LAMPIRAN REKAPITULASI SURAT PEMBAYARAN HUTANG

OBAT REGULER
INSTALASI FARMASI RSUD H. HANAFIE MUARA BUNGO

Wednesday, June 27, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 PT. BINA SAN PRIMA 0282 6/4/2012 00016544 Rp 2,258,782 Rp 229,318 Rp 34,398 Rp 2,522,498
2 PT. BINA SAN PRIMA 0575 6/6/2012 00016817 Rp 2,797,929 Rp 414,638 Rp 62,196 Rp 3,274,763
3 PT. BINA SAN PRIMA 0576 6/6/2012 00016818 Rp 925,949 Rp 94,005 Rp 14,101 Rp 1,034,055
4 PT. BINA SAN PRIMA 1035 6/11/2012 00017274 Rp 931,081 Rp 94,526 Rp 14,179 Rp 1,039,786
5 PT. BINA SAN PRIMA 1036 6/11/2012 00017764 Rp 256,598 Rp 26,051 Rp 3,908 Rp 286,556
6 PT. BINA SAN PRIMA 1037 6/11/2012 00017276 Rp 5,681,431 Rp 576,795 Rp 86,519 Rp 6,344,745
7 PT. BINA SAN PRIMA 1304 6/13/2012 00017548 Rp 3,972,259 Rp 403,275 Rp 60,491 Rp 4,436,025
8 PT. BINA SAN PRIMA 1523 6/15/2012 00017275 Rp 256,598 Rp 26,051 Rp 3,908 Rp 286,556
9 PT. BINA SAN PRIMA 1527 6/15/2012 00017765 Rp 1,249,670 Rp 126,870 Rp 19,031 Rp 1,395,570
Rp 18,330,297 Rp 1,991,528 Rp 298,729 Rp 20,620,554
10 PT. ANUGRAH PHARMINDO L 5970 6/19/2012 01330997 Rp 1,235,722 Rp 125,454 Rp 18,818 Rp 1,379,994
11 PT. ANUGRAH PHARMINDO L 5969 6/19/2012 01330998 Rp 12,990,054 Rp 1,318,787 Rp 197,818 Rp 14,506,659
12 PT. ANUGRAH PHARMINDO L 6121 6/20/2012 01331001 Rp 4,717,348 Rp 478,919 Rp 71,838 Rp 5,268,104
13 PT. ANUGRAH PHARMINDO L 5975 6/19/2012 01330999 Rp 197,000 Rp 20,000 Rp 3,000 Rp 220,000
14 PT. ANUGRAH PHARMINDO L 5974 6/19/2012 01331000 Rp 11,409,446 Rp 1,158,319 Rp 173,748 Rp 12,741,513
15 PT. ANUGRAH PHARMINDO L 6127 6/20/2012 01331002 Rp 295,500 Rp 30,000 Rp 4,500 Rp 330,000
Rp 30,845,069 Rp 3,131,479 Rp 469,722 Rp 34,446,270
16 PT. ENSEVAL PUTERA 9373 6/15/2012 01795501 Rp 10,002,232 Rp 1,015,455 Rp 152,318 Rp 11,170,005
17 PT. ENSEVAL PUTERA 9586 6/18/2012 01816826 Rp 5,651,930 Rp 573,800 Rp 86,070 Rp 6,311,800
18 PT. ENSEVAL PUTERA 9823 6/19/2012 01835318 Rp 16,864,554 Rp 1,712,137 Rp 256,821 Rp 18,833,512
19 PT. ENSEVAL PUTERA 0096 6/21/2012 01868277 Rp 7,803,219 Rp 792,205 Rp 118,831 Rp 8,714,255
20 PT. ENSEVAL PUTERA 0741 6/19/2012 01835335 Rp 834,565 Rp 84,727 Rp 12,709 Rp 932,001
21 PT. ENSEVAL PUTERA 0751 6/21/2012 01868362 Rp 1,139,468 Rp 115,682 Rp 17,352 Rp 1,272,502
Rp 42,295,967 Rp 4,294,007 Rp 644,101 Rp 47,234,075
TOTAL Rp 102,300,899

Mengetahui, Muara Bungo, 27 Juni 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

Thursday, June 28, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 PT. DOS NI ROHA 3873 6/12/2012 00840823 Rp 3,375,861 Rp 342,727 Rp 51,409 Rp 3,769,997
2 PT. DOS NI ROHA 6184 6/11/2012 00840822 Rp 5,992,740 Rp 608,400 Rp 91,260 Rp 6,692,400
3 PT. DOS NI ROHA 8599 6/19/2012 00840833 Rp 2,489,391 Rp 252,730 Rp 37,910 Rp 2,780,030
4 PT. DOS NI ROHA 8508 6/19/2012 00840832 Rp 164,692 Rp 16,720 Rp 2,508 Rp 183,920
5 PT. DOS NI ROHA 8298 6/19/2012 00840831 Rp 15,740,546 Rp 1,598,025 Rp 239,704 Rp 17,578,275
6 PT. DOS NI ROHA 6153 6/16/2012 00840830 Rp 5,935,118 Rp 602,550 Rp 90,383 Rp 6,628,050
7 PT. DOS NI ROHA 9160 6/15/2012 00840829 Rp 82,829 Rp 8,409 Rp 1,261 Rp 92,499
8 PT. DOS NI ROHA 9159 6/15/2012 00840828 Rp 4,657,819 Rp 472,875 Rp 70,931 Rp 5,201,625
9 PT. DOS NI ROHA 4836 6/13/2012 00840827 Rp 376,093 Rp 38,182 Rp 5,727 Rp 420,002
10 PT. DOS NI ROHA 4295 6/13/2012 00840826 Rp 3,716,575 Rp 377,317 Rp 56,598 Rp 4,150,490
11 PT. DOS NI ROHA 4209 6/13/2012 00840825 Rp 1,346,926 Rp 136,744 Rp 20,512 Rp 1,504,181
12 PT. DOS NI ROHA 1705 6/13/2012 00840824 Rp 675,895 Rp 68,619 Rp 10,293 Rp 754,807
Rp 44,554,484 Rp 4,523,298 Rp 678,495 Rp 49,756,276
13 PT. ANUGRAH ARGON M 9685 6/12/2012 00720916 Rp 1,441,640 Rp 146,359 Rp 21,954 Rp 1,609,953
14 PT. ANUGRAH ARGON M 9683 6/12/2012 00720914 Rp 2,972,375 Rp 301,764 Rp 45,265 Rp 3,319,404
Rp 4,414,015 Rp 448,123 Rp 67,219 Rp 4,929,357
15 PT. ENSEVAL PUTERA 8365 6/8/2012 01705134 Rp 130,020 Rp 13,200 Rp 1,980 Rp 145,200
16 PT. ENSEVAL PUTERA 8679 6/11/2012 01734703 Rp 21,820,951 Rp 2,215,325 Rp 332,299 Rp 24,368,575
17 PT. ENSEVAL PUTERA 9159 6/18/2012 01778759 Rp 3,627,263 Rp 368,250 Rp 55,238 Rp 4,050,750
18 PT. ENSEVAL PUTERA 0703 6/11/2012 01734734 Rp 980,523 Rp 99,545 Rp 14,932 Rp 1,095,000
19 PT. ENSEVAL PUTERA 0720 6/14/2012 01778866 Rp 861,875 Rp 87,500 Rp 13,125 Rp 962,500
20 PT. ENSEVAL PUTERA 0710 6/12/2012 01746778 Rp 671,583 Rp 68,181 Rp 10,227 Rp 749,991
Rp 28,092,214 Rp 2,852,001 Rp 427,800 Rp 31,372,016
21 PT. INDOFARMA GLOBAL M 3621 5/31/2012 00003438 Rp 3,984,355 Rp 404,503 Rp 60,675 Rp 4,449,534
22 PT. INDOFARMA GLOBAL M 3619 5/31/2012 00003436 Rp 7,916,051 Rp 803,660 Rp 120,549 Rp 8,840,260
23 PT. INDOFARMA GLOBAL M 3620 5/31/2012 00003437 Rp 5,456,939 Rp 554,004 Rp 83,101 Rp 6,094,044
Rp 17,357,346 Rp 1,762,167 Rp 264,325 Rp 19,383,838
24 PT. PARIT PADANG 8060 6/13/2012 00007670 Rp 471,323 Rp 47,850 Rp 7,178 Rp 526,350
Rp 526,350
TOTAL Rp 105,967,837

Mengetahui, Muara Bungo, 28 Juni 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

Friday, June 29, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 PT. RAJAWALI NUSINDO 3003 5/15/2012 00003358 Rp 1,240,042 Rp 125,893 Rp 18,884 Rp 1,384,819
2 PT. RAJAWALI NUSINDO 3105 5/19/2012 00003359 Rp 8,145,684 Rp 826,973 Rp 124,046 Rp 9,096,703
3 PT. RAJAWALI NUSINDO 3120 5/21/2012 00003360 Rp 1,490,737 Rp 151,344 Rp 22,702 Rp 1,664,782
4 PT. RAJAWALI NUSINDO 3126 5/21/2012 00003361 Rp 4,645,260 Rp 471,600 Rp 70,740 Rp 5,187,600
5 PT. RAJAWALI NUSINDO 3160 5/22/2012 00003362 Rp 7,503,366 Rp 761,763 Rp 114,264 Rp 8,379,393
6 PT. RAJAWALI NUSINDO 3244 5/25/2012 00003368 Rp 2,562,290 Rp 260,131 Rp 39,020 Rp 2,861,441
7 PT. RAJAWALI NUSINDO 3246 5/25/2012 00003363 Rp 9,209,750 Rp 935,000 Rp 140,250 Rp 10,285,000
8 PT. RAJAWALI NUSINDO 3247 5/25/2012 00003364 Rp 107,562 Rp 10,920 Rp 1,638 Rp 120,120
9 PT. RAJAWALI NUSINDO 3268 5/25/2012 00003365 Rp 856,950 Rp 87,000 Rp 13,050 Rp 957,000
10 PT. RAJAWALI NUSINDO 3306 5/28/2012 00003366 Rp 1,994,625 Rp 202,500 Rp 30,375 Rp 2,227,500
11 PT. RAJAWALI NUSINDO 3409 5/31/2012 00003367 Rp 796,077 Rp 80,820 Rp 12,123 Rp 889,020
Rp 38,552,343 Rp 3,913,943 Rp 587,092 Rp 43,053,378
12 PT. SAPTA SARI 3964 6/7/2012 00003960 Rp 999,775 Rp 101,500 Rp 15,225 Rp 1,116,500
13 PT. SAPTA SARI 4221 6/15/2012 00004111 Rp 3,537,135 Rp 359,100 Rp 53,865 Rp 3,950,100
14 PT. SAPTA SARI 3789 5/31/2012 00003717 Rp 6,638,900 Rp 674,000 Rp 101,100 Rp 7,414,000
15 PT. SAPTA SARI 3583 5/25/2012 00003550 Rp 7,106,775 Rp 721,500 Rp 108,225 Rp 7,936,500
16 PT. SAPTA SARI 3327 5/16/2012 00003299 Rp 2,447,922 Rp 248,520 Rp 37,278 Rp 2,733,720
17 PT. SAPTA SARI 3189 5/12/2012 00003158 Rp 1,705,166 Rp 173,113 Rp 25,967 Rp 1,904,246

18 APOTIK AMALIA 10 6/21/2012 Rp 3,271,462 Rp 332,128 Rp 49,819 Rp 3,653,409

Rp - Rp - Rp -
20 Rp - Rp - Rp -
Rp 7,424,549 Rp 753,761 Rp 113,064 Rp 8,291,375
21 Rp - Rp - Rp -
22 Rp - Rp - Rp -
23 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
24 Rp - Rp - Rp -
Rp -
TOTAL Rp 8,291,375

Mengetahui, Muara Bungo, 28 Juni 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

Saturday, June 30, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 PT. KEBAYORAN FARMA 5942 6/20/2012 00006045 Rp 2,186,700 Rp 222,000 Rp 33,300 Rp 2,442,000
2 PT. KEBAYORAN FARMA 59058 6/19/2012 00006008 Rp 3,599,190 Rp 365,400 Rp 54,810 Rp 4,019,400
3 PT. KEBAYORAN FARMA 5784 6/15/2012 00005887 Rp 2,659,402 Rp 269,990 Rp 40,499 Rp 2,969,890
4 PT. KEBAYORAN FARMA 5783 6/15/2012 00005886 Rp 6,913,715 Rp 701,900 Rp 105,285 Rp 7,720,900
5 PT. KEBAYORAN FARMA 5500 6/7/2012 00005599 Rp 6,948,190 Rp 705,400 Rp 105,810 Rp 7,759,400
6 PT. KEBAYORAN FARMA 5498 6/7/2012 00005597 Rp 1,108,499 Rp 112,538 Rp 16,881 Rp 1,237,918
7 PT. KEBAYORAN FARMA 5499 6/7/2012 00005598 Rp 6,973,800 Rp 708,000 Rp 106,200 Rp 7,788,000
8 PT. KEBAYORAN FARMA 5904 6/19/2012 00006007 Rp 197,000 Rp 20,000 Rp 3,000 Rp 220,000

PT. PENTA VALENT 6009 6/25/2012 00303819 Rp 3,907,643 Rp 396,715 Rp 59,507 Rp 4,363,865
 PT. PENTA VALENT 6326 6/25/2012 00317945 Rp 3,026,068 Rp 307,215 Rp 46,082 Rp 3,379,365
PT. PENTA VALENT 6325 6/25/2012 00317944 Rp 266,482 Rp 27,054 Rp 4,058 Rp 297,594
12 PT. PENTA VALENT 5802 6/25/2012 00290015 Rp 1,132,750 Rp 115,000 Rp 17,250 Rp 1,265,000
13 PT. PENTA VALENT 5774 6/25/2012 00289989 Rp 2,265,500 Rp 230,000 Rp 34,500 Rp 2,530,000
14 PT. PENTA VALENT 5498 6/18/2012 00274203 Rp 2,561,000 Rp 260,000 Rp 39,000 Rp 2,860,000
15 5/25/2012 Rp - Rp - Rp -
16 5/16/2012 Rp - Rp - Rp -
17 5/12/2012 Rp - Rp - Rp -

