Nama Barang Stok Awal Harga Masuk Keluar

NAMA BARANG STOK AWAL HARGA MASUK KELUAR
3 way stop cock ( Eskamed ) 500 3,780

3 way stop cock ( One Med ) -
ALKOHOL 70% 1 L 26 30,000
ALKOHOL 95% 1 L 10 65,000
ALKOHOL PAD 118 13,200
ANIOSYME DDI 19 565,334
AQUAGEL (JELY 5 G) -
Artiflek 2,7 m -
Aseptic Gell / Alkohol Gell hand 58 25,190
Baseball Splint M No.2 ( VAR 331 -
BETADIN SOLUTION 1 L 1 1,149,314
BETADINE SOL 60 ML 11 23,890
BONE WAX W 810T -
Burete set 113 56,650
Cerflast 45 x 200 -
Cervical Collar (universal) 5 133,584
cervical collar HARD L 1 165,000
cervical collar HARD M 1 192,500
cervical collar HARD S 1 165,000
Cervical collar Sof -
Condom Chateter 20 5,500
Corrugated Tube -
Curaspon Standar -
Cuticell Classic 10x10 50 5,520
Cutimed Siltec 10x10 -
Cutimed Sorbact 4x6 9 37,687
Cutimed Sorbact 7x9 241 50,653
Dermafix 10 x 25 cm 250 15,836
Dermafix 10 x 8 cm 100 4,844
Discofix 3 way 65 32,150
E CARE SURGI GLOVE 6,5 -
E-Care Hand RUB 500 ml -
E-Care Hand SCRUB 5 liter 50 135,849
Ecoflax mix -
Elastis Band 10cm -
Elastis Band 15cm -
Elastis Band 7,5cm 12 14,300
Elastomull Haf 8 x 4 -
Electroda 1,000 3,960
ELECTRODA EKG (UMUM PER PCS -
Euroflow -
Extention tube 75 cm 750 8,684
External Catheter / Kondom Cath -
External catheter/kondom katet -
Eye Protector 56 58,235
Film Dressing -
Folley Catheter 10 10 12,689
Folley Catheter 12, 15 12,100
Folley Catheter 14 Silicon ( Fesco -
Folley Catheter 16 9,400 11,132
Folley Catheter 16 ( Remedi ) -
Folley Catheter 16 Latex (Fesco) 26 11,881
Folley Catheter 18 triway -
Folley Catheter 20 Triway -
Folley Catheter 22 -
Folley Catheter 24 Norta triway -
Folley Catheter 24 triway ( rusch) -
Folley Chateter 2 way no. 24 (Re -
Folley Chateter 22 Triway (Rush) -
Formalin Cair 5 88,000
Gauze Roll 36 357,500
Gudel 0 2 49,500
Gudel 00 3 49,500
Gudel 000 -
Gudel 1 3 49,500
Gudel 2 15 24,750
Gudel 3 -
gudel 4 -
Gudel 5 -
Gypsona 10 cm -
Gypsona 10 cm ( BSN ) 11 39,659
Gypsona 15 cm -
Gypsona 15 cm ( BSN ) 12 52,006
Gypsona 7,5 cm 31 28,327
H2O2 3% 1 Liter 19 38,500
Handscon / sarung tangan -
Healer Underpad 60x 90 cm 3,220 3,905
Hinged Stabilizing Knee Brace ( V -
Hyfafix 5 x 10 2 108,900
Hyfafix 5 x 5 5 63,800
Hypapix @ cm -
ID Band 2 145,200
Incision Knife 114 219,978
Indicator Strip Clas 5 684,232
Infusion Set HD -
Infusset (COSMO) -
Infusset Macro Otsuka Y-SET 900 8,400
Infusset Makro(Grafuset) -
Infusset Micro (Wego) -
InfusSet micro OGS/Pediaset -
Infusset Micro Otsuka -
Infusset Micro Remedi -
Infusset Micro Stera -
Infusset Remedi -
Infusset Terumo 1,250 7,320
injectomat line 550 9,269
Intrafix Microdrip -
Intrafix Primeline Dewasa -
Intrafix Safeset 538 24,000
Introcan safety 20, 22, 24 ( Surfl -
IV.Catheter no. 22 Flashback ( Re 100 5,040
Jacksoon Rees Anak -
Jacksoon Rees Dewasa 1 358,600
Jarum Heating Kulit No. 10 36 1,604
Jarum Heating Otot No. 1 12 1,604
Jarum Spinal no. 20 -
Jelly EKG -
Jelly USG 35 38,500
Jelly USG 5 Liter -
Kapas 500 gram 30 39,600
Kapas Berlemak 17 18,975
Kapsul Kosong 46,000 94
Kasa Steril -
Kassa Panjang 95 137,200
Kassa Panjang 40x80 X Ray 35 263,320
Kayu Spalk 3,053 6,500
Kertas CTG 3,053 6,500
Kertas EKG 110 X 30m 1 103,125
Kertas EKG 12 Chanel 5 245,300
Kertas EKG Philip 4 616,000
Kertas puyer 26,400 69
Kertas puyer Perkamen 4 22,000
Kertas USG 3 D (110 HG) 16 291,500
Kertas USG UPC 21 L 1 2,786,300
Laminaria M -
Laminaria S -
Masker 17,750 740
Masker (hijab) -
Masker (hijab) TP 1,400 418
Masker Aerosol Anak 170 11,330
Masker Aerosol Dewasa 160 11,660
Masker N95 1,100 7,489
Masker Nebul Anak -
Masker Nebul Dewasa 210 33,880
Masker Nebul Dewasa ( Cosmo ) -
Masker O2 Anak (BPJS) -
Masker O2 Bayi 74 14,031
Masker O2 Dewasa (BPJS) -
Masker O2 Non Rebreather Anak -
Masker O2 Non Rebreather Dew 108 19,154
Masker O2 Rebraether anak -
Masker O2 Rebreather Dewasa -
Masker oxygen anak -
Masker oxygen dewasa 120 38,323
Masker Oxygen dewasa (Remedi) -
My Jely (sachet 5 gr) 16,340 2,531
Nasal bayi 200 8,030
Nasal canula anak 325 7,808
Nasal canula dewasa 320 5,500
Nasal Mask (small) -
Nasal Oxygen Canula Neonate (ba -
Nasal oxygen tube -
Nasal Prong (micro) -
Neck Collar Hard S, M, L -
Needle 23 G -
NEEDLE 23 G X32MM AGANI (bpj 100 311
Needle 25 180 693
Needle 26 -
Needle 27 200 792
Needle Nanopass 32,5X4 2,100 1,998
Needle novofine -
Nelaton Chateter no. 8,10,12,14, -
Neoflon 26 -
NGT 10 -
NGT 12 25 15,372
NGT 14 179 2,888
NGT 16 235 15,371
NGT 18 76 15,371
NGT 3,5 29 36,960
NGT 5 136 17,368
NGT 6 10 22,110
NGT 8 136 7,700
ngt 8 100cm 10 17,368
Octenic Wash Glove 90 15,840
Opsite Post Op 25x10 cm -
Pap Smear Kit (S,M,L) 46 22,264
Patella Set -
PERIFIX 400 NO 18 -
Plester 7,5 x 4,5 cm 16 37,371
Policrep 10 cm 48 36,492
Policrep 15 cm 76 44,809
Policrep 7,5 cm 71 32,460
Polifix 10 x 5 162 78,608
Polifix 5 x 5 108 41,603
Poligip 10 cm -
Poligip 15 cm -
Poligip 5cm -
Poligip 7,5 cm 39 15,613
Polyflex no 26 -
Polyflex no 26 ( Polysafety ) -
Polypropilen 7/0 8mm SMI -
Polysafety no. 20 -
Polysafety no. 22 -
Polyvac no.10 9 97,009
Polyvac no.12 -
Polyvac no.14 7 97,009
Polywin no 26 400 13,530
Postofix -
Povidon Iodine 60 ml 300 4,440
Povidone Iodine 30 ml 2,988 3,480
Procrep 15 cm 40 41,910
Procrepe 10 cm 63 33,000
Procrepe 7,5 cm 25 27,830
PROGUT Cat gut Chromic 3/0 Bul -
PTP(Umbilical) 180 2,500
Rectal Tube 20,22,24,26,28,30,32 -
Rectal Tube No. 20 3 8,800
Rectal Tube No. 22 5 8,800
Rectal Tube No. 24 -
Remedi Derm film dressing -
Respirometer -
Romo Vac Set no. 12 5 385,000
Romo Vac Set no.10 5 385,000
Romo Vac Set no.14 5 385,000
SACRO PLUS BACK BRACE CORSE -
Safety Box -
Sarung Tangan No. 6,5
Sarung Tangan No. 6,5 Ambumax 350 6,449
Sarung Tangan No. 6,5 Free Powder (Remedi)
Sarung Tangan No. 6,5 Medic De 48 3,812
Sarung Tangan No. 7
Sarung Tangan No. 7 Ambumax 950 6,449
Sarung Tangan No. 7 Medic Dent
Sarung Tangan No. 7 Remedi 1,550 5,734
Sarung Tangan No. 7,5
Sarung Tangan No. 7,5 Ambumax 1,200 6,449
Sarung Tangan No. 7,5 Medic - Dent
Sarung Tangan No. 8
Sarung Tangan Non Steril L Isam 73 44,000
Sarung Tangan Non Steril L Nitril 48 57,024
Sarung Tangan Non Steril M Latex
Sarung Tangan Non Steril M Nitri 5 57,024
Sarung Tangan Non Steril S Isam 208 44,000
Sarung Tangan Non Steril S Latex -
Sarung Tangan Non Steril S Nitril 199 57,024
Sarung Tangan Panjang -
Skin Cleaner (Chloehexidine 2%) -
Skin Traction Kit ( Tensoplast STK -
Small DCP L5 -
Soda Lime -
Sofband 10 cm ( BSN ) 38 28,325
Sofband 15 cm ( BSN ) 36 39,655
Sofband 7,5 cm ( BSN ) -
Sofband / Poliban 10 cm 24 19,465
Sofband / Poliban 15 cm -
Sofband / Poliban 7,5 cm 60 14,762
Sofaman 500 ml
Spiritus 1000 ml 6 55,000
Spuit 1 cc 4,200 1,430
Spuit 1 Insulin -
Spuit 10 cc 15,000 1,870
Spuit 20 cc 1,900 5,280
Spuit 3 cc 13,900 1,138
Spuit 5 cc 19,800 1,602
Spuit 50 cc ( TP LUBANG PINGGIR 275 3,550
Spuit 50 cc ( TP LUBANG TENGAH 100 3,550
Spuit 50 cc (terumo biru) -
Spuit 50 cc (terumo hijau) 20 22,000
Spuit 50cc (Teromo Biru) -
Spuit 50cc (Teromo Hijau) -
Stockinet 4 INCH -
Suction catheter 12 103 3,904
Suction Catheter 14 180 3,904
Suction Catheter 6 17 8,250
Suction catheter no 10 29 3,904
Suction conecting tube 15 18,590
Surfa"Safe 8 439,560
Surfanios 14 360,734
SURFLO 16 70 8,355
Surflo 16 -
SURFLO 18 ( TERUMO ) 514 8,355
Surflo 18,20,22,24 -
Surflo 18.20.22.24 -
surflo 20 ( terumo ) 500 6,270
surflo 20 ( terumo SURSHIELD ) -
Surflo 26 Cathy -
Surflo WP no 24 300 15,178
Surflo WP no. 20 -
Surflo WP no.22 250 14,576
Surflo WP Wing no.20 -
Tensocrepe 10 cm -
Tensocrepe 15 cm -
Tensoplast STK Adult 3 177,375
Terufusion Blood Adm Set -
Three Way Stopcock W 160 15,004
Transfusi Set (Cosmo) -
Transfusi set (sangofix B Braun ) -
Transfusi Set HD -
Transfusi set OGS -
Transfusi set Remedi 200 4,899
Transfusi Set Terumo 500 13,975
Transfusiset (GEA) -
Transofix 350 3,400
Underpad Steril 120 8,800
Urin bag 390 5,330
Urogard Plus ( Urin Bag ) 260 38,095
Vagion -
Vaselin 100 gram 25 45,375
Vasflow 20 -
Vasflow 20 / Surflo 20 ( Supercath -
Vasflow 22 100 7,442
Vasflow 24 -
Vasflow 24 / Surflo 24 ( Flashback -
Vasofik 24 500 33,000
Vasofix Safety 20 200 22,000
Vasofix Safety 22( Surflo B Brau 420 8,750
Vasofix Safety G22 -
Venicath -
Venicath 26 -
Venocath 26 -
W film island dresseing 80 20,510
Wing Needle 23 250 5,643
Wound Dressing 200 4,950
Aprone (Remedi) 100 7,260
APRONE RNI (CELEMEK PLASTIK/ 1,500 2,127
APRONE WHITE MD(CELEMEK PLA 100 5,500
Autoclave Tape Indicator 44 84,614
BAYCLIN 1 l 94 15,400
Bisturi 15 -
Bisturi no 11 600 2,929
Bisturi no 15 880 3,300
Bisturi no 24 100 2,929
Bisturi no. 10 400 2,930
Bisturi no. 12 100 3,300
Canula Traches Tomy no. 6 -
Canula Traches Tomy no. 5,5 -
Canula Traches Tomy no.5 -
Canula Traches Tomy no.7 -
cat gut chomic 3/0 bulat -
cat gut chromic 1 bulat -
cat gut chromic 2/0 bulat 37 mm 180 32,800
Cat Gut Chromic 2/0 HR 30 mm -
cat gut chromic 2/0 SEGITIGA 3 -
Cat Gut Chromic 2-0 (ETHICON) -
cat gut chromic 3/0 bulat -
Cat Gut Chromic 3/0 SEGITIGA D -
cat gut chromic 4/0 bulat -
cat gut chromic atraumatic (sofc -
Cat Gut Chromic No. 1 7 822,428
Cat Gut Chromic No. 2 6 711,782
Cat Gut Plain 1 Bulat 37 mm -
Cat Gut Plain 2/0 Bulat HR 26 ( -
Cat Gut Plain 2/0 Bulat 26 mm -
Cat Gut Plain 2/0 Bulat 30 mm ( G -
Cat Gut Plain 2/0 Bulat 37 mm 60 35,285
Cat Gut Plain 2/0 Bulat HR 37 -
Cat Gut Plain 3/0 Bulat 26 mm 48 35,285
Cat Gut Plain No. 0 -
Cat Gut Plain No. 2 2 705,949
Cat Gut Plain No. 3 7 753,638
Chest Drainage Catheter No. 24 -
Chest Drainage Catheter No. 28 -
Chest Drainase catheter 20,22,24 -
Daclon 2/0 DS 24 mm -
Dafilon 2/0 segitiga 35 93,836
Dafilon 3/0 segitiga DS 19 -
Dafilon 3/0 segitiga DS 24 63 77,564
Dafilon 4/0 segitiga 52 66,084
Dafilon 4/0 segitiga (Yantis) -
Dafilon 5/0 -
Dafilon 5/0 Segitiga (bpjs) -
Dafilon 5/0 segitiga DS 12 -
Dafilon 5/0 segitiga DS 16 18
Dafilon 6/0 segitiga -
dapilon 5/0 segitiga -
Delta Cast 12,5 cm Sof White -
Delta Cast 7,5 cm Print Soccer -
Delta Cast 7,5 cm Sof White -
Delta Dry 3 inc ( 7,5 cm ) -
Delta Dry 4 inc ( 10 cm ) -
Delta Lite 3 inc ( 7,5 cm ) 8 148,061
Delta Lite 4 inc ( 10 cm ) -
Delta Lite 5 inc ( 12,5 cm ) -
Ecosyn 1 bulat 60
Ecosyn 3/0 segitiga -
Endotrachea 2.5 -
Endotrachea 2.5 (APBD) -
Endotrachea 2.5 Tanpa Balon -
Endotrachea 3 Tanpa Balon 3 20,900
Endotrachea 3.0 5 49,500
Endotrachea 3.5 -
Endotrachea 3.5 Tanpa Balon -
Endotrachea 4.0 8 49,500
Endotrachea 5.5 -
Endotrachea Uncuffed no 2,2.5,3 -
Endotracheal Tube 3,5 1 13,067
Endotracheal Tube 5 40 13,908
Endotracheal Tube no 4,5 3 13,908
LMA Laryseal no. 2 -
LMA Laryseal no. 3 -
LMA Laryseal No. 4 -
LMA Supreme No.3 -
LMA Supreme No.4 -
LMA Unique No.2 1 332,970
LMA Unique No.3 -
LMA Unique No.4 -
Mas Nursing Cap 1,000 849
Mas Surgical (Penutup Kepala) 300 99,765
Monocryl 1 bulat -
Monocryl 3/0 -
Monocryl 4/0 -
MonoPlus 1 Bulat -
Monosyn 1 bulat 108 124,740
Monosyn 3/0 bulat -
Monosyn 3/0 segitiga 36 77,721
Monosyn 4/0 DS 19 110 91,434
Optilen 3/0 bulat -
Phisiomesh 1520 -
Premilen 3/0 Bulat Double Jarum -
Premilen 3/0 segitiga 72 51,988
Premilen 6/0 10 60,045
Premilen 7/0 28 194,985
Premilene 2/0 bulat -
Premilene 2/0 Segitiga 109 101,398
Premilene 3/0 bulat -
Premilene Mesh 5 X 10 cm -
Prolen 7-0 -
Prolene 2-0 18 120,780
Prolene 3/0 48 120,780
Prolene 4-0 -
Prolene 5-0 -
safil 1 bulat 98 104,528
Safil 1 segitiga 7 111,650
Safil 2 bulat tambah -
safil 2/0 bulat -
safil 2/0 segitiga 57 106,150
Safil 3/0 bulat 36 93,761
Safil 3/0 sgt quick -
safil 4/0 bulat 30 83,946
Safil 4/0 segitiga -
safil 5/0 bulat 28 124,630
safil 6/0 segitiga -
Safil 8/0 -
safil quick 1 bulat -
safil quick 3/0 sgitiga -
safil quick 4/0 segitiga -
Side No. 2/0 4 445,899
Silk 1 bulat ( Gabler ) -
Silk Black 0 HR 37 mm -
Silk Black 1 HR 37 mm -
Silk Black 2/0 DS 24 mm -
Silk Black 2/0 HR 26 mm -
Silk Black 3/0 DS 24 mm 12 22,900
Silkam 1 bulat -
silkam 2/0 bulat -
Silkam 2/0 Segitiga 35 70,400
silkam 3/0 bulat -
Silkam 3/0 segitiga 155 25,567
silkam 4/0 bulat 19 79,750
Silkam 5/0 10 64,680
Sofcath chrom / Benang hepar -
Spinocan 25 125 41,800
Spinocan 26 150 41,800
Spinocan 27 110 33,360
Surgicryl 2/0 HR 26 -
Surgicryl 3/0 HR 26 -
Surgicryl 4/0 HR 26 12 60,895
Surplug ET 20 cm -
T Chromic 2/0 -
T Chromic 3/0 -
T Dio 1/0 12 121,452
T Lene 2/0 -
T Lene 3/0 -
T Mono 1/0 BULAT -
T Mono 3/0 SEGITIGA -
T Nylon 2/0 -
T Nylon 3/0 -
T Nylon 4/0 -
T Nylon 5/0 -
T Plain 2/0 bulat 24 43,032
T Plain 2/0 segi tiga -
T Plain 3/0 bulat -
T Silk 1/0 -
T Silk 2/0 -
T Silk 3/0 -
T Silk 4/0 -
T Vio 1/0 -
T Vio 2/0 -
T Vio 3/0 bulat -
T Vio 4/0 bulat -
Triton Mesh 5cm x 10cm 24 102,700
T-Silk/Sutera 4-0 76 cm DS 19 m -
T-Hernia Mesh Medium Mesh Sq 1 1,782,460
Vicryl 0 -
Vicryl 1 -
Vicryl 2/0 -
Vicryl 3/0 -
Vicryl 4/0 -
IOL -
1/3 Tubular Plate 4 Holes -
1/3 Tubular Plate 5 Holes -
1/3 Tubular Plate L10 bulan sabit -
ACC RCC L5 -
ACC RCC L6 -
ACC RCC L7 -
ACC RCC L8 -
Aqrilic Liquid -
Aqrilic Powder -
Bonecement Palacos MV -
Bovine Bone Cancellous -
Broad Plate 10 Hole -
Broad Plate L 10 -
Broad Plate L 11 -
Broad Plate L 12 -
Broad Plate L 8 -
Broad Plate L 9 -
Cancellous 4.0 Full L.20 -
Cancellous 4.0 T.32 L.20 -
Cancellous Screw 4 Full ( 12mm ) -
Cancellous Screw 4,0 1/2 ( 20mm -
Cancellous Screw 6,5 Full ( 40mm -
Cancellous Screw 6.5 T 16 L.55 -
Cancellous Screw 6.5 T. 16 L.50 -
Cancellous Screw 6.5 T.16 L.60 -
Cancellous Screw Full DIA 4 12 -
Cancellous Screw Full DIA 4. 20 -
Clavicula S - Plate L10 kanan -
Clavicula S - Plate L10 kiri -
Condilar Plate 5H Lef -
Condilar Plate 5H Right -
Condilar Plate L11 kanan -
Condilar Plate L11 kiri -
Cortex Screw 4.5 18 (AMM) -
Cortex Screw DIA 3,5 16 mm (A -
Cortical Screw 3,5 Self ( 12 ) -
Cortical Screw 3,5 self ( 18 ) -
Cortical Screw 3.5 L 14 -
Cortical Screw 3.5 L 16 non stapi -
Cortical Screw 3.5 Self Tapping L -
Cortical Screw 4.5 Locking L 22 -
Cortical Screw 4.5 Non Self Tappi -
DHS Plate L6 -
Drill Bit 1.0 -
Drill Bit 2.5 -
Drill Bit 3.2 -
Drill Bit 4.5 -
Ethibond 3/0 -
Ethibond 4/0 -
Ethibond 5/0 -
External Fixasi Large -
Humerus Proximal L Lef -
Humerus Proximal L Right -
K WIRE 1.0 L = 310 mm -
K WIRE 1.2 L = 310 mm -
K WIRE 1.5 L = 310 mm -
