LAMPIRAN REKAPITULASI SURAT PEMBAYARAN HUTANG

OBAT REGULER
INSTALASI FARMASI RSUD H. HANAFIE MUARA BUNGO

Monday, September 10, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 PT. JUNGER FARMA 0758 7/31/2012 00000758 Rp 271,368 Rp 27,550 Rp 4,133 Rp 303,050
2 PT. JUNGER FARMA 0676 7/13/2012 00000676 Rp 912,356 Rp 92,625 Rp 13,894 Rp 1,018,875
3 PT. JUNGER FARMA 0468 5/24/2012 00000468 Rp 636,310 Rp 64,600 Rp 9,690 Rp 710,600
Rp 1,820,034 Rp 184,775 Rp 27,716 Rp 2,032,525
4 PT. KEBAYORAN PHARMA 7917 8/14/2012 00008032 Rp 555,540 Rp 56,400 Rp 8,460 Rp 620,400
5 PT. KEBAYORAN PHARMA 7475 8/2/2012 00007582 Rp 14,635,565 Rp 1,485,844 Rp 222,877 Rp 16,344,286
6 PT. KEBAYORAN PHARMA 7503 8/3/2012 00007610 Rp 4,589,038 Rp 465,892 Rp 69,884 Rp 5,124,814
7 PT. KEBAYORAN PHARMA 7529 8/4/2012 00007636 Rp 10,803,480 Rp 1,096,800 Rp 164,520 Rp 12,064,800
8 PT. KEBAYORAN PHARMA 7530 8/4/2012 00007637 Rp 11,419,105 Rp 1,159,300 Rp 173,895 Rp 12,752,300
9 PT. KEBAYORAN PHARMA 7864 8/13/2012 00007979 Rp 1,262,583 Rp 128,181 Rp 19,227 Rp 1,409,991
10 PT. KEBAYORAN PHARMA 7865 8/13/2012 00007980 Rp 12,237,640 Rp 1,242,400 Rp 186,360 Rp 13,666,400
11 PT. KEBAYORAN PHARMA 7946 8/15/2012 00008061 Rp 8,027,750 Rp 815,000 Rp 122,250 Rp 8,965,000
12 PT. KEBAYORAN PHARMA 7947 8/15/2012 00008062 Rp 3,348,842 Rp 339,984 Rp 50,998 Rp 3,739,824
Rp 66,879,543 Rp 6,789,801 Rp 1,018,470 Rp 74,687,815
13 PT. SAPTA SARI TAMA 5542 7/27/2012 00005610 Rp 4,895,450 Rp 497,000 Rp 74,550 Rp 5,467,000
14 PT. SAPTA SARI TAMA 5539 7/27/2012 00005609 Rp 13,525,035 Rp 1,373,100 Rp 205,965 Rp 15,104,100
15 PT. SAPTA SARI TAMA 4871 7/5/2012 00004867 Rp 3,646,667 Rp 370,220 Rp 55,533 Rp 4,072,420
Rp 22,067,152 Rp 2,240,320 Rp 336,048 Rp 24,643,520
16 PT. ANUGRAH ARGON M 3497 8/13/2012 01006923 Rp 3,044,418 Rp 309,078 Rp 46,362 Rp 3,399,858
17 PT. ANUGRAH ARGON M 3499 8/13/2012 01006927 Rp 7,806,086 Rp 792,496 Rp 118,874 Rp 8,717,456
18 PT. ANUGRAH ARGON M 3498 8/13/2012 01006925 Rp 10,805,646 Rp 1,097,020 Rp 164,553 Rp 12,067,219
19 PT. ANUGRAH ARGON M 3561 8/14/2012 01012845 Rp 8,292,987 Rp 841,928 Rp 126,289 Rp 9,261,204
20 PT. ANUGRAH ARGON M 3571 8/14/2012 01012855 Rp 10,963,483 Rp 1,113,044 Rp 166,957 Rp 12,243,484
21 PT. ANUGRAH ARGON M 3661 8/15/2012 01020724 Rp 8,404,519 Rp 853,251 Rp 127,988 Rp 9,385,757
22 PT. ANUGRAH ARGON M 3660 8/15/2012 01020723 Rp 5,070,404 Rp 514,762 Rp 77,214 Rp 5,662,380
23 PT. ANUGRAH ARGON M 3122 8/6/2012 00970917 Rp 5,676,376 Rp 576,282 Rp 86,442 Rp 6,339,100
24 PT. ANUGRAH ARGON M 3120 8/6/2012 00970914 Rp 5,246,372 Rp 532,627 Rp 79,894 Rp 5,858,893
25 PT. ANUGRAH ARGON M 3315 8/9/2012 00989290 Rp 3,605,827 Rp 366,074 Rp 54,911 Rp 4,026,812
26 PT. ANUGRAH ARGON M 3319 8/9/2012 00989294 Rp 6,432,250 Rp 653,020 Rp 97,953 Rp 7,183,223
27 PT. ANUGRAH ARGON M 3326 8/9/2012 00989301 Rp 4,660,626 Rp 473,160 Rp 70,974 Rp 5,204,760
28 PT. ANUGRAH ARGON M 3324 8/9/2012 00989299 Rp 2,659,500 Rp 270,000 Rp 40,500 Rp 2,970,000
