Lap. Tahunan 2019 BARU-1

PEMERINTAH KABUPATEN SUMEDANG
DINAS KESEHATAN KABUPATEN SUMEDANG

UPTD BLUD PUSKESMAS………………..
Jl…………………….
LAPORAN TAHUNAN 2019

Nomor :
Tanggal :
Mutasi 2019
Harga Satuan Harga Satuan Harga Satuan Saldo 31-12-2018 Saldo Akhir 2019
No Nama Obat Satuan Penambahan Persediaan Pemakaian ED Ket
2017 2018 2019 Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah Σ Harga 2019 Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah Σ Harga 2019 Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah Σ Harga 2019 Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah Σ Harga 2019 Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah Σ Harga 2019
1 2 3 4 5 6 7 8 ( 7x4 ) 9 10 ( 9x5 ) 11 12 ( 11x4 ) 13 14 ( 13x5 ) 15 16 ( 15x6 ) 17 18 ( 17x4 ) 19 20 ( 19x5 ) 21 22 ( 21x6 ) 23 24 ( 23x4 ) 25 26 ( 25x5 ) 27 28 ( 27x6 ) 28 29(28x4) 30 31(30x5) 32 33(32x6) 34 35(34x4) 36 37(36x5) 38 39(38x6)
1 Acetyl Cysteine 200 mg Kapsul - 358.00 - - 2,990 1,070,420.00 - - 1,800 644,400.00 - - - - 4,790 1,714,820.00 - - - - 829 296,782.00 - - - - 2,990 1,070,420.00 - 971 347,618.00 - -
2 Alat Suntik Sekali Pakai 0.5 ml Pcs 1,249.45 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3 Alat Suntik Sekali Pakai 1 ml Pcs 990.00 653.41 656.64 - - - - 800 522,728.00 - - - - 800 522,728.00 - - - - 45 29,403.45 - - - - - - - 755 493,324.55 - -
4 Alat Suntik Sekali Pakai 10 ml (Aximed) Buah - 1,382.37 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5 Alat Suntik Sekali Pakai 10 ml (Top Point) Buah 3,600.00 941.48 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 652.51 - - 24 15,660.24 - 1,800 1,174,518.00 - - - - 1,824 1,190,178.24 - - - - 1,080 704,710.80 - - - - - - - - 744 485,467.44 - - - -
7 Alat Suntik Sekali Pakai 20 ml Buah - 1,478.28 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8 Alat Suntik Sekali Pakai 3 ml Pcs 792.00 792.00 652.51 1,328 1,051,776.00 - 600 475,200.00 800 633,600.00 6,600 4,306,566.00 1,928 1,526,976.00 800 633,600.00 6,600 4,306,566.00 1,928 1,526,976.00 688 544,896.00 1,828 1,192,788.28 - 112 88,704.00 19 12,397.69 - - - - 4,753 3,101,380.03
9 Alat Suntik Sekali Pakai 5 ml Pcs 979.00 784.09 - 598 585,442.00 - - - 2,400 1,881,816.00 - - 598 585,442.00 2,400 1,881,816.00 - - 588 575,652.00 120 94,090.80 - - 10 9,790.00 - - - - 2,280 1,787,725.20 - -
10 Albendazol 400 mg Tablet - 403.00 403.00 510 - - - - 26,700 10,760,100.00 - - 510 - 26,700 10,760,100.00 - - 9 - 16,457 6,632,171.00 - - 501 - - - - - 10,243 4,127,929.00 - -
11 Alkohol Swab ( PT. Bio Axion Healthindo) Sase - 116.04 - - - - - 800 92,832.00 - - - - 800 92,832.00 - - - - 800 92,832.00 - - - - - - - - - - - -
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 196.80 196.80 105.00 117 23,025.60 - - - - - 700 73,500.00 117 23,025.60 - - 700 73,500.00 117 23,025.60 - - 300 31,500.00 - - - - - - - - 400 42,000.00
13 Alopurinol tablet 100 mg Tablet 89.00 99.00 - 1,643 146,227.00 - - - 1,100 108,900.00 - - 1,643 146,227.00 1,100 108,900.00 - - 1,409 125,401.00 - - - - 68 6,052.00 - - 166 14,774.00 1,100 108,900.00 - -
14 Alopurinol tablet 300 mg Tablet 210.00 - - 361 75,810.00 - 100 21,000.00 - - - - 461 96,810.00 - - - - 252 52,920.00 - - - - - - - - 209 43,890.00 - - - -
15 Ambroxol Sirup Botol 3,900.00 3,970.00 - 15 58,500.00 - - - - - - - 15 58,500.00 - - - - 8 31,200.00 - - - - 3 11,700.00 - - 4 15,600.00 - - - -
16 Ambroxol Tablet 30 mg Tablet 148.50 - - 143 21,235.50 - - - - - - - 143 21,235.50 - - - - 143 21,235.50 - - - - - - - - - - - - - -
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 3,345.00 2,789.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
18 Aminofilin Tablet 200 mg Tablet 91.00 89.00 - 559 50,869.00 - - - 900 80,100.00 - - 559 50,869.00 900 80,100.00 - - 471 42,861.00 245 21,805.00 - - 88 8,008.00 - - - - 655 58,295.00 - -
19 Aminofluid Botol 64,990.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
20 Amitriptilina HCl tablet salut 25 mg Tablet 112.00 167.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
21 Amlodipin tablet 10 mg Tablet 104.00 93.00 93.00 603 62,712.00 600 55,800.00 - - 3,360 312,480.00 - - 603 62,712.00 3,960 368,280.00 - - 603 62,712.00 3,025 281,325.00 - - - - - - - - 935 86,955.00 - -
22 Amlodipin tablet 5 mg Tablet 85.00 70.00 70.00 181 15,385.00 1,560 109,200.00 - - 7,500 525,000.00 - - 181 15,385.00 9,060 634,200.00 - - 181 15,385.00 7,242 506,940.00 - - - - - - - - 1,818 127,260.00 - -
23 Amoksilin 500 mg Kaplet 190.00 233.00 233.00 4,332 823,080.00 14,400 3,355,200.00 - - 74,000 17,242,000.00 - - 4,332 823,080.00 88,400 20,597,200.00 - - 4,332 823,080.00 48,085 11,203,805.00 - - - - - - - - 40,315 9,393,395.00 - -
24 Amoksilin Kapsul 250 mg Kapsul 195.00 184.00 - 3,307 644,865.00 - - - - - - - 3,307 644,865.00 - - - - 1,503 293,085.00 - - - - - - - - 1,804 351,780.00 - - - -
25 Amoksilin sirup kering 125 mg/5ml Botol 1,881.00 - 2,500.00 333 626,373.00 - 700 1,316,700.00 - - 300 750,000.00 1,033 1,943,073.00 - - 300 750,000.00 663 1,247,103.00 - - 281 702,500.00 370 695,970.00 - - - - - - 19 47,500.00
26 Amoksilin sirup kering forte 250 mg/5ml Botol 3,984.00 3,400.00 - 165 657,360.00 - - - 220 748,000.00 - - 165 657,360.00 220 748,000.00 - - 165 657,360.00 30 102,000.00 - - - - - - - - 190 646,000.00 - -
27 Ampisilin 1 gr inj Ampul 9,176.00 8,237.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
28 Ampisilin Kaplet 500 mg Kaplet 362.00 570.00 - 520 188,240.00 - - - 1,000 570,000.00 - - 520 188,240.00 1,000 570,000.00 - - 520 188,240.00 202 115,140.00 - - - - - - - - 798 454,860.00 - -
29 Ampisilin Kaplet 500 mg Kaplet 597.00 570.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
30 Ampisilin Serbuk Injeksi Vial - 8,237.00 - - - - - 228 1,878,036.00 - - - - 228 1,878,036.00 - - - - - - - - - - - - - - 228 1,878,036.00 - -
31 Antalgin(Metampiron) Tablet 500 mg Tablet 242.00 218.50 268.00 6,541 1,582,922.00 - - - 1,500 327,750.00 - - 6,541 1,582,922.00 1,500 327,750.00 - - 5,712 1,382,304.00 106 23,161.00 - - 829 200,618.00 - - - - 1,394 304,589.00 - -
32 Antasida DOEN I tablet kombinasi Tablet 58.00 54.00 54.00 59,009 3,422,522.00 - - - 42,000 2,268,000.00 - - 59,009 3,422,522.00 42,000 2,268,000.00 - - 39,539 2,293,262.00 10,953 591,462.00 - - 19,470 1,129,260.00 6,169 333,126.00 - - 24,878 1,343,412.00 - -
33 Antasida DOEN II suspensi kombinasi Botol 1,923.00 1,995.00 1,995.00 - - - - 300 598,500.00 - - - - 300 598,500.00 - - - - 164 327,180.00 - - - - - - - - 136 271,320.00 - -
34 Anti hemoroid suppositorida Supp 4,950.00 3,167.00 - 90 445,500.00 - - - 240 760,080.00 - - 90 445,500.00 240 760,080.00 - - 90 445,500.00 157 497,219.00 - - - - 16 50,672.00 - - 67 212,189.00 - -
35 Antifungi DOEN kombinasi : Pot 4,323.00 4,496.00 - 172 743,556.00 - 168 755,328.00 - - 172 743,556.00 168 755,328.00 - - 172 743,556.00 39 175,344.00 - - - - - - - - 129 579,984.00 - -
36 Antimigren DOEN/Ergotamin kafein Tablet 135.00 173.00 - 100 13,500.00 - - - 200 34,600.00 - - 100 13,500.00 200 34,600.00 - - 22 2,970.00 106 18,338.00 - - 78 10,530.00 - - - - 94 16,262.00 - -
37 Antiseptik Hand Rub 5 lt Galon 145,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
38 Antiseptik Hand Rub 500 ml Botol 60,800.00 - - 5 304,000.00 - 20 1,216,000.00 - - - - 25 1,520,000.00 - - - - 10 608,000.00 - - - - - - - - 15 912,000.00 - - - -
39 Antiseptik Surgical Hand Scrub 5 lt Galon 160,200.00 - - 2 320,400.00 - - - - - - - 2 320,400.00 - - - - 2 320,400.00 - - - - - - - - - - - - - -
40 Antiseptik Surgical Hand Scrub 500 ml Botol 74,000.00 - - 14 1,036,000.00 - - - - - - - 14 1,036,000.00 - - - - 13 962,000.00 - - - - - - - - 1 74,000.00 - - - -
Aqua Pro Injeksi steril bebas pirogen- 20
41 Ampul 2,302.00 2,295.00 - 25 57,550.00 - - - - - - - 25 57,550.00 - - - - 10 23,020.00 - - - - 15 34,530.00 - - - - - - - -
ml
42 Aquadest steril -500 ml Botol 24,000.00 24,200.00 - 4 96,000.00 - - - 15 363,000.00 - - 4 96,000.00 15 363,000.00 - - 4 96,000.00 11 266,200.00 - - - - - - - - 4 96,800.00 - -
43 Asam Askorbat (VIT C) Tablet 50 mg (KF) Tablet 104.00 105.00 105.00 8,160 848,640.00 - - - 18,000 1,890,000.00 - - 8,160 848,640.00 18,000 1,890,000.00 - - 8,160 848,640.00 9,369 983,745.00 - - - - - - - - 8,631 906,255.00 - -
44 Asam folat tablet 0,4 mg Tablet 55.00 52.00 52.00 726 39,930.00 - - - 2,200 114,400.00 - - 726 39,930.00 2,200 114,400.00 - - 726 39,930.00 1,444 75,088.00 - - - - - - - - 756 39,312.00 - -
45 Asam Mefenamat 500 mg Tablet 100.00 103.00 103.00 7,466 746,600.00 - - - 10,800 1,112,400.00 - - 7,466 746,600.00 10,800 1,112,400.00 - - 7,466 746,600.00 5,291 544,973.00 - - - - - - - - 5,509 567,427.00 - -
46 Asering Botol 9,275.00 9,646.00 - 48 445,200.00 - - - - - - - 48 445,200.00 - - - - - - - - - - 48 445,200.00 - - - - - - - -
47 Asetosal tablet 80 mg Tablet 92.00 - - 143 13,156.00 - 300 27,600.00 - - - - 443 40,756.00 - - - - 293 26,956.00 - - - - 150 13,800.00 - - - - - - - -
48 Asiklovir cr Tube 3,110.00 3,140.00 3,322.00 165 513,150.00 - - - 125 392,500.00 100 332,200.00 165 513,150.00 125 392,500.00 100 332,200.00 160 497,600.00 121 379,940.00 - - 5 15,550.00 - - - - 4 12,560.00 100 332,200.00
49 Asiklovir tab 200 mg Tablet 240.00 236.00 - 401 96,240.00 - 100 24,000.00 1,000 236,000.00 - - 501 120,240.00 1,000 236,000.00 - - 501 120,240.00 190 44,840.00 - - - - - - - - 810 191,160.00 - -
50 Asiklovir tab 400 mg Tablet 365.00 380.00 380.00 571 208,415.00 - - - 3,400 1,292,000.00 - - 571 208,415.00 3,400 1,292,000.00 - - 571 208,415.00 2,375 902,500.00 - - - - 33 12,540.00 - - 992 376,960.00 - -
51 Atapulgit Tablet 142.00 136.00 136.00 1,272 180,624.00 - - - 1,000 136,000.00 - - 1,272 180,624.00 1,000 136,000.00 - - 1,272 180,624.00 238 32,368.00 - - - - - - - - 762 103,632.00 - -
Mutasi 2019
52 Atorvastatin 10 mg Tablet 10,890.00 1,100.00 - 141 1,535,490.00 - - - 180 198,000.00 - - 141 1,535,490.00 180 198,000.00 - - 141 1,535,490.00 55 60,500.00 - - - - - - - - 125 137,500.00 - -
53 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 1,672.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
54 Azitromisin 500 mg Kaplet 1,888.00 - - 1,256 2,371,328.00 - - - - - - - 1,256 2,371,328.00 - - - - 37 69,856.00 - - - - - - - - 1,219 ### - - - -
55 Bedak Salisil serbuk 2 % Buah 1,025.00 2,400.00 - 120 123,000.00 - - - 50 120,000.00 - - 120 123,000.00 50 120,000.00 - - 120 123,000.00 36 86,400.00 - - - - - - - - 14 33,600.00 - -
56 Benzatin benzil penisilin 1,2 juta IU/Vial Vial 14,500.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
57 Betametason Krim 0.1 % Tube 1,349.00 1,340.00 - 289 389,861.00 - - - 710 951,400.00 - - 289 389,861.00 710 951,400.00 - - 289 389,861.00 345 462,300.00 - - - - 8 10,720.00 - - 357 478,380.00 - -
58 Bisturi no 10 Buah 767.00 45 34,515.00 - - - - - - - 45 34,515.00 - - - - - - - - - - - - - - 45 34,515.00 - - - -

- -
59 Bloodseet Buah 13,420.00 - - 14 187,880.00 - - - - - - - 14 187,880.00 - - - - 9 120,780.00 - - - - - - - - 5 67,100.00 - - - -
60 Camabion Tablet 355.00 - - 49,954 17,733,670.00 - - - - - - - 49,954 17,733,670.00 - - - - 39,299 13,951,145.00 - - - - 10,655 3,782,525.00 - - - - - - - -
61 Carpul (Articain & Adrenalin) Ampul 10,914.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
62 Catgut Chromic 2/0 100 m Roll 940,554.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Catgut Chromic 2/0 75C + Jarum 1/2 30
63 Roll 22,500.00 22,500.00 61,800.00 12 270,000.00 - - - 72 1,620,000.00 120 7,416,000.00 12 270,000.00 72 1,620,000.00 120 7,416,000.00 12 270,000.00 63 1,417,500.00 24 1,483,200.00 - - - - - - 9 202,500.00 96 5,932,800.00
MR
Catgut Chromic 3/0 75C + Jarum 1/2 22
64 Roll 22,500.00 22,500.00 - - - - - 72 1,620,000.00 - - - - 72 1,620,000.00 - - - - 26 585,000.00 - - - - - - - - 46 1,035,000.00 - -
MR
65 Catgut Plain 2/0 70C + Jarum 1/2 36M R Roll 30,500.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
66 Catgut Plain 3/0 70C + Jarum 3/8 19M C Roll 29,583.33 - - 13 384,583.29 - - - - - - - 13 384,583.29 - - - - 7 207,083.31 - - - - - - - - 6 177,499.98 - - - -
Catgut/Benang Bedah No.2/0-3/0 dg jarum
67 Roll 24,500.00 - - 122 2,989,000.00 - - - - - - - 122 2,989,000.00 - - - - 34 833,000.00 - - - - 22 539,000.00 - - 66 ### - - - -
bedah
68 Cefiksim 100 mg Kapsul 750.00 803.00 - 962 721,500.00 - - - 100 80,300.00 - - 962 721,500.00 100 80,300.00 - - 323 242,250.00 86 69,058.00 - - 639 479,250.00 - - - - 14 11,242.00 - -
69 Cetirizine Kapsul 96.00 90.00 90.00 355 34,080.00 - - - 500 45,000.00 - - 355 34,080.00 500 45,000.00 - - 355 34,080.00 500 45,000.00 - - - - - - - - - - - -
70 Citoject Pcs 909,900.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
71 Clorofenol (CHKM) Ples 115,700.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
72 Deksametason inj 5 mg/ml-1 ml Ampul 1,500.00 1,097.00 - 9 13,500.00 - - - 5 5,485.00 - - 9 13,500.00 5 5,485.00 - - 3 4,500.00 - - - - 6 9,000.00 - - - - 5 5,485.00 - -
73 Deksametason Tablet 0,5 mg Tablet 41.00 32.00 250.00 15,692 643,372.00 - - - 15,500 496,000.00 10,400 2,600,000.00 15,692 643,372.00 15,500 496,000.00 10,400 2,600,000.00 15,692 643,372.00 15,335 490,720.00 594 148,500.00 - - 165 5,280.00 - - - - 9,806 2,451,500.00
74 Devitalisasi Pasta (Non arsen) Botol 816,700.00 385,000.00 - 1 816,700.00 - - - - - - - 1 816,700.00 - - - - - - - - - - - - - - 1 816,700.00 - - - -
75 Difenhidramin inj 10 mg/ml Ampul 1,060.00 1,095.00 - 10 10,600.00 - - - - - - - 10 10,600.00 - - - - 8 8,480.00 - - - - - - - - 2 2,120.00 - - - -
76 Digoksin tablet 0,25 mg Tablet 104.00 104.00 - 565 58,760.00 - - - 200 20,800.00 - - 565 58,760.00 200 20,800.00 - - 12 1,248.00 - - - - 517 53,768.00 - - 36 3,744.00 200 20,800.00 - -
77 Dimenhidrinat tablet 50 mg Tablet 99.00 - 99.00 300 29,700.00 - 200 19,800.00 - - - 500 49,500.00 - - - 500 49,500.00 - - - - - - - - - - - - - -
78 Doksisiklin 100 mg Kapsul 268.00 268.00 - 612 164,016.00 - - - - - - - 612 164,016.00 - - - - 25 6,700.00 - - - - - - - - 587 157,316.00 - - - -
79 Domperidon Syrup Botol 3,000.00 2,700.00 - 29 87,000.00 - - - 50 135,000.00 - - 29 87,000.00 50 135,000.00 - - 29 87,000.00 21 56,700.00 - - - - - - - - 29 78,300.00 - -
80 Domperidon tablet 10 mg Tablet 95.00 85.00 - 812 77,140.00 - - - 1,900 161,500.00 - - 812 77,140.00 1,900 161,500.00 - - 812 77,140.00 1,900 161,500.00 - - - - - - - - - - - -
81 Ekstrak Belladona tablet 10 mg Tablet 38.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
82 Eosin 2% 1x100 ml Botol - 179,595.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Epinefrina(Adrenalin) inj i.v/s.k/i.m 1
83 Ampul 1,749.00 1,408.00 - 99 173,151.00 - - - 5 7,040.00 - - 99 173,151.00 5 7,040.00 - - - - - - - - 99 173,151.00 - - - - 5 7,040.00 - -
mg/ml
84 Eritromisin 250 mg Tablet 557.00 546.00 546.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
85 Eritromisin 500 mg Tablet 730.00 750.00 - 294 214,620.00 - - - 600 450,000.00 - - 294 214,620.00 600 450,000.00 - - 294 214,620.00 147 110,250.00 - - - - - - - - 453 339,750.00 - -
86 Eritromisin sirup kering 200 mg/5 ml Botol 6,700.00 6,090.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
87 Etambutol Hcl tablet 250 mg Tablet 314.00 366.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
88 Etambutol Hcl Tablet 500 mg Tablet 451.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
89 Etanol 70 %- 100 ml Botol 2,500.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
90 Etanol 70% - 1 L Botol 21,500.00 25,000.00 - 17 365,500.00 - 20 430,000.00 12 300,000.00 - - 37 795,500.00 12 300,000.00 - - 17 365,500.00 - - - - - - - - 20 430,000.00 12 300,000.00 - -
91 Etil Klorida semprot-100 ml Botol 124,900.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
92 Eugenol Cairan Botol 102,000.00 18,824.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
93 Female Catheter no 16 Pcs 5,720.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
94 Female Catheter no 18 Pcs 5,720.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
95 Fenitoin Kapsul100 mg Kapsul 152.00 - - 90 13,680.00 - - - - - - - 90 13,680.00 - - - - - - - - - - 90 13,680.00 - - - - - - - -
96 Fenoksimetil Penisilin tablet 250 mg Tablet 350.00 - - 1,052 368,200.00 - 700 245,000.00 - - - - 1,752 613,200.00 - - - - 820 287,000.00 - - - - 100 35,000.00 - - 832 291,200.00 - - - -
97 Fenoksimetil Penisilin tablet 500 mg Tablet 605.00 - - 744 450,120.00 - 800 484,000.00 - - - - 1,544 934,120.00 - - - - 1,372 830,060.00 - - - - 172 104,060.00 - - - - - - - -
98 Fenol Gliserol Tetes telinga 10 % Botol 1,008.33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
99 Film IV Dressing 6x7 P Pcs 2,200.00 - - 200 440,000.00 - 20 44,000.00 - - - - 220 484,000.00 - - - - - - - - - - - - - - 220 484,000.00 - - - -
100 Fitomenadion(Vit K1) inj 10 mg/ml-1ml Ampul 1,566.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
101 Fitomenadion(Vit K1) inj 2 mg/ml-1ml Ampul 3,550.00 3,682.00 3,682.00 178 631,900.00 - - - 838 3,085,516.00 - - 178 631,900.00 838 3,085,516.00 - - 140 497,000.00 - - - - 30 106,500.00 - - 8 28,400.00 838 3,085,516.00 - -
Fitomenadion(Vit K1) tablet salut gula 10
102 Tablet 686.00 710.00 710.00 1,036 710,696.00 - 600 411,600.00 400 284,000.00 - - 1,636 1,122,296.00 400 284,000.00 - - 795 545,370.00 - - - - 157 107,702.00 - - 684 469,224.00 400 284,000.00 - -
mg
103 Fluconazol 150 mg kapsul 18,000.00 18,720.00 - 100 1,800,000.00 - - - - - - - 100 1,800,000.00 - - - - 19 342,000.00 - - - - - - - - 81 ### - - - -
104 Folley Cathether 2 way no 20 Pcs 8,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
105 Folley Cathether no 16 Pcs 11,000.00 - 10,340.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
106 Folley Cathether no 18 Pcs 11,000.00 - 11,890.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
107 Furosemid tablet 40 mg Tablet 72.00 77.00 - 364 26,208.00 - - - 400 30,800.00 - - 364 26,208.00 400 30,800.00 - - 364 26,208.00 133 10,241.00 - - - - - - - - 267 20,559.00 - -
108 Garam Oralit 200 ml air Sachet 260.00 260.00 274.00 747 194,220.00 - - - 400 104,000.00 1,200 328,800.00 747 194,220.00 400 104,000.00 1,200 328,800.00 747 194,220.00 86 22,360.00 - - - - - - - - 314 81,640.00 1,200 328,800.00
109 Gentamisin Inj 40 mg/ml Vial 3,386.00 3,509.00 5,900.00 - - - - - - 262 1,545,800.00 - - - - 262 1,545,800.00 - - - - 262 1,545,800.00 - - - - - - - - - -
Mutasi 2019
110 Gentamycin Salep Kulit Tube 3,040.00 3,550.00 - 48 145,920.00 - - - 168 596,400.00 - - 48 145,920.00 168 596,400.00 - - 48 145,920.00 168 596,400.00 - - - - - - - - - - - -
111 Gentamycin Salep Mata Tube 2,960.00 2,675.00 - 65 192,400.00 - - - 252 674,100.00 - - 65 192,400.00 252 674,100.00 - - 65 192,400.00 74 197,950.00 - - - - - - - - 178 476,150.00 - -
112 Gentamycin Tetes Mata Tube 4,170.00 4,232.00 4,232.00 21 87,570.00 - - - 225 952,200.00 - - 21 87,570.00 225 952,200.00 - - 21 87,570.00 116 490,912.00 - - - - - - - - 109 461,288.00 - -
113 Gentian violet larutan 1 %-10 ml Botol 3,000.00 - - 4 12,000.00 - - - - - - - 4 12,000.00 - - - - 4 12,000.00 - - - - - - - - - - - - - -
114 Glas Lonomer Cement Set 480,840.00 500,000.00 275,924.71 1 480,840.00 - - - 1 500,000.00 2 551,849.42 1 480,840.00 1 500,000.00 2 551,849.42 1 480,840.00 1 500,000.00 1 275,924.71 - - - - - - - - 1 275,924.71
115 Glibenklamid tablet 5 mg Tablet 100.00 119.00 - 200 20,000.00 - - - - - - - 200 20,000.00 - - - - 10 1,000.00 - - - - - - - - 190 19,000.00 - - - -
116 Glimepiride tablet 1 mg Tablet 194.00 - - 175 33,950.00 - - - - - - - 175 33,950.00 - - - - 97 18,818.00 - - - - - - - - 78 15,132.00 - - - -
117 Gliseril Gyayakolat tablet 100 mg Tablet 118.80 118.00 128.81 13,967 1,659,279.60 - - - 28,600 3,374,800.00 10,000 1,288,100.00 13,967 1,659,279.60 28,600 3,374,800.00 10,000 1,288,100.00 13,967 1,659,279.60 28,600 3,374,800.00 3,679 473,891.99 - - - - - - - - 6,321 814,208.01
118 Glukosa Larutan infus 10% steril-500 ml Botol 5,700.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
119 Glukosa Larutan infus 5% steril-500 ml Botol 5,200.00 - 6,900.00 14 72,800.00 - 25 130,000.00 - - 20 138,000.00 39 202,800.00 - - 20 138,000.00 12 62,400.00 - - 10 69,000.00 - - - - 27 140,400.00 - - 10 69,000.00
120 Griseofulvin tablet 125 mg micronized Tablet 247.00 210.00 210.00 1,250 308,750.00 - - - - - - - 1,250 308,750.00 - - - - 220 54,340.00 - - - - 530 130,910.00 - - 500 123,500.00 - - - -
121 Haloperidol Injeksi (Lodomer) Ampul 6,250.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
122 Haloperidol tablet 0,5 mg Tablet 56.00 55.00 - 629 35,224.00 - 200 11,200.00 1,000 55,000.00 - - 829 46,424.00 1,000 55,000.00 - - 629 35,224.00 166 9,130.00 - - - - - - 200 11,200.00 834 45,870.00 - -
123 Haloperidol tablet 1,5 mg Tablet 61.00 59.00 - 1,435 87,535.00 - - - 2,300 135,700.00 - - 1,435 87,535.00 2,300 135,700.00 - - 1,435 87,535.00 1,435 84,665.00 - - - - - - - - 865 51,035.00 - -
124 Haloperidol tablet 2 mg Tablet 126.00 84.00 - 660 83,160.00 - - - 1,500 126,000.00 - - 660 83,160.00 1,500 126,000.00 - - 460 57,960.00 1,085 91,140.00 - - 200 25,200.00 - - - - 415 34,860.00 - -
125 Haloperidol tablet 5 mg Tablet 69.00 56.00 56.00 358 24,702.00 - - - 3,300 184,800.00 - - 358 24,702.00 3,300 184,800.00 - - 358 24,702.00 2,499 139,944.00 - - - - - - - - 801 44,856.00 - -
126 Hansaplast 2,5 cm x 4,5 m Roll 11,334.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
127 Hansaplast 7,5 cm x 4,5 m Roll 31,265.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
128 Hidrogen Peroksida 3% (H2O2) Botol 23,931.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 149.00 155.00 - 1,872 278,928.00 - - - 500 77,500.00 - - 1,872 278,928.00 500 77,500.00 - - 915 136,335.00 100 15,500.00 - - - - - - 957 142,593.00 400 62,000.00 - -
130 Hidrokortison krim 2,5 % Tube 2,639.00 2,475.00 - 339 894,621.00 - - - 600 1,485,000.00 - - 339 894,621.00 600 1,485,000.00 - - 339 894,621.00 220 544,500.00 - - - - - - - - 380 940,500.00 - -
131 Ibuprofen sirup 100 mg/5 ml Botol 2,475.00 2,365.00 - 29 71,775.00 - - - 100 236,500.00 - - 29 71,775.00 100 236,500.00 - - 16 39,600.00 - - - - 13 32,175.00 - - - - 100 236,500.00 - -
132 Ibuprofen tablet 200 mg Tablet 102.00 105.00 - 7,107 724,914.00 - - - 6,800 714,000.00 - - 7,107 724,914.00 6,800 714,000.00 - - 7,107 724,914.00 5,873 616,665.00 - - - - - - - - 927 97,335.00 - -
133 Ibuprofen tablet 400 mg Tablet 111.00 396.00 396.00 - - - - - - 3,000 1,188,000.00 - - - - 3,000 1,188,000.00 - - - - 964 381,744.00 - - - - - - - - 2,036 806,256.00
134 Infusion set anak Set 4,000.00 6,273.00 6,150.00 7 28,000.00 - - - 25 156,825.00 - - 7 28,000.00 25 156,825.00 - - - - - - - - - - - - 7 28,000.00 25 156,825.00 - -
135 Infusion set dewasa Set 6,435.00 6,435.00 5,800.00 77 495,495.00 - - - 200 1,287,000.00 - - 77 495,495.00 200 1,287,000.00 - - 66 424,710.00 13 83,655.00 - - 11 70,785.00 9 57,915.00 - - 178 1,145,430.00 - -
136 Isoniazida ( INH ) tablet 300 mg Tablet 170.00 173.00 173.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
137 Isosorbit 5 mg Tablet 90.00 89.00 89.00 34 3,060.00 - - - - - - - 34 3,060.00 - - - - 33 2,970.00 - - - - - - - - 1 90.00 - - - -
138 IV Cateter 18 Buah 10,494.00 10,494.00 11,000.00 80 839,520.00 - - - 80 839,520.00 100 1,100,000.00 80 839,520.00 80 839,520.00 100 1,100,000.00 39 409,266.00 51 535,194.00 - - 41 430,254.00 - - - - 29 304,326.00 100 1,100,000.00
139 IV Cateter 20 Buah 10,494.00 10,494.00 11,000.00 89 933,966.00 - - - 200 2,098,800.00 - - 89 933,966.00 200 2,098,800.00 - - 71 745,074.00 - - - - 9 94,446.00 - - 9 94,446.00 200 2,098,800.00 - -
140 IV Cateter 22 Buah 10,494.00 10,494.00 11,000.00 10 104,940.00 - - - 30 314,820.00 - - 10 104,940.00 30 314,820.00 - - 2 20,988.00 - - - - - - - - 8 83,952.00 30 314,820.00 - -
141 IV Cateter 24 Buah 10,494.00 10,494.00 11,000.00 - - - - 70 734,580.00 - - - - 70 734,580.00 - - - - - - - - - - - - - - 70 734,580.00 - -
142 IV Cateter no 26 wings & port Buah 6,600.00 - - 10 66,000.00 - - - - - - - 10 66,000.00 - - - - - - - - - - - - - - 10 66,000.00 - - - -
143 IV Cateter with injection port 26 G Buah 16,346.00 13,200.00 - - - - - 80 1,056,000.00 - - - - 80 1,056,000.00 - - - - - - - - - - - - - - 80 1,056,000.00 - -
144 Jarum Citojek No 16 Pcs 2,093.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
145 Jarum Jahit kulit No.12 Pcs 2,283.33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
146 Jarum Jahit Otot No.12 Pcs 2,283.33 - - 3 6,849.99 - - - - - - - 3 6,849.99 - - - - 2 4,566.66 - - - - - - - - 1 2,283.33 - - - -
147 Kalium Permanganat Pot 8,700.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
148 Kalsium Glukonat injeksi i.v 10 % Ampul 9,955.00 10,351.00 - 39 388,245.00 - - - 105 1,086,855.00 - - 39 388,245.00 105 1,086,855.00 - - 3 29,865.00 105 1,086,855.00 - - - - - - 36 358,380.00 - - - -
149 Kalsium Hidroksida Pasta Set 290,000.00 - - 1 290,000.00 - 1 290,000.00 - - - - 2 580,000.00 - - - - 1 290,000.00 - - - - - - - - 1 290,000.00 - - - -
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 56.00 59.00 - 10,996 615,776.00 - - - 66,200 3,905,800.00 - - 10,996 615,776.00 66,200 3,905,800.00 - - 10,996 615,776.00 47,354 2,793,886.00 - - - - - - - - 18,846 1,111,914.00 - -
151 Kapas pembalut/absorben 250 mg Buah 12,500.00 12,500.00 - 19 237,500.00 - - - 15 187,500.00 - - 19 237,500.00 15 187,500.00 - - 10 125,000.00 3 37,500.00 - - - - - - 9 112,500.00 12 150,000.00 - -
152 Kaptropil 12,5 mg Tablet 62.00 62.00 - 2,394 148,428.00 - 4,800 297,600.00 - - - - 7,194 446,028.00 - - - - 4,823 299,026.00 - - - - - - - - 2,371 147,002.00 - - - -
153 Kaptropil 25 mg Tablet 80.00 - - 2,835 226,800.00 - 5,300 424,000.00 - - - - 8,135 650,800.00 - - - - 4,686 374,880.00 - - - - 3,449 275,920.00 - - - - - - - -
154 Karbamazepin tablet 200 mg Tablet 270.00 230.00 230.00 98 26,460.00 - - - 700 161,000.00 - - 98 26,460.00 700 161,000.00 - - 98 26,460.00 390 89,700.00 - - - - - - - - 310 71,300.00 - -
155 Karbogliserin Tetes Telinga Botol 2,500.00 2,590.00 - 245 612,500.00 - - - 252 652,680.00 - - 245 612,500.00 252 652,680.00 - - 137 342,500.00 79 204,610.00 - - 108 270,000.00 5 12,950.00 - - 168 435,120.00 - -
156 Kasa hidrofil 36 m x 80 cm Roll 55,000.00 106,605.00 - 4 220,000.00 - - - - - - - 4 220,000.00 - - - - 4 220,000.00 - - - - - - - - - - - - - -
157 Kasa hidrofile 3 yard x 10 cm Buah - 1,380.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
158 Kasa hidrofile 40 yard x 80 cm Roll - 123,000.00 - - - - - 5 615,000.00 - - - - 5 615,000.00 - - - - 2 246,000.00 - - - - - - - - 3 369,000.00 - -
159 Kasa kompres 16x16 steril Buah 362.50 500.00 291.67 160 58,000.00 - - - 80 40,000.00 240 70,000.80 160 58,000.00 80 40,000.00 240 70,000.80 160 58,000.00 33 16,500.00 - - - - - - - - 47 23,500.00 240 70,000.80
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 606.00 1,493.50 - 514 311,484.00 - - - - - - - 514 311,484.00 - - - - 282 170,892.00 - - - - - - - - 232 140,592.00 - - - -
161 Ketokonazol 200 mg Tablet 280.00 270.00 - 299 83,720.00 - - - 800 216,000.00 - - 299 83,720.00 800 216,000.00 - - 299 83,720.00 740 199,800.00 - - - - - - - - 60 16,200.00 - -
162 Ketokonazol Krim 2% Tube 2,595.00 2,518.00 - 109 282,855.00 - - - 25 62,950.00 - - 109 282,855.00 25 62,950.00 - - 78 202,410.00 2 5,036.00 - - - - - - 31 80,445.00 23 57,914.00 - -
163 Klindamisin 300 mg Tablet 578.00 - 759.00 258 149,124.00 - - - - - 200 151,800.00 258 149,124.00 - - 200 151,800.00 55 31,790.00 - - - - 139 80,342.00 - - 64 36,992.00 - - 200 151,800.00
164 Kloramfenikol kapsul 250 mg Kapsul 649.05 310.00 - 2,366 1,535,652.30 - - - 2,500 775,000.00 - - 2,366 1,535,652.30 2,500 775,000.00 - - 2,366 1,535,652.30 1,153 357,430.00 - - - - 478 148,180.00 - - 869 269,390.00 - -
165 Kloramfenikol salep kulit 2 % Tube 3,091.00 3,038.00 - 73 225,643.00 - - - 360 1,093,680.00 - - 73 225,643.00 360 1,093,680.00 - - 73 225,643.00 272 826,336.00 - - - - - - - - 88 267,344.00 - -
166 Kloramfenikol salep mata 1 % Tube 1,810.00 1,881.00 - 145 262,450.00 - - - 312 586,872.00 - - 145 262,450.00 312 586,872.00 - - 145 262,450.00 195 366,795.00 - - - - - - - - 117 220,077.00 - -
167 Kloramfenikol susp 125 ml Botol 4,700.00 4,700.00 - 11 51,700.00 - - - 124 582,800.00 - - 11 51,700.00 124 582,800.00 - - 11 51,700.00 58 272,600.00 - - - - - - - - 66 310,200.00 - -
Mutasi 2019
168 Kloramfenikol tetes telinga 3 % Ples 8,910.00 7,700.00 11,044.00 75 668,250.00 - - - - - 48 530,112.00 75 668,250.00 - - 48 530,112.00 57 507,870.00 - - - - - - - - 18 160,380.00 - - 48 530,112.00
169 Klorfenariamin maleat (CTM) tablet 4 mg Tablet 37.00 22.00 - 15,939 589,743.00 - - - 57,200 1,258,400.00 - - 15,939 589,743.00 57,200 1,258,400.00 - - 15,939 589,743.00 43,405 954,910.00 - - - - - - - - 13,795 303,490.00 - -
170 Klorine Botol 24,000.00 - - 27 648,000.00 - - - - - - - 27 648,000.00 - - - - 4 96,000.00 - - - - - - - - 23 552,000.00 - - - -
171 Klorpromazin 100 MG Tablet 144.00 147.00 - 558 80,352.00 - - - 2,600 382,200.00 - - 558 80,352.00 2,600 382,200.00 - - 558 80,352.00 1,798 264,306.00 - - - - 802 117,894.00 - - - - - -
172 Klorpromazin 25 mg Tablet 148.00 - - 100 14,800.00 - - - - - - - 100 14,800.00 - - - - - - - - - - 100 14,800.00 - - - - - - - -
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 1,050.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
174 Kotrimoksazol anak Tablet 76.00 - - 559 42,484.00 - - - - - - - 559 42,484.00 - - - - 9 684.00 - - - - 550 41,800.00 - - - - - - - -
175 Kotrimoksazol Susp Botol 2,140.00 2,052.00 - 176 376,640.00 - - - 444 911,088.00 - - 176 376,640.00 444 911,088.00 - - 176 376,640.00 304 623,808.00 - - - - 48 98,496.00 - - 92 188,784.00 - -
176 Kotrimoksazol Tablet 480 mg Tablet 129.00 - 125.00 3,651 470,979.00 - 5,600 722,400.00 - - 2,500 312,500.00 9,251 1,193,379.00 - - 2,500 312,500.00 4,384 565,536.00 - - 1,022 127,750.00 4,867 627,843.00 - - 268 33,500.00 - - - - 1,210 151,250.00
177 Leucoplast 2,50 cm x 4,5 m Roll 12,076.00 12,076.00 12,675.00 8 96,608.00 - - - 10 120,760.00 - - 8 96,608.00 10 120,760.00 - - 6 72,456.00 - - - - - - - - 2 24,152.00 10 120,760.00 - -
178 Leucoplast 7,50 cm x 4,5 m Roll 35,532.00 35,532.00 37,371.00 16 568,512.00 - 10 355,320.00 15 532,980.00 - - 26 923,832.00 15 532,980.00 - - 10 355,320.00 5 177,660.00 - - - - - - 16 568,512.00 10 355,320.00 - -
179 Lidocain compositum inj kombinasi Ampul 1,937.00 1,152.00 - 16 30,992.00 - - - - - - - 16 30,992.00 - - - - 16 30,992.00 - - - - - - - - - - - - - -
180 Lidocain Injeksi 2% Ampul 1,111.00 1,144.00 1,144.00 146 162,206.00 - - - 260 297,440.00 - - 146 162,206.00 260 297,440.00 - - 126 139,986.00 64 73,216.00 - - 20 22,220.00 - - - - 196 224,224.00 - -
181 Lidocain Jeli 2% Syringe 40,000.00 41,600.00 - 3 120,000.00 - - - - - - - 3 120,000.00 - - - - - - - - - - - - - - 3 120,000.00 - - - -

