Mutasi

PEMERINTAH KABUPATEN SITUBONDO
DINAS KESEHATAN
UPT PUSKESMAS ASEMBAGUS
Jalan Raya BanyuwangiNomor 01 MOJOSARI Telp. (0338) 453 995 E-Mail :asembagusjempol@yahoo.co.id
ASEMBAGUS – SITUBONDO 68373
LAPORAN MUTASI BARANG BULANAN PERSEDIAAN OBAT-OBATAN

Bulan JANUARI 2019
SKPD : DINAS KESEHATAN KABUPATEN SITUBONDO

UPTD : APOTEK ASEMBAGUS
Saldo Awal Mutasi Masuk Mutasi Keluar Saldo Akhir
No Nama Barang Harga Harga Harga

Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Satuan(Rp) Jumlah(Rp) Unit Set
1 Air untuk injeksi ampul 25 ml (Otsu) 7 amp 2200.00 15400.00 7 amp

7 amp 2200.00 15400.00 0 amp
0 amp
7 15400.00 0 0.00 7 15400.00 0
2 Alinamin F tablet 90 tab 1100.00 99000.00 90 tab
20 tab 1100.00 22000.00 70 tab
70 tab
90 99000.00 0 0.00 20 22000.00 70
3 Alopurinol tablet 100 mg 0 tab 86.00 0.00 0 tab
0 tab
248 tab 90.00 22320.00 248 tab
88 tab 90.00 7920.00 160 tab
160 tab
248 22320.00 0 0.00 88 7920.00 160
4 Ambroxol sirup 15 mg/ml 9 btl 4070.00 36630.00 9 btl
5 btl 4070.00 20350.00 14 btl
13 btl 4070.00 52910.00 1 btl
1 btl
9 36630.00 5 20350.00 13 52910.00 1
5 Ambroxol tablet 30 mg 184 tab 165.00 30360.00 184 tab
200 tab 165.00 33000.00 384 tab
196 tab 165.00 32340.00 188 tab
188 tab
184 30360.00 200 33000.00 196 32340.00 188
6 Aminofilin injeksi 24 mg/ml~10 ml 2 amp 3345.00 6690.00 2 amp
2 amp
0 amp 3822.00 0.00 0 amp
0 amp
2 6690.00 0 0.00 0 0.00 2
7 Aminofilin tablet 200 mg 110 tab 80.00 8800.00 110 tab
110 tab 80.00 8800.00 0 tab
0 tab
110 8800.00 0 0.00 110 8800.00 0
8 Aminofilin tablet 200 mg (Erphafillin) 120 tab 114.00 13680.00 120 tab
50 tab 114.00 5700.00 70 tab
70 tab
120 13680.00 0 0.00 50 5700.00 70
9 Amitriptilin tablet salut 25 mg (HCl) 80 tab 112.00 8960.00 80 tab
80 tab 112.00 8960.00 0 tab
0 tab
80 8960.00 0 0.00 80 8960.00 0
10 Amlodipin tablet 10 mg 290 tab 145.00 42050.00 290 tab
450 tab 145.00 65250.00 740 tab
355 tab 145.00 51475.00 385 tab
385 tab
290 42050.00 450 65250.00 355 51475.00 385
11 Amoksisilin kapsul/kaplet 500 mg 0 kapl 261.00 0.00 0 kapl
0 kapl
247 kapl 190.00 46930.00 247 kapl
2000 kapl 190.00 380000.00 2247 kapl
1756 kapl 190.00 333640.00 491 kapl
491 kapl
0 kapl 232.00 0.00 0 kapl
0 kapl
247 46930.00 2000 380000.00 1756 333640.00 491
12 Amoksisilin sirup kering 125 mg/5 ml 16 btl 1881.00 30096.00 16 btl
45 btl 1881.00 84645.00 61 btl
47 btl 1881.00 88407.00 14 btl
14 btl
0 btl 2090.00 0.00 0 btl
0 btl
0 btl 2445.00 0.00 0 btl
0 btl
16 30096.00 45 84645.00 47 88407.00 14
Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial
13 (Viccillin) 39 vial 15070.00 587730.00 39 vial
30 vial 15070.00 452100.00 69 vial
30 vial 15070.00 452100.00 39 vial
39 vial
39 587730.00 30 452100.00 30 452100.00 39
Antasida DOEN I tablet kunyah, kombinasi:

Aluminium Hidroksida 200 mg Magnesium
14 Hidroksida 200 mg 0 tab 72.00 0.00 0 tab
0 tab
485 tab 62.00 30070.00 485 tab
800 tab 62.00 49600.00 1285 tab
1065 tab 62.00 66030.00 220 tab
220 tab
485 30070.00 800 49600.00 1065 66030.00 220
Antasida DOEN II suspensi, kombi: Aluminium

Hidroksida 200 mg/5 ml Magnesium Hidroksida
15 200 mg/5 ml 10 btl 2025.00 20250.00 10 btl
45 btl 2025.00 91125.00 55 btl
42 btl 2025.00 85050.00 13 btl
13 btl
10 20250.00 45 91125.00 42 85050.00 13
Antihemoroid DOEN kombinasi: Bismut subgalat
16 150 mg Heksaklorofen 2,5 mg 7 supp 3045.00 21315.00 7 supp
3 supp 3045.00 9135.00 4 supp
4 supp
7 21315.00 0 0.00 3 9135.00 4
Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein
17 50 mg 100 tab 135.00 13500.00 100 tab
100 tab 135.00 13500.00 0 tab
0 tab
100 13500.00 0 0.00 100 13500.00 0
18 Asam Askorbat (Vitamin C) tablet 50 mg 0 tab 95.00 0.00 0 tab
0 tab
535 tab 104.00 55640.00 535 tab
1500 tab 104.00 156000.00 2035 tab
1550 tab 104.00 161200.00 485 tab
485 tab
535 55640.00 1500 156000.00 1550 161200.00 485
19 Asam Folat tablet 1 mg 90 tab 48.00 4320.00 90 tab
90 tab 48.00 4320.00 0 tab
0 tab
90 4320.00 0 0.00 90 4320.00 0
20 Asam Mefenamat kapsul/kaplet 500 mg 0 kapl 100.00 0.00 0 kapl
1500 kapl 100.00 150000.00 1500 kapl
1307 kapl 100.00 130700.00 193 kapl
193 kapl
0 kapl 106.00 0.00 0 kapl
0 kapl
0 0.00 1500 150000.00 1307 130700.00 193
21 Asam Traneksamat inj. 50 mg/ml 0 amp 2445.00 0.00 0 amp
9 amp 2445.00 22005.00 9 amp
1 amp 2445.00 2445.00 8 amp
8 amp
0 0.00 9 22005.00 1 2445.00 8
22 Asam Traneksamat tablet 30 tab 3520.00 105600.00 30 tab
10 tab 3520.00 35200.00 20 tab
20 tab
30 105600.00 0 0.00 10 35200.00 20
23 Asiklovir krim 5% 0 tube 3080.00 0.00 0 tube
0 tube
19 tube 3850.00 73150.00 19 tube
3 tube 3850.00 11550.00 16 tube
16 tube
19 73150.00 0 0.00 3 11550.00 16
24 Asiklovir tablet 200 mg 13 tab 237.00 3081.00 13 tab
13 tab 237.00 3081.00 0 tab
0 tab
13 3081.00 0 0.00 13 3081.00 0
0 tab
121 tab 349.00 42229.00 121 tab
17 tab 349.00 5933.00 104 tab
104 tab
0 tab 350.00 0.00 0 tab
0 tab
121 42229.00 0 0.00 17 5933.00 104
26 Attapulgit tablet 600 mg (New Antides) 299 tab 145.00 43355.00 299 tab
199 tab 145.00 28855.00 100 tab
100 tab
299 43355.00 0 0.00 199 28855.00 100
27 Attapulgit tablet 600 mg (Pularex) 39 tab 190.00 7410.00 39 tab
39 tab 190.00 7410.00 0 tab
0 tab
39 7410.00 0 0.00 39 7410.00 0
Besi (II) Sulfat 60 mg + Asam Folat 0,4 mg tablet
28 (tablet tambah darah kombinasi) 1470 tab 355.00 521850.00 1470 tab
840 tab 355.00 298200.00 2310 tab
1890 tab 355.00 670950.00 420 tab
420 tab
1470 521850.00 840 298200.00 1890 670950.00 420
29 Betametason krim 0,1% (sebagai valerat) 30 tube 1380.00 41400.00 30 tube
6 tube 1380.00 8280.00 24 tube
24 tube
0 tube 1520.00 0.00 0 tube
0 tube
30 41400.00 0 0.00 6 8280.00 24
30 Bioplacenton salep 7 tube 15510.00 108570.00 7 tube
7 tube 15510.00 108570.00 0 tube
0 tube
7 108570.00 0 0.00 7 108570.00 0
31 Bromheksin tablet 8 mg (Novaheksim) 170 tab 165.00 28050.00 170 tab
40 tab 165.00 6600.00 130 tab
130 tab
170 28050.00 0 0.00 40 6600.00 130
32 Cetirizine sirup 5 mg/5 ml 0 btl 2850.00 0.00 0 btl
5 btl 2850.00 14250.00 5 btl
5 btl
2 btl 6745.00 13490.00 2 btl
2 btl 6745.00 13490.00 0 btl
0 btl
2 13490.00 5 14250.00 2 13490.00 5
33 Cetirizine tablet 10 mg 191 tab 143.00 27313.00 191 tab
181 tab 143.00 25883.00 10 tab
10 tab
50 tab 1144.00 57200.00 50 tab
50 tab
241 84513.00 0 0.00 181 25883.00 60
34 Deksametason injeksi i.v. 5 mg/ml~1ml 15 amp 1097.00 16455.00 15 amp
7 amp 1097.00 7679.00 8 amp
8 amp
69 amp 1580.00 109020.00 69 amp
69 amp 1580.00 109020.00 0 amp
0 amp
84 125475.00 0 0.00 76 116699.00 8
35 Deksametason tablet 0,5 mg 83 tab 32.00 2656.00 83 tab
300 tab 32.00 9600.00 383 tab
178 tab 32.00 5696.00 205 tab
205 tab
182 tab 41.00 7462.00 182 tab
58 tab 41.00 2378.00 124 tab
124 tab
0 tab 62.00 0.00 0 tab
0 tab
0 tab 150.00 0.00 0 tab
0 tab
265 10118.00 300 9600.00 236 8074.00 329
36 Diazepam larutan rectal 5 mg/2,5 ml (Stesolid) 1 tube 11517.00 11517.00 1 tube

1 tube 11517.00 11517.00 0 tube
0 tube
1 11517.00 0 0.00 1 11517.00 0
37 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 52 amp 1175.00 61100.00 52 amp
30 amp 1175.00 35250.00 82 amp
43 amp 1175.00 50525.00 39 amp
39 amp
0 amp 1050.00 0.00 0 amp
0 amp
52 61100.00 30 35250.00 43 50525.00 39
38 Digoksin tablet 0,25 mg 80 tab 105.00 8400.00 80 tab
80 tab 105.00 8400.00 0 tab
0 tab
80 8400.00 0 0.00 80 8400.00 0
39 Dimenhidrinat tablet 50 mg 190 tab 104.00 19760.00 190 tab
150 tab 104.00 15600.00 40 tab
40 tab
190 19760.00 0 0.00 150 15600.00 40
40 Domperidon suspensi 5 mg/5 ml 3 btl 3000.00 9000.00 3 btl
1 btl 3000.00 3000.00 2 btl
2 btl
3 9000.00 0 0.00 1 3000.00 2
41 Domperidon tablet 10 mg 5 tab 118.00 590.00 5 tab
400 tab 118.00 47200.00 405 tab
73 tab 118.00 8614.00 332 tab
332 tab
0 tab 167.00 0.00 0 tab
0 tab
5 590.00 400 47200.00 73 8614.00 332
42 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) 65 amp 8100.00 526500.00 65 amp
65 amp 8100.00 526500.00 0 amp
0 amp
10 amp 2204.00 22040.00 10 amp
1 amp 2204.00 2204.00 9 amp
9 amp
75 548540.00 0 0.00 66 528704.00 9
43 Eritromisin sirup 200 mg/5 ml 9 btl 7220.00 64980.00 9 btl
9 btl 7220.00 64980.00 0 btl
0 btl
9 64980.00 0 0.00 9 64980.00 0
44 Fitomenadion (Vitamin K1) injeksi 2 mg/ml 40 amp 3550.00 142000.00 40 amp
10 amp 3550.00 35500.00 50 amp
17 amp 3550.00 60350.00 33 amp
33 amp
0 amp 3417.00 0.00 0 amp
0 amp
40 142000.00 10 35500.00 17 60350.00 33
45 Fitomenadion (Vitamin K1) injeksi 2 mg/ml (Pro K) 5 amp 9900.00 49500.00 5 amp
5 amp 9900.00 49500.00 0 amp
0 amp
5 49500.00 0 0.00 5 49500.00 0
46 Fitomenadion (Vitamin K1) tablet salut gula 10 mg 0 tab 630.00 0.00 0 tab
0 tab
180 tab 691.00 124380.00 180 tab
64 tab 691.00 44224.00 116 tab
116 tab
180 124380.00 0 0.00 64 44224.00 116
47 Furosemid tablet 40 mg 108 tab 85.00 9180.00 108 tab
108 tab 85.00 9180.00 0 tab
0 tab
108 9180.00 0 0.00 108 9180.00 0
48 Garam Oralit I serbuk 50 sac 288.00 14400.00 50 sac
50 sac 288.00 14400.00 0 sac
0 sac
50 14400.00 0 0.00 50 14400.00 0
49 Gentamisin salep kulit 0,1% (Gentalex) 16 tube 3520.00 56320.00 16 tube
10 tube 3520.00 35200.00 26 tube
17 tube 3520.00 59840.00 9 tube
9 tube
16 56320.00 10 35200.00 17 59840.00 9
50 Gentian Violet larutan 1% 15 btl 2750.00 41250.00 15 btl
1 btl 2750.00 2750.00 14 btl
14 btl
15 41250.00 0 0.00 1 2750.00 14
51 Glibenklamida tablet 5 mg 0 tab 55.00 0.00 0 tab
0 tab
0 tab 56.00 0.00 0 tab
0 tab
153 tab 99.00 15147.00 153 tab
30 tab 99.00 2970.00 123 tab
123 tab
153 15147.00 0 0.00 30 2970.00 123
52 Gliseril Gualakolat tablet 100 mg 381 tab 106.70 40652.70 381 tab
381 tab 106.70 40652.70 0 tab
0 tab
0 tab 132.00 0.00 0 tab
0 tab
381 40652.70 0 0.00 381 40652.70 0
53 Gliserin larutan 50% 4 btl 4158.24 16632.96 4 btl
4 btl 4158.24 16632.96 0 btl
0 btl
4 16632.96 0 0.00 4 16632.96 0
54 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) 0 btl 9350.00 0.00 0 btl
20 btl 9350.00 187000.00 20 btl
7 btl 9350.00 65450.00 13 btl
13 btl
0 0.00 20 187000.00 7 65450.00 13
55 Glukosa larutan infus 40% steril 1 btl 9460.00 9460.00 1 btl
1 btl 9460.00 9460.00 0 btl
0 btl
1 9460.00 0 0.00 1 9460.00 0
5 btl 5200.00 26000.00 0 btl
0 btl
0 btl 5313.00 0.00 0 btl
0 btl
0 btl 6900.00 0.00 0 btl
5 btl 6900.00 34500.00 5 btl
5 btl
5 26000.00 5 34500.00 5 26000.00 5
57 Griseofulvin tablet 125 mg 119 tab 245.00 29155.00 119 tab
119 tab
119 29155.00 0 0.00 0 0.00 119
58 Guaifenesin tablet 100 mg 0 tab 180.00 0.00 0 tab
500 tab 180.00 90000.00 500 tab
110 tab 180.00 19800.00 390 tab
390 tab
0 0.00 500 90000.00 110 19800.00 390
59 Hidroklorotiazid (HCT) tablet 25 mg 149 tab 36.30 5408.70 149 tab
149 tab 36.30 5408.70 0 tab
0 tab
149 5408.70 0 0.00 149 5408.70 0
60 Hidrokortison krim 2,5% 10 tube 2650.00 26500.00 10 tube
4 tube 2650.00 10600.00 6 tube
6 tube
0 tube 6765.00 0.00 0 tube
0 tube
10 26500.00 0 0.00 4 10600.00 6
61 Ibuprofen suspensi 100 mg/5 ml 10 btl 2475.00 24750.00 10 btl
5 btl 2475.00 12375.00 5 btl
5 btl
10 24750.00 0 0.00 5 12375.00 5
62 Ibuprofen tablet 400 mg 0 tab 150.00 0.00 0 tab
0 tab
0 tab 319.00 0.00 0 tab
0 tab
394 tab 127.00 50038.00 394 tab
500 tab 127.00 63500.00 894 tab
516 tab 127.00 65532.00 378 tab
378 tab
394 50038.00 500 63500.00 516 65532.00 378
Ipratropium Bromida 0,52 mg; Sabutamol Sulfat
63 3,01 mg (Combivent) 11 ktk 16465.00 181115.00 11 ktk
2 ktk 16465.00 32930.00 9 ktk
9 ktk
11 181115.00 0 0.00 2 32930.00 9
64 Isosorbid Dinitrat tablet 10 mg 19 tab 88.00 1672.00 19 tab
19 tab
19 1672.00 0 0.00 0 0.00 19
65 Isosorbid Dinitrat tablet sublingual 5 mg 100 tab 88.00 8800.00 100 tab
100 tab 88.00 8800.00 0 tab
0 tab
100 8800.00 0 0.00 100 8800.00 0
66 Kalsium Laktat (Kalk) tablet 500 mg 318 tab 56.00 17808.00 318 tab
200 tab 56.00 11200.00 518 tab
290 tab 56.00 16240.00 228 tab
228 tab
0 tab 70.00 0.00 0 tab
0 tab
0 tab 81.40 0.00 0 tab
0 tab
318 17808.00 200 11200.00 290 16240.00 228
67 Kaptopril tablet 25 mg 0 tab 84.00 0.00 0 tab
0 tab
52 tab 68.00 3536.00 52 tab
52 tab
230 tab 80.00 18400.00 230 tab
200 tab 80.00 16000.00 430 tab
341 tab 80.00 27280.00 89 tab
89 tab
282 21936.00 200 16000.00 341 27280.00 141
68 Karbamazepin tablet 200 mg 10 tab 245.00 2450.00 10 tab
10 tab
10 2450.00 0 0.00 0 0.00 10
69 Ketokonazol krim 2% 7 tube 2545.00 17815.00 7 tube
1 tube 2545.00 2545.00 6 tube
6 tube
7 17815.00 0 0.00 1 2545.00 6
70 Ketokonazol krim 2% (Solinfec) 2 tube 10952.00 21904.00 2 tube
2 tube 10952.00 21904.00 0 tube
0 tube
2 21904.00 0 0.00 2 21904.00 0
71 Ketokonazol tablet 200 mg 48 tab 280.00 13440.00 48 tab
18 tab 280.00 5040.00 30 tab
30 tab
0 tab 300.00 0.00 0 tab
0 tab
48 13440.00 0 0.00 18 5040.00 30
72 Kloramfenikol kapsul/kaplet 250 mg 0 kaps 227.00 0.00 0 kaps
0 kaps
81 kaps 1100.00 89100.00 81 kaps
100 kaps 1100.00 110000.00 181 kaps
50 kaps 1100.00 55000.00 131 kaps
131 kaps
81 89100.00 100 110000.00 50 55000.00 131
73 Kloramfenikol salep kulit 2% (Bufacetin) 23 tube 3091.00 71093.00 23 tube
23 tube 3091.00 71093.00 0 tube
0 tube
23 71093.00 0 0.00 23 71093.00 0
74 Kloramfenikol salep mata 1% 0 tube 1600.00 0.00 0 tube
0 tube
32 tube 1798.00 57536.00 32 tube
17 tube 1798.00 30566.00 15 tube
15 tube
32 57536.00 0 0.00 17 30566.00 15
75 Kloramfenikol suspensi 125 mg/5 ml 8 btl 3955.00 31640.00 8 btl
5 btl 3955.00 19775.00 13 btl
5 btl 3955.00 19775.00 8 btl
8 btl
8 31640.00 5 19775.00 5 19775.00 8
76 Kloramfenikol tetes telinga 1% (Reco) 1 btl 6600.00 6600.00 1 btl
1 btl 6600.00 6600.00 0 btl
0 btl
0 btl 7700.00 0.00 0 btl
10 btl 7700.00 77000.00 10 btl
1 btl 7700.00 7700.00 9 btl
9 btl
1 6600.00 10 77000.00 2 14300.00 9
77 Klorfeniramin Maleat (CTM) tab 4 mg 357 tab 42.00 14994.00 357 tab
800 tab 42.00 33600.00 1157 tab
913 tab 42.00 38346.00 244 tab
244 tab
357 14994.00 800 33600.00 913 38346.00 244
78 Klorpromazin tablet salut 100 mg (HCl) 220 tab 144.00 31680.00 220 tab
140 tab 144.00 20160.00 80 tab
80 tab
220 31680.00 0 0.00 140 20160.00 80
216 tab 68.00 14688.00 0 tab
0 tab
216 14688.00 0 0.00 216 14688.00 0
80 Kodein tablet 10 mg 70 tab 550.00 38500.00 70 tab
70 tab
70 38500.00 0 0.00 0 0.00 70
Kotrimoksazol DOEN I (dewasa) kombinasi:
81 Sulfametoksazol 400 mg, Trimetoprim 80 mg 230 tab 125.00 28750.00 230 tab
200 tab 125.00 25000.00 430 tab
230 tab 125.00 28750.00 200 tab
200 tab
117 tab 138.00 16146.00 117 tab
117 tab 138.00 16146.00 0 tab
0 tab
347 44896.00 200 25000.00 347 44896.00 200
Kotrimoksazol Suspensi komb: Sulfametoksazol

82 200 mg + Trimetoprim 40 mg/5 ml 0 btl 2140.00 0.00 0 btl
0 btl
2 btl 2167.00 4334.00 2 btl
10 btl 2167.00 21670.00 12 btl
5 btl 2167.00 10835.00 7 btl
7 btl
2 4334.00 10 21670.00 5 10835.00 7
83 Lacto B 16 sase 6820.00 109120.00 16 sase
16 sase 6820.00 109120.00 0 sase
0 sase
16 109120.00 0 0.00 16 109120.00 0
84 Lanzoprazol kapsul/kaplet 30 mg 40 kaps 319.00 12760.00 40 kaps
200 kaps 319.00 63800.00 240 kaps
220 kaps 319.00 70180.00 20 kaps
20 kaps
40 12760.00 200 63800.00 220 70180.00 20
Larutan mengandung Elektrolit (Na 130 mEq, Cl

85 109 mEq, Ca 3 mEq, Asetat 28 mEq) (ASERING) 25 btl 9000.00 225000.00 25 btl
25 btl 9000.00 225000.00 0 btl
0 btl
0 btl 9275.00 0.00 0 btl
183 btl 9275.00 1697325.00 183 btl
160 btl 9275.00 1484000.00 23 btl
23 btl
25 225000.00 183 1697325.00 185 1709000.00 23
Larutan mengandung Karbohidrat + Elektrolit (Nacl

1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27
86 gr) (KAEN 3B) 14 btl 10000.00 140000.00 14 btl
14 btl 10000.00 140000.00 0 btl
0 btl
14 140000.00 0 0.00 14 140000.00 0
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~
87 2ml (Lidokain Comp. Inj) 45 amp 1845.00 83025.00 45 amp
36 amp 1845.00 66420.00 9 amp
9 amp
45 83025.00 0 0.00 36 66420.00 9
88 Loperamid tablet 2 mg 320 tab 85.00 27200.00 320 tab
97 tab 85.00 8245.00 223 tab
223 tab
447 tab 89.00 39783.00 447 tab
447 tab 89.00 39783.00 0 tab
0 tab
767 66983.00 0 0.00 544 48028.00 223
89 Lytacur sirup 10 btl 12100.00 121000.00 10 btl
10 btl 12100.00 121000.00 0 btl
0 btl
15 btl 13200.00 198000.00 15 btl
10 btl 13200.00 132000.00 25 btl
14 btl 13200.00 184800.00 11 btl
11 btl
25 319000.00 10 132000.00 24 305800.00 11
90 Meloksikam tablet 15 mg 110 tab 880.00 96800.00 110 tab
20 tab 880.00 17600.00 90 tab
90 tab
110 96800.00 0 0.00 20 17600.00 90
91 Mersibion injeksi 5000 17 amp 5566.00 94622.00 17 amp
20 amp 5566.00 111320.00 37 amp
10 amp 5566.00 55660.00 27 amp
27 amp
17 94622.00 20 111320.00 10 55660.00 27
92 Metampiron tablet 500 mg (antalgin) 0 tab 246.40 0.00 0 tab
0 tab
210 tab 148.50 31185.00 210 tab
700 tab 148.50 103950.00 910 tab
690 tab 148.50 102465.00 220 tab
220 tab
0 tab 232.00 0.00 0 tab
0 tab
210 31185.00 700 103950.00 690 102465.00 220
93 Metformin HCl tablet 500 mg 185 tab 100.00 18500.00 185 tab
200 tab 100.00 20000.00 385 tab
175 tab 100.00 17500.00 210 tab
210 tab
185 18500.00 200 20000.00 175 17500.00 210
94 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml 2 amp 2684.00 5368.00 2 amp

2 amp 2684.00 5368.00 0 amp
0 amp
2 5368.00 0 0.00 2 5368.00 0
95 Metilergometrin Maleat tablet salut 0,125 mg 0 tab 121.00 0.00 0 tab

0 tab
90 tab 154.00 13860.00 90 tab
90 tab
90 13860.00 0 0.00 0 0.00 90
96 Metilprednisolon tablet 16 mg 99 tab 612.00 60588.00 99 tab
40 tab 612.00 24480.00 59 tab
59 tab
99 60588.00 0 0.00 40 24480.00 59
216 tab 300.00 64800.00 0 tab
0 tab
216 64800.00 0 0.00 216 64800.00 0
98 Metoklopramide injeksi 5 mg/ml 27 amp 3395.00 91665.00 27 amp
30 amp 3395.00 101850.00 57 amp
56 amp 3395.00 190120.00 1 amp
1 amp
0 amp 10450.00 0.00 0 amp
0 amp
27 91665.00 30 101850.00 56 190120.00 1
99 Metoklopramide sirup 5 mg/ 5 ml (Lexapram) 5 btl 2580.00 12900.00 5 btl
1 btl 2580.00 2580.00 4 btl
4 btl
5 12900.00 0 0.00 1 2580.00 4
100 Metoklopramide tablet 5 mg 249 tab 115.00 28635.00 249 tab
103 tab 115.00 11845.00 146 tab
146 tab
0 tab 108.00 0.00 0 tab
0 tab
249 28635.00 0 0.00 103 11845.00 146
101 Metronidazol suspensi 125 mg/5 ml 8 btl 3800.00 30400.00 8 btl
8 btl
8 30400.00 0 0.00 0 0.00 8
102 Metronidazol tablet 500 mg 138 tab 133.00 18354.00 138 tab
200 tab 133.00 26600.00 338 tab
150 tab 133.00 19950.00 188 tab
188 tab
0 tab 160.00 0.00 0 tab
0 tab
138 18354.00 200 26600.00 150 19950.00 188
103 Mikonazol krim/salep 2% (nitrat) 11 tube 3000.00 33000.00 11 tube
11 tube 3000.00 33000.00 0 tube
0 tube
11 33000.00 0 0.00 11 33000.00 0
104 Natrium Diklofenak tablet 50 mg 242 tab 159.00 38478.00 242 tab
200 tab 159.00 31800.00 442 tab
302 tab 159.00 48018.00 140 tab
140 tab
0 tab 176.00 0.00 0 tab
0 tab
242 38478.00 200 31800.00 302 48018.00 140
105 Natrium Klorida larutan infus 0,9% (NaCl) 0 btl 4900.00 0.00 0 btl
0 btl
32 btl 4700.00 150400.00 32 btl
20 btl 4700.00 94000.00 52 btl
34 btl 4700.00 159800.00 18 btl
18 btl
32 150400.00 20 94000.00 34 159800.00 18
106 Neurobion 5000 injeksi 12 amp 9900.00 118800.00 12 amp
12 amp 9900.00 118800.00 0 amp
0 amp
12 118800.00 0 0.00 12 118800.00 0
107 Nifedipin tablet 10 mg 166 tab 104.00 17264.00 166 tab
60 tab 104.00 6240.00 106 tab
106 tab
0 tab 110.00 0.00 0 tab
0 tab
166 17264.00 0 0.00 60 6240.00 106
108 Nistatin vaginal tablet 100.000 IU/ g 0 ovula 480.00 0.00 0 ovula
0 ovula
85 ovula 523.00 44455.00 85 ovula
85 ovula
85 44455.00 0 0.00 0 0.00 85
109 Novabion 150 kaps 385.00 57750.00 150 kaps
200 kaps 385.00 77000.00 350 kaps
160 kaps 385.00 61600.00 190 kaps
190 kaps
150 57750.00 200 77000.00 160 61600.00 190
110 Obat Batuk Hitam (OBH) cairan 0 btl 5940.00 0.00 0 btl
0 btl
10 btl 6050.00 60500.00 10 btl
35 btl 6050.00 211750.00 45 btl
45 btl 6050.00 272250.00 0 btl
0 btl
10 60500.00 35 211750.00 45 272250.00 0
111 Oksitetrasiklin HCl salep mata 1% 0 tube 3187.80 0.00 0 tube
1 tube 3187.80 3187.80 1 tube
1 tube 3187.80 3187.80 0 tube
0 tube
0 tube 3630.00 0.00 0 tube
0 tube
0 0.00 1 3187.80 1 3187.80 0
112 Oksitosin injeksi 10 IU/ml~1 ml 2 amp 1900.00 3800.00 2 amp
2 amp
5 amp 2200.00 11000.00 5 amp
5 amp 2200.00 11000.00 0 amp
0 amp
7 14800.00 0 0.00 5 11000.00 2
113 Ondansentron tablet 4 mg 86 tab 472.00 40592.00 86 tab
86 tab
86 40592.00 0 0.00 0 0.00 86
114 Parasetamol drops 60 mg/0,6 ml 15 btl 5200.00 78000.00 15 btl
15 btl 5200.00 78000.00 0 btl
0 btl
14 btl 18742.90 262400.60 14 btl
15 btl 18742.90 281143.50 29 btl
29 btl 18742.90 543544.10 0 btl
0 btl
29 340400.60 15 281143.50 44 621544.10 0
115 Parasetamol sirup 120 mg/5 ml 0 btl 1010.00 0.00 0 btl
0 btl
14 btl 1074.00 15036.00 14 btl
2 btl 1074.00 2148.00 16 btl
16 btl 1074.00 17184.00 0 btl
0 btl
0 btl 1438.00 0.00 0 btl
0 btl
14 15036.00 2 2148.00 16 17184.00 0
116 Parasetamol tablet 500 mg 271 tab 49.00 13279.00 271 tab
2500 tab 49.00 122500.00 2771 tab
2390 tab 49.00 117110.00 381 tab
381 tab
0 tab 56.00 0.00 0 tab
0 tab
21 tab 79.00 1659.00 21 tab
21 tab 79.00 1659.00 0 tab
0 tab
0 tab 83.93 0.00 0 tab
0 tab
292 14938.00 2500 122500.00 2411 118769.00 381
117 Piracetam tablet 800 mg 87 tab 400.00 34800.00 87 tab
87 tab 400.00 34800.00 0 tab
0 tab
87 34800.00 0 0.00 87 34800.00 0
118 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 150 tab 118.00 17700.00 150 tab
200 tab 118.00 23600.00 350 tab
55 tab 118.00 6490.00 295 tab
295 tab
47 tab 88.00 4136.00 47 tab
47 tab 88.00 4136.00 0 tab
0 tab
197 21836.00 200 23600.00 102 10626.00 295
119 Piroksikam kapsul/kaplet/tablet 10 mg 0 kaps 105.00 0.00 0 kaps
0 kaps
185 kaps 220.00 40700.00 185 kaps
200 kaps 220.00 44000.00 385 kaps
120 kaps 220.00 26400.00 265 kaps
265 kaps
185 40700.00 200 44000.00 120 26400.00 265
120 Povidon Iodida larutan 10% 300 ml 0 btl 17996.00 0.00 0 btl
0 btl
1 btl 25000.00 25000.00 1 btl
1 btl 25000.00 25000.00 0 btl
0 btl
1 25000.00 0 0.00 1 25000.00 0
3 btl 5000.00 15000.00 0 btl
0 btl
3 15000.00 0 0.00 3 15000.00 0
122 Prednison tablet 5 mg 0 tab 114.00 0.00 0 tab
0 tab
403 tab 64.00 25792.00 403 tab
403 tab 64.00 25792.00 0 tab
0 tab
222 tab 96.00 21312.00 222 tab
300 tab 96.00 28800.00 522 tab
321 tab 96.00 30816.00 201 tab
201 tab
625 47104.00 300 28800.00 724 56608.00 201
123 Ranitidin tablet 150 mg 354 tab 105.00 37170.00 354 tab
300 tab 105.00 31500.00 654 tab
320 tab 105.00 33600.00 334 tab
334 tab
354 37170.00 300 31500.00 320 33600.00 334
124 Risperidon tablet 2 mg 40 tab 347.00 13880.00 40 tab
40 tab 347.00 13880.00 0 tab
0 tab
0 tab 1008.00 0.00 0 tab
0 tab
40 13880.00 0 0.00 40 13880.00 0
125 Salbutamol tablet 2 mg (sebagai sulfat) 94 tab 66.00 6204.00 94 tab
200 tab 66.00 13200.00 294 tab
159 tab 66.00 10494.00 135 tab
135 tab
94 6204.00 200 13200.00 159 10494.00 135
Salep 2~4 , Kombinasi: Asam Salisilat 2% +
126 Belerang endap 4% 0 pot 2000.00 0.00 0 pot
0 pot
28 pot 2429.00 68012.00 28 pot
3 pot 2429.00 7287.00 25 pot
25 pot
28 68012.00 0 0.00 3 7287.00 25
127 Salisil Bedak 2 % 2 ktk 1250.00 2500.00 2 ktk
2 ktk 1250.00 2500.00 0 ktk
0 ktk
11 ktk 1025.00 11275.00 11 ktk
3 ktk 1025.00 3075.00 8 ktk
8 ktk
13 13775.00 0 0.00 5 5575.00 8
128 Sefadroksil kapsul/kaplet 500 mg 98 kaps 509.00 49882.00 98 kaps
24 kaps 509.00 12216.00 74 kaps
74 kaps
0 kaps 913.00 0.00 0 kaps
0 kaps
98 49882.00 0 0.00 24 12216.00 74
129 Sefadroksil sirup kering 125 mg/5ml 9 btl 4896.00 44064.00 9 btl
9 btl 4896.00 44064.00 0 btl
0 btl
9 44064.00 0 0.00 9 44064.00 0
130 Sefiksim kapsul/kaplet 100 mg 271 kaps 590.00 159890.00 271 kaps
200 kaps 590.00 118000.00 471 kaps
323 kaps 590.00 190570.00 148 kaps
148 kaps
271 159890.00 200 118000.00 323 190570.00 148
131 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) (Biosat) 1 amp 126500.00 126500.00 1 amp
1 amp 126500.00 126500.00 2 amp
1 amp 126500.00 126500.00 1 amp
1 amp
2 amp 130999.00 261998.00 2 amp
2 amp 130999.00 261998.00 0 amp
0 amp
0 amp 145200.00 0.00 0 amp
0 amp
3 388498.00 1 126500.00 3 388498.00 1
132 Sianokobalamin (vitamin B12) injeksi 500 mcg 0 amp 1078.00 0.00 0 amp
0 amp
87 amp 1098.00 95526.00 87 amp
100 amp 1098.00 109800.00 187 amp
77 amp 1098.00 84546.00 110 amp
110 amp
87 95526.00 100 109800.00 77 84546.00 110
133 Sianokobalamin (vitamin B12) tablet 50 mcg 360 tab 51.00 18360.00 360 tab
190 tab 51.00 9690.00 170 tab
170 tab
0 tab 57.00 0.00 0 tab
0 tab
360 18360.00 0 0.00 190 9690.00 170
134 Simvastatin tablet 10 mg 240 tab 111.00 26640.00 240 tab
160 tab 111.00 17760.00 80 tab
80 tab
240 26640.00 0 0.00 160 17760.00 80
135 Siprofloksasin tablet 500 mg (sebagai HCl) 0 tab 255.00 0.00 0 tab
0 tab
240 tab 281.00 67440.00 240 tab
800 tab 281.00 224800.00 1040 tab
761 tab 281.00 213841.00 279 tab
279 tab
240 67440.00 800 224800.00 761 213841.00 279
136 Stabimed 1000 ml 0 btl 620000.00 0.00 0 btl
12 btl 620000.00 7440000.00 12 btl
12 btl 620000.00 7440000.00 0 btl
0 btl
0 0.00 12 7440000.00 12 7440000.00 0
137 Sukralfat susp 500 mg/5 ml 4 btl 9578.00 38312.00 4 btl
4 btl 9578.00 38312.00 0 btl
0 btl
4 38312.00 0 0.00 4 38312.00 0
138 Tetrasiklin kapsul/kaplet 500 mg 130 kaps 300.00 39000.00 130 kaps
130 kaps 300.00 39000.00 0 kaps
0 kaps
130 39000.00 0 0.00 130 39000.00 0
139 Tiamfenikol kapsul/kaplet 500 mg (Dionicol) 0 kaps 1459.00 0.00 0 kaps
0 kaps
0 kaps 1471.00 0.00 0 kaps
200 kaps 1471.00 294200.00 200 kaps
60 kaps 1471.00 88260.00 140 kaps
140 kaps
0 kaps 1472.00 0.00 0 kaps
0 kaps
0 0.00 200 294200.00 60 88260.00 140
140 Tiamfenikol kapsul/kaplet 500 mg (Solathim) 80 kaps 1067.00 85360.00 80 kaps
200 kaps 1067.00 213400.00 280 kaps
220 kaps 1067.00 234740.00 60 kaps
60 kaps
80 85360.00 200 213400.00 220 234740.00 60
141 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) 0 tab 82.00 0.00 0 tab
0 tab
710 tab 88.00 62480.00 710 tab
700 tab 88.00 61600.00 10 tab
10 tab
710 62480.00 0 0.00 700 61600.00 10
142 Tiamin (Vitamin B1) injeksi 100 mg/ml 8 amp 1210.00 9680.00 8 amp
1 amp 1210.00 1210.00 7 amp
7 amp
0 amp 6600.00 0.00 0 amp
0 amp
8 9680.00 0 0.00 1 1210.00 7
143 Triheksifenidil tablet 2 mg 200 tab 80.00 16000.00 200 tab
200 tab
200 16000.00 0 0.00 0 0.00 200
144 Vitamin B Kompleks tablet 315 tab 115.00 36225.00 315 tab
1000 tab 115.00 115000.00 1315 tab
969 tab 115.00 111435.00 346 tab
346 tab
315 36225.00 1000 115000.00 969 111435.00 346
145 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) 5 btl 6290.00 31450.00 5 btl
2 btl 6290.00 12580.00 3 btl
3 btl
5 31450.00 0 0.00 2 12580.00 3
146 Zinc tablet 20 mg 97 tab 474.00 45978.00 97 tab
97 tab 474.00 45978.00 0 tab
0 tab
225 tab 514.00 115650.00 225 tab
200 tab 514.00 102800.00 425 tab
180 tab 514.00 92520.00 245 tab
245 tab
322 161628.00 200 102800.00 277 138498.00 245
322 161628.00 200 102800.00 277 138498.00 245
147 Alat suntik sekali pakai 10 ml (OneMed) 8 set 925.00 7400.00 8 set
8 set
8 7400.00 0 0.00 0 0.00 8
148 Alat suntik sekali pakai 3 ml 126 set 1500.00 189000.00 126 set
590 set 1500.00 885000.00 716 set
616 set 1500.00 924000.00 100 set
100 set
126 189000.00 590 885000.00 616 924000.00 100
200 set 968.00 193600.00 232 set
232 set 968.00 224576.00 0 set
0 set
32 30976.00 200 193600.00 232 224576.00 0
150 Blood tranfusion set (Stera) 4 set 3600.00 14400.00 4 set
2 set 3600.00 7200.00 2 set
2 set
4 14400.00 0 0.00 2 7200.00 2
151 Catgut chromic 3/0 hr 30 mm 3 set 34895.00 104685.00 3 set
3 set 34895.00 104685.00 0 set
0 set
3 104685.00 0 0.00 3 104685.00 0
Catgut plain no 2/0 70C + jarum 1/2 25M R
152 (Demetech) 12 set 27466.66 329599.92 12 set
3 set 27466.66 82399.98 9 set
9 set
12 329599.92 0 0.00 3 82399.98 9
153 Etanol 70% cairan (100 ml) 29 btl 3000.00 87000.00 29 btl
20 btl 3000.00 60000.00 49 btl
29 btl 3000.00 87000.00 20 btl
20 btl
0 btl 2500.00 0.00 0 btl
0 btl
29 87000.00 20 60000.00 29 87000.00 20
154 Foley Catheter (16) (OneMed) 3 set 7999.20 23997.60 3 set
1 set 7999.20 7999.20 4 set
2 set 7999.20 15998.40 2 set
2 set
3 23997.60 1 7999.20 2 15998.40 2
155 Foley Catheter (18) 1 set 18800.00 18800.00 1 set
1 set 18800.00 18800.00 0 set
0 set
1 18800.00 0 0.00 1 18800.00 0
1 set
1 7999.20 0 0.00 0 0.00 1
157 Handrub 500 ml 0 btl 62650.00 0.00 0 btl
5 btl 62650.00 313250.00 5 btl
4 btl 62650.00 250600.00 1 btl
1 btl
0 0.00 5 313250.00 4 250600.00 1
158 Handscoon uk L 1000 pcs 583.00 583000.00 1000 pcs
1100 pcs 583.00 641300.00 2100 pcs
1800 pcs 583.00 1049400.00 300 pcs
300 pcs
1000 583000.00 1100 641300.00 1800 1049400.00 300
159 Handscoon uk M 300 pcs 737.50 221250.00 300 pcs
300 pcs 737.50 221250.00 0 pcs
0 pcs
200 pcs 583.00 116600.00 200 pcs
200 pcs
500 337850.00 0 0.00 300 221250.00 200
160 Handscoon uk S 200 pcs 583.00 116600.00 200 pcs
300 pcs 583.00 174900.00 500 pcs
300 pcs 583.00 174900.00 200 pcs
200 pcs
200 116600.00 300 174900.00 300 174900.00 200
161 Infusion set anak (Stera) 15 set 3499.10 52486.50 15 set
15 set 3499.10 52486.50 30 set
18 set 3499.10 62983.80 12 set
12 set
0 set 3500.00 0.00 0 set
0 set
15 52486.50 15 52486.50 18 62983.80 12
162 Infusion set dewasa (Stera) 38 set 6286.50 238887.00 38 set
41 set 6286.50 257746.50 79 set
55 set 6286.50 345757.50 24 set
24 set
38 238887.00 41 257746.50 55 345757.50 24
163 IV Catheter No. 18 G 5 set 6300.00 31500.00 5 set
4 set 6300.00 25200.00 1 set
1 set
0 set 7787.50 0.00 0 set
0 set
5 31500.00 0 0.00 4 25200.00 1
164 IV Catheter No. 20 G (Stera) 34 set 3799.40 129179.60 34 set
23 set 3799.40 87386.20 11 set
11 set
34 129179.60 0 0.00 23 87386.20 11
0 set
64 set 7787.50 498400.00 64 set
45 set 7787.50 350437.50 19 set
19 set
0 set 9185.00 0.00 0 set
50 set 9185.00 459250.00 50 set
24 set 9185.00 220440.00 26 set
26 set
64 498400.00 50 459250.00 69 570877.50 45
0 set
45 set 9185.00 413325.00 45 set
23 set 9185.00 211255.00 22 set
22 set
45 413325.00 0 0.00 23 211255.00 22
167 IV Catheter No. 26 G (Inflo) 1 set 5000.00 5000.00 1 set
1 set
1 5000.00 0 0.00 0 0.00 1
168 Kasa Hidrofil uk. 16 x 16 (isi 10 lembar) 190 lbr 935.00 177650.00 190 lbr
100 lbr 935.00 93500.00 290 lbr
220 lbr 935.00 205700.00 70 lbr
70 lbr
190 177650.00 100 93500.00 220 205700.00 70
169 Kasa Pembalut Elastis 4 inchi 2 rol 9955.00 19910.00 2 rol
2 rol
2 19910.00 0 0.00 0 0.00 2
170 Kasa Pembalut Hidrofil 4 m x 10 cm 40 rol 2640.00 105600.00 40 rol
50 rol 2640.00 132000.00 90 rol
40 rol 2640.00 105600.00 50 rol
50 rol
40 105600.00 50 132000.00 40 105600.00 50
40 rol 1320.00 52800.00 50 rol
50 rol
90 118800.00 0 0.00 40 52800.00 50
172 Kertas Puyer besar (slop) 1 slop 40000.00 40000.00 1 slop
1 slop 40000.00 40000.00 0 slop
0 slop
1 40000.00 0 0.00 1 40000.00 0
173 Masker (OneMed) 600 set 440.00 264000.00 600 set
900 set 440.00 396000.00 1500 set
1200 set 440.00 528000.00 300 set
300 set
600 264000.00 900 396000.00 1200 528000.00 300
174 Masker oksigen dewasa (Maxiflow) 2 set 16280.00 32560.00 2 set
2 set
2 32560.00 0 0.00 0 0.00 2
175 Plester 5 cm x 5 m (Polifix) 2 rol 39431.29 78862.58 2 rol
6 rol 39431.29 236587.74 8 rol
5 rol 39431.29 197156.45 3 rol
3 rol
2 78862.58 6 236587.74 5 197156.45 3
176 Plesterin~wp 100 pcs 570.00 57000.00 100 pcs
17 pcs 570.00 9690.00 83 pcs
83 pcs
100 57000.00 0 0.00 17 9690.00 83
177 Selang oksigen anak 1 set 12500.00 12500.00 1 set
1 set 12500.00 12500.00 0 set
0 set
1 12500.00 0 0.00 1 12500.00 0
178 Silk 3/0 75C + jarum 3/8 26M C (Demetech) 2 set 15449.96 30899.92 2 set
12 set 15449.96 185399.52 14 set
6 set 15449.96 92699.76 8 set
8 set
2 30899.92 12 185399.52 6 92699.76 8
179 Surgical Blade no 11 48 pcs 1100.00 52800.00 48 pcs
7 pcs 1100.00 7700.00 41 pcs
41 pcs
0 pcs 1000.00 0.00 0 pcs
0 pcs
48 52800.00 0 0.00 7 7700.00 41
180 Underpad (Softpad) 0 pcs 3500.00 0.00 0 pcs
10 pcs 3500.00 35000.00 10 pcs
5 pcs 3500.00 17500.00 5 pcs
5 pcs
0 0.00 10 35000.00 5 17500.00 5
181 Urine Bag (OneMed) 6 set 2999.70 17998.20 6 set
3 set 2999.70 8999.10 3 set
3 set
6 17998.20 0 0.00 3 8999.10 3
GRAND TOTAL 12751255.48 18758513.76 23784483.95
Mengetahui, Asembagus, 31 Januari 2019

