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PAKET OK VIP

NO OBAT/ALKES JUMLAH SATUAN HARGA NETTO PPN HJA TOTAL HARGA


1 BLOODSET TERUMO 1 19800 25,245 26,245
2 DIAZOLE INFUS 1 16500 21,038 22,038
3 FOLLEY CATHETER 18 1 14740 18,794 19,794
4 GAMMEX 6.5 2 22000 28,050 57,100
5 GAMMEX 7 4 22000 28,050 113,200
6 GAMMEX 7.5 2 22000 28,050 57,100
7 GAMMEX 8 1 22000 28,050 29,050
8 MASKER TALI 6 440 561 4,366
9 SANBE NS 1 18370 23,422 24,422
10 SANBE RD 1 19745 25,175 26,175
11 SANBE RL 3 18810 23,983 72,948
12 SPUIT 1 CC 1 781 996 1,996
13 SPUIT 3 CC 5 781 996 5,979
14 SPUIT 5 CC 3 825 1,052 4,156
15 SPUIT 10 CC 2 1210 1,543 4,086
16 URINE BAG 1 6600 8,415 9,415
17 IV CATH 18 REMEDI 1 7150 9,116 10,116
18 PAMPERS DR.PL 1 10313 13,149 14,149
19 UNDERPAD 1 4950 6,311 7,311
20 WASHLAP 2 3000 3,825 8,650
21 NASAL CANUL DEWASA 1 13750 17,531 18,531
22 AQUABIDES 20 ML 1 6050 7,714 8,714
23 BIOSYN 3-0 1 162800 207,570 208,570
24 BISTURI 23 1 4290 5,470 6,470
25 KLIRAN INJ 1 29150 37,166 38,166
26 CHROMIC 2 APEX TAPER 2 64900 82,748 166,495
27 INDEXON INJ 2 12100 15,428 31,855
28 TORAMINE INJ 3 41800 53,295 160,885
29 POSPARGIN INJ 2 7150 9,116 19,233
30 OPIMOX INJ 2 28600 36,465 73,930
31 SALTICIN INJ 2 22440 28,611 58,222
32 PLAIN GUT 1 APEX 2 60500 77,138 155,275
33 SURGION 1 CUTTING 1 90200 115,005 116,005
34 SULFAS ATROPIN INJ 1 2200 2,805 3,805
35 INDUXIN INJ 3 9350 11,921 36,764
36 FENTANYL INJ 1 48400 61,710 62,710
37 PENCUKUR 1 6860 8,747 9,747
38 DUROGESIC 12 1 125400 159,885 160,885
39 SPINOCAN 26 1 41250 52,594 53,594
40 BETADINE 300 CC - 1,000
41 KASSA X RAY 10X10 20 PC 27000 34,425 689,500
42 KASA POLOS 10X20 10 PC 13950 17,786 178,863
43 KASA POLOS 5X5 10 PC 17050 21,739 218,388
44 HYPAFIX 30 CM 162800 207,570 6,228,100
45 JELLY Q-WAY DC 5 GRAM #VALUE! #VALUE!
46 HANDSCOON DISPOSIBLE 5 PASANG 1080 1,377 7,885
47 BOLDUN PC -
48 CAUTER 1X -
49 NETRAL PLAT 1X -
50 SEFOFLURAN 30CC/JAM -
51 JELLY QWAY ETT/LMA 10 GR -
52 LMA 1X -
53 ETT 1X -
54 PLESTER 10 CM -
192,500
648,000 27,000
334,800 13,950 KALTROFEN SUP 2 BOX
PREMASTON TAB 3 BOX
162,800 PANTOPRAZOL 40 INJ 10 VIAL
LIKURMIN SYR 4 BOTOL

