Barang Masuk BHP Bpkad

BARANG M
No Nama Barang Tanggal Masuk

27/1/17
Reliance 310 Green 100 x 100 cm
27/1/17
Adhesive tape (steam) 1,9 x 50
1 Reliance 310 Green 100 x 100 cm 13/2/2017
2 Adhesive tape (steam) 1,9 x 50 13/2/2017
3 TYVEK ROLL 14IN X 228FT (A) 14/6/17
TOTAL
BARANG MASUK CCSD 2017
Jumlah No.Batch Exp.Date Harga @
2 G@0213 132,000
Rp.
6 G@0205 2,329,800
Rp.
2 18-Sep Rp. 2,118,000
6 1124311 18-Feb Rp. 120,000
5 22611417 19-Mar Rp. 6,164,395
TAL Rp. 2,238,000
Ket
PT.MILLENIUM PHARMACON INTERNATIONAL

PT.MILLENIUM PHARMACON INTERNATIONAL
PT.APL LANGSUNG KELUAR
NAMA
NO BARANG
74 SPUIT TUBERCULIN 1 CC
167 AKSINA DERM 10 X 12 cm NRC

5 ALKACIDE 1 L
13 ALKACIDE 1 L
70 ALKACIDE 1 L
71 ALKACIDE 1 L
6 ALKAZYME SACHET
60 ALKAZYME SACHET
95 ALKOHOL SWAP
211 ALKOHOL SWAP
89 ASKINA FOAM 10 X 10 CM NRC

247 ASKINA GEL 15 G
166 ASKINA SORB 10 X 10 cm NRC
182 BENANG ADVANTIME 2/0 CUTTING

124 BENANG ADVANTIME 2/0 TUPPER

169 BENANG CHROMIC GUT 2-0 TUPPER


80 BENANG COROLENE 20210M 5/0 - 2PTRC10ME
78 BENANG COROLENE 20S20C 3/0 - 2PTRC20CE

3 BENANG COROLINE 0 CUTTING

1 BENANG COROLINE 2/0 TAPER
2 BENANG COROLINE 2/0 TAPER
17 BENANG COROLINE 4/0 TUPPER

77 BENANG DEMELENE 5/0 70C 19M C(CUTTING)

54 BENANG FILA PEAU F87003.4/0-2PTR7003E
55 BENANG OPTIME 18S4OG 1

58 BENANG OPTIME 2/0

4 BENANG OPTIME 3/0

22 BENANG PETERS SILK 4/0 CUTTING
244 BENANG PLAIN 3/0 CUTTING

190 BENANG SILKAM 1 TUPPER

191 BENANG SILKAM 3/0 CUTTING

239 BENANG SILKAM 3-0 CUTTING
23 BENANG SOIE SILK 3/0 TUPPER

62 BISTURI NO.15
63 BISTURI NO.15
64 BISTURI/BLADES NO.11
230 BLOOD SET TERUMO

61 BLOOD SET TERUMO
131 BLOOD SET
88 BLOOD SET
108 BONE WAX NRC

9 BONE WAX NRC
49 CANNOFIX-PU 6 X 8 cm
94 CATHEJELL 12,5 G
148 CATHEJELL 12,5 G
149 CAVIDAGEL 15 GR
198 CAVIDAGEL 15 GR
199 CERTOFIX DUO V1220 HFNRC

16 CERTOFIX TRIO V720 NRC
7 CLOSE SUCTION NO.14
37 CUTICELL CLASSIC 10 CM X 10 CM
24 DARYANT TULLE STERILE

48 DISPOSAFE SAFETY BOX 12,5 L
82 EXTENTATION TUBE NO 150

220 EXTENTION TUBE 150 CM
135 FEDDING TUBE FR 3,5
136 FEDDING TUBE FR 8-40
145 FEEDING TUBE FR 5-40

212 FILM IV DRESS 6 X 7 S

213 FILM IV DRESS 7 X 8 P
193 FILTA THERM HMEF
204 FORMALIN 37% @ 10 L
91 GUDEL NO 2
83 GUDEL NO.3
90 GUDEL NO.3
84 GUDEL NO.4
96 HANDRUB 10 BTL @ 500

127 HANDRUB 10 BTL@ 500 ML
98 HANDRUB 5 LT
128 HANDRUB 5 LT
217 HANDSCOOEN 6.5 STERIL

214 HANDSCOOEN LATEX POWDERED L

215 HANDSCOOEN LATEX POWDERED M
216 HANDSCOOEN LATEX POWDERED S

183 HANDSCOOEN TRO-SENSOSURG GLOVES 6.0

99 HANDSCRUB 1 BTL @ 5
129 HANDSCRUB 10 BTL @ 5OO ML
132 INFUS PUMP

133 INFUS PUMP
226 INFUS SET TEREFUSION SOL ADM

229
INFUS SET TEREFUSION SOL ADM
26 INFUSION SET TROGE-2 TRGINF23

144 IV.CHATETER 18 MERK INSYTE

47 IV.CHATETER 22
134 IV.CHATETER 22
219 IV.CHATETER 22
224 IV.CHATETER 22
245 IV.CHATETER 22
255 IV.CHATETER 22
256 IV.CHATETER 22
21 KASA PEMBALUT HIDROFIL 4 M X 15 CM
MASKER KARET
102 MASKER KARET
28 MASKER KARET
103 MASKER TIE ON
249 MEDIFIX MANOMETER

251 MEDIFIX W.W.INTRA, MT 100 CM,PL90CM
205 NASAL CANNULA SOFT ADULT STAR 1820

195 NASAL TUBING 100 MM


39 NORTA 2WAY CH.14 (9385)

152 NORTA 2WAY CH.14 (9385)
153 PHARMACOLL EXTRA THIN 15 CM X 15 CM
151 PHARMACOLL THICK 10 CM X 10 CM
8 POSTOFIX-PU FRM 10 X 10 CM
164 POVIDON IODIN 10% @ 1 L

160 PRONTOSAN WOUND GEL X 30 gr NRC HRGA UBH
161 PRONTOSAN WOUND GEL X 50 gr NRC

117 SEPTALKAN
221 SOLUTION ADM SET(INFUS SET PUMP)

222 INFUS PUMP
223 INFUS PUMP
SOLUTION ADM SET(INFUS SET PUMP)
18 SOLUTION ADM-SET(INFUS SET)/BLOOD SET PUMP
67 SPINOCAN G25X31/2''
87 SPUIT 10 CC
163 SPUIT 10 CC
180 SPUIT 10 CC
SPUIT 3 CC
75 SPUIT 3 CC
118 SPUIT 3 CC
174 SPUIT 3 CC
175 SPUIT 3 CC
176 SPUIT 3 CC
86 SPUIT 3 CC
111 SPUIT 3 CC
112 SPUIT 5 CC
119 SPUIT 5 CC
177 SPUIT 5 CC
178 SPUIT 5 CC
179 SPUIT 5 CC
113 SPUIT 5 CC
114 SPUIT 5 CC
115 SPUIT 5 CC
72 STARDEC NASAL OXYGEN CANULA CHILD

33 STARDEC NEBULIZER WITH MASK-6 ML ADULT STANDART

30 STARDEC NEBULIZER WITH MASK-6 ML PEDIATRIC STANDART

140 STOMACH TUBE FR 12

46 SUCTION CATHETER NO 8 STARDEC
159 SUCTION CATHETER NO. 14
85 SUCTION CATHETER. FG.10
238 TONG SPATEL KAYU
116 TRANSOFIX
123 TRANSOFIX
122 TRANSOFIX
187 TREE WAY PENDEK ( TRO-VENOFLOW 3 WAY )

200 TRO VENOFLOW EX 10 CM
201 UNIFLEX 2314 3'(4.5 M X 7.50 CM)
81 UNIFLEX 2314 4'(4.5 M X 10.0 CM)

40 UNIFLEX 2314 4'(4.5 M X 10.0 CM)
41 UNIFLEX 2314 6'(4.5 M X 15 CM)

42 UNIFLEX 2314 6'(4.5 M X 15 CM)
43 UNIFLEX 2314 6'(4.5 M X 15 CM)
44 UREOFIX 500 URINE

121 USG MEDY GEL 5 ML

246 VASELIN PUTIH 1 KG
162
197
15 TRYPAN BLUE
25 TRYPAN BLUE
19 INTRAFIX AIR FF 180 CM 60 DRP/ML Y-PC L/L
20 INTRAFIX PRIMILENE I.S TYP BASIC
101 KERTAS PERKAMEN PABEL
Menyetujui,
Penanggung Jawab
Pengelola Perbekalan Farmasi
Dismulianti,Amd
19781216 201001 2 009
MERK KEMASAN NO. BATCH
TERUMO BOX/100 pcs 170130D
BD BOX/100 PCS 7047421
B BRAUN PCS A17171D

B BRAUN PCS K09163D
BTL 6535N2594630
BTL 6S35N259-1
BTL 6S36N259-1
BTL 6S35N25946
PACK 16231
PCS 16371
E CARE BOX/100 PCS 832104

E CARE PCS 924118
B BRAUN BOX A23172DB

B BRAUN PCS 514031
B BRAUN PCS 21465
PETERS PCS 39741

PETERS PCS 39741
B BRAUN PCS 42918A
PETERS PCS 38352

PETERS PCS 37287
PETERS PCS 39771
PETERS PCS 38352
PETERS PCS 37287
CODIVEN PCS D7B1107ZX

COVIDEN PCS D7B1481ZX
COVIDEN PCS D6J2389ZX
CODIVEN PCS D7D1780ZX
CODIVEN PCS D7C1507ZX

CODIVEN PCS D6K1566ZX
COVIDEN PCS D7D0022ZX
COVIDEN PCS D6H2069PX
COVIDEN PCS D7C1507ZX
BENANG PREMILENE TUPPER 5/0 PCS 31707

PETERS PCS 23283

PETERS PCS
PETERS PCS 26267
PETERS PCS 17197

PETERS PCS 23463
DEMETECH PCS SS237-14

BENANG PREMILENE CUTTING 4/0 PCS 27165
PETERS PCS 20789

PETERS PCS 22127
PETERS PCS 21336
PETERS PCS 22056

PETERS PCS 26547
PETERS PCS 25491

PETERS PCS 21220
B BRAUN PCS L34193-75

COVIDEN PCS D7B0847FZX
B BRAUN PCS 616374

B BRAUN PCS 616393
B BRAUN PCS
B BRAUN PCS 617254
B BRAUN PCS 617276
COVIDEN PCS D6J1711FX
COVIDEN PCS 40049
B BRAUN PCS 615241
B BRAUN PCS 617132
B BRAUN PCS 617276
PETERS PCS 41298