Lidokain Spray Oral 10%(Xylocaine
182 Botol - 177,216.00 - - 1 177,216.00 - - - - - - - - 1 177,216.00 - - - - - - - - - - - - - - 1 177,216.00 - -
spray)
183 Lisol Botol 41,000.00 41,000.00 - 6 246,000.00 - - - 10 410,000.00 - - 6 246,000.00 10 410,000.00 - - 6 246,000.00 4 164,000.00 - - - - - - - - 6 246,000.00 - -
184 Loratadine 10 mg Tablet 123.00 - 123.00 677 83,271.00 - 700 86,100.00 - - - - 1,377 169,371.00 - - - - 1,077 132,471.00 - - - - - - - - 300 36,900.00 - - - -
185 Magnesium Sulfat Inj 20% Vial 3,200.00 - - 14 44,800.00 - - - - - - - 14 44,800.00 - - - - 6 19,200.00 - - - - - - - - 8 25,600.00 - - - -
186 Magnesium Sulfat Inj 40% Ampul - 3,796.00 - - - - - 88 334,048.00 - - - - 88 334,048.00 - - - - 88 334,048.00 - - - - - - - - - - - -
187 Masker Karet Buah 726.00 - 331.70 454 329,604.00 - - - - - 400 132,680.00 454 329,604.00 - - 400 132,680.00 330 239,580.00 - - - - - - - - 124 90,024.00 - - 400 132,680.00
188 Masker Tali Buah 726.00 762.00 - 398 288,948.00 - 300 217,800.00 - - - - 698 506,748.00 - - - - 651 472,626.00 - - - - - - - - 47 34,122.00 - - - -
189 Metformin Tablet 94.00 96.00 96.00 3,759 353,346.00 - - - 1,000 96,000.00 - - 3,759 353,346.00 1,000 96,000.00 - - 3,759 353,346.00 216 20,736.00 - - - - - - - - 784 75,264.00 - -
190 Metildopa 250 mg / Dopamet Tablet 869.00 - 946.00 129 112,101.00 - - - - - 600 567,600.00 129 112,101.00 - - 600 567,600.00 129 112,101.00 - - 265 250,690.00 - - - - - - - - 335 316,910.00
191 Metilergometrin Maleat Inj Ampul 2,849.00 2,959.00 - 122 347,578.00 - - - 1,670 4,941,530.00 - - 122 347,578.00 1,670 4,941,530.00 - - 9 25,641.00 25 73,975.00 - - 113 321,937.00 - - - - 1,645 4,867,555.00 - -
192 Metilergometrin Maleat tab Tablet 267.86 210.00 - 1,695 454,022.70 - - - 1,200 252,000.00 - - 1,695 454,022.70 1,200 252,000.00 - - 1,087 291,163.82 - - - - 222 59,464.92 - - 386 103,393.96 1,200 252,000.00 - -
193 Metoklopramide Inj Ampul 4,200.00 3,960.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
194 Metronidazol tablet 250 mg Tablet 90.00 89.00 - 1,478 133,020.00 - - - 4,700 418,300.00 - - 1,478 133,020.00 4,700 418,300.00 - - 1,278 115,020.00 2,768 246,352.00 - - 200 18,000.00 172 15,308.00 - - 1,760 156,640.00 - -
195 Metronidazol tablet 500 mg Tablet 113.00 - 500.00 971 109,723.00 - - - - - 1,000 500,000.00 971 109,723.00 - - 1,000 500,000.00 385 43,505.00 - - - - - - - - 586 66,218.00 - - 1,000 500,000.00
196 Mikonazol krim 2% Tube 3,250.00 3,414.00 - 186 604,500.00 - - - 360 1,229,040.00 - - 186 604,500.00 360 1,229,040.00 - - 186 604,500.00 164 559,896.00 - - - - - - - - 196 669,144.00 - -
197 Mummying Pasta Botol 285,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
198 Nasal Oxygen, O2 cannula size L Pcs 6,600.00 5,082.00 5,500.00 6 39,600.00 - - - 25 127,050.00 - - 6 39,600.00 25 127,050.00 - - 2 13,200.00 - - - - - - - - 4 26,400.00 25 127,050.00 - -
199 Nasal Oxygen, O2 cannula size M Pcs - 5,082.00 - - - - - 35 177,870.00 - - - - 35 177,870.00 - - - - - - - - - - - - - - 35 177,870.00 - -
200 Nasal Oxygen, O2 cannula size S/infant Pcs 6,600.00 - 5,500.00 2 13,200.00 - - - - - - - 2 13,200.00 - - - - - - - - - - - - - - 2 13,200.00 - - - -
201 Nasal Oxygen, O2 cannula size XS Pcs 6,600.00 - 6,930.00 3 19,800.00 - - - - - - - 3 19,800.00 - - - - 2 13,200.00 - - - - - - - - 1 6,600.00 - - - -
202 Natrium Bikarbonat tablet 500 mg Tablet 544.00 60.00 110.00 3,544 1,927,936.00 - - - 9,500 570,000.00 2,000 220,000.00 3,544 1,927,936.00 9,500 570,000.00 2,000 220,000.00 3,544 1,927,936.00 7,925 475,500.00 - - - - - - - - 1,575 94,500.00 2,000 220,000.00
203 Natrium Diklofenak Tablet 132.00 128.00 128.00 928 122,496.00 - - - 7,800 998,400.00 - - 928 122,496.00 7,800 998,400.00 - - 928 122,496.00 5,906 755,968.00 - - - - - - - - 1,894 242,432.00 - -
204 Natrium Klorida Lar.infus 0,9 % steril Botol 6,410.00 34 217,940.00 - 60 384,600.00 - - 20 128,200.00 94 602,540.00 - - 20 128,200.00 19 121,790.00 - - - - 8 51,280.00 - - 67 429,470.00 - - 20 128,200.00
- 6,410.00
205 Natrium Tiroksin Tablet 3,100.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
206 Nifedipin 10 mg Tablet 104.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
207 Nistatin Suspensi 100.000 IU/ml Botol - 13,500.00 - - - - - 110 1,485,000.00 - - - - 110 1,485,000.00 - - - - 38 513,000.00 - - - - - - - - 72 972,000.00 - -
208 Nistatin tablet vaginal 100.000 IU/g Tablet 523.00 560.00 - 208 108,784.00 - - - 130 72,800.00 - - 208 108,784.00 130 72,800.00 - - 60 31,380.00 25 14,000.00 - - 148 77,404.00 5 2,800.00 - - 100 56,000.00 - -
209 Nistatin tablet vaginal 500.000 IU/g Tablet 640.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
210 Norit Tablet 250.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
211 OAT Sisipan/FDC Sisipan Paket 160,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Obat antituberkolosis Kombipak Kat.I
212 Paket 288,199.00 316,635.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Dewasa
213 Obat antituberkulosis anak/FDC Anak Paket 214,900.00 232,518.00 - 9 1,934,100.00 - - - - - - - 9 1,934,100.00 - - - - - - - - - - 9 1,934,100.00 - - - - - - - -
214 Obat antituberkulosis kategori 1/FDC 1 Paket 359,900.00 389,344.00 - 40 14,396,000.00 - - - 53 20,635,232.00 - - 40 14,396,000.00 53 20,635,232.00 - - 40 14,396,000.00 44 17,131,136.00 - - - - - - - - 9 3,504,096.00 - -
215 Obat antituberkulosis kategori 2/FDC 2 Paket 1,247,984.00 ### 2 2,495,968.00 - - - 2 2,595,778.00 - - 2 2,495,968.00 2 2,595,778.00 - - 2 2,495,968.00 - - - - - - - - - - 2 2,595,778.00 - -
-
216 Obat Batuk Hitam (OBH) Cairan -100 ml Botol 2,800.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
217 OBH Nusantara Menthol Botol - 7,950.00 9,647.00 - 125 993,750.00 - - 30 238,500.00 100 964,700.00 - - 155 1,232,250.00 100 964,700.00 - - 155 1,232,250.00 41 395,527.00 - - - - - - - - 59 569,173.00
218 OBH Plus Botol 10,600.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
219 Oksitetrasiklin HCl 1 % Salep mata Tube 1,600.00 2,500.00 - 82 131,200.00 - - - 540 1,350,000.00 - - 82 131,200.00 540 1,350,000.00 - - 82 131,200.00 99 247,500.00 - - - - - - - - 441 1,102,500.00 - -
Oksitetrasiklin HCl inj i.m 50 mg/ml-10
220 Vial 7,700.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ml
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 2,926.00 5,800.00 4,884.00 7 20,482.00 - - - 10 58,000.00 100 488,400.00 7 20,482.00 10 58,000.00 100 488,400.00 7 20,482.00 10 58,000.00 11 53,724.00 - - - - - - - - 89 434,676.00
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 1,900.00 1,199.00 1,785.00 226 429,400.00 - - - 100 119,900.00 140 249,900.00 226 429,400.00 100 119,900.00 140 249,900.00 164 311,600.00 - - 30 53,550.00 62 117,800.00 100 119,900.00 - - - - 110 196,350.00
223 Omeprazol Kapsul 140.00 130.00 139.00 2,340 327,600.00 - - - 2,400 312,000.00 2,580 358,620.00 2,340 327,600.00 2,400 312,000.00 2,580 358,620.00 2,340 327,600.00 2,400 312,000.00 1,432 199,048.00 - - - - - - - - 1,148 159,572.00
224 Omeprazol Injeksi Vial 11,868.00 9,898.00 9,898.00 5 59,340.00 - - - - - - - 5 59,340.00 - - - - - - - - - - 5 59,340.00 - - - - - - - -
225 Papaverin tab Tablet 297.00 640.00 - 1,262 374,814.00 - - - 600 384,000.00 - - 1,262 374,814.00 600 384,000.00 - - 1,262 374,814.00 148 94,720.00 - - - - - - - - 452 289,280.00 - -
Mutasi 2019
226 Paraformaldehid Tablet 660.00 - - 100 66,000.00 - - - - - - - 100 66,000.00 - - - - - - - - - - - - - - 100 66,000.00 - - - -
227 Parasetamol drop Botol 17,458.00 6,649.00 - 78 1,361,724.00 - - - - - - - 78 1,361,724.00 - - - - 44 768,152.00 - - - - 34 593,572.00 - - - - - - - -
228 Parasetamol sirup 120 mg / 5ml Botol 1,010.00 1,107.00 - 224 226,240.00 - 445 449,450.00 2,280 2,523,960.00 - - 669 675,690.00 2,280 2,523,960.00 - - 669 675,690.00 1,634 1,808,838.00 - - - - - - - - 646 715,122.00 - -
229 Parasetamol tablet 500 mg Tablet 49.00 53.00 - 22,221 1,088,829.00 - 68,200 3,341,800.00 112,600 5,967,800.00 - - 90,421 4,430,629.00 112,600 5,967,800.00 - - 90,421 4,430,629.00 76,961 4,078,933.00 - - - - - - - - 35,639 1,888,867.00 - -
230 Parasetamol tablet 100 mg Tablet 92.00 - - 481 44,252.00 - - - - - - - 481 44,252.00 - - - - 92 8,464.00 - - - - 389 35,788.00 - - - - - - - -
231 Pehakain Ampul 3,000.00 - - 300 900,000.00 - - - - - - - 300 900,000.00 - - - - 85 255,000.00 - - - - 215 645,000.00 - - - - - - - -
232 Permetrin Krim 5% (Scabimite) Tube 12,155.00 - 7,200.00 121 1,470,755.00 - 30 364,650.00 - - - - 151 1,835,405.00 - - - - 119 1,446,445.00 - - - - - - - - 32 388,960.00 - - - -
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 58,333.33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
234 Piralent Inj Ampul 7,240.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
235 Pirazinamid 500 mg Tablet 237.00 222.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 45.00 123.00 - 13,750 618,750.00 - - - 4,000 492,000.00 - - 13,750 618,750.00 4,000 492,000.00 - - 13,750 618,750.00 - - - - - - - - - - 4,000 492,000.00 - -
237 Piroxicam 10 mg Tablet 118.80 195.00 160.60 925 109,890.00 - - - 2,000 390,000.00 2,000 321,200.00 925 109,890.00 2,000 390,000.00 2,000 321,200.00 925 109,890.00 2,000 390,000.00 424 68,094.40 - - - - - - - - 1,576 253,105.60
238 Plester 5 yard x 2 inch Roll 23,600.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
239 Plester 7,5 cm x 5 m Buah 30,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
240 Polypropylene 2/0 75C + Jarum 3/8 26m Pcs 24,500.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
241 Povidon Iodiada 10 %-30 ml Botol 2,900.00 2,900.00 - 15 43,500.00 - - - 12 34,800.00 - - 15 43,500.00 12 34,800.00 - - 12 34,800.00 2 5,800.00 - - - - - - 3 8,700.00 10 29,000.00 - -
242 Povidon Iodiada 10 %-300 ml Botol 18,000.00 18,000.00 18,000.00 11 198,000.00 - - - 18 324,000.00 - - 11 198,000.00 18 324,000.00 - - 11 198,000.00 7 126,000.00 - - - - - - - - 11 198,000.00 - -
243 Prednison tablet 5 mg Tablet 76.00 68.00 - 1,424 108,224.00 - 1,500 114,000.00 2,100 142,800.00 - - 2,924 222,224.00 2,100 142,800.00 - - 1,157 87,932.00 119 8,092.00 - - 1,767 134,292.00 - - - - 1,981 134,708.00 - -
244 Probenesid 500 mg Tablet 1,755.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
245 Propanolol HCl tablet 10 mg Tablet 60.00 - - 97 5,820.00 - - - - - - - 97 5,820.00 - - - - 3 180.00 - - - - - - - - 94 5,640.00 - - - -
246 Propanolol HCl tablet 40 mg Tablet 74.00 76.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
247 Propiltiourasil tablet 100 mg Tablet 279.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
248 Ranitidin inj Ampul 1,458.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
249 Ranitidine 150 mg Tablet 98.00 105.00 112.00 4,540 444,920.00 - - - 9,200 966,000.00 - - 4,540 444,920.00 9,200 966,000.00 - - 4,451 436,198.00 6,771 710,955.00 - - 89 8,722.00 - - - - 2,429 255,045.00 - -
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 284.00 288.00 - - - 450 127,800.00 500 144,000.00 - - 450 127,800.00 500 144,000.00 - - 450 127,800.00 500 144,000.00 - - - - - - - - - - - -
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 459.00 517.00 - 550 252,450.00 - 3,500 1,606,500.00 3,150 1,628,550.00 - - 4,050 1,858,950.00 3,150 1,628,550.00 - - 4,050 1,858,950.00 3,150 1,628,550.00 - - - - - - - - - - - -
252 Rifampisin kapsul 300 mg Kapsul 376.00 725.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
253 Rifampisin kapsul 450 mg Kapsul 897.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
254 Ringer Laktat Larutan Infus Steril Botol 7,150.00 7,150.00 7,150.00 76 543,400.00 - - - 227 1,623,050.00 - - 76 543,400.00 227 1,623,050.00 - - 74 529,100.00 66 471,900.00 - - 2 14,300.00 - - - - 161 1,151,150.00 - -
255 Rivanol 300 ml Botol 2,550.00 3,000.00 - 11 28,050.00 - - - 30 90,000.00 - - 11 28,050.00 30 90,000.00 - - 11 28,050.00 2 6,000.00 - - - - - - - - 28 84,000.00 - -
256 Salbutamol tablet 2 mg Tablet 78.00 63.00 - 1,633 127,374.00 - - - 2,700 170,100.00 - - 1,633 127,374.00 2,700 170,100.00 - - 1,557 121,446.00 1,273 80,199.00 - - 76 5,928.00 - - - - 1,427 89,901.00 - -
Salep 2-4 kombinasi : as.asal 2 % + Bel. 4

257 Pot 2,527.00 114 288,078.00 - - - 432 1,132,272.00 - - 114 288,078.00 432 1,132,272.00 - - 114 288,078.00 305 799,405.00 - - - - - - - - 127 332,867.00 - -
% 2,621.00 -
258 Salisil Spiritus Botol 32,299.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
259 Sarung Tangan non steril no 6,5 Pasang 7,700.00 7,700.00 - 541 4,165,700.00 - - - - - - - 541 4,165,700.00 - - - - 349 2,687,300.00 - - - - - - - - 192 ### - - - -
260 Sarung Tangan non steril no 7 Pasang - 7,700.00 8,701.00 - 100 770,000.00 - - - - 1,100 9,571,100.00 - - 100 770,000.00 1,100 9,571,100.00 - - 7 53,900.00 217 1,888,117.00 - - - - - - 93 716,100.00 883 7,682,983.00
261 Sarung Tangan non steril no 7,5 Pasang - 7,700.00 8,701.00 - - - - 500 3,850,000.00 - - - - 500 3,850,000.00 - - - - 500 3,850,000.00 - - - - - - - - - - - -
262 Sarung Tangan Obgyn steril Pasang - 19,360.00 - - - - - 200 3,872,000.00 - - - - 200 3,872,000.00 - - - - 50 968,000.00 - - - - - - - - 150 2,904,000.00 - -
263 Sarung tangan steril no 6,5 Pasang 7,865.00 7,865.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
264 Sarung tangan steril no 7 Pasang 7,865.00 7,865.00 8,888.00 265 2,084,225.00 - - - - - 1,100 9,776,800.00 265 2,084,225.00 - - 1,100 9,776,800.00 265 2,084,225.00 - - 300 2,666,400.00 - - - - - - - - 800 7,110,400.00
265 Sarung tangan steril no 7,5 Pasang 7,865.00 7,865.00 - 73 574,145.00 - - - 500 3,932,500.00 - - 73 574,145.00 500 3,932,500.00 - - 73 574,145.00 405 3,185,325.00 - - - - - - - - 95 747,175.00 - -
266 Semen Seng Fosfat Serbuk Cairan Set 238,200.00 - - 1 238,200.00 - - - - - - - 1 238,200.00 - - - - - - - - - - - - - - 1 238,200.00 - - - -
267 Semillas non Woven Medical Tape Pcs 21,753.00 - - 5 108,765.00 - - - - - - - 5 108,765.00 - - - - 1 21,753.00 - - - - - - - - 4 87,012.00 - - - -
268 Serum anti tetanus (ATS) / Biosat Ampul - 130,999.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
269 Serum anti tetanus (ATS) / Tetagam Ampul 170,000.00 176,800.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Serum antibisa ular Polivalen inj 5 ml
270 Ampul 462,000.00 479,996.00 479,996.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
(SABU) I
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 20,833.33 20,833.33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase - - - - - 60 1,249,999.80 - - - - 60 1,249,999.80 - - - - 4 83,333.32 - - - - - - - - 56 1,166,666.48 - -
20,833.33 -
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 15,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
274 Silk Black 2/0 DS 24 MM Sase 23,300.00 15 349,500.00 - - - - - - - 15 349,500.00 - - - - 12 279,600.00 - - - - - - - - 3 69,900.00 - - - -
- -
275 Silk Black 2/0 HR 26 MM Sase 20,300.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
276 Silk Black 3/0 DS 24 MM Sase 22,400.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
277 Silk Black 3/0 HR 26 MM Sase 19,700.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
278 Silk Black PFM 2/0 100 m Roll 425,066.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
279 Simvastatin tablet 10 mg Tablet 111.00 110.00 - 130 14,430.00 - - - 1,080 118,800.00 - - 130 14,430.00 1,080 118,800.00 - - 130 14,430.00 330 36,300.00 - - - - - - - - 750 82,500.00 - -
280 Simvastatin tablet 20 mg Tablet 229.00 205.00 - 240 54,960.00 - - - 200 41,000.00 - - 240 54,960.00 200 41,000.00 - - 240 54,960.00 55 11,275.00 - - - - - - - - 145 29,725.00 - -
281 Siprofloksasin 500 mg Tablet 281.00 265.00 500.00 1,283 360,523.00 - - - 400 106,000.00 200 100,000.00 1,283 360,523.00 400 106,000.00 200 100,000.00 1,283 360,523.00 400 106,000.00 200 100,000.00 - - - - - - - - - -
282 Softanol antimicrobial 500 ml Botol - 56,925.00 - - 5 284,625.00 - - 20 1,138,500.00 - - - - 25 1,423,125.00 - - - - - - - - - - - - - - 25 1,423,125.00 - -
283 Softanol antimicrobial galon 5 liter Galon - 569,250.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Mutasi 2019
284 Spironolakton 25 mg Tablet 244.00 195.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
285 Streptomisin Inj Vial 5,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
286 Sulfasetamid Natrium Tetes mata 15 % Ples 10,890.00 12,300.00 - 19 206,910.00 - - - - - - - 19 206,910.00 - - - - 19 206,910.00 - - - - - - - - - - - - - -
Tablet Tambah darah kombinasi : Besi II
287 Tablet 350.00 353.00 353.00 11,189 3,916,150.00 - 159,000 55,650,000.00 315,010 111,198,530.00 - - 170,189 59,566,150.00 315,010 111,198,530.00 - - 60,463 21,162,050.00 53,095 18,742,535.00 - - 109,726 38,404,100.00 244,585 86,338,505.00 - - 17,330 6,117,490.00 - -
Sulfat
288 Temporary Filling Material (Fermin) Botol 158,000.00 220,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Temporary Stopping Fletcher serbuk
289 Set 37,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
&cairan
290 Tetrakain HCl tetes mata 0,5 % Botol 11,500.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
291 Tetrasiklin Kapsul 250 mg Kapsul 166.00 - - 929 154,214.00 - - - - - - - 929 154,214.00 - - - - 248 41,168.00 - - - - - - - - 681 113,046.00 - - - -
292 Tetrasiklin Kapsul 500 mg Kapsul 310.00 303.00 - 457 141,670.00 - - - 1,600 484,800.00 - - 457 141,670.00 1,600 484,800.00 - - 457 141,670.00 798 241,794.00 - - - - 159 48,177.00 - - 643 194,829.00 - -
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 82.00 85.00 - 7,814 640,748.00 - - - 47,100 4,003,500.00 - - 7,814 640,748.00 47,100 4,003,500.00 - - 7,814 640,748.00 36,570 3,108,450.00 - - - - - - - - 10,530 895,050.00 - -
294 Transfusion Set Set 7,860.00 - - - - 45 353,700.00 - - - - 45 353,700.00 - - - - - - - - - - - - - - 45 353,700.00 - - - -
295 Triheksifenidil HCl tablet 2 mg Tablet 80.00 85.00 85.00 2,776 222,080.00 - - - 6,300 535,500.00 - - 2,776 222,080.00 6,300 535,500.00 - - 2,776 222,080.00 5,227 444,295.00 - - - - 700 59,500.00 - - 373 31,705.00 - -
296 Trikesol Formalin (TKF) Botol 110,000.00 - - 1 110,000.00 - - - - - - - 1 110,000.00 - - - - - - - - - - - - - - 1 110,000.00 - - - -
297 Umbilical cord klem steril Pcs 1,000.00 - - 222 222,000.00 - - - - - - - 222 222,000.00 - - - - 158 158,000.00 - - - - 64 64,000.00 - - - - - - - -
298 Urine bag pcs 4,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
299 Urine Drainage Bag, T valve with hanger Pcs - 5,785.00 4,202.00 - - - - 35 202,475.00 - - - - 35 202,475.00 - - - - - - - - - - - - - - 35 202,475.00 - -
300 Ventolin nebules Nebule 4,000.00 - - 5 20,000.00 - - - - - - - 5 20,000.00 - - - - 5 20,000.00 - - - - - - - - - - - - - -
301 Viorex no rinse antimicrobial Galon - 672,765.00 - - - - - 1 672,765.00 - - - - 1 672,765.00 - - - - 1 672,765.00 - - - - - - - - - - - -
302 Viorex no rinse antimicrobial Botol - 67,626.66 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
303 Vitamin B 12 Injeksi Ampul 520.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
304 Vitamin B 12 tab Tablet 51.00 46.00 - 8,772 447,372.00 - 16,200 826,200.00 - - - - 24,972 1,273,572.00 - - - - 16,566 844,866.00 - - - - - - - - 8,406 428,706.00 - - - -
305 Vitamin B Kompleks tablet Tablet 115.00 83.00 - 11,908 1,369,420.00 - 11,800 1,357,000.00 27,700 2,299,100.00 - - 23,708 2,726,420.00 27,700 2,299,100.00 - - 23,708 2,726,420.00 20,954 1,739,182.00 - - - - - - - - 6,746 559,918.00 - -
306 Wing Nedle no 25 Tablet 5,749.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
307 Zink Tablet 514.00 524.00 - 2,883 1,481,862.00 - - - 1,400 733,600.00 - - 2,883 1,481,862.00 1,400 733,600.00 - - 1,537 790,018.00 - - - - 685 352,090.00 - - 661 339,754.00 1,400 733,600.00 - -
308 Dextaco Tablet - 394.00 - - 1,000 394,000.00 - - - - - - - - 1,000 394,000.00 - - - - 1,000 394,000.00 - - - - - - - - - - - -
309 Dextrofen Syrup 60 ml Botol - 11,500.00 - - 34 391,000.00 - - 150 1,725,000.00 - - - - 184 2,116,000.00 - - - - 184 2,116,000.00 - - - - - - - - - - - -
310 Hemafort Tablet 834.90 834.00 - 6,742 5,628,895.80 - - - - - - - 6,742 5,628,895.80 - - - - 2,580 2,154,042.00 - - - - - - - - 4,162 ### - - - -
311 Lodecon Forte Tablet 958.30 1,110.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
312 Scandonest Ampul 13,612.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
313 Seledril Tablet Tablet 815.00 823.33 - 129 105,135.00 - - - 480 395,198.40 - - 129 105,135.00 480 395,198.40 - - 129 105,135.00 480 395,198.40 - - - - - - - - - - - -
314 Solacort krim /Armacort Tube 8,150.00 8,200.00 - 115 937,250.00 - - - 25 205,000.00 - - 115 937,250.00 25 205,000.00 - - 115 937,250.00 25 205,000.00 - - - - - - - - - - - -
315 Solafluz Botol 11,900.00 13,700.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
316 Soldextam Tablet 566.00 - - 7,166 4,055,956.00 - - - - - - - 7,166 4,055,956.00 - - - - 7,166 4,055,956.00 - - - - - - - - - - - - - -
317 Solvitral Tablet 816.00 911.00 - 871 710,736.00 - - - 1,800 1,639,800.00 - - 871 710,736.00 1,800 1,639,800.00 - - 871 710,736.00 319 290,609.00 - - - - - - - - 1,481 1,349,191.00 - -
318 Truvit Syr Botol 10,700.00 12,400.00 12,221.00 75 802,500.00 - - - 10 124,000.00 100 1,222,100.00 75 802,500.00 10 124,000.00 100 1,222,100.00 75 802,500.00 10 124,000.00 3 36,663.00 - - - - - - - - 97 1,185,437.00
319 Widabest Botol - 9,646.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
320 Accu Chek Perfoma Buah - 350,000.00 325,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
321 Alat Suntik 0,05ml Buah 1,379.80 - - - - 800 1,103,840.00 - - - - 800 1,103,840.00 - - - - - - - - - - - - - - 800 ### - - - -
322 Alat Suntik Sekali Pakai 3 ml Pcs - - 662.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
323 Amoksilin sirup kering 125 mg/5ml Botol - - 2,750.00 - - - - - - 360 990,000.00 - - - - 360 990,000.00 - - - - - - - - - - - - - - 360 990,000.00
324 Asetosal tablet 80 mg Tablet 148.00 - - - - 200 29,600.00 - - - - 200 29,600.00 - - - - 55 8,140.00 - - - - - - - - 145 21,460.00 - - - -
325 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 1,540.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
326 Bedak Salisil serbuk 2 % Buah 1,020.00 - - - - 264 269,280.00 - - - - 264 269,280.00 - - - - 112 114,240.00 - - - - 152 155,040.00 - - - - - - - -
327 Etambutol Hcl Tablet 500 mg Tablet 505.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
328 Glas Lonomer Cement Liquid Set - - 151,242.86 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
329 Haloperidol Injeksi (Lodomer) Ampul 4,000.00 - - - - 4 16,000.00 - - - - 4 16,000.00 - - - - 2 8,000.00 - - - - 2 8,000.00 - - - - - - - -
330 Infusion set anak Set - - 6,242.25 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
331 Infusion Set Dewasa Set - - 5,887.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
332 Isoniazida ( INH ) tablet 100 mg Tablet - 137.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
333 Kloramfenikol kapsul 250 mg Kapsul 547.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
334 Metoklopramide Inj Ampul 3,395.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
335 Obat antituberkulosis anak/FDC Anak Paket 214,985.00 232,158.00 - - - 10 2,149,850.00 - - - - 10 2,149,850.00 - - - - 10 2,149,850.00 - - - - - - - - - - - - - -
336 Obat antituberkulosis kategori 1/FDC 1 Paket 359,980.00 - - - - 40 14,399,200.00 - - - - 40 14,399,200.00 - - - - 25 8,999,500.00 - - - - - - - - 15 ### - - - -
337 Obat antituberkulosis kategori 2/FDC 2 Paket - ### - - - - - 2 2,399,970.00 - - - - 2 2,399,970.00 - - - - 2 2,399,970.00 - - - - - - - - - - - -
338 Pirantel Pamoat 125 mg Tablet 269.00 - - 191 51,379.00 - - - - - - - 191 51,379.00 - - - - - - - - - - 191 51,379.00 - - - - - - - -
339 Piridoxin 10mg Tablet 118.00 - - - - 21,300 2,513,400.00 - - - - 21,300 2,513,400.00 - - - - 17,989 2,122,702.00 - - - - - - - - 3,311 390,698.00 - - - -
340 Siprofloksasin 500 mg Tablet - - 550.00 - - - - - - 500 275,000.00 - - - - 500 275,000.00 - - - - 59 32,450.00 - - - - - - - - 441 242,550.00
341 Softanol antimicrobial galon 5 liter Galon - 568,583.33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Mutasi 2019
342 Tablet - - 350.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Sulfat
343 Trikesol Formalin (TKF) Botol 115,700.00 106,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
344 Zink Tablet - 508.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
345 Demetec 58,333.33 15 874,999.95 - - - - - - 15 874,999.95 - - - - 2 116,666.66 - - - - - - - - 13 758,333.29 - - - -
346 Demetec 24,500.00 20 490,000.00 - - - - - - 20 490,000.00 - - - - 6 147,000.00 - - - - - - - - 14 343,000.00 - - - -
347 Bioplacenton tulle 10,400.00 33 343,200.00 - - - - - - 33 343,200.00 - - - - 2 20,800.00 - - - - 31 322,400.00 - - - - - - - -
348 Cefadroxil syr 4,185.00 - - - - - 80 334,800.00 - - - - 80 334,800.00 - - - - 24 100,440.00 - - - - - - - - 56 234,360.00
349 3M ESPE KETAC Cem Easymic (liq) 151,242.86 - - - - - 2 302,485.72 - - - - 2 302,485.72 - - - - 1 151,242.86 - - - - - - - - 1 151,242.86
350 PULP-X/PULP DEVITALIZER 385,000.00 - - - - - 2 770,000.00 - - - - 2 770,000.00 - - - - 1 385,000.00 - - - - - - - - 1 385,000.00
351 metyl prednisolon 4 mg 143.00 - - - - - 3,100 443,300.00 - - - - 3,100 443,300.00 - - - - 1,256 179,608.00 - - - - - - - - 1,844 263,692.00
352 Metronidazole syr 3,950.00 - - - - - 50 197,500.00 - - - - 50 197,500.00 - - - - 2 7,900.00 - - - - - - - - 48 189,600.00
353 Piroxicam 20 mg 127.00 39 4,953.00 - - - - - - 39 4,953.00 - - - - 5 635.00 - - - - - - - - 34 4,318.00 - - - -
354 Garam Oralit 200 ml air 257.00 - - - - - - 1,000 257,000.00 - - - - 1,000 257,000.00 - - - - 1,000 257,000.00 - - - - - - - - - -
355 Scabimit 11,825.00 - - - 20 236,500.00 - - - - 20 236,500.00 - - - - - - - - - - - 20 236,500.00 - -
356 Blood transfusion set 11,550.00 - - - - - 20 231,000.00 - - - - 20 231,000.00 - - - - - - - - - - - 20 231,000.00
357 Metronidazole 500 mg 550.00 - - - - - 100 55,000.00 - - - - 100 55,000.00 - - - - - - - - - - - 100 55,000.00
358 Antalgin(Metampiron) Tablet 500 mg 268.07 - - - - - 1,000 268,070.00 - - - - 1,000 268,070.00 - - - - - - - - - - - 1,000 268,070.00
359 Silk 6,983.00 138 963,654.00 - - - - - - 138 963,654.00 - - - - - - - 138 963,654.00 - - - - - - - -
360 Softanol 5 liter galom 568,583.00 - 2 1,137,166.00 - - - - 2 1,137,166.00 - - - - - - - - - 2 1,137,166.00 - -
OBAT PREKURSOR DAN PSIKOTROPIKA - - - - - - - - - - - - - - - - - - - - - - - - -
1 Diazepam inj 5 mg/ml-2 ml Ampul 4,180.00 1,735.00 - 3 12,540.00 - - - 2 3,470.00 - - 3 12,540.00 2 3,470.00 - - 3 12,540.00 - - - - - - - - 2 3,470.00 - -
2 Diazepam tablet 2 mg Tablet 35.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3 Diazepam tablet 5 mg Tablet 117.00 109.00 109.00 22 2,574.00 - - - 100 10,900.00 - - 22 2,574.00 100 10,900.00 - - 22 2,574.00 69 7,521.00 - - - - - 31 3,379.00 - -
4 Fenobarbital inj 50 mg/ml-2ml Ampul 1,300.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5 Fenobarbital tablet 30 mg Tablet 165.00 165.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6 Stesolid (Diazepam Rectal) Tube 11,517.00 12,573.00 - - 2 25,146.00 - - 3 37,719.00 - - - - 5 62,865.00 - - - - - - - - - 2 25,146.00 - - 3 37,719.00 - -
- - - - - - - - - - - - - - - - - - - - - - - - -
PROGRAM - - - - - - - - - - - - - - - - - - - - - - - - -
1 MB Dewasa Blister - 31,570.00 - - - - - - - - - - - - - - - - - - - - - - - - - - -
2 MB Anak Blister - 20,554.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3 PB Dewasa Blister - 12,569.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
4 PB Anak Blister - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5 Clozapine 25 mg Tablet - 1,550.00 - - - - - 300 465,000.00 - - - - 300 465,000.00 - - - 112 173,600.00 - - - - - - 188 291,400.00 - -
6 DHP Kotak - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
7 Doksisiklin Kapsul - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8 Efavirenz 200 mg Botol - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
9 Efavirenz 600 mg Botol - 191,250.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
10 Lamivudine 150 mg Botol - 90,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
11 Malation 96 Drigen - - - 2 - - - - - - - - 2 - - - - - 2 - - - - - - - - - - - - -
12 Nepiraphine 200 mg Botol - 168,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
13 Primakuin Tablet - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
14 RDT Malaria Test - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
15 TDP (300)+3TC(300)+EFV(600) Botol - 356,829.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
16 Tenofovir 300 mg Botol - 243.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
17 Vaksin Anti Rabies Kuur - 164,030.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
18 Zdvdn(60)+Lmvdn(30)+Nvrpn(50) Botol - 41,532.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
19 Zidopudin(300)+lamivudin(150) Botol - 222,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
20 Zidovudin 100 mg Botol - 102,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REAGEN - - - - - - - - - - - - - - - - - - - - - - - - - - -
1 Kaca Slide Box - 19,700.00 - - - - - 11 216,700.00 - - - - 11 216,700.00 - - - 11 216,700.00 - - - - - - - - - -
2 Pot Dahak Buah - 5,800.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3 Reagen Ziehl Neelsen Kit - - 276,500.00 - - - - - - 13 3,594,500.00 - - - - 13 3,594,500.00 - - - 13 3,594,500.00 - - - - - - - -
4 Rapid Test HIV SD Kit - ### 1,197,500.00 - - - - 6 8,604,000.00 4 4,790,000.00 - - 6 8,604,000.00 4 4,790,000.00 - 6 8,604,000.00 4 4,790,000.00 - - - - - - - -
5 Hepatitis B IMM Kit - - 1,325,000.00 - - - - - - 3 3,975,000.00 - - - - 3 3,975,000.00 - - - 3 3,975,000.00 - - - - - - - -
6 Rapid Test Syphilis Kit - - 415,000.00 - - - - 2 830,000.00 - - - - 2 830,000.00 - - - 2 830,000.00 - - - - - - - -
7 Rapid Test HBSAG Test - - 9,870.00 - - - - - - 600 5,922,000.00 - - - - 600 5,922,000.00 - - - 600 5,922,000.00 - - - - - - - -
8 Accu Check Performa Dus - - 420,000.00 - - - - - - 3 1,260,000.00 - - - - 3 1,260,000.00 - - - 3 1,260,000.00 - - - - - - - -
9 Anti-A Monoclonal Gol. Darah 10ml Vial - - 66,750.00 - - - - - - 1 66,750.00 - - - - 1 66,750.00 - - - 1 66,750.00 - - - - - - - -
Mutasi 2019
10 Anti-B Monoclonal Gol. Darah 10ml Vial - - 66,750.00 - - - - - - 1 66,750.00 - - - - 1 66,750.00 - - - 1 66,750.00 - - - - - - - -
11 Anti-AB Monoclonal Gol. Darah 10ml Vial - - 88,750.00 - - - - - - 1 88,750.00 - - - - 1 88,750.00 - - - 1 88,750.00 - - - - - - - -
12 Anti-D Duoclone Gol. Darah 10ml Vial - - 108,750.00 - - - - - - 1 108,750.00 - - - - 1 108,750.00 - - - 1 108,750.00 - - - - - - - -
13 Benecheck Strip Gula Darah Box - - 152,375.00 - - - - - - - - - - - - - - - - - - - - - - - - - - -
14 Benecheck Strip Cholesterol Box - - 164,177.78 - - - - - - - - - - - - - - - - - - - - - - - - - - -
15 Benecheck Strip Asam Urat Box - - 252,625.00 - - - - - - - - - - - - - - - - - - - - - - - - - - -
16 Salmonella Typhi O Widal test 5ml Vial - - 65,750.00 - - - - - - - - - - - - - - - - - - - - - - - - - - -
17 Salmonella Typhi H Widal test 5ml Vial - - 65,750.00 - - - - - - - - - - - - - - - - - - - - - - - - - - -
18 Salmonella Paratyphi AO Widal test 5ml Vial - - 65,750.00 - - - - - - - - - - - - - - - - - - - - - - - - - - -
19 Salmonella Paratyphi AH Widal test 5ml Vial - - 65,750.00 - - - - - - - - - - - - - - - - - - - - - - - - - - -
20 Rapid 2 HIV FOKUS @25 tes Kit - - 361,750.00 - - - - - - 4 1,447,000.00 - - - - 4 1,447,000.00 - - - 4 1,447,000.00 - - - - - - - -
21 Rapid Biomeriux/Vikia @25 tes Kit - - 487,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - -

22 Hepatitis B Imunogloblulin Syringe ### - - - - - - - - - - - - - - -
Human hexagon sipillis 663,175.00 4 2,652,700.00 - 4 2,652,700.00 - - 4 2,652,700.00 - - - - - - - - -
SD HIV 1,197,500.00 4 4,790,000.00 - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
VAKSIN - - - - - - - - - - - - - - - - - - - - - - - - - - -
1 Hepatitis B Pouch - - 25,597.00 - - - - - - 172 4,402,684.00 - - - - 172 4,402,684.00 - 78 - 101 2,585,297.00 - - - - - 71 1,817,387.00
2 BCG Amp - - 66,154.00 - - - - - - 80 5,292,320.00 - - - - 80 5,292,320.00 - 20 - 53 3,506,162.00 - - - - - 27 1,786,158.00
3 DPT-HB-Hib Vial - - 84,282.00 - - - - - - 202 17,024,964.00 - - - - 202 17,024,964.00 - 65 - 132 11,125,224.00 - - - - - 70 5,899,740.00
4 Polio B-OPV Vial - - 19,954.00 - - - - - - 254 5,068,316.00 - - - - 254 5,068,316.00 - 20 - 194 3,871,076.00 - - - - - 60 1,197,240.00
5 IPV 5 Dosis Vial - - 169,653.00 - - - - - - 26 4,410,978.00 - - - - 26 4,410,978.00 - 19 - 26 4,410,978.00 - - - - - - -
6 Campak Vial - - 28,204.00 - - - - - - 90 2,538,360.00 - - - - 90 2,538,360.00 - 20 - 90 2,538,360.00 - - - - - - -
7 MR Vial - - 155,813.00 - - - - - - 74 11,530,162.00 - - - - 74 11,530,162.00 - 20 - 74 11,530,162.00 - - - - - - -
8 TD Vial - - 16,995.00 - - - - - - 83 1,410,585.00 - - - - 83 1,410,585.00 - 19 - 83 1,410,585.00 - - - - - - -
9 DT SD Vial - - 17,996.00 - - - - - - 105 1,889,580.00 - - - - 105 1,889,580.00 - - - 105 1,889,580.00 - - - - - - - -
10 ADS 0,05cc Buah - - - - - - - - - - - - - - - - - - 450 - - - - - - - - - -
11 ADS 0,5cc Buah - - 1,158.00 - - - - - - 2,600 3,010,800.00 - - - - 2,600 3,010,800.00 - 500 - 2,600 3,010,800.00 - - - - - - -
12 ADS 5cc Buah - - 1,640.00 - - - - - - 250 410,000.00 - - - - 250 410,000.00 - 500 - 250 410,000.00 - - - - - - -
13 Safety Box Buah - - 22,433.00 - - - - - - 25 560,825.00 - - - - 25 560,825.00 - - - 25 560,825.00 - - - - - - - -
14 DPT-HB-Hib Vial - - 78,991.00 - - - - - - 168 13,270,488.00 - - - - 168 13,270,488.00 - - - 168 13,270,488.00 - - - - - - - -
15 Hepatitis-B (rDNA) Cairan Injeksi 20 MC Syringe - - 52,050.00 - - - - - - 60 3,123,000.00 - - - - 60 3,123,000.00 - - - 60 3,123,000.00 - - - - - - - -
16 MR Vial - - 166,265.00 - - - - - - 40 6,650,600.00 - - - - 40 6,650,600.00 - - - 20 3,325,300.00 - - - - - - 20 3,325,300.00
17 ADS 0,5cc Buah - - 1,185.00 - - - - - - 3,600 4,266,000.00 - - - - 3,600 4,266,000.00 - - - 3,100 3,673,500.00 - - - - - - 500 592,500.00
18 TD Vial - - 18,128.00 - - - - - - 273 4,948,944.00 - - - - 273 4,948,944.00 - - - 233 4,223,824.00 - - - - - - 40 725,120.00
ADS 5 cc 1,439.00 0 - - - 100 143,900.00 - - - - 100 143,900.00 - - - - - - - - - 100 143,900.00
Total (Rp) 133,031,034.97 Total (Rp) 7,626,357.00 Total (Rp) 93,480,708.00 Total (Rp) 289,138,214.20 Total (Rp) 170,953,389.94 Total (Rp) 226,511,742.97 Total (Rp) 296,764,571.20 Total (Rp) 166,163,389.94 Total (Rp) 142,443,310.25 Total (Rp) 124,899,985.97 Total (Rp) 112,525,414.24 Total(Rp) 54,498,929.92 Total(Rp) 88,616,233.00 Total(Rp) 45,897.69 Total (Rp) 29,569,503 Total (Rp) 83,248,352 Total (Rp) 53,592,078.01
Total (Rp) Total (Rp) Total (Rp)

Total (Rp) 140,657,391.97 Total (Rp) 553,572,312.14 689,439,704.11 379,868,710.46 143,161,060.61 166,409,933.04
Cat : Format/nama-nama obat jangan dirubah, Bila ada obat-obat yang tidak ada di format (obat lama) mohon dimasukan di kolom paling bawah sesudah nomor 344 (Zink)
Sumedang, 7 Januari 2020
Mengetahui, Petugas Obat Puskesmas

Kepala UPT BLUD Puskesmas
Dudung Supriatin, SKM.,MM Rici Indriyani, S.Farm

NIP. 19731123 199403 1 003 NIP. 19840520 200902 2 004
Nomor :
Tanggal :
Harga Satuan Harga Satuan Harga Satuan

No Nama Obat Satuan
2017 2018 2019 2017

1 Acetyl Cysteine 200 mg Kapsul - 358.00 -
2 Alat Suntik Sekali Pakai 0.5 ml Pcs 1,249.45 - -
3 Alat Suntik Sekali Pakai 1 ml Pcs 990.00 653.41 656.64
Alat Suntik Sekali Pakai 10 ml
4 Buah - 1,382.37 -
(Aximed)
Alat Suntik Sekali Pakai 10 ml (Top
5 Buah 3,600.00 941.48 -
Point)
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 652.51 - - 800
7 Alat Suntik Sekali Pakai 20 ml Buah - 1,478.28 -
9 Alat Suntik Sekali Pakai 5 ml Pcs 979.00 784.09 -
10 Albendazol 400 mg Tablet - 403.00 403.00
Alkohol Swab ( PT. Bio Axion
11 Sase - 116.04 -
Healthindo)
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 196.80 196.80 105.00
13 Alopurinol tablet 100 mg Tablet 89.00 99.00 -
14 Alopurinol tablet 300 mg Tablet 210.00 - -
15 Ambroxol Sirup Botol 3,900.00 3,970.00 -
16 Ambroxol Tablet 30 mg Tablet 148.50 - -
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 3,345.00 2,789.00 -
18 Aminofilin Tablet 200 mg Tablet 91.00 89.00 -
19 Aminofluid Botol 64,990.00

- -
20 Amitriptilina HCl tablet salut 25 mg Tablet 112.00 167.00 -
21 Amlodipin tablet 10 mg Tablet 104.00 93.00 93.00
22 Amlodipin tablet 5 mg Tablet 85.00

70.00 70.00
23 Amoksilin 500 mg Kaplet 190.00 233.00 233.00
24 Amoksilin Kapsul 250 mg Kapsul 195.00 184.00 -
25 Amoksilin sirup kering 125 mg/5ml Botol 1,881.00 - 2,500.00 300
Amoksilin sirup kering forte 250
26 Botol 3,984.00 3,400.00 -
mg/5ml
27 Ampisilin 1 gr inj Ampul 9,176.00 8,237.00 -
28 Ampisilin Kaplet 500 mg Kaplet 362.00 570.00 -
30 Ampisilin Serbuk Injeksi Vial - 8,237.00 -
31 Antalgin(Metampiron) Tablet 500 mg Tablet 242.00 218.50 268.00
32 Antasida DOEN I tablet kombinasi Tablet 58.00 54.00 54.00
Antasida DOEN II suspensi
33 Botol 1,923.00 1,995.00 1,995.00
kombinasi
34 Anti hemoroid suppositorida Supp 4,950.00
3,167.00 -
35 Antifungi DOEN kombinasi : Pot 4,323.00 4,496.00 -
36 Antimigren DOEN/Ergotamin kafein Tablet 135.00 173.00 -
37 Antiseptik Hand Rub 5 lt Galon 145,000.00 - -
38 Antiseptik Hand Rub 500 ml Botol 60,800.00 - - 20
39 Antiseptik Surgical Hand Scrub 5 lt Galon 160,200.00 - -
Antiseptik Surgical Hand Scrub 500
40 Botol 74,000.00 - -
ml
Aqua Pro Injeksi steril bebas
41 Ampul 2,302.00 2,295.00 -
pirogen- 20 ml
42 Aquadest steril -500 ml Botol 24,000.00 24,200.00 -
Asam Askorbat (VIT C) Tablet 50
43 Tablet 104.00 105.00 105.00
mg (KF)
44 Asam folat tablet 0,4 mg Tablet 55.00 52.00 52.00
45 Asam Mefenamat 500 mg Tablet 100.00 103.00 103.00
46 Asering Botol 9,275.00 9,646.00 -
47 Asetosal tablet 80 mg Tablet 92.00 - -
48 Asiklovir cr Tube 3,110.00 3,140.00 3,322.00
49 Asiklovir tab 200 mg Tablet 240.00 236.00 - 100
50 Asiklovir tab 400 mg Tablet 365.00 380.00 380.00
51 Atapulgit Tablet 142.00 136.00 136.00
52 Atorvastatin 10 mg Tablet 10,890.00 1,100.00 -
Atropin Sulfat injeksi 0,25 mg/ml-1
53 Ampul 1,672.00 - -
ml
54 Azitromisin 500 mg Kaplet 1,888.00 - -
55 Bedak Salisil serbuk 2 % Buah 1,025.00 2,400.00 -
Benzatin benzil penisilin 1,2 juta
56 Vial 14,500.00 - -
IU/Vial
57 Betametason Krim 0.1 % Tube 1,349.00 1,340.00 -
58 Bisturi no 10 Buah 767.00 - -
59 Bloodseet Buah 13,420.00 - -
60 Camabion Tablet 355.00 - -
61 Carpul (Articain & Adrenalin) Ampul 10,914.00 - -
62 Catgut Chromic 2/0 100 m Roll 940,554.00 - -
Catgut Chromic 2/0 75C + Jarum 1/2
63 Roll 22,500.00 22,500.00 61,800.00
30 MR
64 Roll 22,500.00 22,500.00 -
22 MR
Catgut Plain 2/0 70C + Jarum 1/2
65 Roll 30,500.00 - -
36M R
66 Roll 29,583.33 - -
19M C
Catgut/Benang Bedah No.2/0-3/0 dg
67 Roll 24,500.00 - -
jarum bedah
68 Cefiksim 100 mg Kapsul 750.00 803.00 -
69 Cetirizine Kapsul 96.00 90.00 90.00
70 Citoject Pcs 909,900.00 - -
71 Clorofenol (CHKM) Ples 115,700.00 - -
72 Deksametason inj 5 mg/ml-1 ml Ampul 1,500.00 1,097.00 -
73 Deksametason Tablet 0,5 mg Tablet 41.00 32.00 250.00
74 Devitalisasi Pasta (Non arsen) Botol 816,700.00

385,000.00 -
75 Difenhidramin inj 10 mg/ml Ampul 1,060.00 1,095.00 -
76 Digoksin tablet 0,25 mg Tablet 104.00 104.00 -
77 Dimenhidrinat tablet 50 mg Tablet 99.00 - 99.00
78 Doksisiklin 100 mg Kapsul 268.00 268.00 -
79 Domperidon Syrup Botol 3,000.00 2,700.00 -
80 Domperidon tablet 10 mg Tablet 95.00 85.00 -
81 Ekstrak Belladona tablet 10 mg Tablet 38.00 - -
82 Eosin 2% 1x100 ml Botol - 179,595.00 -
Epinefrina(Adrenalin) inj i.v/s.k/i.m
83 Ampul 1,749.00 1,408.00 -
1 mg/ml
84 Eritromisin 250 mg Tablet 557.00 546.00 546.00
85 Eritromisin 500 mg Tablet 730.00 750.00 -
86 Eritromisin sirup kering 200 mg/5 ml Botol 6,700.00 6,090.00 -
87 Etambutol Hcl tablet 250 mg Tablet 314.00 366.00 -
88 Etambutol Hcl Tablet 500 mg Tablet 451.00 - -
89 Etanol 70 %- 100 ml Botol 2,500.00 - -
90 Etanol 70% - 1 L Botol 21,500.00 25,000.00 - 20
91 Etil Klorida semprot-100 ml Botol 124,900.00 - -
92 Eugenol Cairan Botol 102,000.00 18,824.00 -
93 Female Catheter no 16 Pcs 5,720.00 - -
95 Fenitoin Kapsul100 mg Kapsul 152.00 - -
96 Fenoksimetil Penisilin tablet 250 mg Tablet 350.00 - - 300
98 Fenol Gliserol Tetes telinga 10 % Botol 1,008.33 - -
99 Film IV Dressing 6x7 P Pcs 2,200.00 - - 20
Fitomenadion(Vit K1) inj 10 mg/ml-
100 Ampul 1,566.00 - -
1ml
101 Ampul 3,550.00 3,682.00 3,682.00
1ml
Fitomenadion(Vit K1) tablet salut
102 Tablet 686.00 710.00 710.00
gula 10 mg
103 Fluconazol 150 mg kapsul 18,000.00 18,720.00 -
104 Folley Cathether 2 way no 20 Pcs 8,000.00 - -
105 Folley Cathether no 16 Pcs 11,000.00 - 10,340.00
107 Furosemid tablet 40 mg Tablet 72.00 77.00 -
108 Garam Oralit 200 ml air Sachet 260.00 260.00 274.00
109 Gentamisin Inj 40 mg/ml Vial 3,386.00 3,509.00 5,900.00
110 Gentamycin Salep Kulit Tube 3,040.00 3,550.00 -
111 Gentamycin Salep Mata Tube 2,960.00 2,675.00 -
112 Gentamycin Tetes Mata Tube 4,170.00 4,232.00 4,232.00
113 Gentian violet larutan 1 %-10 ml Botol 3,000.00 - -
114 Glas Lonomer Cement Set 480,840.00 500,000.00 275,924.71
115 Glibenklamid tablet 5 mg Tablet 100.00 119.00 -
116 Glimepiride tablet 1 mg Tablet 194.00 - -
117 Gliseril Gyayakolat tablet 100 mg Tablet 118.80 118.00 128.81
Glukosa Larutan infus 10% steril-
118 Botol 5,700.00 - -
500 ml
Glukosa Larutan infus 5% steril-500
119 Botol 5,200.00 - 6,900.00 3
ml
Griseofulvin tablet 125 mg
120 Tablet 247.00 210.00 210.00
micronized
121 Haloperidol Injeksi (Lodomer) Ampul 6,250.00 -
122 Haloperidol tablet 0,5 mg Tablet 56.00 55.00 -
124 Haloperidol tablet 2 mg Tablet 126.00 84.00 -
125 Haloperidol tablet 5 mg Tablet 69.00 56.00 56.00
126 Hansaplast 2,5 cm x 4,5 m Roll 11,334.00 - -
128 Hidrogen Peroksida 3% (H2O2) Botol 23,931.00 - -
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 149.00 155.00 -
130 Hidrokortison krim 2,5 % Tube 2,639.00 2,475.00 -
131 Ibuprofen sirup 100 mg/5 ml Botol 2,475.00 2,365.00 -
132 Ibuprofen tablet 200 mg Tablet 102.00 105.00 -
133 Ibuprofen tablet 400 mg Tablet 111.00 - 396.00
134 Infusion set anak Set 4,000.00 6,273.00 6,150.00
135 Infusion set dewasa Set 6,435.00 6,435.00 5,800.00
136 Isoniazida ( INH ) tablet 300 mg Tablet 170.00 173.00 173.00
137 Isosorbit 5 mg Tablet 90.00 89.00 89.00
138 IV Cateter 18 Buah 10,494.00 10,494.00 11,000.00
139 IV Cateter 20 Buah 10,494.00 10,494.00 11,000.00
140 IV Cateter 22 Buah 10,494.00 10,494.00 11,000.00
141 IV Cateter 24 Buah 10,494.00 10,494.00 11,000.00
142 IV Cateter no 26 wings & port Buah 6,600.00 - -
143 IV Cateter with injection port 26 G Buah 16,346.00 13,200.00 -
144 Jarum Citojek No 16 Pcs 2,093.00 - -
145 Jarum Jahit kulit No.12 Pcs 2,283.33 - -
146 Jarum Jahit Otot No.12 Pcs 2,283.33 - -
147 Kalium Permanganat Pot 8,700.00 - -
148 Kalsium Glukonat injeksi i.v 10 % Ampul 9,955.00 10,351.00 -
149 Kalsium Hidroksida Pasta Set 290,000.00 - -
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 56.00 59.00 -
151 Kapas pembalut/absorben 250 mg Buah 12,500.00 12,500.00 -
152 Kaptropil 12,5 mg Tablet 62.00 62.00 - 1,400
153 Kaptropil 25 mg Tablet 80.00 - - 1,600
154 Karbamazepin tablet 200 mg Tablet 270.00 230.00 230.00
155 Karbogliserin Tetes Telinga Botol 2,500.00 2,590.00 -
156 Kasa hidrofil 36 m x 80 cm Roll 55,000.00 106,605.00 -
157 Kasa hidrofile 3 yard x 10 cm Buah - 1,380.00 -
158 Kasa hidrofile 40 yard x 80 cm Roll - 123,000.00 -
159 Kasa kompres 16x16 steril Buah 362.50 500.00 291.67
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 606.00 1,493.50 -
161 Ketokonazol 200 mg Tablet 280.00 270.00 -
162 Ketokonazol Krim 2% Tube 2,595.00 2,518.00 -
163 Klindamisin 300 mg Tablet 578.00 - 759.00
164 Kloramfenikol kapsul 250 mg Kapsul 649.05 310.00 -
165 Kloramfenikol salep kulit 2 % Tube 3,091.00 3,038.00 -
166 Kloramfenikol salep mata 1 % Tube 1,810.00 1,881.00 -
167 Kloramfenikol susp 125 ml Botol 4,700.00 4,700.00 -
168 Kloramfenikol tetes telinga 3 % Ples 8,910.00 7,700.00 11,044.00
Klorfenariamin maleat (CTM) tablet
169 Tablet 37.00 22.00 -
4 mg
170 Klorine Botol 24,000.00 - -
171 Klorpromazin 100 MG Tablet 144.00 147.00 -
172 Klorpromazin 25 mg Tablet 148.00 - -
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 1,050.00 - -
174 Kotrimoksazol anak Tablet 76.00 - -
175 Kotrimoksazol Susp Botol 2,140.00 2,052.00 -
176 Kotrimoksazol Tablet 480 mg Tablet 129.00 - 125.00 900
177 Leucoplast 2,50 cm x 4,5 m Roll 12,076.00 12,076.00 12,675.00
179 Lidocain compositum inj kombinasi Ampul 1,937.00 1,152.00 -
180 Lidocain Injeksi 2% Ampul 1,111.00 1,144.00 1,144.00
181 Lidocain Jeli 2% Syringe 40,000.00 41,600.00 -
182 Botol - 177,216.00 -
spray)
183 Lisol Botol 41,000.00 41,000.00 -
184 Loratadine 10 mg Tablet 123.00 - 123.00
185 Magnesium Sulfat Inj 20% Vial 3,200.00 - -
186 Magnesium Sulfat Inj 40% Ampul - 3,796.00 -
187 Masker Karet Buah 726.00 - 331.70
188 Masker Tali Buah 726.00 762.00 - 300
189 Metformin Tablet 94.00 96.00 96.00
190 Metildopa 250 mg / Dopamet Tablet 869.00 - 946.00
191 Metilergometrin Maleat Inj Ampul 2,849.00 2,959.00 -
192 Metilergometrin Maleat tab Tablet 267.86 210.00 -
193 Metoklopramide Inj Ampul 4,200.00 3,960.00 -
194 Metronidazol tablet 250 mg Tablet 90.00 89.00 -
195 Metronidazol tablet 500 mg Tablet 113.00 - 500.00
196 Mikonazol krim 2% Tube 3,250.00

3,414.00 -
197 Mummying Pasta Botol 285,000.00

- -
198 Nasal Oxygen, O2 cannula size L Pcs 6,600.00

5,082.00 5,500.00
199 Nasal Oxygen, O2 cannula size M Pcs -

5,082.00 -
Nasal Oxygen, O2 cannula size
200 Pcs 6,600.00 - 5,500.00
S/infant
201 Nasal Oxygen, O2 cannula size XS Pcs 6,600.00
- 6,930.00
202 Natrium Bikarbonat tablet 500 mg Tablet 544.00 60.00 110.00
203 Natrium Diklofenak Tablet 132.00 128.00 128.00
Natrium Klorida Lar.infus 0,9 %
204 Botol 6,410.00 - 6,410.00
steril
205 Natrium Tiroksin Tablet 3,100.00 - -
206 Nifedipin 10 mg Tablet 104.00 - -
207 Nistatin Suspensi 100.000 IU/ml Botol - 13,500.00 -
208 Nistatin tablet vaginal 100.000 IU/g Tablet 523.00 560.00 -
209 Nistatin tablet vaginal 500.000 IU/g Tablet 640.00 - -
210 Norit Tablet 250.00 - -
211 OAT Sisipan/FDC Sisipan Paket 160,000.00 - -
Obat antituberkolosis Kombipak
212 Paket 288,199.00 316,635.00 -
Kat.I Dewasa
Obat antituberkulosis anak/FDC
213 Paket 214,900.00 232,518.00 -
Anak
Obat antituberkulosis kategori 1/FDC
214 Paket 359,900.00 389,344.00 -
1
Obat antituberkulosis kategori 2/FDC 1,297,889.00
215 Paket 1,247,984.00 -
2
Obat Batuk Hitam (OBH) Cairan
216 Botol 2,800.00 - -
-100 ml
217 OBH Nusantara Menthol Botol - 7,950.00 9,647.00
218 OBH Plus Botol 10,600.00 - -
219 Oksitetrasiklin HCl 1 % Salep mata Tube 1,600.00 2,500.00 -
Oksitetrasiklin HCl inj i.m 50 mg/ml-
220 Vial 7,700.00 - -
10 ml
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 2,926.00 5,800.00 4,884.00
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 1,900.00 1,199.00 1,785.00
223 Omeprazol Kapsul 140.00 130.00 139.00
224 Omeprazol Injeksi Vial 11,868.00 9,898.00 9,898.00
225 Papaverin tab Tablet 297.00 640.00 -
226 Paraformaldehid Tablet 660.00 - -
227 Parasetamol drop Botol 17,458.00 6,649.00 -
228 Parasetamol sirup 120 mg / 5ml Botol 1,010.00 1,107.00 - 445
229 Parasetamol tablet 500 mg Tablet 49.00 53.00 - 37,500
230 Parasetamol tablet 100 mg Tablet 92.00 - -
231 Pehakain Ampul 3,000.00 - -
232 Permetrin Krim 5% (Scabimite) Tube 12,155.00 - 7,200.00
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 58,333.33 - -
234 Piralent Inj Ampul 7,240.00 - -
235 Pirazinamid 500 mg Tablet 237.00 222.00 -
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 45.00 123.00 -
237 Piroxicam 10 mg Tablet 118.80 195.00 160.60
238 Plester 5 yard x 2 inch Roll 23,600.00 - -
239 Plester 7,5 cm x 5 m Buah 30,000.00 - -
Polypropylene 2/0 75C + Jarum 3/8
240 Pcs 24,500.00 - -
26m
241 Povidon Iodiada 10 %-30 ml Botol 2,900.00 2,900.00 -
242 Povidon Iodiada 10 %-300 ml Botol 18,000.00 18,000.00 18,000.00
243 Prednison tablet 5 mg Tablet 76.00 68.00 - 1,500
244 Probenesid 500 mg Tablet 1,755.00 - -
245 Propanolol HCl tablet 10 mg Tablet 60.00 - -
246 Propanolol HCl tablet 40 mg Tablet 74.00 76.00 -
247 Propiltiourasil tablet 100 mg Tablet 279.00 - -
248 Ranitidin inj Ampul 1,458.00 - -
249 Ranitidine 150 mg Tablet 98.00 105.00 112.00
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 284.00 288.00 - 450
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 459.00 517.00 - 3,500
252 Rifampisin kapsul 300 mg Kapsul 376.00

725.00 -
253 Rifampisin kapsul 450 mg Kapsul 897.00 - -
254 Ringer Laktat Larutan Infus Steril Botol 7,150.00 7,150.00 7,150.00
255 Rivanol 300 ml Botol 2,550.00 3,000.00 -
256 Salbutamol tablet 2 mg Tablet 78.00 63.00 -
Salep 2-4 kombinasi : as.asal 2 % +
257 Pot 2,527.00 2,621.00 -
Bel. 4 %
258 Salisil Spiritus Botol 32,299.00 - -
259 Sarung Tangan non steril no 6,5 Pasang 7,700.00 7,700.00 -
260 Sarung Tangan non steril no 7 Pasang - 7,700.00 8,701.00
261 Sarung Tangan non steril no 7,5 Pasang - 7,700.00 -
262 Sarung Tangan Obgyn steril Pasang - 19,360.00 -
263 Sarung tangan steril no 6,5 Pasang 7,865.00 7,865.00 -
264 Sarung tangan steril no 7 Pasang 7,865.00 7,865.00 8,888.00
266 Semen Seng Fosfat Serbuk Cairan Set 238,200.00 - -
267 Semillas non Woven Medical Tape Pcs 21,753.00 - -
268 Serum anti tetanus (ATS) / Biosat Ampul - 130,999.00 -
269 Serum anti tetanus (ATS) / Tetagam Ampul 170,000.00 176,800.00 -
Serum antibisa ular Polivalen inj 5
270 Ampul 462,000.00 479,996.00 479,996.00
ml (SABU) I
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 20,833.33 20,833.33 -
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase - 20,833.33 -
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 15,000.00 - -
274 Silk Black 2/0 DS 24 MM Sase 23,300.00 - -
275 Silk Black 2/0 HR 26 MM Sase 20,300.00 - -
278 Silk Black PFM 2/0 100 m Roll 425,066.00 - -
279 Simvastatin tablet 10 mg Tablet 111.00 110.00 -
281 Siprofloksasin 500 mg Tablet 281.00 265.00 500.00
282 Softanol antimicrobial 500 ml Botol - 56,925.00 -
283 Softanol antimicrobial galon 5 liter Galon - 569,250.00 -
284 Spironolakton 25 mg Tablet 244.00 195.00 -
285 Streptomisin Inj Vial 5,000.00 - -
Sulfasetamid Natrium Tetes mata 15
286 Ples 10,890.00 12,300.00 -
%
Tablet Tambah darah kombinasi :
287 Tablet 350.00 353.00 353.00 159,000
Besi II Sulfat
288 Temporary Filling Material (Fermin) Botol 158,000.00 220,000.00 -
289 Set 37,000.00 - -
&cairan
290 Tetrakain HCl tetes mata 0,5 % Botol 11,500.00 - -
291 Tetrasiklin Kapsul 250 mg Kapsul 166.00 - -
292 Tetrasiklin Kapsul 500 mg Kapsul 310.00 303.00 -
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 82.00 85.00 -
294 Transfusion Set Set 7,860.00 - - 45
295 Triheksifenidil HCl tablet 2 mg Tablet 80.00 85.00 85.00
296 Trikesol Formalin (TKF) Botol 110,000.00 - -
297 Umbilical cord klem steril Pcs 1,000.00 - -
298 Urine bag pcs 4,000.00 - -
Urine Drainage Bag, T valve with
299 Pcs - 5,785.00 4,202.00
hanger
300 Ventolin nebules Nebule 4,000.00 - -
301 Viorex no rinse antimicrobial Galon - 672,765.00 -
302 Viorex no rinse antimicrobial Botol - 67,626.66 -
303 Vitamin B 12 Injeksi Ampul 520.00 - -
304 Vitamin B 12 tab Tablet 51.00 46.00 - 5,000
305 Vitamin B Kompleks tablet Tablet 115.00 83.00 -
306 Wing Nedle no 25 Tablet 5,749.00 - -
307 Zink Tablet 514.00 524.00 -
308 Dextaco Tablet - 394.00 -
309 Dextrofen Syrup 60 ml Botol - 11,500.00 -
310 Hemafort Tablet 834.90 834.00 -
311 Lodecon Forte Tablet 958.30 1,110.00 -
312 Scandonest Ampul 13,612.00 - -
313 Seledril Tablet Tablet 815.00 823.33 -
314 Solacort krim /Armacort Tube 8,150.00 8,200.00 -
315 Solafluz Botol 11,900.00 13,700.00 -
316 Soldextam Tablet 566.00 - -
317 Solvitral Tablet 816.00

