1.

--
2. ---
3. ----
4. dr. Arry setyowat
5. dr.Wita Juwitasari P, Sp.PK
6. dr. R. Inten Sylvia Dewi
7. dr. Eka Putranto BS, Sp.B
8. dr. Amal Sembiring, Sp. B
1. 2019/09/12/000057 SUBARMAN, TN
9/12/2019

2. 2019/09/12/000058 SUSWATI, NY
9/12/2019

Subtotal :
9. dr. R. Triyono Edi, Sp.PD
10. dr. Sri Lestari, Sp. PD
1. 2019/09/12/000105 ASIYAH, NY
9/12/2019
 9/13/2019

Subtotal :
11. dr. Sri Wuryanto W, Sp. A
12. dr. Tri Turniant H, Sp.OG
13. dr. Laili Chilmawat, Sp. OG
14. dr. Murgyanto, Sp. S
15. dr. Tut Widowat, Sp.Rad
16. dr. Muh. Ghozali T., Sp.An
17. dr. Tholkha Amarrudin, Sp.THT,
18. dr. Febrilian, Sp.OT
1. 2019/09/12/000059 DWI FIHARTO RAHARHO, TN
9/12/2019

Subtotal :
19. dr. Azkiyatun, Sp.KFR
20. drg. Maharani Mantusiana
21. drg. Eri Kresnoadji
22. dr. Dwi Widijantoro
1. 2019/09/12/000048 SUMADI, TN
9/12/2019

9/13/2019

2. 2019/09/12/000060 WASITO, TN
9/12/2019

3. 2019/09/12/000075 NARSIH, NY
9/12/2019
 4. 2019/09/12/000090 HARDIASIH, NY
9/12/2019

Subtotal :
23. dr. M. Sri Bimo W
1. 2019/09/12/000028 M. SYARONI, TN
9/12/2019

9/13/2019
 2. 2019/09/12/000029 ROMLI, TN
9/12/2019

3. 2019/09/12/000030 MUCH MANSUR, TN

9/12/2019

9/13/2019

Subtotal :
24. dr. Hendi Rastawan
1. 2019/09/12/000094 URIP SULISTYO, TN
9/12/2019
 9/13/2019

2. 2019/09/12/000108 BAMBANG SUGITO , TN

9/13/2019

3. 2019/09/12/000111 DEWI AFRIANA, NY

9/12/2019

Subtotal :
25. dr. Reza Anggar Kusuma
26. dr. Istkhomah
1. 2019/09/12/000114 ASIAH, NY
9/13/2019
 2. 2019/09/12/000115 DASIMAR, NY
9/13/2019

Subtotal :
27. dr. Rizal Kurniawan
28. dr. Kirana Mustkasari
29. dr. Sumono Nurhadi Putranto
>> Total :
B000000003 ABBOCATH NO. 20 1.0 21067.0 0.0 0.0
B000000066 AQUA 25 1.0 9123.0 0.0 0.0
B000000160 CEFOTAXIM 2.0 35100.0 0.0 0.0
B000000470 KETOROLAC 30 INJ 3.0 20850.0 0.0 0.0
B000000588 NACL WIDA 500ML 2.0 17784.0 0.0 0.0
B000000708 RANITIDIN INJ 2.0 7150.0 0.0 0.0
B000000729 RL WIDATRA OGB 2.0 18590.0 0.0 0.0
B000000783 SPUIT 1CC TUBERCULIN 1.0 2360.0 0.0 0.0
B000000784 SPUIT 3 CC BD 5.0 6180.0 0.0 0.0
B000000785 SPUIT 5 CC BD 2.0 4516.0 0.0 0.0
B000000831 TRANFUSION SET 1.0 29744.0 0.0 0.0