110,000
60,000
PAKET OK 1

NO OBAT/ALKES JUMLAH SATUAN HARGA NETTO PPN HJA TOTAL HARGA


1 BLOODSET TERUMO 1 19800 25,245 26,245
2 DIAZOLE INFUS 1 16500 21,038 22,038
3 FOLLEY CATHETER 18 1 14740 18,794 19,794
4 GAMMEX 6.5 2 22000 28,050 57,100
5 GAMMEX 7 4 22000 28,050 113,200
6 GAMMEX 7.5 2 22000 28,050 57,100
7 GAMMEX 8 1 22000 28,050 29,050
8 MASKER TALI 6 440 561 4,366
9 SANBE NS 1 18370 23,422 24,422
10 SANBE RD 1 19745 25,175 26,175
11 SANBE RL 3 18810 23,983 72,948
12 SPUIT 1 CC 1 781 996 1,996
13 SPUIT 3 CC 5 781 996 5,979
14 SPUIT 5 CC 3 825 1,052 4,156
15 SPUIT 10 CC 2 1210 1,543 4,086
16 URINE BAG 1 6600 8,415 9,415
17 IV CATH 18 REMEDI 1 7150 9,116 10,116
18 PAMPERS DR.PL 1 10313 13,149 14,149
19 UNDERPAD 1 4950 6,311 7,311
20 WASHLAP 2 3000 3,825 8,650
21 NASAL CANUL DEWASA 1 13750 17,531 18,531
22 AQUABIDES 20 ML 1 6050 7,714 8,714
23 BISTURI 23 1 4290 5,470 6,470
24 KLIRAN INJ 1 29150 37,166 38,166
25 CHROMIC 2 APEX TAPER 2 64900 82,748 166,495
26 INDEXON INJ 2 12100 15,428 31,855
27 TORAMINE INJ 3 41800 53,295 160,885
28 POSPARGIN INJ 2 7150 9,116 19,233
29 OPIMOX INJ 2 28600 36,465 73,930
30 SALTICIN INJ 2 22440 28,611 58,222
31 PLAIN GUT 1 APEX 2 60500 77,138 155,275
32 SURGION 1 CUTTING 1 90200 115,005 116,005
33 SULFAS ATROPIN INJ 1 2200 2,805 3,805
34 INDUXIN INJ 3 9350 11,921 36,764
35 FENTANYL INJ 1 48400 61,710 62,710
36 PENCUKUR 1 6860 8,747 9,747
37 DUROGESIC 12 1 125400 159,885 160,885
38 SPINOCAN 26 1 41250 52,594 53,594
39 BETADINE 300 CC - 1,000
40 KASSA X RAY 10X10 20 PC 33000 42,075 842,500
41 KASA POLOS 10X10 10 PC 17050 21,739 218,388
42 KASA POLOS 5X5 10 PC 17050 21,739 218,388
43 HYPAFIX 30 CM 162800 207,570 6,228,100
44 JELLY Q-WAY DC 5 GRAM - 1,000
45 HANDSCOON DISPOSIBLE 5 PASANG 1080 1,377 7,885
46 BOLDUN PC -
47 CAUTER 1X -
48 NETRAL PLAT 1X -
49 SEFOFLURAN 30CC/JAM -
50 JELLY QWAY ETT/LMA 10 GR -
51 LMA 1X -
52 ETT 1X -
53 PLESTER 10 CM -
PAKET OK 2