911.00 -
318 Truvit Syr Botol 10,700.00 12,400.00 12,221.00
319 Widabest Botol - 9,646.00 -
320 Accu Chek Perfoma Buah - 350,000.00 325,000.00
321 Alat Suntik 0,05ml Buah 1,379.80 - - 800
322 Alat Suntik Sekali Pakai 3 ml Pcs - - 662.00
323 Amoksilin sirup kering 125 mg/5ml Botol - - 2,750.00
324 Asetosal tablet 80 mg Tablet 148.00 - - 200
325 Ampul 1,540.00 - -
ml
326 Bedak Salisil serbuk 2 % Buah 1,020.00 - - 120
328 Glas Lonomer Cement Liquid Set - - 151,242.86
329 Haloperidol Injeksi (Lodomer) Ampul 4,000.00

- - 4
330 Infusion set anak Set - - 6,242.25
331 Infusion Set Dewasa Set - - 5,887.00
332 Isoniazida ( INH ) tablet 100 mg Tablet - 137.00 -
333 Kloramfenikol kapsul 250 mg Kapsul 547.00 - -
334 Metoklopramide Inj Ampul 3,395.00 - -
335 Paket 214,985.00 232,158.00 -
Anak
336 Paket 359,980.00 - -
1
337 Paket - 1,199,985.00 -
2
338 Pirantel Pamoat 125 mg Tablet 269.00 - -
339 Piridoxin 10mg Tablet 118.00 - - 8,300
340 Siprofloksasin 500 mg Tablet - - 550.00
342 Tablet - - 350.00
Besi II Sulfat
343 Trikesol Formalin (TKF) Botol 115,700.00 106,000.00 -
344 Zink Tablet - 508.00 -
345 Demetec 58,333.33
346 Demetec 24,500.00
347 Bioplacenton tulle 10,400.00
348 Cefadroxil syr 4,185.00

3M ESPE KETAC Cem Easymic
349 151,242.86
(liq)
350 PULP-X/PULP DEVITALIZER 385,000.00
351 metyl prednisolon 4 mg 143.00
352 Metronidazole syr 3,950.00
353 Piroxicam 20 mg 127.00
354 Garam Oralit 200 ml air 257.00

355 Scabimit 11,825.00
356 Blood transfusion set 11,550.00

357 Metronidazole 500 mg 550.00
358 Antalgin(Metampiron) Tablet 500 mg 268.07
360 Softanol 5 liter galon 568,583.00
OBAT PREKURSOR DAN PSIKOTROPIKA
1 Diazepam inj 5 mg/ml-2 ml Ampul 4,180.00 1,735.00 -

2 Diazepam tablet 2 mg Tablet 35.00 - -
3 Diazepam tablet 5 mg Tablet 117.00 109.00 109.00
4 Fenobarbital inj 50 mg/ml-2ml Ampul 1,300.00 - -
5 Fenobarbital tablet 30 mg Tablet 165.00 165.00 -
6 Stesolid (Diazepam Rectal) Tube 11,517.00 12,573.00 -
PROGRAM
1 MB Dewasa Blister - 31,570.00 -

2 MB Anak Blister - 20,554.00 -
3 PB Dewasa Blister - 12,569.00 -
4 PB Anak Blister - - -
5 Clozapine 25 mg Tablet - 1,550.00 -
6 DHP Kotak - - -
7 Doksisiklin Kapsul - - -
8 Efavirenz 200 mg Botol - - -
9 Efavirenz 600 mg Botol - 191,250.00 -
10 Lamivudine 150 mg Botol - 90,000.00 -
11 Malation 96 Drigen - - -
12 Nepiraphine 200 mg Botol - 168,000.00 -
13 Primakuin Tablet - - -
14 RDT Malaria Test - - -
15 TDP (300)+3TC(300)+EFV(600) Botol - 356,829.00 -
16 Tenofovir 300 mg Botol - 243.00 -
17 Vaksin Anti Rabies Kuur - 164,030.00 -
18 Zdvdn(60)+Lmvdn(30)+Nvrpn(50) Botol - 41,532.00 -
19 Zidopudin(300)+lamivudin(150) Botol - 222,000.00 -
20 Zidovudin 100 mg Botol - 102,000.00 -
REAGEN
1 Kaca Slide Box - 19,700.00 -
2 Pot Dahak Buah - 5,800.00 -
3 Reagen Ziehl Neelsen Kit - - 276,500.00
4 Rapid Test HIV SD Kit - 1,434,000.00 1,197,500.00
5 Hepatitis B IMM Kit - - 1,325,000.00
6 Rapid Test Syphilis Kit - 415,000.00 415,000.00
7 Rapid Test HBSAG Test - - 9,870.00
8 Accu Check Performa Dus - - 420,000.00
9 Anti-A Monoclonal Gol. Darah 10ml Vial - - 66,750.00
10 Anti-B Monoclonal Gol. Darah 10ml Vial - - 66,750.00
11 Anti-AB Monoclonal Gol. Darah 10ml Vial - - 88,750.00
12 Anti-D Duoclone Gol. Darah 10ml Vial - - 108,750.00
13 Benecheck Strip Gula Darah Box - - 152,375.00
14 Benecheck Strip Cholesterol Box - - 164,177.78
15 Benecheck Strip Asam Urat Box - - 252,625.00
16 Salmonella Typhi O Widal test 5ml Vial - - 65,750.00
17 Salmonella Typhi H Widal test 5ml Vial - - 65,750.00
18 Salmonella Paratyphi AO Widal test 5 Vial - - 65,750.00
19 Salmonella Paratyphi AH Widal test 5 Vial - - 65,750.00
20 Rapid 2 HIV FOKUS @25 tes Kit - - 361,750.00
21 Rapid Biomeriux/Vikia @25 tes Kit - - 487,000.00
22 Hepatitis B Imunogloblulin Syringe 1,325,000.00
23 Human Hexagon sipillis 663,175.00
VAKSIN
1 Hepatitis B Pouch - - 25,597.00

2 BCG Amp - - 66,154.00
3 DPT-HB-Hib Vial - - 84,282.00
4 Polio B-OPV Vial - - 19,954.00
5 IPV 5 Dosis Vial - - 169,653.00
6 Campak Vial - - 28,204.00
7 MR Vial - - 155,813.00
8 TD Vial - - 16,995.00
9 DT SD Vial - - 17,996.00
10 ADS 0,05cc Buah - - -
11 ADS 0,5cc Buah - - 1,158.00
12 ADS 5cc Buah - - 1,640.00
13 Safety Box Buah - - 22,433.00
14 DPT-HB-Hib Vial - - 78,991.00
15 Hepatitis-B (rDNA) Cairan Injeksi Syringe - - 52,050.00
16 MR Vial - - 166,265.00
17 ADS 0,5cc Buah - - 1,185.00
18 TD Vial - - 18,128.00
ADS 5 cc 1,439.00
Mengetahui,

Januari Februari
Σ Harga 2017 2018 Σ Harga 2018 2019 Σ Harga 2019 2017 Σ Harga 2017 2018
- -
- -
- 800 522,728.00
- -
- -
522,008.00 -
- -
- 800 633,600.00
- 400 313,636.00
- -
- 800 92,832.00
- -
- 600 59,400.00
- -
- -
- -
- -
- 100 8,900.00
- -
- -
- 300 27,900.00
- 3,300 231,000.00
- 14,000 3,262,000.00
- -
564,300.00 -
- -
- -
- 100 57,000.00
- -
- -
- 1,200 262,200.00
- -
- 200 399,000.00
- 90 285,030.00
- 72 323,712.00
- -
- -
1,216,000.00 -
- -
- -
- -
- 4 96,800.00
- 7,000 735,000.00
- 200 10,400.00
- 1,000 103,000.00
- -
- -
- 100 314,000.00
24,000.00 -
- 600 228,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 72 1,620,000.00
- 72 1,620,000.00
- -
- -
- -
- -
- 500 45,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
430,000.00 -
- -
- -
- -
- -
- -
105,000.00 -
60,500.00 -
- -
44,000.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- 400 104,000.00
- -
- 72 255,600.00
- -
- 9 38,088.00
- -
- 1 500,000.00
- -
- -
- 11,400 1,345,200.00
- -
15,600.00 -
- -
- -
- 1,000 55,000.00
- -
- -
- 900 50,400.00
- -
- -
- -
- 100 15,500.00
- 24 59,400.00
- -
- 6,800 714,000.00
- -
- 25 156,825.00
- 200 1,287,000.00
- -
- -
- 80 839,520.00
- 200 2,098,800.00
- 30 314,820.00
- 70 734,580.00
- -
- 80 1,056,000.00
- -
- -
- -
- -
- -
- -
- 16,200 955,800.00
- 2 25,000.00
86,800.00 -
128,000.00 -
- 100 23,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100 31,000.00
- 72 218,736.00
- -
- 20 94,000.00
- -
- 7,800 171,600.00
- -
- 1,000 147,000.00
- -
- -
- -
- 114 233,928.00
116,100.00 -
- 10 120,760.00
- 15 532,980.00
- -
- 40 45,760.00
- -
- -
- 3 123,000.00
- -
- -
- -
- -
217,800.00 -
- -
- -
- 40 118,360.00
- -
- -
- 900 80,100.00
- -
- -
- -
- 25 127,050.00
- 35 177,870.00
- -
- -
- 2,000 120,000.00
- 1,200 153,600.00
- -
- -
- -
- 50 675,000.00
- 30 16,800.00
- -
- -
- -
- -
- -
- -
- -
- -
- 25 198,750.00
- -
- -
- -
- 10 58,000.00
- -
- -
- -
- -
- -
- -
449,450.00 -
1,837,500.00 -
- -
- -
- -
- -
- -
- -
- -
- 1,200 234,000.00
- -
- -
- -
- 12 34,800.00
- 10 180,000.00
114,000.00 -
- -
- -
- -
- -
- -
- 5,400 567,000.00
127,800.00 -
1,606,500.00 -
- -
- -
- 27 193,050.00
- 10 30,000.00
- -
- 96 251,616.00
- -
- -
- -
- 500 3,850,000.00
- -
- -
- -
- 500 3,932,500.00
- -
- -
- -
- -
- -
- -
- 60 1,249,999.80
- -
- -
- -
- -
- -
- -
- 180 19,800.00
- 200 41,000.00
- -
- 20 1,138,500.00
- -
- -
- -
- -
55,650,000.00 -
- -
- -
- -
- -
- 200 60,600.00
- 10,100 858,500.00
353,700.00 -
- 1,700 144,500.00
- -
- -
- -
- 35 202,475.00 -
- -
- 1 672,765.00
- -
- -
255,000.00 -
- 13,400 1,112,200.00
- -
- -
- -
- 50 575,000.00
- -
- -
- -
- 480 395,198.40
- 25 205,000.00
- -
- -
- -
- 10 124,000.00
- -
- -
1,103,840.00 -
- -
- -
29,600.00 -
- -
122,400.00 -
- -
- -
16,000.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
979,400.00 -
- -
- -
- -
- -
- -
-
-
-
-
-
-
-
-
-
-
- -
-
-
- -
-
2 1,137,166.00
- -
- -
- -
- 100 10,900.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100 155,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
66,175,298.00 42,699,535.20
108,874,833.20
Februari Maret
- -
- -
- -
- -
- -
- -
- -
600 475,200.00 -
- -
- 26,700 10,760,100.00
- -
- -
- -
100 21,000.00 -
- -
- -
- -
- 100 8,900.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 50 99,750.00
- 110 348,370.00
-
- -
- -
- -
- -
- -
- -
- 5 121,000.00
- -
- -
- -
- -
100 9,200.00 -
- -
- -
- 800 304,000.00
- -
- -
- -
- -
- -
- -
- 110 147,400.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 600 51,000.00
- -
- -
- -
- -
- 300 225,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
400 140,000.00 -
300 181,500.00 -
- -
- -
- -
- -
300 205,800.00 -
- -
- -
- -
- -
- -
- -
- -
- 72 255,600.00
- 48 128,400.00
- -
- -
- -
- -
- -
- 10,000 1,180,000.00
- -
10 52,000.00 -
- -
- -
- -
- -
- 300 25,200.00
- -
- -
- -
- -
- -
- 144 356,400.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 6,300 371,700.00
- -
1,300 80,600.00 -
1,300 104,000.00 -
- -
- -
- -
- -
- -
- 80 40,000.00
- -
- 200 54,000.00
- -
- -
- 1,500 465,000.00
- 72 218,736.00
- 72 135,432.00
- 24 112,800.00
- -
- -
- -
- 1,200 176,400.00
- -
- -
- -
- 140 287,280.00
2,100 270,900.00 -
- -
10 355,320.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 60 177,540.00
- 400 84,000.00
- -
- 1,500 133,500.00
- -
- -
- -
- -
- -
- -
- -
- 3,000 180,000.00
- 1,000 128,000.00
20 128,200.00 -
- -
- -
- 60 810,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 5 39,750.00
- -
- 200 500,000.00
- -
- -
- - -
- -
- -
- 100 64,000.00
- -
- -
- 230 254,610.00
30,700 1,504,300.00 -
- -
- -
- -
- -
- -
- -
- -
- 800 156,000.00
- -
- -
- -
- -
- -
- 100 6,800.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 10 30,000.00
- -
- 120 314,520.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 500 151,500.00
- 20,000 1,700,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100 1,150,000.00
- -
- -
- -
- -
- -
- -
- -
- 800 728,800.00
- -
- -
- -
- -
- -
- -
- -
- -
144 146,880.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
20 7,199,600.00 -
- 1 1,199,985.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 3 37,719.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 6 118,200.00
- -
- -
- 3 4,302,000.00
- -
- - 2
- - 300
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 4
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
10,874,500.00 28,139,392.00
44,251,892
April
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 100
- -
- -
- -
- -
- 228 1,878,036.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 400
- -
- -
- -
- 838 3,085,516.00
- - 300
- -
- -
- -
- -
- -
- -
- - 262 1,545,800.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 12
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 105 1,086,855.00
- -
- -
- -
- - 2,100
- - 2,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 2,600
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 88 334,048.00
- -
- -
- -
- -
- 1,570 4,645,630.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 40
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 340 850,000.00
- -
- -
- - 140 249,900.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 30
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 5,200
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 20
- -
- -
- - 4,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 3 3,975,000.00
830,000.00 -
2,961,000.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1,447,000.00 -
- -
- -
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
5,238,000.00 0 11,880,085.00 5,770,700.00
44,251,892.00 17,650,785.00
Mei Juni
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 3,000 1,957,530.00
- 1,000 784,090.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 300 26,700.00 -
- - -
- - -
- 360 33,480.00 -
- - -
- 22,000 5,126,000.00 -
- - -
188,100.00 - -
- - -
- - -
- 200 114,000.00 -
- - -
- - -
- - -
- 12,000 648,000.00 -
- 50 99,750.00 -
- - -
- 96 431,616.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- 6 145,200.00 -
- 6,000 630,000.00 -
- 300 15,600.00 -
- 4,500 463,500.00 -
- - -
18,400.00 - -
- - -
- - -
- - -
- - -
- 90 99,000.00 -
- - -
- - -
- - -
- - -
- 150 201,000.00 -
- - -
- - -
- - -
- - -
- - -
- - 120 7,416,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 9,000 288,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- 800 68,000.00 -
- - -
- - -
- - -
- - -
- 300 225,000.00 -
- - -
- - -
- - -
- - -
- 12 300,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
242,000.00 - -
- - -
- - -
- - -
- - -
205,800.00 - -
- - -
- - -
- - -
- - -
- 100 7,700.00 -
- - -
- - -
- 24 85,200.00 -
- 60 160,500.00 -
- - -
- - -
- - -
- - -
- - -
- 5,200 613,600.00 -
- - -
62,400.00 - -
- - -
- - -
- - -
- 800 47,200.00 -
- 200 16,800.00 -
- - -
- - -
- - -
- - -
- 100 15,500.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 100 1,100,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 7,000 413,000.00 -
- 3 37,500.00 -
130,200.00 - -
160,000.00 - -
- - -
- 60 155,400.00 -
- - -
- - -
- 5 615,000.00 -
- - -
- - -
- 200 54,000.00 -
- - -
- - -
- 700 217,000.00 -
- 72 218,736.00 -
- 96 180,576.00 -
- 30 141,000.00 -
- - -
- 13,000 286,000.00 -
- - -
- - -
- - -
- - -
- - -
- 170 348,840.00 -
335,400.00 - -
- - -
- - -
- - -
- 60 68,640.00 -
- - -
- - -
- 3 123,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1,800 160,200.00 -
- - -
- 96 327,744.00 -
- - -
- - -
- - -
- - -
- - -
- 4,000 240,000.00 -
- 1,200 153,600.00 -
256,400.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 900 117,000.00 -
- - -
- - -
- - -
- - -
- 450 498,150.00 -
- 45,000 2,385,000.00 -
- - -
- - -
364,650.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1,300 136,500.00 -
- - -
- - -
- - -
- - -
- 200 1,430,000.00 -
- 10 30,000.00 -
- 400 25,200.00 -
- - -
- - -
- - -
- - 600 5,220,600.00
- - -
- - -
- - -
- - 600 5,332,800.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 600 181,800.00 -
- - -
- - -
- 900 76,500.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
265,200.00 - -
- 14,300 1,186,900.00 -
- - -
- 1,400 733,600.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1,000 911,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
7,199,600.00 - -
- - -
- - -
472,000.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 1,000 257,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
9,900,150.00 22,097,322.00 21,283,930.00
53,281,402.00
UPTD BLUD PUSKESMAS ………………
REKAP PEMAKAIAN OBAT TAHUN 2019
Juni Juli
Σ Harga 2018 2019 Σ Harga 2019 2017 Σ Harga 2017 2018 Σ Harga 2018
- -
- -
- -
- -
- -
- -
- -
- -
- 1,000 784,090.00
- -
- -
- -
- -
- -
- -
- -
- -
- 400 35,600.00
- -
- -
- 600 55,800.00
- 900 63,000.00
- 2,000 466,000.00
- -
300 564,300.00 -
- -
- -
- 200 114,000.00
- -
- -
- 300 65,550.00
- -
- -
- 40 126,680.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 400 20,800.00
- 1,300 133,900.00
- -
- -
- 25 78,500.00
- -
- 1,000 380,000.00
- -
- -
- -
- -
- -
- -
- 200 268,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100 80,300.00
- -
- -
- -
- -
- 6,500 208,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100 7,700.00
- -
- -
- -
- 48 128,400.00
- 48 203,136.00
- -
- -
- -
- -
- 2,000 236,000.00
- -
- -
- -
- -
- -
- 700 41,300.00
- 200 16,800.00
- 600 33,600.00
- -
- -
- -
- 100 15,500.00
- 96 237,600.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 20,000 1,180,000.00
- -
- -
400 32,000.00 -
- 300 69,000.00
- 24 62,160.00
- -
- -
- -
- -
- -
- -
- 25 62,950.00
- -
- 200 62,000.00
- 24 72,912.00
- 48 90,288.00
- -
- -
- 16,000 352,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 60 68,640.00
- -
- -
- 2 82,000.00
500 61,500.00 -
- -
- -
- -
- -
- 1,000 96,000.00
- -
- -
- 200 42,000.00
- -
- -
- -
- 120 409,680.00
- -
- -
- -
- -
- -
- -
- 2,000 256,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 24 9,344,256.00
- -
- -
- -
- -
- -
- -
- -
- 100 119,900.00
- 1,500 195,000.00
- -
- 500 320,000.00
- -
- -
- 600 664,200.00
- 31,000 1,643,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 2 36,000.00
- -
- -
- -
- -
- -
- -
- 2,500 262,500.00
- 450 129,600.00
- 3,150 1,628,550.00
- -
- -
- -
- -
- 700 44,100.00
- 120 314,520.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 400 106,000.00
- -
- -
- -
- -
- -
- 265,010 93,548,530.00
- -
- -
- -
- -
- 300 90,900.00
- 10,000 850,000.00
- -
- 2,200 187,000.00
- -
- -
- -
- -
- -
- -
- -
- -
6,000 306,000.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1 1,199,985.00
- -
9,000 1,062,000.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 20 236,500.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100 155,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 1,260,000.00 - -
1 66,750.00 - -
1 66,750.00 - -
1 88,750.00 - -
1 108,750.00 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1,591,000.00 2,025,800.00 117,781,427.00

131,563
Agustus
2019 Σ Harga 2019 2017 Σ Harga 2017 2018 Σ Harga 2018 2019 Σ Harga 2019
-
-
-
-
-
-
-
3,600 2,349,036.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 5 5,485.00
-
-
-
-
-
-
-
-
-
-
- 5 7,040.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,200 328,800.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
300 283,800.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 50 14,400.00
-
-
-
-
-
-
-
-
500 4,350,500.00
-
-
-
500 4,444,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- - 10 2,765,000.00
- 3 4,302,000.00 -
- -
- -
- 300 2,961,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 22 563,134.00
- 15 992,310.00
- -
- 27 538,758.00
- 16 2,714,448.00
- 90 2,538,360.00
- 20 3,116,260.00
- 21 356,895.00
- -
- -
- 1,600 1,852,800.00
- 150 246,000.00
- 15 336,495.00
- 60 4,739,460.00
- -
- -
- -
- -
- -
11,756,136.00 4,328,925.00 23,720,920.00
131,563,363.00 28,049,845.00
September Ok
- 1,200 429,600.00 -
- - -
- - -
- - -
- - -
500 326,255.00 - -
- - -
- - -
- - -
- - -
- - -
- - 500 52,500.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 900 83,700.00 -
- 1,200 84,000.00 -
- 16,000 3,728,000.00 -
- - -
- - 300 750,000.00
- 100 340,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 100 17,300.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- 5,000 525,000.00 -
- 300 15,600.00 -
- - -
- - -
- - -
- - -
- 500 118,000.00 -
- - -
- - -
- 90 99,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 2,400 600,000.00
- - -
- - -
- - -
- - -
- - -
- 50 135,000.00 -
- 400 34,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 200 15,400.00 -
- - -
- - -
- - -
- - -
- 72 304,704.00 -
- - -
- - 1 275,924.71
- - -
- - -
- - -
- - -
- - -
- - -
- - -
200 11,200.00 - -
- 500 29,500.00 -
- - -
- 800 44,800.00 -
- - -
- - -
- - -
- - -
- 168 415,800.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 6,400 377,600.00 -
- - -
- - -
- - -
- 300 69,000.00 -
- 72 186,480.00 -
- - -
- - -
- - -
- - -
- - -
- 200 54,000.00 -
- - -
- - -
- - -
- - -
- 24 45,144.00 -
- 50 235,000.00 -
- - -
- 6,000 132,000.00 -
- - -
- 200 29,400.00 -
- - -
- - -
- - -
- - -
- - 2,500 312,500.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
200 24,600.00 - -
- - -
- - -
- - -
- - -
- - -
- - 300 283,800.00
- - -
- - -
- - -
- - -
- - 1,000 500,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- 500 30,000.00 -
- 2,400 307,200.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 20 7,786,880.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 900 125,100.00
- - -
- - -
- - -
- - -
- 800 885,600.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 600 40,800.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 900 56,700.00 -
- 96 251,616.00 -
- - -
- - -
- - -
- - -
- 200 3,872,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 300 33,000.00 -
- - -
- - 200 100,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
11,800 1,357,000.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10 2,149,850.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 50 209,250.00
- - 1 151,242.86
- - 1 385,000.00
- - 1,500 214,500.00
- - 50 197,500.00
- - -
- - -
- - -
- - -
- - -
- 2 3,470.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 100 155,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 5 98,500.00 -
- - -
- - 3 829,500.00
- - 4 4,790,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
4 2,652,700.00
- - -
- - 25 639,925.00
- - 15 992,310.00
- - 67 5,646,894.00
- - 27 538,758.00
- - 10 1,696,530.00
- - -
- - 26 4,051,138.00
- - 20 339,900.00
- - -
- - -
- - 1,000 1,158,000.00
- - 100 164,000.00
- - 10 224,330.00
- - -
- - 60 3,123,000.00
- - -
- - -
- - -
-
3,868,905.00 21,068,794.00 31,004,302.57
55,942,001.57
Oktober Nopember
- 600 214,800.00
- -
- -
- -
- -
500 326,255.00 -
- -
- -
- -
- -
- -
- -
- 500 49,500.00
- -
- -
- -
- -
- -
- -
- -
- 1,200 111,600.00
- 2,100 147,000.00
- 20,000 4,660,000.00
- -
- -
- 120 408,000.00
- -
- 500 285,000.00
- -
- -
- -
- 30,000 1,620,000.00
- -
- -
- -
- 100 17,300.00
- -
- -
- -
- -
- -
- -
- -
- 1,000 52,000.00
- 4,000 412,000.00
- -
- -
- -
- 500 118,000.00
- 1,000 380,000.00
- 1,000 136,000.00
- -
- -
- -
- 50 120,000.00
- -
- 250 335,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 200 20,800.00
200 19,800.00 -
- -
- -
- 100 8,500.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 400 284,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- 96 256,800.00
- 96 406,272.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 300 17,700.00
- 800 67,200.00
- 1,000 56,000.00
- -
- -
- -
- 200 31,000.00
- 168 415,800.00
- 100 236,500.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 290,000.00 -
- 10,300 607,700.00
- 10 125,000.00
- -
- -
- -
- 96 248,640.00
- -
- -
- -
- -
- -
- 200 54,000.00
- -
- -
- -
- 120 364,560.00
- 72 135,432.00
- -
- -
- 14,400 316,800.00
- -
- 200 29,400.00
- -
- -
- -
- 20 41,040.00
- -
- -
- -
- -
- 100 114,400.00
- -
- -
- 2 82,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- 600 126,000.00
- -
- 500 44,500.00
- -
- 144 491,616.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100 56,000.00
- -
- -
- -
- -
- -
- 9 3,504,096.00
- 2 2,595,778.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 200 221,400.00
- 36,600 1,939,800.00
- -
- -
- -
- -
- -
- -
- 4,000 492,000.00
- -
- -
- -
- -
- -
- 6 108,000.00
- 1,400 95,200.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 700 44,100.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 600 66,000.00
- -
- -
- -
- -
- -
- -
- -
- 50,000 17,650,000.00
- -
- -
- -
- -
- -
- 7,000 595,000.00
- -
- 1,500 127,500.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
70 1,791,790.00 - -
20 1,323,080.00 - -
- - -
100 1,995,400.00 - -
- - -
- - -
28 4,362,764.00 - -
42 713,790.00 - -
- - -
- - -
- - -
- - -
- - -
108 8,531,028.00 - -
- - -
- - -
500 592,500.00 - -
- - -
-
19,310,352.00 636,055.00 41,142,734.00
ber Desember
-
-
-
-
-
-
-
-
-
-
-
200 21,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100 332,200.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
8,000 2,000,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 275,924.71
-
-
10,000 1,288,100.00
-
20 138,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
3,000 1,188,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
240 70,000.80
-
-
-
200 151,800.00
-
-
-
-
48 530,112.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
400 132,680.00
-
-
-
-
-
-
-
-
-
-
-
2,000 220,000.00
-
20 128,200.00
-
-
-
-
-
-
-
-
-
-
-
-
100 964,700.00
-
-
-
100 488,400.00
-
1,680 233,520.00
-
-
-
-
-
-
-
-
-
-
-
-
-
2,000 321,200.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100 1,222,100.00
-
-
-
-
360 990,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
500 275,000.00
-
-
-
-
-
-
-
30 125,550.00
1 151,242.86
1 385,000.00
1,600 228,800.00
-
-
-
-
20 231,000.00
100 55,000.00
1,000 268,070.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
25 639,925.00 30 767,910.00
15 992,310.00 15 992,310.00
60 5,056,920.00 75 6,321,150.00
50 997,700.00 50 997,700.00
- -
- -
- -
- -
105 1,889,580.00 -
- -
- -
- -
- -
- -
- -
20 3,325,300.00 20 3,325,300.00
2,200 2,607,000.00 900 1,066,500.00
243 4,405,104.00 30 543,840.00
100 143,900.00
32,329,439.37 14,158,610.00
74,108,228.37 14,158,610.00
Jumlah Jumlah Jumlah
Σ Harga 2017 Σ Harga 2018 Σ Harga 2019
Jan - Des Jan - Des Jan - Des
- - 1,800 644,400.00 - -
- - - - - -
- - 800 522,728.00 - -
- - - - - -
- - - - - -
1,800 1,174,518.00 - - - -
- - - - - -
600 475,200.00 800 633,600.00 6,600 4,306,566.00
- - 2,400 1,881,816.00 - -
- - 26,700 10,760,100.00 - -
- - 800 92,832.00 - -
- - - - 700 73,500.00
- - 1,100 108,900.00 - -
100 21,000.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - 900 80,100.00 - -
- - - - - -
- - - - - -
- - 3,360 312,480.00 - -
- - 7,500 525,000.00 - -
- - 74,000 17,242,000.00 - -
- - - - - -
700 1,316,700.00 - - 300 750,000.00
- - 220 748,000.00 - -
- - - - - -
- - 1,000 570,000.00 - -
- - - - - -
- - 228 1,878,036.00 - -
- - 1,500 327,750.00 - -
- - 42,000 2,268,000.00 - -
- - 300 598,500.00 - -
- - 240 760,080.00 - -
168 755,328.00 - -
- - 200 34,600.00 - -
- - - - - -
20 1,216,000.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - 15 363,000.00 - -
- - 18,000 1,890,000.00 - -
- - 2,200 114,400.00 - -
- - 10,800 1,112,400.00 - -
- - - - - -
300 27,600.00 - - - -
- - 125 392,500.00 100 332,200.00
100 24,000.00 1,000 236,000.00 - -
- - 3,400 1,292,000.00 - -
- - 1,000 136,000.00 - -
- - 180 198,000.00 - -
- - - - - -
- - - - - -
- - 50 120,000.00 - -
- - - - - -
- - 710 951,400.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 72 1,620,000.00 120 7,416,000.00
- - 72 1,620,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - 100 80,300.00 - -
- - 500 45,000.00 - -
- - - - - -
- - - - - -
- - 5 5,485.00 - -
- - 15,500 496,000.00 10,400 2,600,000.00
- - - - - -
- - - - - -
- - 200 20,800.00 - -
200 19,800.00 - - - -
- - - - - -
- - 50 135,000.00 - -
- - 1,900 161,500.00 - -
- - - - - -
- - - - - -
- - 5 7,040.00 - -
- - - - - -
- - 600 450,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
20 430,000.00 12 300,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
700 245,000.00 - - - -
800 484,000.00 - - - -
- - - - - -
20 44,000.00 - - - -
- - - - - -
- - 838 3,085,516.00 - -
600 411,600.00 400 284,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 400 30,800.00 - -
- - 400 104,000.00 1,200 328,800.00
- - - - 262 1,545,800.00
- - 168 596,400.00 - -
- - 252 674,100.00 - -
- - 225 952,200.00 - -
- - - - - -
- - 1 500,000.00 2 551,849.42
- - - - - -
- - - - - -
- - 28,600 3,374,800.00 10,000 1,288,100.00
- - - - - -
25 130,000.00 - - 20 138,000.00
- - - - - -
- - - - - -
200 11,200.00 1,000 55,000.00 - -
- - 2,300 135,700.00 - -
- - 1,500 126,000.00 - -
- - 3,300 184,800.00 - -
- - - - - -
- - - - - -
- - - - - -
- - 500 77,500.00 - -
- - 600 1,485,000.00 - -
- - 100 236,500.00 - -
- - 6,800 714,000.00 - -
- - - - 3,000 1,188,000.00
- - 25 156,825.00 - -
- - 200 1,287,000.00 - -
- - - - - -
- - - - - -
- - 80 839,520.00 100 1,100,000.00
- - 200 2,098,800.00 - -
- - 30 314,820.00 - -
- - 70 734,580.00 - -
- - - - - -
- - 80 1,056,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 105 1,086,855.00 - -
1 290,000.00 - - - -
- - 66,200 3,905,800.00 - -
- - 15 187,500.00 - -
4,800 297,600.00 - - - -
5,300 424,000.00 - - - -
- - 700 161,000.00 - -
- - 252 652,680.00 - -
- - - - - -
- - - - - -
- - 5 615,000.00 - -
- - 80 40,000.00 240 70,000.80
- - - - - -
- - 800 216,000.00 - -
- - 25 62,950.00 - -
- - - - 200 151,800.00
- - 2,500 775,000.00 - -
- - 360 1,093,680.00 - -
- - 312 586,872.00 - -
- - 124 582,800.00 - -
- - - - 48 530,112.00
- - 57,200 1,258,400.00 - -
- - - - - -
- - 2,600 382,200.00 - -
- - - - - -
- - - - - -
- - - - - -
- - 444 911,088.00 - -
5,600 722,400.00 - - 2,500 312,500.00
- - 10 120,760.00 - -
10 355,320.00 15 532,980.00 - -
- - - - - -
- - 260 297,440.00 - -
- - - - - -
- - - - - -
- - 10 410,000.00 - -
700 86,100.00 - - - -
- - - - - -
- - 88 334,048.00 - -
- - - - 400 132,680.00
300 217,800.00 - - - -
- - 1,000 96,000.00 - -
- - - - 600 567,600.00
- - 1,670 4,941,530.00 - -
- - 1,200 252,000.00 - -
- - - - - -
- - 4,700 418,300.00 - -
- - - - 1,000 500,000.00
- - 360 1,229,040.00 - -
- - - - - -
- - 25 127,050.00 - -
- - 35 177,870.00 - -
- - - - - -
- - - - - -
- - 9,500 570,000.00 2,000 220,000.00
- - 7,800 998,400.00 - -
60 384,600.00 - - 20 128,200.00
- - - - - -
- - - - - -
- - 110 1,485,000.00 - -
- - 130 72,800.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 53 20,635,232.00 - -
- - 2 2,595,778.00 - -
- - - - - -
- - 30 238,500.00 100 964,700.00
- - - - - -
- - 540 1,350,000.00 - -
- - - - - -
- - 10 58,000.00 100 488,400.00
- - 100 119,900.00 140 249,900.00
- - 2,400 312,000.00 2,580 358,620.00
- - - - - -
- - 600 384,000.00 - -
- - - - - -
- - - - - -
445 449,450.00 2,280 2,523,960.00 - -
68,200 3,341,800.00 112,600 5,967,800.00 - -
- - - - - -
- - - - - -
30 364,650.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - 4,000 492,000.00 - -
- - 2,000 390,000.00 2,000 321,200.00
- - - - - -
- - - - - -
- - - - - -
- - 12 34,800.00 - -
- - 18 324,000.00 - -
1,500 114,000.00 2,100 142,800.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 9,200 966,000.00 - -
450 127,800.00 500 144,000.00 - -
3,500 1,606,500.00 3,150 1,628,550.00 - -
- - - - - -
- - - - - -
- - 227 1,623,050.00 - -
- - 30 90,000.00 - -
- - 2,700 170,100.00 - -
- - 432 1,132,272.00 - -
- - - - - -
- - - - - -
- - - - 1,100 9,571,100.00
- - 500 3,850,000.00 - -
- - 200 3,872,000.00 - -
- - - - - -
- - - - 1,100 9,776,800.00
- - 500 3,932,500.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 60 1,249,999.80 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 1,080 118,800.00 - -
- - 200 41,000.00 - -
- - 400 106,000.00 200 100,000.00
- - 20 1,138,500.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
159,000 55,650,000.00 315,010 111,198,530.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 1,600 484,800.00 - -
- - 47,100 4,003,500.00 - -
45 353,700.00 - - - -
- - 6,300 535,500.00 - -
- - - - - -
- - - - - -
- - - - - -
- - 35 202,475.00 - -
- - - - - -
- - 1 672,765.00 - -
- - - - - -
- - - - - -
16,200 826,200.00 - - - -
11,800 1,357,000.00 27,700 2,299,100.00 - -
- - - - - -
- - 1,400 733,600.00 - -
- - - - - -
- - 150 1,725,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - 480 395,198.40 - -
- - 25 205,000.00 - -
- - - - - -
- - - - - -
- - 1,800 1,639,800.00 - -
- - 10 124,000.00 100 1,222,100.00
- - - - - -
- - - - - -
800 1,103,840.00 - - - -
- - - - - -
- - - - 360 990,000.00
200 29,600.00 - - - -
- - - - - -
264 269,280.00 - - - -
- - - - - -
- - - - - -
4 16,000.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
10 2,149,850.00 - - - -
40 14,399,200.00 - - - -
- - 2 2,399,970.00 - -
- - - - - -
21,300 2,513,400.00 - - - -
- - - - 500 275,000.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 80 334,800.00
- - - - 2 302,485.72
- - - - 2 770,000.00
- - - - 3,100 443,300.00
- - - - 50 197,500.00
- - - - - -
- - - - 1,000 257,000.00
- - 20 236,500.00 - -
- - - - 20 231,000.00
- - - - 100 55,000.00
- - - - 1,000 268,070.00
- - - - -
- 2 1,137,166.00 - -
- - - - - -
- - 2 3,470.00 - -
- - - - - -
- - 100 10,900.00 - -
- - - - - -
- - - - - -
- - 3 37,719.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 300 465,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 11 216,700.00 - -
- - - - - -
- - - - 13 3,594,500.00
- - 6 8,604,000.00 4 4,790,000.00
- - - - 3 3,975,000.00
- - - - 2 830,000.00
- - - - 600 5,922,000.00
- - - - 3 1,260,000.00
- - - - 1 66,750.00
- - - - 1 66,750.00
- - - - 1 88,750.00
- - - - 1 108,750.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 4 1,447,000.00
- - - - - -
- - - - - -
4 2,652,700.00
- - - - - -
- - - - 172 4,402,684.00
- - - - 80 5,292,320.00
- - - - 202 17,024,964.00
- - - - 254 5,068,316.00
- - - - 26 4,410,978.00
- - - - 90 2,538,360.00
- - - - 74 11,530,162.00
- - - - 83 1,410,585.00
- - - - 105 1,889,580.00
- - - - - -
- - - - 2,600 3,010,800.00
- - - - 250 410,000.00
- - - - 25 560,825.00
- - - - 168 13,270,488.00
- - - - 60 3,123,000.00
- - - - 40 6,650,600.00
- - - - 3,600 4,266,000.00
- - - - 273 4,948,944.00
- - - - 100 143,900.00
Total (Rp) 93,480,708.00 Total (Rp) 289,138,214.20 Total (Rp) 166,163,389.94
548,782,312.14
Nomor :
Tanggal :

