00
3 AMBROXOL TAB. 30 MG TABLET 35 330.00
4 AMINOFILIN TABLET 200 MG TABLET 500 97.00
5 AMITRIPTILIN HCL TABLET SALUT 25 MG TABLET 64 168.00
6 AMLODIPIN 10 MG TABLET 285 95.00
7 AMLODIPIN 5 MG TABLET 222 75.00
8 AMOKSISILIN KAPSUL 250 MG CAPSUL 310 196.00
9 AMOKSISILIN KAPSUL 500 MG CAPSUL 537 248.00
10 AMPISILINA 500 MG TAB TABLET 95 443.00
11 ANTALGIN (METAMPIRON) TABLET 500 MG TABLET 1,299 163.00
12 ANTASIDA DOEN TABLET KOMB. (100) TABLET 418 56.00
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET - 149.00
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET 1,306 120.00
15 ASAM MEFENAMAT 500 MG KAPLET 120 103.00
16 ASAM TRANEXAMAT TAB 500MG TABLET - 2,750.00
17 ASETOSAL TABLET 100 MG TABLET - 127.00
18 ASETOSAL TABLET 500 MG TABLET - 294.00
19 ASIKLOVIR TABLET 200 MG TABLET 800 259.00
20 ASIKLOVIR TABLET 400 MG TABLET 648 425.00
21 BETAHISTIN MALEAT TABLET 135 119.00
22 CEFADROXIL TABLET 500 MG TABLET - 557.00
23 CIPROFLOXACIN 500 MG TABLET 180 281.00
24 CITRIZINE TABLET 10 MG TABLET - 97.00
25 CLOBAZAM TAB 10 MG TABLET - 950.00
26 CLOPIDOGREL 75 MG TABLET - 3,588.00
27 CO AMOXICLAV 625 MG TABLET - 5,050.00
28 DEXAMETASON TAB.0,5MG TABLET 516 106.65
29 DIAZEPAM TABLET 2MG TABLET - 86.00
30 DIAZEPAM TABLET 5 MG TABLET 63 109.00
31 DIGOKSIN TAB. 0,25 MG TABLET 200 104.00
32 DOKSISIKLIN 100 MG CAPSUL 220 264.00
33 DOMPERIDON TAB 10 MG TABLET 584 90.00
34 EFEDRIN HCL TABLET 25 MG TABLET - 57.00
35 ERYTROMISIN 250 MG CAPSUL 466 636.00
36 ERYTROMISIN 500 MG KAPLET 1,480 781.00
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL - 759.00
38 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TABLET 357 818.00
39 FUROSEMID TAB.40 MG TABLET 300 79.00
40 GARAM ORALIT UNTUK 200 ML BUNGKUS - 273.00
41 GLIBENKELAMID TABLET 5 MG TABLET - 121.00
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET - 31.00
43 GRISEOFULVIN TAB. 125 MG TABLET - 313.00
44 HALOPERIDOL TABLET 0.5 MG TABLET 100 55.00
45 HALOPERIDOL TABLET 1.5 MG TABLET 100 59.00
46 HALOPERIDOL 2 MG TABLET - 134.00
47 HIDROKLOROTIAZID (HCT) TAB.25 MG TABLET - 178.00
48 IBUPROFEN TABLET 200 MG TABLET - 112.00
49 ISOSORBIT DINITRAT TAB.SALUT 5 MG TABLET 157 89.00
50 KALIUM DIKLOFENAK TABLET 50 MG TABLET - 644.00
51 KALSIUM LAKTAT (KALK) TAB.500 MG TABLET 824 59.00
52 KAPTOPRIL 12,5 MG TABLET 142 65.00
53 KAPTOPRIL 25 MG TABLET 409 86.00
54 KAPTOPRIL 50 MG TABLET 136 143.00
55 KARBAMAZEPIN TAB.200 MG TABLET 200 234.00
56 KETOKONAZOLE TAB 200 MG TABLET - 286.00
57 KLINDAMSIN 150 MG TABLET 405.00
58 KLORAMFENIKOL KAPSUL 250 MG CAPSUL 198 739.29
59 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TABLET 1,974 24.00
60 KLOROKUIN TAB. 150 MG TABLET - 110.00
61 KLORPROMAZIN HCL TAB.SALUT 100 MG TABLET - 170.00