K-Wire 0,8 -
K-Wire 1,0 -
K-Wire 1,2 -
K-Wire 1,4 -
K-Wire 1,6 -
K-Wire 1,8 -
K-Wire 1.0 L 300dt -
K-Wire 1.5 L 300 dt -
K-Wire 2,0 -
K-Wire 2.0 L 300 dt -
L Plate Locking Titanium -
L Straight Plate 2.0 kanan Hole 4 -
L Straight Plate 2.0 kiri Hole 3 ( -
LCP Narrow Plate Locking 7 hole -
LCP Small T Plate Holes 4 (AMM) -
Locking Narrow Plate 9 Hole -
Malleolar Screw 4,5 ( 40mm) -
Mini Cortex 2.0 Uk.10 ( AMM ) -
MMB L5 -
MMB L7 -
MMB L9 -
Narrow Plate 10 -
Narrow Plate 10 Holes -
Narrow Plate 11 -
Narrow Plate 12 -
Narrow Plate 6 -
Narrow Plate 7 -
Narrow Plate 7 Holes -
Narrow Plate 8 -
Narrow Plate 9 -
Narrow Plate L 9 (AMM) -
Narrow Plate L8 (AMM) -
NARROW PLATE LCP ( 1 SET ) -
Rood Extfix 50 cm -
Schanz Screw 110 x 2.5 -
Schanz Screw 130 x 4 -
Small DCP L6 -
Small DCP L7 -
Small DCP L8 -
Small DCP L9 -
Small Plate 5 Holes -
Small T Plate L4 -
Small T Plate L5 -
Small T Plate L6 -
SNAR WIRE 0.4@cm -
SNAR WIRE 0.6@cm -
SNAR WIRE 0.8 syntes@cm -
SNAR WIRE 1,25 syntes @ cm -
SNAR WIRE 1.25@cm -
Steiment Pin 5 x 180 MM -
T Plate 6 Hole -
T Plate 8 Hole -
Throhanter L11 -
Throhanter L5 -
Throhanter L7 -
Throhanter L9 -
TLC Plate Locking Titanium -
TLC 11 Kanan -
TLC 11 Kiri -
TLC 12 Kanan -
TLC 12 Kiri -
TLC 13 Kanan -
TLC 13 Kiri -
TLC 14 Kanan -
TLC 14 Kiri -
TLC L5 Kanan -
TLC L5 Kiri -
TLC L7 Kanan -
TLC L7 Kiri -
TLC L9 Kanan -
TLC L9 Kiri -
T-Plate L5 -
T-Plate L6 -
Washer 3,5 -
Washer 4,5 -
Ankle Support With Spiral Stays M -
Arm Sling (S) 7 18,216
Arm Sling (L) 21 18,216
Arm Sling (M) 5 18,216
Clavicle Bandage Size XS -
Clavicle Brace S no.1 ( VAR 118 ) -
Clavicle Brace S no.1 ( VAR 138 ) -
Comfort Lif Elbow (S,M,L) -
Elastic Lumbosacral Corset M ( Va -
Elastic Lumbostad Corset M (135 -
Elbow Support Code 829 -
Korset ITTO S,M,L,XL,XXL -
Korset ITTO size L 12 247,500
Korset ITTO size M 6 247,500
Korset ITTO size S 8 247,500
Korset ITTO size XL 15 247,500
Korset ITTO size XXL 11 247,500
Korset ITTO size XXXL 5 247,500
Korset Lumbal Hanuka S,M,L.XL 9 225,006
Korset Spondy S,M,L -
Korset TLSO 3 456,995
LUMBOSTAD CORSET L ( VAR 161 -
LUMBOSTAD CORSET M ( VAR 16 -
LUMBOSTAD CORSET S ( VAR 161 -
Wrist Spilnt With Thumb Grip Lef -
Tx Lumbosacral Corset uk.S -
TX WRIST BRACE SPLINT -
Thermal Sport Short L no.3 (VAR -
Thigh High Varicose Stocking ( C -
Thoracic Lumbo Sacral ( TLSO ) -
Thoracle Trocar catheter -
Tongkat Kruk Alumunium L -
Tongkat Kruk Alumunium M -
VARICOSE SOCKS FOR MEN ( KNEE -
IOL C.Thrus PMMA 20.50 20 255,200
IOL C.Thrus PMMA 21.50 9 255,200
SVisc 1,8% Sodium Hyaluronate -
Nylon Black 10/0 -
Daclon 10/0 SMI -
Focus 10/0 -
IOL C.Thrus PMMA 26 226,875
Nylon 10.0 ( Mani ) 19 210,265
C-THRU BLUE ( TRYPAN BLUE ) -
Mede Blue (Trypan Blue) -
Catachol (Carbachol) 18 110,000
Tiim Starvisc HPMC / catagel / I 10 156,200
Aaron Bovie -
Ceratone / Ophtalmic knife -
Crescent Knives 2.00 mm 16 220,000
IOL OPTIMA -
Atramat 10/0 (Ethylon) -
Cutanplast 10x10x10 24 16,088
Devit S (Non Arsen) -
Needle Citoject 0.3 X 12 mm 300 5,198
Master Bond 7 359,150
Micro Brush Svenska 3 297,000
Edta 17 % 5 800,250
Needle Citoject Dochem 100 5,717
Bonding -
Edta Gel -
K OH -
CALIBRANT FLUID PACK -
Edan Test Cartridge -
ART GC Fuji IX (Glass Lonomer) 4 1,189,180
Benzotop/Topicain 4 178,200
Tissue 16 28,556
Calxyl 1 261,250
Caviton 4 257,840
CHKM 4 107,800
Cresotin 1 530,888
Etching -
Gutta Perca 15-40 5 72,600
Gutta Perca 45-80 -
K File 3 217,800
Kuas Bonding 1 326,700
Needle Olyco -
OCO 7 278,520
Paper Point 15-40 6 75,020
Paper Point 45-80 7 140,800
Scandonest inj 2%/3% 100 25,245
Solare/Composit 11 331,650
Zinc Phosfate Semen (Elite Ceme -
Atramat 10/0 (Yantis) -
Bisturi no. 24 (Yantis) -
Burette Set (Yantis) -
Cat Gut Chromic 4/0 _x001F_Segiti -
Dafilon 2/0 sgt ( Yantis ) -
Dafilon 3/0 ( Yantis ) -
Depakene syr ( Yantis ) -
Discofix 3 way (yantis) -
Elastis Band 10cm ( Yantis ) -
Elastis Band 15cm ( Yantis ) -
Elastis Band 7,5cm ( Yantis ) -
endotrachea 3.5 (jamkesmas) -
Endotrachea 3.5 (Yantis) -
Endotrachea 5 (jamkesmas) -
Endotrachea 5 (YANTIS) -
Endotrachea 7 (Yantis) -
ENDOTRACHEAL 6,5 (YANTIS) -
Endotracheal 6.0 (Yantis) -
FC 10 ( Yantis ) -
FC 12 (Yantis) -
FC 14 ( Yantis ) -
FC 16 ( Yantis ) -
FC 18 ( Yantis ) -
FC 20 (Yantis) -
FC 20 Tri Way ( Yantis ) -
FC 8 ( Yantis ) -
Gudel ( Yantis ) -
Gudel ( Yantis ) -
InfusSet ( Yantis ) -
Infusset Micro ( Yantis ) -
IOL (yantis) -
Jarum Heating Kulit No.15 (APBD 96 1,604
Kertas CTG (APBD) 15 -
Kertas EKG (APBD) 153 -
Kertas EKG 12 Chanel (APBD) 38 -
Lomatulle (Yantis) -
Masker 02 Non Rebreather Dewas -
Masker anak NRM (yantis) -
Masker O2 anak ( Yantis ) -
Masker O2 Bayi (Yantis) -
Masker O2 Dewasa ( Yantis ) -
Masker O2 Rebreather Dewasa (Y -
MonoPlus 1 Bulat (Yantis) -
Monosin 1/0 ( Yantis ) -
Monosin 1Bulat ( Yantis ) -
Monosin 3/0 blt ( Yantis ) -
Monosin 3/0 segitiga (Yantis) -
Nasal Canula O2 Anak ( Yantis ) -
Nasal Canula O2 Bayi (Yantis) -
Nasal Canula O2 Dewasa ( Yantis -
Neck Collar (yantis) -
Needle 23 ( Yantis ) -
Needle 25 (Jamkesmas) -
Needle flexpen ( Yantis ) -
Neoflon 26 ( Yantis ) -
Neoflon 26 (jamkesmas) -
NGT 10 (yantis) -
NGT 12 (Yantis) -
NGT 14 ( Yantis ) -
NGT 16 ( Yantis ) -
NGT 18 ( Yantis ) -
NGT 3,5 ( Yantis ) -
NGT 5 ( Yantis ) -
NGT 6 ( Yantis ) -
NGT 8 ( Yantis ) -
Plastic Celluloid Strip (GC) (APBD 4 -
Polyflex 26 (Yantis) -
Polygip 10 cm ( Yantis ) -
Polygip 15cm ( Yantis ) -
Polygip 7,5cm ( Yantis ) -
Prednison tab ( Yantis ) -
Premilen 7/0 (yantis) -
Premilene Mesh 5 X 10 cm (Yanti -
Safil 1 blt ( Yantis ) -
safil 2/0 blt ( Yantis ) -
Safil 2/0 sgt ( Yantis ) -
SAFIL 3/0 blt YANTIS -
Safil 4/0 blt ( Yantis ) -
Safil No 1 ( Yantis ) -
Safil Quick 1 blt ( Yantis ) -
Safil Quick 3/0 sgt ( Yantis ) -
silkam 1 bulat (jamkesmas) -
Silkam 1 bulat (Yantis) -
Silkam 2/0 blt ( Yantis ) -
Sofband 15 cm (Yantis) -
Sofband 7,5cm ( Yantis ) -
Sofban 10cm ( Yantis ) -
Sofban 15cm ( Yantis ) -
Spinocan 25 (yantis) -
Spinocan 26 (yantis) -
Spinocan 27 (Yantis) -
Spuit 10cc ( Yantis ) -
Suctio Catheter 8 ( Yantis ) -
Suction Cateter no 10 (Yantis) -
suction cateter no 12 (Yantis) -
Suction catheter 16 (yantis) -
Suction Catheter 6 ( Yantis ) -
Surflo 16 (yantis) -
Surflo 18 (yantis) -
Surflo 20 ( Yantis ) -
Surflo 22 / Vasflow( Yantis ) -
Surflo 24 ( Yantis ) -
Transfusi Set ( Yantis ) -
Urin Bag ( Yantis ) -
Wing Needle 23 (Yantis) -
Wing needle 23 APBD ( Yantis ) -
Wing Needle 25 ( YANTIS ) -
Wing Needle 25 APBD ( Yantis ) -
Wing Needle 27 ( Yantis ) -
Vasofix no. 20 -
Vasofix no. 22 -
Transfusiset Stera -
Surflo W no.24 -
Cervicall collar HARD L -
Cervicall collar HARD S -
Endotracheal Tube 5,5 -
Gypsona 7,5 cm (BSN) -
Progut 3.0 -
vasofix safety 20 (Surflo B Braun -
Kotak Slide 3 -
MAS SURGICAL CAP 600 998
Microscop Coper Glass -
POLIBAN 10 -
POLIBAN 7.5 -
SAFIL QUICK 3/0 SEGITIGA -
SANSULIN PEN -
Sarung Tangan No. 7,5 remedi -
Sarung Tangan No. 8 remedi 600
Sarung Tangan Non Steril M Isa 23 44,000
Cat Gut Plain 1 30 mm Gebler 12 ,
id band biru anak 3 145,200
id band dewasa 2 145,200
id band pink anak 5 145,200
Kayu Spalk -
cat gut chromic 3/0 bulat hr 26 48 33,785
cutimed gel 67 52,110
sarung tangan steril 7 isamed 400 5,639
sarung tangan steril 6,5 isamed 1,750 5,639
formalin tablet 100 2,035
Albuman 20% 100 ml -
Aminofluid 500 ml 270 70,189
Aminoleban inf 500 ml 5 74,655
Aminosteril Infant 6 % Infus -
Aqua 6,240 2,860
Aqua Botol Kaca
Asering inf 1,940 9,646
Ciprofloxacin 200mg inf 298 10,708
D 10% OGB 1,180 8,003
D 10% WIDA -
D 40% Otsuka 317 10,010
D5 1/2 NS WIDA 840 10,680
D5 1/4 NS OG 440 10,624
D5% OGB 2,900 6,900
Fluconazole Infus 1 18,988
Futrolit -
Gabaxa Infus 45 214,500
Human Albumin 20% Biotest -
Hydromal Infus 274 52,105
Hydrox 450ml -
Infumal 10 -
Infusan D5 1/2 NS 360 9,890
Infusan D5 1/4 NS 369 9,841
Infusan NS -
Infusan Ring As 2,424 10,290
Infusan RL 1,272 7,629
KA EN 3A 720 11,314
KA EN MG 3 -
Kabiven Peripheral Inf 113 363,330
KCL 568 3,223
KDN -1 -
KDN -2 -
Levofloxacin Inf 500 mg -
Livola Infus -
Manitol 250 ml 46 28,276
Manitol 500 ml 100 43,500
Metronidazol Infus 800 7,700
Meylon inf 384 6,448
MgSO4 20% 69 3,328
MgSO4 40% 126 3,796
Movibet 400mg Inf 10 184,250
Moxifloxacin 400mg inf 6 187,000
NaCL 0,9% 100 ml 120 13,662
NaCL 3% ( Otsu Salin 3 ) 50 30,335
NaCl Wida OG 500 6,840
Paracetamol Infus 419 11,990
Piracetam Inf 38 50,050
PLASBUMIN 20 % 100 ML ( BPJS ) 78 879,953
PLASBUMIN 5 % 50 ML -
Resfar Infus -
RL WIDA OG 3,260 7,630
Trichodazol inf 370 71,857
Tridex 27 A 849 11,550
Tridex 27 B 292 10,824
Trogyl inf -
Voluven 6% inf -
Water irigasi 15 12,100
Wida 2A inf -
Wida HSD inf -
Widabes infus -
Widahes 130 infus 34 66,837
Acilaz tab 30mg -
Afolat tab -
Albuforce Kap -
Alpentin tab 3,000 1,150
Aminefron tab 800 6,971
Amoxan 500 mg tab -
Analtram tab -
Antrain tab -
Aricept 10 mg Tab 140 12,485
Arkine tab -
Asimat 500mg -
Aspar K -
Aspilet 3,300 583
Avelox Tablet 400 mg -
Axtan -
Bamgetol 200mg Tab 500 1,980
Becom C tab -
Buscopan Plus Tab -
Cal 95 tab -
Calos -
Caltron Tab -
Carniten 30 mg Tab -
Cavicur (curcuma) -
Cefat 250 mg kap -
Cefat 500 mg cap -
Cefila tab 100 MG -
Cefila tab 200 MG -
Cepezet tab -
Ceptik 100 cap -
Ceptik 200 cap -
Ciflon tab 240 8,063
Clinmas 300mg Kap -
Clorilex 25 mg -
Cobazim cap -
Concor 10 mg tab 450 2,950
Concor 2.5mg tab 40,700 626
CORSTANAL TAB 500MG -
Curcuma tab 15,000 876
Depakote 250MG E.R TAB 200 2,954
Depakote 250MG TAB 1,500 1,200
Depakote 500mg E.R 1,000 5,928
Diabex 500 mg -
Dopamet 400 1,088
Dores 1.5 mg Tab 500 1,877
Dorner tab 20 mg 1,050 4,570
Dulcolax tab 1,700 1,401
Elizac 20mg tab 1,020 2,017
Erphafilin Tab 200 mg -
Erysanbe 200 mg CHEW -
Erysanbe 500 mg 300 2,708
Etabion (vit & mineral) 700 170
Euthyrox 100 mcg Tab 1,100 1,021
Euthyrox 50 mcg Tab 1,600 735
Exjade 250mg -
Fargoxin -
Farmalat 10 mg -
Farsix -
Fasorbid 5 mg -
Fastor 10 mg Tablet -
Fetavita tab -
FITBON CAP 2,220 1,320
Folamil genio -
Foransi 20 mg Kap 1,470 3,135
Gastridin 200 5,469
Gastrul -
Geebio sach -
Glauseta 100 3,647
Glucodex tab 300 325
GLUMIN XR 500 MG -
Grafamic Tab 500 mg -
Harnal 0.2 mg tab -
Harnal Ocas 0.4mg tab -
Hemafort tab 700 710
Hepa Balance Kaplet -
Herbesser CD 200 -
Herbesser CD100 tab -
Hexymer 2 mg 8,000 385
Hezandra tab -
Hi Bone Chew -
Hystolan -
Imboost Force Tab 150 5,808
Interhistin -
Intidrol Tab -
Intunal F -
Isprinol Tab -
Kalxetin 20 mg kap -
Kamolas Tab 11,500 180
Keren Tab -
Ketosteril Tab 100 6,831
KOLKATRIOL 0.24 TAB -
KSR tab -
Kutoin 700 1,265
L Bio 840 6,897
L BIO CAPSUL -
L- Cisin Tablet -
Lactasin -
Lacto B sac 640 6,166
Lameson 4 mg 1,000 3,396
Lameson 8 mg -
Lanfix 100 mg Tab -
Lapibal -
Lapicef 500 mg -
Lapiflox -
Lapimox 500 mg -
Lapistan 500 mg -
Lasal 2 mg -
Lasal 4 mg 800 1,672
Lesichol 175 mg 200 6,930
Lesichol 300 mg -
Levopar 1,100 3,960
Lodia 480 1,046
Lodomer 2mg tab -
Loremid 2 mg -
lubire tab -
Maltofer fol -
Mefinal 500 mg -
Mefinter 500 mg -
Megabal (mecobalamin 500 mg) 9,100 550
Mestinon 60 mg tab 150 7,513
Micardis 40mg tab 300 3,045
Micardis 80mg tab 1,260 5,409
Miniaspi 80mg 400 99
Mipros Tab -
Molasma 2.5mg Tab -
Moxic 7.5 mg 580 5,225
Moxic Forte 15 mg 120 8,883
MOZUKU TAB -
Nairet 1,700 1,254
Neo Diaform 750 240
Neurodex tab 9,200 593
Nevodio Tab 5 mg -
New Antides (Actapulgit) tab 3,500 149
Nimotop tab -
Nitrokaf Tab 2,100 1,794
Norelut -
Notisil Tab 2 mg 500 737
Nutranex 500mg tab 7,600 1,584
Nutri B blister -
Obdamin -
Opicef 500 mg -
Opimox 500 mg -
Optalvit Plus Tab -
Orphen -
Osteofortis Tab -
Oxcal 300 3,734
Pamol 300 661
Pepzol 20mg tab -
Perifas -
Pharolit sachet -
Pomifar Tab -
Pradaxa 110mg cap 60 14,800
Prelin 75 mg tab 1,120 6,286
Primet 25 mg Tab 500 1,650
Probenid 500mg tab -
Profolat tab 5,400 60
Promama blister -
Promavit blister -
Prostacom (FINASTERIDE) -
Provital -
Pyrexin -
QUATRO 1 KAP -
Recansa 10 mg -
Reprosid 5 mg (finasteride) -
Retaphyl SR -
Rhinofed -
Rhinos SR 250 5,094
RifaNH 2FDC -
Rifastar 4FDC -
Sanmol 500 300
Santa E 100 -
Scopamin tab -
Sedrofen 500 mg 30 11,396
Sernade tab -
Sifrol 0.375 mgtab 2,820 8,300
Sifrol 0.75 mg 510 13,200
SIRPLUS 7,030 193
Sistenol 2,220 2,145
Spasmomen -
Stalevo 100mg -
Stelosi 5 mg 7,500 550
Tebokan Special -
Tebokan tab -
Tensivask 5 mg -
Thyrozol 10mg -
Thyrozol 5 mg Tab -
Tiaryt 200 mg Tab 210 2,167
Tifestan 500mg tab -
Tofedex Tablet -
Topamax 25 mg Tab -
Tracetate Tab -
Tremenza 200 1,485
Trichodazol 500 mg -
Trifacort 5mg tab -
Trilac -
Trizedon MR tablet -
Trombufit 120 5,390
TROPIDROL 16 MG TAB -
TROPIDROL 4MG TAB -
TROPIDROL 8MG TAB -
Tuzalos 100 921
Urinter 1,100 1,400
Urotractin cap -
Utrogestan 100 mg -
Utrogestan 200 mg 135 20,378
Valesco 160mg tab -
Verona -
Vip Albumin 120 6,435
VIP ALBUMIN PLUS -
visela tab(as folat.B6.B12) 1,900 125
Vistanax 2 mg Tab 60 7,920
Vitamulti DHA Tab -
Vometa FT -
Widoxil 500 mg Tab 100 9,350
Xepathritis 50mg tab 200 1,650
Ambroxol syr 390 3,627
Amoxan 125 mg syr -
Amoxan 250 mg syr -
Amoxicillin 100 mg Drop 430 13,500
Amoxicillin syr 125mg -
Amoxicillin syr Forte 250mg -
Antasid syr 150 3,184
Apecur syr -
Apialys drop 10 41,800
Apialys syr -
Asam Valproat syr 50 17,787
Bevita Syr -
Biolysin Syr -
Bufect syr 16 14,800
Calnic Plus Susp -
Cefadroxil Forte 250mg Syr 450 5,460
Cefadroxil syr 210 4,086
Cefila drop 3 86,735
Cefixime syr -
Ceptik syr -
Cetirizin syr -
Cotrimoxazole Syr 620 2,052
Curbexon syr -
CURVIT SYR (NEW) 60 ML 25 22,424
D Vit Syrup -
Dehydralit syr -
DIAGRO SYR (ZINC 20MG) 72 24,200
Domperidon syr 30 9,488
Erysanbe syr 20 22,523
Erythrin syr -
Erythromicin syr -
Ibuprofen 100mg syr -
Ibuprofen 200mg syr -
Imboost Force syr 60 ml -
Inpepsa syr -
Interhistin syr 24 37,139
Interzinc syr 72 18,656
Isprinol syr -
Kamolas DROP 30 26,400
Kamolas Forte syr -
Kamolas syr 40 4,675
Kandistatin drop 70 36,575
Lapicef 125 ml syr -
Lapicef Drop -
Lapicef Syr 250 mg -
Lapimox Ds 125mg -
Lasal syr -
Latropil syr -
Laxadine emulsi 60 ml 3 37,538
Lexapram syr 30 2,900
LODOMER DROP (Haloperidol) -
Maltofer drop 12 62,370
Maltofer syr -
Mozuku Syr -
Mucera drop -
Mucera syr -
Nystatin Suspensi 10 21,780
OBH Molex SYR 84 3,850
