LAPORAN PEMBELIAN OBAT/ALKES APOTEK RS PKU M

TGL JATUH
NO NAMA PBF NO. FARKTUR TGL FAKTUR TEMPO NAMA OBAT JUMLAH
TAGIHAN

1 PT. B S P FKMTR/201704/00060 4/1/2017 5/1/2017 EPRONIC TAB 5

BIOTICOL KAPS 5
EPEXOL DROP 20
BAQUINOR FORTE CAPL 3
SANMOL TAB 10
SANMOL FORTE TAB 5
EPISAN SUSP 24
CINOLON -N CREM 20
LAPRAZ CAPS 5
MEFINAL TAB 5
BECOM-C TAB 5

FKMTR/201704/00059 4/1/2017 5/1/2017 AMOXAN DRY SIRUP 24

FKMTR/201704/00570 4/5/2017 5/5/2017 EPEXOL SYR 20

CEFAT DRY SYR 10
NEUROSANBE TAB 10
ACRAN TAB 5
CEFAT 500 MG CAPS 2
EPEXOL TAB 5
SANMOL DROP 20
VOSEDON SUSP 20
VOSEDON TAB 3
MUCOHEXIN INHALER 5
BUFET SUSP 10
SAGESTAM DREM 10
NYMICO SUSP 10

FKMTR/201704/00618 4/5/2017 5/5/2017 SANMOL INF 200

FKMTR/201704/00221 4/5/2017 5/5/2017 GLAUSETA 5

POLIDENICIN TTM 10

FKMTR/201704/02515 4/19/2017 5/19/2017 OPTIBET EYE DROP 5

HYALOPH EYE DROP 5
BAQUINOR EYE DROP 3
BAQUINOR EYE DROP 2
BRALIFEX PLUS EYE DROP 5
FUKRICIN EYE DROP 5
BAFORIN EYE DROP 5
 FKMTR/201704/02514 4/19/2017 5/19/2017 NEUROSANBE INJ 32
NEUROSANBE INJ 18
SAGESTAM INJ 10
MEFINAL CAPL 5
SANMAG SUSP 10
TROVENSISI 4MG 5
PROXIME TAB 3
SANMOL SIRUP 26
SANMOL SIRUP 24
CORTIDEX INJ 10