62 KOM. PIRIMETAMIN 25 MG + SULFADOXIN 500 MG TABLET - 570.00
63 KOTRIMOKSAZOL TABLET 480 MG TABLET 230 125.00
64 KOTRIMOKSAZOL TABLET PEDIATRIK TABLET - 76.00
65 KUININ SULFAT TAB.222 MG TABLET - 737.00
66 LANSOPRAZOL KAP 30 MG CAPSUL - 330.00
67 LOPERAMIDE HCL 2 MG TABLET 201 85.00
68 LORATADINE TAB 10 MG TABLET 234 193.00
69 METFORMIN 500 MG TABLET 265 103.00
70 METHYL PREDNISOLON TAB 4 MG TABLET 604 139.00
71 METILERGOMETRIN MALEAT TAB 0,125 MG TABLET 100 169.00
72 METOKLOPRAMID 10 MG TABLET 320 93.00
73 METRONIDAZOL TAB.250 MG TABLET - 94.00
74 NATRIUM BICARBONAT TABLET TABLET - 23.00
75 NATRIUM DIKLOFENAK 25 MG TABLET - 150.00
76 NATRIUM DIKLOFENAK 50 MG TABLET - 135.00
77 NIFEDIPINE 10 MG TABLET - 107.00
78 NISTATIN SALUT 500.000 IU TABLET 229 910.00
79 NISTATIN TABLET VAGINAL 100.000 IU/G TABLET - 602.00
80 OMEPRAZOL KAP 20 MG CAPSUL 459 138.00
81 PARASETAMOL TAB.100 MG TABLET 1,082 89.54
82 PARASETAMOL TAB.500 MG TABLET 10,749 60.00
83 PIRACETAM TAB. 400 MG KAPLET - 200.00
84 PIRACETAM TAB. 800 MG KAPLET - 820.00
85 PIRANTEL TABLET 125 MG TABLET - 331.00
 86 PIRIDOKSIN HCL TAB. 10 MG TABLET 506 141.00
87 PIROXICAM 10 MG TABLET - 84.00
88 PIROXICAM 20 MG TABLET - 104.00
89 PREDNISON TAB.5 MG TABLET 545 74.00
90 PRIMAKUIN TAB.15 MG TABLET - 258.00
91 PROPANOLOL HCL TABLET 10 MG TABLET - 59.00
92 PROPILTIOURASIL TABLET 100 MG TABLET - 329.00
93 RANITIDINE TABLET 150 MG TABLET 1,019 150.00
94 -
95 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL 336 327.00
96 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL 3,376 519.20
97 RIFAMPICIN 450 MG CAPSUL - 1,031.00
98 RIFAMPICIN 600 MG KAPLET - 1,420.00
99 RISPERIDON TAB 2 MG TABLET - 273.00
100 SALBUTAMOL 2 MG TABLET 326 64.00
101 SIANOKOBALAMINA ( VITB 12) TABLET TABLET 340 49.00
102 SIMETIDIN TABLET TABLET 200 545.00
103 SIMVASTATIN TAB. 10 MG TABLET 220 110.00
104 TABLET TAMBAH DARAH KOMB. TABLET 1,189 410.00
105 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL - 174.00
106 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL 220 329.00
107 THIAMPHENICOL KAP. 500 MG CAPSUL 284 1,830.00
108 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG TABLET - 88.00
109 TRIFLUOPERAZIN 5 MG TABLET 170 309.00
110 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG TABLET 140 80.00
111 VITAMIN B COMPLEKS TAB TABLET - 135.00
112 ZINC TABLET TABLET 180 604.00
113 AMBROXOL SYR 15 MG/ML BOTOL - 3,275.00
114 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BOTOL - 1,920.00
115 ANTASIDA DOEN SUSPENSI BOTOL 29 2,098.00
116 CITRIZINE SYRUP BOTOL - 2,993.00
117 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL 50 2,862.00
118 ERYTROMISIN SYRUP BOTOL - 7,039.00
119 IBUPROFEN SUSPENSI BOTOL 63 2,560.00
