List of SOPs To Be Prepared-HSR-17.11.2014

SALDO AWAL 1 JANUARI 2016
NO
NAMA BARANG
356 DANA JKN

357 Ambroxol sirup 15 mg/ml - 60 ml
358 Glimepirid 2 mg
359 norit
360 spasminal
361 heparin gel
362 osmigra
363 scopma
364 curviplex syrup
365 protifed syrup
366 kanina syrup
367 clonaderm
368 mezinex
369 mulsanol drop
370 nisagon
371 cazetin drop
372 eltazon
373 bufacort n
374 Parsifen plus
375 Clinica gel
376 Lycovir sk
377 Dextaco syr
378 Dextaco tab
379 Ichtiol
380 Chloramphenicol SK 2%
381 Gentian violet
382 Trihexipenidil Tab
383 Xypanzim
384 Microlax
385 RecoTetes Mata
386 Reco Tetes Telinga
387 Solathin DS
388 Primunox
389 Lodecon F
390 Lodecon Kaplet
391 Selkom C
392 Truvit Syrup
393 Alludona D
394 Lexigo
395 GOM
396 Zemindo Syrup
397 Solafluz
398 Fortusin
399 Cavicur
400 Dolo Licobion
401 Osteotin
402 Erphacea
403 Novachlor
404 Tricostatic Ovule
405 Lacto B
406 Melixicam
407 Hemafort
408 Bioplacenton
409 Nephrolit
410 Ikaneuron 5000
411 Hepagard
NO
NAMA BARANG
412 Oksitetrasiklin Hcl salep kulit 3 % - 5 gr

413 Oksitetrasiklin Hcl Salep Mata 1 % - 3,5 gr
414 Piracetam 400 mg tab
415 Provomer
416 Pritasma
417 Sulfacetamid
418 Tensigard
419 Cardismo
420 Methisoprinol 500 mg
421 Nexitra
422 Bromifar
423 Ternix Syrup
424 Orphen
425 Faktu supp
426 Solvitron
427 licogenta
428 Calamed
429 illiadin kinder
430 teosal
431 Gastrul
432 pseudoefedrin drop
433 nutralix
434 trifaneuron
435 dianicol ds
436 kompolax
437 aptil
438 fartolin expectoran
439 flamigra 50 mg
440 vitacid 0,05 %
441 mediklin gell
442 lostascef 250
443 synarcus cr
444 grantusif
445 ulsicral
446 lazol
447 callusol
448 fenol glycerol ed
449 isotic neolyson ed
450 devosik drop
451 lapifed exp syrup
452 lapifed dmp syrup
453 dumin rt
454 hustab syrup
455 acne feldin
456 Hemocain
457 kloramfenicol tetes telinga 3%
458 epexol
459 dexigen krim
460 tromofal
461 quantidex syrup
462 cendo cetamid ed
463 metaneuron
464 Neoprotifed tab
465 BMHP JKN
466 Demetech chromic catgut 2/0 90c + jarum 1/2 37 m R (C20DA)
467 Demetech chromic catgut 3/0 75c + jarum 1/2 22 m R (CHPFA)
468 Demetech plain catgut 2/0 70c + jarum 1/2 36 m R(PIZDA)
469 Demetech plain catgut 3/0 70c + jarum 1/2 25 m R(PHSDA)
470 Demetech silk 2/0 75c+ jarum 1/2 30 m R(SIVDA)
471 Demetech silk 3/0 75c+ jarum 3/8 26 m C(SHTJE)
NO
NAMA BARANG
472 E-Care alkohol swab CHG 0,5 %

473 E-Care hand rub 10 btl @500 ml
474 E-Care handscrub10 btl @ 500 ml (1750B)
475 Skintact paper easitab (RT345)
476 MMP Polywin iv canula no 18
477 POLYMED POLYFUSION INFUSION SET 20 D
478 Mas pre-powdered latex exam glove
479 Mas surgical gloves steril 7,0
480 Mas surgical gloves steril 7,5
481 Masker karet 3 ply face mask mas
482 Masker tali 3 ply pace mask mas
483 chroma ballon catheter 2way FR 18
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
DATA MUTASI PERSEDIAAN BARANG
UPTD PUSKESMAS …………………
DINAS KESEHATAN KABUPATEN BANDUNG BARAT
BULAN FEBRUARI 2016
SALDO AWAL 1 FEBRUARI 2016

MASUK
SELAMA BULAN FEBRUARI 2016
NO
DINKES JKN DINKES
HARGA SATUAN HARGA SATUAN HARGA

NAMA BARANG BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
RP RP SATUAN RP
A. O B A T
1 Albendazol tablet 400 mg 407.00 0 - - 352 -
2 Alopurinol tablet 100 mg 105.00 1,551 162,855.00 - 0 -
3 Alopurinol tablet 300 mg 245.00 0 - - 0 -
4 Ambroxol sirup 15 mg/ml - 60 ml 5,150.00 0 - - 281 -
5 Ambroxol tab 95.00 2,729 259,255.00 - 0 -
6 Aminofilin injeksi 24 mg/ml @ 10 ml 3,240.00 0 - - 0 - 0
7 Aminofilin tablet 200 mg 87.00 291 25,317.00 - 2,170 -
8 Amitripilin tablet salut 25 mg (HCL) 112.00 488 54,656.00 - 344 -
9 Amlodipin 5 mg tab 187.00 3,000 561,000.00 - 6,296 -
10 Amoksisilin kaplet 500 mg 370.00 5,000 1,850,000.00 - 35,530 -
11 Amoksisilin Kapsul 250 mg 200.00 0 - - 0 -
12 Amoksisilin sirup kering 125 mg/ 5 mg - 60 ml 3,700.00 0 - - 0 -
13 Amoksisillin + As Klavulanat 625 mg 4,550.00 0 - - 0 -
14 Amoksisillin serbuk injeksi 1000 mg 18,700.00 0 - - 0 -
Antasida DOEN I Tablet kunyah,kombinasi : Alumunium 13,356 1,001,700.00 0 - 10,000
15 Hidroksida 200 mg + Magnesium Hidroksida 200 mg 75.00 -
465 976,500.00 1,118 -
Antasida DOEN II suspensi,komb:Alumunium Hidroksida
200 mg/ml + Magnesium Hidroksida 200 mg/ml - 60 ml
16 2,100.00 -
Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam 90 171,360.00 200 -
17 Salisilat 3% 1,904.00 -
Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + 0 - 0 -
18 Heksaklorofen 250 mg 1,552.00 -
19 Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg 123.00 0 - - 0 -
20 Aqua Pro Injeksi Steril, bebas pirogen @ 20 ml 5,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
21 Asam Asetilsalisilat tablet 100 mg (Asetosal) 96.00 0 - - 0 -

23 Asam Askorbat (vitamin C) tablet 50 mg 32.00 0 - - 105,051 -
24 Asam Askorbat (vitamin C) tablet 250 mg 128.00 0 - - 0 -
25 Asam Mefenamat 500 mg 112.00 1,872 209,664.00 - 14,133 -
26 Asiklovir 200 mg tablet 388.00 500 194,000.00 - 3,798 -
28 Asiklovir krim 5 % - 5 gr 2,430.00 0 - - 0 -
0 - 0 -
Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat) @ 1 ml
29 1,230.00 -
Besi (II)Sulfat 200 mg + asam folat 0,25 mg/tablet (tablet 0 - 0 -
30 tambah darah) @ 30 tablet 2,000.00 -
31 Betahistin Mesilat 6 mg 1,520.00 0 - - 0 -
32 Betametason krim 0,1 % - 5 gr 1,520.00 23 34,960.00 - 1,290 - 200
33 Bisoprolol tablet 5 mg 2,322.00 0 - - 0 -
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
35 Cetrizin syrup 5 mg/ml - 60 ml 7,837.00 58 454,546.00 - 0 -
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
37 Deksametason injeksi IV 5 mg/ml 1,580.00 100 158,000.00 - 800 -
38 Deksametason tablet 0,5 mg 53.00 0 - - 0 -
39 Dekstrometorfan sirup 10 mg/5 ml (HBr) - 60 ml 1,379.00 0 - - 0 -
40 Dekstrometorfan tablet 15 mg (HBr) 90.00 0 - - 0 -
41 Dextran 70 larutan infus 6 % steril - 500 ml 35,526.00 0 - - 0 -
42 Diazepam Injeksi 5 mg/ml @ 2 ml 2,344.00 0 - - 0 -
43 Diazepam tablet 2 mg 35.00 0 - - 0 -
44 Diazepam tablet 5 mg 56.00 95 5,320.00 - 0 -
45 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) @ 1ml 1,054.00 90 94,860.00 - 170 -
46 Digoksin tablet 0,25 mg 97.00 350 33,950.00 - 292 -
5 1,265.00 0 -
Doksisiklin kapsul 100 mg
47 253.00 -
48 Domperidone Suspensi 5 mg/5 ml - 60 ml 3,333.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
Efedrin tablet 25 mg (HCl)
49 21.00 -
30 243,000.00 360 -
Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) - @ 1 ml
50 8,100.00 -
0 - 449 -
Erithromycin syr 200mg/5 ml - 60 ml
51 8,100.00 -
52 Eritromisin kapsul 250 mg 500.00 0 - - 1,368 -
53 Eritromisin kapsul 500 mg 930.00 0 - - 0 -
54 Etakridin larutan 0,1 % - 300 ml 1,800.00 0 - - 0 -
55 Etil klorida spray 104,000.00 23 2,392,000.00 - 0 -
56 Fenitoin kapsul 100 mg 133.00 0 - - 0 -
57 Fenitoin Natrium injeksi 50 mg/ml 20,250.00 0 - - 0 -
58 Fenobarbital tablet 30 mg 61.00 510 31,110.00 - 0 -
59 Fenobarbital injeksi i.m / i.v 50 mg/ml 1,800.00 0 - - 0 -
60 Fenoksi metil Penisillin 250 mg 262.00 0 - - 0 -
61 Fenoksi metil Penisillin 500 mg 465.00 0 - - 1,200 -
62 Fenol Gliserol tetes telinga 10% 1,008.00 4 4,032.00 - 0 - 96
63 Fitomenadion ( vit K 1 ) injeksi 10 mg / ml @ 1 ml 1,566.00 0 - - 0 -
64 Fitomenadion ( vit K 1 ) tablet salut gula 10 mg 634.00 445 282,130.00 - 1,570 -
65 Furosemid injeksi iv/im 10 mg/ml @ 2 ml 1,829.00 0 - - 0 -
66 Furosemid tablet 40 mg 85.00 866 73,610.00 - 0 -
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g + Kalium 108 31,536.00 5,185 - 1,000
Klorida 0,30 g +Trinatrium sitrat dihidrat 0,58 g +Glukosa
67 Anhidrat 2,7 g 292.00 -
68 Gentamicin inj 40 mg/ml 3,399.00 0 - - 0 -
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
71 Gentian violet Larutan 1 % - 10 ml 450.00 72 32,400.00 - 0 -
72 Glibenklamida tablet 5 mg 54.00 320 17,280.00 - 0 - 1,000
73 Gliseril Gualakolat tablet 100 mg 28.00 12,262 343,336.00 - 0 - 5,000
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
75 Glukosa larutan infus 10% - 500 ml 5,700.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
76 Glukosa larutan infus 40 % - 25 ml 1,452.00 0 - - 0 -

77 Glukosa larutan infus 5% - 500 ml 5,200.00 10 52,000.00 - 0 -
78 Griseofulvin tablet 125 mg, micronized 228.00 0 - - 200 -
79 Haloperidol tablet 0,5 mg 53.00 0 - - 0 -
81 Haloperidol tablet 5 mg 88.00 599 52,712.00 - 2,700 -
82 Hidroklorotiazida (HCT) tablet 25 mg 36.00 0 - - 0 -
83 Hidrokortison krim 2,5% - 5 gr 2,541.00 61 155,001.00 - 749 - 96
84 Hyoscine-N-Butilbromide tablet 10 mg 850.00 200 170,000.00 - 0 -
85 Ibuprofen tablet 200 mg 93.00 0 - - 5,559 - 3,000
86 Ibuprofen tablet 400 mg 149.00 6,001 894,149.00 - 11,885 -
87 Ibupropen 100 mg Syr - 60 ml 3,499.00 84 293,916.00 - 200 -
88 Isosorbid Dinitrat Tablet Sublingual 5 mg 88.00 457 40,216.00 - 200 -
89 Kalium Diklopenak 50 mg 708.00 0 - - 0 -
90 Kalsium Laktat (Kalk) tablet 500 mg 52.00 0 - - 0 -
91 Kaptopril tablet 12,5 mg 62.00 0 - - 11,439 -
92 Kaptopril tablet 25 mg 80.00 3,593 287,440.00 - 756 -
93 Karbamazepin 200 mg 245.00 494 121,030.00 - 0 -
94 Ketokonazole 200 mg tablet 372.00 81 30,132.00 - 567 -
95 Ketokonazole krim - 15 gr 4,700.00 0 - - 0 -
96 Ketoprofen tablet 100 mg 2,545.00 0 - - 0 -
97 Ketorolac Injeksi 10 mg 7,500.00 0 - - 0 -
98 Ketorolac injeksi 30 mg 2,300.00 0 - - 0 -
99 Klindamisin Kap 150 Mg 510.00 0 - - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
101 Kloramfenikol kapsul 250 mg 210.00 0 - - 0 -
102 Kloramfenikol salep mata - 5 gr 1,563.00 0 - - 216 - 96
103 Kloramfenikol suspensi 125 mg/5ml - 60 ml 3,700.00 0 - - 0 -
104 Kloramfenikol tetes telinga 3 % - 5 ml 1,599.00 0 - - 0 -
105 Klorfeniramina mealeat (CTM) tablet 4 mg 26.00 0 - - 0 -
106 Klorpromazin tablet salut 100 mg (HCl) 15,364.00 3,011 46,261,004.00 - 0 -
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
Kotrimokszol DOEN I (dewasa) kombinasi : 690 102,810.00 4,124 -

108 Sulfametoksazole 400 mg + Trimetoprim 80 mg 149.00 -
Kotrimosazol DOEN II (pediatrik) Kombinasi : 0 - 0 -
109 Sulfametoksazol 100 mg + Trimetoprim 20 mg 76.00 -
Kotrimosazol Suspensi Kombinasi: Sulfametoksazol 200 mg 416 1,070,784.00 2,398 -
110 + Trimetoprim 40 mg/ 5 ml - 60 ml 2,574.00 -
111 Lanzoprazole kapsul/kaplet 30 mg 473.00 0 - - 0 -
112 Lidokain inj 2% @ 2 ml 839.00 0 - - 0 -
0 - 880 -
Lidokain inj 2% (HCl) + Epinefrine 1 : 80000 - 2 ml @ 2 ml
113 1,363.00 -
114 Loratadin tablet 10 mg 333.00 253 84,249.00 - 0 -
115 Magnesium Sulfat inj (IV) 20 % - 25 ml 1,540.00 0 - - 0 -
0 - 0 -
Magnesium Sulfat inj (IV) 40 % - 25 ml
116 1,440.00 -
0 - 0 -
Meloksikam 15 mg
117 1,199.00 -
118 Metampiron injeksi 250 mg @ 2 ml 1,200.00 0 - - 0 -
119 Metampiron tablet 500 mg 124.00 1,100 136,400.00 - 0 -
120 Metformin HCl 500 mg 182.00 0 - - 478 -
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
122 Metil prednisolon tablet 4 mg 205.00 0 - - 0 -
Metilergometrin Maleat (Metilergometrin) injeksi 0,200 mg - 0 - 0 -
123 1 ml 1,490.00 -
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 166 23,240.00 1,524 -
124 mg 140.00 -
125 Metoklopramid inj 5 mg/ml 3,850.00 0 - - 0 -
126 Metoklopramid tablet 10 mg 110.00 514 56,540.00 - 1,076 -
127 Metronidazole tablet 250 mg 105.00 0 - - 0 -
128 Metronidazole tablet 500 mg 190.00 500 95,000.00 - 3,623 -
129 Mikonazole krim/salep 2 % (nitrat) - 10 gr 3,000.00 68 204,000.00 - 0 -
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
131 Natrium bikarbonat tablet 500 mg 14.00 5,817 81,438.00 - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
132 Natrium Diklofenak 25 mg 166.00 0 - - 0 -

133 Natrium diklofenak 50 mg 200.00 0 - - 2,335 -
134 Natrium Klorida larutan infus 0,9% - 500 ml 4,700.00 2 9,400.00 - 0 -
135 Nifedipin tablet 10 mg 100.00 73 7,300.00 - 400 -
136 Nistatin tablet salut 500000 IU/g 640.00 316 202,240.00 - 1,200 -
137 Nistatin vaginal tablet 100000 IU/g 407.00 0 - - 194 -
138 Obat Batuk hitam ( O.B.H.) - 100 ml 2,783.00 0 - - 0 -
139 Oksitetrasiklin HCL salep kulit 3 % - 5 gr 1,675.00 0 - - 0 -
140 Oksitetrasiklin HCL salep mata 1 % - 3,5 gr 1,600.00 0 - - 0 -
141 Oksitosin injeksi 10 IU/ml-1 ml 2,200.00 0 - - 0 -
142 Omeprazole 20 mg 408.00 934 381,072.00 - 819 -
0 - 0 -
Papaverin inj 40 mg/ml @ 1 ml
143 530.00 -
175 910,000.00 0 -
Parasetamol drop 15 ml
144 5,200.00 -
145 Paracetamol sirup 120 mg / 5 ml - 60 ml 1,438.00 194 278,972.00 - 1,565 -
146 Paracetamol tablet 100 mg 32.00 0 - - 0 - 2,000
147 Paracetamol tablet 500 mg 89.00 5,156 458,884.00 - 157,595 - 21,600
148 Petidin 50 mg/ ml injeksi 14,500.00 0 - - 0 -
149 Piracetam 400 mg tablet 194.00 60 11,640.00 - 0 -
150 Piracetam inj 1 g/ 5 ml 1,925.00 0 - - 0 -
151 Pirantel tab. Score (base) 125 mg 311.00 114 35,454.00 - 0 -
152 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 14.00 0 - - 0 -
153 Piroksikam tablet 10 mg 70.00 0 - - 0 -
154 Povidon Iodida larutan 10 % - 300 ml 14,203.00 28 397,684.00 - 100 -
155 Povidon Iodida larutan 10 % - 1 L 37,109.00 0 - - 0 -
156 Povidon Iodine - 30 ml 2,163.00 73 157,899.00 - 0 -
157 Prednison tablet 5 mg 52.00 1,716 89,232.00 - 0 -
158 Ranitidin injeksi 25 mg / 2 ml 1,140.00 0 - - 0 -
159 Ranitidin tab 150 mg 120.00 0 - - 0 - 2,000
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
160 Reserpin tablet 0,25 mg 103.00 2,800 288,400.00 - 0 -

161 Ringer Laktat larutan infus - 500 ml 5,200.00 53 275,600.00 - 0 - 40
162 Salbutamol tablet 2 mg 84.00 380 31,920.00 - 2,877 -
163 Salbutamol tablet 4 mg 98.00 0 - - 0 -
Salep 2 - 4 Kombinasi: Asam Salisilat 2 %+ Belerang endap 0 - 0 - 96
164 4% - 30 gr 1,800.00 -
165 Salisil bedak 2% - 50 gr 1,120.00 100 112,000.00 - 311 -
166 Sefadroksil kapsul 500 mg 509.00 0 - - 0 -
167 Sefadrosil syr 125 mg/5 ml - 60 ml 4,746.00 0 - - 0 -
168 Sefiksim Syr kering 8,800.00 0 - - 0 -
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
171 Seftriakson injeksi 1 g 8,000.00 0 - - 0 -
172 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) 475,820.00 0 - - 0 -
173 Serum Anti Tetanus 1.500 IU/ampul (A.T.S.) 127,409.00 0 - - 0 -
174 Sianokobalamin (Viatamin B12) injeksi 500 mcg @ 1 ml 916.00 210 192,360.00 - 0 -
175 Sianokobalamin (Vitamin B 12) tablet 50 mcg 13.00 0 - - 0 -
176 Simetidine Tablet 200 mg 105.00 0 - - 0 -
177 Simvastatin tablet 10 mg 169.00 0 - - 3,600 -
178 Siprofloksasin tablet 500 mg (sebagai HCL) 255.00 0 - - 1,714 -
179 Spironolakton tab 25 mg 315.00 0 - - 0 -
180 Sulfasetamida Natrium tetes mata 15% - 5 ml 3,226.00 39 125,814.00 - 0 -
181 Tetrasiklin 500 mg kapsul 206.00 605 124,630.00 - 0 -
182 Tetrasiklin kapsul 250 mg 140.00 0 - - 12,300 -
183 Thiamphenikol 500 mg 616.00 675 415,800.00 - 0 -
184 Tiamin (vitamin B1) injeksi 100 mg/ml @ 1 ml 680.00 0 - - 0 -
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 35.00 0 - - 0 -
186 Tramadol injeksi 50 mg/ml 2,395.00 0 - - 0 -
187 Tramadol kapsul 50 mg 5,200.00 0 - - 0 -
188 Triheksifenidil tablet 2 mg 40.00 0 - - 0 -
189 Vitamin B Kompleks tablet 22.00 2,291 50,402.00 - 63,601 - 13,600
190 Obat Gigi - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
191 Devitalisasi pasta non arsen 390,000.00 0 - - 0 -

192 Eugenol cairan - 5 ml 45,750.00 0 - - 11 -
193 Glass Ionomer Cement ART 425,000.00 0 - - 0 -
194 Kalsium Hidroksida Pasta 240,000.00 0 - - 0 -
195 Klorfenol kamfer Menthol ( CHKM ) - 10 ml 55,000.00 0 - - 0 -
196 Mummifying Pasta 175,000.00 0 - - 0 -
197 Zink Fosfat serbuk dan cairan @ 30 gr 91,500.00 0 - - 0 -
198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) 360,000.00 0 - - 0 - 32
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
203 OAT Tuberculosis sisipan (FDC) 160,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 -
205 OAT Kategori 1 (KombipaK) 265,000.00 0 - - 0 -
206 OAT Anak (Kombipak) 127,200.00 0 - - 0 -
207 Retinol (VIT A) 100.000 UI - 0 - - 10,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
209 Streptomicin serbuk injeksi i.v 1500 mg / ml - 15 ml 1,515.00 0 - - 0 -
210 Zinc Tab 20 mg 455.00 1,000 455,000.00 - 5,470 -
211 Alat Kesehatan - 0 - - 0 -
212 Alat suntik sekali pakai 1 ml (SNI) 1,092.00 200 218,400.00 - 0 - 300
213 Alat suntik sekali pakai 2,5 ml (SNI) 257.00 0 - - 0 -
214 Alat suntik sekali pakai 5 ml (SNI) 1,038.00 100 103,800.00 - 0 - 200
70 1,866,690.00 0 -
Catgut / Benang Bedah No. 2/0 dengan jarum bedah (SNI)
215 26,667.00 -
0 - 0 -
216 24,583.00 -
217 Foley Cathether no 20 (SNI) 8,495.00 10 84,950.00 - 0 -
219 Foley Cathether no 22 (SNI) 8,495.00 0 - - 0 -
220 Infusion set anak (SNI) 4,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
221 Infusion set dewasa (SNI) 3,500.00 66 231,000.00 - 0 -

222 IV Catheter No 20 G (SNI) 7,787.00 48 373,776.00 - 0 - 50
223 IV Catheter No 22 G (SNI) 7,787.00 46 358,202.00 - 0 -
0 - 0 -
IV Catheter No 24 G (SNI)
224 7,787.00 -
7 52,500.00 0 - 10
Kapas Pembalut / Absorben 250 gram
225 7,500.00 -
226 Kasa Pembalut Elastic 3 Inchi 7,000.00 4 28,000.00 - 0 -
5 50,000.00 0 -
Kasa Pembalut Elastic 4 Inchi
227 10,000.00 -
50 30,350.00 0 -
Kasa Pembalut Hidrofil 4 m x 10 cm
228 607.00 -
50 15,150.00 0 -
Kasa Pembalut Hidrofil 4 m x 5 cm elastic
229 303.00 -
24 204,000.00 0 - 50
Kassa Hidrofil steril uk 16 x 16 cm (isi 16 lembar)
230 8,500.00 -
0 - 0 -
Kassa hidrofil uk 36 m x 80 cm
231 55,200.00 -
5 44,000.00 0 -
Nelaton Catheter no 12
232 8,800.00 -
233 Nelaton Catheter no 14 8,800.00 5 44,000.00 - 0 -
234 Pembalut Gips 3 inchi 23,500.00 0 - - 0 -
0 - 0 -
Pembalut Gips 4 inchi
235 32,500.00 -
0 - 0 -
236 42,000.00 -
8 189,000.00 0 -
Plester 5 yard x 2 inch (daya rekat tinggi)
237 23,625.00 -
35 148,750.00 0 -
Sarung tangan steril
238 4,250.00 -
0 - 0 -
Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah
239 6,983.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
10 40,000.00 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
Wing Needle No. 25 G
243 5,770.00 -
0 - 0 -
244 5,498.00 -
245 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml 4,045.00 367 1,484,515.00 - 2,936 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
247 Asam Traneksamat 500 mg Tablet 1,040.00 474 492,960.00 - 0 -
248 Atracurium 50 mg inj (Halmeln) 75,900.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
250 Diazepam rectal 5 mg/2,5 ml dalam tube 11,525.00 0 - - 5 -
251 Dobutamin inj (Halmeln) 151,500.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
253 Epidosin Injeksi 19,166.00 0 - - 0 -
254 Etanol 70 % - 1000 ml 27,000.00 0 - - 0 -
255 Etanol 70 % - 100 ml 2,750.00 0 - - 14 -
256 Hidrogen Peroksida 3% - 1000 ml 15,000.00 4 60,000.00 - 0 -
257 Hyoscine-N-Butilbromide 20 mg/ml Injeksi 847.00 0 - - 0 -
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
259 Kalium L Aspartat tab 2,090.00 0 - - 0 -
260 Karbazokrom Natrium Sulfonat 10 mg tablet 992.00 0 - - 0 -
261 Karbazokrom Natrium Sulfonat 5mg/ml injeksi 15,400.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
263 Ketoprofen inj 100 mg @ 2 ml 5,650.00 0 - - 0 -
264 Lidokain HCl 20 mg + Adrenaline 0,0125 mg 3,016.00 0 - - 0 -
265 Lisol 1000 ml 33,675.00 8 269,400.00 - 0 -
266 Meropenem inj 372,000.00 0 - - 0 -
267 Methyl prednisolon inj 59,600.00 0 - - 0 -
268 Midazolam inj 15 mg/3 ml 46,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
269 Multivitamin dan Mineral Tablet untuk remaja 720.00 0 - - 0 -

270 Multivitamin drop untuk bayi - 15 ml 18,700.00 0 - - 0 -
Multivitamin Sirup Pertumbuhan (Mengandung Lysine dan 152 1,383,200.00 0 -
271 Biotin) - 60 ml 9,100.00 -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
273 Nystatin drop/oral suspensi - 15 ml 33,200.00 0 - - 0 -
274 Obat anti diare (Attapulgite dan Pektin) 743.00 789 586,227.00 - 0 - 500
Obat Flu sirup Kombinasi (Parasetamol 150 mg, 368 3,036,000.00 0 -
275 Fenilpropanolamin HCl, CTM,DMP) - 60 ml 8,250.00 -
276 Obat tradisional pemulihan hati untuk penderita TBC 2,766.70 0 - - 0 -
277 Obat scabies mengandung Permethrin 5 % sk - 10 gr 11,474.00 20 229,480.00 - 13 -
278 Polikresulen konsentrat - 10 ml 23,000.00 0 - - 0 -
279 Propofol inj 11,474.00 0 - - 0 -
280 Salbutamol for Nebulizer 2,5mg/2,5 ml NaCl 23,000.00 0 - - 0 -
281 Salep kombinasi kortikosteroid - 5 gr 79,200.00 0 - - 0 -
282 Salep Luka bakar - 10 gr 6,600.00 7 46,200.00 - 0 -
283 Sukralfat 500 mg tablet 6,500.00 0 - - 0 -
284 Vitamin Neurotropik 19,900.00 0 - - 0 -
285 Obat Gigi 600.00 0 - - 0 -
286 Atching Agent (SGI) - 5 ml 968.00 0 - - 0 -
287 Bonding Agent (SGI) - 10 ml - 0 - - 0 -
288 Diamond Bor (Round b,k ; Fissur b,k ; Inverted b,k) 289,000.00 0 - - 0 -
289 Disclosing Solution - 10 ml 275,000.00 0 - - 0 -
290 Gelatin cube 1 x 1 x 1 cm 232,100.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
292 Light Curring Composit (A2) (Solare) - 4,7 gr 7,900.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
295 Temporary Filling Pasta 611.00 2 1,222.00 - 0 -
296 Triamsinolon Asetonit 1mg salep - 5 gr 637,000.00 8 5,096,000.00 - 150 -
297 Trikesol Formalin - 10 ml 187,500.00 0 - - 0 -
298 Obat program 13,200.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
299 Misoprostol - HPMC 200 µg 52,500.00 0 - - 0 -

Multivitamin Sirup Pemulihan : Zat aktif Curcuminoid - 120 0 - 0 -
300 ml - -
301 Multivitamin dan mineral tablet untuk jampersal 9,940.00 0 - - 0 -
302 Vitamin K Injeksi 2mg/ml Neonatal 13,740.00 0 - - 0 -
303 Alat Kesehatan 1,156.00 0 - - 0 -
304 Alat suntik sekali pakai 10 ml 8,250.00 0 - - 0 -
305 Alat suntik sekali pakai 3 ml - 80 - - 0 - 1,000
306 Bisturi ujung bundar No. 20 4,200.00 0 - - 0 -
307 Bisturi ujung Lancip No. 11 2,750.00 41 112,750.00 - 0 -
308 Bisturi ujung Lancip No. 20 770.00 48 36,960.00 - 0 -
310 Bisturi ujung Lancip No. 22 770.00 0 - - 0 -
311 Biuret bayi / microdip 770.00 0 - - 0 -
312 Catgut Cromic Caset 3 - 50 M 770.00 0 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
314 Dressing dengan parafin 10 cm x 10 cm 646,000.00 0 - - 0 -
315 Dressing Penutup luka lebar berperekat 5 m x 5 cm 686,000.00 0 - - 0 -
316 IV Cathetter No. 18 8,898.00 127 1,130,046.00 - 0 -
317 Jarum Hacting Kulit No. 10 setengah lingkaran 55,714.00 12 668,568.00 - 0 -
321 Jarum Hacting Otot No. 10 setengah lingkaran 2,292.00 0 - - 0 -
322 Jarum Hacting Otot No. 12 setengah lingkaran 2,292.00 24 55,008.00 - 0 -
323 Kasa gulung Besar (100 Y x 80 cm) 2,292.00 2 4,584.00 - 0 -
324 Kasa Kompres 40/40 steril 2,292.00 103 236,076.00 - 0 -
325 Kasa Pembalut 2 m x 80 cm 8,800.00 20 176,000.00 - 0 -
326 Kasa Pembalut Hidrofil 4 m x 15 m elastic 1,393.00 0 - - 0 -
327 Kasa Pembalut Hidrofil 4 m x 3 cm elastic 8,800.00 0 - - 0 -
328 Klem Umbilical 1,900.00 100 190,000.00 - 0 -
329 Ky Jelly 806.00 28 22,568.00 - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
330 Masker 2,530.00 0 - - 0 - 300

331 Sarung tangan non steril 27,500.00 200 5,500,000.00 - 0 -
332 Sarung tangan panjang (Gynaecolog) 495.00 60 29,700.00 - 0 -
333 Sarung tangan rumah tangga 792.00 0 - - 0 -
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
336 Domperidon Tablet 10 mg 539,000.00 0 - - 682 -
337 Glimepirid 2 mg 13,470.00 0 - - 504 -
338 Momethasone krim 167.00 0 - - 0 -
339 Folley Cathether no 16 436.00 0 - - 0 -
0 - 0 -
340 Ambroksol drop 17,820.00 -
0 - 0 -
341 Amlodipin 10 mg tab 8,000.00 -
342 Asam Asetilsalisilat (asetosal) tab 80 mg - 0 - - 0 -
343 Bisakodil supp 5 mg - 0 - - 0 -
344 Cairan ringer dextrose - 0 - - 0 -
345 Diazepam rectal 10 mg/2,5 ml dalam tube - 0 - - 8 -
346 Ketokonazole scalp sol 2% (zoloral ss) - 0 - - 0 -
347 Kombinasi:Ipratorium Br 0 - 0 - - 0 -
Kombinasi: ipratropium Br 0,5 mg+ salbutamol 2,5 mg 0 - 0 -
348 nebules - -
349 N Asetyl sistein 200 mg - 0 - - 0 -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
357 Ambroxol sirup 15 mg/ml - 60 ml 0 - 3,300.00 0 -
358 Glimepirid 2 mg 0 - 436.00 504 219,744.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
359 norit 0 - 312.00 3,000 936,000.00

360 spasminal 0 - 652.00 210 136,920.00
361 heparin gel 0 - 54,450.00 50 2,722,500.00
362 osmigra 0 - 4,210.00 948 3,991,080.00
363 scopma 0 - 1,320.00 600 792,000.00
364 curviplex syrup 0 - 12,500.00 248 3,100,000.00
365 protifed syrup 0 - 8,184.00 91 744,744.00
366 kanina syrup 0 - 5,800.00 192 1,113,600.00
367 clonaderm 0 - 13,300.00 50 665,000.00
368 mezinex 0 - 7,180.00 84 603,120.00
0 - 189 3,742,200.00
369 mulsanol drop 19,800.00
0 - 150 1,393,800.00
370 nisagon 9,292.00
371 cazetin drop 0 - 33,263.00 299 9,945,637.00
372 eltazon 0 - 243.00 6,000 1,458,000.00
373 bufacort n 0 - 5,756.00 164 943,984.00
374 Parsifen plus 0 - 470.00 563 264,610.00
375 Clinica gel 0 - 20,900.00 12 250,800.00
376 Lycovir sk 0 - 3,784.00 235 889,240.00
377 Dextaco syr 0 - 30,200.00 45 1,359,000.00
378 Dextaco tab 0 - 296.00 2,592 767,232.00
379 Ichtiol 0 - 5,894.00 91 536,354.00
380 Chloramphenicol SK 2% 0 - 3,300.00 100 330,000.00
381 Gentian violet 0 - 3,200.00 100 320,000.00
382 Trihexipenidil Tab 0 - 434.00 3,000 1,302,000.00
383 Xypanzim 0 - 1,210.00 600 726,000.00
384 Microlax 0 - 14,300.00 49 700,700.00
385 RecoTetes Mata 0 - 7,150.00 92 657,800.00
386 Reco Tetes Telinga 0 - 6,654.00 296 1,969,584.00
387 Solathin DS 0 - 7,150.00 85 607,750.00
388 Primunox 0 - 2,241.00 13 29,133.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
389 Lodecon F 0 - 850.00 843 716,550.00

390 Lodecon Kaplet 0 - 865.00 867 749,955.00
391 Selkom C 0 - 1,100.00 1,839 2,022,900.00
392 Truvit Syrup 0 - 11,900.00 743 8,841,700.00
393 Alludona D 0 - 450.00 51 22,950.00
394 Lexigo 0 - 660.00 572 377,520.00
395 GOM 0 - 3,328.00 171 569,088.00
396 Zemindo Syrup 0 - 34,100.00 91 3,103,100.00
397 Solafluz 0 - 10,670.00 320 3,414,400.00
398 Fortusin 0 - 12,100.00 386 4,670,600.00
399 Cavicur 0 - 495.00 916 453,420.00
400 Dolo Licobion 0 - 967.00 1,854 1,792,818.00
401 Osteotin 0 - 3,270.00 333 1,088,910.00
0 - 50 2,238,500.00
402 Erphacea 44,770.00
0 - 9,155 4,513,415.00
403 Novachlor 493.00
404 Tricostatic Ovule 0 - 12,650.00 585 7,400,250.00
405 Lacto B 0 - 4,535.00 477 2,163,195.00
406 Melixicam 0 - 716.00 771 552,036.00
407 Hemafort 0 - 19,950.00 3,000 59,850,000.00
408 Bioplacenton 0 - 850.00 150 127,500.00
409 Nephrolit 0 - 1,875.00 300 562,500.00
410 Ikaneuron 5000 0 - 2,595.00 0 -
411 Hepagard 0 - 2,000.00 730 1,460,000.00
412 Oksitetrasiklin Hcl salep kulit 3 % - 5 gr 0 - 3,127.00 323 1,010,021.00
413 Oksitetrasiklin Hcl Salep Mata 1 % - 3,5 gr 0 - 608.00 498 302,784.00
414 Piracetam 400 mg tab 0 - 2,020.00 400 808,000.00
415 Provomer 0 - 102.00 255 26,010.00
416 Pritasma 0 - 2,100.00 1,500 3,150,000.00
417 Sulfacetamid 0 - 2,710.00 393 1,065,030.00
418 Tensigard 0 - 3,300.00 595 1,963,500.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
419 Cardismo 0 - 1,385.00 190 263,150.00

420 Methisoprinol 500 mg 0 - 121.00 304 36,784.00
421 Nexitra 0 - 9,586.00 1,400 13,420,400.00
422 Bromifar 0 - 140.00 906 126,840.00
423 Ternix Syrup 0 - 15,400.00 99 1,524,600.00
424 Orphen 0 - 821.00 4,200 3,448,200.00
425 Faktu supp 0 - 2,200.00 300 660,000.00
426 Solvitron 0 - 13,200.00 4,524 59,716,800.00
427 licogenta 0 - 48,400.00 295 14,278,000.00
428 Calamed 0 - 208.00 100 20,800.00
429 illiadin kinder 0 - 10,450.00 100 1,045,000.00
430 teosal 0 - 24,979.00 300 7,493,700.00
431 Gastrul 0 - 636.00 500 318,000.00
432 pseudoefedrin drop 0 - 636.00 0 -
433 nutralix 0 - 10,736.00 0 -
434 trifaneuron 0 - 11,779.00 0 -
435 dianicol ds 0 - 27,390.00 0 -
436 kompolax 0 - 36,154.00 0 -
437 aptil 0 - 716.00 0 -
438 fartolin expectoran 0 - 33,580.00 0 -
439 flamigra 50 mg 0 - 22,788.00 0 -
440 vitacid 0,05 % 0 - 21,912.00 0 -
441 mediklin gell 0 - 6,244.00 0 -
442 lostascef 250 0 - 529.00 0 -
443 synarcus cr 0 - 1,533.00 0 -
444 grantusif 0 - 2,027.00 0 -
445 ulsicral 0 - 31,498.00 0 -
446 lazol 0 - 4,700.00 0 -
447 callusol 0 - 25,417.00 0 -
448 fenol glycerol ed 0 - 24,979.00 0 -
449 isotic neolyson ed 0 - 20,119.00 0 -
450 devosik drop 0 - 23,007.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
451 lapifed exp syrup 0 - 12,300.00 0 -

452 lapifed dmp syrup 0 - 8,014.00 0 -
453 dumin rt 0 - 46,587.00 0 -
454 hustab syrup 0 - 82,827.00 0 -
455 acne feldin 0 - 3,984.00 0 -
456 Hemocain 0 - 33,864.00 0 -
457 kloramfenicol tetes telinga 3% 0 - 13,988.00 0 -
458 epexol 0 - 410.00 0 -
459 dexigen krim 0 - 8,185.00 0 -
460 tromofal 0 - 12,375.00 0 -
461 quantidex syrup 0 - 1,142.00 0 -
462 cendo cetamid ed - 0 - - 0 -
463 metaneuron - 0 - - 0 -
464 Neoprotifed tab - 0 - - 789 -
465 BMHP JKN - 0 - - 0 -
466 Demetech chromic catgut 2/0 90c + jarum 1/2 37 m R (C20D - 0 - - 36 -
467 Demetech chromic catgut 3/0 75c + jarum 1/2 22 m R (CHPF - 0 - - 48 -
468 Demetech plain catgut 2/0 70c + jarum 1/2 36 m R(PIZDA) - 0 - - 48 -
469 Demetech plain catgut 3/0 70c + jarum 1/2 25 m R(PHSDA) - 0 - - 48 -
470 Demetech silk 2/0 75c+ jarum 1/2 30 m R(SIVDA) - 0 - - 48 -
471 Demetech silk 3/0 75c+ jarum 3/8 26 m C(SHTJE) - 0 - - 48 -
472 E-Care alkohol swab CHG 0,5 % - 0 - - 50 -
473 E-Care hand rub 10 btl @500 ml - 0 - - 78 -
474 E-Care handscrub10 btl @ 500 ml (1750B) - 0 - - 50 -
475 Skintact paper easitab (RT345) - 0 - - 1 -
476 MMP Polywin iv canula no 18 - 0 - - 100 -
477 POLYMED POLYFUSION INFUSION SET 20 D - 0 - - 100 -
478 Mas pre-powdered latex exam glove - 0 - - 30 -
479 Mas surgical gloves steril 7,0 - 0 - - 500 -
481 Masker karet 3 ply face mask mas - 0 - - 30 -
482 Masker tali 3 ply pace mask mas - 0 - - 5 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
483 chroma ballon catheter 2way FR 18 - 0 - - 30 -

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
513 - 0 - - 0 -
514 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 OBAT GIGI JKN - 0 - - 0 -
536 - 0 - - 0 -
537 - 0 - - 0 -
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
545 - 0 - - 0 -
546 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 - -
JUMLAH TOTAL OBAT 90,732,725.00 260,587,458.00
JUMLAH TOTAL BMHP - -
JUMLAH TOTAL KESELURUHAN 90,732,725.00 260,587,458.00
JUMLAH
90,732,725.00 260,587,458.00
S KESEHATAN KABUPATEN BANDUNG BARAT TAHUN 2016
BULAN FEBRUARI 2016
MUTASI
SALDO AKHIR FEB
MASUK KELUAR
SELAMA BULAN FEBRUARI 2016 SELAMA BULAN FEBRUARI 2016
DINKES JKN DINKES JKN DINKES
HARGA HARGA SATUAN HARGA SATUAN

NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. HARGA SATUAN RP BANYAKNYA NILAI RP.
SATUAN RP RP RP
0 - 407.00 - - 4 - 407.00
0 - 105.00 610 64,050.00 - - 105.00
0 - 245.00 - - - 245.00
0 - 5,150.00 - - 186 - 5,150.00
0 - 95.00 2,422 230,090.00 - - 95.00
0 - 3,240.00 - - - 3,240.00
0 - 87.00 50 4,350.00 - - 87.00
0 - 112.00 - - - 112.00
0 - 187.00 - - 1,448 - 187.00
0 - 370.00 - - 8,885 - 370.00
0 - 200.00 - - - 200.00
0 - 3,700.00 - - - 3,700.00
0 - 4,550.00 - - - 4,550.00
0 - 18,700.00 - - - 18,700.00
- - 8,787 - - - -
0
- 2,100.00 64 134,400.00 - 61 - 2,100.00

0
- 1,904.00 5 9,520.00 - - 1,904.00

0
- 1,552.00 - - - 1,552.00
0
0 - 123.00 - - - 123.00
0 - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - 96.00 - - - 96.00
0 - 156.00 - - - 156.00
0 - 32.00 - - 1,026 - 32.00
0 - 128.00 - - - 128.00
0 - 112.00 632 70,784.00 - 956 - 112.00
0 - 388.00 10 3,880.00 - 20 - 388.00
0 - 571.00 34 19,414.00 - 12 - 571.00
0 - 2,430.00 - - - 2,430.00
- 1,230.00 - - - 1,230.00
0
- 2,000.00 - - - 2,000.00
0
0 - 1,520.00 - - - 1,520.00
0 - - 23 - - 53 - -
0 - 2,322.00 - - - 2,322.00
0 - 39.00 - - - 39.00
0 - 7,837.00 13 101,881.00 - - 7,837.00
0 - 181.00 - - - 181.00
0 - 1,580.00 - - - 1,580.00
0 - 53.00 - - - 53.00
0 - 1,379.00 - - - 1,379.00
0 - 90.00 - - - 90.00
0 - 35,526.00 - - - 35,526.00
0 - 2,344.00 - - - 2,344.00
0 - 35.00 - - - 35.00
0 - 56.00 16 896.00 - - 56.00
0 - 1,054.00 - - - 1,054.00
0 - 97.00 - - - 97.00
- 253.00 - - - 253.00
0
0 - 3,333.00 - - - 3,333.00
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
- 21.00 - - - 21.00
0
- 8,100.00 - - - 8,100.00
0
- 8,100.00 - - - 8,100.00
0
0 - 500.00 - - - 500.00
0 - 930.00 - - - 930.00
0 - 1,800.00 - - - 1,800.00
0 - 104,000.00 23 2,392,000.00 - - 104,000.00
0 - 133.00 - - - 133.00
0 - 20,250.00 - - - 20,250.00
0 - 61.00 140 8,540.00 - - 61.00
0 - 1,800.00 - - - 1,800.00
0 - 262.00 - - - 262.00
0 - 465.00 - - - 465.00
0 - - 18 - - - -
0 - 1,566.00 - - - 1,566.00
0 - 634.00 200 126,800.00 - - 634.00
0 - 1,829.00 - - - 1,829.00
0 - 85.00 165 14,025.00 - - 85.00
- - 255 - - 65 - -
0
0 - 3,399.00 - - - 3,399.00
0 - 3,782.00 - - - 3,782.00
0 - 1,850.00 - - - 1,850.00
0 - 450.00 24 10,800.00 - - 450.00
0 - - 275 - - - -
0 - - 5,599 - - - -
0 - 4,158.00 - - - 4,158.00
0 - 5,700.00 0 - - - 5,700.00
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - 1,452.00 - - - 1,452.00
0 - 5,200.00 1 5,200.00 - - 5,200.00
0 - 228.00 - - - 228.00
0 - 53.00 - - - 53.00
0 - 69.00 - - - 69.00
0 - 88.00 - - - 88.00
0 - 36.00 - - - 36.00
0 - - 70 - - 20 - -
0 - 850.00 28 23,800.00 - - 850.00
0 - - - - 1,269 - -
0 - 149.00 1,824 271,776.00 - 2,564 - 149.00
0 - 3,499.00 2 6,998.00 - - 3,499.00
0 - 88.00 16 1,408.00 - - 88.00
0 - 708.00 - - - 708.00
0 - 52.00 - - - 52.00
0 - 62.00 - - 927 - 62.00
0 - 80.00 120 9,600.00 - 118 - 80.00
0 - 245.00 - - - 245.00
0 - 372.00 10 3,720.00 - 3 - 372.00
0 - 4,700.00 - - - 4,700.00
0 - 2,545.00 - - - 2,545.00
0 - 7,500.00 - - - 7,500.00
0 - 2,300.00 - - - 2,300.00
0 - 510.00 - - - 510.00
0 - 205.00 - - - 205.00
0 - 210.00 - - - 210.00
0 - - - - 24 - -
0 - 3,700.00 - - - 3,700.00
0 - 1,599.00 - - - 1,599.00
0 - 26.00 - - - 26.00
0 - 15,364.00 - - - 15,364.00
0 - 470.00 - - - 470.00
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
- 149.00 78 11,622.00 - 120 - 149.00

0
- 76.00 - - - 76.00
0
- 2,574.00 137 352,638.00 - 18 - 2,574.00

0
0 - 473.00 - - - 473.00
0 - 839.00 - - - 839.00
- 1,363.00 - - 100 - 1,363.00
0
0 - 333.00 253 84,249.00 - - 333.00

0 - 1,540.00 - - - 1,540.00
- 1,440.00 - - - 1,440.00
0
- 1,199.00 - - - 1,199.00
0
0 - 1,200.00 - - - 1,200.00
0 - 124.00 - - - 124.00
0 - 182.00 - - 16 - 182.00
0 - 1,760.00 - - - 1,760.00
0 - 205.00 - - - 205.00
- 1,490.00 - - - 1,490.00
0
- 140.00 50 7,000.00 - - 140.00

0
0 - 3,850.00 - - - 3,850.00
0 - 110.00 40 4,400.00 - 45 - 110.00
0 - 105.00 - - - 105.00
0 - 190.00 - - 1,026 - 190.00
0 - 3,000.00 30 90,000.00 - - 3,000.00
0 - 10,449.00 - - - 10,449.00
0 - 14.00 36 504.00 - - 14.00
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - 166.00 - - - 166.00
0 - 200.00 - - 471 - 200.00
0 - 4,700.00 - - - 4,700.00
0 - 100.00 10 1,000.00 - - 100.00
0 - 640.00 10 6,400.00 - 46 - 640.00
0 - 407.00 - - 21 - 407.00
0 - 2,783.00 - - - 2,783.00
0 - 1,675.00 - - - 1,675.00
0 - 1,600.00 - - - 1,600.00
0 - 2,200.00 - - - 2,200.00
0 - 408.00 424 172,992.00 - 131 - 408.00
- 530.00 - - - 530.00
0
- 5,200.00 65 338,000.00 - - 5,200.00

0
0 - 1,438.00 55 79,090.00 - 46 - 1,438.00

0 - - 110 - - - -
0 - - 5,156 - - 14,191 - -
0 - 14,500.00 - - - 14,500.00
0 - 194.00 6 1,164.00 - - 194.00
0 - 1,925.00 - - - 1,925.00
0 - 311.00 - - - 311.00
0 - 14.00 - - - 14.00
0 - 70.00 - - - 70.00
0 - 14,203.00 1 14,203.00 - - 14,203.00
0 - 37,109.00 - - - 37,109.00
0 - 2,163.00 2 4,326.00 - - 2,163.00
0 - 52.00 112 5,824.00 - - 52.00
0 - 1,140.00 - - - 1,140.00
0 - - 32 - - - -
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - 103.00 450 46,350.00 - - 103.00

0 - - - - - -
0 - 84.00 380 31,920.00 - 88 - 84.00
0 - 98.00 - - - 98.00
- - 1 - - - -
0
0 - 1,120.00 - - 64 - 1,120.00
0 - 509.00 - - - 509.00
0 - 4,746.00 - - - 4,746.00
0 - 8,800.00 - - - 8,800.00
0 - 2,950.00 - - - 2,950.00
0 - 3,300.00 - - - 3,300.00
0 - 8,000.00 - - - 8,000.00
0 - 475,820.00 - - - 475,820.00
0 - 127,409.00 - - - 127,409.00
0 - 916.00 - - - 916.00
0 - 13.00 - - - 13.00
0 - 105.00 - - - 105.00
0 - 169.00 - - - 169.00
0 - 255.00 - - 136 - 255.00
0 - 315.00 - - - 315.00
0 - 3,226.00 39 125,814.00 - - 3,226.00
0 - 206.00 - - - 206.00
0 - 140.00 - - - 140.00
0 - 616.00 175 107,800.00 - - 616.00
0 - 680.00 - - - 680.00
0 - 35.00 - - - 35.00
0 - 2,395.00 - - - 2,395.00
0 - 5,200.00 - - - 5,200.00
0 - 40.00 - - - 40.00
0 - - 2,291 - - 11,137 - -
0 - - - - - -
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - 390,000.00 - - - 390,000.00
0 - 45,750.00 - - - 45,750.00
0 - 425,000.00 - - - 425,000.00
0 - 240,000.00 - - - 240,000.00
0 - 55,000.00 - - - 55,000.00
0 - 175,000.00 - - - 175,000.00
0 - 91,500.00 - - - 91,500.00
0 - - - - - -
0 - 20.00 - - - 20.00
0 - 2,475.00 - - - 2,475.00
0 - - - - - -
0 - 1,200,000.00 - - - 1,200,000.00
0 - 160,000.00 - - - 160,000.00
0 - 215,000.00 - - - 215,000.00
0 - 265,000.00 - - - 265,000.00
0 - 127,200.00 - - - 127,200.00
0 - - - - - -
0 - - - - - -
0 - 1,515.00 - - - 1,515.00
0 - 455.00 - - 745 - 455.00
0 - - - - - -
0 - - - - - -
0 - 257.00 - - - 257.00
0 - - - - - -
- 26,667.00 - - - 26,667.00
0
- 24,583.00 - - - 24,583.00
0
0 - 8,495.00 - - - 8,495.00
0 - 8,495.00 - - - 8,495.00
0 - 8,495.00 - - - 8,495.00
0 - 4,000.00 - - - 4,000.00
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - 3,500.00 - - - 3,500.00
0 - - - - - -
0 - 7,787.00 - - - 7,787.00
- 7,787.00 - - - 7,787.00
0
- - - - - -
0
0 - 7,000.00 - - - 7,000.00
- 10,000.00 - - - 10,000.00
0
- 607.00 - - - 607.00
0
- 303.00 - - - 303.00
0
- - - - - -
0
- 55,200.00 - - - 55,200.00
0
- 8,800.00 - - - 8,800.00
0
0 - 8,800.00 - - - 8,800.00
0 - 23,500.00 - - - 23,500.00
- 32,500.00 - - - 32,500.00
0
- 42,000.00 - - - 42,000.00
0
- 23,625.00 - - - 23,625.00
0
- 4,250.00 - - - 4,250.00
0
- 6,983.00 - - - 6,983.00
0
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
- 4,000.00 - - - 4,000.00
0
0 - 5,770.00 - - - 5,770.00
0 - 5,770.00 - - - 5,770.00
- 5,770.00 - - - 5,770.00
0
- 5,498.00 - - - 5,498.00
0
0 - 4,045.00 146 590,570.00 - 23 - 4,045.00

0 - 17,700.00 - - - 17,700.00
0 - 1,040.00 - - - 1,040.00
0 - 75,900.00 - - - 75,900.00
0 - 24,000.00 - - - 24,000.00
0 - 11,525.00 - - 1 - 11,525.00
0 - 151,500.00 - - - 151,500.00
0 - 2,500.00 - - - 2,500.00
0 - 19,166.00 - - - 19,166.00
0 - 27,000.00 - - - 27,000.00
0 - 2,750.00 - - 4 - 2,750.00
0 - 15,000.00 - - - 15,000.00
0 - 847.00 - - - 847.00
0 - 3,250.00 - - - 3,250.00
0 - 2,090.00 - - - 2,090.00
0 - 992.00 - - - 992.00
0 - 15,400.00 - - - 15,400.00
0 - 121,200.00 - - - 121,200.00
0 - 5,650.00 - - - 5,650.00
0 - 3,016.00 - - - 3,016.00
0 - 33,675.00 1 33,675.00 - - 33,675.00
0 - 372,000.00 - - - 372,000.00
0 - 59,600.00 - - - 59,600.00
0 - 46,000.00 - - - 46,000.00
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - 720.00 - - - 720.00
0 - 18,700.00 - - - 18,700.00
- 9,100.00 32 291,200.00 - - 9,100.00
0
0 - 14,260.00 - - - 14,260.00
0 - 33,200.00 - - - 33,200.00
0 - - 198 - - - -
- 8,250.00 207 1,707,750.00 - - 8,250.00
0
0 - 2,766.70 - - - 2,766.70
0 - 11,474.00 - - 5 - 11,474.00
0 - 23,000.00 - - - 23,000.00
0 - 11,474.00 - - - 11,474.00
0 - 23,000.00 - - - 23,000.00
0 - 79,200.00 - - - 79,200.00
0 - 6,600.00 4 26,400.00 - - 6,600.00
0 - 6,500.00 - - - 6,500.00
0 - 19,900.00 - - - 19,900.00
0 - 600.00 - - - 600.00
0 - 968.00 - - - 968.00
0 - - - - - -
0 - 289,000.00 - - - 289,000.00
0 - 275,000.00 - - - 275,000.00
0 - 232,100.00 - - - 232,100.00
0 - 13,700.00 - - - 13,700.00
0 - 7,900.00 - - - 7,900.00
0 - 1,220.00 - - - 1,220.00
0 - 415,800.00 - - - 415,800.00
0 - 611.00 - - - 611.00
0 - 637,000.00 7 4,459,000.00 - - 637,000.00
0 - 187,500.00 - - - 187,500.00
0 - 13,200.00 - - - 13,200.00
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - 52,500.00 - - - 52,500.00
- - - - - -
0
0 - 9,940.00 - - - 9,940.00
0 - 13,740.00 - - - 13,740.00
0 - 1,156.00 - - - 1,156.00
0 - 8,250.00 - - - 8,250.00
0 - - - - - -
0 - 4,200.00 - - - 4,200.00
0 - 2,750.00 1 2,750.00 - - 2,750.00
0 - 770.00 - - - 770.00
0 - 770.00 1 770.00 - - 770.00
0 - 770.00 - - - 770.00
0 - 770.00 - - - 770.00
0 - 770.00 - - - 770.00
0 - 74,800.00 - - - 74,800.00
0 - 646,000.00 - - - 646,000.00
0 - 686,000.00 - - - 686,000.00
0 - 8,898.00 - - - 8,898.00
0 - 55,714.00 - - - 55,714.00
0 - 14,370.00 - - - 14,370.00
0 - 2,292.00 - - - 2,292.00
0 - 2,292.00 - - - 2,292.00
0 - 2,292.00 - - - 2,292.00
0 - 2,292.00 - - - 2,292.00
0 - 2,292.00 - - - 2,292.00
0 - 2,292.00 - - - 2,292.00
0 - 8,800.00 - - - 8,800.00
0 - 1,393.00 - - - 1,393.00
0 - 8,800.00 - - - 8,800.00
0 - 1,900.00 - - - 1,900.00
0 - 806.00 - - - 806.00
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - - - - - -
0 - 27,500.00 - - - 27,500.00
0 - 495.00 - - - 495.00
0 - 792.00 - - - 792.00
0 - 19,800.00 - - - 19,800.00
0 - 7,700.00 - - - 7,700.00
0 - 539,000.00 - - 80 - 539,000.00
0 - 13,470.00 - - 5 - 13,470.00
0 - 167.00 - - - 167.00
0 - 436.00 - - - 436.00
- 17,820.00 - - - 17,820.00
0
- 8,000.00 - - - 8,000.00
0
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
- - - - - -
0
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - 5 - -
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - - - - - -
0 - - - - 22 - -
0 - - - - 1 - -
0 - - - - 3 - -
0 - - - - - -
0 - - - - - -
0 - - - - 2 - -
0 - - - - 1 - -
0 - - - - - -
0 - - - - 5 - -
- - - - 57 - -
0
- - - - 3 - -
0
0 - - - - 1 - -
0 - - - - - -
0 - - - - 52 - -
0 - - - - 30 - -
0 - - - - 2 - -
0 - - - - 31 - -
0 - - - - 3 - -
0 - - - - 1,150 - -
0 - - - - 8 - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - 6 - -
0 - - - - 5 - -
0 - - - - 21 - -
0 - - - - 32 - -
0 - - - - 13 - -
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - - - - 148 - -
0 - - - - 166 - -
0 - - - - 58 - -
0 - - - - 14 - -
0 - - - - 51 - -
0 - - - - 10 - -
0 - - - - 29 - -
0 - - - - 4 - -
0 - - - - 51 - -
0 - - - - 7 - -
0 - - - - 134 - -
0 - - - - 570 - -
0 - - - - 148 - -
- - - - - -
0
- - - - 1,055 - -
0
0 - - - - 11 - -
0 - - - - 15 - -
0 - - - - 624 - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - 245 - -
0 - - - - 8 - -
0 - - - - 5 - -
0 - - - - - -
0 - - - - 47 - -
0 - - - - 6 - -
0 - - - - 46 - -
0 - - - - 30 - -
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - 12 - -
0 - - - - - -
0 - - - - 4,200 - -
0 - - - - 43 - -
0 - - - - 2,291 - -
0 - - - - 38 - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - 256 - -
0 - - - - - -
0 - - - - - -
0 - - - - 12 - -
0 - - - - - -
0 - - - - - -
0 - - - - 12 - -
0 - - - - - -
0 - - - - 1 - -
0 - - - - 1 - -
0 - - - - 3 - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - 2 - -
0 - - - - 4 - -
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
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 - - - - - -
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
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 - - - - - -
MUTASI
SALDO AKHIR FEB
MASUK KELUAR