FKMTR/201704/02516 4/19/2017 5/19/2017 BECLOV INJ 5

FKMTR/201704/02864 4/21/2017 5/21/2017 SANMAG TAB 5

VALISANBE TAB 5
VALISANBE INJ 10

FKMTR/201704/04086 4/29/2017 5/29/2017 BIOTHICOL DRY SYR 4

BIOTHICOL DRY SYR 6
SPORETIC DRY STR 10

2 PT. M B S CD191776552 4/3/2017 5/3/2017 TROGYL SUSP 48

CD191839891 4/17/2017 5/17/2017 FEDDING TUBE 8( NGT 8) 150

SURFLOW IV CATH 20 250
SURFLOW IV CATH 24 250

3 PT. I G M 8200058110 3/30/2017 4/29/2017 AMBROXOL SYR 100

8200058190 4/5/2017 5/5/2017 SERUM BIO SAVE ( ATS) 20

8200059192 4/5/2017 5/5/2017 PARACETAMOL TAB 20

8200058191 4/5/2007 5/5/2017 CETIRIZIN DROP 10

MELOXICAM 7.5 10
MELOXICAM 15 10
ISDN 5MG TAB 5

8200058034 3/23/2017 4/22/2017 PARACETAMOL TAB 20

8200058016 3/23/2017 4/22/2017 CETIRIZIN DROP 10

MELOXIKAM 7.5 10
MELOXIKAM 15 10

8200058477 4/21/2017 5/21/2017 BAMGETOL TAB 5

4 PT. PENTA VALENT 0147-AR-17-00003942 4/3/2017 5/3/2017 ERLAMICETYN TT 20

 IMUNOS KAPL 5
ODR INJ 5
LACTOPAIN INJ 5

5 PT. RIDHO ILLAHI RIF0417-002095 4/4/2017 THERMOMETR THC 2

MASKER N 95 18
NASAL O2 DWS (OXIFLOW DWS) 50
NASAL O2 ANAK (OXIFLOW ANAK) 10

RIF0417-002697 4/28/2017 BLOOD SET 250

URINE BAG 100

6 PT. M A S MAS-1704-000124 4/6/2017 4/27/2017 OMEPRAZOL INJ 24

METHYIL PREDNISOLONE INJ 40

MAS-1704-00397 4/18/2017 5/9/2017 VICKS F44 10

BYEBYE FEVER ANAK 5
SCOPMA KASP 10
WOODS COUGH EXP 5

MAS-1704-000398 4/18/2017 9/517 OBHC BTK FLU MADU 3

OBHC BTK FLU MENTOL 4
OBHC BTK FLU JAHE 3
OBHC BTK FLU AA STRW 3
OBHC BTK FLU AA MADU 2
OBHC BTK FLU AA ORANGE 3
OBHC BTK FLU AA APEL 2
HUFAGRIB SYR 20
COLFIN SYR 12

MAS-1704-003609 4/29/2017 5/20/2017 TRAMADOL INJ 10

MAS-1704-003318 4/28/2017 5/19/2017 MISOPROSTOL 10

OMEPRAZOL INJ 11

7 PT. A P L 5111492153 4/7/2017 6/6/2017 SUCRALFAT SUSP 100

5111496038 4/18/2017 6/17/2017 OXITOCIN INJ 3

5111498139 4/22/2017 6/6/2017 NEO-K INJ 20

5111500131 4/28/2017 6/12/2017 PROSTACOM TAB 30

8 PT. T S J 002933 4/11/2017 11/517 AMBROXIL SYR 50

AMOXICILIN DRY SYR 10

002983 4/12/2017 5/12/2017 AMIXICILIN DRY SYR 12

AMIXICILIN DRY SYR 38
 KETORLAK 3% INJ 30
RANITIDIN INJ 50
RANITIDINE TAB 20

003033 4/13/2017 5/13/2017 CEFADROXIL CAPS 20

CEFTRIAXONE INJ 50

003264 4/22/2017 5/22/2017 KALTROFEN SUP 10

PLANTACID SYR 17
PLANTACID SYR 3
PARACETAMOL INF 200
FEROFORT 5

003483 4/28/2017 5/29/2017 E-CARE HAND R 1

E-CARE HAND RUB 5LT 1

003529 4/29/2017 5/29/2017 E-CARE HAND RUB 5LT 4

E-CARE HAND R 1

003488 4/29/2017 5/29/2017 RANITIDINE INJ 100

9 PT. MERAPI UTAMA F 00003062 2/28/2017 4/21/2017 KA-EN 3B SOL/KK 500

OTSU D5/RUBB 3
OTSU D5/RUBB 157
OTSU D5/RUBB 140
OTSU D5/RUBB 200
OTSU NS/RUBB 1000
OTSU RL/RUBB 8000

0004985 4/10/2017 6/1/2017 LEVOFLOXACIN INF 9

OMEPRAZOLE INJ 5
OMEPRAZOLE INJ 10

10 PT. SAPTA SARI TAMA 1019747 4/13/2017 5/4/2017 MAAGEL SUSP 286

1019770 4/15/2016 5/6/2017 ERLAMOL SYR 143

1019841 4/18/2017 5/9/2017 SOLAHIM DRY SYR 60

REPASS TAB 12

11 PT.KIMIA FARMA INV:2800295926 4/13/2017 5/13/2017 SIMVASTATIN 20MG TAB 20

NIFEDIPINE TAB 10
HIDROCLOROTIAZID TAB 20
PIROXIKAM 10MG 10

INV:2800296925 4/13/2017 5/13/2017 PROTOFEN TAB 50

LEVOFLOXACIN TAB 10
 INV: 28003092091 4/20/2017 5/20/2017 OTSU WATER 600

INV:2800313292 4/22/2017 5/22/2017 PROTOFEN SUP 16

PROTOFEN SUP 34

12 PT. A A M 58170020326 4/17/2017 5/17/2017 TETAGAM 36

58170020325 4/17/2017 5/17/2017 NOVORAPID INJ 10

58170020657 4/18/2017 5/18/2017 CEFTRIAXONE INJ 9

BETAHISTIN TAB 20
SPIRONOLAKTONE 100 20
NEURODEX TAB 20

13 PT. DOS NIROHA 825764547 4/17/2017 5/17/2017 ASAM TRANEXAMAT TAB 10

NATRIUM DICLOFENAK TAB 20
CLINDAMICIN KAPS 5
DEXAMETHASONE INJ 15

825764548 4/17/2017 5/17/2017 LIDOCAIN INJ 5

825770953 4/18/2017 5/18/2017 AZITROMICIN DRY SYR 10

825790753 4/22/2017 5/22/2017 ASAM MEFANAMAT TAB 20

14 PT. P P G 8210016332 4/21/2017 IMBOOST SYR 20

IMBOOST FORCE CAPL 10

8210017062 4/26/2017 N-ACE CAPS 3

LAXADIN 20

8210017304 4/27/2017 GASTRUL 10

15 APOTEK BIMA FARMA 01 4/3/2017 PARACETAMOL TAB 5

ERLA MICETIN TT 10

16 APOTEK SALEH 01 4/24/2016 KALTROFEN SUPS 10

17 APOTEK RS DR.AGUNG 01 4/24/2017 KALTROFEN SUP 10

18 APOTEK ATIKAH 01 4/22/2017 ASAM MEFENAMAT 1

02 2/25/2017 ASAM MEFANAMAT 1

03 4/28/2017 TRANFUSI SET 18

19 APOTEK KIMIA FARMA 01 4/26/2017 TRILAC TAB 10

20 APOTEK 88 01 4/27/2017 ASAM MEFENAMAT 1

TOTAL PEMBELIAN
APOTEK RS PKU MUHAMADIYAH BIMA PER APRIL 2017

TOTAL PEMBAYARAN
JUMLAH HNA ED TOTAL DISCOUNT PPN (HNA+ppn)

BOX Rp 203,520 Nov-20 Rp 1,017,600

BOX Rp 338,500 Oct-20 Rp 1,692,500
BTL Rp 22,304 Dec-18 Rp 446,080
BOX Rp 161,280 Dec-18 Rp 483,840
BOX Rp 26,000 Jan-19 Rp 260,000
BOX Rp 31,000 Feb-19 Rp 155,000
BTL Rp 28,992 Dec-18 Rp 695,808
TUBE Rp 10,624 Jan-20 Rp 212,480
BOX Rp 142,336 Nov-18 Rp 711,680
BOX Rp 78,720 Dec-18 Rp 393,600
BOX Rp 78,720 Dec-19 Rp 393,600 Rp 646,219 Rp 7,108,407

FLES Rp 13,254 Nov-19 Rp 318,096 Rp 31,811 Rp 349,917

FLES Rp 15,850 Jan-19 Rp 317,000

FLES Rp 25,408 Jan-20 Rp 254,080
BOX Rp 65,600 Dec-20 Rp 656,000
BOX Rp 87,552 Nov-19 Rp 437,760
BOX Rp 617,600 Jan-19 Rp 1,235,200
BOX Rp 49,280 Jan-20 Rp 246,400
FLES Rp 14,450 Dec-19 Rp 289,000
FLES Rp 17,200 Dec-19 Rp 344,000
BOX Rp 137,920 Dec-20 Rp 413,760
FLES Rp 15,200 Dec-18 Rp 76,000
FLES Rp 13,450 Jan-20 Rp 134,500
TUBE Rp 7,264 Jun-19 Rp 72,640
FLES Rp 19,520 Jul-19 Rp 195,200 Rp 545,394 Rp 5,999,334

BTL Rp 33,960 Dec-18 Rp 6,792,000 Rp 679,200 Rp 7,471,200

BOX Rp 420,500 Jan-19 Rp 2,102,500

TUBE Rp 32,800 Feb-18 Rp 328,000 Rp 575,454 Rp 185,505 Rp 2,040,551

BTL Rp 39,000 Nov-18 Rp 195,000

BTL Rp 59,800 Dec-18 Rp 299,000
BTL Rp 31,250 Dec-18 Rp 93,750
BTL Rp 31,250 Dec-18 Rp 62,500
BTL Rp 43,050 Jul-18 Rp 215,250
BTL Rp 64,100 Aug-18 Rp 320,500
BTL Rp 126,100 Nov-18 Rp 630,500 Rp 181,650 Rp 1,998,150
BOX Rp 47,150 Jun-18 Rp 1,508,800
BOX Rp 47,150 Jun-18 Rp 848,700
BOX Rp 45,100 Dec-19 Rp 451,000
BOX Rp 123,000 Dec-18 Rp 615,000
BTL Rp 23,200 Dec-19 Rp 232,000
BOX Rp 113,300 Dec-18 Rp 566,500
BOX Rp 32,400 Jan-19 Rp 97,200
FLES Rp 10,750 Oct-21 Rp 279,500
FLES Rp 10,750 Nov-21 Rp 258,000
BOX Rp 57,900 Jun-19 Rp 579,000 Rp 552,875 Rp 488,283 Rp 5,371,283

BOX Rp 162,500 Feb-19 Rp 812,500 Rp 203,125 Rp 60,938 Rp 670,313

BOX Rp 76,000 Oct-18 Rp 380,000

BOX Rp 27,500 Dec-21 Rp 137,500
BOX Rp 141,050 Nov-18 Rp 1,410,500 Rp 352,625 Rp 157,538 Rp 1,732,913

BTL Rp 19,400 Nov-20 Rp 77,600

BTL Rp 19,400 Jan-21 Rp 116,400
BTL Rp 77,400 Dec-18 Rp 774,000 Rp 193,500 Rp 77,450 Rp 851,250

BTL Rp 38,000 Oct-18 Rp 1,824,000 Rp 91,200 Rp 173,280 Rp 1,906,008

PCS Rp 38,500 Aug-19 Rp 5,775,000

PCS Rp 27,000 Jul-21 Rp 6,750,000
PCS Rp 27,000 Sep-21 Rp 6,750,000 Rp 12,589,950 Rp 668,505 Rp 7,353,555

BTL Rp 3,297 Apr-19 Rp 329,700 10% Rp 29,673 Rp 326,400

VIAL Rp 150,000 Aug-18 Rp 150,000 Rp 300,000 Rp 3,300,000

BOX Rp 5,181 Nov-18 Rp 103,620 Rp 10,364 Rp 114,000

BTL Rp 25,000 Feb-19 Rp 250,000

BOX Rp 31,418 Apr-20 Rp 314,180
BOX Rp 54,446 Dec-20 Rp 544,460
BOX Rp 11,184 Feb-21 Rp 55,920 Rp 116,456 Rp 1,281,016

BOX Rp 5,181 Nov-18 Rp 103,620 Rp 10,364 Rp 114,000

BTL Rp 25,000 Jan-19 Rp 250,000

BOX Rp 31,418 Apr-20 Rp 314,180
BOX Rp 54,446 Dec-20 Rp 544,460 Rp 110,864 Rp 1,219,504

BOX Rp 180,000 Feb-21 Rp 900,000 Rp 90,000 Rp 990,000

BTL Rp 6,435 Sep-18 Rp 128,700

BOX Rp 143,000 Sep-20 Rp 715,000
BOX Rp 151,250 Aug-19 Rp 756,250
BOX Rp 192,500 Jun-18 Rp 962,500 Rp 121,687 Rp 2,440,762

BH Rp 155,000 Rp 310,000
PCS Rp 7,163 Rp 128,934
PCS Rp 6,050 Rp 302,500
PCS Rp 6,050 Rp 60,500 Rp 801,934

PCS Rp 4,900 Rp 1,225,000

PCS Rp 3,300 Rp 330,000 Rp 1,493,750

BOX Rp 318,000 Jan-19 Rp 7,632,000 6.5%

VIAL Rp 21,600 Oct-18 Rp 864,000 10% Rp 791,352 Rp 8,704,872

BTL Rp 10,455 Oct-18 Rp 104,550

BOX Rp 41,295 Aug-19 Rp 206,475
BTL Rp 96,945 11/120 Rp 969,450
BOX Rp 12,329 Jan-20 Rp 61,645 Rp 134,212 Rp 1,476,332

BTL Rp 9,267 Nov-18 Rp 27,801

BTL Rp 9,267 Sep-18 Rp 37,068
BTL Rp 9,267 Sep-18 Rp 27,801
BTL Rp 9,030 Nov-18 Rp 27,090
BTL Rp 9,030 Oct-18 Rp 18,060
BTL Rp 9,030 Sep-18 Rp 27,090
BTL Rp 9,030 Oct-18 Rp 18,060
BTL Rp 11,735 Nov-18 Rp 234,700
BTL Rp 8,929 Dec-18 Rp 107,148 Rp 52,482 Rp 577,300

BOX Rp 26,000 Dec-19 Rp 260,000 Rp 26,000 Rp 286,000

BOX Rp 150,000 Apr-18 Rp 1,500,000

BOX Rp 318,000 Apr-18 Rp 3,498,000 Rp 476,713 Rp 5,243,845

BTL Rp 9,069 Feb-19 Rp 906,900 Rp 90,680 Rp 997,480

BOX Rp 172,727 Jan-20 Rp 518,181 Rp 51,818 Rp 569,999

BOX Rp 62,000 Dec-18 Rp 1,240,000 Rp 124,000 Rp 1,364,000

BOX Rp 275,000 Jan-22 Rp 8,250,000 Rp 6,105,000 Rp 214,500 Rp 2,359,500

BTL Rp 6,000 Jul-20 Rp 300,000

BTL Rp 6,000 Dec-17 Rp 60,000 Rp 90,000 Rp 27,000 Rp 297,000

BTL Rp 5,000 Sep-19 Rp 60,000

BTL Rp 5,000 Sep-19 Rp 190,000
BOX Rp 27,273 Oct-18 Rp 818,190
BOX Rp 23,364 Dec-19 Rp 1,168,200
BOX Rp 20,000 Dec-19 Rp 400,000 Rp 116,360 Rp 252,003 Rp 2,772,033

BOX Rp 110,000 Feb-20 Rp 2,200,000

BOX Rp 360,000 Jan-20 Rp 18,000,000 Rp 14,132,160 Rp 606,784 Rp 6,674,624

BOX Rp 125,000 Jan-19 Rp 1,250,000

BTL Rp 9,500 Dec-19 Rp 161,500
BTL Rp 9,500 Dec-19 Rp 28,500
BTL Rp 61,000 Feb-19 Rp 12,200,000
BOX Rp 165,000 Aug-18 Rp 825,000 Rp 8,140,590 Rp 632,441 Rp 6,956,851

BOX Rp 800,000 Sep-19 Rp 800,000

BTL Rp 750,000 Sep-19 Rp 750,000 Rp 415,950 Rp 113,405 Rp 1,247,455

BOX Rp 750,000 Sep-19 Rp 3,000,000

BTL Rp 1,220,000 Oct-19 Rp 1,220,000 Rp 1,299,020 Rp 292,098 Rp 3,213,078

BOX Rp 65,000 Nov-19 Rp 6,500,000 Rp 4,863,300 Rp 163,670 Rp 1,800,370

BTL Rp 9,136 Jan-20 Rp 4,568,000

BTL Rp 6,273 May-19 Rp 18,819
BTL Rp 6,273 Oct-19 Rp 984,861
BTL Rp 6,273 Dec-19 Rp 878,220
BTL Rp 6,273 Jan-20 Rp 1,254,600
BTL Rp 5,827 Jan-20 Rp 5,827,000
BTL Rp 6,500 Jan-22 Rp 52,000,000 Rp 6,553,150 Rp 72,084,650

BTL Rp 40,000 May-18 Rp 360,000

BOX Rp 318,000 Nov-18 Rp 1,590,000
BOX Rp 318,000 Nov-18 Rp 3,180,000 Rp 346,302 Rp 178,369 Rp 5,262,067

BTL Rp 4,460 Mar-19 Rp 1,275,560 Rp 173,858 Rp 110,170 Rp 1,211,872

BTL Rp 3,750 Feb-19 Rp 536,250 Rp 73,037 Rp 46,321 Rp 509,534

BTL Rp 6,100 Dec-19 Rp 366,000

BOX Rp 29,000 Jan-19 Rp 348,000 Rp 76,276 Rp 63,772 Rp 701,496

DUS Rp 46,636 Oct-19 Rp 932,720

DUS Rp 14,073 Jul-18 Rp 140,730
DUS Rp 11,636 Sep-21 Rp 232,720
DUS Rp 10,077 Mar-21 Rp 100,770 Rp 138,806 Rp 126,703 Rp 1,393,735

DUS Rp 27,227 Aug-20 Rp 1,361,350

DUS Rp 34,081 Mar-18 Rp 340,810 Rp 170,228 Rp 1,872,486
VL Rp 5,000 Sep-19 Rp 3,000,000 Rp 300,000 Rp 330,000

BOX Rp 76,091 Sep-20 Rp 1,217,456

BOX Rp 76,091 Sep-21 Rp 2,587,094 Rp 380,455 Rp 4,185,005

BOX Rp 188,000 Jan-19 Rp 6,768,000 9% Rp 615,888 Rp 6,774,768

BOX Rp 395,454 Jan-19 Rp 3,954,540 Rp 395,454 Rp 4,349,999

BOX Rp 78,127 Jan-20 Rp 703,143 10%

BOX Rp 83,916 Apr-19 Rp 1,678,320 20%
BOX Rp 95,905 Jan-19 Rp 1,918,100 10%
BOX Rp 110,000 Nov-18 Rp 2,200,000 33.26% Rp 517,005 Rp 5,687,060

BOX Rp 140,000 Feb-20 Rp 1,400,000

BOX Rp 23,747 Jan-20 Rp 474,940
BOX Rp 163,636 Nov-18 Rp 818,180
BOX Rp 218,400 Jan-20 Rp 3,276,000 Rp 1,357,625 Rp 461,150 Rp 5,072,645

BOX Rp 150,000 Nov-20 Rp 750,000 Rp 187,500 Rp 56,250 Rp 618,750

BTL Rp 64,000 Oct-18 Rp 640,000 Rp 64,000 Rp 57,600 Rp 633,600

BOX Rp 27,000 Jan-22 Rp 540,000 Rp 108,000 Rp 43,200 Rp 475,200

BTL Rp 29,300 Jan-19 Rp 586,000

BOX Rp 170,000 Jan-20 Rp 1,700,000 Rp 228,600 Rp 2,514,600

BOX Rp 60,000 Feb-19 Rp 180,000 30%

BTL Rp 36,000 Sep-18 Rp 720,000 10% Rp 77,400 Rp 851,400

BOX Rp 300,000 Nov-18 Rp 3,000,000 30% Rp 210,000 Rp 2,310,000

BOX Rp 10,000 Rp 50,000

BTL Rp 5,000 Rp 50,000 Rp 100,000

AMP Rp 20,000 Rp 200,000 Rp 200,000

AMP Rp 20,000 Rp 200,000 Rp 200,000

BOX Rp 27,000 Rp 27,000 Rp 27,000

BOX Rp 26,000 Rp 26,000 Rp 26,000

PCS Rp 5,600 Rp 100,800 Rp 100,000

TAB Rp 5,198 Rp 51,980 Rp 52,000

 BOX Rp 17,000 Rp 17,000 Rp 17,000

IAN Rp 217,035,853

BIMA, 30 APRIL 2017

MENGETAHUI,
KEPALA INSTALASI FARMASI

NINING ANDRYANI.S.Farm.Apt
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BARANG DATANG
TANGGAL 28 FEBRUARI,
FAKTUR DATANG
TANGGAL 13 APRIL 2017

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 TUNAI

, 30 APRIL 2017
ENGETAHUI,
NSTALASI FARMASI

NDRYANI.S.Farm.Apt