120 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BOTOL 76 2,225.00
121 PARASETAMOL DROP BOTOL 38 7,646.00
122 PARASETAMOL SYRUP 120 MG/5 ML BOTOL 94 1,160.00
123 THIAMFENICOL SYR BOTOL - 9,900.00
124 ZINK SYRUP BOTOL 39 3,285.00
125 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL - 3,080.00
126 AMPISILINA SERBUK INJ 1GR VIAL - 5,610.00
127 ANTALGIN INJ. 250 MG /ML-2ML AMPUL - 1,925.00
128 ASAM TRANEXAMAT INJ AMPUL 10 2,789.00
129 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL - 1,540.00
130 DEXTROSE 5 + 1/4 NS BOTOL - 8,470.00
131 DEXAMETASON INJ.5MG/ML-1ML AMPUL 342 1,210.00
132 DIAZEPAM INJ.5MG/ML-2ML AMPUL - 1,913.00
133 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL 1 1,222.00
134 DOPAMIN INJ AMPUL - 10,045.00
135 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL 78 1,518.00
136 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL - 1,925.00
137 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML AMPUL - 4,083.00
138 FUROSEMID INJ 10 ML AMPUL - 2,058.00
139 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL - 3,739.00
140 GLUKOSA LAR,INFUS 10 % STERIL BOTOL - 7,500.00
141 GLUKOSA LAR.INFUS 5 % STERIL BOTOL 40 6,900.00
142 HALOPERIDOL INJEKSI AMPUL - 91,667.00
143 KETOPROFEN INJEKSI 100 MG AMPUL - 5,650.00
144 KETOROLAC INJEKSI 30 MG AMPUL 12 1,383.00
145 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML AMPUL - 1,155.00
146 KUININ HIDROKLORIDA INJ.25 % -2 ML AMPUL - 6,820.00
147 LIDOKAIN INJ. 2% AMPUL 25 1,280.00
148 LIDOKAIN KOMB.INJ. HCL 2% AMPUL 60 2,227.00
149 MAGNESIUM SULFAT 20 % INJEKSI AMPUL - 3,328.00
150 MAGNESIUM SULFAT 40 % INJEKSI AMPUL 3 3,796.00
151 MENADION K3 INJ AMPUL - 1,281.00
152 METIL ERGOMETRIN MALEAT INJ.0,200 MG-1ML AMPUL 93 3,278.00
153 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BOTOL 5 6,410.00
154 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL - 1,900.00
155 PIRACETAM INJ 1 GR AMPUL - 6,600.00
156 RANITIDINE INJ 25 MG/ML-2ML AMPUL 63 1,155.00
157 RINGER LAKTAT LAR.INFUS STERIL BOTOL 1 7,150.00
158 SEFOTAKSIM INJEKSI 0,5 G VIAL - 6,485.00
159 SEFOTAKSIM SERBUK INJ. 1 G VIAL - 4,410.00
160 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU I) VIAL - 479,996.00
161 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ATS) AMPUL - 130,999.00
162 SERUM ANTI DIFTERI 20000 UI VIAL - 2,200,007.70
163 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./ML AMPUL - 1,117.00
164 ANTI BAKTERI DOEN SALEP POT 77 3,490.00
165 ASIKLOVIR KRIM TUBE - 3,619.00
166 BETAMETASON KRIM 0,1 % TUBE 36 1,373.00
167 BISAKODIL SUPPOSITORIA SUPP 12 6,000.00
168 DIAZEPAM RECTAL 10 MG TUBE - 19,378.00
169 VERAPAMIL 50 MG TABLET - 240.00
170 BISOPPROLOL TAB 5MG TABLET - 695.00
171 DILTIAZEM TABLET - 137.00
172 ASAM FOLAT 1 MG TABLET - 81.00