SATUAN RP RP RP
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
0 - - - - - -
- -
- - 12,111,343.00 -
- - - -
- - 12,111,343.00 -
- - 12,111,343.00 -
SALDO AKHIR FEBRUARI 2016
DINKES JKN
HARGA SATUAN
BANYAKNYA NILAI RP. BANYAKNYA NILAI RP.
RP
0 - - 348 - 0
941 98,805.00 - 0 - 941
0 - - 0 -
0 - - 95 -
307 29,165.00 - 0 - 307
0 - - 0 -
241 20,967.00 - 2,170 - 241
488 54,656.00 - 344 - 488
3,000 561,000.00 - 4,848 - 3,000
5,000 1,850,000.00 - 26,645 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
14,569 - - 0 -
4,569
401 842,100.00 - 1,057 -
85 161,840.00 - 200 -
85
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 104,025 - 0
0 - - 0 -
1,240 138,880.00 - 13,177 - 1,240
490 190,120.00 - 3,778 -
280 159,880.00 - 8,112 - 280
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
200 - - 1,237 - 0
0 - - 0 - 0
4 156.00 - 0 -
45 352,665.00 - 0 - 45
0 - - 0 - 0
100 158,000.00 - 800 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
79 4,424.00 - 0 -
90 94,860.00 - 170 - 90
350 33,950.00 - 292 - 350
5 1,265.00 - 0 -
5
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
30 243,000.00 - 360 -
0 - - 449 -
0
0 - - 1,368 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
370 22,570.00 - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
82 - - 0 -
0 - - 0 - 0
245 155,330.00 - 1,570 - 245
0 - - 0 - 0
701 59,585.00 - 0 -
853 - - 5,120 -
-147
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
48 21,600.00 - 0 - 48
1,045 - - 0 - 45
11,663 - - 0 - 6,663
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
9 46,800.00 - 0 - 9
0 - - 200 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
0 - - 0 - 0
87 - - 729 -
172 146,200.00 - 0 - 172
3,000 - - 4,290 - 0
4,177 622,373.00 - 9,321 -
82 286,918.00 - 200 - 82
441 38,808.00 - 200 - 441
0 - - 0 - 0
0 - - 0 -
0 - - 10,512 - 0
3,473 277,840.00 - 638 -
494 121,030.00 - 0 - 494
71 26,412.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
96 - - 192 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
3,011 46,261,004.00 - 0 - 3,011
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
612 91,188.00 - 4,004 -

612
0 - - 0 -
279 718,146.00 - 2,380 -

279
0 - - 0 -
0 - - 0 - 0
0 - - 780 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
1,100 136,400.00 - 0 - 1,100
0 - - 462 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
116 16,240.00 - 1,524 -
116
0 - - 0 - 0
474 52,140.00 - 1,031 -
0 - - 0 - 0
500 95,000.00 - 2,597 -
38 114,000.00 - 0 - 38
0 - - 0 - 0
5,781 80,934.00 - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 1,864 - 0
2 9,400.00 - 0 -
63 6,300.00 - 400 - 63
306 195,840.00 - 1,154 - 306
0 - - 173 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
510 208,080.00 - 688 - 510
0 - - 0 -
0
110 572,000.00 - 0 -
139 199,882.00 - 1,519 - 139

1,890 - - 0 - -110
21,600 - - 143,404 - 0
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
114 35,454.00 - 0 - 114
0 - - 0 - 0
0 - - 0 -
27 383,481.00 - 100 - 27
0 - - 0 -
71 153,573.00 - 0 - 71
1,604 83,408.00 - 0 -
0 - - 0 - 0
1,968 - - 0 - -32
DINKES JKN
HARGA SATUAN
RP
2,350 242,050.00 - 0 -
93 - - 0 - 53
0 - - 2,789 -
0 - - 0 - 0
95 - - 0 -
100 112,000.00 - 247 - 100

0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
210 192,360.00 - 0 - 210
0 - - 0 - 0
0 - - 0 -
0 - - 3,600 - 0
0 - - 1,578 -
0 - - 0 - 0
0 - - 0 - 0
605 124,630.00 - 0 -
0 - - 12,300 - 0
500 308,000.00 - 0 - 500
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
13,600 - - 52,464 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 11 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
32 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 10,300 - 0
0 - - 0 - 0
0 - - 0 - 0
1,000 455,000.00 - 4,725 -
0 - - 0 - 0
500 - - 0 - 200
0 - - 0 -
300 - - 0 - 100
70 1,866,690.00 - 0 -
0 - - 0 -
0
10 84,950.00 - 0 -
5 42,475.00 - 0 - 5
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
66 231,000.00 - 0 -
98 - - 0 - 48
46 358,202.00 - 0 -
0 - - 0 -
0
17 - - 0 -
4 28,000.00 - 0 - 4
5 50,000.00 - 0 -
5
50 30,350.00 - 0 -
50
50 15,150.00 - 0 -
74 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
8 189,000.00 - 0 -
8
35 148,750.00 - 0 -
0 - - 0 -
0
DINKES JKN
HARGA SATUAN
RP
10 40,000.00 - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
221 893,945.00 - 2,913 - 221

0 - - 0 -
474 492,960.00 - 0 - 474
0 - - 0 - 0
0 - - 0 -
0 - - 4 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 10 - 0
4 60,000.00 - 0 - 4
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
7 235,725.00 - 0 - 7
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 - 0
120 1,092,000.00 - 0 -
0 - - 0 - 0
0 - - 0 -
1,091 - - 0 - 591
161 1,328,250.00 - 0 -
0 - - 0 - 0
20 229,480.00 - 8 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
3 19,800.00 - 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
2 1,222.00 - 0 - 2
1 637,000.00 - 150 - 1
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
1,080 - - 0 -
0 - - 0 - 0
40 110,000.00 - 0 -
48 36,960.00 - 0 - 48
48 36,960.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
127 1,130,046.00 - 0 -
12 668,568.00 - 0 - 12
36 517,320.00 - 0 -
24 55,008.00 - 0 - 24
12 27,504.00 - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
2 4,584.00 - 0 - 2
103 236,076.00 - 0 - 103
20 176,000.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
100 190,000.00 - 0 -
28 22,568.00 - 0 -
DINKES JKN
HARGA SATUAN
RP
300 - - 0 - 0
200 5,500,000.00 - 0 - 200
60 29,700.00 - 0 - 60
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 602 -
0 - - 499 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 8 - 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 - - 499 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 3,000 -
0 - - 188 - 0
0 - - 49 - 0
0 - - 945 - 0
0 - - 600 -
0 - - 248 - 0
0 - - 89 - 0
0 - - 191 -
0 - - 50 - 0
0 - - 79 -
0 - - 132 -
0
0 - - 147 -
0 - - 298 - 0
0 - - 6,000 -
0 - - 112 - 0
0 - - 533 -
0 - - 10 - 0
0 - - 204 - 0
0 - - 42 -
0 - - 1,442 - 0
0 - - 83 - 0
0 - - 100 -
0 - - 100 - 0
0 - - 3,000 -
0 - - 600 - 0
0 - - 43 - 0
0 - - 87 -
0 - - 275 - 0
0 - - 53 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 695 -
0 - - 701 - 0
0 - - 1,781 - 0
0 - - 729 - 0
0 - - 0 -
0 - - 562 - 0
0 - - 142 -
0 - - 87 - 0
0 - - 269 -
0 - - 379 - 0
0 - - 782 -
0 - - 1,284 - 0
0 - - 185 -
0 - - 50 -
0
0 - - 8,100 -
0 - - 574 - 0
0 - - 462 - 0
0 - - 147 - 0
0 - - 3,000 -
0 - - 150 - 0
0 - - 300 -
0 - - 0 - 0
0 - - 485 -
0 - - 315 - 0
0 - - 493 -
0 - - 400 - 0
0 - - 208 -
0 - - 1,494 - 0
0 - - 347 - 0
0 - - 565 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 190 -
0 - - 304 - 0
0 - - 1,400 -
0 - - 894 - 0
0 - - 99 -
0 - - 0 - 0
0 - - 257 -
0 - - 2,233 - 0
0 - - 257 - 0
0 - - 100 - 0
0 - - 100 - 0
0 - - 300 - 0
0 - - 500 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
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 - - 533 - 0
0 - - 0 - 0
0 - - 36 -
0 - - 36 - 0
0 - - 48 -
0 - - 48 - 0
0 - - 36 -
0 - - 48 - 0
0 - - 49 -
0 - - 77 - 0
0 - - 47 -
0 - - 1 - 0
0 - - 100 - 0
0 - - 100 - 0
0 - - 30 - 0
0 - - 500 -
0 - - 800 - 0
0 - - 28 -
0 - - 1 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 30 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 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
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
74,709,948.00 -
- -
74,709,948.00 -
74,709,948.00 -
BULAN MARET 2016
SALDO AWAL 1 MARET 2016

MASUK
SELAMA BULAN MARET 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
2 Alopurinol tablet 100 mg 105.00 941 98,805.00 - 0 -
5 Ambroxol tab 95.00 307 29,165.00 - 0 -
6 Aminofilin injeksi 24 mg/ml @ 10 ml 3,240.00 0 - - 0 -
9 Amlodipin 5 mg tab 187.00 3,000 561,000.00 - 4,848 -
10 Amoksisilin kaplet 500 mg 370.00 5,000 1,850,000.00 - 26,645 -
Antasida DOEN I Tablet kunyah,kombinasi : Alumunium 14,569 - 0 -
15 Hidroksida 200 mg + Magnesium Hidroksida 200 mg - -
401 842,100.00 1,057 -
16 2,100.00 -
17 Salisilat 3% 1,904.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

25 Asam Mefenamat 500 mg 112.00 1,240 138,880.00 - 13,177 -
0 - 0 -
29 1,230.00 -
Besi (II)Sulfat 200 mg + asam folat 0,25 mg/tablet (tablet 0 - 0 - 1,000
32 Betametason krim 0,1 % - 5 gr - 200 - - 1,237 -
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
5 1,265.00 0 -
47 253.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
49 21.00 -
30 243,000.00 360 -
50 8,100.00 -
0 - 449 -
51 8,100.00 -
55 Etil klorida spray 104,000.00 0 - - 0 -
62 Fenol Gliserol tetes telinga 10% - 82 - - 0 -
64 Fitomenadion ( vit K 1 ) tablet salut gula 10 mg 634.00 245 155,330.00 - 1,570 -
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g + Kalium 853 - 5,120 -
67 Anhidrat 2,7 g - -
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
72 Glibenklamida tablet 5 mg - 1,045 - - 0 -
73 Gliseril Gualakolat tablet 100 mg - 11,663 - - 0 -
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

83 Hidrokortison krim 2,5% - 5 gr - 87 - - 729 -
85 Ibuprofen tablet 200 mg - 3,000 - - 4,290 -
86 Ibuprofen tablet 400 mg 149.00 4,177 622,373.00 - 9,321 -
90 Kalsium Laktat (Kalk) tablet 500 mg 52.00 0 - - 0 -
93 Karbamazepin 200 mg 245.00 494 121,030.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
102 Kloramfenikol salep mata - 5 gr - 96 - - 192 -
105 Klorfeniramina mealeat (CTM) tablet 4 mg 26.00 0 - - 0 -
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

Kotrimosazol Suspensi Kombinasi: Sulfametoksazol 200 mg 279 718,146.00 2,380 -
112 Lidokain inj 2% @ 2 ml 839.00 0 - - 0 -
0 - 780 -
113 1,363.00 -
114 Loratadin tablet 10 mg 333.00 0 - - 0 -
0 - 0 -
116 1,440.00 -
0 - 0 -
Meloksikam 15 mg
117 1,199.00 -
120 Metformin HCl 500 mg 182.00 0 - - 462 -
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
123 1 ml 1,490.00 -
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 116 16,240.00 1,524 -
124 mg 140.00 -
129 Mikonazole krim/salep 2 % (nitrat) - 10 gr 3,000.00 38 114,000.00 - 0 -
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

134 Natrium Klorida larutan infus 0,9% - 500 ml 4,700.00 2 9,400.00 - 0 -
141 Oksitosin injeksi 10 IU/ml-1 ml 2,200.00 0 - - 0 -
142 Omeprazole 20 mg 408.00 510 208,080.00 - 688 -
0 - 0 -
143 530.00 -
110 572,000.00 0 -
144 5,200.00 -
146 Paracetamol tablet 100 mg - 1,890 - - 0 -
147 Paracetamol tablet 500 mg - 21,600 - - 143,404 -
159 Ranitidin tab 150 mg - 1,968 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

161 Ringer Laktat larutan infus - 500 ml - 93 - - 0 -
162 Salbutamol tablet 2 mg 84.00 0 - - 2,789 -
Salep 2 - 4 Kombinasi: Asam Salisilat 2 %+ Belerang endap 95 - 0 -
164 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr 1,120.00 100 112,000.00 - 247 -
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
210 192,360.00 0 -
Sianokobalamin (Viatamin B12) injeksi 500 mcg @ 1 ml
174 916.00 -
180 Sulfasetamida Natrium tetes mata 15% - 5 ml 3,226.00 0 - - 0 -
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 35.00 0 - - 0 -
189 Vitamin B Kompleks tablet - 13,600 - - 52,464 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
190 Obat Gigi - 0 - - 0 -

198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 32 - - 0 -
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 -
207 Retinol (VIT A) 100.000 UI - 0 - - 10,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg 455.00 1,000 455,000.00 - 4,725 -
212 Alat suntik sekali pakai 1 ml (SNI) - 500 - - 0 -
70 1,866,690.00 0 -
215 26,667.00 -
0 - 0 -
216 24,583.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

222 IV Catheter No 20 G (SNI) - 98 - - 0 -
223 IV Catheter No 22 G (SNI) 7,787.00 46 358,202.00 - 0 -
0 - 0 -
224 7,787.00 -
17 - 0 -
225 - -
5 50,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
50 15,150.00 0 -
229 303.00 -
74 - 0 -
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
8 189,000.00 0 -
237 23,625.00 -
35 148,750.00 0 -
238 4,250.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
239 6,983.00 -
10 40,000.00 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
245 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml 4,045.00 221 893,945.00 - 2,913 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml 27,000.00 0 - - 0 -
255 Etanol 70 % - 100 ml 2,750.00 0 - - 10 -
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
265 Lisol 1000 ml 33,675.00 7 235,725.00 - 0 -
266 Meropenem inj 372,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

Multivitamin Sirup Pertumbuhan (Mengandung Lysine dan 120 1,092,000.00 0 -
271 Biotin) - 60 ml 9,100.00 -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
274 Obat anti diare (Attapulgite dan Pektin) - 1,091 - - 0 -
Obat Flu sirup Kombinasi (Parasetamol 150 mg, 161 1,328,250.00 0 -
279 Propofol inj 11,474.00 0 - - 0 -
282 Salep Luka bakar - 10 gr 6,600.00 3 19,800.00 - 0 -
285 Obat Gigi 600.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
296 Triamsinolon Asetonit 1mg salep - 5 gr 637,000.00 1 637,000.00 - 150 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

298 Obat program 13,200.00 0 - - 0 -
300 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
305 Alat suntik sekali pakai 3 ml - 1,080 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
316 IV Cathetter No. 18 8,898.00 127 1,130,046.00 - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
328 Klem Umbilical 1,900.00 100 190,000.00 - 0 -

329 Ky Jelly 806.00 28 22,568.00 - 0 -
330 Masker - 300 - - 0 -
331 Sarung tangan non steril 27,500.00 200 5,500,000.00 - 0 -
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 499 -
0 - 0 -
0 - 0 -
348 nebules - -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
357 Ambroxol sirup 15 mg/ml - 60 ml - 0 - 3,300.00 0 -

358 Glimepirid 2 mg - 0 - 436.00 499 217,564.00
359 norit - 0 - 312.00 3,000 936,000.00
360 spasminal - 0 - 652.00 188 122,576.00
361 heparin gel - 0 - 54,450.00 49 2,668,050.00
362 osmigra - 0 - 4,210.00 945 3,978,450.00
363 scopma - 0 - 1,320.00 600 792,000.00
364 curviplex syrup - 0 - 12,500.00 248 3,100,000.00
365 protifed syrup - 0 - 8,184.00 89 728,376.00
366 kanina syrup - 0 - 5,800.00 191 1,107,800.00
367 clonaderm - 0 - 13,300.00 50 665,000.00
368 mezinex - 0 - 7,180.00 79 567,220.00
0 - 132 2,613,600.00
369 mulsanol drop - 19,800.00
0 - 147 1,365,924.00
370 nisagon - 9,292.00
371 cazetin drop - 0 - 33,263.00 298 9,912,374.00
372 eltazon - 0 - 243.00 6,000 1,458,000.00
373 bufacort n - 0 - 5,756.00 112 644,672.00
374 Parsifen plus - 0 - 470.00 533 250,510.00
375 Clinica gel - 0 - 20,900.00 10 209,000.00
376 Lycovir sk - 0 - 3,784.00 204 771,936.00
377 Dextaco syr - 0 - 30,200.00 42 1,268,400.00
378 Dextaco tab - 0 - 296.00 1,442 426,832.00
379 Ichtiol - 0 - 5,894.00 83 489,202.00
380 Chloramphenicol SK 2% - 0 - 3,300.00 100 330,000.00
381 Gentian violet - 0 - 3,200.00 100 320,000.00
382 Trihexipenidil Tab - 0 - 434.00 3,000 1,302,000.00
383 Xypanzim - 0 - 1,210.00 600 726,000.00
384 Microlax - 0 - 14,300.00 43 614,900.00
385 RecoTetes Mata - 0 - 7,150.00 87 622,050.00
386 Reco Tetes Telinga - 0 - 6,654.00 275 1,829,850.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
387 Solathin DS - 0 - 7,150.00 53 378,950.00

388 Primunox - 0 - 2,241.00 0 -
389 Lodecon F - 0 - 850.00 695 590,750.00
390 Lodecon Kaplet - 0 - 865.00 701 606,365.00
391 Selkom C - 0 - 1,100.00 1,781 1,959,100.00
392 Truvit Syrup - 0 - 11,900.00 729 8,675,100.00
393 Alludona D - 0 - 450.00 0 -
394 Lexigo - 0 - 660.00 562 370,920.00
395 GOM - 0 - 3,328.00 142 472,576.00
396 Zemindo Syrup - 0 - 34,100.00 87 2,966,700.00
397 Solafluz - 0 - 10,670.00 269 2,870,230.00
398 Fortusin - 0 - 12,100.00 379 4,585,900.00
399 Cavicur - 0 - 495.00 782 387,090.00
400 Dolo Licobion - 0 - 967.00 1,284 1,241,628.00
401 Osteotin - 0 - 3,270.00 185 604,950.00
0 - 50 2,238,500.00
402 Erphacea - 44,770.00
0 - 8,100 3,993,300.00
403 Novachlor - 493.00
404 Tricostatic Ovule - 0 - 12,650.00 574 7,261,100.00
405 Lacto B - 0 - 4,535.00 462 2,095,170.00
406 Meloxicam - 0 - 716.00 147 105,252.00
407 Hemafort - 0 - 19,950.00 3,000 59,850,000.00
408 Bioplacenton - 0 - 850.00 150 127,500.00
409 Nephrolit - 0 - 1,875.00 300 562,500.00
410 Ikaneuron 5000 - 0 - 2,595.00 0 -
411 Hepagard - 0 - 2,000.00 485 970,000.00
412 Oksitetrasiklin Hcl salep kulit 3 % - 5 gr - 0 - 3,127.00 315 985,005.00
413 Oksitetrasiklin Hcl Salep Mata 1 % - 3,5 gr - 0 - 608.00 493 299,744.00
414 Piracetam 400 mg tab - 0 - 2,020.00 400 808,000.00
415 Provomer - 0 - 102.00 208 21,216.00
416 Pritasma - 0 - 2,100.00 1,494 3,137,400.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
417 Sulfacetamid - 0 - 2,710.00 347 940,370.00

418 Tensigard - 0 - 3,300.00 565 1,864,500.00
419 Cardismo - 0 - 1,385.00 190 263,150.00
420 Methisoprinol 500 mg - 0 - 121.00 304 36,784.00
421 Nexitra - 0 - 9,586.00 1,400 13,420,400.00
422 Bromifar - 0 - 140.00 894 125,160.00
423 Ternix Syrup - 0 - 15,400.00 99 1,524,600.00
424 Orphen - 0 - 821.00 0 -
425 Faktu supp - 0 - 2,200.00 257 565,400.00
426 solvitron - 0 - 13,200.00 2,233 29,475,600.00
427 licogenta - 0 - 48,400.00 257 12,438,800.00
428 Calamed - 0 - 208.00 100 20,800.00
429 illiadin kinder - 0 - 10,450.00 100 1,045,000.00
430 teosal - 0 - 24,979.00 300 7,493,700.00
431 Gastrul - 0 - 636.00 500 318,000.00
432 pseudoefedrin drop - 0 - 636.00 0 -
433 nutralix - 0 - 10,736.00 0 -
434 trifaneuron - 0 - 11,779.00 0 -
435 dianicol ds - 0 - 27,390.00 0 -
436 kompolax - 0 - 36,154.00 0 -
437 aptil - 0 - 716.00 0 -
438 fartolin expectoran - 0 - 33,580.00 0 -
439 flamigra 50 mg - 0 - 22,788.00 0 -
440 vitacid 0,05 % - 0 - 21,912.00 0 -
441 mediklin gell - 0 - 6,244.00 0 -
442 lostascef 250 - 0 - 529.00 0 -
443 synarcus cr - 0 - 1,533.00 0 -
444 grantusif - 0 - 2,027.00 0 -
445 ulsicral - 0 - 31,498.00 0 -
446 lazol - 0 - 4,700.00 0 -
447 callusol - 0 - 25,417.00 0 -
448 fenol glycerol ed - 0 - 24,979.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
449 isotic neolyson ed - 0 - 20,119.00 0 -

450 devosik drop - 0 - 23,007.00 0 -
451 lapifed exp syrup - 0 - 12,300.00 0 -
452 lapifed dmp syrup - 0 - 8,014.00 0 -
453 dumin rt - 0 - 46,587.00 0 -
454 hustab syrup - 0 - 82,827.00 0 -
455 acne feldin - 0 - 3,984.00 0 -
456 Hemocain - 0 - 33,864.00 0 -
457 kloramfenicol tetes telinga 3% - 0 - 13,988.00 0 -
458 epexol - 0 - 410.00 0 -
459 dexigen krim - 0 - 8,185.00 0 -
460 tromofal - 0 - 12,375.00 0 -
461 quantidex syrup - 0 - 1,142.00 0 -
462 cendo cetamid ed - 0 - - 0 -
463 metaneuron - 0 - - 0 -
465 BMHP JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
513 - 0 - - 0 -
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 OBAT GIGI JKN - 0 - - 0 -
536 - 0 - - 0 -
537 - 0 - - 0 -
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
545 - 0 - - 0 -
546 - 0 - - 0 -
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 -
74,709,948.00 217,735,496.00
- -
74,709,948.00 217,735,496.00
74,709,948.00 217,735,496.00
BULAN MARET 2016
MUTASI
SALDO AKHIR M
MASUK KELUAR
SELAMA BULAN MARET 2016 SELAMA BULAN MARET 2016

SATUAN RP RP RP
- - 407.00 - - 3 - 407.00
- - 105.00 400 42,000.00 - - 105.00
- - 245.00 - - - 245.00
- - 5,150.00 - - 95 - 5,150.00
- - 95.00 307 29,165.00 - - 95.00
- - 3,240.00 - - - 3,240.00
- - 87.00 60 5,220.00 - 0 - 87.00
- - 112.00 - - - 112.00
- - 187.00 - - 1,491 - 187.00
- - 370.00 - - 8,851 - 370.00
- - 200.00 - - - 200.00
- - 3,700.00 - - - 3,700.00
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 7,588 - - - -
- - 2,100.00 49 102,900.00 - 53 - 2,100.00
- - 1,904.00 7 13,328.00 - - 1,904.00
- - 1,552.00 - - - 1,552.00
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 96.00 - - - 96.00
- - 156.00 - - - 156.00
- - 32.00 - - 1,025 - 32.00
- - 128.00 - - - 128.00
- - 112.00 967 108,304.00 - 896 - 112.00
- - 388.00 22 8,536.00 - 12 - 388.00
- - 571.00 39 22,269.00 - 36 - 571.00
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 460 - - - -
- - 1,520.00 - - - 1,520.00
- - - 25 - - 89 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 - - - 39.00
- - 7,837.00 9 70,533.00 - - 7,837.00
- - 181.00 - - - 181.00
- - 1,580.00 - - - 1,580.00
- - 53.00 - - - 53.00
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - 35.00 - - - 35.00
- - 56.00 18 1,008.00 - - 56.00
- - 1,054.00 - - - 1,054.00
- - 97.00 - - - 97.00
- - 253.00 - - - 253.00
- - 3,333.00 - - - 3,333.00
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 21.00 - - - 21.00
- - 8,100.00 - - - 8,100.00
- - 8,100.00 - - - 8,100.00
- - 500.00 - - - 500.00
- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - 104,000.00 - - - 104,000.00
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 210 12,810.00 - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - 45 - - - -
- - 1,566.00 - - - 1,566.00
- - 634.00 245 155,330.00 - - 634.00
- - 1,829.00 - - - 1,829.00
- - 85.00 165 14,025.00 - - 85.00
- - - 116 - - 546 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - 450.00 20 9,000.00 - - 450.00
- - - 239 - - - -
- - - 7,827 - - - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 1,452.00 - - - 1,452.00
- - 5,200.00 - - - 5,200.00
- - 228.00 - - - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - 36.00 - - - 36.00
- - - 87 - - 58 - -
- - 850.00 68 57,800.00 - - 850.00
- - - 1,000 - - 1,186 - -
- - 149.00 1,560 232,440.00 - 1,690 - 149.00
- - 3,499.00 - - - 3,499.00
- - 88.00 23 2,024.00 - - 88.00
- - 708.00 - - - 708.00
- - 52.00 - - - 52.00
- - 62.00 - - 1,308 - 62.00
- - 80.00 171 13,680.00 - 158 - 80.00
- - 245.00 - - - 245.00
- - 372.00 - - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - 36 - - - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
- - 26.00 - - - 26.00
- - 15,364.00 - - - 15,364.00
- - 470.00 - - - 470.00
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 149.00 22 3,278.00 - 24 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 134 344,916.00 - 11 - 2,574.00
- - 473.00 - - - 473.00
- - 839.00 - - - 839.00
- - 1,363.00 - - 120 - 1,363.00
- - 333.00 - - - 333.00
- - 1,540.00 - - - 1,540.00
- - 1,440.00 - - - 1,440.00
- - 1,199.00 - - - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 - - - 124.00
- - 182.00 - - 30 - 182.00
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - 1,490.00 - - - 1,490.00
- - 140.00 110 15,400.00 - 100 - 140.00
- - 3,850.00 - - - 3,850.00
- - 110.00 34 3,740.00 - 6 - 110.00
- - 105.00 - - - 105.00
- - 190.00 - - 664 - 190.00
- - 3,000.00 28 84,000.00 - - 3,000.00
- - 10,449.00 - - - 10,449.00
- - 14.00 63 882.00 - - 14.00
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 166.00 - - - 166.00
- - 200.00 - - 312 - 200.00
- - 4,700.00 2 9,400.00 - - 4,700.00
- - 100.00 28 2,800.00 - 100 - 100.00
- - 640.00 36 23,040.00 - - 640.00
- - 407.00 - - 18 - 407.00
- - 2,783.00 - - - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - 2,200.00 - - - 2,200.00
- - 408.00 46 18,768.00 - 165 - 408.00
- - 530.00 - - - 530.00
- - 5,200.00 43 223,600.00 - - 5,200.00
- - 1,438.00 63 90,594.00 - 13 - 1,438.00

- - - 306 - - - -
- - - - - 19,309 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 - - - 311.00
- - 14.00 - - - 14.00
- - 70.00 - - - 70.00
- - 14,203.00 20 284,060.00 - - 14,203.00
- - 37,109.00 - - - 37,109.00
- - 2,163.00 16 34,608.00 - - 2,163.00
- - 52.00 428 22,256.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 770 - - - -
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 103.00 380 39,140.00 - - 103.00

- - - 22 - - - -
- - 84.00 - - 247 - 84.00
- - 98.00 - - - 98.00
- - - 27 - - - -
- - 1,120.00 - - 80 - 1,120.00
- - 509.00 - - - 509.00
- - 4,746.00 - - - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 - - - 916.00
- - 13.00 - - - 13.00
- - 105.00 - - - 105.00
- - 169.00 - - 142 - 169.00
- - 255.00 - - 196 - 255.00
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 10 2,060.00 - - 206.00
- - 140.00 - - - 140.00
- - 616.00 170 104,720.00 - - 616.00
- - 680.00 - - - 680.00
- - 35.00 - - - 35.00
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - - - 9,959 - -
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - - - - -
- - 1,200,000.00 - - - 1,200,000.00
- - 160,000.00 - - - 160,000.00
- - 215,000.00 - - - 215,000.00
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - - - - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - 455.00 - - 510 - 455.00
- - - - - - -
- - - 300 - - - -
- - 257.00 - - - 257.00
- - - 200 - - - -
- - 26,667.00 - - - 26,667.00
- - 24,583.00 - - - 24,583.00
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 4,000.00 - - - 4,000.00
- - 3,500.00 51 178,500.00 - - 3,500.00
- - - - - - -
- - 7,787.00 46 358,202.00 - - 7,787.00
- - 7,787.00 - - - 7,787.00
- - - 2 - - - -
- - 7,000.00 - - - 7,000.00
- - 10,000.00 - - - 10,000.00
- - 607.00 - - - 607.00
- - 303.00 - - - 303.00
- - - 31 - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
- - 23,625.00 5 118,125.00 - - 23,625.00
- - 4,250.00 10 42,500.00 - - 4,250.00

MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 6,983.00 - - - 6,983.00
- - 4,000.00 - - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - 4,045.00 185 748,325.00 - 21 - 4,045.00

- - 17,700.00 - - - 17,700.00
- - 1,040.00 - - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - 11,525.00 - - - 11,525.00
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - 27,000.00 - - - 27,000.00
- - 2,750.00 - - 8 - 2,750.00
- - 15,000.00 1 15,000.00 - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - 33,675.00 2 67,350.00 - - 33,675.00
- - 372,000.00 - - - 372,000.00
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - 720.00 - - - 720.00
- - 18,700.00 - - - 18,700.00
- - 9,100.00 26 236,600.00 - - 9,100.00
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - 166 - - - -
- - 8,250.00 145 1,196,250.00 - - 8,250.00
- - 2,766.70 - - - 2,766.70
- - 11,474.00 - - 8 - 11,474.00
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - 23,000.00 - - - 23,000.00
- - 79,200.00 - - - 79,200.00
- - 6,600.00 3 19,800.00 - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 - - - 611.00
- - 637,000.00 1 637,000.00 - - 637,000.00
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 - - - 2,750.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - 8,898.00 14 124,572.00 - - 8,898.00
- - 55,714.00 - - - 55,714.00
- - 14,370.00 - - - 14,370.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 8,800.00 - - - 8,800.00
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - 1,900.00 100 190,000.00 - - 1,900.00

- - 806.00 - - - 806.00
- - - 150 - - - -
- - 27,500.00 200 5,500,000.00 - - 27,500.00
- - 495.00 - - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 - - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 57 - 539,000.00
- - 13,470.00 - - 10 - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 41 - -
- - - - - 4 - -
- - - - - 6 - -
- - - - - - -
- - - - - 11 - -
- - - - - 7 - -
- - - - - 1 - -
- - - - - - -
- - - - - 1 - -
- - - - - 60 - -
- - - - - 3 - -
- - - - - - -
- - - - - - -
- - - - - 24 - -
- - - - - 16 - -
- - - - - 3 - -
- - - - - 22 - -
- - - - - 5 - -
- - - - - 1,263 - -
- - - - - 8 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 9 - -
- - - - - 9 - -
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - - - - 11 - -
- - - - - - -
- - - - - 113 - -
- - - - - 144 - -
- - - - - 47 - -
- - - - - 13 - -
- - - - - - -
- - - - - 46 - -
- - - - - 29 - -
- - - - - 39 - -
- - - - - 29 - -
- - - - - 13 - -
- - - - - 306 - -
- - - - - 364 - -
- - - - - 65 - -
- - - - - - -
- - - - - 530 - -
- - - - - 6 - -
- - - - - - -
- - - - - 147 - -
- - - - - 865 - -
- - - - - 10 - -
- - - - - 8 - -
- - - - - - -
- - - - - 80 - -
- - - - - 3 - -
- - - - - 6 - -
- - - - - - -
- - - - - 54 - -
- - - - - - -
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - - - - 111 - -
- - - - - 18 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 18 - -
- - - - - - -
- - - - - - -
- - - - - 22 - -
- - - - - 2,233 - -
- - - - - 55 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 455 - -
- - - - - - -
- - - - - 24 - -
- - - - - 24 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 7 - -
- - - - - 50 - -
- - - - - - -
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR M
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- -
- - 11,639,858.00 -
- - - -
- - 11,639,858.00 -
- - 11,639,858.00 -
SALDO AKHIR MARET 2016
DINKES JKN
HARGA SATUAN
RP
0 - - 345 - 0
541 56,805.00 - 0 - 541
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
181 15,747.00 - 2,170 - 181
488 54,656.00 - 344 - 488
3,000 561,000.00 - 3,357 - 3,000
5,000 1,850,000.00 - 17,794 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
6,981 - - 0 -
6,981
352 739,200.00 - 1,004 -
78 148,512.00 - 200 -
78
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 103,000 - 0
0 - - 0 -
273 30,576.00 - 12,281 - 273
468 181,584.00 - 3,766 -
241 137,611.00 - 8,076 - 241
0 - - 0 - 0
0 - - 0 -
540 - - 0 -
-460
0 - - 0 -
175 - - 1,148 - 175
0 - - 0 - 0
4 156.00 - 0 -
36 282,132.00 - 0 - 36
0 - - 0 - 0
100 158,000.00 - 800 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
61 3,416.00 - 0 -
90 94,860.00 - 170 - 90
350 33,950.00 - 292 - 350
5 1,265.00 - 0 -
5
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
30 243,000.00 - 360 -
0 - - 449 -
0
0 - - 1,368 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
160 9,760.00 - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
37 - - 0 -
0 - - 0 - 0
0 - - 1,570 - 0
0 - - 0 - 0
536 45,560.00 - 0 -
737 - - 4,574 -
737
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
28 12,600.00 - 0 - 28
806 - - 0 - 806
3,836 - - 0 - 3,836
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
9 46,800.00 - 0 - 9
0 - - 200 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
0 - - 0 - 0
0 - - 671 -
104 88,400.00 - 0 - 104
2,000 - - 3,104 - 2,000
2,617 389,933.00 - 7,631 - 2,617
82 286,918.00 - 200 - 82
418 36,784.00 - 200 - 418
0 - - 0 - 0
0 - - 0 -
0 - - 9,204 - 0
3,302 264,160.00 - 480 -
494 121,030.00 - 0 - 494
71 26,412.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
60 - - 192 - 60
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
3,011 46,261,004.00 - 0 - 3,011
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
590 87,910.00 - 3,980 -

590
0 - - 0 -
145 373,230.00 - 2,369 -

145
0 - - 0 -
0 - - 0 - 0
0 - - 660 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
1,100 136,400.00 - 0 - 1,100
0 - - 432 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
6 840.00 - 1,424 -
6
0 - - 0 - 0
440 48,400.00 - 1,025 -
0 - - 0 - 0
500 95,000.00 - 1,933 -
10 30,000.00 - 0 - 10
0 - - 0 - 0
5,718 80,052.00 - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 1,552 - 0
0 - - 0 -
35 3,500.00 - 300 - 35
270 172,800.00 - 1,154 - 270
0 - - 155 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
464 189,312.00 - 523 - 464
0 - - 0 -
0
67 348,400.00 - 0 -
76 109,288.00 - 1,506 - 76
1,584 - - 0 - 1,584
21,600 - - 124,095 - 21,600
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
114 35,454.00 - 0 - 114
0 - - 0 - 0
0 - - 0 -
7 99,421.00 - 100 - 7
0 - - 0 -
55 118,965.00 - 0 - 55
1,176 61,152.00 - 0 -
0 - - 0 - 0
1,198 - - 0 - 1,198
DINKES JKN
HARGA SATUAN
RP
1,970 202,910.00 - 0 -
71 - - 0 - 71
0 - - 2,542 -
0 - - 0 - 0
68 - - 0 -
100 112,000.00 - 167 - 100

0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
210 192,360.00 - 0 -
210
0 - - 0 - 0
0 - - 0 -
0 - - 3,458 - 0
0 - - 1,382 -
0 - - 0 - 0
0 - - 0 - 0
595 122,570.00 - 0 -
0 - - 12,300 - 0
330 203,280.00 - 0 - 330
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
13,600 - - 42,505 - 13,600
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 11 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
32 - - 0 - 32
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 10,300 - 0
0 - - 0 - 0
0 - - 0 - 0
1,000 455,000.00 - 4,215 -
0 - - 0 - 0
200 - - 0 - 200
0 - - 0 -
100 - - 0 - 100
70 1,866,690.00 - 0 -
0 - - 0 -
0
10 84,950.00 - 0 -
5 42,475.00 - 0 - 5
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
15 52,500.00 - 0 -
98 - - 0 - 98
0 - - 0 -
0 - - 0 -
0
15 - - 0 -
4 28,000.00 - 0 - 4
5 50,000.00 - 0 -
5
50 30,350.00 - 0 -
50
50 15,150.00 - 0 -
43 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
3 70,875.00 - 0 -
3
25 106,250.00 - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
10 40,000.00 - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
36 145,620.00 - 2,892 - 36
0 - - 0 -
474 492,960.00 - 0 - 474
0 - - 0 - 0
0 - - 0 -
0 - - 4 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 2 - 0
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
5 168,375.00 - 0 - 5
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
94 855,400.00 - 0 -
0 - - 0 - 0
0 - - 0 -
925 - - 0 - 925
16 132,000.00 - 0 -
0 - - 0 - 0
20 229,480.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
2 1,222.00 - 0 - 2
0 - - 150 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
1,080 - - 0 -
0 - - 0 - 0
40 110,000.00 - 0 -
48 36,960.00 - 0 - 48
48 36,960.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
113 1,005,474.00 - 0 -
12 668,568.00 - 0 - 12
36 517,320.00 - 0 -
24 55,008.00 - 0 - 24
12 27,504.00 - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
2 4,584.00 - 0 - 2
103 236,076.00 - 0 - 103
20 176,000.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
28 22,568.00 - 0 -
150 - - 0 - 150
0 - - 0 - 0
60 29,700.00 - 0 - 60
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 545 -
0 - - 489 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 8 - 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 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 499 - 0
0 - - 3,000 -
0 - - 147 - 0
0 - - 45 - 0
0 - - 939 - 0
0 - - 600 -
0 - - 237 - 0
0 - - 82 - 0
0 - - 190 -
0 - - 50 - 0
0 - - 78 -
0 - - 72 -
0
0 - - 144 -
0 - - 298 - 0
0 - - 6,000 -
0 - - 88 - 0
0 - - 517 -
0 - - 7 - 0
0 - - 182 - 0
0 - - 37 -
0 - - 179 - 0
0 - - 75 - 0
0 - - 100 -
0 - - 100 - 0
0 - - 3,000 -
0 - - 600 - 0
0 - - 43 - 0
0 - - 78 -
0 - - 266 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 42 -
0 - - 0 - 0
0 - - 582 -
0 - - 557 - 0
0 - - 1,734 - 0
0 - - 716 - 0
0 - - 0 -
0 - - 516 - 0
0 - - 113 -
0 - - 48 - 0
0 - - 240 -
0 - - 366 - 0
0 - - 476 -
0 - - 920 - 0
0 - - 120 -
0 - - 50 -
0
0 - - 7,570 -
0 - - 568 - 0
0 - - 462 - 0
0 - - 0 - 0
0 - - 2,135 -
0 - - 140 - 0
0 - - 292 -
0 - - 0 - 0
0 - - 405 -
0 - - 312 - 0
0 - - 487 -
0 - - 400 - 0
0 - - 154 -
0 - - 1,494 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 236 - 0
0 - - 547 - 0
0 - - 190 -
0 - - 304 - 0
0 - - 1,400 -
0 - - 876 - 0
0 - - 99 -
0 - - 0 - 0
0 - - 235 -
0 - - 0 - 0
0 - - 202 - 0
0 - - 100 - 0
0 - - 100 - 0
0 - - 300 - 0
0 - - 500 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 78 - 0
0 - - 0 - 0
0 - - 12 -
0 - - 12 - 0
0 - - 48 -
0 - - 48 - 0
0 - - 36 -
0 - - 48 - 0
0 - - 49 -
0 - - 77 - 0
0 - - 47 -
0 - - 1 - 0
0 - - 100 - 0
0 - - 100 - 0
0 - - 23 - 0
0 - - 450 -
0 - - 800 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 28 -
0 - - 1 - 0
0 - - 30 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 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
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
63,070,090.00 -
- -
63,070,090.00 -
63,070,090.00 -
BULAN APRIL 2016
SALDO AWAL 1 APRIL 2016

MASUK
SELAMA BULAN APRIL 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
5 Ambroxol tab 95.00 0 - - 0 -
9 Amlodipin 5 mg tab 187.00 3,000 561,000.00 - 3,357 -
10 Amoksisilin kaplet 500 mg 370.00 5,000 1,850,000.00 - 17,794 - 5,000
Antasida DOEN I Tablet kunyah,kombinasi : Alumunium 6,981 - 0 - 10,000
352 739,200.00 1,004 -
16 2,100.00 -
17 Salisilat 3% 1,904.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

25 Asam Mefenamat 500 mg 112.00 273 30,576.00 - 12,281 -
0 - 0 -
29 1,230.00 -
Besi (II)Sulfat 200 mg + asam folat 0,25 mg/tablet (tablet 540 - 0 - 500
30 tambah darah) @ 30 tablet - -
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
5 1,265.00 0 -
47 253.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
49 21.00 -
30 243,000.00 360 -
50 8,100.00 -
0 - 449 -
51 8,100.00 -
62 Fenol Gliserol tetes telinga 10% - 37 - - 0 - 96
64 Fitomenadion ( vit K 1 ) tablet salut gula 10 mg 634.00 0 - - 1,570 -
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
72 Glibenklamida tablet 5 mg - 806 - - 0 -
73 Gliseril Gualakolat tablet 100 mg - 3,836 - - 0 -
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

83 Hidrokortison krim 2,5% - 5 gr - 0 - - 671 - 120
85 Ibuprofen tablet 200 mg - 2,000 - - 3,104 - 1,000
86 Ibuprofen tablet 400 mg 149.00 2,617 389,933.00 - 7,631 - 2,000
90 Kalsium Laktat (Kalk) tablet 500 mg 52.00 0 - - 0 - 500
93 Karbamazepin 200 mg 245.00 494 121,030.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
105 Klorfeniramina mealeat (CTM) tablet 4 mg 26.00 0 - - 0 - 5,000
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

112 Lidokain inj 2% @ 2 ml 839.00 0 - - 0 -
0 - 660 -
113 1,363.00 -
114 Loratadin tablet 10 mg 333.00 0 - - 0 - 2,000
0 - 0 -
116 1,440.00 -
0 - 0 -
Meloksikam 15 mg
117 1,199.00 -
120 Metformin HCl 500 mg 182.00 0 - - 432 -
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
123 1 ml 1,490.00 -
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 6 840.00 1,424 - 300
124 mg 140.00 -
129 Mikonazole krim/salep 2 % (nitrat) - 10 gr 3,000.00 10 30,000.00 - 0 - 96
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

134 Natrium Klorida larutan infus 0,9% - 500 ml 4,700.00 0 - - 0 -
141 Oksitosin injeksi 10 IU/ml-1 ml 2,200.00 0 - - 0 - 100
142 Omeprazole 20 mg 408.00 464 189,312.00 - 523 - 600
0 - 0 -
143 530.00 -
67 348,400.00 0 -
144 5,200.00 -
159 Ranitidin tab 150 mg - 1,198 - - 0 - 2,000
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

164 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr 1,120.00 100 112,000.00 - 167 -
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
210 192,360.00 0 -
174 916.00 -
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 35.00 0 - - 0 - 3,000
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
190 Obat Gigi - 0 - - 0 -

198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 32 - - 0 -
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 -
207 Retinol (VIT A) 100.000 UI - 0 - - 10,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg 455.00 1,000 455,000.00 - 4,215 -
214 Alat suntik sekali pakai 5 ml (SNI) - 100 - - 0 - 100
70 1,866,690.00 0 -
215 26,667.00 -
0 - 0 - 48
216 24,583.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

223 IV Catheter No 22 G (SNI) 7,787.00 0 - - 0 - 50
0 - 0 -
224 7,787.00 -
15 - 0 -
225 - -
5 50,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
50 15,150.00 0 -
229 303.00 -
43 - 0 -
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
3 70,875.00 0 - 12
237 23,625.00 -
25 106,250.00 0 -
238 4,250.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
239 6,983.00 -
10 40,000.00 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
245 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml 4,045.00 36 145,620.00 - 2,892 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml 27,000.00 0 - - 0 -
255 Etanol 70 % - 100 ml 2,750.00 0 - - 2 - 20
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
265 Lisol 1000 ml 33,675.00 5 168,375.00 - 0 - 10
266 Meropenem inj 372,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

Multivitamin Sirup Pertumbuhan (Mengandung Lysine dan 94 855,400.00 0 - 120
271 Biotin) - 60 ml 9,100.00 -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
274 Obat anti diare (Attapulgite dan Pektin) - 925 - - 0 -
Obat Flu sirup Kombinasi (Parasetamol 150 mg, 16 132,000.00 0 - 300
279 Propofol inj 11,474.00 0 - - 0 -
282 Salep Luka bakar - 10 gr 6,600.00 0 - - 0 -
285 Obat Gigi 600.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
296 Triamsinolon Asetonit 1mg salep - 5 gr 637,000.00 0 - - 150 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

298 Obat program 13,200.00 0 - - 0 -
300 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
305 Alat suntik sekali pakai 3 ml - 1,080 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
316 IV Cathetter No. 18 8,898.00 113 1,005,474.00 - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
328 Klem Umbilical 1,900.00 0 - - 0 - 100

329 Ky Jelly 806.00 28 22,568.00 - 0 -
330 Masker - 150 - - 0 - 200
331 Sarung tangan non steril 27,500.00 0 - - 0 - 200
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 489 -
0 - 0 -
0 - 0 -
348 nebules - -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

359 norit 0 - 436.00 3,000 1,308,000.00
360 spasminal 0 - 312.00 147 45,864.00
361 heparin gel 0 - 652.00 45 29,340.00
362 osmigra 0 - 54,450.00 939 51,128,550.00
363 scopma 0 - 4,210.00 600 2,526,000.00
364 curviplex syrup 0 - 1,320.00 237 312,840.00
365 protifed syrup 0 - 12,500.00 82 1,025,000.00
366 kanina syrup 0 - 8,184.00 190 1,554,960.00
367 clonaderm 0 - 5,800.00 50 290,000.00
368 mezinex 0 - 13,300.00 78 1,037,400.00
369 mulsanol drop 0 - 7,180.00 72 516,960.00
0 - 144 2,851,200.00
370 nisagon 19,800.00
0 - 298 2,769,016.00
371 cazetin drop 9,292.00
372 eltazon 0 - 33,263.00 6,000 199,578,000.00
373 bufacort n 0 - 243.00 88 21,384.00
374 Parsifen plus 0 - 5,756.00 517 2,975,852.00
375 Clinica gel 0 - 470.00 7 3,290.00
376 Lycovir sk 0 - 20,900.00 182 3,803,800.00
377 Dextaco syr 0 - 3,784.00 37 140,008.00
378 Dextaco tab 0 - 30,200.00 179 5,405,800.00
379 Ichtiol 0 - 296.00 75 22,200.00
381 Gentian violet 0 - 3,300.00 100 330,000.00
382 Trihexipenidil Tab 0 - 3,200.00 3,000 9,600,000.00
383 Xypanzim 0 - 434.00 600 260,400.00
384 Microlax 0 - 1,210.00 43 52,030.00
385 RecoTetes Mata 0 - 14,300.00 78 1,115,400.00
387 Solathin DS 0 - 6,654.00 42 279,468.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
388 Primunox 0 - 7,150.00 0 -

389 Lodecon F 0 - 2,241.00 582 1,304,262.00
390 Lodecon Kaplet 0 - 850.00 557 473,450.00
391 Selkom C 0 - 865.00 1,734 1,499,910.00
392 Truvit Syrup 0 - 1,100.00 716 787,600.00
393 Alludona D 0 - 11,900.00 0 -
394 Lexigo 0 - 450.00 516 232,200.00
395 GOM 0 - 660.00 113 74,580.00
396 Zemindo Syrup 0 - 3,328.00 48 159,744.00
397 Solafluz 0 - 34,100.00 240 8,184,000.00
398 Fortusin 0 - 10,670.00 366 3,905,220.00
399 Cavicur 0 - 12,100.00 476 5,759,600.00
400 Dolo Licobion 0 - 495.00 920 455,400.00
401 Osteotin 0 - 967.00 120 116,040.00
402 Erphacea 0 - 3,270.00 50 163,500.00
0 - 7,570 338,908,900.00
403 Novachlor 44,770.00
0 - 568 280,024.00
404 Tricostatic Ovule 493.00
405 Lacto B 0 - 12,650.00 462 5,844,300.00
406 Meloxicam 0 - 4,535.00 0 -
407 Hemafort 0 - 716.00 2,135 1,528,660.00
408 Bioplacenton 0 - 19,950.00 140 2,793,000.00
409 Nephrolit 0 - 850.00 292 248,200.00
410 Ikaneuron 5000 0 - 1,875.00 0 -
411 Hepagard 0 - 2,595.00 405 1,050,975.00
412 Oksitetrasiklin Hcl salep kulit 3 % - 5 gr 0 - 2,000.00 312 624,000.00
413 Oksitetrasiklin Hcl Salep Mata 1 % - 3,5 gr 0 - 3,127.00 487 1,522,849.00
414 Piracetam 400 mg tab 0 - 608.00 400 243,200.00
415 Provomer 0 - 2,020.00 154 311,080.00
416 Pritasma 0 - 102.00 1,494 152,388.00
417 Sulfacetamid 0 - 2,100.00 236 495,600.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
418 Tensigard 0 - 2,710.00 547 1,482,370.00

419 Cardismo 0 - 3,300.00 190 627,000.00
420 Methisoprinol 500 mg 0 - 1,385.00 304 421,040.00
421 Nexitra 0 - 121.00 1,400 169,400.00
422 Bromifar 0 - 9,586.00 876 8,397,336.00
423 Ternix Syrup 0 - 140.00 99 13,860.00
424 Orphen 0 - 15,400.00 0 -
425 Faktu supp 0 - 821.00 235 192,935.00
426 solvitral 0 - 2,200.00 0 -
427 licogenta 0 - 13,200.00 202 2,666,400.00
428 Calamed 0 - 48,400.00 100 4,840,000.00
429 illiadin kinder 0 - 208.00 100 20,800.00
430 teosal 0 - 10,450.00 300 3,135,000.00
431 Gastrul 0 - 24,979.00 500 12,489,500.00
433 nutralix 0 - 636.00 0 -
434 trifaneuron 0 - 10,736.00 0 -
435 dianicol ds 0 - 11,779.00 0 -
436 kompolax 0 - 27,390.00 0 -
437 aptil 0 - 36,154.00 0 -
438 fartolin expectoran 0 - 716.00 0 -
439 flamigra 50 mg 0 - 33,580.00 0 -
440 vitacid 0,05 % 0 - 22,788.00 0 -
441 mediklin gell 0 - 21,912.00 0 -
442 lostascef 250 0 - 6,244.00 0 -
443 synarcus cr 0 - 529.00 0 -
444 grantusif 0 - 1,533.00 0 -
445 ulsicral 0 - 2,027.00 0 -
446 lazol 0 - 31,498.00 0 -
447 callusol 0 - 4,700.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
450 devosik drop 0 - 20,119.00 0 -

453 dumin rt 0 - 8,014.00 0 -
454 hustab syrup 0 - 46,587.00 0 -
455 acne feldin 0 - 82,827.00 0 -
456 Hemocain 0 - 3,984.00 0 -
458 epexol 0 - 13,988.00 0 -
459 dexigen krim 0 - 410.00 0 -
460 tromofal 0 - 8,185.00 0 -
461 quantidex syrup 0 - 12,375.00 0 -
462 cendo cetamid ed 0 - 1,142.00 0 -
463 metaneuron - 0 - - 0 -
465 BMHP JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
513 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 - 0 - - 0 -
536 OBAT GIGI JKN - 0 - - 0 -
537 - 0 - - 0 -
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
545 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
546 - 0 - - 0 -
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 -
560 - 0 - - 0 -
JUMLAH
63,070,090.00 703,048,385.00
AS KESEHATAN KABUPATEN BANDUNG BARAT TAHUN 2016
BULAN APRIL 2016
MUTASI
SALDO AKHIR A
MASUK KELUAR
SELAMA BULAN APRIL 2016 SELAMA BULAN APRIL 2016

SATUAN RP RP RP
- - 407.00 - - 36 - 407.00
- - 105.00 430 45,150.00 - - 105.00
- - 245.00 - - - 245.00
- - 5,150.00 - - - 5,150.00
- - 95.00 - - - 95.00
- - 3,240.00 - - - 3,240.00
- - 87.00 - - - 87.00
- - 112.00 - - - 112.00
- - 187.00 - - 1,635 - 187.00
- - - - - 10,008 - -
- - 200.00 - - - 200.00
- - 3,700.00 - - - 3,700.00
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 6,784 - - - -
- - 2,100.00 67 140,700.00 - 93 - 2,100.00
- - 1,904.00 24 45,696.00 - - 1,904.00
- - 1,552.00 - - - 1,552.00
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 96.00 - - - 96.00
- - 156.00 - - - 156.00
- - 32.00 - - 1,260 - 32.00
- - 128.00 - - - 128.00
- - 112.00 273 30,576.00 - 1,764 - 112.00
- - 388.00 12 4,656.00 - 15 - 388.00
- - 571.00 101 57,671.00 - 18 - 571.00
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 467 - - - -
- - 1,520.00 - - - 1,520.00
- - - - - 123 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 - - - 39.00
- - 7,837.00 14 109,718.00 - - 7,837.00
- - 181.00 - - - 181.00
- - 1,580.00 - - - 1,580.00
- - 53.00 - - - 53.00
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - 35.00 - - - 35.00
- - 56.00 18 1,008.00 - - 56.00
- - 1,054.00 - - - 1,054.00
- - 97.00 - - - 97.00
- - 253.00 - - - 253.00
- - 3,333.00 - - - 3,333.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 21.00 - - - 21.00
- - 8,100.00 - - - 8,100.00
- - 8,100.00 - - - 8,100.00
- - 500.00 - - - 500.00
- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - 104,000.00 - - - 104,000.00
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 160 9,760.00 - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - 39 - - - -
- - 1,566.00 - - - 1,566.00
- - 634.00 - - 173 - 634.00
- - 1,829.00 - - - 1,829.00
- - 85.00 100 8,500.00 - - 85.00
- - - 276 - - 278 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - 450.00 19 8,550.00 - - 450.00
- - - 304 - - - -
- - - 3,730 - - - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 1,452.00 - - - 1,452.00
- - 5,200.00 - - - 5,200.00
- - 228.00 - - 24 - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - 36.00 - - - 36.00
- - - - - 163 - -
- - 850.00 52 44,200.00 - - 850.00
- - - 1,841 - - 1,627 - -
- - - 1,098 - - 1,162 - -
- - 3,499.00 - - - 3,499.00
- - 88.00 - - - 88.00
- - 708.00 - - - 708.00
- - - - - - -
- - 62.00 - - 540 - 62.00
- - 80.00 178 14,240.00 - 230 - 80.00
- - 245.00 - - - 245.00
- - 372.00 5 1,860.00 - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - 44 - - - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
- - - - - - -
- - 15,364.00 - - - 15,364.00
- - 470.00 - - - 470.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 149.00 76 11,324.00 - 48 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 119 306,306.00 - 13 - 2,574.00
- - 473.00 - - - 473.00
- - 839.00 - - - 839.00
- - 1,363.00 - - 120 - 1,363.00
- - - 16 - - - -
- - 1,540.00 - - - 1,540.00
- - 1,440.00 - - - 1,440.00
- - 1,199.00 - - - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 76 9,424.00 - - 124.00
- - 182.00 - - 10 - 182.00
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - 1,490.00 - - - 1,490.00
- - - - - 40 - -
- - 3,850.00 - - - 3,850.00
- - 110.00 42 4,620.00 - 41 - 110.00
- - 105.00 - - - 105.00
- - 190.00 - - 773 - 190.00
- - - 14 - - - -
- - 10,449.00 - - - 10,449.00
- - 14.00 94 1,316.00 - - 14.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 166.00 - - - 166.00
- - 200.00 - - 404 - 200.00
- - 4,700.00 - - - 4,700.00
- - 100.00 11 1,100.00 - 100 - 100.00
- - 640.00 10 6,400.00 - 20 - 640.00
- - 407.00 - - 9 - 407.00
- - 2,783.00 - - - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - - - - - -
- - - 14 - - 13 - -
- - 530.00 - - - 530.00
- - 5,200.00 17 88,400.00 - - 5,200.00
- - 1,438.00 76 109,288.00 - 96 - 1,438.00

- - - 229 - - - -
- - - - - 18,203 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 - - - 311.00
- - 14.00 - - - 14.00
- - 70.00 - - - 70.00
- - 14,203.00 3 42,609.00 - - 14,203.00
- - 37,109.00 - - - 37,109.00
- - 2,163.00 7 15,141.00 - - 2,163.00
- - 52.00 128 6,656.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 1,248 - - - -
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 103.00 370 38,110.00 - - 103.00

- - - - - - -
- - 84.00 - - 318 - 84.00
- - 98.00 - - - 98.00
- - - 25 - - - -
- - 1,120.00 - - 83 - 1,120.00
- - 509.00 - - - 509.00
- - 4,746.00 - - - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 - - - 916.00
- - 13.00 - - - 13.00
- - 105.00 - - - 105.00
- - 169.00 - - 235 - 169.00
- - 255.00 - - 174 - 255.00
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 - - - 206.00
- - 140.00 - - - 140.00
- - 616.00 70 43,120.00 - - 616.00
- - 680.00 - - - 680.00
- - - - - - -
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - - - 10,494 - -
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - - - - -
- - 1,200,000.00 - - - 1,200,000.00
- - 160,000.00 - - - 160,000.00
- - 215,000.00 - - - 215,000.00
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - - - - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - 455.00 - - 650 - 455.00
- - - - - - -
- - - 200 - - - -
- - 257.00 - - - 257.00
- - - 5 - - - -
- - 26,667.00 70 1,866,690.00 - - 26,667.00
- - - - - - -
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 4,000.00 - - - 4,000.00
- - 3,500.00 - - - 3,500.00
- - - - - - -
- - - - - - -
- - 7,787.00 - - - 7,787.00
- - - 3 - - - -
- - 7,000.00 - - - 7,000.00
- - 10,000.00 - - - 10,000.00
- - 607.00 - - - 607.00
- - 303.00 - - - 303.00
- - - - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
- - - - - - -
- - 4,250.00 - - - 4,250.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 6,983.00 - - - 6,983.00
- - 4,000.00 - - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - 4,045.00 36 145,620.00 - 160 - 4,045.00

- - 17,700.00 - - - 17,700.00
- - 1,040.00 22 22,880.00 - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - 11,525.00 - - - 11,525.00
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - 27,000.00 - - - 27,000.00
- - - - - 2 - -
- - 15,000.00 - - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - - 1 - - - -
- - 372,000.00 - - - 372,000.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - 720.00 - - - 720.00
- - 18,700.00 - - - 18,700.00
- - - 32 - - - -
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - 244 - - - -
- - - 16 - - - -
- - 2,766.70 - - - 2,766.70
- - 11,474.00 9 103,266.00 - - 11,474.00
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - 23,000.00 - - - 23,000.00
- - 79,200.00 - - - 79,200.00
- - 6,600.00 - - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 - - - 611.00
- - 637,000.00 - - - 637,000.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - 130 - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 - - - 2,750.00
- - 770.00 5 3,850.00 - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - 8,898.00 10 88,980.00 - - 8,898.00
- - 55,714.00 - - - 55,714.00
- - 14,370.00 - - - 14,370.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 8,800.00 - - - 8,800.00
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 806.00 - - - 806.00
- - - - - - -
- - - - - - -
- - 495.00 - - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 - - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 15 - 539,000.00
- - 13,470.00 - - - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - 6 - -
- - - - - 3 - -
- - - - - 10 - -
- - - - - - -
- - - - - 21 - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 48 - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - 25 - -
- - - - - - -
- - - - - 1 - -
- - - - - 27 - -
- - - - - 3 - -
- - - - - 179 - -
- - - - - 9 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 2 - -
- - - - - 3 - -
- - - - - 7 - -
- - - - - 4 - -
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 296 - -
- - - - - 185 - -
- - - - - 53 - -
- - - - - 23 - -
- - - - - - -
- - - - - 52 - -
- - - - - 28 - -
- - - - - 48 - -
- - - - - 164 - -
- - - - - 37 - -
- - - - - 265 - -
- - - - - 920 - -
- - - - - - -
- - - - - 2 - -
- - - - - 272 - -
- - - - - 5 - -
- - - - - 12 - -
- - - - - - -
- - - - - 1,635 - -
- - - - - 3 - -
- - - - - - -
- - - - - - -
- - - - - 40 - -
- - - - - 3 - -
- - - - - 3 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 92 - -
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 436 - -
- - - - - - -
- - - - - - -
- - - - - 26 - -
- - - - - - -
- - - - - 60 - -
- - - - - 12 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 78 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 12 - -
- - - - - - -
- - - - - - -
- - - - - 3 - -
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR A
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- -
- - 3,437,385.00 -
- - - -
- - 3,437,385.00 -
- - 3,437,385.00 -
SALDO AKHIR APRIL 2016
DINKES JKN
HARGA SATUAN
RP
0 - - 309 - 0
111 11,655.00 - 0 - 111
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
181 15,747.00 - 2,170 - 181
488 54,656.00 - 344 - 488
3,000 561,000.00 - 1,722 - 3,000
10,000 - - 7,786 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
10,197 - - 0 -
197
285 598,500.00 - 911 -
54 102,816.00 - 200 -
54
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 101,740 - 0
0 - - 0 -
0 - - 10,517 - 0
456 176,928.00 - 3,751 -
140 79,940.00 - 8,058 - 140
0 - - 0 - 0
0 - - 0 -
573 - - 0 -
73
0 - - 0 -
175 - - 1,025 - 175
0 - - 0 - 0
4 156.00 - 0 -
22 172,414.00 - 0 - 22
0 - - 0 - 0
100 158,000.00 - 800 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
43 2,408.00 - 0 -
90 94,860.00 - 170 - 90
350 33,950.00 - 292 - 350
5 1,265.00 - 0 -
5
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
30 243,000.00 - 360 -
0 - - 449 -
0
0 - - 1,368 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
94 - - 0 -
0 - - 0 - 0
0 - - 1,397 - 0
0 - - 0 - 0
436 37,060.00 - 0 -
461 - - 4,296 -
461
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
9 4,050.00 - 0 - 9
502 - - 0 - 502
106 - - 0 - 106
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
9 46,800.00 - 0 - 9
0 - - 176 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
0 - - 0 - 0
120 - - 508 -
52 44,200.00 - 0 - 52
1,159 - - 1,477 - 159
3,519 - - 6,469 -
82 286,918.00 - 200 - 82
418 36,784.00 - 200 - 418
0 - - 0 - 0
500 - - 0 -
0 - - 8,664 - 0
3,124 249,920.00 - 250 -
494 121,030.00 - 0 - 494
66 24,552.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
16 - - 192 - 16
0 - - 0 - 0
0 - - 0 - 0
5,000 - - 0 -
3,011 46,261,004.00 - 0 - 3,011
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
514 76,586.00 - 3,932 -