Kepala UPT Puskesmas Asembagus Pengelola Obat
dr. SITI CHOIROH Panca Rhizqi Hayati
NIP : 19760710 201001 2 013 NIP. 19850507 200501 2 004
Saldo Akhir
Harga
Satuan(Rp) Jumlah(Rp)
2200.00 15400.00
2200.00 0.00
2200.00 0.00
0.00
1100.00 99000.00
1100.00 77000.00
1100.00 77000.00
77000.00
86.00 0.00
86.00 0.00
90.00 22320.00
90.00 14400.00
90.00 14400.00
14400.00
4070.00 36630.00
4070.00 56980.00
4070.00 4070.00
4070.00 4070.00
4070.00
165.00 30360.00
165.00 63360.00
165.00 31020.00
165.00 31020.00
31020.00
3345.00 6690.00
3345.00 6690.00
3822.00 0.00
3822.00 0.00
6690.00
80.00 8800.00
80.00 0.00
80.00 0.00
0.00
114.00 13680.00
114.00 7980.00
114.00 7980.00
7980.00
112.00 8960.00
112.00 0.00
112.00 0.00
0.00
145.00 42050.00
145.00 107300.00
145.00 55825.00
145.00 55825.00
55825.00
261.00 0.00
261.00 0.00
190.00 46930.00
190.00 426930.00
190.00 93290.00
190.00 93290.00
232.00 0.00
232.00 0.00
93290.00
1881.00 30096.00
1881.00 114741.00
1881.00 26334.00
1881.00 26334.00
2090.00 0.00
2090.00 0.00
2445.00 0.00
2445.00 0.00
26334.00
15070.00 587730.00
15070.00 1039830.00
15070.00 587730.00
15070.00 587730.00
587730.00
72.00 0.00
72.00 0.00
62.00 30070.00
62.00 79670.00
62.00 13640.00
62.00 13640.00
13640.00
2025.00 20250.00
2025.00 111375.00
2025.00 26325.00
2025.00 26325.00
26325.00
3045.00 21315.00
3045.00 12180.00
3045.00 12180.00
12180.00
135.00 13500.00
135.00 0.00
135.00 0.00
0.00
95.00 0.00
95.00 0.00
104.00 55640.00
104.00 211640.00
104.00 50440.00
104.00 50440.00
50440.00
48.00 4320.00
48.00 0.00
48.00 0.00
0.00
100.00 0.00
100.00 150000.00
100.00 19300.00
100.00 19300.00
106.00 0.00
106.00 0.00
19300.00
2445.00 0.00
2445.00 22005.00
2445.00 19560.00
2445.00 19560.00
19560.00
3520.00 105600.00
3520.00 70400.00
3520.00 70400.00
70400.00
3080.00 0.00
3080.00 0.00
3850.00 73150.00
3850.00 61600.00
3850.00 61600.00
61600.00
237.00 3081.00
237.00 0.00
237.00 0.00
0.00
336.00 0.00
336.00 0.00
349.00 42229.00
349.00 36296.00
349.00 36296.00
350.00 0.00
350.00 0.00
36296.00
145.00 43355.00
145.00 14500.00
145.00 14500.00
14500.00
190.00 7410.00
190.00 0.00
190.00 0.00
0.00
355.00 521850.00
355.00 820050.00
355.00 149100.00
355.00 149100.00
149100.00
1380.00 41400.00
1380.00 33120.00
1380.00 33120.00
1520.00 0.00
1520.00 0.00
33120.00
15510.00 108570.00
15510.00 0.00
15510.00 0.00
0.00
165.00 28050.00
165.00 21450.00
165.00 21450.00
21450.00
2850.00 0.00
2850.00 14250.00
2850.00 14250.00
6745.00 13490.00
6745.00 0.00
6745.00 0.00
14250.00
143.00 27313.00
143.00 1430.00
143.00 1430.00
1144.00 57200.00
1144.00 57200.00
58630.00
1097.00 16455.00
1097.00 8776.00
1097.00 8776.00
1580.00 109020.00
1580.00 0.00
1580.00 0.00
8776.00
32.00 2656.00
32.00 12256.00
32.00 6560.00
32.00 6560.00
41.00 7462.00
41.00 5084.00
41.00 5084.00
62.00 0.00
62.00 0.00
150.00 0.00
150.00 0.00
11644.00
11517.00 11517.00
11517.00 0.00
11517.00 0.00
0.00
1175.00 61100.00
1175.00 96350.00
1175.00 45825.00
1175.00 45825.00
1050.00 0.00
1050.00 0.00
45825.00
105.00 8400.00
105.00 0.00
105.00 0.00
0.00
104.00 19760.00
104.00 4160.00
104.00 4160.00
4160.00
3000.00 9000.00
3000.00 6000.00
3000.00 6000.00
6000.00
118.00 590.00
118.00 47790.00
118.00 39176.00
118.00 39176.00
167.00 0.00
167.00 0.00
39176.00
8100.00 526500.00
8100.00 0.00
8100.00 0.00
2204.00 22040.00
2204.00 19836.00
2204.00 19836.00
19836.00
7220.00 64980.00
7220.00 0.00
7220.00 0.00
0.00
3550.00 142000.00
3550.00 177500.00
3550.00 117150.00
3550.00 117150.00
3417.00 0.00
3417.00 0.00
117150.00
9900.00 49500.00
9900.00 0.00
9900.00 0.00
0.00
630.00 0.00
630.00 0.00
691.00 124380.00
691.00 80156.00
691.00 80156.00
80156.00
85.00 9180.00
85.00 0.00
85.00 0.00
0.00
288.00 14400.00
288.00 0.00
288.00 0.00
0.00
3520.00 56320.00
3520.00 91520.00
3520.00 31680.00
3520.00 31680.00
31680.00
2750.00 41250.00
2750.00 38500.00
2750.00 38500.00
38500.00
55.00 0.00
55.00 0.00
56.00 0.00
56.00 0.00
99.00 15147.00
99.00 12177.00
99.00 12177.00
12177.00
106.70 40652.70
106.70 0.00
106.70 0.00
132.00 0.00
132.00 0.00
0.00
4158.24 16632.96
4158.24 0.00
4158.24 0.00
0.00
9350.00 0.00
9350.00 187000.00
9350.00 121550.00
9350.00 121550.00
121550.00
9460.00 9460.00
9460.00 0.00
9460.00 0.00
0.00
5200.00 26000.00
5200.00 0.00
5200.00 0.00
5313.00 0.00
5313.00 0.00
6900.00 0.00
6900.00 34500.00
6900.00 34500.00
34500.00
245.00 29155.00
245.00 29155.00
29155.00
180.00 0.00
180.00 90000.00
180.00 70200.00
180.00 70200.00
70200.00
36.30 5408.70
36.30 0.00
36.30 0.00
0.00
2650.00 26500.00
2650.00 15900.00
2650.00 15900.00
6765.00 0.00
6765.00 0.00
15900.00
2475.00 24750.00
2475.00 12375.00
2475.00 12375.00
12375.00
150.00 0.00
150.00 0.00
319.00 0.00
319.00 0.00
127.00 50038.00
127.00 113538.00
127.00 48006.00
127.00 48006.00
48006.00
16465.00 181115.00
16465.00 148185.00
16465.00 148185.00
148185.00
88.00 1672.00
88.00 1672.00
1672.00
88.00 8800.00
88.00 0.00
88.00 0.00
0.00
56.00 17808.00
56.00 29008.00
56.00 12768.00
56.00 12768.00
70.00 0.00
70.00 0.00
81.40 0.00
81.40 0.00
12768.00
84.00 0.00
84.00 0.00
68.00 3536.00
68.00 3536.00
80.00 18400.00
80.00 34400.00
80.00 7120.00
80.00 7120.00
10656.00
245.00 2450.00
245.00 2450.00
2450.00
2545.00 17815.00
2545.00 15270.00
2545.00 15270.00
15270.00
10952.00 21904.00
10952.00 0.00
10952.00 0.00
0.00
280.00 13440.00
280.00 8400.00
280.00 8400.00
300.00 0.00
300.00 0.00
8400.00
227.00 0.00
227.00 0.00
1100.00 89100.00
1100.00 199100.00
1100.00 144100.00
1100.00 144100.00
144100.00
3091.00 71093.00
3091.00 0.00
3091.00 0.00
0.00
1600.00 0.00
1600.00 0.00
1798.00 57536.00
1798.00 26970.00
1798.00 26970.00
26970.00
3955.00 31640.00
3955.00 51415.00
3955.00 31640.00
3955.00 31640.00
31640.00
6600.00 6600.00
6600.00 0.00
6600.00 0.00
7700.00 0.00
7700.00 77000.00
7700.00 69300.00
7700.00 69300.00
69300.00
42.00 14994.00
42.00 48594.00
42.00 10248.00
42.00 10248.00
10248.00
144.00 31680.00
144.00 11520.00
144.00 11520.00
11520.00
68.00 14688.00
68.00 0.00
68.00 0.00
0.00
550.00 38500.00
550.00 38500.00
38500.00
125.00 28750.00
125.00 53750.00
125.00 25000.00
125.00 25000.00
138.00 16146.00
138.00 0.00
138.00 0.00
25000.00
2140.00 0.00
2140.00 0.00
2167.00 4334.00
2167.00 26004.00
2167.00 15169.00
2167.00 15169.00
15169.00
6820.00 109120.00
6820.00 0.00
6820.00 0.00
0.00
319.00 12760.00
319.00 76560.00
319.00 6380.00
319.00 6380.00
6380.00
9000.00 225000.00
9000.00 0.00
9000.00 0.00
9275.00 0.00
9275.00 1697325.00
9275.00 213325.00
9275.00 213325.00
213325.00
10000.00 140000.00
10000.00 0.00
10000.00 0.00
0.00
1845.00 83025.00
1845.00 16605.00
1845.00 16605.00
16605.00
85.00 27200.00
85.00 18955.00
85.00 18955.00
89.00 39783.00
89.00 0.00
89.00 0.00
18955.00
12100.00 121000.00
12100.00 0.00
12100.00 0.00
13200.00 198000.00
13200.00 330000.00
13200.00 145200.00
13200.00 145200.00
145200.00
880.00 96800.00
880.00 79200.00
880.00 79200.00
79200.00
5566.00 94622.00
5566.00 205942.00
5566.00 150282.00
5566.00 150282.00
150282.00
246.40 0.00
246.40 0.00
148.50 31185.00
148.50 135135.00
148.50 32670.00
148.50 32670.00
232.00 0.00
232.00 0.00
32670.00
100.00 18500.00
100.00 38500.00
100.00 21000.00
100.00 21000.00
21000.00
2684.00 5368.00
2684.00 0.00
2684.00 0.00
0.00
121.00 0.00
121.00 0.00
154.00 13860.00
154.00 13860.00
13860.00
612.00 60588.00
612.00 36108.00
612.00 36108.00
36108.00
300.00 64800.00
300.00 0.00
300.00 0.00
0.00
3395.00 91665.00
3395.00 193515.00
3395.00 3395.00
3395.00 3395.00
10450.00 0.00
10450.00 0.00
3395.00
2580.00 12900.00
2580.00 10320.00
2580.00 10320.00
10320.00
115.00 28635.00
115.00 16790.00
115.00 16790.00
108.00 0.00
108.00 0.00
16790.00
3800.00 30400.00
3800.00 30400.00
30400.00
133.00 18354.00
133.00 44954.00
133.00 25004.00
133.00 25004.00
160.00 0.00
160.00 0.00
25004.00
3000.00 33000.00
3000.00 0.00
3000.00 0.00
0.00
159.00 38478.00
159.00 70278.00
159.00 22260.00
159.00 22260.00
176.00 0.00
176.00 0.00
22260.00
4900.00 0.00
4900.00 0.00
4700.00 150400.00
4700.00 244400.00
4700.00 84600.00
4700.00 84600.00
84600.00
9900.00 118800.00
9900.00 0.00
9900.00 0.00
0.00
104.00 17264.00
104.00 11024.00
104.00 11024.00
110.00 0.00
110.00 0.00
11024.00
480.00 0.00
480.00 0.00
523.00 44455.00
523.00 44455.00
44455.00
385.00 57750.00
385.00 134750.00
385.00 73150.00
385.00 73150.00
73150.00
5940.00 0.00
5940.00 0.00
6050.00 60500.00
6050.00 272250.00
6050.00 0.00
6050.00 0.00
0.00
3187.80 0.00
3187.80 3187.80
3187.80 0.00
3187.80 0.00
3630.00 0.00
3630.00 0.00
0.00
1900.00 3800.00
1900.00 3800.00
2200.00 11000.00
2200.00 0.00
2200.00 0.00
3800.00
472.00 40592.00
472.00 40592.00
40592.00
5200.00 78000.00
5200.00 0.00
5200.00 0.00
18742.90 262400.60
18742.90 543544.10
18742.90 0.00
18742.90 0.00
0.00
1010.00 0.00
1010.00 0.00
1074.00 15036.00
1074.00 17184.00
1074.00 0.00
1074.00 0.00
1438.00 0.00
1438.00 0.00
0.00
49.00 13279.00
49.00 135779.00
49.00 18669.00
49.00 18669.00
56.00 0.00
56.00 0.00
79.00 1659.00
79.00 0.00
79.00 0.00
83.93 0.00
83.93 0.00
18669.00
400.00 34800.00
400.00 0.00
400.00 0.00
0.00
118.00 17700.00
118.00 41300.00
118.00 34810.00
118.00 34810.00
88.00 4136.00
88.00 0.00
88.00 0.00
34810.00
105.00 0.00
105.00 0.00
220.00 40700.00
220.00 84700.00
220.00 58300.00
220.00 58300.00
58300.00
17996.00 0.00
17996.00 0.00
25000.00 25000.00
25000.00 0.00
25000.00 0.00
0.00
5000.00 15000.00
5000.00 0.00
5000.00 0.00
0.00
114.00 0.00
114.00 0.00
64.00 25792.00
64.00 0.00
64.00 0.00
96.00 21312.00
96.00 50112.00
96.00 19296.00
96.00 19296.00
19296.00
105.00 37170.00
105.00 68670.00
105.00 35070.00
105.00 35070.00
35070.00
347.00 13880.00
347.00 0.00
347.00 0.00
1008.00 0.00
1008.00 0.00
0.00
66.00 6204.00
66.00 19404.00
66.00 8910.00
66.00 8910.00
8910.00
2000.00 0.00
2000.00 0.00
2429.00 68012.00
2429.00 60725.00
2429.00 60725.00
60725.00
1250.00 2500.00
1250.00 0.00
1250.00 0.00
1025.00 11275.00
1025.00 8200.00
1025.00 8200.00
8200.00
509.00 49882.00
509.00 37666.00
509.00 37666.00
913.00 0.00
913.00 0.00
37666.00
4896.00 44064.00
4896.00 0.00
4896.00 0.00
0.00
590.00 159890.00
590.00 277890.00
590.00 87320.00
590.00 87320.00
87320.00
126500.00 126500.00
126500.00 253000.00
126500.00 126500.00
126500.00 126500.00
130999.00 261998.00
130999.00 0.00
130999.00 0.00
145200.00 0.00
145200.00 0.00
126500.00
1078.00 0.00
1078.00 0.00
1098.00 95526.00
1098.00 205326.00
1098.00 120780.00
1098.00 120780.00
120780.00
51.00 18360.00
51.00 8670.00
51.00 8670.00
57.00 0.00
57.00 0.00
8670.00
111.00 26640.00
111.00 8880.00
111.00 8880.00
8880.00
255.00 0.00
255.00 0.00
281.00 67440.00
281.00 292240.00
281.00 78399.00
281.00 78399.00
78399.00
620000.00 0.00
620000.00 7440000.00
620000.00 0.00
620000.00 0.00
0.00
9578.00 38312.00
9578.00 0.00
9578.00 0.00
0.00
300.00 39000.00
300.00 0.00
300.00 0.00
0.00
1459.00 0.00
1459.00 0.00
1471.00 0.00
1471.00 294200.00
1471.00 205940.00
1471.00 205940.00
1472.00 0.00
1472.00 0.00
205940.00
1067.00 85360.00
1067.00 298760.00
1067.00 64020.00
1067.00 64020.00
64020.00
82.00 0.00
82.00 0.00
88.00 62480.00
88.00 880.00
88.00 880.00
880.00
1210.00 9680.00
1210.00 8470.00
1210.00 8470.00
6600.00 0.00
6600.00 0.00
8470.00
80.00 16000.00
80.00 16000.00
16000.00
115.00 36225.00
115.00 151225.00
115.00 39790.00
115.00 39790.00
39790.00
6290.00 31450.00
6290.00 18870.00
6290.00 18870.00
18870.00
474.00 45978.00
474.00 0.00
474.00 0.00
514.00 115650.00
514.00 218450.00
514.00 125930.00
514.00 125930.00
125930.00
125930.00
925.00 7400.00
925.00 7400.00
7400.00
1500.00 189000.00
1500.00 1074000.00
1500.00 150000.00
1500.00 150000.00
150000.00
968.00 30976.00
968.00 224576.00
968.00 0.00
968.00 0.00
0.00
3600.00 14400.00
3600.00 7200.00
3600.00 7200.00
7200.00
34895.00 104685.00
34895.00 0.00
34895.00 0.00
0.00
27466.66 329599.92
27466.66 247199.94
27466.66 247199.94
247199.94
3000.00 87000.00
3000.00 147000.00
3000.00 60000.00
3000.00 60000.00
2500.00 0.00
2500.00 0.00
60000.00
7999.20 23997.60
7999.20 31996.80
7999.20 15998.40
7999.20 15998.40
15998.40
18800.00 18800.00
18800.00 0.00
18800.00 0.00
0.00
7999.20 7999.20
7999.20 7999.20
7999.20
62650.00 0.00
62650.00 313250.00
62650.00 62650.00
62650.00 62650.00
62650.00
583.00 583000.00
583.00 1224300.00
583.00 174900.00
583.00 174900.00
174900.00
737.50 221250.00
737.50 0.00
737.50 0.00
583.00 116600.00
583.00 116600.00
116600.00
583.00 116600.00
583.00 291500.00
583.00 116600.00
583.00 116600.00
116600.00
3499.10 52486.50
3499.10 104973.00
3499.10 41989.20
3499.10 41989.20
3500.00 0.00
3500.00 0.00
41989.20
6286.50 238887.00
6286.50 496633.50
6286.50 150876.00
6286.50 150876.00
150876.00
6300.00 31500.00
6300.00 6300.00
6300.00 6300.00
7787.50 0.00
7787.50 0.00
6300.00
3799.40 129179.60
3799.40 41793.40
3799.40 41793.40
41793.40
7500.00 0.00
7500.00 0.00
7787.50 498400.00
7787.50 147962.50
7787.50 147962.50
9185.00 0.00
9185.00 459250.00
9185.00 238810.00
9185.00 238810.00
386772.50
7500.00 0.00
7500.00 0.00
9185.00 413325.00
9185.00 202070.00
9185.00 202070.00
202070.00
5000.00 5000.00
5000.00 5000.00
5000.00
935.00 177650.00
935.00 271150.00
935.00 65450.00
935.00 65450.00
65450.00
9955.00 19910.00
9955.00 19910.00
19910.00
2640.00 105600.00
2640.00 237600.00
2640.00 132000.00
2640.00 132000.00
132000.00
1320.00 118800.00
1320.00 66000.00
1320.00 66000.00
66000.00
40000.00 40000.00
40000.00 0.00
40000.00 0.00
0.00
440.00 264000.00
440.00 660000.00
440.00 132000.00
440.00 132000.00
132000.00
16280.00 32560.00
16280.00 32560.00
32560.00
39431.29 78862.58
39431.29 315450.32
39431.29 118293.87
39431.29 118293.87
118293.87
570.00 57000.00
570.00 47310.00
570.00 47310.00
47310.00
12500.00 12500.00
12500.00 0.00
12500.00 0.00
0.00
15449.96 30899.92
15449.96 216299.44
15449.96 123599.68
15449.96 123599.68
123599.68
1100.00 52800.00
1100.00 45100.00
1100.00 45100.00
1000.00 0.00
1000.00 0.00
45100.00
3500.00 0.00
3500.00 35000.00
3500.00 17500.00
3500.00 17500.00
17500.00
2999.70 17998.20
2999.70 8999.10
2999.70 8999.10
8999.10
7725285.29
019
004
DINAS KESEHATAN

Bulan FEBRUARI 2019


Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Satuan(Rp) Jumlah(Rp) Unit Set

30 tab 1100.00 33000.00 40 tab
40 tab
70 77000.00 0 0.00 30 33000.00 40
0 tab
160 tab 90.00 14400.00 160 tab
200 tab 90.00 18000.00 360 tab
70 tab 90.00 6300.00 290 tab
290 tab
160 14400.00 200 18000.00 70 6300.00 290
10 btl 4070.00 40700.00 11 btl
8 btl 4070.00 32560.00 3 btl
3 btl
1 4070.00 10 40700.00 8 32560.00 3
510 tab 165.00 84150.00 698 tab
233 tab 165.00 38445.00 465 tab
465 tab
188 31020.00 510 84150.00 233 38445.00 465
2 amp
0 amp 3822.00 0.00 0 amp
0 amp
2 6690.00 0 0.00 0 0.00 2
6 Aminofilin tablet 200 mg (Erphafillin) 70 tab 114.00 7980.00 70 tab
30 tab 114.00 3420.00 40 tab
40 tab
70 7980.00 0 0.00 30 3420.00 40
5 tab 145.00 725.00 390 tab
180 tab 145.00 26100.00 210 tab
210 tab
385 55825.00 5 725.00 180 26100.00 210
0 kapl
0 kapl 261.00 0.00 0 kapl
0 kapl
491 kapl 190.00 93290.00 491 kapl
1800 kapl 190.00 342000.00 2291 kapl
1785 kapl 190.00 339150.00 506 kapl
506 kapl
491 93290.00 1800 342000.00 1785 339150.00 506
44 btl 1881.00 82764.00 58 btl
46 btl 1881.00 86526.00 12 btl
12 btl
0 btl 2090.00 0.00 0 btl
0 btl
0 btl 2445.00 0.00 0 btl
0 btl
14 26334.00 44 82764.00 46 86526.00 12
Ampisilin serbuk injeksi i.m./i.v. 1000
10 mg/vial (Viccillin) 39 vial 15070.00 587730.00 39 vial
60 vial 15070.00 904200.00 99 vial
85 vial 15070.00 1280950.00 14 vial

14 vial
39 587730.00 60 904200.00 85 1280950.00 14
Antasida DOEN I tablet kunyah, kombinasi:

Aluminium Hidroksida 200 mg Magnesium
11 Hidroksida 200 mg 220 tab 62.00 13640.00 220 tab
800 tab 62.00 49600.00 1020 tab
760 tab 62.00 47120.00 260 tab
260 tab
0 tab 72.00 0.00 0 tab
0 tab
220 13640.00 800 49600.00 760 47120.00 260
Antasida DOEN II suspensi, kombi:

Aluminium Hidroksida 200 mg/5 ml
12 Magnesium Hidroksida 200 mg/5 ml 13 btl 2025.00 26325.00 13 btl
20 btl 2025.00 40500.00 33 btl
20 btl 2025.00 40500.00 13 btl
13 btl
13 26325.00 20 40500.00 20 40500.00 13
Antihemoroid DOEN kombinasi: Bismut

13 subgalat 150 mg Heksaklorofen 2,5 mg 4 supp 3045.00 12180.00 4 supp
3 supp 3045.00 9135.00 1 supp
1 supp
4 12180.00 0 0.00 3 9135.00 1

0 tab
485 tab 104.00 50440.00 485 tab
800 tab 104.00 83200.00 1285 tab
1041 tab 104.00 108264.00 244 tab
244 tab
485 50440.00 800 83200.00 1041 108264.00 244
1600 kapl 100.00 160000.00 1793 kapl
1355 kapl 100.00 135500.00 438 kapl
438 kapl
0 kapl 106.00 0.00 0 kapl
0 kapl
193 19300.00 1600 160000.00 1355 135500.00 438
1 amp 2445.00 2445.00 7 amp
7 amp
8 19560.00 0 0.00 1 2445.00 7
200 tab 3520.00 704000.00 220 tab
50 tab 3520.00 176000.00 170 tab
170 tab
20 70400.00 200 704000.00 50 176000.00 170
0 tube
16 tube 3850.00 61600.00 16 tube
2 tube 3850.00 7700.00 14 tube
14 tube
16 61600.00 0 0.00 2 7700.00 14
0 tab
104 tab 349.00 36296.00 104 tab
34 tab 349.00 11866.00 70 tab
70 tab
0 tab 350.00 0.00 0 tab
0 tab
104 36296.00 0 0.00 34 11866.00 70
200 tab 145.00 29000.00 300 tab
70 tab 145.00 10150.00 230 tab
230 tab
100 14500.00 200 29000.00 70 10150.00 230
Besi (II) Sulfat 60 mg + Asam Folat 0,4 mg

21 tablet (tablet tambah darah kombinasi) 420 tab 355.00 149100.00 420 tab
420 tab 355.00 149100.00 0 tab
0 tab
420 149100.00 0 0.00 420 149100.00 0

0 tube
24 tube 1380.00 33120.00 24 tube
2 tube 1380.00 2760.00 22 tube
22 tube
24 33120.00 0 0.00 2 2760.00 22
100 tab 165.00 16500.00 230 tab
40 tab 165.00 6600.00 190 tab
190 tab
130 21450.00 100 16500.00 40 6600.00 190
5 btl 2850.00 14250.00 10 btl
4 btl 2850.00 11400.00 6 btl
6 btl
0 btl 6745.00 0.00 0 btl
0 btl
5 14250.00 5 14250.00 4 11400.00 6
350 tab 143.00 50050.00 360 tab
202 tab 143.00 28886.00 158 tab
158 tab
50 tab 1144.00 57200.00 50 tab
10 tab 1144.00 11440.00 40 tab
40 tab
60 58630.00 350 50050.00 212 40326.00 198

0 amp
8 amp 1097.00 8776.00 8 amp
1 amp 1097.00 1097.00 7 amp
7 amp
8 8776.00 0 0.00 1 1097.00 7
200 tab 32.00 6400.00 405 tab
274 tab 32.00 8768.00 131 tab
131 tab
124 tab 41.00 5084.00 124 tab
124 tab
0 tab 62.00 0.00 0 tab
0 tab
0 tab 150.00 0.00 0 tab
0 tab
329 11644.00 200 6400.00 274 8768.00 255
Diazepam larutan rectal 5 mg/2,5 ml
28 (Stesolid) 0 tube 11517.00 0.00 0 tube
0 tube
0 tube 12573.00 0.00 0 tube
10 tube 12573.00 125730.00 10 tube
5 tube 12573.00 62865.00 5 tube
5 tube
0 0.00 10 125730.00 5 62865.00 5

0 amp
39 amp 1175.00 45825.00 39 amp
8 amp 1175.00 9400.00 31 amp
31 amp
39 45825.00 0 0.00 8 9400.00 31
40 tab 104.00 4160.00 0 tab
0 tab
40 4160.00 0 0.00 40 4160.00 0
5 btl 3000.00 15000.00 7 btl
7 btl
2 6000.00 5 15000.00 0 0.00 7
20 tab 118.00 2360.00 312 tab
312 tab
0 tab 167.00 0.00 0 tab
0 tab
332 39176.00 0 0.00 20 2360.00 312
Epinefrin (adrenalin) injeksi 0,1% (sebagai
33 HCl) 9 amp 2204.00 19836.00 9 amp
9 amp
0 amp 8100.00 0.00 0 amp
0 amp
9 19836.00 0 0.00 0 0.00 9

0 amp
33 amp 3550.00 117150.00 33 amp
33 amp
33 117150.00 0 0.00 0 0.00 33
Fitomenadion (Vitamin K1) tablet salut gula
35 10 mg 0 tab 630.00 0.00 0 tab
0 tab
116 tab 691.00 80156.00 116 tab
100 tab 691.00 69100.00 216 tab
70 tab 691.00 48370.00 146 tab
146 tab
116 80156.00 100 69100.00 70 48370.00 146
36 Gastrusid sirup 0 btl 10450.00 0.00 0 btl
10 btl 10450.00 104500.00 10 btl
2 btl 10450.00 20900.00 8 btl
8 btl
0 0.00 10 104500.00 2 20900.00 8
20 tube 3520.00 70400.00 29 tube
14 tube 3520.00 49280.00 15 tube
15 tube
9 31680.00 20 70400.00 14 49280.00 15
2 btl 2750.00 5500.00 12 btl
12 btl
14 38500.00 0 0.00 2 5500.00 12
200 tab 99.00 19800.00 323 tab
100 tab 99.00 9900.00 223 tab
223 tab
0 tab 55.00 0.00 0 tab
0 tab
0 tab 56.00 0.00 0 tab
0 tab
123 12177.00 200 19800.00 100 9900.00 223
Glukosa 5% dan NaCl 0,9% (Wida D5~1/4
40 NS) 13 btl 9350.00 121550.00 13 btl
9 btl 9350.00 84150.00 22 btl
13 btl 9350.00 121550.00 9 btl
9 btl
13 121550.00 9 84150.00 13 121550.00 9
0 btl
0 btl 5313.00 0.00 0 btl
0 btl
5 btl 6900.00 34500.00 5 btl
2 btl 6900.00 13800.00 3 btl
3 btl
5 34500.00 0 0.00 2 13800.00 3
20 tab 245.00 4900.00 99 tab
99 tab
119 29155.00 0 0.00 20 4900.00 99
502 tab 180.00 90360.00 892 tab
586 tab 180.00 105480.00 306 tab
306 tab
390 70200.00 502 90360.00 586 105480.00 306
3 tube 2650.00 7950.00 3 tube
3 tube
0 tube 6765.00 0.00 0 tube
0 tube
6 15900.00 0 0.00 3 7950.00 3
5 btl 2475.00 12375.00 10 btl
4 btl 2475.00 9900.00 6 btl
6 btl
5 12375.00 5 12375.00 4 9900.00 6
0 tab
0 tab 319.00 0.00 0 tab
0 tab
378 tab 127.00 48006.00 378 tab
300 tab 127.00 38100.00 678 tab
380 tab 127.00 48260.00 298 tab
298 tab
378 48006.00 300 38100.00 380 48260.00 298
Ipratropium Bromida 0,52 mg; Sabutamol
47 Sulfat 3,01 mg (Combivent) 9 ktk 16465.00 148185.00 9 ktk
37 ktk 16465.00 609205.00 46 ktk
25 ktk 16465.00 411625.00 21 ktk
21 ktk
9 148185.00 37 609205.00 25 411625.00 21
48 Isosorbid Dinitrat tablet 10 mg 19 tab 88.00 1672.00 19 tab
19 tab 88.00 1672.00 0 tab
0 tab
19 1672.00 0 0.00 19 1672.00 0
500 tab 56.00 28000.00 728 tab
682 tab 56.00 38192.00 46 tab
46 tab
0 tab 70.00 0.00 0 tab
0 tab
0 tab 81.40 0.00 0 tab
0 tab
228 12768.00 500 28000.00 682 38192.00 46
300 tab 80.00 24000.00 389 tab
379 tab 80.00 30320.00 10 tab
10 tab
0 tab 84.00 0.00 0 tab
0 tab
52 tab 68.00 3536.00 52 tab
1 tab 68.00 68.00 51 tab
51 tab
141 10656.00 300 24000.00 380 30388.00 61
51 Karbamazepin tablet 200 mg 10 tab 245.00 2450.00 10 tab
10 tab 245.00 2450.00 0 tab
0 tab
10 2450.00 0 0.00 10 2450.00 0
1 tube 2545.00 2545.00 5 tube
5 tube
6 15270.00 0 0.00 1 2545.00 5
53 Ketokonazol krim 2% (Solinfec) 0 tube 10952.00 0.00 0 tube
1 tube 10952.00 10952.00 1 tube
1 tube 10952.00 10952.00 0 tube
0 tube
0 0.00 1 10952.00 1 10952.00 0
100 tab 280.00 28000.00 130 tab
10 tab 280.00 2800.00 120 tab
120 tab
0 tab 300.00 0.00 0 tab
0 tab
30 8400.00 100 28000.00 10 2800.00 120
0 kaps
131 kaps 1100.00 144100.00 131 kaps
20 kaps 1100.00 22000.00 111 kaps
111 kaps
131 144100.00 0 0.00 20 22000.00 111
0 tube
15 tube 1798.00 26970.00 15 tube
9 tube 1798.00 16182.00 24 tube
14 tube 1798.00 25172.00 10 tube
10 tube
15 26970.00 9 16182.00 14 25172.00 10
10 btl 3955.00 39550.00 18 btl
14 btl 3955.00 55370.00 4 btl
4 btl
8 31640.00 10 39550.00 14 55370.00 4
0 btl
9 btl 7700.00 69300.00 9 btl
8 btl 7700.00 61600.00 1 btl
1 btl
9 69300.00 0 0.00 8 61600.00 1
1000 tab 42.00 42000.00 1244 tab
749 tab 42.00 31458.00 495 tab
495 tab
244 10248.00 1000 42000.00 749 31458.00 495
200 tab 144.00 28800.00 280 tab
90 tab 144.00 12960.00 190 tab
190 tab
80 11520.00 200 28800.00 90 12960.00 190
256 tab 68.00 17408.00 256 tab
256 tab 68.00 17408.00 0 tab
0 tab
0 0.00 256 17408.00 256 17408.00 0
70 tab
70 38500.00 0 0.00 0 0.00 70
Kotrimoksazol DOEN I (dewasa) kombinasi:

Sulfametoksazol 400 mg, Trimetoprim 80
63 mg 200 tab 125.00 25000.00 200 tab
100 tab 125.00 12500.00 300 tab
150 tab 125.00 18750.00 150 tab
150 tab
0 tab 138.00 0.00 0 tab
0 tab
200 25000.00 100 12500.00 150 18750.00 150
Kotrimoksazol Suspensi komb:

Sulfametoksazol 200 mg + Trimetoprim 40
64 mg/5 ml 0 btl 2140.00 0.00 0 btl
0 btl
7 btl 2167.00 15169.00 7 btl
5 btl 2167.00 10835.00 12 btl
3 btl 2167.00 6501.00 9 btl
9 btl
7 15169.00 5 10835.00 3 6501.00 9
65 Lacto B 0 sase 6820.00 0.00 0 sase
12 sase 6820.00 81840.00 12 sase
12 sase 6820.00 81840.00 0 sase
0 sase
0 0.00 12 81840.00 12 81840.00 0
200 kaps 319.00 63800.00 220 kaps
70 kaps 319.00 22330.00 150 kaps
150 kaps
20 6380.00 200 63800.00 70 22330.00 150
Larutan mengandung Elektrolit (Na 130

mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq)
67 (ASERING) 0 btl 9000.00 0.00 0 btl
0 btl
23 btl 9275.00 213325.00 23 btl
1298500.0
140 btl 9275.00 0 163 btl
159 btl 9275.00 1474725.00 4 btl

4 btl
1298500.0
23 213325.00 140 0 159 1474725.00 4
Lidokain injeksi 2% (HCl) + Epinefrin 1 :
68 80.000 ~ 2ml (Lidokain Comp. Inj) 9 amp 1845.00 16605.00 9 amp
60 amp 1845.00 110700.00 69 amp
39 amp 1845.00 71955.00 30 amp
30 amp
9 16605.00 60 110700.00 39 71955.00 30
90 tab 85.00 7650.00 133 tab
133 tab
0 tab 89.00 0.00 0 tab
0 tab
223 18955.00 0 0.00 90 7650.00 133
0 btl
11 btl 13200.00 145200.00 11 btl
6 btl 13200.00 79200.00 5 btl
5 btl
11 145200.00 0 0.00 6 79200.00 5
200 tab 880.00 176000.00 290 tab
20 tab 880.00 17600.00 270 tab
270 tab
90 79200.00 200 176000.00 20 17600.00 270
30 amp 5566.00 166980.00 57 amp
24 amp 5566.00 133584.00 33 amp
33 amp
27 150282.00 30 166980.00 24 133584.00 33
500 tab 148.50 74250.00 720 tab
470 tab 148.50 69795.00 250 tab
250 tab
0 tab 232.00 0.00 0 tab
0 tab
0 tab 246.40 0.00 0 tab
0 tab
220 32670.00 500 74250.00 470 69795.00 250
80 tab 100.00 8000.00 130 tab
130 tab
210 21000.00 0 0.00 80 8000.00 130
Metilergometrin Maleat tablet salut 0,125
75 mg 0 tab 121.00 0.00 0 tab
0 tab
90 tab 154.00 13860.00 90 tab
90 tab
90 13860.00 0 0.00 0 0.00 90
90 tab 612.00 55080.00 149 tab
87 tab 612.00 53244.00 62 tab
62 tab
59 36108.00 90 55080.00 87 53244.00 62
77 Metoklopramide drop 10 ml (Gavistal) 0 btl 4950.00 0.00 0 btl
1 btl 4950.00 4950.00 1 btl
1 btl 4950.00 4950.00 0 btl
0 btl
0 0.00 1 4950.00 1 4950.00 0
0 amp
1 amp 3395.00 3395.00 1 amp
130 amp 3395.00 441350.00 131 amp
77 amp 3395.00 261415.00 54 amp
54 amp
1 3395.00 130 441350.00 77 261415.00 54
Metoklopramide sirup 5 mg/ 5 ml
79 (Lexapram) 4 btl 2580.00 10320.00 4 btl
8 btl 2580.00 20640.00 12 btl
6 btl 2580.00 15480.00 6 btl
6 btl
4 10320.00 8 20640.00 6 15480.00 6
0 tab
146 tab 115.00 16790.00 146 tab
56 tab 115.00 6440.00 90 tab
90 tab
146 16790.00 0 0.00 56 6440.00 90
1 btl 3800.00 3800.00 7 btl
7 btl
8 30400.00 0 0.00 1 3800.00 7
33 tab 133.00 4389.00 155 tab
155 tab
0 tab 160.00 0.00 0 tab
0 tab
188 25004.00 0 0.00 33 4389.00 155
0 tab
140 tab 159.00 22260.00 140 tab
250 tab 159.00 39750.00 390 tab
150 tab 159.00 23850.00 240 tab
240 tab
140 22260.00 250 39750.00 150 23850.00 240
51 btl 4700.00 239700.00 69 btl
40 btl 4700.00 188000.00 29 btl
29 btl
0 btl 4900.00 0.00 0 btl
0 btl
18 84600.00 51 239700.00 40 188000.00 29
100 tab 104.00 10400.00 206 tab
20 tab 104.00 2080.00 186 tab
186 tab
0 tab 110.00 0.00 0 tab
0 tab
106 11024.00 100 10400.00 20 2080.00 186
85 ovula
0 ovula 480.00 0.00 0 ovula
0 ovula
85 44455.00 0 0.00 0 0.00 85
90 kaps 385.00 34650.00 100 kaps
100 kaps
190 73150.00 0 0.00 90 34650.00 100
0 btl
0 btl 6050.00 0.00 0 btl
64 btl 6050.00 387200.00 64 btl
61 btl 6050.00 369050.00 3 btl
3 btl
0 0.00 64 387200.00 61 369050.00 3
2 amp
0 amp 2200.00 0.00 0 amp
0 amp
2 3800.00 0 0.00 0 0.00 2
90 Ondansentron injeksi 4 mg/2 ml 0 amp 1650.00 0.00 0 amp
20 amp 1650.00 33000.00 20 amp
7 amp 1650.00 11550.00 13 amp
13 amp
0 amp 2400.00 0.00 0 amp
0 amp
0 0.00 20 33000.00 7 11550.00 13
3 tab 472.00 1416.00 89 tab
3 tab 472.00 1416.00 86 tab
86 tab
86 40592.00 3 1416.00 3 1416.00 86
2100 tab 49.00 102900.00 2481 tab
2105 tab 49.00 103145.00 376 tab
376 tab
0 tab 56.00 0.00 0 tab
0 tab
0 tab 79.00 0.00 0 tab
0 tab
0 tab 83.93 0.00 0 tab
0 tab
381 18669.00 2100 102900.00 2105 103145.00 376
93 Piracetam tablet 800 mg 0 tab 400.00 0.00 0 tab
22 tab 400.00 8800.00 22 tab
22 tab 400.00 8800.00 0 tab
0 tab
0 0.00 22 8800.00 22 8800.00 0