B BRAUN PCS 19UMAES BB-15
BUSTURI BOX 4507921176
BUSTURI BOX/100 pcs 4507474700

TERUMO PCS 161104

TERUMO BOX/50PCS 170116
TERUMO PCS 170801
OTSUKA PCS B97C47A
BENANG PCS 216221; 216124,216111

B BRAUN PCS 216202
PCS 20160701
PCS 479/16
PCS 792/16
BOX 12221
BOX 12231
TUBE 70.16
TUBE 70.16
B BRAUN PCS 17F30A8501

B BRAUN PCS
Vital-Cath PCS 67140m
UNIFLEX PCS 638158
BOX 0091PM
PCS 453
BOX
TERUMO PCS 05ET150TE

TERUMO PCS 170629B
TERUMO BOX/50 PCS 170307B
TERUMO BOX/50 PCS 170418b
TERUMO PCS 170209B

TERUMO PCS 170105B
E CARE PCS 20160920

E CARE PCS 20160920
PCS 1942
BRATACO GALON JT0161/17-1
PCS OP3/606
PCS 80-03891930
PCS 0P3/625
PCS 80-03891940
E CARE BOX/ 10BTL 170201E

E CARE BOX/ 10BTL NP161207E
E CARE BTL 170203E
E CARE BTL 170419E

E CARE BTL 17032BE
HANDSCOON STERIL N0 6.5 BOX/50 PCS 14813-01

TROGE BOX/50 pcs 14814-01
TRO-SENSOSURG PCS 14730-02
E-CARE SURGIGLOVE PCS 203029574SPZA
E-CARE SURGIGLOVE PCS 203039524SLZA
TROGE PCS 15206-01
TROGE PCS 15240-02
E-CARE PCS 219030512LPZA

E-CARE PCS 219030512LPZC
STARDEC BOX 211026093NCZA
STARDEC BOX/100 pcs 211039686NCZA

STARDEC PCS 211026093NCZA
STARDEC BOX/100 PCS 211043872NCZB
STARDEC BOX/100 PCS 211026093NCZA
STARDEC PSS 212043872LPZA
E-CARE PCS 219030512LPZB

E CARE BTL 170119L

E CARE BTL 170504L
E CARE BTL 170504L

TERUMO PCS 170519K

TERUMO PCS 170515K
TERUMO PCS 170523K
TERUMO PCS 170522K
TROGE PCS 14577-01

TROGE PCS 14577-01
TROGE PCS 14577-01
TROGE PCS 14654-01
INFUS SET TROGE PCS 14577 01
INSYTE BOX/50 PCS 5296975

TERUMO PCS 170131SE

TERUMO BOX/50 PCS 170303SE
TERUMO PCS 170514SE
TERUMO PCS 170509SE
TROGE PCS 15237-03
OTSUKA PCS 19016
OTSUKA PCS 20056
DRC ROLL 20417
MASKER KARET E CARE BOX/50 PCS 19216

WIN BOX/50 PCS
MASKER TALI E CARE BOX/50 PCS 28042017
B BRAUN PCS 16M05K8MM1

B BRAUN PCS 17D05K8MM1
B BRAUN PCS 16F09K8381
HUDSON PCS 118230

HUDSON PCS 118311
HUDSON PCS 117208
HUDSON PCS 119127
HUDSON PCS 118230
STARDEC PCS 1701020073
PCS
PCS BC192
PCS
PCS BC191
UNIFLEX PCS 648181

UNIFLEX PCS 704181
PCS 1511/16
PCS 1511/16
PCS 1528/16
PCS 1528/16
PCS 1567/16
PCS 613/16
PCS 613/16
PCS 618/15
PCS 613./16
PCS 613/16
BRATACO BTL
B BRAUN BTL 16493M15
B BRAUN TUBE 16414M24

BTL 0S28N23247
TERUMO PCS 161114B

TERUMO PCS 170714B
TERUMO PCS 170528B
TERUMO PCS 170110B
quincke SPQK2590
B BRAUN BOX/25 pcs 17B03G98217
B BRAUN BOX/25 pcs 16L31GB216
B BRAUN PCS 15F03G8662

B BRAUN BOX/25 pcs 16F28G86555
B BRAUN BOX/25 pcs 16K01G8655
B BRAUN BOX/25 pcs 16L22G8654
TERUMO PCS 170415L

TERUMO PCS 70709L
TERUMO PCS 70709B
TERUMO BOX/100 pcs 170203M

TERUMO PCS 61227M
TERUMO PCS 170211M
TERUMO PCS 170301F
TERUMO PCS 170224F
TERUMO PCS 70829K
TERUMO PCS 7030BF
TERUMO PCS 70308F
TERUMO BOX/100 pcs 170131R

TERUMO PCS 170216R
TERUMO PCS 170417R
TERUMO PCS 170215R
TERUMO PCS 170206C
TERUMO PCS 70417R
TERUMO PCS 70517C
TERUMO PCS 70417R
STAEDEC PCS 1701020073



PCS 1701020073
PCS 1704020591
TERUMO PCS 160914B

PCS
MPI PCS 1610
MPI PCS 1611
MPI PCS 1704
PCS
B BRAUN PCS 17C09A8141

B BRAUN PCS 17003A8141
B BRAUN PCS 17E04A8141
TROGE PCS 13958-02

TROGE PCS 14216-01
TREE WAY PANJANG PCS 14346 01
UNIFLEX ROLL 53250029


B BRAUN PCS 16B12E8SUC

B BRAUN PCS 16H1138SUA
GALON 7082402
BRATACO BTL J0733/17
HUTANG PCS
B BRAUN PCS 15E07K8891

B BRAUN PCS 15M28K8421
BOX/50 PCS
asi
Disetujui,
Kepala Instalasi Farmasi
Wijaya Adiputra, S.Farm., Apt

NIP. 19850705 201101 1 010
BARANG MASUK BHP MEDIS HA
RG
A
TGL JUMLAH HARGA
ED MASUK TERKECIL PER BOX
TER
KEC
IL
21-Dec 6-Jun-17 6000 1000 Rp. Rp.
Rp.
22-Feb 30-Aug-17 5000
20-Jan 30-Oct-17 50 50 Rp.

19-Nov 30-Oct-17
Jun-19 9-Mar-17 28 3 Rp. Rp.

Jun-19 10-Apr-17 5 Rp. Rp.
19-Jun 3-Jun-17 14 Rp. Rp.
19-Aug 3-Jun-17 6 Rp. Rp.
Jan-19 9-Mar-17 30 10 Rp. Rp.

19-Jun 31-May-17 20 Rp. Rp.
18-Dec 20-Jun-17 100000 50000 Rp. Rp.

19-Apr 23-Nov-17 50000 Rp.
7-Jun-17 300 300 Rp. Rp.

Jun/19 4-Dec-17 50 50 Rp.
21-Dec 30-Oct-17 48 48 Rp.
22-May 2-Nov-17 360 206 Rp.

22-Mar 2-Nov-17 36 Rp.
Jul/22 6-Dec-17 118 Rp.
22-Mar 25-Jul-27 396 36 Rp.

22-Mar 27-Jul-17 36 Rp.
22-May 8-Sep-17 83 Rp.
22-May 8-Sep-17 97 Rp.
22-May 8-Sep-17 144 Rp.
20-Feb 1-Nov-17 252 72 Rp.

20-Feb 11-Nov-17 3 Rp.
20-Feb 11-Nov-17 33 Rp.
Feb/20 30-Nov-17 94 Rp.
Sep/19 5-Dec-17 50 Rp.
20-Apr 1-Nov-17 72 72 Rp.
20-Mar 1-Nov-17 144 33 Rp.

19-Oct 1-Nov-17 36 Rp.
19-Oct 1-Nov-17 3 Rp.
Apr/20 30-Nov-17 36 Rp.
Aug/21 30-Nov-17 33 Rp.
Mar/20 30-Nov-17 3 Rp.
21-Jun 7-Jun-17 240 240 Rp. Rp.
20-May 7-Jun-17 200 20 Rp. Rp.

20-Sep 7-Jun-17 180 Rp. Rp.
Sep-17 6-Jan-17 6 6 Rp.

10-Jan-17 42 6 Rp.
Dec-20 9-Mar-17 36 Rp. Rp.
Jan-17 6-Jan-17 49 35 Rp.

20-Oct 7-Apr-17 14 Rp.
19-Sep 23-Nov-17 48 48 Rp.

20-Dec 7-Jun-17 300 300 Rp. Rp.
20-Aug 31-May-17 850 250 Rp. Rp.

20-Jul 31-May-17 214 Rp. Rp.
20-Aug 31-May-17 386 Rp. Rp.
20-Sep 31-May-17 200 108 Rp. Rp.

21-Feb 31-May-17 92 Rp. Rp.
20-Nov 31-May-17 150 150 Rp. Rp.

Jun-17 6-Jan-17 144 144 Rp.
1-Oct 12-Apr-17 252 180 Rp. Rp.

Feb/20 5-Dec-17 72 Rp.
21-Sep 3-Nov-17 72 7 Rp.

2-Sep 3-Nov-17 65 Rp.
18-Oct 4-Sep-17 525 36 Rp.

22-Apr 3-Nov-17 9 Rp.
22-Jul 3-Nov-17 63 Rp.
Sep/21 30-Nov-17 72 Rp.
Jun/22 5-Dec-17 180 Rp.
Sep/21 5-Dec-17 36 Rp.
Jun/20 7-Dec-17 36 Rp.
Mar/22 7-Dec-17 72 Rp.
Jul/22 7-Dec-17 21 Rp.
22-Aug 2-Nov-17 360 360 Rp.

30/6/2021 12-Apr-17 1800 300 Rp. Rp.
21-Jul 3-Jun-17 1500 Rp. Rp.
21-Jan 3-Jun-17 1500 400 Rp. Rp.

21-Jul 3-Jun-17 1100 Rp. Rp.
19-Apr 2-Jun-17 250 Rp. Rp.

19-Jun 26-Aug-17 330 Rp.
19-Jun 26-Aug-17 170 Rp.
Jan/22 30-Nov-17 2350 1000 Rp.
Jul/22 30-Nov-17 600 Rp.
4/21;2/21 7-Jun-17 1500 1007 Rp. Rp.

21-Apr 3-Jul-17 493 Rp. Rp.
Jul-19 9-Mar-17 650 400 Rp. Rp.

21-Jul 31-May-17 6 Rp. Rp.
21-Nov 31-May-17 244 Rp. Rp.
19-Dec 20-Jun-17 800 50 Rp. Rp.

19-Dec 20-Jun-17 750 Rp. Rp.
19-Dec 5-Sep-17 20 1 Rp.

19-Dec 5-Sep-17 19 Rp.
22-Jun 8-Nov-17 6 6 Rp.