514
0 - - 0 -
26 66,924.00 - 2,356 -
26
0 - - 0 -
0 - - 0 - 0
0 - - 540 -
1,984 - - 0 - -16
0 - - 0 - 0
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
1,024 126,976.00 - 0 - 1,024
0 - - 422 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
306 - - 1,384 -
6
0 - - 0 - 0
398 43,780.00 - 984 -
0 - - 0 - 0
500 95,000.00 - 1,160 -
92 - - 0 - -4
0 - - 0 - 0
5,624 78,736.00 - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 1,148 - 0
0 - - 0 -
24 2,400.00 - 200 - 24
260 166,400.00 - 1,134 - 260
0 - - 146 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
100 - - 0 -
1,050 - - 510 - 450
0 - - 0 -
0
50 260,000.00 - 0 -
0 - - 1,410 - 0
1,355 - - 0 - 1,355
21,600 - - 105,892 - 21,600
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
114 35,454.00 - 0 - 114
0 - - 0 - 0
0 - - 0 -
4 56,812.00 - 100 - 4
0 - - 0 -
48 103,824.00 - 0 - 48
1,048 54,496.00 - 0 -
0 - - 0 - 0
1,950 - - 0 - -50
DINKES JKN
HARGA SATUAN
RP
1,600 164,800.00 - 0 -
71 - - 0 - 71
0 - - 2,224 -
0 - - 0 - 0
139 - - 0 -
100 112,000.00 - 84 - 100

0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
210 192,360.00 - 0 -
210
0 - - 0 - 0
0 - - 0 -
0 - - 3,223 - 0
0 - - 1,208 -
0 - - 0 - 0
0 - - 0 - 0
595 122,570.00 - 0 -
0 - - 12,300 - 0
260 160,160.00 - 0 - 260
0 - - 0 - 0
3,000 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
13,600 - - 32,011 - 13,600
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 11 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
32 - - 0 - 32
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 10,300 - 0
0 - - 0 - 0
0 - - 0 - 0
1,000 455,000.00 - 3,565 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
195 - - 0 - 95
0 - - 0 -
48 - - 0 -
0
10 84,950.00 - 0 -
5 42,475.00 - 0 - 5
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
15 52,500.00 - 0 -
98 - - 0 - 98
50 - - 0 -
0 - - 0 -
0
12 - - 0 -
4 28,000.00 - 0 - 4
5 50,000.00 - 0 -
5
50 30,350.00 - 0 -
50
50 15,150.00 - 0 -
43 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
15 - - 0 -
3
25 106,250.00 - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
10 40,000.00 - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 2,732 - 0
0 - - 0 -
452 470,080.00 - 0 - 452
0 - - 0 - 0
0 - - 0 -
0 - - 4 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
20 - - 0 - 0
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
14 - - 0 - 4
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
182 - - 0 -
0 - - 0 - 0
0 - - 0 -
681 - - 0 - 681
300 - - 0 -
0 - - 0 - 0
11 126,214.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
2 1,222.00 - 0 - 2
0 - - 150 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
950 - - 0 -
0 - - 0 - 0
40 110,000.00 - 0 -
43 33,110.00 - 0 - 43
48 36,960.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
103 916,494.00 - 0 -
12 668,568.00 - 0 - 12
36 517,320.00 - 0 -
24 55,008.00 - 0 - 24
12 27,504.00 - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
2 4,584.00 - 0 - 2
103 236,076.00 - 0 - 103
20 176,000.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
100 - - 0 -
28 22,568.00 - 0 -
350 - - 0 - 150
200 - - 0 - 0
60 29,700.00 - 0 - 60
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 530 -
0 - - 489 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 8 - 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 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 3,000 - 0
0 - - 141 -
0 - - 42 - 0
0 - - 929 - 0
0 - - 600 - 0
0 - - 216 -
0 - - 80 - 0
0 - - 190 - 0
0 - - 50 -
0 - - 78 - 0
0 - - 24 -
0 - - 144 -
0
0 - - 297 -
0 - - 6,000 - 0
0 - - 63 -
0 - - 517 - 0
0 - - 6 -
0 - - 155 - 0
0 - - 34 - 0
0 - - 0 -
0 - - 66 - 0
0 - - 100 - 0
0 - - 100 -
0 - - 3,000 - 0
0 - - 600 -
0 - - 41 - 0
0 - - 75 - 0
0 - - 259 -
0 - - 38 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 286 - 0
0 - - 372 -
0 - - 1,681 - 0
0 - - 693 - 0
0 - - 0 - 0
0 - - 464 -
0 - - 85 - 0
0 - - 0 -
0 - - 76 - 0
0 - - 329 -
0 - - 211 - 0
0 - - 0 -
0 - - 120 - 0
0 - - 48 -
0 - - 7,298 -
0
0 - - 563 -
0 - - 450 - 0
0 - - 0 - 0
0 - - 500 - 0
0 - - 137 -
0 - - 292 - 0
0 - - 0 -
0 - - 365 - 0
0 - - 309 -
0 - - 484 - 0
0 - - 400 -
0 - - 154 - 0
0 - - 1,494 -
0 - - 144 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 547 - 0
0 - - 190 - 0
0 - - 304 -
0 - - 1,400 - 0
0 - - 440 -
0 - - 99 - 0
0 - - 0 -
0 - - 209 - 0
0 - - 0 -
0 - - 142 - 0
0 - - 88 - 0
0 - - 100 - 0
0 - - 300 - 0
0 - - 500 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 12 - 0
0 - - 12 -
0 - - 48 - 0
0 - - 48 -
0 - - 36 - 0
0 - - 48 -
0 - - 48 - 0
0 - - 77 -
0 - - 47 - 0
0 - - 1 -
0 - - 100 - 0
0 - - 100 - 0
0 - - 11 - 0
0 - - 450 - 0
0 - - 800 -
0 - - 25 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 1 -
0 - - 29 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
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
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
55,945,970.00 -
- -
55,945,970.00 -
55,945,970.00 -
DINAS KESEHATAN KABUPATEN BANDUNG BARA
BULAN MEI 2016
SALDO AWAL 1 MEI 2016

MASUK
SELAMA BULAN MEI 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
5 Ambroxol tab 95.00 0 - - 0 -
9 Amlodipin 5 mg tab 187.00 3,000 561,000.00 - 1,722 -
10 Amoksisilin kaplet 500 mg - 10,000 - - 7,786 -
285 598,500.00 911 -
16 2,100.00 -
17 Salisilat 3% 1,904.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

25 Asam Mefenamat 500 mg 112.00 0 - - 10,517 -
0 - 0 -
29 1,230.00 -
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
5 1,265.00 0 -
47 253.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
49 21.00 -
30 243,000.00 360 -
50 8,100.00 -
0 - 449 -
51 8,100.00 -
58 Fenobarbital tablet 30 mg 61.00 0 - - 0 -
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
73 Gliseril Gualakolat tablet 100 mg - 106 - - 0 -
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

90 Kalsium Laktat (Kalk) tablet 500 mg - 500 - - 0 -
93 Karbamazepin 200 mg 245.00 494 121,030.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
105 Klorfeniramina mealeat (CTM) tablet 4 mg - 5,000 - - 0 -
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

112 Lidokain inj 2% @ 2 ml 839.00 0 - - 0 -
0 - 540 -
113 1,363.00 -
114 Loratadin tablet 10 mg - 1,984 - - 0 -
0 - 0 -
116 1,440.00 -
0 - 0 -
Meloksikam 15 mg
117 1,199.00 -
120 Metformin HCl 500 mg 182.00 0 - - 422 -
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
123 1 ml 1,490.00 -
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 306 - 1,384 -
124 mg - -
126 Metoklopramid tablet 10 mg 110.00 398 43,780.00 - 984 -
129 Mikonazole krim/salep 2 % (nitrat) - 10 gr - 92 - - 0 -
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

134 Natrium Klorida larutan infus 0,9% - 500 ml 4,700.00 0 - - 0 -
141 Oksitosin injeksi 10 IU/ml-1 ml - 100 - - 0 -
142 Omeprazole 20 mg - 1,050 - - 510 -
0 - 0 -
143 530.00 -
50 260,000.00 0 -
144 5,200.00 -
145 Paracetamol sirup 120 mg / 5 ml - 60 ml 1,438.00 0 - - 1,410 -
159 Ranitidin tab 150 mg - 1,950 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

164 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr 1,120.00 100 112,000.00 - 84 -
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
210 192,360.00 0 -
174 916.00 -
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) - 3,000 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
190 Obat Gigi - 0 - - 0 -

198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 32 - - 0 -
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 -
207 Retinol (VIT A) 100.000 UI - 0 - - 10,300 - 200
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg 455.00 1,000 455,000.00 - 3,565 -
0 - 0 -
215 26,667.00 -
48 - 0 -
216 - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

0 - 0 -
224 7,787.00 -
12 - 0 -
225 - -
5 50,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
50 15,150.00 0 -
229 303.00 -
43 - 0 -
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
15 - 0 -
237 - -
25 106,250.00 0 -
238 4,250.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
239 6,983.00 -
10 40,000.00 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
245 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml 4,045.00 0 - - 2,732 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml 27,000.00 0 - - 0 -
255 Etanol 70 % - 100 ml - 20 - - 0 -
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
265 Lisol 1000 ml - 14 - - 0 -
266 Meropenem inj 372,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

Multivitamin Sirup Pertumbuhan (Mengandung Lysine dan 182 - 0 -
271 Biotin) - 60 ml - -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
Obat Flu sirup Kombinasi (Parasetamol 150 mg, 300 - 0 -
275 Fenilpropanolamin HCl, CTM,DMP) - 60 ml - -
279 Propofol inj 11,474.00 0 - - 0 -
285 Obat Gigi 600.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

298 Obat program 13,200.00 0 - - 0 -
300 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
316 IV Cathetter No. 18 8,898.00 103 916,494.00 - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
328 Klem Umbilical - 100 - - 0 -

329 Ky Jelly 806.00 28 22,568.00 - 0 -
330 Masker - 350 - - 0 -
331 Sarung tangan non steril - 200 - - 0 -
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 489 -
0 - 0 -
0 - 0 -
348 nebules - -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

359 norit 0 - 436.00 3,000 1,308,000.00
360 spasminal 0 - 312.00 141 43,992.00
361 heparin gel 0 - 652.00 42 27,384.00
362 osmigra 0 - 54,450.00 929 50,584,050.00
363 scopma 0 - 4,210.00 600 2,526,000.00
364 curviplex syrup 0 - 1,320.00 216 285,120.00
365 protifed syrup 0 - 12,500.00 80 1,000,000.00
366 kanina syrup 0 - 8,184.00 190 1,554,960.00
367 clonaderm 0 - 5,800.00 50 290,000.00
368 mezinex 0 - 13,300.00 78 1,037,400.00
369 mulsanol drop 0 - 7,180.00 24 172,320.00
0 - 144 2,851,200.00
370 nisagon 19,800.00
0 - 297 2,759,724.00
372 eltazon 0 - 33,263.00 6,000 199,578,000.00
373 bufacort n 0 - 243.00 63 15,309.00
374 Parsifen plus 0 - 5,756.00 517 2,975,852.00
375 Clinica gel 0 - 470.00 6 2,820.00
376 Lycovir sk 0 - 20,900.00 155 3,239,500.00
377 Dextaco syr 0 - 3,784.00 34 128,656.00
378 Dextaco tab 0 - 30,200.00 0 -
379 Ichtiol 0 - 296.00 66 19,536.00
381 Gentian violet 0 - 3,300.00 100 330,000.00
382 Trihexipenidil Tab 0 - 3,200.00 3,000 9,600,000.00
383 Xypanzim 0 - 434.00 600 260,400.00
384 Microlax 0 - 1,210.00 41 49,610.00
385 RecoTetes Mata 0 - 14,300.00 75 1,072,500.00
387 Solathin DS 0 - 6,654.00 38 252,852.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
388 Primunox 0 - 7,150.00 0 -

389 Lodecon F 0 - 2,241.00 286 640,926.00
390 Lodecon Kaplet 0 - 850.00 372 316,200.00
391 Selkom C 0 - 865.00 1,681 1,454,065.00
392 Truvit Syrup 0 - 1,100.00 693 762,300.00
393 Alludona D 0 - 11,900.00 0 -
394 Lexigo 0 - 450.00 464 208,800.00
395 GOM 0 - 660.00 85 56,100.00
396 Zemindo Syrup 0 - 3,328.00 0 -
397 Solafluz 0 - 34,100.00 76 2,591,600.00
398 Fortusin 0 - 10,670.00 329 3,510,430.00
399 Cavicur 0 - 12,100.00 211 2,553,100.00
400 Dolo Licobion 0 - 495.00 0 -
401 Osteotin 0 - 967.00 120 116,040.00
402 Erphacea 0 - 3,270.00 48 156,960.00
0 - 7,298 326,731,460.00
403 Novachlor 44,770.00
0 - 563 277,559.00
405 Lacto B 0 - 12,650.00 450 5,692,500.00
406 Melixicam 0 - 4,535.00 0 -
407 Hemafort 0 - 716.00 500 358,000.00
408 Bioplacenton 0 - 19,950.00 137 2,733,150.00
409 Nephrolit 0 - 850.00 292 248,200.00
410 Ikaneuron 5000 0 - 1,875.00 0 -
411 Hepagard 0 - 2,595.00 365 947,175.00
412 Oksitetrasiklin Hcl salep kulit 3 % - 5 gr 0 - 2,000.00 309 618,000.00
413 Oksitetrasiklin Hcl Salep Mata 1 % - 3,5 gr 0 - 3,127.00 484 1,513,468.00
414 Piracetam 400 mg tab 0 - 608.00 400 243,200.00
415 Provomer 0 - 2,020.00 154 311,080.00
416 Pritasma 0 - 102.00 1,494 152,388.00
417 Sulfacetamid 0 - 2,100.00 144 302,400.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
418 Tensigard 0 - 2,710.00 547 1,482,370.00

419 Cardismo 0 - 3,300.00 190 627,000.00
420 Methisoprinol 500 mg 0 - 1,385.00 304 421,040.00
421 Nexitra 0 - 121.00 1,400 169,400.00
422 Bromifar 0 - 9,586.00 440 4,217,840.00
423 Ternix Syrup 0 - 140.00 99 13,860.00
424 Orphen 0 - 15,400.00 0 -
425 Faktu supp 0 - 821.00 209 171,589.00
426 solvitral 0 - 2,200.00 0 -
427 licogenta 0 - 13,200.00 142 1,874,400.00
428 Calamed 0 - 48,400.00 88 4,259,200.00
429 illiadin kinder 0 - 208.00 100 20,800.00
430 teosal 0 - 10,450.00 300 3,135,000.00
431 Gastrul 0 - 24,979.00 500 12,489,500.00
433 nutralix 0 - 636.00 0 -
434 trifaneuron 0 - 10,736.00 0 -
435 dianicol ds 0 - 11,779.00 0 -
436 kompolax 0 - 27,390.00 0 -
437 aptil 0 - 36,154.00 0 -
438 fartolin expectoran 0 - 716.00 0 -
439 flamigra 50 mg 0 - 33,580.00 0 -
440 vitacid 0,05 % 0 - 22,788.00 0 -
441 mediklin gell 0 - 21,912.00 0 -
442 lostascef 250 0 - 6,244.00 0 -
443 synarcus cr 0 - 529.00 0 -
444 grantusif 0 - 1,533.00 0 -
445 ulsicral 0 - 2,027.00 0 -
446 lazol 0 - 31,498.00 0 -
447 callusol 0 - 4,700.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
450 devosik drop 0 - 20,119.00 0 -

453 dumin rt 0 - 8,014.00 0 -
454 hustab syrup 0 - 46,587.00 0 -
455 acne feldin 0 - 82,827.00 0 -
456 Hemocain 0 - 3,984.00 0 -
458 epexol 0 - 13,988.00 0 -
459 dexigen krim 0 - 410.00 0 -
460 tromofal 0 - 8,185.00 0 -
461 quantidex syrup 0 - 12,375.00 0 -
462 cendo cetamid ed 0 - 1,142.00 0 -
463 metaneuron - 0 - - 0 -
465 BMHP JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
513 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 - 0 - - 0 -
536 OBAT GIGI JKN - 0 - - 0 -
537 - 0 - - 0 -
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
545 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
546 - 0 - - 0 -
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 -
560 - 0 - - 0 -
JUMLAH
55,945,970.00 665,783,535.00
BULAN MEI 2016
MUTASI
SALDO AKHIR
MASUK KELUAR
SELAMA BULAN MEI 2016 SELAMA BULAN MEI 2016

SATUAN RP RP RP
- - 407.00 - - 5 - 407.00
- - 105.00 111 11,655.00 - - 105.00
- - 245.00 - - - 245.00
- - 5,150.00 - - - 5,150.00
- - 95.00 - - - 95.00
- - 3,240.00 - - - 3,240.00
- - 87.00 - - - 87.00
- - 112.00 - - - 112.00
- - 187.00 13 2,431.00 - 1,722 - 187.00
- - - 1,362 - - 7,786 - -
- - 200.00 - - - 200.00
- - 3,700.00 - - - 3,700.00
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 3,995 - - - -
- - 2,100.00 62 130,200.00 - 79 - 2,100.00
- - 1,904.00 24 45,696.00 - - 1,904.00
- - 1,552.00 - - - 1,552.00
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 96.00 - - - 96.00
- - 156.00 - - - 156.00
- - 32.00 - - 1,583 - 32.00
- - 128.00 - - - 128.00
- - 112.00 - - 1,981 - 112.00
- - 388.00 - - 36 - 388.00
- - 571.00 60 34,260.00 - - 571.00
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 189 - - - -
- - 1,520.00 - - - 1,520.00
- - - - - 72 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 - - - 39.00
- - 7,837.00 20 156,740.00 - - 7,837.00
- - 181.00 - - - 181.00
- - 1,580.00 - - - 1,580.00
- - 53.00 - - - 53.00
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - 35.00 - - - 35.00
- - 56.00 10 560.00 - - 56.00
- - 1,054.00 - - - 1,054.00
- - 97.00 - - - 97.00
- - 253.00 - - - 253.00
- - 3,333.00 - - - 3,333.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 21.00 - - - 21.00
- - 8,100.00 - - - 8,100.00
- - 8,100.00 - - - 8,100.00
- 1 - 500.00 - - - 500.00
- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - 104,000.00 - - - 104,000.00
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 - - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - 94 - - - -
- - 1,566.00 - - - 1,566.00
- - 634.00 - - 88 - 634.00
- - 1,829.00 - - - 1,829.00
- - 85.00 175 14,875.00 - - 85.00
- - - 228 - - 72 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - 450.00 9 4,050.00 - - 450.00
- - - 280 - - - -
- - - 106 - - - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 1,452.00 - - - 1,452.00
- - 5,200.00 - - - 5,200.00
- - 228.00 - - 17 - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - 36.00 - - - 36.00
- - - - - 193 - -
- - 850.00 52 44,200.00 - - 850.00
- - - 1,159 - - 1,477 - -
- - - 1,383 - - 1,862 - -
- - 3,499.00 - - - 3,499.00
- - 88.00 - - - 88.00
- - 708.00 - - - 708.00
- - - 500 - - - -
- - 62.00 - - 918 - 62.00
- - 80.00 114 9,120.00 - 250 - 80.00
- - 245.00 20 4,900.00 - - 245.00
- - 372.00 5 1,860.00 - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - 16 - - 58 - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
- - - 5,000 - - - -
- - 15,364.00 - - - 15,364.00
- - 470.00 - - - 470.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 149.00 27 4,023.00 - 60 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 26 66,924.00 - 170 - 2,574.00
- - 473.00 - - - 473.00
- - 839.00 - - - 839.00
- - 1,363.00 - - 250 - 1,363.00
- - - 207 - - - -
- - 1,540.00 - - - 1,540.00
- - 1,440.00 - - - 1,440.00
- - 1,199.00 - - - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 10 1,240.00 - - 124.00
- - 182.00 - - 31 - 182.00
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - 1,490.00 - - - 1,490.00
- - - 12 - - 16 - -
- - 3,850.00 - - - 3,850.00
- - 110.00 27 2,970.00 - 10 - 110.00
- - 105.00 - - - 105.00
- - 190.00 - - 1,023 - 190.00
- - - 26 - - - -
- - 10,449.00 - - - 10,449.00
- - 14.00 103 1,442.00 - - 14.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 166.00 - - - 166.00
- - 200.00 - - 396 - 200.00
- - 4,700.00 - - - 4,700.00
- - 100.00 5 500.00 - - 100.00
- - 640.00 10 6,400.00 - 56 - 640.00
- - 407.00 - - 17 - 407.00
- - 2,783.00 - - - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - - 100 - - - -
- - - 140 - - 180 - -
- - 530.00 - - - 530.00
- - 5,200.00 50 260,000.00 - - 5,200.00
- - 1,438.00 - - 135 - 1,438.00

- - - 210 - - - -
- - - - - 17,403 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 4 1,244.00 - - 311.00
- - 14.00 - - - 14.00
- - 70.00 - - - 70.00
- - 14,203.00 4 56,812.00 - 4 - 14,203.00
- - 37,109.00 - - - 37,109.00
- - 2,163.00 8 17,304.00 - - 2,163.00
- - 52.00 34 1,768.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 1,282 - - - -
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 103.00 250 25,750.00 - - 103.00

- - - 40 - - - -
- - 84.00 - - 435 - 84.00
- - 98.00 - - - 98.00
- - - 36 - - - -
- - 1,120.00 22 24,640.00 - 84 - 1,120.00

- - 509.00 - - - 509.00
- - 4,746.00 - - - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 - - - 916.00
- - 13.00 - - - 13.00
- - 105.00 - - - 105.00
- - 169.00 - - 410 - 169.00
- - 255.00 - - 100 - 255.00
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 - - - 206.00
- - 140.00 - - - 140.00
- - 616.00 120 73,920.00 - - 616.00
- - 680.00 - - - 680.00
- - - 3,000 - - - -
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - - - 10,599 - -
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - - - - -
- - 1,200,000.00 - - - 1,200,000.00
- - 160,000.00 - - - 160,000.00
- - 215,000.00 - - - 215,000.00
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - 200 - - - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - 455.00 - - 1,625 - 455.00
- - - - - - -
- - - - - - -
- - 257.00 - - - 257.00
- - - 100 - - - -
- - 26,667.00 - - - 26,667.00
- - - - - - -
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 4,000.00 - - - 4,000.00
- - 3,500.00 15 52,500.00 - - 3,500.00
- - - 98 - - - -
- - - 50 - - - -
- - 7,787.00 - - - 7,787.00
- - - 2 - - - -
- - 7,000.00 - - - 7,000.00
- - 10,000.00 - - - 10,000.00
- - 607.00 - - - 607.00
- - 303.00 50 15,150.00 - - 303.00
- - - 10 - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
- - - 4 - - - -
- - 4,250.00 - - - 4,250.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 6,983.00 - - - 6,983.00
- - 4,000.00 - - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - 4,045.00 - - 197 - 4,045.00

- - 17,700.00 - - - 17,700.00
- - 1,040.00 10 10,400.00 - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - 11,525.00 - - - 11,525.00
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - 27,000.00 - - - 27,000.00
- - - 10 - - - -
- - 15,000.00 - - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - - - - - -
- - 372,000.00 - - - 372,000.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - 720.00 - - - 720.00
- - 18,700.00 - - - 18,700.00
- - - 30 - - - -
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - 117 - - - -
- - - 66 - - - -
- - 2,766.70 - - - 2,766.70
- - 11,474.00 - - - 11,474.00
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - 23,000.00 - - - 23,000.00
- - 79,200.00 - - - 79,200.00
- - 6,600.00 - - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 2 1,222.00 - - 611.00
- - 637,000.00 - - 2 - 637,000.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - 1,350 - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 40 110,000.00 - - 2,750.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - 8,898.00 45 400,410.00 - - 8,898.00
- - 55,714.00 - - - 55,714.00
- - 14,370.00 - - - 14,370.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 1 2,292.00 - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 8,800.00 - - - 8,800.00
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - - 50 - - - -
- - 806.00 - - - 806.00
- - - - - - -
- - - 50 - - - -
- - 495.00 - - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 - - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 18 - 539,000.00
- - 13,470.00 - - 10 - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - 17 - -
- - - - - - -
- - - - - - -
- - - - - 6 - -
- - - - - 21 - -
- - - - - 5 - -
- - - - - - -
- - - - - - -
- - - - - 6 - -
- - - - - 24 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 25 - -
- - - - - 6 - -
- - - - - 2 - -
- - - - - 27 - -
- - - - - - -
- - - - - - -
- - - - - 8 - -
- - - - - - -
- - - - - 10 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 6 - -
- - - - - 11 - -
- - - - - 7 - -
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 218 - -
- - - - - 247 - -
- - - - - 85 - -
- - - - - 21 - -
- - - - - - -
- - - - - 46 - -
- - - - - 23 - -
- - - - - - -
- - - - - 76 - -
- - - - - 17 - -
- - - - - - -
- - - - - - -
- - - - - 54 - -
- - - - - - -
- - - - - 272 - -
- - - - - 16 - -
- - - - - 22 - -
- - - - - - -
- - - - - 500 - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - 140 - -
- - - - - 25 - -
- - - - - 4 - -
- - - - - - -
- - - - - 10 - -
- - - - - - -
- - - - - 144 - -
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 420 - -
- - - - - - -
- - - - - - -
- - - - - 18 - -
- - - - - - -
- - - - - 78 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 50 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 24 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 2 - -
- - - - - 100 - -
- - - - - - -
- - - - - 2 - -
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
-
- - 1,597,458.00 -
- - - -
- - 1,597,458.00 -
- - 1,597,458.00 -
SALDO AKHIR MEI 2016
DINKES JKN
HARGA SATUAN
RP
0 - - 304 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
181 15,747.00 - 2,170 - 181
488 54,656.00 - 344 - 488
2,987 558,569.00 - 0 - 2,987
8,638 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
6,202 - - 0 -
6,202
223 468,300.00 - 832 -
30 57,120.00 - 200 -
30
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 100,157 - 0
0 - - 0 -
0 - - 8,536 - 0
456 176,928.00 - 3,715 -
80 45,680.00 - 8,058 - 80
0 - - 0 - 0
0 - - 0 -
384 - - 0 -
384
0 - - 0 -
175 - - 953 - 175
0 - - 0 - 0
4 156.00 - 0 -
2 15,674.00 - 0 - 2
0 - - 0 - 0
100 158,000.00 - 800 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
33 1,848.00 - 0 -
90 94,860.00 - 170 - 90
350 33,950.00 - 292 - 350
5 1,265.00 - 0 -
5
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
30 243,000.00 - 360 -
0 - - 449 -
0
0 - - 1,369 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 1,309 - 0
0 - - 0 - 0
261 22,185.00 - 0 -
233 - - 4,224 -
233
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
222 - - 0 - 222
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
9 46,800.00 - 0 - 9
0 - - 159 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
0 - - 0 - 0
120 - - 315 -
0 - - 0 - 0
0 - - 0 - 0
2,136 - - 4,607 -
82 286,918.00 - 200 - 82
418 36,784.00 - 200 - 418
0 - - 0 - 0
0 - - 0 -
0 - - 7,746 - 0
3,010 240,800.00 - 0 -
474 116,130.00 - 0 - 474
61 22,692.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 134 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
3,011 46,261,004.00 - 0 - 3,011
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
487 72,563.00 - 3,872 -

487
0 - - 0 -
0 - - 2,186 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 290 -
1,777 - - 0 - 1,777
0 - - 0 - 0
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
1,014 125,736.00 - 0 - 1,014
0 - - 391 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
294 - - 1,368 -
294
0 - - 0 - 0
371 40,810.00 - 974 -
0 - - 0 - 0
500 95,000.00 - 137 -
66 - - 0 - 66
0 - - 0 - 0
5,521 77,294.00 - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 752 - 0
0 - - 0 -
19 1,900.00 - 200 - 19
250 160,000.00 - 1,078 - 250
0 - - 129 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
910 - - 330 - 910
0 - - 0 -
0
0 - - 0 -
0 - - 1,275 - 0
1,145 - - 0 - 1,145
21,600 - - 88,489 - 21,600
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
110 34,210.00 - 0 - 110
0 - - 0 - 0
0 - - 0 -
0 - - 96 - 0
0 - - 0 -
40 86,520.00 - 0 - 40
1,014 52,728.00 - 0 -
0 - - 0 - 0
668 - - 0 - 668
DINKES JKN
HARGA SATUAN
RP
1,350 139,050.00 - 0 -
31 - - 0 - 31
0 - - 1,789 -
0 - - 0 - 0
103 - - 0 -
78 87,360.00 - 0 - 78
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
210 192,360.00 - 0 -
210
0 - - 0 - 0
0 - - 0 -
0 - - 2,813 - 0
0 - - 1,108 -
0 - - 0 - 0
0 - - 0 - 0
595 122,570.00 - 0 -
0 - - 12,300 - 0
140 86,240.00 - 0 - 140
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
13,600 - - 21,412 - 13,600
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 11 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
32 - - 0 - 32
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 10,300 - -200
0 - - 0 - 0
0 - - 0 - 0
1,000 455,000.00 - 1,940 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
95 - - 0 - 95
0 - - 0 -
48 - - 0 -
48
10 84,950.00 - 0 -
5 42,475.00 - 0 - 5
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
10 - - 0 -
4 28,000.00 - 0 - 4
5 50,000.00 - 0 -
5
50 30,350.00 - 0 -
50
0 - - 0 -
33 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
11 - - 0 -
11
25 106,250.00 - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
10 40,000.00 - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 2,535 - 0
0 - - 0 -
442 459,680.00 - 0 - 442
0 - - 0 - 0
0 - - 0 -
0 - - 4 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
10 - - 0 - 10
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
14 - - 0 - 14
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
152 - - 0 -
0 - - 0 - 0
0 - - 0 -
564 - - 0 - 564
234 - - 0 -
0 - - 0 - 0
11 126,214.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 148 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
600 - - 0 -
0 - - 0 - 0
0 - - 0 -
43 33,110.00 - 0 - 43
48 36,960.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
58 516,084.00 - 0 -
12 668,568.00 - 0 - 12
36 517,320.00 - 0 -
24 55,008.00 - 0 - 24
12 27,504.00 - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
1 2,292.00 - 0 - 1
103 236,076.00 - 0 - 103
20 176,000.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
50 - - 0 -
28 22,568.00 - 0 -
350 - - 0 - 350
150 - - 0 - 150
60 29,700.00 - 0 - 60
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 512 -
0 - - 479 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 8 - 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 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 3,000 - 0
0 - - 124 -
0 - - 42 - 0
0 - - 929 - 0
0 - - 594 - 0
0 - - 195 -
0 - - 75 - 0
0 - - 190 - 0
0 - - 50 -
0 - - 72 - 0
0 - - 0 -
0 - - 144 -
0
0 - - 297 -
0 - - 6,000 - 0
0 - - 38 -
0 - - 511 - 0
0 - - 4 -
0 - - 128 - 0
0 - - 34 - 0
0 - - 0 -
0 - - 58 - 0
0 - - 100 - 0
0 - - 90 -
0 - - 3,000 - 0
0 - - 600 -
0 - - 41 - 0
0 - - 69 - 0
0 - - 248 -
0 - - 31 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 68 - 0
0 - - 125 -
0 - - 1,596 - 0
0 - - 672 - 0
0 - - 0 - 0
0 - - 418 -
0 - - 62 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 312 -
0 - - 211 - 0
0 - - 0 -
0 - - 66 - 0
0 - - 48 -
0 - - 7,026 -
0
0 - - 547 -
0 - - 428 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 136 -
0 - - 292 - 0
0 - - 0 -
0 - - 225 - 0
0 - - 284 -
0 - - 480 - 0
0 - - 400 -
0 - - 144 - 0
0 - - 1,494 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 547 - 0
0 - - 190 - 0
0 - - 304 -
0 - - 1,400 - 0
0 - - 20 -
0 - - 99 - 0
0 - - 0 -
0 - - 191 - 0
0 - - 0 -
0 - - 64 - 0
0 - - 88 - 0
0 - - 100 - 0
0 - - 300 - 0
0 - - 450 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 12 - 0
0 - - 12 -
0 - - 48 - 0
0 - - 24 -
0 - - 36 - 0
0 - - 48 -
0 - - 48 - 0
0 - - 77 -
0 - - 47 - 0
0 - - 1 -
0 - - 100 - 0
0 - - 100 - 0
0 - - 9 - 0
0 - - 350 - 0
0 - - 800 -
0 - - 23 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 29 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
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
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
54,348,512.00 -
- -
54,348,512.00 -
54,348,512.00 -
DINAS KESEHATAN KABUPATEN BANDUNG BARAT T
BULAN JUNI 2016
SALDO AWAL 1 JUNI 2016

MASUK
SELAMA BULAN JUNI 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
5 Ambroxol tab 95.00 0 - - 0 -
9 Amlodipin 5 mg tab 187.00 2,987 558,569.00 - 0 - 3,000
10 Amoksisilin kaplet 500 mg - 8,638 - - 0 - 10,000
223 468,300.00 832 -
16 2,100.00 -
17 Salisilat 3% 1,904.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

25 Asam Mefenamat 500 mg 112.00 0 - - 8,536 - 3,000
0 - 0 -
29 1,230.00 -
32 Betametason krim 0,1 % - 5 gr - 175 - - 953 -
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
38 Deksametason tablet 0,5 mg 53.00 0 - - 0 - 10,000
43 Diazepam tablet 2 mg 35.00 0 - - 0 - 100
5 1,265.00 0 -
47 253.00 -
48 Domperidone Suspensi 5 mg/5 ml - 60 ml 3,333.00 0 - - 0 - 50
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
49 21.00 -
30 243,000.00 360 -
50 8,100.00 -
0 - 449 -
51 8,100.00 -
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g + Kalium 233 - 4,224 - 500
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
71 Gentian violet Larutan 1 % - 10 ml 450.00 0 - - 0 - 48
72 Glibenklamida tablet 5 mg - 222 - - 0 - 500
73 Gliseril Gualakolat tablet 100 mg - 0 - - 0 -
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

82 Hidroklorotiazida (HCT) tablet 25 mg 36.00 0 - - 0 - 2,000
84 Hyoscine-N-Butilbromide tablet 10 mg 850.00 0 - - 0 -
85 Ibuprofen tablet 200 mg - 0 - - 0 -
93 Karbamazepin 200 mg 245.00 474 116,130.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
105 Klorfeniramina mealeat (CTM) tablet 4 mg - 0 - - 0 - 5,000
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

Kotrimosazol Suspensi Kombinasi: Sulfametoksazol 200 mg 0 - 2,186 -
112 Lidokain inj 2% @ 2 ml 839.00 0 - - 0 -
0 - 290 -
113 1,363.00 -
0 - 0 -
116 1,440.00 -
0 - 0 -
Meloksikam 15 mg
117 1,199.00 -
120 Metformin HCl 500 mg 182.00 0 - - 391 -
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
123 1 ml 1,490.00 -
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 294 - 1,368 - 500
124 mg - -
128 Metronidazole tablet 500 mg 190.00 500 95,000.00 - 137 -
129 Mikonazole krim/salep 2 % (nitrat) - 10 gr - 66 - - 0 - 96
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

133 Natrium diklofenak 50 mg 200.00 0 - - 752 -
134 Natrium Klorida larutan infus 0,9% - 500 ml 4,700.00 0 - - 0 - 20
141 Oksitosin injeksi 10 IU/ml-1 ml - 0 - - 0 - 100
142 Omeprazole 20 mg - 910 - - 330 -
0 - 0 -
143 530.00 -
0 - 0 -
144 5,200.00 -
154 Povidon Iodida larutan 10 % - 300 ml 14,203.00 0 - - 96 -
159 Ranitidin tab 150 mg - 668 - - 0 - 2,000
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

161 Ringer Laktat larutan infus - 500 ml - 31 - - 0 - 40
164 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr 1,120.00 78 87,360.00 - 0 - 50
166 Sefadroksil kapsul 500 mg 509.00 0 - - 0 - 1,000
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
210 192,360.00 0 -
174 916.00 -
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) - 0 - - 0 - 5,000
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
190 Obat Gigi - 0 - - 0 -

198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 32 - - 0 -
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 -
207 Retinol (VIT A) 100.000 UI - 0 - - 10,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg 455.00 1,000 455,000.00 - 1,940 -
0 - 0 - 48
215 26,667.00 -
48 - 0 - 48
216 - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

221 Infusion set dewasa (SNI) 3,500.00 0 - - 0 - 50
222 IV Catheter No 20 G (SNI) - 0 - - 0 - 100
0 - 0 -
224 7,787.00 -
10 - 0 -
225 - -
5 50,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
0 - 0 -
229 303.00 -
33 - 0 -
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
11 - 0 -
237 - -
25 106,250.00 0 - 100
238 4,250.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
239 6,983.00 -
10 40,000.00 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml 27,000.00 0 - - 0 -
255 Etanol 70 % - 100 ml - 10 - - 0 -
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
265 Lisol 1000 ml - 14 - - 0 -
266 Meropenem inj 372,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

269 Multivitamin dan Mineral Tablet untuk remaja 720.00 0 - - 0 - 2,000
271 Biotin) - 60 ml - -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
Obat Flu sirup Kombinasi (Parasetamol 150 mg, 234 - 0 - 180
279 Propofol inj 11,474.00 0 - - 0 -
280 Salbutamol for Nebulizer 2,5mg/2,5 ml NaCl 23,000.00 0 - - 0 - 100
285 Obat Gigi 600.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
295 Temporary Filling Pasta 611.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

298 Obat program 13,200.00 0 - - 0 -
300 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
307 Bisturi ujung Lancip No. 11 2,750.00 0 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
316 IV Cathetter No. 18 8,898.00 58 516,084.00 - 0 - 50
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
328 Klem Umbilical - 50 - - 0 - 100

329 Ky Jelly 806.00 28 22,568.00 - 0 -
330 Masker - 350 - - 0 -
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 479 -
0 - 0 -
0 - 0 -
348 nebules - -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
357 Ambroxol sirup 15 mg/ml - 60 ml - 3,300.00 0 -

359 norit - 436.00 3,000 1,308,000.00
360 spasminal - 312.00 124 38,688.00
361 heparin gel - 652.00 42 27,384.00
362 osmigra - 54,450.00 929 50,584,050.00
363 scopma - 4,210.00 594 2,500,740.00
364 curviplex syrup - 1,320.00 195 257,400.00
365 protifed syrup - 12,500.00 75 937,500.00
366 kanina syrup - 8,184.00 190 1,554,960.00
367 clonaderm - 5,800.00 50 290,000.00
368 mezinex - 13,300.00 72 957,600.00
369 mulsanol drop - 7,180.00 0 -
- 144 2,851,200.00
370 nisagon 19,800.00
- 297 2,759,724.00
372 eltazon - 33,263.00 6,000 199,578,000.00
373 bufacort n - 243.00 38 9,234.00
374 Parsifen plus - 5,756.00 511 2,941,316.00
375 Clinica gel - 470.00 4 1,880.00
376 Lycovir sk - 20,900.00 128 2,675,200.00
377 Dextaco syr - 3,784.00 34 128,656.00
378 Dextaco tab - 30,200.00 0 -
379 Ichtiol - 296.00 58 17,168.00
380 Chloramphenicol SK 2% - 5,894.00 100 589,400.00
381 Gentian violet - 3,300.00 90 297,000.00
382 Trihexipenidil Tab - 3,200.00 3,000 9,600,000.00
383 Xypanzim - 434.00 600 260,400.00
384 Microlax - 1,210.00 41 49,610.00
385 RecoTetes Mata - 14,300.00 69 986,700.00
386 Reco Tetes Telinga - 7,150.00 248 1,773,200.00
387 Solathin DS - 6,654.00 31 206,274.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
388 Primunox - 7,150.00 0 -

389 Lodecon F - 2,241.00 68 152,388.00
390 Lodecon Kaplet - 850.00 125 106,250.00
391 Selkom C - 865.00 1,596 1,380,540.00
392 Truvit Syrup - 1,100.00 672 739,200.00
393 Alludona D - 11,900.00 0 -
394 Lexigo - 450.00 418 188,100.00
395 GOM - 660.00 62 40,920.00
396 Zemindo Syrup - 3,328.00 0 -
397 Solafluz - 34,100.00 0 -
398 Fortusin - 10,670.00 312 3,329,040.00
399 Cavicur - 12,100.00 211 2,553,100.00
400 Dolo Licobion - 495.00 0 -
401 Osteotin - 967.00 66 63,822.00
402 Erphacea - 3,270.00 48 156,960.00
- 7,026 314,554,020.00
403 Novachlor 44,770.00
- 547 269,671.00
405 Lacto B - 12,650.00 428 5,414,200.00
406 Melixicam - 4,535.00 0 -
407 Hemafort - 716.00 0 -
408 Bioplacenton - 19,950.00 136 2,713,200.00
409 Nephrolit - 850.00 292 248,200.00
410 Ikaneuron 5000 - 1,875.00 0 -
411 Hepagard - 2,595.00 225 583,875.00
412 Oksitetrasiklin Hcl salep kulit 3 % - 5 gr - 2,000.00 284 568,000.00
413 Oksitetrasiklin Hcl Salep Mata 1 % - 3,5 gr - 3,127.00 480 1,500,960.00
414 Piracetam 400 mg tab - 608.00 400 243,200.00
415 Provomer - 2,020.00 144 290,880.00
416 Pritasma - 102.00 1,494 152,388.00
417 Sulfacetamid - 2,100.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
418 Tensigard - 2,710.00 547 1,482,370.00

419 Cardismo - 3,300.00 190 627,000.00
420 Methisoprinol 500 mg - 1,385.00 304 421,040.00
421 Nexitra - 121.00 1,400 169,400.00
422 Bromifar - 9,586.00 20 191,720.00
423 Ternix Syrup - 140.00 99 13,860.00
424 Orphen - 15,400.00 0 -
425 Faktu supp - 821.00 191 156,811.00
426 solvitral - 2,200.00 0 -
427 licogenta - 13,200.00 64 844,800.00
428 Calamed - 48,400.00 88 4,259,200.00
429 illiadin kinder - 208.00 100 20,800.00
430 teosal - 10,450.00 300 3,135,000.00
431 Gastrul - 24,979.00 450 11,240,550.00
432 pseudoefedrin drop - 636.00 0 -
433 nutralix - 636.00 0 -
434 trifaneuron - 10,736.00 0 -
435 dianicol ds - 11,779.00 0 -
436 kompolax - 27,390.00 0 -
437 aptil - 36,154.00 0 -
438 fartolin expectoran - 716.00 0 -
439 flamigra 50 mg - 33,580.00 0 -
440 vitacid 0,05 % - 22,788.00 0 -
441 mediklin gell - 21,912.00 0 -
442 lostascef 250 - 6,244.00 0 -
443 synarcus cr - 529.00 0 -
444 grantusif - 1,533.00 0 -
445 ulsicral - 2,027.00 0 -
446 lazol - 31,498.00 0 -
447 callusol - 4,700.00 0 -
448 fenol glycerol ed - 25,417.00 0 -
449 isotic neolyson ed - 24,979.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
450 devosik drop - 20,119.00 0 -

451 lapifed exp syrup - 23,007.00 0 -
452 lapifed dmp syrup - 12,300.00 0 -
453 dumin rt - 8,014.00 0 -
454 hustab syrup - 46,587.00 0 -
455 acne feldin - 82,827.00 0 -
456 Hemocain - 3,984.00 0 -
457 kloramfenicol tetes telinga 3% - 33,864.00 0 -
458 epexol - 13,988.00 0 -
459 dexigen krim - 410.00 0 -
460 tromofal - 8,185.00 0 -
461 quantidex syrup - 12,375.00 0 -
462 cendo cetamid ed - 1,142.00 0 -
463 metaneuron - 0 - - 0 -
465 BMHP JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
513 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 - 0 - - 0 -
536 OBAT GIGI JKN - 0 - - 0 -
537 - 0 - - 0 -
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
545 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
546 - 0 - - 0 -
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 -
560 - 0 - - 0 -
JUMLAH
54,348,512.00 640,992,749.00
BULAN JUNI 2016
MUTASI
SALDO AKHIR J
MASUK KELUAR
SELAMA BULAN JUNI 2016 SELAMA BULAN JUNI 2016

SATUAN RP RP RP
- - 407.00 - - 215 - 407.00

- - 105.00 - - - 105.00
- - 245.00 - - - 245.00
- 800 - 5,150.00 - - 6 - 5,150.00
- 6,000 - 95.00 - - 80 - 95.00
- - 3,240.00 - - - 3,240.00
- - 87.00 - - 9 - 87.00
- - 112.00 - - - 112.00
- - - 1,593 - - - -
- - - 7,237 - - - -
- - 200.00 - - - 200.00
- - 3,700.00 - - - 3,700.00
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 4,786 - - - -
- - 2,100.00 68 142,800.00 - 82 - 2,100.00
- - 1,904.00 30 57,120.00 - 7 - 1,904.00
- - 1,552.00 - - - 1,552.00
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 96.00 - - - 96.00
- - 156.00 - - - 156.00
- - 32.00 - - 1,138 - 32.00
- - 128.00 - - - 128.00
- - - - - 1,163 - -
- - 388.00 - - - 388.00
- - 571.00 24 13,704.00 - - 571.00
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 909 - - - -
- - 1,520.00 - - - 1,520.00
- - - - - 55 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 - - - 39.00
- - 7,837.00 2 15,674.00 - - 7,837.00
- - 181.00 - - - 181.00
- - 1,580.00 - - - 1,580.00
- - - 245 - - - -
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - - - - - -
- - 56.00 4 224.00 - - 56.00
- - 1,054.00 - - - 1,054.00
- - 97.00 - - - 97.00
- - 253.00 - - - 253.00
- - - - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 21.00 - - - 21.00
- - 8,100.00 - - - 8,100.00
- - 8,100.00 - - - 8,100.00
- - 500.00 - - - 500.00
- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - 104,000.00 - - - 104,000.00
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 - - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - - - - -
- - 1,566.00 - - - 1,566.00
- - 634.00 - - 208 - 634.00
- - 1,829.00 - - - 1,829.00
- - 85.00 39 3,315.00 - - 85.00
- - - 288 - - 772 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - - 48 - - - -
- - - 85 - - - -
- 40,000 - - - - - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 1,452.00 - - - 1,452.00
- - 5,200.00 - - - 5,200.00
- - 228.00 - - - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - - 8 - - - -
- - - - - 113 - -
- - 850.00 - - - 850.00
- - - - - - -
- - - 1,443 - - 1,830 - -
- - 3,499.00 23 80,477.00 - - 3,499.00
- - 88.00 12 1,056.00 - - 88.00
- - 708.00 - - - 708.00
- - - - - - -
- - 62.00 - - 754 - 62.00
- - 80.00 106 8,480.00 - - 80.00
- - 245.00 10 2,450.00 - - 245.00
- - 372.00 5 1,860.00 - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - - - 75 - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
- - - 2,263 - - - -
- - 15,364.00 - - - 15,364.00
- - 470.00 - - - 470.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 149.00 130 19,370.00 - 16 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 - - 115 - 2,574.00
- - 473.00 - - - 473.00
- - 839.00 - - - 839.00
- - 1,363.00 - - 20 - 1,363.00
- - - 167 - - - -
- - 1,540.00 - - - 1,540.00
- - 1,440.00 - - - 1,440.00
- 3,000 - 1,199.00 - - 18 - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 10 1,240.00 - - 124.00
- - 182.00 - - 39 - 182.00
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - 1,490.00 - - - 1,490.00
- - - 16 - - 42 - -
- - 3,850.00 - - - 3,850.00
- - 110.00 6 660.00 - 17 - 110.00
- - 105.00 - - - 105.00
- - 190.00 500 95,000.00 - 137 - 190.00
- - - 26 - - - -
- - 10,449.00 - - - 10,449.00
- 1,500 - 14.00 45 630.00 - - 14.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 166.00 - - - 166.00
- - 200.00 - - 358 - 200.00
- - - - - - -
- - 100.00 19 1,900.00 - 106 - 100.00
- - 640.00 6 3,840.00 - 26 - 640.00
- - 407.00 - - 26 - 407.00
- 1,000 - 2,783.00 - - 17 - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - - - - - -
- - - 150 - - 208 - -
- - 530.00 - - - 530.00
- - 5,200.00 - - - 5,200.00
- - 1,438.00 - - 253 - 1,438.00

- - - 198 - - - -
- - - - - 13,525 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 - - - 311.00
- - 14.00 - - - 14.00
- 6,000 - 70.00 - - - 70.00
- - 14,203.00 - - 5 - 14,203.00
- - 37,109.00 - - - 37,109.00
- - 2,163.00 2 4,326.00 - - 2,163.00
- - 52.00 36 1,872.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 594 - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 103.00 221 22,763.00 - - 103.00

- - - - - - -
- - 84.00 - - 228 - 84.00
- - 98.00 - - - 98.00
- - - 23 - - - -
- - - 52 - - - -
- - - 16 - - - -
- 300 - 4,746.00 - - 1 - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 10 9,160.00 - - 916.00
- - 13.00 - - - 13.00
- - 105.00 - - - 105.00
- - 169.00 - - 125 - 169.00
- - 255.00 - - 138 - 255.00
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 - - - 206.00
- - 140.00 - - - 140.00
- 1,000 - 616.00 55 33,880.00 - - 616.00
- - 680.00 - - - 680.00
- - - 3,795 - - - -
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - - - 6,615 - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - - - - -
- - 1,200,000.00 - - - 1,200,000.00
- - 160,000.00 - - - 160,000.00
- - 215,000.00 - - - 215,000.00
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - - - - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - 455.00 700 318,500.00 - 585 - 455.00
- - - - - - -
- - - - - - -
- - 257.00 - - - 257.00
- - - 195 - - - -
- - - - - - -
- - - 48 - - - -
- - 8,495.00 5 42,475.00 - - 8,495.00

- - 8,495.00 5 42,475.00 - - 8,495.00
- - 8,495.00 - - - 8,495.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 4,000.00 - - - 4,000.00
- - - 2 - - - -
- - - - - - -
- - - - - - -
- - 7,787.00 - - - 7,787.00
- - - 2 - - - -
- - 7,000.00 1 7,000.00 - - 7,000.00

- - 10,000.00 - - - 10,000.00
- - 607.00 - - - 607.00
- - 303.00 - - - 303.00
- - - 33 - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
- - - 4 - - - -
- - - 3 - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 6,983.00 - - - 6,983.00
- - 4,000.00 - - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - 4,045.00 - - 151 - 4,045.00

- - 17,700.00 - - - 17,700.00
- - 1,040.00 10 10,400.00 - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - 11,525.00 - - - 11,525.00
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - 27,000.00 - - - 27,000.00
- - - 8 - - - -
- - 15,000.00 - - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - - 4 - - - -
- - 372,000.00 - - - 372,000.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - - 112 - - - -
- - 18,700.00 - - - 18,700.00
- - - 28 - - - -
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - 200 - - - -
- - - 126 - - - -
- - 2,766.70 - - - 2,766.70
- - 11,474.00 1 11,474.00 - - 11,474.00
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - - - - - -
- - 79,200.00 - - - 79,200.00
- - 6,600.00 - - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 - - - 611.00
- - 637,000.00 - - 2 - 637,000.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - 700 - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 - - - 2,750.00
- - 770.00 43 33,110.00 - - 770.00
- - 770.00 48 36,960.00 - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - - 10 - - - -
- - 55,714.00 - - - 55,714.00
- - 14,370.00 - - - 14,370.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 8,800.00 6 52,800.00 - - 8,800.00
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - 31 - - - -
- - 806.00 16 12,896.00 - - 806.00
- - - - - - -
- - - - - - -
- - 495.00 10 4,950.00 - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 - - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 35 - 539,000.00
- - 13,470.00 - - 16 - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - 16 - -
- - - - - 2 - -
- - - - - - -
- - - - - 16 - -
- - - - - 13 - -
- - - - - 5 - -
- - - - - - -
- - - - - - -
- - - - - 21 - -
- 500 - - - - 1 - -
- - - - - 36 - -
- - - - - - -
- - - - - - -
- 300 - - - - 38 - -
- - - - - 48 - -
- - - - - 1 - -
- 300 - - - - 15 - -
- - - - - 1 - -
- 5,000 - - - - 6 - -
- - - - - 5 - -
- - - - - - -
- - - - - 9 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 28 - -
- - - - - 18 - -
- - - - - 10 - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- 3,000 - - - - 54 - -
- - - - - 68 - -
- 5,000 - - - - 147 - -
- - - - - 54 - -
- - - - - 13 - -
- - - - - - -
- - - - - 56 - -
- - - - - 32 - -
- - - - - - -
- 800 - - - - - -
- - - - - 21 - -
- - - - - 211 - -
- - - - - - -
- - - - - 66 - -
- - - - - - -
- - - - - 287 - -
- - - - - 3 - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - 130 - -
- - - - - 3 - -
- - - - - 6 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 20 - -
- - - - - - -
- - - - - - -
- - - - - 24 - -
- 5,000 - - - - - -
- 300 - - - - 64 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 58 - -
- 100 - - - - - -
- 7,000 - - - - - -
- 3,000 - - - - - -
- 200 - - - - - -
- 100 - - - - - -
- 100 - - - - - -
- 100 - - - - 1 - -
- 100 - - - - - -
- 50 - - - - - -
- 150 - - - - - -
- 300 - - - - - -
- 100 - - - - - -
- 1,000 - - - - 6 - -
- 4,980 - - - - 12 - -
- 3,000 - - - - - -
- 100 - - - - 1 - -
- 30 - - - - - -
- 100 - - - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- 100 - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- 5,000 - - - - 9 - -
- - - - - - -
- - - - - 12 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 4 - -
- - - - - 8 - -
- - - - - 25 - -
- - - - - - -
- - - - - - -
- - - - - 42 - -
- - - - - 8 - -
- - - - - 150 - -
- - - - - - -
- - - - - 7 - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
-
- - 1,094,841.00 -
- - - -
- - 1,094,841.00 -
- - 1,094,841.00 -
SALDO AKHIR JUNI 2016
DINKES JKN
HARGA SATUAN
RP
0 - - 89 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 794 -
0 - - 5,920 - 0
0 - - 0 -
181 15,747.00 - 2,161 - 181
488 54,656.00 - 344 - 488
4,394 - - 0 - 1,394
11,401 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
11,416 - - 0 -
1,416
155 325,500.00 - 750 -
0 - - 193 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 99,019 - 0
0 - - 0 -
3,000 - - 7,373 - 0
456 176,928.00 - 3,715 -
56 31,976.00 - 8,058 - 56
0 - - 0 - 0
0 - - 0 -
475 - - 0 -
-525
0 - - 0 -
175 - - 898 - 175
0 - - 0 - 0
4 156.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
100 158,000.00 - 800 -
9,755 - - 0 - -245
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
100 - - 0 - 0
29 1,624.00 - 0 -
90 94,860.00 - 170 - 90
350 33,950.00 - 292 - 350
5 1,265.00 - 0 -
5
50 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
30 243,000.00 - 360 -
0 - - 449 -
0
0 - - 1,369 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 1,101 - 0
0 - - 0 - 0
222 18,870.00 - 0 -
445 - - 3,452 -
-55
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - -48
637 - - 0 - 137
0 - - 40,000 - 0
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
9 46,800.00 - 0 - 9
0 - - 159 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
1,992 - - 0 - -8
120 - - 202 -
0 - - 0 - 0
0 - - 0 - 0
2,693 - - 2,777 -
59 206,441.00 - 200 - 59
406 35,728.00 - 200 - 406
0 - - 0 - 0
0 - - 0 -
0 - - 6,992 - 0
2,904 232,320.00 - 0 -
464 113,680.00 - 0 - 464
56 20,832.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 59 - 0
0 - - 0 - 0
0 - - 0 - 0
2,737 - - 0 -
3,011 46,261,004.00 - 0 - 3,011
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
357 53,193.00 - 3,856 -