Opicef DS -
Opilax syr 76 57,475
Opimox Forte syr -
Opimox syr -
Opixime syr -
Optalvit Syr -
Ottopan drop 40 24,035
Ottopan syr -
Pamol drop 28 43,753
Pamol syr 48 24,929
Paracetamol drop -
Paracetamol syrup -
Pirantel syr 40 11,050
Pralax syr -
Renasistin drop -
Rhinofed syr 30 26,813
Rhinos drop -
Rhinos syr -
Ryvel drop 2 53,900
Salbutamol syr 533 4,446
Sanmol drop 210 15,980
Sanmol syr 70 12,227
Sedrofen syr -
Sporetik Syr -
Sucralfate syr 460 8,206
Supralysin 60 ml syr 75 22,990
Supralysin drop -
Supramox drop 10 21,945
Supramox syr -
Tiriz drop 5 67,925
Tracetate 200ml Syr -
Trisela Syr -
Troflat Susp 21 52,800
Zamel Drop -
Zamel Syrup -
Zinc pro drop -
Zinc pro syr 158 7,260
Zinc syr -
Zircum kid syr 45 18,975
Acyclovir 5% Salep -
Akilen Ear Drop -
Antihemorhoid supp -
Asthenof 5 ml ED 130 22,522
Augentonic 0.6ml MD -
Augentonic 15 ml ED -
Avamys Nasal Spray 15 107,120
Bedak Salycil 9 6,006
Berotec 100 spray 35 83,190
Betadin gargle 100 ml -
Betametason crem -
Betason N cr -
Bionect cr 10 117,700
Bioplacenton gel 15GR -
Blecidex Eye/Ear Drop 115 42,793
Carpine 1% ED -
Catarlent 15 ml -
Catarlent 5 ml -
Cendo Efrisel 10% -
Cendo Lyter MD -
Cendo Mydriatyl TM 0.5% -
Cendo Mydriatyl TM 1% -
Cendo Tropin 0,5 % 5 ml -
Cendo Tropin 1% TM 5 13,406
Cenfresh 0,6 ml MD -
Chloramfenicol SM 1 % 580 1,925
Colme TM -
Colme TT -
Conal 5 ml TM -
Confortin cream -
Conver 2% 15 ml 5 13,943
Cutimed Gel -
Desoximetasone 0.25 cream 15 g 40 12,075
Dexaton TM -
Digenta cr -
Dulcolax 10 mg supp -
Enbatic Powder (Basitracin-Neom 80 2,575
Erlamycetine Salep Mata 50 6,040
Erlamycetine Tetes Mata 4 10,764
Erlamycetine Tetes Telinga 24 6,183
Eyefresh 0.6ml MD -
Fleet Enema 10 41,305
Floxa MD -
Forumen TT 240 26,062
Fucilex cream (asam fusidat) 13 7,150
Fuladic Cream 36 55,385
Genoint ED -
Genoint Salep Kulit -
Genoint SM 75 6,793
Genta 0,3 % 5 ml -
gentalex cream 5 gr (gentamicin) -
Gentamicin SM 15 3,075
Gentamicin TM -
Gentian Violet 1 % -
Hervis EO 3,5 gr -
Hyaloph 0.1% -
Hydrocortison Salep 9 4,911
Inerson cr 15 gr 17 67,925
Kenalog In Oribase 5gr -
Ketoconazol crem 60 2,577
LFX MD 150 14,801
Lyters 15 ml ED 76 24,131
MEBO oinment 2 87,450
Mederma cr -
Miconazol crem -
Microlax supp -
Mometasone cream -
Noncort 0.6ml MD 300 9,063
Nystatin 100.000 IU Tab Vagina -
Ottopain TT -
Oxytetracycline SM -
P.Pred 10mg/0.6ml MD 100 8,205
Pantocain 0,5% TM -
Pantocain 2% ED -
Polidex 5 ml ED 40 38,342
Profecom supp -
Propyretic 160 mg supp -
Propyretic 240 mg supp 36 8,708
Propyretic 80 mg supp 182 6,875
Protagenta 0.6ml MD 100 7,695
Protofen Supp -
Sagestam TM/TT -
Salep 2-4 -
Salticin cr -
Scabimite cream 10 gr 50 11,825
Seretide Diskus 100 5 103,817
Sofra Tulle -
Sulfadiazine Silver Cream 137 20,699
Symbicort Turb 160 40 134,283
Symbicort Turb 80 25 125,840
Thrombogel Gel -
Thrombopob Gel -
Timolol isotic 0,5% TM 263 11,275
Tobroson 0,6 ml MD -
tromboflash 10 gr gel (heparin -
Vagistin ovula -
Vagizole Ovula 60 3,500
Vasacon A ED 10 23,997
Venosmil gel -
Ventolin Inhaler -
Vitrolenta ED 60 35,124
Xitrol 5 ml ED 217 29,226
Xitrol MD -
Xitrol ointment 33 37,478
Amikacin 250mg/ML inj -
Amikasin inj 500 mg -
Aminophyllin inj 259 2,878
Amiodaron Inj 236 8,700
Ampicillin 1 gr Inj 70 9,473
Anesfar inj -
Antrain inj -
Apidra inj 70 87,000
Arixtra inj 60 273,800
Asam traneksamat 250MG inj 670 4,224
Asam Tranexamat Inj 500 mg -
Atropin Sulfat Inj 300 1,859
ATS 1500 IU Inj 447 130,999
Bactraz Inj -
Biocef inj (BPJS) -
Bioxon Inj 114 219,450
Bricasma Inj -
Bricasma respules 240 7,205
Bunascan Spinal 0.5% 70 39,600
Buscopan inj 40 34,243
Calsium Gluconas Inj 312 10,351
Cefazolin 1g Inj -
Cefepime Inj 1 gr -
Cefoperazone Inj 532 17,589
Cefoperazone Sulbactam 1 gr In 302 46,200
CEFOPERAZONE SULBACTAM INJ ( 168 19,728
Cefotaxime inj 1,154 4,404
Cefazidime inj 1,526 14,313
Cefriaxon 1 gr inj 2,186 5,148
Cefxon inj -
Cepofion inj -
Cernevit inj -
Cetadop 200 mg Inj 1,240 6,160
Chlorpromazine INJ -
Cinam Inj -
Citicoline 250 mg inj 4,650 6,601
Citicoline 500 mg inj -
Combivent neb 500 4,550
Dexametason inj 300 1,450
Dexketoprofen 50mg inj 25 18,480
Difenhidramin inj 1,050 1,262
Diuvar Inj -
Dobutamin 250mg inj vial 280 13,945
Ephedrin Inj 120 8,569
Epinephrine Inj 189 1,518
Esola Inj -
ESomax Inj -
ESomeprazol Inj 22 28,035
Ezelin Insulin -
Fargoxin inj 110 25,300
Farmabes Inj 1,650 56,628
Farsix inj 13,300 965
Farsorbid Inj 10 ml 194 34,650
Flixotide Neb 150 14,929
Fosfomicin inj -
Furamin Inj -
Furosemid inj 7,450 3,410
Gastridin inj -
Gavistal inj -
Gentamicin inj 740 -
Gitas inj 125 26,175
Herbesser inj -
Hyper Hep B Inj -
Hypobhac 100 mg Inj -
Hypobhac 200 mg Inj -
Indexon inj -
Infibiotic Inj 1 gr (BPJS} -
Inotrop Dobutamin Hcl inj 200 59,939
Inviclot inj 25 43,995
Isosorbide dinitrate inj -
Keren Inj 30 48,400
KETOROLAC INJ 30MG (bpjs) -
Kliran 8mg/ml inj -
Kutoin inj 210 82,225
Lacedim inj 34 229,900
Lanabal Inj -
Lansoprazole inj 39 86,922
Lantidex inj 120 33,340
Lantus solostar Inj -
Lapibal inj -
Lapixim 1 gr inj -
Levemir flexpen inj 40 83,950
Lidocain comp inj 1,470 1,317
Lidocain inj 600 1,408
Lodomer Inj -
Mecobalamin inj 1,600 6,600
Meropenem 1 Gr -
Meropenem 500mg inj -
Methotrexate 50mg inj -
Methylprednisolone inj 1,558 11,449
Metoclopramid inj -
Natrium Fenitoin inj 90 11,856
Neo K inj -
Neurosanbe inj 1,000 5,330
Nexigas Inj 40 mg (esomeprazole 20 143,000
Nicardipine inj -
Norepineprine Inj 220 25,839
Novomix 30 flexpen inj 40 110,968
Novorapid flexpen inj 375 87,000
NTG Inj 10mg -
Omeprazole inj -
omeprazole inj 40mg (BPJS) -
Ondansetron 4 mg inj 290 2,102
Orasic inj -
Oxytocin Inj 3,900 -
Pantoprazole 40 mg Inj 1,055 23,000
Pehacain inj 40 3,113
Pepzol inj 26 154,000
Piracetam 1 gr inj 92 3,960
Piracetam 3 gr inj 470 12,540
Pospargin inj -
Prohem inj -
PROINFARK INJ (DOPAMIN) 25 6,160
Pulmicort Resp 0.25MG/ML -
Pulmicort Resp 0.5MG/ML -
Pumpitor inj 40 153,046
Ranitidin inj 6,200 1,188
Sagestam Inj -
Sansulin Log-G Inj -
Santagesic inj 4,050 4,070
Starxon 1 gr Inj -
Streptomycin Sulfate Inj 20 6,250
Tapros inj 3.75 mg -
Tetagam inj 95 188,663
Tofedex Inj -
Topazol inj 35 153,615
Toramin 30 mg Inj -
Tramadol Inj -
Tranxa 250mg inj -
Triasco 1gr inj -
Trilac inj 50 39,401
Trilac Inj 40 mg -
Trolac 30mg/ml inj -
Ulceranin Inj -
Umarone 2ml Inj -
Vancep Inj 16 198,000
Vascon Inj 4 ml 175 49,500
Velutine Respule -
Venodenol Inj 3% -
Ventolin neb 2,500 4,000
Verdif Inj -
Viccillin 1500 mg 240 40,000
Vit C inj -
Vit K inj 330 4,236
Vometron 4mg Inj -
Acarbose 100mg tab 900 900
Acarbose 50mg tab -
Acetosal 100 mg Tab 2,100 162
Acetylcysteine kap 7,120 880
Acyclovir 200 mg 600 388
Acyclovir 400 mg 700 935
Albendazol tab -
Allopurinol 100MG 4,500 99
Allopurinol 300MG -
Ambroxol tablet 8,000 277
Amitriptilin 21,600 171
Amlodipin 10 mg 28,900 94
Amlodipin 5 mg 6,650 76
Amoxicillin 500 mg tab 1,000 248
Antasid -
Asam Folat 1mg tab 8,800 173
Asam Mefenamat 500 mg -
Asam Tranexamat 500mg tab -
Atorvastatin 10 mg (HJ) -
Atorvastatin 10mg Tab -
Atorvastatin 20mg Tab 1,020 993
Azithromycin 500mg tab 160 1,778
Betahistin 800 119
Bisakodil Tablet 5 mg 420 316
Bisoprolol 5MG 3,350 298
Calsium Lactat tab -
Candesartan 16mg 58,320 1,048
Candesartan 8mg tab 12,540 599
Captopril 12,5 mg 3,500 65
Captopril 25 mg 1,500 82
Captopril 50 mg 2,000 143
Carbamazepin 5,900 234
Cefadroxil 500 mg 5,800 580
Cefixim 100 mg -
Cefixime 200Mg 1,130 2,430
Cetirizine 2,200 313
Chlorpromazine 100mg tab -
Cilostazol 100 mg Tablet 500 10,450
Ciprofloxasin 500 mg 3,900 462
Citicolin tab 500 mg 900 6,233
Clindamicin 150 mg 1,800 667
Clindamicin 300 mg -
clomifen sitrat 50mg tablet -
Clonidin 100 201
Clopidogrel Tab 4,200 1,568
Clozapine 100 mg -
Clozapine 25 900 1,121
Co Amoxiclav 625 mg 240 5,808
Cotrimoxazol tab 500 267
Cotrimoxazole Forte -
CTM tab 3,100 24
Dexamethason tab 7,700 34
Dexketoprofen 25 mg 270 2,475
Digoxin 3,700 104
Diltiazem 500 136
Dimenhydrinate 50 mg Tab -
Domperidon tab 2,300 278
Doxycycline 100 mg 400 451
Eperisone 50mg tab 6,700 1,232
Erytromicin 250 mg -
Erytromicin 500 mg -
Etambutol 500 mg 200 880
Fenofibrate 100 mg -
Fenofibrate 300 mg -
Fluconazole 150mg 100 21,527
Flunarizine hcl 10mg 1,000 1,540
Flunarizine hcl 5mg 760 894
Furosemid 39,000 79
Gabapentin 300mg kap -
Gemfibrozil 300 MG -
Gemfibrozil 600 mg -
GG tab 8,600 235
Glibenklamid 500 184
Glimepiride 1 mg 200 174
Glimepiride 2 mg 21,700 207
Glimepiride 3mg 1,400 245
Glimepiride 4mg -
Gliquidone 30 mg 200 1,204
Glucosamin 250MG Tab 480 704
Glucosamine 500 mg (Chondroiti 1,800 1,198
Haloperidol 5 mg 500 292
Halopuridol 0.5mg tab 7,100 55
Halopuridol 1.5mg tab -
HCT tab -
Ibuprofen 200mg TABLET 2,200 112
Ibuprofen 400 mg -
INH 100MG 800 143
INH 300 mg 700 190
IRBESARTAN 150MG 1,500 425
IRBESARTAN 300MG 1,700 760
Isosorbide 5 mg 6,700 89
Kalium Diklofenak 25 mg 2,500 274
Kalium Diklofenak 50 mg 2,750 496
Ketoconazole 350 286
Lansoprazole -
Levoflosaxin 500 mg tab 400 1,142
Lisinopril 10mg -
Lisinopril 5mg 9,100 238
Loratadin 2,500 233
Mecobalamin -
Meloxicam 15 mg 5,000 480
Meloxicam 7,5 mg 10,000 381
Metformin 500 mg 9,000 180
Metformin 850 mg 700 178
Methyl Ergometrin Tab 1,300 259
Methylprednisolone 16 mg table 34,400 585
Methylprednisolone 4 mg tablet 2,200 220
Methylprednisolone 8 mg tablet 7,000 410
Metoclorpramid 10 mg tab 300 83
Metoclorpramid 5 mg tab 300 124
Metronidazol 500 mg 4,900 198
Natrium Bicarbonat tab -
Natrium diklofenak 25 mgtab 14,300 142
Natrium Diklofenax 50 mg 3,550 136
Natrium Fenitoin cap 10,200 605
Nifedipin 300 135
Obat Tambah Darah (SF) 4,500 409
Olanzapin 10mg tab 1,440 4,725
Olanzapine 5mg tab 810 3,150
Omeprazole -
Ondan setron 4 mg tab -
Ondan setron 8 mg tab -
Oralit 2,000 418
Pantoprazole Tab 20mg 100 6,292
Pantoprazole Tab 40mg 100 7,700
Paracetamol tablet(BLISTER) 35,200 60
Pioglitazone tab 30 mg -
Piracetam 400 mg -
Piracetam 800 mg -
Pirantel Tab 200 331
Piroxicam 20mg -
Prednison tab 4,500 182
Primaquin tab 200 354
Propanolol 10 mg 1,800 59
Propanolol 40 mg -
PTU 1,000 475
PZA -
Quinin 222 mg Tab 600 801
Ramipril 10mg Tab -
Ramipril 5 mg Tab 4,300 263
Ranitidin Tab -
Rebamipide Tab 4,950 1,540
Rifampicin 300 mg 800 834
Rifampicin 450 mg 800 1,815
Risperidone 2mg 14,800 273
Salbutamol 2 mg 3,000 64
Salbutamol 4 mg 2,800 77
Sertralin Tab -
Simvastatin 10 mg 1,380 121
Simvastatin 20 mg 170 225
Spironolactone tab 100 mg 300 661
Spironolactone tab 25 mg 15,900 212
Tramadol 50 mg 33,750 743
Triamcinolon 4 mg Tab 900 667
Trifluoperazin tab -
Trihexiphenidil -
Ursodeoxycholic Acid 250 mg Ta 330 2,225
Valsartan 160 mg Tab 480 1,053
Vit B Complex 15,300 135
Vit B1 -
Vit B12 tab 600 49
Vit B6 tab 6,100 150
Vit C tab 6,500 120
Vit K tab 100 818
Warfarin Tab -
Zinc 500 604
Alprazolam 0.5 mg 3,800 585
Alprazolam 1mg tab 500 900
Analsik tab 2,000 1,595
Braxidin 100 1,161
clobazam 10mg tab 300 916
Clofritis 10 mg tab -
Diazepam 5 mg tab -
Frisium 10 mg tab -
Lorazepam 2 mg tab -
Merlopam 0,5 mg 400 355
Merlopam 2mg 1,200 3,300
Miloz 5mg/ml inj 50 22,000
Phenobarbital 30 mg (blister) -
Phenobarbital tablet 30 mg 200 240
Proneuron Tab -
Sanmag Tab 200 902
Sibital 200 mg inj 100 9,900
Stesolid rectal 10 mg 28 21,021
Stesolid rectal 5 mg -
Valisanbe 2 mg tab 5,600 242
Valisanbe 5 mg tab -
Valisanbe inj 28 18,843
Codein 10 mg tab 14,900 657
Codein 15 mg tab 5,000 1,135
Codein 20 mg tab -
Duragesic Pacth -
Morpina 10mg/ml -
MST Continus 10 mg 3,420 15,620
MST continus 15 mg tab 2,700 22,990
Petidin HCl -
Fentanil inj 120 41,600
Seroquel XR 200 mg -
Acetylcystein (Yantis) -
Acyclovir 200mg ( Yantis ) -
Acyclovir 400 mg ( Yantis ) -
Acyclovir 5 % (APBD) -
Albendazol tab (APBD) -
Albhotyl (APBD) -
Albothyl (yantis) -
Albuman 50ml (APBD) -
Albumin 20% ( Yantis ) -
Allopurinol tab ( Yantis ) -
Alprazolam 0,25 mg (Yantis) -
Alprazolam 0,5 mg tab (APBD) -
Ambroxol syr ( Yantis ) -
Ambroxol tab ( Yantis ) -
Aminofluid (Yantis) -
Aminophilin tab ( Yantis ) -
Amitriptilin (Yantis) -
Amlodipin 10 mg ( Yantis ) -
Amlodipin 5 mg ( Yantis ) -
Amoxan drop ( Yantis ) -
Amoxicillin 500 mg (APBD) -
Amoxicillin Inj (Yantis) -
Amoxicillin syr ( Yantis ) -
Amoxilcilin tab ( Yantis ) -
Antasid tab ( Yantis ) -
Antasida syr ( Yantis ) -
Apidra (yantis) -
Aptil sol (Yantis) -
Aqua ( Yantis ) -
Arcapec tab ( Yantis ) -
Asam Folat (Yantis) -
Asam Mefenamat ( Yantis ) -
Asam tranexamat 250 mg inj (AP -
Asam Tranexamat 500 mg (Yantis -
Asam Tranexamat Inj 500 mg (Yan -
Asam Tranexamat tab ( Yantis ) -
Asering inf ( Yantis ) -
Asimat (Yantis) -
Aspilet ( Yantis ) -
Asthenof 5ml ED ( Yantis ) -
Atropin tab ( Yantis ) -
ATS 1500 IU INJ (Yantis) -
ATS 20.000 IU (Yantis) -
Augentonic TM ( Yantis ) -
Bedak salycil ( Yantis ) -
Berotec Spray ( Yantis ) -
Betadin Kumur ( Yantis ) -
Betadin Kumur ( yantis ) -
Betadin Kumur (APBD) -
Betahistin tab ( Yantis ) -
Betametason Crem ( Yantis ) -
Bic Natric tab ( Yantis ) -
Biocef inj ( PG ) -
Bisoprolol 5mg (yantis) -
Bisoprolol tab ( Yantis ) -
Brainact INJ ( Yantis ) -
Bronsolvan tab ( Yantis ) -
Bunascan Spinal 0.5% (Yantis) -
Bupivacaine Spinal Inj (Yantis) -
Burnazin cream (Yantis) -
Calsium lactat Tab ( Yantis ) -
Candesartan 16mg (yantis) -
Candesartan 8mg (yantis) -
Captopril 12,5mg ( Yantis ) -
Captopril 25mg ( Yantis ) -
Carbamazepin tab ( Yantis ) -
Carpine TM ( Yantis ) -
Carpine TM (APBD) -
Catarlent 5ml TM ( Yantis ) -
CEALB Abumin (Yantis) -
Cefadroxil syr( Yantis ) -
Cefadroxil tab 500 MG ( Yantis ) -
Cefepime inj (yantis) -
Cefixim syr (Yantis) -
Cefixime 100mg tab ( Yantis ) -
Cefixime 200mg (Yantis) -
CENDO LYTERS TM (Yantis) -
Cendo Mydriatyl TM 0.5% (APBD -
Cendo Mydriatyl TM 1% (APBD) -
Cendo Tropin 1 % TM (APBD) -
Cepezet (yantis) -
Cetirizine tab ( Yantis ) -
Chloramphenicol inj 1 gr (APBD) -
chloramphenicol SM (yantis) -
Chloramphenicol syr ( Yantis ) -
Chloramphenicol TT (yantis) -
Chloroquin tab ( Yantis ) -
Chlorpromazine inj (yantis) -
Cimetidin tab ( Yantis ) -
Ciproploxacin tab ( Yantis ) -
Citicoline inj (Yantis) -
Citicoline tab (Yantis) -
Citrosol tab (yantis) -
Clindamycin 300mg ( Yantis ) -
Clobazam (yantis) -