B000000003 ABBOCATH NO. 20 1.0 21067.0 0.0 0.0

B000000066 AQUA 25 1.0 9123.0 0.0 0.0
B000000160 CEFOTAXIM 2.0 35100.0 0.0 0.0
B000000470 KETOROLAC 30 INJ 3.0 20850.0 0.0 0.0
B000000586 NACL S 500ML 2.0 39124.0 0.0 0.0
B000000708 RANITIDIN INJ 2.0 7150.0 0.0 0.0
B000000728 RL S 2.0 39124.0 0.0 0.0
B000000783 SPUIT 1CC TUBERCULIN 1.0 2360.0 0.0 0.0
B000000784 SPUIT 3 CC BD 5.0 6180.0 0.0 0.0
B000000785 SPUIT 5 CC BD 2.0 4516.0 0.0 0.0
B000000831 TRANFUSION SET 1.0 29744.0 0.0 0.0
386802.0 0.0 0.0

B000000004 ABBOCATH NO. 22 2.0 42134.0 0.0 0.0

B000000117 BISOPROLOL 5MG 2.0 2860.0 0.0 0.0
B000000352 FUTROLIT INFUS 4.0 254884.0 0.0 0.0
B000000370 GLIMEPIRIDE 2 3.0 3912.0 0.0 0.0
B000000432 INFUSET MAKRO 1.0 11830.0 0.0 0.0
B000000557 METFORMIN 500 4.0 1068.0 0.0 0.0
B000000570 MST 10MG CONTINUS 2.0 40612.0 0.0 0.0
B000000620 OMEPRAZOL INJ 2.0 110500.0 0.0 0.0
B000000785 SPUIT 5 CC BD 2.0 4516.0 0.0 0.0
B000000792 SUCRAFATE SYR 1.0 17616.0 0.0 0.0

B000000134 CANUL O2 DEWASA 1.0 10140.0 0.0 0.0

B000000229 CURCUMA 9.0 10350.0 0.0 0.0
B000000470 KETOROLAC 30 INJ 6.0 41700.0 0.0 0.0
B000000620 OMEPRAZOL INJ 2.0 110500.0 0.0 0.0
B000000715 RENAPAR 6.0 19050.0 0.0 0.0
B000000728 RL S 3.0 58686.0 0.0 0.0
B000000784 SPUIT 3 CC BD 2.0 2472.0 0.0 0.0
B000000785 SPUIT 5 CC BD 2.0 4516.0 0.0 0.0
747346.0 0.0 0.0

B000000003 ABBOCATH NO. 20 1.0 21067.0 0.0 0.0

B000000074 AS TRANEXAMAT 500 1.0 2059.0 0.0 0.0
B000000155 CEFIXIME 100 10.0 17120.0 0.0 0.0
B000000160 CEFOTAXIM 2.0 35100.0 0.0 0.0
B000000329 FENTANYL 2ML INJ 1.0 62920.0 0.0 0.0
B000000359 GELANG ID 1.0 1287.0 0.0 0.0
B000000403 HI-BONE 300 10.0 41760.0 0.0 0.0
B000000470 KETOROLAC 30 INJ 3.0 20850.0 0.0 0.0
B000000553 MELOXICAM 15 10.0 11340.0 0.0 0.0
B000000632 OSCAL 0,25 10.0 90560.0 0.0 0.0
B000000680 PROANES/ML 10.0 42900.0 0.0 0.0
B000000729 RL WIDATRA OGB 4.0 37180.0 0.0 0.0
B000000757 SEDACUM INJ 3.0 80730.0 0.0 0.0
B000000782 SPUIT 10 CC BD 1.0 2340.0 0.0 0.0
B000000783 SPUIT 1CC TUBERCULIN 1.0 2360.0 0.0 0.0
B000000784 SPUIT 3 CC BD 5.0 6180.0 0.0 0.0
B000000785 SPUIT 5 CC BD 2.0 4516.0 0.0 0.0
B000000831 TRANFUSION SET 1.0 29744.0 0.0 0.0
510013.0 0.0 0.0
B000000004 ABBOCATH NO. 22 1.0 21067.0 0.0 0.0
B000000359 GELANG ID 1.0 1287.0 0.0 0.0
B000000432 INFUSET MAKRO 1.0 11830.0 0.0 0.0
B000000588 NACL WIDA 500ML 3.0 26676.0 0.0 0.0
B000000603 NEW DIATAB 6.0 3954.0 0.0 0.0
B000000639 PARACETAMOL 500 12.0 4476.0 0.0 0.0
B000000708 RANITIDIN INJ 6.0 21450.0 0.0 0.0
B000000725 RILLUS 4.0 26648.0 0.0 0.0
B000000729 RL WIDATRA OGB 4.0 37180.0 0.0 0.0
B000000784 SPUIT 3 CC BD 6.0 7416.0 0.0 0.0