357
0 - - 0 -
0 - - 2,071 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 270 -
1,610 - - 0 - 1,610
0 - - 0 - 0
0 - - 0 -
0
0 - - 2,982 -
0 - - 0 - 0
1,004 124,496.00 - 0 - 1,004
0 - - 352 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
778 - - 1,326 -
278
0 - - 0 - 0
365 40,150.00 - 957 -
0 - - 0 - 0
0 - - 0 -
136 - - 0 - 40
0 - - 0 - 0
5,476 76,664.00 - 1,500 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 394 - 0
20 - - 0 -
0 - - 94 - 0
244 156,160.00 - 1,052 - 244
0 - - 103 -
0 - - 983 - 0
0 - - 0 -
0 - - 0 - 0
100 - - 0 -
760 - - 122 - 760
0 - - 0 -
0
0 - - 0 -
0 - - 1,022 - 0
947 - - 0 - 947
21,600 - - 74,964 - 21,600
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
110 34,210.00 - 0 - 110
0 - - 0 - 0
0 - - 6,000 -
0 - - 91 - 0
0 - - 0 -
38 82,194.00 - 0 - 38
978 50,856.00 - 0 -
0 - - 0 - 0
2,074 - - 0 - 74
DINKES JKN
HARGA SATUAN
RP
1,129 116,287.00 - 0 -
71 - - 0 - 31
0 - - 1,561 -
0 - - 0 - 0
80 - - 0 -
76 - - 0 - 26
984 - - 0 -
0 - - 299 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
200 183,200.00 - 0 -
200
0 - - 0 - 0
0 - - 0 -
0 - - 2,688 - 0
0 - - 970 -
0 - - 0 - 0
0 - - 0 - 0
595 122,570.00 - 0 -
0 - - 12,300 - 0
85 52,360.00 - 1,000 - 85
0 - - 0 - 0
1,205 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
13,600 - - 14,797 - 13,600
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 11 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
32 - - 0 - 32
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 10,300 - 0
0 - - 0 - 0
0 - - 0 - 0
300 136,500.00 - 1,355 -
0 - - 0 - 0
300 - - 0 - 0
0 - - 0 -
200 - - 0 - -100
48 - - 0 -
48 - - 0 -
0
5 42,475.00 - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
48 - - 0 -
100 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
8 - - 0 -
3 21,000.00 - 0 - 3
5 50,000.00 - 0 -
5
50 30,350.00 - 0 -
50
0 - - 0 -
0 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
7 - - 0 -
7
122 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
10 40,000.00 - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 2,384 - 0
0 - - 0 -
432 449,280.00 - 0 - 432
0 - - 0 - 0
0 - - 0 -
0 - - 4 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
2 - - 0 - 2
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
10 - - 0 - 10
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
1,888 - - 0 - -112
0 - - 0 - 0
124 - - 0 -
0 - - 0 - 0
0 - - 0 -
364 - - 0 - 364
288 - - 0 -
0 - - 0 - 0
10 114,740.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
100 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 146 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
900 - - 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
98 - - 0 -
12 668,568.00 - 0 - 12
36 517,320.00 - 0 -
24 55,008.00 - 0 - 24
12 27,504.00 - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
1 2,292.00 - 0 - 1
103 236,076.00 - 0 - 103
14 123,200.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
119 - - 0 -
12 9,672.00 - 0 -
350 - - 0 - 350
150 - - 0 - 150
50 24,750.00 - 0 - 50
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 477 -
0 - - 463 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 8 - 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 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 3,000 - 0
0 - - 108 -
0 - - 40 - 0
0 - - 929 - 0
0 - - 578 - 0
0 - - 182 -
0 - - 70 - 0
0 - - 190 - 0
0 - - 50 -
0 - - 51 - 0
0 - - 499 -
0 - - 108 -
0
0 - - 297 -
0 - - 6,000 - 0
0 - - 300 -
0 - - 463 - 0
0 - - 3 -
0 - - 413 - 0
0 - - 33 - 0
0 - - 4,994 -
0 - - 53 - 0
0 - - 100 - 0
0 - - 81 -
0 - - 3,000 - 0
0 - - 600 -
0 - - 41 - 0
0 - - 41 - 0
0 - - 230 -
0 - - 21 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 2,946 -
0 - - 0 - 0
0 - - 4,978 -
0 - - 1,542 - 0
0 - - 659 - 0
0 - - 0 - 0
0 - - 362 -
0 - - 30 - 0
0 - - 0 -
0 - - 800 - 0
0 - - 291 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 48 -
0 - - 6,739 -
0
0 - - 544 -
0 - - 426 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 134 -
0 - - 292 - 0
0 - - 0 -
0 - - 95 - 0
0 - - 281 -
0 - - 474 - 0
0 - - 400 -
0 - - 144 - 0
0 - - 1,494 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 547 - 0
0 - - 190 - 0
0 - - 304 -
0 - - 1,400 - 0
0 - - 0 -
0 - - 99 - 0
0 - - 0 -
0 - - 167 - 0
0 - - 5,000 -
0 - - 300 - 0
0 - - 88 - 0
0 - - 100 - 0
0 - - 300 - 0
0 - - 392 - 0
0 - - 100 - 0
0 - - 7,000 - 0
0 - - 3,000 - 0
0 - - 200 - 0
0 - - 100 - 0
0 - - 100 - 0
0 - - 99 - 0
0 - - 100 - 0
0 - - 50 - 0
0 - - 150 - 0
0 - - 300 -
0 - - 100 - 0
0 - - 994 - 0
0 - - 4,968 -
0 - - 3,000 - 0
0 - - 99 -
0 - - 30 - 0
0 - - 100 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 100 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 4,991 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 12 -
0 - - 48 - 0
0 - - 24 -
0 - - 36 - 0
0 - - 48 -
0 - - 44 - 0
0 - - 69 -
0 - - 22 - 0
0 - - 1 -
0 - - 100 - 0
0 - - 58 - 0
0 - - 1 - 0
0 - - 200 - 0
0 - - 800 -
0 - - 16 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 28 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
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
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
51,985,408.00 -
- -
51,985,408.00 -
51,985,408.00 -
BULAN JULI 2016
SALDO AWAL 1 JULI 2016

MASUK
SELAMA BULAN JULI 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
5 Ambroxol tab 95.00 0 - - 5,920 -
9 Amlodipin 5 mg tab - 4,394 - - 0 -
10 Amoksisilin kaplet 500 mg - 11,401 - - 0 -
155 325,500.00 750 -
16 2,100.00 -
Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam 0 - 193 -
17 Salisilat 3% 1,904.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

25 Asam Mefenamat 500 mg - 3,000 - - 7,373 -
0 - 0 -
29 1,230.00 -
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
35 Cetrizin syrup 5 mg/ml - 60 ml 7,837.00 0 - - 0 -
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
38 Deksametason tablet 0,5 mg - 9,755 - - 0 -
43 Diazepam tablet 2 mg - 100 - - 0 -
5 1,265.00 0 -
47 253.00 -
48 Domperidone Suspensi 5 mg/5 ml - 60 ml - 50 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
49 21.00 -
30 243,000.00 360 -
50 8,100.00 -
0 - 449 -
51 8,100.00 -
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
71 Gentian violet Larutan 1 % - 10 ml - 0 - - 0 -
73 Gliseril Gualakolat tablet 100 mg - 0 - - 40,000 -
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

82 Hidroklorotiazida (HCT) tablet 25 mg - 1,992 - - 0 -
93 Karbamazepin 200 mg 245.00 464 113,680.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

112 Lidokain inj 2% @ 2 ml 839.00 0 - - 0 -
0 - 270 -
113 1,363.00 -
0 - 0 -
116 1,440.00 -
0 - 2,982 -
Meloksikam 15 mg
117 1,199.00 -
120 Metformin HCl 500 mg 182.00 0 - - 352 -
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
123 1 ml 1,490.00 -
124 mg - -
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
131 Natrium bikarbonat tablet 500 mg 14.00 5,476 76,664.00 - 1,500 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

133 Natrium diklofenak 50 mg 200.00 0 - - 394 -
134 Natrium Klorida larutan infus 0,9% - 500 ml - 20 - - 0 -
135 Nifedipin tablet 10 mg 100.00 0 - - 94 -
142 Omeprazole 20 mg - 760 - - 122 -
0 - 0 -
143 530.00 -
0 - 0 -
144 5,200.00 -
146 Paracetamol tablet 100 mg - 947 - - 0 -
153 Piroksikam tablet 10 mg 70.00 0 - - 6,000 -
157 Prednison tablet 5 mg 52.00 978 50,856.00 - 0 -
159 Ranitidin tab 150 mg - 2,074 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

164 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr - 76 - - 0 -
166 Sefadroksil kapsul 500 mg - 984 - - 0 -
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
200 183,200.00 0 -
174 916.00 -
178 Siprofloksasin tablet 500 mg (sebagai HCL) 255.00 0 - - 970 -
183 Thiamphenikol 500 mg 616.00 85 52,360.00 - 1,000 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
190 Obat Gigi - 0 - - 0 -

198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 32 - - 0 -
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 -
207 Retinol (VIT A) 100.000 UI - 0 - - 10,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg 455.00 300 136,500.00 - 1,355 -
48 - 0 -
215 - -
48 - 0 -
216 - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

221 Infusion set dewasa (SNI) - 48 - - 0 -
0 - 0 -
224 7,787.00 -
8 - 0 -
225 - -
5 50,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
0 - 0 -
229 303.00 -
0 - 0 -
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
7 - 0 -
237 - -
122 - 0 -
238 - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
239 6,983.00 -
10 40,000.00 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml 27,000.00 0 - - 0 -
255 Etanol 70 % - 100 ml - 2 - - 0 -
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
265 Lisol 1000 ml - 10 - - 0 -
266 Meropenem inj 372,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

269 Multivitamin dan Mineral Tablet untuk remaja - 1,888 - - 0 -
271 Biotin) - 60 ml - -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
279 Propofol inj 11,474.00 0 - - 0 -
280 Salbutamol for Nebulizer 2,5mg/2,5 ml NaCl - 100 - - 0 -
285 Obat Gigi 600.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

298 Obat program 13,200.00 0 - - 0 -
300 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
305 Alat suntik sekali pakai 3 ml - 900 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
316 IV Cathetter No. 18 - 98 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

329 Ky Jelly 806.00 12 9,672.00 - 0 -
330 Masker - 350 - - 0 -
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 463 -
0 - 0 -
0 - 0 -
348 nebules - -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

359 norit - 436.00 3,000 1,308,000.00
360 spasminal - 312.00 108 33,696.00
361 heparin gel - 652.00 40 26,080.00
362 osmigra - 54,450.00 929 50,584,050.00
363 scopma - 4,210.00 578 2,433,380.00
364 curviplex syrup - 1,320.00 182 240,240.00
365 protifed syrup - 12,500.00 70 875,000.00
366 kanina syrup - 8,184.00 190 1,554,960.00
367 clonaderm - 5,800.00 50 290,000.00
368 mezinex - 13,300.00 51 678,300.00
369 mulsanol drop - 7,180.00 499 3,582,820.00
- 108 2,138,400.00
370 nisagon 19,800.00
- 297 2,759,724.00
372 eltazon - 33,263.00 6,000 199,578,000.00
373 bufacort n - 243.00 300 72,900.00
374 Parsifen plus - 5,756.00 463 2,665,028.00
375 Clinica gel - 470.00 3 1,410.00
376 Lycovir sk - 20,900.00 413 8,631,700.00
377 Dextaco syr - 3,784.00 33 124,872.00
378 Dextaco tab - 30,200.00 4,994 150,818,800.00
379 Ichtiol - 296.00 53 15,688.00
381 Gentian violet - 3,300.00 81 267,300.00
383 Xypanzim - 434.00 600 260,400.00
384 Microlax - 1,210.00 41 49,610.00
385 RecoTetes Mata - 14,300.00 41 586,300.00
387 Solathin DS - 6,654.00 21 139,734.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
388 Primunox - 7,150.00 2,946 21,063,900.00

389 Lodecon F - 2,241.00 0 -
390 Lodecon Kaplet - 850.00 4,978 4,231,300.00
391 Selkom C - 865.00 1,542 1,333,830.00
392 Truvit Syrup - 1,100.00 659 724,900.00
393 Alludona D - 11,900.00 0 -
394 Lexigo - 450.00 362 162,900.00
395 GOM - 660.00 30 19,800.00
396 Zemindo Syrup - 3,328.00 0 -
397 Solafluz - 34,100.00 800 27,280,000.00
398 Fortusin - 10,670.00 291 3,104,970.00
399 Cavicur - 12,100.00 0 -
401 Osteotin - 967.00 0 -
402 Erphacea - 3,270.00 48 156,960.00
- 6,739 301,705,030.00
403 Novachlor 44,770.00
- 544 268,192.00
405 Lacto B - 12,650.00 426 5,388,900.00
406 Melixicam - 4,535.00 -
407 Hemafort - 716.00 0 -
408 Bioplacenton - 19,950.00 134 2,673,300.00
409 Nephrolit - 850.00 292 248,200.00
410 Ikaneuron 5000 - 1,875.00 0 -
411 Hepagard - 2,595.00 95 246,525.00
414 Piracetam 400 mg tab - 608.00 400 243,200.00
415 Provomer - 2,020.00 144 290,880.00
416 Pritasma - 102.00 1,494 152,388.00
417 Sulfacetamid - 2,100.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
418 Tensigard - 2,710.00 547 1,482,370.00

419 Cardismo - 3,300.00 190 627,000.00
421 Nexitra - 121.00 1,400 169,400.00
422 Bromifar - 9,586.00 0 -
423 Ternix Syrup - 140.00 99 13,860.00
424 Orphen - 15,400.00 0 -
425 Faktu supp - 821.00 167 137,107.00
426 solvitral - 2,200.00 5,000 11,000,000.00
427 licogenta - 13,200.00 300 3,960,000.00
428 Calamed - 48,400.00 88 4,259,200.00
429 illiadin kinder - 208.00 100 20,800.00
430 teosal - 10,450.00 300 3,135,000.00
431 Gastrul - 24,979.00 392 9,791,768.00
432 pseudoefedrin drop - 636.00 100 63,600.00
433 nutralix - 636.00 7,000 4,452,000.00
434 trifaneuron - 10,736.00 3,000 32,208,000.00
435 dianicol ds - 11,779.00 200 2,355,800.00
436 kompolax - 27,390.00 100 2,739,000.00
437 aptil - 36,154.00 100 3,615,400.00
438 fartolin expectoran - 716.00 99 70,884.00
439 flamigra 50 mg - 33,580.00 100 3,358,000.00
440 vitacid 0,05 % - 22,788.00 50 1,139,400.00
441 mediklin gell - 21,912.00 150 3,286,800.00
442 lostascef 250 - 6,244.00 300 1,873,200.00
443 synarcus cr - 529.00 100 52,900.00
444 grantusif - 1,533.00 994 1,523,802.00
445 ulsicral - 2,027.00 4,968 10,070,136.00
446 lazol - 31,498.00 3,000 94,494,000.00
447 callusol - 4,700.00 99 465,300.00
448 fenol glycerol ed - 25,417.00 30 762,510.00
449 isotic neolyson ed - 24,979.00 100 2,497,900.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
450 devosik drop - 20,119.00 100 2,011,900.00

451 lapifed exp syrup - 23,007.00 0 -
452 lapifed dmp syrup - 12,300.00 0 -
453 dumin rt - 8,014.00 0 -
454 hustab syrup - 46,587.00 0 -
455 acne feldin - 82,827.00 0 -
456 Hemocain - 3,984.00 0 -
457 kloramfenicol tetes telinga 3% - 33,864.00 0 -
458 epexol - 13,988.00 0 -
459 dexigen krim - 410.00 0 -
460 tromofal - 8,185.00 0 -
463 metaneuron - 0 - - 0 -
464 Neoprotifed tab - 0 - - 4,991 -
465 BMHP JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
513 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 - 0 - - 0 -
536 OBAT GIGI JKN - 0 - - 0 -
537 - 0 - - 0 -
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
545 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
546 - 0 - - 0 -
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 -
560 - 0 - - 0 -
JUMLAH TOTAL BMHP - 117,038,448.00
JUMLAH TOTAL KESELURUHAN 51,985,408.00 1,010,450,342.00
JUMLAH
51,985,408.00 1,014,947,742.00
BULAN JULI 2016
MUTASI
SALDO AKHIR J
MASUK KELUAR
SELAMA BULAN JULI 2016 SELAMA BULAN JULI 2016

SATUAN RP RP RP
- - 407.00 - - 10 - 407.00
- - 105.00 - - - 105.00
- - 245.00 - - - 245.00
- - 5,150.00 - - 92 - 5,150.00
- - 95.00 - - 930 - 95.00
- - 3,240.00 - - - 3,240.00
- - 87.00 3 261.00 - - 87.00
- - 112.00 - - - 112.00
- - - 1,295 - - - -
- - - 6,446 - - - -
- - 200.00 - - - 200.00
- - 3,700.00 - - - 3,700.00
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 3,318 - - - -
- - 2,100.00 55 115,500.00 - 50 - 2,100.00
- - 1,904.00 - - 9 - 1,904.00
- - 1,552.00 - - - 1,552.00
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 96.00 - - - 96.00
- - 156.00 - - - 156.00
- - 32.00 - - 898 - 32.00
- - 128.00 - - - 128.00
- - - 340 - - 528 - -
- - 388.00 10 3,880.00 - - 388.00
- - 571.00 24 13,704.00 - 14 - 571.00
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 142 - - - -
- - 1,520.00 - - - 1,520.00
- - - 28 - - 24 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 - - - 39.00
- - 7,837.00 - - - 7,837.00
- - 181.00 - - - 181.00
- - 1,580.00 - - - 1,580.00
- - - 1,026 - - - -
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - - - - - -
- - 56.00 16 896.00 - - 56.00
- - 1,054.00 - - - 1,054.00
- - 97.00 - - - 97.00
- - 253.00 - - - 253.00
- - - - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 21.00 - - - 21.00
- - 8,100.00 - - - 8,100.00
- - 8,100.00 - - - 8,100.00
- - 500.00 - - - 500.00
- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - 104,000.00 - - - 104,000.00
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 - - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - - - - -
- - 1,566.00 - - - 1,566.00
- - 634.00 - - 120 - 634.00
- - 1,829.00 - - - 1,829.00
- - 85.00 222 18,870.00 - - 85.00
- - - 276 - - 48 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - - - - - -
- - - 230 - - - -
- - - - - 3,250 - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 1,452.00 - - - 1,452.00
- - 5,200.00 1 5,200.00 - - 5,200.00
- - 228.00 - - - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - - 62 - - - -
- - - 44 - - 42 - -
- - 850.00 - - - 850.00
- - - - - - -
- - - 1,446 - - 1,236 - -
- - 3,499.00 5 17,495.00 - - 3,499.00
- - 88.00 10 880.00 - - 88.00
- - 708.00 - - - 708.00
- - - - - - -
- - 62.00 - - 490 - 62.00
- - 80.00 64 5,120.00 - - 80.00
- - 245.00 - - - 245.00
- - 372.00 - - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - - - 36 - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
- - - 2,230 - - - -
- - 15,364.00 - - - 15,364.00
- - 470.00 - - - 470.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 149.00 42 6,258.00 - 46 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 - - 114 - 2,574.00
- - 473.00 - - - 473.00
- - 839.00 - - - 839.00
- - 1,363.00 - - 90 - 1,363.00
- - - 326 - - - -
- - 1,540.00 - - - 1,540.00
- - 1,440.00 - - - 1,440.00
- - 1,199.00 - - 276 - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 - - - 124.00
- - 182.00 - - 31 - 182.00
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - 1,490.00 - - - 1,490.00
- - - 20 - - - -
- - 3,850.00 - - - 3,850.00
- - 110.00 8 880.00 - - 110.00
- - 105.00 - - - 105.00
- - 190.00 - - - 190.00
- - - 17 - - - -
- - 10,449.00 - - - 10,449.00
- - 14.00 49 686.00 - - 14.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 166.00 - - - 166.00
- - 200.00 - - 201 - 200.00
- - - 3 - - - -
- - 100.00 - - 26 - 100.00
- - 640.00 - - 20 - 640.00
- - 407.00 - - - 407.00
- - 2,783.00 - - 215 - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - - 100 - - - -
- - - 120 - - 122 - -
- - 530.00 - - - 530.00
- - 5,200.00 - - - 5,200.00
- - 1,438.00 - - 202 - 1,438.00

- - - 203 - - - -
- - - 6,229 - - 5,864 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 - - - 311.00
- - 14.00 - - - 14.00
- - 70.00 - - 445 - 70.00
- - 14,203.00 - - 1 - 14,203.00
- - 37,109.00 - - - 37,109.00
- - 2,163.00 6 12,978.00 - - 2,163.00
- - 52.00 66 3,432.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 585 - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 103.00 135 13,905.00 - - 103.00

- - - 40 - - - -
- - 84.00 - - 289 - 84.00
- - 98.00 - - - 98.00
- - - 44 - - - -
- - - 50 - - - -
- - - 72 - - - -
- - 4,746.00 - - 1 - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 - - - 916.00
- - 13.00 - - - 13.00
- - 105.00 - - - 105.00
- - 169.00 - - 210 - 169.00
- - 255.00 - - 54 - 255.00
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 20 4,120.00 - - 206.00
- - 140.00 - - - 140.00
- - 616.00 85 52,360.00 - 40 - 616.00
- - 680.00 - - - 680.00
- - - 1,205 - - - -
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - 3,027 - - 2,684 - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - 3 - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - 32 - - - -
- - 1,200,000.00 - - - 1,200,000.00
- - 160,000.00 - - - 160,000.00
- - 215,000.00 - - - 215,000.00
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - - - 4,000 - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - 455.00 300 136,500.00 - 695 - 455.00
- - - - - - -
- - - 200 - - - -
- - 257.00 - - - 257.00
- - - 7 - - - -
- - - 48 - - - -
- - - - - - -
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 4,000.00 - - - 4,000.00
- - - - - - -
- - - 30 - - - -
- - - - - - -
- - 7,787.00 - - - 7,787.00
- - - - - - -
- - 7,000.00 - - - 7,000.00
- - 10,000.00 - - - 10,000.00
- - 607.00 - - - 607.00
- - 303.00 - - - 303.00
- - - - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
- - - 1 - - - -
- - - 50 - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 6,983.00 - - - 6,983.00
- - 4,000.00 - - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - 4,045.00 - - 161 - 4,045.00

- - 17,700.00 - - - 17,700.00
- - 1,040.00 10 10,400.00 - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - 11,525.00 - - 1 - 11,525.00
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - 27,000.00 - - - 27,000.00
- - - 2 - - - -
- - 15,000.00 - - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - - 2 - - - -
- - 372,000.00 - - - 372,000.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - - 1,388 - - - -
- - 18,700.00 - - - 18,700.00
- - - 31 - - - -
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - 240 - - - -
- - - 97 - - - -
- - 2,766.70 - - - 2,766.70
- - 11,474.00 10 114,740.00 - - 11,474.00
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - - - - - -
- - 79,200.00 - - - 79,200.00
- - 6,600.00 - - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 - - - 611.00
- - 637,000.00 - - 1 - 637,000.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 - - - 2,750.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - - 30 - - - -
- - 55,714.00 - - - 55,714.00
- - 14,370.00 12 172,440.00 - - 14,370.00
- - 2,292.00 12 27,504.00 - - 2,292.00
- - 2,292.00 12 27,504.00 - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 1 2,292.00 - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 8,800.00 - - - 8,800.00
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - 49 - - - -
- - 806.00 1 806.00 - - 806.00
- - - 150 - - - -
- - - 150 - - - -
- - 495.00 - - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 - - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 60 - 539,000.00
- - 13,470.00 - - 10 - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - 18 - -
- - - - - - -
- - - - - 10 - -
- - - - - 18 - -
- - - - - 5 - -
- - - - - 3 - -
- - - - - 1 - -
- - - - - - -
- - - - - 16 - -
- - - - - 30 - -
- - - - - 22 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 24 - -
- - - - - - -
- - - - - 17 - -
- - - - - - -
- - - - - 493 - -
- - - - - 5 - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - 3 - -
- - - - - 15 - -
- - - - - 12 - -
- - - - - 6 - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - 158 - -
- - - - - - -
- - - - - 352 - -
- - - - - 84 - -
- - - - - 11 - -
- - - - - - -
- - - - - 52 - -
- - - - - 11 - -
- - - - - - -
- - - - - 11 - -
- - - - - 17 - -
- - - - - - -
- - - - - - -
- 1,020 - - - - 44 - -
- - - - - 3 - -
- - - - - 160 - -
- - - - - 3 - -
- - - - - 12 - -
- - - - - - -
- - - - - - -
- - - - - 5 - -
- - - - - - -
- - - - - - -
- - - - - 95 - -
- - - - - 1 - -
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- - - - - - -
- - - - - - -
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MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - 23 - -
- - - - - - -
- - - - - 61 - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 554 - -
- - - - - 78 - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - 2 - -
- - - - - - -
- - - - - 1 - -
- - - - - 5 - -
- - - - - 1 - -
- - - - - 5 - -
- - - - - 88 - -
- - - - - 83 - -
- - - - - 71 - -
- - - - - 6 - -
- - - - - 20 - -
- - - - - - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- 300 - - - - - -
- 200 - - - - 2 - -
- 50 - - - - - -
- 200 - - - - - -
- 100 - - - - 2 - -
- 100 - - - - 1 - -
- 300 - - - - - -
- 200 - - - - - -
- 100 - - - - - -
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- - - - - - -
- - - - - - -
- - - - - 228 - -
- - - - - - -
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- - - - - - -
- - - - - 7 - -
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- - - - - - -
- - - - - - -
- - - - - 1 - -
MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
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MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
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MUTASI
SALDO AKHIR J
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
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- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- -
- - 768,611.00 -
- - - -
- - 768,611.00 -
- - 768,611.00 -
SALDO AKHIR JULI 2016
DINKES JKN
HARGA SATUAN
RP
0 - - 79 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 702 -
0 - - 4,990 - 0
0 - - 0 -
178 15,486.00 - 2,161 - 178
488 54,656.00 - 344 - 488
3,099 - - 0 - 3,099
4,955 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
8,098 - - 0 -
8,098
100 210,000.00 - 700 -
0 - - 184 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 98,121 - 0
0 - - 0 -
2,660 - - 6,845 - 2,660
446 173,048.00 - 3,715 -
32 18,272.00 - 8,044 - 32
0 - - 0 - 0
0 - - 0 -
333 - - 0 -
333
0 - - 0 -
147 - - 874 - 147
0 - - 0 - 0
4 156.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
100 158,000.00 - 800 -
8,729 - - 0 - 8,729
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
100 - - 0 - 100
13 728.00 - 0 -
90 94,860.00 - 170 - 90
350 33,950.00 - 292 - 350
5 1,265.00 - 0 -
5
50 - - 0 - 50
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
30 243,000.00 - 360 -
0 - - 449 -
0
0 - - 1,369 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 981 - 0
0 - - 0 - 0
0 - - 0 -
169 - - 3,404 -
169
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
407 - - 0 - 407
0 - - 36,750 - 0
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
8 41,600.00 - 0 - 8
0 - - 159 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
1,930 - - 0 - 1,930
76 - - 160 -
0 - - 0 - 0
0 - - 0 - 0
1,247 - - 1,541 -
54 188,946.00 - 200 - 54
396 34,848.00 - 200 - 396
0 - - 0 - 0
0 - - 0 -
0 - - 6,502 - 0
2,840 227,200.00 - 0 -
464 113,680.00 - 0 - 464
56 20,832.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 23 - 0
0 - - 0 - 0
0 - - 0 - 0
507 - - 0 -
3,011 46,261,004.00 - 0 - 3,011
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
315 46,935.00 - 3,810 -

315
0 - - 0 -
0 - - 1,957 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 180 -
1,284 - - 0 - 1,284
0 - - 0 - 0
0 - - 0 -
0
0 - - 2,706 -
0 - - 0 - 0
1,004 124,496.00 - 0 - 1,004
0 - - 321 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
758 - - 1,326 -
758
0 - - 0 - 0
357 39,270.00 - 957 -
0 - - 0 - 0
0 - - 0 -
119 - - 0 - 119
0 - - 0 - 0
5,427 75,978.00 - 1,500 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 193 - 0
17 - - 0 -
0 - - 68 - 0
244 156,160.00 - 1,032 - 244
0 - - 103 -
0 - - 768 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
640 - - 0 - 640
0 - - 0 -
0
0 - - 0 -
0 - - 820 - 0
744 - - 0 - 744
15,371 - - 69,100 - 15,371
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
110 34,210.00 - 0 - 110
0 - - 0 - 0
0 - - 5,555 -
0 - - 90 - 0
0 - - 0 -
32 69,216.00 - 0 - 32
912 47,424.00 - 0 -
0 - - 0 - 0
1,489 - - 0 - 1,489
DINKES JKN
HARGA SATUAN
RP
994 102,382.00 - 0 -
31 - - 0 - 31
0 - - 1,272 -
0 - - 0 - 0
36 - - 0 -
26 - - 0 - 26
912 - - 0 -
0 - - 298 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
200 183,200.00 - 0 -
200
0 - - 0 - 0
0 - - 0 -
0 - - 2,478 - 0
0 - - 916 -
0 - - 0 - 0
0 - - 0 - 0
575 118,450.00 - 0 -
0 - - 12,300 - 0
0 - - 960 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
10,573 - - 12,113 - 10,573
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 8 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 6,300 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 660 -
0 - - 0 - 0
100 - - 0 - 100
0 - - 0 -
193 - - 0 - 193
0 - - 0 -
48 - - 0 -
48
5 42,475.00 - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
48 - - 0 -
70 - - 0 - 70
0 - - 0 -
0 - - 0 -
0
8 - - 0 -
3 21,000.00 - 0 - 3
5 50,000.00 - 0 -
5
50 30,350.00 - 0 -
50
0 - - 0 -
0 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
6 - - 0 -
6
72 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
10 40,000.00 - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 2,223 - 0
0 - - 0 -
422 438,880.00 - 0 - 422
0 - - 0 - 0
0 - - 0 -
0 - - 3 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
8 - - 0 - 8
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
500 - - 0 - 500
0 - - 0 - 0
93 - - 0 -
0 - - 0 - 0
0 - - 0 -
124 - - 0 - 124
191 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
100 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 145 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
900 - - 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
68 - - 0 -
12 668,568.00 - 0 - 12
24 344,880.00 - 0 -
12 27,504.00 - 0 - 12
0 - - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
0 - - 0 - 0
103 236,076.00 - 0 - 103
14 123,200.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
70 - - 0 -
11 8,866.00 - 0 -
200 - - 0 - 200
0 - - 0 - 0
50 24,750.00 - 0 - 50
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 417 -
0 - - 453 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 8 - 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 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 3,000 - 0
0 - - 90 -
0 - - 40 - 0
0 - - 919 - 0
0 - - 560 - 0
0 - - 177 -
0 - - 67 - 0
0 - - 189 - 0
0 - - 50 -
0 - - 35 - 0
0 - - 469 -
0 - - 86 -
0
0 - - 297 -
0 - - 6,000 - 0
0 - - 300 -
0 - - 439 - 0
0 - - 3 -
0 - - 396 - 0
0 - - 33 - 0
0 - - 4,501 -
0 - - 48 - 0
0 - - 100 - 0
0 - - 80 -
0 - - 3,000 - 0
0 - - 600 -
0 - - 38 - 0
0 - - 26 - 0
0 - - 218 -
0 - - 15 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 2,788 -
0 - - 0 - 0
0 - - 4,626 -
0 - - 1,458 - 0
0 - - 648 - 0
0 - - 0 - 0
0 - - 310 -
0 - - 19 - 0
0 - - 0 -
0 - - 789 - 0
0 - - 274 -
0 - - 0 - 0
0 - - 0 -
0 - - 976 - 0
0 - - 45 -
0 - - 6,579 -
0
0 - - 541 -
0 - - 414 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 129 -
0 - - 292 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 280 -
0 - - 474 - 0
0 - - 400 -
0 - - 144 - 0
0 - - 1,494 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 547 - 0
0 - - 190 - 0
0 - - 304 -
0 - - 1,400 - 0
0 - - 0 -
0 - - 98 - 0
0 - - 0 -
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0 - - 239 - 0
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DINKES JKN
HARGA SATUAN
RP
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0 - - 15 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
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0 - - 0 - 0
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0 - - 0 - 0
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DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
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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
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
51,216,797.00 -
- -
51,216,797.00 -
51,216,797.00 -
BULAN AGUSTUS 2016
SALDO AWAL 1 AGUSTUS 2016

MASUK
SELAMA BULAN AGUSTUS 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
5 Ambroxol tab 95.00 0 - - 4,990 -
9 Amlodipin 5 mg tab - 3,099 - - 0 - 3,000
11 Amoksisilin Kapsul 250 mg 200.00 0 - - 0 - 5,000
100 210,000.00 700 -
16 2,100.00 -
Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam 0 - 184 - 96
17 Salisilat 3% 1,904.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

27 Asiklovir 400 mg tablet 571.00 32 18,272.00 - 8,044 - 300
0 - 0 -
29 1,230.00 -
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
35 Cetrizin syrup 5 mg/ml - 60 ml 7,837.00 0 - - 0 - 180
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
44 Diazepam tablet 5 mg 56.00 13 728.00 - 0 -
5 1,265.00 0 -
47 253.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
49 21.00 -
30 243,000.00 360 -
50 8,100.00 -
0 - 449 -
51 8,100.00 -
64 Fitomenadion ( vit K 1 ) tablet salut gula 10 mg 634.00 0 - - 981 - 100
66 Furosemid tablet 40 mg 85.00 0 - - 0 - 1,000
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g + Kalium 169 - 3,404 - 1,000
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
71 Gentian violet Larutan 1 % - 10 ml - 0 - - 0 - 96
72 Glibenklamida tablet 5 mg - 407 - - 0 - 1,000
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

93 Karbamazepin 200 mg 245.00 464 113,680.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
102 Kloramfenikol salep mata - 5 gr - 0 - - 23 - 96
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

112 Lidokain inj 2% @ 2 ml 839.00 0 - - 0 - 100
0 - 180 - 90
113 1,363.00 -
0 - 0 -
116 1,440.00 -
0 - 2,706 -
Meloksikam 15 mg
117 1,199.00 -
120 Metformin HCl 500 mg 182.00 0 - - 321 -
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
Metilergometrin Maleat (Metilergometrin) injeksi 0,200 mg - 0 - 0 - 100
123 1 ml 1,490.00 -
124 mg - -
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

133 Natrium diklofenak 50 mg 200.00 0 - - 193 - 2,000
135 Nifedipin tablet 10 mg 100.00 0 - - 68 - 300
142 Omeprazole 20 mg - 640 - - 0 - 900
0 - 0 -
143 530.00 -
0 - 0 - 56
144 5,200.00 -
145 Paracetamol sirup 120 mg / 5 ml - 60 ml 1,438.00 0 - - 820 - 500
147 Paracetamol tablet 500 mg - 15,371 - - 69,100 - 10,000
159 Ranitidin tab 150 mg - 1,489 - - 0 - 500
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
160 Reserpin tablet 0,25 mg 103.00 994 102,382.00 - 0 -

162 Salbutamol tablet 2 mg 84.00 0 - - 1,272 - 500
164 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr - 26 - - 0 - 100
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
200 183,200.00 0 -
174 916.00 -
178 Siprofloksasin tablet 500 mg (sebagai HCL) 255.00 0 - - 916 - 1,000
183 Thiamphenikol 500 mg 616.00 0 - - 960 -
189 Vitamin B Kompleks tablet - 10,573 - - 12,113 - 3,000
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
190 Obat Gigi - 0 - - 0 -

198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 0 - - 0 -
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 -
207 Retinol (VIT A) 100.000 UI - 0 - - 6,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg 455.00 0 - - 660 - 1,000
0 - 0 - 72
215 - -
48 - 0 -
216 - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

0 - 0 -
224 7,787.00 -
8 - 0 - 20
225 - -
5 50,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
0 - 0 -
229 303.00 -
0 - 0 - 50
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
6 - 0 - 12
237 - -
72 - 0 - 100
238 - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
239 6,983.00 -
10 40,000.00 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
245 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml 4,045.00 0 - - 2,223 - 100
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml 27,000.00 0 - - 0 - 5
255 Etanol 70 % - 100 ml - 0 - - 0 - 20
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
265 Lisol 1000 ml - 8 - - 0 - 5
266 Meropenem inj 372,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

269 Multivitamin dan Mineral Tablet untuk remaja - 500 - - 0 -
Multivitamin Sirup Pertumbuhan (Mengandung Lysine dan 93 - 0 - 60
271 Biotin) - 60 ml - -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
276 Obat tradisional pemulihan hati untuk penderita TBC 2,766.70 0 - - 0 - 600
277 Obat scabies mengandung Permethrin 5 % sk - 10 gr 11,474.00 0 - - 0 - 40
279 Propofol inj 11,474.00 0 - - 0 -
285 Obat Gigi 600.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

298 Obat program 13,200.00 0 - - 0 -
300 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
316 IV Cathetter No. 18 - 68 - - 0 -
320 Jarum Hacting Kulit No. 9 setengah lingkaran 2,292.00 0 - - 0 -
323 Kasa gulung Besar (100 Y x 80 cm) 2,292.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
328 Klem Umbilical - 70 - - 0 - 50

329 Ky Jelly 806.00 11 8,866.00 - 0 - 2
330 Masker - 200 - - 0 - 200
331 Sarung tangan non steril - 0 - - 0 - 500
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 453 -
0 - 0 -
0 - 0 -
348 nebules - -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

359 norit - 436.00 3,000 1,308,000.00
360 spasminal - 312.00 90 28,080.00
361 heparin gel - 652.00 40 26,080.00
362 osmigra - 54,450.00 919 50,039,550.00
363 scopma - 4,210.00 560 2,357,600.00
364 curviplex syrup - 1,320.00 177 233,640.00
365 protifed syrup - 12,500.00 67 837,500.00
366 kanina syrup - 8,184.00 189 1,546,776.00
367 clonaderm - 5,800.00 50 290,000.00
368 mezinex - 13,300.00 35 465,500.00
369 mulsanol drop - 7,180.00 469 3,367,420.00
- 86 1,702,800.00
370 nisagon 19,800.00
- 297 2,759,724.00
372 eltazon - 33,263.00 6,000 199,578,000.00
373 bufacort n - 243.00 300 72,900.00
374 Parsifen plus - 5,756.00 439 2,526,884.00
375 Clinica gel - 470.00 3 1,410.00
376 Lycovir sk - 20,900.00 396 8,276,400.00
377 Dextaco syr - 3,784.00 33 124,872.00
378 Dextaco tab - 30,200.00 4,501 135,930,200.00
379 Ichtiol - 296.00 48 14,208.00
381 Gentian violet - 3,300.00 80 264,000.00
383 Xypanzim - 434.00 600 260,400.00
384 Microlax - 1,210.00 38 45,980.00
385 RecoTetes Mata - 14,300.00 26 371,800.00
387 Solathin DS - 6,654.00 15 99,810.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
388 Primunox - 7,150.00 2,788 19,934,200.00

389 Lodecon F - 2,241.00 0 -
390 Lodecon Kaplet - 850.00 4,626 3,932,100.00
391 Selkom C - 865.00 1,458 1,261,170.00
392 Truvit Syrup - 1,100.00 648 712,800.00
393 Alludona D - 11,900.00 0 -
394 Lexigo - 450.00 310 139,500.00
395 GOM - 660.00 19 12,540.00
396 Zemindo Syrup - 3,328.00 0 -
397 Solafluz - 34,100.00 789 26,904,900.00
398 Fortusin - 10,670.00 274 2,923,580.00
399 Cavicur - 12,100.00 0 -
401 Osteotin - 967.00 976 943,792.00
402 Erphacea - 3,270.00 45 147,150.00
- 6,579 294,541,830.00
403 Novachlor 44,770.00
- 541 266,713.00
405 Lacto B - 12,650.00 414 5,237,100.00
406 Meloxicam - 4,535.00 -
407 Hemafort - 716.00 0 -
408 Bioplacenton - 19,950.00 129 2,573,550.00
409 Nephrolit - 850.00 292 248,200.00
410 Ikaneuron 5000 - 1,875.00 0 -
411 Hepagard - 2,595.00 0 -
414 Piracetam 400 mg tab - 608.00 400 243,200.00
415 Provomer - 2,020.00 144 290,880.00
416 Pritasma - 102.00 1,494 152,388.00
417 Sulfacetamid - 2,100.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
418 Tensigard - 2,710.00 547 1,482,370.00

419 Cardismo - 3,300.00 190 627,000.00
421 Nexitra - 121.00 1,400 169,400.00
422 Bromifar - 9,586.00 0 -
423 Ternix Syrup - 140.00 98 13,720.00
424 Orphen - 15,400.00 0 -
425 Faktu supp - 821.00 144 118,224.00
426 solvitral - 2,200.00 5,000 11,000,000.00
427 licogenta - 13,200.00 239 3,154,800.00
428 Calamed - 48,400.00 87 4,210,800.00
429 illiadin kinder - 208.00 100 20,800.00
430 teosal - 10,450.00 300 3,135,000.00
431 Gastrul - 24,979.00 392 9,791,768.00
433 nutralix - 636.00 6,446 4,099,656.00
434 trifaneuron - 10,736.00 2,922 31,370,592.00
435 dianicol ds - 11,779.00 200 2,355,800.00
436 kompolax - 27,390.00 99 2,711,610.00
437 aptil - 36,154.00 100 3,615,400.00
439 flamigra 50 mg - 33,580.00 100 3,358,000.00
440 vitacid 0,05 % - 22,788.00 49 1,116,612.00
441 mediklin gell - 21,912.00 145 3,177,240.00
442 lostascef 250 - 6,244.00 299 1,866,956.00
443 synarcus cr - 529.00 95 50,255.00
444 grantusif - 1,533.00 906 1,388,898.00
445 ulsicral - 2,027.00 4,885 9,901,895.00
446 lazol - 31,498.00 2,929 92,257,642.00
447 callusol - 4,700.00 93 437,100.00
448 fenol glycerol ed - 25,417.00 10 254,170.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
450 devosik drop - 20,119.00 100 2,011,900.00

451 lapifed exp syrup - 23,007.00 300 6,902,100.00
452 lapifed dmp syrup - 12,300.00 198 2,435,400.00
453 dumin rt - 8,014.00 50 400,700.00
454 hustab syrup - 46,587.00 200 9,317,400.00
455 acne feldin - 82,827.00 98 8,117,046.00
456 Hemocain - 3,984.00 99 394,416.00
457 kloramfenicol tetes telinga 3% - 33,864.00 300 10,159,200.00
458 epexol - 13,988.00 200 2,797,600.00
459 dexigen krim - 410.00 100 41,000.00
460 tromofal - 8,185.00 0 -
463 metaneuron - 0 - - 0 -
465 BMHP JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
513 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 - 0 - - 0 -
536 OBAT GIGI JKN - 0 - - 0 -
537 - 0 - - 0 -
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
545 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
546 - 0 - - 0 -
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 -
560 - 0 - - 0 -
JUMLAH TOTAL KESELURUHAN 51,216,797.00 1,019,625,275.00
JUMLAH
51,216,797.00 1,024,099,887.00
BULAN AGUSTUS 2016
MUTASI
SALDO AKHIR AG
MASUK KELUAR
SELAMA BULAN AGUSTUS 2016 SELAMA BULAN AGUSTUS 2016

SATUAN RP RP RP
- - 407.00 - - 79 - 407.00
- - 105.00 - - - 105.00
- - 245.00 - - - 245.00
- - 5,150.00 - - 139 - 5,150.00
- - 95.00 - - 1,611 - 95.00
- - 3,240.00 - - - 3,240.00
- 5 - 87.00 - - - 87.00
- - 112.00 - - - 112.00
- - - 1,776 - - - -
- - - 7,071 - - - -
- - - 600 - - - -
- - 3,700.00 - - - 3,700.00
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 3,456 - - - -
- - 2,100.00 68 142,800.00 - 62 - 2,100.00
- - - - - 6 - -
- - 1,552.00 - - - 1,552.00
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 96.00 - - - 96.00
- - 156.00 - - - 156.00
- - 32.00 - - 1,855 - 32.00
- - 128.00 - - - 128.00
- - - 414 - - 630 - -
- - 388.00 - - 10 - 388.00
- - - 32 - - 36 - -
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 175 - - - -
- - 1,520.00 - - - 1,520.00
- - - 43 - - 21 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 - - - 39.00
- - - 1 - - - -
- - 181.00 - - - 181.00
- - 1,580.00 - - - 1,580.00
- - - 1,147 - - - -
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - - - - - -
- - 56.00 10 560.00 - - 56.00
- - 1,054.00 - - - 1,054.00
- - 97.00 - - - 97.00
- - 253.00 - - - 253.00
- - - - - - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 21.00 - - - 21.00
- - 8,100.00 30 243,000.00 - 30 - 8,100.00
- - 8,100.00 - - - 8,100.00
- - 500.00 - - - 500.00
- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - 104,000.00 - - - 104,000.00
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 - - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - - - - -
- - 1,566.00 - - - 1,566.00
- - - - - 60 - -
- - 1,829.00 - - - 1,829.00
- - - 3 - - - -
- - - 169 - - 198 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - - - - - -
- - - 189 - - - -
- - - - - 2,549 - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 1,452.00 - - - 1,452.00
- - 5,200.00 - - - 5,200.00
- - 228.00 - - - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - - 119 - - - -
- - - 72 - - 38 - -
- - 850.00 - - - 850.00
- - - - - - -
- - - 1,995 - - 1,541 - -
- - 3,499.00 54 188,946.00 - 28 - 3,499.00
- - 88.00 6 528.00 - - 88.00
- - 708.00 - - - 708.00
- - - - - - -
- - 62.00 - - 343 - 62.00
- - 80.00 249 19,920.00 - - 80.00
- - 245.00 - - - 245.00
- - 372.00 5 1,860.00 - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - - - 23 - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
- - - 4,076 - - - -
- - 15,364.00 - - - 15,364.00
- - 470.00 - - - 470.00
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 149.00 99 14,751.00 - 120 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 - - 127 - 2,574.00
- - 473.00 - - - 473.00
- - - - - - -
- - - - - 1 - -
- - - 370 - - - -
- - 1,540.00 - - - 1,540.00
- - 1,440.00 - - - 1,440.00
- - 1,199.00 - - 495 - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 - - - 124.00
- - 182.00 - - 138 - 182.00
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - - 100 - - - -
- - - - - 18 - -
- - 3,850.00 - - - 3,850.00
- - 110.00 23 2,530.00 - 22 - 110.00
- - 105.00 - - - 105.00
- - 190.00 - - - 190.00
- - - 20 - - - -
- - 10,449.00 - - - 10,449.00
- - 14.00 51 714.00 - - 14.00
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 166.00 - - - 166.00
- - - 139 - - 193 - -
- - - - - - -
- - - - - 10 - -
- - 640.00 - - 10 - 640.00
- - 407.00 - - 27 - 407.00
- - 2,783.00 - - 343 - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - - 100 - - - -
- - - 184 - - - -
- - 530.00 - - - 530.00
- - - - - - -
- - - - - 391 - -
- - - 195 - - - -
- - - 11,565 - - 13,784 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 - - - 311.00
- - 14.00 - - - 14.00
- - 70.00 - - 654 - 70.00
- - 14,203.00 - - 10 - 14,203.00
- - 37,109.00 - - - 37,109.00
- - 2,163.00 3 6,489.00 - - 2,163.00
- - 52.00 108 5,616.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 901 - - - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 103.00 994 102,382.00 - - 103.00

- - - 20 - - - -
- - - - - 1,122 - -
- - 98.00 - - - 98.00
- - - 28 - - - -
- - - 40 - - - -
- - - 270 - - - -
- - 4,746.00 - - 7 - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 - - - 916.00
- - 13.00 - - - 13.00
- - 105.00 - - - 105.00
- - 169.00 - - 245 - 169.00
- - - - - 204 - -
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 30 6,180.00 - - 206.00
- - 140.00 - - - 140.00
- - 616.00 - - 50 - 616.00
- - 680.00 - - - 680.00
- - - 2,090 - - - -
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - 3,963 - - 2,682 - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - - - - -
- - 1,200,000.00 - - - 1,200,000.00
- - 160,000.00 - - - 160,000.00
- - 215,000.00 - - - 215,000.00
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - - - - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - - - - 660 - -
- - - - - - -
- - - 300 - - - -
- - 257.00 - - - 257.00
- - - 100 - - - -
- - - - - - -
- - - 48 - - - -
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 4,000.00 - - - 4,000.00
- - - 48 - - - -
- - - - - - -
- - - - - - -
- - 7,787.00 - - - 7,787.00
- - - 14 - - - -
- - 7,000.00 1 7,000.00 - - 7,000.00

- - 10,000.00 - - - 10,000.00
- - 607.00 - - - 607.00
- - 303.00 - - - 303.00
- - - - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
- - - 3 - - - -
- - - - - - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 6,983.00 - - - 6,983.00
- - 4,000.00 10 40,000.00 - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - - - - 225 - -
- - 17,700.00 - - - 17,700.00
- - 1,040.00 10 10,400.00 - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - 11,525.00 - - - 11,525.00
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - - 2 - - - -
- - - - - - -
- - 15,000.00 - - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - - 2 - - - -
- - 372,000.00 - - - 372,000.00
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - - 500 - - - -
- - 18,700.00 - - - 18,700.00
- - - 33 - - - -
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - 124 - - - -
- - - 176 - - - -
- - - - - - -
- - - - - - -
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - - - - - -
- - 79,200.00 - - - 79,200.00
- - 6,600.00 - - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 - - - 611.00
- - 637,000.00 - - - 637,000.00
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - 200 - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 - - - 2,750.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - - - - - -
- - 55,714.00 - - - 55,714.00
- - 14,370.00 - - - 14,370.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 8,800.00 - - - 8,800.00
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - - 50 - - - -
- - - 11 - - - -
- - - 100 - - - -
- - - 300 - - - -
- - 495.00 - - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 - - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 63 - 539,000.00
- - 13,470.00 - - 31 - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - 54 - -
- - - - - 2 - -
- - - - - - -
- - - - - 36 - -
- - - - - 16 - -
- - - - - 16 - -
- - - - - 24 - -
- - - - - - -
- - - - - 10 - -
- - - - - 7 - -
- - - - - 37 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 26 - -
- - - - - - -
- - - - - 12 - -
- - - - - - -
- - - - - 541 - -
- - - - - 5 - -
- - - - - - -
- - - - - 4 - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - 18 - -
- - - - - 9 - -
- - - - - 15 - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - - - - 189 - -
- - - - - - -
- - - - - 287 - -
- - - - - 78 - -
- - - - - 27 - -
- - - - - - -
- - - - - 28 - -
- - - - - 19 - -
- - - - - - -
- - - - - 30 - -
- - - - - 34 - -
- - - - - - -
- - - - - - -
- - - - - 44 - -
- - - - - 3 - -
- - - - - 280 - -
- - - - - 21 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 5 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - 16 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - 11 - -
- - - - - 130 - -
- - - - - 50 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 656 - -
- - - - - 36 - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - 4 - -
- - - - - 3 - -
- - - - - 2 - -
- - - - - 5 - -
- - - - - 5 - -
- - - - - 8 - -
- - - - - 96 - -
- - - - - 128 - -
- - - - - 106 - -
- - - - - - -
- - - - - 10 - -
- - - - - - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 4 - -
- - - - - 3 - -
- - - - - - -
- - - - - - -
- - - - - 3 - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 316 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 12 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 200 - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR AG
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- -
- - 793,676.00 -
- - - -
- - 793,676.00 -
- - 793,676.00 -
SALDO AKHIR AGUSTUS 2016
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 563 -
0 - - 3,379 - 0
0 - - 0 -
178 15,486.00 - 2,166 - 178
488 54,656.00 - 344 - 488
4,323 - - 0 - 1,323
17,884 - - 0 -
4,400 - - 0 - -600
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
14,642 - - 0 -
4,642
32 67,200.00 - 638 -
96 - - 178 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 96,266 - 0
0 - - 0 -
2,246 - - 6,215 - 2,246
446 173,048.00 - 3,705 -
300 - - 8,008 - 0
0 - - 0 - 0
0 - - 0 -
1,158 - - 0 -
158
0 - - 0 -
104 - - 853 - 104
0 - - 0 - 0
4 156.00 - 0 -
179 - - 0 - -1
0 - - 0 - 0
100 158,000.00 - 800 -
7,582 - - 0 - 7,582
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
100 - - 0 - 100
3 168.00 - 0 -
90 94,860.00 - 170 - 90
350 33,950.00 - 292 - 350
5 1,265.00 - 0 -
5
50 - - 0 - 50
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - - 330 -
0 - - 449 -
0
0 - - 1,369 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
0 - - 0 -
0 - - 0 - 0
100 - - 921 - 0
0 - - 0 - 0
997 - - 0 -
1,000 - - 3,206 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
96 - - 0 - 0
1,218 - - 0 - 218
0 - - 34,201 - 0
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
8 41,600.00 - 0 - 8
0 - - 159 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
1,811 - - 0 - 1,811
196 - - 122 -
0 - - 0 - 0
0 - - 0 - 0
9,252 - - 0 -
0 - - 172 - 0
390 34,320.00 - 200 - 390
0 - - 0 - 0
0 - - 0 -
0 - - 6,159 - 0
2,591 207,280.00 - 0 -
464 113,680.00 - 0 - 464
51 18,972.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
96 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
1,431 - - 0 -
3,011 46,261,004.00 - 0 - 3,011
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
216 32,184.00 - 3,690 -

216
0 - - 0 -
0 - - 1,830 -
0
0 - - 0 -
100 - - 0 - 0
90 - - 179 -
914 - - 0 - 914
0 - - 0 - 0
0 - - 0 -
0
0 - - 2,211 -
0 - - 0 - 0
1,004 124,496.00 - 0 - 1,004
0 - - 183 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
-100
758 - - 1,308 -
758
0 - - 0 - 0
334 36,740.00 - 935 -
0 - - 0 - 0
0 - - 0 -
99 - - 0 - 99
0 - - 0 - 0
5,376 75,264.00 - 1,500 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
1,861 - - 0 - -139
17 - - 0 -
300 - - 58 - 0
244 156,160.00 - 1,022 - 244
0 - - 76 -
0 - - 425 - 0
0 - - 0 -
0 - - 0 - 0
100 - - 0 -
1,356 - - 0 - 456
0 - - 0 -
0
56 - - 0 -
500 - - 429 - 0
549 - - 0 - 549
13,806 - - 55,316 - 3,806
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
110 34,210.00 - 0 - 110
0 - - 0 - 0
0 - - 4,901 -
0 - - 80 - 0
0 - - 0 -
29 62,727.00 - 0 - 29
804 41,808.00 - 0 -
0 - - 0 - 0
1,088 - - 0 - 588
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
51 - - 0 - 11
500 - - 150 -
0 - - 0 - 0
104 - - 0 -
86 - - 0 - -14
642 - - 0 -
0 - - 291 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
200 183,200.00 - 0 -
200
0 - - 0 - 0
0 - - 0 -
0 - - 2,233 - 0
1,000 - - 712 -
0 - - 0 - 0
0 - - 0 - 0
545 112,270.00 - 0 -
0 - - 12,300 - 0
0 - - 910 - 0
0 - - 0 - 0
910 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
9,610 - - 9,431 - 6,610
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 8 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 6,300 - 0
0 - - 0 - 0
0 - - 0 - 0
1,000 - - 0 -
0 - - 0 - 0
100 - - 0 - -200
0 - - 0 -
193 - - 0 - 93
72 - - 0 -
0 - - 0 -
0
5 42,475.00 - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
70 - - 0 - 70
0 - - 0 -
0 - - 0 -
0
14 - - 0 -
2 14,000.00 - 0 - 2
5 50,000.00 - 0 -
5
50 30,350.00 - 0 -
50
0 - - 0 -
50 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
15 - - 0 -
3
172 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
100 - - 1,998 - 0
0 - - 0 -
412 428,480.00 - 0 - 412
0 - - 0 - 0
0 - - 0 -
0 - - 3 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
3 - - 0 -
20 - - 0 - 0
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
11 - - 0 - 6
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
120 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
15 - - 0 -
600 - - 0 - 0
40 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
100 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 145 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
700 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
68 - - 0 -
12 668,568.00 - 0 - 12
24 344,880.00 - 0 -
12 27,504.00 - 0 - 12
0 - - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
0 - - 0 - 0
103 236,076.00 - 0 - 103
14 123,200.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
70 - - 0 -
2 - - 0 -
300 - - 0 - 100
200 - - 0 - -300
50 24,750.00 - 0 - 50
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 354 -
0 - - 422 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 8 - 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 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 3,000 - 0
0 - - 36 -
0 - - 38 - 0
0 - - 919 - 0
0 - - 524 - 0
0 - - 161 -
0 - - 51 - 0
0 - - 165 - 0
0 - - 50 -
0 - - 25 - 0
0 - - 462 -
0 - - 49 -
0
0 - - 297 -
0 - - 6,000 - 0
0 - - 300 -
0 - - 413 - 0
0 - - 3 -
0 - - 384 - 0
0 - - 33 - 0
0 - - 3,960 -
0 - - 43 - 0
0 - - 100 - 0
0 - - 76 -
0 - - 3,000 - 0
0 - - 600 -
0 - - 37 - 0
0 - - 8 - 0
0 - - 209 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 2,599 -
0 - - 0 - 0
0 - - 4,339 -
0 - - 1,380 - 0
0 - - 621 - 0
0 - - 0 - 0
0 - - 282 -
0 - - 0 - 0
0 - - 0 -
0 - - 759 - 0
0 - - 240 -
0 - - 0 - 0
0 - - 0 -
0 - - 932 - 0
0 - - 42 -
0 - - 6,299 -
0
0 - - 520 -
0 - - 414 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 124 -
0 - - 292 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 279 -
0 - - 458 - 0
0 - - 400 -
0 - - 144 - 0
0 - - 1,494 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 547 - 0
0 - - 190 - 0
0 - - 304 -
0 - - 1,400 - 0
0 - - 0 -
0 - - 97 - 0
0 - - 0 -
0 - - 133 - 0
0 - - 4,870 -
0 - - 189 - 0
0 - - 87 - 0
0 - - 100 - 0
0 - - 300 - 0
0 - - 392 - 0
0 - - 100 - 0
0 - - 5,790 - 0
0 - - 2,886 - 0
0 - - 199 - 0
0 - - 99 - 0
0 - - 100 - 0
0 - - 93 - 0
0 - - 97 - 0
0 - - 47 - 0
0 - - 140 - 0
0 - - 294 -
0 - - 87 - 0
0 - - 810 - 0
0 - - 4,757 -
0 - - 2,823 - 0
0 - - 93 -
0 - - 0 - 0
0 - - 100 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 100 -
0 - - 296 - 0
0 - - 195 -
0 - - 50 - 0
0 - - 200 -
0 - - 95 - 0
0 - - 98 -
0 - - 300 - 0
0 - - 200 - 0
0 - - 98 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 4,447 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 12 -
0 - - 48 - 0
0 - - 24 -
0 - - 36 - 0
0 - - 48 -
0 - - 37 - 0
0 - - 57 -
0 - - 22 - 0
0 - - 1 -
0 - - 100 - 0
0 - - 58 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 800 -
0 - - 15 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 28 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
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
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
50,395,983.00 -
- -
50,395,983.00 -
50,395,983.00 -
BULAN SEPTEMBER 2016
SALDO AWAL 1 SEPTEMBER 2016

MASUK
SELAMA BULAN SEPTEMBER 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
5 Ambroxol tab 95.00 0 - - 3,379 -
9 Amlodipin 5 mg tab - 4,323 - - 0 -
11 Amoksisilin Kapsul 250 mg - 4,400 - - 0 -
Antasida DOEN I Tablet kunyah,kombinasi : 14,642 - 0 -
Alumunium Hidroksida 200 mg + Magnesium
15 Hidroksida 200 mg - -
Antasida DOEN II suspensi,komb:Alumunium 32 67,200.00 638 -
Hidroksida 200 mg/ml + Magnesium Hidroksida 200
16 mg/ml - 60 ml 2,100.00 -
Antifungi DOEN Kombinasi : Asam Benzoat 6% + 96 - 178 -
17 Asam Salisilat 3% - -
Antihemoroid DOEN kombinasi : Bismut Subgalat 0 - 0 -
18 150 mg + Heksaklorofen 250 mg 1,552.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg
19 123.00 -
27 Asiklovir 400 mg tablet - 300 - - 8,008 -
Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat) 0 - 0 -
29 @ 1 ml 1,230.00 -
Besi (II)Sulfat 200 mg + asam folat 0,25 mg/tablet 1,158 - 0 -
30 (tablet tambah darah) @ 30 tablet - -
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
35 Cetrizin syrup 5 mg/ml - 60 ml - 179 - - 0 -
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
44 Diazepam tablet 5 mg 56.00 3 168.00 - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
5 1,265.00 0 -
47 253.00 -
0 - 0 -
49 21.00 -
Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) - @ 0 - 330 -
50 1 ml 8,100.00 -
0 - 449 -
51 8,100.00 -
64 Fitomenadion ( vit K 1 ) tablet salut gula 10 mg - 100 - - 921 -
66 Furosemid tablet 40 mg - 997 - - 0 -
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g + 1,000 - 3,206 -
Kalium Klorida 0,30 g +Trinatrium sitrat dihidrat 0,58
67 g +Glukosa Anhidrat 2,7 g - -
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

74 Gliserin - 100 ml 4,158.00 0 - - 0 -
86 Ibuprofen tablet 400 mg - 9,252 - - 0 -
87 Ibupropen 100 mg Syr - 60 ml 3,499.00 0 - - 172 -
93 Karbamazepin 200 mg 245.00 464 113,680.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

107 Kodein 10 mg 470.00 0 - - 0 -
0 - 1,830 -
Kotrimosazol Suspensi Kombinasi: Sulfametoksazol
200 mg + Trimetoprim 40 mg/ 5 ml - 60 ml
110 2,574.00 -
112 Lidokain inj 2% @ 2 ml - 100 - - 0 -
Lidokain inj 2% (HCl) + Epinefrine 1 : 80000 - 2 ml @ 90 - 179 -
113 2 ml - -
114 Loratadin tablet 10 mg - 914 - - 0 -
0 - 0 -
116 1,440.00 -
0 - 2,211 -
Meloksikam 15 mg
117 1,199.00 -
120 Metformin HCl 500 mg 182.00 0 - - 183 -
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
Metilergometrin Maleat (Metilergometrin) injeksi 0 - 0 -
123 0,200 mg - 1 ml - -
Metilergometrin Maleat (Metilergometrin) tablet salut 758 - 1,308 -
124 0,125 mg - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
133 Natrium diklofenak 50 mg - 1,861 - - 0 -
135 Nifedipin tablet 10 mg - 300 - - 58 -
142 Omeprazole 20 mg - 1,356 - - 0 -
0 - 0 -
143 530.00 -
56 - 0 -
144 - -
145 Paracetamol sirup 120 mg / 5 ml - 60 ml - 500 - - 429 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

159 Ranitidin tab 150 mg - 1,088 - - 0 -
160 Reserpin tablet 0,25 mg 103.00 0 - - 0 -
162 Salbutamol tablet 2 mg - 500 - - 150 -
Salep 2 - 4 Kombinasi: Asam Salisilat 2 %+ Belerang 104 - 0 -
164 endap 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr - 86 - - 0 -
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
0 - 0 -
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I)
172 475,820.00 -
Sianokobalamin (Viatamin B12) injeksi 500 mcg @ 1 200 183,200.00 0 -
174 ml 916.00 -
178 Siprofloksasin tablet 500 mg (sebagai HCL) - 1,000 - - 712 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) - 910 - - 0 -