18 6/21/2012 Rp - Rp - Rp -
Rp - Rp - Rp -
20 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
21 Rp - Rp - Rp -
22 Rp - Rp - Rp -
23 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
24 Rp - Rp - Rp -
Rp -
TOTAL Rp -

Mengetahui, Muara Bungo, 28 Juni 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

Tuesday, July 10, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 PT. PARIT PADANG GLOBAL 4593 5/12/2012 00006131 Rp 137,112 Rp 13,920 Rp 2,088 Rp 153,120
2 PT. PARIT PADANG GLOBAL 3954 5/7/2012 00005924 Rp 473,785 Rp 48,100 Rp 7,215 Rp 529,100
3 PT. PARIT PADANG GLOBAL 4276 5/9/2012 00006019 Rp 2,403,400 Rp 244,000 Rp 36,600 Rp 2,684,000
4 PT. PARIT PADANG GLOBAL 8060 6/13/2012 00007670 Rp 471,323 Rp 47,850 Rp 7,178 Rp 526,350
Rp 3,485,620 Rp 353,870 Rp 53,081 Rp 3,892,570
5 PT. ANUGRAH ARGON MEDICA 8696 5/25/2012 00646034 Rp 8,137,498 Rp 826,142 Rp 123,921 Rp 9,087,561
6 PT. ANUGRAH ARGON MEDICA 8697 5/25/2012 00646035 Rp 9,930,052 Rp 1,008,127 Rp 151,219 Rp 11,089,398
Rp 18,067,550 Rp 1,834,269 Rp 275,140 Rp 20,176,959
7 PT. TEMPO 9856/2 5/30/2012 00509177 Rp 14,092,664 Rp 1,430,727 Rp 214,609 Rp 15,738,000
8 PT. TEMPO 9855/9 5/30/2012 00509178 Rp 3,252,096 Rp 330,162 Rp 49,524 Rp 3,631,782
9 PT. TEMPO 0511/9 6/28/2012 00568442 Rp 1,277,449 Rp 129,690 Rp 19,454 Rp 1,426,593
Rp 18,622,209 Rp 1,890,580 Rp 283,587 Rp 20,796,375
10 PT. ENSEVAL PUTERA 9373 6/15/2012 01795501 Rp 10,002,232 Rp 1,015,455 Rp 152,318 Rp 11,170,005
11 PT. ENSEVAL PUTERA 9586 6/18/2012 01816826 Rp 5,651,930 Rp 573,800 Rp 86,070 Rp 6,311,800
12 PT. ENSEVAL PUTERA 9823 6/19/2012 01835318 Rp 16,864,554 Rp 1,712,137 Rp 256,821 Rp 18,833,512
13 PT. ENSEVAL PUTERA 0741 6/19/2012 01835335 Rp 834,565 Rp 84,727 Rp 12,709 Rp 932,001
14 PT. ENSEVAL PUTERA 0096 6/21/2012 01868277 Rp 7,803,219 Rp 792,205 Rp 118,831 Rp 8,714,255
15 PT. ENSEVAL PUTERA 0751 6/21/2012 01868362 Rp 1,139,468 Rp 115,682 Rp 17,352 Rp 1,272,502
16 PT. ENSEVAL PUTERA 8365 6/8/2012 01705134 Rp 130,020 Rp 13,200 Rp 1,980 Rp 145,200
17 PT. ENSEVAL PUTERA 8679 6/11/2012 01734703 Rp 21,820,951 Rp 2,215,325 Rp 332,299 Rp 24,368,575
18 PT. ENSEVAL PUTERA 0703 6/11/2012 01734734 Rp 980,523 Rp 99,545 Rp 14,932 Rp 1,095,000
19 PT. ENSEVAL PUTERA 0710 6/12/2012 01746778 Rp 671,583 Rp 68,181 Rp 10,227 Rp 749,991
20 PT. ENSEVAL PUTERA 0720 6/14/2012 01778866 Rp 861,875 Rp 87,500 Rp 13,125 Rp 962,500
21 PT. ENSEVAL PUTERA 9159 6/14/2012 01778759 Rp 3,627,263 Rp 368,250 Rp 55,238 Rp 4,050,750
22 PT. ENSEVAL PUTERA 9975 6/20/2012 01846839 Rp 1,679,671 Rp 170,525 Rp 25,579 Rp 1,875,775
23 PT. ENSEVAL PUTERA 0369 6/23/2012 01889045 Rp 11,823,201 Rp 1,200,325 Rp 180,049 Rp 13,203,575
24 PT. ENSEVAL PUTERA 0546 6/25/2012 01900785 Rp 17,861,596 Rp 1,813,360 Rp 272,004 Rp 19,946,960
25 PT. ENSEVAL PUTERA 0762 6/26/2012 01921090 Rp 9,633,694 Rp 978,040 Rp 146,706 Rp 10,758,440
26 PT. ENSEVAL PUTERA 0889 6/27/2012 01930513 Rp 9,716,360 Rp 986,432 Rp 147,965 Rp 10,850,757
27 PT. ENSEVAL PUTERA 0747 6/20/2012 01844704 Rp 123,572 Rp 12,545 Rp 1,882 Rp 137,999
28 PT. ENSEVAL PUTERA 0782 6/27/2012 01930533 Rp 66,261 Rp 6,727 Rp 1,009 Rp 73,997
Rp 121,292,536 Rp 12,313,963 Rp 1,847,094 Rp 135,453,594
29 PT. ANUGRAH PHARMINDO L 0012 6/23/2012 01398728 Rp 3,563,868 Rp 361,814 Rp 54,272 Rp 3,979,954
30 PT. ANUGRAH PHARMINDO L 0241 6/26/2012 01398730 Rp 369,375 Rp 37,500 Rp 5,625 Rp 412,500
31 PT. ANUGRAH PHARMINDO L 0021 6/23/2012 01398729 Rp 369,375 Rp 37,500 Rp 5,625 Rp 412,500
32 PT. ANUGRAH PHARMINDO L 0268 6/26/2012 01398732 Rp 1,280,500 Rp 130,000 Rp 19,500 Rp 1,430,000
33 PT. ANUGRAH PHARMINDO L 0267 6/26/2012 01398731 Rp 6,226,185 Rp 632,100 Rp 94,815 Rp 6,953,100
34 PT. ANUGRAH PHARMINDO L 0485 6/27/2012 01398733 Rp 678,310 Rp 68,864 Rp 10,330 Rp 757,504
35 PT. ANUGRAH PHARMINDO L 0469 6/27/2012 01398805 Rp 1,400,503 Rp 142,183 Rp 21,327 Rp 1,564,013
36 PT. ANUGRAH PHARMINDO L 9730 6/20/2012 01331002 Rp 295,500 Rp 30,000 Rp 4,500 Rp 330,000
37 PT. ANUGRAH PHARMINDO L 9577 6/19/2012 01331000 Rp 11,409,446 Rp 1,158,319 Rp 173,748 Rp 12,741,513
38 PT. ANUGRAH PHARMINDO L 9727 6/20/2012 01331001 Rp 4,717,348 Rp 478,919 Rp 71,838 Rp 5,268,104
39 PT. ANUGRAH PHARMINDO L 9571 6/19/2012 01330998 Rp 12,990,054 Rp 1,318,787 Rp 197,818 Rp 14,506,659
40 PT. ANUGRAH PHARMINDO L 9566 6/19/2012 01330997 Rp 1,235,722 Rp 125,454 Rp 18,818 Rp 1,379,994
41 PT. ANUGRAH PHARMINDO L 9573 6/19/2012 01330999 Rp 197,000 Rp 20,000 Rp 3,000 Rp 220,000
Rp 44,733,185 Rp 4,541,440 Rp 681,216 Rp 49,955,841
42 PT. MILLENIUM PHARMACON I 6473 5/31/2012 00006473 Rp 2,208,863 Rp 224,250 Rp 33,638 Rp 2,466,750
43 PT. MILLENIUM PHARMACON I 6472 5/31/2012 00006472 Rp 979,583 Rp 99,450 Rp 14,918 Rp 1,093,950
44 PT. MILLENIUM PHARMACON I 6471 5/31/2012 00006471 Rp 3,723,300 Rp 378,000 Rp 56,700 Rp 4,158,000
45 PT. MILLENIUM PHARMACON I 6599 6/2/2012 00006599 Rp 9,543,173 Rp 968,850 Rp 145,328 Rp 10,657,350
46 PT. MILLENIUM PHARMACON I 6620 6/4/2012 00006620 Rp 20,915,096 Rp 2,123,360 Rp 318,504 Rp 23,356,960
47 PT. MILLENIUM PHARMACON I 6729 6/6/2012 00006729 Rp 14,161,763 Rp 1,437,742 Rp 215,661 Rp 15,815,167
48 PT. MILLENIUM PHARMACON I 6774 6/7/2012 00006774 Rp 4,321,688 Rp 438,750 Rp 65,813 Rp 4,826,250
49 PT. MILLENIUM PHARMACON I 6776 6/7/2012 00006776 Rp 9,497,863 Rp 964,250 Rp 144,638 Rp 10,606,750
50 PT. MILLENIUM PHARMACON I 6929 6/11/2012 00006928 Rp 4,351,730 Rp 441,800 Rp 66,270 Rp 4,859,800
51 PT. MILLENIUM PHARMACON I 7001 6/12/2012 00007001 Rp 4,043,622 Rp 410,520 Rp 61,578 Rp 4,515,720
52 PT. MILLENIUM PHARMACON I 7035 6/13/2012 00007035 Rp 201,679 Rp 20,475 Rp 3,071 Rp 225,225
53 PT. MILLENIUM PHARMACON I 7036 6/13/2012 00007036 Rp 3,235,503 Rp 328,477 Rp 49,272 Rp 3,613,252
54 PT. MILLENIUM PHARMACON I 7135 6/15/2012 00007135 Rp 7,840,502 Rp 795,990 Rp 119,399 Rp 8,755,890
55 PT. MILLENIUM PHARMACON I 7202 6/18/2012 00007202 Rp 100,839 Rp 10,237 Rp 1,536 Rp 112,612
56 PT. MILLENIUM PHARMACON I 7203 6/18/2012 00007203 Rp 4,417,725 Rp 448,500 Rp 67,275 Rp 4,933,500
57 PT. MILLENIUM PHARMACON I 7258 6/17/2012 00007258 Rp 3,806,261 Rp 386,422 Rp 57,963 Rp 4,250,647
Rp 93,349,187 Rp 9,477,075 Rp 1,421,561 Rp 104,247,823
58 PT. BINA SAN PRIMA 0282 6/4/2012 00016544 Rp 2,258,782 Rp 229,318 Rp 34,398 Rp 2,522,498
59 PT. BINA SAN PRIMA 0575 6/6/2012 00016817 Rp 2,932,401 Rp 297,706 Rp 44,656 Rp 3,274,763
60 PT. BINA SAN PRIMA 0576 6/6/2012 00016818 Rp 925,949 Rp 94,005 Rp 14,101 Rp 1,034,055
61 PT. BINA SAN PRIMA 1035 6/11/2012 00017274 Rp 931,081 Rp 94,526 Rp 14,179 Rp 1,039,786
62 PT. BINA SAN PRIMA 1036 6/11/2012 00017275 Rp 256,598 Rp 26,051 Rp 3,908 Rp 286,556
63 PT. BINA SAN PRIMA 1037 6/11/2012 00017276 Rp 5,681,431 Rp 576,795 Rp 86,519 Rp 6,344,745
64 PT. BINA SAN PRIMA 1304 6/13/2012 00017548 Rp 3,972,259 Rp 403,275 Rp 60,491 Rp 4,436,025
65 PT. BINA SAN PRIMA 1523 6/15/2012 00017764 Rp 256,598 Rp 26,051 Rp 3,908 Rp 286,556
66 PT. BINA SAN PRIMA 1527 6/15/2012 00017765 Rp 1,249,670 Rp 126,870 Rp 19,031 Rp 1,395,570
RETUR Rp 115,500 Rp 18,464,769 Rp 1,874,596 Rp 281,189 Rp 20,620,554
67 APOTIK AMALIA 10 6/21/2012 Rp 3,271,462 Rp 332,128 Rp 49,819 Rp 3,653,409
Rp 3,653,409
68 PT. ANUGRAH ARGON M 9685 6/12/2012 00720916 Rp 1,441,640 Rp 146,359 Rp 21,954 Rp 1,609,953
69 PT. ANUGRAH ARGON M 9683 6/12/2012 00720914 Rp 2,972,375 Rp 301,764 Rp 45,265 Rp 3,319,404
70 PT. ANUGRAH ARGON M 0420 6/23/2012 00774336 Rp 5,789,791 Rp 587,796 Rp 88,169 Rp 6,465,756
71 PT. ANUGRAH ARGON M 0618 6/27/2012 00788533 Rp 4,294,600 Rp 436,000 Rp 65,400 Rp 4,796,000
72 PT. ANUGRAH ARGON M 0697 6/28/2012 00795594 Rp 4,700,214 Rp 477,179 Rp 71,577 Rp 5,248,970
73 PT. ANUGRAH ARGON M 0453 6/23/2012 00775970 Rp 344,750 Rp 35,000 Rp 5,250 Rp 385,000
74 PT. ANUGRAH ARGON M 0624 6/27/2012 00788540 Rp 1,522,278 Rp 154,546 Rp 23,182 Rp 1,700,006
RETUR Rp 4,186,380 Rp 21,065,648 Rp 2,138,644 Rp 320,797 Rp 23,525,089
75 PT. DOS NI ROHA 6184 6/11/2012 00840822 Rp 5,992,740 Rp 608,400 Rp 91,260 Rp 6,692,400
76 PT. DOS NI ROHA 3873 6/12/2012 00840823 Rp 3,375,861 Rp 342,727 Rp 51,409 Rp 3,769,997
77 PT. DOS NI ROHA 4836 6/13/2012 00840827 Rp 376,093 Rp 38,182 Rp 5,727 Rp 420,002
78 PT. DOS NI ROHA 4295 6/13/2012 00840826 Rp 3,716,575 Rp 377,317 Rp 56,598 Rp 4,150,490
79 PT. DOS NI ROHA 4209 6/13/2012 00840825 Rp 1,346,926 Rp 136,744 Rp 20,512 Rp 1,504,181
80 PT. DOS NI ROHA 1705 6/13/2012 00840824 Rp 675,895 Rp 68,619 Rp 10,293 Rp 754,807
81 PT. DOS NI ROHA 9160 6/15/2012 00840829 Rp 82,829 Rp 8,409 Rp 1,261 Rp 92,499
82 PT. DOS NI ROHA 9159 6/15/2012 00840828 Rp 4,657,819 Rp 472,875 Rp 70,931 Rp 5,201,625
83 PT. DOS NI ROHA 6153 6/16/2012 00840830 Rp 5,935,118 Rp 602,550 Rp 90,383 Rp 6,628,050
84 PT. DOS NI ROHA 8599 6/19/2012 00840833 Rp 2,489,391 Rp 252,730 Rp 37,910 Rp 2,780,030
85 PT. DOS NI ROHA 8508 6/19/2012 00840832 Rp 164,692 Rp 16,720 Rp 2,508 Rp 183,920
86 PT. DOS NI ROHA 8298 6/19/2012 00840831 Rp 15,740,546 Rp 1,598,025 Rp 239,704 Rp 17,578,275
Rp 44,554,484 Rp 4,523,298 Rp 678,495 Rp 49,756,276