NO OBAT/ALKES JUMLAH SATUAN HARGA NETTO PPN HJA TOTAL HARGA


1 BLOODSET TERUMO 1 19800 25,245 26,245
2 DIAZOLE INFUS 1 16500 21,038 22,038
3 FOLLEY CATHETER 18 1 14740 18,794 19,794
4 GAMMEX 6.5 2 22000 28,050 57,100
5 GAMMEX 7 4 22000 28,050 113,200
6 GAMMEX 7.5 2 22000 28,050 57,100
7 GAMMEX 8 1 22000 28,050 29,050
8 MASKER TALI 6 440 561 4,366
9 SANBE NS 1 18370 23,422 24,422
10 SANBE RD 1 19745 25,175 26,175
11 SANBE RL 3 18810 23,983 72,948
12 SPUIT 1 CC 1 781 996 1,996
13 SPUIT 3 CC 5 781 996 5,979
14 SPUIT 5 CC 3 825 1,052 4,156
15 SPUIT 10 CC 2 1210 1,543 4,086
16 URINE BAG 1 6600 8,415 9,415
17 IV CATH 18 REMEDI 1 7150 9,116 10,116
18 PAMPERS DR.PL 1 10313 13,149 14,149
19 UNDERPAD 1 4950 6,311 7,311
20 WASHLAP 2 3000 3,825 8,650
21 NASAL CANUL DEWASA 1 13750 17,531 18,531
22 AQUABIDES 20 ML 1 6050 7,714 8,714
23 BISTURI 23 1 4290 5,470 6,470
24 KLIRAN INJ 1 29150 37,166 38,166
25 CHROMIC 2 APEX TAPER 2 64900 82,748 166,495
26 INDEXON INJ 2 12100 15,428 31,855
27 TORAMINE INJ 3 41800 53,295 160,885
28 POSPARGIN INJ 2 7150 9,116 19,233
29 OPIMOX INJ 2 28600 36,465 73,930
30 SALTICIN INJ 2 22440 28,611 58,222
31 PLAIN GUT 1 APEX 2 60500 77,138 155,275
32 SURGION 1 CUTTING 1 90200 115,005 116,005
33 SULFAS ATROPIN INJ 1 2200 2,805 3,805
34 INDUXIN INJ 3 9350 11,921 36,764
35 FENTANYL INJ 1 48400 61,710 62,710
36 PENCUKUR 1 6860 8,747 9,747
37 SPINOCAN 26 1 41250 52,594 53,594
38 BETADINE 300 CC - 1,000
39 KASSA X RAY 10X10 20 PC 33000 42,075 842,500
40 KASA POLOS 10X10 10 PC 17050 21,739 218,388
41 KASA POLOS 5X5 10 PC 17050 21,739 218,388
42 HYPAFIX 30 CM 162800 207,570 6,228,100
43 JELLY Q-WAY DC 5 GRAM - 1,000
44 HANDSCOON DISPOSIBLE 5 PASANG 1080 1,377 7,885
45 BOLDUN PC -
46 CAUTER 1X -
47 NETRAL PLAT 1X -
48 SEFOFLURAN 30CC/JAM -
49 JELLY QWAY ETT/LMA 10 GR -
50 LMA 1X -
51 ETT 1X -
52 PLESTER 10 CM -
PAKET OK 3