190 Obat Gigi - 0 - - 0 -
198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 0 - - 0 -
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 -
207 Retinol (VIT A) 100.000 UI - 0 - - 6,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg - 1,000 - - 0 -
Catgut / Benang Bedah No. 2/0 dengan jarum bedah 72 - 0 -
215 (SNI) - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
Catgut / Benang Bedah No. 3/0 dengan jarum bedah 0 - 0 -

216 (SNI) - -
0 - 0 -
224 7,787.00 -
14 - 0 -
225 - -
5 50,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
0 - 0 -
229 303.00 -
50 - 0 -
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
15 - 0 -
237 - -
172 - 0 -
238 - -
Silk (Benang Bedah Sutera) No. 3/0 dengan jarum 0 - 0 -
239 bedah 6,983.00 -
0 - 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
245 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml - 100 - - 1,998 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml - 3 - - 0 -
255 Etanol 70 % - 100 ml - 20 - - 0 -
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

265 Lisol 1000 ml - 11 - - 0 -
266 Meropenem inj 372,000.00 0 - - 0 -
Multivitamin Sirup Pertumbuhan (Mengandung 120 - 0 -
271 Lysine dan Biotin) - 60 ml - -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
600 - 0 -
Obat tradisional pemulihan hati untuk penderita TBC
276 - -
40 - 0 -
Obat scabies mengandung Permethrin 5 % sk - 10 gr
277 - -
279 Propofol inj 11,474.00 0 - - 0 -
285 Obat Gigi 600.00 0 - - 0 -
0 - 0 -
Diamond Bor (Round b,k ; Fissur b,k ; Inverted b,k)
288 289,000.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
298 Obat program 13,200.00 0 - - 0 -
Multivitamin Sirup Pemulihan : Zat aktif Curcuminoid 0 - 0 -
300 - 120 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
0 - 0 -
Dressing Penutup luka lebar berperekat 5 m x 5 cm
315 686,000.00 -
316 IV Cathetter No. 18 - 68 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

329 Ky Jelly - 2 - - 0 -
330 Masker - 300 - - 0 -
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 422 -
0 - 0 -
0 - 0 -
Kombinasi: ipratropium Br 0,5 mg+ salbutamol 2,5 0 - 0 -
348 mg nebules - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
359 norit - 436.00 3,000 1,308,000.00
360 spasminal - 312.00 36 11,232.00
361 heparin gel - 652.00 38 24,776.00
362 osmigra - 54,450.00 919 50,039,550.00
363 scopma - 4,210.00 524 2,206,040.00
364 curviplex syrup - 1,320.00 161 212,520.00
365 protifed syrup - 12,500.00 51 637,500.00
366 kanina syrup - 8,184.00 165 1,350,360.00
367 clonaderm - 5,800.00 50 290,000.00
368 mezinex - 13,300.00 25 332,500.00
369 mulsanol drop - 7,180.00 462 3,317,160.00
- 49 970,200.00
370 nisagon 19,800.00
- 297 2,759,724.00
372 eltazon - 33,263.00 6,000 199,578,000.00
373 bufacort n - 243.00 300 72,900.00
374 Parsifen plus - 5,756.00 413 2,377,228.00
375 Clinica gel - 470.00 3 1,410.00
376 Lycovir sk - 20,900.00 384 8,025,600.00
377 Dextaco syr - 3,784.00 33 124,872.00
378 Dextaco tab - 30,200.00 3,960 119,592,000.00
379 Ichtiol - 296.00 43 12,728.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

381 Gentian violet - 3,300.00 76 250,800.00
383 Xypanzim - 434.00 600 260,400.00
384 Microlax - 1,210.00 37 44,770.00
385 RecoTetes Mata - 14,300.00 8 114,400.00
387 Solathin DS - 6,654.00 0 -
388 Primunox - 7,150.00 2,599 18,582,850.00
389 Lodecon F - 2,241.00 0 -
390 Lodecon Kaplet - 850.00 4,339 3,688,150.00
391 Selkom C - 865.00 1,380 1,193,700.00
392 Truvit Syrup - 1,100.00 621 683,100.00
393 Alludona D - 11,900.00 0 -
394 Lexigo - 450.00 282 126,900.00
395 GOM - 660.00 0 -
396 Zemindo Syrup - 3,328.00 0 -
397 Solafluz - 34,100.00 759 25,881,900.00
398 Fortusin - 10,670.00 240 2,560,800.00
399 Cavicur - 12,100.00 0 -
401 Osteotin - 967.00 932 901,244.00
402 Erphacea - 3,270.00 42 137,340.00
- 6,299 282,006,230.00
403 Novachlor 44,770.00
- 520 256,360.00
405 Lacto B - 12,650.00 414 5,237,100.00
406 Melixicam - 4,535.00 0 -
407 Hemafort - 716.00 0 -
408 Bioplacenton - 19,950.00 124 2,473,800.00
409 Nephrolit - 850.00 292 248,200.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
410 Ikaneuron 5000 - 1,875.00 0 -

411 Hepagard - 2,595.00 0 -
414 Piracetam 400 mg tab - 608.00 400 243,200.00
415 Provomer - 2,020.00 144 290,880.00
416 Pritasma - 102.00 1,494 152,388.00
417 Sulfacetamid - 2,100.00 0 -
418 Tensigard - 2,710.00 547 1,482,370.00
419 Cardismo - 3,300.00 190 627,000.00
421 Nexitra - 121.00 1,400 169,400.00
422 Bromifar - 9,586.00 0 -
423 Ternix Syrup - 140.00 97 13,580.00
424 Orphen - 15,400.00 0 -
425 Faktu supp - 821.00 133 109,193.00
426 solvitral - 2,200.00 4,870 10,714,000.00
427 licogenta - 13,200.00 189 2,494,800.00
428 Calamed - 48,400.00 87 4,210,800.00
429 illiadin kinder - 208.00 100 20,800.00
430 teosal - 10,450.00 300 3,135,000.00
431 Gastrul - 24,979.00 392 9,791,768.00
433 nutralix - 636.00 5,790 3,682,440.00
434 trifaneuron - 10,736.00 2,886 30,984,096.00
435 dianicol ds - 11,779.00 199 2,344,021.00
436 kompolax - 27,390.00 99 2,711,610.00
437 aptil - 36,154.00 100 3,615,400.00
439 flamigra 50 mg - 33,580.00 97 3,257,260.00
440 vitacid 0,05 % - 22,788.00 47 1,071,036.00
441 mediklin gell - 21,912.00 140 3,067,680.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
442 lostascef 250 - 6,244.00 294 1,835,736.00

443 synarcus cr - 529.00 87 46,023.00
444 grantusif - 1,533.00 810 1,241,730.00
445 ulsicral - 2,027.00 4,757 9,642,439.00
446 lazol - 31,498.00 2,823 88,918,854.00
447 callusol - 4,700.00 93 437,100.00
450 devosik drop - 20,119.00 100 2,011,900.00
453 dumin rt - 8,014.00 50 400,700.00
454 hustab syrup - 46,587.00 200 9,317,400.00
455 acne feldin - 82,827.00 95 7,868,565.00
456 Hemocain - 3,984.00 98 390,432.00
458 epexol - 13,988.00 200 2,797,600.00
459 dexigen krim - 410.00 98 40,180.00
460 tromofal - 8,185.00 0 -
463 metaneuron - 0 - - 0 -
465 BMHP JKN - 0 - - 0 -
466 Demetech chromic catgut 2/0 90c + jarum 1/2 37 m R - 0 - - 0 -
467 Demetech chromic catgut 3/0 75c + jarum 1/2 22 m R - 0 - - 12 -
468 Demetech plain catgut 2/0 70c + jarum 1/2 36 m R(PI - 0 - - 48 -
469 Demetech plain catgut 3/0 70c + jarum 1/2 25 m R(P - 0 - - 24 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
513 - 0 - - 0 -
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 - 0 - - 0 -
536 OBAT GIGI JKN - 0 - - 0 -
537 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
545 - 0 - - 0 -
546 - 0 - - 0 -
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 -
560 - 0 - - 0 -
JUMLAH
50,395,983.00 983,120,541.00
BULAN SEPTEMBER 2016
MUTASI
SALDO AKHIR SEP
MASUK KELUAR
SELAMA BULAN SEPTEMBER 2016 SELAMA BULAN SEPTEMBER 2016

SATUAN RP RP RP
- - 407.00 - - - 407.00
- - 105.00 - - - 105.00
- - 245.00 - - - 245.00
- - 5,150.00 - - 143 - 5,150.00
- - 95.00 - - 1,509 - 95.00
- - 3,240.00 - - - 3,240.00
- - 87.00 178 15,486.00 - - 87.00
- - 112.00 - - - 112.00
- - - 1,718 - - - -
- - - 7,446 - - - -
- - - 1,490 - - - -
- - 3,700.00 - - - 3,700.00
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 3,743 - - - -
- - 2,100.00 32 67,200.00 - 63 - 2,100.00
- - - - - 26 - -
- - 1,552.00 - - - 1,552.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
- - 96.00 - - - 96.00
- - 156.00 - - - 156.00
- - 32.00 - - 1,510 - 32.00
- - 128.00 - - - 128.00
- - - 542 - - 648 - -
- - 388.00 - - 40 - 388.00
- - - - - 34 - -
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 159 - - - -
- - 1,520.00 - - - 1,520.00
- - - 40 - - 45 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 - - - 39.00
- - - 6 - - - -
- - 181.00 - - - 181.00
- - 1,580.00 100 158,000.00 - 1 - 1,580.00
- - - 985 - - - -
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - - - - - -
- - 56.00 3 168.00 - - 56.00
- - 1,054.00 1 1,054.00 - 1 - 1,054.00
- - 97.00 - - - 97.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - 253.00 - - - 253.00
- - - 1 - - - -
- - 21.00 - - - 21.00
- - 8,100.00 - - 1 - 8,100.00
- - 8,100.00 - - - 8,100.00
- - 500.00 - - - 500.00
- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - 104,000.00 - - - 104,000.00
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 - - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - - - - -
- - 1,566.00 - - - 1,566.00
- - - - - 84 - -
- - 1,829.00 - - - 1,829.00
- - - 34 - - - -
- - - - - 288 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - - 96 - - - -
- - - 210 - - - -
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - - - 1,732 - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
- - 1,452.00 - - - 1,452.00
- - 5,200.00 - - - 5,200.00
- - 228.00 - - - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - - 34 - - - -
- - - 59 - - 80 - -
- - 850.00 - - - 850.00
- - - - - - -
- - - 2,376 - - - -
- - 3,499.00 - - 172 - 3,499.00
- - 88.00 - - - 88.00
- - 708.00 - - - 708.00
- - - - - - -
- - 62.00 - - 1,138 - 62.00
- - 80.00 233 18,640.00 - - 80.00
- - 245.00 60 14,700.00 - - 245.00
- - 372.00 - - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - - - - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - 1,431 - - - -
- - 15,364.00 - - - 15,364.00
- - 470.00 - - - 470.00
- - 149.00 42 6,258.00 - 30 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 - - 174 - 2,574.00
- - 473.00 - - - 473.00
- - - 100 - - - -
- - - - - 100 - -
- - - 275 - - - -
- - 1,540.00 - - - 1,540.00
- - 1,440.00 - - - 1,440.00
- - 1,199.00 - - 492 - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 - - - 124.00
- - 182.00 - - 99 - 182.00
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - - - - - -
- - - - - 8 - -
- - 3,850.00 - - - 3,850.00
- - 110.00 40 4,400.00 - - 110.00
- - 105.00 - - - 105.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - 190.00 - - - 190.00
- - - 19 - - - -
- - 10,449.00 - - - 10,449.00
- - 14.00 21 294.00 - - 14.00
- - 166.00 - - - 166.00
- - - 270 - - - -
- - - - - - -
- - - 200 - - 58 - -
- - 640.00 244 156,160.00 - 80 - 640.00
- - 407.00 - - 3 - 407.00
- - 2,783.00 - - 380 - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - - 100 - - - -
- - - 170 - - - -
- - 530.00 - - - 530.00
- - - - - - -
- - - - - 171 - -
- - - 216 - - - -
- - - 9,671 - - 7,747 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 - - - 311.00
- - 14.00 - - - 14.00
- - 70.00 - - 736 - 70.00
- - 14,203.00 - - 5 - 14,203.00
- - 37,109.00 - - - 37,109.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - 2,163.00 5 10,815.00 - - 2,163.00

- - 52.00 50 2,600.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 930 - - - -
- - 103.00 - - - 103.00
- - - 20 - - - -
- - - - - - -
- - 98.00 - - - 98.00
- - - 27 - - - -
- - - 62 - - - -
- - - 166 - - - -
- - 4,746.00 - - 1 - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 - - - 916.00
- - 13.00 - - - 13.00
- - 105.00 - - - 105.00
- - 169.00 - - 250 - 169.00
- - - - - 174 - -
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 545 112,270.00 - - 206.00
- - 140.00 - - - 140.00
- - 616.00 - - 135 - 616.00
- - 680.00 - - - 680.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - 910 - - - -
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - 4,981 - - 2,612 - -
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - - - - -
- - 1,200,000.00 - - - 1,200,000.00
- - 160,000.00 - - - 160,000.00
- - 215,000.00 - - - 215,000.00
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - - - - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - - 565 - - - -
- - - - - - -
- - - 100 - - - -
- - 257.00 - - - 257.00
- - - 100 - - - -
- - - 48 - - - -
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
- - 8,495.00 - - - 8,495.00
- - 4,000.00 - - - 4,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - 7,787.00 - - - 7,787.00
- - - 1 - - - -
- - 7,000.00 - - - 7,000.00
- - 10,000.00 1 10,000.00 - - 10,000.00
- - 607.00 - - - 607.00
- - 303.00 - - - 303.00
- - - 2 - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - 9 - - - -
- - - 100 - - - -
- - 6,983.00 - - - 6,983.00
- - 4,000.00 - - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - - - - 171 - -
- - 17,700.00 - - - 17,700.00
- - 1,040.00 - - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - 11,525.00 - - 3 - 11,525.00
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - - - - - -
- - - - - - -
- - 15,000.00 - - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - - 1 - - - -
- - 372,000.00 - - - 372,000.00
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - - - - - -
- - 18,700.00 - - - 18,700.00
- - - 32 - - - -
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - - - - -
- - - 15 - - - -
- - - 380 - - - -
- - - 2 - - - -
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - - 5 - - - -
- - 79,200.00 - - - 79,200.00
- - 6,600.00 - - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 - - - 611.00
- - 637,000.00 - - - 637,000.00
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - 500 - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 - - - 2,750.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - - - - - -
- - 55,714.00 - - - 55,714.00
- - 14,370.00 - - - 14,370.00
- - 2,292.00 - - - 2,292.00
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 8,800.00 4 35,200.00 - - 8,800.00
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
- - - 50 - - - -
- - - 2 - - - -
- - - 250 - - - -
- - - 200 - - - -
- - 495.00 20 9,900.00 - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 - - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 38 - 539,000.00
- - 13,470.00 - - 5 - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 8 - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 9 - -
- - - - - 1 - -
- - - - - 3 - -
- - - - - 30 - -
- - - - - 7 - -
- - - - - 7 - -
- - - - - 33 - -
- - - - - - -
- - - - - 9 - -
- - - - - 26 - -
- - - - - 43 - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - 86 - -
- - - - - - -
- - - - - 10 - -
- - - - - - -
- - - - - 604 - -
- - - - - 6 - -
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 8 - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - 8 - -
- - - - - 34 - -
- - - - - - -
- - - - - 110 - -
- - - - - - -
- - - - - 130 - -
- - - - - 51 - -
- - - - - 15 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 168 - -
- - - - - 33 - -
- - - - - - -
- - - - - - -
- - - - - 72 - -
- - - - - 2 - -
- - - - - 417 - -
- - - - - 9 - -
- - - - - 15 - -
- - - - - - -
- - - - - - -
- - - - - 9 - -
- - - - - 6 - -
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - 31 - -
- - - - - 44 - -
- - - - - - -
- - - - - 12 - -
- - - - - 22 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - 15 - -
- - - - - 1,362 - -
- - - - - 61 - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - 120 - -
- - - - - - -
- - - - - 1,203 - -
- - - - - - -
- - - - - 9 - -
- - - - - - -
- - - - - - -
- - - - - 2 - -
- - - - - 10 - -
- - - - - 1 - -
- - - - - 4 - -
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - - - 6 - -
- - - - - 3 - -
- - - - - 147 - -
- - - - - 95 - -
- - - - - 100 - -
- - - - - - -
- - - - - - -
- - - - - 2 - -
- - - - - - -
- - - - - 13 - -
- - - - - 6 - -
- - - - - 1 - -
- - - - - - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 248 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 3 - -
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 20 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 7 - -
- - - - - - -
- - - - - 10 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR SEP
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- -
- - 623,145.00 -
- - - -
- - 623,145.00 -
- - 623,145.00 -
SALDO AKHIR SEPTEMBER 2016
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 420 -
0 - - 1,870 - 0
0 - - 0 -
0 - - 2,166 - 0
488 54,656.00 - 344 - 488
2,605 - - 0 - 2,605
10,438 - - 0 -
2,910 - - 0 - 2,910
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
10,899 - - 0 -
10,899
0 - - 575 -
96 - - 152 -
96
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 94,756 - 0
0 - - 0 -
1,704 - - 5,567 - 1,704
446 173,048.00 - 3,665 -
300 - - 7,974 - 300
0 - - 0 - 0
0 - - 0 -
999 - - 0 -
999
0 - - 0 -
64 - - 808 - 64
0 - - 0 - 0
4 156.00 - 0 -
173 - - 0 - 173
0 - - 0 - 0
0 - - 799 -
6,597 - - 0 - 6,597
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
100 - - 0 - 100
0 - - 0 -
89 93,806.00 - 169 - 89
350 33,950.00 - 292 - 350
DINKES JKN
HARGA SATUAN
RP
5 1,265.00 - 0 -
5
49 - - 0 - 49
0 - - 0 -
0
0 - - 329 -
0 - - 449 -
0
0 - - 1,369 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
0 - - 0 -
0 - - 0 - 0
100 - - 837 - 100
0 - - 0 - 0
963 - - 0 -
1,000 - - 2,918 -
1,000
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
1,008 - - 0 - 1,008
DINKES JKN
HARGA SATUAN
RP
0 - - 32,469 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
8 41,600.00 - 0 - 8
0 - - 159 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
1,777 - - 0 - 1,777
137 - - 42 -
0 - - 0 - 0
0 - - 0 - 0
6,876 - - 0 -
0 - - 0 - 0
390 34,320.00 - 200 - 390
0 - - 0 - 0
0 - - 0 -
0 - - 5,021 - 0
2,358 188,640.00 - 0 -
404 98,980.00 - 0 - 404
51 18,972.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
96 - - 0 - 96
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
3,011 46,261,004.00 - 0 - 3,011
0 - - 0 -
174 25,926.00 - 3,660 -
174
0 - - 0 -
0 - - 1,656 -
0
0 - - 0 -
0 - - 0 - 0
90 - - 79 -
639 - - 0 - 639
0 - - 0 - 0
0 - - 0 -
0
0 - - 1,719 -
0 - - 0 - 0
1,004 124,496.00 - 0 - 1,004
0 - - 84 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
758 - - 1,300 -
758
0 - - 0 - 0
294 32,340.00 - 935 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
80 - - 0 - 80
0 - - 0 - 0
5,355 74,970.00 - 1,500 -
0 - - 0 - 0
1,591 - - 0 - 1,591
17 - - 0 -
100 - - 0 - 100
0 - - 942 - 0
0 - - 73 -
0 - - 45 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
1,186 - - 0 - 1,186
0 - - 0 -
0
56 - - 0 -
500 - - 258 - 500

333 - - 0 - 333
4,135 - - 47,569 - 4,135
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
110 34,210.00 - 0 - 110
0 - - 0 - 0
0 - - 4,165 -
0 - - 75 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
24 51,912.00 - 0 - 24
754 39,208.00 - 0 -
0 - - 0 - 0
158 - - 0 - 158
0 - - 0 -
31 - - 0 - 31
500 - - 150 -
0 - - 0 - 0
77 - - 0 -
24 - - 0 - 24
476 - - 0 -
0 - - 290 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0
0 - - 0 -
200 183,200.00 - 0 -
200
0 - - 0 - 0
0 - - 0 -
0 - - 1,983 - 0
1,000 - - 538 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 12,300 - 0
0 - - 775 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
4,629 - - 6,819 - 4,629
0 - - 0 -
0 - - 0 - 0
0 - - 8 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 6,300 - 0
0 - - 0 - 0
0 - - 0 - 0
435 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
93 - - 0 - 93
24 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
5 42,475.00 - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
70 - - 0 - 70
0 - - 0 -
0 - - 0 -
0
13 - - 0 -
2 14,000.00 - 0 - 2
4 40,000.00 - 0 -
4
50 30,350.00 - 0 -
50
0 - - 0 -
48 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
6 - - 0 -
6
72 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
100 - - 1,827 - 100

0 - - 0 -
412 428,480.00 - 0 - 412
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
3 - - 0 -
20 - - 0 - 20
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
10 - - 0 - 10
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
88 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
220 - - 0 -
220
38 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
95 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 145 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
200 - - 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
68 - - 0 -
12 668,568.00 - 0 - 12
24 344,880.00 - 0 -
12 27,504.00 - 0 - 12
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
0 - - 0 - 0
103 236,076.00 - 0 - 103
10 88,000.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
20 - - 0 -
0 - - 0 -
50 - - 0 - 50
0 - - 0 - 0
30 14,850.00 - 0 - 30
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 316 -
0 - - 417 - 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 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 3,000 - 0
0 - - 27 -
0 - - 37 - 0
0 - - 916 - 0
0 - - 494 - 0
0 - - 154 -
0 - - 44 - 0
0 - - 132 - 0
0 - - 50 -
0 - - 16 - 0
0 - - 436 -
0 - - 6 -
0
0 - - 296 -
0 - - 6,000 - 0
0 - - 300 -
0 - - 327 - 0
0 - - 3 -
0 - - 374 - 0
0 - - 33 - 0
0 - - 3,356 -
0 - - 37 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 100 - 0
0 - - 68 -
0 - - 3,000 - 0
0 - - 600 -
0 - - 36 - 0
0 - - 0 - 0
0 - - 175 -
0 - - 0 - 0
0 - - 2,489 -
0 - - 0 - 0
0 - - 4,209 -
0 - - 1,329 - 0
0 - - 606 - 0
0 - - 0 - 0
0 - - 282 -
0 - - 0 - 0
0 - - 0 -
0 - - 591 - 0
0 - - 207 -
0 - - 0 - 0
0 - - 0 -
0 - - 860 - 0
0 - - 40 -
0 - - 5,882 -
0
0 - - 511 -
0 - - 399 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 115 -
0 - - 286 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 248 -
0 - - 414 - 0
0 - - 400 -
0 - - 132 - 0
0 - - 1,472 -
0 - - 0 - 0
0 - - 547 - 0
0 - - 190 - 0
0 - - 304 -
0 - - 1,400 - 0
0 - - 0 -
0 - - 96 - 0
0 - - 0 -
0 - - 118 - 0
0 - - 3,508 -
0 - - 128 - 0
0 - - 86 - 0
0 - - 100 - 0
0 - - 300 - 0
0 - - 272 - 0
0 - - 100 - 0
0 - - 4,587 - 0
0 - - 2,886 - 0
0 - - 190 - 0
0 - - 99 - 0
0 - - 100 - 0
0 - - 91 - 0
0 - - 87 - 0
0 - - 46 - 0
0 - - 136 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 288 -
0 - - 84 - 0
0 - - 663 - 0
0 - - 4,662 -
0 - - 2,723 - 0
0 - - 93 -
0 - - 0 - 0
0 - - 98 - 0
0 - - 100 -
0 - - 283 - 0
0 - - 189 -
0 - - 49 - 0
0 - - 200 -
0 - - 93 - 0
0 - - 98 -
0 - - 300 - 0
0 - - 200 - 0
0 - - 98 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 4,199 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 12 -
0 - - 48 - 0
0 - - 24 -
0 - - 36 - 0
0 - - 48 -
0 - - 37 - 0
0 - - 54 -
DINKES JKN
HARGA SATUAN
RP
0 - - 22 - 0
0 - - 1 -
0 - - 100 - 0
0 - - 38 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 800 -
0 - - 8 - 0
0 - - 0 -
0 - - 18 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
49,772,838.00 -
- -
49,772,838.00 -
49,772,838.00 -
BULAN OKTOBER 2016
SALDO AWAL 1 OKTOBER 2016

MASUK
SELAMA BULAN OKTOBER 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
5 Ambroxol tab 95.00 0 - - 1,870 -
7 Aminofilin tablet 200 mg 87.00 0 - - 2,166 -
9 Amlodipin 5 mg tab - 2,605 - - 0 - 3,000
11 Amoksisilin Kapsul 250 mg - 2,910 - - 0 - 2,000
12 Amoksisilin sirup kering 125 mg/ 5 mg - 60 ml 3,700.00 0 - - 0 - 480
0 - 575 -
16 2,100.00 -
17 Salisilat 3% - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

0 - 0 -
29 1,230.00 -
32 Betametason krim 0,1 % - 5 gr - 64 - - 808 - 96
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
37 Deksametason injeksi IV 5 mg/ml 1,580.00 0 - - 799 -
5 1,265.00 0 -
47 253.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
49 21.00 -
0 - 329 -
50 8,100.00 -
0 - 449 -
51 8,100.00 -
55 Etil klorida spray 104,000.00 0 - - 0 - 10
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g + Kalium 1,000 - 2,918 -
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

90 Kalsium Laktat (Kalk) tablet 500 mg - 0 - - 0 - 5,000
93 Karbamazepin 200 mg 245.00 404 98,980.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

112 Lidokain inj 2% @ 2 ml - 0 - - 0 -
90 - 79 -
113 - -
115 Magnesium Sulfat inj (IV) 20 % - 25 ml 1,540.00 0 - - 0 - 20
0 - 0 -
116 1,440.00 -
0 - 1,719 -
Meloksikam 15 mg
117 1,199.00 -
120 Metformin HCl 500 mg 182.00 0 - - 84 - 1,000
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
Metilergometrin Maleat (Metilergometrin) injeksi 0,200 mg - 0 - 0 - 100
123 1 ml - -
124 mg - -
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

135 Nifedipin tablet 10 mg - 100 - - 0 - 300
136 Nistatin tablet salut 500000 IU/g 640.00 0 - - 942 -
142 Omeprazole 20 mg - 1,186 - - 0 -
0 - 0 -
143 530.00 -
56 - 0 -
144 - -
147 Paracetamol tablet 500 mg - 4,135 - - 47,569 - 15,000
152 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 14.00 0 - - 0 - 5,000
159 Ranitidin tab 150 mg - 158 - - 0 - 2,500
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

164 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr - 24 - - 0 - 100
166 Sefadroksil kapsul 500 mg - 476 - - 0 - 500
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
200 183,200.00 0 -
174 916.00 -
175 Sianokobalamin (Vitamin B 12) tablet 50 mcg 13.00 0 - - 0 - 2,000
181 Tetrasiklin 500 mg kapsul 206.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
190 Obat Gigi - 0 - - 0 -

198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 0 - - 0 -
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 - 5
207 Retinol (VIT A) 100.000 UI - 0 - - 6,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg - 435 - - 0 - 1,000
24 - 0 - 24
215 - -
0 - 0 -
216 - -
218 Foley Cathether no 18 (SNI) 8,495.00 0 - - 0 - 10
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

221 Infusion set dewasa (SNI) - 0 - - 0 - 50
0 - 0 -
224 7,787.00 -
13 - 0 -
225 - -
4 40,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
0 - 0 - 25
229 303.00 -
48 - 0 -
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
6 - 0 - 12
237 - -
72 - 0 - 100
238 - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
239 6,983.00 -
0 - 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml - 3 - - 0 - 3
255 Etanol 70 % - 100 ml - 20 - - 0 -
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
265 Lisol 1000 ml - 10 - - 0 -
266 Meropenem inj 372,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

271 Biotin) - 60 ml - -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
Obat Flu sirup Kombinasi (Parasetamol 150 mg, 0 - 0 - 180
276 Obat tradisional pemulihan hati untuk penderita TBC - 220 - - 0 - 900
277 Obat scabies mengandung Permethrin 5 % sk - 10 gr - 38 - - 0 -
279 Propofol inj 11,474.00 0 - - 0 -
285 Obat Gigi 600.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

298 Obat program 13,200.00 0 - - 0 -
300 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
305 Alat suntik sekali pakai 3 ml - 200 - - 0 - 800
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
316 IV Cathetter No. 18 - 68 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
328 Klem Umbilical - 20 - - 0 - 100

329 Ky Jelly - 0 - - 0 -
330 Masker - 50 - - 0 - 500
331 Sarung tangan non steril - 0 - - 0 - 1,000
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 417 -
0 - 0 -
0 - 0 -
348 nebules - -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

359 norit - 436.00 3,000 1,308,000.00
360 spasminal - 312.00 27 8,424.00
361 heparin gel - 652.00 37 24,124.00
362 osmigra - 54,450.00 916 49,876,200.00
363 scopma - 4,210.00 494 2,079,740.00
364 curviplex syrup - 1,320.00 154 203,280.00
365 protifed syrup - 12,500.00 44 550,000.00
366 kanina syrup - 8,184.00 132 1,080,288.00
367 clonaderm - 5,800.00 50 290,000.00
368 mezinex - 13,300.00 16 212,800.00
369 mulsanol drop - 7,180.00 436 3,130,480.00
- 6 118,800.00
370 nisagon 19,800.00
- 296 2,750,432.00
372 eltazon - 33,263.00 6,000 199,578,000.00
373 bufacort n - 243.00 300 72,900.00
374 Parsifen plus - 5,756.00 327 1,882,212.00
375 Clinica gel - 470.00 3 1,410.00
376 Lycovir sk - 20,900.00 374 7,816,600.00
377 Dextaco syr - 3,784.00 33 124,872.00
378 Dextaco tab - 30,200.00 3,356 101,351,200.00
379 Ichtiol - 296.00 37 10,952.00
381 Gentian violet - 3,300.00 68 224,400.00
383 Xypanzim - 434.00 600 260,400.00
384 Microlax - 1,210.00 36 43,560.00
385 RecoTetes Mata - 14,300.00 0 -
387 Solathin DS - 6,654.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
388 Primunox - 7,150.00 2,489 17,796,350.00

389 Lodecon F - 2,241.00 0 -
390 Lodecon Kaplet - 850.00 4,209 3,577,650.00
391 Selkom C - 865.00 1,329 1,149,585.00
392 Truvit Syrup - 1,100.00 606 666,600.00
393 Alludona D - 11,900.00 0 -
394 Lexigo - 450.00 282 126,900.00
395 GOM - 660.00 0 -
396 Zemindo Syrup - 3,328.00 0 -
397 Solafluz - 34,100.00 591 20,153,100.00
398 Fortusin - 10,670.00 207 2,208,690.00
399 Cavicur - 12,100.00 0 -
401 Osteotin - 967.00 860 831,620.00
402 Erphacea - 3,270.00 40 130,800.00
- 5,882 263,337,140.00
403 Novachlor 44,770.00
- 511 251,923.00
405 Lacto B - 12,650.00 399 5,047,350.00
406 Melixicam - 4,535.00 0 -
407 Hemafort - 716.00 0 -
408 Bioplacenton - 19,950.00 115 2,294,250.00
409 Nephrolit - 850.00 286 243,100.00
410 Ikaneuron 5000 - 1,875.00 0 -
411 Hepagard - 2,595.00 0 -
414 Piracetam 400 mg tab - 608.00 400 243,200.00
415 Provomer - 2,020.00 132 266,640.00
416 Pritasma - 102.00 1,472 150,144.00
417 Sulfacetamid - 2,100.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
418 Tensigard - 2,710.00 547 1,482,370.00

419 Cardismo - 3,300.00 190 627,000.00
421 Nexitra - 121.00 1,400 169,400.00
422 Bromifar - 9,586.00 0 -
423 Ternix Syrup - 140.00 96 13,440.00
424 Orphen - 15,400.00 0 -
425 Faktu supp - 821.00 118 96,878.00
426 solvitral - 2,200.00 3,508 7,717,600.00
427 licogenta - 13,200.00 128 1,689,600.00
428 Calamed - 48,400.00 86 4,162,400.00
429 illiadin kinder - 208.00 100 20,800.00
430 teosal - 10,450.00 300 3,135,000.00
431 Gastrul - 24,979.00 272 6,794,288.00
433 nutralix - 636.00 4,587 2,917,332.00
434 trifaneuron - 10,736.00 2,886 30,984,096.00
435 dianicol ds - 11,779.00 190 2,238,010.00
436 kompolax - 27,390.00 99 2,711,610.00
437 aptil - 36,154.00 100 3,615,400.00
439 flamigra 50 mg - 33,580.00 87 2,921,460.00
440 vitacid 0,05 % - 22,788.00 46 1,048,248.00
441 mediklin gell - 21,912.00 136 2,980,032.00
442 lostascef 250 - 6,244.00 288 1,798,272.00
443 synarcus cr - 529.00 84 44,436.00
444 grantusif - 1,533.00 663 1,016,379.00
445 ulsicral - 2,027.00 4,662 9,449,874.00
446 lazol - 31,498.00 2,723 85,769,054.00
447 callusol - 4,700.00 93 437,100.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
450 devosik drop - 20,119.00 100 2,011,900.00

453 dumin rt - 8,014.00 49 392,686.00
454 hustab syrup - 46,587.00 200 9,317,400.00
455 acne feldin - 82,827.00 93 7,702,911.00
456 Hemocain - 3,984.00 98 390,432.00
458 epexol - 13,988.00 200 2,797,600.00
459 dexigen krim - 410.00 98 40,180.00
460 tromofal - 8,185.00 0 -
463 metaneuron - 0 - - 0 -
465 BMHP JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
513 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 - 0 - - 0 -
536 OBAT GIGI JKN - 0 - - 0 -
537 - 0 - - 0 -
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
545 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
546 - 0 - - 0 -
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 -
560 - 0 - - 0 -
JUMLAH
49,772,838.00 923,191,151.00
KESEHATAN KABUPATEN BANDUNG BARAT TAHUN 2016
BULAN OKTOBER 2016
MUTASI
SALDO AKHIR OKT
MASUK KELUAR
SELAMA BULAN OKTOBER 2016 SELAMA BULAN OKTOBER 2016

SATUAN RP RP RP
- - 407.00 - - - 407.00
- - 105.00 - - - 105.00
- - 245.00 - - - 245.00
- - 5,150.00 - - 120 - 5,150.00
- - 95.00 - - 1,461 - 95.00
- - 3,240.00 - - - 3,240.00
- - 87.00 - - 18 - 87.00
- - 112.00 - - - 112.00
- - - 1,555 - - - -
- - - 8,051 - - - -
- - - 1,835 - - - -
- - - 38 - - - -
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 4,872 - - - -
- - 2,100.00 - - 154 - 2,100.00
- - - - - 15 - -
- - 1,552.00 - - - 1,552.00
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 96.00 - - - 96.00
- - 156.00 - - - 156.00
- - 32.00 - - 1,736 - 32.00
- - 128.00 - - - 128.00
- - - 572 - - 560 - -
- - 388.00 10 3,880.00 - 12 - 388.00
- - - - - 61 - -
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 126 - - - -
- - 1,520.00 - - - 1,520.00
- - - 51 - - 30 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 - - - 39.00
- - - 4 - - - -
- - 181.00 - - - 181.00
- - 1,580.00 - - - 1,580.00
- - - 1,635 - - - -
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - - 4 - - - -
- - 56.00 - - - 56.00
- - 1,054.00 - - - 1,054.00
- - 97.00 - - - 97.00
- - 253.00 - - - 253.00
- - - 5 - - - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 21.00 - - - 21.00
- - 8,100.00 - - - 8,100.00
- - 8,100.00 - - - 8,100.00
- - 500.00 - - - 500.00
- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - - 4 - - - -
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 - - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - - - - -
- - 1,566.00 - - - 1,566.00
- - - - - 171 - -
- - 1,829.00 - - - 1,829.00
- - - 80 - - - -
- - - - - 408 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - - - - - -
- - - 235 - - - -
- - - - - 4,669 - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 1,452.00 - - - 1,452.00
- - 5,200.00 1 5,200.00 - - 5,200.00
- - 228.00 - - - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - - 77 - - - -
- - - 59 - - 39 - -
- - 850.00 - - - 850.00
- - - - - - -
- - - 2,524 - - - -
- - 3,499.00 - - - 3,499.00
- - 88.00 6 528.00 - - 88.00
- - 708.00 - - - 708.00
- - - - - - -
- - 62.00 - - 220 - 62.00
- - 80.00 956 76,480.00 - - 80.00
- - 245.00 - - - 245.00
- - 372.00 - - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - - - - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
- - - 3,980 - - - -
- - 15,364.00 - - - 15,364.00
- - 470.00 - - - 470.00
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 149.00 15 2,235.00 - 40 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 - - 150 - 2,574.00
- - 473.00 - - - 473.00
- - - - - - -
- - - - - - -
- - - 397 - - - -
- - - 20 - - - -
- - 1,440.00 - - - 1,440.00
- - 1,199.00 - - 407 - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 10 1,240.00 - - 124.00
- - - - - 47 - -
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - - - - - -
- - - 10 - - - -
- - 3,850.00 - - - 3,850.00
- - 110.00 26 2,860.00 - - 110.00
- - 105.00 - - - 105.00
- - 190.00 - - - 190.00
- - - 25 - - - -
- - 10,449.00 - - - 10,449.00
- - 14.00 352 4,928.00 - - 14.00
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 166.00 - - - 166.00
- - - 285 - - - -
- - - 4 - - - -
- - - - - - -
- - 640.00 - - 42 - 640.00
- - 407.00 - - 18 - 407.00
- - 2,783.00 - - 45 - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - - - - - -
- - - 220 - - - -
- - 530.00 - - - 530.00
- - - 16 - - - -
- - - - - 143 - -
- - - 322 - - - -
- - - 8,876 - - 13,117 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 4 1,244.00 - - 311.00
- - - - - - -
- - 70.00 - - 962 - 70.00
- - 14,203.00 - - 6 - 14,203.00
- - 37,109.00 - - - 37,109.00
- - 2,163.00 4 8,652.00 - - 2,163.00
- - 52.00 107 5,564.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 217 - - - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 103.00 - - - 103.00
- - - 22 - - - -
- - - 128 - - 120 - -
- - 98.00 - - - 98.00
- - - 40 - - - -
- - - 43 - - - -
- - - 215 - - - -
- - 4,746.00 - - 1 - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 - - - 916.00
- - - - - - -
- - 105.00 - - - 105.00
- - 169.00 - - 280 - 169.00
- - - - - 182 - -
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 - - - 206.00
- - 140.00 - - 20 - 140.00
- - 616.00 - - 107 - 616.00
- - 680.00 - - - 680.00
- - - 970 - - - -
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - 4,488 - - 2,936 - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - - - - -
- - 1,200,000.00 - - - 1,200,000.00
- - 160,000.00 - - - 160,000.00
- - - 2 - - - -
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - - - - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - - 480 - - - -
- - - - - - -
- - - 100 - - - -
- - 257.00 - - - 257.00
- - - 22 - - - -
- - - - - - -
- - - - - - -
- - 8,495.00 - - - 8,495.00
- - - - - - -
- - 8,495.00 - - - 8,495.00
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 4,000.00 - - - 4,000.00
- - - - - - -
- - - 52 - - - -
- - - - - - -
- - 7,787.00 - - - 7,787.00
- - - 11 - - - -
- - 7,000.00 - - - 7,000.00
- - 10,000.00 - - - 10,000.00
- - 607.00 - - - 607.00
- - - 11 - - - -
- - - 10 - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
- - - 8 - - - -
- - - 106 - - - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 6,983.00 - - - 6,983.00
- - 4,000.00 - - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - - - - 152 - -
- - 17,700.00 - - - 17,700.00
- - 1,040.00 - - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - 11,525.00 - - - 11,525.00
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - - 6 - - - -
- - - 2 - - - -
- - 15,000.00 - - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - - 1 - - - -
- - 372,000.00 - - - 372,000.00
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - - - - - -
- - 18,700.00 - - - 18,700.00
- - - 23 - - - -
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - - - - -
- - - - - - -
- - - 278 - - - -
- - - 5 - - - -
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - - 10 - - - -
- - 79,200.00 - - - 79,200.00
- - 6,600.00 - - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 - - - 611.00
- - 637,000.00 - - 10 - 637,000.00
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - 200 - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 - - - 2,750.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - - 2 - - - -
- - 55,714.00 - - - 55,714.00
- - 14,370.00 - - - 14,370.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 8,800.00 7 61,600.00 - - 8,800.00
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - - 50 - - - -
- - - - - - -
- - - 500 - - - -
- - - 450 - - - -
- - 495.00 - - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 - - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 42 - 539,000.00
- - 13,470.00 - - 15 - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - 9 - -
- - - - - 1 - -
- - - - - - -
- - - - - 49 - -
- - - - - 22 - -
- - - - - 7 - -
- - - - - 41 - -
- - - - - - -
- - - - - 6 - -
- - - - - 21 - -
- - - - - 6 - -
- - - - - 1 - -
- - - - - - -
- - - - - 46 - -
- - - - - 307 - -
- - - - - - -
- - - - - 21 - -
- - - - - 3 - -
- - - - - 595 - -
- - - - - 2 - -
- - - - - - -
- - - - - 42 - -
- - - - - 20 - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - 3 - -
- - - - - - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - - - - 56 - -
- - - - - - -
- - - - - 170 - -
- - - - - 75 - -
- - - - - 6 - -
- - - - - - -
- - - - - 12 - -
- - - - - - -
- - - - - - -
- - - - - 168 - -
- - - - - 26 - -
- - - - - - -
- - - - - - -
- - - - - 54 - -
- - - - - 2 - -
- - - - - 420 - -
- - - - - - -
- - - - - 5 - -
- - - - - - -
- - - - - - -
- - - - - 12 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 79 - -
- - - - - - -
- - - - - 90 - -
- - - - - 122 - -
- - - - - - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 15 - -
- - - - - 1,182 - -
- - - - - 54 - -
- - - - - 3 - -
- - - - - - -
- - - - - - -
- - - - - 2 - -
- - - - - - -
- - - - - 1,381 - -
- - - - - 82 - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - 3 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - 1 - -
- - - - - 88 - -
- - - - - 45 - -
- - - - - 94 - -
- - - - - 1 - -
- - - - - - -
- - - - - 5 - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 13 - -
- - - - - 4 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 342 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 5 - -
- - - - - 11 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 22 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR OKT
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- -
- - 174,411.00 -
- - - -
- - 174,411.00 -
- - 174,411.00 -
SALDO AKHIR OKTOBER 2016
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 300 -
0 - - 409 - 0
0 - - 0 -
0 - - 2,148 - 0
488 54,656.00 - 344 - 488
4,050 - - 0 - 1,050
12,387 - - 0 -
3,075 - - 0 - 1,075
442 - - 0 -
0 - - 0 - 0
0 - - 0 -
11,027 - - 0 -
6,027
0 - - 421 -
96 - - 137 -
96
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 93,020 - 0
0 - - 0 -
1,132 - - 5,007 - 1,132
436 169,168.00 - 3,653 -
300 - - 7,913 - 300
0 - - 0 - 0
0 - - 0 -
873 - - 0 -
873
0 - - 0 -
109 - - 778 - 13
0 - - 0 - 0
4 156.00 - 0 -
169 - - 0 - 169
0 - - 0 - 0
0 - - 799 -
4,962 - - 0 - 4,962
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
96 - - 0 - 96
0 - - 0 -
89 93,806.00 - 169 - 89
350 33,950.00 - 292 - 350
5 1,265.00 - 0 -
5
44 - - 0 - 44
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - - 329 -
0 - - 449 -
0
0 - - 1,369 - 0
0 - - 0 - 0
0 - - 0 - 0
6 - - 0 - -4
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
0 - - 0 -
0 - - 0 - 0
100 - - 666 - 100
0 - - 0 - 0
883 - - 0 -
1,000 - - 2,510 -
1,000
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
773 - - 0 - 773
0 - - 27,800 - 0
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
7 36,400.00 - 0 - 7
0 - - 159 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
1,700 - - 0 - 1,700
174 - - 3 -
0 - - 0 - 0
0 - - 0 - 0
4,352 - - 0 -
0 - - 0 - 0
384 33,792.00 - 200 - 384
0 - - 0 - 0
5,000 - - 0 -
0 - - 4,801 - 0
1,402 112,160.00 - 0 -
404 98,980.00 - 0 - 404
51 18,972.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
96 - - 0 - 96
0 - - 0 - 0
0 - - 0 - 0
1,020 - - 0 -
3,011 46,261,004.00 - 0 - 3,011
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
159 23,691.00 - 3,620 -

159
0 - - 0 -
0 - - 1,506 -
0
0 - - 0 -
0 - - 0 - 0
90 - - 79 -
242 - - 0 - 242
0 - - 0 - -20
0 - - 0 -
0
0 - - 1,312 -
0 - - 0 - 0
994 123,256.00 - 0 - 994
1,000 - - 37 -
0 - - 0 - 0
0 - - 0 - 0
100 - - 0 -
0
748 - - 1,300 -
748
0 - - 0 - 0
268 29,480.00 - 935 -
0 - - 0 - 0
0 - - 0 -
55 - - 0 - 55
0 - - 0 - 0
5,003 70,042.00 - 1,500 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
1,306 - - 0 - 1,306
13 - - 0 -
400 - - 0 - 100
0 - - 900 - 0
0 - - 55 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
100 - - 0 -
966 - - 0 - 966
0 - - 0 -
0
40 - - 0 -
500 - - 115 - 500

11 - - 0 - 11
10,259 - - 34,452 - -4,741
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
106 32,966.00 - 0 - 106
5,000 - - 0 - 0
0 - - 3,203 -
0 - - 69 - 0
0 - - 0 -
20 43,260.00 - 0 - 20
647 33,644.00 - 0 -
0 - - 0 - 0
2,441 - - 0 - -59
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
49 - - 0 - 9
372 - - 30 -
0 - - 0 - 0
37 - - 0 -
81 - - 0 - -19
761 - - 0 -
0 - - 289 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
200 183,200.00 - 0 -
200
2,000 - - 0 - 0
0 - - 0 -
0 - - 1,703 - 0
1,000 - - 356 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 12,280 - 0
0 - - 668 - 0
0 - - 0 - 0
9,030 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
9,541 - - 3,883 - 141
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 8 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
3 - - 0 - -2
0 - - 0 - 0
0 - - 0 -
0 - - 6,300 - 0
0 - - 0 - 0
0 - - 0 - 0
955 - - 0 -
0 - - 0 - 0
400 - - 0 - -100
0 - - 0 -
71 - - 0 - 71
48 - - 0 -
0 - - 0 -
0
5 42,475.00 - 0 -
10 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
50 - - 0 -
18 - - 0 - 18
0 - - 0 -
0 - - 0 -
0
2 - - 0 -
2 14,000.00 - 0 - 2
4 40,000.00 - 0 -
4
50 30,350.00 - 0 -
50
14 - - 0 -
38 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
10 - - 0 -
-2
66 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
100 - - 1,675 - 100

0 - - 0 -
412 428,480.00 - 0 - 412
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
18 - - 0 - 18
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
9 - - 0 - 9
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
125 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
180 - - 0 -
842 - - 0 - -58
33 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
85 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 135 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
800 - - 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
66 - - 0 -
12 668,568.00 - 0 - 12
24 344,880.00 - 0 -
12 27,504.00 - 0 - 12
0 - - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
0 - - 0 - 0
103 236,076.00 - 0 - 103
3 26,400.00 - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
70 - - 0 -
0 - - 0 -
50 - - 0 - -450
550 - - 0 - -450
30 14,850.00 - 0 - 30
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 274 -
0 - - 402 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 3,000 - 0
0 - - 18 -
0 - - 36 - 0
0 - - 916 - 0
0 - - 445 - 0
0 - - 132 -
0 - - 37 - 0
0 - - 91 - 0
0 - - 50 -
0 - - 10 - 0
0 - - 415 -
0 - - 0 -
0
0 - - 295 -
0 - - 6,000 - 0
0 - - 254 -
0 - - 20 - 0
0 - - 3 -
0 - - 353 - 0
0 - - 30 - 0
0 - - 2,761 -
0 - - 35 - 0
0 - - 100 - 0
0 - - 26 -
0 - - 2,980 - 0
0 - - 600 -
0 - - 35 - 0
0 - - 0 - 0
0 - - 172 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 2,433 -
0 - - 0 - 0
0 - - 4,039 -
0 - - 1,254 - 0
0 - - 600 - 0
0 - - 0 - 0
0 - - 270 -
0 - - 0 - 0
0 - - 0 -
0 - - 423 - 0
0 - - 181 -
0 - - 0 - 0
0 - - 0 -
0 - - 806 - 0
0 - - 38 -
0 - - 5,462 -
0
0 - - 511 -
0 - - 394 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 103 -
0 - - 286 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 248 -
0 - - 335 - 0
0 - - 400 -
0 - - 42 - 0
0 - - 1,350 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 547 - 0
0 - - 190 - 0
0 - - 304 -
0 - - 1,400 - 0
0 - - 0 -
0 - - 96 - 0
0 - - 0 -
0 - - 103 - 0
0 - - 2,326 -
0 - - 74 - 0
0 - - 83 - 0
0 - - 100 - 0
0 - - 300 - 0
0 - - 270 - 0
0 - - 100 - 0
0 - - 3,206 - 0
0 - - 2,804 - 0
0 - - 188 - 0
0 - - 99 - 0
0 - - 100 - 0
0 - - 88 - 0
0 - - 87 - 0
0 - - 46 - 0
0 - - 136 - 0
0 - - 287 -
0 - - 83 - 0
0 - - 575 - 0
0 - - 4,617 -
0 - - 2,629 - 0
0 - - 92 -
0 - - 0 - 0
0 - - 93 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 100 -
0 - - 270 - 0
0 - - 185 -
0 - - 49 - 0
0 - - 200 -
0 - - 93 - 0
0 - - 98 -
0 - - 300 - 0
0 - - 200 - 0
0 - - 97 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 3,857 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 12 -
0 - - 48 - 0
0 - - 24 -
0 - - 36 - 0
0 - - 48 -
0 - - 32 - 0
0 - - 43 -
0 - - 22 - 0
0 - - 1 -
0 - - 100 - 0
0 - - 16 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 800 -
0 - - 8 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 16 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
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
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
49,598,427.00 -
- -
49,598,427.00 -
49,598,427.00 -
BULAN NOVEMBER 2016
SALDO AWAL 1 NOVEMBER 2016

MASUK
SELAMA BULAN NOVEMBER 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
5 Ambroxol tab 95.00 0 - - 409 -
9 Amlodipin 5 mg tab - 4,050 - - 0 -
11 Amoksisilin Kapsul 250 mg - 3,075 - - 0 -
12 Amoksisilin sirup kering 125 mg/ 5 mg - 60 ml - 442 - - 0 -
0 - 421 -
16 2,100.00 -
17 Salisilat 3% - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

0 - 0 -
29 1,230.00 -
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
5 1,265.00 0 -
47 253.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
49 21.00 -
0 - 329 -
50 8,100.00 -
0 - 449 -
51 8,100.00 -
55 Etil klorida spray - 6 - - 0 -
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g + Kalium 1,000 - 2,510 -
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

90 Kalsium Laktat (Kalk) tablet 500 mg - 5,000 - - 0 -
93 Karbamazepin 200 mg 245.00 404 98,980.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

112 Lidokain inj 2% @ 2 ml - 0 - - 0 -
90 - 79 -
113 - -
115 Magnesium Sulfat inj (IV) 20 % - 25 ml - 0 - - 0 -
0 - 0 -
116 1,440.00 -
0 - 1,312 -
Meloksikam 15 mg
117 1,199.00 -
119 Metampiron tablet 500 mg 124.00 994 123,256.00 - 0 -
120 Metformin HCl 500 mg - 1,000 - - 37 -
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
123 1 ml - -
124 mg - -
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

142 Omeprazole 20 mg - 966 - - 0 -
0 - 0 -
143 530.00 -
40 - 0 -
144 - -
152 Piridoksin (Vitamin B6) tablet 10 mg (HCL) - 5,000 - - 0 -
159 Ranitidin tab 150 mg - 2,441 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

164 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr - 81 - - 0 -
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
200 183,200.00 0 -
174 916.00 -
175 Sianokobalamin (Vitamin B 12) tablet 50 mcg - 2,000 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
190 Obat Gigi - 0 - - 0 -

198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 0 - - 0 -
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 -
204 Obat TBC Anak (FDC) - 3 - - 0 -
207 Retinol (VIT A) 100.000 UI - 0 - - 6,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg - 955 - - 0 -
48 - 0 -
215 - -
0 - 0 -
216 - -
218 Foley Cathether no 18 (SNI) - 10 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

0 - 0 -
224 7,787.00 -
2 - 0 -
225 - -
4 40,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
14 - 0 -
229 - -
38 - 0 -
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
10 - 0 -
237 - -
66 - 0 -
238 - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
239 6,983.00 -
0 - 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml - 0 - - 0 -
255 Etanol 70 % - 100 ml - 18 - - 0 -
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
265 Lisol 1000 ml - 9 - - 0 -
266 Meropenem inj 372,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

271 Biotin) - 60 ml - -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
276 Obat tradisional pemulihan hati untuk penderita TBC - 842 - - 0 -
279 Propofol inj 11,474.00 0 - - 0 -
285 Obat Gigi 600.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

298 Obat program 13,200.00 0 - - 0 -
300 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
316 IV Cathetter No. 18 - 66 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

329 Ky Jelly - 0 - - 0 -
330 Masker - 50 - - 0 -
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 402 -
0 - 0 -
0 - 0 -
348 nebules - -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

359 norit - 436.00 3,000 1,308,000.00
360 spasminal - 312.00 18 5,616.00
361 heparin gel - 652.00 36 23,472.00
362 osmigra - 54,450.00 916 49,876,200.00
363 scopma - 4,210.00 445 1,873,450.00
364 curviplex syrup - 1,320.00 132 174,240.00
365 protifed syrup - 12,500.00 37 462,500.00
366 kanina syrup - 8,184.00 91 744,744.00
367 clonaderm - 5,800.00 50 290,000.00
368 mezinex - 13,300.00 10 133,000.00
369 mulsanol drop - 7,180.00 415 2,979,700.00
- 0 -
370 nisagon 19,800.00
- 295 2,741,140.00
372 eltazon - 33,263.00 6,000 199,578,000.00
373 bufacort n - 243.00 254 61,722.00
374 Parsifen plus - 5,756.00 20 115,120.00
375 Clinica gel - 470.00 3 1,410.00
376 Lycovir sk - 20,900.00 353 7,377,700.00
377 Dextaco syr - 3,784.00 30 113,520.00
378 Dextaco tab - 30,200.00 2,761 83,382,200.00
379 Ichtiol - 296.00 35 10,360.00
381 Gentian violet - 3,300.00 26 85,800.00
383 Xypanzim - 434.00 600 260,400.00
384 Microlax - 1,210.00 35 42,350.00
385 RecoTetes Mata - 14,300.00 0 -
387 Solathin DS - 6,654.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
388 Primunox - 7,150.00 2,433 17,395,950.00

389 Lodecon F - 2,241.00 0 -
390 Lodecon Kaplet - 850.00 4,039 3,433,150.00
391 Selkom C - 865.00 1,254 1,084,710.00
392 Truvit Syrup - 1,100.00 600 660,000.00
393 Alludona D - 11,900.00 0 -
394 Lexigo - 450.00 270 121,500.00
395 GOM - 660.00 0 -
396 Zemindo Syrup - 3,328.00 0 -
397 Solafluz - 34,100.00 423 14,424,300.00
398 Fortusin - 10,670.00 181 1,931,270.00
399 Cavicur - 12,100.00 0 -
401 Osteotin - 967.00 806 779,402.00
402 Erphacea - 3,270.00 38 124,260.00
- 5,462 244,533,740.00
403 Novachlor 44,770.00
- 511 251,923.00
405 Lacto B - 12,650.00 394 4,984,100.00
406 Melixicam - 4,535.00 0 -
407 Hemafort - 716.00 0 -
408 Bioplacenton - 19,950.00 103 2,054,850.00
409 Nephrolit - 850.00 286 243,100.00
410 Ikaneuron 5000 - 1,875.00 0 -
411 Hepagard - 2,595.00 0 -
414 Piracetam 400 mg tab - 608.00 400 243,200.00
415 Provomer - 2,020.00 42 84,840.00
416 Pritasma - 102.00 1,350 137,700.00
417 Sulfacetamid - 2,100.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
418 Tensigard - 2,710.00 547 1,482,370.00

419 Cardismo - 3,300.00 190 627,000.00
421 Nexitra - 121.00 1,400 169,400.00
422 Bromifar - 9,586.00 0 -
423 Ternix Syrup - 140.00 96 13,440.00
424 Orphen - 15,400.00 0 -
425 Faktu supp - 821.00 103 84,563.00
426 solvitral - 2,200.00 2,326 5,117,200.00
427 licogenta - 13,200.00 74 976,800.00
428 Calamed - 48,400.00 83 4,017,200.00
429 illiadin kinder - 208.00 100 20,800.00
430 teosal - 10,450.00 300 3,135,000.00
431 Gastrul - 24,979.00 270 6,744,330.00
433 nutralix - 636.00 3,206 2,039,016.00
434 trifaneuron - 10,736.00 2,804 30,103,744.00
435 dianicol ds - 11,779.00 188 2,214,452.00
436 kompolax - 27,390.00 99 2,711,610.00
437 aptil - 36,154.00 100 3,615,400.00
439 flamigra 50 mg - 33,580.00 87 2,921,460.00
440 vitacid 0,05 % - 22,788.00 46 1,048,248.00
441 mediklin gell - 21,912.00 136 2,980,032.00
442 lostascef 250 - 6,244.00 287 1,792,028.00
443 synarcus cr - 529.00 83 43,907.00
444 grantusif - 1,533.00 575 881,475.00
445 ulsicral - 2,027.00 4,617 9,358,659.00
446 lazol - 31,498.00 2,629 82,808,242.00
447 callusol - 4,700.00 92 432,400.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
450 devosik drop - 20,119.00 100 2,011,900.00

453 dumin rt - 8,014.00 49 392,686.00
454 hustab syrup - 46,587.00 200 9,317,400.00
455 acne feldin - 82,827.00 93 7,702,911.00
456 Hemocain - 3,984.00 98 390,432.00
458 epexol - 13,988.00 200 2,797,600.00
459 dexigen krim - 410.00 97 39,770.00
460 tromofal - 8,185.00 0 -
463 metaneuron - 0 - - 0 -
465 BMHP JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
513 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 - 0 - - 0 -
536 OBAT GIGI JKN - 0 - - 0 -
537 - 0 - - 0 -
538 - 0 - - 0 -
539 - 0 - - 0 -
540 - 0 - - 0 -
541 - 0 - - 0 -
542 - 0 - - 0 -
543 - 0 - - 0 -
544 - 0 - - 0 -
545 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
546 - 0 - - 0 -
547 - 0 - - 0 -
548 - 0 - - 0 -
549 - 0 - - 0 -
550 - 0 - - 0 -
551 - 0 - - 0 -
552 - 0 - - 0 -
553 - 0 - - 0 -
554 - 0 - - 0 -
555 - 0 - - 0 -
556 - 0 - - 0 -
557 - 0 - - 0 -
558 - 0 - - 0 -
559 - 0 - - 0 -
560 - 0 - - 0 -
JUMLAH
49,598,427.00 866,536,144.00
BULAN NOVEMBER 2016
MUTASI
SALDO AKHIR NOV
MASUK KELUAR
SELAMA BULAN NOVEMBER 2016 SELAMA BULAN NOVEMBER 2016