87 PT. INDOFARMA GLOBAL M 3621 5/31/2012 00003438 Rp 3,984,355 Rp 404,503 Rp 60,675 Rp 4,449,534
88 PT. INDOFARMA GLOBAL M 3619 5/31/2012 00003436 Rp 7,916,051 Rp 803,660 Rp 120,549 Rp 8,840,260
89 PT. INDOFARMA GLOBAL M 3620 5/31/2012 00003437 Rp 5,456,939 Rp 554,004 Rp 83,101 Rp 6,094,044
Rp 17,357,346 Rp 1,762,167 Rp 264,325 Rp 19,383,838
90 CV. BHAKTI SEJAHTERA M 181 6/19/2012 00000181 Rp 11,176,401 Rp 1,134,660 Rp 170,199 Rp 12,481,260
Rp 12,481,260
91 PT. SAPTA SARI 3964 6/7/2012 00003960 Rp 999,775 Rp 101,500 Rp 15,225 Rp 1,116,500
92 PT. SAPTA SARI 4221 6/15/2012 00004111 Rp 3,537,135 Rp 359,100 Rp 53,865 Rp 3,950,100
93 PT. SAPTA SARI 3789 5/31/2012 00003717 Rp 6,638,900 Rp 674,000 Rp 101,100 Rp 7,414,000
94 PT. SAPTA SARI 3583 5/25/2012 00003550 Rp 7,106,775 Rp 721,500 Rp 108,225 Rp 7,936,500
95 PT. SAPTA SARI 3327 5/16/2012 00003299 Rp 2,447,922 Rp 248,520 Rp 37,278 Rp 2,733,720
96 PT. SAPTA SARI 3189 5/12/2012 00003158 Rp 1,705,166 Rp 173,113 Rp 25,967 Rp 1,904,246
Rp 22,435,673 Rp 2,277,733 Rp 341,660 Rp 25,055,066
97 PT. RAJAWALI NUSINDO 3003 5/15/2012 00003358 Rp 1,240,042 Rp 125,893 Rp 18,884 Rp 1,384,819
98 PT. RAJAWALI NUSINDO 3105 5/19/2012 00003359 Rp 8,145,684 Rp 826,973 Rp 124,046 Rp 9,096,703
99 PT. RAJAWALI NUSINDO 3120 5/21/2012 00003360 Rp 1,490,737 Rp 151,344 Rp 22,702 Rp 1,664,782
100 PT. RAJAWALI NUSINDO 3126 5/21/2012 00003361 Rp 4,645,260 Rp 471,600 Rp 70,740 Rp 5,187,600
101 PT. RAJAWALI NUSINDO 3160 5/22/2012 00003362 Rp 7,503,366 Rp 761,763 Rp 114,264 Rp 8,379,393
102 PT. RAJAWALI NUSINDO 3244 5/25/2012 00003368 Rp 2,562,290 Rp 260,131 Rp 39,020 Rp 2,861,441
103 PT. RAJAWALI NUSINDO 3246 5/25/2012 00003363 Rp 9,209,750 Rp 935,000 Rp 140,250 Rp 10,285,000
104 PT. RAJAWALI NUSINDO 3247 5/25/2012 00003364 Rp 107,562 Rp 10,920 Rp 1,638 Rp 120,120
105 PT. RAJAWALI NUSINDO 3268 5/25/2012 00003365 Rp 856,950 Rp 87,000 Rp 13,050 Rp 957,000
106 PT. RAJAWALI NUSINDO 3306 5/28/2012 00003366 Rp 1,994,625 Rp 202,500 Rp 30,375 Rp 2,227,500
107 PT. RAJAWALI NUSINDO 3409 5/31/2012 00003367 Rp 796,077 Rp 80,820 Rp 12,123 Rp 889,020
Rp 38,552,343 Rp 3,913,943 Rp 587,092 Rp 43,053,378

TOTAL Rp 532,052,032 Rp 532,052,032

Mengetahui, Muara Bungo, 10 Juli 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

Friday, July 20, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 PT. ANUGRAH ARGON M 0279 6/21/2012 00762826 Rp 1,996,756 Rp 202,716 Rp 30,407 Rp 2,229,880
2 PT. ANUGRAH ARGON M 0276 6/21/2012 00762823 Rp 3,047,729 Rp 309,414 Rp 46,412 Rp 3,403,555
3 PT. ANUGRAH ARGON M 0141 6/19/2012 00753191 Rp 4,127,931 Rp 419,079 Rp 62,862 Rp 4,609,872
4 PT. ANUGRAH ARGON M 0047 6/16/2012 00745103 Rp 2,088,200 Rp 212,000 Rp 31,800 Rp 2,332,000
5 PT. ANUGRAH ARGON M 9930 6/15/2012 00738457 Rp 2,462,500 Rp 250,000 Rp 37,500 Rp 2,750,000
6 PT. ANUGRAH ARGON M 9926 6/15/2012 00737699 Rp 1,231,250 Rp 125,000 Rp 18,750 Rp 1,375,000
7 PT. ANUGRAH ARGON M 0051 6/16/2012 00745183 Rp 1,061,338 Rp 107,750 Rp 16,163 Rp 1,185,250
8 PT. ANUGRAH ARGON M 0332 6/21/2012 00766894 Rp 1,300,200 Rp 132,000 Rp 19,800 Rp 1,452,000
9 PT. ANUGRAH ARGON M 9919 6/15/2012 00737692 Rp 3,452,923 Rp 350,551 Rp 52,583 Rp 3,856,056
Rp 20,768,826 Rp 2,108,510 Rp 316,277 Rp 23,193,613
10 PT. BINA SAN PRIMA 1920 6/19/2012 00018161 Rp 2,253,188 Rp 228,750 Rp 34,313 Rp 2,516,250
11 PT. BINA SAN PRIMA 1921 6/19/2012 00018162 Rp 3,981,321 Rp 404,195 Rp 60,629 Rp 4,446,145
12 PT. BINA SAN PRIMA 2780 6/27/2012 00019024 Rp 2,434,841 Rp 247,192 Rp 37,079 Rp 2,719,112
13 PT. BINA SAN PRIMA 3162 6/30/2012 00019414 Rp 2,244,451 Rp 227,863 Rp 34,179 Rp 2,506,493
14 PT. BINA SAN PRIMA 0236 7/3/2012 00019717 Rp 79,933 Rp 8,115 Rp 1,217 Rp 89,265
15 PT. BINA SAN PRIMA 0237 7/3/2012 00019718 Rp 295,500 Rp 30,000 Rp 4,500 Rp 330,000
16 PT. BINA SAN PRIMA 0238 7/3/2012 00019719 Rp 1,090,395 Rp 110,700 Rp 16,605 Rp 1,217,700
17 PT. BINA SAN PRIMA 0349 7/4/2012 00019815 Rp 1,976,619 Rp 200,672 Rp 30,101 Rp 2,207,392
18 PT. BINA SAN PRIMA 0576 7/6/2012 00020051 Rp 5,349,437 Rp 543,090 Rp 81,464 Rp 5,973,990
Rp 19,705,683 Rp 2,000,577 Rp 300,087 Rp 22,006,347
19 PT. MENSA BINA SUKSES 0089 6/11/2012 00610554 Rp 2,000,091 Rp 203,055 Rp 30,458 Rp 2,233,604
20 PT. MENSA BINA SUKSES 9848 6/13/2012 00620207 Rp 4,657,345 Rp 472,827 Rp 70,924 Rp 5,201,096
21 PT. MENSA BINA SUKSES 9272 6/15/2012 00629574 Rp 3,073,693 Rp 312,050 Rp 46,808 Rp 3,432,550
22 PT. MENSA BINA SUKSES 0122 6/19/2012 00640311 Rp 857,615 Rp 87,068 Rp 13,060 Rp 957,743
23 PT. MENSA BINA SUKSES 0129 6/19/2012 00640318 Rp 322,361 Rp 32,727 Rp 4,909 Rp 359,997
24 PT. MENSA BINA SUKSES 7496 6/20/2012 00647613 Rp 3,275,125 Rp 332,500 Rp 49,875 Rp 3,657,500
25 PT. MENSA BINA SUKSES 6234 6/20/2012 00646365 Rp 7,555,246 Rp 767,030 Rp 115,055 Rp 8,437,330
26 PT. MENSA BINA SUKSES 1251 6/21/2012 00651355 Rp 4,267,020 Rp 433,200 Rp 64,980 Rp 4,765,200
27 PT. MENSA BINA SUKSES 8772 6/23/2012 00658815 Rp 6,225,077 Rp 631,988 Rp 94,798 Rp 6,951,863
28 PT. MENSA BINA SUKSES 9235 6/26/2012 00669180 Rp 4,100,063 Rp 416,250 Rp 62,438 Rp 4,578,750
29 PT. MENSA BINA SUKSES 3334 6/27/2012 00673238 Rp 6,118,303 Rp 621,148 Rp 93,172 Rp 6,832,623
30 PT. MENSA BINA SUKSES 6887 6/28/2012 00676759 Rp 3,250,008 Rp 329,950 Rp 49,493 Rp 3,629,450
31 PT. MENSA BINA SUKSES 9028 6/28/2012 00678879 Rp 912,356 Rp 92,625 Rp 13,894 Rp 1,018,875
32 PT. MENSA BINA SUKSES 3971 6/29/2012 00683783 Rp 9,521,256 Rp 966,625 Rp 144,994 Rp 10,632,875
33 PT. MENSA BINA SUKSES 9114 6/30/2012 00688890 Rp 7,744,563 Rp 786,250 Rp 117,938 Rp 8,648,750
34 PT. MENSA BINA SUKSES 9127 6/30/2012 00688903 Rp 12,523,669 Rp 1,271,438 Rp 190,716 Rp 13,985,823
35 PT. MENSA BINA SUKSES 1932 6/30/2012 00691687 Rp 1,503,356 Rp 152,625 Rp 22,894 Rp 1,678,875
36 PT. MENSA BINA SUKSES 7432 7/2/2012 00697150 Rp 6,075,861 Rp 616,839 Rp 92,526 Rp 6,785,226
37 PT. MENSA BINA SUKSES 5232 7/4/2012 00704879 Rp 331,305 Rp 33,635 Rp 5,045 Rp 369,985
38 PT. MENSA BINA SUKSES 5230 7/4/2012 00704877 Rp 6,900,799 Rp 700,589 Rp 105,088 Rp 7,706,476
RETUR Rp.1.759.934 Rp 91,215,111 Rp 9,260,417 Rp 1,389,063 Rp 101,864,591
39 CV. SRI TIRTA JAYA 274 7/4/2012 00000047 Rp 11,573,750 Rp 1,175,000 Rp 176,250 Rp 12,925,000
40 CV. SRI TIRTA JAYA 275 6/5/2012 00000048 Rp 8,126,250 Rp 825,000 Rp 123,750 Rp 9,075,000
41 CV. SRI TIRTA JAYA 276 6/5/2012 00000049 Rp 8,451,300 Rp 858,000 Rp 128,700 Rp 9,438,000
42 CV. SRI TIRTA JAYA 278 6/27/2012 00000051 Rp 1,674,500 Rp 170,000 Rp 25,500 Rp 1,870,000
43 CV. SRI TIRTA JAYA 280 6/29/2012 00000053 Rp 985,000 Rp 100,000 Rp 15,000 Rp 1,100,000
Rp 30,810,800 Rp 3,128,000 Rp 469,200 Rp 34,408,000
44 PT. UNITED DICO CITAS 4253 6/28/2012 00006841 Rp 2,201,032 Rp 223,455 Rp 33,518 Rp 2,458,005
45 PT. UNITED DICO CITAS 4254 6/28/2012 00006842 Rp 3,757,017 Rp 381,423 Rp 57,213 Rp 4,195,654
46 PT. UNITED DICO CITAS 4539 7/4/2012 00007133 Rp 17,610,427 Rp 1,787,861 Rp 268,179 Rp 19,666,467
Rp 23,568,476 Rp 2,392,739 Rp 358,911 Rp 26,320,126
47 PT. ENSEVAL PUTERA 1261 6/29/2012 01974796 Rp 17,378,428 Rp 1,764,307 Rp 264,646 Rp 19,407,382
48 PT. ENSEVAL PUTERA 1439 6/30/2012 01980595 Rp 17,999,076 Rp 1,827,317 Rp 274,098 Rp 20,100,491
49 PT. ENSEVAL PUTERA 0797 6/29/2012 01974904 Rp 2,057,754 Rp 208,909 Rp 31,336 Rp 2,297,999
50 PT. ENSEVAL PUTERA 0805 6/30/2012 01980646 Rp 273,111 Rp 27,727 Rp 4,159 Rp 304,997
Rp 37,708,369 Rp 3,828,261 Rp 574,239 Rp 42,110,869
51 PT. DOS NI ROHA 4186 7/2/2012 00955833 Rp 3,819,412 Rp 387,758 Rp 58,164 Rp 4,265,333
52 PT. DOS NI ROHA 4187 7/2/2012 00955834 Rp 1,727,331 Rp 175,364 Rp 26,305 Rp 1,928,999
53 PT. DOS NI ROHA 7582 6/20/2012 00862027 Rp 945,600 Rp 96,000 Rp 14,400 Rp 1,056,000
54 PT. DOS NI ROHA 9276 6/20/2012 00862041 Rp 5,808,147 Rp 589,660 Rp 88,449 Rp 6,486,256
55 PT. DOS NI ROHA 0539 6/20/2012 00862049 Rp 2,596,815 Rp 263,636 Rp 39,545 Rp 2,899,996
56 PT. DOS NI ROHA 6238 6/21/2012 00865387 Rp 5,627,798 Rp 571,350 Rp 85,703 Rp 6,284,850
57 PT. DOS NI ROHA 0886 6/23/2012 00865517 Rp 7,875,075 Rp 799,500 Rp 119,925 Rp 8,794,500
58 PT. DOS NI ROHA 5078 6/25/2012 00867668 Rp 1,392,544 Rp 141,375 Rp 21,206 Rp 1,555,125
59 PT. DOS NI ROHA 3774 6/25/2012 00867729 Rp 2,925,450 Rp 297,000 Rp 44,550 Rp 3,267,000
60 PT. DOS NI ROHA 8285 6/25/2012 00867749 Rp 1,421,079 Rp 144,272 Rp 21,641 Rp 1,586,992
61 PT. DOS NI ROHA 5330 6/26/2012 00874818 Rp 5,389,477 Rp 547,155 Rp 82,073 Rp 6,018,705
62 PT. DOS NI ROHA 7982 6/26/2012 00874851 Rp 4,387,634 Rp 445,445 Rp 66,817 Rp 4,899,896
63 PT. DOS NI ROHA 3167 6/27/2012 00878833 Rp 3,016,830 Rp 306,277 Rp 45,942 Rp 3,369,049
64 PT. DOS NI ROHA 3449 6/27/2012 00878834 Rp 3,985,556 Rp 404,625 Rp 60,694 Rp 4,450,875
65 PT. DOS NI ROHA 3457 6/27/2012 00878835 Rp 492,084 Rp 49,958 Rp 7,494 Rp 549,535
66 PT. DOS NI ROHA 4177 6/28/2012 00879265 Rp 4,435,376 Rp 450,292 Rp 67,544 Rp 4,953,212
67 PT. DOS NI ROHA 2280 6/29/2012 00879349 Rp 2,782,684 Rp 282,506 Rp 42,376 Rp 3,107,566
68 PT. DOS NI ROHA 0898 6/30/2012 00883834 Rp 3,625,416 Rp 368,063 Rp 55,209 Rp 4,048,688
69 PT. DOS NI ROHA 0900 6/30/2012 00883835 Rp 2,949,077 Rp 299,399 Rp 44,910 Rp 3,293,385
70 PT. DOS NI ROHA 1253 6/30/2012 00883858 Rp 2,322,532 Rp 235,790 Rp 35,369 Rp 2,593,690
71 PT. DOS NI ROHA 3388 6/30/2012 00883882 Rp 7,662,716 Rp 777,941 Rp 116,691 Rp 8,557,348
72 PT. DOS NI ROHA 6107 6/30/2012 00883910 Rp 6,249,550 Rp 634,472 Rp 95,171 Rp 6,979,193
73 PT. DOS NI ROHA 6109 6/30/2012 00883911 Rp 5,498,147 Rp 558,188 Rp 83,728 Rp 6,140,063
Rp 86,936,329 Rp 8,826,023 Rp 1,323,903 Rp 97,086,256
74 PT. TEMPO 1251/2 6/30/2012 00624724 Rp 2,338,032 Rp 237,364 Rp 35,605 Rp 2,611,000
Rp 2,611,000
75 PT. RAJAWALI NUSINDO 3589 6/8/2012 00003959 Rp 4,017,400 Rp 407,858 Rp 61,179 Rp 4,486,436
76 PT. RAJAWALI NUSINDO 3590 6/8/2012 00003960 Rp 215,124 Rp 21,840 Rp 3,276 Rp 240,240
77 PT. RAJAWALI NUSINDO 3706 6/14/2012 00003961 Rp 7,835,966 Rp 795,530 Rp 119,329 Rp 8,750,825
78 PT. RAJAWALI NUSINDO 3709 6/14/2012 00003962 Rp 1,329,750 Rp 135,000 Rp 20,250 Rp 1,485,000
79 PT. RAJAWALI NUSINDO 3763 6/16/2012 00003963 Rp 664,875 Rp 67,500 Rp 10,125 Rp 742,500
80 PT. RAJAWALI NUSINDO 4072 6/29/2012 00003964 Rp 18,357,329 Rp 1,863,688 Rp 279,553 Rp 20,500,570
81 PT. RAJAWALI NUSINDO 4073 6/29/2012 00003965 Rp 5,946,465 Rp 603,702 Rp 90,555 Rp 6,640,722
Rp 38,366,908 Rp 3,895,118 Rp 584,268 Rp 42,846,293
82 PT. KEBAYORAN FARMA 6096 6/25/2012 00006199 Rp 1,344,525 Rp 136,500 Rp 20,475 Rp 1,501,500
83 PT. KEBAYORAN FARMA 6097 6/25/2012 00006200 Rp 2,659,402 Rp 269,990 Rp 40,499 Rp 2,969,890
84 PT. KEBAYORAN FARMA 6191 6/27/2012 00006294 Rp 3,341,120 Rp 339,200 Rp 50,880 Rp 3,731,200
85 PT. KEBAYORAN FARMA 6286 6/29/2012 00006389 Rp 6,333,298 Rp 642,974 Rp 96,446 Rp 7,072,719
86 PT. KEBAYORAN FARMA 6287 6/29/2012 00006390 Rp 2,782,625 Rp 282,500 Rp 42,375 Rp 3,107,500
87 PT. KEBAYORAN FARMA 6288 6/29/2012 00006391 Rp 7,658,375 Rp 777,500 Rp 116,625 Rp 8,552,500
88 PT. KEBAYORAN FARMA 6311 6/30/2012 00006414 Rp 6,227,170 Rp 632,200 Rp 94,830 Rp 6,954,200
RETUR Rp. 993.300 Rp 30,346,515 Rp 3,080,864 Rp 462,130 Rp 33,889,509