10-Nov-17 6 6 Rp.
18-Feb 5-Apr-17 20 20 Rp. Rp.
19-Aug 20-May-17 500 500 Rp. Rp.
31-01-2017 19-Apr-17 1250 250 Rp. Rp.1620

21-Apr 19-Jul-17 1000 Rp.
31-May-17 200 200 Rp. Rp.
12-Jun-17 350 150 Rp. Rp.

May/22 30-Nov-17 200 Rp.
20-Feb 26-Aug-17 100 100 Rp.
20-Mar 26-Aug-17 100 100 Rp.
20-Jan 31-Aug-17 100 94 Rp.

18-Dec 31-Aug-17 6 Rp.
19-Sep 23-Nov-17 2000 2000 Rp.

19-Sep 23-Nov-17 500 500 Rp.
8-Nov-17 10 10 Rp.
13-Nov-17 1 1 Rp.
22-Mar 20-Jun-17 100 100 Rp. Rp.
12-Jun-17 150 50 Rp. Rp.

22-Mar 20-Jun-17 100 Rp. Rp.
12-Jun-17 20 20 Rp. Rp.
20-Feb 20-Jun-17 400 20 Rp. Rp.

19-Dec 20-Jun-17 180 Rp. Rp.
20-Feb 13-Jul-17 200 Rp.
19-Apr 20-Jun-17 220 120 Rp. Rp.

20-Mar 13-Jul-17 100 Rp.
21-Nov 22-Jun-17 2650 50 Rp. Rp.

21-Dec 22-Jun-17 250 Rp. Rp.
21-Dec 22-Jun-17 250 Rp. Rp.
21-Oct 2-Nov-17 50 Rp.
22-Jun 2-Nov-17 450 Rp.
21-Aug 23-Nov-17 50 Rp.
22-Apr 23-Nov-17 950 Rp.
Jun/22 5-Dec-17 300 Rp.
Jun/22 5-Dec-17 300 Rp.
21-Aug 23-Nov-17 5000 5000 Rp.

21-Aug 23-Nov-17 60000 10000 Rp.
21-Mar 20-May-17 1600 Rp. Rp.
22-Mar 5-Jun-17 48400 Rp. Rp.
21-Mar 20-May-17 1800 Rp. Rp.

21-Nov 20-May-17 11000 Rp. Rp.
21-Mar 30-Aug-17 32200 Rp.
22-Jun 31-Aug-17 4200 Rp.
21-Mar 31-Aug-17 800 Rp.
22-Jun 13-Sep-17 10000 Rp.
21-Aug 23-Nov-17 70000 10000 Rp.
21-Jun 22-Jun-17 1000 500 Rp. Rp.

22-Jun 2-Nov-17 500 Rp.
20-Jan 20-Jun-17 120 117 Rp. Rp.

20-May 20-Jun-17 3 Rp. Rp.
20-May 13-Jul-17 90 90 Rp.
19-Apr 26-Aug-17 200 10 Rp.

19-Oct 26-Aug-17 190 Rp.
Oct/19 30-Nov-17 4500 2000 Rp.

Oct/19 30-Nov-17 1200 Rp.
Oct/19 30-Nov-17 500 Rp.
Rp.
Oct/19 30-Nov-17 800
21-Aug 12-May-17 4900 900 Rp. Rp

21-Aug 13-May-17 1000 Rp. Rp
21-Aug 31-May-17 951 Rp. Rp.
21-Sep 31-May-17 1049 Rp. Rp.
21-Aug 22-Jun-17 1000 Rp. Rp.
18-Sep 30-Aug-17 200 200 Rp.

20-Oct 30-Aug-17 200 200 Rp.
21-Dec 7-Jul-17 2350 300 Rp.

22-Feb 26-Aug-17 150 Rp.
Feb/22 30-Nov-17 200 Rp.
Apr/22 30-Nov-17 1000 Rp.
May/22 5-Dec-17 200 Rp.
Jan/21 21-Dec-17 117 Rp.
May/21 21-Dec-17 383 Rp.
21-Apr 29-May-17 2000 2000 Rp. Rp.
19-Feb 20-Jun-17 14000 1600 Rp. Rp.

19-Jan 20-Jun-17 8400 Rp. Rp.
13-May-17 4000 Rp. Rp.
20-Apr 20-Jun-17 2000 2000 Rp. Rp.
Nov/21 7-Dec-17 6 4 Rp.

Apr/22 7-Dec-17 2 Rp.
Jun/18 7-Dec-17 6 6 Rp.
20-Nov-17 1000 75 Rp.

20-Nov-17 100 Rp.
- 23-Nov-17 40 Rp.
- 23-Nov-17 100 Rp.
- 23-Nov-17 185 Rp.
21-Dec 20-May-17 500 Rp. Rp.
21-Jun-17 12 2 Rp. Rp.

8-Nov-17 10 Rp.
21-Jun-17 2 2 Rp. Rp.

8-Nov-17 15 15 Rp.
21-Oct 20-May-17 300 15 Rp. Rp.

21-Dec 20-May-17 285 Rp. Rp.
21-Dec 5-Sep-17 50 1 Rp.
21-Dec 5-Sep-17 49 Rp.
21-Dec 5-Sep-17 50 1 Rp.
21-Dec 5-Sep-17 49 Rp.
21-Dec 5-Sep-17 50 50 Rp.
Sep-21 9-Mar-17 300 100 Rp. Rp.

Sep-21 9-Mar-17 200 Rp. Rp.
Jan-20 9-Mar-17 350 350 Rp. Rp.
21-Sep 31-May-17 700 300 Rp. Rp.

Sep-21 9-Mar-17 400 Rp. Rp.
9-Nov-17 150 150 Rp.

19-Nov 30-Oct-17 50 50 Rp.
3-Jan 26-Sep-17 54 4 Rp.

19-Jan 26-Sep-17 24 Rp.
20-Apr 30-Oct-17 26 Rp.
19-Jul 25-Jul-27 60 60 Rp.
19-Apr 7-Jul-17 311 120 Rp.

19-Apr 26-Aug-17 200 10 Rp.
19-Oct 26-Aug-17 190 Rp.
Dec/19 30-Nov-17 140 Rp.
Oct/19 30-Nov-17 51 Rp.
Jun/19 30-Nov-17 200 200 Rp.
19-Aug 13-Apr-17 1049 49 Rp. Rp.

22-Feb 3-Jun-17 475 Rp. Rp.
21-Oct 3-Jun-17 525 Rp. Rp.
20-May 7-Apr-17 1200 200 Rp.

21-May 3-Jun-17 125 Rp. Rp.
21-Aug 3-Jun-17 500 Rp. Rp.
21-Sep 3-Jun-17 375 Rp. Rp.
22-Mar 15-Jun-17 1600 Rp. Rp.

22-Jun 26-Oct-17 1000 Rp.
22-Jun 2-Nov-17 12600 10000 Rp.
22-Jan 6-Jun-17 42000 2000 Rp. Rp.

21-Nov 15-Jun-17 5000 Rp. Rp.
22-Jan 6-Jul-17 800 Rp. Rp.
22-Feb 6-Jul-17 4200 Rp. Rp.
22-Jan 18-Jul-17 10000 Rp.
20-Jul 2-Nov-17 1300 Rp.
22-Feb 2-Nov-17 2400 Rp.
22-Feb 2-Nov-17 16300 Rp.
21-Dec 6-Jun-17 25000 2000 Rp. Rp.

20-Jan 6-Jul-17 300 Rp. Rp.
22-Mar 6-Jul-17 500 Rp. Rp.
22-Jan 6-Jul-17 4200 Rp. Rp.
22-Jan 18-Jul-17 8000 Rp.
22-Mar 2-Nov-17 1100 Rp.
22-Apr 2-Nov-17 2900 Rp.
22-Mar 2-Nov-17 6000 Rp.
21-Dec 5-Jun-17 313 213 Rp. Rp.

21-Dec 20-May-17 100 Rp. Rp.
21-Sep 20-May-17 500 240 Rp. Rp.

21-Sep 20-May-17 260 Rp. Rp.
21-May 20-May-17 300 110 Rp. Rp.

21-Dec 30-Aug-17 170 Rp.
22-Mar 30-Aug-17 20 Rp.
21-Aug 22-May-17 100 100 Rp. Rp.

21-May 13-Sep-17 200 200 Rp.
13-Jun-17 50 50 Rp. Rp.
Sep/21 5-Dec-17 200 200 Rp.
Oct/21 5-Dec-17 200 200 Rp.
Mar/22 5-Dec-17 200 200 Rp.
24-Jul-17 1000 1000 Rp.
22-Mar 24-Jul-17 450 150 Rp.

22-Apr 3-Nov-17 17 Rp.
22-May 3-Nov-17 283 Rp.
22-Jun 11-Nov-17 500 20 Rp.

20-Nov 11-Nov-17 480 Rp.
21-May 12-Jun-17 250 250 Rp. Rp.
20-Jul 20-May-17 200 200 Rp. Rp.
21-Aug 20-May-17 200 115 Rp. Rp.

21-Aug 20-May-17 85 Rp. Rp.
21-Oct 20-May-17 600 7 Rp. Rp.

21-Aug 20-May-17 485 Rp. Rp.
21-Oct 20-May-17 108 Rp. Rp.
18-Feb 24-Jul-17 47 20 Rp.

Aug/18 4-Dec-17 27 Rp.
19-Jun 27-Sep-17 3 3 Rp.