29 PT. ANUGRAH ARGON M 3325 8/9/2012 00989300 Rp 3,841,500 Rp 390,000 Rp 58,500 Rp 4,290,000
30 PT. ANUGRAH ARGON M 3323 8/9/2012 00989298 Rp 4,334,000 Rp 440,000 Rp 66,000 Rp 4,840,000
31 PT. ANUGRAH ARGON M 3318 8/9/2012 00989293 Rp 2,014,670 Rp 204,535 Rp 30,680 Rp 2,249,885
32 PT. ANUGRAH ARGON M 3335 8/9/2012 00990447 Rp 1,078,555 Rp 109,498 Rp 16,425 Rp 1,204,478
RETUR Rp 1,287,000 Rp 93,937,219 Rp 9,536,774 Rp 1,430,516 Rp 104,904,509
33 PT. MENSA BINA SUKSES 7013 7/26/2012 00785865 Rp 5,193,413 Rp 527,250 Rp 79,088 Rp 5,799,750
34 PT. MENSA BINA SUKSES 0984 7/27/2012 00789798 Rp 5,976,490 Rp 606,750 Rp 91,013 Rp 6,674,253
35 PT. MENSA BINA SUKSES 5322 7/28/2012 00794089 Rp 17,156,164 Rp 1,741,743 Rp 261,261 Rp 19,159,168
36 PT. MENSA BINA SUKSES 0710 7/30/2012 00799420 Rp 14,440,014 Rp 1,465,991 Rp 219,899 Rp 16,125,904
37 PT. MENSA BINA SUKSES 5679 7/31/2012 00804330 Rp 9,002,851 Rp 913,995 Rp 137,099 Rp 10,053,945
38 PT. MENSA BINA SUKSES 6615 7/31/2012 00805251 Rp 1,343,116 Rp 136,357 Rp 20,454 Rp 1,499,927
39 PT. MENSA BINA SUKSES 5244 8/4/2012 00823708 Rp 8,281,388 Rp 840,750 Rp 126,113 Rp 9,248,250
40 PT. MENSA BINA SUKSES 5245 8/4/2012 00823709 Rp 483,408 Rp 49,077 Rp 7,362 Rp 539,847
41 PT. MENSA BINA SUKSES 5209 8/10/2012 00843461 Rp 13,739,248 Rp 1,394,848 Rp 209,227 Rp 15,343,323
42 PT. MENSA BINA SUKSES 6789 8/13/2012 00854946 Rp 36,076,932 Rp 3,662,633 Rp 549,395 Rp 40,288,960
43 PT. MENSA BINA SUKSES 2907 8/14/2012 00860997 Rp 12,527,969 Rp 1,271,875 Rp 190,781 Rp 13,990,625
Rp 124,220,993 Rp 12,611,268 Rp 1,891,690 Rp 138,723,952
44 PT. ANUGRAH PHARMINDO L 3782 8/4/2012 01728428 Rp 1,820,390 Rp 184,811 Rp 27,722 Rp 2,032,923
45 PT. ANUGRAH PHARMINDO L 4564 8/14/2012 01760921 Rp 1,235,722 Rp 125,454 Rp 18,818 Rp 1,379,994
46 PT. ANUGRAH PHARMINDO L 4565 8/14/2012 01760922 Rp 19,458,813 Rp 1,975,514 Rp 296,327 Rp 21,730,654
47 PT. ANUGRAH PHARMINDO L 4589 8/14/2012 01760923 Rp 7,047,254 Rp 715,457 Rp 107,319 Rp 7,870,030
48 PT. ANUGRAH PHARMINDO L 4613 8/14/2012 01760924 Rp 1,960,938 Rp 199,080 Rp 29,862 Rp 2,189,880
49 PT. ANUGRAH PHARMINDO L 4614 8/14/2012 01760925 Rp 1,431,845 Rp 145,365 Rp 21,805 Rp 1,599,015
Rp 32,954,962 Rp 3,345,681 Rp 501,852 Rp 36,802,496
50 PT. PARIT PADANG GLOBAL 4299 8/4/2012 00010351 Rp 947,570 Rp 96,200 Rp 14,430 Rp 1,058,200
51 PT. PARIT PADANG GLOBAL 2462 8/8/2012 00010467 Rp 1,184,463 Rp 120,250 Rp 18,038 Rp 1,322,750
52 PT. PARIT PADANG GLOBAL 5271 8/14/2012 00010712 Rp 515,777 Rp 52,363 Rp 7,854 Rp 575,995
53 PT. PARIT PADANG GLOBAL 5269 8/14/2012 00010710 Rp 1,018,638 Rp 103,415 Rp 15,512 Rp 1,137,565
54 PT. PARIT PADANG GLOBAL 4301 8/14/2012 00010352 Rp 2,615,766 Rp 265,560 Rp 39,834 Rp 2,921,160
55 PT. PARIT PADANG GLOBAL 4629 8/8/2012 00010469 Rp 1,737,540 Rp 176,400 Rp 26,460 Rp 1,940,400
56 PT. PARIT PADANG GLOBAL 5268 8/14/2012 00010709 Rp 531,900 Rp 54,000 Rp 8,100 Rp 594,000