TOTAL Rp 426,336,604 Rp 426,336,604

Mengetahui, Muara Bungo, 20 Juli 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

Wednesday, July 25, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 PT. ANUGRAH ARGON M 0868 6/30/2012 00808413 Rp 10,491,340 Rp 1,065,111 Rp 159,767 Rp 11,716,217
2 PT. ANUGRAH ARGON M 0871 6/30/2012 00808416 Rp 2,596,760 Rp 263,630 Rp 39,545 Rp 2,899,935
3 PT. ANUGRAH ARGON M 0954 6/30/2012 00815040 Rp 223,864 Rp 22,727 Rp 3,409 Rp 250,000
4 PT. ANUGRAH ARGON M 1036 7/3/2012 00820652 Rp 4,244,547 Rp 430,918 Rp 64,638 Rp 4,740,103
5 PT. ANUGRAH ARGON M 1059 7/3/2012 00822636 Rp 1,753,300 Rp 178,000 Rp 26,700 Rp 1,958,000
6 PT. ANUGRAH ARGON M 1069 7/3/2012 00823379 Rp 9,737,710 Rp 988,600 Rp 148,290 Rp 10,874,600
7 PT. ANUGRAH ARGON M 1119 7/4/2012 00827519 Rp 4,619,404 Rp 468,975 Rp 70,346 Rp 5,158,725
8 PT. ANUGRAH ARGON M 1139 7/5/2012 00829074 Rp 5,715,605 Rp 580,264 Rp 87,040 Rp 6,382,909
9 PT. ANUGRAH ARGON M 1136 7/5/2012 00829071 Rp 3,554,059 Rp 360,818 Rp 54,123 Rp 3,969,000
Rp 42,936,588 Rp 4,359,044 Rp 653,857 Rp 47,949,489
10 PT. PARAZELSUS 7932 7/16/2012 00001875 Rp 1,270,650 Rp 129,000 Rp 19,350 Rp 1,419,000
Rp 1,419,000
11 PT. KIMIA FARMA 6338 7/5/2012 00006326 Rp 3,266,038 Rp 331,577 Rp 49,737 Rp 3,647,352
Rp 3,647,352
12 PT. PARIT PADANG GLOBAL 9787 6/28/2012 00008189 Rp 195,030 Rp 19,800 Rp 2,970 Rp 217,800
13 PT. PARIT PADANG GLOBAL 9790 6/28/2012 00008192 Rp 311,615 Rp 31,636 Rp 4,745 Rp 347,997
14 PT. PARIT PADANG GLOBAL 9863 6/29/2012 00008218 Rp 94,265 Rp 9,570 Rp 1,436 Rp 105,270
15 PT. PARIT PADANG GLOBAL 9857 6/29/2012 00008214 Rp 473,785 Rp 48,100 Rp 7,215 Rp 529,100
18 PT. PARIT PADANG GLOBAL 9866 6/29/2012 00008220 Rp 2,433,344 Rp 247,040 Rp 37,056 Rp 2,717,440
RETUR RP. 825.000 Rp 3,508,039 Rp 356,146 Rp 53,422 Rp 3,917,607
19 PT. UNITED DICO CITAS 3519 6/11/2012 00006139 Rp 4,919,062 Rp 499,397 Rp 74,910 Rp 5,493,369
20 PT. UNITED DICO CITAS 3518 6/11/2012 00006138 Rp 3,299,573 Rp 334,982 Rp 50,247 Rp 3,684,802
Rp 8,218,635 Rp 834,379 Rp 125,157 Rp 9,178,171
21 PT. KEBAYORAN FARMA 5942 6/20/2012 00006045 Rp 2,186,700 Rp 222,000 Rp 33,300 Rp 2,442,000
22 PT. KEBAYORAN FARMA 5905 6/19/2012 00006008 Rp 3,599,190 Rp 365,400 Rp 54,810 Rp 4,019,400
23 PT. KEBAYORAN FARMA 5784 6/15/2012 00005887 Rp 2,659,402 Rp 269,990 Rp 40,499 Rp 2,969,890
24 PT. KEBAYORAN FARMA 5783 6/15/2012 00005886 Rp 6,913,715 Rp 701,900 Rp 105,285 Rp 7,720,900
25 PT. KEBAYORAN FARMA 5500 6/7/2012 00005599 Rp 6,948,190 Rp 705,400 Rp 105,810 Rp 7,759,400
26 PT. KEBAYORAN FARMA 5498 6/7/2012 00005597 Rp 1,108,499 Rp 112,538 Rp 16,881 Rp 1,237,918
27 PT. KEBAYORAN FARMA 5499 6/7/2012 00005598 Rp 6,973,800 Rp 708,000 Rp 106,200 Rp 7,788,000
28 PT. KEBAYORAN FARMA 5904 6/19/2012 00006007 Rp 197,000 Rp 20,000 Rp 3,000 Rp 220,000
RETUR 264.000 Rp 30,586,496 Rp 3,105,228 Rp 465,784 Rp 34,157,508
29 PT. PENTA VALENT 6009 6/6/2012 00303819 Rp 3,907,643 Rp 396,715 Rp 59,507 Rp 4,363,865
30 PT. PENTA VALENT 6326 6/14/2012 00317945 Rp 3,026,068 Rp 307,215 Rp 46,082 Rp 3,379,365
31 PT. PENTA VALENT 6325 6/14/2012 00317944 Rp 266,482 Rp 27,054 Rp 4,058 Rp 297,594
32 PT. PENTA VALENT 5802 5/31/2012 00290015 Rp 1,132,750 Rp 115,000 Rp 17,250 Rp 1,265,000
33 PT. PENTA VALENT 5774 5/31/2012 00289989 Rp 2,265,500 Rp 230,000 Rp 34,500 Rp 2,530,000
34 PT. PENTA VALENT 5498 5/24/2012 00274203 Rp 2,561,000 Rp 260,000 Rp 39,000 Rp 2,860,000
Rp 13,159,442 Rp 1,335,984 Rp 200,398 Rp 14,695,824

Rp 114,964,951 Rp 114,964,951

Mengetahui, Muara Bungo, 25 Juli 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