B000000507 LEVOFLOXACIN INFUS 2.0 226512.0 0.0 0.0

B000000561 METHYLPREDNISOLONE INJ 2.0 64564.0 0.0 0.0
B000000783 SPUIT 1CC TUBERCULIN 1.0 2360.0 0.0 0.0
B000000784 SPUIT 3 CC BD 3.0 3708.0 0.0 0.0

B000000004 ABBOCATH NO. 22 1.0 21067.0 0.0 0.0

B000000160 CEFOTAXIM 3.0 52650.0 0.0 0.0
B000000359 GELANG ID 1.0 1287.0 0.0 0.0
B000000432 INFUSET MAKRO 1.0 11830.0 0.0 0.0
B000000470 KETOROLAC 30 INJ 6.0 41700.0 0.0 0.0
B000000528 MECOBALAMIN INJ 5.0 57200.0 0.0 0.0
B000000586 NACL S 500ML 5.0 97810.0 0.0 0.0
B000000639 PARACETAMOL 500 3.0 1119.0 0.0 0.0
B000000708 RANITIDIN INJ 5.0 17875.0 0.0 0.0
B000000783 SPUIT 1CC TUBERCULIN 1.0 2360.0 0.0 0.0
B000000784 SPUIT 3 CC BD 7.0 8652.0 0.0 0.0
B000000785 SPUIT 5 CC BD 2.0 4516.0 0.0 0.0
B000000933 DIAZEPAM 2 3.0 531.0 0.0 0.0

B000000004 ABBOCATH NO. 22 1.0 21067.0 0.0 0.0

B000000066 AQUA 25 1.0 9123.0 0.0 0.0
B000000162 CEFTRIAXON 4.0 148720.0 0.0 0.0
B000000359 GELANG ID 1.0 1287.0 0.0 0.0
B000000432 INFUSET MAKRO 1.0 11830.0 0.0 0.0
B000000470 KETOROLAC 30 INJ 8.0 55600.0 0.0 0.0
B000000586 NACL S 500ML 3.0 58686.0 0.0 0.0
B000000588 NACL WIDA 500ML 4.0 35568.0 0.0 0.0
B000000708 RANITIDIN INJ 6.0 21450.0 0.0 0.0
B000000783 SPUIT 1CC TUBERCULIN 1.0 2360.0 0.0 0.0
B000000784 SPUIT 3 CC BD 8.0 9888.0 0.0 0.0
B000000785 SPUIT 5 CC BD 2.0 4516.0 0.0 0.0
B000000840 URINTER 400 4.0 28020.0 0.0 0.0

B000000639 PARACETAMOL 500 6.0 2238.0 0.0 0.0

B000000697 PSIDII CAPSUL 6.0 43386.0 0.0 0.0
B000000708 RANITIDIN INJ 4.0 14300.0 0.0 0.0
B000000729 RL WIDATRA OGB 4.0 37180.0 0.0 0.0
B000000769 SOTATIC 6.0 25098.0 0.0 0.0
B000000784 SPUIT 3 CC BD 6.0 7416.0 0.0 0.0
1315458.00.0 0.0