RETUR Rp 3,124,000 Rp 8,551,654 Rp 868,188 Rp 130,228 Rp 9,550,070
57 PT. MERAPI UTAMA PHARMA 9056 7/6/2012 00008872 Rp 1,457,810 Rp 148,001 Rp 22,200 Rp 1,628,011
58 PT. MERAPI UTAMA PHARMA 9151 7/10/2012 00008965 Rp 5,640,287 Rp 572,618 Rp 85,893 Rp 6,298,798
59 PT. MERAPI UTAMA PHARMA 9152 7/10/2012 00008966 Rp 8,597,080 Rp 872,800 Rp 130,920 Rp 9,600,800
60 PT. MERAPI UTAMA PHARMA 9475 7/18/2012 00009286 Rp 1,722,174 Rp 174,840 Rp 26,226 Rp 1,923,240
61 PT. MERAPI UTAMA PHARMA 9708 7/24/2012 00009514 Rp 6,203,353 Rp 629,782 Rp 94,467 Rp 6,927,602
62 PT. MERAPI UTAMA PHARMA 9710 7/24/2012 00009516 Rp 9,465,042 Rp 960,918 Rp 144,138 Rp 10,570,098
63 PT. MERAPI UTAMA PHARMA 9983 7/30/2012 00009784 Rp 9,132,546 Rp 927,162 Rp 139,074 Rp 10,198,782
64 PT. MERAPI UTAMA PHARMA 9984 7/30/2012 00009785 Rp 1,954,600 Rp 198,437 Rp 29,765 Rp 2,182,802
65 PT. MERAPI UTAMA PHARMA 0060 7/31/2012 00009859 Rp 1,037,205 Rp 105,300 Rp 15,795 Rp 1,158,300
66 PT. MERAPI UTAMA PHARMA 0044 7/31/2012 00009854 Rp 1,193,820 Rp 121,200 Rp 18,180 Rp 1,333,200
67 PT. MERAPI UTAMA PHARMA 0092 8/1/2012 00009891 Rp 8,597,080 Rp 872,800 Rp 130,920 Rp 9,600,800
68 PT. MERAPI UTAMA PHARMA 0093 8/1/2012 00009892 Rp 3,322,129 Rp 337,272 Rp 50,591 Rp 3,709,992
69 PT. MERAPI UTAMA PHARMA 0353 8/9/2012 00010148 Rp 1,584,619 Rp 160,875 Rp 24,131 Rp 1,769,625
70 PT. MERAPI UTAMA PHARMA 0362 8/9/2012 00010157 Rp 1,779,761 Rp 180,686 Rp 27,103 Rp 1,987,550
71 PT. MERAPI UTAMA PHARMA 0604 8/15/2012 00010397 Rp 8,625,044 Rp 875,639 Rp 131,346 Rp 9,632,029
72 PT. MERAPI UTAMA PHARMA 0608 8/15/2012 00010401 Rp 11,951,171 Rp 1,213,317 Rp 181,998 Rp 13,346,485
Rp 82,263,720 Rp 8,351,647 Rp 1,252,747 Rp 91,868,114
73 PT. DOS NI ROHA 4573 7/30/2012 01049376 Rp 1,687,740 Rp 171,344 Rp 25,702 Rp 1,884,786
74 PT. DOS NI ROHA 2882 7/31/2012 01049480 Rp 843,870 Rp 85,672 Rp 12,851 Rp 942,393
75 PT. DOS NI ROHA 5733 7/31/2012 01049557 Rp 5,402,110 Rp 548,438 Rp 82,266 Rp 6,032,813
76 PT. DOS NI ROHA 6199 7/31/2012 01049564 Rp 583,359 Rp 59,224 Rp 8,884 Rp 651,467
77 PT. DOS NI ROHA 7320 7/31/2012 01049584 Rp 6,525,001 Rp 662,437 Rp 99,365 Rp 7,286,803
78 PT. DOS NI ROHA 8853 7/31/2012 01049621 Rp 1,063,800 Rp 108,000 Rp 16,200 Rp 1,188,000
79 PT. DOS NI ROHA 3209 8/4/2012 01153974 Rp 21,502,550 Rp 2,183,000 Rp 327,450 Rp 24,013,000
80 PT. DOS NI ROHA 3210 8/4/2012 01153975 Rp 2,895,900 Rp 294,000 Rp 44,100 Rp 3,234,000
81 PT. DOS NI ROHA 1853 8/9/2012 01153976 Rp 989,236 Rp 100,430 Rp 15,065 Rp 1,104,730
82 PT. DOS NI ROHA 1857 8/9/2012 01153977 Rp 2,919,964 Rp 296,443 Rp 44,466 Rp 3,260,873
83 PT. DOS NI ROHA 1861 8/9/2012 01153978 Rp 803,760 Rp 81,600 Rp 12,240 Rp 897,600
84 PT. DOS NI ROHA 3038 8/9/2012 01153979 Rp 19,998,810 Rp 2,030,336 Rp 304,550 Rp 22,333,696
85 PT. DOS NI ROHA 3331 8/13/2012 01153980 Rp 19,564,563 Rp 1,986,250 Rp 297,938 Rp 21,848,750
86 PT. DOS NI ROHA 0216 8/14/2012 01153981 Rp 9,781,050 Rp 993,000 Rp 148,950 Rp 10,923,000