Saturday, July 28, 2012

1 PT. INDO FARMA GLOBAL M 4232 6/26/2012 Rp 551,834 Rp 56,024 Rp 8,404 Rp 616,261
2 PT. INDO FARMA GLOBAL M 3640 6/2/2012 Rp 10,395,539 Rp 1,055,385 Rp 158,308 Rp 11,609,231
3 PT. INDO FARMA GLOBAL M 4374 6/30/2012 Rp 4,819,694 Rp 489,309 Rp 73,396 Rp 5,382,399
4 PT. INDO FARMA GLOBAL M 4376 6/30/2012 Rp 1,719,515 Rp 174,570 Rp 26,186 Rp 1,920,270
5 PT. INDO FARMA GLOBAL M 3990 6/16/2012 Rp 3,091,139 Rp 313,821 Rp 47,073 Rp 3,452,033
Rp 20,577,719 Rp 2,089,109 Rp 313,366 Rp 22,980,194
6 PT. ENSEVAL PUTERA 2761 7/12/2012 02108484 Rp 18,169,426 Rp 1,844,612 Rp 276,692 Rp 20,290,730
7 PT. ENSEVAL PUTERA 3174 7/16/2012 02149681 Rp 11,149,554 Rp 1,131,934 Rp 169,790 Rp 12,451,279
8 PT. ENSEVAL PUTERA 3333 7/17/2012 02164348 Rp 14,444,822 Rp 1,466,479 Rp 219,972 Rp 16,131,273
9 PT. ENSEVAL PUTERA 3472 7/18/2012 02180375 Rp 10,054,634 Rp 1,020,775 Rp 153,116 Rp 11,228,525
10 PT. ENSEVAL PUTERA 0860 7/13/2012 02115099 Rp 3,616,293 Rp 367,136 Rp 55,070 Rp 4,038,500
11 PT. ENSEVAL PUTERA 0873 7/16/2012 02149742 Rp 401,151 Rp 40,726 Rp 6,109 Rp 447,986
12 PT. ENSEVAL PUTERA 0877 7/17/2012 02164396 Rp 188,046 Rp 19,091 Rp 2,864 Rp 210,001
13 PT. ENSEVAL PUTERA 1654 7/2/2012 01995331 Rp 6,613,881 Rp 671,460 Rp 100,719 Rp 7,386,060
14 PT. ENSEVAL PUTERA 1893 7/4/2012 02024088 Rp 26,670,666 Rp 2,707,682 Rp 406,152 Rp 29,784,500
15 PT. ENSEVAL PUTERA 2178 7/6/2012 02046691 Rp 18,881,564 Rp 1,916,910 Rp 287,537 Rp 21,086,010
16 PT. ENSEVAL PUTERA 2181 7/6/2012 02051873 Rp 3,087,975 Rp 313,500 Rp 47,025 Rp 3,448,500
17 PT. ENSEVAL PUTERA 2253 7/9/2012 02060619 Rp 8,845,802 Rp 898,051 Rp 134,708 Rp 9,878,561
18 PT. ENSEVAL PUTERA 2505 7/10/2012 02083956 Rp 18,885,307 Rp 1,917,290 Rp 287,594 Rp 21,090,190
19 PT. ENSEVAL PUTERA 0825 7/4/2012 02024128 Rp 1,140,360 Rp 115,773 Rp 17,366 Rp 1,273,499
20 PT. ENSEVAL PUTERA 0829 7/6/2012 02051901 Rp 198,783 Rp 20,181 Rp 3,027 Rp 221,991
21 PT. ENSEVAL PUTERA 0832 7/9/2012 02060644 Rp 1,961,046 Rp 199,091 Rp 29,864 Rp 2,190,001
22 PT. ENSEVAL PUTERA 0840 7/10/2012 02084016 Rp 859,634 Rp 87,272 Rp 13,091 Rp 959,997
RETUR Rp 3,158,650 Rp 145,168,944 Rp 14,737,964 Rp 2,210,695 Rp 162,117,603
23 PT. HOTAMA MEDIPHAR 1020 7/26/2012 00001020 Rp 2,245,800 Rp 228,000 Rp 34,200 Rp 2,508,000
24 PT. HOTAMA MEDIPHAR 1021 7/26/2012 00001021 Rp 3,152,985 Rp 320,100 Rp 48,015 Rp 3,521,100
25 PT. HOTAMA MEDIPHAR 1022 7/27/2012 00001022 Rp 15,457,605 Rp 1,569,300 Rp 235,395 Rp 17,262,300
26 PT. HOTAMA MEDIPHAR 1023 7/27/2012 00001023 Rp 10,863,526 Rp 1,102,896 Rp 165,434 Rp 12,131,856
27 PT. HOTAMA MEDIPHAR 1024 7/28/2012 00001024 Rp 11,820,000 Rp 1,200,000 Rp 180,000 Rp 13,200,000
28 PT. HOTAMA MEDIPHAR 1025 7/30/2012 00001025 Rp 6,988,575 Rp 709,500 Rp 106,425 Rp 7,804,500
Rp 50,528,491 Rp 5,129,796 Rp 769,469 Rp 56,427,756
29 PT. ULICO PHARMA 0057 7/11/2012 00000057 Rp 6,451,750 Rp 655,000 Rp 98,250 Rp 7,205,000
30 PT. ULICO PHARMA 0056 7/6/2012 00000056 Rp 3,142,150 Rp 319,000 Rp 47,850 Rp 3,509,000
31 PT. ULICO PHARMA 0055 7/5/2012 00000055 Rp 4,334,000 Rp 440,000 Rp 66,000 Rp 4,840,000
32 PT. ULICO PHARMA 0054 7/3/2012 00000054 Rp 3,404,160 Rp 345,600 Rp 51,840 Rp 3,801,600
Rp 17,332,060 Rp 1,759,600 Rp 263,940 Rp 19,355,600
33 PT. ANUGRAH PHARMINDO L 0955 7/3/2012 01448825 Rp 4,580,250 Rp 465,000 Rp 69,750 Rp 5,115,000
34 PT. ANUGRAH PHARMINDO L 0970 7/3/2012 01448827 Rp 3,621,353 Rp 367,650 Rp 55,148 Rp 4,044,150
35 PT. ANUGRAH PHARMINDO L 0961 7/3/2012 01448826 Rp 2,641,425 Rp 268,165 Rp 40,225 Rp 2,949,815
36 PT. ANUGRAH PHARMINDO L 1322 7/7/2012 01500223 Rp 3,955,169 Rp 401,540 Rp 60,231 Rp 4,416,940
37 PT. ANUGRAH PHARMINDO L 1320 7/7/2012 01500222 Rp 2,785,580 Rp 282,800 Rp 42,420 Rp 3,110,800
Rp 17,583,777 Rp 1,785,155 Rp 267,773 Rp 19,636,705
38 PT. ANUGRAH ARGON M 1274 7/6/2012 00838741 Rp 1,753,300 Rp 178,000 Rp 26,700 Rp 1,958,000
39 PT. ANUGRAH ARGON M 1528 7/12/2012 00856314 Rp 2,462,500 Rp 250,000 Rp 37,500 Rp 2,750,000
40 PT. ANUGRAH ARGON M 1530 7/12/2012 00856316 Rp 2,102,975 Rp 213,500 Rp 32,025 Rp 2,348,500
41 PT. ANUGRAH ARGON M 1299 7/9/2012 00842153 Rp 4,436,306 Rp 450,386 Rp 67,558 Rp 4,954,250
42 PT. ANUGRAH ARGON M 1301 7/9/2012 00842155 Rp 5,051,067 Rp 512,799 Rp 76,920 Rp 5,640,786
43 PT. ANUGRAH ARGON M 1306 7/9/2012 00842160 Rp 5,969,100 Rp 606,000 Rp 90,900 Rp 6,666,000
44 PT. ANUGRAH ARGON M 1302 7/9/2012 00842156 Rp 1,876,918 Rp 190,550 Rp 28,583 Rp 2,096,050
45 PT. ANUGRAH ARGON M 1613 7/13/2012 00862087 Rp 537,262 Rp 54,544 Rp 8,182 Rp 599,988
46 PT. ANUGRAH ARGON M 1614 7/13/2012 00862088 Rp 2,149,763 Rp 218,250 Rp 32,738 Rp 2,400,750
47 PT. ANUGRAH ARGON M 1664 7/13/2012 00865742 Rp 1,511,975 Rp 153,500 Rp 23,025 Rp 1,688,500
48 PT. ANUGRAH ARGON M 1702 7/14/2012 00868582 Rp 398,925 Rp 40,500 Rp 6,075 Rp 445,500
49 PT. ANUGRAH ARGON M 1731 7/16/2012 00870499 Rp 6,475,173 Rp 657,378 Rp 98,607 Rp 7,231,158
50 PT. ANUGRAH ARGON M 1732 7/16/2012 00870500 Rp 12,186,202 Rp 1,237,178 Rp 185,577 Rp 13,608,956
51 PT. ANUGRAH ARGON M 1734 7/16/2012 00870502 Rp 2,699,727 Rp 274,084 Rp 41,113 Rp 3,014,923
52 PT. ANUGRAH ARGON M 1878 7/17/2012 00880861 Rp 1,255,875 Rp 127,500 Rp 19,125 Rp 1,402,500
53 PT. ANUGRAH ARGON M 1904 7/18/2012 00881788 Rp 4,486,183 Rp 455,450 Rp 68,318 Rp 5,009,950
54 PT. ANUGRAH ARGON M 1902 7/18/2012 00881786 Rp 6,939,910 Rp 704,559 Rp 105,684 Rp 7,750,153
55 PT. ANUGRAH ARGON M 2052 7/20/2012 00893905 Rp 2,238,533 Rp 227,262 Rp 34,089 Rp 2,499,885
56 PT. ANUGRAH ARGON M 2048 7/20/2012 00893901 Rp 4,877,476 Rp 495,175 Rp 74,276 Rp 5,446,928
57 PT. ANUGRAH ARGON M 2066 7/20/2012 00895489 Rp 4,580,250 Rp 465,000 Rp 69,750 Rp 5,115,000
58 PT. ANUGRAH ARGON M 2049 7/20/2012 00893902 Rp 8,495,625 Rp 862,500 Rp 129,375 Rp 9,487,500
RETUR Rp 751,499 Rp 82,485,043 Rp 8,374,116 Rp 1,256,117 Rp 92,115,277
59 PT. KEBAYORAN FARMA 6729 7/12/2012 00006834 Rp 3,747,338 Rp 380,440 Rp 57,066 Rp 4,184,845
60 PT. KEBAYORAN FARMA 6728 7/12/2012 00006833 Rp 9,968,200 Rp 1,012,000 Rp 151,800 Rp 11,132,000
61 PT. KEBAYORAN FARMA 6727 7/12/2012 00006832 Rp 9,645,120 Rp 979,200 Rp 146,880 Rp 10,771,200
Rp 23,360,658 Rp 2,371,640 Rp 355,746 Rp 26,088,045
62 PT. PARIT PADANG GLOBAL 1361 7/11/2012 00009044 Rp 2,009,794 Rp 204,040 Rp 30,606 Rp 2,244,440
63 PT. PARIT PADANG GLOBAL 1546 7/12/2012 00009093 Rp 189,120 Rp 19,200 Rp 2,880 Rp 211,200
64 PT. PARIT PADANG GLOBAL 0633 7/5/2012 00008832 Rp 429,815 Rp 43,636 Rp 6,545 Rp 479,996
65 PT. PARIT PADANG GLOBAL 1360 7/11/2012 00009043 Rp 2,193,851 Rp 222,726 Rp 33,409 Rp 2,449,986
66 PT. PARIT PADANG GLOBAL 1549 7/12/2012 00009094 Rp 785,538 Rp 79,750 Rp 11,963 Rp 877,250
Rp 5,608,117 Rp 569,352 Rp 85,403 Rp 6,262,872
67 PT. MERAPI UTAMA PHARMA 7756 6/4/2012 00007597 Rp 7,096,876 Rp 720,495 Rp 108,074 Rp 7,925,445
68 PT. MERAPI UTAMA PHARMA 8097 6/13/2012 00007936 Rp 1,056,413 Rp 107,250 Rp 16,088 Rp 1,179,750
69 PT. MERAPI UTAMA PHARMA 8186 6/15/2012 00008021 Rp 3,104,129 Rp 315,140 Rp 47,271 Rp 3,466,540
70 PT. MERAPI UTAMA PHARMA 8782 6/30/2012 00008604 Rp 3,588,079 Rp 364,272 Rp 54,641 Rp 4,006,992
71 PT. MERAPI UTAMA PHARMA 8797 6/30/2012 00008619 Rp 7,391,539 Rp 750,410 Rp 112,562 Rp 8,254,510
72 PT. MERAPI UTAMA PHARMA 8960 7/4/2012 00008781 Rp 3,184,826 Rp 323,333 Rp 48,500 Rp 3,556,658
73 PT. MERAPI UTAMA PHARMA 8961 7/4/2012 00008782 Rp 1,719,810 Rp 174,600 Rp 26,190 Rp 1,920,600
Rp 27,141,671 Rp 2,755,500 Rp 413,325 Rp 30,310,495
74 PT. PENTA VALENT 3388 6/4/2012 00166269 Rp 2,955,246 Rp 300,025 Rp 45,004 Rp 3,300,275
Rp 3,300,275
TOTAL Rp 438,594,822 Rp 438,594,822

Mengetahui, Muara Bungo, 28 Juli 2012

Kepala Instalasi Farmasi Kepala Ruangan

TONI DAFIAPUTRA, S.FARM, APT AYU TRESNAWATI

NIP.19841023 200803 1 001 NIP 19660908 198803 2 002
 Rp 1,170,750

Rp 17,178,519

RETUR Rp 827,970
RETUR Rp 2,483,910
RETUR Rp 874,500
Rp 4,186,380

Rp 16,879,268
ASKES

ASKES

ASKES
ASKES
ASKES

Rp 30,586,232

ASKES

ASKES

2640000
470250
44800
3155050
 LAMPIRAN REKAPITULASI SURAT PEMBAYARAN HUTANG
OBAT JAMKESMAS
INSTALASI FARMASI RSUD H. HANAFIE MUARA BUNGO