22-Apr 9-Nov-17 10 10 Rp.
386069 386069
385,869.00
200.00
10-Apr-17 2 Rp. Rp.
10-Apr-17 4 Rp. Rp.1620
20-May 7-Apr-17 300 Rp.
20-Nov 7-Apr-17 200 Rp.
3-Apr-17 50 Rp.
isetujui,
nstalasi Farmasi
putra, S.Farm., Apt

705 201101 1 010
TOTAL
HARGA
HARGA
PER BOX
6,400 Rp. 1,693,128.41
Rp.
8,470,000.00
Rp. 1,449,998.00
2,702,700 Rp. 8,108,100.00

2,925,000 Rp. 13,513,500.00
2,925,000 37,837,800.00
2,925,000 16,216,200.00
800,978 Rp. 8,009,782.00

850,000 Rp. 14,563,240.00
18,785 Rp. 10,331,997.50

Rp. 9,902,495.88
613,640 Rp. 20,250,120.00

Rp. 4,043,820.00
Rp. 3,359,980.80
Rp. 7,956,750.00
Rp. 1,390,500.00
Rp. 4,557,750.00
Rp. 2,839,565.02
Rp. 3,033,676.80
Rp. 24,269,414.40
Rp.
Rp.
Rp. 3,598,643.40
Rp. 1,799,321.00
Rp.
Rp. 4,698,228.70
Rp. 2,499,058.10
Rp. 3,236,571.80
Rp. 1,808,287.80
Rp. 1,972,677.30
Rp. 164,389.50
Rp. 1,972,677.30
Rp. 1,808,287.80
Rp. 164,389.50
167,699 Rp. 40,247,760.00
106,410 Rp. 2,128,200.00

106,410 Rp. 19,153,800.00
Rp. 493,680.00
Rp. 585,657.25
90,240 Rp. 3,248,643.20
Rp. 4,065,600.00
Rp. 1,626,240.00
Rp. 4,385,391.03
42,113 Rp. 12,633,900.00
67,339 Rp. 16,834,750.00

95,200 Rp. 15,361,091.00
95,200 Rp. 27,707,389.00
83,220 Rp. 6,644,651.00

83,220 Rp. 5,660,258.00
81,650 Rp. 10,100,513.00

Rp. 6,969,600.00
52,500 Rp. 10,395,000.00

Rp. 4,296,326.10
Rp. 3,122,064.00
Rp.
Rp. 1,584,000.00
Rp. 2,594,592.00
Rp.
Rp. 2,900,832.00
Rp. 8,515,980.00
Rp. 1,450,416.00
Rp. 5,430,376.60
Rp.
Rp.
Rp. 14,889,960.00
4,650 Rp. 1,534,500.00
300,000 Rp. 4,500,000.00
300,000 Rp. 1,200,000.00

300,000 Rp. 3,300,000.00
25,500 Rp. 3,493,627.50

Rp. 4,171,159.63
Rp. 2,148,779.20
Rp. 12,494,230.93
Rp. 8,382,000.00
47,091 Rp. 52,162,700.70

47,091 Rp. 25,537,449.00
6,849 Rp. 2,739,875.60

7,700 Rp. 41,098.20
7,700 Rp. 1,671,324.60
1,985,450 Rp. 2,183,999.95

### Rp. 32,759,999.25
Rp. 50,957.50
Rp. 968,192.50
Rp. 5,699,998.00
Rp. 3,899,999.00
365,300 Rp. 6,831,110.00
4,725 Rp. 2,598,999.70
162,000 Rp. 4,050,000.00

Rp. 8,989,970.00
32,861 Rp. 8,181,900.00
Rp. 8,002,500.00
Rp. 4,103,000.00
Rp. 1,908,373.69
Rp. 1,908,373.69
Rp. 1,632,567.09
Rp. 104,206.41
Rp. 5,658,569.08
Rp. 3,501,239.62
Rp. 1,504,030.00
Rp. 750,000.00
14,200 Rp. 1,419,999.90
Rp. 1,237,500.00
14,200 Rp. 1,419,999.90
Rp. 495,000.00
580,363 Rp. 1,276,799.99

580,363 Rp. 11,491,199.87
Rp. 12,767,999.86
553,636 Rp. 73,079,999.52

Rp. 60,899,999.60
599,500 Rp. 389,675.00

545,000 Rp. 1,948,375.00
545,000 Rp. 1,948,375.00
Rp. 329,750.03
Rp. 2,967,750.23
Rp. 318,294.51
Rp. 6,047,595.70
Rp. 2,338,050.00
Rp. 2,338,050.00
Rp. 1,768,302.84
Rp. 3,536,605.67
57,000 Rp. 1,003,200.00
57,000 Rp. 30,346,800.00
57,000 Rp. 1,128,600.00

57,000 Rp. 6,897,000.00
Rp. 20,189,400.00
Rp. 2,633,400.00
Rp. 501,600.00
Rp. 4,760,000.30
Rp. 3,536,605.67
599,500 Rp. 3,896,750.00

Rp. 3,297,500.25
611,636 Rp. 78,717,599.53

611,636 Rp. 2,018,399.99
Rp. 6,992,999.94
Rp. 196,289.87
Rp. 3,729,507.44
Rp. 13,131,191.72
Rp. 7,878,715.03
Rp. 7,878,715.03
Rp. 5,252,476.69
9,000 Rp. 4,900,500.00

9,000 Rp. 5,445,000.00
9,000 Rp. 4,707,450.00
9,000 Rp. 5,192,550.00
9,900 Rp. 5,445,000.00
Rp. 4,619,997.00
Rp. 2,640,000.00
Rp. 3,226,880.04
Rp. 2,007,509.98
Rp. 1,670,922.00
Rp. 13,229,185.69
Rp. 2,526,392.00
Rp. 3,850,000.00
Rp.
Rp. -
20,945 Rp. 737,279.84

20,945 Rp. 3,870,719.16
26,818 Rp. 2,359,999.84
20,927 Rp. 920,799.88
Rp. 1,193,489.36
Rp.
Rp. 638,378.03
Rp. 3,965,500.00
Rp. 3,965,500.00
Rp. 7,364,500.00
Rp. 7,364,500.00
Rp. 7,364,500.00
9,090 Rp. 5,000,000.50
Rp. 3,410,000.00
Rp. 5,801,950.00
Rp. 1,364,000.00
Rp. 8,702,925.00
11,000 Rp. 181,500.00

11,000 Rp. 3,448,500.00
Rp. 53,762.50
Rp. 2,634,362.50
Rp. 30,855.00
Rp. 1,511,895.00
Rp. 5,376,250.00
14,088 Rp. 1,408,863.50

14,088 Rp. 6,056,974.00
17,305 Rp. 2,817,727.00
31,000 Rp. 8,814,168.00

29,380 Rp. 11,752,224.00
Rp. 11,700,000.40
Rp. 10,175,000.00
Rp. 6,864,000.00
Rp. 6,864,000.00
Rp. 7,436,000.00
Rp. 15,873,586.58
Rp. 1,893,102.96
Rp. 196,289.87
Rp. 3,729,507.44
Rp. 8,712,000.00
Rp. 8,712,000.00
Rp. 8,712,000.00
20,500 Rp. 939,207.50

800,000 Rp. 15,200,000.00
800,000 Rp. 16,800,000.00
Rp. 6,719,680.00
800,000 Rp. 4,000,000.00
800,000 Rp. 16,000,000.00
800,000 Rp. 12,000,000.00
7,300 Rp. 2,994,058.58

Rp. 1,999,951.00
Rp. 19,409,207.63
4,600 Rp. 2,433,872.08

5,000 Rp. 5,895,834.52
Rp. 987,833.44
Rp. 5,186,125.56
Rp. 12,249,742.85
Rp. 1,589,959.75
Rp. 2,935,310.30
Rp. 19,935,649.15
5,600 Rp. 2,962,974.71

Rp. 450,967.44
Rp. 751,612.40
Rp. 6,313,544.16
Rp. 11,930,184.35
Rp. 1,637,818.07
Rp. 4,317,884.00
Rp. 8,933,553.10
9,090 Rp. 2,130,000.00

9,090 Rp. 2,870,000.10
25,727 Rp. 6,791,999.50

25,727 Rp. 7,358,000.10
25,727 Rp. 3,113,000.00

Rp. 4,810,999.60
Rp. 565,999.50
33,600 Rp. 1,537,166.40

Rp. 979,999.90
7,100 Rp. 331,925.00
Rp. 1,548,800.00
Rp. 1,548,800.00
Rp. 1,548,800.00
Rp. 500,000.00
Rp. 510,015.00
Rp. 1,020,030.00
Rp. 1,020,030.00
Rp. 5,362,500.00
Rp.
36,300 Rp. 6,806,250.00
15,922 Rp. 3,502,999.50
19,460 Rp. 2,461,690.00

19,460 Rp. 1,819,510.00
26,535 Rp. 204,322.80

26,535 Rp. 14,156,664.50
26,535 Rp. 3,152,411.90
Rp. 5,280,000.00
Rp. 7,128,000.00
Rp. 1,188,000.00
Rp. 1,199,999.90
1,612,680,707.48
Rp. -
72,727 Rp. 72,727.00
Rp. 5,300,988.00
Rp. 2,879,800.00
3,750,000.00
Yang Membuat,
(Sri Hasnah,Amd.Keb)
DISTRIBUTOR KET
PT.ANUGRAH PHARMINDO LESTARI BLUD
PT.ANUGRAH ARGON MEDICA

APBD
PT.DOS NI ROHA BLUD

PT.DOS NI ROHA BLUD
PT. PARIT PADANG GLOBAL BLUD

PT.PARIT PADANG GLOBAL APBD

PT.ANSEVAL PUTERA MEGATRADING APBD

PT.ENSEVAL PUTERA MEGATRADING BLUD
PT.DNR APBD
PT.DOS NI ROHA BLUD-17
PT.DOS NI ROHA BLUD
PT.PARIT PADANG GLOBAL BLUD

PT.PARIT PADANG GLOBAL APBD-17
PT.MILLENNIUM PHARMACON INTERNATIONAL BLUD

PT.ANUGRAH ARGON MEDICA BLUD

PT.ANUGRAH ARGON MEDICA BLUD 17








PT.DANVI MEDILAB PERKASA BLUD

PT.DOS NI ROHA BLUD

PT.DOS NI ROHA BLUD
PT. DANVI MEDILAB PERKASA BLUD

PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
PT.PARIT PADANG GLOBAL BLUD 17


PT.MENSA BINASUKSES BLUD

PT.MENSA BINASUKSES APBD-17
PT.MERAPI UTAMA PHARMA BLUD-17
PT.DNR APBD
PT.DNR APBD



PT.DOS NI ROHA BLUD

PT.DOS NI ROHA BLUD
PT.SURGIKA ALKES BLUD
PT.ANUGRAH ARGON MEDICA APBD
KIMIA FARMA APBD

PT.ANUGRAH PHARMINDO LESTARI EKATALOG
PT.MEDIBEST INDONESIA EKATALOG
PT.DMP BLUD


PT.BINTANG SURIANI JAYA BLUD
PT.BRATACO BLUD
PT.MILLENNIUM PHARMACON INTERNATIONAL APBD
PT.DMP BLUD
PT.DMP BLUD

PT.ENSEVAL PUTERA MEGATRADING APBD








PT.MENSA BINASUKSES
APBD-17
PT.GLOBAL DISPOMEDIKA APBD

PT. PARIT PADANG GLOBAL APBD


PT.AHMADARIS APBD

PT.ALEXA MEDIKA BLUD


PT.MISTI NIAGA MANDIRI BLUD





PT.BRATACO BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD

PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD




PT.ANUGRAH PHARMINDO LESTARI APBD






PT.TIRTA MEDICAL INDONESIA APBD
PT.TIRTA BLUD
PT.DOS NI ROHA BLUD

PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD



PT.DOS NI ROHA BLUD

BLUD
PT.BRATACO BLUD
PT.TIRTA
PT.TIRTA PINJAM
BLUD
Yang Membuat,
NAMA
NO BARANG
BENANG COROLINE 0 CUTTING
142 BENANG PETERS SILK 4/0 CUTTING
BENANG COROLINE 2/0 TAPER
167 ALKACIDE 1 L
168 ALKAZYME SACHET
BENANG COROLINE 2/0 TAPER
POSTOFIX-PU FRM 10 X 25 CM
6 KERTAS PERKAMEN PABEL
60 CLOSE SUCTION NO.14
BENANG COROLINE 4/0 TUPPER
211 INTRAFIX AIR FF 180 CM 60 DRP/ML Y-PC L/L
INTRAFIX PRIMILENE I.S TYP BASIC
89 ALKACIDE 1 L
247 TRYPAN BLUE
166 TRYPAN BLUE
BENANG PLAIN 3/0 CUTTING
182 BISTURI NO.15
INFUSION SET TROGE-2 TRGINF23
126 MASKER KARET
155 CUTICELL CLASSIC 10 CM X 10 CM
HANDSCOOEN LATEX POWDERED S
171 NORTA 2WAY CH.14 (9385)
172 NORTA 2WAY CH.14 (9385)
STARDEC NEBULIZER WITH MASK-6 ML ADULT STANDART
UNIFLEX 2314 3'(4.5 M X 7.50 CM)
UNIFLEX 2314 4'(4.5 M X 10.0 CM)
203 UNIFLEX 2314 4'(4.5 M X 10.0 CM)