87 PT. DOS NI ROHA 0448 8/14/2012 01153982 Rp 10,374,335 Rp 1,053,232 Rp 157,985 Rp 11,585,552
88 PT. DOS NI ROHA 2900 8/14/2012 01153983 Rp 679,650 Rp 69,000 Rp 10,350 Rp 759,000
89 PT. DOS NI ROHA 3808 8/14/2012 01153984 Rp 5,437,653 Rp 552,046 Rp 82,807 Rp 6,072,506
90 PT. DOS NI ROHA 9443 8/15/2012 01153985 Rp 8,461,150 Rp 859,000 Rp 128,850 Rp 9,449,000
91 PT. DOS NI ROHA 9444 8/15/2012 01153986 Rp 1,302,347 Rp 132,218 Rp 19,833 Rp 1,454,398
Rp 120,816,847 Rp 12,265,670 Rp 1,839,850 Rp 134,922,367
92 PT. ULICO PHARMA 0060 8/9/2012 00000060 Rp 4,521,150 Rp 459,000 Rp 68,850 Rp 5,049,000
Rp 5,049,000
93 PT. ENSEVAL PUTERA 5497 8/2/2012 02363141 Rp 355,585 Rp 36,100 Rp 5,415 Rp 397,100
94 PT. ENSEVAL PUTERA 0966 8/2/2012 02363144 Rp 671,573 Rp 68,180 Rp 10,227 Rp 749,980
95 PT. ENSEVAL PUTERA 6466 8/11/2012 02466550 Rp 18,977,010 Rp 1,926,600 Rp 288,990 Rp 21,192,600
96 PT. ENSEVAL PUTERA 6467 8/11/2012 02466551 Rp 16,953,919 Rp 1,721,210 Rp 258,182 Rp 18,933,310
97 PT. ENSEVAL PUTERA 6468 8/11/2012 02466552 Rp 19,725,610 Rp 2,002,600 Rp 300,390 Rp 22,028,600
98 PT. ENSEVAL PUTERA 6469 8/11/2012 02466553 Rp 18,088,048 Rp 1,836,350 Rp 275,453 Rp 20,199,850
99 PT. ENSEVAL PUTERA 6470 8/11/2012 02466554 Rp 21,353,815 Rp 2,167,900 Rp 325,185 Rp 23,846,900
100 PT. ENSEVAL PUTERA 6576 8/13/2012 02486459 Rp 17,351,144 Rp 1,761,537 Rp 264,231 Rp 19,376,912
101 PT. ENSEVAL PUTERA 6577 8/13/2012 02486460 Rp 17,399,803 Rp 1,766,477 Rp 264,972 Rp 19,431,252
102 PT. ENSEVAL PUTERA 6578 8/13/2012 02486461 Rp 19,902,700 Rp 2,020,579 Rp 303,087 Rp 22,226,366
103 PT. ENSEVAL PUTERA 6588 8/13/2012 02486471 Rp 4,628,220 Rp 469,870 Rp 70,481 Rp 5,168,570
104 PT. ENSEVAL PUTERA 6589 8/13/2012 02486472 Rp 81,314,804 Rp 8,255,310 Rp 1,238,297 Rp 90,808,410
105 PT. ENSEVAL PUTERA 6590 8/13/2012 02486473 Rp 16,566,197 Rp 1,681,847 Rp 252,277 Rp 18,500,322
106 PT. ENSEVAL PUTERA 6693 8/14/2012 02493227 Rp 2,620,100 Rp 266,000 Rp 39,900 Rp 2,926,000
107 PT. ENSEVAL PUTERA 6731 8/14/2012 02495309 Rp 13,278,293 Rp 1,348,050 Rp 202,208 Rp 14,828,550
108 PT. ENSEVAL PUTERA 0997 8/11/2012 02466601 Rp 980,523 Rp 99,545 Rp 14,932 Rp 1,095,000
109 PT. ENSEVAL PUTERA 1002 8/13/2012 02486496 Rp 3,934,180 Rp 399,409 Rp 59,911 Rp 4,393,501
110 PT. ENSEVAL PUTERA 1003 8/13/2012 02486497 Rp 7,478,260 Rp 759,214 Rp 113,882 Rp 8,351,356
Rp 281,579,782 Rp 28,586,780 Rp 4,288,017 Rp 314,454,579
111 PT. MILLENIUM PHARMACON I 8222 7/13/2012 00008222 Rp 161,343 Rp 16,380 Rp 2,457 Rp 180,180
112 PT. MILLENIUM PHARMACON I 8223 7/13/2012 00008223 Rp 6,242,438 Rp 633,750 Rp 95,063 Rp 6,971,250
113 PT. MILLENIUM PHARMACON I 8315 7/16/2012 00008315 Rp 5,030,444 Rp 510,705 Rp 76,606 Rp 5,617,755
114 PT. MILLENIUM PHARMACON I 8455 7/19/2012 00008455 Rp 8,078,231 Rp 820,125 Rp 123,019 Rp 9,021,375
115 PT. MILLENIUM PHARMACON I 8514 7/20/2012 00008514 Rp 8,705,184 Rp 883,775 Rp 132,566 Rp 9,721,525
116 PT. MILLENIUM PHARMACON I 8561 7/21/2012 00008561 Rp 1,584,619 Rp 160,875 Rp 24,131 Rp 1,769,625