Monday, June 11, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL TOTAL
1 CV. SRI TIRTA JAYA 182 4/5/2012 00000028 Rp 1,699,125 Rp 172,500 Rp 25,875 Rp 1,897,500
2 CV. SRI TIRTA JAYA 183 4/12/2012 00000029 Rp 1,155,405 Rp 117,300 Rp 17,595 Rp 1,290,300
3 CV. SRI TIRTA JAYA 185 4/26/2012 00000031 Rp 2,462,500 Rp 250,000 Rp 37,500 Rp 2,750,000
4 CV. SRI TIRTA JAYA 186 4/29/2012 00000032 Rp 5,600,316 Rp 568,560 Rp 85,284 Rp 6,254,160
5 CV. SRI TIRTA JAYA 198 4/29/2012 00000033 Rp 1,901,050 Rp 193,000 Rp 28,950 Rp 2,123,000
6 CV. SRI TIRTA JAYA 181 4/2/2012 00000027 Rp 33,311,223 Rp 3,381,850 Rp 507,278 Rp 37,200,350
7 CV. SRI TIRTA JAYA 184 4/13/2012 00000030 Rp 14,405,625 Rp 1,462,500 Rp 219,375 Rp 16,087,500
, Rp 60,535,244 Rp 6,145,710 Rp 921,857 Rp 67,602,810
8 PT. ANUGRAH ARGON MEDICA 8588 5/24/2012 00638813 Rp 3,837,781 Rp 389,622 Rp 58,443 Rp 4,285,847
9 PT. ANUGRAH ARGON MEDICA 8533 5/23/2012 00634346 Rp 3,114,570 Rp 316,200 Rp 47,430 Rp 3,478,200
10 PT. ANUGRAH ARGON MEDICA 8448 5/22/2012 00628408 Rp 1,230,758 Rp 124,950 Rp 18,743 Rp 1,374,450
11 PT. ANUGRAH ARGON MEDICA 8373 5/21/2012 00622514 Rp 5,682,364 Rp 576,890 Rp 86,533 Rp 6,345,787
12 PT. ANUGRAH ARGON MEDICA 8372 5/21/2012 00622513 Rp 6,368,616 Rp 646,560 Rp 96,984 Rp 7,112,160
13 PT. ANUGRAH ARGON MEDICA 8371 5/21/2012 00622512 Rp 2,283,417 Rp 231,819 Rp 34,773 Rp 2,550,009
14 PT. ANUGRAH ARGON MEDICA 8166 5/16/2012 00607885 Rp 18,281,794 Rp 1,856,020 Rp 278,403 Rp 20,416,217
15 PT. ANUGRAH ARGON MEDICA 8101 5/15/2012 00601997 Rp 1,559,842 Rp 158,360 Rp 23,754 Rp 1,741,955
16 PT. ANUGRAH ARGON MEDICA 8446 5/22/2012 00628406 Rp 4,998,117 Rp 507,423 Rp 76,113 Rp 5,581,654
17 PT. ANUGRAH ARGON MEDICA 8100 5/15/2012 00601996 Rp 6,686,968 Rp 678,880 Rp 101,832 Rp 7,467,680
Rp 54,044,227 Rp 5,486,724 Rp 823,009 Rp 60,353,959
18 PT. PARIT PADANG GLOBAL 1512 4/17/2012 00004690 Rp 1,137,469 Rp 115,479 Rp 17,322 Rp 1,270,270
19 PT. PARIT PADANG GLOBAL 3403 5/1/2012 00005757 Rp 672,085 Rp 68,232 Rp 10,235 Rp 750,552
21 PT. PARIT PADANG GLOBAL 4462 5/11/2012 00006085 Rp 188,044 Rp 19,091 Rp 2,864 Rp 209,998
22 PT. PARIT PADANG GLOBAL 4563 5/12/2012 00006115 Rp 257,888 Rp 26,182 Rp 3,927 Rp 287,997
23 PT. PARIT PADANG GLOBAL 3402 5/1/2012 00005756 Rp 546,872 Rp 55,520 Rp 8,328 Rp 610,720
24 PT. PARIT PADANG GLOBAL 3871 5/5/2012 00005896 Rp 994,062 Rp 100,920 Rp 15,138 Rp 1,110,120
25 PT. PARIT PADANG GLOBAL 3971 5/7/2012 00005930 Rp 2,167,000 Rp 220,000 Rp 33,000 Rp 2,420,000
26 PT. PARIT PADANG GLOBAL 4202 5/9/2012 00005997 Rp 1,056,188 Rp 107,227 Rp 16,084 Rp 1,179,499
27 PT. PARIT PADANG GLOBAL 4477 5/11/2012 00006089 Rp 295,500 Rp 30,000 Rp 4,500 Rp 330,000
Rp 7,315,108 Rp 742,651 Rp 111,398 Rp 8,169,156
28 PT. MENSA BINA SUKSES 6449 5/14/2012 00497932 Rp 7,998,225 Rp 812,003 Rp 121,800 Rp 8,932,028
29 PT. MENSA BINA SUKSES 8652 5/14/2012 00500118 Rp 12,374,432 Rp 1,256,288 Rp 188,443 Rp 13,819,163
30 PT. MENSA BINA SUKSES 2106 5/15/2012 00503530 Rp 5,764,489 Rp 585,227 Rp 87,784 Rp 6,437,500
31 PT. MENSA BINA SUKSES 3966 5/15/2012 00503579 Rp 2,245,800 Rp 228,000 Rp 34,200 Rp 2,508,000
32 PT. MENSA BINA SUKSES 9535 5/16/2012 00510885 Rp 7,923,143 Rp 804,380 Rp 120,657 Rp 8,848,180
33 PT. MENSA BINA SUKSES 9540 5/16/2012 00510890 Rp 252,653 Rp 25,650 Rp 3,848 Rp 282,150
34 PT. MENSA BINA SUKSES 3719 5/18/2012 00515035 Rp 8,013,084 Rp 813,511 Rp 122,027 Rp 8,948,622
35 PT. MENSA BINA SUKSES 2692 5/21/2012 00523910 Rp 8,955,128 Rp 909,150 Rp 136,373 Rp 10,000,650
36 PT. MENSA BINA SUKSES 2707 5/21/2012 00523925 Rp 537,268 Rp 54,545 Rp 8,182 Rp 599,995
37 PT. MENSA BINA SUKSES 3724 5/22/2012 00524934 Rp 4,373,400 Rp 444,000 Rp 66,600 Rp 4,884,000
38 PT. MENSA BINA SUKSES 7123 5/22/2012 00528305 Rp 6,222,738 Rp 631,750 Rp 94,763 Rp 6,949,250
39 PT. MENSA BINA SUKSES 3176 5/23/2012 00534295 Rp 814,103 Rp 82,650 Rp 12,398 Rp 909,150
40 PT. MENSA BINA SUKSES 3179 5/23/2012 00534298 Rp 331,305 Rp 33,635 Rp 5,045 Rp 369,985
41 PT. MENSA BINA SUKSES 5905 5/24/2012 00536997 Rp 3,031,830 Rp 307,800 Rp 46,170 Rp 3,385,800
42 PT. MENSA BINA SUKSES 8649 5/24/2012 00539732 Rp 3,006,713 Rp 305,250 Rp 45,788 Rp 3,357,750
43 PT. MENSA BINA SUKSES 2928 5/25/2012 00543992 Rp 15,455,770 Rp 1,569,114 Rp 235,367 Rp 17,260,251
RETUR Rp 1,089,000 Rp 87,300,079 Rp 8,862,952 Rp 1,329,443 Rp 97,492,474
44 APOTEK AMALIA 09 6/4/2012 00001245 Rp 16,260,461 Rp 1,650,808 Rp 247,621 Rp 18,158,890
Rp 18,158,890
45 PT. TEMPO 9564/9 5/23/2012 00483383 Rp 7,272,662 Rp 738,341 Rp 110,751 Rp 8,121,754
Rp 8,121,754
46 PT. PARAZELCIUS 3712 5/30/2012 00001242 Rp 847,100 Rp 86,000 Rp 12,900 Rp 946,000
47 PT. PARAZELCIUS 6844 5/30/2012 00000998 Rp 508,260 Rp 51,600 Rp 7,740 Rp 567,600
Rp 1,513,600

TOTAL Rp 261,412,643 Rp 261,412,643

Mengetahui, Muara Bungo, 11 Juni 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
OBHP RUTIN
INSTALASI FARMASI RSUD H. HANAFIE MUARA BUNGO

Tuesday, July 10, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL
1 PT. HOTAMA MEDIPHAR 788 5/2/2012 00000788 Rp 9,456,000 Rp 960,000 Rp 144,000 Rp 10,560,000
2 PT. HOTAMA MEDIPHAR 789 5/2/2012 00000789 Rp 4,657,080 Rp 472,800 Rp 70,920 Rp 5,200,800
3 PT. HOTAMA MEDIPHAR 790 5/3/2012 00000790 Rp 1,832,100 Rp 186,000 Rp 27,900 Rp 2,046,000
4 PT. HOTAMA MEDIPHAR 791 5/7/2012 00000791 Rp 4,362,565 Rp 442,900 Rp 66,435 Rp 4,871,900
5 PT. HOTAMA MEDIPHAR 792 5/7/2012 00000792 Rp 6,451,750 Rp 655,000 Rp 98,250 Rp 7,205,000
6 PT. HOTAMA MEDIPHAR 793 5/7/2012 00000793 Rp 15,496,020 Rp 1,573,200 Rp 235,980 Rp 17,305,200
7 PT. HOTAMA MEDIPHAR 794 5/7/2012 00000794 Rp 11,918,500 Rp 1,210,000 Rp 181,500 Rp 13,310,000
8 PT. HOTAMA MEDIPHAR 796 5/9/2012 00000796 Rp 4,821,575 Rp 489,500 Rp 73,425 Rp 5,384,500
9 PT. HOTAMA MEDIPHAR 797 5/9/2012 00000797 Rp 3,945,666 Rp 400,575 Rp 60,086 Rp 4,406,328
10 PT. HOTAMA MEDIPHAR 798 5/9/2012 00000798 Rp 12,719,748 Rp 1,291,345 Rp 193,702 Rp 14,204,795
11 PT. HOTAMA MEDIPHAR 799 5/9/2012 00000799 Rp 5,361,552 Rp 544,320 Rp 81,648 Rp 5,987,520
12 PT. HOTAMA MEDIPHAR 800 5/10/2012 00000800 Rp 7,965,974 Rp 808,728 Rp 121,309 Rp 8,896,012
13 PT. HOTAMA MEDIPHAR 801 5/11/2012 00000801 Rp 11,683,598 Rp 1,186,152 Rp 177,923 Rp 13,047,673
14 PT. HOTAMA MEDIPHAR 802 5/14/2012 00000802 Rp 4,698,450 Rp 477,000 Rp 71,550 Rp 5,247,000
15 PT. HOTAMA MEDIPHAR 803 5/14/2012 00000803 Rp 19,278,775 Rp 1,957,236 Rp 293,585 Rp 21,529,596
16 PT. HOTAMA MEDIPHAR 804 5/15/2012 00000804 Rp 1,970,000 Rp 200,000 Rp 30,000 Rp 2,200,000
17 PT. HOTAMA MEDIPHAR 805 5/15/2012 00000805 Rp 6,163,555 Rp 625,742 Rp 93,861 Rp 6,883,158
18 PT. HOTAMA MEDIPHAR 806 5/16/2012 00000806 Rp 4,481,081 Rp 454,932 Rp 68,240 Rp 5,004,253
19 PT. HOTAMA MEDIPHAR 807 5/18/2012 00000807 Rp 4,548,693 Rp 461,796 Rp 69,269 Rp 5,079,759
20 PT. HOTAMA MEDIPHAR 808 5/21/2012 00000808 Rp 14,819,325 Rp 1,504,500 Rp 225,675 Rp 16,549,500
21 PT. HOTAMA MEDIPHAR 809 5/21/2012 00000809 Rp 3,900,600 Rp 396,000 Rp 59,400 Rp 4,356,000
22 PT. HOTAMA MEDIPHAR 810 5/22/2012 00000810 Rp 5,127,910 Rp 520,600 Rp 78,090 Rp 5,726,600
23 PT. HOTAMA MEDIPHAR 811 5/23/2012 00000811 Rp 3,469,170 Rp 352,200 Rp 52,830 Rp 3,874,200
24 PT. HOTAMA MEDIPHAR 812 5/23/2012 00000812 Rp 43,630,575 Rp 4,429,500 Rp 664,425 Rp 48,724,500
25 PT. HOTAMA MEDIPHAR 813 5/23/2012 00000813 Rp 34,179,500 Rp 3,470,000 Rp 520,500 Rp 38,170,000
26 PT. HOTAMA MEDIPHAR 814 5/24/2012 00000814 Rp 3,820,462 Rp 387,864 Rp 58,180 Rp 4,266,506
27 PT. HOTAMA MEDIPHAR 815 5/25/2012 00000815 Rp 9,810,600 Rp 996,000 Rp 149,400 Rp 10,956,000
28 PT. HOTAMA MEDIPHAR 816 5/25/2012 00000816 Rp 11,316,665 Rp 1,148,900 Rp 172,335 Rp 12,637,900
29 PT. HOTAMA MEDIPHAR 817 5/25/2012 00000817 Rp 18,619,455 Rp 1,890,300 Rp 283,545 Rp 20,793,300
30 PT. HOTAMA MEDIPHAR 818 5/28/2012 00000818 Rp 10,017,450 Rp 1,017,000 Rp 152,550 Rp 11,187,000
31 PT. HOTAMA MEDIPHAR 819 5/29/2012 00000819 Rp 13,654,267 Rp 1,386,220 Rp 207,933 Rp 15,248,420
32 PT. HOTAMA MEDIPHAR 820 5/29/2012 00000820 Rp 7,473,195 Rp 758,700 Rp 113,805 Rp 8,345,700
33 PT. HOTAMA MEDIPHAR 821 5/29/2012 00000821 Rp 3,760,100 Rp 381,736 Rp 57,260 Rp 4,199,096
34 PT. HOTAMA MEDIPHAR 822 5/30/2012 00000822 Rp 4,235,500 Rp 430,000 Rp 64,500 Rp 4,730,000
35 PT. HOTAMA MEDIPHAR 823 5/30/2012 00000823 Rp 26,531,960 Rp 2,693,600 Rp 404,040 Rp 29,629,600
36 PT. HOTAMA MEDIPHAR 824 5/31/2012 00000824 Rp 3,850,012 Rp 390,864 Rp 58,630 Rp 4,299,506
37 PT. HOTAMA MEDIPHAR 825 5/31/2012 00000825 Rp 4,728,000 Rp 480,000 Rp 72,000 Rp 5,280,000
38 PT. HOTAMA MEDIPHAR 826 5/31/2012 00000826 Rp 22,753,500 Rp 2,310,000 Rp 346,500 Rp 25,410,000
39 PT. HOTAMA MEDIPHAR 827 5/31/2012 00000827 Rp 5,352,490 Rp 543,400 Rp 81,510 Rp 5,977,400
40 PT. HOTAMA MEDIPHAR 830 5/31/2012 00000828 Rp 3,212,676 Rp 326,160 Rp 48,924 Rp 3,587,760
41 PT. HOTAMA MEDIPHAR 829 5/31/2012 00000829 Rp 3,113,462 Rp 316,088 Rp 47,413 Rp 3,476,963
42 PT. HOTAMA MEDIPHAR 831 5/31/2012 00000831 Rp 5,910,000 Rp 600,000 Rp 90,000 Rp 6,600,000
Rp 405,099,558 Rp 41,126,859 Rp 6,169,029
43 PT. ULICO PHARMA 0046 5/1/2012 00000046 Rp 6,501,000 Rp 660,000 Rp 99,000 Rp 7,260,000
44 PT. ULICO PHARMA 0047 5/7/2012 00000047 Rp 3,841,500 Rp 390,000 Rp 58,500 Rp 4,290,000
45 PT. ULICO PHARMA 0048 5/25/2012 00000048 Rp 3,250,500 Rp 330,000 Rp 49,500 Rp 3,630,000
46 PT. ULICO PHARMA 0049 5/25/2012 00000049 Rp 2,167,000 Rp 220,000 Rp 33,000 Rp 2,420,000
47 PT. ULICO PHARMA 0050 5/29/2012 00000050 Rp 3,792,250 Rp 385,000 Rp 57,750 Rp 4,235,000
48 PT. ULICO PHARMA 0051 5/29/2012 00000051 Rp 6,225,200 Rp 632,000 Rp 94,800 Rp 6,952,000
49 PT. ULICO PHARMA 0052 5/30/2012 00000052 Rp 3,811,950 Rp 387,000 Rp 58,050 Rp 4,257,000
50 PT. ULICO PHARMA 0053 5/30/2012 00000053 Rp 2,269,440 Rp 230,400 Rp 34,560 Rp 2,534,400
Rp 31,858,840 Rp 3,234,400 Rp 485,160
51 CV. SANTUN Rp 2,462,500 Rp 250,000 Rp 37,500 Rp 2,750,000