B000000004 ABBOCATH NO. 22 1.0 21067.0 0.0 0.0

B000000010 ACETYLCYSTEIN 200Mg 3.0 4290.0 0.0 0.0
B000000036 AMINOPHILLIN INJ 4.0 18720.0 0.0 0.0
B000000134 CANUL O2 DEWASA 1.0 10140.0 0.0 0.0
B000000162 CEFTRIAXON 2.0 74360.0 0.0 0.0
B000000238 D 40% 2.0 26026.0 0.0 0.0
B000000242 D5 WIDA 2.0 17940.0 0.0 0.0
B000000247 DC 10 1.0 52009.0 0.0 0.0
B000000250 DC 16 1.0 25740.0 0.0 0.0
B000000255 DEXA INJ 5.0 19500.0 0.0 0.0
B000000350 FUROSEMID INJ 2.0 8866.0 0.0 0.0
B000000356 GELANG KUNING FALLRISK 1.0 3790.0 0.0 0.0
B000000359 GELANG ID 1.0 1287.0 0.0 0.0
B000000394 HAND SKUN NO 7 1/2 GAME 2.0 26026.0 0.0 0.0
B000000432 INFUSET MAKRO 1.0 11830.0 0.0 0.0
B000000439 ISDN 5.0 1075.0 0.0 0.0
B000000525 MASKER NEBULIZER DEWASA2.0 52000.0 0.0 0.0
B000000588 NACL WIDA 500ML 6.0 53352.0 0.0 0.0
B000000708 RANITIDIN INJ 11.0 39325.0 0.0 0.0
B000000768 SOLVINEX 2.0 108680.0 0.0 0.0
B000000782 SPUIT 10 CC BD 6.0 14040.0 0.0 0.0
B000000783 SPUIT 1CC TUBERCULIN 1.0 2360.0 0.0 0.0
B000000784 SPUIT 3 CC BD 4.0 4944.0 0.0 0.0
B000000785 SPUIT 5 CC BD 7.0 15806.0 0.0 0.0
B000001118 COMBIVENT UDV 2.5ML BPJS4.0 23660.0 0.0 0.0

B000000134 CANUL O2 DEWASA 1.0 10140.0 0.0 0.0

B000000162 CEFTRIAXON 2.0 74360.0 0.0 0.0
B000000399 HEPAMAX 6.0 74934.0 0.0 0.0
B000000729 RL WIDATRA OGB 2.0 18590.0 0.0 0.0
B000000768 SOLVINEX 2.0 108680.0 0.0 0.0
B000000835 TUZALOS 4.0 4976.0 0.0 0.0

B000000058 ANTASIDA SYR 1.0 4810.0 0.0 0.0

B000000131 CANDESARTAN 8MG 10.0 26330.0 0.0 0.0
B000000350 FUROSEMID INJ 2.0 8866.0 0.0 0.0
B000000439 ISDN 5.0 1075.0 0.0 0.0
B000000478 KSR 10.0 22820.0 0.0 0.0
B000000621 OMEPRAZOLE KAPSUL 10.0 5300.0 0.0 0.0
B000000729 RL WIDATRA OGB 3.0 27885.0 0.0 0.0
B000000784 SPUIT 3 CC BD 2.0 2472.0 0.0 0.0

B000000052 ANALSIK 6.0 12444.0 0.0 0.0

B000000131 CANDESARTAN 8MG 2.0 5266.0 0.0 0.0
B000000306 ESOMEPRAZOL INJ 1.0 64350.0 0.0 0.0
B000000656 PIRALEN INJ 2.0 16016.0 0.0 0.0
B000000784 SPUIT 3 CC BD 2.0 2472.0 0.0 0.0

B000000131 CANDESARTAN 8MG 3.0 7899.0 0.0 0.0

B000000352 FUTROLIT INFUS 4.0 254884.0 0.0 0.0
B000000562 METOCHLORPRAMIDE 10 MG4.0 716.0 0.0 0.0
B000000580 NACL 100 SANBE 2.0 37066.0 0.0 0.0
B000000656 PIRALEN INJ 4.0 32032.0 0.0 0.0
B000000784 SPUIT 3 CC BD 4.0 4944.0 0.0 0.0
B000000785 SPUIT 5 CC BD 2.0 4516.0 0.0 0.0
1470676.00.0 0.0