231 UNIFLEX 2314 6'(4.5 M X 15 CM)
242 UNIFLEX 2314 6'(4.5 M X 15 CM)
233 UNIFLEX 2314 6'(4.5 M X 15 CM)
234 STOMACH TUBE FR 12
235 KASA PEMBALUT HIDROFIL 4 M X 15 CM
ALKAZYME SACHET
BENANG OPTIME 18S4OG 1
BENANG OPTIME 2/0
3 BENANG OPTIME 3/0
CANNOFIX-PU 6 X 8 cm
2 DISPOSAFE SAFETY BOX 12,5 L
INFUSION SET TROGE-2 TRGINF23
BLOOD SET TERUMO
77 ALKACIDE 1 L
54 ALKACIDE 1 L
BISTURI NO.15
SPINOCAN G25X31/2''
SPINOCAN G26X31/2''
SPUIT TUBERCULIN 1 CC
244 SPUIT 3 CC
189 SPUIT 5 CC
ASKINA FOAM 10 X 10 CM NRC
190 BENANG COROLENE 20210M 5/0 - 2PTRC10ME
BENANG COROLENE 20S20C 3/0 - 2PTRC20CE
191 BENANG FILA PEAU F87003.4/0-2PTR7003E
192 BONE WAX NRC
252 EXTENTATION TUBE NO 150
253 GUDEL NO.3
254 GUDEL NO.4
232 TRO VENOFLOW EX 10 CM
239 SUCTION CATHETER NO. 14
243 SPUIT 10 CC
181 SPUIT 3 CC
ALKOHOL SWAP
23 CATHEJELL 12,5 G
CATHEJELL 12,5 G
62 GUDEL NO 2
63 GUDEL NO.3
HANDRUB 10 BTL @ 500
225 HANDRUB 5 LT
HANDSCRUB 1 BTL @ 5
61 MASKER KARET
130 MASKER KARET
131 MASKER TIE ON
NASAL TUBING 50 MM
HANDSCOOEN 6.5 STERIL

BONE WAX NRC
148 HANDRUB 10 BTL@ 500 ML
HANDRUB 5 LT
149 HANDSCRUB 10 BTL @ 5OO ML
198 IV.CHATETER 22
199 SPUIT 3 CC
16 SPUIT 3 CC
7 SPUIT 3 CC
37 SPUIT 5 CC
SPUIT 5 CC
24 SPUIT 5 CC
120 SPUIT 5 CC
TONG SPATEL KAYU
48 TRANSOFIX
UREOFIX 500 URINE
BLOOD SET TERUMO
135 FEDDING TUBE FR 3,5
FEDDING TUBE FR 8-40
FEEDING TUBE FR 5-40
HANDSCOOEN LATEX POWDERED S
212 INFUS PUMP
213 INFUS PUMP
91 IV.CHATETER 22
STARDEC NEBULIZER WITH MASK-6 ML PEDIATRIC STANDART
BENANG ADVANTIME 2/0 TUPPER

CAVIDAGEL 15 GR
96 CAVIDAGEL 15 GR
PHARMACOLL EXTRA THIN 15 CM X 15 CM
PHARMACOLL THICK 20 CM X 20 CM
184 SUCTION CATHETER NO 8 STARDEC
185 USG MEDY GEL 5 ML
240
107 ASKINA SORB 10 X 10 cm NRC
92 PRONTOSAN WOUND GEL X 30 gr NRC HRGA UBH
PRONTOSAN WOUND GEL X 50 gr NRC
214 SPUIT 10 CC
ALKOHOL SWAP
BENANG CHROMIC GUT 2-0 TUPPER
BENANG CHROMIC GUT 4-0 TUPPER
105 BENANG DEMELENE 5/0 70C 19M C(CUTTING)
BENANG SILKAM 1 TUPPER
BENANG SILKAM 3/0 CUTTING
BENANG SOIE SILK 3/0 TUPPER
132 BLOOD SET
133 BLOOD SET
CERTOFIX DUO V1220 HFNRC
226 CERTOFIX TRIO V720 NRC
227 EXTENTION TUBE 150 CM
228 FILM IV DRESS 6 X 7 S
229
FILM IV DRESS 7 X 8 P
FILTA THERM HMEF

26 FORMALIN 37% @ 10 L
HANDSCOOEN LATEX POWDERED L
HANDSCOOEN TRO-SENSOSURG GLOVES 6.0
245 IV.CHATETER 22
255 IV.CHATETER 22
NASAL CANNULA SOFT ADULT STAR 1820
POVIDON IODIN 10% @ 1 L
103 SOLUTION ADM SET(INFUS SET PUMP)
249 SOLUTION ADM-SET(INFUS SET)/BLOOD SET PUMP
250 SPUIT 10 CC
SPUIT 3 CC
251 SPUIT 3 CC
SPUIT 3 CC
205 SPUIT 5 CC
206 SPUIT 5 CC
207 SPUIT 5 CC
208 TRANSOFIX
209 TRANSOFIX
TREE WAY PENDEK ( TRO-VENOFLOW 3 WAY )
195 VASELIN PUTIH 1 KG
109 ASKINA GEL 15 G

BENANG ADVANTIME 2/0 CUTTING
BENANG SILKAM 3-0 CUTTING
BENANG SILKAM 3-0 CUTTING
154 IV.CHATETER 22
51 IV.CHATETER 22
IV.CHATETER 22
8 MEDIFIX MANOMETER
MEDIFIX W.W.INTRA, MT 100 CM,PL90CM
SUCTION CATHETER. FG.12

164 SEPTALKAN
Menyetujui,
Penanggung Jawab
Pengelola Perbekalan Farmasi
Dismulianti,Amd
19781216 201001 2 009
BARANG M
MERK KEMASAN NO. BATCH
PETERS PCS 23283
PETERS PCS 17197
PETERS PCS 21220
PETERS PCS
BTL 6535N2594630
PACK 16231
PETERS PCS 26267
PCS 20160701
PCS 613/16
PCS 613/16
PCS 618/15
PCS 613/16
BOX/50 PCS
Vital-Cath PCS 67140m
PETERS PCS 23463
B BRAUN PCS 15F03G8662
B BRAUN PCS 15E07K8891
B BRAUN PCS 15M28K8421
BTL 6S35N259-1
HUTANG PCS
B BRAUN PCS L34193-75

B BRAUN PCS 19UMAES BB-15
quincke SPQK2590
BOX 0091PM
TROGE PCS 14577-01
TROGE PCS 14577-01
WIN BOX/50 PCS
UNIFLEX PCS 638158
UNIFLEX PCS 648181
UNIFLEX PCS 704181

TERUMO PCS 160914B
DRC ROLL 20417
PCS 16371
PETERS PCS 20789
PETERS PCS 22127
PETERS PCS 21336
PETERS PCS 22056
PETERS PCS 26547
PETERS PCS 25491
PCS 479/16
PCS 792/16
BOX
TROGE PCS 14577-01
TROGE PCS 14654-01
PCS 613./16
TERUMO PCS 161104
BTL 6S36N259-1
BTL 6S35N25946
BUSTURI BOX 4507921176
B BRAUN BOX/25 pcs 17B03G98217
B BRAUN BOX/25 pcs 16L31GB216
B BRAUN BOX/25 pcs 16F28G86555
B BRAUN BOX/25 pcs 16K01G8655
B BRAUN BOX/25 pcs 16L22G8654
STARDEC BOX/100 pcs 211039686NCZA
STAEDEC PCS 1701020073
TERUMO BOX/100 pcs 170130D
TERUMO BOX/100 pcs 170203M
TERUMO BOX/100 pcs 170131R
B BRAUN BOX A23172DB
BENANG PREMILENE CUTTING 4/0 PCS 27165
BENANG PCS 216221; 216124,216111
TERUMO PCS 05ET150TE
PCS 80-03891930
PCS 80-03891940
TREE WAY PANJANG PCS 14346 01
PCS
TERUMO PCS 170415L
TERUMO PCS 61227M
E CARE BOX/100 PCS 832104
BOX 12221
BOX 12231
PCS OP3/606
PCS 0P3/625
E CARE BOX/ 10BTL 170201E
E CARE BOX/ 10BTL NP161207E
E CARE BTL 170419E
E CARE BTL 170119L
E CARE BTL 170504L
MASKER TALI E CARE BOX/50 PCS 28042017
PCS
PCS
TROGE BOX/50 pcs 14814-01
INFUS SET TROGE PCS 14577 01
PETERS PCS 37287

B BRAUN PCS 216202
PCS 453
E CARE BTL 170203E
E CARE BTL 17032BE
E CARE BTL 170504L
TERUMO PCS 170131SE
TERUMO PCS 161114B
TERUMO PCS 170211M
TERUMO PCS 170301F
TERUMO PCS 170224F
TERUMO PCS 170216R
TERUMO PCS 170417R
TERUMO PCS 170215R
TERUMO PCS 170206C
PCS
B BRAUN PCS 17C09A8141
B BRAUN PCS 16B12E8SUC
BD BOX/100 PCS 7047421
TERUMO BOX/50 PCS 170418b
TERUMO PCS 170209B
TERUMO PCS 170105B
STARDEC PCS 211026093NCZA
STARDEC BOX/100 PCS 211043872NCZB
STARDEC BOX/100 PCS 211026093NCZA
TERUMO BOX/50 PCS 170303SE
PCS 1701020073
PCS 1704020591
PETERS PCS 39771

PETERS PCS 38352
PETERS PCS 37287
B BRAUN PCS
TUBE 70.16
TUBE 70.16
STARDEC PSS 212043872LPZA
PCS 1511/16
PCS 1511/16
PCS 1528/16
PCS 1528/16
PCS 1567/16
GALON 7082402
B BRAUN PCS A17171D