Clonidin tab ( Yantis ) -
Clopidogrel Tab (Yantis) -
Clorilex 100 mg (Yantis) -
Clozapine 100mg (Yantis) -
Clozapine 25mg (Yantis) -
Codein (yantis) -
Conver 2% ( Yantis ) -
Cotrimoxazol tab (Yantis) -
Cotrimoxazole syr ( Yantis ) -
CPZ 25MG (Yantis) -
CTM ( Yantis ) -
Curcuma tab ( Yantis ) -
D 10% inf ( Yantis ) -
D 40% inf ( Yantis ) -
D5 1/2 NS inf ( Yantis ) -
D5 1/4 NS ( Yantis ) -
D5% inf ( Yantis ) -
Desoximetason crem (yantis) -
Dexametason tab ( Yantis ) -
Dextromethorphan syr ( Yantis ) -
Dextromethorphan tab (Yantis) -
DIAZEPAM 2MG (YANTIS) -
Diazepam 5 mg (Yantis) -
Diazepam inj (yantis) -
Digoxin tab ( Yantis ) -
Diltiazem tab ( Yantis ) -
Dobutamin inj (Yantis) -
Domperidon syr ( Yantis ) -
Domperidon tab ( Yantis ) -
Doxycyclin 100mg ( Yantis ) -
Doxycycline (APBD) -
Dulcolac Supp 10 mg (APBD) -
Dulcolac tab ( Yantis ) -
Efrisel 10% TM (Yantis) -
Ephedrin tab (APBD) -
Ephineprine / Phinev inj (yantis) -
Erytromicin syr ( Yantis ) -
Erytromicin tab ( Yantis ) -
Etambutol tab ( Yantis ) -
Ethambutol 500 ( Jamkesmas ) -
Fenol Gliserol TT ( APBD ) -
Fleet Enema ( Yantis ) -
Floxa MD (Yantis) -
Floxa TM (Yantis) -
Fluorescein 2% ml TM (Yantis) -
Foransi (yantis) -
Fresofol 1% inj (Yantis) -
Furosemid tab (Yantis) -
Furosimid ( Jamkesmas ) -
Gentamicin Salep Kulit( Yantis ) -
Gentamicin SM (Yantis) -
Gentamicin TM ( Yantis ) -
GG tab ( Yantis ) -
Glaucon (yantis) -
Glibenklamid tab ( Yantis ) -
Glimepiride tab ( Yantis ) -
Glucodex tab ( Yantis ) -
Griseofulvin tab ( Yantis ) -
Halopuridol 0.5mg (yantis) -
Halopuridol 1.5 mg (Yantis) -
Halopuridol 5mg (yantis) -
HCT tab ( Yantis ) -
Hialid Tm ( Yantis ) -
Hyaloph 0.1% (Yantis) -
Hydrocortison salep kulit ( Yantis -
Ibuprofen 400 tab ( Yantis ) -
Ibuprofen syr ( Yantis ) -
Iliadin tetes hidung anak (yantis) -
Indoralyte sachet (Yantis) -
INH 100MG tab (yantis) -
INH 300MG tab ( Yantis ) -
Invitec ( Yantis ) -
ISDN tab ( Yantis ) -
KA EN 3B ( Yantis ) -
KA EN MG3 ( Yantis ) -
Kalbamin 500 infus (yantis) -
Kalium Diklofenak 50 mg (Yantis) -
Kandistatin drop ( Yantis ) -
KCL (Yantis) -
Ketoconazole cream (APBD) -
ketoconazole tab ( Yantis ) -
Ketoprofen tab (yantis) -
Kutoin inj (Yantis) -
Kutoin Kaps (Yantis) -
Lansaprazole tab ( Yantis ) -
Lansoprazole tab (yantis) -
Levemir flexpen (yantis) -
Levofloxacin tab ( Yantis ) -
Levopar (Yantis) -
Lidocain comp inj (yantis) -
Lodia ( Yantis ) -
Lodomer 2mg(Yantis) -
Loratadin tab ( Yantis ) -
Lynoral tab ( Yantis ) -
Manitol (yantis) -
Martos ( Yantis ) -
Meloxicam 15mg tab ( Yantis ) -
Meloxicam 7.5 mg (Yantis) -
Meropenem 1 G inj (yantis) -
Meropenem 500 mg inj (Yantis) -
Metformin 500 mg (APBD) -
Metformin 500mg tab ( Yantis ) -
Methil ergometrin ij (yantis) -
Methyl Ergometrin Tab (Yantis) -
Metil Prednisolon tab ( Yantis ) -
Metilergometrin tab ( Yantis ) -
Metoclorpramid tab ( Yantis ) -
Metro inf ( Yantis ) -
Metronidazole tab ( Yantis ) -
Meylon inf ( Yantis ) -
Mgso4 20% ( Yantis) -
Mgso4 40% inf ( Yantis ) -
Miconazole crem (Yantis) -
Midazolam inj (APBD) -
Musin tab (YANTIS) -
Na Diklofenac 50mg tab ( Yantis ) -
Na Diklofenak 25mg tab ( Yantis ) -
Nacl inf ( Yantis ) -
Natrium Bicarbonat tab (APBD) -
Natrium Diklofenac 25 mg (Yantis -
Natrium diklofenak 25 mgtab -
Natrium Fenitoin inj ( Yantis ) -
Natrium Fenitoin tab ( Yantis ) -
Neo Diaform tab ( YANTIS ) -
Neurodex tab ( Yantis ) -
New Diatab Tab ( Yantis ) -
Nifedipin tab ( Yantis ) -
Nifudiar sy ( Yantis ) -
Normafit tab (Yantis) -
NovoMix 30 FlexPen (Yantis) -
Novorapid flexpen inj (yantis) -
OBH syr ( Yantis ) -
Omeprazole tab ( Yantis ) -
Ondansetron tab ( Yantis ) -
Opimer Inj 1 gr (Yantis) -
Oralit (APBD) -
Oralit (Yantis) -
Orezinc (Yantis) -
Oxitetra salep kulit ( Yantis ) -
Oxytetracycline SM (Yantis) -
P.Pred 10mg/0.6ml (Yantis) -
Pantocain 0,5% TM (yantis) -
Paracetamol inf (Yantis) -
PCT syr ( Yantis ) -
PCT tab ( Yantis ) -
Pethidin Inj (APBD) -
Phenobarbital (yantis) -
Phenol Gliserol ( Yantis ) -
Pil Kina ( Yantis ) -
Piracetam 400mg tab ( Yantis ) -
Piracetam 800mg Tab ( Yantis ) -
Piralen inj (Yantis) -
Pirantel syr (yantis) -
Piroxicam 10mg tab ( Yantis ) -
P-K ( Yantis ) -
Polidemisin ED (Yantis) -
Primaquin tab ( Yantis ) -
Proanes 1 % (Yantis) -
Profecom supp (Yantis) -
Propanolol 10mg tab ( Yantis ) -
Propanolol 40mg tab ( Yantis ) -
Propofol (yantis) -
Prosogan inj (Yantis) -
Protagenta 0.6ml MD (Yantis) -
PTP ( Yantis ) -
PTU tab ( Yantis ) -
Pyrantel tab (yantis) -
PZA 500mg Tab ( Yantis ) 2,000 -
Quinine 25% inj (Yantis) -
Ranitidin tab ( Yantis ) -
Ranitidin tab (APBD) -
Renadinac 50mg (Yantis) -
Rephitel 0.6ml MD (Yantis) -
Rifampisin 450mg tab ( Yantis ) -
Rifampisin 600mg tab ( Yantis ) -
Risperidon 2mg (Yantis) -
RL inf ( Yantis ) -
SABU (Yantis) -
Salbutamol 4mg tab ( Yantis ) -
Seretide 100 spray (yantis) -
Seretide 250 spray (yantis) -
Simvastatin 10 MG( Yantis ) 10 -
Simvastatin 20mg (yantis) -
Spiramycin 500mg tab ( Yantis ) -
Spironolacton tab ( Yantis ) -
Stabixin inj ( PG ) -
STESOLID RECTAL 5MG (YANTIS) -
Sulfadoxin tab ( Yantis ) -
Tablet Tambah Darah / SF (Yantis -
TGF (Yantis) -
THP tab ( Yantis ) -
Timol TM (APBD) -
Timolol TM ( Yantis ) -
Tobro 0.6 MD (Yantis) -
Tobroson 0.6ml MD (Yantis) -
Tramadol tab 50 mg (Yantis) -
Trazep 5 mg Rectal (Yantis) -
Trifluoperazin tab (Yantis) -
Trihexyphenidil (Yantis) -
Triofusin 500 infus (yantis) -
Urdahex tab ( Yantis ) -
Urotractin tab (yantis) -
VAR (Yantis) -
Vasacon A ED ( Yantis ) -
Vit B Complex tab ( Yantis ) -
Vit B1 tab ( Yantis ) -
Vit C tab ( Yantis ) -
Vit K Inj (yantis) -
Vitrolenta MD (Yantis) -
Voluven 6% ing (Yantis) -
Water Irigation (APBD) -
Water Irigation (Yantis) -
Widahes Infus (Yantis) -
Xitrol SM (Yantis) -
XITROL TM ( Yantis ) -
Zinc pro drop (yantis) -
ZINC tab (YANTIS) -
Zircum Kid syr (Yantis) -
BCG -
CAMPAK -
POLIO -
PENTABIO -
UNIJECT -
IPV -
DT -
Jerab Td -
Vaksin MR -
TT -
DHP -
OAT KATEGORI I 9 -
OAT KATEGORI II 3 -
OAT KATEGORI III -
OAT SISIPAN -
OAT KATEGORI ANAK 4 -
REAGEN ZIEHL NELSEN -
KACA SLIDES -
KOMBIPAK KATEGORI I -
INH 100MG TAB -
KOTAK SLIDE/BOX SLIDE -
POT SPUTUM -
MANTOUX TES -
MASKE RN 95 -
VITAMIN A 100.000 IU 2,200 -
Asam Traneksamat tab -
VITAMIN A 200.000 IU -
Atorvastatin 20 mg (HJ) 1,710 2,889
Kina -
Obat Anti Malaria (DHP-FRIMAL) -
Pregabalin 75 mg kap 1,176 5,500
Rosuvastatin 20mg Tab -
Vit. A 100.000 Iu -
Vit. A 200.000 Iu -
Infusan D5% -
NaCl Otsu -
PLASBUMIN 20 % 100 ML -
Artesunate Inj -
Biocef inj 100 167,200
DBL-Glyseryl Trinitrat 50mg/10m -
Ketorolac 30 mg inj -
Ondansetron 8 mg inj 50 12,012
Piralen Inj -
SABU ( DINKES ) -
Sancorbin inj 1,035 9,899
Scopamin inj -
Coten 100 -
Foransi 10 mg -
Fucotrop 50mg Kap ( fucoidan) -
Gitas plus 50 5,876
KOLKATRIOL 0.24 TAB (CALCITRIO -
Lodomer 5 mg -
lubire tab ( ext bilberry.retinol. B -
Molasma 2.5mg Tab ( Terbutalin S -
Nudep - 50 600 5,390
Nutriflam Neo (BOSWELLA.CURC -
Orphen (chlorpheniramin maleat -
Psidii 500mg tab -
QUATRO 1 KAP (METHYLTETRAH -
Solasic tab 500mg 6,300 299
Stimox -
Tifestan 500mg tab (asam mefen -
TROPIDROL 16 MG TAB (METIL -
TROPIDROL 8MG TAB (METILPRE -
Cendo Timol 0,5% TM -
Daryantulle -
Vaselin Swab 10 2,200
Curvit Cl 175 ml syr -
Trisela Syr 146 4,006
Alprazolam 0,5 mg -
Na.diclofenac 50 mg -
Obat Anti Malaria (DHP-FRIMAL) -
Pregabalin 75 mg kap -
Vit. A 100.000 Iu -
Vit. A 200.000 Iu -
Artesunate Inj -
Biocef inj -
Bunascan Spinal 0,5% -
Cortidex inj 50 6,532
Methyl Ergometrin Inj 100 3,399
Norepineprin bitartrate inj -
Norepineprin bitartrate monohydr -
NTG inj -
Piralen Inj -
Proanes 1 % 200 76,131
Pulmicort 0,5MG 120 14,131
Pulmicort 0,25 MG 200 10,377
Rycef 4 185,185
Sancorbin inj -
Stabactam inj -
Streptomicin sulfate inj -
Vancep -
Vaksin Anti Rabies/Verorab/Rabip -
DIAGRO SYR (ZINC 20MG) -
Renalyte syr -
Supralysin 100ml syr -
Trisela Syr -
D 10% (SATORIA) 80 7,500
NaCL 0.9% 100 ml -
Dores 1,5 mg Tab -
Erysanbe 250 mg -
Gitas plus -
Harnal 0,2 mg tab 476 7,788
Molasma 2,5mg Tab ( Terbutalin S -
Moxic 7,5 mg -
Pepzol 40mg Tab 70 18,700
Psidii 500mg tab -
Solasic tab 500mg -
Atropine inj ( Yantis ) -
Braxidin tablet -
Fentanyl Inj 0.05 mg 2 ml -
Frisium Tab 10 mg 2,200 4,343
LORAZEPAM 2 MG TABLET -
Miloz 15mg/ml inj 30 49,500
Morfina 10mg/ml 120 34,049
Pethidin inj 420 19,481
Sanmag -
Bioplacenton -
Cendo Timol 0,5% TM -
Daryantulle -
Gentamicin Salep Kulit 170 3,523
Inerson -
Thrombogel Gel 10gr -
Thrombopob Gel 20gr -
Vaselin Swab -
Glaucon -
Maxcef 500 mg -
Solasic 500 mg -
Bupivakain inj -
Etanyl Inj 2 ml 50 40,700
FRESOFOL 1% INJ 305 11,308
Ketamin Inj -
Nupovell Inj ( Propofol Inj ) -
Ondavel 8 mg Inj -
Regivell inj -
Terrell (Isofluran) 250 ml 16 603,440
Terrell (Isofluran) 100 ml 5 367,810
Transfusi Set one med -
Acyclovir 5% salp 45 3,461
Amikacin 250mg inj -
Amoxicillin syr Forte 250 mg 65 3,604
Antacid tab 600 91
Cefadroxil Forte 250 mg syr -
Cefoperazone Sulbactam 1 gr inj -
Cetirizine syr 190 10,440
Curvit CL emulsion syr 3 46,035
Diagro syr (zink 20 mg) -
Esomeprazole inj -
Gastruidin tab -
Glucosamin 500 mg (Chondroitin -
Ibuprofen 100 mg syr -
Ibuprofen 200 mg syr 57 5,214
Ibuprofen 200mg -
Inbion 200 2,127
Indexon 100 712
Inlacta DHA 60 6,531
Ketorolac inj 30 mg (bpjs) 684 1,042
Lansoparzole -
Lodomer drop 7 21,100
Lubire tab (ext bilberry,retinol, 750 1,306
Metilprednisolon 16MG TAB -
Metilprednisolon 4 mg -
metilprednisolon 8mg -
Nexigas inj (Esomeprazole) -
Noncort ED 10 40,219
Nudep 50 mg ( Sertalin ) Tab -
Nutriflam Neo 120 11,550
Paracetamol syr 250 3,159
Prostacom 390 1,083
Pyrexin 80 mg supp 10 8,360
Risperidone 1 Mg Tab -
Rycef inj -
Sikzonoate Inj 5 72,600
Sojourn 250 ml 16 1,105,417
Terrell (Isofluran) 250 ml -
Terrell (Isofluran) 100 ml -
Visela tab(as folat,B6,B12) -
Zinc syr -
D5% (SATORIA) 680 6,900
Human Albumin 20% Biotest 50 12 425,568
KA EN 3B 200 11,314
NACL 0.9% (SATORIA) 500 6,840
RL (SATORIA) 740 7,150
Merlopam 0,5mg Tab -
formalin tablet -
Aragan 2ml Inj 10 173,074
Canderin 8 mg 60 6,864
Cripsa (Bromocriptin) Tab 150 16,270
Fibrion Inj 1 3,400,000
Lantulos Syr 60 ml ( lactulosa ) 125 48,125
Lacidofil sachet 300 6,600
Legra 100 mg Tab 40 59,400
Psidii Syr 5 36,300
Propofol inj 150 12,375
Rovator Tab 20mg 150 6,050
SABU 30 512,204
Sansulin Log-G Inj Dispopen 315 91,001
Sanprima Syr 10 26,705
Sildenafil Citrat 50 mg Tab 40 24,640
Piracetam 1 gr inj (yantis) 76 -
Difenhydramin inj (yantis) 40 -
Dental Film 0
Develofer Cair 0
Fixer Cair 0
Fuji Film 24 x 30 cm 4 1650000
Fuji Film 35 x 35 2 2750000
Fuji Film 40 x 30 cm 0
Fixer (Fuji) 0
Develofer (Fuji) 0
Fuji Film 20 x 25 cm ( Dry Film DI 1 2970000
Fuji Film 35 x 43 cm ( Dry Film DI 1 5280000
Pot Urine Kuning 0
Benechek (Glucotest) 0
Benzodiazepin Card 750 20328
Bilirubin Total (6 x 3 ml) 0
Cat Gram 0
Combur/Tes Veryvi 0
Creatinin (4 x 50) 2 2541000
Cup Sample 1000 5170
Detergent CD 80 0
Edta Tube 3 ml 1200 1650
Golongan Darah 29 342980
HbsAg/Tes 0
HCG Strip 0
HCG Test 0
Jarum Lancet 300 396
Kertas Thermal 34 36300
Lyse 3 Diff 1 2129600
Malaria/Sachet 0
Methamphetamin Card 750 20328
Morphin Card 750 20328
Objek Glass (7101 6 48592.5
Para 12 Normal 0
Probe Cleanser 2 137500
Qualicheck Norm (5 ml) 0
SGOT (3 x 50 ml) 2 1633500
SGPT (3 x 50 ml) 0
Tabung Plain 200 2420
TBC Tes / SACHET 75 36300
Total Protein 0
Urea UV 0
Urid Acid (2 x 50 ml) 6 1543300
Widal Test 0
Troponin Rapid 0
Parafin Paraplast 1 342815
Pisau Microtome 2 4092000
Xylol 9 107140
Chlor Ethyl 22 330000
URIT Standart Solution QC 0
URIT Standar Solution A 1 1769900
Giemsa 100 ml 0
Mini Collect EDTA K3 0,5 ml 600 1980
Embedding Casette Putih Tanpa 500 3109.92
EA-50 1L AURONA 0
Glucose Reagen 2 1485000
Billirubin Direct 0
Albumin 0
Uric Acid 6 1543300
Rinse 3 2101000
Cholesterol 3 2722500
Diluent 3 Diff 0
HDL Cholesterol 2 9075000
Triglycerids 4 2450800
Micromount Leica 2 477180
HIV Test 75 21780
AC Instant (ACCU CHEK) 0
URIT Standar Solution B 0
Objeck Glass (7105) 5 52002.5
HCL Alkohol 3% 1000 ml 4 66000
Cover Glass 24 x 60 mm 5 182270
Eosin 100 ml 0
Reprosid 5 mg (finasteride) 0
Urine test strip 9 316550
Test Tube 12 ml 5 2550000
Cuvette 1 7200000
Cover Glass 22 x 22 mm 0
OG-6 1 Ltr Aurona 0
Harris Hematoxyline 1 ltr Aurona 0
Eosin Quart Leica 1 675015
AC Instant (ACCU CHEK 100 test) 17 510042.6
AC Instan(ACCU CHEK 50 TEST) 27 206250
SYR ABG PRESET 3 (1.6) LL 22X1 0
HB Test 0
Urid Acid test 0
Cat Wright 500 ml 0
Tabung Hematokrit 20 121000
Glucosa test 0
Cholesterol test 0
BD Ultrafine Jarum Insulin 1700 1542
ID-Coombs Card 24 x 12 4 1561263
ID-Diluent 2 (500ML) 0
TUBEX WASH BUFFER 0
URIT Internal Filling Sol 0
URIT Protein Removing Sol 0
URIT Active Sol 0
Reference Sol 0
Salmonella Typhi H 11 66550
Salmonella Typhi O 10 66550
Salmonella Paratyphi AO 11 66550
Salmonella Paratyphi BO 11 66550
DENGUE IgG/IgM and NS1 Comb 30 19286.54
Alpha Paper Recording Chart ( 2 5 616000
Aso Fortress 100 Test 0
Plasmatec 100 Test 0
TUBEX TF 0
HbsAg WB ( Multi )/Tes 0
Reagen Ziehl Neelsen ( Dinkes ) 0
DENGUE IgG/IgM / SACHET 50 66852.5
FOB CARD / SACHET 0
HCV CARD / SACHET 50 21780
THYPOID IgG/IgM / SACHET 0
DENGUE NS1/SACHET 0
B30 Control Hema 3 DIFF 0
Right Sign ( Troponin ) 20 550000
SISA STOK
KWITANSI OBAT PASIEN
NAMA : M ARIF TN (G) TGL RESEP 12-Jul-19
NO RM : 284462 RUANGAN : IGD
STATUS : YANTIS DR : DIANA
NO OBAT QTY SATUAN HARGA SUB TOTAL
1 KCL 1 PCS 3,868 Rp 3,868
2 3 way stop cock ( Eskamed ) 1 PCS 4,536 Rp 4,536
3 Spuit 50 cc ( TP LUBANG PINGGIR ) 1 PCS 4,260 Rp 4,260
4 injectomat line 1 PCS 11,122 Rp 11,122
5 NaCl Otsu 2 PCS 8,208 Rp 16,416
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir Farmasi JUMLAH Rp 40,201
JP Rp 1,250
DWITA TOTAL Rp 41,500
Terbilang : #NAME?
NAMA : PARHAN TN (BPJS) TGL RESEP : 12-Jul-19
NO RM : 216213 RUANG : IGD
STATUS : BPJS DR : DIANA
NO NAMA OBAT QTY SATUAN HARGA SUB TOTAL
1 D 40% Otsuka 1 PCS 10,010 Rp 10,010
2 NaCl Otsu 3 PCS 6,840 Rp 20,519
3 Curcuma tab 3 PCS 876 Rp 2,628
4 PCS - Rp -
5 PCS - Rp -
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir FARMASI JUMLAH Rp 33,158
JP Rp 750
Terbilang : #NAME?
Terbilang : #NAME?
Terbilang : #NAME?