No Nama Obat Satuan
2017 2018 2019 2017

Alat Suntik Sekali Pakai 10 ml
4 Buah - 1,382.37 -
(Aximed)
Alat Suntik Sekali Pakai 10 ml (Top
5 Buah 3,600.00 941.48 -
Point)
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 652.51 - -
9 Alat Suntik Sekali Pakai 5 ml Pcs 979.00 784.09 -
10 Albendazol 400 mg Tablet - 403.00 403.00
Alkohol Swab ( PT. Bio Axion
11 Sase - 116.04 -
Healthindo)
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 196.80 196.80 105.00
13 Alopurinol tablet 100 mg Tablet 89.00 99.00 -
14 Alopurinol tablet 300 mg Tablet 210.00 - -
15 Ambroxol Sirup Botol 3,900.00 3,970.00 -
16 Ambroxol Tablet 30 mg Tablet 148.50 - -
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 3,345.00 2,789.00 -
18 Aminofilin Tablet 200 mg Tablet 91.00 89.00 -

- -
20 Amitriptilina HCl tablet salut 25 mg Tablet 112.00 167.00 -
21 Amlodipin tablet 10 mg Tablet 104.00 93.00 93.00

70.00 70.00
23 Amoksilin 500 mg Kaplet 190.00 233.00 233.00
24 Amoksilin Kapsul 250 mg Kapsul 195.00 184.00 -
25 Amoksilin sirup kering 125 mg/5ml Botol 1,881.00 - 2,500.00
Amoksilin sirup kering forte 250
26 Botol 3,984.00 3,400.00 -
mg/5ml
27 Ampisilin 1 gr inj Ampul 9,176.00 8,237.00 -
30 Ampisilin Serbuk Injeksi Vial - 8,237.00 -
31 Antalgin(Metampiron) Tablet 500 mg Tablet 242.00 218.50 268.00
32 Antasida DOEN I tablet kombinasi Tablet 58.00 54.00 54.00
Antasida DOEN II suspensi
33 Botol 1,923.00 1,995.00 1,995.00
kombinasi
3,167.00 -
35 Antifungi DOEN kombinasi : Pot 4,323.00 4,496.00 -
36 Antimigren DOEN/Ergotamin kafein Tablet 135.00 173.00 -
37 Antiseptik Hand Rub 5 lt Galon 145,000.00 - -
38 Antiseptik Hand Rub 500 ml Botol 60,800.00 - -
39 Antiseptik Surgical Hand Scrub 5 lt Galon 160,200.00 - -
Antiseptik Surgical Hand Scrub 500
40 Botol 74,000.00 - -
ml
Aqua Pro Injeksi steril bebas
41 Ampul 2,302.00 2,295.00 -
pirogen- 20 ml
42 Aquadest steril -500 ml Botol 24,000.00 24,200.00 -
Asam Askorbat (VIT C) Tablet 50
43 Tablet 104.00 105.00 105.00
mg (KF)
44 Asam folat tablet 0,4 mg Tablet 55.00 52.00 52.00
45 Asam Mefenamat 500 mg Tablet 100.00 103.00 103.00
46 Asering Botol 9,275.00 9,646.00 - 48
48 Asiklovir cr Tube 3,110.00 3,140.00 3,322.00
49 Asiklovir tab 200 mg Tablet 240.00 - -
50 Asiklovir tab 400 mg Tablet 365.00 380.00 380.00
51 Atapulgit Tablet 142.00 136.00 136.00
52 Atorvastatin 10 mg Tablet 10,890.00 1,100.00 -
53 Ampul 1,672.00 - -
ml
54 Azitromisin 500 mg Kaplet 1,888.00 - -
55 Bedak Salisil serbuk 2 % Buah 1,025.00 2,400.00 -
Benzatin benzil penisilin 1,2 juta
56 Vial 14,500.00 - -
IU/Vial
57 Betametason Krim 0.1 % Tube 1,349.00 1,340.00 -
58 Bisturi no 10 Buah 767.00 - -
59 Bloodseet Buah 13,420.00 - -
60 Camabion Tablet 355.00 - -
61 Carpul (Articain & Adrenalin) Ampul 10,914.00 - -
62 Catgut Chromic 2/0 100 m Roll 940,554.00 - -
63 Roll 22,500.00 22,500.00 61,800.00
30 MR
64 Roll 22,500.00 22,500.00 -
22 MR
65 Roll 30,500.00 - -
36M R
66 Roll 29,583.33 - -
19M C
Catgut/Benang Bedah No.2/0-3/0 dg
67 Roll 24,500.00 - -
jarum bedah
68 Cefiksim 100 mg Kapsul 750.00 803.00 -
69 Cetirizine Kapsul 96.00 90.00 90.00
70 Citoject Pcs 909,900.00 - -
71 Clorofenol (CHKM) Ples 115,700.00 - -
72 Deksametason inj 5 mg/ml-1 ml Ampul 1,500.00 1,097.00 -
73 Deksametason Tablet 0,5 mg Tablet 41.00 32.00 250.00

385,000.00 -
75 Difenhidramin inj 10 mg/ml Ampul 1,060.00 1,095.00 -
76 Digoksin tablet 0,25 mg Tablet 104.00 104.00 -
77 Dimenhidrinat tablet 50 mg Tablet 99.00 - 99.00
78 Doksisiklin 100 mg Kapsul 268.00 268.00 -
79 Domperidon Syrup Botol 3,000.00 2,700.00 -
80 Domperidon tablet 10 mg Tablet 95.00 85.00 -
81 Ekstrak Belladona tablet 10 mg Tablet 38.00 - -
82 Eosin 2% 1x100 ml Botol - 179,595.00 -
Epinefrina(Adrenalin) inj i.v/s.k/i.m
83 Ampul 1,749.00 1,408.00 -
1 mg/ml
84 Eritromisin 250 mg Tablet 557.00 546.00 546.00
85 Eritromisin 500 mg Tablet 730.00 750.00 -
86 Eritromisin sirup kering 200 mg/5 ml Botol 6,700.00 6,090.00 -
87 Etambutol Hcl tablet 250 mg Tablet 314.00 366.00 -
89 Etanol 70 %- 100 ml Botol 2,500.00 - -
90 Etanol 70% - 1 L Botol 21,500.00 25,000.00 -
91 Etil Klorida semprot-100 ml Botol 124,900.00 - -
92 Eugenol Cairan Botol 102,000.00 18,824.00 -
95 Fenitoin Kapsul100 mg Kapsul 152.00 - -
96 Fenoksimetil Penisilin tablet 250 mg Tablet 350.00 - -
97 Fenoksimetil Penisilin tablet 500 mg Tablet 605.00 - -
98 Fenol Gliserol Tetes telinga 10 % Botol 1,008.33 - -
99 Film IV Dressing 6x7 P Pcs 2,200.00 - -
100 Ampul 1,566.00 - -
1ml
101 Ampul 3,550.00 3,682.00 3,682.00
1ml
Fitomenadion(Vit K1) tablet salut
102 Tablet 686.00 710.00 710.00
gula 10 mg
103 Fluconazol 150 mg kapsul 18,000.00 18,720.00 -
104 Folley Cathether 2 way no 20 Pcs 8,000.00 - -
107 Furosemid tablet 40 mg Tablet 72.00 77.00 -
108 Garam Oralit 200 ml air Sachet 260.00 260.00 274.00
109 Gentamisin Inj 40 mg/ml Vial 3,386.00 3,509.00 5,900.00
110 Gentamycin Salep Kulit Tube 3,040.00 3,550.00 -
111 Gentamycin Salep Mata Tube 2,960.00 2,675.00 -
112 Gentamycin Tetes Mata Tube 4,170.00 4,232.00 4,232.00
113 Gentian violet larutan 1 %-10 ml Botol 3,000.00 - -
114 Glas Lonomer Cement Set 480,840.00 500,000.00 275,924.71
115 Glibenklamid tablet 5 mg Tablet 100.00 119.00 -
116 Glimepiride tablet 1 mg Tablet 194.00 - -
117 Gliseril Gyayakolat tablet 100 mg Tablet 118.80 118.00 128.81
Glukosa Larutan infus 10% steril-
118 Botol 5,700.00 - -
500 ml
Glukosa Larutan infus 5% steril-500
119 Botol 5,200.00 - 6,900.00
ml
Griseofulvin tablet 125 mg
120 Tablet 247.00 210.00 210.00
micronized
121 Haloperidol Injeksi (Lodomer) Ampul 6,250.00 - -
124 Haloperidol tablet 2 mg Tablet 126.00 84.00 -
125 Haloperidol tablet 5 mg Tablet 69.00 56.00 56.00
128 Hidrogen Peroksida 3% (H2O2) Botol 23,931.00 - -
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 149.00 155.00 -
130 Hidrokortison krim 2,5 % Tube 2,639.00 2,475.00 -
131 Ibuprofen sirup 100 mg/5 ml Botol 2,475.00 2,365.00 -
132 Ibuprofen tablet 200 mg Tablet 102.00 105.00 -
133 Ibuprofen tablet 400 mg Tablet 111.00 - -
134 Infusion set anak Set 4,000.00 6,273.00 6,150.00
135 Infusion set dewasa Set 6,435.00 6,435.00 5,800.00
136 Isoniazida ( INH ) tablet 300 mg Tablet 170.00 173.00 173.00
137 Isosorbit 5 mg Tablet 90.00 89.00 89.00
138 IV Cateter 18 Buah 10,494.00 10,494.00 -
139 IV Cateter 20 Buah 10,494.00 10,494.00 11,000.00
140 IV Cateter 22 Buah 10,494.00 10,494.00 11,000.00
141 IV Cateter 24 Buah 10,494.00 10,494.00 11,000.00
142 IV Cateter no 26 wings & port Buah 6,600.00 - -
143 IV Cateter with injection port 26 G Buah 16,346.00 13,200.00 -
144 Jarum Citojek No 16 Pcs 2,093.00 - -
145 Jarum Jahit kulit No.12 Pcs 2,283.33 - -
146 Jarum Jahit Otot No.12 Pcs 2,283.33 - -
147 Kalium Permanganat Pot 8,700.00 - -
148 Kalsium Glukonat injeksi i.v 10 % Ampul 9,955.00 10,351.00 -
149 Kalsium Hidroksida Pasta Set 290,000.00 - -
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 56.00 59.00 -
151 Kapas pembalut/absorben 250 mg Buah 12,500.00 12,500.00 -
152 Kaptropil 12,5 mg Tablet 62.00 62.00 -
153 Kaptropil 25 mg Tablet 80.00 - -
154 Karbamazepin tablet 200 mg Tablet 270.00 230.00 230.00
155 Karbogliserin Tetes Telinga Botol 2,500.00 2,590.00 -
157 Kasa hidrofile 3 yard x 10 cm Buah - 1,380.00 -
158 Kasa hidrofile 40 yard x 80 cm Roll - 123,000.00 -
159 Kasa kompres 16x16 steril Buah 362.50 500.00 -
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 606.00 1,493.50 -
161 Ketokonazol 200 mg Tablet 280.00 270.00 -
162 Ketokonazol Krim 2% Tube 2,595.00 2,518.00 -
163 Klindamisin 300 mg Tablet 578.00 - -
164 Kloramfenikol kapsul 250 mg Kapsul 649.05 310.00 -
165 Kloramfenikol salep kulit 2 % Tube 3,091.00 3,038.00 -
166 Kloramfenikol salep mata 1 % Tube 1,810.00 1,881.00 -
167 Kloramfenikol susp 125 ml Botol 4,700.00 4,700.00 -
168 Kloramfenikol tetes telinga 3 % Ples 8,910.00 7,700.00 11,044.00
Klorfenariamin maleat (CTM) tablet
169 Tablet 37.00 22.00 -
4 mg
170 Klorine Botol 24,000.00 - -
171 Klorpromazin 100 MG Tablet 144.00 147.00 -
172 Klorpromazin 25 mg Tablet 148.00 - -
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 1,050.00 - -
174 Kotrimoksazol anak Tablet 76.00 - -
175 Kotrimoksazol Susp Botol 2,140.00 2,052.00 -
176 Kotrimoksazol Tablet 480 mg Tablet 129.00 - 125.00
179 Lidocain compositum inj kombinasi Ampul 1,937.00 1,152.00 -
180 Lidocain Injeksi 2% Ampul 1,111.00 1,144.00 1,144.00
181 Lidocain Jeli 2% Syringe 40,000.00 41,600.00 -
182 Botol - 177,216.00 -
spray)
183 Lisol Botol 41,000.00 41,000.00 -
184 Loratadine 10 mg Tablet 123.00 - 123.00
185 Magnesium Sulfat Inj 20% Vial 3,200.00 - -
186 Magnesium Sulfat Inj 40% Ampul - 3,796.00 -
187 Masker Karet Buah 726.00 - 331.70
188 Masker Tali Buah 726.00 762.00 -
189 Metformin Tablet 94.00 96.00 96.00
190 Metildopa 250 mg / Dopamet Tablet 869.00 - 946.00
191 Metilergometrin Maleat Inj Ampul 2,849.00 2,959.00 -
192 Metilergometrin Maleat tab Tablet 267.86 210.00 -
193 Metoklopramide Inj Ampul 4,200.00 3,960.00 -
194 Metronidazol tablet 250 mg Tablet 90.00 89.00 -
195 Metronidazol tablet 500 mg Tablet 113.00 - -

3,414.00 -

- -

5,082.00 5,500.00

5,082.00 -
Nasal Oxygen, O2 cannula size
200 Pcs 6,600.00 - 5,500.00
S/infant
- 6,930.00
202 Natrium Bikarbonat tablet 500 mg Tablet 544.00 60.00 -
203 Natrium Diklofenak Tablet 132.00 128.00 128.00
Natrium Klorida Lar.infus 0,9 %
204 Botol 6,410.00 - 6,410.00
steril
205 Natrium Tiroksin Tablet 3,100.00 - -
206 Nifedipin 10 mg Tablet 104.00 - -
207 Nistatin Suspensi 100.000 IU/ml Botol - 13,500.00 -
208 Nistatin tablet vaginal 100.000 IU/g Tablet 523.00 560.00 -
209 Nistatin tablet vaginal 500.000 IU/g Tablet 640.00 - -
210 Norit Tablet 250.00 - -
211 OAT Sisipan/FDC Sisipan Paket 160,000.00 - -
Obat antituberkolosis Kombipak
212 Paket 288,199.00 316,635.00 -
Kat.I Dewasa
213 Paket 214,900.00 232,518.00 -
Anak
214 Paket 359,900.00 389,344.00 -
1
Obat antituberkulosis kategori 2/FDC 1,297,889.00
215 Paket 1,247,984.00 -
2
Obat Batuk Hitam (OBH) Cairan
216 Botol 2,800.00 - -
-100 ml
217 OBH Nusantara Menthol Botol - 7,950.00 9,647.00
218 OBH Plus Botol 10,600.00 - -
219 Oksitetrasiklin HCl 1 % Salep mata Tube 1,600.00 2,500.00 -
Oksitetrasiklin HCl inj i.m 50 mg/ml-
220 Vial 7,700.00 - -
10 ml
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 2,926.00 5,800.00 4,884.00
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 1,900.00 1,199.00 1,785.00
223 Omeprazol Kapsul 140.00 130.00 139.00
224 Omeprazol Injeksi Vial 11,868.00 9,898.00 9,898.00
225 Papaverin tab Tablet 297.00 640.00 -
226 Paraformaldehid Tablet 660.00 - -
227 Parasetamol drop Botol 17,458.00 6,649.00 -
228 Parasetamol sirup 120 mg / 5ml Botol 1,010.00 1,107.00 -
229 Parasetamol tablet 500 mg Tablet 49.00 53.00 -
230 Parasetamol tablet 100 mg Tablet 92.00 - -
231 Pehakain Ampul 3,000.00 - -
232 Permetrin Krim 5% (Scabimite) Tube 12,155.00 - 7,200.00
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 58,333.33 - -
234 Piralent Inj Ampul 7,240.00 - -
235 Pirazinamid 500 mg Tablet 237.00 222.00 -
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 45.00 123.00 -
237 Piroxicam 10 mg Tablet 118.80 195.00 160.60
238 Plester 5 yard x 2 inch Roll 23,600.00 - -
239 Plester 7,5 cm x 5 m Buah 30,000.00 - -
Polypropylene 2/0 75C + Jarum 3/8
240 Pcs 24,500.00 - -
26m
241 Povidon Iodiada 10 %-30 ml Botol 2,900.00 2,900.00 -
242 Povidon Iodiada 10 %-300 ml Botol 18,000.00 18,000.00 18,000.00
243 Prednison tablet 5 mg Tablet 76.00 68.00 -
244 Probenesid 500 mg Tablet 1,755.00 - -
245 Propanolol HCl tablet 10 mg Tablet 60.00 - -
246 Propanolol HCl tablet 40 mg Tablet 74.00 76.00 -
247 Propiltiourasil tablet 100 mg Tablet 279.00 - -
248 Ranitidin inj Ampul 1,458.00 - -
249 Ranitidine 150 mg Tablet 98.00 105.00 112.00
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 284.00 288.00 -
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 459.00 517.00 -

725.00 -
253 Rifampisin kapsul 450 mg Kapsul 897.00 - -
254 Ringer Laktat Larutan Infus Steril Botol 7,150.00 7,150.00 7,150.00
255 Rivanol 300 ml Botol 2,550.00 3,000.00 -
256 Salbutamol tablet 2 mg Tablet 78.00 63.00 -
Salep 2-4 kombinasi : as.asal 2 % +
257 Pot 2,527.00 2,621.00 -
Bel. 4 %
258 Salisil Spiritus Botol 32,299.00 - -
259 Sarung Tangan non steril no 6,5 Pasang 7,700.00 7,700.00 -
260 Sarung Tangan non steril no 7 Pasang - 7,700.00 8,701.00
261 Sarung Tangan non steril no 7,5 Pasang - 7,700.00 -
262 Sarung Tangan Obgyn steril Pasang - 19,360.00 -
264 Sarung tangan steril no 7 Pasang 7,865.00 7,865.00 8,888.00
266 Semen Seng Fosfat Serbuk Cairan Set 238,200.00 - -
267 Semillas non Woven Medical Tape Pcs 21,753.00 - -
268 Serum anti tetanus (ATS) / Biosat Ampul - 130,999.00 -
269 Serum anti tetanus (ATS) / Tetagam Ampul 170,000.00 176,800.00 -
Serum antibisa ular Polivalen inj 5
270 Ampul 462,000.00 479,996.00 479,996.00
ml (SABU) I
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 20,833.33 20,833.33 -
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase - 20,833.33 -
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 15,000.00 - -
278 Silk Black PFM 2/0 100 m Roll 425,066.00 - -
281 Siprofloksasin 500 mg Tablet 281.00 265.00 500.00
282 Softanol antimicrobial 500 ml Botol - 56,925.00 -
284 Spironolakton 25 mg Tablet 244.00 195.00 -
285 Streptomisin Inj Vial 5,000.00 - -
Sulfasetamid Natrium Tetes mata 15
286 Ples 10,890.00 12,300.00 -
%
287 Tablet 350.00 353.00 353.00
Besi II Sulfat
288 Temporary Filling Material (Fermin) Botol 158,000.00 220,000.00 -
289 Set 37,000.00 - -
&cairan
290 Tetrakain HCl tetes mata 0,5 % Botol 11,500.00 - -
291 Tetrasiklin Kapsul 250 mg Kapsul 166.00 - -
292 Tetrasiklin Kapsul 500 mg Kapsul 310.00 303.00 -
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 82.00 85.00 -
294 Transfusion Set Set 7,860.00 - -
295 Triheksifenidil HCl tablet 2 mg Tablet 80.00 85.00 85.00
296 Trikesol Formalin (TKF) Botol 110,000.00 - -
297 Umbilical cord klem steril Pcs 1,000.00 - -
298 Urine bag pcs 4,000.00 - -
Urine Drainage Bag, T valve with
299 Pcs - 5,785.00 4,202.00
hanger
300 Ventolin nebules Nebule 4,000.00 - -
301 Viorex no rinse antimicrobial Galon - 672,765.00 -
302 Viorex no rinse antimicrobial Botol - 67,626.66 -
303 Vitamin B 12 Injeksi Ampul 520.00 - -
304 Vitamin B 12 tab Tablet 51.00 46.00 -
305 Vitamin B Kompleks tablet Tablet 115.00 83.00 -
306 Wing Nedle no 25 Tablet 5,749.00 - -
307 Zink Tablet 514.00 524.00 -
308 Dextaco Tablet - 394.00 -
309 Dextrofen Syrup 60 ml Botol - 11,500.00 -
310 Hemafort Tablet 834.90 834.00 -
313 Seledril Tablet Tablet 815.00 823.33 -
314 Solacort krim /Armacort Tube 8,150.00 8,200.00 -
315 Solafluz Botol 11,900.00 13,700.00 -
316 Soldextam Tablet 566.00 - -

911.00 -
318 Truvit Syr Botol 10,700.00 12,400.00 12,221.00
321 Alat Suntik 0,05ml Buah 1,379.80 - -
325 Ampul 1,540.00 - -
ml
326 Bedak Salisil serbuk 2 % Buah 1,020.00 - -

- -
335 Paket 214,985.00 232,158.00 -
Anak
336 Paket 359,980.00 - -
1
337 Paket - 1,199,985.00 -
2
339 Piridoxin 10mg Tablet 118.00 - -
342 Tablet - - 350.00
Besi II Sulfat
344 Zink Tablet - 508.00 -
345 Demetec 58,333.33
346 Demetec 24,500.00
347 Bioplacenton tulle 10,400.00

3M ESPE KETAC Cem Easymic
349 151,242.86
(liq)

355 Scabimit 11,825.00
356 Blood transfusion set 11,550.00
357 Metronidazole 500 mg 550.00
358 Antalgin(Metampiron) Tablet 500 mg 268.07
359 Silk 6,983.00 138
360

3 Diazepam tablet 5 mg Tablet 117.00 109.00 109.00
PROGRAM

6 DHP Kotak - - -
15 TDP (300)+3TC(300)+EFV(600) Botol - 356,829.00 -
REAGEN
4 Rapid Test HIV SD Kit - 1,434,000.00 -
6 Rapid Test Syphilis Kit - - -
18 Salmonella Paratyphi AO Widal test 5 Vial - - 65,750.00
19 Salmonella Paratyphi AH Widal test 5 Vial - - 65,750.00
VAKSIN

2 BCG Amp - - 66,154.00
3 DPT-HB-Hib Vial - - 84,282.00
5 IPV 5 Dosis Vial - - 169,653.00
6 Campak Vial - - 28,204.00
7 MR Vial - - 155,813.00
8 TD Vial - - 16,995.00
9 DT SD Vial - - 17,996.00
10 ADS 0,05cc Buah - - -
11 ADS 0,5cc Buah - - 1,158.00
12 ADS 5cc Buah - - 1,640.00
14 DPT-HB-Hib Vial - - 78,991.00
15 Hepatitis-B (rDNA) Cairan Injeksi Syringe - - 52,050.00
16 MR Vial - - 166,265.00
17 ADS 0,5cc Buah - - 1,185.00
18 TD Vial - - 18,128.00
Januari Februari
- 2,990 1,070,420.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
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445,200.00 - -
- - -
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- - -
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- - -
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- - -
- - -
- - -
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- - - 22 539,000.00
- - -
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- - -
- - - 200 25,200.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 11 70,785.00
- - - -
- - - -
- - - 8 83,952.00
- - - 4 41,976.00
- - -
- - -
- - -
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- - - 20 22,220.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 113 321,937.00
- - -
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- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - - 20 38,000.00
- - - -
- - - 5 59,340.00
- - - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
31 322,400.00
963,654.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - - - 2
1,408,854.00 1,070,420.00 1,524,810.00
2,479,274.00
2017 2018 2019 2017
Februari Maret
25,146.00
25,146.00
1,549,956.00
2018 2019 2017 2018
April
538
78
200 18,000.00
34 593,572.00
-
-
207 19,044.00
89 8,722.00
2
639,338.00
2019 2017 2018 2019

Mei Juni
130,196.00
639 479,250.00
195,000.00
14,300.00
339,496.00 479,250.00
2017 2018 2019 2017

REKAP OBAT EXPIRE DATE TAHUN 2019
Juni Juli
- 112
1,373 487,415.00
6 9,000.00
99 173,151.00
15 53,250.00
13 32,175.00
25 62,500.00
139 80,342.00
154 19,866.00
1,076 81,776.00
76 5,928.00
109,726 38,404,100.00 -
34 34,000.00
39,443,503.00
2018 2019 2017 2018

Agustus
501
68 6,052.00 -
88 8,008.00
370 695,970.00
-
-
-
-
-
291 70,422.00
- 19,470
16 50,672.00
78 10,530.00
-
-
-
-
15 34,530.00
-
-
-
-
-
- 150
5 15,550.00
33 12,540.00
8 10,720.00
1,560 553,800.00
517
100
15
57 39,102.00 80
3,449 275,920.00
5 12,500.00
478 148,180.00
100 14,800.00
3 6,156.00
3,879 500,391.00 624
172 15,308.00
9 1,934,100.00
215
91 6,916.00 100
- 1,517 535,501.00
159 48,177.00
30 30,000.00
585 300,690.00
152
2 8,000.00
4,517,281.00 827,254.00
5,344,535.00
2019 2017 2018 2019
September Oktober
11,700.00
1,129,260.00
13,800.00
-
-
-
-
-
-
-
-
7,722 2,741,310.00
165 5,280.00
53,768.00
35,000.00
53,250.00
54,880.00
550 41,800.00
13 26,676.00 24
80,496.00 210 27,090.00
90 24,107.40
8 51,280.00
645,000.00
7,600.00 500 38,000.00

231,396
700
155,040.00
191 51,379.00
2,239,794 31,956.00 2,974,966.40
2,271,750.00
2017 2018 2019 2017
Oktober Nopember
19
10 9,790.00
-
6,169 333,126.00
90 13,680.00
-
172 104,060.00
-
-
-
-
20 13,720.00
530 130,910.00
5 32,175.00
33 346,302.00
5 52,470.00
5 12,950.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
802 117,894.00
-
-
-
49,248.00 8 16,416.00
- 268
132 35,357.52
148 77,404.00 5 2,800.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
42 79,800.00 100 119,900.00
-
-
-
-
-
-
-
-
81,682,788.00 11,672 4,120,216.00
59,500.00
81,791,536.00 863,493.52 4,755,477.00
84,766,502.40 5,664,868
2018 2019 2017 2018
Desember
12,397.69
- 4 25,740.00
33,500.00
182 16,744.00
100 51,400.00
45,897.69 68,144.00
5,664,868.21
2019 2017 2018 2019
- - 2,990 1,070,420.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 112 88,704.00 19 12,397.69
10 9,790.00 - - - -
501 - - - - -
- - - - - -
- - - - - -
68 6,052.00 - - - -
- - - - - -
3 11,700.00 - - - -
- - - - - -
- - - - - -
88 8,008.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
370 695,970.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
829 200,618.00 - - - -
19,470 1,129,260.00 6,169 333,126.00 - -
- - - - - -
- - 16 50,672.00 - -
- - - - - -
78 10,530.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
15 34,530.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
48 445,200.00 - - - -
150 13,800.00 - - - -
5 15,550.00 - - - -
- - - - - -
- - 33 12,540.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 8 10,720.00 - -
- - - - - -
- - - - - -
10,655 3,782,525.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
22 539,000.00 - - - -
639 479,250.00 - - - -
- - - - - -
- - - - - -
- - - - - -
6 9,000.00 - - - -
- - 165 5,280.00 - -
- - - - - -
- - - - - -
517 53,768.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
99 173,151.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
90 13,680.00 - - - -
100 35,000.00 - - - -
172 104,060.00 - - - -
- - - - - -
- - - - - -
- - - - - -
30 106,500.00 - - - -
157 107,702.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
530 130,910.00 - - - -
- - - - - -
- - - - - -
- - - - - -
200 25,200.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
13 32,175.00 - - - -
- - - - - -
- - - - - -
- - - - - -
11 70,785.00 9 57,915.00 - -
- - - - - -
- - - - - -
41 430,254.00 - - - -
9 94,446.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
3,449 275,920.00 - - - -
- - - - - -
108 270,000.00 5 12,950.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
139 80,342.00 - - - -
- - 478 148,180.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 802 117,894.00 - -
100 14,800.00 - - - -
- - - - - -
550 41,800.00 - - - -
- - 48 98,496.00 - -
4,867 627,843.00 - - 268 33,500
- - - - - -
- - - - - -
- - - - - -
20 22,220.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
113 321,937.00 - - - -
222 59,464.92 - - - -
- - - - - -
200 18,000.00 172 15,308.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
8 51,280.00 - - - -
- - - - - -
- - - - - -
- - - - - -
148 77,404.00 5 2,800.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
9 1,934,100.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
62 117,800.00 100 119,900.00 - -
- - - - - -
5 59,340.00 - - - -
- - - - - -
- - - - - -
34 593,572.00 - - - -
- - - - - -
- - - - - -
389 35,788.00 - - - -
215 645,000.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
1,767 134,292.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
89 8,722.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
2 14,300.00 - - - -
- - - - - -
76 5,928.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
109,726 38,404,100.00 244,585 86,338,505.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 159 48,177.00 - -
- - - - - -
- - - - - -
- - 700 59,500.00 - -
- - - - - -
64 64,000.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
685 352,090.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
152 155,040.00 - - - -
- - - - - -
- - - - - -
2 8,000.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
191 51,379.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
31 322,400.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
138 963,654.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 2 25,146.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
Total (Rp) 54,498,929.92 Total (Rp) 88,616,233.00 Total (Rp) 45,897.69
Nomor :
Tanggal :

No Nama Obat Satuan
2017 2018 2019 2017

4 Alat Suntik Sekali Pakai 10 ml (Aximed) Buah - 1,382.37 -
5 Alat Suntik Sekali Pakai 10 ml (Top Point) Buah 3,600.00 941.48 -
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 652.51 - -
8 Alat Suntik Sekali Pakai 3 ml Pcs 792.00 792.00 652.51 220
9 Alat Suntik Sekali Pakai 5 ml Pcs 979.00 784.09 - 59
10 Albendazol 400 mg Tablet - 403.00 403.00 -
11 Alkohol Swab ( PT. Bio Axion Healthindo) Sase - 116.04 - -
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 196.80 196.80 105.00 12
13 Alopurinol tablet 100 mg Tablet 89.00 99.00 - 110
14 Alopurinol tablet 300 mg Tablet 210.00 - - 13
15 Ambroxol Sirup Botol 3,900.00 3,970.00 - 1
16 Ambroxol Tablet 30 mg Tablet 148.50 - - -
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 3,345.00 2,789.00 - -
18 Aminofilin Tablet 200 mg Tablet 91.00 89.00 - 46