173 SULFASALAZINE TABLET - 2,000.00
174 GLICLAZID TABLET - 251.00
175 IRBESARTAN TABLET - 1,567.00
176 GEMFIBROZIL KAPLET 200 436.00
177 AMIODARON TABLET - 1,430.00
178 GLIMEPIRID TABLET - 207.00
179 MELOXICAM 15 TABLET - 1,439.00
180 KODEIN TABLET TABLET - 550.00
181 ISONIAZID TAB 300 MG TABLET - 174.00
182 OBAT ANTITUBERKULOSIS FDC SISIPAN PAKET - 198,986.00
183 GENTAMYCIN SALEP KULIT 0,1 % TUBE - 1,835.00
184 GENTAMYCIN SULFAT TETES MATA 0,3 % TUBE - 4,885.00
185 GENTIAN VIOLET LARUTAN 1 % BOTOL - 1,870.00
186 HIDROKORTISON KRIM 2,5% TUBE 4 2,533.00
187 IODIUM POVIDON IODIDA 30 ML 10% BOTOL 6 3,480.00
188 IODIUM POVIDON IODIDA 300 ML 10% BOTOL 10 21,600.00
189 KETOKONAZOLE KRIM 2 % TUBE - 2,790.00
190 KLORAMFENIKOL SALEP MATA 1% TUBE 21 1,925.00
191 KLORAMFENIKOL TETES TELINGA 3% BOTOL 1 8,470.00
192 MIKONAZOLE SALEP TUBE - 3,075.00
193 OKSITETRASIKLIN HCL SALEP 3 % TUBE - 2,800.00
194 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE - 3,050.00
195 SALEP 2-4 KOMB. POT 19 3,017.00
196 SALISIL BEDAK 2 % KOTAK 35 1,071.00
197 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML VIAL - 3,025.00
198 ANTI HAEMOROID DOEN SUPP - 3,428.00
199 OAT/FDC KAT I KOTAK 10 413,984.00
200 OAT/FDC KAT II KOTAK 1 1,492,579.00
201 OAT/FDC KAT anak KOTAK - 232,518.00
202 DEC 100mg tablet TABLET 26,000 180.00
203 ALBENDAZOLE TABLET 400mg TABLET 17,200 271.14
204 PROKAIN BENZIL PENISILIN VIAL - 9,908.00
205 GENTAMISIN INJ 40ml AMPUL - 3,896.00
206 GLUKONAS KALSIKUS 10% AMPUL - 10,351.00
207 ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6% POT - 4,972.00
208 SERUM ANTI BISA ULAR POLIVALEN INJ 50ML VIAL - 462,000.00
209 STREPTOMYCIN INJ. 1000MG VIAL - 5,750.00
210 ASAM FOLAT 0,4 MG TABLET - 68.00
211 GENTAMICYN SALEP MATA TUBE - 2,786.00
212 SUCRALFAT SIRUP BOTOL - 14,450.00
213 BROMHEXIN 8 MG TABLET - 112.00
214 METFORMIN 850 MG TABLET - 167.00
215 KLINDAMYCIN 300 MG TABLET 220 589.00
216 DULCOLAX 10 MG SUPP SUPP - 5,800.00
217 N ACETYLCYSTEIN 200 MG CAPSUL 645 412.00
218 ISONIAZID TAB 100 MG TABLET - 59.00
219 MDT COMBI ADULT (KUSTA) STRIP 7 30,595.00
220 AZITROMYCIN DRY SYRUP 200 MG/ML BOTOL - 25,098.00
221 AZITHROMYCIN 500 MG TABLET - 1,778.00
222 MULTIVITAMIN TABLET TABLET - 395.00
223 THROMBO ASPILETS TABLET - 986.00
224 VENTOLIN NEBU AMPUL - 12,550.00
225 ALBOTHYL BOTOL - 31,500.00
226 SCABIMITE KRIM TUBE - 46,000.00
227 BRONSOLVAN TABLET - 310.00
228 AMINOFLUID BOTOL - 67,761.00
229 ASERING BOTOL - 9,646.00
230 COMBIVEN NEBU BOTOL - 4,995.00
231 NOVOMIX PENFLEX SET - 106,000.00
232 ATROVENT SPRAY BOTOL - 83,500.00
233 BIOPLACENTONE GELL 10 GRAM TUBE - 16,000.00
234 BETHADINE GARGLE (OBAT KUMUR) BOTOL 9 23,614.00
235 ANTRAIN INJ KOTAK - 66,000.00
236 AQUA GEL BOTOL - 46,368.00