NAMA : FITRI NY (G) TGL RESEP 20-Jul-19
STATUS : YANTIS DR : HENDRI
1 Spuit 3 cc 1 PCS 1,366 Rp 1,366
2 surflo 20 ( terumo ) 1 PCS 7,524 Rp 7,524
3 Transfusi set Remedi 1 PCS 5,879 Rp 5,879
4 Oxytocin Inj 1 PCS - Rp -
5 Healer Underpad 60x 90 cm 1 PCS 4,686 Rp 4,686
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 1,250
Terbilang : #NAME?

NAMA : RATNA KUSUMA NY (G) TGL RESEP 20-Jul-19
1 Spuit 3 cc 2 PCS 1,366 Rp 2,731
4 AQUA 1 PCS 3,432 Rp 3,432
5 Urogard Plus ( Urin Bag ) 1 PCS 45,714 Rp 45,714
7 Spuit 10 cc 2 PCS 2,244 Rp 4,488
8 Spuit 1 cc 2 PCS 1,716 Rp 3,432
9 Cefotaxime inj 2 PCS 5,285 Rp 10,571
10 Folley Catheter 16 ( Remedi ) 1 PCS 11,040 Rp 11,040
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 2,500
Terbilang : #NAME?

NAMA : ROHAYATI NY (G) TGL RESEP 20-Jul-19
1 Furosemid inj 5 PCS 4,092 Rp 20,460
4 NaCl Otsu 1 PCS 8,208 Rp 8,208
6 Dulcolax 10 mg supp 1 PCS 7,080 Rp 7,080
7 NaCl Otsu 2 PCS 8,208 Rp 16,416
9 Infusset Macro Otsuka Y-SET 1 PCS 10,080 Rp 10,080
10 Ranitidin inj 2 PCS 1,426 Rp 2,851
11 Spuit 3 cc 2 PCS 1,366 Rp 2,731
13 Urogard Plus ( Urin Bag ) 1 PCS 45,714 Rp 45,714
15 Spuit 10 cc 1 PCS 2,244 Rp 2,244
JP Rp 3,750
Terbilang : #NAME?

NAMA : SAID TN (G) TGL RESEP 29-Jul-19
STATUS : YANTIS DR : HENDRI
1 Infusan RL 3 PCS 9,155 Rp 27,466
2 Dexametason inj 3 PCS 1,740 Rp 5,219
3 Difenhidramin inj 3 PCS 1,514 Rp 4,543
4 Spuit 3 cc 10 PCS 1,366 Rp 13,656
5 Santagesic inj 3 PCS 4,884 Rp 14,652
6 Candesartan 8mg tab 1 PCS 719 Rp 719
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 1,500
Terbilang : #NAME?
NAMA : NABILA AN (G) TGL RESEP 29-Jul-19

2 Surflo WP no 24 1 PCS 18,214 Rp 18,214
4 D5 1/2 NS WIDA 2 PCS 12,816 Rp 25,632
6 Spuit 10 cc 3 PCS 2,244 Rp 6,733
7 Aqua 3 PCS 3,432 Rp 10,296
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 1,750
Terbilang : #NAME?

NAMA : MULYONO TN (G) TGL RESEP 29-Jul-19
1 Ciprofloxacin 200mg inf 2 PCS 12,850 Rp 25,699
4 Spuit 1 cc 1 PCS 1,716 Rp 1,716
5 Spuit 3 cc 2 PCS 1,366 Rp 2,731
9 Paracetamol Infus 1 PCS 14,388 Rp 14,388
10 Novorapid flexpen inj 1 PCS 104,400 Rp 104,400
11 BD Ultrafine Jarum Insulin 1 PCS 1,850 Rp 1,850
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 2,750
Terbilang : #NAME?
NAMA : MULYONO TN (G) TGL RESEP 29-Jul-19

STATUS : YANTIS DR : PANDE
4 Spuit 1 cc 1 PCS 1,716 Rp 1,716
5 Spuit 3 cc 3 PCS 1,366 Rp 4,097
6 Spuit 10 cc 3 PCS 2,244 Rp 6,733
7 Spuit 5 cc 3 PCS 1,922 Rp 5,766
9 Piralen Inj 3 PCS 5,808 Rp 17,424
11 Sucralfate syr 1 PCS 9,847 Rp 9,847
12 Paracetamol tablet(BLISTER) 3 PCS 72 Rp 216
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 3,000
Terbilang : #NAME?
NAMA : ANANG LAMBRI TN (BPJS) TGL RESEP : 11-Jul-19

NO RM : 287289 RUANG : POLI BEDAH
STATUS : BPJS DR : WAYAN
5 Spuit 10 cc 1 PCS 1,870 Rp 1,870
6 Spuit 1 cc 1 PCS 1,430 Rp 1,430
7 AQUA 1 PCS 2,860 Rp 2,860
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH Rp 49,026
JP Rp 1,750
Terbilang : #NAME?

NAMA : AMRULLAH TN (BPJS) TGL RESEP : 11-Jul-19
NO RM : 285757 RUANG : POLI PENYAKIT DALAM
STATUS : BPJS DR : SIGIT
1 Infusan Ring As 1 PCS 10,290 Rp 10,290
2 Pantoprazole 40 mg Inj 2 PCS 23,000 Rp 46,000
3 Metronidazol Infus 3 PCS 7,700 Rp 23,100
4 Neurosanbe inj 1 PCS 5,330 Rp 5,330
5 Spuit 10 cc 2 PCS 1,870 Rp 3,740
6 Spuit 3 cc 3 PCS 1,138 Rp 3,414
7 Spuit 5 cc 1 PCS 1,602 Rp 1,602
8 Sucralfate syr 1 PCS 8,206 Rp 8,206
10 Paracetamol tablet(BLISTER) 3 PCS 60 Rp 180
11 Ambroxol tablet 3 PCS 277 Rp 832
15 PCS - Rp -
JP Rp 3,500

NAMA : ARSIAH NY (BPJS) TGL RESEP : 11-Jul-19
2 Spuit 10 cc 2 PCS 1,870 Rp 3,740
3 Spuit 1 cc 3 PCS 1,430 Rp 4,290
4 Aqua 1 PCS 2,860 Rp 2,860
9 Urin bag 1 PCS 5,330 Rp 5,330
11 Nifedipin 3 PCS 135 Rp 404
12 Aqua 2 PCS 2,860 Rp 5,720
13 MgSO4 40% 1 PCS 3,796 Rp 3,796
14 Spuit 10 cc 4 PCS 1,870 Rp 7,481
15 D5% OGB 1 PCS 6,900 Rp 6,900
JP Rp 3,750
NAMA : TARI NY (BPJS) TGL RESEP : 11-Jul-19

2 Urin bag 1 PCS 5,330 Rp 5,330
3 Spuit 10 cc 1 PCS 1,870 Rp 1,870
4 Aqua 1 PCS 2,860 Rp 2,860
5 Nifedipin 3 PCS 135 Rp 404
8 Spuit 10 cc 1 PCS 1,870 Rp 1,870
10 Transfusi Set Terumo 1 PCS 13,975 Rp 13,975
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 2,500
NAMA : PARMAN TN (BPJS) TGL RESEP : 11-Jul-19
STATUS : BPJS DR : PANDE
4 Spuit 3 cc 3 PCS 1,138 Rp 3,414
5 D5% OGB 2 PCS 6,900 Rp 13,801
6 Spuit 5 cc 3 PCS 1,602 Rp 4,805
7 Spuit 10 cc 6 PCS 1,870 Rp 11,221
10 Antasid syr 1 PCS 3,184 Rp 3,184
12 Spuit 1 cc 2 PCS 1,430 Rp 2,860
14 Aqua 1 PCS 2,860 Rp 2,860
15 NaCl Otsu 1 PCS 6,840 Rp 6,840
JP Rp 3,750

NAMA : LIMAH NY (BPJS) TGL RESEP : 11-Jul-19
8 URIN BAG 1 PCS 5,330 Rp 5,330
9 Spuit 3 cc 6 PCS 1,138 Rp 6,828
10 Spuit 10 cc 1 PCS 1,870 Rp 1,870
11 Nasal canula dewasa 1 PCS 5,500 Rp 5,500
12 Aqua 1 PCS 2,860 Rp 2,860
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 3,000
Terbilang : #NAME?

NAMA : LIMAH NY (BPJS) TGL RESEP : 11-Jul-19
1 Masker Nebul Dewasa 1 PCS 33,880 Rp 33,880
2 Combivent neb 1 PCS 4,550 Rp 4,550
3 DBL-Glyseryl Trinitrat 50mg/10ml 1 PCS 136,512 Rp 136,512
6 Morfina 10mg/ml 1 PCS 34,049 Rp 34,049
7 Spuit 1 cc 1 PCS 1,430 Rp 1,430
8 Spuit 3 cc 1 PCS 1,138 Rp 1,138
10 NaCl Otsu 1 PCS 6,840 Rp 6,840
11 Spironolactone tab 100 mg 1 PCS 661 Rp 661
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 2,750
KWITANSI OBAT PASIEN KWITANSI OBAT PASIEN
NAMA : SUROSO TN (BPJS) TGL RESEP 3-Jul-19 NAMA : RADITYA REVALDI AN
NO RM : 259363 RUANG IGD NO RM : 142602
STATUS : BPJS DR ANNISA STATUS : BPJS
NO NAMA OBAT QTY SATUAN HARGA SUB TOTAL NO NAMA OBAT QTY
1 Isosorbide 1 PCS 89 Rp 89 1 Paracetamo 1
2 Concor 2.5 1 PCS 626 Rp 626 2
3 Aspilet 1 PCS 583 Rp 583 3
4 Clopidogre 1 PCS 1,568 Rp 1,568 4
5 Furosemid 1 PCS 79 Rp 79 5
6 Ranitidin T 2 PCS 175 Rp 349 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
Kasir FARMASI JUMLAH Rp 3,294 Kasir FARMASI
JP Rp 1,500
DWITA TOTAL ### DWITA

NAMA : TUKINAH NY (BPJS) TGL RESEP 3-Jul-19 NAMA : RADITYA REVALDI AN
STATUS : BPJS DR LUTHFI RF STATUS : BPJS
1 Omeprazole 1 PCS 11,868 ### 1 Intrafix Sa 1
2 Spuit 10 cc 1 PCS 1,870 Rp 1,870 2 Ondansetro 1
3 Aqua 1 PCS 2,860 Rp 2,860 3 Spuit 3 cc 1
4 NEEDLE 23 1 PCS 311 Rp 311 4
5 Amlodipin 2 PCS 94 Rp 188 5
6 Candesart 1 PCS 599 Rp 599 6
7 Analsik tab 2 PCS 1,595 Rp 3,190 7
8 Sucralfate 1 PCS 8,206 Rp 8,206 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
Kasir FARMASI JUMLAH ### Kasir FARMASI
JP Rp 2,000

NAMA : ADIT AN (BPJS) TGL RESEP 3-Jul-19 NAMA : SAIRI RAHMAN TN (B
STATUS : BPJS DR DIANA STATUS : BPJS
1 Paracetamo 4 PCS 60 Rp 240 1 Santagesic 1
2 Antasid syr 1 PCS 3,184 Rp 3,184 2 Ranitidin in 1
3 PCS - Rp - 3 Wing Need 1
4 PCS - Rp - 4 Spuit 5 cc 1
6 PCS - Rp - 6 Aqua 1
7 PCS - Rp - 7 Natrium Di 3
8 PCS - Rp - 8 Ranitidin T 2
9 PCS - Rp - 9 Candesart 1
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 500

NAMA : KARIYATI NY (BPJS) TGL RESEP 3-Jul-19 NAMA : SAIRI RAHMAN TN (B
1 Sucralfate 1 PCS 8,206 Rp 8,206 1 Infusan Ri 2
2 Lansoprazo 2 PCS 608 Rp 1,216 2 Infusset M 1
3 Captopril 2 PCS 82 Rp 164 3 surflo 20 ( 1
5 PCS - Rp - 5 Ranitidin in 2
6 PCS - Rp - 6 Paracetamo 3
7 PCS - Rp - 7 Antasid syr 1
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 750

NAMA : AHMAD RIFANI NY (BTGL RESEP 3-Jul-19 NAMA : SAJUDIN TN (BPJS)
STATUS : BPJS DR DIANA STATUS : BPJS
1 Salbutamol 1 PCS 4,446 Rp 4,446 1 surflo 20 ( 1
2 Nutranex 1 PCS 1,584 Rp 1,584 2 Transfusi 1
3 PCS - Rp - 3 Pantoprazo 4
4 PCS - Rp - 4 Asam trane 1
8 PCS - Rp - 8 Piralen Inj 3
10 PCS - Rp - 10 Cefriaxon 2
13 PCS - Rp - 13 Amlodipin 1
14 PCS - Rp - 14 Curcuma t 3
15 PCS - Rp - 15
JP Rp 500

NAMA : MARSUDIN TN (BPJS)
NO RM : 163637
STATUS : BPJS
NO NAMA OBAT QTY
1 Paracetamo 3
2 Santagesic 3
3 Spuit 5 cc 3
4 Aqua 1
5 Digoxin 1
6 Spironolac 1
7 Fargoxin in 1
8
9
10
11
12
13
14
15
Kasir FARMASI
DWITA

NAMA : LUTFHI RF TN (BPJS) TGL RESEP 3-Jul-19 NAMA : M ALLYUDIN AN (BPJ
1 Tremenza 3 PCS 1,485 Rp 4,456 1 Infusan RL 2
2 Paracetamo 3 PCS 60 Rp 180 2 Tridex 27 A 3
3 Trisela Syr 1 PCS 4,006 Rp 4,006 3 Surflo WP 1
4 Amoxicilli 1 PCS 13,500 ### 4 Infusset M 1
5 Lansoprazo 2 PCS 608 Rp 1,216 5 Piralen Inj 2
7 PCS - Rp - 7 Lacto B sac 1
8 PCS - Rp - 8 Cefotaxime 2
11 PCS - Rp - 11 Interzinc s 1
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 1,250

NAMA : AHMAD RAMADHANITGL RESEP 3-Jul-19 NAMA : MAHRANI TN (BPJS)
NO RM : 287037 RUANGAN IGD NO RM : 287035
STATUS : YANTIS DR LUTFI STATUS : BPJS
NO OBAT QTY SATUAN HARGA SUB TOTAL NO NAMA OBAT QTY
1 D5 1/2 NS 2 PCS 12,816 ### 1 Cefriaxon 2
2 Ranitidin in 2 PCS 1,426 Rp 2,851 2 AQUA 2
3 Spuit 3 cc 4 PCS 1,366 Rp 5,462 3 Spuit 1 cc 1
4 Piralen Inj 2 PCS 5,808 ### 4 Spuit 10 cc 2
5 Cefotaxime 1 PCS 5,285 Rp 5,285 5 Curcuma t 2
6 Spuit 10 cc 2 PCS 2,244 Rp 4,488 6 Aminefron 2
7 Infusan RL 2 PCS 9,155 ### 7 Concor 2.5 1
8 Paracetamo 1 PCS 14,388 ### 8 surflo 20 ( 1
9 Spuit 10 cc 3 PCS 2,244 Rp 6,733 9 Transfusi 1
10 Lacto B sac 1 PCS 7,399 Rp 7,399 10 NaCl Otsu 3
12 PCS - Rp - 12 Citicoline 8
14 PCS - Rp - 14 Clopidogre 1
15 PCS - Rp - 15 Aspilet 2
Kasir Farmasi JUMLAH ### Kasir FARMASI
JP Rp 2,500

NAMA : SURYANI TN (G) TGL RESEP 3-Jul-19 NAMA : NANA MARDIANA NY
STATUS : YANTIS DR ANNISA STATUS : BPJS
1 Furosemid 2 PCS 4,092 Rp 8,184 1 Bunascan S 1
2 Spuit 3 cc 2 PCS 1,366 Rp 2,731 2 Spinocan 2 1
3 PCS - Rp - 3 Lidocain in 1
4 PCS - Rp - 4 Ephedrin In 1
11 PCS - Rp - 11 Aqua 1
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 500

NAMA : WIJIANTO TN (G) TGL RESEP 3-Jul-19 NAMA : NANA MARDIANA NY
STATUS : YANTIS DR DIANA STATUS : BPJS
1 NaCl Otsu 2 PCS 8,208 ### 1 Spuit 3 cc 1
2 Cefriaxon 2 PCS 6,178 ### 2 Spuit 10 cc 1
3 Spuit 1 cc 1 PCS 1,716 Rp 1,716 3 MgSO4 40 1
4 Spuit 10 cc 2 PCS 2,244 Rp 4,488 4 Nifedipin 3
5 Aqua 1 PCS 3,432 Rp 3,432 5 Mipros Tab 3
6 Paracetamo 3 PCS 72 Rp 216 6 Dexametaso 3
7 D5% OGB 2 PCS 8,280 ### 7 Ranitidin in 2
9 Ranitidin in 2 PCS 1,426 Rp 2,851 9 Spuit 5 cc 1
10 Piralen Inj 2 PCS 5,808 ### 10 Cefotaxime 2
11 AMLO 1 PCS - Rp - 11 Spuit 1 cc 1
13 PCS - Rp - 13 Aqua 1
14 PCS - Rp - 14 Transfusi 1
15 PCS - Rp - 15
JP Rp 2,750