0 tab
295 tab 118.00 34810.00 295 tab
114 tab 118.00 13452.00 181 tab
181 tab
295 34810.00 0 0.00 114 13452.00 181
0 kaps
265 kaps 220.00 58300.00 265 kaps
50 kaps 220.00 11000.00 215 kaps
215 kaps
265 58300.00 0 0.00 50 11000.00 215
1 btl 25000.00 25000.00 1 btl
1 btl 25000.00 25000.00 0 btl
0 btl
0 btl 17996.00 0.00 0 btl
0 btl
0 0.00 1 25000.00 1 25000.00 0
5 btl 5000.00 25000.00 5 btl
5 btl 5000.00 25000.00 0 btl
0 btl
0 0.00 5 25000.00 5 25000.00 0
0 tab
201 tab 96.00 19296.00 201 tab
500 tab 96.00 48000.00 701 tab
426 tab 96.00 40896.00 275 tab
275 tab
0 tab 114.00 0.00 0 tab
0 tab
201 19296.00 500 48000.00 426 40896.00 275
200 tab 105.00 21000.00 534 tab
230 tab 105.00 24150.00 304 tab
304 tab
334 35070.00 200 21000.00 230 24150.00 304
200 tab 66.00 13200.00 335 tab
209 tab 66.00 13794.00 126 tab
126 tab
135 8910.00 200 13200.00 209 13794.00 126
Salep 2~4 , Kombinasi: Asam Salisilat 2% +
101 Belerang endap 4% 0 pot 2000.00 0.00 0 pot
0 pot
25 pot 2429.00 60725.00 25 pot
9 pot 2429.00 21861.00 16 pot
16 pot
25 60725.00 0 0.00 9 21861.00 16
4 ktk 1025.00 4100.00 4 ktk
4 ktk
0 ktk 1250.00 0.00 0 ktk
0 ktk
8 8200.00 0 0.00 4 4100.00 4
50 kaps 509.00 25450.00 124 kaps
30 kaps 509.00 15270.00 94 kaps
94 kaps
0 kaps 913.00 0.00 0 kaps
0 kaps
0 kaps 478.00 0.00 0 kaps
50 kaps 478.00 23900.00 50 kaps
50 kaps
74 37666.00 100 49350.00 30 15270.00 144
200 kaps 590.00 118000.00 348 kaps
200 kaps 590.00 118000.00 148 kaps
148 kaps
148 87320.00 200 118000.00 200 118000.00 148
Serum A.T.S. injeksi 1.500 UI/amp (i.m.)
105 (Biosat) 1 amp 126500.00 126500.00 1 amp
1 amp
0 amp 130999.00 0.00 0 amp
2 amp 130999.00 261998.00 2 amp
1 amp 130999.00 130999.00 1 amp
1 amp
0 amp 145200.00 0.00 0 amp
0 amp
1 126500.00 2 261998.00 1 130999.00 2
106 Serum ABU I (Biosave) 0 vial 462000.00 0.00 0 vial

1 vial 462000.00 462000.00 1 vial
1 vial 462000.00 462000.00 0 vial
0 vial
0 0.00 1 462000.00 1 462000.00 0
Sianokobalamin (vitamin B12) injeksi 500
107 mcg 0 amp 1078.00 0.00 0 amp
0 amp
110 amp 1098.00 120780.00 110 amp
5 amp 1098.00 5490.00 105 amp
105 amp
110 120780.00 0 0.00 5 5490.00 105
Sianokobalamin (vitamin B12) tablet 50
108 mcg 170 tab 51.00 8670.00 170 tab
200 tab 51.00 10200.00 370 tab
260 tab 51.00 13260.00 110 tab
110 tab
0 tab 57.00 0.00 0 tab
0 tab
170 8670.00 200 10200.00 260 13260.00 110
300 tab 111.00 33300.00 380 tab
190 tab 111.00 21090.00 190 tab
190 tab
80 8880.00 300 33300.00 190 21090.00 190
0 tab
279 tab 281.00 78399.00 279 tab
800 tab 281.00 224800.00 1079 tab
790 tab 281.00 221990.00 289 tab
289 tab
279 78399.00 800 224800.00 790 221990.00 289
Tiamfenikol kapsul/kaplet 500 mg
111 (Dionicol) 0 kaps 1459.00 0.00 0 kaps
0 kaps
140 kaps 1471.00 205940.00 140 kaps
200 kaps 1471.00 294200.00 340 kaps
100 kaps 1471.00 147100.00 240 kaps
240 kaps
0 kaps 1472.00 0.00 0 kaps
0 kaps
140 205940.00 200 294200.00 100 147100.00 240
Tiamfenikol kapsul/kaplet 500 mg
112 (Solathim) 60 kaps 1067.00 64020.00 60 kaps
30 kaps 1067.00 32010.00 30 kaps
30 kaps
60 64020.00 0 0.00 30 32010.00 30
Tiamin (vitamin B1) tablet 50 mg
113 (HCL/nitrat) 0 tab 82.00 0.00 0 tab
0 tab
10 tab 88.00 880.00 10 tab
1000 tab 88.00 88000.00 1010 tab
543 tab 88.00 47784.00 467 tab
467 tab
10 880.00 1000 88000.00 543 47784.00 467
114 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 amp 6600.00 0.00 0 amp
0 amp
7 amp 1210.00 8470.00 7 amp
6 amp 1210.00 7260.00 13 amp
13 amp 1210.00 15730.00 0 amp
0 amp
7 8470.00 6 7260.00 13 15730.00 0
200 tab
200 16000.00 0 0.00 0 0.00 200
600 tab 115.00 69000.00 946 tab
648 tab 115.00 74520.00 298 tab
298 tab
346 39790.00 600 69000.00 648 74520.00 298
1 btl 6290.00 6290.00 2 btl
2 btl
3 18870.00 0 0.00 1 6290.00 2
0 tab
245 tab 514.00 125930.00 245 tab
60 tab 514.00 30840.00 185 tab
185 tab
245 125930.00 0 0.00 60 30840.00 185
245 125930.00 0 0.00 60 30840.00 185
44 set 925.00 40700.00 52 set
13 set 925.00 12025.00 39 set
39 set
8 7400.00 44 40700.00 13 12025.00 39
600 set 1500.00 900000.00 700 set

536 set 1500.00 804000.00 164 set
164 set
100 150000.00 600 900000.00 536 804000.00 164
2 set
2 7200.00 0 0.00 0 0.00 2
Catgut plain no 2/0 70C + jarum 1/2 25M R
122 (Demetech) 9 set 27466.66 247199.94 9 set
3 set 27466.66 82399.98 6 set
6 set
9 247199.94 0 0.00 3 82399.98 6
0 btl
20 btl 3000.00 60000.00 20 btl
13 btl 3000.00 39000.00 7 btl
7 btl
20 60000.00 0 0.00 13 39000.00 7
2 set 7999.20 15998.40 0 set
0 set
2 15998.40 0 0.00 2 15998.40 0
2 set 7999.20 15998.40 3 set
3 set 7999.20 23997.60 0 set
0 set
1 7999.20 2 15998.40 3 23997.60 0
1 btl
1 62650.00 0 0.00 0 0.00 1
600 pcs 583.00 349800.00 900 pcs
800 pcs 583.00 466400.00 100 pcs
100 pcs
300 174900.00 600 349800.00 800 466400.00 100
300 pcs 737.50 221250.00 300 pcs
200 pcs 737.50 147500.00 100 pcs
100 pcs
200 pcs 583.00 116600.00 200 pcs
100 pcs 583.00 58300.00 100 pcs
100 pcs
200 116600.00 300 221250.00 300 205800.00 200
100 pcs 583.00 58300.00 300 pcs
200 pcs 583.00 116600.00 100 pcs
100 pcs
200 116600.00 100 58300.00 200 116600.00 100
56 set 3499.10 195949.60 68 set
16 set 3499.10 55985.60 52 set
52 set
0 set 3500.00 0.00 0 set
0 set
12 41989.20 56 195949.60 16 55985.60 52
45 set 6286.50 282892.50 69 set
42 set 6286.50 264033.00 27 set
27 set
24 150876.00 45 282892.50 42 264033.00 27
1 set 6300.00 6300.00 0 set
0 set
0 set 7787.50 0.00 0 set
0 set
1 6300.00 0 0.00 1 6300.00 0
50 set 3799.40 189970.00 61 set
31 set 3799.40 117781.40 30 set
30 set
11 41793.40 50 189970.00 31 117781.40 30
0 set
19 set 7787.50 147962.50 19 set
19 set
26 set 9185.00 238810.00 26 set
38 set 9185.00 349030.00 64 set
38 set 9185.00 349030.00 26 set
26 set
45 386772.50 38 349030.00 38 349030.00 45
0 set
22 set 9185.00 202070.00 22 set
41 set 9185.00 376585.00 63 set
18 set 9185.00 165330.00 45 set
45 set
22 202070.00 41 376585.00 18 165330.00 45
136 IV Catheter No. 26 G (Inflo) 1 set 5000.00 5000.00 1 set
1 set 5000.00 5000.00 0 set
0 set
1 5000.00 0 0.00 1 5000.00 0
50 lbr 935.00 46750.00 120 lbr
30 lbr 935.00 28050.00 90 lbr
90 lbr
70 65450.00 50 46750.00 30 28050.00 90
138 Kasa Pembalut Elastis 4 inchi 2 rol 9955.00 19910.00 2 rol
2 rol
2 19910.00 0 0.00 0 0.00 2
50 rol
50 132000.00 0 0.00 0 0.00 50
30 rol 1320.00 39600.00 20 rol
20 rol
50 66000.00 0 0.00 30 39600.00 20
300 set 440.00 132000.00 600 set
600 set 440.00 264000.00 0 set
0 set
300 132000.00 300 132000.00 600 264000.00 0
2 set 16280.00 32560.00 0 set
0 set
2 32560.00 0 0.00 2 32560.00 0
3 rol 39431.29 118293.87 6 rol
5 rol 39431.29 197156.45 1 rol
1 rol
3 118293.87 3 118293.87 5 197156.45 1
144 Plesterin~wp 83 pcs 570.00 47310.00 83 pcs
83 pcs 570.00 47310.00 0 pcs
0 pcs
83 47310.00 0 0.00 83 47310.00 0
18 set 15449.96 278099.28 26 set
6 set 15449.96 92699.76 20 set
20 set
8 123599.68 18 278099.28 6 92699.76 20
2 pcs 1100.00 2200.00 39 pcs
39 pcs
0 pcs 1000.00 0.00 0 pcs
0 pcs
41 45100.00 0 0.00 2 2200.00 39
5 pcs 3500.00 17500.00 0 pcs
0 pcs
5 17500.00 0 0.00 5 17500.00 0
5 set 2999.70 14998.50 8 set
4 set 2999.70 11998.80 4 set
4 set
3 8999.10 5 14998.50 4 11998.80 4
GRAND TOTAL 7725285.29 12761167.15 11934919.99 8551
Mengetahui, Asembagus, 28 Februari 2019


NIP : 19760710 201001 2 013 NIP. 19850507 200501 2 004
Saldo Akhir
Harga
Satuan(Rp) Jumlah(Rp)
1100.00 77000.00
1100.00 44000.00
1100.00 44000.00
44000.00
86.00 0.00
86.00 0.00
90.00 14400.00
90.00 32400.00
90.00 26100.00
90.00 26100.00
26100.00
4070.00 4070.00
4070.00 44770.00
4070.00 12210.00
4070.00 12210.00
12210.00
165.00 31020.00
165.00 115170.00
165.00 76725.00
165.00 76725.00
76725.00
3345.00 6690.00
3345.00 6690.00
3822.00 0.00
3822.00 0.00
6690.00
114.00 7980.00
114.00 4560.00
114.00 4560.00
4560.00
145.00 55825.00
145.00 56550.00
145.00 30450.00
145.00 30450.00
30450.00
232.00 0.00
232.00 0.00
261.00 0.00
261.00 0.00
190.00 93290.00
190.00 435290.00
190.00 96140.00
190.00 96140.00
96140.00
1881.00 26334.00
1881.00 109098.00
1881.00 22572.00
1881.00 22572.00
2090.00 0.00
2090.00 0.00
2445.00 0.00
2445.00 0.00
22572.00
15070.00 587730.00
15070.00 1491930.00
15070.00 210980.00
15070.00 210980.00
210980.00
62.00 13640.00
62.00 63240.00
62.00 16120.00
62.00 16120.00
72.00 0.00
72.00 0.00
16120.00
2025.00 26325.00
2025.00 66825.00
2025.00 26325.00
2025.00 26325.00
26325.00
3045.00 12180.00
3045.00 3045.00
3045.00 3045.00
3045.00
95.00 0.00
95.00 0.00
104.00 50440.00
104.00 133640.00
104.00 25376.00
104.00 25376.00
25376.00
100.00 19300.00
100.00 179300.00
100.00 43800.00
100.00 43800.00
106.00 0.00
106.00 0.00
43800.00
2445.00 19560.00
2445.00 17115.00
2445.00 17115.00
17115.00
3520.00 70400.00
3520.00 774400.00
3520.00 598400.00
3520.00 598400.00
598400.00
3080.00 0.00
3080.00 0.00
3850.00 61600.00
3850.00 53900.00
3850.00 53900.00
53900.00
336.00 0.00
336.00 0.00
349.00 36296.00
349.00 24430.00
349.00 24430.00
350.00 0.00
350.00 0.00
24430.00
145.00 14500.00
145.00 43500.00
145.00 33350.00
145.00 33350.00
33350.00
355.00 149100.00
355.00 0.00
355.00 0.00
0.00
1520.00 0.00
1520.00 0.00
1380.00 33120.00
1380.00 30360.00
1380.00 30360.00
30360.00
165.00 21450.00
165.00 37950.00
165.00 31350.00
165.00 31350.00
31350.00
2850.00 14250.00
2850.00 28500.00
2850.00 17100.00
2850.00 17100.00
6745.00 0.00
6745.00 0.00
17100.00
143.00 1430.00
143.00 51480.00
143.00 22594.00
143.00 22594.00
1144.00 57200.00
1144.00 45760.00
1144.00 45760.00
68354.00
1580.00 0.00
1580.00 0.00
1097.00 8776.00
1097.00 7679.00
1097.00 7679.00
7679.00
32.00 6560.00
32.00 12960.00
32.00 4192.00
32.00 4192.00
41.00 5084.00
41.00 5084.00
62.00 0.00
62.00 0.00
150.00 0.00
150.00 0.00
9276.00
11517.00 0.00
11517.00 0.00
12573.00 0.00
12573.00 125730.00
12573.00 62865.00
12573.00 62865.00
62865.00
1050.00 0.00
1050.00 0.00
1175.00 45825.00
1175.00 36425.00
1175.00 36425.00
36425.00
104.00 4160.00
104.00 0.00
104.00 0.00
0.00
3000.00 6000.00
3000.00 21000.00
3000.00 21000.00
21000.00
118.00 39176.00
118.00 36816.00
118.00 36816.00
167.00 0.00
167.00 0.00
36816.00
2204.00 19836.00
2204.00 19836.00
8100.00 0.00
8100.00 0.00
19836.00
3417.00 0.00
3417.00 0.00
3550.00 117150.00
3550.00 117150.00
117150.00
630.00 0.00
630.00 0.00
691.00 80156.00
691.00 149256.00
691.00 100886.00
691.00 100886.00
100886.00
10450.00 0.00
10450.00 104500.00
10450.00 83600.00
10450.00 83600.00
83600.00
3520.00 31680.00
3520.00 102080.00
3520.00 52800.00
3520.00 52800.00
52800.00
2750.00 38500.00
2750.00 33000.00
2750.00 33000.00
33000.00
99.00 12177.00
99.00 31977.00
99.00 22077.00
99.00 22077.00
55.00 0.00
55.00 0.00
56.00 0.00
56.00 0.00
22077.00
9350.00 121550.00
9350.00 205700.00
9350.00 84150.00
9350.00 84150.00
84150.00
5200.00 0.00
5200.00 0.00
5313.00 0.00
5313.00 0.00
6900.00 34500.00
6900.00 20700.00
6900.00 20700.00
20700.00
245.00 29155.00
245.00 24255.00
245.00 24255.00
24255.00
180.00 70200.00
180.00 160560.00
180.00 55080.00
180.00 55080.00
55080.00
2650.00 15900.00
2650.00 7950.00
2650.00 7950.00
6765.00 0.00
6765.00 0.00
7950.00
2475.00 12375.00
2475.00 24750.00
2475.00 14850.00
2475.00 14850.00
14850.00
150.00 0.00
150.00 0.00
319.00 0.00
319.00 0.00
127.00 48006.00
127.00 86106.00
127.00 37846.00
127.00 37846.00
37846.00
16465.00 148185.00
16465.00 757390.00
16465.00 345765.00
16465.00 345765.00
345765.00
88.00 1672.00
88.00 0.00
88.00 0.00
0.00
56.00 12768.00
56.00 40768.00
56.00 2576.00
56.00 2576.00
70.00 0.00
70.00 0.00
81.40 0.00
81.40 0.00
2576.00
80.00 7120.00
80.00 31120.00
80.00 800.00
80.00 800.00
84.00 0.00
84.00 0.00
68.00 3536.00
68.00 3468.00
68.00 3468.00
4268.00
245.00 2450.00
245.00 0.00
245.00 0.00
0.00
2545.00 15270.00
2545.00 12725.00
2545.00 12725.00
12725.00
10952.00 0.00
10952.00 10952.00
10952.00 0.00
10952.00 0.00
0.00
280.00 8400.00
280.00 36400.00
280.00 33600.00
280.00 33600.00
300.00 0.00
300.00 0.00
33600.00
227.00 0.00
227.00 0.00
1100.00 144100.00
1100.00 122100.00
1100.00 122100.00
122100.00
1600.00 0.00
1600.00 0.00
1798.00 26970.00
1798.00 43152.00
1798.00 17980.00
1798.00 17980.00
17980.00
3955.00 31640.00
3955.00 71190.00
3955.00 15820.00
3955.00 15820.00
15820.00
6600.00 0.00
6600.00 0.00
7700.00 69300.00
7700.00 7700.00
7700.00 7700.00
7700.00
42.00 10248.00
42.00 52248.00
42.00 20790.00
42.00 20790.00
20790.00
144.00 11520.00
144.00 40320.00
144.00 27360.00
144.00 27360.00
27360.00
68.00 0.00
68.00 17408.00
68.00 0.00
68.00 0.00
0.00
550.00 38500.00
550.00 38500.00
38500.00
125.00 25000.00
125.00 37500.00
125.00 18750.00
125.00 18750.00
138.00 0.00
138.00 0.00
18750.00
2140.00 0.00
2140.00 0.00
2167.00 15169.00
2167.00 26004.00
2167.00 19503.00
2167.00 19503.00
19503.00
6820.00 0.00
6820.00 81840.00
6820.00 0.00
6820.00 0.00
0.00
319.00 6380.00
319.00 70180.00
319.00 47850.00
319.00 47850.00
47850.00
9000.00 0.00
9000.00 0.00
9275.00 213325.00
9275.00 1511825.00
9275.00 37100.00
9275.00 37100.00
37100.00
1845.00 16605.00
1845.00 127305.00
1845.00 55350.00
1845.00 55350.00
55350.00
85.00 18955.00
85.00 11305.00
85.00 11305.00
89.00 0.00
89.00 0.00
11305.00
12100.00 0.00
12100.00 0.00
13200.00 145200.00
13200.00 66000.00
13200.00 66000.00
66000.00
880.00 79200.00
880.00 255200.00
880.00 237600.00
880.00 237600.00
237600.00
5566.00 150282.00
5566.00 317262.00
5566.00 183678.00
5566.00 183678.00
183678.00
148.50 32670.00
148.50 106920.00
148.50 37125.00
148.50 37125.00
232.00 0.00
232.00 0.00
246.40 0.00
246.40 0.00
37125.00
100.00 21000.00
100.00 13000.00
100.00 13000.00
13000.00
121.00 0.00
121.00 0.00
154.00 13860.00
154.00 13860.00
13860.00
612.00 36108.00
612.00 91188.00
612.00 37944.00
612.00 37944.00
37944.00
4950.00 0.00
4950.00 4950.00
4950.00 0.00
4950.00 0.00
0.00
10450.00 0.00
10450.00 0.00
3395.00 3395.00
3395.00 444745.00
3395.00 183330.00
3395.00 183330.00
183330.00
2580.00 10320.00
2580.00 30960.00
2580.00 15480.00
2580.00 15480.00
15480.00
108.00 0.00
108.00 0.00
115.00 16790.00
115.00 10350.00
115.00 10350.00
10350.00
3800.00 30400.00
3800.00 26600.00
3800.00 26600.00
26600.00
133.00 25004.00
133.00 20615.00
133.00 20615.00
160.00 0.00
160.00 0.00
20615.00
176.00 0.00
176.00 0.00
159.00 22260.00
159.00 62010.00
159.00 38160.00
159.00 38160.00
38160.00
4700.00 84600.00
4700.00 324300.00
4700.00 136300.00
4700.00 136300.00
4900.00 0.00
4900.00 0.00
136300.00
104.00 11024.00
104.00 21424.00
104.00 19344.00
104.00 19344.00
110.00 0.00
110.00 0.00
19344.00
523.00 44455.00
523.00 44455.00
480.00 0.00
480.00 0.00
44455.00
385.00 73150.00
385.00 38500.00
385.00 38500.00
38500.00
5940.00 0.00
5940.00 0.00
6050.00 0.00
6050.00 387200.00
6050.00 18150.00
6050.00 18150.00
18150.00
1900.00 3800.00
1900.00 3800.00
2200.00 0.00
2200.00 0.00
3800.00
1650.00 0.00
1650.00 33000.00
1650.00 21450.00
1650.00 21450.00
2400.00 0.00
2400.00 0.00
21450.00
472.00 40592.00
472.00 42008.00
472.00 40592.00
472.00 40592.00
40592.00
49.00 18669.00
49.00 121569.00
49.00 18424.00
49.00 18424.00
56.00 0.00
56.00 0.00
79.00 0.00
79.00 0.00
83.93 0.00
83.93 0.00
18424.00
400.00 0.00
400.00 8800.00
400.00 0.00
400.00 0.00
0.00
88.00 0.00
88.00 0.00
118.00 34810.00
118.00 21358.00
118.00 21358.00
21358.00
105.00 0.00
105.00 0.00
220.00 58300.00
220.00 47300.00
220.00 47300.00
47300.00
25000.00 0.00
25000.00 25000.00
25000.00 0.00
25000.00 0.00
17996.00 0.00
17996.00 0.00
0.00
5000.00 0.00
5000.00 25000.00
5000.00 0.00
5000.00 0.00
0.00
64.00 0.00
64.00 0.00
96.00 19296.00
96.00 67296.00
96.00 26400.00
96.00 26400.00
114.00 0.00
114.00 0.00
26400.00
105.00 35070.00
105.00 56070.00
105.00 31920.00
105.00 31920.00
31920.00
66.00 8910.00
66.00 22110.00
66.00 8316.00
66.00 8316.00
8316.00
2000.00 0.00
2000.00 0.00
2429.00 60725.00
2429.00 38864.00
2429.00 38864.00
38864.00
1025.00 8200.00
1025.00 4100.00
1025.00 4100.00
1250.00 0.00
1250.00 0.00
4100.00
509.00 37666.00
509.00 63116.00
509.00 47846.00
509.00 47846.00
913.00 0.00
913.00 0.00
478.00 0.00
478.00 23900.00
478.00 23900.00
71746.00
590.00 87320.00
590.00 205320.00
590.00 87320.00
590.00 87320.00
87320.00
126500.00 126500.00
126500.00 126500.00
130999.00 0.00
130999.00 261998.00
130999.00 130999.00
130999.00 130999.00
145200.00 0.00
145200.00 0.00
257499.00
462000.00 0.00
462000.00 462000.00
462000.00 0.00
462000.00 0.00
0.00
1078.00 0.00
1078.00 0.00
1098.00 120780.00
1098.00 115290.00
1098.00 115290.00
115290.00
51.00 8670.00
51.00 18870.00
51.00 5610.00
51.00 5610.00
57.00 0.00
57.00 0.00
5610.00
111.00 8880.00
111.00 42180.00
111.00 21090.00
111.00 21090.00
21090.00
255.00 0.00
255.00 0.00
281.00 78399.00
281.00 303199.00
281.00 81209.00
281.00 81209.00
81209.00
1459.00 0.00
1459.00 0.00
1471.00 205940.00
1471.00 500140.00
1471.00 353040.00
1471.00 353040.00
1472.00 0.00
1472.00 0.00
353040.00
1067.00 64020.00
1067.00 32010.00
1067.00 32010.00
32010.00
82.00 0.00
82.00 0.00
88.00 880.00
88.00 88880.00
88.00 41096.00
88.00 41096.00
41096.00
6600.00 0.00
6600.00 0.00
1210.00 8470.00
1210.00 15730.00
1210.00 0.00
1210.00 0.00
0.00
80.00 16000.00
80.00 16000.00
16000.00
115.00 39790.00
115.00 108790.00
115.00 34270.00
115.00 34270.00
34270.00
6290.00 18870.00
6290.00 12580.00
6290.00 12580.00
12580.00
474.00 0.00
474.00 0.00
514.00 125930.00
514.00 95090.00
514.00 95090.00
95090.00
95090.00
925.00 7400.00
925.00 48100.00
925.00 36075.00
925.00 36075.00
36075.00
1500.00 150000.00
1500.00 1050000.00
1500.00 246000.00
1500.00 246000.00
246000.00
3600.00 7200.00
3600.00 7200.00
7200.00
27466.66 247199.94
27466.66 164799.96
27466.66 164799.96
164799.96
2500.00 0.00
2500.00 0.00
3000.00 60000.00
3000.00 21000.00
3000.00 21000.00
21000.00
7999.20 15998.40
7999.20 0.00
7999.20 0.00
0.00
7999.20 7999.20
7999.20 23997.60
7999.20 0.00
7999.20 0.00
0.00
62650.00 62650.00
62650.00 62650.00
62650.00
583.00 174900.00
583.00 524700.00
583.00 58300.00
583.00 58300.00
58300.00
737.50 0.00
737.50 221250.00
737.50 73750.00
737.50 73750.00
583.00 116600.00
583.00 58300.00
583.00 58300.00
132050.00
583.00 116600.00
583.00 174900.00
583.00 58300.00
583.00 58300.00
58300.00
3499.10 41989.20
3499.10 237938.80
3499.10 181953.20
3499.10 181953.20
3500.00 0.00
3500.00 0.00
181953.20
6286.50 150876.00
6286.50 433768.50
6286.50 169735.50
6286.50 169735.50
169735.50
6300.00 6300.00
6300.00 0.00
6300.00 0.00
7787.50 0.00
7787.50 0.00
0.00
3799.40 41793.40
3799.40 231763.40
3799.40 113982.00
3799.40 113982.00
113982.00
7500.00 0.00
7500.00 0.00
7787.50 147962.50
7787.50 147962.50
9185.00 238810.00
9185.00 587840.00
9185.00 238810.00
9185.00 238810.00
386772.50
7500.00 0.00
7500.00 0.00
9185.00 202070.00
9185.00 578655.00
9185.00 413325.00
9185.00 413325.00
413325.00
5000.00 5000.00
5000.00 0.00
5000.00 0.00
0.00
935.00 65450.00
935.00 112200.00
935.00 84150.00
935.00 84150.00
84150.00
9955.00 19910.00
9955.00 19910.00
19910.00
2640.00 132000.00
2640.00 132000.00
132000.00
1320.00 66000.00
1320.00 26400.00
1320.00 26400.00
26400.00
440.00 132000.00
440.00 264000.00
440.00 0.00
440.00 0.00
0.00
16280.00 32560.00
16280.00 0.00
16280.00 0.00
0.00
39431.29 118293.87
39431.29 236587.74
39431.29 39431.29
39431.29 39431.29
39431.29
570.00 47310.00
570.00 0.00
570.00 0.00
0.00
15449.96 123599.68
15449.96 401698.96
15449.96 308999.20
15449.96 308999.20
308999.20
1100.00 45100.00
1100.00 42900.00
1100.00 42900.00
1000.00 0.00
1000.00 0.00
42900.00
3500.00 17500.00
3500.00 0.00
3500.00 0.00
0.00
2999.70 8999.10
2999.70 23997.60
2999.70 11998.80
2999.70 11998.80
11998.80
8551532.45 -3120
ruari 2019
501 2 004
DINAS KESEHATAN