B BRAUN PCS K09163D
B BRAUN PCS 21465
B BRAUN BTL 16493M15
TERUMO PCS 70709L
E CARE PCS 924118

PETERS PCS 39741
PETERS PCS 39741
CODIVEN PCS D7B1107ZX
CODIVEN PCS D7D1780ZX
CODIVEN PCS D7C1507ZX
COVIDEN PCS D7D0022ZX
COVIDEN PCS D6H2069PX
COVIDEN PCS D7C1507ZX
DEMETECH PCS SS237-14
B BRAUN PCS 616374
B BRAUN PCS 616393
B BRAUN PCS 617254
B BRAUN PCS 617276
PETERS PCS 41298
TERUMO PCS 170801
OTSUKA PCS B97C47A
B BRAUN PCS 17F30A8501
B BRAUN PCS
TERUMO PCS 170629B
E CARE PCS 20160920
E CARE PCS 20160920
PCS 1942
BRATACO GALON JT0161/17-1
E-CARE SURGIGLOVE PCS 203029574SPZA
E-CARE SURGIGLOVE PCS 203039524SLZA
E-CARE PCS 219030512LPZA
E-CARE PCS 219030512LPZC
E-CARE PCS 219030512LPZB
TERUMO PCS 170519K
TERUMO PCS 170515K
TERUMO PCS 170523K
TERUMO PCS 170522K
TERUMO PCS 170514SE
TERUMO PCS 170509SE
HUDSON PCS 118230
HUDSON PCS 118311
HUDSON PCS 117208
HUDSON PCS 119127
HUDSON PCS 118230
PCS BC192
PCS BC191
BRATACO BTL
TERUMO PCS 170714B
TERUMO PCS 170528B
TERUMO PCS 170110B
TERUMO PCS 70709B
TERUMO PCS 70829K
TERUMO PCS 7030BF
TERUMO PCS 70308F
TERUMO PCS 70417R
TERUMO PCS 70517C
TERUMO PCS 70417R
B BRAUN PCS 17003A8141
B BRAUN PCS 17E04A8141
TROGE PCS 13958-02
TROGE PCS 14216-01
BRATACO BTL J0733/17
B BRAUN PCS 514031

B BRAUN PCS 42918A
COVIDEN PCS D6J2389ZX
COVIDEN PCS D7B0847FZX
COVIDEN PCS 40049
B BRAUN PCS 615241
B BRAUN PCS 617132
B BRAUN PCS 617276
TROGE PCS 15206-01
TROGE PCS 15240-02
TROGE PCS 15237-03
OTSUKA PCS 19016
OTSUKA PCS 20056
B BRAUN PCS 16M05K8MM1
B BRAUN PCS 17D05K8MM1
B BRAUN PCS 16F09K8381
MPI PCS 1610
MPI PCS 1611
MPI PCS 1704
B BRAUN PCS 16H1138SUA
PETERS PCS 38352

BTL 0S28N23247
asi
Disetujui,
Kepala Instalasi Farmasi
Wijaya Adiputra, S.Farm., Apt

NIP. 19850705 201101 1 010
BARANG MASUK BHP MEDIS
TGL JUMLAH HARGA
ED MASUK TERKECIL TERKECIL
Sep-17 6-Jan-17 6 6 Rp.
Jan-17 6-Jan-17 179 35 Rp.
Jun-17 6-Jan-17 144 144 Rp.
10-Jan-17 42 6 Rp.
Jun-19 9-Mar-17 449 3 Rp.

Jan-19 9-Mar-17 30 10 Rp.
Dec-20 9-Mar-17 36 Rp.
Jul-19 9-Mar-17 650 400 Rp.
Sep-21 9-Mar-17 300 100 Rp.
Sep-21 9-Mar-17 200 Rp.
Jan-20 9-Mar-17 350 350 Rp.
Sep-21 9-Mar-17 400 Rp.
3-Apr-17 50 Rp.
18-Feb 5-Apr-17 20 20 Rp.
20-Oct 7-Apr-17 14 Rp.
20-May 7-Apr-17 1200 200 Rp.
20-May 7-Apr-17 300 Rp.
20-Nov 7-Apr-17 200 Rp.
Jun-19 10-Apr-17 5 Rp.
10-Apr-17 2 Rp.
10-Apr-17 4 Rp.
1-Oct 12-Apr-17 480 180 Rp.
30/6/2021 12-Apr-17 1800 300 Rp.
19-Aug 13-Apr-17 1049 49 Rp.
31-01-2017 19-Apr-17 1250 250 Rp.
21-Aug 12-May-17 4900 900 Rp.
21-Aug 13-May-17 1000 Rp.
13-May-17 4000 Rp.
19-Aug 20-May-17 500 500 Rp.
21-Mar 20-May-17 1600 Rp.
21-Mar 20-May-17 1800 Rp.
21-Nov 20-May-17 11000 Rp.
21-Dec 20-May-17 500 Rp.
21-Oct 20-May-17 300 15 Rp.
21-Dec 20-May-17 285 Rp.
21-Dec 20-May-17 100 Rp.
21-Sep 20-May-17 500 240 Rp.
21-Sep 20-May-17 260 Rp.
21-May 20-May-17 300 110 Rp.
20-Jul 20-May-17 200 200 Rp.
21-Aug 20-May-17 200 115 Rp.
21-Aug 20-May-17 85 Rp.

21-Oct 20-May-17 600 7 Rp.
21-Aug 20-May-17 485 Rp.
21-Oct 20-May-17 108 Rp.
21-Aug 22-May-17 100 100 Rp.
21-Apr 29-May-17 2000 2000 Rp.
19-Jun 31-May-17 20 Rp.
20-Aug 31-May-17 850 250 Rp.
20-Jul 31-May-17 214 Rp.
20-Aug 31-May-17 386 Rp.
20-Sep 31-May-17 200 108 Rp.
21-Feb 31-May-17 92 Rp.
20-Nov 31-May-17 150 150 Rp.
21-Jul 31-May-17 6 Rp.
21-Nov 31-May-17 244 Rp.
31-May-17 200 200 Rp.
21-Aug 31-May-17 951 Rp.
21-Sep 31-May-17 1049 Rp.
21-Sep 31-May-17 700 300 Rp.
19-Apr 2-Jun-17 250 Rp.
19-Jun 3-Jun-17 14 Rp.
19-Aug 3-Jun-17 6 Rp.
21-Jul 3-Jun-17 1500 Rp.
21-Jan 3-Jun-17 1500 400 Rp.
21-Jul 3-Jun-17 1100 Rp.
22-Feb 3-Jun-17 475 Rp.
21-Oct 3-Jun-17 525 Rp.
21-May 3-Jun-17 125 Rp.
21-Aug 3-Jun-17 500 Rp.
21-Sep 3-Jun-17 375 Rp.
22-Mar 5-Jun-17 48400 Rp.
21-Dec 5-Jun-17 313 213 Rp.
21-Dec 6-Jun-17 3000 1000 Rp.
22-Jan 6-Jun-17 42000 2000 Rp.
21-Dec 6-Jun-17 25000 2000 Rp.
7-Jun-17 300 300 Rp.
21-Jun 7-Jun-17 240 240 Rp.
20-May 7-Jun-17 200 20 Rp.
20-Sep 7-Jun-17 180 Rp.
20-Dec 7-Jun-17 300 300 Rp.
4/21;2/21 7-Jun-17 1500 1007 Rp.
12-Jun-17 350 150 Rp.
12-Jun-17 150 50 Rp.
12-Jun-17 20 20 Rp.
21-May 12-Jun-17 250 250 Rp.
13-Jun-17 50 50 Rp.
22-Mar 15-Jun-17 1600 Rp.
21-Nov 15-Jun-17 5000 Rp.
18-Dec 20-Jun-17 100000 50000 Rp.
19-Dec 20-Jun-17 800 50 Rp.
19-Dec 20-Jun-17 750 Rp.
22-Mar 20-Jun-17 100 100 Rp.
22-Mar 20-Jun-17 100 Rp.
20-Feb 20-Jun-17 400 20 Rp.
19-Dec 20-Jun-17 180 Rp.
19-Apr 20-Jun-17 220 120 Rp.
20-Jan 20-Jun-17 120 117 Rp.
20-May 20-Jun-17 3 Rp.
19-Feb 20-Jun-17 14000 1600 Rp.
19-Jan 20-Jun-17 8400 Rp.
20-Apr 20-Jun-17 2000 2000 Rp.
21-Jun-17 12 2 Rp.
21-Jun-17 2 2 Rp.
21-Nov 22-Jun-17 2650 50 Rp.
21-Dec 22-Jun-17 250 Rp.
21-Dec 22-Jun-17 250 Rp.
21-Jun 22-Jun-17 1000 500 Rp.
21-Aug 22-Jun-17 1000 Rp.
22-Mar 27-Jul-17 36 Rp.

21-Apr 3-Jul-17 493 Rp.
21-Apr 19-Jul-17 1000 Rp.
20-Feb 13-Jul-17 200 Rp.
20-Mar 13-Jul-17 100 Rp.
20-May 13-Jul-17 90 90 Rp.
21-Dec 7-Jul-17 2350 300 Rp.
19-Apr 7-Jul-17 311 120 Rp.
22-Jan 6-Jul-17 800 Rp.
22-Feb 6-Jul-17 4200 Rp.
22-Jan 18-Jul-17 10000 Rp.
20-Jan 6-Jul-17 300 Rp.
22-Mar 6-Jul-17 500 Rp.
22-Jan 6-Jul-17 4200 Rp.
22-Jan 18-Jul-17 8000 Rp.
24-Jul-17 1000 1000 Rp.
22-Mar 24-Jul-17 450 150 Rp.
18-Feb 24-Jul-17 47 20 Rp.
22-Feb 30-Aug-17 5000 Rp.
19-Jun 26-Aug-17 330 Rp.
19-Jun 26-Aug-17 170 Rp.
20-Feb 26-Aug-17 100 100 Rp.
20-Mar 26-Aug-17 100 100 Rp.
20-Jan 31-Aug-17 100 94 Rp.
18-Dec 31-Aug-17 6 Rp.
21-Mar 30-Aug-17 32200 Rp.
22-Jun 31-Aug-17 4200 Rp.
21-Mar 31-Aug-17 800 Rp.
19-Apr 26-Aug-17 200 10 Rp.
19-Oct 26-Aug-17 190 Rp.
18-Sep 30-Aug-17 200 200 Rp.
20-Oct 30-Aug-17 200 200 Rp.
22-Feb 26-Aug-17 150 Rp.
21-Dec 30-Aug-17 170 Rp.
22-Mar 30-Aug-17 20 Rp.
22-May 8-Sep-17 83 Rp.