NAMA : SITI FATIMAH NY (G) TGL RESEP 3-Jul-19 NAMA : NANA MARDIANA NY
STATUS : YANTIS DR LUTHFI RF STATUS : BPJS
1 Transfusi 1 PCS 16,769 ### 1 Infusan RL 3
2 surflo 20 ( 1 PCS 7,524 Rp 7,524 2 D5% OGB 3
3 Infusan RL 3 PCS 9,155 ### 3 Oxytocin In 4
4 Healer Und 2 PCS 4,686 Rp 9,372 4 MgSO4 40 1
5 Spuit 3 cc 2 PCS 1,366 Rp 2,731 5 Cefotaxime 2
6 cat gut ch 1 PCS 39,360 ### 6 Metronidaz 3
7 Lidocain in 1 PCS 1,690 Rp 1,690 7 Asam Trane 3
8 Oxytocin In 1 PCS - Rp - 8 Ketorolac 3 3
9 Folley Cath 1 PCS 11,040 ### 9 Spuit 10 cc 2
11 Urin bag 1 PCS 6,395 Rp 6,395 11 Spuit 5 cc 5
12 Lactasin 3 PCS 3,960 ### 12 surflo 20 ( 2
13 Solasic ta 3 PCS 358 Rp 1,075 13 Transfusi 1
14 Cefadroxil 3 PCS 696 Rp 2,088 14
15 PCS - Rp - 15
JP Rp 3,500
NAMA : SITI FATIMAH BY NY (TGL RESEP 3-Jul-19 NAMA : NANA MARDIANA NY
1 D 10% OG 1 PCS 9,603 Rp 9,603 1 Monosyn 1 1
2 Infusset M 1 PCS 10,080 ### 2 Monosyn 3/ 1
3 Surflo WP 3 PCS 18,214 ### 3 cat gut ch 1
4 Cefotaxime 1 PCS 5,285 Rp 5,285 4 Oxytocin In 1
5 NGT 8 1 PCS 9,240 Rp 9,240 5 Methyl Erg 1
7 AQUA 1 PCS 3,432 Rp 3,432 7 Mipros Tab 3
8 Polywin no 2 PCS 16,236 ### 8 NaCl Otsu 2
9 Vit K inj 1 PCS 5,083 Rp 5,083 9 Infusan RL 1
10 Spuit 1 cc 1 PCS 1,716 Rp 1,716 10 Healer Und 2
11 Spuit 3 cc 1 PCS 1,366 Rp 1,366 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 2,750
WITANSI OBAT PASIEN
TGL RESEP 3-Jul-19
RUANG IGD
DR AZHARI
SATUAN HARGA SUB TOTAL
PCS 3,159 Rp 3,159
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH Rp 3,159
JP Rp 250
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG IGD
DR AZHARI
PCS 24,000 ###
PCS 2,102 Rp 2,102
PCS 1,138 Rp 1,138
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG IGD
DR DIANA
PCS 4,070 Rp 4,070
PCS 1,188 Rp 1,188
PCS 5,643 Rp 5,643
PCS 1,602 Rp 1,602
PCS 1,138 Rp 2,276
PCS 2,860 Rp 2,860
PCS 136 Rp 408
PCS 175 Rp 349
PCS 1,048 Rp 1,048
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,250
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG IGD
DR DIANA
PCS 10,290 ###
PCS 8,400 Rp 8,400
PCS 6,270 Rp 6,270
PCS 1,138 Rp 3,414
PCS 1,188 Rp 2,376
PCS 60 Rp 180
PCS 3,184 Rp 3,184
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG IGD
DR DIANA
PCS 6,270 Rp 6,270
PCS 13,975 ###
PCS 23,000 ###
PCS 4,224 Rp 4,224
PCS 1,870 Rp 7,481
PCS 1,602 Rp 1,602
PCS 1,138 Rp 2,276
PCS 4,840 ###
PCS 60 Rp 240
PCS 5,148 ###
PCS 1,430 Rp 1,430
PCS 1,870 Rp 3,740
PCS 76 Rp 76
PCS 876 Rp 2,628
PCS - Rp -
JUMLAH ###
JP Rp 3,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG IGD
DR ANNISA
PCS 11,990 ###
PCS 4,070 ###
PCS 1,602 Rp 4,805
PCS 2,860 Rp 2,860
PCS 104 Rp 104
PCS 212 Rp 212
PCS 25,300 ###
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG IGD
DR LUTFHI RF
PCS 7,629 ###
PCS 11,550 ###
PCS 15,178 ###
PCS 8,400 Rp 8,400
PCS 4,840 Rp 9,680
PCS 1,138 Rp 3,414
PCS 6,166 Rp 6,166
PCS 4,404 Rp 8,809
PCS 1,430 Rp 1,430
PCS 1,870 Rp 5,611
PCS 18,656 ###
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG IGD
DR LUTFHI RF
PCS 5,148 ###
PCS 2,860 Rp 5,720
PCS 1,430 Rp 1,430
PCS 1,870 Rp 3,740
PCS 876 Rp 1,752
PCS 6,971 ###
PCS 626 Rp 626
PCS 6,270 Rp 6,270
PCS 13,975 ###
PCS 6,840 ###
PCS 1,188 Rp 2,376
PCS 6,601 ###
PCS 1,138 Rp 2,276
PCS 1,568 Rp 1,568
PCS 583 Rp 1,166
JUMLAH ###
JP Rp 3,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG IGD
DR LUTFHI RF
PCS 39,600 ###
PCS 41,800 ###
PCS 1,408 Rp 1,408
PCS 8,569 Rp 8,569
PCS 2,860 Rp 2,860
PCS 1,138 Rp 2,276
PCS 1,602 Rp 3,203
PCS 4,404 Rp 8,809
PCS 1,870 Rp 3,740
PCS 1,430 Rp 1,430
PCS 2,860 Rp 2,860
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG IGD
DR DIANA
PCS 1,138 Rp 1,138
PCS 1,870 Rp 1,870
PCS 3,796 Rp 3,796
PCS 135 Rp 404
PCS 9,167 ###
PCS 1,450 Rp 4,349
PCS 1,188 Rp 2,376
PCS 1,138 Rp 3,414
PCS 1,602 Rp 1,602
PCS 4,404 Rp 8,809
PCS 1,430 Rp 1,430
PCS 1,870 Rp 3,740
PCS 2,860 Rp 2,860
PCS 13,975 ###
PCS - Rp -
JUMLAH ###
JP Rp 3,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 3-Jul-19
RUANG OK
DR RIJAL
PCS 7,629 ###
PCS 6,900 ###
PCS - Rp -
PCS 3,796 Rp 3,796
PCS 4,404 Rp 8,809
PCS 7,700 ###
PCS 2,374 Rp 7,122
PCS 1,834 Rp 5,503
PCS 1,870 Rp 3,740
PCS 1,138 Rp 5,690
PCS 1,602 Rp 8,008
PCS 6,270 ###
PCS 13,975 ###
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 3,250
TOTAL ###
WITANSI OBAT PASIEN
TGL RESEP 3-Jul-19
RUANG OK
DR RIJAL
PCS 124,740 ###
PCS 77,721 ###
PCS 32,800 ###
PCS - Rp -
PCS 3,399 Rp 3,399
PCS 1,138 Rp 1,138
PCS 9,167 ###
PCS 6,840 ###
PCS 7,629 Rp 7,629
PCS 3,905 Rp 7,810
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,500
TOTAL ###
NAMA : MASNIAH NY (BPJS) TGL RESEP 11-Jul-19 KWITANSI OBAT PASIEN
NO RM : 144598 RUANG IGD NAMA : ANANG TN (G)
STATUS : BPJS DR AZHARI NO RM : 287436
NO NAMA OBAT QTY SATUAN HARGA SUB TOTAL STATUS : YANTIS
1 Masker O2 1 PCS 19,154 ### NO OBAT QTY
2 Curcuma t 3 PCS 876 Rp 2,628 1 Folley Cath 1
3 Aminefron 3 PCS 6,971 ### 2 Spuit 50 c 2
4 Infusan RL 2 PCS 7,629 ### 3 Healer Und 1
5 PCS - Rp - 4 Folley Cath 1
6 PCS - Rp - 5 Urogard Plu 1
7 PCS - Rp - 6 Lidocain in 1
10 PCS - Rp - 9
11 PCS - Rp - 10
12 PCS - Rp - 11
13 PCS - Rp - 12
14 PCS - Rp - 13
15 PCS - Rp - 14
Kasir JUMLAH ### 15
JP Rp 1,000 Kasir Farmasi
DWITA TOTAL ###
Terbilang : #NAME? DWITA

NAMA : JAMIATUL ALIYAH NYTGL RESEP 11-Jul-19
NO RM : 286246 RUANG IGD
STATUS : BPJS DR DIANA
1 surflo 20 ( 1 PCS 6,270 Rp 6,270
2 Spuit 3 cc 1 PCS 1,138 Rp 1,138
3 Healer Und 1 PCS 3,905 Rp 3,905
4 Transfusi 1 PCS 4,899 Rp 4,899
5 Infusan RL 3 PCS 7,629 ###
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 1,250
DWITA TOTAL ###
Terbilang : #NAME?

NAMA : DEWI SINTA NY (BPJSTGL RESEP 11-Jul-19
1 surflo 20 ( 1 PCS 6,270 Rp 6,270
2 Spuit 3 cc 1 PCS 1,138 Rp 1,138
3 Healer Und 1 PCS 3,905 Rp 3,905
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 1,250
DWITA TOTAL ###
Terbilang : #NAME?

NAMA : MARIATUL FITRIAH NN
TGL RESEP 11-Jul-19
STATUS : BPJS DR HENDRI
1 surflo 20 ( 1 PCS 6,270 Rp 6,270
2 Spuit 3 cc 1 PCS 1,138 Rp 1,138
3 Cefotaxime 2 PCS 4,404 Rp 8,809
5 Infusan RL 4 PCS 7,629 ###
6 Metronidaz 3 PCS 7,700 ###
7 Ranitidin in 2 PCS 1,188 Rp 2,376
8 Spuit 5 cc 2 PCS 1,602 Rp 3,203
9 Spuit 10 cc 2 PCS 1,870 Rp 3,740
10 Spuit 1 cc 1 PCS 1,430 Rp 1,430
11 Aqua 1 PCS 2,860 Rp 2,860
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 2,750
DWITA TOTAL ###
Terbilang : #NAME?

NAMA : SAMIDI TN (BPJS) TGL RESEP 11-Jul-19
1 Infusan Ri 3 PCS 10,290 ###
2 Infusset M 1 PCS 8,400 Rp 8,400
3 surflo 20 ( 1 PCS 6,270 Rp 6,270
4 Neurosanbe 1 PCS 5,330 Rp 5,330
7 Spuit 3 cc 6 PCS 1,138 Rp 6,828
8 Paracetamo 3 PCS 60 Rp 180
9 Neo Diafo 3 PCS 240 Rp 720
10 Amlodipin 1 PCS 94 Rp 94
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 2,500
DWITA TOTAL ###
Terbilang : #NAME?

NAMA : SYARIF K TN (BPJS) TGL RESEP 11-Jul-19
1 NaCl Otsu 4 PCS 6,840 ###
2 Folley Cath 1 PCS 11,881 ###
3 Urogard Plu 1 PCS 38,095 ###
4 Lidocain in 1 PCS 1,408 Rp 1,408
5 Spuit 10 cc 1 PCS 1,870 Rp 1,870
6 Novorapid 1 PCS 87,000 ###
7 BD Ultrafin 1 PCS 1,542 Rp 1,542
8 injectomat 1 PCS 9,269 Rp 9,269
9 Spuit 50 c 1 PCS 3,550 Rp 3,550
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 2,250
DWITA TOTAL ###
Terbilang : #NAME?

NAMA : SYARIF K TN (BPJS) TGL RESEP 11-Jul-19
1 3 way stop 1 PCS 3,780 Rp 3,780
2 Cefriaxon 2 PCS 5,148 ###
3 Spuit 1 cc 1 PCS 1,430 Rp 1,430
4 Spuit 10 cc 2 PCS 1,870 Rp 3,740
6 Aqua 2 PCS 2,860 Rp 5,720
7 Curcuma t 3 PCS 876 Rp 2,628
8 Infusan Ri 3 PCS 10,290 ###
9 surflo 20 ( 1 PCS 6,270 Rp 6,270
12 Spuit 3 cc 2 PCS 1,138 Rp 2,276
13 Fluconazol 1 PCS 21,527 ###
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 3,250
DWITA TOTAL ###
Terbilang : #NAME?

NAMA : SRI WULANDARI (BPJTGL RESEP 11-Jul-19
3 surflo 20 ( 1 PCS 6,270 Rp 6,270
4 3 way stop 1 PCS 3,780 Rp 3,780
5 Furosemid 7 PCS 3,410 ###
6 Spuit 50 c 2 PCS 3,550 Rp 7,099
7 Spuit 3 cc 5 PCS 1,138 Rp 5,690
8 NTG Inj 1 1 PCS 60,775 ###
10 Spironolac 1 PCS 212 Rp 212
11 Folley Cath 1 PCS 9,200 Rp 9,200
12 Urogard Plu 1 PCS 38,095 ###
13 Spuit 10 cc 1 PCS 1,870 Rp 1,870
14 injectomat 1 PCS 9,269 Rp 9,269
15 3 way stop 1 PCS 3,780 Rp 3,780
Kasir JUMLAH ###
JP Rp 3,750
DWITA TOTAL ###
Terbilang : #NAME?

NAMA : SRI WULANDARI (BPJTGL RESEP 11-Jul-19
NO RM : O23812 RUANG IGD
2 Neurosanbe 1 PCS 5,330 Rp 5,330
3 Spuit 3 cc 1 PCS 1,138 Rp 1,138
4 Nasal canu 1 PCS 5,500 Rp 5,500
5 PCS - Rp -
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 1,000
DWITA TOTAL ###
Terbilang : #NAME?
WITANSI OBAT PASIEN
TGL RESEP 11-Jul-19
RUANGAN IGD
DR DIANA
PCS 11,040 ###
PCS 4,260 Rp 8,519
PCS 4,686 Rp 4,686
PCS 14,520 ###
PCS 45,714 ###
PCS 1,690 Rp 1,690
PCS 2,244 Rp 2,244
PCS 15,226 ###
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,000
TOTAL ###
NAMA : SRI HASMA WATI NY TGL ( RESEP 12-Jul-19 NAMA : FARIDAH NY (BPJS)
1 Captopril 3 PCS 82 Rp 246 1 D5% OGB 1
2 Amlodipin 1 PCS 94 Rp 94 2 Neurosanbe 1
3 Difenhidra 2 PCS 1,262 Rp 2,524 3 surflo 20 ( 1
4 Ranitidin in 1 PCS 1,188 Rp 1,188 4 Infusset M 1
5 Piralen Inj 1 PCS 4,840 Rp 4,840 5
6 Spuit 3 cc 3 PCS 1,138 Rp 3,414 6
7 Wing Need 1 PCS 5,643 Rp 5,643 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 1,750

NAMA : SITI FATIMAH NY (BPJTGL RESEP 12-Jul-19 NAMA : META K BY NY (BPJS)
1 Captopril 3 PCS 82 Rp 246 1 D 10% OG 1
2 Ranitidin in 1 PCS 1,188 Rp 1,188 2 surflo 20 ( 1
3 Spuit 3 cc 1 PCS 1,138 Rp 1,138 3 Infusset M 1
4 Lansoprazo 2 PCS 608 Rp 1,216 4
5 Metoclorpr 2 PCS 124 Rp 248 5
6 PCS - Rp - 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 1,250

NAMA : M KHAIRUL HUDA ANTGL RESEP 3-Jul-19 NAMA : PARHAN TN (BPJS)
STATUS : YANTIS DR PANDE STATUS : BPJS
1 Lacto B sac 1 PCS 7,399 Rp 7,399 1 Infusan Ri 3
2 ZINC 1 PCS 725 Rp 725 2 surflo 20 ( 1
3 Paracetamo 1 PCS 3,791 Rp 3,791 3 Infusset M 1
6 PCS - Rp - 6 NaCl Otsu 1
10 PCS - Rp - 10 Aqua 2
11 PCS - Rp - 11 Cetirizine 1
12 PCS - Rp - 12 Nasal canu 1
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 750

NAMA : AULIA AN (G) TGL RESEP 12-Jul-19 NAMA : NURJANAH NY (BPJS)
STATUS : YANTIS DR ANNISA STATUS : BPJS
1 Infusset M 1 PCS 10,080 ### 1 Infusan RL 3
2 surflo 22 ( 1 PCS 7,524 Rp 7,524 2 Transfusi 1
3 D5 1/2 NS 2 PCS 12,816 ### 3 surflo 20 ( 1
4 Spuit 1 cc 1 PCS 1,716 Rp 1,716 4 Healer Und 1
5 Paracetamo 1 PCS 3,791 Rp 3,791 5 Urin bag 1
6 Nasal canu 1 PCS 12,954 ### 6 Folley Cath 1
10 PCS - Rp - 10 Aqua 1
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 1,500

NAMA : NURUL HIKMAH NY (TGL RESEP 12-Jul-19 NAMA : META K NY (BPJS)
STATUS : YANTIS DR LUTHFI STATUS : BPJS
1 Dexametaso 3 PCS 1,740 Rp 5,219 1 Infusan RL 4
3 Hystolan 2 PCS 5,792 ### 3 Oxytocin In 2
10 PCS - Rp - 10 URIN BAG 1
11 PCS - Rp - 11 Solasic ta 3
15 PCS - Rp - 15 AQUA 1
JP Rp 750

NAMA : M HAIRUL BY(G) TGL RESEP 12-Jul-19 NAMA : META K NY (BPJS)
1 Masker O2 1 PCS - Rp - 1 Water iriga 1
2 Nasal bayi 1 PCS 9,636 Rp 9,636 2 Transofix 1
3 Masker O2 1 PCS 16,837 ### 3 Spuit 3 cc 1
4 D5 1/4 NS 1 PCS 12,749 ### 4 Healer Und 2
5 Cefotaxime 1 PCS 5,285 Rp 5,285 5 Methyl Erg 1
6 Spuit 10 cc 1 PCS 2,244 Rp 2,244 6 Cat Gut Pl 1
7 Aqua 1 PCS 3,432 Rp 3,432 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 1,750

NAMA : HIDAYAH NY (G) TGL RESEP 12-Jul-19 NAMA : PARHAN TN (BPJS)
STATUS : YANTIS DR DIANA STATUS : BPJS
1 Cefotaxime 1 PCS 5,285 Rp 5,285 1 D 40% Ots 1
2 Spuit 1 cc 1 PCS 1,716 Rp 1,716 2 NaCl Otsu 3
3 Spuit 10 cc 1 PCS 2,244 Rp 2,244 3 Curcuma t 3
4 Aqua 1 PCS 3,432 Rp 3,432 4
5 Infusan RL 1 PCS 9,155 Rp 9,155 5
6 Mipros Tab 2 PCS 11,000 ### 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 1,500

NO RM : 284462 RUANGAN IGD
STATUS : YANTIS DR DIANA
2 Transfusi 1 PCS 16,769 ###
3 surflo 20 ( 1 PCS 7,524 Rp 7,524
5 Spuit 3 cc 4 PCS 1,366 Rp 5,462
6 NGT 16 1 PCS 18,445 ###
7 Spuit 50 c 1 PCS 4,260 Rp 4,260
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir Farmasi JUMLAH ###
JP Rp 1,750
DWITA TOTAL ###

STATUS : YANTIS DR DIANA
1 KCL 1 PCS 3,868 Rp 3,868
2 3 way stop 1 PCS 4,536 Rp 4,536
3 Spuit 50 c 1 PCS 4,260 Rp 4,260
4 injectomat 1 PCS 11,122 ###
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 1,250
DWITA TOTAL ###
WITANSI OBAT PASIEN
TGL RESEP 12-Jul-19
RUANG IGD
DR ANNISA
PCS 6,900 Rp 6,900
PCS 5,330 Rp 5,330
PCS 6,270 Rp 6,270
PCS 8,400 Rp 8,400
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,000
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 12-Jul-19
RUANG IGD
DR DIANA
PCS 8,003 Rp 8,003
PCS 6,270 Rp 6,270
PCS 8,400 Rp 8,400
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 12-Jul-19
RUANG IGD
DR DIANA
PCS 10,290 ###
PCS 6,270 Rp 6,270
PCS 8,400 Rp 8,400
PCS 1,188 Rp 2,376
PCS 1,138 Rp 2,276
PCS 6,840 Rp 6,840
PCS 5,148 ###
PCS 1,430 Rp 1,430
PCS 1,870 Rp 3,740
PCS 2,860 Rp 5,720
PCS 313 Rp 313
PCS 5,500 Rp 5,500
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 3,000
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 12-Jul-19
RUANG IGD
DR DIANA
PCS 7,629 ###
PCS 13,975 ###
PCS 6,270 Rp 6,270
PCS 3,905 Rp 3,905
PCS 5,330 Rp 5,330
PCS 9,200 Rp 9,200
PCS 1,870 Rp 5,611
PCS 1,430 Rp 1,430
PCS 4,404 Rp 8,809
PCS 2,860 Rp 2,860
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 12-Jul-19
RUANG IGD
DR HENDERI
PCS 7,629 ###
PCS 13,975 ###
PCS - Rp -
PCS 1,138 Rp 2,276
PCS 4,404 Rp 8,809
PCS 1,870 Rp 5,611
PCS 1,430 Rp 1,430
PCS 2,860 Rp 5,720
PCS 9,200 Rp 9,200
PCS 5,330 Rp 5,330
PCS 299 Rp 896
PCS 4,404 Rp 8,809
PCS 1,430 Rp 1,430
PCS 1,870 Rp 3,740
PCS 2,860 Rp 2,860
JUMLAH ###
JP Rp 3,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 12-Jul-19
RUANG IGD
DR HENDERI
PCS 12,100 ###
PCS 3,400 Rp 3,400
PCS 1,138 Rp 1,138
PCS 3,905 Rp 7,810
PCS 3,399 Rp 3,399
PCS 35,285 ###
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 12-Jul-19
RUANG IGD
DR DIANA
PCS 10,010 ###
PCS 6,840 ###
PCS 876 Rp 2,628
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 750
TOTAL ###
NAMA : CUT NIAH NY (BPJS) TGL RESEP 15-Jul-19 NAMA : AHMAD FAUZI TN (BP
STATUS : BPJS DR SHOREA STATUS : BPJS
1 Combivent 2 PCS 4,550 Rp 9,100 1 Infusan RL 3
2 Masker Ne 1 PCS 33,880 ### 2 Spuit 10 cc 1
3 Lansoprazo 2 PCS 608 Rp 1,216 3 Spuit 1 cc 1
4 Methylpred 1 PCS 11,449 ### 4 Aqua 1
5 Spuit 3 cc 2 PCS 1,138 Rp 2,276 5 surflo 20 ( 1
7 Salbutamol 3 PCS 64 Rp 191 7 Cefotaxime 2
8 Methylpred 2 PCS 220 Rp 440 8
9 Cetirizine 1 PCS 313 Rp 313 9
10 Paracetamo 3 PCS 60 Rp 180 10
11 Sucralfate 1 PCS 8,206 Rp 8,206 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 2,750

NAMA : NANDA AN (BPJS) TGL RESEP 15-Jul-19 NAMA : M ARSYRAF AN (BPJS
1 Salbutamol 1 PCS 4,446 Rp 4,446 1 D5 1/2 NS 2
5 PCS - Rp - 5 surflo 22 ( 1
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 250

NAMA : AZKA D P AN (BPJS) TGL RESEP 15-Jul-19 NAMA : NURI PUSPITA NN (BP
1 NaCl Otsu 1 PCS 6,840 Rp 6,840 1 Infusan RL 3
2 Healer Und 1 PCS 3,905 Rp 3,905 2 Spuit 10 cc 1
4 NEEDLE 23 1 PCS 311 Rp 311 4 Aqua 1
5 ATS 1500 IU 1 PCS 130,999 ### 5 surflo 20 ( 1
6 Lidocain in 1 PCS 1,408 Rp 1,408 6 Transfusi 1
7 Amoxicilli 1 PCS 3,604 Rp 3,604 7 Cefotaxime 2
8 Paracetamo 1 PCS 3,159 Rp 3,159 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 2,000

NAMA : SITI FATIMAH AZAHRTGL RESEP 29-Jul-19 NAMA : MUHDIANSYAH TN (B
NO RM : 287622 RUANGAN POLI ANAK NO RM : 277997
STATUS : YANTIS DR PUTU STATUS : BPJS
1 D5 1/4 NS 1 PCS 12,749 ### 1 Infusset M 1
2 Cefotaxime 1 PCS 5,285 Rp 5,285 2 surflo 22 ( 1
3 Gentamicin 1 PCS 4,843 Rp 4,843 3 Infusan Ri 1
4 Spuit 10 cc 6 PCS 2,244 ### 4
5 Spuit 5 cc 1 PCS 1,922 Rp 1,922 5
6 Spuit 1 cc 1 PCS 1,716 Rp 1,716 6
7 Infusset Mi 1 PCS 4,200 Rp 4,200 7
8 Polywin no 1 PCS 16,236 ### 8
9 Surflo WP 2 PCS 18,214 ### 9
10 Paracetamo 1 PCS 14,388 ### 10
11 Propyretic 1 PCS 8,250 Rp 8,250 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 2,750