Bulan MARET 2019


No Nama Barang Harga Harga Harga Harga
Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Jumlah(Rp) Unit Set Satuan(Rp) Jumlah(Rp) Unit Set
Satuan(Rp) Satuan(Rp)
1 Alinamin F tablet 40 tab 1100.00 44000.00 40 tab 1100.00
100 tab 1100.00 110000.00 140 tab 1100.00
30 tab 1100.00 33000.00 110 tab 1100.00
110 tab 1100.00
40 44000.00 100 110000.00 30 33000.00 110
2 Alopurinol tablet 100 mg 0 tab 86.00 0.00 0 tab 86.00
0 tab 86.00
290 tab 90.00 26100.00 290 tab 90.00
20 tab 90.00 1800.00 270 tab 90.00
270 tab 90.00
290 26100.00 0 0.00 20 1800.00 270
3 Ambroxol sirup 15 mg/ml 3 btl 4070.00 12210.00 3 btl 4070.00
10 btl 4070.00 40700.00 13 btl 4070.00
10 btl 4070.00 40700.00 3 btl 4070.00
3 btl 4070.00
3 12210.00 10 40700.00 10 40700.00 3
4 Ambroxol tablet 30 mg 465 tab 165.00 76725.00 465 tab 165.00
332 tab 165.00 54780.00 133 tab 165.00
133 tab 165.00
465 76725.00 0 0.00 332 54780.00 133
5 Aminofilin injeksi 24 mg/ml~10 ml 2 amp 3345.00 6690.00 2 amp 3345.00
2 amp 3345.00 6690.00 0 amp 3345.00
0 amp 3345.00
0 amp 3822.00 0.00 0 amp 3822.00
0 amp 3822.00
2 6690.00 0 0.00 2 6690.00 0
6 Aminofilin tablet 200 mg 0 tab 80.00 0.00 0 tab 80.00
0 tab 80.00
0 tab 91.00 0.00 0 tab 91.00
200 tab 91.00 18200.00 200 tab 91.00
200 tab 91.00
0 0.00 200 18200.00 0 0.00 200
7 Aminofilin tablet 200 mg (Erphafillin) 40 tab 114.00 4560.00 40 tab 114.00
40 tab 114.00 4560.00 0 tab 114.00
0 tab 114.00
40 4560.00 0 0.00 40 4560.00 0
8 Amlodipin tablet 10 mg 210 tab 145.00 30450.00 210 tab 145.00
300 tab 145.00 43500.00 510 tab 145.00
160 tab 145.00 23200.00 350 tab 145.00
350 tab 145.00
210 30450.00 300 43500.00 160 23200.00 350
9 Amoksisilin kapsul/kaplet 500 mg 506 kapl 190.00 96140.00 506 kapl 190.00
1500 kapl 190.00 285000.00 2006 kapl 190.00
1859 kapl 190.00 353210.00 147 kapl 190.00
147 kapl 190.00
0 kapl 232.00 0.00 0 kapl 232.00
0 kapl 232.00
0 kapl 261.00 0.00 0 kapl 261.00
0 kapl 261.00
506 96140.00 1500 285000.00 1859 353210.00 147
10 Amoksisilin sirup kering 125 mg/5 ml 12 btl 1881.00 22572.00 12 btl 1881.00
50 btl 1881.00 94050.00 62 btl 1881.00
50 btl 1881.00 94050.00 12 btl 1881.00
12 btl 1881.00
0 btl 2090.00 0.00 0 btl 2090.00
0 btl 2090.00
0 btl 2445.00 0.00 0 btl 2445.00
0 btl 2445.00
12 22572.00 50 94050.00 50 94050.00 12
11 Amoksisilin sirup kering 125 mg/5 ml (Yusimox) 0 btl 8790.00 0.00 0 btl 8790.00
5 btl 8790.00 43950.00 5 btl 8790.00
5 btl 8790.00
0 0.00 5 43950.00 0 0.00 5
12 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial (Vic 14 vial 15070.00 210980.00 14 vial 15070.00
60 vial 15070.00 904200.00 74 vial 15070.00
40 vial 15070.00 602800.00 34 vial 15070.00
34 vial 15070.00
14 210980.00 60 904200.00 40 602800.00 34
13 Antasida DOEN I tablet kunyah, kombinasi: Alu 260 tab 62.00 16120.00 260 tab 62.00
600 tab 62.00 37200.00 860 tab 62.00
760 tab 62.00 47120.00 100 tab 62.00
100 tab 62.00
0 tab 72.00 0.00 0 tab 72.00
0 tab 72.00
260 16120.00 600 37200.00 760 47120.00 100
14 Antasida DOEN II suspensi, kombi: Aluminium H 13 btl 2025.00 26325.00 13 btl 2025.00
12 btl 2025.00 24300.00 1 btl 2025.00
1 btl 2025.00
13 26325.00 0 0.00 12 24300.00 1
15 Antihemoroid DOEN kombinasi: Bismut subgalat 1 supp 3045.00 3045.00 1 supp 3045.00
13 supp 3045.00 39585.00 14 supp 3045.00
3 supp 3045.00 9135.00 11 supp 3045.00
11 supp 3045.00
1 3045.00 13 39585.00 3 9135.00 11
16 Asam Askorbat (Vitamin C) tablet 50 mg 0 tab 95.00 0.00 0 tab 95.00
0 tab 95.00
244 tab 104.00 25376.00 244 tab 104.00
800 tab 104.00 83200.00 1044 tab 104.00
729 tab 104.00 75816.00 315 tab 104.00
315 tab 104.00
244 25376.00 800 83200.00 729 75816.00 315
17 Asam Mefenamat kapsul/kaplet 500 mg 438 kapl 100.00 43800.00 438 kapl 100.00
1500 kapl 100.00 150000.00 1938 kapl 100.00
1761 kapl 100.00 176100.00 177 kapl 100.00
177 kapl 100.00
0 kapl 106.00 0.00 0 kapl 106.00
0 kapl 106.00
438 43800.00 1500 150000.00 1761 176100.00 177
18 Asam Traneksamat inj. 50 mg/ml 7 amp 2445.00 17115.00 7 amp 2445.00
7 amp 2445.00
7 17115.00 0 0.00 0 0.00 7
19 Asam Traneksamat tablet 170 tab 3520.00 598400.00 170 tab 3520.00
10 tab 3520.00 35200.00 160 tab 3520.00
160 tab 3520.00
170 598400.00 0 0.00 10 35200.00 160
20 Asiklovir krim 5% 0 tube 3080.00 0.00 0 tube 3080.00
0 tube 3080.00
14 tube 3850.00 53900.00 14 tube 3850.00
4 tube 3850.00 15400.00 10 tube 3850.00
10 tube 3850.00
14 53900.00 0 0.00 4 15400.00 10
21 Asiklovir tablet 400 mg 70 tab 349.00 24430.00 70 tab 349.00
100 tab 349.00 34900.00 170 tab 349.00
68 tab 349.00 23732.00 102 tab 349.00
102 tab 349.00
0 tab 350.00 0.00 0 tab 350.00
0 tab 350.00
0 tab 336.00 0.00 0 tab 336.00
0 tab 336.00
70 24430.00 100 34900.00 68 23732.00 102
22 Attapulgit tablet 600 mg (New Antides) 230 tab 145.00 33350.00 230 tab 145.00
90 tab 145.00 13050.00 140 tab 145.00
140 tab 145.00
230 33350.00 0 0.00 90 13050.00 140
23 Betametason krim 0,1% (sebagai valerat) 22 tube 1380.00 30360.00 22 tube 1380.00
2 tube 1380.00 2760.00 20 tube 1380.00
20 tube 1380.00
0 tube 1520.00 0.00 0 tube 1520.00
0 tube 1520.00
22 30360.00 0 0.00 2 2760.00 20
24 Bromheksin tablet 8 mg (Novaheksim) 190 tab 165.00 31350.00 190 tab 165.00
190 tab 165.00
190 31350.00 0 0.00 0 0.00 190
25 Cetirizine sirup 5 mg/5 ml 6 btl 2850.00 17100.00 6 btl 2850.00
2 btl 2850.00 5700.00 4 btl 2850.00
4 btl 2850.00
0 btl 6745.00 0.00 0 btl 6745.00
0 btl 6745.00
6 17100.00 0 0.00 2 5700.00 4
26 Cetirizine tablet 10 mg 158 tab 143.00 22594.00 158 tab 143.00
100 tab 143.00 14300.00 258 tab 143.00
250 tab 143.00 35750.00 8 tab 143.00
8 tab 143.00
40 tab 1144.00 45760.00 40 tab 1144.00
40 tab 1144.00
198 68354.00 100 14300.00 250 35750.00 48
27 Deksametason injeksi i.v. 5 mg/ml~1ml 7 amp 1097.00 7679.00 7 amp 1097.00
7 amp 1097.00
0 amp 1580.00 0.00 0 amp 1580.00
0 amp 1580.00
7 7679.00 0 0.00 0 0.00 7
28 Deksametason tablet 0,5 mg 131 tab 32.00 4192.00 131 tab 32.00
300 tab 32.00 9600.00 431 tab 32.00
131 tab 32.00 4192.00 300 tab 32.00
300 tab 32.00
124 tab 41.00 5084.00 124 tab 41.00
9 tab 41.00 369.00 115 tab 41.00
115 tab 41.00
0 tab 62.00 0.00 0 tab 62.00
0 tab 62.00
0 tab 150.00 0.00 0 tab 150.00
0 tab 150.00
255 9276.00 300 9600.00 140 4561.00 415
29 Diazepam larutan rectal 5 mg/2,5 ml (Stesolid) 0 tube 11517.00 0.00 0 tube 11517.00
0 tube 11517.00
5 tube 12573.00 62865.00 5 tube 12573.00
5 tube 12573.00
5 62865.00 0 0.00 0 0.00 5
30 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 31 amp 1175.00 36425.00 31 amp 1175.00
28 amp 1175.00 32900.00 3 amp 1175.00
3 amp 1175.00
0 amp 1050.00 0.00 0 amp 1050.00
0 amp 1050.00
31 36425.00 0 0.00 28 32900.00 3
31 Domperidon suspensi 5 mg/5 ml 7 btl 3000.00 21000.00 7 btl 3000.00
7 btl 3000.00
7 21000.00 0 0.00 0 0.00 7
32 Domperidon tablet 10 mg 312 tab 118.00 36816.00 312 tab 118.00
40 tab 118.00 4720.00 272 tab 118.00
272 tab 118.00
0 tab 167.00 0.00 0 tab 167.00
0 tab 167.00
312 36816.00 0 0.00 40 4720.00 272
33 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) 9 amp 2204.00 19836.00 9 amp 2204.00
9 amp 2204.00
0 amp 8100.00 0.00 0 amp 8100.00
0 amp 8100.00
9 19836.00 0 0.00 0 0.00 9
34 Fitomenadion (Vitamin K1) injeksi 2 mg/ml 0 amp 3417.00 0.00 0 amp 3417.00
0 amp 3417.00
33 amp 3550.00 117150.00 33 amp 3550.00
4 amp 3550.00 14200.00 29 amp 3550.00
29 amp 3550.00
33 117150.00 0 0.00 4 14200.00 29
35 Fitomenadion (Vitamin K1) tablet salut gula 10 0 tab 630.00 0.00 0 tab 630.00
0 tab 630.00
146 tab 691.00 100886.00 146 tab 691.00
30 tab 691.00 20730.00 116 tab 691.00
116 tab 691.00
146 100886.00 0 0.00 30 20730.00 116
36 Gastrusid sirup 8 btl 10450.00 83600.00 8 btl 10450.00
3 btl 10450.00 31350.00 5 btl 10450.00
5 btl 10450.00
8 83600.00 0 0.00 3 31350.00 5
37 Gentamisin salep kulit 0,1% (Gentalex) 15 tube 3520.00 52800.00 15 tube 3520.00
12 tube 3520.00 42240.00 27 tube 3520.00
12 tube 3520.00 42240.00 15 tube 3520.00
15 tube 3520.00
15 52800.00 12 42240.00 12 42240.00 15
38 Gentian Violet larutan 1% 12 btl 2750.00 33000.00 12 btl 2750.00
12 btl 2750.00
12 33000.00 0 0.00 0 0.00 12
39 Glibenklamida tablet 5 mg 0 tab 55.00 0.00 0 tab 55.00
0 tab 55.00
0 tab 56.00 0.00 0 tab 56.00
0 tab 56.00
223 tab 99.00 22077.00 223 tab 99.00
80 tab 99.00 7920.00 143 tab 99.00
143 tab 99.00
223 22077.00 0 0.00 80 7920.00 143
40 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) 9 btl 9350.00 84150.00 9 btl 9350.00
21 btl 9350.00 196350.00 30 btl 9350.00
16 btl 9350.00 149600.00 14 btl 9350.00
14 btl 9350.00
9 84150.00 21 196350.00 16 149600.00 14
41 Glukosa larutan infus 5% steril 0 btl 5200.00 0.00 0 btl 5200.00
0 btl 5200.00
0 btl 5313.00 0.00 0 btl 5313.00
0 btl 5313.00
3 btl 6900.00 20700.00 3 btl 6900.00
10 btl 6900.00 69000.00 13 btl 6900.00
2 btl 6900.00 13800.00 11 btl 6900.00
11 btl 6900.00
3 20700.00 10 69000.00 2 13800.00 11
42 Griseofulvin tablet 125 mg 99 tab 245.00 24255.00 99 tab 245.00
17 tab 245.00 4165.00 82 tab 245.00
82 tab 245.00
99 24255.00 0 0.00 17 4165.00 82
43 Guaifenesin tablet 100 mg 306 tab 180.00 55080.00 306 tab 180.00
500 tab 180.00 90000.00 806 tab 180.00
495 tab 180.00 89100.00 311 tab 180.00
311 tab 180.00
306 55080.00 500 90000.00 495 89100.00 311
44 Haloperidol tablet 0,5 mg 0 tab 55.00 0.00 0 tab 55.00
300 tab 55.00 16500.00 300 tab 55.00
30 tab 55.00 1650.00 270 tab 55.00
270 tab 55.00
0 0.00 300 16500.00 30 1650.00 270
45 Hidrokortison krim 2,5% 3 tube 2650.00 7950.00 3 tube 2650.00
24 tube 2650.00 63600.00 27 tube 2650.00
3 tube 2650.00 7950.00 24 tube 2650.00
24 tube 2650.00
0 tube 6765.00 0.00 0 tube 6765.00
0 tube 6765.00
3 7950.00 24 63600.00 3 7950.00 24
46 Ibuprofen suspensi 100 mg/5 ml 6 btl 2475.00 14850.00 6 btl 2475.00
2 btl 2475.00 4950.00 4 btl 2475.00
4 btl 2475.00
6 14850.00 0 0.00 2 4950.00 4
47 Ibuprofen tablet 400 mg 298 tab 127.00 37846.00 298 tab 127.00
500 tab 127.00 63500.00 798 tab 127.00
538 tab 127.00 68326.00 260 tab 127.00
260 tab 127.00
0 tab 150.00 0.00 0 tab 150.00
0 tab 150.00
0 tab 319.00 0.00 0 tab 319.00
0 tab 319.00
298 37846.00 500 63500.00 538 68326.00 260
48 Ipratropium Bromida 0,52 mg; Sabutamol Sulfat 21 ktk 16465.00 345765.00 21 ktk 16465.00
17 ktk 16465.00 279905.00 4 ktk 16465.00
4 ktk 16465.00
21 345765.00 0 0.00 17 279905.00 4
49 Kalsium Laktat (Kalk) tablet 500 mg 46 tab 56.00 2576.00 46 tab 56.00
800 tab 56.00 44800.00 846 tab 56.00
846 tab 56.00 47376.00 0 tab 56.00
0 tab 56.00
0 tab 59.00 0.00 0 tab 59.00
500 tab 59.00 29500.00 500 tab 59.00
230 tab 59.00 13570.00 270 tab 59.00
270 tab 59.00
0 tab 70.00 0.00 0 tab 70.00
0 tab 70.00
0 tab 81.40 0.00 0 tab 81.40
0 tab 81.40
46 2576.00 1300 74300.00 1076 60946.00 270
50 Kaptopril tablet 25 mg 51 tab 68.00 3468.00 51 tab 68.00
300 tab 68.00 20400.00 351 tab 68.00
270 tab 68.00 18360.00 81 tab 68.00
81 tab 68.00
10 tab 80.00 800.00 10 tab 80.00
10 tab 80.00 800.00 0 tab 80.00
0 tab 80.00
0 tab 84.00 0.00 0 tab 84.00
0 tab 84.00
61 4268.00 300 20400.00 280 19160.00 81
51 Ketokonazol krim 2% 5 tube 2545.00 12725.00 5 tube 2545.00
25 tube 2545.00 63625.00 30 tube 2545.00
3 tube 2545.00 7635.00 27 tube 2545.00
27 tube 2545.00
5 12725.00 25 63625.00 3 7635.00 27
52 Ketokonazol tablet 200 mg 120 tab 280.00 33600.00 120 tab 280.00
10 tab 280.00 2800.00 110 tab 280.00
110 tab 280.00
0 tab 300.00 0.00 0 tab 300.00
0 tab 300.00
120 33600.00 0 0.00 10 2800.00 110
53 Ketoprofen supp 100 mg (Suprafenid) 0 supp 2789.00 0.00 0 supp 2789.00
2 supp 2789.00 5578.00 2 supp 2789.00
2 supp 2789.00 5578.00 0 supp 2789.00
0 supp 2789.00
0 0.00 2 5578.00 2 5578.00 0
54 Kloramfenikol kapsul/kaplet 250 mg 0 kaps 227.00 0.00 0 kaps 227.00
0 kaps 227.00
111 kaps 1100.00 122100.00 111 kaps 1100.00
111 kaps 1100.00
111 122100.00 0 0.00 0 0.00 111
55 Kloramfenikol salep mata 1% 0 tube 1600.00 0.00 0 tube 1600.00
0 tube 1600.00
10 tube 1798.00 17980.00 10 tube 1798.00
8 tube 1798.00 14384.00 2 tube 1798.00
2 tube 1798.00
10 17980.00 0 0.00 8 14384.00 2
56 Kloramfenikol suspensi 125 mg/5 ml 4 btl 3955.00 15820.00 4 btl 3955.00
5 btl 3955.00 19775.00 9 btl 3955.00
2 btl 3955.00 7910.00 7 btl 3955.00
7 btl 3955.00
4 15820.00 5 19775.00 2 7910.00 7
57 Kloramfenikol tetes telinga 1% (Reco) 0 btl 6600.00 0.00 0 btl 6600.00
0 btl 6600.00
1 btl 7700.00 7700.00 1 btl 7700.00
15 btl 7700.00 115500.00 16 btl 7700.00
10 btl 7700.00 77000.00 6 btl 7700.00
6 btl 7700.00
1 7700.00 15 115500.00 10 77000.00 6
58 Klorfeniramin Maleat (CTM) tab 4 mg 495 tab 42.00 20790.00 495 tab 42.00
500 tab 42.00 21000.00 995 tab 42.00
756 tab 42.00 31752.00 239 tab 42.00
239 tab 42.00
495 20790.00 500 21000.00 756 31752.00 239
59 Klorpromazin tablet salut 100 mg (HCl) 190 tab 144.00 27360.00 190 tab 144.00
200 tab 144.00 28800.00 390 tab 144.00
100 tab 144.00 14400.00 290 tab 144.00
290 tab 144.00
190 27360.00 200 28800.00 100 14400.00 290
60 Kodein tablet 10 mg 70 tab 550.00 38500.00 70 tab 550.00
70 tab 550.00
70 38500.00 0 0.00 0 0.00 70
61 Kotrimoksazol DOEN I (dewasa) kombinasi: Sulf 150 tab 125.00 18750.00 150 tab 125.00
100 tab 125.00 12500.00 250 tab 125.00
140 tab 125.00 17500.00 110 tab 125.00
110 tab 125.00
0 tab 138.00 0.00 0 tab 138.00
0 tab 138.00
150 18750.00 100 12500.00 140 17500.00 110
62 Kotrimoksazol Suspensi komb: Sulfametoksazol 0 btl 2140.00 0.00 0 btl 2140.00
0 btl 2140.00
9 btl 2167.00 19503.00 9 btl 2167.00
9 btl 2167.00
9 19503.00 0 0.00 0 0.00 9
63 Lanzoprazol kapsul/kaplet 30 mg 150 kaps 319.00 47850.00 150 kaps 319.00
90 kaps 319.00 28710.00 60 kaps 319.00
60 kaps 319.00
150 47850.00 0 0.00 90 28710.00 60
64 Larutan mengandung Elektrolit (Na 130 mEq, Cl 0 btl 9000.00 0.00 0 btl 9000.00
0 btl 9000.00
4 btl 9275.00 37100.00 4 btl 9275.00
180 btl 9275.00 1669500.00 184 btl 9275.00
152 btl 9275.00 1409800.00 32 btl 9275.00
32 btl 9275.00
4 37100.00 180 1669500.00 152 1409800.00 32
65 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 30 amp 1845.00 55350.00 30 amp 1845.00
60 amp 1845.00 110700.00 90 amp 1845.00
56 amp 1845.00 103320.00 34 amp 1845.00
34 amp 1845.00
30 55350.00 60 110700.00 56 103320.00 34
66 Loperamid tablet 2 mg 133 tab 85.00 11305.00 133 tab 85.00
50 tab 85.00 4250.00 83 tab 85.00
83 tab 85.00
0 tab 89.00 0.00 0 tab 89.00
0 tab 89.00
133 11305.00 0 0.00 50 4250.00 83
67 Lytacur sirup 0 btl 12100.00 0.00 0 btl 12100.00
0 btl 12100.00
5 btl 13200.00 66000.00 5 btl 13200.00
10 btl 13200.00 132000.00 15 btl 13200.00
5 btl 13200.00 66000.00 10 btl 13200.00
10 btl 13200.00
5 66000.00 10 132000.00 5 66000.00 10
68 Meloksikam tablet 15 mg 270 tab 880.00 237600.00 270 tab 880.00
10 tab 880.00 8800.00 260 tab 880.00
260 tab 880.00
270 237600.00 0 0.00 10 8800.00 260
69 Mersibion injeksi 5000 33 amp 5566.00 183678.00 33 amp 5566.00
30 amp 5566.00 166980.00 63 amp 5566.00
27 amp 5566.00 150282.00 36 amp 5566.00
36 amp 5566.00
33 183678.00 30 166980.00 27 150282.00 36
70 Metampiron tablet 500 mg (antalgin) 250 tab 148.50 37125.00 250 tab 148.50
500 tab 148.50 74250.00 750 tab 148.50
460 tab 148.50 68310.00 290 tab 148.50
290 tab 148.50
0 tab 232.00 0.00 0 tab 232.00
0 tab 232.00
0 tab 246.40 0.00 0 tab 246.40
0 tab 246.40
250 37125.00 500 74250.00 460 68310.00 290
71 Metformin HCl tablet 500 mg 0 tab 96.00 0.00 0 tab 96.00
200 tab 96.00 19200.00 200 tab 96.00
20 tab 96.00 1920.00 180 tab 96.00
180 tab 96.00
130 tab 100.00 13000.00 130 tab 100.00
130 tab 100.00
130 13000.00 200 19200.00 20 1920.00 310
72 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml 0 amp 2684.00 0.00 0 amp 2684.00
2 amp 2684.00 5368.00 2 amp 2684.00
1 amp 2684.00 2684.00 1 amp 2684.00
1 amp 2684.00
0 0.00 2 5368.00 1 2684.00 1
73 Metilergometrin Maleat tablet salut 0,125 mg 0 tab 121.00 0.00 0 tab 121.00
0 tab 121.00
90 tab 154.00 13860.00 90 tab 154.00
10 tab 154.00 1540.00 80 tab 154.00
80 tab 154.00
90 13860.00 0 0.00 10 1540.00 80
74 Metilprednisolon tablet 16 mg 62 tab 612.00 37944.00 62 tab 612.00
150 tab 612.00 91800.00 212 tab 612.00
50 tab 612.00 30600.00 162 tab 612.00
162 tab 612.00
62 37944.00 150 91800.00 50 30600.00 162
75 Metoklopramide injeksi 5 mg/ml 54 amp 3395.00 183330.00 54 amp 3395.00
4 amp 3395.00 13580.00 50 amp 3395.00
50 amp 3395.00
0 amp 10450.00 0.00 0 amp 10450.00
0 amp 10450.00
54 183330.00 0 0.00 4 13580.00 50
76 Metoklopramide sirup 5 mg/ 5 ml (Lexapram) 6 btl 2580.00 15480.00 6 btl 2580.00
6 btl 2580.00
6 15480.00 0 0.00 0 0.00 6
77 Metoklopramide tablet 5 mg 90 tab 115.00 10350.00 90 tab 115.00
200 tab 115.00 23000.00 290 tab 115.00
20 tab 115.00 2300.00 270 tab 115.00
270 tab 115.00
0 tab 108.00 0.00 0 tab 108.00
0 tab 108.00
90 10350.00 200 23000.00 20 2300.00 270
78 Metronidazol suspensi 125 mg/5 ml 7 btl 3800.00 26600.00 7 btl 3800.00
7 btl 3800.00
7 26600.00 0 0.00 0 0.00 7
79 Metronidazol tablet 500 mg 155 tab 133.00 20615.00 155 tab 133.00
200 tab 133.00 26600.00 355 tab 133.00
100 tab 133.00 13300.00 255 tab 133.00
255 tab 133.00
0 tab 160.00 0.00 0 tab 160.00
0 tab 160.00
155 20615.00 200 26600.00 100 13300.00 255
80 Natrium Diklofenak tablet 50 mg 240 tab 159.00 38160.00 240 tab 159.00
200 tab 159.00 31800.00 440 tab 159.00
250 tab 159.00 39750.00 190 tab 159.00
190 tab 159.00
0 tab 176.00 0.00 0 tab 176.00
0 tab 176.00
240 38160.00 200 31800.00 250 39750.00 190
81 Natrium Klorida larutan infus 0,9% (NaCl) 29 btl 4700.00 136300.00 29 btl 4700.00
17 btl 4700.00 79900.00 12 btl 4700.00
12 btl 4700.00
0 btl 4900.00 0.00 0 btl 4900.00
0 btl 4900.00
29 136300.00 0 0.00 17 79900.00 12
82 Nifedipin tablet 10 mg 186 tab 104.00 19344.00 186 tab 104.00
20 tab 104.00 2080.00 166 tab 104.00
166 tab 104.00
0 tab 110.00 0.00 0 tab 110.00
0 tab 110.00
186 19344.00 0 0.00 20 2080.00 166
83 Nistatin vaginal tablet 100.000 IU/ g 0 ovula 480.00 0.00 0 ovula 480.00
0 ovula 480.00
85 ovula 523.00 44455.00 85 ovula 523.00
5 ovula 523.00 2615.00 80 ovula 523.00
80 ovula 523.00
85 44455.00 0 0.00 5 2615.00 80
84 Novabion 100 kaps 385.00 38500.00 100 kaps 385.00
200 kaps 385.00 77000.00 300 kaps 385.00
80 kaps 385.00 30800.00 220 kaps 385.00
220 kaps 385.00
100 38500.00 200 77000.00 80 30800.00 220
85 Obat Batuk Hitam (OBH) cairan 3 btl 6050.00 18150.00 3 btl 6050.00
57 btl 6050.00 344850.00 60 btl 6050.00
47 btl 6050.00 284350.00 13 btl 6050.00
13 btl 6050.00
0 btl 5940.00 0.00 0 btl 5940.00
0 btl 5940.00
3 18150.00 57 344850.00 47 284350.00 13
86 Oksitosin injeksi 10 IU/ml~1 ml 2 amp 1900.00 3800.00 2 amp 1900.00
2 amp 1900.00
0 amp 2200.00 0.00 0 amp 2200.00
0 amp 2200.00
2 3800.00 0 0.00 0 0.00 2
87 Ondansentron injeksi 4 mg/2 ml 13 amp 1650.00 21450.00 13 amp 1650.00
130 amp 1650.00 214500.00 143 amp 1650.00
96 amp 1650.00 158400.00 47 amp 1650.00
47 amp 1650.00
0 amp 2400.00 0.00 0 amp 2400.00
0 amp 2400.00
13 21450.00 130 214500.00 96 158400.00 47
88 Ondansentron tablet 4 mg 86 tab 472.00 40592.00 86 tab 472.00
22 tab 472.00 10384.00 64 tab 472.00
64 tab 472.00
86 40592.00 0 0.00 22 10384.00 64
89 Parasetamol tablet 500 mg 376 tab 49.00 18424.00 376 tab 49.00
1600 tab 49.00 78400.00 1976 tab 49.00
1502 tab 49.00 73598.00 474 tab 49.00
474 tab 49.00
0 tab 56.00 0.00 0 tab 56.00
0 tab 56.00
0 tab 79.00 0.00 0 tab 79.00
0 tab 79.00
0 tab 83.93 0.00 0 tab 83.93
0 tab 83.93
376 18424.00 1600 78400.00 1502 73598.00 474
90 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 tab 88.00 0.00 0 tab 88.00
0 tab 88.00
181 tab 118.00 21358.00 181 tab 118.00
40 tab 118.00 4720.00 141 tab 118.00
141 tab 118.00
181 21358.00 0 0.00 40 4720.00 141
91 Piroksikam kapsul/kaplet/tablet 10 mg 215 kaps 220.00 47300.00 215 kaps 220.00
200 kaps 220.00 44000.00 415 kaps 220.00
67 kaps 220.00 14740.00 348 kaps 220.00
348 kaps 220.00
0 kaps 105.00 0.00 0 kaps 105.00
0 kaps 105.00
215 47300.00 200 44000.00 67 14740.00 348
92 Prednison tablet 5 mg 0 tab 64.00 0.00 0 tab 64.00
0 tab 64.00
275 tab 96.00 26400.00 275 tab 96.00
300 tab 96.00 28800.00 575 tab 96.00
466 tab 96.00 44736.00 109 tab 96.00
109 tab 96.00
0 tab 114.00 0.00 0 tab 114.00
0 tab 114.00
275 26400.00 300 28800.00 466 44736.00 109
93 Ranitidin tablet 150 mg 304 tab 105.00 31920.00 304 tab 105.00
200 tab 105.00 21000.00 104 tab 105.00
104 tab 105.00
304 31920.00 0 0.00 200 21000.00 104
94 Salbutamol tablet 2 mg (sebagai sulfat) 126 tab 66.00 8316.00 126 tab 66.00
200 tab 66.00 13200.00 326 tab 66.00
166 tab 66.00 10956.00 160 tab 66.00
160 tab 66.00
126 8316.00 200 13200.00 166 10956.00 160
95 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Bele 0 pot 2000.00 0.00 0 pot 2000.00
0 pot 2000.00
16 pot 2429.00 38864.00 16 pot 2429.00
24 pot 2429.00 58296.00 40 pot 2429.00
9 pot 2429.00 21861.00 31 pot 2429.00
31 pot 2429.00
16 38864.00 24 58296.00 9 21861.00 31
96 Salisil Bedak 2 % 4 ktk 1025.00 4100.00 4 ktk 1025.00
20 ktk 1025.00 20500.00 24 ktk 1025.00
8 ktk 1025.00 8200.00 16 ktk 1025.00
16 ktk 1025.00
0 ktk 1250.00 0.00 0 ktk 1250.00
0 ktk 1250.00
4 4100.00 20 20500.00 8 8200.00 16
97 Sefadroksil kapsul/kaplet 500 mg 50 kaps 478.00 23900.00 50 kaps 478.00
50 kaps 478.00
94 kaps 509.00 47846.00 94 kaps 509.00
30 kaps 509.00 15270.00 64 kaps 509.00
64 kaps 509.00
0 kaps 913.00 0.00 0 kaps 913.00
0 kaps 913.00
144 71746.00 0 0.00 30 15270.00 114
98 Sefiksim kapsul/kaplet 100 mg 148 kaps 590.00 87320.00 148 kaps 590.00
100 kaps 590.00 59000.00 248 kaps 590.00
158 kaps 590.00 93220.00 90 kaps 590.00
90 kaps 590.00
148 87320.00 100 59000.00 158 93220.00 90
99 Sefiksim kapsul/kaplet 100 mg (Helixim) 0 kaps 3144.00 0.00 0 kaps 3144.00
240 kaps 3144.00 754560.00 240 kaps 3144.00
240 kaps 3144.00
0 0.00 240 754560.00 0 0.00 240
100 Sefotaksim injeksi 1 g 0 vial 4898.00 0.00 0 vial 4898.00
0 vial 4898.00
0 vial 6800.00 0.00 0 vial 6800.00
0 vial 6800.00
0 vial 8230.00 0.00 0 vial 8230.00
40 vial 8230.00 329200.00 40 vial 8230.00
40 vial 8230.00
0 0.00 40 329200.00 0 0.00 40
101 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) (Biosat) 0 amp 145200.00 0.00 0 amp 145200.00
0 amp 145200.00
1 amp 126500.00 126500.00 1 amp 126500.00
1 amp 126500.00 126500.00 0 amp 126500.00
0 amp 126500.00
1 amp 130999.00 130999.00 1 amp 130999.00
1 amp 130999.00
2 257499.00 0 0.00 1 126500.00 1
102 Sianokobalamin (vitamin B12) injeksi 500 mcg 0 amp 1078.00 0.00 0 amp 1078.00
0 amp 1078.00
105 amp 1098.00 115290.00 105 amp 1098.00
19 amp 1098.00 20862.00 86 amp 1098.00
86 amp 1098.00
105 115290.00 0 0.00 19 20862.00 86
103 Sianokobalamin (vitamin B12) tablet 50 mcg 110 tab 51.00 5610.00 110 tab 51.00
300 tab 51.00 15300.00 410 tab 51.00
172 tab 51.00 8772.00 238 tab 51.00
238 tab 51.00
0 tab 57.00 0.00 0 tab 57.00
0 tab 57.00
110 5610.00 300 15300.00 172 8772.00 238
104 Simvastatin tablet 10 mg 190 tab 111.00 21090.00 190 tab 111.00
90 tab 111.00 9990.00 100 tab 111.00
100 tab 111.00
190 21090.00 0 0.00 90 9990.00 100
105 Siprofloksasin tablet 500 mg (sebagai HCl) 0 tab 255.00 0.00 0 tab 255.00
0 tab 255.00
289 tab 281.00 81209.00 289 tab 281.00
200 tab 281.00 56200.00 489 tab 281.00
489 tab 281.00 137409.00 0 tab 281.00
0 tab 281.00
289 81209.00 200 56200.00 489 137409.00 0
106 Tiamfenikol kapsul/kaplet 500 mg (Dionicol) 0 kaps 1459.00 0.00 0 kaps 1459.00
0 kaps 1459.00
240 kaps 1471.00 353040.00 240 kaps 1471.00
70 kaps 1471.00 102970.00 170 kaps 1471.00
170 kaps 1471.00
0 kaps 1472.00 0.00 0 kaps 1472.00
0 kaps 1472.00
240 353040.00 0 0.00 70 102970.00 170
107 Tiamfenikol kapsul/kaplet 500 mg (Solathim) 30 kaps 1067.00 32010.00 30 kaps 1067.00
20 kaps 1067.00 21340.00 10 kaps 1067.00
10 kaps 1067.00
30 32010.00 0 0.00 20 21340.00 10
108 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) 0 tab 82.00 0.00 0 tab 82.00
0 tab 82.00
467 tab 88.00 41096.00 467 tab 88.00
1000 tab 88.00 88000.00 1467 tab 88.00
801 tab 88.00 70488.00 666 tab 88.00
666 tab 88.00
467 41096.00 1000 88000.00 801 70488.00 666
109 Triheksifenidil tablet 2 mg 200 tab 80.00 16000.00 200 tab 80.00
200 tab 80.00
200 16000.00 0 0.00 0 0.00 200
110 Vitamin B Kompleks tablet 298 tab 115.00 34270.00 298 tab 115.00
800 tab 115.00 92000.00 1098 tab 115.00
641 tab 115.00 73715.00 457 tab 115.00
457 tab 115.00
298 34270.00 800 92000.00 641 73715.00 457
111 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) 2 btl 6290.00 12580.00 2 btl 6290.00
2 btl 6290.00
2 12580.00 0 0.00 0 0.00 2
112 Zinc tablet 20 mg 0 tab 474.00 0.00 0 tab 474.00
0 tab 474.00
185 tab 514.00 95090.00 185 tab 514.00
40 tab 514.00 20560.00 145 tab 514.00
145 tab 514.00
185 95090.00 0 0.00 40 20560.00 145
185 95090.00 0 0.00 40 20560.00 145
113 Alat suntik sekali pakai 10 ml (OneMed) 39 set 925.00 36075.00 39 set 925.00
100 set 925.00 92500.00 139 set 925.00
125 set 925.00 115625.00 14 set 925.00
14 set 925.00
39 36075.00 100 92500.00 125 115625.00 14
114 Alat suntik sekali pakai 3 ml 164 set 1500.00 246000.00 164 set 1500.00
600 set 1500.00 900000.00 764 set 1500.00
575 set 1500.00 862500.00 189 set 1500.00
189 set 1500.00
164 246000.00 600 900000.00 575 862500.00 189
115 Blood tranfusion set (Stera) 2 set 3600.00 7200.00 2 set 3600.00
2 set 3600.00
2 7200.00 0 0.00 0 0.00 2
116 Catgut chromic 3/0 hr 30 mm 0 set 34895.00 0.00 0 set 34895.00
12 set 34895.00 418740.00 12 set 34895.00
12 set 34895.00
0 0.00 12 418740.00 0 0.00 12
117 Catgut plain no 2/0 70C + jarum 1/2 25M R (Dem 6 set 27466.66 164799.96 6 set 27466.66
1 set 27466.66 27466.66 5 set 27466.66
5 set 27466.66
6 164799.96 0 0.00 1 27466.66 5
118 Etanol 70% cairan (100 ml) 0 btl 2500.00 0.00 0 btl 2500.00
0 btl 2500.00
7 btl 3000.00 21000.00 7 btl 3000.00
20 btl 3000.00 60000.00 27 btl 3000.00
7 btl 3000.00 21000.00 20 btl 3000.00
20 btl 3000.00
7 21000.00 20 60000.00 7 21000.00 20
119 Foley Catheter (16) (OneMed) 0 set 7999.20 0.00 0 set 7999.20
4 set 7999.20 31996.80 4 set 7999.20
1 set 7999.20 7999.20 3 set 7999.20
3 set 7999.20
0 0.00 4 31996.80 1 7999.20 3
10 set 7999.20 79992.00 10 set 7999.20
9 set 7999.20 71992.80 1 set 7999.20
1 set 7999.20
0 0.00 10 79992.00 9 71992.80 1
121 Handrub 500 ml 1 btl 62650.00 62650.00 1 btl 62650.00
1 btl 62650.00 62650.00 0 btl 62650.00
0 btl 62650.00
1 62650.00 0 0.00 1 62650.00 0
122 Handscoon uk L 0 pcs 737.53 0.00 0 pcs 737.53
200 pcs 737.53 147506.00 200 pcs 737.53
100 pcs 737.53 73753.00 100 pcs 737.53
100 pcs 737.53
100 pcs 583.00 58300.00 100 pcs 583.00
600 pcs 583.00 349800.00 700 pcs 583.00
700 pcs 583.00 408100.00 0 pcs 583.00
0 pcs 583.00
100 58300.00 800 497306.00 800 481853.00 100
123 Handscoon uk M 100 pcs 583.00 58300.00 100 pcs 583.00
100 pcs 583.00
100 pcs 737.50 73750.00 100 pcs 737.50
200 pcs 737.50 147500.00 300 pcs 737.50
200 pcs 737.50 147500.00 100 pcs 737.50
100 pcs 737.50
200 132050.00 200 147500.00 200 147500.00 200
124 Handscoon uk S 100 pcs 583.00 58300.00 100 pcs 583.00
200 pcs 583.00 116600.00 300 pcs 583.00
200 pcs 583.00 116600.00 100 pcs 583.00
100 pcs 583.00
100 58300.00 200 116600.00 200 116600.00 100
125 Infusion set anak (Stera) 52 set 3499.10 181953.20 52 set 3499.10
8 set 3499.10 27992.80 44 set 3499.10
44 set 3499.10
0 set 3500.00 0.00 0 set 3500.00
0 set 3500.00
52 181953.20 0 0.00 8 27992.80 44
126 Infusion set dewasa (Stera) 27 set 6286.50 169735.50 27 set 6286.50
49 set 6286.50 308038.50 76 set 6286.50
48 set 6286.50 301752.00 28 set 6286.50
28 set 6286.50
27 169735.50 49 308038.50 48 301752.00 28
127 IV Catheter No. 20 G (Stera) 30 set 3799.40 113982.00 30 set 3799.40
50 set 3799.40 189970.00 80 set 3799.40
30 set 3799.40 113982.00 50 set 3799.40
50 set 3799.40
30 113982.00 50 189970.00 30 113982.00 50
128 IV Catheter No. 22 G 0 set 7500.00 0.00 0 set 7500.00
0 set 7500.00
19 set 7787.50 147962.50 19 set 7787.50
8 set 7787.50 62300.00 11 set 7787.50
11 set 7787.50
26 set 9185.00 238810.00 26 set 9185.00
26 set 9185.00 238810.00 0 set 9185.00
0 set 9185.00
45 386772.50 0 0.00 34 301110.00 11
18 set 9185.00 165330.00 27 set 9185.00
27 set 9185.00
0 set 7500.00 0.00 0 set 7500.00
0 set 7500.00
45 413325.00 0 0.00 18 165330.00 27
130 Kasa Hidrofil uk. 16 x 16 (isi 10 lembar) 90 lbr 935.00 84150.00 90 lbr 935.00
20 lbr 935.00 18700.00 70 lbr 935.00
70 lbr 935.00
90 84150.00 0 0.00 20 18700.00 70
131 Kasa Pembalut Elastis 4 inchi 2 rol 9955.00 19910.00 2 rol 9955.00
2 rol 9955.00
2 19910.00 0 0.00 0 0.00 2
132 Kasa Pembalut Hidrofil 4 m x 10 cm 50 rol 2640.00 132000.00 50 rol 2640.00
50 rol 2640.00
50 132000.00 0 0.00 0 0.00 50
100 rol 1320.00 132000.00 120 rol 1320.00
1 rol 1320.00 1320.00 119 rol 1320.00
119 rol 1320.00
20 26400.00 100 132000.00 1 1320.00 119
134 Masker (OneMed) 0 set 440.00 0.00 0 set 440.00
900 set 440.00 396000.00 900 set 440.00
750 set 440.00 330000.00 150 set 440.00
150 set 440.00
0 0.00 900 396000.00 750 330000.00 150
135 Masker oksigen dewasa (Maxiflow) 0 set 16280.00 0.00 0 set 16280.00
6 set 16280.00 97680.00 6 set 16280.00
4 set 16280.00 65120.00 2 set 16280.00
2 set 16280.00
0 0.00 6 97680.00 4 65120.00 2
136 Plester 5 cm x 5 m (Polifix) 1 rol 39431.29 39431.29 1 rol 39431.29
6 rol 39431.29 236587.74 7 rol 39431.29
6 rol 39431.29 236587.74 1 rol 39431.29
1 rol 39431.29
1 39431.29 6 236587.74 6 236587.74 1
137 Selang oksigen anak 0 set 12500.00 0.00 0 set 12500.00
2 set 12500.00 25000.00 2 set 12500.00
2 set 12500.00
0 0.00 2 25000.00 0 0.00 2
138 Silk 3/0 75C + jarum 3/8 26M C (Demetech) 20 set 15449.96 308999.20 20 set 15449.96
15 set 15449.96 231749.40 5 set 15449.96
5 set 15449.96
20 308999.20 0 0.00 15 231749.40 5
139 Silk black 3/0 HR 30 mm 0 set 21335.00 0.00 0 set 21335.00
12 set 21335.00 256020.00 12 set 21335.00
12 set 21335.00
0 0.00 12 256020.00 0 0.00 12
140 Surgical Blade no 11 0 pcs 1000.00 0.00 0 pcs 1000.00
0 pcs 1000.00
39 pcs 1100.00 42900.00 39 pcs 1100.00
1 pcs 1100.00 1100.00 38 pcs 1100.00
38 pcs 1100.00
39 42900.00 0 0.00 1 1100.00 38
141 Underpad (Softpad) 0 pcs 3500.00 0.00 0 pcs 3500.00
20 pcs 3500.00 70000.00 20 pcs 3500.00
8 pcs 3500.00 28000.00 12 pcs 3500.00
12 pcs 3500.00
0 0.00 20 70000.00 8 28000.00 12
142 Urine Bag (OneMed) 4 set 2999.70 11998.80 4 set 2999.70
10 set 2999.70 29997.00 14 set 2999.70
10 set 2999.70 29997.00 4 set 2999.70
4 set 2999.70
4 11998.80 10 29997.00 10 29997.00 4
GRAND TOTAL 8551532.45 11521985.04 9898494.60 101750
Mengetahui, Asembagus, 31 Maret 2019


NIP : 19760710 201001 2 013 NIP. 19850507 200501 2 004
hir
Jumlah(Rp)
44000.00
154000.00
121000.00
121000.00
121000.00
0.00
0.00
26100.00
24300.00
24300.00
24300.00
12210.00
52910.00
12210.00
12210.00
12210.00
76725.00
21945.00
21945.00
21945.00
6690.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
18200.00
18200.00
18200.00
4560.00
0.00
0.00
0.00
30450.00
73950.00
50750.00
50750.00
50750.00
96140.00
381140.00
27930.00
27930.00
0.00
0.00
0.00
0.00
27930.00
22572.00
116622.00
22572.00
22572.00
0.00
0.00
0.00
0.00
22572.00
0.00
43950.00
43950.00
43950.00
210980.00
1115180.00
512380.00
512380.00
512380.00
16120.00
53320.00
6200.00
6200.00
0.00
0.00
6200.00
26325.00
2025.00
2025.00
2025.00
3045.00
42630.00
33495.00
33495.00
33495.00
0.00
0.00
25376.00
108576.00
32760.00
32760.00
32760.00
43800.00
193800.00
17700.00
17700.00
0.00
0.00
17700.00
17115.00
17115.00
17115.00
598400.00
563200.00
563200.00
563200.00
0.00
0.00
53900.00
38500.00
38500.00
38500.00
24430.00
59330.00
35598.00
35598.00
0.00
0.00
0.00
0.00
35598.00
33350.00
20300.00
20300.00
20300.00
30360.00
27600.00
27600.00
0.00
0.00
27600.00
31350.00
31350.00
31350.00
17100.00
11400.00
11400.00
0.00
0.00
11400.00
22594.00
36894.00
1144.00
1144.00
45760.00
45760.00
46904.00
7679.00
7679.00
0.00
0.00
7679.00
4192.00
13792.00
9600.00
9600.00
5084.00
4715.00
4715.00
0.00
0.00
0.00
0.00
14315.00
0.00
0.00
62865.00
62865.00
62865.00
36425.00
3525.00
3525.00
0.00
0.00
3525.00
21000.00
21000.00
21000.00
36816.00
32096.00
32096.00
0.00
0.00
32096.00
19836.00
19836.00
0.00
0.00
19836.00
0.00
0.00
117150.00
102950.00
102950.00
102950.00
0.00
0.00
100886.00
80156.00
80156.00
80156.00
83600.00
52250.00
52250.00
52250.00
52800.00
95040.00
52800.00
52800.00
52800.00
33000.00
33000.00
33000.00
0.00
0.00
0.00
0.00
22077.00
14157.00
14157.00
14157.00
84150.00
280500.00
130900.00
130900.00
130900.00
0.00
0.00
0.00
0.00
20700.00
89700.00
75900.00
75900.00
75900.00
24255.00
20090.00
20090.00
20090.00
55080.00
145080.00
55980.00
55980.00
55980.00
0.00
16500.00
14850.00
14850.00
14850.00
7950.00
71550.00
63600.00
63600.00
0.00
0.00
63600.00
14850.00
9900.00
9900.00
9900.00
37846.00
101346.00
33020.00
33020.00
0.00
0.00
0.00
0.00
33020.00
345765.00
65860.00
65860.00
65860.00
2576.00
47376.00
0.00
0.00
0.00
29500.00
15930.00
15930.00
0.00
0.00
0.00
0.00
15930.00
3468.00
23868.00
5508.00
5508.00
800.00
0.00
0.00
0.00
0.00
5508.00
12725.00
76350.00
68715.00
68715.00
68715.00
33600.00
30800.00
30800.00
0.00
0.00
30800.00
0.00
5578.00
0.00
0.00
0.00
0.00
0.00
122100.00
122100.00
122100.00
0.00
0.00
17980.00
3596.00
3596.00
3596.00
15820.00
35595.00
27685.00
27685.00
27685.00
0.00
0.00
7700.00
123200.00
46200.00
46200.00
46200.00
20790.00
41790.00
10038.00
10038.00
10038.00
27360.00
56160.00
41760.00
41760.00
41760.00
38500.00
38500.00
38500.00
18750.00
31250.00
13750.00
13750.00
0.00
0.00
13750.00
0.00
0.00
19503.00
19503.00
19503.00
47850.00
19140.00
19140.00
19140.00
0.00
0.00
37100.00
1706600.00
296800.00
296800.00
296800.00
55350.00
166050.00
62730.00
62730.00
62730.00
11305.00
7055.00
7055.00
0.00
0.00
7055.00
0.00
0.00
66000.00
198000.00
132000.00
132000.00
132000.00
237600.00
228800.00
228800.00
228800.00
183678.00
350658.00
200376.00
200376.00
200376.00
37125.00
111375.00
43065.00
43065.00
0.00
0.00
0.00
0.00
43065.00
0.00
19200.00
17280.00
17280.00
13000.00
13000.00
30280.00
0.00
5368.00
2684.00
2684.00
2684.00
0.00
0.00
13860.00
12320.00
12320.00
12320.00
37944.00
129744.00
99144.00
99144.00
99144.00
183330.00
169750.00
169750.00
0.00
0.00
169750.00
15480.00
15480.00
15480.00
10350.00
33350.00
31050.00
31050.00
0.00
0.00
31050.00
26600.00
26600.00
26600.00
20615.00
47215.00
33915.00
33915.00
0.00
0.00
33915.00
38160.00
69960.00
30210.00
30210.00
0.00
0.00
30210.00
136300.00
56400.00
56400.00
0.00
0.00
56400.00
19344.00
17264.00
17264.00
0.00
0.00
17264.00
0.00
0.00
44455.00
41840.00
41840.00
41840.00
38500.00
115500.00
84700.00
84700.00
84700.00
18150.00
363000.00
78650.00
78650.00
0.00
0.00
78650.00
3800.00
3800.00
0.00
0.00
3800.00
21450.00
235950.00
77550.00
77550.00
0.00
0.00
77550.00
40592.00
30208.00
30208.00
30208.00
18424.00
96824.00
23226.00
23226.00
0.00
0.00
0.00
0.00
0.00
0.00
23226.00
0.00
0.00
21358.00
16638.00
16638.00
16638.00
47300.00
91300.00
76560.00
76560.00
0.00
0.00
76560.00
0.00
0.00
26400.00
55200.00
10464.00
10464.00
0.00
0.00
10464.00
31920.00
10920.00
10920.00
10920.00
8316.00
21516.00
10560.00
10560.00
10560.00
0.00
0.00
38864.00
97160.00
75299.00
75299.00
75299.00
4100.00
24600.00
16400.00
16400.00
0.00
0.00
16400.00
23900.00
23900.00
47846.00
32576.00
32576.00
0.00
0.00
56476.00
87320.00
146320.00
53100.00
53100.00
53100.00
0.00
754560.00
754560.00
754560.00
0.00
0.00
0.00
0.00
0.00
329200.00
329200.00
329200.00
0.00
0.00
126500.00
0.00
0.00
130999.00
130999.00
130999.00
0.00
0.00
115290.00
94428.00
94428.00
94428.00
5610.00
20910.00
12138.00
12138.00
0.00
0.00
12138.00
21090.00
11100.00
11100.00
11100.00
0.00
0.00
81209.00
137409.00
0.00
0.00
0.00
0.00
0.00
353040.00
250070.00
250070.00
0.00
0.00
250070.00
32010.00
10670.00
10670.00
10670.00
0.00
0.00
41096.00
129096.00
58608.00
58608.00
58608.00
16000.00
16000.00
16000.00
34270.00
126270.00
52555.00
52555.00
52555.00
12580.00
12580.00
12580.00
0.00
0.00
95090.00
74530.00
74530.00
74530.00
74530.00
36075.00
128575.00
12950.00
12950.00
12950.00
246000.00
1146000.00
283500.00
283500.00
283500.00
7200.00
7200.00
7200.00
0.00
418740.00
418740.00
418740.00
164799.96
137333.30
137333.30
137333.30
0.00
0.00
21000.00
81000.00
60000.00
60000.00
60000.00
0.00
31996.80
23997.60
23997.60
23997.60
0.00
79992.00
7999.20
7999.20
7999.20
62650.00
0.00
0.00
0.00
0.00
147506.00
73753.00
73753.00
58300.00
408100.00
0.00
0.00
73753.00
58300.00
58300.00
73750.00
221250.00
73750.00
73750.00
132050.00
58300.00
174900.00
58300.00
58300.00
58300.00
181953.20
153960.40
153960.40
0.00
0.00
153960.40
169735.50
477774.00
176022.00
176022.00
176022.00
113982.00
303952.00
189970.00
189970.00
189970.00
0.00
0.00
147962.50
85662.50
85662.50
238810.00
0.00
0.00
85662.50
413325.00
247995.00
247995.00
0.00
0.00
247995.00
84150.00
65450.00
65450.00
65450.00
19910.00
19910.00
19910.00
132000.00
132000.00
132000.00
26400.00
158400.00
157080.00
157080.00
157080.00
0.00
396000.00
66000.00
66000.00
66000.00
0.00
97680.00
32560.00
32560.00
32560.00
39431.29
276019.03
39431.29
39431.29
39431.29
0.00
25000.00
25000.00
25000.00
308999.20
77249.80
77249.80
77249.80
0.00
256020.00
256020.00
256020.00
0.00
0.00
42900.00
41800.00
41800.00
41800.00
0.00
70000.00
42000.00
42000.00
42000.00
11998.80
41995.80
11998.80
11998.80
11998.80
10175022.89
DINAS KESEHATAN

Bulan APRIL 2019


Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Satuan(Rp)