B000000004 ABBOCATH NO. 22 3.0 63201.0 0.0 0.0

B000000080 ASERING 1.0 38147.0 0.0 0.0
B000000229 CURCUMA 3.0 3450.0 0.0 0.0
B000000346 FOLIC ACID 1 MG 3.0 612.0 0.0 0.0
B000000351 FUROSEMID TAB 10.0 2860.0 0.0 0.0
B000000355 GELANG ALLERGY MERAH 1.0 3790.0 0.0 0.0
B000000359 GELANG ID 1.0 1287.0 0.0 0.0
B000000432 INFUSET MAKRO 1.0 11830.0 0.0 0.0
B000000621 OMEPRAZOLE KAPSUL 12.0 6360.0 0.0 0.0
B000000649 PHYTOMENADION (VIT K1) IN3.0 19500.0 0.0 0.0
B000000708 RANITIDIN INJ 2.0 7150.0 0.0 0.0
B000000729 RL WIDATRA OGB 4.0 37180.0 0.0 0.0
B000000772 SPIRONOLACTON 25MG 12.0 6864.0 0.0 0.0
B000000784 SPUIT 3 CC BD 5.0 6180.0 0.0 0.0
B000000792 SUCRAFATE SYR 1.0 17616.0 0.0 0.0
B000000925 NEXITRA 10.0 17810.0 0.0 0.0

B000000003 ABBOCATH NO. 20 1.0 21067.0 0.0 0.0

B000000350 FUROSEMID INJ 4.0 17732.0 0.0 0.0
B000000588 NACL WIDA 500ML 2.0 17784.0 0.0 0.0
B000000729 RL WIDATRA OGB 2.0 18590.0 0.0 0.0
B000000771 SPIRONOLACTON 100 4.0 8008.0 0.0 0.0
B000000831 TRANFUSION SET 1.0 29744.0 0.0 0.0

B000000470 KETOROLAC 30 INJ 6.0 41700.0 0.0 0.0

B000000570 MST 10MG CONTINUS 4.0 81224.0 0.0 0.0
B000000588 NACL WIDA 500ML 3.0 26676.0 0.0 0.0
B000000708 RANITIDIN INJ 4.0 14300.0 0.0 0.0

B000000004 ABBOCATH NO. 22 1.0 21067.0 0.0 0.0

B000000185 CIPROFLOXACIN 500 6.0 5202.0 0.0 0.0
B000000359 GELANG ID 1.0 1287.0 0.0 0.0
B000000432 INFUSET MAKRO 1.0 11830.0 0.0 0.0
B000000470 KETOROLAC 30 INJ 3.0 20850.0 0.0 0.0
B000000729 RL WIDATRA OGB 3.0 27885.0 0.0 0.0
B000000784 SPUIT 3 CC BD 3.0 3708.0 0.0 0.0
B000000928 SILVER SULPHADIAZINE 1.0 24463.0 0.0 0.0
636954.0 0.0 0.0

B000000004 ABBOCATH NO. 22 1.0 21067.0 0.0 0.0

B000000005 ABBOCATH NO. 24 1.0 22773.0 0.0 0.0
B000000040 AMLODIPINE 10 MG 3.0 2007.0 0.0 0.0
B000000134 CANUL O2 DEWASA 1.0 10140.0 0.0 0.0
B000000237 D 10% 2.0 19498.0 0.0 0.0
B000000238 D 40% 2.0 26026.0 0.0 0.0
B000000346 FOLIC ACID 1 MG 6.0 1224.0 0.0 0.0
B000000350 FUROSEMID INJ 7.0 31031.0 0.0 0.0
B000000427 INFUSET MIKRO 1.0 26650.0 0.0 0.0
B000000438 IRBESARTAN 300MG 3.0 9753.0 0.0 0.0
B000000588 NACL WIDA 500ML 4.0 35568.0 0.0 0.0
B000000708 RANITIDIN INJ 4.0 14300.0 0.0 0.0
B000000769 SOTATIC 6.0 25098.0 0.0 0.0
B000000784 SPUIT 3 CC BD 7.0 8652.0 0.0 0.0

B000000470 KETOROLAC 30 INJ 6.0 41700.0 0.0 0.0

B000000620 OMEPRAZOL INJ 4.0 221000.0 0.0 0.0
B000000729 RL WIDATRA OGB 4.0 37180.0 0.0 0.0
B000000769 SOTATIC 6.0 25098.0 0.0 0.0
B000000784 SPUIT 3 CC BD 12.0 14832.0 0.0 0.0
B000000785 SPUIT 5 CC BD 4.0 9032.0 0.0 0.0
602629.0 0.0 0.0

5669878.00.0 0.0