117 PT. MILLENIUM PHARMACON I 8609 7/23/2012 00008609 Rp 14,700,904 Rp 1,492,478 Rp 223,872 Rp 16,417,253
118 PT. MILLENIUM PHARMACON I 8722 7/25/2012 00008722 Rp 10,518,988 Rp 1,067,918 Rp 160,188 Rp 11,747,093
119 PT. MILLENIUM PHARMACON I 8796 7/27/2012 00008796 Rp 15,823,003 Rp 1,606,396 Rp 240,959 Rp 17,670,359
120 PT. MILLENIUM PHARMACON I 8896 7/30/2012 00008896 Rp 25,453,989 Rp 2,584,161 Rp 387,624 Rp 28,425,774
121 PT. MILLENIUM PHARMACON I 9058 8/1/2012 00009058 Rp 1,677,295 Rp 170,284 Rp 25,543 Rp 1,873,121
122 PT. MILLENIUM PHARMACON I 9059 8/1/2012 00009059 Rp 904,230 Rp 91,800 Rp 13,770 Rp 1,009,800
123 PT. MILLENIUM PHARMACON I 9132 8/3/2012 00009132 Rp 7,711,811 Rp 782,925 Rp 117,439 Rp 8,612,175
124 PT. MILLENIUM PHARMACON I 9169 8/4/2012 00009169 Rp 1,250,950 Rp 127,000 Rp 19,050 Rp 1,397,000
125 PT. MILLENIUM PHARMACON I 9189 8/4/2012 00009189 Rp 302,519 Rp 30,713 Rp 4,607 Rp 337,838
126 PT. MILLENIUM PHARMACON I 9190 8/4/2012 00009190 Rp 2,506,480 Rp 254,465 Rp 38,170 Rp 2,799,115
Rp 110,652,427 Rp 11,233,749 Rp 1,685,062 Rp 123,571,238
127 PT. KIMIA FARMA 7795 7/13/2012 00007784 Rp 13,107,291 Rp 1,330,689 Rp 199,603 Rp 14,637,584
128 PT. KIMIA FARMA 8002 7/19/2012 00007991 Rp 912,474 Rp 92,637 Rp 13,896 Rp 1,019,006
129 PT. KIMIA FARMA 8016 7/19/2012 00008005 Rp 457,756 Rp 46,473 Rp 6,971 Rp 511,200
130 PT. KIMIA FARMA 8071 7/20/2012 00008060 Rp 3,476,513 Rp 352,945 Rp 52,942 Rp 3,882,400
131 PT. KIMIA FARMA 8187 7/24/2012 00008176 Rp 3,772,149 Rp 382,959 Rp 57,444 Rp 4,212,552
Rp 21,726,183 Rp 2,205,704 Rp 330,856 Rp 24,262,742
132 APOTIK AMALIA 11 7/2/2012 Rp 27,349,444 Rp 2,776,593 Rp 416,489 Rp 30,542,526
Rp 30,542,526
133 PT. UNITED DICO CITAS 5683 7/31/2012 00008237 Rp 7,359,026 Rp 747,109 Rp 112,066 Rp 8,218,202
134 PT. UNITED DICO CITAS 5684 7/31/2012 00008238 Rp 3,741,217 Rp 379,819 Rp 56,973 Rp 4,178,009
135 PT. UNITED DICO CITAS 5688 7/31/2012 00008242 Rp 385,046 Rp 39,091 Rp 5,864 Rp 430,001
136 PT. UNITED DICO CITAS 5689 7/31/2012 00008243 Rp 541,750 Rp 55,000 Rp 8,250 Rp 605,000
137 PT. UNITED DICO CITAS 5708 7/31/2012 00008262 Rp 5,570,175 Rp 565,500 Rp 84,825 Rp 6,220,500
Rp 17,597,215 Rp 1,786,519 Rp 267,978 Rp 19,651,712
138 CV. BHAKTI SEJAHTERA M 237 7/31/2012 00000237 Rp 13,980,598 Rp 1,419,350 Rp 212,903 Rp 15,612,850
Rp 15,612,850
139 PT. INDOFARMA GLOBAL M 5058 7/31/2012 Rp 1,983,416 Rp 201,362 Rp 30,204 Rp 2,214,982
140 PT. INDOFARMA GLOBAL M 4969 7/26/2012 Rp 5,799,808 Rp 588,813 Rp 88,322 Rp 6,476,943
141 PT. INDOFARMA GLOBAL M 4925 7/25/2012 Rp 4,571,129 Rp 464,074 Rp 69,611 Rp 5,104,814
142 PT. INDOFARMA GLOBAL M 4924 7/25/2012 Rp 7,169,352 Rp 727,853 Rp 109,178 Rp 8,006,383
143 PT. INDOFARMA GLOBAL M 5013 7/28/2012 Rp 1,594,676 Rp 161,896 Rp 24,284 Rp 1,780,856
144 PT. INDOFARMA GLOBAL M 5014 7/28/2012 Rp 8,201,563 Rp 832,646 Rp 124,897 Rp 9,159,106
Rp 29,319,943 Rp 2,976,644 Rp 446,497 Rp 32,743,084