22-May 8-Sep-17 97 Rp.
22-May 8-Sep-17 144 Rp.
18-Oct 4-Sep-17 525 36 Rp.
19-Dec 5-Sep-17 20 1 Rp.
19-Dec 5-Sep-17 19 Rp.
22-Jun 13-Sep-17 10000 Rp.
21-Dec 5-Sep-17 50 1 Rp.
21-Dec 5-Sep-17 49 Rp.
21-Dec 5-Sep-17 50 1 Rp.
21-Dec 5-Sep-17 49 Rp.
21-Dec 5-Sep-17 50 50 Rp.
3-Jan 26-Sep-17 54 4 Rp.
19-Jan 26-Sep-17 24 Rp.
21-May 13-Sep-17 200 200 Rp.
19-Jun 27-Sep-17 3 3 Rp.
20-Jan 30-Oct-17 50 50 Rp.

19-Nov 30-Oct-17
21-Dec 30-Oct-17 48 48 Rp.
19-Nov 30-Oct-17 50 50 Rp.
20-Apr 30-Oct-17 26 Rp.
22-Jun 26-Oct-17 1000 Rp.
19-Apr 23-Nov-17 50000 Rp.

22-May 2-Nov-17 360 206 Rp.
22-Mar 2-Nov-17 36 Rp.
20-Feb 1-Nov-17 252 72 Rp.
20-Feb 11-Nov-17 3 Rp.
20-Feb 11-Nov-17 33 Rp.
Feb/20 30-Nov-17 94 Rp.
20-Apr 1-Nov-17 72 72 Rp.
20-Mar 1-Nov-17 144 33 Rp.
19-Oct 1-Nov-17 36 Rp.
19-Oct 1-Nov-17 3 Rp.
Apr/20 30-Nov-17 36 Rp.
Aug/21 30-Nov-17 33 Rp.
Mar/20 30-Nov-17 3 Rp.
19-Sep 23-Nov-17 48 48 Rp.
21-Sep 3-Nov-17 72 7 Rp.
2-Sep 3-Nov-17 65 Rp.
22-Apr 3-Nov-17 9 Rp.
22-Jul 3-Nov-17 63 Rp.
Sep/21 30-Nov-17 72 Rp.
22-Aug 2-Nov-17 360 360 Rp.
Jan/22 30-Nov-17 2350 1000 Rp.
Jul/22 30-Nov-17 600 Rp.
22-Jun 8-Nov-17 6 6 Rp.
10-Nov-17 6 6 Rp.
May/22 30-Nov-17 200 Rp.
19-Sep 23-Nov-17 2000 2000 Rp.
Rp.
19-Sep 23-Nov-17 500 500
Rp.
8-Nov-17 10 10
13-Nov-17 1 1 Rp.
21-Oct 2-Nov-17 50 Rp.
22-Jun 2-Nov-17 450 Rp.
21-Aug 23-Nov-17 50 Rp.
22-Apr 23-Nov-17 950 Rp.
21-Aug 23-Nov-17 5000 5000 Rp.
21-Aug 23-Nov-17 60000 10000 Rp.
21-Aug 23-Nov-17 70000 10000 Rp.
22-Jun 2-Nov-17 500 Rp.
Oct/19 30-Nov-17 4500 2000 Rp.
Oct/19 30-Nov-17 1200 Rp.
Oct/19 30-Nov-17 500 Rp.
Oct/19 30-Nov-17 800 Rp.
Feb/22 30-Nov-17 200 Rp.
Apr/22 30-Nov-17 1000 Rp.
20-Nov-17 1000 75 Rp.
20-Nov-17 100 Rp.
- 23-Nov-17 40 Rp.
- 23-Nov-17 100 Rp.
- 23-Nov-17 185 Rp.
8-Nov-17 10 Rp.
8-Nov-17 15 15 Rp.
9-Nov-17 150 150 Rp.
Dec/19 30-Nov-17 140 Rp.
Oct/19 30-Nov-17 51 Rp.
Jun/19 30-Nov-17 200 200 Rp.
22-Jun 2-Nov-17 12600 10000 Rp.
20-Jul 2-Nov-17 1300 Rp.
22-Feb 2-Nov-17 2400 Rp.
22-Feb 2-Nov-17 16300 Rp.
22-Mar 2-Nov-17 1100 Rp.
22-Apr 2-Nov-17 2900 Rp.
22-Mar 2-Nov-17 6000 Rp.
22-Apr 3-Nov-17 17 Rp.
22-May 3-Nov-17 283 Rp.
22-Jun 11-Nov-17 500 20 Rp.
20-Nov 11-Nov-17 480 Rp.
22-Apr 9-Nov-17 10 10 Rp.
Jun/19 4-Dec-17 50 50 Rp.

Jul/22 6-Dec-17 118 Rp.
Sep/19 5-Dec-17 50 Rp.
Feb/20 5-Dec-17 72 Rp.
Jun/22 5-Dec-17 180 Rp.
Sep/21 5-Dec-17 36 Rp.
Jun/20 7-Dec-17 36 Rp.
Mar/22 7-Dec-17 72 Rp.
Jul/22 7-Dec-17 21 Rp.
Jun/22 5-Dec-17 300 Rp.
Jun/22 5-Dec-17 300 Rp.
May/22 5-Dec-17 200 Rp.
Jan/21 21-Dec-17 117 Rp.
May/21 21-Dec-17 383 Rp.
Nov/21 7-Dec-17 6 4 Rp.
Apr/22 7-Dec-17 2 Rp.
Jun/18 7-Dec-17 6 6 Rp.
Sep/21 5-Dec-17 200 200 Rp.
Oct/21 5-Dec-17 200 200 Rp.
Mar/22 5-Dec-17 200 200 Rp.
Aug/18 4-Dec-17 27 Rp.
22-Mar 25-Jul-27 396 36 Rp.

19-Jul 25-Jul-27 60 60 Rp.
isetujui,
nstalasi Farmasi
putra, S.Farm., Apt

705 201101 1 010
TOTAL
HARGA
HARGA
TERKECIL
82,280 Rp. 493,680.00
116,160 Rp. 4,065,600.00
48,400 Rp. 6,969,600.00
Rp. 585,657.25
97,610
2,702,700 Rp. 8,108,100.00
800,978 Rp. 8,009,782.00
90,240 Rp. 3,248,643.20
6,850 Rp. 2,739,875.60
14,089 Rp. 1,408,863.50
30,285 Rp. 6,056,974.00
8,052 Rp. 2,817,727.00
29,381 Rp. 11,752,224.00
75,000.00 3,750,000.00
341,555.50 Rp. 6,831,110.00
116,160 Rp. 1,626,240.00
33,598.40 Rp. 6,719,680.00
17,669.96 Rp. 5,300,988.00
14,399.00 Rp. 2,879,800.00
2,702,700 Rp. 13,513,500.00
Rp. -
72,727 Rp. 72,727.00
57,750 Rp. 10,395,000.00
5,115 Rp. 1,534,500.00
19,167.50 Rp. 939,207.50
16,200 Rp. 4,050,000.00
5,445 Rp. 4,900,500.00
5,445 Rp. 5,445,000.00
590.00 Rp. 2,359,999.84
5,198 Rp. 2,598,999.70
627 Rp. 1,003,200.00
627 Rp. 1,128,600.00
627 Rp. 6,897,000.00
10,000 Rp. 5,000,000.50
12,100.00 Rp. 181,500.00
12,100.00 Rp. 3,448,500.00
28,700 Rp. 2,870,000.10
28,300 Rp. 6,791,999.50
28,300 Rp. 7,358,000.10
28,300 Rp. 3,113,000.00
17,515.00 Rp. 3,502,999.50
21,406.00 Rp. 2,461,690.00
21,406.00 Rp. 1,819,510.00

29,188.97 Rp. 204,322.80
29,189.00 Rp. 14,156,664.50
29,189.00 Rp. 3,152,411.90
15,371.66 Rp. 1,537,166.40
3,800 Rp. -
728,162 Rp. 14,563,240.00
67,339 Rp. 16,834,750.00
71,781 Rp. 15,361,091.00
71,781 Rp. 27,707,389.00
61,525 Rp. 6,644,651.00
61,525 Rp. 5,660,258.00
67,337 Rp. 10,100,513.00
7,700 Rp. 41,098.20
7,700 Rp. 1,671,324.60
32,861 Rp. 8,181,900.00
4,950 Rp. 4,707,450.00
4,950 Rp. 5,192,550.00
31,000 Rp. 8,814,168.00
13,974.51 Rp. 3,493,627.50
2,702,700 37,837,800.00
2,702,700 16,216,200.00
3,000 Rp. 4,500,000.00
3,000 Rp. 1,200,000.00
3,000 Rp. 3,300,000.00
32,000 Rp. 15,200,000.00
32,000 Rp. 16,800,000.00
32,000 Rp. 4,000,000.00
32,000 Rp. 16,000,000.00
32,000 Rp. 12,000,000.00
627 Rp. 30,346,800.00
10,000 Rp. 2,130,000.00
1,693 Rp. 1,693,128.41
1,217 Rp. 2,433,872.08
1,481 Rp. 2,962,974.71
67,500.40 Rp. 20,250,120.00
46,324 Rp. 40,247,760.00
46,324 Rp. 2,128,200.00
46,324 Rp. 19,153,800.00
46,324 Rp. 12,633,900.00
51,800.10 Rp. 52,162,700.70
53,350 Rp. 8,002,500.00
24,750 Rp. 1,237,500.00
24,750 Rp. 495,000.00
27,225 Rp. 6,806,250.00
6,638.50 Rp. 331,925.00
1,871 Rp. 2,994,058.58
1,179 Rp. 5,895,834.52
207 Rp. 10,331,997.50
43,680 Rp. 2,183,999.95
43,680 Rp. 32,759,999.25
14,200 Rp. 1,419,999.90
14,200 Rp. 1,419,999.90
63,840 Rp. 1,276,799.99
63,840 Rp. 11,491,199.87
609,000 Rp. 73,079,999.52
672,800 Rp. 78,717,599.53
672,800 Rp. 2,018,399.99
461 Rp. 737,279.84
461 Rp. 3,870,719.16
460 Rp. 920,799.88
1,705,000 Rp. 3,410,000.00
682,000 Rp. 1,364,000.00
7,794 Rp. 389,675.00
7,793.50 Rp. 1,948,375.00
7,793.50 Rp. 1,948,375.00
7,794 Rp. 3,896,750.00
5,445 Rp. 5,445,000.00
84,268.80 Rp. 3,033,676.80