- - -
20 Amitriptilina HCl tablet salut 25 mg Tablet 112.00 167.00 - -
21 Amlodipin tablet 10 mg Tablet 104.00 93.00 93.00 143
70.00 70.00 181
23 Amoksilin 500 mg Kaplet 190.00 233.00 233.00 4,332
24 Amoksilin Kapsul 250 mg Kapsul 195.00 184.00 - 99
25 Amoksilin sirup kering 125 mg/5ml Botol 1,881.00 - 2,500.00 77
26 Amoksilin sirup kering forte 250 mg/5ml Botol 3,984.00 3,400.00 - 7
27 Ampisilin 1 gr inj Ampul 9,176.00 8,237.00 - -
28 Ampisilin Kaplet 500 mg Kaplet 362.00 570.00 - 93
29 Ampisilin Kaplet 500 mg Kaplet 597.00 570.00 - -
30 Ampisilin Serbuk Injeksi Vial - 8,237.00 - -
31 Antalgin(Metampiron) Tablet 500 mg Tablet 242.00 218.50 268.00 776
32 Antasida DOEN I tablet kombinasi Tablet 58.00 54.00 54.00 5,042
33 Antasida DOEN II suspensi kombinasi Botol 1,923.00 1,995.00 1,995.00 -

3,167.00 - 22
35 Antifungi DOEN kombinasi : Pot 4,323.00 4,496.00 - 9
36 Antimigren DOEN/Ergotamin kafein Tablet 135.00 173.00 - -
37 Antiseptik Hand Rub 5 lt Galon 145,000.00 - - -
38 Antiseptik Hand Rub 500 ml Botol 60,800.00 - - -
39 Antiseptik Surgical Hand Scrub 5 lt Galon 160,200.00 - - -
40 Antiseptik Surgical Hand Scrub 500 ml Botol 74,000.00 - - 2
41 Aqua Pro Injeksi steril bebas pirogen- 20 ml Ampul 2,302.00 2,295.00 - -
42 Aquadest steril -500 ml Botol 24,000.00 24,200.00 - 2
43 Asam Askorbat (VIT C) Tablet 50 mg (KF) Tablet 104.00 105.00 105.00 1,828
44 Asam folat tablet 0,4 mg Tablet 55.00 52.00 52.00 175
45 Asam Mefenamat 500 mg Tablet 100.00 103.00 103.00 1,569
46 Asering Botol 9,275.00 9,646.00 -
47 Asetosal tablet 80 mg Tablet 92.00 - - 58
48 Asiklovir cr Tube 3,110.00 3,140.00 3,322.00 19
49 Asiklovir tab 200 mg Tablet 240.00 236.00 - 31
50 Asiklovir tab 400 mg Tablet 365.00 380.00 380.00 144
51 Atapulgit Tablet 142.00 136.00 136.00 197
52 Atorvastatin 10 mg Tablet 10,890.00 1,100.00 - 15
53 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 1,672.00 - - -
54 Azitromisin 500 mg Kaplet 1,888.00 - - -
55 Bedak Salisil serbuk 2 % Buah 1,025.00 2,400.00 - 42
56 Benzatin benzil penisilin 1,2 juta IU/Vial Vial 14,500.00 - - -
57 Betametason Krim 0.1 % Tube 1,349.00 1,340.00 - 74
58 Bisturi no 10 Buah 767.00 - - -
59 Bloodseet Buah 13,420.00 - - -
60 Camabion Tablet 355.00 - - 8,740
61 Carpul (Articain & Adrenalin) Ampul 10,914.00 - - -
62 Catgut Chromic 2/0 100 m Roll 940,554.00 - - -
63 Catgut Chromic 2/0 75C + Jarum 1/2 30 MR Roll 22,500.00 22,500.00 61,800.00 2
64 Catgut Chromic 3/0 75C + Jarum 1/2 22 MR Roll 22,500.00 22,500.00 - -
65 Catgut Plain 2/0 70C + Jarum 1/2 36M R Roll 30,500.00 - - -
66 Catgut Plain 3/0 70C + Jarum 3/8 19M C Roll 29,583.33 - - 1
Catgut/Benang Bedah No.2/0-3/0 dg jarum
67 Roll 24,500.00 - - 6
bedah
68 Cefiksim 100 mg Kapsul 750.00 803.00 - -
69 Cetirizine Kapsul 96.00 90.00 90.00 100
70 Citoject Pcs 909,900.00 - - -
71 Clorofenol (CHKM) Ples 115,700.00 - - -
72 Deksametason inj 5 mg/ml-1 ml Ampul 1,500.00 1,097.00 - -
73 Deksametason Tablet 0,5 mg Tablet 41.00 32.00 250.00 2,148

385,000.00 - -
75 Difenhidramin inj 10 mg/ml Ampul 1,060.00 1,095.00 - -
76 Digoksin tablet 0,25 mg Tablet 104.00 104.00 - -
77 Dimenhidrinat tablet 50 mg Tablet 99.00 - 99.00 -
78 Doksisiklin 100 mg Kapsul 268.00 268.00 - -
79 Domperidon Syrup Botol 3,000.00 2,700.00 - 2
80 Domperidon tablet 10 mg Tablet 95.00 85.00 - 350
81 Ekstrak Belladona tablet 10 mg Tablet 38.00 - - -
82 Eosin 2% 1x100 ml Botol - 179,595.00 - -
83 Epinefrina(Adrenalin) inj i.v/s.k/i.m 1 mg/ml Ampul 1,749.00 1,408.00 - -
84 Eritromisin 250 mg Tablet 557.00 546.00 546.00 -
85 Eritromisin 500 mg Tablet 730.00 750.00 - 30
86 Eritromisin sirup kering 200 mg/5 ml Botol 6,700.00 6,090.00 - -
87 Etambutol Hcl tablet 250 mg Tablet 314.00 366.00 - -
88 Etambutol Hcl Tablet 500 mg Tablet 451.00 - - -
89 Etanol 70 %- 100 ml Botol 2,500.00 - - -
90 Etanol 70% - 1 L Botol 21,500.00 25,000.00 - -
91 Etil Klorida semprot-100 ml Botol 124,900.00 - - -
92 Eugenol Cairan Botol 102,000.00 18,824.00 - -
93 Female Catheter no 16 Pcs 5,720.00 - - -
94 Female Catheter no 18 Pcs 5,720.00 - - -
95 Fenitoin Kapsul100 mg Kapsul 152.00 - - -
98 Fenol Gliserol Tetes telinga 10 % Botol 1,008.33 - - -
99 Film IV Dressing 6x7 P Pcs 2,200.00 - - -
100 Fitomenadion(Vit K1) inj 10 mg/ml-1ml Ampul 1,566.00 - - -
101 Fitomenadion(Vit K1) inj 2 mg/ml-1ml Ampul 3,550.00 3,682.00 3,682.00 5
102 Fitomenadion(Vit K1) tablet salut gula 10 mg Tablet 686.00 710.00 710.00 56
103 Fluconazol 150 mg kapsul 18,000.00 18,720.00 - -
104 Folley Cathether 2 way no 20 Pcs 8,000.00 - - -
105 Folley Cathether no 16 Pcs 11,000.00 - 10,340.00 -
106 Folley Cathether no 18 Pcs 11,000.00 - 11,890.00 -
107 Furosemid tablet 40 mg Tablet 72.00 77.00 - 15
108 Garam Oralit 200 ml air Sachet 260.00 260.00 274.00 220
109 Gentamisin Inj 40 mg/ml Vial 3,386.00 3,509.00 5,900.00 -
110 Gentamycin Salep Kulit Tube 3,040.00 3,550.00 - 28
111 Gentamycin Salep Mata Tube 2,960.00 2,675.00 - 21
112 Gentamycin Tetes Mata Tube 4,170.00 4,232.00 4,232.00 -
113 Gentian violet larutan 1 %-10 ml Botol 3,000.00 - - -
114 Glas Lonomer Cement Set 480,840.00 500,000.00 275,924.71 -
115 Glibenklamid tablet 5 mg Tablet 100.00 119.00 - -
116 Glimepiride tablet 1 mg Tablet 194.00 - - -
117 Gliseril Gyayakolat tablet 100 mg Tablet 118.80 118.00 128.81 4,464
118 Glukosa Larutan infus 10% steril-500 ml Botol 5,700.00 - - -
119 Glukosa Larutan infus 5% steril-500 ml Botol 5,200.00 - 6,900.00 3
120 Griseofulvin tablet 125 mg micronized Tablet 247.00 210.00 210.00 18
121 Haloperidol Injeksi (Lodomer) Ampul 6,250.00 - - -
122 Haloperidol tablet 0,5 mg Tablet 56.00 55.00 - 120
123 Haloperidol tablet 1,5 mg Tablet 61.00 59.00 - 196
124 Haloperidol tablet 2 mg Tablet 126.00 84.00 - 80
125 Haloperidol tablet 5 mg Tablet 69.00 56.00 56.00 185
126 Hansaplast 2,5 cm x 4,5 m Roll 11,334.00 - - -
127 Hansaplast 7,5 cm x 4,5 m Roll 31,265.00 - - -
128 Hidrogen Peroksida 3% (H2O2) Botol 23,931.00 - - -
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 149.00 155.00 - 31
130 Hidrokortison krim 2,5 % Tube 2,639.00 2,475.00 - 62
131 Ibuprofen sirup 100 mg/5 ml Botol 2,475.00 2,365.00 - 2
132 Ibuprofen tablet 200 mg Tablet 102.00 105.00 - 1,863
133 Ibuprofen tablet 400 mg Tablet 111.00 396.00 396.00 -
134 Infusion set anak Set 4,000.00 6,273.00 6,150.00 -
135 Infusion set dewasa Set 6,435.00 6,435.00 5,800.00 5
136 Isoniazida ( INH ) tablet 300 mg Tablet 170.00 173.00 173.00 -
137 Isosorbit 5 mg Tablet 90.00 89.00 89.00 -
138 IV Cateter 18 Buah 10,494.00 10,494.00 - 9
139 IV Cateter 20 Buah 10,494.00 10,494.00 11,000.00 -
140 IV Cateter 22 Buah 10,494.00 10,494.00 11,000.00 -
141 IV Cateter 24 Buah 10,494.00 10,494.00 11,000.00 -
142 IV Cateter no 26 wings & port Buah 6,600.00 - - -
143 IV Cateter with injection port 26 G Buah 16,346.00 13,200.00 - -
144 Jarum Citojek No 16 Pcs 2,093.00 - - -
145 Jarum Jahit kulit No.12 Pcs 2,283.33 - - -
146 Jarum Jahit Otot No.12 Pcs 2,283.33 - - -
147 Kalium Permanganat Pot 8,700.00 - - -
148 Kalsium Glukonat injeksi i.v 10 % Ampul 9,955.00 10,351.00 - -
149 Kalsium Hidroksida Pasta Set 290,000.00 - - -
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 56.00 59.00 - 3,697
151 Kapas pembalut/absorben 250 mg Buah 12,500.00 12,500.00 - -
152 Kaptropil 12,5 mg Tablet 62.00 62.00 - 374
153 Kaptropil 25 mg Tablet 80.00 - - 317
154 Karbamazepin tablet 200 mg Tablet 270.00 230.00 230.00 50
155 Karbogliserin Tetes Telinga Botol 2,500.00 2,590.00 - 5
157 Kasa hidrofile 3 yard x 10 cm Buah - 1,380.00 - -
158 Kasa hidrofile 40 yard x 80 cm Roll - 123,000.00 - -
159 Kasa kompres 16x16 steril Buah 362.50 500.00 - -
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 606.00 1,493.50 - 4
161 Ketokonazol 200 mg Tablet 280.00 270.00 - 164
162 Ketokonazol Krim 2% Tube 2,595.00 2,518.00 - 11
163 Klindamisin 300 mg Tablet 578.00 - - -
164 Kloramfenikol kapsul 250 mg Kapsul 649.05 310.00 - 797
165 Kloramfenikol salep kulit 2 % Tube 3,091.00 3,038.00 - 13
166 Kloramfenikol salep mata 1 % Tube 1,810.00 1,881.00 - 16
167 Kloramfenikol susp 125 ml Botol 4,700.00 4,700.00 - 6
168 Kloramfenikol tetes telinga 3 % Ples 8,910.00 7,700.00 11,044.00 6
169 Klorfenariamin maleat (CTM) tablet 4 mg Tablet 37.00 22.00 - 4,130
170 Klorine Botol 24,000.00 - - -
171 Klorpromazin 100 MG Tablet 144.00 147.00 - 191
172 Klorpromazin 25 mg Tablet 148.00 - - -
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 1,050.00 - - -
174 Kotrimoksazol anak Tablet 76.00 - - 9
175 Kotrimoksazol Susp Botol 2,140.00 2,052.00 - 22
176 Kotrimoksazol Tablet 480 mg Tablet 129.00 - 125.00 643
177 Leucoplast 2,50 cm x 4,5 m Roll 12,076.00 12,076.00 12,675.00 -
178 Leucoplast 7,50 cm x 4,5 m Roll 35,532.00 35,532.00 37,371.00 -
179 Lidocain compositum inj kombinasi Ampul 1,937.00 1,152.00 - -
180 Lidocain Injeksi 2% Ampul 1,111.00 1,144.00 1,144.00 5
181 Lidocain Jeli 2% Syringe 40,000.00 41,600.00 - -
182 Lidokain Spray Oral 10%(Xylocaine spray) Botol - 177,216.00 - -
183 Lisol Botol 41,000.00 41,000.00 - -
184 Loratadine 10 mg Tablet 123.00 - 123.00 83
185 Magnesium Sulfat Inj 20% Vial 3,200.00 - - -
186 Magnesium Sulfat Inj 40% Ampul - 3,796.00 - -
187 Masker Karet Buah 726.00 - 331.70 -
188 Masker Tali Buah 726.00 762.00 - 14
189 Metformin Tablet 94.00 96.00 96.00 280
190 Metildopa 250 mg / Dopamet Tablet 869.00 - 946.00 4
191 Metilergometrin Maleat Inj Ampul 2,849.00 2,959.00 - 9
192 Metilergometrin Maleat tab Tablet 267.86 210.00 - 62
193 Metoklopramide Inj Ampul 4,200.00 3,960.00 - -
194 Metronidazol tablet 250 mg Tablet 90.00 89.00 - 215
195 Metronidazol tablet 500 mg Tablet 113.00 - - 30

3,414.00 - 24

- - -

5,082.00 5,500.00 -

5,082.00 - -
200 Nasal Oxygen, O2 cannula size S/infant Pcs 6,600.00 - 5,500.00 -

- 6,930.00 -
202 Natrium Bikarbonat tablet 500 mg Tablet 544.00 60.00 - 1,172
203 Natrium Diklofenak Tablet 132.00 128.00 128.00 573
204 Natrium Klorida Lar.infus 0,9 % steril Botol 6,410.00 - 6,410.00 -
205 Natrium Tiroksin Tablet 3,100.00 - - -
206 Nifedipin 10 mg Tablet 104.00 - - -
207 Nistatin Suspensi 100.000 IU/ml Botol - 13,500.00 - -
208 Nistatin tablet vaginal 100.000 IU/g Tablet 523.00 560.00 - 21
209 Nistatin tablet vaginal 500.000 IU/g Tablet 640.00 - - -
210 Norit Tablet 250.00 - - -
211 OAT Sisipan/FDC Sisipan Paket 160,000.00 - - -
Obat antituberkolosis Kombipak Kat.I
212 Paket 288,199.00 316,635.00 - -
Dewasa
213 Obat antituberkulosis anak/FDC Anak Paket 214,900.00 232,518.00 - -
214 Obat antituberkulosis kategori 1/FDC 1 Paket 359,900.00 389,344.00 - 20
215 Obat antituberkulosis kategori 2/FDC 2 Paket 1,247,984.00 1,297,889.00 - -
216 Obat Batuk Hitam (OBH) Cairan -100 ml Botol 2,800.00 - - -
217 OBH Nusantara Menthol Botol - 7,950.00 9,647.00 -
218 OBH Plus Botol 10,600.00 - - -
219 Oksitetrasiklin HCl 1 % Salep mata Tube 1,600.00 2,500.00 - 4
220 Oksitetrasiklin HCl inj i.m 50 mg/ml-10 ml Vial 7,700.00 - - -
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 2,926.00 5,800.00 4,884.00 7
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 1,900.00 1,199.00 1,785.00 11
223 Omeprazol Kapsul 140.00 130.00 139.00 296
224 Omeprazol Injeksi Vial 11,868.00 9,898.00 9,898.00 -
225 Papaverin tab Tablet 297.00 640.00 - 75
226 Paraformaldehid Tablet 660.00 - - -
227 Parasetamol drop Botol 17,458.00 6,649.00 - 7
228 Parasetamol sirup 120 mg / 5ml Botol 1,010.00 1,107.00 - 191
229 Parasetamol tablet 500 mg Tablet 49.00 53.00 - 15,045
230 Parasetamol tablet 100 mg Tablet 92.00 - - -
231 Pehakain Ampul 3,000.00 - - -
232 Permetrin Krim 5% (Scabimite) Tube 12,155.00 - 7,200.00 15
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 58,333.33 - - -
234 Piralent Inj Ampul 7,240.00 - - -
235 Pirazinamid 500 mg Tablet 237.00 222.00 - -
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 45.00 123.00 - 3,139
237 Piroxicam 10 mg Tablet 118.80 195.00 160.60 629
238 Plester 5 yard x 2 inch Roll 23,600.00 - - -
239 Plester 7,5 cm x 5 m Buah 30,000.00 - - -
240 Polypropylene 2/0 75C + Jarum 3/8 26m Pcs 24,500.00 - - -
241 Povidon Iodiada 10 %-30 ml Botol 2,900.00 2,900.00 - -
242 Povidon Iodiada 10 %-300 ml Botol 18,000.00 18,000.00 18,000.00 1
243 Prednison tablet 5 mg Tablet 76.00 68.00 - 167
244 Probenesid 500 mg Tablet 1,755.00 - - -
245 Propanolol HCl tablet 10 mg Tablet 60.00 - - -
246 Propanolol HCl tablet 40 mg Tablet 74.00 76.00 - -
247 Propiltiourasil tablet 100 mg Tablet 279.00 - - -
248 Ranitidin inj Ampul 1,458.00 - - -
249 Ranitidine 150 mg Tablet 98.00 105.00 112.00 1,348
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 284.00 288.00 - -
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 459.00 517.00 - -

725.00 - -
253 Rifampisin kapsul 450 mg Kapsul 897.00 - - -
254 Ringer Laktat Larutan Infus Steril Botol 7,150.00 7,150.00 7,150.00 3
255 Rivanol 300 ml Botol 2,550.00 3,000.00 - -
256 Salbutamol tablet 2 mg Tablet 78.00 63.00 - 156
257 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot 2,527.00 2,621.00 - 34
258 Salisil Spiritus Botol 32,299.00 - - -
259 Sarung Tangan non steril no 6,5 Pasang 7,700.00 7,700.00 - 67
260 Sarung Tangan non steril no 7 Pasang - 7,700.00 8,701.00 -
261 Sarung Tangan non steril no 7,5 Pasang - 7,700.00 8,701.00 -
262 Sarung Tangan Obgyn steril Pasang - 19,360.00 - -
263 Sarung tangan steril no 6,5 Pasang 7,865.00 7,865.00 - -
264 Sarung tangan steril no 7 Pasang 7,865.00 7,865.00 8,888.00 -
265 Sarung tangan steril no 7,5 Pasang 7,865.00 7,865.00 - -
266 Semen Seng Fosfat Serbuk Cairan Set 238,200.00 - - -
267 Semillas non Woven Medical Tape Pcs 21,753.00 - - -
268 Serum anti tetanus (ATS) / Biosat Ampul - 130,999.00 - -
269 Serum anti tetanus (ATS) / Tetagam Ampul 170,000.00 176,800.00 - -
Serum antibisa ular Polivalen inj 5 ml
270 Ampul 462,000.00 479,996.00 479,996.00 -
(SABU) I
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 20,833.33 20,833.33 - -
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase - 20,833.33 - -
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 15,000.00 - - -
274 Silk Black 2/0 DS 24 MM Sase 23,300.00 - - -
275 Silk Black 2/0 HR 26 MM Sase 20,300.00 - - -
276 Silk Black 3/0 DS 24 MM Sase 22,400.00 - - -
277 Silk Black 3/0 HR 26 MM Sase 19,700.00 - - -
278 Silk Black PFM 2/0 100 m Roll 425,066.00 - - -
279 Simvastatin tablet 10 mg Tablet 111.00 110.00 - 114
280 Simvastatin tablet 20 mg Tablet 229.00 205.00 - 35
281 Siprofloksasin 500 mg Tablet 281.00 265.00 500.00 71
282 Softanol antimicrobial 500 ml Botol - 56,925.00 - -
283 Softanol antimicrobial galon 5 liter Galon - 569,250.00 - -
284 Spironolakton 25 mg Tablet 244.00 195.00 - -
285 Streptomisin Inj Vial 5,000.00 - - -
286 Sulfasetamid Natrium Tetes mata 15 % Ples 10,890.00 12,300.00 - 11
287 Tablet 350.00 353.00 353.00 14,604
Sulfat
288 Temporary Filling Material (Fermin) Botol 158,000.00 220,000.00 - -
289 Temporary Stopping Fletcher serbuk &cairan Set 37,000.00 - - -
290 Tetrakain HCl tetes mata 0,5 % Botol 11,500.00 - - -
291 Tetrasiklin Kapsul 250 mg Kapsul 166.00 - - 28
292 Tetrasiklin Kapsul 500 mg Kapsul 310.00 303.00 - 156
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 82.00 85.00 - 4,177
294 Transfusion Set Set 7,860.00 - - -
295 Triheksifenidil HCl tablet 2 mg Tablet 80.00 85.00 85.00 557
296 Trikesol Formalin (TKF) Botol 110,000.00 - - -
297 Umbilical cord klem steril Pcs 1,000.00 - - -
298 Urine bag pcs 4,000.00 - - -
299 Urine Drainage Bag, T valve with hanger Pcs - 5,785.00 4,202.00 -
300 Ventolin nebules Nebule 4,000.00 - - -
301 Viorex no rinse antimicrobial Galon - 672,765.00 - -
302 Viorex no rinse antimicrobial Botol - 67,626.66 - -
303 Vitamin B 12 Injeksi Ampul 520.00 - - -
304 Vitamin B 12 tab Tablet 51.00 46.00 - 1,794
305 Vitamin B Kompleks tablet Tablet 115.00 83.00 - 4,187
306 Wing Nedle no 25 Tablet 5,749.00 - - -
307 Zink Tablet 514.00 524.00 - 120
308 Dextaco Tablet - 394.00 - -
309 Dextrofen Syrup 60 ml Botol - 11,500.00 - -
310 Hemafort Tablet 834.90 834.00 - 199
313 Seledril Tablet Tablet 815.00 823.33 - 129
314 Solacort krim /Armacort Tube 8,150.00 8,200.00 - 27
315 Solafluz Botol 11,900.00 13,700.00 -
316 Soldextam Tablet 566.00 - - 1,807

911.00 - 91
318 Truvit Syr Botol 10,700.00 12,400.00 12,221.00 51
321 Alat Suntik 0,05ml Buah 1,379.80 - -
325 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 1,540.00 - -
326 Bedak Salisil serbuk 2 % Buah 1,020.00 - -

- -
335 Obat antituberkulosis anak/FDC Anak Paket 214,985.00 232,158.00 -
336 Obat antituberkulosis kategori 1/FDC 1 Paket 359,980.00 - -
337 Obat antituberkulosis kategori 2/FDC 2 Paket - 1,199,985.00 -
339 Piridoxin 10mg Tablet 118.00 - -
342 Tablet - - 350.00
Sulfat
344 Zink Tablet - 508.00 -
345 Demetec 58,333.33
346 Demetec 24,500.00
347 Bioplacenton tulle 10,400.00 2

349 3M ESPE KETAC Cem Easymic (liq) 151,242.86

3 Diazepam tablet 5 mg Tablet 117.00 109.00 109.00 9
PROGRAM

6 DHP Kotak - - -
15 TDP (300)+3TC(300)+EFV(600) Botol - 356,829.00 -
REAGEN

4 Rapid Test HIV SD Kit - 1,434,000.00 1,197,500.00
6 Rapid Test Syphilis Kit - - 415,000.00
18 Salmonella Paratyphi AO Widal test 5ml Vial - - 65,750.00
19 Salmonella Paratyphi AH Widal test 5ml Vial - - 65,750.00
22 Hepatitis B Imunogloblulin Syringe 1,325,000.00
Human hexagon sipillis 663,175.00

SD HIV 1,197,500.00
Hepatitis B (rDNA) 52,050.00
VAKSIN

2 BCG Amp - - 66,154.00
3 DPT-HB-Hib Vial - 84,282.00
5 IPV 5 Dosis Vial - - 169,653.00
6 Campak Vial - - 28,204.00
7 MR Vial - - 155,813.00
8 TD Vial - - 16,995.00
9 DT SD Vial - - 17,996.00
10 ADS 0,05cc Buah - - -
11 ADS 0,5cc Buah - - 1,158.00
12 ADS 5cc Buah - - 1,640.00
14 DPT-HB-Hib Vial - - 78,991.00
15 Hepatitis-B (rDNA) Cairan Injeksi 20 MCG/ Syringe - - 52,050.00
16 MR Vial - - 166,265.00
17 ADS 0,5cc Buah - - 1,185.00
18 TD Vial - - 18,128.00
Mengetahui,

Januari Februari
- - -
- - -
- - -
- - -
- - -
- - 33 21,532.83
- - -
174,240.00 - - 875 693,000.00 -
57,761.00 - - 51 49,929.00 -
- - - 9 - -
- - - - - 200
2,361.60 - - 47 9,249.60 -
9,790.00 - - 338 30,082.00 -
2,730.00 - - 43 9,030.00 -
3,900.00 - - - - -
- - - - - -
- - - - - -
4,186.00 - - 120 10,920.00 -
- - - - - -
- - - - - -
14,872.00 - - 129 13,416.00 -
15,385.00 890 62,300.00 - - 1,272
823,080.00 886 206,438.00 - - 4,546
19,305.00 - - 109 21,255.00 -
144,837.00 - - 63 118,503.00 -
27,888.00 - - 26 103,584.00 -
- - - - - -
33,666.00 - - 52 18,824.00 -
- - - - - -
- - - - - -
187,792.00 - - 860 208,120.00 -
292,436.00 - - 6,049 350,842.00 -
- 8 15,960.00 - - 24
108,900.00 - - 32 158,400.00 -
38,907.00 - - 18 77,814.00 -
- - - - - -
- - - - - -
- - - 2 121,600.00 -
- - - 1 160,200.00 -
148,000.00 - - 3 222,000.00 -
- - - - - -
48,000.00 - - 2 48,000.00 2
190,112.00 - - 1,560 162,240.00 -
9,625.00 - - 165 9,075.00 -
156,900.00 - - 1,254 125,400.00 -
- - - - - -
5,336.00 - - 45 4,140.00 -
59,090.00 - - 30 93,300.00 -
7,440.00 - - 134 32,160.00 -
52,560.00 - - 137 50,005.00 -
27,974.00 - - 335 47,570.00 -
163,350.00 - - - - -
- - - - - -
- - - 4 7,552.00 -
43,050.00 - - 25 25,625.00 -
- - - - - -
99,826.00 - - 76 102,524.00 -
- - - - - -
- - - - - -
3,102,700.00 - - 3,915 1,389,825.00 -
- - - - - -
- - - - - -
45,000.00 - - 10 225,000.00 8
- - - - - 12
- - - - - -
29,583.33 - - 2 59,166.66 -
147,000.00 - - 22 539,000.00 -
- - - - - -
9,600.00 - - 223 21,408.00 -
- - - - - -
- - - - - -
- - - 3 4,500.00 -
88,068.00 - - 1,735 71,135.00 -
- - - - - -
- - - - - -
- - - 3 312.00 -
- - - - - -
- - - 10 2,680.00 -
6,000.00 - - 3 9,000.00 -
33,250.00 - - 386 36,670.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
21,900.00 - - 10 7,300.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - 4 86,000.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
37,800.00 - - 116 40,600.00 -
140,360.00 - - 370 223,850.00 -
- - - - - -
- - - - - -
- - - - - -
17,750.00 - - 31 110,050.00 -
38,416.00 - - 125 85,750.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
1,080.00 - - 49 3,528.00 -
57,200.00 - - 122 31,720.00 -
- - - - - -
85,120.00 - - 20 60,800.00 -
62,160.00 - - 7 20,720.00 -
- - - 21 87,570.00 9
- - - - - -
- - - 1 480,840.00 -
- - - - - -
- - - - - -
530,323.20 - - 4,654 552,895.20 -
- - - - - -
15,600.00 - 3 15,600.00 -
4,446.00 - - 34 8,398.00 -
- - - - -
6,720.00 - - 120 6,720.00 -
11,956.00 - - 269 16,409.00 -
10,080.00 - - 160 20,160.00 -
12,765.00 - - 59 4,071.00 -
- - - - - -
- - - - - -
- - - - - -
4,619.00 100 15,500.00 55 8,195.00 -
163,618.00 - - 53 139,867.00 -
4,950.00 - - 4 9,900.00 -
190,026.00 - - 1,574 160,548.00 -
- - - - - -
- - - - - -
32,175.00 - - 14 90,090.00 -
- - - - - -
- - - 10 900.00 -
94,446.00 - - 5 52,470.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - 1 2,283.33 -
- - - - - -
- - - 3 29,865.00 -
- - - - - -
207,032.00 - - 4,361 244,216.00 -
- - - 4 50,000.00 -
23,188.00 - - 326 20,212.00 -
25,360.00 - - 552 44,160.00 -
13,500.00 - - 40 10,800.00 -
12,500.00 - - 15 37,500.00 -
- - - 2 110,000.00 -
- - - - - -
- - - - - -
- - - 1 362.50 -
2,424.00 - - 38 23,028.00 -
45,920.00 - - 35 9,800.00 -
28,545.00 - - 8 20,760.00 -
- - - - - -
517,292.85 - - 659 427,723.95 -
40,183.00 - - 60 185,460.00 2
28,960.00 - - 17 30,770.00 -
28,200.00 - - 5 23,500.00 12
53,460.00 - - 6 53,460.00 -
152,810.00 - - 3,130 115,810.00 -
- - - - - -
27,504.00 - - 134 19,296.00 -
- - - - - -
- - - - - -
684.00 - - - - -
47,080.00 - - 43 92,020.00 -
82,947.00 - - 658 84,882.00 -
- - - - - -
- - - 3 106,596.00 -
- - - - - -
5,555.00 - - 40 44,440.00 -
- - - - - -
- - - - - -
- - - 1 41,000.00 -
10,209.00 - - 138 16,974.00 -
- - - 1 3,200.00 -
- - - - - -
- - - - - -
10,164.00 - - 30 21,780.00 -
26,320.00 - - 253 23,782.00 -
3,476.00 - - 4 3,476.00 -
25,641.00 - - - - -
16,607.32 - - 83 22,232.38 -
- - - - - -
19,350.00 - - 573 51,570.00 -
3,390.00 - - 6 678.00 -
78,000.00 - - 35 113,750.00 -
- - - - - -
- - - 2 13,200.00 -
- - - - - -
- - - - - -
- - - 2 13,200.00 -
637,568.00 - - 996 541,824.00 -
75,636.00 - - 355 46,860.00 35
- - - 1 6,410.00 -
- - - - - -
- - - - - -
- - - - - -
10,983.00 - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
7,198,000.00 - - 5 1,799,500.00 -
- - - 1 1,247,984.00 -
- - - - - -
- 34 270,300.00 - - 32
- - - - - -
6,400.00 - - 12 19,200.00 -
- - - - - -
20,482.00 3 17,400.00 - - 5
20,900.00 - - 32 60,800.00 -
41,440.00 - - 514 71,960.00 -
- - - - - -
22,275.00 - - 110 32,670.00 -
- - - - - -
122,206.00 - - 18 314,244.00 -
192,910.00 - - 152 153,520.00 -
737,205.00 - - 15,390 754,110.00 -
- - - - - -
- - - - - -
182,325.00 - - 20 243,100.00 -
- - - - - -
- - - - - -
- - - - - -
141,255.00 - - 2,991 134,595.00 -
74,725.20 - - 296 35,164.80 957
- - - - - -
- - - - - -
- - - - - -
- - - 3 8,700.00 -
18,000.00 - - 2 36,000.00 -
12,692.00 - - 93 7,068.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
132,104.00 - - 1,431 140,238.00 -
- - - 450 127,800.00 -
- - - 3,350 1,537,650.00 -
- - - - - -
- - - - - -
21,450.00 - - 37 264,550.00 -
- - - - - -
12,168.00 - - 219 17,082.00 -
85,918.00 - - 24 60,648.00 -
- - - - - -
515,900.00 - - 132 1,016,400.00 -
- - - - - -
- - - - - 250
- - - - - -
- - - - - -
- - - - - -
- - - 73 574,145.00 50
- - - - - -
- - - 1 21,753.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
12,654.00 - - 16 1,776.00 49
8,015.00 - - - - -
19,951.00 - - 104 29,224.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
119,790.00 - - 2 21,780.00 -
5,111,400.00 - - 12,709 4,448,150.00 -
- - - - - -
- - - - - -
- - - - - -
4,648.00 - - 27 4,482.00 -
48,360.00 - - 48 14,880.00 -
342,514.00 - - 3,637 298,234.00 9
- - - - - -
44,560.00 - - 827 66,160.00 -
- - - - - -
- - - - - -
- - - - -
- - - - -
- - - 1 4,000.00 -
- - - - - -
- - - - - -
- - - - - -
91,494.00 - - 1,594 81,294.00 -
481,505.00 - - 3,724 428,260.00 -
- - - - - -
61,680.00 - - 89 45,746.00 -
- - - - - 317
- 13 149,500.00 - - 45
166,145.10 - - 245 204,550.50
- - -
- - -
105,135.00 170 139,966.10 - 310
220,050.00 - 54 440,100.00
- - -
1,022,762.00 - 1,919 1,086,154.00
74,256.00 - 131 106,896.00

545,700.00 - 24 256,800.00 10
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 2 116,666.66
- - 2 49,000.00
20,800.00
- - -
- - -
- - -
1,053.00 - 2 234.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
28,299,327.60 877,364.10 26,879,690.41