TOTAL Rp 1,184,023,099 Rp 1,184,023,099

Mengetahui, Muara Bungo, 10 September 2012

Kepala Instalasi Farmasi Kepala Ruangan

TONI DAFIAPUTRA, S.FARM, APT AYU TRESNAWATI

NIP.19841023 200803 1 001 NIP 19660908 198803 2 002.

LAMPIRAN REKAPITULASI SURAT PEMBAYARAN HUTANG

OBAT REGULER
INSTALASI FARMASI RSUD H. HANAFIE MUARA BUNGO

Sunday, September 30, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 PT. RAJAWALI NUSINDO 4354 7/12/2012 00005107 Rp 6,950,968 Rp 705,682 Rp 105,852 Rp 7,762,502
2 PT. RAJAWALI NUSINDO 4406 7/14/2012 00005108 Rp 8,785,468 Rp 891,926 Rp 133,789 Rp 9,811,183
3 PT. RAJAWALI NUSINDO 4440 7/16/2012 00005109 Rp 2,057,264 Rp 208,859 Rp 31,329 Rp 2,297,452
4 PT. RAJAWALI NUSINDO 4492 7/18/2012 00005110 Rp 6,330,043 Rp 642,644 Rp 96,397 Rp 7,069,084
5 PT. RAJAWALI NUSINDO 4602 7/23/2012 00005112 Rp 8,732,025 Rp 886,500 Rp 132,975 Rp 9,751,500
6 PT. RAJAWALI NUSINDO 4601 7/23/2012 00005111 Rp 921,566 Rp 93,560 Rp 14,034 Rp 1,029,160
7 PT. RAJAWALI NUSINDO 4676 7/27/2012 00005113 Rp 2,074,130 Rp 210,572 Rp 31,586 Rp 2,316,287
8 PT. RAJAWALI NUSINDO 4746 7/31/2012 00005115 Rp 3,909,465 Rp 396,900 Rp 59,535 Rp 4,365,900
9 PT. RAJAWALI NUSINDO 4742 7/31/2012 00005114 Rp 1,312,728 Rp 133,272 Rp 19,991 Rp 1,465,991
10 PT. RAJAWALI NUSINDO 4754 7/31/2012 00005116 Rp 19,349,456 Rp 1,964,412 Rp 294,662 Rp 21,608,529
11 PT. RAJAWALI NUSINDO 4842 8/4/2012 00005117 Rp 1,087,381 Rp 110,394 Rp 16,559 Rp 1,214,334
12 PT. RAJAWALI NUSINDO 5024 8/13/2012 00005118 Rp 3,292,363 Rp 334,250 Rp 50,138 Rp 3,676,750
Rp 64,802,856 Rp 6,578,970 Rp 986,846 Rp 72,368,672
13 PT. KIMIA FARMA 4853 4/30/2012 00004844 Rp 4,400,965 Rp 446,798 Rp 67,020 Rp 4,914,783
Rp 4,914,783
14 CV. SRI TIRTA JAYA 338 8/7/2012 00000060 Rp 394,000 Rp 40,000 Rp 6,000 Rp 440,000
15 CV. SRI TIRTA JAYA 340 8/10/2012 00000062 Rp 9,150,650 Rp 929,000 Rp 139,350 Rp 10,219,000
16 CV. SRI TIRTA JAYA 341 8/13/2012 00000063 Rp 1,255,875 Rp 127,500 Rp 19,125 Rp 1,402,500
17 CV. SRI TIRTA JAYA 342 8/14/2012 00000064 Rp 2,093,125 Rp 212,500 Rp 31,875 Rp 2,337,500
18 CV. SRI TIRTA JAYA 343 8/29/2012 00000065 Rp 8,372,500 Rp 850,000 Rp 127,500 Rp 9,350,000
Rp 21,266,150 Rp 2,159,000 Rp 323,850 Rp 23,749,000
19 PT. PENTA VALENT 8095 8/27/2012 00401668 Rp 6,702,878 Rp 680,495 Rp 102,074 Rp 7,485,447
20 PT. PENTA VALENT 8142 8/27/2012 00408249 Rp 812,625 Rp 82,500 Rp 12,375 Rp 907,500
21 PT. PENTA VALENT 8144 8/27/2012 00408251 Rp 4,564,490 Rp 463,400 Rp 69,510 Rp 5,097,400
22 PT. PENTA VALENT 8185 8/27/2012 00408287 Rp 5,437,348 Rp 552,015 Rp 82,802 Rp 6,072,165
23 PT. PENTA VALENT 8995 9/3/2012 00455093 Rp 12,345,990 Rp 1,253,400 Rp 188,010 Rp 13,787,400
Rp 29,863,330 Rp 3,031,810 Rp 454,772 Rp 33,349,912
24 PT. SAPTA SARI TAMA 5781 8/3/2012 00005776 Rp 3,243,113 Rp 329,250 Rp 49,388 Rp 3,621,750
25 PT. SAPTA SARI TAMA 5825 8/4/2012 00005820 Rp 1,073,650 Rp 109,000 Rp 16,350 Rp 1,199,000
26 PT. SAPTA SARI TAMA 6135 8/15/2012 00006001 Rp 9,218,615 Rp 935,900 Rp 140,385 Rp 10,294,900
27 PT. SAPTA SARI TAMA 6138 8/15/2012 00006002 Rp 709,200 Rp 72,000 Rp 10,800 Rp 792,000
Rp 14,244,578 Rp 1,446,150 Rp 216,923 Rp 15,907,650
28 PT. ANUGRAH PHARMINDO L 5475 8/30/2012 Rp 10,417,724 Rp 1,057,637 Rp 158,646 Rp 11,634,007
Rp 11,634,007
29 PT. ENSEVAL PUTERA 8064 8/31/2012 02525653 Rp 22,709,717 Rp 2,305,555 Rp 345,833 Rp 25,361,105
30 PT. ENSEVAL PUTERA 8104 8/31/2012 02625693 Rp 1,179,045 Rp 119,700 Rp 17,955 Rp 1,316,700
31 PT. ENSEVAL PUTERA 1065 8/31/2012 02625839 Rp 1,925,232 Rp 195,455 Rp 29,318 Rp 2,150,005
32 PT. ENSEVAL PUTERA 1067 8/31/2012 02625841 Rp 268,629 Rp 27,272 Rp 4,091 Rp 299,992
33 PT. ENSEVAL PUTERA 1089 9/6/2012 02692165 Rp 819,333 Rp 83,181 Rp 12,477 Rp 914,991
34 PT. ENSEVAL PUTERA 7408 8/27/2012 02563208 Rp 3,633,985 Rp 368,932 Rp 55,340 Rp 4,058,257
35 PT. ENSEVAL PUTERA 7909 8/30/2012 02607558 Rp 21,258,270 Rp 2,158,200 Rp 323,730 Rp 23,740,200
36 PT. ENSEVAL PUTERA 1046 8/30/2012 02607631 Rp 331,305 Rp 33,635 Rp 5,045 Rp 369,985
RETUR RP.982,850 Rp 52,125,515 Rp 5,291,930 Rp 793,790 Rp 58,211,235
37 PT. PARAZELSUS 5243 8/13/2012 00002104 Rp 1,270,650 Rp 129,000 Rp 19,350 Rp 1,419,000
Rp 1,419,000
38 PT. MILLENIUM PHARMACON I 0031 8/30/2012 00010031 Rp 47,636,053 Rp 4,836,148 Rp 725,422 Rp 53,197,623
39 PT. MILLENIUM PHARMACON I 0151 8/31/2012 00010151 Rp 432,169 Rp 43,875 Rp 6,581 Rp 482,625
40 PT. MILLENIUM PHARMACON I 0030 8/30/2012 00010030 Rp 288,113 Rp 29,250 Rp 4,388 Rp 321,750
41 PT. MILLENIUM PHARMACON I 9563 8/13/2012 00009563 Rp 6,482,975 Rp 658,170 Rp 98,726 Rp 7,239,870
42 PT. MILLENIUM PHARMACON I 9564 8/13/2012 00009564 Rp 115,245 Rp 11,700 Rp 1,755 Rp 128,700
43 PT. MILLENIUM PHARMACON I 9650 8/15/2012 00009650 Rp 5,260,048 Rp 534,015 Rp 80,102 Rp 5,874,165
44 PT. MILLENIUM PHARMACON I 9358 8/8/2012 00009358 Rp 7,719,322 Rp 783,688 Rp 117,553 Rp 8,620,563
45 PT. MILLENIUM PHARMACON I 9576 8/14/2012 00009576 Rp 11,291,337 Rp 1,146,329 Rp 171,949 Rp 12,609,615
46 PT. MILLENIUM PHARMACON I 9226 8/6/2012 00009226 Rp 13,290,851 Rp 1,349,325 Rp 202,399 Rp 14,842,575
47 PT. MILLENIUM PHARMACON I 9567 8/13/2012 00009567 Rp 8,220,810 Rp 834,600 Rp 125,190 Rp 9,180,600
Rp 100,736,922 Rp 10,227,099 Rp 1,534,065 Rp 112,498,086
48 PT. KEBAYORAN PHARMA 8340 8/31/2012 00008460 Rp 7,091,015 Rp 719,900 Rp 107,985 Rp 7,918,900
49 PT. KEBAYORAN PHARMA 8341 8/31/2012 00008461 Rp 16,055,500 Rp 1,630,000 Rp 244,500 Rp 17,930,000
50 PT. KEBAYORAN PHARMA 8342 8/31/2012 00008462 Rp 6,142,566 Rp 623,611 Rp 93,542 Rp 6,859,718
Rp 29,289,081 Rp 2,973,511 Rp 446,027 Rp 32,708,618
TOTAL Rp 366,760,963 Rp 366,760,963