SATUAN RP RP RP
- - 407.00 - - - 407.00
- - 105.00 - - - 105.00
- - 245.00 - - - 245.00
- - 5,150.00 - - 216 - 5,150.00
- 5,000 - 95.00 - - 496 - 95.00
- - 3,240.00 - - - 3,240.00
- - 87.00 - - 3 - 87.00
- - 112.00 - - - 112.00
- - - 1,620 - - - -
- - - 7,772 - - - -
- - - 2,590 - - - -
- - - 136 - - - -
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 4,099 - - - -
- - 2,100.00 - - 162 - 2,100.00
- - - - - 7 - -
- - 1,552.00 - - - 1,552.00
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 96.00 - - - 96.00
- - 156.00 - - - 156.00
- - 32.00 - - 1,976 - 32.00
- - 128.00 - - - 128.00
- - - 814 - - 870 - -
- - 388.00 12 4,656.00 - - 388.00
- - - - - 84 - -
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 266 - - - -
- - 1,520.00 - - - 1,520.00
- - - 43 - - 38 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 - - - 39.00
- - - 29 - - - -
- - 181.00 - - - 181.00
- - 1,580.00 - - - 1,580.00
- - - 1,030 - - - -
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - - 6 - - - -
- - 56.00 - - - 56.00
- - 1,054.00 - - - 1,054.00
- - 97.00 - - - 97.00
- - 253.00 - - - 253.00
- - - - - - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 21.00 - - - 21.00
- - 8,100.00 - - - 8,100.00
- - 8,100.00 - - - 8,100.00
- - 500.00 - - - 500.00
- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - - 1 - - - -
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 - - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - - - - -
- - 1,566.00 - - - 1,566.00
- - - - - 82 - -
- - 1,829.00 - - - 1,829.00
- - - 29 - - - -
- - - 100 - - 264 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - - - - - -
- - - 205 - - - -
- 10,000 - - - - 7,637 - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 1,452.00 - - - 1,452.00
- - 5,200.00 - - - 5,200.00
- - 228.00 - - - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - - 78 - - - -
- - - 122 - - 3 - -
- - 850.00 - - - 850.00
- - - - - - -
- - - 3,548 - - - -
- - 3,499.00 - - - 3,499.00
- - 88.00 12 1,056.00 - - 88.00
- - 708.00 - - - 708.00
- - - 1,060 - - - -
- - 62.00 - - 744 - 62.00
- - 80.00 712 56,960.00 - - 80.00
- - 245.00 - - - 245.00
- - 372.00 - - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - 9 - - - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
- - - 1,020 - - - -
- - 15,364.00 3,011 46,261,004.00 - - 15,364.00
- - 470.00 - - - 470.00
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 149.00 30 4,470.00 - 144 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 - - 79 - 2,574.00
- - 473.00 - - - 473.00
- - - - - - -
- - - 30 - - 12 - -
- - - 242 - - - -
- - - - - - -
- - 1,440.00 - - - 1,440.00
- 3,000 - 1,199.00 - - 272 - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 10 1,240.00 - - 124.00
- - - 88 - - 13 - -
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - - - - - -
- - - - - - -
- - 3,850.00 - - - 3,850.00
- - 110.00 68 7,480.00 - - 110.00
- - 105.00 - - - 105.00
- - 190.00 - - - 190.00
- - - 19 - - - -
- - 10,449.00 - - - 10,449.00
- - 14.00 19 266.00 - - 14.00
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 166.00 - - - 166.00
- - - 345 - - - -
- - - 2 - - - -
- - - 100 - - - -
- - 640.00 - - - 640.00
- - 407.00 - - 20 - 407.00
- - 2,783.00 - - - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - - - - - -
- - - 272 - - - -
- - 530.00 - - - 530.00
- - - 33 - - - -
- - - 12 - - 115 - -
- - - 11 - - - -
- - - 9,607 - - 8,318 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 4 1,244.00 - - 311.00
- - - 1,252 - - - -
- 2,000 - 70.00 - - 964 - 70.00
- - 14,203.00 - - 1 - 14,203.00
- - 37,109.00 - - - 37,109.00
- - 2,163.00 4 8,652.00 - - 2,163.00
- - 52.00 259 13,468.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 378 - - - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 103.00 - - - 103.00
- - - 20 - - - -
- - - 372 - - 30 - -
- - 98.00 - - - 98.00
- - - 32 - - - -
- - - 42 - - - -
- - - 150 - - - -
- - 4,746.00 - - 1 - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 - - - 916.00
- - - - - - -
- - 105.00 - - - 105.00
- - 169.00 - - 235 - 169.00
- - - 168 - - 280 - -
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 - - - 206.00
- - 140.00 - - 10 - 140.00
- - 616.00 - - 160 - 616.00
- - 680.00 - - - 680.00
- - - 2,944 - - - -
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - 5,514 - - 2,494 - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - - - - -
- - 1,200,000.00 - - - 1,200,000.00
- - 160,000.00 - - - 160,000.00
- - - - - - -
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - - - - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - - 710 - - - -
- - - - - - -
- - - - - - -
- - 257.00 - - - 257.00
- - - - - - -
- - - 32 - - - -
- - - - - - -
- - 8,495.00 - - - 8,495.00
- - - - - - -
- - 8,495.00 - - - 8,495.00
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 4,000.00 - - - 4,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - 7,787.00 - - - 7,787.00
- - - - - - -
- - 7,000.00 - - - 7,000.00
- - 10,000.00 - - - 10,000.00
- - 607.00 - - - 607.00
- - - - - - -
- - - 14 - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 6,983.00 - - - 6,983.00
- - 4,000.00 - - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - - - - 29 - -
- - 17,700.00 - - - 17,700.00
- - 1,040.00 - - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - 11,525.00 - - - 11,525.00
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - - - - - -
- - - 1 - - - -
- - 15,000.00 - - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - - 2 - - - -
- - 372,000.00 - - - 372,000.00
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - - - - - -
- - 18,700.00 - - - 18,700.00
- - - 46 - - - -
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - - - - -
- - - - - - -
- - - 303 - - - -
- - - 3 - - - -
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - - 10 - - - -
- - 79,200.00 - - - 79,200.00
- - 6,600.00 - - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 - - - 611.00
- - 637,000.00 - - 12 - 637,000.00
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - 200 - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 - - - 2,750.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - - - - - -
- - 55,714.00 - - - 55,714.00
- - 14,370.00 - - - 14,370.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 8,800.00 3 26,400.00 - - 8,800.00
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - 50 - - - -
- - - 250 - - - -
- - 495.00 - - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 - - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 37 - 539,000.00
- - 13,470.00 - - - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - 18 - -
- - - - - 2 - -
- - - - - 10 - -
- - - - - 30 - -
- 100 - - - - 9 - -
- - - - - 7 - -
- - - - - 45 - -
- - - - - - -
- 100 - - - - 10 - -
- - - - - 20 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 39 - -
- - - - - - -
- - - - - - -
- - - - - 31 - -
- - - - - 6 - -
- - - - - 683 - -
- 96 - - - - 6 - -
- - - - - - -
- 100 - - - - 18 - -
- - - - - - -
- - - - - - -
- - - - - 2 - -
- 200 - - - - 2 - -
- - - - - 12 - -
- - - - - - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - - - - 20 - -
- 5,000 - - - - 30 - -
- - - - - 178 - -
- - - - - 52 - -
- - - - - 12 - -
- - - - - - -
- 500 - - - - 27 - -
- 300 - - - - - -
- 200 - - - - - -
- - - - - 228 - -
- - - - - 27 - -
- 2,000 - - - - 3 - -
- - - - - - -
- 1,000 - - - - 192 - -
- - - - - - -
- - - - - 275 - -
- - - - - 5 - -
- - - - - 24 - -
- - - - - - -
- - - - - - -
- - - - - 6 - -
- - - - - - -
- - - - - - -
- 2,000 - - - - - -
- - - - - 17 - -
- - - - - 61 - -
- - - - - - -
- - - - - 30 - -
- - - - - 16 - -
- - - - - - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - 5 - -
- - - - - - -
- 1,000 - - - - - -
- - - - - 5 - -
- - - - - - -
- - - - - 18 - -
- - - - - 981 - -
- - - - - 55 - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - 20 - -
- - - - - - -
- - - - - 1,320 - -
- - - - - 16 - -
- 100 - - - - 11 - -
- - - - - 3 - -
- - - - - 2 - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - 7 - -
- 50 - - - - 3 - -
- 1,000 - - - - 483 - -
- - - - - 45 - -
- - - - - 29 - -
- - - - - 1 - -
- - - - - - -
- - - - - 2 - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 11 - -
- - - - - 5 - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - 2 - -
- - - - - - -
- - - - - - -
- - - - - - -
- 100 - - - - 3 - -
- 100 - - - - - -
- 300 - - - - 1 - -
- 300 - - - - - -
- - - - - 401 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR NOV
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- -
- - 46,386,896.00 -
- - - -
- - 46,386,896.00 -
- - 46,386,896.00 -
SALDO AKHIR NOVEMBER 2016
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 84 -
0 - - 4,913 - 0
0 - - 0 -
0 - - 2,145 - 0
488 54,656.00 - 344 - 488
2,430 - - 0 - 2,430
4,615 - - 0 -
485 - - 0 - 485
306 - - 0 -
0 - - 0 - 0
0 - - 0 -
6,928 - - 0 -
6,928
0 - - 259 -
96 - - 130 -
96
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 91,044 - 0
0 - - 0 -
318 - - 4,137 - 318
424 164,512.00 - 3,653 -
300 - - 7,829 - 300
0 - - 0 - 0
0 - - 0 -
607 - - 0 -
607
0 - - 0 -
66 - - 740 - 66
0 - - 0 - 0
4 156.00 - 0 -
140 - - 0 - 140
0 - - 0 - 0
0 - - 799 -
3,932 - - 0 - 3,932
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
90 - - 0 - 90
0 - - 0 -
89 93,806.00 - 169 - 89
350 33,950.00 - 292 - 350
5 1,265.00 - 0 -
5
44 - - 0 - 44
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - - 329 -
0 - - 449 -
0
0 - - 1,369 - 0
0 - - 0 - 0
0 - - 0 - 0
5 - - 0 - 5
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 1,200 - 0
0 - - 0 -
0 - - 0 - 0
100 - - 584 - 100
0 - - 0 - 0
854 - - 0 -
900 - - 2,246 -
900
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
568 - - 0 - 568
0 - - 30,163 - 0
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
7 36,400.00 - 0 - 7
0 - - 159 -
0 - - 0 - 0
0 - - 100 - 0
599 52,712.00 - 2,700 - 599
1,622 - - 0 - 1,622
52 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
804 - - 0 -
0 - - 0 - 0
372 32,736.00 - 200 - 372
0 - - 0 - 0
3,940 - - 0 -
0 - - 4,057 - 0
690 55,200.00 - 0 -
404 98,980.00 - 0 - 404
51 18,972.00 - 564 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
87 - - 0 - 87
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
129 19,221.00 - 3,476 -

129
0 - - 0 -
0 - - 1,427 -
0
0 - - 0 -
0 - - 0 - 0
60 - - 67 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0
0 - - 4,040 -
0 - - 0 - 0
984 122,016.00 - 0 - 984
912 - - 24 -
0 - - 0 - 0
0 - - 0 - 0
100 - - 0 -
100
748 - - 1,300 -
748
0 - - 0 - 0
200 22,000.00 - 935 -
0 - - 0 - 0
0 - - 0 -
36 - - 0 - 36
0 - - 0 - 0
4,984 69,776.00 - 1,500 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
961 - - 0 - 961
11 - - 0 -
300 - - 0 - 300
0 - - 900 - 0
0 - - 35 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
100 - - 0 -
694 - - 0 - 694
0 - - 0 -
0
7 - - 0 -
488 - - 0 - 488
0 - - 0 - 0
652 - - 26,134 - 652
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
102 31,722.00 - 0 - 102
3,748 - - 0 - 3,748
0 - - 4,239 -
0 - - 68 - 0
0 - - 0 -
16 34,608.00 - 0 - 16
388 20,176.00 - 0 -
0 - - 0 - 0
2,063 - - 0 - 2,063
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
29 - - 0 - 29
0 - - 0 -
0 - - 0 - 0
5 - - 0 -
39 - - 0 - 39
611 - - 0 -
0 - - 288 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
200 183,200.00 - 0 -
200
2,000 - - 0 - 2,000
0 - - 0 -
0 - - 1,468 - 0
832 - - 76 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 12,270 - 0
0 - - 508 - 0
0 - - 0 - 0
6,086 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
4,027 - - 1,389 - 4,027
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 8 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
3 - - 0 - 3
0 - - 0 - 0
0 - - 0 -
0 - - 6,300 - 0
0 - - 0 - 0
0 - - 0 - 0
245 - - 0 -
0 - - 0 - 0
400 - - 0 - 400
0 - - 0 -
71 - - 0 - 71
16 - - 0 -
0 - - 0 -
0
5 42,475.00 - 0 -
10 - - 0 - 10
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
50 - - 0 -
18 - - 0 - 18
0 - - 0 -
0 - - 0 -
0
2 - - 0 -
2 14,000.00 - 0 - 2
4 40,000.00 - 0 -
4
50 30,350.00 - 0 -
50
14 - - 0 -
24 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
10 - - 0 -
10
66 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
100 - - 1,646 - 100

0 - - 0 -
412 428,480.00 - 0 - 412
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
17 - - 0 - 17
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
7 - - 0 - 7
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
79 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
180 - - 0 -
539 - - 0 - 539
30 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
75 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 123 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
600 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
66 - - 0 -
12 668,568.00 - 0 - 12
24 344,880.00 - 0 -
12 27,504.00 - 0 - 12
0 - - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
0 - - 0 - 0
103 236,076.00 - 0 - 103
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
70 - - 0 -
0 - - 0 -
0 - - 0 - 0
300 - - 0 - 300
30 14,850.00 - 0 - 30
0 - - 0 - 0
1 19,800.00 - 0 - 1
0 - - 0 - 0
0 - - 237 -
0 - - 402 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 3,000 - 0
0 - - 0 -
0 - - 34 - 0
0 - - 906 - 0
0 - - 415 - 0
0 - - 223 -
0 - - 30 - 0
0 - - 46 - 0
0 - - 50 -
0 - - 100 - 0
0 - - 395 -
0 - - 0 -
0
0 - - 295 -
0 - - 6,000 - 0
0 - - 215 -
0 - - 20 - 0
0 - - 3 -
0 - - 322 - 0
0 - - 24 - 0
0 - - 2,078 -
0 - - 125 - 0
0 - - 100 - 0
0 - - 108 -
0 - - 2,980 - 0
0 - - 600 -
0 - - 33 - 0
0 - - 198 - 0
0 - - 160 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 2,413 -
0 - - 4,970 - 0
0 - - 3,861 -
0 - - 1,202 - 0
0 - - 588 - 0
0 - - 0 - 0
0 - - 743 -
0 - - 300 - 0
0 - - 200 -
0 - - 195 - 0
0 - - 154 -
0 - - 1,997 - 0
0 - - 0 -
0 - - 1,614 - 0
0 - - 38 -
0 - - 5,187 -
0
0 - - 506 -
0 - - 370 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 97 -
0 - - 286 - 0
0 - - 0 -
0 - - 2,000 - 0
0 - - 231 -
0 - - 274 - 0
0 - - 400 -
0 - - 12 - 0
0 - - 1,334 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 547 - 0
0 - - 190 - 0
0 - - 299 -
0 - - 1,400 - 0
0 - - 1,000 -
0 - - 91 - 0
0 - - 0 -
0 - - 85 - 0
0 - - 1,345 -
0 - - 19 - 0
0 - - 81 - 0
0 - - 100 - 0
0 - - 300 - 0
0 - - 250 - 0
0 - - 100 - 0
0 - - 1,886 - 0
0 - - 2,788 - 0
0 - - 277 - 0
0 - - 96 - 0
0 - - 98 - 0
0 - - 86 - 0
0 - - 87 - 0
0 - - 46 - 0
0 - - 135 - 0
0 - - 280 -
0 - - 130 - 0
0 - - 1,092 - 0
0 - - 4,572 -
0 - - 2,600 - 0
0 - - 91 -
0 - - 0 - 0
0 - - 91 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 100 -
0 - - 259 - 0
0 - - 180 -
0 - - 49 - 0
0 - - 200 -
0 - - 92 - 0
0 - - 96 -
0 - - 300 - 0
0 - - 200 - 0
0 - - 97 - 0
0 - - 97 - 0
0 - - 100 - 0
0 - - 299 -
0 - - 300 - 0
0 - - 3,456 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 12 -
0 - - 48 - 0
0 - - 24 -
0 - - 36 - 0
0 - - 48 -
0 - - 32 - 0
0 - - 43 -
0 - - 22 - 0
0 - - 1 -
0 - - 100 - 0
0 - - 16 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 800 -
0 - - 7 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 16 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
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
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0
3,211,531.00 -
- -
3,211,531.00 -
3,211,531.00 -
PERIODE BULAN JANUARI SAMPAI BULAN DESEM
SALDO AWAL 1 DESEMBER 2016

MASUK
SELAMA DESEMBER TAHUN 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
1 Albendazol tablet 400 mg 407.00 0 - - 0 - 4,000
2 Alopurinol tablet 100 mg 105.00 0 - - 0 - 1,000
5 Ambroxol tab 95.00 0 - - 4,913 -
9 Amlodipin 5 mg tab - 2,430 - - 0 - 3,000
11 Amoksisilin Kapsul 250 mg - 485 - - 0 - 7,000
12 Amoksisilin sirup kering 125 mg/ 5 mg - 60 ml - 306 - - 0 -
0 - 259 - 200
16 2,100.00 -
17 Salisilat 3% - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
21 Asam Asetilsalisilat tablet 100 mg (Asetosal) 96.00 0 - - 0 - 100

25 Asam Mefenamat 500 mg - 318 - - 4,137 - 3,000
0 - 0 -
29 1,230.00 -
Besi (II)Sulfat 200 mg + asam folat 0,25 mg/tablet (tablet 607 - 0 - 600
32 Betametason krim 0,1 % - 5 gr - 66 - - 740 - 96
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 -
35 Cetrizin syrup 5 mg/ml - 60 ml - 140 - - 0 - 120
36 Cetrizin tab 10 mg 181.00 0 - - 0 -
38 Deksametason tablet 0,5 mg - 3,932 - - 0 - 2,000
5 1,265.00 0 -
47 253.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
49 21.00 -
0 - 329 -
50 8,100.00 -
0 - 449 -
51 8,100.00 -
55 Etil klorida spray - 5 - - 0 - 10
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 0 - - 0 -
74 Gliserin - 100 ml 4,158.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

86 Ibuprofen tablet 400 mg - 804 - - 0 - 10,000
87 Ibupropen 100 mg Syr - 60 ml 3,499.00 0 - - 0 - 100
90 Kalsium Laktat (Kalk) tablet 500 mg - 3,940 - - 0 - 2,000
92 Kaptopril tablet 25 mg 80.00 690 55,200.00 - 0 - 1,000
93 Karbamazepin 200 mg 245.00 404 98,980.00 - 0 -
100 Klonidin 0,15 mg 205.00 0 - - 0 -
106 Klorpromazin tablet salut 100 mg (HCl) 15,364.00 0 - - 0 -
107 Kodein 10 mg 470.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

112 Lidokain inj 2% @ 2 ml - 0 - - 0 -
60 - 67 - 90
113 - -
114 Loratadin tablet 10 mg - 0 - - 0 - 2,000
115 Magnesium Sulfat inj (IV) 20 % - 25 ml - 0 - - 0 - 20
0 - 0 -
116 1,440.00 -
0 - 4,040 -
Meloksikam 15 mg
117 1,199.00 -
119 Metampiron tablet 500 mg 124.00 984 122,016.00 - 0 -
120 Metformin HCl 500 mg - 912 - - 24 - 1,000
121 Methil dopa 250 mg 1,760.00 0 - - 0 -
123 1 ml - -
124 mg - -
128 Metronidazole tablet 500 mg 190.00 0 - - 0 - 2,000
129 Mikonazole krim/salep 2 % (nitrat) - 10 gr - 36 - - 0 - 96
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

133 Natrium diklofenak 50 mg - 961 - - 0 - 1,000
142 Omeprazole 20 mg - 694 - - 0 - 600
0 - 0 -
143 530.00 -
7 - 0 - 112
144 - -
147 Paracetamol tablet 500 mg - 652 - - 26,134 - 20,000
152 Piridoksin (Vitamin B6) tablet 10 mg (HCL) - 3,748 - - 0 - 2,000
155 Povidon Iodida larutan 10 % - 1 L 37,109.00 0 - - 0 - 48
159 Ranitidin tab 150 mg - 2,063 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

164 4% - 30 gr - -
165 Salisil bedak 2% - 50 gr - 39 - - 0 - 100
166 Sefadroksil kapsul 500 mg - 611 - - 0 - 1,000
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 -
170 Seftazidim inj 1g 3,300.00 0 - - 0 -
200 183,200.00 0 -
174 916.00 -
175 Sianokobalamin (Vitamin B 12) tablet 50 mcg - 2,000 - - 0 -
177 Simvastatin tablet 10 mg 169.00 0 - - 1,468 - 600
178 Siprofloksasin tablet 500 mg (sebagai HCL) - 832 - - 76 -
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) - 6,086 - - 0 - 2,000
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
190 Obat Gigi - 0 - - 0 -

198 Obat Program - 0 - - 0 -
199 Ferro Sulfat 300 mg 20.00 0 - - 0 -
200 Mineral Mix 2,475.00 0 - - 0 -
201 OAT Kategori 1 (FDC) - 0 - - 0 - 10
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 - 1
204 Obat TBC Anak (FDC) - 3 - - 0 - 5
207 Retinol (VIT A) 100.000 UI - 0 - - 6,300 -
208 Retinol (VIT A) 200.000 UI - 0 - - 0 -
210 Zinc Tab 20 mg - 245 - - 0 - 1,000
16 - 0 - 48
215 - -
0 - 0 -
216 - -
218 Foley Cathether no 18 (SNI) - 10 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

0 - 0 -
224 7,787.00 -
2 - 0 - 10
225 - -
4 40,000.00 0 -
227 10,000.00 -
50 30,350.00 0 -
228 607.00 -
14 - 0 -
229 - -
24 - 0 - 50
230 - -
0 - 0 -
231 55,200.00 -
5 44,000.00 0 -
232 8,800.00 -
0 - 0 -
235 32,500.00 -
0 - 0 -
236 42,000.00 -
10 - 0 -
237 - -
66 - 0 - 100
238 - -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 -
239 6,983.00 -
0 - 0 -
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 -
242 Wing Needle No. 23 G 5,770.00 0 - - 0 -
0 - 0 -
243 5,770.00 -
0 - 0 -
244 5,498.00 -
246 Aquadest - 500 ml 17,700.00 0 - - 0 -
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 -
250 Diazepam rectal 5 mg/2,5 ml dalam tube 11,525.00 0 - - 0 - 5
252 Eperison 50 mg 2,500.00 0 - - 0 -
254 Etanol 70 % - 1000 ml - 0 - - 0 - 5
255 Etanol 70 % - 100 ml - 17 - - 0 -
258 Iodina test - 10 ml 3,250.00 0 - - 0 -
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 -
265 Lisol 1000 ml - 7 - - 0 - 2
266 Meropenem inj 372,000.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

271 Biotin) - 60 ml - -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 -
276 Obat tradisional pemulihan hati untuk penderita TBC - 539 - - 0 -
279 Propofol inj 11,474.00 0 - - 0 -
285 Obat Gigi 600.00 0 - - 0 -
291 Gutta perca 45-80 13,700.00 0 - - 0 -
293 Paper Point 45-80 1,220.00 0 - - 0 -
294 Rocle's 10 mg 415,800.00 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

298 Obat program 13,200.00 0 - - 0 -
300 ml - -
303 Alat Kesehatan 1,156.00 0 - - 0 -
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 -
316 IV Cathetter No. 18 - 66 - - 0 -
325 Kasa Pembalut 2 m x 80 cm 8,800.00 0 - - 0 - 10
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

329 Ky Jelly - 0 - - 0 - 2
330 Masker - 0 - - 0 - 150
331 Sarung tangan non steril - 300 - - 0 - 500
334 Silk Caset 3/0 100m 19,800.00 1 19,800.00 - 0 -
335 IV Cathether no 26 7,700.00 0 - - 0 -
337 Glimepirid 2 mg 13,470.00 0 - - 402 -
0 - 0 -
0 - 0 -
348 nebules - -
350 Slide - 0 - - 0 -
351 Reagen - 0 - - 0 -
352 Safety Box - 0 - - 0 -
353 - 0 - - 0 -
354 - 0 - - 0 -
355 - 0 - - 0 -
356 DANA JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

359 norit - 436.00 3,000 1,308,000.00
360 spasminal - 312.00 0 -
361 heparin gel - 652.00 34 22,168.00
362 osmigra - 54,450.00 906 49,331,700.00
363 scopma - 4,210.00 415 1,747,150.00
364 curviplex syrup - 1,320.00 223 294,360.00
365 protifed syrup - 12,500.00 30 375,000.00
366 kanina syrup - 8,184.00 46 376,464.00
367 clonaderm - 5,800.00 50 290,000.00
368 mezinex - 13,300.00 100 1,330,000.00
369 mulsanol drop - 7,180.00 395 2,836,100.00
- 0 -
370 nisagon 19,800.00
- 295 2,741,140.00
372 eltazon - 33,263.00 6,000 199,578,000.00
373 bufacort n - 243.00 215 52,245.00
374 Parsifen plus - 5,756.00 20 115,120.00
375 Clinica gel - 470.00 3 1,410.00
376 Lycovir sk - 20,900.00 322 6,729,800.00
377 Dextaco syr - 3,784.00 24 90,816.00
378 Dextaco tab - 30,200.00 2,078 62,755,600.00
379 Ichtiol - 296.00 125 37,000.00
381 Gentian violet - 3,300.00 108 356,400.00
383 Xypanzim - 434.00 600 260,400.00
384 Microlax - 1,210.00 33 39,930.00
385 RecoTetes Mata - 14,300.00 198 2,831,400.00
387 Solathin DS - 6,654.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
388 Primunox - 7,150.00 2,413 17,252,950.00

389 Lodecon F - 2,241.00 4,970 11,137,770.00
390 Lodecon Kaplet - 850.00 3,861 3,281,850.00
391 Selkom C - 865.00 1,202 1,039,730.00
392 Truvit Syrup - 1,100.00 588 646,800.00
393 Alludona D - 11,900.00 0 -
394 Lexigo - 450.00 743 334,350.00
395 GOM - 660.00 300 198,000.00
396 Zemindo Syrup - 3,328.00 200 665,600.00
397 Solafluz - 34,100.00 195 6,649,500.00
398 Fortusin - 10,670.00 154 1,643,180.00
399 Cavicur - 12,100.00 1,997 24,163,700.00
401 Osteotin - 967.00 1,614 1,560,738.00
402 Erphacea - 3,270.00 38 124,260.00
- 5,187 232,221,990.00
403 Novachlor 44,770.00
- 506 249,458.00
405 Lacto B - 12,650.00 370 4,680,500.00
406 Melixicam - 4,535.00 0 -
407 Hemafort - 716.00 0 -
408 Bioplacenton - 19,950.00 97 1,935,150.00
409 Nephrolit - 850.00 286 243,100.00
410 Ikaneuron 5000 - 1,875.00 0 -
411 Hepagard - 2,595.00 2,000 5,190,000.00
413 Oksitetrasiklin Hcl Salep Mata 1 % - 3,5 gr - 3,127.00 274 856,798.00
414 Piracetam 400 mg tab - 608.00 400 243,200.00
415 Provomer - 2,020.00 12 24,240.00
416 Pritasma - 102.00 1,334 136,068.00
417 Sulfacetamid - 2,100.00 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
418 Tensigard - 2,710.00 547 1,482,370.00

419 Cardismo - 3,300.00 190 627,000.00
421 Nexitra - 121.00 1,400 169,400.00
422 Bromifar - 9,586.00 1,000 9,586,000.00
423 Ternix Syrup - 140.00 91 12,740.00
424 Orphen - 15,400.00 0 -
425 Faktu supp - 821.00 85 69,785.00
426 solvitral - 2,200.00 1,345 2,959,000.00
427 licogenta - 13,200.00 19 250,800.00
428 Calamed - 48,400.00 81 3,920,400.00
429 illiadin kinder - 208.00 100 20,800.00
430 teosal - 10,450.00 300 3,135,000.00
431 Gastrul - 24,979.00 250 6,244,750.00
433 nutralix - 636.00 1,886 1,199,496.00
434 trifaneuron - 10,736.00 2,788 29,931,968.00
435 dianicol ds - 11,779.00 277 3,262,783.00
436 kompolax - 27,390.00 96 2,629,440.00
437 aptil - 36,154.00 98 3,543,092.00
439 flamigra 50 mg - 33,580.00 87 2,921,460.00
440 vitacid 0,05 % - 22,788.00 46 1,048,248.00
441 mediklin gell - 21,912.00 135 2,958,120.00
442 lostascef 250 - 6,244.00 280 1,748,320.00
443 synarcus cr - 529.00 130 68,770.00
444 grantusif - 1,533.00 1,092 1,674,036.00
445 ulsicral - 2,027.00 4,572 9,267,444.00
446 lazol - 31,498.00 2,600 81,894,800.00
447 callusol - 4,700.00 91 427,700.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
450 devosik drop - 20,119.00 100 2,011,900.00

453 dumin rt - 8,014.00 49 392,686.00
454 hustab syrup - 46,587.00 200 9,317,400.00
455 acne feldin - 82,827.00 92 7,620,084.00
456 Hemocain - 3,984.00 96 382,464.00
458 epexol - 13,988.00 200 2,797,600.00
459 dexigen krim - 410.00 97 39,770.00
460 tromofal - 8,185.00 97 793,945.00
461 quantidex syrup - 12,375.00 100 1,237,500.00
462 cendo cetamid ed - 1,142.00 299 341,458.00
463 metaneuron - 0 - - 300 -
465 BMHP JKN - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP

484 - 0 - - 0 -
485 - 0 - - 0 -
486 - 0 - - 0 -
487 - 0 - - 0 -
488 - 0 - - 0 -
489 - 0 - - 0 -
490 - 0 - - 0 -
491 - 0 - - 0 -
492 - 0 - - 0 -
493 - 0 - - 0 -
494 - 0 - - 0 -
495 - 0 - - 0 -
496 - 0 - - 0 -
497 - 0 - - 0 -
498 - 0 - - 0 -
499 - 0 - - 0 -
500 - 0 - - 0 -
501 - 0 - - 0 -
502 - 0 - - 0 -
503 - 0 - - 0 -
504 - 0 - - 0 -
505 - 0 - - 0 -
506 - 0 - - 0 -
507 - 0 - - 0 -
508 - 0 - - 0 -
509 - 0 - - 0 -
510 - 0 - - 0 -
511 - 0 - - 0 -
512 - 0 - - 0 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
513 - 0 - - 0 -
514 - 0 - - 0 -
515 - 0 - - 0 -
516 - 0 - - 0 -
517 - 0 - - 0 -
518 - 0 - - 0 -
519 - 0 - - 0 -
520 - 0 - - 0 -
521 - 0 - - 0 -
522 - 0 - - 0 -
523 - 0 - - 0 -
524 - 0 - - 0 -
525 - 0 - - 0 -
526 - 0 - - 0 -
527 - 0 - - 0 -
528 - 0 - - 0 -
529 - 0 - - 0 -
530 - 0 - - 0 -
531 - 0 - - 0 -
532 - 0 - - 0 -
533 - 0 - - 0 -
534 - 0 - - 0 -
535 - 0 - - 0 -
536 OBAT GIGI JKN - 0 - - 0 -
537 Pulperyl - 0 - Rp 418,572 3 1,255,716.00
538 Hydcal - 0 - Rp 200,970 3 602,910.00
539 Cavit G Rp 170,755 6
540 GC Fuji Extra Rp 1,082,466 7
541 Elite cement liquid Rp 381,150 3
542 Elite cement powder - 0 - Rp 411,642 3 1,234,926.00
543 Endomethasone Rp 803,464 3
544 Topicaine topikal - 0 - Rp 117,810 4 471,240.00
545 Articulating paper - 0 - Rp 180,180 5 900,900.00
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
546 Ethyl Chlorida - 0 - Rp 143,220 24 3,437,280.00

547 CHKM - 0 - Rp 69,300 5 346,500.00
548 Devitalisasi nonarsen - 0 - Rp 256,410 5 1,282,050.00
549 Formokresol - 0 - Rp 66,528 2 133,056.00
550 Crhesopene - 0 - Rp 536,844 3 1,610,532.00
551 Strip seluloid - 0 - Rp 172,480 5 862,400.00
552 Spongostan - 0 - Rp 480,480 3 1,441,440.00
553 Microbrush - 0 - Rp 55,440 2 110,880.00
554 Diamond bur - 0 - Rp 43,120 10 431,200.00
555 Mata bor arkansas - 0 - Rp 18,480 3 55,440.00
556 Disclosing solution - 0 - Rp 350,658 30 10,519,740.00
557 Iodoform pasta - 0 - Rp 706,860 5 3,534,300.00
558 Scandonest 3% - 0 - Rp 579,348 2 1,158,696.00
559 Cotton roll - 0 - Rp 55,440 10 554,400.00
560 OCO stain remover - 0 - Rp 158,004 3 474,012.00
561 Mata scaler - 0 - Rp 304,920 4 1,219,680.00
562 Dentin conditioner - 0 - Rp 167,706 5 838,530.00
563 Polishing & finishing strips - 0 - Rp 622,314 3 1,866,942.00
564 - 0 - - 0 -
JUMLAH
3,211,531.00 911,186,227.00
RIODE BULAN JANUARI SAMPAI BULAN DESEMBER 2016
MUTASI
SALDO AKHIR DE
MASUK KELUAR
SELAMA DESEMBER TAHUN 2016 SELAMA DESEMBER TAHUN 2016

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - 245.00 - - - 245.00
- 300 - 5,150.00 - - 206 - 5,150.00
- - 95.00 - - 964 - 95.00
- - 3,240.00 - - - 3,240.00
- - 87.00 - - 6 - 87.00
- - 112.00 - - - 112.00
- - - 1,523 - - - -
- - - 4,467 - - - -
- - - 785 - - - -
- - - 87 - - - -
- - 4,550.00 - - - 4,550.00
- - 18,700.00 - - - 18,700.00
- - - 3,802 - - - -
- - - - - 153 - -
- - - - - 14 - -
- - 1,552.00 - - - 1,552.00
- - 123.00 - - - 123.00
- - 5,000.00 - - - 5,000.00
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 156.00 - - - 156.00
- - 32.00 - - 8,451 - 32.00
- - 128.00 - - - 128.00
- - - 318 - - 1,018 - -
- - 388.00 20 7,760.00 - - 388.00
- - - - - 132 - -
- - 2,430.00 - - - 2,430.00
- - 1,230.00 - - - 1,230.00
- - - 374 - - - -
- - 1,520.00 - - - 1,520.00
- - - 66 - - 60 - -
- - 2,322.00 - - - 2,322.00
- - 39.00 4 156.00 - - 39.00
- - - 29 - - - -
- - 181.00 - - - 181.00
- - 1,580.00 - - - 1,580.00
- - - 1,184 - - - -
- - 1,379.00 - - - 1,379.00
- - 90.00 - - - 90.00
- - 35,526.00 - - - 35,526.00
- - 2,344.00 - - - 2,344.00
- - - 3 - - - -
- - 56.00 - - - 56.00
- - 1,054.00 - - - 1,054.00
- - 97.00 - - - 97.00
- - 253.00 - - - 253.00
- - - 1 - - - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - 21.00 - - - 21.00
- - 8,100.00 - - - 8,100.00
- - 8,100.00 - - - 8,100.00
- - 500.00 - - 1,000 - 500.00

- - 930.00 - - - 930.00
- - 1,800.00 - - - 1,800.00
- - - - - - -
- - 133.00 - - - 133.00
- - 20,250.00 - - - 20,250.00
- - 61.00 - - - 61.00
- - 1,800.00 - - - 1,800.00
- - 262.00 - - - 262.00
- - 465.00 - - - 465.00
- - - - - - -
- - 1,566.00 - - - 1,566.00
- - - - - 94 - -
- - 1,829.00 - - - 1,829.00
- - - 100 - - - -
- - - 200 - - 422 - -
- - 3,399.00 - - - 3,399.00
- - 3,782.00 - - - 3,782.00
- - 1,850.00 - - - 1,850.00
- - - - - - -
- - - 185 - - - -
- - - - - 5,608 - -
- - 4,158.00 - - - 4,158.00
- - 5,700.00 - - - 5,700.00
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - 1,452.00 - - - 1,452.00
- - 5,200.00 - - - 5,200.00
- - 228.00 - - - 228.00
- - 53.00 - - - 53.00
- - 69.00 - - - 69.00
- - 88.00 - - - 88.00
- - - 44 - - - -
- - - 71 - - - -
- - 850.00 - - - 850.00
- - - - - - -
- - - 1,054 - - - -
- - - - - - -
- - 88.00 39 3,432.00 - - 88.00
- - 708.00 - - - 708.00
- - - 878 - - - -
- - 62.00 - - 404 - 62.00
- - - 456 - - - -
- - 245.00 - - - 245.00
- - 372.00 - - - 372.00
- - 4,700.00 - - - 4,700.00
- - 2,545.00 - - - 2,545.00
- - 7,500.00 - - - 7,500.00
- - 2,300.00 - - - 2,300.00
- - 510.00 - - - 510.00
- - 205.00 - - - 205.00
- - 210.00 - - - 210.00
- - - - - - -
- - 3,700.00 - - - 3,700.00
- - 1,599.00 - - - 1,599.00
- - - 1,112 - - - -
- - 15,364.00 - - - 15,364.00
- - 470.00 - - - 470.00
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - 149.00 10 1,490.00 - 372 - 149.00
- - 76.00 - - - 76.00
- - 2,574.00 - - 53 - 2,574.00
- - 473.00 - - - 473.00
- - - - - - -
- - - 60 - - - -
- - - 53 - - - -
- - - - - - -
- - 1,440.00 - - - 1,440.00
- - 1,199.00 - - 198 - 1,199.00
- - 1,200.00 - - - 1,200.00
- - 124.00 30 3,720.00 - - 124.00
- - - 326 - - - -
- - 1,760.00 - - - 1,760.00
- - 205.00 - - - 205.00
- - - - - - -
- - - - - 20 - -
- - 3,850.00 - - - 3,850.00
- - 110.00 31 3,410.00 - - 110.00
- - 105.00 - - - 105.00
- - - - - - -
- - - 19 - - - -
- - 10,449.00 - - - 10,449.00
- - 14.00 - - - 14.00
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - 166.00 - - - 166.00
- - - 502 - - - -
- - - 1 - - - -
- - - - - - -
- - 640.00 - - 88 - 640.00
- - 407.00 - - 15 - 407.00
- 1,000 - 2,783.00 - - 50 - 2,783.00
- - 1,675.00 - - - 1,675.00
- - 1,600.00 - - - 1,600.00
- - - 100 - - - -
- - - 343 - - - -
- - 530.00 - - - 530.00
- - - 4 - - - -
- - - 150 - - - -
- - - - - - -
- - - 652 - - 19,042 - -
- - 14,500.00 - - - 14,500.00
- - 194.00 - - - 194.00
- - 1,925.00 - - - 1,925.00
- - 311.00 20 6,220.00 - - 311.00
- - - 1,348 - - - -
- - 70.00 - - 2,295 - 70.00
- - 14,203.00 - - - 14,203.00
- - - - - - -
- - 2,163.00 2 4,326.00 - - 2,163.00
- - 52.00 66 3,432.00 - - 52.00
- - 1,140.00 - - - 1,140.00
- - - 720 - - - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - 103.00 - - - 103.00
- - - 69 - - - -
- - - - - - -
- - 98.00 - - - 98.00
- - - 26 - - - -
- - - 36 - - - -
- - - 522 - - - -
- - 4,746.00 - - 2 - 4,746.00
- - 8,800.00 - - - 8,800.00
- - 2,950.00 - - - 2,950.00
- - 3,300.00 - - - 3,300.00
- - 8,000.00 - - - 8,000.00
- - 475,820.00 - - - 475,820.00
- - 127,409.00 - - - 127,409.00
- - 916.00 - - - 916.00
- - - 648 - - - -
- - 105.00 - - - 105.00
- - - - - 263 - -
- - - 565 - - 76 - -
- - 315.00 - - - 315.00
- - 3,226.00 - - - 3,226.00
- - 206.00 - - - 206.00
- - 140.00 - - 290 - 140.00
- - 616.00 - - 110 - 616.00
- - 680.00 - - - 680.00
- - - 3,015 - - - -
- - 2,395.00 - - - 2,395.00
- - 5,200.00 - - - 5,200.00
- - 40.00 - - - 40.00
- - - 4,289 - - 1,389 - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - 390,000.00 - - - 390,000.00
- - 45,750.00 - - - 45,750.00
- - 425,000.00 - - - 425,000.00
- - 240,000.00 - - - 240,000.00
- - 55,000.00 - - - 55,000.00
- - 175,000.00 - - - 175,000.00
- - 91,500.00 - - - 91,500.00
- - - - - - -
- - 20.00 - - - 20.00
- - 2,475.00 - - - 2,475.00
- - - 10 - - - -
- - - 1 - - - -
- - 160,000.00 - - - 160,000.00
- - - 8 - - - -
- - 265,000.00 - - - 265,000.00
- - 127,200.00 - - - 127,200.00
- - - - - 100 - -
- - - - - - -
- - 1,515.00 - - - 1,515.00
- - - 555 - - - -
- - - - - - -
- - - - - - -
- - 257.00 - - - 257.00
- - - 71 - - - -
- - - 64 - - - -
- - - - - - -
- - 8,495.00 - - - 8,495.00
- - - 1 - - - -
- - 8,495.00 - - - 8,495.00
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - 4,000.00 - - - 4,000.00
- - - 50 - - - -
- - - 18 - - - -
- - - - - - -
- - 7,787.00 - - - 7,787.00
- - - - - - -
- - 7,000.00 - - - 7,000.00
- - 10,000.00 - - - 10,000.00
- - 607.00 - - - 607.00
- - - - - - -
- - - 1 - - - -
- - 55,200.00 - - - 55,200.00
- - 8,800.00 - - - 8,800.00
- - 8,800.00 - - - 8,800.00
- - 23,500.00 - - - 23,500.00
- - 32,500.00 - - - 32,500.00
- - 42,000.00 - - - 42,000.00
- - - - - - -
- - - 116 - - - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - 6,983.00 - - - 6,983.00
- - 4,000.00 - - - 4,000.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,770.00 - - - 5,770.00
- - 5,498.00 - - - 5,498.00
- - - - - 123 - -
- - 17,700.00 - - - 17,700.00
- - 1,040.00 - - - 1,040.00
- - 75,900.00 - - - 75,900.00
- - 24,000.00 - - - 24,000.00
- - - 1 - - - -
- - 151,500.00 - - - 151,500.00
- - 2,500.00 - - - 2,500.00
- - 19,166.00 - - - 19,166.00
- - - 2 - - - -
- - - 2 - - - -
- - 15,000.00 - - - 15,000.00
- - 847.00 - - - 847.00
- - 3,250.00 - - - 3,250.00
- - 2,090.00 - - - 2,090.00
- - 992.00 - - - 992.00
- - 15,400.00 - - - 15,400.00
- - 121,200.00 - - - 121,200.00
- - 5,650.00 - - - 5,650.00
- - 3,016.00 - - - 3,016.00
- - - 1 - - - -
- - 372,000.00 - - - 372,000.00
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - 59,600.00 - - - 59,600.00
- - 46,000.00 - - - 46,000.00
- - - - - - -
- - 18,700.00 - - - 18,700.00
- - - 40 - - - -
- - 14,260.00 - - - 14,260.00
- - 33,200.00 - - - 33,200.00
- - - - - - -
- - - 10 - - - -
- - - 286 - - - -
- - - 3 - - - -
- - 23,000.00 - - - 23,000.00
- - 11,474.00 - - - 11,474.00
- - - 10 - - - -
- - 79,200.00 - - - 79,200.00
- - 6,600.00 - - - 6,600.00
- - 6,500.00 - - - 6,500.00
- - 19,900.00 - - - 19,900.00
- - 600.00 - - - 600.00
- - 968.00 - - - 968.00
- - - - - - -
- - 289,000.00 - - - 289,000.00
- - 275,000.00 - - - 275,000.00
- - 232,100.00 - - - 232,100.00
- - 13,700.00 - - - 13,700.00
- - 7,900.00 - - - 7,900.00
- - 1,220.00 - - - 1,220.00
- - 415,800.00 - - - 415,800.00
- - 611.00 - - - 611.00
- - 637,000.00 - - 1 - 637,000.00
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - 187,500.00 - - - 187,500.00
- - 13,200.00 - - - 13,200.00
- - 52,500.00 - - - 52,500.00
- - - - - - -
- - 9,940.00 - - - 9,940.00
- - 13,740.00 - - - 13,740.00
- - 1,156.00 - - - 1,156.00
- - 8,250.00 - - - 8,250.00
- - - 100 - - - -
- - 4,200.00 - - - 4,200.00
- - 2,750.00 - - - 2,750.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 770.00 - - - 770.00
- - 74,800.00 - - - 74,800.00
- - 646,000.00 - - - 646,000.00
- - 686,000.00 - - - 686,000.00
- - - - - - -
- - 55,714.00 - - - 55,714.00
- - 14,370.00 - - - 14,370.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - 2,292.00 - - - 2,292.00
- - - - - - -
- - 1,393.00 - - - 1,393.00
- - 8,800.00 - - - 8,800.00
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - 50 - - - -
- - - 2 - - - -
- - - 150 - - - -
- - - 550 - - - -
- - 495.00 - - - 495.00
- - 792.00 - - - 792.00
- - 19,800.00 1 19,800.00 - - 19,800.00
- - 7,700.00 - - - 7,700.00
- - 539,000.00 - - 33 - 539,000.00
- - 13,470.00 - - - 13,470.00
- - 167.00 - - - 167.00
- - 436.00 - - - 436.00
- - 17,820.00 - - - 17,820.00
- - 8,000.00 - - - 8,000.00
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - 16 - -
- - - - - 24 - -
- - - - - 13 - -
- - - - - 1 - -
- - - - - 21 - -
- - - - - - -
- - - - - 3 - -
- - - - - 13 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 20 - -
- - - - - - -
- - - - - - -
- - - - - 14 - -
- - - - - 2 - -
- - - - - 624 - -
- - - - - 2 - -
- - - - - 1 - -
- - - - - 8 - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - 3 - -
- - - - - 3 - -
- - - - - - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - - - 43 - -
- - - - - 126 - -
- - - - - 30 - -
- - - - - 90 - -
- - - - - 15 - -
- 3,000 - - - - - -
- - - - - 8 - -
- - - - - 21 - -
- - - - - 1 - -
- - - - - 195 - -
- - - - - 23 - -
- - - - - 116 - -
- - - - - - -
- - - - - 60 - -
- - - - - 4 - -
- - - - - 320 - -
- - - - - 12 - -
- - - - - 15 - -
- - - - - - -
- - - - - - -
- - - - - 10 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 10 - -
- - - - - 84 - -
- - - - - - -
- - - - - 12 - -
- - - - - 153 - -
- - - - - - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 48 - -
- - - - - 1,078 - -
- - - - - 19 - -
- - - - - - -
- - - - - 4 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1,679 - -
- - - - - 82 - -
- - - - - 8 - -
- - - - - 1 - -
- - - - - 6 - -
- - - - - 2 - -
- - - - - - -
- - - - - 1 - -
- - - - - 6 - -
- - - - - 8 - -
- - - - - 8 - -
- - - - - 146 - -
- - - - - 129 - -
- - - - - 106 - -
- - - - - 1 - -
- 200 - - - - 2 - -
- - - - - 2 - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - 10 - -
- - - - - 12 - -
- - - - - 2 - -
- - - - - - -
- - - - - 2 - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 3 - -
- - - - - - -
- - - - - 321 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - - - 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
MUTASI
SALDO AKHIR DE
MASUK KELUAR

SATUAN RP RP RP
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- -
- - 53,746.00 -
- - - -
- - 53,746.00 -
- - 53,746.00 -
SALDO AKHIR DESEMBER 2016
DINKES JKN
HARGA SATUAN
RP
4,000 - 0 - 0
1,000 - - 0 - 0
0 - - 0 -
0 - 3,300.00 178 587,400.00
0 - 144.00 3,949 568,656.00 0
0 - - 0 -
0 - 90.00 2,139 192,510.00 0
488 54,656.00 112.00 344 38,528.00 488
3,907 - - 0 - 907
20,148 - - 0 -
6,700 - - 0 - -300
219 - - 0 -
0 - - 0 - 0
0 - - 0 -
17,526 - - 0 -
3,126
200 - 1,600.00 106 169,600.00
96 - 2,750.00 116 319,000.00

96
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
100 - - 0 - 0
0 - - 0 -
0 - 95.00 82,593 7,846,335.00 0
0 - - 0 -
3,000 - 112.00 3,119 349,328.00 0
404 156,752.00 237.00 3,653 865,761.00
300 - 345.00 7,697 2,655,465.00 300
0 - - 0 - 0
0 - - 0 -
833 - - 0 -
233
0 - - 0 -
96 - 1,520.00 680 1,033,600.00 0
0 - - 0 - 0
0 - - 0 -
231 - - 0 - 111
0 - - 0 - 0
0 - 1,580.00 799 1,262,420.00
4,748 - - 0 - 2,748
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
87 - - 0 - 87
0 - - 0 -
89 93,806.00 1,054.00 169 178,126.00 89
350 33,950.00 97.00 292 28,324.00 350
5 1,265.00 - 0 -
5
43 - - 0 - 43
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - 8,100.00 329 2,664,900.00
0 - 7,700.00 449 3,457,300.00

0
0 - 497.00 369 183,393.00 0
0 - - 0 - 0
0 - - 0 - 0
15 - - 0 - 5
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - 510.00 1,200 612,000.00 0
0 - - 0 -
0 - - 0 - 0
100 - 634.00 490 310,660.00 100
0 - - 0 - 0
754 - - 0 -
700 - 285.00 1,824 519,840.00
700
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
383 - - 0 - 383
0 - 38.00 24,555 933,090.00 0
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
7 36,400.00 - 0 - 7
0 - 219.00 159 34,821.00
0 - - 0 - 0
0 - 69.00 100 6,900.00 0
599 52,712.00 96.00 2,700 259,200.00 599
1,578 - - 0 - 1,578
269 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
9,750 - - 0 -
100 - - 0 - 0
333 29,304.00 88.00 200 17,600.00 333
0 - - 0 - 0
5,062 - - 0 -
0 - 62.00 3,653 226,486.00 0
1,234 - - 0 -
404 98,980.00 - 0 - 404
51 18,972.00 300.00 564 169,200.00
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
87 - - 0 - 87
0 - - 0 - 0
0 - - 0 - 0
6,888 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
119 17,731.00 149.00 3,104 462,496.00

119
0 - - 0 -
0 - 2,145.00 1,374 2,947,230.00

0
0 - - 0 -
0 - - 0 - 0
90 - 3,113.00 67 208,571.00
1,947 - - 0 - -53
20 - - 0 - 0
0 - - 0 -
0
0 - 1,192.00 3,842 4,579,664.00
0 - - 0 - 0
954 118,296.00 - 0 - 954
1,586 - 112.00 24 2,688.00
0 - - 0 - 0
0 - - 0 - 0
100 - - 0 -
100
748 - 154.00 1,280 197,120.00
748
0 - - 0 - 0
169 18,590.00 108.00 935 100,980.00
0 - - 0 - 0
2,000 - - 0 -
113 - - 0 - 17
0 - - 0 - 0
4,984 69,776.00 38.00 1,500 57,000.00
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
1,459 - - 0 - 459
10 - - 0 -
300 - - 0 - 300
0 - 640.00 812 519,680.00 0
0 - 480.00 20 9,600.00
0 - 5,500.00 950 5,225,000.00 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
951 - - 0 - 351
0 - - 0 -
0
115 - - 0 -
338 - - 0 - 338
0 - - 0 - 0
20,000 - 89.00 7,092 631,188.00 0
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
82 25,502.00 - 0 - 82
4,400 - - 0 - 2,400
0 - 125.00 1,944 243,000.00
0 - 14,203.00 68 965,804.00 0
48 - - 0 -
14 30,282.00 - 0 - 14
322 16,744.00 - 0 -
0 - - 0 - 0
1,343 - - 0 - 1,343
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - -40
0 - - 0 -
0 - - 0 - 0
75 - - 0 -
103 - - 0 - 3
1,089 - - 0 -
0 - 9,860.00 286 2,819,960.00 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
200 183,200.00 - 0 -
200
1,352 - - 0 - 1,352
0 - - 0 -
600 - 169.00 1,205 203,645.00 0
267 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - 148.00 11,980 1,773,040.00 0
0 - 996.00 398 396,408.00 0
0 - - 0 - 0
5,071 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
9,738 - - 0 - -262
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - 16,667.00 8 133,336.00
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - -10
0 - - 0 - -1
0 - - 0 -
0 - - 0 - -5
0 - - 0 - 0
0 - - 0 -
0 - 260.00 6,200 1,612,000.00 0
0 - - 0 - 0
0 - - 0 - 0
690 - - 0 -
0 - - 0 - 0
400 - - 0 - 400
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
5 42,475.00 - 0 -
9 - - 0 - 9
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
12 - - 0 -
2 14,000.00 - 0 - 2
4 40,000.00 - 0 -
4
50 30,350.00 - 0 -
50
14 - - 0 -
73 - - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
10 - - 0 -
10
50 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
100 - 4,045.00 1,523 6,160,535.00 100

0 - - 0 -
412 428,480.00 - 0 - 412
0 - - 0 - 0
0 - - 0 -
4 - - 0 - -1
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
3 - - 0 -
15 - - 0 - 15
3 45,000.00 - 0 - 3
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
8 - - 0 - 6
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
159 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
170 - - 0 -
253 - - 0 - 253
27 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
65 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - 19,360.00 122 2,361,920.00 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
500 - - 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
66 - - 0 -
12 668,568.00 - 0 - 12
24 344,880.00 - 0 -
12 27,504.00 - 0 - 12
0 - - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
0 - - 0 - 0
103 236,076.00 - 0 - 103
10 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
20 - - 0 -
0 - - 0 -
0 - - 0 - -150
250 - - 0 - -250
30 14,850.00 - 0 - 30
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - 167.00 204 34,068.00
0 - 436.00 402 175,272.00 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - 312.00 3,000 936,000.00 0
0 - - 0 -
0 - 54,450.00 33 1,796,850.00 0
0 - 4,210.00 890 3,746,900.00 0
0 - 1,320.00 391 516,120.00 0
0 - 12,500.00 210 2,625,000.00
0 - 8,184.00 29 237,336.00 0
0 - 5,800.00 25 145,000.00 0
0 - 13,300.00 50 665,000.00
0 - 7,180.00 97 696,460.00 0
0 - 19,800.00 382 7,563,600.00
0 - - 0 -
0
0 - 33,263.00 295 9,812,585.00
0 - 243.00 6,000 1,458,000.00 0

0 - 5,756.00 195 1,122,420.00
0 - 470.00 20 9,400.00 0
0 - 20,900.00 3 62,700.00
0 - 3,784.00 308 1,165,472.00 0
0 - 30,200.00 22 664,400.00 0
0 - 296.00 1,454 430,384.00
0 - 5,894.00 123 724,962.00 0
0 - 3,300.00 99 326,700.00 0
0 - 3,200.00 100 320,000.00
0 - 434.00 2,980 1,293,320.00 0
0 - 1,210.00 600 726,000.00
0 - 14,300.00 32 457,600.00 0
0 - 7,150.00 195 1,394,250.00 0
0 - 6,654.00 157 1,044,678.00
0 - 7,150.00 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - 2,241.00 2,370 5,311,170.00

0 - 850.00 4,844 4,117,400.00 0
0 - 865.00 3,831 3,313,815.00
0 - 1,100.00 1,112 1,223,200.00 0
0 - 11,900.00 573 6,818,700.00 0
0 - 450.00 3,000 1,350,000.00 0
0 - 660.00 735 485,100.00
0 - 3,328.00 279 928,512.00 0
0 - 34,100.00 199 6,785,900.00
0 - 10,670.00 0 - 0
0 - 12,100.00 131 1,585,100.00
0 - 495.00 1,881 931,095.00 0
0 - 967.00 0 -
0 - 3,270.00 1,554 5,081,580.00 0
0 - 44,770.00 34 1,522,180.00
0 - 4,867 2,399,431.00
493.00 0
0 - 494 6,249,100.00
12,650.00
0 - 4,535.00 355 1,609,925.00 0
0 - 716.00 0 - 0
0 - 19,950.00 0 - 0
0 - 850.00 87 73,950.00
0 - 1,875.00 286 536,250.00 0
0 - 2,595.00 0 -
0 - 2,000.00 2,000 4,000,000.00 0
0 - 3,127.00 221 691,067.00
0 - 608.00 190 115,520.00 0
0 - 2,020.00 400 808,000.00
0 - 102.00 0 - 0
0 - 2,100.00 1,181 2,480,100.00
0 - 2,710.00 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - 3,300.00 547 1,805,100.00 0

0 - 1,385.00 190 263,150.00 0
0 - 121.00 299 36,179.00
0 - 9,586.00 1,400 13,420,400.00 0
0 - 140.00 1,000 140,000.00
0 - 15,400.00 91 1,401,400.00 0
0 - 821.00 0 -
0 - 2,200.00 37 81,400.00 0
0 - 13,200.00 267 3,524,400.00
0 - 48,400.00 0 - 0
0 - 208.00 81 16,848.00 0
0 - 10,450.00 96 1,003,200.00 0
0 - 24,979.00 300 7,493,700.00 0
0 - 636.00 250 159,000.00 0
0 - 636.00 100 63,600.00 0
0 - 10,736.00 207 2,222,352.00 0
0 - 11,779.00 2,706 31,873,974.00 0
0 - 27,390.00 269 7,367,910.00 0
0 - 36,154.00 95 3,434,630.00 0
0 - 716.00 92 65,872.00 0
0 - 33,580.00 84 2,820,720.00 0
0 - 22,788.00 87 1,982,556.00 0
0 - 21,912.00 45 986,040.00 0
0 - 6,244.00 129 805,476.00 0
0 - 529.00 272 143,888.00
0 - 1,533.00 122 187,026.00 0
0 - 2,027.00 946 1,917,542.00 0
0 - 31,498.00 4,443 139,945,614.00
0 - 4,700.00 2,494 11,721,800.00 0
0 - 25,417.00 90 2,287,530.00
0 - 24,979.00 198 4,945,842.00 0
0 - 20,119.00 89 1,790,591.00 0
DINKES JKN
HARGA SATUAN
RP
0 - 23,007.00 100 2,300,700.00

0 - 12,300.00 249 3,062,700.00 0
0 - 8,014.00 168 1,346,352.00
0 - 46,587.00 47 2,189,589.00 0
0 - 82,827.00 200 16,565,400.00
0 - 3,984.00 90 358,560.00 0
0 - 33,864.00 95 3,217,080.00
0 - 13,988.00 300 4,196,400.00 0
0 - 410.00 200 82,000.00 0
0 - 8,185.00 97 793,945.00 0
0 - 12,375.00 97 1,200,375.00 0
0 - 1,142.00 100 114,200.00 0
0 - 12,375.00 296 3,663,000.00
0 - 1,142.00 300 342,600.00 0
0 - 730.00 3,135 2,288,550.00
0 - - 0 - 0
0 - 388333.33 0 - 0
0 - 271054.05 2 542,108.10
0 - 367250 4 1,469,000.00 0
0 - 296113.92 2 592,227.84
0 - 251000 3 753,000.00 0
0 - 180857.14 4 723,428.56
0 - 20984.63 31 650,523.53 0
0 - 65480 43 2,815,640.00
0 - 79432 22 1,747,504.00 0
0 - 127000 1 127,000.00
0 - 10494 100 1,049,400.00 0
0 - 6435 16 102,960.00 0
0 - 46338 0 - 0
0 - 7865 0 - 0
0 - 7865 800 6,292,000.00
DINKES JKN
HARGA SATUAN
RP
0 - 36300 6 217,800.00 0
0 - 36300 0 -
0 - 13090 16 209,440.00 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
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 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 3 - 0
0 - - 3 - 0
0 - - 3 - 0
0 - - 4 -
0 - - 5 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 24 -
0 - - 5 - 0
0 - - 5 - 0
0 - - 2 - 0
0 - - 3 - 0
0 - - 5 -
0 - - 3 - 0
0 - - 2 - 0
0 - - 10 - 0
0 - - 3 - 0
0 - - 30 -
0 - - 5 - 0
0 - - 2 - 0
0 - - 10 -
0 - - 3 - 0
0 - - 4 - 0
0 - - 5 - 0
0 - - 3 - 0
0 - - 0 - 0
0
3,102,585.00 #NAME?
- 222,758,792.03
3,102,585.00 #NAME?
3,102,585.00 458,590,103.03
JANUARI _ DESEMBER 2016