237 ARTEM INJ AMPUL - 33,034.00
238 CITICOLLIN INJ AMPUL - 22,100.00
239 KANDISTATIN DROPS BOTOL 3 35,000.00
240 ONDANCENTRON 4MG INJ AMPUL 7 1,198.00
241 PEHACAIN INJ AMPUL - 3,150.00
242 HALOPERIDOL DROP/LODOMER DROP BOTOL - 17,505.00
243 ZIRCUM KID DROP BOTOL - 11,700.00
244 OBAT BATUK HITAM SYRUP BOTOL - 6,050.00
245 MULTI VITAMIN SYRUP BOTOL - 6,600.00
246 BISOLVON DROP BOTOL - 95,000.00
247 AQUA PRO INJEKSI VIAL - 2,860.00
248 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL - 7,000.00
249 ETANOL 70 % BOTOL - 2,625.00
250 ETHIL KLORIDA SEMPROT BOTOL - 102,692.00
251 EUGENOL CAIRAN BOTOL - 18,333.00
252 CONCOR 2.5 MG TABLET - 650.00
253 SAMCOBION CAPSUL - 494.45
254 ETANOL 70% 1 LITER BOTOL 11 31,250.00
255 OBAT BATUK SIRUP KOMBINASI BOTOL - 8,250.00
256 RAPID HIV 1 SD SET - 22,350.00
257 RAPID 2 HIV INTEC SET - 22,440.00
258 RAPID 3 HIV ONCOPROBE SET - 223,386.00
259 PYRIMETHAMIN 25 MG TAB TABLET - -
260 DHP/OAM TABLET - 258.00
261 ARTESUNATE INJ.250 MG AMPUL - 42,900.00
262 EUTHYROX 100 UG TABLET - 944.00
263 CAMABION KAPSUL CAPSUL - 355.00
264 FENOBARBITAL 50 MG TAB(SIBITAL) TAB TABLET - 1,573.00
265 OBAT FLU KOMB.TAB(MERTISAL) TAB TABLET - 913.00
266 VITAMIN NEUROTROPIK 5000 MG (MERSIBION) TABLET - 1,815.00
267 BETAHISTINE MALEAT (VASTIGO) TABLET TABLET - 693.00
268 METAMIZOLE 500 MG/ML INJEKSI AMPUL - 6,930.00
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET 205 1,020.90
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET 44 1,033.56
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET 113 1,141.44
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET 63 1,693.89
273 BISTURI NO. 12 (carbon steel capel) PCS 100 3,300.00
274 BLOOD LANCET PCS - 160.23
275 BOX SLIDE PCS - 86,750.77
276 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET - 6,421.00
277 FOLLEY CATHETHER NO.12 PCS - 13,530.00
278 FOLLEY CATHETHER NO.16 PCS 1 13,530.00
279 FOLLEY CATHETHER NO.18 PCS - 13,530.00
280 HAND SCHOEN L NON STERIL KOTAK 10 56,826.00
281 HAND SCHOEN M NON STERIL KOTAK - 56,826.00
282 HAND SCHOEN S NON STERIL KOTAK 1 56,826.00
283 HAND SCHOEN L STERIL PCS 8 9,348.00
284 HAND SCHOEN M STERIL PCS - 9,348.00
285 HAND SCHOEN S STERIL PCS - 9,348.00
286 HAND SCHOEN OBSETRIKAL PCS - 19,000.00
287 INFUS SET ANAK PCS 43 7,920.00
288 INFUS SET DEWASA PCS 11 7,920.00
289 IV CATHETER NO. 18 PCS 44 9,158.49
290 IV CATHETER NO. 20 PCS 34 9,159.00
291 IV CATHETER NO. 22 PCS 39 9,158.49
292 IV CATHETER NO. 24 PCS 30 16,087.50
293 IV CATHETER NO. 26 PCS - 27,134.80
294 JARUM KULIT PCS - 20,000.00
295 JARUM OTOT PCS - 15,000.00
296 KACA SLIDE PCS 144 277.70
297 KAPAS ADSORBEN 500 GR BUNGKUS 4 40,204.44
298 KAPAS PEMBALUT ABSORBEN 250 GR BUNGKUS 13 27,750.00
299 KASA KOMPRES 40/40 STERIL ROL 13 1,840.00