10 tab 1100.00 11000.00 100 tab 1100.00
100 tab 1100.00
110 121000.00 0 0.00 10 11000.00 100
0 tab 86.00
270 tab 90.00 24300.00 270 tab 90.00
20 tab 90.00 1800.00 250 tab 90.00
250 tab 90.00
270 24300.00 0 0.00 20 1800.00 250
10 btl 5611.10 56111.00 10 btl 5611.10
6 btl 5611.10 33666.60 4 btl 5611.10
4 btl 5611.10
3 btl 4070.00 12210.00 3 btl 4070.00
3 btl 4070.00
3 12210.00 10 56111.00 6 33666.60 7
600 tab 165.00 99000.00 733 tab 165.00
347 tab 165.00 57255.00 386 tab 165.00
386 tab 165.00
133 21945.00 600 99000.00 347 57255.00 386
13 amp 2998.00 38974.00 13 amp 2998.00
13 amp 2998.00
0 amp 3345.00 0.00 0 amp 3345.00
17 amp 3345.00 56865.00 17 amp 3345.00
17 amp 3345.00
0 amp 3822.00 0.00 0 amp 3822.00
0 amp 3822.00
0 0.00 30 95839.00 0 0.00 30
0 tab 80.00
200 tab 91.00 18200.00 200 tab 91.00
20 tab 91.00 1820.00 180 tab 91.00
180 tab 91.00
200 18200.00 0 0.00 20 1820.00 180
300 tab 93.00 27900.00 300 tab 93.00
300 tab 93.00
350 tab 145.00 50750.00 350 tab 145.00
350 tab 145.00
350 50750.00 300 27900.00 0 0.00 650
1500 kapl 190.00 285000.00 1647 kapl 190.00
1418 kapl 190.00 269420.00 229 kapl 190.00
229 kapl 190.00
0 kapl 232.00 0.00 0 kapl 232.00
0 kapl 232.00
0 kapl 233.00 0.00 0 kapl 233.00
500 kapl 233.00 116500.00 500 kapl 233.00
80 kapl 233.00 18640.00 420 kapl 233.00
420 kapl 233.00
0 kapl 261.00 0.00 0 kapl 261.00
0 kapl 261.00
147 27930.00 2000 401500.00 1498 288060.00 649
9 Amoksisilin sirup kering 125 mg/5 12 btl 1881.00 22572.00 12 btl 1881.00
20 btl 1881.00 37620.00 32 btl 1881.00
19 btl 1881.00 35739.00 13 btl 1881.00
13 btl 1881.00
0 btl 2090.00 0.00 0 btl 2090.00
0 btl 2090.00
0 btl 2445.00 0.00 0 btl 2445.00
0 btl 2445.00
12 22572.00 20 37620.00 19 35739.00 13
10 Amoksisilin sirup kering 125 mg/5 5 btl 8790.00 43950.00 5 btl 8790.00
1 btl 8790.00 8790.00 4 btl 8790.00
4 btl 8790.00
5 43950.00 0 0.00 1 8790.00 4
11 Ampisilin serbuk injeksi i.m./i.v. 100 34 vial 15070.00 512380.00 34 vial 15070.00
6 vial 15070.00 90420.00 28 vial 15070.00
28 vial 15070.00
34 512380.00 0 0.00 6 90420.00 28
12 Antasida DOEN I tablet kunyah, k 100 tab 62.00 6200.00 100 tab 62.00
1200 tab 62.00 74400.00 1300 tab 62.00
950 tab 62.00 58900.00 350 tab 62.00
350 tab 62.00
0 tab 72.00 0.00 0 tab 72.00
0 tab 72.00
100 6200.00 1200 74400.00 950 58900.00 350
13 Antasida DOEN II suspensi, kombi 1 btl 2025.00 2025.00 1 btl 2025.00
1 btl 2025.00 2025.00 0 btl 2025.00
0 btl 2025.00
1 2025.00 0 0.00 1 2025.00 0
14 Antibakteri DOEN salep kombinasi: B 0 tube 2924.00 0.00 0 tube 2924.00
25 tube 2924.00 73100.00 25 tube 2924.00
25 tube 2924.00
0 tube 2491.00 0.00 0 tube 2491.00
0 tube 2491.00
0 0.00 25 73100.00 0 0.00 25
15 Antihemoroid DOEN kombinasi: Bis 11 supp 3045.00 33495.00 11 supp 3045.00
6 supp 3045.00 18270.00 5 supp 3045.00
5 supp 3045.00
11 33495.00 0 0.00 6 18270.00 5
16 Asam Askorbat (Vitamin C) tablet 0 tab 95.00 0.00 0 tab 95.00
0 tab 95.00
315 tab 104.00 32760.00 315 tab 104.00
800 tab 104.00 83200.00 1115 tab 104.00
480 tab 104.00 49920.00 635 tab 104.00
635 tab 104.00
315 32760.00 800 83200.00 480 49920.00 635
17 Asam Mefenamat kapsul/kaplet 50 177 kapl 100.00 17700.00 177 kapl 100.00
1500 kapl 100.00 150000.00 1677 kapl 100.00
1050 kapl 100.00 105000.00 627 kapl 100.00
627 kapl 100.00
0 kapl 106.00 0.00 0 kapl 106.00
0 kapl 106.00
177 17700.00 1500 150000.00 1050 105000.00 627
7 amp 2445.00
7 17115.00 0 0.00 0 0.00 7
160 tab 3520.00
160 563200.00 0 0.00 0 0.00 160
0 tube 3080.00
10 tube 3850.00 38500.00 10 tube 3850.00
3 tube 3850.00 11550.00 7 tube 3850.00
7 tube 3850.00
10 38500.00 0 0.00 3 11550.00 7
0 tab 336.00
102 tab 349.00 35598.00 102 tab 349.00
10 tab 349.00 3490.00 92 tab 349.00
92 tab 349.00
0 tab 350.00 0.00 0 tab 350.00
0 tab 350.00
102 35598.00 0 0.00 10 3490.00 92
22 Attapulgit tablet 600 mg (New Anti 140 tab 145.00 20300.00 140 tab 145.00
150 tab 145.00 21750.00 290 tab 145.00
30 tab 145.00 4350.00 260 tab 145.00
260 tab 145.00
140 20300.00 150 21750.00 30 4350.00 260
23 Betametason krim 0,1% (sebagai val 20 tube 1380.00 27600.00 20 tube 1380.00
5 tube 1380.00 6900.00 15 tube 1380.00
15 tube 1380.00
0 tube 1520.00 0.00 0 tube 1520.00
0 tube 1520.00
20 27600.00 0 0.00 5 6900.00 15
24 Bisakodil suppositoria 5 mg (Dulcol 0 supp 6000.00 0.00 0 supp 6000.00
6 supp 6000.00 36000.00 6 supp 6000.00
3 supp 6000.00 18000.00 3 supp 6000.00
3 supp 6000.00
0 0.00 6 36000.00 3 18000.00 3
25 Bromheksin tablet 8 mg (Novaheks 190 tab 165.00 31350.00 190 tab 165.00
190 tab 165.00
190 31350.00 0 0.00 0 0.00 190
5 btl 2850.00 14250.00 9 btl 2850.00
2 btl 2850.00 5700.00 7 btl 2850.00
7 btl 2850.00
0 btl 6745.00 0.00 0 btl 6745.00
0 btl 6745.00
4 11400.00 5 14250.00 2 5700.00 7
400 tab 143.00 57200.00 408 tab 143.00
150 tab 143.00 21450.00 258 tab 143.00
258 tab 143.00
40 tab 1144.00 45760.00 40 tab 1144.00
40 tab 1144.00
48 46904.00 400 57200.00 150 21450.00 298
28 Deksametason injeksi i.v. 5 mg/ml 7 amp 1097.00 7679.00 7 amp 1097.00
2 amp 1097.00 2194.00 5 amp 1097.00
5 amp 1097.00
0 amp 1580.00 0.00 0 amp 1580.00
0 amp 1580.00
7 7679.00 0 0.00 2 2194.00 5
0 tab 62.00
0 tab 150.00 0.00 0 tab 150.00
0 tab 150.00
300 tab 32.00 9600.00 300 tab 32.00
200 tab 32.00 6400.00 500 tab 32.00
299 tab 32.00 9568.00 201 tab 32.00
201 tab 32.00
115 tab 41.00 4715.00 115 tab 41.00
115 tab 41.00
415 14315.00 200 6400.00 299 9568.00 316
30 Diazepam larutan rectal 5 mg/2,5 ml 0 tube 11517.00 0.00 0 tube 11517.00
0 tube 11517.00
5 tube 12573.00 62865.00 5 tube 12573.00
5 tube 12573.00
5 62865.00 0 0.00 0 0.00 5
31 Difenhidramin injeksi i.m. 10 mg/ml 0 amp 1050.00 0.00 0 amp 1050.00
0 amp 1050.00
3 amp 1175.00 3525.00 3 amp 1175.00
60 amp 1175.00 70500.00 63 amp 1175.00
5 amp 1175.00 5875.00 58 amp 1175.00
58 amp 1175.00
3 3525.00 60 70500.00 5 5875.00 58
32 Dimenhidrinat tablet 50 mg 0 tab 104.00 0.00 0 tab 104.00
0 tab 104.00
0 tab 99.00 0.00 0 tab 99.00
200 tab 99.00 19800.00 200 tab 99.00
200 tab 99.00
0 0.00 200 19800.00 0 0.00 200
1 btl 3000.00 3000.00 6 btl 3000.00
6 btl 3000.00
7 21000.00 0 0.00 1 3000.00 6
30 tab 118.00 3540.00 242 tab 118.00
242 tab 118.00
0 tab 167.00 0.00 0 tab 167.00
0 tab 167.00
272 32096.00 0 0.00 30 3540.00 242
35 Epinefrin (adrenalin) injeksi 0,1% ( 9 amp 2204.00 19836.00 9 amp 2204.00
9 amp 2204.00
0 amp 8100.00 0.00 0 amp 8100.00
0 amp 8100.00
9 19836.00 0 0.00 0 0.00 9
36 Fitomenadion (Vitamin K1) injeksi 0 amp 3417.00 0.00 0 amp 3417.00
0 amp 3417.00
29 amp 3550.00 102950.00 29 amp 3550.00
29 amp 3550.00
29 102950.00 0 0.00 0 0.00 29
37 Fitomenadion (Vitamin K1) tablet s 0 tab 630.00 0.00 0 tab 630.00
0 tab 630.00
116 tab 691.00 80156.00 116 tab 691.00
10 tab 691.00 6910.00 106 tab 691.00
106 tab 691.00
116 80156.00 0 0.00 10 6910.00 106
35 btl 10450.00 365750.00 40 btl 10450.00
23 btl 10450.00 240350.00 17 btl 10450.00
17 btl 10450.00
5 52250.00 35 365750.00 23 240350.00 17
39 Gentamisin salep kulit 0,1% (Gental 15 tube 3520.00 52800.00 15 tube 3520.00
6 tube 3520.00 21120.00 9 tube 3520.00
9 tube 3520.00
15 52800.00 0 0.00 6 21120.00 9
3 btl 2750.00 8250.00 9 btl 2750.00
9 btl 2750.00
12 33000.00 0 0.00 3 8250.00 9
0 tab 56.00
143 tab 99.00 14157.00 143 tab 99.00
200 tab 99.00 19800.00 343 tab 99.00
150 tab 99.00 14850.00 193 tab 99.00
193 tab 99.00
0 tab 55.00 0.00 0 tab 55.00
0 tab 55.00
143 14157.00 200 19800.00 150 14850.00 193
42 Glukosa 5% dan NaCl 0,9% (Wida D 14 btl 9350.00 130900.00 14 btl 9350.00
5 btl 9350.00 46750.00 9 btl 9350.00
9 btl 9350.00
14 130900.00 0 0.00 5 46750.00 9
0 btl 5200.00
0 btl 5313.00 0.00 0 btl 5313.00
0 btl 5313.00
11 btl 6900.00 75900.00 11 btl 6900.00
11 btl 6900.00
11 75900.00 0 0.00 0 0.00 11
82 tab 245.00
82 20090.00 0 0.00 0 0.00 82
800 tab 180.00 144000.00 1111 tab 180.00
504 tab 180.00 90720.00 607 tab 180.00
607 tab 180.00
311 55980.00 800 144000.00 504 90720.00 607
60 tab 55.00 3300.00 210 tab 55.00
210 tab 55.00
270 14850.00 0 0.00 60 3300.00 210
1 tube 2650.00 2650.00 23 tube 2650.00
23 tube 2650.00
0 tube 6765.00 0.00 0 tube 6765.00
0 tube 6765.00
24 63600.00 0 0.00 1 2650.00 23
5 btl 2475.00 12375.00 9 btl 2475.00
2 btl 2475.00 4950.00 7 btl 2475.00
7 btl 2475.00
4 9900.00 5 12375.00 2 4950.00 7
310 tab 127.00 39370.00 570 tab 127.00
300 tab 127.00 38100.00 270 tab 127.00
270 tab 127.00
0 tab 150.00 0.00 0 tab 150.00
0 tab 150.00
0 tab 319.00 0.00 0 tab 319.00
0 tab 319.00
260 33020.00 310 39370.00 300 38100.00 270
50 Ipratropium Bromida 0,52 mg; Sabu 4 ktk 16465.00 65860.00 4 ktk 16465.00
4 ktk 16465.00 65860.00 0 ktk 16465.00
0 ktk 16465.00
4 65860.00 0 0.00 4 65860.00 0
0 tab 56.00
270 tab 59.00 15930.00 270 tab 59.00
800 tab 59.00 47200.00 1070 tab 59.00
530 tab 59.00 31270.00 540 tab 59.00
540 tab 59.00
0 tab 70.00 0.00 0 tab 70.00
0 tab 70.00
0 tab 81.40 0.00 0 tab 81.40
0 tab 81.40
270 15930.00 800 47200.00 530 31270.00 540
300 tab 75.00 22500.00 300 tab 75.00
50 tab 75.00 3750.00 250 tab 75.00
250 tab 75.00
0 tab 80.00 0.00 0 tab 80.00
0 tab 80.00
0 tab 84.00 0.00 0 tab 84.00
0 tab 84.00
81 tab 68.00 5508.00 81 tab 68.00
600 tab 68.00 40800.00 681 tab 68.00
445 tab 68.00 30260.00 236 tab 68.00
236 tab 68.00
81 5508.00 900 63300.00 495 34010.00 486
2 tube 2545.00 5090.00 25 tube 2545.00
25 tube 2545.00
27 68715.00 0 0.00 2 5090.00 25
20 tab 280.00 5600.00 90 tab 280.00
90 tab 280.00
0 tab 300.00 0.00 0 tab 300.00
0 tab 300.00
110 30800.00 0 0.00 20 5600.00 90
55 Kloramfenikol kapsul/kaplet 250 m 111 kaps 1100.00 122100.00 111 kaps 1100.00
10 kaps 1100.00 11000.00 101 kaps 1100.00
101 kaps 1100.00
0 kaps 227.00 0.00 0 kaps 227.00
0 kaps 227.00
111 122100.00 0 0.00 10 11000.00 101
0 tube 1600.00
2 tube 1798.00 3596.00 2 tube 1798.00
24 tube 1798.00 43152.00 26 tube 1798.00
3 tube 1798.00 5394.00 23 tube 1798.00
23 tube 1798.00
2 3596.00 24 43152.00 3 5394.00 23
57 Kloramfenikol suspensi 125 mg/5 m 7 btl 3955.00 27685.00 7 btl 3955.00
2 btl 3955.00 7910.00 5 btl 3955.00
5 btl 3955.00
7 27685.00 0 0.00 2 7910.00 5
58 Kloramfenikol tetes telinga 1% (Rec 6 btl 7700.00 46200.00 6 btl 7700.00
10 btl 7700.00 77000.00 16 btl 7700.00
8 btl 7700.00 61600.00 8 btl 7700.00
8 btl 7700.00
0 btl 6600.00 0.00 0 btl 6600.00
0 btl 6600.00
6 46200.00 10 77000.00 8 61600.00 8
59 Klorfeniramin Maleat (CTM) tab 4 239 tab 42.00 10038.00 239 tab 42.00
800 tab 42.00 33600.00 1039 tab 42.00
404 tab 42.00 16968.00 635 tab 42.00
635 tab 42.00
239 10038.00 800 33600.00 404 16968.00 635
60 Klorpromazin tablet salut 100 mg ( 290 tab 144.00 41760.00 290 tab 144.00
100 tab 144.00 14400.00 190 tab 144.00
190 tab 144.00
290 41760.00 0 0.00 100 14400.00 190
70 tab 550.00
70 38500.00 0 0.00 0 0.00 70
62 Kotrimoksazol DOEN I (dewasa) kom 110 tab 125.00 13750.00 110 tab 125.00
200 tab 125.00 25000.00 310 tab 125.00
64 tab 125.00 8000.00 246 tab 125.00
246 tab 125.00
0 tab 138.00 0.00 0 tab 138.00
0 tab 138.00
110 13750.00 200 25000.00 64 8000.00 246
63 Kotrimoksazol Suspensi komb: Sulf 0 btl 2140.00 0.00 0 btl 2140.00
0 btl 2140.00
9 btl 2167.00 19503.00 9 btl 2167.00
10 btl 2167.00 21670.00 19 btl 2167.00
1 btl 2167.00 2167.00 18 btl 2167.00
18 btl 2167.00
9 19503.00 10 21670.00 1 2167.00 18
100 kaps 319.00 31900.00 160 kaps 319.00
40 kaps 319.00 12760.00 120 kaps 319.00
120 kaps 319.00
60 19140.00 100 31900.00 40 12760.00 120
65 Larutan mengandung Elektrolit (Na 0 btl 9000.00 0.00 0 btl 9000.00
0 btl 9000.00
32 btl 9275.00 296800.00 32 btl 9275.00
175 btl 9275.00 1623125.00 207 btl 9275.00
169 btl 9275.00 1567475.00 38 btl 9275.00
38 btl 9275.00
32 296800.00 175 1623125.00 169 1567475.00 38
66 Lidokain injeksi 2% (HCl) + Epinefri 34 amp 1845.00 62730.00 34 amp 1845.00
90 amp 1845.00 166050.00 124 amp 1845.00
63 amp 1845.00 116235.00 61 amp 1845.00
61 amp 1845.00
34 62730.00 90 166050.00 63 116235.00 61
200 tab 85.00 17000.00 283 tab 85.00
50 tab 85.00 4250.00 233 tab 85.00
233 tab 85.00
0 tab 89.00 0.00 0 tab 89.00
0 tab 89.00
83 7055.00 200 17000.00 50 4250.00 233
0 btl 12100.00
10 btl 13200.00 132000.00 10 btl 13200.00
2 btl 13200.00 26400.00 8 btl 13200.00
8 btl 13200.00
10 132000.00 0 0.00 2 26400.00 8
20 tab 880.00 17600.00 240 tab 880.00
240 tab 880.00
260 228800.00 0 0.00 20 17600.00 240
30 amp 5566.00 166980.00 66 amp 5566.00
31 amp 5566.00 172546.00 35 amp 5566.00
35 amp 5566.00
36 200376.00 30 166980.00 31 172546.00 35
71 Metamizole Na injeksi 500 mg/ml 0 amp 9130.00 0.00 0 amp 9130.00
37 amp 9130.00 337810.00 37 amp 9130.00
37 amp 9130.00
0 0.00 37 337810.00 0 0.00 37
72 Metampiron tablet 500 mg (antalgi 290 tab 148.50 43065.00 290 tab 148.50
800 tab 148.50 118800.00 1090 tab 148.50
670 tab 148.50 99495.00 420 tab 148.50
420 tab 148.50
0 tab 232.00 0.00 0 tab 232.00
0 tab 232.00
0 tab 246.40 0.00 0 tab 246.40
0 tab 246.40
290 43065.00 800 118800.00 670 99495.00 420
140 tab 96.00 13440.00 40 tab 96.00
40 tab 96.00
130 tab 100.00 13000.00 130 tab 100.00
130 tab 100.00
310 30280.00 0 0.00 140 13440.00 170
74 Metilergometrin Maleat injeksi 0,2 1 amp 2684.00 2684.00 1 amp 2684.00
1 amp 2684.00
1 2684.00 0 0.00 0 0.00 1
75 Metilergometrin Maleat tablet salu 0 tab 121.00 0.00 0 tab 121.00
0 tab 121.00
80 tab 154.00 12320.00 80 tab 154.00
80 tab 154.00
80 12320.00 0 0.00 0 0.00 80
24 tab 612.00 14688.00 138 tab 612.00
138 tab 612.00
162 99144.00 0 0.00 24 14688.00 138
50 amp 3395.00
0 amp 10450.00 0.00 0 amp 10450.00
0 amp 10450.00
50 169750.00 0 0.00 0 0.00 50
78 Metoklopramide sirup 5 mg/ 5 ml 6 btl 2580.00 15480.00 6 btl 2580.00
1 btl 2580.00 2580.00 5 btl 2580.00
5 btl 2580.00
6 15480.00 0 0.00 1 2580.00 5
0 tab 108.00
270 tab 115.00 31050.00 270 tab 115.00
270 tab 115.00
270 31050.00 0 0.00 0 0.00 270
80 Metronidazol suspensi 125 mg/5 m 7 btl 3800.00 26600.00 7 btl 3800.00
7 btl 3800.00
7 26600.00 0 0.00 0 0.00 7
60 tab 133.00 7980.00 195 tab 133.00
195 tab 133.00
0 tab 160.00 0.00 0 tab 160.00
0 tab 160.00
255 33915.00 0 0.00 60 7980.00 195
0 tab 176.00
190 tab 159.00 30210.00 190 tab 159.00
200 tab 159.00 31800.00 390 tab 159.00
170 tab 159.00 27030.00 220 tab 159.00
220 tab 159.00
190 30210.00 200 31800.00 170 27030.00 220
83 Natrium Klorida larutan infus 0,9% 12 btl 4700.00 56400.00 12 btl 4700.00
40 btl 4700.00 188000.00 52 btl 4700.00
26 btl 4700.00 122200.00 26 btl 4700.00
26 btl 4700.00
0 btl 4900.00 0.00 0 btl 4900.00
0 btl 4900.00
12 56400.00 40 188000.00 26 122200.00 26
10 tab 104.00 1040.00 156 tab 104.00
156 tab 104.00
0 tab 110.00 0.00 0 tab 110.00
0 tab 110.00
166 17264.00 0 0.00 10 1040.00 156
85 Nistatin vaginal tablet 100.000 IU/ 0 ovula 480.00 0.00 0 ovula 480.00
0 ovula 480.00
80 ovula 523.00 41840.00 80 ovula 523.00
10 ovula 523.00 5230.00 70 ovula 523.00
70 ovula 523.00
80 41840.00 0 0.00 10 5230.00 70
20 kaps 385.00 7700.00 200 kaps 385.00
200 kaps 385.00
220 84700.00 0 0.00 20 7700.00 200
0 btl 5940.00
13 btl 6050.00 78650.00 13 btl 6050.00
13 btl 6050.00 78650.00 0 btl 6050.00
0 btl 6050.00
13 78650.00 0 0.00 13 78650.00 0
88 Obat Batuk Hitam (OBH) cairan (He 0 btl 13200.00 0.00 0 btl 13200.00
43 btl 13200.00 567600.00 43 btl 13200.00
31 btl 13200.00 409200.00 12 btl 13200.00
12 btl 13200.00
0 0.00 43 567600.00 31 409200.00 12
89 Oksitetrasiklin HCl salep mata 1% 0 tube 3187.80 0.00 0 tube 3187.80
1 tube 3187.80 3187.80 1 tube 3187.80
1 tube 3187.80
0 tube 3630.00 0.00 0 tube 3630.00
0 tube 3630.00
0 0.00 1 3187.80 0 0.00 1
0 amp 2200.00
2 amp 1900.00 3800.00 2 amp 1900.00
2 amp 1900.00
2 3800.00 0 0.00 0 0.00 2
150 amp 1650.00 247500.00 197 amp 1650.00
107 amp 1650.00 176550.00 90 amp 1650.00
90 amp 1650.00
0 amp 2400.00 0.00 0 amp 2400.00
0 amp 2400.00
47 77550.00 150 247500.00 107 176550.00 90
8 tab 472.00 3776.00 56 tab 472.00
56 tab 472.00
64 30208.00 0 0.00 8 3776.00 56
93 Parasetamol sirup 120 mg/5 ml 0 btl 1074.00 0.00 0 btl 1074.00
0 btl 1074.00
0 btl 1107.00 0.00 0 btl 1107.00
15 btl 1107.00 16605.00 15 btl 1107.00
1 btl 1107.00 1107.00 14 btl 1107.00
14 btl 1107.00
0 btl 1438.00 0.00 0 btl 1438.00
0 btl 1438.00
0 btl 1010.00 0.00 0 btl 1010.00
0 btl 1010.00
0 0.00 15 16605.00 1 1107.00 14
1300 tab 49.00 63700.00 1774 tab 49.00
1251 tab 49.00 61299.00 523 tab 49.00
523 tab 49.00
0 tab 56.00 0.00 0 tab 56.00
0 tab 56.00
0 tab 79.00 0.00 0 tab 79.00
0 tab 79.00
0 tab 83.93 0.00 0 tab 83.93
0 tab 83.93
474 23226.00 1300 63700.00 1251 61299.00 523
95 Piridoksin (Vitamin B6) tablet 10 m 141 tab 118.00 16638.00 141 tab 118.00
200 tab 118.00 23600.00 341 tab 118.00
40 tab 118.00 4720.00 301 tab 118.00
301 tab 118.00
0 tab 88.00 0.00 0 tab 88.00
0 tab 88.00
141 16638.00 200 23600.00 40 4720.00 301
96 Piroksikam kapsul/kaplet/tablet 10 0 kaps 105.00 0.00 0 kaps 105.00
0 kaps 105.00
348 kaps 220.00 76560.00 348 kaps 220.00
130 kaps 220.00 28600.00 218 kaps 220.00
218 kaps 220.00
348 76560.00 0 0.00 130 28600.00 218
0 tab 64.00
109 tab 96.00 10464.00 109 tab 96.00
800 tab 96.00 76800.00 909 tab 96.00
362 tab 96.00 34752.00 547 tab 96.00
547 tab 96.00
0 tab 114.00 0.00 0 tab 114.00
0 tab 114.00
109 10464.00 800 76800.00 362 34752.00 547
98 Ranitidin injeksi 25 mg/ml 0 amp 1155.00 0.00 0 amp 1155.00
50 amp 1155.00 57750.00 50 amp 1155.00
50 amp 1155.00
0 amp 1390.00 0.00 0 amp 1390.00
0 amp 1390.00
0 0.00 50 57750.00 0 0.00 50
400 tab 105.00 42000.00 504 tab 105.00
405 tab 105.00 42525.00 99 tab 105.00
99 tab 105.00
0 tab 261.80 0.00 0 tab 261.80
300 tab 261.80 78540.00 300 tab 261.80
300 tab 261.80
104 10920.00 700 120540.00 405 42525.00 399
100 Ringer Laktat (RL) larutan infus 0 btl 5200.00 0.00 0 btl 5200.00
0 btl 5200.00
0 btl 7150.00 0.00 0 btl 7150.00
80 btl 7150.00 572000.00 80 btl 7150.00
15 btl 7150.00 107250.00 65 btl 7150.00
65 btl 7150.00
0 btl 17500.00 0.00 0 btl 17500.00
0 btl 17500.00
0 0.00 80 572000.00 15 107250.00 65
101 Salbutamol tablet 2 mg (sebagai sul 160 tab 66.00 10560.00 160 tab 66.00
300 tab 66.00 19800.00 460 tab 66.00
180 tab 66.00 11880.00 280 tab 66.00
280 tab 66.00
160 10560.00 300 19800.00 180 11880.00 280
102 Salep 2~4 , Kombinasi: Asam Salisi 0 pot 2000.00 0.00 0 pot 2000.00
0 pot 2000.00
31 pot 2429.00 75299.00 31 pot 2429.00
3 pot 2429.00 7287.00 28 pot 2429.00
28 pot 2429.00
31 75299.00 0 0.00 3 7287.00 28
8 ktk 1025.00 8200.00 8 ktk 1025.00
8 ktk 1025.00
0 ktk 1250.00 0.00 0 ktk 1250.00
0 ktk 1250.00
16 16400.00 0 0.00 8 8200.00 8
0 kaps 913.00
50 kaps 478.00 23900.00 50 kaps 478.00
200 kaps 478.00 95600.00 250 kaps 478.00
250 kaps 478.00
64 kaps 509.00 32576.00 64 kaps 509.00
20 kaps 509.00 10180.00 44 kaps 509.00
44 kaps 509.00
114 56476.00 200 95600.00 20 10180.00 294
300 kaps 803.00 240900.00 300 kaps 803.00
300 kaps 803.00
90 kaps 590.00 53100.00 90 kaps 590.00
90 kaps 590.00 53100.00 0 kaps 590.00
0 kaps 590.00
90 53100.00 300 240900.00 90 53100.00 300
106 Sefiksim kapsul/kaplet 100 mg (Hel 240 kaps 3144.00 754560.00 240 kaps 3144.00
100 kaps 3144.00 314400.00 140 kaps 3144.00
140 kaps 3144.00
240 754560.00 0 0.00 100 314400.00 140
0 vial 4898.00
0 vial 6800.00 0.00 0 vial 6800.00
0 vial 6800.00
40 vial 8230.00 329200.00 40 vial 8230.00
17 vial 8230.00 139910.00 23 vial 8230.00
23 vial 8230.00
40 329200.00 0 0.00 17 139910.00 23
108 Serum A.T.S. injeksi 1.500 UI/amp (i 0 amp 126500.00 0.00 0 amp 126500.00
0 amp 126500.00
1 amp 130999.00 130999.00 1 amp 130999.00
2 amp 130999.00 261998.00 3 amp 130999.00
3 amp 130999.00 392997.00 0 amp 130999.00
0 amp 130999.00
0 amp 145200.00 0.00 0 amp 145200.00
0 amp 145200.00
1 130999.00 2 261998.00 3 392997.00 0
109 Sianokobalamin (vitamin B12) injek 0 amp 1078.00 0.00 0 amp 1078.00
0 amp 1078.00
86 amp 1098.00 94428.00 86 amp 1098.00
6 amp 1098.00 6588.00 80 amp 1098.00
80 amp 1098.00
86 94428.00 0 0.00 6 6588.00 80
110 Sianokobalamin (vitamin B12) tabl 238 tab 51.00 12138.00 238 tab 51.00
300 tab 51.00 15300.00 538 tab 51.00
341 tab 51.00 17391.00 197 tab 51.00
197 tab 51.00
0 tab 57.00 0.00 0 tab 57.00
0 tab 57.00
238 12138.00 300 15300.00 341 17391.00 197
30 tab 111.00 3330.00 70 tab 111.00
70 tab 111.00
100 11100.00 0 0.00 30 3330.00 70
112 Siprofloksasin tablet 500 mg (sebag 0 tab 281.00 0.00 0 tab 281.00
0 tab 281.00
0 tab 255.00 0.00 0 tab 255.00
0 tab 255.00
0 tab 265.00 0.00 0 tab 265.00
300 tab 265.00 79500.00 300 tab 265.00
300 tab 265.00
0 0.00 300 79500.00 0 0.00 300
113 Tiamfenikol kapsul/kaplet 500 mg ( 170 kaps 1471.00 250070.00 170 kaps 1471.00
50 kaps 1471.00 73550.00 120 kaps 1471.00
120 kaps 1471.00
0 kaps 1472.00 0.00 0 kaps 1472.00
0 kaps 1472.00
0 kaps 1459.00 0.00 0 kaps 1459.00
0 kaps 1459.00
170 250070.00 0 0.00 50 73550.00 120
114 Tiamfenikol kapsul/kaplet 500 mg ( 10 kaps 1067.00 10670.00 10 kaps 1067.00
10 kaps 1067.00 10670.00 0 kaps 1067.00
0 kaps 1067.00
10 10670.00 0 0.00 10 10670.00 0
115 Tiamin (vitamin B1) tablet 50 mg (H 0 tab 82.00 0.00 0 tab 82.00
0 tab 82.00
666 tab 88.00 58608.00 666 tab 88.00
400 tab 88.00 35200.00 266 tab 88.00
266 tab 88.00
666 58608.00 0 0.00 400 35200.00 266
200 tab 80.00
200 16000.00 0 0.00 0 0.00 200
500 tab 115.00 57500.00 957 tab 115.00
670 tab 115.00 77050.00 287 tab 115.00
287 tab 115.00
457 52555.00 500 57500.00 670 77050.00 287
118 Zinc sirup 20 mg/5 ml (Zircum Kids 2 btl 6290.00 12580.00 2 btl 6290.00
2 btl 6290.00
2 12580.00 0 0.00 0 0.00 2
0 tab 474.00
145 tab 514.00 74530.00 145 tab 514.00
20 tab 514.00 10280.00 125 tab 514.00
125 tab 514.00
145 74530.00 0 0.00 20 10280.00 125
145 74530.00 0 0.00 20 10280.00 125
200 set 2650.00 530000.00 200 set 2650.00
155 set 2650.00 410750.00 45 set 2650.00
45 set 2650.00
0 0.00 200 530000.00 155 410750.00 45
121 Alat suntik sekali pakai 10 ml (One 14 set 925.00 12950.00 14 set 925.00
14 set 925.00 12950.00 0 set 925.00
0 set 925.00
14 12950.00 0 0.00 14 12950.00 0
600 set 1500.00 900000.00 789 set 1500.00
539 set 1500.00 808500.00 250 set 1500.00
250 set 1500.00
189 283500.00 600 900000.00 539 808500.00 250
123 Alat suntik sekali pakai 5 ml (OneM 0 set 968.00 0.00 0 set 968.00
100 set 968.00 96800.00 100 set 968.00
6 set 968.00 5808.00 94 set 968.00
94 set 968.00
0 0.00 100 96800.00 6 5808.00 94
2 set 3600.00
2 7200.00 0 0.00 0 0.00 2
12 set 34895.00
12 418740.00 0 0.00 0 0.00 12
126 Catgut plain no 2/0 70C + jarum 1 5 set 27466.66 137333.30 5 set 27466.66
2 set 27466.66 54933.32 3 set 27466.66
3 set 27466.66
5 137333.30 0 0.00 2 54933.32 3
20 btl 3000.00 60000.00 40 btl 3000.00
20 btl 3000.00 60000.00 20 btl 3000.00
20 btl 3000.00
0 btl 2500.00 0.00 0 btl 2500.00
0 btl 2500.00
20 60000.00 20 60000.00 20 60000.00 20
6 set 7999.20 47995.20 9 set 7999.20
6 set 7999.20 47995.20 3 set 7999.20
3 set 7999.20
3 23997.60 6 47995.20 6 47995.20 3
6 set 7999.20 47995.20 7 set 7999.20
4 set 7999.20 31996.80 3 set 7999.20
3 set 7999.20
1 7999.20 6 47995.20 4 31996.80 3
3 btl 62650.00 187950.00 3 btl 62650.00
3 btl 62650.00
0 0.00 3 187950.00 0 0.00 3
800 pcs 737.53 590024.00 900 pcs 737.53
600 pcs 737.53 442518.00 300 pcs 737.53
300 pcs 737.53
0 pcs 583.00 0.00 0 pcs 583.00
0 pcs 583.00
100 73753.00 800 590024.00 600 442518.00 300
100 pcs 583.00
100 pcs 737.50 73750.00 100 pcs 737.50
100 pcs 737.50 73750.00 200 pcs 737.50
100 pcs 737.50 73750.00 100 pcs 737.50
100 pcs 737.50
200 132050.00 100 73750.00 100 73750.00 200
400 pcs 583.00 233200.00 500 pcs 583.00
300 pcs 583.00 174900.00 200 pcs 583.00
200 pcs 583.00
100 58300.00 400 233200.00 300 174900.00 200
10 set 3499.10 34991.00 34 set 3499.10
34 set 3499.10
0 set 3500.00 0.00 0 set 3500.00
0 set 3500.00
44 153960.40 0 0.00 10 34991.00 34
28 set 6286.50 176022.00 56 set 6286.50
47 set 6286.50 295465.50 9 set 6286.50
9 set 6286.50
28 176022.00 28 176022.00 47 295465.50 9
36 set 3799.40 136778.40 14 set 3799.40
14 set 3799.40
50 189970.00 0 0.00 36 136778.40 14
18 set 6300.00 113400.00 18 set 6300.00
18 set 6300.00
0 set 7500.00 0.00 0 set 7500.00
0 set 7500.00
11 set 7787.50 85662.50 11 set 7787.50
42 set 7787.50 327075.00 53 set 7787.50
42 set 7787.50 327075.00 11 set 7787.50
11 set 7787.50
0 set 9185.00 0.00 0 set 9185.00
0 set 9185.00
11 85662.50 60 440475.00 42 327075.00 29
0 set 7500.00
27 set 9185.00 247995.00 27 set 9185.00
11 set 9185.00 101035.00 16 set 9185.00
16 set 9185.00
27 247995.00 0 0.00 11 101035.00 16
139 Kasa Hidrofil uk. 16 x 16 (isi 10 lem 70 lbr 935.00 65450.00 70 lbr 935.00
250 lbr 935.00 233750.00 320 lbr 935.00
160 lbr 935.00 149600.00 160 lbr 935.00
160 lbr 935.00
70 65450.00 250 233750.00 160 149600.00 160
2 rol 9955.00 19910.00 0 rol 9955.00
0 rol 9955.00
2 19910.00 0 0.00 2 19910.00 0
20 rol 2640.00 52800.00 30 rol 2640.00
30 rol 2640.00
50 132000.00 0 0.00 20 52800.00 30
39 rol 1320.00 51480.00 80 rol 1320.00
80 rol 1320.00
119 157080.00 0 0.00 39 51480.00 80
700 set 440.00 308000.00 850 set 440.00
650 set 440.00 286000.00 200 set 440.00
200 set 440.00
150 66000.00 700 308000.00 650 286000.00 200
3 set 16280.00 48840.00 5 set 16280.00
4 set 16280.00 65120.00 1 set 16280.00
1 set 16280.00
2 32560.00 3 48840.00 4 65120.00 1
5 rol 7446.92 37234.60 5 rol 7446.92
5 rol 7446.92
0 0.00 5 37234.60 0 0.00 5
8 rol 39431.29 315450.32 9 rol 39431.29
4 rol 39431.29 157725.16 5 rol 39431.29
5 rol 39431.29
1 39431.29 8 315450.32 4 157725.16 5
2 set 12500.00
2 25000.00 0 0.00 0 0.00 2
148 Selang oksigen dewasa (Oxyflow) 0 set 5500.00 0.00 0 set 5500.00
3 set 5500.00 16500.00 3 set 5500.00
3 set 5500.00
0 0.00 3 16500.00 0 0.00 3
149 Silk 3/0 75C + jarum 3/8 26M C (D 0 set 15449.72 0.00 0 set 15449.72
12 set 15449.72 185396.64 12 set 15449.72
12 set 15449.72
5 set 15449.96 77249.80 5 set 15449.96
5 set 15449.96 77249.80 0 set 15449.96
0 set 15449.96
5 77249.80 12 185396.64 5 77249.80 12
12 set 21335.00 256020.00 0 set 21335.00
0 set 21335.00
12 256020.00 0 0.00 12 256020.00 0
0 pcs 1000.00
38 pcs 1100.00 41800.00 38 pcs 1100.00
7 pcs 1100.00 7700.00 31 pcs 1100.00
31 pcs 1100.00
38 41800.00 0 0.00 7 7700.00 31
9 pcs 3500.00 31500.00 3 pcs 3500.00
3 pcs 3500.00
12 42000.00 0 0.00 9 31500.00 3
18 set 2999.70 53994.60 22 set 2999.70
8 set 2999.70 23997.60 14 set 2999.70
14 set 2999.70
4 11998.80 18 53994.60 8 23997.60 14
GRAND TOTAL 10175022.89 12001510.36 10143141.38 1203339
Mengetahui, Asembagus, 30 April 2019