MASUK
SELAMA BULAN JANUARI 2016
NO
DINKES JKN DINKES

RP RP SATUAN RP
A. O B A T
1 Albendazol tablet 400 mg 407.00 0 - - 352 - - 4,000
2 Alopurinol tablet 100 mg 105.00 1,840 193,200.00 - 0 - - 1,000
3 Alopurinol tablet 300 mg 245.00 0 - - 0 - 245.00 0
4 Ambroxol sirup 15 mg/ml - 60 ml 5,150.00 0 - - 281 - 5,150.00 0
5 Ambroxol tab 95.00 4,575 434,625.00 - 0 - 95.00 0
6 Aminofilin injeksi 24 mg/ml @ 10 ml 3,240.00 0 - - 0 - 3,240.00 0
7 Aminofilin tablet 200 mg 87.00 300 26,100.00 - 2,170 - 87.00 0
8 Amitripilin tablet salut 25 mg (HCL) 112.00 488 54,656.00 - 344 - 112.00 0
9 Amlodipin 5 mg tab 187.00 3,000 561,000.00 - 6,296 - - 12,000
10 Amoksisilin kaplet 500 mg 370.00 5,000 1,850,000.00 - 35,530 - - 65,000
11 Amoksisilin Kapsul 250 mg 200.00 0 - - 0 - - 14,000
12 Amoksisilin sirup kering 125 mg/ 5 mg - 60 ml 3,700.00 0 - - 0 - - 480
13 Amoksisillin + As Klavulanat 625 mg 4,550.00 0 - - 0 - 4,550.00 0
14 Amoksisillin serbuk injeksi 1000 mg 18,700.00 0 - - 0 - 18,700.00 0
Antasida DOEN I Tablet kunyah,kombinasi : Alumunium 20,000 1,500,000.00 0 - - 59,400
15 Hidroksida 200 mg + Magnesium Hidroksida 200 mg 75.00 -
500 1,050,000.00 1,118 - - 200
16 2,100.00 -
Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam 103 196,112.00 200 - - 96
17 Salisilat 3% 1,904.00 -
Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + 0 - 0 - 1,552.00 0
19 Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg 123.00 0 - - 0 - 123.00 0
20 Aqua Pro Injeksi Steril, bebas pirogen @ 20 ml 5,000.00 0 - - 0 - 5,000.00 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
21 Asam Asetilsalisilat tablet 100 mg (Asetosal) 96.00 0 - - 0 - - 100

22 Asam Asetilsalisilat tablet 500 mg (Asetosal) 156.00 0 - - 0 - 156.00 0
23 Asam Askorbat (vitamin C) tablet 50 mg 32.00 0 - - 105,051 - 32.00 0
24 Asam Askorbat (vitamin C) tablet 250 mg 128.00 0 - - 0 - 128.00 0
25 Asam Mefenamat 500 mg 112.00 2,480 277,760.00 - 14,133 - - 6,000
26 Asiklovir 200 mg tablet 388.00 500 194,000.00 - 3,798 - 388.00 0
27 Asiklovir 400 mg tablet 571.00 362 206,702.00 - 8,124 - - 300
28 Asiklovir krim 5 % - 5 gr 2,430.00 0 - - 0 - 2,430.00 0
0 - 0 - 1,230.00 0
29 1,230.00 -
Besi (II)Sulfat 200 mg + asam folat 0,25 mg/tablet (tablet 0 - 0 - - 4,100
31 Betahistin Mesilat 6 mg 1,520.00 0 - - 0 - 1,520.00 0
32 Betametason krim 0,1 % - 5 gr 1,520.00 91 138,320.00 - 1,290 - - 392
33 Bisoprolol tablet 5 mg 2,322.00 0 - - 0 - 2,322.00 0
34 Bromhexin tab 8 mg 39.00 4 156.00 - 0 - 39.00 0
35 Cetrizin syrup 5 mg/ml - 60 ml 7,837.00 71 556,427.00 - 0 - - 300
36 Cetrizin tab 10 mg 181.00 0 - - 0 - 181.00 0
37 Deksametason injeksi IV 5 mg/ml 1,580.00 100 158,000.00 - 800 - 1,580.00 0
38 Deksametason tablet 0,5 mg 53.00 0 - - 0 - - 12,000
39 Dekstrometorfan sirup 10 mg/5 ml (HBr) - 60 ml 1,379.00 0 - - 0 - 1,379.00 0
40 Dekstrometorfan tablet 15 mg (HBr) 90.00 0 - - 0 - 90.00 0
41 Dextran 70 larutan infus 6 % steril - 500 ml 35,526.00 0 - - 0 - 35,526.00 0
42 Diazepam Injeksi 5 mg/ml @ 2 ml 2,344.00 0 - - 0 - 2,344.00 0
43 Diazepam tablet 2 mg 35.00 23 805.00 - 0 - - 100
44 Diazepam tablet 5 mg 56.00 100 5,600.00 - 0 - 56.00 0
45 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) @ 1ml 1,054.00 90 94,860.00 - 170 - 1,054.00 0
46 Digoksin tablet 0,25 mg 97.00 350 33,950.00 - 292 - 97.00 0
5 1,265.00 0 - 253.00 0
47 253.00 -
48 Domperidone Suspensi 5 mg/5 ml - 60 ml 3,333.00 0 - - 0 - - 50
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
0 - 0 - 21.00 0
49 21.00 -
30 243,000.00 360 - 8,100.00 0
50 8,100.00 -
0 - 449 - 8,100.00 0
51 8,100.00 -
52 Eritromisin kapsul 250 mg 500.00 0 - - 1,368 - 500.00 0
53 Eritromisin kapsul 500 mg 930.00 0 - - 0 - 930.00 0
54 Etakridin larutan 0,1 % - 300 ml 1,800.00 0 - - 0 - 1,800.00 0
55 Etil klorida spray 104,000.00 23 2,392,000.00 - 0 - - 20
56 Fenitoin kapsul 100 mg 133.00 0 - - 0 - 133.00 0
57 Fenitoin Natrium injeksi 50 mg/ml 20,250.00 0 - - 0 - 20,250.00 0
58 Fenobarbital tablet 30 mg 61.00 681 41,541.00 - 0 - 61.00 0
59 Fenobarbital injeksi i.m / i.v 50 mg/ml 1,800.00 0 - - 0 - 1,800.00 0
60 Fenoksi metil Penisillin 250 mg 262.00 0 - - 0 - 262.00 0
61 Fenoksi metil Penisillin 500 mg 465.00 0 - - 1,200 - 465.00 0
62 Fenol Gliserol tetes telinga 10% 1,008.00 36 36,288.00 - 0 - - 192
63 Fitomenadion ( vit K 1 ) injeksi 10 mg / ml @ 1 ml 1,566.00 0 - - 0 - 1,566.00 0
64 Fitomenadion ( vit K 1 ) tablet salut gula 10 mg 634.00 565 358,210.00 - 1,570 - - 100
65 Furosemid injeksi iv/im 10 mg/ml @ 2 ml 1,829.00 0 - - 0 - 1,829.00 0
66 Furosemid tablet 40 mg 85.00 975 82,875.00 - 0 - - 1,000
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g + Kalium 348 101,616.00 5,185 - - 2,500
67 Anhidrat 2,7 g 292.00 -
68 Gentamicin inj 40 mg/ml 3,399.00 0 - - 0 - 3,399.00 0
69 Gentamicin inj 80 mg/ml 3,782.00 0 - - 0 - 3,782.00 0
70 Gentamicin SK 0,1 % - 5 gr 1,850.00 55 101,750.00 - 0 - 1,850.00 0
71 Gentian violet Larutan 1 % - 10 ml 450.00 78 35,100.00 - 0 - - 144
72 Glibenklamida tablet 5 mg 54.00 500 27,000.00 - 0 - - 2,500
73 Gliseril Gualakolat tablet 100 mg 28.00 15,321 428,988.00 - 0 - - 5,000
74 Gliserin - 100 ml 4,158.00 0 - - 0 - 4,158.00 0
75 Glukosa larutan infus 10% - 500 ml 5,700.00 0 - - 0 - 5,700.00 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
76 Glukosa larutan infus 40 % - 25 ml 1,452.00 0 - - 0 - 1,452.00 0

77 Glukosa larutan infus 5% - 500 ml 5,200.00 10 52,000.00 - 0 - 5,200.00 0
78 Griseofulvin tablet 125 mg, micronized 228.00 0 - - 200 - 228.00 0
79 Haloperidol tablet 0,5 mg 53.00 0 - - 0 - 53.00 0
80 Haloperidol tablet 1,5 mg 69.00 0 - - 100 - 69.00 0
81 Haloperidol tablet 5 mg 88.00 599 52,712.00 - 2,700 - 88.00 0
82 Hidroklorotiazida (HCT) tablet 25 mg 36.00 0 - - 0 - - 2,000
83 Hidrokortison krim 2,5% - 5 gr 2,541.00 144 365,904.00 - 749 - - 792
84 Hyoscine-N-Butilbromide tablet 10 mg 850.00 200 170,000.00 - 0 - 850.00 0
85 Ibuprofen tablet 200 mg 93.00 0 - - 5,559 - - 4,000
86 Ibuprofen tablet 400 mg 149.00 8,000 1,192,000.00 - 11,885 - - 24,000
87 Ibupropen 100 mg Syr - 60 ml 3,499.00 84 293,916.00 - 200 - - 100
88 Isosorbid Dinitrat Tablet Sublingual 5 mg 88.00 463 40,744.00 - 200 - 88.00 0
89 Kalium Diklopenak 50 mg 708.00 0 - - 0 - 708.00 0
90 Kalsium Laktat (Kalk) tablet 500 mg 52.00 0 - - 0 - - 7,500
91 Kaptopril tablet 12,5 mg 62.00 176 10,912.00 - 11,439 - 62.00 0
92 Kaptopril tablet 25 mg 80.00 3,749 299,920.00 - 756 - - 1,000
93 Karbamazepin 200 mg 245.00 494 121,030.00 - 0 - 245.00 0
94 Ketokonazole 200 mg tablet 372.00 81 30,132.00 - 567 - 372.00 0
95 Ketokonazole krim - 15 gr 4,700.00 0 - - 0 - 4,700.00 0
96 Ketoprofen tablet 100 mg 2,545.00 0 - - 0 - 2,545.00 0
97 Ketorolac Injeksi 10 mg 7,500.00 0 - - 0 - 7,500.00 0
98 Ketorolac injeksi 30 mg 2,300.00 0 - - 0 - 2,300.00 0
99 Klindamisin Kap 150 Mg 510.00 0 - - 0 - 510.00 0
100 Klonidin 0,15 mg 205.00 0 - - 0 - 205.00 0
101 Kloramfenikol kapsul 250 mg 210.00 0 - - 0 - 210.00 0
102 Kloramfenikol salep mata - 5 gr 1,563.00 24 37,512.00 - 216 - - 192
103 Kloramfenikol suspensi 125 mg/5ml - 60 ml 3,700.00 0 - - 0 - 3,700.00 0
104 Kloramfenikol tetes telinga 3 % - 5 ml 1,599.00 0 - - 0 - 1,599.00 0
105 Klorfeniramina mealeat (CTM) tablet 4 mg 26.00 0 - - 0 - - 28,000
106 Klorpromazin tablet salut 100 mg (HCl) 15,364.00 3,011 46,261,004.00 - 0 - 15,364.00 0
107 Kodein 10 mg 470.00 0 - - 0 - 470.00 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
Kotrimokszol DOEN I (dewasa) kombinasi : 840 125,160.00 4,124 - 149.00 0

Kotrimosazol DOEN II (pediatrik) Kombinasi : 0 - 0 - 76.00 0
Kotrimosazol Suspensi Kombinasi: Sulfametoksazol 200 mg 500 1,287,000.00 2,398 - 2,574.00 0
111 Lanzoprazole kapsul/kaplet 30 mg 473.00 0 - - 0 - 473.00 0
112 Lidokain inj 2% @ 2 ml 839.00 0 - - 0 - - 100
0 - 880 - - 180
113 1,363.00 -
114 Loratadin tablet 10 mg 333.00 500 166,500.00 - 0 - - 4,000
115 Magnesium Sulfat inj (IV) 20 % - 25 ml 1,540.00 115 177,100.00 - 0 - - 40
201 391,548.00 0 - 1,440.00 0
116 1,948.00 -
0 - 0 - 1,199.00 0
Meloksikam 15 mg
117 1,199.00 -
118 Metampiron injeksi 250 mg @ 2 ml 1,200.00 0 - - 0 - 1,200.00 0
119 Metampiron tablet 500 mg 124.00 1,100 136,400.00 - 0 - 124.00 0
120 Metformin HCl 500 mg 182.00 0 - - 478 - - 2,000
121 Methil dopa 250 mg 1,760.00 0 - - 0 - 1,760.00 0
122 Metil prednisolon tablet 4 mg 205.00 0 - - 0 - 205.00 0
Metilergometrin Maleat (Metilergometrin) injeksi 0,200 mg - 60 89,400.00 0 - - 200
123 1 ml 1,490.00 -
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 206 28,840.00 1,524 - - 800
124 mg 140.00 -
125 Metoklopramid inj 5 mg/ml 3,850.00 0 - - 0 - 3,850.00 0
126 Metoklopramid tablet 10 mg 110.00 820 90,200.00 - 1,076 - 110.00 0
127 Metronidazole tablet 250 mg 105.00 0 - - 0 - 105.00 0
128 Metronidazole tablet 500 mg 190.00 500 95,000.00 - 3,623 - - 2,000
129 Mikonazole krim/salep 2 % (nitrat) - 10 gr 3,000.00 96 288,000.00 - 0 - - 288
130 Morfin inj 10 mg/ml 10,449.00 0 - - 0 - 10,449.00 0
131 Natrium bikarbonat tablet 500 mg 14.00 5,832 81,648.00 - 0 - 14.00 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
132 Natrium Diklofenak 25 mg 166.00 0 - - 0 - 166.00 0

133 Natrium diklofenak 50 mg 200.00 0 - - 2,335 - - 3,000
134 Natrium Klorida larutan infus 0,9% - 500 ml 4,700.00 5 23,500.00 - 0 - - 20
135 Nifedipin tablet 10 mg 100.00 176 17,600.00 - 400 - - 600
136 Nistatin tablet salut 500000 IU/g 640.00 316 202,240.00 - 1,200 - 640.00 0
137 Nistatin vaginal tablet 100000 IU/g 407.00 216 87,912.00 - 194 - 407.00 0
138 Obat Batuk hitam ( O.B.H.) - 100 ml 2,783.00 0 - - 0 - 2,783.00 0
139 Oksitetrasiklin HCL salep kulit 3 % - 5 gr 1,675.00 0 - - 0 - 1,675.00 0
140 Oksitetrasiklin HCL salep mata 1 % - 3,5 gr 1,600.00 0 - - 0 - 1,600.00 0
141 Oksitosin injeksi 10 IU/ml-1 ml 2,200.00 284 624,800.00 - 0 - - 500
142 Omeprazole 20 mg 408.00 1,140 465,120.00 - 819 - - 2,100
0 - 0 - 530.00 0
143 530.00 -
200 1,040,000.00 0 - - 168
144 5,200.00 -
145 Paracetamol sirup 120 mg / 5 ml - 60 ml 1,438.00 252 362,376.00 - 1,565 - - 500
146 Paracetamol tablet 100 mg 32.00 113 3,616.00 - 0 - - 2,000
147 Paracetamol tablet 500 mg 89.00 14,400 1,281,600.00 - 157,595 - - 66,600
148 Petidin 50 mg/ ml injeksi 14,500.00 0 - - 0 - 14,500.00 0
149 Piracetam 400 mg tablet 194.00 72 13,968.00 - 0 - 194.00 0
150 Piracetam inj 1 g/ 5 ml 1,925.00 0 - - 0 - 1,925.00 0
151 Pirantel tab. Score (base) 125 mg 311.00 114 35,454.00 - 0 - 311.00 0
152 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 14.00 0 - - 0 - - 7,000
153 Piroksikam tablet 10 mg 70.00 0 - - 0 - 70.00 0
154 Povidon Iodida larutan 10 % - 300 ml 14,203.00 29 411,887.00 - 100 - 14,203.00 0
155 Povidon Iodida larutan 10 % - 1 L 37,109.00 0 - - 0 - - 48
156 Povidon Iodine - 30 ml 2,163.00 73 157,899.00 - 0 - 2,163.00 0
157 Prednison tablet 5 mg 52.00 1,936 100,672.00 - 0 - 52.00 0
158 Ranitidin injeksi 25 mg / 2 ml 1,140.00 0 - - 0 - 1,140.00 0
159 Ranitidin tab 150 mg 120.00 994 119,280.00 - 0 - - 9,000
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
160 Reserpin tablet 0,25 mg 103.00 3,000 309,000.00 - 0 - 103.00 0

161 Ringer Laktat larutan infus - 500 ml 5,200.00 53 275,600.00 - 0 - - 200
162 Salbutamol tablet 2 mg 84.00 500 42,000.00 - 2,877 - - 500
163 Salbutamol tablet 4 mg 98.00 0 - - 0 - 98.00 0
Salep 2 - 4 Kombinasi: Asam Salisilat 2 %+ Belerang endap 16 28,800.00 0 - - 384
164 4% - 30 gr 1,800.00 -
165 Salisil bedak 2% - 50 gr 1,120.00 100 112,000.00 - 311 - - 350
166 Sefadroksil kapsul 500 mg 509.00 0 - - 0 - - 2,500
167 Sefadrosil syr 125 mg/5 ml - 60 ml 4,746.00 0 - - 0 - 4,746.00 0
168 Sefiksim Syr kering 8,800.00 0 - - 0 - 8,800.00 0
169 Sefotaksim inj 1 g 2,950.00 0 - - 0 - 2,950.00 0
170 Seftazidim inj 1g 3,300.00 0 - - 0 - 3,300.00 0
171 Seftriakson injeksi 1 g 8,000.00 0 - - 0 - 8,000.00 0
172 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) 475,820.00 0 - - 0 - 475,820.00 0
173 Serum Anti Tetanus 1.500 IU/ampul (A.T.S.) 127,409.00 0 - - 0 - 127,409.00 0
174 Sianokobalamin (Viatamin B12) injeksi 500 mcg @ 1 ml 916.00 210 192,360.00 - 0 - 916.00 0
175 Sianokobalamin (Vitamin B 12) tablet 50 mcg 13.00 0 - - 0 - - 2,000
176 Simetidine Tablet 200 mg 105.00 0 - - 0 - 105.00 0
177 Simvastatin tablet 10 mg 169.00 0 - - 3,600 - - 600
178 Siprofloksasin tablet 500 mg (sebagai HCL) 255.00 0 - - 1,714 - - 1,000
179 Spironolakton tab 25 mg 315.00 0 - - 0 - 315.00 0
180 Sulfasetamida Natrium tetes mata 15% - 5 ml 3,226.00 64 206,464.00 - 0 - 3,226.00 0
181 Tetrasiklin 500 mg kapsul 206.00 615 126,690.00 - 0 - 206.00 0
182 Tetrasiklin kapsul 250 mg 140.00 0 - - 12,300 - 140.00 0
183 Thiamphenikol 500 mg 616.00 780 480,480.00 - 0 - 616.00 0
184 Tiamin (vitamin B1) injeksi 100 mg/ml @ 1 ml 680.00 0 - - 0 - 680.00 0
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 35.00 0 - - 0 - - 23,000
186 Tramadol injeksi 50 mg/ml 2,395.00 0 - - 0 - 2,395.00 0
187 Tramadol kapsul 50 mg 5,200.00 0 - - 0 - 5,200.00 0
188 Triheksifenidil tablet 2 mg 40.00 0 - - 0 - 40.00 0
189 Vitamin B Kompleks tablet 22.00 6,800 149,600.00 - 63,601 - - 36,000
190 Obat Gigi - 0 - - 0 - - 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
191 Devitalisasi pasta non arsen 390,000.00 0 - - 0 - 390,000.00 0

192 Eugenol cairan - 5 ml 45,750.00 0 - - 11 - 45,750.00 0
193 Glass Ionomer Cement ART 425,000.00 0 - - 0 - 425,000.00 0
194 Kalsium Hidroksida Pasta 240,000.00 0 - - 0 - 240,000.00 0
195 Klorfenol kamfer Menthol ( CHKM ) - 10 ml 55,000.00 0 - - 0 - 55,000.00 0
196 Mummifying Pasta 175,000.00 0 - - 0 - 175,000.00 0
197 Zink Fosfat serbuk dan cairan @ 30 gr 91,500.00 0 - - 0 - 91,500.00 0
198 Obat Program - 0 - - 0 - - 0
199 Ferro Sulfat 300 mg 20.00 0 - - 0 - 20.00 0
200 Mineral Mix 2,475.00 0 - - 0 - 2,475.00 0
201 OAT Kategori 1 (FDC) 360,000.00 48 17,280,000.00 - 0 - - 42
202 OAT Kategori 2 (FDC) 1,200,000.00 0 - - 0 - - 1
203 OAT Tuberculosis sisipan (FDC) 160,000.00 0 - - 0 - 160,000.00 0
204 Obat TBC Anak (FDC) 215,000.00 0 - - 0 - - 10
205 OAT Kategori 1 (KombipaK) 265,000.00 0 - - 0 - 265,000.00 0
206 OAT Anak (Kombipak) 127,200.00 0 - - 0 - 127,200.00 0
207 Retinol (VIT A) 100.000 UI 286.00 0 - - 10,300 - - 400
208 Retinol (VIT A) 200.000 UI 462.00 0 - - 0 - - 5,250
209 Streptomicin serbuk injeksi i.v 1500 mg / ml - 15 ml 1,515.00 0 - - 0 - 1,515.00 0
210 Zinc Tab 20 mg 455.00 1,000 455,000.00 - 5,470 - - 3,000
211 Alat Kesehatan - 0 - - 0 - - 0
212 Alat suntik sekali pakai 1 ml (SNI) 1,092.00 200 218,400.00 - 0 - - 1,400
213 Alat suntik sekali pakai 2,5 ml (SNI) 257.00 0 - - 0 - 257.00 0
214 Alat suntik sekali pakai 5 ml (SNI) 1,038.00 100 103,800.00 - 0 - - 700
70 1,866,690.00 0 - - 192
215 26,667.00 -
0 - 0 - - 96
216 24,583.00 -
217 Foley Cathether no 20 (SNI) 8,495.00 10 84,950.00 - 0 - 8,495.00 0
218 Foley Cathether no 18 (SNI) 8,495.00 5 42,475.00 - 0 - - 10
219 Foley Cathether no 22 (SNI) 8,495.00 0 - - 0 - 8,495.00 0
220 Infusion set anak (SNI) 4,000.00 0 - - 0 - 4,000.00 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
221 Infusion set dewasa (SNI) 3,500.00 66 231,000.00 - 0 - - 100

222 IV Catheter No 20 G (SNI) 7,787.00 48 373,776.00 - 0 - - 150
223 IV Catheter No 22 G (SNI) 7,787.00 46 358,202.00 - 0 - - 50
0 - 0 - 7,787.00 0
224 7,787.00 -
7 52,500.00 0 - - 40
225 7,500.00 -
226 Kasa Pembalut Elastic 3 Inchi 7,000.00 4 28,000.00 - 0 - 7,000.00 0
5 50,000.00 0 - 10,000.00 0
227 10,000.00 -
50 30,350.00 0 - 607.00 0
228 607.00 -
50 15,150.00 0 - - 25
229 303.00 -
27 229,500.00 0 - - 150
230 8,500.00 -
0 - 0 - 55,200.00 0
231 55,200.00 -
5 44,000.00 0 - 8,800.00 0
232 8,800.00 -
233 Nelaton Catheter no 14 8,800.00 5 44,000.00 - 0 - 8,800.00 0
234 Pembalut Gips 3 inchi 23,500.00 0 - - 0 - 23,500.00 0
0 - 0 - 32,500.00 0
235 32,500.00 -
0 - 0 - 42,000.00 0
236 42,000.00 -
8 189,000.00 0 - - 36
237 23,625.00 -
35 148,750.00 0 - - 400
238 4,250.00 -
0 - 0 - 6,983.00 0
239 6,983.00 -
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
10 40,000.00 0 - 4,000.00 0
Urine Bag
240 4,000.00 -
241 Wing Needle No. 21 G 5,770.00 0 - - 0 - 5,770.00 0
242 Wing Needle No. 23 G 5,770.00 0 - - 0 - 5,770.00 0
0 - 0 - 5,770.00 0
243 5,770.00 -
0 - 0 - 5,498.00 0
244 5,498.00 -
245 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml 4,045.00 500 2,022,500.00 - 2,936 - - 100
246 Aquadest - 500 ml 17,700.00 0 - - 0 - 17,700.00 0
247 Asam Traneksamat 500 mg Tablet 1,040.00 474 492,960.00 - 0 - 1,040.00 0
248 Atracurium 50 mg inj (Halmeln) 75,900.00 0 - - 0 - 75,900.00 0
249 Clorine 5,25% - 1000 ml 24,000.00 0 - - 0 - 24,000.00 0
250 Diazepam rectal 5 mg/2,5 ml dalam tube 11,525.00 0 - - 5 - - 5
251 Dobutamin inj (Halmeln) 151,500.00 0 - - 0 - 151,500.00 0
252 Eperison 50 mg 2,500.00 0 - - 0 - 2,500.00 0
253 Epidosin Injeksi 19,166.00 100 1,916,600.00 - 0 - 19,166.00 0
254 Etanol 70 % - 1000 ml 27,000.00 0 - - 0 - - 13
255 Etanol 70 % - 100 ml 2,750.00 0 - - 14 - - 40
256 Hidrogen Peroksida 3% - 1000 ml 15,000.00 4 60,000.00 - 0 - 15,000.00 0
257 Hyoscine-N-Butilbromide 20 mg/ml Injeksi 847.00 0 - - 0 - 847.00 0
258 Iodina test - 10 ml 3,250.00 0 - - 0 - 3,250.00 0
259 Kalium L Aspartat tab 2,090.00 0 - - 0 - 2,090.00 0
260 Karbazokrom Natrium Sulfonat 10 mg tablet 992.00 0 - - 0 - 992.00 0
261 Karbazokrom Natrium Sulfonat 5mg/ml injeksi 15,400.00 0 - - 0 - 15,400.00 0
262 Ketamin inj 50 mg/ml 121,200.00 0 - - 0 - 121,200.00 0
263 Ketoprofen inj 100 mg @ 2 ml 5,650.00 0 - - 0 - 5,650.00 0
264 Lidokain HCl 20 mg + Adrenaline 0,0125 mg 3,016.00 0 - - 0 - 3,016.00 0
265 Lisol 1000 ml 33,675.00 9 303,075.00 - 0 - - 17
266 Meropenem inj 372,000.00 0 - - 0 - 372,000.00 0
267 Methyl prednisolon inj 59,600.00 0 - - 0 - 59,600.00 0
268 Midazolam inj 15 mg/3 ml 46,000.00 0 - - 0 - 46,000.00 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
269 Multivitamin dan Mineral Tablet untuk remaja 720.00 0 - - 0 - - 2,000

270 Multivitamin drop untuk bayi - 15 ml 18,700.00 0 - - 0 - 18,700.00 0
Multivitamin Sirup Pertumbuhan (Mengandung Lysine dan 180 1,638,000.00 0 - - 360
271 Biotin) - 60 ml 9,100.00 -
272 Neostigmin 0,5 mg/ml 14,260.00 0 - - 0 - 14,260.00 0
273 Nystatin drop/oral suspensi - 15 ml 33,200.00 0 - - 0 - 33,200.00 0
274 Obat anti diare (Attapulgite dan Pektin) 743.00 961 714,023.00 - 0 - - 500
Obat Flu sirup Kombinasi (Parasetamol 150 mg, 480 3,960,000.00 0 - - 660
276 Obat tradisional pemulihan hati untuk penderita TBC 2,766.70 0 - - 0 - - 1,500
277 Obat scabies mengandung Permethrin 5 % sk - 10 gr #REF! #REF! #REF! #REF! #REF! #REF! - #VALUE!
278 Polikresulen konsentrat - 10 ml #REF! #REF! #REF! #REF! #REF! #REF! 23,000.00 #VALUE!
279 Propofol inj 11,474.00 20 229,480.00 - 13 - 11,474.00 0
280 Salbutamol for Nebulizer 2,5mg/2,5 ml NaCl 23,000.00 0 - - 0 - - 100
281 Salep kombinasi kortikosteroid - 5 gr 79,200.00 0 - - 0 - 79,200.00 0
282 Salep Luka bakar - 10 gr 6,600.00 0 - - 0 - 6,600.00 0
283 Sukralfat 500 mg tablet 6,500.00 0 - - 0 - 6,500.00 0
284 Vitamin Neurotropik 19,900.00 9 179,100.00 - 0 - 19,900.00 0
285 Obat Gigi 600.00 0 - - 0 - 600.00 0
286 Atching Agent (SGI) - 5 ml 968.00 0 - - 0 - 968.00 0
287 Bonding Agent (SGI) - 10 ml - 0 - - 0 - - 0
288 Diamond Bor (Round b,k ; Fissur b,k ; Inverted b,k) 289,000.00 0 - - 0 - 289,000.00 0
289 Disclosing Solution - 10 ml 275,000.00 0 - - 0 - 275,000.00 0
290 Gelatin cube 1 x 1 x 1 cm 232,100.00 0 - - 0 - 232,100.00 0
291 Gutta perca 45-80 13,700.00 0 - - 0 - 13,700.00 0
292 Light Curring Composit (A2) (Solare) - 4,7 gr 7,900.00 0 - - 0 - 7,900.00 0
293 Paper Point 45-80 1,220.00 0 - - 0 - 1,220.00 0
294 Rocle's 10 mg 415,800.00 0 - - 0 - 415,800.00 0
295 Temporary Filling Pasta 611.00 0 - - 0 - 611.00 0
296 Triamsinolon Asetonit 1mg salep - 5 gr 637,000.00 0 - - 0 - 637,000.00 0
297 Trikesol Formalin - 10 ml 187,500.00 2 375,000.00 - 0 - 187,500.00 0
298 Obat program 13,200.00 11 145,200.00 - 150 - 13,200.00 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
299 Misoprostol - HPMC 200 µg 52,500.00 0 - - 0 - 52,500.00 0

Multivitamin Sirup Pemulihan : Zat aktif Curcuminoid - 120 0 - 0 - - 0
300 ml - -
301 Multivitamin dan mineral tablet untuk jampersal 9,940.00 30 298,200.00 - 0 - 9,940.00 0
302 Vitamin K Injeksi 2mg/ml Neonatal 13,740.00 0 - - 0 - 13,740.00 0
303 Alat Kesehatan 1,156.00 0 - - 0 - 1,156.00 0
304 Alat suntik sekali pakai 10 ml 8,250.00 210 1,732,500.00 - 0 - 8,250.00 0
305 Alat suntik sekali pakai 3 ml - 0 - - 0 - - 3,800
306 Bisturi ujung bundar No. 20 4,200.00 0 - - 0 - 4,200.00 0
307 Bisturi ujung Lancip No. 11 2,750.00 500 1,375,000.00 - 0 - 2,750.00 0
308 Bisturi ujung Lancip No. 20 770.00 0 - - 0 - 770.00 0
309 Bisturi ujung Lancip No. 21 770.00 41 31,570.00 - 0 - 770.00 0
310 Bisturi ujung Lancip No. 22 770.00 48 36,960.00 - 0 - 770.00 0
311 Biuret bayi / microdip 770.00 49 37,730.00 - 0 - 770.00 0
312 Catgut Cromic Caset 3 - 50 M 770.00 0 - - 0 - 770.00 0
313 Catgut Plain 3 - 50 M 74,800.00 0 - - 0 - 74,800.00 0
314 Dressing dengan parafin 10 cm x 10 cm 646,000.00 0 - - 0 - 646,000.00 0
315 Dressing Penutup luka lebar berperekat 5 m x 5 cm 686,000.00 0 - - 0 - 686,000.00 0
316 IV Cathetter No. 18 8,898.00 0 - - 0 - - 50
317 Jarum Hacting Kulit No. 10 setengah lingkaran 55,714.00 0 - - 0 - 55,714.00 0
318 Jarum Hacting Kulit No. 11 setengah lingkaran 14,370.00 127 1,824,990.00 - 0 - 14,370.00 0
319 Jarum Hacting Kulit No. 12 setengah lingkaran 2,292.00 12 27,504.00 - 0 - 2,292.00 0
320 Jarum Hacting Kulit No. 9 setengah lingkaran 2,292.00 36 82,512.00 - 0 - 2,292.00 0
321 Jarum Hacting Otot No. 10 setengah lingkaran 2,292.00 24 55,008.00 - 0 - 2,292.00 0
322 Jarum Hacting Otot No. 12 setengah lingkaran 2,292.00 12 27,504.00 - 0 - 2,292.00 0
323 Kasa gulung Besar (100 Y x 80 cm) 2,292.00 0 - - 0 - 2,292.00 0
324 Kasa Kompres 40/40 steril 2,292.00 24 55,008.00 - 0 - 2,292.00 0
325 Kasa Pembalut 2 m x 80 cm 8,800.00 2 17,600.00 - 0 - - 10
326 Kasa Pembalut Hidrofil 4 m x 15 m elastic 1,393.00 103 143,479.00 - 0 - 1,393.00 0
327 Kasa Pembalut Hidrofil 4 m x 3 cm elastic 8,800.00 20 176,000.00 - 0 - 8,800.00 0
328 Klem Umbilical 1,900.00 0 - - 0 - - 350
329 Ky Jelly 806.00 0 - - 0 - - 4
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
330 Masker 2,530.00 100 253,000.00 - 0 - - 1,350

331 Sarung tangan non steril 27,500.00 28 770,000.00 - 0 - - 2,200
332 Sarung tangan panjang (Gynaecolog) 495.00 0 - - 0 - 495.00 0
333 Sarung tangan rumah tangga 792.00 400 316,800.00 - 0 - 792.00 0
334 Silk Caset 3/0 100m 19,800.00 60 1,188,000.00 - 0 - 19,800.00 0
335 IV Cathether no 26 7,700.00 0 - - 0 - 7,700.00 0
336 Domperidon Tablet 10 mg 539,000.00 1 539,000.00 - 0 - 539,000.00 0
337 Glimepirid 2 mg 13,470.00 0 - - 0 - 13,470.00 0
338 Momethasone krim 167.00 0 - - 682 - 167.00 0
339 Folley Cathether no 16 436.00 0 - - 504 - 436.00 0
0 - 0 - 17,820.00 0
0 - 0 - 8,000.00 0
342 Asam Asetilsalisilat (asetosal) tab 80 mg - 0 - - 0 - - 0
343 Bisakodil supp 5 mg - 0 - - 0 - - 0
344 Cairan ringer dextrose - 0 - - 0 - - 0
345 Diazepam rectal 10 mg/2,5 ml dalam tube - 0 - - 0 - - 0
346 Ketokonazole scalp sol 2% (zoloral ss) - 0 - - 0 - - 0
347 Kombinasi:Ipratorium Br 0 - 0 - - 8 - - 0
Kombinasi: ipratropium Br 0,5 mg+ salbutamol 2,5 mg 0 - 0 - - 0
348 nebules - -
349 N Asetyl sistein 200 mg - 0 - - 0 - - 0
350 Slide - 0 - - 0 - - 0
351 Reagen - 0 - - 0 - - 0
352 Safety Box - 0 - - 0 - - 0
353 - 0 - - 0 - - 0
354 - 0 - - 0 - - 0
355 - 0 - - 0 - - 0
356 DANA JKN - 0 - - 0 - - 0
357 - 0 - - 0 - - 0
358 - 0 - - 0 - #REF! #VALUE!
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
359 - 0 - - 0 - - 0
360 #REF! #REF! #REF! #REF! #REF! #REF! - #VALUE!
361 - 0 - - 504 - - 0
362 - 0 - - 3,000 - - 0
363 - 0 - - 210 - - 0
364 - 0 - - 50 - - 0
365 - 0 - - 948 - - 0
366 - 0 - - 600 - - 0
367 - 0 - - 248 - - 0
368 - 0 - - 91 - - 0
369 - 0 - - 192 - - 0
0 - 50 - - 0
370 - -
0 - 84 - - 0
371 - -
372 - 0 - - 189 - - 0
373 - 0 - - 150 - - 0
374 - 0 - - 299 - - 0
375 - 0 - - 6,000 - - 0
376 - 0 - - 164 - - 0
377 - 0 - - 563 - - 0
378 - 0 - - 12 - - 0
379 - 0 - - 235 - - 0
380 - 0 - - 45 - - 0
381 - 0 - - 2,592 - - 0
382 - 0 - - 91 - - 0
383 - 0 - - 100 - - 0
384 - 0 - - 100 - - 0
385 - 0 - - 3,000 - - 0
386 - 0 - - 600 - - 0
387 - 0 - - 49 - - 0
388 - 0 - - 92 - - 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
389 - 0 - - 296 - - 0
390 - 0 - - 85 - - 0
391 - 0 - - 13 - - 0
392 - 0 - - 843 - - 0
393 - 0 - - 867 - - 0
394 - 0 - - 1,839 - - 0
395 - 0 - - 743 - - 0
396 - 0 - - 51 - - 0
397 - 0 - - 572 - - 0
398 - 0 - - 171 - - 0
399 - 0 - - 91 - - 0
400 - 0 - - 320 - - 0
401 - 0 - - 386 - - 0
402 - 0 - - 916 - - 0
0 - 1,854 - - 0
403 - -
0 - 333 - - 0
404 - -
405 - 0 - - 50 - - 0
406 - 0 - - 9,155 - - 0
407 - 0 - - 585 - - 0
408 - 0 - - 477 - - 0
409 - 0 - - 3,000 - - 0
410 - 0 - - 150 - - 0
411 - 0 - - 300 - - 0
412 - 0 - - 0 - - 0
413 - 0 - - 730 - - 0
414 - 0 - - 323 - - 0
415 - 0 - - 498 - - 0
416 - 0 - - 400 - - 0
417 - 0 - - 255 - - 0
418 - 0 - - 1,500 - - 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
419 - 0 - - 595 - - 0
420 - 0 - - 190 - - 0
421 - 0 - - 304 - - 0
422 - 0 - - 1,400 - - 0
423 - 0 - - 906 - - 0
424 - 0 - - 99 - - 0
425 - 0 - - 4,200 - - 0
426 - 0 - - 300 - - 0
427 - 0 - - 4,524 - - 0
428 - 0 - - 295 - - 0
429 - 0 - - 100 - - 0
430 - 0 - - 100 - - 0
431 - 0 - - 300 - - 0
432 - 0 - - 500 - - 0
433 - 0 - - 0 - - 0
434 - 0 - - 0 - - 0
435 - 0 - - 0 - - 0
436 - 0 - - 0 - - 0
437 - 0 - - 0 - - 0
438 BMHP JKN - 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
1 - 0 - - 0 - - 0
2 - 0 - - 0 - - 0
3 - 0 - - 0 - - 0
4 - 0 - - 0 - - 0
5 - 0 - - 0 - - 0
6 - 0 - - 0 - - 0
7 - 0 - - 0 - - 0
8 - 0 - - 0 - - 0
9 - 0 - - 0 - - 0
10 - 0 - - 0 - - 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
11 - 0 - - 0 - - 0
12 - 0 - - 0 - - 0
13 - 0 - - 0 - - 0
14 - 0 - - 0 - - 0
15 - 0 - - 0 - - 0
16 - 0 - - 0 - - 0
17 - 0 - - 0 - - 0
18 - 0 - - 0 - - 0
19 - 0 - - 0 - - 0
20 - 0 - - 0 - - 0
21 - 0 - - 0 - - 0
22 - 0 - - 0 - - 0
23 - 0 - - 0 - - 0
24 - 0 - - 0 - - 0
25 #REF! #REF! #REF! #REF! #REF! #REF! - #VALUE!
26 - 0 - - 789 - - 0
27 - 0 - - 0 - - 0
28 - 0 - - 36 - - 0
29 - 0 - - 48 - - 0
30 - 0 - - 48 - - 0
31 - 0 - - 48 - - 0
32 - 0 - - 48 - - 0
33 - 0 - - 48 - - 0
34 - 0 - - 50 - - 0
35 - 0 - - 78 - - 0
36 - 0 - - 50 - - 0
37 - 0 - - 1 - - 0
38 - 0 - - 100 - - 0
39 - 0 - - 100 - - 0
40 - 0 - - 30 - - 0
41 - 0 - - 500 - - 0
42 - 0 - - 800 - - 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
43 - 0 - - 30 - - 0
44 - 0 - - 5 - - 0
45 - 0 - - 30 - - 0
46 - 0 - - 0 - - 0
47 - 0 - - 0 - - 0
48 - 0 - - 0 - - 0
49 - 0 - - 0 - - 0
50 - 0 - - 0 - - 0
51 - 0 - - 0 - - 0
52 - 0 - - 0 - - 0
53 - 0 - - 0 - - 0
54 - 0 - - 0 - - 0
55 - 0 - - 0 - - 0
56 - 0 - - 0 - - 0
57 - 0 - - 0 - - 0
58 - 0 - - 0 - - 0
59 - 0 - - 0 - - 0
60 - 0 - - 0 - - 0
61 - 0 - - 0 - - 0
62 - 0 - - 0 - - 0
63 - 0 - - 0 - - 0
64 - 0 - - 0 - - 0
65 - 0 - - 0 - - 0
66 - 0 - - 0 - - 0
67 - 0 - - 0 - - 0
68 - 0 - - 0 - - 0
69 - 0 - - 0 - - 0
70 - 0 - - 0 - - 0
71 - 0 - - 0 - - 0
72 - 0 - - 0 - - 0
73 - 0 - - 0 - - 0
74 - 0 - - 0 - - 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
75 - 0 - - 0 - - 0
76 - 0 - - 0 - - 0
77 - 0 - - 0 - - 0
78 - 0 - - 0 - - 0
79 - 0 - - 0 - - 0
80 - 0 - - 0 - - 0
81 - 0 - - 0 - - 0
82 - 0 - - 0 - - 0
83 - 0 - - 0 - - 0
84 - 0 - - 0 - - 0
85 - 0 - - 0 - - 0
86 - 0 - - 0 - - 0
87 - 0 - - 0 - - 0
88 - 0 - - 0 - - 0
89 - 0 - - 0 - - 0
90 - 0 - - 0 - - 0
91 - 0 - - 0 - - 0
92 - 0 - - 0 - - 0
93 - 0 - - 0 - - 0
94 - 0 - - 0 - - 0
95 - 0 - - 0 - - 0
96 OBAT GIGI JKN - 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
1 - 0 - - 0 - - 0
2 - 0 - - 0 - - 0
3 - 0 - - 0 - - 0
4 - 0 - - 0 - - 0
5 - 0 - - 0 - - 0
6 - 0 - - 0 - - 0
7 - 0 - - 0 - - 0
8 - 0 - - 0 - - 0
MASUK
NO
DINKES JKN DINKES

RP RP SATUAN RP
9 - 0 - - 0 - - 0
10 - 0 - - 0 - - 0
11 - 0 - - 0 - - 0
12 - 0 - - 0 - - 0
13 - 0 - - 0 - - 0
14 - 0 - - 0 - - 0
15 - 0 - - 0 - - 0
16 - 0 - - 0 - - 0
17 - 0 - - 0 - - 0
18 - 0 - - 0 - - 0
19 - 0 - - 0 - - 0
20 - 0 - - 0 - - 0
21 - 0 - - 0 - - 0
22 - 0 - - 0 - - 0
JUMLAH TOTAL OBAT #REF! #REF!
JUMLAH TOTAL BMHP #REF! #REF!
JUMLAH TOTAL KESELURUHAN #REF! #REF!
JUMLAH
#REF! #REF!
JANUARI _ DESEMBER 2016
MUTASI
SALDO AKHIR JAN
MASUK KELUAR
SELAMA BULAN JANUARI 2016 SELAMA BULAN JANUARI 2016

SATUAN RP RP RP
- - 0 - x 0 #VALUE! - 354 - x
- - 0 - x 1,840 #VALUE! - 0 - x
- - 0 - 245.00 23,200 5,684,000.00 - 0 - 245.00
- 3,300.00 1,100 3,630,000.00 5,150.00 0 - 3,300.00 1,339 4,418,700.00 5,150.00
- 144.00 11,000 1,584,000.00 95.00 4,575 434,625.00 144.00 7,051 1,015,344.00 95.00
- - 0 - 3,240.00 0 - - 0 - 3,240.00
- 90.00 5 450.00 87.00 300 26,100.00 90.00 45 4,050.00 87.00
- 112.00 0 - 112.00 0 - 112.00 0 - 112.00
- - 0 - x 11,093 #VALUE! - 7,510 - x
- - 0 - x 49,852 #VALUE! - 42,757 - x
- - 0 - x 7,300 #VALUE! - 0 - x
- - 0 - x 261 #VALUE! - 0 - x
- - 0 - 4,550.00 0 - - 0 - 4,550.00
- - 0 - 18,700.00 0 - - 0 - 18,700.00
- - 0 - x 61,874 #VALUE! - 0 - x
- 1,600.00 0 - x 500 #VALUE! 1,600.00 1,067 1,707,200.00 x
- 2,750.00 0 - x 103 #VALUE! 2,750.00 84 231,000.00 x
- - 0 - 1,552.00 0 - - 0 - 1,552.00
- - 0 - 123.00 0 - - 0 - 123.00
- - 0 - 5,000.00 0 - - 0 - 5,000.00
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - x 0 #VALUE! - 0 - x
- - 0 - 156.00 0 - - 0 - 156.00
- 95.00 0 - 32.00 0 - 95.00 23,385 2,221,575.00 32.00
- - 0 - 128.00 0 - - 0 - 128.00
- 112.00 0 - x 5,480 #VALUE! 112.00 11,901 1,332,912.00 x
- 237.00 0 - 388.00 96 37,248.00 237.00 157 37,209.00 388.00
- 345.00 0 - x 362 #VALUE! 345.00 461 159,045.00 x
- - 0 - 2,430.00 0 - - 0 - 2,430.00
- - 0 - 1,230.00 0 - - 0 - 1,230.00
- - 0 - x 3,267 #VALUE! - 0 - x
- - 0 - 1,520.00 0 - - 0 - 1,520.00
- 1,520.00 0 - x 387 #VALUE! 1,520.00 628 954,560.00 x
- - 0 - 2,322.00 0 - - 0 - 2,322.00
- - 0 - 39.00 4 156.00 - 0 - 39.00
- - 0 - x 140 #VALUE! - 0 - x
- - 0 - 181.00 0 - - 0 - 181.00
- 1,580.00 0 - 1,580.00 100 158,000.00 1,580.00 1 1,580.00 1,580.00
- - 0 - x 7,252 #VALUE! - 0 - x
- - 0 - 1,379.00 0 - - 0 - 1,379.00
- - 0 - 90.00 0 - - 0 - 90.00
- - 0 - 35,526.00 0 - - 0 - 35,526.00
- - 0 - 2,344.00 0 - - 0 - 2,344.00
- - 0 - x 36 #VALUE! - 0 - x
- - 0 - 56.00 100 5,600.00 - 0 - 56.00
- 1,054.00 0 - 1,054.00 1 1,054.00 1,054.00 1 1,054.00 1,054.00
- 97.00 0 - 97.00 0 - 97.00 0 - 97.00
- - 0 - 253.00 0 - - 0 - 253.00
- - 0 - x 7 #VALUE! - 0 - x
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - 21.00 0 - - 0 - 21.00
- 8,100.00 0 - 8,100.00 30 243,000.00 8,100.00 31 251,100.00 8,100.00
- 7,700.00 0 - 8,100.00 0 - 7,700.00 0 - 8,100.00
- 497.00 1 497.00 500.00 0 - 497.00 1,000 497,000.00 500.00

- - 0 - 930.00 0 - - 0 - 930.00
- - 0 - 1,800.00 0 - - 0 - 1,800.00
- - 0 - x 28 #VALUE! - 0 - x
- - 0 - 133.00 0 - - 0 - 133.00
- - 0 - 20,250.00 0 - - 0 - 20,250.00
- - 0 - 61.00 681 41,541.00 - 0 - 61.00
- - 0 - 1,800.00 0 - - 0 - 1,800.00
- - 0 - 262.00 0 - - 0 - 262.00
- 510.00 0 - 465.00 0 - 510.00 0 - 465.00
- - 0 - x 228 #VALUE! - 0 - x
- - 0 - 1,566.00 0 - - 0 - 1,566.00
- 634.00 0 - x 565 #VALUE! 634.00 1,097 695,498.00 x
- - 0 - 1,829.00 0 - - 0 - 1,829.00
- - 0 - x 1,221 #VALUE! - 0 - x
- 285.00 0 - x 2,148 #VALUE! 285.00 3,406 970,710.00 x
- - 0 - 3,399.00 0 - - 0 - 3,399.00
- - 0 - 3,782.00 0 - - 0 - 3,782.00
- - 0 - 1,850.00 55 101,750.00 - 0 - 1,850.00
- - 0 - x 222 #VALUE! - 0 - x
- - 0 - x 2,617 #VALUE! - 0 - x
- 38.00 50,000 1,900,000.00 x 20,321 #VALUE! 38.00 25,445 966,910.00 x
- - 0 - 4,158.00 0 - - 0 - 4,158.00
- - 0 - 5,700.00 0 - - 0 - 5,700.00
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - 1,452.00 0 - - 0 - 1,452.00
- - 0 - 5,200.00 3 15,600.00 - 0 - 5,200.00
- 219.00 0 - 228.00 0 - 219.00 41 8,979.00 228.00
- - 0 - 53.00 0 - - 0 - 53.00
- 69.00 0 - 69.00 0 - 69.00 0 - 69.00
- 96.00 0 - 88.00 0 - 96.00 0 - 88.00
- - 0 - x 422 #VALUE! - 0 - x
- - 0 - x 667 #VALUE! - 774 - x
- - 0 - 850.00 200 170,000.00 - 0 - 850.00
- - 0 - x 4,000 #VALUE! - 7,051 - x
- - 0 - x 22,250 #VALUE! - 13,187 - x
- - 0 - x 84 #VALUE! - 200 - x
- 88.00 0 - 88.00 130 11,440.00 88.00 0 - 88.00
- - 0 - 708.00 0 - - 0 - 708.00
- - 0 - x 2,438 #VALUE! - 0 - x
- 62.00 0 - 62.00 176 10,912.00 62.00 8,409 521,358.00 62.00
- - 0 - x 3,515 #VALUE! - 892 - x
- - 0 - 245.00 90 22,050.00 - 0 - 245.00
- 300.00 0 - 372.00 30 11,160.00 300.00 3 900.00 372.00
- - 0 - 4,700.00 0 - - 0 - 4,700.00
- - 0 - 2,545.00 0 - - 0 - 2,545.00
- - 0 - 7,500.00 0 - - 0 - 7,500.00
- - 0 - 2,300.00 0 - - 0 - 2,300.00
- - 0 - 510.00 0 - - 0 - 510.00
- - 0 - 205.00 0 - - 0 - 205.00
- - 0 - 210.00 0 - - 0 - 210.00
- - 0 - x 129 #VALUE! - 243 - x
- - 0 - 3,700.00 0 - - 0 - 3,700.00
- - 0 - 1,599.00 0 - - 0 - 1,599.00
- - 0 - x 21,112 #VALUE! - 0 - x
- - 0 - 15,364.00 3,011 46,261,004.00 - 0 - 15,364.00
- - 0 - 470.00 0 - - 0 - 470.00
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- 149.00 0 - 149.00 721 107,429.00 149.00 1,122 167,178.00 149.00
- - 0 - 76.00 0 - - 0 - 76.00
- 2,145.00 0 - 2,574.00 500 1,287,000.00 2,145.00 1,053 2,258,685.00 2,574.00
- - 0 - 473.00 0 - - 0 - 473.00
- - 0 - x 100 #VALUE! - 0 - x
- 3,113.00 0 - x 90 #VALUE! 3,113.00 813 2,530,869.00 x
- - 0 - x 2,553 #VALUE! - 0 - x
- - 0 - x 135 #VALUE! - 0 - x
- - 0 - 1,948.00 201 391,548.00 - 0 - 1,948.00
- 1,192.00 6,000 7,152,000.00 1,199.00 0 - 1,192.00 2,158 2,572,336.00 1,199.00
- - 0 - 1,200.00 0 - - 0 - 1,200.00
- - 0 - 124.00 146 18,104.00 - 0 - 124.00
- 112.00 0 - x 414 #VALUE! 112.00 476 53,312.00 x
- - 0 - 1,760.00 0 - - 0 - 1,760.00
- - 0 - 205.00 0 - - 0 - 205.00
- - 0 - x 160 #VALUE! - 0 - x
- 154.00 0 - x 258 #VALUE! 154.00 250 38,500.00 x
- - 0 - 3,850.00 0 - - 0 - 3,850.00
- 108.00 0 - 110.00 651 71,610.00 108.00 173 18,684.00 110.00
- - 0 - 105.00 0 - - 0 - 105.00
- - 0 - x 500 #VALUE! - 4,269 - x
- - 0 - x 271 #VALUE! - 0 - x
- - 0 - 10,449.00 0 - - 0 - 10,449.00
- 38.00 1,500 57,000.00 14.00 848 11,872.00 38.00 0 - 14.00
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - 166.00 0 - - 0 - 166.00
- - 0 - x 1,541 #VALUE! - 2,756 - x
- - 0 - x 15 #VALUE! - 0 - x
- - 0 - x 476 #VALUE! - 400 - x
- 640.00 0 - 640.00 316 202,240.00 640.00 388 248,320.00 640.00
- 480.00 0 - 407.00 216 87,912.00 480.00 180 86,400.00 407.00
- 5,500.00 2,000 11,000,000.00 2,783.00 0 - 5,500.00 1,050 5,775,000.00 2,783.00
- - 0 - 1,675.00 0 - - 0 - 1,675.00
- - 0 - 1,600.00 0 - - 0 - 1,600.00
- - 0 - x 784 #VALUE! - 0 - x
- - 0 - x 2,289 #VALUE! - 883 - x
- - 0 - 530.00 0 - - 0 - 530.00
- - 0 - x 253 #VALUE! - 9 - x
- - 0 - x 414 #VALUE! - 1,601 - x

- - 0 - x 2,113 #VALUE! - 0 - x
- 89.00 0 - x 61,000 #VALUE! 89.00 156,092 13,892,188.00 x
- - 0 - 14,500.00 0 - - 0 - 14,500.00
- - 0 - 194.00 18 3,492.00 - 0 - 194.00
- - 0 - 1,925.00 0 - - 0 - 1,925.00
- - 0 - 311.00 32 9,952.00 - 0 - 311.00
- - 0 - x 2,600 #VALUE! - 0 - x
- 125.00 8,000 1,000,000.00 70.00 0 - 125.00 6,056 757,000.00 70.00
- 14,203.00 0 - 14,203.00 29 411,887.00 14,203.00 32 454,496.00 14,203.00
- - 0 - x 0 #VALUE! - 0 - x
- - 0 - 2,163.00 59 127,617.00 - 0 - 2,163.00
- - 0 - 52.00 1,614 83,928.00 - 0 - 52.00
- - 0 - 1,140.00 0 - - 0 - 1,140.00
- - 0 - x 8,651 #VALUE! - 0 - x
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - 103.00 3,000 309,000.00 - 0 - 103.00

- - 0 - x 253 #VALUE! - 0 - x
- - 0 - x 1,000 #VALUE! - 3,075 - x
- - 0 - 98.00 0 - - 0 - 98.00
- - 0 - x 325 #VALUE! - 0 - x
- - 0 - x 347 #VALUE! - 362 - x

- - 0 - x 1,411 #VALUE! - 0 - x
- 9,860.00 300 2,958,000.00 4,746.00 0 - 9,860.00 14 138,040.00 4,746.00
- - 0 - 8,800.00 0 - - 0 - 8,800.00
- - 0 - 2,950.00 0 - - 0 - 2,950.00
- - 0 - 3,300.00 0 - - 0 - 3,300.00
- - 0 - 8,000.00 0 - - 0 - 8,000.00
- - 0 - 475,820.00 0 - - 0 - 475,820.00
- - 0 - 127,409.00 0 - - 0 - 127,409.00
- - 0 - 916.00 10 9,160.00 - 0 - 916.00
- - 0 - x 648 #VALUE! - 0 - x
- - 0 - 105.00 0 - - 0 - 105.00
- 169.00 0 - x 0 #VALUE! 169.00 2,395 404,755.00 x
- - 0 - x 733 #VALUE! - 1,824 - x
- - 0 - 315.00 0 - - 0 - 315.00
- - 0 - 3,226.00 64 206,464.00 - 0 - 3,226.00
- - 0 - 206.00 615 126,690.00 - 0 - 206.00
- 148.00 0 - 140.00 0 - 148.00 320 47,360.00 140.00
- 996.00 1,000 996,000.00 616.00 780 480,480.00 996.00 602 599,592.00 616.00
- - 0 - 680.00 0 - - 0 - 680.00
- - 0 - x 17,929 #VALUE! - 0 - x
- - 0 - 2,395.00 0 - - 0 - 2,395.00
- - 0 - 5,200.00 0 - - 0 - 5,200.00
- - 0 - 40.00 0 - - 0 - 40.00
- - 0 - x 33,062 #VALUE! - 66,464 - x
- - 0 - - 0 - - 0 - -
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - 390,000.00 0 - - 0 - 390,000.00
- 16,667.00 0 - 45,750.00 0 - 16,667.00 3 50,001.00 45,750.00
- - 0 - 425,000.00 0 - - 0 - 425,000.00
- - 0 - 240,000.00 0 - - 0 - 240,000.00
- - 0 - 55,000.00 0 - - 0 - 55,000.00
- - 0 - 175,000.00 0 - - 0 - 175,000.00
- - 0 - 91,500.00 0 - - 0 - 91,500.00
- - 0 - - 0 - - 0 - -
- - 0 - 20.00 0 - - 0 - 20.00
- - 0 - 2,475.00 0 - - 0 - 2,475.00
- - 0 - x 90 #VALUE! - 0 - x
- - 0 - x 1 #VALUE! - 0 - x
- - 0 - 160,000.00 0 - - 0 - 160,000.00
- - 0 - x 10 #VALUE! - 0 - x
- - 0 - 265,000.00 0 - - 0 - 265,000.00
- - 0 - 127,200.00 0 - - 0 - 127,200.00
- 260.00 0 - x 400 #VALUE! 260.00 4,300 1,118,000.00 x
- - 0 - x 5,250 #VALUE! - 0 - x
- - 0 - 1,515.00 0 - - 0 - 1,515.00
- - 0 - x 3,310 #VALUE! - 5,900 - x
- - 0 - - 0 - - 0 - -
- - 0 - x 1,200 #VALUE! - 0 - x
- - 0 - 257.00 0 - - 0 - 257.00
- - 0 - x 800 #VALUE! - 0 - x
- - 0 - x 262 #VALUE! - 0 - x
- - 0 - x 96 #VALUE! - 0 - x
- - 0 - 8,495.00 5 42,475.00 - 0 - 8,495.00

- - 0 - x 6 #VALUE! - 0 - x
- - 0 - 8,495.00 0 - - 0 - 8,495.00
- - 0 - 4,000.00 0 - - 0 - 4,000.00
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - x 166 #VALUE! - 0 - x
- - 0 - x 198 #VALUE! - 0 - x
- - 0 - x 96 #VALUE! - 0 - x
- - 0 - 7,787.00 0 - - 0 - 7,787.00
- - 0 - x 35 #VALUE! - 0 - x
- - 0 - 7,000.00 2 14,000.00 - 0 - 7,000.00

- - 0 - 10,000.00 1 10,000.00 - 0 - 10,000.00
- - 0 - 607.00 0 - - 0 - 607.00
- - 0 - x 61 #VALUE! - 0 - x
- - 0 - x 104 #VALUE! - 0 - x
- - 0 - 55,200.00 0 - - 0 - 55,200.00
- - 0 - 8,800.00 0 - - 0 - 8,800.00
- - 0 - 8,800.00 0 - - 0 - 8,800.00
- - 0 - 23,500.00 0 - - 0 - 23,500.00
- - 0 - 32,500.00 0 - - 0 - 32,500.00
- - 0 - 42,000.00 0 - - 0 - 42,000.00
- - 0 - x 34 #VALUE! - 0 - x
- - 0 - x 385 #VALUE! - 0 - x
- - 0 - 6,983.00 0 - - 0 - 6,983.00
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - 4,000.00 10 40,000.00 - 0 - 4,000.00
- - 0 - 5,770.00 0 - - 0 - 5,770.00
- - 0 - 5,770.00 0 - - 0 - 5,770.00
- - 0 - 5,770.00 0 - - 0 - 5,770.00
- - 0 - 5,498.00 0 - - 0 - 5,498.00
- 4,045.00 0 - x 500 #VALUE! 4,045.00 1,457 5,893,565.00 x