300 KASA PEMBALUT 2M X 80 CM ROL 21 10,177.60
301 KASA PEMBALUT 36 X 80 CM ROL - 139,000.00
302 KASA PEMBALUT 36 X 80 CM ROL - 139,600.00
303 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL 13 4,000.00
304 KASA PEMBALUT HIDROFIL 4M X 3 CM ROL 16 845.00
305 KASA STERIL 16 X 16 HK KOTAK 2 8,492.50
306 KERTAS EKG ROL - 27,000.00
307 LARUTAN ANISOL BOTOL - 256,500.00
308 LARUTAN EDTA 100 ml BOTOL - 117,900.00
309 LARUTAN EOSIN 2 % BOTOL - 279,000.00
310 LARUTAN GIEMSA STAIN BOTOL - 567,000.00
311 LARUTAN H2O2 BOTOL - 30,000.00
312 LARUTAN HCL 0,1 N BOTOL - 31,500.00
313 LARUTAN HAYEM BOTOL - 49,500.00
314 LARUTAN KARBOL FUKSIN BOTOL - 85,500.00
315 LARUTAN METANOL BOTOL - 81,000.00
316 LARUTAN REAGENT ANTI A BOTOL - 109,000.00
317 LARUTAN REAGENT ANTI AB BOTOL - 121,000.00
318 LARUTAN REAGENT ANTI B BOTOL - 109,000.00
319 LARUTAN REAGENT ANTI D BOTOL - 138,000.00
320 LARUTAN REAGENT ZIENIL NEELSEN BOTOL - 263,314.00
321 LEUCOPLAST 7.5 CM X 5 CM ROL 2 35,532.00
322 MAAG SLANG DEWASA (STOMACH TUBE NO. 16) PCS - 9,065.10
323 MASKER KARET KOTAK - 23,100.00
324 MASKER TALI KOTAK - 29,520.00
325 NEEDLE 23 PCS - 190.00
326 NEEDLE 24 PCS - 190.00
327 PLASTER 5 YARD X 2 INCH ROL 2 26,875.50
328 RAPID TES PROTEIN PCS - 1,201.75
329 RDT TYPUS KOTAK - 1,181,250.00
330 SELANG OKSIGEN ANAK PCS - 8,118.00
331 SELANG OKSIGEN BAYI PCS - 8,118.00
332 TEST DENGUE DEVICE PCS - 217,800.00
333 TEST HBsAG STRIP PCS 50 9,850.00
334 TEST HCG STRIP KOTAK - 106,650.00
335 TEST MALARIA DEVICE PCS - 47,317.00
336 TEST URINE TRIP 10 PARAMETER PCS - 1,457.00
337 THREE WAY BUAH - 15,380.00
338 ULTRASOUND GEL 250 ML BOTOL - 24,175.00
339 UNDERPAD PCS 40 4,786.76
340 URINE BAG PCS 11 6,765.00
341 WING NEEDLE 27 PCS - 1,827.00
342 AIR RAKSA DENTAL USE BOTOL - 577,000.00
343 ARTICULATING PAPER KOTAK - 196,020.00
344 BONDING SINGLE BOND BUAH - 851,070.00
345 CELLULOID STRIP BUAH - 220,000.00
346 COMPOSITE PASTE (SOLARE) BUAH - 532,400.00
347 ETCHING BUAH - 275,000.00
348 FUJI 9 ART (MINI) BUAH - 1,026,000.00
349 FUJI II LC BUAH - 561,000.00
350 FUJI IX GC BUAH - 1,180,614.00
351 FUJI VII GC WHITE BUAH 1 1,263,114.00
352 MATRIX ROLL + MATRIX BOND BUAH - 119,982.30
353 MICRO BRUSH BUAH - 232,000.00
354 OCHO BUAH - 188,000.00
355 SALIVA EJECTOR BUAH - 120,000.00
356 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BUAH - 146,300.00
357 SILVER AMALGAM SERBUK 65-75% BUAH - 1,235,000.00
358 SPONS GELATIN CUBICLES 1 X 1 X 1 CM BUAH - 110,000.00
359 TABUNG VENOJECT EDTA BUAH 26 3,300.00
360 CLEVER CHECK BUAH - 255,000.00
361 CELL CLEAN BUAH - 1,197,900.00
362 MASKER RESPIRATOR BUAH - 25,000.00
363 HYPAFIX KOTAK - 79,000.00
364 PIPET TETES BUAH - 850.00
365 THERMAROL BUAH - 46,000.00
366 LIPID PANEL TEST BUAH - 1,698,759.00