NIP : 19760710 201001 2 013 NIP. 19850507 200501 2 004
hir
Jumlah(Rp)
121000.00
110000.00
110000.00
110000.00
0.00
0.00
24300.00
22500.00
22500.00
22500.00
0.00
56111.00
22444.40
22444.40
12210.00
12210.00
34654.40
21945.00
120945.00
63690.00
63690.00
63690.00
0.00
38974.00
38974.00
0.00
56865.00
56865.00
0.00
0.00
95839.00
0.00
0.00
18200.00
16380.00
16380.00
16380.00
0.00
27900.00
27900.00
50750.00
50750.00
78650.00
27930.00
312930.00
43510.00
43510.00
0.00
0.00
0.00
116500.00
97860.00
97860.00
0.00
0.00
141370.00
22572.00
60192.00
24453.00
24453.00
0.00
0.00
0.00
0.00
24453.00
43950.00
35160.00
35160.00
35160.00
512380.00
421960.00
421960.00
421960.00
6200.00
80600.00
21700.00
21700.00
0.00
0.00
21700.00
2025.00
0.00
0.00
0.00
0.00
73100.00
73100.00
0.00
0.00
73100.00
33495.00
15225.00
15225.00
15225.00
0.00
0.00
32760.00
115960.00
66040.00
66040.00
66040.00
17700.00
167700.00
62700.00
62700.00
0.00
0.00
62700.00
17115.00
17115.00
17115.00
563200.00
563200.00
563200.00
0.00
0.00
38500.00
26950.00
26950.00
26950.00
0.00
0.00
35598.00
32108.00
32108.00
0.00
0.00
32108.00
20300.00
42050.00
37700.00
37700.00
37700.00
27600.00
20700.00
20700.00
0.00
0.00
20700.00
0.00
36000.00
18000.00
18000.00
18000.00
31350.00
31350.00
31350.00
11400.00
25650.00
19950.00
19950.00
0.00
0.00
19950.00
1144.00
58344.00
36894.00
36894.00
45760.00
45760.00
82654.00
7679.00
5485.00
5485.00
0.00
0.00
5485.00
0.00
0.00
0.00
0.00
9600.00
16000.00
6432.00
6432.00
4715.00
4715.00
11147.00
0.00
0.00
62865.00
62865.00
62865.00
0.00
0.00
3525.00
74025.00
68150.00
68150.00
68150.00
0.00
0.00
0.00
19800.00
19800.00
19800.00
21000.00
18000.00
18000.00
18000.00
32096.00
28556.00
28556.00
0.00
0.00
28556.00
19836.00
19836.00
0.00
0.00
19836.00
0.00
0.00
102950.00
102950.00
102950.00
0.00
0.00
80156.00
73246.00
73246.00
73246.00
52250.00
418000.00
177650.00
177650.00
177650.00
52800.00
31680.00
31680.00
31680.00
33000.00
24750.00
24750.00
24750.00
0.00
0.00
14157.00
33957.00
19107.00
19107.00
0.00
0.00
19107.00
130900.00
84150.00
84150.00
84150.00
0.00
0.00
0.00
0.00
75900.00
75900.00
75900.00
20090.00
20090.00
20090.00
55980.00
199980.00
109260.00
109260.00
109260.00
14850.00
11550.00
11550.00
11550.00
63600.00
60950.00
60950.00
0.00
0.00
60950.00
9900.00
22275.00
17325.00
17325.00
17325.00
33020.00
72390.00
34290.00
34290.00
0.00
0.00
0.00
0.00
34290.00
65860.00
0.00
0.00
0.00
0.00
0.00
15930.00
63130.00
31860.00
31860.00
0.00
0.00
0.00
0.00
31860.00
0.00
22500.00
18750.00
18750.00
0.00
0.00
0.00
0.00
5508.00
46308.00
16048.00
16048.00
34798.00
68715.00
63625.00
63625.00
63625.00
30800.00
25200.00
25200.00
0.00
0.00
25200.00
122100.00
111100.00
111100.00
0.00
0.00
111100.00
0.00
0.00
3596.00
46748.00
41354.00
41354.00
41354.00
27685.00
19775.00
19775.00
19775.00
46200.00
123200.00
61600.00
61600.00
0.00
0.00
61600.00
10038.00
43638.00
26670.00
26670.00
26670.00
41760.00
27360.00
27360.00
27360.00
38500.00
38500.00
38500.00
13750.00
38750.00
30750.00
30750.00
0.00
0.00
30750.00
0.00
0.00
19503.00
41173.00
39006.00
39006.00
39006.00
19140.00
51040.00
38280.00
38280.00
38280.00
0.00
0.00
296800.00
1919925.00
352450.00
352450.00
352450.00
62730.00
228780.00
112545.00
112545.00
112545.00
7055.00
24055.00
19805.00
19805.00
0.00
0.00
19805.00
0.00
0.00
132000.00
105600.00
105600.00
105600.00
228800.00
211200.00
211200.00
211200.00
200376.00
367356.00
194810.00
194810.00
194810.00
0.00
337810.00
337810.00
337810.00
43065.00
161865.00
62370.00
62370.00
0.00
0.00
0.00
0.00
62370.00
17280.00
3840.00
3840.00
13000.00
13000.00
16840.00
2684.00
2684.00
2684.00
0.00
0.00
12320.00
12320.00
12320.00
99144.00
84456.00
84456.00
84456.00
169750.00
169750.00
0.00
0.00
169750.00
15480.00
12900.00
12900.00
12900.00
0.00
0.00
31050.00
31050.00
31050.00
26600.00
26600.00
26600.00
33915.00
25935.00
25935.00
0.00
0.00
25935.00
0.00
0.00
30210.00
62010.00
34980.00
34980.00
34980.00
56400.00
244400.00
122200.00
122200.00
0.00
0.00
122200.00
17264.00
16224.00
16224.00
0.00
0.00
16224.00
0.00
0.00
41840.00
36610.00
36610.00
36610.00
84700.00
77000.00
77000.00
77000.00
0.00
0.00
78650.00
0.00
0.00
0.00
0.00
567600.00
158400.00
158400.00
158400.00
0.00
3187.80
3187.80
0.00
0.00
3187.80
0.00
0.00
3800.00
3800.00
3800.00
77550.00
325050.00
148500.00
148500.00
0.00
0.00
148500.00
30208.00
26432.00
26432.00
26432.00
0.00
0.00
0.00
16605.00
15498.00
15498.00
0.00
0.00
0.00
0.00
15498.00
23226.00
86926.00
25627.00
25627.00
0.00
0.00
0.00
0.00
0.00
0.00
25627.00
16638.00
40238.00
35518.00
35518.00
0.00
0.00
35518.00
0.00
0.00
76560.00
47960.00
47960.00
47960.00
0.00
0.00
10464.00
87264.00
52512.00
52512.00
0.00
0.00
52512.00
0.00
57750.00
57750.00
0.00
0.00
57750.00
10920.00
52920.00
10395.00
10395.00
0.00
78540.00
78540.00
88935.00
0.00
0.00
0.00
572000.00
464750.00
464750.00
0.00
0.00
464750.00
10560.00
30360.00
18480.00
18480.00
18480.00
0.00
0.00
75299.00
68012.00
68012.00
68012.00
16400.00
8200.00
8200.00
0.00
0.00
8200.00
0.00
0.00
23900.00
119500.00
119500.00
32576.00
22396.00
22396.00
141896.00
0.00
240900.00
240900.00
53100.00
0.00
0.00
240900.00
754560.00
440160.00
440160.00
440160.00
0.00
0.00
0.00
0.00
329200.00
189290.00
189290.00
189290.00
0.00
0.00
130999.00
392997.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
94428.00
87840.00
87840.00
87840.00
12138.00
27438.00
10047.00
10047.00
0.00
0.00
10047.00
11100.00
7770.00
7770.00
7770.00
0.00
0.00
0.00
0.00
0.00
79500.00
79500.00
79500.00
250070.00
176520.00
176520.00
0.00
0.00
0.00
0.00
176520.00
10670.00
0.00
0.00
0.00
0.00
0.00
58608.00
23408.00
23408.00
23408.00
16000.00
16000.00
16000.00
52555.00
110055.00
33005.00
33005.00
33005.00
12580.00
12580.00
12580.00
0.00
0.00
74530.00
64250.00
64250.00
64250.00
64250.00
0.00
530000.00
119250.00
119250.00
119250.00
12950.00
0.00
0.00
0.00
283500.00
1183500.00
375000.00
375000.00
375000.00
0.00
96800.00
90992.00
90992.00
90992.00
7200.00
7200.00
7200.00
418740.00
418740.00
418740.00
137333.30
82399.98
82399.98
82399.98
60000.00
120000.00
60000.00
60000.00
0.00
0.00
60000.00
23997.60
71992.80
23997.60
23997.60
23997.60
7999.20
55994.40
23997.60
23997.60
23997.60
0.00
187950.00
187950.00
187950.00
73753.00
663777.00
221259.00
221259.00
0.00
0.00
221259.00
58300.00
58300.00
73750.00
147500.00
73750.00
73750.00
132050.00
58300.00
291500.00
116600.00
116600.00
116600.00
153960.40
118969.40
118969.40
0.00
0.00
118969.40
176022.00
352044.00
56578.50
56578.50
56578.50
189970.00
53191.60
53191.60
53191.60
0.00
113400.00
113400.00
0.00
0.00
85662.50
412737.50
85662.50
85662.50
0.00
0.00
199062.50
0.00
0.00
247995.00
146960.00
146960.00
146960.00
65450.00
299200.00
149600.00
149600.00
149600.00
19910.00
0.00
0.00
0.00
132000.00
79200.00
79200.00
79200.00
157080.00
105600.00
105600.00
105600.00
66000.00
374000.00
88000.00
88000.00
88000.00
32560.00
81400.00
16280.00
16280.00
16280.00
0.00
37234.60
37234.60
37234.60
39431.29
354881.61
197156.45
197156.45
197156.45
25000.00
25000.00
25000.00
0.00
16500.00
16500.00
16500.00
0.00
185396.64
185396.64
77249.80
0.00
0.00
185396.64
256020.00
0.00
0.00
0.00
0.00
0.00
41800.00
34100.00
34100.00
34100.00
42000.00
10500.00
10500.00
10500.00
11998.80
65993.40
41995.80
41995.80
41995.80
12033391.87
DINAS KESEHATAN

Bulan MEI 2019


Unit Set Jumlah(Rp) Unit Set Jumlah(Rp) Unit Set Jumlah(Rp) Unit Set
Satuan(Rp) Satuan(Rp) Satuan(Rp)
100 tab
100 110000.00 0 0.00 0 0.00 100
50 tab 90.00 4500.00 200 tab
200 tab
0 tab 86.00 0.00 0 tab
0 tab
250 22500.00 0 0.00 50 4500.00 200
3 btl
4 btl 5611.10 22444.40 4 btl
10 btl 5611.10 56111.00 14 btl
5 btl 5611.10 28055.50 9 btl
9 btl
7 34654.40 10 56111.00 5 28055.50 12
300 tab 165.00 49500.00 686 tab
426 tab 165.00 70290.00 260 tab
260 tab
386 63690.00 300 49500.00 426 70290.00 260
17 amp
0 amp 3822.00 0.00 0 amp
0 amp
13 amp 2998.00 38974.00 13 amp
13 amp
30 95839.00 0 0.00 0 0.00 30
6 Aminofilin tablet 200 mg 0 tab 80.00 0.00 0 tab
0 tab
180 tab 91.00 16380.00 180 tab
20 tab 91.00 1820.00 160 tab
160 tab
180 16380.00 0 0.00 20 1820.00 160
170 tab 93.00 15810.00 130 tab
130 tab
350 tab 145.00 50750.00 350 tab
350 tab
650 78650.00 0 0.00 170 15810.00 480
0 kapl
229 kapl 190.00 43510.00 229 kapl
229 kapl
0 kapl 232.00 0.00 0 kapl
0 kapl
420 kapl 233.00 97860.00 420 kapl
801 kapl 233.00 186633.00 1221 kapl
1103 kapl 233.00 256999.00 118 kapl
118 kapl
649 141370.00 801 186633.00 1103 256999.00 347
30 btl 1881.00 56430.00 43 btl
17 btl 1881.00 31977.00 26 btl
26 btl
0 btl 2090.00 0.00 0 btl
0 btl
0 btl 2445.00 0.00 0 btl
0 btl
13 24453.00 30 56430.00 17 31977.00 26
10 Amoksisilin sirup kering 125 mg/5 ml (Yusimox) 4 btl 8790.00 35160.00 4 btl
4 btl 8790.00 35160.00 0 btl
0 btl
4 35160.00 0 0.00 4 35160.00 0
11 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial (Vic 28 vial 15070.00 421960.00 28 vial
28 vial
28 421960.00 0 0.00 0 0.00 28
12 Antasida DOEN I tablet kunyah, kombinasi: Al 0 tab 72.00 0.00 0 tab
0 tab
350 tab 62.00 21700.00 350 tab
700 tab 62.00 43400.00 1050 tab
800 tab 62.00 49600.00 250 tab
250 tab
350 21700.00 700 43400.00 800 49600.00 250
13 Antibakteri DOEN salep kombinasi: Basitrasin 50 0 tube 2491.00 0.00 0 tube
0 tube
25 tube 2924.00 73100.00 25 tube
25 tube
25 73100.00 0 0.00 0 0.00 25
14 Antihemoroid DOEN kombinasi: Bismut subgalat 5 supp 3045.00 15225.00 5 supp
5 supp
5 15225.00 0 0.00 0 0.00 5
0 tab
635 tab 104.00 66040.00 635 tab
443 tab 104.00 46072.00 192 tab
192 tab
635 66040.00 0 0.00 443 46072.00 192
500 kapl 100.00 50000.00 1127 kapl
800 kapl 100.00 80000.00 327 kapl
327 kapl
0 kapl 106.00 0.00 0 kapl
0 kapl
627 62700.00 500 50000.00 800 80000.00 327
7 amp
7 17115.00 0 0.00 0 0.00 7
160 tab
160 563200.00 0 0.00 0 0.00 160
0 tube
7 tube 3850.00 26950.00 7 tube
7 tube
7 26950.00 0 0.00 0 0.00 7
92 tab
0 tab 350.00 0.00 0 tab
0 tab
0 tab 336.00 0.00 0 tab
0 tab
92 32108.00 0 0.00 0 0.00 92
66 tab 145.00 9570.00 194 tab
194 tab
260 37700.00 0 0.00 66 9570.00 194
4 tube 1380.00 5520.00 11 tube
11 tube
0 tube 1520.00 0.00 0 tube
0 tube
15 20700.00 0 0.00 4 5520.00 11
23 Bisakodil suppositoria 5 mg (Dulcolax) 3 supp 6000.00 18000.00 3 supp
3 supp 6000.00 18000.00 0 supp
0 supp
3 18000.00 0 0.00 3 18000.00 0
190 tab
190 31350.00 0 0.00 0 0.00 190
5 btl 2850.00 14250.00 12 btl
3 btl 2850.00 8550.00 9 btl
9 btl
0 btl 6745.00 0.00 0 btl
0 btl
7 19950.00 5 14250.00 3 8550.00 9
200 tab 90.00 18000.00 200 tab
130 tab 90.00 11700.00 70 tab
70 tab
258 tab 143.00 36894.00 258 tab
162 tab 143.00 23166.00 96 tab
96 tab
40 tab 1144.00 45760.00 40 tab
40 tab
298 82654.00 200 18000.00 292 34866.00 206
0 amp
5 amp 1097.00 5485.00 5 amp
10 amp 1097.00 10970.00 15 amp
15 amp
5 5485.00 10 10970.00 0 0.00 15
500 tab 32.00 16000.00 701 tab
358 tab 32.00 11456.00 343 tab
343 tab
115 tab 41.00 4715.00 115 tab
115 tab
0 tab 62.00 0.00 0 tab
0 tab
0 tab 150.00 0.00 0 tab
0 tab
316 11147.00 500 16000.00 358 11456.00 458
29 Diazepam injeksi 5 mg/ml 0 amp 1735.00 0.00 0 amp
2 amp 1735.00 3470.00 2 amp
1 amp 1735.00 1735.00 1 amp
1 amp
0 amp 2344.00 0.00 0 amp
0 amp
0 0.00 2 3470.00 1 1735.00 1
30 Diazepam larutan rectal 5 mg/2,5 ml (Stesolid) 0 tube 11517.00 0.00 0 tube
0 tube
5 tube 12573.00 62865.00 5 tube
1 tube 12573.00 12573.00 4 tube
4 tube
5 62865.00 0 0.00 1 12573.00 4
31 Diazepam tablet 2 mg 0 tab 35.00 0.00 0 tab
0 tab
0 tab 121.00 0.00 0 tab
100 tab 121.00 12100.00 100 tab
10 tab 121.00 1210.00 90 tab
90 tab
0 0.00 100 12100.00 10 1210.00 90
0 amp
58 amp 1175.00 68150.00 58 amp
6 amp 1175.00 7050.00 52 amp
52 amp
58 68150.00 0 0.00 6 7050.00 52
80 tab 99.00 7920.00 120 tab
120 tab
0 tab 104.00 0.00 0 tab
0 tab
200 19800.00 0 0.00 80 7920.00 120
6 btl
6 18000.00 0 0.00 0 0.00 6
50 tab 118.00 5900.00 192 tab
192 tab
0 tab 167.00 0.00 0 tab
0 tab
242 28556.00 0 0.00 50 5900.00 192
36 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) 9 amp 2204.00 19836.00 9 amp
9 amp
0 amp 8100.00 0.00 0 amp
0 amp
0 amp 1408.00 0.00 0 amp
30 amp 1408.00 42240.00 30 amp
2 amp 1408.00 2816.00 28 amp
28 amp
9 19836.00 30 42240.00 2 2816.00 37
37 Erla Flu sirup 60 ml 0 btl 6050.00 0.00 0 btl
2 btl 6050.00 12100.00 2 btl
2 btl 6050.00 12100.00 0 btl
0 btl
0 0.00 2 12100.00 2 12100.00 0
0 amp
29 amp 3550.00 102950.00 29 amp
29 amp
29 102950.00 0 0.00 0 0.00 29
39 Fitomenadion (Vitamin K1) tablet salut gula 10 0 tab 630.00 0.00 0 tab
0 tab
106 tab 691.00 73246.00 106 tab
20 tab 691.00 13820.00 86 tab
86 tab
106 73246.00 0 0.00 20 13820.00 86
40 Furosemid tablet 40 mg 0 tab 77.00 0.00 0 tab
492 tab 77.00 37884.00 492 tab
20 tab 77.00 1540.00 472 tab
472 tab
0 tab 85.00 0.00 0 tab
0 tab
0 0.00 492 37884.00 20 1540.00 472
41 Gastrusid sirup 17 btl 10450.00 177650.00 17 btl
37 btl 10450.00 386650.00 54 btl
44 btl 10450.00 459800.00 10 btl
10 btl
17 177650.00 37 386650.00 44 459800.00 10
20 tube 3520.00 70400.00 29 tube
11 tube 3520.00 38720.00 18 tube
18 tube
9 31680.00 20 70400.00 11 38720.00 18
2 btl 2750.00 5500.00 7 btl
7 btl
9 24750.00 0 0.00 2 5500.00 7
0 tab
0 tab 56.00 0.00 0 tab
0 tab
193 tab 99.00 19107.00 193 tab
200 tab 99.00 19800.00 393 tab
80 tab 99.00 7920.00 313 tab
313 tab
193 19107.00 200 19800.00 80 7920.00 313
45 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) 9 btl 9350.00 84150.00 9 btl
1 btl 9350.00 9350.00 8 btl
8 btl
9 84150.00 0 0.00 1 9350.00 8
11 btl
0 btl 5200.00 0.00 0 btl
0 btl
0 btl 5313.00 0.00 0 btl
0 btl
11 75900.00 0 0.00 0 0.00 11
82 tab
82 20090.00 0 0.00 0 0.00 82
191 tab 180.00 34380.00 416 tab
416 tab
607 109260.00 0 0.00 191 34380.00 416
49 Haloperidol tablet 0,5 mg 210 tab 55.00 11550.00 210 tab
10 tab 55.00 550.00 220 tab
30 tab 55.00 1650.00 190 tab
190 tab
210 11550.00 10 550.00 30 1650.00 190
8 tube 2650.00 21200.00 15 tube
15 tube
0 tube 6765.00 0.00 0 tube
0 tube
23 60950.00 0 0.00 8 21200.00 15
2 btl 2475.00 4950.00 5 btl
5 btl
7 17325.00 0 0.00 2 4950.00 5
100 tab 127.00 12700.00 170 tab
170 tab
0 tab 150.00 0.00 0 tab
0 tab
0 tab 279.04 0.00 0 tab
200 tab 279.04 55808.00 200 tab
70 tab 279.04 19532.80 130 tab
130 tab
0 tab 319.00 0.00 0 tab
0 tab
270 34290.00 200 55808.00 170 32232.80 300
0 tab
0 tab 81.40 0.00 0 tab
0 tab
0 tab 56.00 0.00 0 tab
0 tab
540 tab 59.00 31860.00 540 tab
500 tab 59.00 29500.00 1040 tab
540 tab 59.00 31860.00 500 tab
500 tab
540 31860.00 500 29500.00 540 31860.00 500
236 tab
250 tab 75.00 18750.00 250 tab
160 tab 75.00 12000.00 90 tab
90 tab
0 tab 80.00 0.00 0 tab
0 tab
0 tab 84.00 0.00 0 tab
0 tab
486 34798.00 0 0.00 160 12000.00 326
1 tube 2545.00 2545.00 24 tube
24 tube
25 63625.00 0 0.00 1 2545.00 24
90 tab
0 tab 300.00 0.00 0 tab
0 tab
90 25200.00 0 0.00 0 0.00 90
57 Ketoprofen supp 100 mg (Suprafenid) 0 supp 2789.00 0.00 0 supp
1 supp 2789.00 2789.00 1 supp
1 supp 2789.00 2789.00 0 supp
0 supp
0 0.00 1 2789.00 1 2789.00 0
58 Klindamisin kapsul/kaplet 150 mg 0 kaps 715.00 0.00 0 kaps
50 kaps 715.00 35750.00 50 kaps
50 kaps
0 0.00 50 35750.00 0 0.00 50
0 kaps
101 kaps 1100.00 111100.00 101 kaps
101 kaps
101 111100.00 0 0.00 0 0.00 101
0 tube
23 tube 1798.00 41354.00 23 tube
4 tube 1798.00 7192.00 19 tube
19 tube
23 41354.00 0 0.00 4 7192.00 19
1 btl 3955.00 3955.00 4 btl
4 btl
5 19775.00 0 0.00 1 3955.00 4
10 btl 7700.00 77000.00 18 btl
8 btl 7700.00 61600.00 10 btl
10 btl
0 btl 6600.00 0.00 0 btl
0 btl
8 61600.00 10 77000.00 8 61600.00 10
3 tab 42.00 126.00 638 tab
384 tab 42.00 16128.00 254 tab
254 tab
635 26670.00 3 126.00 384 16128.00 254
91 tab 144.00 13104.00 99 tab
99 tab
0 tab 147.00 0.00 0 tab
200 tab 147.00 29400.00 200 tab
83 tab 147.00 12201.00 117 tab
117 tab
190 27360.00 200 29400.00 174 25305.00 216
70 tab
70 38500.00 0 0.00 0 0.00 70
66 Kotrimoksazol DOEN I (dewasa) kombinasi: Sulf 246 tab 125.00 30750.00 246 tab
80 tab 125.00 10000.00 166 tab
166 tab
0 tab 138.00 0.00 0 tab
0 tab
246 30750.00 0 0.00 80 10000.00 166
67 Kotrimoksazol Suspensi komb: Sulfametoksazol 0 btl 2140.00 0.00 0 btl
0 btl
18 btl 2167.00 39006.00 18 btl
1 btl 2167.00 2167.00 17 btl
17 btl
18 39006.00 0 0.00 1 2167.00 17
40 kaps 319.00 12760.00 80 kaps
80 kaps
120 38280.00 0 0.00 40 12760.00 80
69 Larutan mengandung Elektrolit (Na 130 mEq, Cl 0 btl 9000.00 0.00 0 btl
0 btl
38 btl 9275.00 352450.00 38 btl
140 btl 9275.00 1298500.00 178 btl
104 btl 9275.00 964600.00 74 btl
74 btl
38 352450.00 140 1298500.00 104 964600.00 74
70 Lidokain injeksi 2% 0 amp 1113.00 0.00 0 amp
60 amp 1113.00 66780.00 60 amp
60 amp
0 0.00 60 66780.00 0 0.00 60
71 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 61 amp 1845.00 112545.00 61 amp
49 amp 1845.00 90405.00 12 amp
12 amp
61 112545.00 0 0.00 49 90405.00 12
100 tab 85.00 8500.00 333 tab
243 tab 85.00 20655.00 90 tab
90 tab
0 tab 89.00 0.00 0 tab
0 tab
233 19805.00 100 8500.00 243 20655.00 90
10 btl 13145.00 131450.00 10 btl
10 btl
8 btl 13200.00 105600.00 8 btl
4 btl 13200.00 52800.00 4 btl
4 btl
0 btl 12100.00 0.00 0 btl
0 btl
8 105600.00 10 131450.00 4 52800.00 14
74 Magnesium Sulfat inj (IV) 40% ~ 25 ml (Otsu) 0 amp 3796.00 0.00 0 amp
6 amp 3796.00 22776.00 6 amp
1 amp 3796.00 3796.00 5 amp
5 amp
0 0.00 6 22776.00 1 3796.00 5
240 tab
240 211200.00 0 0.00 0 0.00 240
13 amp 5566.00 72358.00 22 amp
22 amp
35 194810.00 0 0.00 13 72358.00 22
77 Metamizole Na injeksi 500 mg/ml 37 amp 9130.00 337810.00 37 amp
37 amp
37 337810.00 0 0.00 0 0.00 37
210 tab 148.50 31185.00 630 tab
430 tab 148.50 63855.00 200 tab
200 tab
0 tab 232.00 0.00 0 tab
0 tab
0 tab 246.40 0.00 0 tab
0 tab
420 62370.00 210 31185.00 430 63855.00 200
200 tab 96.00 19200.00 240 tab
50 tab 96.00 4800.00 190 tab
190 tab
130 tab 100.00 13000.00 130 tab
130 tab
170 16840.00 200 19200.00 50 4800.00 320
80 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml 1 amp 2684.00 2684.00 1 amp
1 amp
1 2684.00 0 0.00 0 0.00 1
81 Metilergometrin Maleat tablet salut 0,125 mg 0 tab 121.00 0.00 0 tab
0 tab
80 tab 154.00 12320.00 80 tab
80 tab
80 12320.00 0 0.00 0 0.00 80
138 tab
138 84456.00 0 0.00 0 0.00 138
50 amp
0 amp 10450.00 0.00 0 amp
0 amp
50 169750.00 0 0.00 0 0.00 50
84 Metoklopramide sirup 5 mg/ 5 ml (Lexapram) 5 btl 2580.00 12900.00 5 btl
5 btl 2580.00 12900.00 10 btl
3 btl 2580.00 7740.00 7 btl
7 btl
5 12900.00 5 12900.00 3 7740.00 7
0 tab
270 tab 115.00 31050.00 270 tab
270 tab
270 31050.00 0 0.00 0 0.00 270
7 btl
7 26600.00 0 0.00 0 0.00 7
0 tab
195 tab 133.00 25935.00 195 tab
4 tab 133.00 532.00 191 tab
191 tab
195 25935.00 0 0.00 4 532.00 191
200 tab 115.00 23000.00 200 tab
200 tab
220 tab 159.00 34980.00 220 tab
220 tab 159.00 34980.00 0 tab
0 tab
0 tab 176.00 0.00 0 tab
0 tab
220 34980.00 200 23000.00 220 34980.00 200
20 btl 4700.00 94000.00 46 btl
19 btl 4700.00 89300.00 27 btl
27 btl
0 btl 4900.00 0.00 0 btl
0 btl
26 122200.00 20 94000.00 19 89300.00 27
0 tab
156 tab 104.00 16224.00 156 tab
156 tab
156 16224.00 0 0.00 0 0.00 156
0 ovula
70 ovula 523.00 36610.00 70 ovula
70 ovula
70 36610.00 0 0.00 0 0.00 70
10 kaps 385.00 3850.00 190 kaps
190 kaps
200 77000.00 0 0.00 10 3850.00 190
0 btl
0 btl 6050.00 0.00 0 btl
35 btl 6050.00 211750.00 35 btl
13 btl 6050.00 78650.00 22 btl
22 btl
0 0.00 35 211750.00 13 78650.00 22
94 Obat Batuk Hitam (OBH) cairan (Herbacof) 12 btl 13200.00 158400.00 12 btl
15 btl 13200.00 198000.00 27 btl
27 btl 13200.00 356400.00 0 btl
0 btl
12 158400.00 15 198000.00 27 356400.00 0
95 Oksitetrasiklin HCl salep mata 1% 1 tube 3187.80 3187.80 1 tube
1 tube 3187.80 3187.80 0 tube
0 tube
0 tube 3630.00 0.00 0 tube
0 tube
1 3187.80 0 0.00 1 3187.80 0
2 amp
0 amp 2200.00 0.00 0 amp
0 amp
2 3800.00 0 0.00 0 0.00 2
97 Ondansentron injeksi 4 mg/2 ml 90 amp 1650.00 148500.00 90 amp
81 amp 1650.00 133650.00 9 amp
9 amp
0 amp 2400.00 0.00 0 amp
0 amp
90 148500.00 0 0.00 81 133650.00 9
6 tab 472.00 2832.00 62 tab
18 tab 472.00 8496.00 44 tab
44 tab
56 26432.00 6 2832.00 18 8496.00 44
99 Parasetamol sirup 120 mg/5 ml 0 btl 1010.00 0.00 0 btl
0 btl
0 btl 1074.00 0.00 0 btl
0 btl
14 btl 1107.00 15498.00 14 btl
30 btl 1107.00 33210.00 44 btl
25 btl 1107.00 27675.00 19 btl
19 btl
0 btl 1438.00 0.00 0 btl
0 btl
14 15498.00 30 33210.00 25 27675.00 19
0 tab
0 tab 83.93 0.00 0 tab
0 tab
523 tab 49.00 25627.00 523 tab
1000 tab 49.00 49000.00 1523 tab
1059 tab 49.00 51891.00 464 tab
464 tab
0 tab 56.00 0.00 0 tab
0 tab
523 25627.00 1000 49000.00 1059 51891.00 464
0 tab
301 tab 118.00 35518.00 301 tab
30 tab 118.00 3540.00 271 tab
271 tab
301 35518.00 0 0.00 30 3540.00 271
0 kaps
218 kaps 220.00 47960.00 218 kaps
200 kaps 220.00 44000.00 418 kaps
50 kaps 220.00 11000.00 368 kaps
368 kaps
218 47960.00 200 44000.00 50 11000.00 368
0 tab
547 tab 96.00 52512.00 547 tab
800 tab 96.00 76800.00 1347 tab
619 tab 96.00 59424.00 728 tab
728 tab
0 tab 114.00 0.00 0 tab
0 tab
547 52512.00 800 76800.00 619 59424.00 728
104 Ranitidin injeksi 25 mg/ml 0 amp 1390.00 0.00 0 amp
0 amp
50 amp 1155.00 57750.00 50 amp
49 amp 1155.00 56595.00 99 amp
75 amp 1155.00 86625.00 24 amp
24 amp
50 57750.00 49 56595.00 75 86625.00 24
99 tab
300 tab 261.80 78540.00 300 tab
600 tab 261.80 157080.00 900 tab
630 tab 261.80 164934.00 270 tab
270 tab
399 88935.00 600 157080.00 630 164934.00 369
106 Ringer Laktat (RL) larutan infus 0 btl 5200.00 0.00 0 btl
0 btl
65 btl 7150.00 464750.00 65 btl
31 btl 7150.00 221650.00 34 btl
34 btl
0 btl 17500.00 0.00 0 btl
0 btl
65 464750.00 0 0.00 31 221650.00 34
107 Risperidon tablet 2 mg 0 tab 347.00 0.00 0 tab
200 tab 347.00 69400.00 200 tab
30 tab 347.00 10410.00 170 tab
170 tab
0 tab 1008.00 0.00 0 tab
0 tab
0 0.00 200 69400.00 30 10410.00 170
200 tab 66.00 13200.00 480 tab
195 tab 66.00 12870.00 285 tab
285 tab
280 18480.00 200 13200.00 195 12870.00 285
109 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Bele 0 pot 2000.00 0.00 0 pot
0 pot
28 pot 2429.00 68012.00 28 pot
4 pot 2429.00 9716.00 24 pot
24 pot
28 68012.00 0 0.00 4 9716.00 24
0 ktk
8 ktk 1025.00 8200.00 8 ktk
10 ktk 1025.00 10250.00 18 ktk
1 ktk 1025.00 1025.00 17 ktk
17 ktk
8 8200.00 10 10250.00 1 1025.00 17
26 kaps 478.00 12428.00 224 kaps
224 kaps
44 kaps 509.00 22396.00 44 kaps
44 kaps 509.00 22396.00 0 kaps
0 kaps
0 kaps 913.00 0.00 0 kaps
0 kaps
294 141896.00 0 0.00 70 34824.00 224
0 kaps
300 kaps 803.00 240900.00 300 kaps
100 kaps 803.00 80300.00 200 kaps
200 kaps
300 240900.00 0 0.00 100 80300.00 200
113 Sefiksim kapsul/kaplet 100 mg (Helixim) 140 kaps 3144.00 440160.00 140 kaps
60 kaps 3144.00 188640.00 80 kaps
80 kaps
140 440160.00 0 0.00 60 188640.00 80
114 Sefotaksim injeksi 1 g 0 vial 4898.00 0.00 0 vial
0 vial
0 vial 6800.00 0.00 0 vial
0 vial
23 vial 8230.00 189290.00 23 vial
30 vial 8230.00 246900.00 53 vial
40 vial 8230.00 329200.00 13 vial
13 vial
23 189290.00 30 246900.00 40 329200.00 13
115 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) (Biosat) 0 amp 126500.00 0.00 0 amp
0 amp
0 amp 130999.00 0.00 0 amp
2 amp 130999.00 261998.00 2 amp
2 amp
0 amp 145200.00 0.00 0 amp
0 amp
0 0.00 2 261998.00 0 0.00 2
116 Sianokobalamin (vitamin B12) injeksi 500 mcg 80 amp 1098.00 87840.00 80 amp
100 amp 1098.00 109800.00 180 amp
8 amp 1098.00 8784.00 172 amp
172 amp
0 amp 1078.00 0.00 0 amp
0 amp
80 87840.00 100 109800.00 8 8784.00 172
117 Sianokobalamin (vitamin B12) tablet 50 mcg 197 tab 51.00 10047.00 197 tab
200 tab 51.00 10200.00 397 tab
80 tab 51.00 4080.00 317 tab
317 tab
0 tab 57.00 0.00 0 tab
0 tab
197 10047.00 200 10200.00 80 4080.00 317
70 tab
70 7770.00 0 0.00 0 0.00 70
200 tab 205.00 41000.00 200 tab
50 tab 205.00 10250.00 150 tab
150 tab
0 tab 391.00 0.00 0 tab
0 tab
0 0.00 200 41000.00 50 10250.00 150
0 tab
300 tab 265.00 79500.00 300 tab
200 tab 265.00 53000.00 500 tab
180 tab 265.00 47700.00 320 tab
320 tab
0 tab 281.00 0.00 0 tab
0 tab
300 79500.00 200 53000.00 180 47700.00 320
121 Tiamfenikol kapsul/kaplet 500 mg (Dionicol) 0 kaps 1472.00 0.00 0 kaps
0 kaps
0 kaps 1459.00 0.00 0 kaps
0 kaps
120 kaps 1471.00 176520.00 120 kaps
30 kaps 1471.00 44130.00 90 kaps
90 kaps
120 176520.00 0 0.00 30 44130.00 90
122 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) 0 tab 82.00 0.00 0 tab
0 tab
266 tab 88.00 23408.00 266 tab
1000 tab 88.00 88000.00 1266 tab
306 tab 88.00 26928.00 960 tab
960 tab
266 23408.00 1000 88000.00 306 26928.00 960
30 tab 80.00 2400.00 170 tab
170 tab
200 16000.00 0 0.00 30 2400.00 170
600 tab 83.00 49800.00 600 tab
280 tab 83.00 23240.00 320 tab
320 tab
287 tab 115.00 33005.00 287 tab
100 tab 115.00 11500.00 187 tab
187 tab
287 33005.00 600 49800.00 380 34740.00 507
125 Zinc sirup 10 mg/5 ml 0 btl 14980.00 0.00 0 btl
4 btl 14980.00 59920.00 4 btl
1 btl 14980.00 14980.00 3 btl
3 btl
0 0.00 4 59920.00 1 14980.00 3
1 btl 6290.00 6290.00 1 btl
1 btl
2 12580.00 0 0.00 1 6290.00 1
0 tab
125 tab 514.00 64250.00 125 tab
200 tab 514.00 102800.00 325 tab
325 tab
125 64250.00 200 102800.00 0 0.00 325
125 64250.00 200 102800.00 0 0.00 325
40 set 2650.00 106000.00 5 set
5 set
45 119250.00 0 0.00 40 106000.00 5
300 set 1500.00 450000.00 550 set
356 set 1500.00 534000.00 194 set
194 set
250 375000.00 300 450000.00 356 534000.00 194
200 set 968.00 193600.00 294 set
98 set 968.00 94864.00 196 set
196 set
94 90992.00 200 193600.00 98 94864.00 196
5 set 3600.00 18000.00 7 set
2 set 3600.00 7200.00 5 set
5 set
2 7200.00 5 18000.00 2 7200.00 5
132 Catgut chromic 3/0 hr 30 mm 12 set 34895.00 418740.00 12 set
1 set 34895.00 34895.00 11 set
11 set
12 418740.00 0 0.00 1 34895.00 11
133 Catgut plain no 2/0 70C + jarum 1/2 25M R (De 3 set 27466.66 82399.98 3 set
1 set 27466.66 27466.66 2 set
2 set
3 82399.98 0 0.00 1 27466.66 2
0 btl
20 btl 3000.00 60000.00 20 btl
3 btl 3000.00 9000.00 17 btl
17 btl
20 60000.00 0 0.00 3 9000.00 17
6 set 7999.20 47995.20 9 set
4 set 7999.20 31996.80 5 set
5 set
3 23997.60 6 47995.20 4 31996.80 5
6 set 7999.20 47995.20 9 set
7 set 7999.20 55994.40 2 set
2 set
3 23997.60 6 47995.20 7 55994.40 2
3 btl 62650.00 187950.00 0 btl
0 btl
3 187950.00 0 0.00 3 187950.00 0
0 pcs
300 pcs 737.53 221259.00 300 pcs
700 pcs 737.53 516271.00 1000 pcs
1000 pcs 737.53 737530.00 0 pcs
0 pcs
300 221259.00 700 516271.00 1000 737530.00 0
100 pcs
100 pcs 737.50 73750.00 100 pcs
100 pcs
200 132050.00 0 0.00 0 0.00 200
100 pcs 583.00 58300.00 100 pcs
100 pcs
200 116600.00 0 0.00 100 58300.00 100
3 set 3499.10 10497.30 31 set
31 set
0 set 3500.00 0.00 0 set
0 set
34 118969.40 0 0.00 3 10497.30 31
50 set 6286.50 314325.00 59 set
35 set 6286.50 220027.50 24 set
24 set
9 56578.50 50 314325.00 35 220027.50 24
143 IV Catheter No. 18 G (Jelco) 0 set 9060.00 0.00 0 set
21 set 9060.00 190260.00 21 set
2 set 9060.00 18120.00 19 set
19 set
0 0.00 21 190260.00 2 18120.00 19
50 set 3799.40 189970.00 64 set
25 set 3799.40 94985.00 39 set
39 set
14 53191.60 50 189970.00 25 94985.00 39
0 set
11 set 7787.50 85662.50 11 set
11 set 7787.50 85662.50 0 set
0 set
0 set 9185.00 0.00 0 set
0 set
18 set 6300.00 113400.00 18 set
32 set 6300.00 201600.00 50 set
11 set 6300.00 69300.00 39 set
39 set
29 199062.50 32 201600.00 22 154962.50 39
146 IV Catheter No. 22 G (Jelco) 0 set 9060.00 0.00 0 set
50 set 9060.00 453000.00 50 set
50 set
0 0.00 50 453000.00 0 0.00 50
0 set
16 set 9185.00 146960.00 16 set
3 set 9185.00 27555.00 13 set
13 set
16 146960.00 0 0.00 3 27555.00 13
100 lbr 935.00 93500.00 260 lbr
110 lbr 935.00 102850.00 150 lbr
150 lbr
160 149600.00 100 93500.00 110 102850.00 150
10 rol 2640.00 26400.00 20 rol
20 rol
30 79200.00 0 0.00 10 26400.00 20
80 rol
80 105600.00 0 0.00 0 0.00 80
850 set 440.00 374000.00 1050 set
900 set 440.00 396000.00 150 set
150 set
200 88000.00 850 374000.00 900 396000.00 150
152 Masker oksigen anak (Maxiflow) 0 set 16280.00 0.00 0 set
2 set 16280.00 32560.00 2 set
2 set
0 0.00 2 32560.00 0 0.00 2
2 set 16280.00 32560.00 3 set
2 set 16280.00 32560.00 1 set
1 set
1 16280.00 2 32560.00 2 32560.00 1
5 rol 7446.92 37234.60 0 rol
0 rol
5 37234.60 0 0.00 5 37234.60 0
3 rol 39431.29 118293.87 8 rol
4 rol 39431.29 157725.16 4 rol
4 rol
5 197156.45 3 118293.87 4 157725.16 4
156 Selang oksigen anak 2 set 12500.00 25000.00 2 set
1 set 12500.00 12500.00 1 set
1 set
2 25000.00 0 0.00 1 12500.00 1
157 Selang oksigen dewasa (Oxyflow) 3 set 5500.00 16500.00 3 set
3 set 5500.00 16500.00 6 set
1 set 5500.00 5500.00 5 set
5 set
3 16500.00 3 16500.00 1 5500.00 5
24 set 15449.72 370793.28 36 set
12 set 15449.72 185396.64 24 set
24 set
0 set 15449.96 0.00 0 set
0 set
12 185396.64 24 370793.28 12 185396.64 24
6 pcs 1100.00 6600.00 25 pcs
25 pcs
0 pcs 1000.00 0.00 0 pcs
0 pcs
31 34100.00 0 0.00 6 6600.00 25
10 pcs 3500.00 35000.00 13 pcs
5 pcs 3500.00 17500.00 8 pcs
8 pcs
3 10500.00 10 35000.00 5 17500.00 8
5 set 2999.70 14998.50 19 set
9 set 2999.70 26997.30 10 set
10 set
14 41995.80 5 14998.50 9 26997.30 10
GRAND TOTAL 12033391.87 8681909.05 8481581.96 1
Mengetahui, Asembagus, 31 Mei 2019