TOTAL Rp 490,723,845

Mengetahui, Muara Bungo, 10 Juli 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
OBHP RUTIN
INSTALASI FARMASI RSUD H. HANAFIE MUARA BUNGO

Monday, July 23, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH SUB TOTAL
1 CV. SRI TIRTA JAYA 277 6/7/2012 00000050 Rp 20,694,850 Rp 2,101,000 Rp 315,150 Rp 23,111,000
2 CV. SRI TIRTA JAYA 279 5/2/2012 00000052 Rp 51,789,330 Rp 5,257,800 Rp 788,670 Rp 57,835,800
Rp 72,484,180 Rp 7,358,800 Rp 1,103,820
3 PT. HOTAMA MEDIPHAR 971 7/2/2012 00000971 Rp 3,762,700 Rp 382,000 Rp 57,300 Rp 4,202,000
4 PT. HOTAMA MEDIPHAR 972 7/2/2012 00000972 Rp 4,708,300 Rp 478,000 Rp 71,700 Rp 5,258,000
5 PT. HOTAMA MEDIPHAR 973 7/2/2012 00000973 Rp 2,718,600 Rp 276,000 Rp 41,400 Rp 3,036,000
6 PT. HOTAMA MEDIPHAR 974 7/3/2012 00000974 Rp 17,089,750 Rp 1,735,000 Rp 260,250 Rp 19,085,000
7 PT. HOTAMA MEDIPHAR 975 7/3/2012 00000975 Rp 4,263,712 Rp 432,864 Rp 64,930 Rp 4,761,506
8 PT. HOTAMA MEDIPHAR 976 7/4/2012 00000976 Rp 4,476,825 Rp 454,500 Rp 68,175 Rp 4,999,500
9 PT. HOTAMA MEDIPHAR 977 7/4/2012 00000977 Rp 8,957,058 Rp 909,346 Rp 136,402 Rp 10,002,806
10 PT. HOTAMA MEDIPHAR 978 7/5/2012 00000978 Rp 25,017,030 Rp 2,539,800 Rp 380,970 Rp 27,937,800
11 PT. HOTAMA MEDIPHAR 979 7/5/2012 00000979 Rp 4,561,555 Rp 463,102 Rp 69,465 Rp 5,094,122
12 PT. HOTAMA MEDIPHAR 980 7/6/2012 00000980 Rp 3,708,033 Rp 376,450 Rp 56,468 Rp 4,140,950
13 PT. HOTAMA MEDIPHAR 981 7/6/2012 00000981 Rp 5,368,250 Rp 545,000 Rp 81,750 Rp 5,995,000
14 PT. HOTAMA MEDIPHAR 982 7/7/2012 00000982 Rp 4,121,240 Rp 418,400 Rp 62,760 Rp 4,602,400
15 PT. HOTAMA MEDIPHAR 983 7/7/2012 00000983 Rp 23,492,250 Rp 2,385,000 Rp 357,750 Rp 26,235,000
16 PT. HOTAMA MEDIPHAR 984 7/9/2012 00000984 Rp 4,597,980 Rp 466,800 Rp 70,020 Rp 5,134,800
17 PT. HOTAMA MEDIPHAR 985 7/9/2012 00000985 Rp 14,878,873 Rp 1,510,545 Rp 226,582 Rp 16,616,000
18 PT. HOTAMA MEDIPHAR 986 7/10/2012 00000986 Rp 13,790,000 Rp 1,400,000 Rp 210,000 Rp 15,400,000
19 PT. HOTAMA MEDIPHAR 987 7/10/2012 00000987 Rp 4,740,852 Rp 481,305 Rp 72,196 Rp 5,294,352
20 PT. HOTAMA MEDIPHAR 988 7/11/2012 00000988 Rp 4,469,930 Rp 453,800 Rp 68,070 Rp 4,991,800
21 PT. HOTAMA MEDIPHAR 989 7/11/2012 00000989 Rp 11,048,253 Rp 1,121,650 Rp 168,248 Rp 12,338,150
22 PT. HOTAMA MEDIPHAR 990 7/11/2012 00000990 Rp 3,880,900 Rp 394,000 Rp 59,100 Rp 4,334,000
23 PT. HOTAMA MEDIPHAR 991 7/12/2012 00000991 Rp 4,787,100 Rp 486,000 Rp 72,900 Rp 5,346,000
24 PT. HOTAMA MEDIPHAR 992 7/13/2012 00000992 Rp 4,038,500 Rp 410,000 Rp 61,500 Rp 4,510,000
25 PT. HOTAMA MEDIPHAR 993 7/13/2012 00000993 Rp 3,901,940 Rp 396,136 Rp 59,420 Rp 4,357,496
26 PT. HOTAMA MEDIPHAR 994 7/14/2012 00000994 Rp 4,137,000 Rp 420,000 Rp 63,000 Rp 4,620,000
27 PT. HOTAMA MEDIPHAR 995 7/14/2012 00000995 Rp 7,551,995 Rp 766,700 Rp 115,005 Rp 8,433,700
28 PT. HOTAMA MEDIPHAR 996 7/16/2012 00000996 Rp 3,152,000 Rp 320,000 Rp 48,000 Rp 3,520,000
29 PT. HOTAMA MEDIPHAR 997 7/16/2012 00000997 Rp 8,241,495 Rp 836,700 Rp 125,505 Rp 9,203,700
30 PT. HOTAMA MEDIPHAR 998 7/17/2012 00000998 Rp 5,540,625 Rp 562,500 Rp 84,375 Rp 6,187,500
31 PT. HOTAMA MEDIPHAR 999 7/17/2012 00000999 Rp 25,560,750 Rp 2,595,000 Rp 389,250 Rp 28,545,000
32 PT. HOTAMA MEDIPHAR 1000 7/18/2012 00001000 Rp 5,910,000 Rp 600,000 Rp 90,000 Rp 6,600,000
33 PT. HOTAMA MEDIPHAR 1001 7/18/2012 00001001 Rp 7,564,800 Rp 768,000 Rp 115,200 Rp 8,448,000
34 PT. HOTAMA MEDIPHAR 1002 7/19/2012 00001002 Rp 13,739,765 Rp 1,394,900 Rp 209,235 Rp 15,343,900
35 PT. HOTAMA MEDIPHAR 1003 7/19/2012 00001003 Rp 13,750,600 Rp 1,396,000 Rp 209,400 Rp 15,356,000
36 PT. HOTAMA MEDIPHAR 1004 7/20/2012 00001004 Rp 3,053,500 Rp 310,000 Rp 46,500 Rp 3,410,000
37 PT. HOTAMA MEDIPHAR 1005 7/20/2012 00001005 Rp 4,536,976 Rp 460,607 Rp 69,091 Rp 5,066,674
38 PT. HOTAMA MEDIPHAR 1006 7/21/2012 00001006 Rp 5,245,125 Rp 532,500 Rp 79,875 Rp 5,857,500
39 PT. HOTAMA MEDIPHAR 1007 7/21/2012 00001007 Rp 4,649,200 Rp 472,000 Rp 70,800 Rp 5,192,000
40 PT. HOTAMA MEDIPHAR 1008 7/21/2012 00001008 Rp 6,501,000 Rp 660,000 Rp 99,000 Rp 7,260,000
41 PT. HOTAMA MEDIPHAR 1009 7/23/2012 00001009 Rp 15,886,080 Rp 1,612,800 Rp 241,920 Rp 17,740,800
42 PT. HOTAMA MEDIPHAR 1010 7/23/2012 00001010 Rp 4,137,000 Rp 420,000 Rp 63,000 Rp 4,620,000
43 PT. HOTAMA MEDIPHAR 1011 7/23/2012 00001011 Rp 3,250,500 Rp 330,000 Rp 49,500 Rp 3,630,000
44 PT. HOTAMA MEDIPHAR 1012 7/24/2012 00001012 Rp 2,797,400 Rp 284,000 Rp 42,600 Rp 3,124,000
45 PT. HOTAMA MEDIPHAR 1013 7/24/2012 00001013 Rp 4,137,000 Rp 420,000 Rp 63,000 Rp 4,620,000
46 PT. HOTAMA MEDIPHAR 1014 7/24/2012 00001014 Rp 3,689,219 Rp 374,540 Rp 56,181 Rp 4,119,940
47 PT. HOTAMA MEDIPHAR 1015 7/24/2012 00001015 Rp 20,909,580 Rp 2,122,800 Rp 318,420 Rp 23,350,800
48 PT. HOTAMA MEDIPHAR 1016 7/24/2012 00001016 Rp 1,763,150 Rp 179,000 Rp 26,850 Rp 1,969,000
49 PT. HOTAMA MEDIPHAR 1017 7/25/2012 00001017 Rp 13,002,000 Rp 1,320,000 Rp 198,000 Rp 14,520,000
50 PT. HOTAMA MEDIPHAR 1018 7/25/2012 00001018 Rp 2,895,900 Rp 294,000 Rp 44,100 Rp 3,234,000
51 PT. HOTAMA MEDIPHAR 1019 7/25/2012 00001019 Rp 4,137,000 Rp 420,000 Rp 63,000 Rp 4,620,000
Rp 378,119,289 Rp 38,387,745 Rp 5,758,162
TOTAL Rp 503,211,996

Mengetahui, Muara Bungo, 23 Juli 2012

Kepala Instalasi Farmasi Kepala Ruangan

TONI DAFIAPUTRA, S.FARM, APT AYU TRESNAWATI

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

Rp 452,395,445

Rp 35,578,400

Rp 2,750,000
Rp 490,723,845

a Bungo, 10 Juli 2012

Kepala Ruangan

AYU TRESNAWATI
IP 19660908 198803 2 002.

TOTAL KETR
OK
 ITD
Rp 80,946,800
ITD

LABOR
LABOR
LABOR
LABOR
LABOR
ICU
LABOR
OK
LABOR
OK
LABOR
OK
LABOR
OK
RONGEN

48000

Rp 422,265,196
Rp 503,211,996

a Bungo, 23 Juli 2012

Kepala Ruangan

NIP 19651228 198903 2 006

AYU TRESNAWATI
NIP 19660908 198803 2 002
 LAMPIRAN REKAPITULASI SURAT PEMBAYARAN HUTANG
OBAT REGULER
INSTALASI FARMASI RSUD H. HANAFIE MUARA BUNGO