367 ALKOHOL SWAB PCS 200 135.30
368 LYSOL BOTOL - 49,200.00
369 CELL PACK BUAH - 1,768,800.00
370 STOMALYZER BUAH - 1,171,500.00
371 JARUM AUTO CLICK PCS 3 16,000.00
372 ALAT SUNTIK 0.05ML PCS - 2,880.00
373 ALAT SUNTIK 0.5ML PCS - 2,880.00
374 DIAMOND BOOR SET M BUAH - 278,000.00
375 DIAMOND BOOR SET S BUAH - 323,000.00
376 FEEDING TUBE BUAH - 9,471.00
377 FISURE LANCIP LONG BUAH - 55,000.00
378 LARUTAN SALMONELLA PARATYPHI H BOTOL - 218,000.00
379 LARUTAN SALMONELLA PARATYPHI HA BOTOL - 218,000.00
380 LARUTAN SALMONELLA PARATYPHI HC BOTOL - 218,000.00
381 LARUTAN SALMONELLA PARATYPHI O BOTOL - 218,000.00
382 LARUTAN SALMONELLA PARATYPHI OA BOTOL - 218,000.00
383 LARUTAN SALMONELLA PARATYPHI OB BOTOL - 218,000.00
384 LARUTAN SALMONELLA PARATYPHI OC BOTOL - 218,000.00
385 REAGEN TEST CHLONESTERASE ACHE (DIGITAL) BOTOL - 17,400,000.00
386 SUAB TENGGOROKAN BOTOL - 20,000.00
387 MINIOCEP BUAH - 29,000.00
388 SELANG OKSIGEN DEWASA BUAH - 8,118.00
389 SILK(BENANG BEDAH SUTERA)NO.3/0 PCS 2 25,567.00
390 REAGEN TEST CHLONESTERASE BCHE (DIGITAL) BOTOL - 17,400,000.00
391 POLIFIX 5 CM X 5 CM ROL - 39,901.00
392 CATGUT PLAIN 2/0 BUNGKUS - 35,285.00
393 POLIBAN 5 CM X 2.7 M ROL - 9,497.00
394 CATGUT CROM 3/0 PCS 11 42,605.00
395 SABUN ANTI SEPTIK (DETTOL) BOTOL - 20,900.00
396 POT SPUTUM BOTOL - 5,890.00
397 VERORAB REGULAR VIAL 2 174,500.00
398 VAXIGRIP 0.5 ML VIAL - 146,801.00
399 INFUS SET TIPE Y PCS - 6,492.37
400 CHOLESTEROL TEST PCS 40 23,566.00
401 GLUCOSE TEST STRIP 50'S PCS 2,200 3,189.72
402 URIC ACID STRIP PCS 200 5,238.80
403 POLIFIX 10 CM X 5 CM PCS 1 85,970.50
404 TEST HIV SET 12 15,297.00
405 GLUCOSE TEST STRIP 25'S PCS - 250,920.00
406 CHOL+HDL+GLU TEST 15'S PCS - 1,112,600.00
407 BUKBASTIK KOTAK - 115,500.00
408 LARUTAN ICON OS BOTOL - 870,000.00
409 CYNOFF LITER - 192,500.00
410 RDT MALARIA PCS - 5,271.00
411 ABATE BOTOL - 109,000.00
412 LARVASIDA ABATE KOTAK - 18,945.00
413 INSEKTISIDA GOKILATH BOTOL - 520,423.00
414 SOFRATULLE/FRAMICETINE PCS 10 35,401.70
415 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL - 164,030.00
416 TEST AMPHETAMIN STRIP KOTAK - 613,000.00
417 TEST SALMONELLA IGM CASSETTE (FOKUS) STRIP - 49,369.00
418 TEST RPR (SEPHILIS) STRIP - 4,477.00
419 HAND RUB BOTOL - 78,750.00
420 MASKER KARET HIJAB KOTAK 15 25,300.00
421 FEEDING TUBE NO. 6 PCS - 9,065.10
422 FEEDING TUBE NO. 8 PCS - 9,471.00
423 STOMACH TUBE NO. 16 PCS - 9,065.10
424 TEST HAEMOGLOBIN STRIP KOTAK - 493,954.73
425 RABIES IMUNO GLOBULIN (HYPERRAB) VIAL - 4,100,000.00
426 VAKSIN POLIO VIAL - 18,370.00
427 VAKSIN CAMPAK VIAL - 25,641.00
428 VAKSIN BCG VIAL 5 20,900.00
429 VAKSIN BCG VIAL - 20,900.00
430 VAKSIN DPT HB HIB / PENTABIO VIAL 34 71,810.00
431 VAKSIN DPT HB UNIJECT / HB O VIAL 20 20,900.00