Mengetahui, Muara Bungo, 30 September 2012

Kepala Instalasi Farmasi Kepala Ruangan

TONI DAFIAPUTRA, S.FARM, APT AYU TRESNAWATI

NIP.19841023 200803 1 001 NIP 19660908 198803 2 002.
 NO NAMA PERUSAHAAN JUMLAH HUTANG ASKES Rp 149,767,112
bold 1 PT. JUNGER FARMA Rp 2,032,525 UMUM Rp 1,034,255,987
2 PT. KEBAYORAN PHARMA Rp 74,687,815 TOTAL Rp 1,184,023,099
3 PT. SAPTA SARI TAMA Rp 24,643,520
4 PT. ANUGRAH ARGON M Rp 104,904,509 5/24/2012 MIN
5 PT. MENSA BINA SUKSES Rp 138,723,952 MAX
ASKES 6 PT. ANUGRAH PHARMINDO L Rp 36,802,496
ASKES 7 PT. INDOFARMA GLOBAL M Rp 32,743,084
8 PT. MERAPI UTAMA PHARMA Rp 91,868,114
9 PT. PARIT PADANG GLOBAL Rp 9,550,070
ASKES 10 PT. DOS NI ROHA Rp 134,922,367
11 PT. ENSEVAL PUTERA Rp 314,454,579
12 PT. MILLENIUM PHARMACON I Rp 123,571,238
ASKES 13 PT. KIMIA FARMA Rp 24,262,742
14 APOTIK AMALIA Rp 30,542,526
15 PT. UNITED DICO CITAS Rp 19,651,712
16 CV. BHAKTI SEJAHTERA M Rp 15,612,850
17 PT. ULICO PHARMA Rp 5,049,000