NIP : 19760710 201001 2 013 NIP. 19850507 200501 2 004
Saldo Akhir
Harga Jumlah(Rp)
Satuan(Rp)
1100.00 110000.00
1100.00 110000.00
110000.00
90.00 22500.00
90.00 18000.00
90.00 18000.00
86.00 0.00
86.00 0.00
18000.00
4070.00 12210.00
4070.00 12210.00
5611.10 22444.40
5611.10 78555.40
5611.10 50499.90
5611.10 50499.90
62709.90
165.00 63690.00
165.00 113190.00
165.00 42900.00
165.00 42900.00
42900.00
3345.00 56865.00
3345.00 56865.00
3822.00 0.00
3822.00 0.00
2998.00 38974.00
2998.00 38974.00
95839.00
80.00 0.00
80.00 0.00
91.00 16380.00
91.00 14560.00
91.00 14560.00
14560.00
93.00 27900.00
93.00 12090.00
93.00 12090.00
145.00 50750.00
145.00 50750.00
62840.00
261.00 0.00
261.00 0.00
190.00 43510.00
190.00 43510.00
232.00 0.00
232.00 0.00
233.00 97860.00
233.00 284493.00
233.00 27494.00
233.00 27494.00
71004.00
1881.00 24453.00
1881.00 80883.00
1881.00 48906.00
1881.00 48906.00
2090.00 0.00
2090.00 0.00
2445.00 0.00
2445.00 0.00
48906.00
8790.00 35160.00
8790.00 0.00
8790.00 0.00
0.00
15070.00 421960.00
15070.00 421960.00
421960.00
72.00 0.00
72.00 0.00
62.00 21700.00
62.00 65100.00
62.00 15500.00
62.00 15500.00
15500.00
2491.00 0.00
2491.00 0.00
2924.00 73100.00
2924.00 73100.00
73100.00
3045.00 15225.00
3045.00 15225.00
15225.00
95.00 0.00
95.00 0.00
104.00 66040.00
104.00 19968.00
104.00 19968.00
19968.00
100.00 62700.00
100.00 112700.00
100.00 32700.00
100.00 32700.00
106.00 0.00
106.00 0.00
32700.00
2445.00 17115.00
2445.00 17115.00
17115.00
3520.00 563200.00
3520.00 563200.00
563200.00
3080.00 0.00
3080.00 0.00
3850.00 26950.00
3850.00 26950.00
26950.00
349.00 32108.00
349.00 32108.00
350.00 0.00
350.00 0.00
336.00 0.00
336.00 0.00
32108.00
145.00 37700.00
145.00 28130.00
145.00 28130.00
28130.00
1380.00 20700.00
1380.00 15180.00
1380.00 15180.00
1520.00 0.00
1520.00 0.00
15180.00
6000.00 18000.00
6000.00 0.00
6000.00 0.00
0.00
165.00 31350.00
165.00 31350.00
31350.00
2850.00 19950.00
2850.00 34200.00
2850.00 25650.00
2850.00 25650.00
6745.00 0.00
6745.00 0.00
25650.00
90.00 0.00
90.00 18000.00
90.00 6300.00
90.00 6300.00
143.00 36894.00
143.00 13728.00
143.00 13728.00
1144.00 45760.00
1144.00 45760.00
65788.00
1580.00 0.00
1580.00 0.00
1097.00 5485.00
1097.00 16455.00
1097.00 16455.00
16455.00
32.00 6432.00
32.00 22432.00
32.00 10976.00
32.00 10976.00
41.00 4715.00
41.00 4715.00
62.00 0.00
62.00 0.00
150.00 0.00
150.00 0.00
15691.00
1735.00 0.00
1735.00 3470.00
1735.00 1735.00
1735.00 1735.00
2344.00 0.00
2344.00 0.00
1735.00
11517.00 0.00
11517.00 0.00
12573.00 62865.00
12573.00 50292.00
12573.00 50292.00
50292.00
35.00 0.00
35.00 0.00
121.00 0.00
121.00 12100.00
121.00 10890.00
121.00 10890.00
10890.00
1050.00 0.00
1050.00 0.00
1175.00 68150.00
1175.00 61100.00
1175.00 61100.00
61100.00
99.00 19800.00
99.00 11880.00
99.00 11880.00
104.00 0.00
104.00 0.00
11880.00
3000.00 18000.00
3000.00 18000.00
18000.00
118.00 28556.00
118.00 22656.00
118.00 22656.00
167.00 0.00
167.00 0.00
22656.00
2204.00 19836.00
2204.00 19836.00
8100.00 0.00
8100.00 0.00
1408.00 0.00
1408.00 42240.00
1408.00 39424.00
1408.00 39424.00
59260.00
6050.00 0.00
6050.00 12100.00
6050.00 0.00
6050.00 0.00
0.00
3417.00 0.00
3417.00 0.00
3550.00 102950.00
3550.00 102950.00
102950.00
630.00 0.00
630.00 0.00
691.00 73246.00
691.00 59426.00
691.00 59426.00
59426.00
77.00 0.00
77.00 37884.00
77.00 36344.00
77.00 36344.00
85.00 0.00
85.00 0.00
36344.00
10450.00 177650.00
10450.00 564300.00
10450.00 104500.00
10450.00 104500.00
104500.00
3520.00 31680.00
3520.00 102080.00
3520.00 63360.00
3520.00 63360.00
63360.00
2750.00 24750.00
2750.00 19250.00
2750.00 19250.00
19250.00
55.00 0.00
55.00 0.00
56.00 0.00
56.00 0.00
99.00 19107.00
99.00 38907.00
99.00 30987.00
99.00 30987.00
30987.00
9350.00 84150.00
9350.00 74800.00
9350.00 74800.00
74800.00
6900.00 75900.00
6900.00 75900.00
5200.00 0.00
5200.00 0.00
5313.00 0.00
5313.00 0.00
75900.00
245.00 20090.00
245.00 20090.00
20090.00
180.00 109260.00
180.00 74880.00
180.00 74880.00
74880.00
55.00 11550.00
55.00 12100.00
55.00 10450.00
55.00 10450.00
10450.00
2650.00 60950.00
2650.00 39750.00
2650.00 39750.00
6765.00 0.00
6765.00 0.00
39750.00
2475.00 17325.00
2475.00 12375.00
2475.00 12375.00
12375.00
127.00 34290.00
127.00 21590.00
127.00 21590.00
150.00 0.00
150.00 0.00
279.04 0.00
279.04 55808.00
279.04 36275.20
279.04 36275.20
319.00 0.00
319.00 0.00
57865.20
70.00 0.00
70.00 0.00
81.40 0.00
81.40 0.00
56.00 0.00
56.00 0.00
59.00 31860.00
59.00 61360.00
59.00 29500.00
59.00 29500.00
29500.00
68.00 16048.00
68.00 16048.00
75.00 18750.00
75.00 6750.00
75.00 6750.00
80.00 0.00
80.00 0.00
84.00 0.00
84.00 0.00
22798.00
2545.00 63625.00
2545.00 61080.00
2545.00 61080.00
61080.00
280.00 25200.00
280.00 25200.00
300.00 0.00
300.00 0.00
25200.00
2789.00 0.00
2789.00 2789.00
2789.00 0.00
2789.00 0.00
0.00
715.00 0.00
715.00 35750.00
715.00 35750.00
35750.00
227.00 0.00
227.00 0.00
1100.00 111100.00
1100.00 111100.00
111100.00
1600.00 0.00
1600.00 0.00
1798.00 41354.00
1798.00 34162.00
1798.00 34162.00
34162.00
3955.00 19775.00
3955.00 15820.00
3955.00 15820.00
15820.00
7700.00 61600.00
7700.00 138600.00
7700.00 77000.00
7700.00 77000.00
6600.00 0.00
6600.00 0.00
77000.00
42.00 26670.00
42.00 26796.00
42.00 10668.00
42.00 10668.00
10668.00
144.00 27360.00
144.00 14256.00
144.00 14256.00
147.00 0.00
147.00 29400.00
147.00 17199.00
147.00 17199.00
31455.00
550.00 38500.00
550.00 38500.00
38500.00
125.00 30750.00
125.00 20750.00
125.00 20750.00
138.00 0.00
138.00 0.00
20750.00
2140.00 0.00
2140.00 0.00
2167.00 39006.00
2167.00 36839.00
2167.00 36839.00
36839.00
319.00 38280.00
319.00 25520.00
319.00 25520.00
25520.00
9000.00 0.00
9000.00 0.00
9275.00 352450.00
9275.00 1650950.00
9275.00 686350.00
9275.00 686350.00
686350.00
1113.00 0.00
1113.00 66780.00
1113.00 66780.00
66780.00
1845.00 112545.00
1845.00 22140.00
1845.00 22140.00
22140.00
85.00 19805.00
85.00 28305.00
85.00 7650.00
85.00 7650.00
89.00 0.00
89.00 0.00
7650.00
13145.00 0.00
13145.00 131450.00
13145.00 131450.00
13200.00 105600.00
13200.00 52800.00
13200.00 52800.00
12100.00 0.00
12100.00 0.00
184250.00
3796.00 0.00
3796.00 22776.00
3796.00 18980.00
3796.00 18980.00
18980.00
880.00 211200.00
880.00 211200.00
211200.00
5566.00 194810.00
5566.00 122452.00
5566.00 122452.00
122452.00
9130.00 337810.00
9130.00 337810.00
337810.00
148.50 62370.00
148.50 93555.00
148.50 29700.00
148.50 29700.00
232.00 0.00
232.00 0.00
246.40 0.00
246.40 0.00
29700.00
96.00 3840.00
96.00 23040.00
96.00 18240.00
96.00 18240.00
100.00 13000.00
100.00 13000.00
31240.00
2684.00 2684.00
2684.00 2684.00
2684.00
121.00 0.00
121.00 0.00
154.00 12320.00
154.00 12320.00
12320.00
612.00 84456.00
612.00 84456.00
84456.00
3395.00 169750.00
3395.00 169750.00
10450.00 0.00
10450.00 0.00
169750.00
2580.00 12900.00
2580.00 25800.00
2580.00 18060.00
2580.00 18060.00
18060.00
108.00 0.00
108.00 0.00
115.00 31050.00
115.00 31050.00
31050.00
3800.00 26600.00
3800.00 26600.00
26600.00
160.00 0.00
160.00 0.00
133.00 25935.00
133.00 25403.00
133.00 25403.00
25403.00
115.00 0.00
115.00 23000.00
115.00 23000.00
159.00 34980.00
159.00 0.00
159.00 0.00
176.00 0.00
176.00 0.00
23000.00
4700.00 122200.00
4700.00 216200.00
4700.00 126900.00
4700.00 126900.00
4900.00 0.00
4900.00 0.00
126900.00
110.00 0.00
110.00 0.00
104.00 16224.00
104.00 16224.00
16224.00
480.00 0.00
480.00 0.00
523.00 36610.00
523.00 36610.00
36610.00
385.00 77000.00
385.00 73150.00
385.00 73150.00
73150.00
5940.00 0.00
5940.00 0.00
6050.00 0.00
6050.00 211750.00
6050.00 133100.00
6050.00 133100.00
133100.00
13200.00 158400.00
13200.00 356400.00
13200.00 0.00
13200.00 0.00
0.00
3187.80 3187.80
3187.80 0.00
3187.80 0.00
3630.00 0.00
3630.00 0.00
0.00
1900.00 3800.00
1900.00 3800.00
2200.00 0.00
2200.00 0.00
3800.00
1650.00 148500.00
1650.00 14850.00
1650.00 14850.00
2400.00 0.00
2400.00 0.00
14850.00
472.00 26432.00
472.00 29264.00
472.00 20768.00
472.00 20768.00
20768.00
1010.00 0.00
1010.00 0.00
1074.00 0.00
1074.00 0.00
1107.00 15498.00
1107.00 48708.00
1107.00 21033.00
1107.00 21033.00
1438.00 0.00
1438.00 0.00
21033.00
79.00 0.00
79.00 0.00
83.93 0.00
83.93 0.00
49.00 25627.00
49.00 74627.00
49.00 22736.00
49.00 22736.00
56.00 0.00
56.00 0.00
22736.00
88.00 0.00
88.00 0.00
118.00 35518.00
118.00 31978.00
118.00 31978.00
31978.00
105.00 0.00
105.00 0.00
220.00 47960.00
220.00 91960.00
220.00 80960.00
220.00 80960.00
80960.00
64.00 0.00
64.00 0.00
96.00 52512.00
96.00 129312.00
96.00 69888.00
96.00 69888.00
114.00 0.00
114.00 0.00
69888.00
1390.00 0.00
1390.00 0.00
1155.00 57750.00
1155.00 114345.00
1155.00 27720.00
1155.00 27720.00
27720.00
105.00 10395.00
105.00 10395.00
261.80 78540.00
261.80 235620.00
261.80 70686.00
261.80 70686.00
81081.00
5200.00 0.00
5200.00 0.00
7150.00 464750.00
7150.00 243100.00
7150.00 243100.00
17500.00 0.00
17500.00 0.00
243100.00
347.00 0.00
347.00 69400.00
347.00 58990.00
347.00 58990.00
1008.00 0.00
1008.00 0.00
58990.00
66.00 18480.00
66.00 31680.00
66.00 18810.00
66.00 18810.00
18810.00
2000.00 0.00
2000.00 0.00
2429.00 68012.00
2429.00 58296.00
2429.00 58296.00
58296.00
1250.00 0.00
1250.00 0.00
1025.00 8200.00
1025.00 18450.00
1025.00 17425.00
1025.00 17425.00
17425.00
478.00 119500.00
478.00 107072.00
478.00 107072.00
509.00 22396.00
509.00 0.00
509.00 0.00
913.00 0.00
913.00 0.00
107072.00
590.00 0.00
590.00 0.00
803.00 240900.00
803.00 160600.00
803.00 160600.00
160600.00
3144.00 440160.00
3144.00 251520.00
3144.00 251520.00
251520.00
4898.00 0.00
4898.00 0.00
6800.00 0.00
6800.00 0.00
8230.00 189290.00
8230.00 436190.00
8230.00 106990.00
8230.00 106990.00
106990.00
126500.00 0.00
126500.00 0.00
130999.00 0.00
130999.00 261998.00
130999.00 261998.00
145200.00 0.00
145200.00 0.00
261998.00
1098.00 87840.00
1098.00 197640.00
1098.00 188856.00
1098.00 188856.00
1078.00 0.00
1078.00 0.00
188856.00
51.00 10047.00
51.00 20247.00
51.00 16167.00
51.00 16167.00
57.00 0.00
57.00 0.00
16167.00
111.00 7770.00
111.00 7770.00
7770.00
205.00 0.00
205.00 41000.00
205.00 30750.00
205.00 30750.00
391.00 0.00
391.00 0.00
30750.00
255.00 0.00
255.00 0.00
265.00 79500.00
265.00 132500.00
265.00 84800.00
265.00 84800.00
281.00 0.00
281.00 0.00
84800.00
1472.00 0.00
1472.00 0.00
1459.00 0.00
1459.00 0.00
1471.00 176520.00
1471.00 132390.00
1471.00 132390.00
132390.00
82.00 0.00
82.00 0.00
88.00 23408.00
88.00 111408.00
88.00 84480.00
88.00 84480.00
84480.00
80.00 16000.00
80.00 13600.00
80.00 13600.00
13600.00
83.00 0.00
83.00 49800.00
83.00 26560.00
83.00 26560.00
115.00 33005.00
115.00 21505.00
115.00 21505.00
48065.00
14980.00 0.00
14980.00 59920.00
14980.00 44940.00
14980.00 44940.00
44940.00
6290.00 12580.00
6290.00 6290.00
6290.00 6290.00
6290.00
474.00 0.00
474.00 0.00
514.00 64250.00
514.00 167050.00
514.00 167050.00
167050.00
167050.00
2650.00 119250.00
2650.00 13250.00
2650.00 13250.00
13250.00
1500.00 375000.00
1500.00 825000.00
1500.00 291000.00
1500.00 291000.00
291000.00
968.00 90992.00
968.00 284592.00
968.00 189728.00
968.00 189728.00
189728.00
3600.00 7200.00
3600.00 25200.00
3600.00 18000.00
3600.00 18000.00
18000.00
34895.00 418740.00
34895.00 383845.00
34895.00 383845.00
383845.00
27466.66 82399.98
27466.66 54933.32
27466.66 54933.32
54933.32
2500.00 0.00
2500.00 0.00
3000.00 60000.00
3000.00 51000.00
3000.00 51000.00
51000.00
7999.20 23997.60
7999.20 71992.80
7999.20 39996.00
7999.20 39996.00
39996.00
7999.20 23997.60
7999.20 71992.80
7999.20 15998.40
7999.20 15998.40
15998.40
62650.00 187950.00
62650.00 0.00
62650.00 0.00
0.00
583.00 0.00
583.00 0.00
737.53 221259.00
737.53 737530.00
737.53 0.00
737.53 0.00
0.00
583.00 58300.00
583.00 58300.00
737.50 73750.00
737.50 73750.00
132050.00
583.00 116600.00
583.00 58300.00
583.00 58300.00
58300.00
3499.10 118969.40
3499.10 108472.10
3499.10 108472.10
3500.00 0.00
3500.00 0.00
108472.10
6286.50 56578.50
6286.50 370903.50
6286.50 150876.00
6286.50 150876.00
150876.00
9060.00 0.00
9060.00 190260.00
9060.00 172140.00
9060.00 172140.00
172140.00
3799.40 53191.60
3799.40 243161.60
3799.40 148176.60
3799.40 148176.60
148176.60
7500.00 0.00
7500.00 0.00
7787.50 85662.50
7787.50 0.00
7787.50 0.00
9185.00 0.00
9185.00 0.00
6300.00 113400.00
6300.00 315000.00
6300.00 245700.00
6300.00 245700.00
245700.00
9060.00 0.00
9060.00 453000.00
9060.00 453000.00
453000.00
7500.00 0.00
7500.00 0.00
9185.00 146960.00
9185.00 119405.00
9185.00 119405.00
119405.00
935.00 149600.00
935.00 243100.00
935.00 140250.00
935.00 140250.00
140250.00
2640.00 79200.00
2640.00 52800.00
2640.00 52800.00
52800.00
1320.00 105600.00
1320.00 105600.00
105600.00
440.00 88000.00
440.00 462000.00
440.00 66000.00
440.00 66000.00
66000.00
16280.00 0.00
16280.00 32560.00
16280.00 32560.00
32560.00
16280.00 16280.00
16280.00 48840.00
16280.00 16280.00
16280.00 16280.00
16280.00
7446.92 37234.60
7446.92 0.00
7446.92 0.00
0.00
39431.29 197156.45
39431.29 315450.32
39431.29 157725.16
39431.29 157725.16
157725.16
12500.00 25000.00
12500.00 12500.00
12500.00 12500.00
12500.00
5500.00 16500.00
5500.00 33000.00
5500.00 27500.00
5500.00 27500.00
27500.00
15449.72 185396.64
15449.72 556189.92
15449.72 370793.28
15449.72 370793.28
15449.96 0.00
15449.96 0.00
370793.28
1100.00 34100.00
1100.00 27500.00
1100.00 27500.00
1000.00 0.00
1000.00 0.00
27500.00
3500.00 10500.00
3500.00 45500.00
3500.00 28000.00
3500.00 28000.00
28000.00
2999.70 41995.80
2999.70 56994.30
2999.70 29997.00
2999.70 29997.00
29997.00
12233718.96
004
DINAS KESEHATAN