51,800 Rp. 25,537,449.00
8,989.97 Rp. 8,989,970.00
63,840 Rp. 12,767,999.86
609,000.00 Rp. 60,899,999.60
77,700.00 Rp. 6,992,999.94
10,756.27 Rp. 3,226,880.04
15,775.86 Rp. 1,893,102.96
1,234.79 Rp. 987,833.44
1,234.79 Rp. 5,186,125.56
1,224.97 Rp. 12,249,742.85
1,503.22 Rp. 450,967.44
1,503.22 Rp. 751,612.40
1,503.22 Rp. 6,313,544.16
1,491.27 Rp. 11,930,184.35
500 Rp. 500,000.00
3,400.10 Rp. 510,015.00
264,000 Rp. 5,280,000.00
1,694.0 Rp. 8,470,000.00
12,639.88 Rp. 4,171,159.63
12,639.88 Rp. 2,148,779.20
19,083.74 Rp. 1,908,373.69
19,083.74 Rp. 1,908,373.69
17,367.74 Rp. 1,632,567.09
17,367.74 Rp. 104,206.41
627 Rp. 20,189,400.00
627 Rp. 2,633,400.00
627 Rp. 501,600.00
19,628.99 Rp. 196,289.87
19,628.99 Rp. 3,729,507.44
23,100.0 Rp. 4,619,997.00
13,200.0 Rp. 2,640,000.00
13,383.40 Rp. 2,007,509.98
28,300.00 Rp. 4,810,999.60
28,299.98 Rp. 565,999.50
74,905.60 Rp. 24,269,414.40

- Rp.
- Rp.
44,000.00 Rp. 1,584,000.00
50,957.50 Rp. 50,957.50
50,957.50 Rp. 968,192.50
476.00 Rp. 4,760,000.30
53,762.50 Rp. 53,762.50
53,762.50 Rp. 2,634,362.50
30,855.00 Rp. 30,855.00
30,855.00 Rp. 1,511,895.00
107,525.00 Rp. 5,376,250.00
228,800.00 Rp. 6,864,000.00
228,800.00 Rp. 6,864,000.00
4,900.00 Rp. 979,999.90
396,000 Rp. 1,188,000.00
28,999.96 Rp. 1,449,998.00
69,999.60 Rp. 3,359,980.80

203,500.00 Rp. 10,175,000.00
286,000.00 Rp. 7,436,000.00
1,999.95 Rp. 1,999,951.00
198.05 Rp. 9,902,495.88

38,625.00 Rp. 7,956,750.00
38,625.00 Rp. 1,390,500.00
49,981.16 Rp. 3,598,643.40
49,981.14 Rp. 1,799,321.00
- Rp.
49,981.16 Rp. 4,698,228.70
44,952.39 Rp. 3,236,571.80
54,796.60 Rp. 1,808,287.80
54,796.59 Rp. 1,972,677.30
54,796.50 Rp. 164,389.50
54,796.59 Rp. 1,972,677.30
54,796.60 Rp. 1,808,287.80
54,796.50 Rp. 164,389.50
22,840.58 Rp. 4,385,391.03
43,362.00 Rp. 3,122,064.00
- Rp.
36,036.00 Rp. 2,594,592.00
- Rp.
40,289.33 Rp. 2,900,832.00
41,361.00 Rp. 14,889,960.00
12,494.23 Rp. 12,494,230.93
13,970.00 Rp. 8,382,000.00
949,999.67 Rp. 5,699,998.00
649,999.83 Rp. 3,899,999.00
20,515.00 Rp. 4,103,000.00
2,829.28 Rp. 5,658,569.08
Rp. 3,501,239.62
7,002.48
Rp. 1,504,030.00
150,403.00
750,000.00 Rp. 750,000.00
6,595.00 Rp. 329,750.03
6,595.00 Rp. 2,967,750.23
6,365.89 Rp. 318,294.51
6,365.89 Rp. 6,047,595.70
353.66 Rp. 1,768,302.84
353.66 Rp. 3,536,605.67
353.66 Rp. 3,536,605.67
6,595.00 Rp. 3,297,500.25
6,565.60 Rp. 13,131,191.72
6,565.60 Rp. 7,878,715.03
15,757.43 Rp. 7,878,715.03
6,565.60 Rp. 5,252,476.69
8,354.61 Rp. 1,670,922.00
13,229.19 Rp. 13,229,185.69
22,660.00 Rp. 3,965,500.00
22,660.00 Rp. 3,965,500.00
22,660.00 Rp. 7,364,500.00
22,660.00 Rp. 7,364,500.00
22,660.00 Rp. 7,364,500.00
580,195.00 Rp. 5,801,950.00
580,195.00 Rp. 8,702,925.00
78,000.00 Rp. 11,700,000.40
22,281.33 Rp. 8,712,000.00
22,281.33 Rp. 8,712,000.00
22,281.33 Rp. 8,712,000.00
1,940.92 Rp. 19,409,207.63
1,223.05 Rp. 1,589,959.75
1,223.05 Rp. 2,935,310.30
1,223.05 Rp. 19,935,649.15
1,488.93 Rp. 1,637,818.07
1,488.93 Rp. 4,317,884.00
1,488.93 Rp. 8,933,553.10
3,091.00 Rp. 1,020,030.00
3,091.00 Rp. 1,020,030.00
10,725.00 Rp. 5,362,500.00
- Rp.
119,999.99 Rp. 1,199,999.90
80,876.40 Rp. 4,043,820.00

91,155.00 Rp. 4,557,750.00
49,981.16 Rp. 2,499,058.10
59,671.20 Rp. 4,296,326.10
47,311.00 Rp. 8,515,980.00
40,289.33 Rp. 1,450,416.00
42,095.94 Rp. 5,430,376.60
- Rp.
- Rp.
7,793.50 Rp. 2,338,050.00
7,793.50 Rp. 2,338,050.00
12,631.96 Rp. 2,526,392.00
7,700.00 Rp. 3,850,000.00
- Rp.
198,914.89 Rp. 1,193,489.36
- Rp.
106,396.34 Rp. 638,378.03
7,744.00 Rp. 1,548,800.00
7,744.00 Rp. 1,548,800.00
7,744.00 Rp. 1,548,800.00
264,000.00 Rp. 7,128,000.00
78,876.81 Rp. 2,839,565.02

264,559.78 Rp. 15,873,586.58
Yang Membuat,
DISTRIBUTOR KET

BLUD
PT.TIRTA
PT.TIRTA PINJAM
KIMIA FARMA APBD
PT.GLOBAL DISPOMEDIKA APBD
PT. PARIT PADANG GLOBAL APBD
PT.ALEXA MEDIKA BLUD

PT.AHMADARIS APBD
PT.MEDIBEST INDONESIA EKATALOG
PT.DNR APBD
PT.DNR APBD
PT.DMP BLUD
PT.DMP BLUD
PT.DMP BLUD
PT.TIRTA MEDICAL INDONESIA APBD

PT.DNR APBD
PT.TIRTA BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD

PT. DANVI MEDILAB PERKASA BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
BLUD
PT.DOS NI ROHA BLUD

PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD

PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
PT.ENSEVAL PUTERA MEGATRADING
BLUD
PT.BINTANG SURIANI JAYA
BLUD
PT.BRATACO BLUD
PT.BRATACO BLUD
PT.DOS NI ROHA BLUD
PT.DOS NI ROHA BLUD
PT.BRATACO BLUD



Yang Membuat,

Barang Masuk BHP Bpkad

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BARANG M

No Nama Barang Tanggal Masuk

PT.MILLENIUM PHARMACON INTERNATIONAL

142 SPUIT TUBERCULIN 1 CC

167 AKSINA DERM 10 X 12 cm NRC

89 ASKINA FOAM 10 X 10 CM NRC

182 BENANG ADVANTIME 2/0 CUTTING

124 BENANG ADVANTIME 2/0 TUPPER

169 BENANG CHROMIC GUT 2-0 TUPPER

170 BENANG CHROMIC GUT 3-0 TUPPER

203 BENANG CHROMIC GUT 4-0 TUPPER

80 BENANG COROLENE 20210M 5/0 - 2PTRC10ME

78 BENANG COROLENE 20S20C 3/0 - 2PTRC20CE

3 BENANG COROLINE 0 CUTTING

17 BENANG COROLINE 4/0 TUPPER

77 BENANG DEMELENE 5/0 70C 19M C(CUTTING)

55 BENANG OPTIME 18S4OG 1

58 BENANG OPTIME 2/0

4 BENANG OPTIME 3/0

244 BENANG PLAIN 3/0 CUTTING

190 BENANG SILKAM 1 TUPPER

191 BENANG SILKAM 3/0 CUTTING

23 BENANG SOIE SILK 3/0 TUPPER

230 BLOOD SET TERUMO

108 BONE WAX NRC

199 CERTOFIX DUO V1220 HFNRC

24 DARYANT TULLE STERILE

48 DISPOSAFE SAFETY BOX 12,5 L

82 EXTENTATION TUBE NO 150

136 FEDDING TUBE FR 8-40

145 FEEDING TUBE FR 5-40

212 FILM IV DRESS 6 X 7 S

96 HANDRUB 10 BTL @ 500

217 HANDSCOOEN 6.5 STERIL

214 HANDSCOOEN LATEX POWDERED L

216 HANDSCOOEN LATEX POWDERED S

183 HANDSCOOEN TRO-SENSOSURG GLOVES 6.0

129 HANDSCRUB 10 BTL @ 5OO ML

132 INFUS PUMP

226 INFUS SET TEREFUSION SOL ADM

26 INFUSION SET TROGE-2 TRGINF23

144 IV.CHATETER 18 MERK INSYTE

21 KASA PEMBALUT HIDROFIL 4 M X 15 CM

103 MASKER TIE ON

249 MEDIFIX MANOMETER

251 MEDIFIX W.W.INTRA, MT 100 CM,PL90CM

205 NASAL CANNULA SOFT ADULT STAR 1820

195 NASAL TUBING 100 MM

194 NASAL TUBING 50 MM

39 NORTA 2WAY CH.14 (9385)

164 POVIDON IODIN 10% @ 1 L

161 PRONTOSAN WOUND GEL X 50 gr NRC

221 SOLUTION ADM SET(INFUS SET PUMP)

18 SOLUTION ADM-SET(INFUS SET)/BLOOD SET PUMP

72 STARDEC NASAL OXYGEN CANULA CHILD

33 STARDEC NEBULIZER WITH MASK-6 ML ADULT STANDART

30 STARDEC NEBULIZER WITH MASK-6 ML PEDIATRIC STANDART

140 STOMACH TUBE FR 12

187 TREE WAY PENDEK ( TRO-VENOFLOW 3 WAY )

201 UNIFLEX 2314 3'(4.5 M X 7.50 CM)

81 UNIFLEX 2314 4'(4.5 M X 10.0 CM)

41 UNIFLEX 2314 6'(4.5 M X 15 CM)

44 UREOFIX 500 URINE