ASKES
TOTAL Rp 1,184,023,099

Rp 1,550,784,062

ASKES

ASKES

ASKES

ASKES
ASKES
ASKES

ASKES
ASKES
ASKES
ASKES

ASKES

ASKES
ASKES

ASKES

ASKES
ASKES
ASKES

ASKES

ASKES

ASKES

ASKES
ASKES
ASKES

ASKES
ASKES
ASKES

NO NAMA PERUSAHAAN JUMLAH HUTANG

1 PT. RAJAWALI NUSINDO Rp 72,368,672
2 PT. KIMIA FARMA Rp 4,914,783
3 CV. SRI TIRTA JAYA Rp 23,749,000
4 PT. PENTA VALENT Rp 33,349,912
5 PT. SAPTA SARI TAMA Rp 15,907,650
6 PT. ANUGRAH PHARMINDO L Rp 11,634,007
7 PT. ENSEVAL PUTERA Rp 58,211,235
8 PT. PARAZELSUS Rp 1,419,000
9 PT. MILLENIUM PHARMACON I Rp 112,498,086
10 PT. KEBAYORAN PHARMA Rp 32,708,618

TOTAL Rp 366,760,963
ASKES
 REKAPITULASI HUTANG PBF BULAN SEPTEMBER 2012
REGULER
NO NAMA PERUSAHAAN JUMLAH HUTANG
1 APOTIK AMALIA Rp 30,542,526
2 CV. BHAKTI SEJAHTERA M Rp 15,612,850
3 CV. SRI TIRTA JAYA Rp 23,749,000
4 PT. ANUGRAH ARGON M Rp 104,904,509
5 PT. ANUGRAH PHARMINDO L Rp 48,436,503
6 PT. DOS NI ROHA Rp 134,922,367
7 PT. ENSEVAL PUTERA Rp 372,665,814
8 PT. INDOFARMA GLOBAL M Rp 32,743,084
9 PT. JUNGER FARMA Rp 2,032,525
10 PT. KEBAYORAN PHARMA Rp 107,396,433
11 PT. KIMIA FARMA Rp 29,177,525
12 PT. MENSA BINA SUKSES Rp 138,723,952
13 PT. MERAPI UTAMA PHARMA Rp 91,868,114
14 PT. MILLENIUM PHARMACON I Rp 236,069,324
15 PT. PARAZELSUS Rp 1,419,000
16 PT. PARIT PADANG GLOBAL Rp 9,550,070
17 PT. PENTA VALENT Rp 33,349,912
18 PT. RAJAWALI NUSINDO Rp 72,368,672
19 PT. SAPTA SARI TAMA Rp 40,551,170
20 PT. ULICO PHARMA Rp 5,049,000
21 PT. UNITED DICO CITAS Rp 19,651,712

TOTAL Rp 1,550,784,062
 LAMPIRAN REKAPITULASI SURAT PEMBAYARAN HUTANG
OBHP RUTIN
INSTALASI FARMASI RSUD H. HANAFIE MUARA BUNGO

###
NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 CV. SRI TIRTA JAYA 339 8/13/2012 00000061 Rp 9,101,400 Rp 924,000 Rp 138,600 Rp 10,164,000
2 CV. SRI TIRTA JAYA 337 8/11/2012 00000059 Rp 35,235,519 Rp 3,577,210 Rp 536,582 Rp 39,349,310
3 CV. SRI TIRTA JAYA 344 8/29/2012 00000068 Rp 1,305,125 Rp 132,500 Rp 19,875 Rp 1,457,500
Rp 45,642,044 Rp 4,633,710 Rp 695,057 Rp 50,970,810
4 PT. HOTAMA MEDIPHAR 1196 7/27/2012 00001196 Rp 8,569,500 Rp 870,000 Rp 130,500 Rp 9,570,000
5 PT. HOTAMA MEDIPHAR 1192 7/26/2012 00001192 Rp 4,531,000 Rp 460,000 Rp 69,000 Rp 5,060,000
6 PT. HOTAMA MEDIPHAR 1176 7/9/2012 00001176 Rp 3,478,035 Rp 353,100 Rp 52,965 Rp 3,884,100
Rp 18,514,100
7 CV. SANTUN Rp 2,462,500 Rp 250,000 Rp 37,500 Rp 2,750,000
Rp 2,750,000
TOTAL Rp 72,234,910 Rp 72,234,910

Mengetahui, Muara Bungo, 2 Oktober 2012

Kepala Instalasi Farmasi Kepala Ruangan

TONI DAFIAPUTRA, S.FARM, APT AYU TRESNAWATI

NIP.19841023 200803 1 001 NIP 19660908 198803 2 002

BHP RUTIN SEPTEMBER 2012

1 ITD Rp 39,349,310
2 RADIOLOGI Rp 2,750,000
3 LABOR Rp 3,884,100
4 OK Rp 26,251,500
TOTAL Rp 72,234,910
OK
ITD
OK

OK
OK
LABOR

RADIOLOGI