Bulan JUNI 2019


Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Satuan(Rp) Jumlah(Rp) Unit Set Jumlah(Rp) Unit Set
Satuan(Rp) Satuan(Rp)
1 Air untuk injeksi ampul 25 ml (Otsu) 0 amp 2200.00 0.00 0 amp 2200.00
0 amp 2200.00
0 0.00 0 0.00 0 0.00 0
0 tab 1100.00
100 110000.00 0 0.00 0 0.00 100
0 tab 86.00
200 tab 90.00 18000.00 200 tab 90.00
70 tab 90.00 6300.00 130 tab 90.00
0 tab 90.00
200 18000.00 0 0.00 70 6300.00 130
5 btl 5611.10 28055.50 14 btl 5611.10
3 btl 5611.10 16833.30 11 btl 5611.10
0 btl 5611.10
3 btl 4070.00 12210.00 3 btl 4070.00
0 btl 4070.00
12 62709.90 5 28055.50 3 16833.30 14
300 tab 165.00 49500.00 560 tab 165.00
272 tab 165.00 44880.00 288 tab 165.00
0 tab 165.00
260 42900.00 300 49500.00 272 44880.00 288
6 Ambroxol tablet 30 mg (Resproxol) 0 tab 196.00 0.00 0 tab 196.00
0 tab 196.00
0 0.00 0 0.00 0 0.00 0
0 amp 2998.00
17 amp 3345.00 56865.00 17 amp 3345.00
0 amp 3345.00
0 amp 3822.00 0.00 0 amp 3822.00
0 amp 3822.00
30 95839.00 0 0.00 0 0.00 30
40 tab 91.00 3640.00 120 tab 91.00
0 tab 91.00
0 tab 80.00 0.00 0 tab 80.00
0 tab 80.00
160 14560.00 0 0.00 40 3640.00 120
9 Aminofilin tablet 200 mg (Erphafillin) 0 tab 114.00 0.00 0 tab 114.00
0 tab 114.00
0 0.00 0 0.00 0 0.00 0
10 Amitriptilin tablet salut 25 mg (HCl) 0 tab 112.00 0.00 0 tab 112.00
0 tab 112.00
0 0.00 0 0.00 0 0.00 0
300 tab 93.00 27900.00 430 tab 93.00
220 tab 93.00 20460.00 210 tab 93.00
0 tab 93.00
350 tab 145.00 50750.00 350 tab 145.00
0 tab 145.00
480 62840.00 300 27900.00 220 20460.00 560
12 Amlodipin tablet 10 mg (Zevask) 0 tab 1969.00 0.00 0 tab 1969.00
0 tab 1969.00
0 0.00 0 0.00 0 0.00 0
1000 kapl 233.00 233000.00 1118 kapl 233.00
660 kapl 233.00 153780.00 458 kapl 233.00
0 kapl 233.00
0 kapl 261.00 0.00 0 kapl 261.00
0 kapl 261.00
229 kapl 190.00 43510.00 229 kapl 190.00
0 kapl 190.00
0 kapl 232.00 0.00 0 kapl 232.00
0 kapl 232.00
347 71004.00 1000 233000.00 660 153780.00 687
14 Amoksisilin sirup kering 125 mg/5 ml 26 btl 1881.00 48906.00 26 btl 1881.00
10 btl 1881.00 18810.00 36 btl 1881.00
10 btl 1881.00 18810.00 26 btl 1881.00
0 btl 1881.00
0 btl 2090.00 0.00 0 btl 2090.00
0 btl 2090.00
0 btl 2445.00 0.00 0 btl 2445.00
0 btl 2445.00
26 48906.00 10 18810.00 10 18810.00 26
15 Amoksisilin sirup kering 125 mg/5 ml (Novamox) 0 btl 9000.00 0.00 0 btl 9000.00
0 btl 9000.00
0 0.00 0 0.00 0 0.00 0
16 Amoksisilin sirup kering 125 mg/5 ml (Yusimox) 0 btl 8790.00 0.00 0 btl 8790.00
0 btl 8790.00
0 0.00 0 0.00 0 0.00 0
17 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial (Penbi 0 vial 16500.00 0.00 0 vial 16500.00
0 vial 16500.00
0 0.00 0 0.00 0 0.00 0
18 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial (Viccil 28 vial 15070.00 421960.00 28 vial 15070.00
0 vial 15070.00
28 421960.00 0 0.00 0 0.00 28
19 Antasida DOEN I tablet kunyah, kombinasi: Alumin 250 tab 62.00 15500.00 250 tab 62.00
500 tab 62.00 31000.00 750 tab 62.00
450 tab 62.00 27900.00 300 tab 62.00
0 tab 62.00
0 tab 72.00 0.00 0 tab 72.00
0 tab 72.00
250 15500.00 500 31000.00 450 27900.00 300
20 Antasida DOEN II suspensi, kombi: Aluminium Hidr 0 btl 2025.00 0.00 0 btl 2025.00
17 btl 2025.00 34425.00 17 btl 2025.00
13 btl 2025.00 26325.00 4 btl 2025.00
0 btl 2025.00
0 0.00 17 34425.00 13 26325.00 4
21 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU 0 tube 2491.00 0.00 0 tube 2491.00
0 tube 2491.00
25 tube 2924.00 73100.00 25 tube 2924.00
0 tube 2924.00
25 73100.00 0 0.00 0 0.00 25
22 Antihemoroid DOEN kombinasi: Bismut subgalat 15 5 supp 3045.00 15225.00 5 supp 3045.00
5 supp 3045.00 15225.00 0 supp 3045.00
0 supp 3045.00
5 15225.00 0 0.00 5 15225.00 0
23 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 0 tab 135.00 0.00 0 tab 135.00
0 tab 135.00
0 0.00 0 0.00 0 0.00 0
0 tab 159.00
0 tab 125.00 0.00 0 tab 125.00
0 tab 125.00
0 0.00 0 0.00 0 0.00 0
0 tab 95.00
192 tab 104.00 19968.00 192 tab 104.00
500 tab 104.00 52000.00 692 tab 104.00
343 tab 104.00 35672.00 349 tab 104.00
0 tab 104.00
192 19968.00 500 52000.00 343 35672.00 349
26 Asam Folat tablet 1 mg 0 tab 48.00 0.00 0 tab 48.00
0 tab 48.00
0 0.00 0 0.00 0 0.00 0
27 Asam Mefenamat kapsul/kaplet 500 mg 327 kapl 100.00 32700.00 327 kapl 100.00
500 kapl 100.00 50000.00 827 kapl 100.00
600 kapl 100.00 60000.00 227 kapl 100.00
0 kapl 100.00
0 kapl 106.00 0.00 0 kapl 106.00
0 kapl 106.00
327 32700.00 500 50000.00 600 60000.00 227
28 Asam Mefenamat kapsul/kaplet 500 mg (Fargetix) 0 kapl 359.00 0.00 0 kapl 359.00
0 kapl 359.00
0 0.00 0 0.00 0 0.00 0
0 amp 2445.00
7 17115.00 0 0.00 0 0.00 7
0 tab 3520.00
160 563200.00 0 0.00 0 0.00 160
0 tube 3080.00
7 tube 3850.00 26950.00 7 tube 3850.00
1 tube 3850.00 3850.00 6 tube 3850.00
0 tube 3850.00
7 26950.00 0 0.00 1 3850.00 6
0 tab 237.00
0 0.00 0 0.00 0 0.00 0
0 tab 336.00
92 tab 349.00 32108.00 92 tab 349.00
12 tab 349.00 4188.00 80 tab 349.00
0 tab 349.00
0 tab 350.00 0.00 0 tab 350.00
0 tab 350.00
92 32108.00 0 0.00 12 4188.00 80
34 Attapulgit tablet 600 mg (New Antides) 194 tab 145.00 28130.00 194 tab 145.00
70 tab 145.00 10150.00 124 tab 145.00
0 tab 145.00
194 28130.00 0 0.00 70 10150.00 124
35 Attapulgit tablet 600 mg (Pularex) 0 tab 190.00 0.00 0 tab 190.00
0 tab 190.00
0 0.00 0 0.00 0 0.00 0
36 Besi (II) Sulfat 60 mg + Asam Folat 0,4 mg tablet (t 0 tab 355.00 0.00 0 tab 355.00
0 tab 355.00
0 0.00 0 0.00 0 0.00 0
37 Betametason krim 0,1% (sebagai valerat) 11 tube 1380.00 15180.00 11 tube 1380.00
0 tube 1380.00
0 tube 1520.00 0.00 0 tube 1520.00
0 tube 1520.00
11 15180.00 0 0.00 0 0.00 11
38 Bioplacenton salep 0 tube 15510.00 0.00 0 tube 15510.00
0 tube 15510.00
0 0.00 0 0.00 0 0.00 0
39 Bisakodil suppositoria 10 mg (Stolax) 0 supp 6045.00 0.00 0 supp 6045.00
0 supp 6045.00
0 0.00 0 0.00 0 0.00 0
40 Bisakodil suppositoria 5 mg (Dulcolax) 0 supp 6000.00 0.00 0 supp 6000.00
0 supp 6000.00
0 0.00 0 0.00 0 0.00 0
41 Bromheksin tablet 8 mg (Novaheksim) 190 tab 165.00 31350.00 190 tab 165.00
0 tab 165.00
190 31350.00 0 0.00 0 0.00 190
2 btl 2850.00 5700.00 7 btl 2850.00
0 btl 2850.00
0 btl 6745.00 0.00 0 btl 6745.00
0 btl 6745.00
9 25650.00 0 0.00 2 5700.00 7
70 tab 90.00 6300.00 0 tab 90.00
0 tab 90.00
96 tab 143.00 13728.00 96 tab 143.00
77 tab 143.00 11011.00 19 tab 143.00
0 tab 143.00
40 tab 1144.00 45760.00 40 tab 1144.00
0 tab 1144.00
206 65788.00 0 0.00 147 17311.00 59
44 Deksametason injeksi i.v. 5 mg/ml~1ml 15 amp 1097.00 16455.00 15 amp 1097.00
0 amp 1097.00
0 amp 1580.00 0.00 0 amp 1580.00
0 amp 1580.00
15 16455.00 0 0.00 0 0.00 15
190 tab 32.00 6080.00 153 tab 32.00
0 tab 32.00
115 tab 41.00 4715.00 115 tab 41.00
0 tab 41.00
0 tab 62.00 0.00 0 tab 62.00
0 tab 62.00
0 tab 150.00 0.00 0 tab 150.00
0 tab 150.00
458 15691.00 0 0.00 190 6080.00 268
46 Diazepam injeksi 5 mg/ml 1 amp 1735.00 1735.00 1 amp 1735.00
1 amp 1735.00 1735.00 0 amp 1735.00
0 amp 1735.00
0 amp 2344.00 0.00 0 amp 2344.00
0 amp 2344.00
1 1735.00 0 0.00 1 1735.00 0
47 Diazepam injeksi 5 mg/ml (Valdimex) 0 amp 12100.00 0.00 0 amp 12100.00
0 amp 12100.00
0 0.00 0 0.00 0 0.00 0
48 Diazepam larutan rectal 5 mg/2,5 ml (Stesolid) 0 tube 11517.00 0.00 0 tube 11517.00
0 tube 11517.00
4 tube 12573.00 50292.00 4 tube 12573.00
0 tube 12573.00
4 50292.00 0 0.00 0 0.00 4
49 Diazepam tablet 2 mg 0 tab 35.00 0.00 0 tab 35.00
0 tab 35.00
90 tab 121.00 10890.00 90 tab 121.00
8 tab 121.00 968.00 82 tab 121.00
0 tab 121.00
90 10890.00 0 0.00 8 968.00 82
50 Diazepam tablet 5 mg 0 tab 56.00 0.00 0 tab 56.00
0 tab 56.00
0 0.00 0 0.00 0 0.00 0
51 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 0 amp 1050.00 0.00 0 amp 1050.00
0 amp 1050.00
52 amp 1175.00 61100.00 52 amp 1175.00
5 amp 1175.00 5875.00 47 amp 1175.00
0 amp 1175.00
52 61100.00 0 0.00 5 5875.00 47
52 Digoksin tablet 0,25 mg 0 tab 105.00 0.00 0 tab 105.00
0 tab 105.00
0 0.00 0 0.00 0 0.00 0
53 Dimenhidrinat tablet 50 mg 120 tab 99.00 11880.00 120 tab 99.00
80 tab 99.00 7920.00 40 tab 99.00
0 tab 99.00
0 tab 104.00 0.00 0 tab 104.00
0 tab 104.00
120 11880.00 0 0.00 80 7920.00 40
1 btl 3000.00 3000.00 5 btl 3000.00
0 btl 3000.00
6 18000.00 0 0.00 1 3000.00 5
18 tab 118.00 2124.00 174 tab 118.00
0 tab 118.00
0 tab 167.00 0.00 0 tab 167.00
0 tab 167.00
192 22656.00 0 0.00 18 2124.00 174
56 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) 28 amp 1408.00 39424.00 28 amp 1408.00
0 amp 1408.00
9 amp 2204.00 19836.00 9 amp 2204.00
0 amp 2204.00
0 amp 8100.00 0.00 0 amp 8100.00
0 amp 8100.00
37 59260.00 0 0.00 0 0.00 37
57 Eritromisin kapsul/kaplet 250 mg 0 kaps 497.00 0.00 0 kaps 497.00
0 kaps 497.00
0 0.00 0 0.00 0 0.00 0
58 Eritromisin kapsul/kaplet 500 mg 0 kaps 750.00 0.00 0 kaps 750.00
100 kaps 750.00 75000.00 100 kaps 750.00
0 kaps 750.00
0 kaps 864.25 0.00 0 kaps 864.25
0 kaps 864.25
0 kaps 930.00 0.00 0 kaps 930.00
0 kaps 930.00
0 0.00 100 75000.00 0 0.00 100
59 Eritromisin sirup 200 mg/5 ml 0 btl 7220.00 0.00 0 btl 7220.00
0 btl 7220.00
0 0.00 0 0.00 0 0.00 0
60 Erla Flu sirup 60 ml 0 btl 6050.00 0.00 0 btl 6050.00
5 btl 6050.00 30250.00 5 btl 6050.00
1 btl 6050.00 6050.00 4 btl 6050.00
0 btl 6050.00
0 0.00 5 30250.00 1 6050.00 4
61 Fitomenadion (Vitamin K1) injeksi 2 mg/ml 29 amp 3550.00 102950.00 29 amp 3550.00
2 amp 3550.00 7100.00 27 amp 3550.00
0 amp 3550.00
0 amp 3417.00 0.00 0 amp 3417.00
0 amp 3417.00
29 102950.00 0 0.00 2 7100.00 27
62 Fitomenadion (Vitamin K1) injeksi 2 mg/ml (Pro K) 0 amp 9900.00 0.00 0 amp 9900.00
0 amp 9900.00
0 0.00 0 0.00 0 0.00 0
63 Fitomenadion (Vitamin K1) tablet salut gula 10 mg 0 tab 686.00 0.00 0 tab 686.00
200 tab 686.00 137200.00 200 tab 686.00
40 tab 686.00 27440.00 160 tab 686.00
0 tab 686.00
86 tab 691.00 59426.00 86 tab 691.00
0 tab 691.00
0 tab 630.00 0.00 0 tab 630.00
0 tab 630.00
86 59426.00 200 137200.00 40 27440.00 246
64 Furosemid tablet 40 mg 472 tab 77.00 36344.00 472 tab 77.00
10 tab 77.00 770.00 462 tab 77.00
0 tab 77.00
0 tab 85.00 0.00 0 tab 85.00
0 tab 85.00
472 36344.00 0 0.00 10 770.00 462
65 Garam Oralit I serbuk 0 sac 288.00 0.00 0 sac 288.00
0 sac 288.00
0 0.00 0 0.00 0 0.00 0
10 btl 10450.00 104500.00 0 btl 10450.00
0 btl 10450.00
10 104500.00 0 0.00 10 104500.00 0
67 Gentamisin salep kulit 0,1% (Gentalex) 18 tube 3520.00 63360.00 18 tube 3520.00
24 tube 3520.00 84480.00 42 tube 3520.00
8 tube 3520.00 28160.00 34 tube 3520.00
0 tube 3520.00
18 63360.00 24 84480.00 8 28160.00 34
68 Gentamisin salep mata 0,3% (Genoint) 0 tube 2830.00 0.00 0 tube 2830.00
0 tube 2830.00
0 0.00 0 0.00 0 0.00 0
0 btl 2750.00
7 19250.00 0 0.00 0 0.00 7
0 tab 55.00
0 tab 56.00 0.00 0 tab 56.00
0 tab 56.00
313 tab 99.00 30987.00 313 tab 99.00
20 tab 99.00 1980.00 293 tab 99.00
0 tab 99.00
313 30987.00 0 0.00 20 1980.00 293
71 Gliseril Gualakolat tablet 100 mg 0 tab 106.70 0.00 0 tab 106.70
0 tab 106.70
0 tab 132.00 0.00 0 tab 132.00
0 tab 132.00
0 0.00 0 0.00 0 0.00 0
72 Gliserin larutan 50% 0 btl 4158.24 0.00 0 btl 4158.24
0 btl 4158.24
0 0.00 0 0.00 0 0.00 0
10 btl 9776.00 97760.00 10 btl 9776.00
0 btl 9776.00
0 0.00 10 97760.00 0 0.00 10
2 btl 9350.00 18700.00 6 btl 9350.00
0 btl 9350.00
8 74800.00 0 0.00 2 18700.00 6
0 btl 9460.00
0 0.00 0 0.00 0 0.00 0
0 btl 5200.00
0 btl 5313.00 0.00 0 btl 5313.00
0 btl 5313.00
11 btl 6900.00 75900.00 11 btl 6900.00
4 btl 6900.00 27600.00 7 btl 6900.00
0 btl 6900.00
11 75900.00 0 0.00 4 27600.00 7
0 tab 245.00
82 20090.00 0 0.00 0 0.00 82
125 tab 180.00 22500.00 291 tab 180.00
0 tab 180.00
416 74880.00 0 0.00 125 22500.00 291
79 Haloperidol Inj i.m. 5 mg/ml (Lodomer) 0 amp 4000.00 0.00 0 amp 4000.00
0 amp 4000.00
0 0.00 0 0.00 0 0.00 0
60 tab 55.00 3300.00 130 tab 55.00
0 tab 55.00
190 10450.00 0 0.00 60 3300.00 130
81 Haloperidol tablet 5 mg 0 tab 69.00 0.00 0 tab 69.00
0 tab 69.00
0 tab 197.00 0.00 0 tab 197.00
0 tab 197.00
0 0.00 0 0.00 0 0.00 0
82 Hidroklorotiazid (HCT) tablet 25 mg 0 tab 36.30 0.00 0 tab 36.30
0 tab 36.30
0 0.00 0 0.00 0 0.00 0
0 tube 6765.00
15 tube 2650.00 39750.00 15 tube 2650.00
3 tube 2650.00 7950.00 12 tube 2650.00
0 tube 2650.00
15 39750.00 0 0.00 3 7950.00 12
0 btl 2475.00
5 12375.00 0 0.00 0 0.00 5
0 tab 127.00
0 tab 150.00 0.00 0 tab 150.00
0 tab 150.00
130 tab 279.04 36275.20 130 tab 279.04
200 tab 279.04 55808.00 330 tab 279.04
130 tab 279.04 36275.20 200 tab 279.04
0 tab 279.04
0 tab 319.00 0.00 0 tab 319.00
0 tab 319.00
300 57865.20 200 55808.00 130 36275.20 370
86 Ipratropium Bromida 0,52 mg; Sabutamol Sulfat 3,0 0 ktk 16465.00 0.00 0 ktk 16465.00
0 ktk 16465.00
0 0.00 0 0.00 0 0.00 0
87 Isosorbid Dinitrat tablet 10 mg 0 tab 88.00 0.00 0 tab 88.00
0 tab 88.00
0 0.00 0 0.00 0 0.00 0
88 Isosorbid Dinitrat tablet sublingual 5 mg 0 tab 88.00 0.00 0 tab 88.00
0 tab 88.00
0 0.00 0 0.00 0 0.00 0
0 tab 56.00
500 tab 59.00 29500.00 500 tab 59.00
200 tab 59.00 11800.00 700 tab 59.00
470 tab 59.00 27730.00 230 tab 59.00
0 tab 59.00
0 tab 70.00 0.00 0 tab 70.00
0 tab 70.00
0 tab 81.40 0.00 0 tab 81.40
0 tab 81.40
500 29500.00 200 11800.00 470 27730.00 230
90 Kaolin, pektin suspensi 60 ml 0 btl 7920.00 0.00 0 btl 7920.00
10 btl 7920.00 79200.00 10 btl 7920.00
3 btl 7920.00 23760.00 7 btl 7920.00
0 btl 7920.00
0 0.00 10 79200.00 3 23760.00 7
0 tab 84.00
236 tab 68.00 16048.00 236 tab 68.00
70 tab 68.00 4760.00 166 tab 68.00
0 tab 68.00
90 tab 75.00 6750.00 90 tab 75.00
90 tab 75.00 6750.00 0 tab 75.00
0 tab 75.00
0 tab 80.00 0.00 0 tab 80.00
0 tab 80.00
326 22798.00 0 0.00 160 11510.00 166
92 Karbamazepin tablet 200 mg 0 tab 245.00 0.00 0 tab 245.00
0 tab 245.00
0 0.00 0 0.00 0 0.00 0
0 tube 2545.00
24 61080.00 0 0.00 0 0.00 24
94 Ketokonazol krim 2% (Solinfec) 0 tube 10952.00 0.00 0 tube 10952.00
0 tube 10952.00
0 0.00 0 0.00 0 0.00 0
100 tab 280.00 28000.00 190 tab 280.00
20 tab 280.00 5600.00 170 tab 280.00
0 tab 280.00
0 tab 300.00 0.00 0 tab 300.00
0 tab 300.00
90 25200.00 100 28000.00 20 5600.00 170
96 Ketoprofen supp 100 mg (Suprafenid) 0 supp 2789.00 0.00 0 supp 2789.00
0 supp 2789.00
0 0.00 0 0.00 0 0.00 0
97 Klindamisin kapsul/kaplet 150 mg 50 kaps 715.00 35750.00 50 kaps 715.00
0 kaps 715.00
50 35750.00 0 0.00 0 0.00 50
98 Kloramfenikol kapsul/kaplet 250 mg 0 kaps 227.00 0.00 0 kaps 227.00
0 kaps 227.00
101 kaps 1100.00 111100.00 101 kaps 1100.00
0 kaps 1100.00
101 111100.00 0 0.00 0 0.00 101
99 Kloramfenikol salep kulit 2% (Bufacetin) 0 tube 3091.00 0.00 0 tube 3091.00
0 tube 3091.00
0 0.00 0 0.00 0 0.00 0
0 tube 1600.00
19 tube 1798.00 34162.00 19 tube 1798.00
4 tube 1798.00 7192.00 15 tube 1798.00
0 tube 1798.00
19 34162.00 0 0.00 4 7192.00 15
101 Kloramfenikol suspensi 125 mg/5 ml 4 btl 3955.00 15820.00 4 btl 3955.00
0 btl 3955.00
4 15820.00 0 0.00 0 0.00 4
102 Kloramfenikol tetes mata 0,5% 0 btl 8580.00 0.00 0 btl 8580.00
10 btl 8580.00 85800.00 10 btl 8580.00
2 btl 8580.00 17160.00 8 btl 8580.00
0 btl 8580.00
0 0.00 10 85800.00 2 17160.00 8
103 Kloramfenikol tetes mata 0,5% (Decacetin) 0 btl 3250.00 0.00 0 btl 3250.00
0 btl 3250.00
0 0.00 0 0.00 0 0.00 0
104 Kloramfenikol tetes mata 0,5% (Reco) 0 btl 6820.00 0.00 0 btl 6820.00
0 btl 6820.00
0 0.00 0 0.00 0 0.00 0
105 Kloramfenikol tetes telinga 1% 0 btl 6325.00 0.00 0 btl 6325.00
0 btl 6325.00
0 0.00 0 0.00 0 0.00 0
106 Kloramfenikol tetes telinga 1% (Reco) 0 btl 6600.00 0.00 0 btl 6600.00
0 btl 6600.00
10 btl 7700.00 77000.00 10 btl 7700.00
10 btl 7700.00 77000.00 20 btl 7700.00
10 btl 7700.00 77000.00 10 btl 7700.00
0 btl 7700.00
10 77000.00 10 77000.00 10 77000.00 10
107 Klorfeniramin Maleat (CTM) tab 4 mg 254 tab 42.00 10668.00 254 tab 42.00
400 tab 42.00 16800.00 654 tab 42.00
261 tab 42.00 10962.00 393 tab 42.00
0 tab 42.00
254 10668.00 400 16800.00 261 10962.00 393
0 tab 144.00
117 tab 147.00 17199.00 117 tab 147.00
300 tab 147.00 44100.00 417 tab 147.00
103 tab 147.00 15141.00 314 tab 147.00
0 tab 147.00
216 31455.00 300 44100.00 103 15141.00 413
0 tab 68.00
0 0.00 0 0.00 0 0.00 0
0 tab 550.00
70 38500.00 0 0.00 0 0.00 70
111 Kotrimoksazol DOEN I (dewasa) kombinasi: Sulfame 166 tab 125.00 20750.00 166 tab 125.00
200 tab 125.00 25000.00 366 tab 125.00
120 tab 125.00 15000.00 246 tab 125.00
0 tab 125.00
0 tab 138.00 0.00 0 tab 138.00
0 tab 138.00
166 20750.00 200 25000.00 120 15000.00 246
112 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 0 btl 2140.00 0.00 0 btl 2140.00
0 btl 2140.00
17 btl 2167.00 36839.00 17 btl 2167.00
2 btl 2167.00 4334.00 15 btl 2167.00
0 btl 2167.00
17 36839.00 0 0.00 2 4334.00 15
113 Lacto B 0 sase 6820.00 0.00 0 sase 6820.00
0 sase 6820.00
0 0.00 0 0.00 0 0.00 0
10 kaps 319.00 3190.00 70 kaps 319.00
0 kaps 319.00
80 25520.00 0 0.00 10 3190.00 70
115 Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 74 btl 9275.00 686350.00 74 btl 9275.00
40 btl 9275.00 371000.00 114 btl 9275.00
100 btl 9275.00 927500.00 14 btl 9275.00
0 btl 9275.00
0 btl 9000.00 0.00 0 btl 9000.00
0 btl 9000.00
74 686350.00 40 371000.00 100 927500.00 14
116 Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.7 0 btl 10000.00 0.00 0 btl 10000.00
0 btl 10000.00
0 btl 10696.00 0.00 0 btl 10696.00
40 btl 10696.00 427840.00 40 btl 10696.00
19 btl 10696.00 203224.00 21 btl 10696.00
0 btl 10696.00
0 0.00 40 427840.00 19 203224.00 21
117 Lidokain injeksi 2% 60 amp 1113.00 66780.00 60 amp 1113.00
52 amp 1113.00 57876.00 112 amp 1113.00
54 amp 1113.00 60102.00 58 amp 1113.00
0 amp 1113.00
60 66780.00 52 57876.00 54 60102.00 58
118 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2m 12 amp 1845.00 22140.00 12 amp 1845.00
30 amp 1845.00 55350.00 42 amp 1845.00
4 amp 1845.00 7380.00 38 amp 1845.00
0 amp 1845.00
12 22140.00 30 55350.00 4 7380.00 38
119 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2m 0 amp 3355.00 0.00 0 amp 3355.00
0 amp 3355.00
0 0.00 0 0.00 0 0.00 0
300 tab 85.00 25500.00 390 tab 85.00
140 tab 85.00 11900.00 250 tab 85.00
0 tab 85.00
0 tab 89.00 0.00 0 tab 89.00
0 tab 89.00
90 7650.00 300 25500.00 140 11900.00 250
121 Loratadin tablet 10 mg 0 tab 134.00 0.00 0 tab 134.00
0 tab 134.00
0 tab 154.00 0.00 0 tab 154.00
0 tab 154.00
0 0.00 0 0.00 0 0.00 0
0 btl 12100.00
10 btl 13145.00 131450.00 10 btl 13145.00
0 btl 13145.00
4 btl 13200.00 52800.00 4 btl 13200.00
2 btl 13200.00 26400.00 2 btl 13200.00
0 btl 13200.00
14 184250.00 0 0.00 2 26400.00 12
123 Magnesium Sulfat inj (IV) 20% ~ 25 ml 0 vial 1694.00 0.00 0 vial 1694.00
0 vial 1694.00
0 0.00 0 0.00 0 0.00 0
124 Magnesium Sulfat inj (IV) 40% ~ 25 ml (Otsu) 5 amp 3796.00 18980.00 5 amp 3796.00
0 amp 3796.00
5 18980.00 0 0.00 0 0.00 5
0 tab 880.00
240 211200.00 0 0.00 0 0.00 240
20 amp 5566.00 111320.00 42 amp 5566.00
5 amp 5566.00 27830.00 37 amp 5566.00
0 amp 5566.00
22 122452.00 20 111320.00 5 27830.00 37
127 Metamizole Na injeksi 500 mg/ml 37 amp 9130.00 337810.00 37 amp 9130.00
0 amp 9130.00
37 337810.00 0 0.00 0 0.00 37
128 Metamizole Na injeksi 500 mg/ml (Antrain) 0 amp 11385.00 0.00 0 amp 11385.00
0 amp 11385.00
0 0.00 0 0.00 0 0.00 0
129 Metampiron tablet 500 mg (antalgin) 0 tab 246.40 0.00 0 tab 246.40
0 tab 246.40
200 tab 148.50 29700.00 200 tab 148.50
300 tab 148.50 44550.00 500 tab 148.50
330 tab 148.50 49005.00 170 tab 148.50
0 tab 148.50
0 tab 232.00 0.00 0 tab 232.00
0 tab 232.00
200 29700.00 300 44550.00 330 49005.00 170
50 tab 96.00 4800.00 140 tab 96.00
0 tab 96.00
130 tab 100.00 13000.00 130 tab 100.00
0 tab 100.00
320 31240.00 0 0.00 50 4800.00 270
131 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml 1 amp 2684.00 2684.00 1 amp 2684.00
0 amp 2684.00
1 2684.00 0 0.00 0 0.00 1
132 Metilergometrin Maleat tablet salut 0,125 mg 0 tab 121.00 0.00 0 tab 121.00
0 tab 121.00
80 tab 154.00 12320.00 80 tab 154.00
0 tab 154.00
80 12320.00 0 0.00 0 0.00 80
0 tab 612.00
138 84456.00 0 0.00 0 0.00 138
0 tab 300.00
0 tab 957.00 0.00 0 tab 957.00
200 tab 957.00 191400.00 200 tab 957.00
10 tab 957.00 9570.00 190 tab 957.00
0 tab 957.00
0 0.00 200 191400.00 10 9570.00 190
135 Metoklopramide drop 10 ml (Gavistal) 0 btl 4950.00 0.00 0 btl 4950.00
0 btl 4950.00
0 0.00 0 0.00 0 0.00 0
50 amp 3395.00 169750.00 100 amp 3395.00
53 amp 3395.00 179935.00 47 amp 3395.00
0 amp 3395.00
0 amp 10450.00 0.00 0 amp 10450.00
0 amp 10450.00
50 169750.00 50 169750.00 53 179935.00 47
137 Metoklopramide injeksi 5 mg/ml (Sotatic) 0 amp 5500.00 0.00 0 amp 5500.00
0 amp 5500.00
0 0.00 0 0.00 0 0.00 0
138 Metoklopramide sirup 5 mg/ 5 ml (Lexapram) 7 btl 2580.00 18060.00 7 btl 2580.00
0 btl 2580.00
7 18060.00 0 0.00 0 0.00 7
0 tab 108.00
270 tab 115.00 31050.00 270 tab 115.00
26 tab 115.00 2990.00 244 tab 115.00
0 tab 115.00
270 31050.00 0 0.00 26 2990.00 244
140 Metronidazol infus 500 mg/100 ml 0 btl 12100.00 0.00 0 btl 12100.00
0 btl 12100.00
0 0.00 0 0.00 0 0.00 0
141 Metronidazol suspensi 125 mg/5 ml 7 btl 3800.00 26600.00 7 btl 3800.00
0 btl 3800.00
7 26600.00 0 0.00 0 0.00 7
200 tab 133.00 26600.00 391 tab 133.00
32 tab 133.00 4256.00 359 tab 133.00
0 tab 133.00
0 tab 160.00 0.00 0 tab 160.00
0 tab 160.00
191 25403.00 200 26600.00 32 4256.00 359
143 Microlax tube 5 ml 0 tube 19800.00 0.00 0 tube 19800.00
0 tube 19800.00
0 0.00 0 0.00 0 0.00 0
144 Mikonazol krim/salep 2% (nitrat) 0 tube 3000.00 0.00 0 tube 3000.00
0 tube 3000.00
0 0.00 0 0.00 0 0.00 0
200 tab 115.00 23000.00 400 tab 115.00
210 tab 115.00 24150.00 190 tab 115.00
0 tab 115.00
0 tab 159.00 0.00 0 tab 159.00
0 tab 159.00
0 tab 176.00 0.00 0 tab 176.00
0 tab 176.00
200 23000.00 200 23000.00 210 24150.00 190
146 Natrium Klorida larutan infus 0,9% (NaCl) 27 btl 4700.00 126900.00 27 btl 4700.00
9 btl 4700.00 42300.00 36 btl 4700.00
25 btl 4700.00 117500.00 11 btl 4700.00
0 btl 4700.00
0 btl 4900.00 0.00 0 btl 4900.00
0 btl 4900.00
27 126900.00 9 42300.00 25 117500.00 11
147 Neurobion 5000 injeksi 0 amp 9900.00 0.00 0 amp 9900.00
0 amp 9900.00
0 0.00 0 0.00 0 0.00 0
0 tab 104.00
0 tab 110.00 0.00 0 tab 110.00
0 tab 110.00
156 16224.00 0 0.00 0 0.00 156
149 Nistatin vaginal tablet 100.000 IU/ g 0 ovula 480.00 0.00 0 ovula 480.00
0 ovula 480.00
70 ovula 523.00 36610.00 70 ovula 523.00
0 ovula 523.00
70 36610.00 0 0.00 0 0.00 70
30 kaps 385.00 11550.00 160 kaps 385.00
0 kaps 385.00
190 73150.00 0 0.00 30 11550.00 160
14 btl 6050.00 84700.00 8 btl 6050.00
0 btl 6050.00
0 btl 5940.00 0.00 0 btl 5940.00
0 btl 5940.00
22 133100.00 0 0.00 14 84700.00 8
152 Obat Batuk Hitam (OBH) cairan (Herbacof) 0 btl 13200.00 0.00 0 btl 13200.00
0 btl 13200.00
0 0.00 0 0.00 0 0.00 0
153 Oksitetrasiklin HCl salep mata 1% 0 tube 3187.80 0.00 0 tube 3187.80
0 tube 3187.80
0 tube 3630.00 0.00 0 tube 3630.00
0 tube 3630.00
0 0.00 0 0.00 0 0.00 0
0 amp 1900.00
0 amp 2200.00 0.00 0 amp 2200.00
0 amp 2200.00
2 3800.00 0 0.00 0 0.00 2
155 Omeprazol kapsul/kaplet 20 mg 0 kaps 211.00 0.00 0 kaps 211.00
0 kaps 211.00
0 0.00 0 0.00 0 0.00 0
0 amp 2400.00
9 amp 1650.00 14850.00 9 amp 1650.00
0 amp 1650.00
9 14850.00 0 0.00 0 0.00 9
4 tab 472.00 1888.00 40 tab 472.00
0 tab 472.00
44 20768.00 0 0.00 4 1888.00 40
158 Papaverin tablet 40 mg 0 tab 119.00 0.00 0 tab 119.00
0 tab 119.00
0 0.00 0 0.00 0 0.00 0
159 Parasetamol drops 60 mg/0,6 ml 0 btl 5200.00 0.00 0 btl 5200.00
0 btl 5200.00
0 btl 18742.90 0.00 0 btl 18742.90
0 btl 18742.90
0 0.00 0 0.00 0 0.00 0
160 Parasetamol sirup 120 mg/5 ml 0 btl 1438.00 0.00 0 btl 1438.00
0 btl 1438.00
0 btl 1010.00 0.00 0 btl 1010.00
0 btl 1010.00
0 btl 1074.00 0.00 0 btl 1074.00
0 btl 1074.00
19 btl 1107.00 21033.00 19 btl 1107.00
15 btl 1107.00 16605.00 34 btl 1107.00
18 btl 1107.00 19926.00 16 btl 1107.00
0 btl 1107.00
19 21033.00 15 16605.00 18 19926.00 16
500 tab 49.00 24500.00 964 tab 49.00
623 tab 49.00 30527.00 341 tab 49.00
0 tab 49.00
0 tab 56.00 0.00 0 tab 56.00
0 tab 56.00
0 tab 79.00 0.00 0 tab 79.00
0 tab 79.00
0 tab 83.93 0.00 0 tab 83.93
0 tab 83.93
464 22736.00 500 24500.00 623 30527.00 341
162 Piracetam tablet 800 mg 0 tab 400.00 0.00 0 tab 400.00
0 tab 400.00
0 0.00 0 0.00 0 0.00 0
163 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 tab 88.00 0.00 0 tab 88.00
0 tab 88.00
271 tab 118.00 31978.00 271 tab 118.00
24 tab 118.00 2832.00 247 tab 118.00
0 tab 118.00
271 31978.00 0 0.00 24 2832.00 247
164 Piroksikam kapsul/kaplet/tablet 10 mg 0 kaps 105.00 0.00 0 kaps 105.00
0 kaps 105.00
368 kaps 220.00 80960.00 368 kaps 220.00
50 kaps 220.00 11000.00 318 kaps 220.00
0 kaps 220.00
368 80960.00 0 0.00 50 11000.00 318
165 Polikresulen cairan (Albothyl) 0 btl 38500.00 0.00 0 btl 38500.00
5 btl 38500.00 192500.00 5 btl 38500.00
5 btl 38500.00 192500.00 0 btl 38500.00
0 btl 38500.00
0 0.00 5 192500.00 5 192500.00 0
166 Povidon Iodida larutan 10% 300 ml 0 btl 25000.00 0.00 0 btl 25000.00
0 btl 25000.00
0 btl 17996.00 0.00 0 btl 17996.00
0 btl 17996.00
0 0.00 0 0.00 0 0.00 0
167 Povidon Iodida larutan 10% 60 ml 0 btl 5000.00 0.00 0 btl 5000.00
0 btl 5000.00
0 0.00 0 0.00 0 0.00 0
0 tab 64.00
0 tab 68.00 0.00 0 tab 68.00
500 tab 68.00 34000.00 500 tab 68.00
0 tab 68.00
728 tab 96.00 69888.00 728 tab 96.00
296 tab 96.00 28416.00 432 tab 96.00
0 tab 96.00
0 tab 114.00 0.00 0 tab 114.00
0 tab 114.00
728 69888.00 500 34000.00 296 28416.00 932
169 Ranitidin injeksi 25 mg/ml 24 amp 1155.00 27720.00 24 amp 1155.00
49 amp 1155.00 56595.00 73 amp 1155.00
43 amp 1155.00 49665.00 30 amp 1155.00
0 amp 1155.00
0 amp 1390.00 0.00 0 amp 1390.00
0 amp 1390.00
24 27720.00 49 56595.00 43 49665.00 30
0 tab 105.00
270 tab 261.80 70686.00 270 tab 261.80
400 tab 261.80 104720.00 670 tab 261.80
419 tab 261.80 109694.20 251 tab 261.80
0 tab 261.80
369 81081.00 400 104720.00 419 109694.20 350
171 Ringer Laktat (RL) larutan infus 0 btl 5200.00 0.00 0 btl 5200.00
0 btl 5200.00
34 btl 7150.00 243100.00 34 btl 7150.00
1 btl 7150.00 7150.00 33 btl 7150.00
0 btl 7150.00
0 btl 17500.00 0.00 0 btl 17500.00
0 btl 17500.00
34 243100.00 0 0.00 1 7150.00 33
172 Risperidon tablet 2 mg 170 tab 347.00 58990.00 170 tab 347.00
0 tab 347.00
0 tab 1008.00 0.00 0 tab 1008.00
0 tab 1008.00
170 58990.00 0 0.00 0 0.00 170
200 tab 66.00 13200.00 485 tab 66.00
171 tab 66.00 11286.00 314 tab 66.00
0 tab 66.00
285 18810.00 200 13200.00 171 11286.00 314
0 tab 96.80
0 0.00 0 0.00 0 0.00 0
175 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Beleran 0 pot 2000.00 0.00 0 pot 2000.00
0 pot 2000.00
24 pot 2429.00 58296.00 24 pot 2429.00
15 pot 2429.00 36435.00 9 pot 2429.00
0 pot 2429.00
24 58296.00 0 0.00 15 36435.00 9
0 ktk 1025.00
0 ktk 1250.00 0.00 0 ktk 1250.00
0 ktk 1250.00
17 17425.00 0 0.00 0 0.00 17
20 kaps 478.00 9560.00 204 kaps 478.00
0 kaps 478.00
0 kaps 509.00 0.00 0 kaps 509.00
0 kaps 509.00
0 kaps 913.00 0.00 0 kaps 913.00
0 kaps 913.00
224 107072.00 0 0.00 20 9560.00 204
178 Sefadroksil sirup kering 125 mg/5ml 0 btl 4896.00 0.00 0 btl 4896.00
0 btl 4896.00
0 0.00 0 0.00 0 0.00 0
40 kaps 803.00 32120.00 160 kaps 803.00
0 kaps 803.00
0 kaps 590.00 0.00 0 kaps 590.00
0 kaps 590.00
200 160600.00 0 0.00 40 32120.00 160
180 Sefiksim kapsul/kaplet 100 mg (Helixim) 80 kaps 3144.00 251520.00 80 kaps 3144.00
60 kaps 3144.00 188640.00 20 kaps 3144.00
0 kaps 3144.00
80 251520.00 0 0.00 60 188640.00 20
8 vial 8230.00 65840.00 5 vial 8230.00
0 vial 8230.00
0 vial 4898.00 0.00 0 vial 4898.00
0 vial 4898.00
0 vial 6800.00 0.00 0 vial 6800.00
0 vial 6800.00
13 106990.00 0 0.00 8 65840.00 5
182 Seftriakson injeksi 1 g 0 amp 4483.00 0.00 0 amp 4483.00
25 amp 4483.00 112075.00 25 amp 4483.00
3 amp 4483.00 13449.00 22 amp 4483.00
0 amp 4483.00
0 amp 9020.00 0.00 0 amp 9020.00
0 amp 9020.00
0 0.00 25 112075.00 3 13449.00 22
183 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) (Biosat) 2 amp 130999.00 261998.00 2 amp 130999.00
4 amp 130999.00 523996.00 6 amp 130999.00
2 amp 130999.00 261998.00 4 amp 130999.00
0 amp 130999.00
0 amp 145200.00 0.00 0 amp 145200.00
0 amp 145200.00
0 amp 126500.00 0.00 0 amp 126500.00
0 amp 126500.00
2 261998.00 4 523996.00 2 261998.00 4
184 Serum ABU I (Biosave) 0 vial 462000.00 0.00 0 vial 462000.00
0 vial 462000.00
0 0.00 0 0.00 0 0.00 0
185 Sianokobalamin (vitamin B12) injeksi 500 mcg 0 amp 1078.00 0.00 0 amp 1078.00
0 amp 1078.00
172 amp 1098.00 188856.00 172 amp 1098.00
4 amp 1098.00 4392.00 168 amp 1098.00
0 amp 1098.00
172 188856.00 0 0.00 4 4392.00 168
186 Sianokobalamin (vitamin B12) tablet 50 mcg 0 tab 57.00 0.00 0 tab 57.00
0 tab 57.00
317 tab 51.00 16167.00 317 tab 51.00
200 tab 51.00 10200.00 517 tab 51.00
190 tab 51.00 9690.00 327 tab 51.00
0 tab 51.00
317 16167.00 200 10200.00 190 9690.00 327
0 tab 111.00
70 7770.00 0 0.00 0 0.00 70
188 Simvastatin tablet 10 mg (Selvim) 0 tab 1319.00 0.00 0 tab 1319.00
0 tab 1319.00
0 0.00 0 0.00 0 0.00 0
200 tab 205.00 41000.00 350 tab 205.00
70 tab 205.00 14350.00 280 tab 205.00
0 tab 205.00
0 tab 391.00 0.00 0 tab 391.00
0 tab 391.00
150 30750.00 200 41000.00 70 14350.00 280
190 Siprofloksasin tablet 500 mg (sebagai HCl) 320 tab 265.00 84800.00 320 tab 265.00
200 tab 265.00 53000.00 520 tab 265.00
160 tab 265.00 42400.00 360 tab 265.00
0 tab 265.00
0 tab 281.00 0.00 0 tab 281.00
0 tab 281.00
0 tab 255.00 0.00 0 tab 255.00
0 tab 255.00
320 84800.00 200 53000.00 160 42400.00 360
191 Siprofloksasin tablet 500 mg (sebagai HCl) (Spesidal) 0 tab 343.20 0.00 0 tab 343.20
0 tab 343.20
0 0.00 0 0.00 0 0.00 0
192 Stabimed 1000 ml 0 btl 620000.00 0.00 0 btl 620000.00
0 btl 620000.00
0 0.00 0 0.00 0 0.00 0
193 Sukralfat susp 500 mg/5 ml 0 btl 9578.00 0.00 0 btl 9578.00
0 btl 9578.00
0 0.00 0 0.00 0 0.00 0
194 Sukralfat tablet 500 mg (Ulsidex) 0 tab 368.00 0.00 0 tab 368.00
200 tab 368.00 73600.00 200 tab 368.00
90 tab 368.00 33120.00 110 tab 368.00
0 tab 368.00
0 0.00 200 73600.00 90 33120.00 110
195 Tetrasiklin kapsul/kaplet 500 mg 0 kaps 300.00 0.00 0 kaps 300.00
0 kaps 300.00
0 kaps 310.00 0.00 0 kaps 310.00
200 kaps 310.00 62000.00 200 kaps 310.00
10 kaps 310.00 3100.00 190 kaps 310.00
0 kaps 310.00
0 0.00 200 62000.00 10 3100.00 190
196 Tiamfenikol kapsul/kaplet 500 mg 0 kaps 431.00 0.00 0 kaps 431.00
0 kaps 431.00
0 0.00 0 0.00 0 0.00 0
197 Tiamfenikol kapsul/kaplet 500 mg (Dionicol) 0 kaps 1472.00 0.00 0 kaps 1472.00
0 kaps 1472.00
0 kaps 1459.00 0.00 0 kaps 1459.00
0 kaps 1459.00
90 kaps 1471.00 132390.00 90 kaps 1471.00
200 kaps 1471.00 294200.00 290 kaps 1471.00
40 kaps 1471.00 58840.00 250 kaps 1471.00
0 kaps 1471.00
90 132390.00 200 294200.00 40 58840.00 250
198 Tiamfenikol kapsul/kaplet 500 mg (Solathim) 0 kaps 1067.00 0.00 0 kaps 1067.00
0 kaps 1067.00
0 0.00 0 0.00 0 0.00 0
199 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) 960 tab 88.00 84480.00 960 tab 88.00
9 tab 88.00 792.00 969 tab 88.00
320 tab 88.00 28160.00 649 tab 88.00
0 tab 88.00
0 tab 82.00 0.00 0 tab 82.00
0 tab 82.00
960 84480.00 9 792.00 320 28160.00 649
200 Tiamin (Vitamin B1) 100 mg tablet 0 tab 86.00 0.00 0 tab 86.00
0 tab 86.00
0 0.00 0 0.00 0 0.00 0
201 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 amp 1210.00 0.00 0 amp 1210.00
0 amp 1210.00
0 amp 6600.00 0.00 0 amp 6600.00
0 amp 6600.00
0 0.00 0 0.00 0 0.00 0
0 tab 80.00
170 13600.00 0 0.00 0 0.00 170
30 tab 115.00 3450.00 157 tab 115.00
0 tab 115.00
320 tab 83.00 26560.00 320 tab 83.00
320 tab 83.00 26560.00 0 tab 83.00
0 tab 83.00
507 48065.00 0 0.00 350 30010.00 157
204 Zinc sirup 10 mg/5 ml 3 btl 14980.00 44940.00 3 btl 14980.00
0 btl 14980.00
3 44940.00 0 0.00 0 0.00 3
205 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) 1 btl 6290.00 6290.00 1 btl 6290.00
0 btl 6290.00
1 6290.00 0 0.00 0 0.00 1
0 tab 474.00
325 tab 514.00 167050.00 325 tab 514.00
60 tab 514.00 30840.00 265 tab 514.00
0 tab 514.00
325 167050.00 0 0.00 60 30840.00 265
325 167050.00 0 0.00 60 30840.00 265
207 Alat suntik sekali pakai 1 ml (Stera) 0 set 649.00 0.00 0 set 649.00
100 set 649.00 64900.00 100 set 649.00
2 set 649.00 1298.00 98 set 649.00
0 set 649.00
0 0.00 100 64900.00 2 1298.00 98
5 set 2650.00 13250.00 0 set 2650.00
0 set 2650.00
5 13250.00 0 0.00 5 13250.00 0
0 set 925.00
0 0.00 0 0.00 0 0.00 0
210 Alat suntik sekali pakai 2,5 ml 0 set 1089.00 0.00 0 set 1089.00
0 set 1089.00
0 0.00 0 0.00 0 0.00 0
0 set 750.00
0 0.00 0 0.00 0 0.00 0
400 set 1500.00 600000.00 594 set 1500.00
374 set 1500.00 561000.00 220 set 1500.00
0 set 1500.00
194 291000.00 400 600000.00 374 561000.00 220
213 Alat suntik sekali pakai 3 ml (Nipro) 0 set 792.00 0.00 0 set 792.00
0 set 792.00
0 0.00 0 0.00 0 0.00 0
0 set 750.00
0 set 1037.85 0.00 0 set 1037.85
0 set 1037.85
0 0.00 0 0.00 0 0.00 0
215 Alat suntik sekali pakai 5 ml (Nipro) 0 set 979.00 0.00 0 set 979.00
0 set 979.00
0 0.00 0 0.00 0 0.00 0
131 set 968.00 126808.00 65 set 968.00
0 set 968.00
196 189728.00 0 0.00 131 126808.00 65
217 Alkohol swab (OneMed) 0 pcs 99.99 0.00 0 pcs 99.99
200 pcs 99.99 19998.00 200 pcs 99.99
200 pcs 99.99 19998.00 0 pcs 99.99
0 pcs 99.99
0 pcs 100.00 0.00 0 pcs 100.00
0 pcs 100.00
0 0.00 200 19998.00 200 19998.00 0
218 Articulating paper 0 ktk 268400.00 0.00 0 ktk 268400.00
0 ktk 268400.00
0 0.00 0 0.00 0 0.00 0
219 Bahan tumpatan sementara larutan, serbuk (Caviton 0 tube 357500.00 0.00 0 tube 357500.00
0 tube 357500.00
0 0.00 0 0.00 0 0.00 0
220 Bioplacenton tulle 0 pcs 10749.30 0.00 0 pcs 10749.30
0 pcs 10749.30
0 0.00 0 0.00 0 0.00 0
1 set 3600.00 3600.00 4 set 3600.00
0 set 3600.00
5 18000.00 0 0.00 1 3600.00 4
6 set 34895.00 209370.00 5 set 34895.00
0 set 34895.00
11 383845.00 0 0.00 6 209370.00 5
223 Catgut plain no 2/0 70C + jarum 1/2 25M R (Demete 2 set 27466.66 54933.32 2 set 27466.66
0 set 27466.66
2 54933.32 0 0.00 0 0.00 2
224 Catgut plain no 3/0 70C + jarum 1/2 25M R (Demete 0 set 25321.25 0.00 0 set 25321.25
12 set 25321.25 303855.00 12 set 25321.25
0 set 25321.25
0 0.00 12 303855.00 0 0.00 12
225 Catgut/benang bedah chromic no 3/0 hr 37 mm 0 set 34895.00 0.00 0 set 34895.00
0 set 34895.00
0 0.00 0 0.00 0 0.00 0
226 Catgut/benang bedah plain no 3/0 hr 26 mm 0 set 24582.71 0.00 0 set 24582.71
0 set 24582.71
0 0.00 0 0.00 0 0.00 0
227 Daryant tulle 0 pcs 26500.00 0.00 0 pcs 26500.00
0 pcs 26500.00
0 0.00 0 0.00 0 0.00 0
228 Dermafix 5 x 7 cm 0 pcs 1629.00 0.00 0 pcs 1629.00
0 pcs 1629.00
0 0.00 0 0.00 0 0.00 0
229 Devitalisasi Pasta (Devitec) 0 btl 1443750.00 0.00 0 btl 1443750.00
0 btl 1443750.00
0 0.00 0 0.00 0 0.00 0
0 btl 2500.00
17 btl 3000.00 51000.00 17 btl 3000.00
0 btl 3000.00
17 51000.00 0 0.00 0 0.00 17
231 Etil Klorida spray 0 btl 180400.00 0.00 0 btl 180400.00
0 btl 180400.00
0 btl 263890.00 0.00 0 btl 263890.00
1 btl 263890.00 263890.00 1 btl 263890.00
1 btl 263890.00 263890.00 0 btl 263890.00
0 btl 263890.00
0 btl 149996.00 0.00 0 btl 149996.00
0 btl 149996.00
0 0.00 1 263890.00 1 263890.00 0
232 Eugenol cairan 0 btl 18100.00 0.00 0 btl 18100.00
0 btl 18100.00
0 0.00 0 0.00 0 0.00 0
233 Foley Catheter (16) 0 set 18800.00 0.00 0 set 18800.00
0 set 18800.00
0 0.00 0 0.00 0 0.00 0
0 set 7999.20
5 39996.00 0 0.00 0 0.00 5
0 set 18800.00
0 0.00 0 0.00 0 0.00 0
5 set 7999.20 39996.00 7 set 7999.20
7 set 7999.20 55994.40 0 set 7999.20
0 set 7999.20
2 15998.40 5 39996.00 7 55994.40 0
0 set 8000.00
0 0.00 0 0.00 0 0.00 0
0 set 18800.00
0 0.00 0 0.00 0 0.00 0
239 Formokresol cairan (KF) 0 btl 101750.00 0.00 0 btl 101750.00
0 btl 101750.00
0 0.00 0 0.00 0 0.00 0
240 Glass Ionomer Cement ART (GC Fuji IX) 0 btl 844800.00 0.00 0 btl 844800.00
0 btl 844800.00
0 0.00 0 0.00 0 0.00 0
2 btl 62650.00 125300.00 2 btl 62650.00
0 btl 62650.00
0 0.00 2 125300.00 0 0.00 2
242 Handscoon (uk 6.5) 0 psg 5600.00 0.00 0 psg 5600.00
0 psg 5600.00
0 0.00 0 0.00 0 0.00 0
243 Handscoon (uk 7) (Top Glove ECare) 0 psg 4180.00 0.00 0 psg 4180.00
0 psg 4180.00
0 0.00 0 0.00 0 0.00 0
244 Handscoon (uk 7,5) 0 psg 5600.00 0.00 0 psg 5600.00
0 psg 5600.00
0 0.00 0 0.00 0 0.00 0
245 Handscoon (uk 7~7,5) 0 psg 4249.96 0.00 0 psg 4249.96
0 psg 4249.96
0 0.00 0 0.00 0 0.00 0
0 pcs 583.00
0 pcs 737.53 0.00 0 pcs 737.53
900 pcs 737.53 663777.00 900 pcs 737.53
600 pcs 737.53 442518.00 300 pcs 737.53
0 pcs 737.53
0 0.00 900 663777.00 600 442518.00 300
247 Handscoon uk L (Maxter) 0 pcs 583.00 0.00 0 pcs 583.00
0 pcs 583.00
0 0.00 0 0.00 0 0.00 0
248 Handscoon uk L (Stardec) 0 pcs 476.00 0.00 0 pcs 476.00
0 pcs 476.00
0 0.00 0 0.00 0 0.00 0
0 pcs 583.00
100 pcs 737.50 73750.00 100 pcs 737.50
400 pcs 737.50 295000.00 500 pcs 737.50
300 pcs 737.50 221250.00 200 pcs 737.50
0 pcs 737.50
200 132050.00 400 295000.00 300 221250.00 300
250 Handscoon uk M (Maxter) 0 pcs 583.00 0.00 0 pcs 583.00
0 pcs 583.00
0 0.00 0 0.00 0 0.00 0
300 pcs 583.00 174900.00 400 pcs 583.00
200 pcs 583.00 116600.00 200 pcs 583.00
0 pcs 583.00
100 58300.00 300 174900.00 200 116600.00 200
252 Handscoon uk S (Maxter) 0 pcs 583.00 0.00 0 pcs 583.00
0 pcs 583.00
0 0.00 0 0.00 0 0.00 0
253 Hypafix 0 rol 20000.00 0.00 0 rol 20000.00
0 rol 20000.00
0 0.00 0 0.00 0 0.00 0
254 Infusion set anak 0 set 3960.00 0.00 0 set 3960.00
0 set 3960.00
0 0.00 0 0.00 0 0.00 0
3 set 3499.10 10497.30 28 set 3499.10
0 set 3499.10
0 set 3500.00 0.00 0 set 3500.00
0 set 3500.00
31 108472.10 0 0.00 3 10497.30 28
256 Infusion set dewasa 0 set 3509.00 0.00 0 set 3509.00
0 set 3509.00
0 set 4400.00 0.00 0 set 4400.00
0 set 4400.00
0 0.00 0 0.00 0 0.00 0
257 Infusion set dewasa (Nipro) 0 set 4975.00 0.00 0 set 4975.00
0 set 4975.00
0 0.00 0 0.00 0 0.00 0
50 set 6286.50 314325.00 74 set 6286.50
40 set 6286.50 251460.00 34 set 6286.50
0 set 6286.50
24 150876.00 50 314325.00 40 251460.00 34
0 set 6300.00
0 set 7787.50 0.00 0 set 7787.50
0 set 7787.50
0 0.00 0 0.00 0 0.00 0
260 IV Catheter No. 18 G (Jelco) 19 set 9060.00 172140.00 19 set 9060.00
1 set 9060.00 9060.00 18 set 9060.00
0 set 9060.00
19 172140.00 0 0.00 1 9060.00 18
0 set 6300.00
0 set 9185.00 0.00 0 set 9185.00
0 set 9185.00
0 0.00 0 0.00 0 0.00 0
262 IV Catheter No. 20 G (Nipro) 0 set 7018.00 0.00 0 set 7018.00
0 set 7018.00
0 0.00 0 0.00 0 0.00 0
50 set 3799.40 189970.00 89 set 3799.40
26 set 3799.40 98784.40 63 set 3799.40
0 set 3799.40
39 148176.60 50 189970.00 26 98784.40 63
32 set 6300.00 201600.00 7 set 6300.00
0 set 6300.00
0 set 7500.00 0.00 0 set 7500.00
0 set 7500.00
0 set 7787.50 0.00 0 set 7787.50
0 set 7787.50
0 set 9185.00 0.00 0 set 9185.00
0 set 9185.00
39 245700.00 0 0.00 32 201600.00 7
265 IV Catheter No. 22 G (Jelco) 50 set 9060.00 453000.00 50 set 9060.00
0 set 9060.00
50 453000.00 0 0.00 0 0.00 50
0 set 7018.00
0 0.00 0 0.00 0 0.00 0
0 set 3799.40
0 0.00 0 0.00 0 0.00 0
0 set 7500.00
13 set 9185.00 119405.00 13 set 9185.00
6 set 9185.00 55110.00 7 set 9185.00
0 set 9185.00
13 119405.00 0 0.00 6 55110.00 7
0 set 7018.00
0 0.00 0 0.00 0 0.00 0
270 IV Catheter No. 26 G (Inflo) 0 set 5000.00 0.00 0 set 5000.00
0 set 5000.00
0 0.00 0 0.00 0 0.00 0
271 Kalsium Hidroksida Pasta (Calcidor) 0 ktk 385000.00 0.00 0 ktk 385000.00
0 ktk 385000.00
0 0.00 0 0.00 0 0.00 0
272 Kapas Pembalut/Absorben 250 gram 0 bks 12500.00 0.00 0 bks 12500.00
0 bks 12500.00
0 0.00 0 0.00 0 0.00 0
40 lbr 935.00 37400.00 110 lbr 935.00
0 lbr 935.00
150 140250.00 0 0.00 40 37400.00 110
0 lbr 362.50
0 0.00 0 0.00 0 0.00 0
275 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) (OneMed) 0 rol 362.50 0.00 0 rol 362.50
0 rol 362.50
0 0.00 0 0.00 0 0.00 0
276 Kasa Hidrofil uk. 36 m x 80 cm 0 rol 145200.00 0.00 0 rol 145200.00
0 rol 145200.00
0 0.00 0 0.00 0 0.00 0
277 Kasa Hidrofil uk. 36 m x 80 cm (DRC) 0 rol 131458.54 0.00 0 rol 131458.54
0 rol 131458.54
0 0.00 0 0.00 0 0.00 0
278 Kasa Pembalut Elastis 10 cm x 4,5 m 0 rol 41800.00 0.00 0 rol 41800.00
0 rol 41800.00
0 0.00 0 0.00 0 0.00 0
0 rol 6985.00
0 0.00 0 0.00 0 0.00 0
0 rol 9955.00
0 0.00 0 0.00 0 0.00 0
281 Kasa Pembalut Elastis 7,5 cm x 4,5 m 0 rol 33000.00 0.00 0 rol 33000.00
0 rol 33000.00
0 0.00 0 0.00 0 0.00 0
20 rol 2640.00 52800.00 0 rol 2640.00
0 rol 2640.00
20 52800.00 0 0.00 20 52800.00 0
283 Kasa Pembalut Hidrofil 4 m x 10 cm (OneMed) 0 rol 1500.00 0.00 0 rol 1500.00
0 rol 1500.00
0 rol 1496.00 0.00 0 rol 1496.00
50 rol 1496.00 74800.00 50 rol 1496.00
0 rol 1496.00
0 0.00 50 74800.00 0 0.00 50
0 rol 1320.00
80 105600.00 0 0.00 0 0.00 80
285 Kasa Pembalut Hidrofil 4 m x 5 cm (OneMed) 0 rol 750.00 0.00 0 rol 750.00
0 rol 750.00
0 0.00 0 0.00 0 0.00 0
286 Kertas Puyer besar (slop) 0 slop 40000.00 0.00 0 slop 40000.00
0 slop 40000.00
0 0.00 0 0.00 0 0.00 0
287 Klorfenol Kamfer Menthol (CHKM) cairan 0 btl 99000.00 0.00 0 btl 99000.00
0 btl 99000.00
0 0.00 0 0.00 0 0.00 0
288 Klorfenol Kamfer Menthol (CHKM) cairan (Paramono 0 btl 71500.00 0.00 0 btl 71500.00
0 btl 71500.00
0 0.00 0 0.00 0 0.00 0
289 Komposit resin (TE Econom Plus) 0 btl 495000.00 0.00 0 btl 495000.00
0 btl 495000.00
0 0.00 0 0.00 0 0.00 0
290 Masker 0 set 440.00 0.00 0 set 440.00
0 set 440.00
0 set 500.00 0.00 0 set 500.00
0 set 500.00
0 0.00 0 0.00 0 0.00 0
600 set 440.00 264000.00 750 set 440.00
450 set 440.00 198000.00 300 set 440.00
0 set 440.00
150 66000.00 600 264000.00 450 198000.00 300
292 Masker oksigen anak (Maxiflow) 2 set 16280.00 32560.00 2 set 16280.00
0 set 16280.00
2 32560.00 0 0.00 0 0.00 2
2 set 16280.00 32560.00 3 set 16280.00
2 set 16280.00 32560.00 1 set 16280.00
0 set 16280.00
1 16280.00 2 32560.00 2 32560.00 1
294 Plester 2,5 cm x 4,5 m (Leukoplast) 0 rol 12076.00 0.00 0 rol 12076.00
0 rol 12076.00
0 rol 37500.00 0.00 0 rol 37500.00
0 rol 37500.00
0 0.00 0 0.00 0 0.00 0
0 rol 7446.92
0 0.00 0 0.00 0 0.00 0
2 rol 39431.29 78862.58 2 rol 39431.29
0 rol 39431.29
4 157725.16 0 0.00 2 78862.58 2
297 Plester 5 cm x 5 m (Ultrafix) 0 rol 23624.70 0.00 0 rol 23624.70
0 rol 23624.70
0 0.00 0 0.00 0 0.00 0
298 Plesterin~wp 0 pcs 570.00 0.00 0 pcs 570.00
0 pcs 570.00
0 0.00 0 0.00 0 0.00 0
1 set 12500.00 12500.00 0 set 12500.00
0 set 12500.00
1 12500.00 0 0.00 1 12500.00 0
300 Selang oksigen anak (Oxyflow) 0 set 7500.00 0.00 0 set 7500.00
0 set 7500.00
0 set 15000.00 0.00 0 set 15000.00
0 set 15000.00
0 0.00 0 0.00 0 0.00 0
301 Selang oksigen dewasa 0 set 12500.00 0.00 0 set 12500.00
0 set 12500.00
0 0.00 0 0.00 0 0.00 0
302 Selang oksigen dewasa (Oxyflow) 5 set 5500.00 27500.00 5 set 5500.00
1 set 5500.00 5500.00 4 set 5500.00
0 set 5500.00
5 27500.00 0 0.00 1 5500.00 4
303 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum b 0 set 9000.00 0.00 0 set 9000.00
0 set 9000.00
0 0.00 0 0.00 0 0.00 0
0 set 15449.96
0 0.00 0 0.00 0 0.00 0
18 set 15449.72 278094.96 6 set 15449.72
0 set 15449.72
0 set 15449.96 0.00 0 set 15449.96
0 set 15449.96
24 370793.28 0 0.00 18 278094.96 6
0 set 21335.00
0 0.00 0 0.00 0 0.00 0
0 pcs 1000.00
25 pcs 1100.00 27500.00 25 pcs 1100.00
2 pcs 1100.00 2200.00 23 pcs 1100.00
0 pcs 1100.00
25 27500.00 0 0.00 2 2200.00 23
20 pcs 3500.00 70000.00 28 pcs 3500.00
8 pcs 3500.00 28000.00 20 pcs 3500.00
0 pcs 3500.00
8 28000.00 20 70000.00 8 28000.00 20
309 Urine Bag 0 set 5000.00 0.00 0 set 5000.00
0 set 5000.00
0 0.00 0 0.00 0 0.00 0
5 set 2999.70 14998.50 15 set 2999.70
7 set 2999.70 20997.90 8 set 2999.70
0 set 2999.70
10 29997.00 5 14998.50 7 20997.90 8
GRAND TOTAL 12233718.96 8044627.00 7499254.24 127
Mengetahui, Asembagus, 30 Juni 2019


NIP : 19760710 201001 2 013 NIP. 19850507 200501 2 004
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PEMERINTAH KABUPATEN SITUBONDO

LAPORAN MUTASI BARANG BULANAN PERSEDIAAN OBAT-OBATAN

SKPD : DINAS KESEHATAN KABUPATEN SITUBONDO

Saldo Awal Mutasi Masuk Mutasi Keluar Saldo Akhir

No Nama Barang Harga Harga Harga

1 Air untuk injeksi ampul 25 ml (Otsu) 7 amp 2200.00 15400.00 7 amp

Antasida DOEN I tablet kunyah, kombinasi:

Antasida DOEN II suspensi, kombi: Aluminium

36 Diazepam larutan rectal 5 mg/2,5 ml (Stesolid) 1 tube 11517.00 11517.00 1 tube

Kotrimoksazol Suspensi komb: Sulfametoksazol

Larutan mengandung Elektrolit (Na 130 mEq, Cl

Larutan mengandung Karbohidrat + Elektrolit (Nacl

94 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml 2 amp 2684.00 5368.00 2 amp

95 Metilergometrin Maleat tablet salut 0,125 mg 0 tab 121.00 0.00 0 tab

Mengetahui, Asembagus, 31 Januari 2019

LAPORAN MUTASI BARANG BULANAN PERSEDIAAN OBAT-OBATAN

SKPD : DINAS KESEHATAN KABUPATEN SITUBONDO

Saldo Awal Mutasi Masuk Mutasi Keluar Saldo Akhir

1 Alinamin F tablet 70 tab 1100.00 77000.00 70 tab

60 vial 15070.00 904200.00 99 vial

85 vial 15070.00 1280950.00 14 vial

39 587730.00 60 904200.00 85 1280950.00 14

Antasida DOEN I tablet kunyah, kombinasi:

Antasida DOEN II suspensi, kombi:

Antihemoroid DOEN kombinasi: Bismut

14 Asam Askorbat (Vitamin C) tablet 50 mg 0 tab 95.00 0.00 0 tab

Besi (II) Sulfat 60 mg + Asam Folat 0,4 mg

22 Betametason krim 0,1% (sebagai valerat) 0 tube 1520.00 0.00 0 tube

26 Deksametason injeksi i.v. 5 mg/ml~1ml 0 amp 1580.00 0.00 0 amp

29 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 0 amp 1050.00 0.00 0 amp

34 Fitomenadion (Vitamin K1) injeksi 2 mg/ml 0 amp 3417.00 0.00 0 amp

Kotrimoksazol DOEN I (dewasa) kombinasi:

Kotrimoksazol Suspensi komb:

Larutan mengandung Elektrolit (Na 130

159 btl 9275.00 1474725.00 4 btl

94 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 tab 88.00 0.00 0 tab

0 amp 130999.00 0.00 0 amp

2 amp 130999.00 261998.00 2 amp

1 amp 130999.00 130999.00 1 amp

0 amp 145200.00 0.00 0 amp

106 Serum ABU I (Biosave) 0 vial 462000.00 0.00 0 vial

1 vial 462000.00 462000.00 0 vial

600 set 1500.00 900000.00 700 set

Mengetahui, Asembagus, 28 Februari 2019

dr. SITI CHOIROH Panca Rhizqi Hayati

LAPORAN MUTASI BARANG BULANAN PERSEDIAAN OBAT-OBATAN

SKPD : DINAS KESEHATAN KABUPATEN SITUBONDO

Saldo Awal Mutasi Masuk Mutasi Keluar Saldo Akhir

Mengetahui, Asembagus, 31 Maret 2019

dr. SITI CHOIROH Panca Rhizqi Hayati

LAPORAN MUTASI BARANG BULANAN PERSEDIAAN OBAT-OBATAN

SKPD : DINAS KESEHATAN KABUPATEN SITUBONDO

Saldo Awal Mutasi Masuk Mutasi Keluar Saldo Akhir

No Nama Barang Harga Harga Harga Harga

1 Alinamin F tablet 110 tab 1100.00 121000.00 110 tab 1100.00

Mengetahui, Asembagus, 30 April 2019

dr. SITI CHOIROH Panca Rhizqi Hayati

LAPORAN MUTASI BARANG BULANAN PERSEDIAAN OBAT-OBATAN

SKPD : DINAS KESEHATAN KABUPATEN SITUBONDO

Saldo Awal Mutasi Masuk Mutasi Keluar Saldo Akhir

Mengetahui, Asembagus, 31 Mei 2019

dr. SITI CHOIROH Panca Rhizqi Hayati

LAPORAN MUTASI BARANG BULANAN PERSEDIAAN OBAT-OBATAN