- - 0 - 17,700.00 0 - - 0 - 17,700.00
- - 0 - 1,040.00 62 64,480.00 - 0 - 1,040.00
- - 0 - 75,900.00 0 - - 0 - 75,900.00
- - 0 - 24,000.00 0 - - 0 - 24,000.00
- - 0 - x 1 #VALUE! - 5 - x
- - 0 - 151,500.00 0 - - 0 - 151,500.00
- - 0 - 2,500.00 0 - - 0 - 2,500.00
- - 0 - 19,166.00 100 1,916,600.00 - 0 - 19,166.00
- - 0 - x 10 #VALUE! - 0 - x
- - 0 - x 25 #VALUE! - 15 - x
- - 0 - 15,000.00 1 15,000.00 - 0 - 15,000.00
- - 0 - 847.00 0 - - 0 - 847.00
- - 0 - 3,250.00 0 - - 0 - 3,250.00
- - 0 - 2,090.00 0 - - 0 - 2,090.00
- - 0 - 992.00 0 - - 0 - 992.00
- - 0 - 15,400.00 0 - - 0 - 15,400.00
- - 0 - 121,200.00 0 - - 0 - 121,200.00
- - 0 - 5,650.00 0 - - 0 - 5,650.00
- - 0 - 3,016.00 0 - - 0 - 3,016.00
- - 0 - x 18 #VALUE! - 0 - x
- - 0 - 372,000.00 0 - - 0 - 372,000.00
- - 0 - 59,600.00 0 - - 0 - 59,600.00
- - 0 - 46,000.00 0 - - 0 - 46,000.00
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - x 2,000 #VALUE! - 0 - x
- - 0 - 18,700.00 0 - - 0 - 18,700.00
- - 0 - x 381 #VALUE! - 0 - x
- - 0 - 14,260.00 0 - - 0 - 14,260.00
- - 0 - 33,200.00 0 - - 0 - 33,200.00
- - 0 - x 1,461 #VALUE! - 0 - x
- - 0 - x 970 #VALUE! - 0 - x
- - 0 - x 1,247 #VALUE! - 0 - x
#VALUE! - #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! - #VALUE! #VALUE! #VALUE!
- - 0 - 11,474.00 0 - - 4 - 11,474.00
- - 0 - x 35 #VALUE! - 0 - x
- - 0 - 79,200.00 0 - - 0 - 79,200.00
- - 0 - 6,600.00 7 46,200.00 - 0 - 6,600.00
- - 0 - 6,500.00 0 - - 0 - 6,500.00
- - 0 - 19,900.00 2 39,800.00 - 0 - 19,900.00
- - 0 - 600.00 0 - - 0 - 600.00
- - 0 - 968.00 0 - - 0 - 968.00
- - 0 - - 0 - - 0 - -
- - 0 - 289,000.00 0 - - 0 - 289,000.00
- - 0 - 275,000.00 0 - - 0 - 275,000.00
- - 0 - 232,100.00 0 - - 0 - 232,100.00
- - 0 - 13,700.00 0 - - 0 - 13,700.00
- - 0 - 7,900.00 0 - - 0 - 7,900.00
- - 0 - 1,220.00 0 - - 0 - 1,220.00
- - 0 - 415,800.00 0 - - 0 - 415,800.00
- - 0 - 611.00 2 1,222.00 - 0 - 611.00
- 19,360.00 0 - 637,000.00 8 5,096,000.00 19,360.00 28 542,080.00 637,000.00
- - 0 - 187,500.00 0 - - 0 - 187,500.00
- - 0 - 13,200.00 3 39,600.00 - 0 - 13,200.00
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - 52,500.00 0 - - 0 - 52,500.00
- - 0 - - 0 - - 0 - -
- - 0 - 9,940.00 30 298,200.00 - 0 - 9,940.00

- - 0 - 13,740.00 0 - - 0 - 13,740.00
- - 0 - 1,156.00 0 - - 0 - 1,156.00
- - 0 - 8,250.00 210 1,732,500.00 - 1,380 - 8,250.00
- - 0 - x 3,380 #VALUE! - 0 - x
- - 0 - 4,200.00 0 - - 0 - 4,200.00
- - 0 - 2,750.00 461 1,267,750.00 - 0 - 2,750.00
- - 0 - 770.00 48 36,960.00 - 0 - 770.00
- - 0 - 770.00 49 37,730.00 - 0 - 770.00
- - 0 - 770.00 0 - - 0 - 770.00
- - 0 - 770.00 0 - - 0 - 770.00
- - 0 - 770.00 0 - - 0 - 770.00
- - 0 - 74,800.00 0 - - 0 - 74,800.00
- - 0 - 646,000.00 0 - - 0 - 646,000.00
- - 0 - 686,000.00 0 - - 0 - 686,000.00
- - 0 - x 111 #VALUE! - 0 - x
- - 0 - 55,714.00 0 - - 0 - 55,714.00
- - 0 - 14,370.00 12 172,440.00 - 0 - 14,370.00
- - 0 - 2,292.00 12 27,504.00 - 0 - 2,292.00
- - 0 - 2,292.00 12 27,504.00 - 0 - 2,292.00
- - 0 - 2,292.00 0 - - 0 - 2,292.00
- - 0 - 2,292.00 0 - - 0 - 2,292.00
- - 0 - 2,292.00 2 4,584.00 - 0 - 2,292.00
- - 0 - 2,292.00 0 - - 0 - 2,292.00
- - 0 - x 20 #VALUE! - 0 - x
- - 0 - 1,393.00 0 - - 0 - 1,393.00
- - 0 - 8,800.00 0 - - 0 - 8,800.00
- - 0 - x 430 #VALUE! - 0 - x
- - 0 - x 32 #VALUE! - 0 - x
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - x 1,350 #VALUE! - 0 - x
- - 0 - x 2,150 #VALUE! - 0 - x
- - 0 - 495.00 30 14,850.00 - 0 - 495.00
- - 0 - 792.00 200 158,400.00 - 0 - 792.00
- - 0 - 19,800.00 1 19,800.00 - 0 - 19,800.00
- - 0 - 7,700.00 0 - - 0 - 7,700.00
- 167.00 0 - 539,000.00 0 - 167.00 478 79,826.00 539,000.00
- 436.00 0 - 13,470.00 0 - 436.00 102 44,472.00 13,470.00
- - 0 - 167.00 0 - - 18 - 167.00
- - 0 - 436.00 0 - - 10 - 436.00
- - 0 - 17,820.00 0 - - 0 - 17,820.00
- - 0 - 8,000.00 0 - - 0 - 8,000.00
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 8 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
#REF! #REF! #VALUE! #REF! #VALUE! #VALUE! #VALUE! #REF! #VALUE! #REF! #VALUE!
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- 312.00 0 - - 0 - 312.00 5 1,560.00 -

- 54,450.00 0 - - 0 - 54,450.00 85 4,628,250.00 -
- 4,210.00 0 - - 0 - 4,210.00 54 227,340.00 -
- 1,320.00 0 - - 0 - 1,320.00 268 353,760.00 -
- 12,500.00 100 1,250,000.00 - 0 - 12,500.00 127 1,587,500.00 -
- 8,184.00 0 - - 0 - 8,184.00 85 695,640.00 -
- 5,800.00 0 - - 0 - 5,800.00 174 1,009,200.00 -
- 13,300.00 0 - - 0 - 13,300.00 2 26,600.00 -
- 7,180.00 100 718,000.00 - 0 - 7,180.00 85 610,300.00 -
- 19,800.00 500 9,900,000.00 - 0 - 19,800.00 196 3,880,800.00 -
- - 0 - - 0 - - 261 - -
- 33,263.00 0 - - 0 - 33,263.00 18 598,734.00 -
- 243.00 0 - - 0 - 243.00 43 10,449.00 -

- 5,756.00 300 1,726,800.00 - 0 - 5,756.00 193 1,110,908.00 -
- 470.00 0 - - 0 - 470.00 573 269,310.00 -
- 20,900.00 0 - - 0 - 20,900.00 50 1,045,000.00 -
- 3,784.00 300 1,135,200.00 - 0 - 3,784.00 215 813,560.00 -
- 30,200.00 0 - - 0 - 30,200.00 74 2,234,800.00 -
- 296.00 5,000 1,480,000.00 - 0 - 296.00 3,738 1,106,448.00 -
- 5,894.00 96 565,824.00 - 0 - 5,894.00 2,487 14,658,378.00 -
- 3,300.00 0 - - 0 - 3,300.00 19 62,700.00 -
- 3,200.00 100 320,000.00 - 0 - 3,200.00 508 1,625,600.00 -
- 434.00 0 - - 0 - 434.00 27 11,718.00 -
- 1,210.00 0 - - 0 - 1,210.00 0 - -
- 14,300.00 0 - - 0 - 14,300.00 11 157,300.00 -
- 7,150.00 200 1,430,000.00 - 0 - 7,150.00 89 636,350.00 -
- 6,654.00 0 - - 0 - 6,654.00 123 818,442.00 -
- 7,150.00 0 - - 0 - 7,150.00 73 521,950.00 -
- 2,241.00 3,000 6,723,000.00 - 0 - 2,241.00 680 1,523,880.00 -
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- 850.00 5,000 4,250,000.00 - 0 - 850.00 753 640,050.00 -

- 865.00 5,000 4,325,000.00 - 0 - 865.00 1,994 1,724,810.00 -
- 1,100.00 0 - - 0 - 1,100.00 971 1,068,100.00 -
- 11,900.00 0 - - 0 - 11,900.00 322 3,831,800.00 -
- 450.00 3,000 1,350,000.00 - 0 - 450.00 136 61,200.00 -
- 660.00 500 330,000.00 - 0 - 660.00 385 254,100.00 -
- 3,328.00 300 998,400.00 - 0 - 3,328.00 208 692,224.00 -
- 34,100.00 200 6,820,000.00 - 0 - 34,100.00 160 5,456,000.00 -
- 10,670.00 800 8,536,000.00 - 0 - 10,670.00 1,093 11,662,310.00 -
- 12,100.00 0 - - 0 - 12,100.00 333 4,029,300.00 -
- 495.00 2,000 990,000.00 - 0 - 495.00 618 305,910.00 -
- 967.00 0 - - 0 - 967.00 1,404 1,357,668.00 -
- 3,270.00 2,020 6,605,400.00 - 0 - 3,270.00 1,533 5,012,910.00 -
- 44,770.00 0 - - 0 - 44,770.00 307 13,744,390.00 -
- 493.00 0 - - 0 - 493.00 2,825 1,392,725.00 -
- 12,650.00 0 - - 0 - 12,650.00 1,735 21,947,750.00 -
- 4,535.00 0 - - 0 - 4,535.00 124 562,340.00 -

- 716.00 0 - - 0 - 716.00 702 502,632.00 -
- 19,950.00 0 - - 0 - 19,950.00 2,921 58,273,950.00 -
- 850.00 0 - - 0 - 850.00 921 782,850.00 -
- 1,875.00 0 - - 0 - 1,875.00 16 30,000.00 -
- 2,595.00 0 - - 0 - 2,595.00 8 20,760.00 -
- 2,000.00 2,000 4,000,000.00 - 0 - 2,000.00 405 810,000.00 -
- 3,127.00 0 - - 0 - 3,127.00 850 2,657,950.00 -
- 608.00 0 - - 0 - 608.00 508 308,864.00 -
- 2,020.00 0 - - 0 - 2,020.00 14 28,280.00 -
- 102.00 0 - - 0 - 102.00 156 15,912.00 -
- 2,100.00 0 - - 0 - 2,100.00 414 869,400.00 -
- 2,710.00 0 - - 0 - 2,710.00 267 723,570.00 -
- 3,300.00 0 - - 0 - 3,300.00 157 518,100.00 -
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- 1,385.00 0 - - 0 - 1,385.00 53 73,405.00 -

- 121.00 0 - - 0 - 121.00 15 1,815.00 -
- 9,586.00 0 - - 0 - 9,586.00 0 - -
- 140.00 1,000 140,000.00 - 0 - 140.00 876 122,640.00 -
- 15,400.00 0 - - 0 - 15,400.00 108 1,663,200.00 -
- 821.00 0 - - 0 - 821.00 1 821.00 -
- 2,200.00 0 - - 0 - 2,200.00 4,398 9,675,600.00 -
- 13,200.00 5,000 66,000,000.00 - 0 - 13,200.00 4,798 63,333,600.00 -
- 48,400.00 300 14,520,000.00 - 0 - 48,400.00 5,502 266,296,800.00 -
- 208.00 0 - - 0 - 208.00 117 24,336.00 -
- 10,450.00 0 - - 0 - 10,450.00 4 41,800.00 -
- 24,979.00 0 - - 0 - 24,979.00 0 - -
- 636.00 0 - - 0 - 636.00 250 159,000.00 -
- 636.00 100 63,600.00 - 0 - 636.00 0 - -
- 10,736.00 7,000 75,152,000.00 - 0 - 10,736.00 6,793 72,929,648.00 -
- 11,779.00 3,000 35,337,000.00 - 0 - 11,779.00 310 3,651,490.00 -
- 27,390.00 300 8,217,000.00 - 0 - 27,390.00 31 849,090.00 -
- 36,154.00 100 3,615,400.00 - 0 - 36,154.00 5 180,770.00 -
- 716.00 100 71,600.00 - 0 - 716.00 8 5,728.00 -
- 33,580.00 100 3,358,000.00 - 0 - 33,580.00 16 537,280.00 -
- 22,788.00 100 2,278,800.00 - 0 - 22,788.00 13 296,244.00 -
- 21,912.00 50 1,095,600.00 - 0 - 21,912.00 5 109,560.00 -
- 6,244.00 150 936,600.00 - 0 - 6,244.00 21 131,124.00 -
- 529.00 300 158,700.00 - 0 - 529.00 28 14,812.00 -
- 1,533.00 150 229,950.00 - 0 - 1,533.00 28 42,924.00 -
- 2,027.00 2,000 4,054,000.00 - 0 - 2,027.00 1,054 2,136,458.00 -
- 31,498.00 4,980 156,860,040.00 - 0 - 31,498.00 537 16,914,426.00 -
- 4,700.00 3,000 14,100,000.00 - 0 - 4,700.00 506 2,378,200.00 -
- 25,417.00 100 2,541,700.00 - 0 - 25,417.00 10 254,170.00 -
- 24,979.00 230 5,745,170.00 - 0 - 24,979.00 32 799,328.00 -
- 20,119.00 100 2,011,900.00 - 0 - 20,119.00 11 221,309.00 -
- 23,007.00 100 2,300,700.00 - 0 - 23,007.00 0 - -
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- 12,300.00 300 3,690,000.00 - 0 - 12,300.00 51 627,300.00 -

- 8,014.00 200 1,602,800.00 - 0 - 8,014.00 32 256,448.00 -
- 46,587.00 50 2,329,350.00 - 0 - 46,587.00 3 139,761.00 -
- 82,827.00 200 16,565,400.00 - 0 - 82,827.00 0 - -
- 3,984.00 100 398,400.00 - 0 - 3,984.00 10 39,840.00 -
- 33,864.00 100 3,386,400.00 - 0 - 33,864.00 5 169,320.00 -
- 13,988.00 300 4,196,400.00 - 0 - 13,988.00 0 - -
- 410.00 200 82,000.00 - 0 - 410.00 0 - -
- 8,185.00 100 818,500.00 - 0 - 8,185.00 3 24,555.00 -
- 12,375.00 100 1,237,500.00 - 0 - 12,375.00 3 37,125.00 -
- 1,142.00 100 114,200.00 - 0 - 1,142.00 0 - -
- 12,375.00 300 3,712,500.00 - 0 - 12,375.00 4 49,500.00 -
- 1,142.00 300 342,600.00 - 0 - 1,142.00 0 - -
- 730.00 5,000 3,650,000.00 - 0 - 730.00 1,943 1,418,390.00 -
- 388,333.33 0 - - 0 - 388,333.33 146 56,696,666.18 -
- 271,054.05 0 - - 0 - 271,054.05 24 6,505,297.20 -
- 367,250.00 0 - - 0 - 367,250.00 36 13,221,000.00 -
- 296,113.92 0 - - 0 - 296,113.92 24 7,106,734.08 -
- 251,000.00 0 - - 0 - 251,000.00 0 - -
- 180,857.14 0 - - 0 - 180,857.14 12 2,170,285.68 -
- 20,984.63 0 - - 0 - 20,984.63 18 377,723.34 -
- 65,480.00 0 - - 0 - 65,480.00 35 2,291,800.00 -
- 79,432.00 0 - - 0 - 79,432.00 26 2,065,232.00 -
- 127,000.00 0 - - 0 - 127,000.00 5 635,000.00 -
- 10,494.00 0 - - 0 - 10,494.00 0 - -
- 6,435.00 0 - - 0 - 6,435.00 84 540,540.00 -
- 46,338.00 0 - - 0 - 46,338.00 23 1,065,774.00 -
- 7,865.00 0 - - 0 - 7,865.00 457 3,594,305.00 -
- 7,865.00 0 - - 0 - 7,865.00 50 393,250.00 -
- 36,300.00 0 - - 0 - 36,300.00 22 798,600.00 -
- 36,300.00 0 - - 0 - 36,300.00 3 108,900.00 -
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- 13,090.00 0 - - 0 - 13,090.00 18 235,620.00 -

- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
MUTASI
SALDO AKHIR JAN
MASUK KELUAR

SATUAN RP RP RP
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- - 0 - - 0 - - 0 - -
- -
#VALUE! #VALUE! #VALUE! #VALUE!

SALDO AKHIR JANUARI 2016
DINKES JKN
HARGA SATUAN
RP
4,000 #VALUE! - -2 - 0
1,000 #VALUE! - 0 - 0
-23,200 (5,684,000.00) - 0 -
0 - 3,300.00 42 138,600.00
0 - 144.00 3,949 568,656.00 0
0 - - 0 -
0 - 90.00 2,130 191,700.00 0
488 54,656.00 112.00 344 38,528.00 488
3,907 #VALUE! - -1,214 - -8,093
20,148 #VALUE! - -7,227 -
6,700 #VALUE! - 0 - -7,300
219 #VALUE! - 0 -
0 - - 0 - 0
0 - - 0 -
17,526 #VALUE! - 0 -
-41,874
200 #VALUE! 1,600.00 51 81,600.00
96 #VALUE! 2,750.00 116 319,000.00

0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
100 #VALUE! - 0 - 0
0 - - 0 -
0 - 95.00 81,666 7,758,270.00 0
0 - - 0 -
3,000 #VALUE! 112.00 2,232 249,984.00 -3,000
404 156,752.00 237.00 3,641 862,917.00
300 #VALUE! 345.00 7,663 2,643,735.00 0
0 - - 0 - 0
0 - - 0 -
833 #VALUE! - 0 -
-3,267
0 - - 0 -
96 #VALUE! 1,520.00 662 1,006,240.00 -296
0 - - 0 - 0
0 - - 0 -
231 #VALUE! - 0 - -69
0 - - 0 - 0
0 - 1,580.00 799 1,262,420.00
4,748 #VALUE! - 0 - -7,252
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
87 #VALUE! - 0 - -13
0 - - 0 -
89 93,806.00 1,054.00 169 178,126.00 89
350 33,950.00 97.00 292 28,324.00 350
5 1,265.00 - 0 -
5
43 #VALUE! - 0 - -7
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0
0 - 8,100.00 329 2,664,900.00
0 - 7,700.00 449 3,457,300.00

0
0 - 497.00 369 183,393.00 0
0 - - 0 - 0
0 - - 0 - 0
15 #VALUE! - 0 - -5
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - 510.00 1,200 612,000.00 0
0 #VALUE! - 0 -
0 - - 0 - 0
100 #VALUE! 634.00 473 299,882.00 0
0 - - 0 - 0
754 #VALUE! - 0 -
700 #VALUE! 285.00 1,779 507,015.00
-1,800
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 #VALUE! - 0 - -144
383 #VALUE! - 0 - -2,117
0 #VALUE! 38.00 24,555 933,090.00 -5,000
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
7 36,400.00 - 0 - 7
0 - 219.00 159 34,821.00
0 - - 0 - 0
0 - 69.00 100 6,900.00 0
599 52,712.00 96.00 2,700 259,200.00 599
1,578 #VALUE! - 0 - -422
269 #VALUE! - -25 -
0 - - 0 - 0
0 #VALUE! - -1,492 - -4,000
9,750 #VALUE! - -1,302 -
100 #VALUE! - 0 - 0
333 29,304.00 88.00 200 17,600.00 333
0 - - 0 - 0
5,062 #VALUE! - 0 -
0 - 62.00 3,030 187,860.00 0
1,234 #VALUE! - -136 -
404 98,980.00 - 0 - 404
51 18,972.00 300.00 564 169,200.00
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
87 #VALUE! - -27 - -105
0 - - 0 - 0
0 - - 0 - 0
6,888 #VALUE! - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
119 17,731.00 149.00 3,002 447,298.00

119
0 - - 0 -
0 - 2,145.00 1,345 2,885,025.00

0
0 - - 0 -
0 #VALUE! - 0 - -100
90 #VALUE! 3,113.00 67 208,571.00
1,947 #VALUE! - 0 - -2,053

20 #VALUE! - 0 - -20
0 - - 0 -
0
0 - 1,192.00 3,842 4,579,664.00
0 - - 0 - 0
954 118,296.00 - 0 - 954
1,586 #VALUE! 112.00 2 224.00
0 - - 0 - 0
0 - - 0 - 0
100 #VALUE! - 0 -
-100
748 #VALUE! 154.00 1,274 196,196.00
-52
0 - - 0 - 0
169 18,590.00 108.00 903 97,524.00
0 - - 0 - 0
2,000 #VALUE! - -646 -
113 #VALUE! - 0 - -175
0 - - 0 - 0
4,984 69,776.00 38.00 1,500 57,000.00
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
1,459 #VALUE! - -421 - -1,541
10 #VALUE! - 0 -
300 #VALUE! - 0 - -300
0 - 640.00 812 519,680.00 0
0 - 480.00 14 6,720.00
0 - 5,500.00 950 5,225,000.00 0
0 - - 0 -
0 - - 0 - 0
0 #VALUE! - 0 -
951 #VALUE! - -64 - -1,149
0 - - 0 -
0
115 #VALUE! - -9 -
338 #VALUE! - -36 - -162

0 #VALUE! - 0 - -2,000
20,000 #VALUE! 89.00 1,503 133,767.00 -46,600
0 - - 0 - 0
54 10,476.00 - 0 -
0 - - 0 - 0
82 25,502.00 - 0 - 82
4,400 #VALUE! - 0 - -2,600
0 - 125.00 1,944 243,000.00
0 - 14,203.00 68 965,804.00 0
48 #VALUE! - 0 -
14 30,282.00 - 0 - 14
322 16,744.00 - 0 -
0 - - 0 - 0
1,343 #VALUE! - 0 - -7,657
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 #VALUE! - 0 - -200
0 #VALUE! - -198 -
0 - - 0 - 0
75 #VALUE! - 0 -
103 #VALUE! - -51 - -247

1,089 #VALUE! - 0 -
0 - 9,860.00 286 2,819,960.00 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
200 183,200.00 - 0 - 200
1,352 #VALUE! - 0 - -648
0 - - 0 -
600 #VALUE! 169.00 1,205 203,645.00 0
267 #VALUE! - -110 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - 148.00 11,980 1,773,040.00 0
0 - 996.00 398 396,408.00 0
0 - - 0 - 0
5,071 #VALUE! - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
9,738 #VALUE! - -2,863 - -26,262
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - 16,667.00 8 133,336.00
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 #VALUE! - 0 - -42
0 #VALUE! - 0 - -1
0 - - 0 -
0 #VALUE! - 0 - -10
0 - - 0 - 0
0 - - 0 -
0 #VALUE! 260.00 6,000 1,560,000.00 -400
0 #VALUE! - 0 - -5,250
0 - - 0 - 0
690 #VALUE! - -430 -
0 - - 0 - 0
400 #VALUE! - 0 - -1,000
0 - - 0 -
0 #VALUE! - 0 - -700
0 #VALUE! - 0 -
0 #VALUE! - 0 -
-96
5 42,475.00 - 0 -
9 #VALUE! - 0 - -1
0 - - 0 -
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 #VALUE! - 0 -
0 #VALUE! - 0 - -150
0 #VALUE! - 0 -
0 - - 0 -
0
12 #VALUE! - 0 -
2 14,000.00 - 0 - 2
4 40,000.00 - 0 -
4
50 30,350.00 - 0 -
50
14 #VALUE! - 0 -
73 #VALUE! - 0 -
0 - - 0 -
0
5 44,000.00 - 0 -
5 44,000.00 - 0 - 5
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
10 #VALUE! - 0 -
-26
50 #VALUE! - 0 -
0 - - 0 -
0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0
0 - - 0 -
100 #VALUE! 4,045.00 1,479 5,982,555.00 0

0 - - 0 -
412 428,480.00 - 0 - 412
0 - - 0 - 0
0 - - 0 -
4 #VALUE! - 0 - -1
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
3 #VALUE! - 0 -
15 #VALUE! - -1 - -25
3 45,000.00 - 0 - 3
0 - - 0 -
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0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
8 #VALUE! - 0 - -9
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 #VALUE! - 0 - -2,000
0 - - 0 - 0
159 #VALUE! - 0 -
0 - - 0 - 0
0 - - 0 -
0 #VALUE! - 0 - -500
170 #VALUE! - 0 -
253 #VALUE! - 0 - -1,247

#REF! #VALUE! - #REF! #REF!
#REF! #VALUE! - #REF! #REF! #REF!
20 229,480.00 - 9 - 20
65 #VALUE! - 0 -
0 - - 0 - 0
-7 (46,200.00) - 0 -
0 - - 0 - 0
7 139,300.00 - 0 -
0 - - 0 - 0
0 - - 0 -
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0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
-2 (1,222.00) - 0 - -2
-8 (5,096,000.00) 19,360.00 -28 (542,080.00) -8
2 375,000.00 - 0 - 2
8 105,600.00 - 150 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
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0 - - -1,380 - 0
420 #VALUE! - 0 -
0 - - 0 - 0
39 107,250.00 - 0 -
-48 (36,960.00) - 0 - -48
-8 (6,160.00) - 0 -
48 36,960.00 - 0 - 48
49 37,730.00 - 0 - 49
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
-61 #VALUE! - 0 -
0 - - 0 - 0
115 1,652,550.00 - 0 -
0 - - 0 - 0
24 55,008.00 - 0 -
24 55,008.00 - 0 - 24
12 27,504.00 - 0 -
-2 (4,584.00) - 0 - -2
24 55,008.00 - 0 - 24
-8 #VALUE! - 0 -
103 143,479.00 - 0 - 103
20 176,000.00 - 0 - 20
-80 #VALUE! - 0 -
-28 #VALUE! - 0 -
DINKES JKN
HARGA SATUAN
RP
100 #VALUE! - 0 - -1,250

78 #VALUE! - 0 - -2,122
-30 (14,850.00) - 0 - -30
200 158,400.00 - 0 - 200
59 1,168,200.00 - 0 - 59
0 - - 0 - 0
1 539,000.00 167.00 -478 (79,826.00)
0 - 436.00 -102 (44,472.00) 0
0 - - 664 - 0
0 - - 494 -
0 - - 0 -
0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - -8 - 0
0 - - 0 -
0 - - 8 - 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
#VALUE! #VALUE! #REF! #VALUE! #REF!
DINKES JKN
HARGA SATUAN
RP
0 - 312.00 -5 (1,560.00) 0
#REF! #VALUE! - #REF! #REF!
0 - 54,450.00 419 22,814,550.00 0
0 - 4,210.00 2,946 12,402,660.00 0
0 - 1,320.00 -58 (76,560.00) 0
0 - 12,500.00 23 287,500.00
0 - 8,184.00 863 7,062,792.00 0
0 - 5,800.00 426 2,470,800.00 0
0 - 13,300.00 246 3,271,800.00
0 - 7,180.00 106 761,080.00 0
0 - 19,800.00 496 9,820,800.00
0 - - -211 -
0
0 - 33,263.00 66 2,195,358.00
0 - 243.00 146 35,478.00 0

0 - 5,756.00 257 1,479,292.00
0 - 470.00 -274 (128,780.00) 0
0 - 20,900.00 5,950 124,355,000.00
0 - 3,784.00 249 942,216.00 0
0 - 30,200.00 489 14,767,800.00 0
0 - 296.00 1,274 377,104.00
0 - 5,894.00 -2,156 (12,707,464.00) 0
0 - 3,300.00 26 85,800.00 0
0 - 3,200.00 2,184 6,988,800.00
0 - 434.00 64 27,776.00 0
0 - 1,210.00 100 121,000.00
0 - 14,300.00 89 1,272,700.00 0
0 - 7,150.00 3,111 22,243,650.00 0
0 - 6,654.00 477 3,173,958.00
0 - 7,150.00 -24 (171,600.00) 0
0 - 2,241.00 2,412 5,405,292.00
DINKES JKN
HARGA SATUAN
RP
0 - 850.00 4,543 3,861,550.00 0

0 - 865.00 3,091 2,673,715.00
0 - 1,100.00 -958 (1,053,800.00) 0
0 - 11,900.00 521 6,199,900.00 0
0 - 450.00 3,731 1,678,950.00 0
0 - 660.00 1,954 1,289,640.00
0 - 3,328.00 835 2,778,880.00 0
0 - 34,100.00 91 3,103,100.00
0 - 10,670.00 279 2,976,930.00 0
0 - 12,100.00 -162 (1,960,200.00)
0 - 495.00 1,473 729,135.00 0
0 - 967.00 -1,084 (1,048,228.00)
0 - 3,270.00 873 2,854,710.00 0
0 - 44,770.00 609 27,264,930.00
0 - 493.00 -971 (478,703.00)
0
0 - 12,650.00 -1,402 (17,735,300.00)
0 - 4,535.00 -74 (335,590.00) 0

0 - 716.00 8,453 6,052,348.00 0
0 - 19,950.00 -2,336 (46,603,200.00) 0
0 - 850.00 -444 (377,400.00)
0 - 1,875.00 2,984 5,595,000.00 0
0 - 2,595.00 142 368,490.00
0 - 2,000.00 1,895 3,790,000.00 0
0 - 3,127.00 -850 (2,657,950.00)
0 - 608.00 222 134,976.00 0
0 - 2,020.00 309 624,180.00
0 - 102.00 342 34,884.00 0
0 - 2,100.00 -14 (29,400.00)
0 - 2,710.00 -12 (32,520.00) 0
0 - 3,300.00 1,343 4,431,900.00 0
DINKES JKN
HARGA SATUAN
RP
0 - 1,385.00 542 750,670.00 0

0 - 121.00 175 21,175.00
0 - 9,586.00 304 2,914,144.00 0
0 - 140.00 1,524 213,360.00
0 - 15,400.00 798 12,289,200.00 0
0 - 821.00 98 80,458.00
0 - 2,200.00 -198 (435,600.00) 0
0 - 13,200.00 502 6,626,400.00
0 - 48,400.00 -678 (32,815,200.00) 0
0 - 208.00 178 37,024.00 0
0 - 10,450.00 96 1,003,200.00 0
0 - 24,979.00 100 2,497,900.00 0
0 - 636.00 50 31,800.00 0
0 - 636.00 600 381,600.00 0
0 - 10,736.00 207 2,222,352.00 0
0 - 11,779.00 2,690 31,685,510.00 0
0 - 27,390.00 269 7,367,910.00 0
0 - 36,154.00 95 3,434,630.00 0
0 - 716.00 92 65,872.00 0
0 - 33,580.00 84 2,820,720.00 0
0 - 22,788.00 87 1,982,556.00 0
0 - 21,912.00 45 986,040.00 0
0 - 6,244.00 129 805,476.00 0
0 - 529.00 272 143,888.00
0 - 1,533.00 122 187,026.00 0
0 - 2,027.00 946 1,917,542.00 0
0 - 31,498.00 4,443 139,945,614.00
0 - 4,700.00 2,494 11,721,800.00 0
0 - 25,417.00 90 2,287,530.00
0 - 24,979.00 198 4,945,842.00 0
0 - 20,119.00 89 1,790,591.00 0
0 - 23,007.00 100 2,300,700.00
DINKES JKN
HARGA SATUAN
RP
0 - 12,300.00 249 3,062,700.00 0

0 - 8,014.00 168 1,346,352.00
0 - 46,587.00 47 2,189,589.00 0
0 - 82,827.00 200 16,565,400.00
0 - 3,984.00 90 358,560.00 0
0 - 33,864.00 95 3,217,080.00
0 - 13,988.00 300 4,196,400.00 0
0 - 410.00 200 82,000.00 0
0 - 8,185.00 97 793,945.00 0
0 - 12,375.00 97 1,200,375.00 0
0 - 1,142.00 100 114,200.00 0
0 - 12,375.00 296 3,663,000.00
0 - 1,142.00 300 342,600.00 0
0 - 730.00 3,057 2,231,610.00
#REF! #VALUE! - #REF! #REF! #REF!
0 - 388,333.33 643 249,698,331.19 0
0 - 271,054.05 -24 (6,505,297.20)
0 - 367,250.00 0 - 0
0 - 296,113.92 24 7,106,734.08
0 - 251,000.00 48 12,048,000.00 0
0 - 180,857.14 36 6,510,857.04
0 - 20,984.63 30 629,538.90 0
0 - 65,480.00 13 851,240.00
0 - 79,432.00 24 1,906,368.00 0
0 - 127,000.00 73 9,271,000.00
0 - 10,494.00 50 524,700.00 0
0 - 6,435.00 -83 (534,105.00) 0
0 - 46,338.00 77 3,568,026.00 0
0 - 7,865.00 -357 (2,807,805.00) 0
0 - 7,865.00 -20 (157,300.00)
0 - 36,300.00 478 17,351,400.00 0
0 - 36,300.00 797 28,931,100.00
DINKES JKN
HARGA SATUAN
RP
0 - 13,090.00 12 157,080.00 0
0 - - 5 - 0
0 - - 30 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
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0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 -
DINKES JKN
HARGA SATUAN
RP
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
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0 - - 0 - 0
0 - - 0 - 0
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0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
DINKES JKN
HARGA SATUAN
RP
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 -
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0 - - 0 - 0
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0 - - 0 - 0
0
#VALUE! #REF!
#VALUE! #REF!
#VALUE! #REF!
#VALUE! #REF!
DINAS KESEHATAN KABUPATEN BANDUNG BARAT TAHUN 2016
NAMA BARANG JAN FEB MAR APRIL MEI JUNI JULI AGUSTUS
A. O B A T
1 Albendazol tablet 400 mg - - - - - - - -
2 Alopurinol tablet 100 mg - - - - - - - -
3 Alopurinol tablet 300 mg - - - - - - - -
4 Ambroxol sirup 15 mg/ml - 60 ml - - - - - - - -
5 Ambroxol tab - - - - - - - -
6 Aminofilin injeksi 24 mg/ml @ 10 ml - - - - - - - -
7 Aminofilin tablet 200 mg - - - - - - - -
8 Amitripilin tablet salut 25 mg (HCL) - - - - - - - -
9 Amlodipin 5 mg tab - - - - - - - -
10 Amoksisilin kaplet 500 mg - - - - - - - -
11 Amoksisilin Kapsul 250 mg - - - - - - - -
12 Amoksisilin sirup kering 125 mg/ 5 mg - 60 ml - - - - - - - -
13 Amoksisillin + As Klavulanat 625 mg - - - - - - - -
14 Amoksisillin serbuk injeksi 1000 mg - - - - - - - -
Antasida DOEN I Tablet kunyah,kombinasi : Alumunium
15 Hidroksida 200 mg + Magnesium Hidroksida 200 mg - - - - - - - -

16 - - - - - - - -
Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam
17 Salisilat 3% - - - - - - - -
Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg +
18 Heksaklorofen 250 mg - - - - - - - -
19 Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg - - - - - - - -
20 Aqua Pro Injeksi Steril, bebas pirogen @ 20 ml - - - - - - - -
21 Asam Asetilsalisilat tablet 100 mg (Asetosal) - - - - - - - -
22 Asam Asetilsalisilat tablet 500 mg (Asetosal) - - - - - - - -
23 Asam Askorbat (vitamin C) tablet 50 mg - - - - - - - -
24 Asam Askorbat (vitamin C) tablet 250 mg - - - - - - - -
25 Asam Mefenamat 500 mg - - - - - - - -
26 Asiklovir 200 mg tablet - - - - - - - -
27 Asiklovir 400 mg tablet - - - - - - - -

28 Asiklovir krim 5 % - 5 gr - - - - - - - -

29 - - - - - - - -
Besi (II)Sulfat 200 mg + asam folat 0,25 mg/tablet (tablet
30 tambah darah) @ 30 tablet - - - - - - - -
31 Betahistin Mesilat 6 mg - - - - - - - -
32 Betametason krim 0,1 % - 5 gr - - - - - - - -
33 Bisoprolol tablet 5 mg - - - - - - - -
34 Bromhexin tab 8 mg - - - - - - - -
35 Cetrizin syrup 5 mg/ml - 60 ml - - - - - - - -
36 Cetrizin tab 10 mg - - - - - - - -
37 Deksametason injeksi IV 5 mg/ml - - - - - - - -
38 Deksametason tablet 0,5 mg - - - - - - - -
39 Dekstrometorfan sirup 10 mg/5 ml (HBr) - 60 ml - - - - - - - -
40 Dekstrometorfan tablet 15 mg (HBr) - - - - - - - -
41 Dextran 70 larutan infus 6 % steril - 500 ml - - - - - - - -
42 Diazepam Injeksi 5 mg/ml @ 2 ml - - - - - - - -
43 Diazepam tablet 2 mg - - - - - - - -
44 Diazepam tablet 5 mg - - - - - - - -
45 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) @ 1ml - - - - - - - -
46 Digoksin tablet 0,25 mg - - - - - - - -

47 - - - - - - - -
48 Domperidone Suspensi 5 mg/5 ml - 60 ml - - - - - - - -

49 - - - - - - - -

50 - - - - - - - -

51 - - - - - - - -
52 Eritromisin kapsul 250 mg - - - - - - - -
53 Eritromisin kapsul 500 mg - - - - - - - -
54 Etakridin larutan 0,1 % - 300 ml - - - - - - - -
55 Etil klorida spray - - - - - - - -
56 Fenitoin kapsul 100 mg - - - - - - - -
57 Fenitoin Natrium injeksi 50 mg/ml - - - - - - - -
58 Fenobarbital tablet 30 mg - - - - - - - -
59 Fenobarbital injeksi i.m / i.v 50 mg/ml - - - - - - - -

60 Fenoksi metil Penisillin 250 mg - - - - - - - -
61 Fenoksi metil Penisillin 500 mg - - - - - - - -
62 Fenol Gliserol tetes telinga 10% - - - - - - - -
63 Fitomenadion ( vit K 1 ) injeksi 10 mg / ml @ 1 ml - - - - - - - -
64 Fitomenadion ( vit K 1 ) tablet salut gula 10 mg - - - - - - - -
65 Furosemid injeksi iv/im 10 mg/ml @ 2 ml - - - - - - - -
66 Furosemid tablet 40 mg - - - - - - - -
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g + Kalium
67 Anhidrat 2,7 g - - - - - - - -
68 Gentamicin inj 40 mg/ml - - - - - - - -
69 Gentamicin inj 80 mg/ml - - - - - - - -
70 Gentamicin SK 0,1 % - 5 gr - - - - - - - -
71 Gentian violet Larutan 1 % - 10 ml - - - - - - - -
72 Glibenklamida tablet 5 mg - - - - - - - -
73 Gliseril Gualakolat tablet 100 mg - - - - - - - -
74 Gliserin - 100 ml - - - - - - - -
75 Glukosa larutan infus 10% - 500 ml - - - - - - - -
76 Glukosa larutan infus 40 % - 25 ml - - - - - - - -
77 Glukosa larutan infus 5% - 500 ml - - - - - - - -
78 Griseofulvin tablet 125 mg, micronized - - - - - - - -
79 Haloperidol tablet 0,5 mg - - - - - - - -
80 Haloperidol tablet 1,5 mg - - - - - - - -
81 Haloperidol tablet 5 mg - - - - - - - -
82 Hidroklorotiazida (HCT) tablet 25 mg - - - - - - - -
83 Hidrokortison krim 2,5% - 5 gr - - - - - - - -
84 Hyoscine-N-Butilbromide tablet 10 mg - - - - - - - -
85 Ibuprofen tablet 200 mg - - - - - - - -
86 Ibuprofen tablet 400 mg - - - - - - - -
87 Ibupropen 100 mg Syr - 60 ml - - - - - - - -
88 Isosorbid Dinitrat Tablet Sublingual 5 mg - - - - - - - -
89 Kalium Diklopenak 50 mg - - - - - - - -
90 Kalsium Laktat (Kalk) tablet 500 mg - - - - - - - -
91 Kaptopril tablet 12,5 mg - - - - - - - -
92 Kaptopril tablet 25 mg - - - - - - - -
93 Karbamazepin 200 mg - - - - - - - -
94 Ketokonazole 200 mg tablet - - - - - - - -
95 Ketokonazole krim - 15 gr - - - - - - - -
96 Ketoprofen tablet 100 mg - - - - - - - -
97 Ketorolac Injeksi 10 mg - - - - - - - -
98 Ketorolac injeksi 30 mg - - - - - - - -
99 Klindamisin Kap 150 Mg - - - - - - - -
100 Klonidin 0,15 mg - - - - - - - -
101 Kloramfenikol kapsul 250 mg - - - - - - - -
102 Kloramfenikol salep mata - 5 gr - - - - - - - -
103 Kloramfenikol suspensi 125 mg/5ml - 60 ml - - - - - - - -
104 Kloramfenikol tetes telinga 3 % - 5 ml - - - - - - - -
105 Klorfeniramina mealeat (CTM) tablet 4 mg - - - - - - - -
106 Klorpromazin tablet salut 100 mg (HCl) - - - - - - - -
107 Kodein 10 mg - - - - - - - -
Kotrimokszol DOEN I (dewasa) kombinasi :
108 Sulfametoksazole 400 mg + Trimetoprim 80 mg - - - - - - - -
Kotrimosazol DOEN II (pediatrik) Kombinasi :
109 Sulfametoksazol 100 mg + Trimetoprim 20 mg - - - - - - - -
Kotrimosazol Suspensi Kombinasi: Sulfametoksazol 200 mg
110 + Trimetoprim 40 mg/ 5 ml - 60 ml - - - - - - - -
111 Lanzoprazole kapsul/kaplet 30 mg - - - - - - - -
112 Lidokain inj 2% @ 2 ml - - - - - - - -

113 - - - - - - - -
114 Loratadin tablet 10 mg - - - - - - - -
115 Magnesium Sulfat inj (IV) 20 % - 25 ml - - - - - - - -

116 - - - - - - - -
Meloksikam 15 mg
117 - - - - - - - -
118 Metampiron injeksi 250 mg @ 2 ml - - - - - - - -
119 Metampiron tablet 500 mg - - - - - - - -
120 Metformin HCl 500 mg - - - - - - - -
121 Methil dopa 250 mg - - - - - - - -
122 Metil prednisolon tablet 4 mg - - - - - - - -
Metilergometrin Maleat (Metilergometrin) injeksi 0,200 mg -
123 1 ml - - - - - - - -
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125
124 mg - - - - - - - -
125 Metoklopramid inj 5 mg/ml - - - - - - - -

126 Metoklopramid tablet 10 mg - - - - - - - -
127 Metronidazole tablet 250 mg - - - - - - - -
128 Metronidazole tablet 500 mg - - - - - - - -
129 Mikonazole krim/salep 2 % (nitrat) - 10 gr - - - - - - - -
130 Morfin inj 10 mg/ml - - - - - - - -
131 Natrium bikarbonat tablet 500 mg - - - - - - - -
132 Natrium Diklofenak 25 mg - - - - - - - -
133 Natrium diklofenak 50 mg - - - - - - - -
134 Natrium Klorida larutan infus 0,9% - 500 ml - - - - - - - -
135 Nifedipin tablet 10 mg - - - - - - - -
136 Nistatin tablet salut 500000 IU/g - - - - - - - -
137 Nistatin vaginal tablet 100000 IU/g - - - - - - - -
138 Obat Batuk hitam ( O.B.H.) - 100 ml - - - - - - - -
139 Oksitetrasiklin HCL salep kulit 3 % - 5 gr - - - - - - - -
140 Oksitetrasiklin HCL salep mata 1 % - 3,5 gr - - - - - - - -
141 Oksitosin injeksi 10 IU/ml-1 ml - - - - - - - -
142 Omeprazole 20 mg - - - - - - - -

143 - - - - - - - -
144 - - - - - - - -
145 Paracetamol sirup 120 mg / 5 ml - 60 ml - - - - - - - -
146 Paracetamol tablet 100 mg - - - - - - - -
147 Paracetamol tablet 500 mg - - - - - - - -
148 Petidin 50 mg/ ml injeksi - - - - - - - -
149 Piracetam 400 mg tablet - - - - - - - -
150 Piracetam inj 1 g/ 5 ml - - - - - - - -
151 Pirantel tab. Score (base) 125 mg - - - - - - - -
152 Piridoksin (Vitamin B6) tablet 10 mg (HCL) - - - - - - - -
153 Piroksikam tablet 10 mg - - - - - - - -
154 Povidon Iodida larutan 10 % - 300 ml - - - - - - - -
155 Povidon Iodida larutan 10 % - 1 L - - - - - - - -
156 Povidon Iodine - 30 ml - - - - - - - -
157 Prednison tablet 5 mg - - - - - - - -
158 Ranitidin injeksi 25 mg / 2 ml - - - - - - - -
159 Ranitidin tab 150 mg - - - - - - - -

160 Reserpin tablet 0,25 mg - - - - - - - -
161 Ringer Laktat larutan infus - 500 ml - - - - - - - -
162 Salbutamol tablet 2 mg - - - - - - - -
163 Salbutamol tablet 4 mg - - - - - - - -
Salep 2 - 4 Kombinasi: Asam Salisilat 2 %+ Belerang endap
164 4% - 30 gr - - - - - - - -
165 Salisil bedak 2% - 50 gr - - - - - - - -
166 Sefadroksil kapsul 500 mg - - - - - - - -
167 Sefadrosil syr 125 mg/5 ml - 60 ml - - - - - - - -
168 Sefiksim Syr kering - - - - - - - -
169 Sefotaksim inj 1 g - - - - - - - -
170 Seftazidim inj 1g - - - - - - - -
171 Seftriakson injeksi 1 g - - - - - - - -
172 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) - - - - - - - -
173 Serum Anti Tetanus 1.500 IU/ampul (A.T.S.) - - - - - - - -
174 Sianokobalamin (Viatamin B12) injeksi 500 mcg @ 1 ml - - - - - - - -
175 Sianokobalamin (Vitamin B 12) tablet 50 mcg - - - - - - - -
176 Simetidine Tablet 200 mg - - - - - - - -
177 Simvastatin tablet 10 mg - - - - - - - -
178 Siprofloksasin tablet 500 mg (sebagai HCL) - - - - - - - -
179 Spironolakton tab 25 mg - - - - - - - -
180 Sulfasetamida Natrium tetes mata 15% - 5 ml - - - - - - - -
181 Tetrasiklin 500 mg kapsul - - - - - - - -
182 Tetrasiklin kapsul 250 mg - - - - - - - -
183 Thiamphenikol 500 mg - - - - - - - -
184 Tiamin (vitamin B1) injeksi 100 mg/ml @ 1 ml - - - - - - - -
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) - - - - - - - -
186 Tramadol injeksi 50 mg/ml - - - - - - - -
187 Tramadol kapsul 50 mg - - - - - - - -
188 Triheksifenidil tablet 2 mg - - - - - - - -
189 Vitamin B Kompleks tablet - - - - - - - -
190 Obat Gigi - - - - - - - -
191 Devitalisasi pasta non arsen - - - - - - - -
192 Eugenol cairan - 5 ml - - - - - - - -
193 Glass Ionomer Cement ART - - - - - - - -
194 Kalsium Hidroksida Pasta - - - - - - - -
195 Klorfenol kamfer Menthol ( CHKM ) - 10 ml - - - - - - - -
196 Mummifying Pasta - - - - - - - -

197 Zink Fosfat serbuk dan cairan @ 30 gr - - - - - - - -
198 Obat Program - - - - - - - -
199 Ferro Sulfat 300 mg - - - - - - - -
200 Mineral Mix - - - - - - - -
201 OAT Kategori 1 (FDC) - - - - - - - -
202 OAT Kategori 2 (FDC) - - - - - - - -
203 OAT Tuberculosis sisipan (FDC) - - - - - - - -
204 Obat TBC Anak (FDC) - - - - - - - -
205 OAT Kategori 1 (KombipaK) - - - - - - - -
206 OAT Anak (Kombipak) - - - - - - - -
207 Retinol (VIT A) 100.000 UI - - - - - - - -
208 Retinol (VIT A) 200.000 UI - - - - - - - -
209 Streptomicin serbuk injeksi i.v 1500 mg / ml - 15 ml - - - - - - - -
210 Zinc Tab 20 mg - - - - - - - -
211 Alat Kesehatan - - - - - - - -
212 Alat suntik sekali pakai 1 ml (SNI) - - - - - - - -
213 Alat suntik sekali pakai 2,5 ml (SNI) - - - - - - - -
214 Alat suntik sekali pakai 5 ml (SNI) - - - - - - - -

215 - - - - - - - -

216 - - - - - - - -
217 Foley Cathether no 20 (SNI) - - - - - - - -
220 Infusion set anak (SNI) - - - - - - - -
221 Infusion set dewasa (SNI) - - - - - - - -
222 IV Catheter No 20 G (SNI) - - - - - - - -
223 IV Catheter No 22 G (SNI) - - - - - - - -
224 - - - - - - - -

225 - - - - - - - -
226 Kasa Pembalut Elastic 3 Inchi - - - - - - - -

227 - - - - - - - -

228 - - - - - - - -

229 - - - - - - - -

230 - - - - - - - -
231 - - - - - - - -
232 - - - - - - - -
233 Nelaton Catheter no 14 - - - - - - - -
234 Pembalut Gips 3 inchi - - - - - - - -

235 - - - - - - - -

236 - - - - - - - -

237 - - - - - - - -

238 - - - - - - - -

239 - - - - - - - -
Urine Bag
240 - - - - - - - -
241 Wing Needle No. 21 G - - - - - - - -
242 Wing Needle No. 23 G - - - - - - - -

243 - - - - - - - -

244 - - - - - - - -
245 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml - - - - - - - -
246 Aquadest - 500 ml - - - - - - - -
247 Asam Traneksamat 500 mg Tablet - - - - - - - -
248 Atracurium 50 mg inj (Halmeln) - - - - - - - -
249 Clorine 5,25% - 1000 ml - - - - - - - -
250 Diazepam rectal 5 mg/2,5 ml dalam tube - - - - - - - -
251 Dobutamin inj (Halmeln) - - - - - - - -
252 Eperison 50 mg - - - - - - - -
253 Epidosin Injeksi - - - - - - - -

254 Etanol 70 % - 1000 ml - - - - - - - -
255 Etanol 70 % - 100 ml - - - - - - - -
256 Hidrogen Peroksida 3% - 1000 ml - - - - - - - -
257 Hyoscine-N-Butilbromide 20 mg/ml Injeksi - - - - - - - -
258 Iodina test - 10 ml - - - - - - - -
259 Kalium L Aspartat tab - - - - - - - -
260 Karbazokrom Natrium Sulfonat 10 mg tablet - - - - - - - -
261 Karbazokrom Natrium Sulfonat 5mg/ml injeksi - - - - - - - -
262 Ketamin inj 50 mg/ml - - - - - - - -
263 Ketoprofen inj 100 mg @ 2 ml - - - - - - - -
264 Lidokain HCl 20 mg + Adrenaline 0,0125 mg - - - - - - - -
265 Lisol 1000 ml - - - - - - - -
266 Meropenem inj - - - - - - - -
267 Methyl prednisolon inj - - - - - - - -
268 Midazolam inj 15 mg/3 ml - - - - - - - -
269 Multivitamin dan Mineral Tablet untuk remaja - - - - - - - -
270 Multivitamin drop untuk bayi - 15 ml - - - - - - - -
Multivitamin Sirup Pertumbuhan (Mengandung Lysine dan
271 Biotin) - 60 ml - - - - - - - -
272 Neostigmin 0,5 mg/ml - - - - - - - -
273 Nystatin drop/oral suspensi - 15 ml - - - - - - - -
274 Obat anti diare (Attapulgite dan Pektin) - - - - - - - -
Obat Flu sirup Kombinasi (Parasetamol 150 mg,
275 Fenilpropanolamin HCl, CTM,DMP) - 60 ml - - - - - - - -
276 Obat tradisional pemulihan hati untuk penderita TBC - - - - - - - -
277 Obat scabies mengandung Permethrin 5 % sk - 10 gr #REF! - - - - - - -
278 Polikresulen konsentrat - 10 ml #REF! - - - - - - -
279 Propofol inj - - - - - - - -
280 Salbutamol for Nebulizer 2,5mg/2,5 ml NaCl - - - - - - - -
281 Salep kombinasi kortikosteroid - 5 gr - - - - - - - -
282 Salep Luka bakar - 10 gr - - - - - - - -
283 Sukralfat 500 mg tablet - - - - - - - -
284 Vitamin Neurotropik - - - - - - - -
285 Obat Gigi - - - - - - - -
286 Atching Agent (SGI) - 5 ml - - - - - - - -
287 Bonding Agent (SGI) - 10 ml - - - - - - - -
288 Diamond Bor (Round b,k ; Fissur b,k ; Inverted b,k) - - - - - - - -
289 Disclosing Solution - 10 ml - - - - - - - -

290 Gelatin cube 1 x 1 x 1 cm - - - - - - - -
291 Gutta perca 45-80 - - - - - - - -
292 Light Curring Composit (A2) (Solare) - 4,7 gr - - - - - - - -
293 Paper Point 45-80 - - - - - - - -
294 Rocle's 10 mg - - - - - - - -
295 Temporary Filling Pasta - - - - - - - -
296 Triamsinolon Asetonit 1mg salep - 5 gr - - - - - - - -
297 Trikesol Formalin - 10 ml - - - - - - - -
298 Obat program - - - - - - - -
299 Misoprostol - HPMC 200 µg - - - - - - - -
Multivitamin Sirup Pemulihan : Zat aktif Curcuminoid - 120
300 ml - - - - - - - -
301 Multivitamin dan mineral tablet untuk jampersal - - - - - - - -
302 Vitamin K Injeksi 2mg/ml Neonatal - - - - - - - -
303 Alat Kesehatan - - - - - - - -
304 Alat suntik sekali pakai 10 ml - - - - - - - -
305 Alat suntik sekali pakai 3 ml - - - - - - - -
306 Bisturi ujung bundar No. 20 - - - - - - - -
307 Bisturi ujung Lancip No. 11 - - - - - - - -
311 Biuret bayi / microdip - - - - - - - -
312 Catgut Cromic Caset 3 - 50 M - - - - - - - -
313 Catgut Plain 3 - 50 M - - - - - - - -
314 Dressing dengan parafin 10 cm x 10 cm - - - - - - - -
315 Dressing Penutup luka lebar berperekat 5 m x 5 cm - - - - - - - -
316 IV Cathetter No. 18 - - - - - - - -
317 Jarum Hacting Kulit No. 10 setengah lingkaran - - - - - - - -
321 Jarum Hacting Otot No. 10 setengah lingkaran - - - - - - - -
322 Jarum Hacting Otot No. 12 setengah lingkaran - - - - - - - -
323 Kasa gulung Besar (100 Y x 80 cm) - - - - - - - -
324 Kasa Kompres 40/40 steril - - - - - - - -
325 Kasa Pembalut 2 m x 80 cm - - - - - - - -
326 Kasa Pembalut Hidrofil 4 m x 15 m elastic - - - - - - - -

327 Kasa Pembalut Hidrofil 4 m x 3 cm elastic - - - - - - - -
328 Klem Umbilical - - - - - - - -
329 Ky Jelly - - - - - - - -
330 Masker - - - - - - - -
331 Sarung tangan non steril - - - - - - - -
332 Sarung tangan panjang (Gynaecolog) - - - - - - - -
333 Sarung tangan rumah tangga - - - - - - - -
334 Silk Caset 3/0 100m - - - - - - - -
335 IV Cathether no 26 - - - - - - - -
336 Domperidon Tablet 10 mg - - - - - - - -
337 Glimepirid 2 mg - - - - - - - -
338 Momethasone krim - - - - - - - -
339 Folley Cathether no 16 - - - - - - - -
340 Ambroksol drop - - - - - - - -
341 Amlodipin 10 mg tab - - - - - - - -

342 Asam Asetilsalisilat (asetosal) tab 80 mg - - - - - - - -
343 Bisakodil supp 5 mg - - - - - - - -
344 Cairan ringer dextrose - - - - - - - -
345 Diazepam rectal 10 mg/2,5 ml dalam tube - - - - - - - -
346 Ketokonazole scalp sol 2% (zoloral ss) - - - - - - - -
347 Kombinasi:Ipratorium Br 0 - - - - - - - -
Kombinasi: ipratropium Br 0,5 mg+ salbutamol 2,5 mg
348 nebules - - - - - - - -
349 N Asetyl sistein 200 mg - - - - - - - -
350 Slide - - - - - - - -
351 Reagen - - - - - - - -
352 Safety Box - - - - - - - -
353 - - - - - - - -
354 - - - - - - - -
355 - - - - - - - -
356 DANA JKN - - - - - - - -
357 a - - - - - - - -
358 - #REF! #REF! #REF! #REF! #REF! #REF! #REF!
359 - - - - - - - -
360 #REF! - - - - - - -
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List of SOPs To Be Prepared-HSR-17.11.2014

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List of SOPs To Be Prepared-HSR-17.11.2014

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SALDO AWAL 1 JANUARI 2016

356 DANA JKN

400 Dolo Licobion

412 Oksitetrasiklin Hcl salep kulit 3 % - 5 gr

472 E-Care alkohol swab CHG 0,5 %

SALDO AWAL 1 FEBRUARI 2016

HARGA SATUAN HARGA SATUAN HARGA

HARGA SATUAN HARGA SATUAN HARGA

21 Asam Asetilsalisilat tablet 100 mg (Asetosal) 96.00 0 - - 0 -

HARGA SATUAN HARGA SATUAN HARGA

HARGA SATUAN HARGA SATUAN HARGA

76 Glukosa larutan infus 40 % - 25 ml 1,452.00 0 - - 0 -

HARGA SATUAN HARGA SATUAN HARGA

Kotrimokszol DOEN I (dewasa) kombinasi : 690 102,810.00 4,124 -

HARGA SATUAN HARGA SATUAN HARGA

132 Natrium Diklofenak 25 mg 166.00 0 - - 0 -

HARGA SATUAN HARGA SATUAN HARGA

160 Reserpin tablet 0,25 mg 103.00 2,800 288,400.00 - 0 -

HARGA SATUAN HARGA SATUAN HARGA

191 Devitalisasi pasta non arsen 390,000.00 0 - - 0 -

HARGA SATUAN HARGA SATUAN HARGA

221 Infusion set dewasa (SNI) 3,500.00 66 231,000.00 - 0 -

HARGA SATUAN HARGA SATUAN HARGA

HARGA SATUAN HARGA SATUAN HARGA

269 Multivitamin dan Mineral Tablet untuk remaja 720.00 0 - - 0 -

HARGA SATUAN HARGA SATUAN HARGA

299 Misoprostol - HPMC 200 µg 52,500.00 0 - - 0 -

HARGA SATUAN HARGA SATUAN HARGA

330 Masker 2,530.00 0 - - 0 - 300

HARGA SATUAN HARGA SATUAN HARGA

359 norit 0 - 312.00 3,000 936,000.00

HARGA SATUAN HARGA SATUAN HARGA

389 Lodecon F 0 - 850.00 843 716,550.00

HARGA SATUAN HARGA SATUAN HARGA

419 Cardismo 0 - 1,385.00 190 263,150.00

HARGA SATUAN HARGA SATUAN HARGA

451 lapifed exp syrup 0 - 12,300.00 0 -

HARGA SATUAN HARGA SATUAN HARGA

483 chroma ballon catheter 2way FR 18 - 0 - - 30 -

HARGA SATUAN HARGA SATUAN HARGA

HARGA SATUAN HARGA SATUAN HARGA

JUMLAH TOTAL OBAT 90,732,725.00 260,587,458.00

JUMLAH TOTAL BMHP - -

JUMLAH TOTAL KESELURUHAN 90,732,725.00 260,587,458.00

HARGA HARGA SATUAN HARGA SATUAN

- 2,100.00 64 134,400.00 - 61 - 2,100.00

- 1,904.00 5 9,520.00 - - 1,904.00

HARGA HARGA SATUAN HARGA SATUAN

HARGA HARGA SATUAN HARGA SATUAN

HARGA HARGA SATUAN HARGA SATUAN

HARGA HARGA SATUAN HARGA SATUAN

- 149.00 78 11,622.00 - 120 - 149.00

- 2,574.00 137 352,638.00 - 18 - 2,574.00

0 - 333.00 253 84,249.00 - - 333.00

- 140.00 50 7,000.00 - - 140.00

HARGA HARGA SATUAN HARGA SATUAN

- 5,200.00 65 338,000.00 - - 5,200.00

0 - 1,438.00 55 79,090.00 - 46 - 1,438.00

HARGA HARGA SATUAN HARGA SATUAN

0 - 103.00 450 46,350.00 - - 103.00

HARGA HARGA SATUAN HARGA SATUAN

HARGA HARGA SATUAN HARGA SATUAN

HARGA HARGA SATUAN HARGA SATUAN