432 VAKSIN TT VIAL - 12,910.00
433 VAKSIN TD VIAL 32 12,910.00
434 VAKSIN DT VIAL 23 16,360.00
435 SAFETY BOX PCS - 21,929.00
436 HEPATITIS B 0,5ML ADS VIAL - 1,325,000.00
437 HEPATITIS B 0,5ML ADS VIAL - 1,325,000.00
438 ADS 0.05 ML PCS 100 1,565.00
439 ADS 0.5 ML PCS 100 1,240.00
440 ADS 5 ML PCS - 955.00
441 POLIO PIN VIAL - 18,370.00
442 VAKSIN POLIO BOPV VIAL - 18,140.00
443 VAKSIN IPV VIAL 24 144,450.00
444 VAKSIN MENINGITIS 200 Mcg VIAL - 135,000.00
445 VAKSIN DPT HB UNIJECT DEWASA PCS - 52,052.00
446 VAKSIN MEASLES AND RUBELLA VIAL 57 155,813.00
447 VAKSIN HUMAN PAPILOMA VIRUS (HPV) VIAL - 512,656.00
448 ALAT DETEKSI RESIKO IBU HAMIL PAKET - 409,816.00
449 ALAT DETEKSI RESIKO IBU HAMIL 2 PAKET - 501,748.00
450 CLORAMFENICOL TETES MATA BOTOL 2 7,370.00
451 TEST HCG PCS 34 2,133.00
JUMLAH
JUMLAH KETERANGAN

23,400
-
11,550
48,500
10,752
27,075
16,650
60,760
133,176
42,085
211,737
23,408
-
156,720
12,360
-
-
-
207,200
275,400
16,065
-
50,580
-
-
-
-
55,031
-
6,867
20,800
58,080
52,560
-
296,376
1,155,880
-
292,026
23,700
-
 -
-
-
5,500
5,900
-
-
-
13,973
-
48,616
9,230
35,174
19,448
46,800
-
-
146,379
47,376
-
-
-
28,750
-
-
-
17,085
45,162
27,295
83,956
16,900
29,760
-
-
-
-
-
208,390
-
63,342
96,882
644,940
-
-
-
 71,346
-
-
40,330
-
-
-
152,850
-
109,872
1,752,819
-
-
-
20,864
16,660
109,000
24,200
487,490
-
72,380
519,720
-
52,530
11,200
-
108,720
-
-
60,842
-
143,100
-
161,280
169,100
290,548
109,040
-
128,115
-
-
-
27,890
-
-
413,820
-
1,222
-
118,404
-
-
-
-
-
276,000
-
-
16,596
-
-
32,000
133,620
-
11,388
-
304,854
32,050
-
-
72,765
7,150
-
-
-
-
-
-
268,730
-
49,428
72,000
-
-
-
-
-
-
-
-
 87,200
-
-
-
-
-
-
-
-
-
10,132
20,880
216,000
-
40,425
8,470
-
-
-
57,323
37,485
-
-
4,139,840
1,492,579
-
4,680,000
4,663,608
-
-
-
-
-
-
-
-
-
-
-
129,580
-
265,740
-
214,165
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
212,526
-
-
-
-
105,000
8,386
-
-
-
-
-
-
-
-
-
-
-
-
-
343,750
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
209,285
45,477
128,983
106,715
330,000
-
-
-
-
13,530
-
568,260
-
56,826
74,784
-
-
-
340,560
87,120
402,974
311,406
357,181
482,625
-
-
-
39,989
160,818
360,750
23,920
213,730
-
-
52,000
13,520
16,985
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
71,064
-
-
-
-
-
53,751
-
-
-
-
-
492,500
-
-
-
-
-
191,470
74,415
-
-
-
-
-
-
-
-
-
-
1,263,114
-
-
-
-
 -
-
-
85,800
-
-
-
-
-
-
-
27,060
-
-
-
48,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
51,134
-
-
-
-
468,655
-
-
349,000
-
-
942,640
7,017,384
1,047,760
85,971
183,564
-
-
-
-
-
-
-
-
-
354,017
-
-
-
-
-
379,500
-
-
-
-
-
-
-
104,500
-
2,441,540
418,000
-
413,120
376,280
-
-
-
156,500
124,000
-
-
-
3,466,800
-
-
 8,881,341
-
-
-
14,740
72,522
62,166,187