NO OBAT/ALKES JUMLAH SATUAN HARGA NETTO PPN HJA TOTAL HARGA


1 BLOODSET TERUMO 1 19800 25,245 26,245
2 DIAZOLE INFUS 1 16500 21,038 22,038
3 FOLLEY CATHETER 18 1 14740 18,794 19,794
4 GAMMEX 6.5 2 22000 28,050 57,100
5 GAMMEX 7 4 22000 28,050 113,200
6 GAMMEX 7.5 2 22000 28,050 57,100
7 GAMMEX 8 1 22000 28,050 29,050
8 MASKER TALI 6 440 561 4,366
9 SANBE NS 1 18370 23,422 24,422
10 SANBE RD 1 19745 25,175 26,175
11 SANBE RL 3 18810 23,983 72,948
12 SPUIT 1 CC 1 781 996 1,996
13 SPUIT 3 CC 5 781 996 5,979
14 SPUIT 5 CC 3 825 1,052 4,156
15 SPUIT 10 CC 2 1210 1,543 4,086
16 URINE BAG 1 6600 8,415 9,415
17 IV CATH 18 REMEDI 1 7150 9,116 10,116
18 PAMPERS DR.PL 1 10313 13,149 14,149
19 UNDERPAD 1 4950 6,311 7,311
20 WASHLAP 2 3000 3,825 8,650
21 NASAL CANUL DEWASA 1 13750 17,531 18,531
22 AQUABIDES 20 ML 1 6050 7,714 8,714
23 BISTURI 23 1 4290 5,470 6,470
24 KLIRAN INJ 1 29150 37,166 38,166
25 CHROMIC 2 APEX TAPER 2 64900 82,748 166,495
26 INDEXON INJ 2 12100 15,428 31,855
27 KETOROLAC INJ 3 16038 20,448 62,345
28 POSPARGIN INJ 2 7150 9,116 19,233
29 OPIMOX INJ 2 28600 36,465 73,930
30 SALTICIN INJ 2 22440 28,611 58,222
31 PLAIN GUT 1 APEX 2 60500 77,138 155,275
32 SURGION 1 CUTTING 1 90200 115,005 116,005
33 SULFAS ATROPIN INJ 1 2200 2,805 3,805
34 INDUXIN INJ 3 9350 11,921 36,764
35 FENTANYL INJ 1 48400 61,710 62,710
36 PENCUKUR 1 6860 8,747 9,747
37 SPINOCAN 26 1 41250 52,594 53,594
38 BETADINE 300 CC - 1,000
39 KASSA X RAY 10X10 20 PC 33000 42,075 842,500
40 KASA POLOS 10X10 10 PC 17050 21,739 218,388
41 KASA POLOS 5X5 10 PC 17050 21,739 218,388
42 HYPAFIX 30 CM 162800 207,570 6,228,100
43 JELLY Q-WAY DC 5 GRAM - 1,000
44 HANDSCOON DISPOSIBLE 5 PASANG 1080 1,377 7,885
45 BOLDUN PC -
46 CAUTER 1X -
47 NETRAL PLAT 1X -
48 SEFOFLURAN 30CC/JAM -
49 JELLY QWAY ETT/LMA 10 GR -
50 LMA 1X -
51 ETT 1X -
52 PLESTER 10 CM -
BHP DAN PAKET KURET

NO OBAT/ALKES JUMLAH SATUAN HARGA NETTO PPN HJA TOTAL HARGA


1 OPIMOX TAB 10 3300 4,208 43,075
2 MYOTONIC TAB 10 2915 3,717 38,166
3 SANBE RL 1 18810 23,983 24,983
4 INFUSET REMEDI 1 4400 5,610 6,610
5 IV CATH 20 REMEDI 1 8250 10,519 11,519
6 IV DRESING (DERMAFIX 7X9) 1 3175 4,048 5,048
7 HANDSCOON REMEDI NO 8 1 9917 12,644 13,644
8 HANDSCOON REMEDI NO 7 1 9917 12,644 13,644
9 HANDSCOON REMEDI NO 6,5 1 9917 12,644 13,644
10 POSPARGIN INJ 1 7150 9,116 10,116
11 SPUIT 3CC 5 781 996 5,979
12 SPUIT 5CC 1 825 1,052 2,052
13 SPUIT 10CC 1 1210 1,543 2,543
14 TRAMADOL INJ 1 6402 8,163 9,163
15 MILOZ INJ 1 44000 56,100 57,100
16 PROANES INJ 1 84590 107,852 108,852
17 FENTANYL INJ 1 48400 61,710 62,710
18 KLIRAN INJ 1 29150 37,166 38,166
19 SULFAS ATROFIN INJ 1 2200 2,805 3,805
20 PAMPERS DR.PL 1 10313 13,149 14,149
21 UNDERPAD 1 4950 6,311 7,311
22 LAMINARIA L 1 121000 154,275 155,275
23 INVITEC 2 11807 15,054 31,108
24 BETADINE 100 ML - 1,000
25 DEPERS/KASA 5 PC 17050 21,739 109,694
26 HANDSCOON DISPOSIBLE 3 PASANG 1080 1,377 5,131
27 SEVOFLURANE BAXTER 10 CC 2970000 3,786,750 37,868,500

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