NAMA : ANANG M TN (G) TGL RESEP 29-Jul-19 NAMA : SITI RAIHANI NY (BPJ
STATUS : YANTIS DR SHOREA STATUS : BPJS
1 Folley Cath 1 PCS 14,520 ### 1 Infusan RL 1
2 Lidocain in 2 PCS 1,690 Rp 3,379 2 Infusset M 1
3 Spuit 5 cc 4 PCS 1,922 Rp 7,688 3 surflo 22 ( 1
4 Urin bag 1 PCS 6,395 Rp 6,395 4 Ranitidin in 2
6 AQUA 1 PCS 3,432 Rp 3,432 6 Piralen Inj 3
7 Transfusi 1 PCS 16,769 ### 7 Ondan setr 3
8 surflo 20 ( 1 PCS 7,524 Rp 7,524 8 Sucralfate 1
9 Infusan RL 3 PCS 9,155 ### 9
10 Cefotaxime 3 PCS 5,285 ### 10
11 Ranitidin in 2 PCS 1,426 Rp 2,851 11
12 Santagesic 3 PCS 4,884 ### 12
13 Spuit 1 cc 1 PCS 1,716 Rp 1,716 13
14 Spuit 3 cc 3 PCS 1,366 Rp 4,097 14
15 PCS - Rp - 15
JP Rp 3,500

NAMA : ABDUL KHAIR TN (BPJ
NO RM : 286953
STATUS : BPJS
NO NAMA OBAT QTY
1 NaCl Otsu 4
2 Infusset M 1
3 surflo 20 ( 1
4 Spuit 3 cc 4
5 Omeprazole 1
6 Ranitidin in 2
7 Spuit 10 cc 1
8 Aqua 1
9 Neurosanbe 1
10 Valisanbe 2
11
12
13
14
15
Kasir FARMASI
DWITA

NAMA : ASMAH NY (BPJS)
NO RM : 287627
STATUS : BPJS
NO NAMA OBAT QTY
1 Infusan RL 3
2 Transfusi 1
3 surflo 20 ( 1
4 Dexametaso 3
5 Spuit 3 cc 2
6 Spuit 5 cc 3
7
8
9
10
11
12
13
14
15
Kasir FARMASI
DWITA

NAMA : SARIPAH MASITAH NY
NO RM : 287485
STATUS : BPJS
NO NAMA OBAT QTY
1 NaCl Otsu 2
2 Furosemid 1
3 Cinam Inj 2
4 Ranitidin in 2
5 Spuit 3 cc 3
6 Spuit 1 cc 1
7 Spuit 10 cc 3
8 Aqua 2
9 Spironolac 1
10 Curcuma t 3
11
12
13
14
15
Kasir FARMASI
DWITA

NAMA : MUHDI TN (BPJS)
NO RM : 150698
STATUS : BPJS
NO NAMA OBAT QTY
1 NaCl Otsu 3
2 Infusset M 1
3 surflo 20 ( 1
4 Lansoprazol 2
5 Spuit 10 cc 2
6 Ambroxol t 3
7 Paracetamo 3
8 Lansoprazo 2
9 Paracetamo 3
10
11
12
13
14
15
Kasir FARMASI
DWITA
Terbilang : #NAME?

NAMA : MUHDI TN (BPJS)
NO RM : 150698
STATUS : BPJS
NO NAMA OBAT QTY
1 Masker Ne 1
2 Combivent 3
3 Spuit 10 cc 1
4 Nasal canu 1
5 Viccillin 1 2
6 Spuit 10 cc 2
7 Aqua 2
8 Aminefron 3
9 Metformin 3
10 Gliquidone 1
11
12
13
14
15
Kasir FARMASI
DWITA

NAMA : MISNAN TN (BPJS)
NO RM : 100675
STATUS : BPJS
NO NAMA OBAT QTY
1 Nasal canu 1
2 surflo 22 ( 1
3 NaCl Otsu 3
4 Transfusi 1
5 Furosemid 1
6 Spuit 3 cc 3
7 Spuit 5 cc 3
8 Ranitidin in 2
9 Folley Cath 1
10 Lidocain in 1
11 Spuit 10 cc 1
12 Urin bag 1
13 Spuit 1 cc 1
14 AQUA 1
15
Kasir FARMASI
DWITA
Terbilang : #NAME?

NAMA : MISNAN TN (BPJS)
NO RM : 100675
STATUS : BPJS
NO NAMA OBAT QTY
1 Furosemid 2
2 Spuit 3 cc 2
3 Lisinopril 1
4 Spironolac 1
5
6
7
8
9
10
11
12
13
14
15
Kasir FARMASI
DWITA

NAMA : JAIMAH NY (BPJS)
NO RM : 178397
STATUS : BPJS
NO NAMA OBAT QTY
1 Masker O2 1
2 NGT 16 1
3 Folley Cath 1
4 Urin bag 1
5 Spuit 10 cc 3
6 Spuit 50 c 1
7 Pantoprazo 2
8 Citicoline 2
9 Valisanbe i 2
10 Spuit 3 cc 2
11 Spuit 5 cc 2
12
13
14
15
Kasir FARMASI
DWITA

NAMA : JAIMAH NY (BPJS)
NO RM : 178397
STATUS : BPJS
NO NAMA OBAT QTY
1 Natrium Fen 11
2 Spuit 50 c 1
3 injectomat 1
4 Cefriaxon 2
5 Citicoline 2
6 Mecobalami 3
7 Spuit 10 cc 2
8 Spuit 5 cc 2
9 Spuit 3 cc 3
10 Spuit 1 cc 1
11 Aqua 1
12
13
14
15
Kasir FARMASI
DWITA

NAMA : ITI NY (BPJS)
NO RM : 213608
STATUS : BPJS
NO NAMA OBAT QTY
1 Infusset M 1
2 surflo 20 ( 1
3 Infusan RL 3
4 Piralen Inj 3
5 Pantoprazo 2
6 Spuit 3 cc 5
7 AQUA 5
8 Sucralfate 1
9 Valisanbe i 2
10 Candesart 1
11 Amlodipin 1
12 Cefotaxime 3
13 Spuit 10 cc 3
14 Gitas inj 1
15 Spuit 1 cc 1
Kasir FARMASI
DWITA
Terbilang : #NAME?
WITANSI OBAT PASIEN
TGL RESEP 15-Jul-19
RUANG POLI BEDAH
DR WAYAN
PCS 7,629 ###
PCS 1,870 Rp 1,870
PCS 1,430 Rp 1,430
PCS 2,860 Rp 2,860
PCS 6,270 Rp 6,270
PCS 13,975 ###
PCS 4,404 Rp 8,809
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG POLI BEDAH
DR WAYAN
PCS 10,680 ###
PCS 1,870 Rp 1,870
PCS 1,430 Rp 1,430
PCS 2,860 Rp 2,860
PCS 6,270 Rp 6,270
PCS 13,975 ###
PCS 4,404 Rp 4,404
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG POLI BEDAH
DR WAYAN
PCS 7,629 ###
PCS 1,870 Rp 1,870
PCS 1,430 Rp 1,430
PCS 2,860 Rp 2,860
PCS 6,270 Rp 6,270
PCS 13,975 ###
PCS 4,404 Rp 8,809
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG POLI P DALAM
DR SIGIT
PCS 8,400 Rp 8,400
PCS 6,270 Rp 6,270
PCS 10,290 ###
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 7,629 Rp 7,629
PCS 8,400 Rp 8,400
PCS 6,270 Rp 6,270
PCS 1,188 Rp 2,376
PCS 1,138 Rp 5,690
PCS 4,840 ###
PCS 404 Rp 1,212
PCS 8,206 Rp 8,206
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,000
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 6,840 ###
PCS 8,400 Rp 8,400
PCS 6,270 Rp 6,270
PCS 1,138 Rp 4,552
PCS 11,868 ###
PCS 1,188 Rp 2,376
PCS 1,870 Rp 1,870
PCS 2,860 Rp 2,860
PCS 5,330 Rp 5,330
PCS 242 Rp 484
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 7,629 ###
PCS 13,975 ###
PCS 6,270 Rp 6,270
PCS 1,450 Rp 4,349
PCS 1,138 Rp 2,276
PCS 1,602 Rp 4,805
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 6,840 ###
PCS 3,410 Rp 3,410
PCS 58,732 ###
PCS 1,188 Rp 2,376
PCS 1,138 Rp 3,414
PCS 1,430 Rp 1,430
PCS 1,870 Rp 5,611
PCS 2,860 Rp 5,720
PCS 212 Rp 212
PCS 876 Rp 2,628
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 6,840 ###
PCS 8,400 Rp 8,400
PCS 6,270 Rp 6,270
PCS 86,922 ###
PCS 1,870 Rp 3,740
PCS 277 Rp 832
PCS 60 Rp 180
PCS 608 Rp 1,216
PCS 11,990 ###
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,250
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 33,880 ###
PCS 4,550 ###
PCS 1,870 Rp 1,870
PCS 5,500 Rp 5,500
PCS 40,000 ###
PCS 1,870 Rp 3,740
PCS 2,860 Rp 5,720
PCS 6,971 ###
PCS 180 Rp 539
PCS 1,204 Rp 1,204
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 5,500 Rp 5,500
PCS 6,270 Rp 6,270
PCS 6,840 ###
PCS 13,975 ###
PCS 3,410 Rp 3,410
PCS 1,138 Rp 3,414
PCS 1,602 Rp 4,805
PCS 1,188 Rp 2,376
PCS 9,200 Rp 9,200
PCS 1,408 Rp 1,408
PCS 1,870 Rp 1,870
PCS 5,330 Rp 5,330
PCS 1,430 Rp 1,430
PCS 2,860 Rp 2,860
PCS - Rp -
JUMLAH ###
JP Rp 3,500
TOTAL ###
WITANSI OBAT PASIEN
TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 3,410 Rp 6,820
PCS 1,138 Rp 2,276
PCS 323 Rp 323
PCS 212 Rp 212
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH Rp 9,631
JP Rp 1,000
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 19,154 ###
PCS 15,371 ###
PCS 9,200 Rp 9,200
PCS 5,330 Rp 5,330
PCS 1,870 Rp 5,611
PCS 3,550 Rp 3,550
PCS 23,000 ###
PCS 6,601 ###
PCS 18,843 ###
PCS 1,138 Rp 2,276
PCS 1,602 Rp 3,203
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR SHOREA
PCS 44,804 ###
PCS 3,550 Rp 3,550
PCS 9,269 Rp 9,269
PCS 5,148 ###
PCS 6,601 ###
PCS 6,600 ###
PCS 1,870 Rp 3,740
PCS 1,602 Rp 3,203
PCS 1,138 Rp 3,414
PCS 1,430 Rp 1,430
PCS 2,860 Rp 2,860
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 15-Jul-19
RUANG IGD
DR LUTHFI RF
PCS 8,400 Rp 8,400
PCS 6,270 Rp 6,270
PCS 7,629 ###
PCS 4,840 ###
PCS 23,000 ###
PCS 1,138 Rp 5,690
PCS 2,860 ###
PCS 8,206 Rp 8,206
PCS 18,843 ###
PCS 1,048 Rp 1,048
PCS 94 Rp 94
PCS 4,404 ###
PCS 1,870 Rp 5,611
PCS 26,175 ###
PCS 1,430 Rp 1,430
JUMLAH ###
JP Rp 3,750
TOTAL ###
NAMA : HERIYANTO TN (BPJS)TGL RESEP 17-Jul-19 NAMA : DEWI AYU NY (BPJS)
1 Lansoprazo 2 PCS 608 Rp 1,216 1 ZINC 1
2 Sucralfate 1 PCS 8,206 Rp 8,206 2 Piralen Inj 3
4 PCS - Rp - 4
5 PCS - Rp - 5
6 PCS - Rp - 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 500

NAMA : IKMALSYAH TN (BPJSTGL RESEP 17-Jul-19 NAMA : SATEMI NY (BPJS)
STATUS : BPJS DR LUTFHI RF STATUS : BPJS
1 Kalium Dik 2 PCS 274 Rp 547 1 Novorapid 1
2 Captopril 2 PCS 82 Rp 164 2 BD Ultrafin 1
3 Megabal ( 2 PCS 550 Rp 1,100 3 3 way stop 1
4 PCS - Rp - 4 injectomat 1
5 PCS - Rp - 5 Spuit 50 c 1
6 PCS - Rp - 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 750

NAMA : HASIM TN (BPJS) TGL RESEP 17-Jul-19 NAMA : M RUSDIANNOR TN (
STATUS : BPJS DR LUTFHI RF STATUS : BPJS
1 Eperisone 3 PCS 1,232 Rp 3,696 1 Piralen Inj 3
2 Megabal ( 2 PCS 550 Rp 1,100 2 Paracetamo 3
3 Paracetamo 3 PCS 60 Rp 180 3 Antasid 3
5 PCS - Rp - 5
6 PCS - Rp - 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 750

NAMA : RUMAINOOR NY (BPJTGL RESEP 17-Jul-19 NAMA : M RUSDIANNOR TN (
1 Opilax syr 1 PCS 57,475 ### 1 Infusset M 1
2 Dulcolax 1 1 PCS 5,900 Rp 5,900 2 surflo 20 ( 1
3 Concor 2.5 1 PCS 626 Rp 626 3 Infusan RL 3
4 Ranitidin T 2 PCS 175 Rp 349 4 Ranitidin in 2
6 PCS - Rp - 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 1,000
Terbilang : #NAME?
NAMA : MADE BRATA NY (BPJTGL RESEP 17-Jul-19 KWITANSI OBAT PASIEN
NO RM : 280730 RUANG IGD NAMA : ASRIAH NY (BPJS)
STATUS : BPJS DR ANNISA NO RM : 287715
NO NAMA OBAT QTY SATUAN HARGA SUB TOTAL STATUS : BPJS
1 Ciprofloxa 4 PCS 462 Rp 1,848 NO NAMA OBAT QTY
2 Solasic ta 3 PCS 299 Rp 896 1 NaCl Otsu 5
3 PCS - Rp - 2 surflo 20 ( 1
5 PCS - Rp - 4 3 way stop 2
8 PCS - Rp - 7 Nasal canu 1
9 PCS - Rp - 8 Aspilet 3
10 PCS - Rp - 9 Clopidogre 3
11 PCS - Rp - 10 Isosorbide 1
13 PCS - Rp - 12
14 PCS - Rp - 13
15 PCS - Rp - 14
Kasir FARMASI JUMLAH Rp 2,744 15
JP Rp 500 Kasir FARMASI
DWITA TOTAL ###
DWITA
KWITANSI OBAT PASIEN Terbilang : #NAME?
NAMA : MARNI NY (BPJS) TGL RESEP 17-Jul-19
NO RM : 161871 RUANG IGD KWITANSI OBAT PASIEN
STATUS : BPJS DR LUTHFI RF NAMA : DJANIYEM NY (BPJS)
NO NAMA OBAT QTY SATUAN HARGA SUB TOTAL NO RM : 252733
1 Solasic ta 3 PCS 299 Rp 896 STATUS : BPJS
2 Captopril 3 PCS 82 Rp 246 NO NAMA OBAT QTY
3 Ranitidin T 2 PCS 175 Rp 349 1 Transfusi 3
4 PCS - Rp - 2 surflo 20 ( 1
5 PCS - Rp - 3 NaCl Otsu 3
6 PCS - Rp - 4 Asam Trane 2
8 PCS - Rp - 6 Ondansetro 6
12 PCS - Rp - 10 Lesichol 1 2
13 PCS - Rp - 11 Hepa Balan 2
14 PCS - Rp - 12 D5% OGB 2
Kasir FARMASI JUMLAH Rp 1,491 14 Spuit 3 cc 4
JP Rp 750 15 Spuit 1 cc 1
DWITA TOTAL ### Kasir FARMASI
KWITANSI OBAT PASIEN DWITA

NAMA : NATASYA AN (G) TGL RESEP 17-Jul-19
STATUS : YANTIS DR LUTHFI RF
1 Intrafix Sa 1 PCS 28,800 ###
2 Surflo WP 1 PCS 18,214 ###
3 Propyretic 1 PCS 8,800 Rp 8,800
4 Ondansetro 1 PCS 2,523 Rp 2,523
5 Spuit 3 cc 1 PCS 1,366 Rp 1,366
6 Paracetamo 1 PCS 3,791 Rp 3,791
7 D5 1/4 NS 1 PCS 12,749 ###
8 Cefotaxime 1 PCS 5,285 Rp 5,285
9 Spuit 10 cc 2 PCS 2,244 Rp 4,488
10 Spuit 1 cc 1 PCS 1,716 Rp 1,716
11 Aqua 1 PCS 3,432 Rp 3,432
12 Paracetamo 1 PCS 14,388 ###
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 3,000
DWITA TOTAL ###

NAMA : M RUSDIANNOR TN (TGL RESEP 17-Jul-19
STATUS : BPJS DR ANNISA
1 Piralen Inj 3 PCS 4,840 ###
3 Antasid 3 PCS 211 Rp 633
4 Spuit 3 cc 3 PCS 1,138 Rp 3,414
5 PCS - Rp -
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir FARMASI JUMLAH ###
JP Rp 1,000
DWITA TOTAL ###
WITANSI OBAT PASIEN
TGL RESEP 17-Jul-19
RUANG IGD
DR LUTHFI RF
PCS 604 Rp 604
PCS 4,840 ###
PCS 1,138 Rp 3,414
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 17-Jul-19
RUANG IGD
DR AZHARI
PCS 87,000 ###
PCS 1,542 Rp 1,542
PCS 3,780 Rp 3,780
PCS 9,269 Rp 9,269
PCS 3,550 Rp 3,550
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,250
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 17-Jul-19
RUANG IGD
DR ANNISA
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH Rp -
JP Rp 1,000
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 17-Jul-19
RUANG IGD
DR ANNISA
PCS 8,400 Rp 8,400
PCS 6,270 Rp 6,270
PCS 7,629 ###
PCS 1,188 Rp 2,376
PCS 1,138 Rp 3,414
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,250
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 17-Jul-19
RUANG IGD
DR LUTHFI RF
PCS 6,840 ###
PCS 6,270 Rp 6,270
PCS 13,975 ###
PCS 3,780 Rp 7,560
PCS 23,000 ###
PCS 1,870 Rp 3,740
PCS 5,500 Rp 5,500
PCS 583 Rp 1,749
PCS 1,568 Rp 4,704
PCS 89 Rp 89
PCS 60 Rp 180
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 17-Jul-19
RUANG IGD
DR LUTHFI RF
PCS 13,975 ###
PCS 6,270 Rp 6,270
PCS 6,840 ###
PCS 2,374 Rp 4,748
PCS 23,000 ###
PCS 2,102 ###
PCS 1,870 Rp 9,351
PCS 2,860 ###
PCS 1,602 Rp 6,406
PCS 6,930 ###
PCS 12,540 ###
PCS 6,900 ###
PCS 4,404 ###
PCS 1,138 Rp 4,552
PCS 1,430 Rp 1,430
JUMLAH ###
JP Rp 3,750
TOTAL ###
NAMA : SADI TN (BPJS) TGL RESEP 27-Jul-19 NAMA : I MADE TN (BPJS)
STATUS : BPJS DR AJENG STATUS : BPJS
1 Antasid syr 1 PCS 3,184 Rp 3,184 1 Omeprazole 2
5 PCS - Rp - 5 Curcuma t 6
6 PCS - Rp - 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
Kasir JUMLAH Rp 3,184 Kasir
JP Rp 250