29,176,691.70 32,518,530
877,364.10
Februari Maret
- - -
- - -
- - -
- - -
- - -
- 5 3,262.55 -
- - -
- 390 308,880.00 -
- 70 68,530.00 - -
- - - - -
23,208.00 - - - -
- 37 7,281.60 - -
- 167 14,863.00 - -
- 7 1,470.00 - -
- 1 3,900.00 - -
- - - - -
- - - - -
- 76 6,916.00 - -
-
- - - -
- - - - -
- 136 14,144.00 - -
-
89,040.00 - 1,235 86,450.00
1,059,218.00 - - 4,779 1,113,507.00
- 284 55,380.00 - -
- 80 150,480.00 - -
- 10 39,840.00 - -
- - - - -
- 375 135,750.00 100 57,000.00
- - - - -
- - - - -
- 668 161,656.00 - -
- 5,144 298,352.00 - -
47,880.00 - - 21 41,895.00
17
- 84,150.00 - -
- 8 34,584.00 - -
- - - - -
- - - - -
- 1 60,800.00 - -
- - - - -
- 1 74,000.00 - -
- - - - -
48,400.00 - - 2 48,400.00
- 2,047 212,888.00 - -
- 240 13,200.00 - -
- 1,480 148,000.00 - -
- - - - -
- 12 1,104.00 - -
- 18 55,980.00 - -
- 20 4,800.00 - -
- 55 20,075.00 - -
- 160 22,720.00 - -
- - - - -
- - - - -
- - - - -
- 33 33,825.00 - -
- - - - -
- 45 60,705.00 - -
- - - - -
- - - - -
- 9,730 3,454,150.00 - -
- - - - -
- - - - -
180,000.00 - - 12 270,000.00
270,000.00 - - - -
- - - - -
- - - - -
- - - - -
- 106 79,500.00 - -
- 32 3,072.00 335 30,150.00
- - - - -
- - - - -
- - - - -
- 2,418 99,138.00 - -
-
- - - -
- - - - -
- 4 416.00 - -
- - - - -
- - - - -
- 15 45,000.00 - -
- 76 7,220.00 89 7,565.00
- - - - -
- - - - -
- - - - -
- - - - -
- 8 5,840.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1 21,500.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 101 35,350.00 - -
- 43 26,015.00 - -
- - - - -
- - - - -
- - - - -
- 8 28,400.00 - -
- 141 96,726.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 120 8,640.00 - -
- 103 26,780.00 - -
- - - - -
- - - 35 124,250.00
- 5 14,800.00 - -
38,088.00 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 4,849 576,061.20 1,572 185,496.00
- - - - -
- 2 10,400.00 - -
- 61 15,067.00 - -
- - - - -
- 80 4,480.00 - -
- 207 12,627.00 - -
- 100 12,600.00 - -
- 114 7,866.00 39 2,184.00
- - - - -
- - - - -
- - - - -
- 86 12,814.00 - -
- 62 163,618.00 - -
- 4 9,900.00 - -
- 2,404 245,208.00 - -
- - - - -
- - - - -
- 8 51,480.00 - -
- - - - -
- - - - -
- 2 20,988.00 - -
- 5 52,470.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,938 164,528.00 2,257 133,163.00
- - - - -
- 520 32,240.00 - -
- 1,018 81,440.00 - -
- - - - -
- 22 55,000.00 - -
- - - - -
- - - - -
- - - - -
- 22 7,975.00 - -
- 9 5,454.00 - -
- 19 5,320.00 - -
- 12 31,140.00 - -
- 19 10,982.00 - -
- 108 70,097.40 - -
6,076.00 - - 12 36,456.00
- 32 57,920.00 - -
56,400.00 - - 7 32,900.00
- 4 35,640.00 - -
- 4,410 163,170.00 - -
- - - - -
- 144 20,736.00 - -
- - - - -
- - - - -
- - - - -
- 44 94,160.00 - -
- 869 112,101.00 - -
- 1 12,076.00 - -
- - - - -
- - - - -
- 16 17,776.00 - -
- - - - -
- - - - -
- 2 82,000.00 - -
- 99 12,177.00 - -
- - - - -
- - - - -
- - - - -
- 28 20,328.00 - -
- 855 80,370.00 - -
- 10 8,690.00 - -
- - - 5 14,795.00
- 37 9,910.82 - -
- - - - -
- 486 43,740.00 - -
- 30 3,390.00 - -
16
- 52,000.00 - -
-
- - - -
-
- - - -
-
- - - -
- - - - -
-
- - - -
- 1,100 598,400.00 - -
4,480.00 - - 366 46,848.00
- - - - -
- - - - -
- - - - -
- - - 6 81,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
254,400.00 - - 24 190,800.00
- - - - -
- 25 40,000.00 - -
- - - - -
29,000.00 - - - -
- 19 36,100.00 - -
- 382 53,480.00 - -
- - - - -
- 122 36,234.00 - -
- - - - -
- 19 331,702.00 - -
- 182 183,820.00 - -
- 16,879 827,071.00 - -
- - - - -
- - - - -
- 12 145,860.00 - -
- - - - -
- - - - -
- - - - -
- 3,213 144,585.00 - -
186,615.00 - - 502 97,890.00
- - - - -
- - - - -
- - - - -
- 1 2,900.00 - -
- 2 36,000.00 - -
- 28 2,128.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,083 106,134.00 - -
- - - - -
- - - - -
-
- - - -
- - - - -
- 14 100,100.00 - -
- 4 10,200.00 - -
- 172 13,416.00 - -
- 35 88,445.00 - -
- - - - -
- - - - -
- - - 7 53,900.00
1,925,000.00 - - 20 154,000.00
- - - - -
- - - - -
- 265 2,084,225.00 - -
393,250.00 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 3 62,499.99
- - - - -
- 5 116,500.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
5,390.00 - - 50 5,500.00
- - - - -
- 159 44,679.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6 65,340.00 - -
- 13,345 4,670,750.00 - -
- - - - -
- - - - -
- - - - -
- 20 3,320.00 - -
- 253 78,430.00 8 2,424.00
765.00 - - 4,232 359,720.00
- - - - -
- 672 53,760.00 - -
- - - - -
- 11 11,000.00 - -
- - - - -
- - - - -
- 4 16,000.00 - -
- - - - -
- - - - -
- - - - -
- 2,168 110,568.00 - -
- 3,997 459,655.00 524 43,492.00
- - - - -
- 495 254,430.00 - -
124,898.00 - 58 22,852.00
517,500.00 - 33 379,500.00
- 110 91,839.00 -
- - -
- - -
255,232.30 - -
- 34 277,100.00 1 8,200.00
- - -
- 2,248 1,272,368.00 -
- 193 157,488.00 -
124,000.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
-
- -
- -
- -
2 234.00 -
- -
- -
- -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6 118,200.00
-
-
3 4,302,000.00
-
- 2
- 300
-
-
-
-
-
-
-
-
-
-
-
-
- 4
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5,638,840.30 21,060,284.57 8,113,036.99
32,518,530.71 34,411,321
5,638,840.30 8,113,036.99
April
- - -
- - -
- - -
- - -
- - -
3 1,957.53 - - 2
- - -
290 229,680.00 - - 134
46 45,034.00 - - -
- - 8,340 3,361,020.00 -
- - 91 10,559.64 -
- - - - 21
- - - - 93
111 23,310.00 - - 16
- - - - 2
- - - - -
- - - - -
85 7,735.00 - - 46
-
- - - -
- - - - -
125 13,000.00 - - 70
-
- 880 61,600.00 -
- - 5,000 1,165,000.00 -
45 8,775.00 - - 65
70 131,670.00 - - 102
10 39,840.00 - - 13
- - - - -
- - - - -
- - - - -
- - - - -
543 131,406.00 - - 455
3,943 228,694.00 - - 4,448
- - 9 17,955.00 -
19
94,050.00 - - -
15 64,845.00 - - 20
- - - - -
- - - - -
- - - - 2
- - - - -
- - - - -
- - - - -
- - 4 96,800.00 -
1,503 156,312.00 - - 1,201
10 550.00 - - 130
1,091 109,100.00 - - 848
- - - - -
22 2,024.00 - - 8
18 55,980.00 - - 22
14 3,360.00 - - 22
128 46,720.00 - - 107
32 4,544.00 - - 124
35 381,150.00 - - 10
- - - - -
- - - - 2
20 20,500.00 - -
- - - - -
54 72,846.00 - - 40
- - - - -
- - - - -
2,038 723,490.00 - - 3,547
- - - - -
- - - - -
- - 11 247,500.00 -
- - - - -
- - - - -
- - - - -
6 147,000.00 - - -
153 114,750.00 - - 64
- - 53 4,770.00 -
- - - - -
- - - - -
- - - - -
2,492 102,172.00 - - 2,839
-
- - - -
- - - - 3
- - - - 5
30 2,970.00 - - 231
- - - - -
- - - - 3
- - 92 7,820.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
37 12,950.00 - - 13
90 54,450.00 - - 86
- - - - -
- - - - -
- - - - -
3 10,650.00 - - -
28 19,208.00 - - 59
- - - - -
- - - - -
- - - - -
- - - - -
36 2,592.00 - - 23
4 1,040.00 - - 142
- - - 262 1,545,800.00 -
- - 29 102,950.00 -
24 71,040.00 - - 8
- - - - -
- - - - -
- - - - -
5 500.00 - - -
10 1,940.00 - - 15
- - 5,829 687,822.00 -
- - - - -
1 5,200.00 - - -
49 12,103.00 - - 21
- - - - -
80 4,480.00 - - 65
300 18,300.00 - - 175
80 10,080.00 - - 40
- - 255 14,280.00 -
- - - - -
- - - - -
- - - - -
46 6,854.00 - - 46
48 126,672.00 - - 38
4 9,900.00 - - -
1,266 129,132.00 863 90,615.00 -
- - - - -
- - - - -
17 109,395.00 - - -
- - - - -
- - - - -
8 83,952.00 - - -
6 62,964.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 105 1,086,855.00 -
- - - - -
- - 5,396 318,364.00 -
1 12,500.00 - - -
224 13,888.00 - - 214
473 37,840.00 - - 693
8 2,160.00 52 11,960.00 -
17 42,500.00 - - 15
2 110,000.00 - - -
- - - - -
- - - - -
4 1,450.00 - - 20
9 5,454.00 - - 26
25 7,000.00 - - 56
4 10,380.00 - - 1
- - - - -
14 9,086.70 - - 788
- - - - -
40 72,400.00 - - 36
- - - - -
8 71,280.00 - - 2
4,269 157,953.00 414 9,108.00 -
- - - - -
89 12,816.00 112 16,464.00 -
- - - - -
- - - - -
- - - - -
67 143,380.00 100 205,200.00 -
505 65,145.00 - - 261
- - - - -
1 35,532.00 - - 1
- - - - -
- - - - 13
- - - - -
- - - - -
3 123,000.00 3 123,000.00 -
42 5,166.00 - - 315
- - - - -
- - 88 334,048.00 -
1 726.00 - - 100
26 18,876.00 - - 200
365 34,310.00 - - 146
36 31,284.00 - - 55
- - - - -
104 27,857.44 - - 116
- - - - -
4 360.00 1,009 89,801.00 -
16 1,808.00 - - 16
48
156,000.00 - - 30
-
- - - -
-
- - - -
-
- - - -
- - - - -
-
- - - -
276 150,144.00 583 34,980.00 -
- - 583 74,624.00 -
4 25,640.00 - - 2
- - - - -
- - - - -
- - 2 27,000.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5 1,799,500.00 - - 10
1 1,247,984.00 - - -
- - - - -
- - 60 477,000.00 -
- - - - -
14 22,400.00 - 12
- - - - -
- - 2 11,600.00 -
24 45,600.00 - - -
547 76,580.00 - - 485
- - - - -
46 13,662.00 - - 105
- - - - -
- - - - -
144 145,440.00 12 13,284.00 -
14,625 716,625.00 - - 11,209
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2,712 122,040.00 - - 1,695
- - 239 46,605.00 -
- - - - -
- - - - -
- - - - -
2 5,800.00 - - -
1 18,000.00 - - 2
60 4,560.00 - - 111
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
589 57,722.00 473 49,665.00 -
- - - - -
- - - - -
-
- - - -
- - - - -
- - 5 35,750.00
2 5,100.00 - - 2
164 12,792.00 - - 227
21 53,067.00 13 34,073.00 -
- - - - -
- - - - -
- - - - -
- - 53 408,100.00 -
- - - - -
- - - - -
- - - - -
- - 36 283,140.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 10 1,100.00 -
- - - - 4
86 24,166.00 - - 213
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,951 2,432,850.00 - - 1,409
- - - - -
- - - - -
- - - - -
21 3,486.00 - - -
- - 182 55,146.00 -
- - 4,463 379,355.00 -
- - - - -
665 53,200.00 - - 55
- - - - -
- - - - 4
- - - - -
- - - - -
- - - - -
- - 1 672,765.00 -
- - - - -
- - - - -
1,308 66,708.00 - - 1,049
- - 3,050 253,150.00 -
- - - - -
51 26,214.00 - - 18
- - 625 246,250.00 -
- - 15 172,500.00 -
105 87,664.50 - 30
- -
- -
- -
- 24 196,800.00
- -
- - 1,192
133 108,528.00 - 180

- -
- -
- -
- -
- -
- -
- -
- -
6 6,120.00 - 26
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 20
- -
- -
- - 982
- -
- -
- -
- -
- -
- -
- -
-
- -
- -
- -
1 117.00 - 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 3 3,975,000.00
830,000.000 - - -
2,961,000.000 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1,447,000.00 - -
- -
- 3 3,975,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
5,238,000.00 12,258,728.17 15,511,378.64 5,520,800.00

34,411,321.56 33,290,906.81
11,536,378.64
RE
Mei Juni
- - -
- - -
- - -
- - -
- - -
1,305.02 - 100 65,251.00
- - -
106,128.00 300 237,600.00 19 15,048.00 97
- - - 37 36,223.00 -
- - - - - -
- 100 11,604.00 - - 321
4,132.80 - - - - -
8,277.00 - - - - -
3,360.00 - - - - -
7,800.00 - - - - -
- - - - - -
- - - - - -
4,186.00 - - 2 182.00 -
- - - - - -
- - - - - -
7,280.00 208 19,344.00 - - 448
- 194 13,580.00 - - 123
- 4,365 1,017,045.00 - - 3,600
12,675.00 - - 63 12,285.00 -
191,862.00 - - 69 129,789.00 -
51,792.00 - - - - -
- - - - - -
- - - - - 27
- - - - - -
- - - - - -
110,110.00 - - 280 67,760.00 -
257,984.00 - - 4,021 233,218.00 -
- 15 29,925.00 - - 4
- 33 104,511.00 - - 3
86,460.00 - - 14 60,522.00 -
- - - - - -
- - - - - -
121,600.00 - - - - -
- - - - - -
- - - 1 74,000.00 -
- - - - - -
- - - - - -
124,904.00 - - 21 2,184.00 1,269
7,150.00 - - 6 330.00 44
84,800.00 - - 1,009 100,900.00 -
- - - - - -
736.00 - - 3 276.00 -
68,420.00 - - 19 59,090.00 -
5,280.00 - - - - -
39,055.00 130 49,400.00 - - 103
17,608.00 - - 114 16,188.00 -
108,900.00 - - 34 370,260.00 -
- - - - - -
3,776.00 - - 2 3,776.00 -
- - - -
- - - - - -
53,960.00 9 12,060.00 - - 37
- - - - - -
- - - 4 53,680.00 -
1,259,185.00 - - 2,250 798,750.00 -
- - - - - -
- - - - - -
- - - - - 6
- - - - - 14
- - - - - -
- - - - - -
- - - - - -
48,000.00 - - - - -
- 112 10,080.00 - - -
- - - - - -
- - - - - -
- - - - - -
116,399.00 - - 2,427 99,507.00 -
- - - - - -
3,180.00 - - - - -
520.00 - - - - -
22,869.00 - - 39 3,861.00 -
- - - - - -
9,000.00 - - 3 9,000.00 -
- 118 10,030.00 - - 100
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - 1 21,500.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
4,550.00 - - 24 8,400.00 -
52,030.00 - - 47 28,435.00 -
- - - - - -
- - - - - -
- - - - - -
- - - 30 106,500.00 -
40,474.00 - - 33 22,638.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
1,656.00 - - - - -
36,920.00 - - - - -
- - - - - -
- 46 163,300.00 - - 21
23,680.00 15 40,125.00 - - 4
- - - - - -
- - - 4 12,000.00 -
- - - - - -
- - - 5 500.00 -
2,910.00 - - - - -
- 4,590 541,620.00 - - 4,368
- - - - - -
- - - - - -
5,187.00 - - 26 6,422.00 -
- - - - - -
3,640.00 - - 80 4,480.00 -
10,675.00 - - 240 14,640.00 -
5,040.00 34 2,856.00 - - 56
- 250 14,000.00 - - 224
- - - - - -
- - - - - -
- - - - - -
6,854.00 - - 60 8,940.00 -
100,282.00 - - 39 102,921.00 -
- - - 2 4,950.00 -
- 1,211 127,155.00 - - 1,076
- - - - - -
- - - - - -
- - - 6 38,610.00 -
- - - - - -
- - - 3 270.00 -
- - - 8 83,952.00 -
- - - 14 146,916.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - 1 2,283.33 -
- - - - - -
- - - - - -
- - - - - -
- 4,430 261,370.00 - - 4,952
- 2 25,000.00 - - -
13,268.00 - - 287 17,794.00 -
55,440.00 - - 562 44,960.00 -
- 48 11,040.00 - - -
37,500.00 - - 15 37,500.00 -
- - - - - -
- - - - - -
- - - - - -
7,250.00 - - 22 7,975.00 -
15,756.00 - - 45 27,270.00 -
15,680.00 26 7,020.00 - - 30
2,595.00 - - 1 2,595.00 -
- - - - - -
511,451.40 53 16,430.00 - - -
- 23 69,874.00 - - 28
65,160.00 - - 4 7,240.00 34
- 1 4,700.00 - - 30
17,820.00 - - 2 17,820.00 -
- 4,161 91,542.00 - - 4,708
- - - 1 24,000.00 -
- 203 29,841.00 - - 183
- - - - - -
- - - - - -
- - - - - -
- 25 51,300.00 - - 19
33,669.00 - - 371 47,859.00 -
- - - 2 24,152.00 -
35,532.00 - - 1 35,532.00 -
- - - - - -
14,443.00 - - 34 37,774.00 -
- - - - - -
- - - - - -
- - - - - -
38,745.00 - - - - -
- - - 1 3,200.00 -
- - - - - -
72,600.00 - - - - -
145,200.00 - - - - -
13,724.00 - - 127 11,938.00 -
47,795.00 - - 13 11,297.00 -
- - - - - -
31,071.76 - - 74 19,821.64 -
- - - - - -
- 301 26,789.00 - - 189
1,808.00 - - - - -
97,500.00 - - 28 91,000.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 809 48,540.00 - - 580
- 562 71,936.00 - - 724
12,820.00 - - 7 44,870.00 -
- - - - - -
- - - - - -
- 2 27,000.00 - - 5
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
3,599,000.00 - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
19,200.00 - - - - -
- - - - - -
- - - - - -
- - - 25 47,500.00 -
67,900.00 - - 116 16,240.00 402
- - - - - -
31,185.00 - - 621 184,437.00 -
- - - - - -
- - - - - -
- 240 265,680.00 - - 142
549,241.00 - - 10,511 515,039.00 -
- - - 92 8,464.00 -
- - - 82 246,000.00 -
- - - 31 376,805.00 -
- - - - - -
- - - - - -
- - - - - -
76,275.00 - - -
- 202 39,390.00 - - -
- - - - - -
- - - - - -
- - - - - -
- 2 5,800.00 - - -
36,000.00 - - 2 36,000.00 -
8,436.00 - - 62 4,712.00 -
- - - - - -
- - - 3 180.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,081 113,505.00 - - 707
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - 19 135,850.00 -
5,100.00 - - 1 2,550.00 -
17,706.00 - - 218 17,004.00 -
- 27 70,767.00 - - 23
- - - - - -
- - - - - -
- - - - - -
- 162 1,247,400.00 - - 15
- - - - - -
- - - - - -
- - - - - -
- 8 62,920.00 - - 179
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 39 4,290.00 - - 6
916.00 - - - - -
59,853.00 - - 121 34,001.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
493,150.00 - - 10,874 3,805,900.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 75 22,725.00 - - 48
- 2,982 253,470.00 - - 2,891
- - - - - -
4,400.00 474 40,290.00 - - 564
- - - - - -
4,000.00 - - 25 25,000.00 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
53,499.00 - - 1,653 84,303.00 -
- 3,122 259,126.00 - - 3,374
- - - - - -
9,252.00 - - 80 41,120.00 -
- - - - - -
- 13 149,500.00 - - 2
25,047.00 - 746 622,835.40
- - -
- - -
- - -
- - -
- - -
674,672.00 - -
146,880.00 - 133 108,528.00

- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
26,520.00 - 28 28,560.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
7,199,600.00 - -
- - -
- - -
115,876.00 - 1,789 211,102.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
234.00 - 6 702.00 2
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 20 31,000.00 - 50
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
- -
- -
-
-
-
-
9,893,867.37
17,753,361.98 5,712,480.00
23,465,841.98
5,712,480.00
REKAP PENAMBAHAN OBAT TAHUN 2019
Juni Juli
- - -
- - -
- - -
- - -
- - -
- 8 5,220.08 -
- - -
76,824.00 - 291 230,472.00 42
- 57 55,803.00 - -
- - - - -
37,248.84 - - - -
- - - - -
- 275 24,475.00 - -
- - - - -
- 2 7,800.00 - -
- 5 742.50 - -
- - - - -
- 26 2,366.00 - -
- - - - -
- - - - -
41,664.00 - - 603 56,079.00
8,610.00 - - 195 13,650.00
838,800.00 - - 4,359 1,015,647.00
- 155 30,225.00 - -
- 100 188,100.00 - -
- 4 15,936.00 - -
- - - - -
15,390.00 - - - -
- - - - -
- - - - -
- 641 155,122.00 - -
- 3,900 226,200.00 - -
7,980.00 - - 13 25,935.00
9,501.00 - - 12 38,004.00
- 16 69,168.00 - -
- 22 2,970.00 - -
- - - - -
- - - - -
- 1 160,200.00 - -
- - - - -
- - - - -
- - - - -
133,245.00 - - 1,396 146,580.00
2,288.00 - - 290 15,080.00
- 215 21,500.00 650 66,950.00
- - - - -
- 21 1,932.00 - -
- 15 46,650.00 - -
- 35 8,400.00 - -
39,140.00 - - 141 53,580.00
- 240 34,080.00 - -
- 47 511,830.00 31 34,100.00
- - - - -
- 10 18,880.00 - -
- - - -
- - - - -
49,580.00 - - 48 64,320.00
- - - - -
- - - - -
- 2,640 937,200.00 - -
- - - - -
- - - - -
135,000.00 - - 16 360,000.00
315,000.00 - - - -
- - - - -
- 2 59,166.66 - -
- - - - -
- - - 52 41,756.00
- - - - -
- - - - -
- - - - -
- - - - -
- 1,633 66,953.00 1,757 56,224.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2 6,000.00 - -
8,500.00 - - 253 21,505.00
- - - - -
- - - - -
- - - - -
- - - - -
- 237 173,010.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2 43,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 59 20,650.00 - -
- 154 93,170.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 51 34,986.00 - -
- 14 252,000.00 - -
- - - - -
- - - - -
- - - - -
- 85 6,120.00 - -
- - - - -
- - - - -
74,550.00 - - 24 85,200.00
10,700.00 - - 10 26,750.00
- - - - -
- - - - -
- - - 1 500,000.00
- - - - -
- 10 1,940.00 - -
515,424.00 - - 4,897 577,846.00
- - - - -
- - - - -
- 6 1,482.00 - -
- - - -
- 60 3,360.00 - -
- 48 2,928.00 150 8,850.00
4,704.00 - - 20 1,680.00
12,544.00 - - 335 18,760.00
- - - - -
- - - - -
- - - - -
- 80 11,920.00 - -
- 37 97,643.00 1 2,475.00
- - - - -
112,980.00 - - 1,876 196,980.00
- - - - -
- - - - -
- 1 6,435.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
292,168.00 - - 4,857 286,563.00
- - - 1 12,500.00
- 348 21,576.00 - -
- 672 53,760.00 - -
- - - 40 9,200.00
- 12 30,000.00 - -
- - - - -
- - - - -
- - - - -
- 63 22,837.50 - -
- 20 12,120.00 - -
8,100.00 - - 98 26,460.00
- 12 31,140.00 - -
- - - - -
- - - 533 165,230.00
85,064.00 - - 23 69,874.00
63,954.00 - - 30 56,430.00
141,000.00 - - 2 9,400.00
- 2 17,820.00 - -
103,576.00 - - 5,774 127,028.00
- - - - -
26,901.00 - - 255 37,485.00
- - - - -
- - - - -
- - - - -
38,988.00 - - - -
- 723 93,267.00 - -
- - - - -
- - - - -
- - - - -
- 6 6,666.00 - -
- - - - -
- - - - -
- - - - -
- 40 4,920.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 324 30,456.00 - -
- 7 6,083.00 - 37
- - - - -
- 78 20,893.08 - -
- - - - -
16,821.00 - - 139 12,371.00
- 44 4,972.00 - -
- 5 16,250.00 23 78,522.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
34,800.00 - - 1,100 66,000.00
92,672.00 - - 639 81,792.00
- - - - -
- - - - -
- - - - -
67,500.00 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 5 39,750.00
- - - - -
- 11 17,600.00 - -
- - - - -
- - - - -
- - 8 15,200.00 - -
52,260.00 - - 615 79,950.00
- - - - -
- 31 9,207.00 - -
- - - - -
- - - - -
157,194.00 - - 154 170,478.00
- 6,762 331,338.00 5,863 310,739.00
- - - - -
- 3 9,000.00 - -
- 11 133,705.00 - -
- - - - -
- - - - -
- - - - -
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1 2,900.00 - -
- 1 18,000.00 - -
- 55 4,180.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
74,235.00 - - 987 103,635.00
- - - 450 129,600.00
- 700 321,300.00 3,150 1,628,550.00
- - - - -
- - - - -
- 1 7,150.00 3 21,450.00
- 2 5,100.00 - -
- 401 31,278.00 35 2,205.00
60,283.00 - - 50 131,050.00
- - - - -
- - - - -
- 65 565,565.00 - - - -
115,500.00 - - - -
- - - - -
- - - - -
- - - - -
1,407,835.00 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
660.00 - - 26 2,860.00
- 44 10,076.00 - -
- 252 70,812.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 571 199,850.00 1,304 460,312.00
- - - - -
- - - - -
- - - - -
- 10 1,660.00 - -
14,544.00 - - 45 13,635.00
245,735.00 - - 4,232 359,720.00
- - - - -
47,940.00 - - 578 49,130.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,273 64,923.00 - -
280,042.00 - - 3,445 285,935.00
- - - - -
- 95 48,830.00 - -
- - - - -
23,000.00 - - - -
- 460 384,054.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- 10 8,160.00 14 12,754.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 19 19,380.00 -
- - -
- - -
- 2 8,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 2,597 306,446.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- 1 4,180.00 -
- - -
218.00 - 1 109.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
77,500.00 - 30 46,500.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 1,260,000.00 - -
1 66,750.00 - -
1 66,750.00 - -
1 88,750.00 - -
1 108,750.00 - -
- -
-
-
-
-
-
-
-
-
5,978,162.84 2,156,565.00 5,810,652.82 8,545,640.00
18,028,595.21 14,418,700
5,978,162.84 8,545,640.00
Agustus
- -
- -
- -
- -
- -
503 328,212.53 -
- -
27,405.42 - - 658 429,351.58
39 38,181.00 - 54
- - -
- - 88 10,211.52 -
- - - - -
42 3,738.00 - 45
13 2,730.00 - - 9
1 3,900.00 - - 1
3 445.50 - - 135
- - - - -
10 910.00 - - 60
-
- - - -
- - - - -
- - 413 38,409.00 -
539
- - 37,730.00 -
- - 4,800 1,118,400.00 -
120 23,400.00 - 81
102 191,862.00 - -
37 147,408.00 - 51
- - - - -
- - - - -
- - - - -
- - - - -
425 102,850.00 - - 301
3,804 220,632.00 - - 3,188
- - 14 27,930.00 -
15
- - 47,505.00 -
40 172,920.00 - 8
- - - -
- - - - -
1 60,800.00 - - 1
- - - - -
- - - - 3
- - - 10
- - 1 24,200.00 -
- - 1,389 145,845.00 -
- - 135 7,020.00 -
- - 1,015 104,545.00 -
- - - -
47 4,324.00 - 23
19 59,090.00 8 25,120.00 -
29 6,960.00 - - 23
- - 185 70,300.00 -
26 3,692.00 - - -
- - 4 4,400.00 -
- - - - -
- - - -
- - - -
- - - - -
- - 38 50,920.00 -
- - - - -
- - - -
1,689 599,595.00 - - 3,120
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 2
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 3,204 102,528.00 -
-
- - - -
- - - -
- - - -
- - - - -
- - - - -
1 3,000.00 - - -
- - 191 16,235.00 -
- - - - -
- - - -
- - - - -
- - - - -
9 6,570.00 21 15,750.00 -
- - - - -
- - - -
- - - - -
- - - - -
3 64,500.00 - - 1
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
61 21,350.00 - - 45
21 12,705.00 - - 77
- - - - -
- - - - -
- - - - -
- - - - 22
70 48,020.00 - - 20
- - - - -
- - - - -
- - - - -
- - - - -
36 2,592.00 7 539.00 -
- - - - -
- - - -
- - - - -
- - 17 45,475.00 -
- - 8 33,856.00 -
- - - -
- - - -
- - - - -
10 1,940.00 - - 14
- - 3,592 423,856.00 -
- - - - -
- - - -
5 1,235.00 - - -
- - - - -
24 1,344.00 36 1,980.00 -
- - 230 13,570.00 -
- - 20 1,680.00 -
- - 245 13,720.00 -
- - - -
- - - -
- - - - -
55 8,195.00 - - 121
- - 49 121,275.00 -
- - - - -
- - 643 67,515.00 -
- - - - -
- - - -
5 32,175.00 - - -
- - - - -
- - - - -
- - - - 2
2 20,988.00 - - 7
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1
- - 4,869 287,271.00 -
2 25,000.00 - - -
305 18,910.00 - 717
399 31,920.00 - - -
- - 70 16,100.00 -
30 75,000.00 - - 6
- - - -
- - - - -
- - - - -
28 10,150.00 3 1,500.00 -
27 16,362.00 - - 34
- - 37 9,990.00 -
13 33,735.00 - - 2
- - - -
- - 33 10,230.00 -
- - 46 139,748.00 -
- - 38 71,478.00 -
- - - -
4 35,640.00 - 1
- - 6,497 142,934.00 -
1 24,000.00 - - -
- - 226 33,222.00 -
- - - -
- - - -
- - - - -
- - 65 133,380.00 -
201 25,929.00 - - 78
- - - -
2 71,064.00 - - -
16 30,992.00 - - -
12 13,332.00 3 3,432.00 -
- - - - -
- - - -
- - - - -
60 7,380.00 - - 131
- - - - 2
- - - - -
- - - - -
- - - - 253
230 21,620.00 - - 264

35,002.00 - - - 46 43,516.00 -
- - - - - -
57 15,268.02 - - 153
- - - - - -
- - 223 19,847.00 - -
- - - - - 9
18
- - 61,452.00 - -
-
- - - - -
- - - - -
-
- - - - -
- - - - - -
-
- - - - -
- - 952 57,120.00 - -
- - 459 58,752.00 - -
- - - - -
- - - - -
- - - - - -
- - 1 13,500.00 - -
- - - - - 39
- - - - -
- - - - - -
- - - - - -
- - - - - -
- - - -
- - 9 3,504,096.00 - -
- - - - - -
- - - - -
- - - - - -
- - - - - -
4 6,400.00 5 12,500.00 - -
- - - - - -
- - - - -
20 38,000.00 - - - 25
- - 498 64,740.00 - -
- - - - - -
56 16,632.00 - - 96
- - - - - -
- - - - - -
- - 357 395,199.00 - -
- - 13,468 713,804.00 - -
- - - - -
- - - - -
2 24,310.00 - - - 2
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - -
- - - - - -
- - - - - -
1 2,900.00 - - - -
- - 1 18,000.00 - -
207 15,732.00 - - - 55
- - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 1,060 111,300.00 - -
- - 50 14,400.00 - -
- - - - -
- - - - -
- - - - - -
- - 11 78,650.00 - -
- - 1 3,000.00 - -
- - 293 18,459.00 - -
- - 74 193,954.00 - -
- - - - -
150 1,155,000.00 - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - -
- - 1 20,833.33 - -
- - - - - -
7 163,100.00 - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
41 9,389.00 - - - 30
156 43,836.00 - - - 121
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 12,745 4,498,985.00 - -
- - - - - -
- - - - -
- - - - - -
- - - - - -
- - 72 21,816.00 - -
- - 3,125 265,625.00 - -
- - - - -
- - 540 45,900.00 - -
- - - - - -
- - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
1,100 56,100.00 - - - 1,200
- - 3,739 310,337.00 - 4,551
- - - - - -
94 48,316.00 - - 41
- - - - - -
- - 63 724,500.00 - -
75 62,617.50 - - - 83
- - -
- - - -
- - -
- - -
- - -
- - -
- 49 44,639.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
33 33,660.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - - 2
- - -
- - -
- - -
2,130 251,340.00 - - 2,785
- - -
- - -
- - -
- - -
- - -
- - -
4 98,000.00 - -
- -
-
- - -
- - -
- - -
- 3 327.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 10 2,765,000.00
- 3 4,302,000.00 -
- - -
- - -
- - 300 2,961,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
25 - -
15 - -
65 - -
20 - 17 339,218.00
19 - 1 169,653.00
20 - 90 2,538,360.00
20 - 6 934,878.00
- -
- -
50 - -
500 - 900 1,042,200.00
500 - 60 98,400.00
- 15 336,495.00
- 2 157,982.00
- -
- -
- -
- -
62,407.42 4,677,898.55 18,993,534.85 11,816,053.58
14,418,700.24 35,487,486.98
18,993,534.85
September Oktober
- - - 543
- - -
- 15 9,801.15 - 20
- - -
- - -
- - 8 5,220.08
- - -
- - 341 222,505.91 -
52,866.00 - - - 69 67,551.00
- - - - - 8,117
- - - - -
- - - 100 10,500.00 -
4,005.00 - - - 149 13,261.00
1,890.00 - - - 36 7,560.00
3,900.00 - - - -
20,047.50 - - - -
- - - - -
5,460.00 45 4,005.00 - - 57
- - - - -
- - - - -
- 103 9,579.00 - - 271
- 619 43,330.00 - - 841
- 4,593 1,070,169.00 - - 4,430
15,795.00 - - - 269 52,455.00
- - - - -
203,184.00 - - - 7 27,888.00 8
- - - - -
- - - - -
- - - - -
- - - - -
72,842.00 - - - 379 91,718.00
184,904.00 1,173 63,342.00 - - 4,322
- 10 19,950.00 - - 18
- 13 41,171.00 - - 23
34,584.00 - - - 19 82,137.00
- 100 17,300.00 - -
- - - - -
60,800.00 - - - -
- - - - -
222,000.00 - - - 2 148,000.00
23,020.00 - - - -
- 1 24,200.00 - -
- 1,346 141,330.00 - - 1,625
- 328 17,056.00 - - 196
- 1,151 118,553.00 - - 1,070
- - - - -
2,116.00 - - - 20 1,840.00
- 16 50,240.00 - - 39
5,520.00 - - - 147 35,280.00
- 184 69,920.00 - - 617
- - - - 6 852.00
- 10 11,000.00 - -
- - - - -
- - - - 2 3,776.00
- - - - -
- - - - -
- 47 62,980.00 - - 44
- - - - -
- - - - 5 67,100.00
1,107,600.00 - - - 1,630 578,650.00
- - - - -
- - - - -
- 10 225,000.00 12 741,600.00 -
- - - - -
- - - - -
59,166.66 - - - -
- - - - -
- 18 14,454.00 - - 4
- - - - -
- - - - -
- - - - -
- - - - -
- 3,538 113,216.00 - - 2,907
- - - - -
- - - - 2 2,120.00
- - - - -
- - - - -
- - - - 15 4,020.00
- - - - - 2
- 211 17,935.00 - - 304
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - 54
- - - - -
- - - - -
- - - - -
- - - - -
21,500.00 - - - 2 43,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
15,750.00 - - - 35 12,250.00
46,585.00 - - - 252 152,460.00
- - - - -
- - - - -
- - - - -
78,100.00 - - - 22 78,100.00
13,720.00 - - - 110 75,460.00
- - - - 5 90,000.00
- - - - -
- - - - -
- - - - -
- 49 3,773.00 - - 62
- - - - -
- - - - -
- - - - - 13
- 17 45,475.00 - -
- 21 88,872.00 - - 27
- - - - -
- - - 1 275,924.71 -
- - - - -
2,716.00 - - - 10 1,940.00
- 1,257 148,326.00 - - 879
- - - - -
- - - - -
- - - - -
- - - - -
- 50 2,750.00 - - 20
- 270 15,930.00 - - 295
- 349 29,316.00 - - 221
- 185 10,360.00 - - 189
- - - - -
- - - - -
- - - - -
18,029.00 - - - 182 27,118.00
- 33 81,675.00 - - 59
- - - - -
- 59 6,195.00 - - 81
- - - - -
- - - - -
- - - - 10 64,350.00
- - - - -
- - - - -
20,988.00 - - - 5 52,470.00
73,458.00 - - - 5 52,470.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
290,000.00 - - - -
- 5,199 306,741.00 - - 4,770
- - - - -
44,454.00 - - - 560 34,720.00
- - - - -
- 60 13,800.00 - -
15,000.00 26 67,340.00 - - 17
- - - - -
- - - - -
- 1 123,000.00 - -
- - - - - 9
20,604.00 - - - 17 10,302.00
- 83 22,410.00 - - 183
5,190.00 - - - - 2
- - - - -
- 222 68,820.00 - - 117
- 39 118,482.00 - - 50
- 20 37,620.00 - - 36
- 2 9,400.00 - -
8,910.00 - - - 7 62,370.00
- 6,047 133,034.00 - - 6,028
- - - - 1 24,000.00
- 279 41,013.00 - - 245
- - - - -
- - - - -
- - - - -
- 38 77,976.00 - - 16
10,062.00 - - - 75 9,675.00
- - - - -
- - - - - 4
- - - - -
- - - - - 19
- - - - -
- - - - -
- - - - -
16,113.00 - - - 25 3,075.00
6,400.00 - - - 2 6,400.00
- - - - -
- - - - 187 135,762.00
183,678.00 - - - 100 72,600.00
24,816.00 - - - 482 45,308.00
- - 58 54,868.00 -
- 10 29,590.00 - - 10
40,982.58 - - - 164 43,929.04
- - - - -
- 215 19,135.00 - - 309
1,017.00 - - - 82 9,266.00
- 25 85,350.00 - - 41
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 751 45,060.00 - - 1,136
- 697 89,216.00 - - 655
- - - - 1 6,410.00
- - - - -
- - - - -
- 4 54,000.00 - -
20,397.00 - - - - 25
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 11 4,282,784.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 27 67,500.00 - - 27
- - - - -
- - - - -
47,500.00 - - - -
- 549 71,370.00 - - 336
- - - - -
28,512.00 7 4,480.00 - - 67
- - - - -
- - - - -
- 174 192,618.00 - - 174
- 15,193 805,229.00 - - 15,800
- - - - -
- - - - -
24,310.00 - - - 15 182,325.00
- - - - -
- - - - -
- - - - -
- - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1 2,900.00
- - - - - 4
4,180.00 - - - 75 5,700.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,264 132,720.00 - - 531
- - - - -
- - - - -
- - - - -
- - - - -
- 10 71,500.00 - - 21
- - - - -
- 268 16,884.00 - - 295
- 54 141,534.00 - - 30
- - - - -
- - - - -
- - - - -
- - - - -
- 50 968,000.00 - -
- - - - -
- - - 200 1,777,600.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - 80
6,870.00 - - - 33 7,557.00
34,001.00 65 17,225.00 - - 126
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,082 381,946.00 - - 16,966
- - - - -
- - - - -
- - - - -
- - - - 112 18,592.00
- 108 32,724.00 - - 111
- 3,949 335,665.00 - - 4,510
- - - - -
- 603 51,255.00 - - 673
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
61,200.00 - - - 1,584 80,784.00
523,365.00 - - - 4,411 507,265.00
- - - - -
21,074.00 - - - 160 82,240.00
- - - - -
- - - - -
69,296.70 - - - 53 44,249.70
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 24 21,864.00 - - 101
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
429,970.00 - - 4 859,940.00
- - - -
- - - - 2
- - - -
328,630.00 - - 3,155 372,290.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1 4,185.00 -
1 151,242.86 -
1 385,000.00 -
- - -
-
- - - -
- - - -
- - - -
- 5 545.00 - - 28
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - -
- - -
- - -
- - - 12
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
5 98,500.00 - -
- - -
- 3 829,500.00 -
- 4 4,790,000.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
- -
4 2,652,700.00 -
- -
60 3,123,000.00 -
-
- -
53 17 435,149.00 -
5 15 992,310.00 -
50 4,214,100.00 -
37 738,298.00 -
25 4,241,325.00 -
- -
28 4,362,764.00 -
19 23 390,885.00 -
- -
400 - -
1,200 1,389,600.00 -
100 164,000.00 -
- -
58 4,581,478.00 -
- -
- -
- -
- -
4,637,078.44 11,613,533.15 36,528,535.48 4,466,705.82
52,779,147.07
11,613,533.15
Oktober Nopember
194,394.00 - - 286 102,388.00