Wednesday, June 27, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH
1 PT. BINA SAN PRIMA 0282 6/4/2012 00016544 Rp 2,258,782 Rp 229,318 Rp 34,398
2 PT. BINA SAN PRIMA 0575 6/6/2012 00016817 Rp 2,797,929 Rp 414,638 Rp 62,196
3 PT. BINA SAN PRIMA 0576 6/6/2012 00016818 Rp 925,949 Rp 94,005 Rp 14,101
4 PT. BINA SAN PRIMA 1035 6/11/2012 00017274 Rp 931,081 Rp 94,526 Rp 14,179
5 PT. BINA SAN PRIMA 1036 6/11/2012 00017764 Rp 256,598 Rp 26,051 Rp 3,908
6 PT. BINA SAN PRIMA 1037 6/11/2012 00017276 Rp 5,681,431 Rp 576,795 Rp 86,519
7 PT. BINA SAN PRIMA 1304 6/13/2012 00017548 Rp 3,972,259 Rp 403,275 Rp 60,491
8 PT. BINA SAN PRIMA 1523 6/15/2012 00017275 Rp 256,598 Rp 26,051 Rp 3,908
9 PT. BINA SAN PRIMA 1527 6/15/2012 00017765 Rp 1,249,670 Rp 126,870 Rp 19,031
Rp 18,330,297 Rp 1,991,528 Rp 298,729
10 PT. ANUGRAH PHARMINDO L 5970 6/19/2012 01330997 Rp 1,235,722 Rp 125,454 Rp 18,818
11 PT. ANUGRAH PHARMINDO L 5969 6/19/2012 01330998 Rp 12,990,054 Rp 1,318,787 Rp 197,818
12 PT. ANUGRAH PHARMINDO L 6121 6/20/2012 01331001 Rp 4,717,348 Rp 478,919 Rp 71,838
13 PT. ANUGRAH PHARMINDO L 5975 6/19/2012 01330999 Rp 197,000 Rp 20,000 Rp 3,000
14 PT. ANUGRAH PHARMINDO L 5974 6/19/2012 01331000 Rp 11,409,446 Rp 1,158,319 Rp 173,748
15 PT. ANUGRAH PHARMINDO L 6127 6/20/2012 01331002 Rp 295,500 Rp 30,000 Rp 4,500
Rp 30,845,069 Rp 3,131,479 Rp 469,722
16 PT. ENSEVAL PUTERA 9373 6/15/2012 01795501 Rp 10,002,232 Rp 1,015,455 Rp 152,318
17 PT. ENSEVAL PUTERA 9586 6/18/2012 01816826 Rp 5,651,930 Rp 573,800 Rp 86,070
18 PT. ENSEVAL PUTERA 9823 6/19/2012 01835318 Rp 16,864,554 Rp 1,712,137 Rp 256,821
19 PT. ENSEVAL PUTERA 0096 6/21/2012 01868277 Rp 7,803,219 Rp 792,205 Rp 118,831
20 PT. ENSEVAL PUTERA 0741 6/19/2012 01835335 Rp 834,565 Rp 84,727 Rp 12,709
21 PT. ENSEVAL PUTERA 0751 6/21/2012 01868362 Rp 1,139,468 Rp 115,682 Rp 17,352
Rp 42,295,967 Rp 4,294,007 Rp 644,101
1 PT. DOS NI ROHA 3873 6/12/2012 00840823 Rp 3,375,861 Rp 342,727 Rp 51,409
2 PT. DOS NI ROHA 6184 6/11/2012 00840822 Rp 5,992,740 Rp 608,400 Rp 91,260
3 PT. DOS NI ROHA 8599 6/6/2012 00840833 Rp 2,489,391 Rp 252,730 Rp 37,910
4 PT. DOS NI ROHA 8508 6/19/2012 00840832 Rp 164,692 Rp 16,720 Rp 2,508
5 PT. DOS NI ROHA 8298 6/19/2012 00840831 Rp 15,740,546 Rp 1,598,025 Rp 239,704
6 PT. DOS NI ROHA 6153 6/16/2012 00840830 Rp 5,935,118 Rp 602,550 Rp 90,383
7 PT. DOS NI ROHA 9160 6/15/2012 00840829 Rp 82,829 Rp 8,409 Rp 1,261
8 PT. DOS NI ROHA 9159 6/15/2012 00840828 Rp 4,657,819 Rp 472,875 Rp 70,931
9 PT. DOS NI ROHA 4836 6/13/2012 00840827 Rp 376,093 Rp 38,182 Rp 5,727
10 PT. DOS NI ROHA 4295 6/13/2012 00840826 Rp 3,716,575 Rp 377,317 Rp 56,598
11 PT. DOS NI ROHA 4209 6/13/2012 00840825 Rp 1,346,926 Rp 136,744 Rp 20,512
12 PT. DOS NI ROHA 1705 6/13/2012 00840824 Rp 675,895 Rp 68,619 Rp 10,293
Rp 44,554,484 Rp 4,523,298 Rp 678,495
13 PT. ANUGRAH ARGON M 9685 6/12/2012 00720916 Rp 1,441,640 Rp 146,359 Rp 21,954
14 PT. ANUGRAH ARGON M 9683 6/12/2012 00720914 Rp 2,972,375 Rp 301,764 Rp 45,265
Rp 4,414,015 Rp 448,123 Rp 67,219
15 PT. ENSEVAL PUTERA 8365 6/8/2012 01705134 Rp 130,020 Rp 13,200 Rp 1,980
16 PT. ENSEVAL PUTERA 8679 6/11/2012 01734703 Rp 21,820,951 Rp 2,215,325 Rp 332,299
17 PT. ENSEVAL PUTERA 9159 6/18/2012 01778759 Rp 3,627,263 Rp 368,250 Rp 55,238
18 PT. ENSEVAL PUTERA 0703 6/11/2012 01734734 Rp 980,523 Rp 99,545 Rp 14,932
19 PT. ENSEVAL PUTERA 0720 6/14/2012 01778866 Rp 861,875 Rp 87,500 Rp 13,125
20 PT. ENSEVAL PUTERA 0710 6/12/2012 01746778 Rp 671,583 Rp 68,181 Rp 10,227
Rp 28,092,214 Rp 2,852,001 Rp 427,800
21 PT. INDOFARMA GLOBAL M 3621 5/31/2012 00003438 Rp 3,984,355 Rp 404,503 Rp 60,675
22 PT. INDOFARMA GLOBAL M 3619 5/31/2012 00003436 Rp 7,916,051 Rp 803,660 Rp 120,549
23 PT. INDOFARMA GLOBAL M 3620 5/31/2012 00003437 Rp 5,456,939 Rp 554,004 Rp 83,101
Rp 17,357,346 Rp 1,762,167 Rp 264,325
24 PT. PARIT PADANG 8060 6/13/2012 00007670 Rp 471,323 Rp 47,850 Rp 7,178
1 PT. RAJAWALI NUSINDO 3003 5/15/2012 00003358 Rp 1,240,042 Rp 125,893 Rp 18,884
2 PT. RAJAWALI NUSINDO 3105 5/19/2012 00003359 Rp 8,145,684 Rp 826,973 Rp 124,046
3 PT. RAJAWALI NUSINDO 3120 5/21/2012 00003360 Rp 1,490,737 Rp 151,344 Rp 22,702
4 PT. RAJAWALI NUSINDO 3126 5/21/2012 00003361 Rp 4,645,260 Rp 471,600 Rp 70,740
5 PT. RAJAWALI NUSINDO 3160 5/22/2012 00003362 Rp 7,503,366 Rp 761,763 Rp 114,264
6 PT. RAJAWALI NUSINDO 3244 5/25/2012 00003368 Rp 2,562,290 Rp 260,131 Rp 39,020
7 PT. RAJAWALI NUSINDO 3246 5/25/2012 00003363 Rp 9,209,750 Rp 935,000 Rp 140,250
8 PT. RAJAWALI NUSINDO 3247 5/25/2012 00003364 Rp 107,562 Rp 10,920 Rp 1,638
9 PT. RAJAWALI NUSINDO 3268 5/25/2012 00003365 Rp 856,950 Rp 87,000 Rp 13,050
10 PT. RAJAWALI NUSINDO 3306 5/28/2012 00003366 Rp 1,994,625 Rp 202,500 Rp 30,375
11 PT. RAJAWALI NUSINDO 3409 5/31/2012 00003367 Rp 796,077 Rp 80,820 Rp 12,123
Rp 38,552,343 Rp 3,913,943 Rp 587,092
12 PT. SAPTA SARI 3964 6/7/2012 00003960 Rp 999,775 Rp 101,500 Rp 15,225
13 PT. SAPTA SARI 4221 6/15/2012 00004111 Rp 3,537,135 Rp 359,100 Rp 53,865
14 PT. SAPTA SARI 3789 5/31/2012 00003717 Rp 6,638,900 Rp 674,000 Rp 101,100
15 PT. SAPTA SARI 3583 5/25/2012 00003550 Rp 7,106,775 Rp 721,500 Rp 108,225
16 PT. SAPTA SARI 3327 5/16/2012 00003299 Rp 2,447,922 Rp 248,520 Rp 37,278
17 PT. SAPTA SARI 3189 5/12/2012 00003158 Rp 1,705,166 Rp 173,113 Rp 25,967

18 APOTIK AMALIA 10 6/21/2012 Rp 3,271,462 Rp 332,128 Rp 49,819

Friday, June 29, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH
1 PT. RAJAWALI NUSINDO 3003 5/15/2012 00003358 Rp 1,240,042 Rp 125,893 Rp 18,884
2 PT. RAJAWALI NUSINDO 3105 5/19/2012 00003359 Rp 8,145,684 Rp 826,973 Rp 124,046
3 PT. RAJAWALI NUSINDO 3120 5/21/2012 00003360 Rp 1,490,737 Rp 151,344 Rp 22,702
4 PT. RAJAWALI NUSINDO 3126 5/21/2012 00003361 Rp 4,645,260 Rp 471,600 Rp 70,740
5 PT. RAJAWALI NUSINDO 3160 5/22/2012 00003362 Rp 7,503,366 Rp 761,763 Rp 114,264
6 PT. RAJAWALI NUSINDO 3244 5/25/2012 00003368 Rp 2,562,290 Rp 260,131 Rp 39,020
7 PT. RAJAWALI NUSINDO 3246 5/25/2012 00003363 Rp 9,209,750 Rp 935,000 Rp 140,250
8 PT. RAJAWALI NUSINDO 3247 5/25/2012 00003364 Rp 107,562 Rp 10,920 Rp 1,638
9 PT. RAJAWALI NUSINDO 3268 5/25/2012 00003365 Rp 856,950 Rp 87,000 Rp 13,050
10 PT. RAJAWALI NUSINDO 3306 5/28/2012 00003366 Rp 1,994,625 Rp 202,500 Rp 30,375
11 PT. RAJAWALI NUSINDO 3409 5/31/2012 00003367 Rp 796,077 Rp 80,820 Rp 12,123
Rp 38,552,343 Rp 3,913,943 Rp 587,092
12 PT. SAPTA SARI 3964 6/7/2012 00003960 Rp 999,775 Rp 101,500 Rp 15,225
13 PT. SAPTA SARI 4221 6/15/2012 00004111 Rp 3,537,135 Rp 359,100 Rp 53,865
14 PT. SAPTA SARI 3789 5/31/2012 00003717 Rp 6,638,900 Rp 674,000 Rp 101,100
15 PT. SAPTA SARI 3583 5/25/2012 00003550 Rp 7,106,775 Rp 721,500 Rp 108,225
16 PT. SAPTA SARI 3327 5/16/2012 00003299 Rp 2,447,922 Rp 248,520 Rp 37,278
17 PT. SAPTA SARI 3189 5/12/2012 00003158 Rp 1,705,166 Rp 173,113 Rp 25,967

18 APOTIK AMALIA 10 6/21/2012 Rp 3,271,462 Rp 332,128 Rp 49,819

Rp - Rp - Rp -
20 Rp - Rp - Rp -
Rp 7,424,549 Rp 753,761 Rp 113,064
21 Rp - Rp - Rp -
22 Rp - Rp - Rp -
23 Rp - Rp - Rp -
Rp - Rp - Rp -
24 Rp - Rp - Rp -

TOTAL

Mengetahui,
Kepala Instalasi Farmasi

TONI DAFIAPUTRA, S.FARM, APT

NIP.19841023 200803 1 001

LAMPIRAN REKAPITULASI SURAT PEMBAYARAN HUTANG

OBAT REGULER
INSTALASI FARMASI RSUD H. HANAFIE MUARA BUNGO

Saturday, June 30, 2012

NO DISTRIBUTOR NO FACT TGL FACT NO.F STDR TAGIHAN PPN PPH
1 PT. KEBAYORAN FARMA 5942 6/20/2012 00006045 Rp 2,186,700 Rp 222,000 Rp 33,300
2 PT. KEBAYORAN FARMA 59058 6/19/2012 00006008 Rp 3,599,190 Rp 365,400 Rp 54,810
3 PT. KEBAYORAN FARMA 5784 6/15/2012 00005887 Rp 2,659,402 Rp 269,990 Rp 40,499
4 PT. KEBAYORAN FARMA 5783 6/15/2012 00005886 Rp 6,913,715 Rp 701,900 Rp 105,285
5 PT. KEBAYORAN FARMA 5500 6/7/2012 00005599 Rp 6,948,190 Rp 705,400 Rp 105,810
6 PT. KEBAYORAN FARMA 5498 6/7/2012 00005597 Rp 1,108,499 Rp 112,538 Rp 16,881
7 PT. KEBAYORAN FARMA 5499 6/7/2012 00005598 Rp 6,973,800 Rp 708,000 Rp 106,200
8 PT. KEBAYORAN FARMA 5904 6/19/2012 00006007 Rp 197,000 Rp 20,000 Rp 3,000

PT. PENTA VALENT 6009 6/25/2012 00303819 Rp 3,907,643 Rp 396,715 Rp 59,507

PT. PENTA VALENT 6326 6/25/2012 00317945 Rp 3,026,068 Rp 307,215 Rp 46,082
PT. PENTA VALENT 6325 6/25/2012 00317944 Rp 266,482 Rp 27,054 Rp 4,058
12 PT. PENTA VALENT 5802 6/25/2012 00290015 Rp 1,132,750 Rp 115,000 Rp 17,250
13 PT. PENTA VALENT 5774 6/25/2012 00289989 Rp 2,265,500 Rp 230,000 Rp 34,500
14 PT. PENTA VALENT 5498 6/18/2012 00274203 Rp 2,561,000 Rp 260,000 Rp 39,000
15 5/25/2012 Rp - Rp - Rp -
16 5/16/2012 Rp - Rp - Rp -
17 5/12/2012 Rp - Rp - Rp -

18 6/21/2012 Rp - Rp - Rp -
Rp - Rp - Rp -
20 Rp - Rp - Rp -
Rp - Rp - Rp -
21 Rp - Rp - Rp -
22 Rp - Rp - Rp -
23 Rp - Rp - Rp -
Rp - Rp - Rp -
24 Rp - Rp - Rp -

TOTAL

Mengetahui,
Kepala Instalasi Farmasi

TONI DAFIAPUTRA, S.FARM, APT

NIP.19841023 200803 1 001
HUTANG

BUNGO

SUB TOTAL TOTAL

Rp 2,522,498
Rp 3,274,763
Rp 1,034,055
Rp 1,039,786
Rp 286,556
Rp 6,344,745
Rp 4,436,025
Rp 286,556
Rp 1,395,570
Rp 20,620,554
Rp 1,379,994
Rp 14,506,659
Rp 5,268,104
Rp 220,000
Rp 12,741,513
Rp 330,000
Rp 34,446,270
Rp 11,170,005
Rp 6,311,800
Rp 18,833,512
Rp 8,714,255
Rp 932,001
Rp 1,272,502
Rp 47,234,075
Rp 3,769,997
Rp 6,692,400
Rp 2,780,030
Rp 183,920
Rp 17,578,275
Rp 6,628,050
Rp 92,499
Rp 5,201,625
Rp 420,002
Rp 4,150,490
Rp 1,504,181
Rp 754,807
Rp 49,756,276
Rp 1,609,953
Rp 3,319,404
Rp 4,929,357
Rp 145,200
Rp 24,368,575
Rp 4,050,750
Rp 1,095,000
Rp 962,500
Rp 749,991
Rp 31,372,016
Rp 4,449,534
Rp 8,840,260
Rp 6,094,044
Rp 19,383,838
Rp 526,350
Rp 1,384,819
Rp 9,096,703
Rp 1,664,782
Rp 5,187,600
Rp 8,379,393
Rp 2,861,441
Rp 10,285,000
Rp 120,120
Rp 957,000
Rp 2,227,500
Rp 889,020
Rp 43,053,378
Rp 1,116,500
Rp 3,950,100
Rp 7,414,000
Rp 7,936,500
Rp 2,733,720
Rp 1,904,246

Rp 3,653,409

SUB TOTAL TOTAL

Rp 1,384,819
Rp 9,096,703
Rp 1,664,782
Rp 5,187,600
Rp 8,379,393
Rp 2,861,441
Rp 10,285,000
Rp 120,120
 Rp 957,000
Rp 2,227,500
Rp 889,020
Rp 43,053,378
Rp 1,116,500
Rp 3,950,100
Rp 7,414,000
Rp 7,936,500
Rp 2,733,720
Rp 1,904,246

Rp 3,653,409

Rp 8,291,375

Rp -

Rp -
Rp 8,291,375

Muara Bungo, 28 Juni 2012

Kepala Ruangan

AYU TRESNAWATI
NIP 19660908 198803 2 002.

HUTANG

BUNGO

SUB TOTAL TOTAL

Rp 2,442,000
Rp 4,019,400
Rp 2,969,890
Rp 7,720,900
Rp 7,759,400
Rp 1,237,918
Rp 7,788,000
Rp 220,000

Rp 4,363,865
Rp 3,379,365
Rp 297,594
Rp 1,265,000
Rp 2,530,000
Rp 2,860,000

Rp -

Rp -

Rp -
Rp -

Muara Bungo, 28 Juni 2012

Kepala Ruangan

AYU TRESNAWATI
NIP 19660908 198803 2 002.