NAMA : SYAIFRUDIN TN (BPJSTGL RESEP 27-Jul-19 NAMA : MULIA NY (BPJS)
NO RM : O94491 RUANG IGD NO RM : 288169
1 Concor 2.5 2 PCS 626 Rp 1,252 1 Infusan RL 2
2 Ranitidin T 4 PCS 175 Rp 699 2 Healer Und 1
3 Dulcolax t 2 PCS 1,401 Rp 2,801 3 Transfusi 1
4 PCS - Rp - 4 surflo 20 ( 1
5 PCS - Rp - 5
6 PCS - Rp - 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 750
Terbilang : #NAME?
KWITANSI OBAT PASIEN NAMA : SUWARTT NY (BPJS)
NAMA : MARIATUL KIPTIAH NTGL RESEP 27-Jul-19 NO RM : 288162
NO RM : 288165 RUANGAN IGD STATUS : BPJS
STATUS : YANTIS DR ANNISA NO NAMA OBAT QTY
NO OBAT QTY SATUAN HARGA SUB TOTAL 1 Infusan RL 3
1 Transfusi 1 PCS 5,879 Rp 5,879 2 Ranitidin in 2
2 surflo 20 ( 1 PCS 7,524 Rp 7,524 3 Cefotaxime 3
3 Infusan RL 3 PCS 9,155 ### 4 Piralen Inj 3
4 Healer Und 1 PCS 4,686 Rp 4,686 5 Spuit 3 cc 6
5 D5% OGB 1 PCS 8,280 Rp 8,280 6 Spuit 10 cc 3
6 MgSO4 40 1 PCS 4,555 Rp 4,555 7 Candesart 2
7 Spuit 3 cc 1 PCS 1,366 Rp 1,366 8 Amlodipin 2
8 Spuit 10 cc 3 PCS 2,244 Rp 6,733 9 Piralen Inj 3
9 Urin bag 1 PCS 6,395 Rp 6,395 10 Spuit 3 cc 3
10 Folley Cath 1 PCS 11,040 ### 11
11 Aqua 1 PCS 3,432 Rp 3,432 12
12 Nifedipin 3 PCS 162 Rp 485 13
13 PCS - Rp - 14
14 PCS - Rp - 15
15 PCS - Rp - Kasir
JP Rp 3,000 DWITA
DWITA TOTAL ###
KWITANSI OBAT PASIEN NAMA : USMAN TN (BPJS)
NAMA : ASTANIAH NY (G) TGL RESEP 27-Jul-19 NO RM : 257232
STATUS : YANTIS DR ANNISA NO NAMA OBAT QTY
NO OBAT QTY SATUAN HARGA SUB TOTAL 1 Infusset M 1
1 Transfusi 1 PCS 5,879 Rp 5,879 2 surflo 20 ( 1
2 surflo 20 ( 1 PCS 7,524 Rp 7,524 3 NaCl Otsu 3
3 Infusan RL 6 PCS 9,155 ### 4 Omeprazole 2
4 Ranitidin in 4 PCS 1,426 Rp 5,702 5 Spuit 10 cc 1
5 Piralen Inj 6 PCS 5,808 ### 6 Santagesic 1
6 Spuit 3 cc 7 PCS 1,366 Rp 9,559 7 Aqua 1
7 Cefotaxime 6 PCS 5,285 ### 8 Spuit 5 cc 3
8 Spuit 10 cc 6 PCS 2,244 ### 9 Spuit 3 cc 3
9 Spuit 1 cc 1 PCS 1,716 Rp 1,716 10 Amlodipin 2
10 Aqua 1 PCS 3,432 Rp 3,432 11
11 PCS - Rp - 12
12 PCS - Rp - 13
13 PCS - Rp - 14
14 PCS - Rp - 15
15 PCS - Rp - Kasir
JP Rp 2,500 DWITA
DWITA TOTAL ###
NAMA : SUKIRMAN TN (BPJS)
NO RM : 216997
STATUS : BPJS
NO NAMA OBAT QTY
1 Infusset M 1
2 surflo 20 ( 1
3 NaCl Otsu 3
4 Citicoline 2
5 Manitol 25 1
6 ESomeprazo 1
7 Spuit 5 cc 3
8 Spuit 3 cc 3
9 AQUA 1
10
11
12
13
14
15
Kasir
DWITA

NAMA : SUWARTI NY (BPJS)
NO RM : 288162
STATUS : BPJS
NO NAMA OBAT QTY
1 Transfusi 1
2 surflo 20 ( 1
3 Infusan RL 3
4 Cefotaxime 3
5 Ranitidin in 2
6 Spuit 3 cc 3
7 Spuit 10 cc 3
8 Spuit 1 cc 1
9 AQUA 1
10
11
12
13
14
15
Kasir
DWITA

NAMA : M GUFRON TN (BPJS)
NO RM : 282065
STATUS : BPJS
NO NAMA OBAT QTY
1 Infusan RL 8
2 Ranitidin in 4
3 Piralen Inj 6
4 Spuit 3 cc 11
5 Paracetamo 6
6
7
8
9
10
11
12
13
14
15
Kasir
DWITA

NAMA : PAIRAH NY (BPJS)
NO RM : 245644
STATUS : BPJS
NO NAMA OBAT QTY
1 Infusan RL 6
2 Transfusi 1
3 surflo 20 ( 1
4 Ranitidin in 4
5 Spuit 3 cc 4
6 Spuit 10 cc 1
7 NGT 16 1
8 Spuit 50 c 1
9 Urin bag 1
10 Folley Cath 1
11 Aqua 4
12 Fleet Ene 1
13 Cefriaxon 4
14 Spuit 1 cc 1
15 Spuit 10 cc 4
Kasir FARMASI
DWITA

NAMA : SYIFA NUR AZIZAH NY
NO RM : 239701
STATUS : BPJS
NO NAMA OBAT QTY
1 Bunascan S 1
2 Spinocan 2 1
3 Lidocain in 1
4 Ephedrin In 1
5 Oxytocin In 2
6 Ketorolac 3 3
7 Spuit 3 cc 2
8 Spuit 5 cc 2
9
10
11
12
13
14
15
Kasir FARMASI
DWITA

NAMA : SYIFA NUR AZIZAH NY
NO RM : 239701
STATUS : BPJS
NO NAMA OBAT QTY
1 Monosyn 1 1
2 Monosyn 3/ 1
3 cat gut ch 2
4 Sofra Tulle 1
5 Mipros Tab 3
6 Infusan RL 4
7 NaCl Otsu 1
8
9
10
11
12
13
14
15
Kasir FARMASI
DWITA
WITANSI OBAT PASIEN
TGL RESEP 27-Jul-19
RUANG IGD
DR AJENG
PCS 11,868 ###
PCS 1,870 ###
PCS 5,148 ###
PCS 1,430 Rp 1,430
PCS 876 Rp 5,257
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,250
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 27-Jul-19
RUANG IGD
DR AJENG
PCS 7,629 ###
PCS 3,905 Rp 3,905
PCS 13,975 ###
PCS 6,270 Rp 6,270
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,000
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 27-Jul-19
RUANG IGD
DR ANNISA
PCS 7,629 ###
PCS 1,188 Rp 2,376
PCS 4,404 ###
PCS 4,840 ###
PCS 1,138 Rp 6,828
PCS 1,870 Rp 5,611
PCS 1,048 Rp 2,096
PCS 94 Rp 188
PCS 4,840 ###
PCS 1,138 Rp 3,414
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 27-Jul-19
RUANG IGD
DR ANNISA
PCS 8,400 Rp 8,400
PCS 6,270 Rp 6,270
PCS 6,840 ###
PCS 11,868 ###
PCS 1,870 Rp 1,870
PCS 4,070 Rp 4,070
PCS 2,860 Rp 2,860
PCS 1,602 Rp 4,805
PCS 1,138 Rp 3,414
PCS 94 Rp 188
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,500
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 27-Jul-19
RUANG IGD
DR ANNISA
PCS 8,400 Rp 8,400
PCS 6,270 Rp 6,270
PCS 6,840 ###
PCS 6,601 ###
PCS 28,276 ###
PCS 28,035 ###
PCS 1,602 Rp 4,805
PCS 1,138 Rp 3,414
PCS 2,860 Rp 2,860
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,250
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 27-Jul-19
RUANG IGD
DR ANNISA
PCS 13,975 ###
PCS 6,270 Rp 6,270
PCS 7,629 ###
PCS 4,404 ###
PCS 1,188 Rp 2,376
PCS 1,138 Rp 3,414
PCS 1,870 Rp 5,611
PCS 1,430 Rp 1,430
PCS 2,860 Rp 2,860
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,250
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 27-Jul-19
RUANG IGD
DR ANNISA
PCS 7,629 ###
PCS 1,188 Rp 4,752
PCS 4,840 ###
PCS 1,138 ###
PCS 60 Rp 360
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,250
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 27-Jul-19
RUANG IGD
DR AZHARI
PCS 7,629 ###
PCS 13,975 ###
PCS 6,270 Rp 6,270
PCS 1,188 Rp 4,752
PCS 1,138 Rp 4,552
PCS 1,870 Rp 1,870
PCS 15,371 ###
PCS 3,550 Rp 3,550
PCS 5,330 Rp 5,330
PCS 9,200 Rp 9,200
PCS 2,860 ###
PCS 41,305 ###
PCS 5,148 ###
PCS 1,430 Rp 1,430
PCS 1,870 Rp 7,481
JUMLAH ###
JP Rp 3,750
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 27-Jul-19
RUANG OK
DR FAJRIN
PCS 39,600 ###
PCS 41,800 ###
PCS 1,408 Rp 1,408
PCS 8,569 Rp 8,569
PCS - Rp -
PCS 1,834 Rp 5,503
PCS 1,138 Rp 2,276
PCS 1,602 Rp 3,203
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,000
TOTAL ###
WITANSI OBAT PASIEN

TGL RESEP 27-Jul-19
RUANG OK
DR GEDE
PCS 124,740 ###
PCS 77,721 ###
PCS 32,800 ###
PCS 21,597 ###
PCS 9,167 ###
PCS 7,629 ###
PCS 6,840 Rp 6,840
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,750
TOTAL ###
KWITANSI OBAT PASIEN KWITANSI OBAT PAS
NAMA : RIEN KUSRINI NY (BPJS) TGL RESEP 20-Jul-19 NAMA : RUSNAH NY (BPJS)
NO RM : O10418 RUANG IGD NO RM : 287220
STATUS : BPJS DR AZHARI STATUS : BPJS
NO NAMA OBAT QTY SATUAN HARGA SUB TOTAL NO NAMA OBAT
1 Captopril 3 PCS 82 Rp 246 1 Infusan RL
2 Amlodipin 1 PCS 94 Rp 94 2 surflo 20 (
3 Nutranex 3 PCS 1,584 Rp 4,752 3 Transfusi
4 PCS - Rp - 4 Healer Und
5 PCS - Rp - 5 Paracetamo
6 PCS - Rp - 6
7 PCS - Rp - 7
8 PCS - Rp - 8
9 PCS - Rp - 9
10 PCS - Rp - 10
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 750
Terbilang : #NAME? Terbilang : #NAME?
KWITANSI OBAT PASIEN KWITANSI OBAT PAS
NAMA : MUHAMMAD TN (BPJS) TGL RESEP 20-Jul-19 NAMA : MEILINDA NY (BPJS)
STATUS : BPJS DR AZHARI STATUS : BPJS
NO NAMA OBAT QTY SATUAN HARGA SUB TOTAL NO NAMA OBAT
1 Folley Cath 1 PCS 11,881 Rp 11,881 1 NaCl Otsu
2 Urogard Plu 1 PCS 38,095 Rp 38,095 2 Methylpred
3 Spuit 10 cc 1 PCS 1,870 Rp 1,870 3 Ranitidin in
4 Aqua 1 PCS 2,860 Rp 2,860 4 Difenhidra
5 PCS - Rp - 5 Epinephrin
6 PCS - Rp - 6 Spuit 3 cc
9 PCS - Rp - 9 surflo 20 (
10 PCS - Rp - 10 Infusset M
11 PCS - Rp - 11
12 PCS - Rp - 12
13 PCS - Rp - 13
14 PCS - Rp - 14
15 PCS - Rp - 15
JP Rp 1,000
DWITA TOTAL Rp55,700
KWITANSI OBAT PAS
KWITANSI OBAT PASIEN NAMA : SIKUN TN (BPJS)
NAMA : ISNAINI NY (G) TGL RESEP 20-Jul-19 NO RM : 203454
STATUS : YANTIS DR DIANA NO NAMA OBAT
NO OBAT QTY SATUAN HARGA SUB TOTAL 1 surflo 20 (
1 Transfusi 1 PCS 16,769 Rp 16,769 2 Infusset M
2 surflo 20 ( 1 PCS 7,524 Rp 7,524 3 Infusan RL
3 Infusan RL 3 PCS 9,155 Rp 27,466 4 Ranitidin in
4 Healer Und 1 PCS 4,686 Rp 4,686 4 Nasal canu
6 PCS - Rp - 6 Sucralfate
7 PCS - Rp - 8 3 way stop
8 PCS - Rp - 9
9 PCS - Rp - 10
10 PCS - Rp - 11
11 PCS - Rp - 12
12 PCS - Rp - 13
13 PCS - Rp - 14
14 PCS - Rp - 15
15 PCS - Rp - Kasir
JP Rp 1,000
DWITA TOTAL Rp57,400 Terbilang : #NAME?
Terbilang : #NAME?
KWITANSI OBAT PAS
KWITANSI OBAT PASIEN NAMA : SYAFRIANSYAH TN (BP
NAMA : KAMALIA NY (G) TGL RESEP 20-Jul-19 NO RM : 285476
STATUS : YANTIS DR DIANA NO NAMA OBAT
NO OBAT QTY SATUAN HARGA SUB TOTAL 1 NaCl Otsu
1 Transfusi 1 PCS 16,769 Rp 16,769 2 surflo 20 (
2 surflo 20 ( 1 PCS 7,524 Rp 7,524 3 Transfusi
3 Infusan RL 2 PCS 9,155 Rp 18,310 4 Mecobalami
4 PCS - Rp - 4 Ranitidin in
5 PCS - Rp - 5 Natrium Fen
8 PCS - Rp - 9 3 way stop
9 PCS - Rp - 10 Aqua
10 PCS - Rp - 11 Asam Folat
11 PCS - Rp - 12 Streptomyci
13 PCS - Rp - 14 NEEDLE 23
14 PCS - Rp - 15 Primet 25
15 PCS - Rp - Kasir
JP Rp 750
DWITA TOTAL Rp43,400 Terbilang : #NAME?
Terbilang : #NAME?
KWITANSI OBAT PAS
KWITANSI OBAT PASIEN NAMA : SYAFRIANSYAH TN (BP
NAMA : MUHAMMAD ALDIANSYAHTGL B RESEP 20-Jul-19 NO RM : 285476
STATUS : YANTIS DR AJENG NO NAMA OBAT
NO OBAT QTY SATUAN HARGA SUB TOTAL 1 Dexametaso
1 D 10% OG 1 PCS 9,603 Rp 9,603 2 NaCl Otsu
2 Polywin no 1 PCS 16,236 Rp 16,236 3 Infusset M
3 Spuit 1 cc 2 PCS 1,716 Rp 3,432 4 injectomat
4 Infusset Mi 1 PCS 4,200 Rp 4,200 4 Cefriaxon
5 NEEDLE 23 2 PCS 373 Rp 746 5 Piracetam
9 PCS - Rp - 10 KSR tab
10 PCS - Rp - 11
11 PCS - Rp - 12
12 PCS - Rp - 13
13 PCS - Rp - 14
14 PCS - Rp - 15
15 PCS - Rp - Kasir
JP Rp 1,250
DWITA TOTAL Rp35,500
Terbilang : #NAME? KWITANSI OBAT PAS
KWITANSI OBAT PASIEN NAMA : SIKUN TN (BPJS)
NAMA : HALIMAH NY (G) TGL RESEP 20-Jul-19 NO RM : 203454
STATUS : YANTIS DR AJENG NO NAMA OBAT
NO OBAT QTY SATUAN HARGA SUB TOTAL 1 Furosemid
1 Infusan RL 4 PCS 9,155 Rp 36,621 2 NaCl Otsu
2 surflo 20 ( 1 PCS 7,524 Rp 7,524 3 Spuit 3 cc
3 Transfusi 1 PCS 5,879 Rp 5,879 4 Spironolac
4 Healer Und 1 PCS 4,686 Rp 4,686 4 Aminefron
5 Spuit 3 cc 1 PCS 1,366 Rp 1,366 5 Curcuma t
6 Amoxicilli 3 PCS 298 Rp 893 6 Folley Cath
7 Solasic ta 3 PCS 358 Rp 1,075 8 Urin bag
8 Lactasin 3 PCS 3,960 Rp 11,880 9 Spuit 10 cc
9 Mipros Tab 3 PCS 11,000 Rp 33,000 10 Lidocain in
10 Cefadroxil 4 PCS 696 Rp 2,784 11 Aqua
11 Intunal F 6 PCS - Rp - 12 Furosemid
12 Folley Cath 1 PCS 11,040 Rp 11,040 13 injectomat
13 Urin bag 1 PCS 6,395 Rp 6,395 14 Spuit 3 cc
14 Spuit 10 cc 1 PCS 2,244 Rp 2,244 15 3 way stop
15 Aqua 1 PCS 3,432 Rp 3,432 Kasir
JP Rp 3,750
DWITA TOTAL ###
RUSNAH NY (BPJS) TGL RESEP 20-Jul-19
287220 RUANG IGD
BPJS DR AZHARI
QTY SATUAN HARGA SUB TOTAL
3 PCS 7,629 ###
1 PCS 6,270 6,270
1 PCS 13,975 ###
1 PCS 3,905 Rp 3,905
3 PCS 60 Rp 180
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 1,250
DWITA TOTAL ###

MEILINDA NY (BPJS) TGL RESEP 20-Jul-19
247451 RUANG IGD
BPJS DR DIANA
6 PCS 6,840 ###
2 PCS 11,449 ###
4 PCS 1,188 Rp 4,752
4 PCS 1,262 Rp 5,048
1 PCS 1,518 Rp 1,518
8 PCS 1,138 Rp 9,104
4 PCS 1,602 Rp 6,406
1 PCS 1,430 Rp 1,430
1 PCS 6,270 Rp 6,270
1 PCS 8,400 Rp 8,400
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,500
DWITA TOTAL ###
SIKUN TN (BPJS) TGL RESEP 20-Jul-19
203454 RUANG IGD
BPJS DR DIANA
1 PCS 6,270 Rp 6,270
1 PCS 8,400 Rp 8,400
2 PCS 7,629 ###
1 PCS 1,188 Rp 1,188
1 PCS 5,500 Rp 5,500
2 PCS 1,138 Rp 2,276
1 PCS 8,206 Rp 8,206
1 PCS 3,780 Rp 3,780
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,000
DWITA TOTAL ###

SYAFRIANSYAH TN (BP
TGL RESEP 20-Jul-19
285476 RUANG IGD
BPJS DR AJENG
2 PCS 6,840 ###
1 PCS 6,270 Rp 6,270
1 PCS 4,899 Rp 4,899
2 PCS 6,600 ###
2 PCS 1,188 Rp 2,376
2 PCS 44,804 ###
4 PCS 1,138 Rp 4,552
1 PCS 1,870 Rp 1,870
2 PCS 3,780 Rp 7,560
1 PCS 2,860 Rp 2,860
2 PCS 173 Rp 346
1 PCS 6,250 Rp 6,250
1 PCS 1,870 Rp 1,870
1 PCS 311 Rp 311
2 PCS 1,650 Rp 3,300
JUMLAH ###
JP Rp 3,750
DWITA TOTAL ###

SYAFRIANSYAH TN (BP
TGL RESEP 20-Jul-19
285476 RUANG IGD
BPJS DR AJENG
10 PCS 1,450 ###
1 PCS 6,840 Rp 6,840
1 PCS 8,400 Rp 8,400
1 PCS 9,269 Rp 9,269
6 PCS 5,148 ###
2 PCS 50,050 ###
3 PCS 1,602 Rp 4,805
1 PCS 1,430 Rp 1,430
3 PCS 1,870 Rp 5,611
6 PCS 1,842 ###
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
PCS - Rp -
JUMLAH ###
JP Rp 2,500
DWITA TOTAL ###

SIKUN TN (BPJS) TGL RESEP 20-Jul-19
203454 RUANG IGD
BPJS DR DIANA
2 PCS 3,410 Rp 6,820
2 PCS 6,840 ###
2 PCS 1,138 Rp 2,276
1 PCS 661 Rp 661
3 PCS 6,971 ###
3 PCS 876 Rp 2,628
1 PCS 9,200 Rp 9,200
1 PCS 5,330 Rp 5,330
3 PCS 1,870 Rp 5,611
6 PCS 1,408 Rp 8,448
1 PCS 2,860 Rp 2,860
2 PCS 3,410 Rp 6,820
1 PCS 9,269 Rp 9,269
2 PCS 1,138 Rp 2,276
1 PCS 3,780 Rp 3,780
JUMLAH ###
JP Rp 3,750
DWITA TOTAL ###
NAMA : GENDIS AN (BPJS) TGL RESEP 29-Jul-19
STATUS : BPJS DR HENDRI
1 Nasal bayi 1 PCS 8,030 Rp 8,030
2 PCS - Rp -
3 PCS - Rp -
4 PCS - Rp -
5 PCS - Rp -
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
JP Rp 250
DWITA TOTAL ###
Terbilang : #NAME?

NAMA : ADIBA AN (BPJS) TGL RESEP 29-Jul-19
1 Salbutamol 1 PCS 4,446 Rp 4,446
2 Cetirizin sy 1 PCS 10,440 ###
3 Paracetamo 1 PCS 3,159 Rp 3,159
4 PCS - Rp -
5 PCS - Rp -
6 PCS - Rp -
7 PCS - Rp -
8 PCS - Rp -
9 PCS - Rp -
10 PCS - Rp -
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 750
DWITA TOTAL ###

NAMA : FATMAWATI NY (BPJSTGL RESEP 29-Jul-19
STATUS : BPJS DR PANDE
1 Wing Need 1 PCS 5,643 Rp 5,643
4 Santagesic 1 PCS 4,070 Rp 4,070
5 Spuit 3 cc 2 PCS 1,138 Rp 2,276
6 Spuit 10 cc 1 PCS 1,870 Rp 1,870
7 Aqua 1 PCS 2,860 Rp 2,860
8 Amlodipin 1 PCS 94 Rp 94
9 Betahistin 6 PCS 119 Rp 714
10 Flunarizin 2 PCS 1,540 Rp 3,080
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 2,500
DWITA TOTAL ###
Terbilang : #NAME?
NAMA : MUSTIKA NY (BPJS) TGL RESEP 29-Jul-19

1 Santagesic 1 PCS 4,070 Rp 4,070
3 Gitas inj 1 PCS 26,175 ###
4 Spuit 5 cc 1 PCS 1,602 Rp 1,602
5 Spuit 3 cc 2 PCS 1,138 Rp 2,276
6 AQUA 1 PCS 2,860 Rp 2,860
7 Wing Need 1 PCS 5,643 Rp 5,643
8 Ondan setr 2 PCS 404 Rp 808
9 Ranitidin T 2 PCS 175 Rp 349
11 PCS - Rp -
12 PCS - Rp -
13 PCS - Rp -
14 PCS - Rp -
15 PCS - Rp -
Kasir JUMLAH ###
JP Rp 2,500
DWITA TOTAL ###

Nama Barang Stok Awal Harga Masuk Keluar

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Nama Barang Stok Awal Harga Masuk Keluar

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NAMA BARANG STOK AWAL HARGA MASUK KELUAR

3 way stop cock ( Eskamed ) 500 3,780

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