- - - -
13,068.20 - - 10 6,534.10
- - - -
- - - -
- - 208 135,722.08 -
- - - -
- 220 143,552.20 - - 264
- - 87 85,173.00 - -
3,271,151.00 - - - - -
- - - - - -
- 200 21,000.00 - - - -
- - 111 9,879.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
5,073.00 - - - 51 4,539.00
- - - - - -
- - - - - -
25,203.00 - - - 614 57,102.00
58,870.00 - - - 102 7,140.00
1,032,190.00 - - - 3,333 776,589.00
- - 121 23,595.00 - -
- 72 180,000.00 - - - 98
27,200.00 - - - 12 40,800.00
- - - - - -
- - - - 56 31,920.00
- - - - - -
- - - - - -
- - 138 33,396.00 - -
233,388.00 - - - 2,801 151,254.00
35,910.00 - - - 15 29,925.00
72,841.00 - - - 32 101,344.00
- - 5 21,615.00 16 71,936.00
- - - - - -
- - - - - -
- - 1 60,800.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
170,625.00 - - - 1,428 149,940.00
10,192.00 - - - 132 6,864.00
110,210.00 - - - 821 84,563.00
- - - - - -
- - 34 3,128.00 -
122,460.00 - - - 26 81,640.00
- - 46 11,040.00 143 33,748.00
234,460.00 - - - 707 268,660.00
- - 38 5,396.00 80 10,880.00
- - - - 8 8,800.00
- - - - - -
- - 12 22,656.00 - -
- - - - 17 40,800.00
- - - - - -
58,960.00 - - - 71 95,140.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 12 741,600.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
3,212.00 - - - 12 9,636.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
93,024.00 - - - 2,098 67,136.00
- - - - - -
- - - - - -
- - - - - -
- - 123 12,177.00 - -
- - - - - -
5,400.00 - - - 7 18,900.00
25,840.00 - - - 542 46,070.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
40,500.00 - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 2 43,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - -
- - 114 39,900.00 - -
- - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 42 28,812.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
4,774.00 - - - - -
- - 43 11,180.00 - -
- - - - - -
46,150.00 - - - - -
- - - - 5 13,375.00
114,264.00 - - - 20 84,640.00
- - - - - -
- - - - - -
- - - - - -
- - 5 970.00 - -
103,722.00 - - - 1,616 190,688.00 716
- - - - - -
- - - - - - 10.00
- - - - - -
- - - - - -
1,100.00 - - - - -
17,405.00 - - - 190 11,210.00
18,564.00 - - - 180 15,120.00
10,584.00 - - - 382 21,392.00
- - - - - -
- - - - - -
- - - - - -
- - 91 13,559.00 - -
146,025.00 - - - 48 118,800.00
- - - - - -
8,505.00 - - - 37 3,885.00
- - - - - 412.00
- - - - - -
- - - - 2 12,870.00
- - - - - -
- - 14 1,260.00 - -
- - - 33 346,302.00
- - 22 230,868.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
281,430.00 - - - 4,968 293,112.00
- - 2 25,000.00 - -
- - 379 23,498.00 - -
- - - - - -
- - - - 90 20,700.00
44,030.00 - - - 22 56,980.00
- - - - - -
- - - - - -
- - - - 1 123,000.00
4,500.00 - - - 5 2,500.00
- - - - - -
49,410.00 - - - 136 36,720.00
5,036.00 - 6 15,570.00 - -
- - 36 20,808.00 - -
36,270.00 - - - 171 53,010.00
151,900.00 - - - 26 78,988.00
67,716.00 - - - 23 43,263.00
- - - - - -
- - 5 44,550.00 - -
132,616.00 - - - 4,891 107,602.00
- - 1 24,000.00 - -
36,015.00 - - - 295 43,365.00
- - - - - -
- - - - - -
- - - - - -
32,832.00 - - - 18 36,936.00
- 268 33,500.00 - - - 413
- - 3 36,228.00 - -
142,128.00 - 2 71,064.00 - -
- - - - - -
21,736.00 - - - 3 3,432.00
- - - - - -
- - - - - -
- - - - 1 41,000.00
- - 96 11,808.00 - -
- - - - - -
- - - - - -
- - 36 26,136.00 - -
- - - - - -
- - 395 37,130.00 - -
- 92 87,032.00 - - - 32
29,590.00 - - - - -
- - 113 30,268.18 - -
- - - - - -
27,501.00 - - - 137 12,193.00
- - 123 13,899.00 - -
139,974.00 - - - 26 88,764.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
68,160.00 - - - 1,018 61,080.00
83,840.00 - - - 597 76,416.00
- - 2 12,820.00 - -
- - - - - -
- - - - - -
- - - - 13 175,500.00
14,000.00 - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - -
- - - - 15 5,840,160.00
- - - - - -
- - - - - -
- - - - - - 11
- - - - - -
67,500.00 - - - 13 32,500.00
- - - - - -
- - - - - - 11
- - - - 30
43,680.00 489 67,971.00 - - - - 943
- - - - - -
42,880.00 - - - 40 25,600.00
- - - - - -
- - - - - -
192,618.00 - - - 176 194,832.00
837,400.00 - - - 14,319 758,907.00
- - - - - -
- - - - - -
- - 4 48,620.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - -
- - - - 100 19,500.00 136
- - - - - -
- - - - - -
- - - - - -
- - - - - -
72,000.00 - - - - -
- - 191 14,516.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
55,755.00 - - - 100 10,500.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
150,150.00 - - - 12 85,800.00
- - - - 1 3,000.00
18,585.00 - - - 207 13,041.00
78,630.00 - - - 14 36,694.00
- - - - - -
- - - - - -
- 50 435,050.00 - - - - 102
- - - - - -
- - - - - -
- - - - - -
- 100 888,800.00 - - - -
- - - - 132 1,038,180.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
8,800.00 - - - 20 2,200.00
- - 53 12,137.00 29 5,945.00
33,390.00 - - - 209 55,385.00 41
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
5,988,998.00 - - - 5,060 1,786,180.00
- - - - - -
- - - - - -
- - - - - -
- - 30 4,980.00 - -
33,633.00 - - - 83 25,149.00
383,350.00 - - - 3,397 288,745.00
- - - - - -
57,205.00 - - - 835 70,975.00
- - - - - -
- - 118 118,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 977 49,827.00 - -
- - 2,838 326,370.00 429 35,607.00
- - - - - -
- - 95 48,830.00 - -
- - - - - -
- - - - - -
- - 424 353,997.60 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
92,011.00 - - 97 88,367.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 13 1,924.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 4 859,940.00 -
- - - -
2,399,970.00 - - -
- - - -
- - 2,473 291,814.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 9 37,665.00 - - 14
- - - -
- - - -
- 460 65,780.00 - - 476
- 2
1,000
- - - -
- - 2 8,360.00 -
- - - -
3,052.00 - - 30 3,270.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
18,600.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 25 639,925.00 - - 30
- 15 992,310.00 - - 15
- 17 1,432,794.00 - - 10
- 50 997,700.00 - - 50
- - - -
- - - -
- 20 3,116,260.00 - - 20
- 40 679,800.00 - - 20
- - - - 105
- - - -
- 500 579,000.00 - -
- 30 49,200.00 - - 30
- 3 67,299.00 - - 7
- 43 3,396,613.00 - - 65
- - - -
- - - -
- 100 118,500.00 - - 2,500
- - - - 213
18,262,155.20 14,771,351.20 3,326,220.86 14,897,628.10
37,500,212.22 41,824,148
18,262,155.20 14,897,628.10
Desember
- - - -
- - - -
- - - -
- - - -
- - - -
- 210 137,027.10 - -
- - - -
172,262.64 - - 303 197,710.53
- 19 18,601.00 120 94,090.80 -
- - - -
- - - -
- - - -
- 79 7,031.00 - -
- 4 840.00 - -
- - - -
- - - -
- - - -
- - 92 8,188.00 -
- - - -
- - - -
- - 365 33,945.00 -
- - 352 24,640.00 -
- - 3,394 790,802.00 -
- 92 17,940.00 - -
245,000.00 - - 111 277,500.00
- - 10 34,000.00 -
- - - -
- - 19 10,830.00 -
- - - -
- - - -
- 246 59,532.00 106 23,161.00 -
- - 2,657 143,478.00 -
- - 13 25,935.00 -
- - 26 82,342.00 -
- - 23 103,408.00 -
- - 6 1,038.00 -
- - - -
- 2 121,600.00 - -
- - - -
- 1 74,000.00 - -
- - - -
- - 1 24,200.00 -
- - 916 96,180.00 -
- - 319 16,588.00 -
- - 584 60,152.00 -
- - - -
- - - -
- - 32 100,480.00 -
- - 47 11,092.00 -
- - 308 117,040.00 -
- - 158 21,488.00 -
- - 2 2,200.00 -
- - - -
- 5 9,440.00 - -
- - 19 45,600.00 -
- - - -
- - 51 68,340.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,831 58,592.00 594 148,500.00
- - - -
- 3 3,180.00 - -
- - - -
- 77 7,623.00 - -
- - - -
- - 12 32,400.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 72 54,000.00 -
- - - -
- - - -
- - - -
- - - -
- 1 21,500.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 107 37,450.00 - -
- - - -
- - - -
- - - -
- - - -
- 19 67,450.00 - -
- 60 41,160.00 - -
- - - -
- - - -
- - - -
- - - -
- - 15 1,155.00 -
- 113 29,380.00 86 22,360.00 -
- - - -
- - - -
- - 6 16,050.00 -
- - 31 131,192.00 -
- - - -
- - - -
- - - -
- 23 4,462.00 - -
92,227.96 - - 2,963 381,664.03
- - - -
69,000.00 3 15,600.00 - -
- - - -
- - - -
- - 60 3,300.00 -
- - 300 17,700.00 -
- - 205 17,220.00 -
- - 395 22,120.00 -
- - - -
- - - -
- - - -
- 62 9,238.00 - -
- - 30 74,250.00 -
- - - -
- - 27 2,835.00 -
163,152.00 - - 552.00 218,592.00
- - - -
- - 11 70,785.00 -
- - - -
- 6 540.00 - -
- - 18 188,892.00 -
- 10 104,940.00 - -
- 2 20,988.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 5,656 333,704.00 -
- 1 12,500.00 - -
- 569 35,278.00 - -
- - - -
- - 30 6,900.00 -
- - 14 36,260.00 -
- - - -
- - - -
- - - -
- - 16 8,000.00 -
- 53 32,118.00 - -
- - 147 39,690.00 -
- 8 20,760.00 - -
- - - -
- - 24 7,440.00 -
- - 23 69,874.00 -
- - 14 26,334.00 -
- - 4 18,800.00 -
- 10 89,100.00 - -
- - 4,885 107,470.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 23 47,196.00 -
51,625.00 - - 341 42,625.00
- - - -
- - 1 35,532.00 -
- - - -
- - 39 44,616.00 -
- - - -
- - - -
- - - -
- 48 5,904.00 - -
- - - -
- - - -
- 6 4,356.00 - -
- - - -
- 38 3,572.00 216 20,736.00 -
30,272.00 - - -
- - - -
- 46 12,321.56 - -
- - - -
- - 246 21,894.00 -
- 29 3,277.00 - -
- - 31 105,834.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 996 59,760.00 -
- - 589 75,392.00 -
- 2 12,820.00 - -
- - - -
- - - -
- - 5 67,500.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 9 3,504,096.00 -
- - - -
- - - -
106,117.00 - - 30 289,410.00
- - - -
- - 27 67,500.00 -
- - - -
53,724.00 - - -
53,550.00 - - -
131,077.00 - - -
- - - -
- - 34 21,760.00 -
- - - -
- - - -
- - 205 226,935.00 -
- - 12,318 652,854.00 -
- - - -
- - - -
- 7 85,085.00 - -
- - - -
- - - -
- - - -
- - - -
21,841.60 - - 288 46,252.80
- - - -
- - - -
- - - -
- 3 8,700.00 - -
- - 2 36,000.00 -
- 53 4,028.00 119 8,092.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 568 59,640.00 -
- - - -
- - - -
- - - -
- - - -
- - 4 28,600.00 -
- - - -
- - 175 11,025.00 -
- - 20 52,420.00 -
- - - -
- - - -
887,502.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 50 5,500.00 -
- - 26 5,330.00 -
20,500.00 - - 159 79,500.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 15,938 5,626,114.00 -
- - - -
- - - -
- - - -
- - - -
- - 66 19,998.00 -
- - 2,780 236,300.00 -
- - - -
- - 960 81,600.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 866 44,166.00 - -
- - 3,271 271,493.00 -
- - - -
- 199 102,286.00 - -
- - - -
- - - -
- 50 41,745.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 34 30,974.00 -
- - - 3 36,663.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 42 6,216.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 5 1,799,900.00 - -
- - - -
- - - -
- 2,078 245,204.00 - -
- - - 59 32,450.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
58,590.00 - - -
- - - -
- - - -
68,068.00 - - 320 45,760.00
7,900.00 - - -
- 5 635.00 - -
257,000.00 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
767,910.00 - - 29 742,313.00
992,310.00 - - 8 529,232.00
842,820.00 - - 55 4,635,510.00
997,700.00 - - 40 798,160.00
- - - -
- - - -
3,116,260.00 - - -
339,900.00 - - -
1,889,580.00 - - -
- - - -
- - - -
49,200.00 - - 30 49,200.00
157,031.00 - - -
5,134,415.00 - - -
- - - -
- - - 20 3,325,300.00
2,962,500.00 - - 500 592,500.00
3,861,264.00 - - 20 362,560.00
23,600,299.20 3,379,493.66 14,731,231.80 12,831,402.36
41,824,148.16 30,942,127.82
14,731,231.80
- - 829 296,782.00 - -
- - - - - -
- - 45 29,403.45 - -
- - - - - -
- - - - - -
1,080 704,710.80 - - - -
- - - - - -
1,928 1,526,976.00 688 544,896.00 1,828 1,192,788.28
588 575,652.00 120 94,090.80 - -
9 - 16,457 6,632,171.00 - -
- - 800 92,832.00 - -
117 23,025.60 - - 300 31,500.00
1,409 125,401.00 - - - -
252 52,920.00 - - - -
8 31,200.00 - - - -
143 21,235.50 - - - -
- - - - - -
471 42,861.00 245 21,805.00 - -
- - - - - -
- - - - - -
603 62,712.00 3,025 281,325.00 - -
181 15,385.00 7,242 506,940.00 - -
4,332 823,080.00 48,085 11,203,805.00 - -
1,503 293,085.00 - - - -
663 1,247,103.00 - - 281 702,500.00
165 657,360.00 30 102,000.00 - -
- - - - - -
520 188,240.00 202 115,140.00 - -
- - - - - -
- - - - - -
5,712 1,382,304.00 106 23,161.00 - -
39,539 2,293,262.00 10,953 591,462.00 - -
- - 164 327,180.00 - -
90 445,500.00 157 497,219.00 - -

172 743,556.00 39 175,344.00 - -
22 2,970.00 106 18,338.00 - -
- - - - - -
10 608,000.00 - - - -
2 320,400.00 - - - -
13 962,000.00 - - - -
10 23,020.00 - - - -
4 96,000.00 11 266,200.00 - -
8,160 848,640.00 9,369 983,745.00 - -
726 39,930.00 1,444 75,088.00 - -
7,466 746,600.00 5,291 544,973.00 - -
- - - - - -
293 26,956.00 - - - -
160 497,600.00 121 379,940.00 - -
501 120,240.00 190 44,840.00 - -
571 208,415.00 2,375 902,500.00 - -
1,272 180,624.00 238 32,368.00 - -
141 1,535,490.00 55 60,500.00 - -
- - - - - -
37 69,856.00 - - - -
120 123,000.00 36 86,400.00 - -
- - - - - -
289 389,861.00 345 462,300.00 - -
- - - - - -
9 120,780.00 - - - -
39,299 13,951,145.00 - - - -
- - - - - -
- - - - - -
12 270,000.00 63 1,417,500.00 24 1,483,200.00
- - 26 585,000.00 - -
- - - - - -
7 207,083.31 - - - -
34 833,000.00 - - - -
323 242,250.00 86 69,058.00 - -
355 34,080.00 500 45,000.00 - -
- - - - - -
- - - - - -
3 4,500.00 - - - -
15,692 643,372.00 15,335 490,720.00 594 148,500.00
- - - - - -
8 8,480.00 - - - -
12 1,248.00 - - - -
500 49,500.00 - - - -
25 6,700.00 - - - -
29 87,000.00 21 56,700.00 - -
812 77,140.00 1,900 161,500.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
294 214,620.00 147 110,250.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
17 365,500.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
820 287,000.00 - - - -
1,372 830,060.00 - - - -
- - - - - -
- - - - - -
- - - - - -
140 497,000.00 - - - -
795 545,370.00 - - - -
19 342,000.00 - - - -
- - - - - -
- - - - - -
- - - - - -
364 26,208.00 133 10,241.00 - -
747 194,220.00 86 22,360.00 - -
- - - - 262 1,545,800.00
48 145,920.00 168 596,400.00 - -
65 192,400.00 74 197,950.00 - -
21 87,570.00 116 490,912.00 - -
4 12,000.00 - - - -
1 480,840.00 1 500,000.00 1 275,924.71
10 1,000.00 - - - -
97 18,818.00 - - - -
13,967 1,659,279.60 28,600 3,374,800.00 3,679 473,891.99
- - - - - -
12 62,400.00 - - 10 69,000.00
220 54,340.00 - - - -
- - - - - -
629 35,224.00 166 9,130.00 - -
1,435 87,535.00 1,435 84,665.00 - -
460 57,960.00 1,085 91,140.00 - -
358 24,702.00 2,499 139,944.00 - -
- - - - - -
- - - - - -
- - - - - -
915 136,335.00 100 15,500.00 - -
339 894,621.00 220 544,500.00 - -
16 39,600.00 - - - -
7,107 724,914.00 5,873 616,665.00 - -
- - - - 964 381,744.00
- - - - - -
66 424,710.00 13 83,655.00 - -
- - - - - -
33 2,970.00 - - - -
39 409,266.00 51 535,194.00 - -
71 745,074.00 - - - -
2 20,988.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
2 4,566.66 - - - -
- - - - - -
3 29,865.00 105 1,086,855.00 - -
1 290,000.00 - - - -
10,996 615,776.00 47,354 2,793,886.00 - -
10 125,000.00 3 37,500.00 - -
4,823 299,026.00 - - - -
4,686 374,880.00 - - - -
98 26,460.00 390 89,700.00 - -
137 342,500.00 79 204,610.00 - -
4 220,000.00 - - - -
- - - - - -
- - 2 246,000.00 - -
160 58,000.00 33 16,500.00 - -
282 170,892.00 - - - -
299 83,720.00 740 199,800.00 - -
78 202,410.00 2 5,036.00 - -
55 31,790.00 - - - -
2,366 1,535,652.30 1,153 357,430.00 - -
73 225,643.00 272 826,336.00 - -
145 262,450.00 195 366,795.00 - -
11 51,700.00 58 272,600.00 - -
57 507,870.00 - - - -
15,939 589,743.00 43,405 954,910.00 - -
4 96,000.00 - - - -
558 80,352.00 1,798 264,306.00 - -
- - - - - -
- - - - - -
9 684.00 - - - -
176 376,640.00 304 623,808.00 - -
4,384 565,536.00 - - 1,022 127,750.00
6 72,456.00 - - - -
10 355,320.00 5 177,660.00 - -
16 30,992.00 - - - -
126 139,986.00 64 73,216.00 - -
- - - - - -
- - - - - -
6 246,000.00 4 164,000.00 - -
1,077 132,471.00 - - - -
6 19,200.00 - - - -
- - 88 334,048.00 - -
330 239,580.00 - - - -
651 472,626.00 - - - -
3,759 353,346.00 216 20,736.00 - -
129 112,101.00 - - 265 250,690.00
9 25,641.00 25 73,975.00 - -
1,087 291,163.82 - - - -
- - - - - -
1,278 115,020.00 2,768 246,352.00 - -
385 43,505.00 - - - -
186 604,500.00 164 559,896.00 - -
- - - - - -
2 13,200.00 - - - -
- - - - - -
- - - - - -
2 13,200.00 - - - -
3,544 1,927,936.00 7,925 475,500.00 - -
928 122,496.00 5,906 755,968.00 - -
19 121,790.00 - - - -
- - - - - -
- - - - - -
- - 38 513,000.00 - -
60 31,380.00 25 14,000.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
40 14,396,000.00 44 17,131,136.00 - -
2 2,495,968.00 - - - -
- - - - - -
- - 155 1,232,250.00 41 395,527.00
- - - - - -
82 131,200.00 99 247,500.00 - -
- - - - - -
7 20,482.00 10 58,000.00 11 53,724.00
164 311,600.00 - - 30 53,550.00
2,340 327,600.00 2,400 312,000.00 1,432 199,048.00
- - - - - -
1,262 374,814.00 148 94,720.00 - -
- - - - - -
44 768,152.00 - - - -
669 675,690.00 1,634 1,808,838.00 - -
90,421 4,430,629.00 76,961 4,078,933.00 - -
92 8,464.00 - - - -
85 255,000.00 - - - -
119 1,446,445.00 - - - -
- - - - - -
- - - - - -
- - - - - -
13,750 618,750.00 - - - -
925 109,890.00 2,000 390,000.00 424 68,094.40
- - - - - -
- - - - - -
- - - - - -
12 34,800.00 2 5,800.00 - -
11 198,000.00 7 126,000.00 - -
1,157 87,932.00 119 8,092.00 - -
- - - - - -
3 180.00 - - - -
- - - - - -
- - - - - -
- - - - - -
4,451 436,198.00 6,771 710,955.00 - -
450 127,800.00 500 144,000.00 - -
4,050 1,858,950.00 3,150 1,628,550.00 - -
- - - - - -
- - - - - -
74 529,100.00 66 471,900.00 - -
11 28,050.00 2 6,000.00 - -
1,557 121,446.00 1,273 80,199.00 - -
114 288,078.00 305 799,405.00 - -
- - - - - -
349 2,687,300.00 - - - -
- - 7 53,900.00 217 1,888,117.00
- - 500 3,850,000.00 - -
- - 50 968,000.00 - -
- - - - - -
265 2,084,225.00 - - 300 2,666,400.00
73 574,145.00 405 3,185,325.00 - -
- - - - - -
1 21,753.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 4 83,333.32 - -
- - - - - -
12 279,600.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
130 14,430.00 330 36,300.00 - -
240 54,960.00 55 11,275.00 - -
1,283 360,523.00 400 106,000.00 200 100,000.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
19 206,910.00 - - - -
60,463 21,162,050.00 53,095 18,742,535.00 - -
- - - - - -
- - - - - -
- - - - - -
248 41,168.00 - - - -
457 141,670.00 798 241,794.00 - -
7,814 640,748.00 36,570 3,108,450.00 - -
- - - - - -
2,776 222,080.00 5,227 444,295.00 - -
- - - - - -
158 158,000.00 - - - -
- - - - - -
- - - - - -
5 20,000.00 - - - -
- - 1 672,765.00 - -
- - - - - -
- - - - - -
16,566 844,866.00 - - - -
23,708 2,726,420.00 20,954 1,739,182.00 - -
- - - - - -
1,537 790,018.00 - - - -
- - 1,000 394,000.00 - -
- - 184 2,116,000.00 - -
2,580 2,154,042.00 - - - -
- - - - - -
- - - - - -
129 105,135.00 480 395,198.40 - -
115 937,250.00 25 205,000.00 - -
- - - - - -
7,166 4,055,956.00 - - - -
871 710,736.00 319 290,609.00 - -

75 802,500.00 10 124,000.00 3 36,663.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
55 8,140.00 - - - -
- - - - - -
112 114,240.00 - - - -
- - - - - -
- - - - - -
2 8,000.00 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
10 2,149,850.00 - - - -
25 8,999,500.00 - - - -
- - 2 2,399,970.00 - -
- - - - - -
17,989 2,122,702.00 - - - -
- - - - 59 32,450.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
2 116,666.66 - - - -
6 147,000.00 - - - -
2 20,800.00 - - - -
- - - - 24 100,440.00
- - - - 1 151,242.86
- - - - 1 385,000.00
- - - - 1,256 179,608.00
- - - - 2 7,900.00
5 635.00 - - - -
- - - - 1,000 257,000.00
- - - - - -
3 12,540.00 - - - -
- - - - - -
22 2,574.00 69 7,521.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 112 173,600.00 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 11 216,700.00 - -
- - - - - -
- - - - 13 3,594,500.00
- - 6 8,604,000.00 4 4,790,000.00
- - - - 3 3,975,000.00
- - - - 2 830,000.00
- - - - 600 5,922,000.00
- - - - 3 1,260,000.00
- - - - 1 66,750.00
- - - - 1 66,750.00
- - - - 1 88,750.00
- - - - 1 108,750.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 4 1,447,000.00
- - - - - -
- - - - -
- - - - 4 2,652,700.00
- - - - - -
- - - - 60 3,123,000.00
- - - - - -
- - - - - -
- - 78 - 101 2,585,297.00
- - 20 - 53 3,506,162.00
- - 65 - 132 11,125,224.00
- - 20 - 194 3,871,076.00
- - 19 - 26 4,410,978.00
- - 20 - 90 2,538,360.00
- - 20 - 74 11,530,162.00
- - 19 - 83 1,410,585.00
- - - - 105 1,889,580.00
- - 450 - - -
- - 500 - 2,600 3,010,800.00
- - 500 - 250 410,000.00
- - - - 25 560,825.00
- - - - 168 13,270,488.00
- - - - - -
- - - - 20 3,325,300.00
- - - - 3,100 3,673,500.00
- - - - 233 4,223,824.00
Total (Rp) 142,443,310.25 Total (Rp) 124,899,985.97 Total (Rp) 112,525,414.24
379,868,710.46
142,443,310.25 124,899,985.97 33,960,553.24

Lap. Tahunan 2019 BARU-1

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Lap. Tahunan 2019 BARU-1

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PEMERINTAH KABUPATEN SUMEDANG

DINAS KESEHATAN KABUPATEN SUMEDANG

LAPORAN TAHUNAN 2019

2 Alat Suntik Sekali Pakai 0.5 ml Pcs 1,249.45 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

4 Alat Suntik Sekali Pakai 10 ml (Aximed) Buah - 1,382.37 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

5 Alat Suntik Sekali Pakai 10 ml (Top Point) Buah 3,600.00 941.48 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

7 Alat Suntik Sekali Pakai 20 ml Buah - 1,478.28 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

17 Aminofilin Inj 24 mg/ml-10 ml Ampul 3,345.00 2,789.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

19 Aminofluid Botol 64,990.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

20 Amitriptilina HCl tablet salut 25 mg Tablet 112.00 167.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

27 Ampisilin 1 gr inj Ampul 9,176.00 8,237.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

29 Ampisilin Kaplet 500 mg Kaplet 597.00 570.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

37 Antiseptik Hand Rub 5 lt Galon 145,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

39 Antiseptik Surgical Hand Scrub 5 lt Galon 160,200.00 - - 2 320,400.00 - - - - - - - 2 320,400.00 - - - - 2 320,400.00 - - - - - - - - - - - - - -

46 Asering Botol 9,275.00 9,646.00 - 48 445,200.00 - - - - - - - 48 445,200.00 - - - - - - - - - - 48 445,200.00 - - - - - - - -

53 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 1,672.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

56 Benzatin benzil penisilin 1,2 juta IU/Vial Vial 14,500.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

58 Bisturi no 10 Buah 767.00 45 34,515.00 - - - - - - - 45 34,515.00 - - - - - - - - - - - - - - 45 34,515.00 - - - -

61 Carpul (Articain & Adrenalin) Ampul 10,914.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

62 Catgut Chromic 2/0 100 m Roll 940,554.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

70 Citoject Pcs 909,900.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

71 Clorofenol (CHKM) Ples 115,700.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

81 Ekstrak Belladona tablet 10 mg Tablet 38.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

82 Eosin 2% 1x100 ml Botol - 179,595.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

86 Eritromisin sirup kering 200 mg/5 ml Botol 6,700.00 6,090.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

87 Etambutol Hcl tablet 250 mg Tablet 314.00 366.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

88 Etambutol Hcl Tablet 500 mg Tablet 451.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

89 Etanol 70 %- 100 ml Botol 2,500.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

91 Etil Klorida semprot-100 ml Botol 124,900.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

92 Eugenol Cairan Botol 102,000.00 18,824.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

93 Female Catheter no 16 Pcs 5,720.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

94 Female Catheter no 18 Pcs 5,720.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

95 Fenitoin Kapsul100 mg Kapsul 152.00 - - 90 13,680.00 - - - - - - - 90 13,680.00 - - - - - - - - - - 90 13,680.00 - - - - - - - -

98 Fenol Gliserol Tetes telinga 10 % Botol 1,008.33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

100 Fitomenadion(Vit K1) inj 10 mg/ml-1ml Ampul 1,566.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

104 Folley Cathether 2 way no 20 Pcs 8,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

105 Folley Cathether no 16 Pcs 11,000.00 - 10,340.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

106 Folley Cathether no 18 Pcs 11,000.00 - 11,890.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

118 Glukosa Larutan infus 10% steril-500 ml Botol 5,700.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

121 Haloperidol Injeksi (Lodomer) Ampul 6,250.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

126 Hansaplast 2,5 cm x 4,5 m Roll 11,334.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

127 Hansaplast 7,5 cm x 4,5 m Roll 31,265.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

128 Hidrogen Peroksida 3% (H2O2) Botol 23,931.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

136 Isoniazida ( INH ) tablet 300 mg Tablet 170.00 173.00 173.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

141 IV Cateter 24 Buah 10,494.00 10,494.00 11,000.00 - - - - 70 734,580.00 - - - - 70 734,580.00 - - - - - - - - - - - - - - 70 734,580.00 - -

144 Jarum Citojek No 16 Pcs 2,093.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

145 Jarum Jahit kulit No.12 Pcs 2,283.33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

147 Kalium Permanganat Pot 8,700.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

156 Kasa hidrofil 36 m x 80 cm Roll 55,000.00 106,605.00 - 4 220,000.00 - - - - - - - 4 220,000.00 - - - - 4 220,000.00 - - - - - - - - - - - - - -

157 Kasa hidrofile 3 yard x 10 cm Buah - 1,380.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

170 Klorine Botol 24,000.00 - - 27 648,000.00 - - - - - - - 27 648,000.00 - - - - 4 96,000.00 - - - - - - - - 23 552,000.00 - - - -

173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 1,050.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

181 Lidocain Jeli 2% Syringe 40,000.00 41,600.00 - 3 120,000.00 - - - - - - - 3 120,000.00 - - - - - - - - - - - - - - 3 120,000.00 - - - -

193 Metoklopramide Inj Ampul 4,200.00 3,960.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

197 Mummying Pasta Botol 285,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

206 Nifedipin 10 mg Tablet 104.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

209 Nistatin tablet vaginal 500.000 IU/g Tablet 640.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

210 Norit Tablet 250.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

211 OAT Sisipan/FDC Sisipan Paket 160,000.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

218 OBH Plus Botol 10,600.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

233 PGA 2 75 C + Jarum 1/2 40 M Pcs 58,333.33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

234 Piralent Inj Ampul 7,240.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

235 Pirazinamid 500 mg Tablet 237.00 222.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -