BAHAN HABIS PAKAI Klinik Ash- ShiddiQ Ciwalen

PERIODE : 11 March 2018 - 12 March 2018

Penyuluhan dan Pengobatan Masal di Annaba Boarding School Cianjur

QUANTIT DAILY USED

NO. ITEM NAMES UNIT Y LAST USED Ext Date HARGA
MONTH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 $
Medicine 11/03/2018
1 Etamox tab tab 300 - Rp 400
2 Livron B-Plex tab 200 - Rp 300
3 Vit B-Complex Box KF tab 100 - Rp 150
4 Vit B-Complex Pot CNJ tab 250 - Rp 50
5 Vit-C 50 Mg POT Trifa tab 200 - Rp 100
6 PK serbuk BPC Cup 8 - Rp 3,100
7 Salep 24 cito Cup 48 - Rp 3,500

1 Acifar 200mg Tab 200 - Rp 350

2 Erbifin Tab Tab 100 - Rp 210
3 Fasiprim Forte Tab 80 - Rp 370
4 Hufanoxil 500mg tab Tab 100 - Rp 310
5 Omegzole Tab 70 - Rp 620
6 Grafadon Tab 100 - Rp 170
7 Emturnas Tab 100 - Rp 170
8 Erlamol Tab 100 - Rp 140
9 Ibuprofen 400mg Nova Tab 100 - Rp 200
10 Anaton Tab 100 - Rp 280
11 Alvita Tab 60 - Rp 370
12 Citoviplex Tab 80 - Rp 230
13 Citoneuron Tab 74 - Rp 380
14 Akita Tab 100 - Rp 200
15 Orphen Tab 370 - Rp 100
16 Antasida Doen Tab 72 - Rp 150
17 Flucadex Tab 100 - Rp 450
18 Teosal Tab 100 - Rp 200
19 Bronex Tab 60 - Rp 150
20 Visela Tab 140 - Rp 120
21 Trisela Tab 16 - Rp 100
22 Loratadine Tab 50 - Rp 100
23 Erphaflu Kap - Rp 150
24 Erphamag Tab - Rp 150
25 Solinfec Salp Tube 8 - Rp 6,000
26 Acifar Salp Tube 14 - Rp 5,000
27 PK Cito Cup 16 - Rp 5,000
28 Salep 24 Nufa Cup 10 - Rp 5,000
29 Ichtyol Salp Cup 12 - Rp 4,000
30 Kolagen Sabun Pcs 33 - Rp 20,000
31 Sabun Propolis Pcs 4 - Rp 18,000
32 PGH Pcs 10 - Rp 14,000
33 Synalten Salp Tube 6 - Rp 5,000
34 OBH Itrasal Liq 1 - Rp 5,000
35 OBP Itrasal Liq 1 - Rp 5,000
36 Teosal Syr Liq 1 - Rp 13,000
37 Orsaderm Salp Tube 2 - Rp 3,500
38 Dermifar Salp Tube 2 - Rp 4,000
39 Erladerm - N Tube 2 - Rp 5,000
40 Gentamicyn Tube 3 - Rp 4,500
41 Vit B Complex Nusaplex Tab - Rp 100
42
43
44
45
46
47
 SITE / RIG : KLINIK ASH-SHIDDIQ CIWALEN
PERIOD : October-20
Medicines

QUANTITY
No ITEM NAMES UNIT LAST Ext Date DAILY USED
MONTH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
ANTIBIOTICS

Acyclovir

100
Tab - Nov-21

100
Acifar 200 Tab - Jul-22

200
Tab - Apr-23

60
Acifar 400 Tab - Jun-22

200
Aciclovir 400 HJ Tab - May-22

Aciclovir 200 Tab -

Amoxicillin

Amoxcylin 500 Tab -

12
Amoxcylin Syrup liq - Sep-23

200
Bintamox Tab Tab - May-22
100
5
Bintamox Syr liq - Mar-22

1500
Erlamoxy Tab Tab - Mar-24
Erlamoxy Tab Tab - Mar-24
200
52
HUFANOXIL SYR liq - May-23

Cefadroxil

Cefadroxil 500 Tab -

150
Lostacef 500 Tab - Apr-24

7
Lostacef Syr liq - Jun-22

Cefixime

Cefixime 100mg Cap -

Cefixime 200mg Cap -

90
Helixime Tab 100 Cap - May-23

8
Helixime Syr liq - May-22

Cefixime syr liq -

Ciprofloxacin

100
Ciprofloxacin HJ Tab - Aug-22

100
Novaflox 500 Tab - May-23
Novaflox 500 Tab - May-23

100
Floxigra 500 Tab - Aug-22

Clindamicyn

clindamicin 300mg Cap -

Clindamycin 100mg Tab -

Cotrimoxazol

Cotrimoxazol Tab -

Etamoxul Syr liq -

100
Erphatrim Cap - Aug-24

400
Erphatrim Forte Cap - Oct-24

100
Trimeta Forte Tab Tab - Jan-23

Trimeta Syr liq -

Doxycycline

100
Dohixat Tab - Aug-23

ENBATIC
 15
Zack - Jun-23
Enbatic Serbuk
108
Zack - Apr-24

Erytromicin

Eritromicin Cap -

Eryra Forte Cap -

Phylocin Syr liq -

Metronidazole

Metronidazol Tab -

Metronidazol Syr liq -

1300
Erbifin Tab Tab - Apr-22

Farizol Syr liq -

Grafazol 500 Tab Tab -

Omenizol Syr liq -

Tetracyclin

100
Novabiotic Cap - Jun-22
 -

Thyamphenicol

400
Daiticin 500 Tab - Jan-22

5
Dionicol Syr liq - Sep-22

Chloramphenicol

chlorampenicol tab tab -

Novachlor Syr liq -

Chlorexol Syr liq -

Novachlor Tab tab -

Anti Fungi

100
Mycazol tab tab - Aug-21

5
Nocandis Drop liq - Jun-22

Ketoconazole tab -

200
Cequalin Hisab Tab - Nov-21

ANALGETIK,ANTIPIRETIK

Anastan Tab Tab -

300
Stanalin DS Tab Tab - Jul-21
Stanalin DS Tab Tab - Jul-21

1000
Stanalin DS New Tab - Nov-21

200
Erlagin Tab - Aug-21

Antalgin 500 Tab -

Afibramol Syr liq -

100
Asam Mefenamat HJ tab - Jun-22

1000
ERLAMOL FORTE tab - May-22

400
Erlamol Tab tab - May-22
100

ErlamoL Syr liq -

Farsifen Pluss tab -

Farsifen Syr liq -

6
Fasidol Drops liq - Sep-21

4
SAnmol Drops liq - Jun-22

5
Ibuprofen syr liq - Mar-22
3
200
Ibuprofen 400 tab - Apr-22

400
Paracetamol POT triman tab - Jul-22
 400
Erlatam Tab - Mar-22

Novaxifen Syr liq -

Hufagesic Tab Tab -

Omestan Syr liq -

200
Parazon Tab - Sep-21

100
Paracetamol strip Tab - May-22

Paracetamol Syr liq -

900
Repass Tab - Apr-22

21
Metamol Syr liq - Jan-23

3
Novagesic Syr liq - Jul-22

400
Erphamol Tab Tab - Jun-22

200
Erphamol Forte Tab Tab - Jun-22

8
Prophiretic 80mg Supp - Feb-22

10
Pyrexin 80mg Supp - Mar-21

Prophiretic 160 mg Supp -

10
Prophiretic 240mg Supp - Feb-22
Prophiretic 240mg Supp - Feb-22

ANTI REMATIK&GOUT

300
Allopurinol 100mg Tab - Apr-22

Allopurinol 300mg Tab -

1100
Erlapur 100 Tab - Mar-22

900
Erlapur 300 Tab - Jun-02

1400
Ersolon Tab - Jun-22

1300
Erphaflam Tab - May-23

200
Grateos 50mg Tab - Jul-24

200
Grazeo 20mg Tab - Aug-24

100
Denicam 20 Tab - Sep-23

1600
Lafen Tab - Oct-21

1200
Mesola Tab - Sep-21

Hufaxicam 15mg Tab -

Meloxicam 7,5mg Tab -

100
Meloxicam 15mg erlimpex Tab - Aug-21
Meloxicam 15mg erlimpex Tab - Aug-21

Methylpred 4mg HJ Tab -

Na. Diclofenac Phapros Tab -

Prouric 300 mg Tab -

100
Prednison POT trifacort Tab - Feb-22

400
Prednison POT triman Tab - Aug-22

Relaxon Tab -

100
Renadinac 25mg Tab - Aug-21

Renadinac 50mg tab -

100
Remat tab - Aug-21

Xicalom 20mg Tab -

piroxicam 10 Tab -

piroxicam 20 Tab -

Kaditic 50 Tab -

sodium diclofenac phapros Tab -

-
 ANTISPASMODIC

300
Kocligon Tab - Nov-21

Scopma Plus Tab -

100
Spasminal Tab - Feb-22

100
Papaverin Nova Tab - Sep-21

ANTACIDS AND ANTIULCERANTS

10
Antacida Syr Liq - Jun-22

400
Antasida POT Tab - Apr-22

100
Antasida strip Tab - Feb-22

Erphamag POT Tab -

1300
Gasela Tab - Jun-22

100
Biomagh MPS Tab - Dec-24

HUfadine Tab -

Lanzoprazole HJ caps -

Lokev 20mg caps -

Sucralfate Syr Liq -

Sucralfate Syr Liq -

2
Lipepsa Syr Liq - Sep-22

Omeprazole 20mg caps -

Ondacentron 4 mg Tab -

900
Ranitidine Erela tab - Oct-21

200
Ranitidine HJ tab - Apr-23

1
Sanmagh Syr Liq - Jul-22

7
Maagel Syr Liq - Jul-22

ANTIEMETIC

Domperidon Syr Liq -

800
Domperidon Tab Tab - Apr-24

400
Dimenhydrinate Tab Tab - Aug-23

40
Contramo @10 Pack - Oct-23

900
Emeran Tab - Jun-25
100

NORVOM SYR Tab -

1
Liq - Sep-21
Vesperum Drops
7
Liq - Feb-22
Vesperum Drops

Liq - Feb-22

100
Vesperum Tab Tab - Apr-24

3
Vosea Syr Liq - Jun-23

1000
Vola Tab - May-22

Lexapram Syr Liq -

300
Lexapram Tab Tab - May-22

60
Ondanosin Tab - Jul-24

ANTIDIARHOEA

300
Akita Tab - May-22

4
Renalyte Tab - Mar-22

9
Kaotin Syr Liq - Apr-22

10
Kanina Syr Liq - Apr-22

30
Lacto-b Sachet Sak -

15
Paedilac Sak - Dec-21

1100
Imodiar Tab Tab - Mar-22
Imodiar Tab Tab - Mar-22

1400
Tasdiar Tab Tab - Oct-21

5
Ramolit Sak - Apr-22

200
Zink 20mg mepro Tab - Jan-22

5
Zink syr Liq - Jul-24

240
Zhipa Tab - May-22

lecozinc Syyr Liq -

LAXATIVE

Laxana Tab Tab -

Kompolak Sy Liq -

Microlac Supp Supp -

COUGH, COLD AND FLU

Ambroxol Syr Liq -

1200
Erphahexin Tab Tab - Mar-22

1100
Erlapect Tab Tab - Sep-22

4
Erphaflu Syr Liq - Nov-22
Erphaflu Syr Liq - Nov-22

4
Citocetin Syr Liq - Feb-24

4
Pacdin Cough Syr Liq - Nov-21

100
Dextral Tab - Apr-22

7
Erphakaf Plus Syr Liq - Dec-21

Flucadex Syr Liq -

Flucadex Tab Tab -

1000
Erphaflu Tab Tab - Dec-21

100
Molexflu Tab - Oct-21

1500
GG STRIP Tab - May-21

300
GG POT Triman Tab - Jul-22

1200
GG POT Erlimpect Tab - May-25

300
Hufralgin Tab - Apr-22

2
Paraflu Syr Liq - Aug-23

5
Hufagrip Syr Liq - May-23

1
Siladex Syr Liq - May-22
 2
Omecough Syr Liq - Aug-22

11
Erlapect Syr Liq - May-22

500
Intunal F Tab Tab - May-23

2
RemcoCough Syr Liq - May-22

14
OBH Syr Liq - Jul-24

ANTIASMATIC

Bronchosal 4mg Tab -

100
Grafalin 2mg Tab - Jan-23

Neosma Tab -

200
Salbutamol 2mg Graha Tab - Nov-22

100
Salbutamol 4mg Graha Tab - Apr-23

Tasma 4mg erela Tab -

100
Teosal Tab Tab - Jan-22

NEBULIZATION

Bisolvon BTL Liq -

2
Ventolin Amp Liq - Feb-23
Ventolin Amp Liq - Feb-23
2

Combivent Amp Liq -

ANTIHISTAMINE & ANTI ALLERGIC

200
Alleron POT Tab - Dec-24

200
Allergen Tab - Oct-21

Ceterizin Hcl Tab -

200
CTM POT Triman Tab - Aug-22

Danasone 0,5 Tab -

700
Dexteem Tab - Jun-23

800
Dexteem Plus Tab - Jul-24

Dexametason POT tab -

100
Erphacyp Tab - Feb-23

800
Ermethasone 0.5 Tab - Jul-23

1300
Ermethasone 0.75 Tab - Jun-23

100
Locodexon 0.5 Tab - Apr-22

100
Loratadine HJ Tab - Nov-21
Loratadine HJ Tab - Nov-21

500
Lorihis Tab Tab - Jun-23

4
Lorihis syr Liq - Aug-21

Orphen Tab -

600
Trisela Tab Tab - May-24

15
Trisela Syr Liq - May-23

CARDIAC /ANGINA

Aspilet 80mg Tab -

Digoxin 0,25 mg YF tab -

Isosorbid YF Tab -

Propanolol Tab -

100
Gramasal Tab Tab - Feb-23

DIURETIC

Furosemide Tab -

Gralixa 40 Tab -

ANTIMIGRAINE & ANTI VERTIGO

 200
Histigo Tab - May-22

Lexigo Tab -

650
Narmig 25 mg tab - May-22

600
Vertilon 5 mg Tab - Nov-21

ANTI HIPERTENSI

100
Amplodipine 5 HJ tab - Jul-22

200
Amplodipine 10 HJ Tab - May-22

Captopril 12.5mg Tab -

160
Captopril 25mg Tab - Jan-23

Etapril 25mg Tab -

450
Ertensi 5mg tab - Jun-22

500
Ervask 10mg tab - Apr-22

100
Nifedipine tab - May-24

ANTI DM

Diabit Tab -
Diabit Tab -

Glibenklamide 5mg Tab -

200
Glikos Tab - Jul-22

100
Metformin 500 Tab - Jul-22

200
Renabetic 5 Tab - Aug-21

ANTI HIPERLIPIDEMIA

150
Selvim 10 Tab - Feb-24

50
Selvim 20 tab - Jun-22

400
Simvastatin 10 HJ tab - Oct-21

400
Simvastatin 20 HJ Tab - Apr-22

HAEMORHOID

Ambeven Tab Tab -

Superhoid Supp Supp. -

30
Elroid tab Tab - Jan-23

URINARY

Nephrolit Kap -
 500
Renola tab - Jan-21

KONTRASEPSI

Andalan PIL BIRU tab -

Andalan Laktasi tab -

VITAMIN

100
Alvita Metamizole tab - Jul-22

20
Tab - Jul-21
Anelat
300
Tab - Mar-22

Beneuron Tab -

Biovitan Syr Liq -

Camivita Syr Liq -

12
Caviplex syr Liq - Dec-22
5
600
Caviplex Tab Tab - Aug-23
100
800
Cavicur Tab tab - Jun-23

16
Cavicur emulsion Liq - Jun-23

Citoviplex tab -
Citoviplex tab -

10
Tab - Oct-21
Erkade
400
Tab - Nov-22

90
Ermuno tab - May-23

14
Febion @30 box - Jul-24

400
Folacite 400 box - Sep-23

100
Tab - Aug-21
Fermia
1000
Tab - Apr-23

100
Etabion Kap - Jun-23

100
Hufavice Tab - Apr-23

15
Katusi @30 Kap - Dec-22

100
Nervion 5000 Tab - Jun-21

750
VIT C POT 25 mg tab - Aug-22

200
VIT B POT Pim Tab - Nov-22

VIT A POT Tab -

500
VIT B COMP POT cnj Tab - May-24
 300
VIT B COM BOX pim Tab - Apr-22

100
VIT K4 POT Erela Tab - Apr-24

900
Mixalgin tab - Jul-22

100
Paranervion Kap - Jan-22

500
Pil Vita Erpha Kap - Nov-23

Procurma Syr Liq -

5
Recovit Syr Liq - May-23

Trimakal Kalk POT tab -

1000
Visela tab - Apr-22

100
Visela tab - Aug-21

1000
Neo Erpha Vitalgin Tab - Aug-22

1120
Prenatal Box Kap - Dec-23

12
Prenatal Btl @30 Btl - May-24

OBAT LUAR/CREAM/SALEP/LOTION

Acifar Cream Tube -

Acifar Cream Tube -

Alergil cream Tube -

Bedak Salicyl Niknak Btl -

Dermifar 10 mg Tube -

Dermifar 5 Mg Tube -

15
Erladerm Tube - Sep-21

10
Erladerm N Tube - Jul-22

4
Tube - May-22
Erlaneo
10
Tube - Apr-23

Erphalam Gel Tube -

10
Erphamazole Tube - Aug-21

GOM CITO Btl -

5
Gentamicin SK Tube - Apr-24

Genalten Tube -

14
Salgen SK Tube - May-25

8
Genoint SK Tube - Jul-22
Ichtyol-Salep NF CUP -

7
Ketoconazole cream Tube - May-21

1
Tube - Aug-21
Lacyvir
28
Tube - Jan-23

Miconazole KF Tube -

2
Mycazole cream Tube - Aug-21

Neocenta Gel Tube -

Orsaderm Tube -

3
Oxytetra IF Tube - Apr-21

1
Psoriderm Tube - Jul-21

1
Scabimite Salp Tube - Sep-23

9
Salep 2-4 CITO CUP - Aug-24

20
cetricillin Tube - Mar-23

Solinfec Tube -

7
Synalten Tube - Aug-22

PK CITO CUP -
PK CITO CUP -

12
Dentasol Drop Liq - Nov-21

EYE / EAR / NOSE

4
Alletrol TM btl - Jul-21

6
Ailin Cool TM btl - Mar-22

7
Ailin TM btl - Mar-23

20
Erlamycetin Salep Mate TUBE - Feb-24

Erlamycetin Tetes Mata BTL -

12
Erlamycetin TM Plus BTL - Jan-22

17
Erlamycetin TT BTL - Apr-20

1
VITAL TT BTL - Apr-25

Erlavin Tetes Hidung BTL -

18
Genoint Tetes Mata BTL - Feb-23

12
Genoint Salep Mata BTL - Mar-24

2
Optiflox TM BTL - Oct-21

Reco salep Mata BTL -

 10
Ecodin Iodin BTL - Jun-23

MINILAB

STRIP CHOLESTEROL PCS -

STRIP ASAM URAT PCS -

STRIP GULA PCS -

STRIP HB PCS -

BLOOD LANCET PCS -

HCG STRIP PCS -

GOLONGAN DARAH PCS -

Thypoid PCS -

INJECTION

As. Tranexamat HJ 5ml INJ Amp -

Bisolvon 2mg INJ Amp -

5
Cefotaxim INJ Vial - Aug-21

4
Ceftriaxone INJ Vial - May-22
Ceftriaxone INJ Vial - May-22

7
Ceftriaxone INJ Vial - Nov-22

10
Dexamethasone INJ Amp - Aug-22

Furosemide INJ Amp -

25
Hyoscine INJ Amp - Jan-22

120
Ketorolac INJ Amp - Jan-23
12
5
Kanamycin INJ Vial - Feb-25

15
Lidocain 2% INJ Amp - Feb-23

Methergin INJ Amp -

10
Mersibion INJ Amp - Oct-21

410
Mersibion INJ Amp - Apr-22
10

OMEPRAZOLE 40MG Vial -

10
Lanzoprazole Vial - Jan-22

10
Ondancentron INJ Amp - Jan-23

ODR Ondancentron 4mg

INJ
Amp -

5
Oksitosin INJ Amp - Aug-23
 2
Methylpred Vial - Jul-21

15
Methylpred Vial - Aug-22

Pythogin INJ Amp -

Scopamin INJ Amp -

130
Sotatic INJ Amp - May-23
10
45
Ranitidine INJ Amp - Jun-23
10
20
Pehacain INJ Amp - Dec-23

Tradosik INJ Amp -

Tramadol INJ Amp -

Perinperan INJ Amp -

50
Vit C injec Amp - Jul-21

13
Vit C Injec+Colagen Amp - Jun-21

7
Valisanbe Amp - Feb-22

Lactor Ketorolac INJ Amp -

Lactor Ketorolac INJ Amp -

ANDALAN 1 BULAN Vial -

ANDALAN 1 BULAN Vial -

ANDALAN 3 BULAN Vial -

PARENTERAL LIQUID

RL WIDATRA BTL -

3
OTSU Cairan 25 mg Btl - Apr-23

15
NACL Btl - Sep-23
5
31
METRONIDAZOLE IVF Btl - Mar-23
5
6
PARACETAMOL IVF Btl - Jan-22

DEXTROSE 5% Btl -

10
WATER STERIL 1 ltr Btl - May-23

BAHAN HABIS PAKAI Klinik Ash- ShiddiQ Ciwalen

PERIODE : Nov-18
QUANTIT DAILY USED
ITEM NAMES UNIT Y LAST Ext Date
MONTH 1 2 3 6 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Consumables/BHP

ABOCATH NO.26 PCS -

ABOCATH NO.24 PCS -

ABOCATH NO.22 PCS -

ABOCATH NO.20 PCS -

ALKOHOL SWAB BOX -

ALKOHOL 1 L BTL -

ALKOHOL 100 ML BTL -

ANTING TINDIK PCS -

BLOOD LANCET PCS -

LANCET BEKAM PCS -

CELEMEK WARNA PCS -

FOLEY CHATETER NO.16 PCS -

FOLEY CHATETER NO.18 PCS -

GLOVES S BOX -

GLOVES M BOX -

GLOVES L BOX -

GLOVES STERIL NO.7 PCS -

GLOVES GYNECOLOGY PCS -

HANSAPLAST ROLL S PCS -

KASSA GULUNG 5CM PCS -

KASSA GULUNG 10CM PCS -

KASSA GULUNG 15CM PCS -

KASSA STERIL BOX BOX -

NEEDLE NO. 23 PCS -

NEEDLE NO. 25/26/27

PENDEK
PCS -

NEEDLE NO.25 PANJANG PCS -

WINGED NEEDLE NO.23 PCS -

WINGED NEEDLE
NO.25/26/27
PCS -

INFUSE SET ANAK PCS -

INFUS SET DEWASA PCS -

URINE BAG Pcs -

KAPAS 25 GR PCS -

MASKER NEBU Pcs -

MASKER NEBU Pcs -

TONGUE SPATEL KAYU BOX -

MICROPORE 1" Pcs -

MICROPORE 1/2 " Pcs -

LOMATULE PCS -

SYRINGE 1 CC PCS -

SYRINGE 3 CC PCS -

SYRINGE 5 CC PCS -

SYRINGE 10 CC PCS -

MASKER KARET BOX -

KLIP PLASTIK WARNA 8X5 PACK -

KLIP PLASTIK WARNA

10X7
PACK -

KLIP PLASTIK WARNA

13X8,7
PACK -

KLIP PLASTIK BENING

8X5
PACK -

KLIP PLASTIK BENING

10X7
PACK -

KLIP PLASTIK BENING

13X8,7
PACK -
PIPET PLASTIK PCS -

PIPET KARET PCS -

THERMOMETER ANUS PCS -

THERMOMETER AVIKO PCS -

KACA MATA GOGLES PCS -

UMBILICAL KLEM PCS -

METLIN BULAT PCS -

PAMPERS M Pcs -

UNDER PAD PCS -

GLAS SLIDE
MICROSCOPE
PCS -

ID BAND BAYI PCS -

SAFETY BOX PCS -

SILK SUTURE + JARUM PCS -

CUTGUT SUTURE PCS -

-
Operational Manager Directur
 INCOM HARGA SISA
E
30 31 USED

0 100 100

0 100 Rp - 100

0 200 200

0 60 Rp - 60

0 200 Rp - 200

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 12 Rp - 12

100 200 Rp - 100

0 5 Rp - 5

200 1,500 Rp - 1,300

200 1,500 Rp - 1,300

0 52 Rp - 52

0 - Rp - -

0 - Rp - -

0 150 Rp - 150

0 7 Rp - 7

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 90 Rp - 90

0 8 Rp - 8

0 - Rp - -

0 - Rp - -

0 100 Rp - 100

0 100 Rp - 100
0 100 Rp - 100

0 100 Rp - 100

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 100 Rp - 100

0 400 Rp - 400

0 100 Rp - 100

0 - Rp - -

0 - Rp - -

0 100 Rp - 100
 0 15 15
Rp -

0 108 108

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 1,300 Rp - 1,300

5
0 5 Rp - 5

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 100 Rp - 100
 0 - Rp - -

0 400 Rp - 400

3 5 Rp - 2
3

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 100 Rp - 100

0 5 Rp - 5

0 - Rp - -

0 200 Rp - 200

0 - Rp - -

0 300 Rp - 300
 0 300 Rp - 300

0 1,000 Rp - 1,000

0 200 Rp - 200

0 - Rp - -

0 - Rp - -

0 100 Rp - -

0 1,000 Rp - 1,000

100 400 Rp - 300

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 6 Rp - 6

0 4 Rp - 4

3 5 Rp - 2

0 200 Rp - 200

0 400 Rp - 400
 0 400 Rp - 400

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 200 Rp - 200

0 100 Rp - 100

0 - Rp - -

0 900 Rp - 900

5 21 Rp - 16
5

0 3 Rp - 3

0 400 Rp - 400

0 200 Rp - 200

0 8 Rp - 8

0 10 Rp - 10

0 - Rp - -

0 10 Rp - 10
 0 10 Rp - 10

0 - Rp - -

0 300 Rp - 300

0 - Rp - -

0 1,100 Rp - 1,100

0 900 Rp - 900

0 1,400 Rp - 1,400

0 1,300 Rp - 1,300

100 200 Rp - 100

100

0 200 Rp - 200

0 100 Rp - 100

0 1,600 Rp - 1,600

100 1,200 Rp - 1,100

100

0 - Rp - -

0 - Rp - -

0 100 Rp - 100
0 100 Rp - 100

0 - Rp - -

0 - -

0 - Rp - -

0 100 Rp - 100

0 400 Rp - 400

0 - Rp - -

0 100 Rp - 100

0 - Rp - -

0 100 Rp - 100

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -
 0 300 Rp - 300

0 - Rp - -

0 100 Rp - 100

0 100 Rp - 100

0 - Rp - -

0 10 Rp - 10

0 400 Rp - 400

0 100 Rp - 100

0 - Rp - -

100 1,300 Rp - 1,200

100

0 100 Rp - 100

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -
 0 - Rp - -

0 2 Rp - 2

0 - Rp - -

0 - Rp - -

100 900 Rp - 800

100

0 200 Rp - 200

0 1 Rp - 1

0 7 Rp - 7

0 - Rp - -

0 800 Rp - 800

0 400 Rp - 400

0 40 Rp - 40

100 900 Rp - 800

0 - Rp - -

0 1 Rp - 1

0 7 Rp - 7
 0 7 Rp - 7

100 100 Rp - -
100

0 3 Rp - 3

0 1,000 Rp - 1,000

0 - Rp - -

0 300 Rp - 300

0 60 Rp - 60

0 - Rp - -

0 - Rp - -

0 300 Rp - 300

0 4 Rp - 4

0 9 Rp - 9

0 10 Rp - 10

0 30 Rp - 30

0 15 Rp - 15

0 1,100 Rp - 1,100
 0 1,100 Rp - 1,100

0 1,400 Rp - 1,400

0 5 Rp - 5

0 200 Rp - 200

0 5 Rp - 5

0 240 Rp - 240

5
0 5 Rp - 5

0 - Rp 800 -

0 - Rp 15,000 -

0 - Rp 25,000 -

0 - Rp - -

0 - Rp - -

0 1,200 Rp - 1,200

0 1,100 Rp - 1,100

0 4 Rp - 4
0 4 Rp - 4

0 4 Rp - 4

0 4 Rp - 4

0 100 Rp - 100

0 7 Rp - 7

0 - Rp - -

0 - Rp - -

0 1,000 Rp - 1,000

0 100 Rp - 100

0 1,500 Rp - 1,500

0 300 Rp - 300

0 1,200 Rp - 1,200

0 300 Rp - 300

0 2 Rp - 2

0 5 Rp - 5

0 1 Rp - 1
0 2 Rp - 2

0 11 Rp - 11

0 500 Rp - 500

0 2 Rp - 2

0 14 Rp - 14

0 - Rp - -

0 100 Rp - 100

0 - Rp - -

0 200 Rp - 200

0 100 Rp - 100

0 - Rp - -

0 100 Rp - 100

0 - Rp - -

0 - Rp - -

2 2 Rp - -
 2 2 Rp - -

0 - Rp - -

0 - Rp - -

0 200 Rp - 200

0 200 Rp - 200

0 - Rp - -

0 200 Rp - 200

0 - Rp - -

0 700 Rp - 700

0 800 Rp - 800

0 - Rp - -

0 100 Rp - 100

100 800 Rp - 700

100

0 1,300 Rp - 1,300

0 100 Rp - 100

0 100 Rp - 100
 0 100 Rp - 100

0 500 Rp - 500

0 4 Rp - 4

0 - Rp - -

100 600 Rp - 500

100

0 15 Rp - 15

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 100 Rp - 100

0 - Rp 800 -

0 - Rp 1,000 -

0 - Rp - -
0 200 Rp - 200

0 - Rp - -

0 650 Rp - 650

0 600 Rp - 600

0 - Rp - -

0 100 Rp - 100

0 200 Rp - 200

0 - Rp - -

0 160 Rp - 160

0 - Rp - -

0 450 Rp - 450

0 500 Rp - 500

0 100 Rp - 100

0 - Rp - -

0 - Rp 800 -
0 - Rp 800 -

0 - Rp - -

0 200 Rp - 200

0 100 Rp - 100

0 200 Rp - 200

0 - Rp - -

0 150 Rp - 150

0 50 Rp - 50

0 400 Rp - 400

0 400 Rp - 400

0 - Rp 3,000 -

0 - Rp 15,000 -

0 30 Rp - 30

0 - Rp - -
 0 500 Rp - 500

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 100 Rp - 100

0 20 Rp - 20

0 300 Rp - 300

0 - Rp - -

0 - Rp - -

0 - Rp - -

5 12 Rp - 7

100 600 Rp - 500

0 800 Rp - 800

0 16 Rp - 16

0 - Rp - -
 0 - Rp - -

0 10 Rp - 10

100 400 Rp - 300

100

0 90 Rp - 90

0 14 Rp - 14

0 400 Rp - 400

0 100 Rp - 100

0 1,000 Rp - 1,000

0 100 Rp - 100

0 100 Rp - 100

0 15 Rp - 15

0 100 Rp - 100

0 750 Rp - 750

0 200 Rp - 200

0 - Rp - -

0 500 Rp - 500
0 300 Rp - 300

0 100 Rp - 100

0 900 Rp - 900

0 100 Rp - 100

0 500 Rp - 500

0 - Rp - -

0 5 Rp - 5

0 - Rp - -

0 1,000 Rp - 1,000

0 100 Rp - 100

0 1,000 Rp - 1,000

0 1,120 Rp - 1,120

0 12 Rp - 12

0 - Rp - -

0 - Rp 10,000 -
0 - Rp 10,000 -

0 - Rp 10,000 -

0 - Rp 10,000 -

0 - Rp 10,000 -

0 - Rp 9,000 -

0 15 Rp 9,500 15

0 10 Rp 12,500 10

0 4 Rp 12,000 4

0 10 Rp 12,000 10

0 - Rp 12,000 -

0 10 Rp 12,000 10

0 - Rp - -

0 5 Rp - 5

0 - Rp - -

0 14 Rp - 14

0 8 Rp - 8
0 - Rp - -

0 7 Rp - 7

0 1 Rp - 1

0 28 Rp - 28

0 - Rp - -

0 2 Rp - 2

0 - Rp - -

0 - Rp - -

0 3 Rp - 3

0 1 Rp - 1

0 1 Rp - 1

0 9 Rp - 9

0 20 Rp - 20

0 - Rp - -

0 7 Rp - 7

0 - Rp - -
0 - Rp - -

0 12 Rp - 12

0 4 Rp - 4

0 6 Rp - 6

0 7 Rp - 7

0 20 Rp - 20

0 - Rp - -

0 12 Rp - 12

0 17 Rp - 17

0 1 Rp - 1

0 - Rp - -

0 18 Rp - 18

0 12 Rp - 12

0 2 Rp - 2

0 - Rp - -
0 10 Rp - 10

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 5 Rp - 5

0 4 Rp - 4
0 4 Rp - 4

0 7 Rp - 7

0 10 Rp - 10

0 - Rp - -

0 25 Rp - 25

12 120 Rp - 108

0 5 Rp - 5

0 15 Rp - 15

0 - Rp - -

0 10 Rp - 10

10 410 Rp - 400

0 - Rp - -

0 10 Rp - 10

0 10 Rp - 10

0 - Rp - -

0 5 Rp - 5
0 2 Rp - 2

0 15 Rp - 15

0 - Rp - -

0 - Rp - -

10 130 Rp - 120

10 45 Rp - 35

0 20 Rp - 20

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 50 Rp - 50

0 13 Rp - 13

0 7 Rp - 7

0 - Rp - -

0 - Rp - -

0 - Rp - -
 0 - Rp - -

0 - Rp - -

0 - Rp - -

20
0 20 Rp - 20

0 3 Rp - 3

20
5 35 Rp - 30

5 31 Rp - 26

0 6 Rp - 6

0 - Rp - -

0 10 Rp - 10

HARGA
BALAN
30 31
CED
USED

0 - Rp - -

0 - Rp - -
0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -
0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -
0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -
 0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

#REF! - Rp - #REF!
Directur
 SITE / RIG : KLINIK ASH-SHIDDIQ CIWALEN
PERIOD : November-20
Medicines

QUANTITY
No ITEM NAMES UNIT LAST Ext Date DAILY USED
MONTH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
ANTIBIOTICS

Acyclovir

Tab 100 Nov-21

Acifar 200 Tab 100 Jul-22

Tab 200 Apr-23

100
120
Acifar 400 Tab 60 Jun-22
30 300 60

Aciclovir 400 HJ Tab 200 May-22

Aciclovir 200 Tab -

Amoxicillin

600
Amoxcylin 500 Tab -
100 100
10
Amoxcylin Syrup liq 12 Sep-23
5 3 5
10
Bintamox Tab Tab 100 May-22
100

Bintamox Syr liq 5 Mar-22

2
1000
Erlamoxy Tab Tab 1,300 Mar-24
Erlamoxy Tab Tab 1,300 Mar-24
100 100 100 100 100 200 100 100 200

HUFANOXIL SYR liq 52 May-23

5 5 10 3 5 8 6 5

RAMOXYL Tab -
100 100
Cefadroxil

Cefadroxil 500 Tab -

200
Lostacef 500 Tab 150 Apr-24
100 50 100
10
Lostacef Syr liq 7 Jun-22
3 3 5 3

Cefixime

Cefixime 100mg Cap -

Cefixime 200mg Cap -

Helixime Tab 100 Cap 90 May-23

90
10
Helixime Syr liq 8 May-22
3 4 5

Cefixime syr liq -

Ciprofloxacin

Ciprofloxacin HJ Tab 100 Aug-22

Novaflox 500 Tab 100 May-23

Novaflox 500 Tab 100 May-23
100
400 500
Floxigra 500 Tab 100 Aug-22
100 150 100

Clindamicyn

clindamicin 300mg Cap -

Clindamycin 100mg Tab -

Cotrimoxazol

Cotrimoxazol Tab -

Etamoxul Syr liq -

Erphatrim Cap 100 Aug-24

100

Erphatrim Forte Cap 400 Oct-24

100

Trimeta Forte Tab Tab 100 Jan-23

100

Trimeta Syr liq -

Doxycycline

Dohixat Tab 100 Aug-23

ENBATIC
 Zack 15 Jun-23
Enbatic Serbuk

Zack 108 Apr-24

Erytromicin

Eritromicin Cap -

Eryra Forte Cap -

6 5
Eryra SYR liq - Jul-22
5 1 1

Phylocin Syr liq -

Metronidazole

200
Metronidazol Tab -
100

Metronidazol Syr liq -

Erbifin Tab Tab - Apr-22

100 100
10
Farizol Syr liq 5
5 5

Grafazol 500 Tab Tab -

Omenizol Syr liq -

Tetracyclin
Novabiotic Cap 100 Jun-22

Thyamphenicol

Daiticin 500 Tab 400 Jan-22

100 100

Dionicol Syr liq 2 Sep-22

Chloramphenicol

chlorampenicol tab tab -

Novachlor Syr liq -

Chlorexol Syr liq -

Novachlor Tab tab -

Anti Fungi

Mycazol tab tab 100 Aug-21

Nocandis Drop liq 5 Jun-22

Ketoconazole tab -

Cequalin Hisab Tab 200 Nov-21

ANALGETIK,ANTIPIRETIK

Anastan Tab Tab -

Anastan Tab Tab -

Stanalin DS Tab Tab 300 Jul-21

100

Stanalin DS New Tab 1,000 Nov-21

100 100

Erlagin Tab 200 Aug-21

Antalgin 500 Tab -

Afibramol Syr liq -

Asam Mefenamat HJ tab - Jun-22

200
ERLAMOL FORTE tab 1,000 May-22

1000 900 300 2100

Erlamol Tab tab 300 May-22
100 100 100 100 200 100 100 100 100 200 100 100 100 200 100
40 24 20
ErlamoL Syr liq -
5 5 2 5 5 8 2 5 5

Farsifen Pluss tab -

Farsifen Syr liq -

10

Fasidol Drops liq 6 Sep-21

3 5

SAnmol Drops liq 4 Jun-22

3

Ibuprofen syr liq 2 Mar-22

Ibuprofen 400 tab 200 Apr-22

100
Paracetamol POT triman tab 400 Jul-22
100 100

Erlatam Tab 400 Mar-22

100

Novaxifen Syr liq -

Hufagesic Tab Tab -

Omestan Syr liq -

Parazon Tab 200 Sep-21

Paracetamol strip Tab 100 May-22

100 100
12 10
Paracetamol Syr liq - Jun-22
6 5 5
300 3700
Repass Tab 900 Apr-22
100 100 100 100 100 100 100 100

Metamol Syr liq 16 Jan-23

5 5 5

Novagesic Syr liq 3 Jul-22

3
1000 1900
Erphamol Tab Tab 400 Jun-22
100 100 100 100 100 100 200 100

Erphamol Forte Tab Tab 200 Jun-22

100

Prophiretic 80mg Supp 8 Feb-22

18

Pyrexin 80mg Supp 10 Mar-21

24
Prophiretic 160 mg Supp -
Prophiretic 160 mg Supp -
12
12
Prophiretic 240mg Supp 10 Feb-22
12 12

ANTI REMATIK&GOUT

Allopurinol 100mg Tab 300 Apr-22

Allopurinol 300mg Tab -

Erlapur 100 Tab 1,100 Mar-22

100 100 100 100

Erlapur 300 Tab 900 Jun-02

100 100
300
Ersolon Tab 1,400 Jun-22
100 100

Erphaflam Tab 1,300 May-23

Grateos 50mg Tab 100 Jul-24

100

Grazeo 20mg Tab 200 Aug-24

Denicam 20 Tab 100 Sep-23

Lafen Tab 1,600 Oct-21

Mesola Tab 1,100 Sep-21

100

Hufaxicam 15mg Tab -

100

Meloxicam 7,5mg Tab -

Meloxicam 7,5mg Tab -

250
Meloxicam 15mg erlimpex Tab 100 Aug-21
100

Methylpred 4mg HJ Tab -

Na. Diclofenac Phapros Tab -

Prouric 300 mg Tab -

Prednison POT trifacort Tab 100 Feb-22

100

Prednison POT triman Tab 400 Aug-22

100
500
Relaxon Tab - Jun-22
100

Renadinac 25mg Tab 100 Aug-21

Renadinac 50mg tab -

Remat tab 100 Aug-21

Xicalom 20mg Tab -

piroxicam 10 Tab -

piroxicam 20 Tab -

Kaditic 50 Tab -

sodium diclofenac phapros Tab -

 ANTISPASMODIC

Kocligon Tab 300 Nov-21

Scopma Plus Tab -

Spasminal Tab 100 Feb-22

Papaverin Nova Tab 100 Sep-21

ANTACIDS AND ANTIULCERANTS

10 17 18
Antacida Syr Liq 10 Jul-22
5 6 10

Antasida POT Tab 400 Apr-22

100
900
Antasida strip Tab 100 Feb-22
100 100

Erphamag POT Tab -

600 700 4400

Gasela Tab 1,200 Jun-22
100 100 100 100 100 100 100 200 200 100 300 100 200 100

Biomagh MPS Tab 100 Dec-24

100

HUfadine Tab -

Lanzoprazole HJ caps -
5
650 500 750
Lokev 20mg caps -
Lokev 20mg caps -
100 100 100 100 100 100 100 50 150 100 150 150 100 100
10
Sucralfate Syr Liq -
5 5
3
Lipepsa Syr Liq 2 Sep-22
5 2 1 6 5 10

Omeprazole 20mg caps -

Ondacentron 4 mg Tab -

Ranitidine Erela tab 800 Oct-21

Ranitidine HJ tab 200 Apr-23

50

Sanmagh Syr Liq 1 Jul-22

24 25 20 6
Maagel Syr Liq 1 Jul-22
5 5 5 5 3 5 10 10 10 5
200
Cimedine Tab tab 0 Apr-22

ANTIEMETIC

20
Domperidon Syr Liq -
3 3 7

Domperidon Tab Tab 800 Apr-24

100 100 100 100

Dimenhydrinate Tab Tab 400 Aug-23

Contramo @10 Pack 40 Oct-23

1600 600
Emeran Tab 800 Jun-25
100 100 100 100 100 100 100 100
10
NORVOM SYR Tab -
NORVOM SYR Tab -
10 5 5

Liq 1 Sep-21
1
Vesperum Drops

Liq 7 Feb-22
4

Vesperum Tab Tab - Apr-24

Vosea Syr Liq 3 Jun-23

Vola Tab 1,000 May-22

200 100 100

Lexapram Syr Liq -

Lexapram Tab Tab 300 May-22

100
30
Ondanosin Tab 60 Jul-24
60

ANTIDIARHOEA

Akita Tab 300 May-22

2
Renalyte Tab 4 Mar-22
4
40
Kaotin Syr Liq 9 Apr-22
2 5 3 5

Kanina Syr Liq 10 Apr-22

Lacto-b Sachet Sak 30

Lacto-b Sachet Sak 30

Paedilac Sak 15 Dec-21

15
800 200
Imodiar Tab Tab 1,400 Mar-22
100 100 200

Tasdiar Tab Tab 5 Oct-21

100
50
Ramolit Sak 5 Apr-22
5 15 25 23

Zink 20mg mepro Tab 200 Jan-22

5
Zink syr Liq 5 Jul-24

Zhipa Tab 240 May-22

10
lecozinc Syyr Liq 5
5 5 5
LAXATIVE

Laxana Tab Tab -

Kompolak Sy Liq -

Microlac Supp Supp -

COUGH, COLD AND FLU

5 10
Ambroxol Syr Liq -
5 5 4

Erphahexin Tab Tab 1,200 Mar-22

Erphahexin Tab Tab 1,200 Mar-22

Erlapect Tab Tab 1,100 Sep-22

100

Erphaflu Syr Liq 4 Nov-22

Citocetin Syr Liq 4 Feb-24

Pacdin Cough Syr Liq 4 Nov-21

Dextral Tab 100 Apr-22

5
Erphakaf Plus Syr Liq 100 Dec-21

2 5
Erphasal Syr Liq 0 Apr-22
2 3

Flucadex Syr Liq -

Flucadex Tab Tab -

Erphaflu Tab Tab 1,000 Dec-21

Molexflu Tab 100 Oct-21

GG STRIP Tab 1,500 May-21

GG POT Triman Tab 300 Jul-22

GG POT Erlimpect Tab 1,200 May-25

Hufralgin Tab 300 Apr-22

100
Paraflu Syr Liq 2 Aug-23
2
10
Hufagrip Syr Liq 5 May-23
3 5

Siladex Syr Liq 1 May-22

Omecough Syr Liq 2 Aug-22

Roverton syr
Liq
6
24
Erlapect Syr Liq 11 May-22
5 1 5 3 5 3 2 5

Intunal F Tab Tab 500 May-23

100 100 100 100

RemcoCough Syr Liq 2 May-22

OBH ITRASAL Syr Liq 2 Jul-24

5 5
3
NEO VEDRIN DROP Liq - Jun-22
3
400
FLUZADAY Liq - Jan-22
100
ANTIASMATIC

Bronchosal 4mg Tab -

Grafalin 2mg Tab 100 Jan-23

100

Neosma Tab -

Salbutamol 2mg Graha Tab 200 Nov-22

Salbutamol 4mg Graha Tab 100 Apr-23

Tasma 4mg erela Tab -

300
Teosal Tab Tab 100 Jan-22

400
GRAFALIN 4 MG Tab -
100
NEBULIZATION

Bisolvon BTL Liq -

Ventolin Amp Liq - Feb-23

5 5
10
Combivent Amp Liq -
5

ANTIHISTAMINE & ANTI ALLERGIC

Alleron POT Tab 200 Dec-24

Allergen Tab 200 Oct-21

100

Ceterizin Hcl Tab -

CTM POT Triman Tab 200 Aug-22

100 100 100
300
Danasone 0,5 Tab -
200

Dexteem Tab 700 Jun-23

100
800
Dexteem Plus Tab 800 Jul-24
Dexteem Plus Tab 800 Jul-24
100 100
100
Dexametason POT tab -
100 100 100 100 100

Erphacyp Tab 100 Feb-23

800
Ermethasone 0.5 Tab 700 Jul-23
100 100 100 100 200 100

Ermethasone 0.75 Tab 1,300 Jun-23

100 100 100 100

Locodexon 0.5 Tab 100 Apr-22

Loratadine HJ Tab 100 Nov-21

Lorihis Tab Tab 500 Jun-23

Lorihis syr Liq 4 Aug-21

300
Orphen Tab -
200
200
Trisela Tab Tab 500 May-24
100 100 100 100
20
Trisela Syr Liq 15 May-23
3 3 3 6
CARDIAC /ANGINA

Aspilet 80mg Tab -

Digoxin 0,25 mg YF tab -

Isosorbid YF Tab -

Propanolol Tab -
Propanolol Tab -

Gramasal Tab Tab 100 Feb-23

100
DIURETIC

Furosemide Tab -

300
Gralixa 40 Tab -
100 100

ANTIMIGRAINE & ANTI VERTIGO

600
Histigo Tab 200 May-22
150 50 50

Lexigo Tab -

Narmig 25 mg tab 650 May-22

Vertilon 5 mg Tab 600 Nov-21

100 100

ANTI HIPERTENSI

Amplodipine 5 HJ tab 100 Jul-22

100

Amplodipine 10 HJ Tab 200 May-22

Captopril 12.5mg Tab -

Captopril 25mg Tab 160 Jan-23

100
Etapril 25mg Tab -

Ertensi 5mg tab 450 Jun-22

100 90

Ervask 10mg tab 500 Apr-22

100 100

Nifedipine tab 100 May-24

ANTI DM

Diabit Tab -

Glibenklamide 5mg Tab -

Glikos Tab 200 Jul-22

100

Metformin 500 Tab 100 Jul-22

Renabetic 5 Tab 200 Aug-21

100

ANTI HIPERLIPIDEMIA

250
Selvim 10 Tab 150 Feb-24
100 100
50
Selvim 20 tab 50 Jun-22
50 50 50

Simvastatin 10 HJ tab 400 Oct-21

Simvastatin 20 HJ Tab 400 Apr-22

Simvastatin 20 HJ Tab 400 Apr-22

HAEMORHOID

Ambeven Tab Tab -

Superhoid Supp Supp. -

Elroid tab Tab 30 Jan-23

URINARY

Nephrolit Kap -

Renola tab 500 Jan-21

100 100

KONTRASEPSI

Andalan PIL BIRU tab -

Andalan Laktasi tab -

VITAMIN

Alvita Metamizole tab 100 Jul-22

100

Tab 20 Jul-21
Anelat

Tab 300 Mar-22

Beneuron Tab -

Biovitan Syr Liq -

Biovitan Syr Liq -

Camivita Syr Liq -

20 24 24 40
Caviplex syr Liq 7 Dec-22
5 5 5 6 6 5
4100
Caviplex Tab Tab 500 Aug-23
100 100 200 100 200

Cavicur Tab tab 800 Jun-23

100 100 200 300 200 100 100
24 10
Cavicur emulsion Liq 16 Jun-23
3 5 5 5 5

Citoviplex tab -

Tab 10 Oct-21
10
Erkade

Tab 300 Nov-22

100

Ermuno tab 90 May-23

180
Febion @30 Pot 14 Jul-24
60 2 60 90 90

Folacite 400 box 400 Sep-23

Tab 100 Aug-21

Fermia

Tab 1,000 Apr-23

Etabion Kap 100 Jun-23

100

Hufavice Tab 100 Apr-23

100
Katusi @30 Kap 15 Dec-22

Nervion 5000 Tab 100 Jun-21

100

VIT C POT 25 mg tab 750 Aug-22

250 250

VIT B POT Pim Tab 200 Nov-22

VIT A POT Tab -

VIT B COMP POT cnj Tab 500 May-24

100

VIT B COM BOX pim Tab 300 Apr-22

VIT K4 POT Erela Tab 100 Apr-24

Mixalgin tab 900 Jul-22

Paranervion Kap 100 Jan-22

Pil Vita Erpha Kap 500 Nov-23

Procurma Syr Liq -

Recovit Syr Liq 5 May-23

3 2
500
RAMVIT C tab - Apr-22
100

Trimakal Kalk POT tab 1,000

Visela tab 100 Apr-22

Visela tab 100 Apr-22
100 200

Visela tab 1,000 Aug-21

600
Neo Erpha Vitalgin Tab 1,120 Aug-22
100 100 100 100 200 200 300

Prenatal Box Kap 12 Dec-23

Prenatal Btl @30 Btl - May-24

OBAT LUAR/CREAM/SALEP/LOTION

Acifar Cream Tube -

Alergil cream Tube -

Bedak Salicyl Niknak Btl -

Dermifar 10 mg Tube -

Dermifar 5 Mg Tube -

Erladerm Tube 15 Sep-21

5
10
Erladerm N Tube 10 Jul-22
5 5 5 5

Tube 4 May-22
Erlaneo

Tube 10 Apr-23
Erphalam Gel Tube -

Erphamazole Tube 10 Aug-21

GOM CITO Btl -

10
Gentamicin SK KF Tube 5 Apr-24
5 10

Genalten Tube -

10 20
Salgen SK Tube 14 May-25
5 5
20
Genoint SK Tube 8 Aug-22
5 5 3 5

Ichtyol-Salep NF CUP -

Ketoconazole cream Tube 7 May-21

Tube 1 Aug-21
Lacyvir KRIM

Tube 28 Jan-23
5 5 5

Miconazole KF Tube -

Mycazole cream Tube 2 Aug-21

2

Neocenta Gel Tube -

Orsaderm Tube -

Oxytetra IF Tube 3 Apr-21

Oxytetra IF Tube 3 Apr-21

Psoriderm Tube 1 Jul-21

4
Scabimite Salp Tube 1 Sep-23
2 2 1 1

Salep 2-4 CITO CUP 9 Aug-24

5

cetricillin Tube 20 Mar-23

Solinfec Tube -

Synalten Tube 7 Aug-22

PK CITO CUP -

BEBITHEN KRIM Liq -

1 1

Dentasol Drop Liq 12 Nov-21

5

EYE / EAR / NOSE

4
Alletrol TM btl 4 Jul-21

Ailin Cool TM btl 6 Mar-22

3

Ailin TM btl 7 Mar-23

3

Erlamycetin Salep Mate TUBE 20 Feb-24

5

Erlamycetin Tetes Mata BTL -

3
Erlamycetin TM Plus BTL 12 Jan-22

Erlamycetin TT BTL 17 Apr-20

VITAL TT BTL 1 Apr-25

Erlavin Tetes Hidung BTL -

Genoint Tetes Mata BTL 18 Feb-23

5

Genoint Salep Mata BTL 12 Mar-24

5

Optiflox TM BTL 2 Oct-21

Reco salep Mata BTL -

Ecodin Iodin BTL 10 Jun-23

LABORATORIUM

STRIP CHOLESTEROL PCS -

10 10 10

STRIP ASAM URAT PCS -

STRIP GULA PCS -

STRIP HB PCS -

BLOOD LANCET PCS -

 50
HCG STRIP PCS -
20

GOLONGAN DARAH PCS -

Thypoid PCS -

RAPID COVID 19 PCS -

25 25 25 40 50 25 25

TABUNG EDTA PCS -

25 50 20 20

TABUNG PLAIN PCS -

20

PCS -

PCS -

PCS -

PCS -

PCS -

PCS -

INJECTION

As. Tranexamat HJ 5ml INJ Amp -

1

Bisolvon 2mg INJ Amp -

10
Cefotaxim INJ Vial 5 May-22
Cefotaxim INJ Vial 5 May-22
6 6 6
16
Ceftriaxone INJ Vial 4 May-22
8 6

Ceftriaxone INJ Vial 7 Nov-22

4 4
80
Dexamethasone INJ Amp 10 Aug-22
10
25
Furosemide INJ Amp -
5

Hyoscine INJ Amp 25 Jan-22

10
120
Ketorolac INJ Amp 108 Jan-23
24 24 12 24 12 24 24 24 12 12

Kanamycin INJ Vial 5 Feb-25

Lidocain 2% INJ Amp 15 Feb-23

5

Methergin INJ Amp -

Mersibion INJ Amp 10 Oct-21

10

Mersibion INJ Amp 400 Apr-22

10 10 20 10 20 10 10 10 20 10 10 20 20 10 10 10

OMEPRAZOLE 40MG Vial -

2 5 10

Lanzoprazole Vial 10 Jan-22

2 3 1
30 5 100
Ondancentron INJ Amp 10 Jan-23
10 10 10 10 10 10 20 10 10

ODR Ondancentron 4mg

Amp -
INJ
 6
Oksitosin INJ Amp 5 Aug-23
5

Methylpred Vial 2 Jul-21

Methylpred Vial 15 Aug-22

3

Pythogin INJ Amp -

Scopamin INJ Amp -

Sotatic INJ Amp 120 May-23

10 20 10 10 10 10 20
130
Ranitidine INJ Amp 35 Jun-23
10 10 10 10 20 10 10 10 10 10 10 10 10
20
Pehacain INJ Amp 20 Dec-23
10 5

Tradosik INJ Amp -

Tramadol INJ Amp -

Perinperan INJ Amp -

Vit C injec Amp 50 Jul-21

5 5

Vit C Injec+Colagen Amp 13 Jun-21

3 5

Valisanbe Amp 7 Feb-22

Lactor Ketorolac INJ Amp -

Lactor Ketorolac INJ Amp -

Lactor Ketorolac INJ Amp -

ANDALAN 1 BULAN Vial -

20
20
ANDALAN 3 BULAN Vial -
20 10
5 6
INJEKSI VIT K Amp
5 6
PARENTERAL LIQUID

25 20 10 40
CAIRAN RL BTL 20
10 20 15 25 10 10 5 15 6 15 5 20 20 5 10 12
10
aquabidest 25 mg Btl 3 Apr-23
3 3 3 4 3 4 5

CAIRAN NACL Btl 30 Sep-23

5 5 10 15 5 10 10 3 5 6 5 5 10 6 5 8

METRONIDAZOLE IVF Btl 26 Mar-23

5 5 3
20
PARACETAMOL IVF Btl 6 Jan-22
5 5 3 4

DEXTROSE 5% Btl -

WATER STERIL 1 ltr Btl 10 May-23

BAHAN HABIS PAKAI Klinik Ash- ShiddiQ Ciwalen

PERIODE : Nov-18
QUANTIT DAILY USED
ITEM NAMES UNIT Y LAST Ext Date
MONTH 1 2 3 6 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Consumables/BHP

ABOCATH NO.26 PCS -

ABOCATH NO.24 PCS -
10 10 15 10 20

ABOCATH NO.22 PCS -

10 30 15 10 10 20 10 10 10

ABOCATH NO.20 PCS -

15 20

ALKOHOL SWAB BOX -

100 100 100

ALKOHOL 1 L BTL -
1

ALKOHOL 100 ML BTL -

ANTING TINDIK PCS -

BLOOD LANCET PCS -

LANCET BEKAM PCS -

CELEMEK WARNA PCS -

FOLEY CHATETER NO.16 PCS -

1

FOLEY CHATETER NO.18 PCS -

1 3

GLOVES S BOX -
1

GLOVES M BOX -
100 100 100 100

GLOVES L BOX -
GLOVES STERIL NO.7 PCS -

GLOVES GYNECOLOGY PCS -

HANSAPLAST ROLL S PCS -

KASSA GULUNG 5CM PCS -

10 10 20 10

KASSA GULUNG 10CM PCS -

10 5 20

KASSA GULUNG 15CM PCS -

KASSA STERIL BOX BOX -

10

OK PLAST BULAT PCS -

100 100 100 50

NEEDLE NO. 23 PCS -

NEEDLE NO. 24 PCS -

15 30

NEEDLE NO. 25 PENDEK PCS -

NEEDLE NO. 25 PANJANG PCS -

NEEDLE NO. 26 PENDEK PCS -

30 40 30 30 20 20 20

NEEDLE NO.27 PENDEK PCS -

30

WINGED NEEDLE NO.23 PCS -

WINGED NEEDLE
PCS -
NO.25/26/27
WINGED NEEDLE
PCS -
NO.25/26/27

INFUSE SET ANAK PCS -

5 5
250
INFUS SET DEWASA PCS -
10 15 10 10 5 10 5 10 10 10 20 10 5 5 10
1
URINE BAG Pcs -
2 2

KAPAS 25 GR PCS -

MASKER NEBU Pcs -

TONGUE SPATEL KAYU BOX -

MICROPORE 1" Pcs -

3
MICROPORE 1/2 " Pcs -
3 3 1 2 3 2 2

LOMATULE PCS -

SYRINGE 1 CC PCS -
20 20
200 300
SYRINGE 3 CC PCS -
20 35 30 20 30 20 30 30 30 20 30 30 30 40 30 30 30 20 70 20 30 20 20

SYRINGE 5 CC PCS -
30 15 20 20

SYRINGE 10 CC PCS -

MASKER HIJAB BOX -

MASKER EARLOOP BOX -

PLASTIK PUTIH PACK -
1 1 2 2 1 1 1 1

KLIP OBAT WARNA 8X5 PCS -

100

KLIP OBAT WARNA 10X7 PCS -

KLIP OBAT WARNA 13X8,7 PCS -

100

KLIP OBAT BENING 8X5 PCS -

100 100 100 200

KLIP OBAT BENING 10X7 PCS -

100 200 100 100 200 100 100

KLIP OBAT BENING

PCS -
13X8,7
100 100 200 100 100 100 100 200 100 200 100 200 200

PIPET PLASTIK PCS -

PIPET KARET PCS -

THERMOMETER ANUS PCS -

THERMOMETER AVIKO PCS -

KACA MATA GOGLES PCS -

UMBILICAL KLEM PCS -

METLIN BULAT PCS -

PAMPERS NEWBORN Pcs -

PAMPERS DEWASA M Pcs -

PAMPERS DEWASA M Pcs -

PAMPERS DEWASA L Pcs -

8 2

UNDER PAD PCS -

GLAS SLIDE
PCS -
MICROSCOPE

ID BAND BAYI PCS -

SAFETY BOX KECIL PCS -

SAFETY BOX SEDANG PCS -

1 1 2

SILK SUTURE + JARUM PCS -

10 10
10 10
CUTGUT SUTURE PCS -
7 10

ULTRAFIX 5X5 ROL -

1

SURGICAL BLADE PCS -

20

ETIKET SALEP PACK 7

ETIKET OBAT TAB PACK 14 Oct-03

1 1 2 1

ETIKET SYRUP PCS 1,830

-
Operational Manager Directur
 INCOM
E
HARGA SISA
30 31 USED

0 - 100

0 - Rp - 100

100 - 100

390 120 Rp - (210)

0 - Rp - 200

0 - Rp - -

0 - Rp - -

300 600 Rp - 300

100

13 10 Rp - 9

100 10 Rp - 10

2 - Rp - 3

1100 1,000 Rp - 1,200

 1100 1,000 Rp - 1,200

52 - Rp - -
5

200 - Rp - (200)

0 - Rp - -

250 200 Rp - 100

19 10 Rp - (2)
5

0 - Rp - -

0 - Rp - -

0 - Rp - -

120 - Rp - (30)
30

12 10 Rp - 6

0 - Rp - -

0 - Rp - -

0 - Rp - 100

100 - Rp - -
 100 - Rp - -

450 900 Rp - 550

100

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

100 - Rp - -

100 - Rp - 300

100 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - 100
 0 - 15
Rp -

0 - 108

0 - Rp - -

0 - Rp - -

7 11 Rp - 4

0 - Rp - -

0 - Rp - -

100 200 Rp - 100

0 - Rp - -

200 - Rp - (200)

10 10 Rp - 5

0 - Rp - -

0 - Rp - -

0 - Rp - -
 0 - Rp - 100

0 - Rp - -

200 - Rp - 200

2 - Rp - -
2

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - 100

0 - Rp - 5

0 - Rp - -

0 - Rp - 200

0 - Rp - -
 0 - Rp - -

100 - Rp - 200

300 - Rp - 700
100

0 - Rp - 200

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 200 Rp - -

1900 4,300 Rp - 2,700

100

48 84 Rp - 36
6

0 - Rp - -

10 - Rp - (10)

8 - Rp - (2)

3 - Rp - 1

0 - Rp - 2

100 - Rp - 100
 300 - Rp - 100
100

100 - Rp - 300

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - 200

200 - Rp - (100)

16 22 Rp - 6

900 4,000 Rp - 4,000

100

15 - Rp - 1

3 - Rp - -

1000 2,900 Rp - 2,300

100

200 - Rp - -
100

18 - Rp - (10)

0 - Rp - 10

12 24 Rp - 12
 12 24 Rp - 12

24 12 Rp - (2)

0 - Rp - -

0 - Rp - 300

0 - Rp - -

500 - Rp - 600
100

200 - Rp - 700

200 300 Rp - 1,500

0 - Rp - 1,300

100 - Rp - -

0 - Rp - 200

0 - Rp - 100

0 - Rp - 1,600

100 - Rp - 1,000

100 - Rp - (100)

0 - Rp - -
 0 - Rp - -

200 250 Rp - 150

100

0 - Rp - -

0 - -

0 - Rp - -

100 - Rp - -

100 - Rp - 300

100 500 Rp - 400

0 - Rp - 100

0 - Rp - -

0 - Rp - 100

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -
 0 - Rp - -

0 - Rp - 300

0 - Rp - -

100 - Rp - -
100

0 - Rp - 100

0 - Rp - -

27 45 Rp - 28
6

100 - Rp - 300

300 900 Rp - 700

100

0 - Rp - -

2000 5,700 Rp - 4,900

100

100 - Rp - -

0 - Rp - -

5 - Rp - (5)

1700 1,900 Rp - 200

 1700 1,900 Rp - 200
200

10 10 Rp - -

29 3 Rp - (24)

0 - Rp - -

0 - Rp - -

0 - Rp - 800

50 - Rp - 150

0 - Rp - 1

69 75 Rp - 7
6

0 200 Rp - 200

13 20 Rp - 7

400 - Rp - 400

0 - Rp - 400

0 - Rp - 40

800 2,200 Rp - 2,200

20 10 Rp - (10)
 20 10 Rp - (10)

1 - Rp - -

4 - Rp - 3

0 - Rp - -

0 - Rp - 3

500 - Rp - 500
100

0 - Rp - -

100 - Rp - 200

60 30 Rp - 30

0 - Rp - -

0 - Rp - -

0 - Rp - 300

4 2 Rp - 2

15 40 Rp - 34

0 - Rp - 10

0 - Rp - 30
 0 - Rp - 30

15 - Rp - -

500 1,000 Rp - 1,900

100

100 - Rp - (95)

68 50 Rp - (13)

0 - Rp - 200

0 5 Rp - 10

0 - Rp - 240

15 10 Rp - -

0 - Rp 800 -

0 - Rp 15,000 -

0 - Rp 25,000 -

0 - Rp - -

20 15 Rp - (5)
6

0 - Rp - 1,200
 0 - Rp - 1,200

200 - Rp - 900
100

0 - Rp - 4

0 - Rp - 4

0 - Rp - 4

0 - Rp - 100

0 5 Rp - 105

5 7 Rp - 2

0 - Rp - -

0 - Rp - -

0 - Rp - 1,000

100 - Rp - -
100

0 - Rp - 1,500

0 - Rp - 300

0 - Rp - 1,200

100 - Rp - 200
 2 - Rp - -

13 10 Rp - 2
5

0 - Rp - 1

0 - Rp - 2

6 - Rp - (6)

29 24 Rp - 6

400 - Rp - 100

0 - Rp - 2

10 - Rp - (8)

3 3 Rp - -

100 400 Rp - 300

0 - Rp - -

100 - Rp - -

0 - Rp - -

0 - Rp - 200
 0 - Rp - 100

0 - Rp - -

0 300 Rp - 400

100 400 Rp - 300

0 - Rp - -

10 - Rp - (10)

5 10 Rp - 5

0 - Rp - -

0 - Rp - 200

100 - Rp - 100

0 - Rp - -

300 - Rp - (100)

200 300 Rp - 100

200 - Rp - 500
100

200 800 Rp - 1,400

200 800 Rp - 1,400

500 100 Rp - (400)

0 - Rp - 100

700 800 Rp - 800

400 - Rp - 900

0 - Rp - 100

0 - Rp - 100

0 - Rp - 500

0 - Rp - 4

200 300 Rp - 100

400 - Rp - 100

15 20 Rp - 20

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -
 0 - Rp - -

100 - Rp - -

0 - Rp 800 -

200 300 Rp 1,000 100

0 - Rp - -

250 600 Rp - 550

0 - Rp - -

0 - Rp - 650

200 - Rp - 400

0 - Rp - -

100 - Rp - -

0 - Rp - 200

0 - Rp - -

100 - Rp - 60
 0 - Rp - -

190 - Rp - 260

300 - Rp - 200
100

0 - Rp - 100

0 - Rp - -

0 - Rp 800 -

0 - Rp - -

100 - Rp - 100

0 - Rp - 100

100 - Rp - 100

0 - Rp - -

200 250 Rp - 200

150 50 Rp - (50)

0 - Rp - 400

0 - Rp - 400
 0 - Rp - 400

0 - Rp 3,000 -

0 - Rp 15,000 -

0 - Rp - 30

0 - Rp - -

200 - Rp - 300

0 - Rp - -

0 - Rp - -

0 - Rp - -

100 - Rp - -

0 - Rp - 20

0 - Rp - 300

0 - Rp - -

0 - Rp - -
 0 - Rp - -

0 - Rp - -

38 108 Rp - 77
6

700 4,100 Rp - 3,900

1100 - Rp - (300)

29 34 Rp - 21
6

0 - Rp - -

10 - Rp - -

100 - Rp - 200

0 - Rp - 90

302 180 Rp - (108)

0 - Rp - 400

0 - Rp - 100

100 - Rp - 900
100

100 - Rp - -

100 - Rp - -
 0 - Rp - 15

100 - Rp - -

500 - Rp - 250

0 - Rp - 200

0 - Rp - -

100 - Rp - 400

0 - Rp - 300

0 - Rp - 100

0 - Rp - 900

0 - Rp - 100

0 - Rp - 500

0 - Rp - -

5 - Rp - -

100 500 Rp - 400

0 - Rp - 1,000

300 - Rp - (200)
 300 - Rp - (200)

0 - Rp - 1,000

1200 600 Rp - 520

100

0 - Rp - 12

0 - Rp - -

0 - Rp - -

0 - Rp 10,000 -

0 - Rp 10,000 -

0 - Rp 10,000 -

0 - Rp 10,000 -

0 - Rp 9,000 -

8 - Rp 9,500 7
3

20 10 Rp 12,500 -

0 - Rp 12,000 4

0 - Rp 12,000 10
0 - Rp 12,000 -

0 - Rp 12,000 10

0 - Rp - -

15 10 Rp - -

0 - Rp - -

10 30 Rp - 34

18 20 Rp - 10

0 - Rp - -

0 - Rp - 7

0 - Rp - 1

15 - Rp - 13

0 - Rp - -

2 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - 3
 0 - Rp - 3

0 - Rp - 1

6 4 Rp - (1)

5 - Rp - 4

0 - Rp - 20

0 - Rp - -

0 - Rp - 7

0 - Rp - -

2 - Rp - (2)

5 - Rp - 7

0 4 Rp - 8

3 - Rp - 3

3 - Rp - 4

8 - Rp - 12
3

3 - Rp - (3)
0 - Rp - 12

0 - Rp - 17

0 - Rp - 1

0 - Rp - -

5 - Rp - 13

5 - Rp - 7

0 - Rp - 2

0 - Rp - -

0 - Rp - 10

0 - Rp - -

30 - Rp - (30)

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -
 20 50 Rp - 30

0 - Rp - -

0 - Rp - -

240 - Rp - (240)
25

165 - Rp - (165)
50

45 - Rp - (45)
25

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

1 - Rp - (1)

0 - Rp - -

18 10 Rp - (3)
 18 10 Rp - (3)

14 16 Rp - 6

8 - Rp - (1)

10 80 Rp - 80

5 25 Rp - 20

10 - Rp - 15

216 120 Rp - 12
24

0 - Rp - 5

15 - Rp - -
10

0 - Rp - -

10 - Rp - -

230 - Rp - 170
20

17 - Rp - (17)

6 - Rp - 4

120 135 Rp - 25
20

0 - Rp - -
 15 6 Rp - (4)
10

0 - Rp - 2

3 - Rp - 12

0 - Rp - -

0 - Rp - -

110 - Rp - 10
20

160 130 Rp - 5
20

15 20 Rp - 25

0 - Rp - -

0 - Rp - -

0 - Rp - -

10 - Rp - 40

8 - Rp - 5

0 - Rp - 7

0 - Rp - -

0 - Rp - -
 0 - Rp - -

20 - Rp - (20)

30 20 Rp - (10)

11 11 Rp - -

213 95 Rp - (98)
10

25 10 Rp - (12)

118 - Rp - (88)
5

18 - Rp - 8
5

17 20 Rp - 9

0 - Rp - -

0 - Rp - 10

HARGA
BALAN
30 31 CED
USED

0 - Rp - -
 65 - Rp - (65)

145 - Rp - (145)
20

35 - Rp - (35)

435 - Rp - (435)
135

1 - Rp - (1)

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

1 - Rp - (1)

4 - Rp - (4)

1 - Rp - (1)

400 - Rp - (400)

0 - Rp - -
 0 - Rp - -

0 - Rp - -

0 - Rp - -

70 - Rp - (70)
20

35 - Rp - (35)

0 - Rp - -

10 - Rp - (10)

580 - Rp - (580)
230

0 - Rp - -

75 - Rp - (75)
30

10 - Rp - (10)
10

0 - Rp - -

190 - Rp - (190)

30 - Rp - (30)

0 - Rp - -

0 - Rp - -
 0 - Rp - -

20 - Rp - (20)
10

160 250 Rp - 90
15

4 1 Rp - (3)

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

21 3 Rp - (18)
5

0 - Rp - -

40 - Rp - (40)

735 500 Rp - (235)

70

105 - Rp - (105)
20

0 - Rp - -

0 - Rp - -

0 - Rp - -
 10 - Rp - (10)

100 - Rp - (100)

0 - Rp - -

100 - Rp - (100)

500 - Rp - (500)

1100 - Rp - (1,100)
200

2000 - Rp - (2,000)
200

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -
 0 - Rp - -

10 - Rp - (10)

0 - Rp - -

0 - Rp - -

0 - Rp - -

0 - Rp - -

4 - Rp - (4)

20 - Rp - (20)

17 20 Rp - 3

1 - Rp - (1)

20 - Rp - (20)

0 - Rp - 7

5 - Rp - 9

0 - Rp - 1,830

#REF! - Rp - #REF!
Directur
 DAFTAR PESERTA PENGOBATAN SANTRI AN - NABA BOARDING SCHOOL CIANJUR
PERIODE : 11 MARET 2018 S/D 12 MARET 2018

No No. RM No. PC TGL Nama JK Umur Alamat Diagnosa Keterangan PRICE

KELAS 1
1 11/3/2018 Ahmad Mustofa L 12 th Ramayana Cianjur Scabies Berobat+Member Rp 70,000
2 Ahmad Yasin L 13 th Bogor Scabies Berobat+Member Rp 70,000
3 Ariel Virgiawan L 13 th Karawang Scabies Berobat+Member Rp 70,000
4 12/3/2018 Arif Rahman L 12 th Aceh Scabies Berobat+Member Rp 70,000
5 11/3/2018 Gustiana faiz L 12 th Bogor Scabies Member Rp 20,000
6 Hamdi Akmal L 12 th Cikarang Varicella Berobat+Member Rp 70,000
7 A 1420 PC/00026 Jafar L 13 th Gekbrong Scabies Berobat Rp 50,000
8 A 1415 PC/00021 Muhammad Ralgi L 14 th Cianjur _ Berobat Rp -
9 12/3/2018 M. Bintang L 12 th Jonggol Scabies Berobat+Member Rp 70,000
10 M. Haidar L 12 th Sukabumi Scabies+flu+batuk Berobat+Member Rp 70,000
11 M. Haikal L 12 th Dermatitis+ISPA Berobat+Member Rp 70,000
12 M. Ikhsan L 12 th Ciranjang-CJR Scabies Berobat+Member Rp 70,000
13 M. Rafi L 13 th Scabies Berobat+Member Rp 70,000
14 M. Syauqi L 13 th Cianjur Scabies Berobat+Member Rp 70,000
15 11/3/2018 M. Yoga L 12 th Bogor Scabies Member Rp 20,000
16 M. Fajar L 12 th Member Rp 20,000
17 M. Irsyad Rabbani L 14 th Tangerang Scabies Berobat+Member Rp 70,000
18 M. Nazril L 13 th Bandung Scabies+Dermatitis Berobat+Member Rp 70,000
19 M. Rafli L 13 th Ciranjang-CJR Scabies Berobat+Member Rp 70,000
20 M. Raja Sultan L 12 th Cianjur Sub Febris Berobat+Member Rp 70,000
21 M. Ribhi L 12 th _ Member Rp 20,000
22 M. Risky L 14 th Cianjur Scabies Berobat+Member Rp 70,000
23 M. Syahdan Nazili L 13 th Scabies Member Rp 20,000
 24 Naufal Abdullah L 12 th Bekasi Scabies Berobat+Member Rp 70,000
25 Putra Haerul L 12 th Ciranjang-CJR Scabies Berobat+Member Rp 70,000
26 Rakha Akmal L 13 th Sukabumi Scabies Berobat+Member Rp 70,000
27 Ridho faathihul Ihsan L 13 th Cianjur Scabies Berobat+Member Rp 70,000
28 Sayyid Muhammad A. L 13 th Bogor Scabies+Gastritis Berobat+Member Rp 70,000
29a Syahdan Nazili L 13 th Bandung Scabies Berobat+Member Rp 70,000
29b 12/3/2018 Syahdan Nazili L 13 th Bandung Tonsilitis Berobat+Member Rp 70,000
30 Thariq Akmal Rabbani L 13 Cianjur Scabies + puss Berobat+Member Rp 70,000
31 12/3/2018 Zukhruf Maknuz L 13 th Sukabumi Scabies Berobat+Member Rp 70,000
KELAS 2
1 11/3/2018 Agung Mulya L 15 th Scabies Berobat+Member Rp 70,000
2 12/3/2018 Ahsan Nafsy L 14 th Garut Scabies Berobat+Member Rp 70,000
3 Andhika Manar L Member Rp 20,000
4 A 1474 PC 00035 Ariq Haidar L 14 th _ Rp -
5 12/3/2018 Atqiya H. Lukman L 14 th Bandung Barat Dermatitis Berobat+Member Rp 70,000
6 Beunghar Darmawan L 14 th Sukabumi Scabies Berobat+Member Rp 70,000
7 A 1412 PC/00018 Dimas Aji Pawana L 13 th Pamoyanan Infected wound Berobat Rp 50,000
8 Fajar Rasyid L 13 th Bekasi Dermatitis Berobat+Member Rp 70,000
9 Hilmi Abdussalam L Member Rp 20,000
10 M. Fathin Syawal L 13 th Bogor Scabies Berobat+Member Rp 70,000
11 Muhammad Reza H. L 15 th Jakarta Scabies+flu+batuk Berobat+Member Rp 70,000
12 Muhammad Alfi L 14 th Member Rp 20,000
13 Muhammad Ihsan N. L 14 th Scabies Berobat+Member Rp 70,000
14 Muhammad Naufal M. L 14 th Scabies Berobat+Member Rp 70,000
15 Muhammad Rizky L 16 th Gastritis Berobat+Member Rp 70,000
16 Muhammad Zaffa R. L 14 th Jakarta Scabies Berobat+Member Rp 70,000
17 Nabil Muhammad M. L 13 th Jakarta Utara C. Dermatitis Berobat+Member Rp 70,000
18 Nandito Akmal F. L 14 th Scabies Berobat+Member Rp 70,000
19 Naufal Ardi S. L 14 th Cianjur Scabies Berobat+Member Rp 70,000
20 Nur Hidayatullah L 15 th Bogor Scabies Berobat+Member Rp 70,000
21 Rafi M Nizar L 14 th Scabies+Puss Berobat+Member Rp 70,000
22 Rafli Raisa Dahlan L 14 th Member Rp 20,000
23 Reyhan Khadafi L 14 th Member Rp 20,000
24 Ryaas Q. Thoyiba L 14 th Member Rp 20,000
25 A 1418 PC/00024 11/3/2018 Saad Ahmad Fuad L 13 th Bogor Scabies Berobat Rp 50,000
26 11/3/2018 Sadam L 14 th Dermatitis Berobat+Member Rp 70,000
27 11/3/2018 Sopan Sopian L 14 th Pharingitis Berobat+Member Rp 70,000
28 Syahrul Rosyid L 13 th Cianjur Varicella Berobat+Member Rp 70,000
29 Usamah Alqois L 14 th Bogor C.Dermatitis+TonsilitisBerobat+Member Rp 70,000
30 Yaseer Imran Z. L Member Rp 20,000
31 Zaenal Abidin L 14 th Cianjur Scabies Berobat+Member Rp 70,000
KELAS 3
1 Abdullah Azzam L Member Rp 20,000
2 Ana Suryana L 17 th Member Rp 20,000
3 Arinal Haq L 15 th Scabies Berobat+Member Rp 70,000
4 Arju Sholihan L 14 th Bogor Scabies Berobat+Member Rp 70,000
5 Ar Rais Mujaddid L 14 th Scabies Berobat+Member Rp 70,000
6 Diyaz Maulana L 15 th Bandung Dermatitis Berobat+Member Rp 70,000
7 Fathir Muhammad L 15 th Dermatitis Berobat+Member Rp 70,000
8 Fajar Zulfikar L Member Rp 20,000
9 Fajwah Jundullah L 15 th Sukabumi Scabies Berobat+Member Rp 70,000
10 A 1419 PC / 00025 Fauzan Basyair L 15 th Bandung Scabies Berobat Rp 50,000
11 M. Raffy Arrahman L 14 th Cipanas Scabies Berobat+Member Rp 70,000
12 M. Rafliansyah L 14 th Scabies Berobat+Member Rp 70,000
13 M. Zaki Amrullah L 14 th Scabies Berobat+Member Rp 70,000
14 Mufti Akbar L 14 th Scabies Berobat+Member Rp 70,000
15 12/3/2018 M. Dzikrillah L 16 th Cianjur Scabies Berobat+Member Rp 70,000
16 M. Rifki Akbar L 15 th HTN+Scabies Berobat+Member Rp 70,000
17 12/3/2018 M. Akmal Rukmana L 14 th Scabies Berobat+Member Rp 70,000
18 M. Husen Mubarok L 15 th Jakarta Timur Scabies+Tinea VC Berobat+Member Rp 70,000
19 M. Iqbal Hadi L Member Rp 20,000
20 A 1414 PC / 00020 11/3/2018 M. Rhoma Kevarga L 14 th Bogor Scabies Berobat+Member Rp 50,000
21 Rizki M. Febrian L 15 th Dermatitis Berobat+Member Rp 70,000
22 11/3/2018 Syahrul Gunawan L 15 th Bandung Scabies Berobat+Member Rp 70,000
 23 Yazid Furqon Syarani L Member Rp 20,000
KELAS 4
1 A 14167 PC / 00023 Arif Mailana L 15 th Medan Scabies+Cought Berobat Rp 50,000
2 Cecep L 18 th Member Rp 20,000
3 Fahri Rumaday L 16 th Scabies+puss Berobat+Member Rp 70,000
4 Hudzaifah L 16 th Bogor Scabies Berobat+Member Rp 70,000
5 Ishak L 16 th Jakarta Timur Scabies Berobat+Member Rp 70,000
6 Kamaludin L 16 th Scabies+Papilloma Berobat+Member Rp 70,000
7 Lukman Pulungan L 17 th Medan Scabies Berobat+Member Rp 70,000
8 Maulana Ihsan Frendy L 16 th Bandung Scabies Berobat+Member Rp 70,000
9 M. Yasin Prabu Member Rp 20,000
10 M. Faisal Abdau L 16 th Sukabumi Scabies Berobat+Member Rp 70,000
11 M. Ikhsan Ilham L 20 th Jakarta Scabies+Puss Berobat+Member Rp 70,000
12 M. Hamzah L Member Rp 20,000
13 Rifki M. Fauzi L Member Rp 20,000
14 Rijal Nurdin L 15 th Cirebon Scabies+Tinea VC Berobat+Member Rp 70,000
15 A 1722 Rizki Agung Pratama L 15 th Bekasi Tinea+Dermatitis Berobat+Member Rp 70,000
16 Saepul Anwar L 16 th Scabies Berobat+Member Rp 70,000
17 Thariq Azla Wijaya L 15 th Scabies+Puss Berobat+Member Rp 70,000
18 Jayyid Ziddan L Member Rp 20,000
19 A 1416 PC / 00022 Zuhair Saleh Batati L 17 th Scabies+Dermatitis Berobat Rp 50,000
Rp 5,970,000

SUBSIDI PENDAFTARAN MEMBER 96 Rp 5,000 Rp 480,000

TOTAL TAGIHAN YANG HARUS DIBAYAR Rp 5,490,000

Terbilang : Lima Juta Empat Ratus Sembilan Puluh Ribu Rupiah

 MODAL MODAL

Rp 5,120
Rp 9,200
Rp 12,500
Rp 25,400 Rp 20,000
Rp -
Rp 29,200
Rp 25,400 Rp 20,000
Rp -
Rp 7,100
Rp 8,840
Rp 18,500
Rp 6,900
Rp 6,900
Rp 29,600 Rp 20,000
Rp -
Rp -
Rp 25,400 Rp 20,000
Rp 11,300
Rp 6,600
Rp 6,270
Rp -
Rp 28,100 Rp 20,000
Rp -
Rp 29,600 Rp 20,000
Rp 6,600
Rp 5,600
Rp 11,800
Rp 26,350 Rp 20,000
Rp 6,800
Rp 6,400
Rp 16,100
Rp 7,140

Rp 14,600
Rp 24,400 Rp 18,000
Rp -
Rp -
Rp 25,400 Rp 20,000
Rp 6,900
Rp 11,400
Rp 7,200
Rp -
Rp 24,400 Rp 18,000
Rp 28,800 Rp 20,000
Rp -
Rp 10,600
Rp 30,600 Rp 20,000
Rp 3,570
Rp 25,600 Rp 20,000
Rp 7,000
Rp 11,600
Rp 6,600
Rp 10,600
Rp 34,400 Rp 20,000
Rp -
Rp -
Rp -
Rp 24,500 Rp 18,000
Rp 9,600
Rp 7,300
Rp 16,700
Rp 10,900
Rp -
Rp 25,600 Rp 20,000

Rp -
Rp -
Rp 25,400 Rp 20,000
Rp 25,600
Rp 10,600
Rp 21,200 Rp 20,000
Rp 25,600 Rp 20,000
Rp -
Rp 11,800
Rp 6,200
Rp 26,200 Rp 20,000
Rp 26,800 Rp 20,000
Rp 6,960
Rp 25,600 Rp 20,000
Rp 25,600 Rp 20,000
Rp 29,500 Rp 20,000
Rp 30,500 Rp 20,000
Rp 11,200
Rp -
Rp 26,000 Rp 20,000
Rp 29,400 Rp 20,000
Rp 29,800 Rp 20,000
Rp -

Rp 29,800 Rp 20,000
Rp -
Rp 25,600 Rp 20,000
Rp 25,600 Rp 20,000
Rp 23,400 Rp 18,000
Rp 6,800
Rp 26,600 Rp 20,000
Rp 7,100
Rp -
Rp 7,100
Rp 9,600
Rp -
Rp -
Rp 13,400
Rp 24,320 Rp 20,000
Rp 33,600 Rp 20,000
Rp 29,600 Rp 20,000
Rp -
Rp 25,600 Rp 20,000
Rp 1,439,070 Rp 732,000 yang harus dibayar ke HPAI
Rp 4,050,930

Pemateri : Rp 50,000
Pemeriksa (Iwan) : Rp 200,000
Pemeriksa (Yuli) : Rp 200,000
Pemeriksa (Wati) : Rp 100,000
Asisten (Ardi) : Rp 100,000
Pembuat Materi : Rp 100,000
Transportasi : Rp 400,000
Akomodasi : Rp 200,000
FEE pendaftaran : Rp 816,000 96 x 8.500
TOTAL PENGELUARAN Rp 2,166,000

TOTAL Rp 1,884,930